Ngaba ugqirha wakho ukunike iyeza elitsha lokulawula isifo sakho seswekile? Usenokuba ukhe wazibuza ukuba yintoni emva kokubona ukuba linamagama amabini. Ungakhathazeki. Namhlanje sithetha ngale pilisi, eyindibaniselwano yamayeza amabini abizwa ngokuba yiPioglitazone kunye neGlimepiride. Inikwa abantu abanesifo seswekile sohlobo lwesibini. Masiyiqonde ukusuka ku-A ukuya ku-Z ngokulula, ngokungathi sixelela umhlobo.
Kwenzeka ntoni ngokwenene ngale mithi?
Ngamafutshane, eli yeza lisebenza ngokunciphisa nokulawula inqanaba leswekile, okanye iglucose, egazini lakho. Ekubeni kukho iintlobo ezimbini zamayeza koku, asebenza ngeendlela ezimbini ezahlukeneyo.
1. I-Glimepiride: Eli yeza linika i-pancreas yakho "ukhuthazo" kwaye linceda ukuba ivelise i-insulin hormone engakumbi efunekayo emzimbeni wakho.
2. I-Pioglitazone: Eli yeza lisebenza ngokunceda iiseli zomzimba wakho zisebenzise i-insulin eziyivelisayo ngempumelelo. Oko kukuthi, lonyusa uvakalelo lweeseli kwi-insulin.
Kodwa khumbula oku: Oku akuyomilingo. Kufuneka uqhubeke nokulandela ukutya kwakho kunye nenkqubo yakho yokuzilolonga ngelixa usela eli yeza. Iziphumo ezilungileyo zifumaneka xa amayeza kunye nendlela yokuphila enempilo zihamba kunye.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uthathe amayeza
Ngaphambi kokuba uqalise eli yeza, kubaluleke kakhulu ukuxelela ugqirha wakho ngembali yakho epheleleyo yempilo. Qiniseka ukuba uxelela ugqirha wakho ukuba unenye yezi meko zilandelayo:
- Iimeko zonyango zangoku:
- Ukuba unesifo sentliziyo okanye intliziyo ebuthathaka
- Isifo sezintso
- Isifo sesibindi
- Ukuba unembali yomhlaza wesinyi
- Ukuba ukhe waba ne-diabetes ketoacidosis, imeko enzulu ebangelwa sisifo seswekile
- Ukuba une-enzyme enqongopheleyo ebizwa ngokuba yi-G6PD deficiency (Glucose-6-phosphate dehydrogenase deficiency)
- Iingxaki ze-thyroid (isifo se-thyroid)
- Ukuba uvuvukile emzimbeni wakho, ezandleni, okanye ezinyaweni
- Ukuba unosulelo olukhulu okanye ukwenzakala
- Iingxaki zokunganyamezelani komzimba:
- Ukuba une-allergy kwiPioglitazone, iGlimepiride okanye ezinye iziyobisi zesulfa
- Ukuba une-allergy kuyo nayiphi na enye iyeza, ukutya, okanye isithinteli sempilo
- Amanye amanqaku akhethekileyo:
- Ukuba ukhulelwe okanye uzama ukukhulelwa
- Ukuba ungumama oncancisayo
Ulisebenzisa njani kanye kanye eli yeza?
Ukuze ufumane amayeza angcono, kufuneka uwasebenzise ngokuchanekileyo.
- Ginya le pilisi ngeglasi yamanzi.
- Ziqhelise ukusela amayeza akho malunga nexesha elifanayo yonke imihla.
- Eyona nto ibalulekileyo: Sela eli yeza kunye nokutya okanye emva nje kokutya . Musa ukulisela ungenanto esiswini. Ukwenza njalo kunokubangela ukuba iswekile yakho egazini yehle kakhulu (hypoglycemia). Oogqirha badla ngokucebisa ukuba ulisele kunye nesidlo sakusasa.
- Qhubeka usela amayeza de ugqirha wakho akuxelele ukuba uyeke.
- I-Overdose: Ukuba ucinga ukuba usele i-overdose, fowunela iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
- Ukuba uphoswe yidosi: Thatha idosi oyiphosileyo ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngexesha elinye.
Ezinye izinto ezinokusebenzisana nale mithi
Amanye amayeza, iivithamini, kunye namayeza emifuno onokuthi uwasebenzise asenokusebenzisana nalo mayeza. Kungoko ke, kubaluleke kakhulu ukuxelela ugqirha wakho ngayo yonke into oyithathayo. Apha ngezantsi kukho imizekelo embalwa.
| Uhlobo lweyeza/into | Imizekelo kunye namanqaku |
|---|---|
| Amayeza okubulala iintlungu kunye namayeza okulwa nokuvuvukala | Amayeza e-NSAID afana ne-Aspirin, i-Ibuprofen, kunye ne-Naproxen. |
| Ii-antibiotics kunye ne-antifungals | I-Chloramphenicol, iClarithromycin, iKetoconazole, iMiconazole, iRifampin. |
| Amayeza oxinzelelo lwegazi oluphezulu | Ii-Beta-blockers ezifana neMetoprolol, iPropranolol, neNifedipine. |
| Iintlobo zeehomoni | Iihomoni zabasetyhini (ii-Estrogens), iipilisi zokulawula ukuzala, iihomoni ze-thyroid, kunye nee-steroids ezifana ne-Prednisone. |
| Amanye amayeza eswekile | Nawaphi na amanye amayeza esifo seswekile owasebenzisayo. |
| Okunye | I-Gemfibrozil, i-Atorvastatin, ehlisa i-cholesterol, i-Warfarin, ethintela ukujiya kwegazi, i-Isoniazid, esetyenziselwa ukunyanga isifo sephepha, kunye notywala. |
Olu luhlu aluphelelanga, ngoko ke xelela ugqirha wakho malunga nawo onke amayeza, iivithamini, kunye neemveliso zezityalo ozisebenzisayo.
Izinto ekufuneka uzikhumbule xa usebenzisa amayeza
- Ukuhlolwa rhoqo: Ndwendwela ugqirha wakho ngemihla eqhelekileyo ukuze ujonge imeko yakho. Kusenokufuneka wenze uvavanyo lwegazi ukuze ujonge ukusebenza kwesibindi sakho.
- Uvavanyo lwe-HbA1C: Olu vavanyo luvavanya umlinganiselo wakho wolawulo lweswekile egazini kwiinyanga ezi-2-3 ezidlulileyo. Ugqirha wakho uya kucebisa ukuba wenze olu vavanyo rhoqo kwiinyanga ezi-3-6.
- Ukulinganisa amanqanaba eswekile egazini: Funda indlela yokulinganisa amanqanaba eswekile egazini lakho ekhaya. Yazi iimpawu zeswekile ephantsi egazini (hypoglycemia) kunye neswekile ephezulu egazini (hyperglycemia) kunye nendlela yokuzilawula.
- Ukuba uneswekile ephantsi egazini: Hlala ugcina iswekile kuwe. Umzekelo, iipilisi zeglucose, ityhubhu yeswekile, iqhekeza lelekese, iqhekeza lejeli. Ukuba ubonakalisa iimpawu ezinzulu zeswekile ephantsi egazini (umz. ukuxhuzula, ukulahlekelwa zingqondo), xelela usapho lwakho ukuba kuyingozi ukukunika ukutya okanye isiselo. Kwiimeko ezinjalo, kufuneka uye esibhedlele ngoko nangoko.
- Musa ukulibazisa ukutya: Ukuba usela eli yeza, kubaluleke kakhulu ukutya ukutya kwakho okuphambili ngexesha elifanelekileyo.
- Ukukhulelwa: Eli yeza linokunyusa amathuba okukhutshwa kweqanda kubafazi abanemijikelo yokuya exesheni engacwangciswanga. Ngoko ke, thetha nogqirha wakho malunga nokusebenzisa uhlobo olufanelekileyo lokuthintela ukukhulelwa ngelixa usebenzisa eli yeza. Ukuba ucinga ukuba ukhulelwe, xelela ugqirha wakho ngoko nangoko.
- Ulwazelelelo elangeni: Eli yeza lingenza ulusu lwakho lube buthathaka ngakumbi elangeni. Ngoko ke, ukuba uza kuba selangeni, nxiba impahla egquma umzimba wakho kwaye usebenzise isithambisi sokukhusela ilanga.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, eli linokuba nemiphumo emibi. Asinguye wonke umntu oyifumanayo. Masibone ukuba yintoni na.
| Iziphumo ebezingalindelekanga ezinzulu ezifuna unyango olukhawulezileyo | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Iimpawu zokusilela kwentliziyo | Ubunzima bokuphefumla, ukudumba kwamaqatha, iinyawo okanye izandla, ukunyuka kobunzima ngequbuliso, ukudinwa kakhulu. |
| Iimpawu zokulimala kwesibindi | Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle ekhanyayo, umchamo otyheli okanye omdaka omnyama, kunye nokutyheli kolusu okanye amehlo. |
| I-Hypoglycemia (iswekile ephantsi egazini) | Ukungcangcazela, ukubila, ukuxhalaba kakhulu, ulusu olupholileyo, isiyezi, ukubetha kwentliziyo ngokukhawuleza, kunye nokudideka. |
| Utshintsho lombono | Umbono ofipheleyo, ukubona izangqa ezijikeleze izibane, ukulahlekelwa ngumbono. |
| Utshintsho kumchamo | Umchamo obomvu okanye omdaka, iintlungu xa uchama, ukuchama rhoqo. |
| Akukho nto ingaqhelekanga (kodwa xelela ugqirha wakho ukuba iyaqhubeka) | |
| Iingxaki eziqhelekileyo | Intloko ebuhlungu, urhudo, isicaphucaphu, umphimbo obuhlungu, impumlo egobhozayo, iintlungu zemisipha. |
Umyalezo Wokuya Ekhaya
- Soloko usela eli yeza ngexesha elimiselweyo kunye nokutya . Ungaze ulisele ungenanto esiswini.
- Musa ukutsiba ukutya. Ukwenza njalo kunokubangela ukuba amanqanaba eswekile egazini aphantsi kakhulu.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia). Soloko ugcina into eneswekile (iipilisi zeswekile, iqhekeza lelekese) kufutshane .
- Xelela ugqirha wakho ngazo zonke ezinye iindlela zonyango, iivithamini, kunye namayeza esintu owasebenzisayo.
- Kuphephe ukuyeka amayeza okanye ukutshintsha umthamo ngaphandle kwengcebiso kagqirha wakho.
- Ukuba ufumana iimpawu ezinzima ezifana neentlungu esifubeni, ubunzima bokuphefumla, okanye ukulahlekelwa zingqondo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.
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