Biguanides inorongwa yehutachiona hwehutachiona hwehutachiona hunoshandiswa kurapa rudzi rwechipiri chirwere cheshuga, iyo metformin inonzi brand. Iyi mishonga inoita nekukonzera kugadzirwa kweglucose inobva mukudya. Hazvikonzeri hypoglycemia uye kunyange rubatsiro nekutapiswa kwemazivi uye nhamba dzepamusoro dze'cholesterol . Ndiyo mishonga inonyanya kupiwa yakagadzirirwa chirwere cheshuga chechipiri.
- Uyewo Anozivikanwa se : Metformin, Glucophage
- Biguanides: Basics yemishonga iyi
- Metformin : Dzidza zvakawanda nezvekushandisa kwechirwere ichi.
Biguanide Mishonga yeShuga
Metformin ndiro guru guru rinowanikwa pamusika wekurapa kwechirwere cheshuga . Glucophage (metformin) uye Glucophage XR (metformin yakawedzerwa-kusunungurwa) ndiyo inonyanya kuzivikanwa yemishonga iyi. Zvimwe zvinyorwa zvakanyorwa zvinosanganisira Fortamet, Glumetza, uye Riomet. Inowanikwawo muzvinhu zvakasanganiswa pamwe nedzimwe chirwere cheshuga.
Biguanides yakatanga kuwanikwa kubva kuFrench lilac, inonziwo goat's rue, Galega officinalis. Kutsvakurudza pamusoro pemigumisiro yaro mukuderedza ropa rekuisa ropa kunokonzera kukura kwezvinyorwa zviduku-chepfu. Mimwe mishonga yemishonga inogona kusanganisira iyi simiti, asi kana uri kushandisa chirwere cheshuga iwe unofanira kushandisa chisungo nekuda kwekubatana.
Mimwe mhando dzejudu dzakagadzirwa asi dzakabviswa pamusika. Izvi zvinosanganisira phenformin, iyo yakatangwa muna 1957 panguva imwe chete se metformin asi yakadzoka kuma1970 ekupedzisira nekuti yakabatanidzwa nehuwandu hwekuita lactic acidosis.
Izvi zvaiva, zvinosuruvarisa, zvinouraya muhafu yezviitiko.
Buformin yakagadzirwa muGermany muna 1957 asi yakanga isati yatengeswa muUnited States. Yakawanikwawo kuti ine ngozi yakawedzerwa ye lactic acidosis. Yakabviswa pamusika munyika dzakawanda asi inogona kuwanikwa kune vamwe.
Mukuwedzera kune kushandiswa kwayo kwechirwere cheshuga, mamwe mhando dze biguanides dzinoshandiswa semishonga inorwara nehutachiona, proguanil, uye chlorproguanil.
Biguanides Inoshanda Sei Nechirwere Cheshuga?
Metformin inoshanda kushandisa huwandu hwehuga muropa rako. Iyo haibatsiri muwandu we insulini unobereka, asi inowedzera kunzwa kwe insulin . Izvi zvinobatsira masero ako kutora glucose mukushandisa kwavo simba, anoderedza kushandiswa kweglucose muchiropa, uye inoderedza kuiswa kweglucose muropa rako. Kushandiswa kweshuga mumatumbo kunobereka lactic acid, iyo inoshandiswa nechiropa asi inogona kutungamirira kumagumisiro emakwenzi elactic acidosis. Metformin haina kukonzera kliniki ye hypoglycemia, iyo inobatsira pane imwe mishonga yechirwere cheshuga. Izvo hazviiti kuti uwedzere kuwedzera uye zvine maitiro akanaka ekuderedza zvimwe zvepfungwa zvinokonzerwa nemwoyo.
Metformin inowanzotarisirwa kurudzi rwechipiri chirwere cheshuga kana chirwere chisingagoni kutarisirwa nemararamiro ehupenyu oga. Iyo mishonga yemuromo, saka inogona kutorwa sehwendefa kana mvura. Zvichienderana nechimiro, chinotorwa kamwe kana katatu zuva rimwe nerimwe. Kune mafomu akawedzerwa-kusunungurwa pamwe nemafomu anoda kutorwa nechingwa. Mirayiridzo inofanira kuteverwa kuitira kushandiswa kwakachengeteka kwechigadzirwa chimwe nechimwe.
Sezvo chirwere cheshuga chichifambira mberi, injirin injections inogona kudiwa kuti itarise shuga yeropa uye metformin inogona kushandiswa kusimbisa kukwanisa kwemuviri kushandisa insulini.
> Sources:
> Bailey CJ, "Biguanides uye NIDDM," Diabetes Care, 1992 Jun, 15 (6) 755-72.
> Metformin, MedlinePlus, US National Library of Medicine, 2/15/2015
> Krentz AJ, Bailey CJ. "Oral antidiabetic agents: ikozvino inhengo yechipiri cheshuga cheshuga mellitus." Zvinodhaka. 2005; 65 (3): 385-411.