Ngaba unengxaki yesifo seswekile sohlobo lwesibini? Ukuba kunjalo, ugqirha wakho usenokuba ukuxelele ngamayeza amatsha. Ludibaniso lwamayeza amabini abizwa ngokuba yi-Ertugliflozin kunye ne-Sitagliptin. Makhe sijonge indlela enokunceda ngayo ukulawula amanqanaba eswekile egazini lakho, kunye noko kufuneka ukwazi xa uyisebenzisa.
Lithini eli yeza?
Ngamafutshane, i-Ertugliflozin kunye ne-Sitagliptin ngamayeza amabini anikwa abantu abanesifo seswekile sohlobo lwesibini (isifo seswekile sohlobo lwesibini) kwipilisi enye. Eyona nto iphambili koku kukunciphisa amanqanaba eswekile egazini lakho (iglucose egazini) . Nangona kunjalo, eli yeza lodwa alanelanga ukufumana iziphumo ezilungileyo. Kufuneka ulawule ukutya kwakho kwaye wenze umthambo yonke imihla kunye neli yeza. Kulapho ke lilungile ngokwenene.
Ngamanye amaxesha oogqirha banokusebenzisa eli yeza kwezinye iimeko zempilo, ngoko ke ukuba unemibuzo, kungcono ubuze ugqirha wakho okanye ingcali yezonyango.
Elinye igama eliqhelekileyo lale mveliso yeza yiSteglujan . Ugqirha wakho usenokuba ulikhankanyile elo gama.
Yintoni omele uyixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza?
Kulungile, ngoku kukho izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza. Kuba kubaluleke kakhulu kuye ukuba azi ukuba eli yeza liza kusebenzisana njani nezinye iimeko zakho zempilo. Nazi ezinye izinto ekufuneka umxelele zona ukuba unayo:
- Ukuba unesifo sentliziyo okanye iingxaki zemithambo yegazi .
- Ukuba kukho imeko efana nokuphelelwa ngamanzi emzimbeni.
- Ukuba ukhe wahlangabezana nesifo esibizwa ngokuba yi-diabetes ketoacidosis ngaphambili.
- Ukuba unciphise ityuwa ekutyeni kwakho.
- Ukuba utya kancinci ngenxa yokugula, utyando, ukutya okunesondlo, okanye esinye isizathu.
- Ukuba kukho amanxeba emilenzeni .
- Ukuba uza kutyandwa kungekudala.
- Ukuba inqanaba lakho le-cholesterol liphezulu .
- Ukuba inxalenye yomlenze isusiwe ngaphambili.
- Ukuba unembali ye-pancreatitis okanye ezinye iingxaki ze-pancreatic.
- Ukuba ufumana usulelo lwe-genital yeast rhoqo .
- Ukuba usela rhoqo .
- Ukuba unesifo sesinyi, sezintso, okanye somchamo rhoqo.
- Ukuba unesifo sezintso .
- Ukuba unesifo sesibindi .
- Ukuba uxinzelelo lwegazi luphantsi .
- Ukuba unengxaki yemithambo-luvo .
- Ukuba usebenzisa i-hemodialysis .
- Ngaphambili , ulwimi oluvuvukileyo, ubuso, imilebe, ubunzima bokuphefumla, ubunzima bokuginya, utshintsho lwelizwiUkuba izinto ezinjalo zenzekile.
- Ukuba unengxaki yokuchama .
- Ukuba unesifo seswekile sohlobo loku-1 (eli yeza linikwa kuphela isifo seswekile sohlobo lwesibini).
- Ukuba uyindoda engalukanga .
- Ukuba une-aleji kwi-Ertugliflozin, iSitagliptin, okanye nayiphi na eminye imithi, ukutya, iidayi, okanye izithinteli .
- Kulungile ukuba ukhulelwe , ukuba uzama ukukhulelwa .
- Ukuba ungumama oncancisayo .
Ndingayisebenzisa njani le yeza?
Le pilisi kufuneka ithathwe ngomlomo neglasi yamanzi. Landela imiyalelo njengoko ugqirha wakho ekuyalele. Ungayithatha le pilisi nokuba utya ntoni na. Nangona kunjalo, ukuba unesisu esibuhlungu, kungcono ukuyithatha nokutya. Kungcono ukuyithatha kusasa . Zama ukuyithatha ngexesha elifanayo yonke imihla. Musa ukuthatha ngaphezu kokuba ugqirha wakho ekuxelele, okanye uyithathe rhoqo. Kwakhona, ungayeki ukuthatha amayeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho .
Xa ufumana eli yeza kwikhemesti, uza kunikwa incwadana yolwazi ekhethekileyo (iMedGuide) kunye nalo. Qiniseka ukuba ulifunda ngononophelo ngalo lonke ixesha ufumana iyeza lakho okanye ufumana ukuphinda uligcwalise. Liqulethe ulwazi oluninzi olubalulekileyo.
Thetha neqela lakho lezempilo malunga nokunika abantwana eli yeza . Kunokufuneka unonophelo olukhethekileyo.
Ukuba usela amayeza amaninzi: Ukuba ucinga ukuba usele amayeza amaninzi kakhulu, fowunela iziko lolawulo lwetyhefu okanye igumbi longxamiseko ngokukhawuleza.
Kubalulekile: Eli yeza limiselwe wena wedwa. Musa ukwabelana ngalo nabanye abantu.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Masithi ulibele ukusela amayeza akho kusasa. Lithathe kwangoko xa ukhumbula. Kodwa ukuba sele lisondele ixesha lokusebenzisa idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo njengoko bekucwangcisiwe. Ungaze uthathe iidosi ezimbini ngaxeshanye.
Ziziphi ezinye izinto ezinokusebenzisana nale mithi?
Ukuba usebenzisa amanye amayeza, amayeza esintu, okanye iivithamini ngelixa usebenzisa la mayeza eswekile, kufuneka uxelele ugqirha wakho ngazo. Ezinye izinto zinokusebenzisana nala mayeza. Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Nazi ezinye izinto ezinokusebenzisana nala mayeza:
- Utywala
- I-Digoxin (iyeza lesifo sentliziyo)
- I-Lithium (le inikwa izifo zengqondo)
- Amayeza e-steroid, anjenge-prednisone okanye i-cortisone
- IiSulfonylureas, ezifana ne-glimepiride, i-glipizide, kunye ne-glyburide
- Amayeza e-thyroid
Olu luhlu alubandakanyi yonke into, ngoko ke kungcono ukuxelela ugqirha wakho ngayo yonke into oyisebenzisayo.
Ngawaphi amanyathelo akhethekileyo okhuseleko ekufuneka athathwe xa usebenzisa eli yeza?
Ngelixa usebenzisa la mayeza, bonana nogqirha wakho rhoqo ukuze ujonge impilo yakho. Emva koko ungabona ukuba la mayeza akulungele na kwaye ukuba kukho utshintsho ekufuneka lwenziwe.
Eli yeza ngamanye amaxesha linokubangela imeko enzima apho igazi liba ne-asidi kakhulu . Ukuba ufumana iimpawu ezifana nokucaphuka, ukuhlanza, iintlungu zesisu, ukudinwa okungaqhelekanga, okanye ubunzima bokuphefumla , yeka ukuthatha eli yeza ngoko nangoko uze ufowunele ugqirha wakho . Ukuba kunokwenzeka, jonga umchamo wakho ukuba awunazo na ii-ketones usebenzisa i-ketone test strip .
Uvavanyo lwakho lwe -HbA1C (A1C) nalo lwenziwa rhoqo. Olu luvavanyo lwegazi olulula. Lujonga indlela iswekile yakho yegazi elawulwa ngayo kwiinyanga ezi-2-3 ezidlulileyo. Olu vavanyo lwenziwa rhoqo kwiinyanga ezi-3-6.
Funda indlela yokujonga amanqanaba eswekile egazini lakho ekhaya . Kubalulekile ukufunda iimpawu zeswekile ephantsi egazini (hypoglycemia) kunye neswekile ephezulu egazini (hyperglycemia) kunye nendlela yokuzilawula.
Soloko ugcina umthombo weswekile okhawulezileyo kuwe xa iswekile yegazi isezantsi (i-hypoglycemia) . Umzekelo, iityhubhu zeswekile okanye iipilisi zeglucose. Ukuba uneswekile ephantsi kakhulu egazini kwaye unesithuthwane okanye ulahlekelwa zingqondo, xelela abo bakungqongileyo ukuba ukubanika ukutya okanye isiselo ngelo xesha kunokubangela ukuba bakrwitshwe. Ukuba oku kuyenzeka, kufuneka bafune uncedo lwezonyango ngokukhawuleza.
Xelela ugqirha wakho ukuba uvakalelwa kukuba iswekile yakho yegazi iphezulu. Ubungakanani beyeza lakho bunokufuneka bulungiswe. Ubungakanani beyeza lakho bunokufuneka bulungiswe ukuba uyagula okanye ukuba uzilolonga ngaphezu kwesiqhelo .
Musa ukutsiba ukutya . Buza ugqirha wakho ukuba kufuneka uphephe utywala na. Amayeza amaninzi okukhwehlela kunye nawomkhuhlane athengiswa ngaphandle kwemvume kagqirha anokuba neswekile okanye utywala. Oku kunokuchaphazela amanqanaba eswekile egazini lakho.
Nxiba okanye ugcine ikhadi lesazisi sezonyango elinoluhlu lweenkcukacha ezifana nemeko yakho yempilo, amayeza owasebenzisayo, kunye nexesha lokuwasela amayeza akho.
Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?
Njengalo naliphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezinye zinzima, ezinye azinzima kangako. Kodwa ukuba ubona into engaqhelekanga, kungcono uxelele ugqirha wakho.
Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko
- Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela, i-urticaria (ii-hives), ukudumba kobuso, imilebe, ulwimi okanye umqala.
- Ukuphelelwa ngamanzi emzimbeni: Unxano olugqithisileyo, umlomo owomileyo, isiyezi, intloko ebuhlungu, umchamo otyheli okanye omdaka.
- I-ketoacidosis yeswekile (i-DKA):Unxano olugqithisileyo okanye ukuchama, umlomo owomileyo, ukudinwa kakhulu, ivumba lomphefumlo elifana neziqhamo, ubunzima bokuphefumla, iintlungu zesisu, isicaphucaphu, ukuhlanza.
- Usulelo lwemvubelo yesisu: ukuba bomvu, ukudumba, iintlungu okanye ukurhawuzelela, ukuvuza okunuka kakubi, ukutyeba okanye ukugoba. (Oku kunokwenzeka kumadoda nakubafazi).
- Iimpawu zokuhlaselwa yintliziyo: ukuphefumla kancinci, ukudumba kwamaqatha, iinyawo, okanye izandla, ukunyuka kobunzima ngequbuliso, kunye nokuziva ubuthathaka okanye udiniwe ngendlela engaqhelekanga.
- Usulelo, ukubomvu, ukudumba, ukuqina, okanye iintlungu ezijikeleze amalungu esini okanye kwindawo ekhokelela kwimpundu: Oku kungaba luphawu lwemeko embi kakhulu ebizwa ngokuba yi -Fournier's gangrene , ngoko ke ukuba ubona into efana nale, xelela ugqirha wakho ngokukhawuleza.
- Ukonakala kwezintso: ukuncipha kokuphuma komchamo, ukudumba kwamaqatha, izandla, okanye iinyawo.
- Intlungu entsha okanye ukuqaqamba emlenzeni okanye ezinyaweni, ukutshintsha kombala wolusu, izilonda okanye izilonda, okanye usulelo .
- I-Pancreatitis: Intlungu ebuhlungu esiswini esasazeka emqolo, intlungu eba mandundu emva kokutya okanye xa ichukunyiswa, umkhuhlane, isicaphucaphu, kunye nokuhlanza.
- Ukuba ufumana ububomvu, amadyungudyungu, ukuxobuka kwesikhumba, okanye izinto ezifanayo emlonyeni wakho .
- Intlungu ebuhlungu yamalungu.
- Usulelo lomchamo (UTI): Ukutsha xa uchama, ukuchama rhoqo, umchamo onegazi okanye amafu, iintlungu esiswini esisezantsi okanye emacaleni.
Iziphumo ebezingalindelekanga ezingafuneki ngcebiso kagqirha, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka
- Intloko ebuhlungu
- Impumlo egobhozayo okanye impumlo exineneyo
- Umqala obuhkungu
Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga, kungcono ucele ingcebiso kugqirha wakho. Ungaxela neziphumo ebezingalindelekanga kwi -FDA (1-800-FDA-1088).
Ufanele uwagcine njani amayeza akho?
Gcina eli yeza kude nabantwana kunye nezilwanyana zasekhaya .
Gcina kubushushu begumbi, phakathi kwe-15 kunye ne-30 degrees Celsius (59 kunye ne-86 degrees Fahrenheit). Lahla amayeza aphelelwe lixesha.
Nceda uqaphele: Eli nqaku lisisishwankathelo kuphela. Lisenokungabi nalo lonke ulwazi. Ukuba unemibuzo engaphezulu malunga nale yeza, nceda uthethe nogqirha wakho, ikhemisti, okanye umboneleli wezempilo.
Izinto ezibaluleke kakhulu ekufuneka uzikhumbule
Kulungile, ngoko ke, ngokwezinto esithethe ngazo ngala mayeza esifo seswekile abizwa ngokuba yi-Ertugliflozin kunye ne-Sitagliptin, nazi ezinye zezinto ezibalulekileyo ekufuneka uzikhumbule:
- Eli yeza linceda ekulawuleni iswekile egazini lakho , kodwa iziphumo ezilungileyo zifumaneka ngokutya kakuhle kunye nokuzilolonga .
- Ngaphambi kokuba uqalise iyeza,Qiniseka ukuba uxelela ugqirha wakho ngezinye iingxaki zempilo onazo.
- Thatha idosi emiselweyo, ngexesha elimiselweyo, njengoko ugqirha emyalele. Musa ukutsiba idosi okanye uthathe idosi ezimbini ngaxeshanye.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia) kwaye ugcine iswekile ikufutshane xa uyidinga.
- Ukuba ufumana iimpawu zesifo esinzulu esibizwa ngokuba yi -diabetesic ketoacidosis (DKA) (isicaphucaphu, ukuhlanza, iintlungu zesisu, ukudinwa kakhulu, ubunzima bokuphefumla) , xelela ugqirha wakho ngoko nangoko .
- Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezingaqhelekanga , ingakumbi usulelo lwangasese, izilonda zemilenze, okanye iimpawu zokungasebenzi kakuhle kwentliziyo.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo, kuba ezinye iziyobisi zinokusebenzisana nale.
Ukuphila nesifo seswekile kunokuba nzima, kodwa ukuthatha amayeza akho ngokufanelekileyo, ukwenza utshintsho kwindlela ophila ngayo, nokuhlala unxibelelana nogqirha wakho kunokukunceda kakhulu uhlale usempilweni. Ungakhathazeki, awuwedwa!
Isifo seswekile , i-ertugliflozin, i-sitagliptin, amayeza eswekile, iswekile yegazi, isifo seswekile sohlobo lwesibini, iSteglujan
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