ʻO Sitagliptin
Anter
- Ma mua o ka lawe ʻana i ka sitagliptin,
- Hoʻokumu paha ʻo Sitagliptin i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hōʻoki i ka lawe ʻana i ka sitagliptin a kāhea koke aku i kāu kauka:
Hoʻohana ʻia ʻo Sitagliptin me ka papaʻai a me ka hoʻoikaika kino a i kekahi manawa me nā lāʻau ʻē aʻe e hoʻohaʻahaʻa i nā pae kō kō i nā mākua me ka maʻi diabetes type 2 (ke ʻano kiʻekiʻe ke kō kō no ka mea ʻaʻole hana a hoʻohana ʻole ke kino i ka insulin maʻamau). Aia ʻo Sitagliptin i loko o ka papa o nā lāʻau i kapa ʻia he mau mea kūpale dipeptidyl peptidase-4 (DPP-4). Hana ia ma ka hoʻonui ʻana i ka nui o kekahi mau mea kūlohelohe e hoʻohaʻahaʻa i ke kō kō ke kiʻekiʻe. ʻAʻole hoʻohana ʻia ʻo Sitagliptin e mālama ai i ka maʻi diabetes type 1 (kahi e hana ʻole ai ke kino i ka insulin a no laila ʻaʻole hiki ke kaohi i ka nui o ke kō i ke koko).
I ka hala ʻana o ka manawa, hiki i ka poʻe i loaʻa i ka maʻi diabetes a me ke kō kō ke kiʻekiʻe ke hoʻomohala i nā pilikia koʻikoʻi a i ʻole hoʻoweliweli i ke ola, e like me ka maʻi puʻuwai, ka hahau, nā pilikia o ka puʻupaʻa, nā ʻeha o ke aʻa, a me nā pilikia o ka maka. ʻO ka lawe ʻana i nā lāʻau (s), ka hoʻololi ʻana i ka nohona (e laʻa me ka papaʻai, hoʻoikaika kino, haʻalele i ka puhipaka), a me ka nānā pinepine ʻana i kāu kō kō e kōkua paha i ka mālama ʻana i kāu maʻi kō. Hoʻoemi paha kēia hoʻomaʻamaʻa i kou manawa e loaʻa ai ka puʻuwai puʻuwai, hahau ʻana, a i ʻole nā pilikia e pili ana i ka maʻi diabetes e like me ka hōʻino ʻana o ka puʻuwai, nā ʻāʻī nerve (numb, nā wāwae anu a i ʻole nā wāwae; hoʻemi i ka hiki i ka wahine i nā kāne a me nā wahine), nā pilikia o ka maka, me nā loli. a i ʻole ka nalo ʻana o ka ʻike, a i ʻole ka maʻi gum. E kamaʻilio pū kāu kauka a me nā mea lawelawe ʻē aʻe iā ʻoe e pili ana i ke ala maikaʻi loa e mālama ai i kāu maʻi diabetes.
Hele mai ʻo Sitagliptin ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā me ka ʻai ʻole. Lawe iā sitagliptin ma kahi o ka manawa like i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe i ka sitagliptin pololei e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.
Kōkua ʻo Sitagliptin i ka mālama ʻana i ke kō kō kiʻekiʻe akā ʻaʻole hoʻōla i ka maʻi kō. E hoʻomau i ka sitagliptin ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka sitagliptin me ke kamaʻilio ʻole ʻana me kāu kauka.
E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.
Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.
Ma mua o ka lawe ʻana i ka sitagliptin,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka sitagliptin a i ʻole nā lāʻau ʻē aʻe.
- e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E ʻōlelo pono i kekahi o kēia mau mea: digoxin (Lanoxicaps, Lanoxin); insulina; a me kekahi mau lāʻau no ka maʻi kō e like me acetohexamide, chlorpropamide (Diabinese), glimepiride (Amaryl), glipizide (Glucotrol, i Metaglip), glyburide (Diabeta, Glycron, Micronase), tolazamide (Tolinase), a me tolbutamide. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
- e haʻi i kāu kauka inā inu ʻoe a inu paha i ka nui o ka waiʻona a inā loaʻa a loaʻa paha ʻoe i ka ketoacidosis diabetic (kahi ʻano koʻikoʻi e hiki ke kiʻekiʻe ke kiʻekiʻe ke kō kō), pancreatitis (ka pehu ʻana o ka pancreas), mau gallstones, kiʻekiʻe nā pae o nā triglycerides (nā mea momona) i kou koko, ka puʻuwai puʻuwai, a i ʻole nā maʻi puʻupaʻa.
- E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i ka sitagliptin, e kāhea i kāu kauka.
- inā ke ʻoki ʻia ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka sitagliptin.
- e kamaʻilio me kāu kauka e pili ana i ka mea āu e hana ai inā ʻeha ʻoe a i ʻole inā e loaʻa ʻoe i kahi kuni a maʻi paha. Hiki i kēia mau kūlana ke hoʻololi i kāu kō kō.
- e kamaʻilio me kāu kauka e pili ana i nā hōʻailona o ke kō a kiʻekiʻe a me ke kō o ke kō a me nā pilikia ʻē aʻe o ka maʻi kō, he aha ka mea e hana ai inā e hoʻomohala ʻoe i kēia mau ʻōuli, a pehea e pale aku ai i kēia mau ʻano.
E mālama pono i nā ʻōlelo aʻoaʻo a pau a me nā hoʻoikaika kino i hana ʻia e kāu kauka a i ʻole kauka.
E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.
Hoʻokumu paha ʻo Sitagliptin i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- ihu i ukuhi ʻia a holo paha
- eha ka 'ā'ī
- ʻeha poʻo
- pāhoehoe
- nausea
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hōʻoki i ka lawe ʻana i ka sitagliptin a kāhea koke aku i kāu kauka:
- fiva, nausea, luaʻi, nalo o ka makemake ʻole, ʻeha mau e hoʻomaka i ka hema hema a i ʻole ka waena o ka ʻōpū akā hiki ke pālahalaha i ka hope.
- pōkole o ka hanu, loaʻa ke kaupaona wikiwiki, a i ʻole ka pehu ʻana o nā wāwae a i ʻole nā kuʻekuʻe wāwae
- ʻili ʻili, ʻili a ʻili paha
- ʻeha pū
- hūwī
- hives
- pehu o ka maka, lehelehe, alelo, a me ka puʻu
- ka paʻakikī i ka hanu ʻana a i ʻole ke ale ʻana
Hoʻokumu paha ʻo Sitagliptin i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.
E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.
He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org
Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.
I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha paha kāu kauka i kekahi mau hoʻokolohua ma mua a i kāu mālama ʻana me sitagliptin. ʻO kāu kō kō a me ka hemoglobin glycosylated (HbA1c) e nānā mau ʻia e hoʻoholo ai i kāu pane i ka sitagliptin. E haʻi aku kāu kauka iā ʻoe pehea e nānā ai i kāu pane i ka sitagliptin ma ke ana ʻana i kou koko a i ʻole mimi kō pae ma ka home. E hāhai pono i kēia mau ʻōkuhi.
Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.
He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.
- Januvia®
- Janumet® (i loaʻa iā Metformin, Sitagliptin)
- Juvisync® (i loaʻa iā Simvastatin, Sitagliptin)¶
- ʻO Steglujan® (i loaʻa ʻo Ertugliflozin, Sitagliptin)
¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.
Nānā Hou - 02/15/2021