Umuthi wokuphuza wesifo sikashukela: Ake sifunde ngamaphilisi e-Metformin ne-Repaglinide?

Uma unesifo sikashukela sohlobo lwesibili, udokotela wakho kungenzeka ukuthi ukunike iphilisi elihlanganisiwe (njengePrandiMet) eliqukethe kokubili i-metformin ne-repaglinide. Lona umuthi ovame ukukunikelwa ukusiza ukulawula isifo sakho sikashukela. Ake sibheke ukuthi uyini lo muthi, usebenza kanjani, nokuthi yini okudingeka uyiqaphele.

Uyini lo muthi? Kalula nje...

Kalula nje, leli iphilisi elenziwe ngokuhlanganisa imithi emibili ebizwa ngokuthi i-Metformin ne-Repaglinide. Leli philisi linikezwa abantu abanesifo sikashukela sohlobo lwesibili i-Mellitus . Kodwa-ke, ukuthatha lo muthi kuphela akwanele. Ukulawula ukudla kwakho nokuzivocavoca nakho kuyingxenye yalolu hlobo lokwelashwa. Lo muthi usiza umzimba wakho ukuthi usebenzise i-hormone ebizwa ngokuthi i-insulin ngendlela efanele. Ngemuva kwalokho, izinga likashukela egazini liyalawulwa. Lo muthi ungasetshenziswa nangezinye izinjongo, ungabuza udokotela wakho noma umuntu osekhemisi ngakho.

Izinto okudingeka uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi

Kulungile, lokhu kubalulekile manje. Ngaphambi kokuthi uqale ukuthatha lo muthi, kufanele utshele udokotela wakho noma usokhemisi ngalezi zinto. Ngoba uma unalezi zimo, lo muthi ungase ungakufanelekeli, noma ungadinga ukunakekelwa okukhethekile.

• Ingabe une -anemia ?
• Ingabe uphelelwa amanzi emzimbeni ?
• Ingabe uke waba nesifo esibi esibizwa ngokuthi i-Diabetic Ketoacidosis ?
• Unesifo senhliziyo ?
• Ingabe uphuza utshwala njalo?
• Unesifo sezinso ?
• Unesifo sesibindi ?
• Uma ungowesifazane, ingabe une -Polycystic Ovary Syndrome (PCOS) ?
• Ingabe usanda kululama ekuthelelekeni okubi noma ekulimaleni okubi ?
• Ingabe uhlala uhlanza ?
• Wake waba nokusabela kokungezwani komzimba ne-metformin, i-repaglinide, noma eminye imithi, ukudla, udayi, noma izithasiselo?
• Ingabe uzama ukukhulelwa , noma usuvele ukhulelwe?
• Ingabe ungumama oncelisayo ?

Kubaluleke kakhulu empilweni yakho ukusho konke ngaphandle kokufihla lezi zinto, uyaqonda?

Ngiyisebenzisa kanjani ngempela le mithi?

Leli philisi kufanele liphuzwe ngomlomo. Ligwinye nengilazi yamanzi. Kufanele ulandele iziqondiso ezikulebula likadokotela olinikezwe udokotela wakho.

Into ebaluleke kakhulu ukuthi, lo muthiKufanele uyiphuze ngaphambi kokudla. Uma sikhuluma iqiniso, ungayiphuzi imizuzu engaphezu kwengu-30 ngaphambi kokudla. Ngokuvamile ithathwa ngaphambi nje kokudla.

Cabanga nje, uma weqa ukudla, kufanele weqa nephilisi ngaleso sidlo.

Kungcono yini ukungaphuzi ngaphezu kwalokho okunconywa udokotela, noma ukukuphuza kaningi?

Kwenzekani kwabancane nabadala?

Uma unikeza izingane ezincane lo muthi, kufanele ukhulume nodokotela wezingane ngakho. Kungadingeka ukunakekelwa okukhethekile.

Uma umuntu oneminyaka engaphezu kwengu-65 ephuza lo muthi, imiphumela yomuthi ingaba namandla kakhulu. Ngakho-ke, udokotela angase anciphise umthamo kancane.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu? (Umthamo oweqile)

Sicela uqaphele ukuthi uma ucabanga ukuthi uphuze kakhulu lo muthi ngephutha, shayela i-Poison Control Center noma igumbi lezimo eziphuthumayo esibhedlela esiseduze ngokushesha. Lokhu akulona ihlaya.

"Lo muthi ungowakho wedwa. Ungawuniki abangani bakho noma umndeni wakho, noma ngabe nabo banesifo sikashukela."

Kuthiwani uma ngiphuthelwa umthamo?

Uma ungakwazi ukuphuza iphilisi ngaphambi kokudla, yeka. Uma sekuyisikhathi sokudla okulandelayo, okungukuthi, lapho usuzodla ukudla okulandelayo, phuza iphilisi ngaleso sikhathi. Ungalokothi uthathe umthamo ophindwe kabili noma uthathe amaphilisi amaningi ngesikhathi esisodwa.

Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)

Lokhu futhi kuyiphuzu elibaluleke kakhulu. Kuneminye imithi engabangela izinkinga uma ithathwa kanye namaphilisi e-metformin kanye ne-repaglinide. Okusho ukuthi, ukusebenza kahle kwalo muthi kungase kuphazamiseke, noma imiphumela emibi inganda.

Ungalokothi uthathe lo muthi wesifo sikashukela kanye nemithi elandelayo:

• Imithi yokuhlukanisa imibala iyizinto ezikhethekile ezifakwa emzimbeni ngaphambi kokuhlolwa okuthile , njenge-X-ray, i-CT scans, kanye ne-MRIs.
• Umuthi obizwa ngokuthi i-Dofetilide .
• Umuthi obizwa ngokuthi i-Gemfibrozil .

Ngaphezu kwalokho, kuneminye imithi eminingi engasebenzisana nalo muthi wesifo sikashukela ngandlela thile. Lokhu kungafaka:

• I-Acetazolamide
• Utshwala (hhayi nje njengesiphuzo, kodwa eminye imithi ingase ibe notshwala)
• Ama-Barbiturates (isib., i-Phenobarbital, i-Primidone)
• I-Carbamazepine
• Eminye imithi yokulwa namagciwane yezifo ezifana ne-HIV noma i-hepatitis
• Eminye imithi yokwelapha umfutho wegazi ophakeme, isifo senhliziyo, kanye nokushaya kwenhliziyo okungajwayelekile
• Eminye imithi yokwelapha izifo zesikhunta (isb., i-Ketoconazole, i-Itraconazole)
• I-Cimetidine
• I-Clopidogrel
• I-Clarithromycin
• I-Cyclosporine
• I-Deferasirox
• I-Dichlorphenamide
• I-Digoxin
• Imithi yokukhipha amanzi emzimbeni (i-diuretics)
• I-Erythromycin
• Ama-hormone abesifazane (isib. ama-estrogen, ama-progestin, namaphilisi okulawula ukuzalwa)
• I-Glycopyrrolate
• I-Isoniazid (umuthi wesifo sofuba)
• 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
• I-Rifampin
• I-Simvastatin (umuthi owehlisa i-cholesterol)
• Imithi ye-steroid (isib. i-Prednisone, i-Cortisone)
• Imithi ekhuthazayo yokuphazamiseka kokunaka, ukwehlisa isisindo, noma ukukusiza uhlale uphapheme
• Imithi ye-thyroid
• I-Topiramate
• I-Trospium
• I-Vandetanib
• I-Zonisamide

Lolu hlu aluphelele, akunjalo? Okusho ukuthi, eminye imithi, hhayi le kuphela, ingasebenzisana nale mithi yesifo sikashukela.

Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela wakho, ethengwe ekhemisi, imithi yendabuko, amavithamini, izithasiselo zokudla). Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izinto ezingekho emthethweni. Ezinye izinto zingathintana nalo muthi.

Yiziphi izinto okufanele siziqaphele kakhulu lapho sithatha lo muthi?

Ngesikhathi uthatha lo muthi, bonana nodokotela wakho njalo ukuze akuhlole njalo ukuze ahlole ukuthi impilo yakho injani.

Ukuhlolwa kwakho kwe-HbA1c (HbA1c) kuhlolwa njalo. Lokhu ukuhlolwa kwegazi okulula. Kubonisa ukuthi ushukela wakho wegazi ulawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule. Kuzodingeka wenze lokhu kuhlolwa njalo ezinyangeni ezi-3 kuya kwezi-6.

Masiqaphele amazinga kashukela egazini.

Funda ukuthi ungahlola kanjani ushukela wakho wegazi ekhaya. Futhi,Kubalulekile ukufunda izimpawu zoshukela ophansi egazini (noma i-hypoglycemia) kanye noshukela ophezulu egazini (noma i-hyperglycemia), nokuthi ungazilawula kanjani .

Uma ngokuzumayo uneshukela eliphansi egazini, hlala unoshukela osheshayo kuwe ngaso sonke isikhathi. Isibonelo, i-cube kashukela, ithebhulethi ye-glucose, noma i-toffee. Cabanga uma ngokuzumayo uneshukela eliphansi egazini futhi usuzolahlekelwa ingqondo, futhi uma ungazinika okuthile kokudla noma kokuphuza ngaleso sikhathi, kungabhajwa emphinjeni wakho. Ngakho-ke, kufanele utshele umndeni wakho nabangani bakho ngalokhu. Uma ushukela wakho wegazi wehla kakhulu kangangokuthi uba nesifo sokuwa noma ukungazi, kufanele ufune usizo lwezokwelapha ngokushesha.

Uma unomuzwa wokuthi ushukela wakho wegazi uphezulu, tshela udokotela wakho. Isilinganiso sakho semithi singadinga ukulungiswa. Uma ugula noma uvivinya umzimba ngaphezu kokujwayelekile, buza udokotela wakho ukuthi udinga yini ukulungisa isilinganiso sakho semithi ngaleso sikhathi.

Ungayeki ukudla. Khuluma nodokotela wakho mayelana nokuphuza utshwala. Eminye imikhiqizo yokukhwehlela ethengiswa ngaphandle kwemithi kadokotela kanye neyomkhuhlane ingase ibe noshukela noma utshwala. Lokhu kungathinta amazinga kashukela egazini.

Qaphela ukuthi kungenzeka ukukhulelwa.

Lo muthi ungandisa amathuba okuvuthwa kwamaqanda kwabesifazane abanezinyanga ezingajwayelekile kodwa abangakadluli esikhathini sokuya esikhathini. Lokhu kungandisa amathuba okukhulelwa. Uma ukhulelwe noma ucabanga ukuthi ukhulelwe, akufanele uthathe lo muthi. Khuluma nodokotela wakho ngezinketho zokuvimbela inzalo ngenkathi uthatha lo muthi. Uma ucabanga ukuthi ukhulelwe, tshela udokotela wakho ngokushesha.

Ngaphambi kokuthile okufana nokuhlinzwa

Uma uhlinzwa, uhlolwa i-MRI, i-CT scan, noma enye inqubo ekhethekile yezokwelapha, tshela udokotela wakho ukuthi uthatha lo muthi. Kungase kudingeke uyeke ukuthatha lo muthi izinsuku ezimbalwa ngaphambi kwenqubo.

Hlala uphethe ikhadi le-Medical ID elichaza isimo sakho sezokwelapha, imithi oyiphuzayo, umthamo, nokuthi kufanele uyithathe nini. Uma kungenzeka, gqoka isongo noma iketanga le-Medical ID. Lokhu kungabaluleka kakhulu esimweni esiphuthumayo.

Lo muthi ungase wehlise amazinga akho e-folic acid kanye ne-vitamin B12 . Ngakho-ke, qiniseka ukuthi uthola amavithamini anele ngenkathi uthatha lo muthi. Khuluma nodokotela wakho ngokudla okudlayo kanye namavithamini owathathayo.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, la maphilisi e-metformin kanye ne-repaglinide angabangela imiphumela emibi kwabanye abantu. Akuwona wonke umuntu owatholayo, kodwa abanye abantu bayakwazi ukuwathola.

Imiphumela emibi okufanele utshele udokotela wakho ngayo ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele utshele udokotela wakho noma uchwepheshe wezempilo ngokushesha :

• Ukusabela kokungezwani komzimba : ukuqubuka kwesikhumba, ukulunywa noma ukuqubuka, ukuvuvukala kobuso, izindebe, noma ulimi.
• Izinkinga zokuphefumula.
• Umchamo omnyama .
• Ukuzizwa ubuthakathaka noma unekhanda elibuthakathaka, uyawa.
• Umkhuhlane, ukubanda, umphimbo obuhlungu .
• Ubuhlungu noma izinhlungu zemisipha .
• Ukubomvu, ukuqubuka, ukuxebuka, ukukhululeka kwesikhumba, nezinye izinto ezifana nalezi nazo zingavela emlonyeni.
• Izimpawu zoshukela ophansi egazini : ukuzizwa ukhathazekile, ukudideka, isiyezi, indlala ekhulayo, ukuzizwa ubuthakathaka noma ukhathele ngendlela engavamile, ukujuluka, ukuqhaqhazela, ukuzizwa ubanda, ukucasuka, ikhanda elibuhlungu, umbono ofiphele, ukushaya kwenhliziyo okusheshayo, ukulahlekelwa ukwazi.
• Ukushaya kwenhliziyo okuhamba kancane noma okungajwayelekile.
• Ukopha noma ukuklwebheka okungajwayelekile.
• Ubuhlungu besisu obungavamile noma ubuhlungu.
• Ukuhlanza.
• Ukuphuzi kwamehlo noma isikhumba (lokhu kungaba inkinga yesibindi).

Imiphumela emibi ngokuvamile engadingi ukushiwo kudokotela , kodwa okufanele ikhulunywe ngayo uma iqhubeka:

Le miphumela emibi ngokuvamile ayibi mibi kakhulu. Izophela ezinsukwini ezimbalwa. Kodwa uma iqhubeka noma ikukhathaza, tshela udokotela wakho:

• Uhudo.
• Isiyezi.
• Ikhanda elibuhlungu.
• Igesi esiswini.
• Ukuzwa ukunambitheka kwensimbi emlonyeni.
• Isisu esibuhlungu.

Lolu hlu alufaki yonke imiphumela emibi engaba khona. Uma ubona eminye imiphumela engavamile, khuluma nodokotela wakho. Ungabika le miphumela emibi ku-FDA ku-1-800-FDA-1088.

Ugcina kanjani la maphilisi? (Isitoreji)

Kubaluleke kakhulu ukugcina la maphilisi kude nezingane .

Ezingeni lokushisa elingaphansi kwama-degree Celsius angama-25 (25°C) noma ama-degree Fahrenheit angama-77 (77°F)Gcina. Lokho kusho ukuthi gcina endaweni yokushisa evamile yegumbi, hhayi eshisayo kakhulu, futhi kude nelanga eliqondile. Vikela ekukhanyeni.

Ungasebenzisi imithi ephelelwe yisikhathi. Yilahle.

Okokugcina, izinto ezibaluleke kakhulu okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, sesikhulume kakhulu ngala maphilisi e-Metformin ne-Repaglinide, akunjalo? Ukufingqa:

• Lo muthi unikezwa ukulawula isifo sikashukela sohlobo lwesibili . Kodwa-ke , ukudla okuhle kanye nokuzivocavoca umzimba nakho kubalulekile.
• Ngaphambi kokuqala umuthi , tshela udokotela wakho ngazo zonke izifo zakho kanye nayo yonke imithi oyithathayo.
• Thatha umuthi wakho njengoba uqondiswe udokotela wakho ngaphambi kokudla. Uma uphuthelwa ukudla, thatha umuthi wakho ngesikhathi esifanayo.
• Hlola amazinga kashukela egazini lakho njalo. Qaphela izimpawu zoshukela wegazi ophansi nophezulu. Gcina ushukela eduze kwezimo eziphuthumayo.
• Uma uhlangabezana nanoma yimiphi imiphumela emibi emisha, ikakhulukazi uma inzima kakhulu, tshela udokotela wakho ngokushesha.
• Yazisa udokotela wakho nganoma yimiphi eminye imithi, amavithamini, kanye nemithi yendabuko oyithathayo.
• Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, khuluma nodokotela wakho ngaphambi kokuthatha lo muthi.

Lo muthi uzokusiza ukulawula isifo sakho sikashukela futhi uphile impilo enempilo. Kodwa into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo nokumbona njalo ukuze ahlolwe. Uma unemibuzo, ungesabi ukubuza udokotela wakho noma usokhemisi.

I- Metformin, i-Repaglinide, Isifo Sikashukela, Isifo Sikashukela Sohlobo 2, i-Insulin, Ushukela Egazini, Imiphumela Engemihle