Pramlintide: Kirasi yeMishonga yeShuga yeMishonga

Zviri nani kuzivikanwa nezita rayo Symlin

Pramlintide (zita rechiratidzo rinonzi Symlin) ndiro boka guru rechirwere cheshuga chekushandisa chirwere chekuita chirwere chechipiri uye chirwere chechirwere cheshuga. Yakagamuchirwa neRWA munaMarch ya2005. Ndiyo maitiro ekugadzira amylin, hormone inowanzobudiswa mupascreas. Amylin anoshanda ne insulin yemuviri kudzora kusunungurwa kwehuga muropa mushure mekudya.

Muchidimbu 1 chirwere cheshuga, amylin uye kubudisa insulini zvakamira zvachose.

Mukurudzi rwechipiri chirwere cheshuga, kubudisa amylin kunogona kukanganisa, saka hazvina kukwana kunosunungurwa. Symlin inogona kusimbisa kushanda kweamylin iyo inogona kubatsira kutarisa shuga yepaspandi inopinda muropa kana ichibatanidza nehutachiona hwehutachiona.

Ndiani Angashandisa Pramlintide?

Inobatsira kune vanhu vakuru vane chirongwa chekutanga uye chechipiri chirwere cheshuga chiri mu insulin. Izvo ndezvevanhu vanoda kutaridzika kwakanaka kwehutachiona hweropa ravo uye ropa ravo rinoshuga rinoramba riri spike mushure mekudya, kunyange kana rakafukidzwa ne insulini.

Iyo Inoshanda Sei

Pramlintide inononoka kupera kwekudya zvinoreva kuti zvokudya zvaunodya zvinotora nguva yakareba kuti urege kuzvidya kubva mudumbu rako, izvo zvinoita kuti unzwe wakakwana kwenguva refu. Izvi zvinononoka kusunungurwa kwehuga muropa. Pramlintide yakagadzirirwa kushandiswa ne insulin kuti ibatsire kuchengetedza ropa rehuga mukutonga.

Hypoglycemia

Hyglycemia yakasimba inogona kuitika sechidimbu chemazuva, kunyanya kune vanhu vane chirwere cheshuga cheshuga. Pramlintide ndoga haisi kukonzera hypoglycemia, asi kana inoshandiswa ne insulin, hypoglycemia yakasimba inoguma.

Kuti udzivise izvi kuti zvirege kuitika, yako yenguva yakawanda insulin mizani ichaderedzwa nachiremba wako apo iwe watanga kutanga pramlintide. Uye mazamu ako emitambo achawedzerwa zvishoma nezvishoma pamusana pemavhiki mashomanana ekutanga kuti kuderedze mukana wekunyengera kunokonzerwa nehana.

Kuderedza Dambudziko

Nokuti hypoglycemia inofunganya, pramlintide, inogara ichitungamirirwa pakutanga kwekudya, panguva imwecheteyo sewaini yepisidin isati yapfuura.

Pramlintide haifaniri kushandiswa kunze kwokunge kudya kwacho kuchikwirira (zvinopfuura 250 makoriki kana kupfuura 30 magamu emakrohydrates). Usatora chirongwa chako chepamlintide kana iwe uchizove uchidya kudya.

Zvakakosha kukwanisa kuona kana ropa rako rega rega richidonha nokuti hypoglycemia inogona kukanganisa kutonga kwako. Kutya motokari kana kushandisa mitambo ine ngozi hazvikurudzirwa kusvikira iwe uchiziva kuti pramlintide inokukanganisa sei.

Zvimwe Zvikamu Zvimwe

Nausea inogonawo kuitika. Pramlintide inotanga zvishoma nezvishoma kuti kuderedzwa kwechikamu ichi. Apo dumbu rako risina kushandiswa kurega zvishoma nezvishoma, unyoro hwenyama hunogona kuguma. Maererano neongororo ye pramlintide, kusuruvara hakufaniri kuramba kwenguva refu uye zvishoma nezvishoma kunopera sezvo muviri wako uchigadzirisa ku pramlintide.

Pramlintide inogona kuita kuti unzwe wakakwana kwenguva refu mushure mokudya, nekuda kwemigumisiro yekurumidzika gastric kubvisa. Izvi zvinowanzokonzera kukanganiswa kwemazivi, izvo zvingave zvakabatsirana kana iwe uri kuedza kuderedza uremu.

Nguva Yokutora Pramlintide

Pramlintide inorayirwa nguva isati yasvika, pamwe chete nehuwandu hwehutachiwana hunotangira kudya. Kunyange zvazvo pramlintide inorowa se insulin, haikwanise kusanganiswa ne insulini yekujova.

Sirasi mbiri dzakasiyana dzinofanira kushandiswa. Iko inonzi pramlintide injection site inofanira kuva inenge masendimita masere kubva panzvimbo yejisi yejozi uye inogona kupiwa mumimba kana muhudyu.

Paunotanga kutanga pramlintide, unofanira kutarisa ropa rako rekuisa glucose kakawanda-kunyanya usati wadya nemaawa maviri mushure mekudya-kuona kuti pramlintide dose inoshanda sei kwauri. Iwe unofanirwawo kuedza chero nguva iwe unonzwa sokuti ropa rako glucose ringangoderera.

Ndiani Asingashandisi Pramlintide?

Kana uine hypoglycemic unawareness ipapo pramlintide haingave yako. Kusakwanisa kutaura kana shuga yako yega yega inodonha inogona kuva nengozi nekuda kweiyo yakawedzera ye hypoglycemia ne pramlintide.

Kana iwe wakabatwa ne gastroparesis, iwewo unogona kunge usati uri mukoti we pramlintide nekuda kwekunonoka kwechingwa chekudya chinowanikwa naro. Pramlintide haina kubvumidzwa sekuchengeteka kwevana vasati vaberekwa kana vanamai vanoyamwisa, saka kana iwe uri nepamuviri kana mukoti, ipapo pramlintide haigoni kurongerwa iwe.

> Sources:

> Marrero, PHD, David G. uye John Crean, PHD, Bei Zhang, MD, Terrie Kellmeyer, MDD, Maurice Gloster, MD, Kathrin Herrmann PHD, Richard Rubin, PHD, Naomi Fineberg PHD, Orville Kolterman, MD. "Migumisiro yeAdjunctive Pramlintide Kurapa Kwokurapa Kugutsikana Nevarwere neTsika 1 Chirwere cheshuga." Chirwere cheshuga 2007 30: 210-216. 01 Mbudzi 2007.

> "Symlin" Vana vane chirwere cheshuga. 28 Jan 2007. Vana vane chirwere cheshuga. 1 Mbudzi 2007.

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

> "FDA Inobvumira Mishonga Mitsva Yokubata Tsika 1 uye Type 2 Chirwere cheshuga." FDA Paper Talk. 17 Mar 2005. US Food and Drug Administration. 2 Mbudzi 2007.