Uri munhu ane chirwere cheshuga cherudzi rwechipiri here? Kana zvakadaro, chiremba wako anogona kunge akakunyorera mushonga unonzi Tolazamide. Unogonawo kuiziva nezita rekuti Tolinase. Uyu mushonga unokosha zvikuru unobatsira kudzora chirwere cheshuga. Saka nhasi, ngatitaurei nezvemushonga uyu nenzira iri nyore uye ine hushamwari.
Chii chinonzi Tolazamide?
Zvichitaurwa zviri nyore, Tolazamide mushonga unobatsira kudzora chirwere cheshuga chako. Unoshanda nekubatsira muviri wako kushandisa hormone ye insulin zvinobudirira. Zvakanyanya kunaka, unopa muviri wako kuwedzera insulin, zvichiita kuti ishande zvinobudirira.
Asi yeuka chinhu chimwe chete. Haugone kudzora chirwere cheshuga nekutora mushonga uyu wega. Unofanirawo kutevedzera kudya kwakanaka uye kurovedza muviri . Kana zvese zvitatu zvasanganiswa ndipo paunowana mhedzisiro yakanaka.
Zvinhu zvekuudza chiremba wako usati watanga mushonga uyu
Usati watanga kushandisa tolazamide, zvakakosha kupa chiremba wako tsananguro yakazara yehutano hwako. Iva nechokwadi chekuvaudza nezvechero chirwere chiri pazasi.
- Kana uine chirwere cheshuga chinonzi Diabetic Ketoacidosis (chirwere chakakomba chinoita kuti ropa rive neacidity) chinokonzerwa nechirwere cheshuga.
- Kana uine kushomeka kwema enzyme kunonzi G6PD deficiency .
- Kana uine chirwere chemwoyo, chirwere cheitsvo, kana chirwere chechiropa.
- Kana paine dambudziko ne thyroid gland.
- Kana wachangobva kubatwa nehutachiona kana kukuvara kwakanyanya.
- Kana uine allergies kune tolazamide, mishonga yesulfa, kana chero imwe mishonga, chikafu, kana dhayi.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri .
- Kana uri amai vanoyamwisa .
Zvichibva paruzivo urwu, chiremba achasarudza kana mushonga uyu wakakunakira iwe kana kwete, kana kuti kana muyero wacho uchifanirwa kuchinjwa.
Ndinofanira kushandisa mushonga uyu sei?
Zvakakosha kuziva mashandisirwo chaiwo emushonga uyu.
- Medza piritsi iri negirazi remvura.
- Unongofanira kuinwa kamwe chete pazuva, pamwe nekudya kwekuseni kana kudya kwekutanga kwezuva .
- Iva netsika yekutora mushonga wako panguva imwe chete zuva nezuva. Nenzira iyi, hauzokanganwi uye mushonga wacho unoshanda zviri nani.
- Usanwe mvura inopfuura yawakanyorerwa nachiremba.
Kune vadiki nevakwegura
Mushonga uyu hauwanzopihwa vana. Zvisinei, kana zvichidikanwa kuupa mune imwe nyaya yakakosha, unofanira kutaura navanachiremba nezvenyaya iyi. Vanhu vane makore anopfuura 65 ekuberekwa vanogona kuita zvine simba nemushonga uyu. Nokudaro, vanowanzopihwa mushonga wakaderera.
Chii chaunofanira kuita kana ukatora mushonga wakawandisa?
Kana uchifunga kuti wakatora mushonga wakawandisa netsaona, usanonoka. Fonera National Poisons Information Centre paColombo National Hospital nekukasika. Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Ko kana ndikakanganwa kunwa mushonga wangu?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike (semuenzaniso, mukati memaawa mashoma), siya mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usatore mushonga kaviri kuti udzorere mushonga wawakakanganwa.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu (Kudyidzana)
Mimwe mishonga yaunotora inogona kushanda pamwe chete neTolazamide uye inokonzera kuti huwandu hweshuga muropa rako hudzike kamwe kamwe (hypoglycemia) kana kukwira (hyperglycemia). Saka unofanira kuudza chiremba wako nezvemishonga yese yaunotora, kusanganisira mavhitamini, mishonga yechivanhu, uye zvigadzirwa zvemiti.
| Rudzi rwemushonga/chinhu | Zvinhu zvekufunga nezvazvo |
|---|---|
| Mishonga inofanira kungwarira zvikuru | Mishonga yakaita seBosentan, Chloramphenicol, Cisapride, Warfarin, Probenecid, mishonga inorwisa fungus (semuenzaniso Fluconazole). |
| Zvinhu zvinogona kukanganisa huwandu hweshuga muropa |
|
Rondedzero iyi haina kukwana, saka zvakanaka kuzivisa chiremba wako nezvemishonga yese yaunotora.
Zvinhu zvekurangarira kana uchitora mushonga
- Kuongororwa nguva dzose: Gara uchitaurirana nachiremba wako uye tarisa mamiriro ako echirwere cheshuga nguva dzose. Ongororwa ropa rinonzi HbA1C kanenge kamwe chete pamwedzi mitatu kusvika mitanhatu. Izvi zvinogona kukubatsira kuona kuti shuga yako yeropa yakadzorwa sei mumwedzi mishoma yapfuura.
- Ziva huwandu hweshuga muropa rako: Dzidza maitiro ekuongorora shuga yako muropa kumba. Ziva zviratidzo zveshuga yakaderera muropa (hypoglycemia) uye shuga yakakwira muropa (hyperglycemia).
- Chengeta shuga pedyo: Gara uchichengeta siwiti, chidimbu cheshuga, kana piritsi reglucose pedyo kuitira kuti shuga yako yeropa iwire kamwe kamwe. Kana ukabatwa nepfari kana kurasikirwa nepfungwa nekuda kweshuga shoma yeropa, udza mhuri yako neshamwari kuti zvine njodzi kuisa chero chinhu mumuromo mako. Kana izvi zvikaitika, unofanira kuenda kuchipatara nekukasika.
- Chenjerera zuva: Mushonga uyu unogona kuita kuti ganda rako rinzwe zviri nani pazuva. Saka deredza kuratidzwa kwezuva rakasimba. Kana uchifanira kubuda panze, pfeka mbatya dzinodzivirira uye zora mafuta ekudzivirira zuva .
- Chitupa Chekurapa: Kutakura kadhi kana bracelet yechiratidzo chekurapa inoratidza kuti une chirwere cheshuga uye mishonga yaunotora inogona kukosha zvikuru panguva yekukurumidzira.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemushonga upi zvawo, Tolazamide inogona kukonzera migumisiro yakaipa kune vamwe vanhu.
| Kupatsanura migumisiro yakaipa | |
|---|---|
| 🚨 Zviratidzo zvinofanirwa kuziviswa kuna chiremba nekukasika | |
| Zviratidzo zveshuga yakaderera muropa | Kudedera, kudikitira zvakanyanya, nzara yakawandisa, kushaya zororo, dzungu, kurova kwemoyo nekukurumidza, kuona zvisizvo, kurasikirwa nepfungwa. |
| Zviratidzo zveAllergy | Mapundu eganda akanyanya, kuvaviwa, kuzvimba, kunetseka kufema. |
| Zvimwe zviratidzo zvakakomba | Kutsvuka kwemaziso kana ganda (jaundice), weti yero/brown yakasviba, fivha, dzihwa, pahuro panorwadza, kubuda ropa kusingawanzoitiki kana mavanga. |
| 🙂 Zviratidzo zvisingawanzo kuva zvakakomba (asi kana zvikaramba zviripo, unofanira kuudza chiremba wako ) | |
| |
Unofanira kuchengeta sei mushonga wako?
Zvakakoshawo kuchengeta mishonga nemazvo. Ichengete panzvimbo yakakwirira kure nevana . Chengeta patembiricha yemukamuri yakajairika (pakati pe15-30 Celsius). Rasa mishonga yapera usingashandise.
Mharidzo Yekuenda Nayo Kumba
- Tolazamide mushonga wechirwere cheshuga cherudzi rwechipiri. Unoshanda zvakanaka chete kana munhu achidya zvakanaka uye achirovedza muviri .
- Nguva dzose tora mushonga wakanyorwa, panguva yakatarwa, sezvakarairwa nachiremba wako.
- Udza chiremba wako nezvemimwe mishonga yose yauri kutora uye chero zvimwe zvirwere zvaungave nazvo.
- Dzidza nezvezviratidzo zveshuga yakaderera muropa (hypoglycemia) uye gara uine shuga pedyo kana paine dambudziko.
- Kana ukasangana nematambudziko akakomba, akadai sekutsvuka kweganda kana kuoma kufema, tsvaga rubatsiro rwechiremba nekukasika .
- Mushonga uyu ndewako chete. Usambougovana nevamwe .
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Tolazamide / Tolinase ipiritsi rinoshandiswa kurapa chirwere chipi?
Uyu mushonga wekare uye une simba guru (Sulfonylurea) unoshandiswa kudzora huwandu hweshuga/shuga muropa muvarwere vane 'Type 2 Diabetes'! Izvi zvinowanzoitwa kana kugadzirwa kweinsulin mumuviri kwadzikira, kuwedzera huwandu hweinsulin nekuderedza shuga.
💬 Mushonga uyu (Tolazamide) unosvina sei insulin mumuviri wedu (pancreas)?
Kana piritsi iri rapinda mudumbu medu, rinorwisa zvakananga 'pancreas' yemuviri wedu. Insulin inogadzirwa nemasero e beta ari mupancreas. Piritsi iri (nekuvharira nzira dzeK+ dzinonzwa ATP) rinomanikidza masero anogadzira insulin kuti 'aburitse insulin yakawanda' sekunge nespark/current. Zvadaro, insulin inorova muviri sedombo, ichipwanya shuga yese (glucose) muropa.
💬 Ndedzipi njodzi huru dzinofanira kuzivikanwa nevanhu vanotora mapiritsi aya (Sulfonylurea)?
Njodzi huru uye inouraya zvikuru ndeye 'hypoglycemia / shuga shoma muropa'. Kana munhu mukuru akanwa piritsi iri asina kudya, insulin inowedzerwa uye shuga inodzikira kusvika pazero, zvichiita kuti murwere apinde mukoma ofa (anotanga kushushikana uye kudikitira)! Uyewo, kana akaramba achinwa, huremu hwemurwere huchawedzera nekilo.
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