Kana uchirwarawo nechirwere cheshuga cheType 2, chiremba wako anogona kunge akakupa piritsi rine mishonga inopfuura imwe chete. Trijardy XR ipiritsi rimwe chete rakadaro, musanganiswa wemishonga mitatu inobatsira kudzora chirwere cheshuga. Saka nhasi, ngatitaurei nezvemushonga uyu, zvaunoita, uye zvaunofanira kungwarira paunenge uchiushandisa.
Zvichitaurwa zviri nyore, chii chinoitika nemushonga uyu?
Kune mhando nhatu huru dzemushonga uyu: Empagliflozin, Linagliptin, uye Metformin . Dzese nhatu idzi dzinoshanda pamwe chete kuti dziite zvinhu zvakawanda mumuviri wako.
- Inoderedza huwandu hweshuga muropa.
- Kune vamwe vanhu, izvi zvinobatsirawo kuderedza njodzi yekurwara nemoyo uye sitiroko inogona kuitika nekuda kwechirwere cheshuga.
Asi yeuka, kutora mushonga uyu chete hakuna kukwana. Kudya zvakanaka uye kurovedza muviri ndizvo zvimwe zvezvinhu zvakakosha pakurapa uku. Mushonga uyu unongopihwa kune vane chirwere cheshuga cherudzi rwechipiri chete, haukodzeri vanhu vane chirwere cheshuga cherudzi rwekutanga.
Zvinhu zvekuudza chiremba wako usati watanga mushonga
Chiremba wako asati akupe mushonga uyu, anofanira kuziva nhoroondo yako yese yehutano. Kana uine chimwe chezvirwere zvakanyorwa pazasi, iva nechokwadi chekuudza chiremba wako . Izvi zvakakosha zvikuru kuti uchengetedzeke.
| Rudzi rwemashoko | Mamiriro ezvinhu ekuchenjera |
|---|---|
| Mamiriro ehutano aripo | Chirwere cheitsvo, chirwere chechiropa, chirwere chemwoyo, kutadza kushanda zvakanaka kwemoyo, cholesterol yakakwira, BP yakaderera, anemia, pancreatitis, hutachiona hwemunzira yeurinary, polycystic ovary syndrome (PCOS), diabetic ketoacidosis. |
| Nyaya dzine chekuita nemararamiro | Kana uchinwa doro nguva nenguva, uchitevera kudya kushoma, usina kudya kwakawanda nekuda kwekuvhiyiwa, kurwara, kana zvimwe zvikonzero, kana muviri wako usina mvura mumuviri. |
| Kurwara nepamuviri | Kana une allergies kumishonga iyi kana chero imwe mishonga kana chikafu. Kana wakamboomerwa nekufema nekuda kwekuzvimba kwerurimi, kumeso, kana miromo. Kana uine pamuviri, uri kuedza kuva nepamuviri, kana kuyamwisa. |
| Mamwe mapoinzi akakosha | Kana uri pa hemodialysis, uchinetseka kuita weti, uine hutachiona hwakakomba kana ronda, kana kuti usina kudzingiswa. |
Nzira yekushandisa mushonga nemazvo sei?
- Inwa mushonga uyu nekudya kwekuseni negirazi remvura.
- Inwa mushonga wacho sezvawakarairwa nachiremba wako, panguva chaiyo. Usatore mushonga unopfuura wawakaudzwa nachiremba.
- Usapwanye, kupwanya, kana kutsenga piritsi iri. Medza rose. Nekuti iri ipiritsi reExtended-Release (XR), rakagadzirirwa kuburitsa mushonga mumuviri kwemaawa akati wandei. Kana ukapwanya, maitiro iwayo acharasika.
- Usarega kutora mushonga wako usina kurayirwa nachiremba wako.
- Unogona kuona chimwe chinhu chakaita sepiritsi rese richibuda netsvina yako. Izvi zvakajairika, usazvidya moyo. Igoko risina chinhu rinosara mushure mekunge mushonga uri mupiritsi wapinda mumuviri wako.
Ko kana dose ikawedzera?
Kana uchifunga kuti watora mushonga wakawandisa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika, kana kuenda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Ko kana ndikakanganwa kunwa mushonga wangu?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza sezvaunoyeuka. Asi kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga unotevera panguva yakatarwa. Usambofa watora mishonga miviri panguva imwe chete.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Mimwe mishonga yauri kutora inogona kukanganisa mushonga uyu, saka udza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini nezvimwe zvinogadzirwa nemiti) .
Chenjererai zvikuru: Zvine njodzi kutora mushonga uyu pamwe chete nezvimwe zvinosiyanisa mavara, zvakaita seDofetilide neGatifloxacin, zvinopinzwa mumuviri usati waongororwa zvakaita seX-rays, CT scans, uye MRIs.
Mishonga iri pazasi inogona kushanda pamwe chete nemushonga uyu, saka zvakakosha kuzivisa chiremba wako kana uri kutora chero ipi zvayo.
| Rudzi rwemishonga | Mienzaniso |
|---|---|
| Mimwe mishonga yekurapa BP nezvirwere zvemwoyo | Diuretics (mishonga inokonzera weti yakawanda), Digoxin, Ranolazine |
| Mimwe mishonga yekurapa pfari | Carbamazepine, Phenobarbital, Phenytoin, Topiramate |
| Mhando dzemahormone nemasteroid | Estrogen, Progestin, Prednisone, Cortisone, Mishonga yeThyroid |
| Mimwe mishonga yakasiyana-siyana nezvinhu | Doro, Acetazolamide, Cimetidine, Rifampin, St. John's Wort, mimwe mishonga yeHIV/Hepatitis, Niacin |
Zvinhu zvakakosha zvekufunga nezvazvo kana uchitora mushonga
- Lactic Acidosis: Mushonga uyu dzimwe nguva unogona kukonzera kuwedzera kweacidity muropa (lactic acidosis). Kana ukaona zviratidzo zvakaita sekusvotwa, kurutsa, kurwadziwa mudumbu, kuneta zvakanyanya, kana kunetseka kufema , rega kutora mushonga nekukasika wotaura nachiremba wako.
- Kuongororwa kweHbA1C: Kuti vaone kuti chirwere cheshuga chako chinodzorwa sei, chiremba wako acharaira kuti uongororwe ropa rinonzi HbA1C , iro rinoitwa mwedzi miviri kusvika mitatu yega yega.
- Ziva huwandu hweshuga muropa rako: Dzidza zviratidzo zvehushuga hweropa hwakaderera (hypoglycemia) uye hwakakwira (hyperglycemia). Gara uine chimwe chinhu chiri pedyo newe, senge glucose bar, shuga cube, kana chinwiwa chine shuga, chekutora nekukurumidza kana shuga yako yeropa yaderera.
- Usambofa wakasiya kudya: Usambofa wakasiya kudya. Bvunza chiremba wako nezvekunwa doro.
- Kubata pamuviri uye kudzora pamuviri:Mushonga uyu unogona kukonzera kubuda kwembeu (ovulation) mune vamwe vakadzi uye kuwedzera mukana wekubata pamuviri. Mushonga uyu haukodzeri kana uri kuedza kubata pamuviri kana kuti une pamuviri. Saka, taura nachiremba wako nezvenzira dzakakodzera dzekudzivirira pamuviri paunenge uchitora mushonga uyu.
- Kuvhiyiwa uye bvunzo: Kana uchizovhiyiwa kana bvunzo dzakadai seMRI kana CT scan, udza chikwata chezvekurapa pachine nguva kuti uri kutora mushonga uyu. Ungangoda kurega kutora mushonga kwemazuva iwayo.
- Kushaikwa kwemavhitamini: Kushandisa mushonga uyu kwenguva refu kunogona kuderedza huwandu hwevhitamini B12 nefolic acid. Saka, taura nachiremba wako nezvekudya chikafu chakakwana uye kutora mavhitamini ekuwedzera kana zvichidikanwa.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemushonga upi zvawo, uyu unogona kuva nemigumisiro yakaipa. Mimwe yakakomba, mimwe inowanzoonekwa.
| Kupatsanura migumisiro yakaipa | |
|---|---|
| 🚨 Migumisiro yakaipa inofanira kuziviswa kuna chiremba nekukasika | |
| Kusawirirana neAllergy | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kuoma kufema. |
| Chirwere cheshuga ketoacidosis (DKA) | Nyota yakawandisa, kuita weti kakawanda, muromo wakaoma, kunhuwa kwekufema kunobva mumuchero, kuoma kufema, kurwadziwa mudumbu, kuda kurutsa, kurutsa. |
| Kushaya mvura mumuviri | Nyota yakawandisa, muromo wakaoma, dzungu, musoro, weti yero/brown yakasviba. |
| Utachiona hwemunzira yeweti (UTI) | Kutapukirwa nehutachiona hweweti, kuita weti nguva nenguva, weti ine ropa kana makore, kurwadziwa kwemusana kana muchiuno. |
| Zvimwe zviratidzo zvakakomba | Kurwadziwa kwakanyanya kwemajoini, zviratidzo zvechirwere chemwoyo (kushaya mweya, kuzvimba kwezvigunwe), pancreatitis (kurwadziwa kwemudumbu kwakanyanya), hutachiona huri mukati kana pedyo nenhengo dzesikarudzi, zviratidzo zvekushaikwa kwevhitamini B12 (kushaya simba mumaoko netsoka, dzungu). |
| 🙂 Migumisiro isingawanzo kuve yakanyanya kuipa, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
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Mharidzo Yekuenda Nayo Kumba
- Nguva dzose tora mushonga uyu panguva yekudya kwemangwanani. Medza piritsi rese, usarityore kana kuripwanya.
- Iva nechokwadi chekuudza chiremba wako nezvemimwe mishonga yose yauri kutora uye chero matambudziko ehutano auri kusangana nawo.
- Gara uine chimwe chinhu chiri pedyo (senge chidimbu cheshuga) chekushandisa kana huwandu hweshuga muropa rako hukadzikira.
- Tsvaga rubatsiro rwechiremba nekukasika kana ukaona zviratidzo zvemigumisiro yakaipa yakadai sekuoma kufema, kurwadziwa mudumbu zvakanyanya, kana nyota yakawandisa.
- Ichi chikamu chimwe chete chakakosha cherwendo rwako rwekurapa chirwere cheshuga, uye chinoshanda zvakanyanya kana chikasanganiswa nekudya kwakakodzera uye kurovedza muviri.
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