So wo duruyɛfo akyerɛw wo aduru foforo a wode besiw asikreyare ano? Ebia woasusuw nea ɛyɛ ho bere a wuhui sɛ ɛwɔ din abien akyi no. Nha wo ho. Ɛnnɛ yɛreka saa aduru yi ho asɛm, a ɛyɛ nnuru abien a wɔfrɛ no Pioglitazone ne Glimepiride a wɔaka abom. Wɔde ma nnipa a wɔwɔ Asikreyare a Ɛto so Abien. Momma yɛnte ase mfi A kosi Z kɛkɛ, te sɛ nea yɛreka akyerɛ yɛn adamfo bi.
Dɛn na ɛba wɔ aduru yi ho ankasa?
Sɛ yɛbɛka no tiawa a, saa aduru yi yɛ adwuma denam asikre anaa glucose dodow a ɛwɔ wo mogya mu a ɛtew so na ɛhwɛ so no so. Esiane sɛ nnuru ahorow abien na ɛwɔ eyi mu nti, ɛyɛ adwuma wɔ akwan horow abien so.
1. Glimepiride: Saa aduru yi ma wo pancreas "boost" kakra na ɛboa ma ɛyɛ insulin hormone a wo nipadua hia no kakra.
2. Pioglitazone: Saa aduru yi yɛ adwuma denam boa a ɛboa wo nipadua mu nkwammoaa ma wɔde insulin a wɔyɛ no di dwuma yiye no so. Ɛne sɛ, ɛma nkwammoaa no te nka wɔ insulin ho kɛse.
Nanso kae eyi: Eyi nyɛ nkonyaayi. Ɛsɛ sɛ wokɔ so di w’aduan ne apɔw-mu-teɛteɛ nhyehyɛe akyi bere a worenom saa aduru yi no. Nea eye sen biara no fi mu ba bere a nnuru no ne asetra a ahoɔden wom bom no.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Ansa na wubefi saa aduru yi ase no, ɛho hia yiye sɛ woka w’akwahosan ho abakɔsɛm nyinaa kyerɛ wo duruyɛfo. Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ tebea horow a edidi so yi mu biara a:
- Mprempren ayaresa tebea horow:
- Sɛ wowɔ komayare anaa koma a ɛyɛ mmerɛw a
- Asaabo mu yare
- Mmɛn mu yare
- Sɛ wowɔ abakɔsɛm a ɛkyerɛ sɛ wowɔ akisikuru a ɛwɔ akisikuru mu a
- Sɛ woanya asikreyare ketoacidosis, tebea a emu yɛ den a asikreyare de ba a
- Sɛ wowɔ enzyme bi a enni hɔ a wɔfrɛ no G6PD a enni nipadua mu (Glucose-6-phosphate dehydrogenase a enni mu) a .
- Thyroid haw ahorow (Thyroid yare) .
- Sɛ wo nipadua, wo nsa, anaa wo nan ho ahonhon a
- Sɛ wowɔ ɔyare mmoawa anaa opira a emu yɛ den a
- Nneɛma a ɛma obi ho yɛ no yaw:
- Sɛ wo ho yɛ wo hyew wɔ Pioglitazone, Glimepiride anaa sulfa nnuru afoforo ho a
- Sɛ wo ho yɛ wo hyew wɔ aduru foforo biara, aduan, anaa ade a wɔde sie ho a
- Nsɛntitiriw afoforo:
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a
- Sɛ woyɛ ɛna a ɔma nufu a
Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?
Sɛ wopɛ sɛ wunya aduru bi so mfaso kɛse a, ɛsɛ sɛ wode di dwuma yiye.
- Fa nsu kuruwa mene saa aduru yi.
- Fa nyɛ wo su sɛ wobɛnom w’aduru bɛyɛ bere koro mu da biara.
- Nea ɛho hia sen biara: Fa saa aduru yi bere a woadidi anaasɛ bere a woadi akyi ntɛm ara . Mfa no bere a wo yafunu da mpan. Saa a wobɛyɛ no betumi ama asikre dodow a ɛwɔ wo mogya mu no so atew dodo (hypoglycemia). Nnuruyɛfo taa kamfo kyerɛ sɛ fa ka anɔpaduan ho.
- Kɔ so nom aduru no kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ gyae.
- Dodow a ɛboro so: Sɛ wususuw sɛ woanom boro so a, frɛ National Poisons Information Center a ɛwɔ Colombo National Hospital , ntɛm ara , anaa kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU) .
- Sɛ wopa dose bi a: Fa dose a woayera 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 dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru abien bere koro mu da.
Nneɛma afoforo a ebia ɛne aduru yi bedi nkitaho
Nnuru afoforo, vitamin, ne nhabannuru a ebia worenom betumi ne saa aduru yi adi nkitaho. Enti, ɛho hia paa sɛ wobɛka biribiara a worenom ho asɛm kyerɛ wo duruyɛfo. Nhwɛso kakraa bi pɛ na ɛwɔ ase ha.
| Aduru/aduru ko a wɔde yɛ | Nhwɛso ne nsɛm a wɔakyerɛw |
|---|---|
| Nnuru a wɔde kum ɛyaw ne nnuru a ekum ɔyare mmoawa | NSAID nnuru te sɛ Aspirin, Ibuprofen, ne Naproxen. |
| Nnuru a ekum ɔyare mmoawa ne nnuru a ekum fungal | Chloramphenicol, Clarithromycin, Ketoconazole, Miconazole, Rifampin a wɔde di dwuma wɔ ɔkwan a ɛyɛ nwonwa so. |
| Aduru a wɔde sa mogya mmoroso | Nnuru a esiw beta ano te sɛ Metoprolol, Propranolol, Nifedipine. |
| Hormone ahorow a ɛwɔ nipadua no mu | Mmea hormone (Estrogens), awo ano aduru, thyroid hormone, ne steroid te sɛ Prednisone. |
| Asikreyare nnuru afoforo | Asikreyare nnuru foforo biara a worenom. |
| Foforɔ | Gemfibrozil, Atorvastatin a ɛtew mogya mu srade so, Warfarin a ɛmma mogya ntumi nkɔ, Isoniazid a wɔde sa nsamanwaw, ne Nsã. |
Eyi nyɛ nea wɔahyehyɛ no nyinaa, enti ka nnuru, vitamin, ne nhabannuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
Nneɛma a ɛsɛ sɛ ɛtra w’adwenem bere a worenom nnuru no
- Hwɛ a wobɛhwɛ wo daa: Kɔ wo duruyɛfo nkyɛn wɔ nna a wobɛkɔ akɔhwɛ wo tebea no daa. Ebia ɛho behia nso sɛ woyɛ mogya mu nhwehwɛmu de hwɛ sɛnea wo mmerɛbo no yɛ adwuma.
- HbA1C nhwehwɛmu: Eyi sɔ wo mogya mu asikre a wohwɛ so wɔ asram 2-3 a atwam no mu hwɛ. Ɛda adi sɛ wo duruyɛfo bɛkamfo akyerɛ wo sɛ wobɛyɛ saa nhwehwɛmu yi asram 3-6 biara.
- Asikre dodow a ɛwɔ wo mogya mu a wobɛsusuw: Sua sɛnea wobɛsusuw asikre dodow a ɛwɔ wo mogya mu wɔ fie. Hu asikre a ɛba mogya mu (hypoglycemia) ne asikre a ɛkɔ soro (hyperglycemia) ho sɛnkyerɛnne ne sɛnea wobedi ho dwuma.
- Sɛ asikre a ɛwɔ wo mogya mu sua a: Fa asikre bi sie wo ho bere nyinaa. Sɛ nhwɛso no, glucose aduru, asikre kuruwa, ahwiesa asinasin, jelly bean asinasin. Sɛ wunya asikre a ɛba wo mogya mu ho sɛnkyerɛnne a emu yɛ den (sɛ nhwɛso no, akisikuru, adwenem naayɛ) a, ka kyerɛ w’abusua sɛ asiane wom sɛ wɔbɛma wo aduan anaa anonne. Wɔ nsɛm a ɛtete saa mu no, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.
- Mma ntwa adidi so: Sɛ worenom saa aduru yi a, ɛho hia paa sɛ wudi w’aduan titiriw wɔ bere a ɛfata mu.
- Nyinsɛn: Saa aduru yi betumi ama hokwan a ɛwɔ hɔ sɛ mmea a wɔn brayɛ nkɔ so daa no betumi ayɛ ovulation no ayɛ kɛse. Enti, wo ne wo duruyɛfo nkasa mfa ɔkwan a ɛfata a wode siw awo ano a wode bedi dwuma bere a worenom aduru yi no ho. Sɛ wususuw sɛ woanyinsɛn a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Owia ho nkate: Ebia saa aduru yi bɛma wo honam ani ayɛ mmerɛw kakra wɔ owia ho. Enti, sɛ worekɔ owia mu a, hyɛ ntade a ɛkata wo nipadua so na fa aduru a ɛbɔ wo ho ban fi owia ho di dwuma.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi anya ɔhaw ahorow. Ɛnyɛ obiara na onya wɔn. Ma yɛnhwɛ nea wɔyɛ.
| Nsunsuanso bɔne a anibere wom a ɛhwehwɛ sɛ wɔkɔ ayaresabea ntɛm ara | |
|---|---|
| Nneɛma a ɛma obi ho yɛ no hyew | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon. |
| Koma a entumi nyɛ adwuma yiye ho sɛnkyerɛnne | Ɔhome a ɛyɛ den, nansoaa, nan anaa nsa a ɛho ahonhon, mu duru a ɛkɔ soro mpofirim, ɔbrɛ a ɛtra so. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo apira | Ɛyaw a ɛba yafunu no nifa so atifi, aduan ho akɔnnɔ a ɛyera, akisikuru, nsu a ɛyɛ kɔla a ɛyɛ hann, nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, ne honam ani anaa aniwa a ɛyɛ kɔkɔɔ. |
| Hypoglycemia (asikre a ɛba mogya mu) . | Wosow, fifiri, dadwen a ɛtra so, honam ani nwini, adwenemhaw, koma bɔ ntɛmntɛm, ne adwenem naayɛ. |
| Anisoadehu sesa | Anisoadehu a wontumi nhu, nkaa a wohu a atwa akanea ho ahyia, aniwa a wontumi nhu. |
| Nsakrae a ɛba nsu mu | Nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, ɛyaw a ɛba bere a ɔreto nsu, a wɔtaa tow nsu. |
| Mpɛn pii no, biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho (nanso sɛ ɛkɔ so a, ka kyerɛ wo duruyɛfo) . | |
| Ɔhaw ahorow a ɛtaa ba | Tiyɛ, akisikuru, akisikuru, menewa a ɛyɛ yaw, hwene a ɛretu, ntini mu yaw. |
Nkrasɛm a Wɔde Kɔ Fie
- Bere nyinaa nom saa aduru yi wɔ bere a wɔahyɛ sɛ wobɛka adidi ho . Mfa no bere a wo yafunu da mpan da.
- Mma nntwa adidi so. Saa a wɔbɛyɛ no betumi ama asikre dodow a ɛwɔ mogya mu no akɔ fam wɔ ɔkwan a ɛyɛ hu so.
- Hu asikre a ɛba mogya mu (hypoglycemia) ho sɛnkyerɛnne ahorow. Fa biribi a asikre wom (glucose aduru, ahwiesa bi) sie baabi a ɛbɛn wo bere nyinaa .
- Ka nnuru afoforo, vitamin, ne nhabannuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Kwati sɛ wubegyae nnuru no anaasɛ wobɛsesa dodow a wode ma no a wunnya wo duruyɛfo afotu.
- Sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den te sɛ wo koko mu yaw, ɛyɛ den sɛ wobɛhome, anaasɛ w’adwene mu yɛ wo naa a, kɔ ayaresabea Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara.
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