Uma udokotela wakho ekutshela ukuthi unesifo sikashukela sohlobo lwesibili, kungenzeka ukuthi unikezwe imithi ehlukahlukene yokulawula amazinga kashukela egazini lakho. Phakathi kwayo, kungenzeka ukuthi uthole iphilisi eliqukethe inhlanganisela yemithi emibili ebizwa ngokuthi i-Empagliflozin ne-Metformin. ESri Lanka, lo muthi ungaba ngaphansi kwamagama emikhiqizo efana ne-Synjardy XR. Ngakho-ke namuhla, ake sixoxe ngalo muthi nezinto okufanele uziqaphele lapho uwusebenzisa, kalula nangokucacile.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lo umuthi owehlisa izinga likashukela (i-glucose) egazini lakho. Uyinhlanganisela yezinhlobo ezimbili zemithi.
1. I-Empagliflozin: Lokhu kusebenza ngokwenza izinso zakho zikhiphe ushukela omningi emzimbeni wakho ngomchamo wakho.
2. I-Metformin: Lokhu kunciphisa kakhulu inani likashukela elikhiqizwa yisibindi sakho, futhi kusiza amangqamuzana omzimba wakho ukuthi asabele kangcono ku-insulin.
Into ebaluleke kakhulu ukuthi lo muthi uvame ukunqunywa kanye nokudla okuhle kanye nokuzivocavoca umzimba . Ukuthatha umuthi kuphela akwanele, nakanjani udinga ukushintsha indlela yakho yokuphila.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuthi uqale lo muthi, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele, ikakhulukazi uma unezinye zezimo ezibalwe ngezansi.
| Uhlobo lolwazi | Incazelo |
|---|---|
| Izimo zezokwelapha ezikhona | Isifo sezinso, isifo sesibindi, isifo senhliziyo, i-cholesterol ephezulu, i-anemia (inani eliphansi legazi), umfutho wegazi ophansi, izinkinga ze-pancreas (i-Pancreatitis), i-Polycystic Ovary Syndrome (i-PCOS), isifo sikashukela sohlobo 1. |
| Izifo nezinye izinkinga | Uma unezifo zomgudu womchamo ezivame ukwenzeka (UTIs), umlando wokutheleleka kwemvubelo endaweni yesitho sangasese, ubunzima bokuchama, izifo ezinkulu, noma ukulimala. |
| Indlela yokuphila nokudla | Uma uphuza utshwala njalo, ulandela ukudla okunosawoti omncane, udla kancane ngenxa yokugula, ukuhlinzwa, noma ezinye izizathu, uhlanza, noma uphelelwa amanzi emzimbeni. |
| Imicimbi ekhethekile | Uma ukhulelwe noma uzama ukukhulelwa, umama oncelisayo, uzohlinzwa maduze, noma une-allergy kunoma yimuphi umuthi noma ukudla. |
Ungayisebenzisa kanjani imithi ngendlela efanele?
Khumbula lezi zinto kahle.
- Thatha lo muthi nengilazi yamanzi.
- Gwinya iphilisi lonke. Ungaliphuli, ulichoboze, noma ulihlafune. Lokhu kungenxa yokuthi lezi zenzelwe 'ukukhululwa okunwetshiwe', okusho ukuthi umuthi ukhishwa emzimbeni ngokuhamba kwesikhathi. Uma uphula iphilisi, umuthi ungangena emzimbeni wonke ngesikhathi esisodwa futhi ubangele izimo eziyingozi.
- Thatha lo muthi kanye nokudla .
- Thatha umuthi njengoba nje udokotela wakho ekuyalile, ngesikhathi osinqunyiwe. Ungayeki ukuthatha umuthi nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi ususebenzise izidakamizwa ngokweqile, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital (inombolo yocingo 0112686143) noma uye esibhedlela esiseduze i-Emergency Treatment Unit (ETU) .
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo njengoba kuhleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Eminye imithi engase ihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo). Eminye imithi ingabangela izinkinga uma ithathwa ndawonye.
Ikakhulukazi, eminye imithi 'ephikisanayo' efakwa emzimbeni ngaphambi kokuhlolwa okufana ne-X-ray, i-CT scan, kanye ne-MRI akufanele ithathwe nalo muthi. Futhi, ungayithathi umuthi obizwa ngokuthi i-Dofetilide.
Nikeza udokotela wakho uhlu lwazo zonke izidakamizwa ozithathayo. Leyo yindlela ephephile yokukwenza. Eminye imithi yokukhwehlela nomkhuhlane etholakala ngaphandle kwemithi kadokotela ingase ibe noshukela notshwala, okungathinta amazinga kashukela egazini lakho.
Izinto okufanele uziqaphele kakhulu lapho uthatha umuthi
- I-Lactic Acidosis: Lesi yisimo esingavamile kodwa esibucayi. Uma uzwa isicanucanu, ukuhlanza, ubuhlungu besisu, ukukhathala okukhulu, noma ubunzima bokuphefumula , yeka ukuthatha umuthi ngokushesha bese ushayela udokotela wakho ucingo.
- I-Diabetic Ketoacidosis (DKA): Lesi esinye isimo esibi kakhulu. Uma uhlangabezana nezimpawu ezifana nomlomo owomile, ukoma ngokweqile, ukuchama njalo, iphunga lokuphefumula elifana nezithelo, kanye nobunzima bokuphefumula, funa usizo lwezokwelapha ngokushesha.
- Ukuhlolwa kwe-HbA1C: Lokhu kuhlolwa kwegazi, okulinganisa ukulawulwa kukashukela egazini lakho ezinyangeni ezi-2-3 ezedlule, kufanele kwenziwe ngesikhathi esihleliwe njengoba kuqondiswe udokotela wakho.
- Ukulinganisa amazinga kashukela egazini: Funda izimpawu zikashukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia). Gcina okuthile ongakudla, njenge-sugar cube noma i-glucose tablet, uma kwenzeka ushukela wakho wegazi wehla.
- Ukuhlinzwa nokuhlolwa: Uma uzohlinzwa, i-MRI, noma i-CT scan, tshela ithimba lezokwelapha kusenesikhathi ukuthi uthatha lo muthi. Kungase kudingeke uyeke ukuthatha umuthi ngaphambi kwenqubo .
- Ukukhulelwa: Lo muthi ungandisa ingozi yakho yokukhulelwa. Ngakho-ke, khuluma nodokotela wakho mayelana nokusebenzisa indlela yokuvimbela inzalo efanele. Tshela udokotela wakho ngokushesha uma ukhulelwa noma ucabanga ukuthi kungenzeka ukuthi ukhulelwe.
- Ukuntuleka kwamavithamini: Ukusetshenziswa kwalomuthi isikhathi eside kungabangela amazinga aphansi evithamini B12 kanye ne-folic acid. Ngakho-ke, khuluma nodokotela wakho ngokudla ukudla okulinganiselayo kanye nokuthatha izithasiselo zamavithamini uma kudingeka.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Ake siwahlukanise ngezigaba ezimbili.
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha. | |
|---|---|
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izimpawu ze-Lactic Acidosis noma i-DKA | Ubuhlungu besisu, ubunzima bokuphefumula, ukukhathala okukhulu, isicanucanu, nokuhlanza. |
| Izifo | Ukutheleleka komgudu womchamo, ukuchama njalo (UTI). Ukubomvu, ukuvuvukala, ukulunywa, ubuhlungu, kanye nephunga endaweni noma eduze kwayo. |
| Ezinye izimpawu ezinkulu | Izimpawu zokuphelelwa ngamanzi emzimbeni (umlomo owomile, ukoma ngokweqile, umchamo omnyama), izimpawu zokuntuleka kwevithamini B12 (ukuba ndikindiki ezandleni nasezinyaweni, isiyezi, ubuthakathaka bemisipha). |
| Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Izinkinga zesistimu yokugaya ukudla | Uhudo, ukuqunjelwa, isicanucanu. |
| Ezinye izifo ezincane | Ikhanda elibuhlungu , ukunambitheka kwensimbi emlonyeni. |
Ugcina kanjani imithi iphephile?
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degree Celsius angu-15-30).
- Lahla imithi ephelelwe yisikhathi ngaphandle kokuyisebenzisa.
Umlayezo Wokuya Nawe Ekhaya
- Njalo thatha lo muthi njengoba nje udokotela wakho ekuyalele, ngesilinganiso esifanele nangesikhathi esifanele.
- Ungaliphuli, ulichoboze, noma ulihlafune iphilisi nganoma yisiphi isizathu. Ligwinye lonke.
- Yazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nezithasiselo ozithathayo.
- Qaphela izimpawu zemiphumela emibi engathi sína njenge-lactic acidosis, futhi funa iseluleko sezokwelapha ngokushesha uma uhlangabezana nanoma yikuphi kwalokhu.
- Hlola amazinga kashukela egazini lakho njalo bese ucela udokotela wakho ukuthi enze izivivinyo, njenge-HbA1c, ngesikhathi.
- Uma unemibuzo noma ukungabaza, sicela uxoxe ngakho nodokotela wakho.
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