Yintoni iMetformin Extended-Release?
Ngamafutshane, iMetformin liyeza elisetyenziselwa ukulawula isifo seswekile sohlobo lwesibini . Ngokuyintloko lilawula amanqanaba eswekile egazini lakho, oko kukuthi, ubungakanani beglucose egazini lakho. Ikwanceda i-hormone insulin emzimbeni wakho ukuba isebenze kakuhle. Ngoku, yintoni "ukukhululwa okwandisiweyo"? Oku kuthetha ukuba le pilisi yenzelwe ukuba iyeza likhutshwe emzimbeni kancinci kancinci imini yonke, endaweni yokuba lifunxwe lonke ngaxeshanye . Inzuzo yoku kukuba akufuneki uthathe iyeza izihlandlo ezininzi ngemini, nto leyo enokwenzeka ngamanye amaxesha xa ulithatha ngesidlo esinye. Nangona kunjalo, kufuneka ulithathe kanye njengoko ugqirha wakho ekuxelela. Uninzi lwexesha, xa unikwa eli yeza, oogqirha bacebisa ukuba ulawule ukutya kwakho kunye nokuzilolonga. Ngenxa yokuba amayeza ewodwa awanelanga ukulawula isifo seswekile, kufuneka wenze utshintsho kwindlela ophila ngayo. Oogqirha ngamanye amaxesha basebenzisa eli yeza kwezinye iimeko, ngoko ke ukuba unemibuzo, kungcono ukubuza ugqirha wakho okanye umntu okwikhemesti.Ndimele ndimxelele ntoni ugqirha ngaphambi kokuba ndithathe eli yeza?
Ngaphambi kokuba uqale ukusebenzisa i-metformin, kufuneka ucacise ngezinto ezithile nogqirha wakho. Kuba olo lwazi luza kunceda ugqirha wakho agqibe ukuba eli yeza likufanele kangakanani kuwe kunye nokuba kufuneka libe yintoni na idosi.Ngaba unayo imeko efana nale?
Ukuba unayo nayiphi na kwezi meko zidweliswe ngezantsi, qiniseka ukuba uxelela ugqirha wakho :- I-anemia ithetha ukunqongophala kwegazi .
- Ukuphelelwa ngamanzi emzimbeni , oko kuthetha ukuba kukho ukugcinwa kwamanzi emzimbeni.
- Isifo sentliziyo .
- Ukuba usela rhoqo .
- Isifo sezintso . Oku kubaluleke kakhulu kuba i-metformin ikhutshwa emzimbeni ngezintso. Ukuba izintso zibuthathaka, iyeza linokuqokelelana emzimbeni lize libangele iingxaki.
- Isifo sesibindi .
- Imeko ebizwa ngokuba yi- polycystic ovary syndrome ( PCOS ) .
- Ukuba kukho usulelo okanye ukwenzakala okukhulu .
- Ukuba uhlanza rhoqo.
- Ukuba ukhe waba ne -allergy ngaphambili kwi-metformin, elinye iyeza, ukutya, iidayi, okanye izithinteli.
- Ukuba ukhulelwe okanye uzama ukukhulelwa .
- Ukuba ungumama oncancisayo .
Ndingayisebenzisa njani le yeza?
Kulungile, ngoku makhe sibone indlela yokusela eli yeza ngqo. Kufuneka ulisele eli yeza kanye njengoko litshilo kwileyibhile kagqirha wakho. Kufuneka uliginye eli pilisi ngomlomo ngeglasi yamanzi . Eyona nto ibalulekileyo kukulisela eli yeza kunye nesidlo . Abanye abantu balisela emva kwesidlo sakusasa, abanye emva kwesidlo sangokuhlwa. Ugqirha wakho uza kukuxelela ukuba ulisele nini. Ngokuqhelekileyo kuthiwa ungaliseli ungenanto esiswini. Ukulisela kunye nokutya kunokunciphisa ukungakhululeki okuncinci kwesisu (umzekelo, isicaphucaphu). Thatha amayeza akho ngexesha elifanelekileyo, ngokulandelelana njengoko ugqirha wakho ekuxelela. Ungaze uthathe ngaphezu koko ugqirha akuxelele kona, okanye ulisele rhoqo kunokuba ufanele . Kwakhona, ungayeki ukuthatha amayeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho.Ngaba eli yeza lifanele linikwe abantwana?
Ukuba unika abantwana eli yeza, kufuneka ulumke kakhulu. Thetha nogqirha wakho kwaye ulandele imiyalelo yakhe ngokuchanekileyo.Kuthekani ukuba ndithatha amayeza amaninzi kakhulu? (Umthamo ogqithisileyo)
Khawucinge ukuba ngempazamo usele iipilisi ezininzi kakhulu. Ukuba oko kuyenzeka, yiya kwigumbi likaxakeka lesibhedlele esikufutshane okanye utsalele umnxeba kwiziko lokulawula ityhefu ngoko nangoko . Musa ukuchitha ixesha.Kubalulekile: Eli yeza limiselwe wena wedwa. Musa ukwabelana ngamayeza akho nabanye abantu, nokuba baneempawu ezifanayo nezakho.
Kuthekani ukuba ndiphoswa yintlanganiso yamayeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokuthatha idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Musa ukuthatha idosi ephindwe kabini nangasiphi na isizathu .Zeziphi ezinye izinto ezinokusebenzisana nale mithi? (Iindlela ezisetyenziswa ngayo)
I-Metformin liyeza elinokunxibelelana namanye amayeza okanye ezinye izinto ozisebenzisayo, oko kuthetha ukuba linokuba nemiphumo emibi. Ngoko ke kubaluleke kakhulu ukuba ukwazi oku.Musa ukuthatha i-metformin kunye nezi zinto!
Kukho amayeza angacetyiswayo ukuba asetyenziswe kunye ne-metformin.- Amayeza okwahlulahlula . Umzekelo, ukuba wenza i-X-ray, i-CT scan, okanye i-MRI, akukhuthazwa ukuba uthathe i-metformin kunye namanye amayeza okwahlulahlula. Yiyo loo nto kufuneka uxelele ugqirha wakho ngamayeza owasebenzisayo ngaphambi kovavanyo olunjalo.
- Iyeza elibizwa ngokuba yiDofetilide .
Ezi zinto zinokuchaphazela
Kukho amanye amayeza nezinto ezinokusebenzisana ne-metformin, ngoko ke xelela ugqirha wakho ukuba uthatha nayiphi na kwezi:- I-Acetazolamide
- Utywala
- Amanye amayeza e-antiviral e-HIV okanye i-hepatitis
- Amanye amayeza oxinzelelo lwegazi , isifo sentliziyo, kunye nokubetha kwentliziyo okungaqhelekanga
- I-Cimetidine
- I-Dichlorphenamide
- I-Digoxin
- I-Diuretics, eyaziwa ngokuba ziipilisi zamanzi
- Ii-estrogens, ii-progestins, okanye iipilisi zokulawula ukuzalwa
- I-Glycopyrrolate
- I-Isoniazid
- I-Lamotrigine
- I-Memantine
- I-Methazolamide
- I-Metoclopramide
- I-Midodrine
- I-Niacin
- IiPhenothiazines (umz. i-chlorpromazine, i-mesoridazine, i-prochlorperazine, i-thioridazine)
- I-Phenytoin
- I-Ranolazine
- Amayeza e-steroid (umz. i-prednisone okanye i-cortisone)
- Izikhuthazi zokuphazamiseka kwengqondo, ukwehla kobunzima, okanye ukuhlala uphaphile
- Amayeza e-thyroid
- I-Topiramate
- I-Trospium
- IVandetanib
- I-Zonisamide
Izinto ekufuneka uzilumkele xa usebenzisa eli yeza
Kufuneka ulumke ngakumbi ngempilo yakho xa usela iMetformin. Bona ugqirha wakho rhoqo ukuze ujonge ukuba uqhuba njani. Uvavanyo olubizwa ngokuba yiHbA1C lwenziwa rhoqo emva kweenyanga ezi-2-3 ukuze kubonwe ukuba isifo sakho seswekile silawulwa kakuhle kangakanani na. Olu luvavanyo lwegazi olulula.Malunga namanqanaba eswekile egazini
Ukuba uthatha i-metformin kunye ne-insulin okanye iyeza lesifo seswekile le-sulfonylurea, usemngciphekweni omkhulu wokuba neswekile ephantsi egazini (hypoglycemia) . Ngoko ke, funda indlela yokuvavanya iswekile yakho yegazi ekhaya (nge-glucometer). Yazi iimpawu zeswekile ephantsi egazini (hypoglycemia) kunye neswekile ephezulu egazini (hyperglycemia) kunye nendlela yokuzilawula.Soloko uphatha iswekile (umz., iqhekeza lelekese, iipilisi zeswekile, okanye isiselo esinoshukela) xa kukho imeko engxamisekileyo . Ukuba iswekile yakho yegazi yehla kakhulu, usenokuba nesithuthwane okanye ulahlekelwe zingqondo, kwaye usapho lwakho kufuneka lwaziswe ukuba ungakrwitshwa ukuba ulunika ukutya okanye isiselo ngelo xesha. Ukuba oku kuyenzeka, kufuneka ufune unyango ngokukhawuleza.Ukuba inqanaba leswekile egazini lakho liphezulu rhoqo (i-hyperglycemia), xelela ugqirha wakho ngayo. Idosi yakho yamayeza ingadinga ukulungiswa. Kungafuneka uhlengahlengise idosi yakho yamayeza xa ugula okanye ukuba uzilolonga ngaphezu kwesiqhelo. Musa ukutsiba ukutya . Buza ugqirha wakho malunga nokusela utywala. Amanye amayeza okukhwehlela nawomkhuhlane owathengayo kwiikhemesti anokuba neswekile okanye utywala. Angachaphazela amanqanaba eswekile egazini lakho.
Ukuba ukhulelwe okanye uzama ukukhulelwa
Kubafazi abangaphambi kokuya exesheni abanexesha elingacwangciswanga lokuya exesheni, ukuthatha i-metformin kunokubangela ukukhutshwa kweqanda. Oku kunokunyusa amathuba okukhulelwa. Musa ukulisebenzisa eli yeza ukuba ukhulelwe okanye ucinga ukuba ukhulelwe. Thetha nogqirha wakho malunga nolawulo lokubeleka ngelixa usela eli yeza. Xelela ugqirha wakho ngoko nangoko ukuba ucinga ukuba ukhulelwe.Enye into: malunga nesigqubuthelo sepilisi.
Ngamanye amaxesha ungaqaphela ukuba iqokobhe lepilisi alinyibiliki lize liphume kunye nendle yakho. Ungakhathazeki ngayo, kuyinto eqhelekileyo . Iyeza lifunxwe emzimbeni, kwaye liqokobhe kuphela eliphumayo. Akukho ngxaki ngaloo nto.Ngaphambi kotyando okanye olunye uvavanyo
Ukuba uza kwenziwa utyando, okanye uvavanyo olufana ne-MRI okanye i-CT scan, qiniseka ukuba uxelela ugqirha wakho ukuba usebenzisa i-metformin. Ungacelwa ukuba uyeke ukusebenzisa amayeza kwiintsuku ezimbalwa ngaphambi kovavanyo/utyando. Nxiba isongo sesazisi sezonyango okanye umgexo , kwaye uhlale uphethe ikhadi elinoluhlu lwembali yakho yezonyango, amayeza, kunye nemilinganiselo.Cinga nangeevithamini
Abanye abantu banokufumana ukwehla kwamanqanaba e-folic acid kunye ne-vitamin B12 ngelixa bethatha i-metformin. Ngoko ke, qiniseka ukuba ufumana la mavithamini aneleyo ngelixa uthatha la mayeza. Thetha nogqirha wakho malunga nokutya kunye neevithamini ozityayo.Zithini iziphumo ebezingalindelekanga ezinokubakho zeli yeza? (Iziphumo ebezingalindelekanga)
Njengalo naliphi na iyeza, iMetformin inokubangela ezinye iziphumo ebezingalindelekanga, nangona ingenguye wonke umntu ozifumanayo.Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha ngoko nangoko
Ukuba kwenzeka into efana nale kuwe, xelela ugqirha wakho ngoko nangoko :- Iimpendulo ze-allergy : ukurhawuzelela kwesikhumba, ukurhawuzelela, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
- Inqanaba eliphezulu le-lactic acid : Le yimeko enzulu ngakumbi. Ukuba uziva intlungu okanye ukuqaqamba, intlungu yesisu, ubunzima bokuphefumla, ukuziva ubuthathaka, okanye ukungonwabi ngokubanzi.
- Inqanaba eliphantsi levithamini B12 : Intlungu, ukuba ndindisholo, okanye ukuphelelwa zimvakalelo ezandleni okanye ezinyaweni, ubuthathaka bemisipha, isiyezi, ubunzima bokugxila, ukudideka.
Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka
Ezi ziphumo bezingalindelekanga zihlala ziphela kwiintsuku ezimbalwa, kodwa ukuba ziyaqhubeka okanye zikukhathaza kakhulu, xelela ugqirha wakho:- Urhudo
- Ukudumba/igesi
- Intloko ebuhlungu
- Incasa yesinyithi emlonyeni
- Isicaphucaphu
Ufanele uwagcine njani amayeza akho?
Kubaluleke kakhulu ukugcina amayeza akho ngokufanelekileyo. Gcina kude nabantwana kunye nezilwanyana zasekhaya . Gcina kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius, phakathi kwe-59 kunye ne-86 degrees Fahrenheit) kude nokukhanya. Musa ukusebenzisa naliphi na iyeza emva komhla wokuphelelwa .Wenza ntoni ngamayeza angasetyenziswanga naphelelwe lixesha?
Musa nje ukulahla amayeza angasetyenziswanga, aphelelwe lixesha enkunkuma.- Banike inkqubo yokubuyisela amayeza. Ungabuza ikhemesti yakho okanye amapolisa ngeendawo ezinjalo.
- Ukuba oko akunakwenzeka, jonga ipakethi yamayeza okanye ilebhile ukuze ubone ukuba ufanele uwalahle kwinkunkuma okanye uwakhuphele ethoyilethi. Ukuba awuqinisekanga, buza ugqirha wakho okanye ikhemesti.
- Ukuba ungalahla iyeza enkunkuma, ulikhuphe epakethini, ulixube nento efana nenkunkuma yekati, umhlaba, okanye ikofu, ulifake ebhegini okanye kwisikhongozeli, ulivale, uze ulilahle enkunkuma.
Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)
Kulungile, sithethe kakhulu ngeepilisi zeMetformin Extended-Release ngoku. Okokugqibela, nazi izinto ezibalulekileyo ekufuneka uzikhumbule:- Sela idosi emiselweyo ngexesha elimiselweyo, njengoko ugqirha esitsho. Kungcono ukuyisela kunye nokutya.
- Xelela ugqirha wakho malunga neminye imithi oyithathayo kunye nazo naziphi na izifo onazo.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia)Kwaye ulungele oko.
- Ukuba ufumana into engaqhelekanga okanye unemiphumo emibi evela kumayeza, xelela ugqirha wakho ngoko nangoko.
- Musa ukuyeka ukuthatha amayeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
- Bona ugqirha wakho rhoqo uze ujonge imeko yakho.
I- Metformin, isifo seswekile, iswekile egazini, i-insulin, iziphumo ebezingalindelekanga, amayeza, impilo
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