Uriwo munhu anotambura nechirwere cheshuga here, kana kuti "chirwere cheshuga" sezvinotaurwa nevanhu vazhinji? Dzimwe nguva zvakaoma kudzora huwandu hweshuga muropa rako kunyangwe mushure mekudzora kudya kwako uye kurovedza muviri, handiti? Dzimwe nguva dzakadai, imwe mhando yemishonga yatinopihwa navanachiremba kuti tibatsire ialogliptin nepioglitazone. Tinofanira kutaura nezvazvo zvakadzama nhasi here? Ngatinzwisise izvi zviri nyore, sekunge tiri kuudza shamwari.
Mushonga uyu chii?
Muchidimbu, alogliptin iyi uye pioglitazone `(Alogliptin; Pioglitazone)` mushonga unopiwa vanhu vane chirwere cheshuga cherudzi rwechipiri `(Chirwere cheshuga cherudzi rwechipiri)` . Unobatsira kudzora huwandu hweshuga muropa rako, kureva huwandu hweglucose `(glucose)`. Zvisinei, kutora mushonga uyu wega hakuna kukwana. Unofanira kuzviita pamwe chete nekudya kwakanaka uye kurovedza muviri. Kana ukaita zvinhu izvi nenzira yakaringana chete ndipo paunowana mhedzisiro yakanaka. Ungaziva mushonga uyu nezita rekuti `(Oseni)`. Asi chiremba wako anogonawo kukupa mushonga uyu wechimwe chinhu. Saka, kana uine mibvunzo, zvakanaka kubvunza chiremba wako kana wemishonga.
Ndezvipi zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga?
Zvakanaka, ngationei kuti ndezvipi zvinhu zvamunofanira kuudza chiremba wenyu kana nesi musati matanga kutora mushonga uyu. Nekuti ruzivo urwu ndirwo ruchashandiswa nachiremba kusarudza kana mushonga uyu wakakunakirai kana kwete, uye kuti ungaupa sei. Zvakakosha kuti muve vakachengeteka kuti muve pachena nezvezvinhu izvi.
Kana uine chimwe chezvinotevera, unofanira kutaura kuti:
- Kana wakambova nekenza yedundira kana kuti wakambova nayo.
- Chirwere cheshuga chinonzi ketoacidosis chirwere chinokonzerwa nechirwere cheshuga (umo acidity yeropa inowedzera, kazhinji ichiperekedzwa nekuchinja kwekufema uye kurwadziwa mudumbu). Ichi chirwere chakakomba zvishoma.
- Chirwere chemaziso chinonzi macular edema (chirwere umo mvura inoungana mukati meziso, zvichikonzera kusaona zvakanaka).
- Kana uine matombo emunduru .
- Kana uine chirwere chemwoyo , kunyanya kutadza kushanda zvakanaka kwemoyo (izvi zvinogona kukonzera kushaya mweya uye kuzvimba mumakumbo).
- Kana paine triglycerides yakawandisa muropa.
- Kana uchinwa doro nguva dzose .
- Kana kutenderera kwako kwemwedzi kusina kurongeka (kana uri mukadzi).
- Kana uine chirwere cheitsvo .
- Kana uine chirwere chechiropa .
- Pancreatitis (izvi zvinogona kukonzera kurwadziwa kwakanyanya mudumbu repamusoro, dzimwe nguva kuchibuda kumusana).
- Chirwere chePolycystic ovary (PCOS)Dambudziko iri (kusagadzikana kwemahormone kunoitika kuvakadzi).
- Kana wakambozvimba rurimi, kumeso, kana miromo, uchinetseka kufema, uchinetseka kumedza, uchichinja inzwi, kana pahuro panorwadza (izvi zvinogona kuva chiratidzo chekurwara kwakanyanya).
- Kana uine kuzvimba mumaoko ako, makumbo, kana tsoka .
- Kana uine chirwere cheshuga cherudzi rwekutanga (mushonga uyu unopiwa kuvanhu vane chirwere cheshuga cherudzi rwechipiri).
- Kana uine allergy kune alogliptin, pioglitazone, mimwe mishonga, chikafu, mavara ekugadzira, kana zvinochengetedza.
- Kana uri kuedza kubata pamuviri , kana kuti watova nepamuviri .
- Kana uri amai vari kuyamwisa .
Mushonga uyu munoshandiswa sei nemazvo?
Zvakanaka, saka mushure mekunge chiremba akunyorera mushonga uyu, unoushandisa sei chaizvo? Yeuka izvi zvakare.
Piritsi iri rinofanira kunwiwa nemuromo, nemvura shoma . Zvakanaka kuritora panguva imwe chete zuva nezuva , sezvawakaudzwa nachiremba wako. Usapwanye, kupwanya, kana kutsenga piritsi. Medza piritsi rese. Unogona kuritora usati wadya kana kuti wapedza kudya . Zvisinei, kana uchinzwa dumbu richirwadza, zvakanaka kuritora pamwe nechikafu. Unofanira kuramba uchitora mushonga uyu kusvika chiremba wako akuudza kuti urege . Usarega kamwe kamwe, zvakanaka here?
Kana wawana mushonga uyu kubva ku pharmacy, uchapihwa ``MedGuide`` yakakosha, pepa reruzivo nezvemushonga uyu, pamwe chete netsamba yega yega uye kana wawana mushonga wekuwedzera. Gara uchiyeuka kuuverenga nokungwarira. Une ruzivo rwakakosha zvikuru.
Taura nechikwata chako chehutano nezvekupa mushonga uyu kuvana vadiki, sezvo ungangoda kutarisirwa kwakakosha.
Ko kana ukangoerekana watora mushonga wakawandisa? Kana uchifunga kuti watora mushonga uyu wakawandisa, enda kuchipatara chiri pedyo kana kufonera nzvimbo inoona nezve chepfu nekukasika . Usanonoka.
Zvakakosha: Mushonga uyu wakanyorerwa iwe chete. Usambofa wakaupa kune mumwe munhu. Unogona kuvakuvadza, sezvo hutano hwemunhu wese hwakasiyana.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Zvino fungidzira kuti wakanganwa kunwa mushonga wako rimwe zuva. Waizoitei kana izvozvo zvikaitika? Usazvidya mwoyo.
Inwa mushonga wawakarasikirwa nawo nekukurumidza paunenge uchiyeuka . Zvisinei, kana yava nguva yekutora mushonga wako unotevera, svetuka mushonga wawakarasikirwa nawo wotora mushonga wako unotevera panguva yakatarwa . Usambofa watora mishonga miviri panguva imwe chete kana kunwa mapiritsi akawanda . Kuita izvi kunogona kukonzera matambudziko.
Ndeipi mimwe mishonga inogona kupindirana nemushonga uyu?
Pakushandisa mushonga uyu, kune mimwe mishonga inogona kushanda nawo, zvichireva kuti inogona kupesana. Kutora pamwe chete nemimwe mishonga kunogona kuchinja mashandiro emushonga uyu kana kuwedzera migumisiro yakaipa. Saka, zvakakosha kuudza chiremba wako nezvese zvauri kutora.
Mapiritsi aya (Alogliptin; Pioglitazone)` anogona kusangana nemishonga iyi zvakanyanya:
- Gemfibrozil (mushonga unoshandiswa kuderedza cholesterol)
- Insulin (mumwe mushonga wechirwere cheshuga)
- Rifampin (mushonga unorwisa mabhakitiriya unoshandiswa kurapa chirwere cherurindi)
- Mishonga yeSulfonylureas ( mishonga yechirwere cheshuga yakaita seglimepiride, glipizide, uye glyburide)
- Topiramate (mushonga unoshandiswa pakurapa pfari nemusoro)
Pamusoro peizvi, kune mimwe mishonga yakawanda inogona kukanganisa huwandu hweshuga muropa rako, saka ziva zvinhu izvi:
- Doro
- Mishonga yakaita seaspirin neaspirin
- Chloramphenicol (mushonga unorwisa mabhakitiriya unoshandiswa kurapa hutachiona)
- Chromium (vamwe vanhu vanoitora sekuwedzera kwekudya)
- Mishonga inobvisa mvura mumuviri ( mishonga inowedzera huwandu hweweti inogadzirwa, inonziwo 'mapiritsi emvura')
- Mahormone echikadzi , semuenzaniso, mishonga ine estrogens kana progestins, pamwe chete nemapiritsi ekudzivirira pamuviri
- Mimwe mishonga yezvirwere zvemwoyo `(Mishonga yemwoyo)`
- Isoniazid (mushonga weTB)
- Mahormone evarume kana anabolic steroids
- Mishonga yekuderedza uremu
- Mishonga yekurapa allergies, asthma, dzihwa, kana kukosora (mimwe inogona kunge iine shuga)
- Mishonga yezvinetso zvepfungwa
- Mishonga iri muboka rinonzi MAO Inhibitors (semuenzaniso `(Nardil)`, `(Parnate)`, `(Marplan)`, `(Eldepryl)`)
- Niacin (vhitamini B3, inobatsirawo necholesterol)
- NSAIDs (mishonga inoderedza marwadzo nekuzvimba, senge ibuprofen kana naproxen)
- Pentamidine (mushonga wehutachiona)
- Phenytoin (mushonga unoshandiswa kurapa pfari)
- Probenecid (mushonga wegout)
- Mishonga inorwisa mabhakitiriya yeQuinolone (semuenzaniso ciprofloxacin, levofloxacin, ofloxacin)
- Zvimwe zvekudya zvinovaka muviri zvemishonga
- Mishonga yeSteroid (semuenzaniso prednisone kana cortisone)
- Mishonga ye thyroid
Rondedzero iyi haina kukwana. Saka udza chiremba wako nezvemishonga yese yaunotora (yakanyorwa nachiremba, inotengeswa pasina kunyorerwa chiremba, yemishonga yemishonga, mavitamini, uye yekudya) . Zvakare, udza chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa mimwe mishonga . Zvimwe zvezvinhu izvi zvinogona kukanganisa mishonga yako.
Ndezvipi zvinhu zvekungwarira pakushandisa mushonga uyu?
Unofanira kunyatsotarisira hutano hwako paunenge uchitora mushonga uyu. Ndezvipi zvinhu izvozvo?
- Enda kuna chiremba wako nguva nenguva kuti utarise mamiriro ako ezvinhu . Chiremba wako achada kuona kuti uri kufambira mberi sei. Ungangodawo kuongororwa ropa paunenge uchitora mushonga uyu.
- Chiremba wako achatsvagawo bvunzo inonzi HbA1C (inozivikanwawo seA1C) . Iyi bvunzo yeropa iri nyore. Inotarisa kuti shuga yeropa rako yakadzikiswa sei mumwedzi miviri kusvika mitatu yapfuura . Bvunzo iyi inowanzoitwa mwedzi mitatu yega yega kana mwedzi mitanhatu yega yega.
- Dzidza maitiro ekuongorora huwandu hweshuga muropa rako wega . Zvakakoshawo kudzidza zviratidzo zveshuga yakaderera muropa (hypoglycemia) uye shuga yakakwira muropa (hyperglycemia) uye maitiro ekuzvidzora .
- Gara uchitakura shuga inokurumidza (semuenzaniso, machubhu eshuga, mapiritsi eglucose) kana shuga yako yeropa yaderera (semuenzaniso, kudikitira, kudedera, dzungu) . Kana uine shuga shoma muropa uye uri kurwara uye uchirasikirwa nepfungwa, udza vamwe kuti unogona kudzipwa kana ukaedza kuvapa chikafu kana chinwiwa panguva iyoyo . Kana iri dambudziko rakakomba , tsvaga rubatsiro rwechiremba nekukasika .
- Kana uchinzwa kuti shuga yako yeropa yakakwira (semuenzaniso nyota yakawandisa, kuita weti kakawanda, kuneta), udza chiremba wako . Mushonga wako ungangoda kugadziriswa. Kana uchirwara kana kurovedza muviri kupfuura zvakajairika, mushonga wako ungangodawo kugadziriswa .
- Usarega kudya . Bvunza chiremba wako kana uchifanira kurega kunwa doro . Mishonga yakawanda yekukosora neinotonhora inopihwa nechiremba inogona kunge iine shuga kana doro . Izvi zvinogona kukanganisa huwandu hweshuga muropa.
- Mushonga uyu unogona kuwedzera njodzi yako yekubatwa nezvirwere zvemwoyo .Kana uchinzwa kurwadziwa pachipfuva, kuomarara, kurwadziwa kunosvika pashaya kana paruoko rwako, kana kufema zvakaoma, tsvaga rubatsiro rwechiremba nekukasika. Izvi zvinogona kuva zviratidzo zvechirwere chemwoyo kana chimwe chirwere chakakomba .
- Kune vakadzi vari pedyo nekuguma kwemwedzi asi vasiri kuenda kumwedzi, mushonga uyu unogona kukonzera kubuda kwechibereko . Izvi zvinogona kuwedzera mikana yako yekubata pamuviri . Taura nechikwata chako chehutano nezvesarudzo dzako dzekudzivirira pamuviri. Udza chiremba wako kana uchifunga kuti ungave uine pamuviri .
Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?
Kufanana nemishonga yese, mapiritsi aya e`(Alogliptin; Pioglitazone)` anogona kukonzera mimwe migumisiro yakaipa. Mamwe acho haana kuipa, asi mamwe acho anofanira kutaurwa kuna chiremba wako nekukasika.
Migumisiro yaunofanira kuudza chiremba wako nezvayo nekukasika
Kana ukaona chimwe chezviratidzo izvi, kurumidza kutaurira timu yako yehutano:
- Kurwara nepfungwa — mapundu eganda, kuvaviwa, mapundu (mapundu anotaridzika semapundu), kuzvimba kwechiso, miromo, rurimi, kana pahuro.
- Kuchinja kwekuona — zvakaita sekuona kusina kujeka, kuona mativi echiedza, kana kurasikirwa nekuona.
- Kutadza kushanda zvakanaka kwemoyo — Kushaya mweya wekufema, kuzvimba muzvitsitsinho, tsoka, kana maoko, kuwedzera uremu kamwe kamwe, uye kunzwa kuneta kana kushaya simba zvisingawanzoitiki.
- Kukuvara kwechiropa — Kurwadziwa kumusoro kurudyi kwedumbu, kurasikirwa nechido chekudya, kuda kurutsa, tsvina ine ruvara rwakachenuruka, weti yero yakasviba kana yebrown, kutsvuka kweganda kana maziso, kushaya simba kana kuneta kusingawanzoitiki.
- Pancreatitis — Marwadzo akanyanya mudumbu anoyerera kumusana, marwadzo anowedzera mushure mekudya kana kana abatwa, fivha, kuda kurutsa, uye kurutsa.
- Weti tsvuku kana kuti tsvuku, kurwadziwa kana kuoma kuita weti, kuita weti kakawanda.
- Kutsvuka, matumbu, kukwesha, kana kuoma kweganda (zvinogonawo kuitika mumuromo).
- Kurwadziwa kwakanyanya kwemajoini .
Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo
Migumisiro iri pazasi kazhinji haidi rubatsiro rwechiremba. Zvisinei, kana ikaramba iripo kana kukunetsa, udza chiremba wako :
- Kukosora
- Manyoka
- Musoro
- Kurwadziwa kwetsandanyama
- Mhino inoyerera kana kuti yakazadza
- Huro inorwadza
Rondedzero iyi ingasave nemhedzisiro yese inogona kuitika. Kana ukaona chimwe chinhu chisingawanzoitika, taura nachiremba wako. Unogona zvakare kuudza migumisiro yacho kuFDA (1-800-FDA-1088).
Unoita sei kuti mushonga usakuvara?
Zvakakoshawo kuziva machengeterwo emushonga uyu nemazvo.
- Chengeta kure nevana nezvipfuyo.
- Chengeta patembiricha yemumba (pakati pe20 ne25 degrees Celsius, kana 68 ne77 degrees Fahrenheit). Dzivirira kubva kuunyoro nehunyoro. Chengeta bhodhoro rakavharwa zvakasimba.
- Rasa chero mushonga usina kushandiswa wapfuura zuva rawo rekupera.
Unorasa sei mishonga isina kushandiswa uye yapera?
Iyi inyaya yakakoshawo. Kungoikanda mumarara hakuzobatsiri.
- Tora mushonga uyu uende kunzvimbo ine chirongwa chekutora mishonga zvakare. Unogona kuziva nezvenzvimbo dzakadaro kupharmacy yako kana kumapurisa.
- Kana usingakwanise kuudzosera, tarisa pane label yemushonga kana bepa riri mupakeji kuti uone kana mushonga uyu uchifanira kurasirwa mumarara kana kusundirwa muchimbuzi. Kana usina chokwadi, bvunza timu yako yehutano.
- Kana zvakachengeteka kurasa marara, bvisa mushonga mubhodhoro wousanganisa nechimwe chinhu chisina simba, senge marara ekatsi, ivhu, kana kofi. Wobva waisa musanganiswa wacho mubhegi kana mugaba, wovhara, wobva waukanda mumarara.
Pakupedzisira, zvinhu zvishoma zvekurangarira (Mharidzo Yekuenda Kumba)
Zvakanaka, tataura zvakawanda nezve mapiritsi aya eAlogliptin nePioglitazone, handiti? Heano mamwe emamwe emishonga inonyanya kukosha yaunofanira kuyeuka:
- Mushonga uyu unonyanya kupihwa kudzora chirwere cheshuga cherudzi rwechipiri.
- Sezvakataurwa nachiremba, zvakakosha zvikuru kutora mushonga wakakodzera panguva chaiyo.
- Zvakakosha kutevedzera kudya kwakakodzera uye maekisesaizi pamwe chete nemushonga uyu kuti uwane mhedzisiro yakanaka.
- Iva nechokwadi chekuudza chiremba wako nezve mimwe mishonga, miriwo, uye mavhitamini auri kutora.
- Kana ukasangana nemigumisiro mitsva, kunyanya zviratidzo zvakakomba zvatakurukura, zivisa chiremba wako nekukurumidza.
- Tarisa huwandu hweshuga muropa rako nguva nenguva, uye ziva zviratidzo zveshuga shoma muropa.
- Kana uine pamuviri, uchironga kuva nepamuviri, kana kuti uchiyamwisa, iva nechokwadi chekuudza chiremba wako usati watora mushonga uyu.
- Mushonga uyu ndewako chete. Usaupe mumwe munhu.
Kapepa aka kanongova pfupiso chete. Kanogona kunge kasina ruzivo rwese rwaunoda. Kana muine mimwe mibvunzo nezvemushonga uyu, ndapota taurai nachiremba wenyu, murapi wemishonga, kana mupi wehutano.
Zvakakosha kuchengetedza hutano hwako. Kurarama nechirwere cheshuga kunogona kuoma, asi kana ukachigona zvakanaka, unogona kufara. Rombo rakanaka kwauri!
Alogliptin , Pioglitazone, Chirwere cheshuga, Chirwere cheshuga cherudzi rwechipiri, Kudzora Shuga, Mishonga yeChirwere cheshuga, Migumisiro Yakashata
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