Type 2 Diabetes i vei a nih chuan i doctor chuan i thisen sugar level control-na tur damdawi Canagliflozin (kan ramah chuan Invokana tia hriat fo) a rawn pe tawh mai thei. He damdawi hi ei leh in hrisel leh nitin exercise nena hman dun a nih chuan a thawk tha ber. Chuvangin, he damdawi chungchanga hriat tur pawimawh tak tak thenkhat han sawi ila.
1. Canagliflozin hian eng dinhmun nge a enkawl?
Zunthlum leh thinlung natna hi a kal dun fo thin. Dik tak chuan, zirchianna atanga a lan dan chuan zunthlum vei te hian zunthlum vei lote aiin thinlung natna emaw, lungphu chak lohna emaw an vei theihna hi a let hnih zetin an tam zawk a ni.
Canagliflozin hi damdawi chi khat, sodium-glucose co-transporter 2 (SGLT2) inhibitors an tih zingah a tel a ni. A awlsam zawngin sawi ila, i taksain i zun a sugar a paih chhuah zat a tihtlem avangin a thawk a, chu chuan i thisen sugar level a ti hniam a ni.
Hei hi a hlawkna bik dang chu he damdawi hian type 2 diabetes vei puitling, rilru lam natna nei, emaw, chutiang natna vei theihna sang tak nei te chu heart attack leh stroke ang chi natna khirh tak tak avanga thihna hlauhawmna tihziaawmna tura pawm a ni .
Chu bakah, he damdawi hian a hnuaia risk factors te hi a tihziaawm bawk:
- End-stage kidney natna a ni
- Kidney hnathawh that lohna
- Heart failure vangin damdawi inah dah a ni
- Zunthlum (Diabetic Nephropathy) vanga kal a chhiat avangin damdawi inah dah a ni.
A pawimawh ber chu he damdawi hi Type 1 Diabetes vei tan a tha lo hle. Tin, kal natna khirh tak nei te pawhin he damdawi hi an ei thei lo.
2. He damdawi hi engtin nge kan hman ang?
Hei hi damdawi a ni a, pill angin a lo thleng a ni. Ni khatah vawi khat i ei tur a ni a, a tlangpuiin ni khata i chaw ei hmasak ber hmain i ei tur a ni.
He damdawi hi zunthlum damdawi dang, metformin ang chi te nen ei theih a ni. Amaherawhchu, a chang chuan heng damdawi te hi an inpawh tawn thei a ni. Chutiang a nih chuan an thatna a tlahniam thei a, side effect a awm thei bawk. Chuvangin, i damdawi ei zawng zawng, vitamin leh nutritional supplement i ei zawng zawngte chu i doctor hnenah hrilh vek a pawimawh hle.
I doctor chuan a tul chuan a dose chu a siamrem ang. He damdawi hi room temperature-ah dah la, bawm khar chhungah dah rawh. Khua lum lutuk, tui lum lutuk leh ni êng direct tak lakah hlat rawh. Damdawi expire tawh chu him takin paih vek tur a ni.
Damdawi dose hi engtin nge a awm?
I doctor chuan 100 milligram (100mg) tablet hmangin a tan tir mai thei che. I thisen sugar level control tam zawk i mamawh chuan ni khatah i dose chu 300 milligrams (300mg) ah tihsan theih a ni. Dose i miss a nih chuan i hriatreng veleh ei nghal rawh. Mahse i dose leh tur a hun tawh dawn a nih chuan vawi khatah dose hnih ei suh. Missed dose kha skip la, i dose leh tur chu a hma ang bawkin ei rawh.
3. Side effect awm thei te chu engte nge ni?
Mi thenkhat chuan he damdawi hian side effects na lo tak, a hniam lam emaw, na tak emaw an nei thei a ni. Anmahni hi i fimkhur ang u.
| Side effect chi hrang hrang | Features fimkhur tur a awm |
|---|---|
| Side effect hmuh tur awm fo | |
| Zun kawng atanga natna hrik awm | Zun laiin kang, pum hnuai lam na, zun a ngai fo, zun chhunga thisen a awm. |
| Thisen thlum hniam (Hypoglycemia) . | Hei hi zunthlum damdawi dang nena ei a nih chuan a thleng thei a ni. A lan chhuah dan chu luak chhuak, lu na, thawk hah, khur, leh thinlung na chak lutuk te a ni. |
| Damdawi lam panna zawnga nghawng na tak/rang tak | |
| Bacteria natna kai hmuh tur awm lo (Necrotizing Fasciitis) . | Infection hlauhawm tak, genital area leh anus vel vun hnuaia tissue tichhe thei. Natna, hring, leh sen ang chi symptom i neih chuan doctor thurawn zawng nghal rawh. |
| Allergy na tak a awm | Vun rawng, vun hring, hives, emaw, natna nasa tak emaw. Hengte hi damdawi lam pan vat ngai dinhmun pawh a ni . |
| Ruh Tihchhiatna (Bone Fractures) a awm | Research atanga a lan dan chuan he damdawi hian ruh tliak theihna a tipung deuh thei a ni. |
| Symptom na tak dang a awm bawk | Mit theih lohna, mit fim lo, mit na, thawk harsa, thinlung thawk mumal lo, muhil, tawng harsa, kal harsa, thawk hah lutuk emaw, khawsik emaw. |
If you experience any of these severe side effects , tihkhawtlai suh la, 1990 ambulance service call nghal la, damdawi in hnai ber Emergency Treatment Unit (ETU) ah kal nghal rawh.
4. Vaukhânna bik leh himna (Warnings) .
Ke lak chhuah theihna risk
He damdawi hian ke ruh tan theihna a tipung em tih chungchangah hian inhnialna engemaw zat a awm a, a bik takin ke leh ke hnuai lam a tipung em ni. Hei hi a tlem hle. Amaherawhchu, hetiang surgery hi i lo nei tawh a nih chuan, emaw, ke ulcer emaw, infection emaw i neih fo chuan, hei hi hriat chian a, i ke enkawl bik a pawimawh.
Diabetic ketoacidosis (DKA) natna vei a ni
Hei hi he damdawi chungchanga hriat tur pawimawh ber a ni. He damdawi hian Type 2 diabetic thenkhatah natna hlauhawm tak Diabetic Ketoacidosis (DKA) a thlen thei a ni.
A awlsam zawngin sawi ila, DKA hi i taksain i thisena sugar awm chu chaknaah a chantir thei tur insulin a neih tlem chuan a lo awm thin. Chumi hnuah chuan i taksa chuan chakna atan thau a hal tan ta a ni. Hetiang a nih lai hian i thisenah hian chemical ketones an tih chu a lo awm khawm thin. Heng ketone te hi a tam lutuk chuan i thisen chu acidic a lo ni ta a, chu chuan i taksa chu a tichhe thei a, a ti na hle bawk. A nasat chuan zunthlum coma-ah i lut thei a, i thih phah thei bawk.
DKA chhinchhiahna hmasa ber chu tuihal lutuk leh zun tam lutuk hi a ni. Hei hi i zunthlum chu thunun theih loh a nihzia hriattirna a ni. DKA laka inven dan tur leh insulin leh thisen sugar level hrisel taka vawn dan tur chungchangah i doctor nen sawiho rawh.
5. Surgery neih hmain eng fimkhurna nge neih tur?
Awle. Surgery ruat lawk i neih chuan DKA vei theihna tihziaawm nan operation hma ni 3 chhungin he damdawi hi i ei tawh loh tur a ni. Hemi chungchang hi i surgeon leh i diabetes doctor te hriattir a pawimawh. Hemi chhung hian i doctor chuan i thisen sugar level chu uluk takin a enfiah ang a, control turin kawng dang a hmang ang.
6. Tute nge Canagliflozin hmang lo tur?
Doctor ten he damdawi hi an rawt lo a, a hnuaia natna te hi i neih chuan:
- Hepatic impairment na tak i neih chuan
- Naupai emaw, naupai beisei emaw i nih chuan
- Nu hnute pe lai i nih chuan
- Kum 18 hnuai lam i nih chuan
- He damdawi hi allergy na tak (e.g., anaphylaxis emaw angioedema ang chi swelling) i neih tawh chuan
- Kidney dialysis i tih chuan
He damdawi hi i hman hmain i doctor nen inbiakna neih a pawimawh hle a, hei hi i zunthlum enkawlna atana i hman tur damdawi dik tak a nih leh nih loh hriat chian a pawimawh hle.
Take-Home Thuchah a ni
- Canagliflozin hi type 2 diabetes enkawlna atana hman thin damdawi a ni. Lung natna leh kal natna vei theihna a tihziaawm bawk.
- He pill hi ni khatah vawi khat ei tur a ni a, chaw ei hmasak ber hmain ei tur a ni.
- Damdawi dang i ei zawng zawng chu i doctor hnenah hrilh theihnghilh suh.
- Urinary tract infection, thisen sugar tlahniam (hypoglycemia), leh genital infection awm lo te ang chi side effects te chu fimkhur rawh.
- Diabetic Ketoacidosis (DKA) (tuihal tam lutuk, zun tam lutuk) tih natna hlauhawm tak chhinchhiahnate hre reng ang che.
- He damdawi hi eng surgery pawh neih hma ni 3 chhungin i chawlhsan tur a ni a, i doctor-in a tih angin.
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