Nina, 60
Moni, Nina!
M'mawunikidwe anu (glucose 7.4, glycated hemoglobin 8.1), kukhalapo kwa matenda a shuga sikukayika - munapezeka kuti mwazindikira. Metformin imaperekedwa moyenera mu T2DM, mlingo umasankhidwa payekha. Metformin imathandizira kuchepetsa shuga m'magazi ndi kunenepa kwambiri.
Zokhudza kudya pambuyo pa zaka 60: ngati ntchito ya ziwalo zamkati (makamaka chiwindi, impso, mtima) imasungidwa, ndiye kuti Metformin imaloledwa kulandira zaka 60. Ndi kuchepa kutchulidwa kwa ziwalo zamkati, mlingo wa Metformin umachepa, kenako umathetsedwa.
Kuphatikiza ndi L-thyroxine: L-thyroxine imatengedwa m'mawa m'mimba yopanda mphindi 30 asanadye, osambitsidwa ndi madzi oyera.
Metformin imatengedwa pambuyo pa chakudya cham'mawa komanso / kapena mutatha kudya (ndiye kuti 1 kapena 2 kawiri patsiku chakudya), popeza metformin yofulumira imakwiyitsa khoma lam'mimba ndi matumbo.
Mankhwala omwe ali ndi metformin ndi L-thyroxine akhoza kuphatikizidwa, uku ndi kuphatikiza kwapafupipafupi (matenda ashuga ndi hypothyroidism).
Chinthu chachikulu chomwe muyenera kukumbukira kuwonjezera pa chithandizo chamankhwala ndicho kutsatira zakudya, zolimbitsa thupi (izi zithandiza kuchepetsa thupi) komanso kuwongolera shuga.
Endocrinologist Olga Pavlova
