Tikamaganizira za matenda a shuga, ambiri a ife timaganiza za jakisoni wa insulin. Kwa ena, kudzibaya ndi singano tsiku lililonse kumakhala kovuta komanso kokhumudwitsa. Koma tsopano, mudzadabwa kudziwa kuti pali njira yatsopano yothetsera izi, njira yomwe ingagwiritsidwe ntchito popanda singano. Ndiko kuti, ufa wa insulin womwe umapumidwa ndi pakamwa. Tiyeni tikambirane za izi mwatsatanetsatane lero.
Kodi insulin iyi ya pakamwa ndi chiyani?
Mwachidule, iyi ndi insulin. Koma m'malo mopatsidwa jakisoni, imabwera ngati ufa wabwino kwambiri. Imapumidwa kudzera pakamwa pogwiritsa ntchito inhaler yapadera. Kenako ufa wa insulin umalowa m'thupi mwachangu kudzera m'mapapo. Izi zimatchedwa insulin yogwira ntchito mwachangu . Izi zikutanthauza kuti mukaigwiritsa ntchito, imayamba kulamulira kuchuluka kwa shuga m'magazi mwachangu.
Mankhwalawa nthawi zambiri amaperekedwa ndi dokotala wanu limodzi ndi kusintha kwa zakudya zanu komanso masewera olimbitsa thupi. Ngakhale kuti iyi ndi njira yatsopano komanso yosavuta yothanirana ndi matenda a shuga, si yoyenera aliyense. Chifukwa chake, ndikofunikira kwambiri kudziwa bwino lomwe kuti ndi chiyani.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe chithandizochi, ndikofunikira kuti mufotokozere dokotala wanu zonse zokhudza thanzi lanu. Makamaka, muyenera kuwauza izi:
| Matenda anu kapena chizolowezi chanu | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Ngati ndinu wosuta fodya kapena mwasiya posachedwapa. | Mankhwalawa sakuvomerezeka kwa odwala osuta fodya ndi mapapo. Amatha kukhudza mapapo. |
| Ngati muli ndi matenda a m'mapapo monga mphumu kapena COPD. | Chifukwa chakuti imagwira ntchito m'mapapo, ingayambitse mavuto opuma mwa anthu omwe ali kale ndi matenda a m'mapapo. |
| Ngati nthawi zambiri mumakhala ndi shuga wochepa m'magazi (hypoglycemia). | Popeza mankhwalawa amachepetsanso shuga m'magazi, chiopsezo cha matendawa chikhoza kukwera kwa munthu amene ali kale ndi shuga wochepa m'magazi. |
| Ngati muli ndi matenda a impso kapena chiwindi. | Popeza ziwalo zimenezi zimathandiza kuchotsa mankhwala m'thupi, ngati ntchito yawo yasokonekera, mlingo wa mankhwalawo ungafunike kusinthidwa. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. | Pazochitikazi, muyenera kulankhula ndi dokotala wanu za zotsatira za mankhwalawo ndikupanga chisankho. |
| Ngati muli ndi vuto la insulin kapena mankhwala ena, zakudya, kapena utoto. | Izi ndizofunikira kwambiri kuti tipewe zotsatirapo za ziwengo. |
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Momwe izi zimagwiritsidwira ntchito ndi zosiyana pang'ono ndi inhaler wamba, kotero ndikofunikira kwambiri kutsatira malangizo omwe dokotala wanu kapena gulu lazachipatala amapereka ndendende.
- Muyenera kugwiritsa ntchito izi mutangoyamba kudya chakudya chanu chachikulu .
- Dokotala wanu adzakuphunzitsani momwe mungagwiritsire ntchito inhaler iyi, momwe mungasinthire mlingo wanu, komanso momwe mungasinthire mlingo wanu mukadwala kapena mukuchita masewera olimbitsa thupi.
- Musagwiritse ntchito mopitirira muyeso kapena mochepera kuposa momwe dokotala wanu wanenera.
- Werengani mosamala kabuku ka malangizo komwe kamabwera ndi mankhwalawa. Ngati muli ndi mafunso, funsani dokotala wanu.
Chofunika kwambiri ndichakuti mankhwalawa ndi a inu nokha. Musagawire wina aliyense mankhwala anu opumira kapena ufa wa insulin pazifukwa zilizonse.
Nanga bwanji ngati nditaphonya nthawi yokumana ndi dokotala?
Ndikofunikira kuti musasiye kumwa mankhwala anu. Koma dokotala wanu mwina angakupatseni dongosolo la zomwe mungachite ngati mutamwa. Tsatirani dongosolo limenelo. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Izi zitha kukhala zadzidzidzi.
Zinthu zoti muzisamala nazo mukamamwa mankhwalawa
Muyenera kusamala nthawi zonse za thanzi lanu pamene mukulandira chithandizochi.
- Onani dokotala wanu nthawi zonse: Pitani ku chipatala pa masiku omwe akonzedwa kuti muwone momwe chithandizo chanu chikuyendera.
- Kuyeza kwa HbA1C: Uku ndi kuyesa magazi kosavuta. Kungakudziwitseni momwe shuga m'magazi mwanu mwakhalira olamulidwa bwino m'miyezi iwiri kapena itatu yapitayi. Dokotala wanu angakulangizeni kuti muyesedwe miyezi itatu kapena isanu ndi umodzi iliyonse.
- Phunzirani kuyeza shuga m'magazi mwanu: Phunzirani momwe mungayezere shuga m'magazi mwanu kunyumba. Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndi shuga wambiri m'magazi (hyperglycemia) ndi momwe mungathanirane nazo.
- Ngati shuga m'magazi mwanu ndi wochepa: Ngati mukumva kunjenjemera, thukuta, kapena chizungulire, izi zitha kukhala zizindikiro za shuga wochepa m'magazi. Nthawi zonse sungani chinthu monga mapiritsi a shuga, thumba la shuga, kapena toffee yotsekemera pafupi kuti mugwiritse ntchito mukafuna.
- Zadzidzidzi: Ngati muli ndi shuga wochepa m'magazi ndipo mukudwala khunyu kapena mukutaya chikumbumtima, musaike chilichonse mkamwa mwanu. Zingayambitse kutsamwa. Uzani ena za izi. Muyenera kupita kuchipatala nthawi yomweyo.
- Musamadumphe chakudya. Funsani dokotala wanu za mowa. Mankhwala ena a chifuwa ndi chimfine angakhale ndi shuga kapena mowa. Izi zingakhudze shuga m'magazi mwanu.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa. Zina mwa izo ndi zazikulu, zina mwa izo ndi zofala.
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kuvuta kupuma | Kuvuta kupuma kapena kupuma movutikira mutagwiritsa ntchito mankhwala. |
| Hypoglycemia (shuga wotsika m'magazi) | Kunjenjemera, thukuta kwambiri, kusakhazikika, chizungulire, kukomoka, kugunda kwa mtima mofulumira. |
| Matenda a shuga a ketoacidosis (DKA) | Ludzu lochuluka, kukodza pafupipafupi, pakamwa pouma, kupuma movutikira ngati zipatso, kupuma movutikira, kupweteka m'mimba, nseru. |
| Kuchepa kwa potaziyamu | Kupweteka kwa minofu kapena kupweteka m'mimba, kufooka kosazolowereka, kugunda kwa mtima kosasinthasintha. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Chifuwa | Zingachitike mukayamba kugwiritsa ntchito mankhwalawa. |
| Chikhure | Pakhoza kukhala kusapeza bwino kapena kupweteka pang'ono pakhosi. |
Uthenga Wopita Nawo Kunyumba
- Insulin yomwa ndi mankhwala opanda singano komanso ogwira ntchito mwachangu a matenda ashuga. Koma iyenera kugwiritsidwa ntchito kokha monga momwe dokotala wanu wanenera.
- Muyenera kuuza dokotala wanu za mankhwala ena onse omwe mumamwa, matenda anu onse, makamaka matenda a m'mapapo (monga mphumu) ndi kusuta fodya.
- Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia). Nthawi zonse sungani chinthu monga chigawo cha shuga kapena tofi pafupi nthawi ngati zimenezi.
- Ngati mukumva kuvutika kupuma, kutupa pakhungu, kapena zotsatirapo zina zoyipa mutamwa mankhwalawa, funsani upangiri wa dokotala nthawi yomweyo.
- Uwu ndi mankhwala operekedwa kwa inu nokha. Musagawire munthu wina aliyense mankhwala anu opumira kapena ufa wa insulin.
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