Umuthi omusha wesifo sikashukela? Ake sifunde ngamaphilisi e-Alogliptin kanye ne-Pioglitazone!

Ingabe nawe ungumuntu ohlushwa isifo sikashukela, noma "isifo sikashukela" njengoba abantu abaningi besibiza kanjalo? Ngezinye izikhathi kunzima ukulawula amazinga kashukela egazini lakho ngisho nangemva kokulawula ukudla kwakho nokuzivocavoca, akunjalo? Ngezikhathi ezinjengalezi, uhlobo olulodwa lwemithi odokotela abasinika yona ukusiza yi-alogliptin kanye ne-pioglitazone. Ingabe singakhuluma ngalokhu ngemininingwane ethe xaxa namuhla? Masiqonde lokhu kalula, njengokungathi sitshela umngane.

Uyini lomuthi?

Kalula nje, le alogliptin kanye ne-pioglitazone `(Alogliptin; Pioglitazone)` umuthi onikezwa abantu abanesifo sikashukela sohlobo lwesibili `(Isifo Sikashukela Sohlobo lwesibili)` . Kuyasiza ukulawula inani likashukela egazini lakho, okungukuthi, izinga le-glucose `(i-glucose)`. Kodwa-ke, ukuthatha lo muthi wedwa akwanele. Udinga ukukwenza kanye nokudla okuhle nokuzivocavoca umzimba. Kuphela uma wenza lezi zinto ngendlela elinganiselayo lapho ungathola khona imiphumela emihle. Ungase wazi lo muthi ngegama lomkhiqizo `(Oseni)`. Kodwa udokotela wakho angakunika lo muthi futhi ngenxa yento ethile. Ngakho-ke, uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.

Yiziphi izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi?

Kulungile, manje ake sibone ukuthi yiziphi izinto okudingeka uzitshele udokotela wakho noma umhlengikazi ngaphambi kokuba uqale ukuthatha lo muthi. Ngoba lolu lwazi yilokho udokotela azokusebenzisa ukunquma ukuthi lo muthi ukulungele yini noma cha, nokuthi uwunikeza kanjani. Kubaluleke kakhulu ekuphepheni kwakho ukuba uqonde ngqo ngalezi zinto.

Uma uneminye yale mibandela elandelayo, kufanele nakanjani uthi:

• Uma uke waba nomdlavuza wesinyi noma uke waba nawo.
• I-ketoacidosis yesifo sikashukela yisimo esibangelwa isifo sikashukela (lapho i-asidi yegazi ikhuphuka khona, ngokuvamile ihambisana noshintsho ekuphefumuleni kanye nobuhlungu besisu). Lesi yisimo esibucayi ngandlela thile.
• Isifo samehlo esibizwa ngokuthi i-macular edema (isimo lapho uketshezi luqoqana khona ngaphakathi kweso, okubangela ukubona okufiphele).
• Uma unamatshe enyongo .
• Uma unesifo senhliziyo , ikakhulukazi ukwehluleka kwenhliziyo (lokhu kungabangela ukuphelelwa umoya nokuvuvukala emilenzeni).
• Uma kukhona ama-triglyceride amaningi egazini.
• Uma uphuza njalo .
• Uma umjikelezo wakho wokuya esikhathini ungajwayelekile (uma ungowesifazane).
• Uma unesifo sezinso .
• Uma unesifo sesibindi .
• I-pancreatitis (lokhu kungabangela ubuhlungu obukhulu esiswini esingaphezulu, ngezinye izikhathi bukhanye emhlane).
• I-Polycystic ovary syndrome (i-PCOS)Lesi simo (ukungalingani kwama-hormone okwenzeka kwabesifazane).
• Uma wake waba nokuvuvukala kolimi, ubuso, noma izindebe, ubunzima bokuphefumula, ubunzima bokugwinya, ukushintsha kwezwi, noma umphimbo obuhlungu (lokhu kungaba uphawu lokungezwani komzimba okukhulu).
• Uma uvuvukele ezandleni zakho, emilenzeni, noma ezinyaweni .
• Uma unesifo sikashukela sohlobo 1 (lo muthi unikezwa abantu abanesifo sikashukela sohlobo 2).
• Uma une -allergy ku-alogliptin, i-pioglitazone, eminye imithi, ukudla, imibala yokwenziwa, noma izithasiselo.
• Uma uzama ukukhulelwa , noma usuvele ukhulelwe .
• Uma ungumama oncelisayo .

Uyisebenzisa kanjani le mithi ngendlela efanele?

Kulungile, ngakho-ke ngemva kokuba udokotela ekunike lo muthi, uwusebenzisa kanjani ngempela? Khumbula nalokhu.

Leli philisi kufanele liphuzwe ngomlomo, ngamanzi amancane . Kungcono ukuliphuza ngesikhathi esifanayo nsuku zonke , njengoba nje udokotela wakho ekutshelile. Ungaliphuli, ulichoboze, noma ulihlafune . Gwinya iphilisi lonke. Ungaliphuza ngaphambi noma ngemva kokudla . Kodwa-ke, uma uzizwa isisu sibuhlungu, kungcono ukuliphuza kanye nokudla. Kufanele uqhubeke nokuthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke . Ungayeki ngokuzumayo, kulungile?

Uma uthola lo muthi ekhemisi, uzonikezwa i-"MedGuide" ekhethekile, iphepha lolwazi mayelana nomuthi, kanye nodokotela ngamunye kanye nalapho uthola khona ukugcwalisa. Khumbula njalo ukuwufunda ngokucophelela. Uqukethe ulwazi olubaluleke kakhulu.

Khuluma nethimba lakho lezempilo mayelana nokunikeza lo muthi ezinganeni ezincane, njengoba ungadinga ukunakekelwa okukhethekile.

Kuthiwani uma ngephutha uphuza umuthi omningi kakhulu? Uma ucabanga ukuthi usuphuze umuthi omningi kakhulu, iya egumbini lezimo eziphuthumayo esibhedlela esiseduze noma ushayele isikhungo sokulawula ubuthi ngokushesha . Ungalibali.

Okubalulekile: Lo muthi unikezwe wena wedwa. Ungalokothi uwuhlanganyele nanoma ubani omunye. Ungabalimaza, njengoba impilo yabo bonke ihlukile.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Manje ake ucabange ukuthi ukhohliwe ukuphuza umuthi wakho ngolunye usuku. Ubungenzenjani uma lokho kwenzeka? Ungakhathazeki.

Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula . Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe . Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa noma uphuze amaphilisi engeziwe . Ukwenza kanjalo kungabangela izinkinga.

Yimiphi eminye imithi engasebenzisana nalo muthi?

Uma usebenzisa lo muthi, kuneminye imithi engasebenzisana nawo, okusho ukuthi ingangqubuzana. Ukuwuthatha neminye imithi kungashintsha indlela lo muthi osebenza kahle ngayo noma kwandise imiphumela emibi. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngakho konke okuthathayo.

La maphilisi `(Alogliptin; Pioglitazone)` angasebenzisana nale mithi ikakhulukazi:

• I-Gemfibrozil (umuthi osetshenziselwa ukwehlisa i-cholesterol)
• I-insulin (elinye ikhambi lesifo sikashukela)
• I-Rifampin (i-antibiotic esetshenziselwa ukwelapha isifo sofuba)
• Ama-Sulfonylurea ( imithi yesifo sikashukela efana ne-glimepiride, i-glipizide, kanye ne-glyburide)
• I-Topiramate (umuthi osetshenziselwa isifo sokuwa kanye nekhanda elibuhlungu)

Ngaphezu kwalokhu, kuneminye imithi eminingi engathinta amazinga kashukela egazini lakho, ngakho-ke qaphela lezi zinto:

• Utshwala
• I-aspirini kanye nemithi efana ne-aspirin
• I-Chloramphenicol (i-antibiotic esetshenziselwa ukwelapha izifo ezibangelwa amagciwane)
• I-Chromium (abanye abantu bayithatha njengesengezo sokudla)
• Imithi yokwehlisa umchamo ( imithi ekhulisa inani lomchamo okhiqizwayo, ebizwa nangokuthi 'amaphilisi amanzi')
• Amahomoni abesifazane , isibonelo, imithi equkethe ama-estrogen noma ama-progestin, kanye namaphilisi okulawula ukuzalwa
• Eminye imithi yesifo senhliziyo `(Imithi yenhliziyo)`
• I-Isoniazid (umuthi wesifo sofuba)
• Ama-hormone wesilisa noma ama-steroid e-anabolic
• Imithi yokwehlisa isisindo
• Imithi yokwelapha ukungezwani komzimba, i-asthma, umkhuhlane, noma ukukhwehlela (eminye ingase ibe noshukela)
• Imithi yezinkinga zengqondo
• Imithi eqenjini elibizwa ngokuthi ama-MAO Inhibitors (isib. `(Nardil)`, `(Parnate)`, `(Marplan)`, `(Eldepryl)`)
• I-Niacin (i-vitamin B3, nayo iyasiza nge-cholesterol)
• Ama-NSAID (imithi enciphisa ubuhlungu nokuvuvukala, njenge-ibuprofen noma i-naproxen)
• I-Pentamidine (umuthi wokwelapha izifo)
• I-Phenytoin (umuthi osetshenziselwa ukwelapha isithuthwane)
• I-Probenecid (umuthi we-gout)
• Ama-antibiotic e-Quinolone (isib. i-ciprofloxacin, i-levofloxacin, i-ofloxacin)
• Ezinye izithako zokudla ezisetshenziswa ngamakhambi
• Imithi ye-steroid (isb. i-prednisone noma i-cortisone)
• Imithi ye-thyroid

Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (imithi kadokotela, ethengiswa ngaphandle kwemithi kadokotela, imithi yamakhambi, amavithamini, kanye nezithasiselo zokudla) . Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa . Ezinye zalezi zinto zingathintana nemithi yakho.

Yiziphi izinto okufanele uziqaphele lapho uthatha lo muthi?

Udinga ukunakekela impilo yakho kancane ngenkathi uthatha lo muthi. Yiziphi lezo zinto?

• Bona udokotela wakho njalo ukuze uhlole isimo sakho . Udokotela wakho uzofuna ukubona ukuthi uthuthuka kanjani. Kungase kudingeke futhi ukuthi kwenziwe umsebenzi wegazi ngenkathi uthatha lo muthi.
• Udokotela wakho uzofuna nokuhlolwa okubizwa ngokuthi i-HbA1C (eyaziwa nangokuthi i-A1C) . Lokhu ukuhlolwa kwegazi okulula. Kubheka ukuthi ushukela wakho wegazi ulawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule . Lokhu kuhlolwa kuvame ukwenziwa njalo ezinyangeni ezi-3 noma njalo ezinyangeni ezi-6.
• Funda ukuthi ungahlola kanjani amazinga kashukela egazini lakho ngokwakho . Kubalulekile futhi ukufunda izimpawu zikashukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia) nokuthi ungazilawula kanjani .
• Hlala uphethe umthombo osheshayo kashukela (isib. ama-cubes kashukela, amaphilisi kashukela) uma kwenzeka ushukela wakho wegazi wehla (isib. ukujuluka, ukuthuthumela, isiyezi) . Uma ushukela wakho wegazi uphansi kakhulu futhi unesifo sokuwa futhi ulahlekelwa ingqondo, yazisa abanye ukuthi ungase uklinywe uma uzama ukubanika ukudla noma isiphuzo ngaleso sikhathi . Uma lesi kuyisimo esibi kakhulu , funa usizo lwezokwelapha ngokushesha .
• Uma unomuzwa wokuthi izinga likashukela egazini lakho liphezulu (isib. ukoma ngokweqile, ukuchama njalo, ukukhathala), tshela udokotela wakho . Umthamo wakho wemithi ungase udingeke ulungiswe. Uma ugula noma uvivinya umzimba ngaphezu kokujwayelekile, umthamo wakho wemithi ungase udingeke ulungiswe .
• Ungayeki ukudla . Buza udokotela wakho ukuthi kufanele yini ugweme ukuphuza utshwala . Imithi eminingi yokukhwehlela neyomkhuhlane etholakala ngaphandle kwemithi kadokotela ingase ibe noshukela noma utshwala . Lokhu kungathinta amazinga kashukela egazini.
• Lo muthi ungandisa ingozi yakho yokuthola izifo ezithile zenhliziyo .Uma uzwa ubuhlungu esifubeni, ukuqina, ubuhlungu obufika emhlathini noma engalweni yakho, noma ubunzima bokuphefumula, funa usizo lwezokwelapha ngokushesha. Lokhu kungaba izimpawu zokuhlaselwa yinhliziyo noma esinye isimo esibucayi .
• Kwabesifazane abasondela esikhathini sokunqamuka kokuya esikhathini kodwa abangasayi esikhathini, lo muthi ungabangela ukukhishwa kwamaqanda . Lokhu kungandisa amathuba akho okukhulelwa . Khuluma nethimba lakho lezempilo mayelana nezinketho zakho zokuvimbela inzalo. Tshela udokotela wakho uma ucabanga ukuthi ukhulelwe .

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, la maphilisi `(Alogliptin; Pioglitazone)` angabangela imiphumela emibi. Amanye awo awamabi kakhulu, kodwa amanye awo kufanele abikwe kudokotela wakho ngokushesha.

Imiphumela emibi okufanele uyitshele udokotela wakho ngokushesha

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, tshela ithimba lakho lezempilo ngokushesha:

• Ukusabela kokungezwani komzimba — ukuqubuka kwesikhumba, ukulunywa, ukuqubuka (ukuqubuka okufana nokuqubuka), ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Izinguquko zombono — njengokubona okufiphele, ukubona ama-halo azungeze ukukhanya, noma ukulahlekelwa umbono.
• Ukwehluleka kwenhliziyo — Ukuphefumula kanzima, ukuvuvukala emaqakaleni, ezinyaweni, noma ezandleni, ukukhuluphala ngokuzumayo, kanye nokuzizwa ukhathele noma ubuthakathaka ngendlela engajwayelekile.
• Ukulimala kwesibindi — Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, ubuthakathaka noma ukukhathala okungavamile.
• I-pancreatitis — Ubuhlungu obukhulu esiswini obuphuma emhlane, ubuhlungu obuba bubi ngemva kokudla noma uma buthintwa, umkhuhlane, isicanucanu, nokuhlanza.
• Umchamo obomvu noma onsundu omnyama, ubuhlungu noma ubunzima bokuchama, ukuchama njalo.
• Ukubomvu, ukuqubuka, ukuxebuka, noma ukuqina kwesikhumba (kungenzeka nangaphakathi emlonyeni).
• Ubuhlungu obukhulu bamalunga .

Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka

Imiphumela emibi engezansi ngokuvamile ayidingi ukunakekelwa kwezokwelapha. Kodwa-ke, uma iqhubeka noma ikukhathaza, tshela udokotela wakho :

• Ukukhwehlela
• Uhudo
• Ikhanda elibuhlungu
• Ubuhlungu bemisipha
• Impumulo egobhozayo noma evalekile
• Umphimbo obuhlungu

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile, khuluma nodokotela wakho. Ungabika futhi imiphumela emibi ku-FDA (1-800-FDA-1088).

Ugcina kanjani imithi iphephile?

Kubalulekile futhi ukwazi ukuthi ungawugcina kanjani lo muthi ngendlela efanele.

• Gcina kude nezingane nezilwane ezifuywayo.
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-20 no-25, noma ama-degree Fahrenheit angu-68 no-77). Vikela emswakama kanye nomswakama. Gcina ibhodlela livaliwe kahle.
• Lahla noma yimiphi imithi engasetshenziswanga esiphelelwe yisikhathi.

Uyilahla kanjani imithi engasetshenziswanga nephelelwe yisikhathi?

Nalokhu futhi kuyinkinga ebalulekile. Ukuyilahla nje emgqonyeni ngeke kusize ngalutho.

• Thatha lo muthi uye endaweni enohlelo lokubuyisela imithi. Ungathola ngezindawo ezinjalo ekhemisi lakho noma emaphoyiseni.
• Uma ungakwazi ukuwubuyisela, hlola ilebula yemithi noma incwajana ephaketheni ukuze ubone ukuthi lo muthi kufanele ulahlwe kudoti noma uhlanzwe endlini yangasese. Uma ungaqiniseki, buza ithimba lakho lezempilo.
• Uma kuphephile ukulahla udoti, khipha umuthi ebhodleleni uwuxube nento engasasebenzi, njengodoti wekati, inhlabathi, noma ikhofi. Bese ubeka ingxube esikhwameni noma esitsheni, uyivale, bese uyiphonsa kudoti.

Okokugcina, izinto ezimbalwa okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, sesikhulume kakhulu ngala maphilisi e-Alogliptin ne-Pioglitazone, akunjalo? Nazi ezinye zezinto ezibaluleke kakhulu okudingeka uzikhumbule:

• Lo muthi unikezwa kakhulu ukulawula isifo sikashukela sohlobo lwesibili.
• Njengoba udokotela esho, kubaluleke kakhulu ukuthatha isilinganiso esifanele ngesikhathi esifanele.
• Kubalulekile ukulandela indlela yokudla kanye nokuzivocavoca kanye nalo muthi ukuze uthole imiphumela emihle kakhulu.
• Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi eminye imithi, amakhambi, namavithamini owasebenzisayo.
• Uma uhlangabezana nanoma yimiphi imiphumela emibi emisha, ikakhulukazi izimpawu ezimbi esixoxe ngazo, yazisa udokotela wakho ngokushesha.
• Qapha amazinga kashukela egazini lakho njalo, futhi uqaphele izimpawu zoshukela wegazi ophansi.
• Uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa, qiniseka ukuthi utshela udokotela wakho ngaphambi kokuthatha lo muthi.
• Lomuthi ungowakho wedwa. Ungawuniki omunye umuntu.

Leli pheshana liyisifinyezo nje. Lingase lingabi nalo lonke ulwazi oludingayo. Uma uneminye imibuzo mayelana nalo muthi, sicela ukhulume nodokotela wakho, usokhemisi, noma umhlinzeki wezempilo.

Kubalulekile ukunakekela impilo yakho. Ukuphila nesifo sikashukela kungaba yinselele, kodwa uma ukusingatha kahle, ungajabula. Sikufisela inhlanhla!

I- Alogliptin, i-Pioglitazone, Isifo Sikashukela, Isifo Sikashukela Sohlobo 2, Ukulawula Ushukela, Imithi Yesifo Sikashukela, Imiphumela Engemihle