Ingabe nawe unesifo sikashukela sohlobo lwesibili? Uma kunjalo, kungenzeka ukuthi udokotela wakho ukunike umuthi obizwa ngokuthi i-Metformin. Namuhla sikhuluma ngalomuthi ovamile phakathi kwethu eSri Lanka, osetshenziswa abantu abaningi ukulawula isifo sikashukela. Sizobheka konke ngendlela elula neqondakalayo, njengokuthi ungawuthatha kanjani, yiziphi izinto okufanele uziqaphele, nokuthi ngabe kukhona yini imiphumela emibi.
Iyini ngempela iMetformin?
Kalula nje, i-Metformin umuthi onikezwa abantu abanesifo sikashukela sohlobo 2. Isebenza kakhulu ngokulawula amazinga kashukela egazini lakho, noma amazinga kashukela egazini. Iphinde isize umzimba wakho ukusebenzisa i-hormone i-insulin ngendlela efanele.
Odokotela bavame ukunikeza lo muthi kanye nokudla okuhle kanye nokuzivocavoca. Ukuthatha umuthi kuphela akwanele, udinga ukunakekela lezo zinto. Ngezinye izikhathi lo muthi ungase unganikezwanga isifo sikashukela kuphela, kodwa futhi nezinye izimo ezifana ne-Polycystic Ovary Syndrome (PCOS).
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala i-metformin
Kubaluleke kakhulu ukuthi udokotela wakho azi kahle isimo sakho sempilo ngaphambi kokukunikeza i-Metformin. Ngakho-ke, uma unezinye zezimo ezingezansi, qiniseka ukuthi utshela udokotela wakho ngakho.
- Uma une-anemia.
- Ukuphelelwa amanzi emzimbeni yisimo lapho umzimba untula khona amanzi.
- Uma unesifo senhliziyo.
- Uma ungumuntu ophuza njalo.
- Uma unesifo sezinso.
- Uma unesifo sesibindi.
- Uma une-polycystic ovary syndrome (PCOS).
- Uma unesifo esibi noma ulimele.
- Uma kukhona ukuhlanza okuqhubekayo.
- Uma une-allergy ku-metformin noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma uzama ukukhulelwa noma usuvele ukhulelwe.
- Uma ungumama oncelisayo.
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela lolu lwazi ngaphandle kokulufihla.
Ngiyisebenzisa kanjani ngempela le mithi?
Kufanele usebenzise lo muthi njengoba nje udokotela wakho ekutshelile. Landela imiyalelo esebhodleleni lomuthi ngqo.
- Thatha kanye nokudla: Lo muthi uvame ukuthathwa kanye noma ngemva kokudla. Lokhu kuzonciphisa ukungakhululeki esiswini.
- Ukulinganisa okulungile:Uma unikeza lokhu njengesixazululo, sebenzisa isipuni noma indebe ekhethekile yokulinganisa kuphela. Ungasebenzisi izipuni ezivamile zasekhishini, ngoba azinembile.
- Ngesikhathi: Zenze umkhuba ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke. Ungathathi okungaphezu kwalokho udokotela akutshele kona.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo okhohliwe.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma usola ngisho nokuncane ukuthi uphuze i-overdose, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma, shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Eminye imithi engase ihlangane ne-metformin
I-Metformin umuthi ongasebenzisana neminye imithi, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
| Uhlobo lomuthi | Incazelo |
|---|---|
| Imithi okungafanele ithathwe neMetformin | |
| Amadayi Okungafani | Izinhlobo ezithile zodayi zifakwa emzimbeni ngaphambi kokuhlolwa okufana ne-X-ray, i-CT scans, kanye ne-MRIs. |
| I-Dofetilide | Umuthi okhethekile wesifo senhliziyo. |
| Ezinye izinto ezingabangela izinkinga nge-metformin | |
| Utshwala | Ukuphuza utshwala kungabangela ukuthi amazinga kashukela egazini ehle kakhulu noma kwandise amazinga e-lactic acid. |
| Eminye imithi | Imithi yokucindezeleka kwegazi okuphezulu, i-HIV/Hepatitis, amaphilisi okuvimbela inzalo, ama-steroid, imithi yama-hormone e-thyroid, amavithamini athile (i-Niacin), kanye neminye eminingi ingathintana nalokhu. |
Okubaluleke kakhulu: Tshela udokotela wakho hhayi nje ngamaphilisi owaphuzayo, kodwa nanganoma yimiphi imithi ye-Ayurvedic, amavithamini, amakhambi endabuko, kanye nezithasiselo ozisebenzisayo.
Izinto okufanele uziqaphele lapho uthatha imithi
Ukuhlolwa kwe-HbA1C
Udokotela wakho uzoyala ukuhlolwa kwegazi okubizwa nge- HbA1C ukuze abone ukuthi isifo sakho sikashukela silawulwa kahle kangakanani. Lokhu kuhlolwa kulinganisa amazinga akho ajwayelekile kashukela egazini ezinyangeni ezi-2-3 ezedlule. Kubalulekile ukwenza lokhu kuhlolwa okungenani njalo ezinyangeni ezi-3-6.
Ushukela ophansi egazini (i-Hypoglycemia)
Uma uthatha i-insulin noma eminye imithi yesifo sikashukela ene-metformin, ushukela wakho wegazi ungase wehle ngokuzumayo (hypo). Qaphela izimpawu zalokhu (ukujuluka, ukuthuthumela, indlala enkulu, ukungaphumuli). Hlala ugcina okuthile okufana ne-candy bar noma i-sugar cube eduze. Uma ulahlekelwa ingqondo, tshela umndeni wakho ukuthi ungafaki lutho emlonyeni wakho. Uma lokhu kwenzeka, kufanele uye esibhedlela ngokushesha.
Ukugula nokuhlinzwa
Uma uzohlinzwa noma uhlolwe nge-MRI/CT, tshela udokotela wakho kusenesikhathi ukuthi uthatha i-Metformin. Kungase kudingeke uyeke ukuthatha umuthi ezinsukwini ezimbalwa ngaphambi kokuhlolwa/ukuhlinzwa.
Ukuntuleka kwamavithamini
Ukusetshenziswa isikhathi eside kwe-metformin kungabangela amazinga aphansi e-folic acid kanye ne-vitamin B12 kwabanye abantu. Khuluma nodokotela wakho ngalokhu bese uthatha izithasiselo uma kudingeka.
Imiphumela emibi engase ivele ngenxa yemithi
Njenganoma yimuphi umuthi, i-Metformin ingabangela imiphumela emibi kwabanye abantu. Iningi lale miphumela ayibi kakhulu.
| Uhlobo lomphumela ongemuhle | Izici |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| I-Lactic acidosis (Izinga eliphezulu le-lactic acid) | Ukuqaqamba kwemisipha noma ubuhlungu, izinhlungu zesisu, ubunzima bokuphefumula, ukukhathala okukhulu. (Lesi yisimo esingavamile kakhulu kodwa esibi kakhulu). |
| Ukuntuleka kwevithamini B12 (Izinga eliphansi levithamini B12) | Ukuba ndikindiki, ubuhlungu, ubuthakathaka bemisipha, isiyezi, ukulahlekelwa yinkumbulo. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukungakhululeki kwesisu | Uhudo, igesi, kanye nesicanucanu (lokhu kuvamile ezigabeni zokuqala zokuthatha umuthi bese kuyancipha). |
| Okunye | Ikhanda elibuhlungu, ukunambitheka kwensimbi emlonyeni. |
Umlayezo Wokuya Nawe Ekhaya
- Njalo thatha i-Metformin njengoba kunqunywe udokotela wakho, ngenani elinqunyiwe, kanye nokudla.
- Yazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, nanoma yiziphi izimo zezokwelapha ozithathayo.
- Qaphela izimpawu zoshukela ophansi egazini (hypoglycemia). Hlala ugcina okuthile okunoshukela (njenge-candy bar) eduze.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kokubonisana nodokotela wakho.
- Ungayeki ukuhlolwa kwezokwelapha okuhleliwe , njenge-HbA1C.
- Uma kuvela umphumela omubi kakhulu, funa iseluleko sezokwelapha ngokushesha.
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