Ingabe udokotela wakho ukunike umuthi obizwa ngokuthi i-Repaglinide yesifo sikashukela sohlobo lwesibili ? Noma ingabe othile emndenini wakho usebenzisa lo muthi? Ngakho-ke kubaluleke kakhulu ukuba nolwazi oluphelele ngalo muthi. Ngoba, njenganoma yimuphi umuthi, ukuze uthole okuningi kuwo, kubalulekile ukwazi ukuthi uwusebenzisa kanjani, ukuthi yini okufanele uyiqaphele, kanye nemiphumela emibi . Sizoxoxa ngakho konke lokho kulesi sihloko.
Iyini i-Repaglinide?
Kalula nje, i-Repaglinide umuthi osetshenziselwa ukwelapha isifo sikashukela sohlobo 2. Iza ngesimo sephilisi.
Manje ake sibone ukuthi lokhu kusebenza kanjani. Umzimba wethu une-organ ebizwa ngokuthi i -pancreas . Lokhu kukhiqiza i-hormone ebizwa ngokuthi i-insulin . I-insulin ilawula izinga likashukela (i-glucose) egazini lethu futhi isiza amaseli ukuthi amunce ushukela. Kumuntu onesifo sikashukela sohlobo lwesibili, umzimba ungase ukhiqize i-insulin encane, noma i-insulin ekhiqizwayo ingase ingasebenzi kahle. Amaphilisi e-Repaglinide avuselela i-pancreas futhi ayisize ikhiqize i-insulin eningi. Bese izinga likashukela egazini lilawulwa.
Kodwa khumbula into eyodwa. Awukwazi ukulawula isifo sikashukela ngokuthatha lo muthi wedwa. Kufanele futhi ulandele ukudla okufanele nokuzivocavoca nsuku zonke .
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha imithi
Ngaphambi kokukunikeza i-Repaglinide, udokotela wakho uzokubuza imibuzo embalwa. Ngaleso sikhathi, kubaluleke kakhulu ukubatshela uma unezinye zezimo ezilandelayo:
- Uma unesifo esiphuthumayo esibizwa ngokuthi i-diabetic ketoacidosis, esibangelwa isifo sikashukela.
- Uma unesifo sezinso noma isifo sesibindi.
- Uma unesifo esibi kakhulu noma ulimele.
- Uma une-allergy ngenxa ye-repaglinide noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, qiniseka ukuthi utshela udokotela wakho ngalokhu.
Ungayisebenzisa kanjani kahle amaphilisi eRepaglinide?
Ukuze uthole okuningi kulo muthi, kubaluleke kakhulu ukuwusebenzisa ngendlela efanele.
- Gwinya leli philisi ngengilazi yamanzi.
- Into ebaluleke kakhulu ukuphuza leli philisi ngaphambi kokudla. Ngokuvamile, kuthiwa liphuzwa phakathi kwemizuzu eyi-15 nengama-30 ngaphambi kokudla. Ungaliphuzi ngaphezu kwemizuzu engama-30 ngaphambi kokudla.
- Ake sithi weqa ukudla kwasekuseni. Kufanele futhi weqe iphilisi ngaleso sikhathi. Uma ungadli, ungalithathi iphilisi.
- Ungalokothi uthathe ngaphezu komthamo obekwe udokotela wakho, noma uthathe imithamo emibili ngesikhathi esisodwa.
- Uma uneminyaka engaphezu kwengu-65, ungase unikezwe umthamo ophansi. Khuluma nodokotela wakho ngalokhu.
Kuthiwani uma ngiphuza umuthi omningi kakhulu? (Ukudlula umthamo)
Uma ucabanga ukuthi uthathe umuthi omningi ngephutha, ungesabi. Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo okufanele uthathwe ngaphambi kokudla, yeka lokho kudla. Thatha umthamo olandelayo njengoba kuhleliwe ekudleni kwakho okulandelayo. Ungaphuzi amaphilisi amabili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Eminye imithi engase ihlangane nalo muthi
Lokhu kuyingxenye ebaluleke kakhulu. Uma uthatha i-Repaglinide, kufanele utshele udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi), njengoba eminye imithi ingase ihlangane ne-Repaglinide.
| Uhlobo lwesidakamizwa | Amanothi nezibonelo |
|---|---|
| Imithi okungafanele ithathwe nalo muthi | |
| I-Gemfibrozil | Lona umuthi owehlisa i-cholesterol. Uma uthathwa ne-Repaglinide, ungabangela ushukela wegazi ophansi kakhulu. |
| Eminye imithi engase ihlangane neRepaglinide | |
| Imithi ehlukahlukene | Isibonelo: I-Clopidogrel, i-Cyclosporine, i-Rifampin, i-Simvastatin, i-Trimethoprim, imithi elwa namagciwane (i-Itraconazole, i-Ketoconazole). Ezinye zalezi zingandisa noma zinciphise imiphumela ye-Repaglinide. |
| Imithi engathinta amazinga kashukela egazini | |
| Izinhlobo eziningi zemithi | Isibonelo: Utshwala, i-aspirin, ama-steroid, amanye ama-antibiotic, imithi yokucindezeleka kwegazi ephezulu, amaphilisi okuvimbela inzalo, kanye namanye ama-syrup okukhwehlela/abandayo. Lokhu kungabangela ushintsho emazingeni kashukela egazini. |
| Imithi engafihla izimpawu eziyisixwayiso ze-hypoglycemia | |
| Ama-Beta-blocker | Isibonelo: I-Metoprolol, i-Propranolol. Ngesikhathi uthatha le mithi, ungase ungaziboni izimpawu (njengokuthuthumela, ukujuluka) zoshukela wegazi ophansi. Ngakho-ke, kubalulekile ukuhlola amazinga kashukela egazini lakho njalo. |
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukuhlolwa okuvamile: Bona udokotela wakho bese uhlola isimo sakho njalo.
- Ukuhlolwa kwe-HbA1c: Kufanele futhi uqaphele ukuhlolwa kwegazi okubizwa ngokuthi i-HbA1c (HbA1c). Lokhu kulinganisa ukuthi isifo sakho sikashukela silawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule.
- Ukulinganisa amazinga kashukela egazini: Funda ukuthi ungalinganisa kanjani amazinga kashukela egazini lakho ekhaya. Yazi izimpawu ze-hyperglycemia kanye ne-hypoglycemia, nokuthi ungazilawula kanjani.
- Lungela izimo eziphuthumayo: Uma uzwa izimpawu ze-hypoglycemia, hlala uphethe ushukela (isib. ama-cubes kashukela, amaphilisi e-glucose). Uma uba ne-hypoglycemia enzima futhi ulahlekelwa ingqondo, ungafaki lutho emlonyeni wakho ngoba lungabangela ukuminyana. Tshela umndeni wakho ukuthi ufune usizo lwezokwelapha ngokushesha.
- I-ID Yezokwelapha: Ukugqoka ikhadi noma isongo elibonisa ukuthi unesifo sikashukela kanye nemithi oyiphuzayo kungaba usizo kakhulu esimweni esiphuthumayo.
Yimiphi imiphumela emibi engabonakala?
Njengayo yonke imithi, i-Repaglinide ingabangela imiphumela emibi, yize kungebona bonke abantu abayitholayo.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ushukela ophansi egazini (i-Hypoglycemia) | Ukuthuthumela, ukukhathazeka okukhulu, ukujuluka, ukubanda, ukudideka, isiyezi, ukushaya kwenhliziyo okusheshayo. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ezinye izifo | Ubuhlungu emhlane, ukungagayi kahle ukudla/uhudo, ikhanda elibuhlungu, ubuhlungu bamalunga, isicanucanu, impumulo egobhozayo. |
Umlayezo Wokuya Nawe Ekhaya
- I-Repaglinide umuthi osetshenziselwa ukwelapha isifo sikashukela sohlobo 2. Kanye nalokhu , ukudla okufanele kanye nokuzivocavoca umzimba kubalulekile.
- Njalo thatha leli philisi imizuzu eyi-15-30 ngaphambi kokudla . Uma uphuthelwa ukudla, yeqa umthamo.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo (ikakhulukazi i-Gemfibrozil).
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia). Hlala ugcina okuthile okufana nesigaxa sikashukela eduze ukuze ukusebenzise uma kunesimo esiphuthumayo.
- Uma ngephutha uthatha umuthi omningi kakhulu, shayela iNational Poisons Information Centre ngokushesha noma uye emnyangweni wezimo eziphuthumayo esibhedlela (ETU).
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye.
I-Repaglinide, Isifo Sikashukela, Uhlobo Lwesibili Lwesifo Sikashukela, I-Insulin, I-Hypoglycemia, i-Prandin
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