Sɛ wowɔ Asikreyare a Ɛto so Abien a, ɛda adi kɛse sɛ wo duruyɛfo bɛkyerɛw wo aduru bi a wɔfrɛ no Metformin. Eyi yɛ aduru a ɛho hia yiye a asikreyarefo de di dwuma kɛse wɔ yɛn man yi mu ne wiase nyinaa. Enti, dɛn nti na aduru yi ho hia saa? Ɔkwan bɛn so na ɛyɛ adwuma wɔ yɛn nipadua mu? Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba? Nneɛma bɛn na ɛsɛ sɛ yesuro? Momma yɛnka eyinom nyinaa ho asɛm tiawa, te sɛ nea yɛne yɛn adamfo bi rekasa nnɛ.
Ɔkwan bɛn so na metformin yɛ adwuma wɔ nipadua no mu?
Sɛ yɛbɛka no tiawa a, metformin boa ma wohwɛ asikre dodow a ɛwɔ wo mogya mu no so wɔ akwan atitiriw abiɛsa so. Fa no sɛ ɔpanyin a onim nyansa.
1. Ɛtew asikre a mmerɛbo no yɛ so: Mpɛn pii no, yɛn mmerɛbo no na ɛma glucose (asikre) a yɛn nipadua hia no. Wɔ obi a ɔwɔ asikreyare mu no, saa adeyɛ yi boro so kakra. Metformin ma mmerɛbo no nya "sɛnkyerɛnne" a ɛka sɛ, "Okay, afei tew nea wɔyɛ so kakra, asikre pii wɔ mogya no mu dedaw."
2. Ɛma nipadua no te nka kɛse wɔ insulin ho: Ɔhaw titiriw a ɛwɔ asikreyare mu ne insulin a ɛko tia. Eyi kyerɛ sɛ, ɛwom sɛ insulin wɔ nipadua no mu de, nanso nipadua no mu nkwammoaa, titiriw ntini mu nkwammoaa no, nyɛ saa insulin no ho biribi yiye. Metformin boa saa nkwammoaa yi ma wɔyɛ mmerɛw kɛse wɔ insulin ho. Afei, asikre a ɛsensɛn mogya no mu no betumi akɔ ntini no mu ntɛm na wɔde adi dwuma sɛ ahoɔden.
3. Ɛtew asikre a ɛtwe fi aduan mu no so: Nipadua no twe asikre fi aduan a yedi mu fi dwensɔtwaa mu. Metformin brɛ asikre a ɛkɔ dwensɔtwaa yi mu ntɛmntɛm ne dodow ase.
Saa akwan abiɛsa yi nkutoo betumi aboa ma wo A1c nhwehwɛmu , a ɛyɛ asikre dodow a ɛwɔ wo mogya mu wɔ asram kakraa a atwam no mu no so atew . Saa aduru yi nso betumi aboa ma asikreyare a edi kan no akɔ so akɔ asikreyare mu.
Metformin ahorow ne nea wɔde yɛ
Metformin wɔ din ahorow pii ase. Ebia wo duruyɛfoɔ akyerɛw ama wo wɔ din te sɛ `Glucophage`, `Fortamet`, `Riomet` ase. Eyinom wɔ tablet ne nsu mu.
Ɛtɔ mmere bi a, wɔde metformin ka asikreyare aduru foforo ho. Sɛ nhwɛso no, Janumet yɛ aduru a wɔde ka sitagliptin ne metformin bom. Wo duruyɛfo na obesi ɔkwan a ɛsɛ sɛ wofa ne dodow a ɛsɛ sɛ wofa no ho gyinae.
Dɛn ne nneɛma bɔne a ɛtaa ba?
Te sɛ nnuru biara no, Metformin betumi anya nkɛntɛnso bɔne. But don’t worry , eyinom mu dodow no ara yɛ nketenkete na bere kɔ so no, ɛbɛkɔ bere a wo nipadua no de nnuru no yɛ ne su no. Nneɛma bɔne a ɛtaa ba ne yafunu a ɛyɛ yaw.
Ade a ɛho hia sen biara ne sɛ worennyae nnuru no nom mpofirim esiane saa nsunsuanso bɔne yi nti. Wo ne wo duruyɛfo nka eyi ho asɛm. Ɔbɛkyerɛ wo sɛnea wubedi wɔn ho dwuma.
| Nneɛma bɔne a ɛtaa ba | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Bloating/ Gas a ɛwɔ nipadua no mu | Wɔ nna kakraa a edi kan bere a woafi aduru no ase akyi no, ebia wobɛte nka sɛ gas ayɛ wo yafunu ma. |
| Ayamtuo | Eyi nso abu so yiye. Ebia ebehia sɛ wokɔ aguaree mpɛn pii da biara. |
| Yafunu mu yaw/akisikuru | Ebia wo yafunu bɛyɛ wo yaw kakra anaasɛ wobɛte nka sɛ wo ho ayɛ wo yaw. |
| Akɔnnɔ | Ebia w’akɔnnɔ so atew kakra. |
Ɔkwan a eye sen biara a wobɛfa so atew saa ɔhaw ahorow yi so ne sɛ wobɛnom nnuru no bere a woadidi anaasɛ woadi akyi . Ɛyɛ mmerɛw wɔ yafunu so sen sɛ wobɛnom bere a yafunu da mpan.
Ade foforo ne sɛ ɛtɔ mmere bi a, nnuru bi a ɛtrɛw (ETU) (eyinom ne nnuru ahorow a ɛma aduru no kɔ nipadua no mu bere a bere kɔ so no) betumi apue ne nsu no. Sɛ wuhu eyi a, mma ɛnhaw wo. Wɔde aduru no akɔ nipadua no mu.
Nneɛma bɔne a ɛntaa nsi nanso anibere wom
Eyinom ho yɛ na koraa sɛ wubehu, nanso ɛho hia yiye sɛ wobɛma w’ani ada hɔ.
1. Lactic Acidosis a ɛwɔ nipadua no mu
Eyi ne metformin ho nsunsuanso bɔne a emu yɛ den sen biara nanso ɛntaa nsi . Ɛba bere a nnuru bi a wɔfrɛ no lactic acid boaboa ano wɔ yɛn nipadua mu no. Ɛba nnipa kakraa bi pɛ mu. Nnipa a wodi so yi titiriw na wɔwɔ asiane mu:
- Nnipa a wɔwɔ asaabo anaa mmerɛbo mu yare
- Nnipa a wɔnom nsa boro so
- Nnipa a wɔwɔ komayare a emu yɛ den
- Nnipa a nsu atɔ wɔn esiane atiridiinini, atiridiinini, anaa ɔfe nti
Hwɛ yiye wɔ saa sɛnkyerɛnne ahorow yi ho:
Wɔ yafunu mu yaw, adwenemhaw, ne sɛnea wote nka sɛ wo ti yɛ hare akyi no, sɛ wo ho yɛ wo yaw anaa awɔw a ɛyɛ soronko wɔ wo nsa ne wo nan mu anaasɛ wo koma bɔ sesa a , frɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) no nkyɛn.
2. Vitamin B12 a Ɛho Hia
Ebia nnipa binom benya vitamin B12 dodow a ɛba fam bere a wɔnom metformin bere tenten no. Eyi betumi ama ntini a ɛwɔ nipadua no akyi a ɛyɛ asiane a ɛde asikreyare ba dedaw no ho sɛnkyerɛnne akɔ soro. Ebetumi nso ama mogya atɔ mogya, anaasɛ mogya atɔ.
Enti, nyansa wom sɛ wo ne wo duruyɛfo bɛkasa na woama wɔahwɛ vitamin B12 dodow a ɛwɔ wo mu bere ne bere mu.
3. Hypoglycemia - asikre a ɛwɔ mogya mu a ɛba fam
Ɛntaa mma sɛ obi a ɔnom Metformin nkutoo no ne mogya mu asikre so tew dodo. Nanso, sɛ wonom asikreyare nnuru afoforo (e.g. Gliclazide, Insulin) a Metformin ka ho, woteɛteɛ w’apɔw mu dodo, anaasɛ wunnnidi yiye a, wo mogya mu asikre betumi akɔ fam dodo. Sɛ wuhu sɛnkyerɛnne ahorow te sɛ fifiri, wowosow, ɔkɔm a ɛtra so, anaa adwenemhaw a, di biribi a ɛyɛ dɛ (asikre nsenia biako, ahwiesa asinasin) ntɛm ara.
Ɔkwan bɛn so na wobedi nneɛma bɔne a efi mu ba no ho dwuma?
Nneɛma pii wɔ hɔ a wubetumi ayɛ na woakwati anaasɛ wobɛtew nsunsuanso bɔne pii so.
- Fi ase denam dodow a ɛba fam so: Mpɛn pii no, wo duruyɛfo no bedi kan de dodow a ɛba fam koraa afi ase, afei nkakrankakra ama dodow no akɔ soro bere a wo nipadua no reyɛ nsakrae no.
- Fa aduru no ka aduan ho: Eyi ne ɔkwan a eye sen biara a wobɛfa so atew yafunu mu yaw so.
- Bisa Extended-Release (ETU) type no ho asɛm: Wɔnom saa aduru yi pɛnkoro da biara. Esiane sɛ bere kɔ so no, aduru no kɔ nipadua no mu nti, nsunsuanso bɔne te sɛ akisikuru ne akisikuru no ntaa mma. Sɛ worehyia ɔhaw kɛse wɔ aduru a wɔde di dwuma daa no ho a, bisa wo duruyɛfo sɛ wubetumi adan akɔ saa aduru yi so anaa.
Metformin ne nnuru afoforo
Metformin tumi ne nnuru afoforo a worenom no di nkitaho, enti ɛho hia sɛ woka nnuru a worenom nyinaa (a vitamin ahorow ka ho) kyerɛ wo duruyɛfo.
Titiriw no, sɛ wɔreyɛ nhwehwɛmu bi a ɛfa aduru a ɛma wohu nneɛma a ɛne ne ho bɔ abira te sɛ CT scan anaa MRI a wɔde bɛhyɛ wo mu a, ebia ebehia sɛ wugyae Metformin nom nna kakraa bi ansa na ɛreba. Di kan ka nnuruyɛfo a wɔfa wɔn ho amanneɛ.
Nkrasɛm a Wɔde Kɔ Fie
- Metformin yɛ aduru a ɛho hia yiye na ahobammɔ wom a wodi kan de ma wɔ asikreyare a ɛto so abien ayaresa mu.
- Ɛtaa ba sɛ wubenya yafunu mu yaw (a ɛyɛ wo yaw, gas ) bere a wudi kan fi ase nom aduru no. Eyinom mu dodow no ara bɛbrɛ ase bere a bere kɔ so no.
- Fa aduru no bere nyinaa bere a woadidi anaasɛ bere a woadi akyi. Eyi betumi atew nsunsuanso bɔne a efi mu ba no so kɛse.
- Sɛ wunya ɔhaw biara a ɛkɔ so anaasɛ emu yɛ den a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa ansa na woagyae aduru no.
- Sɛ wuhu sɛnkyerɛnne ahorow a emu yɛ den te sɛ wo nsa ne wo nan a ɛyɛ mmerɛw, awɔw a ɛyɛ soronko, anaa nsakrae a ɛba wo koma bɔ mu a, hwehwɛ ayaresa ntɛm ara.
- Ka nnuru afoforo a worenom nyinaa ne aduruyɛ mu nhwehwɛmu biara a wɔayɛ nhyehyɛe sɛ wobɛyɛ ho asɛm kyerɛ wo duruyɛfo.
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