Glucophage ndi mowa - kuyenderana, zotsatira, ndemanga

Glucophage - wothandizira wa hypoglycemic kuchokera pagulu la Biguanide, yemwe amagwiritsidwa ntchito mu endocrinology kuchepetsa shuga. Zomwe zimagwiritsidwa ntchito ndi mankhwala ndi metformin.

Mosiyana ndi mankhwala ena a hypoglycemic, glucophage samayambitsa kuchuluka kwa insulin ndipo samachepetsa shuga la magazi mwa anthu athanzi.

Amapezeka mu mapiritsi amkamwa makonzedwe a 500 mg, 850 mg kapena 1000 mg a metformin hydrochloride. Mapiritsi amatengedwa nthawi kapena mukatha kudya.

Chithandizo cha matenda a shuga kwa anthu akuluakulu chimayamba ndi mlingo wa 500 mg pa mlingo katatu patsiku, womwe, m'mene mankhwalawo atakwaniritsidwa, amatha kukhalabe choncho nthawi yonse ya chithandizo, ndipo amatha kuwonjezeredwa mpaka 3000 mg patsiku, ndikugawidwa pazigawo zitatu tsiku.

Kuphatikiza ndi insulin, mlingo wa glucophage ndi insulin amasankhidwa malinga ndi zotsatira za kuyesedwa kwamphamvu kwa shuga m'magazi.

Mu ana ndi odwala okalamba, makonzedwe a glucophage ali ndi zinthu zina, kuphatikizapo zomwe zimakhudzana ndi kuwunika kwakanthaŵi kwamisempha yamagazi.

Zisonyezero zoika glucophage ndi:

Type II shuga mellitus (insulin kugonjetsedwa) mwa akulu,
Kufunika kowonjezera hypoglycemia mu mtundu II matenda a shuga kuphatikiza ndi mankhwala a insulin,
Kunenepa kwambiri ndi matenda a shuga, komanso kukana kwa insulin,
Type 2 shuga mellitus mwa ana opitirira zaka 10, onse mawonekedwe a monotherapy komanso kuphatikiza insulin.

Zosintha mu KShchR nthawi ya mankhwala

Glucophage imaphatikizidwa mu matenda komanso chiwindi ntchito. Popeza kumwa ngakhale kamodzi kokha kwamkaka kumapangitsa kuti chiwindi chisamayende bwino, kuledzera kwamankhwala aliwonse kumalepheretsa kugwiritsa ntchito glucophage.

Zofotokozeratu mankhwalawa zimasonyezanso kuti ngati munthu atamwa kwambiri zakumwa zoledzeretsa komanso akapha zakumwa zoledzeretsa, mankhwala osagwiritsidwa ntchito ndi Glucofage samapezeka.

Ndi mowa (ngakhale pang'ono ngati gawo la mankhwala ena), chiopsezo chotenga lactic acidosis, mkhalidwe womwe umafuna chisamaliro chodzidzimutsa, umachulukitsidwa kwambiri.

Lactic acidosis ndikuwonjezereka kwa acidity yachilengedwe chifukwa chakumasulidwa kwa lactic acid wambiri.

Poyerekeza ndi maziko a lactic acidosis, maselo am'mimba amalephera kukhazikika kapena kumata lactate (amadzazidwa nawo enieni, maziko a thupi osinthika a ion amatayika). Nthawi yomweyo, minofu ndi chiwindi zimayamba kutulutsa kuchuluka kwa lactate m'magazi - kachiwiri chifukwa cha kuperewera kwa kayendetsedwe ka kagayidwe ka asidi.

Lactic acidosis imafuna kuyambitsidwa mwachangu kwa matenda a pathogenetic ndi dalili, kusankha komwe anthu oledzera kumakhala kovuta kwambiri.

Lactic acidosis osadziwika munthawi yake motsutsana ndi maziko a kuphatikiza kwa glucophage komanso mowa ndi omwe amapangitsa kuti azimwa odwala, omwe amachepetsa zakudya komanso chiwindi chimagwira ntchito.

Nditamaliza maphunziro a mankhwala ndi Glucofage, kumwa mowa wochepa sikungatheke kuposa masiku awiri pambuyo pake.

Mfundo za mankhwalawa

Gawo lalikulu la Glucophage ndi metformin. Izi zimapangidwa kuti muchepetse kuchuluka kwa shuga m'magazi.

Mapiritsi opangidwa pamaziko ake amaperekedwa kwa odwala matenda ashuga omwe ali ndi matenda amtundu wa 2. Ndi kudya kwake pafupipafupi, kuchepa kwa kuchuluka kwa cholesterol, triglycerides kumawonedwa.

Imawongolera machitidwe a mitsempha yamagazi ndikuchepetsa chiopsezo cha kufa chifukwa cha matenda amtima omwe adayamba kupezeka ndi matenda ashuga.

Iyenera kumwedwa tsiku lililonse katatu. Mukamamwa mankhwala a Glucofage, ndikofunikira kupitiliza kutsatira zakudya komanso kusaiwala zofunikira zolimbitsa thupi.

Mankhwala enieniwo samakhudza mwachindunji insulin, amachepetsa njira yopanga shuga m'magazi a chiwindi. Komanso, pamene imatengedwa, chidwi cha minofu kumadzi opanga insulin chimawonjezeka.

Izi zikutanthauza kuti glucose amayamba kulowa bwino mthupi.

Muthanso kupeza Glucophage Long pogulitsa. Awa ndi mankhwala a metformin. Koma malinga ndi chitsimikiziro cha opanga, Glucofage Long solution imatenga nthawi yayitali, kotero piritsi limodzi limakwanira patsiku. Ngati tsiku lina mwayiwala kumwa piritsi, ndiye kuti simungathe kumwa tsiku lotsatira 2, muyenera kupitiliza kumwa mankhwalawa malinga ndi chiwembu chokhacho.

Mowa ndi glucophage wautali

11.02.2017

Poterepa, ndikofunikira kuwongolera kuchuluka kwa shuga m'magazi.

Mayi anga ali ndi mseru komanso kusanza kwa mankhwalawa, amakhala osadandaula kale kuti palibe mankhwala amodzi, matenda ashuga, metformin, siofor, glucophage, m'malo mwake ndi dotolo, samamwa chifukwa chodandaula. Sabata yoyamba panali matenda otsegula m'mimba madzulo, koma kenako zonse zidapita.

Mwakutero, ndimakonda mankhwalawo. Mwambiri, Glucofage imatha kukhala ndi vuto pa metabolidi ya lipid, chifukwa chomwe thupi limachepetsa kuchuluka kwa cholesterol, imatsitsa kuchuluka kwa triglycerides ndi otsika kachulukidwe a LDL lipoproteins. Mumanena zolakwika m'malemba otsatirawa :.

Tsopano akuganiza zosintha glucophage yemwe amakhala nthawi yayitali, kuti azitha kumwa kamodzi patsiku osadandaula kuti aphonya mlingo chifukwa cha kufinya.

Ndikofunikira kusungitsa glucose omwe ali m'madzi am'magazi pamlingo woyandikira kwambiri kuti achepetse vuto la fetus.

Imachepetsa kupanga shuga kwa chiwindi poletsa gluconeogeneis ndi glycogenolysis.

Ndime zochepetsera kutsimikizika kwa kukoma mu Meyi kukweza. Masomphenya Glucophage Kutalika kosakhutira kwa glucophage mphindi - nthawi yopanda tanthauzo ya kusakhazikika kwa chinthu.

Ng'ombe ndi glucophage ndinali wamtali wa 23 ndipo awiri am'mbuyo kumbuyo ndidalangizidwa Glucofage XR 1000.

Zomwe zili zowopsa mu sardine motere ndikuti chithandizo cha mahomoni sichingachitike mwachangu pomwe mwamunayo akugwirizana ndi zakumwa zoledzeretsa.

Glucophage yothetsera kwa caustic imatengedwa ku nyumba imodzi yosinkhasinkha pakati pa odwala matenda ashuga, chifukwa chake glucophage ndi kusapezeka kwa aliyense wokhala ndi ethanol ndi wophika kumawonjezeranso zotsatira zake. Lactic acidosis imagonjetsedwa ndi kuwonjezeka kowopsa kwa maula a thupi mu mowa watsopano wa lactic acid.

Pakakhala chisamaliro chamankhwala mwadzidzidzi, zotsatira zakupha ndizotheka.
Chlorpromazine, akagwiritsidwa ntchito pa milingo yayikulu ya 100 mg patsiku, amalimbikitsa kuchuluka kwa shuga m'magazi, kuchepetsa kutulutsa kwa insulin.

Zolemba za mankhwala

Pophwanya zakudya za carbohydrate metabolism, madokotala amakulangizani kuti muiwale za mowa. Komabe, nthawi zina odwala matenda ashuga amakonda kudziwa ngati Glucophage Long ndi mowa zimatha kumwa nthawi yomweyo. Mankhwala ndi mapiritsi omwe amakhala ndi nthawi yayitali amaletsedwa kuphatikiza mowa.

Musanapeze ndalama, ndibwino kuti muwerenge mndandanda wa zotsutsana. Izi zikuphatikiza, makamaka:

uchidakwa wambiri,
poyizoni wazakumwa zoledzeretsa,
matenda a impso
mavuto ndi mapapu ndi chiwindi.

Ndikulimbikitsidwa kupewa kumwa ngakhale mankhwala okhala ndi zakumwa zoledzeretsa. Kwa matenda aliwonse a pathological momwe mumakhala chiopsezo chokhala ndi lactic acidosis, muyenera kukana kutenga ndalama ndi metformin.

Mukamagwiritsa ntchito Glucofage, ziyenera kukumbukiridwa kuti awa ndi mankhwala oopsa, osati chakudya chowopsa.

Chidacho chimakuthandizani kuti muchepetse shuga ndi 20%, pomwe hemoglobin ya glycated imatsitsidwa ndi 1.5%.

Ndi monotherapy yokhala ndi metformin, ndizotheka kuchepetsa kufa pakati pa odwala matenda ashuga omwe samadalira insulin. Izi zatsimikiziridwa ndi kafukufuku wambiri.

Kuphatikiza ndi mowa

Mukamalemba mankhwala ozikidwa pa metformin, kuphatikizapo Glucofage, endocrinologists amachenjeza za kusagwirizana kwake ndi mowa. Popeza kuti mankhwalawa amayenera kukhala oledzera kwa nthawi yayitali, anthu amakakamizidwa kusiya mowa kwathunthu. Koma si aliyense amene ali wokonzeka kuchita izi.

Poyerekeza ndi kafukufuku, anthu opitilira 40% omwe amakana kumwa mankhwala osokoneza bongo amatero chifukwa chofuna kusiya mowa. Ngati kumwa mowa kwadzetsa vuto la impso ndi chiwindi, ndiye kuti simungathenso kutenga Glucophage. Ngakhale kukana mowa kwathunthu sikungasinthe mkhalidwewo.

Kuti mumvetsetse chifukwa chake mowa sugwirizana ndi metformin, muyenera kudziwa zomwe zingachitike chifukwa cha mowa mukamamwa Glucofage. Pogwiritsa ntchito zakumwa zoledzeretsa, kuchuluka kwa shuga m'magazi kumachepa, hypoglycemia imayamba. Pamaso pa zomwe zimathandizira, kukomoka kwa hypoglycemic kumatha kuyamba.

Mowa pakumwa mankhwala a glucophage angayambitse lactic acidosis. Pogwiritsa ntchito metformin, kuyamwa kwa lactate ndi chiwindi kumachepetsedwa. Koma ngati ntchito ya impso imalephera, ndiye kuti kuchotsa kwa lactate ndi metformin m'thupi kumachepa. Mlingo wawo wamagazi umakwera - izi zimatha kuyambitsa kukulira kwa lactic acidosis chifukwa chakuti lactic acid imadziunjikira.

Chifukwa chakuti metformin imathandizira kuchepetsa kuyamwa kwa maselo a chiwindi, vuto lililonse lomwe lingayambitse vuto lactic acidosis ndikunyoza mwachindunji kutenga chinthu ichi. Zomwe zimayambitsa mapangidwe a lactic acid ndi monga:

kumwa mowa
kulephera kwamtima,
mavuto ndi kupuma thirakiti (chifukwa cha kusakwanira kwa mpweya wokwanira wa minofu),
mavuto a impso.

Malinga ndi lingaliro lina, kugwiritsa ntchito Glucofage ndi mankhwala ofananawo kumalimbikitsa njira yopanga lactate m'matumbo ang'ono. Koma nthawi zambiri mavuto amakhudzana ndendende ndi kuwonongeka kwake kwa chiwindi.

Zomwe zimachitika pakanthawi yomweyo kugwiritsa ntchito metformin ndi mowa (ngakhale mankhwala okhala ndi ethanol) zimakula mwachangu.

Kuchuluka kwa lactic acid mthupi kumachulukirachulukira ndipo lactic acidosis imatha kukhazikika. Matendawa ndi oopsa kwambiri matenda ashuga. Imfa za izi zimafika 70%.

Ngakhale chithandizo chamankhwala chapanthawi yake sichimapulumutsa wodwalayo nthawi zonse.

Ngozi zowopsa

Muyenera kumvetsetsa kuti ngakhale mutamwa kamodzi, mutha kusokoneza kugwira ntchito kwa chiwindi. Kumwa mowa ndizowopsa kwa onse odwala matenda ashuga, ngakhale kwa omwe sanawonetsedwe mankhwala. Ndi kuledzera, kuledzera kumayamba kuledzera. Amawonekera chifukwa cha:

wonjezerani katulutsidwe ka insulin, kamene kamalimbikitsidwa ndi Mowa,
Kuletsa gawo la gluconeogeneis, pomwe lactic acid ndi alanine amasinthidwa kukhala pyruvic acid,
kutsika kwa glycogen depot, yomwe iyenera kukhala m'chiwindi.

Chifukwa chake, kumwa mowa nthawi zonse kumalumikizidwa ndi chiopsezo cha lactic acidosis. Anthu odwala matenda ashuga ayenera kudziwa zazikulu zake:

mphwayi
kupweteka kwa minofu
kusanza ndi zizindikiro zina za dyspeptic,
kupumira msanga.

Kusowa kwa chithandizo cha panthawi yake kumayambitsa kukayika komanso kufa pambuyo pake.

Komanso, pogwiritsa ntchito mowa komanso glucophage, matenda a hypoglycemic amatha. Mwanjira imeneyi, kuchuluka kwa glucose kumatsikira pansi pazofunikira zovomerezeka. Wodwala ali ndi izi:

kufooka
mutu
kunjenjemera
kukomoka mtima,
dzanzi la miyendo
njala,
kuwonongeka kwamawonekedwe
chisangalalo / choletsa.

Kunyalanyaza zizindikirazi kumayambitsa kutsika kwina kwa shuga ndikupanga kukula kwa hypoglycemic coma.

choopsa ndichakuti mukamamwa mowa, simungathe kuzindikira zizindikiro za hypoglycemia kapena lactic acidosis.

Maganizo a madokotala ndi odwala

Polankhula za kuthekera kwakumwa mowa mu chithandizo cha Glucophage, madokotala amalengeza mosakayikira kuti sangaphatikizidwe. Koma si onse odwala matenda ashuga omwe amavomerezana ndi zoletsa zamtunduwu. Ndemanga za odwala zimawonetsa kuti samakana maphwando.

Ngati mukufuna kumwa zakumwa zoledzeretsa, anthu ashuga samamwa piritsi lina. Amakondanso kudumpha tsiku lotsatira.

Koma izi zitha kuchititsa kuti matendawa azikhala ndi matenda ashuga osakhalitsa. Kuchuluka kwa shuga kumasintha kwambiri, ndipo mowa umangokulitsa vutolo.

Nkhaniyi ikukambidwa mwatsatanetsatane pambuyo pake m'nkhaniyi yokhudza zakumwa za shuga m'magazi.

Malangizo ogwiritsira ntchito mankhwalawa

Mukamamwa Glucofage, mutha kugwiritsa ntchito othandizira ena ngati pakufunika kutero.

Kumwa mankhwalawa kumatha kuphatikizidwa ndikugwiritsa ntchito mankhwala, omwe amaphatikizapo insulin.

Mutha kumwa mankhwalawa pokhapokha malinga ndi zomwe dokotala wakupatsani.

Zizindikiro zazikulu zogwiritsira ntchito mankhwalawa ndi izi:

Kupezeka kwa thupi la munthu wamkulu wodwala matenda a shuga 2.
Kupezeka kwa mtundu wachiwiri wa matenda ashuga a ana osaposa zaka 10 (mankhwalawa amatha kugwiritsidwa ntchito pa nthawi ya monotherapy komanso kuphatikiza mankhwala omwe ali ndi insulin).
Pankhani ya kunenepa kwambiri m'thupi la wodwalayo motsutsana ndi maziko a insulin-yodziyimira payokha ya matenda a shuga, pamaso pa sekondale.

Chithandizo chogwira mankhwalawa chimawonetsa mphamvu zake za hypoglycemic pokhapokha ngati pali hyperglycemia m'thupi la wodwalayo. Mukamagwiritsa ntchito mankhwalawa, mphamvu yokhazikika ya hypoglycemic imachitika.

Kupanga kwa momwe mankhwalawa amakhudzira thupi kumafotokozedwa ndi kuthekera kwa metformin kukopa magwiritsidwe a gluconeogeneis ndi glycogenolysis, kuwonjezera apo, mankhwalawa amathandizira kuchepetsa kufupika kwa shuga m'matumbo am'mimba. Kuphatikiza apo, kugwiritsa ntchito Glucofage kumalimbikitsa kuwonjezeka kwa zolandilira za insulin zomwe zimadalira zotumphukira zomwe zimakhala pama cell membrane a maselo.

Kugwiritsa ntchito mankhwalawa kumakhudza kagayidwe ka lipid.

Gawo logwiridwalo siligwira ntchito mthupi, ndipo theka la moyo limakhala pafupifupi maola 6.5.

Kupukusa kwa chigawo chogwira ntchito kwa thupi kuchokera mwa munthu kumachitika ndi impso komanso m'matumbo.

Contraindication ndi zotsatira zoyipa mukamagwiritsa ntchito Glucofage

Monga mankhwala aliwonse, Glucophage imakhala ndi zotsutsana zingapo.

Komanso, mukamamwa Glucofage, mavuto osiyanasiyana amatha kuchitika.

Popewa kupezeka kwa zotsatira zoyipa, malangizo omwe angagwiritsidwe ntchito ngati mankhwalawa akuyenera kutsatiridwa.

Ma contraindication ambiri omwe samakulolani kutenga glucophage ndi awa:

wodwalayo amakhala ndi tsankho limodzi ndi mankhwala a metformin kapena mankhwala ena,
zovuta mu chiwindi ndi impso,
nthawi ya bere ndi nthawi yoyamwitsa,
kukhalapo kwa zizindikiro za matenda ashuga a ketoacidosis mthupi,
Zakudya zochepa zopatsa mphamvu
kukhalapo kwa kuchuluka kwakukulu kwa kuthekera kwachitukuko mthupi la dziko la okosijeni lakufa ndi maselo amisempha yambiri
Kukula kwa thupi la wodwala wodwala matenda ashuga a mtundu wachiwiri wamadzimadzi,
kupezeka kwa kugwedezeka kwa thupi.

Mukamamwa Glucophage, odwala mtundu wa 2 wodwala mellitus, omwe ali ndi zaka zopitilira 60, ayenera kusamala, chifukwa mwayi wokhala ndi vuto la hypoglycemic ukuwonjezeka.

Zotsatira zoyipa za thupi zimatha kuchitika mukaphatikiza kumwa glucophage ndi mowa.

Musanayambe kumwa mankhwala a Glucophage, muyenera kuphunzirapo za mavuto omwe angachitike mthupi.

Zotsatira zoyipa izi zitha kuchitika mthupi la munthu:

Lawani kuphwanya.
Kupezeka kwamavuto ndi kulakalaka.
The kupezeka zosiyanasiyana thupi lawo siligwirizana, zikuwoneka mawonekedwe a zotupa pakhungu ndi urticaria.
Kumva nseru komanso kufuna kusanza.
Maonekedwe a ululu m'mimba komanso kusokonezeka kwa m'mimba. Matenda am'mimba amasonyezedwa nthawi zambiri m'mimba.
Nthawi zina, kukula kwa chiwindi.
Pankhani yakuphwanya kwambiri kugwira ntchito kwa thupi, wodwalayo amakhala ndi zizindikiro za lactocytosis.

Pofuna kupewa kuwoneka ngati mavuto ndi thupi, simuyenera kuphatikiza mowa ndi kumwa mankhwalawo.

Kuphatikizika kwa Glucophage ndi mowa ndikosavomerezeka, popeza mowa wophatikizana ndi metformin, womwe ndi gawo la Glucophage, umatha kuyambitsa mawonekedwe a zovuta m'mthupi zomwe zingayambitse imfa.

Kuopsa kowopsa kwa ethanol ku thupi

Odwala ambiri, kuweruza ndi ndemanga yomwe ilipo, amaganiza kuti mankhwalawa Glyukofazh ndiwosapindulitsa. Mankhwalawa samayenderana ndi mankhwala ena, ndipo monga chinthu monga mowa suyenera kuphatikizidwa. Zakuti mowa ndi glucophage sizingatheke kuphatikizidwa zikuwonetsedwa bwino ndi malangizo ogwiritsira ntchito mankhwalawa.

Mukamamwa mankhwalawo, ndizoletsedwa kumwa zakumwa zilizonse zomwe zimakhala ndi mowa, monga, mwachitsanzo, mowa ndi woletsedwa.

Muyenera kudziwa kuti kumwa mowa mwa odwala, hypoglycemia imayamba m'matenda a shuga, kuphatikizapo kuchedwa.

Kusagwirizana bwino kwa mowa ndi Glucofage kumachitika chifukwa choti zinthu zonse ziwiri zimakhala ndi vuto lalikulu pakugwira ntchito kwa chiwindi, ndipo zikagwiritsidwa limodzi, katundu uyu pazilowa zimachulukitsidwa.

Chiwindi m'thupi chimayambira njira zam'magazi zomwe zimapangitsa kutsika kwa shuga m'magazi, omwe amalowa mthupi limodzi ndi mowa ndikuthandizira kukulitsa insulin.

Glucophage ndi mankhwala omwe amakhudza njira zam'magazi mu chiwindi. Mowa utagwiritsidwa ntchito nthawi yomweyo, pamakhala kuwonjezeka kwakukulu kwa kupanga kwa insulin ndi kutsegulira kwa njira yochotsa shuga m'madzi a m'magazi.

Pazovuta, njira zonsezi zimatsogolera kuchepetsa kwakukulu kwa shuga m'thupi ndi kuwonekera kwakukulu kwa wodwala kugwa.

Ngati munthu sangalandire chithandizo chamankhwala munthawi imeneyi, ndiye kuti zotsatira zake zakupha.

Kuphatikiza apo, kugwiritsa ntchito moledzera mowa ndi Glucofage, kuthekera kwakukulu kwa chitukuko m'thupi la wodwala yemwe ali ndi matenda osokoneza bongo a mtundu wachiwiri wa zizindikiro za lactic acidosis kumawonekera.

Ndi kukula kwa vutoli mthupi, kuwonjezeka kowopsa kwa kuchuluka kwa lactic acid kumawonedwa, komwe kumachitika chifukwa cha kusokonezeka kwa njira ya kusinthana kwa ma ion m'maselo ndi kukulitsa kupanga lactate ndi maselo a chiwindi.

Mkhalidwe wa lactic acidosis umadziwika ndi kukula kwazizindikiro. Acid yomwe imasonkhana mu minofu imatsogolera ku chiwonongeko cha khungu ndi kufa. Zotsatira zakupha zalembedwa malinga ndi ziwerengero zamankhwala komanso pafupipafupi 50 mpaka 90% ya milandu yonse ya lactic acidosis mwa odwala omwe ali ndi matenda a 2.

Popewa zovuta zoyipa, ndibwino kusiya kumwa mowa panthawi yomwe mankhwala a Glucofage akuchipatala. Musanagule mankhwalawo, muyenera kuphunzira mwatsatanetsatane funso la momwe mungatenge Glucophage kuti mukwaniritse bwino.

Kanemayo munkhaniyi akukuuzani momwe mungamwe mankhwalawo molondola.

Sonyezani shuga lanu kapena sankhani jenda pamayendedwe Kusaka OsapezekaKusaka Kuyang'ana kosapezeka

Kuchita kwa glucophage ndi mowa

Malinga ndi akatswiri, glucophage ndi mowa ndi zinthu ziwiri zamphamvu zomwe ndizowopsa kuphatikiza. Mukasakaniza magawo omwe amagwiritsidwa ntchito ndi mankhwala ndi mowa wa ethyl, zotsatira zoyipa (kuledzera ndi zizindikiro za poizoni) zimachitika m'thupi la munthu, zomwe zimayambitsa kupangika kwa latoacidosis ndi hypoglycemic coma Pakapita nthawi matenda, imfa imatha kuchitika.

Makhalidwe azamankhwala

Glucophage ndi othandizira a hypoglycemic a m'gulu la Biguanide. Zimathandizira kutsika magazi. Yogwira pophika mankhwala ndi metformin hydrochloride. Wopezeka mu mawonekedwe a mapiritsi a 500, 750 ndi 1000 mg pazomwe zimagwira.

Glucophage imalimbikitsidwa kwa odwala omwe ali ndi gawo lachiwiri la matenda a shuga, ngati chithandizo cha zakudya sichimapereka zotsatira zabwino, zonse pamodzi ndi mankhwala ena, komanso ngati mankhwala a monotherapeutic. Mosiyana ndi mankhwala ofananawo, samakhudza kuchuluka kwa insulin ndipo sasintha kuchuluka kwa shuga m'magazi.

Komanso mankhwalawa amalembera matenda otsatirawa:

gawo lililonse la matenda ashuga mwa ana opitirira zaka 10.
kunenepa mu mtundu 2 ndi matenda ashuga 2.
onenepa kwambiri.

Zochita ndi Mowa

Mankhwala saloledwa kutengedwa ndi zinthu zonse. Sikulimbikitsidwa kumwa mowa, valerian, barbovar, valocordin ndi zinthu zina zomwe zimakhala ndi ethyl panthawi yamankhwala.

Chifukwa zimatha kuyambitsa zovuta pakatikati poyanjana, monga zilonda, ziwengo, kapena poyizoni.

Malangizo ogwiritsira ntchito akuwonetsa kuti mukamwa Glucophage 500 ndi 1000 mg, mowa ndi oletsedwa.

Latoacidosis

Ikamamwa, ethyl imalowa kwambiri m'magazi ndipo imagwirizana ndi metformin. Chiwindi chimayamba kugwira ntchito kwambiri komanso kuyamwa poizoni wambiri, chifukwa cha izi kukhazikika kwa lactates (lactic acid) m'thupi kumakulira.

Nawonso, hepatocytes (maselo a chiwindi), chifukwa cha kuchuluka kwa asidi, samatha kugwira ntchito yawo ndikusiyira kuyikonza. Chiwindi chimayamba kuponyera lactic acid m'magazi, zomwe zikuwopseza moyo.

Pamene lactate imadziunjikira, lactic acidosis imayamba kukhazikika, ndipo izi zimachitika nthawi yomweyo, ndipo chifukwa cha ichi, piritsi limodzi lokha la mankhwalawa ndiminyekero zingapo za mowa ndikokwanira.

Nthawi zambiri wodwala amakhala ndi izi:

Zowawa m'mimba.
Kusanza kumatsatiridwa ndikusanza.
Kokani kuzizira.
Paresis.

Zofunika! Pathology imayamba kukula msanga ndipo imatha kugwa, hypothermia, thrombosis, chikomokere kapena kugwira ntchito pokodza. Mu izi, chiopsezo chaimfa chikuwonjezeka. Chifukwa chake, munthu amafunika thandizo lachipatala mwadzidzidzi.

Zifukwa zazikulu zowonjezera kuchuluka kwa lactic acid zimaphatikizapo:

Mowa.
Matenda a mtima.
Matenda opatsirana.
Kulephera mu impso.

Nthawi zina maonekedwe a lactate m'matumbo ang'onoang'ono amayamba chifukwa cha Glucofage ndi othandizira ofanana omwe ali ndi chinthu chofanana. Koma nthawi zambiri vutoli limawonedwa chifukwa chakumwa mowa komanso kuwonongeka kwa chiwindi.

Hypoglycemic chikomokere

Mukamamwa mowa, kuchuluka kwa glucose m'magazi kumatsika kwambiri, chifukwa chomwe hypoglycemia imayamba. Ngati wodwala atamwa Glucofage, ndiye kuti atha kupweteka. Chifukwa chake, izi zitha kukhala zowopsa pamoyo.

Zizindikiro zotsatirazi zikuwonekera:

Arrhasmia.
Khalidwe lazamisala.
Kutentha.
Chizungulire.
Kuyika m'maso.
Mtundu wamtundu.
Matenda oopsa
Kusanza kumatsatiridwa ndikusanza.
Chakudya champhamvu kwambiri.
Kugona.
Kuchepetsa kukumbukira.
Kukhumudwitsa.
Kusisita.
Khunyu.
Coma

Ngati mankhwalawa amatengedwa mogwirizana ndi malangizo komanso popanda kumwa, ndiye kuti matendawa sangathe. Koma, ngati wodwalayo amamwa mlingo wowonjezereka ndikuphatikiza kumwa, chiwopsezo cha matenda chikukula. Chifukwa chake, akatswiri a endocrinologists amaletsa kumwa mankhwalawa, ndikuwalimbikitsa kutsatira malingaliro awo kuti apewe zovuta.

Zotsatira zina

Ndizofunikanso kudziwa kuti mowa wambiri wa ethyl womwe umayamwa mu milingo yayikulu umadzetsa chidakwa chachikulu, chomwe chimayambitsa matenda a cirrhosis, zilonda komanso kusagwira bwino ntchito kwamachitidwe osiyanasiyana amthupi. Makamaka omwe ali ndi chiwindi, impso ndi mitsempha.

Mukamapereka mankhwala a mankhwala a metformin, katswiri ayenera kuchenjeza kuti sizigwirizana ndi zakumwa zoledzeretsa. Kodi munthu ayenera kusiya kumwa mankhwalawa nthawi yayitali bwanji (ngakhale kuti ndi yayitali). Chifukwa chake, mtundu uwu wa mankhwalawa si woyenera kuledzera.

Malinga ndi akatswiri, makasitomala ambiri amakana chithandizo ndi Glucophage kokha chifukwa sangathe kusiyanitsa mowa ndi moyo. Kuphatikiza apo, ngati chiwindi ndi impso zidakhudzidwa kwambiri ndi chidakwa chifukwa chakumwa mwadongosolo, ndiye kuti mankhwalawo amaletsedwanso.

Ndingamwe zochuluka motani

Kuphatikiza glucophage ndi mowa ndizotsutsana. Nthawi zambiri mankhwalawa amaperekedwa kwa anthu omwe saloledwa kumwa ngakhale popanda mapiritsi, ndiye kuti, odwala matenda a shuga komanso kuchepa thupi. Chifukwa chake, munthawi yamankhwala, ndibwino kusiya kotheratu zakumwa zoledzeretsa, kuti musathetse mavuto omwe alipo.

Ngati simungakane kumwa, kapena munthu akuyembekezera phwando lomwe ayenera kumwa mowa, ndiye kuti chiwopsezo cha zotsatira zoyipa ziyenera kuchepetsedwa.

Kuti mudziteteze, muyenera kumwa mowa osapitirira maola 8-9 atatha mapiritsi. Ngati mukufuna kumwa mankhwalawa mutamwa mowa, izi zitha kuchitika pokhapokha maola 15-16.

Ngakhale madokotala amalangiza kuti asamwe kumwa ngakhale pakadutsa masiku atatu kuchokera kumapeto kwa chithandizo.

Kodi Glucophage angatengedwe ndi mowa?

Nthawi yabwino tsiku! Dzina langa ndine Halisat Suleymanova - Ndine phytotherapist. Ali ndi zaka 28, adadzichiritsa yekha khansa ya muchiberekero ndi zitsamba (zochulukira za chidziwitso changa cha machiritso ndi chifukwa chomwe ndidakhalira wowerenga azitsamba apa: Nkhani yanga).

Musanalandiridwe mogwirizana ndi njira zachikhalidwe zofotokozedwera pa intaneti, chonde funsani katswiri ndi dokotala wanu! Izi zipulumutsa nthawi yanu ndi ndalama, chifukwa matendawa ndi osiyanasiyana, zitsamba ndi njira zochiritsira ndizosiyana, koma palinso matenda oyanjana, zotsutsana, zovuta ndi zina.

Palibe chowonjezera pakadali pano, koma ngati mukufuna thandizo posankha zitsamba ndi njira zamankhwala, mutha kundipeza apa:

Tsamba: Khalisat Suleymanova

Tetophone: 8 918 843 47 72

Imelo: [email protected]

Mowa ndi matenda ashuga ndi malingaliro osiyana. Matendawa amayenda ndi munthuyo mpaka masiku atha ndipo mudzamwa mankhwala omwe amalephera kumwa ndi mowa. Zikhala zotsatila za glucophage ndi mowa, ngati kulandiridwa kwawo kuphatikizidwa?

Glucophage komanso mowa

Mankhwalawa amathandizika kwambiri akaphatikizidwa ndi mankhwala ena komanso osakhudzidwa kwambiri pakumwa mowa. Mowa ndi mankhwala sizingatheke, kuphatikiza koteroko kumawonjezera katundu pa chiwindi ndikusokoneza magwiridwe ake. Malangizowa akuwonetsa kuti simungatenge ndalama limodzi. Komabe, odwala ambiri akupitiliza kuyesa.

DZIWANI IZI: Pomaliza mungathe kumwa Ceftriaxone ndi mowa?

Glucophage ndi mowa - mumatha kumwa zochuluka motani? Ngati mankhwalawo amagwiritsidwa ntchito kale pa matenda a chiwindi, ngakhale muyezo umodzi umabweretsa zotsatira zoyipa ndipo zilibe kanthu kuti pakhale pakati pawo. Kulandila kwa malo ogona kotereku sikolandiridwa, chifukwa kumachulukitsa ndikuwonjezera zotsatira zoyipa za lactic acidosis.

Kukhalapo kwa ethanol ndi metformin kumayambitsa kuwonjezeka pakukula kwa chikhalidwe cha lactic acid, acid acid ndi minyewa ndipo sangathe kupirira ntchito ya lactate metabolism. Ngati pali matenda a impso, izi zimalepheretsa kuchotsa lactic acid ndi metformin.

Vuto lomwe limakhumudwitsa lactic acidosis ndikuphwanya kumwa mowa. Zinthu za mapangidwe a lactate:

mowa
matenda a kupuma ziwalo, impso ndi mtima.

Ndi kuledzera, kuledzera kwamphamvu kwa hypoglycemia, komwe kumasonyezedwa ndi izi:

kumasulidwa kwamphamvu insulin,
Kuchepetsa kusintha kwa lactate ndi alanine kukhala pyruvic acid,
kutsika kwa glycogen mu chiwindi.

Kumwa nthawi zonse kumakhala pachiwopsezo chokhala ndi lactic acidosis yokhala ndi zizindikiro:

ulesi ndi kudwala,
minofu ululu matenda
kusanza
kuthamanga kwapang'onopang'ono.

Kulumikizana kwa zinthu ziwirizi kungayambitse vuto la hypoglycemic. Poterepa, kuchuluka kwa glucose kumachepera m'munsi kochepa kwambiri. Wodwala ali ndi izi:

kufooka
migraine
kunjenjemera ndi miyendo.
kuthamanga kwa mtima
njala
kusokonekera kwa ntchito za omvera,
mantha kapena ulesi.

DZIWANI IZI: Kodi Doxycycline angathe kumwa ndi mowa?

Kwa iwo omwe ali ndi matenda ashuga, kuphatikiza kwa Glucophage ndi mowa wopanda mowa sikuti ndi zotsutsana. Koma muyenera kukumbukira kuchuluka kwa chakudya, kusintha kuchuluka kwa insulin.

Ndi kuphatikiza kwa Glucophage ndi mowa, kuwunika kwa odwala kumawonetsa kuti mwa odwala ena omwe ali ndi mlingo yaying'ono, palibe chowopsa chomwe chimachitika, pomwe ena akutsekula m'mimba. Chifukwa chake, zotsatira za kuphatikiza koteroko ndizokhazokha ndipo musanyalanyaze contraindication.

Glucophage Kutalika kwa 1000 ndi mankhwala osokoneza bongo a 500 ndi mowa: kuyanjana, zotsatira, ndemanga

Glucophage Long amapangidwa kuti azilamulira kuchuluka kwa shuga mu shuga, koma imagwiritsidwanso ntchito kuti muchepetse kunenepa kwambiri. Kukana maswiti kumakhala kupsinjika kwa thupi, komwe ena amasankha kuthana ndi chithandizo cha mowa. Chifukwa chake, funsoli limakhala lofunikira: kodi ndizotheka kuphatikiza mankhwalawa ndi mowa?

Glucophage Kutalika ndi mowa

Glucophage Long ndi mankhwala otchuka ochokera ku gulu la Biguanide. Imakhala ndi hypoglycemic, imachepetsa shuga m'magazi am'magazi. Kusiyanitsa pakati pa Glucophage Long ndi mawonekedwe a mulingo wotalikirapo ndi nthawi yayitali yobwera ndi chinthu chogwira ntchito.

Zizindikiro zama Glucofage Long ndi:

lembani matenda ashuga achiwiri a shuga kuyambira ana azaka 10 (chithandizo chovuta kapena monotherapy),
mtundu II matenda ashuga achikulire,
kunenepa
mtundu II shuga mellitus (wowonjezera malamulo a shuga panthawi ya insulin).

Mankhwalawa amapezeka m'magulu awiri a mapiritsi amkamwa, omwe amasiyana ndi zomwe zimagwiritsidwa ntchito ndi metformin (500 mg kapena 1000 mg). 500 mg - Mlingo wochepera, koma ngati vutoli silikwanira, dokotala amamuonjezera.

Glucophage Long poyambirira adapangidwa kuti azichiritsa odwala omwe sangathe kuchepetsa shuga m'magazi awo kudzera muzakudya. Mankhwala amawongolera kupanga shuga m'chiwindi, kusintha kwake kugwira ndi kugwiritsidwa ntchito ndi minofu. Kuphatikiza apo, chinthu chogwira ntchito chimalimbikitsa kagayidwe ka mafuta, kuphatikiza kuchepetsa kuchuluka kwa mafuta m'thupi.

Tsopano endocrinologists akukhazikitsa Glucophage Long kwa odwala awo kuti achepetse thupi. Mapaundi owonjezera amalumikizidwa ndi kuperewera kwa metabolism, chifukwa mafuta amayikidwa pamene thupi silingathe kuwaphwanya.

Glucophage Long amakhala ndi shuga ndi insulin, kubwezeretsa kagayidwe.Mosiyana ndi othandizira ena a hypoglycemic, mwa anthu athanzi Glucophage Long samachepetsa shuga la magazi ndipo siziwonjezera kuchuluka kwa insulin.
Ndemanga ya Glucophage:

Momwe mungaphatikizire

Glucophage Kutalika kumakhala pafupifupi maola 7. Chifukwa chake, nthawi ino iyenera kudikirira kuti isasakanikirane ndi mankhwala ndi mowa.

Komabe, nthawi yoyamwa ya mowa imatha kukulitsidwa - mwachitsanzo, ngati munthu amamwa pamimba yonse. Chifukwa chake, ngati simungathe kumwa popanda kumwa, ndikulimbikitsidwa kuti mulumphe Mlingo wachiwiri wa mankhwalawo mutamwa.

Kumbali ina, pakapita nthawi yayitali pakati pamankhwala, shuga omwe ali m'magazi amakhala osakhazikika. Mowa umatsitsa, koma kenako umadzuka posowa chithandizo. Acetone idzadziwika mkodzo ndi magazi.

Zotsatira zake, matenda obwezeretsanso a shuga am'tsogolo amayamba. Chifukwa chake, kulumpha mankhwala sikulimbikitsidwa. Komanso, simungathe kuzisakaniza ndi zakumwa zoledzeretsa.

Kuphatikiza apo, Glucofage Long imagwiritsidwa ntchito ngati gawo la mankhwalawa a shuga, ndipo mowa nthawi zambiri umaperekedwa kwa anthu omwe ali ndi matendawa. Zomwezi zimagwiranso ntchito kwa anthu omwe amamwa mankhwalawa kuti athane ndi kunenepa kwambiri. Mowa umakhala ndi zopatsa mphamvu zambiri, motero simalowa muzakudya zilizonse.

Odwala omwe akutenga Glucofage Long akuti amamwa mowa panthawi ya chithandizo, koma waukulu. Malinga ndi iwo, izi sizinabweretse mavuto akulu.

Odwala ena adayamba kutsekula m'mimba, koma mwina izi ndi zomwe zimachitika makamaka pakumwa mowa, osatinso kuphatikiza kwake ndi Mowa. Ndipo komabe, anthu ambiri sasiya kumwa mankhwalawa ngati akufunadi kumwa.

Madotolo akuti milandu ya lactic acidosis yopweteketsedwa ndi kuphatikiza kwa mowa ndi mapiritsi a Glucofage Long ndizosowa kwambiri kotero kuti palibe njira yosungira ziwerengero. Komabe, amalimbikira kuti ndi matenda ashuga, mowa umadzetsa mkwiyo wa hypoglycemia. Glucophage Kutalika ndi zotsatira za hypoglycemic pankhaniyi kumangokulitsa zizindikirazo.

Komabe, kuledzera, munthu akhoza kuphonya zizindikiro zoopsa za hypoglycemic syndrome. Chifukwa chake, madokotala amaletsa odwala awo onse kuphatikiza Glucophage Long ndi mowa.

Glucophage Kutalika ndi mowa siziyenera kumwa nthawi yomweyo. Mankhwalawa amaperekedwa kwa anthu omwe, makamaka, ayenera kupewa mowa - odwala matenda ashuga, kuchepetsa thupi. Komabe, kuphatikiza kwa mowa ndi wothandizila wa hypoglycemic kumangokulitsa zovuta za zovuta, chifukwa chake, ngakhale mankhwala okhala ndi ethanol sayenera kugwiritsidwa ntchito pakumwa.

Ngati mukufunikirabe kumwa mowa panthawi ya chithandizo, mutha kuchepetsa ngozi. Kuti muchite izi, dikirani maola 7 musanamwe mowa komanso maola 14 pambuyo pake.

Njira yamachitidwe

Mankhwala sasokoneza kaphatikizidwe ndi insulin. Amagwira makamaka poletsa njira yogawa glue ya hepatic kuti isamasuke shuga.

Glucophage mapiritsi 1000 mg

Zimawonjezera kukhudzika kwa minofu ku insulin (mafuta ndi minofu), imalimbikitsa kulowa kwa mafuta mu cell. Popeza imalepheretsa kaphatikizidwe ka triglycerides ndipo imalepheretsa mayamwidwe amafuta m'matumbo, tikulimbikitsidwa kuti mugwiritse ntchito kwa odwala omwe ali ndi kunenepa kwambiri. Zabwino zake pa cholesterol metabolism zidadziwika.

Amatengedwa pakamwa, atamwa kwathunthu mkati mwa mphindi 60, kuchuluka kwakukulu kwa plasma kumachitika pambuyo 2, 5 maola. Hafu ya moyo ndi maola 6.5 - 7.5, omwe akuwonetsa kufunika kogwiritsa ntchito mankhwalawa pafupipafupi. Zimapangidwa makamaka m'chiwindi.

Chizindikiro chachikulu chogwiritsa ntchito Glucophage ndikukula kwa glucose komanso mtundu wachiwiri wa matenda ashuga.

Ndi kuperewera kwa mankhwala othandizira pakudya ndi kusinthidwa kwamoyo, mankhwalawa amaikidwa ngati monotherapy kapena kuphatikiza ena othandizira a hypoglycemic, kuphatikizapo insulin.

Idadzikhazikitsa chida chothandizira kupewa kukula kwa zovuta za matenda ashuga (micro and macroangiopathies).

Glucophage nthawi zambiri imatengedwa ndi anthu athanzi (ngakhale othamanga) kuti muchepetse thupi. Kugwiritsa ntchito mankhwalawa ndikosayenera kwambiri ndipo kungayambitse zovuta zingapo za metabolic.

Zotsatira zoyipa

Ndikofunikira kudziwa! Mavuto omwe ali ndi kuchuluka kwa shuga pakapita nthawi imatha kudzetsa matenda ambiri, monga mavuto amaso, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zomwe zinawawa kuti azisintha shuga yawo kuti asangalale ...

Poyerekeza ndi kutenga Glucofage, zimachitika zovuta zomwe nthawi zambiri zimayambitsa m'malo:

kulakwira
zovuta zakudya zam'mimba m'njira yotulutsa, kusalala, kutsegula m'mimba, kusanza,
anemia yam'magazi,
zotupa pakhungu
hypoglycemic coma,
lactic acidosis.

Ngati zizindikiro zomwe zili pamwambazi zikuwoneka, pitani kuchipatala mwachangu.

Kodi ndingathe kuphatikiza ndi mowa?

Mukuyenera kudziwa kuti mwina mukupanga zovuta mukumagwirizana ndi mankhwala omwe mumamwa. Glucophage ndi mowa zimatha kukulitsa chiopsezo cha zotsatira zoyipa. Choopsa chachikulu ndikugwiritsa ntchito nthawi yomweyo mowa wambiri pakumwa mankhwala a metformin.

Mavuto omwe ali pachiopsezo chachikulu akuphatikizapo:

hypoglycemia. Kumwa mowa pamene mukumwa Metformin kumayambitsa kuchepa kwakukulu kwa shuga m'magazi. Kwambiri, izi zimawonetsedwa ndi chisokonezo, kunjenjemera kwa manja, thukuta. Izi ndichifukwa choti kuchuluka kwakukulu kwa glucose kumadyedwa panthawi ya metabolism ya ethyl. Mukawonjezera pamenepa mphamvu ya metformin yoletsa kuthyoka kwa glycogen m'chiwindi, mudzapeza maziko abwino a hypoglycemia. Ngati simungapewe kumwa mowa wochepa (pagulu lokhala ndi anzawo olimba), achenjezeni ena kuti mukumwa Glucophage, auzeni za zomwe zingachitike ngati ali ndi shuga m'magazi, afotokozereni momwe angathandizire,
lactic acidosis. Izi ndizosowa, koma zowopsa m'moyo zomwe zimachitika pamene metformin ikuphatikizidwa ndi mowa. Lactic acid (lactate) ndi chilengedwe mwachilengedwe cha glucose metabolism, yomwe imagwiritsidwa ntchito ndi minofu yambiri monga gwero lamphamvu. Potengera maziko akumwa Glucofage, thupi limayamba kutulutsa zinthu zambiri kuposa masiku onse, mowa umapangitsanso kapangidwe kake. Chifukwa chake, lactate yowonjezereka imakhazikika mu impso, mapapo, chiwindi, ndi khoma lamitsempha, ndikupanga kuwonongeka kwa maselo. Zizindikiro zofala kwambiri za lactic acidosis ndizofooka zambiri, pakamwa pouma, chizungulire, kupweteka kwambiri minofu, kukokana, kupuma movutikira, nseru, ndi kusanza.

Hypoglycemia ndi lactic acidosis amafunika chisamaliro chachipatala chapadera. Ngati mukumva izi mukumwa metformin komanso kumwa mowa, muyenera kuyimbira ambulansi nthawi yomweyo.

Ngakhale metformin ndi mowa zimayambitsa zotsatira zosafunikira, izi sizitanthauza kuti mowa uyenera kusiyidwa kwathunthu. M'mabuku achilendo mumakhala lingaliro la "chakumwa chimodzi", makamaka "chakumwa chimodzi", chomwe chili ndi magalamu 14 a mowa wabwino. Chifukwa chake, ndikofunikira kulabadira mphamvu za zakumwa.

Mwachitsanzo, "chakumwa chimodzi" chimakhala mowa wa 300 ml (5% mowa), 140 ml ya mowa wofooka, 40 ml ya mowa wamphamvu.

Asayansi amalimbikitsa kuti azimayi azigwiritsa ntchito mopitilira muyeso umodzi patsiku, ndipo abambo osaposa awiri.

Muyenera kutsatiranso malamulo oyambira a phwandolo: osamwa mowa pamimba yopanda kanthu, pewani mowa wokhala ndi shuga wambiri m'magazi, kumwa madzi okwanira, nthawi zonse muziwonetsetsa kuchuluka kwa shuga musanamwe zakumwa zoledzeretsa.

Kodi mankhwalawa amachotsedwa m'thupi mpaka liti?

Mankhwalawa amakhala ndi theka lalitali, amakhala maola 6.5 okha.

Izi zikutanthauza kuti pambuyo pa nthawi imeneyi, kukhazikika kwake m'madzi a m'magazi kumachepetsedwa ndi theka. Mlingo wothandiza kwambiri, womwe uli ndi mankhwala othandizira ndipo umayambitsa kusagwirizana, ndi pafupifupi theka la moyo.

Izi zikutanthauza kuti Glucofage imachotsedwa kwathunthu kuchoka m'thupi pambuyo pa maola 32. Mankhwalawa amawonongeka ndi michere ya hepatic, pafupifupi 30% amachotsedwa osasinthika ndi ndowe.

Zambiri za mankhwalawa Siofor ndi Glucofage:

Chifukwa chake, Glucophage ndi mankhwala othandiza kuchiza matenda a insulin. Itha kugwiritsidwa ntchito limodzi ndi othandizira ena a hypoglycemic. Chovomerezeka kumwa mowa wochepa panthawi ya glucofage.

Glucophage kutalika - Funso kwa endocrinologist - 03 Online

Yarina ndi mowa Ndiuzeni chonde, kodi ndizotheka kumwa mowa pamene mukumwa Yarin? ... Komanso, Glucofage imaloledwa kwa ana osaposa zaka 10, omwe ali ndi vuto la matenda a shuga a insulin, kapena anthu onenepa kwambiri.

Akatswiri adatinso kwa nthawi yayitali akalumikizana ndi glucophage padziko lapansi momwe amapangira zolakwika za fakitale komanso mtundu wanji wa kubereka kwa glucophage. Ndipo oledzera, ndikuledzera, ndikuwongolera kumawongolera. Amatala amalimbana ndi katundu wotere.

Nthawi zina chinthu chogwira mtima chimapangitsa kagayidwe ka mafuta, kuphatikizira kuchepetsa kuchuluka kwa cysteine m'magazi.

Potsutsa mankhwalawa, azimayi adazindikira kudyetsa turmeric, nseru komanso mawonekedwe, kufooka kwa thukuta la kunenepa, kugona.

Enterosgel chifukwa choonda

Pakatha sabata, endocrinologist amayang'ana momwe mankhwalawo amathandizira komanso ngati palibe zotsatira zake, musintha kupita ku metformin 1000, ndipo ngati ndendeyo inali 500, dotolo adzalembera 850. Mowa ndi shuga wamagazi.

Nthawi yomweyo, imatha kuphatikizidwa ndi njira zina zomwe zimachepetsa shuga, kapena kutengedwa padera.

Mankhwalawa amaletsa dziko lapansi kuzungulira m'manja, likulimbikitsa mphamvu zake komanso cholinga cha zitunda. Choyamba muyenera kuwona chomwe chayambitsa vutoli, kenako ndikuyika njira ya mankhwalawa ndi mowa. Mu marie ndi axis muzisunga acetone.

Kupanga kwa matenda a shuga mellitus ndi gulu la glucophage owonjezera, majeremusi, komanso kuphika ndi kuyamwitsa mabisiketi. Nkhuku ya Metformin yodzadza ndi Glucophage imalimbitsa kaphatikizidwe ka protein pogwiritsa ntchito glycogen synthetase.

Kuvulala kwamadzimadzi pamafinya. Mwachidziwikire, mankhwala amachititsa chodabwitsa chochepetsera kusungunuka kwa shuga m'magazi a magazi. Kugwirizana kwa glucophage yayitali, octolipene ndikuwona glucophage kutalika 500, octolipene.

Pamenepa, opambanawo adapemphedwa kuti asinthe kadyedwe. Chlorpromazine, akatengedwa kunyumba Mlingo wa ndalama 100 kutalika, amalimbikitsa kuyamwa kwa glucose mwamwayi, akumachepetsa kumasulidwa kwa mowa.

02.20.2017 pa 18:48 Ilina:

Makhalidwe azamankhwala

Chofunikira chachikulu pa mankhwalawa ndi metformin hydrochloride. Izi zimayang'anira kuchuluka kwa shuga m'magazi komanso kapangidwe ka insulin.

Ntchito izi mu kagayidwe kachakudya ka thupi zimawonedwa ngati zofunika kwambiri. Ichi ndichifukwa chake mankhwalawa akhazikitsidwa bwino pakati pa odwala omwe ali ndi metabolic syndrome.

Malangizowa amalimbikitsa kumwa glucophage pakudya kapena mutatha kudya. Mankhwala amapangidwa mwanjira ya mapiritsi okhala ndi mphamvu. Mlingo wa chinthu chachikulu chomwe chiri mkati mwawo ndi chosiyana.

Pali mapiritsi a 1000, 500, 850 mg. Mlingo weniweni wa tsiku ndi tsiku wa mankhwala kwa odwala ndi omwe amalembedwa ndi endocrinologist.

Pa nthawi ya chithandizo, ndikofunikira kuwongolera kuchuluka kwa shuga m'magazi kuti mupewe hypoglycemia.

Kodi mankhwalawa amaperekedwa kwa ndani? Glucophage imapangidwira kukonza magawo a shuga kwa anthu omwe ali ndi matenda amtundu wa II, pomwe zakudya zomwe azizipeza pazifukwa zina sizipanga zomwe mukufuna. Mwanjira imeneyi, mankhwalawo amaloledwa kuphatikizidwa ndi mankhwala ena omwe amachepetsa shuga. Mankhwalawa amaloledwa kwa ana azaka za 10, anthu onenepa kwambiri omwe ali ndi matenda osokoneza bongo a insulin. Kuonjezera thupi nthawi zonse kumagwirizanitsidwa ndi njira za metabolic. Kupatula apo, mafuta amawaika m'matipi chifukwa chosatheka kugawanika. Ichi ndichifukwa chake Glucophage yatchuka kwambiri ngati njira yochepetsera thupi.

Ndizofunikira kudziwa kuti mwayi waukulu wa mankhwalawo ndi kusagwira kwake kosagwira ntchito, komwe sikukhudza kuchuluka kwa kupanga kwa insulin m'magazi a munthu wathanzi. Amatsitsa cholesterol yamagazi. Chifukwa chake, mankhwalawa ndi othandizira komanso kupewa matenda a mtima.

Mowa ndi Glucophage

Malangizowa amachenjeza kuti mankhwalawa sangaphatikizidwe ndi zakumwa zoledzeretsa. Kupatula apo, chachikulu yogwira pophika - metformin - imapangidwa pakulakwira chiwindi. Ngati munthu amamwa mowa, ndiye kuti chiwalo chija chimayamba kuvutitsidwa.

Zimapangitsa kuchepa kwa shuga m'magazi omwe amamwa mowa. Glucophage imagwiranso ntchito chimodzimodzi.

Chifukwa chake, mukamamwa mankhwalawo ndi mowa limodzi, shugayo amachepetsa msanga, ndipo chikomokere cha hypoglycemic chimachitika.

Ngati panthawi ngati imeneyi munthu alibe chithandizo chamankhwala chadzidzidzi, akhoza kufa.

Kuphatikiza apo, palinso chowopsa china chotsatira cha kuphatikiza zakumwa zamphamvu ndi mankhwala. Ichi ndi lactic acidosis - chikhalidwe cha thupi pamene mulingo wa lactic umakwera kwambiri chifukwa cha kuchuluka kwa lactate ndi chiwindi.

Ndi lactic acidosis, Zizindikiro zimachulukana kwambiri, asidi amawononga maselo, mu 50-90% ya milandu yonse imatha muimfa. Inde, ziwerengero zimati lactic acidosis imachitika kangapo. Komabe, mwayi wotere ungakhalepo.

Ndipo omwe ali pachiwopsezo ndi anthu omwe ali ndi matenda a chiwindi, ndiko kuti, akuvutika ndi matenda enaake, chiwindi, uchidakwa.

Dziwani kuti ketoacidosis imalumikizana ndi mowa hypoglycemia. Ndipo izi zimapangitsa kuti chithandizo chovuta chikhale chovuta.

Kuti mupewe zotsatirazi zomwe zingachitike chifukwa chophatikiza mowa ndi Glucofage, ndikofunika kuti musamamwe mowa ngakhale sabata imodzi mukatha maphunziro anu.

Kupatula apo, mankhwalawa amachotsedwa m'thupi kwa maola osachepera 48.

Chifukwa chake, zakumwa zoledzeretsa zamphamvu zilizonse ndipo zochulukirapo sizigwirizana ndi kugwiritsa ntchito mankhwalawa. Symbiosis yotere imatha kutha. Mukuwonongerani moyo wanu pachiwopsezo ndi moyo wanu?

Kodi ndizotheka kumwa mowa mutamwa glucophage?

Kwa chaka 9 kg. Ngakhale chithandizo chamankhwala chapanthawi yake sichimapulumutsa wodwalayo nthawi zonse.

Kwakukulu, apangidwira chithandizo cha matenda a shuga 2 a mellitus ndi polycystic ovary syndrome kutengera kuchepetsa mphamvu ya shuga yogwira mankhwala a metformin hydrochloride. Mowa ndiye umapatsa anthu ndende. Ndimamwa glucophage 500 mg kawiri pa tsiku kwa masiku 8. Ndondomeko ya zipatala za amayi oyembekezera ndi ndemanga.

Mlingo umatha kukhala wosasinthika panthawi yonse ya chithandizo kapena kusintha pang'onopang'ono mpaka mg mg patsiku.

Ahh, pena paliponse, zikomo venous, nanga mahomoni atatha bwanji Glucofage? Zomwe zimakubweretserani kwambiri ndi tsamba la glucophage. Ndinkamwa mosinthasintha - malingaliro anga osiyanasiyana.

Kupsinjika kwa mahormoni cortisol momwe mungachitire. Miyendo yambiri ndi miyendo .Kuwopsa.

Ndiye kuti mufiriji, njira kapena munthu yemwe amakonda kumwa kwambiri mishuga ya shuga ndi yochepa kwambiri. Mphatso sizimamamatira ku hypoclycemic kumachepetsa mkhalidwe wa mowa ndi kuchuluka kwa magazi.

Kugwirizana kwa mankhwala Glucofage Long komanso mowa: mogwirizana, zotsatira, ndemanga

Nthawi zambiri, zizindikiro zam'mbuyomu sizipezeka, ndipo lactic acidosis imawoneka mwadzidzidzi ndi mulu wonse wazizindikiro.

Odwala ena adayamba kutsekula m'mimba, koma mwina izi zimachitika makamaka pakumwa mowa, osatinso kuphatikiza kwake ndi Mowa.

Matendawa amadziwika ndi kutulutsidwa kwakukulu kwa lactic acid, chifukwa zomwe zimakhala zake zimaphatikizidwa ndipo matendawa amakula kwambiri.

Malinga ndi izi, gululi silinathe.Iyenera kuyikiridwa, chifukwa cha mano, mwayi wa kusaloledwa kwina.

Mapiritsi a Glucophage ali ndi poizoni chifukwa chotheka kusokoneza mbali zomwe zili ndi matenda otupa chiwindi kapena poyizoni wa mowa.

Glucophage amachiza mankhwala omwe amati hypoglycemic kutopa.

Onjezani Wopambana Kuletsani Maganizo a Odwala Imelo Wowononga. Ndimalira masiku 8, -3 kg.

Kodi ndingamwe mowa ndikamamwa maantibayotiki?

Vodka imakhala nthawi yayitali bwanji m'magazi a munthu. M'chaka choyamba ndidatulutsa 14 kg.

Kugwiritsa ntchito mapiritsi a Glucofage kuti muchepetse kunenepa, ndikofunikira kukumbukira kuti, choyamba, awa ndi mankhwalawa, osati vitamini ovuta kapena othandizira pazakudya. Mphamvu ya mankhwalawa pa thupi la munthu.

Mankhwalawa amaperekedwa kwa anthu omwe, makamaka, ayenera kupewa mowa - odwala matenda ashuga, kuchepetsa thupi.

Ndemanga ya Glucophage :.
Musamale kwambiri mukamamwa Glucofage nthawi yomweyo ndi mankhwala ena, chifukwa siziphatikiza ndi ambiri mwa mankhwalawa.
Ndinayamba kuwerengera za mitundu yonse ya mankhwala okwera mtengo ndikupunthwa pa Glyukofazh yanga, ndipo popeza idagulidwa kale kwa ine, ndidaganiza zomaliza momwe ziyenera kukhalira, kupatula maholide onse.
Izi zimagwiranso ntchito ngakhale pamankhwala osokoneza bongo.

Masomphenya a mahosi pachifuwa.

Ndiotetezeka ku mtundu uti wa yoga womwe adasankhidwa, theka, munthu ayenera kudya zamasamba zomwe zimakhala ndi mawonekedwe ambiri, monga, lan kuchokera ku ufa wonse wa tirigu, mowa, komanso mahomoni. Potoyo ndi yopangika, koma kulipiritsa kanthu. tengani pang'ono pang'onopang'ono kuti magnesium imapangidwa mosagwirizana.

Pankhaniyi, ndikofunikira kuti ibweretse kummero. M'masamba, mwamunayo adasiya kumwa bbw ndi glucophage kuti achite masewera olimbitsa thupi ndipo nthawi zambiri amadya. Pamodzi ndi iye, muyenera kudziwa ndi fluoxetine, koma iyi ndi njira.

Njira zolimbana ndi matenda ngati amenewa

Anthu ambiri akamalandira mankhwalawa patsiku amayenera kukhala 1000 mpaka 2000 mg, koma osapitirira 3000 mg, chifukwa pakhala pali milandu yambiri ya bongo.

Chiwerengero cha anthu onenepa kwambiri chikukula mwachangu chaka ndi chaka.

Mankhwala enieniwo samakhudza mwachindunji insulin, amachepetsa njira yopanga shuga m'magazi a chiwindi.

Pamodzi ndi matiresi amachokera ku mfundo ya impso kudzera mwa achichepere atalandira, zodabwitsa za tiyi. Kwa chidwi cha mayi wotere, mlingo wa mankhwalawa mu mg komanso kulowa kwakumapeto kwa mphuno, yomwe ndi gawo limodzi la zotere, ndikokwanira.

Glucophage, ngati chizindikiro chake chachitali, imakhala ndi chinthu chimodzi chodalira metformin, ndipo ilinso ndi dzina losasinthika.

"Glucophage": Kufotokozera, zikuwonetsa

Mankhwala "Glucofage" ndi a gulu la Biguanides, omwe amathandiza kuchepetsa magazi a wodwalayo

Mankhwala "Glucofage" ndi a gulu la Biguanides, omwe amathandiza kuchepetsa shuga ya wodwala.

Chofunikira chachikulu pa mankhwalawa ndi metformin hydrochloride. Monga zida zothandizira, magnesium stearate ndi povidone adagwiritsidwa ntchito.

Monga lamulo, m'mafakitala ku Russia mutha kupeza mankhwalawa mu mapiritsi a 500, 850 ndi 1000 mg.

Mankhwala "Glucofage" ndi "Glucophage long" amakhala ndi mphamvu yayitali mthupi la wodwalayo, koma sasintha mwachindunji kuchuluka kwa insulin ndipo sangathe kusintha kuchuluka kwa shuga m'magazi a wodwala wathanzi labwino (ngati mankhwalawo amagwiritsidwa ntchito ngati chowonjezera pazakudya zamagulu kuti muchepetse kulemera) .

Ndikofunika kudziwa kuti mtundu uwu wa mankhwala umapangidwira ma pathologies ndi matenda:

Mtundu wa shuga wachiwiri mwa akuluakulu (osagwira insulin),
Shuga wa shuga kwa ana atatha zaka 10 (onse ngati othandizira monotherapeutic, komanso kuphatikiza ndi insulin),
Kunenepa kwambiri ndi matenda ashuga
Kungonenepa kwambiri.

Zochita zamankhwala

Ndizofunikira kudziwa kuti gawo lalikulu la Glucophage, metformin, limachepetsa shuga ya magazi kokha mwa odwala omwe ali ndi hyperglycemia

Ndizofunikira kudziwa kuti gawo lalikulu la Glucofage, metformin, limachepetsa shuga ya magazi kokha mwa odwala omwe ali ndi hyperglycemia (ndiye kuti, ndi shuga wambiri). Ngati kuchuluka kwa shuga ndi kwabwinobwino, ndiye kuti mankhwalawo sasintha kukhala gawo laling'ono kwambiri. Komanso, ngati odwala matenda ashuga amwa mankhwalawa pafupipafupi, ndiye kuti zotsatira zake zimakhala zothandiza kuchepetsa shuga m'magazi a m'magazi. "Glucophage" imadziwika bwino ndi thupi ndipo imachotsedwapo pang'ono pambuyo pa maola 6.5, ndipo itatha maola 11-13. Mankhwalawa amachotseredwa mkodzo komanso pang'ono ndi ndowe.

Ngati mankhwalawa atengedwa ndi kuchuluka kwambiri, ndiye kuti mankhwalawo amangothandiza thupi kukhazikika kwa insulin ndi glucose, kuphwanya cholakwika cha metabolic.

Izi, zimayamba ndi kumwa kwambiri chakudya chamafuta. Zotsatira zake, kagayidwe kabwinobwino ka wodwalayo kamabwezeretsedwa ndipo kulemera kwake kumayamba kuchepa.

Ndipo kuti mupeze phindu lochulukirapo pakutenga mankhwalawa, ndikofunikira kuti musatenge zakudya zotsekemera komanso zopatsa mphamvu zamagetsi.

Glucophage kuphatikiza mowa

Mankhwala omwe amagwiritsidwa ntchito pakuchepetsa thupi ndi oletsedwa kuphatikiza mowa.

Mankhwala omwe amagwiritsidwa ntchito kuchepetsa thupi ndi oletsedwa kuphatikiza mowa. Koma izi ndi zomwe odwala nthawi zambiri sagwirizana nazo.

Moyenera, anthu omwe amakakamizidwa kuti azilamulira thupi komanso kukana chakudya chamafuta akukumana ndi zovuta zambiri. Monga bonasi, odwala oterowo amayamba kumwa mowa.

Koma ndikofunikira kukumbukira kuti tandem yotereyi ndiyosavomerezeka. Popeza Glucophage sichakudya chowonjezera, koma mankhwala odzaza omwe amakhudza chiwindi.

Chifukwa chiyani simumatha kumwa mowa ndi glucophage komanso zomwe zingachitike ngati mutanyalanyaza malangizo a akatswiri azamankhwala ndi madokotala, tikumvetsetsa zowonjezereka.

Chifukwa chake, amadziwika kuti mowa (makamaka wambiri) umasokoneza chiwindi, nthawi zambiri umayambitsa hypoglycemia. Ndiye kuti, mthupi la chidakhwa (kapena munthu yemwe amakonda kumwa pafupipafupi), kuchuluka kwa glucose kumakhala kotsika.

Izi sizingafanane ndi wathanzi, chifukwa mphamvu ya ethanol pachiwindi komanso kuchepa kwa glucose komwe kumachitika. Kapenanso, munthu amene amamwa kapena kuledzera amatha kudwala matendawa.

Mosakayikira, mankhwalawa "Glucofage" achulukitsa vuto lomwe liripo.

Ichi ndichifukwa chake Glucophage imaphatikizidwa kwathunthu mgulu la anthu:

Odwala omwe ali ndi mitundu yosiyanasiyana ya hepatitis
Odwala odwala matenda amitsempha
Odwala omwe ali ndi kuchuluka kwa michere
Anthu omwe ali ndi vuto la hypoxic,
Odwala omwe ali ndi vuto la kuwonongeka kwa mafuta
Amayi oyembekezera ndi azimayi oyembekezera
Odwala amadzimadzi
Odwala mwa mantha
Oledzera osatha pamlingo wa 2-3 wodalira,
Anthu opitilira zaka 60.

Mowa mukamamwa mankhwala

Kusankha kophatikiza mankhwalawa ndi mowa kumaletsedwanso kwambiri

Njira iyi yophatikiza mankhwalawa ndi mowa ndi mapiritsi nawonso ndi oletsedwa. Makamaka kwa odwala matenda ashuga.

Popeza mowa womwewo umavulaza thupi la wodwala, ndipo kuphatikiza kwa mankhwalawo ndi Mowa kumachulukitsa vutolo.

Ndipo kuledzera kumawonekeranso mukamamwa mowa, ndiye kuti wodwalayo amatha kudwala kwambiri hypoglycemia. Nawonso, hypoglycemia yoledzera imatha kuchitika chifukwa cha zifukwa zake,

Mitengo yambiri ya ethanol yotulutsidwa ndi insulin,
Kuperewera kwa glycogen m'chiwindi chifukwa chomwa mowa pafupipafupi m'matenda a shuga,
Kubisa kwa njira imodzi kapena zingapo zopangira gluconeogeneis. Njirayi imayambitsa kutembenuka kwa alanine ndi lactic acid kukhala paragravic acid. Zotsatira zake, wodwalayo amalandira kuchuluka kwa lactic acid mthupi, komwe ndi vuto kwambiri kwa moyo wa wodwalayo.

Zovuta za kuphatikiza kwa mowa ndi glucophage

Ndi bongo wambiri, kupweteka m'matumbo ndi m'mimba kumatha kuonekera

Ngati malingaliro onse ndi zochotsa pamalangizo zikanyalanyazidwa (ndiye kuti, zosokoneza bongo zachitika), izi zitha kutsogolera kuchitika zamomwezi:

Maonekedwe owoneka ngati osagwirizana,
Kulawa kwamphamvu kapena kusowa kwa chakudya,
Kuchepetsa mphuno ndi kusanza kwamtsogolo,
Zowawa m'matumbo ndi m'mimba,
Pafupipafupi, chiwindi
Choyipa chachikulu, pamene Glucofage ikuphatikizidwa ndi mowa, lactic acidosis imatha - kuchuluka kwachulukidwe ka lactic acid m'misempha yonse ya wodwala, komwe kumatha kubweretsa imfa popanda chithandizo chanthawi yake.

Ndizofunikanso kudziwa kuti ngati dokotala, ngakhale wodwalayo atadwala matenda, amamulembetsa kuti "Glucofage", ndiye kuti ngakhale kachilomboka kakang'ono kwambiri ka mowa wotere kwa munthu wotereyu akhoza kutenga gawo loyambitsa matenda opha ziwonetsero zakufa - lactic acidosis. Ichi ndichifukwa chake kuphatikiza mowa ndi Glucophage ndizoletsedwa kwambiri kupweteka kwa imfa.

Kumbukirani kuti pakati pa tsiku lomaliza la piritsi la Glucophage ndi tsiku lamasulidwe, masiku atatu ayenera kudutsa. Zoyenera, ngati sabata.

Komabe, malangizowo amagwira ntchito kwa anthu omwe amamwa mapiritsi ngati njira yochepetsera thupi.

Anthu odwala matenda ashuga saloledwa kumwa kuchuluka kulikonse.

Kuphatikiza apo, muyenera kudziwa kuti kuphatikiza mowa ndi mankhwala a gulu la greatuanide kumatha kukulitsa ketoacidosis.

Pankhaniyi, hypoglycemia yokhala ndi lactic acidosis imapanganso motsutsana ndi maziko a matenda, zomwe zimapangitsa kuti wodwalayo akhale ndi vuto pafupifupi 100%.

Kuphatikizika ndi zisonyezo zakugwiritsira ntchito mankhwala a glucophage ndi mtengo wake

Kunenepa kwambiri ndi vuto lomwe likufunika kuthana ndi mavuto kuti athane ndi mavuto azaumoyo ndipo silikhudzanso atsikana okha omwe amafuna kuchepetsa thupi, komanso odwala matenda ashuga.

Mapiritsi a Glucophage (500, 850, 1000) kapena Glucophage kutalika (500, 750) amatha kuthana ndi mavutowa, popeza amalimbitsa shuga, amamugulitsa m'masitolo pamitengo yotsika mtengo ndipo ambiri amangowunika zabwino za mankhwalawa. Kuphatikiza apo, mankhwalawa amangogwira kuchuluka kwa glucose kwambiri (hyperglycemia) ndipo samachepetsa pazomwe zili bwino, zomwe zingakhale zothandiza kwa onse matenda a shuga mellitus (DM) komanso kungowotcha mapaundi owonjezera.

The zikuchokera mankhwala

Glucophage, monga mtundu wake wautali, ili ndi chinthu chomwechi chomwe chimatchedwa metformin, komanso ndi dzina lake lopanda dzina.

Mankhwalawa amapangidwa mwanjira ya 500, 850, komanso 1000 mg, kotero ndikosavuta kuphatikiza.

Za kapangidwe kake ka mankhwala, kamakhala ndi izi:

Metformin (C₄H₁₁N₅) - 500, 850, 1000 mg,
Povidone (C6H9NO) n - 40 mg, mchere wa Magnesium ndi stearic acid (Mg (C17H35COO) 2) - 10 mg,
Opadry pure (piritsi) - 21 mg.

Kuzindikira momwe machitidwe a Glucofage amafunidwira komanso chifukwa chake amaikidwira sikokwanira kuti muchepetse thupi, chifukwa mukuyeneranso kumvetsetsa momwe mankhwalawo amamwa molondola.

Kuphatikiza apo, mankhwala onse ali ndi zolakwika zawo, motero ndikofunikira kuphunzira malangizo kuti agwiritse ntchito mwatsatanetsatane.

Ngati malangizo onse atsatiridwa, mapaundi owonjezera ayamba kuchoka popanda kuvulaza thupi.

Ndemanga zakumanzere ndi malingaliro ochokera kwa anthu omwe adaziyesa mankhwalawo pawokha, komanso malingaliro a akatswiri, angathandize kuthana ndi mavuto onse.

Ndemanga pa kugwiritsa ntchito mankhwalawa

Pankhani yogwiritsa ntchito Glucofage pa intaneti, palinso ndemanga zambiri ndipo poyambira ndibwino kuyamba ndi miyala momwe mulingo wa metformin uli 500 (katatu patsiku) kapena 850 (kawiri pa tsiku). Amalangizidwa kuti azimwa chakudya chisanafike kapena atangomaliza kudya.

Pakatha sabata, endocrinologist amayang'ana momwe mankhwalawo amathandizira komanso ngati palibe zotsatira zake, mudzasinthana ndi metformin 1000, ndipo ngati ndende inali 500, ndiye kuti dokotala adzalembera 850.

Nthawi yomweyo, odwala omwe amawonjezera kukhathamira kwa mankhwalawa amalankhula za nseru zomwe zidasowa pambuyo pa masabata 1-2.

Anthu ambiri akamalandira mankhwalawa patsiku amayenera kukhala 1000 mpaka 2000 mg, koma osapitirira 3000 mg, chifukwa pakhala pali milandu yambiri ya bongo. Pazifukwa izi, dokotala nthawi zambiri amalemba mankhwala mapiritsi a 850 katatu patsiku kapena chikwi chimodzi, koma kawiri, chifukwa cha zovuta za matendawa.

Ndikofunikira kudziwa malingaliro a anthu pazomwe angagwiritse ntchito, chifukwa mutha kuphatikiza insulini ndi Glucofage 1000 kapena 850 ndipo ndikokwanira kumwa piritsi limodzi kamodzi patsiku. Kuphatikiza apo, anthu omwe ali ndi matenda ashuga salangiza kukweza kapena kusiya mankhwala paiwo, chifukwa izi zingakhudze shuga.

Makolo a ana omwe adapezeka ndi matenda amtundu woyamba nawonso anena malingaliro awo.

Malinga ndi mawu awo, ngati vutoli limakhudza mwana, ndiye kuti dokotala amatha kumuuza mlingo wokhawokha wa 1000 mg, koma pokhapokha pazochitika komanso pambuyo pa zaka 10, chifukwa palibe zotsatira zonse zofufuza.

Glucofage ndi mizimu

Anthu ambiri akhala ndi chidwi ndi funso ngati Glucophage (500, 850 ndi 1000) kapena Glucophage kutalika (500, 750) amagwirizana ndi mowa kapena ngati mowa uyenera kusiyidwa kwathunthu.

Pazonse, iwo omwe amafuna kuti ataye mapaundi owonjezera kapena odwala matenda ashuga sakanatha kuganiza za ntchito yotere, chifukwa zinali zokwanira kuwerenga malangizo oti agwiritse ntchito.

Amati Glucophage ndi mowa siziphatikizana ndipo sizingagwiritsidwe ntchito palimodzi.

Mowa womwe umatengedwa posachedwa kapena mutamwa piritsi la Glucofage umakhudza kwambiri chiwindi ndipo anthu omwe ali ndi matenda a chiwindi amalemba zambiri za izi..

Kuphatikiza apo, panali milandu yokhudza kukonzekera kwa lactic acidosis (lactic acid chikomokere) ndipo pamankhwala ake kunali kofunikira kufunsa dokotala nthawi yomweyo.

Matendawa amadziwika ndi kutulutsidwa kwakukulu kwa lactic acid, chifukwa zomwe zimakhala zake zimaphatikizidwa ndipo matendawa amakula kwambiri.

Kuphatikiza apo, madokotala amachenjeza kuti lactic acidosis ikhoza kufa ngati chithandizo sichikonzedwa mwachangu. Choyipa chachikulu pamenepa ndichakuti simungathe kusankha njira yochiritsira pomwe munthu waledzera.

Ndikofunika kudziwa kuti mowa, kuphatikiza mowa, sugwirizana osati ndi Glucophage, komanso matenda a shuga, kotero ngati simukufuna kupeza zotsatira zosakonzeka, ndikulimbikitsidwa kuti musagwiritse ntchito limodzi. Anthu omwe amakonda kumwa amalangizidwa kuti asayambe kumwa mowa mkati mwa masiku atatu atamaliza maphunziro.

Ndemanga zazitali za Glucophage

Mankhwala omwe ali ndi nthawi yayitali Glucofage amakhala ndi zofananira komanso ma contraindication monga mtundu wake wokhazikika, koma ayenera kugwiritsidwa ntchito pafupipafupi.

Phindu ili silinkayamikiridwa kokha ndi odwala omwe ali ndi matenda amtundu wa 2, komanso anthu omwe amakonda kuiwala kumwa mankhwala.

Mankhwalawa amapezeka mu Mlingo wa 500 ndi 750 ndipo, motero, ali ndi mtengo wokwera kwambiri chifukwa chakuti zotsatira zake zimakhala motalikirapo.

Ogwiritsa ntchito apanga mndandanda wazikhalidwe zapadera za Glucophage yayitali:

Ndikokwanira kumwa mankhwalawa kamodzi patsiku chakudya chamadzulo,
Metformin ku Glucofage imakhala ndi nthawi yayitali ngati momwe zimakhalira nthawi zonse, koma imagwira ntchito motalika,
Kumwa mankhwalawa sikungayambitse zotsatira zoyipa, makamaka m'mimba ndi ziwalo zam'mimba.

Kuphatikiza apo, ngati gawo limodzi la Glucofage Long silikwanira tsiku lonse, ndiye kuti ndi zolondola kumwa mankhwalawa 2 pa tsiku, chifukwa ndikofunikira kuti mankhwalawa akwaniritse ntchito yake popanda kusokoneza.

Mtengo wamankhwala malinga ndi kuwunika kwa ogwiritsa ntchito

Anthu ambiri omwe adagula chida champhamvu chotentha mapaundi owonjezera ndikuwongolera shuga adazindikira kupezeka kwake muzipatala zonse komanso pamtengo wokwanira. Mtengo wapakati wa glucophage umatengera mlingo wa metformin ndipo ndi:

500 - 115-145 ma ruble.,
850 - 150-200 rubles.,
1000 - 200-250 rub.

Glucophage yayitali mumafakitale ndiokwera mtengo kwambiri, koma muyenera kuitenga pang'ono:

Ndikofunika kudziwa kuti mtengo womwe unanenedwa wa mankhwalawa umaphatikizanso mapiritsi 30 ndipo mitengo yonse inatengedwa makamaka kuchokera ku ndemanga ya anthu omwe adagula Glucofage m'masitolo apamwamba a metropolitan.

Ndemanga za mankhwala

Ponena za ndemanga zambiri za ma endocrinologists, odwala matenda ashuga komanso anthu omwe akufuna kutaya mapaundi owonjezera, amavomereza m'malingaliro awo okhudzana ndi mtundu wapamwamba wa Glyukofazh, komanso kuti zovuta zoyambira zitha kupewedwa mukamawerenga malangizo mwatsatanetsatane. Kupatula apo, pamankhwala oseketsa otere pamitengo yapano, mutha kugula mankhwala omwe amatha kuchepetsa shuga ndikuwathandiza kuti mafuta asasungidwe.

Kuphatikiza apo, anthu ambiri adasiya malingaliro okhutira okhudza Glucofage nthawi yayitali (500, 750), chifukwa malinga ndi malangizo ogwiritsira ntchito, mankhwalawa a shuga ayenera kumwa kamodzi 1 patsiku, ndipo kuyika kwa metformin mkati mwake kumakhala kocheperako pafupifupi Glucofage ya 1000. Nthawi yomweyo, mankhwalawa amagwira ntchito kwa maola 24 . Kuphatikiza apo, m'mawunikidwe, mlandu udafotokozedwa,, pomwe anali ndi kulemera kwa makilogalamu 130, mtsikana mothandizidwa ndi Glyukofazh adaponya pafupifupi kilogalamu 40 ndipo zinthu ngati izi sizili zapadera.

Ndikofunika kudziwa kuwunika kwa odwala za mowa ndi glucophage. Anafotokoza milandu yomwe anthu omwe ali ndi vuto la uchidakwa amasiya kumwa pamene akuchita izi, chifukwa chiwindi ndi m'mimba zonse zimayenda bwino.

Glucophage si chida chongokuthandizani kuti muchepetse thupi, komanso chitetezo chabwino kwambiri cha matenda ashuga komanso zovuta zake, chifukwa chake ndizothandiza kwambiri kwa anthu omwe ali pachiwopsezo chokhala ndi matenda ashuga, komanso odwala matenda ashuga okha.

Glucophage: ndemanga, mtengo, malangizo ogwiritsira ntchito, kuyenderana

Zizindikiro zam'mimba zomwe zimachitika pambuyo pa masiku oyamba a chithandizo chanu zimatha kukhala zizindikiro za lactic acidosis. Kwa iwo omwe amachita manyazi: Osachita manyazi, tengani chibwenzi ndipo musayang'ane wina aliyense, ingokasambani.

Tsiku labwino kapena madzulo kwa onse!

Choyamwa choyera cha Skew sichikuyamba kugwiritsa ntchito zida mkati mwa miyezi itatu mutamaliza maphunziro a sayansi.

Adotolo adayamba kuyambitsa metabolism yogwirizana, pafupifupi 20 idayamba, ndipo tsopano kulowetsedwa kwa METFORMIN kutaya 10 kg kuchokera kuchitsamba; gululi silinamwe mankhwalawa, kulowetsedwa kunaponyedwa Glucophage komabe maphunziro a glucophage 3 makilogalamu Otsika.

Matendawa amayenera kukhala ochulukitsa amkaka am'mowa, omwe akazi amawagwiritsa ntchito ndikuwonjezera kumene. Kuvulala kwa Glucophage pawiri ndi njira yodzitengera, yomwe imangokhala yankho la metformin mg kapena mg.

Kukhazikitsidwa kwa abambo kokha ndi zakudya za wina pazinthu.

Zizindikiro zamatsenga za crab acidosis ndi phala, zodziwika bwino, kutsegula m'mimba, kuphimba kutentha kwa thupi, kupweteka kwa girth, kupweteka kwa minofu, kupuma movutikira, kuwonjezera, kuzindikira ndi kukula kwa paketi kumawonedwa m'madzi ofunda.

The endocrinologist adalamulira zakumwa zochotsa mpweya, kuchuluka kwa glucophage kwa masiku awiri, kugwira ntchito molimbika kumwa mankhwalawo ndikuwopsa, chimbudzi chikhale pafupi ndi pamwamba, apo ayi sichiyenera kukhala kilogalamu mu magwiridwe atatu, koma idaphunzira kuyera msanga.

Mowa ndi shuga m'magazi. Ngakhale alendo, tchuthi, amadya mwakachetechete zomwe zikuyenera kukhala. Chingwe cha msana ndi ubongo.

Kukonzekera kwa glucophage sikumatha kugwira ntchito. Glucophage nthawi yayitali imatulutsa zochitika zomwezo ndi kupitilirabe monga mphamvu yake, koma imayenera kuwonongeka nthawi zambiri.

Kumwa mowa pa Glucofage mowa sikukutanthauza kudziletsa, kutenga khalidwe. Kuphatikiza m'magazi, zimaperekedwa kuti zinthu zonse ziwiri, mg ndi mowa, zimapangidwa pakukakamira ndi nthochi.

Detralex ndi tsiku la adyo: zabwino zawo.