Piritsi latsopano loletsa matenda a shuga: Zomwe muyenera kudziwa zokhudza Ertugliflozin ndi Sitagliptin

Kodi mukuvutika ndi matenda a shuga a mtundu wachiwiri? Ngati ndi choncho, dokotala wanu mwina anakuuzani za mankhwala atsopano. Ndi kuphatikiza kwa mankhwala awiri otchedwa Ertugliflozin ndi Sitagliptin. Tiyeni tiwone momwe angathandizire kuchepetsa kuchuluka kwa shuga m'magazi mwanu, komanso zomwe muyenera kudziwa mukamazigwiritsa ntchito.

Kodi mankhwala awa ndi chiyani?

Mwachidule, Ertugliflozin ndi Sitagliptin ndi mankhwala awiri omwe amaperekedwa kwa anthu omwe ali ndi matenda a shuga amtundu wachiwiri (Type 2 Diabetes) mu piritsi limodzi. Chofunika kwambiri pa izi ndikuchepetsa shuga m'magazi (glucose m'magazi) . Komabe, mankhwalawa okha sakwanira kuti mupeze zotsatira zabwino. Muyenera kuwongolera zakudya zanu ndikuchita masewera olimbitsa thupi tsiku lililonse pamodzi ndi mankhwalawa. Pamenepo ndi pomwe zimakhala zabwino kwambiri.

Nthawi zina madokotala angagwiritse ntchito mankhwalawa pa matenda ena, choncho ngati muli ndi mafunso, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Dzina lina lodziwika bwino la mankhwalawa ndi Steglujan . Dokotala wanu mwina adatchula dzina limenelo.

Kodi muyenera kuuza dokotala wanu chiyani musanamwe mankhwalawa?

Chabwino, tsopano pali zinthu zina zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa. Chifukwa ndikofunikira kwambiri kuti adziwe momwe mankhwalawa angagwirizanire ndi matenda anu ena. Nazi zinthu zina zomwe muyenera kumuuza ngati muli nazo:

• Ngati muli ndi matenda a mtima kapena matenda a mitsempha yamagazi .
• Ngati pali vuto monga kutaya madzi m'thupi.
• Ngati mudakumanapo ndi vuto lotchedwa diabetesic ketoacidosis .
• Ngati mwachepetsa mchere muzakudya zanu.
• Ngati mukudya pang'ono chifukwa cha matenda, opaleshoni, zakudya zina, kapena chifukwa china.
• Ngati pali mabala pa miyendo .
• Ngati mukuchita opaleshoni posachedwa.
• Ngati mulingo wanu wa cholesterol uli wokwera .
• Ngati gawo la mwendo linachotsedwa kale.
• Ngati muli ndi mbiri ya matenda a kapamba kapena mavuto ena a kapamba.
• Ngati nthawi zambiri mumadwala matenda a yisiti m'mimba .
• Ngati mumamwa mowa nthawi zonse .
• Ngati nthawi zambiri mumakhala ndi matenda a chikhodzodzo, impso, kapena njira ya mkodzo .
• Ngati muli ndi matenda a impso .
• Ngati muli ndi matenda a chiwindi .
• Ngati kuthamanga kwa magazi kuli kotsika .
• Ngati muli ndi matenda a mitsempha .
• Ngati mukumwa hemodialysis .
• Poyamba , lilime, nkhope, milomo, kupuma movutikira, kuvutika kumeza, kusintha mawuNgati zinthu ngati zimenezo zachitika.
• Ngati mukuvutika kukodza .
• Ngati muli ndi matenda a shuga amtundu woyamba (mankhwalawa amaperekedwa kwa matenda a shuga amtundu wachiwiri okha).
• Ngati ndinu mwamuna wosadulidwa .
• Ngati muli ndi vuto la Ertugliflozin, Sitagliptin, kapena mankhwala ena aliwonse, zakudya, utoto, kapena zotetezera .
• Palibe vuto ngati muli ndi pakati , ngati mukufuna kutenga mimba .
• Ngati ndinu mayi woyamwitsa .

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Piritsi ili liyenera kumwedwa pakamwa ndi kapu ya madzi. Tsatirani malangizo monga momwe dokotala wanu wanenera. Mutha kumwa izi ndi chakudya kapena ayi. Komabe, ngati muli ndi vuto la m'mimba, ndi bwino kumwa ndi chakudya. Ndi bwino kumwa mankhwalawa m'mawa . Yesetsani kumwa nthawi yomweyo tsiku lililonse. Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanu wanenera, kapena kumwa pafupipafupi. Komanso, musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala wanu .

Mukalandira mankhwala awa kuchokera ku pharmacy, mudzapatsidwa kabuku kapadera kodziwitsa (MedGuide) . Onetsetsani kuti mwawerenga mosamala nthawi iliyonse mukalandira mankhwala anu kapena mukadzawadzazanso. Ali ndi zambiri zofunika.

Lankhulani ndi gulu lanu lachipatala za kupereka mankhwalawa kwa ana . Chisamaliro chapadera chingafunike.

Ngati mwamwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa nthawi yomweyo.

Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Tiyerekeze kuti mwaiwala kumwa mankhwala anu m'mawa. Imwani nthawi yomweyo mukakumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira monga momwe munakonzera. Musamwe milingo iwiri nthawi imodzi.

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?

Ngati mukumwa mankhwala ena, mankhwala azitsamba, kapena mavitamini pamene mukumwa mankhwala a shuga awa, muyeneranso kuuza dokotala wanu za iwo. Zinthu zina zingakhudze mankhwala awa. Komanso, uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Nazi zina zomwe zingakhudze mankhwala awa:

• Mowa
• Digoxin (mankhwala a matenda a mtima)
• Lithium (izi zimaperekedwa pa matenda amisala)
• Mankhwala a steroid, monga prednisone kapena cortisone
• Ma sulfonylureas monga glimepiride, glipizide, ndi glyburide
• Mankhwala a chithokomiro

Mndandanda uwu suli ndi zonse, choncho ndi bwino kuuza dokotala wanu za chilichonse chomwe mumagwiritsa ntchito.

Ndi njira ziti zapadera zodzitetezera zomwe ziyenera kutengedwa mukamamwa mankhwalawa?

Mukamamwa mankhwalawa, pitani kwa dokotala nthawi zonse kuti muwone ngati thanzi lanu lili bwino. Kenako mutha kuwona ngati mankhwalawa ndi oyenera kwa inu komanso ngati pakufunika kusintha kulikonse.

Mankhwalawa nthawi zina angayambitse matenda oopsa omwe magazi amakhala ndi asidi wambiri . Ngati mukumva zizindikiro monga nseru, kusanza, kupweteka m'mimba, kutopa kosazolowereka, kapena kupuma movutikira , siyani kumwa mankhwalawa nthawi yomweyo ndipo imbani dokotala wanu . Ngati n'kotheka, yang'anani mkodzo wanu ngati muli ndi ma ketones pogwiritsa ntchito mzere woyesera wa ketone .

Kuyezetsa kwanu kwa HbA1C (A1C) kumachitikanso nthawi zonse. Uku ndi kuyezetsa magazi kosavuta. Kumaona momwe shuga m'magazi mwanu mwayang'aniridwa bwino m'miyezi iwiri kapena itatu yapitayi. Kuyezetsa kumeneku kumachitika miyezi itatu kapena isanu ndi umodzi iliyonse.

Phunzirani momwe mungayezere shuga m'magazi mwanu kunyumba . Ndikofunikira kudziwa zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndi shuga wambiri m'magazi (hyperglycemia) ndi momwe mungathanirane nazo.

Nthawi zonse khalani ndi gwero la shuga mwachangu ngati shuga m'magazi mwanu watsika (hypoglycemia) . Mwachitsanzo, ma cubes a shuga kapena mapiritsi a shuga. Ngati shuga wanu m'magazi mwatsika kwambiri ndipo mukudwala khunyu kapena mukutaya chidziwitso, uzani omwe ali pafupi nanu kuti kuwapatsa chakudya kapena chakumwa panthawiyo kungayambitse kusanza. Ngati izi zitachitika, ayenera kupeza thandizo lachipatala nthawi yomweyo.

Uzani dokotala wanu ngati mukuona kuti shuga m'magazi mwanu ndi wokwera. Mlingo wa mankhwala anu ungafunike kusinthidwa. Mungafunike kusintha mlingo wa mankhwala anu ngati mukudwala kapena ngati mukuchita masewera olimbitsa thupi kuposa masiku onse .

Musamadumphe chakudya . Funsani dokotala wanu ngati muyenera kupewa kumwa mowa. Mankhwala ambiri a chifuwa ndi chimfine omwe amaperekedwa kwa dokotala akhoza kukhala ndi shuga kapena mowa. Izi zingakhudze kuchuluka kwa shuga m'magazi mwanu.

Valani kapena sungani khadi la ID yachipatala lomwe lili ndi zambiri monga matenda anu, mankhwala omwe mumagwiritsa ntchito, komanso nthawi yoti mumwere mankhwala anu.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina mwa anthu ena. Ena ndi oopsa, ena si oopsa kwambiri. Koma ngati muwona china chake chachilendo, ndi bwino kuuza dokotala wanu.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo

• Matenda a ziwengo: kutupa pakhungu, kuyabwa, urticaria (mabala), kutupa kwa nkhope, milomo, lilime kapena pakhosi.
• Kusowa madzi m'thupi: Ludzu lochuluka, pakamwa pouma, chizungulire, mutu, mkodzo wachikasu kapena bulauni wakuda.
• Matenda a shuga a ketoacidosis (DKA):Ludzu lochuluka kapena kukodza, pakamwa pouma, kutopa kwambiri, mpweya wonunkha ngati zipatso, kupuma movutikira, kupweteka m'mimba, nseru, kusanza.
• Matenda a yisiti m'mimba: kufiira, kutupa, kupweteka kapena kuyabwa, fungo loipa, kutuluka magazi kokhuthala kapena kolimba. (Izi zitha kuchitika kwa amuna ndi akazi).
• Zizindikiro za matenda a mtima: kupuma movutikira, kutupa kwa akakolo, mapazi, kapena manja, kunenepa mwadzidzidzi, komanso kumva kufooka kapena kutopa kwambiri.
• Matenda, kufiira, kutupa, kuuma, kapena kupweteka mozungulira ziwalo zoberekera kapena m'malo opita ku anus: Ichi chikhoza kukhala chizindikiro cha matenda oopsa kwambiri otchedwa Fournier's gangrene , kotero ngati muwona chilichonse chonga ichi, uzani dokotala wanu nthawi yomweyo.
• Kuwonongeka kwa impso: kuchepa kwa mkodzo, kutupa kwa akakolo, manja, kapena mapazi.
• Kupweteka kwatsopano kapena kupweteka kwa mwendo kapena phazi, kusintha kwa mtundu wa khungu, zilonda kapena zilonda, kapena matenda .
• Pancreatitis: Ululu waukulu wa m'mimba womwe umafalikira kumsana, ululu womwe umakula kwambiri mutadya kapena mukakhudza, kutentha thupi, nseru, ndi kusanza.
• Ngati mukumva kufiira, kutupa, khungu likutuluka, kapena zinthu zina zofanana ndi zimenezi mkamwa mwanu .
• Kupweteka kwambiri kwa mafupa.
• Matenda a mkodzo (UTI): Kumva kutentha mukamakodza, kukodza pafupipafupi, mkodzo wokhala ndi magazi kapena mitambo, kupweteka m'mimba kapena m'mbali.

Zotsatirapo zomwe nthawi zambiri sizimafuna upangiri wa dokotala, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira

• Mutu
• Mphuno yotuluka madzi kapena mphuno yotsekeka
• Chikhure

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

Kodi muyenera kusunga bwanji mankhwala anu?

Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire .

Sungani kutentha kwa chipinda, pakati pa madigiri 15 ndi 30 Celsius (madigiri 59 ndi 86 Fahrenheit). Tayani mankhwala otha ntchito popanda kuwagwiritsa ntchito.

Dziwani: Nkhaniyi ndi chidule chokha. Mwina siili ndi mfundo zonse. Ngati muli ndi mafunso ena okhudza mankhwalawa, chonde lankhulani ndi dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira

Chabwino, kuchokera pa zomwe takambirana za mankhwala a shuga otchedwa Ertugliflozin ndi Sitagliptin, nazi zina mwa zinthu zofunika zomwe muyenera kukumbukira:

• Mankhwalawa amathandiza kuchepetsa shuga m'magazi mwanu , koma zotsatira zabwino zimapezeka ndi kudya bwino komanso kuchita masewera olimbitsa thupi .
• Musanayambe kumwa mankhwala,Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo.
• Imwani mlingo wolembedwa, panthawi yolembedwa, monga momwe dokotala wanenera. Musadumphe mlingo kapena kumwa milingo iwiri nthawi imodzi.
• Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia) ndipo sungani shuga pafupi kuti mugwiritse ntchito mukafuna.
• Ngati mukumva zizindikiro za matenda oopsa otchedwa diabetesic ketoacidosis (DKA) (nseru, kusanza, kupweteka m'mimba, kutopa kwambiri, komanso kupuma movutikira) , uzani dokotala wanu nthawi yomweyo .
• Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi zotsatirapo zachilendo , makamaka matenda opatsirana m'mimba, zilonda za m'miyendo, kapena zizindikiro za kulephera kwa mtima.
• Uzani dokotala wanu za mankhwala ena onse omwe mumamwa, chifukwa mankhwala ena angagwirizane ndi awa.

Kukhala ndi matenda a shuga kungakhale kovuta, koma kumwa mankhwala anu moyenera, kusintha moyo wanu, komanso kulankhulana ndi dokotala wanu kungakuthandizeni kwambiri kuti mukhale ndi thanzi labwino. Musadandaule, simuli nokha!

Matenda a shuga , ertugliflozin, sitagliptin, mankhwala a shuga, shuga m'magazi, matenda a shuga amtundu wachiwiri, Steglujan