Ese muganga wawe yagundikiye umuti mushya w’indwara yawe ya diyabete yo mu bwoko bwa 2? Ubwo wumvise ko izina ry’umuti ari Dapagliflozin na Saxagliptin (izwi cyane ku izina rya QTERN), wasanze bikubangamiye? Ntugahangayike. Uyu munsi, turaganira kuri uyu muti mu buryo bworoshye, nk’aho urimo ubwira inshuti yawe.
Uyu muti ni iki? Mu magambo make...
Uyu ni umuti ukoreshwa mu kuvura Diyabete yo mu bwoko bwa 2. Ufite inshingano ebyiri z'ingenzi. Imwe ni ugufasha umubiri wawe gusohora isukari nyinshi (glucose) mu nkari zawe. Indi ni ugukangura ikorwa rya insuline iva mu ipansya yawe, ifasha mu kugenzura urugero rw'isukari mu maraso.
Tekereza nk'abafasha babiri b'abahanga bagenzura urugero rw'isukari mu mubiri wawe. Ariko uyu muti wonyine ntuhagije. Indyo nziza n'imyitozo ngororamubiri ikwiye nabyo ni ngombwa.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Ni ngombwa cyane ko muganga wawe amenya amateka y’ubuzima bwawe mbere yo kuguha uyu muti. Menya neza ko wabibwiye muganga wawe niba ufite imwe mu ndwara zavuzwe haruguru.
| Imiterere cyangwa ingeso | Ibisobanuro |
|---|---|
| Indwara zisanzweho | Kanseri y'inkari, indwara z'umutima, kunanirwa k'umutima, indwara z'impyiko, cholesterol nyinshi, umuvuduko w'amaraso uri hasi, pancreatitis cyangwa amateka yayo, diyabete yo mu bwoko bwa 1. |
| Kwandura indwara n'ibindi bibazo | Niba ukunze kugira indwara zo mu myanya y'inkari (UTI), amateka y'indwara z'umusemburo mu gitsina, kugorwa no kunyara, cyangwa indwara yitwa diyabete ketoacidosis. |
| Imibereho n'ibindi bibazo | Iyo umubiri wawe wabuze amazi, iyo urya indyo irimo umunyu muke, iyo urya ibiryo byagabanutse bitewe n'uburwayi, kubagwa, cyangwa izindi mpamvu, cyangwa iyo unywa inzoga kenshi. |
| Ibirori byihariye | Niba utwite cyangwa ugerageza gusama, cyangwa niba uri umubyeyi wonsa. |
| Allergie | Niba ufite ubwivumbure kuri uyu muti (dapagliflozin, saxagliptin) cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi. |
Uyu muti nkwiye kuwukoresha nte?
Ibi biroroshye cyane.
- Mirira iki kinini n'ikirahure cy'amazi.
- Fata neza neza nk'uko muganga wawe yabigutegetse, mu gihe gikwiye. Akenshi ni byiza kuyifata mu gitondo.
- Ishobora gufatwa iri kumwe n'ibiryo cyangwa itari kumwe n'ibiryo.
- Ntukareke gufata imiti cyangwa ngo uhindure igipimo cy'imiti utabanje kugisha inama muganga wawe .
- Iyo uyu muti uhawe abana, hakenewe inama zihariye z'abaganga.
Ni iki cyakorwa niba ingano y'imiti yiyongereye?
Niba ubona ko wafashe imiti myinshi cyane, hamagara Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo ako kanya. Cyangwa, jya mu ishami ryita ku bibazo byihutirwa (ETU) ry'ibitaro biri hafi yawe.
Bite ho niba nibagiwe gufata umuti wanjye?
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 kugira ngo wishyure dose wibagiwe.
Indi miti ishobora kugira ingaruka kuri uyu muti
Ni ngombwa cyane kumenyesha muganga wawe imiti yose ufata. Imiti imwe n'imwe ishobora kugira ingaruka kuri uyu muti.
By'umwihariko, menya neza ko wavuze imiti ikurikira niba uyifata:
- Amwe mu matibayotike, nka gatifloxacin.
- Inzoga
- Imiti imwe n'imwe igabanya ubukana bw'agakoko gatera SIDA cyangwa Hepatite.
- Imiti nka ketoconazole na itraconazole, ikoreshwa mu kuvura indwara z'ibihumyo.
- Lithiyumu
- Steroid nka prednisone na cortisone.
- Sulfonylureas, nka glimepiride, glipizide, na glyburide, ni imiti ikoreshwa mu kuvura diyabete.
- Imiti ivura indwara za tiroyide.
Wibuke ko uru rutonde rutari rwuzuye. Bwira muganga wawe ibyerekeye vitamine, ibikomoka ku bimera, cyangwa inyongeramusaruro ufata.
Ibintu ugomba kwitondera mu gihe ufata imiti
Ugomba kwita cyane ku buzima bwawe mu gihe ufata uyu muti.
1. Kwisuzumisha kwa muganga buri gihe: Jya kwa muganga uko byagenwe nkuko byagenwe na muganga wawe. Muganga wawe ashobora gutumiza isuzuma ry'amaraso ryitwa HbA1C buri mezi 2-3 kugira ngo arebe uko isukari yawe yo mu maraso igenzurwa.
2. Menya gupima isukari mu maraso yawe: Menya uburyo bwo gupima isukari mu maraso yawe mu rugo. Menya neza ibimenyetso bya hypoglycemia na hyperglycemia n'uko wabyitwaramo.
3. Bika isukari hafi mu gihe cy’impanuka: Buri gihe shyira ikintu cyo kurya, nk’agace k’isukari, ikinini cya glucose, cyangwa tofe hafi yawe mu gihe isukari yawe yagabanutse mu buryo butunguranye.
4. Ntugasibe amafunguro: Ntugasibe amafunguro y'ingenzi kubera impamvu iyo ari yo yose. Baza muganga wawe ku bijyanye no kunywa inzoga.
5. Ambara indangamuntu yo kwa muganga: Kwambara ikarita cyangwa umukufi uvuga ko urwaye diyabete n'ubwoko n'ingano y'imiti ufata bishobora kuba ingenzi cyane mu gihe cy'impanuka.
Ingaruka mbi z'umuti
Kimwe n'indi miti iyo ari yo yose, iyi ishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Nubwo inyinshi muri zo ari nto, hari ibintu bimwe na bimwe tugomba kwitondera cyane.
| Ingaruka mbi | Ibisobanuro n'icyo gukora |
|---|---|
| Indwara zikomeye zisaba ubuvuzi bwihuse | |
| Indwara zikomeye zo kwangirika | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Ketoacidosis ya diyabete (DKA) | Inyota ikabije, kwihagarika cyane, kuma mu kanwa, guhumeka nabi, guhumeka nabi, kubabara mu nda, isesemi, kuruka. |
| Ibimenyetso by'indwara y'umutima | Kugorwa no guhumeka, kubyimba utubuto, ibirenge, cyangwa amaboko, kwiyongera ibiro mu buryo butunguranye, umunaniro ukabije. |
| Pancreatite | Kubabara mu gifu cyane (kuva mu mugongo), ububabare burushaho kwiyongera nyuma yo kurya cyangwa iyo umuntu abikozeho, umuriro, isesemi, kuruka. |
| UTI (indwara y'inkari) | Kwandura indwara zo mu nkari, kwihagarika kenshi, inkari zifite amaraso cyangwa ibicu, ububabare bw'umugongo cyangwa ikibuno. |
| Indwara zo mu gitsina | Gutukura, kubyimba, ububabare, uburyaryate, impumuro mbi, kuva amaraso menshi. |
| Indwara ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Izindi ndwara ntoya | Impiswi, kuribwa umutwe, izuru riva cyangwa rizibye, kubabara mu muhogo. |
Ubutumwa bwo kujyana mu rugo
- Uyu muti ni umuti w'ingenzi ufasha mu kugenzura diyabete yawe. Buri gihe fata neza uko muganga wawe yabigutegetse , mu gihe gikwiye.
- Mbere yo gutangira imiti, bwira muganga wawe indwara zawe zose n'indi miti yose ufata.
- Menya ibimenyetso by'isukari nke mu maraso (kuzunguruka, kubira ibyuya, inzara ikabije) n'isukari nyinshi mu maraso (inyota ikabije, kwihagarika kenshi).
- Niba ugize ingaruka mbi zikomeye nko kugira ubwivumbure bukomeye, kugorwa no guhumeka, cyangwa kuribwa mu nda cyane , shaka ubufasha bwa muganga byihutirwa.
- Uyu muti ni kimwe mu bigize gahunda yawe yo kurwanya diyabete. Menya neza ko ukomeza indyo ikwiye no gukora imyitozo ngororamubiri.
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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.