Momwe mungagwiritsire ntchito Metformin-Richter?

Mafuta amapezeka kuchokera m'mimba. The kuchuluka kwa yogwira mankhwala m'magazi ukufika kwambiri pambuyo 2 mawola, ndipo atatha kudya - pambuyo 2,5 maola. Nthawi zina metformin imadziunjikira mu minofu. Amachotseredwa m'thupi ndi impso tsiku loyamba kutengera makonzedwe. Kuchotsera chilolezo -> 400 ml / mphindi. Ngati aimpso ntchito, ndi yayitali.

Chifukwa chiyani amalembera

Mankhwala amapatsidwa zakudya zothandiza kuti muchepetse kuchuluka kwa shuga m'magazi. Mankhwalawa akuwonetsedwa kwa odwala omwe ali ndi matenda amtundu wa 1 komanso a 2, kuphatikiza kunenepa kwambiri. Mankhwala ena amatha kugwiritsidwa ntchito limodzi kuti muchepetse magazi kapena insulin.

Mankhwala amapatsidwa zakudya zothandiza kuti muchepetse kuchuluka kwa shuga m'magazi.

Contraindication

Musanagwiritse ntchito, ndikofunikira kuphunzira contraindication. Mankhwala sinafotokozeredwe odwala omwe ali ndi matenda ndi zina:

• Hypoxia motsutsana maziko a magazi m'thupi, mtima ndi kupuma, kulephera kwa mtima, kuwonjezereka kwa magazi
• kusowa kwamadzi
• thupi siligwirizana ndi yogwira pophika,
• chiwindi ndi impso kwambiri (kuphatikiza ndi milingo yayitali),
• kukhalapo kwa matenda opatsirana,
• uchidakwa
• kuchuluka kwa ketone matupi am'magazi,
• matenda a shuga a ketoacidotic,
• lactacidemia,
• kugwiritsa ntchito zakudya zamafuta ochepa (muzakudya zosakwana 1000 kcal patsiku),
• Kufunika kogwiritsa ntchito ma ayodini a ayodini pa nthawi ya kafukufuku:
• mimba

Mankhwalawa sanalembedwe kwa odwala omwe amamwa mowa kwambiri.
Mankhwala sinafotokozeredwe kwa odwala omwe ali ndi vuto lodana ndi thupi.
Mankhwalawa satumizidwa kwa odwala pakudya zakudya zama calorie ochepa.

Chithandizo chogwiritsa mkaka wa m'mawere, muyenera kusiya kudyetsa musanayambe mankhwala.

Ndi matenda ashuga

Amalembera mtundu wa 2 shuga mellitus wa 500 mg, 850 mg kapena 1000 mg patsiku. Ngati ndi kotheka, onjezani kuchuluka pambuyo pa masabata awiri. Mlingo wapamwamba tsiku lililonse ndi 3 g kapena 2,5 ga patsiku (kwa 850 mg). Odwala okalamba sayenera kumwa mapiritsi oposa 1 patsiku ndi mlingo wa 1000 mg.

Ngati mankhwalawa amadwala matenda a shuga, wodwala amapatsidwa mankhwala malinga ndi zomwezo, koma kuchepetsa insulin kungafunike.

Mapiritsi ayenera kumwedwa pamaso chakudya kapena chakudya.

Dongosolo la Endocrine

Kuvomerezedwa kumatha kubweretsa chizungulire, kuchepa kwa mavuto, kupweteka kwa minofu ndi kutopa. Nthawi zambiri, mlingo ukapitirira, hypoglycemia imawonekera.

Kutupa kwa khungu, redness ndi kuyabwa.

Kulandila kungayambitse chizungulire.

The ntchito aimpso kuwonongeka

Kulandilidwa sikumaphatikizidwa ndi kuwonongeka kwambiri kwaimpso. Chenjezo liyenera kugwiritsidwa ntchito ngati chilengedwe cha creatinine chilili 45-59 ml / min.

Ngati matenda owopsa a chiwindi alipo, mankhwalawa saikidwa.

Kuchita ndi mankhwala ena

Pali kuchepa kwamphamvu pakumwa mapiritsi mukaphatikizidwa ndi GCS, mahomoni a steroid, estrogens, adrenaline, antipsychotic, mahomoni a chithokomiro.

Kuchepa kwambiri kwa ndende kumachitika ndikumatenga salicylates, ACE inhibitors, oxytetracycline, sulfonylurea zotumphukira, acarbose ndi clofibrate.

Mankhwala samayenderana ndi coumarin ofanana ndi cimetidine. Mukamayanjana ndi Nifedipine, wothandizira wa hypoglycemic amalowetsedwa mwachangu, koma amakhala atachotsedwa mu thupi.

Kukonzekera kwa cationic kumawonjezera ndende ya yogwira ndi 60%.

Mukamayanjana ndi Nifedipine, wothandizira wa hypoglycemic amalowetsedwa mwachangu, koma amakhala atachotsedwa mu thupi.

Kuyenderana ndi mowa

Mankhwala amaletsedwa kuphatikiza ndi Mowa. Kumwa mowa kumayambitsa lactic acidosis.

Sinthani chida ichi ndi mankhwalawa:

Pali fanizo pazogwira ntchito:

Mu mankhwala mungapeze mankhwalawo ndi mawu ena owonjezera pa phukusi:

Musanagule, muyenera kuwonetsetsa kuti palibe zoyipa ndi zoyipa zina. Ndikwabwino kukaonana ndi dokotala musanalowe m'malo.

Ndemanga pa Metformin Richter

Ndemanga zabwino zikuwonetsa kugwira ntchito kwa mankhwalawa, zotsatira zake mwachangu komanso chitetezo. Odwala omwe adalephera kuchepa thupi kwakanthawi amayankha molakwika. Nthawi zina, maonekedwe a zoyipa amadziwika.

Maria Tkachenko, endocrinologist

Mukamamwa mapiritsi, chidwi cha insulin chimawonjezeka, ndipo chifukwa chake, thupi limayamba kupanga michere yambiri. Pochiza matendawa, muyenera kudya komanso kuchita masewera olimbitsa thupi pafupipafupi. Kuchiza mokwanira kumathandizira kupewa hyperglycemia ndikuchepetsa chiopsezo chokhala ndi zovuta zamtima.

Anatoly Isaev, wazakudya

Mankhwala amathandizira kuchepetsa kufupika kwa gluconeogeneis - kapangidwe ka glucose kuchokera ku zinthu zopanda mafuta (ma cell mamolekyulu). Kafukufuku akutsimikizira kuti mankhwalawa amatha ndi hyperglycemia. Mankhwalawa amathandizira kuchepetsa thupi, koma pamankhwala ovuta. Poyerekeza ndi zakumwa zakumwa zoledzeretsa, ndizoletsedwa kumwa mapiritsi, kuphatikiza pa chithandizo ndi madontho.

Mfundo zosangalatsa za Metformin

Christina, wazaka 37

Mankhwalawa adandipulumutsa ku hyperglycemia. Mlingo wa shuga unapangidwa modabwitsa pomwa mapiritsiwa ndi moyo wokangalika. Ndidatenga piritsi limodzi, ndipo patatha masiku 10 adokotala adakulitsa mlingo ku 2 pcs. patsiku. Poyamba ankamva kupweteka m'mimba, kutulutsa, mseru. Patatha tsiku limodzi, zizindikirizo zinatheratu.

Mankhwalawa adachotsa Siofor kuchokera kwa wopanga "Berlin-Chemie" (Germany). Zochita zake ndi zofanana, zosavuta kunyamula. Ndikuwona kukomoka mtima mutatha kutenga ndi kusangalatsa. Metformin anathandiza kuthana ndi chidzalo. Adatsitsa makilogalamu 9 mu miyezi 4 ndi theka. Kulakalaka kwanga kwatsika, ndipo ndikudya zakudya zochepa chifukwa cha chakudya changa. Ndikupangira mankhwalawa.

Pambuyo pa ntchito, adataya 8 kg m'miyezi isanu ndi umodzi. Kupanikizika kunabwereranso mwakale, kuchuluka kwa magazi kunayamba kuyenda bwino. Kuchuluka kwa cholesterol yoyipa ndi glucose yachepa. Zotsatira zoyipa, kupatula chizungulire, sizinazindikire. Ndipitiliza kuchiza ndi mankhwalawa, chifukwa zimachitika, ndipo mtengo wake uvomerezeka.