So wo duruyɛfo akyerɛw asikreyare aduru foforo ama wo? Ɛyɛ din tenten kakra, ɛnte saa? Ɛyɛ nnuru abien a wɔfrɛ no Ertugliflozin ne Metformin a wɔaka abom. Ebia woate ho asɛm wɔ edin a wɔde frɛ no Segluromet ase. Enti, momma yɛnkasa tiawa, te sɛ nea yɛne yɛn adamfo bi rekasa, mfa nea saa aduru yi yɛ, sɛnea ɛyɛ adwuma wɔ yɛn nipadua mu, ne nea ɛsɛ sɛ yɛhwɛ yiye bere a yɛde redi dwuma no ho.
Sɛ yɛbɛka no tiawa a, dɛn ne aduru yi?
Eyi yɛ aduru a wɔde sa
asikreyare a ɛto so abien . Ɛka nnuru abien bom. Ertugliflozin ne Metformin a wɔde di dwuma. Sɛ wɔka saa abien yi bom a, ɛboa ma wohwɛ asikre dodow a ɛwɔ wo nipadua mu, kyerɛ sɛ, glucose dodow a ɛwɔ wo mogya mu no so. Fa no sɛ Ertugliflozin yɛ adwuma denam w’asaabo a ɛma asikre a ɛboro so bi fi wo nsu mu no so. Metformin yɛ adwuma titiriw denam asikre dodow a wo mmerɛbo ma so tew ne boa a ɛboa ma wo nipadua mu nkwammoaa yɛ wɔn ade yiye wɔ insulin ho no so. Saa kwan yi so no, wotumi hwɛ asikre a ɛwɔ wo mogya mu no so wɔ akwan abien so.
Nanso ade biako na ɛsɛ sɛ yɛma ɛtra yɛn adwenem. Saa aduru yi a wobɛnom nkutoo nnɔɔso. Aduan pa ne apɔw-mu-teɛteɛ a ɛfata nso yɛ ayaresa yi afã horow a ɛho hia. Sɛ wɔnom aduru yi ka asetra mu nsakrae a oduruyɛfo no akyerɛw ama no ho nkutoo a, na wobetumi anya nea eye sen biara.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase
Ansa na wo duruyɛfo bɛkyerɛw saa aduru yi no, ɛsɛ sɛ onya w’akwahosan ho mfonini a edi mũ. Enti, sɛ wowɔ tebea horow a wɔabobɔ din wɔ ase ha no bi a,
hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo . Eyi ho hia paa ma w’ahobammɔ.
| Quality type | So wowɔ saa tebea horow yi? (Yɛsrɛ sɛ ka kyerɛ wo duruyɛfo ) |
|---|
| Tebea ahorow a ɛfa asikreyare ho | - Asikreyare a ɛto so 1 a obi wɔ
- Esiane sɛ na wadi kan anya Asikreyare Ketoacidosis ( DKA ) nti .
- Nan mu akuru esiane asikreyare nti
- Insulin dodow a wɔsakra no
- Twitwa (sɛ woyi nan anaa ne fã bi fi hɔ) .
|
| Nyarewa afoforo | |
| Asetra kwan ne nsɛm afoforo | - Nsa a wɔtaa nom
- Nsakrae kɛse a wɔbɛyɛ wɔ aduan mu (e.g. adidi kakraa bi) .
- Aduan a nkyene nnim a wobedi
- Nsu a ɛho ntew wɔ nipadua no mu
- Calcium anaa vitamin B dodow a ɛba fam wɔ mogya mu
- Ntini mu yaw ne akwaa a ɛyɛ mmerɛw a wobenya
|
| Daakye nhyehyɛe ne nneɛma a ɛma obi ho yɛ no yaw | - Wɔayɛ nhyehyɛe sɛ wɔbɛyɛ wɔn oprehyɛn anaasɛ wɔbɛyɛ CT/X-ray scan daakye
- Mmɔden a wɔbɔ sɛ wobenyinsɛn anaasɛ mprempren wɔrenyinsɛn
- Akokoaa a wɔma no nufu
- Sɛ wowɔ Ertugliflozin, Metformin anaa aduru foforo biara, aduan, anaa aduru a ɛma obi ho yɛ hyew
|
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma?
Ɔkwan a wɔfa so de saa aduru yi di dwuma no yɛ mmerɛw yiye.
- Fa saa aduru yi ne nsu kuruwa biako .
- Bɔ mmɔden sɛ wobɛnom bere koro mu da biara , sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ.
- Ɛyɛ papa sɛ wobɛnom saa aduru yi bere a woafi adidi ase .
- Nnyae w'aduru nonom da a wonkɔ wo duruyɛfo nkyɛn .
Na sɛ wonom nnuru pii nso ɛ? (Nneɛma a wɔde ma boro so) .
Sɛ wususuw sɛ woanom nnuru pii a, mma wo ho nnyɛ wo hu. Nanso mmu no adewa nso.
Kɔ ayaresabea a ɛbɛn wo no ntɛm ara Emergency Department (ETU) anaa frɛ
National Poisons Information Center a ɛwɔ Colombo National Hospital no na woanya afotu.
Nea ɛho hia sen biara: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mma nnkyɛ obi foforo biara esiane biribiara nti.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Yɛn nyinaa werɛ fi sɛ ɛtɔ da bi a yɛbɛnom yɛn nnuru. Sɛ ɛba saa a, fa dodow a woayera no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere adu sɛ wobɛma wo dodow a edi hɔ bere a wokae 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 da. Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Ɛnyɛ nnuru a wobɛnom nyinaa na ɛne aduru yi bɛyɛ adwuma yiye. Nnuru bi betumi asiw ɔkwan a saa aduru yi yɛ adwuma no kwan. Enti, ɛho hia paa sɛ woka nnuru, vitamin, ne nhabannuru mpo a worenom nyinaa kyerɛ wo duruyɛfo.
Nneɛma a ɛnsɛ sɛ wode aduru yi fa
Saa aduru yi betumi ne
nneɛma bi a ɛma nsonsonoe (aduru) a wɔde ahyɛ nipadua no mu no adi nkitaho, titiriw sɛ worekɔyɛ CT scan, MRI scan, anaa X-ray a. Enti, ɛsɛ sɛ woka kyerɛ nnuruyɛfo no sɛ worenom saa aduru yi ansa na woayɛ nhwehwɛmu a ɛte saa.
Nnuru afoforo a ebia ɛne wɔn ho wɔn ho di nkitaho
Nnuru a ɛwɔ ase ha no betumi ne Ertugliflozin/Metformin adi nkitaho.
- Acetazolamide a wɔde yɛ aduru
- Cimetidine a wɔde di dwuma
- Dolutegravir a wɔde di dwuma
- Lithium a wɔde yɛ nneɛma
- Ranolazine a wɔde yɛ nnuru
- Topiramate a wɔde yɛ aduru
- Vandetanib na ɔkyerɛwee
- Zonisamide a wɔde yɛ aduru
- Dichlorphenamide a wɔde di dwuma
- Nsaden
Nnuru a ebetumi aka asikre dodow a ɛwɔ mogya mu
Nnuru bi betumi asesa asikre dodow a ɛwɔ wo mogya mu (ɛma ɛkɔ soro anaasɛ ɛso tew). Afei nso, nnuru bi betumi akata asikre a ɛba mogya mu (hypoglycemia) ho sɛnkyerɛnne ahorow so, a ɛkyerɛ sɛ yenhu. Eyi betumi ayɛ nea asiane wom kakra. Enti sɛ worenom nnuru yi a, wo duruyɛfo bɛka akyerɛ wo sɛ hwɛ asikre dodow a ɛwɔ wo mogya mu daa.
| Sɛnea nkɛntɛnso no te | Nnuru a wɔde di dwuma ho nhwɛso ahorow |
|---|
| Nnuru a ebetumi aka asikre dodow a ɛwɔ mogya mu | - Mogya mmoroso nnuru bi (sɛ nhwɛso no, benazepril, lisinopril, losartan) .
- Nnuru a ɛma nsu fi nipadua mu (sɛ nhwɛso no, hydrochlorothiazide) .
- Steroid (sɛ nhwɛso no, prednisone, cortisone) .
- Nkwammoaa ahorow (Estrogen, progestin, Testosterone) .
- Thyroid hormone ahorow a ɛma nipadua no yɛ adwuma
- Nnuru bi a ekum ɔyare mmoawa ne nnuru a wɔde sa adwenemyare
|
| Nnuru a ebetumi akata asikre a ɛba fam ho sɛnkyerɛnne ahorow so | - Nnuru a esiw beta ano (sɛ nhwɛso no, atenolol, metoprolol, propranolol) .
- Clonidine, Guanethidine, Nnuru a Wɔde Yɛ Adwuma
|
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
Ɛsɛ sɛ wohwɛ yiye kakra nso bere a worenom aduru yi no.
- Hwɛ wo duruyɛfo wɔ bere a wɔahyɛ no mu. Ɛho hia sɛ wohwɛ wo nkɔso na woyɛ sɔhwɛ ahorow a ɛho hia. Oduruyɛfo no bɛhwɛ wo HbA1C (sɔhwɛ a ɛkyerɛ asikre dodow a ɛwɔ wo mogya mu wɔ asram 2-3 a atwam no mu) dodow.
- Hu asikre a ɛba mogya mu (hypoglycemia) ho sɛnkyerɛnne. Siesie wo ho ma sɛnkyerɛnne ahorow te sɛ fifiri, wosow, ɔkɔm a ɛtra so, ne koma a ɛbɔ ntɛmntɛm. Fa glucose tablet anaa asikre packet ka wo ho bere nyinaa.
- Kwati sɛ nsu a ɛbɛtɔ wo mu. Nom nsu pii. Sɛ wowɔ atiridiinini, ɔfe, anaa akisikuru a, hwɛ yiye titiriw na ka ho asɛm kyerɛ wo duruyɛfo, efisɛ ebetumi ama nsu pii ayera.
- Ka kyerɛ wo duruyɛfo sɛ worenom saa aduru yi ansa na wɔayɛ wo oprehyɛn anaasɛ wɔayɛ wo scan . Wɔbɛkyerɛ wo bere a ɛsɛ sɛ wugyae nom ne bere a ɛsɛ sɛ wufi ase bio.
- Hwɛ yiye wɔ vitamin B12 ho. Sɛ obi nom saa aduru yi bere tenten a, ebetumi ama vitamin B12 dodow so atew. Wo ne wo duruyɛfo nka eyi ho asɛm.
- Sɛ wohyɛ aduruyɛ ho ID abɔso anaa kaad a ɛkyerɛ sɛ woyɛ asikreyarefo a, ebetumi ayɛ nea mfaso wɔ so kɛse wɔ tebea a egye ntɛmpɛ mu.
Dɛn ne nnuru no mu nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, saa aduru yi betumi de ɔhaw ahorow aba nnipa binom so, nanso ɛnyɛ obiara na onya bi. Hwɛ yiye wɔ sɛnkyerɛnne ahorow a ɛwɔ ase ha no ho.
Nneɛma bɔne a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara: Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wobɔ
wo duruyɛfo amanneɛ.
| Nsunsuanso bɔne | Nkyerɛkyerɛmu ne sɛnkyerɛnne ahorow |
|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Asikreyare a ɛma obi nya ketoacidosis (DKA) . | Sukɔm dodo, nsu a wɔtaa tow, n’ano a ɛyɛ mmerɛw, ɔhome a ɛyɛ den, ɔhome hua a ɛte sɛ nnuaba, yafunu mu yaw, ɔfe. |
| Nsu a ɛho ntew | Sukɔm dodo, ano a ɛyɛ kusuu, akisikuru, nsu a ɛyɛ kɔkɔɔ tuntum anaa bruu. |
| Lactic acidosis (Lactic acid dodow a ɛkɔ soro) . | Ntini mu yaw, yafunu mu yaw, ahome a ɛyɛ den, ɔbrɛ a ɛtra so. |
| Nyarewa a wɔde nyarewa ba | Nsuo mu yareɛ (UTI) - nsuo a ɛyɛ hyew, nsuo a ɛtaa to, yafunu ase yaw. Yeast infection wɔ ɔbarima ne ɔbea nna mu - ɛyaw, kɔkɔɔ, ɛho ahonhon. Nyarewa a emu yɛ den wɔ beae a efi ɔbarima ne ɔbea nna mu kosi akyi berɛmo no mu. |
| Vitamin B12 a enni nipadua mu | Ɛyaw a ɛba nipadua no akwaa mu, ɛyɛ mmerɛw, ntini a ɛyɛ mmerɛw, adwenemhaw, adwene a ɛyɛ basaa. |
| Nnuan a wɔyam no mu haw ahorow | Atiridiinini, gas, akisikuru, ɔfe, yafunu mu akisikuru. |
| Foforɔ | Tipaeɛ. |
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no sie? Ɔkwan bɛn so na ɛsɛ sɛ metow gu?
- Fa saa aduru yi sie baabi a mmofra ne afieboa ntumi nkɔ hɔ .
- Fa sie wɔ dan mu hyew (a ɛwɔ digrii Celsius 20-25 ntam).
- Mfa nnuru a ne bere atwam nni dwuma. Tow gu sɛnea ɛsɛ.
- Ɔkwan a eye sen biara a wobɛfa so ayi nnuru afi hɔ ne sɛ wode bɛhyɛ nhyehyɛe bi a wɔde gye nnuru a nnurutɔnbea anaa ayaresabea bi na ɛhwɛ so no nsa.
- Sɛ ɛno ntumi nyɛ yiye a, yi aduru no fi ade no mu, fra biribi te sɛ kɔfe a wɔayam, dɔte, anaa mpataa nwura a wɔde adi dwuma, fa gu kotoku a wɔatoto mu denneennen mu, na tow gu nwura mu. Mfa nsu nhohoro tiafi mu da.
Nkrasɛm a Wɔde Kɔ Fie
- Saa aduru yi yɛ mmoa a wɔde siw asikreyare ano ara kwa. Aduan a ɛfata ne apɔw-mu-teɛteɛ ho hia.
- Ka nnuru afoforo a worenom nyinaa ne ayaresa tebea biara a wowɔ ho asɛm kyerɛ wo duruyɛfo.
- Hu asikre a ɛba mogya mu (hypoglycemia) ne nsu a ɛho ayɛ fĩ ho sɛnkyerɛnne ahorow.
- Sɛ wunya nsu mu yare, ɔbarima ne ɔbea nna mu yare, anaa ɔhaw afoforo a emu yɛ den a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
- Nnyae saa aduru yi a wode bedi dwuma a wunnyaa wo duruyɛfo afotu.
- Sɛ wowɔ nneɛma bi a ɛhaw wo wɔ wo asikreyare ayaresa ho a, nsuro da sɛ wo ne wo duruyɛfo bɛkasa.
Asikreyare, Ertugliflozin, Metformin, Segluromet, asikreyare a ɛto so abien, asikre a ɛwɔ mogya mu, asikre a wɔde siw ano
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