Xigduo XR
Musanganiswa yeDapagliflozin nemetformin inoshandiswa pamwe chete nekudya kwakakodzera nekuita zvemitambo kurapa chirwere cheshuga chemarudzi maviri. Inoshandiswawo kuderedza njodzi yekuzorara muchipatara nekuda kwekutadza kwemoyo muvarwere vane chirwere cheshuga chemarudzi maviri uye chirwere chemwoyo (mwoyo kana ropa) kana zvinhu zvakawanda zvinokonzera chirwere chemwoyo. Mushonga uyu unoshandiswawo kuderedza njodzi yerufu rwemoyo nekuzorara muchipatara muvarwere vane kutadza kwemoyo nekuderedzwa kwe ejection fraction (mwoyo wakasimba uye haugone kuburitsa ropa rakakwana kune mamwe mativi emuviri. Musanganiswa weDapagliflozin nemetformin unoshandiswawo kuderedza njodzi yekukura kwechirwere cheitsvo, chirwere cheitsvo chekupedzisira, rufu rwemoyo, nekuzorara muchipatara nekuda kwekutadza kwemoyo muvarwere vane chirwere cheitsvo chisingaperi. Dapagliflozin inoshanda muitsvo kudzivirira kunwa kwe glucose (shuga yeropa). Izvi zvinobatsira kuderedza huwandu hweshuga yeropa. Metformin inoderedza kunwa kweshuga kubva mudumbu, inoderedza kubuda kweshuga yakachengetwa kubva muchiropa, uye inobatsira muviri wako kushandisa shuga nenzira iri nani. Haibatsiri varwere vane chirwere cheshuga chinoda insulin kana chirwere cheshuga chemarudzi imwe. Varwere vane chirwere cheshuga chemarudzi imwe vanofanira kushandisa jekiseni re insulin. Mushonga uyu unowanikwa chete nechirango chechiremba wako. Chigadzirwa ichi chinowanikwa mumaitiro anotevera ekurapa:
Mukusarudza kushandisa mushonga, njodzi dzokutorwa kwemushonga dzinofanira kuyeranidzwa nenhambo yakanaka yaunozowana. Iyi sarudzo ichaitwa newe nachiremba wako. Kune mushonga uyu, zvinotevera zvinofanira kufungwa: Udza chiremba wako kana wakambonzwa chero mhinduro isingawanzoitika kana chirwere cheallergy kumushonga uyu kana mimwe mishonga. Uyewo udza nyanzvi yako yehutano kana uine mamwe marudzi eallergies, akadai sekudya, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisinganyorwi, verenga zvinyorwa zvepakeji kana zvinosanganiswa zvakanaka. Ongororo dzakakodzera hadzina kuitwa pane hukama hwezera kune migumisiro yekusanganiswa kwe dapagliflozin nemetformin muvana vane makore asingasviki gumi ekubata chirwere cheshuga chechirudzi chechipiri uye muvana vanorapwa nezvimwe zvirwere. Kuchengetedzeka nekushanda hazvina kusimbiswa. Ongororo dzakakodzera dzakaitwa kusvika pari zvino hadzina kuratidza matambudziko chaiwo emakore ekukwegura aizoita kuti kushandiswa kwe dapagliflozin nemetformin kusanganiswa kuve kwakaoma muvakuru. Zvisinei, varwere vakwegura vane mukana wakakura wekuva nematambudziko ekitsvo, itsvo, kana mwoyo, izvo zvinoda kungwarira uye kugadziriswa kwemushonga kune varwere vanowana dapagliflozin nemetformin kusanganiswa. Hapana ongororo dzakakwana muvakadzi dzekuona njodzi yemwana pakushandisa mushonga uyu panguva yekuyamwisa. Yera mabhenefiti anogona kuitika pamwe nenjodzi dzinogona kuitika usati watora mushonga uyu panguva yekuyamwisa. Kunyange zvazvo mimwe mishonga isingafaniri kushandiswa pamwe chete, mune dzimwe nguva mishonga miviri yakasiyana inogona kushandiswa pamwe chete kunyange kana kuwirirana kungavepo. Munyaya idzi, chiremba wako angada kuchinja mushonga, kana mamwe matanho angadiwa. Kana uri kutora mushonga uyu, zvakakosha kuti nyanzvi yako yehutano izive kana uri kutora chero mishonga iri pazasi. Kuwirirana kunotevera kwakasarudzwa zvichienderana nekuwanda kwavo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero mishonga inotevera kazhinji hakuzombofungidzirwe, asi kungadiwa mune dzimwe nguva. Kana mishonga yose ikanyorwa pamwe chete, chiremba wako angachinja mushonga kana kuti ungashandisa imwe kana ese mishonga. Kushandisa mushonga uyu nechero mishonga inotevera kunogona kukonzera kuwedzera kwenjodzi yemigumisiro yakati, asi kushandisa mishonga yose kunogona kuva kurapwa kwakanakira iwe. Kana mishonga yose ikanyorwa pamwe chete, chiremba wako angachinja mushonga kana kuti ungashandisa imwe kana ese mishonga. Mimwe mishonga haifaniri kushandiswa panguva yekudya kana pedyo nenguva yekudya kana kudya marudzi akati akati ekudya sezvo kuwirirana kungavepo. Kushandisa doro kana fodya nemamwe mishonga kunogona zvakare kukonzera kuwirirana. Kuwirirana kunotevera kwakasarudzwa zvichienderana nekuwanda kwavo uye hazvisi zvese zvinosanganisirwa. Kuvapo kwemamwe matambudziko ehutano kunogona kukanganisa kushandiswa kwemushonga uyu. Ita shuwa kuti unoudza chiremba wako kana uine mamwe matambudziko ehutano, kunyanya:
Tora mushonga uyu chete sezvakarayirwa nachiremba wako. Usatore zvakawanda, usatore kazhinji, uye usatore kwenguva yakareba kupfuura zvakarayirwa nachiremba wako. Usachinje chiyero chako kunze kwekunge warayirwa nachiremba wako. Mushonga uyu unofanira kuuya neGwara reMishonga. Verenga utevedzere mirairo iyi zvakanyatsonaka. Bvunza chiremba wako kana uine mibvunzo ipi neipi. Tora mushonga uyu mangwanani uchidyisa. Mimedze piritsi rakasunungurwa kwenguva refu rose. Usapwanyisa, kuputsa, kana kucheka. Paunenge uchitora piritsi rakasunungurwa kwenguva refu, chikamu chacho chingapinda mumatumbu ako. Izvi zvakajairika uye hakuna chekunetseka nezvazvo. Tevedzera zvakanyatsonaka chirongwa chekudya chakakosha chakakupai nachiremba wako. Iyi ndiyo chikamu chakakosha chekudzora chirwere cheshuga chako, uye ichabatsira mushonga kuti ushande zvakanaka. Ita zvekutambisa nguva dzose uye bvunza shuga muropa rako kana weti sezvakarayirwa. Udza chiremba wako kana uri pane kudya kwakaderera munyu kana sodium. Chiyero chemushonga uyu chichava chakasiyana kune varwere vakasiyana. Tevedzera mirairo yechiremba wako kana mirairo iri parinenge. Ruzivo runotevera rinosanganisira chete avhareji yezviyero zve mushonga uyu. Kana chiyero chako chakasiyana, usachichinje kunze kwekunge chiremba wako akakuudza kudaro. Huwandu hwemushonga waunotora hunotsamira pakusimba kwemushonga. Uyewo, nhamba yezviyero zvaunotora zuva rega rega, nguva inobvumirwa pakati pezviyero, uye nguva yaunotora mushonga zvinoenderana nedambudziko rehutano rauri kushandisa mushonga. Kana wakanganwa chiyero chemushonga uyu, chitora nekukurumidza sezvinobvira. Nekudaro, kana iri nguva yekuita chiyero chako chinotevera, siya chiyero chawakanganwa uye dzoka kune yako purogiramu yekupa mishonga. Usatore zvikamu zviviri kamwechete. Chengetedza mushonga mubhodhoro rakavharwa pane tembiricha yekamuri, kure nekupisa, hunyoro, uye chiedza chakananga. Chenjera kuti urege kuomarara. Chengetedza kure nevana. Usachengetere mushonga wakapfuura zuva rake kana mushonga usingachadiwi. Bvunza nyanzvi yehutano maitiro ekurasa mishonga ipi neipi yausingashandisi.