Xa ugqirha wakho ekuxelela ukuba unesifo seswekile sohlobo lwesibini, kusenokwenzeka ukuba unikwe amayeza ahlukeneyo okulawula amanqanaba eswekile egazini lakho. Phakathi kwawo, kusenokwenzeka ukuba ufumene ipilisi equlethe indibaniselwano yamayeza amabini abizwa ngokuba yi-Empagliflozin kunye ne-Metformin. ESri Lanka, eli yeza linokuba phantsi kwamagama eempawu ezifana ne-Synjardy XR. Ke namhlanje, masithethe ngeli yeza kunye nezinto ekufuneka uzilumkele xa ulisebenzisa, ngokulula nangokucacileyo.
Kwenzeka ntoni ngokwenene ngale mithi?
Ngamafutshane, eli liyeza elinciphisa inqanaba leswekile (iglucose) egazini lakho. Liyindibaniselwano yeentlobo ezimbini zamayeza.
1. I-Empagliflozin: Oku kusebenza ngokwenza izintso zakho zikhuphe iswekile egqithisileyo emzimbeni wakho ngomchamo wakho.
2. I-Metformin: Oku kunciphisa kakhulu inani leswekile eveliswa sisibindi sakho, kwaye kunceda iiseli zomzimba wakho ukuba zisabele ngcono kwi-insulin.
Eyona nto ibalulekileyo kukuba eli yeza lidla ngokunikwa kunye nokutya okunempilo kunye nokuzilolonga . Ukusela amayeza kuphela akwanelanga, ngokuqinisekileyo kufuneka utshintshe indlela ophila ngayo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ngaphambi kokuba uqale eli yeza, kubaluleke kakhulu ukuxelela ugqirha wakho ngembali yakho epheleleyo yempilo, ingakumbi ukuba unayo nayiphi na kwezi meko zidweliswe ngezantsi.
| Uhlobo lolwazi | Inkcazo |
|---|---|
| Iimeko zonyango ezikhoyo | Isifo sezintso, isifo sesibindi, isifo sentliziyo, i-cholesterol ephezulu, i-anemia (umlinganiselo wegazi ophantsi), uxinzelelo lwegazi oluphantsi, iingxaki zepancreas (i-Pancreatitis), i-Polycystic Ovary Syndrome (i-PCOS), isifo seswekile sohlobo loku-1. |
| Iintsholongwane kunye nezinye iingxaki | Ukuba unezifo zomchamo ezixhaphakileyo (ii-UTI), imbali yosulelo lwe-yeast kwindawo yesini, ubunzima bokuchama, usulelo olunzima, okanye ukwenzakala. |
| Indlela yokuphila kunye nokutya | Ukuba usela utywala rhoqo, ulandela ukutya okunetyuwa encinci, utya kancinci ngenxa yokugula, utyando, okanye ezinye izizathu, uyahlanza, okanye uphelelwe ngamanzi emzimbeni. |
| Iziganeko ezikhethekileyo | Ukuba ukhulelwe okanye uzama ukukhulelwa, umama oncancisayo, uza kutyandwa, okanye une-allergy kuyo nayiphi na imithi okanye ukutya. |
Indlela yokusebenzisa amayeza ngokuchanekileyo?
Khumbula ezi zinto kakuhle.
- Sela eli yeza neglasi yamanzi.
- Ginya ipilisi yonke. Musa ukuyiqhekeza, ukuyityumza, okanye ukuyihlafuna. Oku kungenxa yokuba ezi zenzelwe 'ukukhululwa okwandisiweyo', oko kuthetha ukuba iyeza likhutshwa emzimbeni ngokuhamba kwexesha. Ukuba uyaphula ipilisi, iyeza lingangena emzimbeni ngaxeshanye lize libangele iimeko eziyingozi.
- Thatha eli yeza xa usitya .
- Sela amayeza kanye njengoko ugqirha wakho ekuyalele, ngexesha elifanelekileyo. Musa ukuyeka ukuwasela amayeza nangasiphi na isizathu ngaphandle kwengcebiso kagqirha wakho.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba usele kakhulu, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko (inombolo yomnxeba 0112686143) okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Kodwa ukuba sele kuza kufuneka uyithathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo njengoko bekucwangcisiwe. Ungaze uthathe idosi ezimbini ngaxeshanye.
Amanye amayeza anokusebenza kunye nale mayeza
Kubaluleke kakhulu ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini, amayeza esintu, kunye nezongezo). Amanye amayeza anokubangela iingxaki xa esetyenziswa kunye.
Ngokukodwa, ezinye iintlobo zamayeza 'angafaniyo' afakwa emzimbeni ngaphambi kovavanyo olufana ne-X-ray, i-CT scan, kunye ne-MRI akufuneki zithathwe kunye nala mayeza. Kwakhona, musa ukuthatha amayeza abizwa ngokuba yiDofetilide.
Nika ugqirha wakho uluhlu lwamayeza owasebenzisayo. Leyo yeyona ndlela ikhuselekileyo yokwenza oko. Amanye amayeza okukhwehlela nawomkhuhlane athengiswa ngaphandle kwemvume kagqirha anokuba neswekile kunye notywala, nto leyo enokuchaphazela amanqanaba eswekile egazini lakho.
Izinto ekufuneka uzilumkele ngakumbi xa usebenzisa iyeza
- I-Lactic Acidosis: Le yimeko engaqhelekanga kodwa imbi kakhulu. Ukuba ufumana isicaphucaphu, ukuhlanza, iintlungu zesisu, ukudinwa kakhulu, okanye ubunzima bokuphefumla , yeka ukuthatha iyeza ngoko nangoko uze ufowunele ugqirha wakho.
- I-Diabetic Ketoacidosis (DKA): Le yenye imeko enzulu. Ukuba ufumana iimpawu ezinje ngomlomo owomileyo, ukoma kakhulu, ukuchama rhoqo, ivumba lomphefumlo elifana neziqhamo, kunye nobunzima bokuphefumla, funa uncedo lonyango ngokukhawuleza.
- Uvavanyo lwe-HbA1C: Olu vavanyo lwegazi, olulinganisa ulawulo lweswekile egazini lakho kwiinyanga ezi-2-3 ezidlulileyo, kufuneka lwenziwe ngexesha elicwangcisiweyo njengoko ugqirha wakho eyalele.
- Ukulinganisa amanqanaba eswekile egazini: Funda iimpawu zeswekile ephantsi egazini (hypoglycemia) kunye neswekile ephezulu egazini (hyperglycemia). Gcina into yokutya, efana netyhubhu yeswekile okanye ithebhulethi yeswekile, ukuba iswekile yakho yegazi iyehla.
- Utyando kunye novavanyo: Ukuba uza kwenziwa utyando, i-MRI, okanye i-CT scan, xelela iqela lezonyango kwangaphambili ukuba usela eli yeza. Kusenokufuneka uyeke ukulisebenzisa ngaphambi kwenkqubo .
- Ukukhulelwa: Eli yeza linokukwandisa umngcipheko wakho wokukhulelwa. Ngoko ke, thetha nogqirha wakho malunga nokusebenzisa ucwangciso lokuzala olufanelekileyo. Xelela ugqirha wakho ngoko nangoko ukuba ukhulelwe okanye ucinga ukuba ukhulelwe.
- Ukunqongophala kweevithamini: Ukusetyenziswa kwale mithi ixesha elide kunokubangela amanqanaba aphantsi evithamini B12 kunye ne-folic acid. Ngoko ke, thetha nogqirha wakho malunga nokutya ukutya okunesondlo kunye nokuthatha izongezo zeevithamini ukuba kuyimfuneko.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, eli linokuba nemiphumo emibi. Masiwahlule abe ngamacandelo amabini.
| Ukuba ufumana ezi mpawu, xelela ugqirha wakho ngoko nangoko. | |
|---|---|
| Ii-aleji ezinzulu | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Iimpawu zeLactic Acidosis okanye i-DKA | Intlungu yesisu, ubunzima bokuphefumla, ukudinwa kakhulu, isicaphucaphu, ukuhlanza. |
| Iintsholongwane | Usulelo lomchamo, ukuchama rhoqo (UTI). Ububomvu, ukudumba, ukurhawuzelela, iintlungu, kunye nevumba elibi kwindawo yesini okanye ejikeleze. |
| Ezinye iimpawu ezinzulu | Iimpawu zokuphelelwa ngamanzi emzimbeni (umlomo owomileyo, ukoma okugqithisileyo, umchamo omnyama), iimpawu zokungabikho kwevithamini B12 (ukuba ndindisholo ezandleni nasezinyaweni, isiyezi, ubuthathaka bemisipha). |
| Ezi zihlandlo azibalulekanga kangako, kodwa ukuba ziyaqhubeka, xelela ugqirha wakho. | |
| Iingxaki zenkqubo yokugaya ukutya | Urhudo, ukurhawuzelela, isicaphucaphu. |
| Ezinye izifo ezincinci | Intloko ebuhlungu , incasa yesinyithi emlonyeni. |
Ugcina njani amayeza ekhuselekile?
- Gcina kude nabantwana kunye nezilwanyana zasekhaya.
- Gcina kubushushu begumbi (phakathi kwe-15-30 degrees Celsius).
- Lahla amayeza aphelelwe lixesha ngaphandle kokuwasebenzisa.
Umyalezo Wokuya Ekhaya
- Soloko usela eli yeza kanye njengoko ugqirha wakho ekuyalele, ngedosi echanekileyo nangexesha elifanelekileyo.
- Musa ukuphula, ukutyumza, okanye ukuhlafuna ipilisi nangasiphi na isizathu. Yiginye yonke.
- Yazisa ugqirha wakho ngazo zonke ezinye iziyobisi, iivithamini, kunye nezongezo ozithathayo.
- Qaphela iimpawu zeziphumo ebezingalindelekanga ezinzulu ezifana ne-lactic acidosis, kwaye funa ingcebiso kagqirha ngokukhawuleza ukuba ufumana nayiphi na kwezi.
- Jonga amanqanaba eswekile egazini lakho rhoqo kwaye ugqirha wakho enze iimvavanyo, ezifana ne-HbA1c, ngexesha.
- Ukuba uneengxaki okanye amathandabuzo, nceda uxoxe ngazo nogqirha wakho.
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