Chii chinonzi Ertugliflozin uye Sitagliptin: Zvinoshandiswa, Mishonga, Migumisiro Yemuviri uye Zvimwe

Ertugliflozin uye sitagliptin mushonga unosanganiswa unobatsira kudzora chirwere cheshuga che mhando 2 nekushanda nemigwagwa miviri yakasiyana mumuviri wako. Iyi nzira yekushanda kaviri inogona kushanda zvakanyanya pane kushandisa mushonga mumwe chete, ichikupa kutonga kwakanaka kweshuga yeropa kana kudya uye kurovedza muviri zvisina kukwana.

Funga nezvemusanganiswa uyu sebasa rechikwata mukati memuviri wako. Nepo ertugliflozin ichibatsira itsvo dzako kubvisa shuga yakawandisa kuburikidza nemvura, sitagliptin inoshanda nehurongwa hwako hwekugaya kuti ibatsire muviri wako kugadzira insulin yakawanda kana shuga yeropa ichikwira mushure mekudya.

Chii chinonzi Ertugliflozin uye Sitagliptin?

Mushonga uyu unosanganisa mishonga miviri yakasiyana yeshuga mune piritsi rimwe rinokodzera. Ertugliflozin ndeyeboka rinonzi SGLT2 inhibitors, nepo sitagliptin iri chikamu chemhuri yeDPP-4 inhibitor.

Ertugliflozin inoshanda nekudzivisa protein muitsvo dzako iyo inowanzo tora shuga zvakare mumuviri wako. Panzvimbo pezvo, shuga iyi yakawandisa inosefa kuburikidza nemvura yako. Sitagliptin inobatsira muviri wako kuburitsa insulin yakawanda mushure mekudya uye inoderedza huwandu hweshuga inogadzirwa nechiropa chako.

Pamwe chete, mishonga iyi inobata shuga yeropa yakakwira kubva kumakona akawanda. Iyi nzira yekusanganisa inowanzo shanda zvirinani pane mushonga mumwe chete, kunyanya kune vanhu vane shuga yeropa inoramba yakakwira pasinei nedzimwe nzira dzekurapa.

Chii chinonzi Ertugliflozin uye Sitagliptin inoshandiswa?

Mushonga uyu unosanganiswa wakagadzirirwa kurapa chirwere cheshuga che mhando 2 muvanhu vakuru. Chiremba wako angakupa mushonga uyu kana metformin yoga isingadzore mazinga eshuga yeropa rako nemazvo.

Mushonga uyu unoshanda zvakanaka sechikamu chechirongwa chakazara chekudzora chirwere cheshuga chinosanganisira kudya kwakanaka uye kurovedza muviri nguva dzose. Zvinobatsira zvikuru kune vanhu vanoda kutonga kwakanaka kweshuga yeropa zuva rese, kwete chete mushure mekudya.

Vamwe vanachiremba vanoongawo kuti ertugliflozin inogona kupa mamwe mabhenefiti kunze kwekudzora shuga yeropa, sekurasikirwa nehuremu hushoma uye mabhenefiti emoyo. Zvisinei, izvi hazvisi zvikonzero zvekutanga zvekunyora mushonga uyu.

Ertugliflozin naSitagliptin Vanoita Sei?

Iyi musanganiswa inoshanda semushonga wechirwere cheshuga une simba repakati nepakati uyo unotarisa shuga yako yeropa kuburikidza nemaitiro maviri akasiyana. Haisi mushonga wechirwere cheshuga une simba rakanyanya, asi unoshanda zvakanyanya kune vanhu vazhinji.

Chikamu cheertugliflozin chinoshanda sefa inononoka mumatsvo ako, ichibvumira shuga yakawandisa kubuda mumuviri wako kuburikidza neweti panzvimbo yekugara mumutsipa wako weropa. Zvichakadaro, sitagliptin inoshanda zvakanyanya semubatsiri akangwara, ichibatsira muviri wako kugadzira huwandu hwakakodzera hwe insulin paunoda zvakanyanya.

Chinoita kuti musanganiswa uyu ubatsire zvikuru ndechokuti mishonga miviri iyi haina kukanganisana. Panzvimbo pezvo, vanoshanda pamwe chete kuti vape kudzora kwakanyanya kweshuga yeropa kupfuura chero imwe yaigona kuita yoga.

Mishonga inowanzo kutanga kushanda mukati memazuva mashoma, kunyangwe iwe usingazonzwe wakasiyana zvakanyanya. Chiremba wako achatevera kufambira mberi kwako kuburikidza nekuongororwa kweshuga yeropa nguva dzose uye kuyerwa kweA1C.

Ndingatora Sei Ertugliflozin naSitagliptin?

Tora mushonga uyu sezvaunonyorerwa nachiremba wako, kazhinji kamwe chete pazuva mangwanani. Unogona kuitora uine kana usina chikafu, chero chiri nyore kune yako tsika.

Medza piritsi rose negirazi remvura izere. Usapwanya, kutsenga, kana kuputsa piritsi, sezvo izvi zvinogona kukanganisa nzira iyo mushonga unotorwa mumuviri wako.

Kuitora mangwanani kazhinji kunoshanda zvakanyanya nekuti ertugliflozin inowedzera kuita weti, iyo ingangokanganisa kurara kwako kana ikatorwa gare gare muzuva. Edza kuitora panguva imwe chete zuva rega rega kuti uchengetedze mazinga akagadzikana muhurongwa hwako.

Kana uri kutorawo mamwe mishonga yechirwere cheshuga, chiremba wako achakupa mirairo yakatarwa pamusoro penguva. Mamwe mishonga anoshanda zviri nani kana akatorwa pamwe chete, asi mamwe anofanira kupatsanurwa.

Ndinofanira Kutora Ertugliflozin naSitagliptin Kwenguva Yakareba Sei?

Vanhu vazhinji vane chirwere cheshuga cheType 2 vanoda kutora mushonga uyu kwenguva refu kuti vachengetedze hutano hwakanaka hwe shuga yeropa. Chirwere cheshuga cheType 2 chirwere chisingaperi chinoda kurapwa nguva dzose panzvimbo pekurapa kwenguva pfupi.

Chiremba wako achatarisa mhinduro yako kumushonga kuburikidza nemiedzo yeropa yenguva dzose uye kuongororwa. Kana mazinga eshuga yeropa ako akavandudza zvakanyanya uye akagara akagadzikana, chiremba wako angachinja chiyero chako kana chirongwa chekurapa, asi kumira kamwechete kazhinji hakukurudzirwi.

Vamwe vanhu vangada kuchinjira kumimwe mishonga nekufamba kwenguva kana chirwere chavo cheshuga chichiwedzera kana kana vaine mhedzisiro. Izvi zvakajairika uye hazvireve kuti mushonga wakundikana.

Usambomira kutora mushonga uyu usati wataura nachiremba wako kutanga, kunyangwe uchinzwa zviri nani. Kumira kamwechete kunogona kukonzera mazinga eshuga yeropa ako kukwira zvakanyanya.

Ndezvipi Zvinhu Zvinokonzerwa neErtugliflozin naSitagliptin?

Semishonga yese, iyi musanganiswa inogona kukonzera mhedzisiro, kunyangwe vanhu vazhinji vachizvigamuchira zvakanaka. Mazhinji emhedzisiro idiki uye anowanzoita nani muviri wako uchigadzirisa kumushonga.

Mhedzisiro yakajairika yaungasangana nayo inowanzoenderana nenzira iyo ertugliflozin inoshanda nayo mumatsvo ako uye hurongwa hweurinary:

• Kuwedzera kuita weti, kunyanya mumavhiki mashoma ekutanga
• Kuwedzera nyota sezvo muviri wako uchigadzirisa kurasikirwa kwemvura yakawanda
• Zvirwere zveurinary tract, kunyanya muvakadzi
• Zvirwere zvembiriso munzvimbo yechizvaro
• Kunyara kudiki kana dumbu kusagadzikana
• Dizziness kana kumira nekukurumidza
• Kutemwa nemusoro

Mhedzisiro iyi inowanzoita kuti isanyanye kunetsa sezvo muviri wako uchijaira mushonga. Kunwa mvura yakawanda uye kuchengeta utsanana hwakanaka kunogona kubatsira kudzivirira zvimwe zvezvinetso izvi.

Kune zvakare zvimwe zvisingawanzoitiki asi zvakanyanya kukomba mhedzisiro inoda kutariswa kwechimbichimbi kwekurapa. Kunyangwe izvi zvichiwanzowanikwa, zvakakosha kuziva zvekutarisa:

• Kunyanya kupera mvura mumuviri ine zviratidzo zvakaita se nyota yakanyanya, muromo wakaoma, uye kusava nesimba
• Ketoacidosis, mamiriro akakomba apo muviri wako unogadzira ma ketones akawandisa
• Matambudziko akakomba eitsvo, kunyanya kana ukashaya mvura mumuviri
• Maitiro akakomba ekugadzirisa muviri kune zvinhu zvitsva ane rash, kuzvimba, kana kuoma kufema
• Kurwadziwa kwakanyanya mumajoini kunoitika kamwe kamwe
• Necrotizing fasciitis, chirwere cheganda chisingawanzoitiki asi chakakomba munzvimbo yezvombo zvepabonde

Kana ukaona chero chimwe chezviratidzo izvi zvakakomba, taura nachiremba wako nekukasika kana kutsvaga rubatsiro rwekurapa rwechimbichimbi. Matambudziko aya haawanzoitiki, asi kurapwa nekukurumidza kwakakosha kana akaitika.

Ndiani Asingafaniri Kutora Ertugliflozin uye Sitagliptin?

Mushonga uyu hauna kukodzera munhu wese, uye chiremba wako achanyatso funga nezve nhoroondo yako yekurapa asati akupe. Vanhu vane chirwere cheshuga che rudzi rwekutanga havafaniri kutora musanganiswa uyu, sezvo wakagadzirirwa zvakananga chirwere cheshuga che rudzi rwechipiri.

Kana uine chirwere cheitsvo chakakomba, mushonga uyu hauwanzokurudzirwa nekuti zvese zvinodhaka zvinovimba nebasa reitsvo rakakodzera kuti rishande zvakachengeteka. Chiremba wako achaongorora basa reitsvo rako nemiedzo yeropa usati watanga kurapwa.

Zvimwe zvirwere zvinogona kuita kuti mushonga uyu usakukodzere:

• Chirwere chechiropa chakakomba
• Nhoroondo ye diabetic ketoacidosis
• Kukundikana kwemoyo kwakanyanya
• Nhoroondo ye pancreatitis
• Zvirwere zvakawanda zvetrack yeurinary
• Kunyanya kushaya mvura mumuviri kana kusagadzikana kwemagetsi

Kuzvitakura nekuyamwisa zvakare zvinofanira kufungwa nezvazvo. Mushonga uyu haukurudzirwi panguva yekuzvitakura, uye kana uri kuronga kutakura mimba, chiremba wako anogona kukuchinjira kune imwe nzira yakachengeteka senge insulin.

Chiremba wako achafungawo nezve zera rako, sezvo vanhu vakuru vangave vachinyanya kunzwa kune mhedzisiro yekushaya mvura yemuviri ye ertugliflozin. Izvi hazvirevi kuti haugone kuitora, asi ungangoda kuongororwa zvakanyanya.

Ertugliflozin uye Sitagliptin Mazita eBrand

Mushonga uyu wemubatanidzwa unowanikwa pasi pezita rebrand Steglujan. Zvikamu zvega zvega zvinowanikwawo zvakasiyana seSteglatro (ertugliflozin) uye Januvia (sitagliptin).

Mishonga yako inogona kuve neeshoma dzemishonga yega yega, asi fomu remubatanidzwa rinogona kungowanikwa sechigadzirwa chezita rebrand. Zvinhu zvakajairika zvinowanzoita zvishoma kana zviripo.

Kana mari iri dambudziko, bvunza chiremba wako nezvekutora mishonga yega yega zvakasiyana, sezvo shanduro dzakajairika dzinogona kuve dzakachipa. Zvisinei, kutora piritsi rimwe remubatanidzwa kazhinji kunonyanya kukodzera kupfuura kutora mishonga miviri yakasiyana.

Ertugliflozin uye Sitagliptin Zvimwe Zvinhu

Mishonga yakati wandei yemubatanidzwa inogona kupa mabhenefiti akafanana ekurapa chirwere cheshuga che rudzi rwechipiri. Chiremba wako anogona kufunga nezveimwe nzira idzi zvichienderana nezvido zvako zvakakosha uye nhoroondo yako yekurapa.

Zvimwe zvinodzivirira SGLT2 zvinosanganisira empagliflozin ine linagliptin (Glyxambi) kana dapagliflozin ine saxagliptin (Qtern). Izvi zvinoshanda zvakafanana ne ertugliflozin uye sitagliptin asi zvinogona kuve nezvimwe zvakasiyana nemhedzisiro.

Kana usingakwanise kutora SGLT2 inhibitors, chiremba wako anogona kukurudzira dzimwe nzira dzemubatanidzwa:

• Metformin ine DPP-4 inhibitor senge sitagliptin yega
• Metformin ine GLP-1 receptor agonist jekiseni
• Metformin ine insulin
• Metformin ine sulfonylurea mushonga

Imwe neimwe nzira ine mabhenefiti ayo uye migumisiro inogona kuitika. Chiremba wako achakubatsira kuwana sarudzo yakanakisa zvichienderana nekudzora kwako shuga yeropa, mararamiro, uye zvese zvehutano zvinangwa.

Ko Ertugliflozin na Sitagliptin Vakanaka Kupfuura Metformin Here?

Mishonga iyi yakasanganiswa uye metformin inoshanda mabasa akasiyana mukurapa chirwere cheshuga, saka kuenzanisa zvakananga hakuna kunanga. Metformin inowanzoita mushonga wekutanga vanachiremba vanonyora chirwere cheshuga type 2 nekuti yakachengeteka, inoshanda, uye yanga ichishandiswa kwemakumi emakore.

Iyo ertugliflozin uye sitagliptin musanganiswa inowanzoitwa kana metformin yega isingape kutonga kwakakwana kweshuga yeropa. Hazvifanirwe kunge zviri

Garai muchiudza chiremba wenyu nezve chero matambudziko emoyo amunayo musati matanga mushonga uyu. Vanogona kuda kugadzirisa muyero wenyu kana kukutarirai kakawanda kuti muve nechokwadi chekuti hutano hwemoyo wenyu hunoramba hwakagadzikana.

Ndoita Sei Kana Ndakatora Ertugliflozin ne Sitagliptin zvakawandisa netsaona?

Kana netsaona mukatora zvakawanda kupfuura muyero wakamiswa, musavhunduka, asi taura nachiremba wenyu kana nzvimbo yekudzora muchetura nekukasira. Kutora zvakawanda kunogona kuwedzera njodzi yekushaya mvura mumuviri uye shuga yakaderera yeropa.

Zvizvitarisei kuti muone zviratidzo zvakaita se nyota yakanyanya, kuita weti kakawanda, dzungu, kana kunzwa kusimba. Kana mukawana zviratidzo zvakakomba zvakaita sekutadza kufema, dzungu rakanyanya, kana kuvhiringika, tsvagai rubatsiro rwekurapa nekukasira.

Musaedze "kugadzirisa" muyero wakawedzerwa nekusvetuka muyero wenyu unotevera. Pane kudaro, teverai mirairo yachiremba wenyu yekudzokera pachirongwa chenyu chetsika zvakachengeteka.

Ndoita Sei Kana Ndikakanganwa Muyero we Ertugliflozin ne Sitagliptin?

Kana mukakanganwa muyero, utorei nekukasira pamunoyeuka, kunze kwekunge yava nguva yemuyero wenyu unotevera. Muchiitiko ichocho, svetukai muyero wakakanganwa uye muenderere mberi nechirongwa chenyu chetsika.

Hamutongofaniri kutora madosi maviri panguva imwe chete kuti mugadzirise muyero wakakanganwa, sezvo izvi zvinogona kuwedzera njodzi yezvinetso. Kana muchikanganwa madosi kakawanda, fungai kumisa alarm yezuva nezuva kana kushandisa chirongwa chemapiritsi kuti mukubatsire kuyeuka.

Kukanganwa muyero dzimwe nguva hakuzokonzere kukuvadza nekukasira, asi kugara muchikanganwa madosi kunogona kutungamira mukudzora shuga yeropa kusina kunaka. Kana muchinetseka kuyeuka kutora mushonga wenyu, taurai nachiremba wenyu nezve nzira dzinogona kubatsira.

Ndingamira Rini Kutora Ertugliflozin ne Sitagliptin?

Munofanira kungomira kutora mushonga uyu pasi pekutungamirirwa nachiremba wenyu. Type 2 diabetes chirwere chisingaperi chinowanzoita kuti kutarisirwa kwemishonga kuenderere mberi, saka kumira kamwe kamwe kunogona kukonzera kuti mazinga eshuga yeropa yenyu akwire zvakanyanya.

Chiremba wako angatarisa kuderedza mushonga wako kana kuchinja mishonga kana chirwere chako cheshuga chichivandudzika zvakanyanya nekuchinja mararamiro, asi sarudzo iyi inofanira kugara ichiitwa pamwe chete. Vamwe vanhu vanogona kuderedza mishonga yavo yechirwere cheshuga nekurasikirwa uremu zvakanyanya kana kuvandudzwa kukuru kwemararamiro.

Kana uri kusangana nemigumisiro inokukonzera kuti umise mushonga, taura nachiremba wako kutanga. Vanogona kukwanisa kugadzirisa mushonga wako kana kuratidza nzira dzekugadzirisa migumisiro panzvimbo yekumisa mushonga zvachose.

Ndinganwa Doro Ndiri Kutora Ertugliflozin uye Sitagliptin Here?

Unogona kazhinji kuva nemari yakati wandei yedoro uchitora mushonga uyu, asi unofanirwa kungwarira zvakanyanya nezve mazinga eshuga yeropa rako. Doro rinogona kuwedzera njodzi yako yeshuga yakaderera yeropa uye kupera mvura mumuviri.

Sezvo mushonga uyu watowedzera kuita weti, doro rinogona kuita kuti kupera mvura mumuviri kuve kwakanyanya. Ita shuwa yekunwa mvura yakawanda uye usambofa wakanwa doro mudumbu risina chinhu paunenge uchitora mishonga yechirwere cheshuga.

Taura nachiremba wako nezvekuti chii chinoumba kunwa doro kwakachengeteka kune mamiriro ako chaiwo. Vanogona kukurudzira kuderedza doro kana kurisiya zvachose kana uine mamwe mamiriro ehutano kana kutora mamwe mishonga inogona kukanganisa.