Isifo sikashukela siyisifo esivame kakhulu phakathi kwethu eSri Lanka. Ngakho-ke, udokotela wakho ukunike umuthi wokulawula isifo sakho sikashukela. Uma ungomunye walabo abasebenzisa umuthi obizwa ngokuthi iSitagliptin, lesi sihloko sizoba sibaluleke kakhulu kuwe. Ake sibone ngalo muthi, ukuthi usebenza kanjani, nokuthi yiziphi izinto okufanele uziqaphele lapho uwusebenzisa.
Uhlobo luni lomuthi iSitagliptin?
Kalula nje, iSitagliptin umuthi osetshenziselwa ukwelapha isifo sikashukela sohlobo lwesibili . Isebenza ngendlela ethakazelisayo kakhulu emzimbeni wethu. Ikhulisa kakhulu izinga le-insulin emzimbeni wakho futhi yehlisa inani le-glucose egazini lakho. Iphinde yehlise inani likashukela elifakwa egazini yisibindi.
Into ebaluleke kakhulu ukuthi lo muthi wodwa awanele. Kungokudla okuhle kanye nokuzivocavoca kwansuku zonke lapho ungathola khona imiphumela emihle kakhulu kulo muthi.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Ngaphambi kokuthi uqale ukuthatha iSitagliptin, kunezinto ezimbalwa okufanele uzitshele udokotela wakho. Ungazifihli lezi, ngoba zibaluleke kakhulu ekuphepheni kwakho.
- Uma une-ketoacidosis yesifo sikashukela.
- Uma unesifo sezinso: Lokhu kubaluleke kakhulu ngoba umthamo walo muthi ungadinga ukulungiswa kuye ngokuthi izinso zakho zisebenza kanjani.
- Uma uke waba ne-pancreatitis ngaphambilini.
- Uma wake waba nokuvuvukala kolimi lwakho, ubuso, noma izindebe, ubunzima bokuphefumula, ubunzima bokugwinya, noma ushintsho lwezwi lakho ngemva kokuthatha umuthi othile: Lokhu kusho ukuthi uke waba nokusabela okukhulu kokungezwani komzimba.
- Uma unesifo sikashukela sohlobo 1: Lo muthi awukufanele.
- Uma une-allergies ku-sitagliptin noma kunoma yimuphi omunye umuthi, ukudla, noma udayi.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
Ngiyisebenzisa kanjani ngempela le mithi?
Lomuthi kulula kakhulu ukuwusebenzisa. Gwinya leli philisi ngengilazi yamanzi. Ungalithatha ngaphambi noma ngemva kokudla. Lithathe njengoba nje udokotela wakho ekuyalile.
Izinto ezimbalwa ezibalulekile:
- Ungawuphuli, ungawuchobozi, noma uwuhlafune umuthi. Gwinya iphilisi lonke.
- Zama ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke. Ngaleyo ndlela ngeke ukhohlwe.
- Kuze kube yilapho udokotela esho kanjalo.Ungayeki ukuthatha umuthi.
- Lomuthi ungowakho wedwa. Ungawuniki omunye umuntu.
Kuthiwani uma uphuthelwa imithi yakho?
Uma ukhohlwa ngokuzumayo ukuthatha 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 umthamo ophindwe kabili.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ngokuzumayo ucabanga ukuthi usuthathe umthamo ongaphezu kobekiwe, hamba ngokushesha uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Izinto okufanele uziqaphele lapho uthatha umuthi
Bona udokotela wakho ngezinsuku ezihleliwe ukuze uqiniseke ukuthi ukwelashwa kwakho kuhamba kahle.
- Ukuhlolwa kwe-HbA1c: Udokotela wakho uzoyala ukuhlolwa kwegazi okubizwa ngokuthi i-HbA1c (A1C) . Lokhu kulinganisa ukuthi ushukela wakho wegazi ulawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule. Kuzodingeka wenze lokhu kuhlolwa njalo ezinyangeni ezi-3 kuya kwezi-6.
- Ukuqapha ushukela egazini: Kubalulekile ukufunda ukuthi ungawuqapha kanjani ushukela wakho wegazi ekhaya. Futhi, qaphela izimpawu ze-hypoglycemia kanye ne-hyperglycemia, nokuthi yini okufanele uyenze uma zivela.
- Uma ushukela wakho wegazi wehla: Hlala ugcina okuthile okufana noshukela, i-toffee, noma amaphilisi e-glucose eduze ukuze usebenzise uma ushukela wakho wegazi wehla. Kodwa khumbula, uma ushukela wakho wegazi wehla kakhulu futhi uqala ukuba nokuxhuzula noma ulahlekelwe ingqondo, ungafaki lutho emlonyeni wakho ngaleso sikhathi. Ungaklinywa. Esimweni esinjalo, kufanele ufune iseluleko sezokwelapha ngokushesha.
- Ezinye izinto: Uma ugula, vivinya umzimba kakhulu kunokujwayelekile, buza udokotela wakho uma udinga ukushintsha umthamo wemithi yakho. Ungayeki ukudla. Khuluma nodokotela wakho ngokuphuza utshwala.
- I-ID Yezokwelapha: Kungumqondo omuhle ukugqoka ikhadi noma isongo elichaza ukuthi unesifo sikashukela kanye nemithi oyiphuzayo.
Imiphumela emibi engaba khona kanye nezinkinga ngalo muthi
Njenganoma yimuphi umuthi, iSitagliptin ingabangela imiphumela emibi kwabanye abantu. Ingasebenzisana neminye imithi. Ake sibheke lokho.
| Izidakamizwa/izinto ezingadala izingxabano | Izinto okufanele uziqaphele |
|---|---|
| I-insulini | Ukuthatha lezi zinto zombili ndawonye kungabangela ushukela wegazi ophansi (hypoglycemia). Udokotela wakho uzolungisa umthamo. |
| Ama-Sulfonylurea (isib. i-Glimepiride, i-Glibenclamide) | Kukhona ingozi eyengeziwe yokuba noshukela ophansi egazini uma kuthathwa nge-Sitagliptin. |
| I-Digoxin (umuthi wesifo senhliziyo) | I-Sitagliptin ingashintsha kancane imiphumela ye-Digoxin. Tshela udokotela wakho ngalokhu. |
| Utshwala | Utshwala bungathinta amazinga kashukela egazini. Xhumana nodokotela wakho ngalokhu. |
| Qaphela: Lolu hlu aluphelele. Tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo. | |
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso/izindebe/ulimi, ubunzima bokuphefumula. |
| I-Pancreatitis | Ubuhlungu obukhulu besisu busakazekela emhlane, ubuhlungu obuba bubi ngemva kokudla, umkhuhlane, isicanucanu, nokuhlanza. |
| Ukwehluleka kwenhliziyo | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala/izinyawo/izandla, ukukhuluphala ngokuzumayo, ukuzizwa ukhathele ngendlela engavamile. |
| Ukulimala kwezinso | Ukwehla kokuphuma komchamo, ukuvuvukala kwamaqakala/izandla/izinyawo. |
| Ukusabela kwesikhumba | Ukubomvu, ukuqubuka, ukuxebuka kwesikhumba (ngisho nangaphakathi emlonyeni). |
| Ubuhlungu obukhulu bamalunga | Ubuhlungu obukhulu emalungeni. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu |
| Izimpawu ezifana nokubanda | Impumulo egobhozayo, ikhala elicijile. |
| Umphimbo obuhlungu | Umphimbo obuhlungu |
Ungawugcina kanjani umuthi?
- Gcina kude nezingane.
- Gcina ekamelweni lokushisa (phakathi kuka-15 no-30 degrees Celsius).
- Lahla umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Sitagliptin umuthi osetshenziselwa ukwelapha isifo sikashukela sohlobo 2. Ukudla kanye nokuzivocavoca kubalulekile ukuze uthole imiphumela emihle kakhulu.
- Thatha lo muthi njengoba nje udokotela wakho ekutshelile, ngesikhathi esinqunyiwe. Ungawuphuli, ungawuchobozi, noma uwuhlafune umuthi.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi ezinye izifo onazo.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia). Gcina ushukela noma i-candy bar eduze uma kwenzeka izimo eziphuthumayo.
- Funa usizo lwezokwelapha ngokushesha uma uzwa ubuhlungu obukhulu esiswini, ubunzima bokuphefumula, amabhamuza esikhumba, noma izimpawu ezinkulu zokungezwani komzimba.
- Uma unemibuzo mayelana nalo muthi, ungesabi ukuxoxa ngawo nodokotela wakho.
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