Forsiga: malamulo ndi momwe mungagwiritsire ntchito mankhwalawa

Forsiga ndi mankhwala osokoneza bongo a hypoglycemic, mtundu womwe umasinthanso mtundu 2 wa glucose cotransporter inhibitor (SGLT2). The yogwira ndi dapagliflozin.

Mankhwala amaletsa kutanthauzira kwa impso - pambuyo pa kugwiritsa ntchito Forsig, pali kuchepa kwa glucose m'mawa musanadye koyamba komanso mutatha kugwiritsa ntchito. Zotsatira zake zimasungidwa kwa maola 24.

Chimodzi mwazabwino za mankhwalawa ndikuti amachepetsa mphamvu ya shuga ngakhale wodwalayo awonongeka ndi kapamba, zomwe zimayambitsa kuphedwa kwa maselo ena a β-cell kapena kukula kwa minofu yotsutsa insulin.

Kuwonongeka kwa shuga ndi impso zomwe zimayambitsidwa ndi yogwira ntchito zimayendera limodzi ndi kuchepa kwa zopatsa mphamvu komanso kuwonda. Kuletsa kwa sodium glucose cotransport kumachitika ndi ofooka osakhazikika natriuretic ndi okodzetsa zotsatira.

Kapangidwe Forsig (piritsi limodzi):

• Zogwira ntchito: dapagliflozin - 5/10 mg,
• Zothandiza monga (5/10 mg): cellcrystalline cellulose - 85.725 / 171.45 mg, anactrous lactose - 25/50 mg, crospovidone - 5/10 mg, silicon dioxide - 1.875 / 3.75 mg, magnesium stearate - 1.25 / 2,5 mg
• Shell (5/10 mg): opadry 2 wachikasu (pang'ono hydrolyzed polyvinyl mowa - 2/4 mg, titanium dioxide - 1.177 / 2.35 mg, macrogol 3350 - 1.01 / 2.02 mg, talc - 0.74 / 1.48 mg, utoto wa iron okusayidi wachikasu - 0,073 / 0,15 mg) - 5/10 mg.

Zizindikiro zogwiritsidwa ntchito

Kodi Forsig amathandiza chiyani? Malinga ndi malangizo, mankhwalawa amapatsidwa mankhwala ochizira matenda a shuga 2 monga njira yowonjezerapo zakudya komanso kuchita masewera olimbitsa thupi pofuna kupititsa patsogolo kayendedwe ka glycemic:

• Monga gawo la zovuta za mankhwala ndi mankhwala ena a hypoglycemic osakhalapo kapena osakwanira,
• Monga monotherapy,
• Monga gawo la mankhwala ophatikiza ndi metformin.

Malangizo a Forsig (5 10 mg), mulingo

Mapiritsi amatengedwa pakamwa, mosasamala chakudya, osafuna kutafuna.

Mlingo wovomerezeka womwe ulimbikitsidwa ndi malangizo a Forsig - piritsi 1 10 mg 1 nthawi patsiku. Mukamapangira mankhwala osakanikirana ndi kukonzekera kwa insulin kapena mankhwala omwe amalimbikitsa katemera wa insulin (makamaka, zotumphukira za sulfonylurea), kuchepetsedwa kwa mlingo kungafunike.

Kuyambitsa kuphatikiza mankhwalawa ndi metformin - mlingo woyenera ndi 10 mg 1 nthawi patsiku, mlingo wa metformin ndi 500 mg 1 nthawi patsiku. Ngati matenda a glycemic asakwanira, mlingo wa metformin uyenera kuchuluka.

Ndi matenda a chiwindi osakhazikika pang'onopang'ono kapena pang'ono, palibe chifukwa chosinthira mankhwala. Kwa odwala omwe ali ndi vuto lotupa la hepatic, mlingo woyambirira wa 5 mg umalimbikitsidwa. Ndi kulekerera kwabwino, mlingo umatha kuwonjezeka mpaka 10 mg.

Musanayambe kugwiritsa ntchito Forsigi, muyenera kukayezetsa, kuphatikizapo mayeso a impso. Kupitilira apo, maphunziro ngati amenewa ayenera kubwerezedwa kawiri pachaka motsutsana ndi maziko a zamankhwala ndipo ngati kupatuka pang'ono kwapezeka, sinthani mlingo.

Zotsatira zoyipa

Malangizowa amachenjeza za mwayi wokhala ndi zotsatirapo zoyipa mukamapereka Forsig:

• Kuchulukitsa tsiku ndi tsiku diuresis (polyuria),
• Glucosuria (kukhalapo kwa glucose mkodzo),
• Kuthetsa madzi m'thupi
• Pakamwa pakamwa
• Wanjala
• Zofooka
• Matenda a genitourinary system, chifukwa chake, kuchuluka kwa kutentha kwa thupi (kuyabwa, redness m'chigawo cha inguinal, etc.),
• Pyelonephritis,
• Kutupa kwamanja miyendo (chifukwa chosowa madzi mthupi),
• Pakhoza kukhala neoplasia yoyipa (zosatsimikizika),
• Khansa ya chikhodzodzo, Prostate (zosatsimikizika),
• Kudzimbidwa
• Kuchulukitsa thukuta
• Kuwonjezeka kwa magazi kupangainine ndi urea,
• Matenda a shuga ketoacidosis
• Ululu wammbuyo.

Contraindication

Amakanizidwa kupatsa Forsig milandu zotsatirazi:

• Kusalolera payekhapayekha pazigawo za mankhwala,
• Mtundu woyamba wa shuga
• Matenda akulu a impso, ophatikizidwa ndi ziwalo zopuwala,
• Kulephera kwina
• Congenital lactose tsankho, malabsorption syndrome,
• Matenda a shuga ketoacidosis
• Osakwana zaka 18
• Mimba komanso nthawi yoyamwitsa.

Mankhwalawa sanatchulidwe pogwiritsira ntchito diuretics, komanso kwa anthu azaka zopitilira 65.

Fotokozerani mosamala:

• Matenda opatsirana komanso otupa a kwamikodzo,
• Kuphwanya mulingo wamchere wamadzi ndi chiopsezo chakuchepetsa kuchuluka kwa magazi,
• Kulephera kwamtima kosalekeza
• Mkulu hematocrit.

Bongo

Mankhwalawa amalekeredwa bwino ngakhale mlingo utatha kuchuluka kwa 50.

Pankhani ya bongo wambiri, symptomatic mankhwala amachitika.

Zofanizira za Forsig, mtengo pama pharmacies

Ngati ndi kotheka, mutha kusintha m'malo mwa Forsig ndi analogue mu achire - awa ndi mankhwala:

Posankha analogi, ndikofunikira kumvetsetsa kuti malangizo ogwiritsira ntchito Forsig, mtengo wake ndi malingaliro ake sizikugwira ntchito ndi mankhwala omwewo. Ndikofunikira kupeza upangiri wa dokotala komanso kuti usasinthe popanda mankhwala.

Mtengo m'masitolo apamwamba aku Russia: Mapiritsi a Forsig 10 mg 30 - kuchokera 2113 mpaka 2621 rubles, malinga ndi mafakitale a 729.

Sungani pamatenthedwe mpaka 30 ° C. Pewani kufikira ana. Moyo wa alumali ndi zaka zitatu.

Miyezo yofalitsa kuchokera kuzipatala ndi mankhwala.

Ndemanga 4 za "Forsiga"

Ndakhala ndikumwa Forsigu kwa chaka chimodzi tsopano. Sindinganene kuti sindingathe kukhala ndi matenda ashuga. Shuga monga anali 10 ndikugwira. Zowona, zimatsikira ku 8, 5. Sindikudziwa zomwe zimalumikizana.

Mothandizidwa ndi chakudya, shuga samadzuka kupitirira 9. Kupanikizika kwamankhwala kwayima. Asanatenge Forsigi ndi Valza, idakwera 250. Koma kuyambira Seputembala mpaka Marichi, adataya 9 kg. Kulemera makilogalamu 64, tsopano 55. Ndipo kuchepa kumapitilira. Zonse zikhala bwino, koma ndikusungunuka tsiku lililonse!

Chilichonse chili bwino, koma kuyabwa kudayamba m'dera loyandikira ... adotolo atanena kuti bowa amathawa mchere.

Funso langa ndikuti, kodi thupi limakakamiza? Miyezi isanu ndi umodzi ya kumwa mankhwalawa ndikuyamba kumwa ndikuyamba kuti sindinayese zaka 7 zokha.

Momwe mungagwiritsire ntchito?

Malangizo a Forsig ogwiritsira ntchito:

• 10 mg ya mankhwala patsiku amagwiritsidwa ntchito nthawi imodzi ndipo zotsatirazi:
  • ndi mankhwala okha ndi mankhwala awa,
  • kuphatikiza ndi metformin,
  • mukayamba chithandizo ndi metformin, iyenera kukhala 500 mg kamodzi paola 24 (ngati kuli kotheka, kuchuluka kwake kumawonjezeka),
• Madokotala amalimbikitsa odwala omwe ali ndi vuto la chiwindi osachepera pang'ono kapena mwamphamvu kuti atenge 5 mg ya mankhwalawa pokhapokha atachita bwino kuti amuchotsere wodwala muyezo wa 10 mg.
• Ngati wodwalayo wavulaza impso pang'ono, ndiye kuti mankhwalawo sakhala othandiza. Ndikowonongeka kwakukulu, zotsatira zake sizingakhale konse. Ichi ndichifukwa chake ndi magawo omwe ali pamwambawa kulephera kwa impso, mankhwalawa sayenera kumwa. Gawo losavuta silifunikira kukonzanso mlingo wa tsiku ndi tsiku wa mankhwalawa - mutha kumwa kutengera maphikidwe wamba.
• Pofikira wodwala wokalamba, mankhwalawa amayenera kukhala osamala, chifukwa chiopsezo cha kulephera kwa impso ndi kuchuluka kwa magazi kumakhala kokwanira kwambiri. Mwa anthu opitilira 75, mankhwalawa sanayesedwe, motero sayenera kumwa.

Ndi dokotala yekhayo amene angakulangireni chithandizo choyenera ndi Forsig, mutatha kufufuza mozama komanso kuzindikira. Kudzipangira nokha kukwera mu shuga, makamaka mosalekeza, kumatha kuvulaza thupi.

Kodi zikuwonetsa chiyani?

Malangizo ogwiritsira ntchito mankhwala Forsig amalimbikitsa kuti mugwiritse ntchito zotsatirazi:

1. Ndi matenda a shuga a mtundu wachiwiri ngati njira yowonjezera yolimbikitsira wodwalayo
2. Monga njira yodziwika bwino yamatendawa.
3. Ngati chithandizo chikuchitika ndi metformin, sulfonylureas kapena insulini yopangidwa mumankhwala kapena osakwanira mu index ya glycemic pamankhwala, Forsig angagwiritsidwe ntchito,
4. Mukayamba mankhwala mu kampani ndi metformin, ngati pangafunike.

Ndikofunika kukumbukira kuti mankhwalawa sangathe kugwiritsidwa ntchito ngati matenda a shuga a mtundu woyamba, pokhapokha potsatira zina.

Kodi mankhwalawa amagwira ntchito bwanji?

Chofunikira chachikulu pa mankhwalawa ndi dapagliflozin. Ntchito yake ndikupangitsa kuti thupi lizipanga shuga wambiri kuposa masiku onse. Ndiye kuti, amatsitsa pakhomo, amachepetsa kuchuluka kwa mayamwidwe ake. Njira yoyeretsera magazi a shuga imawoneka motere:

• Impso ndi ziwalo zikuluzikulu zamagazi zomwe zili m'thupi la munthu,
• Masewera a glucose akapezeka, amawona kuchuluka kwina kukhala kwawoko, ndipo owonjezera amawachotsa mwanjira zonse - limodzi ndi mkodzo,
• Izi zoletsa kuchuluka kwa glucose zimapangitsa thupi kugwira ntchito bwino, osatseka, thupi lathu lopangidwa ndi chisinthiko likudziwa bwino lomwe zomwe sizingapumulidwe, komanso zomwe zingavomerezedwe. Ngati ndizosavuta, magazi akudutsa impso amayenda mu zigawo zingapo zomwe zimasefa chilichonse chosafunikira,
• Kupitilira apo, madziwo atachotsedwa amakhala mkodzo woyamba, kunena kwake, magazi osapatsa mapuloteni, 90% yomwe imabwezeretseka, ndipo pakatha tsiku limodzi, mkodzo womwe umatsala umachokera ku 10% yotsala, yomwe imatsanulidwa ndi thupi limodzi ndi shuga wambiri.

Ndi matenda a shuga, kuchuluka kwa glucose komanso tinthu tambiri ta acetone, komwe timakhala komweko kwa nthawi yayitali, zimapezeka m'magazi. Asayansi adaganiza zokhudzana ndi impso kuti amuchotsere shuga ochulukirapo mwachindunji mu mkodzo wachiwiri kuti athetse kuchuluka kwa gawo pa kuyeretsa magazi.

Chifukwa cha zomwe zimagwira, impso zimatha kuchotsa shuga m'thupi. Zimakhudza kuyamwa kwa impso, kukulolani kuti mutumize pafupifupi 60-80 magalamu a zinthu zochulukitsitsa mu mkodzo. Izi zikufanana ndi chakuti thupi limangotulutsa 300 kilocalories patsiku. Ili ndi gawo limodzi mwachilengedwe - kuwonjezeka kwa mkodzo, motero kufunikira kwakanthawi kochepa. Nthawi zambiri kuchuluka kwa "maulendo" kumawonjezeka ndi 1-2 mu maola 24.

Chofunikira ndichakuti kumwa mankhwalawa sikukhudza mtundu wa insulin, womwe umakulolani kuti mugwiritse ntchito ndi insulin.

Zotsatira zake zoyipa ndi ziti?

Pali zovuta zingapo zomwe zimayenderana ndi mankhwalawa:

• polyuria - kukodza pafupipafupi,
• kupezeka kwa glucose mukuwonongeka kwa thupi - mkodzo,
• kusowa kwamadzi, i.e. kusowa kwa madzi mthupi,
• kamwa yowuma
• waludzu kwenikweni
• chiopsezo chachikulu cha matenda opatsirana kudzera mu genitourinary thirakiti ndi zonse zofanana,
• Pyelonephritis - kutupa kwa impso zoyambitsidwa ndi kachilombo ka bakiteriya,
• chifukwa chosowa madzi, kukokana kumatha kuchitika usiku,
• kudzimbidwa
• munthu amatha thukuta kwambiri
• kuchuluka kwa zinthu zamagazi monga urea ndi keratin,
• matenda ashuga ketoacidosis,
• kupweteka kumbuyo
• dyslipidemia - kuphwanya lipid kagayidwe.

Palinso umboni wosatsimikizira kuti Forsig amatha kuyambitsa neoplasia kapena khansa ya chikhodzodzo kapena chikhodzodzo. Ndikofunikanso kudziwa kuti mankhwalawa amadzaza kwambiri impso, kuwakakamiza kuti azigwira ntchito mwakhama, kuti athetse shuga wambiri. Izi zimapindika kwambiri ndipo sizingakhudze kugwiritsa ntchito nthawi yayitali. Pali mwayi kuti pakapita nthawi, ntchito za impso zimatsika, ndipo magwiridwe awo adzachepa.

Chowonadi ndi chakuti shuga imakhudza kwambiri impso. Anthu omwe ali ndi mavuto kale ndi matupi awa ayenera kusiya mankhwalawa, chifukwa izi zimakulitsa vutoli. Mukayamba phwando lalitali kuyeretsa ndikubwezeretsa ntchito, chifukwa, kufalikira kwa impso kumatha kukhala kofunika kotero kuti hemodialysis ikufunika.

Zotsatira zosasangalatsa za mankhwalawa ndi kupezeka kwa shuga mumkodzo, womwe umathandizidwa kudzera mu genitourinary system. Popeza sing'anga yotentha yokhala ndi glucose imatha kuyamba kugwira ntchito mwachangu ndikukhala malo abwino kwambiri opanga mabakiteriya oyipa onse, kutengera ziwalo zoberekera kumayamba. Komanso, azimayi amakhala ndi zotulukazi nthawi zambiri kuposa abambo, makamaka opanda ukhondo.

Kodi ndingagwiritse ntchito kuchepa thupi?

Mankhwala a Forsig amatha:

• Chotsani zopatsa mphamvu zina mthupi, kuchotsa zochuluka
• Madzi owiritsa thupi, kupangitsa kukhala kosavuta.

Zinthu zonsezi zitha kukuthandizani kuti muchepetse thupi pafupipafupi. Komanso, mankhwalawa sangagwiritsidwe ntchito kuti muchepetse thupi (Ngati mukufuna kuchepetsa thupi, tikupangira kugwiritsa ntchito njira zomwe zanenedwa m'nkhaniyi: momwe mungachotsere m'mimba ndi m'mbali panyumba nthawi yochepa).

Chowonadi ndi chakuti mukatenga, mutha kutaya mapaundi ochepa, mwina ngakhale ndi 10-15 ndikugwiritsa ntchito nthawi yayitali. Komabe, mutasiya kugwiritsa ntchito mankhwalawa, kuchuluka kwa madzimadzi kudzachira m'masiku ochepa, ndipo ngati mutasunga zakudya zochulukirapo zama calorie, ma kilogalamu amabwerera zenizeni m'milungu ingapo.

Potere, impso zimakhudzidwa kwambiri, matenda a genitourinary system ndi zina zambiri, zosasangalatsa zomwe zingachitike. Mankhwala a Forsig amagwiritsidwa ntchito kokha kwa hyperglycemia, kukonza mkhalidwe wa wodwalayo, mosasamala kanthu ndi chithandizo cha insulin.

Kapangidwe ndi mfundo zoyenera kuchitapo

Chofunikira chachikulu chomwe ndi gawo la mankhwala Forsig ndi dapagliflosin. Zimathandizira kuchepetsa shuga m'magazi mwa kuletsa kuyamwa kwa glucose ndi mafupa aimpso ndikuwachotsa ndi mkodzo.

Monga mukudziwa, impso ndizosefera za thupi zomwe zimathandizira kuyeretsa magazi a zinthu zowonjezera, zomwe zimatsanulidwa limodzi ndi mkodzo. Pa kusefedwa, magazi amatsukidwa pamagawo angapo a kuyeretsa, kudutsa m'mitsempha yama saizi osiyanasiyana.

Mukuchita izi, mitundu iwiri ya mkodzo imapangidwa m'thupi - yoyamba komanso yachiwiri. Mkodzo woyambirira ndi seramu ya magazi yoyeretsedwa yomwe imalowetsedwa ndi impso ndikubwerera m'magazi. Chachiwiri ndi mkodzo, wokhuta ndi zinthu zonse zosafunikira kwa thupi, zomwe zimachotsedwa mwachilengedwe.

Asayansi akhala akuyesera kuti agwiritse ntchito impso iyi kuti ayeretse magazi owonjezera alionse kuchiza matenda amtundu wa 2. Komabe, kuthekera kwa impso sikukhala ndi malire, chifukwa chake sangathe kuchotsa kwathunthu shuga onse m'thupi ndipo potero amachotsa wodwala wa hyperglycemia.

Kuti achite izi, amafunikira wothandizira yemwe angalepheretse kuyamwa kwa glucose ndi rebu tubules ndikuwonjezera kutuluka kwake limodzi ndi mkodzo wachiwiri. Ndi malo awa omwe dapagliflozin amakhala nawo, omwe amasamutsa shuga yochulukirapo kuchokera mkodzo woyamba kupita sekondale.

Izi zikuchitika chifukwa cha kuwonjezeka kwakukulu kwa zochitika zama protein a transporter, omwe amatenga mamolekyulu a shuga, kuwaletsa kuti asatengeke ndi minyewa ya impso ndikubwerera m'magazi.

Dziwani kuti kuchotsa shuga wambiri, mankhwalawa amawonjezera kukodza, chifukwa chake wodwalayo amayamba kupita kuchimbudzi nthawi zambiri. Chifukwa chake, kuti mukhale ndi madzi abwinobwino mthupi, wodwalayo akulimbikitsidwa kuti achuluke kuchuluka kwa madzi omwe amamwetsa malita a 2,5 mpaka 2 patsiku.

Mankhwalawa amatha kumwa ngakhale ndi odwala omwe ali ndi matenda a shuga a 2 omwe akuchiritsidwa ndi insulin.

Mlingo wa timadzi timeneti m'magazi sizikhudza mphamvu ya Forsig, yomwe imapangitsa kuti ikhale chida chothandizira ponseponse.

Zothandiza katundu

Chimodzi mwazabwino za mankhwala a Forsig ndikuti limapereka mphamvu yake ya hypoglycemic ngakhale wodwalayo atawonongeka ndi kapamba, zomwe zimayambitsa kuphedwa kwa maselo ena a β-maselo kapena kukula kwa minofu yotsutsa insulini.

Nthawi yomweyo, kutsitsa kwa shuga kwa Forsig kumachitika mutatenga piritsi loyambalo la mankhwalawo, ndipo kulimba kwake kumadalira kuopsa kwa matenda ashuga komanso kuchuluka kwa shuga m'magazi. Koma mwa odwala ambiri, kuyambira koyambirira kwa mankhwala ochiritsira pogwiritsa ntchito mankhwalawa, kuchepa kwa glucose yodziwika bwino kwachilendo.

Chofunikira china ndikuti mankhwalawa a Forsig ndi oyenera kuthandiza odwala omwe azindikira zakupezeka kwawo, komanso kwa omwe ali ndi zaka zopitilira 10. Katunduyu wamankhwala amawapatsa mwayi woposa mankhwala ena ochepetsa shuga, omwe amakonda kwambiri kutalika kwa matendawa komanso kuuma kwa matendawa.

Mlingo wabwinobwino wamagazi, womwe umapezeka mutatenga mapiritsi a Forsig, umakhalapo kwa nthawi yayitali. Komabe, ndikofunikira kutsindika kuti mphamvu yotchulidwa kwambiri ya hypoglycemic imawonetsedwa ndikugwira bwino ntchito kwamikodzo. Matenda aliwonse a impso amatha kuchepetsa mphamvu ya mankhwalawa.

Mapiritsi a matenda a shuga a Forsig amathandizira kuthamanga kwa magazi, komwe kumathandiza kupewa matenda osiyanasiyana a mtima omwe nthawi zambiri amapezeka mwa anthu odwala matenda ashuga. Kuphatikiza apo, mankhwalawa amatha kutengedwa nthawi yomweyo ndi othandizira ena a hypoglycemic, mwachitsanzo, monga Glucofage kapena insulin.

Mankhwala a Forsig akhoza kuphatikizidwa ndi mankhwala omwe amapangidwa pazotsatira zotsatirazi:

1. Sulfonylurea,
2. Glyptin,
3. Thokozani,
4. Metformin.

Kuphatikiza apo, Forsig ali ndi zowonjezera zina ziwiri, zomwe, komabe, ndizofunikira kwambiri kwa odwala omwe ali ndi matenda a shuga 2 - uku ndikuchotsa madzi owonjezera mthupi ndi kulimbana ndi kunenepa kwambiri.

Popeza mankhwalawa Forsiga amathandizira pokodza kuti achepetse kuchuluka kwa shuga m'magazi, zimathandiza kuchotsa madzi onse owonjezera mthupi. Izi zimathandizira wodwala kuti athetse pafupifupi ma kilogalamu 7 a kulemera kowonjezera m'milungu yochepa chabe kumwa mankhwalawa.

Kuphatikiza apo, poletsa kuyamwa kwa glucose ndikulimbikitsa kuphipha kwake limodzi ndi mkodzo, Forsig amachepetsa kudya kwa tsiku ndi tsiku kwa odwala matenda ashuga pafupifupi 400 Kcal. Chifukwa cha izi, wodwala akungotenga mapiritsiwa amatha kuthana ndi matenda onenepa kwambiri, mwachangu kwambiri.

Kupititsa patsogolo zotsatira za kuchepa thupi, madokotala amalimbikitsa odwala kuti azitsatira malamulo azakudya zopatsa thanzi, kuthetsa zakudya zopatsa thanzi, zamafuta ndi zama calorie ambiri pazakudya.

Koma ziyenera kunenedwa kuti mankhwalawa sayenera kugwiritsidwa ntchito kokha pakuchepetsa thupi, popeza ntchito yake yayikulu ndikuchepetsa shuga la magazi.

Malangizo ogwiritsira ntchito mapiritsi

Mankhwala Forsig ayenera kumwedwa kokha mkati. Mapiritsi awa amatha kuledzera musanadye komanso pambuyo poti mudye, chifukwa izi sizikhudza momwe zimakhudzira thupi. Mlingo wa tsiku ndi tsiku wa Forsigi ndi 10 mg, womwe umayenera kutengedwa kamodzi - m'mawa, masana kapena madzulo.

Pochiza matenda a shuga ndi Forsigoy osakanikirana ndi Glucofage, mlingo wa mankhwala uyenera kukhala motere: Forsig - 10 mg, Glucofage - 500 mg. Popanda zotsatira zomwe mukufuna, amaloledwa kuwonjezera mlingo wa mankhwala Glucofage.

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri omwe ali ndi vuto lochepa kapena laimpso lokwanira, palibe chifukwa chosinthira mankhwalawa. Ndipo odwala omwe ali ndi vuto lambiri laimpso amalimbikitsidwa kuti achepetse mlingo wa Forsig mpaka 5 mg. Popita nthawi, ngati thupi la wodwala limalekerera zomwe zimachitika chifukwa cha mankhwalawo, mlingo wake ukhoza kuwonjezeka mpaka 10 mg.

Zochizira odwala omwe ali ndi zaka zakubadwa, mulingo woyenera wa 10 mg umagwiritsidwa ntchito.

Komabe, ziyenera kumvetsedwa kuti mwa odwala a m'badwo uno, matenda a kwamikodzo amakhala ambiri, zomwe zingafune kuchepa kwa mlingo wa Forsig.

Mankhwala a Forsig angagulidwe ku pharmacy m'dera lililonse la dziko. Ili ndi mtengo wokwera kwambiri, womwe ku Russia ndi pafupifupi ma ruble 2450. Mutha kugula mankhwalawa pamtengo wotsika mtengo kwambiri mumzinda wa Saratov, komwe pamafunika ma ruble 2361. Mtengo wapamwamba kwambiri wa mankhwala Forsig walembedwa ku Tomsk, komwe adapemphedwa kuti apereke ma ruble 2695.

Ku Moscow, Forsiga pafupifupi amagulitsidwa pamtengo wa 2500 rubles. Chotsika mtengo, chida ichi chidzalipira anthu okhala ku St. Petersburg, komwe mtengo wake ndi ma ruble 2,474.

Ku Kazan, Forsig amawononga ma ruble 2451, ku Chelyabinsk - 2512 rubles, ku Samara - 2416 rubles, ku Perm - 2427 rubles, ku Rostov-on-Don - 2434 rubles.

Ndemanga ya Forsig ndimankhwala abwino kwambiri kuchokera kwa odwala ndi endocrinologists. Monga zabwino za mankhwalawa, kuchepa msanga komanso kosakhazikika kwa shuga m'magazi kumadziwika, momwe kumapitilira ambiri amafananidwe ake.

Kuphatikiza apo, odwala adayamika kuthekera kwa Forsigi kuthana bwino ndi kunenepa kwambiri, zomwe zimathandiza kuchotsa chimodzi mwazomwe zimayambitsa matendawa, chifukwa kunenepa kwambiri komanso matenda a shuga ndizogwirizana kwambiri. Komanso, odwala ambiri ankakonda kuti mankhwalawa safunika kumwa ndi ola, koma ayenera kumwedwa kamodzi patsiku lililonse.

Kuchepetsa kuchuluka kwa shuga m'magazi pamene mukumwa Forsigi kumathandizira kuthetsa zosasangalatsa za matenda ashuga monga kufooka komanso kutopa kwambiri. Ndipo ngakhale kuchepa kwa kudya kwa caloric, odwala ambiri amafotokoza kuwonjezeka kwa nyonga ndi nyonga.

Mwa zovuta zakumwa ndi mankhwalawa, odwala ndi akatswiri amawona kuwonjezeka kwa chizolowezi chotenga matenda amtundu wa genitourinary system. Izi ndizowona makamaka kwa amayi omwe amatenga matenda ofananawo.

Zotsatira zoyipa za mankhwala a Forsig amafotokozedwa ndikuwonjezereka kwa kuchuluka kwa shuga mu mkodzo, komwe kumapangitsa kuti pakhale kusintha kwakukulu kwa microflora yosiyanasiyana ya pathogenic. Izi zimayambitsa kutupa mu impso, chikhodzodzo kapena urethra.

Chifukwa chakuchotsedwa kwamadzi ambiri mthupi, odwala ena adakumana ndi vuto ngati ludzu lalikulu komanso kudzimbidwa. Kuti awachotse, madokotala amalangizira kuwonjezera kumwa kwamadzi amchere ochepa. Nthawi zina, odwala amadandaula kuti amakumana ndi hypoglycemia mu shuga mellitus, yomwe nthawi zambiri imakhala itaperekedwa.

Popeza Forsig ndi mankhwala am'badwo watsopano, ilibe kuchuluka kwakukulu. Izi ndichifukwa choti kukonzekera ndi njira yofananira ya mankhwala kwapangidwira mpaka pano. Monga lamulo, polankhula za fanizo la Forsigi, mankhwala otsatirawa adadziwika: Bayeta, Onglisa, Combogliz Prolong.

Kanemayo munkhaniyi akukamba za zoyenera kuchitidwa ndi Forsigo.

Chidziwitso Chapadera

Ndikofunika kuwerenga momwe wodwalayo alili pogwiritsa ntchito Forsig. Matenda osiyanasiyana kapena zolosera zam'tsogolo zimatha kubweretsa zovuta zina zoyipa.

Kwa odwala omwe kuphwanya impso kwapezeka, ndikofunikira kuwunika nthawi zonse:

• Kuunika kwa impso kuyenera kuchitika musanagwiritse ntchito mankhwalawa ndipo kenako kuyenera kuchitika chaka chilichonse.
• Ngati mukufuna kumwa mankhwala ovuta omwe adzaphatikizidwe ndi mankhwala a Forsig komanso mwanjira iliyonse yokhudza impso, muyenera kuchita kafukufuku wowonjezereka musanapereke mankhwala
• Ngati impso zawonongeka pang'ono, muyenera kupenda chiwalo 2 mpaka 4 pachaka,
• Ngati chiwalo chikafika pachimake pa matendawo - mankhwalawo amasiya kwathunthu.

Kuchulukanso kwa mkodzo wachiwiri kumabweretsa kuchepa kwa madzi, motero kuchepa pang'ono kwa kukakamiza, komwe kuyenera kuganiziridwa kwa anthu omwe ali ndi mavuto amitsempha yamagazi ndi mtima. Izi zimachitika makamaka kwa okalamba. Ndiyeneranso kusamala kugwiritsa ntchito mankhwalawa kwa anthu omwe ali ndi shuga wambiri m'magazi awo.

Pankhani ya matenda osachiritsika kapena mavuto a dongosolo la genitourinary, mankhwalawa amatha kusiyidwa kwakanthawi. Izi zimachitika pochiza matenda osokoneza bongo kapena kuchotsa matendawa pawokha. Izi ndichifukwa choti kuchuluka kwa shuga m'magazi kumapangitsa kuti matenda ayambe kudwala.

Zoyipidwa zomwe zilipo

Mankhwala a shuga Forsig ali ndi zotsutsana zosiyanasiyana:

1. Mapiritsiwo sayenera kumwa ngati wodwala sakuvomereza chilichonse cha mankhwalawa.
2. Forsiga sagwiritsidwa ntchito mtundu 2 wa shuga,
3. Ketoacidosis yoyambitsidwa ndi matenda ashuga
4. Mavuto a lactose, tsankho lakelo,
5. Kubala mwana kapena nthawi yodyetsa mkaka wa mayi wake,
6. Mukamagwiritsa ntchito mtundu wapadera wa okodzetsa (m'chiuno) kapena pazifukwa zina kuchuluka kwa magazi m'mitsempha sikokwanira chifukwa cha mitundu yovuta yamatenda osiyanasiyana, mwachitsanzo, thirakiti la m'mimba.
7. Yambani kulandira mankhwala atatha zaka 75.

Payokha, ndikofunikira kudziwa kuti zotsatira za mankhwalawa kwa ana osakwana zaka 18 sizinaphunzire kapena kuyesedwa, chifukwa chake, sayenera kupatsidwa mankhwala. Ndikofunikanso kusamala mukamatenga mapiritsi a Forsig, kukhala ndi matenda otsatirawa kapena kukhala m'mikhalidwe yotere:

• Kulephera kwa chiwindi, makamaka kovuta kwambiri,
• Ziwalo zamkodzo zikagwidwa,
• Ngati pali mwayi wochepetsa magazi,
• Ukalamba
• Kulephera kwa mtima kosatha,
• Ngati mulingo wa hematocrit ndiwokwera kuposa wabwinobwino.

Musanaitenge, muyenera kuchita kafukufuku ndikupeza zofunikira zonse zomwe zingatenge, chotsani zotsutsana kuti mupewe zovuta.

Mtengo wamankhwala

Odwala ambiri omwe ali ndi matenda ashuga, makamaka ochokera m'mabanja omwe ali ndi ndalama zochepa, amadziwa kuti mtengo wa mankhwalawo ndiwokwera kwambiri. Amasinthasintha mkati mwa ma ruble a 2400-2900. Monga gawo la mankhwala ena onse, momwe mankhwalawa amagwiritsidwira ntchito, kuchuluka kwake kumakhala kokwanira. Ngakhale kuti mankhwalawa amagwira bwino ntchito, kugwiritsa ntchito nthawi zonse kumakhala kovomerezeka kwa odwala onse.

Ndemanga za mankhwala

Mankhwalawa apezeka posachedwapa pamsika ndipo adalankhula zambiri zokhazokha. Ngakhale kampani yomwe idapanga idalandira chilolezo chogulitsa mankhwala mdziko muno chaka chatha, ambiri ogwiritsa ntchito ali osangalala ndi mankhwalawa.

Nthawi yomweyo, anthu ena amawonetsa mantha chifukwa cha zotsatira zosakwanira zomwe amaphunzira chifukwa chotenga. Chowonadi ndi chakuti zovuta za mtundu wina sizitha kuwonekera mukangoyamba kugwiritsa ntchito, komanso patatha zaka zochepa.

Ndemanga za odwala omwe ali ndi matenda a shuga a 2 alemba izi:

• mankhwalawa ndi okwera mtengo, ambiri sangakwanitse kumangokhala basi,
• yabwino kwa anthu onenepa kwambiri popanda iwo,
• odwala ena amayamba kuchepa thupi kwambiri (pafupifupi ma kilogalamu atatu pamwezi),
• yoyenerera mtundu wa matenda ashuga 2,
• mankhwalawa amathandizanso kuthamanga magazi komanso kuchepetsa chiopsezo cha matenda a stroko kapena mtima,
• Zaumoyo zonse, ndipo chifukwa chake moyo wamunthu ukupita patsogolo, odwala ambiri amazindikira kuti amakhala ngati anthu athanzi labwino,
• motsutsana ndi maziko akuti mankhwalawa ndi achichepere ndipo sanaphunziridwe, sizikudziwika momwe amathandizirana ndi zakudya zosiyanasiyana akamamwa mowa kapena kusuta ndudu,
• Chofunika kwambiri, odwala amazindikira kuchuluka kwa shuga, zomwe zikutanthauza kuchepetsa zovuta zoyipa zomwe zimachitika chifukwa cha matenda ashuga.

Mankhwala Forsig amachepetsa kuvulaza kwa matenda ashuga monga mankhwala owonjezera.

Malinga ndi zomwe takumana nazo, mankhwalawo sagwiritsidwa ntchito ngati chithandizo chachikulu, ndipo zoterezi zimayembekezeredwa.

Zolemba za Forsig

Pali ma fanizo a Forsig, omwe amatha nthawi zina kusintha mankhwalawo kapena kuchita bwino. Izi zikuphatikiza mayina apadziko lonse otsatirawa ndi malonda am'deralo:

• Rosiglitazone - ingagulidwe pansi pa dzina la Avandia, Roglit,
• Pioglitazone, imatha kupezeka muma pharmacie yotchedwa Astrozone, Diab-standard, Piroglar ndi ena angapo,
• Acarbose ndi mankhwala a Glucobay,
• Empagliflozin woperekedwa ngati mankhwala a Jardins,
• Repaglinide imatchedwa msika waku Russia ngati Diaglinide,
• Miglitol ikupezeka mu mawonekedwe a Diastabol,
• Kanagliflozin itha kugulitsidwa muma fakitati ngati mankhwala a Invocan,
• Nateglinide ndi mankhwala a Starlix,
• Glycyclamide ikhoza kupezeka m'maphukusi a Cyclamide.

Kusintha kulikonse kwamankhwala, kuphatikizapo kusintha kwa mankhwala a Forsig ndi analogues, kuyenera kufotokozedwa ndi adokotala, chifukwa mankhwalawa satchulidwa nthawi zonse.