Dokotala wanu akakuuzani kuti muli ndi matenda a shuga a mtundu wachiwiri, mungapatsidwe piritsi lophatikiza mankhwala awiri, Pioglitazone ndi Metformin. Ndizachilendo kumva mantha pang'ono komanso kukhala ndi mafunso ambiri mukamamwa mankhwalawa. Mwina mumadzifunsa kuti, "Kodi izi zigwira ntchito bwanji?", "Ndiyenera kuda nkhawa ndi chiyani?", "Kodi zotsatira zake ndi zoopsa?" Musadandaule. Lero, tiyankha mafunso anu onse okhudza mankhwalawa.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, iyi ndi mankhwala omwe amathandiza kulamulira kuchuluka kwa shuga m'magazi mwanu, kapena kuchuluka kwa shuga m'magazi. Ndi kuphatikiza kwa mankhwala awiri.
1. Pioglitazone: Izi zimagwira ntchito pothandiza kuti insulin hormone ya thupi lanu izigwira ntchito bwino. Izi zikutanthauza kuti zimathandiza maselo a thupi lanu kuyamwa shuga m'magazi mosavuta.
2. Metformin: Izi zimalamulira shuga m'magazi m'njira ziwiri: Choyamba ndi kuchepetsa kupanga shuga watsopano ndi chiwindi chanu, ndipo china ndi kulamulira kuyamwa kwa shuga kuchokera muzakudya zomwe mumadya.
Mankhwalawa nthawi zambiri amaperekedwa limodzi ndi zakudya zabwino komanso masewera olimbitsa thupi . Mankhwalawa okha sakwanira, koma ndi bwino kuwamwa pamodzi ndi kusintha kwa moyo. Ku Sri Lanka, mankhwalawa amapezeka pansi pa mayina otchuka monga `Actoplus Met XR`.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yanu yonse yachipatala musanapereke mankhwala awa. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse mwa omwe ali pansipa.
| Mkhalidwe kapena chizolowezi | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Matenda a mtima kapena kulephera kwa mtima | Pioglitazone imatha kuwonjezera kuchuluka kwa madzi m'thupi, zomwe zimapangitsa kuti anthu omwe ali ndi vuto la mtima azigwira ntchito molakwika. |
| Matenda a impso kapena chiwindi | Mankhwalawa amachotsedwa m'thupi kudzera mu impso ndi chiwindi, kotero ngati mphamvu yawo yachepa.Mlingo uyenera kusinthidwa. |
| Kumwa mowa pafupipafupi | Kuphatikiza mowa ndi Metformin kumawonjezera chiopsezo cha matenda oopsa otchedwa lactic acidosis. |
| Kukhala ndi pakati kapena kuyesa kutenga mimba, kuyamwitsa | Mankhwalawa si oyenera panthawi ya mimba. Angathandizenso kuti mazira azituluka, choncho lankhulani ndi dokotala wanu za njira zolerera ngati simukukonzekera kukhala ndi ana. |
| Mavuto a masomphenya, mbiri ya khansa ya chikhodzodzo, kuchepa kwa magazi m'thupi, matenda a ovary a polycystic | Ndikofunikira kudziwitsa dokotala za matenda awa chifukwa angakhudze mphamvu kapena zotsatirapo za mankhwalawo. |
| Kutupa kwa mankhwala ena, zakudya kapena zinthu zina | Izi ndizofunikira kudziwa ngati muli ndi vuto la chifuwa cha mankhwalawa kapena chilichonse mwa zosakaniza zake. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Monga momwe dokotala akunenera, ndikofunikira kwambiri kumwa mlingo woyenera panthawi yoyenera.
- Imwani ndi chakudya: Nthawi zonse imwani mankhwalawa pamodzi ndi chakudya. Nthawi zambiri amalangizidwa kuti muwamwe ndi chakudya chachikulu cha tsiku ndi tsiku.
- Mezani piritsi lonse: Mezani piritsi lonse ndi kapu ya madzi. Musaswe, kuphwanya, kapena kutafuna piritsi ngati chingamu. Iyi ndi piritsi ya Extended Release (XR). Izi zikutanthauza kuti idapangidwa kuti itulutse mankhwala pang'onopang'ono tsiku lonse. Ngati muiphwanya, njira imeneyo imasokonekera, ndipo mankhwala amatha kutulutsidwa m'thupi nthawi imodzi, zomwe zimayambitsa zotsatirapo zoyipa.
- Imwani pa nthawi yake: Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse.
- Ngati mwaphonya mlingo: Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
- Ngati mwamwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, siyani kumwa nthawi yomweyo.Imbani National Poison Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nthawi zina chophimba cha piritsi sichingasungunuke ndi kutuluka ndi ndowe yanu. Izi ndi zachilendo, choncho musadandaule. Mbali ya mankhwala ya mankhwala yalowa m'thupi lanu.
Zinthu zina zomwe ndiyenera kudziwa ndikamamwa mankhwala
Kupimidwa kuchipatala nthawi zonse
Dokotala wanu adzakuyezani nthawi zonse. Makamaka, adzakuyezani magazi otchedwa HbA1c miyezi iwiri kapena itatu iliyonse kuti awone momwe shuga m'magazi mwanu akuyendetsedwera. Akhozanso kuyesa kuti awone momwe chiwindi ndi impso zanu zimagwirira ntchito.
Dziwani kuchuluka kwa shuga m'magazi mwanu.
Phunzirani momwe mungayesere kuchuluka kwa shuga m'magazi anu kunyumba. Komanso, dziwani zizindikiro za shuga wotsika m'magazi (Hypoglycemia) ndi shuga wambiri m'magazi (Hyperglycemia).
- Zizindikiro za shuga wotsika m'magazi: thukuta, kugwedezeka, njala yambiri, chisokonezo, ndi kukomoka.
- Zizindikiro za shuga wambiri m'magazi: ludzu lochuluka, kukodza pafupipafupi, kusawona bwino, kutopa.
Nthawi zonse sungani chakudya pafupi chomwe mungadye mwachangu (mapiritsi a shuga, ma cubes a shuga, toffee) ngati shuga m'magazi mwanu atsika.
Maopaleshoni ndi ma scan
Ngati mukufuna kuchitidwa opaleshoni iliyonse, MRI kapena CT scan, uzani gulu lachipatala pasadakhale kuti mukumwa mankhwala awa. Mungafunike kusiya kumwa mankhwala masiku angapo mayeso asanachitike.
Mankhwala ena
Mankhwalawa amatha kuyanjana ndi mankhwala ena ambiri, makamaka mankhwala ena osiyanitsa omwe amagwiritsidwa ntchito musanayese, mankhwala ena a mtima, mapiritsi a mahomoni (kuphatikizapo mapiritsi oletsa kubereka), maantibayotiki ena ndi ochepetsa ululu.
Kuti mukhale otetezeka, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mumamwa. Mupatseni mndandanda wathunthu.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, izi zitha kukhala ndi zotsatirapo zake. Komabe, si aliyense amene amalandira. Mutha kuphunzira zambiri za izi kuchokera patebulo lomwe lili pansipa.
| Ngati mukumva zizindikiro izi, uzani dokotala wanu nthawi yomweyo kapena pitani kuchipatala. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za kulephera kwa mtima | Kuvuta kupuma, kutupa kwa akakolo, mapazi kapena manja, kunenepa mwadzidzidzi, kutopa kwambiri. |
| Lactic Acidosis | Imeneyi ndi vuto losowa koma loopsa kwambiri. Kugwedezeka kwa minofu kapena kupweteka, kupweteka m'mimba, kuvutika kupuma, kutopa kwambiri. |
| Zizindikiro za kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, khungu kapena maso kukhala achikasu, mkodzo wakuda wachikasu/bulauni. |
| Zizindikiro zina zazikulu | Kusintha kwa masomphenya (kuoneka ngati chizungulire, kuwona mphete mozungulira magetsi), mkodzo wofiira kapena wakuda, kupweteka pokodza. |
| Ngati zizindikirozi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Zotsatira zoyipa zofala | Kutsegula m'mimba, mutu, nseru, kutuluka madzi m'mphuno kapena kutsekeka. |
Uthenga Wopita Nawo Kunyumba
- Musasiye kugwiritsa ntchito mankhwalawa popanda kufunsa dokotala wanu.
- Imwani mankhwala nthawi zonse mukadya. Mezani piritsi lonse, musaliswe.
- Patsani dokotala wanu mndandanda wathunthu wa mankhwala ena onse, mavitamini, ndi zitsamba zomwe mukumwa.
- Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndipo sungani chinthu chokhala ndi shuga pafupi ngati pachitika ngozi.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto ena aakulu monga kupweteka pachifuwa, kupuma movutikira, kapena kupweteka kwambiri m'mimba.
- Ndikofunikira kwambiri kuti thanzi lanu lione dokotala wanu nthawi yake ndikuyesedwa kofunikira.
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