Ingabe udokotela wakho ukutshelile ukuthi unesifo sikashukela sohlobo lwesibili? Uma kunjalo, kungenzeka ukuthi unikezwe umuthi obizwa ngokuthi i-Glipizide. Abantu abaningi ezweni lethu basebenzisa lo muthi ukulawula isifo sabo sikashukela. Ngakho-ke, njengomuntu othatha lo muthi, kubaluleke kakhulu ukuthi wazi konke ngawo. Namuhla, sizoxoxa ngalo muthi obizwa ngokuthi i-Glipizide, ukuthi usebenza kanjani emzimbeni, nezinto okufanele uziqaphele ngenkathi uwuthatha, konke ngendlela elula kakhulu, njengokungathi ukhuluma nomngane.
Iyini i-Glipizide? Isebenza kanjani emzimbeni?
Kalula nje, i-Glipizide umuthi osetshenziswa ukulawula isifo sikashukela sohlobo 2. Uthathwa njengephilisi.
Into eyinhloko eyenziwa yilo muthi emzimbeni ukukhuthaza ukukhiqizwa kwehomoni ebizwa ngokuthi i-insulin evela kuma-pancreas akho. I-insulin iyisici esiyinhloko esilawula izinga likashukela (i-glucose) egazini lethu. Lapho ushukela wegazi ukhuphuka, i-insulin iyasiza ekuthatheni lolo shukela emaseli bese iluguqula lube amandla. Ngakho-ke, lapho lo muthi ukhiqiza i-insulin eningi, amazinga kashukela egazini ayancishiswa futhi alawulwe. Futhi, lo muthi usiza ukusebenzisa i-insulin emzimbeni ngendlela ephumelela kakhudlwana. Ngokwezokwelapha, lokhu kungokweqembu lemithi ebizwa ngokuthi i-Sulfonylureas.
Kodwa khumbula kahle lokhu. Awukwazi ukulawula isifo sikashukela ngokuthatha lo muthi wedwa. Ukugcina ukudla okufanele nokuzivocavoca nsuku zonke kuyizinto ezimbili ezibalulekile kulokhu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kuzodingeka azi umlando wakho wezokwelapha ophelele. Lo muthi ungase ungahambisani nezimo ezithile zezokwelapha. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho ngakho.
| Ukugula noma isimo | Kungani kufanele unikeze ulwazi? |
|---|---|
| I-ketoacidosis yesifo sikashukela | Lo muthi awufaneleki ngoba lokhu kuyinkinga eyingozi yesifo sikashukela. |
| Ukuntuleka kwe-G6PD (ukuntuleka kwe-glucose-6-phosphate dehydrogenase) | Lesi yisimo sofuzo esithinta amangqamuzana egazi. |
| Isifo senhliziyo, isifo sezinso, noma isifo sesibindi | Uma ukusebenza kwalezi zitho kuphazamiseka, umphumela womuthi ungashintsha. |
| I-Porphyria | Lesi yisifo segazi esingavamile. |
| Ukutheleleka okukhulu noma ukulimala | Ngezikhathi ezinjengalezi, kungadingeka ezinye izindlela zokulawula amazinga kashukela emzimbeni. |
| Isifo se-thyroid | Amazinga e-thyroid athinta amazinga kashukela egazini. |
| Ukungezwani komzimba ne-glipizide, izidakamizwa ze-sulfa, noma ezinye izinto | Njengoba lo muthi uhlobene neqembu le-sulfa, kunengozi yokusabela kokungezwani komzimba. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Kulezi zimo, udokotela kumele anqume ukuthi lo muthi uyafaneleka noma cha. |
Iyiphi indlela efanele yokusebenzisa umuthi?
Ukuze uthole okuningi kulo muthi, kubaluleke kakhulu ukuwusebenzisa ngendlela efanele.
- Gwinya leli philisi lonke ngengilazi yamanzi.
- Into ebaluleke kakhulu ukuphuza leli philisi njalo ekuseni kanye nesidlo sasekuseni. Ungalokothi ulithathe isisu singenalutho.
- Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke. Ngaleyo ndlela, ngeke ukhohlwe futhi imithi izosebenza kangcono.
- Ungalokothi uthathe okungaphezu komthamo obekwe udokotela wakho.
- Uma uneminyaka engaphezu kwengu-65 ubudala, ungase uzizwe imiphumela yalo muthi inamandla kancane. Ngakho-ke, udokotela wakho angakunikeza umthamo ophansi.
Kuthiwani uma ngiphuza umuthi omningi ngephutha?
Lokhu kubaluleke kakhulu. Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, okungukuthi, ukudlula umthamo, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Ngaphandle kwalokho, shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Into ebaluleke kakhulu: Lo muthi ungowakho wedwa. Ungalokothi unike omunye umuntu umuthi wakho. Ungalimaza impilo yalowo muntu.
Kuthiwani uma ngikhohlwa ukuphuza umuthi wami?
Wonke umuntu uyakhohlwa izinto. Thatha umuthi wakho ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isibonelo, kusele amahora ambalwa nje), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa (Ungathathi imithamo ephindwe kabili).
Yini okufanele ngiyinake ngokukhethekile lapho ngithatha imithi?
Uma uthatha i-Glipizide, akwanele ukuphuza iphilisi nje. Udinga futhi ukunaka umzimba wakho.
- Ukuhlolwa kwe-HbA1C: Udokotela wakho uzohlola ukuhlolwa kwakho kwe -HbA1C (A1C) njalo. Lena yindlela ongabona ngayo ukuthi ushukela wakho wegazi ulawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule.
- Ukuhlola amazinga kashukela egazini lakho: Funda ukuthi ungawahlola kanjani amazinga kashukela egazini lakho ekhaya. Yazi izimpawu ze-hypoglycemia kanye ne-hyperglycemia , nokuthi yini okufanele uyenze ngazo.
- Lungela ushukela ophansi egazini: Hlala ugcina ushukela (isib. ama-cubes kashukela, amaphilisi e-glucose, ucezu lweswidi) eduze uma kwenzeka uthola ushukela ophansi egazini. Yidla kancane ngokushesha nje lapho uqala ukuzwa izimpawu zoshukela ophansi egazini (isiyezi, ukuqhaqhazela, ukujuluka).
- Isimo Esiphuthumayo: Uma ulahlekelwa ingqondo noma unesifo sokuwa ngenxa yoshukela wegazi ophansi, ungafaki lutho emlonyeni wakho ngaleso sikhathi. Ungaklinywa. Kufanele uyiswe esibhedlela ngokushesha.
- Ukudla: Ungalokothi weqe ukudla. Ukwenza kanjalo kungabangela ukuthi ushukela wakho wegazi wehle ngendlela eyingozi.
- Utshwala: Cela iseluleko kudokotela wakho mayelana nokuphuza utshwala.
- Ukukhanya kwelanga: Lo muthi ungenza isikhumba sakho sizwele kancane elangeni (photosensitivity). Ngakho-ke gqoka isigqoko kanye ne-sunscreen uma uphuma elangeni.
- I-ID Yezokwelapha: Kungumqondo omuhle ukugqoka ikhadi elincane noma isongo elibhalwe ukuthi unesifo sikashukela kanye nemithi oyiphuzayo. Kuwusizo kakhulu esimweni esiphuthumayo.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-Glipizide ingaba nemiphumela emibi emincane. Kodwa akuwona wonke umuntu oyitholayo. Eminye yayo imbi kakhulu. Ake sibone ukuthi iyini.
| Imiphumela emibi edinga usizo lwezokwelapha ngokushesha | Imiphumela emibi evame ukuba yinto engakhathazeki ngayo, kodwa okufanele ibikwe kudokotela uma iqhubeka |
|---|---|
Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, ubunzima bokuphefumula. | Uhudo |
Ushukela ophansi egazini (i-Hypoglycemia): ukuqhaqhazela, ukushaya kwenhliziyo, ukujuluka ngokweqile, ubunzima bokugxilisa ingqondo, isiyezi, ukushaya kwenhliziyo okusheshayo. | Isiyezi |
I-Hemolytic anemia: Ukukhathala okungajwayelekile, isiyezi, ikhanda elibuhlungu, ukuphelelwa umoya, umchamo omnyama, ukuphuzi kwesikhumba noma amehlo. | Igesi |
Ukuvaleka kwamathumbu: Ubuhlungu besisu, ukungakwazi ukukhipha indle noma ukukhipha umoya, ukulahlekelwa yisifiso sokudla, ukuhlanza. | Isicanucanu |
Umlayezo Wokuya Nawe Ekhaya
- I-Glipizide umuthi osetshenziselwa ukwelapha isifo sikashukela sohlobo 2. Isebenza ngokwandisa ukukhiqizwa kwe-insulin emzimbeni.
- Thatha umuthi ngesikhathi esifanayo nsuku zonke, kanye nesidlo sasekuseni. Ungalokothi weqe ukudla.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia). Gcina ushukela (ibha yamaswidi, ikhiyubhu kashukela) eduze uma kwenzeka izimo eziphuthumayo.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini nemithi yendabuko).
- Uma ngengozi uthatha umuthi omningi kakhulu, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Uma unemibuzo mayelana nalomuthi, xoxa ngawo nodokotela wakho.
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