Ngatidzidzei nezvemishonga yechirwere cheshuga inonzi Canagliflozin neMetformin.

Une chirwere cheshuga here, kana kuti Type 2 Diabetes? Kana kuti pane mumwe munhu waunoziva ane chirwere ichi here? Saka chiremba wako anogona kunge akakupa mushonga wemishonga miviri, Canagliflozin neMetformin, kunyanya piritsi rinobudiswa kwenguva refu . Zita remushonga uyu rinogona kunge riri Invokamet XR. Saka, ngatitaurei zvakawanda nezvemushonga uyu nhasi, handiti?

Chii chaizvo chinoitika nemushonga uyu?

Muchidimbu, mushonga uyu unoshandiswa kudzora huwandu hweshuga muropa (glucose muropa) . Kana uine `Type 2 Diabetes`, pane shanduko dzakati wandei munzira iyo muviri wedu unodzora nayo shuga. Mushonga uyu unoshanda nekuderedza huwandu hweshuga iyoyo uye kukubatsira kuti urambe uine hutano. Muizvi, `Canagliflozin` inobatsira muviri kuburitsa shuga yakawandisa kuburikidza neweti, nepo `Metformin` inoderedza kugadzirwa kweshuga nechiropa uye inowedzera kunzwa kwemasero emuviri ku insulin. Asi yeuka, mushonga uyu wega hauna kukwana. Kudya kwakanaka uye kurovedza muviri zvakakoshawo pane izvi.

Ndezvipi zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu?

Izvi zvakakosha zvikuru. Kana uine chimwe chezvirwere zvinotevera, unofanira kuudza chiremba wako usati watanga mushonga uyu. Nekuti, ipapo ndipo chete panogona kusarudza kana mushonga uyu wakakodzera iwe kana kwete, kana kuti kana muyero wacho uchida kuchinjwa. Ingofunga, kana ukasaudza chiremba ruzivo urwu, ungasangana nematambudziko asina basa.

• Kana uine 'Anemia'
• Kana uine chirwere chetsinga
• Kana usina mvura yakakwana nekuda kwekushaya mvura
• Kana wakambova nechirwere che `Diabetic ketoacidosis (DKA)` (kuwedzera kweacidity muropa nekuda kwechirwere cheshuga)
• Kana ukadya chikafu chisina munyu mushoma
• Kana uri kudya zvishoma nekuda kwekurwara, kuvhiyiwa, kudya zvishoma, kana zvimwe zvikonzero
• Kana uine maronda mutsoka
• Kana uri kuvhiyiwa mune ramangwana
• Kana uine chirwere chemwoyo
• Kana uine cholesterol yakakwira (`cholesterol yakakwira`)
• Kana huwandu hwepotassium muropa hwakakwira (`Mazinga epotassium akawanda muropa`)
• Kana wakambobviswa gumbo kana chikamu chemuviri wako ('Nhoroondo yekuchekwa kweganda')
• Kana uine nhoroondo yechirwere chepancreatitis kana mamwe matambudziko nepancreas yako
• Kana uine nhoroondo yezvirwere zvenhengo yemurume kana yemukadzi
• Kana uchinwa doro nguva dzose
• Kana ukava nehutachiona mudundira, itsvo, kana nzira yeweti
• Kana uine chirwere cheitsvo (mushonga uyu haukodzeri kana mashandiro eitsvo ari pasi peimwe nhanho)
• Kana uine chirwere chechiropa
• Kana uine BP yakaderera (`BP yakaderera`)
• Kana uine kukuvara kwetsinga
• Kana uri munhu ari kucheneswa ropa
• Kana uine `Polycystic ovary syndrome (PCOS)` (chirwere chinoita kuti ma cysts abude muma ovaries)
• Kana uine matambudziko ekuita weti
• Kana uine hutachiona hwakakomba kana kukuvara
• Kana uine chirwere cheshuga cherudzi rwekutanga (Mushonga uyu ndewevaya vane chirwere cheshuga cherudzi rwechipiri)
• Kana uri murume asina kudzingiswa
• Kana uchirutsa kakawanda
• Kana uine allergy neCanagliflozin, Metformin, mimwe mishonga, chikafu, madhayi, kana zvinochengetedza
• Kana uine pamuviri kana kuti uri kuedza kubata pamuviri
• Kana uri amai vanoyamwisa ('Kuyamwisa')

Usavhunduke nerunyorwa urwu. Hazvisi zvese izvi zvinoshanda kune wese munhu. Asi kana paine chimwe chinhu chinoshanda kwauri, zvakakosha kuti uchengetedzeke kuudza chiremba wako .

Ndinofanira kushandisa mushonga uyu sei?

Zvakanaka, ngationei kuti mushonga uyu ungashandiswa sei chaizvo.

• Unofanira kunwa piritsi iri negirazi remvura .
• Izvi zvinofanirwa kutorwa nechikafu . Kazhinji nekudya kwekutanga kwezuva. Kana sekurairwa nachiremba wako.
• Medza piritsi rese . Usaripwanya kana kuritsenga. Izvi zvinodaro nekuti rakagadzirirwa kushanda kwenguva yakareba. Kana ukarityora, mushonga wacho unopindwa mumuviri wako ipapo ipapo, zvichikonzera kudzikira kweshuga muropa kana mamwe matambudziko.
• Inwa mushonga wakanyorwa, panguva yakatarwa, muchiyero chakanyorwa, sezvakarairwa pachinyorwa chakanyorwa.
• Usanwe mvura inopfuura yakakurudzirwa nachiremba, kana kuinwa kakawanda.
• Usarega kutora mushonga kamwe kamwe usina kurairwa nachiremba. Kuita izvi kunogona kukonzera kuti huwandu hweshuga muropa rako hukwire kamwe kamwe.

Kana wawana mushonga uyu kubva ku pharmacy, uchapihwa kapepa keruzivo rwakakosha ('MedGuide') pamwe chete naro. Iva nechokwadi chekuriverenga nokungwarira pese paunowana mushonga wako kana kuti `kuzadzazve`. Rine ruzivo rwakawanda rwakakosha kwauri.

Mushonga uyu ungapiwa vana here?

Unofanira kutaura nechikwata chako chehutano nezvekupa mushonga uyu kuvana. Uyu mushonga unowanzo kupihwa kuvanhu vakuru. Kana uchidikanwa kuvana, unoda zvikonzero zvakakosha uye kutarisirwa.

Ko kana ukanwa doro rakawandisa? ('Kunwa doro rakawandisa')

Kana uchifunga kuti watora mushonga uyu wakawandisa, enda kubazi rezvekukurumidzira rechipatara chiri pedyo nekukasika, kana kufonera nzvimbo inodzora chepfu (semuenzaniso National Poisons Information Center - 0112 686 143) . Usatambisa nguva.

Zvakakosha: Mushonga uyu wakanyorerwa iwe chete. Usagovane mushonga wako nevamwe, kunyangwe vaine chirwere chakafanana newe. Nekuti mushonga unoshanda kune mumwe munhu ungasashanda kune mumwe.

Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?

Ehe, dzimwe nguva unorasikirwa nedosi. Kana izvozvo zvikaitika, inwa nekukurumidza paunenge uchiyeuka . Zvisinei, kana yava nguva yekutora dosi yako inotevera (semuenzaniso, mukati memaawa mashoma), siya dosi yakarasika wotora dosi yako inotevera panguva yakatarwa. Usambofa watora dosi yakapetwa kaviri. Kuita izvi kunogona kukonzera kuti shuga yako yeropa iderere zvakanyanya.

Ndeipi mimwe mishonga inogona kupindirana nemushonga uyu?

Iyi inyaya yakakoshawo zvikuru. Paunenge uchitora mushonga uyu we 'Canagliflozin; Metformin', hazvikurudzirwi kutora mimwe mishonga. Zvakare, inogona kukanganisana nemimwe mishonga. Saka, unofanira kuudza chiremba wako nezvemishonga yese yauri kutora (yakanyorerwa nachiremba, yaunotenga kupharmacy, mishonga yechivanhu, mavhitamini, kunyangwe 'zvekudya zvinovaka muviri'). Zvakare, udza chiremba wako kana uchisvuta fodya, uchinwa doro, kana kuti uchitora mimwe mishonga.

Mishonga isingafanirwe kutorwa nemushonga uyu:

• Mimwe mishonga inonzi 'contrast', iyo inopihwa netsinga isati yaongororwa senge X-rays, CT scans, uye MRIs, inogona kukanganisa itsvo uye, kana ikasanganiswa ne'Metformin', inowedzera njodzi yechirwere chine njodzi chinonzi 'Lactic Acidosis'.
• `Dofetilide` (uyu mushonga unopiwa pakurova kwemoyo kusina kurongeka).

Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu:

(Rondedzero iyi ingave isina kukwana, saka zvakakosha kuudza chiremba wako zvese zvauri kutora)

• 'Acetazolamide'
• Doro - Rinowedzera njodzi ye lactic acidosis uye rinogonawo kukonzera kuderera kweshuga muropa.
• Mimwe mishonga inorwisa utachiona yeHIV kana Hepatitis
• Mimwe mishonga yekurapa BP, chirwere chemwoyo, uye matambudziko emwoyo (semuenzaniso, beta-blockers, iyo inogona kuvharidzira zviratidzo zveshuga yakaderera muropa)
• 'Cimetidine'
• 'Dichlorphenamide'
• Digoxin (mushonga wemwoyo) - Mazinga eDigoxin anogona kuchinja kana akatorwa neCanagliflozin.
• Mishonga inobvisa weti (Diuretics) - Inowedzera njodzi yekushaya mvura mumuviri uye BP yakaderera.
• Mahormone eEstrogen kana progestin
• `Glycopyrrolate`
• `Isoniazid` (mushonga weTB)
• `Lamotrigine`
• `Lithium`
• 'Memantine'
• 'Methazolamide'
• 'Metoclopramide'
• `Midodrine`
• `Niacin`
• `Phenobarbital`
• Mishonga yePhenothiazine (semuenzaniso chlorpromazine, prochlorperazine, thioridazine)
• `Phenytoin`
• `Ranolazine`
• Rifampin (mushonga unoshandiswa kurapa TB kana zvimwe zvirwere) - Inogona kuderedza kushanda kweCanagliflozin.
• `Ritonavir`
• Mishonga yeSteroid (semuenzaniso prednisone kana cortisone) - inogona kuwedzera huwandu hweshuga muropa.
• Mishonga inokurudzira yekurapa matambudziko ekufunga, kuderedza uremu, kana kuramba wakamuka
• Mishonga ye thyroid
• `Topiramate`
• `Trospium`
• `Vandetanib`
• 'Zonisamide'

Chimbofunga, zvinhu zvakawanda zvinogona kuchinja mashandiro emushonga uyu. Ndosaka zvichikosha kuzivisa chiremba wako nezvemushonga wese waunotora .

Ndezvipi zvinhu zvekungwarira pakushandisa mushonga uyu?

Pakushandisa mushonga uyu, unofanira kungwarira hutano hwako.

• Ona chiremba wako nguva dzose ('kuongororwa nguva dzose') kuti uone mamiriro ako ezvinhu . Ita bvunzo dzakadai sekushanda kweitsvo uye huwandu hwevhitamini B12 sezvinokurudzirwa nachiremba wako.
• Nekuti mushonga uyu une `Metformin`, dzimwe nguva acidity muropa inogona kukwira zvine njodzi (`Lactic Acidosis`) . Kunyangwe izvi zvisingawanzoitiki, zvinogona kuva nengozi zvikuru kana zvikaitika. Kana ukaona zviratidzo zvakaita sekusvotwa, kurutsa, kurwadziwa mudumbu, kuneta kusingawanzoitiki, kunetseka kufema, kufema nekukurumidza, kunzwa kutonhora, kana dzungu, rega kutora mushonga uyu nekukasika wofonera chiremba wako kana kuenda kuchipatara . Kana zvichibvira, tarisawo weti yako kuti uone ma ketones uchishandisa `ketone dipstick`.
• Canagliflozin inogonawo kukonzera chirwere chinonzi Diabetic Ketoacidosis (DKA) . Ichi chirwere apo huwandu hweshuga muropa hahukwire zvakanyanya. Zviratidzo zvinosanganisira nyota yakawandisa, kuita weti kakawanda, muromo wakaoma, kuneta, kunhuwa kwemweya une michero, kufema zvishoma, kurwadziwa mudumbu, kuda kurutsa, uye kurutsa. Kana ukaona chimwe chezviratidzo izvi, taurira chiremba wako nekukasika.
• Chiremba wako anowanzo raira bvunzo inonzi `HbA1C (A1C)` kuti aone kuti shuga yako iri kudzorwa sei . Iyi bvunzo yeropa iri nyore. Inogona kuratidza kuti shuga yako yeropa yadzorwa sei kwemwedzi miviri kusvika mitatu. Iyi bvunzo inowanzoitwa mwedzi mitatu kusvika mitanhatu yega yega.
• Dzidza maitiro ekuongorora huwandu hweshuga muropa rako kumba . Zvakare, ziva zviratidzo zveshuga yakaderera muropa (hypoglycemia) uye shuga yakakwira muropa (hyperglycemia) uye maitiro ekuzvidzora .
• Gara uine shuga yaunowana nekukurumidza (semuenzaniso, macubes eshuga, mapiritsi eglucose, chinwiwa chine shuga, muto wemichero) kana ukaona zviratidzo zveshuga yakaderera muropa (dikitira, kudedera, nzara yakanyanya, kurova kwemoyo nekukurumidza, dzungu, kuvhiringidzika). Zvisinei, kana ukava nepfungwa dzisina kujeka kana kuti uine pfari , udza nhengo dzemhuri yako kuti dzinogona kudzipwa kana dzikaedza kukupa chikafu kana chinwiwa. Kana izvi zvikaitika , unofanira kutsvaga rubatsiro rwechiremba nekukasika .
• Mushonga uyu unogona kuderedza huwandu hwe folic acid ne vitamin B12 mumuviri wako, kunyanya kana ukashandisa metformin. Saka, iva nechokwadi chekuti wadya mavitamini akakwana paunenge uchitora mushonga uyu. Chiremba wako anogona kukupa mushonga wekuwedzera mavitamini kana zvichidikanwa.
• Dzivisa kupera mvura mumuviri . Inwa mvura yakawanda, kunyanya kana kuchipisa, paunenge uchirovedza muviri, kana kana uchirwadziwa nemudumbu.
• Chengeta tsoka dzako zvakanyanya . Tarisa tsoka dzako zuva nezuva, sezvo paine mukana mudiki wekutapukirwa kana kuchekwa kwemakumbo epasi paunenge uchitora mushonga uyu (kunyanya Canagliflozin). Saka kana uine maronda, matsemuka, kutsvuka, kana kuzvimba patsoka dzako, taurira chiremba wako nekukasika.

Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?

Kufanana nemushonga upi zvawo, uyu unogona kukonzera mimwe migumisiro yakaipa. Asi havasi vese vanoiwana. Mimwe yacho yakakomba uye unofanira kuudza chiremba wako nekukasika. Mimwe yacho kazhinji haisi yakakomba, asi kana ikaramba iripo, zvakanaka kuudza chiremba wako .

Migumisiro yaunofanira kuudza chiremba wako nezvayo nekukasika

• Kurwara nepfungwa : mapundu eganda, kuvaviwa, mapundu matsvuku paganda, kuzvimba kwechiso, miromo, rurimi, kana pahuro (zvinogona kukonzera kufema kuomera).
• Kushaya mvura mumuviri : Nyota yakawanda, muromo wakaoma, dzungu, musoro, weti yero yakasviba kana yebrown, uye kudzikira kwemvura inobuda mumuviri.
• Chirwere cheshuga ketoacidosis (DKA) : Nyota yakawanda kana kuti kuita weti, muromo wakaoma, kuneta kwakanyanya, kunhuwa kwekufema, kufema kushoma, kurwadziwa mudumbu, kuda kurutsa, uye kurutsa.
• Utachiona hwembiriso yepabonde : (munhengo yemukadzi muvakadzi, munhengo yemurume muvarume) kutsvuka, kuzvimba, kurwadziwa kana kuvaviwa, hwema hwakaipa, uye kubuda kweropa jena kwakakora kana kwakakora.
• Kuwedzera kwe lactic acid muropa (`Lactic Acidosis`) : Kurwadziwa kwetsandanyama kana kurwadziwa, kurwadziwa mudumbu, kuoma kufema, kufema nekukurumidza, kusagadzikana uye kuneta, dzungu, kutonhora.
• Utachiona hwakatenderedza nhengo dzesikarudzi kana munzvimbo inoenda kuhuro (`Fournier's gangrene`) : kutsvuka, kuzvimba, kuomarara, kana kurwadziwa, dzimwe nguva nefivha. Ichi chirwere chakakomba zvikuru, chinotyisidzira hupenyu, saka taurira chiremba wako nekukasika kana ukaona chimwe chezviratidzo izvi.
• Kuderera kwevhitamini B12 : Marwadzo, kusanzwa, kana kurasikirwa nemanzwiro mumakumbo, kushaya simba kwetsandanyama, dzungu, kuoma kwekutarisa, kuvhiringidzika, rurimi rwunorwadza, ganda richichinja ruvara.
• Marwadzo matsva kana kuomarara kwegumbo kana tsoka, kutsvuka kweruvara rweganda, maronda kana maronda, kana hutachiona.Izvi zvinhu zvakare zvinofanira kutariswa nekukurumidza.
• Utachiona hwemudumbu (UTI) : Kunzwa kupisa kana uchiita weti, kuita weti kakawanda, weti ine ropa kana makore, kurwadziwa kumusana kana muhudyu, fivha.
• Kutyoka kwemapfupa : Dzimwe ongororo dzakaratidza kuti njodzi yekutyoka kwemapfupa yakawedzera zvishoma kune vanhu vanotora Canagliflozin. Saka chenjererai kana madonha.

Migumisiro isingawanzodi mazano echiremba, asi kana ikaramba iripo, unofanira kuudza chiremba wako.

• Manyoka
• Gasi
• Musoro
• Kusvotwa
• Marwadzo eDumbu
• Kurutsa
• Kuwedzera kwekuita weti kakawanda
• Nyota yakawandisa

Rondedzero iyi ingasave nemhedzisiro yese. Kana ukaona chimwe chinhu chisingawanzoitika, taura nachiremba wako. Unogona zvakare kuzivisa migumisiro yacho kuFDA (Food and Drug Administration) panhamba 1-800-FDA-1088.

Unofanira kuchengeta sei mushonga wako?

Zvakakoshawo kuchengetedza mishonga yako nemazvo.

• Chengeta kure nevana nezvipfuyo.
• Chengeta patembiricha yemukamuri (pakati pe15 ne30 degrees Celsius, pakati pe59 ne86 degrees Fahrenheit). Dzivirira kubva kuhunyoro hwakawandisa uye kuzuva rakananga. Usachengete munzvimbo dzine hunyoro hwakawanda, senge muimba yekugezera.
• Usashandise mishonga yapera basa. Irasire kure.

Unorasa sei mishonga isina kushandiswa uye yapera?

• Kana zvichibvira, ipai mushonga uyu kuchirongwa chekutora mishonga zvakare. Munogona kuziva nezvenzvimbo dzakadaro pa pharmacy yenyu kana nebazi rezvehutano remunharaunda yenyu.
• Kana zvisina kudaro, tarisa zvakanyorwa pabhodhoro/paketi yemushonga kuti uone kana uchifanira kurasirwa mumarara kana kusundirwa muchimbuzi. Kana usina chokwadi, bvunza chiremba wako kana wemishonga.
• Kana uchikwanisa kuukanda mumarara (izvo zvinowanzoitika), bvisa mushonga mumudziyo, uusanganise nechimwe chinhu chisingazodyiwi nemunhu, senge kofi yakamboshandiswa, ivhu, kana marara ekatsi, woisa mubhegi rinovharika kana mudziyo woukanda mumarara. Izvi zvinoitirwa kudzivirira mumwe munhu kuti asawane mushonga uye kuushandisa.

Mharidzo Yekuenda Nayo Kumba

Zvakanaka, tataura zvakawanda nezvemishonga yechirwere cheshuga inonzi `Canagliflozin` ne`Metformin`. Muchidimbu:

• Uyu mushonga unokosha wechirwere cheshuga cherudzi rwechipiri unodzora shuga muropa .
• Mhedzisiro yakanaka inowanikwa kana izvi zvikasanganiswa nekudya uye kurovedza muviri.
• Iva nechokwadi chekuudza chiremba wako nezvezvimwe zvirwere zvaunazvo uye mimwe mishonga yauri kutora.
• Sezvakataurwa nachiremba,Inwa mushonga wakanyorwa, panguva yakatarwa, pamwe chete nechikafu . Medza piritsi rese.
• Ziva zviratidzo zveshuga shoma muropa (hypoglycemia) uye chengeta shuga iri pedyo newe kana uchida.
• Kana ukaona zviratidzo zvisingawanzoitiki (kunyanya zviratidzo zvinogona kunge zviri zve 'DKA' kana 'Lactic Acidosis', hutachiona hwepanhengo dzesikarudzi (njodzi ye 'Fournier's gangrene'), maronda emakumbo, zviratidzo zvekushaya mvura mumuviri), taurira chiremba wako nekukasika.
• Gara uchitaurirana nachiremba wako uye taura nezvedambudziko rako. Usatya kubvunza mibvunzo.

Yeuka kuti mushonga uyu unongobatsira chete kudzora chirwere chako cheshuga. Hutano hwako hunoenderana nemararamiro ako, kudya kwako, uye kutevedzera mirairo yachiremba wako. Mushonga uyu haurapi chirwere cheshuga, unongobatsira chete kudzora chirwere ichi.

Kana muine mimwe mibvunzo, musazeza kubvunza chiremba wenyu, murapi wemishonga, kana mumwe mupi wehutano. Varipo kuti vakubatsirei.

Canagliflozin , Metformin, Invokamet XR, Chirwere cheshuga cherudzi rwechipiri, Chirwere cheshuga, Shuga muropa, Mishonga yechirwere cheshuga, Migumisiro Yakashata