Ingabe nawe unesifo sikashukela sohlobo lwesibili? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike lo muthi. Empeleni uyinhlanganisela yemithi emibili, okuyi-Alogliptin ne-Metformin. Namuhla, sizoxoxa ngalo muthi, ukuthi ungawusebenzisa kanjani, izinto okufanele uziqaphele, kanye nemiphumela emibi ngendlela elula nenobungane.
Kwenzekani ngempela ngalo muthi?
Kalula nje, leli philisi lisiza ukulawula amazinga kashukela egazini lakho, noma amazinga kashukela egazini. Izinhlobo ezimbili zemithi kuleli philisi zenza izinto ezimbili. Enye isiza umzimba wakho ukusebenzisa i-hormone insulin ngendlela efanele, kanti enye ilawula ukukhiqizwa kukashukela okungadingekile yisibindi sakho.
Into ebaluleke kakhulu ukuthi ukuthatha lo muthi kuphela akwanele. Imiphumela emihle kakhulu ingatholakala kuphela uma uthatha lo muthi kanye nokudla okufanele kanye nokuzivocavoca umzimba .
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Kulungile, manje lena yingxenye ebaluleke kakhulu. Ngaphambi kokuqala lo muthi, udinga ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Ngoba lo muthi ungase ungahambisani nezinye izimo zezokwelapha. Ikakhulukazi uma unezinye zezimo ezilandelayo, qiniseka ukuthi utshela udokotela wakho.
- Isifo sezinso noma sesibindi: Ingabe unesifo sezinso noma sesibindi?
- Isifo senhliziyo: Ingabe unesifo senhliziyo noma ukwehluleka kwenhliziyo?
- I-Pancreatitis: Wake waba nalesi simo ngaphambili?
- Ukuphuza njalo: Ingabe uphuza njalo?
- I-anemia noma Ukuphelelwa amanzi emzimbeni: Ingabe unesifo sokuntuleka kwegazi noma amanzi emzimbeni wakho?
- Isimo se-PCOS: Ingabe une-Polycystic Ovary Syndrome (PCOS)?
- Ukungezwani komzimba: Ingabe unakho ukungezwani komzimba kulo muthi noma komunye umuthi noma ukudla? Ikakhulukazi, ingabe wake waba nezimpawu ezifana nokuvuvukala kolimi, ubuso, noma izindebe, ubunzima bokuphefumula, ubunzima bokugwinya, noma ukuhosha kwezwi ?
- Ukukhulelwa: Ukhulelwe? Noma ulindele umntwana?
- Ingabe ungumama oncelisayo?
- Ukuhlanza, ukutheleleka okukhulu, noma ingozi: Ingabe kukhona into efana nalokhu eyenzekile muva nje?
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela ngaphandle kokufihla lezi zinto.
Ngingawusebenzisa kanjani lo muthi?
Lokhu futhi kuyinto okudingeka uyazi ngokuqinisekile.
- Thatha umthamo onqunyiwe, ngesikhathi esinqunyiwe, njengoba kunqunywe udokotela.
- Gwinya ithebhulethi lonke ngengilazi yamanzi . Ungalokothi uliphule, ulichoboze, noma ulihlafune ithebhulethi.
- Lo muthi ungathathwa ngaphambi noma ngemva kokudla. Kodwa-ke, abanye abantu bangase bazizwe bengakhululekile esiswini uma bethathwa ngaphandle kokudla. Uma lokhu kwenzeka, kungcono ukuthatha umuthi kanye nokudla.
- Qhubeka usebenzisa umuthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isb., kusele amahora ambalwa nje), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili. Lokhu kungabangela ukwehla okuyingozi kushukela egazini.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma usola ukuthi uthathe umuthi omningi kunalokho ocabanga, iya eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze nawe ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Izinto okufanele uziqaphele lapho uthatha umuthi
Kuzodingeka futhi wenze izinguquko ezincane endleleni yakho yokuphila ngenkathi usebenzisa lo muthi.
- Ukuhlolwa kwe-HbA1C: Udokotela wakho cishe uzoyala ukuhlolwa kwegazi okubizwa nge-HbA1C njalo ezinyangeni ezi-2-3 ukuze abone ukuthi isifo sakho sikashukela silawulwa yini. Lokhu kungakunikeza umbono omuhle ngokulawulwa kwakho ushukela egazini ngaphambilini.
- Ushukela ophansi egazini (Hypoglycemia): Lo muthi, ikakhulukazi uma uthathwa ne-insulin noma eminye imithi yesifo sikashukela njenge-sulfonylureas, ungabangela ushukela ophansi egazini (hypoglycemia). Ngakho-ke qaphela izimpawu zoshukela ophansi egazini ( isiyezi , ukujuluka, ukuqhaqhazela, ukudideka, indlala enkulu).
- Ungayeki ukudla: Yidla ngesikhathi esifanele. Ukweqa ukudla kwandisa ingozi yokuba noshukela wegazi ophansi.
- Utshwala: Khuluma nodokotela wakho mayelana nokuphuza utshwala. Utshwala bungabangela amazinga kashukela egazini lakho ehle ngokuzumayo.
- Ukuhlinzwa kanye nokuskena: Uma uzohlinzwa noma uskeniwe nge-CT/MRI, qiniseka ukuthi utshela ithimba lezokwelapha ukuthi uthatha lo muthi. Kungase kudingeke uyeke ukuthatha umuthi ezinsukwini ezimbalwa ngaphambi kwenqubo .
- Ukuntuleka kwamavithamini:Ukusetshenziswa kwalomuthi isikhathi eside kungabangela ukuthi amazinga e-vitamin B12 kanye ne-folic acid ehle. Ngakho-ke, kubalulekile ukudla ukudla okunomsoco futhi ukhulume nodokotela wakho mayelana nezithasiselo zamavithamini uma kudingeka.
- Amadayi Okuhlukanisa: Kuyingozi ukuthatha lo muthi kanye namadayi athile okuhlukanisa afakwa emzimbeni ngaphambi kokuhlolwa okufana nama-X-ray, ama-CT scan, kanye nama-MRI.
- Utshwala
- Eminye imithi yesifo sikashukela (isib. i-Insulin, i-Glimepiride, i-Gliclazide)
- Eminye imithi yokucindezela kwegazi
- Ama-steroid (isib. i-Prednisolone)
- Amanye ama-antibiotic kanye nemithi yokulwa namagciwane
- Thatha lo muthi njengoba nje udokotela wakho ekuyalele, ngesikhathi osibekiwe. Ungawuphuli, ungawuchobozi, noma uwuhlafune.
- Ngaphambi kokuqala umuthi, yazisa udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye neminye imithi oyithathayo.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia). Hlala ugcina okuthile okufana noswidi olunoshukela eduze uma kwenzeka isimo esiphuthumayo.
- Uma kuvela umphumela omubi kakhulu (ubuhlungu obukhulu besisu, ubunzima bokuphefumula, ukusabela komzimba), funa iseluleko sikadokotela ngokushesha.
- Ungalokothi wabelane ngemithi yakho nabanye. Yeyakho wedwa.
- Gwema ukuyeka imithi noma ukushintsha umthamo ngaphandle kweseluleko sikadokotela.
Hlala ugcina iswidi likashukela, ithebhulethi likashukela, noma isiphuzo esimnandi eduze. Sisebenzise uma ushukela wegazi wakho uphansi ngokuzumayo. Tshela umndeni wakho ukuthi ungafaki lutho emlonyeni wakho uma ulahlekelwa ingqondo. Uma lokhu kwenzeka, kufanele ubayise esibhedlela ngokushesha.
Imiphumela Engemihle Nokusebenzisana
Njenganoma yimuphi umuthi, lokhu kungabangela imiphumela emibi futhi kungasebenzisana neminye imithi.
| Okuqhamuka uma udla imishanguzo | |
|---|---|
| 🚨 Izinto okufanele uzibike kudokotela wakho ngokushesha | |
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| I-Lactic Acidosis | Ubuhlungu bemisipha, izinhlungu zesisu, ubunzima bokuphefumula, ukukhathala okukhulu (lesi yisimo esingavamile kodwa esibi kakhulu). |
| I-Pancreatitis | Ubuhlungu obukhulu besisu (obungase busakazekele emhlane), ubuhlungu obuba bubi ngemva kokudla, umkhuhlane, isicanucanu, nokuhlanza. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala, izinyawo noma izandla, ukukhuluphala ngokuzumayo, ukukhathala okukhulu. |
| Ukulimala kwesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, ukuphuzi kwesikhumba noma amehlo, umchamo ophuzi/onsundu omnyama. |
| Ubuhlungu obukhulu bamalunga | Ubuhlungu obukhulu emalungeni. |
| 🙂 Ngokuvamile akukubi kangako, kodwa tshela udokotela wakho uma kuqhubeka. | |
| Uhudo, igesi , ikhanda elibuhlungu, ukunambitheka kwensimbi emlonyeni, ikhala elicijile noma eligobhozayo , isicanucanu, umphimbo obuhlungu. | |
Ezinye izinto ezingase zihlangane nalo muthi
Lo muthi ungase uhlangane neminye imithi nokudla. Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Qaphela kakhulu okulandelayo:
Lolu hlu aluphelele, ngakho-ke buza udokotela wakho njalo ngaphambi kokuqala noma yimuphi umuthi omusha.
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