Umuti mushya uvura diyabete? Reka twige ku binini bya Alogliptin na Pioglitazone!

Ese nawe uri umuntu urwaye diyabete, cyangwa "indwara y'isukari" nk'uko abantu benshi babyita? Hari igihe bigorana kugenzura urugero rw'isukari mu maraso yawe ndetse no nyuma yo kugenzura indyo yawe no gukora imyitozo ngororamubiri, si byo se? Mu bihe nk'ibi, bumwe mu bwoko bw'imiti abaganga baduha ngo ifashe ni alogliptin na pioglitazone. Ese uyu munsi twabivugaho mu buryo burambuye? Reka tubisobanukirwe mu buryo bworoshye, nk'aho twabwira inshuti.

Uyu muti ni uwuhe?

Mu magambo make, iyi alogliptin na pioglitazone `(Alogliptin; Pioglitazone)` ni umuti uhabwa abantu barwaye diyabete yo mu bwoko bwa 2 `(Diyabete yo mu bwoko bwa 2)` . Ufasha kugenzura ingano y'isukari mu maraso yawe, ni ukuvuga urugero rwa glucose `(glucose)`. Ariko, gufata uyu muti byonyine ntibihagije. Ugomba kubikora hamwe n'indyo nziza n'imyitozo ngororamubiri. Ni uko ubikoze mu buryo buri ku rugero ari bwo ubona umusaruro mwiza. Ushobora kumenya uyu muti ku izina rya `(Oseni)`. Ariko muganga wawe ashobora no kuguha uyu muti ku kindi kintu. Kubwibyo, niba ufite ikibazo icyo ari cyo cyose, ni byiza kubaza muganga wawe cyangwa umufarumasiye.

Ni ibihe bintu ugomba kubwira muganga wawe mbere yo gufata umuti?

Noneho reka turebe ibintu ugomba kubwira muganga wawe cyangwa umuforomo mbere yuko utangira gufata uyu muti. Kuko aya makuru niyo muganga azakoresha kugira ngo afate icyemezo niba uyu muti ukubereye cyangwa utakubereye, n'uburyo bwo kuwutanga. Ni ngombwa cyane kugira ngo umutekano wawe ube ugaragaza neza ibi bintu.

Niba ufite kimwe muri ibi bikurikira, ugomba kuvuga uti:

• Niba ufite cyangwa warigeze kugira kanseri y'uruhago .
• Ketoacidosis ya diyabete ni indwara iterwa na diyabete (aho aside mu maraso yiyongera, akenshi iherekezwa n'impinduka mu guhumeka no kubabara mu gifu). Iyi ni indwara ikomeye cyane.
• Indwara y'amaso yitwa macular edema (indwara aho amazi yiyongera mu jisho, bigatuma umuntu atabona neza).
• Niba ufite utubuye tw'indurwe .
• Niba ufite indwara y'umutima , cyane cyane umutima unanirwa (ibi bishobora gutera guhumeka nabi no kubyimba amaguru).
• Iyo hari triglycerides nyinshi mu maraso.
• Niba ukunda kunywa inzoga buri gihe .
• Niba imihango yawe idahuje (niba uri umugore).
• Niba ufite indwara y'impyiko .
• Niba ufite indwara y'umwijima .
• Pancreatite (ibi bishobora gutera ububabare bukomeye mu nda yo hejuru, rimwe na rimwe bigasa n'umugongo).
• Indwara y'intanga ngabo (PCOS)Iyo ndwara (ihindagurika ry'imisemburo ribaho ku bagore).
• Niba wigeze kubyimba ururimi, isura, cyangwa iminwa, guhumeka bigoranye, kumira nabi, guhindura ijwi, cyangwa kubabara mu muhogo (ibi bishobora kuba ikimenyetso cy'uburwayi bukomeye).
• Niba ufite ibibyimba mu biganza byawe, amaguru, cyangwa ibirenge .
• Niba urwaye Diyabete yo mu bwoko bwa 1 (uyu muti uhabwa abantu bafite ubwoko bwa 2).
• Niba ufite ubwivumbure kuri alogliptin, pioglitazone, indi miti, ibiryo, amabara y'ubukorano, cyangwa imiti irinda ubushyuhe.
• Niba urimo kugerageza gutwita , cyangwa usanzwe utwite .
• Niba uri umubyeyi wonsa .

Ni gute ukoresha uyu muti neza?

None se, nyuma yuko muganga aguhaye uyu muti, uwukoresha ute neza? Wibuke ibi kandi.

Iki ginini kigomba kunyobwa mu kanwa, hamwe n'amazi make . Ni byiza kugifata icyarimwe buri munsi , nk'uko muganga wawe yabikubwiye. Ntukagimene, ntukivune, ntugishenjagure cyangwa ngo ugiheke . Mira ikinini cyose. Ushobora kugifata mbere cyangwa nyuma yo kurya . Ariko, niba wumva igifu kikurya nabi, ni byiza kugifata hamwe n'ibiryo. Ugomba gukomeza gufata uyu muti kugeza igihe muganga wawe azakubwiriye guhagarika . Ntugahagarike giturumbuka, sibyo?

Iyo ubonye uyu muti muri farumasi, uzahabwa "MedGuide" yihariye, urupapuro rw'amakuru yerekeye umuti, hamwe na buri muganga waguze ndetse n'igihe wongerewe. Wibuke kuwusoma witonze. Urimo amakuru y'ingenzi cyane.

Vugana n'itsinda ry'abaganga ku bijyanye no guha uyu muti abana bato, kuko ushobora gusaba ubwitonzi bwihariye.

Bite ho niba wafashe imiti myinshi ku bushake? Niba ubona ko wafashe uyu muti urenze urugero, jya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe cyangwa uhamagare ikigo gishinzwe kurwanya uburozi ako kanya . Ntutinde.

Icy'ingenzi: Uyu muti wanditswe kuri wewe gusa. Ntukigere uwusangira n'undi muntu uwo ari we wese. Ushobora kubagiraho ingaruka, kuko ubuzima bwa buri wese buratandukanye.

Wakora iki niba wabuze dose y'umuti?

Noneho tekereza ko wibagiwe gufata umuti wawe umunsi umwe. Wakora iki biramutse bibaye? Ntugahangayike.

Fata dose yabuze ukimara kwibuka . Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe . Ntukigere ufata dose ebyiri icyarimwe cyangwa ngo ufate izindi . Kubikora bishobora guteza ibibazo.

Ni iyihe miti yindi ishobora kugira ingaruka kuri uyu muti?

Mu gihe ukoresha uyu muti, hari indi miti ishobora kugira ingaruka kuri wo, bivuze ko ishobora kugongana. Kuwufata hamwe n'indi miti bishobora guhindura uburyo uyu muti ukora cyangwa kongera ingaruka mbi. Kubwibyo, ni ngombwa cyane kubwira muganga wawe ibyo ufata byose.

Ibi binini bya `(Alogliptin; Pioglitazone)` bishobora kugira ingaruka ku iyi miti cyane cyane:

• Gemfibrozil (umuti ukoreshwa mu kugabanya cholesterol)
• Insulin (undi muti uvura diyabete)
• Rifampin (umuti uvura igituntu)
• Sulfonylureas ( imiti ya diyabete nka glimepiride, glipizide, na glyburide)
• Topiramate (umuti ukoreshwa mu kuvura igicuri n'umutwe urwaye migraine)

Uretse ibi, hari indi miti myinshi ishobora kugira ingaruka ku rugero rw'isukari mu maraso yawe, bityo rero menya ibi bintu:

• Inzoga
• Aspirine n'imiti imeze nka aspirine
• Chloramphenicol (umuti uvura indwara zandurira mu mikorobe)
• Chromium (hari abantu bayifata nk'inyongeramusaruro ku ntungamubiri)
• Imiti igabanya ubukana bw'inkari ( imiti yongera ingano y'inkari zikorwa, yitwa kandi 'ibinini by'amazi')
• Urugero, imisemburo y'abagore , imiti irimo estrogens cyangwa progestins, ndetse n'ibinini byo kuboneza urubyaro
• Imiti imwe n'imwe ivura indwara z'umutima `(Imiti y'umutima)`
• Isoniazid (umuti uvura igituntu)
• Imisemburo y'abagabo cyangwa steroidi z'aba-anabolic
• Imiti yo kugabanya ibiro
• Imiti ivura allergie, asima, ibicurane, cyangwa inkorora (imwe ishobora kuba irimo isukari)
• Imiti ivura ibibazo byo mu mutwe
• Imiti iri mu itsinda ryitwa MAO Inhibitors (urugero: `(Nardil)`, `(Parnate)`, `(Marplan)`, `(Eldepryl)`)
• Niacin (vitamini B3, ifasha no mu kurwanya cholesterol)
• NSAIDs (imiti igabanya ububabare no kubyimba, nka ibuprofen cyangwa naproxen)
• Pentamidine (umuti uvura indwara zandura)
• Phenytoin (umuti ukoreshwa mu kuvura igicuri)
• Probenecide (umuti uvura goutte)
• Antibiyotike za Quinolone (urugero: ciprofloxacin, levofloxacin, ofloxacin)
• Inyunganiramirire zimwe na zimwe z'ibimera
• Imiti ya steroid (urugero: prednisone cyangwa cortisone)
• Umuti wa tiroyide

Uru rutonde ntabwo rurambuye. Bwira muganga wawe imiti yose ufata (wandikiwe na muganga, utayiguze na muganga, imiti y’ibimera, vitamine, n’inyongeramusaruro) . Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti . Bimwe muri ibyo bintu bishobora kugira ingaruka ku miti yawe.

Ni ibihe bintu ugomba kwitondera mu gihe ufata uyu muti?

Ugomba kwita ku buzima bwawe cyane mu gihe ufata uyu muti. Ibyo bintu ni ibihe?

• Jyana na muganga wawe buri gihe kugira ngo arebe uko umeze . Muganga wawe azashaka kureba uko ugenda utera imbere. Ushobora kandi gukenera gukora isuzuma ry'amaraso mu gihe ufata uyu muti.
• Muganga wawe azagushakira ikizamini cyitwa HbA1C (kizwi kandi nka A1C) . Iki ni ikizamini cyoroshye cy'amaraso. Kireba uburyo isukari yawe mu maraso yagenzuwe mu mezi 2-3 ashize . Iki kizamini gikunze gukorwa buri mezi 3 cyangwa buri mezi 6.
• Menya uburyo bwo kwisuzuma urugero rw'isukari mu maraso yawe ubwawe . Ni ngombwa kandi kumenya ibimenyetso by'isukari nke mu maraso (hypoglycemia) n'isukari nyinshi mu maraso (hyperglycemia) n'uburyo bwo kubikemura .
• Buri gihe ujye witwaza isukari (urugero: ibinini by'isukari, ibinini bya glucose) mu gihe isukari yawe mu maraso igabanuka (urugero: ibyuya, kunyeganyega, isereri) . Niba ufite isukari nkeya mu maraso kandi ukaba urimo kurwara indwara yo mu mutwe no guta ubwenge, menyesha abandi ko ushobora kubyimbirwa niba ugerageje kubaha ibiryo cyangwa icyo kunywa muri icyo gihe . Niba iyi ari indwara ikomeye , shaka ubufasha bwa muganga vuba .
• Niba wumva igipimo cy'isukari mu maraso yawe kiri hejuru (urugero: inyota ikabije, kwihagarika cyane, umunaniro), bwira muganga wawe . Igipimo cy'imiti yawe gishobora kuba ngombwa ko gihindurwa. Niba urwaye cyangwa ukora siporo irenze uko bisanzwe, igipimo cy'imiti yawe gishobora kuba ngombwa ko gihindurwa .
• Ntukabure kurya . Baza muganga wawe niba ukwiye kwirinda kunywa inzoga . Imiti myinshi yo gukorora no gukonja igurishwa na muganga ishobora kuba irimo isukari cyangwa inzoga . Ibi bishobora kugira ingaruka ku rugero rw'isukari mu maraso.
• Uyu muti ushobora kongera ibyago byo kurwara indwara zimwe na zimwe z'umutima .Niba ubabara mu gituza, ubabara cyane, ububabare bugera mu rwasaya cyangwa mu kuboko, cyangwa ukagira ikibazo cyo guhumeka, shaka ubufasha bwa muganga vuba. Ibi bishobora kuba ibimenyetso by'indwara y'umutima cyangwa indi ndwara ikomeye .
• Ku bagore bari hafi gucura ariko batari mu mihango, uyu muti ushobora gutera intanga . Ibi bishobora kongera amahirwe yo gusama . Vugana n'itsinda ry'abaganga ku bijyanye n'uburyo bwo kuboneza urubyaro. Bwira muganga wawe niba ubona ko utwite .

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, ibi binini bya `(Alogliptin; Pioglitazone)` bishobora gutera ingaruka zimwe na zimwe. Bimwe muri byo ntabwo bikomeye, ariko bimwe muri byo bigomba kumenyeshwa muganga wawe vuba.

Ingaruka mbi ugomba guhita ubibwira muganga wawe

Niba ubonye kimwe muri ibi bimenyetso, bwira itsinda ry’abaganga vuba na bwangu:

• Ubwivumbure bw'uruhu — uduheri two ku ruhu, kuribwa, uduheri (uduheri dusa n'uduheri), kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Impinduka mu kureba — nko kubona nabi, kubona indorerwamo zikikije amatara, cyangwa gutakaza ubushobozi bwo kubona.
• Umutima unanirwa — Guhumeka nabi, kubyimba utubuto, ibirenge, cyangwa amaboko, kwiyongera ibiro mu buryo butunguranye, no kumva unaniwe cyangwa ufite intege nke bidasanzwe.
• Gukomereka k'umwijima — Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, amabyi y'ibara ryoroheje, inkari z'umuhondo wijimye cyangwa umukara, uruhu cyangwa amaso bihinduka umuhondo, intege nke cyangwa umunaniro udasanzwe.
• Pancreatite — Ububabare bukomeye mu nda bugera mu mugongo, ububabare burushaho kwiyongera nyuma yo kurya cyangwa iyo umuntu abikozeho, umuriro, isesemi no kuruka.
• Inkari zitukura cyangwa z'umukara wijimye, ububabare cyangwa ingorane zo kunyara, kunyara kenshi.
• Uruhu rutukura, uduheri, gushibuka, cyangwa gufungana (bishobora no kugaragara mu kanwa).
• Ububabare bukomeye bw'ingingo .

Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje

Ingaruka mbi zikurikira akenshi ntizisaba ubuvuzi. Ariko, niba zikomeje cyangwa zikakubangamira, bwira muganga wawe :

• Inkorora
• Impiswi
• Umutwe
• Kubabara imitsi
• Izuru rivamo amazi cyangwa rizibye
• Kubabara mu muhogo

Uru rutonde rushobora kuba rudakubiyemo ingaruka mbi zose zishobora kubaho. Niba ubonye ikintu kidasanzwe, vugana na muganga wawe. Ushobora kandi gutanga raporo ku bisubizo bya FDA (1-800-FDA-1088).

Ni gute wakwirinda imiti?

Ni ngombwa kandi kumenya uburyo bwo kubika uyu muti neza.

• Bika ahantu abana n'amatungo batagera.
• Bika ku bushyuhe bw'icyumba (hagati ya dogere selisiyusi 20 na 25, cyangwa dogere selisiyusi 68 na 77). Rinda ubushuhe n'ubushuhe. Bika icupa neza.
• Tata umuti uwo ari wo wose utakoreshejwe warengeje igihe warangiriraho.

Ni gute wajugunya imiti itarakoreshejwe n'iyarengeje igihe?

Iki nacyo ni ikibazo cy'ingenzi. Kugijugunya mu myanda gusa ntabwo ari cyo kizagufasha.

• Jyana uyu muti ahantu hari gahunda yo gufata imiti. Ushobora kumenya amakuru kuri farumasi yawe cyangwa polisi.
• Niba udashobora kuyisubiza, reba ku rupapuro rw'imiti cyangwa agapapuro kari ku gapaki kugira ngo urebe niba uyu muti ukwiye kujugunywa mu myanda cyangwa ugashyirwa mu musarani. Niba utabizi neza, baza itsinda ry'abaganga.
• Niba nta kibazo cyo kujugunya imyanda, fata umuti mu icupa uwuvange n'ikintu kidakora, nk'imyanda y'injangwe, ivumbi, cyangwa ikawa. Hanyuma, shyira uwo muti mu gikapu cyangwa mu gikoresho, uwufunge, hanyuma uwujugunye mu myanda.

Hanyuma, ibintu bike byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Twavuze byinshi kuri ibi binini bya Alogliptin na Pioglitazone, si byo se? Dore bimwe mu bintu by'ingenzi ugomba kwibuka:

• Uyu muti utangwa ahanini mu rwego rwo kurwanya diyabete yo mu bwoko bwa 2.
• Nk'uko muganga abivuga, ni ingenzi cyane gufata igipimo gikwiye mu gihe gikwiye.
• Ni ngombwa gukurikiza indyo n'imyitozo ngororamubiri hamwe n'uyu muti kugira ngo ubone umusaruro mwiza.
• Menya neza ko wabwiye muganga wawe indi miti, ibyatsi, na vitamine ufata.
• Niba ugize ingaruka mbi nshya, cyane cyane ibimenyetso bikomeye twavuze, menyesha muganga wawe vuba.
• Genzura urugero rw'isukari mu maraso yawe buri gihe, kandi umenye ibimenyetso by'isukari nke mu maraso.
• Niba utwite, uteganya gutwita, cyangwa wonsa, banza ubibwire muganga wawe mbere yo gufata uyu muti.
• Uyu muti ni uwawe gusa. Ntuwuhe undi muntu uwo ari we wese.

Aka gatabo ni incamake gusa. Gashobora kuba kadafite amakuru yose ukeneye. Niba ufite ibindi bibazo kuri uyu muti, nyamuneka vugana na muganga wawe, umufarumasiye, cyangwa umuvuzi wawe.

Ni ngombwa kwita ku buzima bwawe. Kubana na diyabete bishobora kugorana, ariko iyo ubishoboye neza, ushobora kugira ibyishimo. Amahirwe masa kuri wewe!

Alogliptin , Pioglitazone, Diyabete, Diyabete yo mu bwoko bwa 2, Kurwanya isukari, Imiti ya Diyabete, Ingaruka mbi