Ngaba ugqirha wakho ukhe wakunika iyeza elitsha leswekile? Ligama elide, akunjalo? Liyindibaniselwano yamayeza amabini abizwa ngokuba yi-Ertugliflozin kunye ne-Metformin. Usenokuba ukhe weva ngalo phantsi kwegama elithi Segluromet. Ngoko ke, masithethe ngokufutshane, ngokungathi sithetha nomhlobo, malunga nokuba liyintoni eli yeza, indlela elisebenza ngayo emizimbeni yethu, kunye noko kufuneka sikuqaphele xa ulisebenzisa.
Kalula nje, yintoni le yeza?
Eli liyeza elisetyenziselwa ukunyanga
isifo seswekile sohlobo lwesibini . Lidibanisa amayeza amabini. I-Ertugliflozin kunye ne-Metformin. Xa zidibene, ezi zimbini zinceda ekulawuleni amanqanaba eswekile emzimbeni wakho, oko kukuthi, inqanaba leswekile egazini lakho. Khawuthelekelele ukuba i-Ertugliflozin isebenza ngokwenza izintso zakho zikhuphe iswekile egqithisileyo kumchamo wakho. I-Metformin isebenza kakhulu ngokunciphisa ubungakanani beswekile eveliswa sisibindi sakho nangokunceda iiseli zomzimba wakho ziphendule ngcono kwi-insulin. Ngale ndlela, iswekile yegazi lakho ilawulwa ngeendlela ezimbini.
Kodwa kukho into enye ekufuneka ikhunjulwe. Ukusela eli yeza lodwa akwanelanga. Ukutya okunempilo kunye nokuzilolonga ngokufanelekileyo nazo zizinto ezibalulekileyo kolu nyango. Iziphumo ezilungileyo zinokufumaneka kuphela xa eli yeza lisetyenziswa kunye notshintsho lwendlela yokuphila oluchazwe ngugqirha.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza
Ngaphambi kokuba ugqirha wakho akunike eli yeza, kufuneka abe nomfanekiso opheleleyo wempilo yakho. Ngoko ke, ukuba unenye yezi meko zidweliswe ngezantsi,
qiniseka ukuba uxelela ugqirha wakho ngayo. Oku kubaluleke kakhulu kukhuseleko lwakho.
| Uhlobo lomgangatho | Ngaba unazo ezi meko? (Nceda uxelele ugqirha wakho ) |
|---|
| Iimeko ezinxulumene nesifo seswekile | - Ukuba nesifo seswekile sohlobo loku-1
- Ekubeni sele ndine-Diabetic Ketoacidosis ( DKA ) ngaphambili
- Izilonda zeenyawo ezibangelwa sisifo seswekile
- Ukutshintsha umthamo we -insulin
- Ukususwa komlenze okanye inxalenye yawo (ukususwa komlenze okanye inxalenye yawo)
|
| Ezinye izifo | |
| Indlela yokuphila kunye neminye imiba | - Ukusela rhoqo
- Ukwenza utshintsho olukhulu kwindlela yokutya (umz. ukutya kancinci)
- Ukutya ukutya okungenatyuwa ingako
- Ukuphelelwa ngamanzi emzimbeni
- Amanqanaba aphantsi e-calcium okanye i-vitamin B egazini
- Ukuba nentlungu yemithambo-luvo kunye nokungaziva mnandi kwimilenze
|
| Izicwangciso zexesha elizayo kunye nee-aleji | - Bacwangciselwe utyando okanye i-CT/X-ray scan kwixesha elizayo
- Uzama ukukhulelwa okanye ukhulelwe okwangoku
- Ukuncancisa umntwana
- Ukuba ne-allergy kwi-Ertugliflozin, i-Metformin okanye naluphi na olunye unyango, ukutya, okanye i-pigment
|
Ndingayisebenzisa njani le mithi?
Indlela yokusebenzisa eli yeza ilula kakhulu.
- Sela le pilisi neglasi yamanzi .
- Zama ukuyithatha ngexesha elifanayo yonke imihla , kanye njengoko ugqirha wakho ekuyalele.
- Kungcono ukusela eli yeza ekuqaleni kokutya .
- Ungaze uyeke ukuthatha amayeza akho ngaphandle kokubonisana nogqirha wakho .
Kuthekani ukuba uthatha amayeza amaninzi kakhulu? (Umthamo ogqithisileyo)
Ukuba ucinga ukuba usele amayeza amaninzi kakhulu, ungoyiki. Kodwa ungawathathi lula.
Yiya kwangoko kwiSebe lezeMpilo eziNgxamisekileyo (i-ETU) okanye utsalele umnxeba
iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Okubaluleke kakhulu: Eli yeza limiselwe wena wedwa. Musa ukwabelana ngalo nabanye abantu nangasiphi na isizathu.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Sonke siyalibala ukusela amayeza ethu ngamanye amaxesha. Ukuba oko kuyenzeka, thatha idosi ephosiweyo ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha ledosi yakho elandelayo xa ukhumbula, yeka idosi ephosiweyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo.
Ungaze uthathe iidosi ezimbini ngaxeshanye. Amanye amayeza anokusebenza kunye nale mayeza
Ayizizo zonke iiyeza ozisebenzisayo eziya kusebenza kakuhle neli yeza. Amanye amayeza anokuphazamisana nendlela eli yeza elisebenza ngayo. Kungoko ke, kubaluleke kakhulu ukuxelela ugqirha wakho malunga nawo onke amayeza, iivithamini, kwanemveliso yezityalo ozisebenzisayo.
Izinto ekungafanele uzithathe nale mayeza
Eli yeza linokusebenzisana nezinye
ii-contrast agents (iidayi) ezifakwe emzimbeni, ingakumbi ukuba uza kwenziwa i-CT scan, i-MRI scan, okanye i-X-ray. Ngoko ke, kufuneka uxelele abasebenzi bezonyango ukuba usela eli yeza ngaphambi kovavanyo olunjalo.
Amanye amayeza anokusebenzisana
Amayeza angezantsi anokusebenzisana ne-Ertugliflozin/Metformin.
- I-Acetazolamide
- I-Cimetidine
- I-Dolutegravir
- I-Lithium
- I-Ranolazine
- I-Topiramate
- IVandetanib
- I-Zonisamide
- I-Dichlorphenamide
- Utywala
Amayeza anokuchaphazela amanqanaba eswekile egazini
Amanye amayeza anokutshintsha amanqanaba eswekile egazini lakho (ukuwanyusa okanye ukuwanciphisa). Kwakhona, amanye amayeza anokufihla iimpawu zeswekile ephantsi egazini (i-hypoglycemia), oko kuthetha ukuba asiyiqapheli loo nto. Oku kunokuba yingozi kancinci. Ngoko ke ukuba usebenzisa la mayeza, ugqirha wakho uya kukuxelela ukuba ujonge amanqanaba eswekile egazini lakho rhoqo.
| Uhlobo lwempembelelo | Imizekelo yamayeza |
|---|
| Amayeza anokuchaphazela amanqanaba eswekile egazini | - Amanye amayeza oxinzelelo lwegazi oluphezulu (umz., i-benazepril, i-lisinopril, i-losartan)
- Iziyobisi zomchamo (umz. i-hydrochlorothiazide)
- IiSteroids (umz. i-prednisone, i-cortisone)
- Iintlobo zeehomoni (i-estrogen, i-progestin, i-testosterone)
- Iihomoni ze-thyroid
- Amanye amayeza okubulala iintsholongwane kunye namayeza okugula ngengqondo
|
| Amayeza anokufihla iimpawu ze-hypoglycemia | - Ii-Beta-blockers (umz. i-atenolol, i-metoprolol, i-propranolol)
- I-Clonidine, i-Guanethidine, i-Reserpine
|
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Kwakhona kufuneka ulumke kancinci xa usebenzisa eli yeza.
- Bona ugqirha wakho ngexesha elicwangcisiweyo. Kubalulekile ukujonga inkqubela yakho kwaye wenze uvavanyo olufunekayo. Ugqirha uza kujonga amanqanaba akho e-HbA1C (uvavanyo olubonisa amanqanaba akho eswekile egazini kwiinyanga ezi-2-3 ezidlulileyo).
- Yazi iimpawu zeswekile ephantsi egazini (hypoglycemia). Lungela iimpawu ezinje ngokubila, ukungcangcazela, indlala enkulu, kunye nokubetha kwentliziyo ngokukhawuleza. Soloko uphethe ithebhulethi yeglucose okanye ipakethe yeswekile nawe.
- Kuphephe ukuphelelwa ngamanzi emzimbeni . Sela amanzi amaninzi. Ukuba unomkhuhlane, uhlanza, okanye urhudo, lumka kakhulu kwaye uxelele ugqirha wakho kuba kukho ulwelo oluninzi oluphuma emzimbeni.
- Xelela ugqirha wakho ukuba usela eli yeza ngaphambi kokuba wenze utyando okanye i-scan . Baza kukuxelela ukuba uyeke nini ukulisebenzisa kwaye uqalise nini kwakhona.
- Lumka ngevithamini B12. Ukusela eli yeza ixesha elide kunokubangela ukuba amanqanaba evithamini B12 ehle. Thetha nogqirha wakho ngale nto.
- Ukunxiba isongo okanye ikhadi elichaza ukuba unesifo seswekile kunokuba luncedo kakhulu xa kukho imeko engxamisekileyo.
Zithini iziphumo ebezingalindelekanga ezinokubakho zeyeza?
Njengalo naliphi na iyeza, eli yeza linokubangela iziphumo ebezingalindelekanga kwabanye abantu, kodwa ayinguye wonke umntu ozifumanayo. Lumka ezi mpawu zilandelayo.
Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha wakho ngoko nangoko: Iziphumo ebezingalindelekanga ezingezizo ezinzulu, kodwa kufuneka zixelwe
kugqirha wakho ukuba ziyaqhubeka.
| Imiphumela | Inkcazo kunye neempawu |
|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| I-ketoacidosis yeswekile (i-DKA) | Unxano olugqithisileyo, ukuchama rhoqo, umlomo owomileyo, ubunzima bokuphefumla, ivumba lomphefumlo elifana neziqhamo, isisu esibuhlungu, ukuhlanza. |
| Ukuphelelwa ngamanzi emzimbeni | Unxano olugqithisileyo, umlomo owomileyo, ukuquleka, umchamo otyheli okanye omdaka. |
| I-Lactic acidosis (Inqanaba eliphezulu le-lactic acid) | Intlungu yemisipha, isisu esibuhlungu, ubunzima bokuphefumla, ukudinwa kakhulu. |
| Iintsholongwane | Usulelo lomchamo (UTI) - ukudumba komchamo, ukuchama rhoqo, iintlungu zesisu esisezantsi. Usulelo lwemvubelo kwindawo yesini - ukurhawuzelela, ukuba bomvu, ukudumba. Usulelo olubi kwindawo ukusuka kwindawo yesini ukuya kwimpundu. |
| Ukunqongophala kweVithamin B12 | Intlungu kwimilenze, ukungaziva, ubuthathaka bemisipha, isiyezi, ukudideka. |
| Iingxaki zenkqubo yokugaya ukutya | Urhudo, igesi, isicaphucaphu, ukuhlanza, iintlungu esiswini. |
| Okunye | Intloko ebuhlungu. |
Ndingaligcina njani iyeza? Ndingalilahla njani?
- Gcina eli yeza kude nabantwana kunye nezilwanyana zasekhaya .
- Gcina kubushushu begumbi (phakathi kwama-20-25 degrees Celsius).
- Musa ukusebenzisa amayeza aphelelwe lixesha. Lahla kakuhle.
- Eyona ndlela ilungileyo yokulahla amayeza kukuwadlulisela kwinkqubo yokubuyisela amayeza eqhutywa yikhemesti okanye isibhedlele.
- Ukuba oko akunakwenzeka, khupha iyeza kwisitya, ulixube nento efana nekofu esetyenzisiweyo, umhlaba, okanye inkunkuma yekati, ulifake kwibhegi evalwe kakuhle, uze ulilahle kwinkunkuma. Ungaze ulikhuphele ethoyilethi.
Umyalezo Wokuya Ekhaya
- Eli yeza linceda kuphela ekulawuleni isifo seswekile. Ukutya okufanelekileyo kunye nokuzilolonga kubalulekile.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo kunye nazo naziphi na iingxaki zempilo onazo.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia) kunye nokuphelelwa ngamanzi emzimbeni.
- Ukuba ufumana usulelo lomchamo, usulelo lwangasese, okanye ezinye iziphumo ebezingalindelekanga ezinzulu, bonana nogqirha wakho ngoko nangoko.
- Musa ukuyeka ukusebenzisa eli yeza ngaphandle kwengcebiso kagqirha wakho.
- Ukuba unenkxalabo malunga nonyango lwakho lweswekile, ungaze woyike ukuthetha nogqirha wakho.
Isifo seswekile, i-Ertugliflozin, i-Metformin, i-Segluromet, isifo seswekile sohlobo lwesibini, iswekile yegazi, ulawulo lweswekile
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