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Metformin mhedzisiro uye maitiro ekuzvidzivirira

Metformin mhedzisiro uye maitiro ekuzvidziviriraZvinodhaka Info

Metformin mushonga unorwisa-chirwere cheshuga (hunyanzvi hwakarongerwa seguruuanide) uyo vanachiremba vanowanzopa kurapa chirwere cheshuga cheshuga uye prediabetes. Inobatsira kudzora mwero weglucose muropa uye kudzorera mhinduro yemuviri kune insulini. Metformin inogona zvakare kubata polycystic ovary syndrome (PCOS). Akakurumbira mazita ezita re metformin anosanganisira Glucophage , Fortamet, Joke , uye Riomet.





Ose ari maviri mhando 2 chirwere cheshuga uye PCOS ndizvo zvakajairika mamiriro ehutano, imwe neimwe iine anopfuura mazana maviri ezviuru zviitiko muUS makore ese. Mamirioni evakuru ari panjodzi yerudzi rwechipiri chirwere cheshuga, sekuzivisa kweCDC hutano hweveruzhinji.



Kana iwe wakamboonekwa uine chero mamiriro, mikana iri, metformin isarudzo yekurapa iwe. Kudzidza nezve metformin mhedzisiro, yambiro, uye kudyidzana idanho rekutanga rinobatsira pakuwana nzwisiso iri nani yemushonga.

Chii chinonzi metformin?

Metformin inonyanya kutaurwa kubatsira vanhu vane chirwere cheshuga cheshuga. Rudzi rwechipiri chirwere cheshuga chinokonzerwa ne insulin kushora kana kuderera kwe insulin kunzwa, zvinoreva kuti muviri haupindure zvakanaka kune insulin. Vanhu vane type 2 diabetes kana prediabetes vane hyperglycemia (shuga yeropa). Metformin inoshanda nekudzora kuburitswa kweshuga kubva pachiropa uye nekudzora kunwiswa kwemuviri kweglucose, ese ari maviri anobatsira kudzikisa mashuga eropa. Izvo zvakare zvinotendwa kuti metformin inowedzera insulin senzwi, iyo inobatsira nekudzikisa glucose mazinga.

Metformin inogona zvakare kunyorerwa kure-chitambi kurapa polycystic ovary syndrome ( PCOS ), iyo mamiriro anogona kukonzera yakakwira insulin mazinga ayo anowedzera njodzi yechirwere cheshuga. Mushonga uyu unobatsira kuenzanisa insulin mazinga uye anogona kunatsiridza kubereka .



Zvakajairika mhedzisiro mhedzisiro yemetformin

Kudzidza nezve zvingangoitika mhedzisiro yemetformin kwakakosha sekufunda nezve mabhenefiti. Sezvakaita chero mishonga, panogara paine njodzi dzinogona kuitika. Aya ndiwo mamwe eanowanzoitika metformin mhedzisiro:

  • Manyoka
  • Nausea
  • Kushungurudzika mudumbu
  • Metallic kuravira mumuromo
  • Kusvipa
  • Kubata ropa
  • Kuonda
  • Kupererwa nechido
  • Kushungurudza
  • Bloating
  • Kukosora
  • Kurara
  • Kuzvimbirwa
  • Kutemwa nemusoro
  • Zvinorwadza kana kuoma kuita weti
  • Asthenia
  • Kupera kwemazinga evitamini B12

Metformin inokonzera kurasikirwa uremu?

Chinhu chakajairika nezve metformin ndechekuti inokonzeresa kuonda. Kunyangwe inogona kukonzeresa kuonda nekushandura nzira iyo muviri unochengeta mafuta, izvi hazvireve kuti munhu wese anotora mushonga anodzora huremu, kana kuti iwe unofanirwa kuushandisa kuonda

Inguva yakareba sei metformin mhedzisiro mhedzisiro?

Migumisiro inogona kutanga paunotanga kutora metformin. Kune vamwe vanhu, mhedzisiro inozoenda nekukurumidza mushure mekunge muviri wavo wagadzirisa mushonga. Kune vamwe, mhedzisiro inogona kuramba kana kuwedzera kuipa. Vanhu vazhinji vanotora metformin kwenguva yakareba, saka kana mhedzisiro isingaendi, vanogona kukonzera kukuvara kwenguva refu. Mimwe metformin mhedzisiro mhedzisiro inogona kuenda asingazivikanwe , saka kugara uchiongororwa kwakakosha.



Yakakomba mhedzisiro mhedzisiro yemetformin

Metformin inosanganiswa neimwe yakaoma, yakareba-nguva mhedzisiro. Mimwe mhedzisiro yakakomba inokonzerwa ne metformin ine njodzi uye inoda kurapwa nekukurumidza. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge waita.

  • Kuneta
  • Kurara zvisina kujairika
  • Kunetseka kufema
  • Iyo inononoka kana isina kujairika kurova kwemoyo
  • Musoro wakareruka kana dzungu

Kutora metformin kwenguva yakareba ingaguma nemhedzisiro yenguva refu. Metformin inogona kukanganisa kugona kwemuviri kutora vitamini B12 uye kukonzeresa kushomeka kwevhitamini B12. Zvinowanzo kuve zvakakosha kuti vanhu vatore metformin kuti vawane kuongororwa ropa nguva dzose kuti vatarise mavitamini B12 avo mazinga.

Kunyangwe zvisingawanzoitika, metformin inogona kukonzeresa kugadzikana. Zviratidzo zvekusagadzikana kunosanganisira kunetseka kufema, kuzvimba kwechiso kana maoko, uye kuputika kweganda. Iwe unofanirwa kutsvaga kurapwa nekukasira kana iwe uchidavira kuti uri kusangana neanergic reaction.



Lactic acidosis

Kutora metformin kunogona kukonzera chakakomba mamiriro anonzilactic acidosis, inova yakavakwa yelactic acid muropa. Lactic acidosis inogona kukonzeresa mhedzisiro uye kazhinji inoda kugara muchipatara. Kunwa doro rakawandisa uine metformin kunogona kuwedzera zvakanyanya njodzi yekuwana lactic acidosis. Zviratidzo zveactic acidosis zvinosanganisira:

  • Dzungu kana hurema
  • Kutambudzika kwemhasuru
  • Kunyanya kushaya simba kana kuneta
  • Kunetseka kufema
  • Iyo inokurumidza kana inononoka kurova kwemoyo
  • Kubuda kweganda
  • Kuderedza kudya
  • Kutambudzika kwakanyanya kwemudumbu

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchingeita Iye kana iye anokupa rairo pane zvaunofanira kuita zvinotevera, uye anogona kukuudza iwe kurega kutora metformin.



Metformin yambiro

Metformin haisi iyo chaiyo mishonga kune vanhu vane rudzi rwekutanga chirwere cheshuga. Inowanzoonekwa seyakanaka kuvana nevakuru vane mhando 2 chirwere cheshuga kana prediabetes, chero bedzi chiremba vachibvuma, asi madosi achasiyana. Kune vanhu vakuru vanopfuura makore makumi masere, metformin iri yakatemwa nehungwaru pane kesi-ne-kesi hwaro.

Vanhu vane mamwe mamiriro ehutano vane njodzi yakawedzera yekusangana nemhedzisiro kubva pakutora metformin. Chero ani zvake ane congestive moyo kutadza, kukanganisa kweitsvo kushanda, kusashanda kwechiropa, kana chirwere cheshuga ketoacidosis haafanire kutora metformin.



Vanhu vane matambudziko eropa, itsvo matambudziko, itsvo chirwere, chiropa chirwere, kana kufema matambudziko vanofanirwa kungwarira kutora metformin. Kuve neyese yeaya mamiriro uye kutora metformin kunogona kukonzera kuti metformin isanyanya kushanda kana kukonzeresa mamwe matambudziko ehutano, senge lactic acidosis.Aya mamiriro anokonzeresa kuvaka kweacicic acid muropa uye inogona kuuraya.

Zvimwe zvidzidzo zvinoratidza kuti metformin inogona kuve nenjodzi zvinhu zvinopfuura zvinowanzoitika mhedzisiro. Chikafu neDrug Administration (FDA) iri kuongorora kana metformin ine carcinogens , uye a 2018 kudzidza inoratidza kuti metformin inogona kudzikisira zvimwe zvakanaka zvakanaka zvekurovedza muviri kwevakuru.



Zvichakadaro, dzimwe metformin ngano dzakabviswa. Vamwe vakafungidzira kuti metformin yakakonzera kuora mwoyo asi a kudzidza kwakaburitswa muna Kukadzi 2019 vakawana kuti metformin kushandiswa kwakabatana pamwe nenjodzi yakadzikira ye dementia.

Kunyangwe metformin isingashande kune vamwe vanhu, yambiro idzi hadzifanirwe kuregedza chokwadi chekuti ichiri kubatsira vanhu vazhinji kupota nyika kubata kwavo hutano mamiriro.

Metformin kudyidzana

Mimwe mishonga inogona kuita kuti metformin isanyanya kushanda kana kukuvadza mhedzisiro.

Semuenzaniso, kutora metformin ine insulin kuburitsa mapiritsi kana insulin kunogona kukonzera hypoglycemia (shuga shoma yeropa), sekureva kwe Chirwere cheshuga Kudzidzisa Center paYunivhesiti yeCalifornia . Vanhu vazhinji vanotora metformin vanofanirwa kuongorora avo eropa padhuze. Zviratidzo zve hypoglycemia zvinosanganisira dzungu, kubvunda, kuvhiringidzika, kuneta, uye kupera simba.

Metformin inogona kudyidzana nemimwe mishonga, inosanganisira diuretic mishonga, steroid mishonga, mamwe madhiragi etachiona, epamuromo ekudzivirira kubata pamuviri, uye calcium chiteshi ichivharira zvinodhaka senge nifedipine, anodaro Chirag Shah, MD, uye mubatanidzwa Push Utano , yepamhepo yekutarisira hutano. Nekuda kwehukama hwakasiyana hwekudyidzana kwemishonga, zvakakosha kuti utarise mishonga yemurwere yazvino usati wagadza metformin.

Kugadzira rondedzero yezvose zvinowedzera uye mishonga yemishonga iwe yaunotora uye kuigovana nachiremba wako zvinokubatsira iwe kudzivirira mhedzisiro inogona kuuya nekutora metformin nechimwe chinhu.

Iyi inotevera mishonga inogona kusangana zvisina kunaka ne metformin:

  • Quinolone mishonga inorwisa mabhakitiriya
  • Thiazide diuretics
  • Verapamil
  • Mishonga inopihwa pamberi peMRI, X-Rays, kana CT scan
  • Ethanol
  • Asiri-steroidal anti-anogumbura zvinodhaka (NSAIDs)
  • Steroid mishonga
  • Mishonga yehutachiona

Chiremba kana mumwe chiremba anogona kukupa runyorwa ruzere rwemishonga inosangana zvisina kunaka nemetformin.

Maitiro ekudzivirira metformin mhedzisiro

1. Tora mishonga isingachinji

Zvakanakisisa kutevera mirairo yemugadziri yemashandisirwo emushonga kuti uderedze mikana yako yekuwana metformin mhedzisiro. Vazhinji varwere vanotora metformin yega yegaMaawa gumi nemaviri. Kugara uchitora dosi yakakodzera panguva yakakodzera kunogona kubatsira kudzora mhedzisiro.

Iyo yakajairwa muyero we metformin yevakuru ndeye 1000 mg inotorwa kaviri zuva nezuva nekudya. Kutora metforminnechikafuinogona kubatsira kubvisa kana kudzikisa maronda ane chekuita nemudumbu. Kupotsa kana kusvetuka muyero wemetformin kunogona kuita mhedzisiro yakaipa.

2. Ita mararamiro uye mararamiro ekuchinja

Maitiro ehupenyu echimwe chinhu chakakosha chekutarisa mhando 2 chirwere cheshuga kana prediabetes. Kurovedza muviri nguva dzose kunogona zvakanaka kukanganisa BP uye shuga yeropa kune vanhu vane chirwere cheshuga cheshuga. Zvimwe zvekudya senge yakanatswa shuga, doro, uye mahydrogenated mairi zvinogona kukonzera shuga yakakwira muropa, saka kuzvidzivirira kunogona kubatsira.

Kudya uye kurovedza muviri zvinogona kusashanda senzira dzakakwana kune metformin, asi ivo vachiri kugona kuvandudza hupenyu hwehupenyu. Nzira yakanakisa yekudzora mikana yako yekuwana mhedzisiro uchitora metformin kutaura nachiremba wako.

3. Tsvaga dzimwe nzira

Pane dzimwe nzira dzekuita metformin kune vanhu vane mamiriro ehutano anovatadzisa kutora metformin, kana kune avo vasingakwanise kutora metformin nekuda kwemhedzisiro yayo. Avo vane rudzi rwechipiri chirwere cheshuga vanogona kubatsirwa neSGLT2 inhibitors, mishonga ye GLP1, alpha-glucosidase inhibitors, gliptins, kana pioglitazone.

Kutaura nachiremba wako ndiyo nzira yakanakisa yekudzidza nezvemimwe mishonga inogona kunge yakakunakira iwe zvichibva pane yako nhoroondo yezvokurapa uye nezviratidzo zvega.

Metformin Vs. metformin ER

Metformin uye metformin yakawedzerwa-kuburitswa (ER) ndiyo mishonga imwechete, asi varwere havatori metformin ER sekuwanda. ER inomirira kuregedzwa-kuregedzwa, zvichireva kuti muviri unotora metformin ER zvishoma nezvishoma pane yakajairwa metformin. Mishonga iyi yese inobatsira vanhu vane chirwere cheshuga cheshuga uye prediabetes kudzora huwandu hweshuga yeropa.

Metformin, dzimwe nguva inonzi metformin pakarepo-kuburitswa (IR), inowanzo kutorwa kaviri pazuva. Metformin ER inotorwa zvishoma, kazhinji kamwe pazuva. Iyo yakajairwa muyero we metformin ER yevakuru vane mhando 2 chirwere cheshuga ndeye 1000-2000 mg. Vamwe vanhu vangangoda kutora metformin ER kaviri zuva nezuva. Nyanzvi yezvehutano inogona kuona izvi pane kesi-ne-kesi hwaro.

Metformin ER ndiyo generic vhezheni yezita racho Glucophage XR . Varwere vane dumbu rinogumbuka neyakajairika metformin vanogona kuchinjira kuMetformin ER, iri nani inoshivirirwa.Tora metformin ER sekurairwa nachiremba wako. Vamwe vanachiremba vanogona kukurudzira kutora metformin ER kamwe mangwanani nekudya kwekuseni kana manheru nemanheru. Kutora metformin ERnechikafuinogona kubatsira kudzikisa njodzi yemhedzisiro senge kushungurudza mudumbu uye manyoka.

Metformin Vs. metformin ER mhedzisiro

Saizvozvo kune metformin, metformin ER mhedzisiro inogona kusanganisira:

  • Nausea
  • Manyoka
  • Kushungurudza
  • Kutemwa nemusoro
  • Metallic kuravira mumuromo
  • Kuneta
  • Musoro wakareruka
  • Tsvina kurwadziwa kana kurwadziwa
  • Inononoka kana isina kujairika kurova kwemoyo

Kunge metformin, metformin ER inogona kuwedzera njodzi yeactic acidosis.

Nyanzvi yezvekurapa anogona kupa rondedzero izere yemhedzisiro. Nzira yakanakisa yekudzidza zvakawanda nezve metformin uye metformin ER mhedzisiro ndeye kutaura nemupi wako wezvehutano.