I doctor chuan i Type 2 Diabetes, Heart Failure emaw Chronic Kidney Disease emaw tan Dapagliflozin a pe tawh em? Damdawi thar i tan dawnin zawhna tam tak neih hi thil pangngai a ni. "Hei hian eng nge a tih ang?", " Side effects a awm em ?", "Engtin nge hei hi ka hman ang?" Hetiang zawhna hi i nei mai thei. So today , he damdawi chungchanga zawhna i neih zawng zawng chhanna awlsam tak i zawng ang u.
Dapagliflozin hi eng nge ni tak tak?
A awlsam zawngin dapagliflozin hi kan ei thin pill a ni. Sri Lanka-ah chuan Farxiga brand name hmanga hmuh a ni ber. Doctor-te chuan natna lian pathum enkawlna atan an pe a:
1. Type 2 Diabetes : He damdawi hian thisen sugar level a control thei a ni .
2. Heart Failure: He damdawi hian i thinlungin taksaah thisen a pump tam theih loh hunah damdawi ina dah emaw, thihna emaw a tihziaawm theih nan a pui a ni.
3. Chronic Kidney Disease : Hei hian zunthlum nei emaw nei lo emaw pawh nise kal natna khirh tak a zual zel loh nan a pui a ni.
He damdawi hi ni khatah vawi khat ei tur pill angin a lo thleng a ni. A tlangpuiin chakna pahnih 5mg leh 10mg a awm.
He damdawi hian taksa chhungah engtin nge hna a thawh?
Hei hi hriatthiam hi scientific deuh a ni a, mahse a awlsam zawngin ka sawi ang: Dapagliflozin hi SGLT2 inhibitors tih damdawi class-ah a tel a ni.
Kan kal (kidney) hi filter angin han ngaihtuah teh. He filter hian thisen a tifai chuan sugar (glucose) leh sodium te chu taksaah a la lut leh thin. SGLT2 hi protein a ni a, he sugar hi taksaah a lakluh leh theih nan a pui a ni.
Chuvangin, dapagliflozin hian a tih chu SGLT2 tih protein hnathawh a block a ni. Tichuan , kal (kidney) chuan taksaah sugar a lakluh leh chu a titawp a, chu sugar dang zawng zawng chu zun-ah a chhuak vek a ni. Chuvang chuan i thisen sugar level a tlahniam a ni.
I thisen sugar level tha taka control hian i rilru a ti hahdam mai bakah, lung natna, kal natna, leh zunthlum vanga mit lama harsatna lo awm thei te pawh a veng thei bawk.
He damdawi hi tute nge hman tlâk? Tin, tu nge tling lo?
He damdawi hi mi zawng zawng tan a tha lo. I doctor chuan i dinhmun a zirin hei hi i tan a tha em tih a rel ang.
He damdawi hi:
- Type 2 diabetes damdawi hman tlanglawn tak metformin i hman theih loh chuan (entir nan, kum 80 aia upa i nih chuan, emaw, kal emaw, thin emaw harsatna i neih chuan).
- Zunthlum damdawi dang nena beisei angin i thisen sugar level control a nih loh chuan.
- Heart failure emaw chronic kidney disease emaw i neih chuan.
He damdawi hi hman tlak loh emaw, fimkhur taka hmang tur emaw chuan:
A hnuaia thil awmte hi i neih chuan he damdawi hi i ei tan hmain i doctor hnenah i hrilh ngei ang.
- Thisen sang i neih chuan.
- Tun hmaa liver natna i neih tawh chuan.
- Urinary tract infection i neih fo chuan.
- Nakin lawkah surgery i neih dawn chuan.
- Naupai i nih chuan, naupai beiseina nei emaw, nau hnute pe lai emaw i nih chuan.
A pawimawh ber chu he damdawi hi Type 1 Diabetes enkawlna atana pawm a ni lo. Tin, kal chhiatna nasa tak nei, dialysis hmanga enkawl damlote tan pawh pek a ni lo.
Engtin chiah nge he damdawi hi ka hman ang?
Hei hi a awlsam hle.
- He tablet hi ni khatah vawi khat tui glass khat nen ei thin la, chutih rualin ei thin ang che. Zing lama i ei chuan zing tin ei thin ang che. Zanah i ei chuan zan tin ei thin ang che. Hun hman dan inang reng a pawimawh.
- Chaw ei hma emaw ei zawh hnu emaw pawh nise a pawi lo. Mahse, hei hi damdawi dang Metformin nen i ei a nih chuan chaw ei rual emaw, ei zawhah emaw ei a tha ber. Hei hi i doctor hnenah finfiah turin hrilh rawh.
- I theihnghilh chuan engtin nge i tih ang? Dose i ei theihnghilh chuan i hriatreng veleh ei nghal rawh. Mahse i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, a hnuaia dose chu a hun ruatah ei rawh. Vawi khatah pill pahnih ei ngai suh.
- He damdawi ei lai hian doctor-in a hrilh angin ei leh in hrisel zawm a, exercise neih fo a pawimawh hle bawk.
He damdawi hian i taksa rihna tihtlem nan a pui tak tak em?
Ni e, hei hi mi tam tak tan chuan harsatna a ni. Dapagliflozin ei thin thenkhat chuan an taksa rihna tlahniam engemaw zat an hmu thei. Hei hi chhan pahnih a awm a, chungte chu:
1. Calorie excretion: A hmaa ka sawi tawh ang khan he damdawi hian zunah sugar (glucose) tam lutuk a tichhuak thin. Sugar hian calorie a tipung a. Chuvangin sugar a chhuah chuan calorie pawh taksa atangin a chhuak bawk.
2. Tui rit: Zun siam chhuah a pun zel chuan taksaa tui tam zawk pawh a paih chhuak thei a, rihna engemaw zat a tlahniam thei bawk.
Mahse, dapagliflozin hi taksa rihna tihtlem damdawi a ni lo tih hre reng ang che. Zunthlum, lung natna, kal natna te enkawlna atana hman thin damdawi a ni. Weight loss hi a hlawkna belhchhah mai a ni.
Hei hian eng side effect nge a neih?
Damdawi dang ang bawkin dapagliflozin hian side effect tenau leh a chang chuan na tak a thlen thei bawk. Lungngai suh, mi zawng zawngin an hmu vek lo. Mahse, anmahni fimkhur a pawimawh.
| Side effect chi hrang hrang | Mizia leh hriat tur |
|---|---|
| Natna tenau tlangpui |
|
| Ngaihtuah bik ngai natna (disorders). |
|
| Damdawi lam pan vat ngai natna khirh tak (mahse a awm lo) te | |
| Ketoacidosis natna (Ketoacidosis) a ni | Taksa chhunga acid chi khat ketones tihpun. I pum na, luak chhuak, luak chhuak, thawk harsa tih ang chi symptoms i neih chuan i doctor ko nghal la emaw, damdawi in Emergency Department (ETU) ah kal nghal rawh. |
| Bacteria infection na tak tak a awm | Fournier-a gangrene hi natna hlauhawm tak, mahse natna khirh tak a ni. Genital area-a natna, sen, hring, leh khawsik ang chi symptoms i neih chuan damdawi inah kal nghal rawh. |
| Kidney lama harsatna nei | Zun chhuahna nasa taka tlahniam emaw, i ke emaw ke emaw a hring emaw ang chi symptom i neih chuan doctor rawn la. |
Hriat reng tur chu, symptom danglam tak tak i neih chuan ngaihthah suh. I doctor call la, thurawn la rawh. Tin, damdawi eng emaw chungchangah rinhlelhna i neih chuan Colombo National Hospital-a National Poison Information Center-ah phone-in thu belhchian dawl zawk i zawt thei bawk.
Take-Home Thuchah a ni
- Dapagliflozin (Dapagliflozin/Farxiga) hi type 2 diabetes, thinlung natna, leh kal natna rei tak tan damdawi pawimawh tak a ni.
- Hei hian zun hmangin taksa atanga sugar tam lutuk a paih chhuak thei a ni.
- I damdawi chu i doctor-in a tih ang chiah, a hun takah ei fo ang che. Dose pakhat skip lo la, vawi khatah vawi hnih ei suh.
- Damdawi ei lai hian tui tlakchham loh nan tui tam tak in thin ang che. Tin, fungal infection ang chi thil te pawh fimkhur bawk ang che.
- I natna lan chhuah dan na tak tak, luak chhuak, pum na, thawk harsa i neih chuan damdawi in Emergency Treatment Unit (ETU)-ah kal nghal rawh.
- He damdawi hi Doctor thurawn tel lova eng vang pawha ei kha bansan nghal suh. Harsatna i neih chuan sawi hmasa phawt ang che.
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