Isifo sikashukela yisimo sempilo abantu abaningi emphakathini wethu abanaso namuhla. Kunezindlela ezahlukene zokwelapha lokhu. Mhlawumbe udokotela wakho ukutshelile nokuthi usebenzise umuthi wokugomela obizwa ngokuthi i-Exenatide yesifo sikashukela sohlobo 2. Kungenzeka ukuthi uwuthole ngaphansi kwegama lomkhiqizo i-Bydureon BCise. Ngakho-ke namuhla, ake sixoxe ngalo muthi, ukuthi uthinta kanjani imizimba yethu, nokuthi yini okudingeka uyiqaphele ngenkathi uwusebenzisa.
Kwenzekani ngempela ngalo mjovo we-Exenatide?
Kalula nje, i-Exenatide iwumuthi osiza ukulawula amazinga kashukela egazini lakho (i-glucose). Lokhu kwenza izinto ezintathu eziyinhloko.
1. Kwandisa amazinga e-insulin: Lo muthi usiza umzimba wakho ukukhiqiza i-hormone ebizwa ngokuthi i-insulin uma udla. I-insulin isiza ushukela egazini ukuthi ungene emaseli omzimba futhi ukhiqize amandla. Ngakho-ke, amazinga kashukela egazini ayancipha.
2. Kunciphisa ukukhiqizwa kukashukela yisibindi: Lo muthi usiza futhi ukunciphisa inani likashukela elikhishwa yisibindi sethu.
3. Kwehlisa ijubane lokugaya ukudla: Lokhu kwehlisa ijubane lokudla okudlayo kusuka esiswini sakho kuya emathunjini akho. Lokhu kusiza ukulawula ukwanda okungazelelwe kwamazinga kashukela egazini ngemva kokudla.
Kodwa khumbula, lo muthi wodwa awanele. Ukudla okuhle kanye nokuzivocavoca umzimba kokubili kuyizingxenye ezibalulekile zalolu hlobo lokwelashwa.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukugoma
Ngaphambi kokuba unikezwe i-Exenatide, kubaluleke kakhulu ukuthi udokotela wakho azi umlando wakho wezempilo ophelele. Qiniseka ukuthi ubatshela nganoma yiziphi izimo ezingezansi.
| Isimo okudingeka usibike | Kungani kufanele ukhathazeke? |
|---|---|
| Uma wena noma othile emndenini wakho eke waba nomdlavuza we-thyroid noma umdlavuza wezindlala ze-endocrine obizwa ngokuthi i-MEN 2 . | Kukhona isixwayiso sokuthi lo muthi ungase uhlotshaniswe nengozi eyengeziwe yomdlavuza we-thyroid. |
| Uma uke waba ne -pancreatitis ngaphambilini. | Lo muthi ungandisa ingozi ye-pancreatitis. |
| Uma unesifo sezinso noma uphethwe yi-dialysis . | Kuye ngokusebenza kwezinso, umthamo womuthi kungadingeka ushintshwe noma kungadingeka unikezwe omunye umuthi. |
| Uma unezinkinga ezinkulu zesisu noma zamathumbu (isib. i-Gastroparesis). | Ngenxa yokuthi lo muthi wehlisa ijubane lokugaya ukudla, ungase ube mubi kakhulu isimo esikhona. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa . | Kufanele uxoxe nodokotela wakho ngokuphepha kwalo muthi ngesikhathi sokukhulelwa nokuncelisa. |
| Uma une -allergy ku-exenatide noma yimuphi omunye umuthi, ukudla, noma idayi. | Lokhu kubalulekile ukuze kugwenywe ukusabela okukhulu kokungezwani komzimba. |
Lo muthi wokugoma usetshenziswa kanjani ngempela?
Lo muthi ufika ngesirinji esigcwaliswe kusengaphambili (i-autoinjector). Udokotela wakho noma umhlengikazi uzokukhombisa ukuthi ungawujova kanjani ngaphansi kwesikhumba.
- Yithathe ngesikhathi: Lo mjovo kufanele unikezwe kanye ngesonto . Zijwayeze ukuwuthatha ngosuku olufanayo nangesikhathi esifanayo njalo ngeviki. Qhubeka uwuthatha kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
- Ukulahla izinaliti ezisetshenzisiwe: Lokhu kubaluleke kakhulu. Ungalokothi ulahle ama-autoinjector asetshenzisiwe kudoti. Kufanele afakwe esitsheni esikhethekile se-sharps. Uma ungenayo, cela udokotela wakho akunike eyodwa.
- Funda imiyalelo: Funda imiyalelo (MedGuide/IMIYALELO YOKUSEBENZISA) njalo ehambisana nomuthi ngokucophelela. Uma unemibuzo, buza udokotela wakho.
Okubalulekile:Inaliti yomjovo onikezwe yona ingeyakho kuphela. Ungalokothi uyihlanganyele nanoma ubani omunye. Ukwenza kanjalo kungasakaza amagciwane ayingozi njenge-Hepatitis ne-HIV.
Yini okufanele uyenze uma uphuthelwa umthamo?
Ake sithi ukhohliwe ukuthola umjovo wakho ngosuku lwesonto. Ungakhathazeki.
- Uma kusele izinsuku ezingaphezu kwezingu-3 ngaphambi komthamo wakho olandelayo, thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Bese uthatha umthamo wakho olandelayo njengokujwayelekile.
- Kodwa-ke, uma umthamo wakho olandelayo kufanele uthathwe ezinsukwini ezi-1 noma ezi-2 , ungawuthathi umthamo ophuthelwe. Yeqa bese uthatha umthamo olandelayo ngosuku oluhleliwe.
- Ungaphuzi umthamo ophindwe kabili nganoma yisiphi isizathu.
Ezinye izinto okufanele uzikhumbule lapho uthatha umuthi
- Ukuhlolwa kwezokwelapha: Qhubeka ubona udokotela wakho ukuze uhlole isimo sakho. Kufanele futhi ubuze ngokuhlolwa kwegazi okubizwa ngokuthi i-HbA1C (A1C) . Lokhu kulinganisa ukuthi ushukela wakho wegazi ulawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule. Udokotela wakho cishe uzoncoma ukuthi wenze lokhu kuhlolwa njalo ezinyangeni ezi-3-6.
- Amazinga Kashukela Egazini: Funda ukuthi ungawuhlola kanjani ushukela wakho wegazi ekhaya. Qaphela izimpawu zikashukela ophansi egazini (i-Hypoglycemia) kanye noshukela ophezulu egazini (i-Hyperglycemia).
- Ushukela ophansi egazini (Hypoglycemia): Uma uzwa izimpawu ezifana nokujuluka, ukuthuthumela, ukushaya kwenhliziyo okusheshayo, indlala enkulu, nokudideka, kusho ukuthi ushukela wakho wegazi uphansi. Njalo gcina okuthile okufana noshukela, i-toffee, noma amaphilisi e-glucose eduze ukuze uyisebenzise esimweni esinjalo. Kodwa-ke, uma isimo sibi ngokwanele ukubangela ukungazi, unganikezi lutho ngomlomo, ngoba kungabangela ukuminyana. Funa usizo lwezokwelapha ngokushesha.
- Ungayeki ukudla: Yidla ngezikhathi ezijwayelekile. Buza udokotela wakho ngotshwala.
- I-ID Yezokwelapha: Ukugqoka ikhadi noma isongo elibonisa ukuthi unesifo sikashukela kanye nemithi oyiphuzayo kungaba yinto ebaluleke kakhulu esimweni esiphuthumayo.
Imiphumela emibi engaba khona yomuthi
Njenganoma yimuphi umuthi, i-Exenatide ingabangela imiphumela emibi. Kubalulekile ukuqaphela lokhu.
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha noma uye esibhedlela. | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa okukhulu, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| I-Pancreatitis | Ubuhlungu obungabekezeleleki esiswini (ikakhulukazi obuphuma emhlane), ubuhlungu obuba bubi kakhulu lapho udla, umkhuhlane, isicanucanu, nokuhlanza. |
| Izimpawu zomdlavuza we-thyroid | Isigaxa esisha noma ukuvuvukala entanyeni, ubunzima bokugwinya, ubunzima bokuphefumula, ukushintsha kwezwi (ukuhosha). |
| Ukulimala kwezinso | Ukuncipha kokuchama, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Izinkinga zenyongo | Ubuhlungu obukhulu engxenyeni ephezulu kwesokudla yesisu, isicanucanu, ukuhlanza, umkhuhlane. |
| Uma lezi zimpawu ziqhubeka noma ziba nzima, tshela udokotela wakho. | |
| Indawo yokugoma | Ubuhlungu, ukubomvu, ukulunywa, noma iqhubu elincane. |
| Ezinye izifo ezincane | Isicanucanu esincane, uhudo, ukuqunjelwa, ikhanda elibuhlungu. |
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital (inombolo yocingo 0112686143), noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- I-Exenatide iwumjovo onikezwa kanye ngesonto kubantu abanesifo sikashukela sohlobo 2. Kufanele isetshenziswe kanye nokudla kanye nokuzivocavoca.
- Ngaphambi kokuqala umjovo, tshela udokotela wakho ngazo zonke izimo zakho zempilo (ikakhulukazi i-thyroid, i-pancreas, izinkinga zezinso).
- Ungalokothi wabelane ngenaliti yomjovo onikezwe yona nanoma ubani omunye. Lahla izinaliti zomjovo ezisetshenzisiwe ngokuphephile.
- Qaphela izimpawu zokwehla koshukela egazini (hypoglycemia). Gcina ushukela noma i-candy bar eduze uma udinga.
- Uma uhlangabezana nemiphumela emibi kakhulu njengobuhlungu obukhulu besisu, ukuqina kwentamo, noma ubunzima bokuphefumula, funa iseluleko sezokwelapha ngokushesha.
- Zizwe ukhululekile ukuxoxa nganoma yimiphi imibuzo noma ukukhathazeka onakho ngalo muthi nodokotela wakho.
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