Uma unesifo sikashukela sohlobo lwesibili, udokotela wakho kungenzeka ukuthi ukunike umuthi obizwa ngokuthi i-Canagliflozin (ngokuvamile obizwa ngokuthi i-Invokana) ukusiza ukulawula amazinga kashukela egazini lakho. Lo muthi omuhle kakhulu futhi osebenzayo. Kodwa-ke, njenganoma yimuphi umuthi, ungabangela imiphumela emibi emincane. Eminye yayo mincane futhi iyanyamalala ezinsukwini ezimbalwa. Kodwa-ke, akuvamile, ukuthi kube nezimo ezingathi sína ezidinga ukwelashwa. Ngakho-ke ungakhathazeki, sizoxoxa ngakho konke ngokucacile namuhla.
Ungayilawula kanjani imiphumela emibi evamile?
Lo muthi ungathinta wonke umuntu ngendlela ehlukile. Futhi akuyona yonke imiphumela emibi edinga ukunakekelwa kwezokwelapha. Kungcono ukunaka noma yiziphi izinguquko emzimbeni wakho lapho uqala ukuthatha lo muthi.
Izinkinga eziyinhloko ezivame ukubonakala izifo zomgudu womchamo, izifo zemvubelo, ushukela ophansi egazini (hypoglycemia), kanye nokuphelelwa amanzi emzimbeni. Ake sibheke ukuthi singazisingatha kanjani lezi zinkinga.
Izifo Zemvubelo
Lokhu kungenzeka esithweni sangasese sabesifazane noma epenis kwabesilisa. Uma wake waba nezifo zemvubelo esithweni sangasese esikhathini esidlule, kungenzeka ukuthi uphinde uzithole ngalo muthi.
Abesifazane bangase babe nezimpawu ezifana nokukhishwa koketshezi esithweni sangasese sowesifazane, iphunga elingavamile, noma ukulunywa. Amadoda, ikakhulukazi amadoda angasokile, angase abe nobuhlungu, ukuvuvukala, kanye nokukhishwa koketshezi esithweni sangasese sowesifazane, okwenza kube nzima ukuhoxisa ijwabu.
Ukutheleleka kwemvubelo akumnandi, kodwa kungelapheka ngokushesha uma kwelashwa ngesikhathi. Ngakho-ke tshela udokotela wakho ngokushesha nje lapho ubona izimpawu.
Udokotela wakho uvame ukukunikeza umuthi wokulwa ne-fungus. Lokhu kungaba iphilisi, i-suppository, noma ukhilimu. Ukutheleleka kufanele kuphele zingakapheli izinsuku ezingu-7-14.
Ukutheleleka Komgudu Womchamo (UTI)
Uma unezimpawu ezifana nobuhlungu besinye, igazi emchameni wakho, umchamo onamafu, ubunzima bokuchama, ukushisa lapho uchama, ukuchama njalo, noma ubuhlungu emhlane wakho ongezansi noma endukwini, qiniseka ukuthi utshela udokotela wakho. Ngezinye izikhathi, i-UTI ingaqhubekela ekubeni ukutheleleka kwezinso (pyelonephritis).
Udokotela uzokunikeza imithi yokulwa namagciwane. Yenza lezi zinto ukuze ululame ngokushesha:
- Phuza amanzi amaningi.
- Buza udokotela wakho ngemithi yobuhlungu evamile ongayithatha ngenxa yobuhlungu.
- Thatha ama-antibiotic njengoba nje udokotela wakho ekutshelile, isikhathi sonke. Ungayeki umthamo owodwa noma uphuze okungaphezu kwalokho okufanele ukuphuze.
Lezi zinto zizosiza ekuvimbeleni kokubili ukutheleleka.
| Indlela yokuvimbela | Incazelo |
|---|---|
| Ukuhlanzeka | Sebenzisa amanzi kuphela ukuhlanza indawo yakho yangasese. Gwema insipho enamandla, izifutho, kanye nokuhlanza ngokuphelele. |
| Ukugcina komile | Gcina indawo yomile ngaso sonke isikhathi. Umswakama uyindawo engcono kakhulu yokukhula kwemvubelo namagciwane. |
| Izingubo zangaphansi | Gqoka izingubo zangaphansi ezikhululekile nezithambile ezithambile. |
| Imikhuba yendlu yangasese | Ngemva kokusebenzisa indlu yangasese, sula kusukela phambili kuya emuva uma uhlanza. Chama ngokushesha ngemva kocansi. Kungcono ukugeza kunokuhlala ebhavini/ebhavini isikhathi eside uma ugeza. |
Ushukela ophansi egazini (i-Hypoglycemia)
Uma uthatha i-insulin noma eminye imithi yesifo sikashukela (njenge-glipizide, i-glyburide) ne-canagliflozin, izinga likashukela egazini lakho lingase libe phansi kakhulu. Uma uzizwa unesiyezi , uqhaqhazela, noma ubuthakathaka , lokhu kungaba izimpawu ze-hypoglycemia. Uma izinga likashukela egazini lakho lehla kakhulu, ungase ulahlekelwe ingqondo.
- Uma uhlangabezana nalezi zimpawu, hlola amazinga kashukela egazini lakho ngokushesha bese ushayela udokotela wakho ucingo.
- Uma uhleli noma ulele phansi, vuka kancane. Uma uvuka ngokuzumayo, ungase uzizwe unesiyezi bese uwe.
- Ukuze wandise ushukela wegazi lakho ngokushesha , phuza ijusi yezithelo, i-sweet toffee, amanzi amnandi, noma udle amaphilisi e-glucose.
- Uma kunzima kakhulu ukudla noma ukuphuza, ungadinga umjovo we-glucagon. Ungawuthola udokotela akunikeze umyalelo bese uwugcina ekhaya. Fundisa umndeni wakho ukuthi ungawusebenzisa kanjani esimweni esiphuthumayo.
- Ngemva kokudla okuthile okumnandi, thatha ikhefu bese uhlola ushukela wakho wegazi futhi. Uma ushukela wakho wegazi usubuyele esimweni esijwayelekile, yidla ukudla okuncane noma ukudla okulula ukuze uvimbele ushukela wegazi ophansi futhi.
Ukuphelelwa amanzi emzimbeni
I-Canagliflozin isebenza ngokususa ushukela omningi emzimbeni wakho ngomchamo wakho. Kodwa-ke, ingabangela nokuthi umzimba wakho ulahlekelwe amanzi amaningi. Lokhu kungakwenza uzizwe womile kakhulu, unesiyezi, futhi ubuthakathaka .
Uma udla ukudla okunosawoti omncane noma uphuza imithi yomfutho wegazi, usengozini enkulu yokuphelelwa amanzi emzimbeni. Qaphela kakhulu ngezinsuku ezishisayo nangesikhathi sokuzivocavoca, njengoba ulahlekelwa amanzi amaningi ngokujuluka.
Indlela engcono kakhulu yokuvimbela lokhu ukuphuza amanzi amaningi kanye noketshezi. Uma kudingeka, ungathatha nesiphuzo esiqukethe ama-electrolyte ngokwelulekwa udokotela wakho. Uma ukuphelelwa amanzi emzimbeni kukubi kakhulu, hamba uye e -Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
Eminye imiphumela emibi evamile
Ngaphezu kwalokhu, kuneminye imiphumela emibi embalwa engase ivele. Uma lokhu kukukhathaza noma kungathuthuki ngokuhamba kwesikhathi, khuluma nodokotela wakho. Angase akwazi ukulungisa umthamo wemithi yakho.
| Umphumela ongemuhle |
|---|
| Ukugcwalisa isisu |
| Izinkinga zokugaya ukudla |
| Isifiso sokudla |
| Isicanucanu noma ukuhlanza |
| Ukuvuvukala kweminwe noma amathe ezinyawo |
| Ubuthakathaka noma ukukhathala |
| Ukwanda kwesisindo |
Imiphumela emibi kakhulu okufanele uyiqaphele
Lezi azivamile ukubonwa, kodwa kubaluleke kakhulu ukuziqaphela.
- Izinkinga zenhliziyo: ubunzima bokuphefumula, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukulahlekelwa ukwazi.
- Ukusabela okukhulu kokungezwani komzimba (i-Anaphylaxis noma i-Angioedema): Ukuvuvukala okukhulu noma ukulunywa okukhulu kobuso, amehlo, izindebe, ulimi, umphimbo, izandla, izinyawo, njll.
- Ukuphuka kwamathambo: Lo muthi ungandisa kancane ingozi yokuphuka kwamathambo.
- I-Fournier's gangrene: Lokhu kuyisifo esingavamile kodwa esibi kakhulu esibhubhisa izicubu ezingaphansi kwesikhumba ezizungeze indawo yokuzala kanye ne-anus (i-necrotizing fasciitis). Uma ubona noma yiziphi izimpawu zobuhlungu, ukuvuvukala, noma ukubomvu endaweni , funa usizo lwezokwelapha ngokushesha.
- Ezinye izimpawu ezinkulu: ubunzima bokukhuluma, ubuthakathaka, ubunzima bokuhamba, ukujuluka ngokweqile, umkhuhlane, ukuthuthumela, noma ukuxhuzula.
Uma ubona noma yiziphi zalezi zimpawu ezinkulu, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- I-Canagliflozin iyimithi emihle kakhulu yesifo sikashukela, kodwa kubalulekile ukuqaphela imiphumela emibi.
- Ukutheleleka kwemvubelo kanye nokutheleleka komgudu womchamo yikona okuvame kakhulu. Uma ubona noma yiziphi izimpawu, tshela udokotela wakho ngokushesha.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia). Kuwukuhlakanipha ukugcina okuthile okumnandi eduze.
- Imiphumela emibi kakhulu (njengezinkinga zenhliziyo, ukungezwani komzimba okukhulu, i-Fournier's gangrene) ayivamile kakhulu. Kodwa uma uhlangabezana nanoma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha .
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imizwa engavamile noma engakhululekile ongase ube nayo. Angase akwazi ukushintsha umthamo noma aphakamise esinye isisombululo.
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