Kodi muli ndi matenda a shuga amtundu wachiwiri? Kapena wachibale wanu kapena mnzanu ali ndi vutoli? Ndiye mwina munamvapo za mankhwala otchedwa Nateglinide. Uwu ndi mankhwala apadera omwe amaperekedwa kuti achepetse matenda a shuga. Chifukwa chake lero tikambirana mwatsatanetsatane za mapiritsi a Nateglinide awa, momwe amagwirira ntchito, ndi zinthu zomwe muyenera kusamala nazo mukamamwa.

Kodi Nateglinide ndi mankhwala amtundu wanji? Amagwira ntchito bwanji?

Mwachidule, nateglinide ndi piritsi loperekedwa kwa anthu omwe ali ndi matenda a shuga a mtundu wachiwiri. Monga mukudziwa, matenda a shuga ndi kuwonjezeka kwa shuga m'thupi, kutanthauza kuchuluka kwa shuga m'magazi. Chomwe mankhwalawa amachita ndikuthandiza thupi lanu kupanga mahomoni ambiri a insulin. Insulin ndi yomwe imathandiza kulamulira shuga m'thupi. Chifukwa chake insulin ikachuluka, shuga m'magazi amachepa. Koma kumbukirani, mankhwalawa okha si okwanira. Mankhwalawa nthawi zambiri amaperekedwa limodzi ndi zakudya zabwino komanso masewera olimbitsa thupi . Pokhapokha mutapeza zotsatira zabwino.

Nthawi zina mungapeze mankhwalawa pansi pa dzina la Starlix, koma akhoza kukhala ndi mayina ena.

Mankhwalawa angagwiritsidwenso ntchito pa matenda ena, kotero ngati muli ndi mafunso okhudza izi, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala wanu musanagwiritse ntchito mankhwalawa?

Musanayambe kumwa Nateglinide, muyenera kuuza dokotala wanu kapena gulu lomwe likukuthandizani za izi. Kumbukirani, ngati simuwauza, mungakhale ndi mavuto.

• Ngati muli ndi matenda otchedwa diabetesic ketoacidosis, omwe amayamba chifukwa cha matenda a shuga. (Izi n'zovuta pang'ono, dokotala wanu angadziwe za izi.)
• Ngati muli ndi matenda a chiwindi .
• Ngati munakhalapo ndi vuto la ziwengo ndi mankhwalawa, nateglinide, mankhwala ena aliwonse, chakudya, utoto, kapena chosungira.
• Ngati muli ndi pakati, kapena mukufuna kutenga mimba.
• Ngati ndinu mayi woyamwitsa.

Ngati mundiuza zinthu izi popanda kuzibisa, dokotala akhoza kukuthandizani m'njira yoyenera kwambiri.

Kodi mumagwiritsa ntchito bwanji mankhwalawa moyenera?

Mankhwalawa ayenera kumwedwa pakamwa, ndi madzi. Muyenera kumwa monga momwe dokotala wanu wanenera, panthawi yake komanso muyeso wake. Nthawi zambiri, mumauzidwa kuti mumwe mankhwalawa musanadye . Kunena zoona, ndi bwino kumwa pafupifupi mphindi 30 musanadye.

Chofunika: Ngati simudya chakudya, ndiye kuti, ngati simudya,Muyeneranso kupewa kumwa mankhwala oyenera panthawiyo. Izi zikutanthauza kuti ngati palibe chakudya, palibe mankhwala.

Pitirizani kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye. Ndi bwino kuti musasiye mwadzidzidzi, eti?

Muyenera kusamala kwambiri popereka mankhwalawa kwa ana. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana wanu, lankhulani ndi dokotala wanu za izi ndipo funsani upangiri.

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani chipatala chapafupi kapena malo owongolera poizoni nthawi yomweyo. Musataye nthawi.

Chinanso, mankhwalawa ndi a inu nokha. Ndi mankhwala omwe dokotala anakupatsani chifukwa cha matenda anu. Choncho musawagawire ndi wina aliyense.

Kodi mumatani ngati mwaphonya mlingo wa mankhwala?

Ngati mwaiwala kumwa mlingo, imwani. Imwani mlingo wotsatira panthawi yomwe mwakonza. Musamwe mapiritsi awiri nthawi imodzi kuti mubwezeretse mlingo womwe munaphonya. Kuchita zimenezi kungayambitse mavuto.

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa? (Kuyanjana)

Izi ndizofunikira kwambiri. Mankhwala ena, zakudya, ndi zakumwa zimatha kukhudza kuchuluka kwa shuga m'magazi mwanu. Izi zikutanthauza kuti mukamwa ndi nateglinide, kuchuluka kwa shuga m'magazi mwanu kumatha kuchepa kwambiri (hypoglycemia) kapena kukwera kwambiri. Chifukwa chake ngati mukumwa mankhwalawa, muyenera kusamala kwambiri ndi zinthu zotsatirazi.

Mankhwala ambiri amatha kusokoneza kuchuluka kwa shuga m'magazi. Nazi zitsanzo zina:

• Mowa
• Aspirin ndi mankhwala ofanana ndi a aspirin
• Mankhwala ena oletsa mavairasi a matenda monga HIV kapena chiwindi
• Mankhwala ena ochizira kuvutika maganizo, nkhawa, kapena matenda ena amisala
• Mankhwala ena a matenda monga kuthamanga kwa magazi, matenda a mtima, ndi kugunda kwa mtima kosasinthasintha
• Chromium (nthawi zina imatengedwa ngati chowonjezera)
• Mankhwala ochepetsa mphamvu ya madzi m'thupi ( Diuretics )
• Mahomoni achikazi, mwachitsanzo ma estrogen kapena ma progestin, ndi mapiritsi oletsa kubereka
• Fenofibrate
• Gemfibrozil (Gemfibrozil)`
• Isoniazid (mankhwala a chifuwa chachikulu)
• Lanreotide
• Mahomoni a amuna kapena ma steroid a anabolic
• MAOIs (monga mankhwala monga Carbex, Eldepryl, Marplan, Nardil, Parnate)
• Mankhwala ochepetsa thupi
• Mankhwala a ziwengo, mphumu, chimfine, ndi chifuwa
• Niacin
• Nikotini (yomwe imapezeka mu fodya)
• NSAIDs (mankhwala ochepetsa ululu ndi oletsa kutupa, monga ibuprofen kapena naproxen)
• Octreotide
• Pasireotide
• Pentamidine
• Phenytoin `(Phenytoin)`
• Probenecid `(Probenecid)`
• Mankhwala opha tizilombo a Quinolone (monga ciprofloxacin, levofloxacin, ofloxacin)
• Zakudya zina zowonjezera ku zitsamba
• Mankhwala a steroid (monga prednisone kapena cortisone)
• Sulfamethoxazole; trimethoprim
• Mahomoni a chithokomiro

Komanso, pali mankhwala ena omwe amabisa zizindikiro zochenjeza za shuga wotsika m'magazi (hypoglycemia). Izi zikutanthauza kuti simungamve ngakhale shuga wanu m'magazi uli wochepa. Ngati mukumwa mankhwala amtunduwu, muyenera kuyang'ana shuga wanu m'magazi pafupipafupi. Zitsanzo:

• Beta-blockers ( monga metoprolol, propranolol)
• Clonidine
• Guanethidine
• Reserpine

Mndandandawu sunathe. Pakhoza kukhala zina zambiri. Choncho, uzani dokotala wanu za mankhwala onse omwe mumagwiritsa ntchito (omwe amalembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, mankhwala azitsamba, mavitamini), zowonjezera zomwe mumamwa, komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zina mwa zinthuzi zingakhudze mankhwala anu a nateglinide.

Ndi zinthu zina ziti zomwe ndiyenera kusamala nazo ndikamamwa mankhwalawa?

Mukamamwa mankhwalawa, muyenera kuonana ndi dokotala nthawi zonse kuti akaone ngati muli ndi thanzi labwino.

• Kuyesa kwa HbA1C (A1C): Uku ndi kuyesa kosavuta kwa magazi. Kumaona momwe shuga m'magazi mwanu mwakhalira olamulidwa bwino m'miyezi iwiri kapena itatu yapitayi. Kuyesaku kuyenera kuchitika miyezi itatu kapena isanu ndi umodzi iliyonse.
• Phunzirani momwe mungayezere shuga m'magazi mwanu: Pali makina ang'onoang'ono omwe mungagwiritse ntchito poyesa shuga m'magazi mwanu kunyumba. Phunzirani momwe mungawagwiritsire ntchito, komanso zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndi shuga wambiri m'magazi (hyperglycemia), komanso momwe mungawathanitsire.
• Sungani shuga pafupi pakagwa ngozi: Nthawi zonse khalani ndi shuga (monga ma cubes a shuga, mapiritsi a shuga) kuti mudye mwachangu ngati mukuona zizindikiro za shuga wotsika m'magazi (monga kugwedezeka, thukuta, chizungulire). Ngati mukuona shuga wotsika m'magazi ndikutaya chikumbumtima, kapena mukudwala khunyu, uzani abale anu ndi anzanu kuti akhoza kutsamwitsidwa ngati akukupatsani chakudya kapena chakumwa panthawiyo. Ngati izi zitachitika, muyenera kupita kuchipatala nthawi yomweyo.
• Ngati shuga m'magazi mwanu akukwera, uzani dokotala wanu :Ngati shuga m'magazi mwanu ndi wokwera nthawi zonse, uzani dokotala wanu. Mlingo wa mankhwala anu ungafunike kusinthidwa. Komanso, ngati mukudwala kapena kuchita masewera olimbitsa thupi kuposa masiku onse, mlingo wa mankhwala anu ungafunike kusinthidwa.
• Musamadumphe chakudya: Idyani pa nthawi yake.
• Zokhudza mowa: Funsani gulu lanu la zaumoyo ngati muyenera kupewa kumwa mowa.
• Samalani ndi mankhwala ena: Mankhwala ena a chifuwa ndi ozizira omwe mungagule mu sitolo ya mankhwala ku pharmacy angakhale ndi shuga kapena mowa. Izi zingakhudze kuchuluka kwa shuga m'magazi.
• ID ya Zachipatala: Valani chibangili cha ID ya Zachipatala kapena unyolo, kapena sungani khadi lomwe lili ndi tsatanetsatane wa matenda anu, mankhwala omwe mumamwa, mlingo, ndi nthawi zomwe mumamwa. Izi zitha kukhala zofunika kwambiri pakagwa ngozi.
• Amayi oyamwitsa: Musayamwitse mwana wanu pamene mukumwa mankhwalawa. Ngati muli ndi mafunso okhudza izi, lankhulani ndi dokotala wanu.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, Nateglinide ingayambitse mavuto ena mwa anthu ena. Si aliyense amene amawapeza, koma ndi bwino kuwadziwa.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

Ngati mukukumana ndi zizindikiro izi , muyenera kudziwitsa gulu lanu lachipatala mwamsanga:

• Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Shuga wochepa m'magazi (hypoglycemia) : kunjenjemera, kunjenjemera, nkhawa, thukuta, kumva kuzizira, khungu louma, kusokonezeka, chizungulire, kugunda kwa mtima mofulumira.

Zotsatirapo zomwe nthawi zambiri sizimafuna chithandizo chamankhwala, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa:

Ngakhale kuti nthawi zambiri izi sizikhala zazikulu, uzani dokotala wanu ngati zikupitirira kapena zikukuvutitsani:

• Kupweteka kwa msana
• Kutsegula m'mimba
• Chizungulire
• Kupweteka kwa mafupa
• Mphuno yotuluka madzi kapena yotsekeka

Mndandanda uwu si zotsatirapo zonse zomwe zingatheke. Ngati muwona china chake chachilendo kuwonjezera pa izi, lankhulani ndi dokotala wanu za izi. (Ku US, mutha kunena za zotsatirapo ku FDA pa 1-800-FDA-1088, koma ku Sri Lanka, ndibwino kuuza dokotala wanu.)

Kodi mapiritsi awa mumasunga bwanji?

Ndikofunikira kwambiri kusunga mankhwalawa kutali ndi ana ndi ziweto.

Sungani kutentha kwa chipinda, pafupifupi madigiri 25 Celsius (77 Fahrenheit). Sungani botolo/phukusi la mankhwala litatsekedwa bwino.Musagwiritse ntchito mankhwala otha ntchito, atayeni.

Kodi mumataya bwanji bwino mankhwala osagwiritsidwa ntchito komanso omwe atha ntchito?

Musangotaya mankhwala otha ntchito kapena osafunikira m'zinyalala. Pali njira zowatayira bwino.

• Mapulogalamu obweza mankhwala: Ma pharmacy ena ndi zipatala zathanzi zitha kukhala ndi mapulogalamu awa. Yang'anani.
• Ngati simungathe kubweza: Yang'anani chizindikiro cha mankhwala kapena kapepala komwe kamabwera nako kuti muwone ngati kakunena kuti muitaye m'zinyalala kapena muitulutse m'chimbudzi. Ngati simukudziwa, funsani gulu lanu lazaumoyo.
• Ngati kuli kotetezeka kutaya zinyalala: Tulutsani mankhwalawo mu chidebecho. Kenako sakanizani mankhwalawo ndi chinthu china chomwe sichithandiza, monga zinyalala za amphaka, dothi, khofi, ndi zina zotero. Kenako ikani zosakanizazo mu thumba kapena chidebecho, sungani bwino, ndikuzitaya mu zinyalala.

Zinthu zofunika kuzikumbukira

Chabwino, kuchokera pa zomwe takambirana, izi ndi zinthu zofunika kwambiri zomwe muyenera kukumbukira:

• Nateglinide ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda a shuga amtundu wa 2.
• Izi zimawonjezera insulin m'thupi ndipo zimachepetsa shuga m'magazi (shuga).
• Nthawi zambiri amalangizidwa kuti amwe izi mphindi 30 musanadye. Ngati mwaphonya chakudya, siyaninso kumwa mankhwalawo.
• Uzani dokotala wanu za mankhwala ena aliwonse omwe mumamwa komanso zizolowezi zanu (kusuta fodya, kumwa mowa), chifukwa zinthu zina zingakhudze mankhwala awa.
• Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndipo sungani shuga pafupi kuti mugwiritse ntchito mukafuna.
• Musasiye kumwa mankhwala anu pokhapokha ngati dokotala wanu wakuuzani. Pitani kwa dokotala nthawi zonse kuti muwone momwe mulili.
• Ngati muli ndi pakati, mukuyamwitsa, kapena muli ndi vuto la chiwindi, onetsetsani kuti mwadziwitsa dokotala wanu musanamwe mankhwalawa.

Ichi ndi chidule chabe. Ngati muli ndi mafunso ena okhudza mankhwalawa, chonde musazengereze kufunsa dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina. Adzakuthandizani.

Nateglinide , Starlix, matenda a shuga, shuga m'magazi, insulin, zotsatirapo zake