Matenda a shuga ndi matenda ofala kwambiri pakati pathu ku Sri Lanka. Chifukwa chake, dokotala wanu wakupatsani mankhwala oletsa matenda anu a shuga. Ngati ndinu m'modzi mwa omwe amagwiritsa ntchito mankhwala otchedwa Sitagliptin, nkhaniyi ikhala yofunika kwambiri kwa inu. Tiyeni tiwone za mankhwalawa, momwe amagwirira ntchito, komanso zinthu zomwe muyenera kusamala nazo mukamawagwiritsa ntchito.
Kodi Sitagliptin ndi mankhwala amtundu wanji?
Mwachidule, Sitagliptin ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda a shuga a mtundu wachiwiri . Amagwira ntchito mosangalatsa kwambiri m'thupi lathu. Amawonjezera kuchuluka kwa insulin m'thupi lanu komanso amachepetsa kuchuluka kwa shuga m'magazi. Amachepetsanso kuchuluka kwa shuga komwe kumawonjezedwa m'magazi ndi chiwindi.
Chofunika kwambiri ndichakuti mankhwalawa okha ndi osakwanira. Ndi zakudya zabwino zokha komanso kuchita masewera olimbitsa thupi tsiku ndi tsiku komwe mungapeze zotsatira zabwino kwambiri kuchokera ku mankhwalawa.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Musanayambe kumwa Sitagliptin, pali zinthu zingapo zomwe muyenera kuuza dokotala wanu. Musabise izi, chifukwa ndizofunikira kwambiri pa chitetezo chanu.
- Ngati muli ndi matenda a shuga a ketoacidosis.
- Ngati muli ndi matenda a impso: Izi ndizofunikira kwambiri chifukwa mlingo wa mankhwalawa ungafunike kusinthidwa kutengera momwe impso zanu zimagwirira ntchito.
- Ngati kale munali ndi pancreatitis.
- Ngati munayamba mwatupa lilime lanu, nkhope yanu, kapena milomo yanu, munavutika kupuma, munavutika kumeza, kapena munasintha mawu anu mutamwa mankhwala enaake: Izi zikutanthauza kuti munakhalapo ndi vuto lalikulu la ziwengo.
- Ngati muli ndi matenda a shuga amtundu woyamba: Mankhwalawa si oyenera kwa inu.
- Ngati muli ndi vuto la sitagliptin kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Mankhwalawa ndi osavuta kugwiritsa ntchito. Mezani piritsili ndi kapu ya madzi. Mutha kumwa musanadye kapena mutadya. Imwani monga momwe dokotala wanu wanenera.
Zinthu zingapo zofunika:
- Musaswe, kuphwanya, kapena kutafuna mankhwala. Mezani piritsi lonse.
- Yesetsani kumwa mankhwala anu nthawi yomweyo tsiku lililonse. Mwanjira imeneyi simudzayiwala.
- Mpaka dokotala atanena zimenezo.Musasiye kumwa mankhwala.
- Mankhwalawa ndi a inu nokha. Musapatse wina aliyense.
Nanga bwanji ngati mwaphonya mankhwala anu?
Ngati mwadzidzidzi mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mwadzidzidzi mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Onani dokotala wanu pa masiku omwe akonzedwa kuti muwonetsetse kuti chithandizo chanu chikuyenda bwino.
- Kuyeza kwa HbA1c: Dokotala wanu adzalamula kuti muyesedwe magazi otchedwa HbA1c (A1C) . Izi zimayesa momwe shuga m'magazi mwanu yakhalira yolamulidwa bwino m'miyezi iwiri kapena itatu yapitayi. Muyenera kuchita mayesowa miyezi itatu kapena isanu ndi umodzi iliyonse.
- Kuyang'anira shuga m'magazi: Ndikofunikira kuphunzira momwe mungayang'anire shuga m'magazi anu kunyumba. Komanso, dziwani zizindikiro za hypoglycemia ndi hyperglycemia, komanso zomwe mungachite ngati zitachitika.
- Ngati shuga m'magazi mwanu watsika: Nthawi zonse sungani mapiritsi monga shuga, toffee, kapena glucose pafupi kuti mugwiritse ntchito ngati shuga m'magazi mwanu watsika. Koma kumbukirani, ngati shuga m'magazi mwanu watsika kwambiri ndipo mukuyamba kugwidwa ndi khunyu kapena kutaya chikumbumtima, musaike chilichonse mkamwa mwanu panthawiyo. Mutha kutsamwa. Zikatero, muyenera kufunsa upangiri wa dokotala nthawi yomweyo.
- Zinthu zina: Ngati mukudwala, chita masewera olimbitsa thupi kuposa nthawi zonse, funsani dokotala wanu ngati mukufuna kusintha mlingo wa mankhwala anu. Musamadumphe chakudya. Lankhulaninso ndi dokotala wanu za kumwa mowa.
- ID ya Zachipatala: Ndibwino kuvala khadi kapena chibangili chosonyeza kuti muli ndi matenda a shuga komanso mankhwala omwe mumamwa.
Zotsatirapo zomwe zingakhalepo komanso mavuto omwe angakhalepo ndi mankhwalawa
Monga mankhwala ena aliwonse, Sitagliptin ingayambitse mavuto ena mwa anthu ena. Ikhozanso kuyanjana ndi mankhwala ena. Tiyeni tiwone zimenezo.
| Mankhwala/zinthu zomwe zingayambitse mikangano | Zinthu zoti muzisamala nazo |
|---|---|
| Insulini | Kutenga zonsezi pamodzi kungayambitse shuga wotsika m'magazi (hypoglycemia). Dokotala wanu adzasintha mlingo. |
| Sulfonylureas (monga Glimepiride, Glibenclamide) | Pali chiopsezo chowonjezeka cha shuga wotsika m'magazi akamwedwa ndi Sitagliptin. |
| Digoxin (mankhwala a matenda a mtima) | Sitagliptin ingasinthe pang'ono zotsatira za Digoxin. Uzani dokotala wanu za izi. |
| Mowa | Mowa ungakhudze kuchuluka kwa shuga m'magazi. Funsani dokotala wanu za izi. |
| Dziwani: Mndandanda uwu sunathe. Uzani dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa. | |
| Zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope/milomo/lilime, kuvutika kupuma. |
| Pancreatitis | Kupweteka kwambiri m'mimba kumafalikira kumsana, kupweteka komwe kumawonjezeka mukadya, kutentha thupi, nseru, ndi kusanza. |
| Kulephera kwa mtima | Kuvuta kupuma, kutupa kwa akakolo/mapazi/manja, kuwonjezeka thupi mwadzidzidzi, kumva kutopa kwambiri. |
| Kuvulala kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo/manja/mapazi. |
| Zochita pakhungu | Kufiira, kutupa, khungu lotupa (ngakhale mkati mwa pakamwa). |
| Kupweteka kwambiri kwa mafupa | Kupweteka kwambiri m'malo olumikizirana mafupa. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu | Mutu |
| Zizindikiro zofanana ndi kuzizira | Mphuno yotuluka madzi, mphuno yodzaza. |
| Chikhure | Chikhure |
Kodi mankhwalawo angasungidwe bwanji?
- Sungani pamalo omwe ana sangafikire.
- Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius).
- Tayani mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Sitagliptin ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda a shuga amtundu wachiwiri. Zakudya zoyenera komanso kuchita masewera olimbitsa thupi ndizofunikira kwambiri kuti munthu apeze zotsatira zabwino.
- Imwani mankhwala awa monga momwe dokotala wanu wanenera, panthawi yomwe mwapatsidwa. Musamaswe, kuphwanya, kapena kutafuna mankhwalawo.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda ena aliwonse omwe muli nawo.
- Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia). Sungani shuga kapena maswiti pafupi ngati pakufunika thandizo ladzidzidzi.
- Fufuzani thandizo lachipatala mwamsanga ngati mukumva kupweteka kwambiri m'mimba, kupuma movutikira, matuza pakhungu, kapena zizindikiro zoopsa za ziwengo.
- Ngati muli ndi mafunso okhudza mankhwalawa, musaope kukambirana ndi dokotala wanu.
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