Ina kī mai tō tākuta he mate huka tōu, ko te rongoā tuatahi ka tohua pea ki a koe ko te Metformin. He rongoā rongonui, he rongoā haumaru hoki tēnei mō te mate huka, ehara i te mea i Sri Lanka anake, engari puta noa i te ao. Heoi, he mea noa kia pātai tātou katoa, kia mataku hoki i te tīmatanga o tētahi rongoā hou. Tērā pea ka pātai koe i ētahi mea pēnei i te, "He aha te mea ka pā mai ki tēnei?", "He pai tēnei mō te tinana?", "He pānga taha?" Kaua e manukanuka, i tēnei rā ka kōrero tātou mō tēnei momo rongoā e kiia nei ko te Metformin, arā, ko ngā Biguanides, i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
He whakarāpopototanga, he aha ēnei Biguanide?
He momo rongoā ngā biguanide hei whakahaere i te mate huka. Ka tangohia i roto i te ahua pire. Ko te nuinga o te wā ka whakamahia hei rongoā i te hunga e pangia ana e te mate huka momo 2. Ko te mahi matua o ēnei rongoā he whakaheke me te whakahaere i te taumata huka, te hukahuka rānei, i roto i ō toto.
Tērā pea kei te whakaaro koe, "He maha ngā rongoā kei roto i te rōpū Biguanides?" Kāore rawa. I tēnei wā, i te nuinga o ngā whenua o te ao, tae atu ki a Sri Lanka, kotahi anake te rongoā kei raro i tēnei rōpū. Ko te Metformin tēnā e mōhiotia ana e tātou katoa. Heoi, tera pea ka kite koe i te rongoā Metformin i raro i ngā ingoa waitohu rerekē. Hei tauira:
- Glucophage®
- Glucophage XR®
- Glumetza®
- Fortamet®
- Riomet®
Ahakoa te ingoa, kotahi tonu te matū hohe o roto, arā, ko te Metformin.
Mō te mate huka anake ka hoatu te metformin?
Ko te Metformin te rongoā matua e whakaaetia ana mō te mate huka momo 2. Inaa, e kiia ana koinei te rongoā tuatahi mō tēnā. Arā, koinei te rongoā tuatahi ka tīmata te tākuta ki te whakamahi ina kitea te mate huka.
Heoi, kei te tohua tēnei rongoā e ngā tākuta mō ētahi atu āhuatanga, ehara i te mate huka anake. Ka kiia tēnei he "whakamahinga kore-tohu". Arā, kei te tohua te rongoā e ngā tākuta mō ētahi atu āhuatanga i tua atu i te mea kua whakaaetia mana, nā tōna whai huatanga.
| Āhua/whakamahinga hauora | He whakamārama māmā |
|---|---|
| Mate Huka Momo 2 | Koinei te whakamahinga matua, ā, kua whakaaetia e te mana: hei whakahaere i ngā taumata huka toto. |
| Te mate huka i mua i te mate huka | Te whakaroa, te ārai rānei i te whanaketanga o te mate huka i roto i te hunga e mōrearea ana ki te whakawhanake i te mate huka. |
| Mate huka hāputanga | Hei whakahaere i te mate huka e pāngia ana e ētahi whaea i te wā e hapu ana. |
| Te mate ovarian polycystic (PCOS) | Hei whakahaere i ngā raruraru (te paheketanga koretake, te pikinga taumaha) i puta mai i tēnei āhuatanga homoni i roto i ngā wāhine. |
| Ko ētahi rongoā hinengaro ka hua ake te taumaha | Hei whakahaere i te pikinga o te taumaha e puta mai ana i ngā rongoā e hoatu ana mō ētahi mate hinengaro. |
Hei tāpiritanga, kei te rangahauhia e ngā kairangahau mēnā he āhuatanga ārai matepukupuku tō te metformin. Kua whakaatuhia e ētahi rangahau he iti ake te tūponotanga o te hunga e tango ana i te metformin mō te mate huka ki te pangia e te matepukupuku. Heoi, kei roto tonu i te wāhanga rangahau ēnei.
He pēhea te mahi a tēnei pire Metformin i roto i te tinana?
He pātai tino nui tēnei. E rua ngā huarahi matua e mahi ai tēnei rongoā. Me mārama tātou mā te whakamahi i tētahi tauira māmā.
Whakaarohia kei roto i tō tinana tētahi wheketere nui e hanga ana i te huka (glucose). Ko tō ate tēnā . Mō te tangata mate huka, ka nui rawa te mahi a tēnei wheketere, e pupuhi tonu ana i te huka ki roto i te toto.
1. Te whakaiti i te hanga huka e te ate: Ko te mahi tuatahi a Metformin ko te whakaiti i te hanga huka i roto i te wheketere huka (te ate). Ara, ka whakahaere tēnei rongoā i te tāpiri koretake o te huka ki te toto mai i te ate.
2. Ka nui ake te aro o ngā uaua ki te insulin: Ko te tuarua o ngā mea ko te āwhina i te homoni insulin i roto i tō tātou tinana kia mahi tika. He rite te insulin ki te kī ki ngā tatau o ngā pūtau o tō tātou tinana. Ko tēnei kī te mea e āhei ai te huka i roto i te toto ki te tomo ki ngā pūtau me te hanga pūngao. He uaua ki te hunga mate huka te whakatuwhera i tēnei kī. E kīia ana e mātou koTe ātete ki te insulin. Mā te Metformin ka ngāwari ake te aro o ngā tatau o ngā pūtau pērā i ngā uaua ki tēnei kī (insulin). Kātahi ka ngāwari te uru o te huka i roto i te toto ki roto i ngā pūtau, ka huri hei pūngao. Kātahi ka heke te taumata huka toto.
He māmā noa iho, ko tā te Metformin he whakaiti i te hanga huka koretake i roto i te tinana, ā, ka āwhina i te tinana ki te whakamahi pai i te insulin.
Mō ngā wāhine whai PCOS, ka whakaitihia e te Metformin ngā taumata insulin, ka whakaitihia hoki ngā taumata o ngā homoni pērā i ngā androgens, ā, ka āwhina i te whakahoki mai i ngā huringa paheketanga kia tika.
He aha ngā painga o tēnei rongoā?
He rongoā tino whai hua te Metformin.
- Te whakaheke i ngā taumata A1C: Mō te tangata mate huka, ka taea e te metformin te whakaheke i te taumata A1C (he whakamātautau e whakaatu ana i te toharite o ngā taumata huka toto i roto i ngā marama 2-3 kua hipa) mā te 1%. He putanga nui tēnei i roto i te whakahaere mate huka.
- Te ārai i te mate huka: Kua whakaatuhia e ngā rangahau ka taea e tēnei rongoā te āwhina i te whakaroa, te aukati rānei i te whanaketanga o te mate huka tino mate i roto i te hunga whai prediabetes.
- Te whakaiti i te mōrearea o te mate ngakau: Kua whakaatuhia e ētahi rangahau ka taea hoki e te metformin te whakaiti i te mōrearea o te mate ngakau.
Ko te mea nui, nā te mea he mate mō te wā katoa tēnei rongoā, he mea nui kia whakapā atu koe ki tō tākuta, kia tangohia hoki ō rongoā me ngā huringa āhua noho (kai, whakakori tinana) e ai ki ngā tohutohu. Kāore e taea e te rongoā anake te whakahaere i te mate huka.
Kia tūpato hoki tātou ki ngā pānga taha me ngā mōrearea.
Pērā i ngā rongoā katoa, ka pā mai ētahi pānga taha o te Metformin. Engari ko te nuinga o ēnei kāore i te kino, ā, kāore e pāngia te katoa.
Ngā pānga taha noa
Tērā pea ka puta ēnei i ngā rā tuatahi, i ngā wiki rānei i muri i te tīmatanga o te rongoā. I te nuinga o te wā ka memeha haere i te wā e taunga ana te tinana ki te rongoā.
- Te mamae o te puku: Ko te pupuhi, te whakapairuaki, te ruaki, me te korere nui rawa atu ngā pānga taha tino kitea. Ka pā pea tēnei āhuatanga ki te 30% o te hunga e tango ana i te metformin.
- Te tango i te rongoā i muri i te kai: Ko te huarahi pai ki te whakaiti i te mamae o te puku pēnei ko te tango i te rongoā me te kai, i muri tonu rānei i te kai. Kaua e tango i te rongoā i te puku kau.
Ngā pānga taha onge
- Te mamae o te uma
- Ānini
- Te werawera nui (diaphoresis)
- Te iti o te huka toto (hypoglycemia) - (He tino onge tēnei mēnā ka tangohia te metformin anake, engari ka taea te tupu mēnā ka tangohia me ētahi atu rongoā mate huka)
- ngoikore
Mena ka mau tonu ēnei, ka pāngia rānei koe e te mamae, kōrero ki tō tākuta.
Ngā mōrearea e hiahia ana kia aro nui atu
He rongoā tino haumaru te Metformin i te nuinga o te wā, engari he mea nui kia tūpato ki ētahi raruraru nui kāore e tino kitea.
1. Te korenga o te huaora B12
Ina roa koe e tango ana i te Metformin, ka iti ake pea te mimiti o te huaora B12 e tō tinana. Nō reira, ka tirohia pea e tō tākuta ō taumata huaora B12, inā koa mēnā he anemia, he neuropathy peripheral rānei tōu. Mēnā e tika ana, ka tūtohu pea ia kia tangohia he tāpiringa huaora B12.
2. Te Waikawa Ratika
Koinei te raruraru nui rawa atu, kino rawa atu hoki, engari he tino onge, me mōhio koe mō te Metformin.
Ko te waikawa lactic he āhuatanga e nui rawa ai te waikawa lactic e hangaia ana e te tinana, ka nui rawa ai te waikawa o te toto. E pāngia ana e tēnei āhuatanga te 1 i roto i te 30,000 tāngata e tango ana i te metformin. He tino onge tēnei. Heoi, ka taea te whakararu i te ora, nō reira he mea nui kia mōhio ki ngā tohu.
Ngā tāngata e nui ake ana te mōrearea ki te whakawhanake i te waikawa lactic:
- Ngā tāngata e mate ana i te whatukuhu, i te ate rānei
- Ngā tāngata neke atu i te 65 tau te pakeke
- Ngā tāngata kua oti tata nei te pokanga
- Ngā tāngata e pāngia ana e te hypoxia (te korenga o te hāora i roto i te tinana)
- Ngā tāngata e inu nui ana i te waipiro
Ka tirohia e tō tākuta te mahi a tō whatukuhu i ia wā ina tohua he Metformin hei whakaaro mō tēnei mōrearea.
Ngā tohu o te waikawa lactic:
Ki te puta ohorere mai tētahi, ētahi rānei o ēnei tohu, kati tonu te tango i te rongoā ka haere ki te rūma ohorere o te hōhipera (ETU) e tata ana.
- Te ngenge nui me te ngoikore
- Whakapairuaki me te ruaki
- Mamae puku
- Te manawa tere, te manawa roa, te manawa hohonu
Ka taea e tēnei mate te arahi atu ki te mate mēnā kāore e tere te rongoā, nō reira kia tūpato ki ēnei tohu.
3. Ngā raruraru ki ētahi atu rongoā (Ngā Taunekeneke Rongoā)
Mena kei te tango koe i te metformin, ā, kei te tango koe i ētahi atu rongoā mō tētahi atu mate, he mea nui kia kōrero koe ki tō tākuta. Ka taea e ētahi rongoā te taunekeneke me te metformin, ā, ka piki ake te mōrearea o te waikawa lactic. Ka taea hoki e ētahi rongoā te whakaheke i te huka toto (hypoglycemia). Kia mahara ki te kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā huaora, ngā tāpiringa, me ngā rongoā otaota).
Āhea ahau me kite i te tākuta?
I te wā e tango ana koe i te metformin, me haere koe ki te wāhi rongoā i ngā wā kua whakaritea e tō tākuta. Pērā ai, ka taea e ia te kite mēnā kei te whai hua te rongoā, mēnā me whakarerekē te horopeta, me mēnā he pānga taha.
Hei tāpiri, kōrero ki tō tākuta i roto i ngā āhuatanga e whai ake nei:
- Mena ka pā kino ngā pānga taha ki a koe, ka uaua rānei ki te manawanui.
- Mena kei te whakaaro koe kāore tō mate huka, tō mate PCOS rānei e whakahaeretia tikatia ana e te rongoā.
- Ki te whakaaro koe me mutu te tango i te rongoā mō tētahi take, kaua rawa e mutu te tango i te rongoā me te kore e kōrero ki tō tākuta.
He rongoā tino haumaru, tino whai hua hoki te Metformin, kua whakamahia e te miriona tāngata huri noa i te ao mō ngā tekau tau, kua rangahaua pai, ā, e manawanuihia ana. Nō reira kaua e wehi ki te pātai. Kaua e mangere ki te kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe. Kei te rite tonu ia ki te āwhina i a koe.
Karere Tangohia ki te Kāinga
- He rongoā tino noa, he haumaru, he whai hua hoki te Metformin mō ngā āhuatanga pēnei i te mate huka me te PCOS.
- Ko te mahi matua o tēnei ko te whakaiti i te hanga huka e te ate, me te whakanui ake i te aro o te tinana ki te insulin.
- Tērā pea ka puta ngā pānga taha iti pēnei i te mamae o te puku i te tīmatanga, engari ka taea te whakaiti mā te tango i te rongoā me te kai.
- He raruraru onge engari he raruraru kino te waikawa lactic . Kia tūpato ki ōna tohu (te ngenge nui, te mamae o te puku, te tere o te manawa). Mena ka puta ēnei tohu, haere tonu ki te ETU.
- Me whakamōhio atu ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
- Kaua rawa e tīmata, e mutu rānei te tango i te Metformin me te kore he tohutohu a te tākuta.
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