Ungase ube nesifo sikashukela sohlobo lwesibili, ngakho udokotela wakho kungenzeka ukuthi ukunike umuthi obizwa ngokuthi i-Tolbutamide. Noma ungase ube nesithakazelo sokufunda kabanzi ngalo muthi. Kodwa-ke, kubalulekile ukwazi kahle ukuthi uyini lo muthi. Ngakho-ke namuhla, ake sixoxe ngawo ngokuningiliziwe nangendlela elula kakhulu.

Kwenzekani ngempela ngalo muthi obizwa ngokuthi iTolbutamide?

Kalula nje, i-Tolbutamide umuthi osiza ukulawula isifo sakho sikashukela sohlobo 2. Ngokuyinhloko isiza i-hormone ye-insulin yomzimba wakho ukuthi yenze umsebenzi wayo kahle. Uyazi, uma unesifo sikashukela, umzimba wakho awukhiqizi i-insulin eyanele, noma i-insulin oyikhiqizayo ayisebenzi kahle. Yilapho-ke lo muthi usiza khona.

Kodwa into eyodwa okufanele uyikhumbule. Awukwazi ukulawula isifo sikashukela ngokuthatha lo muthi wedwa. Ungathola inzuzo enkulu kulo muthi kuphela ngokudla okufanele kanye nokuzivocavoca umzimba. Lo muthi ungatholakala emakethe ngaphansi kwamagama anjenge-Orinase noma i-Tol-Tab. Kodwa uma isithako esiyinhloko somuthi udokotela akunike wona kuyi-Tolbutamide, wonke la maphuzu abalulekile.

Ngezinye izikhathi lo muthi ungasetshenziswa ngezinye izizathu zezokwelapha. Uma unemibuzo ngalokhu, buza udokotela wakho noma usokhemisi.

Yiziphi izinto okudingeka uzitshele ithimba lakho lezokwelapha ngaphambi kokuthatha lo muthi?

Leli iphuzu elibaluleke kakhulu. Uma unezinye zezimo ezilandelayo, kufanele utshele udokotela wakho ngaphambi kokuqala lo muthi:

• Uma une -ketoacidosis yesifo sikashukela, isimo esibi esibangelwa isifo sikashukela.
• Uma une-enzyme entulayo ebizwa ngokuthi i-glucose-6-phosphate dehydrogenase deficiency (G6PD deficiency) .
• Uma unesifo senhliziyo .
• Uma unesifo sezinso .
• Uma unesifo sesibindi .
• Uma unesifo esibi noma ulimele .
• Uma unesifo se-thyroid .
• Uma uke waba nokusabela okungavamile noma okungezwani ne-tolbutamide, izidakamizwa ze-sulfa, eminye imithi, ukudla, amadayi okwenziwa, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa.
• Uma ungumama oncelisayo.

Uma usho la maqiniso ngokunembile, udokotela wakho anganquma ukuthi lo muthi ukufanele yini noma udinga enye indlela.

Uyisebenzisa kanjani kahle le mithi?

Lo muthi uyiphilisi oliphuza ngomlomo. Gwinya iphilisi ngengilazi yamanzi. Kufanele ulandele imiyalelo ebhalwe ilebula likadokotela njengoba nje udokotela wakho ekunike yona. Kungcono ukuthatha umuthi ngesikhathi esifanayo nsuku zonke. Ungathathi okungaphezu kwalokho udokotela akutshele kona.

Uma unikeza izingane lo muthi, kufanele ukhulume nodokotela wezingane ngawo. Kungadinga ukunakekelwa okukhethekile.

Abantu abangaphezu kweminyaka engama-65 bangase babe nomphumela oqinile kancane lapho bethatha lo muthi. Ngakho-ke, kungadingeka banikezwe umthamo ophansi.

Okubalulekile: Uma ucabanga ukuthi uphuze umuthi omningi kakhulu (ukudlula umthamo), shayela isikhungo sokulawula ubuthi esiseduze noma igumbi lezimo eziphuthumayo ngokushesha.

Okunye, lo muthi ungowakho wedwa. Ungalokothi unike omunye umuntu umuthi wakho, noma ngabe unezimpawu ezifana nezakho.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

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 umthamo ophindwe kabili.

Yikuphi okunye ukusebenzisana okungenzeka nalomuthi?

Lokhu futhi kuyinto okufanele uyiqaphele kakhulu. Eminye imithi nokudla kungasebenzisana ne-Tolbutamide. Okusho ukuthi, ukusebenza kahle kwalo muthi kungashintsha, noma imiphumela emibi inganda.

Lo muthi ungasebenzisana nalokhu okulandelayo:

• I-Bosentan
• I-Chloramphenicol
• I-Cisapride
• Imithi yokutheleleka kwesikhunta noma yemvubelo (isb. i-fluconazole, i-ketoconazole)
• I-Metoclopramide
• I-Probenecid
• I-Warfarin

Ngaphezu kwalokho, kuneminye imithi nezinto ezingakhuphula noma zehlise amazinga kashukela egazini lakho. Kufanele uqaphele lapho uthatha lo muthi kanye nabo. Isibonelo:

• Iziphuzo ezidakayo
• I-aspirini kanye nemithi efanayo
• Izithako ze-Chromium
• Ama-antibiotic afana ne-clarithromycin
• Imithi yokuhlanza (imithi ekwenza uchame)
• Ama-hormone abesifazane (njenge-estrogen noma ama-progestin) kanye namaphilisi okulawula ukuzalwa
• Imithi yezifo ezithile zenhliziyo
• I-Isoniazid
• Ama-hormone wesilisa noma ama-steroid e-anabolic
• Imithi yokwehlisa isisindo
• Umuthi wokungezwani komzimba, i-asthma, umkhuhlane kanye nokukhwehlela
• Imithi yokugula kwengqondo
• Imithi esesigabeni semithi ebizwa ngokuthi i-MAO Inhibitors (isib. i-Nardil, i-Parnate)
• I-Niacin
• Ama-NSAID (isb. ibuprofen, naproxen)
• I-Pentamidine
• I-Phenytoin
• Ama-antibiotic e-Quinolone (isib. i-ciprofloxacin, i-levofloxacin)
• Ezinye izithako zokudla ezisetshenziswa ngamakhambi
• Imithi ye-steroid (isb. i-prednisone, i-cortisone)
• Imithi ye-thyroid

Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi (kufaka phakathi imithi ethengiswa ngaphandle kwemithi kadokotela), amakhambi, kanye nezithasiselo zokudla ozithathayo. Tshela nodokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Lezi zingase zithinte nemithi yakho.

Yiziphi izinto okufanele uziqaphele lapho uthatha lo muthi?

Kufanele uhlale unake impilo yakho ngenkathi usebenzisa lo muthi.

• Bona udokotela wakho njalo: Hamba uyohlolwa njengoba kunqunywe udokotela wakho ukuze ubone ukuthi isifo sakho sikashukela silawulwa kahle kangakanani.
• Ukuhlolwa kwe-HbA1C: Udokotela wakho angase akucele ukuhlolwa okubizwa ngokuthi ukuhlolwa kwe-HbA1C (A1C). Lokhu kuhlolwa kulinganisa isilinganiso sokulawula ushukela egazini lakho ezinyangeni ezi-2-3 ezedlule. Lokhu kuhlolwa kuvame ukwenziwa njalo ezinyangeni ezi-3 kuya kwezi-6.
• Funda ukuthi ungaqapha kanjani amazinga kashukela egazini lakho: Kubalulekile ukufunda ukuthi ungaqapha kanjani amazinga kashukela egazini lakho ekhaya. Futhi, qaphela izimpawu zikashukela ophansi egazini (hypoglycemia) kanye noshukela ophezulu egazini (hyperglycemia) nokuthi ungazilawula kanjani.

Qaphela kakhulu i-hypoglycemia!

Uma uthatha lo muthi, izinga likashukela egazini lakho lingase lehle kakhulu. Lokhu kungaba yingozi. Ngakho-ke kudingeka uqaphele kakhulu ngalokhu.

• Gcina okuthile okungakunikeza umthombo osheshayo kashukela: Hlala njalo ugcina okuthile eduze ongakudla ngokushesha nje lapho ubona izimpawu zoshukela ophansi egazini (isib. ukujuluka, ukuthuthumela, isiyezi, ukuzizwa ulambile kakhulu, ubunzima bokugxilisa ingqondo). Isibonelo, ama-sugar cubes, i-toffee, amaphilisi e-glucose, noma ijusi yezithelo.
• Yazisa abanye: Uma usesimweni lapho ungakwazi ukudla noma ukuphuza ngenxa ye-hypoglycemia enzima (isib., ukuquleka, ukulahlekelwa ukwazi), yazisa umndeni wakho nabangani bakho ukuthi uma uzama ukubanika ukudla noma isiphuzo ngaleso sikhathi, bangase baklinywe. Uma lokhu kwenzeka, kufanele ufune usizo lwezokwelapha ngokushesha.
• Uma amazinga kashukela egazini lakho ephezulu: Uma ubona izimpawu zoshukela ophezulu egazini (isib. ukoma ngokweqile, ukuchama njalo, ukubona okufiphele), tshela udokotela wakho. Isilinganiso semithi yakho singadinga ukulungiswa.
• Uma ugula noma izinga lakho lokuzivocavoca lishintsha: Uma ugula ngenxa yomkhuhlane, umkhuhlane, noma uma uvivinya umzimba ngaphezu kokujwayelekile, umthamo wakho wemithi ungadinga ukulungiswa. Khuluma nodokotela wakho ngalokhu futhi.
• Ungayeki ukudla: Yidla ngesikhathi esifanele. Ukweqa ukudla kungabangela ushukela wegazi ophansi.
• Qaphela utshwala: Buza udokotela wakho ukuthi kungcono yini ukugwema ukuphuza utshwala. Amanye ama-cold syrups atholakala ngaphandle kwemithi kadokotela kanye ne-cold syrups nawo angase abe noshukela noma utshwala. Lokhu kungathinta amazinga kashukela egazini.
• Qaphela ilanga: Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni. Ngakho-ke, gqoka izingubo ezimboza isikhumba sakho uma uphuma elangeni, sebenzisa isivikelo selanga, futhi ugweme izibani zelanga noma imibhede yokushiswa kwelanga.
• Gqoka i-ID yezokwelapha: Gqoka isongo noma iketanga le-ID yezokwelapha elichaza ukuthi unesifo sikashukela kanye nemithi oyiphuzayo kanye nemithamo yayo. Futhi, gcina ikhadi elinaleyo mininingwane nawe ngaso sonke isikhathi. Lokhu kubaluleke kakhulu uma kwenzeka isimo esiphuthumayo.

Yimiphi imiphumela emibi engaba khona?

Njengayo yonke imithi, i-tolbutamide ingabangela imiphumela emibi, yize kungebona bonke abantu abayitholayo.

Imiphumela emibi okufanele utshele udokotela wakho ngayo ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, tshela udokotela wakho noma umhlinzeki wezempilo ngokushesha okukhulu:

• Ubunzima bokuphefumula
• Umchamo ophuzi omnyama noma onsundu, ukuphuzi kwamehlo noma isikhumba (njenge-jaundice)
• Umkhuhlane, ukubanda, umphimbo obuhlungu
• Amazinga kashukela aphansi egazini (cela udokotela wakho uhlu lwezimpawu ezihlobene nalokhu)
• Ukucasuka okukhulu kwesikhumba, ukubomvu, ukuvuvukala, noma ukulunywa
• Ukopha noma ukuklwebheka okungavamile

Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka:

Lokhu kuvame ukuphela ezinsukwini ezimbalwa. Kodwa uma kuqhubeka, tshela udokotela wakho uma kukukhathaza:

• Uhudo
• Ikhanda elibuhlungu
• Isilungulela
• Isicanucanu, ukuhlanza
• Ukungakhululeki kwesisu

Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile, khuluma nodokotela wakho ngayo.

Ugcina kanjani imithi?

• Yigcine kude nezingane.
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30, phakathi kwama-degree Fahrenheit angu-59 no-86).
• Lahla imithi ephelelwe yisikhathi ngaphandle kokuyisebenzisa.

Into ebaluleke kakhulu - khumbula!

Lesi sihloko sinikeza umbono omfushane we-Tolbutamide. Uma uneminye imibuzo mayelana nalo muthi, sicela uxoxe ngawo nodokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo. Kungcono ngaso sonke isikhathi ukulandela iseluleko sikadokotela wakho lapho wenza izinqumo mayelana nempilo yakho. Hlala uphilile!

'i-tolbutamide, isifo sikashukela, isifo sikashukela sohlobo 2, ushukela wegazi, imithi, i-orinase, i-tol-tab, isifo sikashukela, i-tolbutamide, ushukela wegazi, imithi