Ese nawe uri kuvurwa Diyabete yo mu bwoko bwa 2? Niba ari uko bimeze, muganga wawe ashobora kuba yaragundikiye ikinini gihuza imiti ibiri. Imwe muri iyo miti ikunze kwandikirwa ni Dapagliflozin na Metformin. Ushobora kuba uyizi ku izina nka Xigduo XR. Kubera ko uyu ari umuti udasanzwe, ni ngombwa cyane kuwumenya neza. Reka tuvuge kuri byose mu buryo bworoshye kandi bwiza uyu munsi.
Ni iki koko kigenda gitya kuri uyu muti?
Mu magambo make, ibintu bibiri bigize uyu muti, Dapagliflozin na Metformin, bikorana kugira ngo bifashe mu kugenzura urugero rw'isukari mu maraso yawe. Ibi bibikora mu buryo bumwe. Kimwe ni ugutuma impyiko zawe zisohora isukari nyinshi mu nkari zawe. Ikindi ni ukugabanya ingano y'isukari umwijima wawe ukora no gufasha uturemangingo tw'umubiri wawe kwakira neza insuline.
Ariko uyu muti wonyine ntuhagije. Ushobora kubona umusaruro mwiza iyo ufashe uyu muti hamwe n'indyo ikwiye n'imyitozo ngororamubiri. Ni nk'imikino yo mu ikipe. Wowe, umuganga, uyu muti, n'imibereho yawe mugomba gukorana.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Ibi ni ingenzi cyane. Mbere yo gutangira gufata uyu muti, ugomba guha muganga wawe ibisobanuro byuzuye ku buzima bwawe. Cyane cyane niba ufite imwe muri izi ndwara zikurikira, menya neza ko umubwiye ibyazo.
| Imiterere y'ubuzima cyangwa ingeso | Kuki ugomba kubibwira muganga ? |
|---|---|
| Indwara y'impyiko cyangwa umwijima | Uyu muti uvanwa mu mubiri unyuze mu mpyiko, bityo niba hari ibibazo kuri izi ngingo, ingano y'umuti ishobora gukenerwa guhindurwa. |
| Indwara z'umutima cyangwa umuvuduko w'amaraso uri hasi | Uyu muti ushobora kugabanya umuvuduko w'amaraso cyane. |
| Niba urwaye pancreatitis | Uyu muti ushobora kongera ibyago byo kongera indwara. |
| Niba unywa inzoga kenshi | Guhuza inzoga na Metformin bishobora gutera indwara ikomeye yitwa lactic acidosis. |
| Niba waragabanyije ibyo kurya bitewe no kubura amazi cyangwa indwara/kubagwa | Iyo umubiri ubuze amazi, ibyago byo kugira ingaruka mbi biriyongera. |
| Niba ukunze kugira indwara zo mu nkari cyangwa indwara z'umusemburo mu gitsina | Uyu muti wongera ibyago byo kwandura iyi ndwara kuko wongera urugero rw'isukari mu nkari. |
| Niba urwaye Diyabete yo mu bwoko bwa 1 | Uyu muti ugirwa inama gusa ku bantu barwaye diyabete yo mu bwoko bwa 2. |
| Niba utwite, ugerageza gutwita, cyangwa wonsa | Muri ibi bihe, uyu muti ntukwiriye. Kubwibyo, ugomba kuvugana na muganga wawe ugatekereza ku bundi buryo. |
| Niba ufite aleriji ku yindi miti, ibiryo, cyangwa ibindi bintu | Ushobora kuba ufite ubwivumbure ku kintu kiri mu muti. |
Ni gute neza neza nkoresha uyu muti?
- Nywa n'ikirahure cy'amazi: Ni ngombwa gufata uyu muti mu gihe kimwe buri munsi, nk'uko muganga wawe yabigutegetse.
- Kumira ikinini: Iki ni ikinini cyakozwe mu buryo bwihariye (Extended-Release). Ibi bivuze ko umuti usohokera mu mubiri buhoro buhoro. Rero ntukagimene, ntukimene, ntukimene cyangwa ngo ugiheke. Kimene cyose.
- Fata ibi ukoresheje ibiryo: Ni byiza kubikoresha ukoresheje ibiryo kugira ngo ugabanye ibyago byo kubabara mu gifu.
- Ntureke: Komeza gufata umuti igihe cyose muganga wawe akubwira. Ntureke kuwufata uko ubyishakiye.
Bite ho nintakaza urugero rw'umuti?
Yego, birashoboka. Fata dose yabuze ukimara kubyibuka. Ariko niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate ikinini gikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri.
Indi miti idahuye n'uyu muti (Interactions)
Ni ngombwa cyane kubwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti gakondo), kuko hari imiti ishobora kugira ingaruka kuri iyi miti.
| Ntugafate imiti hamwe n'ibi bintu! | |
|---|---|
| Hari ubwoko bumwe na bumwe bw'itandukaniro butangwa mbere y'ibizamini nka X-rays, CT scans, na MRIs. | Umuti witwa Dofetilide. |
| Ibi bishobora kugira ingaruka ku buzima - bwira muganga wawe. | |
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Uru rutonde ntirwuzuye, bityo ni byiza kubwira muganga wawe ibyo ufata byose.
Ingingo zihariye ugomba kwitondera mu gihe ufata umuti
- Gusuzumwa buri gihe: Muganga wawe azagusuzuma buri gihe. Isuzuma ry'amaraso ryitwa HbA1C rikorwa rimwe mu mezi 2-3. Ripima uburyo isukari yo mu maraso yawe igenzurwa neza.
- Isukari nke mu maraso (Hypoglycemia):Mu gihe ufata uyu muti, cyane cyane iyo uwufashe hamwe n'indi miti ya diyabete nka insuline, igipimo cy'isukari mu maraso gishobora kugabanuka mu buryo butunguranye. Niba ubonye ibimenyetso nko kubira ibyuya, guhinda umushyitsi, inzara ikabije, kugorwa no kwibanda ku bintu, cyangwa gucika intege, bishobora kuba ikimenyetso cy'isukari nke mu maraso. Buri gihe shyira agace k'isukari, tofe, cyangwa ikinini cya glucose hafi yawe igihe ibi bibaye.
- Isukari nyinshi mu maraso na DKA: Hari igihe, kimwe no ku ndwara, urugero rw'isukari mu maraso yawe rushobora kugorana. Niba ugize ibimenyetso nko kugira inyota ikabije, kwihagarika kenshi, kuma mu kanwa, guhumeka nabi, kubabara mu nda no kugira isesemi, ibi bishobora kuba ibimenyetso by'indwara ikomeye yitwa Diabete Ketoacidosis (DKA) . Ibi nibibaho, ugomba kwihutira gushaka abaganga.
- Kubagwa no gupimwa: Niba ugiye kubagwa, gupimwa na MRI, cyangwa gupimwa na CT, bwira itsinda ry’abaganga mbere y’igihe ko ufata uyu muti. Ushobora gukenera guhagarika gufata uyu muti iminsi mike mbere y’uko ukorerwa .
- Igipfundikizo cy'ikinini: Hari igihe igipfundikizo kidashonga cy'uyu muti, ikinini ubwacyo, gishobora gusohoka hamwe n'umwanda wawe. Ibi ni ibisanzwe, ntugahangayike. Umuti uba warinjiye mu mubiri.
- Vitamine B12 na aside folike: Gukoresha metformin igihe kirekire bishobora gutuma urugero rwa vitamine B12 rugabanuka. Vugana na muganga wawe kuri ibi hanyuma upimwe nibiba ngombwa.
Ingaruka mbi zishobora kubaho
Kimwe n'indi miti iyo ari yo yose, iyi ishobora kugira ingaruka mbi. Imwe ni mbi cyane, indi ni isanzwe.
| Ibimenyetso bisaba ko ubibwira muganga wawe byihutirwa cyangwa ukajya kwa muganga w’indwara z’umutima (ETU) | |
|---|---|
| Uburyo bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Ibimenyetso bya lactic acidosis | Kuribwa cyangwa kubabara imitsi, kuribwa mu nda, guhumeka bigoranye, umunaniro ukabije. Iki ni ikibazo gikomeye cyane. |
| Ibimenyetso bya Diyabete Ketoacidosis (DKA) | Inyota ikabije, kwihagarika cyane, kuma mu kanwa, guhumeka nabi, guhumeka bigoranye, kubabara mu nda, kugira isesemi/kuruka. |
| UTI (indwara y'inkari) | Kwandura indwara zo mu nkari, kwihagarika kenshi, amaraso mu nkari, kubabara umugongo cyangwa ikibuno. |
| Indwara mu gice cy'imibonano mpuzabitsina | Gutukura, kubyimba, ububabare, uburyaryate, impumuro mbi, cyangwa ibintu bidasanzwe biva mu gitsina cyangwa hafi yacyo. |
| Kubura amazi mu mubiri | Inyota ikabije, umunwa wumye, gucika intege, inkari zijimye. |
| Ubusanzwe ntabwo ari ikibazo gikomeye, ariko niba kigikomeje, bwira muganga wawe. | |
| Impiswi | Isesemi/kuruka |
| Umutwe | Ibimenyetso bisa n'ibicurane (ibicurane) |
Niba ubona ko warengeje urugero rw'umuti, jya mu Ishami rishinzwe ubutabazi (ETU) riri hafi yawe. Cyangwa hamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu Bitaro by'Igihugu bya Colombo.
Ubutumwa bwo kujyana mu rugo
- Mbere yo gutangira uyu muti, bwira muganga wawe indwara zawe zose n'indi miti yose ufata.
- Mirira ikinini cyose n'amazi utagishenye, utagishenye cyangwa ngo ugiheke.
- Menya ibimenyetso bya hypoglycemia na DKA, bishobora kubaho iyo isukari iri hejuru cyane mu maraso. Ni ngombwa kumenya icyo wakora muri ibyo bihe.
- Irinde kunywa inzoga. Bwira abaganga bawe ko urimo gufata uyu muti mbere yo kubagwa cyangwa gupimwa.
- Niba ugize ingaruka mbi zikomeye cyangwa ufite gushidikanya, hita ugana muganga wawe cyangwa ujye mu ishami ryita ku bibazo byihutirwa (ETU).
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.