Tambaya ga babban likita Maarten: Amfani da magani a cikin ciwon sukari mellitus (ciwon sukari)
Maarten Vasbinder yana zaune a Isaan. Sana'ar sa babban likita ce, sana'ar da ya fi yi a Spain. A Thailandblog yana amsa tambayoyi daga masu karatu kuma ya rubuta game da gaskiyar likita.
Shin kuna da tambaya ga Maarten? Aika wannan ga edita: www.thailandblog.nl/contact/ Yana da mahimmanci ka samar da daidaitattun bayanai kamar: Shekaru, wurin zama, magani, kowane hotuna, da tarihin likita mai sauƙi. Kuna iya aika hotuna zuwa [email kariya] duk abin da za a iya yi ba tare da suna ba, an tabbatar da sirrin ku.
Dear Martin,
Koma zuwa tuntuɓar da ta gabata. Na dauki shawarar ku don gwajin rabon Bun-to-creatinine a ranar Asabar da ta gabata. Sakamakon shine CH086 Creatinine tare da GFR 1.56
eGFR 43.73
HbA1c 6.9
Wannan yana nufin matsakaicin lalacewar koda.
Likita na Surin ya yi tunanin cewa ci gaba da Metformin ba shi da alhakin, na duba Google da kaina kuma sun ce kada a yi amfani da metformin idan akwai lalacewar koda. Har yanzu ina da Minidiab 5 MG a gida kuma na fara amfani da shi tun jiya.
Da fatan za a amsa.
Godiya da jinjina,
B.
******
Ina amfani da Janumet kamar yadda likitana ya umarta, da kuma wanda aka ambata a sama Januvia (sitagliptina). Na saya a kantin Fascino, kuma na biya wanka 2440 don akwati na allunan 56 na 50 MG. Sha 1 x kowace rana. Don haka kusan wanka 44 ne don kwamfutar hannu 1. "Mai tsada" ba shakka koyaushe ra'ayi ne na dangi, amma ba zan iya kiran wanka 44 a kowace rana mai tsada ga wannan magani ba!
Janumet shine hadewar Sitaglipina da Metformin.
Mai tsada ra'ayi ne na dangi.
gaisuwa,
Maarten
A cikin yanayin raguwar aikin koda na matsakaici, Metformin 500 MG, kwamfutar hannu 2 sau biyu a rana, ana ɗaukar lafiya anan cikin Netherlands. Maimakon Tolbutamide a matsayin ƙari ga insulin na dogon lokaci, Gliclazide 1 MG (max sau 80 a rana, wanda aka ɗauka tare da abinci) ya fi aminci, kuma adadin ba ya buƙatar daidaitawa idan eGFR ya faɗi gaba. GLP-3 ba shi da fifiko wajen raguwar aikin koda, amma a daya bangaren: kowane kilogiram na asarar nauyi yana taimakawa kare koda, inganta hawan jini, da inganta matakan glucose. Mai hanawa DPP1 ya fi tsada (ba a biya shi ba a cikin Netherlands don amfani da insulin), amma ana iya amfani da wasu nau'ikan lafiya (wani lokaci a cikin ƙananan allurai) idan aikin koda ya ragu. Galvus (Vildagliptin) 1 MG sau ɗaya a rana don EGfr <4 (mafi arha) da Linagliptin ko Trajenta 1 MG ba tare da la'akari da aikin koda ba (mafi tsada). Zai fi dacewa babu Januvia saboda buƙatar koyaushe daidaita sashi zuwa aikin koda.
salam, Andrea
Na gode Andrea,
Nasiha mai kyau. Gliclazide yana samuwa anan bisa ga bayanina.
Idan nine kai, Bert, zan gama Minidiap dina sannan in canza zuwa Gliclazide (Diamicron)
Idan hakan bai yi aiki ba, za mu gani.
Gaskiya,
Maarten