Chiremba wako akakupa mushonga mutsva wekudzivirira chirwere chako cheshuga here? Ungave wakambozvibvunza kuti chii mushure mekuona kuti une mazita maviri. Usazvidya moyo. Nhasi tiri kutaura nezvepiritsi iri, iro riri musanganiswa wemishonga miviri inonzi Pioglitazone neGlimepiride. Rinopiwa kuvanhu vane chirwere cheshuga cherudzi rwechipiri. Ngatizvinzwisisei kubva paA kusvika paZ zviri nyore, sekunge tiri kuudza shamwari.
Chii chaizvo chinoitika nemushonga uyu?
Muchidimbu, mushonga uyu unoshanda nekuderedza uye kudzora huwandu hweshuga, kana kuti glucose, muropa rako. Sezvo paine mhando mbiri dzemishonga mune izvi, dzinoshanda nenzira mbiri dzakasiyana.
1. Glimepiride: Mushonga uyu unopa pancreas yako "kuwedzera" zvishoma uye unobatsira kuti igadzire insulin hormone yakawanda inodiwa nemuviri wako.
2. Pioglitazone: Mushonga uyu unoshanda nekubatsira masero emuviri wako kushandisa insulin yaanogadzira zvinobudirira. Kureva kuti, unowedzera kunzwa kwemasero ku insulin.
Asi yeuka izvi: Izvi hazvisi zvemashiripiti. Unofanira kuramba uchitevedzera kudya kwako uye maitiro ekurovedza muviri paunenge uchitora mushonga uyu. Mhedzisiro yakanaka inowanikwa kana mushonga nemararamiro ane hutano zvikabatana.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga
Usati watanga mushonga uyu, zvakakosha kuudza chiremba wako nezvenhoroondo yako yese yehutano. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera:
- Zvirwere zviripo iye zvino:
- Kana uine chirwere chemwoyo kana moyo usina simba
- Chirwere cheitsvo
- Chirwere chechiropa
- Kana uine nhoroondo yekenza yedundira
- Kana wakambova nechirwere cheshuga chinonzi ketoacidosis, chirwere chakakomba chinokonzerwa nechirwere cheshuga
- Kana uine kushomeka kwema enzyme kunonzi G6PD deficiency (Glucose-6-phosphate dehydrogenase deficiency)
- Matambudziko ethyroid (chirwere chethyroid)
- Kana uine kuzvimba mumuviri wako, mumaoko, kana tsoka
- Kana uine hutachiona hwakakomba kana kukuvara
- Kurwara:
- Kana uine allergy kuPioglitazone, Glimepiride kana mimwe mishonga yesulfa
- Kana uine allergy kune chero mimwe mishonga, chikafu, kana mishonga inochengetedza
- Mamwe mapoinzi akakosha:
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri
- Kana uri amai vanoyamwisa
Mushonga uyu unoshandiswa sei chaizvo?
Kuti mushonga uwane pundutso yakakwana, unofanira kuushandisa nemazvo.
- Medza piritsi iri negirazi remvura.
- Ita tsika yekunwa mushonga wako panguva imwe chete zuva nezuva.
- Chinonyanya kukosha: Tora mushonga uyu uchidya kana kuti wangopedza kudya . Usautore usina chinhu mudumbu. Kuita izvi kunogona kukonzera kuti shuga yako yeropa iderere zvakanyanya (hypoglycemia). Vanachiremba vanowanzokurudzira kuutora panguva yekudya kwemangwanani.
- Ramba uchitora mushonga kusvika chiremba wako akuudza kuti urege.
- Kudhakwa: Kana uchifunga kuti wadhakwa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika, kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
- Kana ukarasikirwa nedosi: Inwa dosi yawakarasikirwa nayo nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti utore dosi yako inotevera, siya dosi yawakarasikirwa nayo wotora dosi inotevera panguva yakatarwa. Usambofa watora dosi mbiri panguva imwe chete.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu
Mimwe mishonga, mavhitamini, nemishonga yemishonga yaungave uchitora inogona kupindirana nemushonga uyu. Saka, zvakakosha kuudza chiremba wako nezvese zvauri kutora. Pazasi pane mienzaniso mishomanana.
| Rudzi rwemushonga/chinhu | Mienzaniso nezvinyorwa |
|---|---|
| Mishonga inonyaradza marwadzo uye inorwisa kuzvimba | Mishonga yeNSAID yakaita seAspirin, Ibuprofen, uye Naproxen. |
| Mishonga inorwisa mabhakitiriya nemishonga inorwisa fungus | Chloramphenicol, Clarithromycin, Ketoconazole, Miconazole, Rifampin. |
| Mishonga yeBP yakakwira | Mishonga inodzivisa marwadzo yakaita seMetoprolol, Propranolol, Nifedipine. |
| Mhando dzemahormone | Mahormone echikadzi (Estrogens), mapiritsi ekuronga pamuviri, mahormone ethyroid, uye masteroid akaita sePrednisone. |
| Mimwe mishonga yechirwere cheshuga | Chero mimwe mishonga yechirwere cheshuga yauri kutora. |
| Zvimwe | Gemfibrozil, Atorvastatin, inoderedza cholesterol, Warfarin, inodzivirira kugwinha kweropa, Isoniazid, inoshandiswa kurapa TB, uye Doro. |
Iyi haisi rondedzero yakazara, saka udza chiremba wako nezvemishonga yese, mavhitamini, uye mishonga yemiti yauri kutora.
Zvinhu zvekurangarira kana uchitora mushonga
- Kuongororwa nguva dzose: Shanyirai chiremba wenyu panguva dzemazuva ese kuti muone mamiriro enyu ezvinhu. Mungangodawo kuongororwa ropa kuti muone mashandiro echiropa chenyu.
- Kuongororwa kweHbA1C: Izvi zvinoedza huwandu hweshuga yako muropa mumwedzi miviri kusvika mitatu yapfuura. Chiremba wako angangokukurudzira kuti uite bvunzo iyi mwedzi mitatu kusvika mitanhatu yega yega.
- Kuyera huwandu hweshuga muropa: Dzidza kuyera huwandu hweshuga muropa rako uri kumba. Ziva zviratidzo zveshuga yakaderera muropa (hypoglycemia) uye shuga yakakwira muropa (hyperglycemia) uye maitiro ekuzvidzora.
- Kana uine shuga shoma muropa: Gara uine shuga. Semuenzaniso, mapiritsi eglucose, cube yeshuga, siwiti, chidimbu chejelly bean. Kana ukava nezviratidzo zvakakomba zveshuga shoma muropa (semuenzaniso pfari, kurasikirwa nepfungwa), udza mhuri yako kuti zvine njodzi kukupa chikafu kana chinwiwa. Muzviitiko zvakadaro, unofanira kuenda kuchipatara nekukasika.
- Usarega kudya: Kana uri kutora mushonga uyu, zvakakosha kuti udye zvekudya zvako zvikuru panguva yakakodzera.
- Kubata Pamuviri: Mushonga uyu unogona kuwedzera mukana wekuti ovulation ibude mumadzimai ane mwedzi isingaenderane nenguva. Saka, taura nachiremba wako nezvekushandisa nzira yakakodzera yekudzivirira pamuviri paunenge uchitora mushonga uyu. Udza chiremba wako nekukasika kana uchifunga kuti une pamuviri.
- Kunzwa kwezuva: Mushonga uyu unogona kuita kuti ganda rako rinzwe zviri nani pazuva. Saka, kana uchizove uri muzuva, pfeka mbatya dzinofukidza muviri wako uye shandisa mafuta ekudzivirira zuva.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, uyu unogona kuva nemigumisiro yakaipa. Haasi munhu wese anowana. Ngationei kuti chii.
| Migumisiro yakakomba inoda kurapwa nekukurumidza | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Zviratidzo zvekukundikana kwemoyo | Kutadza kufema zvakanaka, kuzvimba kwezvitsitsinho, tsoka kana maoko, kuwedzera uremu kamwe kamwe, kuneta zvakanyanya. |
| Zviratidzo zvekukuvara kwechiropa | Kurwadziwa mudumbu, kushaya chido chekudya, kuda kurutsa, tsvina ine ruvara rwakajeka, weti yero kana yero, uye ganda kana maziso zvakatsvuka. |
| Hypoglycemia (shuga shoma muropa) | Kudedera, kudikitira, kuzvidya mwoyo zvakanyanya, ganda rinotonhorera, dzungu, kurova kwemoyo nekukurumidza, uye kuvhiringidzika. |
| Kuchinja kwemaonero | Kuona zvisina kujeka, kuona mhete dzakatenderedza mwenje, kurasikirwa nekuona. |
| Kuchinja kweweti | Weti yakatsvuka kana kuti yakasvibira, kurwadziwa panguva yekuzviitira weti, kuita weti kakawanda. |
| Kazhinji hapana chekunetseka nacho (asi udza chiremba wako kana chikaramba chiripo) | |
| Matambudziko akajairika | Musoro, manyoka, kuda kurutsa, pahuro panorwadza, mhino inoyerera, kurwadziwa kwetsandanyama. |
Mharidzo Yekuenda Nayo Kumba
- Gara uchitora mushonga uyu panguva yakatarwa uchidya . Usamboutora usina kudya.
- Usarega kudya. Kuita izvi kunogona kukonzera kudzikira kweshuga muropa zvine njodzi.
- Ziva zviratidzo zveshuga yakaderera muropa (hypoglycemia). Gara uchichengeta chimwe chinhu chine shuga (mapiritsi eglucose, siwiti) pedyo .
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, uye mishonga yemiti yauri kutora.
- Dzivisai kurega kushandisa mushonga kana kuchinja mwero wemushonga musina kurairwa nachiremba wenyu.
- Kana ukaona zviratidzo zvakakomba zvakaita sekurwadziwa pachipfuva, kunetseka kufema, kana kurasikirwa nepfungwa, enda kuchipatara kuEmergency Department (ETU) nekukasika.
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