Ngaba nawe unyangwa isifo seswekile sohlobo lwesibini? Ukuba kunjalo, ugqirha wakho usenokuba ukunike ipilisi edibanisa amayeza amabini. Enye indibaniselwano enjalo eqhele ukucetyiswa yiDapagliflozin kunye neMetformin. Usenokuba uyazi ngegama lophawu olufana neXigduo XR. Ekubeni eli liyeza elikhethekileyo, kubaluleke kakhulu ukuba nolwazi olupheleleyo ngalo. Ngoko ke, masithethe ngayo yonke into ngendlela elula neyobuhlobo namhlanje.
Kwenzeka ntoni ngokwenene ngale mithi?
Ngamafutshane, izithako ezimbini kweli yeza, iDapagliflozin kunye neMetformin, zisebenza kunye ukunceda ukulawula amanqanaba eglucose egazini lakho. Lenza oku ngeendlela ezimbalwa. Enye kukwenza izintso zakho zikhuphe iswekile engakumbi ngomchamo wakho. Enye kukunciphisa ubungakanani beswekile eyenziwa sisibindi sakho kunye nokunceda iiseli zomzimba wakho ziphendule ngcono kwi-insulin.
Kodwa eli yeza lodwa alanelanga. Ungafumana iziphumo ezilungileyo xa ulisela eli yeza kunye nokutya okufanelekileyo kunye nokuzilolonga. Kufana nomdlalo weqela. Wena, ugqirha, eli yeza, kunye nendlela yakho yokuphila kufuneka nisebenzisane.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Oku kubaluleke kakhulu. Ngaphambi kokuba uqale ukusebenzisa eli yeza, kufuneka unike ugqirha wakho inkcazo epheleleyo ngemeko yakho yempilo. Ingakumbi ukuba unenye yezi meko zilandelayo, qiniseka ukuba uyamxelela ngayo.
| Imeko yempilo okanye umkhwa | Kutheni kufuneka uxelele ugqirha ? |
|---|---|
| Isifo sezintso okanye sesibindi | Eli yeza likhutshwa emzimbeni ngezintso, ngoko ke ukuba kukho iingxaki ngala malungu omzimba, idosi yeyeza ingadinga ukulungiswa. |
| Isifo sentliziyo okanye uxinzelelo lwegazi oluphantsi | Eli yeza lisenokunciphisa uxinzelelo lwegazi ngakumbi. |
| Ukuba une-pancreatitis | Eli yeza linokunyusa umngcipheko wokuba imeko ibuyele umva. |
| Ukuba usela utywala rhoqo | Ukudibanisa utywala kunye neMetformin kunokubangela imeko eyingozi ebizwa ngokuba yi-lactic acidosis. |
| Ukuba unciphise ukutya kwakho ngenxa yokuphelelwa ngamanzi emzimbeni okanye ukugula/utyando | Xa umzimba uphelelwe ngamanzi emzimbeni, umngcipheko weziphumo ebezingalindelekanga uyanda. |
| Ukuba unezifo zomchamo ezixhaphakileyo okanye izifo zegwele kwindawo yesini | Eli yeza linyusa umngcipheko wokufumana olu sulelo kuba linyusa amanqanaba eswekile kumchamo. |
| Ukuba unesifo seswekile sohlobo loku-1 | Eli yeza licetyiswa kuphela kubantu abanesifo seswekile sohlobo lwesibini. |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa | Kwezi meko, eli yeza alifanelekanga. Ngoko ke, kufuneka uthethe nogqirha wakho uze ucinge ngenye indlela. |
| Ukuba une-allergies kwamanye amayeza, ukutya, okanye izinto ezithile | Usenokuba une-allergy kwinto ethile ekweli yeza. |
Ndingayisebenzisa njani kanye kanye le yeza?
- Sela neglasi yamanzi: Kubalulekile ukusela eli yeza ngexesha elifanayo yonke imihla, njengoko ugqirha wakho ekuyalele.
- Ginya ithebhulethi: Le yithebhulethi eyenzelwe ngokukodwa (Extended-Release). Oku kuthetha ukuba iyeza likhutshwa emzimbeni kancinci kancinci. Ngoko ke musa ukuliqhekeza, ukulityumza, okanye ukulihlafuna. Liginye lonke.
- Yithathe nokutya: Kungcono ukuyithatha kunye nokutya ukuze unciphise umngcipheko wokudumba kwesisu.
- Musa ukuyeka: Qhubeka nokusela amayeza logama nje ugqirha wakho ekuxelela ukuba wenjenjalo. Musa ukuyeka ukuwasebenzisa ngokungacwangciswanga.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Ewe, kusenokwenzeka. Thatha idosi ongayithathanga kwangoko xa ukhumbula. Kodwa ukuba sele kusondele ixesha ledosi yakho elandelayo, yitsibe idosi ongayithathanga uze uthathe ipilisi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.
Amanye amayeza angahambelaniyo nalo mayeza (Ukusebenzisana)
Kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu), njengoko amanye amayeza anokuchaphazela eli.
| Musa ukuthatha amayeza ngezi zinto! | |
|---|---|
| Ezinye iintlobo zomahluko zinikwa ngaphambi kovavanyo olufana ne-X-ray, i-CT scans, kunye ne-MRIs. | Iyeza elibizwa ngokuba yiDofetilide. |
| Ezi zisenokusebenzisana - xelela ugqirha wakho. | |
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Olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho ngayo yonke into oyithathayo.
Amanqaku akhethekileyo ekufuneka uwaqaphele xa usebenzisa amayeza
- Ukuhlolwa rhoqo: Ugqirha wakho uza kukujonga rhoqo. Uvavanyo lwegazi olubizwa ngokuba yi -HbA1C lwenziwa kanye kwiinyanga ezi-2-3. Lulinganisa ukuba iswekile yakho yegazi ilawulwa kakuhle kangakanani.
- Iswekile ephantsi egazini (iHypoglycemia):Xa usebenzisa eli yeza, ingakumbi ukuba ulisebenzisa kunye namanye amayeza eswekile afana ne-insulin, amanqanaba eswekile egazini lakho anokwehla ngequbuliso. Ukuba ufumana iimpawu ezifana nokubila, ukungcangcazela, indlala egqithisileyo, ubunzima bokugxila, okanye ukuquleka, oko kungaba luphawu lweswekile ephantsi egazini. Soloko ugcina ityhubhu yeswekile, itofi, okanye ithebhulethi yeswekile kufutshane xa oku kusenzeka.
- Iswekile ephezulu yegazi kunye ne-DKA: Ngamanye amaxesha, njengakwimeko yokugula, amanqanaba eswekile egazini lakho anokungalawuleki. Ukuba ufumana iimpawu ezifana nokunxanwa okugqithisileyo, ukuchama rhoqo, umlomo owomileyo, ivumba lomphefumlo elifana neziqhamo, iintlungu zesisu, kunye nokugabha, ezi zinokuba ziimpawu zesimo esiyingozi esibizwa ngokuba yiDiabetic Ketoacidosis (DKA) . Ukuba oku kuyenzeka, kufuneka ufune uncedo lwezonyango ngokukhawuleza.
- Utyando kunye neeskeni: Ukuba uza kwenziwa utyando, i-MRI, okanye i-CT scan, xelela iqela lezonyango kwangaphambili ukuba usela eli yeza. Kusenokufuneka uyeke ukulisebenzisa iintsuku ezimbalwa ngaphambi kwenkqubo .
- Ugqumathelo lwepilisi: Ngamanye amaxesha ugqumathelo olunganyibilikiyo lwale pilisi, ipilisi ngokwayo, lunokuphuma kunye nendle yakho. Oku kuqhelekile, ungakhathazeki ngako. Iyeza lifunxwe emzimbeni.
- I-Vitamin B12 kunye ne-folic acid: Ukusetyenziswa kwe-metformin ixesha elide kunokubangela amanqanaba aphantsi e-vitamin B12. Thetha nogqirha wakho ngale nto kwaye uvavanywe ukuba kuyimfuneko.
Iziphumo ebezingalindelekanga ezinokubakho
Njengalo naliphi na iyeza, eli linokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile.
| Iimpawu ezifuna ukuba uxelele ugqirha wakho ngoko nangoko okanye uye kwi-ETU | |
|---|---|
| Impendulo yokunganyamezelani | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Iimpawu zeLactic Acidosis | Ukuqaqamba kwemisipha okanye iintlungu, isisu esibuhlungu, ubunzima bokuphefumla, ukudinwa kakhulu. Le yimeko engxamisekileyo enkulu kakhulu. |
| Iimpawu zeDiabetic Ketoacidosis (DKA) | Unxano olugqithisileyo, ukuchama rhoqo, umlomo owomileyo, ivumba lomphefumlo elifana neziqhamo, ubunzima bokuphefumla, isisu esibuhlungu, isicaphucaphu/ukuhlanza. |
| Usulelo lomchamo (UTI) | Usulelo lomchamo, ukuchama rhoqo, igazi kumchamo, iintlungu zomqolo okanye zesinqe. |
| Usulelo kwindawo yesini | Ububomvu, ukudumba, iintlungu, ukurhawuzelela, ivumba, okanye ukukhupha okungaqhelekanga kwindawo yesini okanye ejikeleze. |
| Ukuphelelwa ngamanzi emzimbeni | Unxano olugqithisileyo, umlomo owomileyo, ukuquleka, umchamo omnyama. |
| Akuqhelekanga ukuba yinto embi kangako, kodwa ukuba iyaqhubeka, xelela ugqirha wakho. | |
| Urhudo | Isicaphucaphu/ukuhlanza |
| Intloko ebuhlungu | Iimpawu ezifana nokubanda (ukubanda) |
Ukuba ucinga ukuba usele kakhulu, yiya kwiSebe leeNgxamiseko (i-ETU) elikufutshane nawe ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo.
Umyalezo Wokuya Ekhaya
- Ngaphambi kokuba uqale eli yeza, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Ginya ipilisi yonke ngamanzi ngaphandle kokuyiqhekeza, ukuyityumza, okanye ukuyihlafuna.
- Qaphela iimpawu ze-hypoglycemia kunye ne-DKA, ezinokwenzeka xa amanqanaba eswekile egazini ephezulu kakhulu. Kubalulekile ukwazi ukuba wenze ntoni kwiimeko ezinjalo.
- Kuphephe ukusela utywala. Xelela oogqirha bakho ukuba usela eli yeza ngaphambi kokuba wenze utyando okanye uhlolwe.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga okanye unamathandabuzo, qhagamshelana nogqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU).
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