Ese ufata Canagliflozin (Invokana) ku ndwara ya diyabete? Reka twige ingaruka mbi zayo.

Niba urwaye Diyabete yo mu bwoko bwa 2, muganga wawe ashobora kuba yaragundikiye umuti witwa Canagliflozin (ukunze kwitwa Invokana) kugira ngo ufashe mu kugenzura urugero rw'isukari mu maraso yawe. Uyu ni umuti mwiza cyane kandi ukora neza. Ariko, kimwe n'indi miti yose, ushobora gutera ingaruka nke. Zimwe muri zo ni ntoya kandi zigashira mu minsi mike. Ariko, ni gake cyane, indwara zikomeye zishobora kubaho zisaba kuvurwa. Rero ntugire ikibazo, tuzavuga kuri byose neza uyu munsi.

Ni gute wagenzura ingaruka mbi zisanzwe?

Uyu muti ushobora kugira ingaruka ku bantu bose mu buryo butandukanye. Kandi si ingaruka zose zisaba ubuvuzi. Ni byiza kwitondera impinduka iyo ari yo yose mu mubiri wawe igihe utangiye gufata uyu muti.

Ibibazo by'ingenzi bikunze kugaragara ni indwara zo mu nzira y'inkari, indwara z'umusemburo, isukari nke mu maraso (hypoglycemia), no kubura amazi mu mubiri. Reka turebe uburyo bwo guhangana na buri kimwe muri ibi.

Indwara z'umusemburo

Ibi bishobora kubaho mu gitsina cy'umugore cyangwa ku gitsina cy'umugabo. Niba warigeze kugira ubwandu bw'umusemburo mu gitsina mu bihe byashize, ushobora kongera kurwara uyu muti.

Abagore bashobora kugira ibimenyetso nko kuva amaraso mu gitsina, impumuro idasanzwe, cyangwa uburyaryate. Abagabo, cyane cyane abagabo batakebwe, bashobora kugira ububabare, kubyimba, no kuva amaraso hafi y'igitsina cy'umugabo, bigatuma bigorana gusubiza inyuma agahu k'uruhu.

Muganga wawe akunze kukwandikira umuti urwanya udukoko. Uyu ushobora kuba ikinini, isuppository, cyangwa amavuta. Ubwandu bugomba kurangira mu minsi 7-14.

UTI (Urinary Tract Infection)

Niba ufite ibimenyetso nko kubabara mu ruhago, amaraso mu nkari, inkari zirimo ibicu, kugorwa no kunyara, gushya iyo uri kunyara, kunyara kenshi, cyangwa kubabara mu mugongo wo hasi cyangwa mu kibuno, menya neza ko wabibwiye muganga wawe. Hari igihe indwara y’imitsi ishobora gutera indwara y’impyiko (pyelonephritis).

Muganga azaguha imiti igabanya ubukana bw'indwara. Kora ibi kugira ngo ukire vuba:

• Nywa amazi menshi.
• Baza muganga wawe imiti isanzwe igabanya ububabare ushobora gufata.
• Fata imiti igabanya ubukana nk'uko muganga wawe akubwira, mu gihe cyose. Ntugasimbuze dose imwe cyangwa ngo ufate irenze iyo ukwiye gufata.

Ibi bintu bizafasha mu kwirinda kwandura indwara zombi.

Isukari nke mu maraso (Hypoglycemia)

Iyo ufashe insuline cyangwa indi miti ya diyabete (nka glipizide, glyburide) hamwe na canagliflozin, urugero rw'isukari mu maraso yawe rushobora kugabanuka cyane. Iyo wumva uzunguze , uhinda umushyitsi, cyangwa ufite intege nke , ibi bishobora kuba ibimenyetso bya hypoglycemia. Iyo urugero rw'isukari mu maraso yawe rugabanutse cyane, ushobora guta ubwenge.

• Niba ubonye ibi bimenyetso, hita usuzuma urugero rw'isukari mu maraso yawe hanyuma uhamagare muganga wawe.
• Niba wicaye cyangwa uryamye, haguruka buhoro buhoro. Iyo uhagurutse mu buryo butunguranye, ushobora kumva umeze nk'uzuzurwa hanyuma ukagwa.
• Kugira ngo wongere vuba isukari mu maraso yawe , nywa umutobe w'imbuto, tofe isukari, amazi aryoshye, cyangwa urye ibinini bya glucose.
• Niba bigoye kurya cyangwa kunywa, ushobora gukenera inshinge za glucagon. Ushobora kuzihabwa na muganga hanyuma ukazibika mu rugo. Igisha umuryango wawe uburyo bwo kuzikoresha mu gihe cy'impanuka.
• Umaze kurya ikintu giryoshye, fata akaruhuko wongere urebe isukari mu maraso yawe. Iyo isukari mu maraso yawe imaze gusubira ku buryo busanzwe, fata ifunguro rito cyangwa utuntu duto kugira ngo wirinde ko isukari yo mu maraso yongera kugabanuka.

Kubura amazi mu mubiri

Canagliflozin ikora mu gukura isukari nyinshi mu mubiri wawe binyuze mu nkari zawe. Ariko, ishobora no gutuma umubiri wawe utakaza amazi menshi. Ibi bishobora gutuma wumva ufite inyota nyinshi, uzuzumwe, kandi ukagira intege nke .

Niba urya indyo irimo umunyu muke cyangwa ufata imiti y'umuvuduko w'amaraso, uba ufite ibyago byinshi byo kubura amazi mu mubiri. Witondere cyane cyane mu minsi ishyushye no mu gihe cy'imyitozo ngororamubiri, kuko utakaza amazi menshi bitewe n'ibyuya.

Uburyo bwiza bwo kwirinda ibi ni ukunywa amazi menshi n'ibinyobwa. Niba bibaye ngombwa, ushobora no kunywa ikinyobwa kirimo electrolytes ku nama za muganga wawe. Niba umwuma ukabije, jya mu Ishami ryita ku Buvuzi bwihutirwa (ETU) ry'ibitaro vuba.

Izindi ngaruka zisanzwe

Uretse ibi, hari izindi ngaruka nke zishobora kubaho. Niba ibi bikubangamiye cyangwa bitaguteye neza uko igihe kigenda gihita, vugana na muganga wawe. Ashobora kuba yahindura ingano y'imiti yawe.

Ingaruka mbi zikomeye ugomba kumenya

Ibi ni gake cyane kubibona, ariko ni ngombwa cyane kubimenya.

• Ibibazo by'umutima: kugorwa no guhumeka, umutima utera vuba cyangwa utari mwiza, guta ubwenge.
• Indwara ikomeye ya allergie (Anaphylaxis cyangwa Angioedema): Kubyimba cyane cyangwa kwishimagura gukabije mu maso, mu maso, mu minwa, mu rurimi, mu muhogo, mu maboko, mu birenge, n'ibindi.
• Kuvunika kw'amagufwa: Uyu muti ushobora kongera gato ibyago byo kuvunika kw'amagufwa.
• Fournier's gangrene: Iyi ni indwara idakunze kugaragara ariko ikomeye ya bagiteri yangiza ingingo ziri munsi y'uruhu zikikije imyanya ndangagitsina n'inyuma (necrotizing fasciitis). Niba ubonye ibimenyetso by'ububabare , kubyimba, cyangwa gutukura muri iyo myanya , shaka abaganga vuba.
• Ibindi bimenyetso bikomeye: kunanirwa kuvuga, gucika intege, kugorwa no kugenda, kubira ibyuya byinshi, umuriro, guhinda umushyitsi, cyangwa gucika intege.

Ubonye kimwe muri ibi bimenyetso bikomeye, hamagara muganga wawe ako kanya cyangwa ujye mu ishami rishinzwe ubutabazi bw’ibanze (ETU) ry’ibitaro biri hafi yawe.