Kodi mukumwa mankhwala a matenda a shuga amtundu wachiwiri? Tiyeni tikambirane za mapiritsi a Tolbutamide!

Mwina muli ndi matenda a shuga amtundu wachiwiri, kotero dokotala wanu mwina anakupatsani mankhwala otchedwa Tolbutamide. Kapena mungakhale ndi chidwi chofuna kudziwa zambiri za mankhwalawa. Komabe, ndikofunikira kudziwa bwino lomwe kuti mankhwalawa ndi otani. Chifukwa chake lero, tiyeni tikambirane za mankhwalawa mwatsatanetsatane komanso m'njira yosavuta.

Kodi kwenikweni chimachitika ndi mankhwala otchedwa Tolbutamide awa?

Mwachidule, Tolbutamide ndi mankhwala omwe amathandiza kuwongolera matenda anu a shuga a mtundu wachiwiri. Amathandiza kwambiri kuti insulin hormone ya thupi lanu igwire ntchito yake bwino. Mukudziwa, mukakhala ndi matenda a shuga, thupi lanu silipanga insulin yokwanira, kapena insulin yomwe imapanga sigwira ntchito bwino. Pamenepo ndi pomwe mankhwalawa amathandiza.

Koma chinthu chimodzi choyenera kukumbukira. Simungathe kuletsa matenda a shuga mwa kumwa mankhwalawa nokha. Mutha kupeza phindu lalikulu kuchokera ku mankhwalawa pokhapokha ngati mudya bwino komanso mukuchita masewera olimbitsa thupi. Mankhwalawa angapezeke pamsika pansi pa mayina monga Orinase kapena Tol-Tab. Koma ngati chinthu chachikulu chomwe dokotala wakupatsani ndi Tolbutamide, mfundo zonsezi ndizofunikira.

Nthawi zina mankhwalawa angagwiritsidwe ntchito pazifukwa zina zachipatala. Ngati muli ndi mafunso okhudza izi, funsani dokotala wanu kapena wamankhwala.

Kodi ndi zinthu ziti zomwe muyenera kuuza gulu lanu lachipatala musanamwe mankhwala awa?

Iyi ndi mfundo yofunika kwambiri. Ngati muli ndi vuto lililonse mwa zotsatirazi, muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa:

• Ngati muli ndi matenda a shuga a ketoacidosis, vuto lalikulu lomwe limayamba chifukwa cha matenda a shuga.
• Ngati muli ndi vuto la kusowa kwa enzyme lotchedwa glucose-6-phosphate dehydrogenase deficiency (kusowa kwa G6PD) .
• Ngati muli ndi matenda a mtima .
• Ngati muli ndi matenda a impso .
• Ngati muli ndi matenda a chiwindi .
• Ngati muli ndi matenda aakulu kapena kuvulala .
• Ngati muli ndi matenda a chithokomiro .
• Ngati mwakhala ndi vuto lachilendo kapena la allergic reaction ku tolbutamide, mankhwala a sulfa, mankhwala ena, zakudya, utoto wochita kupanga, kapena zotetezera.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba.
• Ngati ndinu mayi woyamwitsa.

Ngati mutchula mfundo izi molondola, dokotala wanu angasankhe ngati mankhwala awa ndi oyenera kwa inu kapena ngati mukufuna njira ina.

Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?

Mankhwalawa ndi piritsi lomwe mumamwa pakamwa. Mezani piritsi ndi kapu ya madzi. Muyenera kutsatira malangizo omwe ali pa chizindikiro cha mankhwala monga momwe dokotala wanu wakupatsani. Ndi bwino kumwa mankhwalawo nthawi yomweyo tsiku lililonse. Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanenera.

Ngati mukupereka mankhwalawa kwa ana, muyenera kulankhula ndi dokotala wa ana za mankhwalawa. Angafunike chisamaliro chapadera.

Anthu azaka zopitilira 65 amatha kukhala ndi mphamvu zochepa akamamwa mankhwalawa. Chifukwa chake, angafunike kupatsidwa mlingo wocheperako.

Chofunika: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo (overdose), imbani malo oletsa poizoni kapena chipinda chadzidzidzi chapafupi nthawi yomweyo.

Chinanso, mankhwalawa ndi a inu nokha. Musapatse wina aliyense mankhwala anu, ngakhale atakhala ndi zizindikiro zomwezo monga inu.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

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 mlingo wowirikiza kawiri.

Ndi zinthu zina ziti zomwe zingachitike ndi mankhwalawa?

Ichi ndi chinthu chomwe muyenera kusamala nacho kwambiri. Mankhwala ndi zakudya zina zimatha kuyanjana ndi Tolbutamide. Izi zikutanthauza kuti kugwira ntchito kwa mankhwalawa kungasinthe, kapena zotsatira zake zingawonjezere.

Mankhwalawa angagwirizane ndi zotsatirazi:

• Bosentan
• Chloramphenicol
• Cisapride
• Mankhwala a matenda a bowa kapena yisiti (monga fluconazole, ketoconazole)
• Metoclopramide
• Probenecid
• Warfarin

Kuphatikiza apo, pali mankhwala ena ndi zinthu zina zomwe zingawonjezere kapena kuchepetsa shuga m'magazi mwanu. Muyenera kusamala mukamamwa mankhwalawa. Mwachitsanzo:

• Zakumwa zoledzeretsa
• Aspirin ndi mankhwala ena ofanana nawo
• Zowonjezera za Chromium
• Maantibayotiki monga clarithromycin
• Mankhwala ochepetsa kukodza (mankhwala omwe amakupangitsani kukodza)
• Mahomoni achikazi (monga ma estrogen kapena ma progestin) ndi mapiritsi oletsa kubereka
• Mankhwala a matenda ena a mtima
• Isoniazid
• Mahomoni a amuna kapena ma steroid a anabolic
• Mankhwala ochepetsa thupi
• Mankhwala a ziwengo, mphumu, chimfine, ndi chifuwa
• Mankhwala a matenda amisala
• Mankhwala omwe ali mgulu la mankhwala otchedwa MAO Inhibitors (monga Nardil, Parnate)
• Niacin
• NSAIDs (monga ibuprofen, naproxen)
• Pentamidine
• Phenytoin
• Mankhwala opha tizilombo a Quinolone (monga ciprofloxacin, levofloxacin)
• Zakudya zina zowonjezera ku zitsamba
• Mankhwala a steroid (monga prednisone, cortisone)
• Mankhwala a chithokomiro

Mndandandawu sunathe. Chifukwa chake, uzani dokotala wanu za mankhwala onse (kuphatikizapo mankhwala ogulitsidwa kunja kwa chipatala), zitsamba, ndi zowonjezera zakudya zomwe mukumwa. Uzaninso dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Izi zingasokonezenso mankhwala anu.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamamwa mankhwalawa?

Muyenera kusamala nthawi zonse za thanzi lanu mukamagwiritsa ntchito mankhwalawa.

• Pitani kwa dokotala wanu nthawi zonse: Pitani kukayezetsa matenda anu monga momwe dokotala wanu wanenera kuti muwone ngati matenda anu a shuga akuyendetsedwa bwino.
• Kuyeza kwa HbA1C: Dokotala wanu angakupatseni mayeso otchedwa HbA1C (A1C). Kuyeza kumeneku kumayesa kuchuluka kwa shuga m'magazi mwanu m'miyezi iwiri kapena itatu yapitayi. Kuyeza kumeneku kumachitika miyezi itatu kapena isanu ndi umodzi iliyonse.
• Phunzirani momwe mungayang'anire kuchuluka kwa shuga m'magazi mwanu: Ndikofunikira kuphunzira momwe mungayang'anire kuchuluka kwa shuga m'magazi mwanu kunyumba. Komanso, dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndi shuga wambiri m'magazi (hyperglycemia) ndi momwe mungathanirane nazo.

Dziwani kwambiri za hypoglycemia!

Mukamwa mankhwalawa, shuga m'magazi mwanu amatha kutsika kwambiri. Izi zitha kukhala zoopsa. Choncho muyenera kusamala kwambiri pa izi.

• Sungani chinthu chomwe chingapereke shuga mwachangu: Nthawi zonse sungani chinthu chomwe mungadye mukangoyamba kuona zizindikiro za shuga wotsika m'magazi (monga thukuta, kugwedezeka, chizungulire, kumva njala kwambiri, kuvutika kuganizira). Mwachitsanzo, ma cubes a shuga, toffee, mapiritsi a shuga, kapena madzi a zipatso.
• Uzani ena: Ngati muli mu mkhalidwe womwe simungathe kudya kapena kumwa chifukwa cha hypoglycemia yayikulu (monga khunyu, kutaya chidziwitso), uzani abale anu ndi anzanu kuti ngati muyesa kuwapatsa chakudya kapena chakumwa panthawiyo, akhoza kutsamwitsidwa. Ngati izi zitachitika, muyenera kupita kuchipatala nthawi yomweyo.
• Ngati shuga m'magazi mwanu ndi wokwera: Ngati mukuona zizindikiro za shuga m'magazi (monga ludzu lopitirira muyeso, kukodza pafupipafupi, kusawona bwino), uzani dokotala wanu. Mlingo wa mankhwala anu ungafunike kusinthidwa.
• Ngati mukudwala kapena kuchuluka kwa masewera olimbitsa thupi kukusintha: Ngati mukudwala malungo, chimfine, kapena ngati mukuchita masewera olimbitsa thupi kuposa masiku onse, mlingo wa mankhwala anu ungafunike kusinthidwa. Lankhulani ndi dokotala wanu za izi.
• Musamadumphe chakudya: Idyani nthawi yoyenera. Kudumpha chakudya kungayambitse shuga m'magazi.
• Samalani ndi mowa: Funsani dokotala wanu ngati kuli bwino kupewa kumwa mowa. Mapiritsi ena a chifuwa ndi madzi ozizira omwe amaperekedwa mumsika wa mankhwala angakhalenso ndi shuga kapena mowa. Izi zingakhudze kuchuluka kwa shuga m'magazi.
• Samalani ndi dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi dzuwa. Choncho, valani zovala zophimba khungu lanu mukapita ku dzuwa, gwiritsani ntchito mafuta oteteza ku dzuwa, ndipo pewani nyali za dzuwa kapena mabedi opaka utoto.
• Valani chiphaso cha zachipatala: Valani chibangili cha zachipatala kapena unyolo wosonyeza kuti muli ndi matenda a shuga komanso mankhwala omwe mumamwa komanso mlingo wake. Komanso, sungani khadi lokhala ndi tsatanetsatane wa mankhwalawo nthawi zonse. Izi ndizofunikira kwambiri pakagwa ngozi.

Kodi zotsatirapo zake zingakhale zotani?

Monga mankhwala ena onse, tolbutamide ingayambitse zotsatirapo zina, ngakhale kuti si aliyense amene amalandira.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu kapena wothandizira zaumoyo mwamsanga:

• Kuvuta kupuma
• Mkodzo wachikasu chakuda kapena bulauni, maso kapena khungu kukhala lachikasu (monga jaundice)
• Malungo, kuzizira, pakhosi
• Shuga wochepa m'magazi (funsani dokotala wanu kuti akupatseni mndandanda wa zizindikiro zokhudzana ndi izi)
• Kukwiya kwambiri pakhungu, kufiira, kutupa, kapena kuyabwa
• Kutuluka magazi kosazolowereka kapena kuvulala

Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira:

Izi nthawi zambiri zimatha pakatha masiku ochepa. Koma ngati zikupitirira, uzani dokotala wanu ngati zikukuvutitsani:

• Kutsegula m'mimba
• Mutu
• kutentha pamtima
• Kusanza, kusanza
• Kusasangalala m'mimba

Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chilichonse chachilendo, lankhulani ndi dokotala wanu za izi.

Kodi mumasunga bwanji mankhwala?

• Sungani pamalo omwe ana sangafikire.
• Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius, pakati pa madigiri 59 ndi 86 Fahrenheit).
• Tayani mankhwala omwe atha ntchito popanda kuwagwiritsa ntchito.

Chinthu chachikulu - kumbukirani!

Nkhaniyi ikufotokoza mwachidule za Tolbutamide. Ngati muli ndi mafunso ena okhudza mankhwalawa, chonde kambiranani ndi dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina. Nthawi zonse ndi bwino kutsatira malangizo a dokotala wanu popanga zisankho zokhudza thanzi lanu. Khalani ndi thanzi labwino!

'tolbutamide, matenda a shuga, matenda a shuga amtundu wachiwiri, shuga m'magazi, mankhwala, orinase, tol-tab, matenda a shuga, tolbutamide, shuga m'magazi, mankhwala