Semaglutide

Zamkati

• Musanatenge semaglutide,
• Mankhwalawa amatha kusintha shuga m'magazi anu. Muyenera kudziwa zizindikiro za shuga wotsika kwambiri komanso zomwe muyenera kuchita ngati muli ndi izi.
• Semaglutide ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

Semaglutide ikhoza kuonjezera chiopsezo kuti mudzayamba zotupa za chithokomiro, kuphatikizapo medullary thyroid carcinoma (MTC; mtundu wa khansa ya chithokomiro). Zinyama zanthabwala zomwe zidapatsidwa semaglutide zidayamba zotupa, koma sizikudziwika ngati mankhwalawa amachulukitsa chiopsezo cha zotupa mwa anthu. Uzani dokotala wanu ngati inu kapena wina aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi MTC kapena Multiple Endocrine Neoplasia syndrome mtundu wachiwiri (MEN 2; zomwe zimayambitsa zotupa m'matenda opitilira umodzi mthupi). Ngati ndi choncho, dokotala wanu angakuuzeni kuti musatenge semaglutide. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo: chotupa kapena chotupa m'khosi, kuuma, kuvutika kumeza, kapena kupuma movutikira.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena kuti muwone momwe thupi lanu limayankhira semaglutide.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi mapiritsi a semaglutide 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) kapena tsamba laopanga kuti mupeze Medication Guide.

Lankhulani ndi dokotala wanu za kuopsa kotenga semaglutide.

Semaglutide imagwiritsidwa ntchito limodzi ndi pulogalamu yazakudya ndi zolimbitsa thupi kuti muchepetse kuchuluka kwa shuga m'magazi mwa achikulire omwe ali ndi matenda a shuga a 2 (momwe thupi siligwiritse ntchito insulini mwachizolowezi motero silingathe kuwongolera kuchuluka kwa shuga m'magazi) pomwe mankhwala ena samatha shuga wokwanira mokwanira. Semaglutide sagwiritsidwa ntchito pochiza matenda ashuga amtundu wa 1 (momwe thupi silimatulutsira insulin motero silingathe kuwongolera kuchuluka kwa shuga m'magazi) kapena matenda ashuga ketoacidosis (vuto lalikulu lomwe lingachitike ngati shuga wa magazi sakuchiritsidwa). Semaglutide ali mgulu la mankhwala otchedwa incretin mimetics. Zimagwira ntchito pothandizira kuti zikondamoyo zizitha kutulutsa insulini yoyenera kuchuluka kwake mukamakhala shuga wambiri m'magazi. Insulini imathandizira kusuntha shuga kuchokera m'magazi kupita kuzinthu zina zathupi momwe amagwiritsidwira ntchito ngati mphamvu. Semaglutide imagwiranso ntchito pochepetsa kuyenda kwa chakudya m'mimba.

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. Kugwiritsa ntchito mankhwala (mankhwala), kusintha moyo wanu (mwachitsanzo, zakudya, 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.

Semaglutide imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa m'mimba yopanda kanthu kamodzi patsiku mukadzuka. Tengani semaglutide ndikumwa madzi pang'ono (osapitirira ma ola 120) osachepera mphindi 30 musanadye chakudya kapena chotupitsa, kumwa, kapena kumwa mankhwala ena aliwonse. Mankhwalawa amagwira ntchito bwino mukamadya kapena kumwa zoziziritsa kukhosi mphindi 30 mpaka 60 mutamwa mankhwalawo. Dokotala wanu akhoza kuwonjezera pang'onopang'ono mlingo wanu, kutengera yankho lanu ku semaglutide. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani semaglutide ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe mwalamulira phukusi kapena mwadokotala.

Kumeza mapiritsi lonse; osagawana, kutafuna, kapena kuwaphwanya.

Semaglutide imayang'anira matenda ashuga koma siyimachiritsa. Pitirizani kumwa semaglutide ngakhale mukumva bwino. Osasiya kumwa semaglutide osalankhula ndi dokotala.

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

Musanatenge semaglutide,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi semaglutide (Ozempic, Rybelsus), alibiglutide (Tanzeum; sikupezeka ku US); dulaglutide (Trulicity), exenatide (Bydureon, Byetta), liraglutide (Saxenda, Victoza, mu Xultophy), lixisenatide (Adlyxin, ku Soliqua), mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a semaglutide. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala omwe mumamwa pakamwa chifukwa semaglutide ingasinthe momwe thupi lanu limamwe mankhwalawa. Onetsetsani kuti mukutchula insulini, levothyroxine (Euthyrox, Levo-T, Levoxyl, Synthroid, Tirosint, ena), sulfonylureas monga glimepiride (Amaryl, ku Duetact), glipizide (Glucotrol), glyburide (DiaBeta, Glynase), tolazamide, ndi chimatsu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo ndi kapamba (kutupa kwa kapamba), matenda ashuga retinopathy (kuwonongeka kwa maso oyambitsidwa ndi matenda ashuga), kapena matenda a impso. Uzaninso dokotala wanu ngati mwangoyamba kumene kutsekula m'mimba, nseru, kapena kusanza kapena ngati simungamwe zakumwa ndi pakamwa, zomwe zingayambitse kuchepa kwa madzi m'thupi (kutaya madzi amthupi ambiri).
• Uzani dokotala wanu ngati mukufuna kutenga pakati. Dokotala wanu angakuuzeni kuti musiye kumwa semaglutide kwa miyezi iwiri musanakhale ndi pakati.
• Uzani dokotala wanu ngati muli ndi pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga semaglutide, itanani dokotala wanu.
• Ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa semaglutide.
• funsani dokotala wanu choti muchite ngati zosintha zanu zikusintha kwambiri, zolimbitsa thupi, kapena kulemera; kapena ngati mukudwala, mukudwala matenda enaake kapena kutentha thupi, mukumva kupsinjika kwachilendo, kapena kuvulala. Zosintha izi zimatha kukhudza shuga wamagazi komanso kuchuluka kwa semaglutide komwe mungafune.

Onetsetsani kuti mukutsatira zolimbitsa thupi komanso malingaliro azakudya zomwe adokotala anu kapena odyetsa. Ndikofunika kudya chakudya chopatsa thanzi, kuchita masewera olimbitsa thupi nthawi zonse, komanso kuonda ngati kuli kofunikira. Izi zithandizira kuchepetsa matenda ashuga ndikuthandizira semaglutide kugwira ntchito moyenera.

Pitani muyezo womwe mwaphonya 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.

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

• nseru
• kusanza
• kutsegula m'mimba
• kupweteka m'mimba
• kudzimbidwa
• kuchepa kudya
• kutentha pa chifuwa
• kubowola

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• kupweteka kosalekeza komwe kumayambira kumtunda kumanzere kapena pakati pamimba koma kumafalikira kumbuyo, ndi kapena kusanza
• zidzolo; kuyabwa; kutupa kwa maso, nkhope, pakamwa, lilime, kapena pakhosi; kuvuta kupuma kapena kumeza
• kuchepa pokodza; kutupa kwa miyendo, akakolo, kapena mapazi
• masomphenya amasintha

Semaglutide imatha kubweretsa 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. Shuga wamagazi anu ndi hemoglobin ya m'magazi (HbA1c) iyenera kufufuzidwa pafupipafupi kuti mudziwe yankho lanu ku semaglutide. Dokotala wanu adzakuwuzani momwe mungayang'anire kuyankha kwanu kwa mankhwalawa poyeza kuchuluka kwa shuga wamagazi kunyumba. Tsatirani malangizowa mosamala.

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.

• Reybelsus^®