Kana uchirarama nechirwere cheshuga cheType 2, pamwe unoziva kuti zvakaoma sei kudzora huwandu hweshuga muropa rako. Sezvinotaurwa nachiremba nguva dzose, kudya, kurovedza muviri, uye mishonga zvakakosha zvikuru pakuita izvi. Nhasi tichataura nezvejekiseni rakakosha rinouya semusanganiswa wemishonga miviri inobatsira kudzora chirwere cheshuga.
Mushonga uyu chii? Zvichitaurwa zviri nyore...
Uyu musanganiswa wemishonga miviri. Kureva kuti, musanganiswa we insulin glargine ne lixisenatide . Munyika medu, inogona kutorwa pasi pemazita emhando dzakadai se `SOLIQUA`.
Zvichitaurwa zviri nyore, inoshanda nekuderedza uye kudzora huwandu hweshuga muropa (glucose). Insulin glargine imhando yeinsulin inoshanda kwenguva refu. Lixisenatide imhando yakasiyana yemishonga inodzora mwero wekupinda kweshuga muropa mushure mekudya uye zvakare inosimudzira muviri wedu kugadzira insulin.
Chinhu chinonyanya kukosha ndechekuti unofanira kuramba uchidya zvakanaka uye uchirovedza muviri paunenge uchishandisa mushonga uyu. Mhedzisiro yakanaka inogona kuwanikwa chete kana zvese zvitatu zvasanganiswa.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga uyu
Usati wakupa mushonga uyu, zvakakosha kuti chiremba wako azive nhoroondo yako yese yehutano. Izvi zvinodaro nekuti mamwe matambudziko ehutano anoda kutarisirwa zvakanyanya paunenge uchishandisa mushonga uyu. Saka, kana uine chimwe chezvirwere zvakanyorwa pazasi, iva nechokwadi chekuudza chiremba wako nezvazvo.
- Kana uchigara uine shuga shoma muropa: Mushonga uyu unokonzerawo shuga shoma muropa, saka unofanira kungwarira zvikuru nezvazvo.
- Zvirwere zvemaziso kana kutadza kuona zvakanaka: Kana maziso ako aine chirwere cheshuga, zvakakosha kuti uzvizive.
- Chirwere chenduru: Mushonga uyu dzimwe nguva unogona kukonzera zvirwere zvakaita sematombo enduru.
- Kana wakambova nepancreatitis: Kana wakambova nechirwere ichi munhoroondo yako, panogona kuva nenjodzi yekudzoka kwacho.
- Chirwere cheitsvo kana kana uri pa dialysis: Mushonga uyu unobviswa mumuviri kuburikidza neitsvo, saka mushonga wako ungangoda kugadziriswa.
- Chirwere chechiropa: Chiremba anofanirawo kuziva mashandiro echiropa.
- Kana wakambova nechirwere chakakomba cheallergy mushure memushonga kare: semuenzaniso, kuzvimba kwerurimi, kumeso, kana miromo, kuoma kufema, kana kuoma kumedza.
- Matambudziko emudumbu: Kana uine matambudziko akadai sekunonoka kugaya chikafu.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri.
- Kana uri amai vari kuyamwisa.
- Kana wakapindwa muropa nedoro zvakanyanya.
- Kana uine allergies kune chero mimwe mishonga, chikafu, kana dhayi.
Zvakanaka, zvino munoshandisa sei jekiseni iri?
Chiremba wako kana nesi achakuratidza mashandisirwo chaiwo eiyi mishonga. Zvakakosha kutevedzera mirairo iyoyo nemazvo.
- Nzvimbo yekubaiwa jekiseni: Iyi ijekiseni repasi peganda. Rinowanzo pihwa mudumbu, pachidya, kana paruoko . Zvakanaka kutenderedza nzvimbo dzekubaiwa jekiseni pane kugara munzvimbo imwe chete.
- Nguva: Tora kamwe chete pazuva. Izvozvo zvakare maminetsi makumi matanhatu (awa imwe) usati wadya chikafu chikuru chekutanga chezuva . Zvakanaka kana uchikwanisa kunwa panguva imwe chete zuva nezuva.
- Chitarisiko chemushonga: Usati wabaya jekiseni, tarisa mvura iri mupeni. Inofanira kunge iri mvura yakajeka, isina ruvara, yakaita semvura . Kana ine makore, ine ruvara, gobvu, kana kuti ine tumadiki tudiki, usashandise .
- Tsono: Kana uri kushandisa peni, usakanganwa kubvisa chifukidziro chekunze chetsono kubva patsono usati wabaya jekiseni.
- Kurasa tsono: Usambofa wakarasa tsono dzakamboshandiswa nemasirinji mumarara. Dzinofanira kuiswa mumudziyo wesimbi. Kana usina, bvunza chiremba wako kuti ungawana sei imwe. Dzivisa kushandisa tsono imwe chete zvakare.
Chii chaunofanira kuita kana ukatora mushonga wakawandisa kana kuti ukarasikirwa nedosi?
Dose Yakarasika
Zvakakosha kuti usapfuure mishonga. Zvisinei, kana ukarasikirwa nedosi, tevera mirairo yachiremba wako. Usambofa wakatora mushonga kaviri kuti udzorere mushonga wawakarasikirwa nawo. Izvi zvinogona kukonzera kuderera kweshuga muropa.
Kupfuura mwero
Kana uchifunga kuti watora mushonga wakawandisa, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika . Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Mimwe mishonga inogona kupindirana nemushonga uyu (Kupindirana kweMishonga)
Zvakakosha kuudza chiremba wako nezve mimwe mishonga yauri kutora paunenge uchitora mushonga uyu. Mimwe mishonga inogona kukanganisa mashandiro awo. Zvakare, mimwe mishonga inogona kuchinja huwandu hweshuga muropa rako.
| Rudzi rwemishonga / mhedzisiro | Mienzaniso uye zvekuziva |
|---|---|
| Mishonga inogona kuva nemigumisiro yakananga | Acetaminophen, Digoxin, Warfarin, mapiritsi ekudzivirira pamuviri, mimwe mishonga yechirwere cheshuga. Udza chiremba wako kana uri kunwa mishonga iyi. |
| Zvinhu zvinogona kuchinja huwandu hweshuga muropa | Doro, aspirin, mimwe mishonga yeBP, masteroid (akadai sePrednisone), mimwe mishonga yekukosora/chikosoro, mishonga yezvirwere zvepfungwa, mimwe mishonga inorwisa mabhakitiriya, uye mishonga yemishonga inowedzerwa mumishonga. |
| Mishonga inovhara zviratidzo zveshuga shoma muropa | Izvi zvakakosha zvikuru. Mishonga yeBeta-blockers (semuenzaniso Propranolol, Metoprolol) inoshandiswa pakurapa BP yakakwira kana chirwere chemwoyo inogona kuvharira zviratidzo zveshuga yakaderera muropa, zvakaita sekubvunda nekudikitira. Saka, kana uri kutora mishonga iyi, unofanira kugara uchitarisa huwandu hweshuga muropa rako. |
Saka, nyora pasi mishonga yese, mavhitamini, uye mishonga yemiti yaunotora woipa chiremba wako. Udzawo chiremba wako kana uchisvuta kana kunwa doro.
Zvinhu zvaunofanira kungwarira paunenge uchitora mushonga
- Kuongororwa nguva dzose: Endai kumakiriniki panguva dzakatarwa sezvakarairwa nachiremba wenyu. Kuongororwa ropa kunonzi HbA1C kunoitwa kamwe chete pamwedzi miviri kusvika mitatu. Izvi zvinoratidza kuti shuga yenyu yave ichidzorwa zvakanaka sei mumwedzi mishoma yapfuura.
- Yera huwandu hweshuga:Dzidza maitiro ekuongorora huwandu hweshuga muropa rako kumba. Ziva zviratidzo zvehypoglycemia uye hyperglycemia.
- Kana shuga yako yeropa yaderera: Gara uine shuga yaunowana nekukurumidza, senge siwiti yeshuga kana piritsi reglucose. Kana shuga yako yeropa yaderera zvakanyanya uye uchinzwa dzungu kana kupera simba, udza mhuri yako kuti isaise chero chinhu mumuromo mayo panguva iyoyo. Kana zvakadaro, unofanira kutsvaga rubatsiro rwechiremba nekukurumidza.
- Usarega kudya: Idya panguva yakakodzera.
- Usagovane peni yako nevamwe: Usambofa wakagovane peni yako yekubaiwa jekiseni nemumwe munhu. Kunyangwe ukachinja tsono, unogona kuparadzira mavhairasi ane njodzi akadai seHepatitis neHIV.
- Chitupa Chekurapa: Gara uchipfeka/chengeta chimwe chinhu chakaita sekadhi kana bracelet pedyo chinoratidza kuti une chirwere cheshuga uye mhando dzemishonga yaunotora.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemushonga upi zvawo, uyu unogona kukonzera mamwe matambudziko. Mimwe yakakomba, mimwe yakajairika.
| Migumisiro yaunofanira kuudza chiremba wako nekukasika | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kuoma kufema. |
| Chipembenene | Kurwadziwa kwakanyanya mudumbu kunosvika kumusana, kurwadziwa kunowedzera mushure mekudya, fivha, kuda kurutsa, uye kurutsa. |
| Kukuvara kweitsvo | Kudzikira kweweti, kuzvimba kwezvitsitsinho, maoko, netsoka. |
| Shuga shoma muropa (Hypoglycemia) | Kudedera, kuzvidya mwoyo, kudikitira zvakanyanya, kutonhorwa, kuvhiringidzika, dzungu, kurova kwemoyo nekukurumidza. |
| Matambudziko enduru | Kurwadziwa kwakanyanya mudumbu, kuda kurutsa, kurutsa, fivha. |
| Migumisiro isingawanzova yakanyanya (asi inofanira kutaurwa kuna chiremba kana ikaramba iripo) | |
| |
Nzira yekubata peni nemazvo sei?
Zvakakoshawo kuchengetedza mushonga uyu nemazvo.
- Mapeni Asina Kuvhurwa:
- Chengeta mufiriji munzvimbo yakajairika (pakati pe2 ne8 degrees Celsius).
- Usambofa wakachengeta mufiriji. Usashandise mushonga wakaomeswa nechando.
- Kana zuva rekupera kwechinhu chacho rapfuura, chirase.
- Mapeni auri kushandisa:
- Chengeta izvi patembiricha yemumba (pasi pe25 degrees Celsius). Usazviise mufiriji.
- Vhara chivharo chepeni zvakasimba mushure mekushandisa kwega kwega uye chengetedza kubva kuchiedza.
- Usaise peni pasi netsono yakasungirirwa. Kuita izvi kunogona kukonzera kuti mushonga udonhe.
- Mushure memazuva makumi maviri nemasere ekushandisa, rasa peni, kunyangwe paine mushonga wasara mairi.
Mharidzo Yekuenda Nayo Kumba
- Nguva dzose tora mushonga uyu sezvakarairwa nachiremba wako, muchiyero chakanyorwa uye panguva chaiyo.
- Usagovane peni yako yekubaiwa jekiseni nemumwe munhu chero chikonzero chipi zvacho.
- Ziva zviratidzo zveshuga yakaderera muropa (hypoglycemia). Gara uchichengeta chimwe chinhu chakaita seswiti ine shuga pedyo.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, uye mishonga yemiti yauri kutora.
- Kana ukaona zviratidzo zvemhedzisiro yakaipa, tsvaga rubatsiro rwechiremba nekukasika.
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