I-Metformin yesifo seswekile: Oko kufuneka ukwazi (iMetformin)

Ukuba unesifo seswekile sohlobo lwesibini, ugqirha wakho uza kukunika iyeza elibizwa ngokuba yiMetformin. Eli liyeza elibaluleke kakhulu elisetyenziswa kakhulu ngabantu abanesifo seswekile kwilizwe lethu nakwihlabathi liphela. Kutheni ke eli yeza libaluleke kangaka? Lisebenza njani emizimbeni yethu? Zithini iziphumo ebezingalindelekanga? Zithini izinto ekufuneka sizoyike? Masithethe ngazo zonke ezi zinto ngokulula, ngokungathi sithetha nomhlobo namhlanje.

I-metformin isebenza njani emzimbeni?

Ngamafutshane, i-metformin inceda ukulawula amanqanaba eswekile egazini lakho ngeendlela ezintathu eziphambili. Cinga ngayo njengomphathi okrelekrele.

1. Inciphisa ukuveliswa kweswekile sisibindi: Ngokwesiqhelo, isibindi sethu sivelisa iswekile (iswekile) esiyidingayo emzimbeni wethu. Kumntu onesifo seswekile, le nkqubo ininzi kakhulu. I-Metformin inika isibindi "uphawu" oluthi, "Kulungile, ngoku nciphisa ukuveliswa kancinci, sele kukho iswekile eninzi egazini."

2. Yonyusa uvakalelo lomzimba kwi-insulin: Eyona ngxaki iphambili kwisifo seswekile kukunganyamezelani ne-insulin. Oku kuthetha ukuba nangona kukho i-insulin emzimbeni, iiseli zomzimba, ingakumbi iiseli zemisipha, aziphenduli ngokufanelekileyo kuloo insulin. I-Metformin inceda ezi seli ukuba zibe novakalelo ngakumbi kwi-insulin. Emva koko, iswekile edada egazini inokungena lula kwimisipha ize isetyenziswe njengamandla.

3. Inciphisa ukufunxwa kweswekile ekutyeni: Umzimba ufunxwa iswekile ekutyeni esikutyayo emathunjini. I-Metformin inciphisa isantya kunye nobungakanani beswekile efunxwa kula mathumbu.

Ezi ndlela zintathu zodwa zinokukunceda ukwehlisa uvavanyo lwakho lwe-A1c , oluyindlela yokulinganisa amanqanaba akho eswekile egazini kwiinyanga ezimbalwa ezidlulileyo. Eli yeza linokunceda ukulibazisa ukuqhubela phambili kwesifo seswekile ngaphambi kokuba sibe nesifo seswekile.

Iintlobo kunye neempawu zeMetformin

I-Metformin ifumaneka phantsi kwamagama eempawu ezahlukeneyo. Ugqirha wakho usenokuba ukunike yona phantsi kwamagama anje nge-'Glucophage', 'Fortamet', 'Riomet'. Ezi zifumaneka kwi-tablet nakwimo yolwelo.

Ngamanye amaxesha i-metformin inikwa kunye nelinye iyeza lesifo seswekile. Umzekelo, i-Janumet yipilisi edibeneyo edibanisa i-sitagliptin kunye ne-metformin. Ugqirha wakho uya kugqiba ukuba loluphi uhlobo kunye nomthamo omele uwuthathe.

Zeziphi iziphumo ebezingalindelekanga eziqhelekileyo?

Njengayo nayiphi na imithi, iMetformin inokuba nemiphumo emibi. Kodwa ungakhathazeki , uninzi lwayo luncinci kwaye luya kuphela ngokuhamba kwexesha njengoko umzimba wakho uqhela amayeza. Iziphumo ebezingalindelekanga eziqhelekileyo kukuphazamiseka kwesisu.

Eyona ndlela ingcono yokunciphisa ezi ntlungu kukuthatha amayeza ngaphambi kokutya okanye emva kokutya . Kulula ukuwasela esiswini kunokuwasela ungenanto esiswini.

Enye into kukuba ezinye iipilisi ze-extended-release (ETU) (ezi ziintlobo ezikhupha iyeza emzimbeni ngokuhamba kwexesha) ngamanye amaxesha zinokuphuma kunye nendle. Musa ukukhathazeka ukuba uyakubona oku. Iyeza lifunxwe emzimbeni.

Iziphumo ebezingalindelekanga ezingaqhelekanga kodwa ezinzulu

Ezi azifane zibonwe, kodwa kubaluleke kakhulu ukuba uzazi.

1. I-Lactic Acidosis

Esi sesona siphumo sibi kodwa singaqhelekanga se-metformin. Senzeka xa ikhemikhali ebizwa ngokuba yi-lactic acid iqokelelana emizimbeni yethu. Senzeka kubantu abambalwa kakhulu. Abantu abalandelayo basengozini enkulu:

• Abantu abanesifo sezintso okanye sesibindi
• Abantu abasela utywala kakhulu
• Abantu abaneengxaki zentliziyo ezinzulu
• Abantu abaphelelwe ngamanzi emzimbeni ngenxa yomkhuhlane, urhudo, okanye ukuhlanza

Lumka kwezi mpawu:

Ukongeza kwiintlungu zesisu, isiyezi, kunye nokuziva udiniwe, ukuba ufumana ukungaziva okanye ukubanda okungaqhelekanga kwimilenze yakho okanye utshintsho kwintliziyo yakho , fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.

2. Ukunqongophala kweVithamin B12

Abanye abantu banokufumana amanqanaba aphantsi e-vitamin B12 xa bethatha i-metformin ixesha elide. Oku kunokunyusa iimpawu ze-peripheral neuropathy, esele iyinto ebangela isifo seswekile. Kunokubangela i-anemia, okanye ukulahleka kwegazi.

Ngoko ke, kububulumko ukuthetha nogqirha wakho kwaye uhlolwe amanqanaba akho e-vitamin B12 rhoqo.

3. I-Hypoglycemia - iswekile ephantsi egazini

Kunqabile kakhulu ukuba umntu osebenzisa iMetformin eyedwa abe neswekile egazini lakhe yehla kakhulu. Nangona kunjalo, ukuba uthatha amanye amayeza eswekile (umz. iGliclazide, iInsulin) kunye neMetformin, uzilolonga kakhulu, okanye awutyi kakuhle, iswekile yakho egazini inokwehla kakhulu. Ukuba ufumana iimpawu ezifana nokubila, ukungcangcazela, indlala enkulu, okanye isiyezi, yitya into emnandi (icephe leswekile, iqhekeza lelekese) ngoko nangoko.

Ungayilawula njani imiphumo emibi?

Kukho izinto ezininzi onokuzenza ukuze uphephe okanye unciphise iziphumo ebezingalindelekanga ezininzi.

• Qala ngedosi ephantsi: Ugqirha wakho uhlala eqala ngedosi ephantsi kuqala, aze anyuse idosi kancinci kancinci njengoko umzimba wakho uhlengahlengisa.
• Sela amayeza xa usitya: Le yeyona ndlela ilungileyo yokunciphisa ukungonwabi esiswini.
• Buza ngohlobo lwe-Extended-Release (ETU) : Olu hlobo lwepilisi luthathwa kube kanye ngemini. Ekubeni iyeza likhutshwa emzimbeni ngokuhamba kwexesha, iziphumo ebezingalindelekanga ezifana nokudumba kunye nesicaphucaphu azinakwenzeka kangako. Ukuba unengxaki ngakumbi ngepilisi eqhelekileyo, buza ugqirha wakho ukuba ungatshintshela kolu hlobo.

I-Metformin kunye neminye imithi

I-Metformin inokunxibelelana namanye amayeza owasebenzisayo, ngoko ke kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka neevithamini).