Ebia wowɔ Asikreyare a Ɛto so Abien, enti ebia wo duruyɛfo akyerɛw aduru bi a wɔfrɛ no Tolbutamide ama wo. Anaasɛ ebia w’ani begye ho sɛ wubesua aduru yi ho ade pii. Nanso, ɛho hia sɛ wuhu nea aduru yi yɛ ankasa. Enti ɛnnɛ, momma yɛnka ho asɛm nkɔ akyiri na yɛmfa ɔkwan a ɛyɛ mmerɛw koraa so.
Dɛn na ɛba ankasa wɔ aduru a wɔfrɛ no Tolbutamide yi ho?
Sɛ yɛbɛka no tiawa a, Tolbutamide yɛ aduru a ɛboa ma wodi wo Asikreyare a Ɛto so Abien no so. Ɛboa wo nipadua mu insulin hormone titiriw ma ɛyɛ n’adwuma yiye. Wunim, sɛ wowɔ asikreyare a, wo nipadua no ntumi nyɛ insulin a ɛdɔɔso, anaasɛ insulin a ɛyɛ no nyɛ adwuma yiye. Ɛno ne bere a saa aduru yi boa.
Nanso ade biako a ɛsɛ sɛ yɛkae. Worentumi nni asikreyare so denam aduru yi nkutoo a wobɛnom so. Sɛ wudi aduan pa na woteɛteɛ w’apɔw mu nkutoo a, wubetumi anya mfaso kɛse afi aduru yi mu. Ebia wobetumi anya saa aduru yi wɔ gua so wɔ din te sɛ Orinase anaa Tol-Tab ase. Nanso sɛ ade titiriw a ɛwɔ aduru a oduruyɛfo no kyerɛw ma wo no mu ne Tolbutamide a, saa nsɛm yi nyinaa fa ho.
Ɛtɔ da bi a, wobetumi de saa aduru yi adi dwuma wɔ aduruyɛ mu nneɛma afoforo ho. Sɛ wowɔ nsɛmmisa bi fa eyi ho a, bisa wo duruyɛfo anaa nnuruyɛfo.
Nneɛma bɛn na ɛsɛ sɛ woka kyerɛ w’aduruyɛfo kuw no ansa na woanom saa aduru yi?
Eyi yɛ asɛm a ɛho hia paa. Sɛ wowɔ tebea horow a edidi so yi mu biara a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woafi aduru yi ase:
- Sɛ wowɔ asikreyare ketoacidosis, tebea a emu yɛ den a asikreyare de ba a.
- Sɛ wowɔ enzyme bi a enni nipadua mu a wɔfrɛ no glucose-6-phosphate dehydrogenase a enni nipadua mu (G6PD a enni mu) a .
- Sɛ wowɔ komayare a .
- Sɛ wowɔ asaabo mu yare a .
- Sɛ wowɔ mmerɛbo mu yare a .
- Sɛ wowɔ ɔyare mmoawa a emu yɛ den anaasɛ woapira a .
- Sɛ wowɔ thyroid yare a .
- Sɛ woanya tolbutamide, nnuru a wɔde yɛ sulfa, nnuru afoforo, nnuan, nnuru a wɔde yɛ nneɛma, anaa nneɛma a wɔde siw ano ho adwene a ɛyɛ soronko anaasɛ wo ho nyɛ wo hyew a .
- Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a.
- Sɛ woyɛ ɛna a ɔma nufu a.
Sɛ woka saa nokwasɛm ahorow yi pɛpɛɛpɛ a, wo duruyɛfo betumi asi gyinae sɛ ebia aduru yi fata wo anaasɛ wuhia ɔkwan foforo.
Ɔkwan bɛn so ankasa na wode saa aduru yi di dwuma?
Saa aduru yi yɛ tablet a wofa w’ano. Fa nsu kuruwa mene tablet no. Ɛsɛ sɛ wudi akwankyerɛ a ɛwɔ nnuru a wɔakyerɛw so no akyi sɛnea wo duruyɛfo de ama wo no pɛpɛɛpɛ. Ɛyɛ papa sɛ wobɛnom aduru no bere koro mu da biara. Mma nnnom pii nsen nea oduruyɛfo no aka akyerɛ wo no.
Sɛ wode saa aduru yi rema mmofra a, ɛsɛ sɛ wo ne mmofra oduruyɛfo kasa fa ho. Ebia ebehia sɛ wɔhwɛ so yiye.
Ebia nnipa a wɔadi boro mfe 65 benya nkɛntɛnso a emu yɛ den kakra bere a wɔnom saa aduru yi no. Enti, ebia ebehia sɛ wɔma wɔn dodow a ɛba fam.
Nea ɛho hia: Sɛ wususuw sɛ woanom nnuru pii (dodow a ɛboro so) a, frɛ beae a ɛbɛn awuduru a wɔde siw ano anaa baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ ntɛm ara.
Ade foforo nso, saa aduru yi yɛ wo nkutoo dea. Mfa w’aduru mma obi foforo da, sɛ mpo wɔn nso wɔ yare no ho sɛnkyerɛnne te sɛ wo a.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
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 wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu. Mfa nnuru mmɔho abien da.
Nkitahodi afoforo bɛn na ebetumi aba wɔ aduru yi mu?
Eyi nso yɛ biribi a ɛsɛ sɛ yɛhwɛ yiye wɔ ho. Nnuru ne nnuan bi betumi ne Tolbutamide adi nkitaho. Ɛne sɛ, sɛnea aduru yi yɛ adwuma no betumi asesa, anaasɛ nea efi mu ba no betumi ayɛ kɛse.
Saa aduru yi betumi ne nea edidi so yi adi nkitaho:
- Bosentan na ɔkyerɛwee
- Chloramphenicol a wɔde yɛ aduru
- Cisapride na ɔkyerɛwee
- Nnuru a wɔde sa fungal anaa mmɔkaw (e.g. fluconazole, ketoconazole) .
- Metoclopramide a wɔde di dwuma
- Probenecid a wɔde yɛ nnuru
- Warfarin a wɔde di dwuma
Nea ɛka ho no, nnuru ne nneɛma afoforo wɔ hɔ a ebetumi ama asikre dodow a ɛwɔ wo mogya mu no akɔ soro anaasɛ ɛbɛtew. Ɛsɛ sɛ wohwɛ yiye bere a worenom aduru yi no. Nhwɛsoɔ:
- Nsã a wɔnom
- Aspirin ne nnuru a ɛtete saa
- Chromium a wɔde ka aduan ho
- Nnuru a ekum ɔyare mmoawa te sɛ clarithromycin
- Diuretics (nnuru a ɛma wotɔ wo ho) .
- Mmea hormone (te sɛ estrogens anaa progestins) ne nnuru a wɔde siw awo ano
- Nnuru a wɔde sa komayare ahorow bi
- Isoniazid a wɔde yɛ nnuru
- Mmarima hormone anaa anabolic steroids
- Nnuru a wɔde ma obi mu duru so tew
- Aduru a wɔde sa akisikuru, ayamtu, atiridiinini, ne ɔfe
- Nnuru a wɔde sa adwenemyare
- Nnuru a ɛwɔ nnuru kuw a wɔfrɛ no MAO Inhibitors (e.g. Nardil, Parnate) mu .
- Niacin a wɔde yɛ nnuru
- NSAID ahorow (sɛ nhwɛso no, ibuprofen, naproxen) .
- Pentamidine a wɔde di dwuma
- Phenytoin a wɔfrɛ no phenytoin
- Quinolone nnuru a ekum ɔyare mmoawa (sɛ nhwɛso no, ciprofloxacin, levofloxacin) .
- Nnuadewa bi a wɔde ka aduan ho
- Steroid nnuru (sɛ nhwɛso no, prednisone, cortisone) .
- Nnuru a wɔde yɛ thyroid
Saa list yi nwie pɛyɛ. Enti, ka nnuru (a nnuru a wɔtɔn ka ho), nhabannuru, ne aduannuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo. Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne foforo di dwuma a, ka kyerɛ wo duruyɛfo. Eyinom nso betumi ne wo nnuru no adi nkitaho.
Nneɛma bɛn na ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛrenom aduru yi?
Ɛsɛ sɛ wohwɛ w’akwahosan yiye bere nyinaa bere a wode saa aduru yi redi dwuma no.
- Kɔ wo duruyɛfo nkyɛn daa: Kɔhwɛ sɛnea wo duruyɛfo akyerɛ wo no na woahu sɛnea wɔredi wo asikreyare no so yiye.
- HbA1C nhwehwɛmu: Ebia wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu a wɔfrɛ no HbA1C (A1C) nhwehwɛmu. Saa nhwehwɛmu yi susuw asikre a wowɔ wɔ mogya mu wɔ asram 2-3 a atwam no mu. Wɔtaa yɛ sɔhwɛ yi asram 3 kosi 6 biara.
- Sua sɛnea wobɛhwɛ asikre dodow a ɛwɔ wo mogya mu: Ɛho hia sɛ wusua sɛnea wobɛhwɛ asikre dodow a ɛwɔ wo mogya mu wɔ fie. Afei nso, hu asikre a ɛba mogya mu (hypoglycemia) ne asikre a ɛdɔɔso wɔ mogya mu (hyperglycemia) ho sɛnkyerɛnne ne sɛnea wubedi ho dwuma.
Hwɛ yiye titiriw wɔ asikre a ɛba fam ho!
Sɛ wonom aduru yi a, asikre dodow a ɛwɔ wo mogya mu no betumi akɔ fam dodo. Eyi betumi ayɛ nea asiane wom. Enti ɛsɛ sɛ wohwɛ yiye paa wɔ eyi ho.
- Fa biribi a ebetumi ama asikre fibea a ɛba ntɛmntɛm sie: Fa biribi bɛn wo bere nyinaa a wubetumi adi bere a woahu asikre a ɛba fam ho sɛnkyerɛnne ara pɛ (e.g. fifiri, wosow, adwenemhaw, ɔkɔm kɛse a wobɛte nka, ɛyɛ den sɛ wode w’adwene besi biribi so). Sɛ nhwɛso no, asikre kuruwa, toffee, glucose aduru, anaa nnuaba mu nsu bi.
- Ka afoforo amanneɛ: Sɛ wowɔ tebea bi a wuntumi nnidi anaa nnom esiane asikre a ɛkɔ fam kɛse nti (sɛ nhwɛso no, akisikuru, adwenem naayɛ) a, ka kyerɛ w’abusua ne wo nnamfo sɛ sɛ wobɔ mmɔden sɛ wobɛma wɔn aduan anaa anonne saa bere no a, ebia wɔbɛmene. Sɛ eyi ba a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.
- Sɛ asikre dodow a ɛwɔ wo mogya mu no dɔɔso a: Sɛ wuhu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ asikre a ɛwɔ wo mogya mu no dɔɔso (sɛ nhwɛso no, sukɔm de wo dodo, wotaa tow nsu, nhu ade yiye) a, ka kyerɛ wo duruyɛfo. Ebia ɛho behia sɛ wɔyɛ nsakrae wɔ nnuru dodow a wode di dwuma no mu.
- Sɛ woyare anaasɛ w’apɔw-mu-teɛteɛ dodow sesa: Sɛ woyare a atiridii, atiridiinini, anaasɛ woteɛteɛ w’apɔw mu sen sɛnea wotaa yɛ a, ebia ebehia sɛ wɔyɛ nsakrae wɔ nnuru dodow a wode di dwuma no mu. Wo ne wo duruyɛfo nka eyi nso ho asɛm.
- Mma nntwa adidi so: Didi wɔ bere a ɛfata mu. Sɛ wugyae aduan a, ebetumi ama asikre a ɛwɔ mogya mu no so atew.
- Hwɛ yiye wɔ nsa ho: Bisa wo duruyɛfo sɛ eye sɛ wobɛkwati nsa a wobɛnom anaa. Ebia asikre anaa nsa nso wɔ ɔfe ne atiridiinini a wɔtɔn a wɔmfa nnuru nhyɛ mu. Eyinom betumi aka asikre dodow a ɛwɔ mogya mu.
- Hwɛ yiye wɔ owia ho: Ebia aduru yi bɛma wo honam ani ayɛ mmerɛw wɔ owia ho. Enti, hyɛ ntade a ɛkata wo honam ani bere a worekɔ owia mu no, fa aduru a ɛbɔ wo ho ban fi owia ho di dwuma, na kwati awia akanea anaa mpa a wode bɛbɔ wo honam ani.
- Hyɛ aduruyɛ ho ID: Hyɛ aduruyɛ ho ID abɔso anaa nkɔnsɔnkɔnsɔn a ɛkyerɛ sɛ wowɔ asikreyare ne nnuru a wonom ne ne dodow. Afei nso, fa kratasin a saa nsɛm no wom sie wo nkyɛn bere nyinaa. Eyi ho hia yiye sɛ biribi si ntɛm a.
Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ nnuru nyinaa no, tolbutamide betumi de ɔhaw ahorow bi aba, ɛwom sɛ ɛnyɛ obiara na onya bi de.
Nneɛma bɔne a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara:
Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ka kyerɛ wo duruyɛfo anaa akwahosan ho ɔyaresafo ntɛm ara sɛnea wubetumi:
- Ɔhome a ɛyɛ den
- Nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum, aniwa anaa honam ani yɛ kɔkɔɔ (te sɛ jaundice) .
- Atiridiinini, awɔw, menewam a ɛyɛ yaw
- Asikre dodow a ɛba fam wɔ mogya mu (bisa wo duruyɛfo ma ɔmma wo sɛnkyerɛnne ahorow a ɛfa eyi ho) .
- Wo honam ani a ɛyɛ hyew, ɛyɛ kɔkɔɔ, ɛho wosow, anaasɛ ɛyɛ wo yaw
- Mogya a ɛtɔ anaasɛ akuru a ɛyɛ soronko
Nsunsuanso bɔne a mpɛn pii no ɛnyɛ aniberesɛm, nanso sɛ ɛkɔ so a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ:
Mpɛn pii no, eyinom kɔ wɔ nna kakraa bi mu. Nanso sɛ wɔkɔ so a, sɛ wɔhaw wo a, ka kyerɛ wo duruyɛfo :
- Ayamtuo
- Tipaeɛ
- Koma a ɛyɛ yaw
- Akisikuru, ɔfe
- Yafunu mu a ɛyɛ mmerɛw
Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Sɛ wuhu biribi foforo a ɛyɛ soronko a, wo ne wo duruyɛfo nka ho asɛm.
Ɔkwan bɛn so na wode nnuru sie?
- Fa sie baabi a mmofra ntumi nkɔ.
- Fa sie wɔ dan mu hyew (a ɛyɛ digrii Celsius 15 kosi 30, digrii Fahrenheit 59 kosi 86).
- Tow nnuru a ne bere atwam a womfa nni dwuma.
Adeɛ a ɛho hia paa - kae!
Saa asɛm yi de Tolbutamide ho nsɛm tiawa nkutoo ma. Sɛ wowɔ nsɛmmisa foforo bi fa saa aduru yi ho a, yɛsrɛ wo ne wo duruyɛfo, nnuruyɛfo, anaa akwahosan ho ɔyaresafo foforo nsusuw ho. Ɛyɛ papa bere nyinaa sɛ wubedi wo duruyɛfo afotu akyi bere a woresisi w’akwahosan ho gyinae no. Kɔ so nya apɔwmuden!
`tolbutamide, asikreyare, asikreyare a ɛto so abien, asikre a ɛwɔ mogya mu, nnuru, orinase, tol-tab, asikreyare, tolbutamide, asikre a ɛwɔ mogya mu, nnuru
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