Une chirwere cheshuga cherudzi rwechipiri here? Chiremba wako anogona kunge akakupa piritsi rinonzi Jardiance. Ungave uchida kuziva zvakawanda nezvemushonga uyu. Mushonga werudzii, chii chinoitika mumuviri wako, uye matanho aunofanira kutora. Saka nhasi, ngatitaurei muchidimbu nezveJardiance, mashandiro ayo, mabhenefiti ayo, uye zvaunofanira kuziva.
Chii chinonzi Jardiance? Inoshanda sei mumuviri?
Jardiance mushonga unoshandiswa kurapa vakuru nevana vane chirwere cheshuga cherudzi rwechipiri. Unoshanda nekudzora huwandu hweshuga muropa. Unobatsirawo kuderedza njodzi yekurwara nemoyo uye sitiroko muvanhu vakuru vane chirwere cheshuga. Zvisinei, haubvumidzwe kune chirwere cheshuga cherudzi rwekutanga. Dzimwe nguva unoshandiswawo kune vanhu vasina chirwere cheshuga asi vane chirwere chemwoyo kana cheitsvo.
Zvakanaka, ngationei kuti izvi zvinoshanda sei. Zvichitaurwa zviri nyore, itsvo dzedu dzinowanzo shanda kusefa shuga (glucose) muropa dzoidzosera mumuviri. Hadzibudise muweti.
Kune puroteni yakakosha inobatsira itsvo nebasa iri, inonzi SGLT2 (Sodium-glucose cotransporter-2) .
Piritsi reJardiance rinovhara kwenguva pfupi kushanda kwepuroteni yeSGLT2. Izvi zvinobvumira shuga yakawandisa iyo muviri usingakwanise kunwa zvakare kuti ipfuure nemuweti. Izvi zvinoderedza huwandu hweshuga muropa. Maitiro aya anogonawo kukubatsira kuderedza huremu uye kudzora BP yako .
Zvakanakira zvemushonga uyu zvakaratidzwa kusvika papi?
Zvidzidzo zvakawanda zvekiriniki zvakaitwa kuti zvionekwe kuti Jardiance yakachengeteka uye inoshanda zvakadii. Zvidzidzo izvi zvakanyanya kutarisa kuti mushonga uyu waishanda zvakadii mukuderedza HbA1c (bvunzo inoratidza avhareji yemazinga eshuga muropa mumwedzi mitatu yapfuura).
Zvidzidzo izvi zvaisanganisira vakuru vane chirwere cheshuga cherudzi rwechipiri, vana vane makore ari pakati pe10-17, vanhu vane chirwere cheitsvo, nevanhu vane chirwere chemwoyo. Mhedzisiro yemushonga uyu yakaenzaniswawo nemimwe mishonga yechirwere cheshuga (semuenzaniso, insulin, metformin, glimepiride).
Zvakanaka, ngationei kuti mhedzisiro yezvidzidzo izvi yakawanikwa sei. Yeuka, iyi imhedzisiro yepakati nepakati. Mhedzisiro yako inogona kusiyana zvichienderana nemuviri wako.
| Mhedzisiro yevakuru (Vakuru vane chirwere cheshuga cherudzi rwechipiri) | ||
|---|---|---|
| Chipimo chemushonga | Kuderera kweshuga yeropa yekutsanya (mg/dL) | Kuderera kweHbA1c |
| Jardiance 10 mg (isina mimwe mishonga) | Neanenge 19 mg/dL | Neinenge 0.7% |
| Jardiance 25 mg (isina mimwe mishonga) | Neanenge 25 mg/dL | Neinenge 0.8% |
| Jardiance (nemimwe mishonga) | Neanenge 10 - 22 mg/dL | Pakati pe0.2% - 2.1% |
| Migumisiro muVanhu Vakuru vane Chirwere cheMwoyo | |
|---|---|
| Kurapa | Chikamu chevanhu vanofa nekuda kwechirwere chemwoyo, sitiroko, kana chirwere chemwoyo |
| Jardiance 10 mg kana 25 mg | 10.5% |
| Placebo | 12.1% |
Mhedzisiro yevana nevarwere veitsvo
Jardiance yakaratidzwa kuti inoderedza zvakanyanya huwandu hweHbA1c uye huwandu hweshuga muropa muvana vane makore 10-17. Yakabatsirawo kuderedza huwandu hweHbA1c muvanhu vakuru vane chirwere cheshuga neitsvo.
Mimwe mishonga inogona kupindirana here neJardiance?
Ehe, zvakakosha zvikuru kutarisira izvi.
- Shuga shoma muropa: Kana ukatora mimwe mishonga yechirwere cheshuga, kunyanya insulin kana sulfonylureas (yakadai seglimepiride), unogona kuwana shuga shoma muropa (hypoglycemia) paunotanga Jardiance. Nokudaro, chiremba wako anogona kuderedza mwero wemimwe mishonga yako.
- Kushaya mvura mumuviri: Kana uri kutora mishonga inobvisa mvura mumuviri, kuitora pamwe chete neJardiance kunogona kukonzera kushaya mvura mumuviri. Saka, zvakakosha kunwa mvura yakawanda.
- Lithium: Kana uri kutora lithium nekuda kwechirwere chepfungwa, mhedzisiro yayo inogona kuchinja paunotanga Jardiance. Taura nachiremba wako nezveizvi uye ongororwa ropa kana zvichidikanwa.
Nzira yekudzivirira migumisiro ine njodzi?
Chikamu ichi chakakosha zvikuru. Kunyangwe Jardiance iri mushonga unobatsira zvikuru, kune mimwe migumisiro yakaipa yatinofanira kuziva.
1. Chirwere cheshuga chinonzi Ketoacidosis (DKA):
- Izvi zvine njodzi. Kana muviri usingakwanise kushandisa shuga, unoshandisa imwe nzira yekuwana simba. Izvi zvinogadzira makemikari anonzi ma ketone . Kana aya akaungana muropa, anogona kuva nengozi huru.
- Zviratidzo: kuda kurutsa, kurutsa, kurwadziwa mudumbu, kuneta kwakanyanya, kunetseka kufema.
- > Kana ukaona zviratidzo izvi, rega kutora Jardiance nekukasika woona chiremba kana kuenda kuchipatara (ETU). Iyi idambudziko rekukurumidza.
2. Utachiona:
- Mushonga uyu unowedzera huwandu hweshuga muweti, izvo zvinowedzera njodzi yehutachiona hwemabhakitiriya nembiriso. Utachiona hunogona kuitika muweti, dundira, uye munzvimbo dzepabonde.
- Fournier's Gangrene: Chirwere chisingawanzoitiki, asi chine njodzi zvikuru chinogona kuitika munzvimbo yesikarudzi. Tsvaga rubatsiro rwechiremba nekukasika kana uine kurwadziwa, kutsvuka, kana kuzvimba munzvimbo iyi pamwe nefivha uye kushaya simba.
3. Matambudziko emakumbo netsoka:
- Dzimwe ongororo dzakaratidza kuwedzera kudiki kwevanochekwa nhengo dzemuviri, kunyanya kuvanhu vane chirwere chetsinga dzeropa.
- Saka nyatsoongorora tsoka dzako zuva nezuva.Kana uine maronda, maronda, mavanga, kana zviratidzo zvehutachiona, taurira chiremba wako nekukasika.
4. Mhedzisiro paitsvo:
- Kushaya mvura mumuviri kunogona kukanganisa mashandiro eitsvo. Saka, zvakakosha kunwa mvura yakawanda. Chiremba wako anogona kuraira kuti uongororwe ropa kuti uone mashandiro eitsvo dzako.
5. Kusawirirana neAllergy:
- Kana ukasangana nezvirwere zvakakomba zvakaita sekuzvimba kwemiromo, kumeso, kana rurimi, kuoma kufema, kana mapundu paganda, rega kutora mushonga nekukasika wotsvaga mazano kuna chiremba.
Nzira yekushandisa mushonga nemazvo sei?
Jardiance ipiritsi raunonwa kamwe chete pazuva. Inwa mushonga (10mg kana 25mg) waunonyorerwa nachiremba wako.
- Zvakanakisisa kuitora mangwanani: Vanachiremba vazhinji vanokurudzira kuitora mangwanani. Chikonzero ndechekuti inowedzera kuwanda kwekuita weti, kuitira kuti iitike masikati pasina kukanganisa hope husiku.
- Unoziva sei kana mushonga wacho uchishanda?: Unogona kuona nekudzikira kwehuwandu hweshuga muropa rako neHbA1c. Asi zvinotora mwedzi mitatu kuti HbA1c yako ichinje. Kana ukaita bvunzo yeweti paunenge uchitora Jardiance, zvicharatidza kuti mune shuga muweti yako. Izvi zvakajairika, usazvinetse nazvo. Zvinoreva kuti mushonga wacho uri kushanda.
Mharidzo Yekuenda Nayo Kumba
- Jardiance mushonga wechirwere cheshuga cherudzi rwechipiri unoderedza shuga muropa nekuburitsa shuga muweti.
- Nguva dzose tora mushonga wawakanyorerwa nachiremba wako chete, panguva yakatarwa (zviri nani mangwanani).
- Inwa mvura yakawanda zuva rese kudzivirira kupera mvura mumuviri.
- Ziva zviratidzo zveshuga shoma muropa (hypoglycemia) uye zviratidzo zvine njodzi zvechirwere cheshuga ketoacidosis (DKA) (kurutsa, kurwadziwa mudumbu, kunetseka kufema). Tsvaga rubatsiro rwechiremba nekukasika kana uine zviratidzo zveDKA.
- Tarisa tsoka dzako zuva nezuva kuti uone maronda, maronda, kana zviratidzo zvehutachiona.
- Taura nachiremba wako nezve chero migumisiro kana matambudziko aunosangana nawo. Usamborega kutora mushonga wako kana kuchinja mwero wemushonga usina kupiwa mazano nachiremba.
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