So wowɔ Asikreyare a Ɛto so Abien? Anaasɛ koma anaa mogya ntini mu yare bi? Sɛ saa a, ebia wo duruyɛfo no akyerɛw wo aduru bi a wɔfrɛ no Empagliflozin, a wɔsan frɛ no Jardiance. Wɔde saa aduru yi nso ma nnipa a wonni asikreyare nanso wɔwɔ komayare tebea horow bi. Enti, esiane sɛ eyi yɛ aduru a wɔrekyerɛw ama nnipa pii mprempren nti, momma yɛnka ho asɛm nkɔ akyiri kakra nnɛ, te sɛ nea yɛne yɛn adamfo bi rekasa.
Ɔkwan bɛn so na aduru yi Empagliflozin (Jardiance) yɛ adwuma?
Ebia eyi bɛyɛ te sɛ nea nyansahu mu de kakra, nanso ɛyɛ mmerɛw yiye. Saa aduru yi ka nnuru bi a wɔfrɛ no SGLT2 inhibitors ho. Edin mũ no nyinaa ne Sodium-glucose co-transporter 2 inhibitor.
Okay, afei sɛ yɛbɛka no tiawa a, eyi ne nea ɛba:
Yɛn asaabo wɔ protein bi a wɔfrɛ no SGLT2. N’adwuma ne sɛ ɛbɛsan agye asikre (glucose) a efi mogya no mu asan akɔ nipadua no mu. Empagliflozin siw protein a wɔfrɛ no SGLT2 yi ano. Afei , asaabo no nsan nnye asikre a ɛboro so a ɛwɔ mogya no mu no nsan nkɔ nipadua no mu, na mmom ɛde kɔ nsu mu. Ɛte sɛ filter a ɛreyi nneɛma a wɔmpɛ afi hɔ. Wɔ saa kwan yi so no, wɔhwɛ asikre dodow a ɛboro so wɔ nipadua no mu so.
Saa aduru yi nso brɛ sodium (nkyene) a ɛsan kɔ asaabo mu kɔ nipadua no mu no ase. Eyi ma adwuma a ɛda koma no so no so tew. Ɛno nti na saa aduru yi nso ho wɔ mfaso kɛse ma nnipa a wɔwɔ komayare no.
Dɛn na ɛsɛ sɛ wohwɛ kwan bere a wode aduru yi redi dwuma no?
Empagliflozin yɛ aduru a wonom pɛnkoro da biara. Ɛyɛ papa sɛ wobɛbata bere koro no ara ho da biara. Nnuruyɛfo taa ka kyerɛ wo sɛ fa anɔpa. Wubetumi de aka aduan ho anaasɛ wunhia.
Saa aduru yi wɔ ahoɔden abien: miligram 10 (10 mg) ne miligram 25 (25 mg). Ebia wo duruyɛfo befi ase de dodow a ɛba fam na afei sɛ ɛho hia a, ama dodow no akɔ soro.
Sɛ wo werɛ fi a, dɛn na ɛsɛ sɛ woyɛ? Sɛ wo werɛ fi sɛ wobɛnom aduru bi a, fa no bere a wokae ara pɛ. Nanso sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo aduru a edi hɔ no a, nnom aduru a woayera no ne nea edi hɔ no nyinaa bere koro mu. Twa aduru a woayera no so na nom aduru a edi hɔ no wɔ bere a wɔahyɛ da ayɛ no mu.
Ɛtɔ da bi a wo duruyɛfoɔ de saa aduru yi bɛka asikreyareɛ aduru foforɔ ho ama wo. Sɛ nhwɛso no, wubetumi anya bi ne metformin (a wɔfrɛ no Synjardy) anaasɛ linagliptin (a wɔfrɛ no Glyxambi) sɛ aduru biako.
Sɛnea ɛbɛyɛ na woanya aduru yi so mfaso kɛse no, ɛho hia sɛ wudi aduan pa na woteɛteɛ w’apɔw mu daa , sɛnea wo duruyɛfo kamfo kyerɛ no. Na mma wo werɛ mmfi sɛ wobɛnom nsu pii da mũ no nyinaa.
Bere a worenom saa aduru yi no, ɛtɔ mmere bi a wo duruyɛfo bɛyɛ mogya mu nhwehwɛmu de ahwɛ sɛnea w’asaabo reyɛ adwuma yiye. Ɔbɛka akyerɛ wo nso sɛ hwɛ asikre dodow a ɛwɔ wo mogya mu daa. Ebia ebegye asram 6 ansa na wɔate aduru yi nkɛntɛnso nyinaa nka.
Dɛn ne eyi mu nsunsuanso bɔne?
Te sɛ aduru biara no, eyi betumi anya ɔhaw nketenkete. Nanso mma ɛnhaw wo, wɔn mu dodow no ara nyɛ aniberesɛm. Momma yɛnhwɛ nea saa nsunsuanso bɔne yi yɛ.
| Nsunsuanso bɔne | Nkyerɛkyerɛmu ne nea ɛsɛ sɛ wɔyɛ |
|---|---|
| Nsunsuanso bɔne a ɛtaa ba | |
| Yeast Infections a Ɛwɔ Awotwaa Mu | Ɛtaa ba mmea so, nanso ebetumi aba mmarima nso mu. Nsɛnkyerɛnne no bi ne ɛyaw, ɛyaw, ɔfe, kɔkɔɔ, ne nsu a ɛtɔ. Ayaresa ahorow wɔ hɔ a wɔde sa eyinom, enti sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, kɔ oduruyɛfo nkyɛn. |
| Nsuo mu yareɛ (UTIs) . | Nsɛnkyerɛnne te sɛ ɔhyew, ɛyaw, nsu a wɔtaa tow, nsu a ɛyɛ mununkum, anaa mogya betumi aba. Yafunu mu yaw nso betumi aba. Ka eyinom ho asɛm kyerɛ wo duruyɛfo efisɛ ɛho hia ayaresa nso. |
| Nneɛma nketenkete afoforo a ɛde ba | Ebia wubenya nneɛma te sɛ sukɔm a ɛkɔ soro, nsu a wotaa to, akisikuru, nkwaa mu yaw, ne menewam yare. Mpɛn pii no, eyinom kɔ bere a bere kɔ so no, bere a wo nipadua no reyɛ nsakrae wɔ aduru no ho no. Sɛ wɔkɔ so tra hɔ a, ka kyerɛ wo duruyɛfo. |
| Nsunsuanso a Ɛyɛ Aniberesɛm a Ɛsɛ sɛ Yɛhwɛ Ntɛm Ntɛmntɛm | |
| Nsuo mu yare a emu yɛ den | Atiridiinini, awɔw, ɛyaw a emu yɛ den wɔ yafunu ase anaa akyi. Ebia eyinom yɛ sɛnkyerɛnne a ɛkyerɛ sɛ ɔyare bi aka asaabo no. Hwehwɛ nnuruyɛfo afotu ntɛm ara. |
| Mogya Nhyɛso a Ɛba Fam | Adwene a ɛyɛ basaa, ti a ɛyɛ hare, titiriw bere a wogyina hɔ no. |
| Asikre a ɛwɔ mogya mu a ɛba fam | Nsɛnkyerɛnne te sɛ fifiri, wosow, koma a ɛbɔ kɛse, ɔkɔm, ne adwenem naayɛ betumi aba, titiriw bere a wɔde ka asikreyare nnuru afoforo ho no. |
| Fournier yare a ɛma obi nya gangrene | Eyi yɛ ɔyare mmoawa a ɛntaa nsi koraa, a emu yɛ den a ɛba ɔbarima ne ɔbea nna mu. Nsɛnkyerɛnne no bi ne ɛyaw a emu yɛ den wɔ beae no, ɛho hohoro, atiridiinini, ne ɔbrɛ a ɛtra so. Eyi yɛ ntɛmpɛ, kɔ ayaresabea no Emergency Department (ETU) ntɛm ara. |
| Asikreyare a ɛma obi nya ketoacidosis | Tebea a emu yɛ den yiye a asikre a ɛdɔɔso wɔ mogya mu de ba. Nsɛnkyerɛnne no bi ne sukɔm dodo, nsu a ɔtaa tow, yafunu mu yaw, akisikuru, mmerɛwyɛ, ne nnuaba hua a ɛba ɔhome no so. Eyi nso yɛ ntɛmpɛ, kɔ ETU ntɛm ara. |
| Nneɛma a ɛma obi ho yɛ no yaw | Wora mu akisikuru, anim, ano, anaa menewa a ɛho ahonhon, ɛyɛ den sɛ wobɛmene anaa wobɛhome. Eyi nso yɛ nea egye ntɛmpɛ, kɔ aduruyɛ mu ntɛm ara. |
Kɔkɔbɔ ne ahobammɔ ho ahwɛyiye a ɛsɛ sɛ wohwɛ yiye ansa na wode adi dwuma
Ansa na wubefi saa aduru yi ase no, ɛho hia yiye sɛ wobɛka nnuru a worenom nyinaa (a nnuru a wɔde sa tebea afoforo, vitamin, nnuru a wɔde ka aduan ho, ne aduru a wɔde di dwuma wɔ amanne kwan so) ho asɛm kyerɛ wo duruyɛfo. Empagliflozin betumi ne nnuru a edidi so yi adi nkitaho titiriw:
- Asikreyare nnuru afoforo
- Mogya mmoroso nnuru te sɛ ACE inhibitors ne Angiotensin receptor blockers (ARBs) .
- Diuretics anaa "nsu mu nnuru".
- Nnuru a wɔde kum ɛyaw te sɛ aspirin, ibuprofen, ne naproxen
Ebia ɛho behia sɛ wo duruyɛfo sesa nnuru afoforo a wonom no dodow anaasɛ ɔhwɛ yiye kɛse wɔ nea efi mu ba no ho.
Sɛ wowɔ ketoacidosis ho sɛnkyerɛnne a, ebia wo duruyɛfo nso bɛka akyerɛ wo sɛ hwɛ wo mogya mu sɛ ketones anaa. Mfiri titiriw anaa nsu a wɔde sɔ nsu mu nhwehwɛmu wɔ hɔ ma eyi.
Mma wo werɛ mmfi sɛ wobɛnom nsu pii , efisɛ saa aduru yi betumi ama wo ho ayɛ wo hyew.
Sɛ wonom nsa a, ka kyerɛ wo duruyɛfo, na sɛ wotaa nya mmɔkaw anaa wo nsu mu yare a.
Hena na ɛnsɛ sɛ ɔnom saa aduru yi?
Empagliflozin mfata obiara. Tebea horow bi wɔ hɔ a ɛnsɛ sɛ wɔnom saa aduru yi:
- Sɛ wɔreyɛ wo asaabo mu nhwehwɛmu a.
- Sɛ woyɛ ɛna a ɔma nufu (aduru no betumi afa nufusu mu akɔ akokoaa no nkyɛn).
- Sɛ woanyinsɛn anaa woreyɛ nhyehyɛe sɛ wubenyinsɛn (esiane sɛ ebetumi apira akokoaa no nti, wo ne wo duruyɛfo nka eyi ho asɛm).
- Sɛ wo ho yɛ wo hyew wɔ empagliflozin anaa emu nneɛma biara ho a.
Afei nso, wɔmpene saa aduru yi so mma nnipa a wɔwɔ Asikreyare a Ɛto so 1, efisɛ ebetumi ama asiane a ɛwɔ hɔ sɛ wobenya Ketoacidosis no ayɛ kɛse.
Empagliflozin (Jardiance) tu mpɔn dɛn?
Wɔakyerɛw sɛnea aduru yi yɛ adwuma yiye wɔ ayaresabea sɔhwɛ ahorow mu. Wɔ asram 6 nhwehwɛmu bi a wɔyɛe wɔ mpanyimfo a wɔwɔ asikreyare a ɛto so abien ho mu no, Empagliflozin:
- Mpɛn pii no, asikre dodow a ɛwɔ mogya mu wɔ mmuadadi mu no so atew bɛyɛ 19-25.
- A1c boɔ a ɛkyerɛ sɛ asikre dodoɔ a ɛwɔ mogya mu wɔ asram 2-3 a atwam no mu no so atew 0.7% - 0.8%.
Nea ɛka ho no, nnipa binom nso so atew . Wɔn a wɔnom 10mg dodow no da biara no hweree wɔn nipadua mu duru bɛyɛ 2.5% (sɛ nhwɛso no, bɛyɛ kilogram 2.25 ma obi a ne mu duru yɛ kilogram 90). Wɔn a wɔnom 25mg dodow no so tew wɔn nipadua mu duru 2.8% (sɛ nhwɛso no, bɛyɛ kilogram 2.5 ma obi a ne mu duru yɛ kilogram 90).
Wɔn a wɔnom saa aduru yi nso, mogya mmoroso a ɛba nipadua no mu no so atew kakra.
Nkrasɛm a Wɔde Kɔ Fie
- Empagliflozin (Jardiance) yɛ aduru a wɔde sa asikreyare ne komayare ahorow bi. Ɛyɛ adwuma denam boa a ɛboa asaabo no ma ɛma asikre a ɛboro so fi nipadua no mu denam nsu mu no so.
- Fa saa aduru yi sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, bere koro no ara mu da biara. Sɛ wopa dodow bi a, nnom nnuru abien bere koro mu bere foforo.
- Nsuo mu yareɛ ne ɔbarima ne ɔbea nna mu mmɔkaw mu yareɛ abu so wɔ saa aduru yi mu. Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ka kyerɛ wo duruyɛfo.
- Nom nsu pii da mũ no nyinaa efisɛ saa aduru yi betumi ama wo ho ayɛ wo hyew.
- Ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru afoforo a worenom nyinaa ho.
- Sɛ wunya sɛnkyerɛnne ahorow a emu yɛ den te sɛ akisikuru a emu yɛ den, ɛyɛ den sɛ wobɛhome, Fournier gangrene, anaa ketoacidosis , kɔ ayaresabea dwumadibea a wɔhwɛ ntɛmpɛ so (ETU) ntɛm ara.
- Nnyae saa aduru yi nom da a wunni aduruyɛ mu afotu.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho