Metformin yechirwere cheshuga: Zvaunofanira kuziva (Metformin)

Kana uine chirwere cheshuga cherudzi rwechipiri, chiremba wako angangokupa mushonga unonzi Metformin. Uyu mushonga unokosha zvikuru unoshandiswa zvakanyanya nevanorwara nechirwere cheshuga munyika medu nepasi rose. Saka, sei mushonga uyu uchikosha kudaro? Unoshanda sei mumuviri wedu? Ndezvipi zvinogona kukonzera migumisiro yakaipa? Ndezvipi zvinhu zvekutya? Ngatitaurei nezvese izvi zviri nyore, sekunge tiri kutaura neshamwari nhasi.

Metformin inoshanda sei mumuviri?

Zvichitaurwa zviri nyore, metformin inobatsira kudzora huwandu hweshuga muropa rako nenzira nhatu huru. Funga nezvazvo semutariri akangwara.

1. Inoderedza kugadzirwa kweshuga nechiropa: Kazhinji, chiropa chedu chinoburitsa shuga inodiwa nemuviri wedu. Mumunhu ane chirwere cheshuga, maitiro aya akawandisa. Metformin inopa chiropa "chiratidzo" chinoti, "Zvakanaka, deredza kugadzirwa zvishoma, kwatova neshuga yakawandisa muropa."

2. Inowedzera kunzwa kwemuviri ku insulin: Dambudziko guru muchirwere cheshuga kuramba insulin. Izvi zvinoreva kuti kunyangwe paine insulin mumuviri, masero emuviri, kunyanya masero emhasuru, haapindure zvakanaka ku insulin iyoyo. Metformin inobatsira masero aya kuti ave nehanya ne insulin. Zvadaro, shuga iri kuyerera muropa inogona kupinda mutsandanyama nyore nyore uye kushandiswa sesimba.

3. Inoderedza kupinza shuga muchikafu: Muviri unopinza shuga muchikafu chatinodya kubva muura. Metformin inoderedza kumhanya uye huwandu hweshuga inotorwa kubva muura uhwu.

Nzira nhatu idzi chete dzinogona kubatsira kuderedza bvunzo yako yeA1c , inova chiyero cheavhareji yehuwandu hweshuga muropa rako mumwedzi mishoma yapfuura. Mushonga uyu unogona zvakare kubatsira kunonotsa kufambira mberi kwechirwere cheshuga chisati chatanga.

Mhando dzeMetformin uye mhando

Metformin inowanikwa pasi pemazita akasiyana-siyana. Chiremba wako anogona kunge akakupa mazita akadai sekuti `Glucophage`, `Fortamet`, `Riomet`. Aya anowanikwa muchimiro chemapiritsi uye muchimiro chemvura.

Dzimwe nguva metformin inopihwa pamwe chete nemumwe mushonga wechirwere cheshuga. Semuenzaniso, Janumet ipiritsi rakasanganiswa rinosanganisa sitagliptin nemetformin. Chiremba wako ndiye achasarudza kuti ndeapi mhando uye piritsi raunofanira kutora.

Ndezvipi zvinonyanya kukonzera migumisiro yakaipa?

Kufanana nemishonga yese, Metformin inogona kuva nemigumisiro. Asi usazvidya mwoyo , yakawanda yacho idiki uye inozopera nekufamba kwenguva muviri wako paunotanga kujaira mushonga wacho. Migumisiro inowanzoonekwa ndeyekurwadziwa mudumbu.

Nzira yakanakisisa yekuderedza kusagadzikana uku ndeyekunwa mushonga panguva yekudya kana mushure mekudya . Zviri nyore kunwa mushonga mudumbu pane kuunwa usina chinhu.

Chimwe chinhu ndechekuti mamwe mapiritsi e-extended-release (ETU) (aya ndiwo marudzi anoburitsa mushonga mumuviri nekufamba kwenguva) anogona kubuda pamwe chete netsvina. Usazvidya moyo kana ukaona izvi. Mushonga wacho wapinda mumuviri.

Migumisiro isingawanzoitiki asi yakakomba

Izvi hazviwanzoonekwa , asi zvakakosha kuti uzvizive.

1. Lactic Acidosis

Uyu ndiwo mhedzisiro yakaipa zvikuru asi isingawanzoitiki yemetformin. Inoitika kana kemikari inonzi lactic acid yaungana mumiviri yedu. Inoitika muvanhu vashoma kwazvo. Vanhu vanotevera ndivo vari panjodzi huru:

• Vanhu vane chirwere cheitsvo kana chechiropa
• Vanhu vanonwa doro zvakanyanya
• Vanhu vane zvirwere zvemwoyo zvakakomba
• Vanhu vane fivha, manyoka, kana kurutsa nekuda kwekushaya mvura mumuviri

Chenjerera zviratidzo izvi:

Pamusoro pekurwadziwa mudumbu, dzungu, uye kunzwa kusuruvara, kana ukanzwa kusanzwa kana kutonhorwa kusingawanzoitiki mumakumbo ako kana kuchinja kwemoyo wako , fonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.

2. Kushaikwa kweVitamin B12

Vamwe vanhu vanogona kuwana mazinga eVitamin B12 asina kusimba kana vachitora metformin kwenguva yakareba. Izvi zvinogona kuwedzera zviratidzo zve peripheral neuropathy, iyo yatova njodzi yechirwere cheshuga. Zvinogonawo kukonzera anemia, kana kurasikirwa neropa.

Saka, kuchenjera kutaura nachiremba wako uye kuongororwa huwandu hwevhitamini B12 yako nguva nenguva.

3. Hypoglycemia - shuga shoma muropa

Kashoma kuti munhu anotora Metformin ari ega aderedze shuga yake yeropa zvakanyanya. Zvisinei, kana ukatora mimwe mishonga yechirwere cheshuga (semuenzaniso Gliclazide, Insulin) neMetformin, uchiita maekisesaizi zvakanyanya, kana usingadyi zvakanaka, shuga yako yeropa inogona kuderera zvakanyanya. Kana ukaona zviratidzo zvakaita sekudikitira, kudedera, nzara yakanyanya, kana dzungu, idya chimwe chinhu chinotapira (chipunu cheshuga, siwiti) nekukasika.

Maitiro ekugadzirisa migumisiro yakaipa?

Pane zvinhu zvakawanda zvaunogona kuita kudzivirira kana kuderedza migumisiro yakaipa yakawanda.

• Tanga nedosi shoma: Chiremba wako anowanzotanga nedosi shoma, ozowedzera dosi zvishoma nezvishoma muviri wako paunotanga kuigadzirisa.
• Inwa mushonga pamwe chete nechikafu: Iyi ndiyo nzira yakanakisisa yekuderedza kusagadzikana kwemudumbu.
• Bvunza nezverudzi rweExtended-Release (ETU) : Rudzi urwu rwepiritsi runotorwa kamwe chete pazuva. Sezvo mushonga wacho uchiburitswa mumuviri nekufamba kwenguva, migumisiro yakadai sekuzvimba uye kuda kurutsa hainyanyi kuitika. Kana uri kunetseka zvakanyanya nepiritsi renguva dzose, bvunza chiremba wako kana uchigona kuchinja kune rudzi urwu.

Metformin nemimwe mishonga

Metformin inogona kushanda pamwe chete nemimwe mishonga yauri kutora, saka zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini).