Metfogamm 1000: malangizo ogwiritsira ntchito, mtengo, mapiritsi a shuga
Metfogamma 1000 (mapiritsi) Kutalika: 8
Wopanga: Vörwag Pharma GmbH & Co KG (Germany)
Kutulutsa Mafomu:
- Mapiritsi 1000 mg, 30 ma PC., Mtengo kuchokera 176 rubles
Malangizo ogwiritsira ntchito
Mankhwala enanso a matenda a shuga omwe amapezeka m'mapiritsi. Kugulitsidwa makatoni mapiritsi 30 okhala ndi metformin hydrochloride monga mankhwala othandizira. Contraindified pa mimba ndi yoyamwitsa.
Mtengo ndi lingaliro la zochita za mankhwala
Kodi mankhwalawo ndi angati? Mtengo umatengera kuchuluka kwa metformin pamankhwala. Kwa Metfogamma 1000 mtengo ndi 580-640 rubles. Metfogamm 500 mg imawononga ndalama pafupifupi 380-450 rubles. Pa Metfogamma 850 mtengo umayambira ku ruble 500. Ndikofunika kudziwa kuti mankhwalawa amaperekedwa pokhapokha ngati mwalandira mankhwala.
Amapanga mankhwala ku Germany. Ofesi yoimira boma ili ku Moscow. Mu 2000s, kupanga mankhwala kunakhazikitsidwa mumzinda wa Sofia (Bulgaria).
Kodi mfundo yokhudza kugwiritsa ntchito mankhwala osokoneza bongo ndi iti? Metformin (gawo lomwe limagwiritsa ntchito mankhwalawa) amachepetsa kuchuluka kwa shuga m'magazi. Izi zimatheka ndikupondereza gluconeogenesis m'chiwindi. Metformin imathandizanso kugwiritsidwa ntchito kwa glucose mu minofu ndikuchepetsa kuyamwa kwa shuga kuchokera m'mimba.
Ndizofunikira kudziwa kuti mukamagwiritsa ntchito mankhwalawa, kuchuluka kwa cholesterol ndi LDL mu seramu yamagazi kumachepetsedwa. Koma Metformin sikusintha kuchuluka kwa lipoproteins. Mukamagwiritsa ntchito mankhwalawa mutha kuchepetsa thupi. Mwachilengedwe, 500 mg 850, ndi 100 mg metogram amagwiritsidwa ntchito pamene kudya sikumathandiza kuchepetsa thupi.
Metformin samangoyendetsa shuga wamagazi, komanso imakweza kwambiri magazi a fibrinolytic.
Izi zimatheka ndikupondereza mtundu wa plasminogen inhibitor.
Malangizo ogwiritsira ntchito mankhwalawa
Kodi kugwiritsa ntchito mankhwalawa a Metfogamm 500 kulungamitsidwa nthawi ziti? Malangizo ogwiritsira ntchito akuti mankhwalawa amayenera kugwiritsidwa ntchito pochiza matenda ashuga a 2 omwe samatengera insulin. Koma Metfogamma 1000, 500 ndi 800 mg ayenera kugwiritsidwa ntchito pochiza odwala omwe samakonda ketoacidosis.
Momwe mungamwe mankhwalawo? Mlingo wake umasankhidwa molingana ndi kuchuluka kwa shuga m'magazi. Nthawi zambiri, mlingo woyambira ndi 500-850 mg. Ngati mankhwalawa amagwiritsidwa ntchito kuti azikhala ndi shuga wamba, ndiye kuti tsiku lililonse mlingo ungakulitse mpaka 850-1700 mg.
Muyenera kumwa mankhwalawa Mlingo 2 wogaŵanika. Kodi ndiyenera kumwa mankhwalawo kwa nthawi yayitali bwanji? Kwa Metfogamma 850, malangizowo samawongolera kutalika kwa mankhwalawa. Kutalika kwa chithandizo kumasankhidwa payekha ndipo zimatengera zinthu zambiri.
Mu Metfogamma 1000, malangizo ogwiritsira ntchito amawongolera zotsutsana zotere kuti mugwiritse ntchito:
- Matenda a shuga ketoacidosis.
- Kusokonekera mu ntchito ya impso.
- Kulephera kwa mtima.
- Cerebrovascular ngozi.
- Uchidakwa wambiri
- Kuthetsa madzi m'thupi.
- The pachimake gawo la myocardial infarction.
- Kuchepa kwa chiwindi.
- Poizoni woledzera.
- Lactic acidosis
- Mimba
- Nthawi yonyamula.
- Allergy to metformin ndi zigawo zothandizira za mankhwalawa.
Kuwona kwa madotolo kumawonetsa kuti mankhwalawa sayenera kugwiritsidwa ntchito pakudya kochepa kalori, komwe kumaphatikizapo kumwa zosakwana calories 1000 patsiku. Kupanda kutero, mankhwalawa Metfogamma 1000 amatha kubweretsa zovuta zazikulu, mpaka chifuwa cha matenda ashuga.
Mankhwala nthawi zambiri amavomerezedwa ndi odwala. Koma ndimakonda kugwiritsa ntchito mankhwalawa.
- Megaloblastic anemia.
- Kuphwanya munjira yogaya chakudya. Metfogamma 1000 ingayambitse kukula kwa zizindikiro za dyspeptic, nseru, kusanza ndi kutsekula m'mimba. Komanso pakuthandizira mankhwalawa, kulawa kwazitsulo kumatha kuwonekera pakamwa.
- Hypoglycemia.
- Lactic acidosis.
- Thupi lawo siligwirizana.
Kukula kwa lactic acidosis kumawonetsa kuti ndikwabwino kusokoneza njira yamankhwala.
Vutoli likachitika, chithandizo chamankhwala chiyenera kutengedwa nthawi yomweyo.
Kuyanjana ndi Mankhwala Osokoneza bongo ndi Mafuta Analegs
Kodi metfogamma 1000 imagwirizana bwanji ndi mankhwala ena? Malangizowo akuti mankhwalawa amatha kuchepetsa chithandizocho pogwiritsa ntchito anticoagulants.
Sitikulimbikitsidwa kugwiritsa ntchito mankhwala a shuga limodzi ndi Mao inhibitors, ACE inhibitors, zotumphukira zochokera kwa cyclophosphamides kapena beta-blockers. Ndi kulumikizana kwa metformin ndi mankhwala omwe ali pamwambawa, chiopsezo chowonjezeka cha hypoglycemic chikuwonjezeka.
Ndi ma fanizo opambana kwambiri a Metfogamm 1000? Malinga ndi madotolo, njira zabwino kwambiri ndi izi:
- Glucophage (ma ruble 220-400). Mankhwalawa ali bwino ngati Metfogamm. Gawo lomwe limagwiritsa ntchito mankhwalawa ndi metformin. Mankhwalawa amathandizira kuchepetsa magazi a magazi ndikuwonjezera chidwi cha zotumphukira za insulin.
- Glibomet (ma ruble a 320-480). Mankhwala tikulephera lipolysis mu adipose minofu, kumalimbikitsa mphamvu zotumphukira zimakhala ndi zochita za insulin ndi kuchepetsa magazi.
- Siofor (380-500 rubles). Mankhwala amalepheretsa mayamwidwe a shuga m'matumbo, amathandizira kugwiritsa ntchito shuga m'matumbo a minofu ndikuchepetsa kupanga shuga m'magazi.
Mankhwalawa omwe ali pamwambawa amalimbikitsidwa kuti agwiritsidwe ntchito ndi mtundu wachiwiri wa matenda osokoneza bongo a insulin. Mukamasankha analogue, muyenera kufunsa dokotala, chifukwa mankhwalawa ochepetsa shuga amatha kuyambitsa lactic acidosis. Kanemayo munkhaniyi akupitiliza mutu wakugwiritsa ntchito Metformin pa matenda ashuga.
Analogs a mankhwala Metfogamm 1000
Analogue ndiotsika mtengo kuchokera ku ma ruble 66.
Wopanga: Merck Sante SAA.S. (France)
Kutulutsa Mafomu:
- Mapiritsi 500 mg, 30 ma PC., Mtengo kuchokera ku ma ruble 110
- Mapiritsi 1000 mg, 30 ma PC., Mtengo kuchokera ku ma ruble 185
Malangizo ogwiritsira ntchito
French mankhwala zochizira mtundu 2 shuga. Kugulitsidwa pamapiritsi okhala ndi 500 mpaka 1000 mg ya metformin monga chokhacho chophatikiza. Pali zotsutsana, motero, musanatenge Glucofage, ndikofunikira kufunsa katswiri.
Analogue ndiotsika mtengo kuchokera ku ma ruble 67.
Wopanga: Akrikhin (Russia)
Kutulutsa Mafomu:
- Mapiritsi 500 mg, 60 ma PC., Mtengo kuchokera ku ma ruble 109
- Mapiritsi 850 mg, 60 ma PC., Mtengo kuchokera ku ma ruble 190
Malangizo ogwiritsira ntchito
Gliformin ndi mankhwala am'nyumba pochizira matenda amtundu wa 2. Kugulitsidwa mu mapiritsi ndi metformin monga gawo limodzi lokhazikika (kuchuluka kwa 250 kapena 500 mg ndikotheka). Gliformin ali ndi mndandanda wambiri wa zotsutsana, kotero musanayambe chithandizo, onetsetsani kuti muwerenga malangizo omwe angagwiritsidwe ntchito.
Analogue ndiotsika mtengo kuchokera ku ma ruble 119.
Wopanga: Kachemala-Leksredstva (Russia)
Kutulutsa Mafomu:
- Tab. 50 mg, 30 ma PC., Mtengo kuchokera ku ma ruble 57
- Tab. 50 mg, 60 ma PC., Mtengo kuchokera ku ma ruble 99
Malangizo ogwiritsira ntchito
Formetin ndimalo otsika mtengo kwambiri a Glucofage, omwe amapangidwa kuti achepetse shuga m'magazi. Amapezeka m'mapiritsi okhala ndi 0,5, 0,85 kapena 1 g wa metformin. Zitha kuyambitsa kusokonezeka kwa dongosolo la kugaya, zotupa pakhungu, komanso ngati mankhwala osokoneza bongo - hypoglycemia ndi lactic acidosis atha kufa.
Analogue ndiokwera mtengo kwambiri kuchokera ku ruble 2.
Wopanga: Hemofarm A.D. (Serbia)
Kutulutsa Mafomu:
- Tab. 500 mg, 60 ma PC., Mtengo kuchokera 178 ma ruble
- Tab. 50 mg, 60 ma PC., Mtengo kuchokera ku ma ruble 99
Malangizo ogwiritsira ntchito
Metformin ndi mankhwala achi Serbia hypoglycemic ogwiritsira ntchito mkati. Kuphatikizika kwa mapiritsi kumakhala ndi chophatikizira cha dzina lomweli muyezo wa 500 kapena 850 mg. Amalembera mankhwalawa mtundu wa matenda ashuga 2 (achikulire), makamaka ngati ali ndi kunenepa kwambiri.
Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble 209.
Wopanga: Kimika Montpellier S.A. (Argentina)
Kutulutsa Mafomu:
- Mapiritsi 1000 mg, 60 ma PC., Mtengo kuchokera 385 ma ruble
- Tab. 50 mg, 60 ma PC., Mtengo kuchokera ku ma ruble 99
Malangizo ogwiritsira ntchito
Piritsi la ku Argentina lochizira matenda ashuga. Machitidwe a Bagomet amatengera kugwiritsa ntchito metformin hydrochloride mu 500 mg piritsi limodzi. Amasankha mtundu wachiwiri wa matenda ashuga.
Analogs popanga ndi chisonyezo chogwiritsidwa ntchito
| Mutu | Mtengo ku Russia | Mtengo ku Ukraine |
|---|---|---|
| Bagomet Metformin | -- | 30 UAH |
| Glucofage metformin | 12 rub | 15 UAH |
| Glucophage xr metformin | -- | 50 UAH |
| Reduxin Met Metformin, Sibutramine | 20 rub | -- |
| Dianormet | -- | 19 UAH |
| Diaformin metformin | -- | 5 UAH |
| Metformin metformin | 13 rub | 12 UAH |
| Metformin sandoz metformin | -- | 13 UAH |
| Siofor | 208 rub | 27 UAH |
| Fomu metformin hydrochloride | -- | -- |
| Emnorm EP Metformin | -- | -- |
| Megifort Metformin | -- | 15 UAH |
| Metamine Metformin | -- | 20 UAH |
| Metamine SR Metformin | -- | 20 UAH |
| Tefor metformin | -- | -- |
| Glycometer | -- | -- |
| Glycomet SR | -- | -- |
| Forethine | 37 rub | -- |
| Metformin Canon metformin, ovidone K 90, wowuma chimanga, crospovidone, magnesium stearate, talc | 26 rub | -- |
| Insuffor metformin hydrochloride | -- | 25 UAH |
| Metformin-teva metformin | 43 rub | 22 UAH |
| Diaformin SR metformin | -- | 18 UAH |
| Mepharmil Metformin | -- | 13 UAH |
| Metformin Farmland Metformin | -- | -- |
Mndandanda womwe uli pamwambapa wa analogies ya mankhwala, omwe akuwonetsa metfogammam, ndizabwino kwambiri chifukwa zimakhala ndi zinthu zomwe zimagwirizana ndipo zimagwirana molingana ndi chisonyezo chogwiritsidwa ntchito
Kuphatikizika kosiyanasiyana, kungagwirizane mukuwonetsa ndikugwiritsa ntchito njira
| Mutu | Mtengo ku Russia | Mtengo ku Ukraine |
|---|---|---|
| Rosiglitazone wothandiza, metformin hydrochloride | -- | -- |
| Glibenclamide Glibenclamide | 30 rub | 7 UAH |
| Maninyl Glibenclamide | 54 rub | 37 UAH |
| Glibenclamide-Health Glibenclamide | -- | 12 UAH |
| Glyurenorm glycidone | 94 rub | 43 UAH |
| Bisogamma Glyclazide | 91 rub | 182 UAH |
| Glidiab Glyclazide | 100 rub | 170 UAH |
| Diabeteson MR | -- | 92 UAH |
| Diagnizide mr Gliclazide | -- | 15 UAH |
| Glidia MV Gliclazide | -- | -- |
| Glykinorm Gliclazide | -- | -- |
| Gliclazide Gliclazide | 231 rub | 44 UAH |
| Glyclazide 30 MV-Indar Glyclazide | -- | -- |
| Glyclazide-Health Gliclazide | -- | 36 UAH |
| Glioral Glyclazide | -- | -- |
| Diagnizide Gliclazide | -- | 14 UAH |
| Diazide MV Gliclazide | -- | 46 UAH |
| Osliklid Gliclazide | -- | 68 UAH |
| Diadeon gliclazide | -- | -- |
| Glyclazide MV Gliclazide | 4 rub | -- |
| Amaril | 27 rub | 4 UAH |
| Glemaz glimepiride | -- | -- |
| Glian glimepiride | -- | 77 UAH |
| Glimepiride Glyride | -- | 149 UAH |
| Glimepiride diapiride | -- | 23 UAH |
| Guwa | -- | 12 UAH |
| Glimax glimepiride | -- | 35 UAH |
| Glimepiride-Lugal glimepiride | -- | 69 UAH |
| Clay glimepiride | -- | 66 UAH |
| Diabrex glimepiride | -- | 142 UAH |
| Meglimide glimepiride | -- | -- |
| Melpamide Glimepiride | -- | 84 UAH |
| Perinel glimepiride | -- | -- |
| Glempid | -- | -- |
| Wokongola | -- | -- |
| Glimepiride glimepiride | 27 rub | 42 UAH |
| Glimepiride-teva glimepiride | -- | 57 UAH |
| Glimepiride Canon glimepiride | 50 rub | -- |
| Glimepiride Pharmstandard glimepiride | -- | -- |
| Dimaril glimepiride | -- | 21 UAH |
| Glamepiride diamerid | 2 rub | -- |
| Amaryl M Limepiride Micronized, Metformin Hydrochloride | 856 rub | 40 UAH |
| Glibomet glibenclamide, metformin | 257 rub | 101 UAH |
| Glucovans glibenclamide, metformin | 34 rub | 8 UAH |
| Dianorm-m Glyclazide, Metformin | -- | 115 UAH |
| Dibizid-m glipizide, metformin | -- | 30 UAH |
| Douglimax glimepiride, metformin | -- | 44 UAH |
| Duotrol glibenclamide, metformin | -- | -- |
| Gluconorm | 45 rub | -- |
| Glibofor metformin hydrochloride, glibenclamide | -- | 16 UAH |
| Avandamet | -- | -- |
| Avandaglim | -- | -- |
| Janumet metformin, sitagliptin | 9 rub | 1 UAH |
| Velmetia metformin, sitagliptin | 6026 rub | -- |
| Galvus Met vildagliptin, metformin | 259 rub | 1195 UAH |
| Tripride glimepiride, metformin, pioglitazone | -- | 83 UAH |
| Comboglize XR metformin, saxagliptin | -- | 424 UAH |
| Comboglyz Prolong metformin, saxagliptin | 130 rub | -- |
| Gentadueto linagliptin, metformin | -- | -- |
| Vipdomet metformin, alogliptin | 55 rub | 1750 UAH |
| Sinjardi empagliflozin, metformin hydrochloride | 240 rub | -- |
| Voglibose Oxide | -- | 21 UAH |
| Glutazone pioglitazone | -- | 66 UAH |
| Dropia Sanovel pioglitazone | -- | -- |
| Januvia sitagliptin | 1369 rub | 277 UAH |
| Galvus vildagliptin | 245 rub | 895 UAH |
| Onglisa saxagliptin | 1472 rub | 48 UAH |
| Nesina alogliptin | -- | -- |
| Vipidia alogliptin | 350 rub | 1250 UAH |
| Trazhenta linagliptin | 89 rub | 1434 UAH |
| Lixumia lixisenatide | -- | 2498 UAH |
| Malo a Guarem Guar | 9950 rub | 24 UAH |
| Insvada repaglinide | -- | -- |
| Novonorm Repaglinide | 30 rub | 90 UAH |
| Repodiab Repaglinide | -- | -- |
| Baeta Exenatide | 150 rub | 4600 UAH |
| Baeta Long Exenatide | 10248 rub | -- |
| Viktoza liraglutide | 8823 rub | 2900 UAH |
| Saxenda liraglutide | 1374 rub | 13773 UAH |
| Forksiga Dapagliflozin | -- | 18 UAH |
| Forsiga Dapagliflozin | 12 rub | 3200 UAH |
| Invocana canagliflozin | 13 rub | 3200 UAH |
| Jardins Empagliflozin | 222 rub | 566 UAH |
| Trulicity Dulaglutide | 115 rub | -- |
Kodi mungapeze bwanji analogue yotsika mtengo ya mankhwala okwera mtengo?
Kuti mupeze analogue yotsika mtengo kwa mankhwala, a generic kapena ofanana, choyambirira timalimbikitsa kulabadira kapangidwe kake, zomwe ndi zinthu zomwezi zomwe zikugwiritsidwa ntchito ndikuwonetsa. Zomwe zimagwiritsidwanso mosiyanasiyana ndi mankhwalawa zimawonetsa kuti mankhwalawo ndi ofanana ndi mankhwalawo, monga mankhwala ena kapena mitundu ina. Komabe, musaiwale za zovuta zomwe zimagwiritsidwa ntchito ndi mankhwala ofanana, omwe angakhudze chitetezo ndi kugwiranso ntchito. Musaiwale za malangizo a madotolo, kudzipereka nokha kungawononge thanzi lanu, chifukwa chake onani dokotala wanu musanagwiritse ntchito mankhwala.
Malangizo a Metfogamm
METFOGAMMA ® (METFOGAMMA) Utsogoleri wa metformin: WERVAG FARMA GmbH ndi Co.KG 10 ma PC. - matuza (12) - mapaketi a makatoni.
Mapiritsi, okhala ndi utoto wamafuta, owala, wokhala ndi mzere wowomboka.
1 tabu metformin hydrochloride 850 mg
Omwe amathandizira: methylhydroxypropyl cellulose, povidone, magnesium stearate, titanium dioxide (E171), macrogol 6000.
Ma PC 10 - matumba otumphukira (3) - mapaketi a makatoni. Ma PC 10 - matumba otumphuka (12) - mapaketi a makatoni.
Kulembetsa №№:
- tabu. zokutira filimu, 850 mg: 30 kapena 120 ma PC. - P. 013816 / 01-2002, 03/12/02
- tabu. zokutira filimu, 500 mg: 30 kapena 120 ma PC. - P No. 014463 / 01-2002, 10.16.02
Oral hypoglycemic mankhwala ochokera pagulu la Biguanide. Amalepheretsa gluconeogeneis m'chiwindi, amachepetsa mayamwidwe m'matumbo, imathandizira kugwiritsidwa ntchito kwa glucose, komanso imakulitsa chidwi cha minofu kuti insulini. Zisakhudze kubisalira kwa insulin ndi ma cell a kancre.
Lowers triglycerides, LDL.
Imakhazikika kapena kuchepetsa thupi.
Ili ndi fibrinolytic mwina chifukwa chokakamira minofu ya plasminogen activator inhibitor.
Pambuyo pakukonzekera pakamwa, metformin imatengedwa kuchokera m'mimba. Bioavailability mutatenga muyezo mlingo 50-60%. Cmax pambuyo pakamwa makonzedwe zimatheka pambuyo 2 maola.
Sizikugwirizana ndi mapuloteni a plasma. Amadziunjikira mu ndulu zakumaso, minofu, chiwindi, ndi impso.
Amatulutsidwa popanda mkodzo. T1 / 2 ndi maola 1.5-4.5.
Pharmacokinetics mu milandu yapadera yamankhwala
Ndi matenda aimpso, kuwonongeka kwa mankhwalawa ndikotheka.
- lembani matenda ashuga 2 a mellitus (osadalira insulini) popanda chizolowezi cha ketoacidosis (makamaka kwa odwala omwe ali ndi kunenepa kwambiri) omwe amamwa mankhwala osagwira.
CHITSITSO CHA DOSAGE
Khazikikani payekhapayekha, poganizira kuchuluka kwa shuga m'magazi.
Mlingo woyambira tsiku lililonse nthawi zambiri umakhala 0.5-1 g (Metfogamma 500) kapena 850 mg (Metfogamma 850). Kuwonjezereka kwapang'onopang'ono kwa mlingo kumatheka kutengera mphamvu ya mankhwala. Njira yokonzanso tsiku lililonse imapangitsa 1-2 g (Metfogamma 500) kapena 0.85-1.7 g (Metfogamma 850). Mlingo wapamwamba wa tsiku ndi tsiku ndi 3 g (Metfogamm 500) kapena 1.7 g (Metfogamma 850). Cholinga cha mankhwalawa muyezo waukulu sichimawonjezera mphamvu ya mankhwalawa.
Mlingo wa tsiku ndi tsiku wopitilira 850 mg tikulimbikitsidwa mu Mlingo wachiwiri (m'mawa ndi madzulo).
Odwala okalamba, mlingo woyenera sayenera kupitirira 850 mg / tsiku.
Mapiritsi ayenera kumwedwa ndi chakudya chonse, kutsukidwa ndi madzi pang'ono (kapu yamadzi).
Mankhwalawa adapangira kuti azigwiritsa ntchito kwa nthawi yayitali.
ZOTHANDIZA ZONSE
Kuchokera pamimba: kukhumudwa, kusanza, kupweteka kwam'mimba, kutsegula m'mimba, kusowa kudya, kusowa chilakolako cha chakudya, pakamwa. Pafupipafupi komanso kuopsa kwa zovuta zakadutsidwe kumachepetsedwa ndi kuwonjezeka kwapang'onopang'ono kwa mlingo wa metformin.
Kuchokera ku endocrine system: hypoglycemia (mukamagwiritsa ntchito mankhwala osakwanira).
Kuchokera kumbali ya kagayidwe: kawirikawiri - lactic acidosis (imafuna kuleka kwa chithandizo), ndikugwiritsa ntchito nthawi yayitali - B12 hypovitaminosis (malabsorption).
Kuchokera pa hemopoietic dongosolo: nthawi zina - megaloblastic anemia.
Thupi lawo siligwirizana: zotupa pakhungu.
MALANGIZO OTHANDIZA
- matenda ashuga ketoacidosis, matenda a shuga, chikomokere,
- Zowopsa zaimpso,
- kulephera kwa mtima komanso kupuma,
- pachimake gawo la infracenta,
- ngozi yam'mbuyo kwambiri,
- uchidakwa wambiri ndi zina zomwe zingapangitse lactic acidosis,
- lactic acidosis ndi mbiri yake,
- mkaka wa m'mawere (yoyamwitsa),
- Hypersensitivity mankhwala.
Mimba komanso kuyamwa
Mankhwalawa amatsutsana kuti agwiritse ntchito panthawi yoyembekezera komanso panthawi yoyamwitsa (yoyamwitsa).
MALANGIZO OTHANDIZA
Kugwiritsa ntchito mankhwalawa osavomerezeka chifukwa cha matenda opatsirana oyipa, kuchulukitsa kwa matenda opatsirana ndi kutupa, kuvulala, matenda opweteka kwambiri,
Mankhwalawa satengedwa pamaso pa opareshoni ndipo patatha masiku awiri atachira.
Kugwiritsa ntchito Metfogamma sikulimbikitsidwa osachepera masiku awiri asanafike komanso masiku awiri pambuyo pa x-ray kapena kufufuza kwa radiology pogwiritsa ntchito othandizira.
Ndi osavomerezeka kuti mankhwalawa alembedwe kwa odwala omwe amadya zakudya zoletsa kudya caloric (zosakwana 1000 kcal / tsiku).
Sitikulimbikitsidwa kugwiritsa ntchito mankhwalawa mwa anthu opitirira zaka 60 omwe amagwira ntchito zolimbitsa thupi (chifukwa izi zimagwirizanitsidwa ndi chiwopsezo cha lactic acidosis).
Munthawi yogwiritsira ntchito mankhwalawa, zizindikiro za impso ziyenera kuyang'aniridwa. Osachepera 2 pachaka, komanso maonekedwe a myalgia, zomwe zimakhala mu plasma ziyenera kutsimikiziridwa.
Metfogamma itha kugwiritsidwa ntchito limodzi ndi sulfonylurea zotumphukira kapena insulin, makamaka kuwunika kwamisempha yamagazi kofunikira.
CHONCHO
Zizindikiro: fatact lactic acidosis imayamba. Zomwe zimayambitsa kukula kwa lactic acidosis amathanso kukhala cumulation wa mankhwalawa chifukwa cha kuwonongeka kwa aimpso. Zizindikiro zoyambirira za lactic acidosis ndi mseru, kusanza, kutsegula m'mimba, kutsitsa kutentha kwa thupi, kupweteka kwam'mimba, kupweteka kwa minofu, mtsogolo kungakhale kupuma kwambiri, chizungulire, chikumbumtima chosautsa komanso kukula kwa chikomokere.
Chithandizo: ngati pali zizindikiro za lactic acidosis, chithandizo ndi Metfogamma chiyenera kuyimitsidwa nthawi yomweyo, wodwalayo ayenera kuchipatala mwachangu ndipo atatsimikiza kuchuluka kwa lactate, atsimikizireni matendawa. Hemodialysis imathandiza kwambiri pochotsa lactate ndi metformin m'thupi. Ngati ndi kotheka, chitani mankhwala othandizira. Mankhwala ophatikiza ndi sulfonylureas, hypoglycemia imayamba.
KUGWIRITSA NTCHITO
Pogwiritsa ntchito munthawi yomweyo ndi sulfonylurea zotumphukira, ma acarbose, insulin, NSAIDs, ma inhibitors a MAO, oxytetracycline, zoletsa za ACE, clofibrate, cyclophosphamide, beta-blockers, ndizotheka kuwonjezera zotsatira za hypoglycemic of metformin.
Pogwiritsa ntchito munthawi yomweyo ndi GCS, kulera kwapakamwa, epinephrine (adrenaline), sympathomimetics, glucagon, mahomoni a chithokomiro, thiazide ndi loopback diuretics, zotuluka za phenothiazine, zotumphukira za nicotinic, kuchepa kwa zotsatira za hypoglycemic of metformin ndikotheka.
Cimetidine amachepetsa kuchotsedwa kwa metformin, yomwe imawonjezera chiopsezo cha lactic acidosis.
Metformin itha kufooketsa mphamvu ya ma anticoagulants (zotumphukira za coumarin).
Ndi munthawi yomweyo makonzedwe ndi Mowa, kukula kwa lactic acidosis ndikotheka.
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Insulin yowonjezera ndi kuchepa: ndi chiyani, zizindikiro ndi matenda
Insulin yochulukirapo ndi kuchepa: ndi chiyani, zizindikiro ndi matenda The insulin ya mahomoni imatenga gawo mu metabolism ya lipids, shuga, amino acid, komanso imathandizira kuti anabolic ikhale, imalepheretsa lipolysis. ... -
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