Ngati muli ndi matenda a shuga , mukudziwa kufunika kosunga shuga m'magazi mwanu. Nthawi zina, zakudya ndi masewera olimbitsa thupi zokha sizikwanira kukwaniritsa zolinga zanu. Apa ndi pomwe mankhwala apadera otchedwa Pramlintide angathandize kwambiri pa dongosolo lanu la chithandizo.
Kodi Pramlintide ndi chiyani?
Mwachidule, Pramlintide ndi mankhwala obayidwa jakisoni omwe amagwiritsidwa ntchito pothandiza kuchepetsa kuchuluka kwa shuga m'magazi mwa anthu omwe ali ndi matenda ashuga. Ntchito yake yayikulu ndikuchepetsa kuchuluka kwa shuga komwe kumalowa m'magazi mwanu. Imakwaniritsa izi pochepetsa kuchuluka kwa shuga m'mimba mwanu mukatha kudya, zomwe zimathandiza kupewa kukwera kwambiri kwa shuga m'magazi mwanu.
Ganizirani izi ngati njira yowongolera magazi; zimathandiza kuwongolera kuyenda kwa shuga m'magazi mwanu mutatha kudya. Mankhwalawa ndi othandiza kwambiri akagwiritsidwa ntchito limodzi ndi zakudya zanu komanso masewera olimbitsa thupi . Amagwira ntchito ngati gawo lofunikira kwambiri pa njira yanu yonse yothanirana ndi matenda a shuga ku Nirogi Lanka.
Kukambirana Kofunika Kwambiri ndi Dokotala Wanu
Musanayambe kugwiritsa ntchito Pramlintide, muyenera kukambirana momasuka komanso moona mtima ndi dokotala wanu. Izi ndizofunikira kwambiri kuti atsimikizire kuti mankhwalawa ndi otetezeka kwa inu komanso kuti adziwe mlingo woyenera.
Onetsetsani kuti mwadziwitsa dokotala wanu ngati pali chilichonse mwa izi:
- Mlingo wa hemoglobin A1C wanu ndi woposa 9%. (Ichi ndi chizindikiro chachikulu cha kuwongolera shuga m'magazi anu kwa nthawi yayitali).
- Nthawi zambiri mumakumana ndi zochitika za shuga wotsika m'magazi (hypoglycemia) .
- Mumavutika kuyang'ana shuga m'magazi nthawi zonse.
- Mumavutika kutsatira ndondomeko yanu ya mankhwala a shuga.
- Muli ndi vuto la m'mimba, makamaka Gastroparesis (vuto lomwe m'mimba mumatulutsa madzi pang'onopang'ono, zomwe nthawi zambiri zimapangitsa kuti kugaya chakudya kuchedwe).
- Mumavutika kuzindikira zizindikiro zoyambirira za shuga wotsika m'magazi.
- Munakhalapo ndi vuto la Pramlintide, metacresol , kapena mankhwala ena aliwonse, zakudya, utoto, kapena zosungira m'mbuyomu.
- Muli ndi pakati kapena mukukonzekera kutenga pakati posachedwa.
- Mukuyamwitsa .
Kugawana izi momveka bwino kumathandiza gulu lanu lachipatala kusintha dongosolo lanu la chithandizo kuti ligwirizane ndi zosowa zanu.
Momwe Mungagwiritsire Ntchito Mankhwalawa Moyenera
Pramlintide imaperekedwa kudzera mu jakisoni pansi pa khungu . Dokotala wanu kapena namwino adzakupatsani maphunziro omveka bwino a momwe mungakonzekerere ndikuperekera jakisoni moyenera. Chonde tsatirani malangizo awa molondola.
Kumbukirani mfundo zofunika izi:
- Musasakanize Pramlintide ndi insulin mu syringe imodzi. Mankhwalawa ayenera kuperekedwa padera.
- Nthawi zonse imwani mankhwalawa musanadye chakudya chachikulu chilichonse .
- Tsatirani ndondomeko ya dokotala wanu, pitirizani ndi nthawi yokhazikika .
- Musapitirire mlingo woyenera.
- Yang'anani mawonekedwe a mankhwala musanagwiritse ntchito. Ngati akuwoneka ngati mitambo, asintha mtundu, kapena ali ndi tinthu tating'onoting'ono, musagwiritse ntchito.
- Ikani singano zonse zogwiritsidwa ntchito ndi zolembera zobayira m'chidebe cholimba chomwe sichibowoka . Musazitaye m'zinyalala wamba zapakhomo , chifukwa izi zimaika ena pachiwopsezo. Ngati mulibe chidebe cholimba, funsani wamankhwala kapena dokotala wanu kuti akupatseni chimodzi.
- Mukatenga mankhwala anu, wamankhwala wanu adzakupatsani MedGuide . Muziwerenga mosamala nthawi iliyonse mukatenga mankhwala owonjezera.
- Unikaninso kabuku ka MALANGIZO OGWIRITSA NTCHITO komwe kali mkati mwa mankhwala anu. Ngati pali chilichonse chomwe sichikudziwika bwino, funsani wamankhwala wanu kapena dokotala kuti akuthandizeni.
- Ngati mukuchiza mwana , funsani dokotala wanu za zinthu zinazake zofunika kuziganizira.
- Ngati mwamwa mopitirira muyeso : Ngati mukuganiza kuti mwamwa mopitirira muyeso, khalani chete ndipo nthawi yomweyo funsani ogwira ntchito zadzidzidzi (911) kapena malo owongolera poizoni kuti akupatseni malangizo a akatswiri.
Kumbukirani: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi anzanu kapena achibale anu, ngakhale atakhala ndi matenda a shuga.
Bwanji Ngati Mwaphonya Mlingo?
Kusowa mlingo kungachitikire aliyense, koma kusasinthasintha ndikofunikira. Ngati mwaphonya mlingo, tsatirani dongosolo lenileni lomwe dokotala wanu kapena gulu lazachipatala lapereka. Musamwe mlingo wowirikiza kawiri kuti mubwezeretse womwe mwaphonya, chifukwa izi zingayambitse kutsika kwa shuga m'magazi mwanu mpaka kufika poipa kwambiri.
Kuyanjana kwa Mankhwala
Mankhwala ena amatha kusokonezana ndi Pramlintide, zomwe zingasinthe mphamvu yake kapena kuyambitsa mavuto achitetezo. Ndikofunikira kuulula mankhwala onse, mavitamini, mankhwala azitsamba, mankhwala ogulitsidwa kunja kwa chipatala, ndi zowonjezera zakudya zomwe mukumwa panopa.
Samalani mukatenga Pramlintide pamodzi ndi mitundu iyi ya mankhwala:
- Acetaminophen
- Alosetron
- Atropine
- Mapiritsi oletsa kubereka
- Mankhwala a chikhodzodzo (monga oxybutynin)
- Mankhwala am'mimba (monga dicyclomine, hyoscyamine)
- Mankhwala oletsa kuyenda (monga scopolamine)
- Eluxadoline
- Mankhwala ena a shuga (monga acarbose, miglitol)
Kuphatikiza apo, pali mankhwala ena ambiri omwe angakhudze kuchuluka kwa shuga m'magazi mwanu. Kudziwa zambiri ndi gawo lofunika kwambiri paulendo wanu wathanzi ndi Nirogi Lanka.
- 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, kapena kugunda kwa mtima kosasinthasintha
- Chromium (nthawi zina imatengedwa ngati chowonjezera)
- Mankhwala ochepetsa mphamvu ya mkodzo
- Mahomoni achikazi, monga ma estrogen kapena ma progestin, ndi mapiritsi oletsa kubereka
- Fenofibrate
- Gemfibrozil
- Isoniazid (mankhwala ogwiritsidwa ntchito pochiza chifuwa chachikulu)
- Lanreotide
- Mahomoni a amuna kapena ma steroid a anabolic
- Mankhwala a MAOI (ogwiritsidwa ntchito pa matenda amisala), monga Carbex, Eldepryl, Marplan, Nardil, ndi Parnate
- Mankhwala ochepetsa thupi
- Mankhwala a ziwengo, mphumu, chimfine, kapena chifuwa
- Mankhwala ochizira kuvutika maganizo, nkhawa, kapena matenda ena amisala
- Niacin
- Nikotini (yomwe imapezeka mu fodya)
- NSAIDs (mankhwala oletsa kutupa omwe si a steroidal) omwe amagwiritsidwa ntchito pochiza ululu ndi kutupa, monga ibuprofen kapena naproxen
- Octreotide
- Pasireotide
- Pentamidine
- Phenytoin (mankhwala ochizira khunyu)
- Probenecid (mankhwala a gout)
- Maantibayotiki a gulu la Quinolone, monga ciprofloxacin, levofloxacin, kapena ofloxacin
- Zakudya zina zowonjezera zamasamba
- Mankhwala a steroid, monga prednisone kapena cortisone
- Sulfamethoxazole; trimethoprim (mankhwala opha tizilombo)
- Mahomoni a chithokomiro
Chofunika kwambiri, dziwani kuti mankhwala ena amatha kubisa zizindikiro za shuga wotsika m'magazi (hypoglycemia), zomwe zikutanthauza kuti simungadziwe nthawi yomwe shuga wanu m'magazi watsika. Ngati mukumwa mankhwalawa, kuyang'anira shuga m'magazi anu pafupipafupi ndikofunikira. Mankhwalawa akuphatikizapo:
- Beta-blockers - amagwiritsidwa ntchito kawirikawiri pa matenda a kuthamanga kwa magazi kapena matenda a mtima (monga atenolol, metoprolol, propranolol)
- Clonidine
- Guanethidine
- Reserpine
Mndandandawu sukunena za mankhwala onse omwe mungamwe. Chifukwa chake, chonde dziwitsani dokotala wanu za mankhwala aliwonse omwe mumamwa, kuphatikizapo mankhwala ogulitsidwa kunja kwa chipatala, zowonjezera zakudya, kaya mumasuta kapena kumwa mowa, ndi zina zilizonse zomwe mumagwiritsa ntchito. Zinthu zina zingasokoneze chithandizo chanu ku Nirogi Lanka.
Zofunikira Zosamala Pa Chithandizo Chanu
Mukamagwiritsa ntchito mankhwalawa, muyenera kupita kwa dokotala nthawi zonse kuti muwone thanzi lanu. Kuphatikiza apo, samalani ndi izi:
- Mulingo wanu wa HbA1c (A1C) udzawunikidwa nthawi zonse. Kuyezetsa magazi kosavuta kumeneku kumasonyeza kuti muli ndi shuga wambiri m'magazi mwa miyezi iwiri mpaka itatu yapitayi. Yembekezerani kuyezetsa kumeneku miyezi itatu mpaka isanu ndi umodzi iliyonse.
- Phunzirani momwe mungayezere shuga m'magazi anu kunyumba. Komanso, onetsetsani kuti mwamvetsa zizindikiro za hypoglycemia (shuga wochepa m'magazi) ndi hyperglycemia (shuga wokwera m'magazi) ndi momwe mungathanirane nazo. Kudziwa kumeneku n'kofunika kwambiri.
- Nthawi zonse sungani shuga pafupi ndi malo omwe amagwira ntchito mwachangu, monga ma cubes a shuga, mapiritsi a shuga, kapena soda yaying'ono. Uzani achibale anu ndi anzanu kuti ngati shuga m'magazi mwanu watsika kwambiri ndipo mukumva zizindikiro monga khunyu kapena kutaya chikumbumtima, sayenera kuyesa kukupatsani chakudya, chifukwa mungatsamwitsidwe. Pazidzidzidzi zotere, funani thandizo lachipatala mwachangu kapena imbani ogwira ntchito zadzidzidzi.
- Ngati mukuona kuti shuga m'magazi mwanu ndi wokwera nthawi zonse, funsani dokotala wanu; mlingo wanu ungafunike kusintha.
- Ngati mukudwala (monga kutentha thupi, kusokonezeka m'mimba) kapena kuonjezera kuchuluka kwa zochita zanu zolimbitsa thupi, mlingo wanu ungafunike kusintha. Kambiranani izi ndi dokotala wanu.
- Musamadumphe chakudya, makamaka mukamagwiritsa ntchito mankhwalawa.
- Funsani dokotala wanu ngati muyenera kupewa kumwa mowa, chifukwa kungayambitse kuchepa ndi kukwera kwa shuga m'magazi.
- Mankhwala ena a chifuwa ndi madzi ozizira omwe amaperekedwa mu kauntala amakhala ndi shuga kapena mowa, zomwe zingakhudze shuga m'magazi mwanu. Nthawi zonse funsani dokotala wanu kapena wamankhwala musanagwiritse ntchito.
- Musagwiritse ntchito mapeni anu ojambulira jakisoni ndi ena. Ngakhale mutasintha singano, kugawana mankhwala kungayambitse mavairasi oopsa monga chiwindi kapena HIV.
- Valani chibangili cha dokotala kapena mkanda. Kuphatikiza apo, tengani khadi lofotokoza za matenda anu, mankhwala omwe mukumwa, mlingo, ndi nthawi yomwe mukumwa. Izi zidzakhala zothandiza kwambiri pakagwa ngozi.
Zotsatirapo Zotheka
Monga mankhwala ena aliwonse, jakisoni wa Pramlintide angayambitse zotsatirapo zoyipa, ngakhale kuti si aliyense amene amakumana nazo. Anthu ambiri sangakhale ndi zotsatirapo zoyipa konse.
Fufuzani chithandizo chamankhwala mwamsanga ngati mukukumana ndi izi:
- Zizindikiro za ziwengo ndi monga ziphuphu pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, kapena pakhosi. Izi zitha kukhala zoopsa kwambiri ndipo zimafuna chisamaliro chapadera.
Zotsatirapo zotsatirazi nthawi zambiri sizimaika moyo pachiswe, koma uzani dokotala ngati zikupitirira kapena zikuvutitsa:
- Mutu
- Kutaya chilakolako
- Kusanza (izi zitha kuchitika poyamba)
- Ululu, kufiira, kapena kukwiya pamalo omwe jakisoni amaperekedwa
- Kupweteka m'mimba
- Kusanza
Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo, chonde funsani dokotala wanu kuti akupatseni upangiri wa akatswiri azachipatala.
Kusunga Mankhwala Anu Moyenera
Kusunga bwino mankhwala anu n'kofunika kwambiri kuti mankhwala anu akhale ogwira ntchito komanso otetezeka.
- Sungani mankhwala onse pamalo omwe ana ndi ziweto sangafikire.
- Mapeni ojambulira osatsegulidwa ayenera kusungidwa mufiriji, makamaka pakhomo, kutentha kwa pakati pa 2°C mpaka 8°C (36°F mpaka 46°F). Musawaike mufiriji. Tayani mankhwala aliwonse atatha ntchito.
- Mapeni ojambulira otsegulidwaMankhwala omwe akugwiritsidwa ntchito panopa akhoza kusungidwa mufiriji kapena kutentha kwa chipinda (osapitirira 30°C/86°F) kwa masiku 30. Musalole kuti izi zizizire. Ena amaona kuti kubaya jakisoni kutentha kwa chipinda kumachepetsa ululu. Tayani mankhwala otsala patatha masiku 30 mutatsegula, ngakhale ena atatsala m'khola.
Chofunika Chotengera
Pramlintide ingakhale gawo lofunika kwambiri pakuwongolera bwino matenda anu a shuga. Komabe, ndikofunikira kuti mugwiritse ntchito mankhwalawa monga momwe dokotala wanu wanenera, khalani maso pa momwe mankhwala angagwirizanitsire ntchito, yang'anirani zotsatirapo zilizonse, ndikuwunika shuga m'magazi nthawi zonse.
Kumbukirani kuti izi ndi cholinga cha maphunziro okha. Dokotala wanu yekha ndi amene angadziwe ngati mankhwalawa ndi oyenera zosowa zanu zaumoyo ndikukupatsani malangizo okonzedwa bwino a momwe mungagwiritsire ntchito mosamala.
Ngati muli ndi mafunso kapena nkhawa, chonde musazengereze kulankhula ndi dokotala wanu, wamankhwala, kapena katswiri wina wa zaumoyo. Ku Nirogi Lanka, tikukhulupirira kuti izi zikuthandizani kuthana ndi matenda anu a shuga ndikukhala ndi moyo wathanzi komanso wokhutiritsa.
Mawu Ofunika: Pramlintide, Matenda a Shuga, Jakisoni, Shuga wa M'magazi, Zotsatirapo Zake, Mankhwala a Shuga
