Ngaba ugqirha wakho ukunike iyeza elitsha lesifo sakho seswekile sohlobo lwesibini? Xa weva ukuba igama leyeza yiDapagliflozin kunye neSaxagliptin (eyaziwa ngegama lebhrendi elithi QTERN), ngaba wakufumanisa kudida? Ungakhathazeki. Namhlanje, siza kuthetha ngale mayeza ngendlela elula, ngokungathi uxelela umhlobo.
Yintoni le yeza? Ngamafutshane...
Eli liyeza elisetyenziselwa ukunyanga isifo seswekile sohlobo lwesibini. Linemisebenzi emibini ephambili. Omnye kukunceda umzimba wakho ukhuphe iswekile egqithisileyo (iglucose) kumchamo wakho. Omnye kukukhuthaza ukuveliswa kwehomoni ye-insulin kwi-pancreas yakho, enceda ukulawula amanqanaba eswekile egazini.
Cinga nje ngabancedisi ababini abakrelekrele abalawula amanqanaba eswekile emzimbeni wakho. Kodwa eli yeza lodwa alanelanga. Ukutya okunempilo kunye nokuzilolonga ngokufanelekileyo nako kubalulekile.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Kubaluleke kakhulu ukuba ugqirha wakho ayazi imbali yakho epheleleyo yempilo ngaphambi kokuba akunike eli yeza. Qiniseka ukuba uxelela ugqirha wakho ukuba unayo nayiphi na kwezi meko zidweliswe ngezantsi.
| Imeko okanye umkhwa | Inkcazo |
|---|---|
| Iimeko zonyango ezikhoyo | Umhlaza wesinyi, isifo sentliziyo, ukungasebenzi kakuhle kwentliziyo, isifo sezintso, i-cholesterol ephezulu, uxinzelelo lwegazi oluphantsi, i-pancreatitis okanye imbali yayo, isifo seswekile sohlobo loku-1. |
| Iintsholongwane kunye nezinye iingxaki | Ukuba unezifo zomchamo ezixhaphakileyo (ii-UTI), imbali yezifo ze-genital yeast, ubunzima bokuchama, okanye imeko ebizwa ngokuba yi-diabetesic ketoacidosis. |
| Indlela yokuphila kunye neminye imiba | Ukuba umzimba wakho uphelelwe ngamanzi emzimbeni, ukuba utya ukutya okunetyuwa encinci, ukuba ukutya kwakho kuye kwehla ngenxa yokugula, utyando, okanye ezinye izizathu, okanye ukuba usela utywala rhoqo. |
| Iziganeko ezikhethekileyo | Ukuba ukhulelwe okanye uzama ukukhulelwa, okanye ukuba ungumama oncancisayo. |
| Ii-aleji | Ukuba une-allergy kule yeza (i-dapagliflozin, i-saxagliptin) okanye nayiphi na enye iyeza, ukutya, okanye idayi. |
Ndingayisebenzisa njani le yeza?
Oku kulula kakhulu.
- Ginya le pilisi ngeglasi yamanzi.
- Yithathe kanye njengoko ugqirha wakho ekuyalele, ngexesha elifanelekileyo. Kucetyiswa ukuba uyithathe kusasa.
- Ingathathwa kunye nokutya okanye ngaphandle kokutya.
- Ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha wakho .
- Ukuba eli yeza linikwa abantwana, kufuneka iingcebiso zonyango ezikhethekileyo.
Yintoni omawuyenze ukuba umthamo weyeza unyusiwe?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Kuthekani ukuba ndilibele ukusela amayeza am?
Thatha idosi oyiphosileyo ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye ukuze ubuyisele idosi oyilibeleyo.
Amanye amayeza anokusebenza kunye nale mayeza
Kubaluleke kakhulu ukwazisa ugqirha wakho malunga nawo onke amayeza owasebenzisayo. Amanye amayeza asenokudibana nalo mayeza.
Ngokukodwa, qiniseka ukuba ukhankanya la mayeza alandelayo ukuba uwasebenzisa:
- Amanye amayeza okubulala iintsholongwane, njenge-gatifloxacin.
- Utywala
- Amanye amayeza e-antiviral anikwa i-HIV okanye i-Hepatitis.
- Amayeza anjenge ketoconazole kunye ne itraconazole, asetyenziselwa ukunyanga izifo zefungus.
- I-Lithium
- Ii-steroids ezifana ne-prednisone kunye ne-cortisone.
- Ii-Sulfonylureas, ezifana ne-glimepiride, i-glipizide, kunye ne-glyburide, ziziyobisi ezisetyenziselwa ukunyanga isifo seswekile.
- Amayeza ezifo ze-thyroid.
Khumbula, olu luhlu aluphelelanga. Xelela ugqirha wakho ngazo naziphi na iivithamini, iimveliso zezityalo, okanye izongezo ozithathayo.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Udinga ukunyamekela impilo yakho kancinci ngelixa usebenzisa eli yeza.
1. Ukuhlolwa rhoqo kwezonyango: Yiya kwiikliniki njengoko kucwangcisiwe njengoko ugqirha wakho emyalele. Ugqirha wakho unokuyalela uvavanyo lwegazi olubizwa ngokuba yi -HbA1C rhoqo kwiinyanga ezi-2-3 ukujonga ukuba iswekile yakho yegazi ilawulwa kakuhle kangakanani na.
2. Funda ukuvavanya iswekile yakho yegazi: Funda indlela yokuvavanya iswekile yakho yegazi ekhaya. Yazi kakuhle ukuba zithini iimpawu ze-hypoglycemia kunye ne-hyperglycemia kunye nendlela yokujongana nazo.
3. Gcina iswekile kufutshane xa kukho imeko engxamisekileyo: Soloko ugcina into yokutya, efana netyhubhu yeswekile, ithebhulethi yeglucose, okanye itofi, kufutshane xa kunokwenzeka ukuba inqanaba leswekile yakho lehle ngequbuliso.
4. Musa ukutsiba ukutya: Musa ukutsiba ukutya okuphambili nangasiphi na isizathu. Nxibelelana nogqirha wakho malunga nokusela utywala.
5. Nxiba isazisi sezonyango: Ukunxiba ikhadi okanye isongo esichaza ukuba unesifo seswekile kunye neentlobo kunye needosi zamayeza owasebenzisayo kunokuba yinto ebalulekileyo kakhulu kwimeko kaxakeka.
Iziphumo ebezingalindelekanga zeyeza
Njengalo naliphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga kwabanye abantu. Nangona uninzi lwazo zincinci, kukho izinto ekufuneka sizilumkele ngakumbi.
| Imiphumela | Inkcazo kunye nento omawuyenze |
|---|---|
| Iimeko ezinzulu ezifuna unyango olukhawulezileyo | |
| Iimpendulo Ezinzima Zokwaliwa Yi-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| I-ketoacidosis yeswekile (i-DKA) | Unxano olugqithisileyo, ukuchama rhoqo, umlomo owomileyo, ivumba lomphefumlo elifana neziqhamo, ubunzima bokuphefumla, isisu esibuhlungu, isicaphucaphu, ukuhlanza. |
| Iimpawu zokusilela kwentliziyo | Ubunzima bokuphefumla, ukudumba kwamaqatha, iinyawo, okanye izandla, ukunyuka kobunzima ngequbuliso, ukudinwa kakhulu. |
| I-Pancreatitis | Intlungu ebuhlungu esiswini (ephuma emqolo), intlungu eba mandundu emva kokutya okanye xa uyichukumisa, umkhuhlane, isicaphucaphu, ukuhlanza. |
| Usulelo lomchamo (UTI) | Usulelo lomchamo, ukuchama rhoqo, umchamo onegazi okanye onamafu, iintlungu zomqolo okanye zesinqe. |
| Izifo zesini | Ububomvu, ukudumba, iintlungu, ukurhawuzelela, ivumba elibi, ukukhupha ulwelo olukhulu. |
| Iimeko ezingaqhelekanga ukuba zimbi kakhulu, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ezinye izifo ezincinci | Urhudo, intloko ebuhlungu, impumlo egobhozayo okanye exineneyo, umqala obuhlungu. |
Umyalezo Wokuya Ekhaya
- Eli yeza liyeza elibalulekileyo elinceda ekulawuleni isifo sakho seswekile. Soloko ulithatha njengoko ugqirha wakho ekuyalele , ngexesha elifanelekileyo.
- Ngaphambi kokuba uqale amayeza, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nawo onke amanye amayeza owasebenzisayo.
- Qaphela iimpawu zeswekile ephantsi egazini (isiyezi, ukubila, indlala egqithisileyo) kunye neswekile ephezulu egazini (ukoma kakhulu, ukuchama rhoqo).
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngee-allergy ezinzima, ubunzima bokuphefumla, okanye iintlungu zesisu , funa ingcebiso kagqirha ngoko nangoko.
- Eli yeza liyinxalenye nje yesicwangciso sakho sokulawula isifo seswekile. Qiniseka ukuba utya ukutya okufanelekileyo kunye nenkqubo yokuzilolonga.
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