Kondwani

Zamkati

• Musanatenge canagliflozin,
• Mankhwalawa amatha kusintha shuga m'magazi anu. Muyenera kudziwa zizindikiro za shuga wotsika kwambiri komanso zomwe muyenera kuchita ngati muli ndi izi.
• Canagliflozin ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
• Ngati mukukumana ndi zina mwazizindikiro izi, siyani kumwa canagliflozin ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:
• Ngati mukumane ndi zizindikiro zotsatirazi za ketoacidosis (vuto lalikulu lomwe lingachitike ngati mulibe shuga wambiri), siyani kumwa canagliflozin ndipo itanani dokotala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi. Ngati kuli kotheka, fufuzani ketoni mumkodzo wanu ngati muli ndi zizindikirozi, ngakhale shuga lanu la magazi liri lochepera 250 mg / dL:

Canagliflozin imagwiritsidwa ntchito limodzi ndi zakudya komanso kuchita masewera olimbitsa thupi, ndipo nthawi zina ndi mankhwala ena, kuti muchepetse shuga m'magazi mwa anthu omwe ali ndi matenda a shuga a mtundu wachiwiri (momwe shuga wamagazi umakhala wokwera kwambiri chifukwa thupi silimatulutsa kapena kugwiritsa ntchito insulini mwachizolowezi). Canagliflozin imagwiritsidwanso ntchito pochepetsa chiopsezo cha sitiroko, matenda amtima, kapena kufa kwa anthu omwe ali ndi matenda a shuga achiwiri komanso matenda amtima ndi chotengera magazi. Canagliflozin imagwiritsidwanso ntchito kuchepetsa chiopsezo cha matenda a impso kumapeto, kuwonjezeka kwa ntchito ya impso, kusowa kuchipatala chifukwa cha kulephera kwa mtima, komanso kufa kwamtima mwa anthu omwe ali ndi matenda ashuga amtundu wa 2 komanso matenda a impso. Canagliflozin ali mgulu la mankhwala otchedwa sodium-glucose co-transporter 2 (SGLT2) inhibitors. Amachepetsa shuga wamagazi popangitsa impso kuchotsa shuga wambiri mkodzo. Canagliflozin sagwiritsidwa ntchito pochiza matenda amtundu woyamba 1 (momwe thupi silimatulutsira insulin motero, silingathe kuwongolera kuchuluka kwa shuga m'magazi).

Popita nthawi, anthu omwe ali ndi matenda ashuga komanso shuga wambiri m'magazi amatha kukhala ndi mavuto owopsa kapena owopsa, kuphatikizapo matenda amtima, sitiroko, mavuto a impso, kuwonongeka kwa mitsempha, komanso mavuto amaso. Kumwa mankhwala (mankhwala), kusintha moyo wanu (mwachitsanzo, zakudya, kuchita masewera olimbitsa thupi, kusiya kusuta), komanso kuwunika shuga wanu wamagazi pafupipafupi kungakuthandizeni kuthana ndi matenda anu ashuga komanso kukhala ndi thanzi labwino. Mankhwalawa amathanso kuchepetsa mwayi wokhala ndi vuto la mtima, sitiroko, kapena zovuta zina zokhudzana ndi matenda ashuga monga impso kulephera, kuwonongeka kwamitsempha (dzanzi, miyendo yozizira kapena mapazi; kuchepa kwa kugonana kwa amuna ndi akazi), mavuto amaso, kuphatikiza kusintha kutaya masomphenya, kapena matenda a chiseyeye. Dokotala wanu ndi ena othandizira zaumoyo adzakambirana nanu za njira yabwino yothetsera matenda anu ashuga.

Canagliflozin imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku asanadye chakudya cham'mawa kapena chakudya choyamba chamasana. Tengani canagliflozin mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani canagliflozin ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa canagliflozin ndipo pang'onopang'ono muwonjezere mlingo wanu.

Canagliflozin amawongolera matenda amtundu wa 2 koma samachiritsa. Pitirizani kutenga canagliflozin ngakhale mutakhala bwino. Osasiya kumwa canagliflozin osalankhula ndi dokotala.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge canagliflozin,

• Uzani dokotala ndi wazamankhwala ngati muli ndi ziwengo (zotupa, ming'oma, kutupa kwa nkhope yanu, milomo, lilime, kapena mmero, kapena kupuma movutikira) kwa canagliflozin, mankhwala ena aliwonse, kapena chilichonse mwazipangizo za canagliflozin. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: zoletsa ma angiotensin zotembenuza enzyme (ACE) monga benazepril (Lotensin, ku Lotrel), captopril, enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (mu Zestoretic), moexipril (Univasc, Uniretic), perindopril (Aceon, ku Prestalia), quinapril (Accupril, mu Accuretic, mu Quinaretic), ramipril (Altace), ndi trandolapril (Mavik, ku Tarka); angiotensin receptor blockers monga azilsartan (Edarbi, ku Edarbyclor), candesartan (Atacand, ku Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), olmesartan (Benicar, ku Azor, Azor, ku Benicar HCT, ku Tribenzor), telmisartan (Micardis, ku Micardis HCT, ku Twynsta), ndi valsartan (Diovan, ku Diovan HCT, ku Exforge); digoxin (Lanoxin); okodzetsa ('mapiritsi amadzi'); insulini; mankhwala ena a shuga; phenobarbital; phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); ndi ritonavir (Norvir, ku Kaletra). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati muli ndi dialysis. Dokotala wanu angakuuzeni kuti musatenge canagliflozin.
• uzani dokotala wanu ngati mumamwa mowa nthawi zonse kapena nthawi zina mumamwa mowa wambiri nthawi yochepa (kumwa mopitirira muyeso), kapena mumadya zakudya zochepa. Komanso, uzani dokotala ngati mudadulidwapo, kapena mudadwalapo mtima, matenda am'mitsempha (kuchepa kwa mitsempha yamagazi kumapazi, miyendo, kapena mikono kuyambitsa dzanzi, kupweteka, kapena kuzizira m'mbali imeneyo ya thupi), matenda amitsempha (kuwonongeka kwa mitsempha komwe kumayambitsa kuyabwa, kufooka, ndi kupweteka, nthawi zambiri m'manja ndi m'mapazi), zilonda zam'mapazi kapena zilonda, kuthamanga kwa magazi, matenda am'mikodzo, kapena mavuto amkodzo, matenda opatsirana kuphatikizapo kapamba (kutupa kwa kapamba) kapena Anachitidwa opaleshoni m'matumba anu, matenda a yisiti kumaliseche, kufooka kwa mafupa (matenda omwe mafupa amafooka ndi kufooka ndikuphwanya mosavuta), matenda a impso kapena chiwindi. Ngati ndinu amuna, uzani dokotala ngati simunadulidwepo. Uzani dokotala wanu ngati mukudya pang'ono chifukwa cha matenda, opaleshoni, kapena kusintha kwa zakudya zanu kapena ngati simungathe kudya kapena kumwa kawirikawiri chifukwa cha mseru, kusanza, kutsegula m'mimba, kapena ngati mwasowa madzi chifukwa chokhala padzuwa nthawi yayitali .
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Osamayamwa mukamamwa canagliflozin. Mukakhala ndi pakati mukatenga canagliflozin, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa canagliflozin.
• mowa ungayambitse kusintha kwa magazi. Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa canagliflozin.
• muyenera kudziwa kuti canagliflozin imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukadzuka mwachangu pamalo abodza. Ngati muli ndi vutoli, itanani dokotala wanu. Vutoli limafala kwambiri mukayamba kumwa canagliflozin. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• funsani dokotala wanu choti muchite mukadwala, mutenga matenda kapena malungo, mukumva kupsinjika kwachilendo, kapena mukavulala. Izi zimatha kukhudza shuga wamagazi komanso kuchuluka kwa canagliflozin komwe mungafune.

Onetsetsani kuti mukutsatira zolimbitsa thupi komanso malingaliro azakudya zomwe adokotala anu kapena odyetsa. Ndikofunika kudya zakudya zopatsa thanzi komanso kuchita masewera olimbitsa thupi nthawi zonse.

Tsatirani malangizo a dokotala anu zakumwa madzi okwanira tsiku lonse mukamamwa mankhwalawa.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Mankhwalawa amatha kusintha shuga m'magazi anu. Muyenera kudziwa zizindikiro za shuga wotsika kwambiri komanso zomwe muyenera kuchita ngati muli ndi izi.

Canagliflozin ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kukodza kwambiri, kuphatikizapo usiku
• ludzu lowonjezeka
• kudzimbidwa
• pakamwa pouma

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• kukodza pafupipafupi, mwachangu, kuwotcha, kapena kupweteka
• kuchepa kwa mkodzo
• mkodzo womwe mitambo, yofiira, pinki, kapena bulauni
• mkodzo wamphamvu
• kupweteka kwa m'chiuno kapena kwammbali
• (mwa akazi) kununkhira kwa ukazi, kumaliseche koyera kapena koterako (kumatha kukhala kotupa kapena kuwoneka ngati kanyumba kanyumba), kapena kuyabwa kumaliseche
• (mwa amuna) kufiira, kuyabwa, kapena kutupa kwa mbolo; zidzolo pa mbolo; kutuluka koyipa kuchokera ku mbolo; kapena kupweteka pakhungu lozungulira mbolo
• kumva kutopa, kufooka, kapena kusakhazikika; pamodzi ndi malungo ndi ululu, kukoma mtima, kufiira, ndi kutupa kwa maliseche kapena malo apakati pa maliseche ndi thumbo

Ngati mukukumana ndi zina mwazizindikiro izi, siyani kumwa canagliflozin ndipo itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

• zidzolo
• ming'oma
• kuyabwa
• zovuta kumeza
• kutupa kwa nkhope, mmero, lilime, milomo, pakamwa, kapena maso
• ukali

Ngati mukumane ndi zizindikiro zotsatirazi za ketoacidosis (vuto lalikulu lomwe lingachitike ngati mulibe shuga wambiri), siyani kumwa canagliflozin ndipo itanani dokotala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi. Ngati kuli kotheka, fufuzani ketoni mumkodzo wanu ngati muli ndi zizindikirozi, ngakhale shuga lanu la magazi liri lochepera 250 mg / dL:

• nseru
• kusanza
• kupweteka kwa m'mimba
• kutopa
• kuvuta kupuma

Muyenera kudziwa kuti canagliflozin akhoza kuonjezera chiopsezo chodulidwa mwendo wapansi (chala, phazi, kapena mwendo). Dokotala wanu angakuuzeni momwe mungasamalire miyendo ndi mapazi anu moyenera kuti muteteze matenda ndi zovuta zomwe zingayambitse kudulidwa. Tsatirani malangizo a dokotala mosamalitsa ndipo itanani dokotala nthawi yomweyo ngati mukumva kuwawa, kupweteka, zilonda, zilonda, kapena kutupa, malo ofunda, ofiira mwendo kapena phazi lanu, malungo kapena kuzizira, kapena zizindikilo zina za matenda.

Canagliflozin imatha kuwonjezera mwayi wokhala ndi fupa (lathyoka), makamaka m'mikono, m'mikono, kapena m'manja. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa.

Canagliflozin ingayambitse zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula kuyesedwa kwa labu musanadye komanso mukamalandira chithandizo cha canagliflozin kuti muwone momwe impso zanu zikugwirira ntchito. Magazi anu a shuga amayenera kuyang'aniridwa pafupipafupi kuti mudziwe momwe mungayankhire kwa canagliflozin. Dokotala wanu adzaitanitsa mayeso ena a labu, kuphatikiza glycosylated hemoglobin (HbA1c), kuti muwone yankho lanu ku canagliflozin. Dokotala wanu adzakuwuzani momwe mungayang'anire kuyankha kwanu kwa mankhwalawa poyeza kuchuluka kwa shuga wamagazi kunyumba. Tsatirani malangizowa mosamala.

Musanayezetsedwe kwa labotale, uzani adotolo ndi omwe akuwagwiritsa ntchito kuti mukumwa canagliflozin. Chifukwa cha momwe mankhwalawa amagwirira ntchito, mkodzo wanu ukhoza kuyesa kuti mukhale ndi shuga.

Muyenera kuvala chibangili chizindikiritso cha ashuga kuti mutsimikizire kuti mumalandira chithandizo chadzidzidzi pakagwa mwadzidzidzi.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Invokana^®

• Kuyimilira^® (okhala ndi Canagliflozin ndi Metformin)