Uncedo lwesifo seswekile: Masifunde ngenaliti yePramlintide!

Ukuba unesifo seswekile , mhlawumbi uyazi ukuba kubaluleke kangakanani ukulawula amanqanaba eswekile egazini lakho. Ngamanye amaxesha , ukulawula ukutya kwakho kunye nokuzilolonga akwanelanga, akunjalo? Namhlanje siza kuthetha ngenaliti ekhethekileyo enceda ngamaxesha anjalo. Igama layo yiPramlintide .

Luhlobo luni lonyango oluyiPramlintide?

Ngamafutshane, iPramlintide liyeza elifakwa ngenaliti elisetyenziselwa ukunyanga isifo seswekile . Lisebenza ngokunciphisa inani leswekile egazini lakho. Likwanciphisa ukugaywa kokutya okutyayo. Oku kunceda ukulawula ukunyuka ngequbuliso kwamanqanaba eswekile egazini lakho.

Cinga ngayo njengedama elilawula amanzi, eli yeza lilawula ukunyuka kweswekile egazini ngequbuliso emva kokutya. Rhoqo, eli yeza linikwa kunye nokulawula ukutya kwakho kunye nokuzilolonga . Kulapho ufumana khona iziphumo ezilungileyo. Ngamanye amazwi, linokuba yinxalenye ebalulekileyo yesicwangciso sakho sokulawula isifo seswekile.

Zeziphi izinto ezibalulekileyo ekufuneka uzixelele ugqirha?

Ngaphambi kokuba uqale ukuthatha inaliti yePramlintide, kubalulekile ukuxelela ugqirha wakho ngezi zinto. Oku kubalulekile kuba kuya kubanceda bagqibe ukuba eli yeza likulungele na kwaye bangalinika njani.

Ukuba unayo nayiphi na kwezi meko, nceda usixelele:

• Ukuba i - hemoglobin yakho ingaphezulu kwe-9% (le yindlela yokulinganisa ukuba uyilawule kakuhle kangakanani iswekile yakho egazini kwiinyanga ezimbalwa ezidlulileyo).
• Ukuba uneengxaki zeswekile ephantsi rhoqo egazini , okanye i-hypoglycemia .
• Ukuba unengxaki yokujonga amanqanaba eswekile egazini lakho ngokufanelekileyo.
• Ukuba uneengxaki zokuthatha amayeza akho eswekile ngokuchanekileyo.
• Ukuba unengxaki yesisu, ingakumbi imeko ebizwa ngokuba yi-gastroparesis , ecothisa ukuphuma kwesisu (imeko apho amathumbu ecothisa ukusebenza kwawo).
• Ukuba unengxaki yokuqonda xa iswekile yakho egazini iphantsi,(Ingxaki yokukwazi ukubona xa iswekile egazini iphantsi).
• Ukuba wakha waba ne-allergy kwiPramlintide, isithako se -metacresol esikuyo, amanye amayeza, ukutya, iidayi zokwenziwa, okanye izithinteli.
• Ukuba ukhulelwe, okanye unethemba lokukhulelwa kungekudala .
• Ukuba ungumama oncancisayo .

Ukuba uxelela ugqirha wakho ezi zinto ngaphandle kokuzifihla, angaceba unyango olulungele wena.

Ulisebenzisa njani kanye kanye eli yeza?

Eli yeza linikwa njengenaliti phantsi kolusu . Ugqirha okanye umongikazi wakho uza kukunika imiyalelo ecacileyo yendlela yokulilungisa kunye nendlela yokulifaka ngokufanelekileyo. Ufanele ulandele imiyalelo ngqo .

Gcina ezi zinto engqondweni:

• Ungaze udibanise eli yeza ne-insulin kwisirinji enye. La mayeza mabini afanele athathwe ngokwahlukeneyo.
• Eli yeza lifanele lithathwe ngaphambi kwesidlo ngasinye esiphambili .
• Sela amayeza ngexesha elimiselweyo nangexesha elimiselweyo njengoko ugqirha emyalele.
• Musa ukuthatha ngaphezu komlinganiselo omiselweyo.
• Ngaphambi kokuba usebenzise iyeza, jonga imbonakalo yalo ngononophelo . Ukuba libonakala ngathi lityumkile, okanye ukuba ubona naziphi na iziqwenga ezincinci ngaphakathi kulo, musa ukulisebenzisa.
• Kufuneka ufake iinaliti zakho ezisetyenzisiweyo kunye neepeni zokujova kwisikhongozeli seenkuni esenzelwe le njongo. Ungaze uzilahle emgqomeni. Oku kunokuba yingozi kwabanye. Ukuba awunayo, cela enye kwikhemesti okanye kugqirha wakho.
• Xa ufumana eli yeza kwikhemesti, uza kunikwa incwadana yemiyalelo ekhethekileyo (iMedGuide) . Lifunde ngononophelo ngalo lonke ixesha ufumana ukuphinda ulizalise.
• Eli yeza liza nencwadana ethi IMIYALELO YOKUSETYENZISWA . Lifunde ngononophelo uze ubuze ikhemisti okanye ugqirha wakho ukuba kukho into ongayiqondiyo.
• Ukuba unika abantwana eli yeza , qiniseka ukuba uthetha nogqirha wakho ngalo. Lingadinga ukhathalelo olukhethekileyo.
• Yintoni omele uyenze ukuba ngempazamo usele amayeza amaninzi ? Ukuba ucinga ukuba oku kwenzekile, ungoyiki kwaye ngoko nangoko fowunela igumbi likaxakeka lesibhedlele esikufutshane okanye kwiziko lokulawula ityhefu ukuze ufumane ingcebiso.

Nantsi into ekufuneka uyikhumbule: Eli yeza lelakho kuphela. Ungaze ulinike umhlobo okanye ilungu losapho, nokuba nabo banesifo seswekile.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Ngamanye amaxesha ungaphoswa yidosi yeyeza, akunjalo? Kwahlukile kumntu wonke. Kodwa, akulunganga ukuphoswa yidosi . Ugqirha wakho okanye iqela lezempilo liza kukuxelela into omawuyenze ukuba uphoswe yidosi. Landela loo sicwangciso ngokuchanekileyo. Musa ukuthatha iidosi eziphindwe kabini nangasiphi na isizathu. Ukwenza njalo kunokubangela ukuba iswekile yakho yegazi yehle ngendlela eyingozi.

Ngawaphi amanye amayeza anokusebenza kunye nale mithi?

Ubusazi na ukuba amanye amayeza anokusebenzisana nePramlintide, oko kuthetha ukuba anokuchaphazelana? Ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka iivithamini, iziqholo, amayeza athengiswa ngaphandle kwemvume kagqirha, kwanezongezo zokutya.

Lumka ngamayeza alandelayo njengoko iziphumo zePramlintide zinokutshintsha:

• I-Acetaminophen (njenge-paracetamol)
• `I-Alosetron`
• `I-Atropine`
• Iipilisi zokulawula inzala
• Amanye amayeza eengxaki zesinyi, umzekelo, i-oxybutynin
• Amanye amayeza okunyanga isisu esibuhlungu, umzekelo i-`dicyclomine`, i-`hyoscyamine`
• Amanye amayeza asetyenziswa ukunyanga isicaphucaphu xa useluhambeni, umzekelo, i-scopolamine
• `Eluxadoline`
• Amanye amayeza esifo seswekile, umzekelo i-'acarbose', i-'miglitol'

Kwakhona, kukho nezinye iindlela ezininzi zonyango ezinokuchaphazela amanqanaba eswekile egazini. Uluhlu lude kancinci, kodwa kubalulekile ukuzazi ezi:

• Iziselo ezinotywala
• Amayeza okulwa nentsholongwane kaGawulayo okanye i-AIDS
• I-Aspirin kunye namayeza afanayo
• Amanye amayeza oxinzelelo lwegazi oluphezulu, isifo sentliziyo, kunye nokubetha kwentliziyo okungaqhelekanga
• I-Chromium (ngamanye amaxesha ithathwa njengesongezelelo)
• Iziyobisi zomchamo
• Iihomoni zabasetyhini, nokuba zii-estrogen okanye ii-progestin, zisetyenziswa kwiipilisi zokulawula ukuzala.
• 'I-Fenofibrate'
• `I-Gemfibrozil`
• I-Isoniazid (iyeza lesifo sephepha)
• `I-Lanreotide`
• Iihomoni zamadoda okanye 'ii-anabolic steroids'
• Amayeza akwiqela lamayeza abizwa ngokuba yi-'MAOIs' (asetyenziselwa izifo zengqondo), umzekelo i-'Carbex', i-'Eldepryl', i-'Marplan', i-'Nardil', kunye ne-'Parnate'
• Amayeza okunciphisa umzimba
• Amayeza okunyanga ii-allergies, i-asthma, umkhuhlane kunye nokukhwehlela
• Amayeza okudakumba, ixhala, okanye ezinye izifo zengqondo
• `INiacin`
• I-Nicotine (efumaneka kwicuba)
• Iipilisi zokunciphisa iintlungu ezibizwa ngokuba yi-'NSAIDs', oko kukuthi, amayeza anciphisa ukudumba, umzekelo i-'ibuprofen' okanye i-'naproxen'
• 'I-Octreotide'
• `I-Pasireotide`
• `I-Pentamidine`
• `Phenytoin` (iyeza elinikwa iinkonjane)
• I-Probenecid (iyeza le-gout)
• Amayeza okubulala iintsholongwane e-Quinolone, umzekelo i-ciprofloxacin, i-levofloxacin, ne-ofloxacin
• Ezinye izongezo zokutya zemifuno
• Amayeza e-steroid, anjenge-prednisone okanye i-cortisone
• I-Sulfamethoxazole; i-trimethoprim (i-antibiotic)
• Iihomoni ze-thyroid

Okubaluleke ngakumbi, kukho amayeza anokufihla iimpawu zeswekile ephantsi egazini (hypoglycemia). Oku kuthetha ukuba usenokungazi ukuba uneswekile ephantsi egazini. Ukuba uthatha elinye lala mayeza, kubaluleke kakhulu ukujonga amanqanaba eswekile egazini lakho rhoqo. La mayeza aquka:

• Ii-Beta-blockers - Ezi zihlala zinikwa abantu abanesifo segazi esiphezulu okanye isifo sentliziyo (imizekelo: i-atenolol, i-metoprolol, i-propranolol)
• `I-Clonidine`
• `I-Guanethidine`
• `I-Reserpine`

Olu luhlu alubandakanyi zonke iindlela osebenzisana ngazo. Ngoko ke xelela ugqirha wakho ngazo zonke amayeza, iziqholo, kunye nezongezo ozithathayo, nokuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi. Ezinye izinto zinokuchaphazela amayeza akho.

Kufuneka uzilumkele ezi zinto xa usebenzisa amayeza!

Ngelixa usebenzisa eli yeza, kufuneka ubonane nogqirha wakho rhoqo ukuze ajonge ukuba unjani na. Kwakhona, qaphela oku kulandelayo:

• Uvavanyo lwakho lwe -HbA1C (A1C) luhlolwa rhoqo. Olu luvavanyo lwegazi olulula. Lujonga ukuba iswekile yakho yegazi ilawulwe kakuhle kangakanani kwiinyanga ezi-2-3 ezidlulileyo. Olu vavanyo lwenziwa rhoqo kwiinyanga ezi-3-6.
• Funda indlela yokujonga amanqanaba eswekile egazini lakho ekhaya. Kwakhona, funda iimpawu zeswekile ephantsi egazini (hypoglycemia) kunye neswekile ephezulu egazini (hyperglycemia) kunye nendlela yokuzilawula. Oku kubaluleke kakhulu.
• Soloko ugcina umthombo weswekile okhawulezileyo kufutshane. Umzekelo, iityhubhu zeswekile, iipilisi zeswekile, okanye isiselo esineswekile. Ukuba iswekile yakho egazini yehla kakhulu kwaye ufumana ukuxhuzula okanye ukuphelelwa ngamandla, yazisa abanye (amalungu osapho, abahlobo) ukuba ukukunika ukutya okanye isiselo ngelo xesha kunokubangela ukuxhuzula. Ukuba oku kuyenzeka, kufuneka ufune uncedo lwezonyango ngokukhawuleza.
• Ukuba uvakalelwa kukuba amanqanaba eswekile egazini lakho aphezulu, xelela ugqirha wakho. Umthamo wamayeza akho unokufuna ukulungiswa.
• Ukuba uyagula (njengomkhuhlane okanye isisu esibuhlungu), okanye ukuba uzilolonga ngaphezu kwesiqhelo , kunokufuneka ulungise umthamo wamayeza akho. Buza ugqirha wakho ngale nto.
• Musa ukulibazisa ukutya, ingakumbi ukuba usebenzisa eli yeza.
• Buza ugqirha wakho ukuba kufuneka uyeke ukusela utywala na. Utywala bunokubangela ukuba iswekile yakho egazini yehle okanye inyuke.
• Amanye amayeza okukhwehlela nawomkhuhlane athengiswa ngaphandle kwemvume kagqirha anokuba neswekile okanye utywala. Angachaphazela amanqanaba eswekile egazini, ngoko buza ugqirha wakho okanye ikhemisti ngaphambi kokuba uwasebenzise.
• Ungaze wabelane ngeepeni zokujova nabanye. Nokuba inaliti itshintshiwe, ukwabelana ngayo kunokusasaza iintsholongwane eziyingozi ezifana ne-hepatitis okanye i-HIV.
• Nxiba isongo okanye umgexo wesazisi sezonyango. Kwakhona, gcina ikhadi elineenkcukacha malunga nemeko yakho, amayeza owaselayo, idosi, kunye namaxesha owasela ngawo. Oku kuya kuba luncedo kakhulu xa kukho imeko engxamisekileyo.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengazo zonke iziyobisi, inaliti yePramlintide inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Nangona kunjalo, ayinguye wonke umntu ozifumanayo. Abanye abantu basenokungabi nazo naziphi na iziphumo ebezingalindelekanga.

Ukuba kwenzeka into efana nale, kufuneka uxelele ugqirha wakho ngoko nangoko:

• Iimpendulo ze-allergy — Ezi ziquka ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba, okanye ukudumba kobuso, imilebe, ulwimi, okanye umqala. Oku kunokuba yingozi kwaye kufuna unyango olukhawulezileyo.

Ezi ziphumo bezingalindelekanga azisoloko zimbi, kodwa ukuba ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho:

• Intloko ebuhlungu
• Ukulahlekelwa ngumdla wokutya
• Isicaphucaphu (abanye abantu banokuhlangabezana nale meko kwasekuqaleni)
• Intlungu, ukubomvu, okanye ukucaphuka kwindawo yokutofa
• Intlungu yesisu
• Ukuhlanza

Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga, nxibelelana nogqirha wakho ukuze akunike ingcebiso kwezonyango.

Ndingaligcina njani eli yeza ngokufanelekileyo?

Kubaluleke kakhulu ukugcina amayeza ngokufanelekileyo. Kungenjalo, umgangatho wawo unokwehla okanye ungonakali.

• Yigcine kwindawo ekhuselekileyo kude nabantwana nezilwanyana zasekhaya.
• Iipeni zokujova ezintsha, ezingavulwanga, mazigcinwe kwindawo epholileyo, njengomnyango wefriji, phakathi kwe-2 kunye ne-8 degrees Celsius (36 ukuya kwi-46 degrees F). Musa ukuzifaka efrijini nangaliphi na ixesha.Lahla naliphi na iyeza elishiyekileyo emva komhla wokuphelelwa.
• Iipeni zokujova ezivuliweyo , oko kuthetha ukuba ezo zisetyenziswayo ngoku, zingagcinwa efrijini okanye kubushushu begumbi (kungekho ngaphezulu kwama-30 degrees Celsius (86 F)) ukuya kuthi ga kwiintsuku ezingama-30. Musa ukuzivumela ziqandiswe. Abanye abantu bathi inaliti ayibuhlungu kangako xa igcinwe kubushushu begumbi. Naliphi na iyeza elingasetyenziswanga kufuneka lilahlwe emva kweentsuku ezingama-30, nokuba kusekho iyeza eliseleyo kuyo.

Umyalezo obalulekileyo onokuwuthatha ekhaya

Ngoko ke, iPramlintide inokuba liyeza elibaluleke kakhulu elinceda ukulawula isifo seswekile. Kodwa kubalulekile ukuyisebenzisa kanye njengoko ugqirha wakho ekuxelele, ujonge ukuba ayisebenzisi na eminye imithi, uqaphele iziphumo ebezingalindelekanga, kwaye ujonge amanqanaba eswekile egazini lakho rhoqo .

Nceda uqaphele ukuba eli nqaku linika ulwazi ngokubanzi kuphela. Ngugqirha wakho kuphela onokukunika icebiso elifanelekileyo malunga nokuba eli yeza likulungele na kwaye ulisebenzise njani, ngokusekelwe kwimeko yakho yempilo.

Ukuba unemibuzo okanye izinto ezikuxhalabisayo, ungathandabuzi ukubuza ugqirha wakho, ikhemisti, okanye umboneleli wezempilo. Siyathemba ukuba olu lwazi luza kukunceda uphile ubomi obusempilweni nobonwabisayo ngesifo sakho seswekile.

I- Pramlintide, Isifo Seswekile, Inaliti, Iswekile Egazini, Iziphumo Ezingalindelekanga, Amayeza Esifo Seswekile