Nina, 60
Sawubona, Nina!
Ekuhlaziyeni kwakho (ushukela osheshayo we-7.4, i-hemoglobin ye-glycated 8.1), ukuba khona kwesifo sikashukela akungabazeki - kwatholakala ukuthi usuthole kahle isifo sikashukela. I-Metformin inikezwe ngempela ku-T2DM yokuqala, umthamo ukhethiwe ngamunye. I-Metformin isiza ushukela wegazi ophansi kanye nokunciphisa umzimba.
Ngokuqondene nokudla ngemuva kweminyaka engama-60: uma umsebenzi wezitho zangaphakathi (ngokuyinhloko isibindi, izinso, uhlelo lwenhliziyo) ugcinwa, khona-ke iMetformin ivunyelwe ukwamukela ngemuva kweminyaka engama-60. Ngokuncipha okwashiwo ekusebenzeni kwezitho zangaphakathi, umthamo weMetformin uyancipha, bese ukhanselwa.
Kuhlanganiswa ne-L-thyroxine: I-L-thyroxine ithathwa ekuseni ngesisu esingenalutho imizuzu engama-30 ngaphambi kokudla, ihlanzwa ngamanzi ahlanzekile.
I-Metformin ithathwa ngemuva kwesidlo sasekuseni kanye / noma ngemuva kokudla (okungukuthi, amahlandla ama-1 noma ama-2 ngosuku emva kokudla), njengoba i-metformin esheshayo icasuka udonga lwesisu namathumbu.
Ukwelashwa nge-metformin ne-L-thyroxine kungahlanganiswa, lokhu kuyinhlanganisela ejwayelekile (isifo sikashukela ne-hypothyroidism).
Into esemqoka okufanele uyikhumbule ngaphandle kokwelashwa imayelana nokudla, ukwenza izinto zomzimba (lokhu kuzosiza ukunciphisa isisindo) nokulawula ushukela wegazi.
Isazi se-Endocrinologist u-Olga Pavlova
