Chii chinonzi Dapagliflozin-Saxagliptin-Metformin: Zvinoshandiswa, Mishonga, Migumisiro Yemuviri, nezvimwe zvakawanda

Dapagliflozin-saxagliptin-metformin mushonga wechirwere cheshuga unosanganisa zvinoshandiswa zvitatu zvine simba mupiritsi rimwe chete. Kurapa uku kunosanganisa zvitatu kunobatsira vanhu vakuru vane chirwere cheshuga che rudzi rwechipiri kudzora mazinga avo eshuga yeropa zvakanyanya kupfuura mishonga imwe chete. Fungidzira sechikwata chinotora nzira apo chimwe nechimwe chinobatsira chinoshanda zvakasiyana kuti chengetedze mazinga ako eglucose akagadzikana zuva rese.

Chii chinonzi Dapagliflozin-Saxagliptin-Metformin?

Mishonga iyi inosanganisa mishonga mitatu yakasiyana yeshuga mupiritsi rimwe chete riri nyore. Dapagliflozin ndeyeboka rinonzi SGLT2 inhibitors, saxagliptin ndeye DPP-4 inhibitor, uye metformin i biguanide. Chimwe nechimwe chinobatsira chinotarisana nekudzora shuga yeropa kuburikidza nenzira yakasiyana mumuviri wako.

Kusanganiswa kunovapo nekuti vanhu vazhinji vane chirwere cheshuga che rudzi rwechipiri vanoda mishonga yakawanda kuti vasvike pamazinga avo eshuga yeropa. Panzvimbo pekutora mapiritsi matatu akasiyana, kusanganiswa uku kunorerutsa maitiro ako uchipa manejimendi akazara eglucose. Chiremba wako anganyora izvi kana kurapa kumwe chete kana kaviri kusina kukwana kudzora chirwere chako cheshuga zvakanaka.

Chii chinonzi Dapagliflozin-Saxagliptin-Metformin chinoshandiswa?

Mishonga iyi inorapa chirwere cheshuga che rudzi rwechipiri muvanhu vakuru vanoda kudzora shuga yeropa zviri nani. Yakagadzirirwa zvakananga vanhu vane chirwere cheshuga chisingadzorwi zvakanaka nekudya, kurovedza muviri, uye mamwe mishonga chete. Chiremba wako anowanzo funga nezvekusanganiswa uku kana iwe wakatotora mamwe marapirwo usina kusvika pamazinga ako eglucose.

Mishonga iyi inoshanda zvakanyanya sechikamu chechirongwa chakazara chekudzora chirwere cheshuga. Izvi zvinosanganisira kudya kwakanaka, kurovedza muviri nguva dzose, uye kuenderera mberi kwekuongorora mazinga ako eshuga yeropa. Haina kuitirwa vanhu vane chirwere cheshuga che rudzi rwekutanga kana diabetic ketoacidosis, sezvo izvi zvinoda nzira dzakasiyana dzekurapa.

Mashandiro Anoita Dapagliflozin-Saxagliptin-Metformin?

Mishonga iyi yakasanganiswa inoshanda nemaitiro matatu akasiyana ekudzikisa shuga yeropa rako. Chinhu chimwe nechimwe chinoshanda pane chimwe chinhu chekudzora glucose, zvichigadzira nzira yakazara yekurapa chirwere cheshuga. Funga nezvazvo sekunge uine maturusi matatu akasiyana achishanda pamwechete kuchengetedza shuga yako yeropa yakagadzikana.

Dapagliflozin inoshanda nekudzivisa kutora zvakare glucose mumatsvo ako, zvichibvumira shuga yakawandisa kubuda mumuviri wako nemumvura. Saxagliptin inowedzera kugadzirwa kwe insulin kana shuga yako yeropa yakwira uye inoderedza kugadzirwa kwe glucose nechiropa chako. Metformin inoderedza huwandu hwe glucose hunogadzirwa nechiropa chako uye inobatsira muviri wako kushandisa insulin zvakanyanya.

Chiito ichi chetatu chinoonekwa sechakasimba zvishoma mukurapa chirwere cheshuga. Iyo ine simba kupfuura mishonga imwe chete asi inononoka kupfuura kurapwa kwe insulin. Nzira yekusanganisa inowanzoita kuti utange kudzora shuga yeropa zviri nani nemigumisiro mishoma kupfuura kutora madosi akakwirira emishonga yega yega.

Ndingatora Sei Dapagliflozin-Saxagliptin-Metformin?

Tora mushonga uyu sezvinorairwa nachiremba wako, kazhinji kaviri pazuva nezvokudya. Kuitora nezvokudya kunobatsira kuderedza dumbu, kunyanya kubva kuchikamu chemetformin. Sarudza nguva dzenguva dzose dzekudya kuti uchengetedze mazinga emishonga akagadzikana mumuviri wako zuva rese.

Medza mahwendefa ese nemvura yakazara. Usapwanye, kutsenga, kana kupatsanura mahwendefa, sezvo izvi zvinogona kukanganisa mashandiro emushonga. Kana uine dambudziko rekumedza mapiritsi, kurukura dzimwe sarudzo nachiremba wako pane kuchinja mahwendefa iwe pachako.

Gara wakanyatsogadzirwa mvura paunenge uchitora mushonga uyu, kunyanya munguva yezhizha kana uchirovedza muviri. Chikamu che dapagliflozin chinogona kuwedzera kuita weti, saka kunwa mvura yakawanda kunobatsira kudzivirira kupera mvura mumuviri. Dzivisa kunwa doro zvakanyanya, sezvo rinogona kuwedzera njodzi ye lactic acidosis kana yakasanganiswa ne metformin.

Ndichatora Dapagliflozin-Saxagliptin-Metformin kwenguva yakareba sei?

Mishonga iyi inowanzoita kurapwa kwenguva refu yekutarisira chirwere cheshuga cheType 2. Vanhu vazhinji vanoenderera mberi vachii tora chero ichiripo inoshanda uye inotsungiririka zvakanaka. Chiremba wako achatarisa nguva dzose mazinga eshuga yeropa rako uye hutano hwako hwese kuti ave nechokwadi chekuti mushonga uyu unoenderera mberi uchikushandira zvakanaka.

Kureba kwekurapwa kwako kunoenderana nekuti chirwere chako cheshuga chinopindura sei uye kana iwe ukawana chero mhedzisiro inokonzera kunetseka. Vamwe vanhu vangada kuchinja mishonga kana basa reitsvo ravo richichinja kana kana vaine matambudziko. Kuongororwa nguva dzose kunobvumira timu yako yehutano kuti igadzirise chirongwa chako chekurapa sezvinodiwa.

Usambofa wakarega kutora mushonga uyu kamwe kamwe usina kubvunza chiremba wako. Kumira kamwe kamwe kunogona kukonzera mazinga eshuga yeropa rako kukwira zvakanyanya. Kana iwe uchida kumisa mushonga, chiremba wako achagadzira chirongwa chakachengeteka chekukuchinjisa kune dzimwe nzira dzekurapa.

Ndezvipi Zvipingamupinyi zveDapagliflozin-Saxagliptin-Metformin?

Semishonga yese, iyi musanganiswa inogona kukonzera mhedzisiro, kunyangwe vanhu vazhinji vachizvitsungirira zvakanaka. Kunzwisisa zvekutarisira kunokubatsira kuziva maitiro akajairika vachipesana nezviratidzo zvinonetsa zvinoda kutariswa kwekurapa. Mazhinji emhedzisiro idiki uye anowanzoita nani sezvo muviri wako uchigadzirisa kumushonga.

Mhedzisiro yakajairika yaungawana inosanganisira dumbu rinogumbuka, kusvotwa, kana manyoka, kunyanya mumavhiki mashoma ekutanga ekurapa. Zviratidzo izvi zvekugaya zvinowanzo kubva kuchikamu chemetformin uye zvinowanzoita zvishoma nezvishoma. Unogonawo kuona kuwedzera kweweti uye nyota nekuda kwechikamu chedapagliflozin chiri kushanda kubvisa glucose yakawandisa kuburikidza neitsvo dzako.

• Kusvotwa uye kusagadzikana mudumbu
• Manyoka kana zvigaro zvakasununguka
• Kuwedzera weti uye nyota
• Kutemwa nemusoro
• Zvirwere zvepamusoro zvekufema
• Zvirwere zveweti

Mhedzisiro idzi dzinowanzoita nani mukati memavhiki mashoma sezvo muviri wako uchigadzirisa mushonga. Kutora mushonga uyu pamwe chete nechikafu kazhinji kunobatsira kuderedza zviratidzo zvekudya.

Mhedzisiro yakakomba inoda kutarisirwa kwekurapa nekukurumidza, kunyangwe ichiitika kazhinji. Izvi zvinosanganisira zviratidzo zve ketoacidosis zvakaita senausea, kurutsa, kurwadziwa mudumbu, kuneta kusinganzwisisike, kana kuoma kufema. Maitiro akakomba ekuita allergic anogona kukonzera kuzvimba kwechiso, miromo, rurimi, kana huro, pamwe chete nekuoma kufema kana kumedza.

• Diabetic ketoacidosis (nausea, kurutsa, kurwadziwa mudumbu, kunhuhwirira kwemweya)
• Maitiro akakomba ekuita allergic (kuzvimba, kuoma kufema)
• Matambudziko eitsvo (kuchinja mukuyerera kwemvura, kuzvimba mumakumbo kana tsoka)
• Shuga yakaderera yeropa (kusagadzikana, dzungu, kukurumidza kurova kwemoyo)
• Lactic acidosis (kurwadziwa kwemhasuru, kushaya simba, kuoma kufema)
• Zvirwere zvakakomba zvegenital (kurwadziwa, kuzvimba, kubuda)

Bata chiremba wako nekukurumidza kana ukaona chero chimwe chezviratidzo izvi zvakakomba. Kuziva nekukurumidza uye kurapwa kwemhedzisiro iyi isingawanzoitiki asi yakakosha kunogona kudzivirira matambudziko.

Ndiani Asingafaniri Kutora Dapagliflozin-Saxagliptin-Metformin?

Mushonga uyu hauna kukodzera munhu wese ane chirwere cheshuga. Mamwe mamiriro ehutano uye mamiriro anoita kuti musanganiswa uyu usachengeteke kana usashande zvakanaka. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akurudzira mushonga uyu kuti ave nechokwadi chekuti wakakodzera mamiriro ako chaiwo.

Vanhu vane chirwere cheitsvo chakakomba havafaniri kutora musanganiswa uyu nekuti itsvo dzavo hadzigone kugadzirisa mushonga zvakachengeteka. Avo vane chirwere cheshuga che1 kana diabetic ketoacidosis vanoda kurapwa kwakasiyana kunogadzirisa zvinodiwa zvavo zvemetabolic. Kana uine nhoroondo yemaitiro akakomba ekuita allergic kune chero chimwe chezvinhu zvitatu, mishonga imwe yechirwere cheshuga ingave sarudzo dzakachengeteka.

Zvimwe zvirwere zvinoda kufungwa zvakanyanya usati watanga mushonga uyu. Mamiriro aya haakudzivisi otomatiki kutora mushonga uyu, asi anogona kuda kutarisa zvakanyanya kana kugadzirisa muyero kuti uve nechokwadi chekuchengeteka kwako.

• Kusashanda zvakanaka kwematsvo kana kutadza kwematsvo
• Rudzi rwe1 chirwere cheshuga kana diabetic ketoacidosis
• Kusashanda zvakanaka kwechiropa
• Nhoroondo ye pancreatitis
• Kutadza kwemoyo kwakanyanya
• Zvirwere zvakawanda zvemumugwagwa wemvura
• Kuzvitakura kana kuyamwisa

Chiremba wako achayerera mabhenefiti nenjodzi kana uine chero mamiriro aya. Dzimwe nguva mushonga unogona kushandiswa nekutarisa zvakanyanya uye matanho ekuwedzera.

Mazita emhando eDapagliflozin-Saxagliptin-Metformin

Uyu mushonga wekusanganisa katatu unowanikwa pasi pezita remhando Qternmet XR muUnited States. Iyo "XR" inomirira extended-release, zvinoreva kuti mushonga wakagadzirirwa kuburitsa zvishoma nezvishoma nekufamba kwenguva. Iyi extended-release formulation inowanzoita kuti utarise shuga yeropa zuva rese.

Nyika dzakasiyana dzinogona kuva nemazita emhando akasiyana ekuvhenganiswa kwemishonga imwe chete. Kana uri kufamba kana kutama, gara uine ruzivo rwako rwemishonga uye kurukura zvaunoda mishonga nevapi vehutano veko. Zita re generic rinoramba rakada kufanana zvisinei nezita remhando rinoshandiswa.

Dapagliflozin-Saxagliptin-Metformin Zvimwe

Mishonga yakati wandei inogona kupa manejimendi echirwere cheshuga chakafanana kana iyi musanganiswa isiri yako. Chiremba wako angangofunga nezvemamwe musanganiswa katatu, musanganiswa kaviri, kana makirasi akasiyana emishonga yechirwere cheshuga zvichienderana nezvaunoda uye hutano hwako.

Mibatanidzwa mitatu inogona kusanganisira mamwe maSGLT2 inhibitors nemamwe makirasi emishonga. Mibatanidzwa miviri yakaita se metformin ine sitagliptin kana metformin ine empagliflozin inogona kupa kutonga kwakakwana nemishonga mishoma. Vamwe vanhu vanofara nezvinhu zvitsva zvakaita seGLP-1 receptor agonists kana mamwe mafomu e insulin.

Sarudzo yemamwe maitiro inoenderana nemamiriro ako ehutano, basa reitsvo, hutano hwemwoyo, uye zvaunofarira. Mupi wako wehutano achafunga nezvezvinhu zvakaita semazinga ako e shuga yeropa, mamwe mamiriro ekurapa, uye maitiro ako kumishonga yekurapa chirwere cheshuga usati wasarudza imwe nzira yakanakira iwe.

Ko Dapagliflozin-Saxagliptin-Metformin Zviri Nani Kudarika Metformin Yoga?

Uyu mubatanidzwa wemishonga unowanzo kupa kutonga kwakanaka kweshuga yeropa kudarika metformin yoga, kunyanya kune vanhu vane chirwere cheshuga chisingatarisirwi zvakanaka nemishonga imwe chete. Zvimwe zvinosanganiswa zvinotarisa nzira dzakasiyana, zvichigadzira nzira yakazara yekutungamira glucose. Zvisinei,

Mishonga iyi inogona kubatsira vanhu vane chirwere chemoyo uye chirwere cheshuga. Chikamu chedapagliflozin chakaratidza kubatsira kwemoyo mumayesero ekiriniki, zvichideredza njodzi yekurwara nemoyo uye sitiroko. Zvisinei, vanhu vane kukundikana kwemoyo kwakanyanya vanoda kutariswa zvakanyanya pavanotanga mushonga uyu.

Chiremba wako wemoyo uye chiremba wechirwere cheshuga vanofanira kushanda pamwechete kuti vaone kuti mushonga uyu unokodzera zvakachengeteka muchirongwa chako chekurapa. Vachatarisa kushanda kwemoyo wako uye kugadzirisa mamwe mishonga sezvinodiwa. Kugona kwemushonga uyu kuderedza BP uye kusimudzira kurasikirwa nehuremu zvishoma kazhinji kunopa mamwe mabhenefiti emoyo.

Ndoita Sei Kana Ndikashandisa Zvakawandisa Dapagliflozin-Saxagliptin-Metformin?

Taura nachiremba wako kana nzvimbo yekudzora muchetura nekukasira kana watora zvakawanda kupfuura chiyero chawakapiwa. Kutora zvakawanda kunogona kukonzera shuga yeropa yakaderera zvakanyanya, kunyanya kana usina kudya nguva pfupi yadarika. Usamirira kuti uone kana zviratidzo zvichioneka, sezvo kurapwa nekukurumidza kunodzivirira matambudziko akakomba.

Paunenge wakamirira mazano ekurapa, zviise pasi pekutariswa kuti uone zviratidzo zve shuga yeropa yakaderera senge dzungu, kuvhiringidzika, kutukwa, kana kudedera. Kana iwe ukawana zviratidzo izvi, shandisa sosi yeshuga inokurumidza kuita senge mapiritsi eglucose kana muto wemichero. Usambofa wakazviita kurutsa kunze kwekunge wataurirwa zvakananga nachiremba.

Ndoita Sei Kana Ndikakanganwa Dose yeDapagliflozin-Saxagliptin-Metformin?

Tora dose yakakanganwa nekukasira paunoyeuka, asi chete kana iri pedyo nenguva yako yekujairira. Kana yava nguva yekutora dose yako inotevera, siya dose yakakanganwa uye uenderere mberi nechirongwa chako chetsika. Usambofa wakatora madosi maviri panguva imwe chete kuti ugadzirise dose yakakanganwa, sezvo izvi zvichikwidza njodzi yemigumisiro.

Kukanganwa mushonga dzimwe nguva hakuzokonzere kukuvadza nekukasira, asi edza kuramba uchitora mushonga nguva dzose kuti uwedzere kudzora shuga yeropa. Isa zviyeuchidzo pafoni yako kana kushandisa chirongwa chemishonga kuti zvikubatsire kuyeuka nguva yekutora mushonga wako. Kana uchikanganwa kutora mishonga nguva zhinji, kurukura nzira nevanokuchengeta utano kuti uvandudze kutevedzera mishonga.

Ndingamira Rini Kutora Dapagliflozin-Saxagliptin-Metformin?

Unofanira kungomira kutora mushonga uyu pasi pekutungamirirwa nachiremba wako. Type 2 chirwere cheshuga chirwere chinofambira mberi chinowanzoita kuti kurapwa kuenderere mberi kuti uchengetedze kudzora shuga yeropa. Kunyangwe kana nhamba dzako dzichivandudza zvakanyanya, kumisa mushonga kazhinji kunotungamira kumazinga eshuga yeropa achikwira zvakare.

Chiremba wako angangofunga kuderedza kana kuchinja mushonga wako kana wakaita shanduko huru muhupenyu hwako, wakarasa uremu hwakawanda, kana kana chirwere chako cheshuga chakadzorwa zvakanaka kwenguva yakareba. Zvisinei, zvisarudzo izvi zvinoda kunyatsoongorora uye kugadzirisa zvishoma nezvishoma panzvimbo yekumira kamwe kamwe. Nguva dzose kurukura chero zvinokunetsa nezvekupfuurira nemushonga wako nechikwata chako chekuchengetwa kweutano.

Ndingatora Dapagliflozin-Saxagliptin-Metformin Panguva Yekuzvitakura Here?

Mushonga uyu haukurudzirwi panguva yekuzvitakura, sezvo manejimendi echirwere cheshuga panguva yekuzvitakura achida nzira dzakakosha. Kana uri kuronga kuva nepamuviri kana kuona kuti une pamuviri uchitora mushonga uyu, taura nemupi wako wezvehutano nekukasira. Vachakubatsira kuchinja kune kurapwa kwechirwere cheshuga kwakachengeteka panguva yekuzvitakura.

Kuzvitakura kunokanganisa kudzora shuga yeropa, uye zvaunoda mushonga zvinogona kuchinja panguva yekuzvitakura nekuyamwisa. Chiremba wako achashanda newe kuti uchengetedze kudzora glucose kwakanaka uchivimbisa kuchengeteka kwako nemwana wako. Insulin inowanzoita kurapwa kunofarirwa kwechirwere cheshuga panguva yekuzvitakura, sezvo isingapfuuri placenta.