Uma unesifo sikashukela, okungukuthi, isifo sikashukela sohlobo lwesibili, udokotela wakho kungenzeka ukuthi ukunike iphilisi elihlanganisa imithi i-Saxagliptin ne-Metformin. Ezweni lakithi, lokhu kuvame ukubonakala ngaphansi kwegama lomkhiqizo i-Kombiglyze XR. Lona umuthi omuhle onikezwa abantu abaningi futhi osiza ukulawula ushukela. Ngakho-ke namuhla, ake sifunde ngqo ngalo muthi nezinto okufanele uziqaphele uma uwusebenzisa.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lokhu kunikezwa ukulawula isifo sikashukela sohlobo 2. Lo muthi usiza ekukhuthazeni ukukhiqizwa kwe-insulin yi-pancreas yakho, unciphise ukukhiqizwa koshukela yisibindi sakho, futhi wenze kube lula ngamaseli omzimba wakho ukumunca ushukela. Konke lokhu kusiza ukulawula amazinga kashukela egazini lakho.
Kodwa khumbula kahle lokhu. Awukwazi ukulawula isifo sikashukela ngokuphuza lokhu wedwa. Ukudla okuhle kanye nokuzivocavoca nsuku zonke yizinto ezimbili okufanele uzenze kanye nalo muthi.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Kulungile, manje lena yingxenye ebaluleke kakhulu. Ngaphambi kokuqala lo muthi, kubalulekile ukwazisa udokotela wakho nganoma yiziphi ezinye izifo onazo emzimbeni wakho kanye nemikhuba yakho. Ngoba, ukusebenzisa lo muthi ngezinye izimo kungaba yingozi. Uma unezinye zalezi ezilandelayo, qiniseka ukuthi utshela udokotela wakho ngakho.
| Tshela udokotela wakho uma unalezi zimo. |
|---|
| Isifo sezinso noma isifo sesibindi |
| Isifo senhliziyo, ikakhulukazi ukwehluleka kwenhliziyo |
| Uma uke waba ne-pancreatitis ngaphambili |
| Uma uphuza utshwala njalo |
| Ukuntuleka kwe-anemia noma i-vitamin B12 |
| Uma unesifo sikashukela sohlobo 1 (lo muthi awulungele wena) |
| Uma unesifo senyongo noma amazinga aphezulu e-triglyceride egazini |
| Uma unesifo esibi kakhulu noma uke wahlinzwa |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa |
| Uma uke waba nokungezwani komzimba nomunye umuthi noma ukudla ngaphambilini |
Ungayithatha kanjani imithi? Indlela efanele
Kudingeka usebenze kahle kakhulu kulokhu futhi.
- Thatha leli philisi njengoba nje udokotela ekuyalele, ngesikhathi esifanele.
- Ngokuvamile kuthiwa ithathwa kanye nesidlo sakusihlwa .
- Gwinya ithebhulethi lonke ngengilazi yamanzi.
- Okubalulekile: Kuyingozi kakhulu ukuphula, ukuchoboza, noma ukuhlafuna leli philisi, ngakho-ke ungenzi kanjalo . Lenzelwe ukukhulula umuthi kancane kancane usuku lonke (Ukukhululwa Okunwetshiwe). Uma uliphula, umuthi ungangena emzimbeni wakho ngesikhathi esisodwa futhi ubangele imiphumela emibi kakhulu.
- Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Uma uphuthelwa umthamo: Thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Izinto okufanele uziqaphele lapho uthatha umuthi
Kudingeka futhi uqaphele kancane lapho uthatha lo muthi.
Ukuhlolwa njalo kwezokwelapha
Bona udokotela wakho ngezikhathi ezithile ukuze ahlole isimo sakho. Uzobe esekwenza ukuhlolwa okubizwa ngokuthi i-HbA1C (A1C) yakho. Lokhu kulinganisa ukuthi ushukela wakho wegazi ulawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule. Lokhu kuhlolwa okubaluleke kakhulu.
Qaphela amazinga kashukela wakho.
Funda ukuthi ungawahlola kanjani amazinga kashukela egazini lakho ekhaya. Qaphela izimpawu zikashukela ophansi egazini (i-Hypoglycemia) kanye noshukela ophezulu egazini (i-Hyperglycemia).
Uma ushukela uphansi, esimweni esiphuthumayoHlala ugcina okuthile okufana noshukela, i-toffee, noma ithebhulethi ye-glucose eduze. Kodwa uma ushukela wakho wegazi wehla uze ulahlekelwe ingqondo, ungafaki lutho emlonyeni wakho. Ungaklinywa. Esimweni esinjalo , kufanele uziyise ngokushesha e-Emergency Treatment Unit (ETU) yesibhedlela.
Amanye amaphuzu abalulekile
- Ungayeki ukudla.
- Ukuphuza utshwala: Kuyingozi kakhulu ukuphuza utshwala ngenkathi usebenzisa lo muthi. Cela iseluleko kudokotela wakho.
- Ukukhulelwa: Lo muthi ungandisa amathuba okukhulelwa futhi kwabanye besifazane. Ngakho-ke, khuluma nodokotela wakho mayelana nokuvimbela ukukhulelwa okufanele ngenkathi uthatha lo muthi.
- Ukuhlinzwa kanye nokuskena: Uma uzohlinzwa, i-MRI, noma i-CT scan, tshela ithimba lezokwelapha kusenesikhathi ukuthi uthatha lo muthi. Kungase kudingeke uyeke ukuthatha umuthi ngalezo zinsuku.
- Ithebhulethi ikhishwa esitulweni: Ngezinye izikhathi ungase ubone igobolondo lethebhulethi elingenalutho liphuma esitulweni. Lokhu kuvamile, kodwa uma lokhu kwenzeka njalo, tshela udokotela wakho .
Imiphumela emibi engaba khona
Njenganoma yimuphi umuthi, lokhu kungabangela imiphumela emibi kwabanye abantu. Akuwona wonke umuntu ozokwenza. Kodwa kubalulekile ukuqaphela lokhu.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| I-Lactic Acidosis | Lesi yisimo esingavamile kakhulu kodwa esibucayi. Ukuqaqamba kwemisipha, ukuqaqamba kwesisu, ubunzima bokuphefumula, ukukhathala okukhulu. |
| I-Pancreatitis | Ubuhlungu obukhulu esiswini esingaphezulu (esiphuma emhlane ), ubuhlungu obuba bubi ngemva kokudla, umkhuhlane, isicanucanu, nokuhlanza. |
| Ukwehluleka kwenhliziyo | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala nezinyawo, ukukhuluphala ngokuzumayo, ukukhathala okukhulu. |
| Ubuhlungu obukhulu bamalunga | Ubuhlungu obukhulu emalungeni. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Uhudo | Kuvame kakhulu ezigabeni zokuqala zokusebenzisa umuthi. |
| Ikhanda elibuhlungu, isicanucanu, ukuhlanza | Lokhu kungenzeka futhi kaningi. |
| Izimpawu ezifana nokubanda | Umphimbo obuhlungu, ikhala eligobhozayo. |
Ukweqisa umthamo
Uma ucabanga ukuthi usuthathe umuthi omningi kunalokho okucabangayo, ungalibali bese uya ngokushesha esibhedlela esiseduze i-Emergency Unit (ETU) noma ushayele i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi unikezwa ukulawula isifo sikashukela sohlobo lwesibili. Ukudla okuhle kanye nokuzivocavoca umzimba nakho kubalulekile.
- Ungaliphuli, ulichoboze, noma ulihlafune iphilisi. Ligwinye lonke. Ngokuvamile ulithathe kanye nokudla kusihlwa.
- Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi eminye imithi oyiphuzayo kanye nanoma yiziphi ezinye izimo zezokwelapha onazo.
- Qaphela izimpawu ze-hypoglycemia kanye ne-hyperglycemia. Gcina ushukela eduze kwezimo eziphuthumayo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobuhlungu obukhulu besisu, ubunzima bokuphefumula, noma ukuvuvukala kobuso/ulimi, funa iseluleko sezokwelapha ngokushesha.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Iyini i-Saxagliptin kanye ne-Metformin (Saxagliptin; Metformin / Kombiglyze XR) njengephilisi?
Leli iphilisi elisebenza kahle kakhulu (XR / eliqhubekayo) elihlanganisa imithi emibili esebenza ngezindlela ezimbili ezahlukene ukulawula amazinga aphezulu kashukela egazini ezigulini 'ezinesifo sikashukela sohlobo 2'! Odokotela batusa leli philisi elikhethekile elixutshwe nomuthi omusha obizwa ngokuthi 'i-Saxagliptin (i-DPP-4 inhibitor)' kulabo amazinga kashukela abo awehli nge-metformin yodwa.
💬 Le mithi emibili (iMetformin + iSaxagliptin) inciphisa/ilawula kanjani ushukela wethu ndawonye?
Ihlasela izinhlangothi zombili! 1. I-Metformin inciphisa ukukhiqizwa koshukela omusha (i-glucose) yisibindi sakho futhi iphoqa ushukela okhona ukuthi umuncwe yimisipha. 2. Omunye umlingo yi-Saxagliptin! Uma sidla ukudla, amathumbu akhiqiza i-hormone (i-Incretin) etshela ama-pancreas ukuthi andise i-insulin. I-Saxagliptin yenza lokhu 'ngokuvimba ukubhujiswa kwe-Incretin (i-enzyme ye-DPP-4)', ikhulisa ukukhiqizwa kwe-insulin futhi yehlise ushukela oza ngemva kokudla.
💬 Ngisho noma isifo sikashukela sinciphile, yimiphi imiphumela emibi eyingozi okufanele abantu abaphuza la maphilisi bayiqaphele?
Inkinga enkulu yizinkinga ezibangelwa yi-Saxagliptin! Kubikwe ukuthi ingabangela uketshezi emaphashini, ukuvuvukala kwemilenze, kanye nengozi enkulu yokwehluleka kwenhliziyo (ikakhulukazi kubantu abanezinkinga zenhliziyo). Enye ingozi ebulalayo ukuthi ingabangela 'i-Acute Pancreatitis' kwabanye abantu (ngakho uma unezinhlungu ezinzima esiswini/emhlane, bheka udokotela ngokushesha!).
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