Thandizo la matenda a shuga: Tiyeni tiphunzire za jakisoni wa Pramlintide!

Ngati muli ndi matenda a shuga , mwina mukudziwa kufunika kolamulira shuga m'magazi mwanu. Nthawi zina , kulamulira zakudya zanu ndi kuchita masewera olimbitsa thupi kokha sikokwanira, eti? Lero tikambirana za jakisoni wapadera womwe umathandiza nthawi ngati zimenezi. Dzina lake ndi Pramlintide .

Kodi Pramlintide ndi mankhwala otani?

Mwachidule, Pramlintide ndi mankhwala obayidwa omwe amagwiritsidwa ntchito pochiza matenda a shuga . Amagwira ntchito pochepetsa kuchuluka kwa shuga m'magazi mwanu. Amathandizanso kuchepetsa kugaya chakudya chomwe mumadya. Izi zimathandiza kuchepetsa kukwera kwadzidzidzi kwa shuga m'magazi mwanu.

Taganizirani ngati dambo lolamulira madzi, mankhwalawa amaletsa kukwera kwadzidzidzi kwa shuga m'magazi mutatha kudya. Nthawi zambiri, mankhwalawa amaperekedwa limodzi ndi kuwongolera zakudya zanu komanso kuchita masewera olimbitsa thupi . Pamenepo ndi pomwe mumapeza zotsatira zabwino kwambiri. Mwanjira ina, ikhoza kukhala gawo lina lofunika kwambiri pa dongosolo lanu lothana ndi matenda a shuga.

Kodi ndi zinthu ziti zofunika zomwe muyenera kuuza dokotala?

Musanayambe kumwa jakisoni wa Pramlintide, ndikofunikira kuuza dokotala wanu za izi. Izi ndizofunikira chifukwa zidzawathandiza kusankha ngati mankhwalawa ndi oyenera kwa inu komanso momwe angawaperekere.

Ngati muli ndi vuto lililonse mwa izi, chonde tiuzeni:

• Ngati hemoglobin yanu A1C ili pamwamba pa 9% (iyi ndi njira yodziwira momwe mwawongolera shuga m'magazi anu m'miyezi ingapo yapitayi).
• Ngati muli ndi vuto la shuga m'magazi nthawi zambiri, kapena muli ndi hypoglycemia .
• Ngati mukuvutika kuona shuga m'magazi mwanu moyenera.
• Ngati muli ndi vuto lomwa mankhwala anu a shuga moyenera.
• Ngati muli ndi vuto la m'mimba, makamaka vuto lotchedwa gastroparesis , lomwe limachepetsa kutuluka kwa madzi m'mimba mwanu (vuto lomwe matumbo amachedwetsa kugwira ntchito kwawo).
• Ngati mukuvutika kumvetsetsa nthawi yomwe shuga m'magazi mwanu ndi yotsika,(Vuto ndi loti munthu athe kudziwa ngati shuga m'magazi ali otsika).
• Ngati munayamba mwakhalapo ndi vuto la Pramlintide, chomwe chili ndi metacresol , mankhwala ena, zakudya, utoto wochita kupanga, kapena zotetezera.
• Ngati muli ndi pakati, kapena mukuyembekeza kutenga pakati posachedwa .
• Ngati ndinu mayi woyamwitsa .

Ngati muuza dokotala wanu zinthu izi popanda kuzibisa, iye akhoza kukonzekera chithandizo chomwe chingakuthandizeni.

Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?

Mankhwalawa amaperekedwa ngati jakisoni pansi pa khungu . Dokotala wanu kapena namwino adzakupatsani malangizo omveka bwino a momwe mungawakonzere ndi momwe mungawajambulire bwino. Muyenera kutsatira malangizowo molondola .

Kumbukirani zinthu izi:

• Musasakanize mankhwalawa ndi insulin mu syringe imodzi. Mankhwala awiriwa ayenera kumwedwa padera.
• Mankhwalawa ayenera kumwedwa musanadye chakudya chachikulu chilichonse .
• Imwani mankhwalawo panthawi yolembedwa komanso nthawi yolembedwa monga momwe dokotala wanenera.
• Musatenge mankhwala opitirira muyeso womwe waperekedwa.
• Musanagwiritse ntchito mankhwalawa, yang'anani bwino mawonekedwe ake . Ngati akuwoneka ngati aphwanyidwa, kapena ngati muwona zidutswa zazing'ono mkati mwake, musagwiritse ntchito.
• Muyenera kuyika singano zanu zakale ndi zolembera zojambulira m'chidebe chopangira zinthu zoyaka chomwe chimapangidwira cholinga ichi. Musazitaye m'zinyalala. Izi zitha kukhala zoopsa kwa ena. Ngati mulibe, funsani ku pharmacy kapena dokotala wanu kuti akupatseni chimodzi.
• Mukalandira mankhwala awa ku pharmacy, mudzapatsidwa kabuku ka malangizo apadera (MedGuide) . Werengani mosamala nthawi iliyonse mukadzalandira mankhwala owonjezera.
• Mankhwalawa amabwera ndi kabuku ka malangizo ogwiritsira ntchito . Werengani mosamala ndipo funsani wamankhwala kapena dokotala wanu ngati pali chilichonse chomwe simukumvetsa.
• Ngati mukupereka mankhwalawa kwa ana , onetsetsani kuti mwalankhula ndi dokotala wanu za mankhwalawa. Angafunike chisamaliro chapadera.
• Kodi muyenera kuchita chiyani ngati mwamwa mankhwala ochulukirapo mwangozi ? Ngati mukuganiza kuti izi zachitika, musachite mantha ndipo nthawi yomweyo imbani chipinda chapafupi chadzidzidzi kapena malo owongolera poizoni kuti akupatseni upangiri.

Ichi ndi chinthu chomwe muyenera kukumbukira: Mankhwalawa ndi a inu nokha. Musapatse mnzanu kapena wachibale wanu, ngakhale atakhala ndi matenda a shuga.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Nthawi zina mungaphonye mlingo wa mankhwala, eti? Ndi zosiyana kwa aliyense. Koma, si bwino kuphonya mlingo . Dokotala wanu kapena gulu lachipatala adzakuuzani choti muchite ngati mwaphonya mlingo. Tsatirani ndondomeko imeneyo bwino. Musamwe mlingo wowirikiza kawiri pazifukwa zilizonse. Kuchita zimenezi kungapangitse shuga m'magazi mwanu kutsika kwambiri.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Kodi mukudziwa kuti mankhwala ena amatha kuyanjana ndi Pramlintide, zomwe zikutanthauza kuti amatha kukhudzana? Chifukwa chake ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mavitamini, zitsamba, mankhwala ogulitsidwa kunja kwa chipatala, komanso zakudya zowonjezera.

Samalani ndi mankhwala otsatirawa chifukwa zotsatira za Pramlintide zingasinthe:

• Acetaminophen (monga paracetamol)
• `Alosetron`
• 'Atropine'
• Mapiritsi oletsa kubereka
• Mankhwala ena a mavuto a chikhodzodzo, mwachitsanzo, oxybutynin
• Mankhwala ena ochizira matenda am'mimba, monga `dicyclomine`, `hyoscyamine`
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza nseru paulendo, mwachitsanzo, scopolamine
• `Eluxadoline`
• Mankhwala ena a matenda a shuga, monga `acarbose`, `miglitol`

Palinso mankhwala ena ambiri omwe angakhudze kuchuluka kwa shuga m'magazi. Mndandandawu ndi wautali pang'ono, koma ndikofunikira kudziwa izi:

• Zakumwa zokhala ndi mowa
• Mankhwala oletsa mavairasi a HIV kapena Edzi
• Aspirin ndi mankhwala ena ofanana nawo
• Mankhwala ena a kuthamanga kwa magazi, matenda a mtima, ndi kugunda kwa mtima kosasinthasintha
• Chromium (nthawi zina imatengedwa ngati chowonjezera)
• Mankhwala ochepetsa mphamvu ya mkodzo
• Mahomoni achikazi, kaya ma estrogen kapena ma progestin, amagwiritsidwa ntchito m'mapiritsi oletsa kubereka.
• Fenofibrate
• 'Gemfibrozil'
• Isoniazid (mankhwala a chifuwa chachikulu)
• `Lanreotide`
• Mahomoni a amuna kapena `anabolic steroids`
• Mankhwala omwe ali m'gulu la mankhwala otchedwa `MAOIs` (ogwiritsidwa ntchito pa matenda amisala), mwachitsanzo `Carbex`, `Eldepryl`, `Marplan`, `Nardil`, ndi `Parnate`
• Mankhwala ochepetsa thupi
• Mankhwala a ziwengo, mphumu, chimfine, ndi chifuwa
• Mankhwala a kuvutika maganizo, nkhawa, kapena matenda ena amisala
• `Niacin`
• Nikotini (yomwe imapezeka mu fodya)
• Mankhwala ochepetsa ululu otchedwa `NSAIDs`, kutanthauza mankhwala ochepetsa kutupa, mwachitsanzo `ibuprofen` kapena `naproxen`
• 'Octreotide'
• `Pasireotide`
• `Pentamidine`
• `Phenytoin` (mankhwala operekedwa kwa akameza)
• Probenecid (mankhwala a gout)
• Mankhwala opha tizilombo a Quinolone, mwachitsanzo ciprofloxacin, levofloxacin, ofloxacin
• Zakudya zina zowonjezera ku zitsamba
• Mankhwala a steroid, monga prednisone kapena cortisone
• Sulfamethoxazole; trimethoprim (mankhwala opha tizilombo)
• Mahomoni a chithokomiro

Chofunika kwambiri, pali mankhwala ena omwe angabise zizindikiro za shuga wotsika m'magazi (hypoglycemia). Izi zikutanthauza kuti simungadziwe kuti muli ndi shuga wotsika m'magazi. Ngati mukumwa imodzi mwa mankhwalawa, ndikofunikira kwambiri kuyang'ana shuga m'magazi mwanu nthawi zonse. Mankhwala oterewa ndi awa:

• Beta-blockers - Izi nthawi zambiri zimaperekedwa kwa matenda a kuthamanga kwa magazi kapena matenda a mtima (zitsanzo: atenolol, metoprolol, propranolol)
• 'Clonidine'
• `Guanethidine`
• `Reserpine`

Mndandandawu sukuphatikizapo zinthu zonse zomwe zimachitika. Choncho uzani dokotala wanu za mankhwala onse, zitsamba, ndi zowonjezera zomwe mumamwa, komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Zinthu zina zingasokoneze mankhwala anu.

Muyeneranso kusamala ndi zinthu izi mukamamwa mankhwala!

Mukamagwiritsa ntchito mankhwalawa, muyenera kupita kwa dokotala nthawi zonse kuti akaone momwe zinthu zilili. Komanso, dziwani izi:

• Kuyezetsa kwanu kwa HbA1C (A1C) kumayesedwa nthawi zonse. Uku ndi kuyezetsa magazi kosavuta. Kumaona momwe shuga m'magazi mwanu mwayang'aniridwa bwino m'miyezi iwiri kapena itatu yapitayi. Kuyezetsa kumeneku kumachitika miyezi itatu kapena isanu ndi umodzi iliyonse.
• Phunzirani momwe mungayezere shuga m'magazi mwanu kunyumba. Komanso, phunzirani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndi shuga wambiri m'magazi (hyperglycemia) ndi momwe mungathanirane nazo. Izi ndizofunikira kwambiri.
• Nthawi zonse sungani shuga pafupi ndi malo osungira shuga mwachangu. Mwachitsanzo, ma cubes a shuga, mapiritsi a shuga, kapena chakumwa chokhala ndi shuga. Ngati shuga m'magazi mwanu watsika kwambiri ndipo mukumva kukomoka kapena kukomoka, uzani ena (abale, anzanu) kuti kukupatsani chakudya kapena chakumwa panthawiyo kungayambitse kukomoka. Ngati izi zitachitika, muyenera kupita kuchipatala nthawi yomweyo.
• Ngati mukuona kuti shuga m'magazi mwanu ndi wokwera, uzani dokotala wanu. Mlingo wa mankhwala anu ungafunike kusinthidwa.
• Ngati mukudwala (monga kutentha thupi kapena kupweteka m'mimba), kapena ngati mukuchita masewera olimbitsa thupi kuposa masiku onse , mungafunike kusintha mlingo wa mankhwala anu. Funsani dokotala wanu za izi.
• Musamadye chakudya, makamaka ngati mukumwa mankhwala awa.
• Funsani dokotala wanu ngati muyenera kupewa kumwa mowa. Mowa ungayambitse kutsika kapena kukwera kwa shuga m'magazi mwanu.
• Mankhwala ena a chifuwa ndi chimfine omwe amaperekedwa mu kauntala angakhale ndi shuga kapena mowa. Angakhudze kuchuluka kwa shuga m'magazi, choncho funsani dokotala wanu kapena wamankhwala musanamwe.
• Musagwiritse ntchito mapeni ojambulira ndi ena. Ngakhale singano itasinthidwa, kugawa kungafalitse mavairasi oopsa monga matenda a chiwindi kapena HIV.
• Valani chibangili cha dokotala kapena mkanda. Komanso, sungani khadi lokhala ndi tsatanetsatane wa matenda anu, mankhwala omwe mumamwa, mlingo, ndi nthawi zomwe mumamwa. Izi zidzakuthandizani kwambiri pakagwa ngozi.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena onse, jakisoni wa Pramlintide ungayambitse mavuto ena mwa anthu ena. Komabe, si aliyense amene amalandira. Anthu ena sangakhale ndi mavuto ena.

Ngati chinthu chonga ichi chichitika, muyenera kuuza dokotala wanu nthawi yomweyo:

• Matenda a ziwengo — Izi zikuphatikizapo ziphuphu pakhungu, kuyabwa, kutupa, kapena kutupa kwa nkhope, milomo, lilime, kapena pakhosi. Izi zitha kukhala zoopsa ndipo zimafuna chithandizo chamankhwala mwachangu.

Zotsatirapo izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu:

• Mutu
• Kutaya chilakolako
• Kusanza (anthu ena angakumane ndi izi msanga)
• Ululu, kufiira, kapena kukwiya pamalo omwe jakisoni waperekedwa
• Kupweteka m'mimba
• Kusanza

Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo, funsani dokotala wanu kuti akupatseni upangiri.

Kodi ndingasunge bwanji mankhwalawa moyenera?

Ndikofunikanso kwambiri kusunga mankhwala moyenera. Kupanda kutero, ubwino wake ungachepe kapena ungawonongeke.

• Sungani pamalo otetezeka omwe ana ndi ziweto sangafikire.
• Mapeni atsopano osatsegulidwa a injector ayenera kusungidwa pamalo ozizira, monga pakhomo la firiji, pakati pa madigiri 2 ndi 8 Celsius (36 mpaka 46 F). Musamazizira mufiriji nthawi iliyonse.Tayani mankhwala aliwonse otsala tsiku lotha ntchito.
• Mapeni otsegulira jakisoni , kutanthauza omwe akugwiritsidwa ntchito pakadali pano, akhoza kusungidwa mufiriji kapena kutentha kwa chipinda (osapitirira madigiri 30 Celsius (86 F)) kwa masiku 30. Musawalole kuti azizire. Anthu ena amati jakisoniyo siipweteka kwambiri ikasungidwa kutentha kwa chipinda. Mankhwala aliwonse osagwiritsidwa ntchito ayenera kutayidwa patatha masiku 30, ngakhale mankhwala akadalipo.

Uthenga wofunika kwambiri woti upite nawo kunyumba

Choncho, Pramlintide ikhoza kukhala mankhwala ofunikira kwambiri omwe amathandiza kuchepetsa matenda a shuga. Koma ndikofunikira kugwiritsa ntchito monga momwe dokotala wanu wanenera, kufufuza ngati mankhwala ena akugwirizana ndi mankhwala ena, kudziwa zotsatira zake, ndikuwunika shuga m'magazi mwanu nthawi zonse .

Dziwani kuti nkhaniyi ikupereka mfundo zambiri zokha. Dokotala wanu yekha ndi amene angakupatseni upangiri wabwino kwambiri ngati mankhwalawa ndi oyenera kwa inu komanso momwe mungamwere, kutengera thanzi lanu.

Ngati muli ndi mafunso kapena nkhawa, musazengereze kufunsa dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala. Tikukhulupirira kuti izi zikuthandizani kukhala ndi moyo wathanzi komanso wachimwemwe ndi matenda anu a shuga.

Pramlintide , Matenda a Shuga, Jakisoni, Shuga m'magazi, Zotsatirapo Zake, Mankhwala a Shuga