Ngaba ndingasela utywala ngelixa ndithatha iMetformin?

Imfundo yezeMpilo Umxube

Ukuba uphakathi kwe- 34.2 yezigidi zabantu abanesifo seswekile eUnited States, unokuthatha iyeza elidumileyo elibizwa ngokuba yi-metformin. IMetformin (igama le-brand Glucophage) lunyango olwamkelweyo lwe-FDA olusetyenzisiweyo, kunye nokutya kunye nokuzilolonga, ukuphucula ulawulo lweswekile egazini kubantu abadala nakubantwana abanohlobo 2 isifo seswekile .

Njengobomi buhamba kancinci buya esiqhelweni emva kobhubhane we-COVID-19, kunye neziganeko zentlalo ezibandakanya ukusela utywala zibuyile, usenokuzibuza: Ngaba i-metformin kunye notywala buxubene? Ngaba kukhuselekile ukuthatha i-metformin ngotywala? Funda ukuze ufumane.

Ngaba ungasela utywala nge-metformin?

Enoba uyakonwabela ukusela ngamanye amaxesha kunye nabahlobo bakho okanye ubenobusuku bemihla ngemihla, usenokuzibuza ukuba ungadibanisa imetformin kunye notywala na. Ngaba kukho ukuhlangana kwemetformin kunye notywala?

Inkqubo ye- ulwazi lomenzi ye-metformin (oku kubandakanya zombini ukukhululwa kwangoko kwaye ukukhutshwa kwemetformin eyandisiweyo ) kuya kufuneka uphephe indibaniselwano ye-metformin kunye nokusetyenziswa gwenxa kotywala.

Izigulana ezithile zichaphazeleka kakhulu kwi-hypoglycemic (iswekile esezantsi yegazi) yeziphumo ebezingalindelekanga ze-metformin. Hypoglycemia zinokwenzeka ukuba amanqanaba eswekile yegazi awe phantsi kwe-70 mg / dL. I-Hypoglycemia inokuza ngokukhawuleza kwaye ibandakanye iimpawu ezahluka-hlukeneyo, ezinje ngokugungqa, ukuba nochuku, ukudideka, ubuthathaka, isiyezi, indlala, umbono ophuthileyo, iintloko, okanye nokuhlutha.

Ukuba usela kakhulu utywala ngexesha elifutshane, kunokwenzeka ukuba ube neswekile esezantsi yegazi (hypoglycemia). Kwakhona, utywala bunokuzifihla iimpawu zeswekile esezantsi yegazi, ke ukuba uyasela, ngekhe uqonde ukuba iswekile esegazini lakho iphantsi. Abantu abadala, abaxhwalekileyo, okanye abangondlekanga kunye nabantu abaneengxaki ze-adrenal okanye i-pituitary banamathuba okuba babe ne-hypoglycemic. Ukuba unayo enye yezinto ezinobungozi kwaye usela utywala kakhulu, unobungozi obuphezulu kakhulu be-hypoglycemia.

Utywala obuninzi ngokudibanisa ne-metformin bunokuchaphazela ne-lactate metabolism (ngakumbi koku kungezantsi).

Ezinxulumene: I-FDA ikhumbula iindlela ezithile ze-metformin

Yeyiphi imiqondiso ye-lactic acidosis ene-metformin?

IMetformin iza nefayile ye- isilumkiso sebhokisi emnyama , esona silumkiso siqatha esifunwa yi-FDA, ngenxa yomngcipheko we-lactic acidosis.

Ukusela kakhulu utywala yenye yezinto ezinobungozi kwi-lactic acidosis enxulumene ne-metformin.

I-Metformin ixelwe ukuba ibangela i-lactic acidosis. I-Lactic acidosis yinto eyakha i-lactic acid egazini, esisongelo esongela ubomi esifuna unyango esibhedlele.

Iimpawu ze-lactic acidosis zihlala zingangqinelani kwaye zinokubandakanya ukudinwa, iintlungu zemisipha, ukuphefumla nzima, kunye nentlungu esiswini.

I-Metformin ehambelana ne-lactic acidosis inokubangela i-hypothermia, uxinzelelo lwegazi oluphantsi, utshintsho lwenqanaba lentliziyo, kunye nokufa.

Ndingasela utywala ukuba ndinesifo seswekile?

Uninzi lwabantu abanesifo seswekile banako ukusela abanye utywala Isiselo esi-1 ngemini kubafazi, okanye iziselo ezi-2 ngosuku ngamadoda. Kodwa, khumbula ukukhonza ubungakanani. Isiselo esinye silingana nenye yezi zinto zilandelayo:

• 1 nee-ounces zotywala
• Ii-ounces ezili-12 zebhiya
• Ii-ounces ezi-5 zewayini

Utywala bunokwehlisa iswekile yegazi lakho ukuya kuthi ga kwiiyure ezingama-24. Abanye iingcebiso zokuhlala ukhuselekile :

• Sela amanzi amaninzi ukuze uhlale unamanzi, kwaye khumbula ukutya (ungaseli kwisisu esingenanto).
• Nxiba i-ID yezonyango ethi unesifo seswekile, ngakumbi ngenxa yokuba i-hypoglycemia inokudideka kukunxila (nokuba ungaziva ulele, udidekile, kwaye unesiyezi).
• Fundisa abahlobo bakho kunye nosapho malunga neempawu zeswekile esezantsi yegazi, ukuze bakwazi ukujonga.
• Kwakhona, khumbula ukusebenza kweesayizi-uninzi lweiglasi lubambe ngaphezulu kokucetyiswa kokuphaka.
• Vavanya amanqanaba eglucose egazini rhoqo ngosuku osela ngalo nangomso olandelayo, ukuze ubone isiphumo sotywala. Kwakhona, vavanya ngaphambi kokuba uye kulala, kwaye ukuba iswekile isezantsi, yiba nokutya okulula.

Asinguye wonke umntu onesifo seswekile onokusela utywala ngokukhuselekileyo. Kufuneka ubuphephe utywala ukuba unesifo seswekile kwaye:

• Yiba neengxaki zokusetyenziswa kweziyobisi
• Ukhulelwe
• Baneminyaka engaphantsi kwama-21 ubudala
• Baxelelwa ngugqirha ukuba aphephe utywala
• Unesifo seswekile esingalawulwayo kakuhle
• Ngaba uneengxaki ezinjengokwenzakala kwentliziyo
• Unoxinzelelo lwegazi oluphezulu okanye icholesterol ephezulu
• Thatha amayeza angahambelaniyo notywala (buza usokhemesti wakho ukuba awuqinisekanga)

Njengesiqhelo, nxibelelana nomboneleli wakho wezempilo malunga neengcebiso zonyango malunga nokusela utywala kunye neemeko zonyango lwakho.

Bobuphi obona tywala bungaselwa ngumntu onesifo seswekile?

Ulwazi lomenzi weGlucophage (metformin) lucebisa ukuba: Musa ukusela iziselo ezinxilisayo ngelixa uthatha iGlucophage okanye iGlucophage XR. Oku kuthetha ukuba akufuneki ukuba uzinkcinkce ngotywala ixesha elifutshane, kwaye akufuneki usele utywala obuninzi rhoqo.

Qhagamshelana nomboneleli wakho wezempilo okanye utitshala weswekile ngengcebiso malunga nokusela utywala ukuba unesifo seswekile.

Olunye ukhetho olungcono:

• Ubhiya obukhanyayo okanye obuphantsi
• Iwayini ebomvu okanye emhlophe
• Utywala obuxutywe nesoda yokutya, ijusi ekhanyayo yecranberry, amanzi, okanye iseltzer
• Cocktails ezinencasa yendalo kunye neziqhamo ezintsha

Phepha:

• Iibhiya zobugcisa (ziqulathe utywala obuninzi kunye neekhalori kunebhiya eqhelekileyo)
• Iwayini enencasa, iwayini yedessert, okanye iicooler wine
• Sangria
• Utywala obuxutywe nesoda okanye incindi yesiqhelo
• UMariya onegazi
• Iicocktails ezimnandi ezinje nge-piña coladas kunye nee-margaritas

FUNDA OKULANDELAYO: Ngaba ndingasela utywala ukuba ndisebenzisa i-insulin?