Une chirwere cheshuga cherudzi rwechipiri here? Kana kuti une chirwere chemwoyo kana chetsinga dzeropa here? Kana zvakadaro, chiremba wako anogona kunge akakupa mushonga unonzi Empagliflozin, unozivikanwawo seJardiance. Mushonga uyu unopiwawo kune vanhu vasina chirwere cheshuga asi vane zvimwe zvirwere zvemwoyo. Saka, sezvo uyu uri mushonga uri kupihwa kuvanhu vazhinji ikozvino, ngatitaurei nezvazvo zvakadzama nhasi, sekunge tiri kutaura neshamwari.
Mushonga uyu weEmpagliflozin (Jardiance) unoshanda sei?
Izvi zvinganzwika sezvesainzi, asi zviri nyore kwazvo. Mushonga uyu ndeweboka remishonga inonzi SGLT2 inhibitors. Zita rakazara rinonzi Sodium-glucose co-transporter 2 inhibitor.
Zvakanaka, zvino nemashoko akareruka, izvi ndizvo zvinoitika:
Itsvo dzedu dzine puroteni inonzi SGLT2. Basa rayo nderekudhonza shuga kubva muropa kuti idzokere mumuviri. Empagliflozin inovhara puroteni iyi inonzi SGLT2. Zvadaro , itsvo hadzidhonze shuga yakawandisa muropa kuti idzokere mumuviri, asi kuti dziibudise muweti. Zvakafanana nesefa inobvisa zvinhu zvisingadiwe. Nenzira iyi, huwandu hweshuga yakawandisa mumuviri hunodzorwa.
Mushonga uyu unoderedzawo kutorwazve kwe sodium (munyu) kubva muitsvo ichipinda mumuviri. Izvi zvinoderedza basa remoyo. Ndosaka mushonga uyu uchibatsirawo zvikuru kune vanhu vane chirwere chemwoyo.
Chii chaunofanira kutarisira paunenge uchishandisa mushonga uyu?
Empagliflozin ipiritsi raunotora kamwe chete pazuva. Zvakanakisisa kutevedzera nguva imwe chete zuva nezuva. Vanachiremba vanowanzo kukuudza kuti utore mangwanani. Unogona kuitora uine chikafu kana usina.
Mushonga uyu unouya mumhando mbiri: 10 milligrams (10 mg) uye 25 milligrams (25 mg). Chiremba wako anogona kutanga kukupa mushonga wakaderera ozowedzera mushonga wacho kana zvichidikanwa.
Chii chaunofanira kuita kana ukakanganwa? Kana ukakanganwa kunwa piritsi, ritore nekukurumidza paunenge uchiyeuka. Asi kana yava nguva yekutora piritsi rako rinotevera, usatore piritsi rawakarasikirwa naro nerinotevera panguva imwe chete. Siya piritsi rawakarasikirwa naro wotora piritsi rinotevera panguva yakatarwa.
Dzimwe nguva chiremba wako anokupa mushonga uyu pamwe chete nemumwe mushonga wechirwere cheshuga. Semuenzaniso, unogona kuuwana pamwe chete nemetformin (inonzi Synjardy) kana nelinagliptin (inonzi Glyxambi) sepiritsi rimwe chete.
Kuti mushonga uyu uwane zvakawanda, zvakakosha kudya chikafu chine hutano uye kurovedza muviri nguva dzose , sezvakakurudzirwa nachiremba wako. Uye usakanganwa kunwa mvura yakawanda zuva rese.
Paunenge uchitora mushonga uyu, chiremba wako anomboongorora ropa kuti aone kuti itsvo dzako dziri kushanda zvakanaka sei. Iye achakuudzawo kuti uongorore huwandu hweshuga muropa rako nguva nenguva. Zvinogona kutora kusvika kumwedzi mitanhatu kuti mushonga uyu unzwike zvizere.
Ndezvipi migumisiro yeizvi?
Kufanana nemushonga upi zvawo, uyu unogona kuva nemigumisiro midiki. Asi musazvidya mwoyo, mizhinji yacho haisi yakakura. Ngationei kuti migumisiro iyi ndeipi.
| Mhedzisiro yedivi | Tsananguro uye zvekuita |
|---|---|
| Migumisiro Yakajairika | |
| Zvirwere zveMbiriso muNzvimbo Yepabonde | Zvinowanzoitika kuvakadzi, asi zvinogonawo kuitika kuvarume. Zviratidzo zvinosanganisira kuvaviwa, kurwadziwa, kuzvimba, kutsvuka, uye kubuda ropa. Kune mishonga yekurapa izvi, saka ona chiremba kana uine zviratidzo izvi. |
| Utachiona hwemunzira yeweti (UTIs) | Zviratidzo zvakaita sekutsva, kurwadziwa, kuita weti kakawanda, weti ine makore, kana ropa zvinogona kuitika. Marwadzo emudumbu anogonawo kuitika. Udza chiremba wako nezvazvo sezvo zvichidawo kurapwa. |
| Mimwe migumisiro midiki | Unogona kusangana nezvinhu zvakaita sekuwedzera nyota, kuita weti nguva nenguva, kuda kurutsa, kurwadziwa kwemajoini, uye hutachiona hwepahuro. Izvi zvinowanzopera nekufamba kwenguva sezvo muviri wako uchijaira mushonga. Kana zvikaramba zviripo, udza chiremba wako. |
| Migumisiro Yakakomba Inoda Kutarisirwa Nokukurumidza | |
| Utachiona hwakakomba hwemunzira yeweti | Fivha, dzihwa, kurwadziwa kwakanyanya mudumbu kana kumusana. Izvi zvinogona kunge zviri zviratidzo zvehutachiona hunokanganisa itsvo. Tsvaga rubatsiro rwechiremba nekukasika. |
| Kuderera Kweropa | Dzungu, kusviba musoro, kunyanya kana wakamira. |
| Shuga shoma muropa | Zviratidzo zvakaita sekudikitira, kudedera, kurova kwemoyo kwakanyanya, nzara, uye kuvhiringidzika zvinogona kuitika, kunyanya kana zvikatorwa pamwe chete nemimwe mishonga yechirwere cheshuga. |
| Boka reFournier | Utachiona uhwu husingawanzoitiki uye hwakakomba hwenzvimbo yesikarudzi. Zviratidzo zvinosanganisira kurwadziwa kwakanyanya munzvimbo iyi, kuzvimba, fivha, uye kuneta kwakanyanya. Uku kukurumidzira, enda kuchipatara kuEmergency Department (ETU) nekukasika. |
| Chirwere cheshuga cheketoacidosis | Chirwere chakakomba chinokonzerwa neshuga yakakwira muropa. Zviratidzo zvinosanganisira nyota yakawandisa, kuita weti nguva nenguva, kurwadziwa mudumbu, kuda kurutsa, kunzwa kushaya simba, uye kunhuwa kwemuchero pakufema. Izvi zvakare idambudziko rekukurumidza, enda kuETU nekukasika. |
| Kusawirirana neAllergy | Mapundu paganda, kuzvimba kwechiso, miromo, kana pahuro, kuoma kumedza kana kufema. Izvi zvakare zvinonetsa, tsvaga rubatsiro rwechiremba nekukasika. |
Yambiro uye matanho ekuchengetedza ekuziva usati washandisa
Usati watanga mushonga uyu, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mishonga yemamwe matambudziko, mavhitamini, mishonga yekuwedzera, uye mishonga yechivanhu). Empagliflozin inogona kusangana nemishonga inotevera kunyanya:
- Mimwe mishonga yechirwere cheshuga
- Mishonga yeBP yakaita seACE inhibitors neAngiotensin receptor blockers (ARBs)
- Mishonga inobvisa mvura mumuviri kana kuti "mapiritsi emvura"
- Mishonga inouraya marwadzo yakaita seaspirin, ibuprofen, uye naproxen
Chiremba wako angangoda kuchinja mwero wemishonga yauri kutora kana kuti kungwarira zvakanyanya nezvemigumisiro yemishonga iyi.
Kana uine zviratidzo zve ketoacidosis, chiremba wako anogonawo kukukumbira kuti utarise ropa rako kuti harina ma ketones. Kune michina yakakosha kana kuti mitsetse yekuyedza weti yeropa.
Usakanganwa kunwa mvura yakawanda , nekuti mushonga uyu unogona kukonzera kupera simba mumuviri.
Udza chiremba wako kana uchinwa doro, uye kana uchigara uine zvirwere zveyeast kana kuti urinary tract infections.
Ndiani asingafaniri kutora mushonga uyu?
Empagliflozin haikodzeri munhu wese. Kune dzimwe nguva apo mushonga uyu haufanirwe kutorwa:
- Kana uri kuvhiyiwa kwetsvo.
- Kana uri amai vanoyamwisa (mushonga unogona kupfuudzwa kumwana kuburikidza nemukaka wemuzamu).
- Kana uine pamuviri kana kuti uchironga kubata pamuviri (sezvo zvingakuvadza mwana, taura nachiremba wako nezvazvo).
- Kana uine allergies kune empagliflozin kana chimwe chezvinhu zviri mairi.
Uyewo, mushonga uyu haubvumidzwe kuvanhu vane chirwere cheshuga cheType 1, sezvo ungawedzera njodzi yavo yeKetoacidosis.
Asi mushonga weEmpagliflozin (Jardiance) unoshanda zvakadii?
Kushanda kwemushonga uyu kwakanyorwa zvakanaka mumiedzo yekiriniki. Muchidzidzo chemwedzi mitanhatu chakaitwa kuvanhu vakuru vane chirwere cheshuga cherudzi rwechipiri, Empagliflozin:
- Kuwanda kweshuga muropa panguva yekutsanya kwaderera neanenge makore 19-25.
- A1c value, iyo inoratidza avhareji yehuwandu hweshuga muropa mumwedzi miviri kusvika mitatu yapfuura, yaderera ne0.7% - 0.8%.
Pamusoro pezvo, vamwe vanhu vakaderedzawo huremu . Avo vakatora mushonga we10mg pazuva vakarasikirwa neinenge 2.5% yehuremu hwavo (semuenzaniso, inenge 2.25 kg pamunhu anorema 90 kg). Avo vakatora mushonga we25mg vakarasikirwa ne2.8% yehuremu hwavo (semuenzaniso, inenge 2.5 kg pamunhu anorema 90 kg).
Kwavewo nekuderera kudiki kwe systolic blood pressure kune avo vakatora mushonga uyu.
Mharidzo Yekuenda Nayo Kumba
- Empagliflozin (Jardiance) mushonga unoshandiswa kurapa chirwere cheshuga nezvimwe zvirwere zvemoyo. Unoshanda nekubatsira itsvo kubvisa shuga yakawandisa mumuviri kuburikidza neweti.
- Inwa mushonga uyu sezvawakarairwa nachiremba wako, panguva imwe chete zuva nezuva. Kana ukarasikirwa nemushonga, usatore mishonga miviri panguva imwe chete nguva inotevera.
- Zvirwere zvemudumbu uye hutachiona hwembiriso yenhengo dzepabonde zvakajairika pamushonga uyu. Udza chiremba wako kana ukaona chimwe chezviratidzo izvi.
- Inwa mvura yakawanda zuva rese nekuti mushonga uyu unogona kukonzera kupera simba mumuviri.
- Zvakakosha kuzivisa chiremba wako nezvemimwe mishonga yese yauri kutora.
- Kana ukaona zviratidzo zvakakomba zvakaita seallergy yakanyanya, kufema zvakaoma, Fournier's gangrene, kana ketoacidosis , enda kuchipatara nekukurumidza.
- Usamborega kutora mushonga uyu usina kupiwa mazano nachiremba.
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