Ngati muli ndi matenda a shuga, kutanthauza matenda a shuga a mtundu wachiwiri, dokotala wanu akhoza kukupatsani piritsi lomwe limaphatikiza mankhwala a Saxagliptin ndi Metformin. M'dziko lathu, izi zimapezeka kwambiri pansi pa dzina la Kombiglyze XR. Uwu ndi mankhwala abwino omwe amaperekedwa kwa anthu ambiri ndipo amathandiza kuwongolera shuga. Chifukwa chake lero, tiyeni tiphunzire bwino za mankhwalawa ndi zinthu zomwe muyenera kusamala nazo mukamagwiritsa ntchito.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, izi zimaperekedwa kuti zithetse matenda a shuga amtundu wachiwiri. Mankhwalawa amathandiza kukulitsa kupanga kwa insulin ndi kapamba wanu, kuchepetsa kupanga shuga ndi chiwindi chanu, komanso kupangitsa kuti maselo a thupi lanu azitenga shuga mosavuta. Zonsezi zimathandiza kulamulira kuchuluka kwa shuga m'magazi mwanu.
Koma kumbukirani bwino izi. Simungathe kuletsa matenda a shuga mwa kumwa izi nokha. Zakudya zabwino komanso kuchita masewera olimbitsa thupi tsiku ndi tsiku ndi zinthu ziwiri zomwe muyenera kuchita pamodzi ndi mankhwalawa.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Chabwino, tsopano iyi ndiyo gawo lofunika kwambiri. Musanayambe kumwa mankhwalawa, ndikofunikira kudziwitsa dokotala wanu za matenda ena aliwonse omwe muli nawo m'thupi lanu komanso zizolowezi zanu. Chifukwa, kugwiritsa ntchito mankhwalawa ndi matenda ena kungakhale koopsa. Ngati muli ndi chilichonse mwa izi, onetsetsani kuti mwauza dokotala wanu za izi.
| Uzani dokotala wanu ngati muli ndi matenda awa. |
|---|
| Matenda a impso kapena matenda a chiwindi |
| Matenda a mtima, makamaka kulephera kwa mtima |
| Ngati mudadwalapo kale matenda a kapamba |
| Ngati mumamwa mowa nthawi zonse |
| Kuchepa kwa magazi m'thupi kapena kusowa kwa vitamini B12 |
| Ngati muli ndi matenda a shuga amtundu woyamba (mankhwala awa si anu) |
| Ngati muli ndi matenda a ndulu kapena kuchuluka kwa triglycerides m'magazi |
| Ngati muli ndi matenda aakulu kapena mwachitidwa opaleshoni |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa |
| Ngati munakhalapo ndi vuto la mankhwala ena kapena chakudya china |
Kodi mungamwe bwanji mankhwala? Njira yolondola
Muyeneranso kugwira ntchito bwino kwambiri pankhaniyi.
- Imwani piritsili monga momwe dokotala wanenera, panthawi yoyenera.
- Kawirikawiri amati amatengedwa ndi chakudya chamadzulo .
- Mezani piritsi lonse ndi kapu ya madzi.
- Chofunika: Ndikoopsa kwambiri kuswa, kuphwanya, kapena kutafuna piritsi ili, choncho musatero . Linapangidwa kuti litulutse mankhwala pang'onopang'ono tsiku lonse (Extended-Release). Ngati muswa, mankhwalawa angalowe m'thupi lanu nthawi imodzi ndikuyambitsa zotsatirapo zoyipa kwambiri.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Ngati mwaphonya mlingo: Imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Muyeneranso kusamala pang'ono mukamamwa mankhwalawa.
Kupimidwa kuchipatala nthawi zonse
Pitani kwa dokotala nthawi ndi nthawi kuti akaone ngati muli ndi vuto. Kenako adzakuyesani mayeso otchedwa HbA1C (A1C) yanu. Izi zimayesa momwe shuga m'magazi mwanu mwayang'aniridwa bwino m'miyezi iwiri kapena itatu yapitayi. Uwu ndi mayeso ofunikira kwambiri.
Yang'anirani kuchuluka kwa shuga m'thupi lanu.
Phunzirani momwe mungayezere shuga m'magazi anu kunyumba. Dziwani zizindikiro za shuga wotsika m'magazi (Hypoglycemia) ndi shuga wambiri m'magazi (Hyperglycemia).
Ngati shuga yachepa, pakakhala vuto ladzidzidziNthawi zonse sungani chinthu monga shuga, tofi, kapena piritsi la shuga pafupi. Koma ngati shuga m'magazi mwanu watsika kwambiri moti mwataya chikumbumtima, musaike chilichonse mkamwa mwanu. Mutha kutsamwa. Zikatero , muyenera kudzitengera ku chipatala cha Emergency Treatment Unit (ETU).
Mfundo zina zofunika
- Musamadumphe chakudya.
- Kumwa mowa: Ndikoopsa kwambiri kumwa mowa mukumwa mankhwalawa. Funsani dokotala wanu kuti akupatseni upangiri.
- Mimba: Mankhwalawa angawonjezere mwayi wokhala ndi pakati kachiwiri mwa akazi ena. Chifukwa chake, lankhulani ndi dokotala wanu za njira zoyenera zolerera pamene mukumwa mankhwalawa.
- Opaleshoni ndi ma scan: Ngati mukufuna kuchitidwa opaleshoni, MRI, kapena CT scan, uzani gulu lachipatala pasadakhale kuti mukumwa mankhwala awa. Mungafunike kusiya kumwa mankhwalawo masiku amenewo.
- Piritsi limatuluka mu ndowe: Nthawi zina mungaone chipolopolo chopanda kanthu chikutuluka mu ndowe. Izi ndi zachilendo, koma ngati izi zimachitika kawirikawiri, uzani dokotala wanu .
Zotsatirapo zomwe zingatheke
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zina mwa anthu ena. Si aliyense amene angatero. Koma ndikofunikira kudziwa izi.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Lactic Acidosis | Imeneyi ndi vuto losowa kwambiri koma loopsa. Kupweteka kwa minofu, kupweteka m'mimba, kuvutika kupuma, kutopa kwambiri. |
| Pancreatitis | Ululu waukulu m'mimba (womwe umatuluka kumbuyo ), ululu womwe umakula kwambiri mutatha kudya, kutentha thupi, nseru, ndi kusanza. |
| Kulephera kwa mtima | Kuvuta kupuma, kutupa kwa akakolo ndi mapazi, kunenepa mwadzidzidzi, kutopa kwambiri. |
| Kupweteka kwambiri kwa mafupa | Kupweteka kwambiri m'malo olumikizirana mafupa. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kutsegula m'mimba | Zimachitika kawirikawiri kumayambiriro kwa mankhwala. |
| Mutu, nseru, kusanza | Izi zitha kuchitikanso pafupipafupi. |
| Zizindikiro zonga chimfine | Kupweteka pakhosi, mphuno yotuluka madzi. |
Kuchuluka kwa mankhwala osokoneza bongo
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, musazengereze ndipo pitani nthawi yomweyo ku chipatala chapafupi cha Emergency Unit (ETU) kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mukalandire malangizo.
Uthenga Wopita Nawo Kunyumba
- Mankhwalawa amaperekedwa kuti achepetse matenda a shuga a mtundu wachiwiri. Zakudya zabwino komanso kuchita masewera olimbitsa thupi n'zofunikanso.
- Musaswe, kuphwanya, kapena kutafuna piritsi. Mezani lonse. Nthawi zambiri imwani pamodzi ndi chakudya madzulo.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena aliwonse omwe mukumwa komanso matenda ena aliwonse omwe muli nawo.
- Dziwani zizindikiro za hypoglycemia ndi hyperglycemia. Sungani shuga pafupi ndi inu pa nthawi yadzidzidzi.
- Ngati mukukumana ndi mavuto aakulu monga kupweteka m'mimba, kupuma movutikira, kapena kutupa kwa nkhope/lilime, funsani upangiri wa dokotala nthawi yomweyo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Saxagliptin ndi Metformin (Saxagliptin; Metformin / Kombiglyze XR) ndi piritsi lotani?
Iyi ndi piritsi yothandiza kwambiri (XR / yopitilira) yomwe imaphatikiza mankhwala awiri omwe amagwira ntchito m'njira ziwiri zosiyana kuti achepetse kuchuluka kwa shuga m'magazi mwa odwala 'Type 2 Diabetes'! Madokotala amalimbikitsa piritsi yapaderayi yosakanizidwa ndi mankhwala atsopano otchedwa 'Saxagliptin (DPP-4 inhibitor)' kwa iwo omwe shuga yawo siitsika ndi metformin yokha.
💬 Kodi mankhwala awiriwa (Metformin + Saxagliptin) pamodzi amachepetsa/kulamulira bwanji shuga wathu?
Imaukira mbali zonse ziwiri! 1. Metformin imachepetsa kupanga shuga watsopano (shuga) ndi chiwindi chanu ndipo imakakamiza shuga womwe ulipo kuti ulowe m'minofu. 2. Chinthu china chochititsa chidwi ndi Saxagliptin! Tikamadya chakudya, matumbo amapanga mahomoni (Incretin) omwe amauza kapamba kuti awonjezere insulin. Saxagliptin imachita izi mwa 'kuletsa kuwonongeka kwa Incretin (DPP-4 enzyme)', kuwonjezera kupanga insulin ndikuchepetsa shuga yomwe imabwera mutadya.
💬 Ngakhale matenda a shuga achepa, kodi ndi zotsatirapo zoopsa ziti zomwe anthu omwe akumwa mapiritsiwa ayenera kudziwa?
Vuto lalikulu ndi mavuto omwe amabwera chifukwa cha Saxagliptin! Zanenedwa kuti ingayambitse madzi m'mapapo, kutupa kwa miyendo, komanso chiopsezo chachikulu cha kulephera kwa mtima (makamaka kwa anthu omwe ali ndi vuto la mtima). Choopsa china chachikulu ndichakuti ingayambitse 'Acute Pancreatitis' mwa anthu ena (kotero ngati muli ndi ululu waukulu m'mimba/kumbuyo, pitani kwa dokotala nthawi yomweyo!).
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