Kodi tsitsi limathothoka ndi shuga
Metformin (metformin hydrochloride) ndi mankhwala omwe nthawi zambiri amaperekedwa kwa anthu odwala matenda a shuga 2 kapena hyperglycemia. Kutenga kumachepetsa kuchuluka kwa shuga komwe kumapangidwa m'chiwindi chanu ndikukulitsa chidwi cha maselo am'mimba kupita ku insulin. Mankhwalawa amagwiritsidwanso ntchito nthawi zina pochiza polycystic ovary syndrome.
Pakhala lipoti zingapo zosiyana zakukula kwa tsitsi mwa anthu omwe akutenga metformin. Mu positi imodzi, munthu wodwala matenda a shuga a 2 omwe amamwa mankhwala a metformin ndi enanso a shuga, sitagliptin, adadandaula chifukwa cha kuperewera kwa tsitsi m'miyendo yake ndi matope. Mwina izi zinali zovuta zomwe zimakhudzana ndikumwa mankhwalawo, koma zitha kukhala zifukwa zina.
Kafukufuku wa 2013 adawonetsa kuti kugwiritsa ntchito metformin nthawi yayitali kumatha kutsitsa Vitamini B-12 komanso milingo yopanda tanthauzo. Kuphatikiza apo, kafukufuku wa 2015 adapeza ubale pakati pa iwo omwe anali ndi alopecia ndipo nthawi yomweyo anali ndi kuchuluka kwa shuga m'magazi.
Ngati mutenga metformin ndi hyperglycemia ndipo osapeza vitamini B-12 wambiri, kuchepa tsitsi kumatha chifukwa cha kusowa kwa vitaminiyu, osati mwachindunji ndi metformin. Ubale pakati pa mibadwo ya Vitamini B-12, hyperglycemia, ndi kuchepa kwa tsitsi sichinakhazikitsidwebe.
Zina Zokhudza Metformin Zomwe Zimapangitsa Kutha Kwa Tsitsi
Ngakhale metformin siyingakhale chifukwa cha kuchepa kwa tsitsi, pali zinthu zingapo zomwe zingapangitse kuti kuchepa, kutseka, kapena kuchepa tsitsi mukamamwa mankhwalawa.
Zifukwazi zingaphatikizeponso:
- Kupsinjika Thupi lanu limatha kukhala ndi nkhawa chifukwa cha thanzi lanu komanso kupanikizika kungapangitse kuti tsitsi lichepe.
- Mahomoni. Matenda a shuga amathanso kukhudza kuchuluka kwa mahomoni. Kusintha kwamafuta kumatha kusokoneza tsitsi.
- Hyperglycemia. Shuga wambiri, pakapita nthawi, imatha kuwononga mitsempha yamagazi, yomwe imatha kusokoneza kukula kwa tsitsi.
Metformin ndi Vitamini B-12
Ngati mukuwona kuwonjezereka kwa tsitsi mukutenga metformin, lankhulanani ndi dokotala wanu za ubale pakati pa metformin ndi vitamini B-12. Ngakhale thupi lanu silikufuna vitamini B-12 wambiri, kuchepa kungayambitse mavuto akulu, kuphatikiza:
- kutaya tsitsi
- kusowa mphamvu
- kufooka
- kudzimbidwa
- kusowa kwa chakudya
- kuwonda
Metformin ikhoza kukulitsa chiwopsezo cha mavuto obwera chifukwa cha kuchepa kwa vitamini B-12. Ngati mukutenga metformin, kumeta tsitsi, komanso kuda nkhawa chifukwa cha kuchepa kwa vitamini B-12, lankhulanani ndi dokotala wanu za kuwonjezera zinthu za vitamini B-12 m'zakudya zanu, monga:
Dokotala wanu angalimbikitsenso vitamini B-12.
Zithandizo zachilengedwe zakutha kwa tsitsi mu shuga
Nazi zinthu zina zosavuta zomwe mungagwiritse ntchito kunyumba kuti muchepetse njira yothirira tsitsi.
- Chepetsani nkhawa yanu. Kuwerenga, kujambula, kuvina, kapena zosangalatsa zilizonse zomwe mungafune kukudodometsani ndikukuthandizani kuchepetsa nkhawa.
- Pewani tsitsi lowoneka bwino monga ma ponytails kapena ma bawa omwe amatha kukoka kapena kung'amba tsitsi lanu.
- Pewani zida zotentha za tsitsi ngati zowongolera kapena zopindika.
- Onetsetsani kuti mumapeza chakudya chokwanira m'thupi lanu. Kuperewera kwa zakudya kumatha kubweretsa tsitsi.
- Ngati kuchepa tsitsi kumayambitsidwa ndi matenda, funsani dokotala wanu za vutoli.
Mukaonana ndi dokotala
Ngati mukuzindikira kuti tsitsi lanu likucheperachepera, kusweka kapena kugwa, lankhulanani ndi dokotala. Ichi chikhoza kukhala chizindikiro cha matenda oyamba.
Mankhwala ambiri amatha kuyambitsa tsitsi, omwe angayambitse nkhawa chifukwa cha thanzi lanu. Metformin sindiye njira yotsimikizika yakusochera. Komabe, matenda omwe amathandizidwa ndi metformin nthawi zambiri amatsogolera pakutha kwa tsitsi monga chizindikiro chogwirizana. Chifukwa chake, kuchepa kwa tsitsi kumatha chifukwa cha zomwe zimachitika mthupi, osati ndi chithandizo.
Onetsetsani kuti mukusamala ndi shuga lanu lamwazi, kuchuluka kwa nkhawa, ndi zinthu zina zomwe zingayambitse kuchepa kwa tsitsi. Dokotala wanu ayenera kudziwa zoyambitsa kuchepera kwa tsitsi ndikuthandizira njira zamankhwala.
Kuchepetsa tsitsi komanso matenda ashuga
Insulin, timadzi tomwe timapangidwa mu kapamba, timalola kuti thupi lizigwiritsa ntchito shuga (shuga) wamafuta. Zimawasunthira kuchokera kumagazi kupita ku maselo, komwe amawagwiritsa ntchito ngati mphamvu kapena kudziunjikira.
Ndi matenda, thupi limagunda. Njira zachikhalidwe zimasokonekera, zovuta zimayamba kugwira ntchito kwa makina onse.
Kukula kwa matendawa kumabweretsa kuchepa kwa tsitsi, komwe, popanda chithandizo, kumabweretsa dazi.
Zifukwa zingapo zomwe zimayambitsa vutoli:
- Matenda osagwirizana a shuga amachititsa kuti mahomoni azisokonezeka. Ma Horona (secretion of the endocrine glands) ndi zinthu zovuta zomwe zimayang'anira zochitika zambiri, kuphatikizapo thanzi la tsitsi komanso kukula. Kusunthika kwaminyewa ya mahomoni kumakhudza kwambiri kayendedwe ka babu ndikubweretsa kuwonongeka kwa zingwe.
- Matenda a shuga amatha kuwononga mitsempha yamagazi. Ziwalo zamkati ndi zimakhala, mawonekedwe amatsitsi amafunika magazi moyenera kuti apereke michere yokwanira. Akapanda kulandira michere yofunikira, kukula kumatha. Izi zimatha kutsitsa kwawo pamutu ndi thupi.
- Kuchepa kwa chitetezo chathupi. Matenda a Autoimmune amachitika pamene minofu yathanzi imagwiritsa ntchito chitetezo cha mthupi. Izi zimawapangitsa kuti azolowere kutenga matenda, kuthekera kwawo kulimbana nawo kumachepa. Bacteria and fungal matenda siachilendo mu shuga mellitus, amakhala chifukwa cha kukula retardation ndi alopecia.
- Matenda a shuga ndi vuto lomwe limapitilira ndipo limavuta kulimbana nalo, lomwe limabweretsa nkhawa. Asayansi apanga kafukufuku wambiri wokhudzana ndi kupsinjika kwa m'maganizo ndi alopecia.
- Kulandila kwa mankhwala. Matenda a shuga amaphatikizanso kugwiritsa ntchito mankhwala omwe amayambitsa mavuto. Alopecia imatha kukhala njira yomwe amagwiritsa ntchito.
Tsopano mukudziwa yankho la funso, kodi tsitsi limatha kutuluka ndi matenda ashuga komanso zomwe zimayambitsa matendawa.
Ndikofunikira kumwa mankhwala, kutsatira zakudya ndikugwiritsa ntchito maphikidwe a wowerengeka. Ndi njira yolumikizidwa yokha yomwe ingateteze khonde.
Siyani Alopecia
Palibe njira zochizira matenda ashuga. Sizotheka kuthana ndi matendawa, ndizotheka kuti musalole kuti zipite patsogolo, pogwiritsa ntchito mankhwala osokoneza bongo.
Chifukwa chake, chithandizo cha alopecia chimayambitsa zovuta zambiri.
Kuzindikira kwa shuga - ingomwani tsiku lililonse.
Zochita zam'magazi zimatha kuyimitsa khola, koma kukonza mokwanira kwa glycemia kumathandizira kusintha kwakukulu pakupeza mtundu 2 shuga.
Kuchepetsa tsitsi mu shuga kungathe kugonjetsedwa. Ma vitamini osokoneza bongo amatengedwa, ndipo immunotherapy ndi mankhwala. Njira zoyenera zochiritsira zingalimbitse thupi.
Ngati kuchepa tsitsi kumachitika ndi matenda a shuga, ndiye kuti mankhwala otsatirawa ndi omwe amaperekedwa:
- Mavitamini A, E, C, H, coenzyme R ndiofunikira pa thanzi la tsitsi. Amathandizira kupewa kuti asangotuluka mu maphunziro.
- Immunotherapy ndi gawo lofunika kwambiri pakuchiza matendawa, ndipo chifukwa cha izi, kuthetseratu tsitsi kumatha. Odwala omwe ali ndi izi amapatsidwa jakisoni wa proinsulin, polypeptide. Chifukwa cha peptide immunotherapy, maselo a T samazindikira kuti maselo a beta ndiopseza moyo. Odwala omwe amathandizidwa amachira pakatha miyezi isanu ndi umodzi, chitetezo chokwanira chimachepa, ndipo tsitsi lawo limaleka kutuluka.
- Njira zowongolera shuga. Kuchepetsa tsitsi mu shuga kumalumikizidwa ndi kuchuluka kwa shuga, chifukwa chake muyenera kumwa mankhwalawa kuti mukhale olimba maola 24 patsiku. Metformin imalembedwa kwa odwala omwe ali ndi T1DM; mankhwala ena onse sangakhale othandiza. Mukakhala ndi T2DM, jakisoni wa insulini amapangidwa, metformin imayikidwa (Glucofage, Siofor).
Kuletsa alopecia sikugwira ntchito, kutenga mavitamini okha ndikupanga masks a tsitsi. Vutani matenda omwewo kuti aletse alopecia
Kutsatira zakudya zoyenera komanso kuchita masewera olimbitsa thupi, mutha kuthana ndi izi.
Zakudya zimaphatikizapo kudya ::
- Omega 3. Amabwezeretsa mavuto azachilengedwe mthupi. Mphamvu, imakhala ndi zotsutsana ndi kutupa komanso chitetezo cha mthupi. Pogwiritsa ntchito Omega-3 pafupipafupi, kuchepa kwa tsitsi kumachepa, mababu amalimbitsa ndipo makani amayima. Muli nsomba.
- Ngati mukufuna kubwezeretsanso mapuloteni, idyani nkhuku, nkhukundembo, mkaka ndi mazira katatu pa sabata.
- Biotin ndi zinc ndizofunikanso kumbali ya tsitsi. Zimapezeka kuchokera ku mphodza.
- Mavitamini A, C ndi chitsulo amapezeka masamba obiriwira. Anthu odwala matenda ashuga amalimbikitsidwa kuti azidya sipinachi, Brussels imamera nthawi zambiri.
- Mavitamini B ndi michere amalowa m'thupi kuchokera ku chakudya chonse cha tirigu ndi chinangwa.
Zachidziwikire, zakudya zoyenera zokha sizingathandize. Ndiwothandiza kuphatikiza ndi mankhwala kukonza chitetezo chathupi, kuwongolera shuga ndimagazi.
Maphikidwe a anthu
Pali zithandizo zambiri zapakhomo zomwe zimalimbikitsa tsitsi, kusiya kutayika.
Amachita pang'onopang'ono, koma osayambitsa zovuta kapena zotsatira zina.
Momwe mungasamalire tsitsi kunyumba:
Timapereka kuchotsera kwa owerenga tsamba lathu!
- Thirani 20 g. burdock ndi kapu yamadzi otentha. Kuphika kwa mphindi 20, nadzatsuka mutatsuka kamodzi. Osatopa.
- Pakani madzi a anyezi kapena tinjuniper tisanayambe kugona.
- Pangani chigoba cha mafuta a kokonati. Kubwezeretsa kapangidwe ka tsitsi mkati. Ikani mafuta a kokonati ku mizu ndi njira yonse. Kukulani ndi thumba ndi thaulo, chokapo usiku. M'mawa, sambani ndi shampoo, mafuta a kokonati ndi mafuta komanso ovuta kutsuka.
- Opaka mafuta a castor mu mizu. Sungani kwa maola 5, ndikukulunga mu thumba ndi thaulo lotentha.
- Pangani chigoba ndi mafuta, uchi ndi dzira. Njira ya chithandizo ndi masiku 10. Kenako m'malo ndi mafuta kokonati, kutenga nthawi yofanana. Mankhwalawa umatha mwezi umodzi.
Kuphatikiza pa maphikidwe a wowerengeka omwe amabwezeretsa tsitsi, mugule shampoos okhazikika.
Musamakhulupirire zinthu zomwe zimagulitsidwa m'misika yazodzola. Amangokhala ndi kanthawi kochepa chabe.
Ma shampoos opanga kapena kubwezeretsa amagulitsidwa ku malo ogulitsa mankhwala. Muyenera kuzigwiritsa ntchito malingana ndi malangizo osati kamodzi, koma phunzirolo.
Kupewa ndi malingaliro
Njira zopewera ndizofunikira. Kutsatira malangizo osavuta kungakuthandizeni kupewa dazi lalikulu.
- Gwiritsani ntchito zisa lopangidwa ndi zinthu zachilengedwe.
- Pewani zochitika zovuta.
- Pitani ku dermatologist (trichologist). Dokotala amatsimikizira kapena kuteteza matenda opatsirana a pakhungu. Amalemba shampu wabwino.
- Yenderani shuga yanu.
- Osakula tsitsi lalitali, kudula pafupipafupi. Pakulemera kwawo amayamba kugwa mwachangu.
- Osagwiritsa ntchito zouma tsitsi, zitsulo ndi ma curling ma ironi pakumwa.
- Kutikita minofu pogwiritsa ntchito mafuta ofunikira.
Kutsatira malangizowa kudzachepetsa kwambiri tsitsi lomwe limatuluka.
Ngati njira zodzitetezera sizithandiza, ndi nzeru kupita kuchipatala kuti mukalandire chithandizo, kapenanso kumuika ngati bulb.
Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.
Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu
Metformin ndi kuwonongeka kwa tsitsi. Kodi pali kulumikizana?
Metformin ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda a shuga a 2 komanso polycystic ovary syndrome. Anthu ena amakhala ndi nkhawa kuti mankhwalawa angayambitse tsitsi, koma izi sizikhala ndi umboni wokwanira wa sayansi.
Madokotala nthawi zambiri amapereka metformin ngati mzere woyamba wa chithandizo cha odwala omwe ali ndi matenda a shuga a 2. Pamodzi ndi zolimbitsa thupi komanso kudya mokwanira, metformin imathandiza anthu kuwongolera shuga la magazi awo.
Madokotala nthawi zina amalimbikitsa metformin kwa amayi omwe ali ndi polycystic ovary syndrome (PCOS). Kuchulukitsa kwa insulini komanso kuchuluka kwa shuga m'magazi ndimavuto ambiri pamenepa, ndipo metformin imathandiza kuthana nawo moyenera.
Munkhaniyi, tiona mgwirizano womwe ungakhalepo pakati pa metformin ndi kutaya tsitsi. Tiperekanso njira zamankhwala zomwe zingathandize kuthetsa kapena kuchotseratu chizindikiro ichi.
Kodi metformin imayambitsa tsitsi?
Nthawi zina, anthu amadandaula madokotala kuti amatsuka tsitsi pambuyo potenga metformin. Komabe, sayansi sinakhazikitse mfundo zotsimikizira mgwirizano kapena mwachindunji wa metformin yokhala ndi vutoli.
Pa ndemanga yomwe idafalitsidwa mu 2017 ndi asayansi aku Italy, mlandu udafotokozedwa pomwe wodwala wazaka 69 wazaka za 2 za matenda a shuga adaduka mwadzidzidzi m'maso mwake ndi m'maso.
Mwamuna uyu anali kumwa metformin kuphatikiza mankhwala ena a shuga otchedwa sitagliptin.
Madokotala adayesa mayeso azachipatala kuti athetse matenda amtundu uliwonse kapena khungu omwe angayambitse tsitsi. Olembapo ntchito yasayansi adatsimikiza kuti pakhoza kukhala kulumikizana pakati pa metformin ndi kuwonongeka kwa tsitsi.
Metformin, Vitamini B12 ndi Kutayika Kwa Tsitsi
Palinso kuthekera kwa ubale wosalunjika pakati pa metformin ndi kuwonongeka kwa tsitsi. Ofufuzawo akuti kumwa mankhwalawa nthawi yayitali kungayambitse kuchepa kwa vitamini B12 komanso kuchepa kwa magazi m'thupi. Kuchepetsa tsitsi ndi chizindikiro chokwanira cha zonse ziwiri zamankhwala.
Dr. Jill Crandall, pulofesa ku Albert Einstein College of Medicine (New York, USA), amakhulupirira kuti metformin ikhoza kulepheretsa mayamwidwe am'mimba a vitamini B12. Katswiriyo amakhulupirira kuti mfundo imeneyi ikhoza kufotokozera kumayambira kwa vuto la kuchepa kwa vitamini B12.
Kuphatikiza pa kuchepa kwa tsitsi, mndandanda wazizindikiro zomwe zingachitike chifukwa chosowa vitamini B12 m'thupi umaphatikizanso izi:
- Kukhumudwa
- kugaya chakudya, monga kudzimbidwa kapena kutulutsa magazi,
- kutopa
- kugunda kwamtima kosagwirizana
- kukomoka
- kusasamala
- kuiwalika
- dzanzi kapena kumverera kwakhungu pakhungu,
- kupuma movutikira
- kutayika kwamaso
- kufooka.
Ndikusowa pang'ono kwa vitamini B12, Zizindikiro sizingawoneke konse.
Ofufuza ena amati madokotala amafufuza kuperewera kwa vitamini B12 mwa odwala onse omwe akutenga metformin, ndipo American Diabetes Association imalangiza madokotala kuti aziona kuchuluka kwa Vitamini B12 mwa anthuwa. Izi ndizofunikira makamaka ngati odwala ali ndi magazi m'thupi kapena mavuto ndi mitsempha.
Popereka mankhwala a metformin, dokotalayo akhoza kulimbikitsa kuti wodwala adye zakudya zomwe zili ndi vitamini B12, kapena atenge zowonjezera zina zoyenera kuchitira kapena kupewa kuperewera kwa michereyi. Kuphatikiza apo, vitamini B12 imatha kubayidwa m'thupi kudzera jakisoni. Zikatero, imalowa mwachindunji m'magazi, kudutsa matumbo.
Shuga wapamwamba
Mothandizidwa ndi kuchuluka kwa shuga m'magazi, zotupa zamitsempha yamagazi ndi ziwalo zathunthu mthupi zimatha kukula. Mitsempha yathanzi yathanzi imafikitsa okosijeni ndi michere kumagawo onse a thupi, kuphatikiza tsitsi.
Ngati malembedwe atsitsi amalandira mpweya wokwanira ndi michere, ndiye kuti izi zimakhudza mawonekedwe a tsitsi.Ndi vuto lotere, tsitsi lochulukirapo limatha kugwera mwa anthu, ndipo tsitsi latsopano limakonda kumayenda pang'onopang'ono kuposa masiku onse.
Matenda a shuga amtundu wa 1 amathandizanso kuti chiwopsezo cha alopecia chiziwike mwa anthu. Vutoli limadziwika chifukwa chitetezo cha mthupi chimadziteteza molakwika m'miyendo ya tsitsi ndikupangitsa kukhazikika kwa zigamba zozungulira za dazi.
Anthu omwe ali ndi matenda a shuga a mtundu wachiwiri amakonda kudwala insulin, kutanthauza kuti maselo awo samvera insulin. Kafukufuku wina wapeza kulumikizana pakati pa insulin kukana ndi dazi.
Amayi omwe ali ndi polycystic ovary syndrome amakhala ndi mahomoni ambiri a androgen. Nthawi zina, kusowa kwa mahomoni kotereku kumabweretsa kuchepa kwa tsitsi, ndipo nthawi zina ndi PCOS, tsitsi limayamba kukula mwachangu komwe siziyenera kukhala, mwachitsanzo pa nkhope. Polycystic ovary syndrome imayambitsanso ziphuphu ndi zizindikiro zina.
Amayi omwe ali ndi vutoli amatha kutaya tsitsi lawo chifukwa cha shuga wambiri.
Kukhala ndi moyo wautali monga matenda a shuga kumatha kukhala kolemetsa.
Malinga ndi American Diabetes Association, kupsinjika kumatha kuwonjezera kuchuluka kwa shuga m'magazi ndipo zimapangitsa kukula kwa matenda a shuga. Kuphatikiza apo, anthu omwe akukumana ndi kupsinjika amatha kupatuka panjira yachipatala yomwe dokotala amafotokoza.
PCOS ingayambitsenso kupsinjika, kukulitsa mphamvu ya kusalinganika kwa mahomoni m'thupi. Kusintha kotereku kumatha kupweteketsa tsitsi.
Zotsatira zina za metformin
Metformin imatha kuyambitsa zovuta zina zingapo. Ngati mukumwa mankhwalawa pali zovuta zilizonse zomwe sizikutha patapita masiku ochepa, ndiye kuti muyenera kuuza dokotala za izi. Anthu omwe zotsatira zake zimakhala zowawa kwambiri ayenera kupita kuchipatala msanga.
Zotsatira zoyipa zochepa
Zotsatira zoyipa zochepa za Metformin zikuphatikiza:
- kupweteka kwa minofu
- chizungulire ndi kukomoka,
- zotupa
- thukuta kwambiri
- kulawa kwazitsulo mkamwa
- kuzizira
- zizindikiro ngati chimfine
- kuthamanga kwa magazi pankhope.
Kutaya Kwa Tsitsi
Anthu amatha kuchira kapena kuchepetsa kuchepa kwa tsitsi ndi mankhwala, opareshoni, ndi njira zosamalira pakhomo. Nthawi zina, kuti mukwaniritse zotsatira zovomerezeka, muyenera kuphatikiza njira zochiritsira.
Kuchiza mavuto a tsitsi kuphatikizaponso zotsatirazi.
Metformin Yothetsera Tsitsi: Kafukufuku wa Matenda a shuga
Metformin yothetsa tsitsi ndikuwunika za izo ikuwonetsa kuti nthawi zina, kugwiritsa ntchito mankhwalawa kumathandizira kuthetsa vutoli.
Kafukufuku wambiri akuwonetsa kuti mankhwala omwe amagwiritsidwa ntchito metformin hydrochloride amasiya kuchepa kwa tsitsi.
Njira zoyipa ngati izi zimatha kuchitika chifukwa chakukula kwa matenda ashuga ndikukhala chimodzi mwazinthu zoyipa zomwe zikuwonetsa matendawa. Kuphatikiza apo, zomwe zimayambitsa zimaphatikizapo kusokonezeka kosiyanasiyana kwa machitidwe ambiri amthupi momwe mahomoni amakhudzidwa.
Kuchepa kwa mahormoni nthawi zambiri kumabweretsa kutsika kwa tsitsi.
Mankhwala
Mankhwala ena amatha kuchiza tsitsi. Izi zimaphatikizapo minoxidil (Regein), womwe umaperekedwa m'mafakitala popanda mankhwala a dokotala. Kugwiritsa ntchito minoxidil kumapereka zotsatira zoyambirira zisanachitike miyezi isanu ndi umodzi atayamba kugwiritsa ntchito mankhwala tsiku ndi tsiku.
Finasteride (Propecia) ndi mankhwala omwe amuna amapereka. Imazindikira mu mawonekedwe a miyala. Kuti mukhale ndi zotsatira zokwanira zokwanira, odwala ayenera kudya pafupipafupi.
Amayi ambiri omwe ali ndi polycystic ovary syndrome amathanso kulimbana ndi kuchepa kwa tsitsi ndi mapiritsi oteteza kubereka kwa mahomoni.
Ngati mankhwala ena atha kuwononga tsitsi, ndiye kuti dokotalayo angalimbikitse njira ina. Tisaiwale kuti tisanasiya mankhwala aliwonse omwe tinalandira, vutoli liyenera kuvomerezedwa ndi adokotala.
Zomwe zimayambitsa vutoli pakukula kwa patprocess
Matenda a shuga ndi njira ya m'magazi yomwe imakumba kukula kwa zovuta zingapo pogwira ntchito ziwalo zamkati ndi machitidwe. Matendawa ndi amodzi a endocrine, omwe amachititsa kuti pakhale zovuta kapena khungu. Zotsatira zoterezi zimawonekera chifukwa chakuti zochita za metabolic zingapo zimasokonekera, ndipo zomwe thupi limachita pakuchira sizingagwire ntchito mokwanira.
Mosasamala kanthu za jenda ndi zaka, tsitsi limatha kugwa amuna ndi akazi, paubwana kapena msinkhu wokhwima. Matenda a shuga amakhalanso amathandizanso kukula kwa tsitsi, kuwapangitsa kukhala owonda komanso osakhazikika.
Tiyenera kudziwa kuti kuchepa kwa tsitsi mwa munthu wathanzi kumatha kuyambira magawo makumi asanu mpaka zana limodzi tsiku lililonse, odwala matenda ashuga, kuchuluka kumeneku kumachulukanso. Kuphatikiza apo, kuwonongeka kwa nsidze ndi eyelash kumatha kuchitika.
Zomwe zimayambitsa kuchepa kwa tsitsi ndi chitukuko cha matenda a shuga ndi izi:
- Kukhalapo kwa zochitika zopsinja, zomwe sizimangowonjezera chiwonetsero chachikulu cha matenda a shuga, komanso zimakhudzanso zovuta za kukula kwa tsitsi, khungu lathunthu. Kusokonezeka kwamanjenje kwa nthawi zonse, kukhazikika m'maganizo kumatsogolera pakupanga mawonekedwe owoneka a pathological process.
- Mu odwala matenda ashuga, njira yothandizira kubwezeretsa tsitsi labwino imachepa ndipo imachitika pang'onopang'ono kuposa anthu athanzi. Tsitsi limakula kwambiri pakhungu lowonongeka la pakhungu, pamadutsa patali pamatha kuwoneka, ndipo pamaso pa abrasions kapena mabala, kukhazikika kwa dazi kumayamba.
- Ndi chitukuko cha matenda a m'magazi, wodwalayo nthawi zambiri amakhala ndi matenda opatsirana kapena zotupa zomwe zimakhudza khungu komanso zimapangitsa dazi.
- Kumwa mankhwala omwe adokotala adatipatsa, muyenera kulabadira kuwunika komwe kungachitike poyipa. Nthawi zina, vuto la dazi limatha kubisika pomwa mankhwalawa.
- Mavuto a matenda ashuga amaphatikizapo mitundu ina ya endocrine pathologies, monga anemia, alopecia, ndi matenda a chithokomiro. Amatha kupangitsanso tsitsi.
Ngati zizindikiro zoyipa zikuwoneka, muyenera kufunsa dokotala. Osanyalanyaza komanso kunyalanyaza izi. Inde, kugwiritsa ntchito moyenera njira zoyenera zikuthandizira kuthetsa vutoli poyambira kukula kwake.
Kodi chithandizo chimachitika bwanji malinga ndi mawonekedwe a endocrine pathologies?
Njira yofunikira ya chithandizo iyenera kuchitika mwamsanga vutoli litapezeka. Kutengera ndi nthendayi yolumikizana, dokotala yemwe akupezekapo amatha kukupatsani mankhwala osiyanasiyana omwe angachotsere chomwe chimayambitsa tsitsi.
Ndi chitukuko cha matenda osokoneza bongo a mellitus ofananira ndi insulin, zovuta zingapo zimachitika mwanjira ya zotupa zam'mimba ndi zotumphukira kuchokera ku minofu yofewa. Mankhwalawa amayenera kuphatikizapo kugwiritsa ntchito jakisoni wa insulini mwachidule komanso nthawi yayitali. Kuphatikiza apo, chithandizo chophatikizika chitha kugwiritsidwa ntchito, kutengera mtundu wa matendawa wodwala wina. Insulin yomwe imagwira ntchito mwachidule imaphatikizapo mankhwala monga Actrapid, Humodar, Novorapid, omwe amakhala nthawi yayitali - Protofan, Humulin, Lantus.
Mankhwalawa matenda a shuga mellitus a fomu yodziyimira payekha, mankhwala ochokera ku gulu la sulfonylurea derivatives (Glibenclamide, Glyclazide, Glimeprimidone), biguanides (kutengera metformin hydrochloride), glycoidase blockers (Acarbol, Acarbose), mankhwala aazazid.
Pamaso pa matenda a chithokomiro, omwe nthawi zambiri amatsagana ndi kuwonongeka m'magulu ake ogwirira ntchito, ndikofunikira kugwiritsa ntchito mankhwalawa ochiritsira a H4 T4, Levothyroxine sodium (Eutirox, L-thyroxite), T3 (triiodothyronine, Lysothyronine) kapena kuphatikiza kwawo (Thyrotome, Thyreocomb, Iodtyombomb, Iodocomb, Iodocomb, Iodocomb, Iodocomb, Iodocomb, Iodocomb, Iodocro, Iodocomb, Iodocomb, Iodocomb, Iodocomb, Iodocomb, Iodocomb, Iodocomb, Iodocomb, Iodocomb, Iodocomb, Iodocomb, Iodocomb, Iodocomb, Iodocomb, Iodocomb, Iodocomb, Iodocro. Iod) )
Ngati pali kuwonongeka pakuyenda kwa zinthu za estrogen, ndikofunikira kugwiritsa ntchito mankhwala osokoneza bongo, omwe amatha kusintha m'malo mwa mahomoni achilengedwe. Awa ndiye, choyambirira, mankhwala a Estradiol Valerate, Proginova, Divigel, Klimara, Menorest, Estrozhel, Ovestin, Premarin, Dufaston, Norkolut, Urozhestan. Nthawi zina, kuphatikiza mankhwalawa pogwiritsa ntchito estrogen ndi androgen kungafunike.
Ngati m'moyo wa munthu wodwala matenda ashuga muli ma neurosis, kupsinjika mosalekeza, mutha kugwiritsa ntchito mankhwala othandiza:
- Chithandizo cha mankhwala azitsamba, zomwe zimapangitsa kuti wodwalayo akhale wathanzi - mankhwala osamwa mowa chifukwa cha valerian, peony kapena momwort,
- ma tranquilizer - Grandaxin kapena Atarax,
- antidepressants, omwe ali ndi zinthu zachilengedwe ndi zomera zokha - Novopassit kapena Lerivon.
Mankhwalawa amatha kuchepetsa mkhalidwe wamaganizidwe a wodwala.
Kubwezeretsa tsitsi pogwiritsa ntchito zida zapadera
Asanagwiritse ntchito njira ina iliyonse yothetsera tsitsi, dokotala wopezekapo amayenera kufufuzanso ndi kuzindikira chomwe chimayambitsa matenda ashuga omwe amayambitsa vutoli. Kafukufuku wopanga tsitsi, kupezeka kwa zotupa kapena mabakiteriya.
Monga zodzikongoletsera zogwira mtima kwambiri zothandizira kuthana ndi tsitsi, katswiri wazachipatala angalimbikitse kugwiritsa ntchito imodzi mwamankhwala otsatirawa.
Minoxidil hair spray (Cosilol, Generolon ndi mawonekedwe ake), omwe amayenera kugwiritsidwa ntchito kumadera omwe akukhudzidwa ndi tsitsi. Njira ya mankhwala ndi mankhwala ngati awa pafupifupi miyezi inayi. Ndikofunikira kuthira mankhwalawa kawiri patsiku - m'mawa ndi madzulo - pa tsitsi lowuma pamankhwala omwe akuwonetsedwa mu malangizo omwe angagwiritse ntchito. Mukatha kugwiritsa ntchito, simuyenera kutsuka mankhwalawo. Ndi zoletsedwa kugwiritsa ntchito Minoxidil pa nthawi yoyembekezera komanso mkaka wa m`mawere, ana osakwana zaka khumi ndi zisanu ndi zitatu komanso pamaso pa khungu.
Zoo Vip Shampoo-balm, yomwe ili ndi mphamvu yobwezeretsa, imapangidwa pamaziko a phula ndi phula. Odwala ena amaimitsidwa ndi mfundo yoti mankhwalawo amagulitsidwa m'mafakitala a Chowona Zanyama. Koma kuwunika kambiri kwa ogula kumawonetsa kugwira ntchito kwake komanso ntchito yake yayikulu. Pogwiritsa ntchito chida chotere, choyamba chimayenera kuchepetsedwa ndi madzi muyezo wa gawo limodzi mpaka khumi, kenako ndikusambitsa tsitsi lanu.
Shampoo Bark ndi imodzi mwa zodzikongoletsera zopanda sodium, zomwe zimaphatikizapo Panthenol, monga chinthu chachikulu chogwiritsa ntchito. Tithokoze chifukwa chake, khungu silikuuma, ndipo zomerazi zimalimbitsidwa. Makungwa amathandizira kutsitsa tsitsi kuti lizitha kugwira bwino ntchito.
Mndandanda wamankhwala a Selenzin ndi chinthu chachiigupto chothothoka tsitsi. Muli zinthu monga yogwira khofi, tiyi wa lupine, nettle, burdock, biotin ndi collagen. Kutulutsa kwa lupine kumalimbikitsa vasodilation, kukonzanso kwa maselo, komwe kumathandizira kukula kwa tsitsi. Kuphatikiza apo, ilinso ndi ma peptins, kufufuza zinthu ndi mavitamini, komanso kutenga nawo mbali popanga krisatin yeniyeni.
Shampoo Rinfoltin wokhala ndi caffeine ali ndi zotsatira zowonjezereka ndipo amagwiritsidwa ntchito nthawi zambiri chifukwa cha alopecia ndikuwonongeka kwambiri kwa tsitsi. Kuphatikizika kwa zodzikongoletsera ngati izi kumakhala ndi zinthu zotsatirazi - zinc, panthenol, caffeine, ma amino acid ndi mapuloteni a tirigu. Tiyenera kudziwa kuti mu shampoo mumakhala kuchuluka kwakukulu kwa collagen ndi elastin, omwe ali mapuloteni ofunika kwambiri.
Njira ya mankhwalawa iyenera kukhala osachepera mwezi kuti mupeze zotsatira ndikuyimitsa tsitsi.
Kuthana ndi mankhwala othandizira ngati njira imodzi yodzitetezera
Pamaso pa insulin kukana kapena chiwonetsero cha kusokonekera kwa glucose, komwe kumayambitsa kukula kwa mavuto ndi khungu, tsitsi, muyenera kuyandikira mosamala pokonzekera zakudya. Mankhwala othandizira zakudya ayenera kukhala ndi zinthu zokhala ndi chisonyezo chotsika cha glycemic kuti thupi lizitha kulimbana mosavuta ndi kukonzekera kwa glucose obwera.
Ngati tsitsi latha, musayenere kudya zakudya zopanda nkhawa kapena kufa ndi njala, chifukwa zinthu zimangokulirakulira. Thupi liyenera kulandira mu kuchuluka ndi mapuloteni, ndi mafuta, ndi chakudya.
Zakudya zomanga thupi ndizofunikira ku thupi la aliyense wodwala matenda ashuga. Kutalikirana kwathunthu kumatha kuyambitsa chiwopsezo cha ketosis. Tiyenera kukumbukira kuti kuvulala kwakukulu kumapezeka muzinthu zitatu zokha - ndi shuga, ufa woyera ndi wowuma.
Gwero lalikulu la kugwiritsa ntchito mphamvu kwa munthu wodwala matenda ashuga ndi masamba ndi chimanga. Chakudya choterocho (chophika bwino) sichingakhudze kuchuluka kwa shuga, komanso kukulolani kuti muchepetse kulemera kwakukulu, mavuto a pakhungu ndi tsitsi.
Zakudya za tsiku ndi tsiku ziyenera kuphatikizapo kuchuluka kwa chakudya chama protein. Mapuloteni amathandizira kuchuluka kwa shuga m'magazi ndipo, mwanjira ina, "kuletsa" chidwi chofuna kudzichitira nokha chinthu chokoma. Mafuta ophika masamba (mafuta a maolivi kapena amitsempha, ma avocado) amakhala ndi phindu pa kusakanikirana kwa shuga wamagazi ndi milingo ya insulin, koma kugwiritsa ntchito kwawo kuyenera kuchepetsedwa.
Zotsatira zabwino za Metformin pa odwala matenda ashuga
Mankhwala apiritsi a Metformin ndi ma analogs ake (Siofor) amaphatikizidwa m'gulu la mankhwala a Biguanide omwe amagwiritsidwa ntchito mwachangu pochiza matenda osokoneza bongo omwe samatengera insulin.
Mankhwalawa ndi shuga wochepetsa shuga yemwe samangoleketsa shuga, komanso akuimitsa chitukuko cha zovuta zosiyanasiyana za matenda ashuga.
Pogwiritsa ntchito mankhwalawa, ali ndi zotsatirapo zabwino mthupi.
Zotsatira zopindulitsa zamapiritsi a metformin ndizotsatirazi:
- Zotsatira zake pakuchepetsa kukana kwa insulin mwa anthu. Metformin hydrochloride imatha kuwonjezera kukhudzika kwa maselo ndi minyewa ku glucose wopangidwa ndi kapamba.
- Imathandizira kuteteza ubongo ku ukalamba, womwe umalola kuti uzigwiritsira ntchito prophylactic zolinga motsutsana ndi matenda a Alzheimer's.
- Mosangalatsa zimakhudza mitsempha yamagazi ndi mitsempha. Chifukwa chake, mothandizidwa ndi Metformin, kukula kwa mitsempha ya mitsempha, kulephera kwa mtima, matenda oopsa, komanso kupimitsa mtima kwamitsempha.
- Amachepetsa mwayi wokhala ndi khansa.
- Zimalepheretsa kukula kwa mafupa a anthu odwala matenda ashuga. Makamaka, nthawi zambiri, azimayi amakhala ndi vuto la mafupa osaneneka atasiya kusamba, popeza pali kuchepa kwakukulu kwamahomoni - estrogen.
- Zimakhala ndi phindu pa cholesterol, kuchepetsa zoyipa ndikuwonjeza zabwino.
- Zokhudza bwino chithokomiro cha chithokomiro.
- Amathandizira kuti agwirizane ndi njira ya peroxidation yamafuta.
- Ili ndi ntchito yoteteza mokhudzana ndi dongosolo la kupuma.
Kusiyana kwakukulu pakati pa yogwira mankhwala metformin hydrochloride ndizowonetsera zazotsatira monga:
- njira yothandizira ndi kuwonjezereka kwa mafuta m'thupiꓼ
- chakudya chamagulu omwe amalowa mthupi limodzi ndi chakudya amalowetsedwa m'makoma amkatikati mwa m'mimba kwambiri
- pali kukondoweza ndi kutsegula kwa glucose pokonza ndi minofu minofu.
Mlingo wa mankhwala omwe amapangidwa ndi metformin hydrochloride (Siofor 500) amakhazikitsidwa ndi dokotala aliyense payekha kwa wodwala aliyense. Mfundo zazikulu zomwe muyenera kulabadira mukadutsa njira yochizira ndi izi:
- Kuyambitsa kudya kuyenera kuyamba ndi mankhwala osachepera - 0,5 magalamu a yogwira mankhwala.
- Osati pasanathe sabata ziwiri, katswiri wazachipatala, potengera zotsatira za kusanthula kwa wodwalayo, apanga lingaliro la kuwonjezera mlingo.
- Mankhwalawa amamwa pakumwa kapena pambuyo chakudya.
- Mlingo wamba wa tsiku lililonse wa mankhwalawa umafikira 1.5 magalamu a mankhwala othandizira, ndipo nthawi zina amatha kuwonjezeredwa mpaka magalamu 3.0.
Dziwani kuti ndi kuwonjezeka kwa Mlingo wa piritsi, ndikofunikira kugawa zakudya zake kangapo masana.
Zambiri pazokhudza Metformin yemwe amachepetsa shuga zimaperekedwa mu kanema munkhaniyi.
Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.
Metformin monga wothandizira anti okalamba
Axamwali! Lero tikulankhula za kukalamba, kapena, momwe tingachedwetsere. Zidapezeka kuti pali machiritso okalamba! Awa ndi Metformin, mapiritsi otsika mtengo omwe mungagule ku pharmacy iliyonse! Mmodzi “Koma”! Dokotala wanu ayenera kukupatsani mankhwala. Palibe chodzichitira nokha mankhwala!
Ukalamba ndi chikhalidwe cha munthu, koma palibe amene amafuna kuti azidwala komanso kufooka. Zizindikiro za ukalamba zomwe zimayenderana ndi nyengo ino ya moyo zimawopsa anthu ambiri ndikupangitsa chiyembekezo cha m'badwo uno kukhala chopweteka kwa ambiri.
Mbiri imadziwa nthawi zambiri pomwe anthu anzeru ndi aluso adafa mwa kufuna kwawo chifukwa sangathe kuzindikira malire omwe m'badwo umabweretsa.
Asayansi kuyambira nthawi zakale akhala akulimbana ndi vuto laukalamba, kupatula zomwe m'mbuyomu aliyense ankalota za moyo wamuyaya, kupanga zofunikira zauzimu zamuyaya kuchokera kuzomera, nyama ndi mchere mu zosakanikirana zabwino kwambiri.
Masiku ano, chikhulupiriro mu "njira yamphumphu" ya Makropoulos yopanda cholakwika ndi unyamata wamuyaya sichikhalanso wamphamvu. Asayansi akugwira ntchito yayitali kutalikitsa moyo polimbitsa thanzi lachilengedwe ndikuchotsa matenda ambiri omwe kukalamba kumalumikizana nawo.
Axamwali! Osathamangira kukalamba! Khalani achichepere m'moyo. Izi ndizofunikira kwambiri. Mverani izi:
Amakhulupirira kuti thupi la munthu "linapangidwa" kuti lizigwira ntchito kwa zaka zosachepera 100.
Komabe, zizolowezi zambiri zoyipa ndi matenda, komanso chilengedwe, zimasokoneza moyo wautali. Pakadali pano palibe amene wakwanitsa kupanga "piritsi limodzi lokalamba", lomwe lingathandize aliyense komanso aliyense, pali kale mankhwala omwe ali ndi udindo wamankhwala omwe ungachedwetse kukalamba ndikupanga kukhala wathanzi, wautali komanso wogwira ntchito.
Mankhwala Metformin amatchedwa ndipo adapangira zochizira matenda amitundu iwiri.
Zomwe zikuchitika pa Metformin
Metformin si machiritso okalamba mu tanthauzo lenileni la liwulo. Onetsetsani kuti mukuonera kanema pansipa! Mvetsetsani kwambiri.
Matenda a shuga ayamba kufalikira masiku ano, popeza vuto lalikulu la nthawi yathu, mosadabwitsa, ndi chakudya chopanda malire. Zakudya zambiri zopatsa mphamvu kwambiri komanso zomwe zimachokera zimayambitsa maonekedwe ambiri omwe amachititsa kuti thupi lizivala koyambirira. Zotsatira zake, munthu nthawi zambiri amadwala komanso kumwalira nthawi yayitali asanakwanitse kukalamba. Malo ankhanza owopsa komanso mnzake wokhala ndi amuna amakono - kupsinjika kumathandizira kukula kwa matenda. Masiku ano, kukhala wokalamba popanda matenda ndi chisangalalo chachikulu komanso chisangalalo.
Panthawi ya mayeso a Metformin kuchipatala komanso kuwunika kwa odwala ake, madotolo ndi asayansi adazindikira kuti mankhwalawa ali ndi zochitika zambiri mokwanira kuposa momwe amangoyerekezera ndi matenda amtundu wa 2. Zimathandizira kuyeretsa m'mitsempha yama cholesterol. Izi zimamasula lumen ndikuwongolera kayendedwe ka magazi, kupewa kupezeka kwa kuchepetsa ndi thrombosis. Zida zathanzi ndizopewera matenda a mtima wamunthu, makamaka matenda a mtima ndi stroko. Ndizodwala zomwe zimayambitsa kuchuluka kwakukulu kwa anthu omwe amafa pasadakhale kapena kupezeka kwa matenda opunduka ndi olumala.
Chifukwa chakuchita bwino kwa kayendedwe ka magazi, Metformin imakhudzanso kagayidwe. Popeza kuchuluka kwa cholesterol “yoyipa” kumachepa, ndipo cholesterol yabwino "imakwera, njira zonse za metabolic mthupi, makamaka zomwe zimakhudzana ndi mayamwidwe amafuta, zimasinthidwa. Wodwala bwino komanso mopweteketsa thupi amachepetsa thupi, ndipo kuchepa thupi ndiko njira yothandizira machiritso amthupi mu 99.9% yamilandu. Kuchepetsa thupi kumachepetsa katundu pa minofu ya mtima, kupuma komanso matumbo, kumathandizira kugwira ntchito kwa minofu ndi mafupa. Ngati panthawiyi munthu asankha kuthandiza thupi lake ndikusinthira kudya mokwanira komanso kusamala, kusuntha kwambiri, kusewera masewera ndikukhala ndi moyo wotakataka, adzakhala ndi mwayi wopitiliza kukhala ndi moyo wautali, wokwanira komanso wathanzi.
Metformin - kapangidwe ndi cholinga chake
Metformin ndi piritsi yokonzekera kutsitsa shuga wamagazi, omwe amagwiritsidwa ntchito ngati matenda a shuga a 2. Zimathandizira kuchepetsa kuyamwa kwa glucose komanso kutulutsa kwake bwino. Kuchepetsa kuchuluka kwa mafuta amitundu yosiyanasiyana m'magazi, kumathandizira kuchepetsa thupi komanso kukhazikika kwake. Imalekeredwa bwino ndi thupi, imawonjezera chidwi cha minofu kuti insulin.
Contraindication pakugwiritsa ntchito Metformin
- Hypersensitivity mankhwala.
- Matenda a shuga ketoacidosis, precoma ndi chikomokere.
- Lactic acidosis.
- Mimba komanso kuyamwa.
- Zakumwa zoledzeretsa.
- Impso ndi chiwindi.
- Zowonongeka ndi zochitika pambuyo pothandizidwa ndi insulin.
- Myocardial infarction, kupuma komanso mtima kulephera pachimake.
- Zakudya zochepa zopatsa mphamvu.
- Zazaka zopitilira 60, kutengera kulimbitsa thupi kwambiri.
Kugwiritsa ntchito metformin ngati othandizira kukalamba
Madokotala ndi asayansi amakono amakhulupirira kuti Metformin ikhoza kukhala njira imodzi yomwe ingakhudzire ukalamba wa munthu. Izi si “zozizira” zenizeni mumkhalidwe wachinyamata wokhazikika, popeza mapiritsi amatsenga kulibe, ndipo ndiye kuti sizingatheke konse kuti apangidwe. Komabe, Metformin imathandizira kuchepetsa chiwopsezo cha khansa, imalimbitsa minofu yamtima, imayendetsa magazi mwachizolowezi ku ubongo ndikusunga thanzi labwino mpaka ukalamba.
Popeza kuti masiku ano, kufa msanga kwa ana chifukwa cha kuwonongeka kwa mtima, ndiye kuti mankhwalawa atha kudziwikanso ngati machiritso okalamba. Chowonadi ndi chakuti vuto lalikulu lamitsempha yamagazi ndi atherosulinosis, ndiko kuti, kufupika kwa lumen ya chotengera chifukwa cha kuchuluka kwa zolembedwa za cholesterol. Kenako, cholesterol yochulukirapo m'thupi imalumikizidwa ndi kusokonezeka kwa dongosolo logaya chakudya m'mimba ndi zovuta za chitetezo cha m'thupi, kugwira ntchito kwa kapamba ndi mavuto akulu a metabolic. Ndipo izi zimakwiyitsidwa ndi kunenepa kwambiri komanso kunenepa kwambiri.
Cholinga chodzikundikira mafuta owonjezera amawonedwa kuti ndi osayenera komanso zakudya zopatsa thanzi kwambiri. Inde, zili choncho, koma kwenikweni vutoli ndi lalikulu. Kudyetsa pafupifupi 30% kuchuluka kwa zopatsa mphamvu ndizofunikira masiku ano. Koma kumangokhala ndi moyo wolumikizana kumathandizanso kunenepa kwambiri, ndipo kusachita zolimbitsa thupi kumakulitsa vuto la kudya kwambiri ndi vuto la mtima komanso minyewa yolimba. Kusasunthika kwa magazi ndi zamitsempha zimathandizira kukulitsa mavuto ndi mitsempha ya magazi, ndipo cholesterol yowonjezera "yoyipa" imathetseratu thanzi la mtima. Vutoli limakulirakulira chifukwa cha kupsinjika komwe kumathandizira "kuzama" kwamtima ndi m'mitsempha yamagazi. Zotsatira zake - matenda ashuga, mtima, matumbo am'mimba, matenda am'mimba, stroko, kugunda kwa mtima, kufa msanga.
Metformin sikuwoneka ngati yogwirizana kwambiri ndi ukalamba ndi matenda a mtima. Samachiritsa mavuto omwe alipo, koma amayamba kukhudza thupi, kunena kwake, kuchokera kotsika kwambiri. Mankhwalawa amathandizira pang'onopang'ono kusintha kwa kagayidwe, kayendedwe ka mafuta kagayidwe kake komanso kuyamwa koyenera kwa glucose, komwe kumapangitsa kuti thupi lichepe. Liwu lofunikira kwambiri apa ndi kuchepetsa, kuwonda pang'onopang'ono. Mankhwalawa amagwira ntchito ngakhale pamene zakudya zotsatsira "zosavomerezeka" sizikugwirizana konse. Kuchepetsa thupi kwambiri kumakhala kupsinjika kwambiri kwa thupi, komwe kumatha kuwononga thanzi, komanso ngakhale kuyambitsa matenda. Metformin imaperekanso kuchepa thupi kwakuthupi, osati kungovulaza kokha, komanso thanzi labwino kwambiri.
Mothandizidwa ndi Metformin, mndandanda wa zochita zabwino zotsatizana ungatsatidwe: kupangitsa kuti mafuta azikhala ndi kuchuluka kwa glucose kumabweretsa kukhazikitsidwa kwa cholesterol moyenera, pamene cholesterol "yoyipa" itachepa komanso cholesterol yothandiza ikukwera. Gawo lotsatira ndi kuyeretsa kwamitsempha yamagazi kuchokera ku cholesterol plaque, komwe kumabweretsa kusintha kwina mu kayendedwe ka magazi mthupi ndi ubongo makamaka. Izi zimayambitsa kusintha kwamtundu wa makulidwe, kukula kwa ntchito zamaganizo ndikuletsa kukalamba kwa chiwalochi. Zotsatira zake, munthu kwa zaka zambiri amakhalabe woganiza bwino komanso wogwira ntchito, mwakutalikitsa amakhala ndi moyo wopindulitsa.
Kupititsa patsogolo magazi kumakhala ndi zotsatira zabwino pa ntchito ya mtima. Zombo zoyeretsedwa zimathandizira kukhalabe wathanzi la chiwalo chofunikira ichi komanso zimachepetsa kwambiri chiopsezo chowopsa cha mtima, matenda amitsempha yamagazi, komanso kulowetsedwa kwam'mnyewa. Mtima wamphamvu komanso wolimba, umakhala ndi mwayi wokhala ndi moyo wautali komanso wathanzi.
Mlingo wa Metformin
Ngakhale lingaliro lokopa likuchepetsa bwanji kukalamba mwa kumwa mapiritsi, simuyenera kuona chida ichi kukhala panacea ndi mankhwala osavulaza konse. Kuikidwiratu kwa Metformin kumachitika kokha ndi dokotala mu mlingo wa munthu aliyense wodwala. Kudziyendetsa nokha popanda kuyang'aniridwa ndi akatswiri kungakhale koopsa komanso koopsa.
Nthawi zambiri mlingo woyenera wa Metformin tsiku lililonse wopewa kukalamba ndi 250 mg.
Mukamatenga Metformin, pali malingaliro ena.
- Piritsi limamezedwa lonse, osafuna kutafuna, popeza limakutidwa ndi membala wapadera womwe umasungunuka m'mimba, ndikutsegulira mwayi wopezeka pazomwe zimagwira.
- Imwani mankhwalawa ndi madzi okwanira.
- Analimbikitsa kudya ndi zakudya.
- Mukamamwa, muyenera kuonetsetsa kuti palibe fiber kapena ma coarse zakudya m'zakudya nthawi yomweyo momwe mankhwalawo amwedwa, popeza chakudya choterechi chithandiza kuchepetsa kuperewera kwa theka ndi mankhwalawo.
- Kudya kowonjezereka kwa vitamini B12 kumafunikiranso, komwe kungasowe chifukwa cha zochita za Metformin pa lipids.
Mlingo wa mavitamini ndi mawonekedwe a makonzedwe amayikidwa ndi adokotala, potengera kuwunika kwa wodwala wina ndi momwe alili wathanzi.
Popeza kuti mankhwala aliwonse amatha kuvulaza thupi ngati atengedwa mosasamala, ngakhale mavitamini wamba, simuyenera kuyeserera.
Pambuyo pofufuza mosamalitsa katswiri wabwino amatha kudziwa mankhwalawa chifukwa chosagwirizana. Ndikofunikanso kwambiri kuti musasinthe mlingo woyeserera ndikugwiritsa ntchito mankhwalawo panthawi yoyenera.
Anthu opitilira zaka 60 osavomerezeka kuti amwe mapiritsi a Metformin oposa 2 patsiku, poganizira zoletsa zomwe zilipo pakuwonjezera kuchuluka kwa thupi.
Pomaliza, titha kunena kuti mankhwalawa ndi chizindikiro chokhacho mndandanda wamtsogolo wazinthu zomwe zikupangidwa kale m'malo opangira mankhwala. Amapangidwa kuti apulumutse umunthu ku matenda ambiri ndikupangitsa kukalamba osati mkhalidwe wamavuto osatha azaumoyo ndi zofooka, koma nthawi yakukula kwa malingaliro ndi thupi.
Wokondedwa owerenga! Ndikutsimikiza kuti sikuti Metformin yekha, komanso Chikondi ndi anti-okalamba.
Vomerezani kuti pamene wina akufuna munthu, pomwe akumukumbukira ndikumukonda, iye ali moyo. Okondedwa, kondani ndikukhala ndi moyo wautali!
Mankhwala ochiritsira okalamba a metformin amatalikitsa moyo
Metformin yaukalamba imateteza ubongo ku ukalamba, kupondereza kuchepa kwa magazi, kuchepetsa kukalamba kwa mtima ndi mitsempha ya magazi, kuteteza motsutsana ndi matenda a shuga, kuchepetsa mwayi wokhala ndi khansa, kuchepetsa kufooka mu ukalamba, kuwonjezera mphamvu pothamanga, ndikuchepetsa kukhumudwa, imaletsa impso nephropathy, imayenda bwino potency, imaletsa mafupa kwa odwala onenepa kwambiri, imathandiza kuchepetsa matenda opumira, a nyamakazi ya nyamakazi mu shuga mellitus, amachepetsa kukula kwa timinofu tambiri tamati mapapu, amachepetsa mawonetseredwe a sclerosis angapo, amakhala ndi mbiri yabwino yachitetezo, amachepetsa kwambiri kufa ndikuwonjezera moyo.
Zomwe zili m'nkhaniyi sizingagwiritsidwe ntchito pakudzipangira nokha mankhwala. Kugwiritsa ntchito mankhwala aliwonse osalandira mankhwala a dokotala kungakhale koopsa thanzi. Metformin wakale wa mankhwala akale ndi piritsi ya matenda a shuga a II. Njira yothandizira kukalamba metformin, monga asayansi ambiri amakhulupirira, ndi mtundu wa njira yakuchiritsira ukalamba. Choyimira - chifukwa sichingabwezeretse kukalamba, koma chifukwa cha icho - chimatha kuwonjezera unyamata ndi moyo wa anthu. Uwu ndi njira yophunziridwa bwino yokhudza kukalamba mwachangu m'maphunziro ambiri, chifukwa zatsimikiziridwa kuti zikulepheretsa kukula kwa matenda ambiri a senile. Asayansi ambiri amatcha metformin kukhala njira yothanirana ndi ukalamba monga njira imodzi yodziwika bwino yopewera khansa ku World. Tiyeni tidziwe zomwe sayansi imadziwa za metformin.
Metformin imateteza ubongo ku ukalamba.
Mankhwala ochiritsira okalamba a metformin amatalikitsa moyo
Chifukwa chachikulire, mavuto osiyanasiyana a ubongo wa senile amakula. Mwachitsanzo, mu matenda a Alzheimer's, kuchuluka kwa ma cell amitsempha mu hippocampus kumachepetsedwa kwambiri. Poyeserera makoswe, komanso anthu, zidawonetsedwa kuti metformin imayendetsa njira yosayina ya AMPK, yomwe imakhudza aPKC / CBP komanso imalimbikitsa masentimita, ndikuwonetsa ma neurons atsopano (maselo aubongo, chingwe cha msana, ndi zina). Ma cell a stem amagwiritsa ntchito mankhwala a metformin amatulutsa ma neurons 2 (.) Amachita zambiri. Izi zimapangitsa kuti chiwonetsero chatsopano chiwonjezeke mu ma neurons atsopano mu hippocampus ndi 30%. Hippocampus ndi gawo la ubongo komwe mumakumbukira zinthu zatsopano. Zowonadi, kuyesa kwawonetsa kuti kuthekera kopanga zikumbukiro zatsopano mu mbewa zoyesera kumakulitsidwa kwambiri. Kuti muwone izi, ndikokwanira kugwiritsa ntchito pafupifupi mamiligamu 1000 a metformin patsiku kwa anthu olemera 60 kilogalamu.
Lumikizanani ndi zomwe mungapeze:
Chifukwa cha kukalamba kwa mtima wamagetsi pambuyo pa zaka 40, chimodzi mwazomwe zimapangitsa kuti anthu azifa. Ndipo metformin imabwezeretsa kuchira kwa maselo amitsempha yamaubongo pambuyo pa sitiroko mwa anthu.
Lumikizanani ndi zomwe mungapeze:
Metformin imatsimikizira mawonekedwe a sclerosis angapo mwa anthu.
Lumikizanani ndi zomwe mungapeze:
Metformin imachepetsa kutupa kwamtundu - chimodzi mwazomwe zimayambitsa kukalamba.
Mankhwala akale okalamba a metformin amachepetsa kutupa chifukwa chakuwonjezera mapuloteni a C omwe amathandizira odwala matenda a shuga.Mapuloteni a C-reactive ndi chizindikiro cha kutupa, mtengo wokwanira womwe umagwirizanitsidwa ndi chiwonjezeketso chaimfa kuchokera ku matenda ambiri okalamba (senile). Mutha kuwerenga zambiri za nkhaniyi m'nkhani "Kodi mungadziwe bwanji zaka zaka?"
Zomwe zafotokozedwazi:
Metformin imateteza mtima ndi mitsempha yamagazi kukalamba.
Mankhwala ochiritsira okalamba a metformin amatalikitsa moyo
Kukalamba kwamtima kumayamba ndi mtima wamatenda. Kenako, kuthamanga kwa magazi kumatha kuyamba, komwe kumadzaza mtima ndikupangitsa kuti kutha msanga. Chifukwa chodzaza ndi mtima, kutsekemera kwa minofu ya mtima, kutsekedwa kwa madipatimenti ake, arrhythmias ndipo, pamapeto pake, kulephera kwamtima kumakula. Metformin yawonetsedwa kuti ikulepheretsa kukula kwa ziwonetsero zonsezi za kukalamba kwa mtima ndi mitsempha yamagazi, kuchepetsa kuchepa kwa matenda a senile monga matenda osalephera a mtima, atherosclerosis, atrogilation ya atria, kuthamanga kwa magazi, auricms, kuwonongeka kwamitsempha.
Mankhwalawa Metformin wokalamba amalepheretsa kukula kwa mtima kulephera. Metformin ya mankhwala okalamba imasintha ntchito yamtima mu makoswe omwe alibe matenda ashuga pambuyo vuto la mtima, komanso kulephera kwa mtima. Ndipo odwala omwe ali ndi matenda ashuga, amachepetsa kufa kwa zifukwa zonse pambuyo povutitsidwa ndi mtima.
Zomwe zafotokozedwazi:
- www.ncbi.nlm.nih.gov/pmc/articles/PMC3314362
- www.ncbi.nlm.nih.gov/pubmed/21143620
- www.ncbi.nlm.nih.gov/pubmed/26068409
- www.ncbi.nlm.nih.gov/pmc/articles/PMC4246471/
Mankhwala ochiritsira okalamba a metformin amalepheretsa kupititsa patsogolo kwa atherosclerosis, ngakhale cholesterol metabolism. Ndipo kugunda kwa mtima kwakukulu ndi zotsatira za atherosulinosis.
Zomwe zafotokozedwazi:
Kugwiritsira ntchito metformin kumalumikizidwa ndi chiopsezo chochepetsedwa cha atgency fibrillation (mtundu wa arrhythmia) mwa odwala omwe ali ndi matenda a shuga a 2 ndipo amayendetsa ntchito yamtima mwa anthu:
Zomwe zafotokozedwazi:
Metformin imatha kuchepetsa matenda oopsa a m'mapapo, kuthamanga kwa magazi komwe kumalumikizana ndi hypertrophy ya ventricle yamtima, komanso kumachepetsa kwambiri hypertrophy ya cardiomyocyte (maselo amtima), chimodzi mwazizindikiro zakukalamba kwa minofu ya mtima.
Zomwe zafotokozedwazi:
Metformin imachepetsa chiopsezo chokhala ndi aortic aneurysm, komanso imathandizanso pochotsa kuwonongeka kwatsoka
Zomwe zafotokozedwazi:
Metformin imalepheretsa kuphatikiza kwamitsempha. Kuwerengeka kwam'mimba kumapangitsa kuti mitsempha ikhale yolimba, yakale komanso yosatha kutulutsa bwino, ndikudzaza mtima.
Zomwe zafotokozedwazi:
Metformin imaletsa ndikuwongolera matenda ashuga a 2.
Matenda a shuga a shuga amawerengera masiku ano ngati chitsanzo cha kukalamba kopitilira muyeso. Zotsatira zake, shuga wamagazi amakwera, mphamvu ya insulin imasokonezeka, chiwindi, impso, mitsempha yamagazi, etc. zimakhudzidwa .. Metformin lero ndi nambala 1 padziko lapansi pochizira matenda ashuga.
Metformin imalepheretsa zotsalira za glycation, zomwe zimayamba chifukwa cha kutsekeka kwa mapuloteni - amodzi mwa njira zachikulire (glycation imagwira ntchito ya matenda osokoneza bongo ndipo imakhudza mitsempha yamagazi).
Zomwe zafotokozedwazi:
- www.ncbi.nlm.nih.gov/pmc/articles/PMC3282095
- www.ncbi.nlm.nih.gov/pubmed/14502106
- www.ncbi.nlm.nih.gov/pubmed/22864903
- www.ncbi.nlm.nih.gov/pubmed/18273753
- www.sciencedirect.com/science/article/pii/S0011393X97801038
- http://journals.plos.org/plosone/article? > Metformin imathandizira cholesterol mu shuga mellitus, amachepetsa ma triglycerides, amachepetsa LDL (cholesterol yoyipa), amawonjezera HDL (cholesterol yabwino), ndikuwongolera index ya atherogenic.
Zomwe zafotokozedwazi:
Metformin imachepetsa kuwopsa kwa mitundu yambiri ya khansa
Mankhwala ochiritsira okalamba a metformin amatalikitsa moyo
Pambuyo pazaka 40, mwayi wokhala ndi khansa umachulukirachulukira. Insulin-like grow factor 1 (IGF-1) imalimbikitsa angiogeneis (kukula kwamitsempha yatsopano yamagazi), yomwe imasintha magazi kupita ku zotupa za khansa. Ndipo kuponderezedwa kwa IGF-1 kumalepheretsa kukula ndi kupulumuka kwa zotupa za khansa. Ndipo metformin imatsimikiziridwa kuti muchepetse IGF-1.
Zomwe zafotokozedwazi:
Metformin amachepetsa chiopsezo cha khansa ya Prostate pochepetsa 50% ya oncoprotein ndi 50%, amachepetsa chiwopsezo cha khansa ya m'matumbo, amachepetsa chiopsezo cha khansa ya m'mapapo yomwe imayamba chifukwa cha utsi wa fodya (kusuta), umawonjezera kupulumuka kwa odwala matenda ashuga omwe ali ndi khansa ya chiwindi, ndi mankhwala omwe angathe kukhala gawo limodzi la chithandizo chovuta kwambiri cha khansa ya endometrial, Amasintha kupulumuka popewa khansa ya kapamba ndipo amatha kuwonjezeredwa ku chemotherapy, kuphatikiza ndi doxorubicin, metformin imayambitsa apoptosis yamaselo a khansa ya m'mawere, kupewa kutayikanso, Kukula kwa khansa ya chikhodzodzo, kumawonjezera mphamvu ya chemotherapy motsutsana ndi lymphoma, kumachepetsa chiwopsezo cha khansa ya impso, kuletsa kukula kwa khansa ya m'mimba, kumachepetsa chiopsezo cha khansa yamchiberekero, komanso kumachepetsa kwambiri kukula kwa khansa yamchiberekero, ndipo tikulephera kukula kwake, kumawonjezera kugwira ntchito kwa mankhwalawa a leukemia, kumawonjezera kugwira ntchito kwa mankhwalawa mu zotupa za muubongo. Kafukufuku waposachedwa wofufuza wapadokotala akuti posakhalitsa, Mlingo wocheperako wa metformin (250 mg kamodzi patsiku kwa mwezi umodzi poyerekeza ndi 500 mg katatu patsiku kwa mtundu wa matenda ashuga 2) amapondereza khansa ya colorectal. Mankhwala okalamba, metformin, adachepetsa chotupa ndi 72%, kupondera khansa ya m'mapapo, ndipo amayimira mayesero azachipatala ngati mankhwala a chemoprevention.
Zomwe zafotokozedwazi:
- www.ncbi.nlm.nih.gov/pubmed/24130167
- www.ncbi.nlm.nih.gov/pubmed/20810669
- www.ncbi.nlm.nih.gov/pubmed/20810672
- www.ncbi.nlm.nih.gov/pubmed/27494848
- www.ncbi.nlm.nih.gov/pubmed/26893732
- www.ncbi.nlm.nih.gov/pubmed/27069086
- www.ncbi.nlm.nih.gov/pubmed/24841876
- www.ncbi.nlm.nih.gov/pubmed/27058422
- www.ncbi.nlm.nih.gov/pubmed/22378068
- www.ncbi.nlm.nih.gov/pubmed/27195314
- www.ncbi.nlm.nih.gov/pmc/articles/PMC4364420
- www.ncbi.nlm.nih.gov/pmc/articles/PMC3186904
- www.ncbi.nlm.nih.gov/pubmed/25895126
- www.ncbi.nlm.nih.gov/pubmed/26893732
- www.ncbi.nlm.nih.gov/pubmed/26101707
- www.ncbi.nlm.nih.gov/pubmed/25846811
- www.ncbi.nlm.nih.gov/pubmed/21766499
Metformin imachepetsa kufooka pakukalamba ndikuyenda bwino pakupirira mpaka 100 metres.
Kuchepetsa misa ya minofu ndi vuto linanso paukalamba. Metformin imachepetsa kufa kwa anthu okalamba omwe ali ndi matenda ashuga chifukwa chakuchepa kwa minofu, kusintha bwino kuthamanga mpaka mita 100 ndipo nthawi zambiri kumachepetsa kufooka mu ukalamba.
Zomwe zafotokozedwazi:
- www.ncbi.nlm.nih.gov/pubmed/25506599
- www.ncbi.nlm.nih.gov/pubmed/25506599
- www.ncbi.nlm.nih.gov/pubmed/26250859
Metformin imathandizira kugona kwa amuna pambuyo pa chithandizo cha nthawi yayitali (potency)
Ndi zaka, chifukwa cha atherosulinosis yamitsempha yamagazi, amuna ambiri amadwala erection. Mankhwalawa okalamba metformin amasintha erection ndipo potero amathandizira, omwe amayamba chifukwa cha atherosulinosis yamitsempha yamagazi. Ndipo ichi ndi chomwe chimapangitsa kwambiri kusabala. Zochita za metformin pang'onopang'ono - pambuyo pa chithandizo. Akatswiri aku America ochokera ku Yunivesite ya Georgia awonetsa kuti mankhwala ochiritsira okalamba a metformin amatha kukulitsa mitsempha yamagazi yamagazi yomwe ili m'magazi. Izi zimapangitsa kuti magazi omwe ali m'mitsempha ya mbolo ayambe kuzungulira mwachangu ndikudzutsa kukonzekera bwino.
Lumikizanani ndi zomwe mungapeze:
Metformin imachepetsa ma enzymes okwera ndipo imatha kuchiza matenda osokoneza bongo a mafuta a chiwindi (NAFLD) mwa odwala omwe ali ndi matenda osokoneza bongo.
Nthawi zambiri mumamva kuti metformin "imabzala chiwindi." Koma mayeso angapo azachipatala akuwonetsa kuti, poganizira za zotsatira za metabolic komanso mbiri yabwino yachitetezo, metformin imawoneka ngati mankhwala olonjeza pachipatala cha NAFLD, makamaka kwa odwala omwe ali ndi mbali za metabolic syndrome. Metformin imachepetsa ma enzymes okwera.
Zomwe zafotokozedwazi:
Metformin amateteza impso ku ukalamba ndi nephropathy.
Nephropathy ndi kuwonongeka kwa impso mu matenda a shuga, amathanso kuonedwa ngati kukalamba kwa impso. Matendawa pakapita nthawi amasintha kukhala matenda a impso, omwe ndi oopsa kwambiri ndipo samachiritsidwa, koma amangoyendetsa. Ndipo metformin imateteza impso ku zinthu ngati izi.
Lumikizanani ndi zomwe mungapeze:
Metformin yoteteza imalimbitsa chitetezo chathupi komanso imateteza kupuma kuti isakalambe.
Metformin imachepetsa kuchuluka kwa matenda am'mapapo. Imachepetsa kutupa ndi ma fibrotic njira m'mapapu, komanso imachepetsa chiopsezo chodwala matenda a pulmonary (COPD). Koma COPD ndi imodzi mwazovuta matenda a m'mapapo a senile, omwe samachiritsidwa, koma amangoyendetsa.
Zomwe zafotokozedwazi:
Metformin imachulukitsa moyo ndikuchepetsa kufa.
Metformin wakale wa mankhwala amachepetsa umunthu mwa anthu pafupifupi 30%.
Zomwe zafotokozedwazi:
Metformin imachulukitsa moyo chifukwa cha mitogormesis mwa nyama ndi anthu. Mu mbewa zazikazi, zimawonjezeredwa ndi 26% nthawi yayitali yotalikilapo, komanso munthawi yomweyo makoswe olembetsedwa - ndi 38%.
Zomwe zafotokozedwazi:
- www.ncbi.nlm.nih.gov/pubmed/24889636
- www.ncbi.nlm.nih.gov/pmc/articles/PMC4066537/
- www.ncbi.nlm.nih.gov/pubmed/24189526
- www.ncbi.nlm.nih.gov/pmc/articles/PMC3906334/
Muyenera kuyamba kumwa mankhwalawa ukalamba wa mankhwalawa kuyambira ubwana - zotsatira zake zimakhala zazikulu:
Mankhwala ochiritsira okalamba a metformin amatalikitsa moyo
Lumikizani phunziroli:
Mankhwala a Metformin okalamba - malangizo
Source: Mtundu uliwonse wa metformin wokhala ndi chinthu chogwira ntchito ndi metformin. Kugulitsidwa ku malo ogulitsa mankhwala.
Mtengo wa Metformin: Maphunziro a pamwezi azikhala pafupifupi ma ruble 200 (ku Moscow monga 2014).
Malangizo ogwiritsira ntchito kutalikitsa moyo: kumwa metformin 1-2 pa tsiku 500 mg.
Chenjezo: Machiritso a Metformin okalamba ndi owopsa nthawi yayikulu kwambiri ya kulephera kwa impso, koma ali ndi mbiri yayikulu yachitetezo kwa anthu omwe ali ndi impso wathanzi. Zakumwa zoledzeretsa siziyenera kupitirira maola 48 musanatenge metformin ndipo osapitirira maola 48 mutatha kugwiritsa ntchito. Omwe amagwiritsa ntchito metformin amafunika kugwiritsa ntchito vitamini B12 nthawi yomweyo. Simungathe kuphatikiza kugwiritsa ntchito metformin ndi diuretics, ndi mankhwala a Daniazol, ndipo simungagwiritse ntchito metofirmin pa nthawi yomwe muli ndi pakati. Metformin ya mankhwala okalamba imadziwika ngati mankhwala omwe ali ndi chitetezo chambiri, koma, monga mankhwala ena aliwonse, sayenera kugwiritsidwa ntchito popanda mankhwala a dokotala.
Lumikizani umboni:
Zomwe zili m'nkhaniyi sizingagwiritsidwe ntchito pakudzipangira nokha mankhwala. Kumwa mankhwala aliwonse osalandira mankhwala a dotolo ndikoyipa kwa thanzi lanu.
Ndikupangira kuwerenga mwachidule pazosangalatsa kwambiri pa blog.
Momwe mungayimitsire munthu wokalamba. Masiku ano, pafupifupi sabata iliyonse, zinthu zatsopano zimapezeka komanso njira zothandiza zolimbana ndi ukalamba zimawonekera. Sayansi imadutsa malire. Tikukulimbikitsani kuti mulembetse ku zolemba zatsopano za blog kuti mudziwe zambiri.
Wokondedwa Reader Ngati mukuwona kuti zofunikira mu bulogu iyi ndizothandiza ndipo mukufuna kuti nkhaniyi ipezeke ndi aliyense, ndiye kuti mutha kuthandizira kulimbikitsa blog yanu potenga mphindi zochepa chabe za nthawi yanu. Kuti muchite izi, tsatirani ulalo.
Tikulimbikitsanso kuwerenga:
Ndemanga za owerenga athu
"Sindikhulupirira kuti mankhwalawa ali ndi zinthu zotsutsana ndi ukalamba, koma kudya kumathandiza kwambiri: chilakolako chake chimachepa nawo, ndiye kuti palibe chifukwa chodya zomwe zaletsedwa. Pali zovuta zina: ndikugwiritsa ntchito nthawi yayitali, ngati zanga, kufooka nthawi zambiri kumatha kuchitika, koma ndinaphatikizanso maphunzirowa ndi kuchita masewera olimbitsa thupi kwambiri, komwe nthawi zambiri madokotala samalimbikitsa. ”
"Adandiuza ngati Metformin kukhala dokotala kuti azichiritsa kunenepa. Mothandizidwa ndi mankhwalawa, zinali zothekadi kuchepetsa digiri yachitatu mpaka yachiwiri, koma kenako kulemera kunasiya. Sindikudziwa zomwe zidayambitsa izi, koma pakadali pano tidaganiza zopuma, ndipo tibwereza maphunzirowa
"Ndamvapo kale za zinthu zomwe zimaletsa kukalamba kwa Metformin, zomwe zinali zodabwitsa chifukwa nthawi zambiri zimagwiritsidwa ntchito ngati kunenepa kapena matenda a shuga. Ndinaganiza zoyesa mphamvu ya mankhwalawo ndekha, zikafunika kutaya pafupifupi 10 kg, ndikudya komanso kusewera masewera pang'ono. Ndidakwanitsa mwezi umodzi wokha, motero ndimawunikira Metformin kuti achepetse thupi ndi mfundo 10 pamlingo wama 5, ndipo sizinakhalepo ndi zotsatirapo zake. ”
Kodi metformin imayambitsa tsitsi?
Nthawi zina, anthu amafotokoza za ubale wapakati pa metformin ndi kuwonda kapena tsitsi. Komabe, sizikudziwika ngati metformin ndiyomwe imayambitsa nkhaniyi kapena ngati pali zinthu zina zomwe zimayambitsa.
Mwachitsanzo, lipoti la 2017 lomwe lili mu magazini yotchedwa Current Drug Safety limafotokoza momwe bambo wazaka 69 wazaka za 2 za matenda a shuga mwadzidzidzi adafoira nsidze komanso matope.
Mwamunayo adatenga kuphatikiza kwa metformin ndi mankhwala ena a shuga amatchedwa Sitagliptin.
Madokotala adagwiritsa ntchito mayeso azachipatala kuti athetse matenda amtundu kapena khungu omwe angayambitse tsitsi. Olemba lipotilo adatsimikiza kuti pali mgwirizano womwe ungakhalepo pakati pa mankhwala osokoneza bongo ndi kuwonongeka kwa tsitsi.
Metformin, Vitamini B-12, ndi Kutayika Kwa Tsitsi.
Kuthekera kwina ndikuti metformin ikhoza kuwononga tsitsi. Kafukufuku akuwonetsa kuti kutenga metformin kwa nthawi yayitali kungayambitse kuchepa kwa B-12 komanso kuchepa kwa magazi m'thupi. Kutayika kwa tsitsi ndi chizindikiro chokwanira cha zonsezi.
Malinga ndi Dr. Jill Crandall, pulofesa wa zamankhwala ku Albert Einstein College of Medicine ku New York, metformin ikhoza kuchepetsa mayamwidwe am'mimba a vitamini B-12. Kuchepa kwa mayamwidwe kotereku kumatha kufotokozera chifukwa chake anthu amakhala ndi vuto la kuchepa.
Kuphatikiza pa kuchepa kwa tsitsi, zizindikiro zina za kuchepa kwa vitamini B-12 ndizophatikizira:
- kuzama
- kugaya chakudya monga kudzimbidwa kapena kutulutsa magazi
- kutopa
- kugunda kwamtima kosagwirizana
- chizungulire
- kutaya bwino
- kuiwalika
- dzanzi kapena kumva khungu
- kupuma movutikira
- kutayika kwamaso
- kufooka
Kusakwanira pang'ono sikungayambitse zizindikiro zilizonse.
Ofufuza ena amakhulupirira kuti madokotala ayenera kuganizira nthawi zonse kuyesa anthu omwe amamwa metformin chifukwa cha kuchepa kwa vitamini B-12. Ngakhale izi sizofunikira, bungwe la American Diabetes Association lalimbikitsa kuti madokotala azilingalira kuwunika kuchuluka kwa vitamini B-12 mwa anthu omwe alandila metformin. Izi ndizofunikira kwambiri kwa anthu omwe ali ndi vuto la kuchepa magazi kapena mitsempha.
Dokotala wanu angalangize anthu omwe amamwa metformin kuti achulukitse kudya kwambiri-B-12 kapena atenge zowonjezera za B-12 kuchiza kapena kupewa kufooka kumeneku. Mwinanso, atha kulimbikitsa katemera motsutsana ndi B-12, yomwe imadutsa matumbo ndi kulowa m'magazi mwachindunji.
Opaleshoni yothira tsitsi
Anthu omwe amakhala akuvutika chifukwa cha kusowa kwa tsitsi angaganizire kuzisintha.
Munthawi imeneyi, dokotalayo kapena dermatologist amachotsa malo ochepa khungu pakadutsa gawo lina la mutu kapena thupi la wodwalayo. Kenako amaika timabowo tatsitsi pakhungu pambali pake.
Pofuna kupeza zotsatira zogwira mtima, anthu angafunike magawo angapo opaleshoni. Komabe, ziyenera kumvetsedwa kuti kusinthanitsa tsitsi kumalumikizidwa ndi ndalama zazikulu.
Njira Zochizira Panyumba
Anthu amatha kubwezeretsa tsitsi lawo kapena kuletsa kuti lisakomoke ndi zotsatirazi.
- Kwezani kupsinjika. Kupsinjika kwamaganizidwe nthawi zambiri kumayambitsa kuwonda kwa tsitsi, ngakhale nthawi zambiri, motsogozedwa ndi kupsinjika, vuto lotere limangokhala kwakanthawi.Yoga, kusinkhasinkha komanso masewera olimbitsa thupi kupindulitsa omwe akufuna kupeza mtendere wamalingaliro.
- Yang'anani zakusowa kwa michere. Kuperewera kwa vitamini B12 kapena zinthu zina zofunika, monga chitsulo, nthawi zina kumapangitsa kuti tsitsi lichepe. Dokotala atha kutenga magazi kuti awunikenso ndikuwonetsetsa kuchuluka kwa michere yofunika momwemo.
- Pewani kuwonongeka kwa tsitsi. Zovala zazitali, kuphatikiza ndizomwe zimagwiritsidwa ntchito ngati ma bangeti ndi michira, zimatha kupangitsa tsitsi kuchepa. Zotsatira zamafuta pa tsitsi zimatha kubweretsanso vuto lofananira, mwachitsanzo, pakuwongolera tsitsi kapena kupindika pogwiritsa ntchito zida zapadera.
- Chitiridwa. Dokotala amatha kupanga njira yothandizira odwala matenda ashuga, PCOS, ndi zovuta zina zomwe zingayambitse tsitsi. Pofuna kupewa khola kapena zovuta zina, malingaliro onse a katswiri amayenera kuonedwa mosamala.
- Lankhulani ndi dokotala wanu za kumwa mankhwala ndi zowonjezera. Mankhwala ena komanso zowonjezera zingayambitse kuchepa kwa tsitsi kapena zina. Anthu omwe akukumana ndi zovuta zosagwiritsidwa ntchito ndi mankhwala opanga mankhwala amatha kuyankhulana ndi dokotala kuti atha kusintha mitundu yamavuto ndi otetezeka.
- Pezani njira zobisira kusowa kwa tsitsi. Njira zopatula za tsitsi zimaloleza kuti zigawo za mask zigundike, nthawi zonse pakanthawi kochepa. Anthu amatha kumetanso tsitsi lawo lotsalira kuti dazi lizisamba pang'ono. Mutha kugwiritsanso ntchito zipi kapena zipewa.
Ndimuonane ndi dokotala liti?
Ngati munthu adazindikira mwadzidzidzi kuwonongeka kwa tsitsi, ndiye kuti ayenera kukaonana ndi dokotala. Chizindikiro ichi chikhoza kuwonetsa kukhalapo kwa mikhalidwe yovomerezeka yamankhwala, ngakhale nthawi zina zimakhala zotsatira zoyipa za anti-mankhwala kapena mankhwala.
Dokotala amatha kupereka chithandizo chomwe chingathandize kubwezeretsa tsitsi kapena kupewa kutayiridwenso.
Pomaliza
Madokotala amapereka metformin kuti azichiza shuga a magazi ndi kuchuluka kwa insulini mwa odwala omwe ali ndi matenda a shuga a 2 komanso polycystic ovary syndrome.
Anthu ena amakhala ndi nkhawa chifukwa cha zotsatira zoyipa za metformin, makamaka kutaya tsitsi.
Nthawi zina, mankhwalawa amathanso kukhala ndi vuto pa tsitsi. Kuphatikiza apo, mothandizidwa ndi metformin, anthu nthawi zina amakumana ndi vuto la vitamini B12, lomwe lingayambenso mavuto a tsitsi.
Komabe, nthawi zambiri anthu omwe amamwa metformin amataya tsitsi lawo chifukwa cha zovuta zaumoyo osati chifukwa chogwiritsa ntchito mankhwalawa.
Chithandizo cha mavuto a tsitsi limaphatikizapo kumwa mankhwala apadera, kupatsirana tsitsi, komanso njira zosamalira pakhomo.
Zotsatira zoyipa zochepa
Pafupipafupi, anthu omwe amamwa metformin akhoza kukumvani:
- kupweteka kwa minofu
- chizungulire kapena chizungulire
- mutu
- thukuta kwambiri
- kulawa kwazitsulo mkamwa.
- kuzizira
- zizindikiro ngati chimfine
- kuguluka
Njira ndi njira zachilengedwe zothandizira kutsuka tsitsi
Anthu amatha kusintha kuchepa kwa tsitsi kapena kumachepetsa ndimankhwala, opaleshoni, ndikuchiritsa kunyumba. Nthawi zina kuphatikiza kwa mitundu yosiyanasiyana ya mankhwala kumafunika. Zosankha zamankhwala zimaphatikizapo
Mankhwala ena amatha kuchiza tsitsi. Izi zimaphatikizapo minoxidil (Rogain), womwe ndi mankhwala osokoneza bongo (OTC). Mankhwalawa amatenga osachepera miyezi isanu ndi umodzi, ndipo munthu amayenera kumuika pakhungu tsiku lililonse.
Finasteride (propecia) ndi mankhwala omwe amuna amapereka. Amapatsidwa fomu ya mapiritsi ndipo munthu amafunika kumwa nthawi zonse kuti musunge zotsatira.
Amayi ena omwe ali ndi PCOS amatha kumasuka pakuthothoka tsitsi ngati amamwa mapiritsi a kulera.
Ngati mankhwala aliwonse amachititsa kuti tsitsi lizisowa, dokotala angakulimbikitseni njira ina. Musanaime mankhwala omwe mumalandira, onetsetsani kuti mwakumana ndi dokotala.
Kuika tsitsi kutsitsi
Anthu omwe atsuka tsitsi osasinthika angafune kulingalira zobweretsa tsitsi.
Munthawi imeneyi, dokotalayo kapena dermatologist amachotsa tizironda ting'onoting'ono ta khungu mbali zina za mutu kapena thupi la wodwalayo. Kenako amadzilimbitsa timabowo tachikopa pamtunda.
Kuti mukwaniritse bwino, munthu angafunike magawo angapo. Kuyika tsitsi nthawi zambiri ndi njira yodula.
Zithandizo zapakhomo
Anthu atha kusintha kapena kuletsa kuwonjezeranso tsitsi kutsata izi:
- Kuchepetsa kupsinjika. Kupsinjika ndimtundu wofala kwambiri wowonda tsitsi, ngakhale tsitsi limatha nthawi yochepa. Yoga, kusinkhasinkha komanso kuchita masewera olimbitsa thupi kwambiri kungathandize kuchepetsa nkhawa.
- Kuyesa kuperewera kwa zakudya. Zofooka mu B-12 kapena michere ina monga chitsulo zingayambitse tsitsi. Dokotala akhoza kugwiritsa ntchito kuyezetsa magazi kuti awone kuchuluka kwa michereyi mthupi la munthu.
- Kupewa kuwononga chithandizo cha tsitsi. Zovala zowuma, kuphatikiza mabatani ndi michira, zimatha kukoka tsitsi ndikupangitsa kuti tsitsi lichepe. Njira zotentha, monga kuwongola kapena kupindika, zimawonongeranso tsitsi ndipo zimatha kuyiphulitsa.
- Chithandizo cha matenda oyamba. Dokotala wanu amatha kukuthandizani kukonzekera chithandizo cha matenda ashuga, PCOS, ndi matenda ena omwe angayambitse tsitsi. Munthu ayenera kutsatira mosamala ndondomeko ya chithandizo kuti apewe kuperewera ndi zovuta zina.
- Kukambirana mankhwala ndi zowonjezera ndi dokotala. Mankhwala ena ndi zina zowonjezera zingayambitse kuchepa kwa tsitsi ngati vuto. Aliyense amene ali ndi nkhawa ayenera kukambirana ndi dotolo mankhwala onse ndikugwiritsa ntchito ngati zowonjezera, komanso kufunsa njira zina.
- Kuphunzira momwe ungabisire tsitsi. Njira zina zokongoletsera zimatha kubisa kutayika kwa tsitsi kwakanthawi kapena kosatha. Anthu amatha kumeta mutu wonse kuti abise madazi kapena kumeta malo owonda ndi mpango kapena tsitsi.