Ukuyekisa iMetformin: Kulungile nini?

Umxholo

• Isebenza njani i-metformin?
• Iziphumo ebezingalindelekanga kunye nomngcipheko we-metformin
• Iziphumo ebezingalindelekanga eziqhelekileyo
• Ezinye iziphumo ebezingalindelekanga
• Hypoglycemia
• Lactic acidosis
• Kulungile nini ukuyeka ukuthatha i-metformin?
• Into onokuyenza

Ngo-Meyi ka-2020, kucetyiswa ukuba abanye abenzi be-metformin bandise ukukhutshwa kwezinye zeetafile zabo kwintengiso yase-US. Kungenxa yokuba inqanaba elingamkelekanga le-carcinogen enokubakho (iarhente ebangela umhlaza) yafunyanwa kwezinye iipilisi ze-metformin ezandisiweyo. Ukuba ngoku uthatha eli chiza, tsalela umnikezeli wakho wezempilo. Baza kukucebisa malunga nokuba kufuneka uqhubeke na ukuthatha amayeza akho okanye ukuba ufuna iphepha elitsha.

Iyeza eliqhelekileyo ehlabathini lokunyanga isifo seswekile yi-metformin (iGlumetza, iRiomet, iGlucophage, iFortamet). Inokukunceda ukulawula iswekile ephezulu yegazi kubantu abane-2 yeswekile. Ifumaneka kwifomathi yethebhulethi okanye ulwelo olucacileyo oluthatha ngomlomo ngokutya.

Ukuba uthatha i-metformin kunyango lwe-2 yeswekile, kunokwenzeka ukuba uyeke. Unokwazi ukulawula imeko yakho ngokwenza utshintsho oluthile kwindlela yokuphila, njengokugcina ubunzima obusempilweni kunye nokuzilolonga ngakumbi.

Funda ukuze ufunde ngakumbi nge-metformin kunye nokuba kunokwenzeka na ukuba uyeke ukuyithatha.

Ngaphambi kokuba uyeke ukuthatha i-metformin, thetha nogqirha wakho ukuze ubone ukuba eli linyathelo elifanelekileyo lokuthatha ukulawula isifo seswekile.

Isebenza njani i-metformin?

I-Metformin ayinyangi esona sizathu seswekile. Iphatha iimpawu zeswekile ngokunciphisa iswekile yegazi, okanye iswekile, ngo:

• ukunciphisa imveliso yesibindi
• ukunciphisa ukufunxeka kweglucose emathunjini
• ukuphucula ubuntununtunu be-insulin kwizicwili zomzimba, ukonyusa ukuthathwa kwezicubu kunye nokusetyenziswa kweswekile

I-Metformin iyanceda kwezinye izinto ukongeza ekuphuculeni iswekile yegazi.

Oku kubandakanya:

• ukunciphisa i-lipids, okukhokelela ekunciphiseni kwamanqanaba e-triglyceride yegazi
• ukunciphisa i-cholesterol "engalunganga" ye-lipoprotein (LDL)
• ukwanda kwe-cholesterol "elungileyo" ye-lipoprotein (HDL)
• mhlawumbi ukunciphisa ukutya kwakho, okunokubangela ukuba unciphise umzimba

Iziphumo ebezingalindelekanga kunye nomngcipheko we-metformin

Ngenxa yobungozi bayo kunye nemiphumo emibi, i-metformin ayikhuselekanga kuwo wonke umntu. Akucetyiswa ukuba unembali ye:

• Ukuphazamiseka kokusetyenziswa kweziyobisi
• isifo sesibindi
• imiba yezintso ezinzima
• iingxaki ezithile zentliziyo

Ukuba ngoku uthatha i-metformin kwaye ube neziphumo ebezingalindelekanga, usenokuba ufuna ezinye iindlela zonyango.

Iziphumo ebezingalindelekanga eziqhelekileyo

Iziphumo eziqhelekileyo ezichaphazelekayo ziintloko kunye nemiba yokutya okubandakanya:

• urhudo
• ukugabha
• isicaphucaphu
• isilungulela
• isisu esiswini
• irhasi
• incasa yesinyithi
• Ukuphelelwa ngumdla wokutya

Ezinye iziphumo ebezingalindelekanga

Ngamanye amaxesha, i-metformin ikhokelela ekufunxweni kakubi kwe-vitamin B-12. Oko kunokukhokelela kukusilela kwe-vitamin B-12, nangona oku kwenzeka kuphela emva kokusebenzisa ixesha elide amayeza.

Njengokuthintela, ugqirha wakho uya kujonga amanqanaba akho e-B-12 rhoqo ukuya kwiminyaka emibini ngelixa uthatha i-metformin.

Ukuthatha i-metformin kunokukhokelela ekuphulukaneni nesidlo, esinokubangela inani elincinci lokulahleka kobunzima. Kodwa ukuthatha la mayeza akuyi kukhokelela ekuzuzeni ubunzima.

Kukho ezinye iziphumo ebezingalindelekanga onokuhlangabezana nazo, kubandakanya i-hypoglycemia kunye ne-lactic acidosis.

Hypoglycemia

I-Hypoglycemia, okanye iswekile esezantsi yegazi, inokwenzeka ukusukela oko i-metformin yehlisa iswekile yegazi. Kubalulekile ukubeka esweni iswekile yegazi lakho rhoqo ukuze ugqirha wakho ahlengahlengise idosi yakho ngokusekwe kumanqanaba akho.

I-Hypoglycemia ngenxa ye-metformin sisiphumo esinqabileyo secala.

Iswekile esezantsi yegazi kunokwenzeka ukuba yenzeke ukuba uthatha i-metformin nezinye iziyobisi zeswekile okanye i-insulin.

Lactic acidosis

I-Metformin inokubangela imeko esongela ubomi ebizwa ngokuba yi-lactic acidosis. Abantu abane-lactic acidosis banenqwaba yento ekuthiwa yi-lactic acid egazini labo kwaye akufuneki bathathe i-metformin.

Le meko iyingozi kakhulu kwaye ihlala ibulala. Kodwa le sisiphumo esinqabileyo esecaleni kwaye ichaphazela ngaphantsi kwe-1 kubantu abangama-100,000 abathatha i-metformin.

I-Lactic acidosis kunokwenzeka ukuba yenzeke kubantu abanesifo sezintso. Xelela ugqirha wakho ukuba wakhe waba neengxaki zezintso.

Kulungile nini ukuyeka ukuthatha i-metformin?

I-Metformin inokuba yinxalenye ebalulekileyo yesicwangciso sonyango seswekile esisebenzayo. Kodwa ukunciphisa i-metformin okanye ukuyiyeka ngokupheleleyo kukhuselekile kwezinye iimeko ukuba isifo seswekile siphantsi kolawulo.

Ukuba ufuna ukuyeka ukuthatha amayeza eswekile, thetha nogqirha wakho okanye umboneleli wezempilo malunga namanyathelo ekufuneka uwathabathile ukwenza njalo.

Wonke umntu onesifo seswekile unokuxhamla ngokutshintsha iindlela ezithile zokuphila, nkqu nabo bathatha amayeza.

Ukuphulukana nobunzima, ukutya okungcono, kunye nokuzilolonga zezona ndlela zilungileyo zokunceda ukunciphisa iswekile yegazi kunye ne-A1C. Ukuba ungazilawula ezi nguqulelo kwindlela yokuphila, unokukwazi ukuyeka ukuthatha i-metformin okanye ezinye iziyobisi zeswekile.

Ngokweengcali ezivela kuMbutho weSifo seSwekile saseMelika, uhlala uhlangabezana nezi ndlela zilandelayo ngaphambi kokuba uyeke ukuthatha amayeza eswekile:

• I-A1C yakho ingaphantsi kwipesenti ezisi-7.
• Ukuzila ukutya kwasekuseni kweglucose phantsi kwe-130 milligrams kwidesilitha nganye (mg / dL).
• Inqanaba lakho leswekile yegazi ngokungacwangciswanga okanye emva kwesidlo lingaphantsi kwe-180 mg / dL.

Kuyingozi ukuyeka ukuthatha i-metformin ukuba awuhlangabezani nezi nqobo zisemgangathweni. Kwaye ugcine ukhumbula ukuba ezi nqobo zingatshintsha ngokusekwe kubudala bakho, impilo iyonke, kunye nezinye izinto. Ke, kubalulekile ukuba uthethe nogqirha wakho ngaphambi kokutshintsha isicwangciso sakho se-metformin.

Into onokuyenza

I-Metformin inokukunceda ukukhusela iingxaki zempilo zexesha elide kuhlobo lwesibini lweswekile. Kodwa unokukwazi ukuyeka ukuyithatha ukuba ugqirha wakho ucinga ukuba unokugcina iswekile yegazi lakho ngaphandle kwayo.

Unokwazi ukwehlisa ngempumelelo kwaye ulawule iswekile yegazi lakho ngaphandle kwamayeza ngokwenza utshintsho kwindlela yokuphila enje ngezi zilandelayo:

• ukugcina ubunzima obunempilo
• ukwenza umthambo ngakumbi
• ukunciphisa ukutya kwakho ii-carbohydrate
• ukuguqula ukutya kwakho ukuze kubandakanye ii-carbohydrate ezisezantsi-glycemic
• ukuyeka ukutshaya icuba nangayiphi na indlela
• ukusela kancinci okanye ukungaseli kwa utywala

Kukwabalulekile ukufumana inkxaso. Isazi sokutya esibhalisiweyo, umqeqeshi wabucala, okanye iqela labalingane banokuphucula amathuba akho okubambelela kule mikhwa isempilweni.

Ndwendwela i-American Diabetes Association ngenkxaso ye-intanethi kunye neyasekhaya kwindawo ohlala kuyo.