Ukuba unesifo seswekile sohlobo lwesibini, ugqirha wakho usenokuba ukunike ipilisi eyenziwe ngamayeza angaphezu kwelinye. I-Trijardy XR yenye yepilisi ezinjalo, indibaniselwano ekhethekileyo yamayeza amathathu anceda ukulawula isifo seswekile. Ngoko ke namhlanje, masithethe ngale mayeza, into ayenzayo, kunye nento ekufuneka uyilumkele xa uyisebenzisa.
Kalula nje, kwenzeka ntoni ngale yeza?
Kukho iintlobo ezintathu eziphambili zale mithi: i-Empagliflozin, i-Linagliptin, kunye ne-Metformin . Zonke ezi ntlobo zintathu zisebenza kunye ukwenza izinto ezininzi emzimbeni wakho.
- Yehlisa amanqanaba eswekile egazini.
- Kwabanye abantu, oku kunceda ekunciphiseni umngcipheko wokuhlaselwa sisifo sentliziyo kunye nesifo sohlangothi esibangelwa sisifo seswekile.
Kodwa khumbula, ukuthatha eli yeza lodwa akwanelanga. Ukutya okunempilo kunye nokuzilolonga nazo zizinto ezibalulekileyo kolu nyango. Eli yeza linikwa kuphela abantu abanesifo seswekile sohlobo lwesibini, alifanelekanga kubantu abanesifo seswekile sohlobo loku-1.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ngaphambi kokuba ukunike eli yeza, ugqirha wakho kuya kufuneka azi imbali yakho epheleleyo yempilo. Ukuba unayo nayiphi na kwezi meko zidweliswe ngezantsi, qiniseka ukuba uxelele ugqirha wakho . Oku kubaluleke kakhulu kukhuseleko lwakho.
| Uhlobo lolwazi | Iimeko ekufuneka uzilumkele |
|---|---|
| Iimeko zonyango ezikhoyo | Isifo sezintso, isifo sesibindi, isifo sentliziyo, ukusilela kwentliziyo, i-cholesterol ephezulu, uxinzelelo lwegazi oluphantsi, i-anemia, i-pancreatitis, usulelo lwendlela yomchamo, i-polycystic ovary syndrome (PCOS), i-diabetesic ketoacidosis. |
| Imiba enxulumene nendlela yokuphila | Ukuba usela utywala rhoqo, ulandela ukutya okunetyuwa encinci, utya ukutya okuncinci ngenxa yotyando, ukugula, okanye ezinye izizathu, okanye ukuba umzimba wakho uphelelwe ngamanzi emzimbeni. |
| Ukunganyamezelani kunye nokukhulelwa | Ukuba une-aleji kweli yeza okanye naluphi na olunye unyango okanye ukutya. Ukuba ngaphambili ubunengxaki yokuphefumla ngenxa yokudumba kolwimi, ubuso, okanye imilebe. Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
| Amanye amanqaku akhethekileyo | Ukuba usebenzisa i-hemodialysis, unengxaki yokuchama, unosulelo olukhulu okanye inxeba, okanye awukaluki. |
Indlela yokusebenzisa amayeza ngokuchanekileyo?
- Sela eli yeza kunye nesidlo sakusasa neglasi yamanzi.
- Yithathe kanye njengoko ugqirha wakho ekuyalele, ngexesha elifanelekileyo. Musa ukuthatha okungaphezulu koko ugqirha akuxelele kona.
- Musa ukuphula, ukutyumza, okanye ukuhlafuna le pilisi. Yiginye yonke. Ngenxa yokuba le yipilisi ye-Extended-Release (XR), yenzelwe ukukhupha iyeza emzimbeni kangangeeyure ezininzi. Ukuba uyaphula, loo nkqubo iya kulahleka.
- Musa ukuyeka ukuthatha amayeza akho ngaphandle kwengcebiso kagqirha wakho.
- Ungabona into efana nepilisi yonke iphuma nendle yakho. Oku kuqhelekile, ungakhathazeki. Liqokobhe elingenanto elisalayo emva kokuba iyeza elikwipilisi lifunxwe emzimbeni wakho.
Kuthekani ukuba idosi iyanda?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, fowunela iZiko loLwazi lwePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Kuthekani ukuba ndilibele ukusela amayeza am?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Kodwa ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye.
Amanye amayeza anokusebenza kunye nale mayeza
Amanye amayeza owasebenzisayo asenokudibana nalo mayeza, ngoko ke xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye neemveliso zezityalo) .
Lumka kakhulu: Kuyingozi kakhulu ukuthatha eli yeza kunye nezinye izinto ezichasene neziyobisi, ezifana neDofetilide kunye neGatifloxacin, ezifakwa emzimbeni ngaphambi kovavanyo olufana ne-X-ray, i-CT scans, kunye ne-MRIs.
Amayeza angezantsi asenokusebenzisana nala mayeza, ngoko ke kubalulekile ukwazisa ugqirha wakho ukuba uthatha naliphi na kula mayeza.
| Udidi lweziyobisi | Imizekelo |
|---|---|
| Amanye amayeza oxinzelelo lwegazi kunye nesifo sentliziyo | I-Diuretics (amayeza abangela ukwanda kokuchama), i-Digoxin, i-Ranolazine |
| Amanye amayeza okunyanga isifo sokuwa | I-Carbamazepine, iPhenobarbital, iPhenytoin, iTopiramate |
| Iintlobo zeehomoni kunye nee-steroids | I-Estrogen, iProgestin, iPrednisone, iCortisone, amayeza e-Thyroid |
| Amanye amayeza kunye nezinto ezahlukeneyo | Utywala, i-Acetazolamide, i-Cimetidine, i-Rifampin, i-St. John's Wort, amanye amayeza e-HIV/Hepatitis, i-Niacin |
Izinto ezibalulekileyo ekufuneka ziqwalaselwe xa usebenzisa amayeza
- I-Lactic Acidosis: Eli yeza ngamanye amaxesha linokubangela ukunyuka okuyingozi kwe-asidi egazini (i-lactic acidosis). Ukuba ufumana iimpawu ezifana nokucaphuka, ukuhlanza, iintlungu zesisu, ukudinwa kakhulu, okanye ubunzima bokuphefumla , yeka ukuthatha iyeza ngoko nangoko kwaye uthethe nogqirha wakho.
- Uvavanyo lwe-HbA1C: Ukuze ubone ukuba isifo sakho seswekile silawulwa kakuhle kangakanani, ugqirha wakho uza kuyalela uvavanyo lwegazi olubizwa ngokuba yi -HbA1C , olwenziwa rhoqo kwiinyanga ezi-2-3.
- Qaphela amanqanaba eswekile egazini lakho: Funda iimpawu zezinga leswekile egazini eliphantsi (hypoglycemia) kunye nezinga eliphezulu (hyperglycemia). Hlala ugcina into ekufutshane, efana ne-glucose bar, ityhubhu yeswekile, okanye isiselo esineswekile, ukuze usithathe ngoko nangoko ukuba iswekile egazini lakho yehla.
- Musa ukutsiba ukutya: Ungaze utsibe ukutya. Nxibelelana nogqirha wakho malunga nokusela utywala.
- Ukukhulelwa kunye nokulawula ukuzalwa:Eli yeza linokubangela ukukhutshwa kweqanda kwabanye abafazi kwaye lonyuse amathuba okukhulelwa. Eli yeza alifanelekanga ukuba uzama ukukhulelwa okanye ukhulelwe. Ke ngoko, thetha nogqirha wakho malunga nolawulo lokuzala olufanelekileyo ngelixa usela eli yeza.
- Utyando kunye novavanyo: Ukuba uza kwenza naluphi na utyando okanye uvavanyo olufana ne-MRI okanye i-CT scan, xelela iqela lezonyango kwangaphambili ukuba usela eli yeza. Kusenokufuneka uyeke ukulisebenzisa ngaloo mihla.
- Ukunqongophala kweevithamini: Ukusetyenziswa kwesi sithako ixesha elide kunokunciphisa amanqanaba evithamini B12 kunye ne-folic acid. Ngoko ke, thetha nogqirha wakho malunga nokutya ukutya okunesondlo kunye nokuthatha izongezo zeevithamini ukuba kuyimfuneko.
Iziphumo ebezingalindelekanga ezinokubakho ngenxa yamayeza
Njengalo naliphi na iyeza, eli linokuba nemiphumo emibi. Eminye iyingozi, eminye ixhaphakile.
| Uhlu lweziphumo ebezingalindelekanga | |
|---|---|
| 🚨 Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
| Ukusabela kwi-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, ubunzima bokuphefumla. |
| I-ketoacidosis yeswekile (i-DKA) | Unxano olugqithisileyo, ukuchama rhoqo, umlomo owomileyo, ivumba lomphefumlo elifana neziqhamo, ubunzima bokuphefumla, isisu esibuhlungu, isicaphucaphu, ukuhlanza. |
| Ukuphelelwa ngamanzi emzimbeni | Unxano olugqithisileyo, umlomo owomileyo, isiyezi, intloko ebuhlungu, umchamo otyheli/omdaka omnyama. |
| Usulelo lomchamo (UTI) | Usulelo lomchamo, ukuchama rhoqo, umchamo onegazi okanye onamafu, iintlungu zomqolo okanye zesinqe. |
| Ezinye iimpawu ezinzulu | Iintlungu ezinzulu zamalungu, iimpawu zokuhlaselwa yintliziyo (ukuphelelwa ngumoya, ukudumba kweqatha), i-pancreatitis (iintlungu eziqatha zesisu), usulelo olungaphakathi okanye olujikeleze amalungu esini, iimpawu zokunqongophala kwe-vitamin B12 (ukuba ndindisholo ezandleni nasezinyaweni, isiyezi). |
| 🙂 Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| |
Umyalezo Wokuya Ekhaya
- Soloko usela eli yeza kunye nesidlo sakusasa. Ginya ithebhulethi yonke, ungayiqhekezi okanye uyityumze.
- Qiniseka ukuba uxelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo kunye nazo naziphi na iingxaki zempilo onazo.
- Hlala ugcina into ethile ekufutshane (njengeqhekeza leswekile) onokuyisebenzisa xa amazinga eswekile egazini lakho ehla.
- Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana iimpawu zeziphumo ebezingalindelekanga ezinje ngobunzima bokuphefumla, iintlungu zesisu eziqatha, okanye ukoma kakhulu.
- Le yinxalenye ebalulekileyo yohambo lwakho lokulawula isifo seswekile, kwaye isebenza kakhulu xa idityaniswe nokutya okufanelekileyo kunye nokuzilolonga.
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