Ingabe udokotela wakho ukunike umuthi omusha wokulawula isifo sakho sikashukela? Kungenzeka ukuthi uke wazibuza ukuthi uyini ngemva kokubona ukuthi unamagama amabili. Ungakhathazeki. Namuhla sikhuluma ngaleli philisi, eliyinhlanganisela yemithi emibili ebizwa ngokuthi i-Pioglitazone ne-Glimepiride. Linikezwa abantu abanesifo sikashukela sohlobo lwesibili. Masiliqonde kusukela ku-A kuya ku-Z kalula, njengokungathi sitshela umngane.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lo muthi usebenza ngokwehlisa nokulawula izinga likashukela, noma i-glucose, egazini lakho. Njengoba kunezinhlobo ezimbili zemithi kulokhu, zisebenza ngezindlela ezimbili ezahlukene.
1. I-Glimepiride: Lo muthi unikeza ama-pancreas akho "umfutho" omncane futhi usize ekukhiqizeni i-insulin hormone eningi edingwa ngumzimba wakho.
2. I-Pioglitazone: Lo muthi usebenza ngokusiza amangqamuzana omzimba wakho ukuthi asebenzise i-insulin ayikhiqizayo ngempumelelo enkulu. Okusho ukuthi, wandisa ukuzwela kwamangqamuzana ku-insulin.
Kodwa khumbula lokhu: Lokhu akuwona umlingo. Kumelwe uqhubeke nokulandela ukudla kwakho kanye nesimiso sakho sokuzivocavoca ngenkathi uthatha lo muthi. Imiphumela emihle kakhulu itholakala uma umuthi nendlela yokuphila enempilo kuhambisana.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha imithi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
- Izimo zezokwelapha zamanje:
- Uma unesifo senhliziyo noma inhliziyo ebuthakathaka
- Isifo sezinso
- Isifo sesibindi
- Uma unomlando womdlavuza wesinye
- Uma uke waba ne-ketoacidosis yesifo sikashukela, isimo esibi esibangelwa isifo sikashukela
- Uma une-enzyme deficiency ebizwa ngokuthi i-G6PD deficiency (Glucose-6-phosphate dehydrogenase deficiency)
- Izinkinga ze-thyroid (isifo se-thyroid)
- Uma uvuvukele emzimbeni wakho, ezandleni, noma ezinyaweni
- Uma unesifo esibi noma ulimele
- Ukungezwani komzimba:
- Uma une-allergy ku-Pioglitazone, Glimepiride noma eminye imithi ye-sulfa
- Uma une-allergy kunoma yimuphi omunye umuthi, ukudla, noma isilondolozi
- Amanye amaphuzu akhethekile:
- Uma ukhulelwe noma uzama ukukhulelwa
- Uma ungumama oncelisayo
Uyisebenzisa kanjani kahle le mithi?
Ukuze uthole okuningi ngomuthi, udinga ukuwusebenzisa ngendlela efanele.
- Gwinya leli philisi ngengilazi yamanzi.
- Zenze umkhuba ukuphuza imithi yakho cishe ngesikhathi esifanayo nsuku zonke.
- Okubaluleke kakhulu: Thatha lo muthi ngesikhathi sokudla noma ngokushesha ngemva kokudla . Ungawuthathi ungenalutho esiswini. Ukwenza kanjalo kungabangela ukuthi izinga likashukela egazini lakho lehle kakhulu (i-hypoglycemia). Odokotela bavame ukuncoma ukuthi uwuthathe kanye nesidlo sasekuseni.
- Qhubeka uthatha umuthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
- Ukweqisa: Uma ucabanga ukuthi uphuze i-overdose, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
- Uma uphuthelwe umthamo: Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Ezinye izinto ezingase zihlangane nalo muthi
Eminye imithi, amavithamini, kanye nemithi yamakhambi ongase uyithathe ingase ihlangane nalo muthi. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngakho konke okuthathayo. Ngezansi kunezibonelo ezimbalwa nje.
| Uhlobo lomuthi/into ethile | Izibonelo namanothi |
|---|---|
| Imithi yokubulala izinhlungu kanye nemithi yokulwa nokuvuvukala | Imithi ye-NSAID efana ne-Aspirin, i-Ibuprofen, ne-Naproxen. |
| Ama-antibiotic kanye nemithi yokulwa namagciwane | I-Chloramphenicol, i-Clarithromycin, i-Ketoconazole, i-Miconazole, i-Rifampin. |
| Imithi yokwelapha umfutho wegazi ophakeme | Ama-beta-blocker afana ne-Metoprolol, i-Propranolol, ne-Nifedipine. |
| Izinhlobo zama-hormone | Ama-hormone abesifazane (ama-Estrogen), amaphilisi okuvimbela inzalo, ama-hormone e-thyroid, kanye nama-steroid afana ne-Prednisone. |
| Eminye imithi yesifo sikashukela | Noma yimiphi eminye imithi yesifo sikashukela oyithathayo. |
| Okunye | I-Gemfibrozil, i-Atorvastatin, ehlisa i-cholesterol, i-Warfarin, evimbela ukujiya kwegazi, i-Isoniazid, esetshenziselwa ukwelapha isifo sofuba, kanye notshwala. |
Lolu akulona uhlu oluphelele, ngakho tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
Izinto okufanele uzikhumbule lapho uthatha imithi
- Ukuhlolwa okuvamile: Vakashela udokotela wakho ngezinsuku ezijwayelekile ukuze uhlole isimo sakho. Kungase kudingeke futhi ukuthi uhlolwe igazi ukuze uhlole ukusebenza kwesibindi sakho.
- Ukuhlolwa kwe-HbA1C: Lokhu kuhlola isilinganiso sakho sokulawula ushukela egazini ezinyangeni ezi-2-3 ezedlule. Udokotela wakho cishe uzoncoma ukuthi wenze lokhu kuhlolwa njalo ezinyangeni ezi-3-6.
- Ukulinganisa amazinga kashukela egazini: Funda ukuthi ungalinganisa kanjani amazinga kashukela egazini lakho ekhaya. Yazi izimpawu zikashukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia) nokuthi ungazilawula kanjani.
- Uma uneshukela eliphansi egazini: Hlala ugcina ushukela nawe. Isibonelo, amaphilisi e-glucose, i-sugar cube, uswidi, ucezu lwe-jelly bean. Uma uba nezimpawu ezinzima zeshukela eliphansi egazini (isib. ukuquleka, ukulahlekelwa ukwazi), tshela umndeni wakho ukuthi kuyingozi ukukunika ukudla noma isiphuzo. Ezimweni ezinjalo, kufanele uye esibhedlela ngokushesha.
- Ungayeki ukudla: Uma uthatha lo muthi, kubaluleke kakhulu ukuthatha ukudla kwakho okuyinhloko ngesikhathi esifanele.
- Ukukhulelwa: Lo muthi ungandisa amathuba okuvuthwa kwamaqanda kwabesifazane abanemijikelezo yokuya esikhathini engajwayelekile. Ngakho-ke, khuluma nodokotela wakho ngokusebenzisa indlela efanele yokuvimbela inzalo ngenkathi uthatha lo muthi. Tshela udokotela wakho ngokushesha uma ucabanga ukuthi ukhulelwe.
- Ukuzwela kwelanga: Lo muthi ungenza isikhumba sakho sizwele kancane elangeni. Ngakho-ke, uma uzoba selangeni, gqoka izingubo ezimboza umzimba wakho bese usebenzisa isivikelo selanga.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Akuwona wonke umuntu oyitholayo. Ake sibone ukuthi iyini.
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izimpawu zokwehluleka kwenhliziyo | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala, izinyawo noma izandla, ukukhuluphala ngokuzumayo, ukukhathala okukhulu. |
| Izimpawu zokulimala kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, kanye nokuphuzi kwesikhumba noma amehlo. |
| I-Hypoglycemia (ushukela ophansi egazini) | Ukuthuthumela, ukujuluka, ukukhathazeka okukhulu, isikhumba esipholile, isiyezi, ukushaya kwenhliziyo okusheshayo, kanye nokudideka. |
| Izinguquko zombono | Umbono ofiphele, ukubona indandatho ezizungeze izibani, ukulahlekelwa umbono. |
| Izinguquko emchameni | Umchamo obomvu noma onsundu omnyama, ubuhlungu ngesikhathi sokuchama, ukuchama njalo. |
| Ngokuvamile akukho okufanele ukhathazeke ngakho (kodwa tshela udokotela wakho uma kuqhubeka) | |
| Izinkinga ezivamile | Ikhanda elibuhlungu, isifo sohudo, isicanucanu, umphimbo obuhlungu, ikhala eligobhozayo, ubuhlungu bemisipha. |
Umlayezo Wokuya Nawe Ekhaya
- Njalo thatha lo muthi ngesikhathi osinqunyiwe kanye nokudla . Ungalokothi uwuthathe esiswini esingenalutho.
- Ungayeki ukudla. Ukwenza kanjalo kungabangela amazinga kashukela egazini aphansi ngendlela eyingozi.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia). Hlala ugcina okuthile okunoshukela (amaphilisi eglucose, ucezu lweswidi) eduze .
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemithi yamakhambi oyithathayo.
- Gwema ukuyeka imithi noma ukushintsha umthamo ngaphandle kweseluleko sikadokotela wakho.
- Uma uzwa izimpawu ezinzima njengobuhlungu besifuba, ubunzima bokuphefumula, noma ukulahlekelwa ukwazi, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
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