Mankhwala atsopano a matenda a shuga? Tiyeni tiphunzire za mapiritsi a Alogliptin ndi Pioglitazone!

Kodi inunso muli ndi vuto la matenda a shuga, kapena "matenda a shuga" monga momwe anthu ambiri amanenera? Nthawi zina zimakhala zovuta kulamulira kuchuluka kwa shuga m'magazi mwanu ngakhale mutayang'anira zakudya zanu komanso kuchita masewera olimbitsa thupi, sichoncho? Nthawi zina ngati izi, mtundu umodzi wa mankhwala omwe madokotala amatipatsa kuti athandize ndi alogliptin ndi pioglitazone. Kodi tikambirane izi mwatsatanetsatane lero? Tiyeni timvetse izi mosavuta, ngati kuti tikuuza mnzanu.

Kodi mankhwala awa ndi chiyani?

Mwachidule, alogliptin ndi pioglitazone `(Alogliptin; Pioglitazone)` ndi mankhwala operekedwa kwa anthu omwe ali ndi matenda a shuga amtundu wa 2 `(Matenda a shuga amtundu wa 2)` . Amathandiza kuwongolera kuchuluka kwa shuga m'magazi mwanu, kutanthauza kuchuluka kwa shuga m'magazi. Komabe, kumwa mankhwalawa kokha sikokwanira. Muyenera kuchita izi limodzi ndi zakudya zabwino komanso masewera olimbitsa thupi. Pokhapokha ngati muchita izi moyenera ndi pomwe mungapeze zotsatira zabwino. Mutha kudziwa mankhwalawa ndi dzina lodziwika bwino `(Oseni)`. Koma dokotala wanu angakupatseninso mankhwalawa pazinthu zina. Chifukwa chake, ngati muli ndi mafunso, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawo?

Chabwino, tsopano tiyeni tiwone zinthu zomwe muyenera kuuza dokotala wanu kapena namwino musanayambe kumwa mankhwalawa. Chifukwa izi ndi zomwe dokotalayo adzagwiritsa ntchito posankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi, komanso momwe mungawaperekere. Ndikofunikira kwambiri kuti chitetezo chanu chikhale chodziwikiratu pazinthu izi.

Ngati muli ndi vuto lililonse mwa zotsatirazi, muyenera kunena kuti:

• Ngati muli ndi khansa ya chikhodzodzo kapena munali nayo kale.
• Matenda a shuga otchedwa ketoacidosis ndi matenda omwe amayamba chifukwa cha matenda a shuga (momwe asidi m'magazi amawonjezeka, nthawi zambiri amatsagana ndi kusintha kwa kupuma komanso kupweteka m'mimba). Uwu ndi matenda oopsa pang'ono.
• Matenda a maso otchedwa macular edema (vuto lomwe madzi amasonkhana mkati mwa diso, zomwe zimapangitsa kuti munthu asaone bwino).
• Ngati muli ndi miyala ya ndulu .
• Ngati muli ndi matenda a mtima , makamaka kulephera kwa mtima (izi zingayambitse kupuma movutikira komanso kutupa kwa miyendo).
• Ngati pali triglycerides yambiri m'magazi.
• Ngati mumamwa mowa nthawi zonse .
• Ngati nthawi yanu ya msambo si yokhazikika (ngati ndinu mkazi).
• Ngati muli ndi matenda a impso .
• Ngati muli ndi matenda a chiwindi .
• Pancreatitis (izi zingayambitse kupweteka kwambiri m'mimba, nthawi zina kumatuluka kumbuyo).
• Matenda a ovary a Polycystic (PCOS)Matendawa (kusalinganika kwa mahomoni komwe kumachitika mwa akazi).
• Ngati mudayamba mwatupa lilime, nkhope, kapena milomo, kupuma movutikira, kuvutika kumeza, kusintha mawu, kapena kupweteka pakhosi (izi zitha kukhala chizindikiro cha vuto lalikulu la ziwengo).
• Ngati muli ndi kutupa m'manja, miyendo, kapena mapazi .
• Ngati muli ndi matenda a shuga amtundu woyamba (mankhwalawa amaperekedwa kwa anthu omwe ali ndi matenda a shuga amtundu wachiwiri).
• Ngati muli ndi vuto la alogliptin, pioglitazone, mankhwala ena, zakudya, mitundu yopangira, kapena zosungira.
• Ngati mukuyesera kutenga mimba , kapena muli kale ndi pakati .
• Ngati ndinu mayi amene akuyamwitsa mwana .

Kodi mumagwiritsa ntchito bwanji mankhwalawa moyenera?

Chabwino, dokotala akakupatsani mankhwala awa, kodi mumawagwiritsa ntchito bwanji? Kumbukiraninso izi.

Piritsi ili liyenera kumwedwa pakamwa, ndi madzi pang'ono . Ndi bwino kumwa nthawi yomweyo tsiku lililonse , monga momwe dokotala wanu wakuuzirani. Musaswe, kuphwanya, kapena kutafuna piritsi. Mezani piritsi lonse. Mutha kumwa musanadye kapena mutadya . Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kumwa limodzi ndi chakudya. Muyenera kupitiriza kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye . Musasiye mwadzidzidzi, eti?

Mukalandira mankhwala awa ku pharmacy, mudzapatsidwa ``MedGuide`` yapadera, pepala la chidziwitso chokhudza mankhwalawo, limodzi ndi mankhwala aliwonse omwe mwalandira komanso mukadzalandira mankhwala ena. Kumbukirani nthawi zonse kuwawerenga mosamala. Ali ndi chidziwitso chofunikira kwambiri.

Lankhulani ndi gulu lanu lachipatala za kupereka mankhwalawa kwa ana aang'ono, chifukwa angafunike chisamaliro chapadera.

Bwanji ngati mwamwa mankhwala ochulukirapo mwangozi? Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku chipatala chapafupi kapena imbani malo owongolera poizoni nthawi yomweyo . Musazengereze.

Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense. Angawavulaze, chifukwa thanzi la aliyense ndi losiyana.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Tsopano tangoganizani kuti mwaiwala kumwa mankhwala anu tsiku lina. Kodi mungatani ngati zimenezo zitachitika? Musadandaule.

Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira . Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza . Musamwe mapiritsi awiri nthawi imodzi kapena kumwa mapiritsi ena . Kuchita izi kungayambitse mavuto.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Mukamagwiritsa ntchito mankhwalawa, pali mankhwala ena omwe angagwirizane nawo, zomwe zikutanthauza kuti amatha kutsutsana. Kumwa ndi mankhwala ena kumasintha momwe mankhwalawa amagwirira ntchito kapena kuonjezera zotsatirapo zake. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu zonse zomwe mukumwa.

Mapiritsi awa a `(Alogliptin; Pioglitazone)` angagwirizane ndi mankhwalawa makamaka:

• Gemfibrozil (mankhwala ogwiritsidwa ntchito kuchepetsa cholesterol)
• Insulin (mankhwala ena a matenda a shuga)
• Rifampin (mankhwala opha tizilombo toyambitsa matenda omwe amagwiritsidwa ntchito pochiza chifuwa chachikulu)
• Mankhwala a shuga monga glimepiride, glipizide, ndi glyburide (sulfonylureas )
• Topiramate (mankhwala ogwiritsidwa ntchito pa matenda a khunyu ndi mutu waching'alang'ala)

Kuonjezera pa izi, palinso mankhwala ena ambiri omwe angakhudze kuchuluka kwa shuga m'magazi mwanu, choncho dziwani izi:

• Mowa
• Aspirin ndi mankhwala ofanana ndi a aspirin
• Chloramphenicol (mankhwala opha tizilombo toyambitsa matenda omwe amagwiritsidwa ntchito pochiza matenda a bakiteriya)
• Chromium (anthu ena amaitenga ngati chowonjezera pazakudya)
• Mankhwala ochepetsa mkodzo ( mankhwala omwe amawonjezera kuchuluka kwa mkodzo wopangidwa, omwe amatchedwanso 'mapiritsi amadzi')
• Mahomoni achikazi , mwachitsanzo, mankhwala okhala ndi ma estrogen kapena ma progestin, komanso mapiritsi oletsa kubereka
• Mankhwala ena a matenda a mtima `(Mankhwala a mtima)`
• Isoniazid (mankhwala a chifuwa chachikulu)
• Mahomoni a amuna kapena ma steroid a anabolic
• Mankhwala ochepetsa thupi
• Mankhwala a ziwengo, mphumu, chimfine, kapena chifuwa (ena angakhale ndi shuga)
• Mankhwala a mavuto amisala
• Mankhwala omwe ali m'gulu lotchedwa MAO Inhibitors (monga `(Nardil)`, `(Parnate)`, `(Marplan)`, `(Eldepryl)`)
• Niacin (vitamini B3, imathandizanso ndi cholesterol)
• NSAIDs (mankhwala omwe amachepetsa ululu ndi kutupa, monga ibuprofen kapena naproxen)
• Pentamidine (mankhwala ochizira matenda)
• Phenytoin (mankhwala ogwiritsidwa ntchito pochiza khunyu)
• Probenecid (mankhwala a gout)
• Mankhwala opha tizilombo a Quinolone (monga ciprofloxacin, levofloxacin, ofloxacin)
• Zakudya zina zowonjezera ku zitsamba
• Mankhwala a steroid (monga prednisone kapena cortisone)
• Mankhwala a chithokomiro

Mndandanda uwu si wokwanira. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa (omwe amalembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, mankhwala azitsamba, mavitamini, ndi zakudya zowonjezera) . Komanso, uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena . Zina mwa zinthuzi zingakhudze mankhwala anu.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamamwa mankhwalawa?

Muyenera kusamalira thanzi lanu pang'ono mukamamwa mankhwala awa. Kodi zinthu zimenezo ndi ziti?

• Pitani kwa dokotala wanu nthawi zonse kuti muwone momwe mulili . Dokotala wanu adzafuna kuona momwe mukuyendera. Mungafunikenso kuyesedwa magazi pamene mukumwa mankhwalawa.
• Dokotala wanu adzafunanso mayeso otchedwa HbA1C (omwe amadziwikanso kuti A1C) . Iyi ndi mayeso osavuta a magazi. Amawona momwe shuga m'magazi mwanu yakhalira yolamulidwa bwino m'miyezi iwiri kapena itatu yapitayi . Mayesowa nthawi zambiri amachitika miyezi itatu iliyonse kapena miyezi isanu ndi umodzi iliyonse.
• Phunzirani momwe mungadziyezerere nokha kuchuluka kwa shuga m'magazi . Ndikofunikanso kudziwa zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndi shuga wambiri m'magazi (hyperglycemia) ndi momwe mungathanirane nazo .
• Nthawi zonse nyamulani shuga mwachangu (monga ma cubes a shuga, mapiritsi a shuga) ngati shuga m'magazi mwanu watsika (monga thukuta, kugwedezeka, chizungulire) . Ngati muli ndi shuga wochepa m'magazi ndipo mukudwala matenda a chizungulire ndipo mukutaya chikumbumtima, uzani ena kuti mungatsamwitsidwe ngati muyesa kuwapatsa chakudya kapena chakumwa panthawiyo . Ngati vutoli ndi lalikulu , pitani kuchipatala nthawi yomweyo .
• Ngati mukuona kuti shuga m'magazi mwanu ndi wokwera (monga ludzu lochuluka, kukodza pafupipafupi, kutopa), uzani dokotala wanu . Mlingo wa mankhwala anu ungafunike kusinthidwa. Ngati mukudwala kapena mukuchita masewera olimbitsa thupi kuposa masiku onse, mlingo wa mankhwala anu ungafunikenso kusinthidwa .
• Musamadumphe chakudya . Funsani dokotala wanu ngati muyenera kupewa kumwa mowa . Mankhwala ambiri a chifuwa ndi chimfine omwe amaperekedwa kwa dokotala angakhale ndi shuga kapena mowa . Izi zingakhudze kuchuluka kwa shuga m'magazi.
• Mankhwalawa angakulitse chiopsezo chanu chokhala ndi matenda ena a mtima .Ngati mukumva kupweteka pachifuwa, kupsinjika, kupweteka komwe kumafika pa nsagwada kapena mkono wanu, kapena kuvutika kupuma, pitani kuchipatala nthawi yomweyo. Izi zitha kukhala zizindikiro za matenda a mtima kapena matenda ena oopsa .
• Kwa amayi omwe akuyandikira kusamba koma sali kusamba, mankhwalawa angayambitse ovulation . Izi zitha kuwonjezera mwayi wanu woti mutenge pakati . Lankhulani ndi gulu lanu lazachipatala za njira zanu zolerera. Uzani dokotala wanu ngati mukuganiza kuti muli ndi pakati .

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena onse, mapiritsi awa a `(Alogliptin; Pioglitazone)` angayambitse zotsatirapo zina. Ena mwa iwo si oopsa, koma ena mwa iwo ayenera kuuzidwa kwa dokotala wanu nthawi yomweyo.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo

Ngati mukukumana ndi zizindikiro izi, uzani gulu lanu lachipatala mwamsanga:

• Matenda a ziwengo — ziphuphu pakhungu, kuyabwa, ziphuphu (mphuno yomwe imaoneka ngati ziphuphu), kutupa kwa nkhope, milomo, lilime, kapena pakhosi.
• Kusintha kwa masomphenya — monga kuwona zinthu mopanda chiyembekezo, kuona kuwala kozungulira magetsi, kapena kutaya masomphenya.
• Kulephera kwa mtima — Kupuma movutikira, kutupa m'makandawo, mapazi, kapena m'manja, kunenepa mwadzidzidzi, komanso kumva kutopa kwambiri kapena kufooka.
• Kuvulala kwa chiwindi — Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, khungu kapena maso achikasu, kufooka kapena kutopa kosazolowereka.
• Pancreatitis - Ululu waukulu m'mimba womwe umafika kumbuyo, ululu womwe umakula kwambiri mutadya kapena mukakhudza, malungo, nseru, ndi kusanza.
• Mkodzo wofiira kapena wakuda, kupweteka kapena kuvutika kukodza, kukodza pafupipafupi.
• Kufiira, kutupa, kutsekeka, kapena kulimba kwa khungu (kungachitikenso mkamwa).
• Kupweteka kwambiri kwa mafupa .

Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira

Zotsatirapo zomwe zili pansipa nthawi zambiri sizifuna thandizo la dokotala. Komabe, ngati zikupitirira kapena kukuvutitsani, uzani dokotala wanu :

• Chifuwa
• Kutsegula m'mimba
• Mutu
• Kupweteka kwa minofu
• Mphuno yotuluka madzi kapena yotsekeka
• Chikhure

Mndandandawu sungakhale ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo, lankhulani ndi dokotala wanu. Muthanso kunena za zotsatirapo zake ku FDA (1-800-FDA-1088).

Kodi mumasunga bwanji mankhwala kukhala otetezeka?

Ndikofunikanso kudziwa momwe mungasungire mankhwalawa moyenera.

• Sungani pamalo omwe ana ndi ziweto sangafikire.
• Sungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius, kapena madigiri 68 ndi 77 Fahrenheit). Tetezani ku chinyezi ndi chinyezi. Tsekani botolo mwamphamvu.
• Tayani mankhwala aliwonse osagwiritsidwa ntchito omwe atha ntchito.

Kodi mumataya bwanji mankhwala osagwiritsidwa ntchito komanso omwe atha ntchito?

Iyi ndi nkhani yofunika kwambiri. Kungoitaya m'zinyalala sikungathandize.

• Tengani mankhwala awa kupita nawo kumalo komwe kuli pulogalamu yobweretsera mankhwala. Mutha kudziwa zambiri za malo otere ku pharmacy yanu kapena ku polisi.
• Ngati simungathe kubweza, yang'anani chizindikiro cha mankhwala kapena kapepala komwe kali m'phukusi kuti muwone ngati mankhwala awa ayenera kutayidwa m'zinyalala kapena kutayidwa m'chimbudzi. Ngati simukudziwa, funsani gulu lanu lazaumoyo.
• Ngati kuli bwino kutaya zinyalala, tulutsani mankhwalawo m'botolo ndikusakaniza ndi chinthu chosagwira ntchito monga zinyalala za amphaka, dothi, kapena khofi. Kenako, ikani zosakanizazo m'thumba kapena chidebe, zitsekeni, ndikuzitaya m'zinyalala.

Pomaliza, zinthu zingapo zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri za mapiritsi a Alogliptin ndi Pioglitazone, sichoncho? Nazi zina mwa zinthu zofunika kwambiri zomwe muyenera kukumbukira:

• Mankhwalawa amaperekedwa makamaka kuti athetse matenda a shuga amtundu wachiwiri.
• Monga momwe dokotala akunenera, ndikofunikira kwambiri kumwa mlingo woyenera panthawi yoyenera.
• Ndikofunikira kutsatira zakudya ndi masewera olimbitsa thupi limodzi ndi mankhwalawa kuti mupeze zotsatira zabwino kwambiri.
• Onetsetsani kuti mwauza dokotala wanu za mankhwala ena aliwonse, zitsamba, ndi mavitamini omwe mukumwa.
• Ngati mukukumana ndi zotsatirapo zina zatsopano, makamaka zizindikiro zazikulu zomwe takambiranazi, dziwitsani dokotala wanu mwamsanga.
• Yang'anirani kuchuluka kwa shuga m'magazi mwanu nthawi zonse, ndipo dziwani zizindikiro za kuchepa kwa shuga m'magazi.
• Ngati muli ndi pakati, mukukonzekera kutenga pakati, kapena kuyamwitsa, onetsetsani kuti mwadziwitsa dokotala wanu musanamwe mankhwalawa.
• Mankhwalawa ndi a inu nokha. Musapatse wina aliyense.

Kabuku aka ndi chidule chabe. Sikangakhale ndi zonse zomwe mukufuna. Ngati muli ndi mafunso ena okhudza mankhwalawa, chonde lankhulani ndi dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala.

Ndikofunikira kusamalira thanzi lanu. Kukhala ndi matenda a shuga kungakhale kovuta, koma ngati mutachita bwino, mungakhale osangalala. Zabwino zonse kwa inu!

Alogliptin , Pioglitazone, Matenda a Shuga, Matenda a Shuga a Mtundu wa 2, Kulamulira Shuga, Mankhwala a Shuga, Zotsatirapo Zake