Reka twige ku binini bya Nateglinide bivura diyabete.

Ese urwaye Diyabete yo mu bwoko bwa 2? Cyangwa hari umuntu wo mu muryango wawe cyangwa inshuti yawe urwaye iyi ndwara? Noneho ushobora kuba warumvise umuti witwa Nateglinide. Uyu ni umuti wihariye utangwa mu rwego rwo kurwanya diyabete. Uyu munsi rero turaganira kuri ibi binini bya Nateglinide mu buryo burambuye, uko bikora, n'ibintu ugomba kwitondera mu gihe ubinywa.

Ni ubuhe bwoko bw'umuti Nateglinide ikora ite?

Mu magambo make, nateglinide ni ikinini gihabwa abantu barwaye Diyabete yo mu bwoko bwa 2. Nkuko mubizi, diyabete ni ukwiyongera kw'isukari mu mubiri, ni ukuvuga urugero rwa glucose mu maraso. Icyo uyu muti ukora ni ugufasha umubiri wawe gukora imisemburo myinshi ya insuline. Insulini ni yo ifasha kugenzura isukari mu mubiri. Rero iyo insuline yiyongereye, urugero rw'isukari mu maraso ruragabanuka. Ariko ibuka ko uyu muti wonyine udahagije. Uyu muti ukunze gutangwa hamwe n'indyo nziza n'imyitozo ngororamubiri . Ni bwo gusa ushobora kubona umusaruro mwiza.

Hari igihe ushobora kubona uyu muti ku izina rya Starlix, ariko ushobora no kuba ufite andi mazina y’ibindi bicuruzwa.

Uyu muti ushobora no gukoreshwa ku zindi ndwara, bityo niba ufite ikibazo kuri ibi, ni byiza kubaza muganga wawe cyangwa umufarumasiye.

Ni ibihe bintu ugomba kubwira muganga wawe mbere yo gukoresha uyu muti?

Mbere yo gutangira gufata Nateglinide, ugomba kubibwira muganga wawe cyangwa itsinda rikuvura kuri ibi bintu. Wibuke ko niba utabibabwiye, ushobora kugira ibibazo.

• Niba ufite indwara yitwa diyabete ketoacidosis, iterwa na diyabete. (Ibi biragoye gato, muganga wawe ashobora kuba abizi.)
• Niba ufite indwara y'umwijima .
• Niba warigeze kugira ubwivumbure kuri uyu muti, nateglinide, undi muti uwo ari wo wose, ibiryo, irangi, cyangwa imiti irinda kwangirika .
• Niba utwite, cyangwa ugerageza gutwita.
• Niba uri umubyeyi wonsa.

Uramutse umbwiye ibi bintu utabihishe, muganga ashobora kugufasha mu buryo bukwiye.

Ni gute ukoresha uyu muti neza?

Uyu muti ugomba kunyobwa ukoresheje amazi. Ugomba kuwufata neza nk'uko muganga wawe abikubwiye, ku gihe nyacyo no mu rugero nyarwo. Akenshi, bakubwira gufata uyu muti mbere yo kurya . Mu by'ukuri, ni byiza kuwufata iminota 30 mbere yo kurya.

Icy'ingenzi: Niba usibye ifunguro, ni ukuvuga niba utariye,Ugomba kandi kwirinda gufata imiti ikwiye muri icyo gihe. Ibyo bivuze ko niba nta biryo bihari, nta muti uhari.

Komeza gufata uyu muti kugeza igihe muganga wawe azakubwiriye guhagarika. Ni byiza kutareka mu buryo butunguranye, sibyo?

Ugomba kwitonda cyane mu gihe uha abana uyu muti. Kubwibyo, niba uha umwana wawe uyu muti, vugana na muganga wawe kandi umugire inama.

Niba ubona ko wafashe uyu muti urenze urugero, hamagara ibitaro biri hafi yawe cyangwa ikigo gishinzwe kurwanya uburozi ako kanya. Ntugapfushe ubusa.

Ikindi kandi, uyu muti ni uwawe gusa. Ni umuti muganga yaguhaye ku ndwara yawe. Ntukawusangire n'undi muntu uwo ari we wese.

Wakora iki iyo ubuze dose y'umuti?

Niba wibagiwe gufata dose, yireke. Fata dose ikurikira ku gihe cyagenwe. Ntukigere ufata ibinini bibiri icyarimwe kugira ngo wishyure dose wabuze. Kubikora bishobora guteza ibibazo.

Ni ibihe bintu bindi bishobora kugira ingaruka kuri uyu muti? (Imikoranire)

Ibi ni ingenzi cyane. Imiti imwe, ibiryo n'ibinyobwa bishobora kugira ingaruka ku rugero rw'isukari mu maraso yawe. Ibi bivuze ko iyo ufashe na nateglinide, urugero rw'isukari mu maraso yawe rushobora kugabanuka cyane (hypoglycemia) cyangwa hejuru cyane. Niba rero ufata uyu muti, ugomba kwitondera cyane ibi bikurikira.

Imiti myinshi ishobora kugira ingaruka ku rugero rw'isukari mu maraso. Dore ingero zimwe na zimwe:

• Inzoga
• Aspirine n'imiti imeze nka aspirine
• Imiti imwe n'imwe igabanya ubukana bw'indwara nka VIH cyangwa hepatite
• Imiti imwe n'imwe ivura indwara zo mu mutwe ziterwa no kwiheba, guhangayika, cyangwa izindi ndwara zo mu mutwe
• Imiti imwe n'imwe ivura indwara nk'umuvuduko w'amaraso, indwara z'umutima, n'umutima utera nabi
• Chromium (rimwe na rimwe ifatwa nk'inyongera)
• Imiti igabanya ubukana bw'amazi ( diuretics )
• Imisemburo y'abagore, urugero nka estrogen cyangwa progestin, n'ibinini byo kuboneza urubyaro
• Fenofibrate
• Gemfibrozil (Gemfibrozil)`
• Isoniazid (umuti uvura igituntu)
• Lanreotide
• Imisemburo y'abagabo cyangwa steroidi z'aba-anabolic
• MAOIs (urugero: ibiyobyabwenge nka Carbex, Eldepryl, Marplan, Nardil, Parnate)
• Umuti wo kugabanya ibiro
• Imiti ivura allergie, asima, ibicurane, n'inkorora
• Niyasini
• Nikotine (iboneka mu itabi)
• NSAIDs (imiti igabanya ububabare n'imiti igabanya ububyimbirwe, nka ibuprofen cyangwa naproxen)
• Octreotide
• Pasireotide
• Pentamidine
• Phenytoin `(Phenytoin)`
• Probenecide `(Probenecide)`
• Antibiyotike za Quinolone (urugero: ciprofloxacin, levofloxacin, ofloxacin)
• Inyunganiramirire zimwe na zimwe z'ibimera
• Imiti ya steroid (urugero: prednisone cyangwa cortisone)
• Sulfamethoksazole; trimethoprim
• Imisemburo ya tiroyide

Nanone, hari imiti imwe n'imwe ipfuka ibimenyetso by'isukari nke mu maraso (hypoglycemia). Ibi bivuze ko ushobora kutabyumva nubwo isukari yawe yaba iri hasi mu maraso. Niba ufata ubwoko bw'imiti, uzakenera kugenzura urugero rw'isukari mu maraso yawe kenshi. Ingero:

• Beta-blockers ( urugero: metoprolol, propranolol)
• Clonidine
• Guanethidine
• Reserpine

Uru rutonde ntirwuzuye. Hashobora kuba hari n'indi. Rero, bwira muganga wawe imiti yose ukoresha (wandikiwe na muganga, utayiguze na muganga, ibikomoka ku bimera, vitamine), inyongeramusaruro ufata, kandi niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Bimwe muri ibi bintu bishobora kugira ingaruka ku miti yawe ya nateglinide.

Ni ibihe bintu bindi ngomba kwitondera mu gihe nfata uyu muti?

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

• Ikizamini cya HbA1C (A1C): Iki ni ikizamini cyoroshye cy'amaraso. Kireba uburyo isukari yawe mu maraso yagenzuwe neza mu mezi 2-3 ashize. Iki kizamini kigomba gukorwa buri mezi 3 kugeza kuri 6.
• Menya uburyo bwo gusuzuma urugero rw'isukari mu maraso yawe: Hari imashini nto ushobora gukoresha kugira ngo urebe urugero rw'isukari mu maraso yawe uri mu rugo. Menya uburyo bwo kuzikoresha, ndetse n'ibimenyetso by'isukari nke mu maraso (hypoglycemia) n'isukari nyinshi mu maraso (hyperglycemia), n'uburyo bwo kuzicunga.
• Bika isukari hafi yawe mu gihe cy’impanuka: Buri gihe fata isukari (urugero: uduce tw’isukari, ibinini bya glucose) kugira ngo ubashe kurya vuba mu gihe uzabona ibimenyetso by’isukari nke mu maraso (urugero: kujijinganya, kubira ibyuya, kuzunguruka). Niba ufite isukari nke mu maraso ugatakaza ubwenge, cyangwa ukagira isereri, bwira umuryango wawe n’inshuti ko bashobora kurohama baramutse baguhaye ibiryo cyangwa icyo kunywa muri icyo gihe. Ibi nibibaho, ugomba kwihutira gushaka abaganga.
• Niba igipimo cy'isukari mu maraso yawe cyiyongereye, bwira muganga wawe ibi bikurikira:Niba igipimo cy'isukari mu maraso yawe gihora kiri hejuru, bwira muganga wawe. Igipimo cy'imiti yawe gishobora kuba ngombwa ko gihindurwa. Nanone, niba urwaye cyangwa ugakora imyitozo ngororamubiri kurusha uko bisanzwe, igipimo cy'imiti yawe gishobora kuba ngombwa ko gihindurwa.
• Ntugasimbuke amafunguro: Rya ku gihe.
• Ku bijyanye n'inzoga: Baza itsinda ry'abaganga niba ukwiye kwirinda kunywa inzoga.
• Witondere indi miti: Hari imiti ivura inkorora n'ibicurane ushobora kugura ku giciro cya farumasi ishobora kuba irimo isukari cyangwa inzoga. Ibi bishobora kugira ingaruka ku rugero rw'isukari mu maraso.
• Indangamuntu yo kwa muganga: Ambara umukufi cyangwa umukufi w'indangamuntu yo kwa muganga, cyangwa ufate ikarita iriho ibisobanuro birambuye ku ndwara yawe, imiti ufata, ingano, n'igihe uyifata. Ibi bishobora kuba ingenzi cyane mu gihe cy'impanuka.
• Ababyeyi bonsa: Ntukonse umwana wawe mu gihe ufata uyu muti. Niba ufite ikibazo kuri ibi, vugana na muganga wawe.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, Nateglinide ishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Si buri wese uzibona, ariko ni byiza kuzimenya.

Ingaruka mbi ugomba guhita ubibwira muganga wawe:

Niba ubonye ibi bimenyetso , ugomba kubimenyesha itsinda ry’abaganga vuba bishoboka:

• Indwara zo kugira ubwivumbure: Kuryarya ku ruhu, kubyimba, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
• Isukari nke mu maraso (hypoglycemia) : kunyiganyiga, guhinda umushyitsi, guhangayika, kubira ibyuya, kumva ubukonje, uruhu rutuje, urujijo, isereri, umutima utera vuba.

Ingaruka mbi zidakunze gukenera ubuvuzi, ariko zigomba kumenyeshwa muganga wawe niba zikomeje cyangwa zibangamiye:

Nubwo ibi akenshi atari bikomeye, bwira muganga wawe niba bikomeje cyangwa bikakubangamira:

• Kubabara umugongo
• Impiswi
• Kuzungera
• Ububabare bw'ingingo
• Izuru rivamo amazi cyangwa rizibye

Uru rutonde si ingaruka mbi zose zishobora kubaho. Niba ubonye ikintu kidasanzwe usibye ibi, vugana na muganga wawe kuri cyo. (Muri Amerika, ushobora gutanga raporo kuri FDA kuri 1-800-FDA-1088, ariko muri Sri Lanka, ni byiza kubimenyesha muganga wawe.)

Ubika ibi binini ute?

Ni ingenzi cyane kubika uyu muti kure y'abana n'amatungo.

Bika ahantu hari ubushyuhe bw'icyumba, hafi dogere selisiyusi 25 (77 Fahrenheit). Bika icupa/agapaki k'imiti gafunze neza.Ntugakoreshe imiti yarengeje igihe, uyijugunye.

Ni gute wajugunya neza imiti itarakoreshejwe n'iyarengeje igihe?

Ntugashyire imiti yarangije igihe cyangwa idakenewe mu myanda gusa. Hariho uburyo bwo kuyijugunya neza.

• Gahunda zo kugarura imiti: Farumasi zimwe na zimwe n'ibigo nderabuzima bishobora kuba bifite izi gahunda. Reba.
• Niba udashobora kuyisubiza: Reba ku kirango cy'imiti cyangwa agapapuro kayizanye kugira ngo urebe niba handitseho kuyijugunya mu myanda cyangwa kuyijugunya mu musarani. Niba utabizi neza, baza itsinda ry'abaganga.
• Niba ari byiza kujugunya imyanda: Kura umuti mu gikoresho. Hanyuma uvange umuti n'ikindi kintu kidafite akamaro, nk'imyanda y'injangwe, ubutaka, ikawa, nibindi. Hanyuma shyira imvange mu gikapu cyangwa mu gikoresho, ufunge neza, hanyuma uwujugunye mu myanda.

Ibintu by'ingenzi ugomba kwibuka

Noneho rero, ukurikije ibyo twavuze, ibi ni byo bintu by'ingenzi ugomba kwibuka:

• Nateglinide ni umuti ukoreshwa mu kuvura diyabete yo mu bwoko bwa 2.
• Ibi byongera insuline mu mubiri kandi bigabanya isukari mu maraso (glucose).
• Akenshi ni byiza kubifata iminota 30 mbere yo kurya. Niba usibye kurya, jya usimbuka n'umuti.
• Bwira muganga wawe indi miti yose ufata n'ingeso zawe (kunywa itabi, kunywa inzoga), kuko hari ibintu bishobora kugira ingaruka kuri uyu muti.
• Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia) kandi ubike isukari hafi igihe uyikeneye.
• Ntureke gufata imiti yawe keretse muganga wawe abikubwiye. Jyana na muganga wawe buri gihe kugira ngo arebe uko umerewe.
• Niba utwite, wonsa, cyangwa ufite ibibazo by'umwijima, banza ubibwire muganga wawe mbere yo gufata uyu muti.

Iyi ni incamake gusa. Niba ufite ibindi bibazo kuri uyu muti, nyamuneka ntutindiganye kubaza muganga wawe, umufarumasiye, cyangwa undi muvuzi. Bazagufasha.

Nateglinide , Starlix, diyabete, isukari yo mu maraso, insuline, ingaruka mbi