Ukuba unesifo seswekile, oko kukuthi, isifo seswekile sohlobo lwesibini, ugqirha wakho usenokuba ukunike ipilisi edibanisa amayeza iSaxagliptin kunye neMetformin. Kwilizwe lethu, oku kubonakala kakhulu phantsi kwegama lebrendi iKombiglyze XR. Eli liyeza elihle elinikwa abantu abaninzi kwaye linceda ukulawula iswekile. Ke namhlanje, makhe sifunde ngqo ngeli yeza kunye nezinto ekufuneka uzilumkele xa ulisebenzisa.
Kwenzeka ntoni ngokwenene ngale mithi?
Ngamafutshane, oku kunikwa ukulawula isifo seswekile sohlobo lwesibini. Eli yeza linceda ekuvuseleleni ukuveliswa kwe-insulin yipancreas yakho, ukunciphisa ukuveliswa kweswekile sisibindi sakho, kwaye kwenza kube lula kwiiseli zomzimba wakho ukufunxa iswekile. Konke oku kunceda ekulawuleni amanqanaba eswekile egazini lakho.
Kodwa khumbula oku kakuhle. Awunakulawula isifo seswekile ngokusela esi wedwa. Ukutya okunempilo kunye nokuzilolonga imihla ngemihla zizinto ezimbini ekufuneka uzenze kunye nale mithi.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uthathe amayeza
Kulungile, ngoku le yeyona nxalenye ibalulekileyo. Ngaphambi kokuba uqale eli yeza, kubalulekile ukwazisa ugqirha wakho ngazo naziphi na ezinye izifo onazo emzimbeni wakho kunye nemikhwa yakho. Kuba, ukusebenzisa eli yeza kunye nezinye iimeko kunokuba yingozi. Ukuba unayo nayiphi na kwezi zilandelayo, qiniseka ukuba uxelela ugqirha wakho ngalo.
| Xelela ugqirha wakho ukuba unale ngxaki. |
|---|
| Isifo sezintso okanye isifo sesibindi |
| Isifo sentliziyo, ingakumbi ukusilela kwentliziyo |
| Ukuba ukhe waba ne-pancreatitis ngaphambili |
| Ukuba usela utywala rhoqo |
| Ukungabikho kwe-anemia okanye i-vitamin B12 |
| Ukuba unesifo seswekile sohlobo loku-1 (eli yeza alilungelanga wena) |
| Ukuba unesifo senyongo okanye amanqanaba aphezulu e-triglyceride egazini |
| Ukuba unosulelo olukhulu okanye utyando |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa |
| Ukuba ukhe waba ne-aleji kwenye iyeza okanye ukutya ngaphambili |
Indlela yokusela amayeza? Indlela echanekileyo
Nakule nto kufuneka usebenze kakuhle kakhulu.
- Sela le pilisi kanye njengoko ugqirha ekuyalele, ngexesha elifanelekileyo.
- Kudla ngokuthiwa ithathwa kunye nesidlo sangokuhlwa .
- Ginya ipilisi yonke ngeglasi yamanzi.
- Kubalulekile: Kuyingozi kakhulu ukuphula, ukutyumza, okanye ukuhlafuna le pilisi, ngoko ke musa ukuyenza loo nto . Yenzelwe ukukhulula iyeza kancinci imini yonke (Extended-Release). Ukuba uyaphula, iyeza lingangena emzimbeni wakho ngaxeshanye lize libangele iziphumo ebezingalindelekanga ezibi kakhulu.
- Musa ukuyeka ukuthatha amayeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
- Ukuba uphoswe yidosi: Yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uyithathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Kwakhona kufuneka ulumke kancinci xa usebenzisa eli yeza.
Ukuhlolwa rhoqo kwezonyango
Bona ugqirha wakho ngamaxesha athile ukuze ajonge imeko yakho. Emva koko uza kwenza uvavanyo olubizwa ngokuba yi -HbA1C (A1C) yakho. Olu vavanyo lulinganisa ukuba iswekile yakho yegazi ilawulwa kakuhle kangakanani kwiinyanga ezi-2-3 ezidlulileyo. Olu luvavanyo olubaluleke kakhulu.
Hlala ujonge amanqanaba eswekile yakho.
Funda indlela yokuvavanya amanqanaba eswekile egazini lakho ekhaya. Qaphela iimpawu zeswekile ephantsi egazini (iHypoglycemia) kunye neswekile ephezulu egazini (iHyperglycemia).
Kwimeko yeswekile ephantsi, kwimeko kaxakekaSoloko ugcina into efana neswekile, itofi, okanye ithebhulethi yeglucose kufutshane. Kodwa ukuba iswekile yakho yegazi yehla kangangokuba ulahlekelwe yingqondo, musa ukufaka nantoni na emlonyeni wakho. Usenokukrwitshwa. Kwimeko enjalo , kufuneka uzithathele kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
Amanye amanqaku abalulekileyo
- Musa ukutsiba ukutya.
- Ukusela utywala: Kuyingozi kakhulu ukusela utywala ngelixa usebenzisa eli yeza. Cela ingcebiso kugqirha wakho.
- Ukukhulelwa: Eli yeza linokunyusa amathuba okukhulelwa kwakhona kwabanye abafazi. Ngoko ke, thetha nogqirha wakho malunga nolawulo lokuzala olufanelekileyo ngelixa usebenzisa eli yeza.
- Utyando kunye neeskeni: Ukuba uza kwenziwa utyando, i-MRI, okanye i-CT scan, xelela iqela lezonyango kwangaphambili ukuba usela eli yeza. Kusenokufuneka uyeke ukulisebenzisa ngaloo mihla.
- Ithebhulethi iphuma esitulweni: Ngamanye amaxesha ungayibona iqokobhe lethebhulethi elingenanto liphuma esitulweni. Oku kuqhelekile, kodwa ukuba oku kwenzeka rhoqo, xelela ugqirha wakho .
Iziphumo ebezingalindelekanga ezinokubakho
Njengayo nayiphi na iyeza, oku kunokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ayingabo bonke abantu abaya kuzenza. Kodwa kubalulekile ukuzazi ezi zinto.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla. |
| I-Lactic Acidosis | Le yimeko engaqhelekanga kodwa imbi kakhulu. Ukuqaqamba kwemisipha, ukuqaqamba kwesisu, ubunzima bokuphefumla, ukudinwa kakhulu. |
| I-Pancreatitis | Intlungu ebuhlungu esiswini esingaphezulu (ephuma emqolo ), intlungu eba mandundu emva kokutya, umkhuhlane, isicaphucaphu, ukuhlanza. |
| Ukumelwa yintliziyo | Ubunzima bokuphefumla, ukudumba kwamaqatha neenyawo, ukunyuka kobunzima ngequbuliso, ukudinwa kakhulu. |
| Intlungu ebuhlungu yamalungu | Intlungu ebuhlungu emalungeni. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Urhudo | Kuqheleke kakhulu kwizigaba zokuqala zokuqalisa amayeza. |
| Intloko ebuhlungu, isicaphucaphu, ukuhlanza | Ezi zinokwenzeka rhoqo. |
| Iimpawu ezifana nokubanda | Umphimbo obuhlungu, impumlo egobhozayo. |
Ukugqithisa
Ukuba ucinga ukuba uthathe amayeza amaninzi kunokuba ucinga, ungalibazisi kwaye ngoko nangoko yiya kwiCandelo loNgxamiseko lwesibhedlele esikufutshane (i-ETU) okanye utsalele umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Umyalezo Wokuya Ekhaya
- Eli yeza linikwa ukulawula isifo seswekile sohlobo lwesibini. Ukutya okunempilo kunye nokuzilolonga kubalulekile.
- Musa ukuphula, ukutyumza, okanye ukuhlafuna ipilisi. Yiginye yonke. Ngokwesiqhelo yithathe kunye nesidlo sangokuhlwa.
- Qiniseka ukuba uxelela ugqirha wakho ngamanye amayeza owasebenzisayo kunye nezinye iingxaki zempilo onazo.
- Qaphela iimpawu ze-hypoglycemia kunye ne-hyperglycemia. Gcina iswekile ikufutshane xa kukho iimeko ezingxamisekileyo.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngentlungu yesisu, ubunzima bokuphefumla, okanye ukudumba kobuso/ulwimi, funa ingcebiso kagqirha ngokukhawuleza.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni ipilisi yeSaxagliptin kunye neMetformin (Saxagliptin; Metformin / Kombiglyze XR)?
Le yipilisi esebenza kakhulu (XR / eqhubekayo) edibanisa amayeza amabini asebenza ngeendlela ezimbini ezahlukeneyo ukulawula amanqanaba aphezulu eswekile egazini kwizigulane ezine-'Type 2 Diabetes'! Oogqirha bacebisa le pilisi ikhethekileyo exutywe neyeza elitsha elibizwa ngokuba yi-'Saxagliptin (DPP-4 inhibitor)' kwabo amanqanaba eswekile angehliyo nge-metformin yodwa.
💬 La mayeza mabini (iMetformin + iSaxagliptin) xa edibene anciphisa/alawula njani iswekile yethu?
Ihlasela macala omabini! 1. I-Metformin inciphisa ukuveliswa kweswekile entsha (iglucose) sisibindi sakho kwaye inyanzela iswekile ekhoyo ukuba ifunxwe yimisipha. 2. Omnye umlingo yiSaxagliptin! Xa sisitya isidlo, amathumbu avelisa i-hormone (i-Incretin) exelela i-pancreas ukuba yonyuse i-insulin. I-Saxagliptin yenza oku 'ngokuthintela ukutshatyalaliswa kwe-Incretin (i-enzyme ye-DPP-4)', inyusa ukuveliswa kwe-insulin kwaye yehlise iswekile eza emva kokutya.
💬 Nangona isifo seswekile sinciphile, zeziphi iziphumo eziyingozi ekufuneka abantu abathatha ezi pilisi baziqaphele?
Eyona ngxaki inkulu ziingxaki ezibangelwa yiSaxagliptin! Kuye kwaxelwa ukuba inokubangela ulwelo emiphungeni, ukudumba kwemilenze, kunye nomngcipheko ophezulu wokungasebenzi kakuhle kwentliziyo (ingakumbi kubantu abaneengxaki zentliziyo). Enye ingozi ebulalayo kukuba inokubangela 'i-Acute Pancreatitis' kwabanye abantu (ngoko ke ukuba unentlungu eqatha esiswini/emqolo, bonana nogqirha ngokukhawuleza!).
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