Ssukaali bulwadde bwa bulijjo nnyo mu ffe mu Sri Lanka. Kale, omusawo akulagidde eddagala erifuga obulwadde bwa sukaali. Bw’oba oli omu ku bakozesa eddagala eriyitibwa Sitagliptin, ekitundu kino kijja kuba kikulu nnyo gy’oli. Ka tulabe ku ddagala lino, engeri gye likola, n’ebintu by’olina okwegendereza ng’olikozesa.
Sitagliptin ddagala lya ngeri ki?
Mu ngeri ennyangu, Sitagliptin ddagala erikozesebwa okujjanjaba Ssukaali ow’ekika eky’okubiri . Kikola mu ngeri eyeesigika ennyo mu mubiri gwaffe. Okusinga kyongera ku mutindo gwa insulini mu mubiri gwo n’okukendeeza ku glucose mu musaayi gwo. Era akendeeza ku ssukaali ayongerwa mu musaayi ekibumba.
Ekisinga obukulu eddagala lino lyokka terimala. Bw’ofuna endya ennungi n’okukola dduyiro buli lunaku lw’osobola okufuna ebisingawo okuva mu ddagala lino.
Ebintu by’olina okubuulira omusawo nga tonnamira ddagala
Nga tonnatandika kumira Sitagliptin, waliwo ebintu ebitonotono by’osaanidde okutegeeza omusawo wo. Bino tobikweka, kubanga bikulu nnyo eri obukuumi bwo.
- Bw’oba olina obulwadde bwa sukaali obwa ketoacidosis.
- Bw’oba olina obulwadde bw’ekibumba: Kino kikulu nnyo kubanga ddoozi y’eddagala lino eyinza okwetaaga okukyusibwa okusinziira ku nkola y’ekibumba kyo.
- Bw’oba obaddeko emabegako obulwadde bw’olubuto.
- Bw’oba wali okuzimba olulimi, ffeesi oba emimwa, okukaluubirirwa okussa, okukaluubirirwa okumira oba okukyuka mu ddoboozi lyo oluvannyuma lw’okumira eddagala erimu: Kino kitegeeza nti obadde n’obulwadde bwa alergy obw’amaanyi.
- Bw’oba olina obulwadde bwa sukaali obw’ekika kya 1: Eddagala lino terikusaanira.
- Bw’oba olina alergy ku sitagliptin oba eddagala eddala lyonna, emmere oba langi.
- Bw’oba oli lubuto, ng’ogezaako okufuna olubuto, oba ng’oyonsa.
Ddala eddagala lino ngukozesa ntya?
Eddagala lino lyangu nnyo okukozesa. Empeke eno gimira n’egiraasi y’amazzi. Osobola okugimira nga tonnalya oba ng’olya. Mutwale ddala nga omusawo bw’akulagidde.
Ebintu ebikulu ebitonotono:
- Tomenya, tonyiga, oba tokamula ddagala. Mirira empeke yonna.
- Fuba okumira eddagala lyo mu kiseera kye kimu buli lunaku. Mu ngeri eyo tojja kwerabira.
- Okutuusa omusawo lw’agamba bw’atyo.Tolekera awo kumira ddagala.
- Eddagala lino lya ggwe wekka. Togiwa muntu mulala yenna.
Watya singa osubwa eddagala lyo?
Bw’oba weerabira mangu okumira ddoozi, gimira amangu ddala ng’ojjukira. Wabula bwe kiba nti kumpi ekiseera kya ddoozi yo eddako, buuka ddoozi gy’osubiddwa era onywe ddoozi yo eddako mu kiseera ky’otegese. Tomirangako ddoozi ya mirundi ebiri.
Watya singa nnywa eddagala erisukkiridde?
Bw’oba olowooza mu bwangu nti onywedde okusinga ku ddoozi eyalagirwa, genda mangu mu ddwaaliro erikuli okumpi mu kitongole ky’abalwadde ab’amangu (ETU). Oba kuba ku ssimu ya National Poisons Information Center mu ddwaaliro lya Colombo National Hospital okufuna amagezi.
Ebintu by’olina okwegendereza ng’omira eddagala
Laba omusawo wo ku nnaku eziteekeddwawo okukakasa nti obujjanjabi bwo butambula bulungi.
- Okukebera HbA1c: Omusawo wo ajja kulagira okukeberebwa omusaayi gwe bayita HbA1c (A1C) . Kino kipima ssukaali wo gy’abadde afugibwa obulungi mu myezi 2-3 egiyise. Ojja kwetaaga okukeberebwa kuno buli luvannyuma lwa myezi 3 ku 6.
- Okulondoola ssukaali mu musaayi: Kikulu okuyiga engeri y’okulondoola ssukaali wo awaka. Ate era, beera mwegendereza obubonero bw’okukendeera kwa sukaali mu musaayi n’okulinnya kwa sukaali, n’eky’okukola singa bibaawo.
- Singa ssukaali akendeera: Bulijjo teeka ekintu nga ssukaali, toffee oba empeke za glucose okumpi n’okozesa singa ssukaali akendedde. Naye jjukira nti ssukaali bw’akendeera nnyo n’otandika okukonziba oba okuzirika, toteeka kintu kyonna mu kamwa mu kiseera ekyo. Oyinza okuziyira. Mu mbeera ng’eyo, olina okugenda mu basawo amagezi amangu ddala.
- Ebintu ebirala: Bw’olwala, kola dduyiro okusinga bulijjo, buuza omusawo wo oba weetaaga okukyusa mu ddoozi y’eddagala lyo. Tobuuka mmere. Era yogerako n’omusawo wo ku by’okunywa omwenge.
- Medical ID: Kirungi okwambala kaadi oba akakomo akalaga nti olina obulwadde bwa sukaali n’eddagala ly’omira.
Ebizibu ebiyinza okuva mu ddagala lino
Okufaananako n’eddagala lyonna, Sitagliptin esobola okuleeta ebizibu mu bantu abamu. Era esobola okukwatagana n’eddagala eddala erimu. Ka tulabe ekyo.
| Eddagala/ebintu ebiyinza okuleeta enkaayana | Ebintu by’olina okwegendereza |
|---|---|
| Insulin | Ebintu bino byombi bw’obimira wamu kiyinza okuvaako ssukaali okukendeera mu musaayi (hypoglycemia). Omusawo wo ajja kukyusa mu ddoozi. |
| Ebirungo ebiyitibwa sulfonylureas (okugeza Glimepiride, Glibenclamide) . | Waliwo obulabe obweyongera obwa ssukaali omutono mu musaayi bw’omira ne Sitagliptin. |
| Digoxin (eddagala eriwonya endwadde z’omutima) . | Sitagliptin eyinza okukyusa katono ebiva mu Digoxin. Buulira omusawo wo ku nsonga eno. |
| Omwenge | Omwenge guyinza okukosa ssukaali mu musaayi. Weebuuze ku musawo wo ku nsonga eno. |
| Weetegereze: Olukalala luno terunnaggwa. Buulira omusawo wo ku ddagala lyonna, vitamiini, n’ebirungo by’omuddo by’omira. | |
| Side effect | Okunnyonnyola n’eky’okukola |
|---|---|
| Ebizibu ebivaamu ebirina okuloopebwa eri omusawo mu bwangu | |
| Obulwadde bwa alergy | Okusiiyibwa ku lususu, okusiiwa, okuzimba mu maaso/emimwa/olulimi, okukaluubirirwa okussa. |
| Obulwadde bw’olubuto | Obulumi obw’amaanyi mu lubuto nga busaasaana mu mugongo, obulumi obweyongera oluvannyuma lw’okulya, omusujja, okuziyira, okusiiyibwa. |
| Omutima okulemererwa | Okukaluubirirwa okussa, okuzimba enkizi/ebigere/emikono, okugejja amangu, okuwulira ng’okooye mu ngeri etaali ya bulijjo. |
| Obuvune mu kibumba | Okukendeera kw’omusulo, okuzimba enkizi/emikono/ebigere. |
| Enkola y’olususu | Okumyuka, okuzimba, okusekula olususu (ne munda mu kamwa). |
| Obulumi obw’amaanyi mu binywa | Obulumi obw’amaanyi mu binywa. |
| Ebintu ebitera obutaba bya maanyi, naye nga birina okuloopebwa eri omusawo singa bisigala | |
| Okulumizibwa omutwe | Okulumizibwa omutwe |
| Obubonero obulinga obw’omusujja | Ennyindo ekulukuta, ennyindo ezibikira. |
| Okulumwa mu mamiro | Okulumwa mu mamiro |
Otereka otya eddagala?
- Kuuma nga abaana tebasobola kugituukako.
- Teeka ku bbugumu erya bulijjo (wakati wa diguli 15 ne 30).
- Suula eddagala eriweddeko.
Obubaka Obutwala Awaka
- Sitagliptin ddagala erikozesebwa okujjanjaba ssukaali ow’ekika eky’okubiri. Endya n’okukola dduyiro byetaagisa nnyo okusobola okufuna ebirungi.
- Eddagala lino limira ddala nga omusawo bw’akugamba, mu kiseera ekiragiddwa. Tomenya, tonyiga, oba tokamula ddagala.
- Buulira omusawo wo ku ddagala eddala lyonna ly’omira n’endwadde endala zonna z’olina.
- Weetegereze obubonero bwa sukaali omutono mu musaayi (hypoglycemia). Kuuma ssukaali oba ssweeta okumpi awo mu mbeera ez’amangu.
- Funa omusawo amangu ddala singa ofuna obulumi obw’amaanyi mu lubuto, okukaluubirirwa okussa, ebizimba ku lususu oba obubonero obw’amaanyi obw’okulumwa alergy.
- Bw’oba olina ekibuuzo kyonna ku ddagala lino, totya kulikubaganyaako na musawo.
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