Metformin wolemera

Metformin - mankhwala odwala shuga, kuthandiza kuchepetsa shuga wa magazi. Kwa anthu omwe ali ndi shuga, metformin ndi mankhwala ofunika kwambiri omwe amathandiza kuti thupi likhale ndi thupi, lomwe limasokonezeka chifukwa cha matendawa.

Zizindikiro za kugwiritsidwa ntchito

Metformin imasonyezedwa ku matenda angapo, omwe ndi:

• matenda a shuga (kugwiritsa ntchito metformin kunachepetsa chiŵerengero cha imfa mwa 30%);
• Pre-shuga ya matenda - shuga yomwe imayambitsa matenda a shuga. (Kugwiritsiridwa ntchito kwa metformin, komanso zakudya ndi zochita masewera olimbitsa thupi kumathandiza kupewa kupezeka kwa matenda a shuga a shuga);
• matenda a ochiary ovary ndi matenda ena achikazi, mwachitsanzo, kudzoza;
• matenda opatsirana pogonana - matenda a amayi apakati, omwe amadziwika ndi kuphwanya kagawidwe kake, chifukwa cha kusintha kwa mahomoni.

Metformin contraindications

Okalamba asankhe metformin mosamala. Komanso, popereka mankhwala kwa amayi apakati, m'pofunika kuganizira zinthu zina kuti mutha kuvulaza mwanayo.

Mfundo zotsutsana za metformin ndi izi:

• matenda a m'mapapo, chiwindi ndi impso;
• ketoacidosis (kuphwanya zakudya zamagetsi zamagazi, chifukwa cha kusowa kwa insulini);
• myocardial infarction;
• kutaya madzi;
• lactatacidosis (mopitirira muyeso kupezeka mu thupi la lactic asidi).

Metformin - zotsatira zake

Metformin ingasokoneze dongosolo la m'mimba, lomwe limayambitsa kutsekula m'mimba. Zikatero, kuchepetsa mlingo mpaka mbali yotsatirayo isawonongeke.

Kuchuluka kwa mankhwala ndi mankhwala kungabweretse mavuto aakulu. Hyperglycemia pogwiritsira ntchito metformin mochulukira, mwatsoka, sikumapezeka kawirikawiri. Izi zimachokera ku mankhwala a mankhwalawa kuti asunge shuga, osapatsa mwayi wokhala nawo m'magazi. Chotsatira cha hyperglycemia chimaphatikizapo kuchuluka kwa hyperglycemic coma ndipo kenako, ngati sichiperekedwa thandizo panthawi yake - zotsatira zakupha.

Pofuna kupewa zotsatira zoterozo, m'pofunika kuyang'anira mlingo wa shuga, ndipo pamene ikuwonjezereka, sokoneza njira yotenga metformin masiku angapo ndikujambulira insulin subcutaneously.

Kugwiritsiridwa ntchito kwa metformin nthawi yaitali popanda mankhwala ena kungawoneke ngati kugona, kufooka komanso kufooka. Izi ndi chifukwa chakuti mankhwalawa amachepetsa msinkhu wa glycogen mu minofu ndi chiwindi, ndi glycogen , monga momwe amadziwira - malo osungirako mphamvu, omwe, ngati kuli kofunikira, thupi limatembenuza mu shuga. Pazochitika zoterozo 1-2 jekeseni wa insulini.

Kuwononga metformin - zotsatira za kuwonjezera pa zinthu kapena kugwiritsa ntchito mankhwala osayenera, popanda umboni kapena kufunsa ndi akatswiri. Mulimonsemo, ndi kuvomereza kolondola ndi mosamala pansi pa kuyang'aniridwa ndi dokotala, zotsatira zosayenera zingachepetse kukhala zero.

Kodi mungatani kuti mumutenge metformin kuti muwonongeke?

Metformin ikhoza:

• kuletsa kupanga mapangidwe a mafuta m'chiwindi;
• kuchepetsa shuga wa magazi;
• Kuchepetsa chiwerengero cha zakudya zamadzimadzi zomwe zimadza ndi chakudya;
• kuchepetsa kutulutsa insulini, zomwe zimapangitsa kuchepa kwa njala.

Kumvetsetsa njira zothandizira, mukhoza kupita ku funso la momwe mungathere polemera ndi metformin. Musaganize kuti ntchito ya mankhwalayo ikufuna kutentha mafuta . Ntchito yake ndi kupanga zinthu zomwe mafuta amagwiritsira ntchito, osati minofu ya minofu. Choncho, chifukwa chopanda phindu ndi kuchepetsa kulemera kwa kulemera, m'pofunika kupanga zinthu zabwino:

• kukana maswiti ndi chirichonse chomwe chili ndi chakudya chophweka;
• kukana masitala osiyanasiyana, mapiri ndi mbatata yomweyo;
• kuchepetsa kwakukulu m'makilogalamu obwera;
• kuchita masewera olimbitsa thupi.

Ndi malangizi apamwambawa, mukhoza kukwaniritsa zotsatira.

Mlingo wa metformin wolemera thupi ndi 500 mg tsiku usanadze usana ndi chakudya chamadzulo. Nthawi zina, mlingo wawonjezeka kufika 1500 mg, koma usayiwale zotsatira za zotsatira za metformin ndi zotsatira za kuwonjezera apo.