Umbuzo abantu abaningi abaphila ne-Type 2 Diabetes abanawo uthi, "Ingabe kufanele ngiqhubeke ngithatha lo muthi? Noma kufanele ngiwushintshe?" Mhlawumbe nawe uke wazibuza ngalokhu. Mhlawumbe amazinga kashukela egazini lakho awalawulwa kahle, noma mhlawumbe umuthi wakho ukubangela imiphumela emibi. Namuhla, ake sixoxe ngokuthi ungadinga nini ukushintsha umuthi wakho wesifo sikashukela.
Kunini lapho kufanele ucabangele ukushintsha imithi?
Kunezizathu eziningana ezenza udokotela wakho anqume ukushintsha uhlelo lwakho lokwelashwa. Ezimbili ezibaluleke kakhulu amazinga kashukela egazini angalawulwa kanye nemiphumela emibi evela emithini.
Ushukela Ophezulu Egazini
Into ebaluleke kakhulu kushukela ukugcina amazinga kashukela egazini lakho ngaphakathi kwebanga elithile. Kulapho-ke kuphela lapho unganciphisa khona izinkinga ezingabangelwa yisifo sikashukela. Uma amazinga kashukela akho engalawulwa umuthi owuthathayo njengamanje futhi eqhubeka nokuba phezulu, udokotela wakho angashintsha umthamo womuthi noma engeze umuthi omusha.
Cabanga nje, umuthi owaqala ngawo ekuqaleni wawulawula amazinga akho kashukela kahle. Kodwa ngokuhamba kwesikhathi, lowo muthi wodwa ungase unganeli. Lokho kuvamile. Ngemuva kwalokho, uma umuthi owodwa unganele, udokotela uzofaka owesibili. Uma emibili inganele, kungase kwenezelwe owesithathu.
Ushukela Ophansi Egazini
Eminye imithi yesifo sikashukela ingabangela amazinga kashukela egazini lakho ukuba ehle kakhulu. Ngokwezokwelapha, lokhu kubizwa ngokuthi i-hypoglycemia . Uma lokhu kwenzeka, ungase ube nezimpawu ezifana nokuqhaqhazela, ukujuluka ngokweqile, isiyezi, nokudideka . Lokhu kungaba yingozi.
Uma uhlangabezana nalezi zimpawu njalo, qiniseka ukuthi utshela udokotela wakho ngakho. Angase akwazi ukunciphisa umthamo wemithi yakho noma akushintshele komunye umuthi.
Imithi kanye nemiphumela yayo emibi
Uma unemiphumela emibi ephazamisa impilo yakho yansuku zonke noma ebangela izinkinga ngeminye imithi oyithathayo, lokho kungaba yisizathu sokushintsha imithi yesifo sikashukela. Kodwa khumbula, uma uqala imithi emisha, ungase ube nemiphumela emibi emincane ekuqaleni njengoba umzimba wakho uyijwayela bese iyanyamalala. Kodwa uma iqhubeka noma inzima, khuluma nodokotela wakho.
Manje ake sibheke imithi evame ukusetshenziswa kakhulu yesifo sikashukela, ukuthi isebenza kanjani, nokuthi yimiphi imiphumela emibi engase ibangelwe yiyo.
| Isigaba sezidakamizwa | Incazelo kanye nemiphumela emibi evamile |
|---|---|
| Ama-Biguanides Isibonelo: I-Metformin | Lona umuthi wokuqala wesifo sikashukela sohlobo 2. Wenza umzimba usebenzise i-insulin ngendlela ephumelela kakhudlwana. Imiphumela emibi: Isicanucanu, ukuqunjelwa, ukuqunjelwa, isifo sohudo, ukuntuleka kwevithamini B12. (Lokhu kungancishiswa ngokuthatha umuthi kanye nokudla). Isimo esibi kodwa esingavamile: I-Lactic Acidosis. Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezifana nobunzima bokuphefumula, ubuhlungu obungavamile bemisipha, noma ukukhathala okukhulu. |
| Ama-Sulfonylurea Isibonelo, i-Glimepiride, i-Glipizide | Kusiza ama-pancreas ukuthi akhiqize i-insulin eningi. Imiphumela emibi: Ushukela ophansi egazini (i-hypoglycemia), ukukhuluphala, ukuqubuka kwesikhumba, umchamo omnyama. |
| Ama-Meglitinides Isibonelo: i-Repaglinide | Lokhu kusiza futhi ukuthi ama-pancreas akhiqize i-insulin, kodwa umphumela uhlala isikhathi esifushane. Imiphumela emibi: Ushukela ophansi egazini (i-Hypoglycemia), ukukhuluphala. |
| Ama-Thiazolidinediones (ama-TZD) Isibonelo: i-Pioglitazone | Kuthuthukisa ukusebenza kwe-insulin emzimbeni. Imiphumela emibi: Ukuvuvukala okubangelwa ukugcinwa kwamanzi emzimbeni, ukukhuluphala, kanye namazinga aphezulu e-cholesterol embi (LDL). Kube nemibiko yokuxhumana nezimo ezibucayi njengokuhlaselwa yinhliziyo kanye nokuphuka kwamathambo. |
| Izithibi ze-SGLT2 Isibonelo: i-Dapagliflozin, i-Empagliflozin | Kubangela ukuthi izinso zikhiphe ushukela omningi emchameni. Imiphumela emibi: Ingozi eyandayo yokutheleleka kwemvubelo yomgudu womchamo kanye ne-vaginal. Kodwa-ke, le mithi itholakale futhi inciphisa ingozi yesifo senhliziyo kanye nesifo sezinso. |
| Ama-DPP-4 Inhibitors Isibonelo: i-Sitagliptin, i-Linagliptin | Kuyasiza ama-pancreas ukuthi akhiphe i-insulin ngemuva kokudla. Imiphumela emibi: Umphimbo obuhlungu, umkhuhlane, isisu esibuhlungu. Akuvamile ukuba kube nobuhlungu bamalunga, i-pancreatitis. |
| Ama-GLP-1 kanye nama-GIP/GLP-1 Agonists Isib.: Semaglutide, Tirzepatide | Lokhu kuza ngesimo semijovo noma amaphilisi. Kusiza ekulawuleni amazinga kashukela egazini futhi kusize nasekunciphiseni isisindo. Imiphumela emibi: isicanucanu, ukuhlanza, isifo sohudo, ubuhlungu besisu. |
| Ukwelashwa Nge-insulini | Uma eminye imithi yehluleka ukulawula ushukela egazini, kungadingeka imijovo ye-insulin. Umphumela oyinhloko ongemuhle: Ushukela ophansi egazini (i-hypoglycemia). Ngaphezu kwalokho, ikhanda elibuhlungu, ubuhlungu/ubuhlungu endaweni yomjovo bungase buvele. |
Inothi elibalulekile: Lokhu okungenhla kumane kuyimiphumela embalwa evamile emibi. Isigaba ngasinye semithi singasebenzisana neminye imithi oyithathayo (isb., umfutho wegazi ophakeme, imithi ye-cholesterol). Ngakho-ke, kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi oyithathayo.
Izinguquko zendlela yokuphila kanye nezimo ezintsha zezokwelapha
Ngisho nezinguquko endleleni yakho yokuphila zingaba yisizathu sokushintsha imithi yakho.
Isibonelo, uma wehlisa isisindo noma uqala ukuzivocavoca nsuku zonke, ukuzwela komzimba wakho ku-insulin kunganda, futhi kungadingeka unciphise umthamo wemithi yakho. Ngokufanayo, uma ukhuluphala noma ungasebenzi kahle, kungadingeka ukhuphule umthamo wemithi yakho noma wengeze omunye umuthi.
Ngaphezu kwalokho, uma uba nesimo esisha sezokwelapha (isib. isifo sezinso, isifo sesibindi, isifo senhliziyo), imithi yakho yesifo sikashukela ingase ingahambisani nemithi oyiphuzayo. Ezimweni ezinjalo, udokotela wakho uzoshintsha nohlelo lwakho lokwelashwa kwesifo sikashukela.
Umlayezo Wokuya Nawe Ekhaya
- Kuvamile ukuthi udinga ukushintsha imithi yakho yesifo sikashukela sohlobo lwesibili ngokuhamba kwesikhathi. Ungakhathazeki ngakho.
- Ukulawulwa kabi koshukela egazini, imiphumela emibi engabekezeleleki, izinguquko zendlela yokuphila, noma ukuthuthukiswa kwezimo ezintsha zezokwelapha kungaholela ekushintsheni kwemithi.
- Uma unezinkinga ngemithi yakho, sicela ukhulume nodokotela wakho .
- Ungalokothi uyeke noma ushintshe umthamo wemithi yakho yesifo sikashukela ngaphandle kweseluleko sikadokotela. Kungaba yingozi kakhulu.
- Yazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nezithasiselo ozithathayo.
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