Kuyimitsa Metformin: Ndi Ziti Zabwino?

Zamkati

• Kodi metformin imagwira ntchito bwanji?
• Zotsatira zoyipa ndi zoopsa za metformin
• Zotsatira zoyipa kwambiri
• Zotsatira zina zoyipa
• Matenda osokoneza bongo
• Lactic acidosis
• Kodi zili bwino liti kusiya kumwa metformin?
• Zomwe mungachite

Mu Meyi 2020, adalimbikitsa kuti ena opanga metformin awonjezere kutulutsa ena mwa mapiritsi awo kumsika waku US. Izi ndichifukwa choti mulingo wosavomerezeka wa khansa yotenga khansa (wothandizira khansa) udapezeka m'mapiritsi ena a metformin. Ngati mukumwa mankhwalawa, itanani woyang'anira zaumoyo wanu. Adzakulangizani ngati mupitiliza kumwa mankhwala anu kapena ngati mukufuna mankhwala atsopano.

Mankhwala omwe amapezeka kwambiri padziko lonse lapansi pochiza matenda ashuga ndi metformin (Glumetza, Riomet, Glucophage, Fortamet). Ikhoza kuthandiza kuchepetsa shuga m'magazi mwa anthu omwe ali ndi matenda a shuga achiwiri. Amapezeka pamtundu wa piritsi kapena madzi omveka bwino omwe mumamwa pakamwa ndikudya.

Ngati mukumwa metformin pochiza matenda amtundu wa 2, mwina nkutha kusiya. Mutha kuthana ndi vuto lanu posintha zina ndi zina pamoyo wanu, monga kukhala wonenepa komanso kuchita masewera olimbitsa thupi.

Pemphani kuti mudziwe zambiri za metformin komanso ngati zingatheke kusiya.

Musanayambe kumwa metformin, lankhulani ndi dokotala wanu kuti muwone ngati iyi ndi njira yoyenera kuthana ndi matenda anu ashuga.

Kodi metformin imagwira ntchito bwanji?

Metformin sathetsa chomwe chimayambitsa matenda ashuga. Amachiza zizindikiro za matenda a shuga pochepetsa shuga, kapena shuga, mwa:

• kuchepa kwa chiwindi cha shuga
• kuchepa kwa shuga m'matumbo
• kukulitsa chidwi cha insulin m'matumba am'mimba, kukulitsa kuchuluka kwa minofu ndikugwiritsa ntchito shuga

Metformin imathandizira pazinthu zina kuwonjezera pakukweza shuga wamagazi.

Izi zikuphatikiza:

• kutsitsa lipids, zomwe zimapangitsa kuchepa kwa milingo ya triglyceride yamagazi
• kuchepa kwa cholesterol "yoipa" ya lipoprotein (LDL)
• kuchulukitsa cholesterol "chabwino" cha lipoprotein (HDL)
• mwina kuchepetsa kudya, komwe kungapangitse kuti muchepetse pang'ono

Zotsatira zoyipa ndi zoopsa za metformin

Chifukwa cha kuopsa kwake ndi zotsatirapo zake, metformin siyabwino kwa aliyense. Sikoyenera ngati muli ndi mbiri ya:

• vuto la kugwiritsa ntchito mankhwala osokoneza bongo
• matenda a chiwindi
• zovuta za impso
• mavuto ena amtima

Ngati mukugwiritsa ntchito metformin ndipo mwakhala ndi zovuta zina, mwina mukuyang'ana njira zina zochiritsira.

Zotsatira zoyipa kwambiri

Zotsatira zoyipa kwambiri ndimutu komanso mavuto am'mimba omwe atha kukhala:

• kutsegula m'mimba
• kusanza
• nseru
• kutentha pa chifuwa
• kukokana m'mimba
• mpweya
• kukoma kwachitsulo
• kusowa chilakolako

Zotsatira zina zoyipa

Nthawi zina, metformin imapangitsa kuti mavitamini B-12 asatengeke bwino. Izi zitha kubweretsa kuchepa kwa vitamini B-12, ngakhale izi zimachitika mutagwiritsa ntchito mankhwalawa kwakanthawi.

Monga chenjezo, dokotala wanu amayang'ana magulu anu a B-12 chaka chilichonse mpaka zaka ziwiri mukamamwa metformin.

Kutenga metformin kungayambitsenso kusowa kwa njala, zomwe zingayambitse kuchepa pang'ono. Koma kumwa mankhwalawa sikungapangitse kuti mukhale wonenepa.

Palinso zovuta zina zingapo zomwe mungakumane nazo, kuphatikizapo hypoglycemia ndi lactic acidosis.

Matenda osokoneza bongo

Hypoglycemia, kapena shuga wotsika magazi, amatha kuchitika popeza metformin imachepetsa shuga wamagazi. Ndikofunika kuwunika shuga wanu wamagazi pafupipafupi kuti dokotala wanu athe kusintha mlingo wanu malinga ndi magawo anu.

Hypoglycemia chifukwa cha metformin ndizosowa kwenikweni.

Shuga wamagazi ochepa amatha kuchitika mukatenga metformin ndi mankhwala ena a shuga kapena insulin.

Lactic acidosis

Metformin imatha kuyambitsa chiopsezo chotchedwa lactic acidosis. Anthu omwe ali ndi lactic acidosis amakhala ndi zinthu zambiri zotchedwa lactic acid m'magazi awo ndipo sayenera kumwa metformin.

Matendawa ndi owopsa ndipo nthawi zambiri amapha. Koma izi ndizovuta zomwe zimachitika ndipo zimakhudza ochepera 1 mwa anthu 100,000 omwe amatenga metformin.

Lactic acidosis imatha kupezeka mwa anthu omwe ali ndi matenda a impso. Uzani dokotala wanu ngati munakhalapo ndi mavuto a impso.

Kodi zili bwino liti kusiya kumwa metformin?

Metformin ikhoza kukhala gawo lofunikira pa njira yothandiza yothandizira matenda ashuga. Koma kuchepetsa kuchuluka kwa metformin kapena kuimitsa kwathunthu kumakhala kotetezeka nthawi zina ngati matenda anu ashuga ali m'manja.

Ngati mukufuna kusiya kumwa mankhwala ashuga, kambiranani ndi dokotala wanu kapena wothandizira zaumoyo pazomwe mungachite kuti mutero.

Aliyense amene ali ndi matenda ashuga atha kupindula ndikusintha zizolowezi zina, ngakhale omwe amamwa mankhwala.

Kuchepetsa thupi, kudya bwino, komanso kuchita masewera olimbitsa thupi ndi njira zabwino zothandiza kuchepetsa magazi m'magazi ndi A1C. Ngati mutha kuthana ndi izi pakusintha kwa moyo wanu, mutha kusiya kumwa metformin kapena mankhwala ena ashuga.

Malinga ndi akatswiri ochokera ku American Diabetes Association, nthawi zambiri muyenera kukwaniritsa izi musanamwe mankhwala a shuga:

• A1C yanu ndi yochepera 7%.
• Kusala kwanu m'mawa wamagazi osakwana mamiligalamu 130 pa deciliter (mg / dL).
• Mulingo wa shuga m'magazi anu mwachisawawa kapena mukatha kudya ndi wochepera 180 mg / dL.

Ndizowopsa kusiya kumwa metformin ngati simukukwaniritsa izi. Ndipo kumbukirani kuti izi zitha kusintha malinga ndi msinkhu wanu, thanzi lanu, ndi zina. Chifukwa chake, ndikofunikira kukambirana ndi dokotala musanasinthe dongosolo lanu la metformin.

Zomwe mungachite

Metformin itha kuthandiza kupewa zovuta zanthawi yayitali kuchokera ku mtundu wachiwiri wa shuga. Koma mutha kusiya kumwa ngati dokotala akuganiza kuti mutha kusunga shuga wamagazi popanda iwo.

Mutha kutsitsa ndikuwongolera shuga wanu wopanda mankhwala popanda kusintha zina ndi zina monga izi:

• kukhala wathanzi labwino
• kuchita masewera olimbitsa thupi
• kuchepetsa kudya kwanu
• kusintha zakudya zanu kuti mukhale ndi chakudya chochepa cha glycemic
• kusiya kusuta fodya pamtundu uliwonse
• kumwa mowa pang'ono kapena osamwa konse

Ndikofunikanso kupeza chithandizo. Katswiri wolemba zamankhwala, wophunzitsa payekha, kapena gulu la anzawo akhoza kukulitsa mwayi wanu wokhala ndi zizolowezi zathanzizi.

Pitani ku American Diabetes Association kuti muthandizidwe pa intaneti komanso kwanuko mdera lanu.