Masifunde ngeepilisi zeNateglinide zesifo seswekile.

Ngaba unesifo seswekile sohlobo lwesibini? Okanye ngaba ilungu losapho okanye umhlobo wakho unengxaki yesi sifo? Ngoko ke kusenokwenzeka ukuba ukhe weva ngeyeza elibizwa ngokuba yiNateglinide. Eli liyeza elikhethekileyo elinikwa ukulawula isifo seswekile. Ngoko ke namhlanje siza kuthetha ngezi pilisi zeNateglinide ngokweenkcukacha, indlela ezisebenza ngayo, kunye nezinto ekufuneka uzilumkele xa uzisebenzisa.

Loluphi uhlobo lonyango iNateglinide? Isebenza njani?

Ngamafutshane, i-nateglinide yipilisi enikwa abantu abanesifo seswekile sohlobo lwesibini. Njengoko usazi, isifo seswekile kukunyuka kwamanqanaba eswekile emzimbeni, oko kukuthi, amanqanaba eglucose egazini. Okwenziwa leli yeza kukunceda umzimba wakho uvelise i-hormone engaphezulu ye-insulin. I-insulin yiyo enceda ukulawula iswekile emzimbeni. Ngoko ke xa i-insulin isanda, amanqanaba eswekile egazini ayancipha. Kodwa khumbula, eli yeza lodwa alanelanga. Eli yeza lidla ngokunikezelwa kunye nokutya okunempilo kunye nokuzilolonga . Kuphela kulapho unokufumana khona iziphumo ezilungileyo.

Ngamanye amaxesha ungafumana eli yeza phantsi kwegama lebrendi iStarlix, kodwa lisenokuba namanye amagama ebrendi.

Eli yeza lingasetyenziswa nakwezinye iimeko, ngoko ke ukuba unemibuzo malunga noku, kungcono ubuze ugqirha wakho okanye ingcali yezonyango.

Zeziphi izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza?

Ngaphambi kokuba uqale ukusebenzisa iNateglinide, ngokuqinisekileyo kufuneka uxelele ugqirha wakho okanye iqela elikunyangayo ngezi zinto. Khumbula, ukuba awubaxeleli, unokuba neengxaki.

• Ukuba unesifo esibizwa ngokuba yi-diabetesic ketoacidosis, esibangelwa sisifo seswekile. (Oku kunzima kancinci, ugqirha wakho usenokuba uyazi ngale nto.)
• Ukuba unesifo sesibindi .
• Ukuba wakha waba ne-allergy kule yeza, i-nateglinide, naluphi na olunye unyango, ukutya, idayi, okanye isithinteli.
• Ukuba ukhulelwe, okanye uzama ukukhulelwa.
• Ukuba ungumama oncancisayo.

Ukuba undixelela ezi zinto ungazifihli, ugqirha angakunyanga ngeyona ndlela ifanelekileyo.

Uyisebenzisa njani le mithi ngokuchanekileyo?

Eli yeza lifanele lithathwe ngomlomo, ngamanzi. Ufanele ulithathe kanye njengoko ugqirha wakho ekuxelele, ngexesha elichanekileyo nangomlinganiselo ochanekileyo. Uninzi lwexesha, uxelelwa ukuba ulithathe eli yeza ngaphambi kokutya . Ukuze kube yinyani, kungcono ukulithatha malunga nemizuzu engama-30 ngaphambi kokutya.

Kubalulekile: Ukuba awutyi, oko kukuthi, ukuba awutyi,Kufuneka uphephe nokusela amayeza afanelekileyo ngelo xesha. Oko kuthetha ukuba ukuba akukho kutya, akukho mayeza.

Qhubeka usela eli yeza de ugqirha wakho akuxelele ukuba uyeke. Kungcono ungayeki ngequbuliso, kulungile?

Kufuneka kuqatshelwe ngokukodwa xa kunikwa abantwana eli yeza. Ngoko ke, ukuba unika umntwana wakho eli yeza, thetha nogqirha wakho ngalo uze ufumane ingcebiso.

Ukuba ucinga ukuba usele kakhulu eli yeza, fowunela isibhedlele esikufutshane okanye kwiziko lolawulo lwetyhefu ngoko nangoko. Musa ukuchitha ixesha.

Enye into, eli yeza lelakho kuphela. Liyeza olinikwe ngugqirha ngenxa yesigulo sakho. Ngoko ke ungalabelani ngalo nabanye abantu.

Wenza ntoni ukuba uphoswe yidosi yeyeza?

Ukuba ulibele ukuthatha idosi, yiyeke. Thatha idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iipilisi ezimbini ngaxeshanye ukuze ubuyisele idosi oyiphosileyo. Ukwenza njalo kunokubangela iingxaki.

Zeziphi ezinye izinto ezinokusebenzisana nale mithi? (Iindlela ezisetyenziswa ngayo)

Oku kubaluleke kakhulu. Amanye amayeza, ukutya, kunye neziselo zinokuchaphazela amanqanaba eswekile egazini lakho. Oku kuthetha ukuba xa usela i-nateglinide, amanqanaba eswekile egazini lakho anokuba phantsi kakhulu (i-hypoglycemia) okanye aphezulu kakhulu. Ngoko ke ukuba usela eli yeza, kufuneka ulumke kakhulu ngezi zinto zilandelayo.

Amayeza amaninzi anokuchaphazela amanqanaba eswekile egazini. Nazi ezinye zemizekelo:

• Utywala
• I-Aspirin kunye neziyobisi ezifana ne-aspirin
• Amanye amayeza e-antiviral kwizifo ezifana ne-HIV okanye i-hepatitis
• Amanye amayeza okudakumba, ixhala, okanye ezinye izifo zengqondo
• Amanye amayeza eemeko ezinje ngoxinzelelo lwegazi, isifo sentliziyo, kunye nokubetha kwentliziyo okungaqhelekanga
• I-Chromium (ngamanye amaxesha ithathwa njengesongezelelo)
• I-Diuretics (amayeza asusa amanzi emzimbeni)
• Iihomoni zabasetyhini, umzekelo ii-estrogens okanye ii-progestins, kunye neepilisi zokulawula ukuzalwa
• I-Fenofibrate
• I-Gemfibrozil `(Gemfibrozil)`
• I-Isoniazid (iyeza lesifo sephepha)
• I-Lanreotide
• Iihomoni zamadoda okanye ii-anabolic steroids
• Ii-MAOI (umz., iziyobisi ezifana neCarbex, i-Eldepryl, iMarplan, iNardil, iParnate)
• Amayeza okunciphisa umzimba
• Amayeza okunyanga ii-allergies, i-asthma, umkhuhlane kunye nokukhwehlela
• I-Niacin
• I-Nicotine (efumaneka kwicuba)
• Ii-NSAID (iziyobisi ezithintela iintlungu kunye neziyobisi ezilwa nokuvuvukala, ezifana ne-ibuprofen okanye i-naproxen)
• I-Octreotide
• I-Pasireotide
• I-Pentamidine
• IPhenytoin `(Phenytoin)`
• I-Probenecid `(Probenecid)`
• Amayeza okubulala iintsholongwane e-quinolone (umz. i-ciprofloxacin, i-levofloxacin, i-ofloxacin)
• Ezinye izongezo zokutya zemifuno
• Amayeza e-steroid (umz. i-prednisone okanye i-cortisone)
• I-Sulfamethoxazole; i-trimethoprim
• Iihomoni ze-thyroid

Kwakhona, kukho amayeza afihla iimpawu zokulumkisa zeswekile ephantsi egazini (hypoglycemia). Oku kuthetha ukuba usenokungayiva nokuba iswekile yakho yegazi iphantsi. Ukuba uthatha olu hlobo lwamayeza, kuya kufuneka ujonge amanqanaba eswekile yakho yegazi rhoqo. Imizekelo:

• Ii-Beta-blockers ( umz. i-metoprolol, i-propranolol)
• I-Clonidine
• I-Guanethidine
• I-Reserpine

Olu luhlu aluphelelanga. Kusenokuba kukho amanye. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amayeza amiselweyo, athengiswa ngaphandle kwemvume kagqirha, iimveliso zemifuno, iivithamini), izongezo ozithathayo, nokuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye zezi zinto zinokudibana namayeza akho e-nateglinide.

Zeziphi ezinye izinto ekufuneka ndizilumkele xa ndisebenzisa eli yeza?

Ngelixa usela eli yeza, kufuneka ubonane nogqirha wakho rhoqo ukuze ajonge impilo yakho.

• Uvavanyo lwe-HbA1C (A1C): Olu luvavanyo lwegazi olulula. Lujonga indlela iswekile yakho yegazi elawulwa ngayo kwiinyanga ezi-2-3 ezidlulileyo. Olu vavanyo kufuneka lwenziwe rhoqo kwiinyanga ezi-3 ukuya kwezi-6.
• Funda indlela yokujonga amanqanaba eswekile egazini lakho: Kukho oomatshini abancinci onokubasebenzisa ukujonga amanqanaba eswekile egazini lakho ekhaya. Funda indlela yokuwasebenzisa, kunye neempawu zeswekile ephantsi egazini (hypoglycemia) kunye neswekile ephezulu egazini (hyperglycemia), kunye nendlela yokuzilawula.
• Gcina iswekile ikufutshane xa kukho imeko engxamisekileyo: Soloko ugcina iswekile (umz., iityhubhu zeswekile, iitafile zeswekile) ukuze ukwazi ukutya ngokukhawuleza xa ufumana iimpawu zeswekile ephantsi egazini (umz., ukungcangcazela, ukubila, isiyezi). Ukuba ufumana iswekile ephantsi egazini kwaye ulahlekelwe zingqondo, okanye unesithuthwane, xelela usapho lwakho nabahlobo bakho ukuba banokukrwitshwa ukuba bakunika ukutya okanye isiselo ngelo xesha. Ukuba oku kuyenzeka, kufuneka ufune unyango ngokukhawuleza.
• Ukuba amanqanaba eswekile egazini lakho ayanyuka, xelela ugqirha wakho :Ukuba amanqanaba eswekile egazini lakho ahlala ephezulu, xelela ugqirha wakho. Umlinganiselo wakho wamayeza unokufuneka uhlengahlengiswe. Kwakhona, ukuba ugula okanye uzilolonga ngaphezu kwesiqhelo, umthamo wakho wamayeza unokufuneka uhlengahlengiswe.
• Musa ukutsiba ukutya: Yitya ngexesha elifanelekileyo.
• Malunga notywala: Buza iqela lakho lezempilo ukuba kufuneka uphephe ukusela utywala.
• Lumka ngamanye amayeza: Ezinye iziraphu zokukhwehlela kunye nezomkhuhlane onokuzithenga kwivenkile yezonyango zinokuba neswekile okanye utywala. Ezi zinokuchaphazela amanqanaba eswekile egazini.
• Isazisi sezonyango: Nxiba isongo okanye itsheyini yesazisi sezonyango, okanye ugcine ikhadi elineenkcukacha malunga nemeko yakho, amayeza owasebenzisayo, imilinganiselo, kunye namaxesha owasebenzisayo. Oku kunokuba luncedo kakhulu xa kukho imeko engxamisekileyo.
• Oomama abancancisayo: Musa ukuncancisa umntwana wakho ngelixa usebenzisa eli yeza. Ukuba unemibuzo malunga noku, thetha nogqirha wakho.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengayo nayiphi na iyeza, iNateglinide inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Asinguye wonke umntu ozifumanayo, kodwa kulungile ukuzazi.

Iziphumo ebezingalindelekanga ekufuneka uzixelele ugqirha wakho ngoko nangoko:

Ukuba ufumana ezi mpawu , kufuneka wazise iqela lakho lezonyango ngokukhawuleza:

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
• Iswekile ephantsi egazini (i-hypoglycemia) : ukungcangcazela, ukuthuthumela, ixhala, ukubila, ukuziva ubanda, ulusu oluthambileyo, ukudideka, isiyezi, ukubetha kwentliziyo ngokukhawuleza.

Iziphumo ebezingalindelekanga ezingadingi nyango, kodwa kufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka okanye ziyakhathaza:

Nangona ezi zinto zingabalulekanga kangako, xelela ugqirha wakho ukuba ziyaqhubeka okanye ziyakukhathaza:

• Umqolo obuhlungu
• Urhudo
• Isiyezi
• Intlungu yamalungu
• Impumlo egobhozayo okanye exineneyo

Olu luhlu aluzizo zonke iziphumo ebezingalindelekanga ezinokubakho. Ukuba ubona nantoni na engaqhelekanga ukongeza kwezi, thetha nogqirha wakho ngayo. (E-US, ungaxela iziphumo ebezingalindelekanga kwi-FDA ku-1-800-FDA-1088, kodwa eSri Lanka, kungcono ukuxelela ugqirha wakho.)

Uzigcina njani ezi pilisi?

Kubaluleke kakhulu ukugcina eli yeza kude nabantwana kunye nezilwanyana zasekhaya.

Gcina kubushushu begumbi, malunga nama-25 degrees Celsius (77 Fahrenheit). Gcina ibhotile/ipakethi yeyeza ivaliwe kakuhle.Musa ukusebenzisa amayeza aphelelwe lixesha, walahle.

Ulahla njani amayeza angasetyenziswanga naphelelwe lixesha?

Musa nje ukuphosa amayeza aphelelwe lixesha okanye angafunekiyo enkunkuma. Kukho iindlela zokuwalahla ngokufanelekileyo.

• Iinkqubo zokubuyisela amayeza: Amanye amakhemesti kunye namaziko ezempilo anokuba nazo ezi nkqubo. Zijonge.
• Ukuba awukwazi ukuyibuyisela: Jonga ilebheli yeyeza okanye incwadana ehambisana nayo ukuze ubone ukuba ithi mayilahlwe enkunkuma okanye ilahlwe endlwini yangasese. Ukuba awuqinisekanga, buza iqela lakho lezempilo.
• Ukuba kukhuselekile ukulahla inkunkuma: Khupha iyeza kwisitya. Emva koko xuba iyeza nenye into engeluncedo, njengenkunkuma yekati, umhlaba, intlama yekofu, njl. Emva koko faka umxube kwibhegi okanye kwisitya, uwuvale kakuhle, uze uwulahle kwinkunkuma.

Izinto ezibalulekileyo ekufuneka uzikhumbule

Kulungile, ngoko ke, ngokwezinto esithethe ngazo, ezi zezona zinto zibalulekileyo ekufuneka uzikhumbule:

• I-Nateglinide liyeza elisetyenziselwa ukunyanga isifo seswekile sohlobo lwesibini.
• Oku kwandisa i-insulin emzimbeni kwaye kunciphisa iswekile egazini (i-glucose).
• Kucetyiswa rhoqo ukuba oku kuthathwe imizuzu engama-30 ngaphambi kokutya. Ukuba uphoswe kukutya, shiya namayeza.
• Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo kunye nemikhwa yakho (ukutshaya, ukusela utywala), njengoko ezinye izinto zinokuchaphazela eli yeza.
• Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia) kwaye ugcine iswekile ikufutshane xa uyidinga.
• Musa ukuyeka ukuthatha amayeza akho ngaphandle kokuba ugqirha wakho ekuxelele ukuba uyeke. Bona ugqirha wakho rhoqo ukuze ujonge imeko yakho.
• Ukuba ukhulelwe, uncancisa, okanye uneengxaki zesibindi, qiniseka ukuba uxelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza.

Esi sisishwankathelo nje. Ukuba unemibuzo engaphezulu malunga nale yeza, nceda ungathandabuzi ukubuza ugqirha wakho, ikhemisti, okanye omnye umboneleli wezempilo. Baya kukwazi ukukunceda.

I- Nateglinide, iStarlix, isifo seswekile, iswekile egazini, i-insulin, iziphumo ebezingalindelekanga