Ngaba usela amayeza esifo seswekile sohlobo lwesibini? Makhe sithethe ngeepilisi zeTolbutamide!

Usenokuba uneSifo seswekile sohlobo lwesibini, ngoko ke ugqirha wakho usenokuba ukunike iyeza elibizwa ngokuba yiTolbutamide. Okanye usenokuba nomdla wokufunda okungakumbi ngale yeza. Nangona kunjalo, kubalulekile ukwazi ukuba yintoni kanye kanye le yeza. Ngoko ke namhlanje, masithethe ngayo ngokweenkcukacha nangendlela elula kakhulu.

Kwenzeka ntoni kanye kanye ngeli yeza libizwa ngokuba yiTolbutamide?

Ngamafutshane, iTolbutamide liyeza elinceda ukulawula isifo sakho seswekile sohlobo lwesibini. Ngokuyintloko linceda i-insulin hormone yomzimba wakho ukuba yenze umsebenzi wayo ngokufanelekileyo. Uyazi, xa unesifo seswekile, umzimba wakho awuvelisi i-insulin eyaneleyo, okanye i-insulin eyivelisayo ayisebenzi ngokufanelekileyo. Kulapho ke eli yeza linceda khona.

Kodwa into enye ekufuneka uyikhumbule. Awunakulawula isifo seswekile ngokuthatha eli yeza wedwa. Ungafumana inzuzo enkulu kweli yeza kuphela ngokutya okufanelekileyo kunye nokuzilolonga. Eli yeza linokufumaneka kwimarike phantsi kwamagama anje nge-Orinase okanye i-Tol-Tab. Kodwa ukuba isithako esiphambili samayeza achazwe ngugqirha yi-Tolbutamide, zonke ezi ngongoma zibalulekile.

Ngamanye amaxesha eli yeza lingasetyenziswa kwezinye izizathu zonyango. Ukuba unemibuzo malunga noku, buza ugqirha wakho okanye ikhemisti.

Zeziphi izinto ekufuneka uzixelele iqela lakho lezonyango ngaphambi kokuba usebenzise eli yeza?

Eli linqaku elibaluleke kakhulu. Ukuba unenye yezi meko zilandelayo, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngaphambi kokuba uqale eli yeza:

• Ukuba une -ketoacidosis yesifo seswekile, imeko enzulu ebangelwa sisifo seswekile.
• Ukuba une-enzyme enqongopheleyo ebizwa ngokuba yi -glucose-6-phosphate dehydrogenase deficiency (G6PD deficiency) .
• Ukuba unesifo sentliziyo .
• Ukuba unesifo sezintso .
• Ukuba unesifo sesibindi .
• Ukuba unosulelo olukhulu okanye wenzakele .
• Ukuba unesifo se-thyroid .
• Ukuba ukhe waba nempendulo engaqhelekanga okanye ye-allergy kwi-tolbutamide, amayeza e-sulfa, amanye amayeza, ukutya, iidayi zokwenziwa, okanye izithinteli.
• Ukuba ukhulelwe okanye uzama ukukhulelwa.
• Ukuba ungumama oncancisayo.

Ukuba uchaza ezi nyaniso ngokuchanekileyo, ugqirha wakho unokugqiba ukuba eli yeza likulungele na okanye ufuna olunye ukhetho.

Ulisebenzisa njani kanye kanye eli yeza?

Eli yeza lipilisi olisela ngomlomo. Ginya ipilisi ngeglasi yamanzi. Kufuneka ulandele imiyalelo ekwileyibhile kagqirha wakho kanye njengoko ugqirha wakho ekunike yona. Kungcono ukusela amayeza ngexesha elifanayo yonke imihla. Musa ukuthatha ngaphezu koko ugqirha akuxelele kona.

Ukuba unika abantwana eli yeza, kufuneka uthethe nogqirha wabantwana ngalo. Lisenokufuna ukhathalelo olukhethekileyo.

Abantu abangaphezu kweminyaka engama-65 ubudala banokufumana isiphumo esingaphezulu kancinci xa besebenzisa eli yeza. Ke ngoko, banokufuna ukuba banikwe idosi ephantsi.

Kubalulekile: Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu (ukusebenzisa amayeza agqithisileyo), fowunela iziko lolawulo lwetyhefu elikufutshane okanye igumbi likaxakeka ngokukhawuleza.

Enye into, eli yeza lelakho wedwa. Ungaze unike omnye umntu iyeza lakho, nokuba uneempawu ezifana nezakho.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

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 idosi ephindwe kabini.

Ziziphi ezinye iindlela ezinokwenzeka xa usebenzisana nale mithi?

Oku kukwayinto ekufuneka uyilumkele kakhulu. Amanye amayeza nokutya kunokuchaphazela iTolbutamide. Oko kukuthi, ukusebenza kakuhle kwale mayeza kunokutshintsha, okanye iziphumo ebezingalindelekanga zinokwanda.

Eli yeza linokunxibelelana nezi zinto zilandelayo:

• IBosentan
• I-Chloramphenicol
• I-Cisapride
• Amayeza osulelo lwefungus okanye igwele (umz. i-fluconazole, i-ketoconazole)
• I-Metoclopramide
• Iprobenecid
• I-Warfarin

Ukongeza, kukho amanye amayeza nezinto ezinokunyusa okanye zinciphise amanqanaba eswekile egazini lakho. Kufuneka uqaphele xa usebenzisa eli yeza kunye nawo. Umzekelo:

• Iziselo ezinxilisayo
• I-Aspirin kunye namayeza afanayo
• Izongezo zeChromium
• Ii-antibiotics ezifana ne-clarithromycin
• I-Diuretics (amayeza akwenza uchame)
• Iihomoni zabasetyhini (ezifana nee-estrogens okanye ii-progestins) kunye neepilisi zokulawula ukuzalwa
• Amayeza kwezinye izifo zentliziyo
• I-Isoniazid
• Iihomoni zamadoda okanye ii-anabolic steroids
• Amayeza okunciphisa umzimba
• Amayeza okulwa ne-aleji, i-asthma, umkhuhlane kunye nokukhwehlela
• Amayeza okugula ngengqondo
• Amayeza akudidi lwamayeza abizwa ngokuba yi-MAO Inhibitors (umz. iNardil, iParnate)
• I-Niacin
• Ii-NSAID (umzekelo, ibuprofen, naproxen)
• I-Pentamidine
• I-Phenytoin
• Amayeza okubulala iintsholongwane e-quinolone (umz. i-ciprofloxacin, i-levofloxacin)
• Ezinye izongezo zokutya zemifuno
• Amayeza e-steroid (umz. i-prednisone, i-cortisone)
• Amayeza e-thyroid

Olu luhlu aluphelelanga. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza (kuquka amayeza athengiswa ngaphandle kwemvume kagqirha), imifuno, kunye nezongezo zokutya ozithathayo. Kwakhona xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi. Ezi zinokuchaphazela namayeza akho.

Zeziphi izinto ekufuneka uzilumkele xa usebenzisa eli yeza?

Kufuneka uhlale uqaphela impilo yakho ngelixa usebenzisa eli yeza.

• Bona ugqirha wakho rhoqo: Yiya kuhlolo njengoko ugqirha wakho emyalele ukuze ubone ukuba isifo sakho seswekile silawulwa kakuhle kangakanani na.
• Uvavanyo lwe-HbA1C: Ugqirha wakho unokuyalela uvavanyo olubizwa ngokuba luvavanyo lwe-HbA1C (A1C). Olu vavanyo lulinganisa umlinganiselo wolawulo lwakho lweswekile egazini kwiinyanga ezi-2-3 ezidlulileyo. Olu vavanyo luhlala lwenziwa rhoqo kwiinyanga ezi-3 ukuya kwezi-6.
• Funda indlela yokujonga amanqanaba eswekile egazini lakho: Kubalulekile ukufunda indlela yokujonga amanqanaba eswekile egazini lakho ekhaya. Kwakhona, qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia) kunye neswekile ephezulu egazini (hyperglycemia) kunye nendlela yokuzilawula.

Qaphela ngokukodwa i-hypoglycemia!

Xa usela eli yeza, inqanaba leswekile egazini lakho lingasehla kakhulu. Oku kunokuba yingozi. Ngoko ke kufuneka ulumke kakhulu ngale nto.

• Gcina into enokunika iswekile ngokukhawuleza: Soloko ugcina into kufutshane onokuyitya kwangoko xa ubona iimpawu zeswekile ephantsi egazini (umz. ukubila, ukungcangcazela, isiyezi, ukuziva ulambile kakhulu, ubunzima bokugxila). Umzekelo, iityhubhu zeswekile, itofi, iipilisi zeglucose, okanye ijusi yeziqhamo.
• Yazisa abanye: Ukuba ukwimeko apho ungakwazi ukutya okanye ukusela ngenxa ye-hypoglycemia enzima (umz., ukuxhuzula, ukulahlekelwa zingqondo), yazisa usapho lwakho kunye nabahlobo bakho ukuba ukuba uzama ukubanika ukutya okanye isiselo ngelo xesha, banokukrwitshwa. Ukuba oku kuyenzeka, kufuneka ufune unyango ngokukhawuleza.
• Ukuba amanqanaba eswekile egazini lakho aphezulu: Ukuba ubona iimpawu zeswekile ephezulu egazini (umz., ukoma kakhulu, ukuchama rhoqo, ukubona izinto ezingaqhelekanga), xelela ugqirha wakho. Umlinganiselo wamayeza akho unokufuna ukulungiswa.
• Ukuba uyagula okanye inqanaba lakho lokuzilolonga liyatshintsha: Ukuba ugula ngumkhuhlane, umkhuhlane, okanye ukuba uzilolonga ngaphezu kwesiqhelo, umthamo wakho wamayeza unokufuna ukulungiswa. Thetha nogqirha wakho ngale nto.
• Musa ukutsiba izidlo: Yitya ngexesha elifanelekileyo. Ukutsiba izidlo kunokubangela iswekile ephantsi egazini.
• Lumka ngotywala: Buza ugqirha wakho ukuba kungcono na ukuphepha ukusela utywala. Ezinye iipilisi zokukhwehlela ezithengiswa ngaphandle kwemvume kagqirha kunye nesiraphu ebandayo zinokuba neswekile okanye utywala. Ezi zinokuchaphazela amanqanaba eswekile egazini.
• Lumka ngelanga: Eli yeza lingenza ulusu lwakho lube buthathaka ngakumbi elangeni. Ngoko ke, nxiba impahla egquma ulusu lwakho xa uphuma elangeni, sebenzisa i-sunscreen, kwaye uphephe izibane zelanga okanye iibhedi zokutshisa ilanga.
• Nxiba isazisi sezonyango: Nxiba isongo sesazisi sezonyango okanye itsheyini echaza ukuba unesifo seswekile kunye namayeza owasebenzisayo kunye nemilinganiselo yawo. Kwakhona, gcina ikhadi elineenkcukacha zakho ngamaxesha onke. Oku kubaluleke kakhulu xa kukho imeko engxamisekileyo.

Zithini iziphumo ebezingalindelekanga ezinokubakho?

Njengazo zonke iziyobisi, i-tolbutamide inokubangela ezinye iziphumo ebezingalindelekanga, nangona ingenguye wonke umntu ozifumanayo.

Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko:

Ukuba ufumana naziphi na kwezi mpawu, xelela ugqirha wakho okanye umboneleli wezempilo ngokukhawuleza:

• Ubunzima bokuphefumla
• Umchamo otyheli okanye omdaka omnyama, ukutyheli kwamehlo okanye ulusu (njenge-jaundice)
• Umkhuhlane, ukubanda, umphimbo obuhlungu
• Amanqanaba aphantsi eswekile egazini (cela ugqirha wakho uluhlu lweempawu ezinxulumene noku)
• Ukucaphuka okukhulu kwesikhumba, ukubomvu, ukudumba, okanye ukurhawuzelela
• Ukopha okungaqhelekanga okanye ukukrweleka

Iziphumo ebezingalindelekanga ezingezizo ezinzulu, kodwa ekufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka:

Ezi zifo zihlala ziphela emva kweentsuku ezimbalwa. Kodwa ukuba ziyaqhubeka, xelela ugqirha wakho ukuba ziyakukhathaza:

• Urhudo
• Intloko ebuhlungu
• Isitshiso sentliziyo
• Isicaphucaphu, ukuhlanza
• Ukungonwabi kwesisu

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona enye into engaqhelekanga, thetha nogqirha wakho ngayo.

Ugcina njani amayeza?

• Yigcine kude nabantwana.
• Gcina kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius, phakathi kwe-59 kunye ne-86 degrees Fahrenheit).
• Lahla amayeza aphelelwe lixesha ngaphandle kokuwasebenzisa.

Eyona nto ibalulekileyo - khumbula!

Eli nqaku linika isishwankathelo esifutshane seTolbutamide. Ukuba unemibuzo engaphezulu malunga nale yeza, nceda uxoxe ngayo nogqirha wakho, ikhemisti, okanye omnye umboneleli wezempilo. Kungcono ukulandela icebiso likagqirha wakho xa usenza izigqibo malunga nempilo yakho. Hlala usempilweni!

"i-tolbutamide, isifo seswekile, isifo seswekile sohlobo lwesibini, iswekile yegazi, amayeza, i-orinase, i-tol-tab, isifo seswekile, i-tolbutamide, iswekile yegazi, amayeza