Une chirwere cheshuga (Type 2 Diabetes) here? Kana zvakadaro, chiremba wako anogona kunge akakupa mushonga wemusanganiswa unonzi Glipizide neMetformin. Uyu mushonga unokosha unopiwa vanhu vazhinji vane chirwere cheshuga munyika medu uye unobatsira kudzora huwandu hweshuga muropa. Saka nhasi, ngatitaurei nezvemushonga uyu nezvinhu zvaunofanira kungwarira paunenge uchiushandisa, nenzira iri nyore yaunogona kunzwisisa.
Chii chaizvo chinoitika nemushonga uyu?
Zvichitaurwa zviri nyore, uyu musanganiswa wemishonga miviri. Kureva kuti, ine Glipizide neMetformin mupiritsi rimwe chete. Pamwe chete, miviri iyi inobatsira kudzikisa huwandu hweshuga mumuviri wako nenzira dzakasiyana-siyana.
- Glipizide: Iyi iri muboka remishonga inonzi sulfonylureas. Inoshanda nekukurudzira pancreas yako kuti igadzire hormone yakawanda ye insulin inodiwa nemuviri wako.
- Metformin: Izvi zvinonyanya kushanda nekuderedza kugadzirwa kweshuga nechiropa chako. Pamusoro pezvo, zvinobatsira masero emuviri kupindura zviri nani ku insulin (inovandudza kunzwa kwe insulin).
Chinhu chakakosha ndechekuti mushonga uyu wega hauna kukwana. Mhedzisiro yakanaka inogona kuwanikwa chete kana mushonga uyu ukatorwa pamwe chete nekudya kwakakodzera uye kurovedza muviri sezvakarayirwa nachiremba .
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Zvakakosha kuti chiremba wako azive zvizere nezvehutano hwako asati akupe mushonga uyu. Saka, kana uine chimwe chezvirwere zvinotevera, iva nechokwadi chekuudza chiremba wako nezvazvo.
| Mamiriro ako kana tsika yako | Sei uchifanira kuzivisa? |
|---|---|
| Chirwere cheitsvo kana Chiropa | Nekuti mushonga unobviswa mumuviri kuburikidza nenhengo idzi, kana kushanda kwawo kukanganisika, chiyero chemushonga chingada kugadziriswa. |
| Chirwere chemwoyo | Kungwarira kwakanyanya kunofanira kutorwa pakushandisa mushonga uyu mune mamwe mamiriro emwoyo. |
| Tsika yekunwa doro nguva dzose | Kusanganisa doro nemushonga uyu kunowedzera njodzi yekubatwa nechirwere chakakomba chinonzi lactic acidosis. |
| Chirwere cheshuga cheketoacidosis | Ichi idambudziko guru rechirwere cheshuga, uye mushonga uyu haukodzeri kushandiswa. |
| Kuderera kwehemoglobin muropa (Anemia) | Zvakakosha kuziva nezve anemia, sezvo mushonga uyu uchigona kukanganisa kunwa kwevhitamini B12. |
| Kuva nepamuviri kana kuedza kubata pamuviri | Mushonga uyu haukurudzirwi panguva yekuzvitakura, uye dzimwe nzira dzekurapa dzinodiwa. |
| Kuva amai vanoyamwisa | Unofanira kukurukura nachiremba wako kana mushonga wacho uchigona kupfuudzwa kumwana wako kuburikidza nemukaka wemuzamu. |
| Kurwara nemimwe mishonga, mishonga yesulfa, kana chikafu | Zvakakosha zvikuru kuti tizive nezve allergies dzaunadzo. |
Ndinofanira kushandisa mushonga uyu sei?
Izvi zviri nyore kwazvo, asi zvinofanira kutevedzerwa nemazvo.
- Piritsi iri rinofanira kunwiwa panguva yekudya . Usarinwa usina chinhu mudumbu.
- Medza piritsi rese negirazi remvura.
- Nguva dzose tora mushonga wawakanyorerwa nachiremba wako, panguva chaiyo yawakanyorerwa. Usachinje nguva kana mushonga sezvaunoda.
- Kana uine makore anopfuura makumi matanhatu nemashanu ekuberekwa, chiremba wako anogona kukupa mushonga wakaderera zvishoma.
- Kana uchifunga kuti ungangove wakatora mushonga wakawandisa netsaona: Kana uchifunga kudaro, usanonoka.Endai kuchipatara chiri pedyo neEmergency Department (ETU) kana kufonera National Poisons Information Centre paColombo National Hospital nekukasika.
- Kana ukarasikirwa nedosi: Itore nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, siya dosi yakarasika wotora dosi yako inotevera panguva yakatarwa. Usatore dosi yakapetwa kaviri chero chikonzero chipi zvacho.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Yambiro: Zvine njodzi huru kutora mushonga uyu pamwe chete nezvimwe zvinhu zvinopinzwa mumuviri usati waongororwa zvakaita seX-ray, CT scan, MRI, uye mushonga wezvirwere zvemwoyo weDofetilide. Kana uchizoongororwa zvakadaro, udza chiremba wako pachine nguva.
Pamusoro pezvo, mimwe mishonga yakawanda inogona kushanda pamwe chete nemushonga uyu. Semuenzaniso:
- Aspirin nemimwe mishonga inoderedza marwadzo (NSAIDs)
- Mimwe mishonga yekurapa BP nezvirwere zvemwoyo
- Mishonga inobvisa mvura mumuviri (kana kuti mapiritsi emvura)
- Mhando dzeSteroids
- Mhando dzemahormone, kusanganisira mapiritsi ekudzivirira pamuviri
- Mimwe mishonga inouraya fungicides nemishonga inorwisa mabhakitiriya
- Mimwe mishonga yekurapa chirwere chepfungwa (MAOIs)
- Mishonga yezvirwere zve thyroid
Rondedzero iyi haina kukwana. Saka ipa chiremba wako runyoro rwakajeka rwemishonga yese, mavhitamini, mishonga yemiti, uye zvimwe zvinovaka muviri zvaunotora. Zvakare, vaudze kana uchisvuta kana kunwa doro.
Zvinhu zvaunofanira kungwarira paunenge uchitora mushonga
- Kuongororwa nguva dzose: Endai kumakiriniki panguva dzakatarwa sezvakarairwa nachiremba wenyu moongorora mamiriro enyu. Kuongororwa ropa kunonzi HbA1C kuchaitwa mwedzi mitatu kusvika mitanhatu yega yega kuti muone kuti shuga yenyu iri kudzorwa zvakadii.
- Dzidza kuyedza shuga yako yeropa: Dzidza kushandisa glucometer kumba. Ziva zviratidzo zvehypoglycemia uye hyperglycemia, uye zvekuita kana zvikaitika.
- Chengeta shuga pedyo: Gara uchichengeta chimwe chinhu chakaita sechikafu cheshuga, toffee, kana piritsi reglucose mubhegi rako kana muhomwe yako kana huwandu hweshuga yako hukangoerekana hwadzikira.
- Usarega kudya: Idya panguva yakakodzera. Kurega kudya kunogona kukonzera kuti huwandu hweshuga muropa rako hudzikire zvine njodzi.
- Chenjererai chiedza chezuva: Mushonga uyu unogona kuita kuti ganda renyu rinzwe kudziya kwezuva (photosensitivity). Saka shandisai sunscreen , pfekai mbatya dzinofukidza muviri wenyu, uye pfekai ngowani kana muchibuda muzuva.
- Chenjerera mavhitamini: Kushandisa mushonga uyu kwenguva refu kunogona kukonzera mazinga mashoma evhitamini B12 nefolic acid kune vamwe vanhu. Saka, zvakakosha kudya chikafu chakakwana uye, kana zvichidikanwa, kunwa mavhitamini sezvakarairwa nachiremba wako.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, uyu unogona kukonzera migumisiro yakaipa kune vamwe vanhu. Mimwe yacho yakakomba, mimwe yacho inowanzoitika.
| Hunhu hwemhedzisiro yedivi | Hunhu uye zvekuita |
|---|---|
| Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kana pahuro. Kurapa kunodiwa nekukasika. |
| Lactic acidosis (Lactic acid level yakakwira) | Kurwadziwa kwetsandanyama, kurwadziwa mudumbu, kushaya mweya, kuneta zvakanyanya. Izvi zvinoda kukurumidza kuendeswa kuchipatara. |
| Kupererwa neropa kweropa | Kushaya simba kusingawanzoitiki, dzungu, kufema zvakaoma, weti yakasviba, kutsvuka kweganda kana maziso. |
| Zviratidzo zvekushaikwa kwevhitamini B12 | Kurwadziwa kwemakumbo, kusanzwa simba, kushaya simba kwetsandanyama, dzungu, kurasikirwa nekurangarira. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Kushungurudzika kwemudumbu, kuda kurutsa | Izvi zvinowanzo deredzwa nekutora mushonga pamwe nechikafu. |
| Manyoka | Izvi zvinogona kuitika paunotanga kutora mushonga. Kana zvikaramba zviripo, udza chiremba wako. |
Mharidzo Yekuenda Nayo Kumba
- Mushonga uyu unongobatsira chete mukuderedza chirwere cheshuga. Kudya zvakanaka uye kurovedza muviri kwakakodzera zvakakosha.
- Rangarira kunwa mushonga uyu panguva imwe chete yekudya, panguva imwe chete zuva nezuva.
- Ziva zviratidzo zvehypoglycemia (dzungu, kudikitira, kurova kwemoyo). Gara uine shuga kana siwiti pedyo.
- Usakanganwa kuudza chiremba wako nezvemimwe mishonga yauri kutora, kunyanya mishonga inoderedza marwadzo.
- Kana ukatora mishonga yakawandisa netsaona kana kuti ukasangana nemigumisiro yakaipa, enda kuETU nekukasika.
- Mushonga uyu ndewako chete. Usambofa wakapa vamwe mushonga wako.
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