If yu gɛt Tayp 2 Dayabitis, yu dɔktɔ go dɔn gi yu wan mɛrɛsin we dɛn kɔl Canagliflozin (we dɛn kin kɔl bɔku tɛm Invokana na wi kɔntri) fɔ ɛp fɔ kɔntrol yu blɔd shuga. Dis mɛrɛsin kin wok fayn we yu yuz am wit fayn it ɛn ɛksesaiz ɛvride. So, lɛ wi tɔk bɔt sɔm pan de impɔtant tin dɛm wae yu fɔ no bɔt dis mɛrɛsin.
1. Us kɔndishɔn dɛn we Canagliflozin kin trit?
Bɔku tɛm, dayabitis ɛn at sik kin go togɛda. Infakt, risach dɔn sho se pipul dɛn we gɛt dayabitis kin gɛt at sik ɔ at pwɛl tu tɛm pas pipul dɛn we nɔ gɛt dayabitis.
Kanagliflozin de pan wan klas dεm we dεn kכl sכdiכm-glukoz kכ-transpכta 2 (SGLT2) inhibito dεm. Fɔ tɔk am simpul wan, i de wok bay we i de ridyus di shuga we yu bɔdi de pul na yu urine, we de mek yu blɔd shuga go dɔŋ.
Wan ɔda spɛshal bɛnifit fɔ dis na dat dɛn dɔn gri fɔ dis mɛrɛsin fɔ ridyus di risk fɔ day bikɔs ɔf siriɔs tin dɛn lɛk at atak ɛn strok pan big pipul dɛn we gɛt tayp 2 dayabitis we gɛt sik we de mek dɛn at ɛn blɔd, ɔ we gɛt bɔku risk fɔ gɛt dɛn kayn sik ya.
Apat frɔm dat, dis mɛrɛsin kin ɛp bak fɔ ridyus dɛn tin ya we kin mek pɔsin gɛt prɔblɛm:
- End-stej kidni sik
- Di kidni nɔ de wok fayn
- Ɔspitul bikɔs ɔf at pwɛl
- Ɔspitul bikɔs ɔf di kidni dɛm we dɔn pwɛl bikɔs ɔf dayabitis (Diabetic Nephropathy) .
Di tin wae impɔtant pas ɔl na dat, dis mɛrɛsin nɔr fayn fɔ pipul dɛm wae gɛt Tayp 1 Dayabitis. Dɔn bak, pipul dɛm wae gɛt siriɔs kidni sik nɔr kin ebul fɔ tek dis mɛrɛsin.
2. Aw fɔ yuz dis mɛrɛsin?
Dis na mɛrɛsin we kin kam insay di fɔm fɔ pil. Yu fɔ tek am wan tɛm insay di de, bɔku tɛm bifo yu it di fɔs it insay di de.
Yu kin tek dis mɛrɛsin wit ɔda mɛrɛsin dɛn fɔ gɛt dayabitis, lɛk mɛtfɔmin. Bɔt sɔntɛnde, dɛn mɛrɛsin ya kin miks wit dɛnsɛf. If dis apin, dɛn kin ridyus di wok we dɛn kin du ɔ di sayd ɛfɛkt kin apin. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn di tin dɛn we yu de tek fɔ it.
Yu dɔktɔ go ajɔst di doz if nid de. Stɔr dis mɛrɛsin na rum tɛmpracha, insay kɔntena we dɛn lɔk. Kip away frɔm ɔt pasmak, mɔs, ɛn dairekt san layt. Trowe di mɛrɛsin we dɔn pas fayn fayn wan.
Aw di mɛrɛsin doz de?
Yu dɔktɔ go mɔs bigin yu fɔ tek 100 miligram (100mg) tablɛt. If yu nid mɔ kɔntrol pan yu blɔd shuga lɛvɛl, dɛn kin inkrisayz yu doz to 300 miligram (300mg) fɔ wan de. If yu mis wan doz, tek am jɔs afta yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, nɔ tek tu doz wan tɛm. Skip di doz we yu mis ɛn tek yu nɛks doz lɛk aw yu kin du.
3. Wetin na di bad tin dɛn we kin apin to pɔsin?
Sɔm pipul dɛn kin gɛt smɔl, smɔl, ɔr siriɔs sayd ɛfɛkt frɔm dis mɛrɛsin. Lɛ wi no bɔt dɛn.
| Tayp fɔ di sayd ɛfɛkt | Ficha dɛn we yu fɔ wach fɔ |
|---|---|
| Di sayd ɛfɛkt dɛn we dɛn kin si bɔku tɛm | |
| Infεkshכn dεm na di Urinary Tract | Bɔn we yu de pis, yu bɛlɛ de pen, yu nid fɔ pis bɔku tɛm, blɔd de na yu urine. |
| Lɔw blɔd shuga (Hypoglycemia) . | Dis kin apin we dɛn tek am wit ɔda mɛrɛsin dɛn fɔ gɛt dayabitis. Di sayn dɛm na diziz, ed we de at, swet, shek shek, ɛn at bit kwik kwik wan. |
| Sivεr/immediate mεdikal atεnshכn-sik sayd ifekt dεm | |
| Wan baktri we nɔ kin bɔku (Necrotizing Fasciitis) . | Wan denja infεkshכn we de pwεl di tisu dεm we de כnda di skin we de rawnd di jεnital εria εn di anus. Go to dɔktɔ wantɛm wantɛm if yu gɛt sɔm sayn dɛn lɛk pen, swel, ɛn rɛd. |
| Sivɛri alɛji riakshɔn | Skin de rɔsh, swel, ayv, ɔ i de it bad bad wan. Dis na tin dɛn bak we nid fɔ go to dɔktɔ wantɛm wantɛm . |
| Bɔn dɛn we kin brok | Risach dɔn sho se dis mɛrɛsin kin mek di bon dɛn brok smɔl. |
| Ɔda bad bad sayn dɛn | Yu nɔ de si fayn, yu nɔ de si fayn, yu yay nɔ de fil pen, yu nɔ go ebul fɔ blo fayn, yu at nɔ de bit ɔltɛm, yu de fɔdɔm, yu nɔ go ebul fɔ tɔk, i nɔ izi fɔ waka, yu de swet pasmak, ɔ yu gɛt fiva. |
If yu gɛt ɛni wan pan dɛn bad bad sayd ɛfɛkt ya , nɔ delay ɛn kɔl di 1990 ambulans savis wantɛm wantɛm ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
4. Speshal wɔnin ɛn sef (Warnings) .
Risk fɔ pul di fut
Sɔm pipul dɛn kin agyu bɔt if dis mɛrɛsin kin mek dɛn kɔt dɛn an, mɔ di fut ɛn di ɔda leg dɛn we de dɔŋ. Dis nɔ kin apin so ɔltɛm. Bɔt if yu dɔn du dɛn kayn ɔpreshɔn ya bifo, ɔ if yu gɛt ɔlsa ɔ infɛkshɔn na yu fut ɔltɛm, i impɔtant fɔ no bɔt dis ɛn tek kia ɔf yu fut spɛshal.
Dayabitik ketoasidכsis (DKA) kכndishכn
Dis na di impɔtant tin fɔ no bɔt dis mɛrɛsin. Dis mɛrɛsin kin mek sɔm pipul dɛn we gɛt Tayp 2 dayabitis gɛt wan sik we rili denja we dɛn kɔl Dayabitik Kɛtoacidosis (DKA) .
Fɔ tɔk am simpul wan, DKA kin apin we yu bɔdi nɔ gɛt insulin fɔ tɔn di shuga we de na yu blɔd to ɛnaji. Dɔn yu bɔdi kin bigin fɔ bɔn fat fɔ gɛt ɛnaji. We dis de du dis, kεmεkal dεm we dεn k כl kεtכ n kin bכku na yu bכdi. We dɛn ketɔn ya bɔku pasmak, yu blɔd kin bi asid, we kin pɔyzin yu bɔdi ɛn mek yu sik bad bad wan. If yu gɛt siriɔs sik, yu kin go na kɔma we gɛt dayabitis ɔ ivin day.
Di fɔs sayn dɛm fɔ DKA na fɔ tɔsti pasmak ɛn fɔ pis bɔku tɛm. Dis na sayn fɔ wɔn yu fɔ no se yu nɔ ebul fɔ kɔntrol yu sik. Tɔk to yu dɔktɔ bɔt aw fɔ mek yu nɔ gɛt DKA ɛn kip yu insulin ɛn blɔd shuga lɛvɛl na di wɛlbɔdi lɛvɛl.
5. Us tin dɛn fɔ tek tɛm wit bifo dɛn du di ɔpreshɔn?
Yɛs. If yu gɛt ɔpreshɔn we dɛn dɔn plan fɔ du, yu fɔ stɔp fɔ tek dis mɛrɛsin 3 dez bifo di ɔpreshɔn fɔ ridyus di risk fɔ gɛt DKA. I impɔtant fɔ tɛl yu dɔktɔ we de du ɔpreshɔn ɛn yu dɔktɔ we gɛt dayabitis bɔt dis. Insay dis tɛm, yu dɔktɔ go de wach yu blɔd shuga gud gud wan ɛn yuz ɔda we dɛn fɔ kɔntrol am.
6. Udat nɔ fɔ yuz Kanagliflozin?
Dɔktɔ dɛn nɔ kin tɛl yu fɔ tek dis mɛrɛsin if yu gɛt dɛn sik ya:
- If yu gɛt siriɔs hepatic impairment
- If yu gɛt bɛlɛ ɔ yu de op fɔ gɛt bɛlɛ
- If yu na mama we de gi pikin in bɛlɛ
- If yu nɔ rich 18 ia yet
- If yu dɔn gɛt siriɔs alɛji (e.g., anafylaksis ɔ swɛlin lɛk angioedema) to dis mɛrɛsin
- If yu de pan kidni dayalaysis
Bifo yu yuz dis mɛrɛsin, i rili impɔtant fɔ tɔk to yu dɔktɔ fɔ mek shɔ se dis na di rayt mɛrɛsin fɔ yu fɔ kɔntrol yu dayabitis.
Mɛsej we dɛn kin kɛr go na os
- Canagliflozin na wan mɛrɛsin wae dɛn kin yuse fɔ trit tayp 2 dayabitis. I kin ɛp bak fɔ ridyus di risk fɔ gɛt at sik ɛn kidni sik.
- Dis pil fɔ tek wan tɛm insay di de, bifo di fɔs it.
- Nɔ fɔgɛt fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- Yu fɔ no bɔt di bad tin dɛn we kin apin lɛk we yu de urinary tract infection, we yu blɔd shuga nɔ bɔku (hypoglycemia), ɛn infekshɔn we nɔ kin apin na yu bɔdi we nɔ kin bɔku.
- Yu fɔ no di sayn dɛm fɔ wan denja sik we dɛn kɔl Dayabitik Kɛtoacidosis (DKA) (we yu tɔsti pasmak, yu de pis bɔku tɛm).
- Dis mɛrɛsin fɔ stɔp 3 dez bifo ɛni ɔpreshɔn, lɛk aw yu dɔktɔ tɛl yu.
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