Iyeza lesifo seswekile: Masifunde ngeepilisi zeGlipizide?

Ngaba nawe unengxaki yesifo seswekile ? Ukuba kunjalo, ugqirha wakho usenokuba ukunike ipilisi ebizwa ngokuba yiGlipizide . Eli liyeza eliphambili kubantu abane- Type 2 Diabetes Mellitus. Ngoko ke, namhlanje siza kuthetha ngezi pilisi zeGlipizide, indlela ezisebenza ngayo, into ekufuneka uyilumkele xa uzisebenzisa, kunye nezinye izinto ezininzi ezibalulekileyo. Ukwazi kakuhle indlela yokusebenzisa eli yeza kubaluleke kakhulu kwimpilo yakho.

Lithini eli yeza libizwa ngokuba yiGlipizide? Lisebenza njani?

Ngamafutshane, eli yeza libizwa ngokuba yiGlipizide lonyusa inqanaba le-insulin emzimbeni wakho. I-insulin yi-hormone ebalulekileyo elawula inqanaba leswekile, okanye i-glucose, emzimbeni wethu. Xa iswekile ekutyeni esikutyayo ingena egazini, yile insulin elawula ubungakanani beswekile kwaye incede ukuba ifunxwe kwiiseli.

Isifo seswekile sohlobo lwesibini i-Mellitus senzeka xa umzimba ungavelisi i-insulin eyaneleyo, okanye umzimba ungakwazi ukusebenzisa i-insulin oyivelisayo ngokufanelekileyo. Ngoko ke, into eyenziwa leli yeza i-Glipizide kukunika i-pancreas amandla amancinci kwaye incede ivelise i-insulin engakumbi. Xa eli yeza linyusa i-insulin, isixa seswekile egazini siyancipha. Kwakhona inceda umzimba wakho usebenzise i-insulin ngokufanelekileyo.

Eli yeza likwiqela lamayeza abizwa ngokuba yi-sulfonylureas. Kodwa kukho into enye ekufuneka ikhunjulwe. Isifo seswekile asinakulawulwa ngokuthatha eli yeza lodwa. Kufuneka sihambe nokutya okunempilo kunye nokuzilolonga imihla ngemihla . Ugqirha uza kukuxelela indlela yokulawula ukutya kwakho kunye nemithambo omawuyenze.

Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndithathe eli yeza?

Kulungile, masibone ukuba zeziphi izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale ezi pilisi zeGlipizide. Kungcono ukungazifihli ezi zinto, akunjalo? Kuba kulapho kuphela apho ugqirha aya kukwazi ukukunyanga ngokuchanekileyo nangokukhuselekileyo.

Ngokuqinisekileyo kufuneka uxelele ugqirha wakho ukuba unayo nayiphi na kwezi meko:

• Ukuba une -diabetes ketoacidosis, isifo esibi esibangelwa sisifo seswekile , oku kubangela ukuba izinto eziyingozi ezibizwa ngokuba zii-ketones ziqokelele egazini.
• Ukuba unesifo semfuza esibizwa ngokuba yi -glucose-6-phosphate dehydrogenase deficiency (G6PD deficiency) . Oku kunokubangela ukuba uzive ukhululekile kwamanye amayeza.
• Isifo sentliziyo , oko kukuthi, ukuba unesifo sentliziyo.
• Isifo sezintso , oko kukuthi, ukuba unengxaki yezintso.
• Isifo sesibindi , oko kukuthi, ukuba kukho ingxaki kwisibindi.
• Ukuba unesifo esingaqhelekanga esibizwa ngokuba yi-porphyria .
• Ukuba unosulelo olukhulu okanye ukwenzakala .
• Ukuba unesifo se-thyroid .
• Ukuba ukhe waba ne-allergy ngaphambili kwi-glipizide, amayeza e-sulfa (ezinye ii-antibiotics zeli qela), amanye amayeza, ukutya, iidayi zokutya, okanye izithinteli.
• Ukuba ukhulelwe okanye uzama ukukhulelwa.
• Ukuba ungumama oncancisayo.

Ukuba uzithetha ngokuchanekileyo ezi zinto, ugqirha wakho unokugqiba ukuba eli yeza likulungele na okanye ufuna olunye ukhetho.

Ndingayisebenzisa njani le yeza?

Eli yeza lifanele lithathwe ngomlomo. Liginye ngeglasi yamanzi. Okona kubaluleke kakhulu, musa ukulisebenzisa xa usitya.Oku kufanele kuthathwe imizuzu engama-30 ngaphambi kokutya. Kulapho iyeza lifunxwa kakuhle emzimbeni kwaye linceda ekulawuleni iswekile eqokelelana egazini emva kokutya.

Landela imiyalelo ekwiphakheji yamayeza njengoko ugqirha wakho ekuxelela. Ukuba usela eli yeza kanye ngemini, lithathe imizuzu engama-30 ngaphambi kwesidlo sakusasa. Ukuba ugqirha wakho ukuxelele ukuba ulithathe izihlandlo ezininzi ngemini, lithathe imizuzu engama-30 ngaphambi kwesidlo ngasinye esiphambili. Zama ukulithatha ngexesha elifanayo yonke imihla. Oku kuya kunceda ukugcina iyeza lisebenza rhoqo. Musa ukuthatha ngaphezu kwedosi echazwe ngugqirha wakho.

Malunga nabantwana abancinci kunye nabantu abadala

Ukuba unika abantwana abancinci eli yeza, ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngalo. Kunokufuneka unonophelo olukhethekileyo kunye nohlengahlengiso lwedosi.

Kwakhona, abantu abangaphezu kweminyaka engama-65 ubudala banokuziva kakhulu iziphumo zale mithi. Ngenxa yoko, ugqirha unokubanika idosi encinci kunaleyo isetyenziswa ngumntu oqhelekileyo.

Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?

Khawucinge ukuba usele kakhulu eli yeza, okanye umntu ohlala nawe ulisele ngempazamo. Ukuba oko kuyenzeka , fowunela iZiko loLawulo lweTyhefu kwiSibhedlele sikaZwelonke okanye kwigumbi likaxakeka lesibhedlele sikarhulumente ngoko nangoko. Okanye uye esibhedlele ngoko nangoko. Musa ukulithatha lula eli yeza, kulungile? Kuba ukuba usela kakhulu iGlipizide, iswekile yakho yegazi inokwehla ngendlela eyingozi.

Khumbula: Eli yeza lelakho kuphela. Musa ukucinga ukuba umhlobo wakho uza kulunga ngeli yeza ukuba naye unesifo seswekile. Iyeza elifanelekileyo kunye nomlinganiselo ofanelekileyo womntu wonke wahlukile.

Kuthekani ukuba ndiphoswa lixesha lam lokuya kugqirha?

Ngoku masithi uphoswe yidosi. Ukuba oko kuyenzeka, thatha ipilisi ngokukhawuleza xa ukhumbula . Kodwa ukuba sele kusondele ixesha lomthamo wakho olandelayo, umzekelo, ukuba kufuneka uthabathe emva kweeyure ezimbalwa, yeka umthamo ophoswe ngawo uze uthathe umthamo olandelayo njengesiqhelo. Ungaze uthathe iipilisi ezimbini ngaxeshanye, oko kukuthi, idosi ephindwe kabini. Ukwenza njalo kunokubangela ukuba iswekile yakho yegazi yehle kakhulu.

Ezinye izinto ezinokusebenzisana nale mithi (Intsebenziswano)

I-Glipizide inokunxibelelana namanye amayeza nezinye izinto. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka iivithamini, imifuno, amayeza angagunyaziswanga ngugqirha, kunye nezongezo zokutya. Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa amanye amayeza. Ezinye izinto zinokudibana nala mayeza, nto leyo enokutshintsha indlela asebenza ngayo okanye yonyuse iziphumo ebezingalindelekanga.

Nazi ezinye iindlela zonyango ezinokusebenzisana neGlipizide:

• IBosentan
• I-Chloramphenicol
• I-Cisapride
• IClarithromycin
• Amayeza osulelo lwefungus okanye igwele (umz. iFluconazole, iMiconazole)
• I-Metoclopramide
• I-Probenecid `(Probenecid)`
• I-Warfarin (iyeza elithintela ukujiya kwegazi)

Kwakhona, kukho amanye amayeza amaninzi anokunyusa okanye anciphise amanqanaba eswekile egazini. Angasebenzisana ne-glipizide. Nazi imizekelo embalwa:

• Iziselo ezine-alcohol : Utywala bunokubangela ukuba iswekile egazini yehle ngequbuliso.
• I-aspirin kunye namayeza afana ne-aspirin
• I-Chromium (ngamanye amaxesha ithathwa njengesongezelelo)
• I-Diuretics – amayeza asusa amanzi emzimbeni
• Iihomoni zabasetyhini, ezinje ngee-estrogens okanye ii-progestins, kunye neepilisi zokulawula ukuzalwa
• Amanye amayeza entliziyo (umz., ii-beta-blockers)
• I-Isoniazid (iyeza lesifo sephepha)
• Iihomoni zamadoda okanye ii-anabolic steroids
• Amayeza okunciphisa umzimba
• Amayeza okunyanga i-allergies, i-asthma, umkhuhlane, okanye ukukhwehlela (amanye asenokuba neswekile)
• Amayeza eengxaki zengqondo
• Amayeza akudidi lwamayeza abizwa ngokuba yi-'MAO Inhibitors', umzekelo iNardil, iParnate, iMarplan, iEldepryl
• I-Niacin
• Iipilisi zokunciphisa iintlungu ezibizwa ngokuba yi-'NSAIDs', ezifana ne-ibuprofen okanye i-naproxen.
• I-Pentamidine
• IPhenytoin `(Phenytoin)`
• Ii-antibiotics ze-quinolone ziquka i-ciprofloxacin, i-levofloxacin, kunye ne-ofloxacin.
• Ezinye izongezo zokutya zemifuno
• Amayeza e-steroid, anjenge-prednisone okanye i-cortisone
• Amayeza e-thyroid

Olu luhlu aluphelelanga, uyaqonda? Ngoko ke kungcono ukuxelela ugqirha wakho ngayo yonke into oyithathayo.

Izinto ekufuneka uzilumkele xa usebenzisa eli yeza

Xa usebenzisa eli yeza, kufuneka ubonane nogqirha wakho rhoqo ukuze ajonge ukuba unjani na. Oko kuthetha ukuya kwiintsuku zakho ezicwangcisiweyo zekliniki.

• Uvavanyo lwe-HbA1C: Uvavanyo olubizwa ngokuba yi -`HbA1C (A1C)` lwenziwa ukuze kubonwe ukuba iswekile yakho yegazi ilawulwa kakuhle kangakanani na. Olu luvavanyo lwegazi olulula. Ludla ngokubonisa ukuba iswekile yakho ilawulwa kakuhle kangakanani kwiinyanga ezi-2-3 ezidlulileyo. Olu vavanyo ludla ngokwenziwa rhoqo kwiinyanga ezi-3-6, njengoko ugqirha wakho emyalele.
• Ukulinganisa iswekile egazini: Kubaluleke kakhulu ukufunda indlela yokuzijonga ngokwako amanqanaba eswekile egazini lakho ekhaya. Ugqirha wakho usenokuba ukunike i-glucometer yoku. Qiniseka ukuba uyaziqonda iimpawu zeswekile ephantsi egazini (hypoglycemia) kunye neswekile ephezulu egazini (hyperglycemia) kunye nendlela yokuzilawula.
• Ukulungela Ingxamiseko: Soloko ugcina umthombo weswekile okhawulezayo (umz. iityhubhu zeswekile ezi-2-3, iipilisi zeswekile, ijusi yeziqhamo) kufutshane ukuze iswekile yakho yegazi iwele ngequbuliso (i-hypoglycemia). Ukuba unesifo esibi seswekile yegazi ephantsi, njengokuxhuzula, okanye ukuba ulahlekelwa zingqondo, xelela usapho lwakho nabahlobo bakho ukuba unokukrwitshwa ukuba uzama ukubanika ukutya okanye isiselo ngelo xesha. Ukuba oku kuyenzeka, kufuneka ufune unyango ngokukhawuleza.
• Xelela ugqirha wakho : Ukuba uqaphela ukuba amanqanaba eswekile egazini lakho ahlala ephezulu (umz., ukoma rhoqo, ukuchama rhoqo, ukuziva ubuthathaka), xelela ugqirha wakho. Umthamo wakho wamayeza unokufuneka uhlengahlengiswe. Ukuba unesifo esifana nomkhuhlane okanye umkhuhlane, okanye ukuba uzilolonga ngaphezu kwesiqhelo, buza ugqirha wakho ukuba umthamo wakho wamayeza ufuna uhlengahlengiswe na.
• Ukutya notywala: Musa ukutsiba ukutya.Ukwenza njalo kunokunciphisa iswekile egazini lakho. Buza ugqirha wakho ukuba kufuneka uphephe ukusela utywala. Utywala abukhuthazwa kwiimeko ezininzi. Ezinye iziraphu zokukhwehlela nezomkhuhlane ozithengayo kwiikhemesti zinokuba neswekile okanye utywala. Zinokuchaphazela iswekile yegazi lakho, ngoko ke ngumbono olungileyo ukubuza ugqirha wakho ngaphambi kokuba uzisebenzise.
• Ukukhusela ilanga: Eli yeza lingenza ulusu lwakho lube buthathaka kwilanga (photosensitivity). Ngoko ke, lumka kwilanga elinamandla emini. Ukuba kufuneka uphume elangeni, nxiba impahla egquma umzimba wakho, nxiba umnqwazi, kwaye usebenzise i-'Sunscreen' elungileyo (SPF 30 nangaphezulu). Musa ukusebenzisa i-'Sun lamps' okanye i-'Tanning beds/booths'.
• Isazisi sezonyango: Nxiba isongo sesazisi sezonyango okanye itsheyini echaza imeko yakho (isifo seswekile), amayeza owaselayo, kunye nexesha lokuwasela, okanye ugcine ikhadi elinezo nkcukacha ebhegini yakho ngamaxesha onke. Oku kunokuba luncedo kakhulu xa kukho imeko engxamisekileyo.

Iziphumo ebezingalindelekanga ezinokwenzeka ngeli yeza

Njengazo zonke iziyobisi, iGlipizide inokuba nemiphumo emibi. Eminye yayo iyingozi kakhulu kwaye kufuneka ixelelwe ugqirha wakho ngoko nangoko. Eminye yayo ayibi yingozi kwaye iya kuphela kwiintsuku ezimbalwa.

Iziphumo ebezingalindelekanga ekufuneka uzixelele ugqirha wakho ngoko nangoko:

• Iimpendulo ze-allergy: Oku kuyingozi kakhulu. Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana iimpawu ezifana nokurhawuzelela kwesikhumba, ukurhawuzelela okukhulu, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala. Ukudumba komqala kunokubangela ubunzima bokuphefumla.
• I-hypoglycemia enzima: ukungcangcazela okanye ukungcangcazela, ixhala, ukubila okugqithisileyo, ulusu olubandayo okanye olubandayo , ukudideka, isiyezi esinzima, ukubetha kwentliziyo ngokukhawuleza, ukulahlekelwa zingqondo, ukuxhuzula. Ukuba oku kuyenzeka, kufuneka uye esibhedlele ngoko nangoko.
• I-Hemolytic Anemia: Le yi-anemia ebangelwa kukwaphuka kweeseli ezibomvu zegazi. Oku kunokubangela ubuthathaka okanye ukudinwa okungaqhelekanga, isiyezi, intloko ebuhlungu, ingxaki yokuphefumla, umchamo omnyama, kunye nolusu okanye amehlo atyheli.

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

• Urhudo
• Isiyezi (esincinci)
• Igesi, ukudumba kwesisu
• Isicaphucaphu, ukuhlanza `(Isicaphucaphu)`
• Ukungcangcazela okanye ukungcangcazela (akunxulumene nokuhla kweswekile egazini)

Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga, ngoko ke ukuba ubona into entsha okanye engaqhelekanga, ungoyiki ukuthetha nogqirha wakho ngayo.

Ufanele uwagcine njani amayeza akho?

• Gcina eli yeza kude nokufikelela kwabantwana kwaye likude nabo.
• Gcina kubushushu begumbi, ngaphantsi kwama-30 degrees Celsius (86 degrees Fahrenheit), kwindawo eyomileyo. Kuphephe ukugcina kwiindawo ezinomswakama ophezulu, njengakwigumbi lokuhlambela.
• Musa ukusebenzisa amayeza aphelelwe lixesha. Lahla ngendlela efanelekileyo. Ungacela ikhemesti yakho ukuba ikunike imiyalelo yendlela yokulahla amayeza ngendlela efanelekileyo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu ngale chiza leswekile elibizwa ngokuba yiGlipizide, akunjalo? Nangona eli nqaku lide kancinci, ndiyathemba ukuba ufumene ulwazi olubalulekileyo.

Eyona nto ibalulekileyo ekufuneka uyikhumbule kukusebenzisa eli yeza kanye njengoko ugqirha ekuxelela, ngexesha elifanelekileyo, nangedosi efanelekileyo. Ukulawula ukutya kwakho kunye nokuzilolonga imihla ngemihla nazo zizinto ezibalulekileyo onokuzenza ngeli yeza. Ngaphandle kwazo, kunzima ukulawula isifo sakho seswekile kakuhle ngokuthatha eli yeza wedwa.

Ukuba unemibuzo, iimpawu ezintsha, okanye izinto ezikuxhalabisayo, ungoyiki okanye ube neentloni ukubuza ugqirha wakho. Okanye ubuze ingcali yakho yezonyango. Ukuphila nesifo seswekile kunokuba nzima ngamanye amaxesha, kodwa ukuba unolwazi olufanelekileyo ngemeko yakho, landela imiyalelo kagqirha wakho, kwaye unyamekele umzimba wakho, ngokuqinisekileyo ungaphila ubomi obusempilweni nobonwabisayo!