Ngaba nawe unesifo seswekile sohlobo lwesibini? Ukuba kunjalo, kukho ithuba elihle lokuba ugqirha wakho ukunike iyeza elibizwa ngokuba yiMetformin. Namhlanje sithetha ngale yeza ixhaphakileyo phakathi kwethu eSri Lanka, esetyenziswa ngabantu abaninzi ukulawula isifo seswekile. Siza kujonga yonke into ngendlela elula neqondakalayo, njengokuba ungayithatha njani, zeziphi izinto ekufuneka uzilumkele, kunye nokuba kukho naziphi na iziphumo ebezingalindelekanga.
Yintoni kanye kanye iMetformin?
Ngamafutshane, iMetformin liyeza elinikwa abantu abanesifo seswekile sohlobo lwesibini. Isebenza kakhulu ngokulawula amanqanaba eswekile egazini lakho, okanye amanqanaba eglucose. Ikwanceda umzimba wakho usebenzise i-hormone ye-insulin ngokufanelekileyo.
Oogqirha badla ngokunika eli yeza kunye nokutya okunempilo kunye nokuzilolonga. Ukusela eli yeza lodwa akwanelanga, kufuneka uzinyamekele ezo zinto. Ngamanye amaxesha eli yeza lisenokunikwa kungekuphela nje isifo seswekile, kodwa nakwezinye iimeko ezifana nePolycystic Ovary Syndrome (PCOS).
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale i-metformin
Kubaluleke kakhulu ukuba ugqirha wakho azi kakuhle imeko yakho yempilo ngaphambi kokuba akunike iMetformin. Ngoko ke, ukuba unayo nayiphi na kwezi meko zingezantsi, qiniseka ukuba uxelela ugqirha wakho ngayo.
- Ukuba une-anemia.
- Ukuphelelwa ngamanzi emzimbeni yimeko apho umzimba ungenamanzi.
- Ukuba unesifo sentliziyo.
- Ukuba usela rhoqo.
- Ukuba unesifo sezintso.
- Ukuba unesifo sesibindi.
- Ukuba une-polycystic ovary syndrome (PCOS).
- Ukuba unosulelo olukhulu okanye wenzakele.
- Ukuba kukho ukuhlanza okungapheliyo.
- Ukuba une-allergy kwi-metformin okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukuba uzama ukukhulelwa okanye sele ukhulelwe.
- Ukuba ungumama oncancisayo.
Kubaluleke kakhulu kukhuseleko lwakho ukuxelela ugqirha olu lwazi ngaphandle kokulufihla.
Ndingayisebenzisa njani kanye kanye le yeza?
Ufanele usebenzise eli yeza kanye njengoko ugqirha wakho ekuxelele. Landela imiyalelo ekwibhotile yeyeza ngqo.
- Yithathe ngexesha lokutya: Eli yeza lidla ngokuthathwa ngexesha lokutya okanye emva kokutya. Oku kuya kunciphisa ukungonwabi esiswini.
- Umlinganiselo ochanekileyo:Ukuba unika oku njengesisombululo, sebenzisa icephe okanye ikomityi ekhethekileyo yokulinganisa kuphela. Musa ukusebenzisa iitisipuni eziqhelekileyo zasekhitshini, kuba azichanekanga.
- Ngexesha: Ziqhelise ukusela amayeza akho ngexesha elifanayo yonke imihla. Musa ukuthatha amayeza angaphezu kwalawo ugqirha akuxelele wona.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokuthatha idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini ukuze ubuyisele idosi oyilibeleyo.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba unesikrokro sokuba uthathe i-overdose, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko. Okanye, fowunela iZiko leSizwe loLwazi ngeePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Amanye amayeza anokusebenzisana ne-metformin
I-Metformin liyeza elinokusetyenziswana namanye amayeza, ngoko ke kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo.
| Uhlobo lweyeza | Inkcazo |
|---|---|
| Amayeza angafanele asetyenziswe kunye neMetformin | |
| Iidayi zomahluko | Iindidi ezithile zeedayi zifakwa emzimbeni ngaphambi kovavanyo olufana nee-X-ray, ii-CT scans, kunye nee-MRIs. |
| I-Dofetilide | Iyeza elikhethekileyo lesifo sentliziyo. |
| Ezinye izinto ezinokubangela iingxaki nge-metformin | |
| Utywala | Ukusela utywala kunokubangela ukuba amanqanaba eswekile egazini ehle ngendlela eyingozi okanye kunyuse amanqanaba e-lactic acid. |
| Amanye amayeza | Amayeza oxinzelelo lwegazi oluphezulu, i-HIV/Hepatitis, iipilisi zokulawula ukuzalwa, ii-steroids, amayeza e-thyroid hormone, iivithamini ezithile (i-Niacin), kunye nezinye ezininzi zinokuchaphazela oku. |
Eyona nto ibalulekileyo: Xelela ugqirha wakho kungekuphela nje ngeepilisi oziselayo, kodwa nangamayeza e-Ayurvedic, iivithamini, iziqholo zesintu, kunye nezongezo ozisebenzisayo.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Uvavanyo lwe-HbA1C
Ugqirha wakho uza kuyalela uvavanyo lwegazi olubizwa ngokuba yi- HbA1C ukuze kubonwe ukuba isifo sakho seswekile silawulwa kakuhle kangakanani na. Olu vavanyo lulinganisa amanqanaba akho aqhelekileyo eswekile egazini kwiinyanga ezi-2-3 ezidlulileyo. Kubalulekile ukwenza olu vavanyo ubuncinci rhoqo kwiinyanga ezi-3-6.
Iswekile ephantsi egazini (iHypoglycemia)
Ukuba uthatha i-insulin okanye amanye amayeza eswekile kunye ne-metformin, iswekile yakho egazini inokwehla ngequbuliso (hypo). Qaphela iimpawu zoku (ukubila, ukungcangcazela, indlala egqithisileyo, ukungazinzi). Soloko ugcina into efana ne-candy bar okanye i-sugar cube kufutshane. Ukuba ulahlekelwa zingqondo, xelela usapho lwakho ukuba lungafaki nto emlonyeni wakho. Ukuba oku kuyenzeka, kufuneka uye esibhedlele ngoko nangoko.
Ukugula kunye notyando
Ukuba uza kwenziwa utyando okanye i-MRI/CT scan, xelela ugqirha wakho kwangaphambili ukuba usebenzisa iMetformin. Kusenokufuneka uyeke ukusebenzisa amayeza kwiintsuku ezimbalwa ngaphambi kovavanyo/utyando.
Ukunqongophala kweevithamini
Ukusetyenziswa kwe-metformin ixesha elide kunokubangela amanqanaba aphantsi e-folic acid kunye ne-vitamin B12 kwabanye abantu. Thetha nogqirha wakho ngale nto kwaye uthathe izongezo ukuba kuyimfuneko.
Iziphumo ebezingalindelekanga ezinokubakho ngenxa yamayeza
Njengalo naliphi na iyeza, iMetformin inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Uninzi lwazo azibi yingozi.
| Uhlobo lwesiphumo esibi | Iimpawu |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| I-Lactic acidosis (Inqanaba eliphezulu le-lactic acid) | Ukuqaqamba kwemisipha okanye iintlungu, iintlungu zesisu, ubunzima bokuphefumla, ukudinwa kakhulu. (Le yimeko engaqhelekanga kodwa imbi kakhulu). |
| Ukunqongophala kweVithamin B12 (Inqanaba eliphantsi leVithamin B12) | Ukuba ndindisholo, iintlungu, ubuthathaka bemisipha, isiyezi, ukulahlekelwa yinkumbulo. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukungonwabi kwesisu | Urhudo, igesi, kunye nesicaphucaphu (ezi zixhaphakile kwizigaba zokuqala zokuthatha amayeza zize ziphele). |
| Okunye | Intloko ebuhlungu, incasa yesinyithi emlonyeni. |
Umyalezo Wokuya Ekhaya
- Soloko usela iMetformin njengoko ugqirha wakho ekuyalele, ngomlinganiselo omiselweyo, kunye nokutya.
- Yazisa ugqirha wakho malunga nazo zonke ezinye iziyobisi, iivithamini, kunye nazo naziphi na iimeko zempilo ozisebenzisayo.
- Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia). Soloko ugcine into eneswekile (njenge-candy bar) kufutshane.
- Ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kokubonisana nogqirha wakho.
- Musa ukulibazisa uvavanyo lwezonyango olucwangcisiweyo , olufana ne-HbA1C.
- Ukuba kuvela isiphumo esibi kakhulu, funa ingcebiso kagqirha ngoko nangoko.
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