Ingabe udokotela wakho uke wakubhalela umuthi omusha wesifo sikashukela? Igama elide, akunjalo? Liyinhlanganisela yemithi emibili ebizwa ngokuthi i-Ertugliflozin kanye ne-Metformin. Kungenzeka ukuthi uke wezwa ngawo ngaphansi kwegama lomkhiqizo i-Segluromet. Ngakho-ke, ake sixoxe kafushane, njengokungathi sikhuluma nomngane, ngokuthi lo muthi uyini, ukuthi usebenza kanjani emizimbeni yethu, nokuthi yini okudingeka siyiqaphele lapho siwusebenzisa.
Kalula nje, uyini lo muthi?
Lona umuthi osetshenziselwa ukwelapha
isifo sikashukela sohlobo lwesibili . Uhlanganisa imithi emibili. I-Ertugliflozin kanye ne-Metformin. Uma zihlangene, lezi ezimbili zisiza ukulawula amazinga kashukela emzimbeni wakho, okungukuthi, izinga likashukela egazini lakho. Cabanga ukuthi i-Ertugliflozin isebenza ngokwenza izinso zakho zikhiphe ushukela omningi emchameni wakho. I-Metformin isebenza kakhulu ngokunciphisa inani likashukela elikhiqizwa yisibindi sakho nangokusiza amangqamuzana omzimba wakho aphendule kangcono ku-insulin. Ngale ndlela, ushukela wegazi lakho ulawulwa ngezindlela ezimbili.
Kodwa into eyodwa okumele ikhunjulwe. Ukuthatha lo muthi kuphela akwanele. Ukudla okuhle kanye nokuzivocavoca okufanele nakho kuyizingxenye ezibalulekile zalokhu kwelashwa. Imiphumela emihle kakhulu ingatholakala kuphela uma lo muthi uthathwa kanye nezinguquko zendlela yokuphila ezinqunywe udokotela.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuba udokotela wakho akunike lo muthi, udinga ukuba nesithombe esiphelele sempilo yakho. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi,
qiniseka ukuthi utshela udokotela wakho ngakho. Lokhu kubaluleke kakhulu ekuphepheni kwakho.
| Uhlobo lwekhwalithi | Ingabe unalezi zimo? (Sicela utshele udokotela wakho ) |
|---|
| Izimo ezihlobene nesifo sikashukela | - Ukuba nesifo sikashukela sohlobo 1
- Njengoba ngike ngaba nesifo sikashukela i-Diabetic Ketoacidosis ( DKA ) ngaphambilini
- Izilonda zezinyawo ezibangelwa isifo sikashukela
- Ukushintsha umthamo we-insulin
- Ukunqunywa kwemilenze (ukususwa komlenze noma ingxenye yawo)
|
| Ezinye izifo | |
| Indlela yokuphila nezinye izindaba | - Ukuphuza njalo
- Ukwenza ushintsho olukhulu ekudleni (isib. ukudla okuncane)
- Ukudla ukudla okunosawoti omncane
- Ukuphelelwa amanzi emzimbeni
- Amazinga aphansi e-calcium noma i-vitamin B egazini
- Ukuba nobuhlungu bemizwa kanye nokungazweli emilenzeni
|
| Izinhlelo zesikhathi esizayo kanye nokungezwani komzimba | - Bahlelelwe ukuhlinzwa noma ukuskenwa kwe-CT/X-ray esikhathini esizayo
- Ukuzama ukukhulelwa noma ukukhulelwa njengamanje
- Ukuncelisa ingane
- Ukuba nokungezwani komzimba ne-Ertugliflozin, i-Metformin noma yimuphi omunye umuthi, ukudla, noma umbala
|
Ngingawusebenzisa kanjani umuthi?
Indlela yokusebenzisa lo muthi ilula kakhulu.
- Phuza leli philisi nengilazi yamanzi .
- Zama ukuyithatha ngesikhathi esifanayo nsuku zonke , njengoba nje udokotela wakho ekuyalele.
- Kungcono ukuthatha lo muthi ekuqaleni kokudla .
- Ungalokothi uyeke ukuthatha imithi yakho ngaphandle kokubonisana nodokotela wakho .
Kuthiwani uma uphuza umuthi omningi kakhulu? (Umthamo oweqile)
Uma ucabanga ukuthi uphuze umuthi omningi kakhulu, ungesabi. Kodwa ungawuthathi kalula.
Yiya ngokushesha eMnyangweni Wezimo Eziphuthumayo (i-ETU) wesibhedlela esiseduze noma ushayele
i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Okubaluleke kakhulu: Lo muthi unikezwe wena kuphela. Ungawubelani nanoma ubani nganoma yisiphi isizathu.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Sonke siyakhohlwa ukuphuza imithi yethu ngezinye izikhathi. Uma lokho kwenzeka, thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo lapho ukhumbula, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe.
Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa. Eminye imithi engase ihlangane nalo muthi
Akuyona yonke imithi oyithathayo ezosebenza kahle nalo muthi. Eminye imithi ingaphazamisa indlela lo muthi osebenza ngayo. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi, amavithamini, ngisho nemikhiqizo yamakhambi oyithathayo.
Izinto okungafanele uzithathe ngalo muthi
Lo muthi ungase uhlangane nezinye
izidakamizwa zokuhlukanisa umbala (amadayi) ezifakwe emzimbeni, ikakhulukazi uma uzokwenziwa i-CT scan, i-MRI scan, noma i-X-ray. Ngakho-ke, kufanele utshele abasebenzi bezokwelapha ukuthi uthatha lo muthi ngaphambi kokuhlolwa okunjalo.
Eminye imithi engase ihlanganyele
Imithi engezansi ingase ihlangane ne-Ertugliflozin/Metformin.
- I-Acetazolamide
- I-Cimetidine
- I-Dolutegravir
- I-Lithium
- I-Ranolazine
- I-Topiramate
- I-Vandetanib
- I-Zonisamide
- I-Dichlorphenamide
- Utshwala
Imithi engathinta amazinga kashukela egazini
Eminye imithi ingashintsha amazinga kashukela egazini lakho (ukuwakhuphula noma ukuwanciphisa). Futhi, eminye imithi ingafihla izimpawu zoshukela ophansi egazini (i-hypoglycemia), okusho ukuthi asikuqapheli. Lokhu kungaba yingozi kancane. Ngakho-ke uma uthatha le mithi, udokotela wakho uzokutshela ukuthi uhlole amazinga kashukela egazini lakho njalo.
| Uhlobo lomthelela | Izibonelo zemithi |
|---|
| Imithi engathinta amazinga kashukela egazini | - Eminye imithi yomfutho wegazi ophakeme (isib., i-benazepril, i-lisinopril, i-losartan)
- Ama-diuretics (isib. i-hydrochlorothiazide)
- Ama-steroid (isib. i-prednisone, i-cortisone)
- Izinhlobo zama-hormone (i-estrogen, i-progestin, i-testosterone)
- Amahomoni e-thyroid
- Amanye ama-antibiotic kanye nemithi yokwelapha isifo sengqondo
|
| Imithi engafihla izimpawu ze-hypoglycemia | - Ama-beta-blockers (isib. i-atenolol, i-metoprolol, i-propranolol)
- I-Clonidine, i-Guanethidine, i-Reserpine
|
Izinto okufanele uziqaphele lapho uthatha umuthi
Kudingeka futhi uqaphele kancane lapho uthatha lo muthi.
- Bona udokotela wakho ngesikhathi esihleliwe. Kubalulekile ukuqapha intuthuko yakho bese wenza izivivinyo ezidingekayo. Udokotela uzoqapha i-HbA1C yakho (ukuhlolwa okubonisa amazinga akho ajwayelekile kashukela egazini ezinyangeni ezi-2-3 ezedlule).
- Yazi izimpawu zoshukela ophansi egazini (hypoglycemia). Lungela izimpawu ezifana nokujuluka, ukuthuthumela, indlala enkulu, kanye nokushaya kwenhliziyo okusheshayo. Njalo phatha ithebhulethi yeglucose noma iphakethe likashukela nawe.
- Gwema ukuphelelwa amanzi emzimbeni . Phuza amanzi amaningi. Uma unomkhuhlane, ukuhlanza, noma isifo sohudo, qaphela kakhulu futhi utshele udokotela wakho ngoba kulahleka uketshezi oluningi emzimbeni.
- Tshela udokotela wakho ukuthi uthatha lo muthi ngaphambi kokuhlinzwa noma ukuskena . Bazokutshela ukuthi uyeke nini ukuwuthatha nokuthi uwuqale nini futhi.
- Qaphela i-vitamin B12. Ukuthatha lo muthi isikhathi eside kungabangela ukuthi amazinga e-vitamin B12 ehle. Khuluma nodokotela wakho ngalokhu.
- Ukugqoka isongo noma ikhadi elikukhomba njengomuntu onesifo sikashukela kungaba usizo kakhulu esimweni esiphuthumayo.
Yimiphi imiphumela emibi engaba khona yomuthi?
Njenganoma yimuphi umuthi, lo muthi ungabangela imiphumela emibi kwabanye abantu, kodwa akuwona wonke umuntu oyitholayo. Qaphela izimpawu ezingezansi.
Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha: Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe
kudokotela wakho uma iqhubeka.
| Umphumela ongemuhle | Incazelo kanye nezimpawu |
|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| I-ketoacidosis yesifo sikashukela (i-DKA) | Ukoma ngokweqile, ukuchama njalo, umlomo owomile, ubunzima bokuphefumula, iphunga lokuphefumula elifana nezithelo, ubuhlungu besisu, ukuhlanza. |
| Ukuphelelwa amanzi emzimbeni | Ukoma ngokweqile, umlomo owomile, ukuquleka, umchamo ophuzi omnyama noma onsundu. |
| I-Lactic acidosis (Izinga eliphezulu le-lactic acid) | Ubuhlungu bemisipha, ubuhlungu besisu, ubunzima bokuphefumula, ukukhathala okukhulu. |
| Izifo | Ukutheleleka ngomgudu womchamo (UTI) - ukuvuvukala komchamo, ukuchama njalo, ubuhlungu besisu esingezansi. Ukutheleleka ngemvubelo endaweni yesitho sangasese - ukulunywa, ukubomvu, ukuvuvukala. Ukutheleleka okukhulu endaweni kusukela endaweni yesitho sangasese kuya endunu. |
| Ukuntuleka kwe-Vitamin B12 | Ubuhlungu ezithweni zomzimba, ukungazweli, ubuthakathaka bemisipha, isiyezi, ukudideka. |
| Izinkinga zesistimu yokugaya ukudla | Uhudo, igesi, isicanucanu, ukuhlanza, izinhlungu esiswini. |
| Okunye | Ikhanda elibuhlungu. |
Ngingawugcina kanjani umuthi? Ngingawulahla kanjani?
- Gcina lo muthi kude nezingane nezilwane ezifuywayo .
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degrees Celsius angu-20-25).
- Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle ngendlela efanele.
- Indlela engcono kakhulu yokuqeda imithi ukuyidlulisela ohlelweni lokubuyisela imithi oluqhutshwa yikhemisi noma isibhedlela.
- Uma lokho kungenzeki, khipha umuthi esitsheni, uwuxube nento efana nekhofi esetshenzisiwe, inhlabathi, noma udoti wekati, uwufake esikhwameni esivalwe kahle, bese uwulahla emgqonyeni kadoti. Ungalokothi uwukhiphe endlini yangasese.
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi uwusizo kuphela ekulawuleni isifo sikashukela. Ukudla okufanele kanye nokuzivocavoca umzimba kubalulekile.
- Tshela udokotela wakho ngayo yonke eminye imithi oyiphuzayo kanye nanoma yiziphi izimo zezokwelapha onazo.
- Qaphela izimpawu zokwehla koshukela egazini (hypoglycemia) kanye nokuphelelwa amanzi emzimbeni.
- Uma uthola ukutheleleka komgudu womchamo, ukutheleleka kwezitho zangasese, noma eminye imiphumela emibi emibi, bona udokotela wakho ngokushesha.
- Ungayeki ukusebenzisa lo muthi ngaphandle kweseluleko sikadokotela wakho.
- Uma unenkinga mayelana nokwelashwa kwakho kwesifo sikashukela, ungesabi ukukhuluma nodokotela wakho.
Isifo sikashukela, i-Ertugliflozin, i-Metformin, i-Segluromet, isifo sikashukela sohlobo 2, ushukela wegazi, ukulawulwa koshukela
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