Ingabe unesifo sikashukela (Uhlobo 2 Lwesifo Sikashukela)? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike iphilisi elihlanganisiwe elibizwa ngokuthi i-Glipizide kanye ne-Metformin. Lona umuthi obalulekile onikezwa abantu abaningi abanesifo sikashukela ezweni lethu futhi osiza ukulawula amazinga kashukela egazini. Ngakho-ke namuhla, ake sixoxe ngalo muthi nezinto okudingeka uziqaphele ngenkathi uwusebenzisa, ngendlela elula ongayiqonda.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lokhu kuyinhlanganisela yemithi emibili. Okusho ukuthi, iqukethe i-Glipizide kanye ne-Metformin ephilisini elilodwa. Uma zihlangene, lezi ezimbili zisiza ukwehlisa amazinga kashukela emzimbeni wakho ngezindlela eziningana.
- I-Glipizide: Lokhu kungokwesigaba semithi ebizwa ngokuthi i-sulfonylureas. Isebenza ngokuvuselela ama-pancreas akho ukuthi akhiqize i-hormone eyengeziwe ye-insulin edingwa ngumzimba wakho.
- I-Metformin: Lokhu kusebenza kakhulu ngokunciphisa ukukhiqizwa kukashukela okungadingekile yisibindi sakho. Ngaphezu kwalokho, kusiza amangqamuzana omzimba ukuthi aphendule kangcono ku-insulin (kuthuthukisa ukuzwela kwe-insulin).
Into ebaluleke kakhulu ukuthi lo muthi wodwa awanele. Imiphumela emihle kakhulu ingatholakala kuphela uma lo muthi uthathwa kanye nokudla okufanele kanye nokuzivocavoca umzimba njengoba kuceliwe udokotela .
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Kubaluleke kakhulu ukuthi udokotela wakho azi kahle isimo sakho sempilo ngaphambi kokukunikeza lo muthi. Ngakho-ke, uma unezinye zezimo ezilandelayo, qiniseka ukuthi utshela udokotela wakho ngazo.
| Isimo sakho noma umkhuba wakho | Kungani kufanele unikeze ulwazi? |
|---|---|
| Isifo sezinso noma sesibindi | Ngenxa yokuthi umuthi ukhishwa emzimbeni ngalezi zitho zomzimba, uma ukusebenza kwazo kuphazamiseka, umthamo womuthi kungadingeka ulungiswe. |
| Isifo senhliziyo | Kufanele kuqashelwe ngokukhethekile lapho usebenzisa lo muthi ezimweni ezithile zenhliziyo. |
| Umkhuba wokuphuza njalo | Ukuhlanganisa utshwala nalo muthi kwandisa ingozi yesimo esibi esibizwa ngokuthi i-lactic acidosis. |
| I-ketoacidosis yesifo sikashukela | Lokhu kuyinkinga enkulu yesifo sikashukela, futhi lo muthi awufaneleki. |
| I-hemoglobin ephansi egazini (i-Anemia) | Kubalulekile ukuqaphela i-anemia, njengoba lo muthi ungathinta ukumuncwa kwe-vitamin B12. |
| Ukukhulelwa noma ukuzama ukukhulelwa | Lo muthi awunconywa ngesikhathi sokukhulelwa, futhi kudingeka ezinye izindlela zokwelapha. |
| Ukuba ngumama oncelisayo | Kufanele uxoxe nodokotela wakho ukuthi umuthi ungadluliselwa yini enganeni yakho ngobisi lwebele. |
| Ukungezwani neminye imithi, imithi ye-sulfa, noma ukudla | Kubaluleke kakhulu ngokuphepha ukusitshela nganoma yikuphi ukungezwani komzimba onakho. |
Ngingawusebenzisa kanjani umuthi?
Lokhu kulula kakhulu, kodwa kumele kulandelwe kahle.
- Leli philisi kufanele liphuzwe kanye nokudla . Ungaliphuzi esiswini esingenalutho.
- Gwinya ithebhulethi lonke ngengilazi yamanzi.
- Njalo thatha umthamo oshiwo udokotela wakho, ngesikhathi esiqondile oshiwo ngaso. Ungashintshi isikhathi noma umthamo ngendlela othanda ngayo.
- Uma uneminyaka engaphezu kwengu-65 ubudala, udokotela wakho angakunika umthamo ophansi kancane.
- Uma ucabanga ukuthi kungenzeka ukuthi uphuze umuthi omningi kakhulu ngengozi: Uma ucabanga kanjalo, ungalibali.Yiya ngokushesha eMnyangweni Wezimo Eziphuthumayo (i-ETU) wesibhedlela esiseduze noma ushayele i-National Poisons Information Centre e-Colombo National Hospital .
- Uma uphuthelwa umthamo: Thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi umthamo ophindwe kabili nganoma yisiphi isizathu.
Eminye imithi engase ihlangane nalo muthi
Isexwayiso: Kuyingozi kakhulu ukuthatha lo muthi nezinhlobo ezithile zezinto 'ezingafani' ezifakwe emzimbeni ngaphambi kokuhlolwa okufana ne-X-ray, i-CT scan, i-MRI, kanye nomuthi wesifo senhliziyo i-Dofetilide. Uma uzokwenza ukuhlolwa okunjalo, tshela udokotela wakho kusenesikhathi.
Ngaphezu kwalokho, eminye imithi eminingi ingasebenzisana nalo muthi. Isibonelo:
- I-aspirin kanye neminye imithi yokubulala izinhlungu (ama-NSAID)
- Eminye imithi yokwelapha umfutho wegazi kanye nesifo senhliziyo
- Ama-diuretics (noma 'amaphilisi amanzi')
- Izinhlobo ze-Steroids
- Izinhlobo zama-hormone, okuhlanganisa namaphilisi okulawula ukuzalwa
- Amanye ama-fungicides nama-antibiotic
- Eminye imithi yokwelapha isifo sengqondo (MAOIs)
- Imithi yezifo ze-thyroid
Lolu hlu aluphelele. Ngakho-ke nikeza udokotela wakho uhlu olucacile lwazo zonke izidakamizwa, amavithamini, amakhambi, kanye nezithasiselo ozithathayo. Futhi, mtshele uma ubhema noma uphuza utshwala.
Izinto okufanele uziqaphele lapho uthatha imithi
- Ukuhlolwa okuvamile: Yiya emitholampilo ngezikhathi ezihleliwe njengoba kunqunywe udokotela wakho bese uhlola isimo sakho. Ukuhlolwa kwegazi okubizwa ngokuthi i-HbA1C kuzokwenziwa njalo ezinyangeni ezi-3-6 ukuze kubonakale ukuthi ushukela wakho ulawulwa kahle kangakanani.
- Funda ukuhlola ushukela wakho wegazi: Funda ukusebenzisa i-glucometer ekhaya. Yazi izimpawu ze-hypoglycemia kanye ne-hyperglycemia, nokuthi yini okufanele uyenze uma zenzeka.
- Gcina ushukela eduze: Njalo gcina okuthile okufana ne-sugar cube, i-toffee, noma i-glucose tablet esikhwameni sakho noma ephaketheni uma kwenzeka izinga lakho likashukela lehla ngokuzumayo.
- Ungayeki ukudla: Yidla ngesikhathi esifanele. Ukweqa ukudla kungabangela amazinga kashukela egazini lakho ehle kakhulu.
- Qaphela ukukhanya kwelanga: Lo muthi ungenza isikhumba sakho sizwele kancane ekukhanyeni kwelanga (photosensitivity). Ngakho-ke sebenzisa isithambisi selanga , gqoka izingubo ezimboza umzimba wakho, futhi ugqoke isigqoko uma uphuma elangeni.
- Qaphela amavithamini: Ukusebenzisa lo muthi isikhathi eside kungabangela amazinga aphansi evithamini B12 kanye ne-folic acid kwabanye abantu. Ngakho-ke, kubalulekile ukudla ukudla okulinganiselayo, futhi uma kudingeka, uphuze amavithamini njengoba kuqondiswe udokotela wakho.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye yayo iyingozi, eminye ivamile.
| Uhlobo lomphumela ongemuhle | Izici kanye nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. Kudingeka ukwelashwa ngokushesha. |
| I-Lactic acidosis (Izinga eliphezulu le-lactic acid) | Ubuhlungu bemisipha, ukuqaqamba kwesisu, ukuphelelwa umoya, ukukhathala okukhulu. Lokhu kuyisimo esiphuthumayo futhi kudinga ukulaliswa esibhedlela ngokushesha. |
| I-anemia ye-Hemolytic | Ubuthakathaka obungavamile, isiyezi, ubunzima bokuphefumula, umchamo omnyama, ukuphuzi kwesikhumba noma amehlo. |
| Izimpawu zokuntuleka kwe-vitamin B12 | Ubuhlungu ezithweni zomzimba, ukungazweli, ubuthakathaka bemisipha, isiyezi, ukulahlekelwa yinkumbulo. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukuphazamiseka kwesisu, isicanucanu | Lokhu kuvame ukuncishiswa ngokuthatha umuthi kanye nokudla. |
| Uhudo | Lokhu kungenzeka uma uqala ukuthatha umuthi. Uma uqhubeka, tshela udokotela wakho. |
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi uwusizo kuphela ekulawuleni isifo sikashukela. Ukudla okufanele kanye nokuzivocavoca umzimba kubalulekile.
- Khumbula ukuthatha umuthi kanye nokudla, ngesikhathi esifanayo nsuku zonke.
- Qaphela izimpawu ze-hypoglycemia (isiyezi, ukujuluka, ukushaya kwenhliziyo). Hlala ugcina ushukela noma uswidi eduze.
- Ungakhohlwa ukutshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo, ikakhulukazi imithi yokwelapha izinhlungu.
- Uma ngengozi uphuza imithi eminingi kakhulu noma uhlangabezana nemiphumela emibi kakhulu, iya ku-ETU ngokushesha.
- Lomuthi ungowakho wedwa. Ungalokothi unike abanye umuthi wakho.
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