Acarbose ni iki: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Acarbose ni umuti wandikirwa abantu barwaye diyabete yo mu bwoko bwa 2 ufasha kugenzura urugero rw'isukari mu maraso nyuma yo kurya. Ukora ugabanya umuvuduko umubiri wawe usenyamo kandi ukamira ibinyamasukari biva mu biryo, ibyo bikabuza izamuka ry'isukari mu maraso rishobora kubaho nyuma yo kurya.

Uyu muti ubarirwa mu cyiciro cy'imiti yitwa alpha-glucosidase inhibitors. Wumve nk'uburyo bwo guhagarika buhoro buhoro mu igogora ryawe - ntihagarika rwose imikorere y'ibinyamasukari, ahubwo bituma bikorwa buhoro buhoro kandi bihoraho.

Acarbose ikoreshwa mu iki?

Acarbose ikoreshwa cyane cyane mu gufasha abantu bakuru barwaye diyabete yo mu bwoko bwa 2 kugenzura urugero rw'isukari mu maraso yabo. Muganga wawe ashobora kugusaba uyu muti igihe imirire n'imyitozo ngororamubiri gusa bidahagije kugira ngo urugero rw'isukari yawe rugume mu rwego ruzima.

Uyu muti ufasha cyane abantu bagira izamuka ryinshi ry'isukari mu maraso nyuma yo kurya. Akenshi ukoreshwa hamwe n'indi miti ya diyabete nka metformin cyangwa insuline, bikaba bigaragaza uburyo bwuzuye bwo kugenzura isukari mu maraso.

Abaganga bamwe na none bandikira acarbose mu gufasha kwirinda diyabete yo mu bwoko bwa 2 ku bantu bafite prediabetes. Muri ibyo bihe, bishobora gufasha kugabanya ikwirakwizwa rya prediabetes rikazamo diyabete yuzuye binyuze mu kunoza uburyo umubiri wawe ukoresha ibinyamasukari.

Acarbose ikora ite?

Acarbose ikora ibuza enzymes zihariye mu mara mato yawe yitwa alpha-glucosidases. Izi enzymes zishinzwe gusenya ibinyamasukari bigoye n'isukari bikavamo isukari yoroheje umubiri wawe ushobora kumira.

Igihe acarbose yabuza izi enzymes, umubiri wawe ukamira ibinyamasukari buhoro buhoro kandi bihoraho. Ibi bivuze ko aho kugira umuvuduko w'isukari mu maraso yawe nyuma yo kurya, ubona izamuka rigenda buhoro, rishobora kugenzurwa ry'urugero rw'isukari mu maraso.

Ni ngombwa gusobanukirwa ko acarbose ifatwa nk'umuti w'indwara ya diyabete ufite imbaraga nto kugeza ku ziciriritse. Muri rusange igabanya umuvuduko w'isukari mu maraso nyuma yo kurya ku kigero cya 20-30%, ibyo bishobora gutanga itandukaniro rikomeye mu micungire ya diyabete yawe muri rusange iyo ihujwe n'izindi nshuti.

Nkwiriye Gufata Acarbose Nte?

Ukwiriye gufata acarbose nk'uko umuganga wawe abitegeka, akenshi inshuro eshatu ku munsi hamwe n'urume rwa mbere rwa buri funguro rikomeye. Kuyifata hamwe n'ibiryo ni ngombwa kuko umuti ugomba kuba uri mu nzira yawe yo gutunganya ibiryo igihe karubohidrati zihagera.

Minya ikinini cyose hamwe n'amazi make cyangwa ukimene hamwe n'urume rwa mbere rw'ibiryo. Niba wibagiwe kuyifata mbere yo kurya, urashobora kuyifata mu gihe urimo kurya, ariko ntizagira akamaro kanini niba utegereje kugeza urangije kurya.

Umuganga wawe akenshi azagutangiza ku doze nto, akenshi 25 mg inshuro eshatu ku munsi, hanyuma buhoro buhoro akayongera mu byumweru byinshi. Iyi ntangiriro itinda ifasha inzira yawe yo gutunganya ibiryo kumenyera umuti kandi igabanya amahirwe yo kurwara mu gifu.

Ntabwo ukeneye gufata acarbose hamwe n'udusimba cyangwa amafunguro arimo karubohidrati nkeya cyane. Uyu muti ufite akamaro kanini iyo urimo kurya ibiryo bikungahaye ku birungo cyangwa isukari nk'umugati, pasta, umuceri, cyangwa ibiryoshye.

Nkwiriye Gufata Acarbose Igihe Kingana Gite?

Acarbose muri rusange ni umuti w'igihe kirekire uzakomeza gufata igihe cyose ufasha gucunga diyabete yawe neza. Abantu benshi barwaye diyabete yo mu bwoko bwa 2 bakeneye gufata imiti yabo buri gihe kugira ngo bagumane kugenzura neza isukari mu maraso.

Umuganga wawe azakurikiza iterambere ryawe binyuze mu bipimo by'amaraso bisanzwe no kugenzura. Bazareba urwego rwawe rwa A1C, rugaragaza isukari yawe isanzwe mu maraso mu mezi 2-3 ashize, kugira ngo bamenye niba umuti ukora neza kuri wowe.

Abantu bamwe bashobora kugabanya urugero rw'umuti bafata cyangwa bakawureka burundu nibaramuka bakoze impinduka zikomeye mu mibereho yabo zateza imbere uko barwanya diyabete. Ariko, iki cyemezo kigomba gufatwa buri gihe hakurikijwe ubuyobozi bw'umuganga wawe, ntabwo ukwiye kubyikorera.

Mbese ni izihe ngaruka ziterwa na Acarbose?

Ingaruka zikunze kugaragara cyane ziterwa na acarbose zikora ku igogora, kandi akenshi ziba zoroheje kandi zikamaraho igihe gito. Kumva icyo witegura bishobora kugufasha kumva witeguye kandi utagira impungenge niba ibyo bimenyetso bibayeho.

Dore ingaruka ziterwa n'igogora ushobora guhura nazo, cyane cyane mu byumweru bya mbere byo kuvurwa:

• Gasa na kubyimba
• Urubavu cyangwa kutumva neza mu nda
• Impiswi
• Isesemi
• Umusonga mu nda

Ibi bimenyetso bibaho bitewe nuko ibinyamuka byatunganyijwe bigenda bikamanuka mu nzira y'igogora, aho bagiterwa na bagiteri. Inkuru nziza ni uko abantu benshi basanga izi ngaruka zigabanuka cyane nyuma y'ibyumweru 2-4 umubiri wabo umaze kumenyera umuti.

Ingaruka zitagaragara cyane ariko zikomeye zirimo ibibazo by'umwijima, nubwo bidasanzwe. Muganga wawe azagenzura imikorere y'umwijima wawe akoresheje ibizamini by'amaraso, cyane cyane mu mwaka wa mbere wo kuvurwa.

Gahoro cyane, abantu bamwe bashobora guhura n'ibimenyetso byo kwivumbura nk'uruhu rurya, kuribwa, cyangwa guhumeka nabi. Niba ubonye kimwe muri ibi bimenyetso, vugana n'umuganga wawe ako kanya.

Ninde utagomba gufata Acarbose?

Acarbose ntabwo ikwiriye kuri buri wese, kandi muganga wawe azasuzuma neza amateka yawe mbere yo kuyandika. Hariho ibintu byinshi n'ibihe aho uyu muti ushobora kutaba wo kugukwira.

Ntugomba gufata acarbose niba ufite ibibazo by'igogora bishobora kwiyongera n'ingaruka z'umuti:

• Indwara zifata urwungano rw'igifu nka Crohn cyangwa ulcerative colitis
• Ibibazo byo guhagarara kw'imyanda mu mara cyangwa amateka yabyo
• Indwara ikomeye y'impyiko
• Indwara y'umwijima cyangwa imyunyu y'umwijima yiyongereye
• Ubwoko bwa 1 bwa diyabete

Muganga wawe azitonda mu gutanga acarbose niba ufite amateka y'ibibazo byo mu gifu cyangwa niba ufata izindi miti ishobora guhura nayo.

Abagore batwite n'abonsa ntibasanzwe bahabwa acarbose, kuko nta bushakashatsi buhagije bwo kwemeza umutekano wayo muri ibyo bihe. Muganga wawe azaganira ku zindi nzira zitunganye niba uteganya gutwita cyangwa utwite ubu.

Amazina y'ubwoko bwa Acarbose

Acarbose iboneka mu mazina menshi y'ubwoko, nka Precose akaba ari ryo zina rizwi cyane muri Leta Zunze Ubumwe z'Amerika. Farumasi yawe ishobora kugira verisiyo rusange, irimo ikintu gikora kimwe kandi gikora neza.

Mu bindi bihugu, ushobora kubona acarbose igurishwa mu mazina y'ubwoko butandukanye nka Glucobay cyangwa Prandase. Hatitawe ku zina ry'ubwoko, umuti urimo ikintu gikora kimwe kandi ukora kimwe.

Acarbose rusange akenshi ihendutse kurusha verisiyo z'amazina y'ubwoko kandi ifatwa nk'ingirakamaro. Ubwishingizi bwawe bushobora gukunda verisiyo rusange, ishobora kugufasha kugabanya amafaranga utanga.

Uburyo bwa Acarbose

Niba acarbose itagukundiye cyangwa ikagutera ingaruka nyinshi, muganga wawe afite imiti myinshi yo gusuzuma. Guhitamo biterwa n'uko ubuzima bwawe bumeze, izindi ndwara, n'uko umubiri wawe witwara ku miti itandukanye.

Iindi miti ifasha kugenzura isukari mu maraso nyuma y'ifunguro irimo miglitol, ikora kimwe na acarbose ariko ishobora gutera ingaruka nke zo mu gifu ku bantu bamwe.

Muganga wawe ashobora no gutekereza ku bindi byiciro by'imiti ivura diyabete nk'ibiyobora DPP-4 (nka sitagliptin) cyangwa ibiyobora GLP-1 (nka liraglutide), bishobora gufasha mu kugenzura isukari nyuma yo kurya kandi bigatanga n'izindi nyungu.

Metformin iracyakoreshwa cyane nk'umuti wa mbere uvura diyabete yo mu bwoko bwa 2 kandi akenshi ikoreshwa hamwe na acarbose cyangwa mu mwanya wayo. Guhitamo neza kuri wowe biterwa n'ubuzima bwawe bwite n'intego z'ubuvuzi.

Ese Acarbose iruta Metformin?

Acarbose na metformin bikora mu buryo butandukanye kugira ngo bifashe mu gucunga diyabete, bityo kubigereranya ntibisa no kugereranya ibishyimbo n'ibishyimbo. Iyo miti yombi ifite imbaraga zayo kandi akenshi ikoreshwa hamwe aho gukoreshwa nk'imiti ihanganye.

Metformin muri rusange ifatwa nk'umuti wa mbere uvura diyabete yo mu bwoko bwa 2 kuko yigishijwe cyane kandi yagaragaje inyungu ku buzima bw'umutima no gucunga ibiro. Ikora igabanya umubare wa glucose ikorwa mu mwijima wawe kandi ikongera ubushobozi bwa insuline.

Acarbose yibanda by'umwihariko ku kuzamuka k'isukari nyuma yo kurya, bituma ikwiriye cyane abantu bafite urugero rwiza rw'isukari mu maraso ariko bagahura n'ingorane zo kugira glucose nyinshi nyuma yo kurya. Akenshi yongerwa ku buvuzi bwa metformin aho kuyisimbuza.

Gu hitamo hagati y'iyo miti biterwa n'uburyo isukari yawe yifata, uko wihanganira ingaruka ziterwa n'iyo miti, n'intego z'ubuzima bwawe muri rusange. Abantu benshi basanga gukoresha iyo miti yombi hamwe bitanga uburyo bwiza bwo kugenzura diyabete kurusha uko umwe wenyine yakora.

Ibibazo Bikunze Kubazwa Kuri Acarbose

Q1. Ese Acarbose irakwiriye ku bantu barwaye indwara z'umutima?

Yego, acarbose muri rusange ifatwa nk'ikwiriye ku bantu barwaye indwara z'umutima ndetse ishobora no gutanga inyungu zimwe na zimwe ku mutima. Bitandukanye n'indi miti imwe na imwe ivura diyabete, acarbose ntisanzwe itera kongera ibiro cyangwa ikongera ibyago byo kurwara umutima.

Ubushakashatsi bumwe buvuga ko acarbose ishobora gufasha kugabanya ibyago byo guhura n’ibibazo by’indwara z’umutima mu kunoza imikorere y’isukari mu maraso no kugabanya umuvumo. Ariko, buri gihe ugomba kuganira ku ndwara yawe y’umutima na muganga wawe mbere yo gutangira umuti mushya uwo ari wo wose.

Q2. Nkwiriye gukora iki niba nanyweye acarbose nyinshi bitunguranye?

Niba unyweye acarbose nyinshi kuruta uko byategetswe, birashoboka ko uzahura n’ingaruka z’igifu zirimo gukabya, kubyimba, no kuruka. Uyu muti ntusanzwe utera isukari yo hasi cyane ku giti cyawo.

Vugana na muganga wawe cyangwa umufarimasi kugira ngo bagufashe, cyane cyane niba wumva utameze neza cyangwa ufite ibimenyetso bikomeye by’igifu. Nywa amazi menshi kandi wirinde kurya ibiryo birimo karubohidrate nyinshi kugeza ibimenyetso bigabanutse.

Q3. Nkwiriye gukora iki niba nibagiwe kunywa acarbose?

Niba wibagiwe kunywa acarbose mbere cyangwa mu gihe cy’ifunguro, reka icyo gipimo hanyuma unywe igipimo gikurikira hamwe n’ifunguro ryawe rikuriho. Ntukanywe igipimo kibiri kugira ngo usubize icyo wibagiwe.

Kubera ko acarbose ikora by’umwihariko ku biryo birimo karubohidrate urimo kurya muri ako kanya, kuyinywa nyuma y’amasaha menshi yo kurya ntizagira umumaro. Komeza gukurikiza gahunda yawe isanzwe kandi gerageza gushyiraho ibyibutsa kugira ngo bigufashe kwibuka ibipimo bizaza.

Q4. Nshobora kureka kunywa acarbose ryari?

Ugomba kureka kunywa acarbose gusa ubikore ubisabwe na muganga wawe. Guhagarika bitunguranye ntizatera ibimenyetso byo gukurwaho bishobora guteza akaga, ariko urugero rw’isukari mu maraso rwawe rushobora kwiyongera, cyane cyane nyuma yo kurya.

Muganga wawe ashobora gutekereza kugabanya cyangwa guhagarika acarbose niba diyabete yawe ifashwe neza binyuze mu guhindura imibereho, niba ufite ingaruka zitihanganirwa, cyangwa niba indi miti itanga ibisubizo byiza. Ntukigere uhagarika kunywa imiti ya diyabete yategetswe nta buyobozi bwa muganga.

Q5. Nshobora kunywa inzoga nkanwa acarbose?

Kunywa inzoga mu rugero ruciriritse birakwemerwa mugihe ukoresha acarbose, ariko ugomba kubiganiraho na muganga wawe. Inzoga zirashobora kugira ingaruka ku isukari yo mu maraso kandi zikongera ibyago byo kugira ingaruka zo mu rwungano rw'igogora.

Menya ko niba unywa inzoga ukagira isukari yo mu maraso iri hasi, uzakenera kuyivura ukoresheje ibinini bya glucose cyangwa gel aho gukoresha isukari isanzwe cyangwa ibinyobwa birimo isukari, kuko acarbose ishobora kubuza umubiri wawe kwakira isukari isanzwe vuba.