Isigaba

-Delile

• Ngaphambi kokuthatha i-nateglinide,
• 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 unezinye zalezi zimpawu:
• INateglinide ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

INateglinide isetshenziswa yodwa noma ihlanganiswe neminye imithi yokwelapha uhlobo lwesifo sikashukela sohlobo lwesibili (isimo lapho umzimba ungasebenzisi i-insulin ngokwejwayelekile futhi ngenxa yalokho ayikwazi ukulawula inani likashukela osegazini) kubantu abanesifo sikashukela esingalawulwa ngokudla nangokuzivocavoca kuphela . INateglinide ingeyesigaba semithi esibizwa nge- meglitinides. INateglinide 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 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.

INateglinide iza njengethebhulethi ezothathwa ngomlomo. Kuvame ukuthathwa kathathu nsuku zonke. Thatha i-nateglinide nganoma yisiphi isikhathi kusuka emizuzwini engama-30 ngaphambi kokudla kuya ngaphambi nje kokudla. Uma weqa ukudla, udinga ukweqa umthamo we-nateglinide. Uma ufaka ukudla, engeza umthamo we-nateglinide. Udokotela wakho angakhuphula kancane umthamo wakho, kuya ngempendulo yakho ku-nateglinide. Bheka i-glucose yakho yegazi eduze. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-nateglinide njengoba nje kuqondisiwe. Ungayithathi ngaphezulu noma ngaphansi kwayo noma uyithathe kaningi kunokuqondiswa ilebula lephakeji noma unikezwe ngudokotela wakho.

INateglinide ilawula isifo sikashukela kodwa ayiselaphi. Qhubeka uthathe i-nateglinide noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-nateglinide ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokuthatha i-nateglinide,

• Tshela udokotela kanye nosokhemisi wakho uma une-aleji ku-nateglinide noma enye imithi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo oyinikezwayo kadokotela, ikakhulukazi i-albuterol (i-Proventil, i-Ventolin); imithi yokungezwani komzimba noma amakhaza; i-aspirin nezidakamizwa ezingezona ukuvuvukala ezifana ne-ibuprofen (Advil, Motrin) noma naproxen (Aleve, Naprosyn); ama-beta-blocker afana nepropranolol (Inderal); i-chloramphenicol (i-Chloromycetin); i-chlorpromazine (i-Thorazine); i-corticosteroids efana ne-dexamethasone (i-Decadron), i-methylprednisolone (i-Medrol), noma i-prednisone (i-Deltasone, i-Orasone); isisu (‘amaphilisi amanzi’); i-epinephrine; ama-estrogens; i-fluphenazine (Prolixin); i-isoniazid (Rifamate); imithi equkethe utshwala noma ushukela; i-mesoridazine (Serentil); i-niacin; izinto zokuvimbela inzalo ngomlomo (amaphilisi okuvimbela inzalo); i-perphenazine (iTrilafon); i-phenelzine (i-Nardil); ama-probenecid (i-Benemid); prochlorperazine (Compazine); i-promazine (Sparine); i-promethazine (Phenergan); terbutaline (IBrethine, iBricanyl); i-thioridazine (Mellaril); imithi yegilo; i-tranylcypromine (i-Parnate); i-trifluoperazine (Stelazine); i-triflupromazine (Vesprin); i-trimeprazine (Temaril); namavithamini noma imikhiqizo yamakhambi.
• Tshela udokotela wakho uma uke waba nesifo sesibindi noma se-pituitary, ukungakwazi ukusebenza kahle kwe-adrenal, i-ketoacidosis yesifo sikashukela, i-neuropathy (isifo sohlelo lwezinzwa), noma uma utshelwe ukuthi unohlobo lwe-1 sikashukela mellitus (isimo lapho umzimba ungenaso akhiqize i-insulin ngakho-ke akakwazi ukulawula inani likashukela egazini).
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-nateglinide, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-nateglinide.
• utshele udokotela wakho uma unomkhuhlane, ukutheleleka, ukulimala, noma ukugula ngokuhlanza noma uhudo. Lokhu kungathinta izinga likashukela egazini lakho.

Qiniseka ukuthi ulandela zonke izincomo zokuzivocavoca nezokudla ezenziwa ngudokotela wakho noma udokotela odlayo. Ukunciphisa ikhalori, ukunciphisa umzimba, nokuvivinya umzimba kuzosiza ukulawula isifo sakho sikashukela. Kubalulekile ukudla ukudla okunempilo. Utshwala bungadala ukwehla kukashukela egazini. Buza udokotela wakho mayelana nokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-nateglinide.

Ngaphambi kokuba uqale ukuthatha i-nateglinide, cela udokotela wakho ukuthi enzeni uma ukhohlwa ukuthatha umthamo. Bhala lezi zinkomba phansi ukuze ukwazi ukubheka kuzo ngokuhamba kwesikhathi. Njengomthetho ojwayelekile, uma usanda kuqala ukudla, thatha umthamo owulahlekile ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma usuqedile ukudla, noma uma sekuyisikhathi somthamo olandelayo, 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 unezinye zalezi zimpawu:

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

INateglinide ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• ukuminyana kwamakhala
• ikhala eligijimayo
• ubuhlungu obuhlangene
• ukuhlungu obusemhlane
• ukuqunjelwa
• ukukhwehlela
• izimpawu ezinjengomkhuhlane

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

Zigcine uhlanzekile nezingubo zakho. Geza ukusikeka, ukusikeka, namanye amanxeba ngokushesha, futhi ungakuvumeli ukuthi kutheleleke.

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.

• Inkanyezi^®