Kana uchirarama nechirwere cheshuga , unoziva kukosha kwazvakaita kudzora huwandu hweshuga muropa rako. Dzimwe nguva, kudya kwakakodzera uye kurovedza muviri chete hazvina kukwana kuti usvike pazvinangwa zvako. Ndipo panogona kuita basa guru muchirongwa chako chekurapa chinonzi Pramlintide .
Chii chinonzi Pramlintide?
Muchidimbu, Pramlintide mushonga unobayiwa jekiseni unoshandiswa kubatsira kudzora huwandu hweshuga muropa muvanhu vane chirwere cheshuga. Basa rayo guru nderekuderedza huwandu hweshuga hunopinda muropa rako. Izvi zvinoitwa nekuderedza mwero wemudumbu wako mushure mekudya, zvichidzivirira kukwira kwakanyanya uye kune njodzi kwehuwandu hweshuga muropa rako.
Funga nezvazvo senzira yekudzora dhamu; zvinobatsira kudzora kuyerera kweshuga muropa rako mushure mekudya. Mushonga uyu unoshanda zvakanyanya kana ukashandiswa pamwe chete nekudya kwako uye maitiro ekurovedza muviri . Unoshanda sechinhu chakakosha muhurongwa hwako hwese hwekurapa chirwere cheshuga kuNirogi Lanka.
Hurukuro Dzakakosha Dzekuita naChiremba Wako
Usati watanga kushandisa Pramlintide, unofanira kutaura pachena uye nekuvimbika nevanopa rubatsiro rwehutano. Ruzivo urwu rwakakosha kwavari kuti vave nechokwadi chekuti mushonga wacho wakachengeteka kwauri uye kuti vaone kuti mushonga wacho wakakodzera.
Ndapota iva nechokwadi chekuzivisa chiremba wako kana chimwe chezvinotevera chichishanda kwauri:
- Hemoglobin A1C yako inopfuura 9%. (Ichi chiratidzo chikuru chekudzora kwako shuga muropa kwenguva refu).
- Unowanzo sangana nezviitiko zveshuga shoma muropa (hypoglycemia) .
- Unonetseka nekutarisa huwandu hweshuga muropa rako nguva dzose.
- Une dambudziko rekutevedzera purogiramu yako yemishonga yeshuga.
- Une matambudziko emudumbu, kunyanya Gastroparesis (chirwere apo mudumbu munopera mvura zvishoma nezvishoma, zvichikonzera kunonoka kugaya).
- Zvinokuomera kuona zviratidzo zvekutanga zvekuderera kweshuga muropa.
- Wakambova nechirwere chePramlintide, metacresol , kana mimwe mishonga, chikafu, madhayi, kana zvinochengetedza munguva yakapfuura.
- Une pamuviri kana kuti uri kuronga kubata pamuviri munguva pfupi iri kutevera.
- Uri kuyamwisa .
Kugovana ruzivo urwu pachena kunobvumira timu yako yezvekurapa kugadzirisa hurongwa hwako hwekurapa hunoenderana nezvaunoda.
Mashandisirwo Emushonga Uyu Nemazvo
Pramlintide inopihwa nejekiseni pasi peganda . Chiremba wako kana nesi achapa dzidziso yakajeka yekuti ungagadzirira sei uye unyore jekiseni nemazvo. Ndapota teverai mirairo iyi nemazvo.
Ramba uchifunga nezvepfungwa idzi dzinokosha:
- Usambosanganisa Pramlintide ne insulin musirinji imwe chete. Mishonga iyi inofanira kupihwa yoga.
- Nguva dzose tora mushonga uyu usati wadya chikafu chikuru .
- Tevedzera purogiramu yakarayirwa nachiremba wako, uchichengeta nguva yakatarwa .
- Usapfuure mwero unokurudzirwa.
- Tarisa chitarisiko chemushonga usati washandisa. Kana uchitaridzika sewakaita makore, wakachinja ruvara, kana kuti une zvidimbu, usashandise.
- Isa tsono dzese dzakashandiswa nemapeni ejekiseni mumudziyo unopinza usingaboorwi . Usambozvirasa mumarara epamba , sezvo izvi zvichikonzera njodzi kune vamwe. Kana usina mudziyo unopinza, bvunza wemishonga kana chiremba wako.
- Kana muchitora mishonga yenyu, murapi wenyu wemishonga achakupai MedGuide . Verengai nokungwarira pese pamunotora mushonga wekuwedzera.
- Ongorora kabhuku keMIYIRIDZO YEKUSHANDISA kari pamwe chete nemushonga wako. Kana paine chisina kujeka, bvunza murapi wemishonga kana chiremba wako kuti akutungamirire.
- Kana uri kurapa mwana , bvunza chiremba wako nezvezvinhu zvakakosha zvaunofanira kufunga nezvazvo.
- Kana ukanwa doro rakawandisa : Kana uchifungidzira kuti wanwa doro rakawandisa, dzikama uye fonera emergency services (911) nekukurumidza kana nzvimbo inodzora chepfu kuti uwane mazano ehunyanzvi.
Yeuka: Mushonga uyu wakanyorerwa iwe wega. Usambougovana neshamwari kana nhengo dzemhuri, kunyangwe kana vaine chirwere cheshuga.
Ko Kana Ukarasikirwa Nemushonga?
Kusatora mushonga mumwe chete kunogona kuitika kune chero munhu, asi kugara kwenguva refu kwakakosha. Kana ukarasa mushonga mumwe chete, tevera hurongwa hwakapihwa nachiremba wako kana timu yehutano. Usambofa watora mushonga mumwe chete kaviri kuti utsive mushonga mumwe chete wawakarasa, sezvo izvi zvinogona kukonzera kuti shuga yako yeropa iderere zvakanyanya.
Kudyidzana Kwemishonga
Mimwe mishonga inogona kukanganisa Pramlintide, zvichigona kuchinja kushanda kwayo kana kukonzera matambudziko ekuchengetedza. Zvakakosha kuzivisa mishonga yese, mavhitamini, mishonga yemishonga, mishonga inotengeswa muzvitoro, uye zvekudya zvauri kutora parizvino.
Chenjerera paunotora Pramlintide pamwe chete nemishonga inotevera:
- Acetaminophen
- Alosetron
- Atropine
- Mapiritsi ekudzivirira pamuviri
- Mishonga yedundira (semuenzaniso, oxybutynin)
- Mishonga yemudumbu (semuenzaniso, dicyclomine, hyoscyamine)
- Mishonga yekurwara nekufamba (semuenzaniso, scopolamine)
- Eluxadoline
- Mimwe mishonga yechirwere cheshuga (semuenzaniso, acarbose, miglitol)
Pamusoro pezvo, kune mimwe mishonga yakawanda inogona kukanganisa huwandu hweshuga muropa rako. Kugara uine ruzivo chinhu chakakosha parwendo rwako rwehutano neNirogi Lanka.
- Zvinwiwa zvine doro
- Mishonga yekurwisa utachiona hweHIV kana AIDS
- Aspirin nemishonga yakafanana nayo
- Mimwe mishonga yekurapa BP yakakwira, chirwere chemwoyo, kana kurova kwemoyo kusina kurongeka
- Chromium (dzimwe nguva inotorwa sekuwedzera)
- Mishonga inobvisa mvura mumuviri
- Mahormone echikadzi, akadai seestrogens kana progestins, uye mapiritsi ekudzivirira pamuviri
- Fenofibrate
- Gemfibrozil
- Isoniazid (mushonga unoshandiswa kurapa TB)
- Lanreotide
- Mahormone evarume kana anabolic steroids
- Mishonga yekirasi yeMAOI (inoshandiswa pakurapa zvirwere zvepfungwa), yakaita seCarbex, Eldepryl, Marplan, Nardil, uye Parnate
- Mishonga yekuderedza huremu
- Mishonga yekurapa allergies, asthma, dzihwa, kana kukosora
- Mishonga yekuderedza kuora mwoyo, kuzvidya mwoyo, kana zvimwe zvirwere zvepfungwa
- Niacin
- Nikotini (inowanikwa mufodya)
- NSAIDs (mishonga isingashandise steroidal inorwisa kuzvimba) inoshandiswa pakurwadziwa nekuzvimba, zvakaita se ibuprofen kana naproxen
- Octreotide
- Pasireotide
- Pentamidine
- Phenytoin (mushonga wepfari)
- Probenecid (mushonga wegout)
- Mishonga inorwisa mabhakitiriya yemhando yeQuinolone, yakaita se ciprofloxacin, levofloxacin, kana ofloxacin
- Zvimwe zvekudya zvinovaka muviri zvemishonga
- Mishonga yeSteroid, yakadai sePrednisone kana cortisone
- Sulfamethoxazole; trimethoprim (mushonga unorwisa mabhakitiriya)
- Mahormone ethyroid
Chinonyanya kukosha, ziva kuti mimwe mishonga inogona kuvharidzira zviratidzo zveshuga yakaderera muropa (hypoglycemia), zvichireva kuti ungasaziva kana shuga yako muropa yadzikira. Kana uri kutora mishonga iyi, kugara uchitarisa huwandu hweshuga muropa rako kwakakosha. Mishonga iyi inosanganisira:
- Beta-blockers - inoshandiswa kakawanda pakurapa BP yakakwira kana matambudziko emwoyo (semuenzaniso, atenolol, metoprolol, propranolol)
- Clonidine
- Guanethidine
- Reserpine
Rondedzero iyi haibatanidzi zvese zvinogona kuitika. Saka, ndapota zivisa chiremba wako nezvemishonga yese yaunotora, kusanganisira mishonga inotengeswa musiri muchitoro chemishonga, mishonga yekuwedzera, kungave uchiputa kana kunwa doro, nezvimwe zvinhu zvaunoshandisa. Zvimwe zvinhu zvinogona kukanganisa kurapwa kwako kuNirogi Lanka.
Kungwarira Kwakakosha Munguva Yekurapwa Kwako
Paunenge uchishandisa mushonga uyu, unofanira kushanyira chiremba wako nguva nenguva kuti utarise hutano hwako. Pamusoro pezvo, teerera zvinotevera:
- HbA1c yako (A1C) ichaongororwa nguva nenguva. Kuongororwa kweropa uku kunoratidza kuti une avhareji yekudzora shuga muropa rako mumwedzi miviri kusvika mitatu yapfuura. Tarisira bvunzo iyi mwedzi mitatu kusvika mitanhatu yega yega.
- Dzidza maitiro ekuongorora shuga yeropa rako kumba. Uyezve, iva nechokwadi chekuti unonzwisisa zviratidzo zvehypoglycemia (shuga yakaderera) uye hyperglycemia (shuga yakakwira) uye maitiro ekuzvidzora. Ruzivo urwu rwakakosha.
- Gara uine shuga inoshanda nekukurumidza pedyo, senge macubes eshuga, mapiritsi eglucose, kana soda diki. Udza mhuri yako neshamwari kuti kana shuga yako yeropa ikadzikira zvakanyanya uye ukaona zviratidzo zvakaita sepfari kana kurasikirwa nepfungwa, havafanirwe kuedza kukudyisa, sezvo ungadzipwa. Mune njodzi dzakadai, tsvaga rubatsiro rwechiremba nekukurumidza kana kufonera masevhisi ekukurumidzira.
- Kana uchinzwa kuti shuga yako yeropa yakakwira nguva dzose, taura nachiremba wako; mwero wemushonga wako ungada kugadziriswa.
- Kana ukarwara (semuenzaniso, fivha, kushushikana mudumbu) kana kuwedzera mazinga ekurovedza muviri, mushonga wako ungada kuchinjwa. Kurukura izvi nemupi wehutano hwako.
- Usarega kudya, kunyanya paunenge uri kushandisa mushonga uyu.
- Bvunza chiremba wako kana uchifanira kurega doro, sezvo rinogona kukonzera kudzikira uye kukwira kwehuwandu hweshuga muropa.
- Mimwe mishonga yekukosora neinotonhora inonwiwa pasina kunyorerwa chiremba ine shuga kana doro, izvo zvinogona kukanganisa shuga yeropa rako. Gara uchibvunza chiremba wako kana wemishonga usati washandisa.
- Usambofa wakagovana mapeni ako ejekiseni nevamwe. Kunyangwe ukachinja tsono, kugovana kunogona kutapurirana mavhairasi ane njodzi akadai sehepatitis kana HIV.
- Pfeka chitupa chekurapwa kana mutsipa. Pamusoro pezvo, takura kadhi rine ruzivo rwehutano hwako, mishonga yauri kushandisa, huwandu hwayo, uye nguva yekurapwa. Izvi zvichabatsira zvikuru kana paine dambudziko.
Migumisiro Inogona Kuitika
Sezvinongoita chero mishonga, majekiseni ePramlintide anogona kukonzera migumisiro yakaipa, kunyange hazvo vasiri vese vanoiwana. Vanhu vazhinji vanogona kunge vasina migumisiro yakaipa zvachose.
Tsvaga rubatsiro rwechiremba nekukasika kana ukaona:
- Zviratidzo zvekurwara nepfungwa — zvinosanganisira mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kana pahuro. Izvi zvinogona kunge zvakakomba uye zvinoda kurapwa nekukurumidza.
Migumisiro inotevera haisi pangozi yehupenyu, asi zivisa chiremba wako kana ikaramba iripo kana kuti ikava inonetsa:
- Musoro
- Kurasikirwa nechido chekudya
- Kusvotwa (izvi zvinogona kuitika pakutanga)
- Kurwadziwa, kutsvuka, kana kutsamwa panzvimbo yejekiseni
- Kurwadziwa kwedumbu
- Kurutsa
Rondedzero iyi ingasave nemhedzisiro yese inogona kuitika. Kana ukaona chimwe chinhu chisingawanzoitika, ndapota taura nachiremba wako kuti akupe mazano echiremba ane hunyanzvi.
Kuchengeta Mishonga Yako Zvakanaka
Kuchengeta mishonga yako zvakanaka kwakakosha kuti uve nechokwadi chekuti mushonga wako unoramba uchishanda uye wakachengeteka.
- Chengeta mishonga yese kure nevana nezvipfuyo.
- Mapeni ekushandisa asina kuvhurwa anofanira kuchengetwa mufiriji, zviri nani pamusuwo, patembiricha iri pakati pe2°C kusvika 8°C (36°F kusvika 46°F). Usaaise mufiriji. Rasa chero mushonga wapera kana wapera.
- Mapeni ejekiseni akavhurwaZviri kushandiswa parizvino zvinogona kuchengetwa mufiriji kana patembiricha yemumba (isingapfuure 30°C/86°F) kwemazuva anosvika makumi matatu. Usazvirega zvichiomeswawo nechando. Vamwe vanoona kuti kubaya jekiseni patembiricha yemumba kunoderedza kusagadzikana. Rasa chero mushonga wasara mazuva makumi matatu mushure mekuvhura, kunyangwe mimwe yasara mupeni.
Chinhu Chinokosha Chekutora
Pramlintide inogona kuva chinhu chakakosha mukurapa chirwere cheshuga chako zvinobudirira. Zvisinei, zvakakosha kuti ushandise mushonga uyu sezvawakarairwa nachiremba wako, urambe wakangwarira nezvemishonga inogona kushandiswa, utarise chero migumisiro yakaipa, uye ugare uchitarisa huwandu hweshuga muropa rako.
Ndapota yeukai kuti ruzivo urwu rwakagadzirirwa zvinangwa zvekudzidzisa chete. Chiremba wenyu chete ndiye anogona kuona kana mushonga uyu wakakodzera zvinodiwa nehutano hwenyu uye kupa mirairo yakagadzirirwa mashandisirwo awo zvakachengeteka.
Kana muine mibvunzo kana zvinokunetsai, musazeza kutaura nachiremba wenyu, wemishonga, kana mumwe nyanzvi yehutano. KuNirogi Lanka, tinovimba kuti ruzivo urwu ruchakupa simba rekugadzirisa chirwere cheshuga chako uye kurarama hupenyu hune hutano uye hunogutsa.
Mazwi Akakosha: Pramlintide, Chirwere cheshuga, Jekiseni, Shuga muRopa, Migumisiro Yakashata, Mishonga yeChirwere Cheshuga
