Niba kandi urwaye Diyabete yo mu bwoko bwa 2, muganga wawe ashobora kuba yaragundikiye ikinini kigizwe n'imiti irenze umwe. Trijardy XR ni kimwe muri ibyo binini, ni uruvange rwihariye rw'imiti itatu ifasha mu kurwanya diyabete. None rero uyu munsi, reka tuvuge kuri uyu muti, icyo ukora, n'icyo ugomba kwitondera mu gihe uwukoresha.
Mu magambo make, ni iki kigenda kuri uyu muti?
Hari ubwoko butatu bw'ingenzi bw'uyu muti: Empagliflozin, Linagliptin, na Metformin . Ibi byose uko ari bitatu bikorana kugira ngo bikore ibintu byinshi mu mubiri wawe.
- Bigabanya urugero rw'isukari mu maraso.
- Ku bantu bamwe, ibi bifasha kandi kugabanya ibyago byo kurwara indwara z'umutima n'imitsi yo mu bwonko ishobora guterwa na diyabete.
Ariko ibuka ko gufata uyu muti gusa bidahagije. Indyo nziza n'imyitozo ngororamubiri nabyo ni bimwe mu bigize ubu buvuzi. Uyu muti utangwa gusa kuri diyabete yo mu bwoko bwa 2, ntukwiriye abantu barwaye diyabete yo mu bwoko bwa 1.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Mbere yo kuguha uyu muti, muganga wawe azakenera kumenya amateka y’ubuzima bwawe. Niba ufite imwe muri izi ndwara zavuzwe haruguru, menya neza ko wabibwiye muganga wawe . Ibi ni ingenzi cyane ku mutekano wawe.
| Ubwoko bw'amakuru | Ibintu ugomba kwitondera |
|---|---|
| Indwara zisanzweho | Indwara z'impyiko, indwara y'umwijima, indwara y'umutima, kunanirwa k'umutima, cholesterol nyinshi, umuvuduko w'amaraso muke, kubura amaraso, pancreatitis, indwara zo mu nzira y'inkari, indwara ya polycystic ovary syndrome (PCOS), ketoacidosis ya diyabete. |
| Ibijyanye n'ubuzima | Niba unywa inzoga kenshi, ukurikiza indyo irimo umunyu muke, ukagabanya kurya ibiryo bitewe no kubagwa, indwara, cyangwa izindi mpamvu, cyangwa niba umubiri wawe wabuze amazi mu mubiri. |
| Allergie no gutwita | Niba ufite ubwivumbure kuri uyu muti cyangwa undi muti cyangwa ibiryo. Niba warigeze kugira ikibazo cyo guhumeka bitewe no kubyimba ururimi, isura, cyangwa iminwa. Niba utwite, ugerageza gutwita, cyangwa wonsa. |
| Izindi ngingo zihariye | Niba uri kuri hemodialysis, ufite ingorane zo kunyara, ufite ubwandu bukomeye cyangwa igisebe, cyangwa utarakebwe. |
Ni gute wakoresha umuti neza?
- Fata uyu muti hamwe n'ifunguro rya mu gitondo n'ikirahure cy'amazi.
- Fata neza neza nk'uko muganga wawe yabigutegetse, mu gihe gikwiye. Ntugafate ibirenze ibyo muganga akubwira.
- Ntukavune, ntukabisenye cyangwa ngo uhekenye iki kinini. Uramire cyose. Kubera ko iki kinini ari ikinini cya XR (Extended-Release) cyagenewe kurekura umuti mu mubiri mu gihe cy'amasaha menshi. Iyo ugivunitse, icyo gikorwa kizabura.
- Ntureke gufata imiti yawe utabanje kugirwa inama na muganga.
- Ushobora kubona ikintu kimeze nk'ikinini cyose gisohoka hamwe n'umwanda wawe. Ibi ni ibisanzwe, ntugire ikibazo. Ni agahu karimo ubusa gasigara nyuma y'uko umuti uri mu kinini winjijwe mu mubiri wawe.
Bite ho niba dose yiyongereye?
Niba ubona ko wafashe imiti myinshi, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo , cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Bite ho niba nibagiwe gufata umuti wanjye?
Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe.
Indi miti ishobora kugira ingaruka kuri uyu muti
Indi miti ufata ishobora kugira ingaruka kuri uyu muti, bityo rero bwira muganga wawe imiti yose ufata (harimo na vitamine n'ibikomoka ku bimera) .
Witondere cyane: Ni bibi cyane gufata uyu muti hamwe n'imiti imwe n'imwe igabanya ubukana bw'imiti, nka Dofetilide na Gatifloxacin, iterwa mu mubiri mbere yo gupimwa nka X-rays, CT scans, na MRIs.
Imiti iri hepfo ishobora kugira ingaruka kuri uyu muti, bityo ni ngombwa kumenyesha muganga wawe niba ufata imwe muri iyi miti.
| Icyiciro cy'ibiyobyabwenge | Ingero |
|---|---|
| Imiti imwe n'imwe ivura umuvuduko w'amaraso n'indwara z'umutima | Imiti igabanya ubukana bw'amaraso (imiti itera koga cyane), Digoxin, Ranolazine |
| Imiti imwe n'imwe ivura indwara zo mu mutwe | Karubamazepine, Phenobarbital, Phenytoin, Topiramate |
| Ubwoko bw'imisemburo na steroid | Estrogen, Progestin, Prednisone, Cortisone, imiti ya Tiroyide |
| Indi miti n'ibindi bintu bitandukanye | Inzoga, Acetazolamide, Cimetidine, Rifampin, St. John's Wort, imiti imwe n'imwe ivura virusi itera SIDA/Hepatitis, Niacin |
Ibintu by'ingenzi ugomba kuzirikana mu gihe ufata imiti
- Lactic acidosis: Uyu muti rimwe na rimwe ushobora gutera kwiyongera gukabije kwa aside mu maraso (lactic acidosis). Niba ugize ibimenyetso nko kugira isesemi, kuruka, kubabara mu gifu, umunaniro ukabije, cyangwa guhumeka nabi , hagarika gufata uyu muti ako kanya kandi uganire na muganga wawe.
- Ikizamini cya HbA1C: Kugira ngo arebe uburyo diyabete yawe igenzurwa neza, muganga wawe azagutegeka gupimwa amaraso yitwa HbA1C , bigakorwa buri mezi 2-3.
- Menya neza urugero rw'isukari mu maraso yawe: Menya ibimenyetso by'urugero rw'isukari mu maraso ruri hasi (hypoglycemia) n'ururenze (hyperglycemia). Buri gihe fata ikintu hafi yawe, nk'agace k'isukari, agace k'isukari, cyangwa ikinyobwa kirimo isukari, kugira ngo ufate ako kanya isukari mu maraso yawe iramutse igabanutse.
- Ntugasibe amafunguro: Ntugasibe amafunguro. Baza muganga wawe ku bijyanye no kunywa inzoga.
- Gutwita no kuboneza urubyaro:Uyu muti ushobora gutera intanga ku bagore bamwe no kongera amahirwe yo gusama. Uyu muti ntukwiriye niba urimo gushaka gusama cyangwa utwite. Kubwibyo, vugana na muganga wawe ku bijyanye no kuboneza urubyaro bikwiye mu gihe ufata uyu muti.
- Kubagwa no gupimwa: Niba ugiye kubagwa cyangwa gupimwa nka MRI cyangwa CT scan, bwira itsinda ry’abaganga mbere y’igihe ko ufata uyu muti. Ushobora kuba waragombaga guhagarika gufata uyu muti muri iyo minsi.
- Kubura Vitamine: Gukoresha uyu muti igihe kirekire bishobora kugabanya urugero rwa Vitamine B12 na aside folike. Kubwibyo, ganira na muganga wawe ku bijyanye no kurya indyo yuzuye no gufata inyunganiramirire ya Vitamine nibiba ngombwa.
Ingaruka mbi zishobora guterwa n'imiti
Kimwe n'indi miti iyo ari yo yose, iyi ishobora kugira ingaruka mbi. Imwe ni mbi cyane, indi ni isanzwe.
| Gushyira mu byiciro ingaruka mbi | |
|---|---|
| 🚨 Ingaruka mbi zikomeye zigomba kumenyeshwa muganga ako kanya | |
| Uburyo bwo kubabara umubiri | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi, no kugorwa no guhumeka. |
| Ketoacidosis ya diyabete (DKA) | Inyota ikabije, kwihagarika cyane, kuma mu kanwa, guhumeka nabi, guhumeka nabi, kubabara mu nda, isesemi, kuruka. |
| Kubura amazi mu mubiri | Inyota ikabije, umunwa wumye, isereri, kuribwa umutwe, inkari z'umuhondo wijimye/umukara. |
| UTI (indwara y'inkari) | Kwandura indwara zo mu nkari, kwihagarika kenshi, inkari zifite amaraso cyangwa ibicu, ububabare bw'umugongo cyangwa ikibuno. |
| Ibindi bimenyetso bikomeye | Kubabara cyane mu ngingo, ibimenyetso by'indwara z'umutima (guhumeka nabi, kubyimba akaguru), pancreatitis (kubabara mu gifu cyane), indwara ziba mu myanya ndangagitsina cyangwa hafi yayo, ibimenyetso byo kubura vitamine B12 (gucika intege mu biganza no mu birenge, isereri). |
| 🙂 Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga niba zikomeje | |
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Ubutumwa bwo kujyana mu rugo
- Buri gihe fata uyu muti hamwe n'ifunguro rya mu gitondo. Mira ikinini cyose, ntukimene cyangwa ngo ukimene.
- Menya neza ko wabwiye muganga wawe indi miti yose ufata ndetse n'indwara zose ufite.
- Buri gihe fata ikintu cyo gufata (nk'agace k'isukari) mu gihe isukari yawe mu maraso igabanuka.
- Shaka abaganga vuba niba ubonye ibimenyetso by'ingaruka zikomeye nko kugorwa no guhumeka, kubabara mu nda cyane, cyangwa kugira inyota nyinshi.
- Iki ni kimwe mu bice by'ingenzi by'urugendo rwawe rwo kurwanya diyabete. Bigira akamaro cyane iyo bihujwe n'indyo ikwiye n'imyitozo ngororamubiri.
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.