Type 2 Diabetes i neih chuan i doctor chuan Metformin tih damdawi a pe ngei ang che. Hei hi damdawi pawimawh tak a ni a, kan ram leh khawvel hmun hrang hrangah zunthlum vei ten an hmang nasa hle. Chuti a nih chuan, engvangin nge he damdawi hi a pawimawh em em? Engtin nge kan taksaah hna a thawh? Side effect awm thei te chu engte nge ni? Eng thil nge hlauh tur awm? Heng zawng zawng hi a awlsam zawngin sawi ila, vawiinah hian kan thianpa nen kan inbia ang maiin.
Engtin nge metformin hian taksa chhungah hna a thawh?
A awlsam zawngin sawi ila, metformin hian i thisen sugar level chu kawng pawimawh pathum hmangin a control thei a ni. Manager fing tak angin ngaihtuah rawh.
1. Liver-in sugar a siam chhuah a ti tlem: A tlangpuiin kan thin hian kan taksa mamawh glucose (sugar) a siam chhuak thin. Zunthlum vei tan chuan he kalphung hi a tam lutuk deuh a ni. Metformin hian liver chu "signal" a pe a, chu chuan, "Okay, tunah chuan production tlem tal tihtlem rawh, thisenah hian sugar a tam lutuk tawh a ni," a ti.
2. Insulin laka taksain a sensitivity a tipung: Zunthlum natna a harsatna lian ber chu insulin resistance a ni. Chumi awmzia chu taksaah insulin awm mah se, taksa cell, a bik takin taksa peng cell te hian chu insulin chu an chhang tha lo tihna a ni. Metformin hian heng cell te hi insulin laka an sensitive zawk theih nan a pui thin. Tichuan, thisena sugar floating chu awlsam takin taksa peng hrang hrangah a lut thei a, chakna atan a hmang thei bawk.
3. Chaw atanga sugar lakluh a ti tlem: Taksa hian kan chaw ei atanga sugar hi intestine atang hian a hip lut thin. Metformin hian heng intestines atanga sugar lakluh chakna leh tam zia a ti tlem a ni.
Heng hmanraw pathum chauh hian i A1c test tihhniamna kawngah a pui thei a, chu chu thla engemaw zat kalta chhunga i thisen sugar level zatve tehna a ni. He damdawi hian prediabetes atanga zunthlum lam panna a tikhawtlai thei bawk.
Metformin chi hrang hrang leh brand hrang hrang
Metformin hi brand hming hrang hrang hnuaiah a awm a. I doctor chuan `Glucophage`, `Fortamet`, `Riomet` tih hmingin a rawn pe che a ni mai thei. Hengte hi tablet leh liquid angin a awm a.
A chang chuan metformin hi zunthlum damdawi dang nen an inkawp a. Entirnan, Janumet hi combination pill a ni a, sitagliptin leh metformin te a inkawp a ni. I doctor chuan eng chi leh dose nge i ei tur tih a rel ang.
Side effects awm tam ber chu engte nge ni?
Damdawi dang ang bawkin Metformin hian side effect a nei thei a ni. But don't worry , heng zinga tam zawk hi chu thil tenau tak tak an ni a, hun kal zelah i taksain damdawi a hman thiam angin a bo vek ang. Side effect awm tam ber chu pum na a ni.
A pawimawh ber chu heng side effects avang hian damdawi ei kha bansan nghal mai loh hi a ni. Hemi chungchang hi i doctor nen sawiho rawh. An enkawl dan tur a hrilh ang che.
| Side effect awm fo thin | A sawifiahna awlsam tak |
|---|---|
| Bloating/ Gas a awm | Damdawi ei tan atanga ni hmasa berah chuan i pum chu gas a khat ang maiin i hria mai thei. |
| Kawthalo | Hei pawh hi a hluar hle. Ni khatah vawi tam tak bathroom-a kal a ngai mai thei. |
| Pum na/riltam | I pum na tlem emaw, rilru hahna emaw i nei thei. |
| Chaw chakna | I ei duhna chu a tlahniam deuh mai thei. |
Heng harsatnate tihtlem dan tha ber chu damdawi ei rual emaw ei zawhah emaw ei hi a ni . Pum ruak a ei ai chuan pum chhungah a awlsam zawk.
Thil dang pakhat chu extended-release (ETU) tablet thenkhat (hei hi hun kal zelah damdawi taksa chhunga chhuaktu chi te an ni) chu a chang chuan bawlhhlawh nen a rawn chhuak thei bawk. Hei hi i hmuh chuan lungngai suh. Damdawi chu taksaah a insiam lut tawh a ni.
Rare mahse side effect na tak tak a awm
Hengte hi hmuh tur a tlem hle a , mahse fimkhur a pawimawh hle.
1. Lactic Acidosis natna (Lactic Acidosis) a awm thin
Hei hi metformin side effect na ber mahse a tlem ber a ni . Kan taksaah lactic acid an tih chemical a lo awm khawm hian a lo awm thin. Mi tlemteah a awm thin. A hnuaia mite hi a bik takin an hlauhawm hle:
- Kidney emaw liver natna nei te
- Zu in tam lutuk te
- Lung lam natna khirh tak nei te
- Khawsik, ril\am, emaw, luak chhuak avanga tui tlakchhamna nei te
Heng symptoms te hi fimkhur rawh:
Pum natna, luak chhuak, leh lu hahdamna i neih bakah, i ke ruhteah natna danglam emaw, khawsik danglam tak emaw i neih emaw , i thinlung thawk dan a inthlak emaw a nih chuan i doctor ko nghal la, emaw, damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh.
2. Vitamin B12 tlakchhamna
Mi thenkhat chuan metformin rei tak an ei hian vitamin B12 level hniam an nei thei. Hei hian peripheral neuropathy symptoms a tipung thei a, hei hi zunthlum vei theihna tur risk factor a ni tawh a ni. Anemia, a nih loh leh thisen tlakchhamna a thlen thei bawk.
Chuvangin doctor nen inbia a, vitamin B12 level chu a hun hunah enfiah tir thin hi a finthlak hle ang.
3. Hypoglycemia - thisen sugar hniam
Metformin chauh ei thin hian a thisen sugar a tlahniam lutuk hi a tlem hle. Amaherawhchu, zunthlum damdawi dang (e.g. Gliclazide, Insulin) Metformin nen i ei a, exercise i tih tam lutuk emaw, i ei tha lo emaw a nih chuan i thisen sugar a tlahniam lutuk thei a ni. I natna lan chhuah dan, thawk hah, khur, riltam lutuk, luak chhuak ang chi i neih chuan thil thlum (sugar spoon khat, candy chi khat) ei nghal rawh.
Side effects te hi engtin nge kan enkawl ang?
Side effect tam tak pumpelh emaw tihtlem emaw nan thil engemaw zat i tih theih a awm.
- Dose tlem hmangin tan la rawh: I doctor chuan dose hniam ber atang hian a tan hmasa ber ang a, chutah chuan i taksa a insiamrem angin dose chu a tipung zauh zauh ang.
- Damdawi hi chaw ei rualin ei rawh: Hei hi pum natna tihziaawmna tha ber a ni.
- Extended-Release (ETU) chi chungchang zawt rawh: Hetiang pill hi ni khatah vawi khat ei thin a ni. Damdawi hi hun kal zelah taksaah a chhuak thin avangin side effects, bloating leh nausea te hi a tlem hle. Pill pangngai hmanga harsatna i neih tam zawk chuan he chi hi i thlak thei em tih doctor zawt rawh.
Metformin leh damdawi dangte
Metformin hian damdawi dang i ei lai nen a inzawm thei a, chuvangin i damdawi ei zawng zawng (vitamin te pawh tel) i doctor hnenah hrilh a pawimawh.
A bik takin, CT scan emaw MRI emaw ang chi contrast dye injection hmanga test i neih chuan ni engemaw zat hmain Metformin ei kha i chawlhsan a ngai mai thei. Medical staff kaihhnawih hnenah hriattir hmasak phawt tur a ni.
Take-Home Thuchah a ni
- Metformin hi damdawi pawimawh tak leh him tak a ni a, type 2 diabetes enkawlnaah pek hmasak ber a ni.
- Damdawi i ei tan tirh hian pum na (bloating, gas ) i nei fo thin. Chung zinga a tam zawk chu hun kal zelah a reh ang.
- Damdawi hi chaw ei rual emaw ei zawhah emaw ei fo ang che. Hei hian side effects nasa takin a ti tlem thei a ni.
- Side effects awm reng emaw, na tak emaw i neih chuan damdawi i chawlhsan hmain i doctor nen inbiakna neih hmasak phawt ang che .
- I taksa peng hrang hranga natna langsar tak tak, khawsik danglam tak, emaw, i thinlung thawk inthlak danglam te i neih chuan doctor pan nghal rawh.
- Damdawi dang i ei zawng zawng leh medical test i neih tur zawng zawng chu i doctor hnenah hrilh rawh.
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