Yu dɔktɔ dɔn gi yu nyu mɛrɛsin fɔ kɔntrol yu dayabitis? Yu go dɔn de wɔnda wetin i bi afta yu si se i gɛt tu nem. Nɔ wɔri. Tide wi de tɔk bɔt dis pil, we na tu mɛrɛsin dɛn we dɛn kɔl Pioglitazone ɛn Glimepiride. Dɛn kin gi am to pipul dɛm wae gɛt Tayp 2 Dayabitis. Lɛ wi ɔndastand am frɔm A to Z simpul wan, lɛk se wi de tɛl wi padi.
Wetin kin rili apin wit dis mɛrɛsin?
Fɔ tɔk am simpul wan, dis mɛrɛsin de wok bay we i de mek di shuga ɔ glukɔs we de na yu blɔd go dɔŋ ɛn kɔntrol am. Bikɔs tu kayn mɛrɛsin de insay dis, dɛn kin wok tu difrɛn we dɛn.
1. Glimepiride: Dis mεdikeshכn de gi yu pankrias sכm "boost" εn i de εp fכ mek i prodyuz sכm mכr pan di insulin כmon we yu bכdi nid.
2. Pioglitazone: Dis drɔg de wok bay we i de ɛp yu bɔdi in sɛl dɛn fɔ yuz di insulin we dɛn de mek fayn fayn wan. Dat min se i de mek di sɛl dɛn fil mɔ to insulin.
Bɔt mɛmba dis: Dis nɔto majik. Yu fɔ kɔntinyu fɔ fala di we aw yu de it ɛn ɛksesaiz we yu de tek dis mɛrɛsin. Di bɛst tin kin apin we di mɛrɛsin ɛn wɛlbɔdi layf go togɛda.
Tin dɛn we yu fɔ tɛl yu dɔktɔ bifo yu tek mɛrɛsin
Bifo yu bigin dis mɛrɛsin, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi istri. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:
- Di tin dɛn we de apin naw na di mɛrɛsin:
- If yu gɛt at sik ɔ yu at wik
- Kidni sik
- Liva sik
- If yu gɛt histri bɔt blad kansa
- If yu dɔn gɛt dayabitik ketoacidosis, we na siriɔs sik we dayabitis kin kam wit
- If yu gɛt ɛnzaym dɛfisiɛns we dɛn kɔl G6PD dɛfisiɛns (Glucose-6-phosphate dehydrogenase deficiency) .
- Tayrɔyd prɔblɛm (Thyroid disease) .
- If yu gɛt swɛlin na yu bɔdi, yu an, ɔ yu fut
- If yu gɛt siriɔs infɛkshɔn ɔ injuri
- Alɛji dɛn:
- If yu gɛt alɛji to Pioglitazone, Glimepiride ɔ ɔda sɔlfa drɔgs
- If yu gɛt alɛji to ɛni ɔda mɛrɛsin, it, ɔ tin we de mek yu nɔ pwɛl
- Ɔda spɛshal pɔynt dɛn:
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ
- If yu na mama we de gi pikin in bɛlɛ
Aw ɛksaktɔli yu kin yuz dis mɛrɛsin?
Fɔ mek yu gɛt di bɛst pan di mɛrɛsin, yu nid fɔ yuz am di rayt we.
- Swɛla dis pil wit wan glas wata.
- Mek am yu abit fɔ tek yu mɛrɛsin lɛk di sem tɛm ɛvride.
- Di tin we impɔtant pas ɔl: Tek dis mɛrɛsin wit ɔ jɔs afta yu it . Nɔ tek am we yu ɛmti bɛlɛ. If yu du dat, i kin mek yu blɔd shuga go dɔŋ tumɔs (haypoglycemia). Bɔku tɛm, dɔktɔ dɛn kin se yu fɔ tek am wit brɛf.
- Kɔntinyu fɔ tek di mɛrɛsin te yu dɔktɔ tɛl yu fɔ stɔp.
- Ɔvados: If yu tink se yu dɔn tek ɔvados, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta wantɛm wantɛm na di Kolombo Nashɔnal Ospital , ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
- If yu mis wan doz: 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 doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek tu dos di sem tɛm.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
Ɔda mɛrɛsin, vaytamɛn, ɛn ɛbul mɛrɛsin dɛn we yu go de tek kin miks wit dis mɛrɛsin. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek. Dis dɔŋ ya na jɔs sɔm ɛgzampul dɛn.
| Tayp fɔ mɛrɛsin/sɔbstans | Ɛgzampul dɛn ɛn not dɛn |
|---|---|
| Di mɛrɛsin dɛn we de mek pɔsin fil pen ɛn mɛrɛsin dɛn we de mek pɔsin nɔ fil bad | NSAID mɛrɛsin dɛn lɛk Aspirin, Ibuprofen, ɛn Naproxen. |
| Antibayɔtik ɛn antifɔngal | Kloramfenikol, Klaritromaysin, Kɛtokonazɔl, Maykonazɔl, Rifampin. |
| Mɛrɛsin fɔ mek pɔsin gɛt ay blɔd prɛshɔn | Beta-blɔk dɛn lɛk Metoprolol, Propranolol, Nifedipine. |
| Di kayn ɔmon dɛn we dɛn kin yuz | uman ɔmon (Estrogens), bɔn kɔntrol pils, tayroyd ɔmon, ɛn stɛroyd lɛk Prednisone. |
| Ɔda mɛrɛsin dɛn fɔ gɛt dayabitis | Ɛni ɔda dayabitis mɛrɛsin we yu de tek. |
| Ɔda | Gemfibrozil, Atorvastatin, we de stɔp kɔlɔstrel, Warfarin, we de mek blɔd nɔ klot, Isoniazid, we dɛn kin yuz fɔ mɛn TB, ɛn Alcohol. |
Dis nɔto kɔmplit list, so tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek.
Tin dɛn we yu fɔ mɛmba we yu de tek mɛrɛsin
- Chek-ap ɔltɛm: Go to yu dɔktɔ ɔltɛm fɔ chɛk yu kɔndishɔn. Yu kin nid fɔ du blɔd tɛst bak fɔ chɛk aw yu liva de wok.
- HbA1C test: Dis de test yu avrej blɔd shuga kɔntrol fɔ di pas 2-3 mɔnt. Yu dɔktɔ go mɔs tɛl yu fɔ du dis tɛst ɛvri 3-6 mɔnt.
- Fɔ mɛzhɔ di blɔd shuga lɛvɛl: Lan aw fɔ mɛzhɔ yu blɔd shuga lɛvɛl na os. No di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia) ɛn yu blɔd shuga (hyperglycemia) ɛn aw fɔ kɔntrol dɛn.
- If yu gɛt smɔl shuga na yu blɔd: Kip sɔm shuga wit yu ɔltɛm. Fɔ ɛgzampul, glukɔs tablɛt, wan shuga kiub, wan pis kandy, wan pis jeli bin. If yu gɛt siriɔs sayn fɔ lɛ yu blɔd shuga nɔ bɔku (e.g., yu kin gɛt sik, yu nɔ kin no natin), tɛl yu famili se i denja fɔ gi yu it ɔ drink. If na so i bi, yu fɔ go na ɔspitul wantɛm wantɛm.
- Nɔ skip fɔ it: If yu de tek dis mɛrɛsin, i rili impɔtant fɔ it yu men it dɛn di rayt tɛm.
- Bεlε: Dis mεdikal kin mek di chans fכ ovuleshכn pan uman dεm we nכ de mεnstral saykl we nכ de rεgulεr. So, tɔk to yu dɔktɔ bɔt aw fɔ yuz fayn we fɔ kɔntrol bɔn pikin we yu de tek dis mɛrɛsin. Tɛl yu dɔktɔ wantɛm wantɛm if yu tink se yu gɛt bɛlɛ.
- San sɛnsitiviti: Dis mɛrɛsin kin mek yu skin sɛnsitiv smɔl to di san. So, if yu go de na di san, wɛr klos we de kɔba yu bɔdi ɛn yuz tin dɛn we de protɛkt yu frɔm di san.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, dis wan kin gɛt sayd ɛfɛkt. Nɔto ɔlman kin gɛt dɛn. Lɛ wi si wetin dɛn bi.
| Siriɔs sayd ɛfɛkt dɛn we nid fɔ go to dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Di sayn dɛm wae de sho se yu at nɔr de woke fayn | I nɔ izi fɔ blo, yu anklɛ, yu fut ɔ yu an kin swel, yu bɔdi kin gɛt bɔku bɔku wet wantɛm wantɛm, yu kin taya pasmak. |
| Di sayn dɛn we de sho se pɔsin in liva wund | Pen na di ɔp rayt say na di bɛlɛ, yu nɔ de want fɔ it, yu nɔ de fil fayn, yu de stɔl we gɛt layt kɔlɔ, yu urine we gɛt dak yɔlɔ ɔ brawn, ɛn yu skin ɔ yu yay de yɔlɔ. |
| Hypoglycemia (we di blɔd shuga nɔ bɔku) . | Yu kin shek, yu kin swet, yu kin wɔri pasmak, yu skin kin kol, yu ed kin tɔn, yu at kin bit kwik kwik wan, ɛn yu kin kɔnfyus. |
| Vishɔn kin chenj | Blɔr vishɔn, si ring rawnd layt, lɔs vishɔn. |
| Di chenj dɛn we de apin na di urine | Rɛd ɔ dak brawn urine, pen we yu de pis, yu de pis ɔltɛm. |
| Bɔrku tɛm nɔr kin gɛt natin fɔ wɔri bɔt (bɔt tɛl yu dɔktɔ if i kɔntinyu fɔ de) . | |
| Disɔda dɛn we kɔmɔn | Ed pen, dayarɛa, nɔs, trot we de at, nos we de rɔn, mɔsul dɛn we de at. |
Mɛsej we dɛn kin kɛr go na os
- Ɔltɛm tek dis mɛrɛsin di tɛm we dɛn dɔn tɛl yu fɔ it . Nɔ ɛva tek am wit ɛmti bɛlɛ.
- Nɔ skip fɔ it. If yu du dat, dat kin mek yu blɔd shuga go dɔŋ bad bad wan.
- Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia). Ɔltɛm kip sɔntin we gɛt shuga (glukɔs tablɛt, wan pis kandy) nia yu .
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul mɛrɛsin dɛn we yu de tek.
- Nɔ stɔp di mɛrɛsin ɔ chenj di doz we yu nɔ gɛt yu dɔktɔ in advays.
- If yu gɛt siriɔs sik lɛk aw yu de fil pen na yu chɛst, yu nɔ go ebul fɔ blo fayn, ɔ yu nɔ de no natin, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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