Diyabete ni indwara abantu benshi muri sosiyete yacu bafite muri iki gihe. Hari uburyo butandukanye bwo kuvura iyi ndwara. Ahari muganga wawe yanakubwiye gukoresha urukingo rwitwa Exenatide rwa Diyabete yo mu bwoko bwa 2. Ushobora kuba wararuhawe ku izina rya Bydureon BCise. None rero uyu munsi, reka tuvuge kuri uyu muti, uburyo ugira ingaruka ku mubiri wacu, n'icyo ugomba kwitondera mu gihe uwukoresha.
Ni iki koko kibaho kuri uru rushinge rwa Exenatide?
Muri make, Exenatide ni umuti ufasha mu kugenzura urugero rw'isukari mu maraso yawe (glucose). Ibi bikora ibintu bitatu by'ingenzi.
1. Yongera urugero rwa insuline: Uyu muti ufasha umubiri wawe gukora imisemburo yitwa insuline iyo urya. Insulini ifasha isukari iri mu maraso kwinjira mu turemangingo tw'umubiri no gukora ingufu. Bityo, urugero rw'isukari mu maraso ruragabanuka.
2. Igabanya umusaruro w'isukari mu mwijima: Uyu muti unafasha kugabanya ingano y'isukari isohoka mu mwijima wacu.
3. Bigabanya umuvuduko w'igogora: Ibi bigabanya umuvuduko w'ibiryo urya biva mu nda bijya mu mara. Ibi bifasha mu kugenzura ukwiyongera gutunguranye kw'isukari mu mara nyuma yo kurya.
Ariko ibuka ko uyu muti wonyine udahagije. Indyo nziza n'imyitozo ngororamubiri byombi ni ingenzi muri ubu buryo bwo kuvura.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira gukingirwa
Mbere yo guhabwa Exenatide, ni ngombwa cyane ko muganga wawe amenya amateka y’ubuzima bwawe. Menya neza ko umubwiye kimwe mu bibazo biri hepfo.
| Ikibazo ugomba gutangaza | Kuki wagombye kubyitaho? |
|---|---|
| Niba wowe cyangwa umuntu wo mu muryango wawe yaragize kanseri ya tiroyide cyangwa kanseri y'uturemangingo tw'imisemburo yitwa MEN 2 . | Hari umuburo w'uko uyu muti ushobora kuba ufitanye isano n'ibyago byo kurwara kanseri zimwe na zimwe za tiroyide. |
| Niba warigeze kugira pancreatitis . | Uyu muti ushobora kongera ibyago byo kurwara pancreatitis. |
| Niba ufite indwara y'impyiko cyangwa uri kuri dialyse . | Bitewe n'imikorere y'impyiko, ingano y'umuti ishobora gukenera guhindurwa cyangwa se indi miti ishobora gukenera kwandikirwa. |
| Niba ufite ibibazo bikomeye byo mu gifu cyangwa mu mara (urugero: Gastroparesis). | Kubera ko uyu muti ugabanya umuvuduko w'igogora, ushobora kongera ubukana bw'indwara isanzweho. |
| Niba utwite, ugerageza gusama, cyangwa wonsa . | Ugomba kuganira na muganga wawe ku mutekano w'uyu muti mu gihe utwite no konsa. |
| Niba ufite allergie kuri exenatide cyangwa undi muti, ibiryo, cyangwa irangi. | Ibi ni ingenzi kugira ngo wirinde ingaruka zikomeye z'ubwivumbure. |
Uru rukingo rukoreshwa gute neza?
Uyu muti uza mu cyuma cyuzuye mbere (autoinjector). Muganga wawe cyangwa umuforomo azakwereka uburyo bwo kuwutera mu buryo bworoshye.
- Fata uru rukingo ku gihe: Uru rukingo rugomba gutangwa rimwe mu cyumweru . Igire akamenyero ko kurufata ku munsi umwe no mu gihe kimwe buri cyumweru. Komeza kurufata kugeza igihe muganga wawe azakubwiriye kubihagarika.
- Guta inshinge zakoreshejwe: Ibi ni ingenzi cyane. Ntukigere ujugunya inshinge zakoreshejwe mu myanda. Zigomba gushyirwa mu kintu cyabigenewe gikoreshwa mu gutwika imyanda. Niba udafite, saba muganga wawe.
- Soma amabwiriza: Buri gihe soma amabwiriza (MedGuide/AMABWIRIZA YO GUKORESHA) aza hamwe n'umuti witonze. Niba ufite ikibazo icyo ari cyo cyose, baza muganga wawe.
Icy'ingenzi:Urushinge rwagutewe ni urwawe gusa. Ntukigere urusangira n'undi muntu uwo ari we wese. Kubikora bishobora gukwirakwiza virusi zikomeye nka Hepatite na VIH.
Wakora iki niba wabuze dose?
Tekereza wibagiwe gufata inkingo ku munsi w'icyumweru. Ntugahangayike.
- Niba hasigaye iminsi irenga 3 ngo ufate dose ikurikira, fata dose yabuze ukimara kubyibuka. Hanyuma fata dose ikurikira uko bisanzwe.
- Ariko, niba ugiye gufata dose ikurikira mu munsi umwe cyangwa ibiri , ntugafate dose yabuze. Simbuka ufate dose ikurikira ku munsi wagenwe.
- Ntugafate dose ebyiri ku mpamvu iyo ari yo yose.
Ibindi bintu ugomba kuzirikana mu gihe ufata umuti
- Ibizamini by'ubuvuzi: Komeza urebe muganga wawe kugira ngo arebe uko umeze. Ugomba kandi kubaza ibijyanye n'ikizamini cy'amaraso cyitwa HbA1C (A1C) . Ibi bipima uburyo isukari yawe mu maraso yagenzuwe mu mezi 2-3 ashize. Muganga wawe ashobora kukugira inama yo gukora iki kizamini buri mezi 3-6.
- Igipimo cy'isukari mu maraso: Menya uburyo bwo gupima isukari mu maraso yawe mu rugo. Menya ibimenyetso by'isukari nke mu maraso (Hypoglycemia) n'isukari nyinshi mu maraso (Hyperglycemia).
- Isukari nke mu maraso (Hypoglycemia): Niba ubonye ibimenyetso nko kubira ibyuya, guhinda umushyitsi, umutima utera cyane, inzara ikabije, no kwitiranya ibintu, bivuze ko isukari mu maraso yawe iri hasi. Buri gihe shyira ibinini nk'isukari, tofe, cyangwa glucose hafi yawe kugira ngo ukoreshe mu gihe nk'icyo. Ariko, niba indwara ikomeye ku buryo yatera umuntu kutamenya, ntutange ikintu icyo ari cyo cyose ukoresheje umunwa, kuko bishobora gutera kubyimba. Shaka ubufasha bwihuse kwa muganga.
- Ntukabure kurya: Ujye urya ku masaha asanzwe. Baza muganga wawe ibyerekeye inzoga.
- Indangamuntu yo kwa muganga: Kwambara ikarita cyangwa umukufi uvuga ko urwaye diyabete n'imiti ufata bishobora kuba ingenzi cyane mu gihe cy'impanuka.
Ingaruka mbi zishobora guterwa n'umuti
Nk’uko bimeze ku yindi miti, Exenatide ishobora gutera ingaruka zimwe na zimwe. Ni ngombwa kubimenya.
| Niba ubonye ibi bimenyetso, bwira muganga wawe ako kanya cyangwa ujye kwa muganga. | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa cyane, kubyimba mu maso, iminwa, ururimi cyangwa umuhogo, no kugorwa no guhumeka. |
| Pancreatite | Ububabare bukabije mu nda (cyane cyane bugera mu mugongo), ububabare burushaho kwiyongera iyo urya, umuriro, isesemi no kuruka. |
| Ibimenyetso bya kanseri ya tiroyide | Ikibyimba gishya cyangwa kubyimba mu ijosi, kugorwa no kumira, kugorwa no guhumeka, guhindura ijwi (gushyuha). |
| Kwangirika kw'impyiko | Kugabanuka kw'inkari, kubyimba utubuto tw'amaguru, amaboko, cyangwa ibirenge. |
| Ibibazo by'inkari | Kubabara cyane mu gice cyo hejuru cy'iburyo cy'igifu, isesemi, kuruka, umuriro. |
| Niba ibi bimenyetso bikomeje cyangwa bikaba ikibazo, bwira muganga wawe. | |
| Aho gukingirwa | Ububabare, gutukura, uburyaryate, cyangwa ikibyimba gito. |
| Izindi ndwara ntoya | Isesemi nke, impiswi, impatwe, kuribwa umutwe. |
Bite ho iyo mfashe imiti myinshi?
Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo (nimero ya telefoni 0112686143), cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Ubutumwa bwo kujyana mu rugo
- Exenatide ni urushinge rutangwa rimwe mu cyumweru ku barwayi ba diyabete yo mu bwoko bwa 2. Igomba gukoreshwa hamwe n'imirire n'imyitozo ngororamubiri.
- Mbere yo gutangira urukingo, bwira muganga wawe ibibazo byose by'ubuzima bwawe (cyane cyane tiroyide, pancreas, ibibazo by'impyiko).
- Ntugasangire urushinge rwagenewe undi muntu uwo ari we wese. Shyira urushinge rwakoreshejwe mu mutekano.
- Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia). Bika isukari cyangwa bombo hafi yawe igihe uyikeneye.
- Niba ugize ingaruka mbi zikomeye nko kubabara mu gifu cyane, kugorwa n'ijosi, cyangwa guhumeka nabi, shaka ubufasha bwa muganga byihutirwa.
- Ntugatinye kuganira na muganga wawe ku kibazo cyangwa impungenge ufite kuri uyu muti.
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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.