Ukuba unesifo seswekile sohlobo lwesibini, ugqirha wakho usenokuba unikile iyeza elibizwa ngokuba yiCanagliflozin (edla ngokubizwa ngokuba yi-Invokana kwilizwe lethu) ukunceda ukulawula amanqanaba eswekile egazini lakho. Eli yeza lisebenza kakuhle xa lisetyenziswa kunye nokutya okunempilo kunye nokuzilolonga imihla ngemihla. Ngoko ke, masithethe ngezinye zezona zinto zibalulekileyo ekufuneka uzazi ngale yeza.
1. Zeziphi iimeko ezinyangwa yiCanagliflozin?
Isifo seswekile nesifo sentliziyo zihlala zihamba kunye. Enyanisweni, uphando lufumanise ukuba abantu abanesifo seswekile banamathuba aphindwe kabini okuba nesifo sentliziyo okanye ukusilela kwentliziyo kunabantu abangenaso isifo seswekile.
I-Canagliflozin ikwiqela lamayeza abizwa ngokuba yi-sodium-glucose co-transporter 2 (SGLT2) inhibitors. Ngamafutshane, isebenza ngokunciphisa inani leswekile ekhutshwa ngumzimba wakho kumchamo wakho, nto leyo ehlisa amanqanaba eswekile egazini lakho.
Enye inzuzo ekhethekileyo yoku kukuba eli yeza livunyiwe ukunciphisa umngcipheko wokufa ngenxa yeemeko ezinzulu ezifana nokuhlaselwa yintliziyo kunye nokubetha kwentliziyo kubantu abadala abanesifo seswekile sohlobo lwesibini abanesifo sentliziyo, okanye abasengozini enkulu yokuhlaselwa zezo zifo.
Ukongeza, eli yeza likwanceda ekunciphiseni ezi zinto zilandelayo zomngcipheko:
- Isifo sezintso esikwinqanaba lokugqibela
- Ukusebenza kwezintso okungasebenzi kakuhle
- Ukulaliswa esibhedlele ngenxa yokusilela kwentliziyo
- Ukulaliswa esibhedlele ngenxa yomonakalo wezintso obangelwa sisifo seswekile (i-Diabetic Nephropathy)
Okubaluleke kakhulu, eli yeza alifanelekanga kubantu abanesifo seswekile sohlobo loku-1. Kwakhona, abantu abanesifo sezintso esinzima abanakulithatha eli yeza.
2. Ungayisebenzisa njani le yeza?
Eli liyeza eliza likwimo yepilisi. Kufuneka ulithathe kube kanye ngemini, ngesiqhelo ngaphambi kokutya kwakho kokuqala kosuku.
Eli yeza lingasetyenziswa kunye namanye amayeza esifo seswekile, njenge-metformin. Nangona kunjalo, ngamanye amaxesha la mayeza anokusebenzisana. Ukuba oku kuyenzeka, ukusebenza kwawo kunokuncipha okanye iziphumo ebezingalindelekanga zivele. Ke ngoko, kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza, iivithamini, kunye nezongezo zesondlo ozithathayo.
Ugqirha wakho uza kulungisa umthamo ukuba kuyimfuneko. Gcina eli yeza kubushushu begumbi, kwisitya esivaliweyo. Ligcine kude nobushushu obugqithisileyo, ukufuma, kunye nelanga elithe ngqo. Lahla iyeza eliphelelwe lixesha ngokukhuselekileyo.
Injani idosi yamayeza?
Ugqirha wakho mhlawumbi uza kukuqalisa ngepilisi ye-100 milligram (100mg). Ukuba ufuna ulawulo oluthe kratya kumanqanaba eswekile egazini lakho, idosi yakho inokonyuswa iye kwi-300 milligrams (300mg) ngosuku. Ukuba uphoswa yidosi, yithathe ngokukhawuleza njengoko ukhumbula. Kodwa ukuba sele kusondele ixesha ledosi yakho elandelayo, musa ukuthatha iidosi ezimbini ngaxeshanye. Yeka idosi ephosiweyo kwaye uthathe idosi yakho elandelayo njengesiqhelo.
3. Zithini iziphumo ebezingalindelekanga ezinokubakho?
Abanye abantu banokufumana iziphumo ebezingalindelekanga ezingembi kangako, eziphakathi, okanye ezinzima ezivela kweli yeza. Masiqaphele.
| Uhlobo lwesiphumo esibi | Iimpawu ekufuneka uziqaphele |
|---|---|
| Iziphumo ebezingalindelekanga eziqhele ukubonwa | |
| Usulelo lweMzila woMchamo | Ukutsha xa uchama, iintlungu zesisu esisezantsi, ukudinga ukuchama rhoqo, igazi kumchamo. |
| Iswekile ephantsi egazini (iHypoglycemia) | Oku kunokwenzeka xa kusetyenziswe amanye amayeza eswekile. Iimpawu ziquka isiyezi, intloko ebuhlungu, ukubila, ukungcangcazela, kunye nokubetha kwentliziyo ngokukhawuleza. |
| Iziphumo ebezingalindelekanga ezifuna unyango oluqatha/olukhawulezileyo | |
| Usulelo olungaqhelekanga lwebhaktheriya (Necrotizing Fasciitis) | Usulelo oluyingozi olutshabalalisa izicwili ezingaphantsi kolusu ezijikeleze indawo yangasese kunye ne-anus. Funa ingcebiso kagqirha ngokukhawuleza ukuba ufumana iimpawu ezifana nentlungu, ukudumba, kunye nokubomvu. |
| Impendulo eqatha ye-allergy | Ukurhawuzelela kolusu, ukudumba, ukurhawuzelela, okanye ukurhawuzelela okukhulu. Ezi zikwayimeko ezifuna unyango olukhawulezileyo . |
| Ukuqhekeka kwamathambo | Uphando lubonise ukuba eli yeza linokunyusa kancinci umngcipheko wokuqhekeka kwamathambo. |
| Ezinye iimpawu eziqatha | Ukulahlekelwa ngumbono, ukubona okufipheleyo, iintlungu zamehlo, ubunzima bokuphefumla, ukubetha kwentliziyo okungahambelaniyo, ukuquleka, ubunzima bokuthetha, ubunzima bokuhamba, ukubila kakhulu, okanye umkhuhlane. |
Ukuba ufumana naziphi na kwezi ziphumo zibi kakhulu , ungalibazisi kwaye utsalele umnxeba inkonzo ye-ambulensi ka-1990 ngoko nangoko okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
4. Izilumkiso ezikhethekileyo kunye nokhuseleko (Izilumkiso)
Umngcipheko wokususwa kweenyawo
Kukho ingxoxo malunga nokuba eli yeza liyayonyusa na ingozi yokunqunyulwa kwamalungu omzimba, ingakumbi iinyawo kunye nemilenze esezantsi. Oku kunqabile kakhulu. Nangona kunjalo, ukuba ukhe wenza utyando olunjalo ngaphambili, okanye ukuba unezilonda okanye usulelo oluqhelekileyo ezinyaweni, kubalulekile ukuqaphela oku kwaye unyamekele iinyawo zakho ngokukodwa.
Imeko ye-diabetic ketoacidosis (DKA)
Le yeyona nto ibalulekileyo ekufuneka uyazi ngale mithi. Le mithi inokubangela imeko eyingozi kakhulu ebizwa ngokuba yiDiabetic Ketoacidosis (DKA) kwabanye abantu abanesifo seswekile sohlobo lwesibini.
Ngamafutshane, i-DKA yenzeka xa umzimba wakho ungenayo i-insulin eyaneleyo yokuguqula iswekile egazini lakho ibe ngamandla. Umzimba wakho uqala ukutshisa amafutha ukuze ufumane amandla. Ngeli xesha le nkqubo, iikhemikhali ezibizwa ngokuba zii-ketones ziyaqokelelana egazini lakho. Xa ezi ketones ziqokelelana kakhulu, igazi lakho liba ne-asidi, nto leyo enokutyhefa umzimba wakho kwaye ikwenze ugule kakhulu. Kwiimeko ezinzima, ungangena kwi-diabetes coma okanye ude ufe.
Iimpawu zokuqala ze-DKA kukunxanwa kakhulu kunye nokuchama rhoqo. Olu luphawu olubonisa ukuba isifo sakho seswekile asilawuleki. Thetha nogqirha wakho malunga nendlela yokuthintela i-DKA kwaye ugcine amanqanaba akho e-insulin kunye neswekile egazini ekwinqanaba elifanelekileyo.
5. Ngawaphi amanyathelo okhuseleko ekufuneka athathwe ngaphambi kotyando?
Ewe. Ukuba unotyando olucwangcisiweyo, kufuneka uyeke ukusebenzisa eli yeza kwiintsuku ezi-3 ngaphambi kotyando ukuze unciphise umngcipheko we-DKA. Kubalulekile ukwazisa ugqirha wakho kunye nogqirha wakho weswekile ngale nto. Ngeli xesha, ugqirha wakho uza kujonga ngokusondeleyo amanqanaba eswekile egazini lakho aze asebenzise ezinye iindlela zokulawula.
6. Ngubani ongafanelanga ukusebenzisa iCanagliflozin?
Oogqirha abacebisi eli yeza ukuba unezi meko zilandelayo:
- Ukuba unesifo esibi kakhulu sesibindi
- Ukuba ukhulelwe okanye unethemba lokukhulelwa
- Ukuba ungumama oncancisayo
- Ukuba ungaphantsi kweminyaka eli-18 ubudala
- Ukuba ukhe waba ne-allergy enzima (umz., i-anaphylaxis okanye ukudumba okufana ne-angioedema) kule yeza
- Ukuba usebenzisa i-kidney dialysis
Ngaphambi kokusebenzisa eli yeza, kubaluleke kakhulu ukuthetha nogqirha wakho ukuqinisekisa ukuba eli liyeza elifanelekileyo kuwe lokulawula isifo sakho seswekile.
Umyalezo Wokuya Ekhaya
- I-Canagliflozin liyeza elisetyenziselwa ukunyanga isifo seswekile sohlobo lwesibini. Ikwanceda ekunciphiseni umngcipheko wesifo sentliziyo nesifo sezintso.
- Le pilisi kufuneka ithathwe kanye ngemini, ngaphambi kokutya kokuqala.
- Ungalibali ukuxelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo.
- Lumka ngeziphumo ebezingalindelekanga ezifana nosulelo lomchamo, iswekile ephantsi egazini (hypoglycemia), kunye nosulelo olungaqhelekanga lwezitho zangasese.
- Qaphela iimpawu zesifo esiyingozi esibizwa ngokuba yiDiabetic Ketoacidosis (DKA) (ukunxanwa kakhulu, ukuchama rhoqo).
- Eli yeza kufuneka liyeke ukusetyenziswa kwiintsuku ezi-3 ngaphambi kotyando, njengoko kuyalelwe ngugqirha wakho.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho