Kodi pali kusiyana kotani pakati pa Metformin ndi Glucophage?

Ndi matenda a shuga a mtundu wachiwiri, mankhwala omwe amatulutsa shuga m'magazi ndi omwe amapatsidwa. Mankhwala monga Metformin kapena Glucofage akhala akugwiritsidwa ntchito kwa nthawi yayitali. Amapangidwa kuchokera ku zinthu zomwe zimachokera ku mbewu. Kuti mumvetsetse mankhwala omwe ali bwino, kuphunzira za momwe mankhwalawa amathandizira.

Mtundu 2 wa matenda ashuga, Metformin kapena Glucophage amalembedwa, zomwe zimapangitsa kuti shuga azikhala m'magazi.

Makhalidwe a Metformin

Wothandizira hypoglycemic ali ndi izi:

1. Kutulutsa mawonekedwe ndi kapangidwe kake. Mankhwalawa amaperekedwa mwa mawonekedwe a mapiritsi ozungulira, wokutidwa ndi filimu yoyera. Iliyonse imakhala ndi 500, 850 kapena 1000 mg ya metformin hydrochloride, wowuma wa mbatata, magnesium stearate, talc, povidone, macrogol 6000. Mapiritsi ali ndi ma contour cell a 10 pcs. Bokosi lamakatoni lili ndi matuza atatu.
2. Zochizira. Metformin imachedwetsa kupanga shuga m'magazi, imachepetsa mayamwidwe amtunduwu m'matumbo. Kuwonjezeka kwa minofu kumverera kwa insulin, yomwe imadziwika ndikumwa mankhwalawa, kumathandizira kuthamanga kwa kufalikira kwa shuga. Metformin sikukhudzana ndikupanga mahomoni a pancreatic ndipo sikuti kumabweretsa kukula kwa machitidwe a hypoglycemic. Mankhwala omwe amapanga amakhala ndi matenda a cholesterol, omwe nthawi zambiri amatuluka ndi matenda ashuga.
3. Zizindikiro zogwiritsidwa ntchito. Mankhwalawa amagwiritsidwa ntchito pa matenda otsatirawa:
   • shuga mellitus, wosatsagana ndi ketoacidosis (ndi kulephera kwa mankhwala azithandizo),
   • lembani matenda a shuga 1 mellitus, kuphatikiza kunenepa kwambiri (kuphatikiza ndi insulin).
4. Contraindication Mankhwala sayenera kumwedwa zotere:
   • zovuta zovuta za matenda a shuga (ketoacidosis, precoma, chikomokere),
   • chiwindi ndi impso ntchito.
   • kufooka kwa thupi ndi kutopa kwa thupi, matenda, matenda am'mimba, hypoxia,
   • kulephera kwamtima,
   • chithandizo cha opaleshoni chaposachedwa,
   • uchidakwa wambiri, kuledzera,
   • mimba ndi mkaka wa m`mawere.

Metformin imatengedwa ngati matenda a shuga 1, kuphatikiza kunenepa kwambiri.

Khalidwe la Glucophage

Mankhwala ali ndi izi:

1. Mlingo wa mawonekedwe ndi kapangidwe kake. Glucophage imapezeka m'mapiritsi okhala ndi zokutira oyera oyera. Iliyonse imakhala ndi 500, 850 kapena 1000 mg ya metformin hydrochloride, magnesium stearate, hypromellose, povidone. Mapiritsi amaperekedwa m'matumba a 10 kapena 20 ma PC.
2. Zotsatira za pharmacological. Metformin imachepetsa kuchuluka kwa shuga m'magazi popanda kulimbikitsa kupanga insulin komanso popanda kuyambitsa hypoglycemia mwa anthu athanzi. Mankhwala amalimbikitsa kukhudzika kwa ma receptors enieni mpaka mahomoni a pancreatic. Metformin imathandizira kagayidwe ka mafuta, kutsitsa kuchuluka kwa mafuta m'thupi. Poyerekeza ndi momwe kumayambira zinthu, kuchepa kwamphamvu kwa thupi kumawonedwa.
3. Zizindikiro. Glucophage amagwiritsidwa ntchito ngati odwala matenda ashuga m'magulu otsatirawa a odwala:
   • Akuluakulu omwe amakonda kunenepa kwambiri (ngati mankhwala othandizira kapena osakaniza mankhwala ena ochepetsa shuga),
   • ana okulirapo kuposa zaka 10 (mwanjira ya monotherapy kapena kuphatikiza ndi insulin),
   • anthu omwe ali ndi prediabetes komanso chiopsezo cha matenda a shuga.

Glucophage amalimbikitsidwa kwa odwala omwe ali ndi prediabetes komanso chiopsezo chowonjezeka cha matenda a shuga.

Kuyerekezera Mankhwala

Poyerekeza mankhwala, kuchuluka kwakukulu kofananako kumapezeka.

Kusiyana pakati pa Metformin ndi Glucophage ndizochepa.

Makhalidwe wamba a othandizira a hypoglycemic ndi awa:

• mtundu ndi Mlingo wa chinthu chomwe chikugwira ntchito (mankhwalawa onse ali ndi metformin ndipo akhoza kukhala ndi 500, 850 kapena 1000 mg ya chinthu ichi),
• limagwirira mphamvu kagayidwe (Metformin ndi Glucofage imathandizira kutsika kwa glucose ndikuletsa kuyamwa kwake m'matumbo),
• kumasulidwa (mankhwala onsewa ali ngati mapiritsi okhala ndi filimu),
• regimen (mankhwala amatengedwa mu Mlingo womwewo katatu patsiku),
• mndandanda wazidziwitso ndi zoletsa kugwiritsa ntchito,
• mndandanda wazotsatira zoyipa.

Kodi pali kusiyana kotani?

Kusiyana kwa mankhwala ndi izi:

• Kuthekera kwa Metformin polimbikitsa kuchuluka kwa glycogen mu minofu ndi minyewa ya chiwindi (Glucophage ilibe zotsatira zotere),
• kuthekera kwa kugwiritsa ntchito Glucofage pothana ndi ana osaposa zaka 10 (Metformin imangoperekedwa kwa odwala akuluakulu),
• Kusintha kwa magawo a pharmacokinetic a Metformin mukamamwa pamodzi ndi chakudya.

Malingaliro a madotolo

Irina, wazaka 43, Chita, endocrinologist: "Ndimagwiritsa ntchito Metformin ndi chiwonetsero chake chazachipatala pochiza matenda a shuga a 2 komanso kunenepa kwambiri. Mankhwala osokoneza bongo amathandizira kuchepetsa thupi popanda kuvulaza thanzi. Ndalamazi zimatha kuchepetsa kukalamba kwa thupi ndikusintha kagayidwe. Mtengo wotsika wa mankhwalawa umawapangitsa kuti azitha kulandira mitundu yonse ya odwala. Gwiritsani ntchito othandizira anzawo kuti muchepetse kunenepa kwambiri "

Svetlana, wazaka 39, Perm, wothandizira: "Glucophage ndi Metformin ndizofanizira kwathunthu zomwe zimathandizanso chimodzimodzi. Machitidwe anga ndimawagwiritsa ntchito pochiza odwala matenda ashuga omwe ali ndi kunenepa kwambiri. Zinthu zomwe zimagwira zimasokoneza mayamwidwe a glucose, kupewa kutulutsa shuga. Mukamagwiritsidwa ntchito moyenera, zotsatira zoyipa sizipezeka. ”

Ndemanga za odwala za Metformin ndi Glucofage

Julia, wazaka 34, Tomsk: “Amayi ali ndi matenda ashuga a 2. Adalemba Metformin, yemwe amayenera kumwedwa mosalekeza. Mankhwalawa amathandizira kukhalabe ndi shuga. Pakusowa kwa mankhwalawa m'masitolo ogulitsa, timagula cholowa m'malo - Glucofage. Mankhwala oyambira ku France ndi abwino kwambiri komanso amtengo wokwera mtengo, omwe amakulolani kugwiritsa ntchito kwa nthawi yayitali. "

Tatiana, wazaka 55, ku Moscow: “Ndakhala ndikutenga Metformin kuti achepetse shuga m'magazi kwa zaka zoposa zisanu. Panalibe mavuto. The endocrinologist watsopano adalangiza kusintha mankhwalawa ndi Glucofage. Izi zidachitika chifukwa cha kuwonjezereka kwa cholesterol ndikuwoneka wonenepa kwambiri. Pambuyo pa miyezi 6 ya chithandizo, zizindikirozo zinayamba kuyenda bwino. Khungu lidayambiranso kukhala labwinobwino, zidendene zidaleka kusweka. Monga adokotala ananena, kumwa mankhwala kuyenera kuphatikizidwanso ndi kudya. ”