Icyo ugomba kumenya kuri Jardiance (Empagliflozin) yo kuvura diyabete

Ese urwaye Diyabete yo mu bwoko bwa 2? Muganga wawe ashobora kuba yaragundikiye ikinini cyitwa Jardiance. Ushobora kuba ufite amatsiko yo kumenya byinshi kuri uyu muti. Ni ubwoko bw'umuti ki, ni iki kiba ku mubiri wawe, n'uburyo bwo kwirinda. None rero uyu munsi, reka tuganire muri make kuri Jardiance, uko ikora, akamaro kayo, n'ibyo ugomba kumenya.

Jardiance ni iki? Ikora ite mu mubiri?

Jardiance ni umuti ukoreshwa mu kuvura abantu bakuru n'abana barwaye diyabete yo mu bwoko bwa 2. Ukora mu kugenzura urugero rw'isukari mu maraso. Ufasha kandi kugabanya ibyago byo kurwara indwara z'umutima n'imitsi yo mu bwonko ku bantu bakuru barwaye diyabete. Ariko, ntiyemerewe diyabete yo mu bwoko bwa 1. Hari n'igihe ukoreshwa ku bantu badafite diyabete ariko bafite indwara z'umutima cyangwa impyiko.

Noneho reka turebe uko ibi bikora. Mu magambo make, icyo impyiko zacu zisanzwe zikora ni ukuyungurura isukari (glucose) mu maraso no kuyisubiza mu mubiri. Ntiziyisohora mu nkari.

Ikinini cya Jardiance kibuza by'agateganyo imikorere ya poroteyine ya SGLT2. Ibi bituma isukari irenze umubiri udashobora kongera kuyikuramo inyura mu nkari. Ibi bigabanya urugero rw'isukari mu maraso. Iki gikorwa gishobora kandi kugufasha kugabanya ibiro no kugenzura umuvuduko w'amaraso yawe .

Ni ku rugero rungana iki ibyiza by'uyu muti byagaragaye?

Ubushakashatsi bwinshi bunini bwakozwe mu buvuzi kugira ngo hamenyekane uburyo Jardiance ifite umutekano n'ubushobozi. Ubu bushakashatsi bwibanze ku buryo uyu muti wagize akamaro mu kugabanya HbA1c (ikizamini kigaragaza igipimo cy'isukari mu maraso mu mezi 3 ashize).

Ubushakashatsi bwakozwe bwakorewe ku bantu bakuru barwaye diyabete yo mu bwoko bwa 2, abana bari hagati y’imyaka 10 na 17, abantu barwaye impyiko, n’abantu barwaye indwara z’umutima. Ingaruka z’uyu muti zagereranyijwe n’indi miti ya diyabete (urugero: insuline, metformin, glimepiride).

Noneho reka turebe icyo ibisubizo by'ubu bushakashatsi byagaragaje. Wibuke ko ibi ari ibisubizo bisanzwe. Ibisubizo byawe bishobora gutandukana bitewe n'umubiri wawe.

Ibisubizo ku bana n'abarwayi b'impyiko

Byagaragaye ko Jardiance igabanya cyane urugero rwa HbA1c no kwiyiriza ubusa isukari mu maraso ku bana bari hagati y'imyaka 10-17. Yanafashije kugabanya urugero rwa HbA1c ku bantu bakuru barwaye diyabete n'indwara z'impyiko.

Ese indi miti ishobora kugira ingaruka kuri Jardiance?

Yego, ni ingenzi cyane kwita kuri ibi.

• Isukari nke mu maraso: Iyo ufashe indi miti ya diyabete, cyane cyane insuline cyangwa sulfonylureas (nka glimepiride), ushobora kugira isukari nke mu maraso (hypoglycemia) iyo utangiye Jardiance. Kubwibyo, muganga wawe ashobora kugabanya urugero rw'indi miti yawe.
• Kubura amazi mu mubiri: Niba ufata imiti igabanya ububabare bw'umubiri, kuyifata hamwe na Jardiance bishobora gutuma umuntu abura amazi mu mubiri. Kubwibyo, ni ngombwa kunywa ibinyobwa byinshi.
• Lithium: Niba ufata lithium kubera ikibazo cyo mu mutwe, ingaruka zayo zishobora guhinduka iyo utangiye Jardiance. Vugana na muganga wawe kuri ibi kandi upime amaraso nibiba ngombwa.

Ni gute wakwirinda ingaruka mbi zishobora guterwa n'ibyo bintu?

Iki gice ni ingenzi cyane. Nubwo Jardiance ari umuti w'ingirakamaro cyane, hari ingaruka mbi zimwe na zimwe tugomba kumenya.

1. Ketoacidosis ya diyabete (DKA):

• Iki ni ikibazo gikomeye. Iyo umubiri udashobora gukoresha isukari, ukoresha ubundi buryo bwo kubona ingufu. Ibi birema imiti yitwa ketones . Iyo ibi byirundanyije mu maraso, bishobora guteza akaga gakomeye.
• Ibimenyetso: isesemi, kuruka, kuribwa mu nda, umunaniro ukabije, kugorwa no guhumeka.
• > Niba ubonye ibi bimenyetso, hagarika gufata Jardiance ako kanya ujye kwa muganga cyangwa ujye mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro (ETU). Iki ni ikibazo cyihutirwa.

2. Kwandura indwara:

• Uyu muti wongera isukari mu nkari, ibyo byongera ibyago byo kwandura bagiteri n'umusemburo. Indwara zishobora kugaragara mu nzira y'inkari, mu ruhago no mu myanya ndangagitsina.
• Fournier's Gangrene: Ni indwara idakunze kugaragara, ariko iteje akaga cyane ishobora kugaragara hirya no hino mu myanya ndangagitsina. Shaka ubufasha bwihuse kwa muganga niba ufite ububabare, gutukura, cyangwa kubyimba muri iyo myanya hamwe n'umuriro n'intege nke.

3. Ibibazo by'amaguru n'ibirenge:

• Ubushakashatsi bumwe na bumwe bwagaragaje ko umubare w’abaciwe ingingo z’umubiri wiyongera gato, cyane cyane ku bantu bafite indwara y’imitsi yo mu gice cy’imbere cy’umubiri.
• Bityo rero genzura ibirenge byawe witonze buri munsi.Niba ufite ibikomere, ibisebe, imikaya, cyangwa ibimenyetso by'ubwandu, bwira muganga wawe ako kanya.

4. Ingaruka ku mpyiko:

• Kubura amazi mu mubiri bishobora kugira ingaruka ku mikorere y'impyiko. Kubwibyo, ni ngombwa kunywa amazi menshi. Muganga wawe ashobora gutegeka ko impyiko zawe zipimwa kugira ngo arebe imikorere yazo.

5. Indwara zo kugira ubwivumbure:

• Niba ugize ubwivumbure bukomeye nko kubyimba iminwa, mu maso, cyangwa ku rurimi, kugorwa no guhumeka, cyangwa uduheri ku ruhu, hagarika gufata umuti ako kanya kandi ushake inama kwa muganga.

Ni gute wakoresha umuti neza?

Jardiance ni ikinini ufata rimwe ku munsi. Fata igipimo (10mg cyangwa 25mg) muganga wawe yakwandikiye.

• Ni byiza kuyifata mu gitondo: Abaganga benshi basaba kuyifata mu gitondo. Impamvu ni uko yongera inshuro zo kunyara, ku buryo ishobora kubaho ku manywa idahungabanya ibitotsi nijoro.
• Wamenya ute niba umuti ukora?: Ushobora kumenya igabanuka ry'igipimo cy'isukari mu maraso yawe na HbA1c. Ariko bifata amezi agera kuri 3 kugira ngo HbA1c yawe ihinduke. Iyo ukoze ikizamini cy'inkari mu gihe ufata Jardiance, bizagaragaza ko hari isukari mu nkari zawe. Ibi ni ibisanzwe, ntugahangayike. Bivuze ko umuti ukora.