Ukugqithisa komlomo we-hypoglycemics

Iipilisi ze-hypoglycemic zomlomo ngamayeza okulawula isifo seswekile. Ngomlomo kuthetha "ukuthathwa ngomlomo." Zininzi iintlobo ezahlukeneyo zomlomo we-hypoglycemics. Eli nqaku ligxile kuhlobo olubizwa ngokuba yi-sulfonylureas.

Ukugqithisa kwenzeka xa umntu ethatha ngaphezulu kwesiqhelo okanye isixa esinconyelwayo sonyango. Isiphumo kukuhla kwenqanaba leswekile yegazi elichaphazela ukusebenza kwesiqhelo kwamalungu omzimba. I-overdose inokwenzeka ngengozi okanye ngenjongo.

Eli nqaku lelolwazi kuphela. SUKUYISETYENZISE ukunyanga okanye ukulawula ukugqithisa ngokwenyani. Ukuba wena okanye umntu onokudlulela ngaphezulu, biza inombolo yakho yongxamiseko yendawo (enje nge-911), okanye iziko lakho lendawo yetyhefu linokufikelelwa ngokuthe ngqo ngokutsalela umnxeba kwinombolo yasimahla yetyhefu (1-800-222-1222) naphi na eUnited States.

Zininzi iintlobo ze-hypoglycemics yomlomo. Isithako esinetyhefu sixhomekeke kwichiza elithile. Esona sithako siphambili kwi-sulphonylurea esekwe kwi-hypoglycemics yomlomo yenza iiseli zepancreas zivelise i-insulin engaphezulu.

I-Sulfonylurea esekwe kwi-hypoglycemics yomlomo inokufumaneka kula mayeza:

• Chlorpropamide
• IGlipizide
• IGlyburide
• IGlimepiride
• ITolbutamide
• UTolazamide

Amanye amayeza anokuqulatha i-sulfonylurea-based based hypoglycemics.

Iimpawu libanda, eli chiza ziquka:

• Ukuxhalaba, uvalo, ukungcangcazela
• Ukungakhathali (ukungabikho komnqweno wokwenza nantoni na)
• I-Coma (ukwehla kwenqanaba lokuqonda kunye nokusilela ekuphenduleni)
• Ukudideka
• Ukuxhuzula (ukuxhuzula, ngakumbi kwiintsana nasebantwaneni)
• Ukwanda kwesidlo
• Isicaphucaphu
• Ukubetha kwentliziyo okukhawulezayo
• Isiphukuphuku (ukwehla kwenqanaba lokuqonda kunye nokudideka)
• Ukubila
• Ukulingwa kolwimi nemilebe

Abantu abaye bahlaselwa sistroke kwixa elidlulileyo banokubonakala ngathi banesinye isifo ukuba iswekile yegazi labo yehla kakhulu.

Ngaba olu lwazi lukulungele:

• Ubudala bomntu, ubunzima, kunye nemeko
• Igama leyeza (kunye namandla, ukuba liyaziwa)
• Ixesha laliginyiwe
• Isixa siginyiwe

Iziko lakho lokulawula ityhefu lingafikelelwa ngokuthe ngqo ngokutsalela umnxeba wenombolo yasimahla yasimahla (1800-222-1222) naphi na eUnited States. Le nombolo yesizwe iya kukuvumela ukuba uthethe neengcali kwiityhefu. Baza kukunika eminye imiyalelo.

Le yinkonzo yasimahla neyimfihlo. Onke amaziko olawulo lwetyhefu aseMelika asebenzisa le nombolo yesizwe. Kuya kufuneka ubize ukuba unemibuzo malunga netyhefu okanye ulawulo lwetyhefu. AKUFUNI ukuba ibe yingxakeko. Ungatsalela umnxeba nangasiphi na isizathu, iiyure ezingama-24 ngosuku, iintsuku ezisi-7 ngeveki.

Thatha ikhonteyina yamayeza uye nayo esibhedlele, ukuba kunokwenzeka.

Umboneleli wezempilo uya kulinganisa kwaye abeke esweni iimpawu ezibalulekileyo zomntu, kubandakanya iqondo lobushushu, ukubetha kwentliziyo, inqanaba lokuphefumla, kunye noxinzelelo lwegazi.

Uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lwegazi kunye nomchamo
• I-x-ray yesifuba
• I-ECG (i-electrocardiogram, okanye ukulandelwa kwentliziyo)

Unyango lunokubandakanya:

• Amanzi afakwa ngaphakathi (anikezwe nge-vein)
• Iyeza lokunyanga iimpawu
• Amalahle avuselelweyo
• Izidambisi
• Ukuxhasa ukuphefumla, kubandakanya ityhubhu emlonyeni ukuya emiphungeni kunye nomatshini wokuphefumla (i-ventilator)

Ezinye ze-hypoglycemics zomlomo zihlala emzimbeni ixesha elide, ke umntu lowo unokufuna ukuhlala esibhedlele kangangeentsuku ezi-1 ukuya kwezi-2. Ukonakala okungapheliyo kwengqondo kunye nokufa kunokwenzeka, ngakumbi ukuba inqanaba leswekile yegazi alibuyeli kwimo yesiqhelo ngexesha elifanelekileyo. Iintsana, abantwana kunye nabantu abadala kunokwenzeka kakhulu ukuba bakhulise iingxaki ezinzulu kunye nexesha elide ukusuka kumanqanaba eswekile esezantsi egazi angalungiswa ngokukhawuleza.

Ipilisi yeswekile libanda; Ukugqithisa kweSulfonylurea

UAronons JK. Isulfonylureas. Ku: Aronson JK, ed. Iziphumo ebezingalindelekanga zikaMeyler zeziyobisi. Ngomhla we-16. I-Waltham, MA: Elsevier; Ngo-2016: 594-657.

IMaloney GE, iGlauser JM. Isifo seswekile kunye nokuphazamiseka kweglucose homeostasis. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; 2018: isahl. 118.