Ugonyo lwesifo seswekile? Masifunde nge-Exenatide ngokulula!

Ngaba unesifo seswekile sohlobo lwesibini? Okanye ngaba ilungu losapho okanye umhlobo wakho unengxaki yesi sifo? Mhlawumbi sele uve ngesi siyobisi i-Exenatide. Usenokuba nemibuzo emininzi malunga nokuba yintoni kanye kanye, isebenza njani, kunye namanyathelo okhuseleko ekufuneka uwathathe xa usisebenzisa. Namhlanje, siza kuthetha ngazo zonke ezo zinto ngendlela elula onokuyiqonda.

Luhlobo luni lonyango i-Exenatide?

Ngamafutshane, i-Exenatide liyeza elinikwa abantu abanesifo seswekile sohlobo lwesibini . Lidla ngokunikezelwa njengenaliti. Usenokuba ukhe walibona phantsi kwegama lophawu elithi `(Bydureon)`.

Ngoko ke oku kusebenza njani? Kulula kakhulu. Eli yeza linyusa inqanaba le-insulin emzimbeni wakho. I-insulin yenye yezona hormone zibalulekileyo ezilawula iswekile emzimbeni wethu. Ngoko ke xa i-insulin isanda, inani leswekile egazini liyancipha. Ayipheleli apho, eli yeza linceda ekunciphiseni inani leswekile engena egazini lakho kwaye linceda nokukhawulezisa inkqubo yokugaya ukutya. Uninzi lwexesha, xa eli yeza linikwa, kuthiwa lisetyenziswa kunye nokutya okufanelekileyo kunye nokuzilolonga . Kulapho unokufumana khona iziphumo ezilungileyo.

Ngamanye amaxesha eli yeza lingasetyenziselwa nezinye iimeko zonyango. Ungabuza ugqirha wakho okanye ikhemisti ngale nto.

Zeziphi izinto ezibalulekileyo ekufuneka ndizixelele ugqirha ngaphambi kokuba ndithathe eli yeza?

Ngaphambi kokuba uqale ukusebenzisa i-Exenatide, kubalulekile ukuxelela ugqirha wakho okanye umongikazi ngezi zinto. Olu lwazi luza kubanceda bagqibe ukuba eli yeza likulungele na okanye alikufanele kwaye bangaliniki njani.

• Ukuba unesifo esibizwa ngokuba yi-Endocrine tumors (MEN 2) okanye ukuba kukho umntu kusapho lwakho okhe waba naso.
• Ukuba wakha waba ne -pancreatitis , oku kubaluleke kakhulu, kuba eli yeza ngamanye amaxesha linokuchaphazela i-pancreas.
• Ukuba unesifo sezintso . Ukuba izintso zakho azisebenzi kakuhle, eli yeza linokuqongelela emzimbeni wakho lize libangele iingxaki.
• Ukuba ufumana unyango lwe-dialysis.
• Ukuba une-platelet ephantsi egazini lakho.
• Ukuba uneengxaki zesisu okanye zamathumbu. Ngenxa yokuba eli yeza licothisa ukugaywa kokutya, linokuchaphazela abantu abaneengxaki ezinjalo.
• Ukuba unomhlaza we-thyroid , okanye ukuba kukho umntu kusapho lwakho okhe waba nawo.
• Ukuba ukhe waba ne-allergy kwi-exenatide, amanye amayeza, ukutya, imibala yokwenziwa, okanye izithinteli.
• Ukuba ukhulelwe okanye uceba ukukhulelwa , eli yeza alifanelekanga ngexesha lokukhulelwa.
• Ukuba ungumama oncancisayo .

Kubaluleke kakhulu ukuze ukhuseleke ukuxelela ugqirha ezi zinto ngaphandle kokuzifihla.

Ndingayisebenzisa njani le yeza?

Eli yeza linikwa njengenaliti phantsi kolusu . Ugqirha okanye umongikazi wakho uza kukubonisa indlela yokulinika ekhaya. Kufuneka ufunde kakuhle indlela yokulilungiselela kunye nendlela yokulinika.

• Ufanele uyithathe kanye ngeveki, ngaxeshanye . Kubaluleke kakhulu ukuyithatha ngosuku olufanelekileyo, ngexesha elifanelekileyo, njengoko ugqirha esitsho.
• Qhubeka uyisebenzisa de ugqirha wakho akuxelele ukuba uyeke.
• Musa ukuphosa iinaliti neesirinji ezisetyenzisiweyo kwinkunkuma. Zifake kwisikhongozeli esikhethekileyo se-sharps . Ukuba awunayo, cela ugqirha wakho okanye i-pharmacist akunike yona. Oku kukhuselekile kwindalo esingqongileyo nakwabanye.
• Xa unikwa eli yeza yivenkile yezonyango, uza kunikwa incwadana yolwazi ekhethekileyo ebizwa ngokuba yi-"MedGuide" . Funda oku ngononophelo ngalo lonke ixesha usela iyeza okanye xa ufumana elitsha.
• Eli yeza liza nencwadana ethi IMIYALELO YOKUSETYENZISWA. Lifunde ngononophelo uze ubuze ikhemisti okanye ugqirha wakho ukuba kukho into ongayiqondiyo.

Ngaba eli yeza linokunikwa abantwana?

Eli yeza linokunikwa abantwana abaneminyaka eli-10 ubudala kwiimeko ezithile ezikhethekileyo. Nangona kunjalo, kukho amanyathelo akhethekileyo okhuseleko. Ke ngoko, ukuba unika umntwana eli yeza, kufuneka uxoxe ngalo ngokupheleleyo nogqirha wabantwana uze wenze isigqibo.

Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?

Ukuba ucinga ukuba usele eli yeza kakhulu, fowunela iziko lokulawula ityhefu okanye igumbi likaxakeka elikufutshane ngoko nangoko . Musa ukoyika, kodwa funa ingcebiso kagqirha ngoko nangoko.

Kubalulekile: Eli yeza limiselwe wena wedwa. Ungaze wabelane nabanye ngamayeza akho. Linokuba yingozi.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Ukuba uphoswe yidosi, yithathe ngokukhawuleza . Nangona kunjalo, kufuneka ukwenze oko kuphela xa kusele ubuncinane iintsuku ezi-3 ngaphambi kokuba uthathe idosi elandelayo.

Ukuba uphoswe yidosi kwaye kusele usuku okanye ezimbini kuphela ngaphambi kokuba uthathe idosi elandelayo ecwangcisiweyo, musa ukuthatha idosi ephosiweyo . Thatha nje idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye okanye uthathe idosi eyongezelelweyo.

Ngawaphi amanye amayeza anokusebenza kunye nale mithi?

Eli linqaku elibaluleke kakhulu. I-Exenatide inokunxibelelana namanye amayeza owasebenzisayo. Oku kuthetha ukuba ukuyithatha kunye nala mayeza kunokwenza i-exenatide ingasebenzi kakuhle, okanye inokunyusa iziphumo ebezingalindelekanga.

Lumka ngakumbi ngezi ntlobo zamayeza:

• `I-Acetaminophen` (i-paracetamol)
• Iipilisi zokulawula ukukhulelwa: Eli yeza lisenokunciphisa ukufunxwa kweepilisi zokulawula ukukhulelwa, ngoko ke thetha nogqirha wakho ngalo mba.
• `Digoxin` (iyeza lesifo sentliziyo)
• I-insulin kunye namanye amayeza esifo seswekile : Ukusebenzisa i-Exenatide kunye nezi zinto kunokubangela iswekile ephantsi egazini (i-hypoglycemia). Ke ngoko, ukulungiswa kwedosi kunokufuneka.
• I-Lisinopril (iyeza loxinzelelo lwegazi oluphezulu)
• I-Lovastatin (iyeza lokunciphisa i-cholesterol)
• I-Warfarin (iyeza elithintela ukujiya kwegazi): Xa usebenzisa i-Exenatide kunye neli yeza, kufuneka uqaphele umngcipheko wokopha.

Ayizizo ezi kuphela, kodwa nezinye amayeza amaninzi anokuchaphazela amanqanaba eswekile egazini . Ngoko ke xelela ugqirha wakho ngazo zonke amayeza owasebenzisayo. Umzekelo:

• Iziselo ezinxilisayo.
• Amayeza okulwa nentsholongwane anikwa i-HIV okanye i-AIDS.
• I-aspirin kunye namayeza afanayo.
• Amanye amayeza oxinzelelo lwegazi oluphezulu, isifo sentliziyo, kunye neengxaki zesingqisho sentliziyo.
• `I-Chromium` (isongezo).
• I-Diuretics (amayeza asusa amanzi emzimbeni).
• Iihomoni zabasetyhini (ezifana nee-estrogens okanye ii-progestins), iipilisi zokucwangcisa usapho.
• `Fenofibrate`, `Gemfibrozil` (amayeza e-cholesterol).
• `Isoniazid` (iyeza lesifo sephepha).
• Ezinye iindlela zonyango lwehomoni (`Lanreotide`, `Octreotide`, `Pasireotide`).
• Iihomoni zamadoda okanye ii-anabolic steroids.
• Amayeza okudakumba e-MAOI (afana ne-`Carbex`, `Eldepryl`, `Marplan`, `Nardil`, `Parnate`).
• Amayeza okunciphisa umzimba.
• Amayeza okunyanga ii-allergies, i-asthma, umkhuhlane kunye nokukhwehlela.
• Amayeza okudakumba, ixhala, okanye ukugula ngengqondo.
• I-Niacin.
• I-Nicotine (ukuba uyatshaya).
• Ii-NSAID (umzekelo: Ibuprofen, Naproxen).
• `I-Pentamidine`.
• I-Phenytoin (iyeza lokuxhuzula).
• I-Probenecid (iyeza le-gout).
• Ii-antibiotics ze-Quinolone (ezifana ne-`Ciprofloxacin`, `Levofloxacin`, `Ofloxacin`).
• Ezinye izongezo zokutya zemifuno.
• Amayeza e-steroid (afana ne-'Prednisone', 'iCortisone').
• iSulfamethoxazole; i-trimethoprim (i-antibiotic).
• Iihomoni ze-thyroid.

Kwakhona, amanye amayeza angayifihla imiqondiso yokulumkisa yokuba iswekile yakho isezantsi egazini (hypoglycemia) . Oku kuthetha ukuba usenokungayiboni iswekile yakho yegazi iphantsi. Ukuba usebenzisa olu hlobo lwamayeza, kubaluleke kakhulu ukujonga iswekile yakho yegazi rhoqo.

• Ii-Beta-blockers (uhlobo lwamayeza adla ngokunikezelwa kuxinzelelo lwegazi oluphezulu okanye isifo sentliziyo, umz. i-Atenolol, iMetoprolol, iPropranolol).
• `I-Clonidine`.
• `I-Guanethidine`.
• `I-Reserpine`.

Olu luhlu alubandakanyi zonke iindlela zokunxibelelana ezinokwenzeka. Ngoko ke , xelela ugqirha wakho okanye ikhemisti malunga nawo onke amayeza owasebenzisayo (amayeza amiselweyo, athengiswa ngaphandle kwemvume kagqirha, amayeza emifuno, iivithamini, kunye nezongezo). Kwakhona xelela ugqirha wakho okanye ikhemisti ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi.

Zeziphi izinto ekufuneka uzilumkele xa usebenzisa eli yeza?

Ufanele ukhathalele impilo yakho xa usebenzisa i-Exenatide.

• Bona ugqirha wakho rhoqo ukuze ujonge imeko yakho . Xelela ugqirha wakho ukuba iimpawu zakho aziphucuki okanye ukuba ziya zisiba mandundu.
• Uvavanyo lwakho lwe-HbA1C (A1C) luza kwenziwa rhoqo. Olu luvavanyo lwegazi olulula. Lujonga indlela iswekile yakho yegazi elawulwa ngayo kwiinyanga ezi-2-3 ezidlulileyo. Kuya kufuneka wenze olu vavanyo rhoqo kwiinyanga ezi-3-6.
• Funda indlela yokujonga amanqanaba eswekile egazini lakho ekhaya . Funda ngeempawu zeswekile ephantsi egazini (i-Hypoglycemia) kunye neswekile ephezulu egazini (i-Hyperglycemia) kunye nendlela yokuzilawula.
• Soloko ugcina umthombo weswekile okhawulezayo (umz. iityhubhu zeswekile, iitafile zeswekile) kufutshane . Oku kuluncedo ukuba iswekile yakho yegazi yehla ngequbuliso (i-hypoglycemia). Ukuba unesifo esinzima esifana neswekile ephantsi egazini (ukuxhuzula), okanye ukuba ulahlekelwa zingqondo, xelela usapho lwakho kunye nabahlobo ukuba unokukrwitshwa ukuba uzama ukubanika ukutya okanye isiselo ngelo xesha. Ukuba oku kuyenzeka, funa uncedo lwezonyango ngokukhawuleza.
• Ukuba uqaphela ukuba iswekile yakho egazini iphezulu (umz., ukoma kakhulu, ukuchama rhoqo, ukudinwa kakhulu), xelela ugqirha wakho . Umthamo wakho wamayeza unokufuneka uhlengahlengiswe. Ukuba ugula okanye uzilolonga ngaphezu kwesiqhelo, umthamo wakho wamayeza unokufuneka uhlengahlengiswe.
• Musa ukutsiba ukutya .
• Thetha nogqirha wakho malunga nokusela utywala. Amayeza amaninzi okukhwehlela kunye nawomkhuhlane athengiswa ngaphandle kwemvume kagqirha anokuba neswekile okanye utywala. Oku kunokuchaphazela amanqanaba eswekile egazini.
• Ungaze wabelane ngeepeni zokujova nabanye abantu . Ukwenza njalo kunokusasaza iintsholongwane ezifana ne-hepatitis okanye i-HIV.
• Nxiba isongo okanye umgexo wesazisi sezonyango . Phatha ikhadi elichaza imeko yakho yempilo, amayeza owaselayo kunye nemilinganiselo.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengazo zonke iziyobisi, i-Exenatide inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye zimbi kakhulu, ezinye azimbi kangako.

Iziphumo ebezingalindelekanga ekufuneka uzixelele ugqirha wakho ngoko nangoko:

Ukuba ufumana naziphi na kwezi mpawu, bonana nogqirha ngokukhawuleza.

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
• Iingxaki zenyongo : Intlungu ebuhlungu yesisu, isicaphucaphu, ukuhlanza, umkhuhlane.
• Ukulimala kwezintso : Ukuncipha kokuphuma komchamo, ukudumba kwamaqatha, izandla, okanye iinyawo.
• I-Pancreatitis : Intlungu ebuhlungu esiswini (oku kunokuphuma emqolo, kwaye intlungu iyanda emva kokutya okanye xa isisu sichukunyiswa), umkhuhlane, isicaphucaphu, kunye nokuhlanza.
• Umhlaza we-thyroid : Iqhuma elitsha okanye ukudumba entanyeni, intlungu okanye ubunzima bokuginya, ubunzima bokuphefumla, kunye nokutshintsha kwelizwi (ukurhawuzelela).
• Ukukruquka okanye ukopha okungaqhelekanga.

Iziphumo ebezingalindelekanga ezingezizo ezinzulu, kodwa ekufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka:

Ezi zifo zihlala ziphela kwiintsuku ezimbalwa, kodwa ukuba ziyaqhubeka, xelela ugqirha wakho ukuba ziyakukhathaza.

• Urhudo
• Isicaphucaphu
• Intlungu, ukubomvu, okanye ukudumba kwindawo yokutofa
• Isisu esimoshakele
• Ukuhlanza

Olu luhlu lusenokungazibandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, thetha nogqirha wakho ngazo. Ungaxela neziphumo ebezingalindelekanga kwi-FDA (ngokufowunela ku-1-800-FDA-1088).

Ndingaligcina njani eli yeza?

Kubaluleke kakhulu ukugcina amayeza akho ngokufanelekileyo.

• Yigcine kude nabantwana kunye nezilwanyana zasekhaya .
• Gcina efrijini . Musa ukuyiqandisa.
• Eli yeza lingagcinwa kubushushu begumbi (phakathi kwama-20 nama-25 degrees Celsius / ama-68 nama-77 degrees Fahrenheit) ukuya kuthi ga kwiiveki ezi-4.
• Khusela ekukhanyeni . Gcina iyeza kwibhokisi yekhadibhodi yokuqala ude ulisebenzise.
• Khupha iyeza ebhokisini lekhadibhodi imizuzu eli-15 ngaphambi kokuba ulisebenzise.
• Sebenzisa iyeza ngoko nangoko emva kokuxuba .
• Musa ukusebenzisa amayeza aphelelwe lixesha, walahle.

Ndingawalahla njani amayeza angasetyenziswanga okanye aphelelwe lixesha?

• Yisa eli yeza kwindawo enenkqubo yokubuyisela amayeza. Ungafumana ulwazi ngeendawo ezinjalo kwikhemesti yakho okanye emapoliseni.
• Ukuba oku akunakwenzeka, buza ugqirha wakho okanye usokhemesti ukuba ungalilahla njani eli yeza ngokukhuselekileyo. Musa ukulilahla nje enkunkuma.

Umyalezo Wokuya Ekhaya

Ngoko ke, i-Exenatide liyeza elibalulekileyo elinceda ukulawula isifo seswekile sohlobo lwesibini.

• Le yinaliti efakwa ngaphantsi kwesikhumba .
• Thatha idosi emiselweyo, ngexesha elimiselweyo, njengoko ugqirha emyalele .
• Xelela ugqirha wakho malunga neminye imithi oyithathayo kunye nezinye izifo onokuba nazo.Ndixelele.
• Jonga amanqanaba eswekile egazini lakho rhoqo kwaye uqaphele iimpawu zeswekile ephantsi egazini.
• Lumka ngemiphumo emibi, kwaye ukuba ubona nantoni na enzulu, bonana nogqirha ngokukhawuleza .
• Gcina amayeza ngokufanelekileyo .

Khumbula, eli nqaku lishwankathelo nje. Ukuba unemibuzo engaphezulu malunga nale yeza, ungathandabuzi ukubuza ugqirha wakho, ikhemisti, okanye omnye umboneleli wezempilo. Siyathemba ukuba olu lwazi luza kukunceda ulawule isifo sakho seswekile kwaye uphile ubomi obusempilweni!

I- Exenatide, iBydureon, Isifo seswekile, Uhlobo lwesibini lwesifo seswekile, i-insulin, iswekile egazini, ugonyo, iziphumo ebezingalindelekanga