So worenom Canagliflozin (Invokana) a wɔde sa asikreyare? Momma yensua nea efi mu ba no ho ade.

Sɛ wowɔ Asikreyare a Ɛto so Abien a, ebia wo duruyɛfo akyerɛw wo aduru bi a wɔfrɛ no Canagliflozin (a wɔtaa frɛ no Invokana) na aboa ma asikre dodow a ɛwɔ wo mogya mu no so. Eyi yɛ aduru a eye paa na etu mpɔn. Nanso, te sɛ aduru biara no, ebetumi de ɔhaw nketenkete bi aba. Wɔn mu bi yɛ nketewa na wɔkɔ nna kakraa bi mu. Nanso, ɛntaa mma sɛ tebea horow a emu yɛ den betumi aba a ehia sɛ wɔsa yare. Enti mma ɛnhaw wo, yɛbɛka biribiara ho asɛm pefee nnɛ.

Ɔkwan bɛn so na wobedi nneɛma bɔne a ɛtaa ba no so?

Ɛsono sɛnea aduru yi betumi aka obiara. Na ɛnyɛ nneɛma bɔne a efi mu ba nyinaa na ɛhwehwɛ sɛ wɔkɔ ayaresabea. Ɛyɛ papa sɛ wobɛhwɛ nsakrae biara a ɛbɛba wo nipadua mu bere a wudi kan fi ase nom saa aduru yi no.

Ɔhaw atitiriw a wɔtaa hu ne nsu mu yare, mmɔkaw mu yare, asikre a ɛba mogya mu (hypoglycemia), ne nsu a ɛho nhia. Momma yɛnhwɛ sɛnea yebedi eyinom mu biara ho dwuma.

Yeast Nyarewa a Wɔde Ma

Eyi betumi aba wɔ mmea awotwaa mu anaasɛ mmarima akyi berɛmo so. Sɛ woanya mmɔkaw mu yare wɔ ɔbarima ne ɔbea nna mu bere bi a atwam a, ɛda adi sɛ wode aduru yi bɛsan anya bi bio.

Mmea betumi anya sɛnkyerɛnne ahorow te sɛ nsu a efi wɔn awotwaa mu, hua a ɛyɛ soronko, anaasɛ ɛyaw. Mmarima, titiriw mmarima a wontwaa twetia, betumi ate ɛyaw, ahonhon, na nsu a ɛbɛtɔ wɔ glans penis no ho, na ama ayɛ den sɛ wɔbɛtwe wɔn anim were no.

Mpɛn pii no, wo duruyɛfo bɛkyerɛw aduru bi a ekum fungal. Eyi betumi ayɛ aduru, aduru a wɔde hyɛ nipadua mu, anaa aduru a wɔde yɛ aduru. Ɛsɛ sɛ ɔyare mmoawa no fi hɔ wɔ nnafua 7-14 ntam.

Nsuo mu Nyarewa (UTI) .

Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ akisikuru mu yaw, mogya a ɛwɔ wo nsu mu, nsu a ɛyɛ mununkum, ɛyɛ den sɛ wobɛtow wo ho, ɔhyew bere a woretow, wotaa tow wo ho, anaa ɛyaw wɔ w’akyi anaa w’asen mu a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo. Ɛtɔ da bi a, UTI betumi akɔ so ayɛ asaabo mu yare (pyelonephritis).

Oduruyɛfo no bɛma wo nnuru a ekum ɔyare mmoawa. Yɛ saa nneɛma yi na ama wo ho atɔ wo ntɛmntɛm:

• Nom nsu pii.
• Bisa wo duruyɛfo no nnuru a wɔtaa de kum ɛyaw a wubetumi anom ama ɛyaw no ho asɛm.
• Fa nnuru a ekum ɔyare mmoawa sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ, bere tenten no nyinaa. Mma nntwa dose biako pɛ anaasɛ nnom pii nsen sɛnea ɛsɛ sɛ wonom.

Saa nneɛma yi bɛboa ma wɔasiw nyarewa abien no nyinaa ano.

Asikre a ɛwɔ mogya mu a ɛba fam (Hypoglycemia) .

Sɛ wo ne canagliflozin nom insulin anaa asikreyare nnuru afoforo (te sɛ glipizide, glyburide) a, ebia asikre dodow a ɛwɔ wo mogya mu no bɛkɔ fam dodo. Sɛ wote nka sɛ wo ho ayɛ wo yaw , wowosow, anaasɛ woyɛ mmerɛw , eyinom betumi ayɛ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ asikre a ɛwɔ wo mogya so atew. Sɛ asikre dodow a ɛwɔ wo mogya mu no so tew dodo a, ebia w’adwene bɛyera.

• Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, hwɛ asikre dodow a ɛwɔ wo mogya mu ntɛm ara na frɛ wo duruyɛfo.
• Sɛ wote ase anaa woda fam a, sɔre brɛoo. Sɛ wosɔre mpofirim a, ebia w’adwene betu na woahwe ase.
• Sɛnea ɛbɛyɛ na asikre a ɛwɔ wo mogya mu akɔ soro ntɛmntɛm no , nom nnuaba mu nsu bi, toffee a ɛyɛ dɛ, nsu a ɛyɛ dɛ bi, anaa di glucose aduru bi.
• Sɛ ɛyɛ den dodo sɛ wubedi anaa wobɛnom a, ebia ebehia sɛ wɔde glucagon bɛhyɛ wo mu. Wubetumi anya eyi a oduruyɛfo akyerɛw ama wo na wode asie fie. Kyerɛkyerɛ w’abusua sɛnea wɔde bedi dwuma wɔ tebea a egye ntɛmpɛ mu.
• Sɛ wudi biribi a ɛyɛ dɛ wie a, gye w’ahome na san hwɛ asikre a ɛwɔ wo mogya mu. Sɛ asikre a ɛwɔ wo mogya mu no san ba sɛnea na ɛte kan no a, di aduan ketewaa bi anaa aduan ketewaa bi na amma asikre a ɛwɔ wo mogya mu no ankɔ fam bio.

Nsu a ɛho ntew

Canagliflozin yɛ adwuma denam asikre a ɛboro so a ɛnam wo nsu so yi fi wo nipadua mu no so. Nanso, ebetumi nso ama wo nipadua no ahwere nsu pii. Eyi betumi ama wote nka sɛ sukɔm de wo kɛse, w’adwene tu fra, na woayɛ mmerɛw .

Sɛ wodi aduan a nkyene nnim anaasɛ wonom mogya mmoroso nnuru a, ɛyɛ asiane kɛse sɛ wo ho bɛtɔ wo. Hwɛ yiye titiriw wɔ nna a ɛyɛ hyew ne bere a woreteɛteɛ w’apɔw mu, efisɛ wohwere nsu pii denam fifiri so.

Ɔkwan pa a wobɛfa so asiw eyi ano ne sɛ wobɛnom nsu ne nsu pii. Sɛ ɛho hia a, wubetumi nso anom anonne a electrolytes wom wɔ wo duruyɛfo afotu so. Sɛ nsu a ɛho ayɛ fĩ no mu yɛ den a, kɔ ayaresabea Emergency Treatment Unit (ETU) ntɛm ara.

Nneɛma afoforo a ɛtaa de ba

Eyinom akyi no, nsunsuanso nketenkete afoforo kakraa bi wɔ hɔ a ebetumi aba. Sɛ eyinom haw wo anaasɛ ennya nkɔso bere kɔ so a, wo ne wo duruyɛfo nkasa. Ebia obetumi ayɛ nsakrae wɔ wo nnuru dodow mu.

Nsunsuanso bɔne a anibere wom a ɛsɛ sɛ wohwɛ yiye

Eyinom ho yɛ na koraa sɛ wubehu, nanso ɛho hia yiye sɛ wobɛma w’ani ada hɔ.

• Koma mu haw: ɛyɛ den sɛ ɔbɛhome, koma bɔ ntɛmntɛm anaasɛ ɛnte saa, adwene a ɛyera.
• Allergic reaction a emu yɛ den (Anaphylaxis anaa Angioedema): Anim, aniwa, anofafa, tɛkrɛma, menewa, nsa, anan, ne nea ɛkeka ho a ɛho ahonhon kɛse anaasɛ ɛyɛ no yaw kɛse.
• Nnompe a ɛpaapae: Saa aduru yi betumi ama asiane a ɛwɔ hɔ sɛ nnompe mu abubu no ayɛ kɛse kakra.
• Fournier gangrene: Eyi yɛ ɔyare mmoawa a ɛntaa nsi koraa nanso emu yɛ den a ɛsɛe ntini a ɛwɔ honam ani a atwa ɔbarima ne ɔbea nna ho ahyia ne akyi berɛmo no ase (necrotizing fasciitis). Sɛ wuhu sɛ ɛyaw, ɛho ahonhon, anaa ɛho ayɛ kɔkɔɔ wɔ baabi a , kɔ oduruyɛfo nkyɛn a ɛnntwentwɛn wo nan ase.
• Nsɛnkyerɛnne afoforo a anibere wom: kasa a ɛyɛ den, mmerɛwyɛ, nantew a ɛyɛ den, fifiri a ɛboro so, atiridiinini, wosow, anaa akisikuru.

Sɛ wuhu saa sɛnkyerɛnne ahorow a emu yɛ den yi bi a, frɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU).