Kuyini i-Metformin Extended-Release?
Kalula nje, i-Metformin umuthi osetshenziselwa ukulawula isifo sikashukela sohlobo 2. Ilawula kakhulu izinga likashukela egazini lakho, okungukuthi, inani le-glucose egazini lakho. Iphinde isize i-hormone insulin emzimbeni wakho ukuthi isebenze kahle. Manje, kuyini "Ukukhululwa Okunwetshiwe"? Lokhu kusho ukuthi leli philisi lenzelwe ukuthi umuthi ukhishwe emzimbeni kancane kancane usuku lonke, kunokuba umuncwe wonke ngesikhathi esisodwa . Inzuzo yalokhu ukuthi akudingeki ukuthi uthathe umuthi izikhathi eziningana ngosuku, okungenzeka ngezinye izikhathi uma uwuthatha ngesikhathi sokudla okukodwa. Kodwa-ke, udinga ukuwuthatha njengoba nje udokotela wakho ekutshela. Esikhathini esiningi, uma unikezwa lo muthi, odokotela bakweluleka ukuthi ulawule ukudla kwakho nokuzivocavoca umzimba. Ngenxa yokuthi umuthi wodwa awanele ukulawula isifo sikashukela, udinga futhi ukwenza izinguquko endleleni yakho yokuphila. Odokotela ngezinye izikhathi basebenzisa lo muthi kwezinye izimo, ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma umuntu osekhemisi.Yini okufanele ngiyitshele udokotela ngaphambi kokuthatha lo muthi?
Ngaphambi kokuthi uqale ukuthatha i-metformin, kudingeka ucacise ngezinto ezithile nodokotela wakho. Ngoba lolo lwazi yilona oluzosiza udokotela wakho ukuthi anqume ukuthi lo muthi ufaneleka kangakanani kuwe nokuthi kufanele ube muphi umthamo.Ingabe unezimo ezinjengalezi?
Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho :- I-anemia isho ukuntuleka kwegazi .
- Ukuphelelwa amanzi emzimbeni , okusho ukuthi uma kukhona ukugcinwa kwamanzi emzimbeni.
- Isifo senhliziyo .
- Uma uphuza njalo .
- Isifo sezinso . Lokhu kubaluleke kakhulu ngoba i-metformin ikhishwa emzimbeni ngezinso. Uma izinso zibuthakathaka, umuthi unganqwabelana emzimbeni futhi ubangele izinkinga.
- Isifo sesibindi .
- Isimo esibizwa ngokuthi i-polycystic ovary syndrome ( PCOS ) .
- Uma kukhona ukutheleleka okukhulu noma ukulimala .
- Uma uhlanza njalo.
- Uma uke waba nokusabela kokungezwani komzimba ngaphambilini ne-metformin, omunye umuthi, ukudla, udayi, noma izithasiselo.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
Ngingawusebenzisa kanjani lo muthi?
Kulungile, manje ake sibone ukuthi ungawuthatha kanjani lo muthi ngqo. Kufanele uwuthathe njengoba nje kusho elebula likadokotela wakho. Kufanele ugwinye leli philisi ngomlomo nengilazi yamanzi . Into ebaluleke kakhulu ukuthatha lo muthi nokudla . Abanye abantu bawuthatha ngemva kokudla kwasekuseni, abanye ngemva kokudla kwakusihlwa. Udokotela wakho uzokutshela ukuthi uwuthathe nini. Ngokuvamile kuthiwa ungawuthathi esiswini esingenalutho. Ukuwuthatha nokudla kunganciphisa nokungakhululeki okuncane kwesisu (isibonelo, isicanucanu). Thatha umuthi wakho ngesikhathi esifanele, ngokulandelana udokotela wakho akutshela khona. Ungalokothi uthathe okungaphezu kwalokho udokotela akutshela kona, noma uwuthathe kaningi kunalokho okufanele ukuthathe . Futhi, ungayeki ukuthatha umuthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.Ingabe lo muthi kufanele unikezwe izingane?
Uma unikeza izingane lo muthi, kufanele uqaphele kakhulu. Khuluma nodokotela wakho bese ulandela imiyalelo yakhe ngqo.Kuthiwani uma ngiphuza umuthi omningi kakhulu? (Umthamo oweqile)
Cabanga ukuthi uphuze amaphilisi amaningi kakhulu ngephutha. Uma lokho kwenzeka, iya egumbini lezimo eziphuthumayo esibhedlela esiseduze noma ushayele isikhungo sokulawula ubuthi ngokushesha . Ungachithi isikhathi.Okubalulekile: Lo muthi unikezwe wena kuphela. Unganiki omunye umuntu umuthi wakho, noma ngabe unezimpawu ezifanayo nezakho.
Kuthiwani uma ngiphuthelwa isikhathi sokubonana nodokotela?
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. Ungathathi umthamo ophindwe kabili nganoma yisiphi isizathu .Yiziphi ezinye izinto ezingasebenzisana nalo muthi? (Ukusebenzisana)
I-Metformin umuthi ongasebenzisana neminye imithi noma ezinye izinto ozithathayo, okusho ukuthi ingaba nemiphumela emibi. Ngakho-ke kubaluleke kakhulu ukuqaphela lokhu futhi.Ungayithathi i-metformin nalezi!
Kuneminye imithi enganconywa ukuthi ithathwe ne-metformin.- Imithi yokuhlukanisa . Isibonelo, uma wenza i-X-ray, i-CT scan, noma i-MRI, akukhuthazwa ukuthatha i-metformin kanye neminye imithi yokuhlukanisa. Yingakho kufanele utshele udokotela wakho ngemithi oyithathayo ngaphambi kokuhlolwa okunjalo.
- Umuthi obizwa ngokuthi i-Dofetilide .
Lezi zinto zingathinta futhi
Kuneminye imithi nezinto ezingasebenzisana ne-metformin, ngakho-ke tshela udokotela wakho uma uthatha noma yikuphi kwalokhu:- I-Acetazolamide
- Utshwala
- Eminye imithi yokulwa namagciwane ye-HIV noma i-hepatitis
- Eminye imithi yokwelapha umfutho wegazi , isifo senhliziyo, kanye nokushaya kwenhliziyo okungajwayelekile
- I-Cimetidine
- I-Dichlorphenamide
- I-Digoxin
- Ama-diuretics, aziwa nangokuthi amaphilisi amanzi
- Ama-estrogen, ama-progestin, noma amaphilisi okulawula ukuzalwa
- I-Glycopyrrolate
- I-Isoniazid
- I-Lamotrigine
- I-Memantine
- I-Methazolamide
- I-Metoclopramide
- I-Midodrine
- I-Niacin
- Ama-Phenothiazine (isib. i-chlorpromazine, i-mesoridazine, i-prochlorperazine, i-thioridazine)
- I-Phenytoin
- I-Ranolazine
- Imithi ye-steroid (isb. i-prednisone noma i-cortisone)
- Izikhuthazi zokuphazamiseka kokungakwazi ukunaka, ukwehlisa isisindo, noma ukuhlala uphapheme
- Imithi ye-thyroid
- I-Topiramate
- I-Trospium
- I-Vandetanib
- I-Zonisamide
Izinto okufanele uziqaphele lapho uthatha lo muthi
Udinga ukuqaphela kakhudlwana ngempilo yakho ngenkathi uthatha i-Metformin. Bona udokotela wakho njalo ukuze ahlole ukuthi uqhuba kanjani. Ukuhlolwa okubizwa ngokuthi i-HbA1C kwenziwa njalo ezinyangeni ezi-2-3 ukuze kubonakale ukuthi isifo sakho sikashukela silawulwa kahle kangakanani. Lokhu ukuhlolwa kwegazi okulula.Mayelana namazinga kashukela egazini
Uma uthatha i-metformin kanye ne-insulin noma umuthi wesifo sikashukela we-sulfonylurea, usengozini enkulu yokuba noshukela wegazi ophansi (hypoglycemia) . Ngakho-ke, funda ukuthi ungawuhlola kanjani ushukela wakho wegazi ekhaya (nge-glucometer). Yazi izimpawu zoshukela wegazi ophansi (hypoglycemia) kanye noshukela wegazi ophezulu (hyperglycemia) nokuthi ungazilawula kanjani .Hlala uphethe ushukela (isib. ucezu lweswidi, amaphilisi eglucose, noma isiphuzo esinoshukela) uma kwenzeka isimo esiphuthumayo . Uma ushukela wakho wegazi wehla kakhulu, ungase ube nesifo sokuwa noma ulahlekelwe ingqondo, futhi umndeni wakho kufanele waziswe ukuthi ungase uklinyeke uma ubapha ukudla noma isiphuzo ngaleso sikhathi. Uma lokhu kwenzeka, kufanele ufune usizo lwezokwelapha ngokushesha.Uma izinga likashukela egazini lakho liphezulu njalo (i-hyperglycemia), tshela udokotela wakho ngakho. Umthamo wakho wemithi ungadinga ukulungiswa. Kungadingeka futhi ulungise umthamo wakho wemithi uma ugula noma uma uvivinya umzimba ngaphezu kokujwayelekile. Ungayeki ukudla . Buza udokotela wakho ngokuphuza utshwala. Eminye imithi yokukhwehlela neyomkhuhlane oyithengayo emakhemisi ingaba noshukela noma utshwala. Ingathinta amazinga kashukela egazini lakho.
Uma ukhulelwe noma uzama ukukhulelwa
Kwabesifazane abangakafiki esikhathini abaya esikhathini ngendlela engajwayelekile, ukuthatha i-metformin kungabangela ukukhishwa kwamaqanda. Lokhu kungandisa amathuba okukhulelwa. Ungawuthathi lo muthi uma ukhulelwe noma ucabanga ukuthi ukhulelwe. Khuluma nodokotela wakho mayelana nokuvimbela inzalo ngenkathi uthatha lo muthi. Tshela udokotela wakho ngokushesha uma ucabanga ukuthi ukhulelwe.Okunye futhi: mayelana nesembozo sephilisi.
Ngezinye izikhathi ungase uqaphele ukuthi igobolondo lethebhulethi alincibiliki bese liphuma nendle yakho. Ungakhathazeki ngakho, kuyinto evamile . Umuthi usungene emzimbeni, futhi igobolondo kuphela eliphumayo. Akukho nkinga ngalokho.Ngaphambi kokuhlinzwa noma ezinye izivivinyo
Uma uzohlinzwa, noma ukuhlolwa okufana ne-MRI noma i-CT scan, qiniseka ukuthi utshela udokotela wakho ukuthi uthatha i-metformin. Ungase ucelwe ukuthi uyeke ukuthatha umuthi ezinsukwini ezimbalwa ngaphambi kokuhlolwa/ukuhlinzwa. Gqoka isongo noma umgexo we-ID yezokwelapha , futhi uhlale uphethe ikhadi elinomlando wakho wezokwelapha, imithi, kanye nemithamo.Cabanga ngamavithamini futhi
Abanye abantu bangase babhekane nokwehla kwamazinga e-folic acid kanye ne-vitamin B12 ngenkathi bethatha i-metformin. Ngakho-ke, qiniseka ukuthi uthola lawa mavithamini anele ngenkathi uthatha lo muthi. Khuluma nodokotela wakho ngokudla namavithamini owadlayo.Yimiphi imiphumela emibi engaba khona yalo muthi? (Imiphumela Engemihle)
Njenganoma yimuphi umuthi, i-Metformin ingabangela imiphumela emibi, yize kungebona bonke abantu abayitholayo.Imiphumela emibi edinga ukubikwa kudokotela ngokushesha
Uma kwenzeka into efana nale, tshela udokotela wakho ngokushesha :- Ukusabela kokungezwani komzimba : ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
- Izinga eliphezulu le-lactic acid : Lesi yisimo esibi kakhulu. Uma uzwa ubuhlungu noma ubuhlungu obuhlabayo, ubuhlungu besisu, ubunzima bokuphefumula, umuzwa wobuthakathaka, noma ukungakhululeki okuvamile.
- Izinga eliphansi levithamini B12 : Ubuhlungu, ukungazweli, noma ukulahlekelwa umuzwa ezandleni noma ezinyaweni, ubuthakathaka bemisipha, isiyezi, ubunzima bokugxilisa ingqondo, ukudideka.
Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka
Le miphumela emibi ivame ukuphela zingakapheli izinsuku ezimbalwa, kodwa uma iqhubeka noma ikukhathaza kakhulu, tshela udokotela wakho:- Uhudo
- Ukuqunjelwa/igesi
- Ikhanda elibuhlungu
- Ukunambitheka kwensimbi emlonyeni
- Isicanucanu
Kufanele uwugcine kanjani umuthi wakho?
Kubaluleke kakhulu futhi ukugcina umuthi wakho ngendlela efanele. Gcina kude nezingane nezilwane ezifuywayo . Gcina endaweni yokushisa yegumbi (phakathi kwama-degree Celsius angu-15 no-30, ama-degree Fahrenheit angu-59 no-86) kude nokukhanya. Ungasebenzisi umuthi ngemuva kosuku lokuphelelwa yisikhathi .Wenzani ngemithi engasetshenziswanga nephelelwe yisikhathi?
Ungalahli nje umuthi ongasetshenziswanga, ophelelwe yisikhathi emgqonyeni kadoti.- Banikeze uhlelo lokubuyisela imithi. Ungabuza ikhemisi lakho noma amaphoyisa ngezindawo ezinjalo.
- Uma lokho kungenzeki, hlola iphakethe lemithi noma ilebula ukuze ubone ukuthi kufanele yini uyilahle emgqonyeni kadoti noma uyilahle endlini yangasese. Uma ungaqiniseki, buza udokotela wakho noma ikhemisi.
- Uma ungalahla umuthi kudoti, uwukhiphe ephaketheni, uwuxube nento efana nodoti wekati, inhlabathi, noma ikhofi, uwufake esikhwameni noma esitsheni, uwuvale, bese uwuphonsa kudoti.
Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
Kulungile, sesikhulume kakhulu ngamaphilisi e-Metformin Extended-Release manje. Okokugcina, nazi izinto ezibaluleke kakhulu okudingeka uzikhumbule:- Thatha umthamo onqunyiwe ngesikhathi onqunyiwe, njengoba udokotela esho. Kungcono ukuwuthatha kanye nokudla.
- Tshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo kanye nanoma yiziphi izifo onazo.
- Qaphela izimpawu zokwehla koshukela egazini (hypoglycemia)Futhi ulungele lokho.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi engavamile noma ukusabela emuthini, tshela udokotela wakho ngokushesha.
- Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Bona udokotela wakho njalo bese uhlola isimo sakho.
I- Metformin, isifo sikashukela, ushukela egazini, i-insulin, imiphumela emibi, imithi, impilo
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