Chiremba wako akakuudza here kuti une chirwere cheshuga cherudzi rwechipiri? Kana zvakadaro, ungangove wakanyorerwa mushonga unonzi Glipizide. Vanhu vazhinji munyika medu vanoshandisa mushonga uyu kudzora chirwere chavo cheshuga. Saka, semunhu ari kutora mushonga uyu, zvakakosha kuti uzive zvese nezvawo. Nhasi, tichataura nezvemushonga uyu unonzi Glipizide, mashandiro awo mumuviri, uye zvinhu zvekungwarira paunenge uchiutora, zvese nenzira iri nyore, sekunge uri kutaura neshamwari.
Chii chinonzi Glipizide? Inoshanda sei mumuviri?
Zvichitaurwa zviri nyore, Glipizide mushonga unoshandiswa kudzora chirwere cheshuga cherudzi rwechipiri. Unotorwa sepiritsi.
Chinhu chikuru chinoitwa nemushonga uyu mumuviri ndechekukurudzira kugadzirwa kwehormone inonzi insulin kubva mupancreas yako. Insulin ndiyo chinhu chikuru chinodzora huwandu hweshuga (glucose) muropa redu. Kana shuga yeropa ikawedzera, insulin inobatsira kutora shuga iyoyo mumasero uye kuishandura kuita simba. Saka, kana mushonga uyu uchigadzira insulin yakawanda, huwandu hweshuga muropa hunoderedzwa uye hunodzorwa. Zvakare, mushonga uyu unobatsira kushandisa insulin mumuviri zvinobudirira. Panyaya dzezvekurapa, iyi iri muboka remishonga inonzi Sulfonylureas.
Asi yeuka izvi zvakanaka. Haugone kudzora chirwere cheshuga nekutora mushonga uyu uri wega. Kudya zvakanaka uye kurovedza muviri zuva nezuva zvinhu zviviri zvakakosha pakuita izvi.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Chiremba wako asati akupa mushonga uyu, anofanira kuziva nhoroondo yako yese yezvekurapa. Mushonga uyu ungasaenderana nezvimwe zvirwere. Saka, kana uine chimwe chezvirwere zvakanyorwa pazasi, iva nechokwadi chekuudza chiremba wako nezvazvo.
| Kurwara kana mamiriro ezvinhu | Sei uchifanira kuzivisa? |
|---|---|
| Chirwere cheshuga cheketoacidosis | Mushonga uyu haukodzeri nekuti ichi chirwere chine njodzi chinokonzera chirwere cheshuga. |
| Kushomeka kweG6PD (kushomeka kweGlucose-6-phosphate dehydrogenase) | Ichi chirwere chemajini chinokanganisa masero eropa. |
| Chirwere chemwoyo, chirwere cheitsvo, kana chirwere chechiropa | Kana kushanda kwenhengo idzi kukanganisika, simba remushonga rinogona kuchinja. |
| Porphyria | Ichi chirwere cheropa chisingawanzoitiki. |
| Kutapukirwa kwakanyanya kana kukuvara | Panguva dzakadai, dzimwe nzira dzingadiwa kudzora huwandu hweshuga mumuviri. |
| Chirwere chethyroid | Mahormone ethyroid anokanganisa huwandu hweshuga muropa. |
| Kurwara ne glipizide, mishonga ye sulfa, kana zvimwe zvinhu | Sezvo mushonga uyu wakabatanawo neboka resulfa, pane njodzi yekusawirirana nemishonga. |
| Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa | Muzviitiko izvi, chiremba ndiye anofanira kusarudza kana mushonga uyu wakakodzera kana kuti kwete. |
Ndeipi nzira chaiyo yekunwa mushonga?
Kuti mushonga uyu uwane pundutso yakakwana, zvakakosha kuushandisa nemazvo.
- Medza piritsi iri rose negirazi remvura.
- Chinhu chinonyanya kukosha kunwa piritsi iri mangwanani ega ega panguva yekudya kwemangwanani. Usamborinwa usina chinhu mudumbu.
- Iva netsika yekutora mushonga wako panguva imwe chete zuva nezuva. Nenzira iyi, hauzokanganwi uye mushonga wacho uchava unoshanda zvakanyanya.
- Usambofa watora zvinopfuura dose yawakarairwa nachiremba wako.
- Kana uine makore anopfuura makumi matanhatu nemashanu ekuberekwa, unganzwa simba remushonga uyu. Nokudaro, chiremba wako anogona kukupa mushonga wakaderera.
Ko kana ndikatora mushonga wakawandisa ndisingazive?
Izvi zvakakosha zvikuru. Kana uchifunga kuti watora mushonga wakawandisa, kureva kuti, wakawandisa, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Neimwe nzira, fonera National Poisons Information Centre paColombo National Hospital kuti uwane mazano.
Chinhu chinonyanya kukosha: Mushonga uyu ndewako chete. Usambofa wakapa mumwe munhu mushonga wako. Unogona kukuvadza hupenyu hwemunhu iyeye.
Ko kana ndikakanganwa kunwa mushonga wangu?
Munhu wese anokanganwa zvinhu. Inwa mushonga wako nekukurumidza paunoyeuka. Zvisinei, kana yava nguva yekuti utore mushonga unotevera (semuenzaniso, kwasara maawa mashoma), siya mushonga wakarasika wotora mushonga unotevera panguva yakatarwa. Usambotora mishonga miviri panguva imwe chete (Usatore mishonga miviri).
Chii chandinofanira kunyanya kutarisisa pandinenge ndichitora mushonga?
Paunenge uchitora Glipizide, hazvina kukwana kungotora piritsi chete. Unofanirawo kungwarira muviri wako.
- Kuongororwa kweHbA1C: Chiremba wako achaongorora bvunzo yako yeHbA1C (A1C) nguva nenguva. Iyi ndiyo nzira yaunogona kuona nayo kuti shuga yako yeropa yave ichidzorwa zvakanaka sei mumwedzi miviri kusvika mitatu yapfuura.
- Kuongorora huwandu hweshuga muropa rako: Dzidza maitiro ekuongorora huwandu hweshuga muropa rako kumba. Ziva zviratidzo zvehypoglycemia uye hyperglycemia , uye zvekuita nezvazvo.
- Gadzirira shuga shoma muropa: Gara uchichengeta shuga (semuenzaniso macubes eshuga, mapiritsi eglucose, siwiti) pedyo kana ukawana shuga shoma muropa. Idya imwe paunongotanga kunzwa zviratidzo zveshuga shoma muropa (dzungu, kudedera, kudikitira).
- Dambudziko: Kana ukarasikirwa nepfungwa kana kuti ukarwara nekuda kweshuga shoma muropa, usaise chero chinhu mumuromo mako panguva iyoyo. Unogona kudzipwa. Unofanira kuendeswa kuchipatara nekukasika.
- Kudya: Usambofa wakarega kudya. Kuita izvi kunogona kukonzera kuti shuga yako yeropa iderere zvakanyanya.
- Doro: Bvunza chiremba wako kuti akupe mazano panyaya yekunwa doro.
- Chiedza chezuva: Mushonga uyu unogona kuita kuti ganda rako rinzwe kudziya kwezuva zvishoma (photosensitivity). Saka pfeka ngowani ne sunscreen paunenge uchibuda muzuva.
- Chitupa Chekurapa: Zvakanaka kupfeka kadhi kadiki kana bracelet yakanyorwa kuti une chirwere cheshuga nemishonga yaunotora. Inobatsira zvikuru panguva yenjodzi.
Ndezvipi zvimwe zvinhu zvinogona kundikanganisa?
Kufanana nemushonga upi zvawo, Glipizide inogona kuva nemigumisiro midiki. Asi havasi vese vanoiwana. Mimwe yacho yakakomba zvishoma. Ngationei kuti chii.
| Migumisiro inoda kurapwa nekukurumidza | Migumisiro isingawanzoitiki yekunetseka nezvayo, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo |
|---|---|
Kurwara nepfungwa: mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kuoma kufema. | Manyoka |
Shuga shoma muropa (Hypoglycemia): kudedera, kurova kwemoyo zvakanyanya, kudikitira zvakanyanya, kuoma kutarisisa zvinhu, dzungu, kurova kwemoyo nekukurumidza. | Dzungu |
Kushaya simba kweropa: Kuneta kusingawanzoitiki, dzungu, musoro, kushaya mweya, weti yakasviba, kutsvuka kweganda kana maziso. | Gasi |
Kuvharika kwematumbu: Kurwadziwa mudumbu, kutadza kuita tsvina kana kubuda mweya, kushaya chido chekudya, kurutsa. | Kusvotwa |
Mharidzo Yekuenda Nayo Kumba
- Glipizide mushonga unoshandiswa kurapa chirwere cheshuga cherudzi rwechipiri. Unoshanda nekuwedzera kugadzirwa kwe insulin mumuviri.
- Inwa mushonga panguva imwe chete zuva nezuva, pamwe nekudya kwemangwanani. Usambofa wakasiya kudya.
- Ziva zviratidzo zveshuga yakaderera muropa (hypoglycemia). Chengeta shuga (switi, chidimbu cheshuga) pedyo kana paine njodzi.
- Udza chiremba wako nezvemimwe mishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yechivanhu).
- Kana ukatora mushonga wakawandisa netsaona, enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Kana muine mibvunzo nezvemushonga uyu, kurukurai nachiremba wenyu.
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