Kodi ndingamwe mowa ndikumwa Metformin?

Maphunziro A Zaumoyo Kusakanikirana

Ngati muli m'gulu la Anthu 34.2 miliyoni omwe ali ndi matenda ashuga ku United States, mutha kumwa mankhwala omwe amadziwika kuti metformin. Metformin (dzina lotchedwa Glucophage) ndi mankhwala ovomerezeka a FDA omwe amagwiritsidwa ntchito, pamodzi ndi zakudya ndi masewera olimbitsa thupi, kuti athetse vuto la shuga m'magazi mwa akulu ndi ana omwe ali ndi Type 2 matenda ashuga .

Popeza kuti moyo ukubwerera mwakale pambuyo pa mliri wa COVID-19, ndipo zochitika zina zomwe zimakhudzana ndi kumwa mowa zidayambiranso, mwina mungadabwe kuti: Kodi metformin ndi mowa zimasakanikirana? Kodi ndibwino kumwa metformin ndi mowa? Werengani kuti mupeze.

Kodi mungamwe mowa ndi metformin?

Kaya mumamwa zakumwa apo ndi apo ndi anzanu kapena mumakhala ndi usiku tsiku lililonse, mwina mungakhale mukuganiza ngati mungathe kusakaniza metformin ndi mowa. Kodi pali kulumikizana kwa metformin ndi mowa?

Pulogalamu ya zambiri za opanga ya metformin (izi zikuphatikiza zonse kumasulidwa msanga ndipo metformin yotulutsidwa ) akuti muyenera kupewa kuphatikiza kwa metformin ndimowa wambiri.

Odwala ena amakhala pachiwopsezo cha zotsatira za hypoglycemic (shuga wotsika magazi) wa metformin. Matenda osokoneza bongo Zitha kuchitika ngati magazi anu ashuga amagwa pansi pa 70 mg / dL. Hypoglycemia imatha kubwera mwachangu ndikuphatikizira zizindikilo zosiyanasiyana, monga kugwedezeka, kukwiya, kusokonezeka, kufooka, chizungulire, njala, kusawona bwino, kupweteka mutu, kapena kugwidwa.

Ngati mumamwa mowa kwambiri nthawi yochepa, mumakhala ndi shuga wotsika kwambiri (hypoglycemia). Komanso, mowa umatha kubisa zizindikiro zakuchepa kwa magazi, chifukwa chake ngati mukumwa, mwina simungazindikire kuti shuga wanu wamagazi ndi wotsika. Okalamba, ofooka, kapena operewera zakudya m'thupi komanso anthu omwe ali ndi vuto la adrenal kapena pituitary amakhalanso ndi vuto la hypoglycemic. Ngati muli ndi chimodzi mwaziwopsezozi ndipo MUKAMWA mowa mopitirira muyeso, muli ndi chiopsezo chachikulu cha hypoglycemia.

Mowa wambiri mophatikiza ndi metformin amathanso kukhudza kagayidwe kake ka lactate (zambiri pamunsipa).

ZOKHUDZA: FDA imakumbukira mitundu ina ya metformin

Kodi zizindikiro za lactic acidosis ndi metformin ndi ziti?

Metformin imabwera ndi fayilo ya chenjezo lakuda , chenjezo lovuta kwambiri lomwe a FDA amafunikira, chifukwa cha chiopsezo cha lactic acidosis.

Kumwa mowa kwambiri ndi chinthu chimodzi chomwe chimayambitsa matenda a lactic acidosis a metformin.

Metformin akuti amayambitsa lactic acidosis. Lactic acidosis ndikumanga kwa lactic acid m'magazi, zomwe ndizowopsa pachipatala zomwe zimafunikira chithandizo kuchipatala.

Zizindikiro za lactic acidosis nthawi zambiri sizodziwika bwino ndipo zimatha kuphatikizapo kutopa, kupweteka kwa minofu, kupuma movutikira, ndi kupweteka m'mimba.

Metformin-yogwirizana ndi lactic acidosis imatha kuyambitsa matenda a hypothermia, kuthamanga kwa magazi, kusintha kwa kugunda kwa mtima, ngakhale kufa.

Kodi ndingamwe mowa ndikadwala matenda ashuga?

Anthu ambiri omwe ali ndi matenda a shuga amatha kumwa mowa wina : 1 kumwa tsiku lililonse kwa akazi, kapena zakumwa 2 patsiku kwa amuna. Koma, kumbukirani kukula kwa kukula. Chakumwa chimodzi ndi chimodzi mwa izi:

• 1 ndi ma oununi amowa
• Ma ola 12 a mowa
• Mavitamini 5 a vinyo

Mowa umatha kutsitsa shuga m'magazi mpaka maola 24. Ena malangizo kukhala otetezeka :

• Imwani madzi ambiri kuti mukhale ndi madzi okwanira, ndipo kumbukirani kudya (osamwa pamimba yopanda kanthu).
• Valani chiphaso chamankhwala chomwe chimati muli ndi matenda ashuga, makamaka chifukwa hypoglycemia imatha kusokonezedwa ndi kuledzera (ndi aliyense amene mungamve kugona, kusokonezeka, ndi chizungulire).
• Phunzitsani anzanu komanso abale anu za zomwe zimachitika mukakhala ndi shuga wochepa kwambiri, kuti athe kukuyang'anirani.
• Apanso, zindikirani za kukula kwamasamba-magalasi ambiri amakhala ndi zochulukirapo kuposa momwe kukula kwake kumathandizira.
• Yesani kuchuluka kwa magazi m'magazi anu tsiku lomwe mudzamwe ndi tsiku lotsatira, kuti muone zotsatira za mowa. Komanso, yesani musanagone, ndipo ngati shuga yanu ili yochepa, idyani.

Sikuti aliyense amene ali ndi matenda a shuga amatha kumwa mowa mosamala. Muyenera kupewa mowa ngati muli ndi matenda ashuga ndipo:

• Khalani ndi mavuto ogwiritsa ntchito mankhwala osokoneza bongo
• Ali ndi pakati
• Ali ndi zaka zosakwana 21
• Anauzidwa ndi dokotala kuti apewe mowa
• Khalani ndi matenda ashuga omwe samayendetsedwa bwino
• Khalani ndi zovuta monga kuwonongeka kwa mitsempha
• Khalani ndi kuthamanga kwa magazi kapena cholesterol
• Tengani mankhwala omwe sagwirizana ndi mowa (funsani wamankhwala wanu ngati simukudziwa)

Monga mwa nthawi zonse, funsani omwe amakuthandizani pa zaumoyo kuti akupatseni upangiri wa zamankhwala pankhani ya kumwa mowa komanso matenda anu.

Kodi ndi mowa uti womwe ungamwe bwino kwa munthu wodwala matenda ashuga?

Zomwe opanga ma Glucophage (metformin) amalimbikitsa: Osamamwa zakumwa zoledzeretsa zambiri mukamamwa Glucophage kapena Glucophage XR. Izi zikutanthauza kuti simuyenera kumamwa mowa kwakanthawi kochepa, ndipo simuyenera kumamwa mowa wambiri pafupipafupi.

Funsani wothandizira zaumoyo wanu kapena wophunzitsa za matenda a shuga kuti akuuzeni za kumwa mowa ngati muli ndi matenda ashuga.

Zosankha zabwino:

• Mowa wopepuka kapena wotsika wa carb
• Vinyo wofiira kapena woyera
• Mowa wothira soda, madzi oyera a kiranberi, madzi, kapena seltzer
• Cocktails okhala ndi zotsekemera zachilengedwe ndi zipatso zatsopano

Pewani:

• Mowa wamatsenga (amakhala ndi mowa wambiri ndi ma calories kuposa mowa wamba)
• Vinyo wonunkhira, vinyo wamchere, kapena ozizira vinyo
• Sangria
• Mowa wothira soda kapena madzi wamba
• Mary wamagazi
• Ma cocktails okoma ngati piña coladas ndi margaritas

WERENGANI ZOTSATIRA: Kodi ndingamwe mowa ndikamagwiritsa ntchito insulini?