Metformin Extended-Release ni iki?
Muri make, Metformin ni umuti ukoreshwa mu kugenzura Diyabete yo mu bwoko bwa 2. Ugenzura cyane cyane urugero rw'isukari mu maraso yawe, ni ukuvuga ingano ya glucose mu maraso yawe. Nanone ifasha imisemburo ya insuline mu mubiri wawe gukora neza. None se, "Extended-Release" ni iki? Ibi bivuze ko iki gipimo cyagenewe ku buryo umuti usohorwa mu mubiri buhoro buhoro umunsi wose, aho kwinjira byose icyarimwe . Icyiza cyabyo ni uko udakenera gufata umuti inshuro nyinshi ku munsi, rimwe na rimwe bishobora kubaho iyo uwufashe ku ifunguro rimwe. Ariko, ugomba kuwufata neza nk'uko muganga wawe abikubwira. Akenshi, iyo uhawe uyu muti, abaganga bakugira inama yo kugenzura imirire yawe n'imyitozo ngororamubiri. Kubera ko imiti yonyine idahagije mu kugenzura diyabete, ugomba no guhindura imibereho yawe. Hari igihe abaganga bakoresha uyu muti ku zindi ndwara, bityo niba ufite ikibazo, ni byiza kubaza muganga wawe cyangwa umuntu wo muri farumasi.Ni iki nabwira muganga mbere yo gufata uyu muti?
Mbere yo gutangira gufata metformin, ugomba kubanza gusobanukirwa neza ibintu bimwe na bimwe na muganga wawe. Kuko ayo makuru ari yo azafasha muganga wawe gufata icyemezo cy’uko uyu muti ukubereye n’ingano yawo.Ese ufite ibihe nk'ibi?
Niba ufite imwe muri izi ndwara zikurikira, menya neza ko wabibwiye muganga wawe :- Kubura amaraso bivuze kubura amaraso .
- Kubura amazi mu mubiri, bivuze ko hari amazi aguma mu mubiri.
- Indwara z'umutima .
- Niba ukunda kunywa inzoga buri gihe .
- Indwara z'impyiko . Ibi ni ingenzi cyane kuko metformin iva mu mubiri inyuze mu mpyiko. Iyo impyiko zidakomeye, umuti ushobora kwiyongera mu mubiri ugatera ibibazo.
- Indwara y'umwijima .
- Indwara yitwa polycystic ovary syndrome ( PCOS ) .
- Iyo hari ubwandu bukomeye cyangwa igikomere gikomeye .
- Niba uhora uruka .
- Niba warigeze kugira ubwivumbure kuri metformin, undi muti, ibiryo, irangi, cyangwa imiti irinda ubushyuhe.
- Niba utwite cyangwa ugerageza gutwita .
- Niba uri umubyeyi wonsa .
Uyu muti nkwiye kuwukoresha nte?
Noneho reka turebe uko wafata uyu muti neza. Ugomba gufata uyu muti neza nk'uko bivugwa ku rupapuro rwa muganga waguhaye. Ugomba kumira uyu muti unywa n'ikirahure cy'amazi . Icy'ingenzi ni ukuwufata urya . Hari abantu bawufata nyuma ya saa sita, abandi nyuma ya saa sita. Muganga wawe azakubwira igihe ugomba kuwufata. Akenshi bivugwa ko utagomba kuwufata uri mu nda irimo ubusa. Kuwufata urya bishobora kandi kugabanya ububabare buto mu gifu (urugero, isesemi). Fata umuti wawe mu gihe gikwiye, nk'uko muganga wawe abikubwira. Ntuzigere ufata ibirenze ibyo muganga akubwira, cyangwa ngo uwufate kenshi kuruta uko bikwiye . Nanone, ntuhagarike gufata umuti mu buryo butunguranye utabibwiwe na muganga.Ese uyu muti ukwiye guhabwa abana?
Niba uha abana uyu muti, ugomba kwitonda cyane. Vugana na muganga wawe kandi ukurikize amabwiriza ye neza.Bite ho iyo mfashe imiti myinshi? (Ingano irenze urugero)
Tekereza ko wafashe ibinini byinshi ku buryo butaziguye. Niba ibyo bibaye, jya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe cyangwa uhamagare ikigo gishinzwe kurwanya uburozi ako kanya . Ntugapfushe ubusa umwanya.Icy'ingenzi: Uyu muti wanditswe kuri wewe gusa. Ntugasangire umuti wawe n'undi muntu uwo ari we wese, kabone n'iyo yaba afite ibimenyetso nk'ibyo ufite.
Bite ho ninsiba gahunda yo gufata imiti?
Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntugafate dose ebyiri ku mpamvu iyo ari yo yose .Ni ibihe bintu bindi bishobora kugira ingaruka kuri uyu muti? (Imikoranire)
Metformin ni umuti ushobora kugira ingaruka mbi ku yindi miti cyangwa ibindi bintu ufata, bivuze ko ushobora kugira ingaruka mbi. Bityo rero ni ngombwa cyane kubimenya.Ntugafate metformin hamwe n'ibi!
Hari imiti imwe n'imwe idasabwa gufata hamwe na metformin.- Imiti igabanya ubukana bw'imiti . Urugero, niba uri gupimwa X-ray, CT scan, cyangwa MRI, ntabwo byemewe gufata metformin hamwe n'imiti imwe n'imwe igabanya ubukana bw'imiti. Niyo mpamvu ugomba kubwira muganga wawe imiti ufata mbere yo gupimwa.
- Umuti witwa Dofetilide .
Ibi bintu bishobora kandi kugira ingaruka ku
Hariho indi miti n'ibintu bishobora kugira ingaruka kuri metformin, bityo rero bwira muganga wawe niba ufata kimwe muri ibi:- Acetazolamide
- Inzoga
- Imiti imwe n'imwe igabanya ubukana bwa virusi itera SIDA cyangwa umwijima
- Imiti imwe n'imwe ivura umuvuduko w'amaraso , indwara z'umutima, n'umutima utera nabi
- Cimetidine
- Dichlorphenamide
- Digoxin
- Imiti igabanya ubukana bw'amaraso, izwi kandi nk'ibinini by'amazi
- Estrogens, progestins, cyangwa ibinini byo kuboneza urubyaro
- Glikopirolati
- Isoniazide
- Lamotrigine
- Memantine
- Methazolamide
- Metoclopramide
- Midodrine
- Niyasini
- Phenothiazine (urugero: chlorpromazine, mesoridazine, prochlorperazine, thioridazine)
- Phenytoin
- Ranolazine
- Imiti ya steroid (urugero: prednisone cyangwa cortisone)
- Ibitera indwara yo kudahanga amaso, kugabanya ibiro, cyangwa kuguma maso
- Imiti ya tiroyide
- Topiramate
- Trospiyumu
- Vandetanib
- Zonisamide
Ibintu ugomba kwitondera mugihe ufata uyu muti
Ugomba kwitonda cyane ku buzima bwawe mu gihe ufata Metformin. Jyana na muganga wawe buri gihe kugira ngo arebe uko uhagaze. Ikizamini cyitwa HbA1C gikorwa buri mezi 2-3 kugira ngo urebe uburyo diyabete yawe igenzurwa neza. Iki ni ikizamini cyoroshye cy'amaraso.Ku bijyanye n'urugero rw'isukari mu maraso
Iyo ufashe metformin hamwe na insuline cyangwa umuti wa diyabete witwa sulfonylurea, uba ufite ibyago byinshi byo kugira isukari nke mu maraso (hypoglycemia) . Bityo rero, menya uburyo bwo gupima isukari mu maraso yawe mu rugo (ukoresheje glucometer). Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia) n'isukari nyinshi mu maraso (hyperglycemia) n'uburyo bwo kubikemura.Buri gihe ujye witwaza isukari (urugero: agace ka bombo, ibinini bya glucose, cyangwa ikinyobwa kirimo isukari) mu gihe cy’impanuka . Iyo isukari yawe mu maraso igabanutse cyane, ushobora kugira igicuri cyangwa ugatakaza ubwenge, kandi umuryango wawe ugomba kumenyeshwa ko ushobora kubyimbirwa iyo ubahaye ibiryo cyangwa icyo kunywa muri icyo gihe. Ibi nibibaho, ugomba kwihutira gushaka abaganga.Niba igipimo cy'isukari mu maraso yawe gihora kiri hejuru (hyperglycemia), bwira muganga wawe. Igipimo cy'imiti yawe gishobora kuba ngombwa ko gihindurwa. Ushobora kandi gukenera guhindura igipimo cy'imiti yawe igihe urwaye cyangwa niba ukora siporo irenze isanzwe. Ntugasibe amafunguro . Baza muganga wawe ibyerekeye kunywa inzoga. Imiti imwe n'imwe yo gukorora n'ibicurane ugura muri farumasi ishobora kuba irimo isukari cyangwa inzoga. Ishobora kugira ingaruka ku gipimo cy'isukari mu maraso yawe.
Niba utwite cyangwa ugerageza gutwita
Ku bagore batarajya mu mihango bagira imihango idahwitse, gufata metformin bishobora gutera intanga. Ibi bishobora kongera amahirwe yo gutwita. Ntugafate uyu muti niba utwite cyangwa utekereza ko utwite. Vugana na muganga wawe ku bijyanye no kuboneza urubyaro mu gihe ufata uyu muti. Bibwire muganga wawe ako kanya niba utekereza ko utwite.Ikindi kintu kimwe: ku bijyanye n'igipfukisho cy'ibinini.
Hari igihe ushobora kubona ko igishishwa cy'ikinini kidashonga kandi kikavamo n'umwanda wawe. Ntugahangayike, ni ibisanzwe . Umuti uba warinjiye mu mubiri, kandi igishishwa cyonyine ni cyo gisohoka. Nta kibazo kirimo.Mbere yo kubagwa cyangwa ibindi bipimo
Niba ugiye kubagwa, cyangwa gupimwa nka MRI cyangwa CT scan, menya neza ko wabwiye muganga wawe ko urimo gufata metformin. Ushobora gusabwa guhagarika gufata imiti iminsi mike mbere yo gupimwa/kubagwa. Ambara umukufi cyangwa ikarita y'indangamuntu ya muganga , kandi buri gihe ujye witwaza ikarita irimo amateka y'ubuzima bwawe, imiti, n'ingano.Tekereza no kuri vitamine
Hari abantu bashobora kugabanuka k'urugero rwa aside folike na vitamine B12 mu gihe bafata metformin. Kubwibyo, menya neza ko urya izi vitamine bihagije mu gihe ufata uyu muti. Vugana na muganga wawe ku byerekeye ibyo kurya na vitamine urya.Ni izihe ngaruka mbi zishobora guterwa n'uyu muti? (Ingaruka mbi)
Kimwe n'indi miti iyo ari yo yose, Metformin ishobora gutera ingaruka zimwe na zimwe, nubwo atari buri wese uzibona.Ingaruka mbi zigomba kumenyeshwa muganga ako kanya
Niba ikintu nk'iki kikubayeho, bwira muganga wawe ako kanya :- Indwara zo kugira ubwivumbure : uduheri ku ruhu, kuribwa, uduheri, kubyimba mu maso, ku minwa, ku rurimi, cyangwa mu muhogo.
- Urugero rwa aside lactic nyinshi : Iyi ni indwara ikomeye cyane. Iyo wumvise ububabare bukabije cyangwa ububabare, ububabare bwo mu gifu, guhumeka bigoranye, kumva ufite intege nke, cyangwa ububabare muri rusange.
- Urugero rwa Vitamine B12 ruto : Ububabare, kugira ibinya, cyangwa kubura ibyiyumvo mu ntoki cyangwa ibirenge, intege nke z'imitsi, isereri, kugorwa no kwita ku bintu, urujijo.
Ibintu ubusanzwe bitari bikomeye, ariko bigomba kumenyeshwa muganga niba bikomeje
Izi ngaruka mbi akenshi zishira mu minsi mike, ariko niba zikomeje cyangwa zikakubangamira cyane, bwira muganga wawe:- Impiswi
- Kubyimba/Gaz
- Umutwe
- Uburyohe bw'icyuma mu kanwa
- Isesemi
Ukwiye kubika gute imiti yawe?
Ni ngombwa kandi kubika imiti yawe neza. Uyibike ahantu abana n'amatungo batagera . Uyibike ahantu hari ubushyuhe bw'icyumba (hagati ya dogere selisiyusi 15 na 30, hagati ya dogere selisiyusi 59 na 86) kure y'urumuri. Ntugakoreshe umuti uwo ari wo wose nyuma y'itariki ntarengwa .Ukora iki ku miti idakoreshwa n'iyarengeje igihe?
Ntugashyire umuti utakoreshejwe mu myanda gusa.- Bahe gahunda yo gufata imiti. Ushobora kubaza farumasi yawe cyangwa polisi ibijyanye n'aho hantu.
- Niba bidashoboka, reba agapaki k'imiti cyangwa icyapa cyayo kugira ngo urebe niba ukwiye kuyijugunya mu myanda cyangwa kuyijugunya mu musarani. Niba utabizi neza, baza muganga wawe cyangwa farumasi.
- Niba ushobora kujugunya umuti mu myanda, kuwukura mu gapaki, kuwuvanga n'ikintu nk'imyanda y'injangwe, itaka, cyangwa ikawa, kuwushyira mu gikapu cyangwa mu gikoresho, kuwufunga, hanyuma ukawujugunya mu myanda.
Ibintu by'ingenzi ugomba kuzirikana (Ubutumwa bwo kujyana mu rugo)
Noneho, twavuze byinshi ku binini bya Metformin Extended-Release. Hanyuma, dore ibintu by'ingenzi ugomba kwibuka:- Fata igipimo cyatanzwe ku gihe cyatanzwe, nk'uko muganga abivuga. Ni byiza kugifata hamwe n'ibiryo.
- Bwira muganga wawe indi miti yose ufata n'indwara zose ufite.
- Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia)Kandi witegure.
- Niba ugize ikintu kidasanzwe cyangwa ufite ingaruka mbi zikomoka ku miti, hita ubibwira muganga wawe.
- Ntugahagarike gufata umuti mu buryo butunguranye utabanje kugirwa inama na muganga.
- Jyana na muganga wawe buri gihe kandi urebe uko umerewe.
Metformin , diyabete, isukari yo mu maraso, insuline, ingaruka mbi, imiti, ubuzima
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.