AmayezaJulayi 16, 2026🔄 Updated: Jul 16, 2026⏱ 4 min

Ngaba nawe uyalisebenzisa eli yeza xa unesifo seswekile? (Sitagliptin; Metformin) - Izinto ekufuneka uzazi

Creator: Dr. Priya Sammani
Published: 2026-07-15T22:42:37.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Ngaba nawe unyangwa isifo seswekile sohlobo lwesibini ? Ukuba kunjalo, ugqirha wakho usenokuba ukunike ipilisi edibanisa amayeza amabini, iSitagliptin kunye neMetformin. Usenokuba uyazi oku ngegama elithi Janumet XR. Isebenza ngokulawula amanqanaba eswekile egazini lakho. Ngoko ke namhlanje, masithethe ngale chiza libalulekileyo, into eliyenzayo, into ekufuneka uyilumkele xa ulisebenzisa, kunye nazo zonke iziphumo ebezingalindelekanga.

Kwenzeka ntoni ngokwenene ngale mithi?

Ngamafutshane, le pilisi inceda ukulawula amanqanaba eswekile egazini lakho (iglucose) ngeendlela ezimbini.

1. I-Metformin: Oku kulawula kakhulu ukuveliswa kweswekile ngokungeyomfuneko sisibindi sakho. Kwakhona kunceda iiseli zomzimba wakho ukuba zisabele ngcono kwi -insulin .

2. I-Sitagliptin: Oku kunceda ukonyusa ubungakanani be-insulin emzimbeni wakho emva kokutya kwaye kunciphisa ukuveliswa kweswekile sisibindi.

Kodwa khumbula oku. Le ayisiyo pilisi yomlingo. Ukuze ufumane okuninzi kweli yeza, kubaluleke kakhulu ukuba nokutya kakuhle kunye nokuzilolonga njengoko kucetyisiwe ngugqirha wakho .

Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uthathe amayeza

Ngaphambi kokuba ukunike eli yeza, kubaluleke kakhulu ukuba ugqirha wakho ayazi imbali yakho epheleleyo yempilo . Qiniseka ukuba ubaxelela ngayo nayiphi na kwezi meko zidweliswe ngezantsi.

Isifo okanye imeko	Kutheni ufanele uxelele?
Isifo sezintso okanye sesibindi	Eli yeza likhutshwa emzimbeni ikakhulu ngezintso. Ukuba kukho iingxaki ngala malungu omzimba, umthamo weyeza unokufuneka utshintshwe okanye unganikwa konke konke.
Isifo sentliziyo okanye ukungaphumeleli kwentliziyo	Ukusetyenziswa kwale mithi kunokuba yingozi kwezinye izifo zentliziyo.
Ukuba ukhe waba ne-pancreatitis	Ngenxa yokuba eli yeza linokubangela i-pancreatitis, imbali yangaphambili ibalulekile.
Ukuba usela utywala rhoqo	Ukudibanisa utywala kunye neMetformin kwandisa umngcipheko wesimo esiyingozi esibizwa ngokuba yi-lactic acidosis.
Ukunqongophala kwevithamini B12 okanye i-anemia	Ukusetyenziswa kwexesha elide kwe-metformin kunokubangela ukuba amanqanaba e-vitamin B12 ehle.
Ukuba ukhulelwe, uzama ukukhulelwa, okanye ungumama oncancisayo	Eli yeza alifanelekanga kwezi meko, kwaye ugqirha wakho uza kukunika enye indlela ekhuselekileyo.
Ukuba une-allergies kwamanye amayeza, ukutya, okanye izinto ezithile	Kubalulekile ukwazisa ngazo naziphi na izinto ezibangela ukuba umntu angabi naso i-allergies.

Ulisebenzisa njani kanye kanye eli yeza?

Sela idosi emiselweyo njengoko ugqirha ekuyalele. Musa ukuthatha ngaphezulu okanye ngaphantsi koko.
Le pilisi idla ngokuthathwa kanye ngemini, kunye nesidlo sangokuhlwa .
Ginya ipilisi yonke ngeglasi yamanzi.
Kubaluleke kakhulu: Le pilisi yipilisi ye -Extended-Release (XR). Oku kuthetha ukuba iyeza likhutshwa emzimbeni kangangeeyure ezingama-24. Ngoko ke , ungaze uyiqhekeze, uyityumze, okanye uyihlafune ipilisi. Ukwenza njalo kunokubangela ukuba iyeza likhutshwe emzimbeni ngaxeshanye, nto leyo ebangela iziphumo ebezingalindelekanga eziyingozi.
Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Kodwa ukuba sele kuza kufuneka uyithathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye.
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, musa ukuchitha ixesha kwaye ngoko nangoko tsalela umnxeba kwiZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo. Okanye yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.

Lumka kwezi zinto xa usebenzisa amayeza.

Ukuhlolwa rhoqo: Ugqirha wakho uza kukujonga rhoqo, ingakumbi ngovavanyo lwegazi olubizwa ngokuba yi -HbA1C (A1C) rhoqo kwiinyanga ezi-3 ukuya kwezi-6. Oku kuza kujonga ukuba iswekile yakho egazini ilawulwa kakuhle kangakanani kwiinyanga ezi-2-3 ezidlulileyo.
Yazi amanqanaba eswekile egazini lakho: Funda indlela yokujonga amanqanaba eswekile egazini lakho ekhaya. Qaphela iimpawu zeswekile ephantsi egazini (iHypoglycemia) kunye neswekile ephezulu egazini (iHyperglycemia).
Gcina iswekile kufutshane: Soloko ugcina into efana neswekile, iqhekeza letofi, okanye ithebhulethi yeswekile kufutshane xa unokuthi ngequbuliso uphelelwe yiswekile.

Kubalulekile: Ukuba umntu uneswekile ephantsi egazini kwaye unesifo sokuxhuzula okanye akazi nto, musa ukufaka nantoni na emlonyeni wakhe. Oku kungaba yingozi yokukrwitshwa. Funa uncedo lwezonyango ngokukhawuleza.

Utyando kunye neeskeni: Ukuba uza kwenziwa utyando, i-MRI, okanye i-CT scan, qiniseka ukuba uxelele ugqirha wakho ukuba usela eli yeza. Kusenokufuneka uyeke ukulisebenzisa kangangeentsuku ezimbalwa.
Amanye amayeza: Xelela ugqirha wakho ngawo onke amanye amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu). Amanye amayeza asenokudibana nalo.

Zithini iziphumo ebezingalindelekanga ezinokubakho?

Njengalo naliphi na iyeza, eli linokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezinye zazo ziyingozi, ezinye zazo ziqhelekile.

Uhlu lweziphumo ebezingalindelekanga
Iziphumo ebezingalindelekanga ezinzulu ezifuna unyango olukhawulezileyo
Ukusabela kwi-Allergic	Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla.
I-Pancreatitis	Intlungu ebuhlungu esiswini (oku kunokusasazeka emqolo), intlungu eba mandundu emva kokutya, umkhuhlane, isicaphucaphu, ukuhlanza.
I-Lactic Acidosis	Ukuqaqamba kwemisipha okanye iintlungu, iintlungu zesisu, ubunzima bokuphefumla, ukudinwa kakhulu, ukuziva ubuthathaka. (Le yimeko engxamisekileyo enkulu kakhulu).
Ukumelwa yintliziyo	Ubunzima bokuphefumla, ukudumba kwamaqatha, iinyawo, okanye izandla, ukunyuka kobunzima ngequbuliso, ukudinwa okungaqhelekanga.
Intlungu ebuhlungu yamalungu	Intlungu enganyamezelekiyo emalungeni.
Iziphumo ebezingalindelekanga ezihlala zingeyongozi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka
Iingxaki zenkqubo yokugaya ukutya	Intlungu yesisu, urhudo, igesi, isicaphucaphu.
Okunye	Iimpawu ezifana nentloko ebuhlungu, umphimbo obuhlungu, kunye nomkhuhlane.

Umyalezo Wokuya Ekhaya

I-Sitagliptin kunye ne-Metformin ngamayeza abaluleke kakhulu anceda ukulawula isifo seswekile sohlobo lwesibini. Kodwa oku kufuneka kwenziwe kunye nokutya kunye nokuzilolonga.

Ungaze waphule, utyumze, okanye uhlafune ipilisi ye-XR (Extended-Release). Yiginye yonke.

Kubalulekile ukwazisa ugqirha wakho malunga nazo zonke ezinye iziyobisi ozisebenzisayo kunye nazo naziphi na ezinye iimeko zempilo onokuba nazo.

Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia) kwaye soloko ugcina into eneswekile kufutshane.

Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana iintlungu eziqatha zesisu, ubunzima bokuphefumla, okanye iimpawu eziqatha ze-allergy.

Kuphephe ukuyeka amayeza okanye ukutshintsha umthamo ngokwakho. Soloko uthetha nogqirha wakho.

Isifo seswekile, iSitagliptin, iMetformin, iJanumet XR, isifo seswekile sohlobo lwesibini, iswekile yegazi, ulawulo lweswekile

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