Gliformin, mapiritsi 1000 mg, 60 ma PC.

Chonde, musanagule Glformin, mapiritsi 1000 mg, 60 ma PC., Onani zambiri za nkhaniyi ndi zomwe zili patsamba lawebusayiti la wopanga kapena tchulani mtundu wina ndiomwe amayang'anira kampani yathu!

Zomwe zikuwonetsedwa patsamba lino sizoperekedwa pagulu. Wopangayo ali ndi ufulu wosintha kapangidwe kake, kapangidwe kake ndi katengedwe ka katundu. Zithunzi zamalonda pazithunzi zomwe zaperekedwa pamndandanda wazomwe zili patsamba lino zimasiyana ndi zomwe zidachokera.

Zambiri pamutengo wa zinthu zomwe zawonetsedwa pamndandanda wa masamba tsambalo zingasiyane ndi zenizeni panthawiyo yokhazikitsa dongosolo la zomwe zikugwirizana.

Zotsatira za pharmacological

Gliformin ndiwothandiziratu pakumayendetsa pakamwa pa gulu lalikulu. Glyformin imalepheretsa gluconeogenesis m'chiwindi, amachepetsa mayamwidwe m'matumbo, imathandizira kugwiritsidwa ntchito kwa glucose, komanso imakulitsa chidwi chamtundu wa insulin. Komabe, sizikhudza kubisika kwa insulini ndi ma cell a beta a kapamba. Amachepetsa mulingo wa triglycerides ndi lipoproteins wotsika m'magazi. Imakhazikika kapena kuchepetsa thupi. Ili ndi fibrinolytic mwina chifukwa chokakamira minofu ya plasminogen activator inhibitor.

Type 2 shuga mellitus (makamaka odwala omwe ali ndi kunenepa kwambiri) omwe amalephera kudya.

Mimba komanso kuyamwa

Gwiritsani ntchito pa nthawi yoyembekezera komanso nthawi yoyamwitsa (yoyamwitsa) ndi contraindified. Pokonzekera kukhala ndi pakati, komanso ngati mukukhala ndi pakati mukamamwa Glformin, mankhwalawa ayenera kusiyidwa ndipo mankhwala a insulin ayenera kuyikidwa. Sizikudziwika ngati metformin yachotsedwa mkaka wa m'mawere, chifukwa chake Glyformin ® imaphatikizidwa pakamwa yoyamwitsa. Ngati kuli kofunikira kugwiritsa ntchito mankhwala a Glyformin during pa mkaka wa m'mawere, kuyamwitsa kuyenera kuyimitsidwa.

Contraindication

matenda ashuga ketoacidosis, matenda a shuga, chikomokere,
kukanika kwa aimpso,
kulephera kwa mtima ndi kupuma, gawo lachiwopsezo cha kuchepa kwa mtima, kuchepa kwamitsempha, kuchepa kwa magazi, uchidakwa komanso zina zomwe zingapangitse kukula kwa lactic acidosis,
Mimba ndi kuyamwa
Hypersensitivity mankhwala
opaleshoni yayikulu ndikuvulaza mukalandira chithandizo cha insulin,
chiwindi ntchito, poizoni mowa,
lactic acidosis (kuphatikizapo mbiri),
gwiritsani ntchito kwa masiku osachepera a 2 musanayambe ndi masiku awiri mutapanga maphunziro a radioisotope kapena x-ray ndikumayambitsa ayodini wokhala ndi zosiyana pakati,
kutsatira zakudya zochepa zama calori (zosakwana 1000 calories / tsiku).

Sitikulimbikitsidwa kugwiritsa ntchito mankhwalawa mwa anthu opitirira zaka 60 omwe amagwira ntchito zolimbitsa thupi, zomwe zimagwirizanitsidwa ndi chiwopsezo chokhala ndi lactic acidosis mwa iwo.

Zotsatira zoyipa

Kuchokera mmimba: kukhumudwa, kusanza, "zitsulo" mkamwa, kusowa chilakolako cha kudya, kutsegula m'mimba, kuwawa, kupweteka kwam'mimba.
Kuchokera kumbali ya kagayidwe: kawirikawiri - lactic acidosis (imafuna kutha kwa mankhwalawa), ndi chithandizo cha nthawi yayitali - hypovitaminosis B12 (malabsorption).
Kuchokera ku ziwalo za hemopoietic: Nthawi zina - megaloblastic anemia.
Kuchokera ku endocrine system: hypoglycemia (mukamagwiritsa ntchito mankhwala osakwanira).
Thupi lawo siligwirizana: zotupa pakhungu.

Kuchita

Pogwiritsa ntchito munthawi yomweyo ndi zotumphukira za sulfonylurea, acarbose, insulin, mankhwala osokoneza bongo, antioxitase inhibitors, oxytetracycline, angiotensin akatembenuka a enzyme inhibitors, zotumphukira za zotumphukira, cyclophosphamide, beta-adrenergic agents. Pogwiritsa ntchito munthawi yomweyo ndi glucocorticosteroids, mankhwala opatsirana pakamwa, epinephrine, sympathomimetics, glucagon, mahomoni a chithokomiro, thiazide ndi "loop" diuretics, zotumphukira za phenothiazine, zotumphukira za asidi a nicotinic, ndizotheka kuchepetsa zotsatira za hypoglycemic za Glyformin®.
Cimetidine amachepetsa kuchotsedwa kwa Glyformin®, zomwe zimapangitsa kuti achuluke lactic acidosis.
Glyformin ® imatha kufooketsa mphamvu ya anticoagulants (zotumphukira za coumarin). Ndi kumwa nthawi yomweyo, kukula kwa lactic acidosis ndikotheka.

Momwe mungatenge, njira ya makonzedwe ndi kumwa

Mlingo wa mankhwalawa umakhazikitsidwa ndi adokotala payekha, kutengera kuchuluka kwa shuga m'magazi.
Mlingo woyambirira ndi 0.5-1 g / tsiku. Pambuyo masiku 10-15, kuwonjezeranso pang'onopang'ono kwa mlingo kumatheka kutengera mtundu wa glycemia. Mankhwala okonza mankhwalawa nthawi zambiri amakhala 1.5-2 g / tsiku. Mulingo waukulu ndi 3 g / tsiku. Kuti muchepetse mavuto kuchokera m'matumbo am'mimba, mlingo wa tsiku ndi tsiku uyenera kugawidwa mu Mlingo wa 2-3. Odwala okalamba, mlingo woyenera wa tsiku ndi tsiku sayenera kupitirira 1 mapiritsi a Glyformin ® ayenera kumamwa lonse pakudya kapena madzi atangotha kumene. Chifukwa cha chiwopsezo cha lactic acidosis, mlingo wa Glyformin® uyenera kuchepetsedwa pazovuta zazikulu za metabolic.

Bongo

Ngati bongo wa Glyformin ®, lactic acidosis imayamba. Zomwe zimayambitsa kukula kwa lactic acidosis amathanso kukhala kudzikundikira kwa mankhwalawa chifukwa cha kuwonongeka kwa impso. Zizindikiro zoyambirira za lactic acidosis ndi mseru, kusanza, kutsegula m'mimba, kutentha thupi, kupweteka m'mimba, kupweteka kwa minofu, ndipo pamatha kupuma msanga, chizungulire, chikumbumtima chodwala komanso kukula kwa chikomokere.
Chithandizo: Ngati zizindikiro za lactic acidosis, chithandizo ndi Glformin® ziyenera kuyimitsidwa nthawi yomweyo, wodwalayo ayenera kuchipatala mwachangu, atatsimikiza kuti ali ndi lactate, atsimikizire kuti ali ndi matendawa. Njira yothandiza kwambiri yochotsera lactate ndi Glformin ® kuchokera mthupi ndi hemodialysis. Chithandizo cha Zizindikiro zimachitidwanso. Ndi kuphatikiza kwa mankhwala a Glyformin ® okonzekera sulfonylurea, hypoglycemia imayamba.

Malangizo apadera

Pa chithandizo, ndikofunikira kuwunika ntchito yaimpso. Osachepera 2 pachaka, komanso maonekedwe a myalgia, zomwe zimakhala mu plasma ziyenera kutsimikiziridwa.
Glyformin ® ikhoza kugwiritsidwa ntchito limodzi ndi zotumphukira za sulfonylurea. Potere, makamaka kuyang'anira kuchuluka kwa shuga m'magazi ndikofunikira.