Metformin yekurema

Metformin - chirwere chevanhu vane chirwere cheshuga, zvichibatsira kuderedza shuga yeropa. Kune vanhu vane chirwere cheshuga, metformin imishonga inokosha inobatsira kuchengetedza makabhahydrate metabolism mumuviri, iyo inopwanyika nekuda kwechirwere.

Zviratidzo zvekushandiswa

Metformin inoratidzwa nezvirwere zvakawanda, zvinoti:

• chirwere cheshuga mellitus (kushandiswa kwemasformin kuderedza chiyero chekufa ne30%);
• Pre-chirwere cheshuga - chirwere umo chirwere cheshuga chinowedzera. (Kushandisa metformin, pamwe chete nekudya uye kuita zvekuita mumatambudziko kunobatsira kudzivisa kuchinja kwehutachiona hwehutachiona hwechirwere cheshuga);
• polycystic ovary syndrome uye zvimwe zvirwere zvechikadzi, somuenzaniso, kukuzodza;
• gestational chirwere cheshuga - chirwere chevakadzi vane pamuviri, iyo inoratidzirwa nekuputsa kwekhabohydrate metabolism, semugumisiro wekuchinja mumarimoni.

Metformin contraindications

Vakwegura sarudza metformin nekuchenjerera. Uyewo, pakurondedzera mishonga yevakadzi vane pamuviri, zvakakosha kufunga nezvimwe zvinhu kuti usadzivirire zvinogona kukuvara kumucheche.

Zvinonyanya kushandiswa kwemasformin ndezvi:

• zvirwere zvemapapu, chiropa neitsvo;
• ketoacidosis (kukanganisa katehydrate metabolism, nemhaka yekushaya insulini);
• myocardial infarction;
• dehydration;
• lactatacidosis (kunyanya kuunganidza mumuviri we lactic acid).

Metformin - nemigumisiro

Metformin inogona kukanganisa zvirwere zvekudya, izvo zvinotungamirira kumarara. Mumamiriro ezvinhu akadaro, kuderedza kuyerwa kwepakati kusvikira yakasvibiswa.

Kunyanya kuderedza nemishonga kunogona kutungamirira kumigumisiro yakakomba. Hyperglycemia pamwe nekushandiswa kwemetrafini yakawanda kwazvo, zvinosuruvarisa, haisi kuitika zvisingawanzoitiki. Izvi zvinokonzerwa neimba yemishonga yekuchengetedza glucose, kwete kupa mukana wekuwana kwayo muropa, maererano nezvayo, iyo yezinga inowedzera. Izvo zvinokonzera hyperglycemia inosanganisira hyperglycemic coma uye ipapo, kana isingashandurwi rubatsiro rwakakodzera panguva ino - mungozi inouraya.

Kuti udzivise migumisiro yakadaro, zvakakosha kutarisa huwandu hweglucose, uye apo inowedzera, inopesanisa nzira yekutora metformin kwemazuva anoverengeka uye kuisa insulin subcutaneously.

Nekushandisa kwenguva refu ye metformin pasina chero mimwe mishonga inogona kuratidzika sehope, utera uye utera. Izvi zvinokonzerwa nekuti chirwere ichi chinoderedza huwandu hweglycogen mumasumbu uye chiropa, uye glycogen , sezvinozivikanwa - nzvimbo yekuchengetedza simba, iyo, kana zvichidikanwa, muviri unoshandura kuva glucose. Mumamiriro ezvinhu akadaro 1-2 injirin ye insulini.

Zvinokuvadza metformin - chikonzero chekudarika kudarika kana kushandiswa zvisina kukodzera kwechirwere, pasina uchapupu kana kubvunzurudza nevadzidzisi. Mune imwe nzvimbo, nekutora kwakakodzera uye nokungwarira pasi pekutarisirwa kwachiremba, mhinduro dzisina kunaka dzinogona kuderedzwa kusvika zero.

Nzira yekutora metformin kudii kurasikirwa?

Metformin inokwanisa:

• revhara maumbirwo emakrohydrates muropa;
• kuderedza shuga yeropa;
• Kuderedza kuwandisa kwemakinhydrate mukana wekudya;
• kuderedza kubudisa insulini, izvo zvinoita kuti kuderedzwa kwechido.

Kunzwisisa nzira dzekukanganisa, unogona kuenda kumubvunzo wekuti iwe unogona sei kurasikirwa uremu ne metformin. Usafunga kuti chiito chechirwere chinotarisirwa kupisa mafuta . Basa rayo nderokusika mamiriro ezvinhu ayo mafuta anoshandiswa anoshandiswa, uye kwete misi miviri. Nokudaro, nokuda kwekusaita uye kushanda kuderedza kuderedza, zvakakosha kuumba mamiriro akanaka:

• kuramba kwemasipi uye zvinhu zvose zvine ma carbohydrates ari nyore;
• kuramba kwepasta yakasiyana-siyana, porridges uye mbatatisi dzenguva;
• kuderedza kudhura kwezvinopinda maoriri;
• kushanda nesimba uye nguva dzose.

Nezvirevo zvataurwa pamusoro apa, unogona kuzadzisa zvakakosha.

Nhamba ye metformin yekurema muviri inokwana 500 mg pazuva masikati asati asvika uye kudya kwemanheru. Mune zvimwe zviitiko, chirwere chacho chakawedzerwa kusvika 1500 mg, asi usakanganwa nezvemigumisiro ye metformin nemigumisiro yekudarika.