Mubvunzo kune general practitioner Maarten: Kushandiswa kwemishonga muchirwere cheshuga mellitus (chirwere cheshuga)
Maarten Vasbinder anogara kuIsaan. Basa rake ndere general practitioner, basa raainyanya kudzidzira kuSpain. PaThailandblog anopindura mibvunzo kubva kuvaverengi uye anonyora nezvechokwadi chezvekurapa.
Unewo mubvunzo here kuna Maarten? Tumira izvi kumupepeti: www.thailandblog.nl/contact/ Zvakakosha kuti upe ruzivo rwakakwana senge: Zera, kwaunogara, mushonga, chero mapikicha, uye nhoroondo yekurapa iri nyore. Unogona kutumira mafoto ku [email inodzivirirwa] zvese zvinogona kuitwa zvisingazivikanwe, zvakavanzika zvako zvinovimbiswa.
Wadiwa Martin,
Dzokera kune yekare kuonana. Ndakatora chikumbiro chako cheBun-to-creatinine ratio bvunzo Mugovera wapfuura. Mhedzisiro yacho yaive CH086 Creatinine ine GFR 1.56
eGFR 43.73
HbA1c 6.9
Izvi zvinoreva kukuvara kweitsvo zvine mwero.
Chiremba wangu Surin akafunga kuti kuenderera mberi neMetformin hakuna mhosva, ndakatarisa paGoogle ini uye vanoti metformin haifanirwe kushandiswa kana itsvo kukuvara. Ndakanga ndichiri neMinidiab 5 mg kumba uye ndakatanga kuishandisa zvakare kubva nezuro.
Ndapota pindura.
Ndatenda uye makorokoto akanaka,
B.
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Ini ndinoshandisa Janumet sezvakarairwa nachiremba wangu, pamwe neataurwa pamusoro apa Januvia (sitagliptina). Ndinozvitenga kuFascino Pharmacy, uye ndinobhadhara 2440 yekugeza yebhokisi re56 mapiritsi e50 mg. Tora 1 x zuva nezuva. Saka iyo inenge 44 yekugezera ye1 piritsi. "Kudhura" ichokwadi inogara iri pfungwa, asi ini handikwanise kufonera 44 yekugeza pazuva inodhura pamushonga uyu!
Janumet musanganiswa weSitaglipina uye Metformin.
Nguva yenguva ishoko rinoenderana.
kwaziso,
maarten
Panyaya yekushanda kweitsvo zvine mwero, Metformin 500 mg, piritsi 2 kaviri pazuva, inonzi yakachengeteka muno muNetherlands. Panzvimbo yeTolbutamide sekuwedzera kune insulini yakareba, Gliclazide 1 mg (max katatu pazuva, inotorwa nekudya) yakachengeteka, uye muyero haudi kugadziriswa kana eGFR ikaramba ichiderera. GLP-80 haina chainoda mukuderera kweitsvo kushanda, asi kune rumwe rutivi: yega yega makirogiramu ehuremu inobatsira kuchengetedza itsvo, kunatsiridza BP, uye zvakare kunatsiridza mazinga ako eglucose. A DPP3 inhibitor inodhura (isina kudzorerwa muNetherlands yekushandiswa kwe insulini), asi mamwe marudzi anogona kushandiswa zvakachengeteka (dzimwe nguva mumadhisi akaderera) kana iri kuderera kweitsvo. Galvus (Vildagliptin) 1 mg kamwe pazuva paEGfr <1 (yakachipa) uye Linagliptin kana Trajenta 4 mg zvisinei nekushanda kwetsvo (kunyanya kudhura). Zviri nani kwete Januvia nekuda kwekuda kugara uchigadzirisa dosi kune itsvo basa.
Chokwadi, Andrea
Ndatenda Andrea,
Zano rakanaka. Gliclazide inowanikwa pano maererano nehungwaru hwangu.
Dai ndanga ndiri iwe Bert ndaipedzisa Minidiap yangu ndochinja kuGliclazide (Diamicron)
Kana izvo zvikasashanda, tichaona.
Ndakaperera,
maarten