Yog tias koj muaj tus kab mob ntshav qab zib hom 2, tej zaum koj tus kws kho mob yuav tau sau tshuaj hu ua Canagliflozin (feem ntau hu ua Invokana hauv peb lub tebchaws) los pab tswj koj cov ntshav qab zib. Cov tshuaj no ua haujlwm zoo tshaj plaws thaum siv ua ke nrog kev noj zaub mov zoo thiab kev tawm dag zog txhua hnub. Yog li, cia peb tham txog qee yam tseem ceeb tshaj plaws uas koj yuav tsum paub txog cov tshuaj no.
1. Canagliflozin kho tau cov mob dab tsi?
Kab mob ntshav qab zib thiab kab mob plawv feem ntau mus ua ke. Qhov tseeb, kev tshawb fawb tau pom tias cov neeg uas muaj kab mob ntshav qab zib muaj feem yuav mob plawv lossis ua tsis tau haujlwm plawv ob npaug ntau dua li cov neeg uas tsis muaj kab mob ntshav qab zib.
Canagliflozin yog ib hom tshuaj hu ua sodium-glucose co-transporter 2 (SGLT2) inhibitors. Hais yooj yim xwb, nws ua haujlwm los ntawm kev txo cov suab thaj uas koj lub cev tso tawm hauv koj cov zis, uas ua rau koj cov ntshav qab zib qis dua.
Lwm qhov txiaj ntsig tshwj xeeb ntawm qhov no yog tias cov tshuaj no tau pom zoo los txo qhov kev pheej hmoo ntawm kev tuag los ntawm cov mob hnyav xws li mob plawv thiab mob hlwb hauv cov neeg laus uas muaj ntshav qab zib hom 2 uas muaj kab mob plawv, lossis cov neeg uas muaj feem yuav mob cov kab mob no.
Ntxiv rau qhov ntawd, cov tshuaj no kuj pab txo cov yam txaus ntshai hauv qab no:
- Kab mob raum theem kawg
- Kev ua haujlwm ntawm lub raum tsis zoo
- Kev pw hauv tsev kho mob vim yog lub plawv tsis ua haujlwm
- Kev pw hauv tsev kho mob vim yog mob raum los ntawm ntshav qab zib (Diabetic Nephropathy)
Qhov tseem ceeb tshaj plaws, cov tshuaj no tsis haum rau cov neeg uas muaj ntshav qab zib hom 1. Tsis tas li ntawd, cov neeg uas muaj kab mob raum hnyav tsis tuaj yeem noj cov tshuaj no.
2. Yuav siv cov tshuaj no li cas?
Cov tshuaj no yog cov tshuaj uas muaj cov duab zoo li cov ntsiav tshuaj. Koj yuav tsum noj nws ib zaug ib hnub, feem ntau yog ua ntej koj pluas mov thawj zaug ntawm hnub.
Cov tshuaj no noj tau nrog lwm cov tshuaj kho mob ntshav qab zib, xws li metformin. Txawm li cas los xij, qee zaum cov tshuaj no tuaj yeem sib cuam tshuam. Yog tias qhov no tshwm sim, lawv cov txiaj ntsig yuav txo qis lossis cov kev mob tshwm sim yuav tshwm sim. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj, cov vitamins, thiab cov khoom noj khoom haus uas koj noj.
Koj tus kws kho mob yuav hloov qhov ntau npaum li cas yog tias tsim nyog. Khaws cov tshuaj no rau qhov kub thiab txias hauv chav tsev, hauv lub thawv kaw. Khaws kom deb ntawm qhov kub thiab txias, dej noo, thiab tshav ntuj ncaj qha. Pov tseg cov tshuaj uas tas sij hawm lawm kom zoo.
Cov tshuaj noj npaum li cas?
Tej zaum koj tus kws kho mob yuav pib noj tshuaj 100 milligram (100mg) rau koj. Yog tias koj xav tau kev tswj hwm ntau ntxiv rau koj cov ntshav qab zib, koj cov tshuaj yuav raug nce mus txog 300 milligrams (300mg) ib hnub. Yog tias koj tsis nco qab noj ib zaug, noj sai li sai tau thaum koj nco qab. Tab sis yog tias nws yuav luag txog lub sijhawm rau koj cov tshuaj tom ntej, tsis txhob noj ob zaug ib zaug. Tsis txhob noj cov tshuaj uas koj tsis nco qab thiab noj koj cov tshuaj tom ntej li niaj zaus.
3. Tej yam tshwm sim tsis zoo li cas?
Tej zaum yuav muaj tej yam tsis zoo tshwm sim me me, nruab nrab, lossis hnyav los ntawm cov tshuaj no. Cia peb paub txog lawv.
| Hom kev phiv tshuaj | Cov yam ntxwv uas yuav tsum tau saib xyuas |
|---|---|
| Cov kev mob tshwm sim uas pom ntau zaus | |
| Kab mob ntawm txoj hlab zis | Kub hnyiab thaum tso zis, mob plab qis, yuav tsum tau tso zis ntau zaus, muaj ntshav hauv cov zis. |
| Ntshav Qab Zib Qis (Hypoglycemia) | Qhov no tuaj yeem tshwm sim thaum noj nrog lwm cov tshuaj kho mob ntshav qab zib. Cov tsos mob suav nrog kiv taub hau, mob taub hau, tawm hws, tshee hnyo, thiab lub plawv dhia ceev. |
| Cov kev mob tshwm sim loj heev/tam sim ntawd uas xav tau kev kho mob | |
| Ib qho kab mob bacterial tsawg tsawg (Necrotizing Fasciitis) | Ib qho kab mob txaus ntshai uas ua rau cov nqaij hauv qab daim tawv nqaij nyob ib puag ncig thaj chaw mos thiab qhov quav puas tsuaj. Nrhiav kev pab kho mob tam sim ntawd yog tias koj muaj cov tsos mob xws li mob, o, thiab liab. |
| Kev ua xua hnyav heev | Tawv nqaij ua pob khaus, o, ua pob khaus, lossis khaus heev. Cov no kuj yog cov mob uas xav tau kev kho mob tam sim ntawd . |
| Pob Txha Pob Txha | Kev tshawb fawb tau qhia tias cov tshuaj no yuav ua rau muaj kev pheej hmoo ntawm pob txha tawg me ntsis. |
| Lwm cov tsos mob hnyav | Tsis pom kev zoo, pom kev tsis meej, mob qhov muag, ua pa nyuaj, lub plawv dhia tsis xwm yeem, tsaus muag, hais lus tsis tau zoo, taug kev tsis tau zoo, tawm hws ntau dhau, lossis kub taub hau. |
Yog tias koj muaj cov kev mob tshwm sim hnyav no, tsis txhob ncua sijhawm thiab hu rau 1990 lub tsheb thauj neeg mob tam sim ntawd lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob ze tshaj plaws.
4. Cov lus ceeb toom tshwj xeeb thiab kev nyab xeeb (Cov Lus Ceeb Toom)
Kev pheej hmoo ntawm kev tshem ko taw
Muaj qee qhov kev sib cav txog seb cov tshuaj no puas ua rau muaj kev pheej hmoo ntawm kev txiav ceg, tshwj xeeb tshaj yog ntawm ko taw thiab ceg qis. Qhov no tsis tshua muaj. Txawm li cas los xij, yog tias koj tau ua cov kev phais mob no ua ntej, lossis yog tias koj muaj cov qhov txhab ko taw lossis kab mob ntau zaus, nws yog ib qho tseem ceeb kom paub txog qhov no thiab saib xyuas koj txhais taw tshwj xeeb.
Mob ntshav qab zib ketoacidosis (DKA)
Qhov no yog qhov tseem ceeb tshaj plaws uas yuav tsum paub txog cov tshuaj no. Cov tshuaj no tuaj yeem ua rau muaj tus mob txaus ntshai heev hu ua Diabetic Ketoacidosis (DKA) rau qee tus neeg mob ntshav qab zib hom 2.
Hais yooj yim xwb, DKA tshwm sim thaum koj lub cev tsis muaj insulin txaus los hloov cov suab thaj hauv koj cov ntshav mus ua lub zog. Koj lub cev mam li pib hlawv rog kom muaj zog. Thaum lub sijhawm no, cov tshuaj hu ua ketones sib sau ua ke hauv koj cov ntshav. Thaum cov ketones no sib sau ua ke ntau dhau, koj cov ntshav yuav ua kua qaub, uas tuaj yeem lom koj lub cev thiab ua rau koj mob heev. Hauv cov xwm txheej hnyav, koj tuaj yeem mus rau hauv tus kab mob ntshav qab zib lossis txawm tias tuag.
Cov cim qhia thawj zaug ntawm DKA yog nqhis dej ntau dhau thiab tso zis ntau zaus. Qhov no yog ib qho cim ceeb toom tias koj tus kab mob ntshav qab zib tsis tuaj yeem tswj tau lawm. Tham nrog koj tus kws kho mob txog yuav ua li cas tiv thaiv DKA thiab tswj koj cov insulin thiab cov ntshav qab zib kom nyob rau theem noj qab haus huv.
5. Yuav tsum ceev faj li cas ua ntej phais?
Yog. Yog tias koj muaj kev phais mob uas tau teem sijhawm tseg, koj yuav tsum tsis txhob noj cov tshuaj no 3 hnub ua ntej kev phais mob kom txo qhov kev pheej hmoo ntawm DKA. Nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws phais mob thiab koj tus kws kho mob ntshav qab zib txog qhov no. Thaum lub sijhawm no, koj tus kws kho mob yuav saib xyuas koj cov ntshav qab zib kom zoo thiab siv lwm txoj hauv kev los tswj lawv.
6. Leej twg yuav tsum tsis txhob siv Canagliflozin?
Cov kws kho mob tsis pom zoo kom siv cov tshuaj no yog tias koj muaj cov mob hauv qab no:
- Yog tias koj muaj teeb meem hepatic loj heev
- Yog tias koj cev xeeb tub los yog vam tias yuav cev xeeb tub
- Yog tias koj yog niam pub niam mis
- Yog koj hnub nyoog qis dua 18 xyoo
- Yog tias koj tau muaj kev tsis haum tshuaj loj heev (piv txwv li, anaphylaxis lossis o xws li angioedema) rau cov tshuaj no
- Yog koj tab tom ntxuav lub raum
Ua ntej siv cov tshuaj no, nws yog ib qho tseem ceeb heev uas yuav tsum nrog koj tus kws kho mob tham kom paub tseeb tias qhov no yog cov tshuaj zoo rau koj los tswj koj tus kab mob ntshav qab zib.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Canagliflozin yog ib yam tshuaj siv los kho tus kab mob ntshav qab zib hom 2. Nws kuj pab txo qhov kev pheej hmoo ntawm kab mob plawv thiab kab mob raum.
- Cov tshuaj no yuav tsum tau noj ib zaug ib hnub, ua ntej noj mov thawj zaug.
- Tsis txhob hnov qab qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj.
- Ceev faj txog cov kev mob tshwm sim xws li kev kis kab mob ntawm txoj hlab zis, cov ntshav qab zib qis (hypoglycemia), thiab cov kab mob ntawm qhov chaw mos uas tsis tshua muaj.
- Ceev faj txog cov tsos mob ntawm tus mob txaus ntshai hu ua Diabetic Ketoacidosis (DKA) (nqhis dej ntau dhau, tso zis ntau zaus).
- Cov tshuaj no yuav tsum tsis txhob noj 3 hnub ua ntej phais mob, raws li koj tus kws kho mob hais.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus