So wɔresa wo nso yare asikreyare a ɛto so abien ? Sɛ saa a, ebia wo duruyɛfo akyerɛw wo aduru bi a ɛka nnuru abien bom, Sitagliptin ne Metformin. Ebia wunim eyi denam edin a wɔde frɛ no Janumet XR no so. Ɛyɛ adwuma denam asikre dodow a ɛwɔ wo mogya mu a ɛhwɛ so no so. Enti ɛnnɛ, momma yɛnka aduru a ɛho hia yi, nea ɛyɛ, nea ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde redi dwuma, ne nea efi mu ba nyinaa ho asɛm.
Dɛn na ɛba wɔ aduru yi ho ankasa?
Sɛ yɛbɛka no tiawa a, saa aduru yi boa ma wohwɛ asikre (glucose) dodow a ɛwɔ wo mogya mu no so wɔ akwan abien so.
1. Metformin: Eyi titiriw na ɛhwɛ asikre a wo mmerɛbo no yɛ a ɛho nhia so. Ɛboa nso ma wo nipadua mu nkwammoaa yɛ wɔn ade yiye wɔ insulin ho .
2. Sitagliptin: Eyi boa ma insulin dodow a wo nipadua fi awosu mu nya bere a woadi akyi no kɔ soro na ɛtew asikre a mmerɛbo no yɛ so.
Nanso kae eyi. Eyi nyɛ nkonyaayi aduru. Sɛnea ɛbɛyɛ na woanya aduru yi so mfaso kɛse no, ɛho hia koraa sɛ wudi aduan pa na woteɛteɛ w’apɔw mu sɛnea wo duruyɛfo kamfo kyerɛ no .
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom nnuru
Ansa na ɔbɛma wo saa aduru yi no, ɛho hia yiye sɛ wo duruyɛfo hu w’akwahosan ho abakɔsɛm nyinaa . Hwɛ hu sɛ wobɛka tebea horow a wɔabobɔ din wɔ ase ha no mu biara ho asɛm akyerɛ wɔn.
| Yare anaa tebea | Dɛn nti na ɛsɛ sɛ wobɔ amanneɛ? |
|---|---|
| Asaabo anaa mmerɛbo mu yare | Wɔnam asaabo so titiriw na eyi aduru no fi nipadua no mu. Sɛ ɔhaw ahorow wɔ saa akwaa ahorow yi ho a, ebia ɛho behia sɛ wɔsesa aduru no dodow anaasɛ wɔmfa mma koraa. |
| Koma mu yare anaa komayare | Aduru yi a wɔde bedi dwuma no betumi ayɛ nea asiane wom wɔ komayare ahorow bi mu. |
| Sɛ woanya dwensɔtwaa mu yare a | Esiane sɛ saa aduru yi ntaa mma dwensɔtwaa mu yare nti, abakɔsɛm a wɔadi kan anya ho hia. |
| Sɛ wonom nsa daa a | 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. |
| Vitamin B12 a enni nipadua mu anaasɛ mogya a ɛtɔ kɔ nipadua mu | Metformin a wɔde di dwuma bere tenten no betumi ama vitamin B12 dodow so atew. |
| Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ woyɛ ɛna a ɔma nufu a | Saa aduru yi mfata wɔ nsɛm yi mu, na wo duruyɛfo bɛma wo aduru foforo a ahobammɔ wom. |
| Sɛ wo ho yɛ wo hyew wɔ nnuru, nnuan, anaa nneɛma afoforo ho a | Ɛho hia sɛ wobɔ amanneɛ wɔ akisikuru biara ho. |
Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?
- Fa dodow a wɔakyerɛw ama no sɛnea oduruyɛfo no akyerɛ no. Mfa nea ɛboro saa anaa nea ennu saa.
- Wɔtaa nom saa aduru yi pɛnkoro da biara, na wɔde anwummere aduan ka ho .
- Fa nsu kuruwa mene tablet no nyinaa .
- Nea ɛho hia yiye: Saa aduru yi yɛ aduru a wɔde ma a wɔfrɛ no Extended-Release (XR). Eyi kyerɛ sɛ wogyae aduru no kɔ nipadua no mu wɔ nnɔnhwerew 24 mu. Enti , mmubu, nbubu, anaa nwe aduru no da. Saa a wɔbɛyɛ no betumi ama aduru no akɔ nipadua no mu prɛko pɛ, na ɛde ɔhaw ahorow a ɛyɛ hu aba.
- Sɛ wopa dose bi a, fa 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 prɛko pɛ da.
- Sɛ wususuw sɛ woanom nnuru pii a, nsɛe bere na frɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea no ntɛm ara. Anaasɛ kɔ ayaresabea a ɛbɛn wo no Emergency Treatment Unit (ETU).
Hwɛ yiye wɔ saa nneɛma yi ho bere a worenom nnuru no.
- Nhwehwɛmu a wɔyɛ no daa: Wo duruyɛfo bɛhwɛ wo daa, titiriw denam mogya mu nhwehwɛmu a wɔfrɛ no HbA1C (A1C) asram 3 kosi 6 biara so. Eyi bɛhwɛ sɛnea wɔadi wo mogya mu asikre so yiye wɔ asram 2-3 a atwam no mu.
- Hu asikre dodow a ɛwɔ wo mogya mu: Sua sɛnea wobɛhwɛ asikre dodow a ɛwɔ wo mogya mu wɔ fie. Hu asikre a ɛba mogya mu (Hypoglycemia) ne asikre a ɛkɔ mogya mu (Hyperglycemia) ho sɛnkyerɛnne ahorow.
- Fa asikre bi sie baabi a ɛbɛn wo: Fa biribi te sɛ asikre bi, toffee asinasin, anaa glucose tablet sie wo nkyɛn bere nyinaa sɛ ebia asikre bɛsa wo mpofirim a.
- Oprehyɛn ne scan: Sɛ wobɛyɛ oprehyɛn, MRI, anaa CT scan a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ worenom aduru yi. Ebia ebehia sɛ wugyae aduru no nom nna kakraa bi.
- Nnuru afoforo: Ka nnuru afoforo a wonom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo. Ebia nnuru bi ne eyi bedi nkitaho.
- Sitagliptin ne Metformin yɛ nnuru a ɛho hia yiye a ɛboa ma wodi asikreyare a ɛto so abien so . Nanso ɛsɛ sɛ wɔyɛ eyi de ka aduan ne apɔw-mu-teɛteɛ ho.
- Mmubu, nbubu, anaa nwe Extended-Release (XR) tablet da. Mene no nyinaa.
- Ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru afoforo a wonom nyinaa ne ayaresa tebea foforo biara a ebia wowɔ ho.
- Hu asikre a ɛba mogya mu (hypoglycemia) ho sɛnkyerɛnne ahorow na fa biribi a asikre wom si hɔ bere nyinaa.
- Sɛ wo yafunu mu yɛ wo yaw kɛse, ɛyɛ den sɛ wobɛhome, anaasɛ wowɔ akisikuru ho sɛnkyerɛnne a emu yɛ den a, hwehwɛ ayaresa ntɛm ara.
- Kwati sɛ wubegyae nnuru anaasɛ w’ankasa wobɛsesa dodow a wode ma no. Wo ne wo duruyɛfo nkasa bere nyinaa.
Nea ɛho hia: Sɛ obi mogya mu asikre sua na ɔreyɛ akisikuru anaasɛ onnim hwee a, mfa biribiara nhyɛ n’anom. Ebetumi abɛyɛ asiane a ɛma obi memene obi. Hwehwɛ ayaresa ntɛm ara.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, eyi betumi de ɔhaw ahorow aba nnipa binom so. Ebinom yɛ nea asiane wom, ebi nso yɛ nea ɛfata.
| Nneɛma bɔne a efi mu ba no mu nkyekyɛmu | |
|---|---|
Nsunsuanso bɔne a anibere wom a ɛhwehwɛ sɛ wɔkɔ ayaresabea ntɛm ara | |
| Nneyɛe a Ɛma Nnipa Ho Yɛ Den | Honam ani akisikuru, ɛyaw, anim, anofafa, tɛkrɛma anaa menewa a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Pancreatitis a ɛyɛ yare | Yafunu mu yaw a emu yɛ den (eyi betumi atrɛw akɔ akyi), ɛyaw a ɛyɛ kɛse bere a woadi akyi, atiridiinini, akisikuru, ɔfe. |
| Lactic Acidosis a ɛwɔ nipadua no mu | Ntini mu akisikuru anaa ɛyaw, yafunu mu yaw, ahome a ɛyɛ den, ɔbrɛ a ɛtra so, mmerɛwyɛ. (Eyi yɛ ntɛmpɛ a anibere wom yiye). |
| Koma a Ɛnyɛ Den | Ɔhome a ɛyɛ den, nansoaa, anan, anaa nsa a ɛho ahonhon, mu duru a ɛkɔ soro mpofirim, ɔbrɛ a ɛyɛ soronko. |
| Nkwaa mu yaw a emu yɛ den | Ɛyaw a wontumi nnyina ano wɔ nkwaa mu. |
Nsunsuansoɔ bɔne a mpɛn pii no ɛnyɛ asiane, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wɔbɔ ho amanneɛ kyerɛ oduruyɛfoɔ | |
| Nnuan a wɔyam no mu haw ahorow | Yafunu mu yaw, akisikuru, gas, akisikuru. |
| Foforɔ | Nsɛnkyerɛnne te sɛ tiyɛ, menewa mu yaw, ne atiridiinini. |
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