Created at:1/13/2025
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He rongoā e whānui ana te whakahau a Metformin hei āwhina i te whakaheke i ngā taumata huka toto i roto i te hunga e mate huka momo 2. Koinei te rongoā tuatahi e tohutohu ana ngā tākuta i te wā e kore ai ngā huringa o te oranga noa e ranea hei whakahaere i te huka toto. E āwhina ana tēnei rongoā ngawari engari whai hua i te miriona o ngā tāngata ki te whakahaere i ō rātou mate huka mō ngā tekau tau, ā, e whakaarohia ana ko tētahi o ngā rongoā mate huka haumaru rawa atu e wātea ana.
Ko Metformin he rongoā mate huka waha nō te kāwai rongoā e kīia ana ko ngā biguanides. He rongoā whakahau tēnei e puta mai ana i te āhua papa, ā, i hangaia hei tango mā te waha i te wā e kai ana. Kāore i rite ki ētahi atu rongoā mate huka, kāore a Metformin e akiaki i tō puku ki te whakaputa i te nui ake o te insulin, e ngawari ake ai ki ngā pūnaha tūturu o tō tinana.
Kua noho tēnei rongoā mai i ngā tau 1950, ā, he rekoata haumaru pai tōna. E wātea ana i roto i ngā hanganga tuku tonu me ngā hanganga tuku roa, e whai wāhi ana koe me tō tākuta ki te kimi i te huarahi tika mō tō rātou rā.
Ko Metformin te mea nui e whakamahia ana hei rongoā i te mate huka momo 2, engari ka āwhina hoki i ētahi atu āhuatanga hauora. Mō te mate huka, koinei te kōwhiringa tuatahi i te nuinga o te wā nā te mea he whai hua, ā, he pai te aro ki te nuinga o te tāngata. Ka whakahau pea tō tākuta i te rongoā anake, ka whakakotahi rānei ki ētahi atu rongoā mate huka mō te pai ake o te whakahaere i te huka toto.
I tua atu i te mate huka, i ētahi wā ka whakahau ngā tākuta i te metformin mō te polycystic ovary syndrome (PCOS) hei āwhina i te whakahaere i ngā huringa paheketanga me te whakapai ake i te tairongo insulin. E whakamahi ana ētahi kaiwhakarato hauora i tēnei hei āwhina i te aukati i te mate huka momo 2 i roto i te hunga e tūpono ana ki te whakawhanake i te āhuatanga.
I ētahi wā, ka whakaarohia pea te metformin mō te whakahaere taumaha i roto i te hunga e pūngao ana ki te insulin, ahakoa he whakamahinga tēnei kāore i te tapanga e hiahia ana kia tūpono te tirotiro hauora.
He maha ngā huarahi e mahi ana a Metformin hei āwhina i tō tinana ki te whakahaere i te huka toto. Ko te mea nui ka whakaiti i te nui o te kūhuka e whakaputaina ana e tō ate, ina koa i ngā wā pōkai pēnei i te pō. Mā tēnei ka ārai i ngā piki huka toto o te ata e pā ana ki te nuinga o te hunga mate huka.
Ka whakanui hoki te rongoā i te tairongo o ō pūtau uaua ki te insulin, ko te tikanga ka taea e tō tinana te whakamahi i te insulin e whakaputaina ana e ia i runga i te pai ake. Whakaarohia me te mea e āwhina ana ki te iriti i ngā tatau o ō pūtau kia ngāwari ake te uru atu o te kūhuka.
I tua atu, ka whakaroa paku te metformin i te tere o te uru o te kūhuka mai i te kai e ō pūwero. Mā tēnei ka puta he pikinga huka toto i muri i ngā kai, kaua ki ngā pikinga koi. I te mea he rongoā mate huka, e kiia ana he ngawari te kaha o te metformin, e mahi ana i runga i te pūmau, kaua ki te whakaputa i ngā huringa nui.
Tangohia te metformin i runga i te tohutohu a tō tākuta, te tikanga me ngā kai hei whakaiti i te pōpō o te puku. Ko te nuinga o te tangata ka tīmata ki te horopeta iti ka piki haere i roto i ngā wiki maha, e whai wā ana tō tinana ki te urutau i runga i te pai. Mā tēnei huarahi pōturi e āwhina ana ki te whakaiti i ngā pānga taha me te tuku i tō tākuta ki te kimi i te horopeta tika māu.
Horomia ngā papa katoa me te karaihe wai. Ki te tango koe i te putanga tuku roa, kaua e kuru, e ngaungau, e whati rānei i ngā papa, nā te mea ka pā tēnei ki te tukunga o te rongoā i tō tinana.
He mea nui te tango i te metformin me te kai mō ngā take e rua. Tuatahi, ka tino whakaiti i te tūponotanga o te pōpō o te puku, te whakapairuaki, te korere rānei. Tuarua, ka āwhina i tō tinana ki te uru i te rongoā i runga i te pūmau ake. Kāore koe e hiahia ki te kai i ngā kai nui, engari ko te whai kai i roto i tō puku ka whai pānga nui ki te pai o tō whakamanawanui i te rongoā.
Whakamātauria te tango i ō horopeta i ngā wā rite tonu i ia rā kia mau tonu ai ngā taumata i roto i tō tinana. Mēnā e tango ana koe i te rā rua, he pai te whakatakoto i ngā horopeta tata ki te 12 hāora te wehenga mō te nuinga o te tangata.
Ko te nuinga o te tangata e mate huka momo 2 e tango ana i te metformin mō te wā roa, he maha ngā tau, ā, mō te ora tonu pea. Kāore tēnei i te mea ka whakawhirinaki koe ki runga, engari nā te mea he mate tūturu te mate huka momo 2 e hiahia ana kia whakahaere tonu. Ka āwhina te Metformin ki te pupuri i tō huka toto i roto i te awhe hauora i te wā e tango ana koe.
Ka aroturuki tō tākuta i ō taumata huka toto, te mahi tākihi, me te hauora whānui kia mōhio ai kei te tika tonu te metformin mōu. E kite ana ētahi tāngata ka pai ake te whakahaere i tō rātou huka toto mā te huri i te oranga, ā, ka whakatika, ka whakaiti rānei tō rātou rongoā e tō rātou tākuta.
Ko te roa o te rongoā e whakawhirinaki ana ki tō āhuatanga ake. Ko ngā mea pēnei i te pai o te whakahaere i tō huka toto, ngā pānga taha e pā ana ki a koe, ngā huringa i tō hauora, me tō urupare ki ngā whakarerekētanga o te oranga katoa e whai wāhi ana ki te whakatau i te roa e hiahia ana koe ki te tango i te metformin.
Kaua rawa e mutu te tango i te metformin ohorere me te kore e kōrero tuatahi ki tō tākuta, nā te mea ka piki tere tō huka toto, ā, ka puta pea ngā raruraru.
He pai te whakamanawanui o te Metformin, engari pērā i ngā rongoā katoa, ka puta pea ngā pānga taha ki ētahi tāngata. Ko te rongo pai ko te nuinga o ngā pānga taha he ngawari, ā, ka pai ake i te wā e urutau ana tō tinana ki te rongoā i ngā wiki tuatahi.
Koinei ngā pānga taha tino noa ka pā ki a koe, ina koa i te tīmatanga o te metformin, i te whakanui rānei i tō horopeta:
Ko ēnei pānga taha ki te kōpū ka ngaro i roto i ngā wiki torutoru i te wa e urutau ana tō tinana. Ko te tango metformin me te kai me te tīmata ki te horopeta iti ake ka āwhina i te whakaiti i ēnei take.
Ko ngā pānga taha e kore e kitea ana engari he nui ake te kino ko te ngoikoretanga o te huaora B12 me te whakamahi wā roa, koinei te take ka āta tirotirohia e tō tākuta ō taumata B12 i ia wā. Ko ētahi tāngata ka pā ki te ngenge, ki te ngoikore rānei, ina koa i ngā wiki tuatahi o te rongoā.
I te wāhi tino onge, ka taea e te metformin te pā ki tētahi āhuatanga kino e kiia nei ko te waikawa lactic, e whai pānga ana ki te kohinga o te waikawa lactic i roto i te toto. He tino onge tēnei i roto i ngā tāngata he pai te mahi o te pūkahukahu, engari koinei te take e āta tirotirohia ana e tō tākuta te hauora o ō pūkahukahu i ia wā. Ko ngā tohu ko te mamae uaua rerekē, te uaua ki te manawa, te mamae puku, te whanoke, te ngoikore rānei, te ngenge rānei.
Kāore te Metformin e tika ana mō te katoa, ā, ka āta whakaaro tō tākuta ki tō hītori hauora i mua i te whakahau. Ko te rongoā ka tātarihia i te tuatahi mā ō pūkahukahu, nō reira ko ngā tāngata he nui te mate pūkahukahu e kore e taea te tango metformin i te haumaru.
Ka karo pea tō tākuta ki te whakahau metformin mēnā he nui tō mate pūkahukahu, he raruraru ate rānei, he hītori waikawa lactic rānei. Ko ngā tāngata he āhuatanga ngākau ētahi, ina koa ko ēra e whai pānga ana ki te whakaheke i ngā taumata hāora, ka hiahia pea ki ētahi atu rongoā.
Mēnā kua whakaritea koe mō te pokanga, mō ētahi tikanga rongoā rānei e whai pānga ana ki te waikano rerekē, ka mutu pea tō tākuta i tō metformin mō te wā poto. He tikanga whakatūpato tēnei hei tiaki i ō pūkahukahu i ēnei tikanga.
Ko ngā tāngata he momo 1 te mate huka e kore e whakamahi metformin hei rongoā tuatahi, ahakoa ka tāpirihia pea ki te rongoā insulin i ētahi āhuatanga motuhake. Ko ngā wāhine hapū he mate huka te nuinga e whakamahi insulin hei utu mō te metformin, ahakoa he rerekē tēnei i runga i ngā āhuatanga takitahi me te whakatau rongoā.
Ka whai whakaaro hoki tō tākuta ki tō tau, nā te mea ka hiahia pea ngā pakeke ki te mātakitaki tata, ki te whakatikatika rānei i te horopeta nā te huringa o te mahi tākihi i te roanga o te wā.
Kei te wātea a Metformin i raro i ētahi ingoa waitohu, ahakoa he rite tonu te whai hua o te momo whānui, ā, he iti ake te utu. Ko ngā ingoa waitohu tino noa ko Glucophage mō ngā papa tuku tonu me Glucophage XR mō ngā hanganga tuku roa.
Ko ētahi atu ingoa waitohu ka kitea pea e koe ko Fortamet, Glumetza, me Riomet (he momo wai). He rongoā hoki kei roto a metformin me ētahi atu rongoā mō te mate huka, pēnei i a Janumet (metformin me sitagliptin) me Glucovance (metformin me glyburide).
Ahakoa ka tango koe i te ingoa waitohu, i te metformin whānui rānei, he rite tonu te whakauru kaha me te whai hua. Ka pai pea tāu mahere inihua ki tētahi i tētahi, nō reira he pai ki te kōrero i ngā kōwhiringa ki tō tākuta me te kaimātai rongoā kia kitea te kōwhiringa tino utu mōu.
Mēnā kāore te metformin i te tika mōu, kāore rānei e whai hua te whakahaere i te huka toto, he maha ngā rongoā kē e wātea ana. Ka whakaaro pea tō tākuta ki ngā sulfonylureas pēnei i te glyburide, i te glipizide rānei, e mahi ana mā te whakahihiri i tō pūkahukahu ki te whakaputa i te nui ake o te insulin.
Ko ngā momo rongoā hou ko ngā aukati SGLT2 (pēnei i te empagliflozin, i te canagliflozin rānei) e āwhina ana i ō tākihi ki te tango i te nui o te glucose mā te mimi. Ko ngā aukati DPP-4 pēnei i te sitagliptin e mahi ana mā te whakanui i te whakaputanga o te insulin i te wā e tiketike ana te huka toto, me te whakaiti i te whakaputanga o te glucose i te wā e noa ana.
Mō te hunga e hiahia ana ki te rongoā kaha ake, ko ngā kaiwhakahohe GLP-1 receptor pēnei i te semaglutide, i te liraglutide rānei, ka tino whai hua. Kāore anake ēnei rongoā e whakaheke ana i te huka toto, engari he maha ngā wā e āwhina ana ki te whakaheke taumaha.
I ētahi wā, ka hiahiatia pea te rongoā werohanga insulin, anake rānei, i te tahi rānei me ngā rongoā waha. Ka mahi tō tākuta ki a koe ki te kimi i te huinga rongoā pai rawa atu i runga i ō hiahia takitahi, te āhua o tō hauora, me ngā whāinga rongoā.
He maha ngā wā e whakaarohia ana te Metformin ko te paerewa koura mō te rongoā tuatahi mō te mate huka momo 2, ā, he pai ngā take mō tēnei hiahia. He whai hua ki te whakaheke i te huka toto, he rekoata roa tōna mō te haumaru, ā, kāore i te nuinga o te wā e pūtake ai te pūhihi, te wāhanga huka toto iti rānei ina whakamahia anake.
Ki te whakataurite ki ngā sulfonylureas, he iti ake te tūponotanga o te Metformin ki te pūtake i te hypoglycemia (te huka toto iti e mōrearea ana) me te pūhihi. Kāore i rite ki ētahi rongoā mate huka hou, he tino utu hoki te Metformin, ā, he tekau tau te rangahau e tautoko ana i tōna whakamahinga.
Heoi, "pai ake" e whakawhirinaki ana ki tō āhuatanga takitahi. Ka taea e ētahi tāngata te whakatutuki i te mana whakahaere huka toto pai ake me ētahi atu rongoā, i te wā e pā ana ki ētahi atu tāngata, he iti ake ngā pānga taha me ngā rongoā kē. Ko ngā rongoā hou pērā i ngā GLP-1 agonists he pai ake pea mō ngā tāngata e hiahia ana ki te whakaheke i te taumaha.
Ko te rongoā mate huka pai rawa atu mōu ko te mea e whakahaere whai hua ana i tō huka toto i te wā e pūtake ana i ngā pānga taha iti rawa, me te uru ki tō oranga. Ka whakaaro tō tākuta i ngā āhuatanga pērā i ō atu āhuatanga hauora, ngā rongoā e tango ana koe, me ō whāinga rongoā whaiaro i te wā e hanga ana i ngā tūtohutanga.
Āe, he haumaru te Metformin mō ngā tāngata e mate ngākau ana, ā, ka whai hua pea ētahi painga ngākau. E whakaatu ana te rangahau ka āwhina pea te Metformin ki te whakaiti i te tūponotanga o ngā whakaeke ngākau me ngā whiu i ngā tāngata e mate huka ana, e waihanga ana i tētahi kōwhiringa pai rawa atu mō te hunga e whai āhuatanga ngākau ana.
Heoi anō, ka āta arotake tō tākuta i tō āhua o te ngākau i mua i te whakatakoto i te metformin. Ko ngā tāngata e tino ngoikore ana te ngākau, e pā ana rānei ki ngā āhuatanga e pā ana ki te taumata hāora i roto i te toto, tērā pea ka hiahia ki ētahi atu rongoā, ki te mātakitaki rānei.
Mēnā ka inu koe i te nui rawa o te metformin i te mea i whakaritea, whakapā atu ki tō tākuta, ki te kaimātai rongoā rānei mō te tohutohu. Ko te inu i te horopeta rua i ētahi wā he uaua, engari ko te inu i te nui rawa atu i te mea i whakaritea ka piki ake te tūponotanga o ngā pānga taha, ina koa te waikawa lactic.
Kia mōhio ki ngā tohumate pēnei i te whakapairuaki nui, te ruaki, te mamae o te puku, te mamae o te uaua, te uaua ki te hā, te ngenge rānei. Mēnā ka pā ki a koe ētahi o ēnei tohumate i muri i te inu i te nui rawa o te metformin, rapua tonu te āwhina hauora.
Hei aukati i te nui rawa o te horopeta, whakaarohia te whakamahi i te kaiwhakarite pire me te whakatakoto i ngā whakamaharatanga i runga i tō waea. Mēnā kāore koe i te mōhio kua inu koe i tō horopeta, he pai ake te karo i taua horopeta i te tūpono ki te inu rua.
Mēnā ka ngaro koe i te horopeta o te metformin, tangohia i te wā e mahara ana koe, engari mēnā he kai, he paramanawa rānei. Mēnā kua tata te wā mō tō horopeta e whai ake nei, karo i te horopeta i ngaro, ka haere tonu ki tō hōtaka auau.
Kaua rawa e inu i ngā horopeta e rua i te wā kotahi hei utu mō te horopeta i ngaro, nā te mea ka piki ake tō tūponotanga o ngā pānga taha. Mēnā ka wareware koe i ngā horopeta, kōrero ki tō tākuta mō ngā rautaki hei āwhina i a koe ki te mahara, pēnei i te inu i te wā kotahi me ētahi atu mahi o ia rā.
Ko te ngaro i te horopeta i ētahi wā e kore e puta he raruraru tonu, engari ko te ngaro tonu i ngā horopeta ka hua te kore o te whakahaere huka toto i te wā.
Kaua rawa koe e mutu te tango metformin me te kore e kōrero tuatahi ki tō tākuta. Ko ētahi tāngata ka taea te whakaiti, te whakamutu rānei i te metformin mēnā ka eke rātou ki te whakahekenga taumaha nui, ka huri i ō rātou oranga, mēnā rānei ka tino pai ake te whakahaere huka toto.
Ka aroturukihia e tō tākuta ō taumata huka toto, ngā whakamātautau A1C, me te hauora whānui hei whakatau mēnā, ā, nōnahea pea te wā tika ki te whakatika i ō rongoā. Ko ētahi tāngata e kite ana mā te huri tonu i te oranga, ka taea e rātou te whakaiti i tā rātou horopeta, te huri rānei ki tētahi mahere maimoatanga rerekē.
Kia mahara he mate haere tonu te mate huka momo 2, ā, ahakoa ka mutu koe i te metformin mō tētahi wā, tērā pea ka hiahia koe ki te tīmata anō, ki te whakamātau rānei i ētahi atu rongoā ā muri ake nei i te whanaketanga o tō āhua.