Ukuphila nesifo sikashukela kungaba nzima ngezinye izikhathi, akunjalo? Ukuthatha amaphilisi amaningana ngosuku nakho kuyinto enzima. Ngakho-ke uma udokotela wakho ekunike inhlanganisela yale mithi emithathu, lokho kusho ukuthi umsebenzi wakho usulula kakhulu. Ake sixoxe kafushane ngalo muthi, ukuthi wenzani, nokuthi yini okudingeka uyiqaphele.
Uyini lomuthi? Usebenza kanjani emzimbeni?
Kalula nje, lo umuthi owelapha isifo sikashukela sohlobo lwesibili. Leli philisi liqukethe inhlanganisela yemithi emithathu: i-Empagliflozin, i-Linagliptin, ne-Metformin.
Into eyinhloko ngalo muthi ukulawula amazinga kashukela egazini lakho (i-glucose). Futhi, lo muthi usiza ekunciphiseni ingozi yokuhlaselwa yinhliziyo kanye nesifo sohlangothi esingaba khona kumuntu onesifo sikashukela. Kodwa khumbula, lo muthi wodwa awanele. Ukuze uthole imiphumela efanele, kufanele ulawule ukudla kwakho kanye nokuzivocavoca umzimba kanye nalo muthi.
ESri Lanka, lo muthi ungaba ngaphansi kwamagama emikhiqizo efana nethi ``Trijardy XR''.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Kubaluleke kakhulu ukuthi udokotela wakho azi umlando wakho wezokwelapha ophelele. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi uyamtshela ngaphambi kokuqala lo muthi.
| Isimo esikukhathazayo | Izizathu zokwazisa udokotela |
|---|---|
| Uma unesifo sikashukela sohlobo 1 | Lo muthi awufaneleki isifo sikashukela sohlobo 1. |
| Isifo sezinso noma sesibindi | Ngenxa yokuthi imithi ikhishwa emzimbeni ngalezi zitho zomzimba, kubalulekile ukwazi umsebenzi wazo. |
| Isifo senhliziyo, ukuhlaselwa yinhliziyo, noma ukwehluleka kwenhliziyo | Lokhu kubalulekile ekunqumeni umphumela kanye nomthamo womuthi. |
| Uma uke waba ne-Diabetic Ketoacidosis (DKA) ngaphambilini | Kumelwe siqaphele ingozi yokuthi lesi simo siphinde sivele. |
| Uma uphuza utshwala njalo | Ukuhlanganisa utshwala nalo muthi kungabangela imiphumela emibi eyingozi. |
| Uma uhlelelwe ukuhlinzwa noma ukuskena kwe-CT/X-ray | Umuthi kungadingeka uyekwe okwesikhashana ngaphambi nangemva kwezimo ezinjalo. |
| Uma unezifo zomgudu womchamo ezivame ukwenzeka (UTIs) noma izifo zemvubelo yesitho sangasese sowesifazane | Lo muthi ungandisa kancane ingozi yokutheleleka okunjalo. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Kulezi zimo, kubaluleke kakhulu ukukhuluma nodokotela wakho ngemiphumela yomuthi. |
| Ezinye izinkinga zempilo (isib. i-pancreatitis, ukuntuleka kwe-vitamin B12, izilonda ezinyaweni, izinkinga zokujikeleza kwegazi) | Ukufaneleka komuthi kufanele kunqunywe ngokusekelwe esimweni sakho sempilo iyonke. |
Ngingawusebenzisa kanjani lo muthi?
Lokhu kulula kakhulu.
- Gwinya iphilisi ngengilazi yamanzi .
- Yithathe ngesikhathi esifanayo nsuku zonke, ekuseni kanye nokudla.
- Okubaluleke kakhulu: Ungaliphuli, ungalichobozi, noma ulihlafune leli philisi. Gwinya lonke iphilisi.
- Qhubeka uthatha umuthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
Inothi elibalulekile: Lo muthi ungowakho kuphela. Ungawuniki omunye umuntu onezimpawu ezifana nezakho. Ungaba yingozi.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ngakho, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital . Noma, iya e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma uphuthelwa 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 imithamo emibili ngesikhathi esisodwa.
Eminye imithi engase ihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, amakhambi, kanye nezithasiselo. Eminye imithi ingasebenzisana nalo muthi futhi ibangele imiphumela emibi.
| Ungasebenzisi umuthi ngalezi zinto! | |
|---|---|
| Amanye ama-contrast agents (amadayi) anikezwa ngaphambi kokuskena kwe-CT, i-MRI, noma i-X-ray | Ngenxa yokuthi lokhu kungathinta izinso, udokotela wakho angakutshela ukuthi uyeke okwesikhashana ukuthatha imithi. |
| Qaphela kakhulu uma uthatha le mithi. |
|---|
|
Eminye imithi, ikakhulukazi ama-beta-blocker, ingafihla izimpawu zoshukela ophansi egazini (i-hypoglycemia) (isb., ukushaya kwenhliziyo okukhuphukile). Ngakho-ke, kubalulekile ukwazisa udokotela wakho ngayo yonke imithi oyiphuzayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
Bona udokotela njalo.
Udokotela wakho uzokuhlola njalo ukuze abone ukuthi isifo sakho sikashukela silawulwa kahle kangakanani. Bazophinde bakucele ukuhlolwa kwegazi okubizwa ngokuthi i-HbA1C (A1C) . Lokhu kungabonisa amazinga akho ajwayelekile kashukela egazini ezinyangeni ezi-2-3 ezedlule.
Qaphela ushukela wegazi ophansi (i-Hypoglycemia)
Lokhu kubaluleke kakhulu. Qaphela izimpawu zoshukela ophansi egazini ( isiyezi , ukujuluka, ukuthuthumela, ukudideka). Hlala ugcina ushukela, njenge-candy bar noma amaphilisi e-glucose, eduze. Uma uquleka ngenxa yoshukela ophansi egazini, ungase ungakwazi ukufaka lutho emlonyeni wakho, ngakho qiniseka ukuthi utshela umndeni wakho nabangani bakho ngalokhu. Uma lokhu kwenzeka, funa usizo lwezokwelapha ngokushesha.
Nakekela ukumuncwa kwamanzi emzimbeni wakho.
Kubalulekile ukuhlala ungenamanzi emzimbeni ngenkathi uthatha lo muthi. Phuza amanzi amaningi usuku lonke. Uma ubona izimpawu ezifana nomkhuhlane, ukuhlanza, noma isifo sohudo, njengoba lokhu kungabangela ukuphelelwa amanzi emzimbeni, tshela udokotela wakho ngokushesha.
Ungesabi isembozo sephilisi.
Ngemva kokuba umuthi okuleli philisi umuncwa emzimbeni, ungqimba lwangaphandle lungase lungancibiliki futhi lungase ludlulele esitulweni. Lokhu kuvamile. Ungakhathazeki ngakho.
I-Vitamin B12
Ukusetshenziswa isikhathi eside kwe-metformin kungabangela ukuthi amazinga e-vitamin B12 ehle kancane, ngakho-ke udokotela wakho uzokuqapha lokho.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye yayo iyingozi, eminye yayo ivamile.
| Uma unalezi zimpawu, xhumana nodokotela ngokushesha! | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| I-ketoacidosis yesifo sikashukela (i-DKA) | Umlomo owomile, ukoma ngokweqile, ubunzima bokuphefumula, iphunga lokuphefumula elifana nezithelo, ubuhlungu besisu, nokuhlanza. |
| I-Pancreatitis | Ubuhlungu obukhulu esiswini esingaphezulu obuphuma emhlane, ubuhlungu obuba bubi ngemva kokudla, umkhuhlane, ukuhlanza. |
| Ukutheleleka komgudu womchamo (UTI) | Ukutheleleka komgudu womchamo, ukuchama njalo, umchamo onegazi, ubuhlungu emhlane noma esinqeni. |
| Ukutheleleka kwezifo zangasese | Ubomvu, ukuvuvukala, ukulunywa, ubuhlungu, iphunga. |
| Ukwehluleka kwenhliziyo | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala nezinyawo, ukukhuluphala ngokuzumayo, ukukhathala okukhulu. |
| Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Uhudo | Ukukhwehlela, umphimbo obuhlungu |
| Ikhanda elibuhlungu | Izimpawu ezifana nokubanda (ukuhlanza) |
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi wenzelwe isifo sikashukela sohlobo 2 kuphela. Kufanele futhi usetshenziswe kanye nokudla kanye nokuzivocavoca umzimba.
- Thatha iphilisi ngesikhathi esifanayo njalo ekuseni, kanye nokudla. Ungaliphuli, ulichoboze, noma ulihlafune.
- Qaphela izimpawu zoshukela wegazi ophansi. Gcina ushukela eduze njalo.
- Gcina amazinga amanzi anele emzimbeni, ikakhulukazi uma unomkhuhlane, ukuhlanza, noma isifo sohudo.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi oyithathayo, ezinye izifo zakho, kanye nanoma yikuphi ukuhlinzwa osuzokwenziwa.
- Uma uzwa ubuhlungu obukhulu esiswini, ubunzima bokuphefumula, noma ukusabela okubi kakhulu kokungezwani komzimba, funa iseluleko sezokwelapha ngokushesha.
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