Uri kutora mishonga yechirwere cheshuga cherudzi rwechipiri here? Ngatitaurei nezvemapiritsi eTolbutamide!

Ungave uine chirwere cheshuga cherudzi rwechipiri, saka chiremba wako anogona kunge akakunyorera mushonga unonzi Tolbutamide. Kana kuti ungave uchida kuziva zvakawanda nezvemushonga uyu. Zvisinei, zvakakosha kuziva kuti mushonga uyu chii chaizvo. Saka nhasi, ngatitaurei nezvazvo zvakadzama uye nenzira iri nyore.

Chii chaizvo chinoitika nemushonga uyu unonzi Tolbutamide?

Muchidimbu, Tolbutamide mushonga unobatsira kudzora chirwere chako cheType 2 Diabetes. Unonyanya kubatsira insulin hormone yemuviri wako kuti iite basa rayo nemazvo. Unoziva, kana uine chirwere cheshuga, muviri wako haugadzi insulin yakakwana, kana kuti insulin yaunogadzira haishande nemazvo. Ndipo panobatsira mushonga uyu.

Asi chinhu chimwe chete chekurangarira. Haugone kudzora chirwere cheshuga nekutora mushonga uyu wega. Unogona kuwana rubatsiro rwakanyanya kubva mumushonga uyu chete nekudya kwakakodzera uye kurovedza muviri. Mushonga uyu unogona kuwanikwa pamusika uchishandisa mazita akadai seOrinase kana Tol-Tab. Asi kana chinhu chikuru chemushonga chaunonyorerwa nachiremba chiri Tolbutamide, zvese izvi zvine basa.

Dzimwe nguva mushonga uyu unogona kushandiswa kune zvimwe zvikonzero zvehutano. Kana muine mibvunzo nezveizvi, bvunzai chiremba wenyu kana wemishonga.

Ndezvipi zvinhu zvamunofanira kuudza timu yenyu yezvekurapa musati matora mushonga uyu?

Iyi inyaya inokosha zvikuru. Kana uine chimwe chezvirwere zvinotevera, unofanira kuudza chiremba wako usati watanga mushonga uyu:

• Kana uine chirwere cheshuga chinonzi ketoacidosis, chirwere chakakomba chinokonzerwa nechirwere cheshuga.
• Kana uine kushomeka kwema enzyme kunonzi glucose-6-phosphate dehydrogenase deficiency (G6PD deficiency) .
• Kana uine chirwere chemwoyo .
• Kana uine chirwere cheitsvo .
• Kana uine chirwere chechiropa .
• Kana uine hutachiona hwakakomba kana kukuvara .
• Kana uine chirwere chethyroid .
• Kana wakambova nedambudziko risingawanzoitika kana kuti rakakurwadza nekuda kwetolbutamide, mishonga yesulfa, mimwe mishonga, chikafu, madhayi ekugadzira, kana mishonga yekuchengetedza.
• Kana uine pamuviri kana kuti uri kuedza kubata pamuviri.
• Kana uri amai vanoyamwisa.

Kana ukataura chokwadi ichi nemazvo, chiremba wako anogona kusarudza kana mushonga uyu wakakunakira kana kuti uchida imwe sarudzo.

Mushonga uyu unoshandiswa sei chaizvo?

Mushonga uyu ipiritsi raunonwa nemuromo. Medza piritsi negirazi remvura. Unofanira kutevedzera mirairo iri papepa remushonga sezvawakapihwa nachiremba wako. Zvakanaka kutora mushonga panguva imwe chete zuva nezuva. Usatore zvinopfuura zvawakaudzwa nachiremba.

Kana uri kupa mushonga uyu kuvana, unofanira kutaura nachiremba wevana nezvazvo. Ungangoda kutarisirwa kwakakosha.

Vanhu vane makore anopfuura makumi matanhatu nemashanu ekuberekwa vanogona kunzwa simba rakawanda kana vachitora mushonga uyu. Nokudaro, vangangoda kupiwa mushonga wakaderera.

Zvakakosha: Kana uchifunga kuti watora mushonga wakawandisa (overdose), fonera nzvimbo iri pedyo yekudzora chepfu kana kamuri rekukurumidzira nekukurumidza.

Chimwezve ndechekuti mushonga uyu ndewako chete. Usambofa wakapa mumwe munhu mushonga wako, kunyangwe aine zviratidzo zvakafanana nezvako.

Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?

Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, svetuka dosi yawakarasikirwa nayo wotora dosi yako inotevera panguva yakatarwa. Usambofa watora dosi yakapetwa kaviri.

Ndezvipi zvimwe zvingaitika pamushonga uyu?

Izvi zvakare chimwe chinhu chekungwarira zvikuru. Mimwe mishonga nezvikafu zvinogona kupindirana neTolbutamide. Kureva kuti, kushanda kwemushonga uyu kunogona kuchinja, kana kuti migumisiro yacho inogona kuwedzera.

Mushonga uyu unogona kusangana nezvinotevera:

• Bosentan
• Chloramphenicol
• Cisapride
• Mishonga yezvirwere zvefungus kana yeast (semuenzaniso fluconazole, ketoconazole)
• Metoclopramide
• Probenecid
• Warfarin

Pamusoro pezvo, kune mimwe mishonga nezvimwe zvinhu zvinogona kuwedzera kana kuderedza huwandu hweshuga muropa rako. Unofanira kungwarira paunenge uchitora mushonga uyu navo. Semuenzaniso:

• Zvinwiwa zvinodhaka
• Aspirin nemishonga yakafanana nayo
• Zvinovaka muviri zveChromium
• Mishonga inorwisa mabhakitiriya yakaita se clarithromycin
• Mishonga inobvisa weti (diuretics)
• Mahormone echikadzi (akadai seestrogens kana progestins) uye mapiritsi ekudzivirira pamuviri
• Mishonga yezvirwere zvemwoyo
• Isoniazid
• Mahormone evarume kana anabolic steroids
• Mishonga yekuderedza huremu
• Mishonga yeAllergy, asthma, dzihwa, uye yekukosora
• Mishonga yekurapa chirwere chepfungwa
• Mishonga iri muboka remishonga inonzi MAO Inhibitors (semuenzaniso Nardil, Parnate)
• Niacin
• NSAIDs (semuenzaniso, ibuprofen, naproxen)
• Pentamidine
• Phenytoin
• Mishonga inorwisa mabhakitiriya yeQuinolone (semuenzaniso ciprofloxacin, levofloxacin)
• Zvimwe zvekudya zvinovaka muviri zvemishonga
• Mishonga yeSteroid (semuenzaniso prednisone, cortisone)
• Mishonga ye thyroid

Rondedzero iyi haina kukwana. Saka, udza chiremba wako nezvemishonga yese (kusanganisira mishonga inotengeswa kunze kwemutero), mishonga yemishonga, uye zvekudya zvauri kutora. Udzawo chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa mimwe mishonga. Izvi zvinogonawo kukanganisa mishonga yako.

Ndezvipi zvinhu zvekungwarira pakushandisa mushonga uyu?

Unofanira kugara uchitarisa hutano hwako paunenge uchishandisa mushonga uyu.

• Ona chiremba wako nguva dzose: Enda kunoongororwa sezvakarairwa nachiremba wako kuti uone kuti chirwere chako cheshuga chiri kudzorwa sei.
• Kuongororwa kweHbA1C: Chiremba wako anogona kuraira bvunzo inonzi HbA1C (A1C). Kuongororwa uku kunoyera huwandu hweshuga yako muropa mumwedzi miviri kusvika mitatu yapfuura. Kuongororwa uku kunowanzoitwa mwedzi mitatu kusvika mitanhatu yega yega.
• Dzidza maitiro ekutarisa huwandu hweshuga muropa rako: Zvakakosha kudzidza maitiro ekutarisa huwandu hweshuga muropa rako uri kumba. Zvakare, ziva zviratidzo zveshuga yakaderera muropa (hypoglycemia) uye shuga yakakwira muropa (hyperglycemia) uye maitiro ekuzvidzora.

Ngwarira zvakanyanya nezve hypoglycemia!

Paunenge uchitora mushonga uyu, huwandu hweshuga muropa rako hunogona kudzikira zvakanyanya. Izvi zvinogona kuva nengozi. Saka unofanira kungwarira zvikuru nezveizvi.

• Chengeta chimwe chinhu chinogona kukupa shuga nekukurumidza: Gara uchichengeta chimwe chinhu pedyo chaunogona kudya kana wangoona zviratidzo zveshuga shoma muropa (semuenzaniso kudikitira, kudedera, dzungu, kunzwa nzara zvakanyanya, kunetseka kuisa pfungwa dzako pane chimwe chinhu). Semuenzaniso, macubes eshuga, toffee, mapiritsi eglucose, kana muto wemichero.
• Zivisa vamwe: Kana uri mumamiriro ezvinhu ekusagona kudya kana kunwa nekuda kwehypoglycemia yakanyanya (semuenzaniso, pfari, kurasikirwa nepfungwa), zivisa mhuri yako neshamwari kuti kana ukaedza kuvapa chikafu kana kunwa panguva iyoyo, vanogona kudzipwa. Kana izvi zvikaitika, unofanira kutsvaga rubatsiro rwechiremba nekukasika.
• Kana huwandu hweshuga muropa rako hwakakwira: Kana ukaona zviratidzo zveshuga yakakwira muropa (semuenzaniso, nyota yakawandisa, kuita weti nguva nenguva, kuona zvisipo), udza chiremba wako. Muyero wemushonga wako ungangoda kugadziriswa.
• Kana ukarwara kana kuti kurovedza muviri kwako kukachinja: Kana ukarwara nefivha, dzihwa, kana kuti ukarovedza muviri kupfuura zvakajairika, mushonga wako ungangoda kugadziriswa. Taura nachiremba wako nezvazvo zvakare.
• Usarega kudya: Idya panguva yakakodzera. Kurega kudya kunogona kukonzera shuga shoma muropa.
• Chenjerera nedoro: Bvunza chiremba wako kana zviri nani kurega kunwa doro. Zvimwe zvinodhaka zvekukosora uye zvinonwiwa zvisina kunyorerwa chiremba zvinogona kunge zvine shuga kana doro. Izvi zvinogona kukanganisa huwandu hweshuga muropa.
• Chenjerera zuva: Mushonga uyu unogona kuita kuti ganda rako rinzwe zviri nani pazuva. Saka, pfeka mbatya dzinofukidza ganda rako paunobuda muzuva, shandisa mafuta ekudzivirira zuva, uye usashandise marambi ezuva kana mibhedha yekuchenesa.
• Pfeka chitupa chekurapwa: Pfeka chitupa chekurapwa kana cheni inoratidza kuti une chirwere cheshuga nemishonga yaunotora pamwe chete nechiyero chayo. Uyewo, chengeta kadhi rine ruzivo irworwo nguva dzese. Izvi zvakakosha zvikuru kana paine emergency.

Ndezvipi zvingakonzera migumisiro yakaipa?

Kufanana nemishonga yese, tolbutamide inogona kukonzera mimwe migumisiro yakaipa, kunyange hazvo vasiri vese vanoiwana.

Migumisiro yaunofanira kuudza chiremba wako nezvayo nekukasika:

Kana ukaona chimwe chezviratidzo izvi, udza chiremba wako kana mupi wehutano nekukurumidza sezvinobvira:

• Kuoma kufema
• Weti yero yakasviba kana yebrown, kutsvuka kwemaziso kana ganda (senge jaundice)
• Fivha, dzihwa, pahuro panorwadza
• Kuderera kweshuga muropa (bvunza chiremba wako kuti akupe runyorwa rwezviratidzo zvine chekuita neizvi)
• Kutsamwiswa kwakanyanya kweganda, kutsvuka, kuzvimba, kana kuvaviwa
• Kubuda ropa kusingawanzoitiki kana mavanga

Migumisiro isingawanzove yakakomba, asi inofanira kutaurwa kuna chiremba wako kana ikaramba iripo:

Izvi zvinowanzopera mumazuva mashoma. Asi kana zvikaramba zviripo, udza chiremba wako kana zvichikunetsa:

• Manyoka
• Musoro
• Chirungurira
• Kusvotwa, kurutsa
• Kusagadzikana kwedumbu

Rondedzero iyi haina migumisiro yese inogona kuitika. Kana ukaona chimwe chinhu chisingawanzoitiki, taura nachiremba wako nezvazvo.

Munochengeta sei mushonga?

• Chengeta kure nevana.
• Chengeta patembiricha yemukamuri (pakati pe15 ne30 degrees Celsius, pakati pe59 ne86 degrees Fahrenheit).
• Rasa mushonga wapera usina kuushandisa.

Chinhu chinonyanya kukosha - yeuka!

Chinyorwa chino chinongopa pfupiso pfupi yeTolbutamide. Kana muine mimwe mibvunzo nezvemushonga uyu, ndapota kurukurai nachiremba wenyu, wemishonga, kana mumwe mupi wehutano. Zvakanaka nguva dzose kutevedzera zano rachiremba wenyu pakuita sarudzo pamusoro pehutano hwenyu. Rambai muine hutano hwakanaka!

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