Chiremba wenyu akakunyorerai musanganiswa wesitagliptin nemetformin yekurapa chirwere cheshuga cherudzi rwechipiri here? Munyika medu, mushonga uyu unobva pasi pezita rekuti Janumet. Sezvo chirwere cheshuga chiri chirwere chinoda kurapwa nemazvo, zvakakosha kuti munzwisise zvakanaka mushonga wamuri kutora. Saka nhasi, ngatikurukurei muchidimbu nezvemushonga uyu, zvaunoita mumuviri wenyu, uye zvinhu zvamunofanira kungwarira pakushandisa.
Chii chaizvo chinoitika nemushonga uyu?
Zvichitaurwa zviri nyore, mishonga miviri iri mupiritsi iri inobatsira kudzora huwandu hweshuga muropa rako (glucose muropa) nenzira mbiri.
1. Sitagliptin: Izvi zvinobatsira kuwedzera kugadzirwa kwehormone inonzi insulin mumuviri wako mushure mekudya. Insulin ndiyo inobatsira shuga muropa kupinda mumasero emuviri uye kushandiswa sesimba.
2. Metformin: Izvi zvinonyanya kushanda nekuderedza kugadzirwa kweshuga nechiropa chako. Zvinowedzerawo kunzwa kwemasero emuviri wako ku insulin. Izvi zvinoreva kuti zvinokubatsira kushandisa insulin yauinayo zvakanyanya.
Chinhu chakakosha ndechekuti kutora mushonga uyu chete hakuna kukwana. Unofanirawo kutevedzera kudya kwakanaka uye kurovedza muviri nguva dzose . Ipapo ndipo paunowana mhedzisiro yakanaka.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Chiremba wako anofanira kuziva nhoroondo yako yese yehutano asati akupa chero mushonga. Saka kana uine chimwe chezvirwere zvinotevera, iva nechokwadi chekuvaudza usingavanzi. Izvi zvakakosha zvikuru kuti uchengetedzeke.
| Une mamiriro ezvinhu aya here? |
|---|
| Chirwere cheitsvo kana chirwere chechiropa |
| Zvirwere zvemwoyo kana matambudziko emwoyo |
| Kana wakambova nepancreatitis kare |
| Mazinga e triglyceride akakwira muropa |
| Kuderera kwevhitamini B12 kana anemia |
| Kuva netsika yekunwa doro nguva dzose |
| Kuva nepamuviri, kuronga kuva nemwana, kana kuyamwisa mwana |
| Kuva neallergy kune chero mimwe mishonga, chikafu, kana zvimwe zvinhu |
Ndingashandisa sei mushonga uyu chaizvo?
- Medza piritsi negirazi remvura.
- Izvi zvakakosha zvikuru: Nguva dzose tora piritsi iri usati wadya kana kuti wapedza kudya . Kutora piritsi iri mudumbu risina chinhu kunogona kukonzera matambudziko mudumbu (kupisa, kuda kurutsa).
- Inwa mushonga wakanyorwa chete uye panguva yakatarwa nachiremba wako. Usachinje mushonga sezvaunoda.
- Usarega kutora mushonga kamwe kamwe usina kupiwa zano nachiremba.
- Kana ukarasikirwa nedosi: Inwa dosi yawakarasikirwa nayo nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, siya dosi yawakarasikirwa nayo wotora dosi inotevera panguva yakatarwa. Usambofa watora dosi yakapetwa kaviri.
- Kana ukatora mushonga wakawandisa: Kana uchifunga kuti wakatora mushonga wakawandisa netsaona, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital .
Zvinhu zvekungwarira paunenge uchitora mushonga
- Mazinga eShuga Muropa: Dzidza kuyera huwandu hweshuga muropa rako. Ziva zviratidzo zveshuga yakaderera muropa (Hypoglycemia) uye shuga yakakwira muropa (Hyperglycemia).
- Shuga shoma muropa (Hypoglycemia): Izvi zvinogona kuva dambudziko rekukurumidza. Kana ukaona zviratidzo zvakaita sekudikitira, kudedera, nzara yakanyanya, kana dzungu, idya chimwe chinhu chinotapira (sugar cube, masiwiti, kana piritsi reglucose) nekukasika . Kana ukanzwa usisina simba, zivisa mhuri yako kuti vamwe havafanirwe kukumanikidza kudya kana kunwa, uye kuti unofanira kuendeswa kuchipatara nekukasika.
- Kuongororwa kweHbA1C: Chiremba wako achakukumbira kuti uongororwe ropa kamwe chete pamwedzi mitatu yega yega. Izvi zvinoyera kuti wanga uchidzora shuga yako yeropa zvakanaka sei mumwedzi miviri kusvika mitatu yapfuura.
- Kuvhiyiwa uye kuskena:Kana uchizovhiyiwa, kuongororwa MRI, kana kuongororwa neCT, udza chiremba pachine nguva kuti uri kutora mushonga uyu. Ungangoda kurega kutora mushonga mazuva mashoma usati watanga kurapwa .
- Doro: Kunwa doro kunowedzera njodzi yekudzika kamwe kamwe kwehuwandu hweshuga muropa uye chirwere chine njodzi chinonzi lactic acidosis. Saka taura nachiremba wako nezvedoro.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, izvi zvinogona kukonzera migumisiro yakaipa kune vamwe vanhu. Kazhinji, izvi hazvina kuipa, asi pane zvimwe zviratidzo zvaunofanira kuziva zvakanyanya.
| Zviratidzo zvakakomba zvinoda kurapwa nekukurumidza | |
|---|---|
| Zviratidzo zveLactic Acidosis | Kurwadziwa kana kuomarara kwetsandanyama, kurwadziwa mudumbu, kupererwa nemweya, kuneta kwakanyanya. (Iyi imhedzisiro isingawanzoitika asi ine njodzi zvikuru yeMetformin). |
| Chipembenene | Kurwadziwa kwakanyanya mudumbu repamusoro, kuchipararira kumusana, kurutsa, uye fivha. |
| Kusawirirana neAllergy | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kuoma kufema kana kumedza. |
| Zvimwe zviratidzo zvakakomba | Kurwadziwa kwakanyanya kwemajoini, mapundu kana maronda eganda, kuoma kufema, kuzvimba kwemakumbo kana zvitsitsinho, kuwedzera uremu kamwe kamwe. |
| Migumisiro yakajairika (isiri yakakomba) | |
| Matambudziko ekugaya chikafu | Kushungurudzika kwemudumbu, gasi, manyoka, kuda kurutsa (zvinowanzoitika pakutanga kwekurapwa uye zvinopera gare gare. Izvi zvinogona kuderedzwa nekunwa pamwe chete nechikafu). |
| Zvimwe | Musoro, pahuro panorwadza, mhino inoyerera. |
Mharidzo Yekuenda Nayo Kumba
- Sitagliptin neMetformin mishonga inoshandiswa kurapa chirwere cheshuga cherudzi rwechipiri. Kuti uwane mhedzisiro yakanaka kubva pane izvi, kudya zvakanaka uye kurovedza muviri kwakakosha.
- Nguva dzose tora piritsi iri kana wadya kana wapedza kudya .
- Iva nechokwadi chekuudza chiremba wako nezve mimwe mishonga, mavhitamini, kana mishonga yechivanhu yauri kutora.
- Ziva zviratidzo zveshuga yakaderera muropa (hypoglycemia) (kudedera, kudikitira, dzungu). Chengeta chimwe chinhu chinotapira pedyo kuti udye kana mamiriro ezvinhu akadaro akaitika.
- Kana uchinzwa kurwadziwa kwakanyanya mudumbu, kunetseka kufema, kana kurwadziwa kwakanyanya kwetsandanyama, zvinogona kuva chiratidzo chechirwere chakakomba chakadai seLactic Acidosis kana Pancreatitis . Enda kuchipatara cheETU nekukasika.
- Usarega kutora mushonga kana kuchinja mwero wemushonga usina kupiwa mazano nachiremba. Kana uine zvinokunetsa, taura nachiremba wako.
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