Tiyeni tiphunzire za mankhwala awa a matenda anu a shuga? (Pioglitazone + Glimepiride)

Kodi dokotala wanu wakupatsani mankhwala atsopano oletsa matenda anu a shuga? Mwina munadzifunsapo kuti ndi chiyani mutawona kuti ali ndi mayina awiri. Musadandaule. Lero tikulankhula za piritsi ili, lomwe ndi kuphatikiza kwa mankhwala awiri otchedwa Pioglitazone ndi Glimepiride. Limaperekedwa kwa anthu omwe ali ndi matenda a shuga a mtundu wachiwiri. Tiyeni timvetse kuyambira A mpaka Z mosavuta, ngati kuti tikuuza mnzanu.

Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?

Mwachidule, mankhwalawa amagwira ntchito pochepetsa ndikuwongolera kuchuluka kwa shuga, kapena shuga m'magazi mwanu. Popeza pali mitundu iwiri ya mankhwala mu izi, amagwira ntchito m'njira ziwiri zosiyana.

1. Glimepiride: Mankhwalawa amapatsa kapamba wanu "mphamvu" pang'ono ndipo amathandiza kuti apange mahomoni ambiri a insulin omwe thupi lanu limafunikira.

2. Pioglitazone: Mankhwalawa amagwira ntchito pothandiza maselo a thupi lanu kugwiritsa ntchito bwino insulin yomwe amapanga. Izi zikutanthauza kuti, amawonjezera mphamvu ya maselo ku insulin.

Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala

Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kuuza dokotala wanu za mbiri yonse ya thanzi lanu. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse mwa izi:

• Matenda omwe alipo panopa:
• Ngati muli ndi matenda a mtima kapena mtima wofooka
• Matenda a impso
• Matenda a chiwindi
• Ngati muli ndi mbiri ya khansa ya chikhodzodzo
• Ngati mwadwala matenda a shuga otchedwa diabetesic ketoacidosis, matenda oopsa omwe amayamba chifukwa cha matenda a shuga.
• Ngati muli ndi vuto la kusowa kwa enzyme lotchedwa G6PD deficiency (Glucose-6-phosphate dehydrogenase deficiency)
• Matenda a chithokomiro (matenda a chithokomiro)
• Ngati muli ndi kutupa m'thupi lanu, m'manja, kapena m'mapazi
• Ngati muli ndi matenda aakulu kapena kuvulala

• Matenda a ziwengo:
• Ngati muli ndi vuto la Pioglitazone, Glimepiride kapena mankhwala ena a sulfa
• Ngati muli ndi vuto la ziwengo ndi mankhwala ena, chakudya, kapena mankhwala osungira zinthu zosungira

• Mfundo zina zapadera:
• Ngati muli ndi pakati kapena mukufuna kutenga mimba
• Ngati ndinu mayi woyamwitsa

Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?

Kuti mupindule kwambiri ndi mankhwala, muyenera kuwagwiritsa ntchito bwino.

• Mezani piritsi ili ndi galasi la madzi.
• Khalani ndi chizolowezi chomwa mankhwala anu nthawi yofanana tsiku lililonse.
• Chofunika kwambiri: Imwani mankhwalawa mukadya kapena nthawi yomweyo mutatha kudya . Musamwe muli ndi njala. Kuchita izi kungayambitse kuchepa kwa shuga m'magazi (hypoglycemia). Madokotala nthawi zambiri amalimbikitsa kumwa mankhwalawa ndi chakudya cham'mawa.
• Pitirizani kumwa mankhwalawo mpaka dokotala wanu atakuuzani kuti musiye.
• Kuchuluka kwa mankhwala: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
• Ngati mwaphonya mlingo: Imwani mlingo womwe mwaphonya nthawi yomweyo. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi.

Zinthu zina zomwe zingagwirizane ndi mankhwalawa

Mankhwala ena, mavitamini, ndi mankhwala azitsamba omwe mukumwa angagwirizane ndi mankhwalawa. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu zonse zomwe mukumwa. Nazi zitsanzo zochepa chabe.

Zinthu zofunika kukumbukira mukamamwa mankhwala

• Kuyezetsa magazi pafupipafupi: Pitani kwa dokotala wanu pa masiku okhazikika kuti mukaone momwe mulili. Mungafunikenso kuyezetsa magazi kuti mukaone momwe chiwindi chanu chikugwira ntchito.
• Kuyeza kwa HbA1C: Kuyeza kumeneku kumayesa kuchuluka kwa shuga m'magazi mwanu m'miyezi iwiri kapena itatu yapitayi. Dokotala wanu angakulangizeni kuti muchite mayesowa miyezi itatu kapena isanu ndi umodzi iliyonse.
• Kuyeza kuchuluka kwa shuga m'magazi: Phunzirani momwe mungayezere kuchuluka kwa shuga m'magazi anu kunyumba. Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndi shuga wambiri m'magazi (hyperglycemia) ndi momwe mungathanirane nazo.
• Ngati muli ndi shuga wochepa m'magazi: Nthawi zonse khalani ndi shuga wina. Mwachitsanzo, mapiritsi a shuga, kachidutswa ka shuga, maswiti, chidutswa cha jelly bean. Ngati mukumva zizindikiro zazikulu za shuga wochepa m'magazi (monga khunyu, kutaya chidziwitso), uzani banja lanu kuti ndizoopsa kukupatsani chakudya kapena chakumwa. Zikatero, muyenera kupita kuchipatala nthawi yomweyo.
• Musamadye chakudya: Ngati mukumwa mankhwala awa, ndikofunikira kwambiri kudya chakudya chanu chachikulu panthawi yoyenera.
• Mimba: Mankhwalawa angapangitse kuti dzira lizituluka m'mimba mwa akazi omwe ali ndi msambo wosakhazikika. Chifukwa chake, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira yoyenera yolerera pamene mukumwa mankhwalawa. Ngati mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo.
• Kumva ku dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losavuta kumva ku dzuwa. Choncho, ngati mukufuna kukhala padzuwa, valani zovala zophimba thupi lanu ndipo gwiritsani ntchito mafuta oteteza ku dzuwa.

Kodi zotsatirapo zake zingakhale zotani?

Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Si aliyense amene amawapeza. Tiyeni tiwone kuti ndi chiyani.