Ingabe ungumuntu onesifo sikashukela sohlobo lwesibili? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike umuthi obizwa ngokuthi i-Tolazamide. Ungase futhi uwazi ngegama lomkhiqizo i-Tolinase. Lo umuthi obaluleke kakhulu osiza ukulawula isifo sikashukela. Ngakho-ke namuhla, ake sixoxe ngalo muthi ngendlela elula neyobungane.
Iyini ngempela i-Tolazamide?
Kalula nje, i-Tolazamide umuthi osiza ukulawula isifo sikashukela sakho. Isebenza ngokusiza umzimba wakho ukuthi usebenzise i-hormone insulin ngendlela ephumelela kakhudlwana. Ngokuqondile, inikeza umzimba wakho amandla amancane ku-insulin, okusisiza ukuthi sisebenze kahle kakhudlwana.
Kodwa khumbula into eyodwa. Awukwazi ukulawula isifo sikashukela ngokuthatha lo muthi wedwa. Kufanele futhi ulandele ukudla okuhle kanye nokuzivocavoca umzimba . Kuphela uma konke lokhu kuhlanganisiwe lapho ungathola khona imiphumela emihle.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuqala i-tolazamide, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi ubatshela nganoma yiziphi izimo ezingezansi.
- Uma une -Diabetic Ketoacidosis (isimo esibi lapho igazi liba ne-asidi) esibangelwa isifo sikashukela.
- Uma une-enzyme deficiency ebizwa ngokuthi i-G6PD deficiency .
- Uma unesifo senhliziyo, sezinso, noma isifo sesibindi.
- Uma kukhona inkinga ngendlala yegilo.
- Uma usanda kuba nokutheleleka okukhulu noma ukulimala.
- Uma une -allergies ku-tolazamide, imithi ye-sulfa, noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukulungele yini noma cha, noma ukuthi umthamo udinga ukushintshwa yini.
Ngingawusebenzisa kanjani umuthi?
Kubaluleke kakhulu ukwazi kahle ukuthi umuthi uwusebenzisa kanjani.
- Gwinya leli philisi ngengilazi yamanzi.
- Udinga ukuyiphuza kanye kuphela ngosuku, kanye nesidlo sasekuseni noma isidlo sokuqala esiyinhloko sosuku .
- Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke. Ngaleyo ndlela, ngeke ukhohlwe futhi imithi izosebenza kangcono.
- Ungaphuzi ngaphezu kwesilinganiso esinqunywe udokotela.
Kwabancane nabadala
Lo muthi awuvame ukunikezwa izingane. Kodwa-ke, uma kudingeka uwunikezwe esimweni esikhethekile, kufanele ukhulume nodokotela wezingane ngakho. Umzimba wabantu abangaphezu kweminyaka engama-65 ubudala ungase usabele kakhulu kulo muthi. Ngakho-ke, bavame ukunikezwa umthamo ophansi.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uphuze umuthi omningi ngephutha, ungalibali. Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngikhohlwa ukuphuza umuthi wami?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isibonelo, phakathi namahora ambalwa), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esijwayelekile. Ungathathi imithamo ephindwe kabili ukuze ubuyisele umthamo okhohliwe.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
Eminye imithi oyithathayo ingasebenzisana ne-Tolazamide futhi ibangele ukuthi amazinga kashukela egazini lakho ehle ngokuzumayo (hypoglycemia) noma akhuphuke (hyperglycemia). Ngakho-ke kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini, imithi yendabuko, kanye nemikhiqizo yamakhambi.
| Uhlobo lomuthi/into ethile | Izinto okufanele uzicabangele |
|---|---|
| Imithi okufanele uyiqaphele kakhulu | Imithi efana neBosentan, iChloramphenicol, iCisapride, iWarfarin, iProbenecid, imithi yokukhunta (isib. iFluconazole). |
| Izinto ezingathinta amazinga kashukela egazini |
|
Lolu hlu aluphelele, ngakho-ke kungcono ukwazisa udokotela wakho ngayo yonke imithi oyithathayo.
Izinto okufanele uzikhumbule lapho uthatha imithi
- Ukuhlolwa okuvamile: Hlala uthintana nodokotela wakho futhi uhlole isimo sakho sesifo sikashukela njalo. Thola ukuhlolwa kwegazi okubizwa ngokuthi i-HbA1C okungenani kanye njalo ezinyangeni ezi-3-6. Lokhu kungakusiza ubone ukuthi ushukela wakho wegazi ulawulwe kanjani ezinyangeni ezimbalwa ezedlule.
- Yazi amazinga kashukela egazini lakho: Funda ukuthi ungawuhlola kanjani ushukela egazini lakho ekhaya. Qaphela izimpawu zikashukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia).
- Gcina ushukela eduze: Hlala ugcina ucezu lweswidi, i-sugar cube, noma ithebhulethi ye-glucose eduze uma kwenzeka ushukela wakho wegazi wehla ngokuzumayo. Uma unesifo sokuwa noma ulahlekelwa ingqondo ngenxa yoshukela wegazi ophansi, tshela umndeni wakho nabangani ukuthi kuyingozi ukufaka noma yini emlonyeni wakho. Uma lokhu kwenzeka, kufanele uye esibhedlela ngokushesha.
- Qaphela ilanga: Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni. Ngakho-ke nciphisa ukuchayeka kwakho elangeni elinamandla. Uma kufanele uphume, gqoka izingubo zokuzivikela bese ufaka isivikelo selanga .
- I-ID Yezokwelapha: Ukuphatha ikhadi noma isongo le-ID yezokwelapha elisho ukuthi unesifo sikashukela kanye nemithi oyiphuzayo kungaba yinto ebaluleke kakhulu esimweni esiphuthumayo.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-Tolazamide ingabangela imiphumela emibi kwabanye abantu.
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
| 🚨 Izimpawu okufanele zibikwe kudokotela ngokushesha | |
| Izimpawu zoshukela ophansi egazini | Ukuthuthumela, ukujuluka ngokweqile, indlala enkulu, ukungahlaliseki, isiyezi, ukushaya kwenhliziyo okusheshayo, ukubona okufiphele, ukulahlekelwa ukwazi. |
| Izimpawu zokungezwani komzimba | Ukuvuvukala kwesikhumba okukhulu, ukulunywa, ukuvuvukala, nobunzima bokuphefumula. |
| Ezinye izimpawu ezinkulu | Ukuphuzi kwamehlo noma isikhumba (i-jaundice), umchamo ophuzi/onsundu omnyama, umkhuhlane, ukubanda, umphimbo obuhlungu, ukopha okungavamile noma ukuklwebheka. |
| 🙂 Izimpawu ezingavamile ukuba zimbi kakhulu (kodwa uma ziqhubeka, kufanele utshele udokotela wakho ) | |
| |
Kufanele uwugcine kanjani umuthi wakho?
Kubalulekile futhi ukugcina imithi ngendlela efanele. Yigcine endaweni ephakeme kude nezingane . Yigcine ekushiseni okuvamile kwegumbi (phakathi kuka-15-30 Celsius). Lahla imithi ephelelwe yisikhathi ngaphandle kokuyisebenzisa.
Umlayezo Wokuya Nawe Ekhaya
- I-Tolazamide umuthi wesifo sikashukela sohlobo 2. Isebenza kahle kuphela ngokudla okuhle nokuzivocavoca umzimba .
- Njalo thatha umthamo onqunyiwe, ngesikhathi esinqunyiwe, njengoba kunqunywe udokotela wakho.
- Yazisa udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi ezinye izifo ongase ube nazo.
- Funda ngezimpawu zoshukela ophansi egazini (hypoglycemia) futhi uhlale ugcina ushukela eduze nezimo eziphuthumayo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu, njengokuphuzi kwesikhumba noma ubunzima bokuphefumula, funa iseluleko sezokwelapha ngokushesha .
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngawo nabanye .
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 I-Tolazamide / i-Tolinase iyiphilisi elisetshenziselwa ukwelapha yisiphi isifo?
Lona umuthi wesizukulwane esidala futhi onamandla kakhulu (i-Sulfonylurea) osetshenziswa ukulawula amazinga aphezulu kashukela/glucose egazini ezigulini 'ezinesifo sikashukela sohlobo 2'! Lokhu kuvame ukunikezwa lapho ukukhiqizwa kwe-insulin emzimbeni kwehla, ukuze kwandiswe ngenkani inani le-insulin futhi kuncishiswe ushukela.
💬 Lo muthi (i-Tolazamide) uwukhipha kanjani i-insulin emzimbeni wethu (ama-pancreas)?
Ngemva kokuba leli philisi lingene esiswini sethu, lihlasela ngqo 'ama-pancreas' omzimba wethu. I-insulin ikhiqizwa amaseli e-beta kuma-pancreas. Leli philisi (ngokuvimba iziteshi ze-K+ ezizwela i-ATP) liphoqa amaseli akhiqiza i-insulin ukuthi 'akhiphe i-insulin ephezulu' njengokungathi nge-spark/current. Ngemuva kwalokho, i-insulin ishaya umzimba njengetshe, iphula wonke ushukela (i-glucose) egazini.
💬 Yiziphi izingozi ezinkulu abantu abathatha la maphilisi (i-Sulfonylurea) okufanele baziqaphele?
Ingozi enkulu nebulalayo kakhulu 'i-hypoglycemia / ushukela ophansi egazini'. Uma umuntu osekhulile ephuza leli philisi engadli, i-insulin izokwanda futhi ushukela uzokwehla uye ku-zero, okubangela ukuthi isiguli sibe yi-coma bese sifa (sizothukuthela futhi sijuluke)! Futhi, uma beqhubeka nokuphuza lokhu, isisindo sesiguli sizokhuphuka ngekhilogremu.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho