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I-Metformin isetshenziswa ekwelapheni amazinga aphezulu kashukela egazini abangelwa uhlobo lwesifo sikashukela i-diabetes mellitus noma isifo sikashukela esibizwa ngokuthi i-type 2 diabetes. Ngaleli hlobo lesifo sikashukela, i-insulin eyenziwa yi-pancreas ayikwazi ukufaka ushukela emagxalabeni omzimba lapho ingasebenza khona kahle. Ukusebenzisa i-metformin yodwa, ngohlobo lwemi-antidiabetic yomlomo ebizwa ngokuthi yi-sulfonylurea, noma nge-insulin, kuzosiza ekuthokoziseni ushukela egazini uma uphezulu kakhulu futhi kuzosiza ekuvuseleleni indlela osebenzisa ngayo ukudla ukwenza amandla. Abantu abaningi bangalawula i-type 2 diabetes ngokudla nokuzivocavoca. Ukulandela ukudla okucansiwe ngokukhethekile nokuzivocavoca kuzoba kubalulekile njalo uma une-diabetes, ngisho noma uthatha imithi. Ukuze isebenze kahle, inani le-metformin oyithatha kufanele lilinganiswe ngenani nohlobo lokudla okudlayo nenani lokuzivocavoca okwenzayo. Uma ushintsha ukudla kwakho noma ukuzivocavoca, uzofuna ukuhlola ushukela egazini lakho ukuthola ukuthi uphansi kakhulu yini. Udokotela wakho uzokufundisa ukuthi yini okufanele uyenzile uma lokhu kwenzeka. I-Metformin ayincedi iziguli ezine-insulin-dependent noma i-type 1 diabetes ngoba azikwazi ukukhiqiza i-insulin e-pancreas gland yazo. I-glucose yabo yegazi ilawulwa kangcono ngokuqhafaza kwe-insulin. Lolu lwemi lulawulwa ngomthetho wodokotela kuphela. Lo mkhiqizo uyatholakala ngezindlela zokulinganisa ezilandelayo:
Umakuqondisa ekusebenziseni imithi, kufanele kuqhathaniswe ingozi yokuthatha imithi nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluqondile noma oluhambelana nokwaleka kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokwaleka, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenalo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zezingane ezizobeka umkhawulo ekusebenziseni isisombululo somlomo se-metformin, ukuxuba komlomo olukhululekile, namaphilisi ezinganeni ezineminyaka eyi-10 kuya kweyi-16. Kodwa-ke, ukuphepha nokusebenza kahle kwamapilisi e-metformin akhululekile kubantu abancane akukaqiniswa. Nakuba izifundo ezifanele mayelana nobudlelwano bokuphila kweminyaka nemiphumela ye-metformin azikwenziwe kubantu abadala, akulindelekile ukuthi izinkinga ezikhethekile zabantu abadala zibeke umkhawulo ekusebenziseni i-metformin kubantu abadala. Kodwa-ke, abantu abadala banethuba elikhulu lokuba nezinkinga zezinkalankala ezihlobene nobudala, okungadingeka ukuba kube khona ukuqapha kubantu abamukela i-metformin. Lolu lwemi lwehlukile kubantu abaneminyaka engama-80 nangaphezulu abaneproblemu yezinkalankala. Ayikho izifundo ezifanele kwabesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izimithi akufanele zisetshenziswe ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlwini elingezansi. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile akuyona into enconywayo, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibekiwe, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani imithi. Ezinye izimithi akufanele zisetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla ngoba ukusebenzisana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba nezinye izimithi kungabangela ukusebenzisana. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Leli lemithi ivame ukufika nekhadi lemininingwane yomguli. Funda ulwazi ngokucophelela bese uqiniseka ukuthi uyayiqonda ngaphambi kokuthatha le mithi. Uma unemibuzo, buza udokotela wakho. Landela uhlelo lokudla olukhulu udokotela wakho akunike lona. Lokhu kuyisigaba esibaluleke kakhulu sokulawula isimo sakho, futhi kuyadingeka uma imithi ifanele isebenze kahle. Futhi, qeqesha njalo bese uhlola ushukela egazini lakho noma emchameni njengoba kuqondiswe. I-Metformin kufanele ithathwe ngokudla ukuze usize ukunciphisa imiphumela emibi yesisu noma yomthambo engase ibe khona ezinsukwini ezimbalwa zokuqala zokwelashwa. Gwinya ithebulethi noma ithebulethi yokukhululwa okwandisiwe yonke ngeglasi elikhulu lamanzi. Ungayicwili, ungayiqhekeza, noma ungayikhononde. Ngesikhathi uthatha ithebulethi yokukhululwa okwandisiwe, ingxenye yethebulethi ingase idlule emathunjini akho ngemuva kokuba umzimba wakho uthathé imithi. Lokhu kuyinto evamile futhi akukho lutho okufanele ukukhathazeke ngalo. Linganisa i-oral liquid ngesipuni sokuqapha esiphawuliwe, isirinji yomlomo, noma indebe yemithi. Isipuni sendlu esivamile singase singabi nesilinganiso esifanele selwetshe. Sebenzisa indebe yokulinganisa enikeziwe ukuze uqaphe ukuxuba okukhululwayo okwandisiwe komlomo. Buza umakhemikhali wakho ngendebe yokulinganisa uma ungenayo. Sebenzisa kuphela uhlobo lale mithi udokotela wakho akuqondile. Amabhizinisi ahlukene angase angasebenzi ngendlela efanayo. Ungase uqaphele ukuthuthuka ekulawuleni kweswekile yegazi lakho ezinsukwini eziyi-1 kuya kwezi-2, kepha umphumela ophelele wokuqapha kweswekile yegazi ungathatha izinyanga eziyi-2 kuya kwezi-3. Buza udokotela wakho uma unemibuzo ngalokhu. Inani lale mithi lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo luhlanganisa kuphela amanani aphakathi ale mithi. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondile ukwenza njalo. Inani lemithi oyithatha lixhomeke emandleni emithi. Futhi, inani lezingxenye oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwezingxenye, nobude besikhathi othatha imithi kuya ngesimo sezokwelapha osikisela imithi. Uma uphuthelwe yingxenye yale mithi, yithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sokuthatha ingxenye yakho elandelayo, suka ingxenye oyiphothile bese ubuyela esikhathini sakho sokuqapha esivamile. Ungawandisi amanani. Gcina imithi esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungayigandisi. Gcina ingafinyeleleki kubantwana. Ungagcini imithi eliphelile noma imithi engasadingeki. Buza ochwepheshe bezempilo ukuthi kufanele ulahle kanjani noma iyiphi imithi ongase uyisebenzisi.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.