Diabetes tan Metformin hi i lo pe tawh em? Hetiang damdawi chi hrang hrang (Biguanides) hi i zir dawn teh ang!

I doctor-in zunthlum i vei tih a hrilh che chuan a hmasa ber tur chu Metformin an tih pill hi a ni. Vawiin hian he damdawi tlanglawn tak, Type 2 Diabetes natna vei mi tam tak hnena pek thin hi awlsam tak leh chiang takin kan sawi dawn a, Sri Lanka ramah chauh ni lovin khawvel hmun hrang hrangah pawh kan sawi dawn a ni. Eng ang nge a nih a\angin, taksa chunga a tih dan leh fimkhur a ngaihna zawng zawng kan thlir ang.

Biguanides tih hi eng nge ni? Metformin nen a inang em?

A awlsam zawngin sawi ila, Biguanides tih hi zunthlum enkawlna atana hman damdawi pawl pakhat hming a ni. Lirthei chi hrang hrang a awm ang bawkin. Car chi hrang hrang, van, bus chi hrang hrang a awm ang bawkin zunthlum damdawi chi hrang hrang a awm bawk. Biguanides hi chutiang pawl pakhat chu an ni.

Tunah hian khawvel ram tam zawkah chuan he category-a damdawi hman awmchhun chu Metformin a ni. Chumi awmzia chu Metformin i ei chuan Biguanide class-a tel damdawi i ei tihna a ni. Hei hi damdawi a ni a, tablet ang maia ei tur a ni. He damdawi hi brand hming hrang hrang Glucophage®, Fortamet® hmangin a awm thei a, mahse an vai hian Metformin an pai vek thung.

Metformin hi eng condition atan nge hman a nih?

Metformin hmanna ber leh official-a pawm tawh chu type 2 diabetes control nan a ni . Dik tak chuan metformin hi type 2 diabetes tan doctor-te’n an tan tirh first-line therapy a ni fo thin.

Mahse chu bakah chuan doctor-te chuan hriselna lama harsatna dang engemaw zat atan pawh he damdawi hi an pe bawk. Hei hi "off-label" hmanna an ti. Chu chu, damdawi hi a tir lama phalna pek tawhte aia hmanraw tangkai dang atan pek a ni tihna a ni.

He Metformin damdawi hian taksa chhungah engtin nge hna a thawh?

Metformin hian kan taksa sugar level hi kawng pawimawh pahnihin a control thei a ni.

1. Liver-in thisenah sugar a dah zat a tihtlem: A tlangpuiin kan thin hian thisenah sugar (glucose) chu chakna pe turin a chhuah tir thin. Metformin hian he thil hi a control a, thisenah a tul lo taka sugar awmkhawm chu a ti tlem bawk.

2. Muscle-a Insulin Sensitivity a tipung: Kan taksaa hormone insulin hnathawh ber pakhat chu thisen atanga sugar lak luh a, chakna atana hman tur cell-te tanpui hi a ni. Diabetes-ah chuan he process hi a tichhe thin. Metformin hian kan taksa peng hrang hrangte hian insulin an dawng tha zawk thin. Tichuan, taksa ruhte hian awlsam takin thisena sugar awm chu an hip lut thei a, an hmang thei bawk.

Heng method pahnih hian thisen sugar level sang control nan a pui a ni. PCOS-ah chuan he damdawi hian insulin level a tihniam a, chu chuan hormone te a balance a, thlasik hun a tidanglam thei bawk.

Metformin hian eng hlawkna ber nge a neih?

• Diabetes control tha zawk: Zirna hrang hrangah metformin hian thla thum kalta chhunga i thisen sugar level average tilangtu HbA1c test value chu 1% velin a tihhniam thei tih hmuhchhuah a ni
• Diabetes venna: Metformin ei hian nunphung thlak danglamna nen hian prediabetes vei te zingah zunthlum vei theihna chu 31% velin a tihniam thei tih hmuhchhuah a ni.
• Lung natna vei theihna a tihtlem: Zirna thenkhatah chuan metformin hian thinlung natna leh a kaihhnawih harsatna (cardiovascular disease) a tihziaawm thei niin an sawi.

He damdawi hian side effect a nei em?

Ni e, damdawi zawng zawng ang bawkin Metformin hian side effect engemaw zat a nei thei. Mahse, mi tam zawk tan chuan hengte hi damdawi an ei tan tirh atang chauhvin a thleng a, chu chu taksain a insiamrem angin a bo vek a ni.

Metformin hmanga hriat tur hlauhawm bikte chu engte nge ni?

Metformin hi a tlangpuiin damdawi him tak a ni. Mahse, kan hriat vek tur hlauhawm bik thenkhat a awm.

Vitamin B12 tlakchhamna

Metformin chu rei tak a niA hman chuan taksain Vitamin B12 a lakluh hi tlem a tlahniam thei a ni. Chuvangin i doctor chuan i vitamin B12 level a enfiah thei a, a tul chuan vitamin B12 supplement a pe thei bawk.

Lactic Acidosis natna a ni

Hei hi Metformin chungchang kan sawi dawna mi zawng zawngin kan hriat tur pawimawh ber a ni. Mahse, a hmasa berah chuan hei hi a awm lo hle , mahse a nasat em em a, a lo awm a nih chuan nunna atana hlauhawm pawh a ni thei tih hi sawi tur a ni. Metformin ei thin mi 30,000 zinga pakhat vel chuan he hlauhawmna hi an nei a ni.

• Lactic Acidosis hi eng nge ni? A awlsam zawngin sawi ila, taksaa chemical lactic acid an tih chu a tul lo taka a khawlkhawmna a ni.
• Hemi atan hian tu nge hlauhawm zawk?
• Kidney emaw liver natna nei tan.
• Kum 65 chunglam tan.
• Tun hnaia surgery nei tawhte tan.
• Zu in nasa lutuk te tan.
• Lactic Acidosis natna lan chhuah dan:
• Sudden extreme hahna leh chak lohna.
• Nausea, luak chhuak, leh pum na.
• Thâwk rang emaw, thawk thuk, rei tak emaw.

Ruihhlo nena inzawmna (Drug Interactions) te

Metformin i ei a nih chuan i ei tur damdawi dang zawng zawng (condition dang damdawi, vitamin, leh nutritional supplement thlengin) i doctor hnenah hrilh a pawimawh hle . Damdawi thenkhat chu Metformin nena ei hian lactic acidosis emaw thisen sugar hniam (hypoglycemia) emaw a thlen theihna a tipung thei a ni.

Engtikah nge doctor ka biak ang?

Metformin i ei a nih chuan damdawi in a thawk tha em tih leh i thisen sugar control theih a nih leh nih loh hriat nan doctor pan fo a pawimawh. Chu bakah, heng thilte hi i doctor nen pawh sawiho bawk ang che.

• Side effects chu i hmachhawn theih loh lutuk a nih chuan.
• Damdawi ei chung pawha i dinhmun, zunthlum emaw PCOS emaw te chu uluk taka control theih loh nia i hriat chuan.
• He damdawi hi i ei tawh loh a ngai nia i hriat chuan ( doctor zawt lovin damdawi ei kha bansan ngai suh ).