Glucophage ndi Glucophage Kutalika: kusiyana kwake ndi kotani, ndibwino, kuwunika

Anthu ambiri ali ndi chidwi ndi kusiyana pakati pa mankhwala a Glucofage ndi Glucophage Long. Mankhwala onse awiriwa amatchedwa biguanides, i.e. shuga wamagazi.

Njira zimakhazikitsidwa kuti zikhazikitse kagayidwe mwa anthu, pomwe mphamvu zama cellular kupangira insulin zikulirakulira, komanso kuchuluka kwa glucose kumachulukanso, ma deposits a mafuta amawonjezeka. Zomwe achire ake amagwiritsa ntchito.

Mankhwalawa ndi mankhwala a hypoglycemic. Amachepetsa kuchuluka kwa shuga m'magazi, ogwiritsidwa ntchito pochiza matenda ashuga. Mapiritsiwo amakhala oyera, ozungulira komanso ozungulira.

Glucophage ndi Glucophage Long amatengedwa kuti ndi biguanides, i.e. shuga wamagazi.

Chofunikira chachikulu pakupanga glucophage ndi metformin. Pawiri iyi ndi Biguanide. Ali ndi vuto la hypoglycemic chifukwa chakuti:

chiwopsezo cha maselo a cell kuti insulin iwonjezeke, shuga amayamba kugwira,
kukula kwa shuga m'magulu a chiwindi amachepa,
pakuchedwa kuchepa kwam'mimba ndi matumbo,
kagayidwe kachakudya mafuta mafuta bwino, cholesterol ndende kumachepa.

Metformin siyimakhudzanso kuchuluka kwa insulin kapangidwe ka ma cell a kapamba, mankhwalawa sangapangitse hypoglycemia.

Mukatha kugwiritsa ntchito mankhwalawa, gawo logwira limadutsa m'matumbo kulowa m'magazi ambiri. Bioavailability ndi pafupifupi 60%, koma ngati mumadya, ndiye kuti chizindikiro chake chimachepa. Kuchuluka kwa metformin m'magazi kumawonedwa pambuyo maola 2,5. Poda imeneyi imakonzedwa pang'ono m'chiwindi ndikupukusidwa ndi impso. Theka lonse la mankhwalawa limachoka mu maola 6-7.

Khalidwe Glucophage Kutalika

Ndi othandizira a hypoglycemic ochokera pagulu la Biguanide. Mankhwalawa amapezeka mu mawonekedwe a mapiritsi okhala ndi nthawi yayitali. Chidacho chimapangidwanso kuti muchepetse shuga. Gawo lomwe limagwiritsa ntchito mankhwalawo lilinso metformin.

Chidacho chimachita chimodzimodzi ndi Glucofage: sichikukulitsa kupanga insulin, sichitha kupangitsa hypoglycemia.

Mukamagwiritsa ntchito Glucofage Long, mayamwidwe a metformin amayamba pang'onopang'ono kuposa mapiritsi omwe ali ndi kanthu. Kuchuluka kwazomwe yogwira ntchito m'magazi kudzawonetsedwa pambuyo pa maola 7, koma ngati kuchuluka kwa zinthu zomwe zatengedwa ndi 1500 mg, ndiye kuti nthawi ya nthawi ifika maola 12.

Mukamagwiritsa ntchito Glucofage Long, mayamwidwe a metformin amayamba pang'onopang'ono kuposa mapiritsi omwe ali ndi kanthu.

Glucophage ndi Glucophage Long ndi ofanana

Glucophage ndi mankhwala othandiza a hyperglycemia. Chifukwa cha kagayidwe kachakudya kosavuta, mafuta oyipa sadzikundikira. Mankhwalawa samakhudza kukula kwa kupanga kwa insulin, chifukwa chake amadziwikiridwa ngakhale kwa anthu omwe alibe shuga.

Wothandizira wina wa hypoglycemic ndi Glucophage Long. Izi ndi zofanana ndi zam'mbuyomu. Mankhwalawa ali ndi zofanana, zokhazo zochizira ndizokhazikika. Chifukwa cha kuchuluka kwakukulu kwa gawo lomwe limagwira, limatengedwa nthawi yayitali mthupi, ndipo mphamvu zake zimakhala zazitali.

kuthandiza pa matenda a shuga
khazikitsani kuchuluka kwa shuga ndi insulin,
phindu pa kagayidwe ndi kugwiritsa ntchito chakudya chamagulu,
kupewa matenda a mtima, kuchepetsa cholesterol.

Mankhwala onsewa amaloledwa kumwa pokhapokha atauzidwa ndi dokotala kuti apewe kukula kwa zovuta mthupi.

Kuyerekeza Glucophage ndi Glucophage wa Kutalika

Ngakhale kuti mankhwalawa amagwiritsidwa ntchito ngati mankhwala omwewo, ali ndi kufanana komanso kusiyana.

Zogulitsa zonsezi zimapangidwa ndi MERCK SANTE kuchokera ku France. M'mafakitala, samaperekedwa popanda kulandira mankhwala. Zotsatira zakuchiritsika za mankhwalawa ndizofanana, chinthu chachikulu mu zonse ndi metformin. Fomu ya Mlingo - mapiritsi.

Mankhwala onsewa amaloledwa kumwa pokhapokha atauzidwa ndi dokotala kuti apewe kukula kwa zovuta mthupi.

Kugwiritsa ntchito mankhwalawa kumabweretsa kuponderezedwa kwa zomwe zimachitika ndi vuto la hyperglycemic. Kuchita modekha kumakupatsani mwayi wothandizira matenda, zizindikiro za shuga, ndikuchita izi munthawi yake.

Zizindikiro zazikulu zogwiritsidwa ntchito m'mankhwala ndizofanana. Mankhwalawa amagwiritsidwa ntchito pazotsatirazi:

lembani matenda ashuga 2, pomwe chithandizo cha zakudya sichithandiza,
kunenepa.

Mankhwala amapatsidwa mankhwala osokoneza bongo kwa ana opitirira zaka 10. Kwa mwana wocheperapo ndi zaka zino (kuphatikiza akhanda), mankhwalawa sioyenera.

Contraindication pakugwiritsa ntchito mankhwala ndi omwewo:

chikomokere
matenda ashuga ketofacidosis,
kuwonongeka kwaimpso,
mavuto a ntchito kwa chiwindi,
kuchuluka kwa matenda osiyanasiyana,
malungo
matenda oyambitsidwa ndi matenda
kusowa kwamadzi
kukonza pambuyo kuvulala,
kukonzanso pambuyo pa ntchito,
kuledzera
Zizindikiro za lactic acidosis,
mimba ndi mkaka wa m`mawere
Hypersensitivity pamagawo a mankhwala.

Nthawi zina mankhwala amayambitsa mavuto:

kugaya chakudya cham'mimba thirakiti: nseru, kuchepa kwa chakudya, kutsegula m'mimba, kugona mwachangu,
lactic acidosis
kuchepa magazi
urticaria.

Ndi mankhwala osokoneza bongo a Glucophage kapena Glucophage Long, zizindikiro zotsatirazi zimawonekera:

kutsegula m'mimba
kusanza
malungo
kupweteka m'mimba mwa m'mimba
kupuma kwamphamvu
mavuto ndi mgwirizano wamagulu.

Munthawi zonsezi, muyenera kusiya kumwa mankhwalawo ndikuyimbira ambulansi. Kuyeretsa kumachitika ndi hemodialysis.

Kodi pali kusiyana kotani?

Kusiyana pakati pa mankhwalawa kumagona mu nyimbo zawo, ngakhale kuti gawo lalikulu ndilofanana. Povidone ndi magnesium stearate ilipo ku Glucofage ngati mankhwala othandizira. Chipolopolocho chimapangidwa ndi hypromellose. Ponena za Glucophage wa Long, amathandizidwa ndi zinthu monga:

cellcrystalline mapadi,
hypopellosis,
carmellose sodium
magnesium wakuba.

Maonekedwe a miyala ndi yosiyana. Kapangidwe kamakhala ndi biconvex yozungulira, ndipo kwa mankhwala omwe amakhala ndi nthawi yayitali, mapiritsiwo amakhala oyera, koma amitsempha.

Kusiyana pakati pa mankhwalawa kumagona mu nyimbo zawo, ngakhale kuti gawo lalikulu ndilofanana.

Zomwe zikugwiritsidwa ntchito ndi mankhwala onsewa amapezekanso. Glucophage iyenera kutengedwa ndi 500 mg. Pambuyo pa masabata awiri, pang'onopang'ono onjezerani. Mlingo wamba ndi 1.5-2 g, koma osapitirira 3 g patsiku. Kuti muchepetse chiopsezo chotsatira, chiwerengero chonse chimagawidwa ndi 2-3 tsiku lililonse. Mapiritsi ayenera kumwedwa mutangotha kudya.

Ponena za Glucofage Long, mlingo umatsimikiziridwa ndi dokotala aliyense payekha kwa wodwala aliyense. Mkhalidwe wazathanzi, mawonekedwe a matendawa ndi kuuma kwake, mawonekedwe a thupi, zaka zake zimawerengedwa. Koma nthawi yomweyo, chifukwa chakuti mankhwalawa ali ndi mphamvu yayitali, makonzedwe a mapiritsi amachitika kamodzi kokha patsiku.

Zomwe zili bwino, Glucophage kapena Glucophage Long?

Mankhwalawa amathandizira mtima wama mtima, amathandiza kulimbana ndi mapaundi owonjezera, kukonza bwino thanzi ndikupangitsa matenda a shuga m'magazi kukhala ndi shuga. Koma, chomwe chiri bwino kwa wodwalayo, ndi dokotala yekhayo amene amawona, kutengera matendawa, mawonekedwe ake, kuwuma, mkhalidwe wa wodwalayo, kupezeka kwa ma contraindication.

Mankhwala onse awiriwa ali ndi magawo omwe amagwira ntchito, omwe amapindulitsa, zotsatira zoyipa, contraindication.

Mfundo zosangalatsa za Metformin

Zaumoyo Live mpaka 120. Metformin. (03/20/2016)

Madokotala amafufuza

Aydinyan SK, dokotala wamaphunziro a endocrinologist: “Ndimapereka mankhwala a Glucophage makamaka ngati ndili ndi matenda a shuga 2 komanso kunenepa kwambiri. Mphamvu zamankhwala zimatsimikiziridwa. Mankhwala ali ndi mtengo wotsika mtengo. "

Nagulina SS, endocrinologist: "Mankhwala abwino a matenda a shuga a 2. Kuphatikiza apo, imagwiritsidwa ntchito mu zovuta kuchiza kunenepa. Poyerekeza ndi Glucophage wodziwika bwino, zotsatirapo zake zimakhala zochepa. ”

Glucophage ndi Glucophage Long ndemanga za wodwala

Maria, wazaka 28: “Dokotala adalamula kuti glucophage achepetse kunenepa. Tengani 2 pa tsiku, piritsi limodzi. Poyamba ndimadwala pang'ono, koma kenako zidapita. Ikulolera bwino tsopano. Kulemera pang'onopang'ono kukutsika. ”

Natalia, wazaka 37: "The endocrinologist adalemba Glucophage Long chifukwa cha kunenepa kwambiri komanso kuchuluka kwa mpunga chifukwa cha matenda ashuga (makolo onse ali ndi matenda). Poyamba anali kuchita mantha ndi zovuta zambiri. Sabata yoyamba ndimakhala ndikusilira m'mawa, koma kenako zonse zidakhala zabwinobwino. Kuchulukitsa kwa magalimoto, idyani zochepa. M'miyezi itatu yapitayi, taponya 8 kg. "

Kodi pali kusiyana kotani pakati pa glucophage ndi glucophage yayitali

Iwo omwe adakumana ndi Glucophage amadziwa kuti ndi biguanide, othandizira kuchepetsa magazi.

Fotokozerani mankhwala kuti azisintha kagayidwe kachakudya mthupi, pamene mphamvu ya maselo kuti insulin iwonjezeke, kuchuluka kwa glucose kumawonjezeka ndipo kuchuluka kwa madipoziti kumachulukanso.

Zochita zake ndizofanana ndi mapiritsi a Glucofage Long. Kodi pali kusiyana kotani pakati pa Glucophage ndi Glucophage Long, komwe kukufotokozedwera pansipa.

Kodi mankhwalawa amagwira ntchito bwanji?

Glucophage imadziwika kuti ndi yothandiza kuchiritsa kwa hyperglycemia, yomwe imawonjezera chidwi cha insulin ya mahomoni ndikuwonjezera kuchepa kwa shuga.

Chifukwa cha kusintha kwa kagayidwe kazakudya, mankhwalawa amaletsa kudziunjikira kwamafuta owopsa.

Sizimachulukitsa kupanga insulini ndipo sizitsogolera ku hypoglycemia, chifukwa chake zimayikidwa kuti zigwiritsidwe ntchito ngakhale kwa iwo omwe alibe shuga. Kodi pali kusiyana kotani kwa Glucophage uyu kuchokera ku Long?

Glucophage Long imakhala ndi zofanana, pokhapokha motalika. Chifukwa cha kuchuluka kwakukulu kwa zinthu zopangidwa ndi metformin, mapiritsiwo amawayamwa mthupi motalikirapo ndipo zotsatira zake zimakhala zazitali.

Kusiyana kwapakati pa Glucofage ndi Glucophage Long mu mawonekedwe a mankhwala omwe amapangidwa. Pachiwiri, mlingo wa piritsi ndi 500 mg, 850 mg ndi 1000 ml. Izi zimakuthandizani kuti muzitenga kamodzi kokha kapena kawiri pa tsiku.

Mankhwala onse awiriwa ali ndi zotsatirazi:

kuthandiza pa matenda a shuga
Matenda a shuga ndi insulin,
kukonza kagayidwe kachakudya ndi mayamwidwe wanga,
kupewa matenda a mtima mwa kuchepetsa cholesterol.

Mutha kumwa mankhwalawa monga adanenedwa ndi dokotala. Kudya mapiritsi osavomerezeka kungakhale koopsa. Muzipatala amamasulidwa ndi mankhwala okhawo.

Mukamwa glucophage

Mankhwala ndi ntchito zotsatirazi milandu:

lembani matenda a shuga awiri
Mtundu wa shuga wachiwiri kwa ana azaka za 10 ndi kupitirira,
kunenepa kwambiri,
chitetezo chokwanira kwa insulin.

Mlingo wa mankhwalawa amalembedwa ndi adotolo ndipo ndi munthu aliyense payekha. Ngati wodwala alibe zotsatira zoyipa ndipo palibe zotsutsana, Glucophage imayikidwa kwa nthawi yayitali.

Mlingo woyambirira wa mankhwala osapitilira 1 g patsiku. Pakapita kanthawi kochepa, voliyumu imakwezedwa mpaka 3 g patsiku, ngati mapiritsiwo ali ololera bwino ndi thupi.

Uwu ndiye muyeso wokwanira wa mankhwalawa, womwe umagawidwa pakudya zingapo.

Tikati kuti Glucophage wamba kapena Glucophage Long ndibwino, ndiye kuti mukupezeka kuti mumamwa mankhwalawo, mtundu wachiwiri wa mankhwalawa umasankhidwa. Imakuthandizani kuti mumwe piritsi kamodzi kokha kapena kawiri pa tsiku komanso osadzitchinjiriza ndi miseche yanthawi zonse. Komabe, momwe thupi la onsewa limagwirira ntchito ndi zofanana.

Contraindication

Glucophage monga Glucophage Long sikulimbikitsidwa kuti mugwiritse ntchito pamaso pa zinthu izi:

ketoacitosis, kholo ndi chikomokere,
kuwonongeka kwaimpso,
matenda opatsirana pachimake,
kugunda kwa mtima, kulephera kwa mtima,
nthawi yantchito
kulephera kwa m'mapapo
kuvulala kwambiri
poyizoni woopsa
kumwa mowa
nthawi ya pakati komanso yoyamwitsa,
Magetsi a X-ray
lactic acidosis,
zaka zisanachitike 10 ndi pambuyo 60 zaka, makamaka ngati pali owonjezera zolimbitsa thupi.

Munkhani ina, tinafotokoza mwatsatanetsatane kuchuluka kwa glucophage ndi mowa.

Zotsatira zoyipa

Mankhwala sangathe kuloledwa ndi thupi ndikuyambitsa mavuto. Zizindikiro zosiyanasiyana zitha kuoneka panthawiyi.

M'mimba:

kudzimbidwa
kumva mseru
akukumbutsa
kuchepa kwamtima
kulawa kwazitsulo mkamwa
kutsegula m'mimba
ulemu, limodzi ndi ululu.

Kuchokera pamachitidwe a metabolic:

lactic acidosis,
kuphwanya mayamwidwe a vitamini B12 ndipo, chifukwa chake, owonjezera.

Mbali ya ziwalo zopanga magazi:

Mawonekedwe pakhungu:

Mankhwala osokoneza bongo mwa munthu yemwe akutenga Glucophage amawonetsedwa ndi zizindikiro zotsatirazi:

malungo
kutsegula m'mimba
kusanza
kupweteka m'dera la epigastric,
kusokonezeka kwa malingaliro ndi mgwirizano,
kupumira msanga
chikomokere.

Pamaso pazowoneka pamwambapa, limodzi ndi kumwa mankhwalawa, muyenera kusiya kugwiritsa ntchito kwake ndikuyitanitsa chithandizo chamankhwala chodzidzimutsa. Pankhaniyi, munthu amayeretsedwa ndi hemodialysis.

Glucophage ndi Glucophage Long sizimathandizira pakuwonjezeka kwa insulini, chifukwa chake sizowopsa ndi kuchepa kwamphamvu kwa shuga.

Mawonekedwe akugwiritsidwa ntchito

Glucophage imathandizira kukonza kwa mafuta ndikuchepetsa kuyenda kwa glucose m'maselo ndikuwonjezera insulin. Zimathandizira kuchepetsa thupi. Chifukwa chake, mankhwalawa amagwiritsidwa ntchito polimbana ndi kunenepa kwambiri. Makamaka mphamvu yake imagwira ntchito m'matumbo am'mimba, pomwe minofu yambiri ya adipose imadziunjikira kumtunda.

Kugwiritsa ntchito Glucofage pakuchepetsa thupi kumakhala kothandiza ngati palibe zotsutsana ndi munthu wonenepa. Komabe, malamulo ena okhudzana ndi zakudya ayenera kutsatiridwa.

Mukamagwiritsa ntchito mankhwalawa kuchepetsa thupi, muyenera:

Chotsani chakudya cham'madzi ku menyu,
kutsatira zakudya zotchulidwa ndi katswiri wa zakudya kapena endocrinologist,
Glucophage amatenga 500 mg musanadye katatu patsiku. Mankhwala akhoza kukhala osiyanasiyana kwa munthu aliyense, chifukwa chake ayenera kukambirana ndi dokotala.
Ngati mseru utachitika, mlingo uyenera kutsitsidwa ndi 250 mg,
kuwoneka kwa m'mimba mutatha kumwa kumatha kuwonetsa kuchuluka kwa chakudya chamafuta. Pankhaniyi, ayenera kuchepetsedwa.

Zakudya mukamamwa Glucofage kuti muchepetse thupi ziyenera kukhala ndi ma coarse, mbewu, nyemba ndi masamba.

Osavomerezeka kuti agwiritsidwe ntchito konse:

shuga ndi zogulitsa,
nthochi, mphesa, nkhuyu (zipatso zabwino zopatsa mphamvu),
zipatso zouma
wokondedwa
mbatata, makamaka mbatata zosenda,
zotsekemera zotsekemera.

Mankhwala Glucofage komanso Glucofage Long amakhala ndi zotsatira zabwino pamitima ndi m'magazi, amathandizira pakulimbana ndi kunenepa kwambiri, komanso amakhala ndi thanzi labwino komanso amachepetsa shuga m'magazi. Komabe, kugwiritsidwa ntchito kwake kuyenera kutengera ndi mankhwala omwe dokotala amapereka, chifukwa zigawo za mankhwala zimatha kuyambitsa mavuto ambiri.

Kuyerekeza kwa Glucophage ndi Glucophage Kukonzekera kwakutali - zimasiyana bwanji ndipo ndi uti wabwino?

Mankhwala akuchulukirachulukira, mankhwala ambiri amapangidwa omwe amalimbana ndi matenda osiyanasiyana.

Kuphatikizapo matenda a shuga, mankhwalawa omwe amamwa mankhwala ambiri. Chimodzi mwa izo ndi Glucofage ndi Glucophage Long.

Ambiri ali ndi chidwi kuti pali kusiyana kotani pakati pa njira zomwe zaperekedwa. Kuphatikiza apo, nthawi zambiri amagwiritsidwa ntchito kuchepetsa thupi. Zovuta zamankhwala zimagwira, ndizothandiza, ndipo ndi kusiyana kotani komwe kungasiyanitsidwe, werengani munkhaniyi.

Wopanga

Wopanga ndi kampani yaku France MERCK SANTE. M'mafakitala, mankhwala osavuta amapezeka, koma amangogulidwa ndi mankhwala.

Zomwe zimagwiritsidwa ntchito ndi mankhwalawa ndi monga:

kuchepa kwa shuga m'magazi,
kuchuluka insulin kumva maselo onse, ziwalo ndi minofu,
kusowa kwa mphamvu pancreatic insulin synthesis.

Zigawo za mankhwalawa sizigwira ntchito ndi mapuloteni amwazi, chifukwa chake, zimafalikira mwachangu kudzera m'maselo.

Chiwindi sichimawakonza, koma amatulutsa thupi ndi mkodzo. Poterepa, kupezeka kwa matenda a impso kungachedwetse mankhwalawa.

Mankhwala ali ndi zotsutsana zingapo, pamaso pake ndizosatheka kugwiritsa ntchito mankhwalawa. Izi ndi izi:

Kumwa mankhwalawa sikulimbikitsidwanso ngati mukuchita masewera olimbitsa thupi kwambiri komanso mukafika zaka 60. Osati kokha pakakhala pakati, ndizoletsedwa kumwa mapiritsi oterowo, komanso pokonzekera.

Glucophage imagwiritsidwa ntchito pakamwa. Piritsi limamezedwa lonse ndi chakudya kapena mutatha kudya, ndiye kuti mumamwa madzi okwanira.

Mlingo uyenera kutsimikiziridwa ndi dokotala, kutengera zomwe zimayambitsa matendawa komanso momwe thupi liliri.

Nthawi zambiri amayamba kumwa 500-850 mg katatu patsiku.

Kenako mlingo umakulitsidwa pang'onopang'ono ndi 500 mg pazosankha masiku 10-15. Kusintha kwa Mlingo kumadalira shuga. Simungamwe zosaposa 1000 mg ya mankhwalawa nthawi. Kwa tsiku, mlingo waukulu ndi 3000 mg.

Odwala okalamba ndi omwe ali ndi vuto la impso ayenera kuyandikira kutsimikiza kwa mankhwala mosamala momwe angathere. Pankhaniyi, shuga wamagazi amayenera kukumbukiridwa. Yambani makamaka ndi mlingo wochepera.

Mankhwalawa amathanso kumwa ana opitirira zaka 10. Mlingo woyambirira ndi wofanana ndi akulu, ndipo 500-850 mg. Kuchuluka kwake kumatha kukhalanso ndi nthawi, koma osati kale kuposa masiku 10.

Izi ziyenera kudutsa moyang'aniridwa ndi dokotala. Pankhaniyi, mlingo waukulu wa tsiku lililonse sungakhale woposa 2000 mg, ndi mlingo umodzi - wopitilira 1000 mg.

Glucophage Kutalika

Ili ndi regimen yofananira yolandirira ndi glucophage. Muyenera kumwa mapiritsi m'mawa kapena m'mawa ndi madzulo.

Chofunika kwambiri, phwando liyenera kumwa ndi zakudya. Muyenera kumwa madzi ambiri ndi madzi.

Mlingo woyambirira nthawi zambiri amakhala 500 mg.

Mlingo wapamwamba umasintha pambuyo masiku 10-15, kutengera shuga ya 500 mg. Nthawi zambiri, Glucafage imasinthidwa ndi mankhwalawa, chifukwa imakhala nthawi yayitali. Pankhaniyi, mlingo wa chomaliza umakhazikitsidwa muyezo womwewo monga mankhwala am'mbuyomu.

Kulandila kumachitika tsiku lililonse, nthawi iyenera kukhala yomweyo. Kuyimitsa kugwiritsa ntchito mankhwalawa kungakhale kokha dokotala.

Glucophage Long silimapangidwira ana osakwana zaka 18. Kwa okalamba komanso chifukwa cha vuto laimpso, vuto lingagwiritsidwe ntchito kokha ndi kusintha koyenera kwa katswiri.

Kapangidwe ka mankhwalawa ndikofanana. Zomwe zimagwiritsidwa ntchito ndi metformin hydrochloride. Zothandiza zothandizira ndi povidone ndi magnesium stearate.

Mapiritsi awa ali ndi zokutira za hypromellose. Pa izi, zinthu zomwezi zimatha. Glucophage Long imakhala ndi zida zina zothandizira. Izi zimaphatikizapo sodium carmellose, microcrystalline cellulose.

Mtundu wazogulitsa zonse ndi zoyera, koma mawonekedwe a Glucofage ndi ozungulira, ndipo Long ndiwopangidwa ndi kapisozi, okhala ndi zolemba 500. Pali mapiritsi okhala ndi matuza a zidutswa 10, 15, 20. Nawonso atayika makatoni.

Ngati tsiku lotha ntchito latha, kapena malamulo osungira mankhwalawo sanatsatidwe, ndiye kuti sangathe kugwiritsidwa ntchito. Taya katunduyo nthawi yomweyo.

Mankhwalawa amasungidwa kwa zaka 3, ngakhale ndikofunikira kuti musalole kutentha kumapitilira madigiri 25.

Chofunikira chachikulu

Glucophage ndi Glucophage Long, chifukwa cha zomwe zimagwira, amatha kuyimitsa zizindikiritso ndi mtundu wa hyperglycemic.

Mwa kuchuluka kwa insulin, chiwopsezo cha shuga chikuwonjezeka.

Nthawi yomweyo, mankhwalawa samachulukitsa kupanga insulini, chifukwa chake amakhala otetezeka ngakhale pakhale matenda osokoneza bongo, samatsogolera ku hypoglycemia, ndikuwongolera bwino shuga.

Mankhwala amathandizira kuchepetsa thupi, chifukwa chake magwiritsidwe ake amagawidwa pazochitika zowonjezera thupi. A chidwi chapadera pa mbali imeneyi amaonekera m'mimba kunenepa kwambiri, pamene minofu ya adipose imadziunjikira kumlingo waukulu. Nthawi yomweyo, muyenera kutsatira zakudya ndikuonetsetsa kuti palibe zotsutsana.

Kumwa mankhwala kumathandiza kuchepetsa cholesterol.

Chifukwa chakuwongolera njira zama metabolic, zinthu sizimalola mafuta oyipa kudzikundikira. Kuphatikiza apo, zimakhudza thupi bwino, kupewa matenda osiyanasiyana a mtima, komanso impso.

Zizindikiro zama Glucofage ndi Glucophage Long sizimasiyana, ndi izi:

Mphamvu za mankhwalawa ndizofanana, popeza zomwe zimagwira mwa iwo zimafanana. Pali kusiyana kofunikira. Muli ndi kuchuluka kwa metformin. Mlingo wake mu Glucofage Long ndiwokwera ndipo ndi 500, 850 kapena 1000 mg. Izi zimaperekanso mphamvu kuzinthu zomwe zimayamwa nthawi yayitali ndikupitilira nthawi yayitali.

Zakudya za ngati Glucofage imathandiziradi kuchepetsa thupi:

Chifukwa chake, mankhwala omwe aperekedwa ndi othandiza ngati pakufunika kuchepetsa shuga kapena kuthana ndi kunenepa kwambiri. Malinga ndi ambiri odwala, momwe mankhwalawa amawonedwera, ndipo kuwonekera kwa zoyipa kumawonedwa kawirikawiri. Ntchito yayikulu ndikutsatira malangizo ogwiritsira ntchito komanso kupatula milandu ikaphatikizidwa.

Kodi zovuta ndi zoyipa zake ndi ziti?

Glucophage Long - osati mapiritsi amatsenga a zakudya. Osadikirira kuonda msanga popanda kuchita khama. Kuchepetsa thupi ndi metformin kumachitika bwino ndipo pang'onopang'ono - pakuchepetsa thupi "pofika chilimwe" ndikuyamba kutenga metformin pakugwa.

Metformin ndiyothandiza kwambiri pakuchepetsa thupi popanda kusintha pa moyo ndi zakudya. Ngati pali zakudya zopatsa mphamvu zochulukirapo ndipo simugwiritsa ntchito zochuluka - mwanjira yabwino kwambiri, metformin imangochepetsa pang'ono zotsatira za moyo woterewu - imakhazikitsa kulemera kapena kuchepetsa kuchepa kwake. Sizowona kuchepetsa thupi popanda zovuta,

Zotsatira za metformin zimadalira mlingo, koma ndizosatheka kutenga Mlingo wambiri wambiri kuwonda popanda kuwonetsa (mtundu 2 matenda ashuga) chifukwa chowonjezera chiopsezo cha mavuto. Pachifukwa ichi, mulingo woyenera kwambiri wochepetsa kulemera ndi 1000 mg patsiku, ndipo, moyenera, kuchepetsa chiopsezo cha mavuto - 750 mg. Kukonza mlingo - 500 mg

Mukamamwa mankhwala okwanira (1000 mg) ndipo makamaka kumayambiriro kwa mankhwalawa, zotchulidwa zoyambira m'matumbo zimatheka. Popita nthawi,

Mukutenga Glucophage Long, simungakhalepo kudya okhwima (osakwana 1300 kcal / tsiku) komanso amachepetsa kuchuluka kwa chakudya chamagulu muzakudya. Nthawi yomweyo, "chakudya changa" (makamaka zakumwa zotsekemera) zitha ndipo zimayenera kuchotsedwa muzakudya. Kwamuyaya.

Ndakhala ndikutenga Glucophage Kutalika kwa kunenepa kwambiri kwa nthawi yoposa chaka, ndipo panthawiyi sindinangotaya makilogalamu 10 (kuchokera 78 mpaka 68 kg), komanso ndakhazikika pamtunda womwe ndimafuna. Zachidziwikire, kungakhale kukokomeza kunena kuti metformin yekha ndi "wolakwa" pazopambana izi. Popanda kusintha pa moyo ndi kadyedwe, zotsatira zake zimakhala zochepa.

Mitundu ya kumasulidwa kwa mankhwala, kapangidwe kake ndi ma CD

Mapangidwe onsewa ali ndi metformin hydrochloride monga chinthu chachikulu chogwira ntchito. Mapiritsi a Glucofage amakhala ndi povidone ndi magnesium stearate ngati zida zothandizira.

Glucofage film membrane imakhala ndi hypromellose.

Kapangidwe ka mapiritsi a Glucophage Long amasiyana ndi Glucophage mwa kukhalapo kwa zida zina zothandizira.

Kukonzekera kumasulidwa kumakhala ndi zotsatirazi ngati zina zowonjezera:

Carlone sodium.
Hypromellose 2910.
Hypromellose 2208.
Microcrystalline mapadi.
Magnesium wakuba.

Mapiritsi a mankhwalawa ndi nthawi yake yoyeretsedwa amakhala oyera pamtundu ndipo amakhala ndi mawonekedwe a biconvex.

Mankhwala omwe akhala akuchita kwa nthawi yayitali ali ndi khungu loyera, ndipo mapiritsi ake ndi kapu ndi biconvex. Piritsi lililonse kumbali imodzi linajambulidwa ndi nambala 500.

Mapiritsi a mankhwalawa amadzaza matuza a 10, 15 kapena 20 zidutswa. Matumba amayikidwa m'makatoni oikidwa, omwe amakhalanso ndi malangizo ogwiritsira ntchito.

Mitundu yonse iwiri yamankhwala imagulitsidwa kokha mwalemba.

Mankhwala amayenera kusungidwa m'malo osavomerezeka ndi ana. Kutentha sikuyenera kupitirira 25 digiri Celsius. Alumali moyo wa mankhwala ndi zaka 3.

Tsiku lotha ntchito kapena kuphwanya malamulo osungidwa ndi wopanga, kugwiritsa ntchito mankhwala ndikoletsedwa. Mankhwala oterowo ayenera kutayidwa.

Zochita zamankhwala

Kutenga Glucophage ndi Glucophage Kutalika kwa mankhwalawa kumathandizira kuimitsa kaye zizindikiritso zomwe zikuchitika mthupi la hyperglycemic.

Kusintha kofatsa kwamthupi kumapangitsa kuwongolera njira yamatendawa ndikuwongolera zomwe zili ndi shuga mthupi.

Kuphatikiza pa chinthu chachikulu, mankhwalawa ali ndi zabwino zingapo, zazikulu zomwe ndizothandiza thupi komanso mwayi wogwiritsa ntchito mankhwalawa kuti mupewe kukula kwa zovuta zogwirizana ndi ntchito ya mtima, mtima ndi impso.

Zizindikiro zazikulu pakugwiritsa ntchito Glucophage ndi Glucophage Long ndizofanana.

Mankhwala amagwiritsidwa ntchito ngati wodwala ali:

shuga osadalira insulini, chifukwa chogwiritsa ntchito mankhwala othandizira odwala
kunenepa
kukhalapo kwa mtundu wachiwiri wa shuga kwa achinyamata omwe ali ndi odwala osaposa zaka 10.

Contraindication pakumwa mankhwala ali motere:

Kukhalapo kwa zizindikiro za chikomokere.
Zizindikiro zakukula kwa matenda ashuga ketoacidosis.
Kusokonekera mu ntchito ya impso.
Kupezeka kwa matenda pachimake mu thupi, amene limodzi ndi mawonekedwe a zosokoneza mu impso, wodwalayo ali ndi vuto, kukula kwa matenda a matenda, kuchepa magazi ndi kukula kwa hypoxia.
Kuchita njira zopangira opaleshoni ndikuvulaza kwambiri odwala.
Kuphwanya maliseche ndi chiwindi.
Kupezeka kwa poyizoni mowa poyipa wodwala komanso uchidakwa.
Wodwala ali ndi zizindikiritso za mkaka acidosis.
Nthawi ndi maola 48 asanafike ndipo 48 atapenda thupi atagwiritsa ntchito njira za x-ray momwe amagwiritsa ntchito ayodini.
Nthawi yobereka mwana.
Kukhalapo kwa hypersensitivity ku zigawo za mankhwala.
Nthawi yochepetsetsa.

Sitikulimbikitsidwa kugwiritsa ntchito mankhwalawa ngati wodwalayo ali ndi zaka zopitilira 60, komanso odwala omwe awonjezera zolimbitsa thupi.

Izi ndichifukwa chakuwonjezeka kwa zizindikiro za lactic acidosis mthupi.

Malangizo ogwiritsira ntchito mapiritsi

Mankhwalawa amaperekedwa pakamwa.

Mankhwalawa amagwiritsidwa ntchito kuphatikiza ndi monotherapy ya mtundu 2 matenda a shuga.

Nthawi zambiri, dokotala yemwe amapezekapo amayamba kupatsidwa mankhwala mosiyanasiyana ndi 500 kapena 850 mg katatu patsiku. Mankhwalawa amayenera kumwedwa mutangotha kudya kapena pakudya.

Ngati ndi kotheka, kuwonjezereka kwa mlingo wa mankhwalawa ndikotheka. Lingaliro lakuwonjezera Mlingo wogwiritsidwa ntchito pochiza matenda a shuga 2 amapangidwa ndi adotolo, potengera momwe wodwalayo akuwonera ndi zomwe adapeza pakuwunika thupi.

Pogwiritsa ntchito mankhwalawa ngati mankhwala othandizira, Mlingo wa Glucofage umatha kufika 1500-2000 mg patsiku.

Kuti muchepetse kuthana ndi mavuto, muyeso wa tsiku ndi tsiku umagawidwa mu Mlingo wa 2-3 patsiku. Mlingo woyenera wovomerezeka wa mankhwalawa amatha kufikira 3000 mg patsiku. Mlingo wa tsiku ndi tsiku woterewu umayenera kugawidwa m'magawo atatu, omwe amalumikizidwa ndi zakudya zazikulu.

Kuwonjezeka kwapang'onopang'ono kwa Mlingo wogwiritsidwa ntchito kungachepetse kuyipa kwa mavuto obwera chifukwa cha kumwa mankhwalawa m'mimba.

Ngati wodwala atenga Metformin 500 pa mlingo wa 2000-3000 mg tsiku lililonse, amatha kusamutsidwa ndi Glucofage pa mlingo wa 1000 mg patsiku.

Kumwa mankhwalawa kumatha kuphatikizidwa pogwiritsa ntchito othandizira ena a hypoglycemic.

Mukagwiritsidwa ntchito munthawi ya matenda a shuga mellitus a mtundu wachiwiri, mankhwala omwe amakhala nthawi yayitali, kuvomereza kumachitika kamodzi patsiku. Ndikulimbikitsidwa kutenga Glucofage Long nthawi yamadzulo chakudya.

Kugwiritsa ntchito mankhwalawa kuyenera kutsukidwa ndi madzi okwanira.

Mlingo wa mankhwala Glucofage omwe amagwiritsidwa ntchito nthawi yayitali amasankhidwa ndi dokotala payekhapayekha, poganizira zotsatira za mayeso ndi machitidwe a thupi la wodwalayo.

Ngati nthawi yakumwa mankhwalawo yakusowa, mankhwalawa sayenera kuchuluka, ndipo mankhwalawo amayenera kumwedwa molingana ndi dongosolo lomwe adotolo adalandira.

Ngati wodwala samapereka chithandizo ndi Metformin, ndiye kuti mlingo woyambirira wa mankhwalawa ukhale 500 mg kamodzi patsiku.

Amaloledwa kuwonjezera Mlingo womwe umangotenga masiku khumi ndi anayi pambuyo pa kuyezetsa magazi kwa glucose.

Zotsatira zoyipa mukamamwa mankhwala

Zotsatira zoyipa zomwe zimadza pakumwa mankhwala zimatha kugawidwa m'magulu angapo, kutengera kupezeka kwa thupi.

Nthawi zambiri, zotsatira zoyipa za m'mimba, zamanjenje, ma hepatobiliary system zimawonedwa.

Kuphatikiza apo, zotsatira zoyipa zimatha kukhala pakhungu ndi metabolic.

Kuchokera kumbali yamanjenje, kusokonezeka kwa ntchito kwa masamba kumakonda kumawonedwa, kutsekemera kwazitsulo kumawonekera pamlomo wamkamwa.

Kuchokera pamimba yogaya, mawonekedwe a zovuta monga:

kumva mseru
kufuna kusanza
kukula kwa matenda otsegula m'mimba,
Maonekedwe a ululu m'mimba,
kusowa kwa chakudya.

Nthawi zambiri, zoyipa zam'mimba zimayambira koyambirira kwa mankhwala ndikugwiritsa ntchito mankhwalawa kuzimiririka. Pofuna kuchepetsa kuthekera kwa mavuto, mankhwalawa amayenera kumwedwa nthawi yomweyo ndi chakudya kapena mukangodya.

Kumbali ya dongosolo la hepatobiliary, zotsatira zoyipa zimawoneka kawirikawiri kwambiri ndipo zimawoneka m'mavuto pakuchitika kwa chiwindi. Zotsatira zoyipa za mankhwalawa zimatha atasiya kugwiritsa ntchito mankhwalawa.

Osowa kwambiri, panthawi ya chithandizo, matupi awo sagwirizana ndi pakhungu amayamba kuwoneka ndi kuyambitsa urticaria.

Kugwiritsa ntchito Glucofage kumatha kubweretsa mawonekedwe mu thupi la zovuta za metabolic, zomwe zimawonetsedwa ndi mawonekedwe a lactic acidosis mu mtundu 2 shuga.

Zotsatira zoyipa zikachitika, mankhwalawo ayenera kusiyidwa ndipo adokotala amalangizidwa za zomwe zasinthazo.

Zizindikiro za mankhwala osokoneza bongo komanso kugwiritsa ntchito mankhwala

Pakakhala kuchuluka kwa Glucofage wodwala amene ali ndi matenda a shuga a mtundu wachiwiri, zizindikiro zina zimawonekera.

Mankhwala osokoneza bongo amapezeka pamene Metformin imatengedwa pa mlingo wa 85 g wa mankhwalawo. Mlingo uwu umaposa nthawi yokwanira 42,5. Ndi kuchuluka kwa mankhwalawa, wodwala samakhala ndi zizindikiro za hypoglycemia, koma zizindikiro za lactic acidosis zimawonekera.

Pakakhala zizindikiro zoyambirira za lactic acidosis mwa wodwala, mankhwala osokoneza bongo ayenera kusiyidwa, ndipo wodwala ayenera kuchipatala. Pambuyo pachipatala, wodwalayo amayenera kufufuzidwa kuti adziwe kuchuluka kwa lactate komanso kumveketsa bwino matendawa.

Kuti athane ndi thupi la wodwala lactate, njira ya hemodialysis imachitika. Pamodzi ndi njirayi, chithandizo chamankhwala chimachitika.

Ndi zoletsedwa kugwiritsa ntchito mankhwalawa poyesa thupi pogwiritsa ntchito mankhwala okhala ndi ayodini.

Sitikulimbikitsidwa kumwa zakumwa zoledzeretsa pakumwa mankhwalawa ndi Glucophage ndi Glucophage Long.

Ndiosafunika kugwiritsa ntchito mankhwalawa mukamagwiritsa ntchito zakudya zochepa zopatsa mphamvu.

Musamale muyenera kugwiritsa ntchito mitundu yonse iwiri ya mankhwalawa mukamagwiritsa ntchito mankhwala osokoneza bongo a hypoglycemic.

Mtengo wa Glucofage, womwe uli ndi nthawi yovomerezeka, pafupifupi ma ruble 113 m'dera la Russian Federation, ndipo mtengo wa Glucofage Long uli ku Russia 109 rubles.

Kuchita kwa mankhwala Glucofage akufotokozedwa mwatsatanetsatane ndi katswiri mu kanema munkhaniyi.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.