Umuti wo kunywa wa diyabete: Reka twige ku binini bya Metformin na Repaglinide?

Niba urwaye Diyabete yo mu bwoko bwa 2, muganga wawe ashobora kuba yaragundikiye ikinini givanze (nka PrandiMet) kirimo metformin na repaglinide. Uyu ni umuti ukunze gutangwa kugira ngo ufashe mu kugenzura diyabete yawe. Reka turebere hamwe uwo muti ari wo, uko ukora, n'ibyo ugomba kumenya.

Kuki ufata uyu muti? Mu magambo make...

Mu magambo make, iki ni ikinini gikozwe hakoreshejwe imiti ibiri yitwa Metformin na Repaglinide. Iki gihabwa abantu barwaye Diyabete yo mu bwoko bwa 2. Ariko, gufata uyu muti byonyine ntibihagije. Kugenzura indyo yawe no gukora imyitozo ngororamubiri nabyo ni bimwe mu bigize ubu buryo bwo kuvura. Uyu muti ufasha umubiri wawe gukoresha imisemburo yitwa Insulin neza. Hanyuma, urugero rw'isukari mu maraso ruragenzurwa. Uyu muti ushobora no gukoreshwa mu zindi ntego, ushobora kubaza muganga wawe cyangwa umuntu wo muri farumasi.

Ibintu ugomba kubwira muganga wawe mbere yo gukoresha uyu muti

Noneho ibi ni ingenzi. Mbere yo gutangira gufata uyu muti, ugomba kubibwira muganga wawe cyangwa umufarumasiye ibi bintu. Kuko niba ufite ibi bibazo, uyu muti ushobora kutagukwiriye, cyangwa ukaba ukeneye kwitabwaho byihariye.

• Urwaye indwara yo kubura amaraso ?
• Ese ufite ikibazo cyo kubura amazi mu mubiri ?
• Ese waba waragize indwara ikomeye yitwa Diabetic Ketoacidosis ?
• Urwaye indwara y'umutima ?
• Ese unywa inzoga buri gihe?
• Urwaye impyiko ?
• Urwaye umwijima ?
• Niba uri umugore, ese ufite indwara ya Polycystic Ovary Syndrome (PCOS) ?
• Ese uherutse gukira indwara ikomeye cyangwa igikomere gikomeye ?
• Ese uhora uruka ?
• Ese wigeze ugira allergie kuri metformin, repaglinide, cyangwa indi miti, ibiryo, amarangi, cyangwa imiti irinda indwara?
• Urimo gushaka gutwita , cyangwa wamaze gutwita?
• Ese uri umubyeyi wonsa ?

Ni ingenzi cyane ku buzima bwawe kuvuga byose udahisha ibi bintu, urabyumva?

Ni gute neza neza nkoresha uyu muti?

Iki ginini kigomba kunyobwa mu kanwa. Kinywe n'ikirahure cy'amazi. Ugomba kugifata nk'uko byavuzwe ku rupapuro rwa muganga wahawe.

Igikuru cyane ni uko uyu mutiUgomba kuyinywa mbere yo kurya. Mu by'ukuri, ntuyinywe iminota irenga 30 mbere yo kurya. Ubusanzwe ifatwa mbere gato y'ifunguro.

Tekereza, niba utakaje ifunguro, ugomba no kureka ikinini kuri iryo funguro.

Ese ni byiza kutanywa ibirenze ibyo muganga adusaba, cyangwa kubinywa kenshi?

Ni iki kibaho ku bakiri bato n'abakuru?

Niba uha abana bato uyu muti, ugomba kubibwira muganga w’abana. Hashobora kuba hakenewe ubwitonzi bwihariye.

Iyo umuntu urengeje imyaka 65 afata uyu muti, ingaruka z'umuti zishobora kuba zikomeye gato. Kubwibyo, muganga ashobora kugabanya urugero rw'umuti gato.

Wakora iki niba ufashe imiti myinshi? (Ingano irenze urugero)

Menya neza ko niba utekereza ko wafashe uyu muti urenze urugero ku bushake, hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cy’ubutabazi cy’ibitaro biri hafi yawe ako kanya. Ibi si urwenya.

"Uyu muti ni uwawe gusa. Ntuwuhe inshuti zawe cyangwa umuryango wawe, kabone n'iyo baba barwaye diyabete."

Bite se nintakaza dose?

Niba udashobora gufata ikinini mbere yo kurya, gisibe. Niba igihe cyo kurya ifunguro ritaha kigeze, ni ukuvuga igihe ugiye kurya ifunguro ritaha, fata ikinini icyo gihe. Ntukigere ufata dose ebyiri cyangwa ngo ufate izindi binini icyarimwe.

Indi miti ishobora kugira ingaruka kuri uyu muti (Imikoreshereze y'imiti)

Iki nacyo ni ingenzi cyane. Hari imiti imwe n'imwe ishobora guteza ibibazo iyo ifashwe hamwe n'ibinini bya metformin na repaglinide. Ni ukuvuga ko ubushobozi bw'uyu muti bushobora kubangamira, cyangwa ingaruka mbi zikiyongera.

Ntuzigere ufata uyu muti wa diyabete hamwe n'imiti ikurikira:

• Imiti igabanya ubukana bw'imitsi ni imiti idasanzwe iterwa mu mubiri mbere yo gupimwa bimwe na bimwe , nka X-rays, CT scans, na MRIs.
• Umuti witwa Dofetilide .
• Umuti witwa Gemfibrozil .

Byongeye kandi, hari indi miti myinshi ishobora kugira ingaruka ku iyi miti ya diyabete mu buryo runaka. Iyi miti ishobora kuba ikubiyemo:

• Acetazolamide
• Inzoga (si nk'ikinyobwa gusa, ahubwo n'imiti imwe n'imwe ishobora kuba irimo inzoga)
• Barbiturates (urugero: Phenobarbital, Primidone)
• Karubamazepine
• Imiti imwe n'imwe igabanya ubukana bw'indwara nka VIH cyangwa hepatite
• Imiti imwe n'imwe ivura umuvuduko ukabije w'amaraso, indwara z'umutima, n'umutima utera nabi
• Imiti imwe n'imwe ivura indwara z'ibihumyo (urugero: Ketoconazole, Itraconazole)
• Cimetidine
• Clopidogrel
• Clarithromycin
• Cyclosporine
• Deferasirox
• Dichlorphenamide
• Digoxin
• Imiti igabanya ubukana bw'amazi (Diuretics)
• Erythromycin
• Imisemburo y'abagore (urugero: estrogens, progestins, n'ibinini byo kuboneza urubyaro)
• Glikopirolati
• Isoniazid (umuti uvura igituntu)
• Lamotrigine
• Memantine
• Methazolamide
• Metoclopramide
• Midodrine
• Niyasini
• Phenothiazine (urugero: Chlorpromazine, Mesoridazine, Prochlorperazine, Thioridazine)
• Phenytoin
• Ranolazine
• Rifampine
• Simvastatin (umuti ugabanya cholesterol)
• Imiti ya steroid (urugero: Prednisone, Cortisone)
• Imiti itera imbaraga mu kugabanya ibiro, cyangwa igufasha kuguma uri maso
• Imiti ya tiroyide
• Topiramate
• Trospiyumu
• Vandetanib
• Zonisamide

Uru rutonde ntirurimo rwose, si byo se? Ni ukuvuga ko indi miti, atari iyi yonyine, ishobora kugira ingaruka ku iyi miti ya diyabete.

Kubwibyo, bwira muganga wawe imiti yose ufata (wandikiwe na muganga wawe, waguze muri farumasi, imiti gakondo, vitamine, inyongeramusaruro). Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibindi bintu bitemewe n'amategeko. Hari ibintu bishobora kugira ingaruka kuri uyu muti.

Ni ibihe bintu tugomba kwitondera cyane cyane mu gihe dufata uyu muti?

Mu gihe ufata uyu muti, jya kwa muganga wawe buri gihe kugira ngo agusuzumishe buri gihe kugira ngo arebe uko ubuzima bwawe buhagaze.

Ikizamini cyawe cya HbA1c (HbA1c) gisuzumwa buri gihe. Iki ni ikizamini cyoroshye cy'amaraso. Kigaragaza uburyo isukari yawe mu maraso yagenzuwe neza mu mezi 2-3 ashize. Uzakenera gukora iki kizamini buri mezi 3 kugeza kuri 6.

Tumenye urugero rw'isukari mu maraso.

Menya uburyo bwo gusuzuma isukari mu maraso yawe mu rugo. Nanone,Ni ngombwa kumenya ibimenyetso by'isukari nke mu maraso (cyangwa hypoglycemia) n'isukari nyinshi mu maraso (cyangwa hyperglycemia), n'uburyo bwo kubigenzura.

Niba ufite isukari nke mu maraso mu buryo butunguranye, komeza ufate isukari iboneka vuba aho uri. Urugero, agace k'isukari, ikinini cya glucose, cyangwa tofe. Tekereza niba ufite isukari nke mu maraso mu buryo butunguranye kandi ugiye guta ubwenge, kandi niba ugiye kwiha icyo kurya cyangwa kunywa muri icyo gihe, gishobora kugufata mu muhogo. Kubwibyo, ugomba kubibwira umuryango wawe n'inshuti zawe. Niba isukari yawe mu maraso igabanuka cyane ku buryo urwara indwara yo gukubita cyangwa guta ubwenge, ugomba kwihutira gushaka ubufasha kwa muganga.

Niba wumva isukari iri hejuru mu maraso yawe, bwira muganga wawe. Ingano y'imiti yawe ishobora kuba ngombwa kuyikosora. Niba urwaye cyangwa ugakora siporo irenze uko bisanzwe, baza muganga wawe niba ukeneye kuyikosora muri icyo gihe.

Ntugasibe amafunguro. Vugana na muganga wawe ku bijyanye no kunywa inzoga. Hari ibintu bimwe na bimwe bitangwa mu gihe cyo gukorora no mu gihe cyo kugurisha bishobora kuba birimo isukari cyangwa inzoga. Ibi bishobora kugira ingaruka ku rugero rw'isukari mu maraso.

Menya neza ko ushobora gutwita.

Uyu muti ushobora kongera amahirwe yo gusohora intanga ku bagore bagira imihango idahwitse ariko batarajya mu mihango. Ibi bishobora kongera amahirwe yo gutwita. Niba utwite cyangwa utekereza ko utwite, ntugomba gufata uyu muti. Vugana na muganga wawe ku bijyanye n'uburyo bwo kuboneza urubyaro mu gihe ufata uyu muti. Niba utekereza ko utwite, bwira muganga wawe ako kanya.

Mbere y'ikintu nk'ukubagwa

Niba urimo kubagwa, gupimwa MRI, gupimwa CT scan, cyangwa ubundi buryo bwose budasanzwe bwo kwa muganga, bwira muganga wawe ko urimo gufata uyu muti. Ushobora gukenera guhagarika gufata uyu muti iminsi mike mbere yo kubagwa.

Buri gihe ujye witwaza ikarita y'indangamuntu ya muganga irimo urutonde rw'indwara zawe, imiti ufata, urugero rw'ibizamini, n'igihe ugomba kuyifata. Niba bishoboka, ambara umukufi cyangwa umukufi wa muganga. Ibi bishobora kuba ingenzi cyane mu gihe cy'impanuka.

Uyu muti ushobora kugabanya urugero rwa aside folike na vitamine B12 . Kubwibyo, menya neza ko ubona vitamine zihagije mugihe ufata uyu muti. Vugana na muganga wawe kubyerekeye ibyo urya na vitamine ufata.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti iyo ari yo yose, ibi binini bya metformin na repaglinide bishobora gutera ingaruka mbi kuri bamwe. Si bose babibona, ariko hari n'ababishobora.

Ingaruka mbi ugomba guhita ubibwira muganga wawe:

Niba ubonye kimwe muri ibi bimenyetso, ugomba guhita ubibwira muganga wawe cyangwa umuganga wawe :

• Indwara zo kugira ubwivumbure : uduheri ku ruhu, kuribwa cyangwa uduheri, kubyimba mu maso, ku minwa, cyangwa ku rurimi.
• Ibibazo byo guhumeka.
• Inkari zijimye .
• Ukumva ufite intege nke cyangwa ufite isereri, agwa.
• Umuriro, ubukonje, kubabara mu muhogo .
• Kubabara imitsi cyangwa kubabara imitsi .
• Gutukura, kubyimba, gushisha, gucika intege k'uruhu, n'ibindi nk'ibi bishobora no kugaragara mu kanwa.
• Ibimenyetso by'isukari nke mu maraso : kumva uhangayitse, utazi icyo ukora, isereri, inzara nyinshi, kumva ufite intege nke cyangwa umunaniro udasanzwe, ibyuya, guhinda umushyitsi, kumva ufite ubukonje, kurakara, kuribwa umutwe, kutabona neza, umutima utera vuba, guta ubwenge.
• Umutima utera buhoro cyangwa utari umeze neza.
• Kuva amaraso cyangwa gukomereka bidasanzwe.
• Kubabara mu gifu bidasanzwe cyangwa ububabare.
• Kuruka.
• Amaso cyangwa uruhu rugahinduka umuhondo (ibi bishobora kuba ikibazo cy'umwijima).

Ingaruka mbi akenshi zidakenera kuvugwa kwa muganga , ariko zigomba kuvugwa mu gihe zikomeje:

Izi ngaruka mbi ubusanzwe ntabwo ziba zikomeye. Zizashira mu minsi mike. Ariko niba zikomeje cyangwa zikakubangamira, bwira muganga wawe:

• Impiswi.
• Kuzungera.
• Umutwe.
• Imyuka mu nda.
• Kumva uburyohe bw'icyuma mu kanwa.
• Igifu kibabara.

Uru rutonde ntirugaragaza ingaruka mbi zose zishobora kubaho. Niba ubonye izindi ngaruka zidasanzwe, vugana na muganga wawe. Ushobora gutangaza izi ngaruka kuri FDA kuri 1-800-FDA-1088.

Ubika ibi binini ute? (Ububiko)

Ni ingenzi cyane kubika ibi binini kure y'abana .

Ku bushyuhe buri munsi ya dogere selisiyusi 25 (25°C) cyangwa dogere selisiyusi 77 (77°F)Bika. Ibyo bivuze ko bibika ahantu hashyushye cyane, kandi ahantu hatari urumuri rw'izuba. Bika ahantu hashyushye cyane.

Ntugakoreshe imiti yarengeje igihe. Ijugunye.

Hanyuma, ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Twavuze byinshi kuri ibi binini bya Metformin na Repaglinide, si byo se? Muri make:

• Uyu muti utangwa kugira ngo urwanye Diyabete yo mu bwoko bwa 2. Ariko , indyo nziza n'imyitozo ngororamubiri nabyo ni ngombwa.
• Mbere yo gutangira imiti , bwira muganga wawe indwara zawe zose n'imiti yose ufata.
• Fata umuti wawe nk'uko muganga wawe yabigutegetse mbere yo kurya. Niba usibye kurya, fata umuti wawe icyarimwe.
• Suzuma urugero rw'isukari mu maraso yawe buri gihe. Menya ibimenyetso by'isukari nke mu maraso n'iy'isukari nyinshi. Ugomba kubika isukari hafi yawe mu bihe byihutirwa.
• Niba ugize ingaruka mbi nshya, cyane cyane iyo zikomeye, bwira muganga wawe ako kanya.
• Menyesha muganga wawe indi miti, vitamine, n'imiti gakondo ufata.
• Niba utwite, ugerageza gutwita, cyangwa wonsa, banza uganire na muganga wawe mbere yo gufata uyu muti.

Uyu muti uzagufasha kugenzura diyabete yawe no kubaho ubuzima bwiza. Ariko icy'ingenzi ni ugukurikiza amabwiriza ya muganga wawe neza no kumusura buri gihe kugira ngo agusuzumishe. Niba ufite ikibazo icyo ari cyo cyose, ntutinye kubaza muganga wawe cyangwa umufarumasiye.

Metformin , Repaglinide, Diyabete, Diyabete yo mu bwoko bwa 2, Insulini, Isukari yo mu maraso, Ingaruka mbi