Bere a wo duruyɛfo ka kyerɛɛ wo sɛ wowɔ asikreyare , anaa asikreyare a ɛto so abien no, ebia wɔkyerɛw wo aduru bi a wɔfrɛ no Glimepiride. Nnipa binom nim no denam edin a wɔde frɛ no Amaryl no so. Eyi yɛ aduru a abu so na ɛho hia yiye a wɔde siw asikreyare ano . Enti, dɛn ankasa na saa aduru yi yɛ wɔ wo nipadua mu? Nneɛma bɛn na ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode redi dwuma no? Dɛn ne nsunsuanso bɔne a efi mu ba ? Ɛnnɛ, yɛbɛka eyinom nyinaa ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw koraa a wubetumi ate ase so.
Dɛn na ɛba wɔ aduru yi ho ankasa?
Okay, momma yɛnka eyi tiawa. Obi a ɔwɔ asikreyare betumi anya ɔhaw atitiriw abien wɔ ne nipadua mu. Biako ne sɛ wɔnyɛ hormone insulin , a ehia na ama asikre dodow a ɛwɔ mogya mu no so ahwɛ no sɛnea ɛsɛ. Ɔfoforo nso ne sɛ nipadua no mu nkwammoaa ntumi mfa insulin dodow a wɔyɛ no nni dwuma yiye.
Glimepiride ka nnuru bi a wɔfrɛ no sulfonylureas ho. Ɛka kyerɛ wo dwensɔtwaa titiriw sɛ "yɛ insulin pii." Eyi kyerɛ sɛ, sɛ wɔnom saa aduru yi a, insulin dodow a ɛwɔ wo nipadua mu no kɔ soro. Bio nso, ɛboa ma wo nipadua mu nkwammoaa yɛ wɔn ade yiye wɔ insulin ho (i.e., fa di dwuma yiye). Saa nneɛma abien yi nyinaa ma asikre ( glucose ) dodow a ɛwɔ wo mogya mu no so tew, na ɛboa ma wudi asikreyare so.
Nanso kae sɛ, aduru yi nkutoo nnɔɔso. Sɛ wubetumi adi asikreyare so yiye a, ɛsɛ sɛ wudi aduan pa ne apɔw-mu-teɛteɛ nso . Aduruyɛ yɛ mmoa foforo ara kwa.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na wo duruyɛfo bɛma wo Glimepiride no, obebisa wo nsɛm kakraa bi. Nanso ɛtɔ mmere bi a, ebia wo werɛ befi. Enti, sɛ wowɔ tebea horow a ɛwɔ ase ha no bi a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo . Mfa saa nneɛma yi nsie, efisɛ ebetumi aka wo.
| Wo tebea no | Dɛn nti na ɛsɛ sɛ woka kyerɛ oduruyɛfo no? |
|---|---|
| Tebea bi a wɔfrɛ no asikreyare ketoacidosis a wobenya. | Eyi yɛ asikreyare ho haw a emu yɛ den. Glimepiride mfata nnipa a wɔwɔ saa tebea yi. |
| Tebea bi a wɔfrɛ no G6PD a enni hɔ. | Nnipa a wɔwɔ saa tebea yi betumi anya ɔhaw ahorow te sɛ mogya a ɛtɔ kɔ nipadua mu (mogya dodow a ɛba fam) sɛ wɔnom Glimepiride a. |
| Sɛ obi wɔ komayare, asaabo mu yare, anaa mmerɛbo mu yare. | Sɛ akwaa ahorow yi ntumi nyɛ adwuma yiye a, ebia ɛho behia sɛ wɔsesa aduru no dodow anaasɛ ɛho behia sɛ wɔma no aduru foforo. |
| Thyroid yare a ɛwɔ nipadua no mu. | Thyroid hormone dodow ka asikre dodow a ɛwɔ mogya mu, enti ɛsɛ sɛ wo duruyɛfo hu eyi. |
| Sɛ obi anya ɔyare mmoawa a emu yɛ den anaasɛ wapira. | Asikre dodow a ɛwɔ mogya mu betumi asesa bere a nipadua no wɔ adwennwen a emu yɛ den mu no. |
| Mmɔden a wobɛbɔ sɛ wubenyinsɛn, anyinsɛn, anaa nufu a wobɛma. | Wɔ saa mmere yi mu no, ɛsɛ sɛ oduruyɛfo no si gyinae sɛ ebia Glimepiride fata anaasɛ ɛnfata. Mpɛn pii no, wɔbɛkamfo ayaresa nhyehyɛe foforo akyerɛ. |
| Glimepiride anaa nnuru afoforo a wɔde yɛ sulfa, nnuan, anaa nnuru a wɔde yɛ nneɛma a ɛma obi ho yɛ no hyew. | Sɛ wo ho yɛ wo hyew wɔ biribi ho a, sɛ wudi kan bɔ yɛn amanneɛ a, ebetumi aboa ma woasiw akisikuru a emu yɛ den ano. |
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
Eyi nso ho hia paa. Sɛ wubenya aduru no so mfaso kɛse a, ɛsɛ sɛ wonom no sɛnea wɔakyerɛ wo no pɛpɛɛpɛ.
- Nom nom wɔ ano:Eyi ba wɔ aduruyɛ mu, a wɔde ka nsu kuruwa ho.
- Fa ka aduan ho: Mpɛn pii no, nnuruyɛfo ka kyerɛ wo sɛ fa saa aduru yi ka da no mu aduan titiriw a edi kan (anɔpaduan) ho. Ntease bi wɔ hɔ a enti ɛte saa. Sɛ wofa no yafunu a hwee nni mu a, ebetumi ama asikre dodow a ɛwɔ wo mogya mu no so atew dodo ( hypoglycemia ).
- Bere koro mu da biara: Bɔ mmɔden sɛ wobɛnom w’aduru no bere koro mu da biara sɛnea wubetumi biara. Eyi bɛboa ma aduru no dodow akɔ so ayɛ nea ɛkɔ so daa wɔ wo nipadua mu.
- Sɛ woadi boro mfe 65 a: Ebia nnipa a wɔn mfe akɔ anim bɛte nka sɛ aduru yi nkɛntɛnso mu yɛ den kakra. Enti ebia wo duruyɛfo befi ase de nnuru a ɛba fam adi dwuma.
- Sɛ wɔde ma mmofra a: Sɛ wɔde saa aduru yi ma mmofra a, ɛsɛ sɛ wɔhwɛ yiye titiriw. Wo ne wo duruyɛfo nka eyi ho asɛm.
Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ? (Nneɛma a wɔde ma boro so) .
Sɛ wususuw sɛ woanom pii asen sɛnea wususuw, anaasɛ wuhu sɛ wo ba no anom nnuru yi a, nsɛe bere biara . Frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ ntɛm ara . Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
Nea ɛho hia sen biara: Saa aduru yi yɛ ma wo nkutoo. Mfa wo asikreyare aduru mma obi foforo da. Saa onipa no tebea betumi asesa, na ɛno betumi de asiane aba.
Na sɛ mepa nnuru dodow bi nso ɛ?
Yɛsrɛ sɛ mma wo ho nnpopo saa bere yi. Fa dodow a woayera no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ (sɛ nhwɛso no, sɛ ɛsɛ sɛ wode ma anɔpa da a edi hɔ wɔ nnɔnhwerew kakraa bi mu 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 nnom bere koro mu da. Saa a wobɛyɛ no betumi ama asikre dodow a ɛwɔ wo mogya mu no so atew wɔ ɔkwan a asiane wom so.
Nnuru afoforo a ebetumi ne Glimepiride adi nkitaho
Eyi nso yɛ biribi a nnipa pii nnim. Aduru biako a yɛnom tumi ne foforo "di nkitaho". Ɛno kyerɛ sɛ ɔkwan a nnuru abien no fa so yɛ adwuma no betumi asesa. Eyi betumi ama Glimepiride nkɛntɛnso akɔ soro na ama asikre dodow a ɛwɔ mogya mu no so atew wɔ ɔkwan a ɛyɛ hu so, anaasɛ ebetumi atew ne nkɛntɛnso so na ama asikre dodow a ɛwɔ mogya mu a wontumi nni so.
| Nnuru a ɛnsɛ sɛ wɔde Glimepiride ka ho | |
|---|---|
| Bosentan na ɔkyerɛwee | Chloramphenicol a wɔde yɛ aduru |
| Cisapride na ɔkyerɛwee | Clarithromycin a wɔde yɛ aduru |
| Nnuru bi a wɔde sa fungal infections | Metoclopramide a wɔde di dwuma |
| Probenecid a wɔde yɛ nnuru | Warfarin (aduru a ɛma mogya yɛ mmerɛw) . |
| Nnuru a ɛsɛ sɛ yɛhwɛ yiye wɔ ho sɛnea ebia ɛne aduru yi bedi nkitaho | |
|---|---|
| Nsaden | Aspirin ne nnuru a ɛtete saa |
| Nnuru a wɔde yɛ komayare bi | Nnuru a wɔde hyɛ nsu mu (nsu mu nnuru) . |
| Estrogen anaa progestin hormone ahorow | Nnuru bi a wɔde sa adwenemyare (MAOIs, Fluoxetine) . |
| Nnuru a wɔde sa ɔfe, atiridiinini, ne ayamtu | Nnuru a wɔde kum ɛyaw (NSAIDs - s.e. Ibuprofen, Naproxen) . |
| Nnuru bi a ekum ɔyare mmoawa (Quinolone nnuru a ekum ɔyare mmoawa) . | Steroid ahorow (Steroids - s.e. Prednisone) . |
| Nnuru a wɔde ma obi mu duru so tew | Nnuru a wɔde nhabannuru yɛ ne nnuru a wɔde ka ho binom |
Saa nsɛm a wɔahyehyɛ yi nwiei, enti ɛbɛyɛ papa sɛ wobɛka nnuru a wonom nyinaa ho asɛm akyerɛ wo duruyɛfo, a vitamin, nhabannuru , ne nnuru a wɔde ka aduan ho ka ho . Afei nso, sɛ wonom nsa anaa wonom sigaret a, ka kyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom nnuru no
Sɛ Glimepiride a wobɛnom no bɛyɛ w’asetra fã a, asɛyɛde ahorow bi wɔ hɔ a ɛsɛ sɛ wudi ho dwuma.
- Kɔ wo duruyɛfo nkyɛn daa: Kɔ ayaresabea wɔ nna a wɔahyɛ ato hɔ mu. Oduruyɛfo no bɛhwɛ sɛnea wɔredi wo asikreyare no so yiye.
- HbA1C nhwehwɛmu: Saa nhwehwɛmu yi susuw asikre dodow a ɛwɔ wo mogya mu wɔ asram 2-3 a atwam no mu. Wɔtaa yɛ sɔhwɛ yi asram 3 kosi 6 biara.
- Hwɛ asikre dodow a ɛwɔ wo mogya mu wɔ fie: Sɛ ɛbɛyɛ yiye a, nya glucometer a wode besie wɔ fie na sua sɛnea wobɛhwɛ asikre dodow a ɛwɔ wo mogya mu daa. Hu asikre a ɛba mogya mu (hypoglycemia) ne asikre a ɛkɔ soro ( hyperglycemia ) ho sɛnkyerɛnne, ne nea ɛsɛ sɛ woyɛ wɔ saa nsɛm no mu.
- Fa asikre bi sie wo ho: Baabiara a wobɛkɔ no, fa asikre bi te sɛ glucose tablet anaa toffee a ɛyɛ dɛ gu wo bag anaa wo kotoku mu. Sɛ wote nka sɛ asikre a ɛwɔ wo mogya mu no so atew (wowosow, wo ho fifiri, wo ho yɛ wo yaw) a, di bi ntɛm.
- Mma nnyae adidi: Ɛyɛ asiane kɛse sɛ wubehuruw adidi bere a worenom aduru yi. Saa a wobɛyɛ no betumi ama asikre dodow a ɛwɔ wo mogya mu no so atew dodo.
- Hwɛ yiye wɔ owia mu: Ebia aduru yi bɛma wo honam ani ayɛ mmerɛw kakra wɔ owia ho. Enti, sɛ worekɔ akɔtena owia mu a, fa nkatanim di dwuma, hyɛ ntade a ɛkata wo nipadua so, na fa aduru a ɛbɔ wo ho ban fi owia ho gu so.
- Hyɛ aduruyɛ ho ID: Ɛho hia sɛ wode abɔso, kɔnmuade, anaa krataa a ɛkyerɛ sɛ wowɔ asikreyare ne nnuru a wonom no kɔ. Ebetumi agye wo nkwa wɔ tebea a egye ntɛmpɛ mu.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, Glimepiride betumi de ɔhaw ahorow aba nnipa binom so, nanso ɛnyɛ obiara na onya bi. Mma ɛnhaw wo, ɛho hia sɛ wohwɛ wɔn yiye.
| Nsunsuanso bɔne | Dɛn na ɛsɛ sɛ yɛyɛ? |
|---|---|
| Nsunsuanso bɔne a ɛhwehwɛ sɛ wonya ayaresa ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew: honam ani akisikuru, ɛyaw, anim a ɛho ahonhon, anofafa, tɛkrɛma, ahome a ɛyɛ den. | Kɔ ayaresabea bi Dwumadibea a Ɛhwɛ Nneɛma a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara. Eyi yɛ tebea a emu yɛ den. |
| Asikre dodow a ɛba fam koraa wɔ mogya mu (Hypoglycemia): Wosow, fifiri, te nka sɛ wo ho yeraw wo, koma bɔ ntɛmntɛm, adwenemhaw, adwene a ɛyɛ basaa. | Di kan di asikre bi. Sɛ tebea no mu yɛ den anaa sɛ w’adwene mu yɛ wo naa a, fa wɔn kɔ ayaresabea ntɛm ara. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo: | |
| Adwene a ɛyɛ basaa | Mpɛn pii no, eyinom brɛ ase wɔ nna kakraa bi mu, nanso sɛ ɛkɔ so anaasɛ ɛhaw wo a, ka kyerɛ wo duruyɛfo. |
| Tipaeɛ | |
| Akisikuru (te nka sɛ ɔyare) . | |
Ɔkwan bɛn so na wode w’aduru sie?
- Twe wo ho fi mmofra ne afieboa ho.
- Fa sie wɔ dan mu hyew (a ɛba fam sen digrii Celsius 30). Bɔ ho ban fi ɔhyew ne nsu a ɛboro so ho. Ɛnyɛ adwene pa sɛ wode nnuru bɛto aguaree.
- Mfa nnuru a ne bere atwam nni dwuma. Tow gu sɛnea ɛsɛ.
Glimepiride yɛ aduru kɛse a ɛboa ma wodi asikreyare so. Ade a ɛho hia sen biara ne sɛ wode bedi dwuma yiye na woanya ho nsɛm yiye. Sɛ wowɔ nsɛmmisa foforo bi fa aduru yi ho a, mfa nsie wo ho, na mmom bisa wo duruyɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- Fa Glimepiride aduru bere koro mu da biara, sɛnea wo duruyɛfo kyerɛ no, ne aduan.
- Mma nntwa adidi so da. Saa a wɔbɛyɛ no betumi ama asikre dodow a ɛwɔ mogya mu no so atew wɔ ɔkwan a asiane wom so.
- Hu asikre a ɛba mogya mu (hypoglycemia) (wosow, fifiri, adwenemhaw) ho sɛnkyerɛnne ahorow. Fa asikre anaa biribi a ɛyɛ dɛ bi ka wo ho bere nyinaa.
- Hwɛ hu sɛ wobɛka nnuru afoforo, vitamin, ne nhabannuru a wonom nyinaa ho asɛm akyerɛ wo duruyɛfo.
- Kɔ ayaresabea hɔ wɔ nna a wɔahyɛ ato hɔ mu kɔhwɛ wo asikreyare ano aduru ne HbA1C dodow.
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