Zokhudza kuchepa thupi komanso kubwezeretsa thupi: kodi ndizotheka kumwa Metformin ngati palibe shuga?

"Metformin imachulukitsa moyo" - awa ndi malingaliro omwe amaperekedwa ndi asayansi ambiri pamayeso osiyanasiyana azachipatala. Anthu odwala matenda ashuga nthawi zambiri amadziwa za mankhwalawa, omwe amakakamizidwa kumwa piritsi pafupifupi m'moyo wawo wonse.

Mankhwalawa ndi amodzi mwa mankhwalawa omwe ali ndi vuto la hypoglycemic, chifukwa chake amakhala mnzake wokhazikika pakukula kwa hyperglycemia. Kodi Metformin ingaperekedwe kwa anthu athanzi ngati kulibe matenda ashuga?

Kafukufuku wa sayansi akutsimikizira kuti metformin yotalikitsa moyo ndi mankhwala othandizira kukalamba.

Kugwiritsidwa ntchito kwake kumathandizira kulepheretsa kukalamba m'thupi la munthu.

Metformin imachepetsa kukalamba pamawonekedwe a ma cell.

Malinga ndi maphunziro azachipatala, mankhwala akhoza kubweretsa zotsatirazi zabwino chifukwa chogwiritsa ntchito:

Imakhala ndi ntchito yoteteza ku ntchito ya ubongo ku ukalamba. Tiyenera kudziwa kuti chimodzi mwazovuta za matenda a senile ndikupanga matenda a Alzheimer's, momwe amachepetsa kwambiri kuchuluka kwa ma cell amitsempha mu hippocampus.

Kutengera ndi kuyesaku, zinatsimikiziridwa kuti mankhwalawa amadzutsa maselo am'mimba, zomwe zimapangitsa kuti pakhale ma neurons - ma cell aubongo ndi chingwe cha msana.

Kuti mukwaniritse izi, muyenera kutenga gramu imodzi ya mankhwala othandizira - metformin hydrochloride - patsiku.

Mlingo uwu umapangidwira odwala omwe ali ndi kulemera kwamakilogalamu makumi asanu ndi limodzi. Kuphatikiza apo, matenda osiyanasiyana a mtima amayamba kuonekera ndi zaka.

Kumwa mankhwala kumathandizira kubwezeretsa maselo amitsempha yaubongo pambuyo povutidwa. Metformin imathandizanso kukula kwa matenda osiyanasiyana okalamba.

1. Imathandizira kuti muchepetse kutupa kwambiri chifukwa cha kuchuluka kwamapuloteni omwe amachititsa kuti azikhala ndi matenda ashuga.
2. Imakhala ndi phindu pamkhalidwe wamitsempha yamagazi ndi mtima. Chizindikiro cha kupsinjika kwa mtima ndikokula kwa atherosulinosis, kuchuluka kwa magazi, kupindika kwa minofu ya mtima, arrhythmia, kapena kulephera mtima. Kukonzekera kwa piritsi kumathandizira kuti minyewa yokhudzana ndi kukalamba kwa mtima ndi mtima.
3. Mankhwalawa amatha kupatutsa kupezeka kwa mtima wam'mimba, kukhazikika kwake komwe kumayipa ntchito ya mtima.
4. Itha kugwiritsidwa ntchito ngati prophylactic pakuwonetsedwa kwa matenda osokoneza bongo kapena kuwongolera chitukuko cha matenda, kuletsa kutheka kwa zovuta zake zingapo.
5. Kwambiri kumachepetsa chiopsezo chokhala ndi khansa yokhudzana ndi khansa (kuyatsidwa ndi "metformin ndi khansa"). Mankhwala amatha kuchepetsa mwayi wokhala ndi khansa ya prostate, chiwindi, kapamba, zotupa zam'mapapo. Nthawi zina amatchulidwa ngati gawo la mankhwala pa chemotherapy. Osati kale kwambiri, maphunziro asayansi adachitika omwe adatsimikizira kuti kutenga ma grform 0,25 okha a metformin patsiku mwezi umodzi kumatha kupondereza khansa ya colorectal.
6. Zimathandizira kukonza ntchito zogonana mwa amuna omwe ali ndi zaka zopuma.
7. Ndi mankhwala ochizira matenda a mafupa komanso nyamakazi pakukula kwa matenda ashuga.
8. Bwino bwino chithokomiro ntchito.
9. Zimathandizira kukonza ntchito ya impso pamaso pa nephropathy.
10. Zili ndi phindu pakulimbitsa kwathunthu kwa chitetezo chathupi.
11. Ili ndi ntchito yoteteza pokhudzana ndi chiopsezo chotenga matenda opuma.

Chifukwa chake, mankhwalawa amatha kuteteza thupi la munthu kuti lisadutse matenda angapo ndikuwonetsa zotsatira zotsutsana ndi ukalamba.

Malangizo ogwiritsira ntchito

Kutenga metformin yolimbana ndi matenda a shuga, ovomerezeka ya polycystic kapena kuwonda kokha, muyenera kutsatira zakudya.

Pansipa pali mayankho a mafunso omwe amafunsidwa kawirikawiri kuchokera kwa odwala.

Metformin imatenga nthawi yayitali ndikukhalanso ndi thupi: imatenga bwanji?

Zaka zaposachedwa, asayansi afika pakukhulupirira kuti ukalamba ndi matenda chabe omwe amatha kuchiritsidwa.

Mankhwala aliwonse a pharmacological amapita kafukufuku osati pazomwe amafuna, komanso pa anti-kukalamba.

Pali mankhwala ambiri padziko lapansi omwe amatha kutalikitsa moyo wa munthu, ndipo imodzi mwa izo ndi Metformin, yopangidwa ndi asayansi aku Russia zaka zoposa 60 zapitazo. Ndiye kodi imatenga nthawi yayitali bwanji?

Kufotokozera za mankhwalawa

Ambiri amati za Metformin kuti imachulukitsa moyo. Ndipo izi zikunenedwa ndi asayansi omwe akuchita maphunziro osiyanasiyana azachipatala a mankhwalawa. Ngakhale kutsimikizika kwa mankhwalawa kumawonetsa kuti imangotenga matenda a shuga mellitus 2T, omwe amatha kulemedwa ndi kunenepa kwambiri komanso kukana insulini.

Metformin 500 mg

Itha kugwiritsidwanso ntchito kwa odwala matenda a shuga 1T. Komano, Metformin imangowonjezera insulin. Kuchokera pa zomwe zikuwonongeka zikuwonekeratu kuti anthu omwe ali ndi vuto logaya mafuta osavomerezeka sayenera kugwiritsa ntchito mankhwalawa.

Chimachitika ndi chiani ngati mutatenga Metformin popanda matenda a shuga? Yankho limaperekedwa ndi asayansi omwe adaphunzira momwe mankhwalawa amathandizira, kuletsa kukalamba kwa thupi, komanso kuchuluka kwa ma cell.

Mankhwala Metformin:

• imathandizira kufalikira kwa matenda a Alzheimer's, momwe ma cell a mitsempha omwe amachititsa kukumbukira kukumbukira,
• imalimbitsa maselo am'mimba, imathandizira kuti maselo atsopano a ubongo (ubongo ndi msana),
• imathandizira kubwezeretsa maselo amitsempha yama ubongo pambuyo pa sitiroko,
• amalepheretsa chitukuko cha multiple sclerosis.

Kuphatikiza pa kuwongolera zinthu muubongo, Metformin imathandizira ntchito ya ziwalo zina ndi machitidwe a thupi:

• Amathandizira kupondereza kuperewera kwa thupi komwe kumachitika chifukwa cha kuchuluka kwa matenda ashuga a C,
• linalake ndipo tikulephera kukula kwa matenda omwe amayamba chifukwa cha ukalamba wa mtima, mitsempha yamagazi,
• zimasokoneza ma calcification wamitsempha, omwe amawononga ntchito ya mtima,
• amachepetsa chiopsezo chotenga khansa (Prostate, mapapu, chiwindi, kapamba). Nthawi zina amagwiritsidwa ntchito mu chemotherapy yovuta,
• zimalepheretsa matenda ashuga komanso mitundu yofananira,
• Amachita zachiwerewere mwa akulu,
• amachitira mafupa am'matumbo ndi nyamakazi yokhudzana ndi kukula kwa matenda a shuga,
• imakongoletsa ntchito ya chithokomiro,
• imathandiza impso ndi nephropathy,
• kumalimbitsa chitetezo chathupi
• Amathandizira kuteteza kupuma pamatenda.

Ntchito zotsutsa ukalamba za mankhwalawa zapezeka posachedwa. Izi zisanachitike, Metformin anali kugwiritsidwa ntchito kokha pothana ndi matenda a shuga. Koma zambiri zomwe zimapezedwa poyang'anira odwala omwe akuchiritsidwa ndi othandizidwawa adawonetsa kuti amakhala nthawi yayitali kuposa anthu opanda matenda awa.

Izi ndi zomwe zidapangitsa asayansi kuganiza zakuthana ndi kukalamba kwa Metformin. Koma malangizowo pakugwiritsidwa ntchito sikuwonetsa izi, chifukwa kukalamba si matenda, koma njira yachilengedwe yomaliza moyo.

Ndondomeko yokonzanso izi:

• kuchotsera kwa cholesterol plaque mu zombo.Chiwopsezo cha thrombosis chimachotsedwa, kufalikira kwa magazi kumakhazikitsidwa, kuthamanga kwa magazi kumatheka.
• kukonza kagayidwe kachakudya njira. Kulakalaka kumachepetsedwa, komwe kumapangitsa kuti muchepetse, kuchepa thupi komanso kusintha kulemera,
• kuchepa kwamatumbo a shuga m'matumbo. Kulumikizana kwa mamolekyulu a protein amapewedwa.

Metformin ndi ya m'badwo wachitatu biguanides. Zomwe zimagwirira ntchito ndi metformin hydrochloride, yomwe imathandizidwa ndi mankhwala ena.

Chiwembu chogwiritsira ntchito mankhwala motsutsana ndi matenda ashuga ndiwofatsa. Muli zoletsa njira ya gluconeogeneis, pomwe mukulimbikitsa glycolysis. Izi zimabweretsa kuyamwa bwino kwa shuga, pomwe kumachepetsa mayamwidwe ake m'matumbo. Metformin, osakhala othandizira pakupanga insulini, sikuti imayambitsa kutsika kwamphamvu kwa shuga.

• chiwonetsero cha insulin kukana kapena metabolic syndrome,
• kulolerana kwa shuga
• kunenepa kwambiri kokhudzana ndi matenda a shuga
• matenda otupa ovary,
• shuga mellitus 2T ndi zovuta chithandizo,
• shuga 1T ndi jakisoni wa insulin.

Kuchepetsa Ntchito

Kodi ndizotheka kumwa Metformin kuti muchepetse thupi, ngati shuga ndichabwinobwino? Kuwongolera uku pakukhudzana ndi mankhwala chifukwa cha kuthekera kwake kumenya nkhondo osati ma plaque m'mitsempha yamagazi, komanso ma deposits amafuta.

Kuchepetsa thupi mukamamwa mankhwala kumachitika chifukwa chotsatira:

• kuthamanga kwamafuta oxidation,
• kutsika kwa kuchuluka kwa chakudya chamafuta omwe amapezeka
• kuchuluka kwa glucose chifukwa cha minofu.

Izi zimachotsanso kumverera kwanjala yosalekeza, zimathandizira kuti thupi lizikula msanga. Koma muyenera kutentha mafuta mukudya.

Kuti muchepetse kunenepa, muyenera kusiya:

Masewera olimbitsa thupi, monga masewera olimbitsa thupi olimbitsa thupi tsiku lililonse, amafunikanso. Ma regimen akumwa ayenera kuyang'aniridwa mosamala. Koma kumwa mowa ndikoletsedwa.

Ntchito yoletsa kukalamba (anti-okalamba)

Metformin imagwiritsidwanso ntchito polepheretsa kusintha kokhudzana ndi zaka m'thupi.

Ngakhale mankhwalawa siwopanda chiyembekezo chaubwana wamuyaya, amakulolani:

• bwezeretsani kuchuluka kwa bongo ku mawu ofunikira,
• kuchepetsa chiopsezo cha neoplasms yoyipa,
• limbitsani mtima minofu.

Vuto lalikulu la chiwalo chokalamba ndi atherosulinosis, yomwe imasokoneza kugwira ntchito kwa mtima ndi mitsempha yamagazi. Ndiye amene amayambitsa imfa zambiri zomwe zimachitika asanakwane.

Zotsatira za cholesterol yomwe imatsogolera ku atherosulinosis imachitika chifukwa:

• kuphwanya kachitidwe koyenera ka kapamba,
• kulakwitsa kwa chitetezo chamthupi,
• mavuto a metabolic.

Cholinga chake ndikukhalanso ndi moyo womwe anthu okalamba amatsogolera, pomwe amakhala ndi chakudya chambiri komanso zopatsa mphamvu, ndipo nthawi zina zimawonjezera.

Izi zimabweretsa kukokomeza magazi m'mitsempha ndikupanga ma cholesterol amana. Mankhwalawa amathandizira kuchepetsa mafuta m'thupi, kusintha kayendedwe ka magazi ndi kusintha ntchito ya ziwalo zonse ndi machitidwe. Ndiye kodi Metformin ingatengedwe ngati palibe shuga? Ndizotheka, koma pokhapokha ngati pali contraindication.

Zoyipa pa Metformin ndi:

• acidosis (pachimake kapena chovuta),
• nthawi ya pakati, kudyetsa,
• Matendawa ndimankhwala
• chiwindi kapena vuto la mtima,
• myocardial infaration
• Zizindikiro za hypoxia mukamwa mankhwalawa.
• kuchepa kwa thupi ndi matenda opatsirana,
• matenda am'mimba thirakiti (zilonda),
• kuchita zolimbitsa thupi kwambiri.

Lemberani Metformin kuti muchepetse thupi komanso kuti musinthe thupi ndikufunika kukumbukira zotsatirapo zoyipa:

• chiopsezo chowonjezereka cha anorexia
• mseru, kusanza, kutsegula m'mimba kumachitika,
• nthawi zina kukoma kwazitsulo kumawonekera
• kuchepa magazi kumatha kuchitika
• pakuchepa kwa mavitamini a B, ndipo kukonzekera kowonjezereka kumafunikira,
• kugwiritsa ntchito kwambiri, hypoglycemia ingachitike,
• Momwe thupi limagwirira ntchito lingayambitse mavuto amtundu wa khungu.

Makanema okhudzana nawo

Makhalidwe a pharmacological ndi malangizo ogwiritsira ntchito mankhwala Metformin:

Njira yogwiritsira ntchito Metformin osati pochiza matenda ashuga siyachilendo. Kuyambitsa kudzipanga nokha ndikusankha mulingo woyenera panokha osakambirana ndi othandizira azaumoyo ndizowopsa zomwe sizingachitike. Ndipo ziribe kanthu kuti awongolere motani odwala, kumva kwa dokotala kuti achepetse kulemera / kukonzanso mothandizidwa ndi Metformin ndikofunikira.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Kodi mankhwalawa amalembedwera chiyani?

Zizindikiro zomwe zimagwiritsidwa ntchito ndi mtundu wa shuga wachiwiri, komanso mtundu wa 1 shuga, wovuta kwambiri chifukwa cha kunenepa kwambiri komanso kukana insulin. Komabe, anthu ambiri amatenga metformin kuti achepetse thupi kuposa kuchiritsa matenda ashuga. Komanso mankhwalawa amathandizira ndi polycystic ovary syndrome (PCOS) mwa akazi, amawonjezera mwayi wokhala ndi pakati. Kugwiritsa ntchito metformin pakuchepetsa thupi komanso kuwongolera shuga kumafotokozedwa mwatsatanetsatane pansipa.

Mutu wamankhwala a PCOS ndi woposa tsambali. Amayi omwe akumana ndi vutoli, choyambirira ayenera kusinthana ndi zakudya zamafuta ochepa, masewera olimbitsa thupi, kumwa mankhwala ndikutsatira malangizowo. Kupanda kutero, adzakhala ndi mwayi wochepa wokhala ndi pakati komanso chiwopsezo chachikulu chokhala ndi matenda osokoneza bongo a 2 zaka zopitilira 35-40.

Zotsatira za pharmacological

Yogwira ntchito ya mankhwala ndi metformin hydrochloride. Dzinali ndi lapadziko lonse lapansi.

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Ma analogenes a Metformin amapezeka limodzi ndi zomwe zimagwira. Fomu yotulutsira mankhwala onse ndi yofanana - mapiritsi.

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Mankhwala oyamba, monga ma generics, ali ndi mphamvu pa thupi la munthu:

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• amateteza ubongo ku ukalamba
• imaletsa matenda a mtima ndi mtima,
• amachepetsa mwayi wopangidwa ndi khansa,
• amaletsa matenda a mafupa m'thupi la anthu odwala matenda ashuga,
• zabwino pa chithokomiro
• imateteza ziwalo zopumira ku zinthu zoyipa.

Phunziro lililonse, zotsatira zabwino za Metformin zimapezeka. Izi zimathandiza kuti anthu ambiri azigwiritsa ntchito.

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Poyamba, mapangidwe ake a mankhwalawa adzatanthauzidwa kuti hypoglycemic.

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Mwanjira ina, mankhwala okhala ndi metformin hydrochloride akhala akugwiritsidwa ntchito kuti achepetse magazi, kuonjezera mphamvu ya insulin komanso kupondereza kupanga shuga.

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Zisonyezero zogwiritsira ntchito Metformin

Makina a Metformin amagwira ntchito mwachangu posanthula mndandanda wazisonyezo.

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Malinga ndi malangizo, mankhwalawa amagwiritsidwa ntchito pochiza matenda a shuga a 2, komanso kupewa matenda.

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Mapiritsi a shuga a Metformin amalembedwa kwa anthu azaka zonse, kuphatikiza ana azaka 10.

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Pazinthu zina, zitha kulimbikitsidwa kale.

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Kusuntha kutali ndi malangizo ogwiritsira ntchito, mutha kudziwa kuti mankhwalawa amagwiritsidwa ntchito mu gynecology, zakudya, zojambula, cosmetology, angiology, gerontology, zomwe zimatsimikiziranso kuphatikiza kwake ndikuchita bwino.

Malangizo apadera

Kugwiritsa ntchito Metformin kumapangitsa wodwalayo kuti azimuwunika pafupipafupi kuti awone ngati aimpso komanso kusintha kwa kuchuluka kwa magazi.

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Malinga ndi zotsatira zake, njira zamankhwala zimatha kusinthidwa ndi dokotala.

Popanga ma x-ray pogwiritsa ntchito sing'anga, ndikofunikira kupewa kugwiritsa ntchito mankhwalawa kwa masiku awiri.

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Pankhani ya bronchopulmonary matenda kapena pathologies a kwamikodzo, dokotala ayenera kudziwa.Mwinanso kuti mugwiritse ntchito Metformin, mudzasankha mlingo wina.

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Metformin ndi mowa ndi mankhwala osagwirizana, chifukwa mowa ungachepetse shuga m'magazi, zomwe zimawopseza wodwalayo.

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Simungagwiritsenso ntchito mankhwala ozunguza bongo omwe ali ndi zakumwa zoledzeretsa.

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Kukonzanso mphamvu kwa metformin

Zomwe zimachitika ndi metformin mkati mwa ziwalo zamkati.

Chithandizo chogwira mankhwalawa ndi metformin hydrochloride, yomwe imapangitsa kuchepetsa kukalamba kwa munthu.

Metformin poyambilira anafuna kuchiritsa matenda ashuga amtundu wa 2. Zinapezeka ndi asayansi aku Russia zaka 60 zapitazo.

Kuyambira pamenepo, zambiri zalandiridwa pokhudzana ndi njira zake zothandizira pochiritsa. Anthu omwe ali ndi matenda ashuga omwe amamwa mankhwala a metformin adakhala nthawi yayitali 25% kuposa omwe alibe matendawa.

Izi zimapangitsa asayansi kuphunzira mankhwalawa ngati njira yotalikitsira moyo.

Masiku ano, maphunziro angapo a metformin monga mankhwala ochiritsira okalamba akuchitika padziko lonse lapansi. Makamaka, mu 2005 ku Oncology Research Institute yotchedwa N.N.

Petrova, kafukufuku adachitika mu labotale kuti aphunzire za ukalamba ndi carcinogenesis, zomwe zimawonetsa kuti metformin imatalikitsa moyo. Zowona, kuyesaku kunachitika kokha pa nyama.

Kuphatikizanso kwina, chifukwa cha kafukufukuyu, kudapeza kuti chinthucho chimatetezanso nyama ku khansa.

Pambuyo pa kafukufukuyu, gulu lonse la asayansi padziko lonse lapansi lidachita chidwi ndi zochita za metformin. Kuchokera nthawi imeneyo, kafukufuku wambiri wachitika omwe amatsimikizira zotsatira za kuyesa kwa 2005.

Zofunika! Mothandizidwa ndi anthu omwe amamwa mankhwalawo. Zinapezeka kuti mutatenga chinthu, chiopsezo chokhala ndi oncology chimachepetsedwa ndi 25-40%.

Mu malangizo ogwiritsira ntchito, simukuwona mawu omwe akuwonetsa mphamvu ya mankhwalawa pakukulitsa moyo. Koma, izi zimachitika kokha chifukwa chakuti ukalamba mwalamulo sunazindikiridwe ngati matenda.

Kodi metformin imakhudza bwanji thupi?

Kutulutsidwa kwamitsempha yamagazi kuchokera ku cholesterol plaques. Izi zimabweretsa kuti ntchito yofananira ya kuzungulira kwa dongosolo, imalepheretsa thrombosis ndi vasoconstriction. Mphamvu iyi ya mankhwalawa imathandizira kukulitsa unyamata wamtima mu mtima. Amadziwika kuti kuchuluka kwakukulu kwaimfa kumachitika chifukwa cha matenda amdongosolo lino.

Zimatsimikiziridwa kuti metformin imaletsa kukula kwa matenda a senile.

Kuwongolera kagayidwe kake ndikuwonjezera kuchuluka kwa cholesterol yopindulitsa ndikuchepetsa kuvulaza. Momwemo, pali kagayidwe koyenera m'thupi. Mafuta amamwetsedwa molondola, pamakhala pang'onopang'ono, osautsa, wotaya mafuta owonjezera ndi kulemera. Zotsatira zake, katundu pamakina onse ofunikira amachepetsedwa. Ngati, nthawi yomweyo akamamwa mankhwalawo, munthu amayamba kusintha moyo wake, zotsatira za mankhwalawo zimawonjezeka.

Anachepetsa chilako. Chinsinsi cha moyo wautali ndi kuwonda. Izi ndiye zowona. Metformin imathandizira kukwaniritsa ntchito iyi mwa kupondereza chilakolako chofuna kudya.

Kuchotsa shuga m'magazi am'mimba. Kutha kwa shuga kuthamangitsa njira zogwirizanirana zama mamolekyulu a protein kumathandizira kukalamba msanga komanso kumatenda ambiri.

Kuwongolera magazi. Kuchita izi kumachepetsa chiwopsezo cha kuundana kwa magazi, sitiroko komanso mtima. Matendawa akutsogolera mndandanda wazomwe zimayambitsa kufa msanga.

The zikuchokera mankhwala

• lilac
• muzu wa mbuzi
• talcum ufa
• magnesium wakuba,
• kukhuthala
• titanium dioxide
• crospovidone
• povidone K90,
• macrogol 6000.

Chofunikira chachikulu pakuphatikizidwa kwa mankhwalawa ndi metformin hydrochloride, yopangidwa kuchokera ku zinthu zachilengedwe zofunikira: lilac ndi muzu wa mbuzi. Komanso, mankhwalawa ali ndi zovuta zina zowonjezera, makamaka talc, magnesium stearate, titanium dioxide ndi omwe adalembedwa pamwambapa.

Malangizo a kumwa mankhwala

Kuti mugwiritse ntchito metformin kuti muchepetse kukalamba, muyenera kumwa mankhwalawa pa theka la mankhwalawo omwe akuwonetsa mu malangizo omwe angagwiritsidwe ntchito. Mankhwala othandizira amapatsidwa mankhwalawa. Koma, munthu wathanzi akamagwiritsa ntchito mankhwala amenewa, amatha kuvulaza kuposa zabwino.

Zofunika! Musanaganize zogwiritsira ntchito metformin, kuunika kwathunthu ndikofunikira. Izi ndizofunikira kuti muchepetse chiopsezo cha zotsatira zoyipa ndikuwona mulingo wa prophylactic.

Kugwiritsa ntchito mankhwalawa ngati anti-okalamba, ziwonetsero izi ziyenera kukumbukiridwa:

1. zaka siziyenera kupitirira zaka 30, koma osapitirira 60,
2. kunenepa kwambiri komanso kunenepa kwambiri,
3. mafuta a cholesterol ndi / kapena shuga ndi apamwamba kuposa abwinobwino.

Mlingo woyenera uyenera kuthandizidwa ndi dokotala ndikufotokozera momwe mungagwiritsire metformin. Kuti mumve, tikulimbikitsidwa kuti musatenge oposa 250 mg a metformin patsiku.

Kukonzanso mphamvu ya kumwa mankhwala

Kutsutsa-kukalamba kwa mankhwalawa kwatchulidwa posachedwa. Poyamba, mankhwalawa amapangidwa ngati mankhwala a hypoglycemic pochiza matenda osokoneza bongo omwe amadalira insulin.

Mankhwalawa adapezeka ndi asayansi aku Russia pafupifupi zaka makumi asanu ndi limodzi zapitazo. Mu zaka zonsezi, mayesero osiyanasiyana azachipatala akhala akuchitika, omwe akuwonetsa mwayi wogwiritsa ntchito mankhwalawa osati panthawi ya matenda ashuga okha. Malinga ndi ziwerengero zamankhwala, odwala matenda ashuga omwe adalandira njira yochizira pogwiritsa ntchito metformin hydrochloride amakhala pafupifupi kotala kuposa anthu osazindikira. Ndiye chifukwa chake, asayansi adaganiza zowerengera mankhwalawa ngati mankhwala othana ndi ukalamba.

Zaka zingapo zapitazo, kafukufuku wasayansi adachitika ku Petrov Research Institute, omwe adawonetsa kuti metformin sikuti ndimachiritso aukalamba kokha, koma chitetezo mwa mawonekedwe a khansa. Mukamamwa mankhwalawa, chiopsezo chotenga khansa chimachepa 25 mpaka 40 peresenti.

Malangizo ogwiritsira ntchito mankhwalawa samawonetsa izi. Mwina izi zikuchitika chifukwa choti ukalamba wa thupi la munthu umawonedwa ngati njira yabwino yamoyo, osati matenda.

Zotsatira zotsutsa kukalamba chifukwa chotenga metformin zimawonedwa monga:

• kumasulidwa kwamitsempha yamagazi kuchokera ku cholesterol plaques, omwe akuwonetsa kukalamba kwa mtima wam'magazi, motero kusintha kayendedwe kazinthu, kochotsa chiopsezo cha thrombosis komanso kuchepetsedwa kwa lumen ya ziwiya.
• imasintha njira ya kagayidwe kachakudya mthupi, imachepetsa chilimbikitso, monga kuchepa thupi pang'ono komanso kunenepa kwambiri, kumachepetsa katundu pa ntchito ya ziwalo zonse zofunika komanso machitidwe,
• Kutha kuchepetsa kuyamwa kwa glucose kuchokera m'mimba. Inde, ukalamba usanachitike, monga mukudziwa, umathandizidwa ndi shuga omwe amabwera kuti azidzidzimutsa zimagwirira ntchito zomanga thupi

Kuphatikiza apo, kugwiritsa ntchito Metformin kumathandizira kuti magazi azituluka.

Kuyanjana kwa mankhwala osokoneza bongo

Mankhwala Metformin a matenda a shuga a mtundu wachi 2 amayenera kumwa monga mwauzidwa ndi dokotala. Mankhwalawa ndiofunikanso kwa odwala omwe amakonda matendawa.

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Komabe, kupewa ndi kuchiza kutha kuchitika poganizira kugwiritsa ntchito mankhwala ena.

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Metformin imakumana ndi mankhwala, ndikupanga zotsatirazi:

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• Amapanga lactic acidosis ndi kulephera kwa aimpso akaphatikizidwa ndi mankhwala okhala ndi ayodini mu x-ray,
• imasunga chiopsezo cha lactic acidosis ikaphatikizidwa ndi ethanol, othandizira a hypoglycemic komanso pakusala,
• hyperglycemic mukamagwiritsa ntchito danazol,
• amachepetsa mphamvu akamagwiritsa ntchito ndi chlorpromazine,
• amafuna kusintha kwa mankhwala akamamwa ndi ma antipsychotic ndi corticosteroids,
• Amachepetsa kugwira ntchito mukamagwiritsa ntchito jakisoni wa beta-adrenergic agonists,
• timapitiriza mphamvu tikamagwiritsa ntchito nifedipine.

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Ma Analogs a Metformin

Makampani opanga ma pharmacological amapanga zotengera zina za Metformin.

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Ena ali ndi dzina lofananira, koma amapangidwa ndi makampani osiyanasiyana, pomwe ena amadziwika pamisika ina:

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• Metformin Richter,
• Metformin Canon
• Metformin Teva,
• Siofor
• Glucophage ndi Glucophage Long,
• Fomu,
• Forin Pliva,
• Sofamet.

Mafunso Ofunsidwa Kawirikawiri

Malangizo ogwiritsira ntchito, ophatikizidwa ndi mankhwala Metformin, fotokozerani mwatsatanetsatane mawonekedwe, contraindication, mavuto ndi njira yomwe ikuchitika.

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Ngakhale izi, odwala ali ndi mafunso ambiri omwe samakambidwa mu abstract. Izi ndichifukwa cha kafukufuku waposachedwa pa Metformin ndi m'malo mwake.

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Kodi Metformin Imafutukula Moyo?

Ngati mumagwiritsa ntchito Metformin popewa matenda ashuga komanso munthawi yomweyo kuwongolera magazi anu, mutha kuwonjezera moyo wanu ndikukhalanso ndi thanzi.

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Kuphatikiza apo, mankhwalawa amakhudza momwe mitsempha ya magazi imakhalira ndi mtima, ndikugwira ntchito kwa ziwalo zonse zimadalira.

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Metformin imalimbitsa mafupa, makamaka mwa azimayi panthawi ya kusintha kwa thupi, pomwe kuchuluka kwa estrogen kumachepetsedwa kwambiri. Zotsatira zake, mapangidwe a mafupa amapeweka.

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Mu ubongo, mankhwala amakhudza maselo a tsinde, amathandizira kubadwa kwa ma neurons atsopano.

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Izi zimathandizira kulimbitsa kukumbukira, zimalepheretsa kukalamba kwa ubongo komanso kutalikitsa moyo.

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Ndikofunikira kutsatira malamulo otenga Metformin popewa ndikugwiritsa ntchito mlingo osapitirira 1000 mg patsiku.

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Kodi Metformin ingatengedwe mankhwala otani a prophylaxis?

Metformin ali ndi contraindication: hypersensitivity, aimpso ndi kwa chiwindi kuchepa, minofu hypoxia, uchidakwa, lactic acidosis, pakati ndi mkaka wa m`mawere.

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Panthawi izi, simungagwiritse ntchito mankhwalawa kupewa. Odwala ena amatha kumwa Metformin - mankhwala aukalamba - pofuna kupewa.

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Ndikulimbikitsidwa kuti muyambe mwakambirana ndi dokotala kuti mudziwe momwe munthu angathere. Nthawi zambiri, njira ya mankhwalawa imayamba ndi 1000 mg patsiku, logawidwa mu 2-3 Mlingo (mutha kugawa piritsi lonse pakati).

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Kodi mankhwalawa ndiofunikira kwa prediabetes?

Onetsetsani kuti mumamwa othandizira a hypoglycemic omwe ali pachiwopsezo chachikulu chokhala ndi matenda ashuga. Ithandizira kupewa mapangidwe a matenda owopsa komanso kusintha magwiridwe antchito amthupi.

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Njira ya mankhwala a prediabetes imatha kukhala yayitali. Malangizo pawokha amaperekedwa ndi dokotala potengera momwe thupi ndi shuga zimayendera.

Kodi ndikuyenera kumwa mapiritsi nthawi yayitali bwanji (masiku, masabata kapena miyezi)?

Nthawi yochuluka chotenga Metformin imatha kukhazikitsidwa ndi adokotala. Kwa odwala ena, kugwiritsa ntchito kwa mwezi kapena chaka ndikokwanira.

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Ena amalangizidwa kugwiritsa ntchito mankhwalawa kwa nthawi yayitali.

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Zochita zamankhwala zalembapo zochitika pamene wothandizira wa hypoglycemic adagwiritsidwa ntchito moyo wonse, zomwe zidawonjezera kwambiri kupulumuka kwa wodwalayo.

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Mukamagwiritsa ntchito mankhwalawa, ndikofunikira kuti mukhale ndi chidwi osati nthawi yayitali ya chithandizo, komanso muyezo waukulu.

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Masana, ndizovomerezeka kugwiritsa ntchito osaposa 3 magalamu a mankhwalawa. Gawoli ndi lokwera kwambiri ndipo limangotchulidwa ndi dokotala.

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Ndikufuna chakudya chapadera ndikamamwa Metformin?

Ngati mutenga Metformin kuti muchepetse thupi, muyenera kutsatira zakudya nthawi zonse. Kuchuluka kwa chakudya cham'magazi othamanga kuyenera kuchepetsedwa.

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Komabe, simungathe kufa ndi njala, apo ayi, zotsatira zoyipa zimayamba kuchokera pakugwiritsa ntchito mankhwalawa.

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Zakudya za calorie za tsiku ndi tsiku ziyenera kukhala zosachepera 1000 kcal.Zakudya zamapuloteni, mafuta athanzi komanso chakudya chamagulu owonjezera, komanso fiber ndi mavitamini ndizofunikira kwambiri.

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Kodi Metformin Ikulitsa Moyo?

Metformin imachulukitsa moyo wa odwala omwe ali ndi matenda a shuga a 2, amachedwa kukulitsa zovuta zawo. Sizinatsimikiziridwebe kale kuti mankhwalawa amathandiza anthu athanzi ndi shuga wabwinobwino wamagazi kuyambira kukalamba. Kafukufuku wovuta pankhaniyi wayamba kale, koma zotsatira zake sizipezeka posachedwa. Komabe, anthu ambiri odziwika ku West adavomereza kuti amamwa mankhwala oyambilira Glucofage, kuyesera kuti achepetse kukalamba kwawo. Adasankha kuti asadikire chitsimikiziro chovomerezeka.

Dokotala wodziwika komanso wowonetsa TV pa TV Elena Malysheva amalimbikitsanso kuti mankhwalawa ndi mankhwala ngati ukalamba.

Makamaka a endocrin-patient.com akuwona kuti zikuwoneka kuti metformin imachepetsa ukalamba, makamaka mwa anthu onenepa kwambiri. Elena Malysheva nthawi zambiri amafalitsa zinthu zolakwika kapena zachikale. Mankhwala omwe amawauza omwe samalankhula sawathandiza konse. Koma pankhani ya metformin, munthu angavomereze naye. Ichi ndi mankhwala othandiza kwambiri, ndipo popanda zovuta zoyipa, ngati mulibe zotsutsana nawo.

Metformin, Siofor kapena Glucofage: zili bwino?

Nthawi zambiri odwala amadzifunsa zomwe zili bwino kutenga: Glucophage kapena Metformin Richter kuti achepetse thupi?

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Ngati mumagwiritsa ntchito mankhwalawa popanda upangiri wa udokotala, ndiye kuti palibe kusiyana kwakukulu. Mankhwalawa ndi ofanana komanso amasinthana.

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Siofor nthawi zambiri imayikidwa mu gynecology, Metformin imayikidwa ndi odwala matenda ashuga, ndipo Glucophage ndiyotchuka kwambiri ndipo nthawi zambiri imapezeka pokha popanda ufulu.

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Nthawi yomweyo Siofor ili ndi mtengo wokwera. Zomwe mungagule kuti muchepetse kunenepa - palibe kusiyana kwakukulu.

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Kodi ndi ndani wopanga Metformin wabwinoko?

Anthu athanzi samapanga zosiyana zomwe Metformin amagula: zapakhomo kapena zakunja.

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Zomwe zimagwira pakukonzekera ndizofanana, mulingo wofanana, mtengo uli pamlingo womwewo.

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Kuyembekezera kuti mankhwala agwire bwino ntchito kuposa ena sikumveka. Mutha kugula Metformin kuchokera kwa wopanga aliyense.

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Fotokozani kusiyana pakati pa Metformin yomwe imakhala nthawi yayitali?

Metformin wokhala ndi nthawi yayitali ali ndi dzina la malonda Glucofage Long.

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Chodziwika ndi mankhwalawa ndikuti imayenera kumwa kamodzi patsiku chakudya chamadzulo kapena chakudya.

Chida ichi chimakupatsani mwayi wochepetsa shuga m'magazi usiku, komanso m'mawa kuti mupange muyeso.

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Metformin yachilendo imagwira ntchito pang'ono pakanthawi ndipo silimalola kuchuluka kwa glucose molondola mukamagwiritsa ntchito mankhwalawa.

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Kodi mphamvu za Metformin zimakhala bwanji mu ma hormone a akazi ndi amuna?

Mankhwala amagwiritsidwa ntchito ku gynecology pochiza matenda a polycystic ovary syndrome. Mapiritsi amathandizika ngati matendawo ayambitsidwa ndi matenda ashuga.

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Chifukwa cha kuperewera kwa kapamba, kuchuluka kwa mahomoni achimuna m'thupi la akazi kumakulanso. Kukula kwa testosterone kumachepetsa mphamvu yachilengedwe yamchiberekero.

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Metformin imayambiranso kusinthaku, chifukwa chomwe msambo umakhazikitsidwa mwa akazi ndipo ovulation imabwezeretsedwa, ndipo miyezo ya testosterone imatsitsidwa kukhala yofanana.

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Mankhwalawa ali ndi phindu pa potency yaimuna ndipo amakonzanso mtundu wina wamalingaliro ngati zosintha zokhudzana ndi zaka ndizomwe zimayambitsa kuphwanya. Mwa amuna, kumwa mankhwalawa sikuyambitsa kuchepa kwa testosterone.

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Kodi zimakhudza bwanji chithokomiro?

Mankhwala amakhudza kwambiri chithokomiro, ngati wodwala alibe matenda a ziwalo.

Mukamagwiritsa ntchito mankhwala othandizira, othandizira a hypoglycemic amatha kuchepetsa kuchuluka kwa mahomoni omwe amapangidwa.

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Panthawi ya makonzedwe, tikulimbikitsidwa kugwiritsa ntchito gwero lina la ayodini.

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Kodi fanizo la kulephera kwa impso ndi chiyani?

Chifukwa chakuti mankhwalawa amalephereka chifukwa cha vuto laimpso, liyenera kulowedwa m'malo ndi mankhwala omwe amavomerezeka kuti agwiritsidwe ntchito:

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• Galvus
• Glidiab
• Ziphuphu
• kapena omwe adauzidwa ndi dokotala.

Kodi amayi oyembekezera amatha kutenga Metformin pa matenda a shuga?

Metformin imayesedwa panthawi yapakati. Komabe, kafukufuku wokhudza amayi oyembekezera adawonetsa zotsatira zabwino.

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Chifukwa chogwiritsa ntchito mankhwalawa, mayi woyembekezera sananenepa kwambiri, ndipo mwana amabadwa wopanda chiyembekezo cha matenda ashuga.

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Funso lokhala ndi mwayi wogwiritsa ntchito Metformin pa matenda osokoneza bongo amasankhidwa payekhapayekha.

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Kodi chiwopsezo cha khansa chingachepe?

Ubwino ndi zopweteka zathupi sizofanana. Kafukufuku akuwonetsa kuti anthu omwe amatenga Metformin sakonda kudwala khansa.

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Inde, wothandizira wa hypoglycemic samachiza khansa komanso samachotsa ma metastases, koma amachepetsa kwambiri zovuta zamtunduwu.

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Kodi ma enzymes a chiwindi amatha kuchepetsedwa ndipo amachiritsidwa ndi NAFLD (matenda osokoneza bongo a mafuta a chiwindi)?

Chosangalatsa ndichakuti odwala ambiri omwe ali ndi matenda osokoneza bongo a mafuta osokoneza bongo ali ndi zizindikiro za matenda amtundu wa 2.

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Kugwiritsidwa ntchito kwa Metformin kumakhudza bwino mkhalidwewu ndipo kumalepheretsa mapangidwe a hepatocellular carcinoma.

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Kodi ndizowona kuti mankhwala amateteza thupi ndikulimbitsa chitetezo cha mthupi?

Mankhwala ali ndi phindu pa kagayidwe kachakudya kayendedwe ka magazi ndi kufalikira kwa dongosolo la kupuma.

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Mapiritsi amateteza kumatenda opatsirana komanso otupa a bronchi ndi mapapu.

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Pochita izi, odwala omwe amagwiritsa ntchito Metformin pafupifupi samadwalanso COPD.

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Kodi ndingatalikitse moyo wanga ndi Metformin?

Itha kuganiziridwa kuti chinsinsi cha moyo wautali ndi unyamata wamuyaya chobisika mu Metformin chithandizo.

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Mankhwalawa amakhudza ziwalo zonse za thupi ndi machitidwe a thupi omwe amagwira ntchito zofunika: chiwindi, matumbo, ubongo, mtima ndi mitsempha yamagazi.

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Kwa amuna, mankhwalawa amatha kuchulukitsa ubwana ndikuwonjezera ntchito ya erectile, kuchepetsa mwayi wokhala ndi khansa ya Prostate.

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Kwa akazi, mankhwalawa amathandizira kukhazikitsa ntchito ya thumba losunga mazira, kubwezeretsa chonde ndikukhazikitsa kagayidwe.

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Chida chimagwiritsidwa ntchito osati thanzi, komanso kukongola, chifukwa chimasintha thupi, chimalimbitsa tsitsi, mafupa, misomali ndi mano.

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Pothandizidwa ndi chithokomiro cha chithokomiro, mankhwalawa amaletsa matenda akuluakulu ambiri.

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Musanagwiritse ntchito mankhwalawa, ndikulimbikitsidwa kuti mukaonana ndi dokotala ndikusankha mlingo umodzi.

Kodi metformin ingatengedwe kuti ipewe? Ngati ndi choncho, mu milingo iti?

Ngati muli ndi kulemera pang'ono pang'ono, ndizomveka kutenga metformin kuti mupewe, kuyambira zaka zapakati. Mankhwalawa athandizira kuchepa makilogalamu ochepa, kusintha mafuta m'thupi, komanso kuchepetsa ngozi ya matenda ashuga a 2.

Musanayambe kumwa mapiritsi awa, werengani mosamalitsa malangizo ogwiritsira ntchito, makamaka magawo pazokhudza contraindication ndi zovuta zina.

Palibe deta yeniyeni pazaka zomwe mungayambe kutenga metformin. Mwachitsanzo, zaka 35 mpaka 40. Dziwani kuti chithandizo chachikulu ndicho chakudya chamafuta ochepa. Mapiritsi aliwonse, ngakhale okwera mtengo kwambiri, amatha kungoonjezera zomwe chakudya chimakhala nacho mthupi lanu. Zakudya zoziziritsa kukhosi ndizowopsa. Palibe mankhwala oyipa omwe angabwezeretse zotsatira zawo zoyipa.

Anthu onenepa amalangizidwa kuti pang'onopang'ono abweretse kuchuluka kwa mankhwalawa tsiku lililonse - 2550 mg patsiku kwa mankhwala omwe amapezeka nthawi zonse ndi 2000 mg kwa mapiritsi otulutsidwa (Glucofage Long and analogues). Yambani kumwa 500-850 mg patsiku ndipo musathamangire kuti muwonjezere mlingo kuti thupi likhale ndi nthawi yosinthira.

Tiyerekeze kuti mulibe kulemera kwambiri konse, koma mukufuna kutenga metformin kuti mupewe kusintha komwe kumayenderana ndi zaka. Pankhaniyi, sibwino kugwiritsa ntchito muyeso wokwanira. Yesani 500-1700 mg patsiku. Tsoka ilo, palibe chidziwitso chokwanira pamiyeso yolimbana ndi kukalamba ya anthu ochepa thupi.

Kodi ndimwe mankhwalawa kuti ndikhale ndi prediabetes?

Inde, metformin imakuthandizani ngati mukunenepa kwambiri, makamaka mafuta osunga pamimba komanso m'chiuno. Kuchiza ndi mankhwalawa kumachepetsa mwayi woti prediabetes isanduke mtundu 2 shuga.

Choyamba, pitani pachakudya chochepa chamafuta, kenako pulagi mapiritsi. Osayesa ngakhale kusintha zakudya ndi mankhwala. Muzichita masewera amtundu wina - osachepera kuyenda, komanso othamanga. Onani kuwonda kwanu, kuthamanga kwa magazi ndi shuga wamagazi, komanso kuwerengera kwamadzi a plasma insulin.

Kodi muyenera kutenga masiku angati, masabata, kapena miyezi ingapo?

Metformin si mankhwala ochiritsa. Pamaso pazowonetsa komanso kusowa kwa zovuta zoyipa, ndikulimbikitsidwa kuti ndizitenga moyo wanga wonse, tsiku lililonse, popanda kusokonezedwa.

Kutsegula m'mimba komanso vuto lina la kugaya chakudya sikuti chifukwa choti chithe. Ngakhale zili zomveka kuchepetsa kwakanthawi. Ngati ndi kotheka, pezani magazi a vitamini B12 miyezi isanu ndi umodzi iliyonse. Kapena mungotenga vitamini iyi ndi maphunziro a prophylactic.

Kodi ndiyenera kudya zakudya ziti ndikamamwa metformin?

Kwa kuwonda komanso / kapena matenda ashuga, zakudya zamagulu ochepa ndizabwino kwambiri komanso ndi njira yokhayo. Zakudya zodziwika bwino zoletsedwa ndi zopatsa mphamvu ndi mafuta - pafupifupi sizithandiza. Chifukwa sizingatheke kuyang'ana chifukwa cha njala yosatha. Kuphatikiza apo, poyankha kuchepa kwa caloric kudya, thupi limachepetsa kagayidwe. Amaletsa kuchepa thupi.

Zakudya za anthu odwala matenda ashuga, omwe nthawi zambiri amalimbikitsa madokotala, ali ndi zinthu zambiri zomwe zimapangitsa shuga m'magazi motero zimakhala zovulaza. Zowonongeka za zinthu izi sizingakulipireni mapiritsi ndi jakisoni aliyense wa insulin. Malonda oletsedwa ayenera kutayidwa kwathunthu. Yang'anani kwambiri pazololedwa. Alibe athanzi okha, komanso amtima komanso okoma.

Kodi metformin ya wopanga ndi iti?

Tsamba la endocrin-patient.com limalimbikitsa kutenga Glucophage kapena Glucophage Long opangidwa ndi Merck, France. Kusiyana kwamitengo ndi mapiritsi a Siofor ndi metformin opangidwa m'maiko a CIS sikokulirapo.

Metformin ya kunyumba ndi glucophage: kuwunika wodwala

Fomu kapena metformin: ndibwino bwanji? Kapena ndi zomwezi?

Formmetin ndi piritsi ya metformin yopangidwa ndi Pharmstandard, Russia. Amabwera mwachizolowezi komanso nthawi yayitali, Mlingo wa 500, 850 ndi 1000 mg. Mankhwalawa ndi otsika mtengo kuposa mankhwala omwe adagulitsidwa Glucofage, koma kusiyana kwa mtengo sikuli kwakukulu. Palibe nzeru kusinthira kwa iyo kuti tisunge. Ndemanga za anthu odwala matenda ashuga za iye atha kukhala osatsimikiza.

Kodi pali kusiyana pakati pa metformin ndi glyformin?

Metformin si yosiyana ndi glyformin, ndi yofanana. Gliformin ndi mpikisano wa mapiritsi a formin omwe tafotokozawa. Mankhwalawa amapangidwa ndi Akrikhin OJSC, Russia. Panthawi yokonzekera nkhaniyo pamtengo imakhala yosiyana kwambiri ndi mankhwala oyambitsidwa a Glucofage.

Metformin, glyformin kapena formin: zomwe mungasankhe

Gliformin siotchuka kwambiri, pali ndemanga zochepa za izi.

Kodi pali kusiyana kwanji pakati pa metformin yayitali ndi chizolowezi?

Mapiritsi a metformin ochiritsira amamwa nthawi yomweyo munthu akangowamwa. Pazitali kwambiri pazogwira ntchito m'magazi zimawonedwa patatha maola 4 pambuyo pa kuperekedwa. Pa mapiritsi a nthawi yayitali (yayitali), chinthu chomwe sichingamwe nthawi yomweyo, koma mankhwalawa amakhala motalika.

Metformin wokhazikika iyenera kumwedwa katatu patsiku ndi chakudya.Mankhwala omwe akhala akuchita kwa nthawi yayitali amalembedwa kamodzi patsiku, nthawi zambiri usiku, kuti m'mawa wotsatira, kuthamanga kwa shuga m'magazi ndikwabwino.

Metformin yokhala ndi nthawi yayitali imayambitsa kukhumudwa pang'ono kuposa mapiritsi wamba. Koma ilinso ndi phindu laling'ono pakuwongolera kuchuluka kwa shuga m'magazi tsiku lonse. Anthu odwala matenda ashuga nthawi zambiri amatenga usiku kuti apititse patsogolo kusala shuga m'mawa wotsatira. Glucophage Long ndiko kukonzekera koyambirira kwa Metformin. Mutha kupezanso kufanana kwa mankhwala ogulitsira omwe ndi otsika mtengo.

Kodi metformin imakhudza bwanji chiwindi? Kodi ndingatenge ndi hepatosis yamafuta?

Metformin imaphatikizidwa mu cirrhosis ndi matenda ena akuluakulu a chiwindi, kupatula mafuta a hepatosis. Kwa anthu omwe ali ndi vuto la chiwindi, nthawi zambiri kumachedwa kwambiri kuyesa kuchepetsa thupi komanso kuchiza matenda ashuga.

Komabe, hepatosis yamafuta (mafuta chiwindi) ndi nkhani yosiyana kotheratu. Ndi vutoli, metformin ikhoza kuchitika. Komanso sinthani zakudya zamafuta ochepa. Mudzamva bwino. Mwambiri, mudzachepa. Zotsatira zakuyezetsa magazi zithandizanso. Mafuta hepatosis ndi vuto lomwe limazimiririka kamodzi koyamba munthu atasintha moyo wake.

Onerani kanema wa fructose wa matenda ashuga komanso kunenepa kwambiri. Ikufotokoza za zipatso, uchi wa njuchi, ndi zakudya zapadera za anthu odwala matenda ashuga. Zambiri zothandiza kwa odwala omwe ali ndi matenda oopsa, mafuta a hepatosis (onenepa kwambiri) ndi gout.

Kodi mankhwalawa amakhudza bwanji mahomoni ogonana amuna ndi akazi?

Palibe umboni wocheperako wosonyeza kuti metformin imatsitsa testosterone mwa amuna, imakulitsa potency. Osadandaula ndi izi.

Mwa azimayi amsinkhu wobereka, pamakhala vuto la metabolic momwe kuchuluka kwa mahomoni ogonana amuna kumakulitsidwa m'magazi, ndipo kumva kwa minofu ya insulin kumachepetsedwa. Izi zimatchedwa polycystic ovary syndrome (PCOS). Pafupifupi azimayi onse omwe akudziwa PCOS amatenga metformin, makamaka mapiritsi a Siofor. Mankhwalawa ali ndi phindu ku mahomoni ogonana achikazi, amawonjezera mwayi wokhala ndi pakati, ngakhale samapereka chitsimikiziro chonse.

Kodi m'malo metformin aakulu aimpso kulephera?

Chifukwa chake, mumawerengera malangizo mosamalitsa ndikuwona kuti kulephera kwa impso ndi kutsutsana pakutenga metformin. Inde, mankhwalawa akulimbikitsidwa kuti athetsedwe ngati, mwa matenda ashuga, osasinthika a impso agwera pansi pa 45 ml / min.

Chithandizo chamankhwala chimalola kuti mapiritsi ena a shuga amwe piritsi limodzi ndi kulephera kwa aimpso. Mwachitsanzo, Glurenorm, Glidiab, Januvius ndi Galvus. Komabe, ena mwa mankhwalawa ndi ofooka, pomwe ena ndi owopsa. Amatha kuchepetsa shuga m'magazi, koma osachepetsa kufa kwa odwala, kapena kuonjezera.

Kukula kwa mavuto a impso ndi matenda a shuga kumatanthauza kuti nthabwala zatha. M'malo moyesa mapiritsi atsopano, kuli bwino muyambe kubaya insulini.

Kutenthetsa kwa Metformin

Metformin ndi mankhwala okhawo othandizira kuchepetsa thupi omwe alibe zotsatira zoyipa. M'malo mwake, ndizothandiza - sizongochepetsa kulemera, komanso zimapangitsa zotsatira za kuyesa kwa magazi kwa shuga ndi cholesterol.

Ndizosadabwitsa kuti pakati pa anthu omwe ali ndi kunenepa kwambiri, mankhwalawa ndiwodziwika kwambiri. Yakhala ikugwiritsidwa ntchito pafupifupi zaka 50. Zimapangidwa ndi makampani ambiri opikisana. Chifukwa cha mpikisano pakati pa opanga, mtengo m'masitolo amapezeka ngakhale ndi mankhwala oyambirira Glucofage.

Muyenera kutenga metformin kuti muchepetse thupi malinga ndi malingaliro omwe afotokozedwa patsamba lino, ndikuwonjezereka pang'onopang'ono kwa mlingo watsiku ndi tsiku. Werengani mosamala malangizo ndikuwonetsetsa kuti mulibe zotsutsana ndi kugwiritsa ntchito chida ichi. Ndikofunika kubwerezanso kuti mafuta a hepatosis sikuti akuphwanya.

Kodi mungatani kuti muchepetse makilogalamu angati kuchokera ku metformin?

Mutha kuyembekezera kutaya makilogalamu 2-4 ngati simusintha kadyedwe kanu komanso kuchuluka kwa zolimbitsa thupi. Zitha kukhala mwayi kuti muchepetse kulemera kochulukirapo, koma palibe malonjezo.

Tikubwerezanso kuti metformin ndi mankhwala okhawo omwe amathandizira kuchepetsa thupi popanda kuvulaza thanzi. Ngati pakadatha masabata asanu ndi atatu (6) ake akuyendetsedwa sikunali kotheka kuchotsa mapaundi owonjezera ochepa - ambiri, munthu amakhala ndi vuto la kusowa kwa mahomoni a chithokomiro. Yesani kuyezetsa magazi kwa mahomoni onsewa, osaperekedwa ndi TSH. Chofunikira kwambiri ndi T3 yaulere. Kenako funsani ndi endocrinologist.

Mwa anthu omwe amasintha zakudya zamafuta ochepa, zotsatira za kuchepa thupi zimakhala bwino. Ambiri mwa malingaliro awo amalemba kuti adatha kutaya 15 kg kapena kupitirira. Muyenera kumwa metformin mosalekeza kuti muzisunga zotsatira zomwe mwakwaniritsa. Mukasiya kumwa mapiritsi awa, ndiye kuti gawo lina la mapaundi owonjezera ayenera kubwerera.

Kodi Elena Malysheva amalimbikitsa metformin kuti achepetse thupi?

Elena Malysheva adapangitsa kuti metformin ikhale yotchuka ngati machiritso aukalamba, koma samalimbikitsa monga njira yothandizira kunenepa kwambiri. Amalimbikitsa makamaka kudya kwake kuti achepetse thupi, osati mapiritsi ena ake. Komabe, chakudyachi chili ndi zakudya zambiri zomwe zimadzaza ndi chakudya chamafuta. Amachulukitsa kuchuluka kwa insulin m'magazi motero amalepheretsa kuchepa kwamafuta mthupi.

Zambiri pazamankhwala odwala matenda a shuga komanso kuwonda, zomwe zimagawidwa ndi Elena Malysheva, chifukwa gawo lalikulu silolondola, ndi lakale.

Ndi mankhwala ati omwe ali bwino pakuchepetsa thupi: metformin kapena glucophage?

Glucophage ndi mankhwala ochokera kunja omwe amagwiritsidwa ntchito, omwe ndi metformin. Tsambali endocrin-patient.com ilimbikitsa kumwa mankhwalawa kuti muchepetse kunenepa komanso / kapena mankhwala a shuga. Mosiyana ndi mankhwala aposachedwa a shuga, glucophage ndiokwera mtengo. Palibe nzeru kuyesa Siofor kapena analogues achi Russia otsika mtengo. Kusiyana kwa mtengo kudzakhala kochepa, ndipo zotsatira za chithandizo zitha kukhala zoyipa.

Yesani kumwa Glucofage Long Slimming katatu pa tsiku ngati Glucofage kapena mankhwala ena a Metformin amayambitsa kutsegula m'mimba kwambiri.

Ndi matenda a shuga a 2

Metformin ndi mtundu wodziwika bwino kwambiri wamitundu iwiri ya matenda ashuga. Imatsitsa shuga wamagazi pamimba yopanda kanthu ndikatha kudya, imachepetsa kukula kwa zovuta popanda kuyambitsa zovuta zoyipa. Uku si vuto la anthu odwala matenda ashuga, koma ndi gawo lofunikira kwambiri pankhaniyi. Anthu onse omwe ali ndi matenda a shuga a mtundu wachiwiri ayenera kumwa metformin ngati palibe zotsutsana. Nthawi zina odwala amatha kuchepetsa thupi mpaka kumakhalitsa shuga wabwinobwino osagwiritsa ntchito mankhwalawa. Koma milandu ngati imeneyi siisowa.

Pogwiritsa ntchito nthawi yayitali, metformin imasintha shuga m'magazi, komanso zotsatira zoyesa za cholesterol ndi triglycerides, zimathandizira kutaya mapaundi owonjezera. Mankhwalawa ndi otetezeka kotero kuti amawerengedwa ngakhale kwa ana azaka 10, omwe ali ndi vuto la kunenepa kwambiri komanso matenda a shuga 2. Mlingo wa T2DM ndi wofanana ndi wa anthu athanzi kuti achepetse thupi. Yambani ndi mlingo wotsika wa 500-850 mg ndikuwonjezera pang'onopang'ono mpaka 2550 mg patsiku (mapiritsi atatu a 850 mg aliyense). Kwa mankhwala owonjezera omwe akuchita Glucofage Kutalika, mlingo woyenera watsiku ndi tsiku ndi wotsika - 2000 mg.

Musakhale ndi chiyembekezo kuti kumwa mapiritsi a metformin kapena mapiritsi amakono azideru amakupatsani mwayi wokana kutsatira zakudya. Kuyesayesa kotereku kumabweretsa kufunikira kokumana ndi madokotala omwe amachiza zovuta m'miyendo, maso ndi impso. Werengani njira zamankhwala zotsatila za matenda ashuga a 2 ndikuwongolera matenda anu monga momwe zalembedwera pamenepo. Kutsegula m'mimba ndi mseru ndizovuta zoyipa m'masiku oyambira, koma ziyenera kupirira, sizikhala ndi vuto lalikulu. Ndipo ngati chilako lako chikucheperachepera, ndiye kuti simungakhumudwe.

Metformin yachiwiri ya matenda ashuga: kukumbukira kukumbukira kwa wodwala

Ndi mankhwala ati a metformin omwe amathandiza kwambiri ndi shuga?

Tsambali endocrin-patient.com imalimbikitsa kutenga mankhwala omwe adagulitsidwa kumene Glucofage. Kusiyana kwamitengo ndi mapiritsi a Siofor ndi anzawo aku Russia ndizochepa kwambiri. Dr. Bernstein akuti mankhwala oyambilira a Glucofage amatsitsa shuga kuposa magazi ake opangidwa ndi makampani olimbirana.

Ndi metformin iti yomwe ndiyabwino kupangidwanso?

Metformin imapangidwa pansi pa malonda osiyanasiyana ndipo amapangidwa ndi makampani ambiri:

• Metformin
• Glycon
• Metospanin
• Siofor
• Glucophagus,
• Glformin ndi ena.

Metformin yapamwamba kwambiri imapezeka pansi pa dzina la Glucofage.

Malo otetezeka komanso ovomerezeka kwambiri ku America, Russia ndi mayiko ena 17 aku Europe ndi Glucofage. Amaloledwa kutenga ngakhale ana azaka 10. Zimatsimikiziridwa kuti ndi Glucophage yomwe imayambitsa mavuto pang'ono, ndipo poletsa kukalamba imakhala pafupifupi 100% yotetezeka.

Komabe, ndikofunikira kufunsa dokotala za mankhwala omwe mungamwe metformin.

Zotsatira zoyipa

Ngati mukumwa mankhwala ochepetsedwa, ndiye kuti palibe mavuto omwe amayenera kuchitika. Komabe, ndichabwino kuwatchula:

1. chitsulo
2. kukomoka
3. matumbo (m'mimba),
4. kudzimbidwa (kusanza, nseru),
5. kuchepa magazi (ngati simumalandira vitamini B12 ndi folic acid),
6. lactic acidosis.

Yang'anani! Ngati munthu adalemedwa kwambiri kapena sanadye asanagwiritse ntchito metformin, shuga ya magazi imatha kutsika. Zizindikiro: kugwedeza dzanja, kufooka, chizungulire. Pankhaniyi, muyenera kudya kena kokoma.

Kodi Malysheva akuti chiyani za mankhwalawa?

Malysheva amalankhula za metformin mwatsatanetsatane mu pulogalamu yake "Health", pomwe amakafotokozera nkhaniyi kuchokera pakuwona kuti angagwiritse ntchito mankhwalawa pobwezeretsa. Gulu la akatswiri limatenganso mbali mu pulogalamuyi, yomwe imapereka mayankho ku mafunso ambiri okhudzana ndi machitidwe ndi mawonekedwe a mankhwalawo.

Kanema: Elena Malysheva za metformin, ngati mankhwala ochiritsira okalamba.

Zokhudza kuchepa thupi komanso kubwezeretsa thupi: kodi ndizotheka kumwa Metformin ngati palibe shuga?

Metformin ndi piritsi yochepetsera shuga yomwe imagwiritsidwa ntchito ndi mtundu 2 odwala matenda ashuga (2T). Mankhwalawa akhala akudziwika kwazaka zambiri.

Katundu wake wotsitsa shuga adapezeka mu 1929. Koma Metformin idagwiritsidwa ntchito kwambiri kokha mu 1970, pomwe ma greatuanide ena adachotsedwa mu malonda.

Mankhwalawa amakhalanso ndi zofunikira zina, kuphatikizapo kuchepetsa kuchepa. Koma kodi ndizotheka kumwa Metformin ngati palibe shuga? Nkhaniyi iphunziridwa mwachangu ndi onse madokotala ndi odwala.

Momwe mungasinthire metformin ngati sichithandiza matenda ashuga kapena amayambitsa kutsegula m'mimba?

Metformin siivuta kusinthana ndi china chake, ndimankhwala ambiri mwanjira zosiyanasiyana. Popewa kutsekula m'mimba, muyenera kumwa mapiritsi ndi chakudya, kuyamba ndi mlingo wotsika tsiku ndi tsiku ndikuwonjezera pang'onopang'ono. Mutha kuyesanso kwakanthawi kusintha kuchokera pamapiritsi a nthawi zonse kupita ku mankhwala omwe akhala akuchita kwa nthawi yayitali. Ngati metformin sichepetsa shuga m'magazi konse - ndikotheka kuti wodwalayo ali ndi matenda a shuga a 2 apamwamba kwambiri, omwe adasanduka mtundu 1 wa shuga. Pankhaniyi, muyenera kuyambitsa jakisoni mwachangu, palibe mapiritsi omwe angakuthandizeni.

Mu odwala matenda ashuga, metformin amachepetsa shuga, koma sikokwanira. Pankhaniyi, iyenera kuphatikizidwa ndi jakisoni wa insulin.

Kumbukirani kuti anthu owonda nthawi zambiri samatha kumwa mapiritsi a shuga. Afunika kusinthira ku insulin nthawi yomweyo. Kukhazikitsidwa kwa mankhwala a insulin ndi vuto lalikulu, muyenera kumvetsetsa. Nkhani zophunzira za insulin patsamba lino, funsani ndi dokotala. Choyamba, muyenera kusinthana ndi zakudya zamafuta ochepa. Popanda icho, kudziletsa pazabwino ndikosatheka.

Ndimamwa metformin, ndipo shuga samachepa ndipo ngakhale amatuluka - bwanji?

Metformin ndi mankhwala ofooka kwambiri ochepetsa shuga. Mtundu wachiwiri wa matenda ashuga, mulibe tanthauzo lililonse. Mtundu woyamba wa shuga, mankhwalawa nthawi zambiri amakhala osathandiza.

Choyamba, muyenera kusinthana ndi zakudya zamafuta ochepa.Kutengera kuzindikira kwanu, gwiritsani ntchito njira ya 2 yothandizira odwala matenda ashuga kapena mtundu wa pulogalamu ya matenda a shuga 1.

Dokotala wanu angakupatseni mankhwala amphamvu kuti asinthe kapena kuwonjezera momwe mukugwiritsira ntchito metformin. Mwachitsanzo, Diabeteson MV, Amaril, Maninil kapena ma analogs ndi otsika mtengo. Mbadwo waposachedwa wa mapiritsi a shuga ndi Galvus, Januvius, Forsig, Jardins ndi ena.

Mwambiri, yankho labwino kwambiri kwa inu ndikuyamba jekeseni wa insulin. Osawopa jakisoni. Amatha kuchitika popanda zopweteka, werengani zambiri apa. Kumbukirani kuti anthu odwala matenda ashuga omwe amatsatira jakisoni wochepa kwambiri amamwa jakisoni 2-7 nthawi yotsika kuposa masiku onse. Jekeseni wa insulini yotsika muyezo amakhala mosakhazikika komanso mosatsimikiza, osayambitsa mavuto.

Kodi malingaliro anu ndi ati pamapiritsi a metformin ophatikizidwa - Glibomet, Galvus Met, Yanumet?

Mankhwala ena otchuka a shuga a 2 ndi oopsa ndipo ayenera kutayidwa nthawi yomweyo. Mankhwala Glibomet ndi amodzi mwa iwo. Ili ndi metformin komanso yachiwiri yovulaza, motero siyiyenera kutengedwa. Mankhwalawa amachepetsa shuga m'magazi, koma amachepetsa mayendedwe a shuga ndikuwonjezera ngozi ya kufa. Kuti mumve zambiri, onani nkhani yakuti “Mankhwala a shuga.

Mankhwala a Galvus Met ndi Yanumet ndi okwera mtengo, koma malinga ndi kuwunika kwa odwala amagwira bwino kuposa Glucofage ndi Glucofage Long.

Kodi matenda ashuga angachiritsidwe ndi mapiritsi a metformin ndi jakisoni wa insulin nthawi imodzi?

Izi nthawi zambiri ndizomwe muyenera kuchita. Cholinga chanu ndikuonetsetsa kuti shuga asakhazikika m'malo osiyanasiyana a 4,5-5,5 mmol / L, monga momwe mungakhalire ndi anthu athanzi. Tsambali endocrin-patient.com ikufotokoza momwe mungakwaniritsire izi popanda kufa ndi njala komanso kuzunzidwa kwina.

Pali odwala matenda ashuga ochepa omwe amatha kubwezeretsa shuga mwa nthawi zonse pakudya ndi piritsi. Pokhapokha ngati wodwala yemwe ali ndi matenda ashuga a 2 asinthana ndi zakudya zamafuta ochepa panthawi, kumayambiriro kwa matendawo.

Mwambiri, mudzafunika kubayira insulini mu Mlingo wochepa kuphatikiza potsatira kudya komanso kudya metformin. Osakhala aulesi kuchita izi. Chifukwa ndi shuga wama 6.0-7.0 komanso apamwamba, zovuta za shuga zimapitilirabe, komabe pang'onopang'ono.

Nthawi zambiri, matenda a shuga a 2 amayamba kuthandizidwa ndikudya, ndiye kuti metformin imawonjezeredwa kwa iyo ndipo, ngakhale pambuyo pake, jekeseni wa insulin yotsika pang'ono malinga ndi chiwembu chosankhidwa payekha. Nthawi zina mapiritsi amayamba kumwa odwala matenda ashuga omwe amaba jakisoni kale. Nthawi zambiri muzochitika zotere, kufunika kwa insulin kumachepetsedwa ndi 20-25%.

Musamale kuti musaba jekeseni wa insulin kwambiri ndikuyambitsa hypoglycemia. Ndikwabwino kuchepetsa kuchuluka kwa insulini ndi malire, kenako ndikuwonjezera mosamala potengera shuga. Kwa anthu ambiri omwe ali ndi matenda ashuga a mtundu 2, kuthamangitsa mpumulo (qi-jogging) kumawathandiza kuti azikhala ndi shuga pakanthawi kochepa. Yesani kuyendetsa njirayi kapena siyani kuyenda kwa Nordic.

Momwe mungatenge metformin

Mankhwalawa amayenera kumwa ndi chakudya. Kuchita kwawonetsedwa kuti kumavomerezedwa kuposa momwe mumamwa mankhwalawa musanadye kapena mutatha kudya. Mapiritsi okhala ndiutali sangathe kutafunidwa, muyenera kumeza lonse. Muli zinthu zomwe zimatchedwa cellulose matrix, zomwe zimachepetsa kumasulidwa kwa zinthu zomwe zimagwira. Nthawi zambiri matrix amenewa amawonongeka m'matumbo. Koma nthawi zina amasintha mawonekedwe ake pang'onopang'ono popanda kuyambitsa matenda otsegula m'mimba. Osadandaula, si owopsa komanso osavulaza.

Ngati palibe contraindication ndi zovuta zoyipa, ndiye kuti metformin iyenera kumwedwa kwamuyaya, kwa moyo wonse. Ngati mankhwalawo atathetsedwa, magazi a shuga amatha kuchuluka, mapaundi ena owonjezera omwe angathe kubwezeretsedwanso abwerera. Pamodzi ndi mankhwalawa, vitamini B12 imatha kumwa prophylactically kwa maphunziro a 1-2 pachaka. Kuphatikiza pa vitamini B12, metformin sichimachotsa zinthu zilizonse zopindulitsa m'thupi, m'malo mwake zimasunga.

Kodi metformin ingatengedwe popanda mankhwala a dokotala?

Awa ndi mankhwala otetezeka kotero kuti, mu mankhwala ogulitsidwa mudzagulitsidwa popanda mankhwala. Onetsetsani kuti mulibe zotsutsana ndi kugwiritsa ntchito kwake.Ngati sichoncho, ndiye kuti mutha kumwa mankhwalawa popanda mankhwala a dokotala kuti muthane ndi matenda a shuga a 2 komanso / kapena kuwonda. Ndikofunika kuti ayambe kudutsa magazi omwe amayesa ntchito ya impso ndi chiwindi. Kenako atenge, mwachitsanzo, miyezi isanu ndi umodzi iliyonse.

Ndikofunikanso kuwunikira cholesterol ndi zina zomwe zingayambitse ngozi.

Kodi mlingo waukulu wa tsiku lililonse ndi uti?

Mlingo wapamwamba tsiku lililonse wa metformin ndi wofanana pa mankhwalawa matenda a shuga a 2 komanso kuwonda. Mapiritsi a Glucofage owonjezera kapena ma analogues, ndi 2000 mg (mapiritsi 4 a 500 mg). Nthawi zambiri zimatengedwa usiku kukonza shuga osala kudya m'mawa wotsatira. Kwa mapiritsi a metformin okhazikika, mlingo waukulu wa tsiku ndi tsiku ndi 2550 mg, piritsi limodzi la 850 mg ndi iliyonse ya zakudya zitatuzi.

Amayamba kulandira chithandizo chokhala ndi mlingo wochepa wa 500 kapena 850 mg patsiku, kenako ndikuwonjezera pang'onopang'ono kuti apatse thupi nthawi yoti lizolowere. Kupanda kutero, pakhoza kukhala zolakwika zazakudya. Anthu ochepa omwe ali ndi shuga wabwinobwino nthawi zina amagwiritsa ntchito metformin kutalikitsa moyo. Zikatero, sizikupanga nzeru kumwa mlingo waukulu. Dzichepetsani kuchuluka kwa 500, 1000 kapena 1700 mg patsiku.

Kodi mlingo uliwonse umatengedwa bwanji?

Kutulutsa pang'onopang'ono mapiritsi a metformin kumatha maola 8-9. Mapiritsi ochiritsira - maola 4-6. Ngati mapiritsi am'mbuyomu sanatherebe, ndipo munthuyo akutenga wotsatira, izi sizowopsa kapena zowopsa. Chachikulu ndichakuti musapitirire muyeso wovomerezeka watsiku ndi tsiku.

Ndi nthawi yanji ya tsiku yabwino kumwa mankhwalawa?

Metformin wokhala ndi nthawi yayitali nthawi zambiri amatengedwa usiku kuti athetse kusala kudya kwa magazi m'mawa wotsatira. Werengani nkhani "Shuga pamimba yopanda kanthu m'mawa: momwe mungabwezeretsenso zodabwitsa".

Mapiritsi apamwamba a metformin amatengedwa ndi chakudya tsiku lonse - m'mawa, chakudya chamadzulo komanso madzulo. Mlingo wa tsiku lililonse wa mankhwalawa suyenera kupitilira 2550 mg.

Kodi metformin ndi ma statins zikugwirizana ndi cholesterol?

Inde, metformin ndi ma statins ndizogwirizana. Zakudya zama carb zotsika zimachulukitsa cholesterol yamagazi anu, kutsika kwa ma triglycerides ndikuwongolera kugwiranso ntchito kwanu. Ndi kuthekera kwakukulu, mudzatha kukana kutenga ma statins popanda kuwonjezera chiwopsezo cha kugunda kwa mtima. Komanso, chakudya chamafuta ochepa chimachotsa madzimadzi ochuluka mthupi, kumachotsa edema ndikuwonjezera magazi. Mlingo wa mankhwala osokoneza bongo komanso kulephera kwa mtima nthawi zambiri amachepetsedwa, mpaka kuthetsedwa. Choyamba, muyenera kukana kumwa mankhwala oopsa a diuretic.

Onani vidiyo ya Dr. Bernstein yokhudza momwe kunenepa kwambiri, shuga wamagazi ambiri ndi cholesterol, ndi kuchepa kwa mahomoni a chithokomiro. Mvetsetsani momwe mungawerengere chiopsezo cha vuto la mtima malinga ndi zotsatira za mayeso a cholesterol "yoyipa" ndi "yabwino". Dziwani za chiopsezo cha mtima ndi misempha chomwe muyenera kuyang'anira, kupatula cholesterol.

Kodi metformin ndi mowa zimagwirizana?

Metformin komanso kumwa mowa pang'ono ndizothandiza. Kutenga mankhwalawa sikutanthauza kukhala ndi thanzi lathunthu. Ngati mulibe contraindication chithandizo ndi metformin, ndiye kuti sikuletsedwa kumwa mowa pang'ono. Mupeza zinthu zambiri zosangalatsa mu nkhani ya "Mowa ku matenda a shuga". Mlingo wa mowa womwe umanenedwa kumeneko ngati zovomerezeka kwa amuna ndi akazi achikulire sangakhale ovulaza.

Anthu ambiri ali ndi chidwi kuti atenga Metformin mutamwa mowa liti. Mutha kumwa pang'ono pang'ono nthawi yomweyo, palibe chifukwa chodikirira maola angapo. Komabe, mosiyanasiyana ndi mankhwalawa chifukwa cha mankhwalawa, munthu samamwa kwambiri.

Mumawerengera pamwamba kuti lactic acidosis ndi chiyani. Izi ndi zakupha, koma zosowa kwambiri. Munthawi zoyenera, chiwopsezo chake chimakhala chochepa, koma moledzera, amakhala wamkulu. Ngati simungathe kumwa pang'ono, osamwa konse.

Ndemanga za mankhwala oyamba a Glyukofazh ndi Glyukofazh Long ndizabwino kwambiri kuposa zamankhwala a Siofor, ndipo makamaka, za mapiritsi a metformin a ku Russia. Odwala a shuga a Type 2 omwe amaphatikiza zakudya zamafuta ochepa ndi mankhwala omwe adatsimikiziridwa amatsimikizira kuti izi zimapereka zotsatira zabwino. Mwazi wa magazi umachepa ndipo thanzi limayenda bwino mwachangu.

Ndemanga zoyipa nthawi zambiri zimafalitsidwa ndi anthu odwala matenda ashuga omwe samadziwa za zakudya zama carb ochepa kapena sawona kuti ndizofunikira kusintha. Mwa odwala, zotsatira za chithandizo cha matenda ashuga sizabwino kwenikweni, mosasamala kanthu za mankhwalawa omwe amamwa.

Patsamba zosiyanasiyana mutha kupeza ndemanga zabwino za odwala omwe ali ndi matenda amtundu wa 2 omwe amatenga metformin kuphatikiza ndi sulfonylureas. Mwachitsanzo, mankhwala Glibomet, omwe ali ndi metformin ndi glibenclamide. Mankhwala oterowo mwachangu komanso modabwitsa kuchepetsa magazi. Zizindikiro za glucometer poyamba zimakondweretsa odwala. Komabe, sulfonylureas ndi zovulaza chifukwa amathetsa kapamba.

Pakatha miyezi yochepa kapena zaka, chithandizo chamankhwala a beta a pancreatic pamapeto pake chimalephera. Pambuyo pa izi, matendawa amafalikira msanga, zikuwoneka kuti zikuyambitsa matenda a shuga 1.

Zimakhala zosatheka kuletsa kukula kwa zovuta. Zowona, odwala ambiri amafa ndi vuto la mtima kapena matenda opha ziwalo asanafike kumapeto. Osamamwa mapiritsi owononga a shuga, ngakhale mutawona ndemanga zabwino za iwo.

Kuchepetsa Metformin: Kubwereza Kwambiri

Anthu omwe akufuna kuchepetsa thupi nthawi zambiri amasankha mankhwala oyamba Glyukofazh kapena Siofor. Amagwiritsa ntchito mapiritsi a metformin popanga Russian nthawi zambiri. Malinga ndi iwo, Glucophage sachepera Siofor kuyambitsa kutsegula m'mimba komanso zina. Mosiyana ndi mankhwala ena ochepetsa thupi, metformin siyimabweretsa zovuta zathanzi kwakanthawi. Kuchepetsa thupi kumatsimikizira kuti kudya zamafuta ochepa kumathandiza kuposa chakudya chamagulu pang'ono.

36 ndemanga pa Metformin

Moni. Ndili ndi zaka 42, kutalika 168 cm, kulemera kwa 87 kg. Ndili ndi matenda a shuga a mtundu 2, omwe adapezeka mwangozi mu Marichi 2017. Panthawiyo, shuga anali ndi zaka 16. Komabe, ndimangomva kufooka ndipo nthawi zina ndimamva kupweteka m'miyendo yanga. Mankhwala omwe amalembedwa: metformin 850 mg, piritsi limodzi 2 kawiri pa tsiku, ndi 3.5 mg maninil 2 kawiri pa tsiku. Shuga adatsikira ku 7.7. Izi mwina ndizo Maninil adachitapo kanthu. Mwangozi kubwera patsamba lanu ndikupeza za zakudya zamagulu ochepa. Ndi chithandizo chake, adatsitsa shuga mpaka 3.8-5.5. Komanso werengani zambiri zanu zamapiritsi a shuga. Ndidazindikira kuti amayamba kuvuta, ndipo ndekha ndidasiya. Shuga adayesedwa kunyumba pamimba yopanda kanthu ndi glucometer - 4,8, maola awiri atatha kudya - 5.5. Komabe, panali zovuta ndi chopondapo - kudzimbidwa. Kodi kuchuluka kwa metformin tsiku lililonse kungathandize?

Ndidazindikira kuti amayamba kuvuta, ndipo ndekha ndidasiya

Zabwino kwambiri, si aliyense amene ali ndi nzeru zokwanira

panali zovuta ndi mpando - kudzimbidwa. Kodi kuchuluka kwa metformin tsiku lililonse kungathandize?

Mumawerenga mosamala nkhani yayikulu yokhudza zakudya zama carb otsika - http://endocrin-patient.com/dieta-pri-saharnom-diabete/. Imafotokoza zoyenera kuchita kuti muthetse kudzimbidwa. Izi ndi zovuta zomwe zimachitika pakudya, koma njira zothanirana ndi izi zidapangidwa kale.

Kuchulukitsa mlingo wa metformin tsiku ndi tsiku kumathandizanso, koma musakhale aulesi kuchita zotsalira zomwe zalembedwera nkhaniyi.

Moni Ndili ndi zaka 39, ndadwala matenda amtundu 1 kuyambira 2003, kutalika 182 cm, kulemera kwa makilogalamu 111 - kunenepa kwambiri. Retinopathy, albuminuria (creatinine m'magazi a 107 mmol / l), komanso polyneuropathy, kufalikira kwa magazi m'miyendo, mavuto ena ambiri azaumoyo apezeka kale. Glycated hemoglobin 7.7% anali mu Juni chaka chino. Ndimakonda kuchita masewera olimbitsa thupi momwe ndingathere ndipo ndimayesetsa kutsatira zakudya zamafuta ochepa malinga ndi Bernstein. Koma kuchepetsa thupi sikugwira ntchito. Pali zambiri za insulin - pafupifupi 65 mayunitsi patsiku.Ndikumvetsetsa kuti pali insulin kukana. Kodi metformin ikhoza kuyesedwa kuti ichepetse thupi ndikuwonjezera chidwi cha insulin? Ndili ndi mantha kuyiyamba kumwa, chifukwa imaphatikizidwa mu T1DM.

Kodi metformin ingayesedwe kuti muchepetse kunenepa?

Muyenera kuyang'ana impso zanu monga tafotokozera apa - http://endocrin-patient.com/diabetes-nefropatiya/. Ngati sizowonongeka kwambiri (kuchuluka kwa kusefera kwa glomerular pamtunda wa 60 ml / min), mutha kuyesa.

Ngati mukufuna, mutha kupeza chowerengera pa intaneti kuti mudziwe kuchuluka kwa impso malinga ndi chidziwitso ichi, komanso zaka zanu komanso amuna ndi akazi

Usiku wabwino Ngati mukuyamba kumwa mankhwalawa, ndiye kuti muyenera kumwa nthawi zonse popanda zosokoneza? Kuti muchepetse kulemera pang'ono, kodi ndizosatheka kuyimitsa?

kutenga mosalekeza popanda kusokonezedwa? Kuchepera yaying'ono

Metformin idzakuthandizani kutaya mapaundi ochepa ngati muli ndi mwayi. Siyani kutenga - kwambiri, ma kilogalamu omwe abwerera adzabweranso.

Bwanji osapitilira zakudya zamafuta ochepa?

Masana abwino Zikomo, zinali zosangalatsa kwambiri kuwerenga nkhani yanu! Koma ndimangokhala ndi mafunso. Choyamba zokhudza inu. Zaka 44 zaka, kulemera kwa makilogalamu 110, kukula, kutalika kwa 174 cm. Ndimamwa 1000 mg siofor 2 kawiri pa tsiku kwa zaka 2-3, m'mawa ndi madzulo. Mwazi wanga wamagazi sunakulitse, ndikupezeka ndi insulin. Ndakhala ndikulimbana ndi kunenepa kwambiri kwazaka zingapo. Zinali 143 kg, adachepetsa thupi pazakudya mpaka 114 kg, ndiye adapeza 126 kg. Kenako, adachepetsa mapiritsi, Siofor komanso zakudya zolemera mpaka makilogalamu 103, ndipo zaka 2 popanda kudya ndidapeza mpaka 110.

Funso ndikusungidwa kwamadzi. Nthawi zambiri ndimamva kutulutsa madzi kwambiri. Kafukufuku sanatchule chomwe chayambitsa. Pali oxalates ochepa mkodzo; palibe hypothyroidism. Sindimamwa kwambiri, kusowa kwa mchere patebulo, sindimakonda maswiti, sindimadya pang'ono komanso pang'ono. Zakudya zolimbitsa thupi sizingathe kupirira, zimasweka. Ndidazindikira kuti popanda mankhwala okodzetsa, palibe kuwonda komwe kumatheka. Metformin sigwirizana ndi ma diuretics. Zosankha zanga ndi ziti? Funso lachiwiri: ngati ndilibe matenda ashuga, ndingaletse bwanji Siofor, kuti ndisayang'ane ndi hypoglycemia?

Kuchepetsa thupi pazakudya mpaka makilogalamu 114, kenako mpaka 126 kg. Kenako, adachepetsa mapiritsi, Siofor komanso zakudya zolemera mpaka makilogalamu 103, ndipo zaka 2 popanda kudya ndidapeza mpaka 110.

Mutha kuwona kuti ndizothandiza kupeza ndikuwerenga The Gabriel Njira: Njira Yakutsutsira DIET-UFULU Wakusinthira Thupi Lanu Mwathunthu. Tsoka ilo, ndi Chingerezi chokha. Sindikudziwa kuti ndikuika Russian pamanja

Nthawi zambiri ndimamva kutulutsa madzi kwambiri.

Chifukwa chake ndi kuchuluka kwa insulin m'magazi. Zakudya zamafuta ochepa zimathandiza.

Zakudya zolimbitsa thupi sizingathe kupirira, zimasweka.

Zakudya izi sizokhala ndi "njala", koma zamtima komanso ndizokoma, ndizosavuta kutsatira

Sichikupezanso mgwirizano wa atsikana. Kupititsa patsogolo thanzi ndi zenizeni.

Ndidazindikira kuti popanda mankhwala okodzetsa, palibe kuwonda komwe kumatheka.

Potenga mapiritsi a diuretic zakudya kuchokera pagulu lathu lomwe limathamangitsidwa, masamu

Kodi ndingaletse bwanji Siofor kuti isagundane ndi hypoglycemia?

Sindinamvetsetse funsoli ayi

Ndili ndi zaka 45, kulemera kwa 90 kg, kutalika 174 cm.Mwezi wa Marichi ndidapezeka kuti ndine matenda a shuga 2. Shuga 8.5. Ndimamwa metformin 850 mg m'mawa ndi madzulo. Ndipo mu Julayi, kudziwikanso kwatsopano - matenda a chiwindi poyambira gawo la etiology yonyansa. Hepatitis B ndi C ayi. Zoyenera kuchita ndi Metformin?

Zoyenera kuchita ndi Metformin?

Kuthetsa vuto la matenda ashuga ophatikizika ndi cirrhosis sikuposa kukula kwa luso langa. Kambiranani funso lanu ndi dokotala.

Ndimakopa chidwi cha owerenga kuti chiwindi cirrhosis ndi mafuta hepatosis ndi matenda osiyanasiyana. Odwala omwe ali ndi hepatosis yamafuta kutsatira malangizo omwe afotokozedwa patsamba lino akhoza ndipo ayenera kukhala, palibe chochita mantha.

Moni, ndili ndi zaka 33, zolemera 64 kg. Malinga ndikuwunikira, zonse zinkawoneka ngati zabwinobwino kale, ngakhale kwa nthawi yayitali sanawasiye. Koma nthawi zonse ndimakhala ndi njala. Ngati sindingadye kwa maola opitilira atatu - mwina pali hypoglycemia. Ndimadya pafupifupi nthawi zonse. Ndikadzichepetsera zakudya, ndimachepetsa thupi. Koma sindingathe kugwirabe motero kwa nthawi yayitali, ndimaganizira za chakudya nthawi zonse, ndimakhala wofooka.Miyezi yambiri ya 6-8, kenako ndikuphwanya ndikukhwimitsa mafuta 64 kg. Ndakhala ndikulemera choncho kuyambira zaka 15. Kwa ine, izi ndizambiri, owonjezera 12-15 kg. Kodi ndizomveka kuyesa mankhwalawa? Nditha kuganiza kuti ndili ndi insulin. Sindikudziwa choti ndichite.

Kodi ndizomveka kuyesa mankhwalawa?

Choyamba, muyenera kusinthana ndi zakudya zamafuta ochepa. Mutha kuphatikiza ndikutenga metformin.

Ndikadzichepetsera zakudya, ndimachepetsa thupi. Koma sindingakhale motalikirapo

Ngati mukudziwa Chingerezi, pezani ndikuwerenga The Gabriel Njira lolemba ndi a Jonathan Gabriel

Masana abwino, dokotala wokondedwa! Ndili ndi zaka 74, kutalika 164 cm, kulemera makilogalamu 68, m'mimba akulu. Kufikira zaka 60, kulemera kwake kudali 57-60 kg, kunalibe pamimba. Amalemba nthawi zonse - astenik. Mu 1984, opaleshoni idachitidwa kuwerengera cholecystitis - miyala iwiri ya 1 masentimita 1. Pambuyo pake, moyo udasandulika kukhala wowopsa! Zowopsa za m'mimba mwa mtundu wa poyizoni wazipatso, masamba, zakumwa. Kuyenda mozungulira gastroenterologists ndikukhalira kuchipatala cha TsNIIG - popanda zotsatira. Mankhwala omwe amaperekedwawo nthawi zina amafooketsa vutoli, chifukwa mankhwala ambiri amakhala ndi shuga monga amkamwa! Ndazindikira kuti matendawa amakhudzana ndi kugwiritsa ntchito shuga. Dokotala wina adati kudandaula kwa shuga. Anayamba kuyang'ana shuga: nthawi zambiri pamimba yopanda 5.6-5.8, masana zimachitika 7.8-9.4. Glycated hemoglobin 6.1%. Endocrinologists amanyalanyaza madandaulo anga. Nthawi zambiri amati izi ndi boma la prediabetes ndipo sizofunikira kuchiritsa, chakudya chokha. Chakudya chimandiwopseza! Kodi metformin kapena fanizo zina zindithandiza? Zikomo

Glycated hemoglobin 6.1%. Endocrinologists amanyalanyaza madandaulo anga. Nthawi zambiri amati ichi ndi boma la prediabetes ndipo palibe chifukwa chowachiritsire, pokhapokha
chakudya.

Mwakutero, akunena zoona. Komabe, zonse zimatengera mtundu wa chakudya chomwe angakhale.

Ndazindikira kuti matendawa amakhudzana ndi kugwiritsa ntchito shuga.

Bwanji osapitilira zakudya zamafuta ochepa? Anthu omwe gallbladder yawo imachotsedwa amakhala pamenepo.

Kodi metformin kapena fanizo zina zindithandiza?

Metformin imatha kuonjezera m'mimba. Mankhwalawa samaposa 10-15% ya momwe zakudya zimaperekera. Mwanjira ina, popanda kudya, mulibe nzeru mwa iye, ngakhale zilipo zina.

Madzulo abwino Ndili ndi zaka 45. Zaka 4 zapitazo, matenda a shuga a 2 adapezeka. Ndipo masiku angapo apitawo, kuchepa kwamafuta kwa chiwindi. Climax inayamba miyezi 8 yapitayo, pali goiter wa 1st degree. Ndi kutalika kwa masentimita 160, ndimalemera 80 kg. Mlingo wa metformin wa tsiku ndi tsiku womwe ndiyenera kugwiritsa ntchito mpaka liti?

Mlingo wa metformin wa tsiku ndi tsiku womwe ndiyenera kugwiritsa ntchito mpaka liti?

Yambani ndi mlingo wocheperako ndipo pang'onopang'ono muwonjezere mpaka 3 * 850 = 2550 mg patsiku. Monga tafotokozera m'nkhani yomwe mudalemba ndemanga.

Ndikukumbutsani kuti zakudya zama carb otsika - http://endocrin-patient.com/dieta-pri-saharnom-diabete/ - ndizofunika kwambiri kwa inu kuposa metformin ndi mapiritsi ena onse.

Ndinachita opaleshoni ya oncological pa gland ya mammary ndipo ndinadutsa maphunziro 6 a chemistry opepuka kwambiri. Patha zaka pafupifupi 6, sindinayang'anenso. Kodi ndingatenge metformin kuti ndichepetse thupi? Ndipo zitatha kupsinjika, shuga nthawi zina adayamba kukwera mpaka 5.7 - 5.9. Sindimatsatira zakudya zabwino, koma ndimayesetsa kudya zosiyanasiyana koma osadya kwambiri.

Ndinachita opaleshoni ya oncological pa gland ya mammary ndipo ndinadutsa maphunziro 6 a chemistry opepuka kwambiri. Patha zaka pafupifupi 6, sindinayang'anenso. Kodi ndingatenge metformin kuti ndichepetse thupi?

Funso lanu loposa luso langa. Ndikuganiza kuti palibe amene akudziwa motsimikiza momwe kumwa metformin kungakulitsire chiopsezo chanu chobwererenso khansa. Sindikudziwa ngati ndingamwe mapiritsi awa m'malo anu kapena ayi. Amamutsatira. Pali malingaliro akuti amachepetsa chiopsezo cha khansa. Palibe chifukwa chomwe ndimamwa vitamini C ndi ma antioxidants ena.

Tsiku labwino! Ndili ndi zaka 58, mtundu 2 wa matenda ashuga kuyambira 2014. Ndimamwa metformin 500 mg katatu pa tsiku. Kwa nthawi yoyamba mayeso a C-peptide - zotsatira zake ndi 2.47 ng / ml, glycosylated hemoglobin - 6.2%. Kodi izi zikukamba chiyani? Ndimayesetsa kusunga shuga m'magazi munthawi yovomerezeka, koma nthawi zina pamakhala kulumpha. Zikomo

C-peptide - zotsatira za 2.47 ng / ml, glycosylated hemoglobin - 6.2%. Kodi izi zikukamba chiyani?

Mutha kupeza zosavuta pa intaneti ndikufanizira zotsatira zanu.

Moni. Ndili ndi zaka 37, kutalika 180 cm, kulemera makilogalamu 89.Ndinayamba kumwa metformin kuti ndichepetse thupi, koma patsiku lachiwiri ndinamva kusintha kwamunthu wina: Ndinapeza mphamvu zambiri, ndinataya maswiti. Tsopano ndikufuna kukayezetsa matenda ashuga. Chonde ndiuzeni, kodi kuyezetsa koteroko kumatha kufikira liti? Ndinaona m'nkhaniyi kuti metformin wokhazikika amatenga maola 4-6. Kodi izi zikutanthauza kuti tsiku lina mutamwa mankhwalawa mutha kukayezetsa matenda ashuga?
Zikomo

Kuyesedwa kungatenge nthawi yayitali bwanji pakumwa mankhwalawo?

Metformin imatsitsa shuga wa magazi ndi 1-2 mmol / l, ndi hemoglobin wa glycated - ndi 0,5-1,5%. Koma izi sizimachitika mwachangu, koma patangopita masiku ochepa kapena milungu ingapo mutamwa mankhwalawo.

Kodi izi zikutanthauza kuti tsiku lina mutamwa mankhwalawa mutha kukayezetsa matenda ashuga?

M'malo mwanu, ndimatha kupita kukayezetsa nthawi yomweyo. Ngati mukudwala matenda ashuga kwambiri, matendawa amapezeka mulimonse.

Ndili ndi matenda ashuga a 2, sindimamwa metformin panobe. Zodwala za shuga pambuyo pa sabata lanu lazakudya zidatsika mpaka 5.5-7, ndipo sabata yatha zidali 7-12. Kodi metformin ikufunika bwanji pamenepa? Ndiyenera kuyamba kumwa, kapena ndingathe popanda iyo? Kupatula apo, zakudya zimapatsa kale zabwino. Ndili ndi matenda a pyelonephritis, motero ndikuopa kumwa mapiritsi owonjezera.

Ndili ndi matenda osatha a pyelonephritis.

Muyenera kuganizira kwambiri za kuchira matenda awa. Ndikofunikira kudziwa mothandizidwa ndi mbewu zomwe mabakiteriya anu amawaganizira, ndikumamwa maantibayotiki mpaka kupambana komaliza. Madokotala amakonda kupereka mankhwala omwewo kwa odwala awo onse, osazindikira momwe akumvera. Chifukwa cha izi, pyelonephritis imawonedwa ngati matenda osachiritsika, osachiritsika. Ngati mumasankha maantiweki payekhapayekha, mutha kuthana ndi vutoli.

Kodi metformin ikufunika bwanji pamenepa?

M'malo mwanu, ndibwino kubaya insulini pang'ono kuposa momwe mungamwe metformin kuti musunge shuga osakwana 5.5 mmol / l.

Sergey, zikomo kwambiri chifukwa chothandizidwa.

Pakadali pano sindinathe mayeso, chifukwa ndimakhala ku Syria, pali zovuta zina. Ndimamwa metformin komanso ndimachepetsa chakudya. Mwa njira, kuti muchepetse kunenepa, ngakhale pang'ono, zidayamba kukhala koyamba. Sindinachulukenso kukodza; kugona nthawi masana kwatha kuyambira pomwe mankhwalawa adayamba. Ngakhale adagubuduza kale kuti ndizosatheka kukana. Adagona kwa mphindi 15, adadzuka ndi kumva kutayika mu nthawi ndi malo. Mkhalidwe wa khungu pama mikono ndi miyendo wayenda bwino. Panali kena kake konyansa pazanja, mawondo ndi m'chiuno.

Koma tsitsi langa linayamba kutsika kwambiri. Kodi izi zitha kukhala chifukwa cha mankhwalawa kapena kuchuluka kwa mapuloteni?

Muubwana wake, adapezeka kuti akuwonjezera ntchito ya chithokomiro, adalandira chithandizo chamankhwala, ndipo adamaliza kulandira chithandizo mu 2001. Nthawi yomaliza yomwe ndidadutsa ATTG ndi F4 zaka ziwiri zapitazo - zonse zinali zadongosolo.

Zimandivuta kuti ndiyese mayeso (ndiyenera kupita kudera lina) komanso okwera mtengo, ndikufuna kuti ndipatseni malangizo anu. Ndikufuna kuzitenga ndi ziti?

Zikomo kachiwiri.

Tsitsi langa linayamba kugwa kwambiri. Kodi izi zitha kukhala chifukwa cha mankhwalawa kapena kuchuluka kwa mapuloteni?

Ndili ndi mantha kuti izi ndi chiwonetsero cha hypothyroidism yoyambitsidwa ndi chithandizo cha hyperthyroidism. Ndipo palibe chomwe chitha kuchitidwa za izi. Ngati ndi kotheka, perekani kuwunikaku kwaulere.

Zimandivuta kuti ndiyese mayeso (ndiyenera kupita kudera lina) komanso okwera mtengo, ndikufuna kuti ndipatseni malangizo anu. Ndikufuna kuzitenga ndi ziti?

Onse odwala matenda ashuga ayenera kuyang'ana pafupipafupi glycated hemoglobin yawo - HT http://endocrin-patient.com/glikirovanny-gemoglobin/ - ndi C-peptide - http://endocrin-patient.com/c-peptid/. Zina - monga zofunika.

Madzulo abwino, ndili ndi zaka 25, kulemera kwa 59-60 kg. Ndakhala ndikutsatira zakudya zama carb ochepa kwa zaka 1.5, koma palibe zotsatira zakuchepera. Mayesowa ndi abwino - insulin 6.9 μU / ml, glucose 4.5 mmol / l, glycated hemoglobin 5%, leptin 2.4 ng / ml. Kodi ndizomveka kuti nditenge metformin?

Ndakhala ndikutsatira zakudya zama carb ochepa kwa zaka 1.5, koma palibe zotsatira zakuchepera.

Onani vidiyo yanga yokhudza kuchepa thupi - https://youtu.be/SPBR2aYNi-o - Ndikhulupirira idzakuthandizani

Kodi ndizomveka kuti nditenge metformin?

Mutha kuyesa kuchepetsa thupi, makamaka ngati pali mavuto okhala ndi mwana

Masana abwino Ndiuzeni, chonde, ndimamwa metformin 1000 mg kawiri pa tsiku. Tsopano shuga m'mawa ndi 5, maola awiri mutadya 6. Ndakhala ndikumwa kuyambira Meyi Meyi, kuphatikiza chakudya, ndasiya 17 kg. Kodi ndizotheka kuchepetsa mlingo wa metformin? Shuga wabwereranso ndipo simukufunanso kuchepetsa thupi.

Kodi ndizotheka kuchepetsa mlingo wa metformin? Shuga woponyedwa kumbuyo

Yesetsani. Komabe, kumbukirani kuti shuga imatha kuwonjezeka chifukwa cha mlingo wotsika.

Ndingathenso kuyesa magazi a C-peptide m'malo mwanu.

Moni, ndili ndi zaka 45, zolemera makilogalamu 96, chakudya chisanakhale 115 kg, kutalika kwa masentimita 170. Kuchulukitsa kwa shuga kunapezeka mwezi ndi theka zapitazo, mothandizidwa ndi cardiologist, yemwe adalembetsa zaka 15. Malinga ndi zotsatira za kusanthula, glycated hemoglobin anali 15,04%. Zizindikiro zake zimaphatikizira kukamwa kowuma, ludzu, komanso kukodza pafupipafupi. Adatembenukira kwa endocrinologist. Poyamba, adapereka mankhwala a gluconorm ndi nolpase, komanso zakudya zopanda chakudya komanso mafuta ochepa. Patatha mwezi umodzi, malinga ndi zotsatira za kusanthula kwa shuga wamagazi, 8.25 mmol, ndipo patatha maola awiri mutadya, pazifukwa zina 5.99, proteinuria 0,44 g / tsiku lililonse. Mwachilengedwe, intaneti idayamba kupanga ubweya ndipo idadza patsamba lanu. Pafupifupi milungu iwiri yapitayo ndidayamba kutsatira zakudya zopanda mafuta, ndidagula glucometer. Kuyambira usiku watha, adayamba kumwa metformin 500 mg, ndikuchotsa mapiritsi a gluconorm. Tsopano kulibenso ludzu komanso pakamwa pouma, ndimayendera chimbudzi monga mwa masiku onse. Malinga ndi glucometer, shuga othamanga ndi 6.1 mmol, ndipo maola awiri atatha kudya 5.9. Kodi ndimawonanso nthawi zoyesedwa magazi molondola? Pambuyo pa shuga, kodi shuga liyenera kukhala lokwera? Kodi ndimafunikira kangati kuyesa kuchuluka kwanga kwa shuga? Ndikufuna insulin? Kodi tingalankhule za kupezeka kwa matenda ashuga kapena prediabetes? Kodi ndifunika kuwonjezera mlingo wa metformin?

Ndinachotsa mapiritsi a gluconorm.

Maola awiri atatha kudya 5.9. Kodi ndimawonanso nthawi zoyesedwa magazi molondola?

Mutha kuyesa maola atatu mutatha kudya

Kodi ndimafunikira kangati kuyesa kuchuluka kwanga kwa shuga?

glycated hemoglobin anali 15,04%. Kodi tingalankhule za kupezeka kwa matenda ashuga kapena prediabetes?

Kodi ndifunika kuwonjezera mlingo wa metformin?

Pepani koma kuti metformin idasokonekera chifukwa impso zakhudzidwa kale, pali mapuloteni mkodzo

Tsopano shuga ndi pafupifupi zabwinobwino, koma matenda anu a shuga ndiwakukulu, kotero simungathe kupaka insulin, kuti mumve zambiri onani http://endocrin-patient.com/insulin-diabet-2-tipa/

Moni, ndili ndi zaka 57, kutalika kwa 160 cm, kulemera 78 kg. Zomwe anawunikira ndizotsatirazi: glucose 5.05, glycated hemoglobin 6.08. Cholesterol yathunthu ndi 6.65 (high density-1.35, low 4.47, triglycerides 1.81). Zaka zisanu zapitazo, ndulu inachotsedwa. Chonde ndiuzeni ngati nditha kuyambanso ndi ngati metformin ikufunika. Ndipo ngati zili choncho, muyezo uti mulingo waukulu, ndi kwa moyo kapena ayi. Kodi ndifunika kuchita mayeso ena owonjezera. Palibe madandaulo apadera azaumoyo, koma mayesowo siabwino kwambiri.

Chonde ndiuzeni ngati nditha kuyambanso ndi ngati metformin ikufunika.

Kodi ndifunika kuchita mayeso ena owonjezera.

Moni. Ndimatenga piritsi limodzi la Siofor 850 m'mawa ndi madzulo. Type 2 shuga. Kuwerenga kwa Glucometer m'mawa wopanda kanthu 5.7-6.5. Opaleshoniyo ali mtsogolo. Funso: Kodi ndizotheka kutenga Siofor musanayambe kuchita opareshoni? Kapena zoletsa zina? Zikomo

Kodi ndingathe kumwa Siofor isanachitike komanso pambuyo pake? Kapena zoletsa zina?

Kapangidwe kazida ndi kagwiritsidwe ntchito

Metformin yogwira pophika ndi gawo lamankhwala ambiri ochepetsa shuga. Malinga ndi kufotokozeredwa kwakukulu kwa mankhwalawa, ndi mankhwala othandizira omwe ali m'gulu lachitatu la m'badwo wachitatu ndipo amathandizira kutsitsa shuga m'magazi.

Kuphatikizika kwa mankhwalawa kumaphatikizapo chokhacho chokhacho chophatikizika - metformin hydrochloride, yomwe imathandizidwa ndi mankhwala othandizira osiyanasiyana.

Lero m'masitolo mutha kugula mankhwala osiyanasiyana Mlingo wothandizirana, kutengera zosowa za wodwalayo komanso kuopsa kwa matendawa.

Wothandizira antidiabetesic amalepheretsa njira ya gluconeogeneis ndi kayendedwe ka ma elekitironi a ma kupuma a mitochondria. Glycolysis imakhudzidwa ndipo maselo amayambanso kuyamwa glucose, mayamwidwe ake ndi makoma am'mimba amachepa.

Chimodzi mwazinthu zabwino zomwe zimapangidwa ndimomwe ndimapangidwira ndikuti sizipangitsa kuti shuga achepetse kwambiri. Izi ndichifukwa choti metformin sindiye chinthu chododometsa chobisalira cha insulin.

Zizindikiro zazikulu pakugwiritsira ntchito mankhwalawa potengera metformin ndizotsatira malangizo ovomerezeka:

1. Kukhalapo kwa metabolic syndrome kapena mawonekedwe a insulin kukana.
2. Monga lamulo, pamaso pa insulin kukaniza, kunenepa kwambiri kukukulira odwala. Chifukwa cha zovuta za metformin komanso kutsatira kwambiri zakudya zapadera, kuchepa thupi pang'onopang'ono kumatheka.
3. Ngati pali kuphwanya kwa kulolerana kwa shuga.
4. Cleropolycystic ovary matenda amakula.
5. Matenda a shuga osagwirizana ndi insulin monga monotherapy kapena ngati gawo la chithandizo chovuta kwambiri.
6. Matenda a shuga ndi njira yodalira insulin molumikizana ndi jakisoni wa insulin.

Poyerekeza mapiritsi okhala ndi metformin ndi mankhwala ena ochepetsa shuga, zabwino zazikulu za metformin ziyenera kufotokozeredwa:

• Zotsatira zake pakuchepetsa kukana kwa insulin wodwala, metformin hydrochloride imatha kuwonjezera kuchuluka kwa maselo ndi minyewa yake ku glucose opangidwa ndi kapamba
• kutenga mankhwala limodzi ndi mayamwidwe ndi ziwalo zam'mimba thirakiti. Chifukwa chake, kuchepetsa kuchepa kwa glucose m'matumbo kumatheka
• amathandizira kuletsa chiwindi gluconeogenesis, otchedwa glucose complication processꓼ
• amathandizira kuchepetsa kulakalaka, komwe ndikofunikira makamaka kwa odwala matenda ashuga kwambiri
• imakhala ndi phindu pa cholesterol, kuchepetsa zoyipa ndikuwonjezera zabwinoꓼ

Kuphatikiza apo, zimathandizira kusokoneza njira ya mafuta peroxidation.

Momwe mungamwere mankhwala?

Nthawi zambiri, wothandizira hypoglycemic wothandizila amagwiritsidwa ntchito ngati mawonekedwe a monotherapy kapena ngati gawo limodzi la chithandizo chokwanira kuti abwezeretse glycemia wofunikira wodwala.

Pankhaniyi, mankhwala omwe mankhwalawo amapezeka ndi okhawo omwe ndi dokotala wa odwala matenda ashuga.

Musanalembe mankhwala, kuunika thupi la wodwalayo kumachitika.

Njira yoyendetsera ndi kumwa Mlingo wakhazikitsidwa kwa wodwala aliyense payekhapayekha, kutengera magawo ake:

1. Kuopsa kwa matenda ndi kuchuluka kwa shuga m'magazi.
2. Gawo lolemetsa la wodwala komanso msinkhu wake.
3. Kukhalapo kwa matenda olumikizana.

Musanayambe chithandizo, ndikulimbikitsidwa kuyesedwa ndikuyesedwa kuti mupeze zoopsa zomwe zingachitike ndikuwonetsa kugwiritsidwa ntchito molakwika pogwiritsa ntchito mankhwalawa.

Mankhwala osokoneza bongo, monga lamulo, amatengedwa molingana ndi malingaliro otsatirawa:

• pakamwa mutatha kudya, kumwa zamadzi zambiriꓼ
• kuyamba ndi mankhwala kuyenera kuyamba ndi kugwiritsidwa ntchito kochepa ka chinthu chogwira ntchito ndipo mukhale ma milligram mazana asanu patsiku
• pakapita nthawi yayitali (kawirikawiri patatha milungu iwiri), adotolo, potengera zotsatira za mayeso ndi kuchuluka kwa shuga m'magazi, amapanga chisankho pakusintha kuchuluka kwa mankhwalawa, poganizira kuti pafupifupi tsiku lililonse mankhwala amasintha 500 mpaka 1000 mg wa yogwira metformin hydrochloride,
• Pazakudya zomwe munthu angathe kuzigwiritsa ntchito tsiku lililonse siziyenera kupitirira 3000 mg ya zomwe zimagwiritsidwa ntchito, kwa anthu achikulire chiwerengerochi ndi 1000 mg.

Mutha kumwa metformin kamodzi kapena kangapo patsiku, kutengera mtundu womwe wakhazikitsidwa. Ngati wodwala akufunika Mlingo wambiri wa mankhwalawa, ndibwino kumawagawaniza kangapo patsiku.

Kulandila kwa piritsi kukonzekera monga kupewa kukalamba, monga lamulo, kumakhala ndi gawo la 250 mg la yogwira ntchito. Tiyenera kukumbukira kuti anthu opitilira 65 ali osavomerezeka kumwa mapiritsi oposa awiri patsiku. Pafupifupi mlingo womwewo umasungidwa m'magulu amenewo a odwala omwe amagwiritsa ntchito metformin ngati njira yochepetsera kulemera.

Tiyeneranso kudziwa kuti kudya kwa prophylactic kwa mankhwala kuyenera kutsagana ndi zakudya zoyenera - kukana zakudya zotsekemera, zamafuta ndi mafuta. Kuphatikiza apo, kudya tsiku lililonse sikuyenera kupitirira 2500 kilocalories. Molumikizana ndi kugwiritsa ntchito mankhwalawa, ndikofunikira kukhala ndi moyo wokangalika ndikuchita nawo masewera olimbitsa thupi nthawi zonse.

Pakadali izi pokhapokha pakhoza kukhala zotsatira zabwino.

Zotsatira zoyipa komanso kuvulaza komwe kungachitike kuchokera ku Metformin

Ngakhale kuchuluka kwa zinthu zopangidwa ndi metformin hydrochloride, kugwiritsidwa ntchito molakwika kumatha kuvulaza thupi.

Ndiye chifukwa chake amayi athanzi omwe akufuna njira zosavuta zochepetsera thupi ayenera kuganizira ngati nkoyenera kumwa mankhwalawa?

Piritsi imagwiritsidwanso ntchito monga mankhwala ochepetsa thupi. Kodi metformin ikhoza kugwiritsidwa ntchito popanda matenda ashuga?

Zoyipa zazikulu zomwe zimachitika chifukwa chotenga metformin hydrochloride ndi monga:

1. Kupezeka kwa mavuto osiyanasiyana ndi m'mimba thirakiti. Choyamba, izi ndi zizindikiro monga mseru komanso kusanza, kutsegula m'mimba, kutuphuka ndi kukomoka pamimba.
2. Mankhwalawa amawonjezera chiopsezo cha matenda a anorexia.
3. Mwinanso kusintha kwa kulawa, komwe kumawonekera pakachitika chinthu chosasangalatsa chachitsulo cham'manja.
4. Kutsika kwa kuchuluka kwa vitamini B, komwe kumakukakamizani kuti muonjezere mankhwala osokoneza bongo.
5. Mawonekedwe a kuchepa magazi.
6. ndi bongo wambiri, pamakhala chiwopsezo cha hypoglycemia.
7. mavuto ndi khungu, ngati pali kuwonetseredwa kwa thupi lawo siligwirizana.

Pankhaniyi, Metformin, Siofor kapena mitundu ina yazinthu zopanga zimayambitsa kukula kwa lactic acidosis ngati kuchuluka kwakukulu kwa kuchuluka kwake kumachitika m'thupi. Kuwonetsera koteroko nthawi zambiri kumawonekera ndi kusayenda bwino kwa impso.

Dziwani kuti ndizoletsedwa kumwa mankhwala akazindikira zinthu izi:

• Acidosis mu mitundu kapena pachimake
• kwa atsikana panthawi yakubadwa kwa mwana kapena poyamwitsaꓼ
• Odwala opuma pantchito, makamaka pambuyo makumi asanu ndi limodzi ndi zisanu
• tsankho pamagawo a mankhwalawa, chifukwa zovuta zomwe matupi ake amatha kupatsirana]
• ngati wodwala wapezeka ndi vuto la mtimaꓼ
• ndi myocardial infarctionꓼ
• ngati hypoxia ichitikaꓼ
• mkati mwa madzi mthupi, omwe amathanso kuchitika chifukwa cha matenda osiyanasiyana opatsirana
• ntchito yayikulu ꓼ
• kulephera kwa chiwindi.

Kuphatikiza apo, wothandizirana ndi hypoglycemic amathandizira m'mimba, chifukwa chake ndizoletsedwa kutenga matenda am'mimba (zilonda zam'mimba).

Elena Malysheva amalankhula za Metformin palimodzi ndi akatswiri muvidiyoyi.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Kodi nditha kumwa metformin ngati palibe shuga

Metformin ndi piritsi yochepetsera shuga yomwe imagwiritsidwa ntchito ndi mtundu 2 odwala matenda ashuga (2T). Mankhwalawa akhala akudziwika kwazaka zambiri.

Katundu wake wotsitsa shuga adapezeka mu 1929. Koma Metformin idagwiritsidwa ntchito kwambiri kokha mu 1970, pomwe ma greatuanide ena adachotsedwa mu malonda.

Mankhwalawa amakhalanso ndi zofunikira zina, kuphatikizapo kuchepetsa kuchepa. Koma kodi ndizotheka kumwa Metformin ngati palibe shuga? Nkhaniyi iphunziridwa mwachangu ndi onse madokotala ndi odwala.