Asikreyare aduru: Momma yensua Glipizide aduru ho ade?

So wo nso worepere Asikreyare ? Sɛ saa a, ebia wo duruyɛfo akyerɛw wo aduru bi a wɔfrɛ no Glipizide . Eyi yɛ aduru titiriw a wɔde sa nnipa a wɔwɔ Asikreyare a Ɛto so Abien . Enti, ɛnnɛ yɛbɛka Glipizide nnuru yi ho asɛm, sɛnea ɛyɛ adwuma, nea ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde redi dwuma, ne nneɛma afoforo pii a ɛho hia. Sɛnea wubehu sɛnea wode saa aduru yi bedi dwuma no ho hia yiye ma w’akwahosan.

Dɛn ne aduru yi a wɔfrɛ no Glipizide? Ɔkwan bɛn so na ɛyɛ adwuma?

Sɛ yɛbɛka no tiawa a, aduru a wɔfrɛ no Glipizide yi ma insulin dodow a ɛwɔ wo nipadua mu no yɛ kɛse. Insulin yɛ hormone a ɛho hia a ɛhwɛ asikre anaa glucose dodow a ɛwɔ yɛn nipadua mu no so. Sɛ asikre a efi aduan a yedi mu no kɔ mogya no mu a, ɛyɛ insulin yi na ɛhwɛ asikre dodow so na ɛboa ma ɛkɔ nkwammoaa no mu.

Asikreyare a Ɛto so 2 Mellitus ba bere a nipadua no ntumi nyɛ insulin a ɛdɔɔso, anaasɛ nipadua no ntumi mfa insulin a ɛyɛ no nni dwuma yiye no. Enti, nea saa aduru yi Glipizide yɛ ne sɛ ɛma dwensɔtwaa no nya ahoɔden kakra na ɛboa ma ɛyɛ insulin pii. Sɛ aduru yi ma insulin yɛ kɛse a, asikre dodow a ɛwɔ mogya no mu no so tew. Ɛboa nso ma wo nipadua no de insulin di dwuma yiye.

Saa aduru yi ka nnuru kuw bi a wɔfrɛ no sulfonylureas ho. Nanso ade biako na ɛsɛ sɛ yɛma ɛtra yɛn adwenem. Wɔrentumi nni asikreyare so denam aduru yi a wɔbɛnom nkutoo so. Ɛsɛ sɛ wɔde aduan pa ne apɔw-mu-teɛteɛ da biara da ka ho . Oduruyɛfo no bɛkyerɛ wo sɛnea wubedi w’aduan so ne apɔw-mu-teɛteɛ a ɛsɛ sɛ woyɛ.

Nneɛma bɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no ansa na manom saa aduru yi?

Okay, afei ma yɛnhwɛ nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi saa Glipizide nnuru yi ase. Ɛyɛ papa sɛ woremfa saa nneɛma yi nsie, ɛnte saa? Efisɛ ɛno ansa na oduruyɛfo no betumi asa wo yare yiye na asiane biara nni ho.

Akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo sɛ wowɔ tebea horow yi bi a:

• Sɛ wowɔ asikreyare ketoacidosis, tebea a emu yɛ den a asikreyare de ba a, eyi ma nneɛma a epira a wɔfrɛ no ketones boaboa ano wɔ mogya no mu.
• Sɛ wowɔ awosu mu tebea bi a wɔfrɛ no glucose-6-phosphate dehydrogenase a enni nipadua mu (G6PD a enni nipadua mu) a . Eyi betumi ama obi anya nkate wɔ nnuru bi ho.
• Koma mu yare , kyerɛ sɛ, sɛ wowɔ komayare a.
• Asaabo mu yare , kyerɛ sɛ, sɛ wowɔ asaabo ho haw bi a.
• Liver disease , kyerɛ sɛ, sɛ ɔhaw bi wɔ mmerɛbo no ho a.
• Sɛ wowɔ yare bi a ɛntaa nsi a wɔfrɛ no porphyria a .
• Sɛ wowɔ ɔyare mmoawa a emu yɛ den anaasɛ woapira a .
• Sɛ wowɔ thyroid yare a .
• Sɛ woadi kan anya glipizide, sulfa nnuru ( nnuru a ekum ɔyare mmoawa bi ka kuw yi de), nnuru afoforo, nnuan, nnuan a wɔde yɛ nneɛma, anaa nneɛma a wɔde siesie nneɛma ho a.
• Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a.
• Sɛ woyɛ ɛna a ɔma nufu a.

Sɛ woka saa nsɛm yi yiye a, wo duruyɛfo betumi asi gyinae sɛ ebia aduru yi fata wo anaasɛ wuhia ɔkwan foforo a wobɛfa so.

Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?

Ɛsɛ sɛ wɔde ano nom saa aduru yi. Fa nsu kuruwa mene no. Nea ɛho hia sen biara no, mfa eyi nka aduan ho.Ɛsɛ sɛ wɔfa eyi simma 30 ansa na wɔadi. Ɛno ne bere a aduru no kɔ nipadua no mu yiye na ɛboa ma asikre a ɛboaboa ano wɔ mogya no mu bere a wɔadi adidi akyi no so.

Di akwankyerɛ a ɛwɔ nnuru a wɔde ahyɛ mu no akyi sɛnea wo duruyɛfo ka kyerɛ wo no. Sɛ worenom saa aduru yi pɛnkoro da biara a, fa simma 30 ansa na woadi anɔpaduan. Sɛ wo duruyɛfo aka akyerɛ wo sɛ fa no mpɛn pii da biara a, fa simma 30 ansa na woadi aduan titiriw biara. Bɔ mmɔden sɛ wobɛnom aduru no bere koro mu da biara. Eyi bɛboa ma aduru no akɔ so ayɛ adwuma bere nyinaa. Nnom nsen dodow a wo duruyɛfo ka kyerɛ wo sɛ fa no.

Ɛfa mmofra nkumaa ne mpanyimfo ho

Sɛ wode saa aduru yi rema mmofra nkumaa a, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo kasa fa ho. Ebia ɛho behia sɛ wɔyɛ ɔhwɛ titiriw ne nsakrae wɔ dodow a wɔde ma no mu.

Afei nso, ebia nnipa a wɔadi boro mfe 65 bɛte aduru yi nkɛntɛnso nka denneennen kakra. Enti, ebia oduruyɛfo no bɛkyerɛw nnuru ketewaa bi ama wɔn asen onipa a ɔte saa.

Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ?

Fa no sɛ woanom aduru yi dodo, anaasɛ obi a ɔwɔ wo fie adi mfomso anom. Sɛ ɛba saa a , frɛ Poison Control Center a ɛwɔ Ɔman Ayaresabea anaa aban ayaresabea dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu ntɛm ara. Anaasɛ kɔ ayaresabea ntɛm ara. Mfa eyi nyɛ hwee, ɛyɛ? Efisɛ sɛ wonom Glipizide pii a, asikre a ɛwɔ wo mogya mu no betumi akɔ fam wɔ ɔkwan a asiane wom so.

Kae: Saa aduru yi yɛ wo nkutoo dea. Mfa no sɛ w’adamfo no bɛyɛ yiye wɔ aduru yi ho sɛ wɔn nso wɔ asikreyare a. Ɛsono aduru ne dodow a ɛfata ma obiara.

Na sɛ mepa bere a wɔahyɛ sɛ mɛnom nnuru nso ɛ?

Afei momma yɛnka sɛ woapa dose bi. Sɛ ɛba saa a, nom aduru no bere a woakae ara pɛ . Nanso sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ no, sɛ nhwɛso no, sɛ ɛsɛ sɛ wode ma wɔ nnɔnhwerew kakraa bi akyi a, twa dodow a woayera no so na fa dodow a edi hɔ no sɛnea wotaa yɛ no. Mfa nnuru abien prɛko pɛ da, kyerɛ sɛ, nnom mmɔho abien. Sɛ woyɛ saa a, ebetumi ama asikre a ɛwɔ wo mogya mu no so atew dodo.

Nneɛma afoforo a ebetumi ne aduru yi adi nkitaho (Nkitahodi) .

Glipizide tumi ne nnuru afoforo ne nneɛma afoforo di nkitaho. Enti, ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo, a vitamin, nhabannuru, nnuru a wɔmfa nkyerɛw mma wo, ne aduan a wɔde ka aduan ho ka ho. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne foforo di dwuma a, ka kyerɛ wo duruyɛfo. Nneɛma bi betumi ne aduru yi adi nkitaho, na ebetumi asakra sɛnea ɛyɛ adwuma yiye anaasɛ ɛbɛma nea efi mu ba no ayɛ kɛse.

Nnuru bi a ebetumi ne Glipizide adi nkitaho ni:

• Bosentan na ɔkyerɛwee
• Chloramphenicol a wɔde yɛ aduru
• Cisapride na ɔkyerɛwee
• Clarithromycin a wɔde yɛ aduru
• Nnuru a wɔde sa fungal anaa mmɔkaw (e.g. Fluconazole, Miconazole) .
• Metoclopramide a wɔde di dwuma
• Probenecid `(Probenecid)`
• Warfarin (aduru a ɛmma mogya ntumi nkɔ mu) .

Afei nso, nnuru afoforo pii wɔ hɔ a ebetumi ama asikre dodow a ɛwɔ mogya mu no akɔ soro anaasɛ ɛbɛtew. Wobetumi ne glipizide nso adi nkitaho. Nhwɛso kakraa bi ni:

• Nsã a nsa wom : Nsã betumi ama asikre a ɛwɔ mogya mu no so atew mpofirim.
• Aspirin ne nnuru a ɛte sɛ aspirin
• Chromium (ɛtɔ mmere bi a wɔnom sɛ aduan a wɔde ka aduan ho) .
• Diuretics – nnuru a ɛyi nsuo fi nipadua no mu
• Mmea hormone ahorow te sɛ estrogens anaa progestins, ne nnuru a wɔde siw awo ano
• Koma mu nnuru bi (e.g., beta-blockers) .
• Isoniazid (aduru a wɔde sa nsamanwaw) .
• Mmarima hormone anaa anabolic steroids
• Nnuru a wɔde ma obi mu duru so tew
• Nnuru a wɔde sa akisikuru, ayamtu, atiridiinini, anaa ɔfe (ebia asikre wom) .
• Nnuru a wɔde sa adwene mu haw ahorow
• Nnuru a ɛwɔ nnuru kuw a wɔfrɛ no `MAO Inhibitors` mu, sɛ nhwɛso no Nardil, Parnate, Marplan, Eldepryl
• Niacin a wɔde yɛ nnuru
• Nnuru a wɔde kum ɛyaw a wɔfrɛ no `NSAIDs`, te sɛ ibuprofen anaa naproxen.
• Pentamidine a wɔde di dwuma
• Phenytoin `(Phenytoin)`
• Quinolone nnuru a ekum ɔyare mmoawa no bi ne ciprofloxacin, levofloxacin, ne ofloxacin.
• Nnuadewa bi a wɔde ka aduan ho
• Steroid nnuru te sɛ prednisone anaa cortisone
• Nnuru a wɔde yɛ thyroid

Saa list yi nyɛ nea edi mũ, wote ase? Enti ɛyɛ nea asiane biara nni ho na eye sen biara sɛ wobɛka biribiara a wobɛnom ho asɛm akyerɛ wo duruyɛfo .

Nneɛma a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a wode aduru yi redi dwuma no

Sɛ wode saa aduru yi redi dwuma a, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn daa hwɛ sɛnea wo ho te. Ɛno kyerɛ sɛ wobɛkɔ ayaresabea nna a woahyɛ da ayɛ ho nhyehyɛe no.

• HbA1C nhwehwɛmu: Wɔyɛ nhwehwɛmu bi a wɔfrɛ no `HbA1C (A1C)` de hwɛ sɛnea wɔhwɛ wo mogya mu asikre so yiye. Eyi yɛ mogya mu nhwehwɛmu a ɛnyɛ den. Ɛtaa kyerɛ sɛnea wɔadi wo asikre so yiye wɔ asram 2-3 a atwam no mu. Wɔtaa yɛ nhwehwɛmu yi asram 3-6 biara, sɛnea wo duruyɛfo kyerɛ no.
• Asikre a ɛwɔ mogya mu a wobɛsusuw: Ɛho hia yiye sɛ wusua sɛnea wo ankasa wobɛhwɛ wo mogya mu glucose dodow so wɔ fie. Ebia wo duruyɛfo ama wo glucometer ama eyi. Hwɛ hu sɛ wobɛte asikre a ɛba mogya mu (hypoglycemia) ne asikre a ɛkɔ soro (hyperglycemia) ho sɛnkyerɛnne ne sɛnea wobedi so no ase.
• Ahosiesie a Wobɛyɛ Egye Ntɛmntɛm: Fa asikre fibea a ɛyɛ ntɛm (e.g. asikre kuruwa 2-3, glucose aduru, nnuaba nsu bi) si hɔ bere nyinaa sɛ ebia wo mogya mu asikre bɛkɔ fam mpofirim (hypoglycemia). Sɛ asikre a ɛba wo mogya mu a emu yɛ den te sɛ akisikuru, anaasɛ w’adwene mu yɛ wo naa a, ka kyerɛ w’abusuafo ne wo nnamfo sɛ sɛ wobɔ mmɔden sɛ wobɛma wɔn aduan anaa anonne saa bere no a, ebia wobɛmene. Sɛ eyi ba a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.
• Ka kyerɛ wo duruyɛfo : Sɛ wuhu sɛ asikre dodow a ɛwɔ wo mogya mu no kɔ soro bere nyinaa (sɛ nhwɛso no, sukɔm taa de wo, wotaa tow nsu, wote nka sɛ woayɛ mmerɛw a), ka kyerɛ wo duruyɛfo. Ebia ɛho behia sɛ wɔyɛ nsakrae wɔ nnuru dodow a wode di dwuma no mu. Sɛ wowɔ yare bi te sɛ atiridii anaa atiridiinini, anaasɛ woteɛteɛ w’apɔw mu sen sɛnea wotaa yɛ a, bisa wo duruyɛfo sɛ ɛsɛ sɛ wɔyɛ nsakrae wɔ wo nnuru dodow mu anaa.
• Adidi ne nsa: Ntwa adidi so.Saa a wobɛyɛ no betumi ama asikre a ɛwɔ wo mogya mu no so atew. Bisa wo duruyɛfo sɛ ɛsɛ sɛ wokwati nsanom anaa. Wɔnkamfo nsa nkyerɛ wɔ nsɛm dodow no ara mu. Ebia asikre anaa nsa wɔ ɔfe ne atiridiinini a wotɔ fi nnurutɔnbea ahorow bi mu. Wobetumi aka asikre a ɛwɔ wo mogya mu, enti ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo ansa na woanom.
• Owia ho banbɔ: Ebia saa aduru yi bɛma wo honam ani ayɛ mmerɛw wɔ owia hann ho (photosensitivity). Enti, hwɛ yiye wɔ owia hann a ano yɛ den ho awiabere. Sɛ ɛsɛ sɛ wopue kɔ owia mu a, hyɛ ntadeɛ a ɛkata wo nipadua so, hyɛ kyɛw, na fa `Sunscreen` (SPF 30 anaa nea ɛboro saa) pa di dwuma. Mfa `Owia akanea` anaa `Tanning beds/booths` nni dwuma.
• Aduruyɛ ho ID: Hyɛ aduruyɛ ho ID abɔso anaa nkɔnsɔnkɔnsɔn a wɔakyerɛw wo tebea (asikreyare), nnuru a wonom, ne bere a ɛsɛ sɛ wonom, anaasɛ fa krataa a saa nsɛm no wom sie wo sika kotoku mu bere nyinaa. Eyi betumi ayɛ nea ɛho hia paa wɔ tebea a egye ntɛmpɛ mu.

Nsunsuanso bɔne a ebetumi aba wɔ aduru yi ho

Te sɛ nnuru nyinaa no, Glipizide betumi anya nkɛntɛnso bɔne. Ebinom yɛ aniberesɛm na ɛsɛ sɛ wɔbɔ wo duruyɛfo amanneɛ ntɛm ara. Wɔn mu binom nyɛ aniberesɛm na ebefi hɔ nna kakraa bi akyi.

Nneɛma bɔne a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara:

• Nneɛma a ɛma obi ho yɛ no hyew: Eyi yɛ asiane kɛse. Sɛ wuhu sɛnkyerɛnne ahorow te sɛ honam ani akisikuru, ɛyaw a emu yɛ den, akisikuru, w’anim, w’ano, wo tɛkrɛma, anaa wo menewa a ɛho ahonhon a, hwehwɛ ayaresa ntɛm ara. Menewa a ɛho ahonhon betumi ama ayɛ den sɛ ɔbɛhome.
• Asikre a ɛba fam kɛse: wosow anaa wowosow, dadwen, fifiri a ɛboro so, honam ani awɔw anaasɛ ɛyɛ mmerɛw , adwene a ɛyɛ basaa, adwenemhaw a emu yɛ den, koma bɔ ntɛmntɛm, adwenem naayɛ, akisikuru. Sɛ eyi ba a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.
• Hemolytic Anemia: Eyi yɛ mogya a ɛtɔ kɔ nipadua mu a mogya mu nkwammoaa kɔkɔɔ a ɛpaapae na ɛde ba. Eyi betumi ama obi ayɛ mmerɛw anaa ɔbrɛ a ɛnyɛ ne kwan so, adwenemhaw, ne ti ayɛ no yaw, ɔhome mu haw, nsu a ɛyɛ tuntum, na ne honam ani anaa aniwa ayɛ kɔkɔɔ.

Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ:

• Ayamtuo
• Adwene a ɛyɛ basaa (a ɛnyɛ den) .
• Gas, yafunu mu a ɛyɛ hyew
• Akisikuru, akisikuru `(Akisikuru)`
• Wosow anaa wowosow (ɛnyɛ nea ɛne asikre a ɛwɔ mogya mu a ɛba fam nni abusuabɔ) .

Ebia nneɛma bɔne a ebetumi aba nyinaa nka saa nsɛm a wɔahyehyɛ yi ho, enti sɛ wuhu biribi foforo anaa nea ɛyɛ soronko a, nsuro sɛ wo ne wo duruyɛfo bɛkasa afa ho.

Ɔkwan bɛn so na ɛsɛ sɛ wode w’aduru sie?

• Fa saa aduru yi sie baabi a mmofra ntumi nkɔ baabi a wɔn nsa ntumi nkɔ.
• Fa sie wɔ dan mu hyew, a ɛba fam sen digrii Celsius 30 (digrii Fahrenheit 86), wɔ baabi a ɛhɔ yɛ kusuu. Mfa nneɛma nsie wɔ mmeae a ɛhɔ yɛ nwini kɛse te sɛ aguaree.
• Mfa nnuru a ne bere atwam nni dwuma. Tow gu sɛnea ɛsɛ. Wubetumi abisa wo nnurutɔnbea no akwankyerɛ a ɛfa sɛnea wobɛtow nnuru agu yiye ho.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti yɛaka asikreyare aduru a wɔfrɛ no Glipizide yi ho asɛm pii, ɛnte saa? Ɛwom sɛ eyi yɛ asɛm tenten kakra de, nanso mewɔ anidaso sɛ woanya nsɛm bi a ɛho hia.

Ade a ɛho hia sen biara a ɛsɛ sɛ wokae ne sɛ wode saa aduru yi bedi dwuma sɛnea oduruyɛfo no ka kyerɛ wo no pɛpɛɛpɛ, wɔ bere a ɛfata mu, ne dodow a ɛfata mu. W’aduan a wubedi so ne apɔw-mu-teɛteɛ da biara da nso yɛ nneɛma a ɛho hia a ɛsɛ sɛ wode aduru yi yɛ. Sɛ wonni hɔ a, ɛyɛ den sɛ wubedi wo asikreyare no so yiye denam aduru yi nkutoo a wobɛnom so.

Sɛ wowɔ nsɛmmisa bi, sɛnkyerɛnne foforo, anaa nneɛma bi a ɛhaw wo a, nsuro anaasɛ nnyɛ wo aniwu sɛ wubebisa wo duruyɛfo. Anaasɛ bisa wo nnuruyɛfo. Asikreyare a wobɛtra ase no betumi ayɛ den wɔ mmere bi mu, nanso sɛ wosua wo tebea no yiye, di wo duruyɛfo afotu akyi, na wohwɛ wo nipadua so a, akyinnye biara nni ho sɛ wubetumi atra ase a ahoɔden wom na anigye wom!