Lapho udokotela wakho ekutshela ukuthi unesifo sikashukela , noma isifo sikashukela sohlobo lwesibili, cishe wanikezwa umuthi obizwa ngokuthi i-Glimepiride. Abanye abantu bayazi ngegama lomkhiqizo i-Amaryl. Lona umuthi ovame kakhulu futhi obaluleke kakhulu osetshenziselwa ukulawula isifo sikashukela . Ngakho-ke, yini ngempela le muthi eyenzayo emzimbeni wakho? Yiziphi izinto okudingeka uziqaphele uma usebenzisa wona? Yiziphi imiphumela emibi ? Namuhla, sizoxoxa ngakho konke lokhu ngendlela elula kakhulu ongayiqonda.
Kwenzekani ngempela ngalo muthi?
Kulungile, ake sikubeke kalula lokhu. Umuntu onesifo sikashukela angaba nezinkinga ezimbili eziyinhloko emzimbeni wakhe. Enye ukuthi akakhiqizi i-hormone insulin eyanele, edingekayo ukulawula amazinga kashukela egazini. Enye ukuthi amangqamuzana omzimba awakwazi ukusebenzisa kahle inani le-insulin elikhiqizwayo.
I-Glimepiride ingeyesigaba semithi ebizwa ngokuthi i-sulfonylureas. Ngokuyisisekelo itshela ama-pancreas akho ukuthi "akhiqize i-insulin eningi." Lokhu kusho ukuthi uma lo muthi uthathwa, amazinga e-insulin emzimbeni wakho ayanda. Ngaphezu kwalokho, isiza amangqamuzana omzimba wakho ukuthi aphendule kangcono ku-insulin (okungukuthi, ayisebenzise kangcono). Zombili lezi zinto zehlisa amazinga kashukela egazini lakho ( i-glucose ), okusiza ukulawula isifo sikashukela.
Kodwa khumbula, lo muthi wodwa awanele. Ukuze ulawule kahle isifo sikashukela, kufanele futhi ulandele ukudla okufanele kanye nokuzivocavoca umzimba . Umuthi umane nje uyindlela eyengeziwe yokusekela.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokukunikeza i-Glimepiride, udokotela wakho uzokubuza imibuzo embalwa. Kodwa ngezinye izikhathi ungase ukhohlwe. Ngakho-ke, uma unezinye zezimo ezingezansi, qiniseka ukuthi utshela udokotela wakho ngakho. Ungazifihli lezi zinto, ngoba zingakuthinta.
| Isimo sakho | Kungani udinga ukutshela udokotela? |
|---|---|
| Ukuba nesimo esibizwa ngokuthi i-diabetesic ketoacidosis. | Lokhu kuyinkinga enkulu yesifo sikashukela. I-Glimepiride ayifanele abantu abanalesi simo. |
| Isimo esibizwa ngokuthi ukuntuleka kwe-G6PD. | Abantu abanalesi simo bangase babe nezinkinga ezifana ne-anemia (inani eliphansi legazi) uma bethatha i-Glimepiride. |
| Ukuba nesifo senhliziyo, isifo sezinso, noma isifo sesibindi. | Uma ukusebenza kwalezi zitho kuphazamiseka, umthamo womuthi kungadingeka ushintshwe noma kungadingeka unikezwe omunye umuthi. |
| Isifo se-thyroid. | Amazinga e-hormone ye-thyroid athinta amazinga kashukela egazini, ngakho udokotela wakho kufanele aqaphele lokhu. |
| Ukuba nokutheleleka okukhulu noma ukulimala. | Amazinga kashukela egazini angashintsha uma umzimba ungaphansi kokucindezeleka okukhulu. |
| Ukuzama ukukhulelwa, ukukhulelwa, noma ukuncelisa. | Phakathi nalezi zikhathi, udokotela kumele anqume ukuthi i-Glimepiride iyafaneleka noma cha. Ngokuvamile, kuzonconywa uhlobo lokwelashwa oluhlukile. |
| Ukuba nokusabela kokungezwani komzimba ne-glimepiride noma eminye imithi ye-sulfa, ukudla, noma udayi. | Uma une-allergy ethile, ukusazisa kusenesikhathi kungasiza ekuvimbeleni ukusabela okukhulu kwe-allergy. |
Ngingawusebenzisa kanjani lo muthi?
Lokhu nakho kubaluleke kakhulu. Ukuze uthole okuningi ngomuthi, udinga ukuwuthatha njengoba uyalelwe.
- Phuza ngomlomo:Lokhu kuza ngesimo sephilisi, okufanele liphuzwe nengilazi yamanzi.
- Thatha nokudla: Odokotela bavame ukukutshela ukuthi uthathe leli philisi kanye nokudla kokuqala kosuku (isidlo sasekuseni). Kunesizathu salokho. Ukulithatha esiswini esingenalutho kungabangela amazinga kashukela egazini lakho ehle kakhulu ( i-hypoglycemia ).
- Ngesikhathi esifanayo nsuku zonke: Zama ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke ngangokunokwenzeka. Lokhu kuzosiza ukugcina amazinga afanayo omuthi emzimbeni wakho.
- Uma uneminyaka engaphezu kwengu-65 ubudala: Abantu abadala bangase bazizwe imiphumela yalo muthi inamandla kancane. Ngakho udokotela wakho angase akunike umthamo ophansi.
- Uma kunikezwa izingane: Kufanele kuthathwe ukunakekelwa okukhethekile uma lo muthi unikezwa izingane. Khuluma nodokotela wakho ngalokhu.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu? (Umthamo oweqile)
Uma usola ukuthi uphuze okungaphezu kwalokho okucabangayo, noma uma uthola ukuthi ingane yakho iphuze la maphilisi, ungachithi sikhathi . Shayela ngokushesha iNational Poison Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Okubaluleke kakhulu: Lo muthi ungowakho wedwa. Ungalokothi unike omunye umuntu umuthi wakho wesifo sikashukela. Isimo salowo muntu singase sishintshe, okungaba nemiphumela eyingozi.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Sicela ungesabi ngalesi sikhathi. Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isibonelo, uma kufanele uphuze ekuseni ngosuku olulandelayo emahoreni ambalwa), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe amaphilisi amabili ngesikhathi esisodwa. Ukwenza kanjalo kungabangela ukuthi izinga likashukela egazini lakho lehle ngendlela eyingozi.
Eminye imithi engase ihlangane ne-Glimepiride
Lokhu futhi kuyinto abantu abaningi abangayazi. Umuthi owodwa esiwuthathayo "ungasebenzisana" nomunye. Lokho kusho ukuthi indlela le mithi emibili esebenza ngayo ingashintsha. Lokhu kungandisa umphumela we-Glimepiride futhi kubangele amazinga kashukela egazini aphansi ngendlela eyingozi, noma kunganciphisa umphumela wayo futhi kubangele amazinga kashukela egazini angalawuleki.
| Imithi okungafanele ithathwe ne-Glimepiride | |
|---|---|
| I-Bosentan | I-Chloramphenicol |
| I-Cisapride | I-Clarithromycin |
| Eminye imithi yokwelapha izifo zesikhunta | I-Metoclopramide |
| I-Probenecid | I-Warfarin (ukwehlisa igazi) |
| Imithi okufanele uyiqaphele ngoba ingase ihlangane nalo muthi | |
|---|---|
| Utshwala | I-aspirini kanye nemithi efanayo |
| Eminye imithi yesifo senhliziyo | Ama-diuretics (amaphilisi amanzi) |
| Ama-hormone e-estrogen noma i-progestin | Eminye imithi yokwelapha isifo sengqondo (MAOIs, Fluoxetine) |
| Imithi yokukhwehlela, umkhuhlane, kanye ne-asthma | Izibulali-zinhlungu (ama-NSAID - isibonelo i-Ibuprofen, i-Naproxen) |
| Amanye ama-antibiotic (ama-antibiotic e-Quinolone) | Izinhlobo zama-steroid (ama-steroid - isibonelo i-Prednisone) |
| Imithi yokwehlisa isisindo | Eminye imikhiqizo yezitshalo kanye nezithasiselo |
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, imikhiqizo yamakhambi , kanye nezithasiselo . Futhi, tshela udokotela wakho uma uphuza utshwala noma ubhema.
Izinto okufanele uziqaphele lapho uthatha umuthi
Uma uthatha i-Glimepiride iba yingxenye yempilo yakho, kunemithwalo yemfanelo okudingeka uyithwale.
- Bona udokotela wakho njalo: Yiya emtholampilo ngezinsuku ezihleliwe. Udokotela uzohlola ukuthi isifo sakho sikashukela silawulwa kahle kangakanani.
- Ukuhlolwa kwe-HbA1C: Lokhu kuhlolwa kulinganisa amazinga akho ajwayelekile kashukela egazini ezinyangeni ezi-2-3 ezedlule. Lokhu kuhlolwa kuvame ukwenziwa njalo ezinyangeni ezi-3 kuya kwezi-6.
- Hlola amazinga kashukela egazini lakho ekhaya: Uma kungenzeka, thola i-glucometer ukuze uyigcine ekhaya futhi ufunde ukuhlola amazinga kashukela egazini lakho njalo. Yazi izimpawu zikashukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini ( hyperglycemia ), nokuthi yini okufanele uyenze kulezo zimo.
- Gcina ushukela nawe: Nomaphi lapho uya khona, phatha ushukela, njengethebhulethi ye-glucose noma i-sweet toffee, esikhwameni noma ephaketheni lakho. Uma uzizwa sengathi ushukela wakho wegazi uphansi (ukuthuthumela, ukujuluka, ukuzizwa udidekile), yidla ngokushesha.
- Ungayeki ukudla: Kuyingozi kakhulu ukweqa ukudla ngenkathi uthatha lo muthi. Ukwenza kanjalo kungabangela ukuthi amazinga kashukela egazini lakho ehle kakhulu.
- Qaphela elangeni: Lo muthi ungenza isikhumba sakho sizwele kancane elangeni. Ngakho-ke, uma uphuma elangeni, sebenzisa isambulela, gqoka izingubo ezimboza umzimba wakho, bese ufaka isivikelo selanga.
- Gqoka i-ID yezokwelapha: Kubalulekile ukuphatha isongo, umgexo, noma ikhadi elibhalwe ukuthi unesifo sikashukela kanye nemithi oyiphuzayo. Kungasindisa impilo yakho esimweni esiphuthumayo.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Glimepiride ingabangela imiphumela emibi kwabanye abantu, kodwa akubona bonke abantu abayitholayo. Ungakhathazeki, kubalulekile ukuqaphela.
| Umphumela ongemuhle | Okufanele ngikwenze? |
|---|---|
| Imiphumela emibi edinga usizo lwezokwelapha ngokushesha | |
| Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, ubunzima bokuphefumula. | Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha. Lesi yisimo esibucayi. |
| Amazinga kashukela aphansi kakhulu egazini (i-Hypoglycemia): Ukuthuthumela, ukujuluka, ukuzizwa ukhathazekile, ukushaya kwenhliziyo okusheshayo, isiyezi, ukudideka. | Yidla ushukela kuqala. Uma isimo sibi kakhulu noma uma ulahlekelwa ingqondo, myise esibhedlela ngokushesha. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka: | |
| Isiyezi | Lokhu kuvame ukuphela ezinsukwini ezimbalwa, kodwa uma kuqhubeka noma kukukhathaza, tshela udokotela wakho. |
| Ikhanda elibuhlungu | |
| Isicanucanu (ukuzizwa ugula) | |
Uyigcina kanjani imithi yakho?
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina ekamelweni lokushisa (ngaphansi kwama-degree Celsius angu-30). Vikela ekushiseni okukhulu kanye nomswakama. Akuyona into enhle ukugcina imithi endlini yokugezela.
- Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle ngendlela efanele.
I-Glimepiride umuthi omuhle kakhulu osiza ukulawula isifo sikashukela. Into ebaluleke kakhulu ukuyisebenzisa ngendlela efanele futhi ube nolwazi oluphelele ngayo. Uma uneminye imibuzo mayelana nalo muthi, ungayigcini kuwe, kodwa buza udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Thatha amaphilisi e-Glimepiride ngesikhathi esifanayo nsuku zonke, njengoba kuyalelwe udokotela wakho, ngesikhathi sokudla.
- Ungalokothi weqe ukudla. Ukwenza kanjalo kungabangela ukuthi amazinga kashukela egazini ehle ngendlela eyingozi.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia) (ukuthuthumela, ukujuluka, isiyezi). Hlala uphethe ushukela noma okuthile okumnandi.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Vakashela umtholampilo ngezinsuku ezihleliwe ukuze uhlole izinga lakho lokulawula isifo sikashukela kanye namazinga e-HbA1C.
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