We yu dɔktɔ tɛl yu se yu gɛt dayabitis, di fɔs tin we dɛn kin gi yu na wan pil we dɛn kɔl Metformin. Tide, wi go tɔk simpul ɛn klia wan bɔt dis kɔmɔn mɛrɛsin we dɛn kin gi bɔku pipul dɛn fɔ Tayp 2 Dayabitis, nɔto jɔs na Sri Lanka, bɔt ɔlsay na di wɔl. Wi go luk ɔltin frɔm wetin i bi, wetin i de du to di bɔdi, ɛn wetin wi nid fɔ tek tɛm.
Wetin na biguanides? Na di sem tin wit metformin?
Fɔ tɔk am simpul wan, Biguanides na di nem we dɛn gi wan grup fɔ drɔgs we dɛn kin yuz fɔ mɛn dayabitis. Jɔs lɛk aw kayn motoka dɛn de. Jɔs lɛk aw kayn motoka, vɛn, ɛn bɔs dɛn de, na so difrɛn grup dɛn de fɔ mɛrɛsin fɔ dayabitis. Biguanides na wan pan dɛn grup dɛn de.
Naw, di wangren mɛrɛsin we dɛn kin yuz na dis kategori na bɔku kɔntri dɛn na di wɔl na Metformin . Dis min se if yu tek Metformin, yu de tek wan drɔg we de na di Biguanide klas. Dis na drɔg we dɛn kin tek bay mɔt lɛk tablɛt. Dis drɔg kin kam ɔnda difrɛn brand nem dɛn lɛk Glucophage®, Fortamet®, bɔt dɛn ɔl gɛt Metformin.
Us kɔndishɔn dɛn de yuz Metformin fɔ?
Di men ɛn ɔfishal apruv fɔ yuz mɛtfɔmin na fɔ kɔntrol tayp 2 dayabitis . Infakt, bɔku tɛm, mɛtfɔmin na di fɔs layn tritmɛnt we dɔktɔ dɛn kin bigin fɔ gɛt tayp 2 dayabitis.
Bɔt apat frɔm dat, dɔktɔ dɛn kin gi dis mɛrɛsin bak fɔ bɔku ɔda wɛlbɔdi prɔblɛm dɛn. Dɛn kɔl dis "ɔf-lɛbul" yus. Dat min se, dɛn kin gi di mɛrɛsin fɔ ɔda tin dɛn we go bɛnifit dɛn pas di wan dɛn we dɛn bin dɔn gri fɔ yuz am fɔs.
| Ɔda we dɛn fɔ yuz Metformin | Wan simpul ɛksplen |
|---|---|
| Dayabitis we pɔsin kin gɛt we i gɛt bɛlɛ | Kɔntrol dayabitis we kin apin to sɔm mama dɛn we dɛn gɛt bɛlɛ. |
| Prediabetes we yu gɛt | Kɔntrol di blɔd shuga lɛvɛl na pipul dɛm we de pan risk fɔ gɛt dayabitis ɛn delay ɔ mek dɛn nɔ gɛt dayabitis. |
| Polisistik ovari sindrom (PCOS) . | i de εp fכ rεgεl di כmon imbalans εn di mεnstral saykl dεm na uman dεm we gεt PCOS. |
| Sɔm saykayatrik mɛrɛsin kin mek yu gɛt mɔ wet | Kɔntrol di wet we pɔsin kin gɛt we i de tek mɛrɛsin fɔ sɔm sik dɛn we pɔsin kin gɛt na in maynd. |
Apat frɔm dat, sɔm stɔdi dɛn dɔn sho se pipul dɛn we de tek mɛtfɔmin kin gɛt smɔl chans fɔ gɛt kansa, bɔt dis stil de na di risach stej.
Aw dis Metformin drɔg de wok insay di bɔdi?
Metformin de ɛp fɔ kɔntrol di shuga lɛvɛl na wi bɔdi insay tu men we dɛn.
1. I de ridyus di shuga we di liva de ad pan di blɔd: Nɔmal wan, wi liva de pul shuga (glukɔs) insay di blɔd fɔ gɛt ɛnaji. Metformin de kɔntrol dis prɔses ɛn i de ridyus di shuga we nɔ nid fɔ gɛda na di blɔd.
2. I de mek di insulin sɛnsitiviti na di mɔsul dɛn go ɔp: Wan pan di men wok we di ɔmon insulin we de na wi bɔdi de du na fɔ ɛp di sɛl dɛn fɔ tek shuga frɔm di blɔd ɛn yuz am fɔ gɛt ɛnaji. Insay dayabitis, dis prɔses nɔ kin wok fayn. Metformin de mek wi mɔsul dɛn ansa insulin fayn fayn wan. Dɔn, di mɔsul dɛn kin ebul fɔ tek di shuga we de na di blɔd ɛn yuz am izi wan.
Dɛn tu we ya kin ɛp fɔ kɔntrol di ay shuga na di blɔd. insay PCOS, dis mεdikeshכn de lכs di insulin lεvεl, we in tכn de εp fכ bεlε di כmon dεm εn rεgul di mεnstral saykl.
Wetin na di men bɛnifit dɛn we Metformin gɛt?
- Bɛtɛ kɔntrol dayabitis: Stɔdi dɔn sho se mɛtfɔmin kin ridyus yu HbA1c tɛst valyu, we de sho yu avɛrej blɔd shuga lɛvɛl fɔ di pas tri mɔnt, bay lɛk 1% .
- Fɔ mek yu nɔ gɛt dayabitis: Dɛn dɔn si se if yu tek Metformin wit chenj na yu layf, dat kin ridyus di risk fɔ gɛt dayabitis bay lɛk 31% pan pipul dɛm wae gɛt prɛdiabetes.
- Ridyus risk fɔ gɛt at sik: Sɔm stɔdi dɔn sho se mɛtfɔmin kin ridyus di risk fɔ gɛt at sik ɛn ɔda prɔblɛm dɛn we gɛt fɔ du wit am (kardiovaskul sik).
Ɛni sayd ɛfɛkt de fɔ dis mɛrɛsin?
Yes, lɛk ɔl di mɛrɛsin dɛn, Metformin kin mek sɔm sayd ɛfɛkt dɛn. Bɔt fɔ bɔku pipul dɛn, dɛn tin ya kin apin nɔmɔ we dɛn bigin fɔ tek di mɛrɛsin ɛn afta dat dɛn kin go as di bɔdi de ajɔst to am.
| Sayd ɛfɛkt we pɔsin kin gɛt | Lan bɔt dis |
|---|---|
| Kɔmɔn sayd ɛfɛkt dɛm wae bɔrku pipul kin gɛt | |
| Indigestion, dayarɛa | Dis na di sayd ɛfɛkt we dɛn kin gɛt mɔ. Bɔku tɛm, i kin go insay sɔm dez. Yu kin ridyus dis bay we yu tek di mɛrɛsin wit it. |
| Nɔs ɛn vɔmit | Dis kin kɔmɔn bak insay di fɔs tɛm. |
| Sɔm sayd ɛfɛkt dɛn we nɔ kin apin so ɔltɛm | |
| Di chɛst nɔ kin fil fayn, ed kin at, i kin swet pasmak (diaphoresis), ɛn i kin fil lɛk se i taya. | Dɛn tin ya nɔ kin bɔku, bɔt if yu kɔntinyu fɔ gɛt dɛn sik ya, tɛl yu dɔktɔ. |
| Lɔw blɔd shuga (Hypoglycemia) . | Dis nɔ kin apin if yu tek mɛtfɔmin nɔmɔ, bɔt i kin apin we yu tek am wit ɔda dayabitis mɛrɛsin. |
Wetin na di patikyula risk dɛm wae yu fɔ no bɔt wit mɛtfɔmin?
Metformin na jɔs wan mɛrɛsin we rili sef. Bɔt sɔm patikyula prɔblɛm dɛn de we wi ɔl fɔ no bɔt.
Vitamin B12 we nɔ de
Metformin fɔ lɔng tɛmWe dɛn yuz am, di vaytamɛn B12 we di bɔdi de tek kin ridyus smɔl. So, yu dɔktɔ kin chɛk yu vaytamɛn B12 lɛvɛl ɛn if nid de, i kin gi yu vaytamɛn B12 sɔpɔtmɛnt.
Laktik Asidכsis
Dis na di impɔtant tin we ɔlman fɔ no bɔt we dɛn de tɔk bɔt Metformin. Bɔt fɔs, wi fɔ se dis na tin we nɔ kin apin so ɔltɛm , bɔt we kin rili bad ɛn we kin ivin mek pɔsin in layf de pan denja if i apin. Na lɛk wan pan ɛvri 30,000 pipul dɛm wae de tek Metformin gɛt dis risk.
- Wetin na Laktik Asidɔsis? Fɔ tɔk am simpul wan, na we wan kemikal we dɛn kɔl laktik asid kin gɛda na di bɔdi we nɔ nid fɔ de.
- Udat de pan denja fɔ dis?
- Fɔ di wan dɛn we gɛt sik na dɛn kidni ɔ liva.
- Fɔ di wan dɛn we dɔn pas 65 ia.
- Fɔ di wan dɛn we dɛn jɔs du ɔpreshɔn pan.
- Fɔ di wan dɛn we de drink rɔm pasmak.
- Di sayn dɛn we de sho se pɔsin gɛt Laktik Asid:
- Wantɛm wantɛm, i kin taya pasmak ɛn i kin wik.
- Nɔs, vɔmit, ɛn bɛlɛ pen.
- Fɔ blo kwik kwik wan ɔ fɔ blo dip, fɔ lɔng tɛm.
Wonin: If yu de tek Metformin ɛn yu gɛt wan ɔ mɔ pan dɛn sik ya, go na di ɔspitul imejensi dipatmɛnt (ETU) we de nia yu wantɛm wantɛm. Dis nɔto sɔntin we wi fɔ delay.
Di Intarakshɔn wit Drug
If yu de tek Metformin, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl ɔda mɛrɛsin dɛn we yu de tek (inklud mɛrɛsin fɔ ɔda kɔndishɔn, vaytamɛn, ɛn ivin nyutrishɔnal sɔpɔtmɛnt). Sɔm mɛrɛsin kin mek yu gɛt laktik asid ɔr yu blɔd shuga smɔl (haypoglycemia) we yu tek am wit Metformin.
Ustɛm a fɔ tɔk to di dɔktɔ?
If yu de tek Metformin, i impɔtant fɔ go to yu dɔktɔ ɔltɛm fɔ mek shɔ se di mɛrɛsin de wok ɛn yu blɔd shuga de ɔnda kɔntrol. Apat frɔm dat, tɔk to yu dɔktɔ bɔt dɛn tin ya bak.
- If di sayd ɛfɛkt dɛn tumɔs fɔ yu fɔ handle.
- If yu fil se yu nɔr de kɔntrol yu kɔndishɔn lɛk dayabitis ɔr PCOS fayn fayn wan pan ɔl we yu de tek mɛrɛsin.
- If yu fil se yu nid fɔ stɔp fɔ tek dis mɛrɛsin ( nɔ ɛva stɔp fɔ tek mɛrɛsin we yu nɔ aks yu dɔktɔ ).
Mɛsej we dɛn kin kɛr go na os
- Metformin na wan mɛrɛsin wae rili kɔmɔn, sef, ɛn wae de woke fayn fɔ tayp 2 dayabitis.
- dis kin wok mεntal bay we i de ridyus di shuga we di liva de mek εn i de mek di insulin sεnsitiviti na di mכsul dεm go כp.
- Di kɔmɔn sayd ɛfɛkt dɛm lɛk fɔ blo, kin apin fɔs ɛn afta dat dɛn kin dɔn as di bɔdi de ajɔst.
- Lactic Acidosis na wan sik wae nɔr kin bɔrku bɔt wae kin siriɔs. Yu fɔ no bɔt in sik dɛn ɛn go to di ETU wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ya.
- I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- Nɔ ɛva stɔp fɔ tek Metformin if yu nɔ gɛt dɔktɔ advays. If yu gɛt ɛni kwɛstyɔn, nɔ shek fɔ aks yu dɔktɔ.
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