Zomwe muyenera kudziwa zokhudza piritsi la matenda a shuga la Canagliflozin (Invokana)

Dokotala wanu akakuuzani kuti muli ndi matenda a shuga a mtundu wachiwiri, mungapatsidwe mankhwala monga Canagliflozin (Invokana) kuti akuthandizeni kuchepetsa shuga m'magazi mwanu, komanso kusintha moyo wanu monga zakudya ndi masewera olimbitsa thupi. Mungakhale ndi mafunso ambiri okhudza mankhwalawa. Tiyeni tikambirane lero.

Kodi Canagliflozin (Invokana) ndi chiyani?

Iyi ndi piritsi yachikasu, yooneka ngati kapisozi. Muyenera kumwa kamodzi patsiku, musanadye chakudya choyamba cha tsikulo. Cholinga chachikulu cha mankhwalawa ndikupewa matenda a impso omwe amayamba chifukwa cha matenda a shuga, komanso kuchepetsa chiopsezo cha matenda akuluakulu a mtima monga matenda a mtima ndi sitiroko.

Kodi Canagliflozin imagwira ntchito bwanji m'thupi lathu?

Mwachidule, mankhwalawa amathandiza impso zathu kutulutsa shuga wochuluka (shuga) m'thupi kudzera mu mkodzo.

Kuti tifotokoze bwino nkhaniyi, mankhwalawa ndi a gulu la mankhwala otchedwa sodium-glucose transport protein 2 (SGLT2) inhibitors. Mankhwalawa amaletsa shuga m'magazi kuti asalowenso m'thupi impso zathu zikamasefa. Kenako, shuga wochulukirapo umatuluka mosavuta m'thupi kudzera mu mkodzo. Izi zimachepetsa shuga m'magazi mwanu.

Mukakhala ndi matenda a shuga amtundu wachiwiri, impso zanu zimayenera kugwira ntchito molimbika kuti zisefe shuga wowonjezerawu. Kupanikizika kowonjezeraku kumatha kuwononga impso zanu pakapita nthawi. Canagliflozin imathandiza kuchepetsa kupanikizikaku ndikuletsa kuwonongeka kwa impso.

Kodi mankhwalawa amakuthandizanidi kuchepetsa thupi?

Mankhwalawa sanapangidwe kuti akuthandizeni kuchepetsa thupi. Komabe, kafukufuku wasonyeza kuti Canagliflozin ingakuthandizeni kuchepetsa thupi pang'ono. Mutha kuwona kuchepa thupi kumeneku kaya mukumwa nokha kapena ndi mankhwala ena a shuga, monga metformin.

Komabe, kuchuluka kwa kuchepetsa thupi kumasiyana malinga ndi munthu . Mlingo wa mankhwala omwe mumamwa ungakhudzenso izi. Nthawi zambiri, mutha kutaya pakati pa 2% ndi 3% ya kulemera kwa thupi lanu. Komabe, musanayambe kudya zakudya zatsopano kapena pulogalamu yochita masewera olimbitsa thupi mukamagwiritsa ntchito mankhwalawa, muyenera kulankhula ndi dokotala wanu .

Kodi zotsatirapo zake ndi zoopsa zake ndi ziti za Canagliflozin?

Monga mankhwala ena aliwonse, Canagliflozin ingayambitse zotsatira zoyipa zochepa, zochepa, kapena zoopsa mwa anthu ena.

Hypoglycemia (shuga wotsika m'magazi)

Mankhwalawa angayambitse shuga m'magazi otsika kwambiri (hypoglycemia) mwa anthu ena. Chiwopsezochi chimakhala chachikulu makamaka ngati mutenga mankhwala ena a shuga, monga insulin, glipizide, kapena glyburide, pamodzi ndi mankhwalawa.

Ngati mukumva zizindikiro izi mukumwa Canagliflozin, zomwe zikutanthauza kuti mukumva ngati shuga m'magazi mwanu ndi wotsika, uzani dokotala wanu nthawi yomweyo .

Chiwopsezo cha kudulidwa ziwalo

Izi zitha kumveka zoopsa, koma sizichitika kawirikawiri . Kafukufuku wina wasonyeza kuti Canagliflozin ingawonjezere pang'ono chiopsezo chochotsedwa chala chaching'ono kapena gawo la phazi. Komabe, madokotala amakhulupirira kuti ubwino womwa mankhwalawa ndi woposa zoopsa zake.

Pali zinthu zingapo zomwe zimawonjezera chiopsezo chodulidwa mwendo:

• Ngati gawo la mwendo lachotsedwa kale
• Ngati muli ndi matenda a mtima
• Ngati mitsempha yawonongeka (neuropathy)
• Ngati muli ndi zilonda za mapazi zomwe zimayambitsidwa ndi matenda a shuga
• Ngati muli ndi zaka zoposa 65

Kuti mupewe ngozi imeneyi, nthawi zonse dziwani mabala, zilonda, ululu, kapena zizindikiro za matenda m'miyendo yanu.Ngati muwona chilichonse chonga chimenecho, uzani dokotala wanu nthawi yomweyo.

Zoopsa zina

• Mimba ndi Kuyamwitsa: Mankhwalawa akhoza kukhala oopsa kwa mwana wanu ngati muli ndi pakati, makamaka mu trimester yachiwiri kapena yachitatu. Sizikudziwikanso ngati amalowa mu mkaka wa m'mawere. Chifukwa chake, ngati mukukonzekera kutenga pakati, muli ndi pakati, kapena mukuyamwitsa, onetsetsani kuti mwadziwitsa dokotala wanu musanamwe mankhwalawa.
• Matenda a impso ndi chiwindi: Mankhwalawa si oyenera anthu omwe ali ndi matenda aakulu a impso kapena chiwindi, chifukwa angapangitse kuti vuto lanu likhale lalikulu.

Kodi Canagliflozin ingatengedwe pamodzi ndi Metformin?

Inde, mungathe. Chinthu chachikulu chomwe mankhwala a Metformin amachita ndi kuchepetsa kuyamwa kwa shuga m'matumbo anu, kuchepetsa kutuluka kwa shuga komwe kumasungidwa m'chiwindi, komanso kuthandiza thupi kugwiritsa ntchito shuga.

Nthawi zina dokotala wanu angakulembereni mapiritsi osakaniza mankhwala onse awiriwa. Dzina la mankhwala ndi Invokamet. Pali mitundu iwiri ya mankhwalawa. Limodzi (Invokamet XR) limatengedwa kamodzi patsiku ndipo limapangidwa kuti lizilowedwa pang'onopang'ono. Lina (Invokamet) limatengedwa kawiri patsiku ndipo limalowedwa mwachangu. Dokotala wanu adzasankha lomwe lili labwino kwa inu.

Kodi mankhwalawa amawononga ndalama zingati?

Kawirikawiri Canagliflozin ndi mankhwala okwera mtengo kwambiri. Ngati mukulandira chithandizo kuchipatala cha boma, mutha kupeza mankhwalawa kwaulere. Ngati mukulandira chithandizo mwachinsinsi, mtengo wake ungasiyane malinga ndi komwe mumapeza mankhwalawo komanso ngati muli ndi inshuwaransi yazaumoyo. Dokotala wanu ndiye munthu wabwino kwambiri woti mulankhule naye za izi. Choncho muwafunse za mtengo wake ndi zomwe mungasankhe.