Diyabete ni indwara ikunze kugaragara muri twe muri Sri Lanka. Bityo rero, muganga wawe yakwandikiye imiti yo kugenzura diyabete yawe. Niba uri umwe mu bakoresha umuti witwa Sitagliptin, iyi nkuru izaba ingenzi cyane kuri wewe. Reka turebe ibijyanye n'uyu muti, uko ukora, n'ibintu ugomba kwitondera mu gihe uwukoresha.
Ni ubuhe bwoko bw'umuti Sitagliptin?
Muri make, Sitagliptin ni umuti ukoreshwa mu kuvura Diyabete yo mu bwoko bwa 2. Ikora mu buryo bushimishije cyane mu mubiri wacu. Yongera urugero rwa insuline mu mubiri wawe kandi ikagabanya ingano ya glucose mu maraso yawe. Inagabanya ingano y'isukari yongerwa mu maraso n'umwijima.
Igikuru ni uko uyu muti wonyine udahagije. Ni ukurya neza no gukora imyitozo ngororamubiri ya buri munsi gusa ari bwo ushobora kubona umusaruro mwinshi uva kuri uyu muti.
Ibintu ugomba kubwira muganga wawe mbere yo gufata umuti
Mbere yo gutangira gufata Sitagliptin, hari ibintu bike ugomba kubwira muganga wawe. Ntukabihishe, kuko ni ingenzi cyane ku mutekano wawe.
- Niba ufite diyabete ya ketoacidosis.
- Niba ufite indwara y'impyiko: Ibi ni ingenzi cyane kuko ingano y'uyu muti ishobora gukenera guhindurwa bitewe n'imikorere y'impyiko zawe.
- Niba warigeze kugira pancreatitis.
- Niba wigeze kubyimba ururimi, isura, cyangwa iminwa, guhumeka bigoranye, kumira nabi, cyangwa guhindura ijwi ryawe nyuma yo gufata umuti runaka: Ibi bivuze ko wagize ikibazo gikomeye cy’ubwivumbure.
- Niba urwaye diyabete yo mu bwoko bwa 1: Uyu muti ntukubereye.
- Niba ufite allergie kuri sitagliptin cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi.
- Niba utwite, ugerageza gusama, cyangwa wonsa.
Ni gute neza neza nkoresha uyu muti?
Uyu muti woroshye cyane kuwukoresha. Mira iki ginini n'ikirahure cy'amazi. Ushobora kugifata mbere cyangwa nyuma yo kurya. Ugifate neza nk'uko muganga wawe yabigutegetse.
Ibintu bike by'ingenzi:
- Ntukavune, ntukamene cyangwa ngo uhekenye umuti. Mirira ikinini cyose.
- Gerageza gufata umuti wawe icyarimwe buri munsi. Muri ubwo buryo ntuzibagirwa.
- Kugeza igihe muganga azabivuga.Ntureke gufata umuti.
- Uyu muti ni uwawe gusa. Ntuwuhe undi muntu uwo ari we wese.
Bite se niba ubuze imiti yawe?
Niba wibagiwe gufata dose mu buryo butunguranye, fata dose ukimara kubyibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri.
Bite ho iyo mfashe imiti myinshi?
Niba utekereje ko wafashe ibirenze urugero rwatanzwe, jya ku bitaro bikuru by’ubutabazi (ETU) biri hafi yawe. Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Ibintu ugomba kwitondera mu gihe ufata imiti
Reba muganga wawe ku matariki yagenwe kugira ngo umenye neza ko ubuvuzi bwawe bugenda neza.
- Ikizamini cya HbA1c: Muganga wawe azagutegeka gupimwa amaraso yitwa HbA1c (A1C) . Ibi bipima uburyo isukari yawe mu maraso yagenzuwe neza mu mezi 2-3 ashize. Uzakenera gukora iki kizamini buri mezi 3 kugeza kuri 6.
- Gukurikirana isukari mu maraso: Ni ngombwa kwiga uburyo bwo kugenzura isukari mu maraso yawe mu rugo. Nanone, menya ibimenyetso bya hypoglycemia na hyperglycemia, n'icyo wakora mu gihe bibaye.
- Niba isukari mu maraso yawe igabanutse: Buri gihe shyira ikintu nk'isukari, tofe, cyangwa ibinini bya glucose hafi yawe kugira ngo ukoreshe niba isukari mu maraso yawe igabanutse. Ariko ibuka ko niba isukari mu maraso yawe igabanutse cyane ugatangira kugira ibibyimba cyangwa ugatakaza ubwenge, ntugashyire ikintu icyo ari cyo cyose mu kanwa muri icyo gihe. Ushobora kubyimba. Muri icyo gihe, ugomba guhita ushakisha inama kwa muganga.
- Ibindi bintu: Niba urwaye, kora siporo nyinshi kuruta uko bisanzwe, baza muganga wawe niba ukeneye guhindura ingano y'imiti yawe. Ntugasimbuke amafunguro. Vugana kandi na muganga wawe ku bijyanye no kunywa inzoga.
- Indangamuntu yo kwa muganga: Ni byiza kwambara ikarita cyangwa umukufi uvuga ko urwaye diyabete n'imiti ufata.
Ingaruka mbi zishobora kubaho n'ibibazo bishobora guterwa n'uyu muti
Kimwe n'indi miti iyo ari yo yose, Sitagliptin ishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Ishobora no kugira ingaruka mbi ku yindi miti. Reka tubirebe.
| Ibiyobyabwenge/ibintu bishobora gutera amakimbirane | Ibintu byo kwitondera |
|---|---|
| Insulini | Gufata ibi byombi hamwe bishobora gutera isukari nke mu maraso (hypoglycemia). Muganga wawe azahindura urugero rw'ibipimo. |
| Sulfonylureas (urugero: Glimepiride, Glibenclamide) | Hari ibyago byinshi byo kugabanuka kw'isukari mu maraso iyo umuntu afashe Sitagliptin. |
| Digoxin (umuti uvura indwara z'umutima) | Sitagliptin ishobora guhindura gato ingaruka za Digoxin. Bibwire muganga wawe ibi. |
| Inzoga | Inzoga zishobora kugira ingaruka ku rugero rw'isukari mu maraso. Baza muganga wawe ibi. |
| Icyitonderwa: Uru rutonde ntirwuzuye. Bwira muganga wawe imiti yose, vitamine, n'ibikomoka ku bimera ufata. | |
| Ingaruka mbi | Ibisobanuro n'icyo gukora |
|---|---|
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso/iminwa/ururimi, guhumeka bigoranye. |
| Pancreatite | Ububabare bukomeye mu gifu bukwirakwira mu mugongo, ububabare burushaho kwiyongera nyuma yo kurya, umuriro, isesemi, kuruka. |
| Umutima unanirwa | Guhumeka bigoranye, kubyimba utubuto/ibirenge/amaboko, kwiyongera ibiro mu buryo butunguranye, kumva unaniwe bidasanzwe. |
| Gukomereka kw'impyiko | Kugabanuka k'umuvuduko w'inkari, kubyimba utubuto/amaboko/ibirenge. |
| Ibyiyumvo by'uruhu | Gutukura, kubyimba, gushibuka k'uruhu (ndetse no mu kanwa). |
| Ububabare bukomeye bw'ingingo | Ububabare bukomeye mu ngingo. |
| Ibintu ubusanzwe bitari bikomeye, ariko bigomba kumenyeshwa muganga niba bikomeje | |
| Umutwe | Umutwe |
| Ibimenyetso bisa n'ibicurane | Izuru riva, izuru rizibye. |
| Kubabara mu muhogo | Kubabara mu muhogo |
Ni gute wabika umuti?
- Bika ahantu abana batagera.
- Bika ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 15 na 30).
- Tara umuti warengeje igihe.
Ubutumwa bwo kujyana mu rugo
- Sitagliptin ni umuti ukoreshwa mu kuvura diyabete yo mu bwoko bwa 2. Indyo n'imyitozo ngororamubiri ni ingenzi kugira ngo habeho umusaruro mwiza.
- Fata uyu muti neza neza nk'uko muganga wawe akubwira, ku gihe cyagenwe. Ntuwuvune, ntuwushenye, cyangwa ngo uwuhekenye.
- Bwira muganga wawe indi miti yose ufata n'izindi ndwara zose ufite.
- Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia). Bika isukari cyangwa bombo hafi yawe mu gihe cy'ibibazo byihutirwa.
- Shaka abaganga vuba niba ubabara mu gifu cyane, uhumeka nabi, ufite uduheri ku ruhu, cyangwa ufite ibimenyetso bikomeye by’ubwivumbure.
- Niba ufite ikibazo icyo ari cyo cyose kuri uyu muti, ntutinye kukiganiraho na muganga wawe.
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