Urukingo rwa diyabete? Reka twige kuri Exenatide mu magambo make!

Ese urwaye Diyabete yo mu bwoko bwa 2? Cyangwa hari umuntu wo mu muryango wawe cyangwa inshuti yawe uhanganye n'iyi ndwara? Noneho ushobora kuba warumvise ibijyanye n'umuti wa Exenatide. Ushobora kuba ufite ibibazo byinshi ku bijyanye n'icyo ari cyo, uko ukora, n'uburyo bwo kwirinda ugomba gufata mu gihe uwukoresha. Uyu munsi, tuzaganira kuri ibyo byose mu buryo bworoshye ushobora gusobanukirwa.

Ni ubuhe bwoko bw'umuti Exenatide?

Muri make, Exenatide ni umuti uhabwa abantu barwaye Diyabete yo mu bwoko bwa 2. Akenshi utangwa nk'urushinge. Ushobora kuba warawubonye ku izina ry'ikirango `(Bydureon)`.

None se ibi bikora bite? Biroroshye cyane. Uyu muti wongera urugero rwa insuline mu mubiri wawe. Insulini ni imwe mu misemburo y'ingenzi igenzura isukari mu mubiri wacu. Rero iyo insuline yiyongera, ingano y'isukari mu maraso iragabanuka. Si ibyo gusa, uyu muti ufasha kugabanya ingano y'isukari yinjira mu maraso yawe ndetse unafasha kwihutisha igogora. Akenshi, iyo uyu muti utanzwe, bivugwa ko ukoreshwa hamwe n'indyo ikwiye n'imyitozo ngororamubiri . Ni bwo ushobora kubona umusaruro mwiza.

Hari igihe uyu muti ushobora no gukoreshwa ku zindi ndwara. Ushobora kubaza muganga wawe cyangwa umufarumasiye ibi.

Ni ibihe bintu by'ingenzi ngomba kubwira muganga mbere yo gufata uyu muti?

Mbere yo gutangira gukoresha Exenatide, ni ngombwa kubwira muganga wawe cyangwa umuforomo wawe ibi bintu. Aya makuru azabafasha guhitamo niba uyu muti ukubereye cyangwa utagukwiriye n'uko bawutanga.

• Niba ufite indwara yitwa Endocrine tumors (MEN 2) cyangwa niba hari umuntu wo mu muryango wawe wayirwaye.
• Niba warigeze kugira pancreatitis . Ibi ni ingenzi cyane, kuko uyu muti rimwe na rimwe ushobora kugira ingaruka ku pancreas.
• Niba ufite indwara y'impyiko . Iyo impyiko zawe zidakora neza, uyu muti ushobora kwirundanya mu mubiri wawe ugatera ibibazo.
• Niba uri kuvurwa na dialyse.
• Niba ufite platelets nke mu maraso yawe.
• Niba ufite ibibazo byo mu gifu cyangwa mu mara. Kubera ko uyu muti ugabanya umuvuduko w'igogora ry'ibiryo, ushobora kugira ingaruka ku bantu bafite ibyo bibazo.
• Niba urwaye kanseri ya tiroyide , cyangwa niba hari umuntu wo mu muryango wawe wayirwaye.
• Niba waragize ikibazo cy'ubwivumbure kuri exenatide, indi miti, ibiryo, amabara y'ubukorano, cyangwa imiti irinda ubushyuhe.
• Niba utwite cyangwa uteganya gusama , uyu muti ntukwiriye mu gihe utwite.
• Niba uri umubyeyi wonsa .

Ni ingenzi cyane ku mutekano wawe kubwira muganga ibi bintu utamuhishe.

Uyu muti nkwiye kuwukoresha nte?

Uyu muti utangwa nk'urushinge munsi y'uruhu . Muganga wawe cyangwa umuforomo azakwereka uko uwutanga mu rugo. Ugomba kwiga neza uburyo bwo kuwutegura n'uko uwutanga.

• Ugomba kuyifata rimwe mu cyumweru, icyarimwe . Ni ngombwa cyane kuyifata ku munsi ukwiye, mu gihe gikwiye, nk'uko muganga abivuga.
• Komeza kuyikoresha kugeza igihe muganga wawe azakubwiriye kubireka.
• Ntugashyire inshinge n'inshinge zakoreshejwe mu myanda gusa. Bishyire mu kintu cyabigenewe gikoreshwa mu gutwika. Niba udafite, saba muganga wawe cyangwa umufarumasiye akubwire. Ibi ni byiza ku bidukikije no ku bandi.
• Iyo uhawe uyu muti na farumasi, uzahabwa agapapuro k'amakuru kihariye kitwa "MedGuide" . Soma ibi witonze igihe cyose ufata umuti cyangwa igihe ubonye undi mushya.
• Uyu muti uza hamwe n'agapapuro k'amabwiriza yo gukoresha. Soma witonze hanyuma ubaze umufarumasiye cyangwa muganga wawe niba hari icyo utumva.

Ese uyu muti ushobora guhabwa abana?

Uyu muti ushobora guhabwa abana bafite imyaka 10 mu bihe bimwe na bimwe byihariye. Ariko, hari ingamba zidasanzwe zo kwirinda. Kubwibyo, niba ugiye kuwuha umwana, ugomba kubiganiraho byimbitse n'umuganga w'abana hanyuma ugafata umwanzuro.

Wakora iki niba ufashe imiti myinshi?

Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi kiri hafi yawe vuba . Ntugatinye, ahubwo shaka inama z’abaganga ako kanya.

Icy'ingenzi: Uyu muti wanditswe kuri wewe gusa. Ntukigere usangiza abandi umuti wawe. Ushobora guteza akaga.

Wakora iki niba wabuze dose y'umuti?

Niba wabuze dose, fata vuba bishoboka . Ariko, ugomba kubikora gusa iyo hasigaye nibura iminsi 3 ngo dose yawe ikurikira igere.

Niba wabuze dose imwe kandi ikaba ari umunsi umwe cyangwa ibiri gusa mbere y'uko dose yawe ikurikira itangwa, ntugafate dose yabuze . Fata dose ikurikira gusa ku gihe cyagenwe. Ntugafate dose ebyiri icyarimwe cyangwa ngo ufate dose y'inyongera.

Ni iyihe miti yindi ishobora kugira ingaruka kuri uyu muti?

Iki ni ikintu cy'ingenzi cyane. Exenatide ishobora kugira ingaruka ku yindi miti urimo gufata. Ibi bivuze ko kuyifata hamwe n'iyo miti bishobora gutuma exenatide idakora neza, cyangwa bigatuma ingaruka mbi ziyongera.

Witondere cyane ubwoko bw'imiti nk'iyi:

• 'Acetaminophen' (parasetamol)
• Ibinini byo kuboneza urubyaro: Uyu muti ushobora kugabanya uburyo ibinini byo kuboneza urubyaro byinjizwamo, bityo vugana na muganga wawe ku bijyanye nabyo.
• 'Digoxin' (umuti uvura indwara z'umutima)
• Insulini n'indi miti ya diyabete : Gufata Exenatide hamwe na yo bishobora gutera isukari nke mu maraso (hypoglycemia). Kubwibyo, guhindura urugero rw'umuti bishobora kuba ngombwa.
• Lisinopril (umuti uvura umuvuduko ukabije w'amaraso)
• Lovastatin (umuti ugabanya cholesterol)
• Warfarin (umuti ubuza amaraso kuzura): Mu gihe ufata Exenatide hamwe n'uyu muti, ugomba kumenya ibyago byo kuva amaraso.

Si iyi miti gusa, ahubwo n'indi miti myinshi ishobora kugira ingaruka ku rugero rw'isukari mu maraso . Bwira muganga wawe imiti yose ufata. Urugero:

• Ibinyobwa bisindisha.
• Imiti igabanya ubukana bwa virusi iterwa n'agakoko gatera SIDA cyangwa SIDA.
• Asipirine n'indi miti isa nayo.
• Imiti imwe n'imwe ivura umuvuduko ukabije w'amaraso, indwara z'umutima, n'indwara z'umutima.
• `Chromium` (inyongera).
• Imiti igabanya ububabare (imiti ikura amazi mu mubiri).
• Imisemburo y'abagore (nk'imisemburo ya estrogen cyangwa progestin), ibinini byo kuboneza urubyaro.
• `Fenofibrate`, `Gemfibrozil` (imiti ivura cholesterol).
• `Isoniazid` (umuti uvura igituntu).
• Uburyo bumwe bwo kuvura imisemburo (`Lanreotide`, `Octreotide`, `Pasireotide`).
• Imisemburo y'abagabo cyangwa steroidi zikora anabolic.
• Imiti igabanya ubukana bwa MAOI (nka `Carbex`, `Eldepryl`, `Marplan`, `Nardil`, `Parnate`).
• Umuti wo kugabanya ibiro.
• Imiti ivura allergie, asima, ibicurane, n'inkorora.
• Imiti ivura kwiheba, guhangayika, cyangwa indwara zo mu mutwe.
• Niyasini.
• Nikotine (niba unywa itabi).
• NSAIDs (urugero: Ibuprofen, Naproxen).
• "Pentamidine".
• Phenytoin (umuti uvura igicuri).
• Probenecid (umuti uvura indwara ya goutte).
• Antibiyotike za Quinolone (nka `Ciprofloxacin`, `Levofloxacin`, `Ofloxacin`).
• Inyongeramusaruro zimwe na zimwe z'ibimera.
• Imiti ya steroid (nka `Prednisone`, `Cortisone`).
• Sulfamethoxazole; trimethoprim (umuti urwanya udukoko).
• Imisemburo ya tiroyide.

Nanone, imiti imwe n'imwe ishobora guhisha ibimenyetso by'isukari nke mu maraso (hypoglycemia) . Ibi bivuze ko ushobora kutabona ko isukari yawe mu maraso iri hasi. Niba ufata ubwoko bw'imiti, ni ngombwa cyane kugenzura isukari mu maraso yawe buri gihe.

• Beta-blockers (ubwoko bw'imiti ikunze gutangwa ku ndwara z'umuvuduko ukabije w'amaraso cyangwa umutima, urugero: Atenolol, Metoprolol, Propranolol).
• 'Clonidine'.
• "Guanethidine".
• `Reserpine`.

Uru rutonde ntirukubiyemo imiti yose ishoboka. Kubwibyo , bwira muganga wawe cyangwa umufarumasiye wawe imiti yose ufata (wandikiwe na muganga, utayiguze na muganga, imiti y'ibimera, vitamine, n'inyongeramusaruro). Bibwire kandi muganga wawe cyangwa umufarumasiye wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti.

Ni ibihe bintu ugomba kwitondera mu gihe ufata uyu muti?

Ugomba kwita ku buzima bwawe neza mu gihe ukoresha Exenatide.

• Jyana na muganga wawe buri gihe kugira ngo arebe uko umerewe . Bwira muganga wawe niba ibimenyetso byawe bitaragenda neza cyangwa niba birushaho kwiyongera.
• Ikizamini cyawe cya HbA1C (A1C) kizakorwa buri gihe. Iki ni ikizamini cyoroshye cy'amaraso. Kireba uburyo isukari yawe mu maraso yagenzuwe neza mu mezi 2-3 ashize. Uzakenera gukora iki kizamini buri mezi 3-6.
• Menya uburyo bwo gusuzuma urugero rw'isukari mu maraso yawe mu rugo . Menya ibimenyetso by'isukari nke mu maraso (Hypoglycemia) n'isukari nyinshi mu maraso (Hyperglycemia) n'uburyo bwo kubikemura.
• Buri gihe fata ahantu haboneka isukari (urugero: ibinini by'isukari, ibinini bya glucose) . Ibi ni ingirakamaro niba isukari yo mu maraso yawe igabanutse mu buryo butunguranye (hypoglycemia). Niba ufite indwara ikomeye nko kugabanuka kw'isukari mu maraso (ihungabana), cyangwa niba watakaje ubwenge, bwira umuryango wawe n'inshuti ko ushobora kurohama niba ugerageje kubaha ibiryo cyangwa icyo kunywa muri icyo gihe. Ibi nibibaho, shaka ubufasha bwa muganga vuba.
• Niba ubonye ko igipimo cy'isukari mu maraso yawe kiri hejuru (urugero: inyota ikabije, kwihagarika cyane, umunaniro ukabije), bwira muganga wawe . Igipimo cy'imiti yawe gishobora kuba ngombwa ko gihindurwa. Niba urwaye cyangwa ugakora siporo irenze uko bisanzwe, igipimo cy'imiti yawe gishobora kuba ngombwa ko gihindurwa.
• Ntukabure kurya .
• Vugana na muganga wawe ku bijyanye no kunywa inzoga. Imiti myinshi yo gukorora no gucura mu buryo butunguranye iba irimo isukari cyangwa inzoga. Ibi bishobora kugira ingaruka ku rugero rw'isukari mu maraso yawe.
• Ntugasangire n'abandi amakaramu yo guterwamo inshinge . Kubikora bishobora gukwirakwiza virusi nka hepatite cyangwa virusi itera SIDA.
• Ambara umukufi cyangwa ikarita igaragaza uburwayi bwawe, imiti ufata, n'ingano y'indwara.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Nk’imiti yose, Exenatide ishobora gutera ingaruka zimwe na zimwe. Imwe ni mbi cyane, indi si mbi cyane.

Ingaruka mbi ugomba guhita ubibwira muganga wawe :

Niba ubonye kimwe muri ibi bimenyetso, gana muganga vuba bishoboka.

• Ubushobozi bwo kugira ubwivumbure: Uduheri ku ruhu, kuribwa, uduheri, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Ibibazo by'igisebe : Kubabara mu gifu cyane, isesemi, kuruka, umuriro.
• Gukomereka kw'impyiko : Kugabanuka k'inkari, kubyimba utubuto tw'amaguru, amaboko, cyangwa ibirenge.
• Pancreatite : Ububabare bukomeye mu nda (ibi bishobora kunyura mu mugongo, kandi ububabare bwiyongera nyuma yo kurya cyangwa iyo igifu kikozweho), umuriro, isesemi, no kuruka.
• Kanseri ya tiroyide : Ikibyimba gishya cyangwa kubyimba mu ijosi, ububabare cyangwa ingorane zo kumira, guhumeka bigoranye, no guhindura ijwi (guhumeka cyane).
• Gukomereka cyangwa kuva amaraso bidasanzwe.

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

Ibi bikunze kugabanuka mu minsi mike, ariko niba bikomeje, bwira muganga wawe niba bikubangamiye.

• Impiswi
• Isesemi
• Ububabare, gutukura, cyangwa kubyimba aho bateye inshinge
• Inda ibabaye
• Kuruka

Uru rutonde rushobora kuba rudakubiyemo ingaruka mbi zose. Niba ubonye ibimenyetso bidasanzwe, vugana na muganga wawe ku byerekeye ibyo bimenyetso. Ushobora kandi gutanga raporo kuri FDA (uhamagara 1-800-FDA-1088).

Uyu muti nawubika nte?

Ni ingenzi cyane kubika imiti yawe neza.

• Bika ahantu abana n'amatungo batagera .
• Bika muri firigo . Ntubikonjeshe.
• Uyu muti ushobora kubikwa ku bushyuhe bw'icyumba (hagati ya dogere selisiyusi 20 na 25 / dogere selisiyusi 68 na 77) kugeza ku byumweru 4.
• Rinda urumuri . Bika umuti mu gasanduku k'umwimerere kugeza igihe uwufashe.
• Kura umuti mu gasanduku k'ikarito iminota 15 mbere yo kuwufata.
• Koresha umuti ako kanya nyuma yo kuvanga .
• Ntugakoreshe imiti yarengeje igihe, uyijugunye.

Ni gute najugunya imiti itarakoreshejwe cyangwa ishaje?

• Jyana uyu muti ahantu hari gahunda yo gufata imiti. Ushobora kumenya amakuru nk'ayo kuri farumasi yawe cyangwa polisi.
• Niba ibi bidashoboka, baza umufarumasiye wawe cyangwa muganga wawe uburyo bwo kujugunya uyu muti mu buryo butekanye. Ntuwujugunye mu myanda gusa.

Ubutumwa bwo kujyana mu rugo

Rero, Exenatide ni umuti w'ingenzi ufasha mu kurwanya diyabete yo mu bwoko bwa 2.

• Uru ni urushinge rwo mu mubiri .
• Fata ingano yagenwe, ku gihe cyagenwe, nk'uko muganga yabigutegetse .
• Bwira muganga wawe indi miti yose ufata n'izindi ndwara ushobora kuba ufite.Mbwira.
• Suzuma urugero rw'isukari mu maraso yawe buri gihe kandi umenye ibimenyetso by'isukari nke mu maraso.
• Menya ingaruka mbi, kandi niba ubonye ikintu gikomeye, hita ugana muganga .
• Bika umuti neza .

Wibuke ko iyi nkuru ari incamake gusa. Niba ufite ibindi bibazo kuri uyu muti, ntutindiganye kubaza muganga wawe, umufarumasiye, cyangwa undi muganga. Twizeye ko aya makuru azagufasha gucunga diyabete yawe no kubaho ubuzima bwiza!

Exenatide , Bydureon, Diyabete, Diyabete yo mu bwoko bwa 2, Insulini, Isukari yo mu maraso, Urukingo, Ingaruka mbi