Ertugliflozin

Zamkati

• Musanatenge ertugliflozin,
• Mankhwalawa amatha kusintha shuga m'magazi anu. Muyenera kudziwa zizindikiro za shuga wotsika kwambiri komanso zomwe muyenera kuchita ngati muli ndi izi.
• Ertugliflozin angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
• Ngati mukumane ndi izi, lekani kumwa ertugliflozin ndipo itanani dokotala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:
• Ngati mukukumana ndi zizindikiro zotsatirazi za ketoacidosis, lekani kumwa ertugliflozin ndipo itanani dokotala mwamsanga kapena pitani kuchipatala mwadzidzidzi. Ngati kuli kotheka, fufuzani ketoni mumkodzo wanu ngati muli ndi zizindikirozi, ngakhale shuga lanu la magazi liri lochepera 250 mg / dL:

Ertugliflozin amagwiritsidwa ntchito limodzi ndi zakudya komanso masewera olimbitsa thupi, ndipo nthawi zina ndi mankhwala ena, kuti achepetse shuga m'magazi mwa anthu omwe ali ndi matenda a shuga a mtundu wachiwiri (momwe shuga wamagazi amakhala wochuluka kwambiri chifukwa thupi silimatulutsa kapena kugwiritsa ntchito insulini mwachizolowezi). Ertugliflozin ali mgulu la mankhwala otchedwa sodium-glucose co-transporter 2 (SGLT2) inhibitors. Amachepetsa shuga wamagazi popangitsa impso kuchotsa shuga wambiri mkodzo. Ertugliflozin sagwiritsidwa ntchito pochiza matenda amtundu woyamba 1 (momwe thupi silimatulutsa insulin motero, silingathe kuwongolera kuchuluka kwa shuga m'magazi) kapena matenda ashuga ketoacidosis (vuto lalikulu lomwe lingachitike ngati shuga wa magazi sakuchiritsidwa ).

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.

Ertugliflozin amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku m'mawa kapena wopanda chakudya. Tengani ertugliflozin mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani ertugliflozin monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Dokotala wanu akhoza kukuyambitsani pa mulingo wochepa wa ertugliflozin ndipo pang'onopang'ono muwonjezere mlingo wanu.

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

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi ertugliflozin ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kuti mupeze Chithandizo cha Mankhwala.

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

Musanatenge ertugliflozin,

• Uzani dokotala ndi wazamankhwala ngati muli ndi ziwengo (zotupa, ming'oma, kutupa kwa nkhope yanu, milomo, lilime, kapena mmero, kapena kupuma movutikira) ku ertugliflozin, mankhwala ena aliwonse, kapena chilichonse chazomwe zili m'mapiritsi a ertugliflozin. 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-converting enzyme (ACE) monga benazepril (Lotensin, ku Lotrel), captopril, enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (Qbrelis, Zestril), moexipril, perindopril mu 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); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); okodzetsa ('mapiritsi amadzi'); ndi insulini kapena mankhwala akumwa ashuga monga chlorpropamide (Diabinese), glimepiride (Amaryl, ku Duetact), glipizide (Glucotrol), glyburide (DiaBeta, Glynase), tolazamide, ndi tolbutamide. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati muli ndi dialysis komanso ngati mwakhalapo ndi matenda a impso. Dokotala wanu angakuuzeni kuti musatenge ertugliflozin.
• uzani dokotala wanu ngati mumamwa mowa nthawi zonse kapena nthawi zina mumamwa mowa wambiri nthawi yochepa (kumwa mopitirira muyeso), mudadulidwapo, kapena mumadya zakudya zochepa za sodium. Komanso, uzani dokotala ngati mwakhalapo ndi kuthamanga kwa magazi, cholesterol, matumbo a m'mikodzo kapena mavuto amikodzo, matenda a kapamba kuphatikizapo kapamba (kutupa kwa kapamba) kapena mwachitidwapo opaleshoni kapamba, matenda a yisiti kumaliseche , kulephera kwa mtima, matenda am'mitsempha yam'mitsempha (kuchepa kwa mitsempha yamagazi m'miyendo, miyendo, kapena mikono kuyambitsa dzanzi, kupweteka, kapena kuzizira m'mbali imeneyo ya thupi), matenda amitsempha (kuwonongeka kwa mitsempha komwe kumayambitsa kulira, kufooka, ndi kupweteka, nthawi zambiri manja ndi mapazi), zilonda za kumapazi kapena zilonda, kapena mtima, impso, kapena matenda a 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 ertugliflozin. Mukakhala ndi pakati mukatenga ertugliflozin, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa ertugliflozin.
• mowa ungayambitse kusintha kwa magazi. Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa ertugliflozin.
• muyenera kudziwa kuti ertugliflozin imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukadzuka mwachangu pamalo abodza. Ngati muli ndi vutoli, itanani dokotala wanu. 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 ertugliflozin komwe mungafune.

Onetsetsani kuti mukutsatira zolimbitsa thupi komanso malingaliro azakudya zomwe adokotala anu kapena odyetsa. Ndikofunika kudya chakudya chopatsa thanzi.

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.

Ertugliflozin angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kukodza kwambiri, kuphatikizapo usiku
• ludzu lowonjezeka
• 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
• kuonda
• malungo, kuzizira, kapena zizindikiro zina za matenda
• ululu, kukoma, zilonda, zilonda, kapena kutupa, malo ofunda, ofiira mwendo kapena phazi lanu

Ngati mukumane ndi izi, lekani kumwa ertugliflozin ndipo itanani dokotala nthawi yomweyo kapena mupeze chithandizo chadzidzidzi:

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

Ngati mukukumana ndi zizindikiro zotsatirazi za ketoacidosis, lekani kumwa ertugliflozin ndipo itanani dokotala mwamsanga kapena pitani kuchipatala mwadzidzidzi. 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

Ertugliflozin angayambitse mavuto ena. 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 adzaitanitsa mayeso a labu musanachitike komanso mukamalandira chithandizo cha ertugliflozin kuti muwone momwe impso zanu zikugwirira ntchito. Magazi anu a shuga amayenera kuyang'aniridwa pafupipafupi kuti mudziwe momwe mungayankhire ertugliflozin. Dokotala wanu adzaitanitsa mayeso ena a labu, kuphatikiza glycosylated hemoglobin (HbA1c), kuti muwone kuyankha kwanu kwa ertugliflozin. 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 ogwira nawo ntchito kuti mukumwa ertugliflozin. 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.

• Masautso Phiri^®

• Zamgululi^® (yokhala ndi Ertugliflozin, Metformin)
• Masautso^® (yokhala ndi Ertugliflozin, Sitagliptin)