Ubufasha ku ndwara ya diyabete: Reka twige ku inshinge za Pramlintide!

Niba ubana na diyabete , ushobora kuba uzi akamaro ko kugenzura urugero rw'isukari mu maraso yawe. Hari igihe kugenzura imirire yawe no gukora siporo gusa ntibihagije, sibyo? Uyu munsi tugiye kuvuga ku inshinge zidasanzwe zizagufasha muri ibyo bihe. Izina ryayo ni Pramlintide .

Ni ubuhe bwoko bw'umuti Pramlintide?

Muri make, Pramlintide ni umuti uterwa mu inshinge ukoreshwa mu kuvura diyabete . Ukora mu kugabanya ingano y'isukari mu maraso yawe. Unagabanya umuvuduko w'igogora ry'ibiryo urya. Ibi bifasha mu kugenzura ukwiyongera gutunguranye kw'isukari mu maraso yawe.

Tekereza nk'ikigega gipima amazi, uyu muti ugenzura ukwiyongera gutunguranye kw'isukari mu maraso nyuma yo kurya. Akenshi, uyu muti utangwa hamwe no kugenzura indyo yawe no gukora imyitozo ngororamubiri . Ni bwo ubona umusaruro mwiza. Mu yandi magambo, ushobora kuba ikindi gice cy'ingenzi cya gahunda yawe yo kurwanya diyabete.

Ni ibihe bintu by'ingenzi ugomba kubwira muganga?

Mbere yo gutangira gufata inshinge za Pramlintide, ni ngombwa kubwira muganga wawe ibi bintu. Ibi ni ingenzi kuko bizamufasha gufata icyemezo niba uyu muti ukubereye n'uko uwutanga.

Niba ufite kimwe muri ibi bibazo, tubwire:

• Niba hemoglobine yawe A1C iri hejuru ya 9% (iki ni igipimo cy'uburyo wagenzuye isukari mu maraso yawe mu mezi make ashize).
• Niba ukunze kugira ikibazo cy'isukari nke mu maraso , cyangwa hypoglycemia .
• Niba ufite ikibazo cyo kugenzura neza urugero rw'isukari mu maraso yawe.
• Niba ufite ibibazo byo gufata imiti yawe ya diyabete neza.
• Niba ufite ikibazo cy'igifu, cyane cyane indwara yitwa gastroparesis , igabanya umuvuduko w'ibinure mu gifu cyawe (ikibazo aho amara agabanya umuvuduko w'imikorere yacyo).
• Niba ufite ikibazo cyo gusobanukirwa igihe isukari yawe iri hasi mu maraso,(Ikibazo cyo kumenya igihe isukari iri hasi mu maraso).
• Niba warigeze kugira ikibazo cyo kugira ubwivumbure kuri Pramlintide, ibigize metacresol , indi miti, ibiryo, amarangi y'ubukorano, cyangwa imiti irinda ubushyuhe.
• Niba utwite, cyangwa wifuza gusama mu gihe cya vuba .
• Niba uri umubyeyi wonsa .

Iyo ubwiye muganga wawe ibi bintu utabihishe, ashobora gutegura uburyo bwiza bwo kuvura.

Ni gute neza neza ukoresha uyu muti?

Uyu muti utangwa nk'urushinge munsi y'uruhu . Muganga wawe cyangwa umuforomo azaguha amabwiriza asobanutse neza y'uburyo bwo kuwutegura n'uburyo bwo kuwutera neza. Ugomba gukurikiza amabwiriza neza .

Ibi bintu ubizirikane:

• Ntukigere uvanga uyu muti na insuline muri syringe imwe. Iyi miti yombi igomba gufatwa ukwayo.
• Uyu muti ugomba gufatwa mbere ya buri funguro ry'ibanze .
• Fata umuti ku gihe cyagenwe kandi ku gihe cyagenwe nk'uko muganga yabigutegetse.
• Ntugafate ibirenze urugero rwagenwe.
• Mbere yo gukoresha umuti, banza urebe neza uko usa . Niba usa n'uwashenjaguwe, cyangwa niba ubona uduce duto tuwurimo, ntuwukoreshe.
• Ugomba gushyira inshinge zawe zakoreshejwe n'amakaramu yo kwisiga mu kintu cyagenewe iyi gahunda. Ntukigere ubijugunya mu myanda. Ibi bishobora guteza akaga ku bandi. Niba udafite, saba farumasi cyangwa muganga wawe.
• Iyo ubonye uyu muti muri farumasi, uzahabwa agapapuro k'amabwiriza yihariye (MedGuide) . Ugasome witonze igihe cyose uhawe ubwishyu.
• Uyu muti uza hamwe n'agapapuro k'amabwiriza yo gukoresha . Soma witonze hanyuma ubaze umufarumasiye cyangwa muganga wawe niba hari icyo utumva.
• Niba uha abana uyu muti , menya neza ko ubiganiriyeho na muganga wawe. Ushobora gusaba ubwitonzi bwihariye.
• Wakora iki mu gihe ufashe imiti myinshi ku buryo butunguranye ? Niba utekereza ko ibi byabaye, ntugatinye ahubwo uhite uhamagara ibitaro biri hafi yawe cyangwa ikigo gishinzwe kurwanya uburozi kugira ngo bakugire inama.

Iki ni ikintu ugomba kwibuka: Uyu muti ni uwawe gusa. Ntukigere uwuha inshuti cyangwa umuntu wo mu muryango, kabone n'iyo yaba arwaye diyabete.

Wakora iki niba wabuze dose y'umuti?

Hari igihe ushobora kubura doze y'umuti, sibyo? Biratandukanye kuri buri wese. Ariko, si byiza kubura doze . Muganga wawe cyangwa itsinda ry'abaganga bazakubwira icyo wakora niba ubuze doze. Kurikiza iyo gahunda neza. Ntugafate doze ebyiri ku mpamvu iyo ari yo yose. Kubikora bishobora gutuma isukari mu maraso yawe igabanuka cyane.

Ni iyihe miti yindi ishobora kugira ingaruka kuri uyu muti?

Ese wari uzi ko imiti imwe n'imwe ishobora kugira ingaruka kuri Pramlintide, bivuze ko ishobora kugira ingaruka kuri yo? Rero ni ngombwa cyane kubwira muganga wawe imiti yose ufata, harimo vitamine, ibyatsi, imiti igurishwa mu maguriro, ndetse n'inyongeramusaruro mu mirire.

Witondere imiti ikurikira kuko ingaruka za Pramlintide zishobora guhinduka:

• Acetaminophen (nk'iya parasetamol)
• 'Alosetron'
• 'Atropine'
• Ibinini byo kuboneza urubyaro
• Imiti imwe n'imwe ivura ibibazo by'inkari, urugero, oxybutynin
• Imiti imwe n'imwe ivura indwara zo mu gifu, urugero nka `dicyclomine`, `hyoscyamine`
• Imiti imwe ikoreshwa mu kuvura isesemi mu gihe uri mu rugendo, urugero nka scopolamine
• `Eluxadoline`
• Indi miti ivura diyabete, urugero nka `acarbose`, `miglitol`

Nanone, hari indi miti myinshi ishobora kugira ingaruka ku rugero rw'isukari mu maraso. Urutonde ni rurerure gato, ariko ni ngombwa kumenya iyi:

• Ibinyobwa birimo inzoga
• Imiti igabanya ubukana bwa virusi itera SIDA cyangwa SIDA
• Asipirine n'imiti isa nayo
• Imiti imwe n'imwe ivura umuvuduko ukabije w'amaraso, indwara z'umutima, n'umutima utera nabi
• Chromium (rimwe na rimwe ifatwa nk'inyongera)
• Utunyangingo tw'imitsi
• Imisemburo y'abagore, yaba iy'abagore nka estrogen cyangwa progestin, ikoreshwa mu binini byo kuboneza urubyaro.
• 'Fenofibrate'
• 'Gemfibrozil'
• Isoniazid (umuti uvura igituntu)
• `Lanreotide`
• Imisemburo y'abagabo cyangwa `steroidi za anabolic`
• Imiti iri mu itsinda ry'imiti yitwa `MAOIs` (ikoreshwa mu kuvura indwara zo mu mutwe), urugero `Carbex`, `Eldepryl`, `Marplan`, `Nardil`, na `Parnate`
• Umuti wo kugabanya ibiro
• Imiti ivura allergie, asima, ibicurane, n'inkorora
• Imiti ivura indwara zo mu mutwe ziterwa no kwiheba, guhangayika, cyangwa izindi ndwara zo mu mutwe
• 'Niacin'
• Nikotine (iboneka mu itabi)
• Imiti igabanya ububabare yitwa `NSAIDs`, ni ukuvuga imiti igabanya ububyimbirwe, urugero `ibuprofen` cyangwa `naproxen`
• 'Octreotide'
• `Pasireotide`
• 'Pentamidine'
• 'Phenytoin' (umuti uhabwa inzoka)
• Probenecide (umuti uvura goutte)
• Antibiyotike za Quinolone, urugero nka ciprofloxacin, levofloxacin, ofloxacin
• Inyunganiramirire zimwe na zimwe z'ibimera
• Imiti ya steroid, nka prednisone cyangwa cortisone
• Sulfamethoxazole; trimethoprim (umuti ugabanya ubukana bw'ibiyobyabwenge)
• Imisemburo ya tiroyide

Icy'ingenzi kurushaho, hari imiti imwe n'imwe ishobora guhisha ibimenyetso by'isukari nke mu maraso (hypoglycemia). Ibi bivuze ko ushobora kutamenya ko ufite isukari nke mu maraso. Niba ufata imwe muri iyi miti, ni ngombwa cyane kugenzura urugero rw'isukari mu maraso yawe buri gihe. Iyo miti ikubiyemo:

• Beta-blockers - Izi zikunze gutangwa ku ndwara z'umutima cyangwa umuvuduko ukabije w'amaraso (urugero: atenolol, metoprolol, propranolol)
• 'Clonidine'
• 'Guanethidine'
• 'Reserpine'

Uru rutonde ntirukubiyemo imiti yose ikoreshwa mu gufata imiti. Bwira muganga wawe imiti yose, ibyatsi, n'inyongeramusaruro ufata, kandi niba unywa itabi, unywa inzoga, cyangwa ukoresha ibindi biyobyabwenge. Hari ibintu bishobora kugira ingaruka ku miti yawe.

Ugomba kandi kwitondera ibi bintu mu gihe ufata imiti!

Mu gihe ukoresha uyu muti, ugomba kujya kwa muganga wawe buri gihe kugira ngo arebe uko umeze. Nanone, menya ibi bikurikira:

• Ikizamini cyawe cya HbA1C (A1C) gisuzumwa buri gihe. Iki ni ikizamini cyoroshye cy'amaraso. Kireba uburyo isukari yawe mu maraso yagenzuwe mu mezi 2-3 ashize. Iki kizamini gikorwa buri mezi 3-6.
• Menya uburyo bwo gusuzuma urugero rw'isukari mu maraso yawe mu rugo. Nanone, menya ibimenyetso by'isukari nke mu maraso (hypoglycemia) n'isukari nyinshi mu maraso (hyperglycemia) n'uburyo bwo kubikemura. Ibi ni ingenzi cyane.
• Buri gihe shyira ahantu haboneka isukari hafi yawe. Urugero, uduce tw'isukari, ibinini bya glucose, cyangwa ikinyobwa kirimo isukari. Niba isukari mu maraso yawe igabanutse cyane ukarwara igicuri cyangwa ucika intege, menyesha abandi (abo mu muryango, inshuti) ko kuguha ibiryo cyangwa icyo kunywa muri icyo gihe bishobora gutera igicuri. Ibi nibibaho, ugomba kwihutira gushaka abaganga.
• Niba wumva igipimo cy'isukari mu maraso yawe kiri hejuru, bwira muganga wawe. Igipimo cy'imiti yawe gishobora kuba gikenewe guhindurwa.
• Niba urwaye (nk'umuriro cyangwa kuribwa mu gifu), cyangwa niba ukora siporo nyinshi kuruta uko bisanzwe , ushobora gukenera guhindura ingano y'imiti yawe. Baza muganga wawe ibi.
• Ntukareke kurya, cyane cyane niba ufata uyu muti.
• Baza muganga wawe niba ukwiye kwirinda kunywa inzoga. Inzoga zishobora gutuma isukari mu maraso yawe igabanuka cyangwa ikazamuka.
• Imiti imwe n'imwe ikoreshwa mu gukorora no mu gucura ishobora kuba irimo isukari cyangwa inzoga. Ishobora kugira ingaruka ku rugero rw'isukari mu maraso, bityo rero baza muganga wawe cyangwa umufarumasiye mbere yo kuyifata.
• Ntuzigere usangiza abandi amakaramu yo gutera inshinge. Nubwo urushinge rwahindurwa, gusangira bishobora gukwirakwiza virusi zikomeye nka hepatite cyangwa VIH.
• Ambara umukufi cyangwa umukufi w'indangamuntu yo kwa muganga. Nanone, shyira ikarita iriho ibisobanuro birambuye ku ndwara yawe, imiti ufata, ingano, n'amasaha uyifata. Ibi bizagufasha cyane mu gihe cy'impanuka.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, guterwa Pramlintide bishobora guteza ingaruka mbi ku bantu bamwe na bamwe. Ariko, si bose bazibona. Hari abantu bashobora kutagira ingaruka mbi.

Niba ikintu nk'iki kibaye, ugomba guhita ubibwira muganga wawe:

• Indwara zo kugira ubwivumbure bw'umubiri — Ibi birimo uduheri ku ruhu, kuribwa, kubyimba, cyangwa kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo. Ibi bishobora guteza akaga kandi bisaba ubuvuzi bwihuse.

Izi ngaruka mbi ubusanzwe ntabwo ziba zikomeye, ariko niba zikomeje cyangwa zikakubangamira, bwira muganga wawe:

• Umutwe
• Kubura ubushake bwo kurya
• Kugira isesemi (hari abantu bashobora kubyiyumvamo hakiri kare)
• Ububabare, gutukura, cyangwa uburyaryate aho bateye urushinge
• Kubabara mu gifu
• Kuruka

Uru rutonde rushobora kuba rudakubiyemo ingaruka zose zishobora kubaho. Niba ubonye ikintu kidasanzwe, hamagara muganga wawe kugira ngo akugire inama.

Ni gute nabika uyu muti neza?

Ni ngombwa kandi kubika imiti neza. Bitabaye ibyo, ubuziranenge bwayo bushobora kugabanuka cyangwa bukangirika.

• Bibike ahantu hatekanye kure y'abana n'amatungo.
• Imashini nshya zitarafungurwa zigomba kubikwa ahantu hakonje, nko mu muryango wa firigo, hagati ya dogere selisiyusi 2 na 8 (dogere selisiyusi 36 kugeza 46). Ntugakonjeshe muri firigo igihe icyo ari cyo cyose.Tata umuti wose usigaye nyuma y'itariki ntarengwa.
• Inshinge zifunguye , bivuze ko zikoreshwa ubu, zishobora kubikwa muri firigo cyangwa ku bushyuhe bw'icyumba (butari hejuru ya dogere selisiyusi 30 (86 F)) mu gihe cy'iminsi 30. Ntureke ngo zikonje. Hari abantu bavuga ko urushinge rudatera ububabare bwinshi iyo rubitswe ku bushyuhe bw'icyumba. Umuti uwo ari wo wose utarakoreshejwe ugomba gutabwa nyuma y'iminsi 30, kabone n'iyo haba hari umuti usigayemo.

Ubutumwa bw'ingenzi cyane bwo kujyana mu rugo

Rero, Pramlintide ishobora kuba umuti w'ingenzi cyane ufasha mu kurwanya diyabete. Ariko ni ngombwa kuwukoresha neza nk'uko muganga wawe akubwira, ukareba niba hari aho uhuriye n'indi miti, umenye ingaruka mbi, kandi ukareba buri gihe urugero rw'isukari mu maraso yawe .

Menya ko iyi nkuru itanga amakuru rusange gusa. Muganga wawe ni we wenyine ushobora kuguha inama nziza ku bijyanye no kumenya niba uyu muti ukubereye n'uko uwufata, hashingiwe ku buzima bwawe.

Niba ufite ikibazo cyangwa impungenge, ntutindiganye kubaza muganga wawe, umufarumasiye, cyangwa umuvuzi wawe. Twizeye ko aya makuru azagufasha kubaho ubuzima bwiza kandi bushimishije urwaye diyabete.

Pramlintide , Diyabete, Urushinge, Isukari yo mu maraso, Ingaruka mbi, Umuti wa Diyabete