Kodi pali kusiyana kotani pakati pa Gliformin ndi Metformin?

Mu matenda a shuga a fomu yachiwiri, mapiritsi a hypoglycemic mapiritsi nthawi zambiri amapatsidwa mankhwala. Izi zikuphatikizapo Glformin ndi Metformin. Mankhwalawa ali ndi zofanana zambiri komanso zosiyana. Chifukwa chake, muyenera kudziwa malongosoledwe awo kuti zitheke kusankha mankhwala oyenera.

Ndi hypoglycemic wothandizira. Makampani ake ndi Akrikhin ndi Farmakor. Amapezeka m'mapiritsi okhala ndi filimu. Mphamvu yothandizira imatheka chifukwa cha metformin hydrochloride. Izi zitha kupezeka kuchuluka kwa 0,85 ndi 1 g .Zowonjezera, pakatikati pake pali povidone, wowuma wa mbatata ndi stearic acid. Chipolopolocho chimapangidwa ndi talc, macrogol ndi hypromellose.

Limagwirira ntchito limatengera kupinga kwa metformin gluconeogeneis mu chiwindi, kuchepa kwa mayamwidwe a shuga m'magazi kuchokera m'matumbo. Madokotala amapereka mankhwala oterewa a shuga a fomu yachiwiri, pomwe chithandizo cha zakudya sichimabweretsa zotsatira zomwe mukufuna. Makamaka, mankhwalawa amagwiritsidwa ntchito ngati anthu onenepa matenda ashuga. Chidacho chikhoza kuphatikizidwa ndi mankhwala ena a hypoglycemic.

Mankhwalawa sayenera kumwa motere:

• Mkhalidwe wa kholo kapena wodwala matenda ashuga.
• Matenda aimpso.
• Hypoxia.
• Zambiri matenda opatsirana.
• Thupi.
• Mimba
• Ziwengo kwa kapangidwe.
• Kuchepetsa.
• Kuledzera.
• Kuunika kwa X-ray, komwe kumakonzedwa kapena kunachitika pasanathe masiku awiri apitawa.

Poyerekeza ndi zamankhwala, izi zimachitika motere:

• Lactic acidosis.
• Kubweza
• Kupweteka kwa epigastric.
• Kutsegula m'mimba.
• Hypoglycemia.
• Thupi lawo siligwirizana ndi kuyabwa kwa khungu.
• Megaloblastic anemia.
• Vitamini B12 akusowa.

Kuyika mapiritsi m'mafakisi ku Russia ndi pafupifupi ma ruble 110.

Ichi ndi mankhwala a hypoglycemic. Amapangidwa ndi mabungwe azachipatala Ozone, Rafarma, Biochemist. Amapangidwa piritsi. Katundu wamkulu yemwe ali ndi vuto la hypoglycemic mthupi ndi metformin hydrochloride. Pamapiritsi, imatha kupezeka mu Mlingo wa 0,5 ndi 0,85. Kuphatikiza apo, gawo loyambira limakhala ndi talc, magnesium stearate ndi starch ya chimanga. Chipolopolocho chimakhala ndi titanium dioxide, talc, methaconic acid.

Mankhwala amalepheretsa gluconeogeneis chiwindi, kumawonjezera kudziwa kwa zimakhala. Amagwiritsidwa ntchito pochiza matenda osokoneza bongo a fomu yachiwiri, makamaka ngati munthu ali ndi vuto la ketoacidosis. Yoyenera kugwiritsidwa ntchito limodzi ndi insulin.

Mankhwalawa amaletsedwa motere:

• Kholo kapena chikomokere.
• Kuchepetsa kwam'mimba komanso kwa chiwindi.
• Kutsutsa kapena kulephera kwa mtima.
• Thupi.
• Zilonda zopatsirana zambiri.
• Lactic acidosis.
• Kusagwirizana ndi kapangidwe kake.
• Mimba
• Kuunika kwa X-ray.
• Uchidakwa wambiri
• Kuyamwitsa.

Mapiritsiwo amameza lonse ndi madzi. Kumwa kumalimbikitsidwa poyamba. Mapiritsi 1-2 patsiku. Pambuyo masiku 15, amaloledwa kuwonjezera pang'onopang'ono. Upamwamba wa 3 g wa metformin ukhoza kugwiritsidwa ntchito patsiku. Okalamba amafunikira kusintha kwa mlingo.

Poyerekeza ndi chithandizo cha mankhwalawa, izi zimachitika nthawi zina:

1. Hypoglycemia.
2. Lactic acidosis.
3. Megaloblastic anemia.
4. Zachisangalalo.
5. Kukhazikika pansi.
6. Kuchepetsa mseru.
7. Zotupa pakhungu ndi kuyabwa.

Kuyika mapiritsi pafupifupi 80 ma ruble.

Kuyerekeza: Zinthu Zodziwika

Mankhwala otchulidwa a hypoglycemic ali ndi zinthu zofananira izi:

• Muli ndi chophatikizira chofanana.
• Amapezeka m'mapiritsi okhala ndi mitundu yosiyanasiyana. Ali ndi zokutira zamafilimu.
• Alinso ndi kayendetsedwe kofananira.
• Amagwiritsidwa ntchito pochiza mtundu wachiwiri wa matenda ashuga.
• Amakhala ndi zotsatirapo zoyipa ndi zotsutsana.
• Amabwera m'magulu amtengo umodzi.
• Wolekeredwa bwino ndi thupi.
• Khalani ndi ndemanga zabwino kuchokera kwa odwala.

Kuyerekeza: Kusiyanitsa

Kusiyana pakati pa mankhwalawa omwe amafunsidwa ndikosathandiza. Zili motere:

1. Kutulutsa Makampani. Kupangidwa ndi mayiko osiyanasiyana ndi makampani azamankhwala.
2. Kupanga othandizira zigawo.
3. Mlingo. Metformin imapezeka mulingo wotsika.
4. Mtengo. Metformin ndiyotsika mtengo pang'ono.

Makhalidwe a Glyformin

Chofunikira chachikulu ndi metformin, kuchuluka kwake ndikumawerengera. Kuchita bwino kwa matenda ashuga kungachitike ngati thupi lipanga insulin yake kapena chinthucho chikalowetsedwa. Ngati mahomoni kulibe, ndiye kuti chithandizo cha metformin sichingakhale chabodza.

Zowonjezera za Glformin ndi:

• calcium owawa
• calcium phosphate dihydrate,
• sorbitol
• kukhuthala
• povidone
• stearic acid
• talcum ufa
• hypopellose,
• macrogol.

Zotsatira za mankhwalawa zimayendetsedwa:

• kupondereza mapangidwe a glucose wambiri,
• kuchepetsa kuchuluka kwa shuga omwe amachokera m'matumbo,
• kulimbitsa njira yogawa shuga ndi michere ina,
• kuphatikiza insulin ndi inshuwaransi,
• Kuchepetsa chilakolako chofuna kudya komanso kuwonda.

Mlingo umodzi umatsimikiziridwa ndi endocrinologist payekhapayekha.

Malangizo othandizira pakumwa mankhwalawa ndi:

• ketoacidosis - mkhalidwe womwe umachitika popanda insulini,
• wodwala matenda ashuga
• matenda a impso kapena chiwindi,
• kuchuluka kwakukulu kwa lactic acid,
• kulephera kwa mtima kapena mapapo,
• myocardial infaration
• Mimba ndi kuyamwa
• kuvulala kwambiri
• kukhalapo kwa matenda
• nthawi yogwira ntchito.

Gliformin imaphatikizidwa pakati pamimba komanso kuvulala kwambiri.

• kusanza, kutsegula m'mimba,
• kukoma koyipa mkamwa
• zotupa pakhungu,
• kuphwanya mayamwidwe vitamini B

Zotsatira zoyipa kwambiri ndi lactociadosis. Ngati zichitika, mankhwala ayenera kutayidwa nthawi yomweyo.

Kodi ndibwino kugwiritsa ntchito chiyani?

Metformin ndi glyformin zimathandizanso. Amalekeredwa bwino ndi thupi ndipo ali ndi zotsutsana chimodzimodzi. Chifukwa chake, ena mwa awa amatha kugwiritsidwa ntchito pochiza matenda ashuga. Anthu odwala matenda ashuga omwe ali ndi shuga wokwezedwa pang'ono amalangizidwa kuti azigwiritsa ntchito Metformin. Imapezeka m'mapiritsi okhala ndi mlingo wotsika wa zomwe zimagwira. Pankhani ya mtengo wamankhwala, ndizopindulitsa kwambiri kugula Metformin.

Funso loti mutenge, Metformin kapena Glformin, ndibwino kufunsa kwa asing'anga. Koma, monga lamulo, madokotala amatcha mankhwalawa kwathunthu ndipo sawona chifukwa chilichonse chokondera mankhwala amodzi.

Kapangidwe ka mankhwalawa

Mankhwala othandizira omwe amathandizira kudziwa zomwe zimagwira, chifukwa kufananizidwa kwa Glformin ndi Metformin kumayamba ndi mitundu yawo ya mitundu ndi mitundu.

Metformin imagawidwa mu mawonekedwe apiritsi ndi yogwira pophika metformin hydrochloride. Piritsi limodzi, 0,5 g, 0,85 ndi 1 g yogwira ntchito. Kuchokera pa mapiritsi khumi mpaka makumi awiri m'matumba a contour, pamakatoni okhala ndi mapepala 3.4 ndi 6 ma cell.

Glformin ili ndi chinthu chofanana - metformin hydrochloride. Piritsi lililonse la Glformin 0,25 g, 0,5 g, 0,75 ndi 1 g yogwira ntchito. Mankhwalawa onse ali mu fomu yotulutsidwa yokhazikika.

Zothandiza mu Metformin: magnesium stearate, povidone, macrogol, hypromellose. Ku Gliformin, kapangidwe kameneka kamaimira glycerol, starch, macrogol, hypromellose, ndi silicon dioxide.

Glyformin ndi chithunzi cha Metformin popanga. Koma Glformin ali ndi fomu yotulutsira limodzi ndi kuchuluka kwa zomwe zimagwiritsidwa ntchito, zomwe zimapangitsa kuti ikhale yosavuta kutsatira njira yodwala popereka mankhwala ochepera.

Kuchiritsa katundu

Metformin ndi mankhwala okhala ndi hypoglycemic effect.

Ili ndi zotsatirazi:

• zimapangitsa kuti ma receptor azikhudzana kwambiri ndi insulin,
• kumathandizira kugwiritsidwa ntchito kwa ma cell,
• amachepetsa kupanga shuga mu chiwindi,
• Imachepetsa kuyamwa kwa shuga m'matumbo aang'ono,
• chimalimbikitsa kapangidwe ka glycogen,
• kumawonjezera kuthekera kwa mayendedwe a shuga m'magulu amtundu wa cell.

Mosiyana ndi kukonzekera kwa sulfonylurea, Metformin sikulimbikitsa kapangidwe ka insulin, chifukwa chake sichikhudza shuga la magazi mwa anthu athanzi.

Mankhwalawa ali ndi zotsatira zabwino pa kagayidwe kazakudya mu minofu ya adipose. Amachepetsa kuchuluka kwa cholesterol yoyipa ndionyamula m'magazi. Kulemera kwa thupi panthawi ya chithandizo kumakhalabe kosalekeza kapena kuchepa thupi kumachitika pang'onopang'ono. Metformin imagwira ntchito bwino popewa komanso kupewa matenda ashuga amtundu wa 2, pamene kusintha kwa moyo sikupereka zotsatira zoyenera pakuwongolera shuga.

Glformin imakhala ndi zotsatira zofananira chifukwa cha zomwe zimapangidwira zomwezo. Zimakhudza mapangidwe acids acid ndi lipid oxidation njira, timalepheretsa kaphatikizidwe ka shuga. Gliformin amatsitsa cholesterol yoyipa m'magazi. Zimakhudzanso chimodzimodzi ndi kulemera. Kusiyana pakati pa Metformin ndi Glformin pakuchulukitsa katundu kumatha.

Zisonyezero zakudikirira

Wopangayo akuwonetsa izi potenga Metformin:

• mtundu 2 shuga
• monotherapy kapena zovuta ndi mankhwala ena, pomwe kusintha kwa zakudya ndi msinkhu wochita sizinalole kuwongolera kuchuluka kwa shuga,
• ana kuyambira azaka khumi - insulin supplementation kapena matenda a shuga monotherapy,
• Kupewa mu matenda
• kupewa matenda oopsa a shuga.

Glformin ali ndi zofananira pakugwiritsa ntchito. Ndikulimbikitsidwa kuti mutenge Gliformin onse omwe ali ndi matenda ashuga komanso kupewa izi.

Contraindication

Tengani Metformin ndikoletsedwa motere:

• tsankho pazomwe zimapangidwira,
• coma kapena precomatosis, ketoacidosis,
• matenda oopsa a impso
• zinthu zomwe zikuwopseza kukanika kwa impso,
• zotupa zomwe zitha kupangitsa minofu kugontha: kukanika kwambiri kapena kulowerera m'mitsempha, mphumu, kusowa kwa mtima,
• Momwe zimapangitsa kuchuluka kwa insulin,
• matenda oopsa a hepatobiliary system,
• uchidakwa, lactic acidosis,
• mimba
• Zakudya zopatsa mphamvu zopatsa mphamvu zama kilocalori miliyoni patsiku.

Simungatenge Metformin kapena Glformin masiku awiri asanafike komanso atatha kugwiritsa ntchito zida zotsutsana. Pa nthawi yoyembekezera, mankhwalawa amaloŵedwa ndi insulin kuti magazi azikhala ndi shuga pafupipafupi.

Chenjezo pa chithandizo liyenera kuchitika kwa odwala omwe ali ndi zaka zopitilira 61 ndipo akuvutika kwambiri pantchito, panthawi yoyamwitsa, muubwana komanso matenda a impso.

Phwando

Palibe chifukwa chotengera Metformin ndi Glformin. Mankhwalawa onse amapangidwira pamaziko amodzi omwe amagwira ntchito, chifukwa chake sangathandizane wina ndi mnzake pazotsatira zake.

Ngati mutenga Glformin nthawi yomweyo ngati Metformin, chiopsezo chokhala mopitirira muyeso ndi metformin hydrochloride imachulukitsidwa.

Imadziwulula ndi zizindikiro zotsatirazi:

• kufooka koopsa
• kupuma movutikira
• kugona
• kusanza, nseru,
• kupweteka m'mimba
• zimbudzi zotayirira
• kutentha pang'ono kwa thupi komanso kuthamanga kwa magazi,
• kusokonezeka kwa mtima.

Woopsa milandu, minyewa kukokana, kugona. Kuchiza kumachitika pokhapokha pachipatala, kuyeretsa magazi pazida zochizira impso ndi chidziwitso chothandizira kumakhala kothandiza. Kugwirizana kwa Glformin ndi Metformin sikulimbikitsidwa kuti muchepetse kukula kwa bongo.

Kusiyanitsa pakati pa mankhwala

Ndikosavuta kuyerekezera mankhwala, chifukwa amatha kusinthana pochiza matenda a hyperglycemic. Palibe kusiyana kulikonse pakukwanira kwawo ndi momwe akuwongolera. Kusankhidwa kwa mankhwala enaake kumatengera luso la endocrinologist pochiza matenda osokoneza bongo kapena momwe adalili kale.

Metformin ndi chithunzi chonse cha Glformin, koma adotolo angalimbikitse mankhwala ena ofanana:

Analogs ophatikizidwa: Yanumet, Glimecomb, Glukovans, Galvus Met. Analogue iyenera kusankhidwa kokha ndi akatswiri komanso malinga ndi zotsatira za kusanthula kuti athe kusankha mlingo woyenera ndi mtundu wa mafomu.

Vidal: https://www.vidal.ru/d drug/metformin-5
Radar: https://grls.rosminzdrav.ru/Grls_View_v2.aspx?routingGu>

Mwapeza cholakwika? Sankhani ndikusindikiza Ctrl + Lowani

Makhalidwe a Metformin

Metformin ndi chithandizo chothandiza ku matenda a shuga a 2, ndipo amagwiritsidwanso ntchito kuti muchepetse kunenepa komanso kuchitira ovary ya polycystic. Imachepetsa misempha ya shuga, imathandizira kuchotsa mapaundi owonjezera, imawonjezera mwayi wokhala ndi pakati, imatenga nthawi yayitali, komanso imachepetsa chiopsezo cha matenda a mtima ndi sitiroko.

Ngati palibe kulemera mopitirira muyeso, ndiye kuti mutha kumwa mankhwalawa pofuna kupewa kuyambira zaka zapakati. Mankhwalawa athandizira kukhala ndi thupi labwino, kusintha mafuta m'thupi. Poterepa, chida chachikulu ndichakudya chochepa chamafuta. Muyenera kuyamba kumwa ndi voliyumu yocheperako, pang'onopang'ono kuwonjezera mlingo wake ngati pakufunika.

Kugwiritsa ntchito Metformin mu prediabetes ndizoyenera. Kuchiza ndi mankhwalawa kumachepetsa mwayi woti matendawa alowe mu mtundu wachiwiri. Pankhaniyi, muyenera kutsatira zakudya zabwino, apo ayi zotsatira zabwino sizingachitike.

Metformin si mankhwala ochiritsira maphunziro. Ngati pali zisonyezo ndipo palibe zoyipa kuchokera mthupi, mutha kuzitenga m'moyo wanu tsiku ndi tsiku komanso popanda kusokoneza. Matumbo okhumudwa si chifukwa chobwerera mankhwala. Ndizomveka kuchepetsa kuchuluka. Kuphatikiza apo, muyenera kuyezetsa magazi a vitamini B12 kamodzi pamiyezi isanu ndi umodzi ndikuyamba kumwa izi ndi maphunziro.

Mankhwalawa sachepetsa kuchuluka kwa testosterone mwa amuna ndipo sikuchepetsa potency.

Mankhwalawa ndi otetezeka, choncho amatha kuikidwa ngakhale kwa ana azaka 10 osagwirizana ndi zoyipa.

Kuyerekeza kwa Glformin ndi Metformin

Zotsatira za mankhwalawa ndizofanana, koma pali zosiyana pakati pawo.

Onse a Glformin ndi Metformin ndi mankhwala a hypoglycemic omwe amatengedwa pakamwa. Kutulutsa mawonekedwe - mapiritsi, omwe amaphatikizidwa ndi chinthu chomwechi. Mankhwala amagulitsidwa m'makatoni.

Yogwira pophika imathandizira kuti shuga asungidwe. Kumwa mankhwala onse awiriwa sikulimbikitsa kupanga insulin, motero palibe chiopsezo chogwera shuga mwadzidzidzi. Kuphatikiza apo, akatswiri azakudya amawalimbikitsa kuti achepetse thupi.

Mankhwala amatha kuphatikizidwa ndi mankhwala ena a hypoglycemic.

Zomwe zimakhala zotsika mtengo

Mtengo wonyamula Metformin kapena Glformin zimatengera wopanga. Pankhaniyi, mankhwala oyamba ndi otsika mtengo kuposa achiwiri. Ngati mapiritsi 60 a Metaformin amatenga ndalama zokwana ma ruble 110, ndiye kuti mtundu wofanana wa Glformin ndi ma ruble 140. Lachiwiri limapangidwa pansi pa dzina la Akrikhin, loyamba limapangidwa ndi opanga osiyanasiyana - Ozone, Biotech, etc.

Madokotala amawunika za Glformin ndi Metformin

Kuzmenko OV, Moscow: "Metformin imathandizira chidwi cha insulin zolandilira vuto la insulin. Vutoli limachitika mwa azimayi ambiri isanachitike kapena itatha kusintha kwa kusintha kwa thupi, komanso ndi polycystic ovary syndrome. Mankhwalawa amagwiritsidwa ntchito pochita atatsimikizira kuti wapezeka ndi mayeso a labotale. Mankhwala amasintha mawonekedwe a lipid. Matenda a kagayidwe kazachilengedwe amachitika ndi zovuta mankhwala. Chimodzi mwazofunikira ndikuwongolera mafuta achilengedwe mu chakudya. ”

Belodedova A.S., St. Petersburg: “Metformin amagwiritsidwa ntchito ndi ma endocrinologists kuchiza matenda a insulin, onenepa kwambiri, komanso matenda a shuga. Mankhwala amayenera kuperekedwa ndi dokotala malinga ndi zomwe akuwonetsa. Pofuna kuchepetsa thupi pakakhala insulin kukana, mankhwalawa sagwira ntchito. Osadzilimbitsa, pezani thandizo kwa dokotala. Kuti muchepetse mavuto, mankhwalawa amatengedwa bwino madzulo. "

Tereshchenko EV, Rostov-on-Don: "Glyformin imalembedwa kuti imitseketsa kagayidwe kazakudya, makamaka kwa odwala onenepa kwambiri, omwe ali ndi sclerocystosis yam'mimba pazinthu zotsutsa insulin. M'mayiko ena, amaloledwa kugwiritsidwa ntchito panthawi yomwe ali ndi pakati. Zotsatira zoyipa zoyipa - pafupipafupi kutsekula m'mimba (kumayambiriro kwa chithandizo). Mankhwalawa ndi mwayi wabwino othandizira odwala matenda ashuga achiwiri. ”

Lelyavin K. B., Moscow: "Metformin ikuwonetsa mbali zatsopano ndipo ikulimbikitsa kwambiri msika wake. Amagwiritsidwa ntchito ndi bwino mu urology. Kugwiritsa ntchito othandizira achire kumayendera limodzi ndi kuchepa kwa mafuta a viscero-m'mimba. Ali ndi zovuta zina za hemodynamic. Zotsatira za anticarcinogenic za Metformin ndizosangalatsa, makamaka pokhudzana ndi khansa ya Prostate. Palibe zotsatira zoyipa. ”

Shishkina E.I., Yekaterinburg: "Metformin ndi mankhwala atsopano ndipo lero ndiwothandiza kwambiri. Kugwiritsidwa ntchito kamodzi patsiku lamadzulo, mlingo wonse wovomerezeka. Pogwiritsa ntchito mankhwalawa ndi odwala, palibe mavuto omwe adadziwika. Muzochita zamankhwala, mankhwalawa amakono amagwiritsidwa ntchito pochiza matenda a shuga, pochiza odwala omwe ali ndi hypothyroidism. "

Ndemanga za Odwala

Elena, wazaka 32, Murmansk: "Ndakhala ndikutenga Glformin kuyambira chaka cha 2016, ndikugula mankhwala osokoneza bongo pomwe kulibe Metformin. Ndine wokondwa ndimankhwala. Munthawi imeneyi, shuga, kuphatikizapo glycated, amabwerera mwakale, amachepetsa ndi makilogalamu 9 amthupi. Zotsatira zosasangalatsa sizinawonetsedwe. Zomwe zimangowonjezera kukula ndi kukula kwa mapiritsiwo, ndizovuta kumeza. ”

Alexander, wazaka 27, ku St. Petersburg: “Kwa milungu ingapo, kugwiritsa ntchito zakudya mwachangu zosiyanasiyana, ndinayamba kulemera kwambiri. Metformin adalangizidwa. Sindinakhulupirire mwachangu ku chida ichi. Mukumwa mankhwalawa, adawona kuti amapha kumverera kwanjala. Ndinkadya katatu patsiku, kuchepa kwambiri. Panalibe mavuto panthawi yogwiritsira ntchito. Modabwitsa ndi mtengo wake, ndizochepa kwambiri poyerekeza ndi mankhwalawa. Metformin adathandiza kwambiri kuthetsa vutoli, chifukwa lidayamba kugwa kale sabata yoyamba. "

Julia, wazaka 35, ku Moscow: “Ndamva za Metformin kuchokera kwa abwenzi a mayi anga chaka chapitacho. Malinga ndi nkhani zake, ngati mumwa mankhwalawa musanadye kawiri pa tsiku, osamadya maswiti ndikudula chakudya, kulemera kumachoka mwachangu. Sindimadya zotsekemera, koma ngati nditsatira kadyedwe, thupi langa silitha. Ndinkamwa mapiritsi masiku 3-4, zimatenga 3 kg. Sanakhale ndi zotsatirapo zabwino kwambiri, mwachitsanzo, m'mimba mwake atadwala, chifukwa sanapitirize kumwa. Konzani zotsatira zomwe zinali. Ndikumwa mankhwala ndikafunika kuchepetsa thupi. ”

Dmitry, wazaka 41, Novosibirsk: “Ndimadwala matenda a shuga a 2. Ndimatenga Metformin kuphatikiza jakisoni wa insulin pafupifupi chaka chimodzi. Mankhwalawa amachepetsa shuga m'magazi, posachedwa pakhala pali zosokoneza pakupezeka kwa insulin, ndimayenera kumwa mankhwalawa kwa milungu iwiri yokha, ndipo zimandisangalatsa ndi ntchito yake yabwino.

Ndili ndi matenda a chiwindi, pankhaniyi, ndidaphunzira malingaliro a dotolo momwe Metformin amakhudzira chiwalo chokhudzidwa. Adotolo adati alibe tanthauzo. Kukhutira ndi mankhwalawa. Koma thupi la munthu aliyense ndi losiyana, choncho muyenera kufunsa dokotala nthawi zonse. ”

Olga, wazaka 45, Volgograd: "Metformin idatengedwa monga adalembera wa endocrinologist. Cholinga chachikulu chinali kutaya mapaundi owonjezera amenewo. Shuga anali wabwinobwino, akusinthasintha pang'ono pamlingo wapamwamba. Kuphatikiza apo, kuyeserera kwa glucose sikunawonetse vuto lililonse, hemoglobin ya glycated sinapitirire zofunikira. Chiyambireni mankhwala ndi chakudya chamafuta ochepa, adagawanika ndi 10 kg. Nthawi yomweyo, mkhalidwe wa khungu la pakhungu ulinso bwino, kuchuluka kwa mutu wakuda kunachepa, khungu silinanenepe kwambiri ngati kale. Komanso, shuga sachepa pang'ono. ”

Kufotokozera kwa mankhwala ndi zotsatira zake

Glformin, Metformin ndi mawonekedwe ofananirako okhudzana ndi hypoglycemic othandizira pakamwa. Mankhwala onse awiriwa amapezeka mwanjira ya mapiritsi, ndipo ndizovuta kunena kuti ndibwino bwanji, chifukwa zinthu zomwezo ndizofanana. Uku ndi metformin mu 500, 800, 1000 mg piritsi limodzi. Mankhwalawa amagulitsidwa m'mapaketi a mapiritsi 10-60.

M'mafakitala, palinso mankhwala a Glformin Pronge - kuchuluka kwakukulu kwa yogwira (1000 mg) komwe kulipo.

Mtengo wa mankhwalawa umasiyanasiyana kwambiri kutengera wopanga. Phukusi lotsika mtengo kwambiri la Metformin la mapiritsi 60 limagula ma ruble 110, pomwe Glformin phukusi lomwelo limawononga ma ruble 140. Wopanga mankhwalawa pansi pa dzina la Glyformin ndi Akrikhin, mankhwala wachiwiri amapangidwa ndi opanga osiyanasiyana - Ozone, Biotech ndi ena. Mapangidwe a mapiritsiwa ali ndi mitundu ingapo yokhudzana ndi izi:

• kukhuthala
• mankhwala abwinowa,
• povidone.

The yogwira pophika amatanthauza biguanides (amatanthauza kusintha shuga m'magazi), omwe amachepetsa kukhalapo kwa mitundu yonse ya shuga. Mutatha kumwa mankhwalawa, palibe kukondoweza kwa kupanga insulini, motero palibe chiopsezo chakuchepa kwambiri kwa shuga. Mlingo wa kugwiritsidwa ntchito kwa glucose m'maselo umawonjezereka, komanso kumva kwa receptors kwa insulin kumawonjezeka. Zochita zina zamankhwala:

• kuchepa kwa shuga ndi chiwindi,
• Kuchedwa kuyamwa kwa shuga m'matumbo,
• onjezerani mphamvu ya mayendedwe a shuga.

Amadziwika kuti mwa anthu onenepa kwambiri, kulemera kumachepetsedwa panthawi yamankhwala. Palinso kusintha kwa lipids, triglycerides.

Ndani ayenera kumwa mankhwalawo ndipo ndi zotsutsana ndi ziti?

Mukamasankha zomwe zili bwino - Glformin kapena Metformin, munthu ayenera kukumbukira kuti zisonyezo zakugwiritsa ntchito mankhwalawa ndizofanana, motero amatha kusinthana wina ndi mnzake. Mndandanda wazowonetsa ndi wocheperako, chachikulu ndicho kupezeka kwa matenda ashuga amtundu wa 2 osagwirizana ndi chakudya komanso sulfonylurea.

Mtundu woyamba wa matenda ashuga, metformin itha kugwiritsidwanso ntchito ngati cholowa popereka chithandizo cha insulin.

Chithandizo chothandiza kwambiri ndi mankhwalawa pamaso pa kunenepa kwambiri ndi kwa odwala omwe sachita masewera olimbitsa thupi.

Mankhwala amagwiritsidwa ntchito ngati monotherapy kapena kuphatikiza ndi ena othandizira a hypoglycemic. Ndikofunika kukumbukira kuti munthawi yomweyo kugwiritsa ntchito mapiritsi ndi mowa kumatha kuyambitsa lactic acidosis.

Pali zotsutsana zambiri pamankhwala. Zina mwa zinthuzo ndi ziwengo, kukhudzika kwa zinthu, komanso zinthu zotsatirazi:

• matenda ashuga a ketoacidosis, vuto lomwe latsala pang'ono kufa.
• kwambiri aimpso, kwa chiwindi ntchito kuwonongeka,
• pachimake aimpso kulephera
• kusowa kwamadzi chifukwa cha matumbo, kusanza, kutsekula m'mimba komanso mavuto ena,
• pachimake matenda a kupuma dongosolo, impso,

Ndi kuyambitsa kwa mankhwala a radiopaque patsiku lachiwiri komanso pambuyo pake, muyenera kusiya kumwa mapiritsi. Mankhwala amaloledwa kuthandizira pokhapokha ngati achikulire, msinkhu wa ana ndi kuphwanya. Ndi chisamaliro chachikulu chithandizireni anthu patatha zaka 65, mkaka wa m'mawere. Pa nthawi ya pakati, mphamvu yeniyeni ya chinthu yogwira mwana wosabadwa sichinakhazikitsidwe, koma palibe poizoni ndi zovuta mutagenic zomwe zidadziwika. Popeza kuwonongeka kwa matenda ashuga kumayambitsa chiwopsezo chachikulu cha kufa kwa amayi apakati komanso mwana wosabadwayo, kumwa mankhwalawa nthawi yayitali kungakhale koyenera. Komabe, mankhwala a insulini ayenera kukonzedwa kuti apitirizebe kulandira chithandizo.

Momwe mungamwe mankhwalawo?

Mlingo woyambirira wa wodwala ndi 500 mg kawiri, katatu / tsiku. M'pofunika kuchita kudya ndi chakudya, mutangodya. Kusankha mlingo wokwanira, kuthana ndi shuga m'magazi kuyenera kuchitidwa pogwiritsa ntchito njira zomwe zilipo. Kusanthula kumachitika sabata iliyonse - masabata awiri.

Ndikofunika kuwonjezera kuchuluka kwa mankhwalawa bwino, popanda kudumpha - kotero thupi limakhala ndi nthawi yoti izolowere.

Kwa odwala ambiri, mlingo wa tsiku ndi tsiku ndi 1.5-2 g / tsiku zingapo. Kupitilira 3000 mg / tsiku, kumwa mankhwalawo ndizoletsedwa. Ngati mukuyenera kumwa mankhwalawa, ndibwino kugula Glformin Prolong. Pamodzi ndi insulin, mankhwalawa amadziwitsidwa pa mlingo wa 500 mg katatu / tsiku. Ndi kulephera kwapakati kwa aimpso, mlingo waukulu / tsiku ndi 1000 mg.

Momwe mungasinthire mankhwalawo?

Kutengera zomwe zimagwiritsidwa ntchito ndi zinthu zina za hypoglycemic, ma analoge angapo a Metformin, Glformin amapangidwa:

Mankhwala amatha kuyambitsa zovuta zingapo - kuchepa kwa mayamwidwe a cyanocobalamin, kusintha kwa kakomedwe, kusanza, kutsekula m'mimba, nseru, kupweteka m'mimba ndi m'mimba. Nthawi zambiri, zochitika zoterezi zimadziwika nthawi yoyamba ya mankhwala kenako nkuzipita okha. Kuchepa kwakuya kwa zizindikiro za Metformin kusiya sikufunikira.

Kusiyana kwakukulu pakati pa mankhwala osokoneza bongo

Glformin ndi Metformin ndi ma greatuanides. Mankhwalawa amachepetsa shuga, mankhwala opatsirana pogwiritsira ntchito mankhwala - Metformin. Amapezeka mu mitundu yosiyanasiyana yamapiritsi. Makina ochitapo kanthu ndi omwewo.

Zikuwoneka kuti titha kunena kuti Glformin ndi Metformin ndi amodzi ndi njira imodzi. Komabe, pali kusiyana pang'ono pakati pa mankhwalawa. Gliformin amagwiritsidwa ntchito pa mitundu iwiri ya shuga komanso mtundu 1 wa shuga kuphatikiza insulini, ndipo Metformin yekha amtundu wa shuga wa 2. Mankhwalawa ali ndi opanga osiyanasiyana. Glformin ali ndi Akrikhin, Farmakor ndi ena, pomwe Metformin ili ndi Ozone, Biochemist, Rafarma, Farmakon ndi ena

Amasiyananso m'magawo othandizira:

Timapereka kuchotsera kwa owerenga tsamba lathu!

Malingaliro a madotolo

Elena Vladimirovna, endocrinologist, zaka 11:

Pochiza matenda amishuga amtundu wa 2, ndimapereka mankhwala a metformin ndi glyformin chimodzimodzi. Palibenso kusiyana kulikonse pamankhwala awa. Ndimawerengera pa bajeti, chifukwa imodzi mwandalama zake ndiyokwera mtengo kwambiri. M'malo mwanga ndimasinthana mankhwala.

Sofia Alexandrovna, endocrinologist, zaka 5:

Odwala anga ine ndimakonda Glyformin. Ili ndi mitundu yambiri (kuyambira 250 mpaka 1000). Amathandizira kuchepetsa kulemera kwa matenda amtundu wa 2 ndipo samayambitsa hypoglycemia. Kuphatikiza apo, mankhwalawa amatha kugwiritsidwa ntchito ngati matenda a shuga 1 ngati chithandizo chowonjezera.