Asikreyare aduru: Momma yensua Metformin ne Repaglinide aduru ho ade?

Sɛ wowɔ Asikreyare a Ɛto so Abien a, ebia wo duruyɛfo akyerɛw wo aduru a wɔde ka bom (te sɛ PrandiMet) a metformin ne repaglinide nyinaa wom. Eyi yɛ aduru a wɔtaa kyerɛw ma wo sɛnea ɛbɛyɛ a ɛbɛboa ma woadi asikreyare so. Momma yɛnhwɛ nea saa aduru yi yɛ, sɛnea ɛyɛ adwuma, ne nea ɛsɛ sɛ wohwɛ yiye.

Adɛn nti na wonom saa aduru yi? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, eyi yɛ aduru a wɔde nnuru abien a wɔfrɛ no Metformin ne Repaglinide ka bom yɛ. Wɔde eyi ma nnipa a wɔwɔ Asikreyare a Ɛto so Abien . Nanso, aduru yi a wobɛnom nkutoo nnɔɔso. W’aduan a wubedi so ne apɔw-mu-teɛteɛ nso ka ayaresa yi ho. Saa aduru yi boa wo nipadua ma wode hormone a wɔfrɛ no Insulin no di dwuma yiye. Afei, wɔhwɛ asikre dodow a ɛwɔ mogya mu no so. Saa aduru yi nso wobetumi de adi dwuma wɔ nneɛma afoforo mu, wubetumi abisa wo duruyɛfo anaa onipa a ɔwɔ nnurutɔnbea hɔ no ho asɛm.

Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode saa aduru yi adi dwuma

Okay, afei eyi ho hia. Ansa na wubefi ase anom aduru yi no, akyinnye biara nni ho sɛ ɛsɛ sɛ woka nneɛma yi ho asɛm kyerɛ wo duruyɛfo anaa nnuruyɛfo no. Efisɛ sɛ wowɔ saa tebea horow yi a, ebia saa aduru yi mfata wo, anaasɛ ebia wubehia ɔhwɛ soronko.

• So wowɔ mogya a ɛtɔ kɔ nipadua mu ?
• So worehyia nsu a ɛho ayɛ fĩ ?
• So woanya tebea bi a emu yɛ den a wɔfrɛ no Asikreyare Ketoacidosis ?
• So wowɔ komayare ?
• So wonom nsa daa?
• So wowɔ asaabo mu yare ?
• So wowɔ mmerɛbo mu yare ?
• Sɛ woyɛ ɔbea a, so wowɔ Polycystic Ovary Syndrome (PCOS) ?
• So wo ho atɔ wo nnansa yi wɔ ɔyare mmoawa a emu yɛ den anaasɛ opira kɛse bi mu ?
• So wofe bere nyinaa ?
• So wo ho ayɛ wo hyew pɛn wɔ metformin, repaglinide, anaa nnuru foforo biara, aduan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde siesie nneɛma ho?
• So worebɔ mmɔden sɛ wubenyinsɛn , anaasɛ woanyinsɛn dedaw?
• So woyɛ ɛna a ɔma nufu ?

Ɛho hia paa ma w’ankasa akwahosan sɛ wobɛka biribiara a womfa saa nneɛma yi nsie, wote ase?

Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?

Ɛsɛ sɛ wɔde ano nom saa aduru yi. Fa nsu kuruwa mene no. Ɛsɛ sɛ wofa no sɛnea wɔakyerɛ wɔ nnuru a wɔakyerɛw ama wo a wo duruyɛfo de ama wo no so pɛpɛɛpɛ.

Nea ɛho hia sen biara ne, saa aduru yiƐsɛ sɛ wonom ansa na woadidi. Sɛ yɛbɛka no pɛpɛɛpɛ a, nnom ntra simma 30 ansa na woadi. Wɔtaa nom bere tiaa bi ansa na wɔadi.

Fa no sɛ, sɛ wuhuruw adidi bi a, ɛsɛ sɛ wuhuw pill no nso ma saa aduan no.

So eye sɛ worennom pii nsen nea oduruyɛfo no kamfo kyerɛ, anaasɛ wobɛnom no mpɛn pii?

Dɛn na ɛto mmofra ne mpanyin?

Sɛ wode saa aduru yi rema mmofra nkumaa a, ɛsɛ sɛ wo ne wo mmofra oduruyɛfo kasa fa ho. Ebia ɛho behia sɛ wɔhwɛ yiye titiriw.

Sɛ obi a wadi boro mfe 65 renom saa aduru yi a, ebia aduru no nkɛntɛnso mu bɛyɛ den kakra. Enti, ebia oduruyɛfo no bɛtew dodow a wɔde ma no so kakra.

Sɛ wonom nnuru pii a, dɛn na ɛsɛ sɛ woyɛ? (Nneɛma a wɔde ma boro so) .

Yɛsrɛ sɛ hyɛ no nsow sɛ sɛ wususuw sɛ woanom aduru yi pii wɔ akwanhyia mu a, frɛ Poison Control Center anaa ayaresabea dan a ɛbɛn hɔ a wɔhwɛ ntɛmpɛ so ntɛm ara. Eyi nyɛ aseresɛm.

"Saa aduru yi yɛ wo nkutoo dea. Mfa mma wo nnamfo anaa w'abusuafo, sɛ mpo wɔn nso wɔ asikreyare a."

Na sɛ mepa dose bi nso ɛ?

Sɛ wuntumi nnom aduru bi ansa na woadidi a, twa so. Sɛ ɛkame ayɛ sɛ bere aso sɛ wubedi w’aduan a edi hɔ, kyerɛ sɛ, bere a worebedi w’aduan a edi hɔ no a, nom aduru no saa bere no. Mma nnom nnuru mmɔho abien anaasɛ nnom nnuru pii prɛko pɛ da.

Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Drug Interactions) .

Eyi nso yɛ asɛm a ɛho hia paa. Nnuru bi wɔ hɔ a ebetumi de ɔhaw aba bere a wɔde ka metformin ne repaglinide aduru ho no. Ɛne sɛ, wobetumi asiw aduru yi a etu mpɔn no kwan, anaasɛ nea efi mu ba no betumi ayɛ kɛse.

Mfa asikreyare aduru yi nka nnuru a edidi so yi ho da:

• Nnuru a ɛma nsonsonoe yɛ nsu titiriw a wɔde gu nipadua no mu ansa na wɔayɛ nhwehwɛmu bi , te sɛ X-ray, CT scan, ne MRI.
• Aduru bi a wɔfrɛ no Dofetilide .
• Aduru bi a wɔfrɛ no Gemfibrozil .

Nea ɛka ho no, nnuru afoforo pii wɔ hɔ a ebetumi ne asikreyare aduru yi adi nkitaho wɔ ɔkwan bi so. Ebia eyinom bi ne:

• Acetazolamide a wɔde yɛ aduru
• Nsã (ɛnyɛ sɛ anonne nko, na mmom ebia nsa nso wɔ nnuru bi mu) .
• Barbiturates (sɛ nhwɛso no, Phenobarbital, Primidone) .
• Carbamazepine a wɔde di dwuma
• Nnuru bi a wɔde ko tia nyarewa te sɛ HIV anaa mmerɛbo mu yare
• Nnuru bi a wɔde sa mogya mmoroso, komayare, ne koma a ɛbɔ a ɛnteɛ daa
• Nnuru bi a wɔde sa fungal yare (e.g., Ketoconazole, Itraconazole) .
• Cimetidine a wɔde di dwuma
• Clopidogrel a wɔde yɛ aduru
• Clarithromycin a wɔde yɛ aduru
• Cyclosporine a wɔde di dwuma
• Deferasirox a wɔfrɛ no deferasirox
• Dichlorphenamide a wɔde di dwuma
• Digoxin a wɔde di dwuma
• Diuretics (nnuru a ɛboa ma nsu fi nipadua no mu) .
• Erythromycin a wɔde hyɛ nipadua mu
• Mmea hormone (sɛ nhwɛso no, estrogens, progestins, ne nnuru a wɔde siw awo ano) .
• Glycopyrrolate a wɔde yɛ aduru
• Isoniazid (aduru a wɔde sa nsamanwaw) .
• Lamotrigine na ɛyɛ adwuma
• Memantine a wɔfrɛ no memantine
• Methazolamide a wɔde yɛ aduru
• Metoclopramide a wɔde di dwuma
• Midodrine a wɔde di dwuma
• Niacin a wɔde yɛ nnuru
• Phenothiazine (sɛ nhwɛso no, Chlorpromazine, Mesoridazine, Prochlorperazine, Thioridazine) .
• Phenytoin a wɔfrɛ no phenytoin
• Ranolazine a wɔde yɛ nnuru
• Rifampin na ɔkyerɛwee
• Simvastatin (aduru a ɛma mogya mu srade so tew) .
• Nnuru a wɔde yɛ steroid (sɛ nhwɛso no, Prednisone, Cortisone) .
• Nnuru a ɛkanyan wo ma w’adwene mu yɛ wo naa, wo mu duru so tew, anaasɛ ɛbɛboa wo ma woada
• Nnuru a wɔde yɛ thyroid
• Topiramate a wɔde yɛ aduru
• Trospium a wɔfrɛ no Trospium
• Vandetanib na ɔkyerɛwee
• Zonisamide a wɔde yɛ aduru

Saa nsɛm a wɔahyehyɛ yi nyɛ nea edi mũ, ɛnte saa? Ɛne sɛ, nnuru afoforo, ɛnyɛ eyinom nkutoo, betumi ne asikreyare aduru yi adi nkitaho.

Enti, ka nnuru a wonom nyinaa (a wo duruyɛfo akyerɛw ama wo, woatɔ wɔ nnurutɔnbea, aduru a wɔde di dwuma wɔ amanne kwan so, vitamin, aduan a wɔde ka aduan ho) ho asɛm kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nneɛma foforo a mmara mma ho kwan di dwuma a, ka kyerɛ wo duruyɛfo. Nneɛma bi betumi ne aduru yi adi nkitaho.

Nneɛma bɛn na ɛsɛ sɛ yɛhwɛ yiye wɔ ho titiriw bere a yɛrenom aduru yi?

Bere a worenom aduru yi no, kɔ wo duruyɛfo nkyɛn daa ma wɔkɔhwɛ wo daa na ama woahwɛ sɛnea w’akwahosan te.

Wɔhwɛ wo HbA1c (HbA1c) nhwehwɛmu no mu daa. Eyi yɛ mogya mu nhwehwɛmu a ɛnyɛ den. Ɛkyerɛ sɛnea wɔadi wo mogya mu asikre so yiye wɔ asram 2-3 a atwam no mu. Ɛho behia sɛ woyɛ saa sɔhwɛ yi asram 3 kosi 6 biara.

Momma yɛnhwɛ asikre dodow a ɛwɔ mogya mu no yiye.

Sua sɛnea wobɛhwɛ asikre a ɛwɔ wo mogya mu wɔ fie. Nso,Ɛho hia sɛ wusua asikre a ɛba mogya mu (anaa asikre a ɛba fam) ne asikre a ɛkɔ soro (anaa asikre a ɛkɔ soro) ho sɛnkyerɛnne, ne sɛnea wobedi so.

Sɛ asikre a ɛwɔ wo mogya mu no so tew mpofirim a, fa asikre a wonya ntɛmntɛm no ka wo ho bere nyinaa. Sɛ nhwɛso no, asikre kuruwa, glucose aduru, anaa toffee. Fa no sɛ asikre a ɛwɔ wo mogya mu no so tew mpofirim na worebɛyera, na sɛ woma wo ho biribi di anaa wonom saa bere no a, ebetumi akɔhyɛ wo menewam. Enti, ɛsɛ sɛ woka eyi ho asɛm kyerɛ w’abusuafo ne wo nnamfo. Sɛ asikre a ɛwɔ wo mogya mu no so tew araa ma wo ho yɛ wo yaw anaasɛ wunnim hwee a, ɛsɛ sɛ wohwehwɛ nnuruyɛfo mmoa ntɛm ara.

Sɛ wote nka sɛ asikre a ɛwɔ wo mogya mu dɔɔso a, ka kyerɛ wo duruyɛfo. Ebia ɛho behia sɛ wɔyɛ nsakrae wɔ nnuru dodow a wode di dwuma no mu. Sɛ woyare anaa woteɛteɛ w’apɔw mu sen sɛnea wotaa yɛ a, bisa wo duruyɛfo sɛ ɛsɛ sɛ wosakra nnuru dodow a wode di dwuma saa bere no anaa.

Mma nntwa adidi so. Wo ne wo duruyɛfo nkasa fa nsa a wobɛnom ho. Ebia asikre anaa nsa wɔ nnuru a wɔde kɔfe ne atiridiinini a wɔtɔn a wɔmfa nnuru nhyɛ mu. Eyinom betumi aka asikre dodow a ɛwɔ mogya mu.

Hu sɛnea ebetumi aba sɛ wubenyinsɛn.

Saa aduru yi betumi ama hokwan a ɛwɔ hɔ sɛ mmea a wɔn bra nkɔ ɔsram biara nanso wonnya nkɔɔ bratwa mu no betumi ayɛ ovulation no ayɛ kɛse. Eyi betumi ama hokwan a ɛwɔ hɔ sɛ obenyinsɛn no ayɛ kɛse. Sɛ woanyinsɛn anaa wususuw sɛ ebia woanyinsɛn a, ɛnsɛ sɛ wonom saa aduru yi. Wo ne wo duruyɛfo nkasa fa akwan horow a wobɛfa so asiw awo ano ho bere a worenom aduru yi. Sɛ wususuw sɛ woanyinsɛn a, ka kyerɛ wo duruyɛfo ntɛm ara.

Ansa na biribi te sɛ oprehyɛn reyɛ

Sɛ wɔreyɛ wo oprehyɛn, MRI, CT scan, anaa aduruyɛ soronko biara a, ka kyerɛ wo duruyɛfo sɛ worenom saa aduru yi. Ebia ɛho behia sɛ wugyae saa aduru yi nom nna kakraa bi ansa na wɔayɛ oprehyɛn no.

Fa Medical ID card a ɛkyerɛ w’ayaresa tebea, nnuru a wonom, dodow a wode di dwuma, ne bere a ɛsɛ sɛ wonom kɔ wo nkyɛn bere nyinaa. Sɛ ɛbɛyɛ yiye a, hyɛ Medical ID abɔso anaa nkɔnsɔnkɔnsɔn. Eyi betumi ayɛ nea ɛho hia paa wɔ tebea a egye ntɛmpɛ mu.

Ebia saa aduru yi bɛma wo folic acid ne vitamin B12 dodow so atew. Enti, hwɛ hu sɛ worenya vitamin a ɛdɔɔso bere a worenom aduru yi no. Wo ne wo duruyɛfo nkasa mfa nnuan a wudi ne vitamin ahorow a wonom ho asɛm.

Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?

Te sɛ aduru biara no, saa metformin ne repaglinide aduru yi betumi de ɔhaw ahorow aba nnipa binom so. Ɛnyɛ obiara na onya bi, nanso nnipa binom betumi.

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

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo anaa akwahosan ho ɔbenfo ntɛm ara :

• Allergic reactions : honam ani akisikuru, ɛyaw anaa akisikuru, anim, anofafa, anaa tɛkrɛma a ɛho ahonhon.
• Ɔhome mu haw ahorow.
• Nsu a ɛyɛ sum .
• Sɛ wote nka sɛ woatɔ piti anaasɛ wo ti ayɛ hare a, ɔhwe ase.
• Atiridiinini, atiridiinini, menewam a ɛyɛ yaw .
• Ntini mu yaw anaa ɛyaw .
• Kɔkɔɔ, akisikuru, akisikuru, honam ani a ɛyɛ mmerɛw, ne nneɛma afoforo a ɛte sɛɛ nso betumi aba ano no mu.
• Nsɛnkyerɛnne ne sɛnkyerɛnne a ɛkyerɛ sɛ asikre a ɛwɔ mogya mu no sua : sɛ obi te dadwen, adwene a ɛyɛ basaa, adwenemhaw, ɔkɔm a ɛkɔ soro, ɔte nka sɛ ɔyɛ mmerɛw anaa ɔbrɛ a ɛnyɛ ne kwan so, fifiri, wosow, awɔw, abufuw, tiyɛ, aniwa a ɛyɛ kusuu, koma a ɛbɔ ntɛmntɛm, n’adwene a ɛyera.
• Koma a ɛbɔ brɛoo anaasɛ ɛnteɛ daa.
• Mogya a ɛtɔ anaasɛ akuru a ɛyɛ soronko.
• Yafunu mu yaw anaa ɛyaw a ɛyɛ soronko.
• Ɔfe a wɔfe.
• Aniwa anaa honam ani yɛ kɔkɔɔ (eyi betumi ayɛ mmerɛbo mu haw).

Nsunsuanso bɔne a mpɛn pii no ɛho nhia sɛ wɔka ho asɛm kyerɛ oduruyɛfo , nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔka ho asɛm:

Mpɛn pii no, saa nsunsuanso bɔne yi nyɛ aniberesɛm. Wɔbɛbrɛ ase wɔ nna kakraa bi mu. Nanso sɛ wɔkɔ so anaasɛ wɔhaw wo a, ka kyerɛ wo duruyɛfo sɛ:

• Ayamtuo.
• Adwene a ɛyɛ basaa.
• Tipaeɛ.
• Gas a ɛwɔ yafunu mu.
• Dade dɛ a wɔte nka wɔ w’anom.
• Yafunu a ɛyɛ basaa.

Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhu nkɛntɛnso foforo biara a ɛyɛ soronko a, wo ne wo duruyɛfo nkasa. Wubetumi abɔ saa nsunsuanso bɔne yi ho amanneɛ akyerɛ FDA wɔ 1-800-FDA-1088.

Ɔkwan bɛn so na wode saa nnuru yi sie? (Akoraeɛ)

Ɛho hia yiye sɛ wode saa nnuru yi sie baabi a mmofra ntumi nkɔ hɔ .

Sɛ ɛhɔ yɛ hyew sen digrii Celsius 25 (25°C) anaa digrii Fahrenheit 77 (77°F) .Kora. Ɛno kyerɛ sɛ fa sie wɔ dan mu hyew a ɛfata mu, ɛnyɛ hyew dodo, na owia nhyerɛn tẽẽ. Bɔ ho ban fi hann ho.

Mfa nnuru a ne bere atwam nni dwuma. Tow wɔn gu.

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

Okay, yɛaka Metformin ne Repaglinide nnuru yi ho asɛm pii, ɛnte saa? Sɛ yɛbɛbɔ no mua a:

• Wɔde saa aduru yi ma de siw Asikreyare a Ɛto so Abien ano . Nanso , aduan pa ne apɔw-mu-teɛteɛ nso ho hia.
• Ansa na wubefi ase anom aduru no , ka wo nyarewa nyinaa ne nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo .
• Fa w’aduru no sɛnea wo duruyɛfo kyerɛ no ansa na woadidi. Sɛ wopa aduan bi a, nom w’aduru bere koro no ara.
• Hwɛ asikre dodow a ɛwɔ wo mogya mu daa. Hu asikre a ɛwɔ mogya mu a ɛba fam ne nea ɛkɔ soro ho sɛnkyerɛnne ahorow. Fa asikre bi sie wo nsam wɔ tebea horow a egye ntɛmpɛ mu.
• Sɛ wunya ɔhaw foforo biara, titiriw sɛ emu yɛ den a, ka kyerɛ wo duruyɛfo ntɛm ara.
• Ka nnuru foforo biara, vitamin, ne nnuru a wɔde di dwuma wɔ amanne kwan so a worenom ho asɛm kyerɛ wo duruyɛfo.
• Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaa worema nufu a, wo ne wo duruyɛfo nkasa ansa na woanom aduru yi.

Saa aduru yi bɛboa wo ma woadi wo asikreyare so na woanya asetra pa. Nanso nea ɛho hia sen biara ne sɛ wubedi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ na woakɔhwɛ no daa akɔhwɛ no. Sɛ wowɔ nsɛmmisa bi a, nsuro sɛ wubebisa wo duruyɛfo anaa nnuruyɛfo no.

` Metformin, Repaglinide, Asikreyare, Asikreyare a Ɛto so 2, Insulin, Mogya mu Asikre, Nsunsuanso bɔne