Mankhwala oti mumwe a matenda a shuga: Tiyeni tiphunzire za mapiritsi a Metformin ndi Repaglinide?

Ngati muli ndi matenda a shuga amtundu wachiwiri, dokotala wanu mwina adakupatsani mapiritsi osakaniza (monga PrandiMet) omwe ali ndi metformin ndi repaglinide. Uwu ndi mankhwala omwe nthawi zambiri amaperekedwa kuti akuthandizeni kuwongolera matenda anu a shuga. Tiyeni tiwone zomwe mankhwalawa ndi, momwe amagwirira ntchito, komanso zomwe muyenera kudziwa.

Kodi mankhwalawa ndi a chiyani? Mwachidule...

Mwachidule, iyi ndi piritsi yopangidwa pophatikiza mankhwala awiri otchedwa Metformin ndi Repaglinide. Izi zimaperekedwa kwa anthu omwe ali ndi matenda a shuga amtundu wa 2. Komabe, kumwa mankhwalawa kokha sikokwanira. Kulamulira zakudya zanu ndi kuchita masewera olimbitsa thupi ndi gawo la chithandizochi. Mankhwalawa amathandiza thupi lanu kugwiritsa ntchito bwino mahomoni otchedwa Insulin . Kenako, shuga m'magazi amawongoleredwa. Mankhwalawa angagwiritsidwenso ntchito pazinthu zina, mutha kufunsa dokotala wanu kapena munthu wa ku pharmacy za izi.

Zinthu zomwe muyenera kuuza dokotala wanu musanagwiritse ntchito mankhwalawa

Chabwino, tsopano izi ndizofunikira. Musanayambe kumwa mankhwalawa, muyenera kuuza dokotala wanu kapena wamankhwala za izi. Chifukwa ngati muli ndi matenda awa, mankhwalawa sangakhale oyenera kwa inu, kapena mungafunike chisamaliro chapadera.

• Kodi muli ndi vuto la kuchepa kwa magazi m'thupi ?
• Kodi mukusowa madzi m'thupi ?
• Kodi mwakhala ndi vuto lalikulu lotchedwa Diabetic Ketoacidosis ?
• Kodi muli ndi matenda a mtima ?
• Kodi mumamwa mowa nthawi zonse?
• Kodi muli ndi matenda a impso ?
• Kodi muli ndi matenda a chiwindi ?
• Ngati ndinu mkazi, kodi muli ndi matenda a Polycystic Ovary Syndrome (PCOS) ?
• Kodi mwangochira kumene matenda aakulu kapena kuvulala kwambiri ?
• Kodi nthawi zonse mukusanza ?
• Kodi munayamba mwakhalapo ndi vuto la ziwengo chifukwa cha metformin, repaglinide, kapena mankhwala ena aliwonse, chakudya, utoto, kapena zosungira?
• Kodi mukuyesera kutenga mimba , kapena muli kale ndi mimba?
• Kodi ndinu mayi woyamwitsa ?

Ndikofunikira kwambiri kuti thanzi lanu lizinena chilichonse popanda kubisa zinthu izi, kodi mukumvetsa?

Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?

Piritsi ili liyenera kumwedwa pakamwa. Mezani ndi kapu ya madzi. Muyenera kutsatira malangizo omwe ali pa chizindikiro cha mankhwala chomwe dokotala wanu wakupatsani.

Chofunika kwambiri ndi chakuti, mankhwalawaMuyenera kumwa musanadye. Kunena zoona, musamwe kwa mphindi zoposa 30 musanadye . Nthawi zambiri amamwa nthawi yochepa musanadye.

Tangoganizirani, ngati simudya chakudya, muyeneranso kusala kudya piritsi la chakudya chimenecho.

Kodi ndi bwino kusamwa mowa wochuluka kuposa momwe dokotala akulangizira, kapena kumwa mowa pafupipafupi?

Kodi chimachitika ndi chiyani kwa achinyamata ndi okalamba?

Ngati mukupereka mankhwalawa kwa ana aang'ono, muyenera kulankhula ndi dokotala wanu wa ana za mankhwalawa. Chisamaliro chapadera chingafunike.

Ngati munthu wazaka zoposa 65 akumwa mankhwalawa, zotsatira zake zingakhale zolimba pang'ono. Chifukwa chake, dokotala angachepetse mlingo pang'ono.

Chochita ngati mwamwa mankhwala ochulukirapo? (Kupitirira muyeso)

Dziwani kuti ngati mukuganiza kuti mwamwa mankhwala ochulukirapo mwangozi, imbani Poison Control Center kapena chipinda chodzidzimutsa chapafupi nthawi yomweyo. Izi si nthabwala.

"Mankhwala awa ndi a inu nokha. Musawapatse anzanu kapena abale anu, ngakhale atakhala kuti ali ndi matenda a shuga."

Nanga bwanji ngati ndaphonya mlingo?

Ngati simungathe kumwa piritsi musanadye, imwani. Ngati nthawi ya chakudya chanu chotsatira yayandikira, ndiko kuti, mukatsala pang'ono kudya chakudya chanu chotsatira, imwani piritsi panthawiyo. Musamwe mapiritsi owirikiza kawiri kapena kumwa mapiritsi ena nthawi imodzi.

Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)

Iyi ndi mfundo yofunika kwambiri. Pali mankhwala ena omwe angayambitse mavuto akamwedwa pamodzi ndi mapiritsi a metformin ndi repaglinide. Izi zikutanthauza kuti kugwira ntchito kwa mankhwalawa kungalepheretsedwe, kapena zotsatira zake zingawonjezere.

Musamwe mankhwala a shuga awa pamodzi ndi mankhwala awa:

• Mankhwala osiyanitsa ndi zinthu ndi zakumwa zapadera zomwe zimabayidwa m'thupi musanayambe mayeso ena , monga X-ray, CT scans, ndi MRIs.
• Mankhwala otchedwa Dofetilide .
• Mankhwala otchedwa Gemfibrozil .

Kuphatikiza apo, pali mankhwala ena ambiri omwe angagwirizane ndi mankhwala a shuga awa mwanjira ina. Izi zingaphatikizepo:

• Acetazolamide
• Mowa (osati ngati chakumwa chokha, komanso mankhwala ena angakhalenso ndi mowa)
• Ma Barbiturates (monga Phenobarbital, Primidone)
• Carbamazepine
• Mankhwala ena oletsa mavairasi a matenda monga HIV kapena chiwindi
• Mankhwala ena a kuthamanga kwa magazi, matenda a mtima, ndi kugunda kwa mtima kosasinthasintha
• Mankhwala ena a matenda a bowa (monga Ketoconazole, Itraconazole)
• Cimetidine
• Clopidogrel
• Clarithromycin
• Cyclosporine
• Deferasirox
• Dichlorphenamide
• Digoxin
• Mankhwala ochepetsa mphamvu ya madzi m'thupi (Diuretics)
• Erythromycin
• Mahomoni achikazi (monga ma estrogen, ma progestin, ndi mapiritsi oletsa kubereka)
• Glycopyrrolate
• Isoniazid (mankhwala a chifuwa chachikulu)
• Lamotrigine
• Memantine
• Methazolamide
• Metoclopramide
• Midodrine
• Niacin
• Phenothiazines (monga Chlorpromazine, Mesoridazine, Prochlorperazine, Thioridazine)
• Phenytoin
• Ranolazine
• Rifampin
• Simvastatin (mankhwala ochepetsa mafuta m'thupi)
• Mankhwala a steroid (monga Prednisone, Cortisone)
• Mankhwala olimbikitsa kuvutika maganizo, kuchepetsa thupi, kapena kukuthandizani kukhala maso
• Mankhwala a chithokomiro
• Topiramate
• Trospium
• Vandetanib
• Zonisamide

Mndandanda uwu si wokwanira, sichoncho? Izi zikutanthauza kuti, mankhwala ena, osati awa okha, amatha kuyanjana ndi mankhwala a shuga awa.

Choncho, uzani dokotala wanu za mankhwala onse omwe mumamwa (omwe dokotala wanu wakupatsani, omwe mwagula ku pharmacy, mankhwala achikhalidwe, mavitamini, zowonjezera zakudya). Komanso, uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito zinthu zina zosaloledwa. Zinthu zina zingakhudze mankhwala awa.

Ndi zinthu ziti zomwe tiyenera kusamala nazo makamaka tikamamwa mankhwalawa?

Mukamamwa mankhwalawa, pitani kwa dokotala nthawi zonse kuti mukayezedwe kuti muwone ngati thanzi lanu lili bwino.

Kuyezetsa kwanu kwa HbA1c (HbA1c) kumayesedwa nthawi zonse. Uku ndi kuyezetsa magazi kosavuta. Kumasonyeza momwe shuga m'magazi mwanu mwakhalira olamulidwa bwino m'miyezi iwiri kapena itatu yapitayi. Muyenera kuyezetsa magaziwa miyezi itatu kapena isanu ndi umodzi iliyonse.

Tiyeni tidziwe kuchuluka kwa shuga m'magazi.

Phunzirani momwe mungayezere shuga m'magazi anu kunyumba. Komanso,Ndikofunikira kudziwa zizindikiro za shuga wotsika m'magazi (kapena hypoglycemia) ndi shuga wambiri m'magazi (kapena hyperglycemia), komanso momwe mungawathetsere.

Ngati mwadzidzidzi shuga wanu watsika m'magazi, sungani shuga wochepa nthawi zonse. Mwachitsanzo, chigawo cha shuga, piritsi la shuga, kapena toffee. Tangoganizirani ngati mwadzidzidzi shuga wanu watsika m'magazi ndipo mwatsala pang'ono kutaya chikumbumtima, ndipo ngati mudzipatsa chakudya kapena chakumwa panthawiyo, chingakuvutitseni. Chifukwa chake, muyenera kuuza abale anu ndi anzanu za izi. Ngati shuga wanu watsika kwambiri mpaka mutagwidwa ndi khunyu kapena chikumbumtima, muyenera kufunafuna thandizo lachipatala nthawi yomweyo.

Ngati mukuona kuti shuga m'magazi mwanu ndi wokwera, uzani dokotala wanu. Mlingo wa mankhwala anu ungafunike kusinthidwa. Ngati mukudwala kapena kuchita masewera olimbitsa thupi kuposa nthawi zonse, funsani dokotala wanu ngati mukufuna kusintha mlingo wa mankhwala anu panthawiyo.

Musamadumphe chakudya. Lankhulani ndi dokotala wanu za kumwa mowa. Zina mwa zinthu zotsukira chifuwa ndi zozizira zomwe zimaperekedwa ku ofesi ya kauntala zingakhale ndi shuga kapena mowa. Izi zingakhudze kuchuluka kwa shuga m'magazi.

Dziwani kuti mungathe kutenga mimba.

Mankhwalawa angawonjezere mwayi wotulutsa mazira kwa akazi omwe ali ndi msambo wosakhazikika koma sanathe kusamba. Izi zingawonjezere mwayi wotenga mimba. Ngati muli ndi pakati kapena mukuganiza kuti muli ndi pakati, simuyenera kumwa mankhwalawa. Lankhulani ndi dokotala wanu za njira zolerera pamene mukumwa mankhwalawa. Ngati mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo.

Asanachite opaleshoni

Ngati mukuchitidwa opaleshoni, MRI, CT scan, kapena njira ina iliyonse yapadera yachipatala, uzani dokotala wanu kuti mukumwa mankhwalawa. Mungafunike kusiya kumwa mankhwalawa kwa masiku angapo opaleshoni isanachitike.

Nthawi zonse nyamulani khadi la Medical ID lomwe limalemba matenda anu, mankhwala omwe mumamwa, mlingo, ndi nthawi yoti muwamwe. Ngati n'kotheka, valani chibangili cha Medical ID kapena unyolo. Izi zitha kukhala zofunika kwambiri pakagwa ngozi.

Mankhwalawa angachepetse kuchuluka kwa folic acid ndi vitamini B12 m'thupi lanu. Choncho, onetsetsani kuti mukupeza mavitamini okwanira mukamamwa mankhwalawa. Lankhulani ndi dokotala wanu za zakudya zomwe mumadya komanso mavitamini omwe mumamwa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, mapiritsi awa a metformin ndi repaglinide angayambitse mavuto ena mwa anthu ena. Si aliyense amene amalandira mankhwalawa, koma ena amatha kuwalandira.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

Ngati mukukumana ndi zizindikiro izi, muyenera kuuza dokotala wanu kapena katswiri wa zaumoyo nthawi yomweyo :

• Matenda a ziwengo : kutupa pakhungu, kuyabwa kapena ziphuphu, kutupa kwa nkhope, milomo, kapena lilime.
• Mavuto opuma.
• Mkodzo wakuda .
• Kumva kufooka kapena mutu wopepuka, kugwa.
• Malungo, kuzizira, pakhosi .
• Kupweteka kwa minofu kapena kupweteka kwa minofu .
• Kufiira, kutupa, kutsekeka, kumasuka kwa khungu, ndi zina zotero zingachitikenso mkamwa.
• Zizindikiro za shuga wotsika m'magazi : kumva nkhawa, kusokonezeka, chizungulire, njala yowonjezera, kumva kufooka kapena kutopa kwambiri, thukuta, kugwedezeka, kumva kuzizira, kukwiya, mutu, kusawona bwino, kugunda kwa mtima mofulumira, kutaya chidziwitso.
• Kugunda kwa mtima pang'onopang'ono kapena kosasinthasintha.
• Kutuluka magazi kapena mabala osazolowereka.
• Kupweteka m'mimba kosazolowereka kapena kupweteka.
• Kusanza.
• Maso kapena khungu kukhala lachikasu (ichi chingakhale vuto la chiwindi).

Zotsatirapo zomwe nthawi zambiri siziyenera kunenedwa kwa dokotala , koma ziyenera kutchulidwa ngati zikupitirira:

Zotsatirapo zoyipa izi nthawi zambiri sizimakhala zoopsa. Zitha pakatha masiku ochepa. Koma ngati zikupitirira kapena kukuvutitsani, uzani dokotala wanu:

• Kutsegula m'mimba.
• Chizungulire.
• Mutu.
• Mpweya m'mimba.
• Kumva kukoma kwachitsulo mkamwa.
• Kupweteka m'mimba.

Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona zotsatirapo zina zachilendo, lankhulani ndi dokotala wanu. Mutha kunena za zotsatirapozi ku FDA pa 1-800-FDA-1088.

Kodi mapiritsi awa mumasunga bwanji? (Kusunga)

Ndikofunikira kwambiri kusunga mapiritsi awa kutali ndi ana .

Pa kutentha kochepera madigiri 25 Celsius (25°C) kapena madigiri 77 Fahrenheit (77°F)Sungani. Izi zikutanthauza kuti sungani kutentha kwabwinobwino kwa chipinda, osati kotentha kwambiri, komanso kutali ndi dzuwa. Tetezani ku kuwala.

Musagwiritse ntchito mankhwala otha ntchito. Tayani.

Pomaliza, zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri za mapiritsi awa a Metformin ndi Repaglinide, sichoncho? Mwachidule:

• Mankhwalawa amaperekedwa kuti achepetse matenda a shuga a mtundu wachiwiri . Komabe , kudya bwino komanso kuchita masewera olimbitsa thupi n'kofunika kwambiri.
• Musanayambe kumwa mankhwala , uzani dokotala wanu za matenda anu onse ndi mankhwala onse omwe mukumwa.
• Imwani mankhwala anu monga momwe dokotala wanu wanenera musanadye. Ngati mwaphonya chakudya, imwani mankhwala anu nthawi yomweyo.
• Yang'anani kuchuluka kwa shuga m'magazi mwanu nthawi zonse. Dziwani zizindikiro za shuga wotsika komanso wokwera m'magazi. Sungani shuga pafupi ndi inu pa nthawi yadzidzidzi.
• Ngati mukukumana ndi zotsatirapo zina zatsopano, makamaka ngati zili zoopsa, uzani dokotala wanu nthawi yomweyo.
• Uzani dokotala wanu za mankhwala ena aliwonse, mavitamini, ndi mankhwala achikhalidwe omwe mukumwa.
• Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena kuyamwitsa, lankhulani ndi dokotala musanamwe mankhwalawa.

Mankhwalawa adzakuthandizani kuchepetsa matenda anu a shuga ndikukhala ndi moyo wathanzi. Koma chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola komanso kumuona nthawi zonse kuti akakupime. Ngati muli ndi mafunso aliwonse, musaope kufunsa dokotala wanu kapena wamankhwala.

Metformin , Repaglinide, Matenda a Shuga, Mtundu wa 2 wa Matenda a Shuga, Insulini, Shuga wa M'magazi, Zotsatirapo Zake