Kodi mungatani kuti mumutenge metformin kuti muwonongeke?

Ngakhale kulimbikitsidwa kwa zakudya zopatsa thanzi ndi madokotala kuti apewe kulemera popanda kugwiritsa ntchito mankhwala, ambiri akuchita mwanjira zawo ndikugwiritsa ntchito njira zowonongeka ndi chiopsezo kuchipatala polimbana ndi kilogalamu yochuluka. Choncho, mankhwala ngati metformin nthawi zambiri amagwiritsidwa ntchito polepheretsa kulemera ndipo amakhala ndi chidwi ndi momwe angatengere, chifukwa wapangidwa mosiyana.

Kodi ndingagwiritse ntchito metformin kuti iwonongeke?

Funso silikusangalatsa, chifukwa mankhwalawa akukonzekera anthu omwe akudwala matenda a shuga a mtundu wa 2. Anthu omwe akufuna kusintha malingaliro awo amagwiritsira ntchito malingaliro awo, kudalira zomwe akuchita pa thupi. Amachepetsa kutsekemera kwa shuga m'matumbo, amaletsa gluconeogenesis m'chiwindi, kuteteza kutembenuka kwa chakudya m'thupi. Chifukwa chotha kuchepetsa mlingo wa lipoproteins ndi triglycerides ya kuchepa kwa magazi, kuchepa kwa kulemera kwa thupi kumatheka. Mankhwalawa amaledzeredwa ndi othamanga omwe akufuna "kuuma" pang'ono.

Chizindikiro chogwiritsiridwa ntchito kwa metformin ndi mtundu wa shuga 2, chifukwa cha kulemera kwake watengedwa kale mwanzeru, ndiko kuti, sikutanthauza kulemera. Ndipo onse chifukwa ali ndi zotsutsana zambiri ndi zotsatira zake. Izi ndizo, popanda choyamba kuyankhula kwa dokotala, mukhoza kuvulaza thanzi lanu.

Zotsutsa zikuphatikizapo:

• ntchito yowonongeka ndi matenda ena onse omwe amachititsa chiwonongeko cha ntchito ya thupi ili;
• kupweteka kwa mtima ndi kupuma;
• kuphwanya chiwindi ntchito, kuphatikizapo chifukwa cha kumwa mowa mopitirira muyeso;
• lactic acidosis, shuga ya ketoacidosis;
• chakudya chokhwima ndi caloriki choposa 1000 Kcal patsiku;
• mimba, lactation, kukhudzidwa kwa mankhwala.

Kodi amamwa metformin bwanji kulemera?

Yambani ndi mlingo woyamba, womwe uli 500-1000 mg pa tsiku, ndiko, mapiritsi 1-2 m'mawa ndi madzulo. Mankhwalawa amatengedwa nthawi kapena chakudya, atakhala ndi madzi okwanira okwanira. M'tsogolo, mlingo wa metformin wolemera umatha kuwonjezeka kufika 1500-2000 mg pa tsiku. Tsopano n'zoonekeratu kuti mutengere bwino metformin kuti muwonongeke, koma nkofunika kukhala okonzekera zotsatira zowonongeka, kufotokoza, kusanza, kukoma kwazitsulo m'kamwa, kutsekula m'mimba, kupweteka m'mimba, flatulence. Zosavomerezeka ndizokulitsa lactocidosis, hypovitaminosis B12, kuchepa magazi m'thupi, hypoglycemia, kuthamanga khungu.

Malamulo a kuloledwa

Kulimbana ndi vuto lolimbana ndi kulemera kwakukulu kulimbikitsidwa kuti musadwale mlingo komanso kuti muzitsatira chakudya chomwe chimaphatikizapo kukana mankhwala a carb - kuphika, kuphika, maswiti, ndi zina zotero. Zakudya zazing'ono zimayenera kusinthidwa ndi tirigu-mphodza, nkhuku, nandolo, oatmeal ndi zina, ndi yoyera mpunga-bulauni. Njala iliyonse mulimonsemo sizingatheke, monga chiopsezo cha chitukuko cha hypoglycemia, ndiyeno chiwombankhanga chimakula kangapo. Ma caloric okhutira tsiku ndi tsiku sayenera kukhala ochepa kusiyana ndi 2000 Kcal, ndipo n'zotheka kuwukweza ku 2500 Kcal pochita masewera.

Tiyenera kukumbukira kuti kusankha chisankho ndi mankhwalawa, Udindo wa zotsatira zimaperekedwa ndi munthu mwiniwake. Dokotala sadzazilemba konse popanda umboni wapadera, ndipo ngati palibe chizindikiro cha "mtundu wa shuga" mu mbiri yachipatala, zotsatira zake zingakhale zosavomerezeka kwambiri, mpaka kukula kwa chiwindi ndi imfa. Ndi bwino kufunsana ndi dokotala asanayambe komanso pamodzi ndi iye kuti agwiritse ntchito mfundo yovomerezeka yolimbana ndi makilogalamu owonjezera, zomwe zimachepetsa kuchuluka kwa zakudya zamtundu wa mafuta, komanso zakudya zowonjezera, komanso zipatso ndi ndiwo zamasamba. Musaiwale za ntchito ya masewera olimbitsa thupi pankhaniyi.