Ingabe udokotela wakho ukunike iphilisi elibizwa ngokuthi i-Glyburide ukulawula isifo sakho sikashukela sohlobo lwesibili? Noma ingabe othile emndenini wakho, njengomama noma ubaba wakho, usebenzisa lo muthi? Abantu abaningi banemibuzo mayelana nokuthi lo muthi uyini, usebenza kanjani emizimbeni yethu, nokuthi yiziphi izinyathelo ezikhethekile okudingeka sizithathe lapho siwusebenzisa. Ngakho-ke namuhla, ake sixoxe ngakho konke lokhu kalula, ngendlela ongayiqonda.
Uhlobo luni lomuthi i-Glyburide?
Kalula nje, i-Glyburide umuthi onikezwa abantu abanesifo sikashukela sohlobo 2. Ungowesigaba semithi ebizwa ngokuthi i-sulfonylureas.
Lokhu kwenza izinto ezimbili ikakhulukazi:
1. Kwandisa ukukhiqizwa kwe-hormone i-insulin emzimbeni wakho.
2. Futhi, kusiza ukunciphisa amazinga kashukela egazini, okungukuthi, amazinga kashukela egazini, ngokusebenzisa kahle i-insulin emzimbeni.
Kodwa into eyodwa okufanele uyikhumbule ukuthi ukuthatha lo muthi wedwa akwanele. Udinga ukuwuhlanganisa nokudla okufanele kanye nokuzivocavoca umzimba . Kulapho-ke kuphela lapho uzothola khona imiphumela emihle kakhulu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuthi uqale ukuthatha amaphilisi e-Glyburide, kubalulekile ukutshela udokotela wakho uma unezinye zezimo ezilandelayo, njengoba umthamo noma imithi oyinikwayo ingashintsha ngokusekelwe kulolu lwazi.
| Isimo sakho sempilo | Kungani kufanele unikeze ulwazi? |
|---|---|
| Isimo esiphuthumayo esibizwa ngokuthi i-diabetesic ketoacidosis. | Lo muthi awufaneleki ngoba lokhu kuyinkinga enkulu yesifo sikashukela. |
| Isifo sezinso noma sesibindi. | Ngenxa yokuthi imithi ikhishwa emzimbeni ngalesi sitho, umthamo ungadinga ukulungiswa uma kwenzeka ukugula. |
| Isifo senhliziyo. | Lo muthi kufanele usetshenziswe ngokucophelela kubantu abanezinkinga ezithile zenhliziyo. |
| Ukuntuleka kwe-G6PD (ukuntuleka kwe-glucose-6-phosphate dehydrogenase). | Lesi yisimo esihlobene negazi futhi singadala imiphumela emibi. |
| Izifo ze-thyroid. | Amazinga e-thyroid hormone angathinta amazinga kashukela egazini. |
| Uma une-allergy ku-glyburide, imithi ye-sulfa, noma yini enye. | Lokhu kubalulekile ukuvimbela ukuvela kokungezwani komzimba okukhulu. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. | Ngenxa yokuthi lo muthi ungathinta ingane, udokotela wakho uzokunikeza inketho engcono kakhulu. |
Umuthi kufanele usetshenziswe ngendlela efanele.
- Phuza leli philisi nengilazi yamanzi.
- Thatha umthamo ofanayo, ngesikhathi esifanayo, njengoba udokotela emyalile. Ungalokothi wandise noma wehlise umthamo ngokunganaki.
- Lokhu kuvame ukunikezwa kanye ngosuku. Uma kunjalo, thatha kanye nesidlo sasekuseni noma isidlo sokuqala esiyinhloko sosuku .
- Zenze umkhuba ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke.
- Uma uneminyaka engaphezu kwengu-65 ubudala, umzimba wakho ungase usabele kakhulu kulo muthi. Ngakho udokotela wakho angase akunike umthamo ophansi.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uphuze i-overdose ngokuzumayo, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi unikezwe wena kuphela. Ungabelani ngalo muthi nanoma ubani omunye nganoma yisiphi isizathu.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuphuza umuthi wakho, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Eminye imithi eyingozi nge-Glyburide
I-Glyburide umuthi onamandla amakhulu okuxhumana neminye imithi, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, ngisho namavithamini.
Imithi okungafanele ithathwe nalo muthi
- I-Bosentan
Ezinye izinto kanye nemithi engathinta amazinga kashukela egazini
Imithi nezinto ezilandelayo zingabangela ukuthi amazinga kashukela egazini lakho ehle noma akhuphuke ngokungadingekile . Ngakho-ke, kubalulekile ukwazisa udokotela wakho ngalokhu.
- Utshwala noma iziphuzo ezidakayo.
- Eminye imithi yokwelapha umfutho wegazi (isib. i-enalapril, i-captopril, i-metoprolol, i-propranolol).
- I-aspirini kanye nemithi efanayo.
- Imithi yobuhlungu nokuvuvukala (ama-NSAID) (isib. i-ibuprofen, i-naproxen).
- Amanye ama-antibiotic (isib. i-ciprofloxacin).
- Ama-hormone abesifazane (isib. amaphilisi okuvimbela inzalo, ama-estrogen).
- Imithi equkethe ama-steroid (isib. i-prednisone, i-cortisone).
- Eminye imithi yokwelapha i-asthma, ukukhwehlela, kanye nomkhuhlane.
- Eminye imithi yokwelapha izifo zengqondo (isib. i-Fluoxetine, i-MAO Inhibitors).
- Ezinye izithako zemithi.
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngayo yonke imithi, amavithamini, imikhiqizo yamakhambi, nanoma yini enye oyithathayo .
Izinto okufanele uziqaphele kakhulu lapho uthatha lo muthi:
1. Ukuhlolwa njalo kwezokwelapha: Iya emtholampilo ngezinsuku ezihleliwe njengoba kunqunywe udokotela bese uzihlola.
2. Ukuhlolwa kwe-HbA1C: Lokhu ukuhlolwa kwegazi okulula. Kubheka ukuthi ushukela wakho wegazi ulawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule . Udokotela wakho uzokutshela ukuthi wenze lokhu kuhlolwa njalo ezinyangeni ezi-3 kuya kwezi-6.
3. Qaphela amazinga kashukela egazini lakho: Funda izimpawu zoshukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia) nokuthi ungazilawula kanjani.
4. Lungela isimo esiphuthumayo: Uma izinga likashukela egazini lakho lehla ngokuzumayo (i-hypoglycemia), yidla okuthile okumnandi (isib. i-candy bar, i-sugar cube, i-glucose tablet) bese uyigcina nawe ngaso sonke isikhathi. Khumbula, uma unesifo sokuwa noma ulahlekelwa ingqondo ngenxa yokwehla kukashukela egazini, akufanele ufake lutho emlonyeni wakho. Ungaklinywa. Uma lokhu kwenzeka, kufanele uphuthume umuntu esibhedlela ngokushesha e-Emergency Treatment Unit (ETU).
5. Ungayeki ukudla: Ungalokothi weqe ukudla. Cela iseluleko kudokotela wakho mayelana nokuphuza utshwala.
6. Zivikele elangeni:Lo muthi ungenza isikhumba sakho sizwele elangeni. Ngakho-ke, uma uzoba selangeni, gqoka izingubo ezimboza isikhumba sakho bese usebenzisa isivikelo selanga.
7. Gqoka ikhadi le-ID yezokwelapha: Ukugqoka ikhadi le-ID yezokwelapha noma isongo elichaza ukuthi unesifo sikashukela kanye nemithi oyiphuzayo kubaluleke kakhulu uma kwenzeka isimo esiphuthumayo.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-Glyburide ingabangela imiphumela emibi kwabanye abantu.
| Uma uhlangabezana nalezi zimpawu, yazisa udokotela wakho ngokushesha. | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ushukela ophansi egazini (i-Hypoglycemia) | Ukuthuthumela, ukujuluka, ukungahlaliseki, isiyezi, ukushaya kwenhliziyo okusheshayo, kanye nokudideka. |
| I-anemia ye-Hemolytic | Ukuzizwa ukhathele ngendlela engajwayelekile, isiyezi, ikhanda elibuhlungu, ubunzima bokuphefumula, umchamo omnyama, ukuphuzi kwesikhumba noma amehlo. |
| Ngokuvamile akuyona into embi kangako, kodwa uma iqhubeka, tshela udokotela wakho. | |
| Isilungulela | Umuzwa wokushisa ngemva kokudla. |
| Isicanucanu | Ukuzizwa sengathi uhlanza. |
Kufanele uwugcine kanjani umuthi wakho?
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degree Celsius angu-15-30).
- Lahla umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Glyburide umuthi osetshenziselwa ukwelapha isifo sikashukela sohlobo lwesibili okwandisa ukusebenza kwe-insulin.
- Njalo thatha lo muthi kanye nesidlo sokuqala esiyinhloko sosuku.
- Uma uphuthelwa umthamo, ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
- Yazisa udokotela wakho nganoma yimiphi eminye imithi oyithathayo, ngisho namavithamini.
- Qaphela izimpawu zokwehla koshukela egazini (hypoglycemia). Hlala ugcina okuthile okumnandi eduze.
- Kubalulekile ukuhlolwa kwezokwelapha kanye nokuhlolwa kwe-HbA1C ngezinsuku ezihleliwe.
- Uma uneminye imibuzo mayelana nalomuthi, khuluma nodokotela wakho.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment