Xa ugqirha wakho ekuxelela ukuba unesifo seswekile , okanye isifo seswekile sohlobo lwesibini, mhlawumbi wamiselwa iyeza elibizwa ngokuba yiGlimepiride. Abanye abantu bayayazi ngegama elithi Amaryl. Eli liyeza eliqhelekileyo nelibaluleke kakhulu elisetyenziselwa ukulawula isifo seswekile . Ngoko ke, yintoni kanye kanye le yeza eyenzayo emzimbeni wakho? Zeziphi izinto ekufuneka uzilumkele xa ulisebenzisa? Zithini iziphumo ebezingalindelekanga ? Namhlanje, siza kuthetha ngazo zonke ezi zinto ngendlela elula kakhulu onokuyiqonda.
Kwenzeka ntoni ngokwenene ngale mithi?
Kulungile, masiyibeke ngokulula le nto. Umntu onesifo seswekile unokuba neengxaki ezimbini eziphambili emzimbeni wakhe. Enye kukuba akavelisi ngokwaneleyo i -insulin yehomoni, efunekayo ukulawula amanqanaba eswekile egazini. Enye kukuba iiseli zomzimba azikwazi ukusebenzisa ngokufanelekileyo isixa se-insulin esiveliswayo.
I-Glimepiride ikwiqela lamayeza abizwa ngokuba yi-sulfonylureas. Ngokusisiseko ixelela i-pancreas yakho ukuba "yenze i-insulin engaphezulu." Oku kuthetha ukuba xa eli yeza lisetyenziswa, amanqanaba e-insulin emzimbeni wakho ayanda. Ukongeza, inceda iiseli zomzimba wakho ukuba ziphendule ngcono kwi-insulin (oko kukuthi, ziyisebenzise ngcono). Zombini ezi zinto zehlisa amanqanaba eswekile yegazi lakho ( i-glucose ), zinceda ukulawula isifo seswekile.
Kodwa khumbula, eli yeza lodwa alanelanga. Ukuze ulawule isifo seswekile kakuhle, kufuneka utye ukutya okufanelekileyo kwaye uzilolonge . Amayeza luncedo olongezelelweyo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ngaphambi kokuba akunike iGlimepiride, ugqirha wakho uza kukubuza imibuzo embalwa. Kodwa ngamanye amaxesha ungalibala. Ngoko ke, ukuba unayo nayiphi na kwezi meko zingasentla, qiniseka ukuba uxelela ugqirha wakho ngayo. Musa ukufihla ezi zinto, kuba zinokukuchaphazela.
| Imeko yakho | Kutheni kufuneka uxelele ugqirha? |
|---|---|
| Ukuba nesifo esibizwa ngokuba yi-diabetes ketoacidosis. | Le yingxaki enkulu yesifo seswekile. I-Glimepiride ayifanelekanga kubantu abanale meko. |
| Imeko ebizwa ngokuba yi-G6PD deficiency. | Abantu abanale meko banokufumana iingxaki ezifana ne-anemia (umlinganiselo wegazi ophantsi) ukuba bathatha iGlimepiride. |
| Ukuba nesifo sentliziyo, isifo sezintso, okanye isifo sesibindi. | Ukuba ukusebenza kwezi zitho zomzimba kuyaphazamiseka, idosi yeyeza ingadinga ukutshintshwa okanye kufuneke kunikwe elinye iyeza. |
| Isifo se-thyroid. | Amanqanaba ehomoni ye-thyroid achaphazela amanqanaba eswekile egazini, ngoko ke ugqirha wakho kufuneka azi oku. |
| Ukuba nosulelo okanye ukwenzakala okukhulu. | Amanqanaba eswekile egazini anokutshintsha xa umzimba uphantsi koxinzelelo olukhulu. |
| Ukuzama ukukhulelwa, ukukhulelwa, okanye ukuncancisa. | Ngamaxesha anjalo, ugqirha kufuneka agqibe ukuba iGlimepiride ifanelekile na okanye ayifanelekanga. Rhoqo, kuya kucetyiswa indlela eyahlukileyo yonyango. |
| Ukuba ne-allergy kwi-glimepiride okanye ezinye iziyobisi ze-sulfa, ukutya, okanye iidayi. | Ukuba kukho into ekubangela ukuba ungabi namdla, ukusazisa kwangaphambili kunokukunceda uthintele iingxaki ezinkulu zokunganyamezelani. |
Ndingayisebenzisa njani le yeza?
Oku kubaluleke kakhulu. Ukuze ufumane okuninzi kumayeza, kufuneka uwasebenzise njengoko uyalelwe.
- Sela ngomlomo:Oku kuza ngendlela yepilisi, ethathwa neglasi yamanzi.
- Yithathe nokutya: Ngokwesiqhelo, oogqirha bakuxelela ukuba uthathe le pilisi kwisidlo sokuqala esiphambili sosuku (isidlo sakusasa). Kukho isizathu soko. Ukuyithatha ungatyanga kunokubangela ukuba amanqanaba eswekile egazini lakho ehle kakhulu ( hypoglycemia ).
- Ngexesha elifanayo yonke imihla: Zama ukusela amayeza akho ngexesha elifanayo yonke imihla kangangoko unako. Oku kuya kunceda ukugcina amanqanaba afanayo amayeza emzimbeni wakho.
- Ukuba uneminyaka engaphezu kwama-65 ubudala: Abantu abadala banokuziva iziphumo zale yeza zinamandla ngakumbi. Ngoko ugqirha wakho angakuqala ngedosi ephantsi.
- Ukuba inikwa abantwana: Kufuneka kuthathwe ingqalelo ekhethekileyo ukuba eli yeza linikwa abantwana. Thetha nogqirha wakho ngale nto.
Yintoni omawuyenze ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)
Ukuba ukrokrela ukuba uthathe okungaphezulu kunokuba ucinga, okanye ukuba ufumanisa ukuba umntwana wakho uthathe ezi pilisi, musa ukuchitha naliphi na ixesha . Tsalela umnxeba iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Okubaluleke kakhulu: Eli yeza lelakho kuphela. Ungaze unike omnye umntu amayeza akho eswekile. Imeko yaloo mntu inokutshintsha, nto leyo enokuba nemiphumo eyingozi.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Nceda ungoyiki ngeli xesha. Thatha idosi ongayithathanga ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele lisondele ixesha lokuthatha idosi yakho elandelayo (umzekelo, ukuba kufuneka uyenze kusasa ngosuku olulandelayo kwiiyure ezimbalwa), yeka idosi ongayithathanga uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iipilisi ezimbini ngexesha elinye. Ukwenza njalo kunokubangela ukuba iswekile yakho yegazi yehle ngendlela eyingozi.
Amanye amayeza anokusebenzisana neGlimepiride
Oku kuyinto abantu abaninzi abangayaziyo. Elinye iyeza esilisebenzisayo linokusebenzisana nelinye. Oko kuthetha ukuba indlela la mayeza mabini asebenza ngayo inokutshintsha. Oku kunokunyusa isiphumo seGlimepiride kwaye kubangele amanqanaba eswekile egazini aphantsi ngendlela eyingozi, okanye kunokunciphisa isiphumo sayo kwaye kubangele amanqanaba eswekile egazini angalawulekiyo.
| Amayeza angafanele athathwe neGlimepiride | |
|---|---|
| IBosentan | I-Chloramphenicol |
| I-Cisapride | IClarithromycin |
| Amanye amayeza osulelo lwefungus | I-Metoclopramide |
| Iprobenecid | I-Warfarin (i-blood thinner) |
| Amayeza ekufuneka uwalumkele kuba anokuchaphazela eli yeza | |
|---|---|
| Utywala | I-Aspirin kunye namayeza afanayo |
| Amanye amayeza esifo sentliziyo | I-Diuretics (iipilisi zamanzi) |
| Iihomoni ze-estrogen okanye ze-progestin | Amanye amayeza okugula ngengqondo (ii-MAOI, ii-Fluoxetine) |
| Amayeza okukhwehlela, umkhuhlane, kunye ne-asthma | Iipilisi zokunciphisa iintlungu (ii-NSAID - umz. i-Ibuprofen, i-Naproxen) |
| Amanye amayeza okubulala iintsholongwane (amayeza okubulala iintsholongwane e-Quinolone) | Iintlobo zee-steroids (ii-Steroids - umz. i-Prednisone) |
| Amayeza okunciphisa umzimba | Ezinye iimveliso zemifuno kunye nezongezo |
Olu luhlu aluphelelanga, ngoko ke kungcono ukuxelela ugqirha wakho ngayo yonke imithi oyithathayo, kuquka iivithamini, iimveliso zezityalo , kunye nezongezo . Kwakhona, xelela ugqirha wakho ukuba usela utywala okanye utshaya.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Xa ukuthatha iGlimepiride kuba yinxalenye yobomi bakho, kukho uxanduva oluthile ekufuneka ulwenze.
- Bona ugqirha wakho rhoqo: Yiya ekliniki ngeentsuku ezicwangcisiweyo. Ugqirha uza kujonga ukuba isifo sakho seswekile silawulwa kakuhle kangakanani na.
- Uvavanyo lwe-HbA1C: Olu vavanyo lulinganisa amanqanaba akho eswekile egazini kwiinyanga ezi-2-3 ezidlulileyo. Olu vavanyo ludla ngokwenziwa rhoqo kwiinyanga ezi-3 ukuya kwezi-6.
- Jonga amanqanaba eswekile egazini lakho ekhaya: Ukuba kunokwenzeka, fumana i-glucometer ukuze uyigcine ekhaya kwaye ufunde ukujonga amanqanaba eswekile egazini lakho rhoqo. Yazi iimpawu zeswekile ephantsi egazini (hypoglycemia) kunye neswekile ephezulu egazini ( hyperglycemia ), kunye nento omawuyenze kwezo meko.
- Gcina iswekile kuwe: Naphi na apho uya khona, phatha iswekile, njengethebhulethi yeglucose okanye i-sweet toffee, ebhegini okanye epokothweni yakho. Ukuba uziva ngathi iswekile yakho yegazi iphantsi (ukungcangcazela, ukubila, ukuziva unesizungu), yitya ngokukhawuleza.
- Musa ukutsiba ukutya: Kuyingozi kakhulu ukutsiba ukutya ngelixa usela eli yeza. Ukwenza njalo kunokubangela ukuba amanqanaba eswekile egazini lakho ehle kakhulu.
- Lumka xa uselangeni: Eli yeza lingenza ulusu lwakho lube buthathaka kancinci elangeni. Ngoko ke, ukuba uphuma elangeni, sebenzisa isambrela, unxibe impahla egquma umzimba wakho, kwaye ufake i-sunscreen.
- Nxiba isazisi sezonyango: Kubalulekile ukuphatha isongo, umgexo, okanye ikhadi elibonisa ukuba unesifo seswekile kunye namayeza owaselayo. Oku kungasindisa ubomi bakho xa kukho imeko engxamisekileyo.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, iGlimepiride inokubangela iziphumo ebezingalindelekanga kwabanye abantu, kodwa ayinguye wonke umntu ozifumanayo. Ungakhathazeki, kubalulekile ukuba uzazi.
| Imiphumela | Kwenziwe ntoni? |
|---|---|
| Iziphumo ebezingalindelekanga ezifuna unyango olukhawulezileyo | |
| Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, ubunzima bokuphefumla. | Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko. Le yimeko embi kakhulu. |
| Amanqanaba eswekile egazini aphantsi kakhulu (iHypoglycemia): Ukungcangcazela, ukubila, ukuziva unexhala, ukubetha kwentliziyo ngokukhawuleza, isiyezi, ukudideka. | Yitya iswekile kuqala. Ukuba imeko imbi kakhulu okanye ukuba ulahlekelwa zingqondo, mse esibhedlele ngokukhawuleza. |
| Iziphumo ebezingalindelekanga ezingezizo ezinzulu, kodwa ezifanele zixelwe kugqirha ukuba ziyaqhubeka: | |
| Isiyezi | Ezi zifo zihlala ziphela kwiintsuku ezimbalwa, kodwa ukuba ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho. |
| Intloko ebuhlungu | |
| Isicaphucaphu (ukuziva ugula) | |
Uligcina njani iyeza lakho?
- Gcina kude nabantwana kunye nezilwanyana zasekhaya.
- Gcina kubushushu begumbi (ngaphantsi kwama-30 degrees Celsius). Khusela kubushushu obugqithisileyo kunye nokufuma. Akuyongcinga ilungileyo ukugcina amayeza kwigumbi lokuhlambela.
- Musa ukusebenzisa amayeza aphelelwe lixesha. Lahla kakuhle.
I-Glimepiride liyeza elihle elinceda ekulawuleni isifo seswekile. Eyona nto ibalulekileyo kukulisebenzisa ngokuchanekileyo kwaye ube nolwazi olupheleleyo ngalo. Ukuba unemibuzo malunga neli yeza, musa ukuyigcina kuwe, kodwa buza ugqirha wakho.
Umyalezo Wokuya Ekhaya
- Thatha iipilisi zeGlimepiride ngexesha elifanayo yonke imihla, njengoko kuyalelwe ngugqirha wakho, xa usitya.
- Ungaze utye ukutya. Ukwenza njalo kunokubangela ukuba amanqanaba eswekile egazini ehle ngendlela eyingozi.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia) (ukungcangcazela, ukubila, isiyezi). Soloko uphatha iswekile okanye into emnandi.
- Qiniseka ukuba uxelela ugqirha wakho ngazo zonke ezinye iziyobisi, iivithamini, kunye neemveliso zezityalo ozisebenzisayo.
- Ndwendwela ikliniki ngeentsuku ezicwangcisiweyo ukuze ujonge ulawulo lwakho lwesifo seswekile kunye namanqanaba e-HbA1C.
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