Metformin: ndi chiyani, momwe mungatengere ndi zoyipa zake

Zamkati

• Momwe mungatenge
• 1. Type 2 shuga
• 2. Type 1 shuga
• 3. Polycystic Ovary Syndrome
• Kodi njira yogwirira ntchito ndi yotani?
• Yemwe sayenera kugwiritsa ntchito
• Zotsatira zoyipa
• Kodi metformin amachepetsa thupi?

Metformin hydrochloride ndi mankhwala omwe amawonetsedwa pochiza matenda amtundu wa 2, okha kapena osakanikirana ndi mankhwala ena opatsirana pogonana ndipo amathanso kugwiritsidwa ntchito pochiza matenda ashuga amtundu wa 1, ngati chowonjezera ku insulin.

Kuphatikiza apo, mankhwalawa atha kugwiritsidwanso ntchito kuthana ndi Polycystic Ovary Syndrome, yomwe ndi vuto lomwe limadziwika ndimasamba osasinthasintha komanso kuvutika kukhala ndi pakati. Phunzirani momwe mungazindikire.

Metformin imapezeka m'masitolo, amapezeka m'mitundu yosiyanasiyana, yomwe imafuna kupereka mankhwala oti mugule.

Momwe mungatenge

Mapiritsiwa ayenera kumwedwa pakudya kapena mutatha kudya, kuyamba kumwa mankhwala ochepa omwe angathe kuwonjezeka pang'onopang'ono, omwe amachepetsa kuchepa kwa m'mimba. Mapiritsiwa amayenera kumwa pakudya cham'mawa, ngati angamwe mlingo umodzi wokha tsiku lililonse, pachakudya cham'mawa komanso nthawi ya chakudya chamadzulo, pakagwa mankhwala awiri patsiku komanso pa kadzutsa, nkhomaliro ndi chakudya chamadzulo, pakagwiridwe kake katatu tsiku lililonse.

Metformin imapezeka m'mapiritsi a 500 mg, 850 mg ndi 1000 mg. Mlingowo umadalira vuto lomwe angalandire:

1. Type 2 shuga

Kwa achikulire omwe ali ndi matenda a shuga amtundu wa 2, omwe samadalira insulin, metformin itha kugwiritsidwa ntchito payokha kapena kuphatikiza mankhwala ena a antidiabetic, monga sulfonylureas. Mlingo woyambira ndi 500 mg kapena 850 mg kawiri patsiku ndipo ngati kuli kofunikira, mlingowu ukhoza kuwonjezeka, sabata iliyonse, mpaka 2,500 mg.

Kwa ana opitilira zaka 10, mlingo woyambira ndi 500 mg tsiku lililonse, ndipo mulingo woyenera tsiku lililonse sayenera kupitirira 2,000 mg.

2. Type 1 shuga

Kwa achikulire omwe ali ndi matenda a shuga amtundu wa 1, omwe amadalira insulin, metformin ndi insulin atha kugwiritsidwa ntchito limodzi, kuti athe kuyang'anira bwino glycemic. Metformin iyenera kuperekedwa pamlingo woyambira wa 500 mg kapena 850 mg, 2 mpaka 3 patsiku, pomwe mulingo wa insulini uyenera kusinthidwa kutengera kuchuluka kwa magazi m'magazi.

3. Polycystic Ovary Syndrome

Mlingowo nthawi zambiri umakhala 1,000 mpaka 1,500 mg patsiku logawidwa magawo awiri kapena atatu. Chithandizo chiyenera kuyambika pamlingo wochepa ndipo mlingowo ukhoza kuwonjezeka pang'onopang'ono sabata iliyonse mpaka mulingo wofuna ufike. Nthawi zina, pangafunike kugwiritsa ntchito piritsi limodzi la 850 mg, kawiri kapena katatu patsiku. Pofotokoza 1 g, tikulimbikitsidwa kugwiritsa ntchito mapiritsi 1 mpaka 2 patsiku.

Kodi njira yogwirira ntchito ndi yotani?

Anthu omwe ali ndi matenda ashuga samatulutsa insulini yokwanira kapena amalephera kugwiritsa ntchito insulin yopangidwa moyenera, zomwe zimapangitsa kuti magazi azisungunuka kwambiri.

Metformin imagwira ntchito pochepetsa magazi osazolowereka amagazi kuti akhale oyandikira kwambiri.

Yemwe sayenera kugwiritsa ntchito

Metformin hydrochloride sayenera kugwiritsidwa ntchito ndi anthu omwe ali ndi hypersensitivity ku metformin kapena zigawo zina za fomuyi, omwe ali ndi vuto la chiwindi kapena impso, matenda osagwirizana ndi shuga, omwe ali ndi hyperglycemia kapena ketoacidosis.

Kuphatikiza apo, sayeneranso kugwiritsidwa ntchito kwa anthu omwe ataya madzi m'thupi, matenda opatsirana, akumalandira chithandizo chamatenda am'mimba, adadwala matenda amtima posachedwa, mavuto azizungulira kwambiri kapena kupuma movutikira, amamwa zakumwa zoledzeretsa, achita opaleshoni yosankha kapena kuyesedwa chosakanizira chokhala ndi ayodini.

Mankhwalawa sayeneranso kugwiritsidwa ntchito ndi amayi apakati, amayi oyamwitsa kapena ana azaka zosakwana 10 popanda upangiri wachipatala.

Zotsatira zoyipa

Zotsatira zoyipa zomwe zimachitika mukamamwa mankhwala a metformin ndizovuta zam'mimba monga nseru, kusanza, kutsekula m'mimba, kupweteka m'mimba, kusowa kwa njala komanso kusintha kwa kukoma.

Kodi metformin amachepetsa thupi?

M'maphunziro azachipatala, metformin imagwirizanitsidwa ndi kukhazikika kwa thupi kapena kuchepa pang'ono. Komabe, mankhwalawa sayenera kugwiritsidwa ntchito pazinthu izi, pokhapokha atalangizidwa ndi dokotala, chifukwa amatha kuyambitsa zovuta zina.