Matenda a shuga ndi matenda ofala kwambiri pakati pa anthu ambiri m'dziko lathu masiku ano. Choncho dokotala akangozindikira kuti muli ndi matenda a shuga, mankhwala oyamba omwe nthawi zambiri amaperekedwa ndi Metformin. Mwina mukugwiritsa ntchito kale mankhwalawa. Kapena mwina wina m'banja mwanu akugwiritsa ntchito. Kotero lero tingolankhula za mankhwala ofunikira kwambiri otchedwa Metformin, zinthu zambiri zomwe sizikudziwika bwino.
Kodi mankhwala awa otchedwa Metformin ndi chiyani?
Mwachidule, Metformin ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda a shuga a mtundu wachiwiri. Amagwira ntchito powongolera kuchuluka kwa shuga m'magazi mwanu, kapena kuchuluka kwa shuga m'magazi. Amathandizanso kuti mahomoni achilengedwe otchedwa insulin agwire ntchito bwino m'thupi lanu.
Taganizirani izi motere: insulin m'thupi lathu ili ngati kiyi ya chitseko. Imatsegula zitseko za maselo ndikuthandiza shuga m'magazi kulowa m'maselo. Mu matenda a shuga, kiyi iyi sigwira ntchito bwino. Metformin imathandiza kiyi iyi kugwiranso ntchito bwino.
Chofunika kwambiri ndichakuti mankhwalawa asagwire ntchito okha. Metformin ndi bwino kugwiritsidwa ntchito limodzi ndi zakudya zabwino komanso masewera olimbitsa thupi .
Nthawi zina, madokotala amapereka mankhwalawa osati a matenda a shuga okha, komanso a matenda a mahomoni mwa akazi otchedwa Polycystic Ovary Syndrome (PCOS).
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Ngakhale kuti metformin ndi mankhwala otetezeka kwambiri, mwina sangakhale oyenera anthu ena. Chifukwa chake, ndikofunikira kuti mufotokoze momveka bwino matenda ena aliwonse omwe muli nawo dokotala asanakupatseni mankhwala awa.
| Zinthu zomwe muyenera kudziwitsa dokotala wanu | |
|---|---|
| Matenda a impso | Popeza metformin imachotsedwa m'thupi kudzera mu impso, mankhwalawa si oyenera ngati impso yanu ili ndi vuto la impso. |
| Matenda a chiwindi | Ngati muli ndi matenda aliwonse a chiwindi, dziwitsani dokotala wanu . |
| Matenda a mtima | Makamaka kambiranani za matenda monga matenda a mtima. |
| Kugwiritsa ntchito mowa | Ngati mumakonda kumwa mowa nthawi zonse, onetsetsani kuti mwatchula zimenezo. |
| Mimba ndi kuyamwitsa | Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, musayambe kumwa mankhwalawa. Lankhulani ndi dokotala wanu za izi. |
| Zochitika zina | Komanso tchulani zinthu monga kuchepa kwa magazi m'thupi, kuchepa madzi m'thupi, matenda aakulu kapena kuvulala, komanso kusanza kosalekeza. |
| Matenda a ziwengo | Tiuzeninso ngati muli ndi vuto lililonse la metformin kapena mankhwala ena kapena chakudya. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Izi n'zosavuta kwambiri.
- Imwani ndi kapu ya madzi: Imwani mlingo womwe dokotala wakupatsani ndi kapu ya madzi.
- Imwani ndi chakudya: Ichi ndiye chinthu chofunikira kwambiri. Kumwa metformin ndi chakudya kapena mutadya kungathandize kuchepetsa kwambiri mavuto monga kuvutika m'mimba ndi nseru.
- Imwani pa nthawi yake: Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Ngati dokotala wanu akukuuzani kuti mumwe kawiri patsiku, ndi bwino kumwa ndi chakudya cham'mawa ndi chamadzulo.
- Musasiye kumwa mankhwala popanda uphungu wa dokotala wanu: Ngakhale mutamva bwino, musasiye kumwa mankhwalawo mpaka dokotala wanu atakuuzani kuti mutero.
Nanga bwanji ngati ndamwa mankhwala ochulukirapo? / Nanga bwanji ngati ndaphonya chakudya?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Pali zinthu zingapo zomwe tiyenera kudziwa tikamamwa metformin.
1. Kuyeza kwa HbA1C: Dokotala wanu adzalamula kuti muyesedwe magazi otchedwa HbA1C miyezi itatu kapena isanu ndi umodzi iliyonse. Izi zimayesa momwe matenda anu a shuga akhalira olamulidwa bwino m'miyezi iwiri kapena itatu yapitayi.
2. Kuchuluka kwa shuga m'magazi: Metformin ikamwedwa yokha, shuga m'magazi amakhala ochepa. Komabe, ikamwedwa ndi insulin kapena mankhwala ena a shuga, shuga m'magazi amatha kuchepa kwambiri. Izi zimatchedwa hypoglycemia.
- Zizindikiro: Kutuluka thukuta, kunjenjemera, njala yochuluka, kusagwirizana bwino kwa thupi, kukomoka.
- Zoyenera kuchita: Ngati mukumva zizindikiro izi, idyani chinthu chotsekemera nthawi yomweyo . Mwachitsanzo, sungani shuga pang'ono, supuni imodzi ya shuga, chakumwa chotsekemera, kapena chidutswa cha toffee pafupi.
- Chofunika: Ngati mwataya chikumbumtima, palibe amene ayenera kukukakamizani kuti mulowe mkamwa. Muyenera kupita kuchipatala nthawi yomweyo.
3. Opaleshoni ndi Kujambula: Ngati mukufuna kuchitidwa opaleshoni kapena mayeso apadera monga CT scan kapena MRI scan, muyenera kuuza dokotala wanu kuti mukumwa Metformin. Mungafunike kusiya kumwa mankhwala kwa masiku angapo.
4. Kusowa kwa Vitamini: Kugwiritsa ntchito Metformin kwa nthawi yayitali kungayambitse kuchepa pang'ono kwa vitamini B12 ndi folic acid. Lankhulani ndi dokotala wanu za izi ndipo tengani zowonjezera ngati pakufunika kutero.
Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa
Monga mankhwala ena aliwonse, Metformin ingayambitse zotsatirapo zazing'ono. Komabe, nthawi zambiri izi sizikhala zoopsa.
| Mtundu wa zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Zinthu zoti muuze dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime. |
| Lactic Acidosis | Uwu ndi matenda osowa kwambiri koma oopsa. Ngati mukumva zizindikiro monga kugwedezeka kwa minofu, kupweteka m'mimba, kupuma movutikira, kapena kutopa kwambiri, funsani upangiri wa dokotala nthawi yomweyo. |
| Zizindikiro za kusowa kwa vitamini B12 | Kusanza miyendo, kupweteka, kufooka kwa minofu, chizungulire, kuvutika kukhazikika maganizo. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mavuto a m'mimba | Kupweteka m'mimba, kutsegula m'mimba, kudzimbidwa, nseru. Izi zimachitika kawirikawiri mukayamba kumwa mankhwala ndipo nthawi zambiri zimachepa pakapita nthawi. Izi zitha kuthetsedwa mwa kumwa mankhwalawo limodzi ndi chakudya. |
| Zina | Mutu, kukoma kwachitsulo mkamwa. |
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani metformin mukadya kapena mutadya . Izi zimachepetsa kwambiri kupweteka m'mimba.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa (kuphatikizapo mankhwala a matenda ena, mavitamini, ndi mankhwala a Ayurvedic).
- Musasiye kumwa mankhwala popanda upangiri wa dokotala.
- Dziwani zizindikiro za shuga wotsika m'magazi (hypoglycemia). Sungani chinthu chotsekemera pafupi kuti mudye ngati zinthu zotere zachitika.
- Ngati muli ndi matenda ena aliwonse, monga impso, chiwindi, kapena matenda a mtima, onetsetsani kuti mwadziwitsa dokotala wanu musanayambe kumwa mankhwalawo.
- Ngati pali zotsatirapo zoyipa, funsani upangiri wa dokotala nthawi yomweyo.
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