Ngaba unyangwa ngesifo seswekile sohlobo lwesibini? Ukuba kunjalo, ugqirha wakho usenokuba ukunike ipilisi edibanisa amayeza amabini abizwa ngokuba yiLinagliptin kunye neMetformin. Oku kuqhelekile kwilizwe lethu phantsi kwegama elithi Jentadueto. Eli liyeza elisebenzayo kakhulu elinceda ukulawula amanqanaba eswekile egazini (iglucose). Nangona kunjalo, njengalo naliphi na iyeza, kukho izinto ekufuneka sizilumkele xa silisebenzisa. Masithethe ngalo namhlanje, ngendlela onokuyiqonda.
Kwenzeka ntoni ngokwenene ngolu hlobo lokudibanisa amayeza?
Ndithe le yindibaniselwano yamayeza amabini. Makhe sibone ukuba kwenzeka ntoni ngala mayeza mabini ngokwahlukeneyo.
- I-Metformin: Oku kusebenza kakhulu ngokunciphisa inani leswekile eveliswa sisibindi sakho. Kwakhona kwandisa ubukhali beeseli zomzimba wakho kwi-insulin. Ngamafutshane, kunceda umzimba wakho usebenzise i-insulin enayo ngokupheleleyo.
- I-Linagliptin: Oku kusebenza ngokuvuselela ukuveliswa kwe-insulin emzimbeni xa kuphendulwe ukutya.
Xa la mayeza mabini esebenza kunye, anokukunceda ukulawula isifo sakho seswekile. Kodwa khumbula, eli yeza lodwa alanelanga. Ukongeza koku , ukutya okufanelekileyo kunye nokuzilolonga nazo zibalulekile.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ngaphambi kokuba unike eli yeza kuwe, kubaluleke kakhulu ukuba ugqirha wakho ayazi imbali yakho epheleleyo yempilo. Oku kungenxa yokuba kufuneka silumke kakhulu xa sisebenzisa eli yeza kwiimeko ezithile zonyango. Ukuba unayo nayiphi na kwezi meko zingezantsi, qiniseka ukuba wazise ugqirha wakho ngalo.
| Isifo okanye imeko | Kutheni ufanele uxelele? |
|---|---|
| Isifo sezintso okanye isifo sesibindi | I-Metformin ikhutshwa emzimbeni ngezintso. Ukuba izintso azisebenzi kakuhle, iyeza linokuqokelelana emzimbeni lize libangele imeko embi kakhulu (i-lactic acidosis). |
| Isifo sentliziyo okanye ukungaphumeleli kwentliziyo | Kufuneka kuthathwe ingqwalasela ekhethekileyo xa kunikwa abanye abantu abanesifo sentliziyo eli yeza. |
| Ukusela rhoqo | Ukudibanisa utywala kunye neMetformin kwandisa kakhulu umngcipheko wesimo esiyingozi esibizwa ngokuba yi-lactic acidosis. |
| Ukuba nembali ye-pancreatitis | ILinagliptin inomngcipheko ongaqhelekanga we-pancreatitis. Kubalulekile ukuxelela ugqirha wakho ukuba ukhe waba nale meko ngaphambili. |
| Ukunqongophala kwevithamini B12 okanye i-anemia | Ukusetyenziswa kwexesha elide kwe-metformin kunokunciphisa ukufunxwa kwe-vitamin B12 emzimbeni. |
| Ukuba ukhulelwe okanye uzama ukukhulelwa, ukuncancisa | Eli yeza alifanelekanga ngexesha lokukhulelwa nokuncancisa. Zikhona ezinye iindlela zonyango ezikhoyo. |
| Ezinye iimeko | Xelela ugqirha wakho ukuba uneDiabetic Ketoacidosis, isifo senyongo, amanqanaba aphezulu e-triglyceride, usulelo oluqatha, iPolycystic Ovary Syndrome (PCOS), isifo se-thyroid, okanye naluphi na uhlobo lwe-allergies kumayeza okanye ukutya. |
Ndingayisebenzisa njani kanye kanye le yeza?
- Yithathe nokutya: Le yeyona nto ibalulekileyo. I-Metformin inokubangela ukudumba kwesisu kunye nokucaphuka kwabanye abantu. Ukusela iyeza kunye okanye emva nje kokutya kunokunciphisa kakhulu oku kungavakali.
- Sela neglasi yamanzi: Ginya ipilisi yonke ngeglasi yamanzi.
- Landela imiyalelo kagqirha wakho: Sela idosi echazwe ngugqirha wakho, ngexesha elimiselweyo. Musa ukunciphisa, ukwandisa, okanye ukuyeka idosi ngokwakho.
- Ukuba ulibele ukuthatha idosi: Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha ledosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye.
- I-Overdose: Ukuba ucinga ukuba ngempazamo uthathe amayeza amaninzi kakhulu, fowunela iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane. Musa ukuyithatha lula le nto.
Eyona nto ibalulekileyo kukunika ugqirha wakho uluhlu olupheleleyo lwamayeza owasebenzisayo (kuquka iivithamini, iPanadol, amayeza e-Ayurvedic, iimveliso zezityalo) ukuze abone ukuba uneengxaki na.
Izinto ekufuneka uzikhumbule xa usebenzisa amayeza
Ukubeka iliso kumanqanaba eswekile
Ugqirha wakho uza kukucela ukuba wenze uvavanyo lwegazi olubizwa ngokuba yi -HbA1C rhoqo kwiinyanga ezi-3 ukuya kwezi-6. Oku kuza kujonga umlinganiselo wolawulo lwakho lweswekile egazini kwiinyanga ezi-2-3 ezidlulileyo. Kwakhona, funda indlela yokujonga amanqanaba eswekile egazini lakho ekhaya ukuba kunokwenzeka.
Iswekile ephantsi egazini (iHypoglycemia)
Ngamanye amaxesha, xa usela eli yeza, iswekile yakho egazini inokuba phantsi kakhulu. Iimpawu zoku ziquka:
- Ukubila ngequbuliso
- Uloyiko
- Ukungakwazi ukugxila
- Ukudinwa kunye nendlala enkulu
Ukuba ufumana ezi mpawu, yitya ngoko nangoko into emnandi (ityhubhu yeswekile, ithebhulethi yeglucose, okanye isiselo esimnandi). Ngoko ke hlala ugcina into efana netyhubhu yeswekile nawe. Ukuba ulahlekelwa zingqondo, xelela usapho lwakho ukuba lungafaki nto emlonyeni wakho. Ukuba oku kuyenzeka, kufuneka uye esibhedlele ngoko nangoko.
Utyando kunye neeskeni
Ukuba uza kutyandwa, i-CT scan, okanye i-MRI scan, xelela iqela lezonyango kwangaphambili ukuba uza kusela eli yeza. Kusenokufuneka uyeke ukulisebenzisa iintsuku ezimbalwa ngaphambi kovavanyo.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, eli linokuba nemiphumo emibi. Kodwa ayinguye wonke umntu oyifumanayo. Eyona nto ibalulekileyo kukubona iimpawu zemiphumo emibi kwaye wenze ngokukhawuleza.
| Imiphumela | Kwenziwe ntoni? |
|---|---|
| Iimeko ezinzulu ezifuna unyango olukhawulezileyo | |
| Impendulo ye-Allergic: Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, ubunzima bokuphefumla. | Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ukuze ufumane unyango olukhawulezileyo. |
| I-Lactic Acidosis: (inqabile kodwa iyingozi kakhulu) - iintlungu zemisipha, iintlungu zesisu, ubunzima bokuphefumla, ukudinwa kakhulu, ukudinwa ngokubanzi. | Ezi zezona ziphumo zibi kakhulu zeMetformin. Yiya kwi-ER ngoko nangoko. |
| I-Pancreatitis: Intlungu ebuhlungu esiswini (ingakumbi ephuma emqolo), intlungu eba mandundu emva kokutya, ukuhlanza, umkhuhlane. | Bona ugqirha ngoko nangoko okanye uye kwi-ETU. |
| Iimpawu zokusilela kwentliziyo: Ukuphefumla kancinci, ukudumba kwamaqatha neenyawo, ukunyuka kobunzima ngequbuliso, ukudinwa kakhulu. | Bona ugqirha wakho ngoko nangoko. |
| Iimeko ezingaqhelekanga ukuba zimbi kakhulu, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Urhudo | Idla ngokufika ize iphele kwizigaba zokuqala. Ukuba iyaqhubeka okanye inzima, xelela ugqirha wakho. |
| Iimpawu ezifana nokubanda (impumlo egobhozayo, umphimbo obuhlungu) | Ukuba ezi zinto ziyakukhathaza okanye ziyaqhubeka, thetha nogqirha wakho. |
Umyalezo Wokuya Ekhaya
- Eli yeza lihlala likhonaYithathe kunye okanye emva kokutya. Oku kuya kunciphisa kakhulu ukungonwabi esiswini.
- Musa ukuyeka ukuthatha amayeza okanye ukutshintsha idosi ngaphandle kwengcebiso kagqirha wakho.
- Yazisa ugqirha wakho malunga nazo zonke ezinye iziyobisi ozisebenzisayo (kuquka iivithamini kunye namayeza e-Ayurvedic).
- Qaphela iimpawu zeswekile ephantsi egazini (i-hypoglycemia) (ukubila, ukungcangcazela, isiyezi ). Gcina into emnandi kufutshane ukuze utye xa imeko injalo.
- Ukuba ufumana iimpawu ezinzulu ezifana nentlungu yesisu okanye ubunzima bokuphefumla , yiya esibhedlele ngokukhawuleza.
- Bona ugqirha wakho ngexesha kwaye wenze uvavanyo olufana ne-HbA1C ukuze ugcine isifo sakho seswekile silawuleka.
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