Mapiritsi ochepetsa shuga a Metfogamma: mankhwala ndi malangizo ogwiritsira ntchito

Matenda a shuga amapatsa anthu mavuto ambiri. Tsoka ilo, iye ndiosavomerezeka.

Chifukwa chake, odwala ambiri amatembenukira kwa madokotala kuti athandize kukonza thanzi lawo mothandizidwa ndi mankhwala apadera.

Mankhwala othandiza kwambiri pakuwongolera mawonedwe a shuga ndi omwe amatha kuchepetsa shuga m'magazi a anthu.

Chida choterocho ndi Metfogamma, malangizo omwe amafotokozera mwatsatanetsatane zomwe zikugwiritsidwa ntchito, zikuchokera, contraindication ndi zoyipa zina. Mutha kuzolowera izi pazomwe zili m'nkhaniyi.

Kutulutsa Fomu

Imapezeka m'mapiritsi okhala ndi zokutira zoteteza. Chithuza chimodzi chimakhala ndi mapiritsi khumi. Koma paketi imodzi imatha kukhala ndi mapiritsi atatu kapena khumi ndi awiri. Mlingo uli motere: 500 mg, 850 mg ndi 1000 mg.

Mapiritsi a Metfogamm 1000 mg

Chosakaniza chophatikizacho ndi metformin hydrochloride. Kuphatikiza apo, mapiritsi ali ndi hypromellose, povidone ndi magnesium stearate. Zomwe zimapangidwa ndi membrane zimaphatikizapo hypromellose, macrogol, komanso titanium dioxide.

Zotsatira za pharmacological

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Mankhwalawa ndi wothandizira wapadera wa hypoglycemic, womwe umapangidwira pakamwa.

Kwa odwala omwe ali ndi matenda osiyanasiyana a shuga, Metfogamma amathandizira kutsitsa shuga poletsa gluconeogenesis pachitetezo chamkati chakunja, ndikuchepetsa kuyamwa kwa glucose kuchokera m'mimba yotsekemera ndikuwonjezera kukonzanso kwake mu minofu ya ziwalo ndikuwonjezera kukhudzika kwawo kwa mahomoni a pancreatic.

Malangizo ogwiritsira ntchito mankhwalawa omwe amatchedwa Metfogamma 850 amadziwitsa kuti satukula insulin katulutsidwe ka maselo a pancreatic ndipo samayambitsa zosayembekezereka komanso zosafunikira. Mankhwala amathanso kukhudza kagayidwe.

Zambiri

Pa mankhwala ndi mankhwalawa, ndikofunikira kuyang'anira magwiridwe antchito ndi impso.

Ndikofunikira kawiri pachaka kuchita kutsimikiza kwa lactate mu plasma.

Ngati pali chitukuko cha lactic acidosis mwachangu, ndiye kuti ndikofunikira kumaliza mankhwalawo. Sitikulimbikitsidwa kugwiritsa ntchito matenda, kuvulala ndi chiopsezo chodana ndi thupi.

Ndi mankhwala osakanikirana ogwiritsira ntchito sulfonylureas, kuwunika mosamala kusintha kwa shuga kuyenera kuchitika.

Ngati malangizo ogwiritsira ntchito mankhwala a Metfogamma 1000 pamtengo wotsika alibe zambiri za matenda anu, simuyenera kuyika pachiwopsezo ndikuyamba kumwa. Musanayambe mankhwala pogwiritsa ntchito chida ichi, muyenera kufunsa katswiri kuti asankhe kupweteka kwakanthawi kogwiritsa ntchito.

Njira yogwiritsira ntchito

Muyenera kumwa mapiritsi okha mkati mwa chakudya kapena mukatha kudya.

Odwala omwe ali ndi matenda ashuga omwe samalandira insulin yofunika ayenera kumwa mapiritsi awiri kawiri patsiku kwa masiku atatu oyamba.

Mutha kuyesanso kuyamba kumwa piritsi limodzi (500 mg) katatu patsiku, ndikuwonjezeranso kuchuluka kwa mlingo kawiri. Kuyambira pafupifupi tsiku lachinayi mpaka kumapeto kwa sabata yachiwiri la makonzedwe, muyenera kumwa mapiritsi awiri ndi mlingo wa 500 mg panthawi katatu patsiku.

Patadutsa milungu iwiri kuchokera pano, mankhwalawa amathanso kuchepetsedwa, poganizira kuchuluka kwa shuga m'magazi ndi mkodzo. Njira yokonza pafupifupi 2 g patsiku. Ngati wodwala amalandira insulin mu mlingo wosakwana 40, mlingo wa mankhwalawa patsiku umakhalabe womwewo.

Mukamamwa insulini, ndikofunikira kuti muchepetse pang'onopang'ono mlingo wake. Ngati mulingo wa insulin woposa 40 mayunitsi. patsiku, kugwiritsa ntchito mapiritsi otchedwa Metfogamma ndi kuchepa kwapang'onopang'ono muyezo wa mahomoni a pancreatic kumafuna kusamala kwambiri chifukwa chake kuyenera kuchitika kokha kuchipatala choyenera.

Contraindication

Malangizo ogwiritsira ntchito mankhwala a Metfogamma, omwe mtengo wake umapezeka mu mankhwala aliwonse, uli ndi zotsutsana zotsatirazi:

• myocardial infaration
• ananenetsa kuphwanya kwachilendo kwa ziwalo za zotumphukira,
• kusakwanira kwa ziwalo zamtima komanso kupuma,
• ketoacidosis, cham'mimba ndi chikomokere,
• kusokonezeka kwa magazi kumitsempha ya bongo,
• kusowa kwamadzi
• lactic acidosis,
• uchidakwa wambiri,
• poizoni
• kukhudzika kwakukulu pazigawo za mankhwala, makamaka zogwira ntchito,
• mimba
• yoyamwitsa.

Sizikulimbikitsidwa kuti zigwiritsidwe ntchito ndi anthu omwe ali m'gulu la anthu opitirira zaka makumi asanu ndi limodzi omwe amagwira ntchito zolimbitsa thupi, omwe amafunikira mphamvu zambiri. Komanso chida chimatha kukopa kasamalidwe ka kayendedwe kazinthu ndi zovuta, chifukwa chimachepetsa chidwi cha anthu. Chifukwa chake, munthawi ya chithandizo, ndibwino kuti musawononge moyo wanu ndi moyo wa anthu ena. Kuti muchite izi, sinthani magalimoto kugwiritsa ntchito mankhwalawa.

Zotsatira zoyipa

Malangizo ogwiritsira ntchito Metfogamma 1000 amachenjeza kuti zinthu izi ndizotheka:

• kusanza ndi kusanza
• kukoma kotchedwa "kochedwa" pamkamwa,
• kusowa kwa chakudya
• dyspepsia
• kutulutsa ndi kupweteka mmenemo,
• lactic acidosis,
• kugona
• hypovitaminosis B12,
• kutsitsa magazi
• Hypothermia,
• zotupa pakhungu zomwe zimachitika panthawi yomwe sayanjana.

Musanayambe chithandizo ndi Metfogamma, yomwe ingagulidwe pamtengo wotsika mtengo, muyenera kuphunzira mosamala malangizo omwe angagwiritsidwe ntchito nawo.

Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere

Maupangiri ogwiritsira ntchito Metfogamma akuti ndi koletsedwa kugwiritsa ntchito mankhwalawa pomupanga.

Nthawi yakukonzekera kutenga pakati imayeneranso kusamalidwa mwapadera.

Pakadali pano, ngati wodwalayo amamwa mankhwalawo, amayenera kuyimitsidwa nthawi yomweyo ndipo chithandizo chamankhwala cha kapamba ayenera kuyikidwa.

Ndikofunikira kuti wodwalayo adziwitse dokotala ngati ali ndi pakati. Amayi ndi mwana ayenera kuyang'aniridwa. Pakadali pano, sizikudziwika ngati mankhwala omwe agwiritsidwa ntchito pothiriridwa ndi mkaka wa m'mawere kapena ayi. Chifukwa chake, ngati mayi amasamala za thanzi la mwana wake, kugwiritsa ntchito mapiritsi kuyenera kusiyidwa panthawi yoyamwitsa.

Bongo

Milandu yamankhwala osokoneza bongo a mankhwalawa adadziwika. Chizindikiro chimodzi ndi lactic acidosis.

Chithandizo cha chodabwitsachi chimakhala pakutha kwa kumwa mapiritsi, hemodialysis ndi dalili.

Zomwe zimapangitsa kuti pakhale kuchuluka kwa lactic acid mthupi kumatha kukhala kuchepa kwa mankhwalawa chifukwa chovuta kuwononga impso. Zizindikiro zoyambilira ndi zosokoneza za lactic acidosis ndikulimbikitsa kusanza, kutsekula m'mimba, kutsika kwa kutentha kwa thupi, kupweteka kosavutikira m'mimba ndi minofu, kupumira mwachangu, kuthamanga kwa malingaliro ndipo, monga chifukwa, chikomokere.

Ndikofunikira kudziwa kuti bongo wa Metfogamma 1000 ungayambitse imfa yosayembekezereka. Chifukwa chake, adotolo ayenera kusamala kwambiri popanga dongosolo la kumwa mankhwalawo ndikuwonetsetsa kuti mulingo wake uti.

Kuphatikiza ndi mankhwala ena

Pakadali pano, pali zosakaniza zomwe sizoyenera kugwiritsa ntchito.

Kuphatikizidwa kwa Metfogamma ndi Danazole, mankhwala okhala ndi ethanol, Chlorpromazine ndi njira zina zofananira sizofunikira.

Mukamagwiritsidwa ntchito ndi antipsychotic ndipo atachotsa, muyezo wa Metfogamma uyenera kukonzedwa. Koma glucocorticosteroids omwe amagwiritsidwa ntchito ndi makolo komanso amderalo amachepetsa kwambiri kulolera kwa plasma, nthawi zina kumapangitsa ketoacidosis.

Ngati pakufunika kugwiritsa ntchito njira yodumphira okodze ndipo chinthu chogwira manformin, pali chiopsezo cha lactic acidosis chifukwa chitha kulephera kugwira ntchito kwaimpso, ndipo chizitha kuchitika pakamayesedwe ka radiology pogwiritsa ntchito maodine okhala ndi ayodini.

Kuchiza ndi mankhwalawa kuyenera kuchotsedwa masiku awiri asanakwane ndipo osakonzedwanso kale kuposa nthawi yomweyi mutatha x-ray pogwiritsa ntchito zida zapadera za ayodini.

Ngati munthawi yomweyo mumagwiritsa ntchito mankhwala a Metfogamma omwe ali ndi mahomoni a kapamba ndi salicylates, ndiye kuti pali mwayi wina wowonjezereka kwa zotsatira za hypoglycemic m'thupi.

Makanema okhudzana nawo

Mankhwala Metformin ndi analogue a Metfogamma. Momwe mungamwe mankhwalawa, onani vidiyo:

Malangizo ogwiritsira ntchito Metfogamma 500, omwe angagulidwe ku pharmacy iliyonse pamtengo wotsika mtengo, ali ndi zambiri mwatsatanetsatane momwe angatengere bwino. Musanayambe chithandizo ndi mankhwalawa, muyenera kufunsa dokotala. Ndikofunikanso kwambiri kuti mudziwe bwino za mankhwala, ma contraindication, zotsatira zosafunikira ndi chidziwitso china chofunikira chomwe malangizowa musanayambe kumwa. Izi zimateteza thupi ku zotsatirapo zoipa za mankhwalawo ngati sioyenera munthu wina. Kuphatikiza apo, ngati bongo waledzera pamakhala chiopsezo cha kufa. Chifukwa chake, ndikofunikira kuwerengetsa mosamala mlingo kuti musavulaze, koma, m'malo mwake, muchepetse kuchuluka kwa shuga m'magazi a anthu.