Urimo gufata imiti ya Diyabete yo mu bwoko bwa 2? Reka tuvuge ku binini bya Tolbutamide!

Ushobora kuba urwaye Diyabete yo mu bwoko bwa 2, bityo muganga wawe ashobora kuba yarakwandikiye umuti witwa Tolbutamide. Cyangwa ushobora kuba ushishikajwe no kumenya byinshi kuri uyu muti. Ariko, ni ngombwa kumenya neza uwo muti. None rero uyu munsi, reka tubiganireho birambuye kandi mu buryo bworoshye cyane.

Ni iki koko kigenda giterwa n'uyu muti witwa Tolbutamide?

Muri make, Tolbutamide ni umuti ufasha mu kugenzura Diyabete yawe yo mu bwoko bwa 2. Ufasha cyane cyane imisemburo ya insuline yo mu mubiri wawe gukora akazi kayo neza. Urabizi, iyo urwaye diyabete, umubiri wawe ntukora insuline ihagije, cyangwa insuline ikora ntikora neza. Ni bwo uyu muti ufasha.

Ariko ikintu kimwe ugomba kwibuka. Ntushobora kurwanya diyabete ufata uyu muti wenyine. Ushobora kubona inyungu nyinshi kuri uyu muti gusa iyo urya indyo ikwiye kandi ugakora imyitozo ngororamubiri. Uyu muti ushobora kuboneka ku isoko ku mazina nka Orinase cyangwa Tol-Tab. Ariko niba ikintu cy'ingenzi cy'umuti muganga aguhaye ari Tolbutamide, izi ngingo zose zirakenewe.

Hari igihe uyu muti ushobora gukoreshwa ku zindi mpamvu z'ubuvuzi. Niba ufite ikibazo kuri ibi, baza muganga wawe cyangwa umufarumasiye.

Ni ibihe bintu ugomba kubwira itsinda ry'abaganga mbere yo gufata uyu muti?

Iki ni ikintu cy'ingenzi cyane. Niba ufite kimwe muri ibi bikurikira, ugomba kubibwira muganga wawe mbere yo gutangira uyu muti:

• Niba ufite ketoacidosis ya diyabete, indwara ikomeye iterwa na diyabete.
• Niba ufite ikibazo cyo kubura enzyme cyitwa glucose-6-phosphate dehydrogenase deficiency (kubura G6PD) .
• Niba ufite indwara y'umutima .
• Niba ufite indwara y'impyiko .
• Niba ufite indwara y'umwijima .
• Niba ufite ubwandu bukomeye cyangwa igikomere gikomeye .
• Niba urwaye indwara ya tiroyide .
• Niba waragize ikibazo kidasanzwe cyangwa ufite ubwivumbure kuri tolbutamide, imiti ya sulfa, indi miti, ibiryo, amarangi y'ubukorano, cyangwa imiti irinda ubushyuhe.
• Niba utwite cyangwa ugerageza gutwita.
• Niba uri umubyeyi wonsa.

Iyo uvuze ibi bintu neza, muganga wawe ashobora guhitamo niba uyu muti ukubereye cyangwa niba ukeneye ubundi buryo.

Ni gute neza neza ukoresha uyu muti?

Uyu muti ni ikinini ufata unywa. Mirira ikinini n'ikirahure cy'amazi. Ugomba gukurikiza amabwiriza ari ku rupapuro rwa muganga nk'uko muganga wawe yabiguhaye. Ni byiza gufata umuti icyarimwe buri munsi. Ntugafate ibirenze ibyo muganga yagutegetse.

Niba uha abana uyu muti, ugomba kubibwira muganga w'abana. Ushobora gusaba ubwitonzi bwihariye.

Abantu barengeje imyaka 65 bashobora kugira ingaruka zikomeye gato iyo bafata uyu muti. Kubwibyo, bashobora gukenera guhabwa dose nkeya.

Icy'ingenzi: Niba utekereza ko wafashe imiti myinshi cyane (urengeje urugero), hamagara ikigo gishinzwe kurwanya uburozi cyangwa icyumba cyita ku barwayi b'inkeragutabara kiri hafi yawe.

Ikindi kandi, uyu muti ni uwawe gusa. Ntukigere uha undi muntu uwo ari we wese umuti wawe, kabone n'iyo yaba afite ibimenyetso nk'ibyawe.

Wakora iki niba wabuze dose y'umuti?

Niba wabuze dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri.

Ni izihe ngaruka mbi zishobora kubaho kuri uyu muti?

Iki kandi ni ikintu cyo kwitondera cyane. Imiti imwe n'imwe n'ibiribwa bishobora kugira ingaruka kuri Tolbutamide. Ni ukuvuga ko ubushobozi bw'uyu muti bushobora guhinduka, cyangwa ingaruka mbi zikiyongera.

Uyu muti ushobora kugira ingaruka ku bintu bikurikira:

• Bosentan
• Chloramphenicol
• Cisapride
• Imiti ivura indwara z'ibihumyo cyangwa imisemburo (urugero: fluconazole, ketoconazole)
• Metoclopramide
• Probenecide
• Warfarin

Byongeye kandi, hari indi miti n'ibintu bishobora kongera cyangwa kugabanya urugero rw'isukari mu maraso yawe. Ugomba kwitonda mu gihe ufata uyu muti hamwe na wo. Urugero:

• Ibinyobwa bisindisha
• Asipirine n'imiti isa nayo
• Inyongeramusaruro za Chromium
• Antibiyotike nka clarithromycin
• Imiti igabanya ubukana bw'inkari (imiti ituma umuntu anyara)
• Imisemburo y'abagore (nk'imisemburo ya estrogen cyangwa progestin) n'ibinini byo kuboneza urubyaro
• Imiti ivura indwara zimwe na zimwe z'umutima
• Isoniazide
• Imisemburo y'abagabo cyangwa steroidi z'aba-anabolic
• Umuti wo kugabanya ibiro
• Indwara zo kurwara aleriji, asima, ibicurane n'inkorora
• Imiti ivura indwara zo mu mutwe
• Imiti yo mu bwoko bw'imiti yitwa MAO Inhibitors (urugero: Nardil, Parnate)
• Niyasini
• NSAIDs (urugero: ibuprofen, naproxen)
• Pentamidine
• Phenytoin
• Antibiyotike za Quinolone (urugero: ciprofloxacin, levofloxacin)
• Inyunganiramirire zimwe na zimwe z'ibimera
• Imiti ya steroid (urugero: prednisone, cortisone)
• Umuti wa tiroyide

Uru rutonde ntirwuzuye. Kubwibyo, bwira muganga wawe imiti yose (harimo imiti igurishwa mu kigo), ibyatsi, n'inyongeramusaruro ufata. Bibwire kandi muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibindi biyobyabwenge. Ibi bishobora no kugira ingaruka ku miti yawe.

Ni ibihe bintu ugomba kwitondera mu gihe ufata uyu muti?

Ugomba kwitondera ubuzima bwawe igihe cyose ukoresha uyu muti.

• Jyana na muganga wawe buri gihe: Jya kwisuzumisha nk'uko muganga wawe yabigutegetse kugira ngo urebe uburyo diyabete yawe igenzurwa neza.
• Ikizamini cya HbA1C: Muganga wawe ashobora gutegeka ikizamini cyitwa HbA1C (A1C). Iki kizamini gipima impuzandengo y'isukari mu maraso yawe mu mezi 2-3 ashize. Iki kizamini gikunze gukorwa buri mezi 3 kugeza kuri 6.
• Menya uburyo bwo kugenzura urugero rw'isukari mu maraso yawe: Ni ngombwa kumenya uburyo bwo kugenzura 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 kubigenzura.

Menya neza cyane indwara ya hypoglycemia!

Mu gihe ufata uyu muti, igipimo cy'isukari mu maraso yawe gishobora kugabanuka cyane. Ibi bishobora guteza akaga. Bityo rero ugomba kwitonda cyane kuri ibi.

• Bika ikintu gishobora gutanga isukari vuba: Buri gihe shyira ikintu ushobora kurya hafi yawe ukimara kubona ibimenyetso by'isukari nke mu maraso (urugero: kubira ibyuya, kunyeganyega, kuzerera, kumva ushonje cyane, kugorwa no kwibanda ku bintu). Urugero, utubumbe tw'isukari, tofe, ibinini bya glucose, cyangwa umutobe w'imbuto.
• Menyesha abandi: Niba uri mu mimerere ituma udashobora kurya cyangwa kunywa bitewe n’indwara ikomeye ya hypoglycemia (urugero: gucika intege, guta ubwenge), menyesha umuryango wawe n’inshuti zawe ko niba ugerageje kubaha ibiryo cyangwa ibinyobwa muri icyo gihe, bashobora kubyimbirwa. Ibi nibibaho, ugomba kwihutira gushaka abaganga.
• Niba igipimo cy'isukari mu maraso yawe kiri hejuru: Niba ubonye ibimenyetso by'isukari iri hejuru mu maraso (urugero: inyota ikabije, kwihagarika kenshi, kutabona neza), bwira muganga wawe. Igipimo cy'imiti yawe gishobora kuba ngombwa ko gihindurwa.
• Niba urwaye cyangwa urwego rw'imyitozo ngororamubiri ruhinduka: Niba urwaye umuriro, ibicurane, cyangwa niba ukora imyitozo ngororamubiri irenze uko bisanzwe, ingano y'imiti yawe ishobora kuba ngombwa ko ihindurwa. Vugana na muganga wawe kuri ibi kandi.
• Ntugasibe amafunguro: Kurya mu gihe gikwiye. Gusiba amafunguro bishobora gutuma isukari igabanuka mu maraso.
• Itondere inzoga: Baza muganga wawe niba ari byiza kwirinda kunywa inzoga. Hari inkorora n'imiti ikonjesha bitangwa ku iduka bishobora kuba birimo isukari cyangwa inzoga. Ibi bishobora kugira ingaruka ku rugero rw'isukari mu maraso.
• Witondere izuba: Uyu muti ushobora gutuma uruhu rwawe rworohera izuba. Rero, ambara imyenda ipfuka uruhu rwawe iyo ugiye ku zuba, koresha amavuta akingira izuba, kandi wirinde amatara y'izuba cyangwa utubari two gusiga ibara ry'umuhondo.
• Ambara indangamuntu yo kwa muganga: Ambara umushumi cyangwa umukufi uvuga ko urwaye diyabete n'imiti ufata hamwe n'ingano yayo. Nanone, komeza ufate ikarita iriho ayo makuru igihe cyose. Ibi ni ingenzi cyane mu gihe cy'impanuka.

Ni izihe ngaruka mbi zishobora kubaho?

Kimwe n'indi miti yose, tolbutamide ishobora gutera ingaruka zimwe na zimwe, nubwo atari buri wese uzibona.

Ingaruka mbi ugomba guhita ubibwira muganga wawe :

Niba ubonye kimwe muri ibi bimenyetso, bwira muganga wawe cyangwa umuganga wawe vuba bishoboka:

• Guhumeka bigoranye
• Inkari z'umuhondo wijimye cyangwa umukara, amaso cyangwa uruhu rugahinduka umuhondo (nk'umuhondo w'umuhondo)
• Umuriro, ubukonje, kubabara mu muhogo
• Isukari nke mu maraso (baza muganga wawe urutonde rw'ibimenyetso bifitanye isano n'ibi)
• Kuryarya cyane k'uruhu, gutukura, kubyimba, cyangwa uburyaryate
• Kuva amaraso cyangwa gukomereka bidasanzwe

Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga wawe mu gihe zikomeje:

Ibi bikunze kugenda mu minsi mike. Ariko niba bikomeje, bwira muganga wawe niba bikubangamiye:

• Impiswi
• Umutwe
• Kuribwa mu gituza
• Isesemi, kuruka
• Kubabara mu nda

Uru rutonde ntirukubiyemo ingaruka mbi zose zishobora kubaho. Niba ubonye ikindi kintu kidasanzwe, vugana na muganga wawe kuri icyo kibazo.

Ubika imiti ute?

• Bishyire kure y'abana.
• Bika ahantu hashyushye mu cyumba (hagati ya dogere selisiyusi 15 na 30, hagati ya dogere selisiyusi 59 na 86).
• Tara imiti yarengeje igihe utayikoresheje.

Ikintu cy'ingenzi cyane - ibuka!

Iyi nkuru itanga incamake ngufi ya Tolbutamide. Niba ufite ibindi bibazo kuri uyu muti, nyamuneka ubiganireho na muganga wawe, umufarumasiye, cyangwa undi mukozi w’ubuzima. Ni byiza gukurikiza inama za muganga wawe mu gihe ufata ibyemezo ku buzima bwawe. Komeza ugire ubuzima bwiza!

"tolbutamide, diyabete, diyabete yo mu bwoko bwa 2, isukari yo mu maraso, imiti, orinase, tol-tab, diyabete, tolbutamide, isukari yo mu maraso, imiti