Isifo sikashukela yisimo abantu abaningi ezweni lethu ababhekene naso njengamanje futhi esidinga ukunakwa okukhulu. Kunezinhlobo ezahlukene zemithi yokulawula lokhu. Mhlawumbe udokotela wakho ukutshelile nokuthi usebenzise umjovo ofana nepeni elifakwa ngaphansi kwesikhumba. Namuhla sikhuluma ngomjovo owodwa onjalo, 'i-Dulaglutide'. Ungase ukwazi lokhu ngegama lomkhiqizo elithi Trulicity. Ngakho-ke, ake sixoxe ngalomuthi kalula nangendlela enobungane.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lo muthi usiza ukulawula isifo sikashukela sohlobo 2. Usebenza ngezindlela eziningana.
- Ukukhulisa i-Insulin: Lo muthi uvuselela ukukhiqizwa kwemvelo kwe-insulin emzimbeni wakho, i-hormone esiza ukuhambisa ushukela (i-glucose) egazini uye emangqamuzaneni bese uyiguqula ibe amandla.
- Ukunciphisa ukukhiqizwa kukashukela: Lo muthi unciphisa inani likashukela isibindi sakho esilifaka egazini lakho.
- Ukugaya ukudla okuhamba kancane: Lo muthi wehlisa izinga lokugaya ukudla esiswini sakho. Lokhu kusiza ukulawula ukwanda okungazelelwe kwamazinga kashukela egazini ngemva kokudla. Kukusiza futhi ukuthi uzizwe usuthi isikhathi eside, okungasiza ekulawuleni ukudla ngokweqile.
Ngaphezu kwalezi zinto, ucwaningo luthole ukuthi lo muthi uyasiza ekunciphiseni ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi kubantu abanesifo sikashukela sohlobo lwesibili.
Kodwa khumbula, lo muthi wodwa awanele. Ukudla okufanele kanye nokuzivocavoca umzimba kuyizingxenye ezimbili ezibaluleke kakhulu zalokhu kwelashwa.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuthi uqale ukuthatha i-Dulaglutide, kubalulekile ukutshela udokotela wakho ngempilo yakho. Ikakhulukazi uma wena noma omunye umuntu emndenini wakho enanoma yiziphi zalezi zimo ezilandelayo:
| Isimo okudingeka usibike | Kungani lokho kubalulekile? |
|---|---|
| Wena noma othile emndenini wakho unomdlavuza we-thyroid noma i-MEN 2, umdlavuza wezindlala ze-endocrine. | Kukhona ingozi encane kakhulu yokuthi lo muthi ungase uhlotshaniswe nezinhlobo ezithile zomdlavuza we-thyroid, ngakho-ke kubalulekile ukwazisa udokotela wakho ngalokhu. |
| Njengoba ngike ngaba nomlando we-pancreatitis ngaphambilini. | Lo muthi awuvamile ukubangela i-pancreatitis, ngakho-ke kubalulekile ukwazi ngomlando wangaphambilini. |
| Isifo sezinso noma sesibindi. | Lezi zifo zingathinta indlela umzimba wakho okhipha ngayo imithi, ngakho-ke kungadingeka ulungise umthamo wakho noma unake ngokukhethekile. |
| Izinkinga zamehlo (i-Diabetic Retinopathy). | Kubalulekile ukwazisa udokotela wakho ngoba ngezinye izikhathi izinkinga zamehlo ezibangelwa isifo sikashukela zingaba nzima. |
| Ukukhulelwa, ukuzama ukukhulelwa, noma ukuncelisa ingane. | Ezimweni ezinjalo, kubalulekile ukuxoxa ngokuphepha kwalo muthi nodokotela wakho bese wenza isinqumo. |
| Ukungezwani neminye imithi, ukudla, noma izinto ezithile. | Lokhu kubalulekile ukuqinisekisa ukuthi une-allergy ku-dulaglutide noma yini ekuyo. |
Lo muthi wokugoma usetshenziswa kanjani?
Lona umjovo ofakwa ngaphansi kwesikhumba. Ngokuvamile, udokotela wakho noma abasebenzi bobuhlengikazi bazokukhombisa ukuthi ungawunikeza kanjani ngendlela efanele.
- Kanye ngesonto: Lo mjovo kufanele unikezwe ngosuku nangesikhathi esifanayo isonto ngalinye. Isibonelo, njalo ngeSonto ekuseni.
- Ungaligqoki ipeni: Leli peni lomjovo alidingi ukugqokiswa ngaphambi kokusetshenziswa. Lifika selilungele ukusetshenziswa.
- Zungezisa izindawo zokujova: Esikhundleni sokusebenzisa indawo yokujova efanayo njalo, zungezisa indawo yokujova. Ungasebenzisa izindawo ezifana nesisu, ithanga, noma ingemuva kwengalo engenhla.
- Ungaxubani ne-insulin:Uma uthatha nemijovo ye-insulin, ungalokothi uhlanganise imithi emibili bese uyijova ngesirinji esifanayo. Jova imijovo emibili ngokwehlukana, ezindaweni ezimbili ezihlukene.
- Izinaliti ezisetshenzisiwe: Ungalokothi ulahle izinaliti ezisetshenzisiwe emgqonyeni kadoti. Ziyingozi kakhulu. Kufanele zifakwe esitsheni esikhethekile sezinto ezibukhali esingasuswa. Uma ungenayo, cela udokotela wakho akunike eyodwa.
Yini okufanele uyenze uma uphuthelwa umthamo?
Uma uphuthelwa umthamo wakho ohleliwe, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma umthamo wakho olandelayo ungaphansi kwezinsuku ezi-3 (okungukuthi, sekwephuzile izinsuku ezingaphezu kwezi-4), yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngosuku oluhleliwe ngesikhathi esifanayo. Ungathathi imithamo emibili ngesikhathi esisodwa.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma usola ukuthi usuthathe lo muthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Ngaphandle kwalokho, shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukuhlolwa Koshukela Egazini: Funda ukuthi ungawuhlola kanjani ushukela wakho wegazi ekhaya. Yazi izimpawu ze-hypoglycemia kanye ne-hyperglycemia nokuthi ungabhekana kanjani nazo.
- Ukuhlolwa kwe-HbA1C: Udokotela wakho uzokwenza ukuhlolwa kwegazi okubizwa ngokuthi i-HbA1C njalo ezinyangeni ezi-3 kuya kwezi-6. Lokhu kulinganisa ukuthi isifo sakho sikashukela silawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule.
- Uma ushukela wakho wegazi wehla: Hlala ugcina ushukela (isib. ama-sugar cubes, amaphilisi e-glucose, i-toffee) nawe. Uma ushukela wakho wegazi wehla kakhulu futhi uzizwa unesiyezi noma uqulekile, ungafaki lutho emlonyeni wakho ngaleso sikhathi. Kufanele uye esibhedlela ngokushesha.
- Ukuhlanza noma uhudo: Uma uhlanza noma uhudo ngokweqile, noma uma ujuluka kakhulu, ungase ulahlekelwe amanzi amaningi emzimbeni wakho bese uphelelwa amanzi emzimbeni. Lokhu akukuhle ezinso zakho. Khuluma nodokotela wakho ngezikhathi ezinjalo.
- Ungabelani ngepeni lakho: Ungalokothi wabelane ngepeni lakho lomjovo nomunye umuntu. Ngisho noma nisebenzisa inalithi efanayo, nisengasakaza amagciwane ayingozi njenge-Hepatitis ne-HIV.
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, i-Dulaglutide ingabangela imiphumela emibi kwabanye abantu. Eminye yale miphumela iyingozi, kanti eminye imnene.
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| I-Pancreatitis | Ubuhlungu obukhulu besisu obusakazekela emhlane, ikakhulukazi ngemva kokudla, ukuhlanza, kanye nomkhuhlane. |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Isimila se-thyroid | Ukuzwa iqhubu noma ukuvuvukala entanyeni, ubunzima bokugwinya, ukushintsha kwezwi. |
| Izinkinga zezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Isicanucanu nokuhlanza | Lokhu kungenzeka kubantu abaningi ezigabeni zokuqala, futhi kuvame ukuncipha ngokuhamba kwesikhathi. |
| Uhudo | Lokhu futhi kuyimiphumela emibi evamile. |
| Ubuhlungu besisu nokulahlekelwa yisifiso sokudla | Lokhu kungase futhi kunciphe njengoba umzimba ujwayela imithi. |
Ungawugcina kanjani umuthi?
Lokhu kubaluleke kakhulu. Ukuze kulondolozwe ikhwalithi yomuthi, kumele ugcinwe ngendlela efanele.
- Ukuqandisa (indlela engcono kakhulu): Gcina amapani amasha angasetshenziswanga esiqandisini, hhayi emnyango, kodwa eshalofini elingaphakathi ezingeni lokushisa eliphakathi kwama-degree Celsius angu-2 no-8. Wagcine ebhokisini elifanayo angene kulo.Ungalokothi uwufake efrijini. Ungawusebenzisi umuthi uma uqandisiwe.
- Izinga lokushisa legumbi: Uma kudingeka, ipeni elilodwa lingagcinwa ezingeni lokushisa legumbi (ngaphansi kwama-degree Celsius angu-30) kuze kube yizinsuku ezingu-14 . Kodwa ungalisebenzisi ngemva kwezinsuku ezingu-14. Vikela ekukhanyeni nasekushiseni ngokweqile.
Ungayisebenzisi imithi ephelelwe yisikhathi. Cela iseluleko kudokotela wakho mayelana nendlela yokuyilahla ngendlela efanele.
Umlayezo Wokuya Nawe Ekhaya
- I-Dulaglutide iwumjovo osetshenziswa kanye ngesonto ukwelapha isifo sikashukela sohlobo 2 nokunciphisa ingozi yesifo senhliziyo esihambisana naso.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nazo zonke izimo zakho zezempilo ngaphambi kokuqala umuthi.
- Ungalokothi wabelane ngepeni lomjovo nomunye umuntu. Lahla izinaliti ezisetshenzisiwe ngokuphephile.
- Qaphela izimpawu zokwehla kukashukela egazini (ukuquleka, ukujuluka) kanye nemiphumela emibi kakhulu (ubuhlungu obukhulu besisu, amaqhubu entanyeni).
- Kubaluleke kakhulu ukugcina umuthi ngendlela efanele esiqandisini.
- Ngesikhathi uthatha lo muthi, ukudla okufanele kanye nokuzivocavoca umzimba kubalulekile ukuze ukwelashwa kuphumelele.
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