Kungenzeka yini ngesifo sikashukela i-mellitus Diacarb? Ukuthuthukiswa kwenqubo ye-pathological kuhilela indlela yokuqapha hhayi kuphela ekukhetheni imikhiqizo yokudla, kepha kanye nokuphathwa kwezidakamizwa.
Ukusetshenziswa kwamathebhulethi kungahluka - kusuka ekuqedeni ikhanda lekhanda kuya ekuphoxeni okuphoqekile ukuze kugcinwe imisebenzi ebalulekile yezitho zangaphakathi nezinhlelo zomzimba. Yingakho, ukwelashwa okulungile kufanele kube nendlela ehlanganisiwe futhi kucatshangwe ngesimo sempilo jikelele sesiguli, hhayi nje isifo esisodwa.
Wonke umuntu onesifo sokuxilongwa kwesifo sikashukela kufanele azise udokotela wabo ngokuthatha amaphilisi kanye nokuba khona kwezifo ezikhona.
Yiziphi izidakamizwa ezinqatshelwe ukuthatha kanye nokuthuthukiswa kwe-pathology?
Ukwelapha ukwehlisa ushukela akuhambelani ngaso sonke isikhathi nokusetshenziswa kweminye imithi. Umphumela wokusetshenziswa kwabo okungalungile ndawonye kungaba ukungqubuzana ngendlela yokwanda okubukhali kwamazinga kashukela. Ngaphezu kwalokho, kuboniswa ukwanda okungazelelwe kushukela, okungenakwenziwa kube okujwayelekile ngisho nangokhetho olufanele lwemithi futhi, ngenxa yalokho, isiguli siqala ukungabaza ikhono likadokotela wakhe.
Amacala avame ukuvela lapho isifo sikashukela sikhuthaza ukuthuthukiswa kwezinkinga ngendlela yezifo zenhliziyo - umfutho wegazi ophakeme noma isifo senhliziyo. Ekwelashweni okwelashwa kwama-pathologies anjalo, kungabekwa imishanguzo, ngaphansi kwethonya lapho ukuvela kwe-insulin kukhula. Ngakho-ke, amaseli nezicubu zomuntu onesifo sikashukela kuyeka ukuphendula kumanyikwe akhiqizwa yi-insulin. Le mishanguzo ifaka amaqembu alandelayo wezidakamizwa:
- Abakhethi be-beta-seleting kanye nabangakhethi abanomthelela ngokuqinile enkambisweni ye-carbohydrate metabolism. Ngaphezu kwalokho, umphumela wabo udlulela ku-lipid metabolism kanye nokwanda kwenani le-cholesterol embi. Abamele abaphambili be-beta-blockers yi-Anaprilin, Atenolol, Bisoprolol, Carvedilol neTalinolol.
- I-Thiazide-Type diuretics, enjengeHypothiazide, i-Oxodoline noma iChlortalidone.
- Amabhulokhi wesiteshi se-calcium ane-esifushane sokuvezwa (iVerapamil neNifedipine).
Kungcono ukufaka esikhundleni sokudla kwalezi zidakamizwa ezingenhla ngemithi engathinti izinga le-glucose egazini futhi ehlobene nemithi engathathi hlangothi. Lokhu kungaba ngabamele bama-calcium blockers esikhathi eside somsebenzi.
Ngaphezu kwalokho kunenqwaba yezidakamizwa ezingavunyelwe kuphela kushukela, kodwa futhi ezingadala ukubonakaliswa kwayo. Lokhu kubandakanya le mithi elandelayo:
- ezinye izinhlobo zokuvimbela inzalo (ikakhulukazi eqenjini lezindlela zokuvimbela inzalo zomlomo) ꓼ
- glucocorticoids, okuyimithi ye-adrenal hormone
- tricyclic antidepressantsꓼ
- ezinye izidakamizwa ezilwa ne-TB (ikakhulukazi zenqaba i-isoniazid) ꓼ
- amaphilisi okulala avela eqenjini le-barbituratesꓼ
- izidakamizwa kanye nama-vithamini complexes asuselwa ku-nicotinic acidꓼ
- izidakamizwa ezilwa namagciwane njenge-doxycyclineꓼ
- ama-pancreatic hormoneꓼ
- ukukhula kwe-hormoneꓼ
- izidakamizwa ezikhuthaza i-alpha ne-beta adrenoreceptor stimulationꓼ
- umuthi amanye ama-hormone egilo (i-thyroxine ne-triiodothyronine) ꓼ
- ezinye izidakamizwa ze-antihypertensive (diazoxide).
Ngaphezu kwalokho kunemithi engakhulisa umphumela wokuthatha izidakamizwa ezinciphisa ushukela, okuvame ukubangela i-hypoglycemia. Imithi eyinhloko engakhipha ukwehla kwe-glucose (futhi engafakwa eqenjini lezidakamizwa ze-hypoglycemic) yile:
- Izidakamizwa ze-antibacterial ezivela esigabeni se-sulfonamides.
- I-Ethyl utshwala.
- I-Amphetamine (i-narcotic ntho).
- Ezinye izidakamizwa ze-anticholesterol (fibrate).
- I-Pentoxifylline, imvamisa yayisetshenziselwa ukwelapha izifo zemithambo yegazi.
Ngaphezu kwalokho, izidakamizwa ze-cytostatic ezingasetshenziswa ekwakheni umdlavuza noma i-rheumatism zingavusa ukwehla kweglucose.
Kungani umuthi i-Diakarb unqunywe?
I-Diacarb yezidakamizwa ifakiwe eqenjini lezidakamizwa ze-diuretic. Isithako esikhulu esisebenzayo i-acid acetazolamide. Ngenxa yokwakheka kwamakhemikhali, i-ejenti ebunjiwe isiza ukuvimba ukumuncwa kwe-sodium ne-potassium emaphethelweni asezingeni eliphakeme kakhulu wezinambuzane ezinobuthi - i-nephron. Ngenxa yalokhu, i-excretion yama-electrolyte iyaqina ngomchamo: i-sodium, i-potassium, usawoti wama-bicarbonates, i-magnesium, i-calcium, i-phosphates enokuqukethwe okugcinwe ku-chlorine.
Umuthi unomphumela we-antiglaucoma futhi ungasetjenziswa njengezindlela eziyinkimbinkimbi zokwelapha isithuthwane. Ukulungiswa kwethebhulethi kubonakaliswa umphumela omncane we-diuretic, kepha kunciphisa ukukhiqizwa koketshezi ohlelweni lwezinzwa oluphakathi. Ngasikhathi sinye, umphumela wayo we-diuretic uhlose ukufeza omunye umgomo - ngemuva kokuthatha umuthi ezakhiweni zohlelo lwezinzwa eziphakathi, ingcindezi ye-intraocular ne-intracranial iyancipha.
Izinkomba eziphambili zokusebenzisa umuthi zivela emiphumeleni enokuba nayo:
- i-diuretic (imnene) ꓼ
- antiepilepticꓼ
- anti-glaucomaꓼ
- kusiza ukunciphisa ingcindezi ye-intracranial.
Ngaphezu kwalokho, imvamisa umuthi ubekwa ngokushesha ngaphambi kwesidingo sokuhlinzwa. Umgomo oyinhloko ukunciphisa ingcindezi ye-intraocular. Futhi, umuthi unganconyelwa lezi zigaba ezilandelayo zeziguli:
- uma kukhuphuka ingcindezi yangaphakathiꓼ
- phambi kokuthathwa kwesihlungu sokuwa
- uma kunokuvuvukala okuncane, okuziveza ngenxa yokuthuthuka kokuhluleka kwenhliziyo ngendlela engapheli chronic
- ye-prophylaxis yokunciphisa ukuvela kwezifo zasezintabeniꓼ
- ekwelashweni okuyinkimbinkimbi kokwelashwa kwe-glaucomaꓼ
- ukungathathi hlangothi imiphumela ebangelwa inkambo ye-premenstrual syndrome.
I-Diacarb iyatholakala ngesimo sethebhulethi. Ukusetshenziswa kwaso kufanele kunconywe udokotela oholayo ebheka imithamo edingekayo. Amathebulethi athathwa ngomlomo ngenani elincane loketshezi, futhi ngaso sonke isikhathi.
Njengomthetho, umuthi uthathwa kabili ngosuku - ekuseni nantambama.
Yiziphi izinto eziphikiswa ngokuthatha i-diacarb?
Umuthi kufanele uphuzwe kuphela emithanjeni futhi ngokuya ngohlelo olunqunywe ngudokotela oholayo. Ngakho-ke, unggwema ukweqisa, ukuthuthukiswa kwemiphumela emibi futhi uzuze umphumela wokwelashwa odingekile. Kufanele kukhunjulwe ukuthi lapho weqa umthamo olandelayo, asikho isidingo sokwandisa umthamo olandelayo. Enye yezimpawu zomuthi ukuthi ukwengeza umthamo awukhuphi umphumela wokugaya (kodwa okuphambene nalokho).
Ukusetshenziswa kabi kwesidakamizwa kungadala ukusabela okungekuhle okulandelayo:
- Isicanucanu nokuhlanza.
- Izinkinga ze-Stool, isifo sohudo.
- Shintsha ekunambithekeni, ekulahlekelweni yinyama.
- Ukuchama okusheshayo.
- Ukuzwa kokulimazeka noma i-tinnitus engathandeki.
- Umuzwa wokukhathala okungapheli.
- Isiyezi
- Imisipha emisipha yethole.
- Ukuntuleka kokuxhumana noma ukulahleka kokuma endaweni yokumiswa.
Akuvunyelwe ukuthatha umuthi ezimweni:
- izingane ezingaphansi kweminyaka emithathu;
- phambi kwezifo ezinzima zesibindi nezinso;
- ngesikhathi sokukhulelwa (ikakhulukazi i-trimester yokuqala) naphakathi kokuncelisa;
- Isifo sika-Addison;
- ngokuthuthukiswa kwe-metabolic acidosis kushukela;
Umuthi awuthathwa lapho kukhona i-hypokalemia ne-hyponatremia.
Umthelela emzimbeni womuntu we-Diakarba kushukela?
Ngaphambi kokuthatha isidakamizwa i-Diacarb, kufanele wazise udokotela wakho, futhi ufunde ngokucophelela imiyalo yokusebenzisa umuthi. Kusichasiso esisemthethweni ukuthi kukhonjiswe ngokucacile (isigaba "Imiyalo Ekhethekile") ukuthi umuthi kufanele usetshenziswe ngokucophelela okukhulu kubantu abathola isifo sikashukela.
Isizathu salokhu ingozi eyengeziwe yokuthuthukisa i-hyperglycemia. Ngakho-ke, i-diacarb inyusa ngqo izinga le-glucose egazini, futhi ingadala nokuncipha kokulawula ushukela. Ngakho-ke, uma umuthi ungeke uthathelwe indawo umuthi ohlobene, ukwelashwa okunqunyelwe (noma ukulungiswa komthamo) wezidakamizwa ezokwehlisa ushukela kufanele kubuyekezwe.
Futhi, ukuthatha i-Diacarb, kufanele kwenziwe izivivinyo eziqhubekayo ukuthola inani lamapuleti egazini nama-electrolyte aseserum yawo.
I-Diacarb ingeyeqembu lemithi, elithinta ngqo ushintsho emazingeni kashukela egazini, ilinyusa. Kungakho udokotela ohambelayo kufanele athathe izinyathelo ezidingekayo uma kungekho ithuba lokubuyisa umuthi onjalo. Njengomthetho, izinkomba eziphambili izinguquko kanye nokulungiswa kwamthamo kwemijovo ye-insulin noma izidakamizwa ze-hypoglycemic zomlomo.
Ngaphezu kwalokho, kunomphumela kusuka ekuthatheni iDiacarb kwimvelo ye-alkaline yomchamo. Leli phuzu kufanele futhi libhekwe lapho kukhula isifo sikashukela, ukuze singavumeli ukubonakaliswa kwe-hyperglycemia ne-diabetesica.
Izimiso zokwelapha isifo sikashukela zichazwe kule vidiyo kule ndatshana.
