Chiremba wako akakurayira mushonga mutsva wechirwere cheshuga here? Zita refu, handiti? Musanganiswa wemishonga miviri inonzi Ertugliflozin neMetformin. Ungave wakambonzwa nezvayo uchishandisa zita rekuti Segluromet. Saka, ngatitaurei muchidimbu, sekunge tiri kutaura neshamwari, nezvemushonga uyu, mashandiro awo mumiviri yedu, uye zvatinofanira kuziva patinenge tichiushandisa.
Zvichitaurwa zviri nyore, mushonga uyu chii?
Uyu mushonga unoshandiswa kurapa
chirwere cheshuga cherudzi rwechipiri . Unobatanidza mishonga miviri: Ertugliflozin neMetformin. Pamwe chete, miviri iyi inobatsira kudzora huwandu hweshuga mumuviri wako, kureva huwandu hweshuga muropa rako. Fungidzira kuti Ertugliflozin inoshanda nekuita kuti itsvo dzako dzibudise shuga yakawandisa muweti yako. Metformin inoshanda zvakanyanya nekuderedza huwandu hweshuga inogadzirwa nechiropa chako uye nekubatsira masero emuviri wako kupindura zviri nani kuinsulin. Nenzira iyi, shuga yeropa rako inodzorwa nenzira mbiri.
Asi pane chinhu chimwe chete chinofanira kurangarirwa. Kutora mushonga uyu chete hakuna kukwana. Kudya zvakanaka uye kurovedza muviri kwakakodzera ndizvo zvimwe zvezvinhu zvakakosha pakurapa uku. Mhedzisiro yakanaka inogona kuwanikwa chete kana mushonga uyu ukatorwa pamwe chete nekuchinja mararamiro kwakapihwa nachiremba.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga uyu
Chiremba wako asati akupa mushonga uyu, anofanira kunge aine mufananidzo wakazara wehutano hwako. Saka, kana uine chimwe chezvirwere zvakanyorwa pazasi,
iva nechokwadi chekuudza chiremba wako nezvazvo. Izvi zvakakosha zvikuru kuti uchengetedzeke.
| Rudzi rwemhando yepamusoro | Une zvirwere izvi here? (Ndapota udza chiremba wako ) |
|---|
| Zvirwere zvine chekuita nechirwere cheshuga | - Kuva nechirwere cheshuga cherudzi rwekutanga
- Ndakamborwara nechirwere cheshuga chinonzi Diabetic Ketoacidosis ( DKA )
- Maronda etsoka anokonzerwa nechirwere cheshuga
- Kuchinja dosi ye insulin
- Kuchekwa kwegumbo kana chikamu charo (kubviswa gumbo kana chikamu charo)
|
| Zvimwe zvirwere | |
| Mararamiro nezvimwe zvinhu | - Kunwa doro kakawanda
- Kuita shanduko huru mukudya (semuenzaniso kudya zvishoma)
- Kudya chikafu chisina munyu mushoma
- Kushaya mvura mumuviri
- Mazinga ecalcium muropa kana vhitamini B akaderera
- Kuva nekurwadziwa kwetsinga uye kusanzwa simba mumakumbo
|
| Zvirongwa zveramangwana uye allergies | - Vachavhiyiwa kana kuongororwa neCT/X-ray mune ramangwana
- Kuedza kubata pamuviri kana kuti parizvino une pamuviri
- Kuyamwisa mwana
- Kuva neallergies kuErtugliflozin, Metformin kana chero imwe mishonga, chikafu, kana pigment
|
Ndinofanira kushandisa mushonga uyu sei?
Nzira yekushandisa mushonga uyu iri nyore kwazvo.
- Inwa piritsi iri negirazi remvura .
- Edza kuitora panguva imwe chete zuva nezuva , sezvakarairwa nachiremba wako.
- Zvakanakisisa kutora mushonga uyu pakutanga kwekudya .
- Usamborega kutora mishonga yako usina kubvunza chiremba wako .
Ko kana ukatora mushonga wakawandisa? (Kunyanya kunwa mushonga)
Kana uchifunga kuti watora mushonga wakawandisa, usavhunduka. Asi usazvitore sezvisina basa futi.
Endai kuchipatara chiri pedyo neEmergency Department (ETU) kana kufonera
National Poisons Information Centre kuColombo National Hospital kuti muwane mazano.
Chinonyanya kukosha: Mushonga uyu wakanyorerwa iwe chete. Usaugovane nemumwe munhu chero chikonzero chipi zvacho.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Tose tinokanganwa kunwa mushonga wedu dzimwe nguva. Kana izvozvo zvikaitika, tora mushonga wausina kutora nekukurumidza paunoyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera uuye, svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa.
Usambofa watora mishonga miviri panguva imwe chete. Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Haisi mishonga yese yaunotora inoshanda zvakanaka nemushonga uyu. Mimwe mishonga inogona kukanganisa mashandiro emushonga uyu. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese, mavhitamini, uye kunyange mishonga yemiti yauri kutora.
Zvinhu zvausingafaniri kunwa nemushonga uyu
Mushonga uyu unogona kusangana nemamwe
madhayi anoiswa mumuviri, kunyanya kana uchizoongororwa neCT scan, MRI scan, kana X-ray. Saka, unofanira kuudza vashandi vekurapa kuti uri kutora mushonga uyu usati waongororwa.
Mimwe mishonga inogona kupindirana
Mishonga iri pazasi inogona kushanda pamwe chete neErtugliflozin/Metformin.
- Acetazolamide
- Cimetidine
- Dolutegravir
- Lithium
- Ranolazine
- Topiramate
- Vandetanib
- Zonisamide
- Dichlorphenamide
- Doro
Mishonga inogona kukanganisa huwandu hweshuga muropa
Mimwe mishonga inogona kuchinja huwandu hweshuga muropa rako (kuwedzera kana kudzikisa). Zvakare, mimwe mishonga inogona kuvharidzira zviratidzo zveshuga yakaderera muropa (hypoglycemia), zvichireva kuti hatizvioni. Izvi zvinogona kuva nengozi zvishoma. Saka kana uri kutora mishonga iyi, chiremba wako achakuudza kuti uongorore huwandu hweshuga muropa rako nguva nenguva.
| Hunhu hwemhedzisiro | Mienzaniso yemishonga |
|---|
| Mishonga inogona kukanganisa huwandu hweshuga muropa | - Mimwe mishonga yeBP (semuenzaniso, benazepril, lisinopril, losartan)
- Mishonga inobvisa mvura mumuviri (semuenzaniso hydrochlorothiazide)
- MaSteroid (semuenzaniso prednisone, cortisone)
- Mhando dzemahormone (Estrogen, progestin, Testosterone)
- Mahormone ethyroid
- Mamwe maantibiotics nemishonga yekurapa chirwere chepfungwa
|
| Mishonga inogona kufukidza zviratidzo zve hypoglycemia | - Beta-blockers (semuenzaniso atenolol, metoprolol, propranolol)
- Clonidine, Guanethidine, Reserpine
|
Zvinhu zvekungwarira paunenge uchitora mushonga
Unofanirawo kungwarira zvishoma paunenge uchitora mushonga uyu.
- Ona chiremba wako panguva yakatarwa. Zvakakosha kuti utarise kufambira mberi kwako uye kuti uitwe bvunzo dzinodiwa. Chiremba achaongorora huwandu hweHbA1C yako (bvunzo inoratidza huwandu hweshuga yako yeropa mumwedzi miviri kusvika mitatu yapfuura).
- Ziva zviratidzo zveshuga yakaderera muropa (hypoglycemia). Gadzirira zviratidzo zvakaita sekudikitira, kudedera, nzara yakanyanya, uye kurova kwemoyo nekukurumidza. Gara uine piritsi reglucose kana pakiti yeshuga.
- Dzivisa kupera mvura mumuviri . Inwa mvura yakawanda. Kana uine fivha, kurutsa, kana manyoka, chenjerera zvikuru uye udza chiremba wako nekuti mvura yakawanda iri kubuda mumuviri.
- Udza chiremba wako kuti uri kutora mushonga uyu usati wavhiyiwa kana kuskenwa . Vachakuudza nguva yekurega kuutora uye nguva yekutanga zvakare.
- Chenjerera nevhitamini B12. Kutora mushonga uyu kwenguva yakareba kunogona kukonzera kudzikira kwehuwandu hwevhitamini B12. Taura nachiremba wako nezveizvi.
- Kupfeka chitupa chekurapwa kana kadhi rinokuratidza kuti une chirwere cheshuga kunogona kubatsira zvikuru panguva yekukurumidzira.
Ndezvipi zvimwe zvingakonzerwa nemishonga iyi?
Kufanana nemushonga upi zvawo, mushonga uyu unogona kukonzera migumisiro yakaipa kune vamwe vanhu, asi havasi vese vanoiwana. Chenjerera zviratidzo zviri pazasi.
Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika: Migumisiro isingawanzo kuva yakakomba, asi inofanira kuziviswa
kuna chiremba wako kana ikaramba iripo.
| Mhedzisiro yedivi | Tsananguro nezviratidzo |
|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Chirwere cheshuga ketoacidosis (DKA) | Nyota yakawandisa, kuita weti kakawanda, muromo wakaoma, kufema zvakaoma, kunhuwa kwemuromo kunobva muchero, kurwadziwa mudumbu, kurutsa. |
| Kushaya mvura mumuviri | Nyota yakawandisa, muromo wakaoma, kupera simba, weti yero yakasviba kana yebrown. |
| Lactic acidosis (Lactic acid level yakakwira) | Kurwadziwa kwetsandanyama, kurwadziwa kwemudumbu, kuoma kufema, kuneta kwakanyanya. |
| Utachiona | Utachiona hwemunzira weti (UTI) - kuzvimba kweurethra, kuita weti kakawanda, kurwadziwa kwedumbu rezasi. Utachiona hwembiriso munzvimbo yepabonde - kuvaviwa, kutsvuka, kuzvimba. Utachiona hwakanyanya munzvimbo yepabonde kubva panzvimbo yepabonde kuenda kuhuro. |
| Kushaikwa kweVitamini B12 | Kurwadziwa kwemakumbo, kusanzwa simba, kushaya simba kwetsandanyama, dzungu, kuvhiringidzika. |
| Matambudziko ekugaya chikafu | Manyoka, gasi, kuda kurutsa, kurutsa, kurwadziwa mudumbu. |
| Zvimwe | Musoro. |
Ndinofanira kuchengeta mushonga sei? Ndinofanira kuurasa sei?
- Chengeta mushonga uyu kure nevana nezvipfuyo .
- Chengeta patembiricha yemumba (pakati pe20-25 degrees Celsius).
- Usashandise mishonga yapera basa. Rasa mishonga yacho zvakanaka.
- Nzira yakanakisisa yekubvisa mishonga ndeyekupa kune chirongwa chekutora mishonga inodzoserwa ku pharmacy kana chipatara.
- Kana izvozvo zvisingaite, bvisa mushonga mumudziyo, usanganise nechimwe chinhu chakaita sekofi yakagayiwa, ivhu, kana tsvina yekatsi, uise mubhegi rakavharwa zvakasimba, woikanda mumarara. Usambofa wakaisuka muchimbuzi.
Mharidzo Yekuenda Nayo Kumba
- Mushonga uyu unongobatsira chete mukuderedza chirwere cheshuga. Kudya zvakanaka uye kurovedza muviri kwakakodzera zvakakosha.
- Udza chiremba wako nezvemimwe mishonga yose yauri kutora uye chero matambudziko ehutano auri kusangana nawo.
- Ziva zviratidzo zveshuga shoma muropa (hypoglycemia) uye kushaya mvura mumuviri.
- Kana ukava nehutachiona hwemunzira yeweti, hutachiona hwepanhengo dzesikarudzi, kana zvimwe zvirwere zvakakomba, enda kuna chiremba wako nekukasika.
- Usarega kushandisa mushonga uyu usina kurairwa nachiremba wako.
- Kana uine zvinokunetsa nezvekurapa kwako chirwere cheshuga, usambotya kutaura nachiremba wako.
Chirwere cheshuga, Ertugliflozin, Metformin, Segluromet, chirwere cheshuga cherudzi rwechipiri, shuga yeropa, kudzora shuga
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