So wɔresa wo asikreyare a ɛto so abien no yare? Sɛ saa a, ebia wo duruyɛfo akyerɛw wo aduru bi a ɛka nnuru abien a wɔfrɛ no Linagliptin ne Metformin bom. Wɔtaa hu eyi wɔ yɛn man yi mu wɔ brand din Jentadueto ase. Eyi yɛ aduru a etu mpɔn yiye a ɛboa ma asikre dodow (glucose) a ɛwɔ mogya mu no so. Nanso, te sɛ aduru biara no, nneɛma bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde redi dwuma no. Momma yɛnka ho asɛm nnɛ ara kwa, wɔ ɔkwan a wubetumi ate ase so.
Dɛn na ɛba wɔ nnuru a wɔaka abom yi ho ankasa?
Mekaa sɛ eyi yɛ nnuru abien a wɔaka abom. Ma yɛnhwɛ nea ɛba wɔ abien no ho wɔ ɔkwan soronko so.
- Metformin: Eyi yɛ adwuma titiriw denam asikre dodow a wo mmerɛbo yɛ so tew so. Ɛma wo nipadua mu nkwammoaa tumi te insulin nso kɛse. Sɛ yɛbɛka no tiawa a, ɛboa ma wo nipadua no de insulin a ɛwɔ mu no di dwuma yiye.
- Linagliptin: Eyi yɛ adwuma denam nipadua no a ɛkanyan insulin ma ɛyɛ adwuma de bua aduan bi no so.
Sɛ nnuru abien yi bom yɛ adwuma a, ebetumi aboa wo ma woadi wo asikreyare so. Nanso kae sɛ, aduru yi nkutoo nnɔɔso. Eyi akyi no , aduan pa ne apɔw-mu-teɛteɛ nso ho hia.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi ase anom nnuru
Ansa na ɔbɛkyerɛw saa aduru yi ama wo no, ɛho hia yiye sɛ wo duruyɛfo no hu w’akwahosan ho abakɔsɛm nyinaa. Eyi te saa efisɛ ɛsɛ sɛ yɛhwɛ yiye kɛse bere a yɛde aduru yi redi dwuma wɔ ayaresa tebea horow bi mu no. Sɛ wowɔ tebea horow a ɛwɔ ase ha no bi a, hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo.
| Yare anaa tebea | Dɛn nti na ɛsɛ sɛ wobɔ amanneɛ? |
|---|---|
| Asaabo mu yare anaa mmerɛbo mu yare | Wɔnam asaabo so yi metformin fi nipadua no mu. Sɛ asaabo no ntumi nyɛ adwuma yiye a, aduru no betumi ayɛ kɛse wɔ nipadua no mu na ɛde tebea a emu yɛ den (lactic acidosis) aba. |
| Koma mu yare anaa komayare | Ɛsɛ sɛ wɔhwɛ yiye titiriw bere a wɔde aduru yi rema komayarefo binom no. |
| Nsa a wɔtaa nom | Sɛ wɔde nsa ne Metformin ka bom a, ɛma asiane a ɛwɔ hɔ sɛ obi benya tebea a ɛyɛ hu a wɔfrɛ no lactic acidosis no yɛ kɛse. |
| Sɛ́ wowɔ abakɔsɛm a ɛkyerɛ sɛ obi anya dwensɔtwaa mu yare | Linagliptin wɔ asiane a ɛntaa nsi koraa sɛ obenya dwensɔtwaa mu yare. Ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ sɛ woanya saa tebea yi bere bi a atwam a. |
| Vitamin B12 a enni nipadua mu anaasɛ mogya a ɛtɔ kɔ nipadua mu | Metformin a wɔde di dwuma bere tenten no betumi atew vitamin B12 a nipadua no twetwe no so. |
| Sɛ wonyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn, woma nufu | Saa aduru yi mfata wɔ nyinsɛn ne nufu mu. Ayaresa afoforo wɔ hɔ a wobetumi de adi dwuma. |
| Tebea afoforo | Sɛ wowɔ Asikreyare Ketoacidosis, akisikuru mu yare, triglyceride dodow a ɛkɔ soro, ɔyare mmoawa a emu yɛ den, Polycystic Ovary Syndrome (PCOS), thyroid yare, anaa nnuru anaa nnuan biara ho akisikuru biara a, ka kyerɛ wo duruyɛfo. |
Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?
- Fa ka aduan ho: Eyi ne ade a ɛho hia sen biara. Metformin betumi ama nnipa binom yafunu ayɛ wɔn yaw na wɔayɛ wɔn yaw. Sɛ obi nom aduru no bere a woadidi anaasɛ bere a woadi akyi pɛɛ a, ebetumi atew saa ɔhaw ahorow yi so kɛse.
- Fa nsu kuruwa nom: Fa nsu kuruwa mene tablet no nyinaa.
- Di wo duruyɛfo akwankyerɛ akyi: Fa dodow a wo duruyɛfo akyerɛ wo no, wɔ bere a wɔakyerɛw ama wo no mu. Mma w’ankasa ntew dodow a wɔde ma no so, nkɔ soro, anaasɛ nnyae.
- Sɛ wo werɛ fi sɛ wobɛnom dose bi a: Sɛ wo werɛ fi sɛ wobɛnom dose bi a, fa no bere a wokae 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 abien bere koro mu da.
- Nnuru a wɔnom boro so: Sɛ wususuw sɛ woanom nnuru pii wɔ akwanhyia mu a, frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Nneɛma a Egye Ntɛmpɛ So (ETU). Mfa eyi nyɛ hwee.
Adeɛ a ɛho hia paa ne sɛ wobɛma wo duruyɛfoɔ no nnuru a wonom nyinaa (a vitamin, Panadol, Ayurvedic nnuru, nhabannuru ka ho) din nyinaa sɛdeɛ ɛbɛyɛ a ɔbɛtumi ahunu sɛ wowɔ ɔhaw bi anaa.
Nneɛma a ɛsɛ sɛ ɛtra w’adwenem bere a worenom nnuru no
Asikre dodow a wɔhwɛ so
Wo duruyɛfo bɛka akyerɛ wo sɛ wɔnyɛ wo mogya mu nhwehwɛmu a wɔfrɛ no HbA1C asram 3 kosi 6 biara. Eyi bɛhwɛ sɛnea wo mogya mu asikre a wohwɛ so wɔ asram 2-3 a atwam no mu. Afei nso, sua sɛnea wobɛhwɛ asikre dodow a ɛwɔ wo mogya mu wɔ fie sɛ ɛbɛyɛ yiye a.
Asikre a ɛwɔ mogya mu a ɛba fam (Hypoglycemia) .
Ɛtɔ mmere bi a, sɛ wonom aduru yi a, asikre dodow a ɛwɔ wo mogya mu no betumi akɔ fam dodo. Eyi ho sɛnkyerɛnne ahorow bi ne:
- Fifiri a ɛba mpofirim
- Wosow a ɛwosow
- Sɛ obi ntumi mfa n’adwene nsi biribi so
- Adwene a ɛyɛ basaa ne ɔkɔm a ɛtra so
Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, di biribi a ɛyɛ dɛ ntɛm ara (asikre kuruwa, glucose aduru, anaa anonne a ɛyɛ dɛ). Enti fa biribi te sɛ asikre kuruwa ka wo ho bere nyinaa. Sɛ w’adwene mu yɛ wo naa a, ka kyerɛ w’abusua sɛ wɔmmfa biribiara nhyɛ w’anom. Sɛ eyi ba a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.
Oprehyɛn ne scan ahorow a wɔyɛ
Sɛ wɔreyɛ wo oprehyɛn, CT scan, anaa MRI scan biara a, di kan ka kyerɛ nnuruyɛfo kuw no sɛ worenom saa aduru yi. Ebia ɛho behia sɛ wugyae aduru no nom nna kakraa bi ansa na wɔayɛ nhwehwɛmu no.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Nanso ɛnyɛ obiara na onya bi. Ade a ɛho hia sen biara ne sɛ wubehu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya ɔhaw bi a emu yɛ den na woayɛ ho biribi ntɛm.
| Nsunsuanso bɔne | Dɛn na ɛsɛ sɛ yɛyɛ? |
|---|---|
| Tebea horow a emu yɛ den a ɛhwehwɛ sɛ wonya ayaresa ntɛm ara | |
| Allergic Reaction: Wora mu akisikuru, ɛyaw, anim a ɛho ahonhon, anofafa, tɛkrɛma, ɛyɛ den sɛ wobɛhome. | Kɔ ayaresabea no Emergency Treatment Unit (ETU) kɔhwehwɛ ayaresa ntɛm ara. |
| Lactic Acidosis: (ɛho yɛ na nanso ɛyɛ hu paa) - ntini mu yaw, yafunu mu yaw, ɔhome a ɛyɛ den, ɔbrɛ a ɛtra so, ɔbrɛ a ɛyɛ den wɔ ɔkwan a ɛkɔ akyiri so. | Eyinom ne nneɛma bɔne a anibere wom sen biara a Metformin de ba. Kɔ ER hɔ ntɛm ara. |
| Pancreatitis: Yafunu mu yaw a emu yɛ den (titiriw a ɛhyerɛn kɔ akyi), ɛyaw a ɛyɛ kɛse bere a woadi akyi, ɔfe, atiridiinini. | Kɔ oduruyɛfo ntɛm ara anaa kɔ ETU. |
| Koma a Ɛnyɛ Den Ho Nsɛnkyerɛnne: Ɔhome a ɛyɛ tiaa, ne nansoaa ne ne nan ho ahonhon, ne mu duru yɛ kɛse mpofirim, ɔbrɛ kɛse. | Kɔ wo duruyɛfo nkyɛn ntɛm ara. |
| Tebea horow a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ oduruyɛfo no amanneɛ | |
| Ayamtuo | Ɛtaa ba na ɛkɔ wɔ mfiase no. Sɛ ɛkɔ so anaasɛ emu yɛ den a, ka kyerɛ wo duruyɛfo. |
| Nsɛnkyerɛnne a ɛte sɛ atiridii (hwene mu nsu, menewa mu yaw) . | Sɛ eyinom haw anaasɛ ɛkɔ so a, wo ne wo duruyɛfo nkasa. |
Nkrasɛm a Wɔde Kɔ Fie
- Saa aduru yi bere nyinaaFa bere a woadidi anaasɛ bere a woadi akyi. Eyi bɛtew yafunu mu yaw so kɛse.
- Nnyae aduru no nom anaasɛ nnsesa dodow a wode ma no a wunnya wo duruyɛfo afotu.
- Ka nnuru afoforo a worenom nyinaa (a vitamin ne Ayurvedic nnuru ka ho) kyerɛ wo duruyɛfo.
- Hu asikre a ɛba mogya mu (hypoglycemia) (fifiri, wosow, adwenemhaw ) ho sɛnkyerɛnne ahorow. Fa biribi a ɛyɛ dɛ sie baabi a ɛbɛn wo a wubedi sɛ tebea a ɛte saa si a.
- Sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den te sɛ yafunu mu yaw a emu yɛ den anaasɛ ɛyɛ den sɛ wobɛhome a , kɔ ayaresabea ntɛm ara.
- Hwɛ wo duruyɛfo wɔ bere ano na yɛ nhwehwɛmu te sɛ HbA1C na ama woatumi adi wo asikreyare no so.
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