Ese nawe urwaye Diyabete yo mu bwoko bwa 2? Niba ari uko bimeze, hari amahirwe menshi ko muganga wawe yakwandikiye umuti witwa Metformin. Uyu munsi turimo kuvuga kuri uyu muti usanzwe ukoreshwa muri twe muri Sri Lanka, ukoreshwa n'abantu benshi mu kurwanya diyabete. Tuzareba ibintu byose mu buryo bworoshye kandi bwumvikana, nko kuwufata, ibintu ugomba kwitondera, ndetse no kumenya niba hari ingaruka mbi zihari.
Metformin ni iki mu by'ukuri?
Muri make, Metformin ni umuti uhabwa abantu barwaye diyabete yo mu bwoko bwa 2. Ukora cyane cyane mu kugenzura urugero rw'isukari mu maraso yawe, cyangwa urugero rw'isukari. Nanone ufasha umubiri wawe gukoresha imisemburo ya insuline neza.
Ubusanzwe abaganga batanga uyu muti hamwe n'indyo nziza n'imyitozo ngororamubiri. Gufata uyu muti byonyine ntibihagije, ugomba no kwita kuri ibyo bintu. Hari igihe uyu muti ushobora kuba atari uwa diyabete gusa, ahubwo no ku zindi ndwara nka Polycystic Ovary Syndrome (PCOS).
Ibintu ugomba kubwira muganga wawe mbere yo gutangira metformin
Ni ngombwa cyane ko muganga wawe amenya neza uko ubuzima bwawe buhagaze mbere yo kuguha Metformin. Kubwibyo, niba ufite imwe muri izi ndwara zikurikira, menya neza ko wabibwiye muganga wawe.
- Niba ufite ikibazo cyo kubura amaraso.
- Kubura amazi mu mubiri ni ikibazo aho umubiri ubura amazi.
- Niba ufite indwara y'umutima.
- Niba ukunda kunywa inzoga buri gihe.
- Niba ufite indwara y'impyiko.
- Niba ufite indwara y'umwijima.
- Niba ufite indwara ya polycystic ovary syndrome (PCOS).
- Niba ufite ubwandu bukomeye cyangwa igikomere gikomeye.
- Iyo umuntu ahora aruka.
- Niba ufite ubwivumbure kuri metformin cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi.
- Niba urimo kugerageza gutwita cyangwa usanzwe utwite.
- Niba uri umubyeyi wonsa.
Ni ingenzi cyane ku mutekano wawe kubwira muganga aya makuru utabanje kuyahisha.
Ni gute neza neza nkoresha uyu muti?
Ugomba gukoresha uyu muti neza nk'uko muganga wawe abikubwira. Kurikiza amabwiriza ari ku icupa ry'umuti neza.
- Ufata ufata ifunguro: Uyu muti ukunze gufatwa ufata ifunguro cyangwa nyuma yaryo. Ibi bizagabanya kubabara mu gifu.
- Igipimo gikwiye:Niba utanga ibi nk'igisubizo, koresha ikiyiko cyangwa igikombe cyihariye cyo gupimisha gusa. Ntugakoreshe ibiyiko bisanzwe byo mu gikoni, kuko atari byo.
- Ku gihe: Imenyere gufata imiti yawe mu gihe kimwe buri munsi. Ntugafate imiti irenze iyo muganga akubwira.
Wakora iki niba wabuze dose y'umuti?
Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri kugira ngo wishyure dose wibagiwe.
Bite ho iyo mfashe imiti myinshi?
Niba ufite amakenga make ko wafashe ikinini kirenze urugero, jya ku bitaro bikuru byita ku butabazi bwihuse (ETU). Cyangwa, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo ugire inama.
Indi miti ishobora kugira ingaruka kuri metformin
Metformin ni umuti ushobora kugira ingaruka ku yindi miti, bityo ni ngombwa kubwira muganga wawe imiti yose ufata.
| Ubwoko bw'umuti | Ibisobanuro |
|---|---|
| Imiti idakwiye gufatwa na Metformin | |
| Amarangi yo gutandukanya ibintu | Hari ubwoko bumwe na bumwe bw'irangi buterwa mu mubiri mbere yo gupimwa nka X-rays, CT scans, na MRIs. |
| Dofetilide | Umuti wihariye w’indwara z’umutima. |
| Ibindi bintu bishobora gutera ibibazo kuri metformin | |
| Inzoga | Kunywa inzoga bishobora gutuma urugero rw'isukari mu maraso rugabanuka cyane cyangwa bikazamura urugero rwa aside lactic. |
| Indi miti | Imiti ivura umuvuduko ukabije w'amaraso, VIH / Hepatitis, ibinini byo kuboneza urubyaro, steroid, imiti igabanya ubukana bwa tiroyide, vitamine zimwe na zimwe (Niacin), n'izindi nyinshi zishobora kugira ingaruka kuri ibi. |
Icy'ingenzi kurushaho: Ntugabwire muganga wawe ibinini ufata gusa, ahubwo ubwire n'imiti iyo ari yo yose ya Ayurvedic, vitamine, ibyatsi gakondo, n'inyongeramusaruro ukoresha.
Ibintu ugomba kwitondera mu gihe ufata imiti
Ikizamini cya HbA1C
Muganga wawe azagutegeka gupimwa amaraso yitwa HbA1C kugira ngo arebe uburyo diyabete yawe igenzurwa neza. Iki kizamini gipima impuzandengo y'isukari mu maraso yawe mu mezi 2-3 ashize. Ni ngombwa gukora iki kizamini nibura buri mezi 3-6.
Isukari nke mu maraso (Hypoglycemia)
Iyo ufashe imiti ya insuline cyangwa indi miti ya diyabete hamwe na metformin, isukari mu maraso yawe ishobora kugabanuka mu buryo butunguranye (hypo). Menya ibimenyetso byabyo (ibyuya, guhinda umushyitsi, inzara ikabije, kubura amahoro). Buri gihe shyira ikintu nk'akabari cyangwa agace k'isukari hafi yawe. Niba watakaje ubwenge, bwira umuryango wawe kudashyira ikintu mu kanwa kawe. Ibi nibibaho, ugomba kujya kwa muganga vuba.
Indwara n'ukubagwa
Niba ugiye kubagwa cyangwa gupimwa na MRI/CT, bwira muganga wawe mbere y'igihe ko ufata Metformin. Ushobora gukenera guhagarika gufata imiti iminsi mike mbere y'uko upimwa/ubagwa.
Kubura Vitamine
Gukoresha metformin igihe kirekire bishobora gutera urugero ruke rwa aside folike na vitamine B12 kuri bamwe. Vugana na muganga wawe kuri ibi kandi ufate inyunganiramirire nibiba ngombwa.
Ingaruka mbi zishobora guterwa n'imiti
Kimwe n'indi miti yose, Metformin ishobora gutera ingaruka mbi ku bantu bamwe na bamwe. Inyinshi muri zo ntabwo ari mbi cyane.
| Ubwoko bw'ingaruka mbi | Ibiranga |
|---|---|
| Ingaruka mbi zikomeye zigomba kumenyeshwa muganga ako kanya | |
| Ubushobozi bwo kugira ubwivumbure | Uruhu rushyushye, kuribwa, kubyimba mu maso, ku minwa, ku rurimi cyangwa mu muhogo. |
| Aside ya Lactic (urugero ruri hejuru rwa aside ya lactic) | Kubabara imitsi cyangwa ububabare, kubabara mu nda, guhumeka bigoranye, umunaniro ukabije. (Iyi ni indwara idasanzwe ariko ikomeye). |
| Kubura Vitamine B12 (urugero ruto rwa Vitamine B12) | Kubabara, kubabara, intege nke z'imitsi, isereri, no kwibagirwa. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
| Kubabara mu nda | Impiswi, umwuka, n'isesemi (ibi bikunze kugaragara mu ntangiriro zo gufata umuti hanyuma bigashira). |
| Ibindi | Kuribwa umutwe, uburyohe bw'icyuma mu kanwa. |
Ubutumwa bwo kujyana mu rugo
- Buri gihe fata Metformin nk'uko muganga wawe yabigutegetse, mu rugero rwabigenewe, hamwe n'ifunguro.
- Menyesha muganga wawe indi miti yose, vitamine, n'indwara iyo ari yo yose urimo gufata.
- Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia). Buri gihe shyira ikintu kirimo isukari hafi yawe (nk'akantu ko mu bwoko bwa bombo).
- Ntugahagarike gufata imiti cyangwa ngo uhindure ingano yayo utabanje kugisha inama muganga wawe.
- Ntugasimbuke ibizamini byagenwe byo kwa muganga, nka HbA1C.
- Iyo habayeho ingaruka mbi zikomeye, shaka ubufasha bwa muganga ako kanya.
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