Isifo sikashukela yisifo esivamile kakhulu abantu abaningi ezweni lethu ababhekene naso. Ngakho-ke udokotela wakho kungenzeka ukuthi ukunike ukwelashwa kwalokhu. Uma uthole iphilisi elihlanganisa imithi emibili ebizwa ngokuthi i-Empagliflozin ne-Metformin, lesi sihloko sizoba sibaluleke kakhulu kuwe. Ake sixoxe ngalo muthi, ukuthi wenzani, nokuthi yini okudingeka uyiqaphele ngenkathi uwusebenzisa.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lo muthi usetshenziselwa ukwelapha isifo sikashukela sohlobo 2. Imithi emibili kulo muthi isebenza ndawonye ukusiza ukulawula nokwehlisa amazinga kashukela egazini (i-glucose) emzimbeni wakho.
Kodwa khumbula into eyodwa. Lo muthi wodwa awanele. Kanye nalokhu, ukudla okufanele kanye nokuzivocavoca umzimba kubalulekile. Kuphela uma lezi zinto ezintathu zihlanganisiwe lapho ungathola khona imiphumela emihle kakhulu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yomlando wakho wezempilo. Ngoba lolo lwazi luzobasiza ukuthi banqume ukuthi lo muthi ukulungele yini noma ukuthi umthamo udinga ukushintshwa. Uma unezinye zezimo ezingezansi, qiniseka ukuthi wazisa udokotela wakho.
| Isimo sempilo noma umkhuba | Kungani isaziso sibalulekile? |
|---|---|
| Isifo sezinso noma sesibindi | Ngenxa yokuthi izidakamizwa zikhishwa emzimbeni ngalezi zitho, kubalulekile ukwazi ukuthi zisebenza kanjani. |
| Isifo senhliziyo noma i-cholesterol ephezulu | Lokhu kufanele kubikwe ngoba kungathinta izimo zenhliziyo. |
| Ukuphuza njalo | Kukhona ingozi yemiphumela emibi kakhulu ngotshwala. |
| Ukuphelelwa amanzi emzimbeni, ukuhlanza, noma ukudla ukudla okunosawoti omncane | Amazinga aphansi oketshezi emzimbeni angabangela izinkinga ngalo muthi. |
| Uma uke waba ne-ketoacidosis yesifo sikashukela ngaphambili | Lesi yisimo esibucayi. Udokotela kufanele aqaphele. |
| Ukutheleleka njalo komgudu womchamo noma ukutheleleka kwemvubelo yesitho sangasese | Lo muthi ungandisa kancane ingozi yokuthola izifo ezinjalo. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Lo muthi awufaneleki kulezi zimo, futhi kubalulekile ukufuna iseluleko sezokwelapha. |
| Uma uzohlinzwa noma yikuphi | Umuthi kungadingeka uyekwe okwesikhashana ngaphambi kokuhlinzwa. |
| Uma une-allergies kweminye imithi, ukudla, noma udayi | Kubalulekile ukwazisa nganoma yikuphi ukungezwani komzimba. |
Uyisebenzisa kanjani kahle le mithi?
Lokhu futhi kulula kakhulu.
- Phuza leli philisi kanye nokudla nengilazi yamanzi. Gwema ukuthatha isisu esingenalutho.
- Thatha umuthi njengoba uyalelwe udokotela, ngesikhathi esifanele.
- Ungalokothi uyeke ukuthatha imithi noma wandise noma wehlise umthamo ngaphandle kweseluleko sikadokotela wakho.
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 ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Wenzani uma uphuza kakhulu?
Uma ucabanga ukuthi uphuze umuthi omningi kakhulu, thatha isinyathelo ngokushesha. Ungalibali. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha okukhulu. Ngaphandle kwalokho, thatha isinyathelo ngokushesha okukhulu.Shayela i -National Poison Information Center e-Colombo National Hospital .
Eminye imithi engase ihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, hhayi nje leyo oyinikezwe udokotela wakho, kodwa futhi namavithamini, amakhambi, kanye nezithasiselo ozithathayo. Eminye imithi ingathintana nalokhu futhi ibangele izinkinga.
Ikakhulukazi, amanye ama-contrast agents afakwa emzimbeni ngaphambi kokuhlolwa okufana ne-X-ray, i-CT scans, kanye ne-MRI akufanele athathwe nalo muthi nhlobo. Futhi, ungawuthathi umuthi i-dofetilide.
Ngaphezu kwalokho, eminye imithi eminingi, njengaleyo yomfutho wegazi ophakeme, isifo senhliziyo, i-HIV, ama-hormone, nama-steroid, ingathintana nalokhu. Ngakho-ke, kungcono ukunikeza udokotela wakho uhlu lwazo zonke imithi oyiphuzayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
Kungumqondo omuhle ukunaka umzimba wakho kancane ngenkathi uthatha lo muthi.
- Amazinga kashukela egazini: Funda ukuthi ungalinganisa kanjani amazinga kashukela egazini lakho. Qaphela izimpawu zikashukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia). Gcina ikhiyubhu kashukela noma ucezu lweswidi eduze ukuze ulusebenzise uma uzwa izimpawu zikashukela ophansi egazini.
- Ukuhlolwa kwe-HbA1C: Udokotela wakho uzokucela ukuthi uhlole igazi elibizwa ngokuthi i-HbA1C njalo ezinyangeni ezi-3 kuya kwezi-6. Lokhu kungakusiza ubone ukuthi ushukela wakho wegazi ulawulwe kanjani ezinyangeni ezi-2-3 ezedlule.
- Ungayeki ukudla: Yidla ngesikhathi esifanele.
- Izimo ezibucayi: Nakuba zingavamile, lo muthi ungabangela isimo esibucayi esibizwa ngokuthi i-lactic acidosis, lapho izinga le-asidi egazini likhuphuka khona. Uma uzwa isicanucanu, ukuhlanza, ubuhlungu besisu, ukukhathala okukhulu, noma ubunzima bokuphefumula , yeka ukuthatha umuthi ngokushesha bese ushayela udokotela wakho ucingo.
- I-Vitamin B12 kanye ne-Folic Acid: Ukuthatha lo muthi isikhathi eside kunganciphisa amazinga e-vitamin B12 kanye ne-folic acid emzimbeni. Ngakho-ke, qiniseka ukuthi udla ukudla okunomsoco. Uma kudingeka, udokotela wakho uzokunikeza isithasiselo se-vitamin.
- Umazisi Wezokwelapha: Uma ugqoka ikhadi noma isongo elibhalwe ukuthi unesifo sikashukela kanye nemithi oyiphuzayo, kungaba usizo kakhulu esimweni esiphuthumayo.
Imiphumela emibi engaba khona
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile. Kubalulekile ukuqaphela lokhu.
| Izimpawu okufanele zibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | 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. |
| I-Lactic acidosis (i-lactic acid ephezulu) | Ubuhlungu noma ukuqaqamba kwemisipha, ubuhlungu besisu, ubunzima bokuphefumula, ukukhathala okukhulu. |
| Ukutheleleka komgudu womchamo (UTI) | Ukushisa ngesikhathi sokuchama, ukuchama njalo, igazi noma umchamo omnyama, ubuhlungu besisu noma umhlane. |
| Ukutheleleka kwezitho zangasese | Ukubomvu, ukuvuvukala, ubuhlungu, ukulunywa, iphunga, noma uketshezi olujiyile. |
| Izimpawu ezivame ukuba yinto engakhathazeki ngazo, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Uhudo | Ukuqunjelwa |
| Igesi | Ukugcwalisa isisu |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu |
| Ukunambitheka kwensimbi emlonyeni | Ukunambitheka okufana nensimbi emlonyeni |
| Isicanucanu | Ukuzizwa sengathi uhlanza |
Umlayezo Wokuya Nawe Ekhaya
- Njalo thatha lo muthi njengoba uyalelwe udokotela wakho, kanye nokudla.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nazo zonke ezinye izimo zezokwelapha onazo.
- Qaphela izimpawu zemiphumela emibi kakhulu (njengobunzima bokuphefumula, ubuhlungu obukhulu besisu, ukuhlanza) bese ucela iseluleko sezokwelapha ngokushesha uma kwenzeka noma yikuphi kwalokhu.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela. Khuluma nodokotela wakho uma unenkinga.
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