Metformin - zizindikiro zogwiritsidwa ntchito

Metformin mankhwalawa ndi a gulu la antglycemic agents. Zaka zopitirira makumi asanu Metformin yayigwiritsidwa ntchito pa mankhwala, makamaka matenda a shuga. Mankhwala othandiza a mankhwalawa ali ndi zotsatira zotsatirazi pa thupi:

• amachepetsa shuga m'magazi ;
• kuchepetsa chilakolako;
• kulimbitsa lipolysis - momwe mafuta amawotchera.

Zizindikiro za kugwiritsa ntchito Metformin

Metformin imayambitsidwa ndi matenda otsatirawa:

• matenda a shuga, mtundu wa 2, kuphatikizapo m'mayendedwe ndi kunenepa kwambiri;
• Kugonana ndi matenda a shuga - matenda okhudzana ndi matenda a mavitamini a m'magazi kumbuyo kwa kusintha kwa mahomoni kwa amayi apakati;
• Matenda a polycystic ovaries mwa amayi omwe ali ndi kuphwanya malingaliro a shuga.

Komanso, Metformin imagwiritsidwa ntchito monga prophylactic pa zinthu zomwe zingayambitse kuyamba kwa shuga (prediabetes). M'zaka zaposachedwapa, nkhani yakhala ikufalitsidwa kuti mankhwala a hypoglycemic amachepetsa ntchito ya mankhwala omwe amachititsa kukula kwa zotupa zoopsa m'mimba ya mammary ndi zotupa zoyenda ndi shuga. Izi zimatsimikiziridwa ndi kafukufuku wopangidwa ndi asayansi kuchokera ku yunivesite ya Michigan (USA) ndi Seoul University (South Korea).

Zotsutsana ndi ntchito ya Metformin

Pali zotsutsana zambiri zogwiritsira ntchito Metmorphine. Izi zikuphatikizapo:

• Kuwonongeka kwakukulu kwa ziwalo zomwe zimagwiritsidwa ntchito mu metabolism (chiwindi, impso ndi mapapo);
• ketoacidosis - matenda okhudzana ndi kuphwanya kachipangizo kamene kamayambitsa matenda a mpweya chifukwa cha kusakwanira kokwanira kwa mankhwala;
• myocardial infarction;
• laktatsidoz - matenda, chifukwa thupi limaphatikizapo kuchuluka kwa lactic asidi;
• Mavuto okhudzana ndi kuchepa kwa madzi (chifukwa cha matenda, kupsinjika kwa thupi) ndi kupeza zakudya zochepa;
• hypersensitivity kwa zigawo zikuluzikulu za mankhwala.

Ndi mankhwala otchuka a Metformin amagwiritsidwa ntchito pochizira amayi omwe ali ndi pakati ndi omwe akulera, komanso odwala oposa zaka 60.

Metformin mankhwala a shuga

Mapiritsi a Metformin ayenera kutengedwa pambuyo pa chakudya, mlingo wa mankhwalawo umadalira ngati insulini imagwiritsidwa ntchito kuchiza wodwalayo kapena ayi. Pankhaniyi, wapatsidwa:

1. Kwa anthu omwe satenga insulini, mapiritsi awiri (1 g) kawiri pa tsiku masiku atatu oyambirira, kuyambira 4 mpaka 14 - mapiritsi 2 katatu patsiku. Kuyambira pa tsiku la 15, mlingowu umachepetsedwa malinga ndi malangizidwe a dokotala malinga ndi shuga zomwe zimakhudza madzi (mkodzo ndi magazi).
2. Pogwiritsira ntchito insulini imodzi palimodzi pa maola 40 patsiku, mlingo wa Metformin ndi wofanana, koma mlingo wa insulini umachepetsedwa pang'ono ndi magawo 4 pa tsiku.
3. Pa mlingo wa insulini oposa magawo 40 patsiku, kuphatikizapo mankhwala a Metformin, m'pofunika kuchepetsa mlingo wa insulini pokhapokha pamene wodwala mwachitsanzo, nthawi zonse, pamene mukukhala kuchipatala.

Kuchuluka kwa mlingo wa Metformin kungayambitse hyperglycemia - kuwonjezeka kwa mazira a shuga ndi matenda oopsa kwambiri - ku hyperglycemic coma ndi zotsatira zake zomvetsa chisoni. Pankhani imeneyi, m'pofunikira kuyang'anira nthawi zonse shuga. Kuchuluka kwa msinkhu wake ndi chizindikiro chakuti kutenga mankhwalawa kuyenera kusokonezedwa kwa masiku angapo ndikusinthidwa ku insulin.

Chonde chonde! Kuchiza matenda a shuga ndi metformin popanda kugwiritsa ntchito mankhwala ena nthawi imodzi kungayambitse kufooka ndi kugona . Ichi ndi chifukwa chakuti mankhwalawa amachepetsa kuchepa kwa glycogen. Pofuna kuthetsa vutoli, ndibwino kuti mupange jekeseni wa insulini.