Dɛn de trit yu bak fɔ Tayp 2 Dayabitis? If na so i bi, yu dɔktɔ go dɔn gi yu wan pil we gɛt tu mɛrɛsin dɛn togɛda. Wan pan dɛn kayn kɔmbaynshɔn ya we dɛn kin gi na Dapagliflozin ɛn Metformin. Yu kin sabi am wit wan brand nem lɛk Xigduo XR. Bikɔs dis na sɔm spɛshal mɛrɛsin, i rili impɔtant fɔ mek yu no bɔt am gud gud wan. So, lɛ wi tɔk bɔt ɔltin simpul ɛn fayn tide.
Wetin kin rili apin wit dis mɛrɛsin?
Fɔ tɔk am simpul wan, di tu tin dɛn we de insay dis mɛrɛsin, we na Dapagliflozin ɛn Metformin, de wok togɛda fɔ ɛp fɔ kɔntrol di glukɔs we de na yu blɔd. I de du dis pan sɔm we dɛn. Wan na bay we yu mek yu kidni dɛn pul mɔ shuga tru yu urine. Di ɔda wan na bay we yu de ridyus di shuga we yu liva de mek ɛn ɛp yu bɔdi in sɛl dɛn fɔ du mɔ to insulin.
Bɔt dis mɛrɛsin nɔmɔ nɔ go du fɔ am. Yu kin gɛt di bɛst rizɔlt we yu tek dis mɛrɛsin wit di rayt it ɛn ɛksesaiz. I tan lɛk se na tim spɔt. Yu, di dɔktɔ, dis mɛrɛsin, ɛn di we aw yu de liv yu layf fɔ wok togɛda.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Dis rili impɔtant. Bifo yu bigin fɔ tek dis mɛrɛsin, yu fɔ gi yu dɔktɔ kɔmplit diskripshɔn bɔt yu wɛlbɔdi kɔndishɔn. Ɛspɛshali if yu gɛt ɛni wan pan dɛn tin ya, mek shɔ se yu tɛl dɛn bɔt am.
| Wɛlbɔdi kɔndishɔn ɔ abit | Wetin mek yu nid fɔ tɛl di dɔktɔ ? |
|---|---|
| Kidni ɔ liva sik | Dis mɛrɛsin kin kɔmɔt na di bɔdi tru di kidni dɛm, so if prɔblɛm de wit dɛn ɔgan ya, dɛn kin nid fɔ ajɔst di doz fɔ di mɛrɛsin. |
| At sik ɔr blɔd prɛshɔn we de dɔŋ | Dis mɛrɛsin kin mek yu blɔd prɛshɔn go dɔŋ mɔ. |
| If yu gɛt pankrias | Dis mɛrɛsin kin mek di sik kam bak. |
| If yu de drink rɔm ɔltɛm | If yu miks rɔm ɛn Metformin, i kin mek yu gɛt wan bad bad sik we dɛn kɔl laktik asid. |
| If yu dɔn ridyus di it we yu de it bikɔs yu nɔ gɛt wata ɔ yu sik/ɔpreshɔn | We di bɔdi nɔ gɛt wata, di risk fɔ gɛt sayd ɛfɛkt kin bɔku. |
| If yu gɛt urinary tract infection ɔltɛm ɔ yist infection na di genital eria | Dis mεdisin de mek di risk fכ gεt dis infεkshכn biכs i de mek di shuga lεvεl na di urine go כp. |
| If yu gɛt Tayp 1 Dayabitis | Dɛn kin jɔs gi dis mɛrɛsin fɔ tayp 2 dayabitis. |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ | Insay dɛn kayn tin ya, dis mɛrɛsin nɔ fayn. So, yu fɔ tɔk to yu dɔktɔ ɛn tink bɔt ɔda tin we yu go du. |
| If yu gɛt alɛji to ɔda mɛrɛsin, it, ɔ tin dɛn | Yu kin gɛt alɛji fɔ sɔntin we de insay di mɛrɛsin. |
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
- Drink wit wan glas wata: I impɔtant fɔ tek dis mɛrɛsin di sem tɛm ɛvride, lɛk aw yu dɔktɔ tɛl yu.
- Swɛla di tablɛt: Dis na spɛshal tablɛt we dɛn mek (Extended-Release). Dis min se di mɛrɛsin de kɔmɔt na di bɔdi smɔl smɔl. So nɔ brok, krɔs, ɔ chew di tablɛt. Swɛla am ɔl.
- Tek wit it: I bɛtɛ fɔ tek dis wit it fɔ ridyus di risk fɔ mek yu bɛlɛ nɔ at.
- Nɔ stɔp: Kɔntinyu fɔ tek di mɛrɛsin as lɔng as yu dɔktɔ tɛl yu fɔ tek am. Nɔ stɔp fɔ tek am bay wilful.
Wetin a go du if a mis wan doz fɔ mɛrɛsin?
Yɛs, i kin apin. Tek di doz we yu mis as yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek di nɛks doz, skip di doz we yu mis ɛn tek di nɛks pil di tɛm we yu dɔn sɛtul. Nɔ ɛva tek dabl doz.
Ɔda mɛrɛsin dɛm wae nɔr de woke wit dis mɛrɛsin (Interactions) .
I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn tradishɔnal mɛrɛsin), bikɔs sɔm mɛrɛsin kin miks wit dis wan.
| Nɔ tek mɛrɛsin wit dɛn wan ya! | |
|---|---|
| Dɛn kin gi sɔm kayn kɔntrast bifo dɛn du tɛst lɛk ɛkstrem rayt, CT skan, ɛn MRI. | Wan mɛrɛsin we dɛn kɔl Dofetilide. |
| Dɛn tin ya kin miks - tɛl yu dɔktɔ. | |
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Dis list nɔr kɔmplit, so i go fayn fɔ tɛl yu dɔktɔ bɔt ɔltin wae yu de tek.
Speshal pɔynt dɛn we yu fɔ no we yu de tek di mɛrɛsin
- Chek-ap ɔltɛm: Yu dɔktɔ go chɛk yu ɔltɛm. wan bכdi tεst we dεn kכl HbA1C dεn kin du am lεk wan tεm εvri 2-3 mכnt. I de mɛzhɔ aw dɛn de kɔntrol yu blɔd shuga fayn fayn wan.
- Lɔw blɔd shuga (Hypoglycemia):We yu de tek dis mɛrɛsin, mɔ if yu tek am wit ɔda dayabitis mɛrɛsin lɛk insulin, yu blɔd shuga kin go dɔŋ wantɛm wantɛm. If yu gɛt sɔm sayn dɛn lɛk fɔ swet, shek shek, angri pasmak, i nɔ kin izi fɔ yu fɔ pe atɛnshɔn, ɔ yu kin fɔdɔm, dat kin bi sayn fɔ se yu blɔd shuga nɔ bɔku. Ɔltɛm kip wan shuga kiub, tɔfi, ɔ glukɔs tablɛt nia yu fɔ we dis kin apin.
- Yu blɔd shuga ɛn DKA: Sɔntɛnde, lɛk sik, yu blɔd shuga kin kɔmɔt na yu blɔd. If yu gɛt sɔm sayn dɛn lɛk we yu tɔsti pasmak, yu de pis bɔku tɛm, yu mɔt de dray, yu de smɛl lɛk frut, yu bɛlɛ de pen, ɛn yu de nɔs, dɛn tin ya kin bi sayn fɔ wan denja sik we dɛn kɔl Dayabitik Kɛtoacidosis (DKA) . If dis apin, yu fɔ go to dɔktɔ wantɛm wantɛm.
- Ɔpreshɔn ɛn skan: If yu go du ɔpreshɔn, MRI, ɔ CT skan, tɛl di mɛdikal tim bifo tɛm se yu de tek dis mɛrɛsin. Yu kin nid fɔ stɔp fɔ tek di mɛrɛsin sɔm dez bifo di ɔpreshɔn .
- Di tablɛt kɔtin: Sɔntɛnde di kɔtin we nɔ de sɔlv fɔ dis mɛrɛsin, di tablɛt insɛf, kin kɔmɔt wit yu stɔl. Dis na nɔmal tin, nɔ wɔri bɔt am. Di mɛrɛsin dɔn absɔb insay di bɔdi.
- Vitamin B12 ɛn fɔlik asid: If yu yuz mɛtfɔmin fɔ lɔng tɛm, dat kin mek yu gɛt smɔl vaytamɛn B12. Tɔk to yu dɔktɔ bɔt dis ɛn du tɛst if nid de.
Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt
Lɛk ɛni mɛrɛsin, dis wan kin gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn.
| Di sayn dɛm wae yu fɔ tɛl yu dɔktɔ kwik kwik wan ɔr go na di ETU | |
|---|---|
| Wan alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Laktik Asidכsis Simptom dεm | Mɔsul kramp ɔ pen, bɛlɛ kramp, at fɔ blo, taya pasmak. Dis na rili siriɔs imejensi. |
| Simptom dɛm fɔ Dayabitik Kɛtoacidosis (DKA) . | Tɔsti pasmak, yu kin pis bɔku tɛm, yu mɔt kin dray, yu kin smɛl frut, yu nɔ kin ebul fɔ blo, yu bɛlɛ kin at, yu kin nɔs/vɔmit. |
| Infεkshכn na di urinary tract (UTI) . | Urinary tract infection, yu de pis ɔltɛm, blɔd na yu urine, bak ɔ pelvik pen. |
| Infεkshכn dεm na di jεnital εria | Rɛd, swel, pen, it, smel, ɔ wata we nɔ kɔmɔn na di say we di uman in bɔdi de ɔ rawnd am. |
| Di wata we nɔ de na di bɔdi | Tɔsti pasmak, yu mɔt de dray, yu de fɔdɔm, yu de urine dak. |
| Bɔku tɛm, i nɔ kin siriɔs, bɔt if i kɔntinyu fɔ de, tɛl yu dɔktɔ. | |
| Rɔnbɛlɛ | Nɔs/vomit we pɔsin kin gɛt |
| Ed de at | Simptom dɛm we tan lɛk kol (kol) . |
If yu tink se yu dɔn tek di mɛrɛsin pasmak, go na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm. Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital.
Mɛsej we dɛn kin kɛr go na os
- Bifo yu bigin dis mɛrɛsin, tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- Swɛla di tablɛt ɔl wit wata we yu nɔ brok, krɔs, ɔ chew.
- Yu fɔ no di sayn dɛm we de sho se yu gɛt haypoglycemia ɛn DKA, we kin apin we di shuga na yu blɔd tu bɔku. I impɔtant fɔ no wetin fɔ du we dɛn kayn tin ya apin.
- Nɔ drink rɔm. Tɛl yu dɔktɔ dɛm se yu de tek dis mɛrɛsin bifo yu du ɔpreshɔn ɔr skan.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt ɔ yu gɛt ɛni dawt, go to yu dɔktɔ wantɛm wantɛm ɔ go to Imejɛnsi Dipatmɛnt (ETU).
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