Kodi ndizotheka ndi shuga mellitus Diacarb? Kukula kwa njira ya pathological kumaphatikizapo njira yochenjera osati posankha zakudya, komanso kayendedwe ka mankhwala.
Kugwiritsa ntchito mapiritsi kungakhale kosiyana - kuyambira pakuchotsa mutu mpaka kukakamizidwa kuti muzitha kugwira ntchito zofunika kwambiri mkati ndi mthupi. Ndiye chifukwa chake, chithandizo choyenera chimayenera kukhala ndi njira yolumikizirana ndikuganizira za thanzi la wodwalayo, osati matenda amodzi okha.
Aliyense amene ali ndi matenda a shuga ayenera kudziwitsa dokotala za kumwa mapiritsi ndi kupezeka kwa matenda opatsirana.
Ndi mankhwala ati omwe amaletsedwa kumwa ndi chitukuko cha matenda?
Mankhwala ochepetsa shuga sikugwirizana nthawi zonse kugwiritsa ntchito mankhwala ena. Zotsatira zakugwiritsa ntchito molakwika limodzi zimatha kukhala zotsutsana mukulira kowopsa kwamlingo wama glucose. Kuphatikiza apo, kuchuluka kwa shuga mwadzidzidzi kumawonekera, komwe sikungakhale kwachinsinsi ngakhale ndikusankha koyenera kwa mankhwalawa, chifukwa chake, wodwalayo amayamba kukayikira kuyenerera kwa dokotala.
Pafupipafupi milandu ndi pamene matenda a shuga amachititsa kuti matenda ena a mtima apatsidwe - matenda oopsa kapena matenda a mtima. Mankhwalawa achire a matenda oterewa, mankhwala atha kutumikiridwa, mothandizidwa ndi insulin kukana. Chifukwa chake, maselo ndi minyewa ya munthu wodwala matenda ashuga amasiya kuyankha chifukwa cha kapamba wopangidwa ndi insulin. Mankhwalawa akuphatikiza magulu otsatirawa a mankhwalawa:
- Kusankha komanso osasankha a beta-blockers omwe amachititsa kuti kagayidwe kazachulukidwe ka carbohydrate. Kuphatikiza apo, zotsatira zawo zimafikira ku metabolidi ya lipid komanso kuwonjezeka kwa kuchuluka kwa cholesterol yoyipa. Oimira akuluakulu a beta-blockers ndi Anaprilin, Atenolol, Bisoprolol, Carvedilol ndi Talinolol.
- Thiazide-mtundu diuretics, monga Hypothiazide, Oxodoline kapena Chlortalidone.
- Ma calcium calcium blockers okhala ndi nthawi yochepa (Verapamil ndi Nifedipine).
Ndikwabwino kusinthitsa zakumwa zomwe zaperekedwa pamwambapa ndi mankhwala omwe samakhudzanso kuchuluka kwa glucose m'magazi komanso okhudzana ndi mankhwala osaloledwa. Awa atha kukhala oyimilira a calcium calcium blockers okhala ndi nthawi yayitali.
Kuphatikiza apo, pali mitundu ingapo ya mankhwala omwe samangoletsedwa mu shuga, komanso angayambitse chiwonetsero chake. Izi zikuphatikiza ndi awa:
- mitundu ina ya njira zakulera (makamaka kuchokera pagulu la njira zakulera zophatikizira) ꓼ
- glucocorticoids, omwe ndi mankhwala a adrenal mahomoniꓼ
- tridclic antidepressantsꓼ
- mankhwala ena a anti-TB (makamaka kupewa isoniazid) ꓼ
- kugona mapiritsi kuchokera pagulu la barbituratesꓼ
- mankhwala osokoneza bongo ndi mavitamini ofotokoza nicotinic acidꓼ
- mankhwala opha maantiotic ngati doxycyclineꓼ
- Matenda am'mimba
- kukula kwamafutaꓼ
- mankhwala omwe amalimbikitsa alpha ndi beta adrenoreceptor stimulationꓼ
- mankhwala omwe ali mahomoni ena a chithokomiro (thyroxine ndi triiodothyronine) ꓼ
- mankhwala ena a antihypertensive (diazoxide).
Kuphatikiza apo, pali mankhwala omwe angakulitse zotsatira za kumwa mankhwala ochepetsa shuga, omwe nthawi zambiri amayambitsa hypoglycemia. Mankhwala akuluakulu omwe angayambitse kutsika kwa shuga (osaphatikizidwa ndi gulu la mankhwala a hypoglycemic) ndi awa:
- Mankhwala a antibacterial ochokera ku gulu la sulfonamides.
- Mowa wa Ethyl.
- Amphetamine (mankhwala osokoneza bongo).
- Mankhwala ena a anticholesterol (fibrate).
- Pentoxifylline, nthawi zambiri amagwiritsidwa ntchito pochiza matenda a mtima.
Kuphatikiza apo, mankhwala a cytostatic omwe angagwiritsidwe ntchito pakupanga khansa kapena rheumatism angayambitse kuchepa kwa shuga.
Chifukwa chiyani mankhwala a Diakarb adalembedwa?
Mankhwala a Diacarb amaphatikizidwa m'gulu la mankhwala okodzetsa. Chofunikira chachikulu ndicho mankhwala acetazolamide. Chifukwa cha kapangidwe kake ka mankhwala, phula lothandizira limalepheretsa kuyamwa kwa sodium ndi potaziyamu kumapeto kwenikweni kwa aimpso tubules - nephron. Zotsatira zake, kuchuluka kwa ma electrolyte kumakulitsidwa ndi mkodzo: sodium, potaziyamu, mchere wa bicarbonates, magnesium, calcium, phosphates yokhala ndi chlorine chosungidwa.
Mankhwalawa ali ndi antiglaucoma ndipo angagwiritsidwe ntchito ngati mankhwala ochizira matenda a khunyu. Kukonzekera kwa piritsi kumadziwika ndi diuretic yochepa, koma kumachepetsa kupanga kwa madzi mkati mwa mantha. Nthawi yomweyo, mphamvu yake yotsitsa imakhala ndi cholinga chokwaniritsa cholinga china - mutatha kumwa mankhwalawo mkati mwa dongosolo lamkati lamanjenje, kukakamira kwa mitsempha ndi intracranial kumachepa.
Zizindikiro zazikulu zogwiritsa ntchito mankhwalawa zimachokera pazomwe zimachitika:
- diuretic (ofatsa) ꓼ
- antiepilepticꓼ
- anti-glaucomaꓼ
- amathandizira kuchepetsa kukhudzika kwa intracranial.
Kuphatikiza apo, nthawi zambiri mankhwala amaperekedwa nthawi yomweyo asanafunike opareshoni. Cholinga chachikulu ndikuchepetsa kupanikizika. Komanso, mankhwalawa atha kulimbikitsidwa pamagulu otsatirawa a odwala:
- pakuwonjezereka kwa intracranial pressureꓼ
- Pamaso pa khunyu
- ngati pali kutupika pang'ono, komwe kumadziwonetsa chifukwa cha kufooka kwa mtima kulephera kwamtunduꓼ
- prophylaxis kuti muchepetse kuwonekera kwa matenda akumapiriꓼ
- mu zovuta zochizira chitukuko cha yachiwiri glaucomaꓼ
- kuti athetse zomwe zimachitika chifukwa cha maphunziro a premenstrual syndrome.
Diacarb imapezeka piritsi. Kugwiritsa ntchito kwake kuyenera kuvomerezedwa ndi dokotala woganizira mitundu yoyenera. Mapiritsi amatengedwa pakamwa ndi madzi pang'ono, ndipo nthawi zonse.
Monga lamulo, mankhwala amatengedwa kawiri patsiku - m'mawa ndi masana.
Kodi ma contraindations amatenga diacarb ndi chiyani?
Mankhwalawa amayenera kumwedwa mosamala. Chifukwa chake, mutha kupewa mankhwala osokoneza bongo, kukula kwa zovuta komanso kukwaniritsa zofunikira zochizira. Tiyenera kukumbukira kuti tikadumpha mlingo wotsatira, palibe chifukwa chowonjezera mlingo wotsatira. Chimodzi mwazomwe zimachitika ndi mankhwalawa ndikuti kuwonjezera mlingo sikuwonjezera mphamvu ya okodzetsa (koma mosinthanitsa).
Kugwiritsa ntchito molakwika mankhwalawa kumatha kuyambitsa zotsatirazi:
- Kusanza ndi kusanza.
- Mavuto a Stool, kutsegula m'mimba.
- Sinthani kukoma, kuwonongeka.
- Kuyamwa mwachangu.
- Kumva kuwonongeka kapena tinnitus yosasangalatsa.
- Kumva kutopa kosalekeza.
- Chizungulire
- Kukokana mu minofu ya ng'ombe.
- Kuperewera kwa mgwirizano kapena kuwonongeka kwa poyimirira.
Ndi koletsedwa kumwa mankhwalawa milandu:
- ana osakwana zaka zitatu;
- pamaso pa matenda owopsa a chiwindi ndi impso;
- pa mimba (makamaka woyamba trimester) ndi yoyamwitsa;
- Matenda a Addison;
- ndi chitukuko cha metabolic acidosis mu shuga;
Mankhwala satengedwa pamaso pa hypokalemia ndi hyponatremia.
Zokhudza thupi la Diakarba mu shuga?
Musanamwe mankhwala a Diacarb, muyenera kudziwitsa dokotala, ndikuwerenga mosamala malangizo ogwiritsira ntchito mankhwalawa. Muli zosindikiza zovomerezeka zomwe zikuwonetsedwa bwino (gawo "Langizo Mwapadera") kuti mankhwalawa ayenera kugwiritsidwa ntchito mosamala kwambiri kwa anthu omwe ali ndi matenda a shuga.
Chomwe chimapangitsa izi ndi chiopsezo chowonjezeka cha hyperglycemia. Chifukwa chake, diacarb imakulitsa mwachindunji kuchuluka kwa shuga m'magazi, komanso imatha kuyambitsa kuchuluka kwa shuga mu shuga. Chifukwa chake, ngati mankhwalawo sangasinthidwe ndi mankhwala omwe ali ndi vuto limodzi, chithandizo chamankhwala (kapena kusintha kwa mankhwalawo) cha mankhwala ochepetsa shuga ziyenera kuunikidwanso.
Komanso, kutenga Diacarb, kuyezetsa kosalekeza kuyenera kuchitidwa kuti mudziwe kuchuluka kwa mapulosi m'magazi ndi ma elekitiroma mu seramu yake.
Diacarb ndi m'gulu la mankhwalawa, omwe amakhudza mwachindunji kusintha kwamagazi a shuga, ndikuwonjezera. Ichi ndichifukwa chake madokotala opezekapo amayenera kuchitapo kanthu ngati zingatheke kuti musinthe mankhwala. Monga lamulo, njira zazikulu ndizosintha ndikusintha kwa jakisoni wa insulin kapena mankhwala a hypoglycemic.
Kuphatikiza apo, pali zotsatira kuchokera pa kutenga Diacarb pazochitika zamkodzo zamkodzo. Mfundoyi iyeneranso kukumbukiridwa popanga matenda ashuga, kuti musapangitse chiwonetsero cha hyperglycemia ndi chikho cha shuga.
Mfundo zothandizira matenda a shuga zafotokozedwa muvidiyoyi.
