Sitagliptin

-Delile

• Ngaphambi kokuthatha i-sitagliptin,
• I-Sitagliptin ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, yeka ukuthatha i-sitagliptin bese ushayela udokotela wakho ngokushesha:

I-Sitagliptin isetshenziswa kanye nokudla nokuzivocavoca futhi kwesinye isikhathi neminye imithi yokwehlisa amazinga kashukela egazini kubantu abadala abanesifo sikashukela sohlobo 2 (isimo lapho ushukela wegazi uphakeme kakhulu ngoba umzimba awukhiqizi noma ungasebenzisi i-insulin ngokujwayelekile). I-Sitagliptin isekilasini lemithi ebizwa nge-dipeptidyl peptidase-4 (DPP-4) inhibitors. Isebenza ngokwandisa inani lezinto ezithile zemvelo ezehlisa ushukela wegazi lapho uphezulu. ISitagliptin ayisetshenziswanga ukwelapha uhlobo lwesifo sikashukela sohlobo 1 (isimo lapho umzimba ungakhiqizi khona i-insulin ngakho-ke awukwazi ukulawula inani likashukela egazini).

Ngokuhamba kwesikhathi, abantu abanesifo sikashukela kanye noshukela ophakeme wegazi bangakhula babe nezinkinga ezinkulu noma ezisongela impilo, kufaka phakathi isifo senhliziyo, isifo sohlangothi, izinkinga zezinso, ukulimala kwemizwa nezinkinga zamehlo. Ukuthatha imishanguzo, ukwenza ushintsho endleleni ophila ngayo (isb., Ukudla, ukuzivocavoca umzimba, ukuyeka ukubhema), nokuhlola njalo ushukela wegazi lakho kungasiza ukuphatha isifo sikashukela nokuthuthukisa 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.

ISitagliptin iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku noma ngaphandle kokudla. Thatha i-sitagliptin ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-sitagliptin njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

ISitagliptin iyasiza ekulawuleni ushukela osegazini kodwa ayisiqedi isifo sikashukela. Qhubeka uthathe i-sitagliptin noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-sitagliptin ngaphandle kokukhuluma nodokotela wakho.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-sitagliptin,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-sitagliptin noma yimuphi omunye umuthi.
• 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: digoxin (Lanoxicaps, Lanoxin); i-insulini; nemithi ethile yomlomo yesifo sikashukela kubandakanya i-acetohexamide, i-chlorpropamide (i-Diabinese), i-glimepiride (i-Amaryl), i-glipizide (i-Glucotrol, e-Metaglip), i-glyburide (i-Diabeta, i-Glycron, i-Micronase), i-tolazamide (i-Tolinase) ne-tolbutamide. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uphuza noma wake waphuza utshwala obuningi futhi uma uke noma uke waba ne-ketoacidosis yesifo sikashukela (isimo esibi kakhulu esingavela lapho ushukela wegazi uphakeme kakhulu), i-pancreatitis (ukuvuvukala kwamanyikwe), ama-gallstones, aphezulu amazinga we-triglycerides (okunamafutha) egazini lakho, ukwehluleka kwenhliziyo, noma isifo sezinso.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-sitagliptin, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-sitagliptin.
• khuluma nodokotela wakho ngalokho okufanele ukwenze uma ulimala noma uba nomkhuhlane noma ukutheleleka. Lezi zimo zingathinta ushukela wegazi lakho.
• khuluma nodokotela wakho ngezimpawu zikashukela aphezulu nophansi wegazi nezinye izinkinga zesifo sikashukela, ukuthi wenzeni uma uba nalezi zimpawu, nokuthi ungazivikela kanjani lezi zimo.

Qiniseka ukuthi ulandela zonke izincomo zokudla nokuvivinya umzimba ezenziwe ngudokotela wakho noma udokotela wezokudla.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• ikhala eligxishiwe noma eligijimayo
• Umphimbo obuhlungu
• ikhanda
• isifo sohudo
• isicanucanu

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, yeka ukuthatha i-sitagliptin bese ushayela udokotela wakho ngokushesha:

• umkhuhlane, isicanucanu, ukuhlanza, ukulahlekelwa isifiso sokudla, izinhlungu eziqhubekayo eziqala ngaphezulu kwesobunxele noma maphakathi nesisu kepha zingasabalala ziye emuva
• ukuphefumula, ukuzuza ngokushesha, noma ukuvuvukala kwezinyawo noma amaqakala
• ukulunywa kwesikhumba, ukugqabhuka kwesikhumba noma ukuxebuka
• ubuhlungu obuhlangene
• ukuqubuka
• isifuba
• ukuvuvukala kobuso, izindebe, ulimi, nomphimbo
• ubunzima bokuphefumula noma ukugwinya

I-Sitagliptin ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

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

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.

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. Udokotela wakho anga-oda izivivinyo ezithile ngaphambi nangesikhathi sokwelashwa kwakho nge-sitagliptin. Ushukela wegazi kanye ne-hemoglobin eglycosylated (HbA1c) kufanele ihlolwe njalo ukuthola impendulo yakho ku-sitagliptin. Udokotela wakho uzokutshela nokuthi ungayihlola kanjani impendulo yakho ku-sitagliptin ngokukala amazinga egazi lakho noma umchamo ekhaya. Landela le miyalo ngokucophelela.

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.

• Januwari^®

• UJanumet^® (equkethe iMetformin, iSitagliptin)
• Mandla^® (equkethe iSimvastatin, iSitagliptin)^¶
• Ngobese^® (equkethe i-Ertugliflozin, iSitagliptin)

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.