Umuthi wokugomela isifo sikashukela? Ake sifunde nge-Exenatide ngamagama alula!

Ingabe unesifo sikashukela sohlobo lwesibili? Noma ingabe ilungu lomndeni noma umngane ubhekene nalesi simo? Kungenzeka ukuthi uke wezwa ngomuthi i-Exenatide. Ungase ube nemibuzo eminingi mayelana nokuthi uyini ngempela, usebenza kanjani, nokuthi yiziphi izinyathelo zokuphepha okufanele uzithathe ngenkathi uwusebenzisa. Namuhla, sizoxoxa ngakho konke lokho ngendlela elula ongayiqonda.

Uhlobo luni lomuthi i-Exenatide?

Kalula nje, i-Exenatide umuthi onikezwa abantu abanesifo sikashukela sohlobo lwesibili . Ivame ukunikezwa njengomjovo. Kungenzeka ukuthi uke wayibona ngaphansi kwegama lomkhiqizo elithi `(Bydureon)`.

Ngakho-ke lokhu kusebenza kanjani? Kulula kakhulu. Lo muthi ukhulisa izinga le-insulin emzimbeni wakho. I-insulin ingenye yama-hormone abaluleke kakhulu alawula ushukela emzimbeni wethu. Ngakho-ke lapho i-insulin ikhula, inani likashukela egazini liyancipha. Akukhona lokho kuphela, lo muthi usiza ukunciphisa inani likashukela elingena egazini lakho futhi usiza nokusheshisa inqubo yokugaya ukudla. Esikhathini esiningi, lapho lo muthi unikezwa, kuthiwa usetshenziswa kanye nokudla okufanele kanye nokuzivocavoca umzimba . Yilapho ungathola khona imiphumela emihle kakhulu.

Ngezinye izikhathi lo muthi ungasetshenziswa nakwezinye izimo zezokwelapha. Ungabuza udokotela wakho noma usokhemisi ngalokhu.

Yiziphi izinto ezibalulekile okudingeka ngizitshele udokotela ngaphambi kokuthatha lo muthi?

Ngaphambi kokuthi uqale ukusebenzisa i-Exenatide, kubalulekile ukutshela udokotela wakho noma umhlengikazi ngalezi zinto. Lolu lwazi luzobasiza ukuthi banqume ukuthi lo muthi ukulungele yini noma cha nokuthi bawunikeza kanjani.

• Uma unesifo esibizwa ngokuthi ama-Endocrine tumors (MEN 2) noma uma othile emndenini wakho eke waba naso.
• Uma uke waba ne -pancreatitis . Lokhu kubaluleke kakhulu, ngoba lo muthi ngezinye izikhathi ungathinta i-pancreas.
• Uma unesifo sezinso . Uma izinso zakho zingasebenzi kahle, lo muthi ungase uqongelelane emzimbeni wakho futhi ubangele izinkinga.
• Uma uthola ukwelashwa nge-dialysis.
• Uma une-platelet ephansi egazini lakho.
• Uma unezinkinga zesisu noma zamathumbu. Ngenxa yokuthi lo muthi wehlisa ijubane lokugaya ukudla, ungathinta abantu abanezinkinga ezinjalo.
• Uma unomdlavuza we-thyroid , noma uma othile emndenini wakho eke waba nawo.
• Uma uke waba nokusabela kokungezwani komzimba ne-exenatide, eminye imithi, ukudla, imibala yokwenziwa, noma izithasiselo.
• Uma ukhulelwe noma uhlela ukukhulelwa , lo muthi awufaneleki ngesikhathi sokukhulelwa.
• Uma ungumama oncelisayo .

Kubaluleke kakhulu ukuze uphephe ukutshela udokotela lezi zinto ngaphandle kokuzifihla.

Ngingawusebenzisa kanjani lo muthi?

Lo muthi unikezwa njengomjovo ngaphansi kwesikhumba . Udokotela wakho noma umhlengikazi uzokukhombisa ukuthi ungawunikeza kanjani ekhaya. Udinga ukufunda kahle ukuthi ungawulungiselela kanjani nokuthi ungawunikeza kanjani.

• Kufanele uyithathe kanye ngesonto, ngesikhathi esifanayo . Kubaluleke kakhulu ukuyithatha ngosuku olufanele, ngesikhathi esifanele, njengoba kusho udokotela.
• Qhubeka uyisebenzisa kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
• Ungagcini nje ngokuphonsa izinaliti ezisetshenzisiwe kanye namasirinji kudoti. Zifake esitsheni esikhethekile se-sharps . Uma ungenayo, cela udokotela wakho noma usokhemisi akunike yona. Lokhu kuphephile endaweni ezungezile nakwabanye.
• Uma unikezwa lo muthi yikhemisi, uzonikezwa incwajana yolwazi ekhethekile ebizwa ngokuthi ``MedGuide'' . Funda lokhu ngokucophelela isikhathi ngasinye lapho uthatha umuthi noma uma uthola omusha.
• Lo muthi uza nencwajana ethi IMIYALELO YOKUSEBENZISA. Yifunde ngokucophelela bese ubuza usokhemisi noma udokotela wakho uma kukhona ongakuqondi.

Ingabe lo muthi unganikezwa izingane?

Lo muthi unganikezwa izingane ezineminyaka eyi-10 ubudala kwezinye izimo ezikhethekile. Kodwa-ke, kunezinyathelo zokuphepha ezikhethekile. Ngakho-ke, uma uwunika ingane, kufanele uxoxe ngawo kahle nodokotela wezingane bese unquma.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo eliseduze ngokushesha . Ungesabi, kodwa funa iseluleko sezokwelapha ngokushesha.

Okubalulekile: Lo muthi unikezwe wena kuphela. Ungalokothi wabelane ngomuthi wakho nabanye. Ungaba yingozi.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Uma uphuthelwa umthamo, thatha ngokushesha okukhulu . Kodwa-ke, kufanele wenze lokho kuphela uma kusele okungenani izinsuku ezintathu ngaphambi komthamo wakho olandelayo ohleliwe.

Uma uphuthelwa umthamo futhi kusele usuku olulodwa noma ezimbili kuphela ngaphambi komthamo wakho olandelayo ohleliwe, ungawuthathi umthamo ophuthelwe . Vele uthathe umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa noma uthathe umthamo owengeziwe.

Yimiphi eminye imithi engasebenzisana nalo muthi?

Leli iphuzu elibaluleke kakhulu. I-Exenatide ingasebenzisana neminye imithi oyithathayo. Lokhu kusho ukuthi ukuyithatha kanye naleyo mithi kungenza i-exenatide ingasebenzi kahle, noma kungandisa imiphumela emibi.

Qaphela kakhulu ngalezi zinhlobo zemithi:

• I-'Acetaminophen' (i-paracetamol)
• Amaphilisi okuvimbela inzalo: Lo muthi ungase unciphise ukumuncwa kwamaphilisi okuvimbela inzalo, ngakho khuluma nodokotela wakho ngakho.
• `Digoxin` (umuthi wesifo senhliziyo)
• I-insulini neminye imithi yesifo sikashukela : Ukuthatha i-Exenatide ngalezi zinto kungabangela ushukela wegazi ophansi (i-hypoglycemia). Ngakho-ke, ukulungiswa komthamo kungadingeka.
• I-Lisinopril (umuthi wokwelapha umfutho wegazi ophakeme)
• I-Lovastatin (umuthi wokwehlisa i-cholesterol)
• I-Warfarin (umuthi ovimbela ukujiya kwegazi): Uma uthatha i-Exenatide kanye nalomuthi, kufanele uqaphele ingozi yokopha.

Akuzona lezi kuphela, kodwa neminye imithi eminingi ingathinta amazinga kashukela egazini . Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyiphuzayo. Isibonelo:

• Iziphuzo ezidakayo.
• Imithi yokulwa namagciwane enikezwa i-HIV noma i-AIDS.
• I-aspirini kanye nemithi efanayo.
• Eminye imithi yokwelapha umfutho wegazi ophakeme, isifo senhliziyo, kanye nezinkinga zesigqi senhliziyo.
• `I-Chromium` (isengezo).
• Imithi yokukhipha amanzi emzimbeni (i-diuretics).
• Ama-hormone abesifazane (njenge-estrogen noma ama-progestin), amaphilisi okuhlela umndeni.
• `Fenofibrate`, `Gemfibrozil` (imithi ye-cholesterol).
• `Isoniazid` (umuthi wesifo sofuba).
• Ezinye izindlela zokwelapha ngamahomoni (`Lanreotide`, `Octreotide`, `Pasireotide`).
• Ama-hormone abesilisa noma ama-steroid e-anabolic.
• Ama-antidepressant e-MAOI (njenge-'Carbex', 'Eldepryl', 'Marplan', 'Nardil', 'Parnate').
• Imithi yokwehlisa isisindo.
• Imithi yokwelapha ukungezwani komzimba, i-asthma, umkhuhlane, kanye nokukhwehlela.
• Imithi yokucindezeleka, ukukhathazeka, noma ukugula ngengqondo.
• I-Niacin.
• I-Nicotine (uma ubhema).
• Ama-NSAID (isb. Ibuprofen, Naproxen).
• `I-Pentamidine`.
• I-Phenytoin (umuthi wesifo sokuwa).
• I-Probenecid (umuthi we-gout).
• Ama-antibiotic e-Quinolone (njenge-`Ciprofloxacin`, `Levofloxacin`, `Ofloxacin`).
• Ezinye izithako zokudla ezisetshenziswa ngamakhambi.
• Imithi yama-steroid (njenge-'Prednisone', 'i-Cortisone').
• I-Sulfamethoxazole; i-trimethoprim (i-antibiotic).
• Ama-hormone e-thyroid.

Futhi, eminye imithi ingafihla izimpawu eziyisixwayiso zoshukela ophansi egazini (hypoglycemia) . Lokhu kusho ukuthi ungase ungaboni ukuthi ushukela wakho wegazi uphansi. Uma uthatha lolu hlobo lomuthi, kubaluleke kakhulu ukuhlola ushukela wakho wegazi njalo.

• Ama-Beta-blocker (uhlobo lomuthi ovame ukunikezwa umfutho wegazi ophakeme noma isifo senhliziyo, isib. i-Atenolol, i-Metoprolol, i-Propranolol).
• `I-Clonidine`.
• `I-Guanethidine`.
• `I-Reserpine`.

Lolu hlu alufaki konke ukuxhumana okungenzeka. Ngakho-ke , tshela udokotela wakho noma usokhemisi ngayo yonke imithi oyithathayo (imithi kadokotela, ethengiswa ngaphandle kwemithi kadokotela, imithi yamakhambi, amavithamini, kanye nezithasiselo). Tshela nodokotela wakho noma usokhemisi uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa.

Yiziphi izinto okufanele uziqaphele lapho uthatha lo muthi?

Kufanele unakekele impilo yakho kahle ngenkathi usebenzisa i-Exenatide.

• Bona udokotela wakho njalo ukuze uhlole isimo sakho . Tshela udokotela wakho uma izimpawu zakho zingathuthuki noma uma ziba zimbi kakhulu.
• Ukuhlolwa kwakho kwe-HbA1C (A1C) kuzokwenziwa njalo. Lokhu ukuhlolwa kwegazi okulula. Kubheka ukuthi ushukela wakho wegazi ulawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule. Kuzodingeka ukuthi lokhu kuhlolwa kwenziwe njalo ezinyangeni ezi-3-6.
• Funda ukuthi ungawahlola kanjani amazinga kashukela egazini lakho ekhaya . Funda ngezimpawu zikashukela ophansi egazini (i-Hypoglycemia) kanye noshukela ophezulu egazini (i-Hyperglycemia) nokuthi ungazilawula kanjani .
• Hlala ugcina umthombo osheshayo kashukela (isib. ama-sugar cubes, amaphilisi kashukela) eduze . Lokhu kuyasiza uma ushukela wakho wegazi wehla ngokuzumayo (hypoglycemia). Uma unesifo esibi njengoshukela ophansi egazini (ukuquleka), noma uma ulahlekelwa ingqondo, tshela umndeni wakho nabangani ukuthi ungase uklinywe uma uzama ukubanika ukudla noma isiphuzo ngaleso sikhathi. Uma lokhu kwenzeka, funa usizo lwezokwelapha ngokushesha.
• Uma ubona ukuthi izinga likashukela egazini lakho liphezulu (isib. ukoma ngokweqile, ukuchama njalo, ukukhathala okukhulu), tshela udokotela wakho . Umthamo wakho wemithi ungase udingeke ulungiswe. Uma ugula noma uvivinya umzimba ngaphezu kokujwayelekile, umthamo wakho wemithi ungase udingeke ulungiswe.
• Ungayeki ukudla .
• Khuluma nodokotela wakho mayelana nokuphuza utshwala. Imithi eminingi yokukhwehlela neyomkhuhlane etholakala ngaphandle kwemithi kadokotela iqukethe ushukela noma utshwala. Lokhu kungathinta amazinga kashukela egazini lakho.
• Ungalokothi wabelane ngamapeni okujova nabanye . Ukwenza kanjalo kungasakaza amagciwane anjenge-hepatitis noma i-HIV.
• Gqoka isongo noma umgexo we-ID yezokwelapha . Phatha ikhadi elichaza isimo sakho sezokwelapha, imithi oyiphuzayo, kanye nemithamo.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, i-Exenatide ingabangela imiphumela emibi. Eminye iyingozi, eminye ayibi kakhulu.

Imiphumela emibi okufanele uyitshele udokotela wakho ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, xhumana nodokotela ngokushesha okukhulu.

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Izinkinga zenyongo : Ubuhlungu obukhulu besisu, isicanucanu, ukuhlanza, umkhuhlane.
• Ukulimala kwezinso : Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo.
• I-Pancreatitis : Ubuhlungu obukhulu besisu (lokhu kungadlulela emhlane, futhi ubuhlungu buyanda ngemva kokudla noma lapho isisu sithinteka), umkhuhlane, isicanucanu, nokuhlanza.
• Umdlavuza we-thyroid : Iqhubu elisha noma ukuvuvukala entanyeni, ubuhlungu noma ubunzima bokugwinya, ubunzima bokuphefumula, kanye nokushintsha kwezwi (ukuhosha).
• Ukuphuka noma ukuphuma kwegazi okungavamile.

Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka:

Lokhu kuvame ukuphela ezinsukwini ezimbalwa, kodwa uma kuqhubeka, tshela udokotela wakho uma kukukhathaza.

• Uhudo
• Isicanucanu
• Ubuhlungu, ukubomvu, noma ukuvuvukala endaweni yokujova
• Isisu esibuhlungu
• Ukuhlanza

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi. Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, khuluma nodokotela wakho ngazo. Ungabika futhi imiphumela emibi ku-FDA (ngokushayela ku-1-800-FDA-1088).

Ngingawugcina kanjani lo muthi?

Kubaluleke kakhulu ukugcina imithi yakho ngendlela efanele.

• Yigcine kude nezingane nezilwane ezifuywayo .
• Gcina esiqandisini . Ungaqandisi.
• Lomuthi ungagcinwa ekamelweni lokushisa (phakathi kwama-degree Celsius angu-20 no-25 / ama-degree Fahrenheit angu-68 no-77) kuze kube amasonto amane.
• Vikela ekukhanyeni . Gcina umuthi ebhokisini lekhadibhodi lokuqala uze uwuthathe.
• Khipha umuthi ebhokisini lekhadibhodi imizuzu eyi-15 ngaphambi kokuwuthatha.
• Sebenzisa umuthi ngokushesha ngemva kokuxuba .
• Ungayisebenzisi imithi ephelelwe yisikhathi, yilahle.

Ngingayilahla kanjani imithi engasetshenziswanga noma ephelelwe yisikhathi?

• Thatha lo muthi uye endaweni enohlelo lokubuyisela imithi. Ungathola ngezindawo ezinjalo ekhemisi lakho noma emaphoyiseni.
• Uma lokhu kungenzeki, buza usokhemisi noma udokotela wakho ukuthi ungawulahla kanjani lo muthi ngokuphephile. Ungawulahli nje emgqonyeni kadoti.

Umlayezo Wokuya Nawe Ekhaya

Ngakho-ke, i-Exenatide iyisidakamizwa esibalulekile esisiza ukulawula isifo sikashukela sohlobo lwesibili.

• Lona umjovo we-subcutaneous .
• Thatha umthamo onqunyiwe, ngesikhathi esinqunyiwe, njengoba kunqunywe udokotela .
• Tshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo kanye nanoma yiziphi ezinye izifo ongase ube nazo.Ngitshele.
• Hlola amazinga kashukela egazini lakho njalo futhi uqaphele izimpawu zoshukela wegazi ophansi.
• Qaphela imiphumela emibi, futhi uma ubona noma yini embi kakhulu, bona udokotela ngokushesha .
• Gcina umuthi ngendlela efanele .

Khumbula, lesi sihloko siyisifinyezo nje. Uma uneminye imibuzo mayelana nalo muthi, ungangabazi ukubuza udokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo. Sithemba ukuthi lolu lwazi luzokusiza ukuphatha isifo sakho sikashukela futhi uphile impilo enempilo!

I - Exenatide, i-Bydureon, Isifo Sikashukela, Isifo Sikashukela Sohlobo 2, i-Insulin, Ushukela Egazini, Umjovo, Imiphumela Engemihle