Zunthlum damdawi Canagliflozin leh Metformin te hi i zir chiang ang u.

Zunthlum i nei em, a nih loh leh Type 2 Diabetes i nei em? A nih loh leh i hriat mi pakhatin he natna hi a nei em? Tichuan i doctor chuan damdawi pahnih, Canagliflozin leh Metformin, a bik takin extended-release pill, inzawmkhawm a pe che a ni mai thei. Hei hi a brand hming chu Invokamet XR a ni mai thei. Chuvangin, vawiin hian he damdawi chungchang hi tlem han sawi belh leh ila, kan sawi dawn em ni?

He damdawi hi eng nge thleng tak tak?

A awlsam zawngin sawi ila, he damdawi hi i thisen sugar level (blood glucose) control nan hman a ni . `Type 2 Diabetes` i neih hian kan taksain sugar a control danah hian danglamna engemaw zat a awm a. He damdawi hian chu sugar level chu a tihhniam bakah hrisel taka awm theihna tura puitu hmangin hna a thawk a ni. Hemiah hian `Canagliflozin` hian zun kaltlangin taksain sugar tam lutuk a paih chhuak thei a, `Metformin` hian thin (liver)-in sugar a siam chhuah a ti tlem a, taksa cell-te insulin laka sensitivity a tipung bawk. Mahse, he damdawi ringawt hi a tawk lo tih hre reng ang che. Chumi atan chuan ei leh in tha leh exercise hi a pawimawh hle bawk .

He damdawi hi i ei hmaa i doctor hnena i hrilh tur te chu engte nge ni?

Hei hi a pawimawh hle. A hnuaia thil awmte hi i neih chuan he damdawi hi i tan hmain i doctor hnenah i hrilh ngei ang . A chhan chu, chutih hunah chauh chuan doctor chuan he damdawi hi i tan a tha em tih emaw, a dose thlak a ngai em tih emaw a rel thei ang. Ngaihtuah teh, heng thil chipchiar tak takte hi doctor hnenah i hrilh loh chuan a tul lova buaina i tawk mai thei.

• `Anemia` i neih chuan
• Artery natna i neih chuan
• Tui tlakchham vanga tui tlakchhamna i neih chuan
• Tun hmaa `Diabetic ketoacidosis (DKA)` (zunthlum avanga thisen acidity tihpun) i lo vei tawh a nih chuan .
• Salt tlem ei tur i ei chuan
• Natna emaw, zai emaw, ei leh in emaw, thil dang emaw avanga ei tlem i nih chuan
• Ke natna i neih chuan
• Nakin lawkah surgery i nei dawn a nih chuan
• Lung natna i neih chuan
• Cholesterol sang (`High cholesterol`) i neih chuan .
• Thisen a potassium level a san chuan (`Thisenah potassium a sang`) .
• A hmaa ke emaw, a then emaw lakchhuah tawh i nih chuan (`History of amputation`)
• Pancreatitis emaw, i pancreas-a harsatna dang emaw i neih tawh chuan
• Penis emaw vagina emaw a yeast infection history i neih chuan
• Zu in fo thin i nih chuan
• Bladder, kidney emaw urinary tract-ah natna i neih chuan
• Kidney natna i neih chuan (kidney function level engemaw zat hnuai lam a nih chuan he damdawi hi a tha lo) .
• Liver natna i neih chuan
• Thisen sang (`Low blood pressure`) i neih chuan .
• Nerve chhiatna i neih chuan
• Hemodialysis nei mek i nih chuan
• `Polycystic ovary syndrome (PCOS)` (ovary-a cyst lo awm dan) i neih chuan .
• Zun harsatna i neih chuan
• Infection na tak emaw, hliam emaw i neih chuan
• `Type 1 Diabetes` i neih chuan (He damdawi hi `Type 2` zunthlum vei tan a ni)
• Mipa serhtan loh i nih chuan
• I luak chhuak fo a nih chuan
• Canagliflozin, Metformin, damdawi dang, ei tur, dye, emaw preservatives te allergy i neih chuan
• Naupai emaw, nau pai tum emaw i nih chuan
• Nu hnute pe (`Nu hnute pek`) i nih chuan .

He list hian hlauthawng suh. Heng zawng zawng hi mi zawng zawng tan a hman theih vek lo. Mahse, i tana hman tur thil a awm chuan, nangmah ngei pawhin i himna atan i doctor hrilh a pawimawh .

He damdawi hi engtin nge ka hman ang?

Awle, tunah chuan he damdawi hi engtin chiah nge kan hman ang tih i en ang u.

• He pill hi tui glass khat nen i ei tur a ni .
• Hei hi ei tur nen ei tur a ni . A tlangpuiin ni khata chaw ei ber hmasa ber nen. A nih loh leh i doctor-in a tih angin.
• Tablet chu a pumin ei rawh . Crush emaw chew emaw suh. Hei hi a chhan chu hun rei tak chhunga hnathawk thei tura duan a nih vang a ni. I tihchhiat chuan damdawi chu i taksaah vawi khatah a lut nghal ang a, chu chuan thisen sugar a tlahniam nghal ang emaw, harsatna dang emaw a thlen ang.
• Damdawi pek chu, a hun ruatah, a pek zat angin, damdawi pek label-a tarlan angin ei tur a ni.
• Doctor-in a sawi aia tam in loh tur, a nih loh leh in tam zawk tur a ni.
• Doctor thurawn tel lo chuan damdawi ei kha titawp thut suh. Chutianga i tih chuan i thisen sugar level chu a tisang nghal thei a ni.

He damdawi hi damdawi dawr atanga i hmuh hunah chuan a rualin special information leaflet (a `MedGuide`) pek i ni ang. Damdawi i lak apiang emaw, `refill` i hmuh apiangin ngun takin chhiar thin ang che. I tan thu pawimawh tak tak a keng tel a ni.

He damdawi hi naupangte hnenah pek theih a ni em?

Naupangte hnena he damdawi hi pek dan tur chungchangah hian i healthcare team te nen inbiakna neihpui tur a ni. Hei hi a tlangpuiin puitling hnena damdawi pek a ni. Naupangte tana mamawh a nih chuan chhan bik leh enkawlna bik a ngai a ni.

I in tam lutuk chuan engtin nge ni ang? (`Overdosage`) tih a ni.

He damdawi hi i ei tam lutuk nia i hriat chuan damdawi in emergency department hnai ber pan nghal la, a nih loh leh poison control center (e.g. National Poisons Information Center - 0112 686 143) ah call rawh . Hun khawhral suh.

Pawimawh: He damdawi hi i tan chauh pek a ni. I damdawi chu midangte hnenah pe suh, nangmah ang bawka natna nei pawh nise. A chhan chu mi pakhat tana tha damdawi chuan mi dang tan hna a thawk lo mai thei a ni.

Damdawi dose i ei loh chuan engtin nge i tih ang?

Oh, a chang chuan dose i miss thin. Chutiang a nih chuan i hriatreng veleh la nghal rawh . Mahse, i dose leh tur hun a lo thleng tawh a nih chuan (e.g., darkar tlemte chhungin) dose hloh chu skip la, i dose lo awm tur chu a hun ruatah ei rawh. Double dose ei ngai suh. Chutianga tih chuan i thisen sugar a tlahniam lutuk thei a ni.

Eng damdawi dang nge he damdawi nen hian inzawm thei?

Hei pawh hi thil pawimawh tak a ni. He `Canagliflozin; Metformin` damdawi, damdawi dang thenkhat ei a tha lo. Tin, damdawi dang thenkhat nen pawh a inzawm thei bawk. Chuvangin, i damdawi ei zawng zawng (Doctor-in a pek, damdawi dawr atanga i lei te, hnam damdawi, vitamin, `dietary supplement` thlengin) i doctor hnenah i hrilh vek tur a ni. Tin, cigarette i in emaw, zu i in emaw, damdawi dang i ei emaw chuan doctor hnenah hrilh bawk ang che.

He damdawi nena ei ngai loh tur damdawi te:

• ‘Contrast’ damdawi chi hrang hrang, test thenkhat X-ray, CT scan, leh MRI te hmaa thisen kal tlanga pek thin hian kal a tichhe thei a, ‘Metformin’ nena hman dun a nih chuan ‘Lactic Acidosis’ tih hming pu natna hlauhawm tak a thlen theihna a tipung a ni.
• `Dofetilide` (hei hi heart rhythm mumal lo tan damdawi pek a ni).

He damdawi nena inzawm thei damdawi dang:

(He list hi a kim lo mai thei a, chuvangin i ei zawng zawng doctor hnenah hrilh vek a pawimawh)

• `Acetazolamide` tih a ni
• Zu - Lactic acidosis vei theihna a tipung a, thisen sugar a tihhniam thei bawk.
• HIV emaw Hepatitis emaw tan antiviral damdawi thenkhat
• Thisen sang, thinlung natna, leh thinlung rhythm lama harsatna nei damdawi thenkhat (e.g., beta-blockers, thisen sugar tlahniam chhinchhiahna a khuh thei)
• `Cimetidine` tih a ni
• `Dichlorphenamide hmanga siam a ni`
• Digoxin (thinlung damdawi) - Canagliflozin nena ei hian digoxin level a danglam thei.
• Diuretics (Damdawi zun tamna thlentu) - Tui tlakchhamna leh thisen sang hniam theihna a tipung.
• Estrogen emaw progestin hormone emaw a awm thei
• `Glycopyrrolate a ni` tih a ni
• `Isoniazid` (TB natna damdawi) .
• `Lamotrigine` tih a ni
• `Lithium` tih a ni
• `Memantine` tih a ni
• `Methazolamide` tih a ni
• `Metoclopramide hmanga siam a ni`
• `Midodrine` tih a ni
• `Niacin` tih a ni
• `Phenobarbital` tih a ni
• Phenothiazine (e.g. chlorpromazine, prochlorperazine, thioridazine) te hi a tha ber pawl a ni.
• `Phenytoin` tih a ni
• `Ranolazine` tih a ni
• Rifampin (Tuberculosis emaw natna dang enkawlna atana hman thin damdawi) - Canagliflozin thatna a ti tlem thei.
• `Ritonavir` tih a ni
• Steroid damdawi (e.g. prednisone emaw cortisone emaw) - thisen sugar level a tisang thei.
• Ngaihtuahna lama harsatna, taksa rihna tihtlem, emaw, harh rengna atana stimulant damdawi
• Thyroid damdawi te
• `Topiramate` tih a ni
• `Trospium` tih a ni
• `Vandetanib` tih a ni
• `Zonisamide` tih a ni

Ngaihtuah teh, thil tam tak hian he damdawi hian a nghawng a tidanglam thei a ni. Chuvangin damdawi i ei apiang chu doctor hnenah hriattir a pawimawh em em a ni .

He damdawi ei lai hian eng thilte nge fimkhur tur?

He damdawi hi i hman dawnin i hriselnaah tlem tal i fimkhur a ngai a ni.

• I dinhmun enfiah turin doctor hmu fo (`regular checks`) . Doctor-in a rawt angin kidney function leh vitamin B12 level ang chi test nei rawh.
• He damdawi hian `Metformin` a pai avangin a chang chuan thisen acidity hi hlauhawm takin a sang thei (`Lactic Acidosis`) . Hei hi a tlem hle nachungin, a lo thlen chuan a hlauhawm hle thei a ni. I natna lan chhuahna, rilru hahna, luak chhuak, pum na, hahna danglam tak, thawk harsa, thawk rang, khawsik, emaw luak chhuak ang chi i neih chuan he damdawi hi ei kha bansan nghal la, i doctor ko la, damdawi inah kal rawh A theih chuan i zun-ah ketone awm leh awm loh pawh `ketone dipstick` hmangin enfiah bawk ang che.
• Canagliflozin hian Diabetic Ketoacidosis (DKA) tih natna a thlen thei bawk . Hei hi thisen sugar level sang lutuk lohna dinhmun a ni. A lan chhuah dan chu tuihal lutuk, zun tam, hmui vawt, hah, thei rimtui, thawk hah, pum na, luak chhuak, leh luak chhuak te a ni. Heng symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh.
• I doctor chuan i thisen sugar chu engtiang chiahin nge control a nih tih hriat nan `HbA1C (A1C)` tih test a order fo ang . Hei hi thisen test awlsam tak a ni. Thla 2-3 chhunga i thisen sugar control that zia a lantir thei. He test hi thla 3-6 danah tih thin a ni tlangpui.
• In lama i thisen sugar level test dan zir rawh . Tin, thisen sugar hniam (hypoglycemia) leh thisen sugar sang (hyperglycemia) chhinchhiahna leh enkawl dan tur pawh hre reng ang che .
• Thisen sugar tlahniam (thlum, khur, riltam lutuk, thinlung na rang, luak chhuak, buai) i neih palh chuan sugar source rang tak (e.g., sugar cube, glucose tablet, in tur sugary, thei tui) i hnenah dah fo ang che. Mahse, i rilru a buai emaw, seizures i neih chuan , i chhungte hnenah ei tur emaw, in tur emaw pek che an tum chuan an rilru a buai thei tih hrilh rawh. Chutiang a nih chuan damdawi lam pan nghal tur a ni .
• He damdawi hian i folic acid leh vitamin B12 level a tihhniam thei a, a bik takin metformin nen chuan. Chuvangin he damdawi hi i ei lai hian vitamin tam tak i ei ngei ngei tur a ni . I doctor chuan a tul chuan vitamin supplement a pe thei bawk.
• Dehydration tih loh tur . Tui tam tak in la, a bik takin khaw lum lai te, exercise i tih laiin emaw, pum na i neih chuan.
• I ke chu a bik takin enkawl rawh . Nitin i ke enfiah thin ang che, he damdawi (a bik takin Canagliflozin) ei lai hian natna kai emaw, ke hnuai lam tan a awm theihna tur a tlem avangin. Chuvangin i kea hliam, chhe, sen, emaw, hring emaw i neih chuan doctor hnenah hrilh nghal rawh.

He damdawi hian eng side effect nge a neih theih?

Damdawi dang ang bawkin he damdawi hian side effect engemaw zat a nei thei. Mahse, mi zawng zawngin an hmu vek lo. Ṭhenkhat chu a nasat avangin doctor hnenah i hrilh nghal tur a ni. Mi dangte chu an serious lo tlangpui a, mahse an awm reng chuan doctor hnenah hrilh a tha .

Side effects te chu i doctor hnenah i hrilh nghal tur a ni

• Allergic reaction : vun hring, vun hring, hives (vunah hmun sen), hmai, hmui, lei emaw, kawr emaw a hring (thaw harsa a thlen thei).
• Dehydration : Tuihalna a tam, hmui a vawt, luak chhuak, lu na, zun dum emaw sen hring emaw, zun chhuah tlem.
• Diabetic ketoacidosis (DKA) : Tuihalna emaw zun tamna, hmui vawt, hah lutuk, thei rimtui, thawk hah, thawk hah, pum na, luak chhuak, leh luak chhuak.
• Genital yeast infection : (hmeichhiaah chuan vagina-ah, mipaah ​​chuan penis-ah) a sen, a hring, a na emaw a na emaw, a rimchhia emaw, a rimchhia emaw, a dum hring emaw, a hring emaw a chhuak.
• Thisen a lactic acid pung (`Lactic Acidosis`) : Taksa ruh na emaw, hrual emaw, pum na, thawk harsa, thawk rang, general discomfort leh chau, luak chhuak, chills.
• Mipat hmeichhiatna hmun vel emaw, hnute lam panna hmunah emaw natna hrik (`Fournier’s gangrene`) : sen, hring, khauh, emaw na, a chang chuan khawsik a awm bawk. Hei hi natna khirh tak, nunna atana hlauhawm tak a ni a, chuvangin heng chhinchhiahna te hi i hmuh chuan doctor hnenah hrilh nghal rawh.
• Vitamin B12 level hniam : Ke ruh natna, rilru hahna, emaw hriatna hloh, taksa ruh chak lohna, luak chhuak, ngaihtuahna seng harsa, buai, lei na, vun rawng danglam.
• Ke emaw ke emawa natna thar emaw, a nghet lo emaw, vun rawng danglam, hliam emaw ulcer emaw, natna hrik emaw a awm.Hengte pawh hi en vat ngai thil a ni.
• Urinary tract infection (UTI) : Zun laia kang, zun tam, zun thisen emaw, chhum emaw, hnungzang hnuai lam emaw, kawrfual emaw na, khawsik.
• Ruh tliak : Zirchianna thenkhatah chuan Canagliflozin ei thinte ruh tliak theihna a sang deuh tih hmuhchhuah a ni. Chuvangin tlu lakah fimkhur rawh.

Side effects, a tlangpuiin doctor thurawn ngai lo, mahse a awm reng chuan doctor hnenah i hrilh tur a ni.

• Kawthalo
• Gas a ni
• Lu na
• Luhai
• Pum Natna
• Luak chhuak
• Zun chhuah tam lutuk
• Tuihal lutuk

He list-ah hian side effect zawng zawng a tel lo mai thei. Thil danglam bik i hriat chuan doctor nen inbia ang che. Side effects te chu FDA (Food and Drug Administration) hnenah 1-800-FDA-1088 ah i report thei bawk.

Engtin nge i damdawi i dahkhawm ang?

Damdawi tha taka dahkhawm a pawimawh hle bawk.

• Naupang leh ran vulhte hmuh theih lohna hmunah dah tur a ni.
• Room temperature (15 leh 30 degree Celsius inkar, 59 leh 86 degree Fahrenheit inkar) ah dah tur a ni. Tui tam lutuk leh ni êng direct atanga venhim. Bathroom ang chi hmun lumna hmunah dah suh.
• Damdawi expired hman loh tur. Anni chu paih bo rawh.

Damdawi hman loh leh expire tawhte chu engtin nge i paih thin?

• A theih chuan he damdawi hi damdawi lak let program-ah hlan rawh. Chutiang hmunte chu i damdawi dawrah emaw, i awmna hmuna health authority-ah emaw i hre thei ang.
• A nih loh chuan damdawi bottle/packet-a label chu bawlhhlawh bawmah paih tur nge toilet-a paih tur nge tih enfiah tur a ni. I chiang lo a nih chuan i doctor emaw pharmacist emaw zawt la.
• Bawlhhlawhah i paih thei a nih chuan (chu chu a awm fo thin), damdawi chu bawm atang chuan la chhuakin, tumahin an ei loh tur thil, coffee ground hman tawh, lei, emaw ui bawlhhlawh te nen chawhpawlh la, sealable bag emaw container emaw ah dah la, bawlhhlawh bawmah paih rawh. Hei hi mi dangin damdawi an hmuh loh nan leh an hman loh nan a ni.

Take-Home Thuchah a ni

Okay, zunthlum damdawi `Canagliflozin` leh `Metformin` chungchang hi kan sawi nasa hle. A tawi zawngin:

• Hei hi Type 2 Diabetes damdawi pawimawh tak a ni a , thisen sugar control thei a ni .
• Hei hi ei leh in leh exercise nen a inzawm chuan result tha ber a awm thin.
• Natna dang i neih leh damdawi dang i ei zawng zawng chu i doctor hnenah hrilh ngei ang che .
• Doctor-in a sawi ang chiah khan, .Dose ruat sa chu, a hun ruatah, ei tur nen ei rawh . Tablet chu a pumin ei rawh.
• Thisen sugar tlahniam (hypoglycemia) chhinchhiahnate hre reng la , i mamawh hunah sugar tlem tal chu i kutah dah la.
• Thil danglam bik (a bik takin `DKA` emaw `Lactic Acidosis` emaw chhinchhiahna awm thei, serh natna (`Fournier's gangrene` awm theihna), ke ulcer, tui tlakchhamna chhinchhiahna i neih chuan doctor hnenah hrilh nghal rawh.
• I doctor nen inbiak reng la, i dinhmun chungchang sawipui rawh. Zawhna zawh hreh suh.

He damdawi hi i zunthlum control nana puitu chauh a ni tih hre reng ang che. I hriselna chu i nunphung, i ei leh in leh i doctor thupek zawm danah a innghat vek a ni. He damdawi hian zunthlum a tidam lo va, a thunun thei chauh a ni.

Zawhna dang i neih chuan i doctor, damdawi lam thiam emaw, healthcare provider dang emaw zawh hreh ngai suh. I tanpui turin an awm reng a ni.

` Canagliflozin, Metformin, Invokamet XR, Type 2 Diabetes, Zunthlum, Thisen Sugar, Zunthlum Damdawi, Side Effects