Uma udokotela wakho ekutshela ukuthi unesifo sikashukela sohlobo lwesibili, ungase unikezwe iphilisi elihlanganisa imithi emibili, i-Pioglitazone ne-Metformin. Kuvamile ukuzizwa ukhathazekile futhi ube nemibuzo eminingi lapho uthatha lo muthi. Ungase uzibuze, "Lokhu kuzokwenzenjani ngempela?", "Kufanele ngikhathazeke ngani?", "Ingabe imiphumela emibi iyingozi?" Ungakhathazeki. Namuhla, sizophendula yonke imibuzo yakho mayelana nalo muthi.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lo umuthi osiza ekulawuleni amazinga kashukela egazini lakho, noma ushukela wegazi. Uyinhlanganisela yemithi emibili.
1. I-Pioglitazone: Lokhu kusebenza ngokusiza i-hormone ye-insulin yomzimba wakho ukuthi isebenze kangcono. Okusho ukuthi, kusiza amangqamuzana omzimba wakho ukuthi amunce ushukela egazini kalula.
2. I-Metformin: Lokhu kulawula ushukela wegazi ngezindlela ezimbili. Enye iwukunciphisa ukukhiqizwa koshukela omusha yisibindi sakho, kanti enye iwukulawula ukumuncwa koshukela ekudleni okudlayo.
Lo muthi uvame ukunikezwa kanye nokudla okuhle kanye nokuzivocavoca umzimba . Umuthi wodwa awanele, kodwa kungcono uthathwe kanye nokushintsha indlela yokuphila. ESri Lanka, lo muthi ungatholakala ngaphansi kwamagama emikhiqizo afana ne-`Actoplus Met XR`.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Kubaluleke kakhulu ukuthi udokotela wakho azi umlando wakho wezokwelapha ophelele ngaphambi kokukunikeza lo muthi. Qiniseka ukuthi uyamtshela udokotela wakho uma unezinye zezimo ezibalwe ngezansi.
| Isimo noma umkhuba | Kungani kufanele wazise udokotela? |
|---|---|
| Isifo senhliziyo noma ukwehluleka kwenhliziyo | I-Pioglitazone ingandisa ukugcinwa koketshezi emzimbeni, okubangela ingozi kubantu abanenkinga yokusebenza kwenhliziyo. |
| Isifo sezinso noma sesibindi | Le mithi ikhishwa emzimbeni ngezinso nesibindi, ngakho-ke uma ukusebenza kwayo kuphazamisekaUmthamo udinga ukushintshwa. |
| Ukuphuza njalo | Ukuhlanganisa utshwala neMetformin kwandisa ingozi yesimo esiyingozi esibizwa ngokuthi i-lactic acidosis. |
| Ukukhulelwa noma ukuzama ukukhulelwa, ukuncelisa | Lo muthi awufaneleki ngesikhathi sokukhulelwa. Ungakhuthaza nokuvuthwa kwamaqanda, ngakho-ke khuluma nodokotela wakho mayelana nokuvimbela inzalo uma ungahleli ukuba nezingane. |
| Izinkinga zokubona, umlando womdlavuza wesinye, i-anemia, i-polycystic ovary syndrome | Kubalulekile ukwazisa udokotela ngalezi zimo ngoba zingase zithinte ukusebenza kahle noma imiphumela emibi yomuthi. |
| Ukungezwani neminye imithi, ukudla noma izinto ezithile | Lokhu kubalulekile ukwazi ukuthi une-allergy kulo muthi noma kunoma yiziphi izithako zawo. |
Ngingawusebenzisa kanjani umuthi?
Njengoba udokotela esho, kubaluleke kakhulu ukuthatha umthamo ofanele ngesikhathi esifanele.
- Thatha kanye nokudla: Njalo thatha lo muthi kanye nokudla. Ngokuvamile kuyalulekwa ukuthi uwuthathe kanye nokudla okuyinhloko kosuku.
- Gwinya ithebhulethi lonke: Gwinya ithebhulethi lonke ngengilazi yamanzi. Ungalokothi uliphule, ulichoboze, noma ulihlafune njengentshungama. Leli ithebhulethi le-Extended Release (XR). Lokhu kusho ukuthi lenzelwe ukukhulula umuthi kancane kancane usuku lonke. Uma uliphula, leyo nqubo iyaphazamiseka, futhi umuthi ungakhishwa emzimbeni ngesikhathi esisodwa, okubangela imiphumela emibi.
- Yithathe ngesikhathi: Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke.
- Uma uphuthelwa umthamo: Uma ukhohlwa ukuthatha umthamo, thatha 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.
- Uma uphuza umuthi omningi kakhulu: Uma ucabanga ukuthi uphuze umuthi omningi kakhulu, yeka ukuwuphuza ngokushesha.Shayela iNational Poison Information Centre eColombo National Hospital, noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Ngezinye izikhathi uqweqwe lwephilisi lungase lungancibiliki futhi luphele kanye nendle yakho. Lokhu kuvamile, ngakho ungakhathazeki. Ingxenye yezokwelapha yomuthi isingene emzimbeni wakho.
Ezinye izinto okufanele ngiziqaphele lapho ngithatha umuthi
Ukuhlolwa njalo kwezokwelapha
Udokotela wakho uzokuxilonga njalo. Ikakhulukazi, bazokwenza ukuhlolwa kwegazi okubizwa nge -HbA1c njalo ezinyangeni ezi-2-3 ukuze bahlole ukuthi ushukela wakho wegazi ulawulwa kahle kangakanani. Bangase futhi benze ukuhlolwa ukuze bahlole ukusebenza kwesibindi sakho kanye nezinso.
Qaphela amazinga kashukela egazini lakho.
Funda ukuthi ungawahlola kanjani amazinga kashukela egazini lakho ekhaya. Futhi, qaphela izimpawu zikashukela ophansi egazini (i-Hypoglycemia) kanye noshukela ophezulu egazini (i-Hyperglycemia).
- Izimpawu zoshukela ophansi egazini: ukujuluka, ukuthuthumela, indlala enkulu, ukudideka, kanye nokuquleka.
- Izimpawu zoshukela ophezulu egazini: ukoma ngokweqile, ukuchama njalo, ukubona okufiphele, ukukhathala.
Hlala ugcina okuthile eduze ongakudla ngokushesha (amaphilisi e-glucose, ama-sugar cubes, i-toffee) uma kwenzeka ushukela wakho wegazi wehla.
Ukuhlinzwa kanye nokuskena
Uma uzohlinzwa, i-MRI noma i-CT scan, tshela ithimba lezokwelapha kusenesikhathi ukuthi uthatha lo muthi. Kungase kudingeke uyeke ukuthatha umuthi ezinsukwini ezimbalwa ngaphambi kokuhlolwa.
Eminye imithi
Lo muthi ungasebenzisana neminye imithi eminingi, ikakhulukazi eminye imithi esetshenziswa ngaphambi kokuskena, eminye imithi yenhliziyo, amaphilisi e-hormone (kufaka phakathi amaphilisi okuvimbela inzalo), eminye imithi elwa namagciwane kanye nemithi yobuhlungu.
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemithi yamakhambi oyithathayo. Mnike uhlu oluphelele.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, lokhu kungaba nemiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Ungafunda kabanzi ngalokhu kuthebula elingezansi.
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha noma uye esibhedlela. | |
|---|---|
| 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. |
| I-Lactic Acidosis | Lesi yisimo esingavamile kodwa esiyingozi kakhulu. Ukuqhaqhazela kwemisipha noma ubuhlungu, ubuhlungu besisu, ubunzima bokuphefumula, ukukhathala okukhulu. |
| Izimpawu zokulimala kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuphuzi kwesikhumba noma amehlo, umchamo ophuzi/onsundu omnyama. |
| Ezinye izimpawu ezinkulu | Ukushintsha kombono (ukufiphala, ukubona amasongo azungeze izibani), umchamo obomvu noma onsundu omnyama, ubuhlungu lapho uchama. |
| Uma lezi zimpawu ziqhubeka noma zikhathaza, tshela udokotela wakho. | |
| Imiphumela emibi evamile | Uhudo, ikhanda elibuhlungu, isicanucanu, ikhala eligobhozayo noma elicijile. |
Umlayezo Wokuya Nawe Ekhaya
- Ungayeki ukusebenzisa lo muthi ngaphandle kokubuza udokotela wakho.
- Njalo thatha umuthi kanye nokudla. Gwinya iphilisi lonke, ungaliphuli.
- Nikeza udokotela wakho uhlu oluphelele lwazo zonke ezinye izidakamizwa, amavithamini, kanye namakhambi owasebenzisayo.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia) futhi ugcine okuthile okunoshukela eduze uma kwenzeka isimo esiphuthumayo.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobuhlungu besifuba, ubunzima bokuphefumula, noma ubuhlungu obukhulu besisu.
- Kubaluleke kakhulu empilweni yakho ukubonana nodokotela wakho ngesikhathi futhi uhlolwe ngokufanele.
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