Ngaba ugqirha wakho ubhale iRepaglinide kwisifo seswekile sohlobo lwesibini ? Okanye mhlawumbi ilungu losapho liyayisebenzisa? Kubalulekile ukuba nolwazi olupheleleyo ngale mithi. Njengayo nayiphi na iyeza, ukuze ufumane inzuzo enkulu, kufuneka uqonde indlela yokuyisebenzisa, amanyathelo okhuseleko ekufuneka uwalandele, kwaye uqaphele iziphumo ebezingalindelekanga. Masizihlolisise kunye ezi nkcukacha.
Yintoni iRepaglinide?
Ngamafutshane, iRepaglinide liyeza elimiselwe ukulawula isifo seswekile sohlobo lwesibini ( isifo seswekile ). Liza likwimo yepilisi.
Nantsi indlela esebenza ngayo: Umzimba wakho unelungu elibizwa ngokuba yipancreas , elivelisa ihomoni ebizwa ngokuba yi-Insulin . I-Insulin ilawula amanqanaba eglucose (iswekile) egazini lakho kwaye inceda iiseli ukuba zifunxe iswekile ukuze zifumane amandla. Kubantu abanesifo seswekile sohlobo lwesibini, umzimba uvelisa i-insulin encinci kakhulu okanye i-insulin eyivelisayo ayisebenzi kakuhle. I-Repaglinide isebenza ngokuvuselela i-pancreas ukuba ivelise i-insulin engaphezulu , inceda ukuzinzisa amanqanaba eswekile egazini lakho.
Nangona kunjalo, nceda ukhumbule: amayeza ewodwa awakwazi ukulawula isifo seswekile ngokufanelekileyo. Ukulandela isicwangciso sokutya esinempilo kunye nokuzilolonga imihla ngemihla kuyimfuneko ngokungqongqo kunye nolu nyango.
Ulwazi olubalulekileyo omele wabelane ngalo nogqirha wakho
Ngaphambi kokuba unike iRepaglinide, ugqirha wakho uza kukubuza imibuzo eliqela. Kubalulekile ukuba unyaniseke kwaye ukhululeke ukuba unayo nayiphi na kwezi meko zilandelayo:
- Ingxaki yezonyango eyaziwa ngokuba yi-diabetesic ketoacidosis.
- Isifo sezintso okanye isifo sesibindi.
- Usulelo olunzima okanye ukwenzakala okukhulu.
- Naziphi na izinto ezingadibaniyo neRepaglinide, amanye amayeza, ukutya, okanye iidayi.
- Ukuba ukhulelwe, uceba ukukhulelwa, okanye uncancisa, kufuneka wazise ugqirha wakho.
Ufanele Uyithathe Njani I-Repaglinide?
Ukuze ufumane iziphumo ezilungileyo, kufuneka uthabathe eli yeza kanye njengoko kuyalelwe.
- Ginya ithebhulethi ngeglasi yamanzi.
- Eyona nto ibalulekileyo kukuthatha eli yeza ngaphambi kokutya. Kucetyiswa ukuba ulithathe imizuzu eli-15 ukuya kwengama-30 ngaphambi kokutya. Musa ukulithatha ngaphezulu kwemizuzu engama-30 ngaphambi kokutya.
- Ukuba awutyi, thabatha idosi efanelekileyo yamayeza. Ukuba awutyi, sukuyithatha loo mayeza.
- Ungaze uthathe ngaphezu komlinganiselo omiselweyo, kwaye ungaze uthathe iidosi ezimbini ngaxeshanye ukuze uhlawulele lowo ungawufumananga.
- Ukuba ungaphezulu kweminyaka engama-65, ugqirha wakho angakunika idosi ephantsi. Xoxa ngale nto nomboneleli wakho wezempilo.
Kuthekani ukuba uthatha kakhulu? (Ukuthatha idosi engaphezulu)
Ukuba ukrokrela ukuba usele amayeza amaninzi kakhulu, ungoyiki. Fowunela iinkonzo zongxamiseko zasekuhlaleni (ezifana ne-911) okanye uqhagamshelane neziko lakho lolawulo lwetyhefu ngoko nangoko. Okanye, yiya kwicandelo longxamiseko lesibhedlele elikufutshane nawe.
Kuthekani ukuba uphoswe yidosi?
Ukuba uphoswa yidosi ecwangciselwe ukutya, yitsibe loo dosi. Qhubeka neshedyuli yakho yesiqhelo kwisidlo sakho esilandelayo. Ungaze uthathe idosi ephindwe kabini ukuze ubuyisele idosi ephosiweyo.
Ukusebenzisana neziyobisi
Eli licandelo elibalulekileyo. Ukuba usebenzisa iRepaglinide, yazisa ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo, kuquka iivithamini kunye nezongezo zezityalo, njengoko ezinye zinokuchaphazela iRepaglinide.
| Uhlobo lwamayeza | Amanqaku kunye nemizekelo |
|---|---|
| Amayeza ekufuneka uwaphephe xa usebenzisa iRepaglinide | |
| I-Gemfibrozil | Iyeza lokwehlisa i-cholesterol. Ukudibanisa oku neRepaglinide kunokubangela ukuba iswekile yegazi yehle ngendlela eyingozi. |
| Amanye amayeza asebenzisanayo | |
| Amayeza ahlukeneyo | Umzekelo, iClopidogrel, iCyclosporine, iRifampin, iSimvastatin, iTrimethoprim, kunye nemithi yokubola (i-Itraconazole, iKetoconazole). Ezi zinokunyusa okanye zinciphise isiphumo seRepaglinide. |
| Amayeza achaphazela iswekile yegazi | |
| Amayeza ahlukeneyo | Umzekelo, Utywala, i-aspirin, ii-steroids, ezinye ii-antibiotics, amayeza oxinzelelo lwegazi, iipilisi zokulawula ukuzalwa, kunye nezinye iisiraphu zokukhwehlela/ezibandayo zinokuchaphazela amanqanaba eswekile egazini. |
| Amayeza afihla iimpawu ze-hypoglycemia | |
| Ii-Beta-blockers | Umzekelo, iMetoprolol, iPropranolol. Ezi zinokufihla iimpawu zeswekile ephantsi egazini (ezifana nokungcangcazela okanye ukubila). Jonga amanqanaba eswekile egazini lakho rhoqo. |
Amanyathelo okuzikhusela kunye noLawulo
- Ukubeka esweni rhoqo: Dibana nogqirha wakho rhoqo ukuze uhlole inkqubela yakho.
- Uvavanyo lwe-HbA1c: Ziqhelanise novavanyo lwe-HbA1c, olubonisa ukuba ulawule iswekile yakho egazini rhoqo kwiinyanga ezi-2-3 ezidlulileyo.
- Ukuzivavanya ngeswekile egazini: Funda ukujonga amanqanaba eswekile egazini lakho ekhaya. Qonda iimpawu ze-hyperglycemia (iswekile ephezulu) kunye ne-hypoglycemia (iswekile ephantsi) kunye nendlela yokuzilawula.
- Lungela: Soloko uphethe umthombo weswekile esebenza ngokukhawuleza (umz. iipilisi zeglucose okanye iilekese) ukunyanga i-hypoglycemia. Ukuba uhlaselwa yi-hypoglycemia enzima kwaye ulahlekelwe yingqondo, musa ukuzama ukufaka nantoni na emlonyeni wakho. Qinisekisa ukuba usapho lwakho luyazi ukuba lufuna uncedo lwezonyango olungxamisekileyo ngoko nangoko.
- Isazisi sezonyango:Ukunxiba isongo sesazisi sezonyango esibonisa ukuba unesifo seswekile kunokuba luncedo kakhulu xa kukho imeko engxamisekileyo.
Iziphumo ebezingalindelekanga ezinokubakho
Njengakweminye imithi, iRepaglinide inokubangela iziphumo ebezingalindelekanga, nangona ingenguye wonke umntu ozifumanayo.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ezifuna unyango olukhawulezileyo | |
| Iimpendulo ze-allergy | Urhawuzelelo, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, okanye umqala. |
| I-Hypoglycemia (Iswekile ephantsi egazini) | Ukungcangcazela, ukuxhalaba okukhulu, ukubila, ulusu olubandayo, ukudideka, isiyezi, ukubetha kwentliziyo ngokukhawuleza. |
| Iziphumo ebezingalindelekanga ezingabalulekanga kangako (Yazisa ugqirha ukuba ziyaqhubeka) | |
| Eminye imiba eqhelekileyo | Intlungu yomqolo, ukungagayi kakuhle/urhudo, intloko ebuhlungu, iintlungu zamalungu, isicaphucaphu, impumlo egobhozayo. |
Umyalezo Wokuya Ekhaya
- I-Repaglinide yeyohlobo lwesibini lwesifo seswekile; ukutya okunempilo kunye nokuzilolonga kuhlala kubalulekile.
- Soloko usela ithebhulethi imizuzu eli-15 ukuya kwengama-30 ngaphambi kokutya . Ukuba awutyi, yitye idosi.
- Yazisa ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo (ingakumbi iGemfibrozil).
- Qaphela iimpawu ze-hypoglycemia; hlala ugcina umthombo weglucose ukufutshane.
- Ukuba kwenzeka i-overdose ngengozi, qhagamshelana neenkonzo zakho zongxamiseko okanye uye kwicandelo lezongxamiseko elikufutshane ngoko nangoko.
- Eli yeza limiselwe wena ngqo. Ungaze wabelane ngalo nabanye.
I-Repaglinide, Isifo seswekile, Uhlobo lwesibini lwesifo seswekile, Amanqanaba eswekile egazini, i-insulin, i-Hypoglycemia, iPrandin
