Isifo sikashukela siyisifo esivame kakhulu kubantu abaningi ezweni lethu namuhla. Ngakho-ke lapho udokotela eqala ukuthola ukuthi unesifo sikashukela, umuthi wokuqala ovame ukunqunywa yiMetformin. Mhlawumbe usuvele usebenzisa lo muthi. Noma mhlawumbe othile emndenini wakho uyawusebenzisa. Ngakho-ke namuhla sizokhuluma nje ngalo muthi obaluleke kakhulu obizwa ngokuthi iMetformin, izinto eziningi ezingaziwa kahle.
Uyini lo muthi obizwa ngokuthi iMetformin?
Kalula nje, i-Metformin umuthi osetshenziselwa ukwelapha isifo sikashukela sohlobo 2. Isebenza ngokulawula amazinga kashukela egazini lakho, noma amazinga kashukela egazini. Iphinde isize i-hormone yemvelo yomzimba wakho ebizwa ngokuthi i-insulin ukuthi isebenze kahle.
Cabanga ngale ndlela: i-insulin emzimbeni wethu ifana nesihluthulelo somnyango. Ivula iminyango yamaseli futhi isize ushukela osegazini ukuthi ungene emaseli. Kusifo sikashukela, lesi sihluthulelo asisebenzi kahle. I-Metformin isiza lesi sihluthulelo ukuthi sisebenze kahle futhi.
Into ebaluleke kakhulu ukuthi lo muthi awusebenzi wodwa. I-Metformin isetshenziswa kangcono kanye nokudla okuhle kanye nokuzivocavoca umzimba.
Ngezinye izikhathi, odokotela banikeza lo muthi hhayi nje kuphela wesifo sikashukela, kodwa futhi nesimo samahomoni kwabesifazane esibizwa ngokuthi i-Polycystic Ovary Syndrome (PCOS).
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Nakuba i-metformin iyisidakamizwa esiphephile kakhulu, ingase ingafaneleki kwabanye abantu. Ngakho-ke, kubalulekile ukuthi uchaze ngokucacile noma yiziphi ezinye izimo zezokwelapha onazo ngaphambi kokuba udokotela wakho akunike lo muthi.
| Izimo okufanele nakanjani utshele udokotela wakho ngazo | |
|---|---|
| Isifo sezinso | Njengoba i-metformin ikhishwa emzimbeni ngezinso, lo muthi awufaneleki uma ungasebenzi kahle kwezinso. |
| Isifo sesibindi | Uma unesifo sesibindi, yazisa udokotela wakho . |
| Isifo senhliziyo | Ikakhulukazi khuluma ngezimo ezifana nesifo senhliziyo. |
| Ukusetshenziswa kotshwala | Uma uphuza njalo, qiniseka ukuthi uyakusho lokho. |
| Ukukhulelwa nokuncelisa | Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, ungaqali lo muthi. Khuluma nodokotela wakho ngakho. |
| Ezinye izimo | Futhi khuluma ngezinto ezifana nokuntuleka kwegazi emzimbeni, ukuphelelwa amanzi emzimbeni, izifo noma ukulimala okukhulu, kanye nokuhlanza okuqhubekayo. |
| Ukungezwani komzimba | Sitshele futhi uma une-allergies nge-metformin noma yimuphi omunye umuthi noma ukudla. |
Ngingawusebenzisa kanjani lo muthi?
Lokhu kulula kakhulu.
- Phuza nengilazi yamanzi: Phuza umthamo obekwe udokotela nengilazi yamanzi.
- Yithathe kanye nokudla: Lena yinto ebaluleke kakhulu. Ukuthatha i-metformin kanye noma ngemva kokudla kunganciphisa kakhulu imiphumela emibi njengokuphazamiseka kwesisu kanye nesicanucanu.
- Yithathe ngesikhathi: Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke. Uma udokotela wakho ekutshela ukuthi uyithathe kabili ngosuku, kuwumqondo omuhle ukuyithatha kanye nesidlo sasekuseni nesakusihlwa.
- Ungayeki ukuthatha umuthi ngaphandle kweseluleko sikadokotela wakho: Ngisho noma uzizwa ungcono, ungayeki ukuthatha umuthi kuze kube yilapho udokotela wakho ekuyala ukuba uyeke.
Kuthiwani uma ngiphuza umuthi omningi kakhulu? / Kuthiwani uma ngiphuthelwa ukudla?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital .
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 imithamo emibili ngesikhathi esisodwa.
Izinto okufanele uziqaphele lapho uthatha umuthi
Kunezinto eziningana okudingeka siziqaphele lapho sithatha i-metformin.
1. Ukuhlolwa kwe-HbA1C: Udokotela wakho uzoyala ukuhlolwa kwegazi okubizwa nge-HbA1C njalo ezinyangeni ezi-3 kuya kwezi-6. Lokhu kulinganisa ukuthi isifo sakho sikashukela silawulwe kahle kangakanani ezinyangeni ezi-2-3 ezedlule.
2. I-Hypoglycemia: Uma i-metformin ithathwa yodwa, izinga likashukela egazini liphansi. Kodwa-ke, uma ithathwa ne-insulin noma eminye imithi yesifo sikashukela, izinga likashukela egazini lingase lehle kakhulu. Lokhu kubizwa ngokuthi i-hypoglycemia.
- Izimpawu: Ukujuluka, ukuthuthumela, indlala enkulu, ukungasebenzi kahle, ukuquleka.
- Okufanele ukwenze: Uma uhlangabezana nalezi zimpawu, yidla okuthile okumnandi ngokushesha . Isibonelo, gcina i-glucose, isipuni sikashukela, isiphuzo esimnandi, noma ucezu lwe-toffee eduze.
- Okubalulekile: Uma ungazi lutho, akekho okufanele aphoqelele noma yini emlonyeni wakho. Kufanele uyiswe esibhedlela ngokushesha.
3. Ukuhlinzwa Nokuskena: Uma uzohlinzwa noma ukuhlolwa okukhethekile njenge-CT scan noma i-MRI scan, kufanele utshele udokotela wakho ukuthi uthatha i-Metformin. Kungase kudingeke uyeke ukuthatha umuthi izinsuku ezimbalwa.
4. Ukuntuleka Kwamavithamini: Ukusetshenziswa isikhathi eside kwe-Metformin kungabangela ukuthi amazinga e-vitamin B12 kanye ne-folic acid ehle kancane. Khuluma nodokotela wakho ngalokhu bese uthatha izithasiselo uma kudingeka.
Imiphumela emibi engaba khona yomuthi
Njenganoma yimuphi umuthi, i-Metformin ingabangela imiphumela emibi emincane. Kodwa-ke, lokhu ngokuvamile akukubi kangako.
| Uhlobo lomphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Izinto okufanele uzibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi. |
| I-Lactic Acidosis | Lesi yisimo esingavamile kakhulu kodwa esibi kakhulu. Uma uhlangabezana nezimpawu ezifana nokudikiza kwemisipha, ubuhlungu besisu, ubunzima bokuphefumula, noma ukukhathala okukhulu, funa iseluleko sezokwelapha ngokushesha. |
| Izimpawu zokuntuleka kwe-vitamin B12 | Ukuba ndikindiki ezithweni zomzimba, ubuhlungu, ubuthakathaka bemisipha, isiyezi, ubunzima bokugxilisa ingqondo. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Izinkinga zesistimu yokugaya ukudla | Ubuhlungu besisu, isifo sohudo, ukuqunjelwa, isicanucanu. Lokhu kuvamile lapho uqala umuthi futhi kuvame ukuncipha ngokuhamba kwesikhathi. Lokhu kungalawulwa ngokuthatha umuthi kanye nokudla. |
| Okunye | Ikhanda elibuhlungu, ukunambitheka kwensimbi emlonyeni. |
Umlayezo Wokuya Nawe Ekhaya
- Njalo phuza i-metformin ngesikhathi sokudla noma ngemva kokudla . Lokhu kuzonciphisa kakhulu ukungaphatheki kahle kwesisu.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi imithi yezinye izimo, amavithamini, kanye nemithi ye-Ayurvedic).
- Ungalokothi uyeke ukuthatha imithi ngaphandle kweseluleko sikadokotela.
- Qaphela izimpawu zokwehla koshukela egazini (hypoglycemia). Gcina okuthile okumnandi eduze ukuze ukudle uma kwenzeka isimo esinjalo.
- Uma unezinye izimo zezokwelapha, njengezinso, isibindi, noma isifo senhliziyo, qiniseka ukuthi utshela udokotela wakho ngaphambi kokuqala umuthi.
- Uma kuvela imiphumela emibi kakhulu, funa iseluleko sezokwelapha ngokushesha.
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