Gulu

Zamkati

• Musanatenge nateglinide,
• Mankhwalawa amatha kusintha shuga m'magazi anu. Muyenera kudziwa zizindikiro za shuga wotsika kwambiri komanso zomwe muyenera kuchita ngati muli ndi izi.
• Mutha kukhala ndi hypoglycemia (shuga wotsika magazi) mukamamwa mankhwalawa. Dokotala wanu angakuuzeni zomwe muyenera kuchita ngati mukudwala hypoglycemia. Atha kukuwuzani kuti mufufuze shuga m'magazi anu, muzidya kapena kumwa chakudya kapena chakumwa chomwe chili ndi shuga, monga maswiti olimba kapena msuzi wazipatso, kapena kupita kuchipatala. Tsatirani malangizowa mosamala ngati muli ndi zizindikiro zotsatirazi za hypoglycemia:
• Ngati hypoglycemia sakuchiritsidwa, zizindikiro zoyipa zimatha kuyamba. Onetsetsani kuti abale anu, abwenzi, ndi anthu ena omwe amacheza nanu akudziwa kuti ngati muli ndi izi, akuyenera kukulandirani mwachangu.
• Itanani dokotala wanu nthawi yomweyo ngati muli ndi zizindikiro zotsatirazi za hyperglycemia (shuga wambiri wamagazi):
• Ngati shuga wambiri m'magazi sakuchiritsidwa, matenda owopsa omwe amatchedwa matenda ashuga ketoacidosis amatha. Itanani dokotala wanu nthawi yomweyo ngati muli ndi izi:
• Nateglinide imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

Nateglinide imagwiritsidwa ntchito yokha kapena kuphatikiza mankhwala ena kuti athetse matenda ashuga amtundu wa 2 (momwe thupi siligwiritsire ntchito insulini mwachizolowezi motero silingathe kuwongolera kuchuluka kwa shuga m'magazi) mwa anthu omwe matenda awo ashuga sangathe kuwongoleredwa ndi zakudya komanso zolimbitsa thupi zokha . Nateglinide ali mgulu la mankhwala otchedwa meglitinides. Nateglinide imathandizira thupi lanu kuwongolera kuchuluka kwa shuga (shuga) m'magazi anu. Amachepetsa kuchuluka kwa shuga poyambitsa kapamba kuti amasule insulini.

Popita nthawi, anthu omwe ali ndi matenda ashuga komanso shuga wambiri m'magazi amatha kukhala ndi mavuto owopsa kapena owopsa, kuphatikizapo matenda amtima, sitiroko, mavuto a impso, kuwonongeka kwa mitsempha, komanso mavuto amaso. Kumwa mankhwala (mankhwala), kusintha moyo wanu (mwachitsanzo, zakudya, kuchita masewera olimbitsa thupi, kusiya kusuta), komanso kuwunika shuga wanu wamagazi pafupipafupi kungakuthandizeni kuthana ndi matenda anu ashuga komanso kukhala ndi thanzi labwino. Mankhwalawa amathanso kuchepetsa mwayi wokhala ndi vuto la mtima, sitiroko, kapena zovuta zina zokhudzana ndi matenda ashuga monga impso kulephera, kuwonongeka kwamitsempha (dzanzi, miyendo yozizira kapena mapazi; kuchepa kwa kugonana kwa amuna ndi akazi), mavuto amaso, kuphatikiza kusintha kutaya masomphenya, kapena matenda a chiseyeye. Dokotala wanu ndi ena othandizira zaumoyo adzakambirana nanu za njira yabwino yothetsera matenda anu ashuga.

Nateglinide amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa katatu patsiku. Tengani nateglinide nthawi iliyonse kuyambira mphindi 30 musanadye chakudya musanadye chakudya. Ngati mulumpha chakudya, muyenera kudumpha mlingo wa nateglinide. Ngati muwonjezera chakudya, onjezerani mlingo wa nateglinide. Dokotala wanu amatha kukulitsa mlingo wanu pang'onopang'ono, kutengera yankho lanu ku nateglinide. Onetsetsani magazi anu a magazi mosamala. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani nateglinide ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe mwalamulira phukusi kapena mwadokotala.

Nateglinide amawongolera matenda ashuga koma samachiritsa. Pitilizani kumwa nateglinide ngakhale mukumva bwino. Osasiya kumwa nateglinide osalankhula ndi dokotala.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge nateglinide,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la nateglinide kapena mankhwala ena aliwonse.
• auzeni dokotala ndi wazamankhwala mankhwala omwe mumamwa, makamaka albuterol (Proventil, Ventolin); ziwengo kapena mankhwala ozizira; aspirin ndi mankhwala osagwiritsidwa ntchito poletsa kutupa monga ibuprofen (Advil, Motrin) kapena naproxen (Aleve, Naprosyn); zotchinga beta monga propranolol (Inderal); mankhwala a chloramphenicol (Chloromycetin); mankhwala a chlorpromazine (Thorazine); corticosteroids monga dexamethasone (Decadron), methylprednisolone (Medrol), kapena prednisone (Deltasone, Orasone); okodzetsa ('mapiritsi amadzi'); epinephrine; estrogens; fluphenazine (Prolixin); isoniazid (Rifamate); mankhwala omwe ali ndi mowa kapena shuga; mesoridazine (Serentil); kachilombo; njira zakulera zam'kamwa (mapiritsi olera); perphenazine (Trilafon); phenelzine (Nardil); ma probenecid (Benemid); prochlorperazine (Compazine); promazine (Sparine); promethazine (Phenergan); terbutaline (Brethine, Bricanyl); thioridazine (Mellaril); mankhwala a chithokomiro; tranylcypromine (Parnate); trifluoperazine (Stelazine); triflupromazine (Vesprin); trimeprazine (Temaril); ndi mavitamini kapena mankhwala azitsamba.
• Uzani dokotala ngati mwakhalapo ndi matenda a chiwindi kapena am'mimba, kusakwanira kwa adrenal, matenda ashuga ketoacidosis, matenda amitsempha (matenda amanjenje), kapena ngati mwauzidwa kuti muli ndi mtundu woyamba wa matenda ashuga (momwe thupi silili amatulutsa insulin motero sangathe kuwongolera kuchuluka kwa shuga m'magazi).
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga nateglinide, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa nateglinide.
• uzani dokotala wanu ngati muli ndi malungo, matenda, kuvulala, kapena matenda ndi kusanza kapena kutsegula m'mimba. Izi zingakhudze kuchuluka kwa shuga m'magazi anu.

Onetsetsani kuti mukutsatira zolimbitsa thupi komanso malingaliro azakudya zomwe adokotala anu kapena odyetsa. Kuchepetsa ma kalori, kuonda, komanso kuchita masewera olimbitsa thupi kumathandizira kuchepetsa matenda ashuga. Ndikofunika kudya chakudya chopatsa thanzi. Mowa ungayambitse shuga m'magazi. Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa nateglinide.

Musanayambe kumwa nateglinide, funsani dokotala zomwe muyenera kuchita mukaiwala kumwa mankhwala. Lembani malangizo awa kuti muthe kuwawunikiranso mtsogolo. Nthawi zambiri, ngati mwangoyamba kumene kudya, tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati mwatsiriza kudya, kapena ngati ili nthawi yoti muyambe kumwa mankhwala, tulukani mlingo womwe mwaphonyawo ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Mankhwalawa amatha kusintha shuga m'magazi anu. Muyenera kudziwa zizindikiro za shuga wotsika kwambiri komanso zomwe muyenera kuchita ngati muli ndi izi.

Mutha kukhala ndi hypoglycemia (shuga wotsika magazi) mukamamwa mankhwalawa. Dokotala wanu angakuuzeni zomwe muyenera kuchita ngati mukudwala hypoglycemia. Atha kukuwuzani kuti mufufuze shuga m'magazi anu, muzidya kapena kumwa chakudya kapena chakumwa chomwe chili ndi shuga, monga maswiti olimba kapena msuzi wazipatso, kapena kupita kuchipatala. Tsatirani malangizowa mosamala ngati muli ndi zizindikiro zotsatirazi za hypoglycemia:

• kugwedezeka
• chizungulire kapena mutu wopepuka
• thukuta
• manjenje kapena kupsa mtima
• kusintha kwadzidzidzi pamakhalidwe kapena malingaliro
• mutu
• dzanzi kapena kumva kulasalasa moyamwa
• kufooka
• khungu lotumbululuka
• njala
• kusakhazikika kapena kusuntha

Ngati hypoglycemia sakuchiritsidwa, zizindikiro zoyipa zimatha kuyamba. Onetsetsani kuti abale anu, abwenzi, ndi anthu ena omwe amacheza nanu akudziwa kuti ngati muli ndi izi, akuyenera kukulandirani mwachangu.

• chisokonezo
• kugwidwa
• kutaya chidziwitso

Itanani dokotala wanu nthawi yomweyo ngati muli ndi zizindikiro zotsatirazi za hyperglycemia (shuga wambiri wamagazi):

• ludzu lokwanira
• kukodza pafupipafupi
• njala yayikulu
• kufooka
• kusawona bwino

Ngati shuga wambiri m'magazi sakuchiritsidwa, matenda owopsa omwe amatchedwa matenda ashuga ketoacidosis amatha. Itanani dokotala wanu nthawi yomweyo ngati muli ndi izi:

• pakamwa pouma
• nseru ndi kusanza
• kupuma movutikira
• mpweya womwe umanunkhira zipatso
• kuchepa chikumbumtima

Nateglinide imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• Kuchuluka kwa mphuno
• mphuno
• zophatikizana
• kupweteka kwa msana
• kudzimbidwa
• chifuwa
• zizindikiro ngati chimfine

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Shuga wamagazi anu ndi hemoglobin (HbA1c) ya glycosylated iyenera kufufuzidwa pafupipafupi kuti mudziwe yankho lanu ku nateglinide. Dokotala wanu adzakuwuzani momwe mungayang'anire kuyankha kwanu ndi mankhwalawa poyeza magazi kapena mkodzo wanu shuga kunyumba. Tsatirani malangizowa mosamala.

Dzisunge wekha ndi zovala zako. Sambani mabala, mabala, ndi zilonda zina msanga, ndipo musalole kuti zizitenga kachilomboka.

Muyenera kuvala chibangili chizindikiritso cha ashuga kuti mutsimikizire kuti mumalandira chithandizo chadzidzidzi pakagwa mwadzidzidzi.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Starlix^®