Ngaba ugqirha wakho ukunike iyeza elibizwa ngokuba yiRepaglinide yesifo seswekile sohlobo lwesibini ? Okanye ngaba kukho umntu kusapho lwakho osebenzisa eli yeza? Ngoko ke kubaluleke kakhulu ukuba nolwazi olupheleleyo ngale yeza. Kuba, njengalo naliphi na iyeza, ukuze ufumane okuninzi kulo, kubalulekile ukwazi indlela yokulisebenzisa, into ekufuneka uyilumkele, kunye nemiphumo emibi . Siza kuthetha ngako konke oko kweli nqaku.
Yintoni iRepaglinide?
Ngamafutshane, iRepaglinide liyeza elisetyenziselwa ukunyanga isifo seswekile sohlobo lwesibini . Liza likwimo yepilisi.
Ngoku masibone ukuba oku kusebenza njani. Umzimba wethu unelungu elibizwa ngokuba yi -pancreas . Oku kuvelisa i-hormone ebizwa ngokuba yi-insulin . I-insulin ilawula inqanaba leswekile (i-glucose) egazini lethu kwaye inceda iiseli ukuba zifunxe iswekile. Kumntu onesifo seswekile sohlobo lwesibini, umzimba unokuvelisa i-insulin encinci, okanye i-insulin eveliswayo isenokungasebenzi kakuhle. Iipilisi zeRepaglinide zivuselela i-pancreas kwaye zincede ukuba ivelise i-insulin engaphezulu. Emva koko inqanaba leswekile egazini liyalawulwa.
Kodwa khumbula into enye. Awunakulawula isifo seswekile ngokuthatha eli yeza wedwa. Kufuneka ulandele ukutya okufanelekileyo kunye nokuzilolonga yonke imihla .
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uthathe amayeza
Ngaphambi kokuba akunike iRepaglinide, ugqirha wakho uza kukubuza imibuzo embalwa. Ngelo xesha, kubaluleke kakhulu ukubaxelela ukuba unayo nayiphi na kwezi meko zilandelayo:
- Ukuba unemeko engxamisekileyo ebizwa ngokuba yi-diabetes ketoacidosis, ebangelwa sisifo seswekile.
- Ukuba unesifo sezintso okanye isifo sesibindi.
- Ukuba unosulelo olukhulu okanye wenzakele.
- Ukuba une-allergy kwi-repaglinide okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa, qiniseka ukuba uxelele ugqirha wakho ngale nto.
Ungazisebenzisa njani iipilisi zeRepaglinide ngokuchanekileyo?
Ukuze ufumane okuninzi kweli yeza, kubaluleke kakhulu ukulisebenzisa ngokuchanekileyo.
- Ginya le pilisi ngeglasi yamanzi.
- Eyona nto ibalulekileyo kukuthatha le pilisi ngaphambi kokutya. Ngokwesiqhelo, kuthiwa ithathwa phakathi kwemizuzu eli-15 nengama-30 ngaphambi kokutya. Musa ukuyithatha ngaphezulu kwemizuzu engama-30 ngaphambi kokutya.
- Masithi awutyi isidlo sakusasa. Kufuneka utyise nepilisi ngelo xesha. Ukuba awutyi, musa ukuyithatha.
- Ungaze uthathe ngaphezu kwedosi echazwe ngugqirha wakho, okanye uthathe iidosi ezimbini ngaxeshanye.
- Ukuba ungaphezulu kweminyaka engama-65, unganikwa idosi ephantsi. Thetha nogqirha wakho ngale nto.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)
Ukuba ucinga ukuba uthathe amayeza amaninzi ngempazamo, ungoyiki. Tsalela umnxeba iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Kuthekani ukuba ndiphoswa lidosi leyeza?
Ukuba uphoswe yidosi ekufanele ithathwe ngaphambi kokutya, yiyeke loo sidlo. Thatha idosi elandelayo njengoko icwangcisiwe kwisidlo sakho esilandelayo. Musa ukuthatha iipilisi ezimbini ngaxeshanye ukuze ubuyisele idosi ephosiweyo.
Amanye amayeza anokusebenza kunye nale mayeza
Le yinxalenye ebaluleke kakhulu. Ukuba usebenzisa iRepaglinide, kufuneka uxelele ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo (kuquka iivithamini kunye namayeza esintu), njengoko amanye amayeza enokuchaphazela iRepaglinide.
| Uhlobo lweziyobisi | Amanqaku kunye nemizekelo |
|---|---|
| Amayeza angafanele asetyenziswe kunye nale yeza | |
| I-Gemfibrozil | Eli liyeza elinciphisa i-cholesterol. Ukuba lisetyenziswa neRepaglinide, linokubangela ukuba iswekile yegazi ihle kakhulu. |
| Amanye amayeza anokusebenzisana neRepaglinide | |
| Amayeza ahlukeneyo | Umzekelo: iClopidogrel, iCyclosporine, iRifampin, iSimvastatin, iTrimethoprim, amayeza okulwa nentsholongwane (i-Itraconazole, iKetoconazole). Ezinye zezi zinto zinokunyusa okanye zinciphise iziphumo zeRepaglinide. |
| Amayeza anokuchaphazela amanqanaba eswekile egazini | |
| Iintlobo ezininzi zamayeza | Umzekelo: Utywala, i-aspirin, ii-steroids, ezinye ii-antibiotics, amayeza oxinzelelo lwegazi oluphezulu, iipilisi zokulawula ukuzalwa, kunye nezinye iisiraphu zokukhwehlela/zomkhuhlane. Ezi zinokubangela utshintsho kumanqanaba eswekile egazini. |
| Amayeza anokufihla imiqondiso ye-hypoglycemia | |
| Ii-Beta-blockers | Umzekelo: I-Metoprolol, iPropranolol. Ngelixa usebenzisa la mayeza, usenokungaziboni iimpawu (ezifana nokungcangcazela, ukubila) zeswekile ephantsi egazini. Ke ngoko, kubalulekile ukujonga amanqanaba eswekile egazini lakho rhoqo. |
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
- Ukuhlolwa rhoqo: Bona ugqirha wakho kwaye ujonge imeko yakho rhoqo.
- Uvavanyo lwe-HbA1c: Kufuneka uqaphele novavanyo lwegazi olubizwa ngokuba yi-HbA1c (HbA1c). Olu vavanyo lulinganisa indlela isifo sakho seswekile esilawulwa ngayo kwiinyanga ezi-2-3 ezidlulileyo.
- Ukulinganisa amanqanaba eswekile egazini: Funda indlela yokulinganisa amanqanaba eswekile egazini lakho ekhaya. Yazi iimpawu ze-hyperglycemia kunye ne-hypoglycemia, kunye nendlela yokuzilawula.
- Lungela iimeko ezingxamisekileyo: Ukuba ufumana iimpawu ze-hypoglycemia, soloko uphatha iswekile (umz., iityhubhu zeswekile, iipilisi zeglucose). Ukuba uba ne-hypoglycemia enzima kwaye ulahlekelwe yingqondo, musa ukufaka nantoni na emlonyeni wakho kuba inokubangela ukukrwitshwa. Xelela usapho lwakho ukuba lufune unyango ngokukhawuleza.
- Isazisi sezonyango: Ukunxiba ikhadi okanye isongo esichaza ukuba unesifo seswekile kunye namayeza owaselayo kunokuba luncedo kakhulu xa kukho imeko engxamisekileyo.
Zeziphi iziphumo ebezingalindelekanga ezinokubonwa?
Njengazo zonke iziyobisi, iRepaglinide inokubangela iziphumo ebezingalindelekanga, nangona ingenguye wonke umntu ozifumanayo.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Iswekile ephantsi egazini (iHypoglycemia) | Ukungcangcazela, ukuxhalaba okukhulu, ukubila, ukubanda, ukudideka, isiyezi, ukubetha kwentliziyo ngokukhawuleza. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ezinye iingxaki | Intlungu yomqolo, ukungagayi kakuhle/urhudo, intloko ebuhlungu, iintlungu zamalungu, isicaphucaphu, impumlo egobhozayo. |
Umyalezo Wokuya Ekhaya
- I-Repaglinide liyeza elisetyenziselwa ukunyanga isifo seswekile sohlobo lwesibini. Kunye noku , ukutya okufanelekileyo kunye nokuzilolonga kubalulekile.
- Soloko usela le pilisi imizuzu eli-15-30 ngaphambi kokutya . Ukuba uphoswe kukutya, yityeshele loo mthamo.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo (ingakumbi iGemfibrozil).
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia). Soloko ugcina into efana neqhekeza leswekile kufutshane ukuze uyisebenzise xa kukho imeko engxamisekileyo.
- Ukuba ngempazamo usele amayeza amaninzi kakhulu, fowunela iZiko loLwazi lweZityhefu zeSizwe ngoko nangoko okanye uye kwicandelo lezonyango olungxamisekileyo lesibhedlele (ETU) elikufutshane.
- Eli yeza lelakho wedwa. Ungaze wabelane ngalo nabanye.
I-Repaglinide, Isifo Seswekile, Uhlobo Lwesibini Lwesifo Seswekile, Inqanaba Leswekile, I-Insulin, I-Hypoglycemia, I-Prandin
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho