Mea Kākau: Joan Hall
Lā O Ka Hana: 1 Pepeluali 2021
HōʻAno Hou I Ka Lā: 28 Iune 2024
Anonim
How do Sulfonylureas work? Diabetes Management
Wikiō: How do Sulfonylureas work? Diabetes Management

Anter

Hoʻohana ʻia ʻo Glyburide me ka papaʻai a me ka hoʻoikaika kino, a i kekahi manawa me nā lāʻau ʻē aʻe, e mālama ai i ka maʻi maʻamau ʻo 2 (ke ʻano a ke kino e hoʻohana ʻole ai i ka insulin a no laila, ʻaʻole hiki ke kaohi i ka nui o ke kō i ke koko). ʻO Glyburide kahi papa o nā lāʻau i kapa ʻia ʻo sulfonylureas. Hoʻohaʻahaʻa ʻo Glyburide i ke kō i ke kō ma o ka hana ʻana i ka pancreas e hana i ka insulin (kahi mea kūlohelohe e pono ai e wāwahi i ke kō i ke kino) a kōkua i ke kino e hoʻohana pono i ka insulin. E kōkua wale kēia lāʻau i ka hoʻohaʻahaʻa ʻana i ke kō i ke kanaka i nā kino e hana kūlohelohe i ka insulin. ʻAʻole hoʻohana ʻia ʻo Glyburide e mālama i ka maʻi diabetes type 1 (kahi a ke kino e hana ʻole ai ka insulin a, no laila, ʻaʻole hiki ke kaohi i ka nui o ke kō i ke koko) a i ʻole ka ketoacidosis diabetic (kahi ʻano koʻikoʻi e kū ʻia inā ʻaʻole mālama ʻia ke kō kiʻekiʻe. ).

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 Glyburide ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia hoʻokahi manawa i ka lā me ka ʻaina kakahiaka a i ʻole ka pāʻina nui mua o ka lā. Eia nō naʻe, i kekahi mau hihia hiki i kāu kauka ke ʻōlelo aku iā ʻoe e lawe i ka glyburide ʻelua mau manawa i ka lā. E kōkua iā ʻoe e hoʻomanaʻo e lawe i ka glyburide, e lawe ma kahi o ka manawa like (s) 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 pono i ka glyburide 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.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau haahaa o glyburide a hoʻonui iki i kāu lāʻau inā pono. Ma hope o kou lawe ʻana i ka glyburide no kekahi manawa, ʻaʻole hiki i ka glyburide ke kaohi i kāu kō kō e like me ia i ka hoʻomaka ʻana o kāu lapaʻau. Hiki i kāu kauka ke hoʻoponopono i ka mahele lāʻau o kāu lāʻau e pono ai i kūpono ka lāʻau iā ʻoe. E hoʻomaopopo pono e haʻi aku i kāu kauka pehea kou ʻano a inā ʻoi aku ke kiʻekiʻe a i ʻole ka haʻahaʻa o kāu mau hopena hōʻike kō kō ma mua o ka maʻamau i kēlā me kēia manawa i kāu mālama ʻana.


Kōkua ʻo Glyburide i ka mālama ʻana i ke kō kō akā ʻaʻole hoʻōla i ka maʻi kō. E hoʻomau i ka lawe glyburide ʻoiai ʻoe e manaʻo maikaʻi. Mai hōʻoki i ka lawe ʻana i ka glyburide me ke kamaʻilio ʻole ʻana me kāu kauka.

Kuhi ʻia kēia lāʻau i kekahi manawa 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 glyburide,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka glyburide, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i ka glyburide. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka inā ʻoe e lawe bosentan (Tracleer). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka glyburide inā ʻoe e lawe i kēia lāʻau.
  • 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 hoʻomaopopo pono i nā mea hoʻopaneʻe i nā énzimme hoʻololi i ka angiotensin (ACE) e like me benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril, (Aceon ), quinapril (Accupril), ramipril (Altace), and trandolapril (Mavik); anticoagulants ('blood thinners') e like me warfarin (Coumadin); aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn); beta blockers e like me atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), a me propranolol (Inderal); calcium blockers blockers e like me amlodipine (Norvasc), diltiazem (Cardizem, Dilacor, Tiazac, a me nā mea ʻē aʻe), felodipine (Plendil), isradipine (DynaCirc), nicardipine (Cardene), nifedipine (Adalat, Procardia), nimodipine (Nimotop), nisoldipine ( Sular), a me ka verapamil (Calan, Isoptin, Verelan); chloramphenicol; clarithromycin (Biaxin); cyclosporine (Neoral, Sandimmune); disopyramide (Norpace); diuretics ('pills wai'); fluconazole (Diflucan), fluoxetine (Prozac, Sarafem); gemfibrozil (Lopid), ka hoʻoliʻiliʻi hormonone a me nā mea pale hormonal (nā lāʻau kaohi hānau, nā pā, nā apo, nā implants, a me nā injection); ka insulin a i ʻole nā ​​lāʻau ʻē aʻe e mālama i ke kō kō a i ʻole ka maʻi kō. isoniazid (INH); Nā mea hoʻopuka MAO e like me isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), a me tranylcypromine (Parnate); nā lāʻau no ka hānō a me nā anu; nā lāʻau no ka maʻi noʻonoʻo a me ka nausea; miconazole (Monistat); niacin; nā steroid ʻo waha e like me dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), a me prednisone (Deltasone); phenytoin (Dilantin); probenecid (Benemid); quinolone a me fluoroquinolone antibiotic e like me cinoxacin (Cinobac), ciprofloxacin (Cipro), enoxacin (Penetrex), gatifloxacin (Tequin), levofloxacin (Levaquin), lomefloxacin (Maxaquin), moxifloxacin (Avexx (Ncx) ), ofloxacin (Floxin), sparfloxacin (Zagam), trovafloxacin a me alatrofloxacin hui pū ʻia (Trovan); rifampin; nā mea kōkua ʻeha salicylate e like me choline magnesium trisalicylate, choline salicylate (Arthropan), diflunisal (Dolobid), magnesium salicylate (Doan's, kekahi poʻe ʻē aʻe), a me salsalate (Argesic, Disalcid, Salgesic); nā lāʻauʻaeʻa sulfa e like me co-trimoxazole (Bactrim, Septra); sulfasalazine (Azulfidine); a me nā lāʻau thyroid. E hoʻomaopopo pono hoʻi e haʻi aku i kāu kauka a kauka paha inā kū ʻoe i ka lawe ʻana i nā lāʻau i ka lawe ʻana i ka glyburide. 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 loaʻa a loaʻa paha iā ʻoe ka hemahema G6PD (kahi ʻano hoʻoilina e luku ai i nā hunaola ʻulaʻula a i ʻole hemolytic anemia); inā loaʻa iā ʻoe nā maʻi hōmona e pili ana i ka adrenal, pituitary, a i ʻole thyroid gland; a i ʻole he maʻi puʻuwai kou, a me kou puʻuwai.
  • e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i glyburide, e kāhea i kāu kauka.
  • e kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono o ka lawe ʻana i ka glyburide inā he 65 ou mau makahiki a ʻoi paha. ʻAʻole pono nā mākua kahiko e lawe i ka glyburide no ka mea ʻaʻole palekana a maikaʻi paha e like me nā lāʻau ʻē aʻe i hiki ke hoʻohana e mālama ai i ke ʻano like.
  • inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha ʻoe e lawe nei i ka glyburide.
  • e noi i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ʻoe e lawe nei i ka glyburide. Hiki i ka waiʻona ke hana i nā hopena ʻino mai glyburide maikaʻi ʻole. ʻO ka inu ʻana i ka waiʻona i ka wā e lawe ana i ka glyburide ʻaʻole hiki ke kumu i nā ʻōuli e like me ka flushing (ʻulaʻula ʻana o ka maka), ʻeha poʻo, nausea, luaʻi, ʻeha o ka umauma, nāwaliwali, ʻike ʻole i ka hilahila, ka huikau o ka noʻonoʻo, ka hou ʻana, ka ʻū ʻana, ka hanu ʻana o ka hanu, a me ka hopohopo.
  • e hoʻolālā e hōʻalo i ka hōʻike kūpono ʻole a hoʻolōʻihi ʻia paha i ka lā a komo i nā lole pale, nā aniani aniani, a me ka sunscreen. Hana paha ʻo Glyburide i kou ʻili i ka lā.
  • e noi i kāu kauka i ka mea e hana ai inā loaʻa ʻoe i ka maʻi, hoʻomohala i kahi maʻi a i ʻole fiva, ʻike i ke koʻikoʻi koʻikoʻi ʻole, a ʻeha ʻia paha. Hiki i kēia mau kūlana ke hoʻololi i kāu kō kō a me ka nui o glyburide āu e pono ai.

E mālama pono i nā hana hoʻoikaika kino a me nā papa kuhikuhi papaʻai i hana ʻia e kāu kauka a i ʻole dietitian. He mea nui ka ʻai ʻana i ka papaʻai olakino, hoʻoikaika kino mau, a lilo i ka paona inā pono.


Ma mua o kou hoʻomaka ʻana e lawe i ka glyburide, e nīnau iā ʻoe i ke kauka he aha kāu e hana ai inā poina iā ʻoe ka lawe ʻana i kahi lāʻau. E kākau i kēia mau ʻōkuhi i lalo i hiki iā ʻoe ke nānā iā lākou ma hope.

Ma ke ʻano he rula maʻamau, e lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. 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.

Hiki i kēia lāʻau ke hoʻololi i kāu kō kō. Pono ʻoe e ʻike i nā ʻōuli o ke kō a me ke kō i kō a me nā mea e hana inā loaʻa kēia mau hōʻailona iā ʻoe.

Hoʻokumu paha ʻo Glyburide i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • nausea
  • luna piha ʻōpū
  • puʻuwai puʻuwai
  • hūwī

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:

  • melemele o ka ʻili a me nā maka
  • nā noho waihoʻoluʻu kukui
  • mimi ʻeleʻele
  • ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
  • ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
  • pāhoehoe
  • fiva
  • eha ka 'ā'ī
  • pehu o nā maka, maka, lehelehe, alelo, a puʻu paha

Hoʻokumu paha ʻo Glyburide i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

I hoʻokahi o nā noi ʻana, ʻo ka poʻe i lawe i ka lāʻau e like me ka glyburide e mālama ai i ko lākou maʻi diabetes, ʻoi aku ka make o nā pilikia puʻuwai ma mua o ka poʻe i mālama ʻia me ka insulin a me nā loliʻai. E kamaʻilio me kāu kauka e pili ana i nā makaʻu o ka lawe ʻana i ka glyburide.

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.

Hiki i nā ʻōuli o ka overdose ke komo pū me nā ʻōuli hypoglycemia a me nā mea aʻe:

  • ka hopu ʻana
  • nalowale o ka ʻike

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. ʻO nā pae kō kō kō a me ka hemoglobin glycosylated (HbA1c) e nānā mau ʻia e hoʻoholo ai i kāu pane i ka glyburide. E kauoha paha kāu kauka i nā hoʻokolohua lab e nānā i kāu pane iā glyburide. E haʻi aku kāu kauka iā ʻoe pehea e nānā ai i kāu pane i kēia lāʻau ma ke ana ʻana i kou kiʻekiʻe o ke kō i ka home. E hāhai pono i kēia mau ʻōkuhi.

Pono ʻoe e ʻaʻa mau i ke kūpeʻe kuhi diabetic e ʻike pono i ka loaʻa ʻana o kahi lāʻau kūpono i kahi ulia pōpilikia.

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.

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  • ʻO Micronase®

ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.

Nānā Hou - 10/15/2018

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