ʻO Metformin no ka maʻi diabetes: ʻO ka mea e pono ai ʻoe e ʻike (Metformin)

Inā loaʻa iā ʻoe ka maʻi diabetes Type 2, e kuhikuhi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo Metformin. He lāʻau lapaʻau koʻikoʻi loa kēia i hoʻohana nui ʻia e ka poʻe maʻi diabetes ma ko mākou ʻāina a puni ka honua. No laila, no ke aha he mea nui kēia lāʻau lapaʻau? Pehea e hana ai i loko o ko mākou kino? He aha nā hopena ʻaoʻao e hiki mai ana? He aha nā mea e makaʻu ai? E kamaʻilio maʻalahi kākou e pili ana i kēia mau mea a pau, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha i kēia lā.

Pehea ka hana a ka metformin i loko o ke kino?

I ka ʻōlelo maʻalahi, kōkua ka metformin i ka hoʻokele ʻana i kou pae kō koko ma nā ʻano nui ʻekolu. E noʻonoʻo iā ia e like me kahi luna akamai.

1. Hoʻēmi i ka hana kōpaʻa e ke akepaʻa: ʻO ka maʻamau, hana ko kākou akepaʻa i ka glucose (kōpaʻa) e pono ai ko kākou kino. I ke kanaka me ka maʻi diabetes, he nui iki kēia kaʻina hana. Hāʻawi ʻo Metformin i ke akepaʻa i kahi "hōʻailona" e ʻōlelo ana, "ʻAe, e hoʻēmi iki i ka hana ʻana, ua nui loa ke kōpaʻa i loko o ke koko."

2. Hoʻonui i ka ʻike o ke kino i ka insulin: ʻO ka pilikia nui i ka maʻi diabetes, ʻo ia ke kūʻē ʻana i ka insulin. ʻO ia hoʻi, ʻoiai aia ka insulin i loko o ke kino, ʻaʻole pane pono nā pūnaewele o ke kino, ʻoiai nā pūnaewele ʻiʻo, i kēlā insulin. Kōkua ʻo Metformin i kēia mau pūnaewele e lilo i ʻoi aku ka ʻike i ka insulin. A laila, hiki i ke kō e lana ana i loko o ke koko ke komo maʻalahi i nā ʻiʻo a hoʻohana ʻia ma ke ʻano he ikehu.

3. Hoʻēmi i ka omo ʻana o ke kō mai ka meaʻai: Hoʻopili ke kino i ke kō mai ka meaʻai a mākou e ʻai ai mai nā ʻōpū. Hoʻēmi ka Metformin i ka wikiwiki a me ka nui o ke kō i omo ʻia mai kēia mau ʻōpū.

ʻO kēia mau ʻano hana ʻekolu wale nō ke kōkua i ka hoʻohaʻahaʻa ʻana i kāu hoʻāʻo A1c , ʻo ia ke ana o kou awelika o ke kō koko i nā mahina i hala iho nei. Hiki i kēia lāʻau lapaʻau ke kōkua i ka hoʻopaneʻe ʻana i ka holomua o ka prediabetes i ka maʻi diabetes.

Nā ʻano a me nā hōʻailona Metformin

Loaʻa ka Metformin ma lalo o nā inoa inoa like ʻole. Ua kuhikuhi paha kāu kauka iā ʻoe ma lalo o nā inoa e like me 'Glucophage', 'Fortamet', 'Riomet'. Loaʻa kēia mau mea ma ke ʻano papa a me ka wai.

I kekahi manawa hāʻawi ʻia ka metformin me ka hui pū ʻana me kekahi lāʻau lapaʻau maʻi diabetes. No ka laʻana, ʻo Janumet kahi pila i hui pū ʻia e hoʻohui i ka sitagliptin a me ka metformin. Na kāu kauka e hoʻoholo i ke ʻano a me ka nui āu e lawe ai.

He aha nā hopena ʻaoʻao maʻamau?

E like me nā lāʻau lapaʻau āpau, hiki i ka Metformin ke loaʻa nā hopena ʻaoʻao. Akā , mai hopohopo , ʻo ka hapa nui o kēia mau mea he mea liʻiliʻi a e nalo aku i ka hala ʻana o ka manawa ke maʻa kou kino i ka lāʻau lapaʻau. ʻO nā hopena ʻaoʻao maʻamau ka ʻeha o ka ʻōpū.

ʻO ke ala maikaʻi loa e hōʻemi ai i kēia mau ʻehaʻeha, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau me ka ʻai ʻana a ma hope paha . He mea maʻalahi ia i ka ʻōpū ma mua o ka lawe ʻana ma ka ʻōpū ʻole.

ʻO kekahi mea ʻē aʻe, ʻo kekahi mau papa hoʻokuʻu hoʻolōʻihi ʻia (ETU) (ʻo ia nā ʻano e hoʻokuʻu i ka lāʻau lapaʻau i loko o ke kino i ka hala ʻana o ka manawa) hiki ke puka mai me ka ʻōpala. Mai hopohopo inā ʻike ʻoe i kēia. Ua komo ka lāʻau lapaʻau i loko o ke kino.

Nā hopena ʻaoʻao kakaikahi akā koʻikoʻi

He mea kākaʻikahi loa kēia mau mea e ʻike ʻia, akā he mea nui loa ia e ʻike iā lākou.

1. ʻAkika Lactic

ʻO kēia ka hopena koʻikoʻi loa akā kakaʻikahi o ka metformin. Hana ʻia ia i ka wā e hōʻiliʻili ai kahi kemika i kapa ʻia ʻo ka lactic acid i loko o ko kākou kino. Hana ʻia ia i loko o kahi poʻe liʻiliʻi loa. ʻO kēia ka poʻe i pilikia nui:

• Nā kānaka me nā maʻi puʻupaʻa a i ʻole ke akepaʻa
• ʻO ka poʻe e inu nui ana i ka waiʻona
• Nā kānaka me nā maʻi puʻuwai koʻikoʻi
• ʻO ka poʻe i maloʻo loa ma muli o ke kuni, ka maʻi pākī, a i ʻole ka luaʻi ʻana

E makaʻala no kēia mau hōʻailona:

Ma waho aʻe o ka ʻeha o ka ʻōpū, ka poniuniu, a me ka manaʻo māmā, inā ʻike ʻoe i ka mae ʻole a i ʻole ke anu ʻē i kou mau lālā a i ʻole kahi loli i kou puʻuwai , e kāhea koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

2. Ka nele o ka wikamina B12

Hiki i kekahi poʻe ke loaʻa i nā pae haʻahaʻa o ka huaora B12 i ka wā e lawe ana i ka metformin no ka manawa lōʻihi. Hiki i kēia ke hoʻonui i nā hōʻailona o ka neuropathy peripheral, kahi mea pilikia mua no ka maʻi diabetes. Hiki iā ia ke hana i ka anemia, a i ʻole ke kahe koko.

No laila, he mea naʻauao ke kamaʻilio me kāu kauka a e nānā ʻia kāu mau pae wikamina B12 i kēlā me kēia manawa.

3. Hypoglycemia - ke kō koko haʻahaʻa

He mea kākaʻikahi loa ka emi ʻana o ke kō koko o kekahi e lawe ana i ka Metformin wale nō. Eia nō naʻe, inā ʻoe e lawe ana i nā lāʻau lapaʻau maʻi diabetes ʻē aʻe (e like me Gliclazide, Insulin) me Metformin, hoʻoikaika kino nui, a ʻaʻole ʻai pono, e emi paha ke kō koko i lalo loa. Inā ʻike ʻoe i nā hōʻailona e like me ka hou ʻana, ka haʻalulu, ka pōloli nui, a i ʻole ka poniuniu, e ʻai koke i kahi mea ʻono (kahi punetune kō, kahi ʻāpana kinikini).

Pehea e mālama ai i nā hopena ʻaoʻao?

Aia kekahi mau mea hiki iā ʻoe ke hana e pale aku ai a hōʻemi paha i nā hopena ʻaoʻao he nui.

• E hoʻomaka me kahi maʻi haʻahaʻa: E hoʻomaka mua kāu kauka me ka maʻi haʻahaʻa loa, a laila e hoʻonui mālie i ka maʻi e like me ka hoʻololi ʻana o kou kino.
• E lawe i ka lāʻau lapaʻau me ka meaʻai: ʻO kēia ke ala maikaʻi loa e hōʻemi ai i ka ʻeha o ka ʻōpū.
• E nīnau e pili ana i ke ʻano Extended-Release (ETU) : Lawe ʻia kēia ʻano pila i hoʻokahi manawa i ka lā. Ma muli o ka hoʻokuʻu ʻia ʻana o ka lāʻau i loko o ke kino i ka hala ʻana o ka manawa, ʻoi aku ka liʻiliʻi o nā hopena ʻaoʻao e like me ka pehu a me ka nausea. Inā ʻoi aku kou pilikia me ka pila maʻamau, e nīnau i kāu kauka inā hiki iā ʻoe ke hoʻololi i kēia ʻano.

ʻO Metformin a me nā lāʻau ʻē aʻe

Hiki i ka Metformin ke launa pū me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, no laila he mea nui e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā huaora).