Glucophage ndi Glucophage Long: Malangizo ogwiritsira ntchito mapiritsi

Kodi Glucophage ndiotalika bwanji 750 (malangizo ogwiritsa ntchito ndi kuwunika komwe tikukambirana m'nkhaniyi) amathandizadi, ngati pali zotsutsana, zingagwiritsidwe ntchito kwa ndani?

Mwina amene adayambitsa "mapiritsi amatsenga", ndikuchotsa ma kilogalamu owonjezera 5-10, adzakhala milionion, ndi masiku angapo. Chifukwa anthu amakono akukumana ndi vuto losasangalatsa, nthawi zina ngakhale lowopsa, kunenepa kwambiri.

Makampani opanga zamankhwala akupanga, kuyesera kupanga "mapiritsi amatsenga" oterowo. Kuwala kwakutali ndi 750, malangizo ogwiritsira ntchito ndi kuwunikira kwa ogwiritsa ntchito ena akuwona phindu la mankhwalawo panjira yachilengedwe yochepetsera thupi. Kodi amathandizadi? Kodi pali zotsutsana ndi chiyani?

Kuchepetsa thupi

Msika utadzaza ndi chakudya chofulumira, zakudya zosavuta, mitundu yambiri ya maswiti, koloko, anthu anali ochulukirachulukira. Posachedwa, aliyense adagonjera ku Europe, akunena kuti ana aku America akuchiritsa kale, koma zonse zili bwino ndi ife. Koma tsoka, kudya mwachangu, chikondi cha zovuta zina, zotsekemera zimawonekera kale mwa anthu a maiko ena.

Kuphatikiza pa chakudya, kunenepa kwambiri kumatha kuyambikanso pazifukwa zina:

• Kulephera kwa mahormoni,
• Matenda a chithokomiro, kutayika kwa ntchito yake,
• Moyo wopanda ntchito,
• zakudya zopanda pake,
• Kupsinjika,
- Ntchito zomwe zidachitika (ngati zidabweretsa zolephera zamkati),
• Zifukwa zina.

Inde, asanayambe kugwiritsa ntchito njira iliyonse yochepetsera thupi, munthu ayenera kupita kwa dokotala. Katswiri kokha, ataphunzira mayesowo, kudzipenda yekha ndi komwe kungawonetse kunenepa. Makamaka ngati mwadzidzidzi. Pano bambo amayenda wopanda zovala, osasintha moyo wake, menyu ake, ndipo mwadzidzidzi m'miyezi iwiri iwiri anawonjezera makilogalamu khumi ndi asanu.

Kuthamangira kusankha zakudya kapena kufa ndi njala kuti muchepetse kulemera msanga, mwina izi ndi mawonekedwe a kulephera kwa mahomoni kapena kukula kwa mtundu wina wa matenda. Chifukwa chake, madokotala amalangiza kuti kulimbana ndi kunenepa kwambiri kuyenera kuyamba ndi kufunsa katswiri. Mwina ndi wothandizira wazakudya yemwe angakuuzeni njira yabwino komanso yotetezeka.

Nthawi zambiri chomwe chimayambitsa kunenepa kwambiri: kuperewera kwa zakudya m'thupi, kuphatikiza ndi moyo wongokhala. Mamiliyoni aanthu tsopano akugwira ntchito ndi mitu yawo, osati ndi manja awo. Amakhala maola ambiri pakompyuta kapena pamapepala, amasuntha pang'ono, amayendayenda mozungulira. Makamaka eni magalimoto.

Popita nthawi, amapitanso ku malo ogulitsira apafupi, m'malo moyenda. Zotsatira zake sizongonenepa kwambiri, komanso mavuto enanso angapo: ndi chopondapo, matenda am'mimba, komanso minofu. Kupitiliza kupsinjika. Mwambiri, moyo wamunthu wamakono uli ndi mavuto ambiri tsiku ndi tsiku, misonkhano, ndikuyenda kuzungulira. Ndipo kupsinjika kulikonse kumawonekera mkati.

Zomwe mungagwiritse ntchito poonda?

Glucophage kutalika kwa 750 kudanizidwa ndi madokotala, ichi ndi mankhwala oopsa kwambiri omwe amakhala ndi mphamvu yayitali, pomwe amakhala ndi dzina "lalitali", ndipo "750" ndiye gawo la gawo lalikulu la yogwira piritsi limodzi. Pali Glyukofazh 500 ndi 750, ngakhale a 1000. Amapangidwa kuti azikhazikitsa mkhalidwe komanso chithandizo chotsatira cha matenda ashuga, makamaka mtundu wachiwiri.

Ntchito yake mwachindunji ndikuchepetsa kuchuluka kwa shuga mkati mwa magazi. Nthawi yomweyo, njira ya chithandizo, monga amanenera bwaloli, imabweretsa zotsatira zochepetsa thupi. Zowona, madokotala amachenjeza: izi ndizachiwiri, ndipo akatswiri ena amati ndizochita zabodza.

Kuzilandira, kusalamulirika, osati kwa odwala matenda ashuga ndizowopsa. Zilibe kanthu kuti angagwiritse ntchito kuti achepetse thupi kapena kuchepetsa magazi awo. Kupatula apo, Glucophage yayitali idapangidwa makamaka kuti izithandiza odwala matenda ashuga, sizinayesedwe pa anthu athanzi komanso momwe mankhwalawo sanaphunziridwe kwathunthu. Imangokhala yotetezeka. Chifukwa chake, ngati munthu mwadala achitenga “njira ya chithandizo”, palibe amene angatsimikizire kuti ali ndi chitetezo. Zilibe kanthu kuti ndi anthu angati amene asiya ndemanga zabwino, chifukwa aliyense ali ndi matupi awo.

Ngati dokotala iyemwini atamuuza Glucofage motalika, chinthucho ndi chosiyana. Amalemba mlingo komanso nthawi yogwiritsira ntchito mankhwalawa. Mwachidule, anthu ambiri amamvetsetsa mankhwalawo ngati njira yotsatsira, atero, ndi njira yabwino yochepetsera thupi. Ndizofunikira kuganizira: Glucophage yayitali idapangidwira odwala matenda ashuga, nthawi zambiri imayikidwa ndi maphunziro a insulin ndipo opanga alibe ufulu wopereka chitsimikizo kwa anthu ena athanzi.

Contraindication

Ponena za anthu athanzi labwino, olimba, mndandanda wazotsutsa sunazindikiridwe, koma yemwe sayenera kumwa Glucofage:

• Amayi oyembekezera, komanso oyamwitsa (ayenera kugwirizanitsa mankhwala aliwonse ndi madokotala omwe amapezekapo),
• Ndani amene sanakwanitse zaka 18,
• Odwala matendawa (sizikudziwika ngati zomwe zikuchitika)
• Ndani ali ndi matenda a impso kapena mtima, zotengera ndi chiwindi?
Kwa aliyense amene akuchita kale chithandizo cha mankhwala enaake (zivute zitani). Dokotala yekha ndi amene anganeneratu zotsatira zophatikiza mankhwala,
• Ndani ali ndi matenda ashuga a ketoacidosis,
• Matenda a shuga,
• Matenda a shuga,
• Kuphwanya komwe kumakhudzana ndi impso (iliyonse),
• Kulephera kwa aimpso,
• Zovuta pachimake pomwe pali chiwopsezo chochepa kwambiri cha kukhazikika kapena kupezeka kwa vuto laimpso,
• Matenda owonetsa kwambiri, komanso osakhazikika, omwe amayambitsa kupuma komanso kulephera kwa mtima,
• Kuvulala kowonjezereka, ntchito (pakakhala mawonekedwe a insulin),
• Pali kulephera kwa chiwindi,
• Kuphwanya kayendedwe ka chiwindi,
• Kuzunzika chifukwa cha uchidakwa (wa mtundu uliwonse) woledzera, omwe ali ndi poyizoni poyizoni,
• Lactic acidosis (ndi kapena anali),
• Ndani ayenera kutsatira kudya kwamphamvu kwa hypocaloric.

Momwe Glucofage Imathandizira

Kodi ndichifukwa chiyani limayamikiridwa ngati chida chabwino, chogwiritsira ntchito pakuchepetsa thupi? Ndikofunika kumvetsetsa momwe limapangidwira matenda ashuga. Type 2 shuga mellitus kumachitika pamene minyewa imataya chidwi chake ku mahomoni opangidwa nthawi zambiri ndi kapamba - insulin yachilengedwe. Hormoni iyi imathandiza thupi kuyamwa shuga (glucose) wobwera ndi chakudya, madzi.

Ndipo ngati thupi limataya mwayi wodziwa zake zomwe, insulini yamkati, glucose imadziunjikira, osagaya, motero shuga imakwera ndipo popanda kuchitapo kanthu kwakunja (jakisoni wa insulin yokumba) zonse zitha kutha kwambiri.

Chofunikira komanso chogwira ntchito ku Glucofage yayitali ndi metformin, zimathandiza maselo kuzindikira insulin yamkati kachiwiri ndipo izi mwachilengedwe zimachepetsa shuga. Kuchepetsa thupi kuli kuti? Madokotala akuchenjeza: kugwiritsa ntchito mosagwiritsa ntchito mankhwalawa sikudziwika kuti kukhudza bwanji endocrine dongosolo la munthu wathanzi.

Zotsatira zoyipa

Akatswiri ena amati zotsatira za kuchepa thupi zimayambitsa zotsatira zosayembekezereka, zoyipa. Zosasangalatsa, zimakhudza chisangalalo, kumachepetsa, zimathanso kuchitika:

1. Kusanza, nthawi zina kusanza,
2. Kutsegula m'mimba, kukakamiza kukodza pafupipafupi,
3. Vuto lakuchuluka kwampweya, zovuta zina m'mimba
4. Mutu, womwe nthawi zina umakhala wowopsa,
5. kufooka kwa minofu, kupsinjika,
6. Osweka mtima,
7. Lactic acidosis ndi osowa kwambiri koma owopsa omwe nthawi zina amabweretsa kukomoka kapena kufa.

Madokotala omwe amapereka mankhwala a glucophage kutalika kwa odwala amalangizidwa mwamphamvu kuti azitsatira chilichonse chomwe chikufotokozedwa mu malangizo. Momwe mungatenge, kangati komanso pazina zachilendo kuti muwadziwitse. Kupezeka kwa lactic acidosis kumatha kuzindikiridwa ndi kupweteka kwamisempha, monga zimachitika patapita nthawi yayitali, zovuta zolimbitsa thupi.

Izi zikuwoneka kuchokera pakukwanira kwa lactic acid wamkati m'dera la minofu chifukwa chotenga nthawi yayitali kutalika kwa glucophage. Pambuyo pake, nseru imalumikizana ndi ululu, kenako chizungulire, kenako kufooka mpaka pomwe kusazindikira. Pozindikira kupweteka kwa minyewa ya uncharacteristic, muyenera kufunsa dokotala, osachedwa.

Malamulo Ovomerezeka

Glucofage yayitali imawonedwa kuti ndi yotetezeka komanso yothandiza, ngati malamulo onse atsatiridwa bwino:

Pamodzi ndi njira ya mankhwalawa, ndikofunikira kwambiri kutsatira zakudya zamafuta ochepa, kupatula zakudya zanthawi zonse, monga makeke, shuga yemweyo, mphesa ndi zipatso zonse zokoma. Muzidya zakudya zonse ndi mbatata, mpunga, ndi pasitala. Kupanda kutero, mutha kupeza mulu wazizindikiro zosasangalatsa: kukhumudwa m'mimba, kumatulutsa ndi chidwi.

Maziko a menyu ndi mbale pomwe pali mapuloteni ambiri. Ichi ndi nyama yopendekera, mutha kuwedza, mazira, ndi chimanga (oatmeal kapena buckwheat). Wokondedwa uchi, mbale kapena zinthu momwe muli ndi zotsekemera, zipatso.
Chepetsani zolimbitsa thupi. Ngakhale anthu athanzi labwino. Kupanda kutero, kudya pafupipafupi kwa Glucophage kumayambitsa mavuto osiyanasiyana, kusagwira ntchito mthupi. Mwayi umawonjezeka ndi kulimbitsa thupi mwamphamvu.

Pewani kumwa mowa kwakanthawi, komanso kusuta. Ndipo ponena za mowa, zotsutsana ndizotsimikizika. Simungathenso kumwa mankhwala komwe kumakhala mowa wocheperako kapena mowa.
Tsatirani mlingo woyenera.

Zilibe kanthu kuti mwakwaniritsa zomwe mukufuna, zomwe mwakonza kapena ayi. Mlingo wa tsiku ndi tsiku, wotetezeka ndi 1500 mg, ndiye ngati mutatenga Glucofage motalika (750), ndiye kuti mapiritsi awiri patsiku. Nthawi zina madokotala amatha kupereka 3000 mg, koma izi zimangokhala pansi paudindo wa akatswiri, lingaliro lake labwino. Komanso, pakuchepetsa thupi, mutha kumwa Reduxin.

Pozindikira Zizindikiro: nseru, komanso kusanza, zosokoneza zina, muyenera kusiyira chithandizo ndikufunsani dokotala. Mwinanso amasiya maphunzirowo kapena kuchepetsa mlingo (aliyense akufunika izi).

Simungatenge nthawi yomweyo antipsychotic (iliyonse), komanso okodzetsa (nawonso). Njira ya chithandizo nthawi zambiri imatha masabata 1.5-2 (nthawi imatsimikiziridwa ndi adokotala), pambuyo pake kupuma kwa miyezi 1-1.5 kumafunikira.

Kuphatikiza, njira zolandirira

Glucophage motalika nthawi zambiri amatchulidwa. Mlingo wotetezeka kwambiri (tsiku ndi tsiku) ndi 3000 mg, nthawi zambiri umagawidwa m'magulu atatu osiyanasiyana, koma wodwala amapeza Glucofage yayitali (1000).

Ndi insulin

Amasankhidwa kuti azikulitsa zotsatira za insulin yochita kupanga kwa odwala matenda ashuga. Nthawi zambiri, mlingo ku Glucofage udzakhala 500 mpaka 850 mg (tsiku) katatu, ndipo insulin imasankhidwa payekha, mutatha kuphunzira mayesowo. Aliyense wodwala matenda ashuga ali ndi zomwe ali nazo, zomwe zimatsimikiziridwa. Glucofage asanaikidwe, ndikofunikira kumuchenjeza adotolo za mankhwala onse omwe wodwala amamwa panthawi ya mayeso.

Ana, achinyamata

Ana a zaka 10+ Glucophage amatha kutumikiridwa ngati monotherapy, kapena kuphatikiza ndi mlingo woyenera wa insulin. Ngati ndi kotheka, madokotala amatha kusintha kuchuluka kwa mankhwalawa, amayang'ana momwe thupi limachitikira, mogwirizana ndi momwe amagwirira ntchito limodzi.

Odwala okalamba

Apa, ntchito ya impso imayendetsedwa payokha. Ngati kuchepa kwa ntchito zawo kwazindikiridwa, mlingo wa mankhwalawa umasinthidwa. Kupatula apo, chiwindi ndi impso zimavutika kwambiri chifukwa cha kuchuluka kwa nthawi yayitali kwa Glucofage.

Kuwerenga mndandanda wazolimbikitsa, munthu amatenga chithandizo cha Glucofage nthawi yonse, tsiku lililonse. Ngati mankhwala atha mwadzidzidzi, muyenera kudziwitsa dokotala.

Chofunikira: simungathe kulinganiza pakati pa odwala omwe akupatsidwa mankhwala a Glucofage nthawi yayitali. Khalani ndi mayeso kuti akonzekere kukhala ndi pakati kapena kuti akuwunika momwe alili. Ngati pakati mwadzidzidzi mwadzidzidzi, muyenera kudziwitsa dokotala.

Mlingo wa mankhwalawa ungasiyane, chifukwa adokotala amawunikira nthawi iliyonse yomwe wodwalayo ali ndi mawonekedwe ake, amayang'ana matenda ake. Chachikulu ndikuyang'anira kuchuluka kwa mankhwala, makamaka kugwiritsa ntchito (Glucofage iyenera kukhala yoledzera panthawi ya chakudya chamadzulo, nkhomaliro, chakudya cham'mawa). Simungathe kusintha nokha.

Madokotala amafufuza

Ponena za momwe Glucophage imafunira kuchepa thupi, akatswiri sagwirizana. Ena amawona kuti nkosavomerezeka kwa anthu athanzi kumwa mankhwala omwe amapangidwa kuti athandize odwala matenda ashuga. Chiwopsezo cha kukulira msanga kwa zotsatira zoyipa ndizambiri ndipo zotsatira za mankhwalawa kwa akatswiri othandiza sizinaphunzire bwino.

Ena sawona chilichonse choyipa pano. Kupatula apo, Glucophage nthawi yayitali imadziwika kuti ndi yotetezeka. Zotsatira zoyipa zimakhala nthawi yayifupi ndipo zimatha posakhalitsa m'magazi atayamba kuzolowera mankhwalawo. Ngati titangomaliza kunena, mankhwala achikhalidwe sanatsutse mwamphamvu kugwiritsa ntchito Glucofage ndi anthu athanzi. Koma akulangizani kuti azichiza mankhwalawo chimodzimodzi ndi kuvomerezedwa ndi adotolo.

Kuchepetsa thupi kudandaula za kuthamanga. Monga, kulemera kumachoka pang'onopang'ono, koma simungathe kuwonjezera mlingo. Mlingo wa kuchepa thupi kwa Glucofage wamtali ndi kwinakwake pafupifupi kilogalamu 1 pa sabata. Kuphatikiza apo, njira yochizira imaphatikizidwa ndi zakudya zama carb ochepa, zomwe zingathandize kuphatikiza zotsatirazo ndikuwongolera. Koma simuyenera kutenga nawo mbali pakudya pamene mukupita kukayang'anira.

Pazonse, Glucophage nthawi zambiri amakhala othandiza, ndi mankhwala oopsa ovomerezeka ndi mankhwala ovomerezeka. Osati "mapiritsi aku Thai" ndi "zozizwitsa zaku China zozizwitsa." Imapangidwa ndikuvomerezedwa, ili ndi malingaliro. Mtengo wake ndi wocheperako, mankhwalawa amapezeka ku malo ogulitsa mankhwala.

Ili ndi ndemanga zambiri zabwino, makamaka kuchokera kwa anthu odwala matenda ashuga. Momwe ma Glucofage Long Inde, limodzi ndi insulin, zidawathandizira kukhazikika shuga. Komabe, anthu athanzi ayenera kugwiritsa ntchito kuvomereza kwa dokotala asanayambe kugwiritsa ntchito.

Zoyeserera

"Zinali zodzaza kwa zaka zambiri, kuyambira ndili mwana. Zowona, m'mbuyomu, mwanjira ina kunenepa kwambiri sikuti kudandaula, ndikumakula kokha, ndidayamba kuyesa njira zosiyanasiyana kuti ndichepetse thupi msanga. Vutoli lidakuliratu ndendende zaka zachinyamata, zovuta zidawonekera, ndimayang'ana ena. Komabe, njira zilizonse zimabweretsa zosakhalitsa, zazifupi. Mwachitsanzo, kusiya makilogalamu 5 kuchokera pachakudyacho, ndinapeza msanga makilogalamu 10., Mosamalitsa ndidamaliza kudya. Mapeto ake, ndidatopa kwambiri, ndidayamba kufunafuna njira yeniyeni yondithandizira kuchotsa ma kilogalamu kosatha. Glucophage adalangiza bwenzi. Nditaphunzira malangizowo, ndinazindikira kuti mankhwalawa azigwira ntchito bwino. Mnzanu adathandiza. Sindikudziwa mavuto, sindimamva chilichonse! Kale mwezi wakhala ukulandila, waponya kale 15 kg. Zotsatira zake ndi zabwino. "

“Kulemera kwambiri kwa ine kumawoneka ngati vuto lakale, kumakhala kocheperako. Koma kunali koyenera kubereka kwachiwiri, zonse, 30 kg zinabwera ndi mimba ndikukhala. Uku ndi kutalika kwa masentimita 165. Tsoka lenileni. Mwamunayo adasiya kuyang'ana, ndipo nayenso samamverera ngati mkazi wokongola. Ndidayesa zonse - ndimachita masewera olimbitsa thupi, kudya zakudya, kupatsirana katemera, ngakhale kudodometsa. Zotsatira zake zimakhala zero kapena zakanthawi. Kudzera pabwaloli lomwe ndidadziwa za Glucofage, ndidaganiza zoyesera. Sabata yoyamba idandipatsa 5 kg, yomwe imasangalala kwambiri. Pitilizani maphunziro "

Kupanga ndi mitundu ya kutulutsidwa

Mankhwala osokoneza bongo amapangidwa mosiyanasiyana: 500, 850, kapena 1000 mg ya metformin piritsi limodzi.

Glucophage 500 mg

• Zowonjezera: povidone, E572
• Zophatikiza ndi Shell: Hypromellose.

Mapiritsiwo ndi ozungulira, ozungulira mbali zonse ziwiri. Piritsi ikathyoledwa, mawonekedwe amunifolomu yoyera amawonekera. Chidacho chimayikidwa m'matumba a zidutswa 10, 15 kapena 20. Mu paketi yokhala ndi pulogalamu yofunsira - 2/3/4/5 mbale. Mtengo Wapakati: (30 ma PC.) - ma ruble 104., (ma 60 ma PC.) - 153 ma ruble.

Glucophage 850 mg

• Zowonjezera: povidone, E572
• Phula: hypromellose.

Mapiritsi ali ozungulira mawonekedwe, otukutira mbali zonse, yokutidwa ndi filimu yoyera. Zolakwika zoyera zimawoneka pamalopo. Chidacho chimayikidwa m'matumba a zidutswa 15 kapena 20. Mu phukusi la makatoni - 2/3/4/5 zolemba, zosakhudzidwa. Mtengo wapakati wa Glucophage 850: No 30 - 123 rub., No 60-208 rub.

Glucophage 1000 mg

• Zowonjezera: Povidone, E572
• Zigawo za Shell: Opadra yoyera.

Mapiritsi okhala ndi mawonekedwe okumbika, ma convex mbali zonse ziwiri, atsekedwa ndi zokutira yoyera. Mukasweka, zoyera. Chidacho chimayikidwa m'matumba a zidutswa 10 kapena 15. Mu phukusi la makatoni - 2/3/4/5, malangizo a ntchito. Mtengo wapakati: Palibe ma ruble 30 - 176, Palibe ma 60 - 287 ma ruble.

Gluconage Long

Zogwira pophika: 500, 750 kapena 1000 mg ya metformin piritsi

• Gluconazh Kutalika 500 mg: sodium carmellose, hypromellose-2910, hypromellose-2208, MCC, E572.
• Gluconazh Long 750 ndi 1000 mg: sodium carmellose, hypromellose-2208, E572.

Mankhwalawa ndi 500 mg - mapiritsi oyera kapena oyera ngati kapisozi, otupa mbali zonse ziwiri. Pansanja ina pali chosindikizira Mlingo - chiwerengerocho ndi 500. Chochitikacho chimadzazidwa ndi zidutswa 15 pafoni imodzi. Mu paketi - 2 kapena 4 marekodi, osagwiritsika ntchito. Mtengo Wapakati: (30 tabu.) - 260 p., (Tabu 60) - 383 p.

Mapiritsi a 750 mg ndi mapiritsi oyera kapena oyera. Convex kumbali zonse ziwiri. Malo ena ali ndi pepala losonyeza kuchuluka - ndi chiwerengero 750, chachiwiri - ndi chidule MERCK. Mapiritsi amadzaza m'matumba a zidutswa 15. Mu paketi - 2 kapena 4 mbale, malangizo. Mtengo Wapakati: (30 tabu.) - 299 rub., (Tabu 60) - 493 rub.

Mapiritsi a Glucophage 1000 mg ali ndi mtundu womwewo komanso mapiritsi 750 mg. Pamtunda palinso chosindikizira cha MERCK, china - mlingo wa 1000 umasonyezedwa. Mankhwalawo amaikidwa m'matumba azidutswa 15. Phukusi la makatoni - 2 kapena 4 mbale, osagwiritsika ntchito. Mtengo Wapakati: (30 tabu.) - 351 rub., (Tabu 60) - 669 rub.

Kuchiritsa katundu

Mankhwalawa ali ndi vuto la hypoglycemic chifukwa cha zomwe zimapangidwa ndi chinthu chachikulu - metformin. Katunduyu ndi m'gulu la Biguanides omwe amatha kuchepetsa shuga. Sichikukhudzana ndi kapangidwe ka insulin kotero sikuti kumayambitsa hypoglycemia. Nthawi yomweyo, imawonjezera kukhudzika kwa ma receptors ku insulin ndikuwongolera magwiritsidwe a shuga, imachepetsa kaphatikizidwe kake ka chiwindi ndipo imalepheretsa mayamwidwe.

Chifukwa cha izi, kulemera kwa wodwalayo kumakhalabe pamlingo womwewo kapena kuyamba kuchepa, chifukwa chake mankhwala Glucofage yochepetsa thupi lero ndi njira imodzi yotchuka kwambiri kwa omwe akufunafuna kuchepa. Kuphatikiza pa kuchepetsa mapaundi owonjezera, metformin imasintha metabolidi ya lipid, imatsitsa cholesterol "yoyipa" ndi TG.

Njira yogwiritsira ntchito

Mapiritsi a Glucophage amayenera kuledzera malinga ndi malangizo ogwiritsira ntchito kapena mogwirizana ndi mankhwala omwe mumalandira. Makamaka, momwe mungatenge Glucofage (kangati patsiku ndi kuchuluka kwa tsiku ndi tsiku) ziyenera kutsimikizidwa ndi katswiri wopezekapo. Mapiritsi amayenera kukhala oledzera tsiku lililonse, kupewa kupuma komanso kuchedwa. Ngati pazifukwa zina munthu samatha kumwa mankhwalawa panthawi, ndiye kuti kudzaza msonkowo ndi muyeso wowirikiza sikuyenera kukhala, chifukwa izi zimatha kuyipa kwambiri mu vutoli. Mapiritsi osowa amayenera kuledzera panthawi yotsatira. Wodwala akasiya kumwa mankhwala, ayenera kudziwitsa dokotala za izi.

Therapy (mono kapena zovuta ndi mankhwala a hypoglycemic) mu mtundu II matenda ashuga

Mapiritsi 500 mg kapena Glucofage 850 mg amatenga 2-3 r./s. ndi chakudya kapena mukatha kudya.

Kuchulukitsa kwa miyeso kumaloledwa kuchitika kamodzi m'masiku 10-15 malinga ndi zizindikiro za glycemia. Kuwonjezereka kosavuta kwa mankhwalawa kumalimbikitsidwa kuti muchepetse mavuto kuchokera m'mimba.

Ndi mankhwala othandizira, tsiku lililonse ndi 1500-2000 mg. Kuti muchepetse vuto loipa la m'mimba, liyenera kugawidwa m'njira zingapo zofanana. Mankhwala okwanira omwe wodwala angatenge ndi 3000 mg patsiku.

Posamutsa wodwala kuchokera ku mankhwala ena a hypoglycemic, mlingo woyambirira wa Glucofage umatsimikizika chimodzimodzi ndi omwe sanalandire metformin.

Kuphatikiza ndi insulin

Kugwiritsa ntchito pamodzi mankhwala awiri kumachitika kuti akwaniritse bwino kuwongolera glycemia. Pa gawo loyamba la mankhwalawa, mlingo wa Glucofage ulinso 500-850 mg, womwe umatengedwa m'magawo angapo tsiku lonse, ndipo insulin imasankhidwa molingana ndi momwe thupi limayankhira komanso kuchuluka kwa shuga.

Kwa ana (pambuyo pa zaka 10), HF yoyambayo ndi 500-850 mg X 1 p. madzulo. Pambuyo masiku 10-15, imatha kusinthidwa kupita m'mwamba. Kuchuluka kwa mankhwalawa ndi 2 g mumadontho angapo (2-3).

Matenda a shuga

Ngati Glucofage imagwiritsidwa ntchito mu monotherapy, ndiye kuti nthawi zambiri 1-1.7 g / s imayikidwa koyambirira kwamaphunziro. masitepe awiri.

Odwala omwe ali ndi matenda a impso

Mankhwala atha kuperekedwa kwa odwala omwe ali ndi vuto laimpso. Ndipo pokhapokha ngati alibe zoopsa zomwe zimayambitsa lactic acidosis. Pankhani yopereka mankhwala, cheke chokhazikika chimapangidwa ngati kugwira ntchito kwa impso (miyezi 3-6).

Glucophage ikaperekedwa kwa odwala okalamba, mlingo umasankhidwa nthawi zonse payekha, kutengera zisonyezo za glycemia.

Glucophage Kutalika

Mapiritsi okhala ndi kutulutsa pang'onopang'ono kwa zinthu amatengedwa pakamwa pokha. Kutafuna kapena kuluma sikuloledwa. Imwani mankhwala kamodzi patsiku, bwino kwambiri madzulo, pakudya chamadzulo, kapena mukangomaliza kudya. Mlingo wa mapiritsiwo umasankhidwa mosiyanasiyana kwa wodwala aliyense mogwirizana ndi momwe amasonyezera kuchuluka kwa shuga.

Glucophage 500 mg

Ngati wodwalayo adayamba kupatsidwa mankhwala ndi metformin, ndiye kuti piritsi limodzi lolimbikitsidwa ndi piritsi limodzi. Mankhwalawa amatengedwa nthawi imodzi, bwino pakudya chamadzulo kapena nthawi yomweyo mukatha kudya. Kenako, pakufunika, CH ikhoza kuwonjezeka. Pofuna kupewa zoyipa zam'mimba, kuwonjezereka kumachitika bwino, ndikuwonjezera kulandilidwa kwa 0,5 g kamodzi masiku khumi ndi anayi.

Ngati wodwala akudziwa kale mankhwala a metformin, kuchuluka kwa mapiritsi otulutsira matendawa kuyenera kufanana ndi mapiritsiwo mwachizolowezi. Ngati m'mbuyomu wodwala amamwa mapiritsi ochiritsira 2 ga metformin patsiku, ndiye kuti mapiritsi aatali sanavomereredwe kwa iye. Ngati pakufunika kusamutsa wodwala kuchokera ku mankhwala ena a hypoglycemic, mankhwalawo ayenera kuthetsedwa, ndipo kuchuluka koyamba kwa Glucofage Long kuyenera kukhala 500 mg.

Glucophage Kutalika 750 mg

Koyamba CH - 1 tebulo. Idyani chakudya chamadzulo kapena mukangomaliza kudya. Kusintha kwa mankhwalawa kumachitika kamodzi pakadutsa masiku 10 kuti mupewe zoyipa zam'mimba.

Mlingo wa tsiku lililonse wa Glucofage 750 womwe ndi woyenera malinga ndi malangizo ndi mapiritsi awiri. x 1 p./d. Ngati thupi limagwirizana ndi mankhwalawa, ndiye kuwunika glycemia nthawi zonse, n`zotheka kubweretsa mankhwalawa ku shuga wambiri - mapiritsi atatu. x 1 p./s.

Ngati wodwalayo adamwa kale mankhwala ndi metformin ndikumasulidwa kwazinthu zonse, ndiye kuti nthawi yayitali iyenera kutumikiridwa muyezo woyenera. Kusamutsa mapiritsi osavomerezeka sikulimbikitsidwa ngati, m'mbuyomu, wodwalayo adatenga mapiritsi ochiritsira mu 2-HF mlingo. Posamutsa mankhwala ndi mankhwala ena a hypoglycemic, HF yoyamba ndi 750 mg.

Glucophage Kutalika kwa 1000 mg

Mankhwala amatchulidwa ngati njira yokonza mankhwala kwa odwala omwe adalandira kale njira yodwala ndi kupezeka kwa metformin mu 1 mg kapena 1 pakadutsa kuchokera ku mawonekedwe amtundu wina, mlingo wofanana watsiku ndi tsiku umafunika.

Ngati wodwalayo adatenga HF mopitilira 2 g ya metformin, ndiye kuti Glucofage Long 1000 mg siinakhazikitsidwe.

Ngati kumayambiriro kwa mankhwalawa wodwalayo adathandizidwa ndi mapiritsi a Long pamunsi yotsika, ndiye kuti kuwonjezeka kwa kuchuluka kwa tsiku ndi tsiku (kamodzi pa masiku 10-15) ndikotheka malinga ndi kuchuluka kwa glycemia.

Kuphatikiza kwa insulin

Mukamapereka mankhwala kwa nthawi yayitali, kuchuluka kwa insulini kumasankhidwa molingana ndi zidziwitso za glycemia. Kuchuluka kwa metformin komwe wodwala angatenge ndi 2 g. Pokhapokha pakuchitika zoyenera, kuchuluka kwa tsiku lililonse kungagawidwe pawiri. Ngati zili choncho, mankhwala a Long samathandiza kuthana ndi glycemia, ndiye kuti wodwalayo amatha kusinthidwa kupita ku mankhwala omwewo, koma ndikamasulidwa mwachizolowezi.

Matenda aimpso

Amaloledwa kugwiritsidwa ntchito limodzi ndi kulephera kwaimpso pokhapokha ngati palibe zochitika zomwe zimayambitsa lactic acidosis. Kuchuluka kwa tsiku lililonse ndi 0,5 g, kuchuluka kwake ndi g 1. Njira ya mankhwalawa amayenera kuonedwa ndi madokotala miyezi itatu iliyonse ndi itatu.

Zoyenera kuchita mukadumpha mlingo

Ngati wodwalayo adayiwala kumwa mankhwala osokoneza bongo, ndiye kuti yotsatira iyenera kumwa panthawi yokhazikika. Kutenga pawiri kumakhumudwitsidwa kwambiri.

Glucophage Long Slimming

Kuphatikiza pa njira yachithandizo yomwe mankhwalawo amathandizira, kuti achulukitse kuchuluka kwa shuga mu shuga, nthawi zambiri amagwiritsidwa ntchito pochotsa mapaundi owonjezera. Izi zimachitika chifukwa cha kuthekera kwa chinthu yogwira ntchito kuti ichulukitse kuchuluka kwa glycemia mthupi, chifukwa chomwe kumatha kumatha njala. Madokotala amakhala ndi malingaliro ogwiritsa ntchito mwanjira imeneyi, chifukwa anthu omwe akufuna kuchepetsa thupi nthawi zambiri amatenga okha. Koma kusazindikira momwe Glucophage imagwirira ntchito, kunyalanyaza contraindication ndi zotsatira zoyipa kumatha kuvulaza thupi. Kuphatikiza apo, ziyenera kukumbukiridwa kuti metformin sinapangidwe kuti muchepetse kunenepa. Imalepheretsa kugawa chakudya, yomwe, kenako, imakhudza kagayidwe. Kugwiritsa ntchito mapiritsi pafupipafupi, kusokonezeka kwa njira zamkati kumayambitsa zovuta za endocrine system komanso zovuta zina.

Glyukofazh Kutalika 500 kwa kuwonda

Muyenera kuyamba kumwa mapiritsi aang'ono kwambiri - mapiritsi 1 patsiku. Dokotala amayenera kuwonjezera kapena kuchuluka kwa mankhwalawo atatha maphunziro a sabata. Njira yochepetsera thupi imatenga masiku 10 mpaka 20, kenako ndikofunikira kupuma kwa miyezi iwiri. Kuthekera kwa kugwiritsidwanso ntchito kwa Glucofage Long 500 pakuchepetsa thupi kuyenera kutsimikiziridwa ndi adokotala, popeza kugwiritsidwa ntchito kwa nthawi yayitali kwa metformin kumakhala kosokoneza ndipo kumawonongera mphamvu yake yogwiritsa ntchito mafuta.

Glucophage Long 750 mg Slimming

Mankhwala amakhala ndi zambiri zogwira ntchito, motero amagwira ntchito kwambiri. Pakasankhidwa, imatengedwa ndi chakudya kamodzi kapena kawiri pa tsiku. Kutalika kwa maphunzirowa kuli pa kulingalira kwa adokotala. Pambuyo pake, ndikofunikira kupirira kupuma kwa miyezi ingapo, ndipo kuthekera kwachiwiri kuyenera kukambirana ndi akatswiri.

Pa mimba, mkaka wa m`mawere

Matenda a shuga omwe sangathe kuwongolera mwana amawonjezera chiopsezo cha kupangika kwa matenda obadwa nawo komanso zovuta zina mkati mwake, umunthu wangozi. Palibe zambiri zokhudzana ndi kugwiritsa ntchito mankhwala omwe ali ndi metformin kwa amayi apakati, momwe mulibe umboni wa milandu yokhudzana ndi kubereka. Maphunziro oyambira nawonso sanawululure zovuta zamankhwala pakukula kwa mluza / mwana wosabadwayo, kubala mwana, ndi chitukuko chotsatira. Koma popeza ndizosatheka kukana kwathunthu malingaliro oopsa, ndiye pakukonzekera kutenga pakati, komanso panthawi yoyembekezera mukamalandira chithandizo ndi metformin ya prediabetesic state ndi mtundu 2 matenda ashuga, ndikosayenera kumwa Glucofage, iyenera m'malo mwa insulin. Zimafunikira kuyang'anira ndi kusungitsa glucose pamlingo womwe palibe wowopseza wa ma pathologies kupita kwa mwana wosabadwayo.

Metformin imadziwika kuti imadutsa mkaka wa m'mawere momasuka. Ndipo ngakhale palibe umboni kuti mankhwalawa amatha kuvulaza mwana wakhanda kapena khanda, kuphatikiza mkaka ndi mankhwala ndizosayenera. Ndikofunikira, pamodzi ndi dotolo wothandizirayo, kuganizira phindu la mankhwalawo kwa mayiyo komanso zomwe zingavulaze mwana, ndipo pokhapokha atapanga lingaliro la kumwa mankhwalawo.

Contraindication ndi Kusamala

Mankhwala okhala ndi metformin saloledwa kugwiritsidwa ntchito ndi:

• Hypersensitivity payokha pazinthu zomwe zili
• Mavuto a shuga: ketoacidosis, precoma, chikomokere
• Kulephera kwamkati, chiwalo cholakwika
• Kuchulukitsa kwa machitidwe omwe vuto la impso limatheka (kuchepa madzi m'mimba chifukwa cha kusanza ndi / kapena kutsekula m'mimba, mitundu yoopsa ya matenda opatsirana (mwachitsanzo, kupuma kapena kwamikodzo dongosolo), kuwopsa
• Matenda omwe amathandizira minofu hypoxia (mtima ndi / kapena kupuma, MI)
• Zowonjezera kuchitidwa opaleshoni ndikuvulala komwe kumafunikira chithandizo cha insulin
• Kuchepa kwa ntchito kwa chiwindi, kusagwira ntchito m'thupi
• Mowa wambiri, poyizoni wa ethanol
• Mimba
• Lactic acidosis (kuphatikizapo mbiri)
• Kugwiritsa ntchito mitundu yokhala ndi ayodini pochita zofufuza (masiku awiri zisanachitike chochitikachi ndi masiku awiri pambuyo pawo)
• Zakudya za Hypocaloric (zosakwana 1000 Kcal / s.).

Zosafunika, koma mankhwala omwe mungamwe:

• Ndakalamba (60+) chifukwa chodziwa zochepa za mankhwalawa pazomwe odwala ali m'gulu lino komanso kusowa kwa umboni wa chitetezo cha mankhwala
• Ngati wodwala agwira ntchito molimbika, chifukwa izi zimapangitsa kuti chiwopsezo cha lactic acidosis chidziwike
• Ndi kulephera kwa aimpso
• Ndili ndi GV.

Zowonjezera za mapiritsi Aitali:

Glucophage (mulingo uliwonse) sayenera kutumizidwa kwa anthu osakwana zaka 18 chifukwa chosowa umboni wa chitetezo cha mankhwalawa ndikuvulaza thanzi.

Kuchita mankhwala osokoneza bongo

Munthawi ya mankhwala omwe mumagwiritsidwa ntchito mankhwala a metformin ndipo amakhala nthawi yayitali, ndikofunikira kuganizira zomwe zimatha kupanga zinthu zogwirizana ndi zigawo zina za mankhwala ena:

Kuphatikiza kophatikizidwa

Iodini wokhala ndi mitundu yosiyanitsa ndi Glucofage amakhumudwitsa lactic acidosis. Mankhwala omwe anali ndi metformin sayenera kugwiritsidwa ntchito masiku awiri maphunziro a radiology komanso kwa masiku awiri pambuyo (pokhapokha ngati kugwira ntchito kwa impso kunali koyenera).

Glucophage ndi mowa: osalimbikitsa mgwirizano

Zakumwa zokhala ndi zakumwa zoledzeretsa kapena mankhwala osokoneza bongo akaphatikizidwa ndi metformin zimakulitsa chiwopsezo cha lactic acidosis. Mkhalidwe wamatumbo womwe umayamba ndi:

• Zakudya zoyipa, kutsatira zakudya zochepa zopatsa mphamvu
• Kulephera kwa chiwindi.

Mankhwala, pewani kumwa mowa kapena mankhwala osokoneza bongo omwe ali ndi Mowa.

Kuphatikiza kwa mankhwala omwe amafunikira chisamaliro chachikulu

Kuphatikiza kwa Glucophage ndi Danazole, mphamvu ya hyperglycemic ya mankhwala omaliza imawonjezeka nthawi zambiri. Ngati ndi kotheka, ndikofunikira kusintha muyezo wa metformin mogwirizana ndi zomwe zimayambitsa kutsekeka kwa glucose panthawi ya chithandizo ndipo patapita nthawi atasiya kugwiritsa ntchito Danazol.

Kugwiritsa ntchito Mlingo waukulu wa chlorpromazine wokhala ndi metforimine kumawonjezera glucose ndipo nthawi yomweyo kumachepetsa kutulutsa insulin. Pakupanga mankhwala a antipsychotic ndipo atatha kufooka, mawonekedwe a metformin a tsiku ndi tsiku amayenera kusinthidwa molingana ndi kuchuluka kwa shuga m'magazi.

Glucocorticosteroids (kugwiritsa ntchito kwawoko ndi kwadongosolo) kumachepetsa kulolera kwa glucose, chifukwa chomwe zomwe zimapangitsa zimakhala ndizambiri, zomwe zimapangitsa ketosis. Pofuna kupewa zinthu zoyipa, ndikofunikira kuyang'anira ndikuwongolera kuchuluka kwa Glucophage panthawi ya chithandizo cha GCS ndikamaliza.

Akaphatikizidwa ndi loop diuretics, lactic acidosis imatha kukula chifukwa cha kuchepa kwa impso. Glucophage simalimbikitsidwa kwa odwala omwe ali ndi CC ochepera 60 ml pa mphindi.

Kubayidwa kwa beta-2-adrenergic agonists kumawonjezera shuga, chifukwa mankhwalawa ali ndi mphamvu yolimbikitsa β2-adrenergic receptors. Chifukwa chake, kusintha kwa muyezo wa Glucophage kapena kugwiritsa ntchito mankhwala a insulin kumafunika.

Ma A inhibitors ndi mankhwala ena a antihypertensive amatha kutsitsa shuga, chifukwa chake, kuwunikira zomwe zili komanso kusintha kwakanthawi pamlingo wa metformin ndikofunikira.

Kuphatikiza ndi mankhwala a sulfonylurea, komanso insulin, salicylates ndi acarbose kumatha kupangitsa hypoglycemia.

Mankhwala a Cationic amapikisana ndi metformin ya a revu tubules, chifukwa chomwe kuchuluka kwake kwakukulu kumatha kuwonjezeka.

Kuphatikizidwa ndi mapiritsi Aitali, Wheelwheel imawonjezera zomwe zimapezeka mu metformin.

Zotsatira zoyipa

Panthawi yochizira, mapiritsi a Glucofage ndi Glufofage Long amatha kukhala ndi zovuta m'magwiridwe antchito zosiyanasiyana zamagulu ndi machitidwe amkati.

• Njira za metabolism: lactic acidosis, yokhala ndi njira yayitali - kuchepa kwa kugaya chakudya kwa cyanocobalamin (vit. B12). Ndikofunikira kwambiri kuganizira izi kwa odwala omwe ali ndi vuto la kuchepa kwa magazi m'thupi.
• NS: kupotoza kukoma, kulawa kwazitsulo.
• Matumbo: Kukwiya, kusanza, kutsegula m'mimba, kupweteka kwam'mimba, kuchepa kapena kusowa kudya. Nthawi zambiri, zizindikirozi zimawonekera m'magawo oyamba azithandizo ndipo pamapeto pake zimatha popanda chithandizo chilichonse. Ngati zizindikiro zotere zikuwoneka, ndiye kuti zitha kuthetsedwa ngati mumwa mankhwalawo kangapo patsiku (2-3 p.) Ndikudya. Ndikotheka kusintha kulolerana kwa mankhwalawa pogwiritsa ntchito chimbudzi cham'mimba ndi kuwonjezeka kwapang'onopang'ono.
• Khungu: zotupa, kuyabwa, khungu.
• Hepatobiliary dongosolo: munthawi zina - kuphwanya kwamphamvu kwa chiwindi ndi / kapena impso. Pambuyo pokana mankhwala, ziwalo za ziwalo zimabwezeretseka mwachilengedwe.

Malinga ndi kuunika kwachipatala, mavuto obwera chifukwa cha mankhwala mwa ana si osiyana ndi zomwe zimachitika mwa akulu.

Ngati izi kapena mawonekedwe ena osayenera a mphamvu ya mankhwalawo awonekera, ndikofunikira kudziwitsa katswiriyu.

Bongo

Pali umboni kuti mutamwa mankhwala ambiri (mpaka 85 g, omwe nthawi zambiri amakhala pafupifupi 43), hypoglycemia samayamba, koma lactic acidosis imachitika. Kuphatikiza apo, kuwonjezera pa mankhwala osokoneza bongo ambiri, izi zitha kuyambitsidwa ndi zifukwa zina zowopsa.

Pakakhala vuto la bongo, kugwiritsa ntchito mankhwalawa kuyenera kuyimitsidwa nthawi yomweyo. Wovutitsidwa amayenera kugonekedwa m'chipatala. Pambuyo pakuwona mulingo wazakudya za lactate, kuzindikira kwake kumamveka bwino, ndipo kutengera ndi zomwe zikuwonetsa, mankhwala oyenera amalembedwa. Njira yothandiza kwambiri yoyeretsera thupi la lactate ndi metformin ndi hemodialysis. Kuti muthane ndi zizindikiro zina zovuta, chithandizo chamankhwala chimachitika.

Ngati wodwala sangathe kutenga Glucophage ndi mtundu 2 wa shuga, ndiye kuti m'malo mwake ndi mankhwala ena, muyenera kufunsa dokotala.

Akrikhin (Russian Federation)

Mtengo wapakati: 0,5 g (mapiritsi 60) - ma ruble 113, mapiritsi tsa / obol. 0,85 g (ma 60 ma PC.) - ma ruble 200.

Mankhwala a Metformin wochizira matenda a shuga a mtundu wa 2 mwa akulu, ngati chithandizo cham'mbuyomu ndi mankhwala a sulfonylurea sichinathandize. Zimapangidwa m'mapiritsi ndi ochiritsira komanso nthawi yayitali kumasulidwa kwa chinthu chogwira ntchito.

Malangizo a mankhwalawa komanso mawonekedwe ena a mankhwala amofanana ndi Glucofage.