Chiremba wenyu akakupai mushonga mutsva wechirwere cheshuga cherudzi rwechipiri here? Pamakanzwa kuti zita remushonga uyu rainzi Dapagliflozin naSaxagliptin (zvinowanzozivikanwa nezita rekuti QTERN), makazviwana zvichikunetsai here? Musazvidya mwoyo. Nhasi, tichataura nezvemushonga uyu nenzira iri nyore, sekunge muri kuudza shamwari.
Mushonga uyu chii? Zvichitaurwa zviri nyore...
Uyu mushonga unoshandiswa kurapa chirwere cheshuga cherudzi rwechipiri. Une mabasa maviri makuru. Rimwe nderekubatsira muviri wako kuburitsa shuga yakawandisa (glucose) muweti yako. Rimwe nderekukurudzira kugadzirwa kwehormone insulin kubva mupancreas yako, iyo inobatsira kudzora huwandu hweshuga muropa.
Funga nezvazvo sevanhu vaviri vakangwara vanodzora huwandu hweshuga mumuviri wako. Asi mushonga uyu wega hauna kukwana. Kudya zvakanaka uye kurovedza muviri kwakakodzera zvakakoshawo.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Zvakakosha kuti chiremba wako azive nhoroondo yako yese yehutano usati wanyora mushonga uyu. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvakanyorwa pazasi.
| Mamiriro kana tsika | Tsananguro |
|---|---|
| Mamiriro ehutano aripo | Kenza yedundira, chirwere chemwoyo, kutadza kushanda zvakanaka kwemoyo, chirwere cheitsvo, cholesterol yakakwira, BP yakaderera, pancreatitis kana nhoroondo yayo, chirwere cheshuga cherudzi rwekutanga. |
| Utachiona nezvimwe zvinetso | Kana uine zvirwere zvemudumbu (UTIs) kakawanda, nhoroondo yezvirwere zvenhengo dzepabonde, kunetseka kuita weti, kana chirwere chinonzi diabetic ketoacidosis. |
| Mararamiro nezvimwe zvinhu | Kana muviri wako usina mvura mumuviri, kana ukadya chikafu chisina munyu wakawanda, kana kudya kwawakaita kwaderera nekuda kwekurwara, kuvhiyiwa, kana zvimwe zvikonzero, kana ukanwa doro nguva nenguva. |
| Zviitiko zvakakosha | Kana uine pamuviri kana kuti uri kuedza kubata pamuviri, kana kuti uri amai vanoyamwisa. |
| Kurwara | Kana uine allergy yemushonga uyu (dapagliflozin, saxagliptin) kana chero mumwe mushonga, chikafu, kana dhayi. |
Ndinofanira kushandisa mushonga uyu sei?
Izvi zviri nyore kwazvo.
- Medza piritsi iri negirazi remvura.
- Inwa sezvakarairwa nachiremba wako, panguva yakakodzera. Inowanzo kurudzirwa kuinwa mangwanani.
- Inogona kutorwa nechikafu kana pasina.
- Usamborega kutora mishonga kana kuchinja mwero wemushonga usina kurairwa nachiremba wako .
- Kana mushonga uyu ukapihwa vana, mazano ekurapa akakosha anodiwa.
Chii chekuita kana mushonga wacho wakawedzerwa?
Kana uchifunga kuti watora mushonga wakawandisa, fonera National Poisons Information Centre paColombo National Hospital nekukasika. Kana, enda kuEmergency Department (ETU) yechipatara chiri pedyo.
Ko kana ndikakanganwa kunwa mushonga wangu?
Inwa mushonga wawakarasikirwa nawo nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti utore mushonga unotevera, siya mushonga wawakarasikirwa nawo wotora mushonga unotevera panguva yakatarwa. Usambofa wakatora mishonga miviri panguva imwe chete kuti udzorere mushonga wawakakanganwa.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Zvakakosha kuzivisa chiremba wako nezvemishonga yese yauri kutora. Mimwe mishonga inogona kukanganisa mushonga uyu.
Zvikuru, iva nechokwadi chekutaura nezvemishonga inotevera kana uri kuitora:
- Mimwe mishonga inorwisa mabhakitiriya, yakaita segatifloxacin.
- Doro
- Mimwe mishonga inorwisa mavhairasi inopihwa yeHIV kana Hepatitis.
- Mishonga yakaita seketoconazole neitraconazole, inoshandiswa kurapa hutachiona hwefungus.
- Lithium
- MaSteroid akadai seprednisone necortisone.
- Mishonga yeSulfonylureas, yakaita seglimepiride, glipizide, uye glyburide, inoshandiswa kurapa chirwere cheshuga.
- Mishonga yezvirwere zve thyroid.
Yeuka kuti runyorwa urwu haruna kukwana. Udza chiremba wako nezve chero mavhitamini, mishonga yemiti, kana zvimwe zvinovaka muviri zvauri kutora.
Zvinhu zvekungwarira paunenge uchitora mushonga
Unofanira kunyatsotarisira hutano hwako paunenge uchitora mushonga uyu.
1. Kuongororwa nachiremba nguva dzose: Endai kumakiriniki sezvakarongwa nachiremba wenyu. Chiremba wenyu anogona kuraira kuongororwa ropa kunonzi HbA1C mwedzi miviri kusvika mitatu yega yega kuti aone kuti shuga yenyu iri kudzorwa zvakadii.
2. Dzidza kuyedza shuga yako yeropa: Dzidza kuyedza shuga yako yeropa kumba. Ziva zviratidzo zvehypoglycemia uye hyperglycemia uye maitiro ekugadzirisa nazvo.
3. Chengeta shuga pedyo kana paine dambudziko: Gara uine chimwe chinhu chekudya, senge chidimbu cheshuga, piritsi reglucose, kana toffee, pedyo kana huwandu hweshuga yako hukangoerekana hwadzikira.
4. Usarega kudya: Usarega kudya kukuru chero chikonzero chipi zvacho. Bvunza chiremba wako nezvekunwa doro.
5. Pfeka chitupa chekurapwa: Kupfeka kadhi kana bracelet inoratidza kuti une chirwere cheshuga uye mhando dzemishonga yaunotora zvinogona kukosha zvikuru panguva yekukurumidzira.
Migumisiro yemushonga
Kufanana nemushonga upi zvawo, uyu unogona kukonzera migumisiro yakaipa kune vamwe vanhu. Kunyange zvazvo yakawanda yacho iri midiki, pane zvimwe zvinhu zvatinofanira kungwarira zvikuru.
| Mhedzisiro yedivi | Tsananguro uye zvekuita |
|---|---|
| Matambudziko akakomba anoda kurapwa nekukurumidza | |
| Kurwara Kwakanyanya | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Chirwere cheshuga ketoacidosis (DKA) | Nyota yakawandisa, kuita weti kakawanda, muromo wakaoma, kunhuwa kwekufema kunobva mumuchero, kuoma kufema, kurwadziwa mudumbu, kuda kurutsa, kurutsa. |
| Zviratidzo zveKukundikana kweMwoyo | Kutadza kufema zvakanaka, kuzvimba kwezvitsitsinho, tsoka, kana maoko, kuwedzera uremu kamwe kamwe, kuneta zvakanyanya. |
| Chipembenene | Kurwadziwa kwakanyanya mudumbu (kunobuda kumusana), kurwadziwa kunowedzera mushure mekudya kana kana wabatwa, fivha, kuda kurutsa, kurutsa. |
| Utachiona hwemunzira yeweti (UTI) | Kutapukirwa nehutachiona hweweti, kuita weti nguva nenguva, weti ine ropa kana makore, kurwadziwa kwemusana kana muchiuno. |
| Utachiona hwepabonde | Kutsvuka, kuzvimba, kurwadziwa, kuvaviwa, kunhuwa kwakashata, kubuda ropa gobvu. |
| Zvirwere zvisingawanzoitiki zvakakomba, asi zvinofanira kuudzwa chiremba kana zvikaramba zviripo | |
| Zvimwe zvirwere zvidiki | Manyoka, musoro, mhino inoyerera kana kuti yakazadza, pahuro panorwadza. |
Mharidzo Yekuenda Nayo Kumba
- Mushonga uyu mushonga unokosha unobatsira kudzora chirwere cheshuga chako. Gara uchitora sezvawakarairwa nachiremba wako , panguva chaiyo.
- Usati watanga mushonga, udza chiremba wako nezvezvirwere zvako zvese pamwe chete nemimwe mishonga yauri kutora.
- Ziva zviratidzo zveshuga shoma muropa (dzungu, kudikitira, nzara yakawandisa) uye shuga yakakwira muropa (nyota yakawandisa, kuita weti nguva nenguva).
- Kana ukasangana nematambudziko akakomba akadai sekusawirirana kwakanyanya, kufema zvakaoma, kana kurwadziwa mudumbu zvakanyanya , tsvaga rubatsiro rwechiremba nekukasika.
- Mushonga uyu ingori chikamu chimwe chete chehurongwa hwako hwekurapa chirwere cheshuga. Iva nechokwadi chekudya zvakanaka uye kuita maekisesaizi.
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