Dokotala wanu akakuuzani kuti muli ndi matenda a shuga a mtundu wachiwiri, mwina munapatsidwa mankhwalawa. Ali ndi mayina awiri, Pioglitazone ndi Metformin. Nthawi zambiri mumalandira mankhwalawa ngati piritsi limodzi lopangidwa pophatikiza mankhwala awiriwa. Ndizachilendo kumva mantha pang'ono komanso kukhala ndi mafunso ambiri mukayamba mankhwala atsopano. Koma musadandaule, lero tikambirana za mankhwalawa, momwe amagwirira ntchito m'thupi, zinthu zomwe tiyenera kusamala nazo, ndi zina zonse.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, ntchito yaikulu ya mankhwalawa ndikulamulira kuchuluka kwa shuga m'magazi mwanu, kutanthauza shuga. Amaperekedwa kwa anthu omwe ali ndi matenda a shuga a mtundu wachiwiri. Amagwira ntchito m'njira ziwiri. Choyamba ndi kuthandiza mahomoni a insulin m'thupi lanu kugwira ntchito bwino. China ndi kuchepetsa kuchuluka kwa shuga wosafunikira wopangidwa ndi chiwindi chanu.
Koma kumbukirani kuti mankhwalawa okha si okwanira. Kuti mukhale ndi ulamuliro wabwino, muyenera kutsatira zakudya zoyenera komanso kuchita masewera olimbitsa thupi limodzi ndi mankhwalawa. Ndikofunikira kwambiri kutsatira malangizo a dokotala molondola.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Dokotala wanu asanakupatseni mankhwala awa, ayenera kumvetsetsa bwino za thanzi lanu. Chifukwa chake, ngati muli ndi vuto lililonse mwa omwe ali pansipa, onetsetsani kuti mwadziwitsa dokotala wanu za vutoli.
| Matenda/chizolowezi | N’chifukwa chiyani tiyenera kudziwitsa? |
|---|---|
| Matenda a mtima kapena kulephera kwa mtima | Mankhwalawa amatha kuwonjezera kuchuluka kwa madzi m'thupi ndikuwonjezera matenda a mtima. |
| Matenda a impso kapena chiwindi | Popeza ziwalo zimenezi zimagwira ntchito yochotsa mankhwala m'thupi, ngati ntchito yawo yasokonekera, mlingo wa mankhwalawo ungafunike kusinthidwa. |
| Kumwa mowa pafupipafupi | Kuphatikiza mowa ndi mankhwalawa kumawonjezera chiopsezo cha matenda oopsa otchedwa lactic acidosis. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena ndinu mayi woyamwitsa | Popeza mankhwalawa amatha kukhudza mwana, ndikofunikira kufunafuna upangiri wa dokotala pankhani yogwiritsira ntchito mankhwalawa pazochitika izi. |
| Khansa ya chikhodzodzo kapena matenda a maso | Dokotala ayenera kudziwa kuti nthawi zina mankhwalawa amatha kukhudza matenda awa. |
| Kutupa kwa mankhwala ena, zakudya, kapena zinthu zina | Izi ndizofunikira kudziwa ngati muli ndi vuto la chifuwa cha mankhwalawa kapena chilichonse mwa zosakaniza zake. |
| Ketoacidosis ya Matenda a Shuga | Popeza ichi ndi vuto lalikulu la matenda a shuga, mankhwalawa si oyenera. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Njira yogwiritsira ntchito mankhwalawa ndi yosavuta kwambiri.
- Mezani piritsi ndi kapu ya madzi .
- Yesetsani kumwa mankhwala anu nthawi yomweyo tsiku lililonse , monga momwe dokotala wanu wanenera. Mukachita izi chizolowezi, simungaiwale.
- Ndi bwino kumwa mankhwalawa pamodzi ndi chakudya .
- Pitirizani kugwiritsa ntchito mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.
- Chofunika: Ngati mukuganiza kuti mwamwa mankhwala opitirira muyeso, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
- Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense pazifukwa zilizonse.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yoti mutenge mlingo wotsatira yafika nthawi yomwe mwakumbukira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza.Musamwe mankhwala awiri nthawi imodzi.
Ndi chiyani chinanso chomwe ndiyenera kusamala nacho ndikamamwa mankhwalawa?
Ndikofunikira kwambiri kusamala thanzi lanu nthawi yonse yomwe mukugwiritsa ntchito mankhwalawa.
- Kuyezetsa magazi nthawi zonse: Onetsetsani kuti mwapita ku chipatala masiku omwe dokotala wanu wakuuzani. Kuyezetsa magazi kotchedwa HbA1c kumachitika kamodzi pa miyezi iwiri kapena itatu iliyonse kuti muwone momwe shuga m'magazi mwanu akuyendetsedwera bwino. Izi zitha kuyeza kupambana kwa kuwongolera matenda anu a shuga.
- Phunzirani kuyesa shuga m'magazi mwanu: Ndikofunikira kuphunzira momwe mungayesere shuga m'magazi mwanu kunyumba. Komanso, dziwani zizindikiro za hypoglycemia ndi hyperglycemia, komanso zomwe mungachite zikachitika.
- Ngati shuga m'magazi mwanu watsika: Ngati mwadzidzidzi mukumva kuti shuga wachepa, chizungulire, kapena thukuta, sungani chinthu monga piritsi la shuga, toffee, kapena glucose pafupi. Koma kumbukirani, ngati wina wakomoka, musamuike chilichonse mkamwa mwake, chifukwa zingayambitse kutsamwa. Muyenera kupita naye kuchipatala nthawi yomweyo.
- Musamadumphe chakudya: Ndikofunikira kwambiri kuti munthu amene ali ndi matenda a shuga adye panthawi yoyenera.
- Opaleshoni ndi ma scan: Ngati mukufuna opaleshoni iliyonse, kapena ngati mukufuna kubayidwa mankhwala apadera otchedwa contrast pa chinthu monga X-ray kapena CT scan, muyenera kuuza gulu lachipatala pasadakhale kuti mukumwa mankhwalawa.
- Kusowa kwa mavitamini: Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kungayambitse kuchepa kwa vitamini B12 ndi folic acid mwa anthu ena. Choncho lankhulani ndi dokotala wanu za kudya zakudya zoyenera komanso kumwa mavitamini owonjezera ngati pakufunika kutero.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina mwa anthu ena, koma si aliyense amene amalandira. Samalani ndi zizindikiro zomwe zili pansipa.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime, komanso kuvutika kupuma. |
| Zizindikiro za kulephera kwa mtima | Kuvuta kupuma, kutupa kwa akakolo, mapazi kapena manja, kunenepa mwadzidzidzi, kutopa kwambiri. |
| Lactic Acidosis | Kupweteka kapena kuuma kwa minofu, kupweteka m'mimba, kuvutika kupuma, kutopa kwambiri, komanso kusasangalala. Uwu ndi vuto lalikulu kwambiri. |
| Zizindikiro za kuwonongeka kwa chiwindi | Kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, nseru, khungu kapena maso kukhala achikasu, mkodzo wakuda wachikasu/bulauni. |
| Zizindikiro za kusowa kwa vitamini B12 | Kupweteka m'manja ndi m'miyendo, dzanzi, kufooka kwa minofu, chizungulire, kusokonezeka maganizo. |
| Kusintha kwa masomphenya | Kuona molakwika, kuwona mphete mozungulira magetsi, kutayika kwa masomphenya. |
| Ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Kutsegula m'mimba | Izi ndi zachilendo mukayamba kumwa mankhwalawo. |
| Mutu | |
| Kusanza | |
Uthenga Wopita Nawo Kunyumba
- Imwani mankhwala monga momwe dokotala wanu wanenera, mu mlingo wovomerezeka, panthawi yovomerezeka, komanso pamodzi ndi chakudya.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi matenda ena aliwonse omwe mungakhale nawo.
- Dziwani zizindikiro za shuga wochepa komanso wokwera m'magazi ndipo khalani okonzeka kuzizindikira.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto ena aakulu monga kupuma movutikira, kutupa thupi, kapena kupweteka kwambiri kwa minofu.
- Kumbukirani kuti kudya zakudya zoyenera komanso kuchita masewera olimbitsa thupi n'kofunika kwambiri pochepetsa matenda a shuga, komanso kugwiritsa ntchito mankhwala.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu