Chiremba wako akakunyorera mushonga unonzi Repaglinide wechirwere cheshuga cherudzi rwechipiri here? Kana kuti pane mumwe munhu mumhuri mako ari kushandisa mushonga uyu here? Saka zvakakosha kuti uzive zvizere nezvemushonga uyu. Nekuti, semushonga upi zvawo, kuti uwane zvakawanda kubva mauri, zvakakosha kuziva mashandisirwo awo, zvekungwarira, uye migumisiro yawo . Tichataura nezve zvese izvi muchinyorwa chino.
Chii chinonzi Repaglinide?
Muchidimbu, Repaglinide mushonga unoshandiswa kurapa chirwere cheshuga cherudzi rwechipiri . Unouya uri muchimiro chepiritsi.
Iye zvino ngationei kuti izvi zvinoshanda sei. Muviri wedu une nhengo inonzi pancreas . Izvi zvinogadzira hormone inonzi insulin . Insulin inodzora huwandu hweshuga (glucose) muropa redu uye inobatsira masero kutora shuga. Mumunhu ane chirwere cheshuga cherudzi rwechipiri, muviri unogona kugadzira insulin shoma, kana kuti insulin inogadzirwa ingasashanda zvakanaka. Mapiritsi eRepaglinide anokurudzira pancreas uye anoibatsira kugadzira insulin yakawanda. Zvadaro huwandu hweshuga muropa hunodzorwa.
Asi yeuka chinhu chimwe chete. Haugone kudzora chirwere cheshuga nekutora mushonga uyu wega. Unofanirawo kutevedzera kudya kwakakodzera uye kurovedza muviri zuva nezuva .
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga
Chiremba wako achakubvunza mibvunzo mishoma asati akupa Repaglinide. Panguva iyoyo, zvakakosha kuvaudza kana uine chimwe chezvirwere zvinotevera:
- Kana uine chirwere che emergency chinonzi diabetic ketoacidosis, chinokonzerwa nechirwere cheshuga.
- Kana uine chirwere cheitsvo kana chirwere chechiropa.
- Kana uine chirwere chakanyanya kana kukuvara.
- Kana uine allergy kana uchida repaglinide kana chero imwe mishonga, chikafu, kana dhayi.
- Kana uine pamuviri, uchiedza kubata pamuviri, kana kuyamwisa, iva nechokwadi chekuudza chiremba wako nezvazvo.
Mashandisirwo emapiritsi eRepaglinide nemazvo sei?
Kuti mushonga uyu uwane pundutso yakakwana, zvakakosha kuushandisa nemazvo.
- Medza piritsi iri negirazi remvura.
- Chinhu chinonyanya kukosha kutora piritsi iri usati wadya. Kazhinji, rinonzi rinotorwa pakati pemaminitsi gumi nemashanu kusvika makumi matatu usati wadya. Usaritore kupfuura maminitsi makumi matatu usati wadya.
- Ngatitii wakasiya kudya kwemangwanani. Saka unofanirawo kurega kudya piritsi panguva iyoyo. Kana usingadyi, usatore piritsi racho.
- Usambofa watora zvinopfuura dose yawakarairwa nachiremba wako, kana kutora dose mbiri panguva imwe chete.
- Kana wapfuura makore makumi matanhatu nemashanu, unogona kunyorerwa mushonga wakaderera. Taura nachiremba wako nezvenyaya iyi.
Ko kana ndikatora mushonga wakawandisa? (Kunyanya kunwa mushonga)
Kana uchifunga kuti wakatora mushonga wakawandisa netsaona, usavhunduka. Fonera National Poisons Information Centre paColombo National Hospital nekukasika. Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Ko kana ndikarasikirwa nemushonga mumwe chete?
Kana ukarasikirwa nedosi raunofanira kunwa usati wadya, siya kudya ikoko. Tora dosi rinotevera sezvakarongwa pakudya kwako kunotevera. Usatore mapiritsi maviri panguva imwe chete kuti udzorere dosi rawakarasikirwa naro.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Ichi chikamu chakakosha zvikuru. Kana uri kutora Repaglinide, unofanira kuudza chiremba wako nezvemimwe mishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yemishonga), sezvo mimwe mishonga inogona kukanganisa Repaglinide.
| Rudzi rwemushonga | Zvinyorwa nemienzaniso |
|---|---|
| Mishonga isingafanirwe kutorwa nemushonga uyu | |
| Gemfibrozil | Uyu mushonga unoderedza cholesterol. Kana ukatorwa neRepaglinide, unogona kukonzera kuderera kwakanyanya kweshuga muropa. |
| Mimwe mishonga inogona kupindirana neRepaglinide | |
| Mishonga yakasiyana-siyana | Semuenzaniso: Clopidogrel, Cyclosporine, Rifampin, Simvastatin, Trimethoprim, mishonga inorwisa fungus (Itraconazole, Ketoconazole). Zvimwe zveizvi zvinogona kuwedzera kana kuderedza mhedzisiro yeRepaglinide. |
| Mishonga inogona kukanganisa huwandu hweshuga muropa | |
| Mhando dzakawanda dzemishonga | Semuenzaniso: Doro, aspirin, steroid, mishonga inorwisa mabhakitiriya, mishonga yeBP, mapiritsi ekudzivirira pamuviri, uye mamwe manyuchi ekukosora/echikosoro. Izvi zvinogona kukonzera shanduko muhuwandu hweshuga muropa. |
| Mishonga inogona kuvharira zviratidzo zvekusvika pakuderera kweglucose mumuviri | |
| Beta-blockers | Semuenzaniso: Metoprolol, Propranolol. Paunenge uchitora mishonga iyi, ungasaona zviratidzo (zvakaita sekubvunda, kudikitira) zveshuga yakaderera muropa. Saka, zvakakosha kuti ugare uchitarisa huwandu hweshuga muropa rako. |
Zvinhu zvekungwarira paunenge uchitora mushonga
- Kuongororwa nguva dzose: Ona chiremba wako uye tarisa mamiriro ako nguva dzose.
- Kuongororwa kweHbA1c: Unofanirawo kuziva nezve kuongororwa kweropa kunonzi HbA1c (HbA1c). Izvi zvinoyera kuti chirwere chako cheshuga chave chichidzorwa sei mumwedzi miviri kusvika mitatu yapfuura.
- Kuyera huwandu hweshuga muropa: Dzidza kuyera huwandu hweshuga muropa rako kumba. Ziva zviratidzo zvehyperglycemia uye hypoglycemia, uye maitiro ekuzvidzora.
- Gadzirira njodzi: Kana ukaona zviratidzo zvehypoglycemia, gara uine shuga (semuenzaniso, macubes eshuga, mapiritsi eglucose). Kana ukanyanya kushaya shuga mumuviri wako wobva warasikirwa nepfungwa, usaise chero chinhu mumuromo mako nekuti chinogona kukonzera kudzipwa. Udza mhuri yako kuti itsvage rubatsiro rwechiremba nekukasika.
- Chitupa Chekurapa: Kupfeka kadhi kana bracelet inoratidza kuti une chirwere cheshuga uye mishonga yaunotora inogona kubatsira zvikuru panguva yenjodzi.
Ndezvipi migumisiro inogona kuonekwa?
Kufanana nemishonga yese, Repaglinide inogona kukonzera migumisiro yakaipa, kunyange hazvo vasiri vese vanoiwana.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Shuga shoma muropa (Hypoglycemia) | Kudedera, kuzvidya mwoyo kwakanyanya, kudikitira, kutonhora, kuvhiringidzika, dzungu, kurova kwemoyo nekukurumidza. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Zvimwe zvirwere | Kurwadziwa nemusana, kugaya chikafu/manyoka, musoro, kurwadziwa kwemajoini, kuda kurutsa, mhino inoyerera. |
Mharidzo Yekuenda Nayo Kumba
- Repaglinide mushonga unoshandiswa kurapa chirwere cheshuga cherudzi rwechipiri. Pamwe chete neizvi , kudya kwakakodzera uye kurovedza muviri kwakakosha.
- Nguva dzose tora piritsi iri maminetsi gumi nemashanu kusvika makumi matatu usati wadya . Kana ukarasikirwa nekudya, mira kutora piritsi racho.
- Udza chiremba wako nezvemimwe mishonga yese yauri kutora (kunyanya Gemfibrozil).
- Ziva zviratidzo zveshuga yakaderera muropa (hypoglycemia). Gara uchichengeta chimwe chinhu chakaita sekiyi yeshuga pedyo kuti ushandise kana paine dambudziko.
- Kana ukatora mushonga wakawandisa netsaona, fonera National Poisons Information Centre nekukasika kana kuenda kuchipatara chiri pedyo chinopa rubatsiro rwekukurumidzira (ETU).
- Mushonga uyu ndewako chete. Usambougovana nevamwe.
Repaglinide, Chirwere cheshuga, Chirwere cheshuga cherudzi rwechipiri, Huwandu hweshuga, Insulin, Hypoglycemia, Prandin
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