So worepere Asikreyare a Ɛto so Abien no? Sɛ saa a, ebia wo duruyɛfo no aka aduru foforo bi ho asɛm akyerɛ wo. Ɛyɛ nnuru abien a wɔfrɛ no Ertugliflozin ne Sitagliptin a wɔaka abom. Momma yɛnhwɛ sɛnea ebetumi aboa ma asikre dodow a ɛwɔ wo mogya mu no so, ne nea ɛsɛ sɛ wuhu bere a wode redi dwuma no.
Dɛn ne aduru yi?
Sɛ yɛbɛka no tiawa a, Ertugliflozin ne Sitagliptin yɛ nnuru abien a wɔde ma nnipa a wɔwɔ asikreyare a ɛto so abien (Asikreyare a ɛto so abien) wɔ aduru biako mu. Ade titiriw a ɛwɔ eyi mu ne sɛ wobɛtew asikre dodow a ɛwɔ wo mogya mu (mogya mu glucose) so . Nanso, aduru yi nkutoo nnɔɔso sɛ ɛbɛma aba pa. Ɛsɛ sɛ wudi w’aduan so na woteɛteɛ w’apɔw mu da biara da ka aduru yi ho. Ɛno ne bere a eye ankasa.
Ɛtɔ da bi a nnuruyɛfo betumi de saa aduru yi adi dwuma ama akwahosan ho nsɛm afoforo, enti sɛ wowɔ nsɛmmisa bi a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo.
Edin foforo a wɔtaa de frɛ saa aduru yi ne Steglujan . Ebia wo duruyɛfo no abɔ saa din no.
Dɛn na ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom saa aduru yi?
Okay, afei nneɛma bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa aduru yi ase. Efisɛ ɛho hia yiye sɛ ohu sɛnea saa aduru yi ne w’akwahosan tebea afoforo bedi nkitaho. Nneɛma bi a ɛsɛ sɛ woka kyerɛ no ampa sɛ wowɔ bi ni:
- Sɛ wowɔ komayare anaa mogya ntini mu haw ahorow a .
- Sɛ tebea bi te sɛ nsu a ɛho ntew wɔ nipadua no mu wɔ hɔ a.
- Sɛ woadi kan anya tebea bi a wɔfrɛ no asikreyare ketoacidosis a .
- Sɛ woatew nkyene a ɛwɔ w’aduan mu so a.
- Sɛ woredidi kakraa bi esiane yare, oprehyɛn, aduan, anaa biribi foforo nti a.
- Sɛ akuru wɔ nan no so a .
- Sɛ wɔrebɛyɛ wo oprehyɛn nnansa yi ara a.
- Sɛ wo srade dodow dɔɔso a .
- Sɛ wɔadi kan ayi nan bi fã bi afi hɔ a.
- Sɛ wowɔ abakɔsɛm a ɛkyerɛ sɛ wowɔ dwensɔtwaa mu yare anaa dwensɔtwaa mu haw afoforo a.
- Sɛ wotaa nya ɔbarima ne ɔbea nna mu mmɔkaw a .
- Sɛ woyɛ obi a ɔnom nsa daa a .
- Sɛ wotaa nya akisikuru, asaabo, anaa nsu mu yare a .
- Sɛ wowɔ asaabo mu yare a .
- Sɛ wowɔ mmerɛbo mu yare a .
- Sɛ mogya mmoroso sua a .
- Sɛ wowɔ ntini mu yare a .
- Sɛ woreyɛ hemodialysis a .
- Kan no , tɛkrɛma, anim, anofafa a ahonhon, ɛyɛ den sɛ wobɛhome, ɛyɛ den sɛ wobɛmene, ɛnne sesaSɛ nneɛma a ɛte saa asi a.
- Sɛ ɛyɛ den ma wo sɛ wobɛtow wo ho a .
- Sɛ wowɔ asikreyare a ɛto so 1 (wɔde saa aduru yi ma asikreyare a ɛto so abien nkutoo).
- Sɛ woyɛ ɔbarima a wontwaa twetia a .
- Sɛ wo ho nyɛ wo hyew wɔ Ertugliflozin, Sitagliptin, anaa nnuru foforo biara, nnuan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde siesie nneɛma ho a .
- Sɛ wonyinsɛn a ɛnyɛ hwee , sɛ worebɔ mmɔden sɛ wubenyinsɛn a .
- Sɛ woyɛ ɛna a ɔma nufu a .
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
Ɛsɛ sɛ wɔde ano ka saa aduru yi a wɔde nsu kuruwa ka ho. Di akwankyerɛ no akyi sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ. Wubetumi de eyi aka aduan ho anaasɛ wunhia. Nanso, sɛ wo yafunu ayɛ wo yaw a, ɛbɛyɛ papa sɛ wode bɛka aduan ho. Ɛyɛ papa sɛ wobɛnom saa aduru yi anɔpa . Bɔ mmɔden sɛ wobɛnom bere koro mu da biara. Nnom pii nsen nea wo duruyɛfo aka akyerɛ wo no, anaasɛ nnom no mpɛn pii. Afei nso, nnyae aduru no nom mpofirim a wunnya wo duruyɛfo afotu .
Sɛ wonya saa aduru yi fi nnurutɔnbea hɔ a, wɔbɛma wo nsɛm kratasin titiriw bi (MedGuide) a ɛka ho. Hwɛ hu sɛ wobɛkenkan no yiye bere biara a wubenya w’aduru anaasɛ wobɛsan ahyɛ mu ma no. Nsɛm a ɛho hia pii wom.
Wo ne w'akwahosan kuw no nkasa mfa saa aduru yi a wode bɛma mmofra ho . Ebia ɛho behia sɛ wɔhwɛ yiye titiriw.
Sɛ wonom nnuru pii a: Sɛ wususuw sɛ woanom aduru yi pii a, frɛ beae a wɔhwɛ awuduru so anaa baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ ntɛm ara.
Nea ɛho hia: Wɔakyerɛw saa aduru yi ama wo nkutoo. Mfa nnkyɛ obi foforo biara.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Fa no sɛ wo werɛ fi sɛ wobɛnom w’aduru anɔpa. Fa 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 dodow a edi hɔ no sɛnea wɔahyɛ da ayɛ no. Mfa nnuru abien prɛko pɛ da.
Nneɛma foforo bɛn na ebetumi ne aduru yi adi nkitaho?
Sɛ worenom nnuru afoforo, nhabannuru, anaa vitamin bere a worenom asikreyare aduru yi a, ɛsɛ sɛ woka ho asɛm nso kyerɛ wo duruyɛfo. Nneɛma bi betumi ne aduru yi adi nkitaho. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma a, ka kyerɛ wo duruyɛfo. Nneɛma bi a ebetumi ne aduru yi adi nkitaho ni:
- Nsaden
- Digoxin (aduru a wɔde sa komayare) .
- Lithium (wɔde eyi ma adwenemyare) .
- Steroid nnuru te sɛ prednisone anaa cortisone
- Sulfonylureas, te sɛ glimepiride, glipizide, ne glyburide
- Nnuru a wɔde yɛ thyroid
Saa nsɛm a wɔahyehyɛ yi nyɛ nea ɛfa ne nyinaa ho, enti ɛbɛyɛ papa sɛ wobɛka biribiara a wode bedi dwuma ho asɛm akyerɛ wo duruyɛfo.
Ahwɛyiye titiriw bɛn na ɛsɛ sɛ wɔyɛ bere a wɔrenom aduru yi?
Bere a worenom saa aduru yi no, kɔ wo duruyɛfo nkyɛn daa na hwɛ sɛnea w’akwahosan te. Afei wubetumi ahu sɛ aduru no fata wo anaa, na sɛ ehia sɛ wɔyɛ nsakrae bi anaa.
Ɛtɔ mmere bi a saa aduru yi betumi de tebea a emu yɛ den aba a mogya no mu bɛyɛ acid dodo . Sɛ wuhu sɛnkyerɛnne ahorow te sɛ akisikuru, ɔfe, yafunu mu yaw, ɔbrɛ a ɛyɛ soronko, anaasɛ ɛyɛ den sɛ wobɛhome a , gyae aduru yi nom ntɛm ara na frɛ wo duruyɛfo . Sɛ ɛbɛyɛ yiye a, fa ketone sɔhwɛ krataa hwɛ wo nsu mu sɛ ketones anaa .
Wɔyɛ wo HbA1C (A1C) nhwehwɛmu nso daa. 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. Wɔyɛ saa sɔhwɛ yi asram 3-6 biara.
Sua sɛnea wobɛhwɛ asikre dodow a ɛwɔ wo mogya mu wɔ fie . Ɛho hia 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 ɛyɛ ntɛm ka wo ho bere nyinaa sɛ asikre a ɛwɔ wo mogya mu no sua (hypoglycemia) a . Sɛ nhwɛso no, asikre a wɔde ahyɛ mu anaa glucose aduru. Sɛ asikre a ɛwɔ wo mogya mu no sua koraa na wo ho retɔ wo anaasɛ wo ho reyera a, ka kyerɛ wɔn a wɔatwa wo ho ahyia no sɛ sɛ woma wɔn aduan anaa anonne saa bere no a, ebetumi ama wɔn amene. Sɛ eyi ba a, ɛsɛ sɛ wɔhwehwɛ nnuruyɛfo mmoa ntɛm ara.
Sɛ wote nka sɛ asikre a ɛwɔ wo mogya mu no dɔɔso a, ka kyerɛ wo duruyɛfo. Ebia ɛho behia sɛ wɔyɛ nsakrae wɔ nnuru dodow a wode di dwuma no mu. Ebia ɛho behia sɛ wosakra nnuru dodow a wode di dwuma no sɛ woyare anaasɛ woteɛteɛ w'apɔw mu sen sɛnea wotaa yɛ a .
Mma nntwa adidi so . Bisa wo duruyɛfo sɛ ɛsɛ sɛ wokwati nsa anaa. Ebia asikre anaa nsa wɔ ɔfe ne atiridii nnuru pii a wɔtɔn a wɔmfa nnuru nhyɛ mu. Eyinom betumi aka asikre dodow a ɛwɔ wo mogya mu.
Hyɛ aduruyɛ ho ID krataa a ɛkyerɛw nsɛm te sɛ w’ayaresa tebea, nnuru a wode di dwuma, ne bere a ɛsɛ sɛ wonom wo nnuru no anaa fa sie .
Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba nnipa binom so. Ebi yɛ aniberesɛm, ebi nso nyɛ aniberesɛm saa. Nanso sɛ wuhu biribi a ɛyɛ soronko 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, urticaria (hives), anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon.
- Nsu a ɛho ntew: Sukɔm dodo, ano a ɛyɛ mmerɛw, adwenemhaw, tiyɛ, nsu a ɛyɛ kɔkɔɔ tuntum anaa bruu.
- Asikreyare a ɛma obi nya ketoacidosis (DKA): .Sukɔm anaa nsu a ɛtɔ dodo, ano a ɛyɛ mmerɛw, ɔbrɛ a ɛtra so, ahome hua a ɛte sɛ nnuaba, ahome a ɛyɛ den, yafunu mu yaw, akisikuru, ɔfe.
- Genital yeast infection: kɔkɔɔ, ɛho ahonhon, ɛyaw anaa ɛyaw, hua a ɛyɛ fĩ, nsu a ɛyɛ den anaasɛ ɛyɛ curdled. (Eyi betumi ato mmarima ne mmea nyinaa).
- Komayare ho sɛnkyerɛnne: ɔhome a ɛyɛ tiaa, anan, anan, anaa nsa a ɛho ahonhon, mu duru a ɛkɔ soro mpofirim, na ɔte nka sɛ wayɛ mmerɛw anaasɛ wabrɛ wɔ ɔkwan soronko so.
- Ɔyare mmoawa, kɔkɔɔ, ɔfe, ɛyɛ den, anaa ɛyaw a atwa ɔbarima ne ɔbea nna ho ahyia anaa baabi a ɛkɔ akyi berɛmo no so: Eyi betumi ayɛ tebea bi a emu yɛ den yiye a wɔfrɛ no Fournier gangrene , ho sɛnkyerɛnne, enti sɛ wuhu biribi a ɛte sɛɛ a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Asaabo a ɛsɛe: nsu a ɛba no so tew, nansoaa, nsa, anaa anan a ɛho ahonhon.
- Ɛyaw foforo anaasɛ ɛyɛ mmerɛw wɔ nan anaa nan mu, honam ani kɔla a ɛsakra, akuru anaa akuru, anaa ɔyare mmoawa .
- Pancreatitis: Yafunu mu yaw a emu yɛ den a ɛtrɛw kɔ akyi, ɛyaw a emu yɛ den bere a wɔadi anaa bere a wɔde wɔn nsa aka no, atiridiinini, akisikuru, ne ɔfe.
- Sɛ wuhu sɛ wo ho yɛ kɔkɔɔ, wo ho yɛ wo hyew, wo honam ani wo ho tew, anaa nneɛma a ɛtete saa wɔ w’ano mu a .
- Nkwaa mu yaw a emu yɛ den.
- Urinary tract infection (UTI): Ɔhyew bere a ɔreto nsu, ɔtaa tow, mogya anaa mununkum, ɛyaw wɔ yafunu ase anaa n’afã.
Nsunsuanso bɔne a mpɛn pii no enhia nnuruyɛfo afotu, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo
- Tipaeɛ
- Hwene a ɛretu anaasɛ hwene a 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, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo no afotu. Wubetumi nso abɔ amanneɛ akyerɛ FDA (1-800-FDA-1088).
Ɔkwan bɛn so na ɛsɛ sɛ wode w’aduru sie?
Fa saa aduru yi sie baabi a mmofra ne afieboa ntumi nkɔ hɔ .
Fa sie wɔ dan mu hyew, digrii Celsius 15 kosi 30 (digrii Fahrenheit 59 kosi 86). Tow nnuru a ne bere atwam gu.
Yɛsrɛ sɛ hyɛ no nsow: Asɛm yi yɛ nsɛm a wɔaboaboa ano nkutoo. Ebia nsɛm no 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.
Nneɛma a ɛho hia paa a ɛsɛ sɛ wokae
Okay, enti, efi nea yɛde asikreyare nnuru yi a wɔfrɛ no Ertugliflozin ne Sitagliptin aka ho asɛm no mu no, nneɛma atitiriw a ɛsɛ sɛ wokae no bi ni:
- Saa aduru yi boa ma wohwɛ asikre a ɛwɔ wo mogya mu so , nanso sɛ wudi aduan pa na woteɛteɛ w'apɔw mu na wunya nea eye sen biara .
- Ansa na wubefi aduru no ase no, woHwɛ hu sɛ wobɛka akwahosan ho tebea foforo biara a wowɔ ho asɛm akyerɛ wo duruyɛfo .
- Fa dodow a wɔakyerɛw ama no, wɔ bere a wɔahyɛ no mu, sɛnea oduruyɛfo no akyerɛ no. Mma nntwa nnuru dodow a wɔde ma no so anaasɛ nnom nnuru abien prɛko pɛ.
- Hu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ asikre a ɛwɔ wo mogya mu no so tew (hypoglycemia) na fa asikre bi sie wo nsam bere a wuhia no.
- Sɛ wuhu tebea bi a emu yɛ den a wɔfrɛ no asikreyare ketoacidosis (DKA) (akisikuru, ɔfe, yafunu mu yaw, ɔbrɛ kɛse, ɛyɛ den sɛ wobɛhome) ho sɛnkyerɛnne a, ka kyerɛ wo duruyɛfo ntɛm ara .
- Sɛ wunya ɔhaw biara a ɛyɛ soronko , titiriw ɔbarima ne ɔbea nna mu nyarewa, nan mu akisikuru, anaa komayare ho sɛnkyerɛnne ahorow a, hwehwɛ oduruyɛfo ntɛm ara.
- Ka nnuru afoforo a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo , efisɛ ebia nnuru bi ne eyi bedi nkitaho.
Asikreyare a wobɛtra ase no betumi ayɛ den, nanso sɛ wonom nnuru yiye, woyɛ nsakrae wɔ w’asetra mu, na wo ne wo duruyɛfo bɛkɔ so adi nkitaho a, ebetumi aboa wo kɛse ma woanya apɔwmuden. Mma ɛnhaw wo, ɛnyɛ wo nko ara!
` Asikreyare, ertugliflozin, sitagliptin, asikreyare aduru, asikre a ɛwɔ mogya mu, asikreyare a ɛto so abien, Steglujan
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