Dzimwe nguva huwandu hweshuga muropa redu hunongoerekana hwadzikira, handiti? Asi nekuda kwezvimwe zvirwere zvakasiyana, muviri unoburitsa insulin yakawandisa, uye huwandu hweshuga muropa hunogona kugara hwakaderera zvine njodzi. Mukurapa, tinoti izvi zvinopesana nehyperglycemia, inova hypoglycemia. Muzviitiko zvakadaro, mushonga unoshandiswa navanachiremba unonzi diazoxide. Nhasi, tichataura nezvemushonga uyu zvakadzama uye zviri nyore.
Mushonga werudzii unonzi Diazoxide?
Zvichitaurwa zviri nyore, Diazoxide mushonga unodzora kugadzirwa kwehormone inonzi insulin nepancreas yemuviri wedu. Kazhinji, insulin inodzora huwandu hweshuga muropa nekutumira shuga (glucose) kubva muropa ichienda mumasero. Zvisinei, vamwe vanhu, kunyanya vana vadiki, vanogona kunge vaine chirwere chinonzi hyperinsulinism apo vanogadzira insulin yakawandisa. Izvi zvinokonzera huwandu hweshuga muropa kudzikira zvine njodzi.
Diazoxide inoshanda nekumisa kugadzirwa kwe insulin iyi isingakoshi . Izvi zvinodzosera huwandu hweshuga muropa pahunhu hwakajairika. Inowanzo uya muchimiro chemvura (mushonga wemuromo). MuSri Lanka, dzimwe nguva inogona kuwanikwa pasi pezita rekuti Proglycem.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Usati wapa mushonga uyu iwe kana mwana wako, zvakakosha kuzivisa chiremba wako nezvezvinotevera: Izvi zvakakosha zvikuru.
- Kana uine chirwere cheshuga .
- Kana uine chirwere chemwoyo .
- Kana wakamborwara negout .
- Kana uine chirwere cheitsvo .
- Kana uine allergy ne diazoxide, mishonga yesulfa, kana chero imwe mishonga, chikafu, kana dhayi.
- Kana uine pamuviri kana kuti uchitarisira mwana .
- Kana uri amai vanoyamwisa .
Zvichibva paruzivo urwu, chiremba achasarudza kana mushonga uyu wakakunakira kana kuti kwete, uye kana zvakadaro, kuti ungaupa sei.
Nzira yekushandisa mushonga nemazvo sei?
Sezvo mushonga uyu uri wemvura, chenjerera zvinhu izvi paunenge uchiushandisa.
1. Zunza zvakanaka: Zunza bhodhoro zvakanaka usati washandisa.
2. Kuyera nemazvo: Shandisa chipunu chekuyera chakakodzera (chipunu chine mavara) kana dropper inouya nemushonga chete. Usashandise zvipunu zvemumba kana zvipunu zvemupunga. Nekuti hazvipi uwandu chaihwo hwemushonga. Zvinogona kuva nengozi. Kana usina chiyero chakadaro, bvunza chiremba wako nezvazvo.
3.Panguva yakatarwa: Ipa mushonga panguva yakatarwa uye panguva yakatarwa sezvakarairwa nachiremba. Usapfuure huwandu hwakanyorwa.
4. Kana ichipiwa vana: Mushonga uyu unotopihwa vacheche pasi pemamiriro ezvinhu akasiyana. Asi unofanira kungoitwa chete pasi pekutarisirwa kwachiremba wevana . Saka, chenjerera zvikuru kana uri kupa mwana mushonga uyu.
Ko kana ndikakanganwa kutora mushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usambofa wakatora mushonga kaviri kuti udzorere mushonga wawakakanganwa.
Chii chaunofanira kuita kana ukanwa doro zvakanyanya?
Kana uchifunga kuti watora mushonga wakawanda kupfuura zvawaifunga, usanonoka.
Fonera National Poisons Information Centre paColombo National Hospital nekukasika. Kana kuti enda kuchipatara chiri pedyo neEmergency Treatment Unit (ETU) nekukurumidza. Bata izvi seemergency.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, Diazoxide inogona kukonzera mimwe migumisiro yakaipa. Mimwe yacho yakakomba, nepo mimwe yakajairika. Tafura iri pazasi inoratidza zvakajeka izvi.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yakakomba inofanira kutaurwa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. |
| Kuchinja kwemaonero | Kuona kusina kujeka, kuchinja kwemaonero. |
| Kurwadziwa pachipfuva, kuchinja kwekurova kwemoyo | Kunzwa sekuti moyo wako uri kurova nekukurumidza kana kuti zvisina kurongeka, kurwadziwa pachipfuva. |
| Kuchinja kweweti uye nyota yakawandisa | Weti yakasviba kana kuti ine makore, weti yakaderera, nyota yakawandisa, uye munhuwi wemuchero pakufema. |
| Kuzvimba kwemuviri kana kuwedzera uremu | Kuzvimba kwemuviri kusingawanzoitiki, kunyanya makumbo, kana kuwedzera uremu kamwe kamwe. |
| Zvimwe zviratidzo zvakakomba | Dzungu, kudonha, maronda kana kubuda ropa zvisina kujairika, kugwinha kwemaziso kana muromo kusingajairika, kuneta kwakanyanya. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Kukura kwebvudzi kusina kujairika | Kukura kwebvudzi zvisina kujairika pamuviri, kunyanya pachiso nepamakumbo evasikana nevakadzi (hirsutism). |
| Matambudziko ekugaya chikafu | Kushaya chido chekudya, kuda kurutsa, kurutsa, manyoka, kuchinja kwekuravira. |
| Musoro | Musoro. |
Kudyidzana nemimwe mishonga
Mimwe mishonga yauri kutora inogona kushanda pamwe chete neDiazoxide, kunyanya:
- Mishonga inobvisa mvura mumuviri
- Mishonga yeBP yakakwira
- Mishonga yepfari yakaita sePhenytoin
- Mishonga inobvisa ropa yakaita seWarfarin
Saka, ipa chiremba wako runyoro rwakakwana rwemishonga yose yauri kutora (kusanganisira mavhitamini, mishonga inotengeswa muchipatara, uye mishonga yekuwedzera).
Mharidzo Yekuenda Nayo Kumba
- Diazoxide mushonga unoshandiswa kurapa chirwere chakati apo huwandu hweshuga muropa hunoderera zvakanyanya. Shandisa izvi chete kana wapihwa mazano nachiremba.
- Paunenge uchipa mushonga, shandisa chipunu chekuyera kana dropper chete chinouya nacho. Dzivisa kushandisa zvipunu zvemumba.
- Usati watanga mushonga, udza chiremba wako nezvezvirwere zvako zvese pamwe chete nemimwe mishonga yauri kutora.
- Kana ukasangana nematambudziko akakomba akadai sekurwadziwa muchipfuva, kunetseka kufema, kana kuzvimba kwemuviri, enda kuna chiremba nekukasika.
- Kunwa doro rakawandisa idambudziko. Fonera National Poisons Information Center nekukasika kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU).
- Chengeta mushonga uyu kure nevana, kure nechiedza, uye patembiricha yemumba.
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