He mate huka momo 2 tōu? Tērā pea kua tohua e tō tākuta he pire Jardiance te ingoa. Tērā pea kei te hiahia koe ki te mōhio atu mō tēnei rongoā. He aha te momo rongoā, he aha ngā mea ka pā ki tō tinana, me ngā mahi ārai me mahi e koe. Nō reira, i tēnei rā, me kōrero poto tātou mō Jardiance, me pēhea te mahi, ōna painga, me ngā mea me mōhio koe.
He aha te Jardiance? He aha tāna mahi i roto i te tinana?
He rongoā a Jardiance e whakamahia ana hei rongoā i ngā pakeke me ngā tamariki e pāngia ana e te mate huka momo 2. Mā te whakahaere i ngā taumata huka toto ka mahi. Ka āwhina hoki ki te whakaiti i te mōrearea o te mate ngakau me te whiu i roto i ngā pakeke e pāngia ana e te mate huka. Heoi, kāore i te whakaaetia mō te mate huka momo 1. I ētahi wā ka whakamahia hoki i roto i te hunga kāore he mate huka engari he ngoikore te ngakau, he mate tākihi rānei.
Āe, me titiro tātou ki te mahi a tēnei. He māmā noa iho, ko te mahi a ō tātou whatukuhu he tātari i te huka (huka) i roto i te toto, ka mimiti anō ki roto i te tinana. Kāore e tukuna ki waho mā te mimi.
He pūmua motuhake kei reira hei āwhina i ngā whatukuhu ki tēnei mahi, e kiia nei ko te SGLT2 (Sodium-glucose cotransporter-2) .
Ka ārai te pire Jardiance i te mahi a te pūmua SGLT2 mō te wā poto. Mā tēnei ka taea te huka tāpiri kāore e taea e te tinana te mimiti anō mā te mimi. Ka whakaitihia ngā taumata huka toto. Tērā pea ka āwhina tēnei tukanga i a koe ki te whakaiti i tō taumaha me te whakahaere i tō toto toto .
Kua whakamātauhia ngā painga o tēnei rongoā ki tehea taumata?
He maha ngā rangahau haumanu nui kua mahia hei rapu i te haumaru me te whai huatanga o Jardiance. I aro nui ēnei rangahau ki te whai huatanga o te rongoā ki te whakaiti i te HbA1c (he whakamātautau e whakaatu ana i te taumata huka toto toharite i roto i ngā marama e 3 kua hipa).
I roto i ngā rangahau i whakaurua ngā pakeke he mate huka momo 2, ngā tamariki 10-17 tau te pakeke, ngā tāngata he mate tākihi, me ngā tāngata he mate manawa. I whakaritea hoki ngā pānga o te rongoā ki ētahi atu rongoā mate huka (hei tauira, te insulin, te metformin, te glimepiride).
Āe, kia tirohia ngā hua o ēnei rangahau. Kia maumahara, he hua noa iho ēnei. Tērā pea ka rerekē ō hua i runga i tō tinana.
| Ngā hua mō ngā pakeke (Ngā pakeke me te mate huka momo 2) | ||
|---|---|---|
| Te horopeta o te rongoā | Te hekenga o te huka toto nohopuku (mg/dL) | Te hekenga o te HbA1c |
| Jardiance 10 mg (kāore he rongoā kē atu) | Tata ki te 19 mg/dL | Mā te 0.7% pea |
| Jardiance 25 mg (kāore he rongoā kē atu) | Tata ki te 25 mg/dL | Mā te 0.8% pea |
| Jardiance (me ētahi atu rongoā) | Tata ki te 10 - 22 mg/dL | I waenganui i te 0.2% - 2.1% |
| Ngā Hua i roto i ngā Pakeke me te Mate Manawa | |
|---|---|
| Te maimoatanga | Te ōrau o ngā mate mai i te whakaeke ngakau, te whiu, te mate pūnaha manawa rānei |
| Jardiance 10 mg, 25 mg rānei | 10.5% |
| Pērepo | 12.1% |
Ngā hua mō ngā tamariki me ngā tūroro whatukuhu
Kua whakaatuhia te kaha o Jardiance ki te whakaiti i ngā taumata HbA1c me ngā taumata huka toto nohopuku i roto i ngā tamariki 10-17 tau te pakeke. Kua āwhina hoki ki te whakaiti i ngā taumata HbA1c i roto i ngā pakeke e mate huka ana me te mate tākihi.
Ka taea e ētahi atu rongoā te taunekeneke me Jardiance?
Āe, he mea tino nui te tiaki i tēnei.
- Te iti o te huka toto: Ki te tango koe i ētahi atu rongoā mō te mate huka, inā koa ko te insulin , ko te sulfonylureas rānei (pērā i te glimepiride), ka pāngia pea koe e te iti o te huka toto (hypoglycemia) ina tīmata koe i te Jardiance. Nō reira, ka whakaitihia pea e tō tākuta te horopeta o ō rongoā kē atu.
- Te matewai: Ki te mea kei te tango koe i ngā rongoā diuretic, ka matewai pea koe i te tango tahi me te Jardiance. Nō reira, he mea nui kia nui te wai e inumia ana.
- Ritiumu: Mena kei te tango koe i te ritiumu mō tētahi mate hinengaro, ka rerekē pea ōna pānga ina tīmata koe i te Jardiance. Kōrero ki tō tākuta mō tēnei, ā, me whakamātautau toto mēnā e tika ana.
Me pēhea te karo i ngā pānga kino kino?
He mea tino nui tēnei wāhanga. Ahakoa he rongoā tino whai hua a Jardiance, tera tonu ētahi pānga taha kino me mōhio tātou.
1. Ketoacidosis Mate Huka (DKA):
- He āhuatanga morearea tēnei. Ina kore e taea e te tinana te whakamahi i te huka, ka whakamahia e ia tētahi atu huarahi hei whiwhi pūngao. Ka hangaia he matū e kiia nei ko ngā ketone . Ina kohia ēnei ki roto i te toto, ka tino morearea.
- Ngā tohu: whakapairuaki, ruaki, mamae o te puku, ngenge rawa, uaua ki te manawa.
- > Ki te pāngia koe e ēnei tohu, kati tonu te tango i te Jardiance ka toro atu ki te tākuta, haere rānei ki te rūma ohorere o te hōhipera (ETU). He āhuatanga ohorere tēnei.
2. Ngā mate urutā:
- Ka whakanuia e tēnei rongoā te nui o te huka i roto i te mimi, ka whakanuia ai te mōrearea o ngā mate kitakita me ngā mate rewena. Ka pā pea ngā mate ki te ara mimi, te pūkahukahu, me ngā wāhi taihemahema.
- Te Gangrene a Fournier: He mate tino onge, engari he tino morearea ka pā ki te rohe ira tangata. Rapua he awhina hauora tonu mēnā ka mamae, ka whero, ka pupuhi rānei te rohe me te kirika me te ngoikore.
3. Ngā raruraru o te waewae me te waewae:
- Kua whakaatuhia e ētahi rangahau he paku pikinga ake o ngā tapahi wheua, inā koa i roto i te hunga e pāngia ana e te mate uaua ā-taha.
- Nō reira, tirohia ō waewae i ia rā, i ia rā.Mena he patunga, he mate pukupuku, he kapiti, he tohu rānei o te mate pāwera, me kōrero tonu atu ki tō tākuta.
4. Ngā pānga ki ngā whatukuhu:
- Ka pāngia te mahi a tō whatukuhu e te matewai. Nō reira, he mea nui kia nui te wai e inumia ana. Tērā pea ka tonoa e tō tākuta he whakamātautau toto hei tirotiro i te mahi a tō whatukuhu.
5. Ngā Tauhohenga Mate Pāwera:
- Ki te pāngia koe e ngā mate pāwera kino pērā i te pupuhi o ngā ngutu, o te mata, o te arero rānei, te uaua ki te manawa, te ponana kiri rānei, kati tonu te tango i te rongoā ka rapu tohutohu hauora.
Me pēhea te whakamahi tika i te rongoā?
He pire a Jardiance ka tangohia kotahi i te rā. Tangohia te horopeta (10mg, 25mg rānei) e tohua ana e tō tākuta.
- He pai ake te tango i te ata: Ko te nuinga o ngā tākuta e kī ana kia tangohia i te ata. Ko te take he whakanui ake i te auau o te mimi, kia taea ai te puta i te awatea me te kore e whakararuraru i te moe i te pō.
- Me pēhea te mōhio kei te mahi te rongoā?: Ka taea e koe te kite mā te hekenga o te taumata huka toto me te HbA1c. Engari e toru marama pea te roa ka huri tō HbA1c. Ki te whakamātautau mimi koe i a koe e tango ana i te Jardiance, ka kitea he huka kei roto i tō mimi. He mea noa tēnei, kaua e manukanuka. Ko te tikanga kei te mahi te rongoā.
Karere Tangohia ki te Kāinga
- He rongoā a Jardiance mō te mate huka momo 2 e whakaheke ana i te huka toto mā te whakaputa i te huka i roto i te mimi.
- Me tango noa i te horopeta kua tohua e tō tākuta, i te wā kua tohua (ko te ata te mea pai).
- Inuhia he nui te wai i te roanga o te rā hei ārai i te matewai.
- Kia tūpato ki ngā tohu o te huka toto iti (hypoglycemia) me ngā tohu kino o te ketoacidosis mate huka (DKA) (te ruaki, te mamae o te puku, te uaua ki te manawa). Rapua tonutia te awhina hauora mēnā kei a koe ngā tohu o te DKA.
- Tirohia ō waewae i ia rā mō ngā patunga, ngā mate pāwera, ngā tohu rānei o te mate.
- Kōrero ki tō tākuta mō ngā pānga taha, ngā raruraru rānei e pā ana ki a koe. Kaua rawa e mutu te tango i tō rongoā, kaua hoki e whakarerekē i te horopeta me te kore he tohutohu hauora.
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