Ingabe udokotela wakho uke wakubhalela umuthi omusha wesifo sikashukela sohlobo lwesibili? Ingabe ubizwa ngokuthi i-Ertugliflozin? Kungenzeka ukuthi uwuthole ngaphansi kwegama lomkhiqizo i-Steglatro. Uma kunjalo, lesi sihloko sizobaluleka kakhulu kuwe. Ake sixoxe ngalo muthi ngendlela elula neyobungane, ukuthi usebenza kanjani emzimbeni wethu, okufanele uqaphele lapho uwuthatha, kanye nemiphumela emibi engaba khona.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lo muthi obizwa ngokuthi i-Ertugliflozin usiza izinso zakho ukususa ushukela omningi (i-glucose) egazini lakho ngomchamo wakho. Cabanga nje, lapho amazinga ethu kashukela egazini enyuka, lo muthi usebenza njengesihlungi futhi ususe lowo shukela omningi ngomchamo wethu. Ngale ndlela, kusiza kakhulu ekulawuleni amazinga akho kashukela egazini .
Kodwa khumbula lokhu. Lo muthi wodwa awanele. Kanye nalokhu, kubalulekile ukulandela ukudla kwakho kanye nesimiso sakho sokuzivocavoca . Kuphela uma lezi zinto ezintathu zihlangana lapho ungathola khona imiphumela emihle kakhulu.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala imithi
Lo muthi awufanele wonke umuntu. Ngakho-ke, kubaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho ngomlando wakho wezempilo. Ikakhulukazi uma unezinye zezimo ezilandelayo, kufanele nakanjani utshele udokotela wakho ngazo.
- Uma unesifo sikashukela sohlobo 1 (lo muthi unikezwa kuphela isifo sikashukela sohlobo 2)
- Uma uke waba nesifo esibi esibizwa ngokuthi i-Diabetic Ketoacidosis (DKA) ngaphambilini.
- Uma unesifo sezinso noma isifo sesibindi.
- Uma uthola ukwelashwa nge-dialysis (i-hemodialysis).
- Uma uhlala uphelelwe amanzi emzimbeni noma ulandela ukudla okungenasawoti omningi.
- Uma uke waba nezinkinga ze-pancreatic (pancreatitis) ngaphambili.
- Uma uvame ukuthola izifo zomgudu womchamo noma unenkinga yokuchama.
- Uma ungowesifazane, uvame ukuthola izifo zemvubelo yesitho sangasese sowesifazane.
- Uma ungowesilisa, ungasokile, noma unesifo semvubelo yesitho sangasese.
- Uma unezinkinga zokulimala emilenzeni, ukulimala kwemizwa, noma ukujikeleza kwegazi.
- Uma uphuza njalo.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
- Uma une-allergy ku-Ertugliflozin noma kunoma yimuphi omunye umuthi noma ukudla.
- Uma uzohlinzwa esikhathini esizayo.
Ngiyisebenzisa kanjani ngempela le mithi?
Lokhu kulula kakhulu. Kodwa into ebaluleke kakhulu ukulandela ngqo lokho okushiwo udokotela.
- Gwinya leli philisi lonke ngengilazi yamanzi .
- Ngokuvamile kunconywa ukuthi uphuze lokhu ekuseni . Zijwayeze ukukuphuza ngesikhathi esifanayo nsuku zonke.
- Ungayithatha ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, yithathe kanye nokudla .
- Ungalokothi uthathe okungaphezu komthamo obekwe udokotela wakho.
- Futhi, ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma useduze kakhulu nomthamo wakho olandelayo (isb., kusele amahora ambalwa nje), yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungathathi umthamo ophindwe kabili nganoma yisiphi isizathu.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, ungesabi futhi ngokushesha shayela iNational Poisons Information Centre eColombo National Hospital, noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Izinto okufanele uzicabangele ngenkathi uthatha umuthi
Uma usebenzisa lo muthi, kungcono ukuqaphela impilo yakho kancane.
1. Ukuhlolwa kwegazi: Udokotela wakho cishe uzoyala ukuhlolwa kwegazi okubizwa nge -HbA1C njalo ezinyangeni ezi-3 kuya kwezi-6 ukuze ahlole ukuthi ushukela wakho wegazi ulawulwa kahle kangakanani. Lokhu kuzokunikeza umbono wamazinga akho ajwayelekile kashukela egazini ezinyangeni ezi-2-3 ezedlule.
2. Ukuhlola amazinga kashukela egazini lakho: Funda ukuthi ungawahlola kanjani amazinga kashukela egazini lakho ekhaya. Qaphela izimpawu zikashukela ophansi egazini (i-Hypoglycemia) kanye noshukela ophezulu egazini (i-Hyperglycemia).
3. Uma uneshukela eliphansi egazini: Hlala ugcina okuthile eduze, njenge-sugar cube, i-toffee, noma i-glucose tablet , uma kwenzeka uzwa izimpawu zeshukela eliphansi egazini (isiyezi, ukujuluka, ukuthuthumela).
4. Isimo esibucayi - i-DKA: Nakuba singavamile, lo muthi ungabangela i-ketoacidosis yesifo sikashukela (i-DKA), isimo esibucayi lapho igazi liba ne-asidi kakhulu. Uma uzwa izimpawu ezifana nobuhlungu besisu, isicanucanu, ukuhlanza, ukukhathala okukhulu, noma ubunzima bokuphefumula , yeka ukuthatha umuthi ngokushesha bese ushayela udokotela wakho ucingo.
5. Ezinye izinto: Ungayeki ukudla. Xhumana nodokotela wakho mayelana nokuphuza utshwala. Kuphephile ukugqoka ikhadi noma isongo elinemininingwane ngesimo sakho sempilo kanye nemithi.
Yimiphi imiphumela emibi engaba khona?
Njengayo yonke imithi, i-Ertugliflozin ingabangela imiphumela emibi. Eminye iyingozi, kanti eminye ivamile. Ithebula elingezansi linikeza isithombe esicacile salokhu.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| I-ketoacidosis yesifo sikashukela (i-DKA) | Ukoma ngokweqile, umlomo owomile, ukukhathala okukhulu, iphunga lokuphefumula elifana nezithelo, ubunzima bokuphefumula, ubuhlungu besisu, isicanucanu, nokuhlanza. |
| Ukutheleleka komgudu womchamo (UTI) | Ukushisa ngesikhathi sokuchama, ukuchama njalo, umchamo onegazi noma onamafu, ubuhlungu emhlane noma esinqeni. |
| Ukutheleleka kwemvubelo yesitho sangasese | Ubomvu, ukuvuvukala, ubuhlungu noma ukulunywa, iphunga elibi, uketshezi olujiyile, olunamanzi. |
| Ukuphelelwa amanzi emzimbeni | Ukoma ngokweqile, umlomo owomile, isiyezi, ikhanda elibuhlungu, umchamo ophuzi omnyama noma onsundu. |
| Ukutheleleka emlenzeni noma onyaweni | Ubuhlungu obusha, ukushintsha kombala wesikhumba, amanxeba, izilonda, ukutheleleka. |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Umlayezo Wokuya Nawe Ekhaya
- I-Ertugliflozin umuthi wesifo sikashukela sohlobo 2. Yiphuze njengoba nje udokotela wakho ekuyalele, ngomthamo ofanele, nangesikhathi esifanele.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngazo zonke ezinye izimo zezokwelapha onazo kanye neminye imithi oyiphuzayo.
- Qaphela izimpawu ze-DKA, izifo zomgudu womchamo, izifo zesitho sangasese sowesifazane, kanye noshukela wegazi ophansi. Uma ubona noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
- Lo muthi unikezwe wena kuphela. Ungalokothi uwuhlanganyele nabanye.
- Gwema ukuyeka umuthi noma ukushintsha umthamo ngaphandle kweseluleko sikadokotela. Khuluma nodokotela wakho uma unenkinga.
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