Ngati muli ndi matenda a shuga amtundu wachiwiri, mwina mukumwa kale mankhwala monga Metformin. Koma dokotala wanu mwina anakuuzani za mankhwala atsopano otchedwa SGLT2 inhibitors. Kapena mwina munamvapo za iwo. Ndiye, kodi zoletsa za SGLT2 ndi chiyani? Zimagwira ntchito bwanji kwenikweni? M'nkhaniyi, tikambirana za iwo mosavuta komanso molondola.
Kodi ma SGLT2 Inhibitors awa ndi ati?
Mwachidule, mankhwala oletsa SGLT2 ndi mtundu wa mapiritsi omwa omwe amathandiza kuchepetsa shuga m'magazi mwanu. Chinthu chake ndi chakuti amagwira ntchito mosiyana pang'ono ndi mankhwala ena a shuga.
Taganizirani izi, impso zathu ndi njira yabwino kwambiri yosefera. Poyeretsa magazi athu, impso zimasefa shuga wina (shuga) m'magazi mwathu kupita mu mkodzo wathu. Komabe, impso zathu zili ndi puloteni yotchedwa Sodium-glucose cotransporter 2 , kapena SGLT2 mwachidule. Monga mlonda wa pachipata, puloteni iyi ya SGLT2 imatenga shuga wambiri womwe umalowa mu mkodzo ndikuwubwezeretsa m'magazi.
Kodi mwamvetsa? Munthu wodwala matenda a shuga ali kale ndi shuga wambiri m'magazi. Choncho zimene oletsa SGLT2 amachita ndi kuzimitsa pang'ono puloteni ya SGLT2. Kenako singathe kubweza shugayo n'kuiwonjezera m'magazi. Zotsatira zake, shuga wochuluka umatuluka m'thupi mu mkodzo . Umu ndi momwe mankhwala awa amachepetsera shuga m'magazi mwanu.
Mankhwala amtunduwu ndi apadera chifukwa amachepetsa shuga m'magazi mwanjira ina, popanda kukhudza mwachindunji hormone ya insulin.
Kodi ndi mankhwala ati a SGLT2 Inhibitors omwe amapezeka kwambiri ku Sri Lanka ndi kunja?
Pali mitundu ingapo ya mankhwala m'gululi. Onse amachita chimodzimodzi. Nthawi zambiri amatengedwa kamodzi patsiku, musanadye chakudya choyamba cha tsikulo. Dokotala wanu adzayesa matenda anu ndikukupatsani mankhwala oyenera.
| Dzina la mankhwala onse | Dzina la kampani lomwe limagwiritsidwa ntchito kwambiri |
|---|---|
| Canagliflozin | Invokana |
| Dapagliflozin | Farxiga |
| Empagliflozin | Jardiance |
| Ertugliflozin | Steglatro |
| Bexagliflozin | Brenzavvy |
Ndani ali woyenera kugwiritsa ntchito mankhwalawa?
Funso ili ndi lofunika kwambiri. Mankhwala oletsa SGLT2 si mankhwala oyamba omwe dokotala angakupatseni a matenda a shuga a mtundu wachiwiri.
Kawirikawiri, dokotala amalangiza kaye kusintha moyo wake , monga kuchepetsa zakudya komanso kuchita masewera olimbitsa thupi, kenako n’kuyamba kumwa mankhwala monga Metformin.
Dokotala wanu angaganizire kugwiritsa ntchito mankhwala oletsa SGLT2 m'mikhalidwe iyi:
- Mukumwa kale mankhwala angapo, koma shuga m'magazi mwanu sukuyendetsedwa bwino .
- Ngati muli ndi chifukwa chachipatala chomwe simungamwere mankhwala ena a shuga.
- Ngati muli pachiwopsezo cha kuchepa kwa shuga m'magazi (hypoglycemia).
- Ngati mukufuna kuchepetsa thupi kapena kuchepetsa kuthamanga kwa magazi.
Ndani sayenera kumwa mankhwalawa?
Mankhwala amtundu uwu si oyenera aliyense.
- Mankhwalawa savomerezedwa kwa anthu omwe ali ndi matenda a shuga amtundu woyamba .
- Izi sizikulimbikitsidwa kwa anthu omwe kale anali ndi vuto lalikulu la matenda a shuga lotchedwa diabetic ketoacidosis .
- Mankhwalawa sangathandize kwambiri munthu amene ali kale ndi matenda aakulu a impso .
- Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, muyenera kulankhula ndi dokotala wanu za kugwiritsa ntchito mankhwalawa. Palibe zambiri zokwanira zokhudza chitetezo chake pakadali pano. Chifukwa chake, musayambe kapena kusiya kumwa mankhwalawa popanda kufunsa dokotala.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa. Komabe, si aliyense amene amalandira mankhwalawa. Ndipo ambiri a iwo amatha kuthandizidwa.
| Zotsatira zoyipa | Kufotokozera ndi zomwe muyenera kudziwa |
|---|---|
| Kukodza pafupipafupi komanso ludzu | Popeza shuga amatuluka mu mkodzo, mungafunike kukodza pafupipafupi usana ndi usiku. Izi zingapangitsenso kuti ludzu lanu liwonjezere. Imwani madzi ambiri. |
| Matenda a mkodzo ndi ziwalo zoberekera | Shuga mu mkodzo umawonjezera chiopsezo cha matenda a yisiti ndi mabakiteriya. Uzani dokotala wanu ngati mukukumana ndi zizindikiro monga kuyabwa, kutupa, kapena kupweteka m'malo oberekera. |
| Kuchepetsa thupi | Mungachepetse thupi chifukwa shuga (ma calories) amatuluka mu mkodzo. Izi ndi zabwino kwa anthu ena. |
| Kuthamanga kwa magazi pang'ono komanso kuchepa kwa madzi m'thupi | Nthawi zina, pamene madzi akutuluka m'thupi, kuthamanga kwa magazi kumatha kuchepa, zomwe zingakupangitseni kumva kutopa komanso chizungulire. |
| Zotsatira zoyipa zomwe zimafuna chisamaliro chachangu | |
| Matenda a shuga a Ketoacidosis (DKA) | Imeneyi ndi vuto losowa koma loopsa kwambiri . Thupi limawotcha mafuta m'malo mwa shuga, zomwe zimapangitsa kuti pakhale ma asidi otchedwa ketones. Ngati mukumva zizindikiro monga nseru, kusanza, kupweteka kwambiri m'mimba, kutopa kwambiri, komanso kupuma movutikira, uzani dokotala wanu nthawi yomweyo kapena pitani ku chipinda chapafupi chadzidzidzi cha chipatala (ETU). |
Sikuti ndi matenda a shuga okha, palinso maubwino ena!
Ngakhale kuti mankhwalawa adapangidwa poyamba kuti athetse matenda a shuga, kafukufuku wapeza kuti ali ndi maubwino ena ambiri odabwitsa.
1. Kuteteza impso: Mankhwalawa amatha kuchepetsa kuwonongeka kwa impso komwe kumachitika chifukwa cha matenda a shuga komanso kuwongolera kupitirira kwa matenda a impso osatha.
2. Kuchepetsa chiopsezo cha matenda a mtima ndi imfa chifukwa cha matenda a mtima: Mankhwala ena oletsa SGLT2 awonetsedwa kuti amachepetsa chiopsezo cha kugonekedwa m'chipatala ndi kufa, makamaka akaperekedwa kwa odwala omwe ali ndi vuto la mtima.
3. Kuchepetsa chiopsezo cha matenda a mtima ndi sitiroko: Kafukufuku wina wasonyeza kuti izi zimathandizanso kuchepetsa chiopsezo cha matenda a mtima ndi sitiroko.
Pazifukwa izi, madokotala nthawi zina amatha kupereka mankhwalawa kwa anthu omwe alibe matenda a shuga koma ali ndi matenda a impso kapena mtima.
Uthenga Wopita Nawo Kunyumba
- Mankhwala oletsa matenda a shuga a mtundu wa 2 otchedwa SGLT2 inhibitors ndi gulu latsopano la mankhwala omwa omwe amachiritsa matenda a shuga a mtundu wa 2.
- Izi zimagwira ntchito poletsa impso kuyamwa shuga m'magazi ndikutulutsa mu mkodzo.
- Mankhwala amenewa nthawi zambiri si oyamba kuperekedwa kwa matenda a shuga. Dokotala wanu angakulangizeni ngati shuga m'magazi mwanu sakulamulidwa ndi mankhwala ena.
- Kuwonjezera pa kulamulira matenda a shuga, alinso ndi mphamvu zodabwitsa zoteteza impso ndikuchepetsa chiopsezo cha matenda a mtima.
- Monga mankhwala ena aliwonse, pakhoza kukhala zotsatirapo zake. Lankhulani ndi dokotala wanu za kusintha kulikonse komwe mukukumana nako.
- Dokotala wanu yekha ndi amene angasankhe ngati mankhwalawa ndi oyenera kwa inu, choncho onetsetsani kuti mwakambirana naye nkhaniyi.
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