We yu dɔktɔ tɛl yu se yu gɛt Tayp 2 Dayabitis, dɛn kin dɔn gi yu difrɛn mɛrɛsin dɛn fɔ kɔntrol yu blɔd shuga. Pan dɛn wan ya, yu go dɔn gɛt wan pil we gɛt tu mɛrɛsin dɛn we dɛn kɔl Empagliflozin ɛn Metformin. Na Sri Lanka, dis mɛrɛsin kin kam ɔnda brand nem lɛk Synjardy XR. So tide, lɛ wi tɔk bɔt dis mɛrɛsin ɛn di tin dɛn we wi fɔ tek tɛm wit we wi de yuz am, simpul ɛn klia wan.
Wetin kin rili apin wit dis mɛrɛsin?
Fɔ tɔk am simpul wan, dis na mɛrɛsin we de mek di shuga (glucose) we de na yu blɔd go dɔŋ. Na tu kayn mɛrɛsin we dɛn jɔyn togɛda.
1. Empagliflozin: Dis de wok bay we i de mek yu kidni dɛn pul di shuga we pasmak na yu bɔdi tru yu urine.
2. Metformin: Dis kin mεnli ridyus di shuga we yu liva de mek, εn i de εp bak di sεl dεm na yu bכdi fכ rεspכnd bεtεh to insulin.
Di tin we impɔtant pas ɔl na dat dɛn kin gi dis mɛrɛsin wit gud it ɛn ɛksesaiz . Fɔ tek mɛrɛsin nɔmɔ nɔ go du, yu rili nid fɔ chenj yu layf.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu bigin dis mɛrɛsin, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi histri, mɔ if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya.
| Di kayn infɔmeshɔn we dɛn gɛt | Tɔk bɔt |
|---|---|
| Di mɛdikal kɔndishɔn dɛn we dɔn de | Kidni sik, liva sik, at sik, ay kɔlɔstrel, anemia (lɔ blɔd kɔnt), lɔw blɔd prɛshɔn, pankrias prɔblɛm (Pancreatitis), Polycystic Ovary Syndrome (PCOS), Tayp 1 Dayabitis. |
| Infɛkshɔn ɛn ɔda prɔblɛm dɛn | If yu gɛt urinary tract infection (UTI) bɔku tɛm, yu gɛt histri fɔ yist infɛkshɔn na di say we yu de bɔn, i nɔ izi fɔ yu fɔ pis, yu gɛt siriɔs infɛkshɔn, ɔ yu gɛt injury. |
| Di we aw pɔsin de liv in layf ɛn di we aw i de it | If yu de drink rɔm ɔltɛm, fala di it we nɔ gɛt bɔku sɔl, it smɔl bikɔs yu sik, ɔpreshɔn, ɔ ɔda rizin, yu de vɔmit, ɔ yu nɔ gɛt wata na yu bɔdi. |
| Speshal okasiɔn dɛn | If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ, mama we de gi yu pikin in bɛlɛ, gɛt ɔpreshɔn we gɛt fɔ apin, ɔ yu gɛt alɛji to ɛni mɛrɛsin ɔ it. |
Aw fɔ yuz di mɛrɛsin kɔrɛkt wan?
Mɛmba dɛn tin ya gud gud wan.
- Tek dis mɛrɛsin wit wan glas wata.
- Swɛla di pil ɔl. Nɔ brok am, krɔs am, ɔ it am. Dis na bikɔs dɛn mek dɛn tin ya fɔ ‘Extended-Release’, we min se di mɛrɛsin de kɔmɔt na di bɔdi as tɛm de go. If yu brok di pil, di mɛrɛsin kin go insay di bɔdi wan tɛm ɛn mek yu gɛt denja.
- Tek dis mɛrɛsin wit it .
- Tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek, di tɛm we dɛn tɛl yu. Nɔ stɔp fɔ tek di mɛrɛsin fɔ ɛni rizin if yu dɔktɔ nɔ advays yu.
Wetin fɔ du if yu tek bɔku mɛrɛsin?
If yu tink se yu dɔn ɔvados, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm (tɛlifon nɔmba 0112686143) ɔ go na di ɔspitul Imejɛnsi Tritmɛnt Yunit (ETU) we de nia yu .
Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?
If yu mis wan doz, tek am jɔs afta yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz lɛk aw dɛn dɔn plan am. Nɔ ɛva tek tu dos wan tɛm.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin
I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn, ɛbul mɛrɛsin, ɛn sɔpɔtmɛnt). Sɔm mɛrɛsin dɛn kin kam wit prɔblɛm we dɛn tek dɛn togɛda.
Na mɔtalman, sɔm ‘kɔntrast’ mɛrɛsin dɛn we dɛn kin injɛkt insay di bɔdi bifo dɛn du tɛst lɛk X-ray, CT skan, ɛn MRI nɔ fɔ tek wit dis mɛrɛsin. Dɔn bak, nɔ tek di mɛrɛsin we dɛn kɔl Dofetilide.
Gi yu dɔktɔ wan list fɔ ɔl di mɛrɛsin dɛn we yu de tek. Dat na di we we sef fɔ du am. Sɔm kɔf ɛn kol mɛrɛsin dɛn we dɛn kin bay na kɔt kin gɛt shuga ɛn rɔm, we kin afɛkt di shuga we yu gɛt na yu blɔd.
Tin dɛn we yu fɔ tek tɛm wit mɔ we yu de tek di mɛrɛsin
- Lactic Acidosis: Dis na wan sik wae nɔr kin bɔrku bɔt i kin siriɔs. If yu gɛt nɔys, vɔmit, bɛlɛ pen, taya pasmak, ɔ yu nɔ ebul fɔ blo , stɔp fɔ tek di mɛrɛsin wantɛm wantɛm ɛn kɔl yu dɔktɔ.
- Dayabitik Ketoacidosis (DKA): Dis na ɔda siriɔs sik. If yu gɛt sɔm sayn dɛn lɛk we yu mɔt dray, yu tɔsti pasmak, yu de pis ɔltɛm, yu de smɛl frut lɛk frut, ɛn i nɔ izi fɔ blo, go to dɔktɔ wantɛm wantɛm.
- HbA1C test: Dis blɔd tɛst, we de mɛzhɔ yu blɔd shuga kɔntrol fɔ di pas 2-3 mɔnt, fɔ du am di tɛm we dɛn dɔn sɛtul as yu dɔktɔ tɛl yu.
- Fɔ mɛzhɔ di blɔd shuga lɛvɛl: Lan di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia) ɛn yu blɔd shuga bɔku (hyperglycemia). Kip sɔntin fɔ it, lɛk shuga kiub ɔ glukɔs tablɛt, if yu blɔd shuga go dɔŋ.
- Ɔpreshɔn ɛn tɛst: 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 bifo yu du di ɔpreshɔn .
- Bɛlɛ: Dis mɛrɛsin kin mek yu gɛt bɛlɛ mɔ ɛn mɔ. So, tɔk to yu dɔktɔ bɔt aw fɔ yuz di rayt we fɔ kɔntrol pikin. Tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt bɛlɛ ɔ yu tink se yu go gɛt bɛlɛ.
- Vitamin we nɔ de: If yu yuz dis mɛrɛsin fɔ lɔng tɛm, dat kin mek yu nɔ gɛt bɛtɛ vaytamɛn B12 ɛn fɔlik asid. So, tɔk to yu dɔktɔ bɔt aw fɔ it tin dɛn we gɛt balans ɛn fɔ tek vaytamɛn sɔpɔtmɛnt if nid de.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, dis wan kin gɛt sayd ɛfɛkt. Lɛ wi sheb dɛn to tu kategori.
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm. | |
|---|---|
| Siriɔs alɛji dɛn | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Di simptom dɛm fɔ Laktik Asid ɔ DKA | Bɛlɛ de at, i nɔ kin izi fɔ blo, i kin taya pasmak, i kin gɛt nɔys, i kin vɔmit. |
| Infεkshכn dεm | Urinary tract infection (UTI), yu de pis bɔku tɛm, yu de rɛd, yu de swel, yu de it, yu de fil pen, ɛn yu de smɛl na ɔ rawnd di say we yu de bɔn. |
| Ɔda siriɔs sayn dɛn | Sayn dɛm fɔ se yu nɔ gɛt wata na yu bɔdi (dray mɔt, yu tɔsti pasmak, yu de urine dak), sayn dɛm fɔ se yu nɔ gɛt vaytamɛn B12 (we yu an ɛn fut nɔ de swɛla, yu ed de tɔn, yu mɔsul dɛn wik). |
| Bɔku tɛm, dɛn tin ya nɔ kin siriɔs, bɔt if dɛn kɔntinyu fɔ de, tɛl yu dɔktɔ. | |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Dayarɛa, flatulɛns, nɔs. |
| Ɔda smɔl smɔl sik dɛn | Headache , mɛtal teist na di mɔt. |
Aw yu kin kip mɛrɛsin sef?
- Kip am usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich.
- Stɔr na rum tɛmpracha (bitwin 15-30 digri sɛlshiɔs).
- Trowe di mɛrɛsin we dɔn pas ɛn yu nɔ yuz am.
Mɛsej we dɛn kin kɛr go na os
- Ɔltɛm tek dis mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am, di rayt we ɛn di rayt tɛm.
- Nɔ brok, krɔs, ɔ chew di tablɛt fɔ ɛni rizin. Swɛla am ɔl.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek.
- Yu fɔ no bɔt di sayn dɛm fɔ siriɔs sayd ɛfɛkt lɛk laktik asid, ɛn go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn tin ya.
- Chek yu blɔd shuga lɛvɛl ɔltɛm ɛn mek yu dɔktɔ du tɛst, lɛk HbA1c, di rayt tɛm.
- If yu gɛt ɛnitin fɔ wɔri bɔt ɔ dawt, duya tɔk bɔt am wit yu dɔktɔ.
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