Yu dɔktɔ dɔn gi yu nyu mɛrɛsin fɔ dayabitis? Na smɔl lɔng nem, nɔto so? Na wan kɔmbaynshɔn fɔ tu mɛrɛsin dɛn we dɛn kɔl Ertugliflozin ɛn Metformin. Yu go dɔn yɛri bɔt am ɔnda di brand nem Segluromet. So, lɛ wi tɔk smɔl, lɛk se wi de tɔk to wi padi, bɔt wetin na dis mɛrɛsin, aw i de wok na wi bɔdi, ɛn wetin wi nid fɔ no we wi de yuz am.
Fɔ tɔk am simpul wan, wetin na dis mɛrɛsin?
Dis na mɛrɛsin we dɛn kin yuz fɔ mɛn
tayp 2 dayabitis . I de jɔyn tu mɛrɛsin dɛn togɛda. Ɛrtugliflɔzin ɛn Mɛtfɔmin. We dɛn tu de togɛda, dɛn kin ɛp fɔ kɔntrol di shuga we de na yu bɔdi, dat na di lɛvɛl we di glukɔs de na yu blɔd. Imajin se Ertugliflozin de wok bay we i de mek yu kidni dɛn pul sɔm shuga we pasmak na yu urine. Metformin de wok mɔ bay we i de ridyus di shuga we yu liva de mek ɛn i de ɛp yu bɔdi in sɛl dɛn fɔ du mɔ to insulin. Dis we ya, dɛn kin kɔntrol yu blɔd shuga tu we dɛn.
Bɔt wan tin we wi fɔ mɛmba. If yu tek dis mɛrɛsin nɔmɔ, dat nɔ go du fɔ yu. Gud it ɛn ɛksesaiz fayn na impɔtant tin bak fɔ dis tritmɛnt. Di bɛst rizɔlt kin apin nɔmɔ we dɛn tek dis mɛrɛsin wit di chenj dɛn we di dɔktɔ dɔn gi dɛn layf .
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Bifo yu dɔktɔ gi yu dis mɛrɛsin, i nid fɔ gɛt kɔmplit pikchɔ bɔt yu wɛlbɔdi. So, if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya,
mek shɔ se yu tɛl yu dɔktɔ bɔt am. Dis rili impɔtant fɔ mek yu sef.
| Kwaliti tayp | Yu gɛt dɛn sik ya? (Duya tɛl yu dɔktɔ ) |
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| Kɔndishɔn dɛn we gɛt fɔ du wit dayabitis | - Fɔ gɛt tayp 1 dayabitis
- Bikɔs dɛn bin dɔn gɛt Dayabitik Kɛtoacidosis ( DKA ) bifo dis tɛm .
- Fut sos bikɔs ɔf dayabitis
- We yu de chenj di insulin doz
- Amputation (we dɛn pul wan leg ɔ pat pan am) .
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| Ɔda sik dɛn we pɔsin kin gɛt | - Kidni sik ɔ liva sik
- Fɔ gɛt at sik , at atak, ɔ strok
- Fɔ gɛt pankrias
- Di blɔd we nɔ de go fayn
- Infεkshכn na di urinary tract infεkshכn (UTI) כ infεkshכn na di jεnital
- I nɔ kin izi fɔ yu fɔ pis
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| Di we aw pɔsin de liv in layf ɛn ɔda tin dɛn | - Fɔ drink bɔku tɛm
- Fɔ mek big chenj na di it we yu de it (e.g. fɔ it smɔl) .
- Fɔ it tin we nɔ gɛt bɔku sɔl
- Di wata we nɔ de na di bɔdi
- Di blɔd kalsiɔm ɔ vaytamɛn B lɛvɛl nɔ de bɔku
- Fɔ gɛt pen na di nerve ɛn fɔ mek yu an ɛn fut nɔ de fil fayn
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| Plan fɔ tumara bambay ɛn alɛji | - Dɛn dɔn arenj fɔ mek dɛn du ɔpreshɔn ɔ CT/X-ray skan tumara bambay
- Tray fɔ gɛt bɛlɛ ɔ fɔ gɛt bɛlɛ naw
- Fɔ gi di pikin in bɛlɛ
- Fɔ gɛt alɛji to Ertugliflozin, Metformin ɔ ɛni ɔda mɛrɛsin, it, ɔ pigmɛnt
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Aw a fɔ yuz di mɛrɛsin?
Di we aw dɛn kin yuz dis mɛrɛsin rili simpul.
- Tek dis pil wit wan glas wata .
- Tray fɔ tek am di sem tɛm ɛvride , jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am.
- I bɛtɛ fɔ tek dis mɛrɛsin we yu bigin fɔ it .
- Nɔ ɛva stɔp fɔ tek yu mɛrɛsin if yu nɔ go to yu dɔktɔ .
Wetin yu go du if yu tek bɔku mɛrɛsin? (Ovadosage) .
If yu tink se yu dɔn tek bɔku mɛrɛsin, nɔ panik. Bɔt nɔ tek am layt sɛf.
Go wantɛm wantɛm na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) ɔ kɔl
di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Di tin we impɔtant pas ɔl: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ sheb am wit ɛni ɔda pɔsin fɔ ɛni rizin.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
Wi ɔl kin fɔgɛt fɔ tek wi mɛrɛsin sɔntɛnde. If dat apin, tek di doz we yu mis jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz we yu mɛmba, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul.
Nɔ ɛva tek tu dos wan tɛm. Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin
Nɔto ɔl di mɛrɛsin dɛn we yu de tek go wok fayn wit dis mɛrɛsin. Sɔm mɛrɛsin kin ambɔg di we aw dis mɛrɛsin de wok. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ivin di ɛbul prɔdak dɛn we yu de tek.
Tin dɛn we yu nɔ fɔ tek wit dis mɛrɛsin
Dis mɛrɛsin kin intarakt wit sɔm
kɔntrast ɛjɛn (day) we dɛn injɛkt insay di bɔdi, mɔ if yu go du CT skan, MRI skan, ɔ ɛkstrem rayt. So, yu fɔ tɛl di dɔktɔ dɛn se yu de tek dis mɛrɛsin bifo dɛn du dis kayn tɛst.
Ɔda mɛrɛsin dɛn we kin miks
Di mɛrɛsin dɛm we de dɔŋ ya kin intarakt wit Ertugliflozin/Metformin.
- Asɛtazɔlamid
- Simɛtidin we dɛn kɔl
- Dolutegravir we dɛn kɔl Dolutegravir
- Litiɔm we dɛn kɔl
- Ranolazin we dɛn kɔl Ranolazin
- Topiramat we gɛt di sik
- Vandetanib bin de tɔk bɔt am
- Zonisamide we gɛt di sik
- Diklɔrfenamayd
- Rum
Mɛrɛsin dɛn we kin afɛkt di blɔd shuga lɛvɛl
Sɔm mɛrɛsin kin chenj yu blɔd shuga lɛvɛl (i kin mek yu gɛt mɔ shuga ɔ yu nɔ gɛt am). Dɔn bak, sɔm mɛrɛsin kin mask di sayn dɛm fɔ low blood sugar (hypoglycemia), we min se wi nɔ kin notis am. Dis kin mek yu denja smɔl. So if yu de tek dɛn mɛrɛsin ya, yu dɔktɔ go tɛl yu fɔ chɛk yu blɔd shuga ɔltɛm.
| Nature of di impak | Ɛgzampul dɛn bɔt mɛrɛsin dɛn |
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| Mɛrɛsin dɛn we kin afɛkt di blɔd shuga lɛvɛl | - Sɔm mɛrɛsin dɛn we gɛt ay blɔd prɛshɔn (e.g., benazepril, lisinopril, losartan) .
- Diuretiks (e.g. haydroklorotiazayd) .
- Stɛroyd dɛn (e.g. prɛdnisɔn, kɔtizɔn) .
- Di kayn ɔmon dɛn (Estrogen, progestin, Testosterone) .
- Tayrɔyd ɔmon dɛn
- Sɔm antibayɔtik ɛn mɛrɛsin fɔ mental sik
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| Mɛrɛsin dɛm wae kin mask di sayn dɛm wae de sho se yu gɛt haypoglycemia | - Beta-blכk dεm (e.g. atenolol, mεtoprolol, propranolol) .
- Klɔnidin, Gwanɛtidin, Rɛsɛrpin
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Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
Yu nid fɔ tek tɛm bak smɔl we yu de tek dis mɛrɛsin.
- Si yu dɔktɔ di tɛm we dɛn dɔn sɛtul. I impɔtant fɔ wach aw yu de go bifo ɛn du di tɛst dɛn we yu nid. Di dɔktɔ go wach yu HbA1C (wan tɛst we de sho yu avɛrej blɔd shuga lɛvɛl fɔ di pas 2-3 mɔnt) lɛvɛl.
- No di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia). Rɛdi fɔ di sayn dɛm lɛk fɔ swet, shek shek, angri pasmak, ɛn at bit kwik kwik wan. Ɔltɛm, kɛr glukɔs tablɛt ɔ shuga paket wit yu.
- Nɔ mek yu nɔ gɛt wata na yu bɔdi . Drink bɔku wata. If yu gɛt fiva, vɔmit, ɔ dayarɛa, tek tɛm mɔ ɛn tɛl yu dɔktɔ bikɔs bɔku wata de lɔs na yu bɔdi.
- Tɛl yu dɔktɔ se yu de tek dis mɛrɛsin bifo yu du ɔpreshɔn ɔ skan . Dɛn go tɛl yu ustɛm fɔ stɔp fɔ tek am ɛn ustɛm fɔ bigin am bak.
- Tek tɛm wit vaytamɛn B12. If yu tek dis mɛrɛsin fɔ lɔng tɛm, i kin mek di vaytamɛn B12 lɛvɛl go dɔŋ. Tɔk to yu dɔktɔ bɔt dis.
- We yu wɛr mɛdikal ID breslɛt ɔ kad we de sho se yu gɛt dayabitis, dat kin rili fayn we yu gɛt ɛnitin fɔ du wit am.
Wetin na di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt?
Lɛk ɛni mɛrɛsin, dis mɛrɛsin kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt, bɔt nɔto ɔlman kin gɛt am. Wach fɔ di sayn dɛm we de dɔŋ ya.
Sayd ɛfɛkt dɛm wae yu fɔ ripɔt to yu dɔktɔ kwik kwik wan: Sayd ɛfɛkt dɛm wae nɔr kin siriɔs, bɔt yu fɔ ripɔt
to yu dɔktɔ if i nɔr de.
| Sayd ɛfɛkt we pɔsin kin gɛt | Diskripshɔn ɛn di simptom dɛm |
|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Dayabitik ketoasidכsis (DKA) . | Tɔsti pasmak, yu kin pis bɔku tɛm, yu mɔt kin dray, i nɔ kin izi fɔ blo, yu kin smɛl lɛk frut, yu bɛlɛ kin at, yu kin vɔmit. |
| Di wata we nɔ de na di bɔdi | Tɔsti pasmak, yu mɔt de dray, yu de fɔdɔm, yu gɛt dak yɔlɔ ɔ brawn urine. |
| Laktik asidכsis (High laktik asid lεvεl) . | Mɔsul dɛn kin pen, bɛlɛ kin at, i nɔ kin izi fɔ blo, i kin taya pasmak. |
| Infεkshכn dεm | Urinary tract infection (UTI) - inflameshn na di urethra, yu de pis ɔltɛm, yu bɛlɛ de pen. Yist infεkshכn na di jεnital εria - it, rεd, swel. Sivεr infεkshכn na di εria frכm di jεnital εria to di anus. |
| Vitamin B12 we nɔ de | Pen na di an ɛn fut, yu de swɛ, yu mɔsul dɛn wik, yu ed de tɔn, yu kɔnfyus. |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Dayarɛa, gas, nɔs, vɔmit, bɛlɛ kramp. |
| Ɔda | Ed de at. |
Aw a fɔ kip di mɛrɛsin? Aw a fɔ trowe am?
- Kip dis mɛrɛsin usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich .
- Stɔr na rum tɛmpracha (bitwin 20-25 digri sɛlshiɔs).
- Nɔ yuz mɛrɛsin dɛn we dɔn pas. Trowe dɛn fayn fayn wan.
- Di bɛst we fɔ pul di mɛrɛsin na fɔ gi am to wan program fɔ tek mɛrɛsin bak we famasi ɔ ɔspitul de ɔpreshɔn.
- If dat nɔ pɔsibul, pul di mɛrɛsin kɔmɔt na di kɔntena, miks am wit sɔntin lɛk kɔfi grɔn we dɛn dɔn yuz, dɔti, ɔ pusi dɔti, put am insay bag we dɛn tayt tayt, ɛn trowe am na di dɔti. Nɔ ɛva flush am dɔŋ di tɔylɛt.
Mɛsej we dɛn kin kɛr go na os
- Dis mɛrɛsin na jɔs ɛp fɔ kɔntrol dayabitis. I impɔtant fɔ it di rayt tin ɛn fɔ du ɛksɛsayz.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek ɛn ɛni mɛrɛsin we yu gɛt.
- Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia) ɛn yu nɔ gɛt wata na yu bɔdi.
- If yu gɛt urinary tract infection, genital infection, ɔ ɔda siriɔs sayd ɛfɛkt, go to yu dɔktɔ wantɛm wantɛm.
- Nɔ stɔp fɔ yuz dis mɛrɛsin if yu dɔktɔ nɔ advays yu.
- If yu gɛt ɛnitin we de mɔna yu bɔt yu dayabitis tritmɛnt, nɔ ɛva fred fɔ tɔk to yu dɔktɔ.
Dayabitis, Ertugliflozin, Metformin, Segluromet, tayp 2 dayabitis, blɔd shuga, shuga kɔntrol
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