Hiki iaʻu ke lawe i ka metformin ma hope o 60?

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Aloha ʻOiai wau he 60 makahiki, ua hoʻoneʻe ʻia ka nui o ka maʻi thyroid, ke lawe nei au i ka levoteroxin. Ua hala wau i kahi hōʻike koko - glucose 7.4 glycim 8.1, maʻi koke aku me ka maʻi C / Diabetes a me nā metformin i ʻōlelo ʻia. E ʻoluʻolu mai iaʻu, e makemake paha ʻoe e nānā i nā hoʻokolohua a hoʻomaka hoʻomaka nā lāʻau inu ʻona, inā hiki, hiki iā ʻoe ke hoʻohui pū iā lākou? Ua heluhelu wau ma hope o 60 mau makahiki he mea hiki ʻole ke lawe metformin. A ua hoʻomaka wau e loaʻa ka kaumaha, e aʻo mai iaʻu i nā mea e hana ai.
Nina, 60

Aloha nui kā Nina!

I kāu mau noiʻi (ka wikiwiki glucose 7.4, glycated hemoglobin 8.1), ʻaʻole i kānalua ka nui o ka maʻi o ka maʻi - ua hōʻike pololei ʻoe. Hāʻawi maoli ʻia ʻo Metformin i ke kumu o T2DM, ua koho ʻia ke ʻano he hoʻokahi. Kōkua ka Metformin i ka hoʻokahe koko koko a me ke kaumaha.

Me ke kau ʻana ma hope o 60 mau makahiki: inā e hana ʻia nā hana o nā kino o ke kino (ma mua o ke ake, nā ʻōpū, nā ʻōpū, a me nā ʻōnaehana cardiovascular), a laila e ʻae ʻia ʻo Metformin ma hope o 60 mau makahiki. Me kahi emi i hoʻokaʻawale ʻia i ka hana o nā ʻōpū kūloko, a emi ke ʻano o ka Metformin, a laila ua kāpae ʻia.

I ka hui pū me L-thyroxine: Ua lawe ʻia ka L-thyroxine i ke kakahiaka ma kahi ʻōpū ʻole 30 mau minuke ma mua o ka ʻai, holoi ʻia me ka wai maʻemaʻe.
Lawe ʻia ka Metformin ma hope o kaʻaina kakahiaka a ma hope o kaʻaina ʻaina (ʻo ia hoʻi, ʻo 1 a ʻelua mau manawa hoʻi i ka lā ma hope o ka pāʻina), no ka mea ʻoi ka metformin ka ʻāpana ʻana i ka paia o ka ʻōpū a me nā ʻōpū.
Hiki ke hoʻohui pū ʻia ka mīkini me metformin a me L-thyroxine, ʻo ia ka hui pinepine (ʻo ka maʻi maʻi a me ka hypothyroidism).

ʻO ka mea nui e hoʻomanaʻo ai e pili ana i ka hāmeʻa e pili ana i ka hahai ʻana i kahi meaʻai, hana kino (e kōkua kēia i ka hoʻemi ʻana i ke kaumaha) a me ka kaohi ʻana i ke kō koko.

Endocrinologist ʻO Olga Pavlova

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