Momwe mungagwiritsire ntchito Metglib Force?

Mankhwalawa amapezeka mu mawonekedwe a mapiritsi pamtengo wa 2,5 mg + 500 mg ndi 5 mg + 500 mg. Zofunikira zake ndi glibenclamide ndi metformin hydrochloride. Zinthu zotsalazo zimaperekedwa: wowuma, calcium dihydrate, komanso macrogol ndi povidone, ochepa cellulose.

Kanema wa mapiritsi oyera okhala ndi mapiritsi oyera 5 mg + 500 mg amapangidwa ndi Opadra yoyera, giprolose, talc, titanium dioxide. Mapiritsi ali ndi mzere wogawanitsa.

Mapiritsi 2.5 mg + 500 mg chowulungika, wokutidwa ndi filimu yoteteza ndi kuyanika ndi mtundu wa bulauni.

Zotsatira za pharmacological

Ndi othandizira a hypoglycemic, omwe ndi ochokera ku mibadwo iwiri, amapangidwira pakamwa. Imakhala ndi pancreatic komanso extrapancreatic zotsatira.

Glibenclamide imalimbikitsa kubisalira bwino kwa insulini pochepetsa kuzindikira kwake ndi maselo a beta mu kapamba. Chifukwa chakuwonjezeka kwambiri kwa insulin, imangiriza zigoli mwachangu. Njira ya lipolysis ya adipose minofu imachepetsa.

Zizindikiro zogwiritsidwa ntchito

Zisonyezero zogwiritsidwa ntchito ndi izi:

lembani matenda ashuga achikulire awiri, ngati zakudya ndi masewera olimbitsa thupi sizithandiza,
kusowa kwa chithandizo chokwanira ndi mankhwala a sulfonylurea ndi metformin,
m'malo monotherapy ndimankhwala 2 mwa anthu omwe ali ndi vuto labwino la glycemic.

Contraindication

Pali zotsutsana zingapo pakugwiritsa ntchito mankhwalawa zomwe zafotokozedwera mu malangizo. Zina mwa izo ndi:

Hypersensitivity pamagawo a mankhwala,
mtundu 1 shuga
kuphwanya impso ntchito,
matenda ashuga ketoacidosis,
pachimake zinthu limodzi ndi minofu hypoxia,
mimba ndi mkaka wa m`mawere
matenda opatsirana
kuvulala ndi ntchito zambiri,
kugwiritsa ntchito miconazole,
kuledzera
lactic acidosis,
kutsatira zakudya zochepa zama calori,
ana ochepera zaka 18.

Ndi chisamaliro

Ndi chisamaliro chachikulu, mankhwalawa amalembedwa kwa anthu omwe ali ndi vuto la chifuwa, uchidakwa, vuto la adrenal, gland gland ndi chithokomiro. Amalembedwanso mosamala kwa anthu azaka zapakati pa 45 ndi akulu (chifukwa cha kuchuluka kwa chiwopsezo cha hypoglycemia ndi lactic acidosis).

Ndi matenda ashuga

Yambani piritsi limodzi patsiku ndi Mlingo wa yogwira wa 2,5 mg ndi 500 mg, motero. Pang'onopang'ono onjezani mlingo mlungu uliwonse, koma chifukwa cha zovuta za glycemia. Ndi mankhwala ophatikizira amalo, makamaka ngati amachitika padera ndi metformin ndi glibenclamide, tikulimbikitsidwa kumwa mapiritsi 2 patsiku. Mulingo wovomerezeka tsiku lililonse sayenera kupitirira mapiritsi 4 patsiku.

Zotsatira zoyipa

Pa mankhwala, kukula kwa zoyipa zimachitika:

leuko- ndi thrombocytopenia,
kuchepa magazi
anaphylactic shock,
achina,
lactic acidosis,
kuchepa mayamwidwe a vitamini B12,
kulakwira
kuchepa kwa masomphenya
nseru
kusanza
kutsegula m'mimba
kusowa kwa chakudya
kumverera kolemetsa m'mimba
chiwindi ntchito,
yotupa chiwindi
zimachitika pakhungu
urticaria
zidzolo limodzi ndi kuyabwa
erythema
dermatitis
kuchuluka kwa kuchuluka kwa urea ndi creatinine m'magazi.

Malangizo apadera

Mankhwalawa amathetsedwa pochiza zowopsa, matenda opatsirana, chithandizo chovuta kwambiri asanachitike maopaleshoni akuluakulu. Zikatero, amasinthana ndi insulin yokhazikika. Chiwopsezo cha kukhala ndi hypoglycemia chimawonjezeka ndimatenda m'zakudya, kusala kudya nthawi yayitali komanso ma NSAID.

Gwiritsani ntchito pa nthawi yoyembekezera

Zosaloledwa. The yogwira thunthu limadutsa chotchinga chotchinga cha placenta ndipo imatha kusokoneza mochita kupanga ziwalo.

Simungathe kumwa mapiritsi panthawi yotsekera, chifukwa yogwira zinthu zimapita mkaka wa m'mawere. Ngati chithandizo chikufunika, ndi bwino kusiya kuyamwitsa.

The ntchito aimpso kuwonongeka

Kuthekera kwa kugwiritsidwa ntchito kumakhudzidwa ndi chilolezo cha creatinine. Mukakhala kuti ndi wamkulu, ndi mankhwala ochepa omwe amakupatsani. Ngati wodwalayo akuipiraipira, ndibwino kukana chithandizo chotere.

Kutulutsa Fomu

Mankhwalawa amapezeka m'mapiritsi okhala ndi ntchito. Matumba atatu okhala ndi mapiritsi 10 adayikidwa m'makatoni.

Mtengo wa Metglib ndiwosiyana ma pharmacies osiyanasiyana ndipo zimatengera kuchuluka kwa mapiritsi omwe ali phukusi. Mtengo wamba wamapiritsi 30 a 2.5 mg Meglib Force amayamba pa ma ruble 123.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Kuphatikizika kwa mankhwalawa kumaphatikizapo zinthu zomwe zimalimbana ndi matenda a shuga: metformin 400 mg, glibenclamide 2.5 mg ndi zotuluka.

Malangizo ogwiritsira ntchito

Mankhwalawa amatengedwa ndi zakudya, kutsukidwa ndi madzi. Mlingo, dongosolo la mankhwalawo, kutalika kwa mankhwala kumatsimikiziridwa ndi dokotala potengera momwe wodwalayo alili, komanso kutengera shuga la magazi. Kuchiza nthawi zambiri kumayamba ndi mapiritsi awiri patsiku, pang'onopang'ono kusintha kwa mankhwalawa kuti muchepetse shuga.

Mulingo waukulu sayenera kupitilira mapiritsi 6 patsiku.

Mlingo wa mankhwalawa amatchulidwa ndi dokotala, poganizira momwe wodwalayo alili. Mlingo woyamba wa tsiku lililonse uli ndi piritsi limodzi la 2,5 mg + 500 mg kapena 5 mg + 500 mg.

Kuchulukitsa mlingo kuti muchepetse shuga kumachitika pambuyo pa masabata awiri kapena kupitilira apo pa piritsi limodzi patsiku. Mlingo wa mankhwalawa sayenera kupitilira mapiritsi 4 a Metglib Force kapena mapiritsi 6 a Metglib.

Zolemba ntchito

Anthu odwala matenda ashuga amafunika kulowetsedwa kwa mankhwala opatsirana odwala matenda ashuga omwe ali ndi jakisoni wa insulin motere:

opaleshoni yayikulu kapena kuvulala,
malo akulu ayaka,
malungo a matenda opatsirana.

Pamafunika kuyang'anitsitsa kuchuluka kwa shuga tsiku lililonse, komanso pamimba yopanda kanthu ndikatha kudya.

Wodwala ayenera kudziwitsidwa za chiopsezo cha hypoglycemia pakusala, kutenga ethanol.

Poyerekeza ndi kuchuluka kwa kugwira ntchito kwakuthupi ndi kwamalingaliro, ndikusintha kwa zakudya, ndikofunikira kusintha mlingo wa mankhwalawa.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Gwiritsani ntchito mankhwalawa mosamala ngati odwala a beta alipo?

Hypoglycemia ikachitika, wodwalayo amapatsidwa chakudya (shuga), wozunzika kwambiri, wothandizidwa ndi njira ya dextrose yofunika.

Maphunziro a angiographic kapena urographic a odwala omwe atenga Metlib amafunikira kuti kusiyedwe kwa mankhwalawa masiku awiri isanachitike ndondomeko ndi kuyambanso kuvomerezeka pambuyo pa maola 48.

Zinthu zomwe zimakhala ndi ethanol, pamodzi ndi kugwiritsa ntchito mankhwalawa, zimathandizira kuwoneka ngati kupweteka pachifuwa, tachycardia, redness pakhungu, kusanza.

Kubereka ana, kuyamwitsa kumafuna kuletsa mankhwalawo. Wodwalayo ayenera kuchenjeza adokotala za mimba yomwe yakonzekera.

Mankhwalawa amatha kuthana ndi chidwi komanso kuthamanga kwa magwiridwe antchito, chifukwa chake muyenera kusamala poyendetsa galimoto ndi zochitika zina zowopsa.

Chiyambireni cha mankhwala ndi mankhwalawa chimatha kutsagana ndi kusintha kwam'mimba thirakiti. Kuti muchepetse mawonetseredwe, ndikofunikira kumwa mankhwalawa mu 2 kapena 3 Mlingo, kuwonjezeka pang'onopang'ono kwa mankhwalawa kungathandize kuchepetsa tsankho.

Musanayambe chithandizo, muyenera kuwerengera malangizo a Metglib.

Kuchita ndi mankhwala ena

Kukhalapo kwa miconazole mu mankhwala kungapangitse kuti shuga achepe kwambiri.

Muyenera kusiya kumwa mankhwalawa kwa masiku awiri musanayambe kapena pambuyo pokonzekera kulowetsedwa kwa osiyanitsa ndi ayodini.

Kugwiritsa ntchito pamodzi nthawi yomweyo ndi ethanol ndi Metglib kumawonjezera kutsitsa kwa shuga kwa mankhwalawo ndipo kungayambitse chikomokere. Chifukwa chake, pakumwa, mowa ndi mankhwala osokoneza bongo omwe ali ndi Mowa sayenera kuperekedwa. Lactic acid coma imatha kukhala chifukwa cha poyizoni wa mowa, makamaka ngati wodwala sakudya bwino kapena ngati chiwindi chikulephera.

Kuphatikiza ndi Bozentan kumabweretsa chiwopsezo pakukula kwa zovuta za impso, komanso kumachepetsa kuchepa kwa shuga kwa Metglib.

Bongo

Kugwiritsa ntchito molakwika mankhwala kumayambitsa lactic acid chikomokere kapena shuga.

Ndi kuchepa kwa shuga, wodwalayo amalangizidwa kuti azidya zakudya zokhala ndi michere kapena shuga wambiri.

M'mikhalidwe yovuta, wodwala akayamba kuzindikira, dextrose kapena 1-2 ml ya glucagon imathandizidwa kudzera m'mitsempha. Wodwala akayambanso kuzindikira, amapatsidwa chakudya ndi chakudya chopepuka.

Mankhwala a antidiabetic amaimiriridwa pamsika wazaka za Russia.

Amagwiritsidwa ntchito pochiza matenda a shuga 2, omwe ali ndi ziwonetsero zingapo komanso ma contraindication, monga malangizo a Metglib:

Mphamvu ya mankhwala othana ndi matenda a shuga zimatengera mphamvu yomwe ili mwa iwo. Ena amachulukitsa chinsinsi cha kapamba, pomwe ena amachulukitsa kumva kwa minyewa kupita ku insulin.

Kuphatikizika kwa zinthu ziwiri zogwira ntchito ku Metglib kumabweretsa zotsatira zonse ziwiri.

Mtengo wotsika wa mankhwalawa umapangitsa kuti apikisane pamsika wamankhwala. Mankhwalawa amayenera kumwedwa pokhapokha ngati adokotala adanenanso ndi shuga.

Amayi ali ndi matenda ashuga a 2. Dokotala adamuuza Glibomet. Koma mtengo wake utachuluka, ndimayenera kuyang'ana m'malo. Njira ina, adotolo adalangiza Metlib Force, mtengo wake ndiwowirikiza kawiri. Shuga amachepetsa bwino, koma zakudya ndizofunikira. Zotsatira zoyipa zambiri, koma amayi alibe.

Ndakhala ndikutenga Metglib kwa miyezi yambiri. Mkhalidwe m'masiku oyambira sanali abwino kwenikweni. Zosokoneza bongo, chizungulire, koma zonse zidapita mwachangu. Mukungofunika kuthana ndi mlingo waukulu. Ndipo kotero, mwambiri, ndakhutira ndi mankhwalawa ndi momwe amachitidwira. Shuga amachepetsa, akugwira.