We yu dɔktɔ tɛl yu se yu gɛt Tayp 2 Dayabitis, dɛn kin gi yu wan pil we gɛt tu mɛrɛsin dɛn we dɛn kɔl Pioglitazone ɛn Metformin. Na nɔmal tin fɔ fil smɔl nervɔs ɛn gɛt bɔku kwɛstyɔn we yu de tek dis mɛrɛsin. Yu kin de wɔnda, "Wetin ɛksaktɔli dis go du?", "Wetin a fɔ wɔri bɔt?", "Di sayd ɛfɛkt dɛn denja?" Nɔ wɔri. Tide, wi go jɔs ansa ɔl yu kwɛstyɔn dɛn bɔt dis mɛrɛsin.
Wetin kin rili apin wit dis mɛrɛsin?
Fɔ tɔk am simpul wan, dis na mɛrɛsin we de ɛp fɔ kɔntrol yu blɔd shuga ɔ glukɔs. Na tu mɛrɛsin dɛn we dɛn jɔyn togɛda.
1. Pioglitazone: Dis de wok bay we i de ɛp yu bɔdi in insulin ɔmon fɔ wok fayn fayn wan. Dat min se i de ɛp yu bɔdi in sɛl dɛn fɔ tek di shuga we de na di blɔd izi wan.
2. Metformin: Dis kin men wan kɔntrol di blɔd shuga insay tu we dɛn. Wan na bay we yu nɔ de mek nyu shuga we yu liva de mek, ɛn di ɔda wan na we yu de kɔntrol di we aw di shuga de tek di it we yu de it.
Bɔku tɛm dɛn kin gi dis mɛrɛsin wit gud it ɛn ɛksesaiz . Di mɛrɛsin nɔmɔ nɔ go du, bɔt i bɛtɛ fɔ tek am wit di chenj we pɔsin de chenj in layf. Na Sri Lanka, yu kin fɛn dis mɛrɛsin ɔnda brand nem dɛm lɛk `Actoplus Met XR`.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
I rili impɔtant fɔ mek yu dɔktɔ no yu kɔmplit mɛdikal histri bifo yu gi yu dis mɛrɛsin. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya.
| Kɔndishɔn ɔ abit | Wetin mek yu fɔ tɛl di dɔktɔ? |
|---|---|
| At sik ɔ at we nɔ de wok fayn | Pioglitazone kin mek di wata we de na di bɔdi nɔ bɔku, ɛn dis kin mek pipul dɛn we gɛt wik at wok. |
| Kidni ɔ liva sik | Dɛn mɛrɛsin ya kin kɔmɔt na di bɔdi tru di kidni ɛn liva, so if dɛn nɔ wok faynDi doz nid fɔ chenj. |
| Fɔ drink bɔku tɛm | If yu miks alkol ɛn Metformin, i kin mek yu gɛt wan denja sik we dɛn kɔl laktik asid. |
| Fɔ gɛt bɛlɛ ɔ fɔ tray fɔ gɛt bɛlɛ, fɔ gi pikin in bɛlɛ | Dis mɛrɛsin nɔ fayn we uman gɛt bɛlɛ. I kin mek bak di ovuleshɔn kɔmɔt, so tɔk to yu dɔktɔ bɔt aw fɔ kɔntrol di pikin if yu nɔ plan fɔ bɔn pikin. |
| Prɔblɛm fɔ si, istri bɔt blad kansa, anemia, polycystic ovary syndrome | I impɔtant fɔ tɛl di dɔktɔ bɔt dɛn tin ya bikɔs dɛn kin afɛkt di we aw di mɛrɛsin de wok ɔ di sayd ɛfɛkt dɛn we di mɛrɛsin gɛt. |
| Alɛji to ɔda mɛrɛsin, it ɔ tin dɛn | Dis impɔtant fɔ no if yu gɛt alɛji fɔ dis mɛrɛsin ɔ ɛni wan pan di tin dɛn we de insay am. |
Aw a fɔ yuz di mɛrɛsin?
As di dɔktɔ se, i rili impɔtant fɔ tek di rayt doz di rayt tɛm.
- Tek wit it: Dɛn fɔ tek dis mɛrɛsin wit it ɔltɛm. Bɔku tɛm, dɛn kin advays fɔ tek am wit di men it fɔ di de.
- Swɛla di tablɛt ɔl: Swɛla di tablɛt ɔl wit wan glas wata. Nɔ ɛva brok, krɔs, ɔ chew di tablɛt lɛk gɔm. Dis na wan tablɛt we dɛn kɔl Extended Release (XR). Dis min se dɛn mek am fɔ mek di mɛrɛsin kɔmɔt sloslo ɔl di de. If yu brok am, dat kin ambɔg, ɛn di mɛrɛsin kin kɔmɔt na di bɔdi wan tɛm, ɛn dis kin mek i gɛt bad bad tin dɛn.
- Tek am di rayt tɛm: Gɛt di abit fɔ tek yu mɛrɛsin di sem tɛm ɛvride.
- If yu mis wan doz: If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw 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.
- If yu tek bɔku mɛrɛsin: If yu tink se yu dɔn tek bɔku mɛrɛsin, stɔp fɔ tek am wantɛm wantɛm.Kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital, ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Sɔntɛnde, di tablɛt kɔtin nɔ kin sɔlv ɛn pas wit yu stɔl. Dis na nɔmal tin, so nɔ wɔri. Di mɛrɛsin pat pan di mɛrɛsin dɔn absɔb insay yu bɔdi.
Ɔda tin dɛn we a fɔ no bɔt we a de tek di mɛrɛsin
Dɛn kin chɛk yu dɔktɔ ɔltɛm
Yu dɔktɔ go de chɛk yu ɔltɛm. Na mɔtalman, dɛn go du wan blɔd tɛst we dɛn kɔl HbA1c ɛvri 2-3 mɔnt fɔ chɛk aw dɛn de kɔntrol yu blɔd shuga fayn fayn wan. Dɛn kin du tɛst bak fɔ chɛk aw yu liva ɛn yu kidni de wok.
Yu fɔ no di shuga we yu gɛt na yu blɔd.
Lan aw fɔ tɛst yu blɔd shuga na os. Dɔn bak, no bɔt di sayn dɛn we de sho se yu blɔd shuga nɔ bɔku (Hypoglycemia) ɛn yu blɔd shuga bɔku (Hyperglycemia).
- Di sayn dɛm wae de sho se yu gɛt smɔl shuga na yu blɔd: yu de swet, yu de shek shek, yu de angri pasmak, yu de kɔnfyus, ɛn yu de fɔdɔm.
- Di sayn dɛm we de sho se yu gɛt bɔku blɔd shuga: yu de tɔsti pasmak, yu de pis bɔku tɛm, yu nɔ de si fayn, yu taya.
Ɔltɛm kip sɔntin nia yu we yu kin it kwik (glukɔs tablɛt, shuga kiub, tɔfi) if yu blɔd shuga go dɔŋ.
Ɔpreshɔn ɛn skan dɛn
If yu go gɛt ɛni 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 tɛst.
Ɔda mɛrɛsin dɛn
Dis mɛrɛsin kin intarakt wit bɔku ɔda mɛrɛsin dɛn, mɔ sɔm kɔntrast wata we dɛn kin yuz bifo dɛn skan, sɔm at mɛrɛsin, ɔmon pil (inklud bɔn kɔntrol pils), sɔm antibayɔtik ɛn pen kil.
I rili impɔtant fɔ yu sef fɔ tɛl yu dɔktɔ bɔt ɛvri mɛrɛsin, vaytamɛn, ɛn ɛbul mɛrɛsin we yu de tek. Gi am wan kɔmplit list.
Us sayd ɛfɛkt dɛn we a go gɛt?
Lɛk ɛni mɛrɛsin, dis kin gɛt bad bad tin dɛn. Bɔt, nɔto ɔlman kin gɛt dɛn. Yu kin lan mɔ bɔt dis frɔm di tebul we de dɔŋ ya.
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm ɔ go na ɔspitul. | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Di sayn dɛm we de sho se pɔsin in at nɔ de wok 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. |
| Laktik Asidכsis | Dis na tin we nɔ kin apin so ɔltɛm bɔt i kin rili denja. Mɔsul dɛn de twitch ɔ pen, bɛlɛ de pen, i nɔ izi fɔ blo, i 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 skin ɔ yu yay de yɔlɔ, yu urine we de dak yɔlɔ/brawn. |
| Ɔda siriɔs sayn dɛn | yu de si chenj (we yu de blכr, yu de si ring dεm rawnd layt), yu de urine we de rεd כ dak brawn, pen we yu de pis. |
| If dɛn sayn ya de kɔntinyu ɔ yu de mɔna yu, tɛl yu dɔktɔ. | |
| Kɔmɔn sayd ɛfɛkt dɛn | Dayarɛa, ed we de at, nɔs, nɔs we de rɔn ɔ we de stɔp. |
Mɛsej we dɛn kin kɛr go na os
- Nɔ stɔp fɔ yuz dis mɛrɛsin we yu nɔ aks yu dɔktɔ.
- Tek di mɛrɛsin ɔltɛm wit it. Swɛla di tablɛt ɔl, nɔ brok am.
- Gi yu dɔktɔ wan kɔmplit list fɔ ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɔyl dɛn we yu de tek.
- Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia) ɛn kip sɔntin we gɛt shuga nia yu if ɛnitin apin.
- Go to dɔktɔ kwik kwik wan if yu gɛt ɛni siriɔs sayd ɛfɛkt lɛk chɛst pen, i nɔ izi fɔ blo, ɔ yu bɛlɛ de at bad bad wan.
- I rili impɔtant fɔ yu wɛlbɔdi fɔ go to yu dɔktɔ di rayt tɛm ɛn du di tɛst dɛn we yu nid.
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