Uma udokotela wakho ekutshela ukuthi uqale umjovo omusha wesifo sakho sikashukela, ungase uzizwe wesaba futhi ukhathazekile. Lokho kuvamile. Ungase ube nemibuzo eminingi engqondweni yakho, njengokuthi "Ngizokuthatha kanjani lokhu?", "Kuzokwenzekani kulokhu?", "Ingabe kukhona imiphumela emibi?" Ungesabi. Namuhla sikhuluma ngomjovo obizwa ngokuthi i-`Lixisenatide`, onikezwa ukulawula isifo sikashukela. Ngizokutshela konke okudingeka ukwazi ngakho kalula, njengokungathi ngikutshela okuthile okuvela kumngane.
Kalula nje, iyini i-Lixisenatide?
I-'Lixisenatide' umuthi osetshenziselwa ukwelapha 'isifo sikashukela sohlobo lwesibili'. Ufika njengomjovo. Awufani nephilisi, kodwa umjovo okudingeka unikezwe ngaphansi kwesikhumba.
Manje ake sibheke ukuthi lokhu kusebenza kanjani ngaphakathi emzimbeni. Lokhu kwenza izinto ezintathu eziyinhloko:
1. Kwandisa ukukhiqizwa kwe-insulin: Ngemva kokudla, amazinga ethu kashukela egazini ayakhuphuka. Ngemuva kwalokho, umzimba wethu ukhiqiza i-hormone ebizwa ngokuthi i-insulin ukulawula lowo shukela. Lokho okwenziwa yilo muthi ukukhuthaza ukukhiqizwa kwalowo shukela. Kufana nokunikeza 'umfutho' omncane kumsebenzi olawula ushukela.
2. Kunciphisa ukukhishwa kukashukela esibindini: Lo muthi unciphisa ukukhishwa kukashukela esibindini sethu okungadingekile ungene egazini. Ngakho-ke, ukwenyuka okungadingekile kwamazinga kashukela egazini kulawulwa ngisho nalapho sihleli nje.
3. Ibambezela ukugaya ukudla: Lo muthi wandisa isikhathi sokudla esikudlayo esihlala esiswini. Lokhu kusho ukuthi ukudla kugaywa kancane futhi izinga lokufakwa ushukela egazini liyehla. Lokhu kuvimbela ukwanda okungazelelwe koshukela egazini.
Into ebaluleke kakhulu ukuthi ukuthatha lo muthi kuphela akwanele. Ukudla okuhle kanye nokuzivocavoca umzimba nakho kubalulekile.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Uma uqala umuthi omusha, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo . Ngoba lolo lwazi luzonquma ukuthi umuthi ukufanele yini nokuthi kufanele ube nomthamo ongakanani. Uma unezinye zezimo ezingezansi, tshela udokotela wakho ngaphandle kokufihla lutho .
| Isimo okudingeka usibike | Kungani lokho kubalulekile? |
|---|---|
| Isifo sezinso | Uma izinso zakho zingasebenzi kahle, lo muthi ungase ungasulwanga kahle emzimbeni wakho. Ngakho-ke, kungadingeka ushintshe umthamo wakho noma ushintshele komunye umuthi. |
| Uma uke waba ne -pancreatitis | Kukhona ingozi engavamile kakhulu ye-pancreatitis ngalo muthi. Uma uke waba nalesi simo ngaphambili, ingozi inganda. |
| Isifo senyongo | Uma unamatshe enyongo noma ezinye izifo, izimpawu zakho zingase zibe zimbi kakhulu. |
| Izinkinga zesistimu yokugaya ukudla (njengokuvinjelwa kwamathumbu) | Njengoba lo muthi wehlisa ijubane lokugaya ukudla, ungase ube mubi kakhulu kunoma yiziphi izinkinga zokugaya ukudla ezikhona. |
| Uma uzama ukukhulelwa, ukhulelwe, noma ungumama oncelisayo | Kulezi zimo, kufanele uqaphele kakhulu ngokusebenzisa imithi. Khuluma nodokotela wakho ngalokhu ngokukhululekile. |
| Uma une-allergy kweminye imithi, ukudla, noma izinto ezithile | Lolu lwazi lubalulekile ukwazi ukuthi une-allergy kulo muthi noma kunoma yiziphi izithako zawo. |
Uwufaka kanjani lo mjovo ngendlela efanele?
Njengoba lokhu kuwukuzilimaza okuzibangele kona, kubalulekile ukwazi kahle ukuthi ungakwenza kanjani.
- Indawo yokujova: Lo mjovo kufanele unikezwe ungqimba olunamafutha ngaphansi kwesikhumba . Izindawo ezinhle kakhulu zokujova yisisu (esizungeze amabele), ithanga elingaphezulu, noma ingalo engenhla . Kungcono ukushintshanisa izindawo zokujova kunokufaka endaweni efanayo nsuku zonke.
- Isikhathi Sokuthatha: Thatha kanye ngosuku, ihora elilodwa (imizuzu engama-60) ngaphambi kokudla kwakho kokuqala okuyinhloko kosuku .Kufanele kube njalo. Isibonelo, uma udla ngo-8 ekuseni, yidla lokhu phakathi kuka-7 no-8 ekuseni. Kungcono ukuzijwayeza ukudla cishe ngesikhathi esifanayo nsuku zonke.
- Izinaliti namasirinji: Ungalokothi ulahle izinaliti namapeni asetshenzisiwe emgqonyeni kadoti . Ziyingozi kakhulu kuwe nakwabanye. Kukhona isitsha esikhethekile salezi. Zifake kwenye yalezi bese ubuza udokotela wakho ngendlela efanele yokuzilahla.
- Ukuqeqeshwa: Ungakhathazeki, akudingeki ukwenze lokhu wedwa. Udokotela wakho, umhlengikazi, noma umuntu oqeqeshiwe uzokukhombisa ngqo ukuthi ungakwenza kanjani lokhu nokuthi ungayisebenzisa kanjani ipeni. Uma ungaqondi, lalela futhi ufunde kahle.
Okubalulekile: Ungabelani ngepeni lakho lomjovo nanoma ubani nganoma yisiphi isizathu. Ngisho noma ushintsha inalithi, akuwona umqondo omuhle ukwenza kanjalo. Kungasakaza izifo ezinkulu.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Asikhumbuli konke njalo. Ngakho-ke uma uphuthelwa umthamo, thatha ihora ngaphambi kokudla kwakho okulandelayo. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili ngoba nje ukhohliwe.
Ezinye izinto ezingase zihlangane nalo muthi
Kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, imithi yamakhambi, kanye nezithasiselo. Eminye imithi ingasebenzisana ne-Lixisenatide, kungaba ukwandisa noma ukunciphisa ukusebenza kwayo, noma kubangele imiphumela emibi.
- Eminye imithi yesifo sikashukela: Uma uthatha eminye imithi yesifo sikashukela (amaphilisi noma i-insulin), kunengozi enkulu ye-hypoglycemia uma uthatha le mithi emibili ndawonye. Ngakho-ke, udokotela wakho angashintsha umthamo weminye imithi yakho.
- Izibulali-zinhlungu neminye imithi: Imithi efana ne-'Acetaminophen' (i-Paracetamol), i-'Warfarin' (umuthi ovimbela ukujiya kwegazi), kanye ne-'Digoxin' (umuthi wesifo senhliziyo) ingathintana nalokhu.
- Amaphilisi okulawula ukubeletha: Uma uthatha amaphilisi okulawula ukubeletha, i-Lixisenatide inganciphisa ukumuncwa kwawo kanye nokusebenza kwawo. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho mayelana nokusebenzisa olunye uhlobo lokulawula ukubeletha.
- Imithi ethinta amazinga kashukela egazini: Ama-steroid, eminye imithi yomfutho wegazi, kanye nemithi ye-asthma konke kungathinta amazinga kashukela egazini. Ngakho-ke, kubalulekile ukugcina udokotela wakho enolwazi ngayo yonke imithi oyithathayo.
Isexwayiso esikhethekile: Kunemithi ethile yomfutho wegazi ophakeme, njenge-'Beta-blockers', engafihla izimpawu zoshukela ophansi egazini (njengokushaya kwenhliziyo nokujuluka). Lokhu kungaba yingozi ngoba ungase ungaqapheli ukuthi ushukela wakho wegazi uphansi. Ngakho-ke, uma uthatha le mithi, tshela udokotela wakho ngakho.
Izinto okufanele uzicabangele lapho uthatha imithi
- Ushukela ophansi egazini (Hypoglycemia): Lena yinto ebaluleke kakhulu okufanele uyiqaphele. Izimpawu ezifana nesiyezi, ukujuluka ngokweqile, ukushaya kwenhliziyo, ukuthuthumela, indlala enkulu, kanye nokudideka kungaba izimpawu zoshukela ophansi egazini. Hlala ugcina ucezu lweswidi, i-sugar cube, i-glucose tablet, noma isiphuzo esinoshukela eduze. Uma nje ubona noma yiziphi zalezi zimpawu, faka into efana naleyo emlonyeni wakho.
- Ukuphelelwa amanzi emzimbeni: Abanye abantu abasebenzisa lo muthi bangase babe nesicanucanu, ukuhlanza, noma ukucasuka kwesisu. Lokhu kungabangela ukuthi umzimba ulahlekelwe amanzi amaningi bese uphelelwa amanzi emzimbeni. Lokhu akukuhle ezinso. Ngakho-ke phuza amanzi amaningi usuku lonke . Uma unomkhuhlane, ukuhlanza, noma uhudo, bona udokotela ngokushesha.
- Ukuhlolwa okuvamile: Iya emtholampilo ngesikhathi esihleliwe njengoba kuqondiswe udokotela wakho bese uhlola amazinga kashukela egazini lakho, ikakhulukazi i-'HbA1C'. I-'HbA1C` iyisivivinyo esibonisa amazinga kashukela egazini lakho ajwayelekile ezinyangeni ezi-2-3 ezedlule. Ingakusiza ubone ukuthi isifo sikashukela sakho silawulwa kahle kangakanani.
- Ukuhlinzwa: Uma uhlelelwe ukuhlinzwa noma ukuhlolwa kwezokwelapha, tshela ithimba lezokwelapha kusenesikhathi ukuthi uthatha lo muthi.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Kodwa akuwona wonke umuntu oyitholayo. Eminye ivamile futhi iyaphela ezinsukwini ezimbalwa. Kodwa eminye iyingozi kakhulu. Ngakho-ke kubalulekile ukuqaphela lokhu.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Imiphumela emibi kakhulu - Uma uyibona, xhumana nodokotela ngokushesha. | |
| I-Pancreatitis | Ubuhlungu obukhulu besisu, ikakhulukazi ngemva kokudla, obuphuma emhlane, umkhuhlane, isicanucanu nokuhlanza. |
| Ukungezwani komzimba okukhulu (Ukusabela Kokungezwani Nomzimba/i-Angioedema) | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, ubunzima bokuphefumula noma ukugwinya. |
| Ukulimala Kwezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Izinkinga Zenyongo | Ubuhlungu obukhulu esiswini esingaphezulu kwesokudla, isicanucanu, ukuhlanza, umkhuhlane. |
| Imiphumela emibi evamile - tshela udokotela wakho uma lokhu kuqhubeka noma kuyakhathaza. | |
| Isicanucanu | Lona umphumela ovame kakhulu. Ngokuvamile uphela zingakapheli izinsuku ezimbalwa kusukela uqale umuthi. |
| Ukuhlanza noma isifo sohudo | Lezi zimo zingabangela ukuphelelwa ngamanzi emzimbeni, ngakho-ke phuza amanzi amaningi. |
| Ikhanda elibuhlungu kanye nesiyezi | Nalezi zingakhohlwa ezinsukwini ezimbalwa. |
| Isifiso sokudla | Lo muthi ungabangela umuzwa wokugcwala, okungase kunciphise isifiso sokudla. |
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma weqisa izidakamizwa ngephutha, iya e- Emergency Treatment Unit (ETU) yesibhedlela ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- I-Lixisenatide iwumjovo onikezwa kanye ngosuku, ihora elilodwa ngaphambi kokudla kokuqala.
- Ukudla okuhle kanye nokuzivocavoca umzimba kuyadingeka ngempela ngalo muthi.
- Qaphela izimpawu ze-hypoglycemia . Hlala ugcina okuthile okufana ne-candy bar noma i-sugar cube eduze.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo.
- Ungabelani ngepeni lakho lomjovo nanoma ubani.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu, njengobuhlungu obukhulu besisu, ubunzima bokuphefumula, noma ukuvuvukala kobuso , funa iseluleko sezokwelapha ngokushesha.
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