Ingabe udokotela wakho ukunike inhlanganisela ye-sitagliptin ne-metformin yesifo sikashukela sohlobo lwesibili? Ezweni lethu, lo muthi ungaphansi kwegama lomkhiqizo i-Janumet. Njengoba isifo sikashukela siyisimo esidinga ukuphathwa kahle, kubaluleke kakhulu ukuthi uqonde kahle umuthi owuthathayo. Ngakho-ke namuhla, ake sixoxe kafushane ngalo muthi, ukuthi wenzani emzimbeni wakho, kanye nezinto okudingeka uziqaphele ngenkathi uwusebenzisa.
Kwenzekani ngempela ngalo muthi?
Kalula nje, imithi emibili ekuleli philisi isiza ukulawula amazinga kashukela egazini lakho (i-glucose egazini) ngezindlela ezimbili.
1. I-Sitagliptin: Lokhu kusiza ukwandisa ukukhiqizwa kwemvelo komzimba wakho kwe-hormone ebizwa ngokuthi i-insulin ngemva kokudla. I-insulin yilokho okusiza ushukela egazini ukuthi ungene emangqamuzaneni omzimba futhi usetshenziselwe amandla.
2. I-Metformin: Lokhu kusebenza kakhulu ngokunciphisa ukukhiqizwa kukashukela okungadingekile yisibindi sakho. Kuphinde kwandise ukuzwela kwamaseli omzimba wakho ku-insulin. Lokhu kusho ukuthi kukusiza ukuthi usebenzise kahle i-insulin onayo.
Into ebaluleke kakhulu ukuthi ukuthatha lo muthi wedwa akwanele. Udinga futhi ukulandela ukudla okuhle nokuzivocavoca njalo . Kungaleso sikhathi kuphela lapho ungathola khona imiphumela emihle kakhulu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Udokotela wakho kuzodingeka azi umlando wakho wezempilo ophelele ngaphambi kokukunikeza noma yimiphi imithi. Ngakho-ke uma unezinye zezimo ezilandelayo, qiniseka ukuthi uyazitshela ngaphandle kokuzifihla. Lokhu kubaluleke kakhulu ekuphepheni kwakho.
| Ingabe unalezi zimo? |
|---|
| Isifo sezinso noma isifo sesibindi |
| Izifo zenhliziyo noma izimo zokwehluleka kwenhliziyo |
| Uma uke waba ne-pancreatitis ngaphambili |
| Amazinga aphezulu e-triglyceride egazini |
| Izinga eliphansi le-vitamin B12 noma i-anemia |
| Ukuba nomkhuba wokuphuza utshwala njalo |
| Ukukhulelwa, ukuhlela ukuba nomntwana, noma ukuncelisa umntwana |
| Ukuba nokungezwani komzimba nanoma yimuphi omunye umuthi, ukudla, noma into ethile |
Ngiyisebenzisa kanjani ngempela le mithi?
- Gwinya iphilisi ngengilazi yamanzi.
- Lokhu kubaluleke kakhulu: Njalo thatha leli philisi ngesikhathi sokudla noma ngemva kokudla . Ukulithatha esiswini esingenalutho kungabangela ukuphazamiseka kwesisu (isicanucanu, isicanucanu).
- Thatha umthamo onqunyiwe kuphela nangesikhathi osinqunyiwe ngudokotela wakho. Ungashintshi umthamo ngendlela othanda ngayo.
- Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela.
- Uma uphuthelwe umthamo: Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
- Uma uphuza kakhulu: Uma ucabanga ukuthi uphuze umuthi omningi ngephutha, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital .
Izinto okufanele uziqaphele lapho uthatha umuthi
- Amazinga Kashukela Egazini: Funda ukuthi ungalinganisa kanjani amazinga kashukela egazini lakho. Qaphela izimpawu zikashukela ophansi egazini (i-Hypoglycemia) kanye noshukela ophezulu egazini (i-Hyperglycemia).
- Ushukela ophansi egazini (i-Hypoglycemia): Lokhu kungaba yisimo esiphuthumayo. Uma uzwa izimpawu ezifana nokujuluka, ukuthuthumela, indlala enkulu, noma isiyezi, yidla okuthile okumnandi (i-sugar cube, uswidi, noma ithebhulethi ye-glucose) ngokushesha . Uma uquleka, yazisa umndeni wakho ukuthi abanye akufanele bakuphoqe ukuthi udle noma uphuze, nokuthi kufanele uyiswe esibhedlela ngokushesha.
- Ukuhlolwa kwe-HbA1C: Udokotela wakho uzokucela ukuthi wenze lokhu kuhlolwa kwegazi cishe kanye njalo ezinyangeni ezi-3. Lokhu kulinganisa ukuthi ubulokhu ulawula ushukela wakho egazini kahle kangakanani ezinyangeni ezi-2-3 ezedlule.
- Ukuhlinzwa kanye nokuskena:Uma uzohlinzwa, uhlolwe i-MRI, noma i-CT scan, tshela ithimba lezokwelapha kusenesikhathi ukuthi uthatha lo muthi. Kungase kudingeke uyeke ukuthatha umuthi ezinsukwini ezimbalwa ngaphambi kwenqubo .
- Utshwala: Ukuphuza utshwala kwandisa ingozi yokwehla ngokuzumayo kwamazinga kashukela egazini kanye nesimo esiyingozi esibizwa ngokuthi i-lactic acidosis. Ngakho-ke khuluma nodokotela wakho ngotshwala.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lokhu kungabangela imiphumela emibi kwabanye abantu. Esikhathini esiningi, lokhu akukubi kangako, kodwa kunezimpawu ezithile okufanele uziqaphele kakhulu.
| Izimpawu ezinkulu ezidinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Izimpawu ze-Lactic Acidosis | Ubuhlungu noma ukuqina kwemisipha, ubuhlungu besisu, ukuphelelwa umoya, ukukhathala okukhulu. (Lona umphumela ongavamile kodwa oyingozi kakhulu we-Metformin). |
| I-Pancreatitis | Ubuhlungu obukhulu esiswini esingaphezulu, busakazekela emhlane, ukuhlanza, kanye nomkhuhlane. |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, ubunzima bokuphefumula noma ukugwinya. |
| Ezinye izimpawu ezinkulu | Ubuhlungu obukhulu bamalunga, amabhamuza esikhumba noma izilonda, ubunzima bokuphefumula, ukuvuvukala kwemilenze noma amaqakala, ukukhuluphala ngokuzumayo. |
| Imiphumela emibi evamile (engeyona embi kakhulu) | |
| Izinkinga zesistimu yokugaya ukudla | Ukuphazamiseka kwesisu, igesi, uhudo, isicanucanu (kuvame ukwenzeka ekuqaleni kokwelashwa bese kuphela kamuva. Lokhu kungancishiswa ngokukuthatha kanye nokudla). |
| Okunye | Ikhanda elibuhlungu, umphimbo obuhlungu, ikhala eligobhozayo. |
Umlayezo Wokuya Nawe Ekhaya
- I-Sitagliptin kanye ne-Metformin imithi esetshenziselwa ukwelapha isifo sikashukela sohlobo 2. Ukuze uthole imiphumela emihle kakhulu, ukudla okuhle kanye nokuzivocavoca umzimba kubalulekile.
- Njalo thatha leli philisi ngesikhathi sokudla noma ngemva kokudla .
- Qiniseka ukuthi utshela udokotela wakho nganoma yimiphi eminye imithi, amavithamini, noma imithi yendabuko oyithathayo.
- Qaphela izimpawu zoshukela ophansi egazini (i-hypoglycemia) (ukuthuthumela, ukujuluka, isiyezi). Gcina okuthile okumnandi eduze ukuze ukudle uma kwenzeka isimo esinjalo.
- Uma uzwa ubuhlungu obukhulu besisu, ubunzima bokuphefumula, noma ubuhlungu obukhulu bemisipha, kungaba uphawu lwesimo esibi njenge- Lactic Acidosis noma i-Pancreatitis . Yiya e -ETU yesibhedlela ngokushesha.
- Ungayeki ukuthatha umuthi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela. Uma unenkinga, khuluma nodokotela wakho.
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