Aduru foforo a wɔde sa asikreyare? Momma yensua Alogliptin ne Pioglitazone aduru a wɔde yɛ nnuru ho ade!

So wo nso woyɛ obi a wo ne asikreyare, anaa "asikre yare" sɛnea nnipa pii frɛ no no di aperepere? Ɛtɔ mmere bi a, ɛyɛ den sɛ wubedi asikre dodow a ɛwɔ wo mogya mu so bere a woadi w’aduan so na woateɛteɛ w’apɔw mu mpo akyi, ɛnte saa? Wɔ mmere te sɛ eyinom mu no, nnuru biako a nnuruyɛfo de ma yɛn de boa ne alogliptin ne pioglitazone. So yɛbɛka eyi ho asɛm akɔ akyiri kakra nnɛ? Momma yɛnte eyi ase kɛkɛ, te sɛ nea yɛreka akyerɛ yɛn adamfo bi.

Dɛn ne aduru yi?

Sɛ yɛbɛka no tiawa a, saa alogliptin ne pioglitazone `(Alogliptin; Pioglitazone)` yi yɛ aduru a wɔde ma nnipa a wɔwɔ asikreyare a ɛto so abien `(Asikreyare a ɛto so abien)` . Ɛboa ma asikre dodow a ɛwɔ wo mogya mu, kyerɛ sɛ, glucose dodow `(glucose)`. Nanso, aduru yi a wobɛnom nkutoo nnɔɔso. Ɛsɛ sɛ woyɛ no ka aduan pa ne apɔw-mu-teɛteɛ ho. Sɛ woyɛ saa nneɛma yi wɔ ɔkwan a ɛkari pɛ so nkutoo na wubetumi anya nneɛma pa. Ebia wunim saa aduru yi denam brand din `(Oseni)` so. Nanso ebia wo duruyɛfo nso bɛma wo saa aduru yi de ayɛ biribi foforo. Enti, sɛ wowɔ nsɛmmisa bi a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo.

Nneɛma bɛn na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom aduru no?

Okay, afei ma yɛnhwɛ nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo anaa ɔyarehwɛfo koraa ansa na woafi ase anom saa aduru yi. Efisɛ saa nsɛm yi ne nea oduruyɛfo no de bedi dwuma de asi gyinae sɛ ebia saa aduru yi fata wo anaasɛ ɛnsɛ, ne sɛnea wɔde bɛma. Ɛho hia yiye ma w’ankasa ahobammɔ sɛ wobɛka saa nneɛma yi ho asɛm pefee.

Sɛ wowɔ tebea horow a edidi so yi mu biara a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka sɛ:

• Sɛ woanya kokoram wɔ akisikuru mu anaasɛ woanya bi a .
• Asikreyare ketoacidosis yɛ tebea a asikreyare (a mogya no mu acid kɔ soro, na mpɛn pii no nsakrae a ɛba wɔ ɔhome mu ne yafunu mu yaw ka ho) na ɛde ba . Eyi yɛ tebea a emu yɛ den kakra.
• Aniwa mu yare a wɔfrɛ no macular edema (tebea a nsu boaboa ano wɔ aniwa no mu, na ɛma obi nhu ade yiye).
• Sɛ wowɔ gallstones a .
• Sɛ wowɔ komayare , titiriw koma a entumi nyɛ adwuma yiye (eyi betumi ama wo home ayɛ tiaa na wo nan ho ahonhon).
• Sɛ triglycerides dɔɔso dodo wɔ mogya no mu a.
• Sɛ woyɛ obi a ɔnom nsa daa a .
• Sɛ wo brayɛ no nkɔ so daa (sɛ woyɛ ɔbea a).
• Sɛ wowɔ asaabo mu yare a .
• Sɛ wowɔ mmerɛbo mu yare a .
• Pancreatitis (eyi betumi ama yafunu no atifi ate ɛyaw kɛse, na ɛtɔ mmere bi a ɛhyerɛn kɔ akyi).
• Polycystic ovary syndrome (PCOS) a ɛma obi nya awotwaa mu ntini pii (PCOS) .Tebea no (hormone a ɛnkari pɛ a ɛba mmea so).
• Sɛ wo tɛkrɛma, w’anim, anaa w’ano ahonhon pɛn, ɛyɛ den sɛ wobɛhome, ɛyɛ den sɛ wobɛmene, wo nne asakra, anaasɛ wo menewa mu ayɛ wo yaw (eyi betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ wo ho yɛ wo hyew kɛse).
• Sɛ wo nsa, wo nan, anaa wo nan ho ahonhon a .
• Sɛ wowɔ Asikreyare a Ɛto so 1 (wɔde saa aduru yi ma nnipa a wɔwɔ Type 2).
• Sɛ wo ho nyɛ wo hyew wɔ alogliptin, pioglitazone, nnuru afoforo, nnuan, kɔla ahorow a wɔayɛ, anaa nneɛma a wɔde sie ho a.
• Sɛ worebɔ mmɔden sɛ wubenyinsɛn , anaasɛ woanyinsɛn dedaw a .
• Sɛ woyɛ ɛna a worenom nufu a .

Ɔkwan bɛn so na wode aduru yi di dwuma yiye?

Okay, enti sɛ oduruyɛfo no kyerɛw saa aduru yi ma wo wie a, ɔkwan bɛn so ankasa na wode di dwuma? Kae eyi nso.

Ɛsɛ sɛ wɔde ano nom saa aduru yi, na wɔde nsu kakra ka ho . Ɛyɛ papa sɛ wobɛnom bere koro mu da biara , sɛnea wo duruyɛfo aka akyerɛ wo no pɛpɛɛpɛ. Mmu, nbubu, anaa nwe aduru no. Mene pill no nyinaa. Wubetumi anom ansa na woadi anaasɛ woadi awie . Nanso, sɛ wote nka sɛ wo yafunu ayɛ wo yaw a, ɛbɛyɛ papa sɛ wode bɛka aduan ho. Ɛsɛ sɛ wokɔ so nom saa aduru yi kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae . Nnyae mpofirim, ɛyɛ?

Sɛ wo nya saa aduru yi firi nnurutɔnbea a, wɔbɛma wo ``MedGuide`` soronko bi, aduru no ho nsɛm krataa, a ɛka ho ne aduru biara a wɔakyerɛw ama wo ne berɛ a wobɛsan ahyɛ no ma. Kae bere nyinaa sɛ wobɛkenkan no yiye. Nsɛm a ɛho hia paa na ɛwom.

Wo ne w’akwahosan kuw no nkasa mfa saa aduru yi a wode bɛma mmofra nkumaa ho, efisɛ ebia ebehia ɔhwɛ soronko.

Na sɛ wonom nnuru pii wɔ akwanhyia mu nso ɛ? Sɛ wususuw sɛ woanom aduru yi dodo a, kɔ ayaresabea dan a wɔhwɛ ntɛmpɛ a ɛbɛn wo no mu anaa frɛ baabi a wɔhwɛ awuduru so ntɛm ara . Ntwentwɛn wo nan ase.

Nea ɛho hia: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa nnkyɛ obi foforo da. Ebetumi apira wɔn, efisɛ ɛsono obiara akwahosan.

Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?

Afei fa no sɛ wo werɛ fii sɛ wobɛnom w’aduru no da koro. Sɛ ɛba saa a, dɛn na wobɛyɛ? Nha wo ho.

Fa dodow a woayera no bere a woakae ara pɛ . Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu . Mfa nnuru abien prɛko pɛ anaasɛ nnom nnuru pii da . Saa a wobɛyɛ no betumi de ɔhaw aba.

Nnuru afoforo bɛn na ebetumi ne aduru yi adi nkitaho?

Sɛ wode saa aduru yi redi dwuma a, nnuru afoforo wɔ hɔ a ebetumi ne no adi nkitaho, a ɛkyerɛ sɛ ebetumi abɔ. Sɛ wode ka nnuru bi ho a, ebetumi asakra sɛnea aduru yi yɛ adwuma yiye anaasɛ ɛbɛma nea efi mu ba no ayɛ kɛse. Enti, ɛho hia paa sɛ wobɛka biribiara a worenom ho asɛm kyerɛ wo duruyɛfo .

Saa `(Alogliptin; Pioglitazone)` aduru yi betumi ne nnuru yi adi nkitaho titiriw:

• Gemfibrozil (aduru a wɔde tew mogya mu srade so) .
• Insulin (aduru foforo a wɔde sa asikreyare) .
• Rifampin (aduru a ekum ɔyare mmoawa a wɔde sa nsamanwaw) .
• Sulfonylureas ( asikreyare nnuru te sɛ glimepiride, glipizide, ne glyburide) .
• Topiramate (aduru a wɔde sa akisikuru ne atiridiinini) .

Eyinom akyi no, nnuru afoforo pii wɔ hɔ a ebetumi aka asikre dodow a ɛwɔ wo mogya mu, enti hwɛ nneɛma yi so yiye:

• Nsaden
• Aspirin ne nnuru a ɛte sɛ aspirin
• Chloramphenicol (aduru a ekum ɔyare mmoawa a wɔde sa ɔyare mmoawa) .
• Chromium (nnipa binom fa no sɛ aduannuru a wɔde ma) .
• Diuretics ( nnuru a ɛma nsuo dodoɔ a ɛba, a wɔsan frɛ no ‘nsuo aduru’) .
• Mmea hormone , sɛ nhwɛso no, nnuru a estrogen anaa progestins wom, ne nnuru a wɔde siw awo ano
• Nnuru bi a wɔde sa komayare `(Heart medications)`
• Isoniazid (aduru a wɔde sa nsamanwaw) .
• Mmarima hormone anaa anabolic steroids
• Nnuru a wɔde ma obi mu duru so tew
• Nnuru a wɔde sa akisikuru, ayamtu, atiridiinini, anaa ɔfe (ebia asikre wom) .
• Nnuru a wɔde sa adwene mu haw ahorow
• Nnuru a ɛwɔ kuw a wɔfrɛ no MAO Inhibitors (e.g. `(Nardil)`, `(Parnate)`, `(Marplan)`, `(Eldepryl)`) mu.
• Niacin (vitamin B3, nso boa ma mogya mu srade ba) .
• NSAIDs (nnuru a ɛtew ɛyaw ne ɔfe so, te sɛ ibuprofen anaa naproxen) .
• Pentamidine (aduru a wɔde sa ɔyare mmoawa) .
• Phenytoin (aduru a wɔde sa akisikuru) .
• Probenecid (aduru a wɔde sa gout) .
• Quinolone nnuru a ekum ɔyare mmoawa (sɛ nhwɛso no, ciprofloxacin, levofloxacin, ofloxacin) .
• Nnuadewa bi a wɔde ka aduan ho
• Steroid nnuru (sɛ nhwɛso no, prednisone anaa cortisone) .
• Nnuru a wɔde yɛ thyroid

Saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ. Enti ka nnuru a wonom nyinaa (wɔakyerɛw ama wo, nea wontɔn, nhabannuru, vitamin, ne aduannuru a wɔde ma) kyerɛ wo duruyɛfo . Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnuru afoforo di dwuma a, ka kyerɛ wo duruyɛfo . Saa nneɛma yi bi betumi ne wo nnuru adi nkitaho.

Nneɛma bɛn na ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛrenom aduru yi?

Ɛsɛ sɛ wohwɛ w’akwahosan so kakra bere a worenom aduru yi no. Dɛn ne saa nneɛma no?

• Kɔ wo duruyɛfo nkyɛn daa na hwɛ wo tebea no . Wo duruyɛfo bɛpɛ sɛ ohu sɛnea worenya nkɔso. Ebia ɛho behia nso sɛ woma wɔyɛ mogya mu adwuma bi bere a worenom aduru yi no.
• Wo duruyɛfo nso bɛhwehwɛ nhwehwɛmu bi a wɔfrɛ no HbA1C (a wɔsan frɛ no A1C) . Eyi yɛ mogya mu nhwehwɛmu a ɛnyɛ den. Ɛhwɛ sɛnea wɔadi wo mogya mu asikre so yiye wɔ asram 2-3 a atwam no mu . Wɔtaa yɛ sɔhwɛ yi asram 3 biara anaa asram 6 biara.
• Sua sɛnea w'ankasa wobɛhwɛ asikre dodow a ɛwɔ wo mogya mu . Ɛho hia nso sɛ wusua asikre a ɛba mogya mu (hypoglycemia) ne asikre a ɛkɔ soro (hyperglycemia) ho sɛnkyerɛnne ne sɛnea wobedi ho dwuma .
• Fa asikre fibea a ɛba ntɛmntɛm (sɛ nhwɛso no, asikre a wɔde gu mu, glucose aduru) ka wo ho bere nyinaa sɛ ebia asikre a ɛwɔ wo mogya mu no so tew (sɛ nhwɛso no, fifiri, wosow, adwenemhaw) . Sɛ asikre a ɛwɔ wo mogya mu no sua koraa na woreyɛ ayɛ wo hyew na wo ho reyera a, ma afoforo nhu sɛ sɛ wobɔ mmɔden sɛ wobɛma wɔn aduan anaa anonne saa bere no a, ebia wobɛmene . Sɛ eyi yɛ tebea a emu yɛ den a , kɔ ayaresabea ntɛm ara .
• Sɛ wote nka sɛ asikre dodow a ɛwɔ wo mogya mu no dɔɔso (sɛ nhwɛso no, sukɔm de wo dodo, wotaa tow nsu, ɔbrɛ) a, ka kyerɛ wo duruyɛfo . Ebia ɛho behia sɛ wɔyɛ nsakrae wɔ nnuru dodow a wode di dwuma no mu. Sɛ woyare anaasɛ woteɛteɛ w’apɔw mu sen sɛnea wotaa yɛ a, ebia ɛho behia sɛ wosakra nnuru dodow a wode di dwuma nso .
• Mma nntwa adidi so . Bisa wo duruyɛfo sɛ ɛsɛ sɛ wokwati nsanom anaa . Ebia asikre anaa nsa wɔ ɔfe ne atiridiinini nnuru pii a wɔtɔn no aduruyɛdan mu . Eyinom betumi aka asikre dodow a ɛwɔ mogya mu.
• Saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ wubenya komayare ahorow bi no ayɛ kɛse . WoSɛ wo koko yɛ wo yaw, wo ho yɛ wo den, ɛyaw a ɛhyerɛn kɔ wo hwene anaa wo nsa so, anaasɛ ɛyɛ den sɛ wobɛhome a, kɔ oduruyɛfo ntɛm ara. Eyinom betumi ayɛ komayare anaa tebea foforo a emu yɛ den ho sɛnkyerɛnne .
• Wɔ mmea a wɔrebɛn brayɛ nanso wonnya brayɛ fam fam no, saa aduru yi betumi ama ovulation . Eyi betumi ama hokwan a wowɔ sɛ wubenyinsɛn no ayɛ kɛse . Wo ne w’akwahosan kuw no nkasa mfa akwan horow a wobɛfa so asiw awo ano no ho. Sɛ wususuw sɛ ebia woanyinsɛn a ka kyerɛ wo duruyɛfo .

Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?

Te sɛ nnuru nyinaa no, saa `(Alogliptin; Pioglitazone)` aduru yi betumi de nsunsuanso bɔne bi aba. Ebinom nyɛ aniberesɛm, nanso ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara.

Nneɛma bɔne a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ka kyerɛ w’akwahosan kuw no a ɛnntwentwɛn wo nan ase sɛ:

• Allergic reactions — honam ani akisikuru, ɛyaw, akisikuru (akisikuru a ɛte sɛ akisikuru), anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon.
• Anisoadehu sesa — te sɛ anisoadehu a ɛyɛ kusuu, halos a wohu a atwa akanea ho ahyia, anaasɛ aniwa a ɛyera.
• Koma a entumi nyɛ adwuma yiye — Ɔhome a ɛyɛ tiaa, nansoaa, nan, anaa nsa a ɛho ahonhon, mu duru a ɛkɔ soro mpofirim, na ɔte nka sɛ wabrɛ anaasɛ wayɛ mmerɛw wɔ ɔkwan soronko so.
• Mmɛn mu opira — Ɛyaw a ɛba yafunu no nifa so atifi, aduan ho akɔnnɔ a ɛyera, akisikuru, nsu a ɛyɛ kɔla a ɛyɛ hare, nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, honam ani anaa aniwa a ɛyɛ kɔkɔɔ, mmerɛwyɛ anaa ɔbrɛ a ɛyɛ soronko.
• Pancreatitis — Ɛyaw a emu yɛ den a ɛba yafunu mu a ɛhyerɛn kɔ akyi, ɛyaw a ɛyɛ kɛse bere a wɔadi anaa bere a wɔde wɔn nsa aka no, atiridiinini, akisikuru, ne ɔfe.
• Nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, ɛyaw anaa ɛyɛ den sɛ wobɛtow, nsu a wɔtaa tow.
• Honam ani a ɛyɛ kɔkɔɔ, akisikuru, ɛho ayɛ mmerɛw, anaasɛ ɛyɛ den (ebetumi nso aba ano no mu).
• Nkwaa mu yaw a emu yɛ den .

Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo

Mpɛn pii no, nsunsuanso bɔne a ɛwɔ ase ha no nhia sɛ wɔde kɔ ayaresabea. Nanso, sɛ wɔkɔ so anaasɛ wɔhaw wo a, ka kyerɛ wo duruyɛfo no sɛ :

• Ɛwa
• Ayamtuo
• Tipaeɛ
• Ntini mu yaw
• Hwene a ɛretu anaasɛ ɛyɛ mmerɛw
• Menemkuro

Ebia nneɛma bɔne a ebetumi afi mu aba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho. Sɛ wuhu biribi a ɛyɛ soronko a, wo ne wo duruyɛfo nkasa. Wubetumi nso abɔ amanneɛ akyerɛ FDA (1-800-FDA-1088).

Wobɛyɛ dɛn ama nnuru akɔ so ayɛ nea asiane biara nni ho?

Ɛho hia nso sɛ wuhu sɛnea wode aduru yi sie yiye.

• Fa sie baabi a mmofra ne afieboa ntumi nkɔ hɔ.
• Fa sie wɔ dan mu hyew (a ɛyɛ digrii Celsius 20 kosi 25, anaa digrii Fahrenheit 68 kosi 77). Bɔ ho ban fi nsu ne nsu a ɛyɛ nwini ho. Fa toa no to mu denneennen.
• Tow nnuru biara a wɔmfa nni dwuma a ne bere atwam no gu.

Ɔkwan bɛn so na wotow nnuru a wɔmfa nni dwuma ne nea ne bere atwam gu?

Eyi nso yɛ asɛm a ɛho hia. Sɛ wotow gu nwura mu kɛkɛ a, ɛrenyɛ adwuma no.

• Fa saa aduru yi kɔ baabi a wɔayɛ nhyehyɛe a wɔde san fa nnuru. Wubetumi ahu mmeae a ɛtete saa ho asɛm wɔ wo nnurutɔnbea anaa polisifo nkyɛn.
• Sɛ wuntumi nsan mfa mma a, hwɛ aduru no din anaa krataa a ɛwɔ ade a wɔde ahyɛ mu no mu hwɛ sɛ ɛsɛ sɛ wɔtow saa aduru yi gu nwura mu anaasɛ wɔhohoro gu tiafi mu anaa. Sɛ wunnye nni a, bisa w’akwahosan kuw no.
• Sɛ ɛyɛ nea asiane biara nni ho sɛ wobɛtow agu nwura mu a, yi aduru no fi toa no mu na fa biribi a ɛnyɛ adwuma te sɛ mpataa nwura, dɔte, anaa kɔfe a wɔayam fra mu. Afei, fa afrafrade no gu kotoku anaa ade mu, tow ano, na tow gu nwura mu.

Awiei koraa no, nneɛma kakraa bi a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, yɛaka saa Alogliptin ne Pioglitazone nnuru yi ho asɛm pii, ɛnte saa? Nneɛma a ɛho hia paa a ɛsɛ sɛ wokae ni:

• Wɔde saa aduru yi ma titiriw de siw asikreyare a ɛto so abien ano.
• Sɛnea oduruyɛfo no ka no, ɛho hia yiye sɛ wobɛnom dodow a ɛfata wɔ bere a ɛfata mu.
• Ɛho hia sɛ wudi aduan ne apɔw-mu-teɛteɛ nhyehyɛe bi akyi ka aduru yi ho na ama woanya nea eye sen biara.
• Hwɛ hu sɛ wobɛka nnuru, nhabannuru, ne vitamin afoforo biara a worenom ho asɛm akyerɛ wo duruyɛfo.
• Sɛ wunya ɔhaw foforo biara, titiriw sɛnkyerɛnne ahorow a anibere wom a yɛkaa ho asɛm no a, ka kyerɛ wo duruyɛfo no ntɛm.
• Hwɛ asikre dodow a ɛwɔ wo mogya mu no so daa, na hu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ asikre a ɛwɔ wo mogya mu no so tew.
• Sɛ woanyinsɛn, woreyɛ nhyehyɛe anyinsɛn, anaa worema nufu a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo ansa na woanom aduru yi.
• Saa aduru yi yɛ wo nkutoo dea. Mfa mma obi foforo.

Saa kratawa yi yɛ nsɛm a wɔaboaboa ano kɛkɛ. Ebia nsɛm a wuhia nyinaa nni mu. Sɛ wowɔ nsɛmmisa foforo biara fa saa aduru yi ho a, yɛsrɛ wo ne wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔyaresafo nkasa.

Ɛho hia sɛ wohwɛ w’akwahosan so. Asikreyare a wobɛtra ase no betumi ayɛ den, nanso sɛ wudi ho dwuma yiye a, wubetumi anya anigye. Akwaaba pa ma wo!

` Alogliptin, Pioglitazone, Asikreyare, Asikreyare a Ɛto so 2, Asikre a Wɔde Di Dwuma, Asikreyare Nnuru, Nsunsuanso bɔne