Uma udokotela wakho ekutshela ukuthi unesifo sikashukela sohlobo lwesibili, kungenzeka ukuthi unikezwe lo muthi. Unamagama amabili, i-Pioglitazone ne-Metformin. Ngokuvamile uwuthola njengephilisi elilodwa elenziwe ngokuhlanganisa le mithi emibili. Kujwayelekile ukuzizwa ukhathazekile futhi unemibuzo eminingi lapho uqala umuthi omusha. Kodwa ungakhathazeki, namuhla sizokhuluma ngalo muthi, ukuthi usebenza kanjani emzimbeni, izinto okudingeka siziqaphele, nakho konke okunye.
Kwenzekani ngempela ngalo muthi?
Kalula nje, umsebenzi oyinhloko walo muthi ukulawula izinga likashukela egazini lakho, okungukuthi, i-glucose. Unikezwa abantu abanesifo sikashukela sohlobo 2. Usebenza ngezindlela ezimbili. Enye iwukusiza i-hormone i-insulin emzimbeni wakho ukuthi isebenze kangcono. Enye iwukunciphisa inani likashukela elingadingekile elikhiqizwa yisibindi sakho.
Kodwa khumbula, lo muthi wodwa awanele. Ukuze uhlale ulawula kahle, kufanele ulandele ukudla okufanele kanye nokuzivocavoca umzimba kanye nalo muthi. Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kufanele abe nokuqonda okuphelele ngesimo sakho sempilo. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi wazisa udokotela wakho ngakho.
| Isimo/umkhuba wezokwelapha | Kungani kufanele sinikeze ulwazi? |
|---|---|
| Isifo senhliziyo noma ukwehluleka kwenhliziyo | Lo muthi ungandisa ukugcinwa koketshezi emzimbeni futhi wenze izifo zenhliziyo zibe zimbi kakhulu. |
| Isifo sezinso noma sesibindi | Ngenxa yokuthi lezi zitho zomzimba zihilelekile enqubweni yokukhipha izidakamizwa emzimbeni, uma ukusebenza kwazo kuphazamiseka, umthamo womuthi ungadinga ukulungiswa. |
| Ukuphuza njalo | Ukuhlanganisa utshwala nalo muthi kwandisa ingozi yesimo esibi esibizwa ngokuthi i-lactic acidosis. |
| Uma ukhulelwe, uzama ukukhulelwa, noma ungumama oncelisayo | Ngenxa yokuthi lo muthi ungathinta ingane, kubalulekile ukufuna iseluleko sezokwelapha mayelana nokusebenzisa umuthi kulezi zimo. |
| Umdlavuza wesinyi noma isifo samehlo | Udokotela kufanele aqaphele ukuthi lo muthi ngezinye izikhathi ungathinta lezi zimo. |
| Ukungezwani neminye imithi, ukudla, noma izinto ezithile | Lokhu kubalulekile ukwazi ukuthi une-allergy kulo muthi noma kunoma yiziphi izithako zawo. |
| I-Diabetic Ketoacidosis | Njengoba lokhu kuyinkinga enkulu yesifo sikashukela, lo muthi awufaneleki. |
Ngingawusebenzisa kanjani umuthi?
Indlela yokusebenzisa lo muthi ilula kakhulu.
- Gwinya iphilisi ngengilazi yamanzi .
- Zama ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke , njengoba nje udokotela wakho ekuyalile. Uma ukwenza lokhu kube umkhuba, cishe ngeke ukhohlwe.
- Kungcono ukuthatha umuthi kanye nokudla .
- Qhubeka usebenzisa lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
- Okubalulekile: Uma usola ukuthi uphuze ngokweqile, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
- Lo muthi unikezwe wena kuphela. Ungawubelani nanoma ubani nganoma yisiphi isizathu.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo lapho ukhumbula, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe.Ungalokothi uthathe imithamo emibili yemithi ngesikhathi esisodwa.
Yini enye okufanele ngiyiqaphele lapho ngithatha lo muthi?
Kubaluleke kakhulu ukunaka impilo yakho phakathi nesikhathi sonke sokusebenzisa umuthi.
- Ukuhlolwa njalo kwezokwelapha: Qiniseka ukuthi uya emtholampilo ngezinsuku udokotela wakho akutshele zona. Ukuhlolwa kwegazi okubizwa ngokuthi i-HbA1c kwenziwa cishe kanye njalo ezinyangeni ezi-2-3 ukuze kubonakale ukuthi ushukela wakho wegazi ulawulwa kahle kangakanani. Lokhu kungalinganisa impumelelo yokulawulwa kwakho kwesifo sikashukela.
- Funda ukuhlola ushukela wakho wegazi: Kubalulekile ukufunda ukuthi ungawuhlola kanjani ushukela wakho wegazi ekhaya. Futhi, qaphela izimpawu ze-hypoglycemia kanye ne-hyperglycemia, nokuthi yini okufanele uyenze uma zenzeka.
- Uma ushukela wakho wegazi wehla: Uma uzizwa uphansi ushukela ngokuzumayo, unesizungu, noma ujuluka, gcina okuthile okufana ne-sugar cube, i-toffee, noma amaphilisi e-glucose eduze. Kodwa khumbula, uma othile equlekile, ungafaki lutho emlonyeni wakhe, ngoba kungabangela ukuminyana. Kufanele umyise esibhedlela ngokushesha.
- Ungayeki ukudla: Kubaluleke kakhulu ukuthi umuntu onesifo sikashukela adle ngesikhathi esifanele.
- Ukuhlinzwa kanye nokuskena: Uma uzohlinzwa, noma uma uzofakwa uketshezi olukhethekile olubizwa ngokuthi i-contrast lwento efana ne-X-ray noma i-CT scan, kufanele utshele ithimba lezokwelapha kusenesikhathi ukuthi uthatha lo muthi.
- Ukuntuleka kwamavithamini: Ukusetshenziswa kwalomuthi isikhathi eside kungabangela amazinga aphansi evithamini B12 kanye ne-folic acid kwabanye abantu. Ngakho-ke khuluma nodokotela wakho ngokudla ukudla okulinganiselayo kanye nokuthatha izithasiselo zamavithamini uma kudingeka.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo muthi ungabangela imiphumela emibi kwabanye abantu, kodwa akuwona wonke umuntu oyitholayo. Qaphela izimpawu ezingezansi.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. |
| Izimpawu zokwehluleka kwenhliziyo | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala, izinyawo noma izandla, ukukhuluphala ngokuzumayo, ukukhathala okukhulu. |
| I-Lactic Acidosis | Ubuhlungu noma ukuqina kwemisipha, ubuhlungu besisu, ubunzima bokuphefumula, ukukhathala okukhulu, kanye nokungakhululeki. Lesi yisimo esibi kakhulu. |
| Izimpawu zokulimala kwesibindi | Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuphuzi kwesikhumba noma amehlo, umchamo ophuzi/onsundu omnyama. |
| Izimpawu zokuntuleka kwe-Vitamin B12 | Ubuhlungu ezingalweni nasemilenzeni, ukungazweli, ubuthakathaka bemisipha, isiyezi, nokudideka kwengqondo. |
| Izinguquko zombono | Umbono ofiphele, ukubona indandatho ezizungeze izibani, ukulahlekelwa umbono. |
| Uma kuqhubeka noma kukhathaza, tshela udokotela wakho. | |
| Uhudo | Lokhu kuvamile uma uqala ukuthatha umuthi. |
| Ikhanda elibuhlungu | |
| Isicanucanu | |
Umlayezo Wokuya Nawe Ekhaya
- Phuza umuthi njengoba nje udokotela wakho ewuyalile, ngesilinganiso esibekiwe, ngesikhathi esibekiwe, kanye nokudla.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
- Yazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, nanoma yiziphi ezinye izimo zezokwelapha ongase ube nazo.
- Funda ngezimpawu zamazinga kashukela aphansi naphezulu egazini bese uzilungiselela.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobunzima bokuphefumula, ukuvuvukala komzimba, noma ubuhlungu obukhulu bemisipha.
- Khumbula ukuthi ukudla okufanele kanye nokuzivocavoca umzimba kubalulekile ekulawuleni isifo sikashukela, kanye nemithi.
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