Iyeza lokusela isifo seswekile: Masifunde ngeepilisi zeMetformin kunye neRepaglinide?

Ukuba unesifo seswekile sohlobo lwesibini, ugqirha wakho mhlawumbi ukunike ipilisi edibeneyo (efana nePrandiMet) equlethe zombini i-metformin kunye ne-repaglinide. Eli liyeza elihlala linikwa ukunceda ukulawula isifo sakho seswekile. Makhe sijonge ukuba liyintoni eli yeza, lisebenza njani, kunye noko kufuneka ukwazi.

Le yeza liyintoni? Ngamafutshane...

Ngamafutshane, le yipilisi eyenziwe ngokudibanisa amayeza amabini abizwa ngokuba yiMetformin kunye neRepaglinide. Le pilisi inikwa abantu abanesifo seswekile sohlobo lwesibini . Nangona kunjalo, ukuthatha eli yeza lodwa akwanelanga. Ukulawula ukutya kwakho kunye nokuzilolonga kukwayinxalenye yolu nyango. Eli yeza linceda umzimba wakho usebenzise ihomoni ebizwa ngokuba yi-insulin ngokufanelekileyo. Emva koko, izinga leswekile egazini liyalawulwa. Eli yeza lingasetyenziselwa ezinye iinjongo, ungabuza ugqirha wakho okanye umntu okwikhemesti ngalo.

Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokusebenzisa eli yeza

Kulungile, oku kubalulekile. Ngaphambi kokuba uqale ukuthatha eli yeza, ngokuqinisekileyo kufuneka uxelele ugqirha wakho okanye ingcali yezemithi ngezi zinto. Kuba ukuba unezi meko, eli yeza lisenokungakulungeli, okanye unokufuna unyango olukhethekileyo.

• Ngaba une -anemia ?
• Ngaba unengxaki yokuphelelwa ngamanzi emzimbeni ?
• Ngaba ukhe waba nesifo esibi esibizwa ngokuba yiDiabetic Ketoacidosis ?
• Ngaba unesifo sentliziyo ?
• Ingaba usela utywala rhoqo?
• Ngaba unesifo sezintso ?
• Ngaba unesifo sesibindi ?
• Ukuba ungumfazi, ngaba unePolycystic Ovary Syndrome (PCOS) ?
• Ngaba usandul' ukuchacha kwisifo esinzulu okanye ukwenzakala okukhulu ?
• Ingaba uhlala uhlanza ?
• Ngaba wakha waba ne-allergy kwi-metformin, i-repaglinide, okanye nayiphi na eminye imithi, ukutya, iidayi, okanye izithinteli?
• Ngaba uzama ukukhulelwa , okanye sele ukhulelwe?
• Ingaba ungumama oncancisayo ?

Kubaluleke kakhulu kwimpilo yakho ukuthetha yonke into ngaphandle kokufihla ezi zinto, uyaqonda?

Ndingayisebenzisa njani kanye kanye le yeza?

Le pilisi mayithathwe ngomlomo. Yiginye ngeglasi yamanzi. Ufanele ulandele imiyalelo ekwileyibhile kagqirha oyinikwe ngugqirha wakho.

Eyona nto ibalulekileyo kukuba, eli yezaUfanele uyisele ngaphambi kokutya. Ukuchaneka, ungayiseli ngaphezu kwemizuzu engama-30 ngaphambi kokutya. Idla ngokuthathwa ngaphambi nje kokutya.

Khawucinge nje, ukuba awutyi ukutya, kuya kufuneka utyile nepilisi kweso sidlo.

Ingaba kungcono ukungaseli ngaphezu kokucetyiswa ngugqirha, okanye ukusela rhoqo?

Kwenzeka ntoni kwabaselula nakwabadala?

Ukuba unika abantwana abancinci eli yeza, kufuneka uthethe nogqirha wakho wabantwana ngalo. Kunokufuneka unonophelo olukhethekileyo.

Ukuba umntu oneminyaka engaphezu kwama-65 ubudala usebenzisa eli yeza, iziphumo zalo zinokuba namandla ngakumbi. Ke ngoko, ugqirha angalinciphisa kancinci idosi.

Yintoni omawuyenze ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)

Nceda uqaphele ukuba ukuba ucinga ukuba ngempazamo uthathe eli yeza kakhulu, fowunela iZiko loLawulo lweTyhefu okanye igumbi likaxakeka lesibhedlele esikufutshane ngoko nangoko. Asikuko ukuhlekisa oku.

"Eli yeza lelakho kuphela. Musa ukulinika abahlobo bakho okanye usapho lwakho, nokuba nabo banesifo seswekile."

Kuthekani ukuba ndiphoswa yidosi?

Ukuba awukwazi ukusela ipilisi ngaphambi kokutya, yiyeke. Ukuba sele kuza kufika ixesha lokutya kwakho okulandelayo, oko kukuthi, xa sele uza kutya isidlo sakho esilandelayo, thatha ipilisi ngelo xesha. Ungaze uthathe idosi ephindwe kabini okanye uthathe ezinye iipilisi ngaxeshanye.

Amanye amayeza anokusebenzisana nalo mayeza (Ukusebenzisana kwamayeza)

Le yingongoma ebaluleke kakhulu. Kukho amayeza athile anokubangela iingxaki xa esetyenziswa kunye neepilisi ze-metformin kunye ne-repaglinide. Oko kukuthi, ukusebenza kakuhle kwale mayeza kunokuphazamiseka, okanye iziphumo ebezingalindelekanga zinokwanda.

Ungaze uthathe eli yeza leswekile kunye namayeza alandelayo:

• Amayeza okwahlulahlula amachiza lulwelo olukhethekileyo olufakwa emzimbeni ngaphambi kovavanyo oluthile , olufana nee-X-ray, ii-CT scans, kunye nee-MRIs.
• Iyeza elibizwa ngokuba yiDofetilide .
• Iyeza elibizwa ngokuba yiGemfibrozil .

Ukongeza, kukho inani lamanye amayeza anokusebenza nala mayeza eswekile ngandlela ithile. La angaquka:

• I-Acetazolamide
• Utywala (hayi nje kuphela njengesiselo, kodwa amanye amayeza anokuba notywala)
• IiBarbiturates (umz., iPhenobarbital, iPrimidone)
• I-Carbamazepine
• Amanye amayeza e-antiviral kwizifo ezifana ne-HIV okanye i-hepatitis
• Amanye amayeza oxinzelelo lwegazi oluphezulu, isifo sentliziyo, kunye nokubetha kwentliziyo okungaqhelekanga
• Amanye amayeza osulelo lwefungus (umz., iKetoconazole, iItraconazole)
• I-Cimetidine
• I-Clopidogrel
• IClarithromycin
• I-Cyclosporine
• I-Deferasirox
• I-Dichlorphenamide
• I-Digoxin
• I-Diuretics (amayeza anceda ekususeni amanzi emzimbeni)
• I-Erythromycin
• Iihomoni zabasetyhini (umz. ii-estrogens, ii-progestins, kunye neepilisi zokulawula ukuzalwa)
• I-Glycopyrrolate
• I-Isoniazid (iyeza lesifo sephepha)
• I-Lamotrigine
• I-Memantine
• I-Methazolamide
• I-Metoclopramide
• I-Midodrine
• I-Niacin
• IiPhenothiazines (umz. iChlorpromazine, iMesoridazine, iProchlorperazine, iThioridazine)
• I-Phenytoin
• I-Ranolazine
• I-Rifampin
• I-Simvastatin (iyeza lokunciphisa i-cholesterol)
• Amayeza e-steroid (umz. i-Prednisone, i-Cortisone)
• Amayeza okukhuthaza ukuphazamiseka kwengqondo, ukunciphisa umzimba, okanye ukukunceda uhlale uphaphile
• Amayeza e-thyroid
• I-Topiramate
• I-Trospium
• IVandetanib
• I-Zonisamide

Olu luhlu aluphelelanga, akunjalo? Oko kukuthi, amanye amayeza, kungekuphela nje la, anokusebenzisana nala mayeza eswekile.

Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owathathayo (achazwe ngugqirha wakho, athengwe kwikhemesti, amayeza esintu, iivithamini, izongezo zokutya). Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye izinto ezingekho mthethweni. Ezinye izinto zinokudibana nalo mayeza.

Zeziphi izinto ekufuneka sizilumkele ngakumbi xa sithatha eli yeza?

Ngelixa usela eli yeza, bonana nogqirha wakho rhoqo ukuze ahlolwe rhoqo ukuze ajonge ukuba impilo yakho injani na.

Uvavanyo lwakho lwe-HbA1c (HbA1c) luhlolwa rhoqo. Olu luvavanyo lwegazi olulula. Lubonisa indlela iswekile yakho yegazi elawulwa ngayo kwiinyanga ezi-2-3 ezidlulileyo. Kuya kufuneka wenze olu vavanyo rhoqo kwiinyanga ezi-3 ukuya kwezi-6.

Masiqaphele amanqanaba eswekile egazini.

Funda indlela yokujonga iswekile yakho egazini ekhaya. Kwakhona,Kubalulekile ukufunda iimpawu zeswekile ephantsi egazini (okanye i-hypoglycemia) kunye neswekile ephezulu egazini (okanye i-hyperglycemia), kunye nendlela yokuzilawula.

Ukuba ngequbuliso uneswekile ephantsi egazini, hlala uneswekile ekhawulezayo kuwe ngamaxesha onke. Umzekelo, ityhubhu yeswekile, ithebhulethi yeswekile, okanye itofi. Khawuthelekelele ukuba ngequbuliso uneswekile ephantsi egazini kwaye sele uza kulahlekelwa zingqondo, kwaye ukuba ubunokuzinika into yokutya okanye yokusela ngelo xesha, inokunamathela emqaleni wakho. Ke ngoko, kufuneka uxelele usapho lwakho kunye nabahlobo bakho ngale nto. Ukuba iswekile yakho yegazi yehla kakhulu kangangokuba unesifo sokuxhuzula okanye ungabi nangqondo, kufuneka ufune uncedo lwezonyango ngokukhawuleza.

Ukuba uvakalelwa kukuba iswekile yakho yegazi iphezulu, xelela ugqirha wakho. Umlinganiselo wamayeza akho unokufuneka uhlengahlengiswe. Ukuba ugula okanye uzilolonga ngaphezu kwesiqhelo, buza ugqirha wakho ukuba kufuneka uhlengahlengise umthamo wamayeza akho ngelo xesha.

Musa ukutsiba ukutya. Thetha nogqirha wakho malunga nokusela utywala. Ezinye iimveliso zokukhwehlela kunye nezokubandayo ezithengiswa ngaphandle kwekhawuntara zinokuba neswekile okanye utywala. Ezi zinto zinokuchaphazela amanqanaba eswekile egazini.

Qaphela ukuba kunokwenzeka ukuba ukhulelwe.

Eli yeza linokunyusa amathuba okukhutshwa kweqanda kubafazi abanenyanga ezingacwangciswanga kodwa abangekayi exesheni. Oku kunokunyusa amathuba okukhulelwa. Ukuba ukhulelwe okanye ucinga ukuba ukhulelwe, akufanele ulisebenzise eli yeza. Thetha nogqirha wakho malunga neendlela zokulawula ukukhulelwa ngelixa usebenzisa eli yeza. Ukuba ucinga ukuba ukhulelwe, xelela ugqirha wakho ngoko nangoko.

Ngaphambi kwento efana notyando

Ukuba uza kutyandwa, u-MRI, i-CT scan, okanye naluphi na olunye unyango olukhethekileyo, xelela ugqirha wakho ukuba usela eli yeza. Kusenokufuneka uyeke ukulisebenzisa eli yeza kangangeentsuku ezimbalwa ngaphambi kokuba kwenziwe eli yeza.

Soloko uphatha ikhadi le-Medical ID elichaza imeko yakho yempilo, amayeza owaselayo, idosi, kunye nexesha lokuwasebenzisa. Ukuba kunokwenzeka, nxiba isongo okanye itsheyini ye-Medical ID. Oku kunokuba luncedo kakhulu xa kukho imeko engxamisekileyo.

Eli yeza lisenokunciphisa amanqanaba akho e-folic acid kunye ne-vitamin B12 . Ngoko ke, qiniseka ukuba ufumana iivithamini ezaneleyo ngelixa usela eli yeza. Thetha nogqirha wakho malunga nokutya okutyayo kunye neevithamini ozithathayo.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengayo nayiphi na iyeza, ezi pilisi ze-metformin kunye ne-repaglinide zinokubangela iziphumo ebezingalindelekanga kwabanye abantu. Asinguye wonke umntu ozifumanayo, kodwa abanye abantu bazifumana.

Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko:

Ukuba ufumana naziphi na kwezi mpawu, kufuneka uxelele ugqirha wakho okanye ingcali yezempilo ngokukhawuleza :

• Iimpendulo ze-allergy : ukurhawuzelela kwesikhumba, ukurhawuzelela okanye ukurhawuzelela, ukudumba kobuso, imilebe, okanye ulwimi.
• Iingxaki zokuphefumla.
• Umchamo omnyama .
• Ukuziva utyhafile okanye unentloko ebuhlungu, uyawa.
• Umkhuhlane, ukubanda, umphimbo obuhlungu .
• Iintlungu okanye iintlungu zemisipha .
• Ububomvu, ukudumba, ukuxobuka, ukukhululeka kolusu, nezinye izinto ezinje zinokwenzeka nangaphakathi emlonyeni.
• Iimpawu zeswekile ephantsi egazini : ukuziva uxhalabile, ukudideka, isiyezi, indlala eyongezelelekileyo, ukuziva ubuthathaka okanye udiniwe ngendlela engaqhelekanga, ukubila, ukungcangcazela, ukuziva ubanda, ukucaphuka, intloko ebuhlungu, ukubona okufipheleyo, ukubetha kwentliziyo ngokukhawuleza, ukulahlekelwa zingqondo.
• Ukubetha kwentliziyo okucothayo okanye okungahambelaniyo.
• Ukopha okanye ukukrweleka okungaqhelekanga.
• Ukuphazamiseka kwesisu okungaqhelekanga okanye iintlungu.
• Ukuhlanza.
• Ukutyheli kwamehlo okanye ulusu (oku kusenokuba yingxaki yesibindi).

Iziphumo ebezingalindelekanga ukuba zingakhankanywa kugqirha , kodwa kufuneka zikhankanywe ukuba ziyaqhubeka:

Ezi ziphumo bezingalindelekanga azibi kakhulu. Ziya kuphela kwiintsuku ezimbalwa. Kodwa ukuba ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho:

• Urhudo.
• Isiyezi.
• Intloko ebuhlungu.
• Igesi esiswini.
• Ukuva incasa yesinyithi emlonyeni.
• Isisu esimoshakele.

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga ezinokubakho. Ukuba ubona ezinye iziphumo ezingaqhelekanga, thetha nogqirha wakho. Ungazixela ezi ziphumo ebezingalindelekanga kwi-FDA ku-1-800-FDA-1088.

Uzigcina njani ezi pilisi? (Ukugcinwa)

Kubaluleke kakhulu ukugcina ezi pilisi kude nabantwana .

Kubushushu obungaphantsi kwama-25 degrees Celsius (25°C) okanye ama-77 degrees Fahrenheit (77°F)Gcina. Oko kuthetha ukuba gcina kubushushu obuqhelekileyo begumbi, kungabi shushu kakhulu, kwaye kude nelanga elithe ngqo. Khusela ekukhanyeni.

Musa ukusebenzisa amayeza aphelelwe lixesha. Walahle.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, sithethe kakhulu ngezi pilisi zeMetformin kunye neRepaglinide, akunjalo? Ukushwankathela:

• Eli yeza linikezelwa ukulawula isifo seswekile sohlobo lwesibini . Nangona kunjalo , ukutya okunempilo kunye nokuzilolonga nazo zibalulekile.
• Ngaphambi kokuba uqale amayeza , xelela ugqirha wakho ngazo zonke izifo zakho kunye nawo onke amayeza owasebenzisayo.
• Sela amayeza akho njengoko ugqirha wakho eyalele ngaphambi kokutya. Ukuba uphoswe kukutya, sela amayeza akho ngexesha elinye.
• Jonga amanqanaba eswekile egazini lakho rhoqo. Qaphela iimpawu zeswekile ephantsi nephezulu egazini. Gcina iswekile ikufutshane xa kukho iingxaki ezingxamisekileyo.
• Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezintsha, ingakumbi ukuba zinzima kakhulu, xelela ugqirha wakho ngoko nangoko.
• Yazisa ugqirha wakho malunga neminye imithi, iivithamini, kunye namayeza esintu owasebenzisayo.
• Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa, thetha nogqirha wakho ngaphambi kokuba usebenzise eli yeza.

Eli yeza liza kukunceda ukulawula isifo sakho seswekile kwaye uphile ubomi obusempilweni. Kodwa eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo nokumbona rhoqo ukuze ahlolwe. Ukuba unemibuzo, ungoyiki ukubuza ugqirha wakho okanye ingcali yezonyango.

I- Metformin, iRepaglinide, Isifo seswekile, Uhlobo lwesibini lwesifo seswekile, i-insulin, iswekile egazini, iziphumo ebezingalindelekanga