Oral hypoglycemics ovhadhozi

Oral hypoglycemic mapiritsi mishonga yekudzora chirwere cheshuga. Oral zvinoreva "kutorwa nemuromo." Kune akawanda akasiyana marudzi emuromo hypoglycemics. Ichi chinyorwa chinotarisa pamhando inonzi sulfonylureas.

Kuwedzeredza kunoitika kana mumwe munhu akatora zvinopfuura zvakajairwa kana chiyero zvakakurudzirwa zvemushonga uyu. Mhedzisiro yacho kudonha kweshuga yeropa iyo inokanganisa mashandiro anoita nhengo dzemuviri. Kuwedzeredza kunogona kuitika netsaona kana nechinangwa.

Ichi chinyorwa ndechekuziva chete. Usashandise iyo kurapa kana kubata yakanyanyisa kudarika. Kana iwe kana mumwe munhu waunenge uine overdoses, fonera yako yemunharaunda emergency emergency (yakadai se911), kana nzvimbo yako yepfu chepfu inogona kusvikwa yakananga nekufonera iyo yenyika isingabhadhariswe Inotya Inobatsira hotline (1-800-222-1222) kubva chero kupi muUnited States.

Kune akawanda marudzi emuromo hypoglycemics. Chinhu chine chepfu chinoenderana nemushonga chaiwo. Chinhu chikuru mu sulfonylurea-yakavakirwa pamuromo hypoglycemics inoita masero mupancreas abudise yakawanda insulin.

Sulfonylurea-based oral hypoglycemics inogona kuwanikwa mune iyi mishonga:

• Chlorpropamide
• Glipizide
• Glyburide
• Glimepiride
• Tolbutamide
• Tolazamide

Mimwe mishonga inogona zvakare kunge ine sulfonylurea-yakavakirwa pamuromo hypoglycemics.

Zviratidzo zvekuwedzeredza kwechirwere ichi zvinosanganisira:

• Kusagadzikana, kutya, kudedera
• Kusava nehanya (kusava nechido chekuita chero chinhu)
• Coma (yakaderera nhanho yekuziva uye kushayikwa kwekuteerera)
• Kuvhiringidzika
• Kushushikana (kubatwa, kunyanya mucheche nevana)
• Kuwedzera kudya
• Nausea
• Kukurumidza kurova kwemoyo
• Benzi (rakaderera danho rekuziva pamwe nekuvhiringidzika)
• Kudikitira
• Kunyorera kwerurimi nemiromo

Vanhu vakamboita sitiroko munguva yakapfuura vanogona kuita kunge vane imwe sitiroko kana shuga yavo yeropa inodonha zvakanyanya.

Iva neruzivo urwu rwakagadzirira:

• Zera remunhu, huremu, uye mamiriro
• Zita remushonga (uye simba, kana zvichizivikanwa)
• Nguva yakamedzwa
• Mari yakamedzwa

Yako nzvimbo inodzora chepfu inogona kusvikwa yakananga nekufonera iyo yepasirose-isina muripo Poison Rubatsiro nhare (1800-222-1222) kubva chero kupi muUnited States. Iyi hotline yenyika inokurega iwe uchitaura nenyanzvi mune chepfu. Ivo vanozokupa iwe kumwe kuraira.

Iri ibasa remahara uye rakavanzika. Nzvimbo dzese dzemunharaunda dzekudzora chepfu muUnited States dzinoshandisa iyi nhamba yenyika. Iwe unofanirwa kufona kana iwe uine chero mibvunzo nezve chepfu kana chepfu kudzora. Hazvidi kuti ive emergency. Iwe unogona kufona chero chikonzero, maawa makumi maviri nemana pazuva, mazuva manomwe pavhiki.

Enda nechirongo chemushonga kuchipatara newe, kana zvichibvira.

Anopa hutano anozoyera nekutarisa zviratidzo zvakakosha zvemunhu, zvinosanganisira tembiricha, kupomba, kufema, uye BP.

Miedzo inogona kuitwa inosanganisira:

• Ropa uye weti kuongororwa
• Chest x-ray
• ECG (electrocardiogram, kana moyo wekutsvagisa)

Kurapa kunogona kusanganisira:

• Intravenous fluids (inopihwa kuburikidza nemutsinga)
• Mushonga wekurapa zviratidzo
• Yakagadziriswa marasha
• Laxatives
• Kufema rutsigiro, kusanganisira chubhu kuburikidza nemuromo kupinda mumapapu uye muchina wekufema (ventilator)

Mamwe emuromo hypoglycemics anogona kugara mumuviri kwenguva yakareba, saka munhu wacho angangoda kugara muchipatara kwe1 kusvika kumazuva maviri. Kukundikana kwehuropi zvachose uye kufa kunogoneka, kunyanya kana mwero wehuga yeropa usingadzokere kune zvakajairwa nenzira yakakodzera. Vacheche, vana, uye vanhu vakura vanowanzo kuve nematambudziko akakomba uye kwenguva refu kubva pashuga yakadzika yeropa isina kugadziriswa nekukurumidza.

Chirwere cheshuga piritsi; Sulfonylurea kudarika

Aronson JK. Sulfonylureas. Mune: Aronson JK, ed. Meyler's Side Migumisiro yeMishonga. 16 ed. Waltham, MA: Elsevier; 2016: 594-657.

Maloney GE, Glauser JM. Chirwere cheshuga mellitus uye kusagadzikana kweshuga homeostasis. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 118.