Dɛn de trit yu bak fɔ Tayp 2 Dayabitis ? If na so, yu dɔktɔ go dɔn gi yu wan pil we gɛt tu mɛrɛsin dɛn, Sitagliptin ɛn Metformin. Yu kin sabi dis bay di brand nem Janumet XR. I de wok bay we i de kɔntrol di shuga we de na yu blɔd. So tide, lɛ wi tɔk bɔt dis impɔtant mɛrɛsin, wetin i de du, wetin fɔ tek tɛm we yu de yuz am, ɛn ɔl di bad tin dɛn we kin apin to am.
Wetin kin rili apin wit dis mɛrɛsin?
Fɔ tɔk am simpul wan, dis pil de ɛp fɔ kɔntrol yu blɔd shuga (glukɔs) lɛvɛl tu we dɛn.
1. Metformin: Dis kin mεntal kכntrכl di shuga we yu liva de mek we nכ nid. I de ɛp bak di sɛl dɛn na yu bɔdi fɔ du insulin fayn fayn wan .
2. Sitagliptin: Dis de ɛp fɔ mek di insulin we yu bɔdi de mek bay insɛf afta yu it ɛn ridyus di shuga we di liva de mek.
Bɔt mɛmba dis. Dis nɔto majik pil. Fɔ mek yu gɛt di bɛst pan dis mɛrɛsin, i rili impɔtant fɔ it gud it ɛn ɛksesaiz lɛk aw yu dɔktɔ tɛl yu .
Tin dɛn we yu fɔ tɛl yu dɔktɔ bifo yu tek mɛrɛsin
Bifo yu gi yu dis mɛrɛsin, i rili impɔtant fɔ mek yu dɔktɔ no yu kɔmplit wɛlbɔdi istri . Mek shɔ se yu tɛl dɛn bɔt ɛni wan pan di kɔndishɔn dɛn we de dɔŋ ya.
| Sik ɔ kɔndishɔn | Wetin mek yu fɔ tɛl pipul dɛn? |
|---|---|
| Kidni ɔ liva sik | Di drɔg kin kɔmɔt na di bɔdi mɔ tru di kidni dɛn. If prɔblɛm de wit dɛn ɔgan ya, dɛn kin nid fɔ chenj di doz fɔ di mɛrɛsin ɔ nɔ fɔ gi am atɔl. |
| At sik ɔ at we nɔ de wok fayn | If yu yuz dis mɛrɛsin kin mek yu gɛt prɔblɛm wit sɔm at prɔblɛm dɛn. |
| If yu dɔn gɛt pankrias | Bikɔs dis mɛrɛsin nɔ kin rili mek pɔsin gɛt pankrias, di histri we yu bin dɔn tek bifo tɛm impɔtant. |
| If yu de drink rɔm ɔltɛm | If yu miks alkol ɛn Metformin, i kin mek yu gɛt wan denja sik we dɛn kɔl laktik asid. |
| Vitamin B12 we nɔ de ɔ we nɔ gɛt bɛtɛ blɔd | If yu yuz mɛtfɔmin fɔ lɔng tɛm, dat kin mek di vaytamɛn B12 lɛvɛl go dɔŋ. |
| If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu na mama we de gi pikin in bɛlɛ | Dis mɛrɛsin nɔ fayn fɔ dɛn kayn tin ya, ɛn yu dɔktɔ go gi yu ɔda mɛrɛsin we sef. |
| If yu gɛt alɛji to ɔda mɛrɛsin, it, ɔ tin dɛn | I impɔtant fɔ no bɔt ɛni alɛji. |
Aw ɛksaktɔli yu kin yuz dis mɛrɛsin?
- Tek di doz we dɛn tɛl yu fɔ tek lɛk aw di dɔktɔ tɛl yu. Nɔ tek mɔ ɔ smɔl pas dat.
- Dɛn kin tek dis pil wan tɛm insay di de, wit dina .
- Swɛla di tablɛt ɔl wit wan glas wata.
- I rili impɔtant: Dis pil na Extended-Release (XR) pil. Dis min se di mɛrɛsin de kɔmɔt na di bɔdi fɔ 24 awa. So , nɔ ɛva brok, krɔs, ɔ chew di pil. If yu du dat, i kin mek di mɛrɛsin kɔmɔt na di bɔdi wan tɛm, ɛn dis kin mek yu gɛt bad bad tin dɛn we kin apin to yu.
- 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 tu dos wan tɛm.
- If yu tink se yu dɔn tek bɔku mɛrɛsin, nɔ west tɛm ɛn kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm. Ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Tek tɛm wit dɛn tin ya we yu de tek mɛrɛsin.
- Chek-ap ɔltɛm: Yu dɔktɔ go chɛk yu ɔltɛm, mɔ wit blɔd tɛst we dɛn kɔl HbA1C (A1C) ɛvri 3 to 6 mɔnt. Dis go luk aw dɛn dɔn kɔntrol yu blɔd shuga fayn fayn wan fɔ di pas 2-3 mɔnt.
- No yu blɔd shuga lɛvɛl: 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 (Hypoglycemia) ɛn yu blɔd shuga bɔku (Hyperglycemia).
- Kip sɔm shuga nia yu: Ɔltɛm kip sɔntin lɛk sɔm shuga, wan pis tofi, ɔ wan glukɔs tablɛt nia yu if yu shuga dɔn wantɛm wantɛm.
- Ɔpreshɔn ɛn skan: If yu go du ɔpreshɔn, MRI, ɔ CT skan, mek shɔ se yu tɛl yu dɔktɔ se yu de tek dis mɛrɛsin. Yu kin nid fɔ stɔp fɔ tek di mɛrɛsin fɔ sɔm dez.
- Ɔda mɛrɛsin dɛn: Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn). Sɔm mɛrɛsin kin miks wit dis wan.
- Sitagliptin ɛn Metformin na rili impɔtant mɛrɛsin dɛn we de ɛp fɔ kɔntrol tayp 2 dayabitis . Bɔt dɛn fɔ du dis togɛda wit it ɛn ɛksesaiz.
- Nɔ ɛva brok, krɔs, ɔ chew wan Extended-Release (XR) tablɛt. Swɛla am ɔl.
- I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek ɛn ɛni ɔda mɛrɛsin we yu go gɛt.
- Yu fɔ no di sayn dɛm we de sho se yu gɛt smɔl shuga na yu blɔd (haypoglycemia) ɛn kip sɔntin we gɛt shuga nia yu ɔltɛm.
- Go to dɔktɔ kwik kwik wan if yu gɛt bad bad bɛlɛ pen, i nɔ izi fɔ blo, ɔ yu gɛt siriɔs alɛji.
- Nɔ stɔp fɔ tek mɛrɛsin ɔ chenj di doz fɔ yusɛf. Tɔk to yu dɔktɔ ɔltɛm.
Impɔtant: If pɔsin nɔ gɛt bɛtɛ blɔd shuga ɛn i de sik ɔ i nɔ no natin, nɔ put ɛnitin na in mɔt. I kin bi sɔntin we kin mek pɔsin chok. Go to dɔktɔ wantɛm wantɛm.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, dis wan kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt . Sɔm pan dɛn denja, sɔm pan dɛn nɔmal.
| Klasifikɛshɔn fɔ di sayd ɛfɛkt dɛn | |
|---|---|
Siriɔs sayd ɛfɛkt dɛn we nid fɔ go to dɔktɔ wantɛm wantɛm | |
| Alɛji Riakshɔn | Skin rash, it, swel na di fes, lip, tong ɔ trot, i nɔ izi fɔ blo. |
| Pankriaytis we gɛt sik | Bɛlɛ pen bad bad wan (dis kin spre to bak), pen we kin wɔs afta yu it, fiva, nɔs, vɔmit. |
| Laktik Asidכsis | Mɔsul kramp ɔ pen, bɛlɛ pen, i nɔ kin izi fɔ blo, i kin taya pasmak, i kin fil wik. (Dis na rili siriɔs imejensi). |
| At we 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 we nɔ kɔmɔn. |
| Bɔku pen na di jɔyn dɛn | Pen we yu nɔ go ebul fɔ bia na di jɔyn dɛn. |
Sayd ɛfɛkt dɛm wae nɔr kin denja, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Bɛlɛ pen, dayarɛa, gas, nɔs. |
| Ɔda | Di sayn dɛm lɛk ed we de at, trot we de at, ɛn kol. |
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