Usizo lwesifo sikashukela: Ake sifunde ngomjovo we-Pramlintide!

Uma unesifo sikashukela , cishe uyazi ukuthi kubaluleke kangakanani ukulawula amazinga kashukela egazini lakho. Ngezinye izikhathi , ukulawula ukudla kwakho nokuzivocavoca umzimba kuphela akwanele, akunjalo? Namuhla sizokhuluma ngomjovo okhethekile osizayo ngezikhathi ezinjalo. Igama lawo yiPramlintide .

Uhlobo luni lomuthi iPramlintide?

Kalula nje, i-Pramlintide umuthi ojovwayo osetshenziselwa ukwelapha isifo sikashukela . Isebenza ngokunciphisa inani likashukela egazini lakho. Iphinde yehlise ijubane lokugaya ukudla okudlayo. Lokhu kusiza ukulawula ukwanda okungazelelwe kwamazinga kashukela egazini lakho.

Cabanga ngakho njengedamu elilawula amanzi, lo muthi ulawula ukwanda okungazelelwe kukashukela egazini ngemva kokudla. Ngokuvamile, lo muthi unikezwa kanye nokulawula ukudla kwakho nokuzivocavoca . Yilapho uthola khona imiphumela emihle kakhulu. Ngamanye amazwi, kungaba yingxenye ebalulekile yohlelo lwakho lokuphatha isifo sikashukela.

Yiziphi izinto ezibalulekile okudingeka uzitshele udokotela?

Ngaphambi kokuthi uqale ukuthatha imijovo ye-Pramlintide, kubalulekile ukutshela udokotela wakho ngalezi zinto. Lokhu kubalulekile ngoba kuzobasiza ukuthi banqume ukuthi lo muthi ukulungele yini nokuthi bawunike kanjani.

Uma unesinye salezi zimo, sicela usitshele:

• Uma i-hemoglobin yakho i-A1C ingaphezulu kuka-9% (lokhu kuyindlela yokulinganisa ukuthi ulawule kahle kangakanani ushukela wakho wegazi ezinyangeni ezimbalwa ezedlule).
• Uma uvame ukuba nezigameko eziphansi zoshukela egazini , noma i-hypoglycemia .
• Uma unenkinga yokuhlola amazinga kashukela egazini lakho ngendlela efanele.
• Uma unezinkinga zokuthatha imithi yakho yesifo sikashukela ngendlela efanele.
• Uma unesifo sesisu, ikakhulukazi isimo esibizwa ngokuthi i-gastroparesis , esinciphisa ijubane lokukhipha isisu sakho (isimo lapho amathumbu enciphisa khona ukusebenza kwawo).
• Uma unenkinga yokuqonda ukuthi ushukela wakho wegazi uphansi nini,(Kunenkinga yokukwazi ukubona ukuthi ushukela wegazi uphansi).
• Uma wake waba nokusabela kokungezwani komzimba ne-Pramlintide, isithako se -metacresol esikuyo, eminye imithi, ukudla, amadayi okwenziwa, noma izithasiselo.
• Uma ukhulelwe, noma unethemba lokukhulelwa maduze .
• Uma ungumama oncelisayo .

Uma utshela udokotela wakho lezi zinto ngaphandle kokuzifihla, angahlela ukwelashwa okukusebenzela kahle.

Uyisebenzisa kanjani kahle le mithi?

Lo muthi unikezwa njengomjovo ngaphansi kwesikhumba . Udokotela wakho noma umhlengikazi uzokunikeza imiyalelo ecacile yokuthi ungawulungisa kanjani nokuthi ungawujova kanjani ngendlela efanele. Kufanele ulandele imiyalelo ngqo .

Khumbula lezi zinto:

• Ungalokothi uhlanganise lo muthi ne-insulin esirinjini esifanayo. Le mithi emibili kufanele ithathwe ngokwehlukana.
• Lomuthi kufanele uthathwe ngaphambi kokudla okuyinhloko ngakunye .
• Thatha umuthi ngesikhathi esinqunyiwe kanye nezikhawu ezinqunyiwe njengoba kunqunywe udokotela.
• Ungathathi okungaphezu kwenani elibekiwe.
• Ngaphambi kokusebenzisa umuthi, bheka ukubukeka kwawo ngokucophelela . Uma ubonakala sengathi uchotshoziwe, noma uma ubona noma yiziphi izingcezu ezincane ngaphakathi kwawo, ungawusebenzisi.
• Kufanele ufake izinaliti zakho ezisetshenzisiwe kanye namapeni okujova esitsheni esibukhali esenzelwe le njongo. Ungalokothi uzilahle emgqonyeni kadoti. Lokhu kungaba yingozi kwabanye. Uma ungenayo, cela eyodwa ekhemisi noma kudokotela wakho.
• Uma uthola lo muthi ekhemisi, uzonikezwa incwajana yemiyalelo ekhethekile (i-MedGuide) . Yifunde ngokucophelela isikhathi ngasinye lapho uthola ukugcwalisa kabusha.
• Lo muthi uza nencwajana ethi IMIYALELO YOKUSEBENZISA . Yifunde ngokucophelela bese ubuza usokhemisi noma udokotela wakho uma kukhona ongakuqondi.
• Uma unikeza izingane lo muthi , qiniseka ukuthi ukhuluma nodokotela wakho ngawo. Kungadinga ukunakekelwa okukhethekile.
• Yini okufanele uyenze uma ngengozi uthatha umuthi omningi kakhulu ? Uma ucabanga ukuthi lokhu kwenzekile, ungesabi futhi ngokushesha shayela isibhedlela esiseduze negumbi lezimo eziphuthumayo noma isikhungo sokulawula ubuthi ukuze uthole iseluleko.

Lokhu kuyinto okudingeka uyikhumbule: Lo muthi ungowakho kuphela. Ungalokothi uwunike umngane noma ilungu lomndeni, noma ngabe naye unesifo sikashukela.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Ngezinye izikhathi ungaphuthelwa umthamo wemithi, akunjalo? Kuhlukile kuwo wonke umuntu. Kodwa, akuwona umqondo omuhle ukuphuthelwa umthamo . Udokotela wakho noma ithimba lezempilo lizokutshela ukuthi wenzeni uma uphuthelwa umthamo. Landela lelo hlelo ngqo. Ungathathi imithamo ephindwe kabili nganoma yisiphi isizathu. Ukwenza kanjalo kungabangela ukuthi ushukela wakho wegazi wehle ngendlela eyingozi.

Yimiphi eminye imithi engasebenzisana nalo muthi?

Ubuwazi ukuthi eminye imithi ingasebenzisana ne-Pramlintide, okusho ukuthi ingathintana? Ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, amakhambi, imithi ethengwa ngaphandle kwemithi kadokotela, ngisho nezithako zokudla.

Qaphela imithi elandelayo njengoba imiphumela ye-Pramlintide ingashintsha:

• I-Acetaminophen (njenge-paracetamol)
• `I-Alosetron`
• `I-Atropine`
• Amaphilisi okuvimbela inzalo
• Eminye imithi yezinkinga zesinyi, isibonelo, i-oxybutynin
• Eminye imithi yokwelapha ukucasuka kwesisu, isibonelo i-`dicyclomine`, i-`hyoscyamine`
• Eminye imithi esetshenziswa ukwelapha isicanucanu ngenkathi usohambweni, isibonelo, i-scopolamine
• `I-Eluxadoline`
• Eminye imithi yesifo sikashukela, isibonelo i-'acarbose', i-'miglitol'

Futhi, kuneminye imithi eminingi engathinta amazinga kashukela egazini. Uhlu lude kancane, kodwa kubalulekile ukuqaphela lokhu:

• Iziphuzo eziqukethe utshwala
• Imithi yokulwa negciwane lengculazi noma ingculazi
• I-aspirini kanye nemithi efanayo
• Eminye imithi yokwelapha umfutho wegazi ophakeme, isifo senhliziyo, kanye nokushaya kwenhliziyo okungajwayelekile
• I-Chromium (ngezinye izikhathi ithathwa njengesengezo)
• Imithi yokuhlanza
• Ama-hormone abesifazane, kungaba ama-estrogen noma ama-progestin, asetshenziswa emaphilisini okuvimbela inzalo.
• 'I-Fenofibrate'
• 'I-Gemfibrozil'
• I-Isoniazid (umuthi wesifo sofuba)
• `I-Lanreotide`
• Ama-hormone abesilisa noma 'ama-steroid e-anabolic'
• Imithi eqenjini lemithi ebizwa ngokuthi 'MAOIs' (esetshenziselwa izifo zengqondo), isibonelo 'Carbex', 'Eldepryl', 'Marplan', 'Nardil', kanye ne-'Parnate'
• Imithi yokwehlisa isisindo
• Imithi yokwelapha ukungezwani komzimba, i-asthma, umkhuhlane, kanye nokukhwehlela
• Imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo
• `I-Niacin`
• I-Nicotine (etholakala kugwayi)
• Ama-painkiller abizwa ngokuthi 'ama-NSAID', okungukuthi, imithi enciphisa ukuvuvukala, isibonelo 'ibuprofen' noma 'naproxen'
• `I-Octreotide`
• `I-Pasireotide`
• `I-Pentamidine`
• `Phenytoin` (umuthi onikezwa izigwinya)
• I-Probenecid (umuthi we-gout)
• Ama-antibiotic e-Quinolone, isibonelo i-ciprofloxacin, i-levofloxacin, ne-ofloxacin
• Ezinye izithako zokudla ezisetshenziswa ngamakhambi
• Imithi ye-steroid, njenge-prednisone noma i-cortisone
• I-Sulfamethoxazole; i-trimethoprim (i-antibiotic)
• Amahomoni e-thyroid

Okubaluleke kakhulu, kunemithi ethile engafihla izimpawu zoshukela ophansi egazini (hypoglycemia). Lokhu kusho ukuthi ungase ungaqapheli ukuthi unoshukela ophansi egazini. Uma uthatha omunye wale mithi, kubaluleke kakhulu ukuhlola amazinga kashukela egazini lakho njalo. Imithi enjalo ihlanganisa:

• Ama-Beta-blocker - Lawa avame ukunqunyelwa umfutho wegazi ophakeme noma isifo senhliziyo (izibonelo: i-atenolol, i-metoprolol, i-propranolol)
• `I-Clonidine`
• `I-Guanethidine`
• `I-Reserpine`

Lolu hlu alufaki konke ukusebenzisana. Ngakho-ke tshela udokotela wakho ngayo yonke imithi, amakhambi, kanye nezithasiselo ozithathayo, futhi uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Ezinye izinto zingathintana nemithi yakho.

Kufanele futhi uqaphele ngalezi zinto uma uthatha imithi!

Ngesikhathi usebenzisa lo muthi, kufanele ubonane nodokotela wakho njalo ukuze ahlole ukuthi unjani. Futhi, qaphela okulandelayo:

• Ukuhlolwa kwakho kwe -HbA1C (A1C) kuhlolwa njalo. Lokhu ukuhlolwa kwegazi okulula. Kubheka ukuthi ushukela wakho wegazi ulawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule. Lokhu kuhlolwa kwenziwa njalo ezinyangeni ezi-3-6.
• Funda ukuthi ungawahlola kanjani amazinga kashukela egazini lakho ekhaya. Funda futhi ngezimpawu zoshukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia) nokuthi ungazilawula kanjani. Lokhu kubaluleke kakhulu.
• Hlala ugcina umthombo osheshayo kashukela eduze. Isibonelo, ama-sugar cubes, amaphilisi e-glucose, noma isiphuzo esinoshukela. Uma ushukela wakho wegazi wehla kakhulu futhi uhlangabezana nokuxhuzula noma ukuquleka, yazisa abanye (amalungu omndeni, abangani) ukuthi ukukunika ukudla noma isiphuzo ngaleso sikhathi kungabangela ukuxhuzula. Uma lokhu kwenzeka, kufanele ufune usizo lwezokwelapha ngokushesha.
• Uma uzizwa sengathi amazinga kashukela egazini lakho aphezulu, tshela udokotela wakho. Umthamo wemithi yakho ungadinga ukulungiswa.
• Uma ugula (njengomkhuhlane noma ubuhlungu besisu), noma uma uvivinya umzimba ngaphezu kokujwayelekile , kungadingeka ulungise umthamo wemithi yakho. Buza udokotela wakho ngalokhu.
• Ungayeki ukudla, ikakhulukazi uma uthatha lo muthi.
• Buza udokotela wakho ukuthi kufanele yini ugweme ukuphuza utshwala. Utshwala bungabangela ukuthi ushukela wakho wegazi wehle noma ukhuphuke.
• Eminye imithi yokukhwehlela neyomkhuhlane etholakala ngaphandle kwemithi kadokotela ingase ibe noshukela noma utshwala. Ingathinta amazinga kashukela egazini, ngakho buza udokotela wakho noma usokhemisi ngaphambi kokuyithatha.
• Ungalokothi wabelane ngamapeni okujova nabanye. Ngisho noma inaliti ishintshiwe, ukwabelana kungasakaza amagciwane ayingozi njenge-hepatitis noma i-HIV.
• Gqoka isongo noma umgexo we-ID yezokwelapha. Futhi, gcina ikhadi elinemininingwane ngesimo sakho, imithi oyiphuzayo, umthamo, kanye nezikhathi oziphuza ngazo. Lokhu kuzosiza kakhulu esimweni esiphuthumayo.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, umjovo we-Pramlintide ungabangela imiphumela emibi kwabanye abantu. Kodwa-ke, akuwona wonke umuntu oyitholayo. Abanye abantu bangase bangabi nemiphumela emibi.

Uma kwenzeka into efana nale, kufanele utshele udokotela wakho ngokushesha:

• Ukusabela kokungezwani komzimba — Lokhu kufaka phakathi ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala, noma ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. Lokhu kungaba yingozi futhi kudinga ukunakekelwa kwezokwelapha okusheshayo.

Le miphumela emibi ngokuvamile ayibi mibi kakhulu, kodwa uma iqhubeka noma ikukhathaza, tshela udokotela wakho:

• Ikhanda elibuhlungu
• Ukulahlekelwa yisifiso sokudla
• Isicanucanu (abanye abantu bangase babhekane nalokhu kusenesikhathi)
• Ubuhlungu, ukubomvu, noma ukucasuka endaweni yokujova
• Ubuhlungu besisu
• Ukuhlanza

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile, xhumana nodokotela wakho ukuze uthole iseluleko sezokwelapha.

Ngingawugcina kanjani lo muthi ngendlela efanele?

Kubaluleke kakhulu futhi ukugcina umuthi ngendlela efanele. Ngaphandle kwalokho, ikhwalithi yawo ingase yehle noma yonakale.

• Yigcine endaweni ephephile kude nezingane nezilwane ezifuywayo.
• Amapeni amasha angavulwanga okujova kufanele agcinwe endaweni epholile, njengomnyango wesiqandisi, phakathi kwama-degree Celsius angu-2 no-8 (36 kuya ku-46 degrees F). Ungaqandisi efrijini nganoma yisiphi isikhathi.Lahla noma yimuphi umuthi osele ngemuva kosuku lokuphelelwa yisikhathi.
• Amapeni okujova avuliwe , okusho ukuthi lawo asetshenziswa njengamanje, angagcinwa esiqandisini noma ekushiseni kwegumbi (hhayi ngaphezu kwama-degree Celsius angu-30 (86 F)) kuze kube yizinsuku ezingu-30. Ungawavumeli aqande. Abanye abantu bathi umjovo awubuhlungu kangako uma ugcinwa ekushiseni kwegumbi. Noma yimuphi umuthi ongasetshenziswanga kufanele ulahlwe ngemva kwezinsuku ezingu-30, noma ngabe kusekhona umuthi osele kuwo.

Umyalezo obaluleke kakhulu okufanele uwuthathe uye nawo ekhaya

Ngakho-ke, i-Pramlintide ingaba umuthi obaluleke kakhulu osiza ukulawula isifo sikashukela. Kodwa kubalulekile ukuyisebenzisa njengoba udokotela wakho ekutshelile, hlola ukusebenzisana kweminye imithi, uqaphele imiphumela emibi, futhi uhlole amazinga kashukela egazini lakho njalo .

Sicela uqaphele ukuthi lesi sihloko sinikeza ulwazi olujwayelekile kuphela. Udokotela wakho kuphela ongakunikeza iseluleko esingcono kakhulu sokuthi lo muthi ukulungele yini nokuthi uwuthatha kanjani, ngokusekelwe esimweni sakho sempilo.

Uma unemibuzo noma ukukhathazeka, ungangabazi ukubuza udokotela wakho, usokhemisi, noma umhlinzeki wezempilo. Sithemba ukuthi lolu lwazi luzokusiza ukuthi uphile impilo enempilo nejabulisayo ngesifo sakho sikashukela.

I- Pramlintide, Isifo Sikashukela, Umjovo, Ushukela Egazini, Imiphumela Engemihle, Imithi Yesifo Sikashukela