Ingabe udokotela wakho wakubhalela umuthi omusha wesifo sakho sikashukela sohlobo lwesibili? Lapho uzwa ukuthi igama lomuthi kwakunguDapagliflozin noSaxagliptin (ovame ukwaziwa ngegama lomkhiqizo i-QTERN), ingabe wakuthola kudida kancane? Ungakhathazeki. Namuhla, sizoxoxa ngalomuthi ngendlela elula, njengokungathi utshela umngane.
Uyini lomuthi? Kalula nje...
Lo muthi osetshenziselwa ukwelapha isifo sikashukela sohlobo lwesibili. Unemisebenzi emibili eyinhloko. Omunye uwukusiza umzimba wakho ukuthi ukhiphe ushukela omningi (i-glucose) emchameni wakho. Omunye uwukukhuthaza ukukhiqizwa kwe-hormone i-insulin evela kuma-pancreas akho, esiza ukulawula amazinga kashukela egazini.
Cabanga ngakho njengabasizi ababili abahlakaniphile abalawula amazinga kashukela emzimbeni wakho. Kodwa lo muthi wodwa awanele. Ukudla okuhle nokuzivocavoca okufanele nakho kubalulekile.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Kubaluleke kakhulu ukuthi udokotela wakho azi umlando wakho wezempilo ophelele ngaphambi kokukunikeza lo muthi. Qiniseka ukuthi uyamtshela udokotela wakho uma unezinye zezimo ezibalwe ngezansi.
| Isimo noma umkhuba | Incazelo |
|---|---|
| Izimo zezokwelapha ezikhona | Umdlavuza wesinye, isifo senhliziyo, ukwehluleka kwenhliziyo, isifo sezinso, i-cholesterol ephezulu, umfutho wegazi ophansi, i-pancreatitis noma umlando wayo, isifo sikashukela sohlobo 1. |
| Izifo nezinye izinkinga | Uma unezifo zomgudu womchamo ezivame ukwenzeka (UTIs), umlando wezifo zemvubelo yesitho sangasese sowesifazane, ubunzima bokuchama, noma isimo esibizwa ngokuthi i-diabetesic ketoacidosis. |
| Indlela yokuphila nezinye izindaba | Uma umzimba uphelelwe amanzi emzimbeni, uma udla ukudla okunosawoti omncane, uma ukudla kwakho kwehla ngenxa yokugula, ukuhlinzwa, noma ezinye izizathu, noma uma uphuza utshwala njalo. |
| Imicimbi ekhethekile | Uma ukhulelwe noma uzama ukukhulelwa, noma uma ungumama oncelisayo. |
| Ukungezwani komzimba | Uma une-allergy kulo muthi (i-dapagliflozin, i-saxagliptin) noma yimuphi omunye umuthi, ukudla, noma idayi. |
Ngingawusebenzisa kanjani lo muthi?
Lokhu kulula kakhulu.
- Gwinya leli philisi ngengilazi yamanzi.
- Yithathe njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele. Ngokuvamile kunconywa ukuthi uyithathe ekuseni.
- Ingathathwa nokudla noma ngaphandle kokudla.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho .
- Uma lo muthi unikezwa izingane, kudingeka iseluleko esikhethekile sezokwelapha.
Yini okufanele uyenze uma umthamo wemithi ukhushuliwe?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela iNational Poisons Information Centre eColombo National Hospital ngokushesha. Noma, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Kuthiwani uma ngikhohlwa ukuphuza umuthi wami?
Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo okhohliwe.
Eminye imithi engase ihlangane nalo muthi
Kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi oyithathayo. Eminye imithi ingase ihlangane nalo muthi.
Ikakhulukazi, qiniseka ukuthi ukhuluma ngemithi elandelayo uma uyithatha:
- Amanye ama-antibiotic, njenge-gatifloxacin.
- Utshwala
- Eminye imithi yokulwa namagciwane enikezwa i-HIV noma i-Hepatitis.
- Imithi efana ne-ketoconazole ne-itraconazole, esetshenziselwa ukwelapha izifo zesikhunta.
- I-Lithium
- Ama-steroid afana ne-prednisone ne-cortisone.
- Ama-sulfonylurea, njenge-glimepiride, i-glipizide, kanye ne-glyburide, yimithi esetshenziselwa ukwelapha isifo sikashukela.
- Imithi yezifo ze-thyroid.
Khumbula, lolu hlu aluphelele. Tshela udokotela wakho nganoma yimaphi amavithamini, imikhiqizo yamakhambi, noma izithasiselo ozithathayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
Udinga ukunakekela impilo yakho kancane ngenkathi uthatha lo muthi.
1. Ukuhlolwa njalo kwezokwelapha: Iya emitholampilo njengoba kuhleliwe njengoba kunqunywe udokotela wakho. Udokotela wakho angayala ukuhlolwa kwegazi okubizwa nge -HbA1C njalo ezinyangeni ezi-2-3 ukuze ahlole ukuthi ushukela wakho wegazi ulawulwa kahle kangakanani.
2. Funda ukuhlola ushukela wakho wegazi: Funda ukuhlola ushukela wakho wegazi ekhaya. Yazi kahle ukuthi ziyini izimpawu ze-hypoglycemia kanye ne-hyperglycemia nokuthi ungabhekana kanjani nazo.
3. Gcina ushukela eduze uma kwenzeka isimo esiphuthumayo: Hlala ugcina okuthile ongakudla, njenge-sugar cube, i-glucose tablet, noma i-toffee, eduze uma kwenzeka izinga lakho likashukela lehla ngokuzumayo.
4. Ungayeki ukudla: Ungayeki ukudla okuyinhloko nganoma yisiphi isizathu. Xhumana nodokotela wakho mayelana nokuphuza utshwala.
5. Gqoka i-ID yezokwelapha: Ukugqoka ikhadi noma isongo elisho ukuthi unesifo sikashukela kanye nezinhlobo nemithamo yemithi oyiphuzayo kungaba yinto ebaluleke kakhulu esimweni esiphuthumayo.
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Nakuba iningi lalawa lincane, kunezinto ezithile okudingeka siziqaphele kakhulu.
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Izimo ezibucayi ezidinga ukunakekelwa kwezokwelapha okusheshayo | |
| Ukusabela Okukhulu Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| I-ketoacidosis yesifo sikashukela (i-DKA) | Ukoma ngokweqile, ukuchama njalo, umlomo owomile, iphunga lokuphefumula elifana nezithelo, ubunzima bokuphefumula, ubuhlungu besisu, isicanucanu, nokuhlanza. |
| Izimpawu Zokwehluleka Kwenhliziyo | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala, izinyawo, noma izandla, ukukhuluphala ngokuzumayo, ukukhathala okukhulu. |
| I-Pancreatitis | Ubuhlungu obukhulu besisu (obuphuma emhlane), ubuhlungu obuba bubi ngemva kokudla noma uma buthintwa, umkhuhlane, isicanucanu, nokuhlanza. |
| Ukutheleleka komgudu womchamo (UTI) | Ukutheleleka komgudu womchamo, ukuchama njalo, umchamo onegazi noma onamafu, ubuhlungu bomhlane noma besisu. |
| Ukutheleleka kwezitho zangasese | Ukubomvu, ukuvuvukala, ubuhlungu, ukulunywa, iphunga elibi, ukukhishwa okukhulu koketshezi. |
| Izimo ezivame ukungabi zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ezinye izifo ezincane | Uhudo, ikhanda elibuhlungu, ikhala eligobhozayo noma elicijile, umphimbo obuhlungu. |
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi umuthi obalulekile osiza ukulawula isifo sikashukela sakho. Njalo thatha njengoba udokotela wakho ekuyalele , ngesikhathi esifanele.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo.
- Qaphela izimpawu zoshukela ophansi egazini (isiyezi, ukujuluka, indlala enkulu) kanye noshukela ophezulu egazini (ukoma ngokweqile, ukuchama njalo).
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokusabela okukhulu kokungezwani komzimba, ubunzima bokuphefumula, noma ubuhlungu obukhulu besisu , funa iseluleko sezokwelapha ngokushesha.
- Lo muthi uyingxenye eyodwa nje yohlelo lwakho lokuphatha isifo sikashukela. Qiniseka ukuthi ulandela ukudla okufanele kanye nesimiso sokuvivinya umzimba.
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