Uma unesifo sikashukela , uyazi ukuthi kubaluleke kangakanani ukulawula amazinga kashukela egazini lakho. Ngezinye izikhathi, ukudla okunempilo kanye nokuzivocavoca kuphela akwanele ukufeza imigomo yakho. Yilapho umuthi okhethekile obizwa ngokuthi i-Pramlintide ungadlala indima ebalulekile ohlelweni lwakho lokwelashwa.
Kuyini i-Pramlintide?
Kalula nje, i-Pramlintide umuthi ojovwayo osetshenziselwa ukusiza ukulawula amazinga kashukela egazini kubantu abanesifo sikashukela. Indima yayo eyinhloko ukwehlisa inani likashukela elingena egazini lakho. Lokhu kufeza ngokunciphisa izinga isisu sakho esikhipha ngalo ukudla ngemva kokudla, ukuvimbela ukwanda okukhulu nokuyingozi kwamazinga kashukela egazini lakho.
Cabanga ngakho njengokulawula idamu; kusiza ukulawula ukugeleza kukashukela egazini lakho ngemva kokudla. Lo muthi usebenza kahle kakhulu uma usetshenziswa kanye nokudla kwakho kanye nohlelo lwakho lokuzivocavoca . Usebenza njengengxenye ebalulekile yesu lakho lokuphatha isifo sikashukela eNirogi Lanka.
Izingxoxo Ezibalulekile Okufanele Ube Nazo Nodokotela Wakho
Ngaphambi kokuthi uqale ukusebenzisa i-Pramlintide, kufanele ube nengxoxo evulekile nethembekile nomhlinzeki wakho wezempilo. Lolu lwazi lubalulekile kubo ukuqinisekisa ukuthi umuthi uphephile kuwe futhi unqume umthamo ofanele.
Sicela uqiniseke ukuthi wazise udokotela wakho uma kukhona okulandelayo okukusebenzelayo:
- Izinga lakho le-Hemoglobin A1C lingaphezu kuka-9%. (Lokhu kuyinkomba ebalulekile yokulawula ushukela wakho wegazi isikhathi eside).
- Uvame ukuba nezigameko zokwehla koshukela egazini (hypoglycemia) .
- Unenkinga yokuhlola amazinga kashukela egazini lakho njalo.
- Unenkinga yokunamathela ohlelweni lwakho lwamanje lwemithi yesifo sikashukela.
- Unezinkinga zesisu, ikakhulukazi i-Gastroparesis (isimo lapho isisu sikhipha khona ukudla kancane kakhulu, okuvame ukubangela ukubambezeleka kokugaya ukudla).
- Unenkinga yokubona izimpawu zokuqala zokuxwayisa ngoshukela wegazi ophansi.
- Uke waba nokusabela kokungezwani komzimba ne-Pramlintide, i-metacresol , noma eminye imithi, ukudla, amadayi, noma izithasiselo esikhathini esidlule.
- Ukhulelwe noma uhlela ukukhulelwa maduze.
- Uncelisa .
Ukwabelana ngalolu lwazi ngokusobala kuvumela ithimba lakho lezokwelapha ukuthi lihlele uhlelo lwakho lokwelashwa ngokwezidingo zakho ezithile.
Indlela Yokusebenzisa Lo Muthi Ngokufanele
I-Pramlintide inikezwa ngomjovo ngaphansi kwesikhumba . Udokotela wakho noma umhlengikazi uzokunikeza ukuqeqeshwa okucacile kokuthi ungawulungiselela kanjani futhi uwunikeze kanjani umjovo ngendlela efanele. Sicela ulandele le miyalelo kahle.
Khumbula la maphuzu abalulekile:
- Ungalokothi uhlanganise i-Pramlintide ne-insulin esirinjini esifanayo. Le mithi kumele inikezwe ngokwehlukana.
- Njalo thatha lo muthi ngaphambi kokudla okukhulu .
- Landela isimiso esinqunyiwe ngudokotela wakho, ugcine isikhathi esihambisanayo .
- Ungadluli umthamo onconyiwe.
- Hlola ukubukeka komuthi ngaphambi kokusebenzisa. Uma ubukeka unamafu, unombala oshintshile, noma uqukethe izinhlayiya, ungawusebenzisi.
- Beka zonke izinaliti ezisetshenzisiwe kanye namapeni okujova esitsheni esiqinile esingabhobozi . Ungalokothi uzilahle emgqonyeni ojwayelekile wasekhaya , ngoba lokhu kubeka abanye engcupheni yokuphepha. Uma ungenaso isitsha esiqinile, cela usokhemisi noma udokotela wakho akunike sona.
- Uma ulanda imithi yakho, usokhemisi wakho uzokunikeza i- MedGuide . Yifunde ngokucophelela njalo uma ulanda imithi egcwalisiwe.
- Buyekeza incwajana ethi IMIYALELO YOKUSEBENZISA efakwe emithini yakho. Uma kukhona okungacacile, cela isiqondiso kusokhemisi noma kudokotela wakho.
- Uma welapha ingane , thintana nodokotela wakho mayelana nezinto ezikhethekile okufanele uzicabangele.
- Uma kwenzeka uphuze kakhulu : Uma usola ukuthi uphuze kakhulu, hlala uzolile bese uthintana ngokushesha nezinsizakalo eziphuthumayo (911) noma isikhungo sokulawula ubuthi ukuze uthole isiqondiso sochwepheshe.
Khumbula: Lo muthi unikezwe wena wedwa. Ungalokothi wabelane ngawo nabangani noma amalungu omndeni, noma ngabe banesifo sikashukela.
Kuthiwani Uma Uphuthelwa Umthamo?
Ukweqiwa umthamo kungenzeka kunoma ubani, kodwa ukuhambisana kubalulekile. Uma weqiwa umthamo, landela uhlelo oluthile olunikezwe udokotela wakho noma ithimba lezempilo. Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo oweqiwe, ngoba lokhu kungabangela ukuthi ushukela wakho wegazi wehle uye emazingeni aphansi ngendlela eyingozi.
Ukusebenzisana Kwezidakamizwa
Eminye imithi ingasebenzisana ne-Pramlintide, okungase kushintshe ukusebenza kwayo noma kubangele izinkinga zokuphepha. Kubalulekile ukudalula yonke imithi, amavithamini, imikhiqizo yamakhambi, imithi ethengiswa ngaphandle kwemithi kadokotela, kanye nezithasiselo zokudla ozisebenzisayo njengamanje.
Qaphela lapho uthatha i-Pramlintide kanye nezinhlobo ezilandelayo zemithi:
- I-Acetaminophen
- I-Alosetron
- I-Atropine
- Amaphilisi okuvimbela inzalo
- Imithi yesinyi (isib. i-oxybutynin)
- Imithi yokugaya ukudla (isib. i-dicyclomine, i-hyoscyamine)
- Imithi yokugula okuhambayo (isb., i-scopolamine)
- I-Eluxadoline
- Eminye imithi yesifo sikashukela (isb., i-acarbose, i-miglitol)
Ngaphezu kwalokho, kuneminye imithi eminingi engathinta amazinga kashukela egazini lakho. Ukuhlala unolwazi kuyingxenye ebalulekile yohambo lwakho lwezempilo neNirogi Lanka.
- Iziphuzo eziqukethe utshwala
- Imithi yokulwa negciwane lengculazi noma ingculazi
- I-aspirini kanye nemithi efanayo
- Imithi ethile yokucindezeleka kwegazi okuphezulu, isifo senhliziyo, noma ukushaya kwenhliziyo okungajwayelekile
- I-Chromium (ngezinye izikhathi ithathwa njengesengezo)
- Imithi yokuhlanza
- Ama-hormone abesifazane, njenge-estrogen noma i-progestin, kanye namaphilisi okulawula ukuzalwa
- I-Fenofibrate
- I-Gemfibrozil
- I-Isoniazid (umuthi osetshenziselwa isifo sofuba)
- I-Lanreotide
- Ama-hormone wesilisa noma ama-steroid e-anabolic
- Imithi yeklasi le-MAOI (esetshenziselwa izimo zempilo yengqondo), njenge-Carbex, i-Eldepryl, i-Marplan, i-Nardil, ne-Parnate
- Imithi yokwehlisa isisindo
- Imithi yokwelapha ukungezwani komzimba, i-asthma, umkhuhlane, noma ukukhwehlela
- Imithi yokucindezeleka, ukukhathazeka, noma ezinye izimo zempilo yengqondo
- I-Niacin
- I-Nicotine (etholakala kugwayi)
- Ama-NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) asetshenziselwa ubuhlungu nokuvuvukala, njenge-ibuprofen noma i-naproxen
- I-Octreotide
- I-Pasireotide
- I-Pentamidine
- I-Phenytoin (umuthi wokuxhuzula)
- I-Probenecid (umuthi we-gout)
- Ama-antibiotic ekilasi le-quinolone, njenge-ciprofloxacin, i-levofloxacin, noma i-ofloxacin
- Izithako zokudla ezithile zemifino
- Imithi ye-steroid, njenge-prednisone noma i-cortisone
- I-Sulfamethoxazole; i-trimethoprim (i-antibiotic)
- Amahomoni e-thyroid
Okubaluleke kakhulu, qaphela ukuthi imithi ethile ingafihla izimpawu zoshukela ophansi egazini (hypoglycemia), okusho ukuthi ungase ungazi ukuthi ushukela wakho wegazi wehlile nini. Uma uthatha le mithi, ukuqapha amazinga kashukela egazini lakho njalo kubalulekile. Le mithi ihlanganisa:
- Ama-Beta-blockers – asetshenziswa kaningi ezifweni zomfutho wegazi ophakeme noma zenhliziyo (isib. i-atenolol, i-metoprolol, i-propranolol)
- I-Clonidine
- I-Guanethidine
- I-Reserpine
Lolu hlu aluhlanganisi konke ukuxhumana okungenzeka. Ngakho-ke, sicela wazise udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa nemithi ethengiswa ngaphandle kwemithi kadokotela, izithasiselo, kungakhathaliseki ukuthi uyabhema noma uphuza utshwala, nanoma yiziphi ezinye izinto ozisebenzisayo. Ezinye izinto zingaphazamisa ukwelashwa kwakho eNirogi Lanka.
Izinyathelo Zokuqapha Ezibalulekile Ngesikhathi Sokwelashwa Kwakho
Ngesikhathi usebenzisa lo muthi, kufanele uvakashele udokotela wakho njalo ukuze uqaphe impilo yakho. Ngaphezu kwalokho, qaphela okulandelayo:
- Amazinga akho e-HbA1c (A1C) azohlolwa njalo. Lokhu kuhlolwa kwegazi okulula kubonisa isilinganiso sakho sokulawula ushukela egazini ezinyangeni ezi-2-3 ezedlule. Lindela lokhu kuhlolwa njalo ezinyangeni ezi-3-6.
- Funda ukuthi ungawuhlola kanjani ushukela wakho wegazi ekhaya. Ngaphezu kwalokho, qiniseka ukuthi uyaziqonda izimpawu ze-hypoglycemia (ushukela ophansi egazini) kanye ne-hyperglycemia (ushukela ophezulu egazini) nokuthi ungazilawula kanjani. Lolu lwazi lubalulekile.
- Hlala ugcina umthombo kashukela osebenza ngokushesha eduze, njengama-sugar cubes, amaphilisi e-glucose, noma i-soda encane. Yazisa umndeni wakho nabangani bakho ukuthi uma ushukela wakho wegazi wehla kakhulu futhi uzwa izimpawu ezifana nokuquleka noma ulahlekelwe ingqondo, akufanele bazame ukukuphakela, ngoba ungase uklinywe. Ezimweni ezinjalo eziphuthumayo, funa usizo lwezokwelapha ngokushesha noma ushayele izinsizakalo eziphuthumayo.
- Uma unomuzwa wokuthi ushukela wakho wegazi uhlala uphezulu, xhumana nodokotela wakho; umthamo wakho ungadinga ukulungiswa.
- Uma ugula (isb., umkhuhlane, ukucasuka kwesisu) noma ukwandisa amazinga akho omsebenzi womzimba, umthamo wakho ungadinga ukulungiswa. Xoxa ngalokhu nomhlinzeki wakho wezempilo.
- Ungayeki ukudla, ikakhulukazi uma usebenzisa lo muthi.
- Buza udokotela wakho ukuthi kufanele yini ugweme utshwala, njengoba bungabangela ukwehla kanye nokwenyuka kwamazinga kashukela egazini.
- Amanye ama-syrup okukhwehlela atholakala ngaphandle kwemithi kadokotela kanye nama-cold syrups aqukethe ushukela noma utshwala, okungathinta ushukela wegazi lakho. Njalo xhumana nodokotela wakho noma usokhemisi ngaphambi kokuwasebenzisa.
- Ungalokothi wabelane ngamapeni akho okujova nabanye. Ngisho noma ushintsha inalithi, ukwabelana kungadlulisela amagciwane ayingozi njenge-hepatitis noma i-HIV.
- Gqoka isongo noma umgexo we-ID yezokwelapha. Ngaphezu kwalokho, phatha ikhadi elichaza isimo sakho, imithi yamanje, imithamo, kanye nezikhathi zokuphathwa kwemithi. Lokhu kuzoba usizo kakhulu ezimweni eziphuthumayo.
Imiphumela Engase Ibe Khona
Njenganoma yimuphi umuthi, imijovo ye-Pramlintide ingabangela imiphumela emibi, yize kungebona bonke abantu abayitholayo. Abantu abaningi bangase bangabi nemiphumela emibi nhlobo.
Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nalokhu:
- Ukusabela kokungezwani komzimba — izimpawu zifaka phakathi ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. Lokhu kungaba kubi kakhulu futhi kudinga ukunakekelwa okuphuthumayo.
Imiphumela emibi elandelayo ngokuvamile ayisongeli impilo, kodwa yazisa udokotela wakho uma iqhubeka noma iba yinkinga:
- Ikhanda elibuhlungu
- Ukulahlekelwa yisifiso sokudla
- Isicanucanu (lokhu kungenzeka ekuqaleni)
- Ubuhlungu, ukubomvu, noma ukucasuka endaweni yokujova
- Ubuhlungu besisu
- Ukuhlanza
Lolu hlu lungase lungahlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile, sicela uxhumane nodokotela wakho ukuze uthole iseluleko sezokwelapha esingochwepheshe.
Ukugcina Imithi Yakho Ngendlela Efanele
Ukugcina imithi yakho ngendlela efanele kubalulekile ukuqinisekisa ukuthi isebenza kahle futhi iphephile.
- Gcina yonke imithi kude nezingane nezilwane ezifuywayo.
- Amapeni okujova angavulwanga kufanele agcinwe esiqandisini, okungcono kube semnyango, emazingeni okushisa aphakathi kuka-2°C kuya ku-8°C (36°F kuya ku-46°F). Ungaziqandisi. Lahla noma yimiphi imithi ngemva kosuku lokuphelelwa kwayo yisikhathi.
- Amapeni okufaka injector avuliweOkusasetshenziswa njengamanje kungagcinwa esiqandisini noma ekushiseni kwegumbi (okungadluli ku-30°C/86°F) kuze kube yizinsuku ezingu-30. Ungavumeli lokhu kuqande. Abanye bathola ukuthi ukujova ekushiseni kwegumbi kubangela ukungakhululeki okuncane. Lahla noma yimiphi imithi esele ezinsukwini ezingu-30 ngemva kokuvula, noma ngabe eminye isasele esibayeni.
Ukuthatha Okubalulekile
I-Pramlintide ingaba yingxenye ebalulekile ekuphatheni kahle isifo sikashukela sakho. Kodwa-ke, kubalulekile ukuthi usebenzise lo muthi njengoba nje udokotela wakho ekuyalele, uhlale uqaphile mayelana nokusebenzisana kwezidakamizwa okungenzeka, uqaphe noma yimiphi imiphumela emibi, futhi ulandele amazinga kashukela egazini lakho njalo.
Sicela ukhumbule ukuthi lolu lwazi luhloselwe izinjongo zemfundo kuphela. Udokotela wakho siqu kuphela onganquma ukuthi lo muthi uyafaneleka yini ezidingweni zakho zezempilo futhi akunikeze imiyalelo efanelekile yokuthi ungawusebenzisa kanjani ngokuphephile.
Uma unemibuzo noma ukukhathazeka, sicela ungangabazi ukuxhumana nodokotela wakho, usokhemisi, noma omunye uchwepheshe wezempilo. Kwa-Nirogi Lanka, sithemba ukuthi lolu lwazi luzokunika amandla okuphatha isifo sakho sikashukela futhi uphile impilo enempilo neyanelisayo.
Amagama angukhiye: I-Pramlintide, Isifo Sikashukela, Umjovo, Ushukela Egazini, Imiphumela Engemihle, Imithi Yesifo Sikashukela
