Chirwere cheshuga idambudziko rehutano rinosangana nevanhu vazhinji munharaunda medu nhasi. Kunyanya, chirwere cheshuga cherudzi rwechipiri chinogona kuitika chero pazera ripi zvaro. Nechirwere ichi, njodzi yekuve nemamwe matambudziko ehutano inowedzerawo. Saka, kune mhando dzakawanda dzemishonga inokurudzirwa navanachiremba kudzora chirwere ichi cheshuga. Mumwe mushonga wakadaro ndiFarxiga. Nhasi, muchinyorwa chino, tichataura nezvezvinhu zvakakosha zvaunofanira kuziva kana chiremba wako akakunyorera mushonga uyu.
Farxiga inoshanda sei mumuviri?
Mushonga uyu, unobva pasi pezita rekuti Farxiga, une chinhu chinoshanda chinonzi dapagliflozin . Izvi zviri muboka remishonga inonzi SGLT2 inhibitors. Ngationei kuti chii ichi nemashoko ari nyore.
Funga nezveitsvo dzedu semafirita maviri makuru. Mafirita aya anochenesa ropa redu uye anobvisa zvinhu zvisingadiwe kuburikidza neweti. Nenzira iyi, shuga (glucose) iri muropa inoseferwawo muweti. Asi muviri wedu une hunyengeri. Uchishandisa puroteni inonzi SGLT2 iri muitsvo, inoseferwazve shuga iri kuedza kupinda muweti. Munhu ane chirwere cheshuga atova neshuga yakakwira mumuviri wake. Saka kusferwazve kweshuga hachisi chinhu chakanaka.
Farxiga inoshanda nekuvharira kushanda kwepuroteni yeSGLT2 . Izvi zvinoreva kuti shuga haichapindi mumuviri, asi inoburitswa muweti. Zvichitaurwa zviri nyore, basa guru remushonga uyu nderekudzora huwandu hweshuga muropa nekubvisa shuga yakawandisa mumuviri wako kuburikidza neweti yako .
Ndeipi mhedzisiro yemushonga uyu?
Farxiga yakaongororwa zvakanyanya pasi rose. Zvidzidzo izvi zvakaona kuti inoshanda zvikuru mukuderedza huwandu hweshuga muropa, kana ikashandiswa yoga uye pamwe chete nemimwe mishonga yeshuga.
Farxiga yakashandiswa pamwe chete nemishonga inotevera inowanzo shandiswa kurapa chirwere cheshuga:
- Metformin
- Mishonga yeSulfonylureas (semuenzaniso, Gliclazide, Glimepiride)
- Maagonist eGLP-1 receptor
- Insulin
- Zvinodzivisa DPP-4
- Thiazolidinediones
Chinhu chikuru chinotariswa muzvidzidzo izvi iHbA1c (hemoglobin A1c). Zvichitaurwa zviri nyore, HbA1c ndiyo avhareji yehuwandu hweshuga muropa rako mumwedzi miviri kusvika mitatu yapfuura . Zvakafanana ne'ripoti' yekuongorora kwako chirwere cheshuga. Muzvidzidzo zvakawanda, vanhu vakashandisa Farxiga vaive nemazinga eHbA1c akaderera zvakanyanya.
Zvinotora nguva yakareba sei kuti zvionekwe?
Shuga yako yeropa inotanga kuderera nekukurumidza mushure mekunge watanga kutora Farxiga. Kana uri munhu anoongorora shuga yako yeropa kumba, uchaona mutsauko mukuru mukati memavhiki mana ekutanga.Unogona kuzviona. Asi zvinotora nguva kuti HbA1c iderere. Nekuti inguva yemwedzi miviri kusvika mitatu, zvinogona kutora mavhiki masere kusvika gumi nemaviri kuti uone shanduko muhuwandu ihwohwo.
Pane zvimwe zvakanakira kunze kwekuderedza shuga here?
Ehe! Kunyangwe basa guru reFarxiga riri rekudzora shuga muropa, tsvakiridzo yakaratidza kuti ine zvimwe zvakanakira zvakawanda. Izvi zvakakosha zvikuru kune munhu ane chirwere cheshuga.
| Rubatsiro rwakawedzerwa | Tsananguro iri nyore |
|---|---|
| Kuderedza huremu | Iri harisi piritsi rekuderedza uremu. Zvisinei, sezvo shuga ichibuda muweti, macalorie ari mushuga iyoyo anobviswawo mumuviri. Nokudaro, zvakaonekwa kuti vanhu vanotora piritsi iri vanorasikirwa ne1.5 - 3.5 kg (3.5 - 7 pounds). |
| Kuderera kweBP | Uyu hausi mushonga weBP. Asi kana shuga ikaburitswa muweti, mvura shoma inoburitswawo mumuviri. Izvi zvinokonzera kudzikira kweBP. |
| Kuderedza kugara muchipatara nekuda kwechirwere chemwoyo | Mushonga uyu wakaratidzwa kuti unoderedza njodzi yekuiswa muchipatara nekuda kwekushaya simba kwemoyo kana uine chirwere chemwoyo kana zvinhu zvinokonzera izvi (cholesterol, BP, kusvuta). |
| Kudzivirirwa kweitsvo | Chirwere cheshuga chinogona kukanganisa itsvo dzako nekufamba kwenguva. Kana uine chirwere cheitsvo chisingaperi, Farxiga inogonawo kubatsira kudzivirira kuti chisanyanya kuipa. |
Ndezvipi migumisiro yemushonga uyu?
Kufanana nemishonga yese, Farxiga inogona kukonzera mamwe matambudziko madiki. Zvakakosha kuziva izvi.
1. Zvirwere zveMbiriso yeGenital
Uyu ndiwo mhedzisiro inonyanya kuitika yeFarxiga. Shuga yakawanda muweti inoita kuti fungi yakaita sembiriso ikure zvakanaka. Izvi zvinowanzoitika kuvakadzi.
- Zviratidzo: Kukwenya munzvimbo yesikarudzi, kubuda kwemvura kunhuwa.
- Maitiro ekugadzirisa?
- Pfeka zvipfeko zvemukati zvedonje.
- Gara wakaoma nzvimbo yepabonde.
- Taura nachiremba wako kuti uwane kurapwa kwakakodzera.
2. Hypoglycemia - Kuderera kwakanyanya kweshuga muropa
Dambudziko iri hariwanzoitika kana Farxiga ikatorwa yoga. Zvisinei, kana ukatora Farxiga ne insulin kana sulfonylurea (semuenzaniso, Gliclazide) , huwandu hweshuga muropa rako hunogona kudzikira zvakanyanya.
- Zviratidzo: kudikitira, kudedera, nzara yakanyanya, dzungu.
- Kutarisira: Paunotanga Farxiga, chiremba wako angangoda kuderedza mushonga wemimwe mishonga yako yeshuga. Taura nachiremba wako nezveizvi.
3. Chirwere cheshuga chinonzi Ketoacidosis (DKA)
Ichi chirwere chakakomba asi chisingawanzoitiki . Kana muviri usingakwanise kushandisa shuga sesimba, unopisa mafuta sesimba. Munguva iyi, makemikari anonzi ma ketone anogadzirwa. Aya anoungana muropa, zvichiita kuti ropa rive acidic, iyo inonzi DKA.
- Zviratidzo: Nyota yakawandisa, kuita weti nguva nenguva, kurwadziwa mudumbu, kuda kurutsa, kurutsa, kunetseka kufema, uye kunhuwa kwemuchero pakufema.
- Zvekuita: Iyi injodzi yekurapa inogona kuisa hupenyu panjodzi. Kana ukaona chimwe chezviratidzo izvi kana kupfuura, unofanira kuenda kuEmergency Department (ETU) yechipatara chiri pedyo nekukurumidza.
Ndingawana sei Farxiga?
Farxiga haisi mushonga unogona kungotengwa nechitoro chemishonga. Unoda chiremba ane tsamba yechiremba.
Chiremba wako mukuru kana chiremba we endocrinologist achaongorora hutano hwako uye oona kana mushonga uyu wakakunakira. Usambofa wakashandisa mushonga uyu kana kuchinja mwero wawakarairwa usina kubvunza chiremba.
Mharidzo Yekuenda Nayo Kumba
- Farxiga (dapagliflozin) mushonga wechirwere cheshuga cherudzi rwechipiri. Unobatsira kudzora huwandu hweshuga muropa nekubvisa shuga yakawandisa mumuviri kuburikidza neweti.
- Pamusoro pekudzora shuga, zvinobatsirawo kuderedza huremu hwemuviri neBP, kuderedza njodzi yezvirwere zvemwoyo, uye kudzivirira itsvo.
- Zvirwere zvembiriso munzvimbo yepabonde zvinowanzo konzera migumisiro yakaipa. Zvakakosha kuchengetedza kuchena.
- Pane njodzi yehypoglycemia kana ikatorwa pamwe chete nemimwe mishonga yeshuga yakaita se insulin. Udza chiremba wako nezveizvi.
- Ziva zviratidzo zvechirwere chakakomba chinonzi DKA. Kana usina chokwadi, enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Mushonga uyu unofanira kushandiswa chete kana chiremba akurudzira .
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