Piritsi idzva rekudzora chirwere cheshuga: Zvaunofanira kuziva nezveErtugliflozin neSitagliptin

Uri kunetseka nechirwere cheshuga cherudzi rwechipiri here? Kana zvakadaro, chiremba wako anogona kunge akakuudza nezvemushonga mutsva. Musanganiswa wemishonga miviri inonzi Ertugliflozin neSitagliptin. Ngatitarisei kuti ungabatsira sei kudzora huwandu hweshuga muropa rako, uye zvaunofanira kuziva paunenge uchiushandisa.

Mushonga uyu chii?

Zvichitaurwa zviri nyore, Ertugliflozin naSitagliptin mishonga miviri inopiwa vanhu vane chirwere cheshuga cherudzi rwechipiri (Type 2 Diabetes) mupiritsi rimwe chete. Chinhu chikuru pane izvi ndechekuderedza huwandu hweshuga muropa (blood glucose) . Zvisinei, mushonga uyu wega hauna kukwana kuti uwane mhedzisiro yakanaka. Unofanira kudzora kudya kwako uye kuita maekisesaizi zuva rega rega pamwe chete nemushonga uyu. Ndipo pazvinonyatsonaka.

Dzimwe nguva vanachiremba vanogona kushandisa mushonga uyu kune mamwe matambudziko ehutano, saka kana muine mibvunzo, zvakanaka kubvunza chiremba wenyu kana murapi wemishonga.

Rimwe zita rinozivikanwa remushonga uyu ndiSteglujan . Chiremba wako angangodaro akataura zita iroro.

Chii chaunofanira kuudza chiremba wako usati watora mushonga uyu?

Zvakanaka, pane zvimwe zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga uyu. Nekuti zvakakosha kuti azive kuti mushonga uyu unoshanda sei nezvimwe zvirwere zvako. Heano zvimwe zvinhu zvaunofanira kumuudza kana uine:

• Kana uine chirwere chemwoyo kana matambudziko etsinga dzeropa .
• Kana paine chirwere chakadai sekushaya mvura mumuviri.
• Kana wakambosangana nechirwere chinonzi diabetic ketoacidosis .
• Kana wakaderedza munyu mukudya kwako.
• Kana uri kudya zvishoma nekuda kwechirwere, kuvhiyiwa, kudya kwakashata, kana chimwe chikonzero.
• Kana paine maronda pamakumbo .
• Kana uchizovhiyiwa munguva pfupi iri kutevera.
• Kana cholesterol yako yakakwira .
• Kana chikamu chegumbo chakambobviswa .
• Kana uine nhoroondo yechirwere chepancreatitis kana mamwe matambudziko epancreas.
• Kana uchigara uchibatwa nezvirwere zvenhengo dzepabonde .
• Kana uchinwa doro nguva dzose .
• Kana uchigara uine zvirwere zvedundira, itsvo, kana nzira dzeweti .
• Kana uine chirwere cheitsvo .
• Kana uine chirwere chechiropa .
• Kana BP yakaderera .
• Kana uine zvirwere zvetsinga .
• Kana uri pa hemodialysis .
• Kare , rurimi rwakazvimba, kumeso, miromo, kuoma kufema, kuoma kumedza, kushanduka kwenzwiKana zvinhu zvakadaro zvakaitika.
• Kana uchinetseka kuita weti .
• Kana uine chirwere cheshuga cherudzi rwekutanga (mushonga uyu unongopihwa chirwere cheshuga cherudzi rwechipiri chete).
• Kana uri murume asina kudzingiswa .
• Kana uine allergies kuErtugliflozin, Sitagliptin, kana mimwe mishonga, chikafu, madhayi, kana zvinochengetedza .
• Hazvina kuipa kana uine pamuviri , kana uri kuedza kubata pamuviri .
• Kana uri amai vanoyamwisa .

Ndinofanira kushandisa mushonga uyu sei?

Piritsi iri rinofanira kunwiwa nemuromo negirazi remvura. Tevedzera mirayiridzo sezvakarairwa nachiremba wako. Unogona kunwa mushonga uyu uine chikafu kana usina. Zvisinei, kana uine dambudziko remudumbu, zvakanaka kuunwa pamwe chete nechikafu. Zvakanaka kunwa mushonga uyu mangwanani . Edza kuunwa panguva imwe chete zuva nezuva. Usatore zvinopfuura zvawakaudzwa nachiremba wako, kana kuunwa kakawanda. Zvakare, usarega kutora mushonga kamwe kamwe usina kurairwa nachiremba wako .

Kana wawana mushonga uyu kubva ku pharmacy, uchapihwa kapepa keruzivo rwakakosha (MedGuide) pamwe chete nawo. Iva nechokwadi chekuuverenga nokungwarira pese paunowana mushonga wako kana kuti unozowedzerwazve. Une ruzivo rwakawanda rwakakosha.

Taura nechikwata chako chehutano nezvekupa mushonga uyu kuvana . Panogona kudiwa kutarisirwa kwakakosha.

Kana ukatora mushonga wakawandisa: Kana uchifunga kuti watora mushonga uyu wakawandisa, fonera nzvimbo inodzora chepfu kana imba yekukurumidzira nekukasika.

Zvakakosha: Mushonga uyu wakanyorerwa iwe chete. Usaugovane nevamwe.

Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?

Ngatitii wakanganwa kutora mushonga wako mangwanani. Utore nekukurumidza sezvaunoyeuka. Asi kana yava nguva yekuti utore mushonga unotevera, siya mushonga wausina kutora wotora mushonga unotevera sezvakarongwa. Usambofa watora mishonga miviri panguva imwe chete.

Ndezvipi zvimwe zvinhu zvinogona kupindirana nemushonga uyu?

Kana uri kutora mimwe mishonga, mishonga yemishonga, kana mavhitamini paunenge uchitora mushonga uyu wechirwere cheshuga, unofanirawo kuudza chiremba wako nezvazvo. Zvimwe zvinhu zvinogona kukanganisa mushonga uyu. Zvakare, udza chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa zvinodhaka zvisiri pamutemo. Heano zvimwe zvinhu zvinogona kukanganisa mushonga uyu:

• Doro
• Digoxin (mushonga wezvirwere zvemwoyo)
• Lithium (iyi inopihwa kune zvirwere zvepfungwa)
• Mishonga yeSteroid, yakadai sePrednisone kana cortisone
• MaSulfonylureas, akadai seglimepiride, glipizide, uye glyburide
• Mishonga ye thyroid

Rondedzero iyi haina zvese zvinobatanidzwa, saka zvakanaka kuudza chiremba wako nezvese zvaunoshandisa.

Ndezvipi matanho akakosha anofanira kutorwa pakutora mushonga uyu?

Paunenge uchinwa mushonga uyu, gara uchiona chiremba wako kuti utarise hutano hwako. Zvadaro unogona kuona kana mushonga wacho wakakunakira uye kana paine shanduko dzinofanira kuitwa.

Mushonga uyu dzimwe nguva unogona kukonzera chirwere chakakomba chinoita kuti ropa rive neasidhi yakawandisa . Kana ukaona zviratidzo zvakaita sekusvotwa, kurutsa, kurwadziwa mudumbu, kuneta kusingawanzoitiki, kana kuoma kufema , rega kutora mushonga uyu nekukasika wofonera chiremba wako . Kana zvichibvira, tarisa weti yako kuti uone ma ketones uchishandisa ketone test strip .

Kuongororwa kwako kweHbA1C (A1C) kunoitwawo nguva nenguva. Uku kuongororwa kweropa kuri nyore. Kunotarisa kuti shuga yako yeropa yakadzorwa sei mumwedzi miviri kusvika mitatu yapfuura. Kuongororwa uku kunoitwa mwedzi mitatu kusvika mitanhatu yega yega.

Dzidza maitiro ekuongorora huwandu hweshuga muropa rako kumba . Zvakakosha kudzidza zviratidzo zveshuga yakaderera muropa (hypoglycemia) uye shuga yakakwira muropa (hyperglycemia) uye maitiro ekuzvidzora.

Gara uine shuga yaunowana nekukurumidza kana shuga yako yeropa yaderera (hypoglycemia) . Semuenzaniso, mapiritsi eshuga kana glucose. Kana uine shuga yakaderera muropa uye uri kunzwa pfari kana kurasikirwa nepfungwa, udza vari pedyo newe kuti kuvapa chikafu kana chinwiwa panguva iyoyo kunogona kukonzera kudzipwa. Kana izvi zvikaitika, vanofanira kutsvaga rubatsiro rwechiremba nekukasika.

Udza chiremba wako kana uchinzwa kuti shuga yako yeropa yakakwira. Mushonga wako ungangoda kugadziriswa. Ungangoda kugadzirisa mupimo wemushonga wako kana ukarwara kana kuti ukaita maekisesaizi kupfuura zvawagara uchiita .

Usarega kudya . Bvunza chiremba wako kana uchifanira kurega doro. Mishonga yakawanda yekukosora neinotonhora inopihwa nechiremba inogona kunge iine shuga kana doro. Izvi zvinogona kukanganisa huwandu hweshuga muropa rako.

Pfeka kana kuti chengeta kadhi reID rekurapa rine ruzivo rwakadai sechirwere chako, mishonga yaunoshandisa, uye nguva yekunwa mishonga yako.

Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?

Kufanana nemushonga upi zvawo, uyu unogona kukonzera migumisiro yakaipa kune vamwe vanhu. Mimwe yakakomba, mimwe haina kuipa zvakanyanya. Asi kana ukaona chimwe chinhu chisina kujairika, zvakanaka kuudza chiremba wako.

Migumisiro yaunofanira kuudza chiremba wako nezvayo nekukasika

• Kurwara nepfungwa: mapundu eganda, kuvaviwa, urticaria (mapundu), kuzvimba kwechiso, miromo, rurimi kana pahuro.
• Kushaya mvura mumuviri: Nyota yakawandisa, muromo wakaoma, dzungu, musoro, weti yero yakasviba kana yebrown.
• Chirwere cheshuga chinonzi ketoacidosis (DKA):Nyota yakawandisa kana kuti kuita weti, muromo wakaoma, kuneta zvakanyanya, kunhuwa kwekufema kunobva kumuchero, kuoma kufema, kurwadziwa mudumbu, kuda kurutsa, kurutsa.
• Utachiona hwembiriso yenhengo dzepabonde: kutsvuka, kuzvimba, kurwadziwa kana kuvaviwa, kunhuwa kwakashata, kubuda kwemvura yakakora kana yakakora. (Izvi zvinogona kuitika kuvarume nevakadzi).
• Zviratidzo zvechirwere chemwoyo: kushaya mweya, kuzvimba kwezvitsitsinho, tsoka, kana maoko, kuwedzera uremu kamwe kamwe, uye kunzwa kusasimba kana kuneta zvisingawanzoitiki.
• Utachiona, kutsvuka, kuzvimba, kuomarara, kana kurwadziwa kwakatenderedza nhengo dzesikarudzi kana munzvimbo inotungamira kuhuro: Izvi zvinogona kuva chiratidzo chechirwere chakakomba chinonzi Fournier's gangrene , saka kana ukaona chimwe chinhu chakadai, taurira chiremba wako nekukasika.
• Kukuvara kweitsvo: kudzikira kwemvura inobuda mutsvina, kuzvimba kwezvitsitsinho, maoko, kana tsoka.
• Marwadzo matsva kana kurwadza kwegumbo kana tsoka, kutsvuka kweruvara rweganda, maronda kana maronda, kana hutachiona .
• Pancreatitis: Kurwadziwa kwakanyanya mudumbu kunopararira kumusana, kurwadziwa kunowedzera mushure mekudya kana kana wabatwa, fivha, kuda kurutsa, uye kurutsa.
• Kana ukaona kutsvuka, matumbu, kukwenya kweganda, kana zvimwe zvakafanana mumuromo mako .
• Kurwadziwa kwakanyanya kwemajoini.
• Utachiona hwemunzira yeweti (UTI): Kunzwa kupisa kana uchiita weti, kuita weti kakawanda, weti ine ropa kana makore, kurwadziwa mudumbu repazasi kana kumativi.

Migumisiro isingawanzodi kubatsirwa nachiremba, asi inofanira kuziviswa kuna chiremba kana ikaramba iripo

• Musoro
• Mhuno inoyerera kana mhino yakazadza
• Huro inorwadza

Rondedzero iyi ingasave nemhedzisiro yese inogona kuitika. Kana ukaona chimwe chinhu chisingawanzoitika, zvakanaka kubvunza chiremba wako kuti akupe mazano. Unogona zvakare kuudza migumisiro yacho kuFDA (1-800-FDA-1088).

Unofanira kuchengeta sei mushonga wako?

Chengeta mushonga uyu kure nevana nezvipfuyo .

Chengeta patembiricha yemumba, pakati pe15 ne30 degrees Celsius (59 ne86 degrees Fahrenheit). Rasa mushonga wapera basa.

Ndapota cherechedzai: Chinyorwa chino chipfupiso chete. Chingasave neruzivo rwese. Kana muine mimwe mibvunzo nezvemushonga uyu, ndapota taurai nachiremba wenyu, murapi wemishonga, kana mupi wehutano.

Zvinhu zvinonyanya kukosha zvaunofanira kuyeuka

Zvakanaka, saka, kubva pane zvatataura nezvemishonga iyi yechirwere cheshuga inonzi Ertugliflozin neSitagliptin, hezvino zvimwe zvezvinhu zvakakosha zvaunofanira kuyeuka:

• Mushonga uyu unobatsira kudzora shuga yeropa rako , asi mhedzisiro yakanaka inowanikwa nekudya zvakanaka uye kurovedza muviri .
• Usati watanga mushonga, mushonga wakoIva nechokwadi chekuudza chiremba wako nezvezvimwe zvirwere zvaunazvo.
• Tora mushonga wakanyorwa, panguva yakatarwa, sezvakarairwa nachiremba. Usadarike mishonga kana kutora mishonga miviri panguva imwe chete.
• Ziva zviratidzo zveshuga yakaderera muropa (hypoglycemia) uye chengeta shuga iri pedyo newe kana uchida.
• Kana ukaona zviratidzo zvechirwere chakakomba chinonzi diabetic ketoacidosis (DKA) (kuda kurutsa, kurutsa, kurwadziwa mudumbu, kuneta kwakanyanya, kunetseka kufema) , taurira chiremba wako nekukasika .
• Tsvaga rubatsiro rwechiremba nekukasika kana ukasangana nematambudziko asina kujairika , kunyanya hutachiona hwepanhengo dzekubereka, maronda emakumbo, kana zviratidzo zvekushaya simba kwemoyo.
• Udza chiremba wako nezvemimwe mishonga yese yaunotora, sezvo mimwe mishonga inogona kukanganisa iyi.

Kurarama nechirwere cheshuga kunogona kuoma, asi kutora mishonga yako nemazvo, kuchinja mararamiro ako, uye kuramba uchitaura nachiremba wako zvinogona kukubatsira kuti urambe uine hutano hwakanaka. Usazvidya mwoyo, hausi wega!

Chirwere cheshuga , ertugliflozin, sitagliptin, mushonga wechirwere cheshuga, shuga yeropa, chirwere cheshuga cherudzi rwechipiri, Steglujan