Zunthlum damdawi in tur: Metformin leh Repaglinide tablet chungchang i zir dawn em ni?

Type 2 Diabetes i neih chuan i doctor chuan combination pill (PrandiMet ang chi) a pe che a ni mai thei, metformin leh repaglinide te pawh a awm vek a ni. Hei hi i zunthlum control nana damdawi a ni fo thin. He damdawi hi eng nge a nih, engtin nge a thawh tih leh i hriat chian a ngai tih hi han thlir ila.

He damdawi hi eng atan nge ni? A awlsam zawngin...

A awlsam zawngin sawi ila, hei hi damdawi pahnih Metformin leh Repaglinide tih te inzawmkhawma siam pill a ni. Hei hi Type 2 Diabetes Mellitus vei te tan pek thin a ni . Mahse, he damdawi hi ei ringawt erawh a tawk lo. I ei leh in control leh exercise pawh he enkawlnaah hian a tel ve a ni. He damdawi hian i taksain Insulin an tih hormone dik taka a hman theih nan a pui thin. Tichuan, thisen sugar level a control leh thin. He damdawi hi thil dang atan pawh hman theih a ni a, i doctor emaw damdawi dawr a mi emaw hnenah i zawt thei bawk.

He damdawi hi i hman hmaa i doctor hnena i hrilh tur thilte

Okay, tunah chuan hei hi a pawimawh ta. He damdawi hi i ei tan hmain heng thilte hi i doctor emaw pharmacist emaw hnenah i hrilh ngei ang. A chhan chu heng natna te hi i neih chuan he damdawi hi i tan a tha lo mai thei a, a nih loh leh enkawlna bik i mamawh mai thei bawk.

• Anemia i nei em ?
• Dehydration i nei em ?
• Diabetic Ketoacidosis tih hming pu natna khirh tak i nei tawh em ?
• Lung natna i nei em ?
• Zu i in fo em ?
• Kal natna i nei em ?
• Liver natna i nei em ?
• Hmeichhia i nih chuan Polycystic Ovary Syndrome (PCOS) i nei em ?
• Tun hnaiah natna khirh tak emaw, hliam na tak emaw i neih atanga i dam leh tawh em ?
• I luak chhuak reng em ?
• Metformin, repaglinide emaw, damdawi dang emaw, ei tur emaw, dye emaw, preservative dang emaw allergy i nei tawh em?
• Naupai i tum em , a nih loh leh i naupai tawh em?
• Nu hnute pe thin i ni em?

Heng thute hi thup lova engkim sawi hi nangmah hriselna atan a pawimawh hle a, i hrethiam em?

Engtin chiah nge he damdawi hi ka hman ang?

He pill hi ka ei tur a ni. Tui glass khat nen ei la. I doctor-in a pek che prescription label-a thupekte chu i zawm tur a ni.

A pawimawh ber chu, he damdawi hi a niChaw ei hmain i in tur a ni. A dik tak chuan chaw ei hma minute 30 aia tam in loh tur . Chaw ei hma lawk hian ei thin a ni tlangpui.

Ngaihtuah teh, chaw ei i skip chuan chu chaw ei tur pill pawh i skip a ngai bawk.

Doctor-in a sawi aia tam in loh a tha em, a nih loh leh in tam zawk?

Tlangval leh tarte chungah eng thil nge thleng?

He damdawi hi naupang tê tête i pe a nih chuan i pediatrician hnenah i sawipui tur a ni. Fimkhur bik a ngai mai thei.

Kum 65 chunglam miin he damdawi hi a ei a nih chuan damdawiin a nghawng chu tlem a chak zawk mai thei. Chuvangin doctor chuan a dose chu a tihhniam deuh mai thei.

Damdawi i ei tam lutuk chuan engtin nge i tih ang? (A tam lutuk) .

Khawngaihin he damdawi hi accident-a i ei tam lutuk nia i hriat chuan Poison Control Center emaw, damdawi ina emergency room hnai ber emaw-ah biak nghal rawh. Hei hi fiamthu a ni lo.

"He damdawi hi nangmah tan chauh a ni. I thiante emaw chhungte emaw hnenah pe suh, anni pawhin zunthlum vei pawh nise."

Dose pakhat ka miss a nih chuan engtin nge ni ang?

Chaw ei hmaa pill i ei theih loh chuan skip rawh. I chaw ei leh tur hun a lo hnaih tawh a nih chuan, chu chu i chaw ei leh tur i ei dawn hunah chuan chutih hunah chuan pill chu ei la. Double dose ei ngai suh la, vawi khatah pill tam zawk ei ngai suh.

He damdawi nena inzawm thei damdawi dang (Drug Interactions) .

Hei pawh hi thil pawimawh tak a ni. Damdawi thenkhat chu metformin leh repaglinide tablet nena ei dun a nih chuan harsatna thlen thei a awm. Chu chu he damdawi hman tangkai dan hi a dal thei a, a side effect pawh a pung thei tihna a ni.

He zunthlum damdawi hi a hnuaia damdawi te nen hian ei dun ngai suh:

• Contrast damdawi hi tui bik, test thenkhat , X-ray, CT scan, leh MRI te hmaa taksaa inject thin a ni .
• Damdawi pakhat Dofetilide tih chu .
• Damdawi pakhat Gemfibrozil tih chu .

Chu bakah, he zunthlum damdawi nen hian eng emaw ti taka inzawm thei damdawi dang engemaw zat a awm bawk. Chûng zîngah chuan:

• Acetazolamide hmanga siam a ni
• Zu (in tur atan chauh ni lovin, damdawi thenkhatah zu a awm thei bawk) .
• Barbiturates (e.g., Phenobarbital, Primidone) te hi a tha ber pawl a ni.
• Carbamazepine a ni
• HIV emaw, hepatitis emaw ang chi natna atana antiviral damdawi thenkhat
• Thisen sang, lung natna, leh thinlung thawk mumal lo damdawi thenkhat
• Fungal infection damdawi thenkhat (e.g., Ketoconazole, Itraconazole) .
• Cimetidine a ni
• Clopidogrel a ni
• Clarithromycin hmanga siam a ni
• Cyclosporine a ni
• Deferasirox a ni
• Dichlorphenamide hmanga siam a ni
• Digoxin a ni
• Diuretics (taksa atanga tui paih chhuak thei damdawi) .
• Erythromycin hmanga siam a ni
• Hmeichhe hormone (e.g. estrogens, progestins, leh naupai venna damdawi) te .
• Glycopyrrolate a ni
• Isoniazid (TB natna damdawi) .
• Lamotrigine chuan a ti a
• Memantine tih hi a ni
• Methazolamide hmanga siam a ni
• Metoclopramide hmanga siam a ni
• Midodrine a ni
• Niacin a ni
• Phenothiazine (e.g. Chlorpromazine, Mesoridazine, Prochlorperazine, Thioridazine) te hi a tha ber pawl a ni.
• Phenytoin a ni
• Ranolazine a ni
• Rifampin a ni
• Simvastatin (Cholesterol tihhniamna damdawi) .
• Steroid damdawi (e.g. Prednisone, Cortisone) te hi a tha hle.
• Ngaihtuahna lama harsatna, taksa rihna tihtlem emaw, i harh reng theih nan emaw stimulant damdawi
• Thyroid damdawi te
• Topiramate a ni
• Trospium a ni
• Vandetanib chuan a ti a
• Zonisamide hmanga siam a ni

He list hi a kimchang lo hle a ni lawm ni? Chu chu, heng chauh ni lo, damdawi dangte hian he zunthlum damdawi nen hian an inzawm thei tihna a ni.

Chuvangin i damdawi ei zawng zawng (doctor-in a pek, damdawi dawr a lei, hnam damdawi, vitamin, dietary supplement) zawng zawngte chu i doctor hnenah hrilh rawh. Tin, zu i in emaw, zu i in emaw, dan loa thil dang i hman chuan doctor hnenah hrilh bawk ang che. Thil thenkhat chu he damdawi nen hian a inzawm thei a ni.

He damdawi kan ei dawn hian eng thilte nge kan fimkhur bik tur?

He damdawi hi i ei lai hian i doctor pan fo la, i hriselna endik turin checkup reng reng la .

I HbA1c (HbA1c) test hi enfiah fo thin a ni. Hei hi thisen test awlsam tak a ni. Thla 2-3 kalta chhunga i thisen sugar control that dan a tarlang a ni. He test hi thla 3 atanga thla 6 danah i neih a ngai dawn a ni.

Thisen sugar level hi i fimkhur ang u.

In lama thisen sugar enfiah dan zir rawh. Pawh,Thisen thlum hniam (or hypoglycemia) leh thisen sugar sang (or hyperglycemia) symptoms te, chu chu control dan tur zir a pawimawh hle.

Thisen sugar i tlahniam nghal a nih chuan, engtik lai pawhin quick-source of sugar chu i bulah dah reng ang che. Entirnan, sugar cube, glucose tablet emaw toffee emaw. Thisen sugar tlahniam thut a, hriatna i hloh dawn ta a, chutih lai chuan ei tur emaw, in tur emaw i pe a nih chuan i rilruah a tang thei tih han ngaihtuah teh. Chuvangin, i chhungte leh i thiante hnenah he thu hi i hrilh tur a ni. I thisen sugar a tlahniam lutuk a, seizure emaw, hriat lohna emaw i neih chuan doctor tanpuina i pan nghal tur a ni.

I thisen sugar a sang nia i hriat chuan i doctor hnenah hrilh rawh. I damdawi ei tur zat pawh siam danglam a ngai mai thei. I damlo emaw, i exercise tam zawk emaw a nih chuan, chutih lai chuan i damdawi ei tur chu i siamrem a ngai em tih doctor zawt rawh.

Chaw ei chu skip suh. Zu in chungchangah doctor nen inbia ang che. Over-the-counter khuh leh khawsik thil thenkhatah chuan sugar emaw zu emaw a awm thei. Hengte hian thisen sugar level a nghawng thei a ni.

Naupai theih dan tur hre reng ang che.

He damdawi hian hmeichhia thla tin period mumal lo, mahse menopause la paltlang lote tan ovulation chance a tipung thei a ni. Hei hian naupai theihna a tipung thei a ni. Naupai emaw, naupai nia i ngaih emaw chuan he damdawi hi ei loh tur a ni. He damdawi hi i ei lai hian i doctor nen birth control options chungchang sawipui rawh. Naupai i tih chuan i doctor hnenah hrilh nghal rawh.

Surgery ang chi thil hma

Surgery emaw, MRI emaw, CT scan emaw, damdawi lam thil dang emaw i tih chuan i doctor hnenah he damdawi hi i ei tih hrilh rawh. He damdawi hi i ei hmain ni engemaw zat i chawlhsan a ngai mai thei.

I damdawi lam dinhmun, damdawi i ei dan, a zat leh i ei hun tur ziakna Medical ID card keng fo ang che. A theih chuan Medical ID bracelet emaw chain emaw bun tur a ni. Hei hi emergency-ah chuan a pawimawh hle thei.

He damdawi hian i folic acid leh vitamin B12 level a tihniam thei a ni. Chuvangin he damdawi hi i ei lai hian vitamin i ei tlem em tih enfiah thin ang che. I ei leh in leh vitamin i ei chungchang doctor nen sawiho rawh.

He damdawi hian eng side effect nge a neih theih?

Damdawi dang ang bawkin heng metformin leh repaglinide tablet te hian mi thenkhatah side effect a nei thei a ni. Mi zawng zawngin an hmu vek lo a, mahse mi thenkhat chuan an hmu thei.

I doctor hnena i hrilh nghal tur side effects:

Heng symptoms te hi i neih chuan i doctor emaw health care professional emaw hnenah i hrilh nghal tur a ni :

• Allergic reactions : vun natna, vun hring emaw, hive emaw, hmai, hmui, lei emaw a hring.
• Thâwk lama harsatna a awm.
• Zun dum .
• Faint emaw lightheaded emaw tih hriatna, a tlu.
• Khawsik, khawsik, rilru na .
• Muscle na emaw natna emaw .
• Ka chhungah hian a sen, a hring, a hring, vun a hrual, leh hetiang thil dang pawh hi ka chhungah a awm thei bawk.
• Thisen sugar hniam chhinchhiahna leh lanchhuahna : lungkhamna, buai, luak chhuak, riltamna sang, danglam taka chak lo emaw chau emaw, thawk hah, khur, khawsik, thinrim, lu na, mit hmuh fiah lo, thinlung thawk chak, hriatna hloh.
• Lungphun zawi emaw, mumal lo emaw.
• Thisen chhuah emaw, hliam emaw danglam tak.
• Thil danglam tak, pum na emaw, na emaw.
• Luak chhuak.
• Mit emaw vun emaw a sen (hei hi liver problem a ni thei).

Side effects that usually don’t need to be mention to the doctor , mahse a awm reng chuan sawi tur a ni:

Heng side effects te hi a nasat loh tlangpui. Ni reilote hnuah an reh mai ang. Mahse an beih tlat emaw, an tihbuai che emaw chuan i doctor hnenah hetiang hian hrilh rawh:

• Kawthalo.
• Luak chhuak thei.
• Lu na.
• Gas chu pum chhungah a awm.
• Ka chhungah metallic taste a awm tih hriat.
• Pum natna (upset stomach) a awm.

He list-ah hian side effect awm thei zawng zawng a tel lo. Thil dang danglam tak i hmuh chuan i doctor nen inbia ang che. Heng side effects te hi FDA hnenah 1-800-FDA-1088 ah i report thei ang.

Engtin nge heng pills te hi i dahkhawm thin? (Dahthatna)

Heng pills te hi naupangte hmuh theih lohna hmunah dah a pawimawh hle .

25 degree Celsius (25°C) aia hniam emaw, 77 degree Fahrenheit (77°F) aia hniam emaw a nih chuan .Dahtha. Chu chu room temperature pangngaiah dah tur a ni a, a lum lutuk lo tur a ni a, ni êng direct-a dah tur a ni. Eng lakah venghim rawh.

Damdawi expired hman loh tur. Anni chu paih bo rawh.

A tawp berah chuan i hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, heng Metformin leh Repaglinide pill te hi kan sawi nasa hle tawh a ni lawm ni? A tawi zawngin:

• He damdawi hi Type 2 Diabetes control nan pek a ni . Mahse , ei leh in tha leh exercise tha tak neih pawh a pawimawh hle.
• Damdawi i tan hmain , i natna zawng zawng leh i damdawi ei zawng zawngte chu i doctor hnenah hrilh hmasa phawt ang che.
• Chaw ei hmain doctor-in a tih angin i damdawi ei hmasa phawt ang che. Chaw ei i tlakchham chuan a rualin i damdawi ei ve bawk ang che.
• I thisen sugar level enfiah fo thin ang che. Thisen thlum hniam leh sang chhinchhiahna fimkhur rawh. Emergency-ah chuan sugar tlem tal chu i kutah dah la.
• Side effect thar i neih chuan, a bik takin a nasat chuan doctor hnenah hrilh nghal rawh.
• Damdawi dang, vitamin leh hnam damdawi dang i ei tur chu i doctor hnenah hrilh rawh.
• Naupai, nau pai tum emaw, nau hnute i pek emaw a nih chuan he damdawi hi i ei hmain doctor nen inbia ang che.

He damdawi hian i zunthlum control nan leh nun hrisel tak i neih theih nan a pui ang che. Mahse a pawimawh ber chu i doctor thupek dik taka zawm a, checkup neihpui tura hmuh fo hi a ni. Zawhna i neih chuan i doctor emaw pharmacist emaw zawh hreh suh.

` Metformin, Repaglinide, Zunthlum, Type 2 Diabetes, Insulin, Thisen Sugar, Side Effects te