Ngezinye izikhathi amazinga ethu kashukela egazini ehla ngokuzumayo, akunjalo? Kodwa ngenxa yezimo ezithile zezokwelapha ezikhethekile, umzimba ukhiqiza i-hormone insulin eningi kakhulu, futhi amazinga kashukela egazini angahlala ephansi ngendlela eyingozi. Ngokwezokwelapha, lokhu sikubiza ngokuphambene ne-hyperglycemia, okuyi-hypoglycemia. Ezimweni ezinjalo, umuthi okhethekile osetshenziswa odokotela ubizwa ngokuthi i-diazoxide. Namuhla, sizokhuluma ngalomuthi ngemininingwane ethe xaxa futhi kalula.

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Uhlobo luni lomuthi i-Diazoxide?

Kalula nje, i-Diazoxide umuthi olawula ukukhiqizwa kwe-hormone ebizwa ngokuthi i-insulin yi-pancreas yomzimba wethu. Ngokuvamile, i-insulin ilawula amazinga kashukela egazini ngokuthumela ushukela (i-glucose) egazini ungene emangqamuzaneni. Kodwa-ke, abanye abantu, ikakhulukazi izingane ezincane, bangase babe nesimo esibizwa ngokuthi i-hyperinsulinism lapho bekhiqiza khona i-insulin eningi kakhulu. Lokhu kubangela amazinga kashukela egazini ehle ngendlela eyingozi.

I-Diazoxide isebenza ngokuvimbela lokhu kukhiqizwa kwe-insulin okungadingekile . Lokhu kubuyisela amazinga kashukela egazini esimweni esijwayelekile. Ivame ukuza ngesimo soketshezi (ukumiswa ngomlomo). ESri Lanka, ngezinye izikhathi ingatholakala ngaphansi kwegama lomkhiqizo i-Proglycem.

Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi

Ngaphambi kokunikeza wena noma ingane yakho lo muthi, kubalulekile ukwazisa udokotela wakho ngalokhu okulandelayo: Lokhu kubaluleke kakhulu.

Uma unesifo sikashukela .
Uma unesifo senhliziyo .
Uma uke waba ne -gout ngaphambilini.
Uma unesifo sezinso .
Uma une -allergy ku-diazoxide, imithi ye-sulfa, noma yimuphi omunye umuthi, ukudla, noma udayi.
Uma ukhulelwe noma ulindele umntwana .
Uma ungumama oncelisayo .

Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukulungele yini noma cha, futhi uma kunjalo, uzowunikeza kanjani.

Ungayisebenzisa kanjani imithi ngendlela efanele?

Njengoba lokhu kungumuthi owuketshezi, qaphela lezi zinto uma usebenzisa.

1. Shukumisa kahle: Shukumisa ibhodlela kahle ngaphambi kokusebenzisa ngakunye.

2. Ukulinganisa okunembile: Sebenzisa kuphela isipuni sokulinganisa esikhethekile (isipuni esiphawuliwe) noma i-dropper eza nomuthi. Ungasebenzisi izipuni zasekhaya noma izipuni zerayisi. Ngoba azinikezi umthamo oqondile. Kungaba yingozi. Uma ungenaso isilinganiso esinjalo, buza udokotela wakho ngakho.

3.Ngesikhathi: Nikeza umuthi ngesikhathi esinqunyiwe kanye nezikhawu ezinqunyiwe njengoba kunqunywe udokotela. Unganikezi ngaphezu kwenani elinqunyiwe.

4. Uma unikezwa izingane: Lo muthi unikezwa ngisho nezinsana ezisanda kuzalwa ngaphansi kwezimo ezithile ezikhethekile. Kodwa kufanele wenziwe kuphela ngaphansi kokuqondisa kukadokotela wezingane . Ngakho-ke, qaphela kakhulu uma unikeza ingane lo muthi.

Kuthiwani uma ngikhohlwa ukuthatha umthamo othile womuthi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo okhohliwe.

Yini okufanele uyenze uma uphuza ngokweqile?

Uma ucabanga ukuthi uphuze umuthi omningi kunalokho obekucabanga, ungalibali.

Shayela i-National Poisons Information Centre ngokushesha e-Colombo National Hospital . Noma uye e -Emergency Treatment Unit (ETU) yesibhedlela esiseduze ngokushesha okukhulu. Phatha lokhu njengesimo esiphuthumayo.

Yimiphi imiphumela emibi engaba khona?

Njenganoma yimuphi umuthi, i-Diazoxide ingabangela eminye imiphumela emibi. Eminye yale miphumela iyingozi, kanti eminye ivamile. Ithebula elingezansi linikeza isithombe esicacile salokhu.

Umphumela ongemuhle	Incazelo
Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha
Ukusabela kokungezwani komzimba	Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi.
Izinguquko zombono	Umbono ofiphele, izinguquko ekuboneni.
Ubuhlungu besifuba, izinguquko ekushayeni kwenhliziyo	Ukuzwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile, ubuhlungu besifuba.
Izinguquko emchameni kanye nokoma ngokweqile	Umchamo omnyama noma onamafu, ukwehla kokukhishwa komchamo, ukoma ngokweqile, kanye nephunga elimnandi lomoya.
Ukuvuvukala komzimba noma ukukhuluphala	Ukuvuvukala okungavamile komzimba, ikakhulukazi izitho zomzimba, noma ukukhuluphala ngokuzumayo.
Ezinye izimpawu ezinkulu	Ukuzungeza, ukuwa, ukuphuka noma ukuphuma kwegazi okungavamile, ukunyakazisa amehlo noma umlomo okungavamile, ukukhathala okukhulu.
Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka
Ukukhula kwezinwele okungavamile	Ukukhula kwezinwele okungavamile emzimbeni, ikakhulukazi ebusweni nasemalungeni amantombazane nabesifazane (i-hirsutism).
Izinkinga zesistimu yokugaya ukudla	Ukulahlekelwa yisifiso sokudla, isicanucanu, ukuhlanza, uhudo, ukushintsha kokunambitheka.
Ikhanda elibuhlungu	Ikhanda elibuhlungu.

Ukusebenzisana neminye imithi

Eminye imithi oyithathayo ingase ihlangane ne-Diazoxide, ikakhulukazi:

Imithi yokuhlanza
Imithi yokwelapha umfutho wegazi ophakeme
Imithi yesifo sokuwa njengePhenytoin
Izinto zokunciphisa igazi ezifana ne-Warfarin

Ngakho-ke, nikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa ozithathayo (kufaka phakathi amavithamini, imithi ethengwa ngaphandle kwemithi kadokotela, kanye nezithasiselo).

Umlayezo Wokuya Nawe Ekhaya

I-Diazoxide umuthi osetshenziselwa ukwelapha isimo esithile lapho amazinga kashukela egazini ehla khona kakhulu. Sebenzisa lokhu kuphela ngokweseluleko sikadokotela.
Uma unikeza umuthi, sebenzisa kuphela isipuni noma i-dropper ekhethekile yokulinganisa ehambisana nayo. Gwema ukusebenzisa izipuni zasekhaya.
Ngaphambi kokuqala umuthi, tshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye nayo yonke eminye imithi oyithathayo.
Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobuhlungu besifuba, ubunzima bokuphefumula, noma ukuvuvukala komzimba, bona udokotela ngokushesha.
Ukweqisa umthamo kuyisimo esiphuthumayo. Shayela i-National Poisons Information Center ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU).
Gcina lo muthi kude nezingane, kude nokukhanya, futhi endaweni yokushisa yegumbi.