Ingabe welashwa ngesifo sikashukela sohlobo lwesibili? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike iphilisi elihlanganisa imithi emibili ebizwa ngokuthi i-Linagliptin ne-Metformin. Lokhu kuvame ukubonakala ezweni lethu ngaphansi kwegama lomkhiqizo i-Jentadueto. Lona umuthi osebenza kahle kakhulu osiza ukulawula amazinga kashukela egazini (i-glucose). Kodwa-ke, njenganoma yimuphi umuthi, kunezinto ezithile okudingeka siziqaphele lapho siwusebenzisa. Ake sixoxe ngakho namuhla, ngendlela ongayiqonda.
Kwenzekani ngempela ngale nhlanganisela yemithi?
Ngithe lokhu kuyinhlanganisela yemithi emibili. Ake sibone ukuthi kuzokwenzekani ngale mithi emibili ngokwehlukana.
- I-Metformin: Lokhu kusebenza kakhulu ngokunciphisa inani likashukela elenziwa yisibindi sakho. Kuphinde kwandise ukuzwela kwamaseli omzimba wakho ku-insulin. Kalula nje, kusiza umzimba wakho ukuthi usebenzise kahle i-insulin onayo.
- I-Linagliptin: Lokhu kusebenza ngokuvuselela ukukhiqizwa kwe-insulin emzimbeni ngenxa yokudla.
Uma le mithi emibili isebenza ndawonye, ingakusiza ukulawula isifo sikashukela sakho. Kodwa khumbula, lo muthi wodwa awanele. Ngaphezu kwalokhu , ukudla okufanele kanye nokuzivocavoca umzimba nakho kubalulekile.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokukunikeza lo muthi, kubaluleke kakhulu ukuthi udokotela wakho azi umlando wakho wezempilo ophelele. Lokhu kungenxa yokuthi sidinga ukuqaphela kakhulu lapho sisebenzisa lo muthi onezimo ezithile zezokwelapha. Uma unezinye zezimo ezingezansi, qiniseka ukuthi wazisa udokotela wakho ngakho.
| Isifo noma umkhuba | Kungani kufanele unikeze ulwazi? |
|---|---|
| Isifo sezinso noma isifo sesibindi | I-Metformin ikhishwa emzimbeni ngezinso. Uma izinso zingasebenzi kahle, umuthi unganqwabelana emzimbeni bese ubangela isimo esibi (i-lactic acidosis). |
| Isifo senhliziyo noma ukwehluleka kwenhliziyo | Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi kwabanye abagulayo benhliziyo. |
| Ukuphuza njalo | Ukuhlanganisa utshwala ne-Metformin kwandisa kakhulu ingozi yesimo esiyingozi esibizwa ngokuthi i-lactic acidosis. |
| Ukuba nomlando we-pancreatitis | I-Linagliptin inengozi engavamile kakhulu ye-pancreatitis. Kubalulekile ukwazisa udokotela wakho uma uke waba nalesi simo esikhathini esidlule. |
| Ukuntuleka kwe-Vitamin B12 noma i-anemia | Ukusetshenziswa isikhathi eside kwe-metformin kunganciphisa ukumuncwa kwe-vitamin B12 emzimbeni. |
| Ukukhulelwa noma ukuzama ukukhulelwa, ukuncelisa | Lo muthi awufaneleki ngesikhathi sokukhulelwa nokuncelisa. Kunezinye izindlela zokwelapha ezitholakalayo. |
| Ezinye izimo | Tshela udokotela wakho uma une-Diabetic Ketoacidosis, isifo senyongo, amazinga aphezulu e-triglyceride, izifo ezithathelwanayo, i-Polycystic Ovary Syndrome (PCOS), isifo se-thyroid, noma yikuphi ukungezwani komzimba nanoma yimiphi imithi noma ukudla. |
Ngiyisebenzisa kanjani ngempela le mithi?
- Yithathe kanye nokudla: Lena yinto ebaluleke kakhulu. I-Metformin ingabangela ukucasuka kwesisu kanye nesicanucanu kwabanye abantu. Ukuthatha umuthi kanye noma ngokushesha ngemva kokudla kunganciphisa kakhulu lokhu kungakhululeki.
- Phuza nengilazi yamanzi: Gwinya ithebhulethi lonke nengilazi yamanzi.
- Landela imiyalelo kadokotela wakho: Thatha umthamo owunikezwe udokotela wakho, ngesikhathi osinqunyiwe. Unganciphisi, ungandisi, noma uyeke umthamo ngokwakho.
- Uma ukhohlwa ukuthatha umthamo: Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
- Ukweqisa: Uma ucabanga ukuthi uphuze umuthi omningi ngengozi, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Ungakuthathi kalula lokhu.
Into ebaluleke kakhulu ukunikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa ozithathayo (kufaka phakathi amavithamini, i-Panadol, imithi ye-Ayurvedic, imikhiqizo yamakhambi) ukuze abone ukuthi unezinkinga yini.
Izinto okufanele uzikhumbule lapho uthatha imithi
Ukuqapha amazinga kashukela
Udokotela wakho uzokucela ukuthi uhlolwe igazi elibizwa ngokuthi i-HbA1C njalo ezinyangeni ezi-3 kuya kwezi-6. Lokhu kuzobheka isilinganiso sakho sokulawula ushukela egazini ezinyangeni ezi-2-3 ezedlule. Futhi, funda ukuthi ungahlola kanjani amazinga kashukela egazini lakho ekhaya uma kungenzeka.
Ushukela ophansi egazini (i-Hypoglycemia)
Ngezinye izikhathi, uma uthatha lo muthi, izinga likashukela egazini lakho lingase libe phansi kakhulu. Izimpawu zalokhu zifaka:
- Ukujuluka okungazelelwe
- Ukuthuthumela
- Ukungakwazi ukugxila
- Isiyezi kanye nendlala enkulu
Uma uhlangabezana nalezi zimpawu, yidla ngokushesha into emnandi (i-sugar cube, i-glucose tablet, noma isiphuzo esimnandi). Ngakho-ke hlala ugcina into efana ne-sugar cube nawe. Uma ulahlekelwa ingqondo, tshela umndeni wakho ukuthi ungafaki lutho emlonyeni wakho. Uma lokhu kwenzeka, kufanele uye esibhedlela ngokushesha.
Ukuhlinzwa kanye nokuskena
Uma uhlinzwa, uhlolwe nge-CT, noma uhlolwe nge-MRI, tshela ithimba lezokwelapha kusenesikhathi ukuthi uphuza lo muthi. Kungase kudingeke uyeke ukuthatha umuthi ezinsukwini ezimbalwa ngaphambi kokuhlolwa.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Kodwa akuwona wonke umuntu oyitholayo. Into ebaluleke kakhulu ukuqaphela izimpawu zomphumela omubi kakhulu bese uthatha isinyathelo ngokushesha.
| Umphumela ongemuhle | Okufanele ngikwenze? |
|---|---|
| Izimo ezibucayi ezidinga ukunakekelwa kwezokwelapha okusheshayo | |
| Ukusabela Kokungezwani Nomzimba: Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, nobunzima bokuphefumula. | Yiya e-Emergency Treatment Unit (ETU) yesibhedlela ukuze uthole ukwelashwa okusheshayo. |
| I-Lactic Acidosis: (engavamile kodwa eyingozi kakhulu) - ubuhlungu bemisipha, ubuhlungu besisu, ubunzima bokuphefumula, ukukhathala okukhulu, ukudinwa okuvamile. | Lena imiphumela emibi kakhulu ye-Metformin. Yiya ku-ER ngokushesha. |
| I-Pancreatitis: Ubuhlungu obukhulu besisu (ikakhulukazi obuphuma emhlane), ubuhlungu obuba bubi ngemva kokudla, ukuhlanza, umkhuhlane. | Bonana nodokotela ngokushesha noma uye e-ETU. |
| Izimpawu Zokwehluleka Kwenhliziyo: Ukuphefumula kanzima, ukuvuvukala kwamaqakala nezinyawo, ukukhuluphala ngokuzumayo, ukukhathala okukhulu. | Bona udokotela wakho ngokushesha. |
| Izimo ezivame ukungabi zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Uhudo | Kuvame ukufika futhi kuphele ezigabeni zokuqala. Uma kuqhubeka noma kukubi kakhulu, tshela udokotela wakho. |
| Izimpawu ezifana nomkhuhlane (impumulo egobhozayo, umphimbo obuhlungu) | Uma lokhu kukhathaza noma kuqhubeka, khuluma nodokotela wakho. |
Umlayezo Wokuya Nawe Ekhaya
- Lomuthi uhlala njaloYithathe kanye noma ngemva kokudla. Lokhu kuzonciphisa kakhulu ukungakhululeki esiswini.
- Ungayeki ukuthatha umuthi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela wakho.
- Yazisa udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi ye-Ayurvedic).
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia) (ukujuluka, ukuqhaqhazela, isiyezi ). Gcina okuthile okumnandi eduze ukuze ukudle uma kwenzeka isimo esinjalo.
- Uma uzwa izimpawu ezinkulu njengobuhlungu obukhulu besisu noma ubunzima bokuphefumula , hamba esibhedlela ngokushesha.
- Bona udokotela wakho ngesikhathi bese wenza ukuhlolwa okufana ne-HbA1C ukuze ugcine isifo sakho sikashukela silawulwa.
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