Metformin ndi mankhwala omwe nthawi zambiri amalembedwa, kuchoka pamalopo, kuti asamalidwe ndi PCOS komanso kuti athetse ovulation. Ndili m'kalasi la mankhwala omwe amachititsa kuti maselo ayanjidwe ndi insulini ndikuyambitsa shuga la magazi . Malamulo osamveka omwe amalembedwa pamalopo amatanthauza kuti FDA sanavomereze kugwiritsa ntchito mankhwala osokoneza bongo. Pankhani iyi, metformin yavomerezedwa kuti idziwe matenda a shuga koma osati PCOS mwachindunji.
Momwe Metformin imagwirira ntchito
Chifukwa chakuti amayi ambiri omwe ali ndi PCOS amakhalanso ndi matenda a shuga komanso shuga, amakhulupirira kuti kuchiza matenda a insulini kungakhale ndi zotsatira pa zochitika zina zosagwirizana ndi matendawa. Ngakhale ofufuza asadziwe zenizeni, pali umboni wina wotsimikizira kuti chiphunzitsochi chikusonyeza kuti amayi omwe amagwiritsa ntchito metformin ndi clomid (mankhwala omwe amagwiritsidwa ntchito poyambitsa chiwopsezo mwa amayi odwala) amakhala ndi Yankho labwino pa mankhwalawa ndi omwe amachititsa clomid yekha. Azimayi ena omwe ali ndi PCOS, makamaka omwe ali ndi insulin osagonjetsedwa, akhoza kuona nthawi zambiri kuti asatenge metformin.
Mlingo wa Metformin
Mlingo wa pakati pa 1,500 mg mpaka 2,000 mg tsiku ndi tsiku, malinga ndi momwe mayi amatsutsira insulini komanso kuopsa kwa zotsatira zake. Amayi ambiri omwe amatenga metformin amafotokoza kuti ali ndi vuto la m'mimba, kusukidwa ndi kutsekula m'mimba - makamaka ndi mlingo waukulu.
Dokotala akhoza kupatsiriza pang'onopang'ono kuchulukitsa mlingo wanu mpaka mutayesa mlingo woyenera kuti muwonjezere kulekerera kwa mankhwala. Madokotala ena amalimbikitsa fomu yomwe imatulutsidwa , kutanthauza kuti pang'ono pokha mankhwala amamasulidwa tsiku lonse, mmalo mwa zonse mwakamodzi ngati kukhala ndi mapiritsi okhazikika nthawi zonse.
Ndikofunika kumwa mankhwala anu monga momwe adzilembera ndipo dokotala wanu adziwe ngati mukukumana ndi zotsatira zake .
Metformin ndi Kutaya Kwathu Kubereka
Kuwonjezera pa kuvutika kutenga pakati, amayi omwe ali ndi PCOS akhoza kukhala pachiopsezo chotenga mimba. Izi zimachitika chifukwa cha kusiyana kwa mahomoni ndi insulini yapamwamba. Maphunziro angapo asonyeza kuchuluka kwakukulu kwa kuchepa kwa mimba mwa amayi omwe ali ndi PCOS kutenga metformin poyerekezera ndi amayi omwe sanatenge metformin.
Metformin ndi Gestational Shuga
Mwatsoka, amayi omwe ali ndi PCOS ali pachiopsezo chachikulu chokhala ndi matenda a shuga (matenda a shuga mu mimba). Kafukufuku amathandiza kugwiritsa ntchito metformin pofuna kuchepetsa chiopsezo cha matenda a shuga kwa amayi omwe ali ndi PCOS.
Chitetezo cha Metformin m'mimba yoyamba
Podziwa kuti mankhwalawa angakuthandizeni kuti muteteze kutenga mimba, funso lotsatira nthawi zambiri ndi za chitetezo. Maphunzirowa ndi olimbikitsa: mpaka pano, metformin siinagwirizanitsidwe ndi zilema zazikulu za kubala kapena zovuta za mwana pamene zimatengedwa pa trimestre yoyamba. Malingana ndi kafukufuku wofalitsidwa mu Human Reproduction , makanda omwe anabadwa kwa amayi omwe anatenga metformin sankasonyeza kusiyana kwa kulemera kwake, kutalika, kukula, kapena kupititsa patsogolo magalimoto mkati mwa miyezi 18 yoyambirira ya moyo poyerekezera ndi ana achibadwa a US obadwa bwino.
Ngati mukukonzekera kutenga mimba mukatenga metformin, onetsetsani kuti mwalankhula ndi dokotala kale za zomwe akufuna kuti muchite pamene mutapeza mayeso oyenerera mimba. Ngakhale metformin ndi mankhwala a B, omwe amatanthauza kuti ndi otetezeka pathupi, ndi bwino kulankhula ndi adokotala ndikutsatira malangizo ake. Kumbukirani, dokotala aliyense ndi wosiyana, ndipo ali ndi ndondomeko yake pa zomwe zili zoyenera kwa inu ndi mwana wanu.
Zotsatira:
> Begum MR, > Khanam > NN, Quadir E, et al. Kupewa matenda opatsirana pogonana chifukwa chopitirizabe kuchipatala m'mimba yonse mwa amayi omwe ali ndi matenda a polycystic ovary. Lembani Kutsegula Gynaecol. 2009; 35 (2): 282-286.
> Glueck CJ, Goldenberg N, Pranikoff J, Wolemba Zojambula M, Sieve L, Wang P. Kutalika, kulemera kwake, ndi kuyendetsa galimoto kumapiri 18 pa miyezi 18 yoyambirira ya moyo mu 126 ana omwe ali ndi amayi 109 omwe ali ndi ma polycystic ovary syndrome anapitiriza metformin kudzera mimba. Munthu > reprod >. 2004; 19 (6): 1323-1330.
> Khattab S, Mohsen IA, Aboul Foutouh I, et al. Kodi maformform angachepetse zakudya zamakono pa mimba kuteteza macrosomia (ROLO kuphunzira): > randomized > control control. BMJ. 2012; 345: e5605.
> Kinnunen TI, Raitanen J, Aittasalo M, Luoto R. Kulepheretsa kuchuluka kwa masewera olimbitsa thupi > kupeza-a > kufufuza kwachiwiri kwa mayesero osagwiritsidwa ntchito mosagwiritsidwa ntchito. Yogulitsa Zakudya za Euro. 2012; 66 (12): 1344-1350.
> Kumar P, Khan K. Zotsatira za metformin amagwiritsira ntchito odwala omwe ali ndi matenda a polycystic ovary syndrome. J Sciences Wotsutsa Anthu. 2012; 5 (2): 166-169.
Kusinthidwa ndi Angela Grassi, MS, Expert RDN PCOS.