I-Repaglinide

-Delile

• Ngaphambi kokuthatha i-repaglinide,
• Lo muthi ungadala ushintsho kushukela wakho wegazi. Kufanele wazi izimpawu zikashukela wegazi ophansi futhi ophakeme nokuthi yini okufanele uyenze uma unalezi zimpawu.
• Ungathola i-hypoglycemia (ushukela ophansi wegazi) ngenkathi uthatha lo muthi. Udokotela wakho uzokutshela okufanele ukwenze uma uba ne-hypoglycemia. Angakutshela ukuthi uhlole ushukela osegazini lakho, udle noma uphuze ukudla noma isiphuzo esiqukethe ushukela, njengoswidi onzima noma ujusi wezithelo, noma uthole ukunakekelwa kwezokwelapha. Landela lezi zinkomba ngokucophelela uma unezinye zalezi zimpawu ze-hypoglycemia:
• Uma i-hypoglycemia ingelashwa, izimpawu ezinzima zingakhula. Qiniseka ukuthi umndeni wakho, abangani, nabanye abantu abachitha isikhathi nawe bayazi ukuthi uma unezinye zalezi zimpawu ezilandelayo, kufanele bakuthole usizo lwezokwelashwa ngokushesha.
• Shayela udokotela wakho ngokushesha uma unanoma iyiphi yalezi zimpawu ezilandelayo ze-hyperglycemia (ushukela ophakeme wegazi):
• Uma ushukela ophakeme wegazi ungelashwa, isimo esibi, esisongela impilo esibizwa nge-ketoacidosis sikashukela singakhula. Shayela udokotela wakho ngokushesha uma unanoma iyiphi yalezi zimpawu:
• I-Repaglinide ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

I-Repaglinide isetshenziselwa ukwelapha isifo sikashukela sohlobo lwe-2 (isimo lapho umzimba ungasebenzisi i-insulin ngokwejwayelekile futhi, ngakho-ke, awukwazi ukulawula inani likashukela egazini). I-Repaglinide isiza umzimba wakho ukulawula inani le-glucose (ushukela) egazini lakho. Yehlisa inani le-glucose ngokuvuselela amanyikwe ukukhipha i-insulin.

Ngokuhamba kwesikhathi, abantu abanesifo sikashukela kanye noshukela ophakeme wegazi bangaba nezinkinga ezinkulu noma ezisongela impilo, kufaka phakathi isifo senhliziyo, isifo sohlangothi, izinkinga zezinso, ukulimala kwemizwa, nezinkinga zamehlo. ukuzivocavoca umzimba, ukuyeka ukubhema), nokuhlola njalo ushukela egazini lakho kungasiza ekulawuleni isifo sikashukela futhi kuthuthukise impilo yakho. Lokhu kwelashwa kunganciphisa namathuba akho okuhlaselwa yisifo senhliziyo, isifo sohlangothi, noma ezinye izinkinga ezihlobene nesifo sikashukela njengokuhluleka kwezinso, ukulimala kwemizwa (okundikindiki, imilenze ebandayo noma izinyawo; ukwehla kwekhono lezocansi kwabesilisa nabesifazane), izinkinga zamehlo, kufaka phakathi izinguquko noma ukulahleka kombono, noma isifo sezinsini. Udokotela wakho nabanye abahlinzeki bezokunakekelwa kwezempilo bazokhuluma nawe ngendlela engcono yokuphatha isifo sikashukela.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

I-Repaglinide iza njengethebhulethi ezothathwa ngomlomo. Amaphilisi athathwa ngaphambi kokudla, nganoma yisiphi isikhathi kusuka kwimizuzu engama-30 ngaphambi kokudla kuya ngaphambi nje kokudla. Uma weqa ukudla, udinga ukweqa umthamo we-repaglinide. Uma ufaka isidlo esingeziwe, udinga ukuthatha umthamo owengeziwe we-repaglinide. Udokotela wakho angakhuphula kancane umthamo wakho, kuya ngempendulo yakho ku-repaglinide. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-repaglinide ncamashi njengoba iqondisiwe. Ungayithathi ngaphezulu noma ngaphansi kwayo noma uyithathe kaningi kunokuqondiswa ilebula lephakeji noma unikezwe ngudokotela wakho.

Qhubeka nokuthatha i-repaglinide noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-repaglinide ngaphandle kokukhuluma nodokotela wakho.

Ngaphambi kokuthatha i-repaglinide,

• Tshela udokotela wakho kanye nosokhemisi uma une-allergies ku-repaglinide noma enye imithi.
• tshela udokotela wakho uma uthatha i-gemfibrozil (Lopid). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-repaglinide uma uthatha lo muthi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: i-acetophenazine (Tindal), i-aspirin, imishanguzo yegazi, i-carbamazepine (Tegretol), i-chloramphenicol (i-Chloromycetin), i-chlorpromazine (i-Thorazine), i-corticosteroids, i-diuretics ('amaphilisi amanzi'), izidakamizwa ze-arthritis, i-erythromycin , troglitazone (Rezulin), estrogens, fluphenazine (Prolixin), isoniazid (Rifamate), ketoconazole (Nizoral), mesoridazine (Serentil), izinto zokuvimbela inzalo ngomlomo, i-perphenazine (Trilafon), phenelzine (Nardil), phenobarbital (Lininum) , probenecid (Benemid), prochlorperazine (Compazine), promazine (Sparine), promethazine (Phenergan), rifampin (Rifadin, Rimactane), thioridazine (Mellaril), tranylcypromine (Parnate), trifluoperazine (Stelluineine) I-Temaril), amavithamini, noma i-warfarin (i-Coumadin). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uke waba nesifo sesibindi noma sezinso noma wake watshelwa ukuthi une-type I diabetes mellitus.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-repaglinide, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-repaglinide.

Qiniseka ukuthi ulandela zonke izincomo zokuzivocavoca nezokudla ezenziwa ngudokotela wakho noma udokotela odlayo. Kubalulekile ukudla ukudla okunempilo.

Utshwala bungadala ukwehla kukashukela egazini. Buza udokotela wakho mayelana nokusetshenziswa kweziphuzo ezidakayo ngenkathi uthatha i-repaglinide.

Uma usanda kuqala ukudla, thatha isilinganiso ongasisebenzanga ngokushesha nje lapho usikhumbula. Kodwa-ke, uma usuqedile ukudla, weqa umthamo ongabanjwanga bese uqhubeka nesimiso sakho sokulinganisa okujwayelekile. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

Lo muthi ungadala ushintsho kushukela wakho wegazi. Kufanele wazi izimpawu zikashukela wegazi ophansi futhi ophakeme nokuthi yini okufanele uyenze uma unalezi zimpawu.

Ungathola i-hypoglycemia (ushukela ophansi wegazi) ngenkathi uthatha lo muthi. Udokotela wakho uzokutshela okufanele ukwenze uma uba ne-hypoglycemia. Angakutshela ukuthi uhlole ushukela osegazini lakho, udle noma uphuze ukudla noma isiphuzo esiqukethe ushukela, njengoswidi onzima noma ujusi wezithelo, noma uthole ukunakekelwa kwezokwelapha. Landela lezi zinkomba ngokucophelela uma unezinye zalezi zimpawu ze-hypoglycemia:

• ukuqhaqhazela
• isiyezi noma ikhanda elikhanyayo
• ukujuluka
• uvalo noma ukucasuka
• ukuguquka okungazelelwe kokuziphatha noma kwemizwa
• ikhanda
• ukuba ndikindiki noma ukuncinza emlonyeni
• ubuthakathaka
• isikhumba esiphaphathekile
• indlala
• ukunyakaza okuxakile noma okushisayo

Uma i-hypoglycemia ingelashwa, izimpawu ezinzima zingakhula. Qiniseka ukuthi umndeni wakho, abangani, nabanye abantu abachitha isikhathi nawe bayazi ukuthi uma unezinye zalezi zimpawu ezilandelayo, kufanele bakuthole usizo lwezokwelashwa ngokushesha.

• ukudideka
• isithuthwane
• ukulahlekelwa ukwazi

Shayela udokotela wakho ngokushesha uma unanoma iyiphi yalezi zimpawu ezilandelayo ze-hyperglycemia (ushukela ophakeme wegazi):

• ukoma ngokweqile
• ukuchama kaningi
• indlala eyeqile
• ubuthakathaka
• ukungaboni kahle

Uma ushukela ophakeme wegazi ungelashwa, isimo esibi, esisongela impilo esibizwa nge-ketoacidosis sikashukela singakhula. Shayela udokotela wakho ngokushesha uma unanoma iyiphi yalezi zimpawu:

• umlomo owomile
• isisu nokuhlanza
• ukuphelelwa umoya
• umoya onuka izithelo
• kwehle ukwazi

I-Repaglinide ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• ukuminyana kwamakhala
• ubuhlungu obuhlangene
• ukuhlungu obusemhlane
• ukuqunjelwa
• isifo sohudo

Gcina le mithi esitsheni efike ngayo, ivaliwe futhi ayifinyeleleki ezinganeni. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Ushukela wegazi kanye ne-hemoglobin eglycosylated (HbA1c) kufanele ihlolwe njalo ukuthola impendulo yakho ku-repaglinide. Udokotela wakho uzokutshela nokuthi ungayihlola kanjani impendulo yakho kulo muthi ngokulinganisa amazinga egazi lakho noma umchamo ekhaya. Landela le miyalo ngokucophelela.

Kufanele njalo ufake isongo lokuhlonza isifo sikashukela ukuze uqiniseke ukuthi uthola ukwelashwa okufanele esimeni esiphuthumayo.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• Prandin^®

• Prandimet^® (equkethe iMetformin, Repaglinide)