Ake sifunde ngamaphilisi e-Nateglinide esifo sikashukela.

Ingabe unesifo sikashukela sohlobo lwesibili? Noma ingabe ilungu lomndeni noma umngane wakho ubhekene nalesi simo? Kungenzeka ukuthi uke wezwa ngomuthi obizwa ngokuthi i-Nateglinide. Lona umuthi okhethekile onikezwa ukulawula isifo sikashukela. Ngakho-ke namuhla sizoxoxa ngalezi philisi ze-Nateglinide ngokuningiliziwe, ukuthi zisebenza kanjani, kanye nezinto okufanele uziqaphele lapho uzithatha.

Uhlobo luni lomuthi iNateglinide? Isebenza kanjani?

Kalula nje, i-nateglinide iyiphilisi elinikezwa abantu abanesifo sikashukela sohlobo lwesibili. Njengoba wazi, isifo sikashukela siwukwanda kwezinga likashukela emzimbeni, okungukuthi, izinga likashukela egazini. Lo muthi okwenziwa yilo ukusiza umzimba wakho ukhiqize i-hormone i-insulin eningi. I-insulin yiyo esiza ukulawula ushukela emzimbeni. Ngakho-ke lapho i-insulin ikhuphuka, amazinga kashukela egazini ayancipha. Kodwa khumbula, lo muthi wodwa awanele. Lo muthi uvame ukunikezwa kanye nokudla okuhle kanye nokuzivocavoca umzimba . Kungaleso sikhathi kuphela lapho ungathola khona imiphumela emihle.

Ngezinye izikhathi ungathola lo muthi ngaphansi kwegama lomkhiqizo i-Starlix, kodwa ungase ube namanye amagama omkhiqizo.

Lo muthi ungase usetshenziswe nakwezinye izimo, ngakho-ke uma unemibuzo ngalokhu, kungcono ukubuza udokotela wakho noma usokhemisi.

Yiziphi izinto okudingeka uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi?

Ngaphambi kokuthi uqale ukuthatha i-Nateglinide, kufanele nakanjani utshele udokotela wakho noma ithimba elikwelapha ngalezi zinto. Khumbula, uma ungabatsheli, ungase ube nezinkinga.

• Uma unesifo esibizwa ngokuthi i-diabetesic ketoacidosis, esibangelwa isifo sikashukela. (Lokhu kuyinkimbinkimbi kancane, udokotela wakho angase azi ngalokhu.)
• Uma unesifo sesibindi .
• Uma uke waba nokusabela kokungezwani komzimba kulo muthi, i-nateglinide, noma yimuphi omunye umuthi, ukudla, udayi, noma isilondolozi.
• Uma ukhulelwe, noma uzama ukukhulelwa.
• Uma ungumama oncelisayo.

Uma ungitshela lezi zinto ngaphandle kokuzifihla, udokotela angakwelapha ngendlela efanele kakhulu.

Uyisebenzisa kanjani le mithi ngendlela efanele?

Lomuthi kufanele uphuzwe ngomlomo, ngamanzi. Kufanele uwuphuze njengoba nje udokotela wakho ekutshelile, ngesikhathi esiqondile nangenani eliqondile. Esikhathini esiningi, utshelwa ukuthi uthathe lo muthi ngaphambi kokudla . Ukuze kube sobala, kungcono ukuwuthatha cishe imizuzu engama-30 ngaphambi kokudla.

Okubalulekile: Uma weqa ukudla, okungukuthi, uma ungadli,Kufanele futhi ugweme ukuthatha imithi efanele ngaleso sikhathi. Lokho kusho ukuthi uma kungekho ukudla, awukho umuthi.

Qhubeka uthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Kungcono ukungayeki ngokuzumayo, kulungile?

Kufanele kuqashelwe ngokukhethekile lapho unikeza izingane lo muthi. Ngakho-ke, uma unikeza ingane yakho lo muthi, khuluma nodokotela wakho ngawo bese uthola iseluleko.

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isibhedlela esiseduze negumbi lezimo eziphuthumayo noma isikhungo sokulawula ubuthi ngokushesha. Ungachithi isikhathi.

Okunye, lo muthi ungowakho kuphela. Ungumuthi udokotela akunike wona ngenxa yokugula kwakho. Ngakho ungawuhlanganisi nanoma ubani omunye.

Wenzani uma uphuthelwa umthamo wemithi?

Uma ukhohlwa ukuthatha umthamo, yeqa. Thatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe amaphilisi amabili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe. Ukwenza kanjalo kungabangela izinkinga.

Yiziphi ezinye izinto ezingasebenzisana nalo muthi? (Ukusebenzisana)

Lokhu kubaluleke kakhulu. Eminye imithi, ukudla, neziphuzo kungathinta amazinga kashukela egazini lakho. Lokhu kusho ukuthi uma uphuza ne-nateglinide, amazinga kashukela egazini lakho angaba phansi kakhulu (hypoglycemia) noma aphezulu kakhulu. Ngakho-ke uma uthatha lo muthi, kudingeka uqaphele kakhulu ngezinto ezilandelayo.

Imithi eminingi ingathinta amazinga kashukela egazini. Nazi ezinye izibonelo:

• Utshwala
• I-aspirini kanye nemithi efana ne-aspirin
• Eminye imithi yokulwa namagciwane yezifo ezifana ne-HIV noma i-hepatitis
• Eminye imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo
• Eminye imithi yezifo ezifana nomfutho wegazi, isifo senhliziyo, kanye nokushaya kwenhliziyo okungajwayelekile
• I-Chromium (ngezinye izikhathi ithathwa njengesengezo)
• Imithi yokukhipha amanzi emzimbeni ( i-diuretics )
• Ama-hormone abesifazane, isibonelo ama-estrogen noma ama-progestin, kanye namaphilisi okulawula ukuzalwa
• I-Fenofibrate
• I-Gemfibrozil (i-Gemfibrozil)`
• I-Isoniazid (umuthi wesifo sofuba)
• I-Lanreotide
• Ama-hormone wesilisa noma ama-steroid e-anabolic
• Ama-MAOI (isib., izidakamizwa ezifana neCarbex, i-Eldepryl, i-Marplan, i-Nardil, i-Parnate)
• Imithi yokwehlisa isisindo
• Imithi yokwelapha ukungezwani komzimba, i-asthma, umkhuhlane, kanye nokukhwehlela
• I-Niacin
• I-Nicotine (etholakala kugwayi)
• Ama-NSAID (ama-painkiller kanye nemithi yokulwa nokuvuvukala, njenge-ibuprofen noma i-naproxen)
• I-Octreotide
• I-Pasireotide
• I-Pentamidine
• I-Phenytoin `(Phenytoin)`
• I-Probenecid `(I-Probenecid)`
• Ama-antibiotic e-Quinolone (isib. i-ciprofloxacin, i-levofloxacin, i-ofloxacin)
• Ezinye izithako zokudla ezisetshenziswa ngamakhambi
• Imithi ye-steroid (isb. i-prednisone noma i-cortisone)
• I-Sulfamethoxazole; i-trimethoprim
• Amahomoni e-thyroid

Futhi, kuneminye imithi efihla izimpawu eziyisixwayiso zoshukela ophansi egazini (hypoglycemia). Lokhu kusho ukuthi ungase ungakuzwa ngisho noma ushukela wakho wegazi uphansi. Uma uthatha lolu hlobo lomuthi, kuzodingeka uhlole amazinga kashukela egazini lakho kaningi. Izibonelo:

• Ama-Beta-blockers ( isib. i-metoprolol, i-propranolol)
• I-Clonidine
• I-Guanethidine
• I-Reserpine

Lolu hlu aluphelele. Kungase kube neminye. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyisebenzisayo (eyalelwe udokotela, ethengiswa ngaphandle kwemithi kadokotela, imikhiqizo yamakhambi, amavithamini), izithasiselo ozithathayo, nokuthi uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye zalezi zinto zingase zihlangane nomuthi wakho we-nateglinide.

Yiziphi ezinye izinto okufanele ngiziqaphele lapho ngithatha lo muthi?

Ngesikhathi uthatha lo muthi, kufanele ubonane nodokotela wakho njalo ukuze ahlole impilo yakho.

• Ukuhlolwa kwe-HbA1C (A1C): Lokhu ukuhlolwa kwegazi okulula. Kubheka ukuthi ushukela wakho wegazi ulawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule. Lokhu kuhlolwa kufanele kwenziwe njalo ezinyangeni ezi-3 kuya kwezi-6.
• Funda ukuthi ungahlola kanjani amazinga kashukela egazini lakho: Kunemishini emincane ongayisebenzisa ukuhlola amazinga kashukela egazini lakho ekhaya. Funda ukuthi ungayisebenzisa kanjani, kanye nezimpawu zikashukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia), kanye nendlela yokuzilawula.
• Gcina ushukela eduze uma kwenzeka izimo eziphuthumayo: Hlala ugcina ushukela (isib. ama-cubes kashukela, amaphilisi e-glucose) ukuze ukwazi ukudla ngokushesha uma kwenzeka uzwa izimpawu zoshukela ophansi egazini (isib. ukuqhaqhazela, ukujuluka, isiyezi). Uma uzwa ushukela ophansi egazini futhi ulahlekelwa ingqondo, noma unesifo sokuwa, tshela umndeni wakho nabangani ukuthi bangase baklinywe uma bekunika ukudla noma isiphuzo ngaleso sikhathi. Uma lokhu kwenzeka, kufanele ufune usizo lwezokwelapha ngokushesha.
• Uma ushukela wakho wegazi uphezulu, tshela udokotela wakho :Uma amazinga kashukela egazini lakho ephakeme njalo, tshela udokotela wakho. Isilinganiso sakho semithi singadinga ukulungiswa. Futhi, uma ugula noma uvivinya umzimba ngaphezu kokujwayelekile, isilinganiso sakho semithi singadinga ukulungiswa.
• Ungayeki ukudla: Yidla ngesikhathi.
• Mayelana notshwala: Buza ithimba lakho lezempilo ukuthi kufanele yini ugweme ukuphuza utshwala.
• Qaphela ngeminye imithi: Amanye ama-syrup okukhwehlela nawomkhuhlane ongawathenga ngaphandle kwe-counter ekhemisi angase abe noshukela noma utshwala. Lokhu kungathinta amazinga kashukela egazini.
• Umazisi Wezokwelapha: Gqoka isongo noma iketanga le-ID yezokwelapha, noma gcina ikhadi elinolwazi ngesimo sakho, imithi oyiphuzayo, imithamo, kanye nezikhathi oziphuza ngazo. Lokhu kungabaluleka kakhulu esimweni esiphuthumayo.
• Omama abancelisayo: Ungancelisi ingane yakho ngenkathi uthatha lo muthi. Uma unemibuzo ngalokhu, khuluma nodokotela wakho.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, i-Nateglinide ingabangela imiphumela emibi kwabanye abantu. Akuwona wonke umuntu oyitholayo, kodwa kuhle ukuqaphela.

Imiphumela emibi okufanele uyitshele udokotela wakho ngokushesha:

Uma uhlangabezana nalezi zimpawu , kufanele wazise ithimba lakho lezokwelapha ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
• Ushukela ophansi egazini (i-hypoglycemia) : ukuthuthumela, ukuthuthumela, ukukhathazeka, ukujuluka, ukuzizwa ubanda, isikhumba esibandayo, ukudideka, isiyezi, ukushaya kwenhliziyo okusheshayo.

Imiphumela emibi engavamile ukudinga ukunakekelwa kwezokwelapha, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka noma ikhathaza:

Nakuba lokhu ngokuvamile kungekubi kangako, tshela udokotela wakho uma kuqhubeka noma kukukhathaza:

• Ukuhlungu obusemhlane
• Uhudo
• Isiyezi
• Ubuhlungu bamalunga
• Impumulo egobhozayo noma evalekile

Lolu hlu aluyona yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile ngaphezu kwalokhu, khuluma nodokotela wakho ngakho. (E-US, ungabika imiphumela emibi ku-FDA ku-1-800-FDA-1088, kodwa eSri Lanka, kungcono ukutshela udokotela wakho.)

Uwagcina kanjani la maphilisi?

Kubaluleke kakhulu ukugcina lo muthi kude nezingane nezilwane ezifuywayo.

Gcina ekamelweni lokushisa, cishe ama-degree Celsius angu-25 (77 Fahrenheit). Gcina ibhodlela/iphakethe lemithi livaliwe kahle.Ungayisebenzisi imithi ephelelwe yisikhathi, yilahle.

Uyilahla kanjani kahle imithi engasetshenziswanga nephelelwe yisikhathi?

Ungagcini nje ngokuphonsa imithi ephelelwe yisikhathi noma engafuneki emgqonyeni kadoti. Kunezindlela zokuyilahla ngendlela efanele.

• Izinhlelo zokubuyisela imithi: Amanye amakhemisi nezikhungo zezempilo zingase zibe nalezi zinhlelo. Zihlole.
• Uma ungakwazi ukuyibuyisela: Hlola ilebula lomuthi noma incwajana ehambisana nayo ukuze ubone ukuthi ithi yini uyilahle emgqonyeni kadoti noma uyihlanze endlini yangasese. Uma ungaqiniseki, buza ithimba lakho lezempilo.
• Uma kuphephile ukulahla udoti: Khipha umuthi esitsheni. Bese uhlanganisa umuthi nokunye okungasizi ngalutho, njengodoti wekati, inhlabathi, ikhofi eligayiwe, njll. Bese ufaka ingxube esikhwameni noma esitsheni, uyivale kahle, bese uyiphonsa kudoti.

Ezinye izinto ezibalulekile okufanele uzikhumbule

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho, lezi yizinto ezibaluleke kakhulu okudingeka uzikhumbule:

• I-Nateglinide umuthi osetshenziselwa ukwelapha isifo sikashukela sohlobo 2.
• Lokhu kwandisa i-insulin emzimbeni futhi kunciphisa ushukela egazini (i-glucose).
• Kuvame ukunconywa ukuthi ukuthathe lokhu imizuzu engama-30 ngaphambi kokudla. Uma uphuthelwa ukudla, yeka nomuthi.
• Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nemikhuba yakho (ukubhema, ukuphuza utshwala), njengoba ezinye izinto zingase zihlangane nalo muthi.
• Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia) futhi ugcine ushukela eduze uma uwudinga.
• Ungayeki ukuphuza imithi yakho ngaphandle kokuba udokotela wakho ekutshele ukuthi uyenze. Bona udokotela wakho njalo ukuze ahlole isimo sakho.
• Uma ukhulelwe, uncelisa, noma unezinkinga zesibindi, qiniseka ukuthi utshela udokotela wakho ngaphambi kokuthatha lo muthi.

Lokhu kumane nje kuyisifinyezo. Uma uneminye imibuzo mayelana nalo muthi, sicela ungangabazi ukubuza udokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo. Bazokwazi ukukusiza.

I- Nateglinide, i-Starlix, isifo sikashukela, ushukela egazini, i-insulin, imiphumela emibi