Omusawo akuwadde eddagala erigatta sitagliptin ne metformin erijjanjaba ssukaali ow’ekika eky’okubiri? Mu ggwanga lyaffe eddagala lino lijja wansi w’erinnya lya Janumet. Okuva ssukaali bweri embeera eyeetaaga okuddukanyizibwa obulungi, kikulu nnyo okuba ng’otegeera bulungi eddagala ly’omira. Kale leero, ka twogere mu bufunze ku ddagala lino, kye likola ku mubiri gwo, n’ebintu by’olina okwegendereza ng’olikozesa.
Ddala kiki ekituuka ku ddagala lino?
Mu ngeri ennyangu, eddagala ebbiri eriri mu ddagala lino liyamba okufuga ssukaali (blood glucose) mu musaayi gwo mu ngeri bbiri.
1. Sitagliptin: Kino kiyamba okwongera ku butonde bw’omubiri gwo okukola obusimu obuyitibwa ‘insulin’ ng’omaze okulya. Insulini y’eyamba okutambuza ssukaali okuva mu musaayi gwo n’ayingira mu butoffaali bw’omubiri gwo okufuna amaanyi.
2. Metformin: Kino okusinga kikola nga kikendeeza ku ssukaali akola ekibumba kyo mu ngeri eteetaagisa. Era kyongera okuwulira obutoffaali bw’omubiri gwo ku insulini. Kino kitegeeza nti kikuyamba okukozesa obulungi insulini gy’olina.
Ekisinga obukulu nti okumira eddagala lino lyokka tekimala. Era olina okugoberera endya ennungi n'okukola dduyiro buli kiseera . Olwo lwokka lw’osobola okufuna ebisinga obulungi.
Ebintu by’olina okubuulira omusawo nga tonnatandika kumira ddagala
Omusawo wo ajja kwetaaga okumanya ebyafaayo by’obulamu bwo mu bujjuvu nga tannakuwa ddagala lyonna. Kale bw’oba olina obukwakkulizo bwonna ku buno wammanga, kakasa nti obubuulira nga tobukwese. Kino kikulu nnyo eri obukuumi bwo.
| Olina embeera zino? |
|---|
| Obulwadde bw’ekibumba oba ekibumba |
| Obulwadde bw’omutima oba embeera z’omutima okulemererwa |
| Bw’oba wali ofunye obulwadde bw’olubuto emabegako |
| Ebirungo bya triglyceride ebingi mu musaayi |
| Vitamiini B12 entono oba okukendeera kw’omusaayi |
| Okubeera n’omuze gw’okunywa omwenge buli kiseera |
| Okubeera olubuto, okuteekateeka okuzaala oba okuyonsa omwana |
| Okubeera n’allergy ku ddagala eddala lyonna, emmere oba ekintu |
Ddala eddagala lino ngukozesa ntya?
- Empeke eno gimira n’egiraasi y’amazzi.
- Kino kikulu nnyo: Bulijjo mira empeke eno ng’olya oba ng’olya . Okugimira ng’oli lubuto njereere kiyinza okuvaako olubuto okutabuka (okulumwa omutima, okuziyira).
- Ddira ddoozi yokka eragiddwa era mu kiseera omusawo ky’akulagidde. Tokyusa ddoozi nga bw’oyagala.
- Tolekera awo kumira ddagala lino mu bwangu nga tolina magezi ga musawo.
- Bw’oba osubiddwa ddoozi: Ddira ddoozi gy’osubiddwa amangu ddala ng’ojjukira. Wabula bwe kiba nga kinaatera okutuuka ku ddoozi yo eddako, buuka ddoozi gy’osubiddwa n’omira ddoozi eddako mu ssaawa gye wategese. Tomirangako ddoozi ya mirundi ebiri.
- Bw’omira ennyo: Bw’oba olowooza nti mu nsobi omira eddagala lingi, genda mu ddwaaliro erikuli okumpi mu kitongole ky’abalwadde ab’amangu (ETU) mu bwangu. Oba kuba ku ssimu ya National Poisons Information Center mu ddwaaliro ly'eggwanga erya Colombo .
Ebintu by’olina okwegendereza ng’omira eddagala
- Ssukaali ali mu musaayi: Yiga engeri gy’oyinza okupima ssukaali mu musaayi. Weetegereze obubonero bwa sukaali omutono mu musaayi (Hypoglycemia) ne ssukaali omungi mu musaayi (Hyperglycemia).
- Ssukaali omutono mu musaayi (Hypoglycemia): Kino kiyinza okuba eky’amangu. Bw’ofuna obubonero ng’okutuuyana, okukankana, enjala esukkiridde, oba okuziyira, lya ekintu ekiwooma (ekikuta kya ssukaali, ssweeta oba empeke ya glucose) amangu ddala . Bw’ozirika, tegeeza ab’omu maka go nti abalala tebalina kukukaka kulya wadde okunywa, era nti olina okutwalibwa mu ddwaaliro mu bwangu.
- Okukebera HbA1C: Omusawo ajja kukusaba okukeberebwa omusaayi guno nga omulundi gumu buli luvannyuma lwa myezi 3. Kino kipima engeri gy’obadde ofuga ssukaali mu musaayi mu myezi 2-3 egiyise.
- Okulongoosa ne sikaani:Bw’oba ogenda kulongoosebwa, MRI oba CT scan, tegeeza ttiimu y’abasawo nga bukyali nti omira eddagala lino. Oyinza okwetaaga okulekera awo okumira eddagala lino ng'ebula ennaku ntono okugikolako .
- Omwenge: Okunywa omwenge kyongera obulabe bwa ssukaali okukka amangu mu musaayi n’embeera ey’akabi eyitibwa lactic acidosis. Kale yogerako n’omusawo wo ku mwenge.
Biki ebiyinza okuvaamu?
Okufaananako n’eddagala lyonna, kino kiyinza okuvaako ebizibu mu bantu abamu. Ebiseera ebisinga bino si bya maanyi, naye waliwo obubonero bw’osaanidde okwegendereza naddala.
| Obubonero obw’amaanyi obwetaagisa okujjanjabibwa amangu | |
|---|---|
| Obubonero bw’obulwadde bwa Lactic Acidosis | Okulumwa ebinywa oba okukaluba, okulumwa olubuto, okussa obubi, okukoowa ennyo. (Kino kizibu kya Metformin ekitali kya bulijjo naye nga kya bulabe nnyo). |
| Obulwadde bw’olubuto | Obulumi obw’amaanyi mu lubuto olwa waggulu, okusaasaana mu mugongo, okusesema n’omusujja. |
| Enkola y’okukwatibwa allergy | Okusiiyibwa ku lususu, okusiiwa, okuzimba mu maaso, emimwa, olulimi, okukaluubirirwa okussa oba okumira. |
| Obubonero obulala obw’amaanyi | Obulumi obw’amaanyi mu binywa, ebizimba oba amabwa ku lususu, okukaluubirirwa okussa, okuzimba amagulu oba enkizi, okugejja amangu. |
| Ebizibu ebitera okuvaamu (ebitali bya maanyi). | |
| Obuzibu mu nkola y’okugaaya emmere | Okulumwa olubuto, ggaasi, ekiddukano, okuziyira (kitera okubaawo nga bukyali mu bujjanjabi ne kigenda oluvannyuma. Kino osobola okukikendeera ng’okimira n’emmere). |
| Lala | Okulumwa omutwe, okulumwa emimiro, okukulukuta mu nnyindo. |
Obubaka Obutwala Awaka
- Sitagliptin ne Metformin ddagala erikozesebwa okujjanjaba ssukaali ow’ekika eky’okubiri. Okusobola okufuna ebirungi, emmere ennungi n’okukola dduyiro kyetaagisa.
- Bulijjo mira empeke eno ng'olya oba ng'olya .
- Kakasa nti obuulira omusawo wo ku ddagala eddala lyonna, vitamiini oba eddagala ly’ekinnansi ly’omira.
- Weetegereze obubonero bwa sukaali omutono mu musaayi (hypoglycemia) (okukankana, okutuuyana, okuziyira). Kuuma ekintu ekiwooma okumpi okutwala singa wabaawo embeera ng’eyo.
- Singa ofuna obulumi obw’amaanyi mu lubuto, okukaluubirirwa okussa, oba okulumwa ennyo ebinywa, kiyinza okuba akabonero k’embeera ey’amaanyi nga Lactic Acidosis oba Pancreatitis . Genda mu ETU y’eddwaaliro mu bwangu.
- Tolekera awo kumira ddagala oba okukyusa mu ddoozi nga tolina magezi ga musawo. Bw’oba olina ekikweraliikiriza, yogerako n’omusawo wo.
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