Zvakaita Vanhu Vechirudzi 2 Chirwere Cheshuga Vanofanira Kuziva Pamusoro peMetformin

Metformin (marita mazita Fortamet, Glucophage, Glumteza, Glucophage XR, Riomet) mishonga inonzwika inoshandiswa chete kana nemimwe mishonga yekurapa rudzi rwechipiri chirwere cheshuga. Yaiva FDA yakagamuchirwa muna 1994 uye inowanikwawo semusanganiswa wemishonga rosiglitazone / metformin (Avandamet).

Dos uye Dont

Metformin inobatsira kuderedza shuga yeropa munzira nhatu:

  1. Inoderedza huwandu hweglucose inodyiwa kubva pakudya.
  1. Inoderedza huwandu hweglucose yakagadzirwa nechiropa.
  2. Inowedzera mhinduro yemuviri kune insulini.

Metformin haina kukonzera zvakananga shuga yeropa sezvinoita insulin. Saka, hazvina kukodzera kuvarwere vane chirwere cheshuga chechirwere cheshuga vasingabvumi insulini.

Ndiani Asingafaniri Kuishandisa?

Vanhu vane chirwere chechirwere cheshuga (chirwere cheshuga) chirwere cheshuga, chirwere chepfungwa , kana kushaya kushanda havafaniri kuishandisa. Uyewo vana havafaniri pasi pezera remakore gumi. Vana vari pasi pemakore gumi nemanomwe havafanire kushandisa shanduro yekubudiswa kwemasformin.

Dosage

Metformin inowanzotorwa kaviri pazuva, zvichida nekudya. Kana chirwere chisina kukwana, piritsi inoshaiwa inofanira kutorwa nokukurumidza sezvinobvira, kunze kwekuti inenge yava nguva yenguva inotevera. "Kushushikana" pamishonga kuitira kuti kuve nehana inorasikirwa haifaniri kuitwa.

Migumisiro Yechipfuva uye Ngozi

Metformin inowanzokonzera chirwere kana ikatorwa isina kudya. Dzimwe mimwe migumisiro inosanganisira kuvhiringidzika mumimba, gasi uye kubvongodza, kutapira kwesimbi, kuora musoro, kugunun'una, uye kurwadziwa kwemisimba.

Kana metformin isingakwanisi kugadzirisa shuga yeropa, varwere vanotora metformin vanogonawo kuva neshuga yepamusoro yeropa , ine zviratidzo zvekuvhiringidzika, kugumburwa, muromo wakaoma, kurutsa, mweya wakanaka, kana kurasika. Chero ani anoona chero ipi zvayo yezviratidzo izvi-kana kurwadziwa kwepfupa, kuputika, kana zvimwe zviratidzo zvinoshungurudza-zvinoda kutsvaga kurapwa kwenguva pfupi.

Kakawanda, metformin inogona kukonzera lactic acidosis, chirwere chakakomba chinoratidzwa nevakaip ya lactic acid muropa. Lactic acidosis, kana isingateereri, inogona kukonzera kusakundika kwemuviri uye kunyange kumanikidzwa kwemwoyo. Zviratidzo zvinosanganisira kuneta, kushaya simba, kurwadziwa kwepfungwa, kuperevedza kwemhepo, uye kuchena-musoro.

Kunyange zvazvo zvisingawanzoitiki kana pasina zvimwe zvinetso zvezvehutano, zvinodhaka zvinodhaka kana kushandiswa kwezvinodhaka, metformin inogona kukonzera shuga shoma yeropa (hypoglycemia), iyo inoratidzirwa nechezizinesi, shakiness, kutuka, kuvhiringidzika, kana kuputika kana kutinhira mumuromo.

'Bvisa-Tora' Zvishandiso

Metformin inogona kushandiswa kure-tekisi kuti ibatsire kuora muviri, polycystic ovary syndrome, gestational chirwere cheshuga uye HIV lipodystrophy syndrome.

Mazano uye Kuchengetedza

Vanhu vane chirwere cheshuga vanofanira kutevera kudya kunovaka muviri uye zvirongwa zvekuvhima sezvinorayirwa nevatapi vezvoutano. Zvokudya hazvifaniri kuregwa uye kudha doro kunofanira kudziviswa.

Mishonga yemazuva ano uye mishonga yepamusoro-the-counter haifaniri kutorwa pasina kubvumirwa nehutano hwehutano. Mukuwedzera, vanhu vane chirwere cheshuga vanofanira kugara vachiongorora chekuona chirwere cheshuga, kusanganisira kuongororwa kweropa kuti vaongorore hupenyu hwavo hwehutano hwemazuva akawanda (HbA1c).

Metformin inofanira kubviswa kwemaawa makumi mana isati yasati yatanga mazino kana chirwere uye asati agamuchira kusiyana kweiodinated (kureva neT CT scans). Zvakakosha kuti vanhu vane metformin vaudze avo vanotarisira utano kuti vanoitora.

Sources:

"Metformin: Mishonga yemishonga." UpToDate Online. 2007. UpToDate.

"Metformin: Mushonga wemishonga inozivikanwa." UpToDate Online. 2007. UpToDate.

"GlaxoSmithKline Inoparidzira FDA Chibvumirano uye Kutanga kweAvandamet® (rosiglitazone maleate uye metformin HCl) seApal Therapy muChirango Chechipiri Cheshuga." GlaxoSmithKline. 11 Jul 2006. GlaxoSmithKline.

"Metformin." Medline Plus Drug Information. 1 Mbudzi 2007. US National Library yemishonga.