Metformin yayitali
Metformin yayitali imalembedwa kwa odwala kuti achepetse kuchuluka kwa shuga wa plasma. Kuphatikiza apo, chipangizochi chimalimbikitsidwa kwa anthu omwe akufuna kuchepa thupi.
Mankhwala a gulu la Biguanide amachititsa kuti thupi lizichitika mosiyanasiyana, motero ndikofunikira kufunsa dokotala musanayambe chithandizo.
Dzinalo Lopanda Padziko Lonse
Metformin (dzina lachi Latin) - dzina la chinthu chomwe chikugwira ntchito.
Metformin yayitali imalembedwa kwa odwala kuti achepetse kuchuluka kwa shuga wa plasma.
A10BA02 - code for anatomical and achire mankhwala gulu.
Kutulutsa mafomu ndi kapangidwe kake
Mapiritsi a retard (atenga nthawi yayitali) amapezeka mumatumba a polymer 30 ma PC. m'mitundu iliyonse, komanso ma PC kapena 10 ma PC. mu ma CD.
Piritsi lililonse lili ndi 850 mg kapena 1000 mg ya mankhwala othandizira.
Piritsi lililonse lili ndi 850 mg kapena 1000 mg ya mankhwala othandizira.
Zotsatira za pharmacological
Metformin imakhala ndi vuto la hypoglycemic, kuchepetsa kubisalira kwa glucose ndi maselo a chiwindi ndikuchepetsa mayamwidwe ake m'matumbo.
Mukamagwiritsa ntchito Metformin, kuchepa kwa thupi la wodwala kumawonedwa, chifukwa yogwira pophika mankhwala ali ndi phindu pa kagayidwe kazinthu zophatikizika, kuphatikiza mafuta (lipids).
Pharmacokinetics
Metformin imatengedwa kuchokera ku rectum kupita mu kayendedwe kazinthu. Ngati mumamwa mapiritsi ndi chakudya, ndiye kuti pali njira yotalikirapo yolembera gawo lomwe limagwira.
Zovunda zomwe zimagwiritsidwa ntchito zimaperekedwa ndi impso ndi mkodzo ndipo zimapezekanso mu metabolites.
Ngati mumamwa mapiritsi ndi chakudya, ndiye kuti pali njira yotalikirapo yolembera gawo lomwe limagwira.
Zizindikiro zogwiritsidwa ntchito
Wothandizila hypoglycemic amalembera:
- lembani 1 ndi matenda ashuga 2
- kunenepa kwambiri, ngati pakufunika kuwongolera kuchuluka kwa shuga m'magazi, zomwe sizingatheke potsatira mfundo za zakudya komanso masewera olimbitsa thupi,
- polycystic ovary, koma moyang'aniridwa ndi dokotala.
Wothandizila hypoglycemic amalembera mtundu wa 1 ndi matenda ashuga 2.Wothandizidwa ndi hypoglycemic amapatsidwa mankhwala onenepa kwambiri, ngati pakufunika kuwongolera kuchuluka kwa shuga m'magazi.Wothandizidwa ndi hypoglycemic amapatsidwa ovary ya polycystic, koma moyang'aniridwa ndi dokotala.
Contraindication
Chipangizocho chimaphatikizidwa kuti chigwiritsidwe ntchito ndi:
- tsankho la munthu
- kuwonongeka kwaimpso (kulengedwa kwa creatinine chilolezo cha 45-59 ml / min.),
- kusanza kosalekeza ndi kutsegula m'mimba,
- zilonda zamatenda ofewa,
- pachimake myocardial infaration,
- kuphwanya mulingo wamagetsi wamadzi,
- Zakudya zama hypocaloric
- kuchuluka kwa lactic acid m'magazi (lactic acidosis),
- uchidakwa wosatha.
Mankhwala ndi contraindicated kuti ntchito kuwonongeka aimpso (creatinine chilolezo 45-59 ml / min.).
Momwe mungatenge Metformin Kutalika
Ndikofunikira kutsatira malangizo ogwiritsira ntchito mankhwalawa kuti mupeze mawonekedwe abwino azizindikiro zamankhwala.
Pali zinthu zingapo izi:
- Piritsi siyenera kutafunidwa. Ngati nkovuta kwa wodwala kumeza piritsi la 0,85 g, tikulimbikitsidwa kuti tiziigawa magawo awiri, omwe amatengedwa motsatana, osayang'anira nthawi yayitali.
- Ndikofunika kumwa mankhwalawo ndi madzi ambiri kuti mupewe mavuto ndi kugaya chakudya.
- Mlingo wa ntchito yogwira umawonjezeka pambuyo pa masiku 10-14.
- Mlingo wapamwamba tsiku lililonse wa Metformin ndi 3000 mg.
Piritsi siyenera kutafunidwa. Ngati zovuta kwa wodwala kumeza piritsi la 0,85 g, tikulimbikitsidwa kuti zigawike m'magawo awiri.
Kuchepetsa thupi
Kusankha kwa dose kumachitika payekhapayekha. Mwambiri, mulingo woyenera wa tsiku ndi tsiku wa Metformin sapitilira 2000 mg.
Kuchepetsa thupi, kusankha kwa mankhwalawa kumachitika aliyense payekhapayekha.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Kugwiritsa ntchito mapiritsi kumapangidwa mu amayi apakati komanso nthawi yoyamwitsa, monga kuphwanya lamuloli kungavulaze mwana.
Kugwiritsa ntchito mapiritsi kumapangidwa mu amayi apakati komanso nthawi yoyamwitsa, monga kuphwanya lamuloli kungavulaze mwana.
Kuchita ndi mankhwala ena
Ndikofunikira kuganizira izi:
- Hypoglycemia ndiyotheka kugwiritsa ntchito munthawi yomweyo za sulfonylurea.
- Akaphatikizidwa ndi cimetidine, njira yochotsa Metformin m'thupi imachepera.
- Kugwirizana kwa mankhwalawa ndi mankhwala okhala ndi ayodini kumapangidwa. Mankhwalawa amagwiritsidwa ntchito pazophunzirira za x-ray. Pali chiwopsezo chachikulu chotenga kusokonekera kwa impso pankhaniyi.
- Nifedipine amachepetsa mphamvu ya hypoglycemic ya Metformin.
Nifedipine amachepetsa mphamvu ya hypoglycemic ya Metformin.
Ndemanga za Metformin Long
Pali mayankho abwino komanso osalimbikitsa okhudza kuchiritsa kwa mankhwalawa.
Anatoly Petrovich, wazaka 34, Moscow
Ndimapereka mankhwala kwa odwala akuluakulu pochiza matenda ashuga. Muzochita zamankhwala, sindinapeze zovuta pakumwa mapiritsi a retard. Matenda a shuga m'magazi aonedwa masiku 14.
Yuri Alekseevich, wazaka 38, St. Petersburg
Kutengera ndi malamulo omwera mankhwalawo, palibe zoyipa zomwe zimachitika mthupi. Nthawi zina, azimayi amakhala ndi nkhawa komanso amasiya kudya. Sindikupangira mankhwala kwa odwala omwe ali ndi vuto la chiwindi.
-Metformin mfundo zosangalatsaMETFORMIN za matenda ashuga komanso kunenepa kwambiri.
Olga, wazaka 50, Omsk
Anathandizidwa ndi Metformin kwa nthawi yayitali, chomwe chinali chifukwa chosalephera vitamini B12. Chifukwa cha kuphwanya izi, kuchepa kwa magazi m'thupi. Mankhwalawa amayenera kuthandizidwa mosamala ndipo ndikofunikira kuti adziwe zoyeserera panthawi yake.
Mikhail, wazaka 45, Perm
Amakhutira ndi zotsatira zamankhwala ndi Metformin. Kumwa mapiritsi sikuchepetsa kusankha kwa akatswiri pantchito. Mankhwalawa sasokoneza kasamalidwe ka zinthu zovuta, kotero, angagwiritsidwe ntchito ngati ntchito ikugwirizana ndi kuchuluka kwa chidwi.
Larisa, wazaka 34, Ufa
Sanapeze zotsatira zomwe mukufuna. Ndidatsata kadyedwe ndipo sindidapitilira muyeso wa mankhwala omwe adakhazikitsidwa ndi adotolo. Mukukumana ndi kusanza kosalekeza komanso choponderezedwa patsiku la 5 kumwa mankhwala.
Julia, wazaka 40, Izhevsk
Palibe zoyipa zomwe zimachitika, koma sizinatheke kuti muchepetse thupi pambuyo pa mwezi wazoyang'anira mwadongosolo mapiritsi.
Mimba komanso kuyamwa
Kafukufuku wokwanira komanso wowongolera mosamala za chitetezo cha metformin panthawi yapakati sichinachitike. Kugwiritsa ntchito pa nthawi ya pakati ndikotheka pazochitika zadzidzidzi, pomwe phindu la chithandizo cha amayi limaposa chiwopsezo cha mwana wosabadwayo. Metformin iwoloka chotchinga.
Metformin yaying'ono imachotsedwa mkaka wa m'mawere, pomwe kuchuluka kwa metformin mkaka wa m'mawere kumatha kukhala 1/3 ya kuchuluka kwa plasma ya amayi. Zotsatira zoyipa za akhanda pa nthawi yoyamwitsa pamene mukumwa metformin sizinawoneke. Komabe, chifukwa cha kuchuluka kwachidziwitso, kugwiritsa ntchito nthawi yoyamwitsa sikulimbikitsidwa. Lingaliro loletsa kuyamwitsa liyenera kuganiziridwanso zabwino za kuyamwitsa ndi chiopsezo cha zotsatira zoyipa mwa khanda.
Kafukufuku wam'mbuyomu wasonyeza kuti metformin ilibe mphamvu poyerekeza mu Mlingo womwe umakhala wotalikirapo katatu kuposa mankhwala omwe amagwiritsidwa ntchito mwa anthu. Metformin ilibe mutagenic angathe, sichikhudza chonde.
Mafunso, mayankho, ndemanga pa mankhwala Metformin Long
Zomwe zimaperekedwa zimakonzekera akatswiri azamankhwala komanso zamankhwala. Chidziwitso chokwanira chokhudza mankhwalawa chili m'malangizo omwe amaphatikizidwa ndi zomwe amapanga ndi wopanga. Palibe chidziwitso chomwe chatumizidwa patsamba lino kapena tsamba lililonse la tsamba lathu chomwe chingagwire ntchito ngati cholowa m'malo mwapadera kwa katswiri.