Zatsimikiziridwa kuti zimapangitsa kulemera kwa thupi komanso kuchepetsa shuga
Kodi ndinu munthu amene wadwala matenda a shuga kwa zaka zingapo ndipo simungathe kulamulira shuga wanu pamilomo? Matenda a shuga ndi matenda opitirirabe ndipo nthawi zina kusintha kwa mankhwala oyenera kumathandizidwa kuti athetse shuga la magazi.
Kawirikawiri, anthu omwe ali ndi matenda a shuga angapindule pogwiritsa ntchito mankhwala ophera jekeseni (osati insulini) kuwonjezera pa mankhwala awo.
Mankhwala osakanikirana ndi insulini, omwe amatchedwa GLP-1 agonists (monga Byetta ndi Victoza), asonyezedwa kuti athandizidwe kuchepetsa kutentha kwa magazi ndi kuchepetsa kulemera.
Kodi Bydureon N'chiyani?
Enanso GLP-1 agonist, Bydureon, ndi mawonekedwe a nthawi yaitali a Byetta omwe amaperekedwa kamodzi pa sabata. Bydureon ndi GLP-1 (glucagon-like peptide 1) agonist yomwe imapangitsa kuti insulini yisekete ikakhudzana ndi shuga.
Zasonyezedwanso kuti kusungirako maselo a beta (maselo a beta amachititsa insulini) ndipo zatsimikiziridwa kuti zimapangitsa kuti thupi liwonongeke pochedwa kuchepetsa kupweteka kwa m'mimba komanso kuwonjezeka kumverera. Kafukufuku wasonyeza kuti anthu otenga Bydureon amadwala pafupifupi mapaundi asanu ndi mwezi umodzi kuti atenge mankhwalawa ndipo asonyezedwa kuti asungidwe ndi chaka chachitatu.
Kafukufuku watsopano wa AstraZeneca (eni ake a Bydureon) amasonyeza kuti kupuma kwa mlungu umodzi kamodzi kokha kwa sabata kungapangitse kuchepa kwa HbA1c (-1.4 vs -1.0) kuposa byetta kawiri tsiku lililonse.
Odwala m'gulu la exenatide autoinjection ndi gulu la Byetta anali ndi zofanana zofanana ndi kulemera kwa thupi (-1.5 kg vs. -1.9 kg, p-value = 0.4).
Kafukufuku wina wasonyeza kuti poyerekeza ndi insulini, odwala omwe amagwiritsa ntchito Bydureon amalephera kulemera kwambiri-kudziimira komwe kumawoneka shuga.
Magazi a Shuga a Magazi
Ngakhale mayesero a kliniki asonyeza kuti chithandizo ndi Bydureon chingathandize kuchepetsa A1c ndi pafupifupi 1.5 peresenti, Bydureon sagwiritsidwa ntchito ngati chithandizo choyamba cha shuga. Mmalo mwake, nthawi zambiri amagwiritsidwa ntchito ngati wachiwiri kapena wachitatu wothandizira kuphatikizapo metformin kapena sulfonylurea.
Ngati mutenga sulfonylurea, mlingo wanu ukhoza kusinthidwa kuti muchepetse chiopsezo cha hypoglycemia . Bydureon iyenera kugwiritsidwa ntchito pamodzi ndi zakudya ndi masewera olimbitsa thupi ndipo siyimayenera kugwiritsidwa ntchito ngati mankhwala olemetsa.
Kutenga Bydureon
Poyamba, Bydureon anali kupezeka pokhapokha pogwiritsa ntchito sirinji yomwe inali yaitali komanso yandiweyani. Ngakhale jekeseni kamodzi kamodzi pa sabata, anthu ena adadandaula chifukwa cha mavuto. Komabe, tsopano Bydureon ilipo kuti igwiritsidwe ntchito kudzera peni. Cholembera chimakhala chophweka komanso chosavuta kugwiritsa ntchito kuposa syringe.
Bydureon ayenera kujected subcutaneously mu mafuta minofu osati mu minofu kapena mitsempha. Mukhoza kulandira Bydureon pamalo omwewo kuti mutulutse insulini-mimba (masentimita awiri kutali ndi mimba yanu), ntchafu zakumtunda, kumbuyo kwa mikono yanu yakumtunda. Mukhoza kugwiritsa ntchito malo amodzi mlungu uliwonse, yesani kuti musagwiritse ntchito malo omwewo.
Nthawi zina anthu amamva kupweteka kapena kufiira pa malo opangira jekeseni.
Limbikitsani wothandizira zaumoyo wanu pomwepo ngati muli ndi kupweteka kowawa, kutupa, zilonda zam'mimba, chilonda chotseguka, kapena nkhanambo yakuda pa malo osungira.
Kodi Wosankhidwa ndi Bydureon Ndi Ndani?
Kambiranani ndi wothandizira zaumoyo wanu ngati muli ovomerezeka kwa Bydureon. Bydureon sikutanthauza kugwiritsidwa ntchito ngati mankhwala olemetsa ndipo nthawi zambiri amagwiritsidwa ntchito mogwirizana ndi mankhwala ena a shuga. Ngati muli ndi mtundu wa shuga wa mtundu wa 2 omwe shuga ya magazi sali pamlingo ndipo angathe kulemera , kuposa Bydureon akhoza kukhala mwayi wanu.
Ndani Sitiyenera Kutenga Bydureon?
Mu maphunziro a nyama, Bydureon amachititsa kuti makoswe akhale ndi zotupa za chithokomiro.
Choncho, Bydureon imatsutsana ndi odwala omwe ali ndi mbiri yaumwini kapena ya banja la khansa ya chithokomiro (MTC) ndi odwala omwe ali ndi matenda ambiri a Endocrine Neoplasia mtundu 2 (AMENYE 2). Anthu okhudzidwa kuti ayambe kuwonjezereka kapena kuntchito iliyonse zidafunikanso kutenga Bydureon.
Musanatenge Bydureon, muyenera kumudziwitsa ngati mumakhala ndi mbiri ya chiphuphu, miyala mu ndulu yanu (gallstones), mbiri ya uchidakwa, kapena mazigawo apamwamba a triglyceride monga Bydureon sangakhale ndi cholinga chanu. Mukatenga Bydureon, ngati muli ndi ululu waukulu wa m'mimba, muyenera kuonana ndi wothandizira zaumoyo mwamsanga pamene izi zingakhale chizindikiro cha kupatsirana. Bydureon sikutanthauza odwala omwe ali ndi matenda a shuga 1.
Kodi Ichi Ndi Chimodzi Chokha Cha Mlungu Chomwa Chojambulidwa?
Pakalipano, Bydureon ndi mankhwala amodzi omwe amachoka kamodzi pamlungu pamsika. Koma, makampani ena akugwira ntchito yokonza komanso akuyesa mayesero. Bydureon ndi chiyambi chabe cha msika wokhudzana ndi shuga.
Zotsatira Zotsatira
Chifukwa Bydureon amachedwa kuchepetsa mimba, zotsatira zoyipa zimaphatikizapo kunyoza ndi kusanza. Nsea imachitika kawirikawiri pamene ayamba kumwa mankhwala ndi kuchepa kwa nthawi yomwe thupi limagwiritsa ntchito mankhwala. Zotsatira zina zimaphatikizapo kupweteka kwa mutu, kutsekula m'mimba, kufiira pa malo opangira jekeseni.
> Zotsatira:
> Wysham, Carol, ndi. al. DURATION-NEO-1: kuchepetsedwa kwakukulu kwa HbA1c ndi kuimitsidwa kamodzi kamodzi ndi mlungu ndi autoinjector pen vs exenatid kawiri tsiku ndi tsiku mwasagonjedwe mtundu 2 shuga. September 29, 2014.
> Ahren, B & Schmitz, O. GLP-1 omwe amalandira chithandizo cha DPP-4 pochiza mtundu wa shuga. Horm Metab Res. 2004 Nov-Dec; 36 (11-12): 867-76. September 24, 2014.
> Reid, Timothy, MD. Kusankha odwala agonta odwala GLP-1 kapena DPP-4 zizindikiro: kuyeza umboni wa kuchipatala. Association of American Diabetes Association. September 25, 2014.
> Chakudya ndi Mankhwala Osokoneza Bongo. Bydureon Mankhwala Guide . September 25, 2014.