Metformin ya matenda ashuga: zomwe muyenera kudziwa (Metformin)

Ngati muli ndi matenda a shuga amtundu wachiwiri, dokotala wanu mwina adzakupatsani mankhwala otchedwa Metformin. Uwu ndi mankhwala ofunikira kwambiri omwe amagwiritsidwa ntchito kwambiri ndi odwala matenda a shuga m'dziko lathu komanso padziko lonse lapansi. Ndiye, nchifukwa chiyani mankhwalawa ndi ofunikira kwambiri? Kodi amagwira ntchito bwanji m'thupi lathu? Kodi zotsatira zake zingakhale zotani? Kodi ndi zinthu ziti zomwe muyenera kuziopa? Tiyeni tikambirane zonsezi mwachidule, ngati kuti tikulankhula ndi mnzanu lero.

Kodi metformin imagwira ntchito bwanji m'thupi?

Mwachidule, metformin imathandiza kuwongolera kuchuluka kwa shuga m'magazi mwa njira zitatu zazikulu. Ganizirani izi ngati woyang'anira wanzeru.

1. Amachepetsa kupanga shuga m'chiwindi: Kawirikawiri, chiwindi chathu chimapanga shuga womwe thupi lathu limafunikira. Kwa munthu wodwala matenda a shuga, njirayi imakhala yochulukirapo pang'ono. Metformin imapatsa chiwindi "chizindikiro" chomwe chimati, "Chabwino, tsopano chepetsani kupanga pang'ono, pali shuga wambiri kale m'magazi."

2. Zimawonjezera mphamvu ya thupi ku insulin: Vuto lalikulu la matenda a shuga ndi kukana insulin. Izi zikutanthauza kuti ngakhale kuti pali insulin m'thupi, maselo a thupi, makamaka maselo a minofu, sayankha bwino insulin imeneyo. Metformin imathandiza maselowa kukhala omasuka kwambiri ku insulin. Kenako, shuga woyandama m'magazi amatha kulowa mosavuta m'minofu ndikugwiritsidwa ntchito ngati mphamvu.

3. Amachepetsa kuyamwa kwa shuga kuchokera ku chakudya: Thupi limayamwa shuga kuchokera ku chakudya chomwe timadya kuchokera m'matumbo. Metformin imachepetsa liwiro ndi kuchuluka kwa shuga komwe kumayamwa kuchokera m'matumbo awa.

Njira zitatu izi zokha zingathandize kuchepetsa mayeso anu a A1c , omwe ndi muyeso wa kuchuluka kwa shuga m'magazi mwa miyezi ingapo yapitayi. Mankhwalawa angathandizenso kuchepetsa kupita patsogolo kwa matenda a shuga asanakwane.

Mitundu ndi mitundu ya Metformin

Metformin imapezeka m'maina osiyanasiyana. Dokotala wanu mwina anakulemberani mayina monga `Glucophage`, `Fortamet`, `Riomet`. Mankhwalawa amapezeka m'mapiritsi ndi m'madzi.

Nthawi zina metformin imaperekedwa pamodzi ndi mankhwala ena a shuga. Mwachitsanzo, Janumet ndi piritsi lophatikizana lomwe limaphatikiza sitagliptin ndi metformin. Dokotala wanu adzasankha mtundu ndi mlingo womwe muyenera kumwa.

Kodi zotsatirapo zoyipa kwambiri ndi ziti?

Monga mankhwala ena aliwonse, Metformin ikhoza kukhala ndi zotsatirapo zake. Koma musadandaule , zambiri mwa izi zimakhala zazing'ono ndipo zimatha pakapita nthawi thupi lanu likazolowera mankhwalawa. Zotsatirapo zake zofala kwambiri ndi kusokonezeka m'mimba.

Njira yabwino yochepetsera kusasangalala kumeneku ndikumwa mankhwalawo musanayambe kudya kapena mutadya . Ndi kosavuta kumwa mankhwalawo m'mimba kusiyana ndi kumwa mutakhala ndi chakudya chopanda kanthu.

Chinanso n'chakuti chipolopolo cha mapiritsi ena otulutsidwa nthawi yayitali (ETU) (awa ndi mitundu yomwe imatulutsa mankhwala m'thupi pakapita nthawi) nthawi zina chingatuluke ndi ndowe. Musadandaule ngati muwona izi. Mankhwalawa alowetsedwa m'thupi.

Zotsatira zoyipa zomwe zimachitika kawirikawiri koma zoopsa

Izi sizipezeka kawirikawiri , koma ndikofunikira kwambiri kuzidziwa.

1. Lactic Acidosis

Ichi ndi zotsatira zoyipa kwambiri koma zosazolowereka za metformin. Zimachitika pamene mankhwala otchedwa lactic acid akuchuluka m'thupi lathu. Zimachitika mwa anthu ochepa kwambiri. Anthu otsatirawa ali pachiwopsezo chachikulu:

• Anthu omwe ali ndi matenda a impso kapena chiwindi
• Anthu omwe amamwa mowa mopitirira muyeso
• Anthu omwe ali ndi matenda aakulu a mtima
• Anthu omwe ali ndi vuto la kutopa chifukwa cha kutentha thupi, kutsegula m'mimba, kapena kusanza

Samalani ndi zizindikiro izi:

Kuwonjezera pa kupweteka m'mimba, chizungulire, ndi kumva mutu wopepuka, ngati mukumva dzanzi kapena kuzizira kwachilendo m'miyendo yanu kapena kusintha kwa kugunda kwa mtima , imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandizira Zadzidzidzi (ETU) ya chipatala chapafupi.

2. Kusowa kwa Vitamini B12

Anthu ena amatha kukhala ndi vitamini B12 yochepa akamamwa metformin kwa nthawi yayitali. Izi zitha kuwonjezera zizindikiro za matenda a mitsempha ya m'mitsempha, yomwe ili kale pachiwopsezo cha matenda a shuga. Zingayambitsenso kuchepa kwa magazi m'thupi, kapena kutaya magazi.

Choncho, ndi bwino kulankhula ndi dokotala wanu ndikuyang'aniridwa milingo ya vitamini B12 nthawi ndi nthawi.

3. Kuchepa kwa shuga m'magazi - shuga wotsika m'magazi

Sizimachitika kawirikawiri kuti munthu amene akumwa Metformin yekha achepetse shuga m'magazi mwake. Komabe, ngati mumwa mankhwala ena a shuga (monga Gliclazide, Insulin) ndi Metformin, mumachita masewera olimbitsa thupi mopitirira muyeso, kapena simudya bwino, shuga m'magazi mwanu akhoza kuchepa kwambiri. Ngati mukumva zizindikiro monga thukuta, kugwedezeka, njala yambiri, kapena chizungulire, idyani chinthu chotsekemera (supuni imodzi ya shuga, maswiti) nthawi yomweyo.

Kodi mungatani kuti muthane ndi zotsatirapo zake?

Pali zinthu zingapo zomwe mungachite kuti mupewe kapena kuchepetsa zotsatirapo zambiri.

• Yambani ndi mlingo wochepa: Dokotala wanu nthawi zambiri amayamba ndi mlingo wochepa poyamba, kenako pang'onopang'ono amawonjezera mlingo pamene thupi lanu likusinthasintha.
• Imwani mankhwalawo pamodzi ndi chakudya: Iyi ndi njira yabwino kwambiri yochepetsera kusasangalala m'mimba.
• Funsani za mtundu wa Extended-Release (ETU) : Mtundu uwu wa mapiritsi umatengedwa kamodzi patsiku. Popeza mankhwalawa amatulutsidwa m'thupi pakapita nthawi, zotsatirapo zake monga kutupa ndi nseru sizimachitika kawirikawiri. Ngati mukuvutika kwambiri ndi mapiritsi wamba, funsani dokotala wanu ngati mungathe kusintha kugwiritsa ntchito mtundu uwu.

Metformin ndi mankhwala ena

Metformin imatha kuyanjana ndi mankhwala ena omwe mukumwa, choncho ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini).