Ese muganga wawe yakwandikiye umuti mushya wo kurwanya diyabete yawe? Ushobora kuba waribajije icyo ari cyo nyuma yo kubona ko ifite amazina abiri. Ntugahangayike. Uyu munsi turimo kuvuga kuri iki kinini, kikaba ari uruvange rw'imiti ibiri yitwa Pioglitazone na Glimepiride. Gihabwa abantu barwaye Diyabete yo mu bwoko bwa 2. Reka tubisobanukirwe kuva kuri A kugeza kuri Z mu buryo bworoshye, nk'aho twabwira inshuti.
Ni iki koko kigenda gitya kuri uyu muti?
Muri make, uyu muti ukora mu kugabanya no kugenzura urugero rw'isukari, cyangwa isukari, mu maraso yawe. Kubera ko hari ubwoko bubiri bw'imiti muri ibi, bikora mu buryo bubiri butandukanye.
1. Glimepiride: Uyu muti utuma pancreas yawe "itera imbere" gato kandi ukayifasha gukora imisemburo ya insuline umubiri ukeneye.
2. Pioglitazone: Uyu muti ukora mu gufasha uturemangingo tw’umubiri wawe gukoresha insuline bakora neza. Ni ukuvuga ko wongera ubushobozi bw’uturemangingo bwo kumva insuline.
Ariko ibuka ibi: Ibi si ubumaji. Ugomba gukomeza gukurikiza indyo yawe n'imyitozo ngororamubiri mu gihe ufata uyu muti. Umusaruro mwiza uboneka iyo umuti n'ubuzima bwiza bihuye.
Ibintu ugomba kubwira muganga wawe mbere yo gufata imiti
Mbere yo gutangira uyu muti, ni ngombwa cyane kubwira muganga wawe amateka y’ubuzima bwawe bwose. Menya neza ko wabibwiye muganga wawe niba ufite imwe muri izi ndwara zikurikira:
- Indwara zibaho ubu:
- Niba ufite indwara y'umutima cyangwa umutima ufite intege nke
- Indwara y'impyiko
- Indwara y'umwijima
- Niba ufite amateka ya kanseri y'uruhago
- Niba wararwaye diyabete ya ketoacidosis, indwara ikomeye iterwa na diyabete
- Niba ufite ikibazo cyo kubura enzyme cyitwa G6PD deficiency (Glucose-6-phosphate dehydrogenase deficiency)
- Ibibazo bya tiroyide (Indwara ya tiroyide)
- Niba ufite ibibyimba mu mubiri wawe, mu biganza, cyangwa mu birenge
- Niba ufite ubwandu bukomeye cyangwa igikomere gikomeye
- Allergie:
- Niba ufite allergie kuri Pioglitazone, Glimepiride cyangwa indi miti ya sulfa
- Niba ufite ubwivumbure ku wundi muti uwo ari wo wose, ibiryo, cyangwa imiti irinda kwangirika
- Izindi ngingo zidasanzwe:
- Niba utwite cyangwa ugerageza gutwita
- Niba uri umubyeyi wonsa
Ni gute neza neza ukoresha uyu muti?
Kugira ngo umuti ugufashe neza, ugomba kuwukoresha neza.
- Mirira iki kinini n'ikirahure cy'amazi.
- Gira akamenyero ko gufata umuti wawe hafi igihe kimwe buri munsi.
- Icy'ingenzi kurushaho: Fata uyu muti mbere yo kurya cyangwa nyuma yawo . Ntuwufate uri mu nda idafite icyo urya. Kubikora bishobora gutuma urugero rw'isukari mu maraso yawe rugabanuka cyane (hypoglycemia). Abaganga bakunze kukugira inama yo kuwufata mu gitondo.
- Komeza gufata umuti kugeza igihe muganga wawe azakubwiriye kubihagarika.
- Kurenza urugero: Niba utekereza ko wafashe ikinini, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo , cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe.
- Niba wabuze dose: Fata dose wabuze ukimara kubyibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose wabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe.
Ibindi bintu bishobora kugira ingaruka kuri uyu muti
Indi miti, vitamine, n'imiti y'ibimera ushobora kuba ufata bishobora kugira ingaruka kuri uyu muti. Kubwibyo, ni ngombwa cyane kubwira muganga wawe ibyo ufata byose. Hasi hari ingero nke gusa.
| Ubwoko bw'umuti/ikinyabutabire | Ingero n'inyandiko |
|---|---|
| Imiti igabanya ububabare n'imiti igabanya ububyimbirwe | Imiti igabanya ubukana bw'indwara za NSAID nka Aspirine, Ibuprofen, na Naproxen. |
| Antibiyotike n'imiti irwanya udukoko | Chloramphenicol, Clarithromycin, Ketoconazole, Miconazole, Rifampin. |
| Umuti uvura umuvuduko ukabije w'amaraso | Beta-blockers nka Metoprolol, Propranolol, Nifedipine. |
| Ubwoko bw'imisemburo | Imisemburo y'abagore (Estrogens), ibinini byo kuboneza urubyaro, imisemburo ya tiroyide, na steroid nka Prednisone. |
| Indi miti ya diyabete | Indi miti iyo ari yo yose ya diyabete ufata. |
| Ibindi | Gemfibrozil, Atorvastatin, igabanya cholesterol, Warfarin, ibuza amaraso kuvura, Isoniazid, ikoreshwa mu kuvura igituntu, na Alcohol. |
Uru si urutonde rwuzuye, bityo bwira muganga wawe imiti yose, vitamine, n'ibikomoka ku bimera ufata.
Ibintu ugomba kuzirikana mu gihe ufata imiti
- Gusuzumwa buri gihe: Sura muganga wawe ku matariki asanzwe kugira ngo urebe uko umeze. Ushobora kandi gukenera gupimwa amaraso kugira ngo urebe imikorere y'umwijima wawe.
- Ikizamini cya HbA1C: Iki kizamini gipima uburyo ukoresha isukari mu maraso yawe mu mezi 2-3 ashize. Muganga wawe ashobora kukugira inama yo gukora iki kizamini buri mezi 3-6.
- Gupima urugero rw'isukari mu maraso: Menya uburyo bwo gupima urugero rw'isukari mu maraso yawe mu rugo. Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia) n'isukari nyinshi mu maraso (hyperglycemia) n'uburyo bwo kubigenzura.
- Niba ufite isukari nke mu maraso: Buri gihe komeza ufate isukari. Urugero, ibinini bya glucose, agace k'isukari, bombo, agace ka jelly bean. Niba ugaragaje ibimenyetso bikomeye by'isukari nke mu maraso (urugero: gucika intege, guta ubwenge), bwira umuryango wawe ko ari bibi kuguha ibiryo cyangwa icyo kunywa. Muri ibyo bihe, ugomba kujya kwa muganga vuba.
- Ntugasimbuke amafunguro: Niba ufata uyu muti, ni ngombwa cyane gufata amafunguro yawe y'ingenzi ku gihe gikwiye.
- Gutwita: Uyu muti ushobora kongera amahirwe yo gusohora intanga ku bagore bafite imihango idahwitse. Kubwibyo, ganira na muganga wawe ku bijyanye no gukoresha uburyo bwo kuboneza urubyaro bukwiye mu gihe ufata uyu muti. Bibwire muganga wawe vuba niba ubona ko utwite.
- Kumva izuba riva: Uyu muti ushobora gutuma uruhu rwawe rworohera izuba. Kubwibyo, niba ugiye ku zuba, ambara imyenda ipfuka umubiri wawe kandi ukoreshe amavuta akingira izuba.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti iyo ari yo yose, iyi ishobora kugira ingaruka mbi. Si buri wese uzibona. Reka turebe ibyo ari byo.
| Ingaruka mbi zikomeye zisaba ubuvuzi bwihuse | |
|---|---|
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Ibimenyetso by'indwara y'umutima | Kugorwa no guhumeka, kubyimba utubuto, ibirenge cyangwa amaboko, kwiyongera ibiro mu buryo butunguranye, umunaniro ukabije. |
| Ibimenyetso by'indwara y'umwijima | Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, amabyi y'ibara ryoroheje, inkari z'umuhondo wijimye cyangwa umukara, ndetse n'uruhu cyangwa amaso bigahinduka umuhondo. |
| Hypoglycemia (isukari nke mu maraso) | Guhinda umushyitsi, ibyuya, guhangayika cyane, uruhu rukonje, isereri, umutima utera cyane, no kumva utameze neza. |
| Impinduka mu cyerekezo | Kubona nabi, kubona impeta zikikije amatara, gutakaza ubushobozi bwo kubona. |
| Impinduka mu nkari | Inkari zitukura cyangwa ibara ry'umukara wijimye, ububabare mu gihe cyo kunyara, kunyara kenshi. |
| Ubusanzwe nta kintu cyo guhangayikisha (ariko bwira muganga wawe niba bikomeje) | |
| Indwara zisanzwe | Kuribwa umutwe, impiswi, isesemi, kubabara mu muhogo, izuru riva, kubabara imitsi. |
Ubutumwa bwo kujyana mu rugo
- Buri gihe fata uyu muti ku gihe cyagenwe n'ifunguro . Ntukigere uwufata uri mu nda idafite icyo kurya.
- Ntukabure kurya. Kubikora bishobora gutuma isukari mu maraso igabanuka cyane.
- Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia). Buri gihe shyira ikintu kirimo isukari (ibinini bya glucose, bombo) hafi yawe .
- Bwira muganga wawe indi miti yose, vitamine, n'imiti y'ibimera urimo gufata.
- Irinde guhagarika imiti cyangwa guhindura ingano yayo utabanje kugisha inama muganga wawe.
- Niba ugize ibimenyetso bikomeye nko kubabara mu gatuza, guhumeka nabi, cyangwa guta ubwenge, jya kwa muganga wita ku barwayi ba ETU byihutirwa.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.