Chiremba wako akakunyorerera piritsi rinonzi Glyburide here kudzora chirwere chako cheshuga cherudzi rwechipiri? Kana kuti pane mumwe munhu mumhuri mako, akaita saamai vako kana baba vako, ari kushandisa mushonga uyu here? Vanhu vazhinji vane mibvunzo pamusoro pekuti mushonga uyu chii, kuti unoshanda sei mumiviri yedu, uye kuti ndeapi matanho akakosha atinofanira kutora patinenge tichiushandisa. Saka nhasi, ngatitaurei nezveizvi zvese zviri nyore, nenzira yaunogona kunzwisisa.
Glyburide mushonga werudzii?
Muchidimbu, Glyburide mushonga unopiwa vanhu vane chirwere cheshuga cherudzi rwechipiri. Uri weboka remishonga inonzi sulfonylureas.
Izvi zvinonyanya kuita zvinhu zviviri:
1. Inowedzera kugadzirwa kwehomoni inonzi insulin mumuviri wako.
2. Zvakare, zvinobatsira kuderedza huwandu hweshuga muropa, kureva huwandu hweshuga mumuviri, nekushandisa insulin mumuviri nemazvo.
Asi chinhu chimwe chete chekurangarira ndechekuti kutora mushonga uyu chete hakuna kukwana. Unofanira kuusanganisa nekudya kwakakodzera uye kurovedza muviri . Ndipo chete pauchawana mhedzisiro yakanaka.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Usati watanga kutora mapiritsi eGlyburide, zvakakosha kuudza chiremba wako kana uine chimwe chezvirwere zvinotevera, sezvo chiyero kana mushonga waunopiwa unogona kuchinja zvichienderana neruzivo urwu.
| Hutano hwako | Sei uchifanira kuzivisa? |
|---|---|
| Dambudziko rekukurumidzira rinonzi diabetes ketoacidosis. | Mushonga uyu haukodzeri nekuti ichi idambudziko guru rechirwere cheshuga. |
| Chirwere cheitsvo kana chiropa. | Nekuti mushonga unobviswa mumuviri kuburikidza nenhengo iyi, chiyero chingada kugadziriswa kana paine chirwere. |
| Chirwere chemwoyo. | Mushonga uyu unofanirwa kushandiswa nekungwarira kune vanhu vane mamwe matambudziko emwoyo. |
| Kushaikwa kweG6PD (kushomeka kweGlucose-6-phosphate dehydrogenase). | Ichi chirwere chinokonzerwa neropa uye chinogona kukonzera migumisiro yakaipa. |
| Zvirwere zve thyroid. | Kuwanda kwemahormone ethyroid kunogona kukanganisa huwandu hweshuga muropa. |
| Kana uine allergy nekuda kwe glyburide, mishonga ye sulfa, kana chimwe chinhu. | Izvi zvakakosha kudzivirira kuitika kwezvirwere zvakakomba. |
| Kana uine pamuviri, uchiedza kuva nepamuviri, kana kuti uchiyamwisa. | Nekuti mushonga uyu unogona kukanganisa mwana, chiremba wako achakupa sarudzo yakanakisisa. |
Mushonga uyu unofanira kushandiswa nemazvo.
- Inwa piritsi iri negirazi remvura.
- Tora mushonga mumwe chete, panguva imwe chete, sezvakarairwa nachiremba. Usambofa wakawedzera kana kuderedza mushonga wacho zvisina musoro.
- Izvi zvinowanzopihwa kamwe chete pazuva. Kana zvakadaro, tora pamwe nekudya kwekuseni kana kudya kwekutanga kwezuva .
- Ita tsika yekunwa mushonga wako panguva imwe chete zuva nezuva.
- Kana uine makore anopfuura makumi matanhatu nemashanu ekuberekwa, muviri wako unogona kuita zvine simba zvakanyanya pamushonga uyu. Saka chiremba wako anogona kukupa mushonga wakaderera.
Ko kana ndikatora mushonga wakawandisa?
Kana ukangoerekana wafunga kuti watora mushonga wakawandisa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Mushonga uyu wakanyorerwa iwe chete. Usagovane mushonga uyu nemumwe munhu chero chikonzero chipi zvacho.
Ko kana ndikarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga wako, tora mushonga wacho nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usambofa watora mushonga wakapetwa kaviri.
Mimwe mishonga ine njodzi neGlyburide
Glyburide mushonga une mukana wakakura wekushanda pamwe chete nemimwe mishonga, saka zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora, kunyangwe mavhitamini.
Mishonga isingafanirwe kutorwa nemushonga uyu
- Bosentan
Zvimwe zvinhu nemishonga zvinogona kukanganisa huwandu hweshuga muropa
Mishonga inotevera inogona kukonzera kuti huwandu hweshuga muropa rako hudzike kana kukwira zvisina kufanira . Saka, zvakakosha kuzivisa chiremba wako nezveizvi.
- Doro kana zvinwiwa zvinodhaka.
- Mimwe mishonga yekurapa BP (semuenzaniso enalapril, captopril, metoprolol, propranolol).
- Aspirin nemishonga yakafanana nayo.
- Mishonga yekurwadziwa nekuzvimba (NSAIDs) (semuenzaniso ibuprofen, naproxen).
- Mimwe mishonga inorwisa mabhakitiriya (semuenzaniso ciprofloxacin).
- Mahormone echikadzi (semuenzaniso, mapiritsi ekudzora pamuviri, maestrogen).
- Mishonga ine steroid (semuenzaniso prednisone, cortisone).
- Mimwe mishonga yekurapa asthma, chikosoro, uye dzihwa.
- Mimwe mishonga yekurapa zvirwere zvepfungwa (semuenzaniso Fluoxetine, MAO Inhibitors).
- Zvimwe zvinovaka muviri.
Rondedzero iyi haina kukwana, saka udza chiremba wako nezvemishonga yese, mavhitamini, mishonga yemiti, nezvimwe zvese zvauri kutora .
Zvinhu zvekungwarira zvakanyanya pakutora mushonga uyu:
1. Kuongororwa nachiremba nguva dzose: Endai kukiriniki pamazuva akarongwa sezvakarairwa nachiremba mozviongorora.
2. Kuongororwa kweHbA1C: Uku kuongororwa kweropa kuri nyore. Kunotarisa kuti shuga yeropa rako yave ichidzorwa sei mumwedzi miviri kusvika mitatu yapfuura . Chiremba wako achakuudza kuti uite bvunzo iyi mwedzi mitatu kusvika mitanhatu yega yega.
3. Ziva huwandu hweshuga muropa rako: Dzidza zviratidzo zveshuga yakaderera muropa (hypoglycemia) uye shuga yakakwira muropa (hyperglycemia) uye maitiro ekuzvidzora.
4. Gadzirira dambudziko rekukurumidza: Kana huwandu hweshuga muropa rako hukadzikira kamwe kamwe (hypoglycemia), idya chimwe chinhu chinotapira (semuenzaniso, siwiti, cube yeshuga, piritsi reglucose) uye gara uine icho nguva dzese. Yeuka, kana ukabatwa nepfari kana kurasikirwa nepfungwa nekuda kweshuga shoma muropa, haufanirwe kuisa chero chinhu mumuromo mako. Unogona kudzipwa. Kana izvi zvikaitika, unofanira kukurumidza kuendesa mumwe munhu kuEmergency Treatment Unit (ETU) yechipatara.
5. Usarega kudya: Usarega kudya. Bvunza chiremba wako kuti akupe mazano nezvekunwa doro.
6. Zvidzivirire kubva kuzuva:Mushonga uyu unogona kuita kuti ganda rako rinzwe kupiswa nezuva. Saka, kana uchizoenda kuzuva, pfeka mbatya dzinofukidza ganda rako uye shandisa mafuta ekudzivirira zuva.
7. Pfeka kadhi reID rekurapa: Kupfeka kadhi reID rekurapa kana bracelet inoratidza kuti une chirwere cheshuga uye mishonga yaunotora inokosha zvikuru kana paine emergency.
Ndezvipi zvimwe zvinhu zvinogona kundikanganisa?
Kufanana nemishonga yese, Glyburide inogona kukonzera migumisiro yakaipa kune vamwe vanhu.
| Kana ukaona zviratidzo izvi, zivisa chiremba wako nekukasika. | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Shuga shoma muropa (Hypoglycemia) | Kudedera, kudikitira, kushaya zororo, dzungu, kurova kwemoyo nekukurumidza, uye kuvhiringidzika. |
| Kupererwa neropa kweropa | Kunzwa kuneta zvisina kujairika, dzungu, musoro, kuoma kufema, weti yakasviba, kutsvuka kweganda kana maziso. |
| Kazhinji hazvina kuipa, asi kana zvikaramba zviripo, udza chiremba wako. | |
| Chirungurira | Kunzwa kupisa mushure mekudya. |
| Kusvotwa | Kunzwa kuda kurutsa. |
Unofanira kuchengeta sei mushonga wako?
- Chengeta kure nevana nezvipfuyo.
- Chengeta patembiricha yemumba (pakati pe15-30 degrees Celsius).
- Rasa mushonga wapera.
Mharidzo Yekuenda Nayo Kumba
- Glyburide mushonga unoshandiswa kurapa chirwere cheshuga cherudzi rwechipiri unowedzera kushanda kwe insulin.
- Gara uchinwa mushonga uyu panguva yekutanga yekudya kukuru kwezuva.
- Kana ukarasikirwa nedosi, usambofa watora madosi maviri panguva imwe chete.
- Udza chiremba wako nezve mimwe mishonga yaunotora, kunyangwe mavhitamini.
- Ziva zviratidzo zveshuga yakaderera muropa (hypoglycemia). Gara uchichengeta chimwe chinhu chinotapira pedyo.
- Zvakakosha kuongororwa nachiremba uye kuongororwa kweHbA1C pamazuva akarongwa.
- Kana muine mimwe mibvunzo nezvemushonga uyu, taurai nachiremba wenyu.
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