Kupititsa patsogolo: Mankhwala Odwala Matenda a Shuga

Zimadziwika bwino ndi dzina lake lachizindikiro Symlin

Pramlintide (dzina lachidziwitso Symlin) ndi kalasi yatsopano ya mankhwala a shuga kuti azigwiritsa ntchito mtundu wonse wa mtundu wa 1 ndi mtundu wa shuga 2. Anavomerezedwa ndi a FDA mu March 2005. Ndiwo mawonekedwe a amylin, mahomoni omwe amapangidwa m'ziphalaphala. Amylin amagwira ntchito ndi insulini ya thupi kuti athetse kutulutsa shuga m'magazi mutatha kudya.

Mu mtundu wa shuga 1, amylin ndi insulini zimayimitsidwa palimodzi.

Mu mtundu wa shuga 2, kupanga amylin kungawonongeke, kotero kuti sikwanira kumasulidwa. Symlin ikhoza kuonjezera machitidwe a amylin omwe angathandize kuchepetsa shuga yambiri ya magazi kuphatikizapo mankhwala a insulini.

Ndani Angagwiritse Ntchito Pramlintide?

Zimathandiza akuluakulu omwe ali ndi mtundu wa 1 ndi mtundu wa shuga 2 omwe ali ndi insulini. Ndi kwa anthu omwe amafunika kuyendetsa bwino magulu awo a shuga ndi omwe magazi awo amatulukabe atatha kudya, ngakhale ataphimbidwa ndi insulini.

Momwe Ikugwirira Ntchito

Pramlintide imachepetsa msinkhu wa chimbudzi chomwe chimatanthauza kuti chakudya chimene mumadya chimatengera nthawi yaitali kuti muchotse m'mimba mwako, zomwe zimakupangitsani kumva mumakhala nthawi yaitali. Izi zimachepetsa kumasulidwa kwa shuga m'magazi. Pramlintide imagwiritsidwa ntchito kuti igwiritsidwe ntchito ndi insulini kuthandiza kuti magazi asagwiritsidwe ntchito.

Hypoglycemia

Hygriclycemia yoopsa ikhoza kuchitika ngati zotsatira, makamaka kwa anthu omwe ali ndi matenda a shuga. Pramlintide yekha sichimayambitsa matenda a hypoglycemia, koma ikagwiritsidwa ntchito ndi insulini, matenda a hypoglycemia amatha.

Pofuna kuti izi zisapite, mlingo wanu wambiri wa insulin umachepetsedwa ndi dokotala mukamayamba pramlintide. Ndipo mankhwala anu opatsirana adzawonjezeka pang'onopang'ono pamapeto pa masabata angapo ochepa kuti achepetse mwayi wochitidwa ndi chinyengo cha hypoglycemic.

Kuchepetsa Ngozi

Chifukwa hypoglycemia ndi nkhawa, pramlintide, nthawi zonse imayambidwa panthawi yoyamba chakudya, panthawi imodzimodziyo monga mlingo wa insulin wotsatira.

Mankhwalawa sayenera kugwiritsidwa ntchito pokhapokha chakudya chiri chachikulu (makilogalamu oposa 250 kapena kuposa magalamu 30 a chakudya). Musatenge mlingo wanu wachangu ngati mukupita kudya chakudya.

Ndikofunika kuzindikira pamene magazi anu amagawidwa chifukwa magazi amatha kuwononga chiweruzo chanu. Kuyendetsa galimoto kapena kugwiritsa ntchito makina oopsa sikuvomerezedwa mpaka mutadziwa mmene pramlintide ikukukhudzani.

Zovuta Zina

Nausea ikhozanso kuchitika. Chinthu choyambira chimayamba pang'onopang'ono kuti kuchepetsa zotsatirazi. Pamene mimba yako sinali yogwiritsidwa ntchito pang'onopang'ono, chifuwa chochepa chimatha. Malinga ndi kafukufuku wa pramlintide, khunyu sayenera kukhala motalika ndipo pang'onopang'ono imatha pamene thupi lanu likukonzekera kuti pramlintide.

Pramlintide ikhoza kukupangitsani kuti mutenge nthawi yaitali mutatha kudya, chifukwa cha zotsatira za kuchedwa kwa msana. Izi nthawi zina zimayambitsa kulemera, zomwe zingakhale zopindulitsa ngati mukuyesera kulemera.

Nthawi Yotenga Pramlintide

Katemera wa jekeseni umatayidwa nthawi yokha isanakwane, pamodzi ndi mlingo wa insulin wambiri. Ngakhale kuti pramlintide imayikidwa monga insulini, sizingasakanike ndi insulini kuti imwe.

Mipiritsi iwiri yosiyana iyenera kugwiritsidwa ntchito. Malo opangira jekeseni a pramlintide ayenera kukhala pafupi masentimita awiri kutali ndi malo opangira jekeseni wa insulini ndipo amapatsidwa bwino m'mimba kapena m'chiuno.

Poyamba kuyamba pramlintide, muyenera kuyang'ana magazi anu m'magazi nthawi zambiri-makamaka musanadye chakudya ndi maola awiri mutatha kudya - kuti muone momwe dose ya pramlintide ikugwirani ntchito. Muyeneranso kuyesa nthawi iliyonse yomwe mumamva kuti magazi anu amatha kukhala otsika.

Ndani Sagwiritse Ntchito Pramlintide?

Ngati muli ndi chidziwitso cha hypoglycemic ndiye pramlintide sangakhale ya inu. Kulephera kudziwa ngati shuga lanu la magazi likugwera kungakhale koopsa chifukwa cha mwayi wochuluka wa hypoglycemia ndi pramlintide.

Ngati mwapezeka kuti muli ndi gastroparesis, inunso simungakhale ovomerezeka ku pramlintide chifukwa cha kuchedwa kwachisawa komwe kumapezeka. Kupanga mankhwala sikunayesedwe ngati kotetezeka kwa ana omwe sanabadwe kapena amayi omwe akuyamwitsa, kotero ngati muli ndi pakati kapena akuyamwitsa, ndiye kuti pramlintide sungaperekedwe kwa inu.

> Zotsatira:

> Marrero, PHD, David G. ndi John Crean, PHD, Bei Zhang, MD, Terrie Kellmeyer, PHD, Maurice Gloster, MD, Kathrin Herrmann PHD, Richard Rubin, PHD, Naomi Fineberg PHD, Orville Kolterman, MD. "Mphamvu ya Adjunctive Pramlintide Chithandizo cha Kuchiza Kuchulukitsidwa kwa Odwala ndi mtundu wa shuga 1." Chisamaliro cha Shuga 2007 30: 210-216. 01 May 2007.

> "Symlin" Ana Odwala Matenda a Shuga. 28 Jan 2007. Ana omwe ali ndi shuga. 1 May 2007.

> "Guide Guide - Symlin." Symlin. Jun 2005. Amylin Pharmaceuticals, Inc. May 1, 2007.

> "FDA imavomereza mankhwala atsopano kuti athetse mtundu wa 1 ndi mtundu wa shuga 2." Faka lakale la FDA. 17 Mar 2005. Utsogoleri wa US Food and Drug Administration. 2 May 2007.