Ese nawe uri kuvurwa Diyabete yo mu bwoko bwa 2 ? Niba ari byo, muganga wawe ashobora kuba yaragundikiye ikinini gihuza imiti ibiri, Sitagliptin na Metformin. Ushobora kuba ubizi ku izina rya Janumet XR. Gikora mu kugenzura urugero rw'isukari mu maraso yawe. None rero uyu munsi, reka tuvuge kuri uyu muti w'ingenzi, icyo ukora, icyo ugomba kwitondera mu gihe uwukoresha, n'ingaruka mbi zose.
Renal function (eGFR)
Measure kidney function based on creatinine value
Ni iki koko kigenda gitya kuri uyu muti?
Mu magambo make, iki gipimo gifasha kugenzura urugero rw'isukari mu maraso yawe (glucose) mu buryo bubiri.
1. Metformin: Iyi igenzura cyane cyane ikorwa ry'isukari ritari ngombwa n'umwijima wawe. Inafasha uturemangingo tw'umubiri wawe kwakira neza insuline .
2. Sitagliptin: Ibi bifasha kongera ingano ya insuline umubiri wawe ukora nyuma yo kurya no kugabanya umusaruro w'isukari ukorwa n'umwijima.
Ariko ibuka ibi. Iki si ikinini cy'igitangaza. Kugira ngo uyu muti wungukire neza, ni ngombwa cyane kugira indyo nziza no gukora imyitozo ngororamubiri nk'uko muganga wawe yabigusabye .
Ibintu ugomba kubwira muganga wawe mbere yo gufata umuti
Mbere yo kuguha uyu muti, ni ngombwa cyane ko muganga wawe amenya amateka y’ubuzima bwawe. Menya neza ko wamubwiye indwara iyo ari yo yose yavuzwe hano hasi.
| Indwara cyangwa imiterere | Kuki ugomba gutanga amakuru? |
|---|---|
| Indwara y'impyiko cyangwa umwijima | Uwo muti uvanwa mu mubiri ahanini binyuze mu mpyiko. Iyo hari ibibazo kuri izi ngingo, ingano y'umuti ishobora guhindurwa cyangwa ntuyihabwe na gato. |
| Indwara z'umutima cyangwa indwara y'umutima | Gukoresha uyu muti bishobora guteza akaga mu ndwara zimwe na zimwe z'umutima. |
| Niba warigeze kugira pancreatitis | Kubera ko uyu muti udashobora gutera pancreatitis gake cyane, amateka y’ubuzima bwa kera ni ingenzi. |
| Niba unywa inzoga buri gihe | Guhuza inzoga na Metformin byongera ibyago byo kurwara indwara ikomeye yitwa lactic acidosis. |
| Kubura Vitamine B12 cyangwa kubura amaraso | Gukoresha metformin igihe kirekire bishobora gutuma urugero rwa Vitamine B12 rugabanuka. |
| Niba utwite, ugerageza gutwita, cyangwa uri umubyeyi wonsa | Uyu muti ntukwiriye muri ibi bihe, kandi muganga wawe azaguha ubundi buryo butekanye. |
| Niba ufite allergie ku yindi miti, ibiryo, cyangwa ibindi bintu | Ni ngombwa kumenyesha amakuru yerekeye ubwivumbure ubwo ari bwo bwose. |
Ni gute neza neza ukoresha uyu muti?
- Fata urugero rwatanzwe na muganga. Ntugafate urugero cyangwa munsi yarwo.
- Iki ginini gikunze gufatwa rimwe ku munsi, hamwe n'ifunguro rya nimugoroba .
- Mirira ikinini cyose n'ikirahure cy'amazi.
- Icy'ingenzi cyane: Iki ginini ni ikinini cya XR . Ibi bivuze ko umuti usohorwa mu mubiri mu gihe cy'amasaha 24. Kubwibyo , ntukigere uvunagura, ujanjagura, cyangwa ngo uhekenya ikinini. Kubikora bishobora gutuma umuti usohorwa mu mubiri icyarimwe, bigatera ingaruka mbi.
- Niba wabuze dose, fata ako kanya wibuka. Ariko niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri icyarimwe.
- Niba ubona ko wafashe imiti myinshi cyane, ntugapfushe umwanya kandi uhite uhamagara Ikigo cy’Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by’igihugu bya Colombo. Cyangwa ujye mu Kigo cyita ku Buvuzi bw’Ingoboka (ETU) cy’ibitaro biri hafi yawe.
Witondere ibi bintu mu gihe ufata imiti.
- Gusuzumwa buri gihe: Muganga wawe azagusuzuma buri gihe, cyane cyane akoresheje isuzuma ry'amaraso ryitwa HbA1C (A1C) buri mezi 3 kugeza kuri 6. Ibi bizareba uburyo isukari yawe mu maraso yagenzuwe neza mu mezi 2-3 ashize.
- Menya urugero rw'isukari mu maraso yawe: Menya uburyo bwo gusuzuma urugero rw'isukari mu maraso yawe mu rugo. Menya ibimenyetso by'isukari nke mu maraso (Hypoglycemia) n'isukari nyinshi mu maraso (Hyperglycemia).
- Bika isukari hafi: Buri gihe shyira ikintu nk'isukari, agace ka tofe, cyangwa ikinini cya glucose hafi mu gihe isukari yagushira mu buryo butunguranye.
Icy'ingenzi: Niba umuntu afite isukari nke mu maraso kandi akaba afite igicuri cyangwa atazi, ntukagire icyo umushyira mu kanwa. Bishobora kumuviramo inzara. Shaka abaganga vuba.
- Kubagwa no gupimwa: Niba ugiye kubagwa, gupimwa na MRI, cyangwa gupimwa na CT, menya neza ko wabwiye muganga wawe ko urimo gufata uyu muti. Ushobora gukenera guhagarika gufata uyu muti mu minsi mike.
- Indi miti: Bwira muganga wawe indi miti yose ufata (harimo na vitamine n'imiti y'ibimera). Imiti imwe ishobora kugira ingaruka kuri iyi.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti iyo ari yo yose, iyi ishobora gutera ingaruka mbi ku bantu bamwe. Zimwe muri zo ni mbi, izindi ni ibisanzwe.
| Gushyira mu byiciro ingaruka mbi | |
|---|---|
Ingaruka mbi zikomeye zisaba ubuvuzi bwihuse | |
| Uburyo bwo kubabara umubiri | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi cyangwa umuhogo, no kugorwa no guhumeka. |
| Pancreatite | Kubabara mu gifu cyane (ibi bishobora gukwirakwira mu mugongo), ububabare burushaho kwiyongera nyuma yo kurya, umuriro, isesemi, kuruka. |
| Aside ya Lactic | Kuribwa cyangwa kubabara imitsi, kubabara mu gifu, guhumeka bigoranye, umunaniro ukabije, kumva ufite intege nke. (Iki ni ikibazo gikomeye cyane). |
| Umutima unanirwa | Kugorwa no guhumeka, kubyimba utubuto, ibirenge, cyangwa amaboko, kwiyongera ibiro mu buryo butunguranye, umunaniro udasanzwe. |
| Ububabare bukomeye bw'ingingo | Ububabare bukabije mu ngingo. |
Ingaruka mbi ubusanzwe zitari mbi, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Ibibazo by'igogora | Kubabara mu gifu, impiswi, umwuka, isesemi. |
| Ibindi | Ibimenyetso nko kuribwa umutwe, kubabara mu muhogo, n'ibicurane. |
Ubutumwa bwo kujyana mu rugo
- Sitagliptin na Metformin ni imiti y'ingenzi cyane ifasha mu kurwanya diyabete yo mu bwoko bwa 2. Ariko ibi bigomba gukorwa hamwe n'imirire n'imyitozo ngororamubiri.
- Ntuzigere uvunagura, usya cyangwa uhekenya ikinini cya XR (Extended-Release Release). Uramire cyose.
- Ni ngombwa kumenyesha muganga wawe indi miti yose ufata ndetse n'izindi ndwara zose ushobora kuba ufite.
- Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia) kandi buri gihe ushyire ikintu kirimo isukari hafi.
- Shaka abaganga vuba niba ubabara mu gifu cyane, uhumeka nabi, cyangwa ufite ibimenyetso bikomeye by'ubwivumbure.
- Irinde guhagarika imiti cyangwa guhindura ingano y'imiti ubwawe. Buri gihe vugana na muganga wawe.
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