Kev Tsum Metformin: Thaum Nws POM ZOO?

Zoo Siab

• Tshuaj metformin ua hauj lwm li cas?
• Qhov tshwm sim thiab qhov phom sij ntawm metformin
• Feem ntau cov kev mob tshwm sim
• Lwm yam phiv
• Kev ntshav siab
• Lactic acidosis
• Thaum twg nws TSIS YOG siv tshuaj metformin?
• Koj tuaj yeem ua dab tsi

Thaum lub Tsib Hlis 2020, qhov kev pom zoo tias qee cov neeg tsim cov tshuaj metformin ncua kev tso tawm tshem qee cov ntsiav tshuaj ntawm Tebchaws Meskas. Qhov no yog vim tias qhov tsis tsim nyog ntawm cov teeb meem carcinogen (tus neeg sawv cev mob qog nqaij hlav cancer) tau pom hauv qee cov tshuaj ncua metformin. Yog tias koj tam sim no noj cov tshuaj no, hu rau koj tus kws kho mob. Lawv yuav qhia seb koj yuav tsum noj koj cov tshuaj txuas ntxiv lossis yog koj xav tau daim ntawv yuav tshuaj tshiab.

Cov tshuaj siv ntau tshaj plaws hauv ntiaj teb rau kev kho mob ntshav qab zib yog metformin (Glumetza, Riomet, Glucophage, Fortamet). Nws tuaj yeem pab tswj cov ntshav qab zib hauv cov neeg muaj ntshav qab zib hom 2. Nws muaj nyob hauv cov ntawv sau lossis cov dej ntshiab uas koj haus hauv qhov ncauj nrog zaub mov.

Yog tias koj tab tom noj tshuaj metformin los kho tus mob ntshav qab zib hom 2, tej zaum nws yuav nres. Koj tuaj yeem tswj hwm koj tus mob los ntawm kev hloov qee yam hauv lub neej, xws li tswj hwm lub cev kom nyhav thiab ua kom tawm dag zog ntau dua.

Nyeem rau kom paub ntau ntxiv txog metformin thiab seb nws puas muaj peev xwm tsum tsis noj nws.

Ua ntej koj tsum tsis noj cov tshuaj metformin, tham nrog koj tus kws kho mob saib seb qhov no yog txoj cai raug coj los tswj koj cov ntshav qab zib.

Tshuaj metformin ua hauj lwm li cas?

Metformin tsis kho cov teeb meem mob ntshav qab zib. Nws kho cov tsos mob ntshav qab zib los ntawm kev txo cov ntshav qab zib, lossis ntshav qabzib, los ntawm:

• kev ua kom lub siab ua cov kua nplaum ntev
• Txo kev nqus ntawm cov piam thaj los ntawm lub plab
• txhim kho insulin rhiab heev nyob rau hauv cov ntaub so ntswg peripheral, ua kom cov nqaij mos ua kom zoo dua qub thiab siv cov piam thaj

Metformin pab nrog lwm yam ntxiv rau kev txhim kho cov ntshav qab zib.

Cov no suav nrog:

• txo cov lipids, uas ua rau cov ntshav triglyceride tsawg dua
• Txo cov "tsis zoo" uas tsis muaj cov lipoprotein (LDL) cov roj cholesterol
• nce "zoo" high-density lipoprotein (HDL) cov roj (cholesterol)
• tej zaum yuav txo koj qhov qab los noj mov, uas yuav ua rau poob phaus

Qhov tshwm sim thiab qhov phom sij ntawm metformin

Vim tias nws yuav muaj kev pheej hmoo thiab phiv, metformin tsis muaj kev nyab xeeb rau txhua tus. Nws tsis pom zoo yog tias koj muaj keeb kwm:

• cov khoom siv tsis meej
• daim siab mob
• teeb meem mob raum kom ntau
• qee yam teeb meem plawv

Yog tias koj tam sim no noj cov tshuaj metformin thiab muaj qee qhov kev tsis zoo txaus siab, koj yuav tau xaiv lwm txoj kev kho mob.

Feem ntau cov kev mob tshwm sim

Feem ntau cov kev mob tshwm sim yog mob taub hau thiab teeb meem digestive uas yuav suav nrog:

• zawv plab
• ntuav
• xeev siab
• Kev mob siab
• mob plab
• roj
• nws yog xim hlau saj
• tsis qab los noj mov

Lwm yam phiv

Qee qhov xwm txheej, metformin ua rau tsis zoo nqus cov vitamin B-12. Qhov ntawd tuaj yeem ua rau cov vitamin B-12 tsis txaus, txawm tias qhov no tsuas yog tshwm sim tom qab siv sijhawm ntev ntawm kev siv tshuaj.

Raws li kev ceev faj, koj tus kws kho mob yuav kuaj koj qib B-12 txhua txhua ib txog ob xyoos thaum koj tab tom noj tshuaj metformin.

Kev noj cov tshuaj metformin kuj tseem tuaj yeem ua rau poob tsis qab los, uas tuaj yeem ua rau me me poob phaus. Tab sis kev noj cov tshuaj no yuav tsis ua rau nce phaus.

Tseem muaj ob peb lwm cov kev phiv koj tuaj yeem ntsib, suav nrog hypoglycemia thiab lactic acidosis.

Kev ntshav siab

Kev mob ntshav qab zib ntshav siab, lossis ntshav qab zib kom tsawg, yuav tshwm sim txij li metformin txo cov ntshav qab zib. Nws yog ib qho tseem ceeb uas yuav tsum saib xyuas koj cov piam thaj hauv ntshav kom tsis tu ncua yog li koj tus kws kho mob tuaj yeem kho koj qhov ntau npaum li cas raws koj qib.

Kev mob ntshav nce ntshav vim metformin yog qhov tshwm sim tsis tshua muaj tshwm sim.

Cov piam thaj hauv ntshav qis yuav tshwm sim ntau dua yog tias koj noj cov tshuaj metformin nrog lwm cov tshuaj mob ntshav qab zib lossis insulin.

Lactic acidosis

Metformin tuaj yeem tsim kev phom sij txog kev tuag taus uas hu ua lactic acidosis. Cov neeg uas muaj tus mob lactic acidosis muaj cov tshuaj hu ua lactic acid hauv lawv cov ntshav thiab yuav tsum tsis txhob noj tshuaj metformin.

Tus mob no yog txaus ntshai heev thiab feem ntau ua rau tuag taus. Tab sis qhov no yog qhov tshwm sim tsis tshua zoo thiab cuam tshuam tsawg dua 1 hauv 100,000 tus neeg siv tshuaj metformin.

Cov kab mob lactic acidosis feem ntau tshwm sim rau cov neeg mob raum. Qhia koj tus kws kho mob yog tias koj tau mob raum.

Thaum twg nws TSIS YOG siv tshuaj metformin?

Metformin tuaj yeem yog ib feem tseem ceeb ntawm cov phiaj xwm kho mob ntshav qab zib kom ua hauj lwm zoo. Tab sis txo qhov ntau npaum ntawm metformin los yog txiav nws txhua yam muaj kev nyab xeeb rau qee kis yog tias koj cov ntshav qab zib tau tswj tau.

Yog koj xav tso tseg kev siv tshuaj kho mob ntshav qab zib, tham nrog koj tus kws kho mob lossis kws saib xyuas kev noj qab haus huv seb yuav ua li cas rau koj ua.

Txhua tus neeg uas muaj ntshav qab zib tuaj yeem tau txais txiaj ntsig los ntawm hloov qee yam hauv lub neej, txawm tias cov neeg siv tshuaj kho mob.

Kev poob phaus, noj zaub mov kom zoo dua, thiab kev tawm dag zog yog txoj hauv kev zoo tshaj plaws los pab txo cov ntshav qabzib thiab A1C. Yog tias koj tuaj yeem tswj hwm cov no los ntawm kev hloov pauv hauv kev ua neej, koj tuaj yeem tso tseg tsis noj tshuaj metformin lossis lwm yam tshuaj mob ntshav qab zib.

Raws li cov kws paub los ntawm American Diabetes Association, koj feem ntau yuav tsum ua raws li cov qauv hauv qab no ua ntej koj tuaj yeem tsum tsis noj tshuaj pab ntshav qab zib:

• Koj A1C tsawg dua 7 feem pua.
• Koj yoo mov cov ntshav qabzib nyob rau hauv qab 130 milligrams ib deciliter (mg / dL).
• Koj cov ntshav qabzib nyob ntawm lub sijhawm random lossis tom qab noj mov tau qis dua 180 mg / dL.

Nws yog qhov pheej hmoo kom tsis txhob haus cov tshuaj metformin yog tias koj tsis ua raws li cov qauv no. Thiab nco ntsoov tias cov qauv no tuaj yeem hloov raws koj lub hnub nyoog, noj qab haus huv tag nrho, thiab lwm yam. Yog li, nws yog ib qho tseem ceeb kom nrog koj tus kws kho mob tham ua ntej hloov koj txoj kev npaj khomob metformin.

Koj tuaj yeem ua dab tsi

Metformin tuaj yeem pab tiv thaiv kev mob sij hawm ntev los ntawm mob ntshav qab zib hom 2. Tab sis koj yuav tuaj yeem txiav tsis noj nws yog tias koj tus kws kho mob xav tias koj tuaj yeem tswj hwm koj cov ntshav qab zib tsis muaj nws.

Koj tuaj yeem tuaj yeem txo qis thiab tswj xyuas koj cov ntshav qab zib kom tsis muaj tshuaj los ntawm kev hloov pauv hauv kev ua neej xws li cov hauv qab no:

• tswj lub cev noj qab nyob zoo
• ua kom tawm dag zog ntau dua
• txo koj kev noj kom tsawg ntawm carbohydrates
• kev hloov kho koj cov khoom noj kom suav cov zaub mov tsis muaj roj-carbohydrate tsawg
• txiav luam yeeb haus luam yeeb ib qho twg
• haus tsawg los tsis muaj cawv

Nws tseem ceeb heev kom tau txais kev txhawb nqa. Tus kws qhia noj zaub mov, tus kws qhia tus kheej, lossis pab pawg phooj ywg tuaj yeem txhim kho koj txoj kev pheej hmoo ua raws li cov cwj pwm noj qab haus huv no.

Mus saib ntawm American Diabetes Association rau kev txhawb online thiab hauv zej zog hauv koj lub zej zog.