I-Metformin - izidakamizwa zesifo sikashukela, esiza ukunciphisa ushukela wegazi. Kubantu abanesifo sikashukela, i-metformin iyisidakamizwa esibalulekile esisiza ukugcina umzimba we-carbohydrate metabolism emzimbeni, ophazanyiswa ngenxa yesifo.
Izinkomba zokusetshenziswa
I-Metformin iboniswa ngezifo eziningi, okungukuthi:
- isifo sikashukela (ukusetshenziswa kwe-metformin kunciphisa izinga lokufa ngo-30%);
- I-pre-sikashukela - isimo lapho ingozi yesifo sikashukela ikhula khona. (Ukusetshenziswa kwe-metformin, kanye nokudla nokuzivocavoca eziyinkimbinkimbi kusiza ukugwema ukuguqulwa kwesifo sikashukela ngaphambi kwesifo sikashukela);
- i-polycystic syndrome ye-ovary nezinye izifo zesifazane, isibonelo, ukugcoba;
- isifo sikashukela sofuzo - isifo sabesifazane abakhulelwe, esibonakala ukwephulwa komzimba wamakhemikhali, ngenxa yenguquko emlandweni we-hormonal.
I-Metformin contraindications
Misa i-metformin ngobudala ngokuqapha. Futhi, uma ubeka izidakamizwa kwabesifazane abakhulelwe, kubalulekile ukucabangela ezinye izici ukugwema ukulimala okungenzeka ku-fetus.
Ukuphikisana okuyinhloko kwe-metformin yilokhu:
- izifo zamaphaphu, isibindi nezinso;
- i-ketoacidosis (ukwephulwa kwe-carbohydrate metabolism, ngenxa yokuntuleka kwe-insulin);
- i-infarction ye-myocardial;
- ukuphelelwa amanzi;
- i-lactatacidosis (ukuqoqwa ngokweqile emzimbeni we-lactic acid).
I-Metformin - imiphumela emibi
I-Metformin ingaphazamisa uhlelo lokugaya, oluholela ekuhuleni. Ezimweni ezinjalo, ukunciphisa umthamo kuze kube yilapho umphumela ohlangothini osobala uphelalala.
Ukwedlula ngokweqile ngesidakamizwa kungaholela emiphumeleni eyingozi kakhulu. I-Hyperglycemia esebenzisa i-metformin ngobuningi, ngeshwa, akuyona into engavamile. Lokhu kungenxa yempahla yesidakamizwa ukugcina i-glucose, hhayi ukunikeza ithuba lokungenwa kwayo egazini, okuphathelene nalokho, izinga layo landa. I-hyperglycemia ephumela kuhlanganisa i-coma ye-hyperglycemic bese kuthi, uma inganikezwa usizo olufika ngesikhathi - umphumela obulalayo.
Ukuze ugweme imiphumela enjalo, kubalulekile ukuqapha izinga le-glucose, futhi uma likhula, liphazamise inkambo yokuthatha i-metformin izinsuku ezimbalwa futhi ijobe i-insulin engaphansi.
Ukusetshenziswa okuqhubekayo kwe-metformin ngaphandle kwanoma imuphi omunye izidakamizwa kungase kubonakale kubuthongo, ubuthakathaka nokuphelelwa amandla. Lokhu kungenxa yokuthi izidakamizwa zinciphisa izinga le-glycogen emisipha nesibindi, futhi i- glycogen , njengoba kwaziwa - indawo yokugcina amandla, okudingekayo, uma kudingeka, umzimba uguqula i-glucose. Ezimweni ezinjalo ama-1-2 injection ye-insulini.
Ukulimala i-metformin - umphumela wokudlula ngokweqile noma ukusetshenziswa okungavumelekile kwesidakamizwa, ngaphandle kobufakazi noma ukubonisana nabachwepheshe. Konke okunye, ngokuvuma okulungile nokucophelela ngaphansi kokuqondiswa udokotela, imiphumela engathandeki ingancishiswa ibe yilapho.
Ungathatha kanjani i-metformin yokulahlekelwa kwesisindo?
I-Metformin ikwazi:
- ukuvimba ukubunjwa kwe-carbohydrate fuel esibindi;
- ukunciphisa ushukela wegazi;
- Nciphise iphesenti ye-absorption ye-carbohydrate ezayo nokudla;
- ukunciphisa ukukhiqizwa kwe-insulini, okuholela ekunciphiseni kwesidlo.
Ukuqonda izindlela zethonya, ungahamba
- ukwenqaba amaswidi nakho konke okuqukethe ama-carbohydrate alula;
- ukwenqaba ama-pasta ahlukahlukene, ama-porridges namazambane asheshayo;
- ukunciphisa okukhulu kwamakhalori angenayo;
- ukuvivinya umzimba nokusebenza njalo.
Ngezincomo ezingenhla, ungafinyelela umphumela oyifunayo.
Umthamo we-metformin wokulahlekelwa isisindo ngu-500 mg ngosuku ngaphambi kokudla kwasemini nakudla. Kwezinye izimo, umthamo ukwandiswa ube ngu-1500 mg, kodwa ungakhohlwa ngemiphumela emibi ye-metformin nemiphumela yokudlula ngokweqile.