Momma yensua asikreyare nnuru Canagliflozin ne Metformin ho ade.

So wowɔ asikreyare, anaa Asikreyare a Ɛto so Abien? Anaasɛ obi a wunim no wɔ saa tebea yi? Afei ebia wo duruyɛfo no akyerɛw wo nnuru abien a wɔaka abom, a ɛne Canagliflozin ne Metformin, titiriw aduru a ɛma wotumi trɛw mu . Ebia eyi din a wɔde frɛ no ne Invokamet XR. Enti, momma yɛnka aduru yi ho asɛm kakra nnɛ, ɛnte saa?

Dɛn na ɛba wɔ aduru yi ho ankasa?

Sɛ yɛbɛka no tiawa a, wɔde saa aduru yi di dwuma de hwɛ asikre dodow a ɛwɔ wo mogya mu (mogya mu glucose) so . Sɛ wowɔ `Type 2 Diabetes` a, nsakraeɛ bi ba ɔkwan a yɛn nipadua fa so di asikre so no mu. Saa aduru yi yɛ adwuma denam saa asikre dodow a ɛtew so na ɛboa wo ma wunya apɔwmuden no so. Wɔ eyi mu no, `Canagliflozin` boa nipadua no ma asikre a ɛboro so no fa nsu mu fi mu, bere a `Metformin` ma asikre a mmerɛbo no yɛ no so tew na ɛma nipadua no nkwammoaa no te nka wɔ insulin ho. Nanso kae sɛ, aduru yi nkutoo nnɔɔso. Aduan pa ne apɔw-mu-teɛteɛ nso ho hia yiye ma eyi.

Nneɛma bɛn na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi?

Eyi ho hia paa. Sɛ wowɔ tebea horow a edidi so yi mu biara a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase. Efisɛ, ɛno nkutoo na oduruyɛfo no betumi asi gyinae sɛ ebia saa aduru yi fata wo anaasɛ ɛnfata, anaasɛ ɛsɛ sɛ wɔsesa dodow a wɔde ma no. Susuw ho hwɛ, sɛ woanka saa nsɛm yi ankyerɛ oduruyɛfo no a, ebia wubehyia ɔhaw a ɛho nhia.

• Sɛ wowɔ `Anemia` a
• Sɛ wowɔ ntini mu yare a
• Sɛ wo ho ayɛ wo hyew esiane nsu a wunni nti a
• Sɛ woadi kan anya `Diabetic ketoacidosis (DKA)` (mogya mu acid a ɛkɔ soro esiane asikreyare nti) .
• Sɛ wudi aduan a nkyene nnim a
• Sɛ woredidi kakraa bi esiane yare, oprehyɛn, aduan a wodi, anaa nneɛma afoforo nti a
• Sɛ wowɔ nan ase akuru a
• Sɛ wɔreyɛ wo oprehyɛn daakye a
• Sɛ wowɔ komayare a
• Sɛ wowɔ srade a ɛdɔɔso (`High cholesterol`) a .
• Sɛ potassium dodow a ɛwɔ mogya no mu no dɔɔso (`Potassium dodow a ɛkɔ soro wɔ mogya no mu`) .
• Sɛ wɔayi wo nan anaa ne fã bi a atwam (`History of amputation`) .
• Sɛ wowɔ abakɔsɛm a ɛkyerɛ sɛ wowɔ dwensɔtwaa mu yare anaa ɔhaw afoforo wɔ wo dwensɔtwaa ho a
• Sɛ wowɔ abakɔsɛm a ɛkyerɛ sɛ wowɔ mmɔkaw mu yare wɔ ɔbarima anaa ɔbea awotwaa mu a
• Sɛ woyɛ obi a ɔnom nsa daa a
• Sɛ wunya nyarewa wɔ akisikuru, asaabo, anaa nsu mu a
• Sɛ wowɔ asaabo mu yare a (aduru yi mfata sɛ asaabo dwumadi nnu dodow pɔtee bi a) .
• Sɛ wowɔ mmerɛbo mu yare a
• Sɛ wowɔ mogya mmoroso a ɛba fam (`Mogya mmoroso a ɛba fam`) a .
• Sɛ wowɔ ntini a asɛe a
• Sɛ woyɛ obi a wɔreyɛ hemodialysis a
• Sɛ wowɔ `Polycystic ovary syndrome (PCOS)` (tebea a ɛma akisikuru ba wɔ awotwaa mu) a .
• Sɛ wowɔ ɔhaw ahorow wɔ nsu a wobɛtow mu a
• Sɛ wowɔ ɔyare mmoawa anaa opira a emu yɛ den a
• Sɛ wowɔ `Type 1 Diabetes` (Aduru yi yɛ ma wɔn a wɔwɔ `Type 2` asikreyare) .
• Sɛ woyɛ ɔbarima a wontwaa twetia a
• Sɛ wotaa fe a
• Sɛ wo ho yɛ wo hyew wɔ Canagliflozin, Metformin, nnuru afoforo, nnuan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde siesie nneɛma ho a
• Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a
• Sɛ woyɛ ɛna a ɔma nufu (`Nufu-ma`) .

Mma saa nsɛm a wɔahyehyɛ yi nnyɛ wo hu. Ɛnyɛ eyinom nyinaa na ɛfa obiara ho. Nanso sɛ biribi wɔ hɔ a ɛfa wo ho a, ɛho hia ma w’ankasa ahobammɔ sɛ woka kyerɛ wo duruyɛfo .

Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?

Okay, afei momma yɛnhwɛ sɛnea yɛde saa aduru yi bedi dwuma pɛpɛɛpɛ.

• Ɛsɛ sɛ wode saa aduru yi ka nsu kuruwa biako ho .
• Ɛsɛ sɛ wɔde eyi ka aduan ho . Mpɛn pii no, ɛne aduan titiriw a edi kan wɔ da no mu. Anaasɛ sɛnea wo duruyɛfo kyerɛ no.
• Mene tablet no nyinaa . Mma nntutu anaa nwe. Nea enti a ɛte saa ne sɛ wɔayɛ no sɛnea ɛbɛyɛ a ɛbɛyɛ adwuma bere tenten. Sɛ wububu a, aduru no bɛkɔ wo nipadua mu prɛko pɛ, na ama asikre a ɛwɔ wo mogya mu no so atew mpofirim anaa ɔhaw afoforo.
• Fa aduru a wɔakyerɛw ama wo no, wɔ bere a wɔakyerɛw ama no mu, wɔ dodow a wɔakyerɛw ama no mu, sɛnea wɔakyerɛ wɔ krataa a wɔakyerɛw ama no so no.
• Nnom pii nsen nea oduruyɛfo no kamfo kyerɛ, anaasɛ nnom no mpɛn pii.
• Mma nnnyae nnuru no nom mpofirim a wo duruyɛfo nka ho afotu. Saa a wobɛyɛ no betumi ama asikre dodow a ɛwɔ wo mogya mu akɔ soro mpofirim.

Sɛ wonya saa aduru yi firi nnurutɔnbea a, wɔbɛma wo nsɛm kratasin soronko bi (`MedGuide`) a ɛka ho. Hwɛ sɛ wobɛkenkan no yie berɛ biara a wobɛnya w'aduru anaa wobɛnya `refill`. Nsɛm pii a ɛho hia ma wo wom.

So wobetumi de saa aduru yi ama mmofra?

Ɛsɛ sɛ wo ne w’akwahosan kuw no kasa fa saa aduru yi a wode bɛma mmofra ho. Eyi taa yɛ aduru a wɔde ma mpanyimfo. Sɛ ɛho hia ma mmofra a, egye ntease soronko ne ɔhwɛ.

Na sɛ wonom nsa pii nso ɛ? (`Nnuru a wɔde ma boro so`)

Sɛ wususuw sɛ woanom saa aduru yi dodo a, kɔ ayaresabea dwumadibea a ɛhwɛ ntɛmpɛ a ɛbɛn wo ntɛm ara, anaa frɛ beae a wɔhwɛ awuduru so (e.g. National Poisons Information Center - 0112 686 143) . Mma nsɛe bere.

Nea ɛho hia: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa w’aduru nkyɛ afoforo, sɛ mpo wɔn yare no te sɛ wo. Efisɛ ebia aduru a ɛyɛ adwuma ma obiako rentumi nyɛ adwuma mma obi foforo.

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

Oh, ɛtɔ mmere bi a wopa dose bi. Sɛ ɛba saa a, fa no bere a woakae ara pɛ . Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ (sɛ nhwɛso no, wɔ nnɔnhwerew kakraa bi mu) a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a wɔahyɛ no mu. Mfa nnuru mmɔho abien da. Sɛ woyɛ saa a, ebetumi ama asikre a ɛwɔ wo mogya mu no so atew dodo.

Nnuru afoforo bɛn na ebetumi ne aduru yi adi nkitaho?

Eyi nso yɛ asɛm a ɛho hia paa. Bere a worenom saa `Canagliflozin; Metformin` aduru, ɛnyɛ papa sɛ wobɛnom nnuru afoforo bi. Afei nso, ebetumi ne nnuru afoforo bi adi nkitaho. Enti, ɛsɛ sɛ woka nnuru a worenom nyinaa (a oduruyɛfo akyerɛw ama wo, nea wotɔ fi nnurutɔnbea, aduru a wɔde di dwuma wɔ amanne kwan so, vitamin, mpo `aduan a wɔde ka ho`) kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wonom nnubɔne foforo a, ka kyerɛ wo duruyɛfo .

Nnuru a ɛnsɛ sɛ wɔde ka aduru yi ho da:

• Nnuru ahorow bi a wɔde ‘nsonsonoe’ ma, a wɔde fa ntini mu ansa na wɔayɛ nhwehwɛmu bi te sɛ X-ray, CT scan, ne MRI no betumi aka asaabo no na sɛ wɔde ka ‘Metformin’ ho a, ɛma asiane a ɛwɔ hɔ sɛ wobenya tebea a ɛyɛ hu a wɔfrɛ no ‘Lactic Acidosis’ no ayɛ kɛse.
• `Dofetilide` (eyi yɛ aduru a wɔde ma koma a ɛnyɛ pɛpɛɛpɛ).

Nnuru afoforo a ebetumi ne aduru yi adi nkitaho:

(Ebia saa nsɛm a wɔahyehyɛ yi nni mũ, enti ɛho hia sɛ woka biribiara a worenom kyerɛ wo duruyɛfo )

• `Acetazolamide a wɔde yɛ adwuma`
• Nsã - Ɛma asiane a ɛwɔ hɔ sɛ obi benya lactic acidosis no yɛ kɛse na ebetumi nso ama asikre a ɛwɔ mogya mu no so atew.
• Nnuru bi a wɔde ko tia HIV anaa Hepatitis
• Nnuru bi a wɔde sa mogya mmoroso, komayare, ne koma a ɛyɛ den (e.g., beta-blockers, a ebetumi akata asikre a ɛba fam ho sɛnkyerɛnne ahorow so) .
• `Cimetidine a wɔde yɛ adwuma`
• `Dichlorphenamide a wɔde yɛ aduru`
• Digoxin (koma mu aduru) - Digoxin dodow betumi asesa bere a wɔde ka Canagliflozin ho no.
• Diuretics (nnuru a ɛma nsuo kɔ soro) - Ɛma asiane a ɛwɔ hɔ sɛ nsuo bɛtɔ obi na mogya mmoroso no yɛ kɛseɛ.
• Estrogen anaa progestin hormone ahorow
• `Glycopyrrolate a wɔde yɛ ade`
• `Isoniazid` (aduru a wɔde sa nsamanwaw) .
• `Lamotrigine`
• `Lithium`
• `Memantine`
• `Methazolamide a wɔde yɛ adwuma`
• `Metoclopramide a wɔde yɛ aduru`
• `Midodrine a wɔde yɛ adwuma`
• `Niacin`
• `Phenobarbital a wɔde yɛ aduru`
• Phenothiazine (sɛ nhwɛso no, chlorpromazine, prochlorperazine, thioridazine) .
• `Phenytoin`
• `Ranolazine a wɔde yɛ adwuma`
• Rifampin (aduru a wɔde sa nsamanwaw anaa nyarewa afoforo) - Ebetumi atew Canagliflozin ahoɔden so.
• `Ritonavir a wɔde di dwuma`
• Steroid nnuru (e.g. prednisone anaa cortisone) - tumi ma asikre dodow a ɛwɔ mogya mu no kɔ soro.
• Nnuru a ɛkanyan adwene a ɛma obi adwene tu fra, obi mu duru so tew, anaasɛ ɔdan
• Nnuru a wɔde yɛ thyroid
• `Topiramate` na ɛyɛ adwuma
• `Trospium`
• `Vandetanib`
• `Zonisamide a wɔde yɛ adwuma`

Susuw ho hwɛ, nneɛma pii betumi asakra aduru yi nkɛntɛnso. Ɛno nti na ɛho hia kɛse sɛ wobɔ wo duruyɛfo amanneɛ wɔ aduru biara a wobɛnom ho .

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

Sɛ wode saa aduru yi redi dwuma a, ɛsɛ sɛ wohwɛ yiye kakra wɔ w’akwahosan ho.

• Hwɛ wo duruyɛfo daa (`daa nhwehwɛmu`) na hwɛ wo tebea no so . Yɛ nhwehwɛmu te sɛ asaabo dwumadi ne vitamin B12 dodow sɛnea wo duruyɛfo kamfo kyerɛ no.
• Esiane sɛ saa aduru yi wɔ `Metformin` nti, ɛtɔ mmere bi a mogya no mu acid betumi ayɛ kɛse wɔ ɔkwan a ɛyɛ hu so (`Lactic Acidosis`) . Ɛwom sɛ eyi ho yɛ na koraa de, nanso sɛ ɛba a, ebetumi ayɛ asiane kɛse. Sɛ wuhu sɛnkyerɛnne ahorow te sɛ akisikuru, ɔfe, yafunu mu yaw, ɔbrɛ a ɛnyɛ ne kwan so, ɛyɛ den sɛ wobɛhome, wobɛhome ntɛmntɛm, awɔw a wobɛte nka, anaasɛ w’adwene mu yɛ wo naa a, gyae aduru yi nom ntɛm ara na frɛ wo duruyɛfo anaa kɔ ayaresabea . Sɛ ɛbɛyɛ yie a, fa `ketone dipstick` nso hwɛ wo nsuo mu sɛ ketones anaa.
• Canagliflozin nso betumi ama obi anya tebea bi a wɔfrɛ no Asikreyare Ketoacidosis (DKA) . Eyi yɛ tebea a asikre dodow a ɛwɔ mogya mu no nkɔ soro dodo. Nsɛnkyerɛnne no bi ne sukɔm a ɛboro so, nsu a ɔtaa tow, n’ano a ɛyɛ kusuu, ɔbrɛ, ɔhome hua a ɛte sɛ nnuaba, ahome a ɛyɛ tiaa, yafunu mu yaw, akisikuru, ne ɔfe. Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ka kyerɛ wo duruyɛfo ntɛm ara.
• Wo duruyɛfo bɛtaa ahyɛ sɛ wɔnyɛ nhwehwɛmu a wɔfrɛ no `HbA1C (A1C)` na ama wɔahu sɛnea wɔredi asikre a ɛwɔ wo mogya mu no so yiye . Eyi yɛ mogya mu nhwehwɛmu a ɛnyɛ den. Ebetumi akyerɛ sɛnea wɔadi wo mogya mu asikre so yiye wɔ asram 2-3 mu. Wɔtaa yɛ sɔhwɛ yi asram 3-6 biara.
• Sua sɛnea wobɛsɔ asikre dodow a ɛwɔ wo mogya mu ahwɛ wɔ fie . Afei nso, hu asikre a ɛba mogya mu (hypoglycemia) ne asikre a ɛkɔ soro (hyperglycemia) ho sɛnkyerɛnne ne sɛnea wubedi ho dwuma .
• Fa asikre fibea a ɛyɛ ntɛm (sɛ nhwɛso no, asikre a wɔde gu mu, glucose aduru, anonne a asikre wom, nnuaba mu nsu) sie wo nkyɛn bere nyinaa sɛ ebia wubenya asikre a ɛba fam ho sɛnkyerɛnne ahorow (fifiri, wosow, ɔkɔm a ɛtra so, koma a ɛbɔ ntɛmntɛm, adwenemhaw, adwene a ɛyɛ basaa). Nanso, sɛ wo ho dwiriw wo anaasɛ wo ho kyere wo , ka kyerɛ w’abusua mufo sɛ sɛ wɔbɔ mmɔden sɛ wɔbɛma wo aduan anaa anonne a, ebia wɔbɛmene. Sɛ eyi ba a ɛsɛ sɛ wokɔ ayaresabea ntɛm ara .
• Ebia saa aduru yi bɛtew wo folic acid ne vitamin B12 dodow so, titiriw bere a wode metformin di dwuma no. Enti, hwɛ hu sɛ wubedi vitamin a ɛdɔɔso bere a worenom aduru yi no. Ebia wo duruyɛfo bɛkyerɛw vitamin bi a wɔde bɛma wo sɛ ɛho hia a.
• Kwati sɛ nsu a ɛbɛtɔ wo mu . Nom nsu pii, titiriw wɔ wim tebea a ɛyɛ hyew mu, bere a woreyɛ apɔw-mu-teɛteɛ, anaa sɛ wo yafunu yɛ wo yaw a.
• Hwɛ wo nan so titiriw . Hwɛ wo nan mu da biara, efisɛ asiane ketewaa bi wɔ hɔ sɛ wobɛnya ɔyare mmoawa anaasɛ wobɛtwa wo nan ase bere a worenom saa aduru yi (titiriw Canagliflozin). Enti sɛ wo nan ho apira, mpaapaemu, ayɛ kɔkɔɔ, anaa ɛho ahonhon bi a, ka kyerɛ wo duruyɛfo ntɛm ara.

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

Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow bi aba. Nanso ɛnyɛ obiara na onya bi. Ebinom yɛ aniberesɛm na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara. Mpɛn pii no, afoforo nyɛ aniberesɛm, nanso sɛ wɔkɔ so yɛ a, ɛbɛyɛ papa sɛ wobɛka akyerɛ wo duruyɛfo .

Nneɛma bɔne a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara

• Nneɛma a ɛma obi ho yɛ no hyew : honam ani akisikuru, ɛyaw, akisikuru (nsonsonoe kɔkɔɔ wɔ honam ani), anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon (ebetumi ama ayɛ den sɛ ɔbɛhome).
• Nsu a ɛtɔ : Sukɔm a ɛkɔ soro, ano a ɛyɛ mmerɛw, adwenemhaw, tiyɛ, nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, ne nsu a ɛba no so tew.
• Asikreyare ketoacidosis (DKA) : Sukɔm anaa nsu a ɛkɔ soro, ano a ɛyɛ mmerɛw, ɔbrɛ a ɛtra so, ɔhome hua a ɛte sɛ nnuaba, ahome a ɛyɛ tiaa, yafunu mu yaw, akisikuru, ne ɔfe.
• Genital yeast infection : (wɔ mmea awotwaa mu, mmarima akyi berɛmo mu) kɔkɔɔ, ɛho ahonhon, ɛyaw anaa ɛyaw, hua a ɛyɛ fĩ, ne nsu fitaa a ɛyɛ den anaasɛ ɛyɛ curdled.
• Lactic acid a ɛkɔ soro wɔ mogya mu (`Lactic Acidosis`) : Ntini mu yaw anaasɛ akisikuru, yafunu mu yaw, ɔhome a ɛyɛ den, ɔhome ntɛmntɛm, ɔhaw ne ɔbrɛ a ɛba obiara so, adwenemhaw, awɔw.
• Nyarewa a atwa ɔbarima ne ɔbea nna ho ahyia anaa baabi a ɛkɔ akyi berɛmo no mu (`Fournier's gangrene`) : ɛyɛ kɔkɔɔ, ɛho ahonhon, ɛyɛ den, anaa ɛyaw, ɛtɔ da bi a atiridii ka ho. Eyi yɛ tebea a emu yɛ den yiye a ɛde nkwa to asiane mu, enti sɛ wuhu saa nsɛnkyerɛnne yi bi a, ka kyerɛ wo duruyɛfo ntɛm ara.
• Vitamin B12 dodow a ɛba fam : Ɛyaw, akisikuru, anaasɛ nkate a ɛyera wɔ akwaa mu, ntini a ɛyɛ mmerɛw, adwenemhaw, ɛyɛ den sɛ wode w’adwene besi biribi so, adwene a ɛyɛ basaa, tɛkrɛma a ɛyɛ yaw, honam ani kɔla a ɛsakra.
• Ɛyaw foforo anaasɛ ɛyɛ den wɔ nan anaa nan mu, honam ani kɔla a ɛsakra, akuru anaa akuru, anaa ɔyare mmoawa.Eyinom nso yɛ nneɛma a ɛsɛ sɛ wɔhwɛ ntɛm.
• Urinary tract infection (UTI) : Ɔhyew bere a ɔreto nsu, ɔtaa tow nsu, mogya anaa mununkum, ɛyaw wɔ akyi anaa akyi berɛmo mu, atiridiinini.
• Nnompe a ɛpaapae : Nhwehwɛmu ahorow bi ada no adi sɛ asiane a ɛwɔ hɔ sɛ nnompe bɛpaapae wɔ nnipa a wɔnom Canagliflozin mu no kɔ soro kakra. Enti hwɛ yiye wɔ asehwe ho.

Nsunsuanso bɔne a mpɛn pii no enhia nnuruyɛfo afotu, nanso sɛ ɛkɔ so a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo.

• Ayamtuo
• Gas a wɔde yɛ adwuma
• Tipaeɛ
• Abofono
• Yafunu mu Ɛyaw
• Ɔfe a wɔfe
• Mpɛn dodow a wɔtow nsu a ɛkɔ soro
• Sukɔm a ɛtra so

Ebia nneɛma bɔne a efi mu ba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho. Sɛ wuhu biribi a ɛyɛ soronko a, wo ne wo duruyɛfo nkasa. Wubetumi nso abɔ nea ɛde ba no ho amanneɛ akyerɛ FDA (Food and Drug Administration) wɔ 1-800-FDA-1088.

Ɔkwan bɛn so na ɛsɛ sɛ wode w’aduru sie?

Ɛho hia paa nso sɛ wode w’aduru sie yiye.

• Fa sie baabi a mmofra ne afieboa ntumi nkɔ hɔ.
• Fa sie wɔ dan mu hyew (a ɛyɛ digrii Celsius 15 kosi 30, digrii Fahrenheit 59 kosi 86). Bɔ ho ban fi nsu a ɛboro so ne owia hann tẽẽ ho. Mfa nneɛma nsie wɔ mmeae a ɛhɔ yɛ nwini kɛse te sɛ aguaree.
• Mfa nnuru a ne bere atwam nni dwuma. Tow wɔn gu.

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

• Sɛ ɛbɛyɛ yiye a, fa saa aduru yi ma nhyehyɛe bi a wɔde san fa nnuru. Wubetumi ahu mmeae a ɛtete saa ho asɛm wɔ wo nnurutɔnbea anaasɛ wo mpɔtam hɔ akwahosan ho adwumayɛfo.
• Sɛ ɛnte saa a, hwɛ nea wɔakyerɛw wɔ nnuru toa/packet no so no mu hwɛ sɛ ɛsɛ sɛ wɔtow gu nwura mu anaasɛ wɔhohoro gu tiafi mu anaa. Sɛ wunnim a, bisa wo duruyɛfo anaa nnuruyɛfo.
• Sɛ wubetumi atow agu nwura mu (a ɛtaa ba) a, yi aduru no fi ade no mu, fa fra biribi a obiara renwe, te sɛ kɔfe a wɔayam, dɔte, anaa mpataa nwura a wɔde adi dwuma, na fa gu kotoku anaa ade a wotumi to mu mu na tow gu nwura mu. Eyi yɛ sɛnea ɛbɛyɛ a obi foforo rennya aduru no na ɔde adi dwuma.

Nkrasɛm a Wɔde Kɔ Fie

Okay, yɛaka asikreyare nnuru `Canagliflozin` ne `Metformin` ho asɛm pii. Ne tiaatwa mu no:

• Eyi yɛ aduru a ɛho hia ma Asikreyare a Ɛto so Abien a ɛhwɛ asikre a ɛwɔ mogya mu so .
• Sɛ wɔde eyi ka aduan ne apɔw-mu-teɛteɛ ho a, wonya nea eye sen biara.
• Hwɛ hu sɛ wobɛka nyarewa foforo biara a wowɔ ne nnuru foforo biara a wonom ho asɛm akyerɛ wo duruyɛfo .
• Sɛnea oduruyɛfo no kae no, .Fa dodow a wɔakyerɛw ama no, wɔ bere a wɔahyɛ no mu, ne aduan . Mene tablet no nyinaa.
• Hu asikre a ɛba mogya mu (hypoglycemia) ho sɛnkyerɛnne ahorow na fa asikre bi sie wo nsam bere a wuhia no.
• Sɛ wunya sɛnkyerɛnne biara a ɛyɛ soronko (titiriw sɛnkyerɛnne ahorow a ebetumi aba sɛ `DKA` anaa `Lactic Acidosis`, ɔbarima ne ɔbea nna mu nyarewa (asiane a ɛwɔ `Fournier's gangrene`), nan mu akuru, nsu a ɛho ayɛ fĩ ho sɛnkyerɛnne) a, ka kyerɛ wo duruyɛfo ntɛm ara.
• Kɔ so ne wo duruyɛfo nni nkitaho na ka wo tebea no ho asɛm. Nsuro sɛ wubebisa nsɛm.

Kae sɛ saa aduru yi yɛ mmoa a wode siw wo asikreyare ano ara kwa. W’akwahosan gyina w’asetra kwan, w’aduan, ne wo duruyɛfo akwankyerɛ a wubedi so koraa. Saa aduru yi nsa asikreyare, ɛboa ma wodi so nkutoo.

Sɛ wowɔ nsɛmmisa foforo biara a, ntwentwɛn wo nan ase da sɛ wubebisa wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔyaresafo foforo. Wɔwɔ hɔ sɛ wɔbɛboa wo.

` Canagliflozin, Metformin, Invokamet XR, Asikreyare a Ɛto so 2, Asikreyare, Mogya mu Asikre, Asikreyare Aduru, Nsunsuanso bɔne