Metformin uye PCOS: Chii Chakuziva

Zvaunoda Kuziva Nekutora Metformin Kana Une PCOS

Kana iwe une Polycystic Ovary Syndrome ( PCOS ) uye wakagadzirirwa metformin, mikana iwe une mibvunzo yakawanda uye zvinetseka pamusoro pekutora mishonga iyi. Ruzhinji rwevakadzi vane PCOS vane yakakwirira ye insulin iyo inokonzera kuwedzera, kudiwa, uye kunyange maruva emuchena paganda rako. Nokufamba kwenguva, kuiswa kune yakakwirira ye insulini kunogona kukuita kuti insulin isagadzikane kana kuti ive yerudzi rwechipiri chirwere cheshuga .

Metformin inoshanda kuderedza insulin yako uye kuderedza ngozi yako yehuga.

Ichi chinyorwa chichakuratidza iwe zvaunoda kuziva nezvekutora metformin kana une PCOS.

Metformin Inoshanda Sei?

Metformin imwe yemishonga yakare uye yakawanda inodzidza inowanikwa muUnited States. Mamwe mazita e metformin anosanganisira Glucophage, Glucophage XR, glumetza, uye fortamet. Kunyange zvazvo isina kunyorwa kushandiswa kune vakadzi vane PCOS, metformin imwe yemishonga inowanzoshandiswa kugadzirisa mamiriro acho ezvinhu. Metformin yakadzidziswa nevasikana vaduku sezera remakore gumi nemana, pamwe nevamwe vatsvakurudzi vachikurudzira kuti idzivise kutanga kwePCOS. Metformin inoshanda se insulini-senitizeri kuderedza kushandiswa kwako kweglucose. Metformin inokonzera ropa glucose uye insulin maitiro nenzira nhatu:

1. Inoderedza kushandiswa kwechiropa cheglucose.

2. Inowedzera kunzwisiswa kwechiropa chako, musimba, mafuta, uye masero kune insulini muviri wako unoita.

3. Inoderedza kubatwa kwemakhahydrates iwe unopedza.

Ivhareji yeji ye metformin yevakadzi neCPOS is 1,500 mg kusvika 2,000 mg zuva rega rega.

Utano Hwakawanikwa neMetformin

Kunze kwekuderedza glucose yako uye insulin maitiro, metformin inogona kupa mamwe mararamiro ezvakanaka kune vakadzi vane PCOS. Metformin inogona kusimbisa ovulation uye inodzora kumwedzi.

Izvi zvinoreva kana iwe uchiita zvepabonde, unofanirwa kushandisa shanduro yekudzivirira kudzivirira kubata pamuviri, kunyange kana iwe usati wava kuwana nguva yako nguva dzose. Metformin inogona kutowedzera cholesterol uye hirsutism zviratidzo zvakadai sedanda uye kuwedzera kwebvudzi. Metformin inogona kubatsira nekurasikirwa kwemazivi kana ichifambiswa nehutano hwakanaka uye kurovedza muviri asi haisi kurasikirwa nemishonga. Kutora metformin paunenge uri nepamuviri kunogona kuderedza ngozi yegestational chirwere cheshuga uye inofanira kukurukurwa nachiremba wako.

Ko Zvakadini Nemigumisiro Yakashata?

Pasi pose, vanhu vakawanda vanogona kubvumira metformin zvakanaka. Zvipembenene zvinowanzoitika zvinowanikwa apo iwe unotanga kutora iyo inonzi GI inosanganiswa uye inogona kusanganisira kunyorera, gesi, kuputika, kusuruvara kwepamuviri uye chirwere. Vamwe vanhu vanoona kuti shanduro yakasunungurwa-ye-metformin inokurumidza kugadzirisa chirongwa chekudya uye zviri nani kubvumira.

Metformin inofanira kutorwa nechingwa kuderedza migumisiro yechirwere. Zvishoma nezvishoma kuwedzera mazamu emetformin kwevhiki dzinoverengeka zvinokurudzirwa kuti zvive nani. Kudya soroga nekugadzirwa kwezvokudya zvinogona kukuvadza kugadzikana kwemashoko emigumisiro ye metformin uye inofanira kudziviswa. Iwe unogona kuwana kushanda nemunhu anyoreswa dietitian nutritionist uyo anonyanya kukoshesa paPCOS anobatsira kugadzira chirongwa chekudya chinoshanda zvakanaka pane zvaunoda zvakasiyana.

Metformin inogona kukanganisa kunwa kwevhitamini B12 . Kushandiswa kwemazuva mashoma uye kuwedzerwa kwemasfomifin kunowedzera mikana yekushaiwa kwevhitamini B12. Kushaikwa kwevhitamini B12 kunogona kukonzera mafungiro ekuchinja, kukanganwa nekurangarira uye kunogona kukanganisa zvachose uropi nehutachiona hwehurongwa. Iwe unofanirwa kuwedzera kudya kwako ne vitamini B12 uye uite kuti mazinga ako aongorore gore negore. Maitiro akanaka e vitamini B12 anofanira kuva> 450 pg / mL. Yakawanda serum homocysteine ​​uye urinary methylmalonic acid (MMA) mazinga, chiyero chegoridhe pakuongorora B12, chinoratidzawo kushaya B12.

Lactic acidosis inowanzosvibiswa nhengo ye metformin.

Kunwa doro panguva ye metformin hazvibvumirwi.

Kune Mhando Dzakasiyana-siyana kuMetformin?

Izvo hazvirevi chinotsiva metformin asi kune avo vasingakwanisi kuvhiringidza kana vasingadi kutora mishonga yakatemwa, kune dzimwe nzira dzokuvandudza insulin senzwi kana iwe une PCOS-pasina michero. Kunyanya kukosha kuri kutevera kudya kwakanaka uye kuita basa rekuita nguva dzose. N-acetyl cysteine ​​inorwisa antioxidant iyo yakaratidzwa mune imwe muedzo unotungamirirwa kuti ushandise kushanda uye metformin yekuderedza insulin uye cholesterol muvakadzi vane PCOS. Myo-inositol yakawanikwa yekudzorera kuvharidza kunounza kuwedzera kwemimba kune metformin. Myo-inositol yave ichiratidzwawo pakuvandudza insulini uye zvimwe zvinokonzera kushandiswa kwePOSP.

> Sources:

> Bailey, C. uye Turner, R. Metformin. N Engl J Med. 1996; 334: 574-579

> Ibáñez L1, López-Bermejo A, Díaz M, Marcos MV, De Zegher F.Early Metformin Therapy (Makore 8-12 Makore) muVasikana Vanotangira Precocious Kuti Vanoderedza Hirsutism, Androgen Yakawedzerwa, uye Oligomenorrhea muAdolescence. J Clin Endocrinol Metab. 2011 Aug; 96 (8): E1262-7. doi: 10.1210 / jc.2011-0555.

> Zhuo Z, Wang A, Yu H. Nzira yeMetformin Kupindira Panguva Yokudzivirira paGestational Diabetes Mellitus muvakadzi ne Polycystic Ovary Syndrome: Ongororo yakarongeka uye Meta-Analysis. J Diabetes Res. 2014; 2014: 381231.

> Oner G, Muderris II. Kliniki, Endocrine uye Migumisiro yeMetabolic yeMetformin neN-Acetyl-Cysteine ​​muvakadzi ne Polycystic Ovary Syndrome. Eur J Chibvumirano cheGynecol Chidzorera Nyoro. 2011.

> Costantino D, Minozzi G, Minozzi E, Guaraldi C. Metabolic neHormonal Migumisiro yeMyo-Inositol muvakadzi ne Polycystic Ovary Syndrome: A Double-Blind Trial. Europ Review Med Pharmacol Sci. 2009; 13 (2): 105-110.

> Unfer V, Carlomagno G, Rizzo P, Raffone E, Roseff S. Metabolic uye Hormonal Migumisiro yeMyo-Inositol muvakadzi ne Polycystic Ovary Syndrome: a Double-Blind Trial. Europ Review Med Pharmacol Sci. 2011; 15 (4): 452-457.

> Le Donne M, Alibrandi A, Giarrusso R, Lo Monaco I, Muraca U. [Zvokudya, Metformin uye Inositol muOnotheright uye Vakadzi Vose Vakagadzikana nePolycystic Ovary Syndrome: Migumisiro Pamutumbi Wakagadzirwa]. Minerva Ginecologica. 2012; 64 (1): 23-29.

> Venturella R, Mocciaro R, De Trana E, D'Alessandro P, Morelli M, Zullo F. [Kuongorora kweKushandurwa kweKliniki, Endocrinal uye Metabolical Profile yevarwere Vane PCOS Syndrome Vanotarisana NeMyo-Inositol]. Minerva Ginecologica. 2012; 64 (3): 239-243.

> Genazzani AD, Prati A, Santagni S, et al. Kusiyanisa Insulin Kupindura kwaMyo-Inositol Administration muOse Polycystic Ovary Syndrome Patients. Gynecol Endocrinol. 2012; 28 (12): 969-973.

> Gerli S, Papaleo E, Ferrari A, Di Renzo GC. Randomized, Double Blind Placebo-Kutongwa Muedzo: Migumisiro yeMyo-Inositol Pabasa reOvhaan uye Metabolic Factors muvakadzi neCPOS. Europ Rev Med Pharmacol Sci. 2007; 11 (5): 347-354.

> Raffone E, Rizzo P, Benedetto V. Insulin Sensitiser Agents Chete uye muCro-Treatment NaR-Fsh yeOvulation Induction muPcos Women. Gynecol Endocrinol. 2010; 26 (4): 275-280.

> Galazis N, Galazi M, Atiomo W. d-Chiro-Inositol uye Kukosha Kwaro muPolycystic Ovary Syndrome: Kuongorora kweChechi. Gynecol Endocrinol. 2011; 27 (4): 256-62

> Papaleo, E., Unfer, V., Baillargeon, JP, et al. (2007). Myo-Inositol Muvarwere Ne Polycystic Ovary Syndrome: a Novel Method yeOvulation Induction. Gynecological Endocrinology, 23 (12): 700-703.