Ese muganga wawe yakwandikiye sitagliptin na metformin ivanze ku ndwara ya diyabete yo mu bwoko bwa 2? Mu gihugu cyacu, uyu muti ukomoka ku izina rya Janumet. Kubera ko diyabete ari indwara igomba kwitabwaho neza, ni ngombwa cyane ko usobanukirwa neza imiti ufata. None rero uyu munsi, reka tuganire muri make kuri uyu muti, icyo umara ku mubiri wawe, n'ibintu ugomba kwitondera mu gihe uwukoresha.
Ni iki koko kigenda gitya kuri uyu muti?
Mu magambo make, imiti ibiri iri muri iki gipimo ifasha mu kugenzura urugero rw'isukari mu maraso yawe (glucose mu maraso) mu buryo bubiri.
1. Sitagliptin: Ibi bifasha kongera umusaruro w’umubiri wawe w’imisemburo yitwa insuline nyuma yo kurya. Insulini ni yo ifasha isukari mu maraso kwinjira mu turemangingo tw’umubiri no gukoreshwa mu gutanga ingufu.
2. Metformin: Ibi ahanini bikora mu kugabanya umusaruro w'isukari utari ngombwa mu mwijima wawe. Binatuma uturemangingo tw'umubiri wawe dushobora kumva insuline. Ibi bivuze ko igufasha gukoresha insuline ufite neza.
Igikuru ni uko gufata uyu muti gusa bidahagije. Ugomba kandi gukurikiza indyo nziza no gukora imyitozo ngororamubiri buri gihe . Ni bwo gusa ushobora kubona umusaruro mwiza.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Muganga wawe azakenera kumenya amateka y’ubuzima bwawe mbere yo kuguha imiti iyo ari yo yose. Niba rero ufite imwe muri izi ndwara zikurikira, menya neza ko ubizi neza utabihishe. Ibi ni ingenzi cyane ku mutekano wawe.
| Ese ufite ibi bintu? |
|---|
| Indwara y'impyiko cyangwa indwara y'umwijima |
| Indwara z'umutima cyangwa indwara z'umutima |
| Niba warigeze kugira pancreatitis mbere |
| Urugero rwinshi rwa triglyceride mu maraso |
| Kugabanuka kwa vitamine B12 cyangwa kugabanuka k'amaraso |
| Kugira akamenyero ko kunywa inzoga buri gihe |
| Kuba utwite, uteganya kubyara, cyangwa konsa umwana |
| Kugira ubwivumbure ku wundi muti uwo ari wo wose, ibiryo, cyangwa ikindi kintu icyo ari cyo cyose |
Ni gute neza neza nkoresha uyu muti?
- Mirira ikinini n'ikirahure cy'amazi.
- Ibi ni ingenzi cyane: Buri gihe fata iki ginini mbere yo kurya cyangwa nyuma yacyo . Kugifata mu nda idafite icyo kurya bishobora gutera ububabare mu gifu (kuribwa mu gatuza, isesemi).
- Fata gusa urugero rwanditswe n'umuganga wawe kandi ku gihe cyagenwe. Ntugahindure urugero uko ubyifuza.
- Ntugahagarike gufata imiti mu buryo butunguranye utabanje kugirwa inama na muganga.
- 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.
- Niba ufata imiti myinshi cyane: Niba utekereza ko wafashe imiti myinshi cyane wibeshye, jya ku bitaro bikuru by’ubutabazi (ETU) bikwegereye ako kanya. Cyangwa hamagara Ikigo cy’Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by’igihugu bya Colombo .
Ibintu ugomba kwitondera mu gihe ufata imiti
- Igipimo cy'isukari mu maraso: Menya uburyo bwo gupima igipimo cy'isukari mu maraso yawe. Menya ibimenyetso by'isukari nke mu maraso (Hypoglycemia) n'isukari nyinshi mu maraso (Hyperglycemia).
- Isukari nke mu maraso (Hypoglycemia): Ibi bishobora kuba ikibazo cyihutirwa. Niba ugize ibimenyetso nko kubira ibyuya, guhinda umushyitsi, inzara ikabije, cyangwa isereri, hita urya ikintu kiryoshye (agace k'isukari, bombo, cyangwa ikinini cya glucose) . Niba wataye ubwenge, menyesha umuryango wawe ko abandi batagomba kuguhatira kurya cyangwa kunywa, kandi ko ugomba kujyanwa kwa muganga ako kanya.
- Ikizamini cya HbA1C: Muganga wawe azagusaba gupimwa amaraso rimwe mu mezi 3. Ibi bipima uburyo wagenzuye isukari mu maraso yawe mu mezi 2-3 ashize.
- Kubagwa no gupima:Niba ugiye kubagwa, gupimwa na MRI, cyangwa gupimwa na CT, bwira itsinda ry’abaganga mbere y’igihe ko ugiye gufata uyu muti. Ushobora gukenera guhagarika gufata uyu muti iminsi mike mbere y’uko ubagwa .
- Inzoga: Kunywa inzoga byongera ibyago byo kugabanuka gutunguranye kw'isukari mu maraso ndetse n'indwara ikomeye yitwa lactic acidosis. Bityo rero ganira na muganga wawe ku bijyanye n'inzoga.
Ni izihe ngaruka mbi zishobora kubaho?
Kimwe n'indi miti iyo ari yo yose, ibi bishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Akenshi, ibi ntabwo ari bibi cyane, ariko hari ibimenyetso bimwe na bimwe ugomba kumenya by'umwihariko.
| Ibimenyetso bikomeye bisaba ubuvuzi bwihuse | |
|---|---|
| Ibimenyetso bya lactic acidosis | Kubabara imitsi cyangwa kugorama, kubabara mu gifu, guhumeka nabi, umunaniro ukabije. (Iyi ni ingaruka mbi nke ariko ziteje akaga cyane za Metformin). |
| Pancreatite | Ububabare bukomeye mu nda yo hejuru, bugakwirakwira mu mugongo, kuruka no kugira umuriro. |
| Uburyo bwo kubabara umubiri | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi, guhumeka nabi cyangwa kumira. |
| Ibindi bimenyetso bikomeye | Kubabara cyane mu ngingo, udusebe cyangwa ibisebe ku ruhu, guhumeka bigoranye, kubyimba amaguru cyangwa uturenge, kwiyongera ibiro mu buryo butunguranye. |
| Ingaruka mbi zisanzwe (zitari zikomeye) | |
| Ibibazo by'igogora | Kubabara mu gifu, umwuka, impiswi, isesemi (bikunze kubaho mu ntangiriro z'ubuvuzi hanyuma bikagenda nyuma. Ibi bishobora kugabanuka ubifashe mu biryo). |
| Ibindi | Kuribwa umutwe, kubabara mu muhogo, izuru riva. |
Ubutumwa bwo kujyana mu rugo
- Sitagliptin na Metformin ni imiti ikoreshwa mu kuvura diyabete yo mu bwoko bwa 2. Kugira ngo ubone umusaruro mwiza muri ibi, indyo nziza n'imyitozo ngororamubiri ni ngombwa.
- Buri gihe fata iki kinini mbere yo kurya cyangwa nyuma yo kurya .
- Menya neza ko wabwiye muganga wawe indi miti, vitamine, cyangwa imiti gakondo ufata.
- Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia) (gutitira, kubira ibyuya, kuzungera). Bika ikintu giryoshye hafi yawe kugira ngo ufate mu gihe bibaye.
- Niba ubabara cyane mu nda, ugorwa no guhumeka, cyangwa ubabara imitsi cyane, bishobora kuba ikimenyetso cy'indwara ikomeye nka Lactic Acidosis cyangwa Pancreatitis . Jya kwa muganga wita ku barwayi ba ETU vuba.
- Ntugahagarike gufata umuti cyangwa ngo uhindure igipimo nta nama ya muganga. Niba ufite impungenge, vugana na muganga wawe.
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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.