So wɔresa wo nso yare asikreyare a ɛto so abien? Sɛ saa a, ebia wo duruyɛfo akyerɛw wo aduru bi a ɛka nnuru abien bom. Nneɛma a wɔtaa kyerɛw ma saa no biako ne Dapagliflozin ne Metformin. Ebia wunim no denam brand din te sɛ Xigduo XR so. Esiane sɛ eyi yɛ aduru soronko bi nti, ɛho hia yiye sɛ wonya ho nsɛm a edi mũ. Enti, momma yɛnka biribiara ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw na ɛyɛ adamfofa su so nnɛ.
Dɛn na ɛba wɔ aduru yi ho ankasa?
Sɛ yɛbɛka no tiawa a, nneɛma abien a ɛwɔ aduru yi mu, Dapagliflozin ne Metformin, bom yɛ adwuma de boa ma wohwɛ wo mogya mu glucose dodow so. Ɛyɛ eyi wɔ akwan kakraa bi so. Biako ne sɛ wobɛma w’asaabo afa wo nsu mu asikre pii afi mu. Ɔfoforo no ne sɛ wobɛtew asikre dodow a wo mmerɛbo yɛ so na woaboa wo nipadua mu nkwammoaa ma wɔayɛ wɔn ade yiye wɔ insulin ho.
Nanso aduru yi nkutoo nnɔɔso. Wubetumi anya nea eye sen biara bere a wofa saa aduru yi ka aduan pa ne apɔw-mu-teɛteɛ ho no. Ɛte sɛ kuw agumadi. Ɛsɛ sɛ wo, oduruyɛfo no, aduru yi, ne w’asetra kwan bom yɛ adwuma.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Eyi ho hia paa. Ansa na wubefi ase anom aduru yi no, ɛsɛ sɛ wode w’akwahosan ho nkyerɛkyerɛmu a edi mũ ma wo duruyɛfo. Titiriw sɛ wowɔ tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wɔn.
| Akwahosan tebea anaa suban | Dɛn nti na ɛsɛ sɛ woka kyerɛ oduruyɛfo no ? |
|---|---|
| Asaabo anaa mmerɛbo mu yare | Wɔnam asaabo so yi saa aduru yi fi nipadua no mu, enti sɛ ɔhaw bi wɔ saa akwaa yi ho a, ebia ɛho behia sɛ wɔyɛ nsakrae wɔ aduru no dodow mu. |
| Komayare anaa mogya mmoroso a ɛba fam | Ebia saa aduru yi bɛtew mogya mmoroso so bio. |
| Sɛ wowɔ pancreatitis a | Saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ tebea no bɛsan aba bio no ayɛ kɛse. |
| Sɛ wotaa nom nsa a | Sɛ wɔde nsa ne Metformin ka bom a, ebetumi ama obi anya tebea a ɛyɛ hu a wɔfrɛ no lactic acidosis. |
| Sɛ woatew w’aduan a wudi so esiane nsu a ɛho ayɛ fĩ anaa yare/oprehyɛn nti a | Sɛ nsu ho tew nipadua no mu a, asiane a ɛwɔ hɔ sɛ ebefi mu aba no yɛ kɛse. |
| Sɛ wotaa nya nsu mu yare anaasɛ mmɔkaw a ɛwɔ wo honam ani fã a | Saa aduru yi ma asiane a ɛwɔ hɔ sɛ obi benya saa ɔyare yi yɛ kɛse efisɛ ɛma asikre a ɛwɔ nsu mu no yɛ kɛse. |
| Sɛ wowɔ Asikreyare a Ɛto so 1 a | Wɔkamfo saa aduru yi kyerɛ asikreyare a ɛto so abien nkutoo. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a | Wɔ tebea horow yi mu no, saa aduru yi mfata. Enti, ɛsɛ sɛ wo ne wo duruyɛfo kasa na wususuw ɔkwan foforo a wobɛfa so ayɛ ho. |
| Sɛ wo ho yɛ wo hyew wɔ nnuru, nnuan, anaa nneɛma afoforo ho a | Ebia wo ho nyɛ wo hyew wɔ biribi a ɛwɔ aduru no mu ho. |
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
- Fa nsu kuruwa nom: Ɛho hia sɛ wonom saa aduru yi bere koro mu da biara, sɛnea wo duruyɛfo akyerɛ wo no.
- Mene tablet no: Eyi yɛ tablet a wɔayɛ no titiriw (Extended-Release). Eyi kyerɛ sɛ aduru no fi nipadua no mu nkakrankakra. Enti nsɛe abopon no, nbubu, anaa nwe. Mene no nyinaa.
- Fa ka aduan ho: Ɛyɛ papa sɛ wode eyi ka aduan ho na ama asiane a ɛwɔ hɔ sɛ yafunu bɛhaw wo no so atew.
- Nnyae: Kɔ so nom aduru no bere tenten a wo duruyɛfo bɛka akyerɛ wo no. Nnyae sɛ wobɛnom no kwa.
Na sɛ mepa nnuru dodow bi nso ɛ?
Yiw, ebetumi aba. Fa dodow a woayera no bere a woakae ara pɛ. Nanso sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no a, twa dodow a woayera no so na nom aduru a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru mmɔho abien da.
Nnuru afoforo a ɛne aduru yi nhyia (Interactions) .
Ɛho hia yiye sɛ wobɛka nnuru a worenom nyinaa (a vitamin ne nnuru a wɔde di dwuma wɔ amanne kwan so) ho asɛm kyerɛ wo duruyɛfo, efisɛ nnuru bi betumi ne eyi adi nkitaho.
| Mfa nnuru nka eyinom ho! | |
|---|---|
| Wɔde nsonsonoe ahorow bi ma ansa na wɔayɛ nhwehwɛmu te sɛ X-ray, CT scan, ne MRI. | Aduru bi a wɔfrɛ no Dofetilide. |
| Eyinom betumi adi nkitaho - ka kyerɛ wo duruyɛfo. | |
|
|
Saa nsɛm a wɔahyehyɛ yi nwie pɛyɛ, enti ɛyɛ nea asiane biara nni ho sɛ wobɛka biribiara a wobɛnom ho asɛm akyerɛ wo duruyɛfo .
Nsɛntitiriw a ɛsɛ sɛ wohwɛ yiye bere a worenom aduru no
- Hwɛ a wobɛhwɛ wo daa: Wo duruyɛfo bɛhwɛ wo daa. Wɔyɛ mogya mu nhwehwɛmu a wɔfrɛ no HbA1C bɛyɛ pɛnkoro wɔ asram 2-3 biara mu. Ɛkyerɛ sɛnea wɔredi asikre a ɛwɔ wo mogya mu no so yiye.
- Asikre a ɛwɔ mogya mu a ɛba fam (Hypoglycemia): .Sɛ worenom saa aduru yi, titiriw sɛ wo ne asikreyare nnuru afoforo te sɛ insulin ka a, asikre dodow a ɛwɔ wo mogya mu no betumi akɔ fam mpofirim. Sɛ wuhu sɛnkyerɛnne ahorow te sɛ fifiri, wosow, ɔkɔm dodo, ɛyɛ den sɛ wode w’adwene besi biribi so, anaasɛ wobɛtotɔ piti a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ asikre a ɛwɔ wo mogya mu no so atew. Bere nyinaa fa asikre kuruwa, toffee, anaa glucose aduru bi sie baabi a ɛbɛn wo ma bere a eyi aba no.
- Asikre a ɛwɔ wo mogya mu ne DKA: Ɛtɔ mmere bi a, sɛnea ɛte wɔ yare ho no, asikre dodow a ɛwɔ wo mogya mu no betumi ayɛ nea wontumi nni so. Sɛ wuhu sɛnkyerɛnne ahorow te sɛ sukɔm dodo, wo taa tow nsu, w’ano a ɛyɛ kusuu, nnuaba a wohome hua, yafunu mu yaw, ne akisikuru a, eyinom betumi ayɛ tebea bi a asiane wom a wɔfrɛ no Diabetic Ketoacidosis (DKA) ho sɛnkyerɛnne . Sɛ eyi ba a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.
- Oprehyɛn ne scan: Sɛ wobɛyɛ oprehyɛn, MRI, anaa CT scan a, di kan ka kyerɛ nnuruyɛfo kuw no sɛ worenom aduru yi. Ebia ɛho behia sɛ wugyae aduru no nom nna kakraa bi ansa na wɔayɛ wo oprehyɛn no .
- Tablet a wɔde kata so: Ɛtɔ mmere bi a, aduru yi a wɔde kata so a entumi nnye mu, tablet no ankasa, betumi ne wo nsu a ɛwɔ wo nsu mu no apue. Eyi yɛ ade a ɛfata, mma ɛnhaw wo wɔ ho. Wɔde aduru no akɔ nipadua no mu.
- Vitamin B12 ne folic acid: Sɛ wɔde metformin di dwuma bere tenten a, ebetumi ama vitamin B12 dodow akɔ fam. Wo ne wo duruyɛfo nka eyi ho asɛm na sɛ ɛho hia a, yɛ nhwehwɛmu.
Nneɛma bɔne a ebetumi afi mu aba
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Ebi yɛ aniberesɛm, ebi nso abu so.
| Nsɛnkyerɛnne a ɛhwehwɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara anaasɛ wokɔ ETU | |
|---|---|
| Ade a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Lactic Acidosis Nsɛnkyerɛnne | Ntini mu akisikuru anaa ɛyaw, yafunu mu akisikuru, ahome a ɛyɛ den, ɔbrɛ a ɛtra so. Eyi yɛ ntɛmpɛ a anibere wom yiye. |
| Asikreyare Ketoacidosis (DKA) Ho Nsɛnkyerɛnne . | Sukɔm dodo, nsu a wɔtaa tow, ano a ɛyɛ mmerɛw, nnuaba ahome hua, ahome a ɛyɛ den, yafunu mu yaw, akisikuru/ɔfe. |
| Nsuo mu yareɛ (UTI) . | Nsuo mu yareɛ, nsuo a wɔtaa to, mogya a ɛba nsuo mu, akyi anaa akyi berɛmo mu yaw. |
| Nyarewa a ɛwɔ ɔbarima ne ɔbea nna mu | Kɔkɔɔ, ɔfe, ɛyaw, ɛyaw, hua a ɛyɛ fĩ, anaa nsu a ɛyɛ soronko a ɛba ɔbarima ne ɔbea nna mu anaa nea atwa ho ahyia. |
| Nsu a ɛho ntew | Sukɔm a ɛboro so, ano a ɛyɛ kusuu, akisikuru, nsu a ɛyɛ tumm. |
| Mpɛn pii no, ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo. | |
| Ayamtuo | Akisikuru/akisikuru |
| Tipaeɛ | Nsɛnkyerɛnne a ɛte sɛ atiridii (atiridii) . |
Sɛ wususuw sɛ woanom nnuru a ɛboro so a, kɔ Emergency Department (ETU) a ɛbɛn wo ntɛm ara. Anaasɛ frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no.
Nkrasɛm a Wɔde Kɔ Fie
- Ansa na wubefi saa aduru yi ase no, ka w’ayaresa tebea nyinaa ne nnuru afoforo a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Fa nsu mene tablet no nyinaa a ɛnbubu, nbubu, anaasɛ ɛnwe.
- Hu asikre a ɛba nipadua mu ne DKA a ebetumi aba bere a asikre dodow a ɛwɔ mogya mu no dɔɔso dodo no ho sɛnkyerɛnne. Ɛho hia sɛ wuhu nea ɛsɛ sɛ woyɛ wɔ nsɛm a ɛtete saa mu.
- Kwati nsa a wobɛnom. Ka kyerɛ wo nnuruyɛfo sɛ worenom saa aduru yi ansa na wɔayɛ wo oprehyɛn anaasɛ wɔayɛ wo scan.
- Sɛ wunya ɔhaw biara a emu yɛ den anaasɛ w’adwene mu yɛ wo naa a, kɔ wo duruyɛfo nkyɛn ntɛm ara anaa kɔ Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) nkyɛn.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho