Kana uine chirwere cheshuga, kureva chirwere cheshuga cheType 2, chiremba wako anogona kunge akakupa piritsi rinosanganisa mishonga inonzi Saxagliptin neMetformin. Munyika medu, izvi zvinonyanya kuonekwa pasi pezita rekuti Kombiglyze XR. Uyu mushonga wakanaka unopiwa vanhu vazhinji uye unobatsira kudzora shuga. Saka nhasi, ngatidzidzei nezvemushonga uyu nezvinhu zvekungwarira pakushandisa.
Chii chaizvo chinoitika nemushonga uyu?
Zvichitaurwa zviri nyore, izvi zvinopihwa kudzora chirwere cheshuga cherudzi rwechipiri. Mushonga uyu unobatsira kukurudzira kugadzirwa kwe insulin nepancreas yako, kuderedza kugadzirwa kweshuga nechiropa chako, uye kuita kuti zvive nyore kuti masero emuviri wako atore shuga. Zvese izvi zvinobatsira kudzora huwandu hweshuga muropa rako.
Asi yeuka izvi zvakanaka. Haugone kudzora chirwere cheshuga nekunwa izvi wega. Kudya zvakanaka uye kurovedza muviri zuva nezuva zvinhu zviviri zvaunofanira kuita pamwe chete nemushonga uyu.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga
Zvakanaka, ichi ndicho chikamu chakakosha. Usati watanga mushonga uyu, zvakakosha kuzivisa chiremba wako nezvezvimwe zvirwere zvaunazvo mumuviri wako uye tsika dzako. Nekuti, kushandisa mushonga uyu kune zvimwe zvirwere kunogona kuva nengozi. Kana uine chimwe chezvinotevera, iva nechokwadi chekuudza chiremba wako nezvazvo.
| Udza chiremba wako kana uine zvirwere izvi. |
|---|
| Chirwere cheitsvo kana chirwere chechiropa |
| Chirwere chemwoyo, kunyanya kutadza kwemoyo |
| Kana wakambova nepancreatitis kare |
| Kana uchinwa doro nguva dzose |
| Kushaya ropa kana kushaya vitamini B12 |
| Kana uine chirwere cheshuga cherudzi rwekutanga (mushonga uyu hausi wako) |
| Kana uine chirwere chenduru kana kuti triglyceride yakawanda muropa |
| Kana uine hutachiona hwakakomba kana kuti wakavhiyiwa |
| Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa |
| Kana wakambova neallergy kune mumwe mushonga kana chikafu |
Nzira yekutora mushonga sei? Nzira chaiyo
Unofanira kushanda zvakanaka mune izvi zvakare.
- Inwa piritsi iri sezvakarairwa nachiremba, panguva chaiyo.
- Kazhinji zvinonzi zvinotorwa pamwe chete nekudya kwemanheru .
- Medza piritsi rese negirazi remvura.
- Zvakakosha: Zvine njodzi huru kupwanya, kupwanya, kana kutsenga piritsi iri, saka usadaro . Rakagadzirirwa kuburitsa mushonga zvishoma nezvishoma mukati mezuva rose (Extended-Release). Kana ukapwanya, mushonga unogona kupinda mumuviri wako panguva imwe chete wokonzera migumisiro yakaipa.
- Usarega kutora mushonga kamwe kamwe usina kurairwa nachiremba.
- Kana ukarasikirwa nedosi: Itore nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, svetuka dosi yawarasikirwa wotora dosi yako inotevera panguva yakatarwa. Usambofa watora dosi mbiri panguva imwe chete.
Zvinhu zvekungwarira paunenge uchitora mushonga
Unofanirawo kungwarira zvishoma paunenge uchitora mushonga uyu.
Kuongororwa nachiremba nguva dzose
Ona chiremba wako nguva nenguva kuti aone kana mamiriro ako ezvinhu ari akanaka. Iye achaita bvunzo inonzi HbA1C yako (A1C) . Izvi zvinoyera kuti shuga yako yeropa yave yakadzorwa sei mumwedzi miviri kusvika mitatu yapfuura. Iyi bvunzo inokosha zvikuru.
Ramba uchitarisa huwandu hweshuga yako.
Dzidza maitiro ekuongorora huwandu hweshuga muropa rako kumba. Ziva zviratidzo zveshuga yakaderera muropa (Hypoglycemia) uye shuga yakakwira muropa (Hyperglycemia).
Kana shuga yaderera, kana paine dambudzikoGara uchichengeta chimwe chinhu chakaita seshuga, toffee, kana piritsi reglucose pedyo. Asi kana shuga yako yeropa ikadzika kusvika pakurasikirwa nepfungwa, usaise chero chinhu mumuromo mako. Unogona kudzipwa. Kana zvakadaro , unofanira kukurumidza kuenda kuEmergency Treatment Unit (ETU) yechipatara.
Dzimwe pfungwa dzakakosha
- Usarega kudya.
- Kunwa doro: Zvine njodzi huru kunwa doro uchitora mushonga uyu. Bvunza chiremba wako kuti akupe mazano.
- Kubata pamuviri: Mushonga uyu unogona kuwedzera mukana wekubata pamuviri zvakare mune vamwe vakadzi. Saka, taura nachiremba wako nezvenzira dzakakodzera dzekudzivirira pamuviri paunenge uchitora mushonga uyu.
- Kuvhiyiwa nekuskena: Kana uchizovhiyiwa, kuongororwa MRI, kana CT scan, udza chikwata chezvekurapa pachine nguva kuti uri kutora mushonga uyu. Ungangoda kurega kutora mushonga kwemazuva iwayo.
- Piritsi rinobuda mutsvina: Dzimwe nguva unogona kuona ganda risina chinhu richibuda mutsvina. Izvi zvakajairika, asi kana izvi zvikaitika kakawanda, udza chiremba wako .
Migumisiro inogona kuitika
Kufanana nemushonga upi zvawo, izvi zvinogona kukonzera migumisiro yakaipa kune vamwe vanhu. Havasi vese vanozodaro. Asi zvakakosha kuziva izvi.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro, kuoma kufema. |
| Lactic Acidosis | Ichi chirwere chisingawanzoitiki asi chakakomba. Kurwadziwa kwetsandanyama, kurwadziwa mudumbu, kunetseka kufema, kuneta kwakanyanya. |
| Chipembenene | Kurwadziwa kwakanyanya mudumbu repamusoro (kunobuda kumusana ), kurwadziwa kunowedzera mushure mekudya, fivha, kuda kurutsa, kurutsa. |
| Kukundikana kwemoyo | Kutadza kufema zvakanaka, kuzvimba kwemakumbo netsoka, kuwedzera uremu kamwe kamwe, kuneta zvakanyanya. |
| Marwadzo akanyanya emumajoini | Kurwadziwa kwakanyanya mumajoini. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Manyoka | Zvinonyanya kuitika pakutanga kwekutora mushonga. |
| Musoro, kuda kurutsa, kurutsa | Izvi zvinogonawo kuitika kakawanda. |
| Zviratidzo zvakaita sechando | Huro inorwadza, mhino inoyerera. |
Kupfuura mwero
Kana uchifunga kuti watora mushonga wakawanda kupfuura zvaunofunga, usanonoka uye enda kuchipatara chiri pedyo Emergency Unit (ETU) kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Mharidzo Yekuenda Nayo Kumba
- Mushonga uyu unopihwa kudzora chirwere cheshuga cherudzi rwechipiri. Kudya zvakanaka uye kurovedza muviri zvakakoshawo.
- Usapwanye, kupwanya, kana kutsenga piritsi. Medza rose. Kazhinji ritore pamwe chete nekudya manheru.
- Iva nechokwadi chekuudza chiremba wako nezvemimwe mishonga yauri kutora uye chero zvimwe zvirwere zvaunazvo.
- Ziva zviratidzo zvehypoglycemia uye hyperglycemia. Chengeta shuga pedyo kana paine dambudziko.
- Kana ukasangana nematambudziko akakomba akadai sekurwadziwa mudumbu, kunetseka kufema, kana kuzvimba kwechiso/rurimi, tsvaga rubatsiro rwechiremba nekukasika.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Saxagliptin neMetformin (Saxagliptin; Metformin / Kombiglyze XR) piritsi?
Iri ipiritsi rinoshanda zvikuru (XR / rinoenderera mberi) rinosanganisa mishonga miviri inoshanda nenzira mbiri dzakasiyana kudzora huwandu hweshuga yeropa yakakwira muvarwere vane 'Type 2 Diabetes'! Vanachiremba vanokurudzira piritsi iri rakasanganiswa nemushonga mutsva unonzi 'Saxagliptin (DPP-4 inhibitor)' kune avo vane huwandu hweshuga husingaderedzwe nemetformin chete.
💬 Mishonga iyi miviri (Metformin + Saxagliptin) pamwe chete inoderedza/inodzora sei shuga yedu?
Inorwisa kubva kumativi ese! 1. Metformin inoderedza kugadzirwa kweshuga itsva (glucose) nechiropa chako uye inomanikidza shuga iripo kuti inyudzwe netsandanyama. 2. Chimwe chishamiso iSaxagliptin! Patinodya chikafu, ura hunoburitsa hormone (Incretin) inoudza pancreas kuti iwedzere insulin. Saxagliptin inoita izvi ne'kudzivisa kuparadzwa kweIncretin (DPP-4 enzyme)', kuwedzera kugadzirwa kweinsulin uye kuderedza shuga inouya mushure mekudya.
💬 Kunyangwe chirwere cheshuga chakaderera, ndeapi matambudziko ane njodzi ayo vanhu vanotora mapiritsi aya vanofanira kuziva?
Dambudziko guru ndiro matambudziko anokonzerwa neSaxagliptin! Zvakataurwa kuti inogona kukonzera mvura mumapapu, kuzvimba kwemakumbo, uye njodzi huru yekukundikana kwemoyo (kunyanya kune vanhu vane matambudziko emwoyo). Imwe njodzi inouraya ndeyekuti inogona kukonzera 'Acute Pancreatitis' kune vamwe vanhu (saka kana uine kurwadziwa kwakanyanya mudumbu/musana, enda kuna chiremba nekukasika!).
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