Mea Kākau: William Ramirez
Lā O Ka Hana: 19 Kepakemapa 2021
HōʻAno Hou I Ka Lā: 13 Nowemapa 2024
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Inside JACC | Ramipril and Rosiglitazone in Prediabetes
Wikiō: Inside JACC | Ramipril and Rosiglitazone in Prediabetes

Anter

ʻO Rosiglitazone a me nā lāʻau like ʻē aʻe no ka maʻi kō e kumu a hōʻino paha i ka puʻuwai puʻuwai (kahi e hiki ʻole ai i ka puʻuwai ke pauma i ke koko i nā ʻāpana ʻē aʻe o ke kino). Ma mua o kou hoʻomaka ʻana e lawe i ka rosiglitazone, e haʻi aku i kāu kauka inā loaʻa a i ʻole loaʻa paha iā ʻoe kahi puʻuwai puʻuwai, inā paha he koʻikoʻi loa kou puʻuwai e pono ai ʻoe e kaohi i kāu hana a ʻoluʻolu wale nō ke hoʻomaha ʻoe a i ʻole ʻoe e noho i noho a moe paha. E haʻi aku i kāu kauka inā hānau ʻoe me ka maʻi kīnā o ka puʻuwai, a inā ʻoe i loaʻa a i ʻole loaʻa i ka pehu o nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo; maʻi puʻuwai, ke koko kiʻekiʻe; maʻi coronary artery (hoʻoliʻiliʻi o nā kīʻaha koko e alakaʻi i ka puʻuwai); he puʻuwai puʻuwai; he kuʻi puʻuwai kūpono ʻole; a i ʻole ka hiamoe apnea. E haʻi paha kāu kauka iā ʻoe mai lawe i ka rosiglitazone a i ʻole e nānā pono iā ʻoe i kāu mālama ʻana.

Inā hoʻomohala ʻoe i ka puʻuwai puʻuwai congestive, ʻike paha ʻoe i kekahi mau ʻōuli. E haʻi koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli, keu hoʻi i kou hoʻomaka mua ʻana e lawe i ka rosiglitazone a i ʻole ma hope o ka hoʻonui ʻia ʻana o kāu mahele lāʻau: loaʻa ka waiwai nui i loko o kahi manawa pōkole; pokole o ka hanu; ka pehu ʻana o nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo; pehu a ʻeha paha i loko o ka ʻōpū; ala iki ʻana i ka hanu i ka pō; pono e hiamoe me nā uluna keu ma lalo o kou poʻo i mea e hanu ai i ka wā e moe ana i lalo; uahi maloʻo pinepine a i ʻole wheezing; paʻakikī e noʻonoʻo pono a huikau paha; wikiwiki a hoʻokūkū paha i ka puʻuwai puʻuwai; ʻaʻole hiki ke hele wāwae a hoʻoikaika kino paha; aiʻole hoʻonui i ka luhi.


E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka ʻikepili ʻike hoʻomanawanui o ka mea hana (Ke alakaʻi alakaʻi) ke hoʻomaka ʻoe i ka lāʻau me rosiglitazone a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.

E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka lawe ʻana i rosiglitazone.

Hoʻohana ʻia ʻo Rosiglitazone me ka papaʻai a me ka papahana hoʻoikaika kino a i kekahi manawa me hoʻokahi a ʻoi paha lāʻau ʻē aʻe e mālama ai i ka maʻi maʻamau ʻo 2 (kahi e hoʻohana maʻamau ʻole ai ke kino i ka insulin a no laila ʻaʻole hiki ke kaohi i ka nui o ke kō i ke koko). Aia ʻo Rosiglitazone i kahi papa o nā lāʻau i kapa ʻia thiazolidinediones. Hana ia ma ka hoʻonui ʻana i ka ʻike o ke kino i ka insulin, kahi mea kūlohelohe e kōkua i ka mālama ʻana i nā pae kō kō. ʻAʻole hoʻohana ʻia ʻo Rosiglitazone e mālama i ka maʻi diabetes 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) a i ʻole ka ketoacidosis diabetic (kahi kūlana koʻikoʻi e kū ʻia inā ʻaʻole mālama ʻia ke kō koko 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 Rosiglitazone ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi a ʻelua paha mau lā i kēlā me kēia me ka ʻole o ka ʻai. Lawe i ka rosiglitazone 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 pololei i ka rosiglitazone 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.


Hiki i kāu kauka ke hoʻonui i kāu lāʻau o rosiglitazone ma hope o 8-12 mau pule, e pili ana i ka pane o kou kino i ka lāʻau.

Kōkua ʻo Rosiglitazone i ka mālama ʻana i ka maʻi diabetes ʻano 2 akā ʻaʻole ia e hoʻōla iā ia. Lawe paha ia i 2 mau pule no ka hōʻemi ʻana o kāu kō kō, a 2-3 mau mahina a ʻoi aku paha ka lōʻihi o kou ʻike i ka pono piha o ka rosiglitazone. E hoʻomau i ka lawe rosiglitazone ʻoiai ʻoe e manaʻo maikaʻi. Mai hōʻoki i ka lawe ʻana i ka rosiglitazone me ka walaʻau ʻole ʻana me kāu kauka.

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 rosiglitazone,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka rosiglitazone, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa rosiglitazone. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
  • 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: gemfibrozil (Lopid); ka insulin a i ʻole nā ​​lāʻau ʻē aʻe no ka maʻi kō; nā lāʻau no ke koko kiʻekiʻe, ke kiʻekiʻe o ke kō, kiʻekiʻe ʻole ka puʻuwai, a i ʻole ke pale ʻana i ka puʻuwai a i ʻole ka hahau ʻana; a me rifampin (Rifadin, Rimactane, ma Rifamate). 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 iā ʻoe a i ʻole loaʻa i kekahi o nā ʻano i ʻōlelo ʻia i ka ʻARlelo AOAO IMPORTANT a i ʻole nā ​​maʻi diabetic eye e like me macular edema (ka pehu ʻana o ka hope o ka maka); aiʻole ka maʻi ate. E haʻi pū i kāu kauka inā ua lawe ʻoe i ka troglitazone (Rezulin, ʻaʻole i loaʻa hou i ʻAmelika Hui Pū ʻIa), keu hoʻi inā kū ʻoe i ka lawe ʻana iā ia no ka mea ua ʻike ʻoe i nā hopena ʻaoʻao.
  • 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 rosiglitazone, e kāhea i kāu kauka.
  • inā ʻaʻole ʻoe i ʻike i ka menopause (ka loli o ke ola; ka hopena o nā wā menstrual o ka mahina) pono ʻoe e ʻike e hoʻonui paha ka rosiglitazone i ka manawa e hāpai ai ʻoe inā ʻaʻohe ou manawa maʻa mau o ka mahina a i ʻole he kūlana e pale iā ʻoe mai ovulate (hoʻokuʻu i kahi hua manu mai nā ovaries). E kamaʻilio me kāu kauka e pili ana i nā ʻano hana o ka kaohi hānau e holo pono nāu.

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. E kōkua kēia i ka mālama ʻana i kāu maʻi diabetes a kōkua i ka rosiglitazone e hana me ka maikaʻi

E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā he manawa kēia 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 Rosiglitazone i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • ʻeha poʻo
  • ihu ihu a me nā hōʻailona anu ʻē aʻe
  • eha ka 'ā'ī
  • ʻeha kua

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka.

  • ʻeha ma ka iwi ā, lima, kua, ʻāʻī, a ʻōpū paha
  • ʻeha ka umauma
  • e haki ana i ka hou anu
  • ʻālohilohi
  • nalo ʻai ʻole
  • nausea
  • ka luaʻi
  • ʻeha ka ʻōpū
  • mimi ʻeleʻele
  • melemele o ka ʻili a me nā maka
  • nā hoʻololi i ka hihiʻo
  • nalowale hihiʻo
  • ʻili mae
  • ʻūpā
  • pehu o nā maka, maka, lehelehe, alelo, a puʻu paha
  • hulahula
  • pilikia i ka ale ʻana a me ka hanu ʻana
  • hives
  • ʻūlili
  • fiva
  • ʻōhū

Hoʻokumu paha ʻo Rosiglitazone i nā hopena ʻē aʻe. Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi pilikia ʻē aʻe ke lawe ʻoe i kēia lāʻau.

Lawe ka rosiglitazone i mea e hoʻonui ai i ka makaʻu e ʻike ʻoe i ka haki, ma ka lima mau, nā lima, a me nā wāwae i luna. E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i kēia lāʻau a pili i nā ala e mālama ai i kou mau iwi i ke olakino.

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).

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 a mamao aku mai ka mālamalama, ka wela nui, a me ka makū (ʻaʻole i loko o 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.

Mālama i nā manawa a pau me kāu kauka, kāu kauka maka, a me ka hale hana. E kauoha paha kāu kauka i nā loiloi ʻana o ka maka mau a me kekahi mau hoʻokolohua hoʻokolohua e nānā i ka pane o kou kino iā rosiglitazone. Pono e nānā pinepine i kāu kō kō a me ka hemoglobin glycosylated e hoʻoholo ai i kāu pane iā rosiglitazone. E haʻi aku paha kāu kauka iā ʻoe pehea e nānā ai i kāu pane iā rosiglitazone ma ke ana ʻana i kāu kiʻekiʻe kō 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.

  • Avandia®
  • ʻO Avandamet® (me Metformin, Rosiglitazone)
  • ʻO Avandaryl® (me Glimepiride, Rosiglitazone)
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