Iwe une chirwere cheshuga cherudzi rwechipiri here? Kana zvakadaro, pane mukana mukuru wekuti chiremba wako akakunyorera mushonga unonzi Metformin. Nhasi tiri kutaura nezvemushonga uyu unozivikanwa zvikuru pakati pedu muSri Lanka, unoshandiswa nevanhu vazhinji kudzora chirwere cheshuga. Tichatarisa zvese nenzira iri nyore uye inonzwisisika, senge mashandisirwo awo, zvinhu zvekungwarira, uye kana paine mimwe migumisiro yakaipa.
Chii chinonzi Metformin?
Zvichitaurwa zviri nyore, Metformin mushonga unopiwa vanhu vane chirwere cheshuga cherudzi rwechipiri. Unonyanya kushanda nekudzora huwandu hweshuga muropa rako, kana huwandu hweshuga muropa. Unobatsirawo muviri wako kushandisa hormone ye insulin nemazvo.
Vanachiremba vanowanzo nyora mushonga uyu pamwe chete nekudya zvakanaka uye kurovedza muviri. Kutora mushonga wega hazvina kukwana, unofanirawo kutarisira zvinhu izvozvo. Dzimwe nguva mushonga uyu unogona kunyorerwa kwete chirwere cheshuga chete, asiwo kune zvimwe zvirwere zvakaita sePolycystic Ovary Syndrome (PCOS).
Zvinhu zvekuudza chiremba wako usati watanga kushandisa metformin
Zvakakosha kuti chiremba wako azive zvizere nezveutano hwako asati akupa Metformin. Saka, kana uine chimwe chezvirwere zviri pazasi, iva nechokwadi chekuudza chiremba wako nezvazvo.
- Kana uine anemia.
- Kushaya mvura mumuviri chirwere chinokonzerwa nekushaya mvura mumuviri.
- Kana uine chirwere chemwoyo.
- Kana uri munhu anonwa doro nguva dzose.
- Kana uine chirwere cheitsvo.
- Kana uine chirwere chechiropa.
- Kana uine chirwere chepolycystic ovary syndrome (PCOS).
- Kana uine hutachiona kana kukuvara kwakanyanya.
- Kana paine kurutsa kunoramba kuripo.
- Kana uine allergy kana metformin kana chero imwe mishonga, chikafu, kana dhayi.
- Kana uri kuedza kubata pamuviri kana kuti watova nepamuviri.
- Kana uri amai vanoyamwisa.
Zvakakosha zvikuru kuti iwe pachako uchengetedzeke kuudza chiremba ruzivo urwu usingavanzi.
Ndingashandisa sei mushonga uyu chaizvo?
Unofanira kushandisa mushonga uyu sezvawakaudzwa nachiremba wako. Tevedzera mirairo iri pabhodhoro remushonga nemazvo.
- Tora mushonga uyu uchidya: Mushonga uyu unowanzo nwiwa panguva yekudya kana mushure mekudya. Izvi zvinoderedza kusagadzikana kwemudumbu.
- Kuyera kwakarurama:Kana uri kupa izvi semhinduro, shandisa chipunu kana kapu yekuyeresa yakakosha chete. Usashandise zvipunu zvekicheni zvenguva dzose, sezvo zvisiri zvechokwadi.
- Nenguva: Ita tsika yekunwa mushonga wako panguva imwe chete zuva nezuva. Usatore zvinopfuura zvawaudzwa nachiremba.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usambofa wakatora mushonga kaviri kuti udzorere mushonga wawakakanganwa.
Ko kana ndikatora mushonga wakawandisa?
Kana uine fungidziro diki yekuti wakatora mushonga wakawandisa, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Kana, fonera National Poisons Information Centre paColombo National Hospital kuti uwane mazano.
Mimwe mishonga inogona kupindirana ne metformin
Metformin mushonga unogona kushanda pamwe chete nemimwe mishonga, saka zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora.
| Rudzi rwemushonga | Tsananguro |
|---|---|
| Mishonga isingafanirwe kutorwa neMetformin | |
| Madhayi Ekuenzanisa | Mamwe marudzi emadhayi anoiswa mumuviri usati waongororwa zvakaita seX-rays, CT scans, uye MRIs. |
| Dofetilide | Mushonga unokosha wezvirwere zvemwoyo. |
| Zvimwe zvinhu zvinogona kukonzera matambudziko ne metformin | |
| Doro | Kunwa doro kunogona kukonzera kuti huwandu hweshuga muropa hudzike zvine njodzi kana kuwedzera huwandu hwelactic acid mumuviri. |
| Mimwe mishonga | Mishonga yeBP yakakwira, HIV/Hepatitis, mapiritsi ekuronga mhuri, masteroids, mishonga yemahormone ethyroid, mamwe mavhitamini (Niacin), nezvimwe zvakawanda zvinogona kukanganisa izvi. |
Chinonyanya kukosha: Udza chiremba wako kwete chete nezvemapiritsi aunonwa, asiwo nezvemishonga yeAyurvedic, mavhitamini, mishonga yechivanhu, uye zvinovaka muviri zvaunoshandisa.
Zvinhu zvaunofanira kungwarira paunenge uchitora mushonga
Kuongororwa kweHbA1C
Chiremba wako acharaira kuongororwa ropa kunonzi HbA1C kuti aone kuti chirwere chako cheshuga chinodzorwa sei. Kuongororwa uku kunoyera huwandu hweshuga yako muropa mumwedzi miviri kusvika mitatu yapfuura. Zvakakosha kuti uedzwe kanenge mwedzi mitatu kusvika mitanhatu yega yega.
Shuga shoma muropa (Hypoglycemia)
Kana ukatora insulin kana mimwe mishonga yeshuga ine metformin, shuga yako yeropa inogona kudonha kamwe kamwe (hypo). Ziva zviratidzo zveizvi (kudikitira, kudedera, nzara yakawandisa, kusagadzikana). Gara uchichengeta chimwe chinhu chakaita seswiti kana chidimbu cheshuga pedyo. Kana ukarasikirwa nepfungwa, udza mhuri yako kuti isaise chero chinhu mumuromo mako. Kana izvi zvikaitika, unofanira kuenda kuchipatara nekukasika.
Kurwara nekuvhiyiwa
Kana uchizovhiyiwa kana kuongororwa neMRI/CT, udza chiremba wako pachine nguva kuti uri kutora Metformin. Ungangoda kurega kutora mushonga mazuva mashoma bvunzo/kuvhiyiwa kusati kwaitwa.
Kushomeka kwemavhitamini
Kushandisa metformin kwenguva refu kunogona kukonzera kudzikira kwe folic acid ne vitamin B12 mune vamwe vanhu. Taura nachiremba wako nezveizvi uye tora mishonga yekuwedzera kana zvichidikanwa.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemushonga upi zvawo, Metformin inogona kukonzera migumisiro yakaipa kune vamwe vanhu. Mizhinji yacho haisi yakaipa.
| Rudzi rwemhedzisiro yakaipa | Hunhu |
|---|---|
| Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Lactic acidosis (Lactic acid level yakakwira) | Kurwadziwa kwetsandanyama kana kurwadziwa, kurwadziwa mudumbu, kuoma kufema, kuneta zvakanyanya. (Ichi chirwere chisingawanzoitiki asi chakakomba). |
| Kushaikwa kweVitamin B12 (Kushomeka kweVitamin B12) | Kushaya simba, kurwadziwa, kushaya simba kwetsandanyama, dzungu, kutadza kurangarira. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Kusagadzikana kwedumbu | Manyoka, gasi, uye kuda kurutsa (izvi zvinowanzoitika pakutanga kwekutora mushonga wobva wadzikira). |
| Zvimwe | Musoro, kuravira kwesimbi mumuromo. |
Mharidzo Yekuenda Nayo Kumba
- Nguva dzose tora Metformin sezvakarairwa nachiremba wako, muhuwandu hwakatarwa, pamwe chete nekudya.
- Udza chiremba wako nezvemimwe mishonga yese, mavhitamini, uye chero mamiriro ehutano auri kutora.
- Ziva zviratidzo zveshuga yakaderera muropa (hypoglycemia). Gara uchichengeta chimwe chinhu chine shuga (senge sweet bar) pedyo.
- Usamborega kutora mishonga kana kuchinja mwero wemushonga usina kubvunza chiremba wako.
- Usapotsa bvunzo dzekurapa dzakarongwa , dzakadai seHbA1C.
- Kana paine mhedzisiro yakakomba, tsvaga rubatsiro rwechiremba nekukasika.
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