Kodi dokotala wanu wakupatsani mankhwala a Empagliflozin, omwe amadziwika ndi dzina lodziwika bwino la Jardiance? Ngati ndi choncho, mwina muli ndi mafunso ambiri okhudza mankhwalawa. Mwina mukudabwa zinthu monga, "Kodi mankhwalawa amagwira ntchito bwanji?", "Kodi ndi otetezeka?", "Kodi angayambitse zotsatirapo zotani?" Musadandaule, ndi zachilendo. Tiyeni tikambirane lero kuti tipeze mayankho a mafunso onsewa omwe muli nawo.
Kodi Empagliflozin (Jardiance) ndi chiyani?
Mwachidule, Empagliflozin ndi mankhwala omwe madokotala nthawi zambiri amapereka kuti athandize kuchepetsa kuchuluka kwa shuga m'magazi mwa anthu omwe ali ndi matenda a shuga amtundu wa 2. Amabwera ngati piritsi lomwe mumamwa kamodzi patsiku. Nthawi zina mungapatsidwe limodzi ndi mankhwala ena a shuga. Koma kumbukirani, awa si mankhwala a matenda a shuga amtundu woyamba.
Mankhwalawa ali m'gulu la mankhwala otchedwa `sodium-glucose co-transporter-2 (SGLT2) inhibitors`. Ndi dzina lovuta, sichoncho? Koma njira yake yogwirira ntchito ndi yosavuta kwambiri. Mankhwalawa amalunjika mwachindunji puloteni yapadera yotchedwa SGLT2 yomwe imapezeka mu impso zathu.
Kodi mankhwalawa amagwira ntchito bwanji pa matenda a shuga?
Izi zimagwira ntchito mosangalatsa kwambiri. Chomwe mankhwalawa amachita ndichakuti amathandiza thupi lanu kuchotsa shuga wochulukirapo womwe wasonkhanitsidwa m'thupi lanu kudzera mu mkodzo wanu. Nthawi zambiri, impso zathu zikayeretsa magazi, shuga womwe uli m'magaziwo umabwereranso m'thupi. Koma chomwe Empagliflozin imachita ndichakuti imaletsa shuga wochulukirapo kuti usabwererenso m'thupi. Choncho shuga wochulukirapo umatuluka mosavuta m'thupi kudzera mu mkodzo wanu.
Kusunga shuga m'magazi mwanu moyenerera n'kofunika kwambiri kuti mudziteteze ku mavuto aakulu omwe angabwere chifukwa cha matenda a shuga mtsogolo, monga matenda a mtima, kupweteka kwa mitsempha kosatha, ndi matenda a impso.
Koma ziyeneranso kunenedwa kuti kuti mupeze zotsatira zabwino kwambiri kuchokera ku mankhwalawa, ndikofunikira kugwiritsa ntchito limodzi ndi zakudya zabwino komanso kuchita masewera olimbitsa thupi nthawi zonse .
Kodi izi zimathandiza bwanji ndi kulephera kwa mtima?
Inde, mankhwalawa avomerezedwa kuti athandize kuchiza matenda a mtima, kaya muli ndi matenda a shuga kapena ayi. Amakhulupirira kuti mankhwalawa amapangitsa kuti mtima uzitha kupopa magazi m'thupi lonse mosavuta.
Asayansi sakudziwabe 100% momwe zoletsa za SGLT2 zimathandizira matenda a mtima. Koma lingaliro limodzi lalikulu ndilakuti zimathandizira thanzi la impso. Taganizirani izi, impso zikasagwira ntchito bwino, mtima umayenera kugwira ntchito molimbika kuti upompe magazi kupita nawo. Choncho kuthandiza impso kugwira ntchito kumachepetsanso ntchito ya mtima.
Anthu omwe ali ndi matenda a shuga amtundu wachiwiri ali pachiwopsezo chachikulu cha matenda a mtima ndi mavuto ena a mtima. Chifukwa chake, madokotala amapereka mankhwalawa kuti achepetse chiopsezo cha imfa chifukwa cha matenda a mtima kapena sitiroko kwa anthu omwe ali ndi matenda a shuga komanso matenda a mtima.
Kodi ndingatenge Empagliflozin ndi Metformin?
Inde, nthawi zambiri zimaonedwa kuti ndizotetezeka kumwa Metformin ndi Empagliflozin pamodzi. Nthawi zambiri zimakhala zofala kupereka Empagliflozin kuwonjezera pa Metformin, yomwe ndi njira yothandiza kwambiri pochiza matenda a shuga. Nthawi zina, dokotala wanu angakupatseninso mapiritsi osakaniza, monga `Synjardy`, omwe ndi osakaniza a mankhwalawa awiriwa.
Koma apa pali chinthu chofunikira kwambiri . Ngati mukumwa kale mankhwala omwe angachepetse shuga m'magazi mwanu kwambiri, monga insulin kapena sulfonylurea, dokotala wanu angafunike kuchepetsa mlingo wanu wa mankhwalawa mukayamba kumwa Empagliflozin. Kupanda kutero, shuga m'magazi mwanu akhoza kutsika kwambiri.
Kodi zotsatirapo zake zoyipa za Empagliflozin ndi ziti?
Monga mankhwala ena aliwonse, Empagliflozin ingayambitse zotsatira zina zoyipa. Koma nthawi zambiri, izi sizili zoopsa kwenikweni. Tiyeni tiwone zomwe zili.
| Mtundu wa zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Zotsatira zoyipa zazing'ono wamba | |
| Kukodza pafupipafupi | Izi ndi zachilendo chifukwa cha momwe mankhwala amagwirira ntchito. |
| Ludzu lochuluka la madzi | Zimachitika chifukwa cha kusowa madzi m'thupi. Imwani madzi ambiri tsiku lonse. |
| Matenda a yisiti m'dera loberekera | Zingachitike chifukwa cha shuga wambiri mu mkodzo. Ndikofunikira kukhala waukhondo. |
| Matenda a mkodzo (UTI) | Pali chiopsezo chochepa cha matenda opatsirana m'mitsempha ya mkodzo. |
| Ngati muli ndi zizindikiro izi, lankhulani ndi dokotala wanu. | |
| Kumalo oberekera kapena kuzungulira thako... | Ululu, kuyabwa, kutupa, kufiira, fungo, kapena kutuluka magazi. |
| Mukamakodza... | Kupsa, kupweteka, mkodzo wodzaza ndi mitambo, kapena kutuluka magazi. |
| Ululu | Ululu m'mimba kapena mbali zonse ziwiri za msana. |
| Ngati muli ndi zizindikiro izi, pitani ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo. | |
| Kuyankha kwakukulu kwa ziwengo | Matuza pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za Ketoacidosis | Kusanza ndi kusanza, kupweteka m'mimba, kutopa kwambiri, komanso kuvutika kupuma. Imeneyi ndi vuto losowa kwambiri koma loopsa. |
Kodi nthawi yabwino yomwa mankhwala ndi iti?
Dokotala wanu adzakupatsani upangiri wabwino kwambiri pankhaniyi. Koma madokotala nthawi zambiri amalimbikitsa kumwa piritsi ili m'mawa . Ndi bwino kumwa nthawi yomweyo tsiku lililonse ngati n'kotheka. Mutha kumwa musanadye kapena mutadya.
Ngati mwaiwala kumwa mapiritsi tsiku lina, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yatsala pang'ono yoti mutenge mapiritsi ena, musamwe mapiritsi omwe munaphonya ndipo mutenge mapiritsi ena panthawi yomwe mwakonza. Musamwe mapiritsi awiri nthawi imodzi. Komanso, musasiye kumwa mapiritsi anu popanda kulankhula ndi dokotala wanu, ngakhale mutakhala bwino.
Kodi mankhwalawa amakuthandizani kuchepetsa thupi?
Empagliflozin si mankhwala ochepetsa thupi mwachindunji. Koma mutha kuchepetsa thupi pang'ono mukatenga. Chifukwa cha izi ndichakuti, monga ndanenera kale, shuga wowonjezera akatulutsidwa mu mkodzo, ma calories omwe ali mu shugayo amatulutsidwanso m'thupi.
Kafukufuku wasonyeza kuti anthu omwe adamwa mankhwalawa kwa milungu 24 adataya pafupifupi 3% ya kulemera kwa thupi lawo. Mwachidule, ngati munthu akulemera pafupifupi makilogalamu 100, amatha kuwona kutayika kwa pafupifupi makilogalamu atatu.
Uthenga Wopita Nawo Kunyumba
- Empagliflozin ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda a shuga amtundu wachiwiri ndi matenda a mtima. Amathandiza pochotsa shuga wochuluka m'thupi kudzera mu mkodzo.
- Nthawi zonse imwani mankhwala anu monga momwe dokotala wanu wanenera, panthawi yoyenera (nthawi zambiri m'mawa). Ngati mwaphonya mlingo, musamwe milingo iwiri nthawi imodzi.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena aliwonse, mavitamini, zowonjezera zomwe mukumwa, komanso ngati mumamwa mowa.
- Dziwani zotsatirapo zake. Dziwani makamaka zizindikiro zazikulu monga matenda a mkodzo, matenda opatsirana pogonana, kapena ketoacidosis. Ngati mukukayikira, funsani dokotala nthawi yomweyo.
- Kuti mupeze zotsatira zabwino kuchokera ku mankhwalawa, musaiwale kuti kudya zakudya zabwino komanso kuchita masewera olimbitsa thupi ndikofunikira.
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