Isifo seswekile yingxaki yempilo abantu abaninzi kuluntu lwethu abajongene nayo namhlanje. Ngokukodwa, isifo seswekile sohlobo lwesibini sinokubakho nangaliphi na ixesha. Ngale meko, umngcipheko wokufumana ezinye iingxaki zempilo uyanda. Ngoko ke, kukho iintlobo ezininzi zamayeza acetyiswayo ngoogqirha ukulawula esi sifo seswekile. Elinye lamayeza anjalo yiFarxiga. Namhlanje, kweli nqaku, siza kuthetha ngezinto ezibalulekileyo ekufuneka uzazi ukuba ugqirha wakho ukunike eli yeza.
Isebenza njani iFarxiga emzimbeni?
Eli yeza, eliza phantsi kwegama lophawu lweFarxiga, liqulathe isithako esisebenzayo se-dapagliflozin . Ezi ziyinxalenye yodidi lwamayeza abizwa ngokuba yi-SGLT2 inhibitors. Ngoku masibone ukuba yintoni le ngolu hlobo.
Cinga ngezintso zethu njengee-super filters ezimbini. Ezi zihluzo zicoca igazi lethu kwaye zisusa izinto ezingafunekiyo ngomchamo. Ngale ndlela, iswekile (iglucose) esegazini nayo iyahluzwa iye kumchamo. Kodwa umzimba wethu unobuchule kakhulu. Ukusebenzisa iproteni ebizwa ngokuba yi-SGLT2 kwizintso, iphinda ifunxe iswekile ezama ukungena kumchamo. Umntu onesifo seswekile sele enamazinga aphezulu eswekile emzimbeni wakhe. Ngoko ke ukufunxa iswekile kwakhona akuyonto ilungileyo.
I-Farxiga isebenza ngokuthintela ukusebenza kweproteni ye-SGLT2 . Oku kuthetha ukuba iswekile ayisangeni emzimbeni, kodwa ikhutshwa kumchamo. Ngamafutshane, umsebenzi ophambili wale chiza kukulawula amanqanaba eswekile egazini ngokususa iswekile egqithisileyo emzimbeni wakho ngomchamo wakho .
Zithini iziphumo zale mithi?
IFarxiga ifundwe kakhulu kwihlabathi liphela. Ezi zifundo zifumanise ukuba iyasebenza kakhulu ekwehliseni amanqanaba eswekile egazini, xa isetyenziswa yodwa kwaye idityaniswe namanye amayeza eswekile.
IFarxiga isetyenziswe kunye namayeza alandelayo asetyenziswa rhoqo ukunyanga isifo seswekile:
- I-Metformin
- IiSulfonylureas (umz., iGliclazide, iGlimepiride)
- Ii-agonists ze-GLP-1 receptor
- I-insulin
- Izithinteli ze-DPP-4
- I-Thiazolidinediones
Eyona nto iphambili ejongwayo kwezi zifundo lixabiso elibizwa ngokuba yi -HbA1c (i-hemoglobin A1c). Ngamafutshane, i-HbA1c linqanaba lakho eliqhelekileyo leswekile egazini kwiinyanga ezi-2-3 ezidlulileyo . Lifana 'nekhadi lengxelo' yokulawula isifo seswekile. Kwiizifundo ezininzi, abantu abasebenzisa iFarxiga babenamanqanaba e-HbA1c aphantsi kakhulu.
Kuthatha ixesha elingakanani ukubona iziphumo?
Amanqanaba eswekile egazini lakho aza kuqala ukwehla phantse kwangoko emva kokuba uqalile ukusebenzisa iFarxiga. Ukuba ungumntu ojonga iswekile yakho egazini ekhaya, uza kubona umahluko omkhulu kwiiveki ezi-4 zokuqala.Ungayibona. Kodwa kuthatha ixesha ukuba ixabiso le-HbA1c lehle. Ngenxa yokuba liphakathi kweenyanga ezi-2-3, kungathatha malunga neeveki ezi-8 ukuya kwezi-12 ukubona utshintsho kuloo xabiso.
Ngaba zikho ezinye izibonelelo ngaphandle kokunciphisa iswekile?
Ewe! Nangona umsebenzi ophambili weFarxiga kukulawula iswekile egazini, uphando lubonise ukuba inezinye izibonelelo ezongezelelweyo. Oku kubaluleke kakhulu kumntu onesifo seswekile.
| Inzuzo eyongezelelweyo | Ingcaciso elula |
|---|---|
| Ukuhla ukusinda | Le ayisiyo pilisi yokunciphisa umzimba. Nangona kunjalo, ekubeni iswekile ikhutshwa emchameni, iikhalori ezikwelo swekile nazo ziyasuswa emzimbeni. Ke ngoko, kufunyenwe ukuba abantu abathatha le pilisi balahlekelwa malunga ne-1.5 - 3.5 kg (3.5 - 7 pounds). |
| Ukuncipha koxinzelelo lwegazi | Eli asiloyeza loxinzelelo lwegazi. Kodwa xa iswekile ikhutshwa emchameni, amanzi amancinci nawo ayaphuma emzimbeni. Oku kubangela ukwehla kancinci koxinzelelo lwegazi. |
| Ukunciphisa ukulaliswa esibhedlele ngenxa yesifo sentliziyo | Eli yeza libonakalisiwe ukuba liyanciphisa umngcipheko wokulaliswa esibhedlele ngenxa yokusilela kwentliziyo ukuba unesifo sentliziyo okanye izinto ezinokubangela oko (i-cholesterol, uxinzelelo lwegazi oluphezulu, ukutshaya). |
| Ukukhuselwa kwezintso | Isifo seswekile singonakalisa izintso zakho ngokuhamba kwexesha. Ukuba unesifo sezintso esinganyangekiyo, iFarxiga inokukunceda ekuthinteleni ukuba singabi sibi. |
Zithini iziphumo ebezingalindelekanga zale yeza?
Njengayo nayiphi na imithi, iFarxiga inokubangela ezinye iziphumo ebezingalindelekanga. Kubalulekile ukuba uzazi ezi zinto.
1. Usulelo lweMvubelo yeSini
Le yeyona miphumo ixhaphakileyo yeFarxiga. Umthamo weswekile ephezulu kumchamo udala indawo efanelekileyo yokukhula kwefungi efana negwele. Oku kuxhaphake kakhulu kubasetyhini.
- Iimpawu: Ukurhawuzelela kwindawo yesini, ukukhupha ulwelo olubi.
- Ungayilawula njani?
- Nxiba impahla yangaphantsi yekotoni.
- Soloko ugcine indawo yangasese yomile.
- Thetha nogqirha wakho uze ufumane unyango olufanelekileyo.
2. I-Hypoglycemia - Amanqanaba eswekile egazini aphantsi kakhulu
Le meko ayifane yenzeke xa iFarxiga ithathwa yodwa. Nangona kunjalo, ukuba uthatha iFarxiga kunye ne-insulin okanye i-sulfonylurea (umz., iGliclazide) , amanqanaba eswekile egazini lakho anokuba phantsi kakhulu.
- Iimpawu: ukubila, ukungcangcazela, indlala enkulu, isiyezi.
- Ulawulo: Xa uqala iFarxiga, ugqirha wakho unokufuna ukunciphisa idosi yezinye iziyobisi zakho zeswekile. Thetha nogqirha wakho ngale nto.
3. I-Diabetic Ketoacidosis (DKA)
Le yimeko embi kodwa engaqhelekanga . Xa umzimba ungakwazi ukusebenzisa iswekile ukuze ufumane amandla, utshisa amafutha ukuze ufumane amandla. Ngexesha lale nkqubo, kuveliswa iikhemikhali ezibizwa ngokuba zii-ketones. Ezi zinto ziyaqokelelana egazini, nto leyo ebangela ukuba igazi libe ne-asidi, ebizwa ngokuba yi-DKA.
- Iimpawu: Unxano olugqithisileyo, ukuchama rhoqo, isisu esibuhlungu, isicaphucaphu, ukuhlanza, ubunzima bokuphefumla, kunye nevumba elimnandi leziqhamo emlonyeni.
- Okufanele ukwenze: Le yimeko engxamisekileyo yezonyango enokuba yingozi ebomini. Ukuba ufumana enye okanye ngaphezulu kwezi mpawu, kufuneka uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane ngoko nangoko.
Ndingayifumana njani iFarxiga?
IFarxiga ayisiyosiyobisi onokusithenga nje kwikhawuntara kwivenkile yezonyango. Ifuna uxwebhu oluvela kugqirha.
Ugqirha wakho okanye ingcali ye-endocrinologist uza kuvavanya impilo yakho aze agqibe ukuba eli yeza likulungele na. Ungaze ulisebenzise eli yeza okanye utshintshe umthamo omiselweyo ngaphandle kokubonisana nogqirha.
Umyalezo Wokuya Ekhaya
- IFarxiga (i-dapagliflozin) liyeza lesifo seswekile sohlobo lwesibini. Linceda ekulawuleni amanqanaba eswekile egazini ngokususa iswekile egqithisileyo emzimbeni ngomchamo.
- Ukongeza ekulawuleni iswekile, ikwanceda ekunciphiseni ubunzima bomzimba kunye noxinzelelo lwegazi kancinci, inciphise umngcipheko wesifo sentliziyo, kwaye ikhusele izintso.
- Usulelo lwemvubelo kwindawo yesini luyimiphumo emibi eqhelekileyo. Kubalulekile ukugcina ucoceko.
- Kukho umngcipheko we-hypoglycemia xa uthathwa kunye namanye amayeza eswekile afana ne-insulin. Yazisa ugqirha wakho ngale nto.
- Qaphela iimpawu zesifo esibi esibizwa ngokuba yi-DKA. Ukuba unamathandabuzo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.
- Eli yeza lifanele lisetyenziswe kuphela ngokwengcebiso kagqirha .
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho