Kodi mukulandira chithandizo cha matenda a shuga amtundu wachiwiri? Ngati ndi choncho, dokotala wanu mwina adakupatsani piritsi lophatikiza mankhwala awiri otchedwa Linagliptin ndi Metformin. Izi zimapezeka kwambiri m'dziko lathu pansi pa dzina loti Jentadueto. Uwu ndi mankhwala othandiza kwambiri omwe amathandiza kuwongolera kuchuluka kwa shuga m'magazi (shuga m'magazi). Komabe, monga mankhwala ena aliwonse, pali zinthu zina zomwe tiyenera kusamala nazo tikamagwiritsa ntchito. Tiyeni tikambirane za izi lero, mwanjira yomwe mungamvetse.
Kodi chimachitika ndi chiyani ndi kuphatikiza kwa mankhwalawa?
Ndati izi ndi kuphatikiza kwa mankhwala awiri. Tiyeni tiwone zomwe zimachitika ndi awiriwa padera.
- Metformin: Izi zimagwira ntchito makamaka pochepetsa kuchuluka kwa shuga komwe chiwindi chanu chimapanga. Zimathandizanso kuti maselo a thupi lanu azimva insulin. Mwachidule, zimathandiza thupi lanu kugwiritsa ntchito bwino insulin yomwe lili nayo.
- Linagliptin: Izi zimagwira ntchito polimbikitsa kupanga insulin m'thupi poyankha chakudya.
Mankhwala awiriwa akagwira ntchito limodzi, angakuthandizeni kuchepetsa matenda anu a shuga. Koma kumbukirani kuti mankhwalawa okha sakwanira. Kuonjezera apo , kudya bwino komanso kuchita masewera olimbitsa thupi n'kofunika kwambiri.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanakupatseni mankhwala awa, ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yanu yonse ya thanzi. Izi zili choncho chifukwa tiyenera kusamala kwambiri tikamagwiritsa ntchito mankhwalawa ndi matenda enaake. Ngati muli ndi matenda aliwonse omwe ali pansipa, onetsetsani kuti mwadziwitsa dokotala wanu za mankhwalawa.
| Matenda kapena vuto | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Matenda a impso kapena matenda a chiwindi | Metformin imachotsedwa m'thupi kudzera mu impso. Ngati impso sizikugwira ntchito bwino, mankhwalawa amatha kudziunjikira m'thupi ndikuyambitsa matenda oopsa (lactic acidosis). |
| Matenda a mtima kapena kulephera kwa mtima | Kusamala kwambiri kuyenera kuperekedwa popereka mankhwala awa kwa odwala ena a mtima. |
| Kumwa mowa pafupipafupi | Kuphatikiza mowa ndi Metformin kumawonjezera kwambiri chiopsezo cha matenda oopsa otchedwa lactic acidosis. |
| Kukhala ndi mbiri ya kapamba | Linagliptin ili ndi chiopsezo chosowa kwambiri cha matenda a kapamba. Ndikofunikira kudziwitsa dokotala wanu ngati mwakhalapo ndi vutoli kale. |
| Kusowa kwa Vitamini B12 kapena kuchepa kwa magazi m'thupi | Kugwiritsa ntchito metformin kwa nthawi yayitali kungachepetse kuyamwa kwa vitamini B12 m'thupi. |
| Kukhala ndi pakati kapena kuyesa kutenga mimba, kuyamwitsa | Mankhwalawa si oyenera panthawi ya mimba ndi kuyamwitsa. Pali mankhwala ena omwe alipo. |
| Zochitika zina | Uzani dokotala wanu ngati muli ndi matenda a shuga a Ketoacidosis, matenda a ndulu, kuchuluka kwa triglycerides m'magazi, matenda oopsa, Polycystic Ovary Syndrome (PCOS), matenda a chithokomiro, kapena ziwengo zilizonse za mankhwala kapena zakudya. |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
- Imwani ndi chakudya: Ichi ndiye chinthu chofunikira kwambiri. Metformin ingayambitse kuvutika m'mimba ndi nseru mwa anthu ena. Kumwa mankhwalawo ndi chakudya kapena nthawi yomweyo mutadya kungathandize kuchepetsa kwambiri kusasangalala kumeneku.
- Imwani ndi kapu ya madzi: Mezani piritsi lonse ndi kapu ya madzi.
- Tsatirani malangizo a dokotala wanu: Imwani mlingo womwe dokotala wanu wakupatsani, panthawi yomwe mwapatsidwa. Musachepetse, kuonjezera, kapena kuimitsa mlingo nokha.
- Ngati mwaiwala kumwa mlingo: Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
- Kumwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo mwangozi, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi. Musatenge izi mopepuka.
Chofunika kwambiri ndi kupatsa dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, Panadol, mankhwala a Ayurvedic, ndi mankhwala azitsamba) kuti athe kuwona ngati muli ndi vuto lililonse.
Zinthu zofunika kukumbukira mukamamwa mankhwala
Kuyang'anira kuchuluka kwa shuga
Dokotala wanu adzakufunsani kuti muyesedwe magazi otchedwa HbA1C miyezi itatu kapena isanu ndi umodzi iliyonse. Izi zikuwonetsa kuchuluka kwa shuga m'magazi mwanu m'miyezi iwiri kapena itatu yapitayi. Komanso, phunzirani momwe mungayezere shuga m'magazi mwanu kunyumba ngati n'kotheka.
Shuga wochepa m'magazi (Hypoglycemia)
Nthawi zina, mukamamwa mankhwalawa, shuga m'magazi mwanu amatha kuchepa kwambiri. Zizindikiro za izi ndi monga:
- Kutuluka thukuta mwadzidzidzi
- Kugwedezeka
- Kulephera kuganizira kwambiri
- Chizungulire ndi njala yoopsa
Ngati mukumva zizindikiro izi, idyani nthawi yomweyo chinthu chokoma (shuga cube, glucose tablet, kapena chakumwa chokoma). Choncho nthawi zonse sungani chinthu chonga shuga cube nanu. Ngati mwataya chikumbumtima, uzani banja lanu kuti lisaike chilichonse mkamwa mwanu. Ngati izi zitachitika, muyenera kupita kuchipatala nthawi yomweyo.
Maopaleshoni ndi ma scan
Ngati mukuchitidwa opaleshoni iliyonse, CT scan, kapena MRI scan, uzani gulu lachipatala pasadakhale kuti mukumwa mankhwalawa. Mungafunike kusiya kumwa mankhwalawa masiku angapo mayeso asanachitike.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Koma si aliyense amene amalandira. Chofunika kwambiri ndi kuzindikira zizindikiro za zotsatirapo zake zoopsa ndikuchitapo kanthu mwachangu.
| Zotsatira zoyipa | Zoyenera kuchita? |
|---|---|
| Matenda aakulu omwe amafunika chithandizo chamankhwala mwachangu | |
| Matenda a ziwengo: Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, kuvutika kupuma. | Pitani ku Chipatala cha Emergency Treatment Unit (ETU) kuti mukalandire chithandizo mwamsanga. |
| Lactic Acidosis: (yosowa koma yoopsa kwambiri) - kupweteka kwa minofu, kupweteka m'mimba, kuvutika kupuma, kutopa kwambiri, kutopa konse. | Izi ndi zotsatirapo zoyipa kwambiri za Metformin. Pitani ku ER nthawi yomweyo. |
| Pancreatitis: Kupweteka kwambiri m'mimba (makamaka komwe kumafika kumbuyo), kupweteka komwe kumawonjezeka mutatha kudya, kusanza, kutentha thupi. | Kaonaneni ndi dokotala nthawi yomweyo kapena pitani ku ETU. |
| Zizindikiro za Kulephera kwa Mtima: Kupuma movutikira, kutupa kwa akakolo ndi mapazi, kunenepa mwadzidzidzi, kutopa kwambiri. | Kaonaneni ndi dokotala wanu nthawi yomweyo. |
| Matenda omwe nthawi zambiri si aakulu, koma ayenera kufotokozedwa kwa dokotala ngati akupitirira | |
| Kutsegula m'mimba | Kawirikawiri imabwera ndi kutha kumayambiriro. Ngati ikupitirira kapena ndi yoopsa, uzani dokotala wanu. |
| Zizindikiro zonga chimfine (mphuno yotuluka madzi, pakhosi lopweteka) | Ngati izi zikukuvutitsani kapena zikupitirira, lankhulani ndi dokotala wanu. |
Uthenga Wopita Nawo Kunyumba
- Mankhwala awa nthawi zonseImwani nthawi ndi nthawi ya chakudya kapena mutadya. Izi zimachepetsa kwambiri kupweteka m'mimba.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala a Ayurvedic).
- Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) (thukuta, kugwedezeka, chizungulire ). Sungani chinthu chotsekemera pafupi kuti mudye ngati zinthu zotere zachitika.
- Ngati mukumva zizindikiro zazikulu monga kupweteka kwambiri m'mimba kapena kupuma movutikira , pitani kuchipatala nthawi yomweyo.
- Pitani kwa dokotala wanu nthawi yake ndipo mulandire mayeso monga HbA1C kuti muchepetse shuga wanu.
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