So wowɔ Asikreyare a Ɛto so Abien? Sɛ saa a, ebia wo duruyɛfo akyerɛw wo aduru bi a wɔde ka bom a wɔfrɛ no Glipizide ne Metformin. Eyi yɛ aduru a ɛho hia a wɔde ma nnipa pii a wɔwɔ asikreyare wɔ yɛn man yi mu na ɛboa ma asikre dodow a ɛwɔ mogya mu no so. Enti ɛnnɛ, momma yɛnka saa aduru yi ne nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode redi dwuma no ho asɛm, wɔ ɔkwan a ɛyɛ mmerɛw a wubetumi ate ase so.
Dɛn na ɛba wɔ aduru yi ho ankasa?
Sɛ yɛbɛka no tiawa a, eyi yɛ nnuru abien a wɔaka abom. Ɛne sɛ, Glipizide ne Metformin nyinaa wɔ aduru biako mu. Sɛ wɔka saa abien yi bom a, ɛboa ma asikre a ɛwɔ wo nipadua mu no so tew wɔ akwan pii so.
- Glipizide: Eyi ka nnuru bi a wɔfrɛ no sulfonylureas ho. Ɛyɛ adwuma denam wo dwensɔtwaa a ɛkanyan no ma ɛyɛ insulin hormone a wo nipadua hia no kakra no so.
- Metformin: Eyi yɛ adwuma titiriw denam asikre a wo mmerɛbo no yɛ a ɛho nhia a ɛtew so. Nea ɛka ho no, ɛboa nipadua no nkwammoaa ma wɔyɛ wɔn ade yiye wɔ insulin ho (ɛma insulin ho nkate tu mpɔn).
Nea ɛho hia sen biara ne sɛ saa aduru yi nkutoo nnɔɔso. Sɛ wɔnom aduru yi ka aduan pa ne apɔw-mu-teɛteɛ ho sɛnea oduruyɛfo no tu fo no nkutoo a .
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ɛho hia paa sɛ wo duruyɛfo no hu w’akwahosan tebea no yiye ansa na wama wo saa aduru yi. Enti, sɛ wowɔ tebea horow a edidi so yi mu biara a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo .
| Wo tebea anaa wo su | Dɛn nti na ɛsɛ sɛ wobɔ amanneɛ? |
|---|---|
| Asaabo anaa mmerɛbo mu yare | Esiane sɛ wɔnam saa akwaa yi so yi aduru no fi nipadua no mu nti, sɛ wɔn dwumadi asɛe a, ebia ɛho behia sɛ wɔyɛ nsakrae wɔ aduru no dodow mu. |
| Koma mu yare | Ɛsɛ sɛ wɔhwɛ yiye titiriw bere a wɔde saa aduru yi redi dwuma wɔ komayare ahorow bi mu no. |
| Nsa a wɔtaa nom | Sɛ wɔde nsa ne aduru yi ka bom a, ɛma asiane a ɛwɔ hɔ sɛ obi benya tebea a emu yɛ den a wɔfrɛ no lactic acidosis no yɛ kɛse. |
| Asikreyare a ɛma obi nya ketoacidosis | Eyi yɛ asikreyare ho haw a emu yɛ den, na saa aduru yi mfata mma no. |
| Hemoglobin a ɛba fam wɔ mogya mu (Anemia) . | Ɛho hia sɛ wohwɛ yiye wɔ mogya a ɛtɔ kɔ nipadua mu ho, efisɛ saa aduru yi betumi aka vitamin B12 a wɔtwe no. |
| Nyinsɛn a obi benyin anaasɛ ɔrebɔ mmɔden sɛ obenyinsɛn | Wɔnkamfo aduru yi nkyerɛ bere a wɔyem, na akwan foforo a wɔfa so sa yare ho hia. |
| Ɛna a ɔma nufu a ɔbɛyɛ | Ɛsɛ sɛ wo ne wo duruyɛfo susuw ho sɛ ebia aduru no betumi afa nufusu mu akɔ wo ba no nkyɛn anaa. |
| Nnuru afoforo, sulfa nnuru, anaa nnuan ho akisikuru | Ɛho hia yiye ma ahobammɔ sɛ wobɛka allergy biara a wowɔ ho asɛm kyerɛ yɛn. |
Ɔkwan bɛn so na ɛsɛ sɛ mede aduru no di dwuma?
Eyi yɛ mmerɛw yiye, nanso ɛsɛ sɛ wodi akyi pɛpɛɛpɛ.
- Ɛsɛ sɛ wɔnom saa aduru yi ka aduan ho . Mfa no bere a wo yafunu da mpan.
- Fa nsu kuruwa mene tablet no nyinaa.
- Fa dodow a wo duruyɛfo akyerɛ wo no bere nyinaa, wɔ bere pɔtee a wɔakyerɛw ama wo no mu. Nsakra bere anaa dodow a wɔde ma no sɛnea wopɛ.
- Sɛ woadi boro mfe 65 a, ebia wo duruyɛfo bɛma wo dodow a ɛba fam kakra.
- Sɛ wususuw sɛ ebia woanom nnuru pii wɔ akwanhyia mu a: Sɛ wususuw saa a, ɛnkyɛ.Kɔ ayaresabea a ɛbɛn wo no ntɛm ara Emergency Department (ETU) anaa frɛ National Poisons Information Center a ɛwɔ Colombo National Hospital .
- Sɛ wopa dose bi a: Fa 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 fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru mmɔho abien esiane biribiara nti.
Nnuru afoforo a ebia ɛne aduru yi bedi nkitaho
Kɔkɔbɔ: Ɛyɛ asiane kɛse sɛ wobɛnom saa aduru yi a wɔde ‘nsonsonoe’ nneɛma ahorow bi ahyɛ nipadua no mu ansa na wɔayɛ nhwehwɛmu te sɛ X-ray, CT scan, MRI, ne komayare aduru Dofetilide. Sɛ worekɔyɛ nhwehwɛmu a ɛte saa a, di kan ka kyerɛ wo duruyɛfo.
Nea ɛka ho no, nnuru afoforo pii betumi ne aduru yi adi nkitaho. Nhwɛsoɔ:
- Aspirin ne nnuru afoforo a wɔde kum ɛyaw (NSAID) .
- Nnuru bi a wɔde sa mogya mmoroso ne komayare
- Nnuru a wɔde hyɛ nsu mu (anaasɛ ‘nsu mu nnuru’) .
- Steroid Ahorow a Wɔde Di Dwuma
- Hormone ahorow, a nnuru a wɔde siw awo ano ka ho
- Nnuru a ekum fungi ne nnuru a ekum ɔyare mmoawa bi
- Nnuru bi a wɔde sa adwenemyare (MAOIs) .
- Nnuru a wɔde sa thyroid nyarewa
Saa list yi nwie pɛyɛ. Enti ma wo duruyɛfo no nkyerɛw nnuru, vitamin, nhabannuru, ne nnuru a wɔde ka aduan ho a wonom nyinaa din pefee. Afei nso, sɛ wonom sigaret anaa wonom nsa a, ka kyerɛ wɔn.
Nneɛma a ɛsɛ sɛ wohwɛ so yiye bere a worenom nnuru no
- Hwɛ a wobɛkɔ akɔhwɛ wo daa: Kɔ ayaresabea ahorow wɔ mmere a wɔahyɛ ato hɔ sɛnea wo duruyɛfo akyerɛ wo no mu na hwɛ wo tebea no. Wɔbɛyɛ mogya mu nhwehwɛmu a wɔfrɛ no HbA1C asram 3-6 biara de ahwɛ sɛnea wɔredi wo asikre so yiye.
- Sua sɛnea wobɛsɔ wo mogya mu asikre ahwɛ: Sua sɛnea wode glucometer bedi dwuma wɔ fie. Hu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ asikre a ɛwɔ mogya mu ne asikre a ɛkɔ soro, ne nea ɛsɛ sɛ woyɛ sɛ ɛba a.
- Fa asikre bi sie baabi a ɛbɛn wo: Fa biribi te sɛ asikre kuruwa, toffee, anaa glucose tablet sie wo bag anaa wo kotoku mu bere nyinaa sɛ ebia asikre dodow bɛkɔ fam mpofirim a.
- Mma nntwa adidi so: Didi wɔ bere a ɛfata mu. Sɛ wugyae aduan a, ebetumi ama asikre dodow a ɛwɔ wo mogya mu no so atew wɔ ɔkwan a ɛyɛ hu so.
- Hwɛ yiye wɔ owia hann ho: Ebia saa aduru yi bɛma wo honam ani ayɛ mmerɛw kakra wɔ owia hann ho (photosensitivity). Enti fa aduru a ɛbɔ wo ho ban fi owia ho di dwuma , hyɛ ntade a ɛkata wo nipadua so, na hyɛ kyɛw bere a worekɔ owia mu no.
- Hwɛ yiye wɔ vitamin ahorow ho: Sɛ wode aduru yi di dwuma bere tenten a, ebetumi ama vitamin B12 ne folic acid a ɛba nnipa binom so atew. Enti, ɛho hia sɛ wudi aduan a ɛkari pɛ na sɛ ɛho hia a, fa vitamin ahorow sɛnea wo duruyɛfo kyerɛ no.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba nnipa binom so. Ebinom yɛ aniberesɛm, ebinom nso abu so.
| Sɛnea nsunsuanso bɔne no te | Su ahorow ne nea ɛsɛ sɛ wɔyɛ |
|---|---|
| Nneɛma bɔne a anibere wom a ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo no ntɛm ara | |
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma, anaa menewa a ɛho ahonhon. Ɛho hia sɛ wɔyɛ ayaresa ntɛm ara. |
| Lactic acidosis (Lactic acid dodow a ɛkɔ soro) . | Ntini mu yaw, yafunu a ɛyɛ mmerɛw, ahome a ɛyɛ tiaa, ɔbrɛ a ɛtra so. Eyi yɛ tebea a egye ntɛmpɛ na ɛsɛ sɛ wɔde obi kɔ ayaresabea ntɛm ara. |
| mogya a ɛtɔ kɔ mogya mu a ɛma mogya tu | Mmerewa a ɛyɛ soronko, adwenemhaw, ahome a ɛyɛ den, nsu a ɛyɛ tumm, honam ani anaa aniwa a ɛyɛ kɔkɔɔ. |
| Vitamin B12 a onni ho sɛnkyerɛnne | Ɛyaw a ɛba nipadua no akwaa mu, ɛyɛ mmerɛw, ntini a ɛyɛ mmerɛw, adwenemhaw, nkae a ɛyera. |
| Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfo | |
| Yafunu a ɛyɛ yaw, akisikuru | Mpɛn pii no, eyinom so tew denam aduru no a wɔde ka aduan ho no so. |
| Ayamtuo | Eyi betumi aba bere a edi kan a wufi ase nom aduru no. Sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo. |
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.
- Kae sɛ wobɛnom aduru no ne aduan, bere koro mu da biara.
- Hu asikre a ɛba fam ho sɛnkyerɛnne (adwene a ɛyɛ wo yaw, fifiri, koma a ɛbɔ). Fa asikre anaa ahwiesa bi sie baabi a ɛbɛn wo bere nyinaa.
- Mma wo werɛ mmfi sɛ wobɛka nnuru foforo biara a worenom ho asɛm akyerɛ wo duruyɛfo, titiriw nnuru a wɔde kum ɛyaw.
- Sɛ wonom nnuru pii wɔ akwanhyia mu anaasɛ wunya ɔhaw bi a emu yɛ den a, kɔ ETU ntɛm ara.
- Saa aduru yi yɛ wo nkutoo dea. Mfa w’aduru mma afoforo da.
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