Nthawi zambiri, odwala ambiri amayamba kumwa mankhwalawa osakakamizidwa ndi dokotala, zomwe zimakhudza thanzi lawo ndipo zimatha kuyipitsanso thanzi. Komanso pali zochitika zina pamene sizingatheke kupita kukaonana ndi dokotala, ndiye kuti muyenera kuphunzira mosamala zonena za mankhwalawo, nthawi zambiri malangizo ogwiritsira ntchito mankhwalawa ali ndi chidziwitso chonse chofunikira.
Makamaka kusamalira malangizo omwe mungafune kufikira odwala omwe ali ndi matenda ashuga. Zowonadi, pamkhalidwe wawo pamakhala kuthekera kwakukulu kuti mankhwala ena ake amatha kuyambitsa zovuta komanso angayambitse kuwonongeka koopsa m'moyo wabwino.
Mwachitsanzo, ngati tizingolankhula za mankhwala odziwika ngati Diaformin, ndiye kuti amagwiritsidwa ntchito pokhapokha ngati ali ndi shuga omwe amadalira insulin, ndiye matenda amtundu wachiwiri. Awa akhoza kukhala mankhwala a mtundu wa cf, omwe ali ndi chinthu chogwira ntchito kwambiri, kapena muyezo, womwe umangokhala ndi 850 mg ya chinthu chachikulu.
Odwala otere nthawi zambiri amadwala kwambiri kunenepa; m'mbuyomu adalandira chithandizo china, koma sizinatheke kubwezeretsa kagayidwe kachakudya.
Ngati tikulankhula za odwala omwe ali ndi mtundu woyamba wa matenda, omwe, atalembedwa kale jakisoni wa insulin, ndiye kuti mankhwalawa ayenera kutengedwa limodzi ndi analog yamahomoni a munthu, omwe atchulidwa pamwambapa.
Komanso pazochitika zonsezi, ndikofunikira kutsatira zakudya zapadera ndikuchita zolimbitsa thupi.
Malangizo ogwiritsira ntchito mankhwalawa
Ndikofunikanso kudziwa kuti mulingo woyenera ukuperekedwa kuti mudziwe mtundu wake. Mlingo woyenera wa mankhwalawo, komanso dongosolo la makonzedwe, umalimbikitsidwa ndi dokotala. Simungadziyimire nokha mapiritsi kuti ndi zinthu zochuluka motani zomwe zimagwira bwino ntchito, ndipo makamaka, muziyang'ana m'malo mwa mankhwalawo.
Tiyeneranso kunenanso kuti mankhwalawa amagwiritsidwa ntchito ngati chida chachikulu chothandizira, komanso ngati chinthu china. Njira yachiwiri ikuphatikizira kugwiritsa ntchito nthawi imodzi ya sulfonylurea.
Nthawi zambiri, katswiri amalimbikitsa kumwa mankhwalawo mwachindunji ndi zakudya, pafupifupi kawiri kapena katatu patsiku. Pankhaniyi, mlingo waukulu wa tsiku lililonse sayenera kupitirira magalamu atatu. Zikuwonekeratu kuti kuyamba kwa chithandizo kumayambira ndi mlingo wotsika kwambiri, pafupifupi gramu imodzi patsiku. Ndipo kale ngati sizipereka zotsatira zoyenera, ndiye kuti zimayamba kuwonjezera muyeso womwe watchulidwa pamwambapa, koma izi zimachitika pang'onopang'ono. Nthawi imeneyi imatha kukhala kuchokera masiku angapo mpaka milungu ingapo.
Ngati mukumwa mankhwalawa Diaformin malinga ndi chizolowezi chokhazikitsidwa, ndiye kuti chithandizo chamankhwala chikuyembekezeka kupezeka mkati mwa masiku khumi, masiku khumi ndi anayi kuyambira chiyambi cha mankhwala.
Ndikofunika kukumbukira kuti kudzilimbitsa kapena kuchepetsa kuchuluka kwa mankhwalawa ndizoletsedwa. Dokotala wokhayo amene amalimbikitsa ndi kuchuluka kwa mankhwala omwe wodwala wina ayenera kumwa. Ndipo ngati tikulankhula za wodwala wodalira insulin, ndiye kuti ndi dokotala yekhanso amene amatha kusintha mlingo wa mahomoni, omwe umaperekedwa limodzi ndi kumwa mapiritsi.
The zikuchokera mankhwala
Zakhala zikunenedwa pamwambapa kuti musanayambe kumwa Diaformin, ndikofunikira kuti mumvetsetse zomwe zili momwe kapangidwe kamankhwala kameneka kaliri, komanso momwe chithandizo chachikulu chomwe chimakhudzira thupi la wodwalayo.
Piritsi limodzi lamankhwala limalemera 500 mg. Ndi yoyera kapena pafupifupi yoyera.
Nthawi zambiri, madokotala amapereka Diaformin 850 kwa odwala awo, izi zimatanthawuza kuti piritsi limodzi lili ndi 850 mg ya mankhwala othandizira a metformin hydrochloride. Kuphatikiza pa mankhwalawa, mulinso zowonjezera zina, mndandanda wathunthu womwe umatha kuphunziridwa mu malangizo a mankhwalawa.
Komanso pali Diaformin sr, ili ndi zambiri pazofunikira.
Ichi ndichifukwa chake simungathe kudzisankhira mtundu wina wa mankhwala, muyenera kumvetsetsa zomwe mlingo ungakuthandizeni kubwezeretsa thanzi komanso momwe mungamwe mankhwalawa.
Mwa njira, mankhwalawa amagawiridwa pokhapokha atalandira mankhwala.
Ndi dokotala yekhayo amene ayenera kusiya kumwa mankhwalawo, chifukwa wodwalayo amafunika kumuyesa mokwanira ndikupereka mayeso onse oyenera. Pambuyo pokhapokha ndikutha kupanga lingaliro la kupitilirabe mankhwala kapena ngati kuli kotheka kukana kugwiritsa ntchito mankhwalawa.
Mwa njira, sizingakhale zopanda pake kungowerenga ndemanga za odwala ena omwe amagwiritsanso ntchito mankhwalawa.
Ndizosavuta kupeza pa intaneti pamabungwe ena oyenera ndi ena.
Contraindication ndi zoyipa
Monga tafotokozera pamwambapa, matenda ashuga ndi matenda ovuta kwambiri, omwe angayambitse zovuta zambiri mu ntchito ya ziwalo zonse zamkati mthupi, komanso machitidwe ofunikira.
Ichi ndichifukwa chake, kusankha mtundu wa mankhwala, muyenera kuganizira kuchuluka kwake ndi mtundu wake.
Mwachitsanzo, ngati tikulankhula za Diaformin sr, ndiye kuti imakhudza thupi, yomwe imakhala yolimba kwambiri kuposa zomwe zimachitika mukagwiritsa ntchito mankhwala omwe ali ndi 500 mg ya chinthu chachikulu chogwira ntchito. Ngati lamulo ili linyalanyazidwa, ndiye kuti mankhwalawo angayambitse kuwonongeka kwamphamvu m'moyo wa wodwalayo ndikupangitsa thanzi lake kukhala labwinobwino.
Zina mwazotsatira zoyipa zoyipa zimadziwika monga:
- nseru
- kufuna kusanza;
- kutsegula m'mimba
- kupweteka m'mimba;
- kukoma kwazitsulo mkamwa ndi zina zambiri.
Nthawi zina, zizindikiro zotere zimachitika kumayambiriro kwa mankhwalawa, kenako zimatha pang'onopang'ono.
Koma ngati akhala kwa masiku angapo, ndipo mphamvu zawo zimangokulira, ndiye muyenera kulumikizana ndi dotolo wanu ndikuwonetsetsa kuti mwalandira mankhwalawo kapena mukusiyiratu kugwiritsa ntchito mankhwalawo.
Mwa njira, ngati mumwa mankhwalawa kokha ndi zakudya, zotsatirapo zoyipa zingathe kutha zonse.
Nthawi zina, chifukwa chakuti mothandizidwa ndi chinthu chachikulu chochizira, mayamwidwe a vitamini B12, komanso folic acid, amasokonezeka, wodwalayo amatha kuwona kuchepa kwa magazi m'thupi.
Koma kuwunika kambiri kwa odwala kumanenanso kuti zotupa pakhungu pogwiritsa ntchito mankhwalawa sizichitika nthawi zonse.
Ngati muphunzira mosamala malangizo ogwiritsira ntchito mankhwalawa, zimadziwika kuti ndibwino kuyamba kumwa Diaformin 500 mg.
Zowona, pali odwala omwe amalephera kugwiritsa ntchito mankhwala ngati amenewo. Kuphatikiza apo, zilibe kanthu kuti awa ndi mankhwala othandizira, omwe ali ndi 1000 mg ya mankhwala othandizira, kapena mapiritsi wamba omwe ali ndi 500 mg ya zomwe tafotokozazi.
Komanso, ma contraindication satha ngakhale mlingo wa mankhwalawo utachepetsedwa, wodwalayo amakhalabe akumva bwino kwambiri kuposa momwe amachitidwira kale mankhwala.
Malangizo ogwiritsira ntchito mankhwalawa
Kugwiritsa ntchito Diaformin sr 1000 kumapangidwa m'magulu angapo a odwala.
Kukhalapo kwa contraindication kumatengera zotsatira za mayeso ndi machitidwe a thupi la wodwalayo.
Musanagwiritse ntchito mankhwalawa, onetsetsani kuonana ndi dokotala.
Gulu la odwala omwe akuphwanya mankhwala pogwiritsa ntchito mankhwalawa ndi monga:
- Odwala omwe ali ndi matenda ashuga, omwe ali pamlingo wovunda ndi kutchulidwa ketoacidosis kapena kukula kwa hyperglycemic chikomokere;
- Ndikofunika kuti musamwe mankhwalawa kwa odwala omwe akulimbikitsidwa kupatsidwa insulin tsiku lililonse.
- Mndandandawu umaphatikizapo azimayi oyembekezera, komanso iwo amene amayamwitsa ana awo.
- Anthu omwe alengeza mavuto a mtima;
- Anthu omwe ali ndi vuto losagwirizana ndi zilizonse za mankhwalawa.
Mwa njira, pomaliza, njira yosavuta yothetsera vutoli ndi njira yothandizira matenda ashuga. Ndikokwanira kusankha fanizo la mankhwalawo kenako njira yochiritsira imatha kusintha.
Nthawi zina zoterezi zimakhala zotheka ngati dokotala poyamba sangadziwe bwino lomwe za kukhalapo kwa contraindication kwa wodwalayo, chifukwa chake amatha kuletsa mankhwalawo mwachindunji panthawi ya chithandizo.
Chifukwa chake, kuti muchepetse chiopsezo chotenga zovuta, ndibwino kuyamba kumwa mankhwalawo osati a cf, koma omwe ali ndi 500 mg.
Zikatero, mutha kuyang'anitsitsa wodwalayo kuti mudziwe ngati ali ndi zotsutsana zilizonse.
Mtengo wamankhwala komanso kuwunika kwa wodwala
Chifukwa chake, pafupifupi, wodwala aliyense, asanayambe kumwa mankhwala ena, ngakhale atalimbikitsidwa ndi dokotala, amayesa kupeza ndemanga kuchokera kwa odwala ena, ndipo atangoyamba kugwiritsa ntchito mankhwalawa.
Koma mulimonsemo, simungathe kutsogoleredwa ndi ndemanga imodzi yokha, ngati dokotala adalimbikitsa mankhwala ena, ndiye kuti pali zisonyezo zina zake ndipo muyenera kuyamba kuzigwiritsa ntchito nthawi yomweyo.
Polankhula mwachindunji za Diaformin, imakhala ndi vuto la mwachindunji, chifukwa chake minofu komanso minyewa ya adipose imalowetsa shuga kwambiri.
Ndikofunikanso kukumbukira kuti diapiride imakhudza kwambiri metabolid ya lipid, kotero wodwala yemwe amamwa mankhwalawa amachepetsa thupi kwambiri. Ndipo izi ndizofunikira kwambiri kwa odwala ambiri omwe ali ndi matenda a shuga 2.
Pafupifupi, kafukufuku wambiri wasonyeza kuti aliyense amene amamwa mankhwalawa adazindikira kuchepa kwa cholesterol yamagazi, komanso kusintha kwa kagayidwe. Zotsatira zake, mkhalidwe wamunthu umakonzanso mwachangu.
Zowonadi, sitiyenera kuiwala kuti ngati mankhwalawa atengedwa limodzi ndi insulin, ndiye kuti zotsatirazi zitha kuchepetsedwa. Ndipo izi zimayamba kukhala chifukwa cha kukomoka kwa glycemic coma. Chifukwa chake, sitinganene kuti mankhwalawa ndiwothandiza chimodzimodzi kwa onse odwala matenda ashuga.
Pali funso linanso lomwe limakhudzanso aliyense yemwe adalimbikitsidwa kuti ayambe kugwiritsa ntchito mankhwalawa. Ndi zomwe mtengo wa mankhwalawo ndi. Pankhaniyi, zonse zimatengera mlingo komanso kuchuluka kwa mapiritsi amtundu umodzi.
Mwachitsanzo, ngati tikukamba za Diaformin sr, yomwe imaphatikizapo 1000 mg ya chinthu chomwe chikugwira, ndiye kuti mtengo wawo umatha kufikira ma ruble 400 ngati pali mapiritsi 60 mu phukusi, ndipo motero, ma ruble 200 ngati pali mapiritsi atatu okha.
Inde, ngati mlingo wa mankhwalawo ndi wotsika, ndiye kuti mtengo wake umakhalanso wochepa. Chifukwa, mwachitsanzo, mapiritsi okhala ndi mlingo wa mazana asanu mg amatsika kuchokera ku ruble 60 mpaka 100, kutengera kuchuluka kwa mapiritsi amodzi phukusi limodzi.
Ndipo kunena zoona, dziko lomwe mudachokera nalinso ndi gawo lofunikira. Zikuwonekeratu kuti ma analogu achilendo ali ndi mtengo wokwera kuposa mankhwala wamba.
Zomwe odwala matenda ashuga ayenera kugwiritsa ntchito afotokozeredwa ndi katswiri mu kanema munkhaniyi.
