Iphilisi elisha lokulawula isifo sikashukela: Okudingeka ukwazi nge-Ertugliflozin ne-Sitagliptin

Ingabe unenkinga ngesifo sikashukela sohlobo lwesibili? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukutshelile ngomuthi omusha. Uyinhlanganisela yemithi emibili ebizwa ngokuthi i-Ertugliflozin ne-Sitagliptin. Ake sibheke ukuthi ingasiza kanjani ekulawuleni amazinga kashukela egazini lakho, nokuthi yini okudingeka uyiqaphele uma uyisebenzisa.

Uyini lomuthi?

Kalula nje, i-Ertugliflozin ne-Sitagliptin yimithi emibili enikezwa abantu abanesifo sikashukela sohlobo lwesibili (isifo sikashukela sohlobo lwesibili) ngephilisi elilodwa. Into eyinhloko kulokhu ukwehlisa amazinga kashukela egazini lakho (i-glucose egazini) . Kodwa-ke, lo muthi wodwa awanele ukuthola imiphumela emihle. Udinga ukulawula ukudla kwakho futhi uvivinye umzimba nsuku zonke kanye nalo muthi. Yilapho-ke kuba kuhle khona ngempela.

Ngezinye izikhathi odokotela bangasebenzisa lo muthi kwezinye izimo zempilo, ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.

Elinye igama lomkhiqizo elivamile lalo muthi yiSteglujan . Kungenzeka ukuthi udokotela wakho uselishilo lelo gama.

Yini okufanele uyitshele udokotela wakho ngaphambi kokuthatha lo muthi?

Kulungile, manje kunezinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi. Ngoba kubaluleke kakhulu kuye ukwazi ukuthi lo muthi uzosebenzisana kanjani nezinye izimo zakho zempilo. Nazi ezinye izinto okufanele umtshele zona uma unazo:

• Uma unesifo senhliziyo noma izinkinga zemithambo yegazi .
• Uma kukhona isimo esinjengokuphelelwa amanzi emzimbeni.
• Uma uke waba nesimo esibizwa ngokuthi i-diabetic ketoacidosis .
• Uma unciphise usawoti ekudleni kwakho.
• Uma udla kancane ngenxa yokugula, ukuhlinzwa, ukudla okunempilo, noma esinye isizathu.
• Uma kukhona amanxeba emilenzeni .
• Uma uzohlinzwa maduze.
• Uma izinga lakho le-cholesterol liphezulu .
• Uma ingxenye yomlenze isusiwe ngaphambilini.
• Uma unomlando we-pancreatitis noma ezinye izinkinga ze-pancreatic.
• Uma uvame ukuthola izifo zemvubelo yesitho sangasese sowesifazane .
• Uma uphuza njalo .
• Uma uvame ukuba nezifo zesinyi, izinso, noma izindlela zomchamo .
• Uma unesifo sezinso .
• Uma unesifo sesibindi .
• Uma umfutho wegazi uphansi .
• Uma unezinkinga zemizwa .
• Uma usebenzisa i-hemodialysis .
• Ngaphambilini , ulimi oluvuvukele, ubuso, izindebe, ubunzima bokuphefumula, ubunzima bokugwinya, ukushintsha kwezwiUma izinto ezinjena sezenzekile.
• Uma unenkinga yokuchama .
• Uma unesifo sikashukela sohlobo 1 (lo muthi unikezwa kuphela isifo sikashukela sohlobo 2).
• Uma ungowesilisa ongasokile .
• Uma une -allergy ku-Ertugliflozin, i-Sitagliptin, noma eminye imithi, ukudla, udayi, noma izithasiselo .
• Kulungile uma ukhulelwe , uma uzama ukukhulelwa .
• Uma ungumama oncelisayo .

Ngingawusebenzisa kanjani lo muthi?

Leli philisi kufanele lithathwe ngomlomo kanye nengilazi yamanzi. Landela imiyalelo njengoba nje udokotela wakho ekuyalele. Ungalithatha ngokudla noma ngaphandle kokudla. Kodwa-ke, uma unesisu esibuhlungu, kungcono ukulithatha kanye nokudla. Kungcono ukuthatha lo muthi ekuseni . Zama ukuwuthatha ngesikhathi esifanayo nsuku zonke. Ungathathi okungaphezu kwalokho udokotela wakho akutshele kona, noma uwuthathe kaningi. Futhi, ungayeki ukuthatha umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho .

Uma uthola lo muthi ekhemisi, uzonikezwa incwajana yolwazi ekhethekile (i-MedGuide) ngawo. Qiniseka ukuthi uyawufunda ngokucophelela njalo uma uthola umuthi wakho noma uthola ukugcwalisa kabusha. Uqukethe ulwazi oluningi olubalulekile.

Khuluma nethimba lakho lezempilo mayelana nokunikeza izingane lo muthi . Kungadingeka ukunakekelwa okukhethekile.

Uma uphuza umuthi omningi kakhulu: Uma ucabanga ukuthi usuphuze kakhulu lo muthi, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha.

Okubalulekile: Lo muthi unikezwe wena kuphela. Ungawunikezi omunye umuntu.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Ake sithi ukhohlwe ukuphuza umuthi wakho ekuseni. Yithathe ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo njengoba kuhleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.

Yiziphi ezinye izinto ezingasebenzisana nalo muthi?

Uma uthatha eminye imithi, amakhambi, noma amavithamini ngenkathi uthatha lo muthi wesifo sikashukela, kufanele futhi utshele udokotela wakho ngawo. Ezinye izinto zingase zithinte lo muthi. Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Nazi ezinye izinto ezingase zithinte lo muthi:

• Utshwala
• I-Digoxin (umuthi wesifo senhliziyo)
• I-Lithium (lokhu kunikezwa izifo zengqondo)
• Imithi ye-steroid, njenge-prednisone noma i-cortisone
• Ama-sulfonylurea, njenge-glimepiride, i-glipizide, kanye ne-glyburide
• Imithi ye-thyroid

Lolu hlu alubandakanyi konke, ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okusebenzisayo.

Yiziphi izinyathelo ezikhethekile okufanele zithathwe lapho uthatha lo muthi?

Ngesikhathi uthatha lo muthi, bonana nodokotela wakho njalo ukuze uhlole impilo yakho. Ngemuva kwalokho ungabona ukuthi umuthi ukulungele yini nokuthi kukhona yini ushintsho okudingeka lwenziwe.

Lomuthi ngezinye izikhathi ungabangela isimo esibi lapho igazi liba ne-asidi kakhulu . Uma uhlangabezana nezimpawu ezifana nokucanuzela kwenhliziyo, ukuhlanza, ubuhlungu besisu, ukukhathala okungavamile, noma ubunzima bokuphefumula , yeka ukuthatha lo muthi ngokushesha bese ushayela udokotela wakho ucingo . Uma kungenzeka, hlola umchamo wakho ukuze uthole ama-ketones nge-ketone test strip .

Ukuhlolwa kwakho kwe -HbA1C (A1C) kwenziwa njalo. Lokhu ukuhlolwa kwegazi okulula. Kubheka ukuthi ushukela wakho wegazi ulawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule. Lokhu kuhlolwa kwenziwa njalo ezinyangeni ezi-3-6.

Funda ukuthi ungawahlola kanjani amazinga kashukela egazini lakho ekhaya . Kubalulekile ukufunda izimpawu zikashukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia) nokuthi ungazilawula kanjani.

Hlala ugcina umthombo osheshayo kashukela nawe uma ushukela wegazi uphansi (hypoglycemia) . Isibonelo, ama-cubes kashukela noma amaphilisi e-glucose. Uma ushukela wakho wegazi uphansi kakhulu futhi unesifo sokuwa noma ulahlekelwa ingqondo, tshela labo abaseduze nawe ukuthi ukubanika ukudla noma isiphuzo ngaleso sikhathi kungabangela ukuba baklinyeke. Uma lokhu kwenzeka, kufanele bafune usizo lwezokwelapha ngokushesha.

Tshela udokotela wakho uma uzizwa sengathi ushukela wakho wegazi uphezulu. Umthamo wakho wemithi ungadinga ukulungiswa. Kungadingeka ulungise umthamo wakho wemithi uma ugula noma uma uvivinya umzimba ngaphezu kokujwayelekile .

Ungayeki ukudla . Buza udokotela wakho ukuthi kufanele yini ugweme utshwala. Imithi eminingi yokukhwehlela neyomkhuhlane etholakala ngaphandle kwemithi kadokotela ingase ibe noshukela noma utshwala. Lokhu kungathinta amazinga kashukela egazini lakho.

Gqoka noma ugcine ikhadi le-ID yezokwelapha elinohlu lwemininingwane efana nesimo sakho sezokwelapha, imithi oyisebenzisayo, kanye nokuthi ungayithatha nini imithi yakho.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye iyingozi, eminye ayibi kakhulu. Kodwa uma ubona noma yini engavamile, kungcono ukutshela udokotela wakho.

Imiphumela emibi okufanele uyitshele udokotela wakho ngokushesha

• Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, i-urticaria (amaqhubu), ukuvuvukala kobuso, izindebe, ulimi noma umphimbo.
• Ukuphelelwa amanzi emzimbeni: Ukoma ngokweqile, umlomo owomile, isiyezi, ikhanda elibuhlungu, umchamo ophuzi omnyama noma onsundu.
• I-ketoacidosis yesifo sikashukela (i-DKA):Ukoma ngokweqile noma ukuchama, umlomo owomile, ukukhathala okukhulu, iphunga lokuphefumula elinjengezithelo, ubunzima bokuphefumula, ubuhlungu besisu, isicanucanu, ukuhlanza.
• Ukutheleleka kwemvubelo yesitho sangasese: ukubomvu, ukuvuvukala, ubuhlungu noma ukulunywa, ukuvuza okunuka kabi, uketshezi olujiyile noma olugobile. (Lokhu kungenzeka kokubili kwabesilisa nabesifazane).
• Izimpawu zokuhlaselwa yinhliziyo: ukuphelelwa umoya, ukuvuvukala kwamaqakala, izinyawo, noma izandla, ukukhuluphala ngokuzumayo, kanye nokuzizwa ubuthakathaka noma ukhathele ngendlela engavamile.
• Ukutheleleka, ukubomvu, ukuvuvukala, ukuqina, noma ubuhlungu obuzungeze izitho zangasese noma endaweni eholela endunu: Lokhu kungaba uphawu lwesimo esibi kakhulu esibizwa ngokuthi i-Fournier's gangrene , ngakho uma ubona into efana nale, tshela udokotela wakho ngokushesha.
• Ukulimala kwezinso: ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo.
• Ubuhlungu noma ukuqaqamba okusha emlenzeni noma onyaweni, ukushintsha kombala wesikhumba, izilonda noma izilonda, noma ukutheleleka .
• I-Pancreatitis: Ubuhlungu obukhulu besisu obusakazekela emhlane, ubuhlungu obuba bubi ngemva kokudla noma uma buthintwa, umkhuhlane, isicanucanu, nokuhlanza.
• Uma uzwa ukubomvu, ukuqubuka, ukuxebuka kwesikhumba, noma izinto ezifanayo emlonyeni wakho .
• Ubuhlungu obukhulu bamalunga.
• Ukutheleleka komgudu womchamo (UTI): Umuzwa wokushisa lapho uchama, ukuchama njalo, umchamo onegazi noma onamafu, ubuhlungu esiswini esingezansi noma emaceleni.

Imiphumela emibi engavamile ukudinga iseluleko sezokwelapha, kodwa okufanele ibikwe kudokotela uma iqhubeka

• Ikhanda elibuhlungu
• Impumulo egobhozayo noma impumulo evalekile
• Umphimbo obuhlungu

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile, kungcono ukucela iseluleko kudokotela wakho. Ungabika futhi imiphumela emibi ku -FDA (1-800-FDA-1088).

Kufanele uwugcine kanjani umuthi wakho?

Gcina lo muthi kude nezingane nezilwane ezifuywayo .

Gcina ekamelweni lokushisa, phakathi kwama-degree Celsius angu-15 no-30 (ama-degree Fahrenheit angu-59 no-86). Lahla umuthi ophelelwe yisikhathi.

Sicela uqaphele: Lesi sihloko siyisifinyezo kuphela. Singase singabi nalo lonke ulwazi. Uma uneminye imibuzo mayelana nalo muthi, sicela ukhulume nodokotela wakho, usokhemisi, noma umhlinzeki wezempilo.

Izinto ezibaluleke kakhulu okudingeka uzikhumbule

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho ngale mithi yesifo sikashukela ebizwa ngokuthi i-Ertugliflozin kanye ne-Sitagliptin, nazi ezinye zezinto ezibalulekile okudingeka uzikhumbule:

• Lo muthi usiza ukulawula ushukela egazini lakho , kodwa imiphumela emihle kakhulu itholakala ngokudla okuhle nokuzivocavoca umzimba .
• Ngaphambi kokuqala umuthi,Qiniseka ukuthi utshela udokotela wakho nganoma yiziphi ezinye izinkinga zempilo onazo.
• Thatha umthamo onqunyiwe, ngesikhathi esinqunyiwe, njengoba kunqunywe udokotela. Ungayeki imithamo noma uthathe imithamo emibili ngesikhathi esisodwa.
• Qaphela izimpawu zokwehla koshukela egazini (hypoglycemia) futhi ugcine ushukela eduze uma uwudinga.
• Uma uhlangabezana nezimpawu zesimo esibi esibizwa ngokuthi i-diabetesic ketoacidosis (DKA) (isicanucanu, ukuhlanza, ubuhlungu besisu, ukukhathala okukhulu, ubunzima bokuphefumula) , tshela udokotela wakho ngokushesha .
• Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi engavamile , ikakhulukazi izifo zesitho sangasese sowesifazane, izilonda emilenzeni, noma izimpawu zokwehluleka kwenhliziyo.
• Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo, njengoba eminye imithi ingase ihlangane nalena.

Ukuphila nesifo sikashukela kungaba yinselele, kodwa ukuphuza imithi yakho ngendlela efanele, ukushintsha indlela yokuphila, nokuhlala uthintana nodokotela wakho kungasiza kakhulu ekukusizeni uhlale uphilile. Ungakhathazeki, awuwedwa!

Isifo sikashukela, i-ertugliflozin, i-sitagliptin, imithi yesifo sikashukela, ushukela wegazi, isifo sikashukela sohlobo 2, i-Steglujan