Umuti uvura diyabete: Reka twige ku binini bya Glipizide?

Ese nawe urwaye Diyabete Mellitus? Niba ari uko bimeze, muganga wawe ashobora kuba yarakwandikiye ikinini cyitwa Glipizide . Uyu ni umuti ukomeye ku bantu barwaye Diyabete Mellitus yo mu bwoko bwa 2. Uyu munsi rero turaganira kuri ibi binini bya Glipizide, uko bikora, ibyo ugomba kwitondera mu gihe ubikoresha, n'ibindi bintu byinshi by'ingenzi. Kumenya neza uko ukoresha uyu muti ni ingenzi cyane ku buzima bwawe.

Uyu muti witwa Glipizide ni uwuhe? Ukora ute?

Muri make, uyu muti witwa Glipizide wongera urugero rwa insuline mu mubiri wawe. Insulini ni imisemburo y'ingenzi igenzura urugero rw'isukari, cyangwa isukari, mu mubiri wacu. Iyo isukari iva mu biribwa turya yinjiye mu maraso, ni yo igenzura ingano y'isukari kandi ikayifasha kwinjira mu turemangingo.

Diyabete yo mu bwoko bwa 2 Mellitus ibaho iyo umubiri udakora insuline ihagije, cyangwa umubiri udashobora gukoresha insuline uyikora neza. Rero, icyo uyu muti Glipizide ukora ni uguha pancreas imbaraga nke no kuyifasha gukora insuline nyinshi. Iyo uyu muti wongereye insuline, ingano y'isukari mu maraso iragabanuka. Nanone ifasha umubiri wawe gukoresha insuline neza.

Uyu muti uri mu itsinda ry'imiti yitwa sulfonylureas. Ariko ikintu kimwe kigomba kuzirikanwa. Diyabete ntishobora kugenzurwa no gufata uyu muti wenyine. Ugomba kujyana n'indyo nziza n'imyitozo ngororamubiri ya buri munsi . Muganga azakubwira uburyo bwo kugenzura indyo yawe n'imyitozo ngororamubiri ugomba gukora.

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

Noneho reka turebe ibintu ugomba kubwira muganga wawe mbere yo gutangira ibi binini bya Glipizide. Ni byiza kutabihisha, sibyo? Kuko ari bwo gusa umuganga azabasha kuguvura neza kandi mu mutekano.

Ugomba kubwira muganga wawe niba ufite kimwe muri ibi bibazo:

• Niba ufite ketoacidosis ya diyabete, indwara ikomeye iterwa na diyabete , ibi bituma ibintu byangiza byitwa ketone byirundanya mu maraso.
• Niba ufite ikibazo cy’uturemangingo cyitwa glucose-6-phosphate dehydrogenase deficiency (G6PD deficiency) . Ibi bishobora gutuma habaho kwangirika ku miti imwe n’imwe.
• Indwara z'umutima , ni ukuvuga niba ufite indwara z'umutima.
• Indwara z'impyiko , ni ukuvuga niba ufite ikibazo cy'impyiko.
• Indwara y'umwijima , ni ukuvuga iyo hari ikibazo ku mwijima.
• Niba ufite indwara idakunze kugaragara yitwa porphyria .
• Niba ufite ubwandu bukomeye cyangwa igikomere gikomeye.
• Niba urwaye indwara ya tiroyide .
• Niba warigeze kugira ubwivumbure ku miti ya glipizide, sulfa ( imiti imwe na imwe ikoreshwa muri iri tsinda), indi miti, ibiryo, irangi ry'ibiribwa, cyangwa imiti irinda kwangirika.
• Niba utwite cyangwa ugerageza gutwita.
• Niba uri umubyeyi wonsa.

Iyo uvuze ibi bintu neza, muganga wawe ashobora guhitamo niba uyu muti ukubereye cyangwa niba ukeneye ubundi buryo.

Uyu muti nkwiye kuwukoresha nte?

Uyu muti ugomba gufatwa unyobwa. Uwunywe n'ikirahure cy'amazi. Icy'ingenzi kurushaho, ntuwunywe mu gihe urya.Ibi bigomba gufatwa iminota 30 mbere yo kurya. Icyo gihe umuti uba winjijwe neza mu mubiri kandi ugafasha mu kugenzura isukari yiyongera mu maraso nyuma yo kurya.

Kurikiza amabwiriza ari ku gapaki k'imiti nk'uko muganga wawe abikubwira. Niba ufata uyu muti rimwe ku munsi, fata iminota 30 mbere ya saa sita. Niba muganga wawe yarakubwiye kuwufata inshuro nyinshi ku munsi, fata iminota 30 mbere ya buri funguro ry'ingenzi. Gerageza gufata umuti icyarimwe buri munsi. Ibi bizagufasha gukomeza gukora neza. Ntugafate ingano irenze iyo muganga wawe akubwira gufata.

Ibyerekeye abana bato n'abantu bakuru

Niba uha uyu muti abana bato, ugomba kubivuganaho na muganga wawe. Hashobora kuba ngombwa kwitabwaho by’umwihariko no gukosora ingano yawo.

Nanone, abantu barengeje imyaka 65 bashobora kumva ingaruka z'uyu muti cyane. Kubwibyo, muganga ashobora kubandikira dose ntoya kurusha umuntu usanzwe.

Wakora iki niba ufashe imiti myinshi?

Tekereza ko wafashe uyu muti urenze urugero, cyangwa hari umuntu wo mu rugo rwawe wawufashe ku ikosa. Niba ibyo bibaye , hamagara ikigo gishinzwe kurwanya uburozi mu bitaro by'igihugu cyangwa mu cyumba cy'ubutabazi bw'ibanze cy'ibitaro bya leta. Cyangwa ujye kwa muganga ako kanya. Ntugafate ibi nk'ibisanzwe, sibyo? Kuko iyo ufashe Glipizide nyinshi, isukari mu maraso yawe ishobora kugabanuka cyane.

Ibuka: Uyu muti ni uwawe gusa. Ntugatekereze ko inshuti yawe izakira uyu muti niba na yo irwaye diyabete. Umuti ukwiye n'ingano yawo biratandukanye.

Bite se ninsiba gahunda yanjye yo kubonana n'umuti?

Reka tuvuge ko wabuze dose. Niba ibyo bibaye, fata ikinini ukimara kucyibuka . Ariko niba igihe cyo gufata dose ikurikira kigeze, urugero, niba igeze mu masaha make, rekeraho dose yabuze hanyuma ufate dose ikurikira uko bisanzwe. Ntukigere ufata ibinini bibiri icyarimwe, ni ukuvuga dose ebyiri. Kubikora bishobora gutuma isukari mu maraso yawe igabanuka cyane.

Ibindi bintu bishobora kugira ingaruka kuri uyu muti (Interactions)

Glipizide ishobora kugira ingaruka ku yindi miti n'ibindi bintu. Rero, bwira muganga wawe imiti yose ufata, harimo vitamine, ibyatsi, imiti idasaba muganga, n'inyongeramusaruro. Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti. Hari ibintu bishobora kugira ingaruka ku iyi miti, bishobora guhindura uburyo ikora cyangwa byongera ingaruka mbi.

Dore imiti imwe n'imwe ishobora kugira ingaruka kuri Glipizide:

• Bosentan
• Chloramphenicol
• Cisapride
• Clarithromycin
• Imiti ivura indwara z'ibihumyo cyangwa imisemburo (urugero: Fluconazole, Miconazole)
• Metoclopramide
• Probenecide `(Probenecide)`
• Warfarin (umuti ubuza amaraso kuvura)

Nanone, hari indi miti myinshi ishobora kongera cyangwa kugabanya urugero rw'isukari mu maraso. Ishobora kandi gukorana na glipizide. Dore ingero nke:

• Ibinyobwa birimo inzoga : Inzoga zishobora gutuma isukari mu maraso igabanuka mu buryo butunguranye.
• Aspirin n'imiti imeze nka aspirine
• Chromium (rimwe na rimwe ifatwa nk'inyongera)
• Imiti igabanya ubukana bw'amazi mu mubiri - imiti ikura amazi mu mubiri
• Imisemburo y'abagore, nka estrogens cyangwa progestins, n'ibinini byo kuboneza urubyaro
• Imiti imwe n'imwe y'umutima (urugero: beta-blockers)
• Isoniazid (umuti uvura igituntu)
• Imisemburo y'abagabo cyangwa steroidi z'aba-anabolic
• Imiti yo kugabanya ibiro
• Imiti ivura allergie, asima, ibicurane, cyangwa inkorora (imwe ishobora kuba irimo isukari)
• Imiti ivura ibibazo byo mu mutwe
• Imiti yo mu bwoko bw'imiti yitwa `MAO Inhibitors`, urugero nka Nardil, Parnate, Marplan, Eldepryl
• Niyasini
• Imiti igabanya ububabare yitwa `NSAIDs`, nka ibuprofen cyangwa naproxen.
• Pentamidine
• Phenytoin `(Phenytoin)`
• Antibiyotike za Quinolone zirimo ciprofloxacin, levofloxacin, na ofloxacin.
• Inyunganiramirire zimwe na zimwe z'ibimera
• Imiti ya steroid, nka prednisone cyangwa cortisone
• Umuti wa tiroyide

Uru rutonde ntabwo rurambuye, urabyumva? Rero ni byiza kandi ni byiza kubwira muganga wawe ibyo ufata byose.

Ibintu ugomba kwitondera mu gihe ukoresha uyu muti

Mu gihe ukoresha uyu muti, ugomba kujya kwa muganga wawe buri gihe kugira ngo arebe uko umeze. Ibyo bivuze kujya mu minsi yawe yagenwe yo kwa muganga.

• Ikizamini cya HbA1C: Ikizamini cyitwa `HbA1C (A1C)` gikorwa kugira ngo harebwe uburyo isukari yawe yo mu maraso igenzurwa neza. Iki ni ikizamini cyoroshye cy'amaraso. Akenshi kigaragaza uburyo isukari yawe yagenzuwe neza mu mezi 2-3 ashize. Iki kizamini gikunze gukorwa buri mezi 3-6, nk'uko muganga wawe yabigutegetse.
• Gupima isukari mu maraso: Ni ingenzi cyane kwiga uburyo bwo kwisuzuma ingano y'isukari mu maraso yawe uri mu rugo. Muganga wawe ashobora kuba yaraguhaye glukometero kuri ibi. Menya neza ko usobanukiwe ibimenyetso by'isukari nke mu maraso (hypoglycemia) n'isukari nyinshi mu maraso (hyperglycemia) n'uburyo bwo kubigenzura.
• Kwitegura mu gihe cyihutirwa: Buri gihe shyira ahantu haboneka isukari (urugero: uduce 2-3 tw'isukari, ibinini bya glucose, umutobe w'imbuto) hafi yawe mu gihe isukari yawe mu maraso igabanuka mu buryo butunguranye (hypoglycemia). Niba ufite ikibazo gikomeye cy'isukari nke mu maraso, nko kurwara ibisebe, cyangwa niba watakaje ubwenge, bwira umuryango wawe n'inshuti ko ushobora kubyimbirwa niba ugerageje kubaha ibiryo cyangwa icyo kunywa muri icyo gihe. Ibi nibibaho, ugomba kwihutira gushaka abaganga.
• Bwira muganga wawe : Niba ubonye ko isukari mu maraso yawe ihora iri hejuru (urugero: kugira inyota ikabije, kwihagarika kenshi, kumva ufite intege nke), bwira muganga wawe. Ingano y'imiti yawe ishobora kuba ngombwa kuyikosora. Niba ufite indwara nk'umuriro cyangwa ibicurane, cyangwa niba ukora siporo irenze isanzwe, baza muganga wawe niba ingano y'imiti yawe igomba guhindurwa.
• Amafunguro n'inzoga: Ntugasimbuke amafunguro.Kubikora bishobora kugabanya isukari mu maraso yawe. Baza muganga wawe niba ugomba kwirinda kunywa inzoga. Inzoga ntizisabwa mu bihe byinshi. Hari imiti igabanya inkorora n'ibicurane ugura muri farumasi ishobora kuba irimo isukari cyangwa inzoga. Ishobora kugira ingaruka ku isukari mu maraso yawe, bityo ni byiza kubaza muganga wawe mbere yo kuyifata.
• Kurinda izuba: Uyu muti ushobora gutuma uruhu rwawe rugira ikibazo cyo kubura urumuri rw'izuba (photosensitivity). Kubwibyo, itondere izuba ryinshi ku manywa. Niba ugomba kujya hanze ku zuba, ambara imyenda ipfutse umubiri wawe, wambare ingofero, kandi ukoreshe 'Sunscreen' nziza (SPF 30 cyangwa irenga). Ntugakoreshe 'Sunlights' cyangwa 'Tanning beds/booths'.
• Indangamuntu yo kwa muganga: Ambara umukufi cyangwa umukufi w'indangamuntu yo kwa muganga ugaragaza indwara yawe (diyabete), imiti ufata, n'igihe uyifata, cyangwa ubike ikarita iriho ayo makuru mu gakapu igihe cyose. Ibi bishobora kuba ingenzi cyane mu gihe cy'impanuka.

Ingaruka mbi zishobora kubaho kuri uyu muti

Kimwe n'indi miti yose, Glipizide ishobora kugira ingaruka mbi. Zimwe muri zo zirakomeye kandi zigomba kumenyeshwa muganga wawe vuba. Zimwe muri zo ntabwo zikabije kandi zizashira mu minsi mike.

Ingaruka mbi ugomba guhita ubibwira muganga wawe :

• Indwara zo kugira ubwivumbure: Ibi ni bibi cyane. Shaka ubufasha bwihuse kwa muganga niba ubonye ibimenyetso nko kurwara uduheri ku ruhu, kuribwa cyane, kubyimba mu maso, ku minwa, ku rurimi cyangwa ku muhogo. Kubyimba mu muhogo bishobora gutera kugorwa no guhumeka.
• Kugwa nabi cyane mu mubiri: guhinda umushyitsi cyangwa guhinda umushyitsi, guhangayika, kubira ibyuya byinshi, ubukonje cyangwa uruhu rushyushye , urujijo, isereri, umutima utera cyane, guta ubwenge, gukubita ibisebe. Ibi nibibaho, ugomba kujya kwa muganga vuba.
• Anemia yo mu maraso: Iyi ni indwara yo kubura amaraso iterwa no kwangirika kw'uturemangingo dutukura tw'amaraso. Ibi bishobora gutera intege nke cyangwa umunaniro udasanzwe, isereri, kuribwa umutwe, guhumeka nabi, inkari zijimye, ndetse n'uruhu cyangwa amaso bigahinduka umuhondo.

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

• Impiswi
• Isereri (ridakabije)
• Imyuka, kubyimba inda
• Isesemi, kuruka `(Isesemi)`
• Guhinda umushyitsi cyangwa kunyeganyega (bitajyanye no kugabanuka kw'isukari mu maraso)

Uru rutonde rushobora kuba rudakubiyemo ingaruka mbi zose zishobora kubaho, bityo rero niba ubona ikintu gishya cyangwa kidasanzwe, ntutinye kubibwira muganga wawe.

Ukwiye kubika gute imiti yawe?

• Bika uyu muti ahantu abana batagera kandi aho abana batagera.
• Bika ahantu humutse, mu bushyuhe buri munsi ya dogere selisiyusi 30 (dogere selisiyusi 86), ahantu humutse. Irinde kubika ahantu hashyushye cyane, nko mu bwiherero.
• Ntugakoreshe imiti yarengeje igihe. Ijugunye neza. Ushobora kubaza farumasi yawe amabwiriza y'uburyo bwo kujugunya imiti neza.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, twaganiriye cyane kuri uyu muti wa diyabete witwa Glipizide, si byo se? Nubwo iyi ari inkuru ndende, ndizera ko wabonye amakuru y'ingenzi.

Ikintu cy'ingenzi ugomba kwibuka ni ugukoresha uyu muti neza nk'uko muganga akubwira, mu gihe gikwiye, kandi mu gipimo gikwiye. Kugenzura indyo yawe no gukora imyitozo ngororamubiri buri munsi nabyo ni ibintu by'ingenzi ugomba gukora kuri uyu muti. Iyo udafite ibyo, biragoye kugenzura diyabete yawe neza ufata uyu muti wenyine.

Niba ufite ikibazo icyo ari cyo cyose, ibimenyetso bishya, cyangwa impungenge, ntutinye cyangwa ngo ugire isoni zo kubaza muganga wawe. Cyangwa ubaze umufarumasiye wawe. Kubana na diyabete rimwe na rimwe bishobora kugorana, ariko niba umenye neza uko umerewe, ukurikiza amabwiriza ya muganga wawe, kandi ukita ku mubiri wawe, nta gushidikanya ko ushobora kubaho ubuzima bwiza kandi bwishimye!