Mwina mukumwa mankhwala a shuga otchedwa Dapagliflozin (omwe amadziwikanso kuti Farxiga). Ndizachilendo kuda nkhawa pang'ono ndi zotsatirapo zoyipa zoyambira mankhwala atsopano. Koma musadandaule. Zotsatirapo zambiri za mankhwalawa zimakhala zazing'ono, ndipo nthawi zambiri zimatha pakatha milungu ingapo thupi lanu likayamba kuzolowera mankhwalawo. Chofunika kwambiri ndikutsatira malangizo a dokotala wanu ndendende. Ngati muli ndi zotsatirapo zoyipa zomwe zimakuvutitsani kapena kusokoneza zochita zanu za tsiku ndi tsiku, onetsetsani kuti mwadziwitsa dokotala wanu.
Kodi mungatani kuti muchepetse zotsatira zoyipa zomwe zimachitika kawirikawiri?
Pali zotsatirapo zochepa zomwe anthu ena amakumana nazo akamamwa mankhwalawa. Tiyeni tiwone zomwe zili ndi vutoli komanso momwe tingathanirane nazo.
Kukodza pafupipafupi
Mankhwalawa amagwira ntchito poletsa impso kuyamwa shuga wochuluka m'magazi mwanu. Mwachidule, shuga wochulukawo umatuluka mu mkodzo mwanu. Choncho mukhoza kukodza kwambiri kuposa masiku onse ndipo mungafunike kukodza kangapo patsiku. Nthawi zina mungafunike kudzuka usiku.
Musachepetse kuchuluka kwa madzi omwe mumamwa chifukwa cha izi. Kuchita izi kungayambitse kutaya madzi m'thupi, komwe ndi vuto lalikulu. Komabe, pewani kumwa zakumwa zokhala ndi caffeine (monga khofi) ndi mowa. Izi zimawonjezeranso kukodza. Ngati mukufuna kuchepetsa kudzuka usiku, yesani kumwa madzi ambiri masana. Koma musamakhale opanda madzi konse.
Zizindikiro zofanana ndi kuzizira
Anthu ena amatha kukhala ndi zizindikiro ngati chimfine monga kupweteka pakhosi ndi mphuno yotsekeka akayamba kumwa mankhwalawa. Izi zitha kuchepetsedwa ndi mankhwala osavuta apakhomo (monga kudya uchi pang'ono) kapena mankhwala ogulitsidwa kunja kwa ofesi. Kugwiritsa ntchito chotenthetsera kuti chipinda chikhale chonyowa kungathandizenso ndi zizindikiro zonsezi. Lankhulani ndi dokotala wanu za izi ndipo funsani upangiri ngati pakufunika kutero.
Matenda a yisiti
Zotsatira zoyipa kwambiri za mankhwalawa ndi matenda a yisiti m'malo oberekera. Matendawa amatha kuchitika m'chikazi mwa akazi komanso mbolo mwa amuna. Chifukwa chachikulu cha izi ndichakuti shuga wambiri mumkodzo umapanga malo abwino oti yisiti imere.
| Zizindikiro za matenda a yisiti | |
|---|---|
| Kuyabwa | Kuyabwa kwambiri m'dera la maliseche. |
| Kutulutsa | Kutuluka koyera komanso kotupa. |
| Kusasangalala ndi ululu | Kufiira, kutupa, ndi kupweteka m'derali. Kumva kutentha mukamakodza. |
| Fungo loipa | Fungo losazolowereka. |
Ngati muli ndi matenda ngati awa, mutha kufunsa dokotala wanu za kugwiritsa ntchito kirimu kapena mapiritsi ophera tizilombo toyambitsa matenda. Ngati zizindikiro zanu sizikuchepa patatha pafupifupi sabata imodzi, onetsetsani kuti mwawonananso ndi dokotala.
Kuti mudziteteze ku matenda a yisiti, chitani izi:
- Yendetsani kuchuluka kwa shuga m'magazi mwanu monga momwe dokotala wanu wanenera.
- Pewani kugwiritsa ntchito sopo wonunkhira, ma douches, ndi zinthu zina zonunkhira.
- Musamavale zovala zonyowa (mutatha kuchita masewera olimbitsa thupi kapena kusamba) kwa nthawi yayitali.
- Valani zovala zamkati zomasuka zopangidwa ndi thonje.
- Pewani kugonana pamene muli ndi matenda a yisiti, chifukwa amatha kufalikira kwa mnzanu ndipo mungabwererenso.
Zotsatirapo zina ndi momwe mungathanirane nazo
Chizungulire
Izi zimachitikanso nthawi zambiri mukayamba kumwa mankhwala. Mungamve chizungulire, makamaka mukayimirira mutakhala pansi kapena mukadzuka pabedi. Ngati mukumva chonchi, pumulani pang'ono. Mukadzuka, musadzuke mwadzidzidzi, koma dzukani pang'onopang'ono. Musayendetse galimoto kapena kugwiritsa ntchito makina pamene mukuvutika chizungulire.
Matenda a mkodzo (UTIs)
Monga matenda a yisiti, palinso chiopsezo cha matenda a mkodzo (UTIs) chifukwa shuga wambiri mumkodzo umapanga malo abwino oti mabakiteriya amere. Ngakhale kuti nthawi zambiri matendawa ndi ang'onoang'ono, nthawi zina amatha kukhala oopsa.
| Zizindikiro za matenda a mkodzo (UTI) | |
|---|---|
| Kufunika kukodza pafupipafupi komanso mwachangu | Kupsa kapena kupweteka mukakodza |
| Kupweteka m'mimba m'munsi | Mkodzo wothira mitambo, wakuda, kapena wamagazi |
| Kukhala ndi fungo lamphamvu mu mkodzo | |
| Zizindikiro za matenda (oopsa kwambiri) a impso - ngati muli ndi izi, pitani kwa dokotala nthawi yomweyo! | |
| Kupweteka kwa msana, malungo, kuzizira | Kusanza ndi kusanza |
Ngati muli ndi zizindikiro za matenda a mkodzo, ngati sizitha pakapita masiku ochepa, ngati zikuipiraipira, kapena ngati muli ndi matenda pafupipafupi , onetsetsani kuti mwaonana ndi dokotala . Mwina mungafunike kumwa mankhwala opha maantibayotiki.
Kodi mungachite chiyani ngati zotsatirapo zake zazikulu zikuchitika?
Izi sizipezeka kawirikawiri, koma ndikofunikira kwambiri kudziwa zinthu izi.
Kusowa madzi m'thupi
Mankhwalawa angayambitse kukodza kwambiri, zomwe zingayambitse kutaya madzi m'thupi. Ngati mwataya madzi pang'ono m'thupi, mutha kukonza vutoli mwa kumwa madzi ambiri. Komabe, kutaya madzi m'thupi kwambiri ndi vuto lomwe lingakhale pachiwopsezo ngati silinachiritsidwe.
Ngati izi ndi zizindikiro za kutaya madzi m'thupi kwambiri, pitani ku dipatimenti ya zadzidzidzi ya chipatala (ETU) nthawi yomweyo:
- Kumva kutopa kwambiri kapena kugona
- Wosokonezeka
- Kugunda kwa mtima
- Kupuma mwachangu
- Mwina kutaya chidziwitso
Shuga wochepa m'magazi (Hypoglycemia)
Nthawi zina, makamaka ngati mukumwa mankhwala ena a shuga, mankhwalawa angayambitse kuchepa kwa shuga m'magazi mwanu. Izi zimatchedwa ``Hypoglycemia''.
Zizindikiro za shuga wotsika:
- Mutu
- Njala
- Kukwiya
- Kumva ngati thupi lanu likugwedezeka
- Kufooka, chizungulire
- Thukuta, kugunda kwa mtima mofulumira
Ngati shuga m'magazi mwanu watsika pansi pa 55-69 mg/dL, mutha kudziletsa nokha. Imwani chinthu chotsekemera (monga theka la chikho cha madzi a zipatso, supuni imodzi ya uchi) ndikuyesanso shuga m'magazi mwanu pakatha mphindi 15. Ngati sichibwerera mwakale, chitaninso chimodzimodzi. Komabe, ngati shuga m'magazi mwanu watsika pansi pa 55 mg/dL, ndi vuto ladzidzidzi . Uzani banja lanu. Mungafunike kudzipatsa jakisoni wa glucagon, monga momwe dokotala wanu wanenera, kapena pitani kuchipatala chadzidzidzi (ETU) nthawi yomweyo.
Matenda osowa kwambiri koma oopsa - Fournier's gangrene
Uwu ndi matenda osowa kwambiri, koma oopsa kwambiri a bakiteriya . Umakhudza minofu yomwe ili pansi pa khungu lozungulira ziwalo zoberekera ndi buluzi. Imbani dokotala nthawi yomweyo ngati muli ndi zizindikiro izi:
- Malungo, kuzizira, ndi kunjenjemera
- Ululu, kufiira, kapena kutupa m'dera la maliseche
- Kutopa kwambiri kwa thupi
Ketoacidosis
Ichi ndi vuto losowa kwambiri komanso loopsa. Thupi likayamba kugwiritsa ntchito mafuta m'malo mwa shuga, limapanga ma acid otchedwa ketones. Ngati awa achuluka kwambiri, amayambitsa ``Ketoacidosis```.
Zizindikiro zoyambirira:
- Ludzu lopitirira muyeso
- Kutulutsa mkodzo wambiri kuposa masiku onse
- Fungo la zipatso pamphuno
Ngati zizindikirozi zikuphatikiza nseru, kusanza, kupweteka m'mimba, komanso kupuma movutikira, pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) nthawi yomweyo.
Kuyanjana ndi mankhwala ena
Ngati mutenga mankhwala osakaniza okhala ndi mankhwala ena (monga Metformin, Saxagliptin) ndi Dapagliflozin, pali chiopsezo chochepa kwambiri cha zotsatirapo zina zoyipa, monga `(Lactic acidosis)`, `(Pancreatitis)`. Lankhulani ndi dokotala wanu za mankhwala omwe mukumwa komanso zotsatirapo zake zomwe zingayambitse.
Uthenga Wopita Nawo Kunyumba
- Tsatirani malangizo a dokotala wanu molondola. Musasinthe mlingo kapena nthawi ya mankhwala anu nokha.
- Ngati mukufuna kusiya kumwa mankhwala chifukwa cha zotsatirapo zilizonse, onetsetsani kuti mwalankhula ndi dokotala musanachite zimenezo.
- Dziwani zizindikiro zazikulu za kutaya madzi m'thupi, shuga wotsika m'magazi, ndi matenda oopsa. Ngati muwona zizindikiro izi, funsani upangiri wa dokotala nthawi yomweyo kapena pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU).
- Sungani madzi okwanira m'thupi lanu. Imwani madzi okwanira tsiku lonse.
- Samalani ukhondo wanu kuti mupewe matenda a mkodzo ndi matenda a yisiti.
- Kambiranani momasuka ndi dokotala wanu za zotsatirapo zazing'ono zilizonse zomwe zimakuvutitsani. Musachite mantha, pali njira zothetsera mavuto ambiri.
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