Yu de sɔfa bak wit Tayp 2 Dayabitis? Dɔn yu dɔktɔ go dɔn gi yu wan mɛrɛsin we dɛn kɔl Pioglitazone (dɛn kin kɔl am: pio-glitazone). I rili impɔtant fɔ mek dɛn no gud gud wan bɔt dis mɛrɛsin, we dɛn kin yuz bɔku bɔku wan fɔ kɔntrol dayabitis. So, tide wi go tɔk bɔt dis mɛrɛsin, aw i de wok, di tin dɛn we yu fɔ tek tɛm wit we yu de yuz am, ɛn di sayd ɛfɛkt dɛn we pɔsin kin gɛt.
Wetin kin rili apin wit dis mɛrɛsin?
Fɔ tɔk am simpul wan, dis mɛrɛsin we dɛn kɔl Pioglitazone de wok bay we i de ɛp yu bɔdi in insulin ɔmon fɔ wok fayn fayn wan. Insulin de ɛp wi bɔdi in sɛl dɛn fɔ tek glukɔs. Dis mεdisin de mek di sεl dεm sεnsitiviti to insulin. Dɔn dis kin mek di ɛkstra shuga we de na di blɔd nɔ bɔku, ɛn dis kin mek di shuga we de na di blɔd nɔ bɔku.
Bɔt mɛmba dis: Dis mɛrɛsin nɔmɔ nɔ go du fɔ am. Fɔ mek yu gɛt di bɛst rizɔlt, yu fɔ put am togɛda wit di rayt it ɛn ɛksɛsayz .
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu dɔktɔ gi yu dis mɛrɛsin, i go nid fɔ no yu kɔmplit mɛdikal istri. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:
| Sik ɔ kɔndishɔn | Tɛl yu dɔktɔ if dis apin to yu. |
|---|---|
| Blada kansa | If yu gɛt blad kansa naw ɔ yu dɔn gɛt am trade. |
| Dayabitik ketoacidosis we pɔsin kin gɛt | Dis na siriɔs prɔblɛm we kin kam wit dayabitis. If yu gɛt dis kɔndishɔn. |
| Sik dɛn we pɔsin kin gɛt na di yay | Kכndishכn dεm lεk makula εdima we dεn kin kכz fכ dayabitis. |
| At sik ɔ at we nɔ de wok fayn | Ɛni kayn at sik ɔr at sik. |
| Kidni ɔ liva sik | If yu gɛt ɛni prɔblɛm pan di kidni ɔ liva fɔ wok. |
| Polisistik ovari sindrom (PCOS) . | Polisistik ovary sindrom na uman dɛn. |
| Di bɔdi we de swel | If yu gɛt swɛlin na yu an, yu fut, ɔ yu fut. |
| Ɔda kayn sik dɛn we gɛt dayabitis | Dis mɛrɛsin na fɔ tayp 2 dayabitis. If yu gɛt tayp 1 dayabitis. |
| Alɛji dɛn we pɔsin kin gɛt | If yu gɛt alɛji fɔ pioglitazone ɔ ɛni ɔda mɛrɛsin, it, ɔ kɔlɔ. |
| Bεlε εn we i de gi pikin in bεlε | If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. |
Aw yu kin yuz dis mɛrɛsin?
Tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu, insay di doz we dɛn tɛl yu.
- Swɛla di pil wit wan glas wata.
- As yu ebul, tray fɔ tek yu mɛrɛsin di sem tɛm ɛvride .
- Nɔ tek mɔ ɔ smɔl pas di mɔni we di dɔktɔ tɛl yu fɔ tek.
- Yu kin gɛt spɛshal infɔmeshɔn liflet (MedGuide) frɔm di famasi we dɛn gi yu mɛrɛsin. Rid am gud gud wan ɛvri tɛm.
Wetin fɔ du if yu tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek mɔ mɛrɛsin pas aw dɛn tɛl yu fɔ tek, go wantɛm wantɛm na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu ɔ go na di ɔspitul we de nia yu na Kɔlɔmbɔ.Kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta we de na di Nashɔnal Ospital.
I rili impɔtant: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ gi dis mɛrɛsin to ɔda pɔsin fɔ ɛni rizin.
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 di nɛks doz, skip di doz we yu mis ɛn tek di nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek dɛbul doz fɔ mek di doz we yu mis.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
Ɔda mɛrɛsin, vaytamɛn, ɛn ɛbul prɔdak dɛm we yu de tek kin intarakt wit Pioglitazone. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek.
Na mɔtalman, dɛn drɔgs ya kin intarakt wit Pioglitazone:
- Atorvastatin (wan mɛrɛsin we de mek di kɔlɔstrel nɔ bɔku) .
- Pils fɔ kɔntrol bɔn pikin ɔ ɔda we dɛn we gɛt ɔmon
- Bosentan we de na di wɔl
- Itrakonazɔl, Kɛtokonazɔl (antifungal) .
- Midazolam we dɛn kɔl midazolam
- Nifedipine (na mɛrɛsin fɔ ay blɔd prɛshɔn) .
- Ɔda mɛrɛsin fɔ dayabitis (inklud insulin) .
- Topiramat we gɛt di sik
Apat frɔm dat, bɔku ɔda tin dɛn de we kin afɛkt di blɔd shuga, lɛk:
- Rum
- Aspirin ɛn ɔda kayn drɔgs dɛn
- Sɔm kayn antibayɔtiks
- Di ɔmon dɛn we uman kin gɛt (lɛk di pils dɛn we dɛn kin yuz fɔ kɔntrol pikin dɛn) .
- Mɛrɛsin fɔ sɔm at sik dɛn
- Mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku bɔku bɔdi
- Sɔm mɛrɛsin fɔ kol/kɔf (dɛn kin gɛt shuga ɔ rɔm) .
- Sɔm mɛrɛsin fɔ mental sik
- Di mɛrɛsin dɛn we de mek pɔsin fil pen (NSAID) ɛgz. ibuprofen we dɛn kɔl ibuprofen
- Sɔm ɛbul sɔpɔtmɛnt dɛn
- Steroid-tayp mεdikeshכn dεm (e.g. prεdnison) .
Dis list nɔ kɔmplit. So, mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛbul prɔdak dɛn we yu de tek, ɛn if yu de smok ɔ drink rɔm .
Tin dɛn we yu fɔ tink bɔt we yu de tek mɛrɛsin
- Chek-ap ɔltɛm: Kɔntinyu fɔ go to yu dɔktɔ fɔ chɛk yu sik. Yu dɔktɔ kin want fɔ du blɔd tɛst fɔ si if yu liva de wok fayn.
- HbA1C test: Dis na simpul blɔd tɛst we de mɛzhɔ aw yu dɔn kɔntrol yu blɔd shuga fayn fayn wan fɔ di pas 2-3 mɔnt. Yu dɔktɔ go du dis tɛst (HbA1C) pan patikyula tɛm dɛn .
- Blɔd Shuga Tɛst: Lan aw fɔ chɛk yu blɔd shuga lɛvɛl na os. Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia) ɛn yu gɛt ay (haypa glycemia) ɛn aw fɔ kɔntrol am.
- If di shuga nɔ bɔku:If yu gɛt sayn dɛn we de sho se yu blɔd shuga nɔ bɔku (lɛk yu ed ed , yu de swet, yu de shek, yu angri pasmak), kip sɔntin we go gi yu shuga kwik kwik wan (lɛk shuga kiub, glukɔs tablɛt, ɔ kandy) nia yu. If pɔsin in blɔd shuga so smɔl dat i nɔ no natin, nɔ tray fɔ gi am ɛnitin fɔ it ɔ drink. Dis kin mek pɔsin chok. Go to dɔktɔ wantɛm wantɛm.
- Risk fɔ gɛt at sik: Sɔmtɛm dis mɛrɛsin kin mek yu gɛt at sik mɔr. If yu gɛt sɔm sayn dɛm lɛk pen na yu chɛst, tayt, pen we de spre to yu jaw ɔ yu an, ɔr yu nɔr kin ebul fɔ blo , go to dɔktɔ kwik kwik wan bikɔs i kin bi sayn fɔ siriɔs sik.
- Bεlε: Dis mεdikeshכn kin mek uman dεm we dεn bεlε bifo uman dεn nכ de bכku bכku bכku wan εn bεlε de bכku. Tɔk to yu dɔktɔ bɔt aw fɔ yuz bɔn kɔntrol we yu de tek dis mɛrɛsin. Tɛl yu dɔktɔ wantɛm wantɛm if yu tink se yu go gɛt bɛlɛ.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, Pioglitazone kin mek yu gɛt sayd ɛfɛkt. Dis dɔŋ ya na sɔm pan de poshubul sayd ɛfɛkt dɛm ɛn wetin yu fɔ du if dɛn apin.
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Vishɔn kin chenj | Blɔr vishɔn, si ring rawnd layt, lɔs vishɔn. |
| 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 dɛn kin swel, yu bɔdi kin gɛt wet wantɛm wantɛm, yu kin wik we yu nɔ kɔmɔn. |
| Di sayn dɛn we de sho se pɔsin in liva wund | Pen na di ɔp rayt 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 yay ɔ yu skin de yɔlɔ. |
| Di chenj dɛn we de apin na di urine | Rɛd ɔ dak brawn urine, pen ɔ prɔblɛm fɔ pis, fɔ pis ɔltɛm. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Ed de at | Jɛnɛral ed pen. |
| Mɔsul dɛn kin pen | Di pen na di bɔdi ɛn di mɔsul dɛn. |
| Simptom dɛm we tan lɛk kol | Nos we de rɔn ɔ nos we dɔn stɔp. |
Aw yu kin kip mɛrɛsin?
- Kip fa frɔm pikin ɛn animal dɛn we yu de mɛn.
- Stɔr am na rum tɛmpracha (bitwin 15 ɛn 30 digri sɛlshiɔs).
- Kip di bɔtul tayt tayt wan ɛn protɛkt am frɔm mɔs ɛn san layt.
- Trowe di mɛrɛsin dɛn we dɔn pas.
Mɛsej we dɛn kin kɛr go na os
- Pioglitazone na mɛrɛsin we dɛn kin yuz fɔ kɔntrol tayp 2 dayabitis, wit di rayt it ɛn ɛksesaiz.
- Bifo yu bigin dis mɛrɛsin, tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- Nɔ skip di doz, bɔt nɔ ɛva tek dabl doz.
- Yu fɔ no di sayn dɛm we de sho se yu gɛt smɔl shuga na yu blɔd (we yu de swet, yu de shek shek) ɛn yu gɛt bɔku blɔd shuga ɛn rɛdi fɔ dɛn.
- Go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni siriɔs sayd ɛfɛkt lɛk we yu de fil pen na yu chɛst, i nɔ izi fɔ blo, yu bɔdi de swel, ɔ yu yay de yɔlɔ.
- Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ sheb am wit ɛnibɔdi.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Pioglitazone (Pioglitazone / Actos) tablɛt na mɛrɛsin fɔ us sik?
Dis na wan rili pawaful drɔg (Thiazolidinedione / TZD klas) we de ɛp fɔ kɔntrol di ay blɔd shuga lɛvɛl pan Tayp 2 Dayabitis pasɛnt dɛn! Bɔku tɛm dɛn kin gi dis to pipul dɛn we dɛn shuga lɛvɛl nɔ kin go dɔŋ pan ɔl we dɛn de tek pils lɛk Metformin. di spεshal tin na dat i nכ de mek di pankrias prodyuz insulin bכku, bכt insted i de mek di mכst pan di insulin we de.
💬 Aw dis pil (Pioglitazone) de mek di blɔd shuga go dɔŋ we i nɔ de pwɛl di pankrias?
Dis kin atak wi bɔdi in fat sɛl dɛn ɛn di mɔsul sɛl dɛn dairekt wan. Pipul wae gɛt dayabitis kin lɔk domɔt pan dɛn sɛl ya (Insulin Resistance), so dɛn nɔr kin absɔb di shuga. wetin dis pil (PPAR-gamma activation) de du na fכ fos fכ opin כl di dכda dεm we dεn klos pan dεn mכsul sεl dεm de εn pul di shuga (glucose) we de insay di bכdi kwik kwik wan insay di bכdi. Dɔn di blɔd shuga jɔs de go dɔŋ.
💬 Wetin na di men sayd effekt (Black Box Warnings) we yu tek dis mɛrɛsin?
I nɔ fayn fɔ mek pipul dɛn we gɛt wik at (Heart Failure) ivin put dis na dɛn mɔt! Bikɔs dis pil kin mek di wata we de na di bɔdi nɔ de igen (Edima), in leg dɛn kin swɛla, ɛn wata na in lɔng, ɛn di pɔsin kin ivin day wantɛm wantɛm. Dɔn bak, if yu drink dis fɔ sɔm mɔnt, di pɔsin in wet go mɔs go ɔp bay wan kilo (Weight gain). Di ɔda denja denja na dat sɔm pipul dɛn dɔn ripɔt se dɛn dɔn gɛt ‘Bladder Cancer’ frɔm dis!
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