Ngaba ugqirha wakho ukunike indibaniselwano yesitagliptin kunye nemetformin yesifo seswekile sohlobo lwesibini? Kwilizwe lethu, eli yeza liphantsi kwegama elithi Janumet. Ekubeni isifo seswekile sisifo ekufuneka silawulwe ngokufanelekileyo, kubaluleke kakhulu ukuba uqonde kakuhle amayeza owasebenzisayo. Ke namhlanje, masithethe ngokufutshane ngeli yeza, into eliyenzayo emzimbeni wakho, kunye nezinto ekufuneka uzilumkele xa ulisebenzisa.
Kwenzeka ntoni ngokwenene ngale mithi?
Ngamafutshane, amayeza amabini akule pilisi anceda ukulawula amanqanaba eswekile egazini lakho (iglucose egazini) ngeendlela ezimbini.
1. I-Sitagliptin: Oku kunceda ukwandisa imveliso yendalo yomzimba wakho yehomoni ebizwa ngokuba yi-insulin emva kokutya. I-insulin yiyo enceda iswekile egazini ingene kwiiseli zomzimba kwaye isetyenziswe njengombane.
2. I-Metformin: Oku kusebenza kakhulu ngokunciphisa ukuveliswa kweswekile ngokungeyomfuneko sisibindi sakho. Kwakhona kwandisa uvakalelo lweeseli zomzimba wakho kwi-insulin. Oku kuthetha ukuba ikunceda ukuba usebenzise kakuhle i-insulin onayo.
Eyona nto ibalulekileyo kukuba ukuthatha eli yeza lodwa akwanelanga. Kufuneka ulandele ukutya okunempilo kwaye uzilolonge rhoqo . Kulapho ke kuphela apho ungafumana khona iziphumo ezilungileyo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ugqirha wakho kuya kufuneka ayazi imbali yakho epheleleyo yempilo ngaphambi kokuba akunike amayeza. Ngoko ke ukuba unenye yezi meko zilandelayo, qiniseka ukuba uyamxelela ngaphandle kokuyifihla. Oku kubaluleke kakhulu kukhuseleko lwakho.
| Ngaba unazo ezi meko? |
|---|
| Isifo sezintso okanye isifo sesibindi |
| Isifo sentliziyo okanye iimeko zokungaphumeleli kwentliziyo |
| Ukuba ukhe waba ne-pancreatitis ngaphambili |
| Amanqanaba aphezulu e-triglyceride egazini |
| Amanqanaba aphantsi e-vitamin B12 okanye i-anemia |
| Ukuba nomkhwa wokusela utywala rhoqo |
| Ukuba ukhulelwe, uceba ukuba nomntwana, okanye ukuncancisa umntwana |
| Ukuba ne-allergy kuyo nayiphi na enye imithi, ukutya, okanye into ethile |
Ndingayisebenzisa njani kanye kanye le yeza?
- Ginya ipilisi ngeglasi yamanzi.
- Oku kubaluleke kakhulu: Soloko usela le pilisi ngaphambi kokutya okanye emva kokutya . Ukuyithatha ungenanto esiswini kunokubangela ukuphazamiseka kwesisu (isitshiso sentliziyo, isicaphucaphu).
- Thatha kuphela idosi emiselweyo nangexesha elichazwe ngugqirha wakho. Musa ukutshintsha idosi ngendlela othanda ngayo.
- Musa ukuyeka ukuthatha amayeza ngequbuliso ngaphandle kwengcebiso kagqirha.
- Ukuba uphoswe yidosi: Thatha idosi oyiphosileyo ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini.
- Ukuba uthatha amayeza amaninzi kakhulu: Ukuba ucinga ukuba uthathe amayeza amaninzi ngempazamo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo .
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
- Amanqanaba eswekile egazini: Funda indlela yokulinganisa amanqanaba eswekile egazini lakho. Qaphela iimpawu zeswekile ephantsi egazini (iHypoglycemia) kunye neswekile ephezulu egazini (iHyperglycemia).
- Iswekile ephantsi egazini (iHypoglycemia): Oku kungaba yingxamiseko. Ukuba ufumana iimpawu ezinje ngokubila, ukungcangcazela, indlala enkulu, okanye isiyezi, yitya into emnandi (ityhubhu yeswekile, iilekese, okanye ithebhulethi yeglucose) ngoko nangoko . Ukuba uphelelwa zingqondo, yazisa usapho lwakho ukuba abanye abantu akufuneki bakunyanzele ukuba utye okanye usele, kwaye kufuneka usiwe esibhedlele ngoko nangoko.
- Uvavanyo lwe-HbA1C: Ugqirha wakho uza kukucela ukuba wenze olu vavanyo lwegazi malunga neenyanga ezi-3. Oku kulinganisa ukuba ubukwazi kangakanani ukulawula iswekile yakho egazini kwiinyanga ezi-2-3 ezidlulileyo.
- Utyando kunye neeskeni:Ukuba uza kwenziwa utyando, i-MRI, okanye i-CT scan, xelela iqela lezonyango kwangaphambili ukuba usela eli yeza. Kusenokufuneka uyeke ukulisebenzisa iintsuku ezimbalwa ngaphambi kwenkqubo .
- Utywala: Ukusela utywala kwandisa umngcipheko wokwehla ngequbuliso kwamanqanaba eswekile egazini kunye nemeko eyingozi ebizwa ngokuba yi-lactic acidosis. Ngoko ke thetha nogqirha wakho malunga notywala.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, oku kunokubangela iziphumo ebezingalindelekanga kwabanye abantu. Uninzi lwexesha, ezi azibi zimbi kakhulu, kodwa kukho iimpawu ezithile ekufuneka uzazi ngakumbi.
| Iimpawu ezinzulu ezifuna unyango olukhawulezileyo | |
|---|---|
| Iimpawu zeLactic Acidosis | Intlungu okanye ukuqina kwemisipha, iintlungu zesisu, ukuphefumla kancinci, ukudinwa kakhulu. (Le yimpembelelo engaqhelekanga kodwa eyingozi kakhulu yeMetformin). |
| I-Pancreatitis | Intlungu ebuhlungu esiswini esingaphezulu, isasazeka emqolo, ihlanza, kwaye inomkhuhlane. |
| Ukusabela kwi-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, ubunzima bokuphefumla okanye bokuginya. |
| Ezinye iimpawu ezinzulu | Intlungu ebuhlungu yamalungu, amadyungudyungu okanye izilonda zesikhumba, ubunzima bokuphefumla, ukudumba kwemilenze okanye amaqatha, ukunyuka kobunzima ngequbuliso. |
| Iziphumo ebezingalindelekanga eziqhelekileyo (ezingezizo ezinzulu) | |
| Iingxaki zenkqubo yokugaya ukutya | Ukuphazamiseka kwesisu, igesi, urhudo, isicaphucaphu (kudla ngokuvela kwangethuba kunyango kwaye kuphele kamva. Oku kunokunciphisa ngokuthatha kunye nokutya). |
| Okunye | Intloko ebuhlungu, umphimbo obuhlungu, impumlo egobhozayo. |
Umyalezo Wokuya Ekhaya
- I-Sitagliptin kunye ne-Metformin ngamayeza asetyenziselwa ukunyanga isifo seswekile sohlobo lwesibini. Ukuze ufumane iziphumo ezilungileyo koku, ukutya okunempilo kunye nenkqubo yokuzilolonga kubalulekile.
- Soloko usela le pilisi kunye okanye emva kokutya .
- Qiniseka ukuba uxelela ugqirha wakho ngamanye amayeza, iivithamini, okanye amayeza esintu owasebenzisayo.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia) (ukungcangcazela, ukubila, isiyezi). Gcina into emnandi kufutshane ukuze uyithathe xa imeko injalo.
- Ukuba ufumana iintlungu eziqatha zesisu, ubunzima bokuphefumla, okanye iintlungu eziqatha zemisipha, oko kungaba luphawu lwemeko enzima efana neLactic Acidosis okanye iPancreatitis . Yiya kwi -ETU yesibhedlele ngokukhawuleza.
- Musa ukuyeka ukuthatha amayeza okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha. Ukuba uneengxaki, thetha nogqirha wakho.
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