Umuthi wesifo sikashukela: Ake sifunde ngamaphilisi e-Glipizide?

Ingabe nawe unenkinga yesifo sikashukela i-Diabetes Mellitus? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike iphilisi elibizwa ngokuthi i-Glipizide . Lona umuthi omkhulu kubantu abanesifo sikashukela sohlobo lwesibili . Ngakho-ke, namuhla sizoxoxa ngala maphilisi e-Glipizide, ukuthi asebenza kanjani, okufanele uqaphele ngawo ngenkathi uwasebenzisa, kanye nezinye izinto eziningi ezibalulekile. Ukwazi kahle ukuthi ungawusebenzisa kanjani lo muthi kubaluleke kakhulu empilweni yakho.

Uyini lo muthi obizwa ngokuthi i-Glipizide? Usebenza kanjani?

Kalula nje, lo muthi obizwa ngokuthi i-Glipizide wandisa izinga le-insulin emzimbeni wakho. I-insulin iyi-hormone ebalulekile elawula izinga likashukela, noma i-glucose, emzimbeni wethu. Lapho ushukela ovela ekudleni esikudlayo ungena egazini, yi-insulin elawula inani likashukela futhi isize ukuthi limuncwe emaseli.

Isifo Sikashukela Sohlobo 2 I-Mellitus senzeka lapho umzimba ungakhiqizi i-insulin eyanele, noma umzimba ungakwazi ukusebenzisa i-insulin oyikhiqizayo kahle. Ngakho-ke, lokho okwenziwa yilo muthi i-Glipizide ukunika ama-pancreas amandla amancane futhi kusize ekukhiqizeni i-insulin eningi. Uma lo muthi wandisa i-insulin, inani likashukela egazini liyancipha. Kuphinde kusize umzimba wakho ukuthi usebenzise i-insulin ngendlela efanele.

Lo muthi ungoweqembu lemithi ebizwa ngokuthi i-sulfonylureas. Kodwa into eyodwa okufanele ikhunjulwe. Isifo sikashukela asinakulawulwa ngokuthatha lo muthi wedwa. Kumele sihambisane nokudla okuhle kanye nokuzivocavoca kwansuku zonke . Udokotela uzokutshela ukuthi ungalawula kanjani ukudla kwakho nokuthi yiziphi izivivinyo okufanele uzenze.

Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuthatha lo muthi?

Kulungile, manje ake sibone ukuthi yiziphi izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala la maphilisi e-Glipizide. Kungcono ukungazifihli lezi zinto, akunjalo? Ngoba yilapho kuphela lapho udokotela ezokwazi ukukwelapha ngendlela efanele nangokuphephile.

Kufanele utshele udokotela wakho nakanjani uma unezinye zalezi zimo:

• Uma une -ketoacidosis yesifo sikashukela, okuyisimo esibi esibangelwa isifo sikashukela , lokhu kubangela ukuthi izinto eziyingozi ezibizwa ngokuthi ama-ketone ziqongelelane egazini.
• Uma unesifo sofuzo esibizwa ngokuthi i-glucose-6-phosphate dehydrogenase deficiency (G6PD deficiency) . Lokhu kungabangela ukuzwela kweminye imithi.
• Isifo senhliziyo , okungukuthi, uma unesifo senhliziyo.
• Isifo sezinso , okungukuthi, uma unenkinga yezinso.
• Isifo sesibindi , okungukuthi, uma kunenkinga ngesibindi.
• Uma unesifo esingavamile esibizwa ngokuthi i-porphyria .
• Uma unesifo esibi noma ulimele .
• Uma unesifo se-thyroid .
• Uma uke waba nokusabela kokungezwani komzimba ngaphambilini ne-glipizide, imithi ye-sulfa (amanye ama-antibiotic angaphansi kwaleli qembu), eminye imithi, ukudla, udayi wokudla, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa.
• Uma ungumama oncelisayo.

Uma usho lezi zinto ngendlela efanele, udokotela wakho anganquma ukuthi lo muthi ukulungele yini noma udinga enye indlela.

Ngingawusebenzisa kanjani lo muthi?

Lomuthi kufanele uphuzwe ngomlomo. Ugwinye nengilazi yamanzi. Okubaluleke kakhulu, ungawuphuzi kanye nokudla.Lokhu kufanele kuthathwe imizuzu engama-30 ngaphambi kokudla. Yilapho umuthi umuncwa kahle emzimbeni futhi usiza ekulawuleni ushukela oqongeleleka egazini ngemva kokudla.

Landela imiyalelo esephaketheni lemithi njengoba udokotela wakho ekutshelile. Uma uthatha lo muthi kanye ngosuku, thatha imizuzu engama-30 ngaphambi kokudla kwasekuseni. Uma udokotela wakho ekutshelile ukuthi uwuthathe kaningana ngosuku, thatha imizuzu engama-30 ngaphambi kokudla okuyinhloko ngakunye. Zama ukuthatha umuthi ngesikhathi esifanayo nsuku zonke. Lokhu kuzosiza ukugcina umuthi usebenza njalo. Ungathathi ngaphezu komthamo udokotela wakho akutshele ukuthi uwuthathe.

Mayelana nezingane ezincane kanye nabantu abadala

Uma unikeza izingane ezincane lo muthi, kufanele nakanjani ukhulume nodokotela wakho ngawo. Kungadingeka ukunakekelwa okukhethekile kanye nokulungiswa komthamo.

Futhi, abantu abangaphezu kweminyaka engama-65 bangase bazizwe kakhulu ngemiphumela yalo muthi. Ngakho-ke, udokotela angabanika umthamo omncane kunowomuntu ojwayelekile.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?

Cabanga ukuthi usuthathe lo muthi omningi kakhulu, noma othile emndenini wakho uwuthathe ngephutha. Uma lokho kwenzeka , shayela ngokushesha i-Poison Control Center eNational Hospital noma egumbini lezimo eziphuthumayo esibhedlela sikahulumeni. Noma uye esibhedlela ngokushesha. Ungakuthathi kalula lokhu, kulungile? Ngoba uma uthatha i-Glipizide eningi kakhulu, ushukela wakho wegazi ungehla kakhulu ngendlela eyingozi.

Khumbula: Lo muthi ungowakho kuphela. Ungacabangi ukuthi umngane wakho uzovumelana nalo muthi uma naye enesifo sikashukela. Umuthi ofanele kanye nomthamo wawo wonke umuntu kuhlukile.

Kuthiwani uma ngiphuthelwa isikhathi sami sokuya emithini?

Manje ake sithi uphuthelwe umthamo. Uma lokho kwenzeka, thatha iphilisi ngokushesha nje lapho ukhumbula . Kodwa uma sekuyisikhathi somthamo wakho olandelayo, isibonelo, uma kufanele uphuze emahoreni ambalwa, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo njengokujwayelekile. Ungalokothi uthathe amaphilisi amabili ngesikhathi esisodwa, okungukuthi, umthamo ophindwe kabili. Ukwenza kanjalo kungabangela ukuthi ushukela wakho wegazi wehle kakhulu.

Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)

I-Glipizide ingasebenzisana neminye imithi nezinye izinto. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, amakhambi, imithi engekho ngaphansi kukadokotela, kanye nezithasiselo zokudla. Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Ezinye izinto zingasebenzisana nalo muthi, okungashintsha indlela osebenza kahle ngayo noma kwandise imiphumela emibi.

Nazi ezinye zemithi ezingasebenzisana ne-Glipizide:

• I-Bosentan
• I-Chloramphenicol
• I-Cisapride
• I-Clarithromycin
• Imithi yokutheleleka kwesikhunta noma yemvubelo (isb. i-Fluconazole, i-Miconazole)
• I-Metoclopramide
• I-Probenecid `(I-Probenecid)`
• I-Warfarin (umuthi ovimbela ukujiya kwegazi)

Futhi, kuneminye imithi eminingi engakhuphula noma yehlise amazinga kashukela egazini. Ingasebenzisana futhi ne-glipizide. Nazi izibonelo ezimbalwa:

• Iziphuzo eziqukethe utshwala : Utshwala bungabangela ukuthi ushukela egazini wehle ngokuzumayo.
• I-aspirini kanye nemithi efana ne-aspirin
• I-Chromium (ngezinye izikhathi ithathwa njengesengezo)
• Imithi yokukhipha amanzi emzimbeni - imithi esusa amanzi emzimbeni
• Ama-hormone abesifazane, njenge-estrogen noma i-progestin, kanye namaphilisi okulawula ukuzalwa
• Eminye imithi yenhliziyo (isb., ama-beta-blockers)
• I-Isoniazid (umuthi wesifo sofuba)
• Ama-hormone wesilisa noma ama-steroid e-anabolic
• Imithi yokwehlisa isisindo
• Imithi yokwelapha ukungezwani komzimba, i-asthma, umkhuhlane, noma ukukhwehlela (eminye ingase ibe noshukela)
• Imithi yezinkinga zengqondo
• Imithi esesigabeni semithi ebizwa ngokuthi 'MAO Inhibitors', isibonelo iNardil, iParnate, iMarplan, i-Eldepryl
• I-Niacin
• Ama-painkiller abizwa ngokuthi 'ama-NSAID', njenge-ibuprofen noma i-naproxen.
• I-Pentamidine
• I-Phenytoin `(Phenytoin)`
• Ama-antibiotic e-quinolone ahlanganisa i-ciprofloxacin, i-levofloxacin, ne-ofloxacin.
• Ezinye izithako zokudla ezisetshenziswa ngamakhambi
• Imithi ye-steroid, njenge-prednisone noma i-cortisone
• Imithi ye-thyroid

Lolu hlu aluphelele, uyaqonda? Ngakho-ke kuphephile futhi kungcono ukutshela udokotela wakho ngakho konke okuthathayo.

Izinto okufanele uziqaphele uma usebenzisa lo muthi

Uma usebenzisa lo muthi, kufanele ubonane nodokotela wakho njalo ukuze ahlole ukuthi unjani. Lokho kusho ukuya ezinsukwini zakho ezihleliwe zasemtholampilo.

• Ukuhlolwa kwe-HbA1C: Ukuhlolwa okubizwa ngokuthi `i-HbA1C (A1C)` kwenziwa ukuze kubonwe ukuthi ushukela wakho wegazi ulawulwa kahle kangakanani. Lokhu ukuhlolwa kwegazi okulula. Ngokuvamile kukhombisa ukuthi ushukela wakho ulawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule. Lokhu kuhlolwa kuvame ukwenziwa njalo ezinyangeni ezi-3-6, njengoba kunqunywe udokotela wakho.
• Ukulinganisa ushukela egazini: Kubaluleke kakhulu ukufunda ukuthi ungawahlola kanjani amazinga kashukela egazini lakho ekhaya. Udokotela wakho kungenzeka ukuthi ukunike i-glucometer yalokhu. Qiniseka ukuthi uyaziqonda izimpawu zikashukela wegazi ophansi (hypoglycemia) kanye noshukela wegazi ophezulu (hyperglycemia) nokuthi ungazilawula kanjani.
• Ukulungela Okuphuthumayo: Hlala ugcina umthombo osheshayo kashukela (isib. ama-cubes kashukela angu-2-3, amaphilisi kashukela, ijusi yezithelo) eduze uma kwenzeka ushukela wakho wegazi wehla ngokuzumayo (i-hypoglycemia). Uma unesimo esibi soshukela ophansi egazini, njengokuquleka, noma uma ulahlekelwa ingqondo, tshela umndeni wakho nabangani ukuthi ungase uklinywe uma uzama ukubanika ukudla noma isiphuzo ngaleso sikhathi. Uma lokhu kwenzeka, kufanele ufune usizo lwezokwelapha ngokushesha.
• Tshela udokotela wakho : Uma ubona ukuthi amazinga kashukela egazini lakho aphakeme njalo (isib. ukoma njalo, ukuchama njalo, ukuzizwa ubuthakathaka), tshela udokotela wakho. Umthamo wakho wemithi ungase udingeke ulungiswe. Uma unesifo esifana nomkhuhlane noma umkhuhlane, noma uma uvivinya umzimba ngaphezu kokujwayelekile, buza udokotela wakho ukuthi umthamo wakho wemithi udinga ukulungiswa yini.
• Ukudla notshwala: Ungayeki ukudla.Ukwenza kanjalo kunganciphisa ushukela wegazi lakho. Buza udokotela wakho ukuthi kufanele yini ugweme ukuphuza utshwala. Utshwala abukhuthazwa ezimweni eziningi. Amanye ama-syrup okukhwehlela nawomkhuhlane owathenga emakhemisi angase abe noshukela noma utshwala. Angathinta ushukela wegazi lakho, ngakho-ke kuwumqondo omuhle ukubuza udokotela wakho ngaphambi kokuwasebenzisa.
• Ukuvikelwa elangeni: Lo muthi ungenza isikhumba sakho sizwele elangeni (photosensitivity). Ngakho-ke, qaphela ukukhanya kwelanga okunamandla emini. Uma kufanele uphume elangeni, gqoka izingubo ezimboza umzimba wakho, gqoka isigqoko, bese usebenzisa i-'Sunscreen' enhle (SPF 30 noma ngaphezulu). Ungasebenzisi 'izibani zelanga' noma 'imibhede/ama-booth' okushisa ilanga.
• Umazisi Wezokwelapha: Gqoka isongo noma iketanga le-ID yezokwelapha elibonisa isimo sakho (isifo sikashukela), imithi oyiphuzayo, nokuthi kufanele uyithathe nini, noma ugcine ikhadi elinaleyo mininingwane esikhwameni sakho ngaso sonke isikhathi. Lokhu kungaba yinto ebaluleke kakhulu esimweni esiphuthumayo.

Imiphumela emibi engase ivele ngalo muthi

Njengayo yonke imithi, i-Glipizide ingaba nemiphumela emibi. Eminye yayo iyingozi kakhulu futhi kufanele ibikwe kudokotela wakho ngokushesha. Eminye yayo ayibi kakhulu futhi izophela ezinsukwini ezimbalwa.

Imiphumela emibi okufanele uyitshele udokotela wakho ngokushesha:

• Ukusabela kokungezwani komzimba: Lokhu kuyingozi kakhulu. Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezifana nokuqubuka kwesikhumba, ukulunywa okukhulu, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. Ukuvuvukala komphimbo kungabangela ubunzima bokuphefumula.
• I-hypoglycemia enzima: ukuthuthumela noma ukuthuthumela, ukukhathazeka, ukujuluka ngokweqile, isikhumba esibandayo noma esibandayo , ukudideka, isiyezi esikhulu, ukushaya kwenhliziyo okusheshayo, ukulahlekelwa ukwazi, ukuxhuzula. Uma lokhu kwenzeka, kufanele uye esibhedlela ngokushesha.
• I-Hemolytic Anemia: Lokhu kuyi-anemia ebangelwa ukuwohloka kwamangqamuzana abomvu egazi. Lokhu kungabangela ubuthakathaka noma ukukhathala okungavamile, isiyezi, ikhanda elibuhlungu, ukuphefumula okunzima, umchamo omnyama, kanye nesikhumba noma amehlo aphuzi.

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

• Uhudo
• Isiyezi (esincane)
• Igesi, ukuvuvukala kwesisu
• Isicanucanu, ukuhlanza `(Isicanucanu)`
• Ukuthuthumela noma ukuthuthumela (akuhlobene noshukela wegazi ophansi)

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi engaba khona, ngakho-ke uma ubona noma yini entsha noma engavamile, ungesabi ukukhuluma nodokotela wakho ngayo.

Kufanele uwugcine kanjani umuthi wakho?

• Gcina lo muthi kude nezingane futhi kude nazo.
• Gcina ekamelweni lokushisa, ngaphansi kwama-degree Celsius angu-30 (ama-degree Fahrenheit angu-86), endaweni eyomile. Gwema ukugcina ezindaweni ezinomswakama ophezulu, njengasendlini yokugezela.
• Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle ngendlela efanele. Ungacela ikhemisi lakho ukuthi likunike imiyalelo yokuthi ungayilahla kanjani imithi ngendlela efanele.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu ngalo muthi wesifo sikashukela obizwa ngokuthi i-Glipizide, akunjalo? Nakuba lesi sihloko sinde kancane, ngithemba ukuthi uthole ulwazi olubalulekile.

Into ebaluleke kakhulu okufanele uyikhumbule ukusebenzisa lo muthi njengoba nje udokotela ekutshela, ngesikhathi esifanele, nangesilinganiso esifanele. Ukulawula ukudla kwakho nokuzivocavoca nsuku zonke nakho kuyizinto ezibalulekile okufanele zenziwe ngalo muthi. Ngaphandle kwawo, kunzima ukulawula kahle isifo sakho sikashukela ngokuthatha lo muthi wedwa.

Uma unemibuzo, izimpawu ezintsha, noma ukukhathazeka, ungesabi noma ube namahloni okubuza udokotela wakho. Noma buza usokhemisi wakho. Ukuphila nesifo sikashukela kungaba nzima ngezinye izikhathi, kodwa uma unolwazi olufanele ngesimo sakho, ulandele imiyalelo kadokotela wakho, futhi unakekela umzimba wakho, ungaphila impilo enempilo nejabulisayo!