Ngaba ugqirha wakho ukuxelele ukuba unesifo seswekile sohlobo lwesibini? Ukuba kunjalo, kusenokwenzeka ukuba unikwe iyeza elibizwa ngokuba yiGlipizide. Abantu abaninzi kwilizwe lethu basebenzisa eli yeza ukulawula isifo sabo seswekile. Ngoko ke, njengomntu osebenzisa eli yeza, kubaluleke kakhulu ukuba wazi yonke into ngalo. Namhlanje, siza kuthetha ngeli yeza elibizwa ngokuba yiGlipizide, indlela elisebenza ngayo emzimbeni, kunye nezinto ekufuneka uzilumkele xa ulisebenzisa, konke oku ngendlela elula kakhulu, ngokungathi uthetha nomhlobo.
Yintoni iGlipizide? Isebenza njani emzimbeni?
Ngamafutshane, iGlipizide liyeza elisetyenziselwa ukulawula isifo seswekile sohlobo lwesibini. Lithathwa njengepilisi.
Eyona nto iphambili eyenziwa leli yeza emzimbeni kukukhuthaza ukuveliswa kwehomoni ebizwa ngokuba yi-insulin evela kwi-pancreas yakho. I-insulin yeyona nto iphambili elawula inqanaba leswekile (iglucose) egazini lethu. Xa iswekile yegazi isanda, i-insulin inceda ekuthatheni loo swekile kwiiseli kwaye iyiguqule ibe ngamandla. Ngoko ke, xa eli yeza livelisa i-insulin engakumbi, amanqanaba eswekile egazini ayancitshiswa kwaye alawulwe. Kwakhona, eli yeza linceda ekusebenziseni i-insulin emzimbeni ngokufanelekileyo. Ngokwezonyango, eli liqela lamayeza abizwa ngokuba yiSulfonylureas.
Kodwa khumbula oku kakuhle. Awunakulawula isifo seswekile ngokuthatha eli yeza wedwa. Ukutya ngendlela efanelekileyo kunye nokuzilolonga imihla ngemihla zizinto ezimbini ezibalulekileyo kule nto.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba ugqirha wakho akunike eli yeza, kuya kufuneka azi imbali yakho epheleleyo yezonyango. Eli yeza lisenokungahambelani neemeko ezithile zempilo. Ke ngoko, ukuba unezinye zezi meko zidweliswe ngezantsi, qiniseka ukuba uxelela ugqirha wakho ngalo.
| Isifo okanye imeko | Kutheni ufanele uxelele? |
|---|---|
| I-ketoacidosis yesifo seswekile | Eli yeza alifanelekanga kuba le yingxaki eyingozi yesifo seswekile. |
| Ukunqongophala kwe-G6PD (ukunqongophala kwe-glucose-6-phosphate dehydrogenase) | Le yimeko yemfuza echaphazela iiseli zegazi. |
| Isifo sentliziyo, isifo sezintso, okanye isifo sesibindi | Ukuba ukusebenza kwezi zitho kuyaphazamiseka, isiphumo samayeza sinokutshintsha. |
| I-Porphyria | Esi sisifo segazi esingaqhelekanga. |
| Usulelo oluqatha okanye ukwenzakala | Ngamaxesha anje, ezinye iindlela zinokufuneka ukulawula amanqanaba eswekile emzimbeni. |
| Isifo se-thyroid | Amanqanaba ehomoni ye-thyroid achaphazela amanqanaba eswekile egazini. |
| Ukunganyamezelani ne-glipizide, iziyobisi ze-sulfa, okanye ezinye izinto | Ekubeni eli yeza likwanxulumene neqela le-sulfa, kukho umngcipheko weempendulo ze-allergic. |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa | Kwezi meko, ugqirha kufuneka agqibe ukuba eli yeza lifanelekile na okanye akunjalo. |
Yeyiphi indlela echanekileyo yokusela amayeza?
Ukuze ufumane okuninzi kweli yeza, kubaluleke kakhulu ukulisebenzisa ngokuchanekileyo.
- Ginya le pilisi yonke ngeglasi yamanzi.
- Eyona nto ibalulekileyo kukuthatha le pilisi rhoqo kusasa ngesidlo sakusasa. Ungaze uyithathe ungenanto esiswini.
- Ziqhelise ukusela amayeza akho ngexesha elifanayo yonke imihla. Ngale ndlela, awuyi kulibala kwaye amayeza aya kusebenza ngakumbi.
- Ungaze uthathe ngaphezu komlinganiselo ochazwe ngugqirha wakho.
- Ukuba uneminyaka engaphezu kwama-65 ubudala, ungaziva iziphumo zale yeza zinamandla ngakumbi. Kungoko ke, ugqirha wakho angakunika idosi ephantsi.
Kuthekani ukuba ndithatha amayeza amaninzi ngempazamo?
Oku kubaluleke kakhulu. Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, oko kukuthi, ukugqithisa amayeza, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele esikufutshane ngoko nangoko. Okanye, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Eyona nto ibalulekileyo: Eli yeza lelakho wedwa. Ungaze unike omnye umntu iyeza lakho. Linokulimaza ubomi baloo mntu.
Kuthekani ukuba ndilibele ukusela amayeza am?
Wonke umntu uyalibala izinto. Thatha amayeza akho kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lomthamo wakho olandelayo (umzekelo, sele kusele iiyure ezimbalwa), yeka umthamo ophosiweyo uze uthathe umthamo wakho olandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye (Musa ukuthatha iidosi ezimbini).
Yintoni ekufuneka ndiyiqwalasele ngokukodwa xa ndisela amayeza?
Xa usebenzisa iGlipizide, akwanelanga ukusela ipilisi nje kuphela. Kufuneka uqwalasele nomzimba wakho.
- Uvavanyo lwe-HbA1C: Ugqirha wakho uza kujonga uvavanyo lwakho lwe -HbA1C (A1C) rhoqo. Le yindlela onokubona ngayo ukuba iswekile yakho yegazi ilawulwa kakuhle kangakanani kwiinyanga ezi-2-3 ezidlulileyo.
- Ukujonga amanqanaba eswekile egazini lakho: Funda indlela yokujonga amanqanaba eswekile egazini lakho ekhaya. Yazi iimpawu ze-hypoglycemia kunye ne-hyperglycemia , kunye nento omawuyenze ngazo.
- Lungela iswekile ephantsi egazini: Hlala ugcina iswekile (umz. iityhubhu zeswekile, iipilisi zeswekile, iqhekeza lelekese) kufutshane ukuze ufumane iswekile ephantsi egazini. Yitya enye kwangoko nje ukuba uzive iimpawu zeswekile ephantsi egazini (isiyezi, ukungcangcazela, ukubila).
- Ingxamiseko: Ukuba ulahlekelwa zingqondo okanye unesithuthwane ngenxa yeswekile ephantsi egazini, musa ukufaka nantoni na emlonyeni wakho ngelo xesha. Usenokukrwitshwa. Ufanele usiwe esibhedlele ngoko nangoko.
- Ukutya: Ungaze utye ukutya. Ukwenza njalo kunokubangela ukuba iswekile yakho egazini yehle ngendlela eyingozi.
- Utywala: Cela icebiso kugqirha wakho malunga nokusela utywala.
- Ukukhanya kwelanga: Eli yeza lingenza ulusu lwakho lube buthathaka kancinci kwilanga (photosensitivity). Ngoko ke nxiba umnqwazi kunye ne-sunscreen xa uphuma elangeni.
- Isazisi sezonyango: Kungcono ukunxiba ikhadi elincinci okanye isongo esibhalwe ukuba unesifo seswekile kunye namayeza owasebenzisayo. Iluncedo kakhulu xa kukho imeko engxamisekileyo.
Zeziphi iziphumo ebezingalindelekanga endinokuzifumana?
Njengayo nayiphi na iyeza, iGlipizide inokuba nemiphumo emibi emincinci. Kodwa ayinguye wonke umntu oyifumanayo. Ezinye zazo zimbi kancinci. Makhe sibone ukuba ziyintoni na.
| Iziphumo ebezingalindelekanga ezifuna unyango olukhawulezileyo | Iziphumo ebezingalindelekanga ezingaqhelekanga ukuba azikhathazeki, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka |
|---|---|
Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, ubunzima bokuphefumla. | Urhudo |
Iswekile ephantsi egazini (iHypoglycemia): ukungcangcazela, i-palpitations, ukubila kakhulu, ubunzima bokugxila, isiyezi, ukubetha kwentliziyo ngokukhawuleza. | Isiyezi |
I-Hemolytic anemia: Ukudinwa okungaqhelekanga, isiyezi, intloko ebuhlungu, ukuphelelwa ngumphefumlo, umchamo omnyama, ukutyheli kolusu okanye amehlo. | Igesi |
Ukuvaleka kwamathumbu: Intlungu yesisu, ukungakwazi ukukhupha indle okanye ukuphuma umoya, ukungabi namdla wokutya, ukuhlanza. | Isicaphucaphu |
Umyalezo Wokuya Ekhaya
- I-Glipizide liyeza elisetyenziselwa ukunyanga isifo seswekile sohlobo lwesibini. Lisebenza ngokunyusa imveliso ye-insulin emzimbeni.
- Sela amayeza ngexesha elifanayo yonke imihla, kunye nesidlo sakusasa. Ungaze utye ukutya.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia). Gcina iswekile (ibha yeelekese, ityhubhu yeswekile) kufutshane xa kukho imeko engxamisekileyo.
- Xelela ugqirha wakho ngazo zonke ezinye iindlela ozithathileyo (kuquka iivithamini kunye namayeza esintu).
- Ukuba ngempazamo usele amayeza amaninzi kakhulu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
- Ukuba unemibuzo malunga nale yeza, yixoxe nogqirha wakho.
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