METFORMIN: ndemanga

Ndikuuzani nkhani yanga yakumwa mankhwalawa. Choyamba, ndikufuna ndikuchenjezeni kuti Metformin ndi mankhwala ndipo ndikoyenera kukaonana ndi dokotala kuti ayambe kumwa. Kulimbana kwanga ndi kunenepa kwambiri ndi moyo wonse, thupi, ngati baluni, limayamba kulemera, ndiye kuti likutaya ndikuyesetsa. Kugwa komaliza, pafupifupi miyezi 9 yapitayo, nditakhala ndi pakati osakwanitsa, ndinapezanso ndalama zokwana 15 kg) pofika chilimwe sizinakhale bwino ndipo ndinayamba kufunafuna njira yochepetsera thupi. Nditawerenga malingaliro a Metformin ndikuphunzira malangizowo, ndidaganiza zonditenga. Ndilibe zovuta ndi shuga ndi insulin. Ndipo, zotsatira zanga ndi -4 makilogalamu m'masiku 10 ovomerezeka. Kupanda chilakolako ndi kulakalaka maswiti, kutsatira zakudya motere, ndi chilimwe, kotero masamba andithandiza. Vomerezani, ndizovuta kuyamba) kuchokera pazovuta zomwe zimadziwika. kuwerenga masiku oyamba (pepani) si chopondapo chachilendo, komanso chifukwa chakudya, mkhalidwe wotopa pang'ono, motero sanawululire vuto linalake, mwina chifukwa chosagwiritsa ntchito nthawi yayitali. Ndinkamwa mapiritsi 1 mpaka pano. Adatenga 500 2 pa tsiku. Apanso ndikufuna ndikuchenjezeni kuti sindichita kampeni, aliyense amasankha yekha, mophweka.

Ndikuuzani nkhani yanga yakumwa mankhwalawa. Choyamba, ndikufuna ndikuchenjezeni kuti Metformin ndi mankhwala ndipo ndikoyenera kukaonana ndi dokotala kuti ayambe kumwa. Kulimbana kwanga ndi kunenepa kwambiri ndi moyo wonse, thupi, ngati baluni, limayamba kulemera, ndiye kuti likutaya ndikuyesetsa. Kugwa komaliza, pafupifupi miyezi 9 yapitayo, nditakhala ndi pakati osakwanitsa, ndinapezanso ndalama zokwana 15 kg) pofika chilimwe sizinakhale bwino ndipo ndinayamba kufunafuna njira yochepetsera thupi. Nditawerenga malingaliro a Metformin ndikuphunzira malangizowo, ndidaganiza zonditenga. Ndilibe zovuta ndi shuga ndi insulin. Ndipo, zotsatira zanga ndi -4 kg kwa masiku 10 ovomerezeka. Kupanda chilakolako ndi kulakalaka maswiti, kutsatira zakudya motere, ndi chilimwe, kotero masamba andithandiza. Vomerezani, ndizovuta kuyamba) kuchokera pazovuta zomwe mumatha kuzindikira masiku oyamba (pepani) osati chopondapo kwambiri, ndipo chifukwa cha chakudyacho, kutopa pang'ono, ndipo chifukwa chake sichinawunike vuto lililonse, mwina chifukwa chakulandila kwakanthawi. Ndinkamwa mapiritsi 1 mpaka pano. Adatenga 500 2 pa tsiku. Apanso ndikufuna ndikuchenjezeni kuti sindichita kampeni, aliyense amasankha yekha, mophweka.

Monga endocrinologists amalemba zolemba zachipatala, cholowa cha matenda ashuga (shuga mellitus) chimalemedwa mbali ya amayi. Inde, inde, simungathe kukangana pano - patatha zaka 5 - 55, amayi ndi mlongo wake, komanso agogo anga aakazi, ndi bambo anga adapezeka ndi matenda a shuga. Chifukwa chake ndidayamba kuwongolera shuga m'magazi. Inde, ndipo phokoso langa la shuga ndilopyapyala, komwe, komwe, kukuwonetseranso tsogolo la shuga. Chifukwa chake thanzi liyenera kuyang'aniridwa mosamala. Mu Novembala 2 7, ndidakumananso ndi zokambirana ndi endocrinologist. Poyerekeza ndi kusapeza bwino kwa msambo, malinga ndi zotsatira za kuyesa kwa magazi kuma mahomoni ndi ma ultrasound, adotolo adalimbikitsa kuti nditenge Metformin 5 mg kamodzi patsiku kwa mwezi woyamba komanso kawiri patsiku kuyambira lachiwiri mpaka mwezi wachisanu ndi chimodzi. Moona mtima,. werengani zambiri Sindine wokonda kumwa mapiritsi owonjezera. Ndinawerenga zambiri pa intaneti kwanthawi yayitali, ndinena za metformin, zotheka komanso ngati zingatheke kusiya kumwa mankhwalawa tsiku lina osavutika nalo. Inde, mosamveka komanso mwina molakwika, koma azakhali anga anathandiza kuti asankhe kutenga metformin - adotolo nayenso amatenga mankhwalawa. Kuyambira pa Marichi 2-8, ndidayamba kumwa metformin tsiku lililonse. Masiku oyambira anali ovuta kwambiri, koma adotolo komanso malangizo ogwiritsa ntchito adandiwuza pankhani iyi. Mwezi woyamba ndimamwa metformin masana. Tsiku lotsatira, ndinayamba kudwala m'mawa. Sindinalumikizane izi mwachangu ndi metformin, koma ndinachimwa pa chikhodzodzo cha ndulu yomwe ndimakonda, yomwe imatha kupandukira kangapo nyengo yamasika ndi chilimwe. Koma kenako ndinazindikira zomwe zinali kuchitika. Kumva nseru sikusangalatsa kwambiri, koma sindidatha kudya kadzutsa. Ndimakonda kudya nkhomaliro. Kungodya kwamadzulo ndinatulutsidwa pang'ono. Mwakutero, mu mseru mungathe kuphatikiza: idyani zochepa - mutha kuchepa thupi. Ndikudziwa kuti anthu ena amatenga metformin kuti achepetse thupi. Kwa ine, inali bonasi yabwino. M'mwezi wa Marichi, Epulo ndi Meyi, ndidataya makilogalamu 7 popanda kuyesetsa kwakukulu - popanda choletsa chokwanira mu chakudya komanso kuchita masewera olimbitsa thupi mopitirira muyeso. Naume nthawi zonse zimandigwira ndipo masiku otere ndimakhala ndi masiku osala kudya. Bonasi ina yosasangalatsa inali maulendo osayembekezeka kupita kuchimbudzi. Ndinkakonda kuchita chilichonse m'mawa, koma ndi metformin m'masiku oyamba ndimayenera kukhala pafupi ndi chimbudzi kuti ndisayerekeze kuyenda maulendo ataliatali kapena maulendo. Kuntchito, sizinali zophweka kwambiri - pali nthawi zina zomwe sindingathe kusiya kugwira ntchito zanga ((sindinganene kuti metformin mwanjira ina idasokoneza thanzi langa. Zimakhala ngati kupewa kuposa kungofikira mwachangu) mwina china chake chikhala chodziwikiratu kapena chamankhwala chitatha mankhwalawa komanso kuyendera kwachiwiri kwa endocrinologist.

Monga endocrinologists amalemba zolemba zachipatala, cholowa cha matenda ashuga (shuga mellitus) chimalemedwa mbali ya amayi. Inde, inde, simungathe kukangana pano - patatha zaka 5 - 55, amayi ndi mlongo wake, komanso agogo anga aakazi, ndi bambo anga adapezeka ndi matenda a shuga. Chifukwa chake ndidayamba kuwongolera shuga m'magazi. Inde, ndipo phokoso langa la shuga ndilopyapyala, komwe, komwe, kukuwonetseranso tsogolo la shuga. Chifukwa chake thanzi liyenera kuyang'aniridwa mosamala. Mu Novembala 2 7, ndidakumananso ndi zokambirana ndi endocrinologist. Poyerekeza ndi kusapeza bwino kwa msambo, malinga ndi zotsatira za kuyesa kwa magazi kuma mahomoni ndi ma ultrasound, adotolo adalimbikitsa kuti nditenge Metformin 5 mg kamodzi patsiku kwa mwezi woyamba komanso kawiri patsiku kuyambira lachiwiri mpaka mwezi wachisanu ndi chimodzi. Moona mtima, sindine wokonda kumwa mapiritsi owonjezera. Ndinawerenga zambiri pa intaneti kwanthawi yayitali, ndinena za metformin, zotheka komanso ngati zingatheke kusiya kumwa mankhwalawa tsiku lina osavutika nalo. Inde, mosamveka komanso mwina molakwika, koma azakhali anga anathandiza kuti asankhe kutenga metformin - adotolo nayenso amatenga mankhwalawa. Kuyambira pa Marichi 2-8, ndidayamba kumwa metformin tsiku lililonse. Masiku oyambira anali ovuta kwambiri, koma adotolo komanso malangizo ogwiritsa ntchito adandiwuza pankhani iyi. Mwezi woyamba ndimamwa metformin masana. Tsiku lotsatira, ndinayamba kudwala m'mawa. Sindinalumikizane izi mwachangu ndi metformin, koma ndinachimwa pa chikhodzodzo cha ndulu yomwe ndimakonda, yomwe imatha kupandukira kangapo nyengo yamasika ndi chilimwe. Koma kenako ndinazindikira zomwe zinali kuchitika. Kumva nseru sikusangalatsa kwambiri, koma sindidatha kudya kadzutsa. Ndimakonda kudya nkhomaliro. Kungodya kwamadzulo ndinatulutsidwa pang'ono. Mwakutero, mu mseru mungathe kuphatikiza: idyani zochepa - mutha kuchepa thupi. Ndikudziwa kuti anthu ena amatenga metformin kuti achepetse thupi. Kwa ine, inali bonasi yabwino. M'mwezi wa Marichi, Epulo ndi Meyi, ndidataya makilogalamu 7 popanda kuyesetsa kwakukulu - popanda choletsa chokwanira mu chakudya komanso kuchita masewera olimbitsa thupi mopitirira muyeso. Naume nthawi zonse zimandigwira ndipo masiku otere ndimakhala ndi masiku osala kudya. Bonasi ina yosasangalatsa inali maulendo osayembekezeka kupita kuchimbudzi. Ndinkakonda kuchita chilichonse m'mawa, koma ndi metformin m'masiku oyamba ndimayenera kukhala pafupi ndi chimbudzi kuti ndisayerekeze kuyenda maulendo ataliatali kapena maulendo. Kuntchito, sizinali zophweka kwambiri - pali nthawi zina zomwe sindingathe kusiya kugwira ntchito zanga ((sindinganene kuti metformin mwanjira ina idasokoneza thanzi langa. Zimakhala ngati kupewa kuposa kungofikira mwachangu) mwina china chake chikhala chodziwikiratu kapena chamankhwala chitatha mankhwalawa komanso kuyendera kwachiwiri kwa endocrinologist.

Zabwino tsiku ndi tsiku! Ndalemba kale kuti ndine wonenepa kwambiri ndipo ndalamulidwa kukonzekera kwathunthu kwa Liprimar ndi Metformin Teva. "Chofunikira kwambiri pa chipangizocho ndicholinga chothana ndi matenda ashuga, kutsitsa shuga m'magazi mosasamala kanthu za chakudya. Koma chizindikiro china chofunikira ndi kuchepa kwa cholesterol yamagazi (nthawi zambiri vuto la matenda ashuga limakhala lolemera / cholesterol yayikulu). Kulemera mukamadya sikuchepera kwambiri, koma kusintha pang'onopang'ono. Ngakhale kuikidwa, ndizovuta kuwona ma contraindication ku mankhwalawa, kuyamba kulandira chithandizo.

Ndikumwa mankhwala a Metformin Teva, omwe adasankhidwa ndi ine ngati dokotala ndi endocrinologist kuti ayang'anire shuga m'magazi, chifukwa ndidapezeka kuti ndili ndi matenda ashuga a mtundu 2. Magazi a glucose oyambira kumamwa anali 9.9 mmol, ndiye adayamba kumwa mankhwalawa. mfundo pang'onopang'ono zidapita. Pakadali pano, ndikutenga mwezi wachitatu, mfundo zake zili pansi mpaka 6.9 mmol. Ndimatenga kawiri patsiku, m'mawa mapiritsi 0,5 a mayunitsi 1000, ndipo madzulo piritsi lonse la mayunitsi 1000. Tsopano kampani ya Teva, yatha, ku chipatala adapereka cholowa m'malo mwa Glyformin, chopangidwa ku Akrikhin, kuchipatalako akuti palibe kusiyana. Kodi Metformin ndi chiyani, ichi ndi chiyani, opanga okha ndi osiyana. Tiyeni tiwone bwino. Koma apa pali ena omwe amagwiritsa ntchito mankhwalawa, amati mapiritsi a pakhomo ndi ambiri. werengani zambiri zothandiza. Ndidzalemba ndikamwa iwo kwa pafupifupi sabata limodzi.

Ndikumwa mankhwala a Metformin Teva, omwe adasankhidwa ndi ine ngati dokotala ndi endocrinologist kuti ayang'anire shuga m'magazi, chifukwa ndidapezeka kuti ndili ndi matenda ashuga a mtundu 2. Magazi a glucose oyambira kumamwa anali 9.9 mmol, ndiye adayamba kumwa mankhwalawa. mfundo pang'onopang'ono zidapita. Pakadali pano, ndikutenga mwezi wachitatu, mfundo zake zili pansi mpaka 6.9 mmol. Ndimatenga kawiri patsiku, m'mawa mapiritsi 0,5 a mayunitsi 1000, ndipo madzulo piritsi lonse la mayunitsi 1000. Tsopano kampani ya Teva, yatha, ku chipatala adapereka cholowa m'malo mwa Glyformin, chopangidwa ku Akrikhin, kuchipatalako akuti palibe kusiyana. Kodi Metformin ndi chiyani, ichi ndi chiyani, opanga okha ndi osiyana. Tiyeni tiwone bwino. Koma apa pali ena omwe amagwiritsa ntchito mankhwalawa, akunena kuti mapiritsi am'nyumba amathandiza kwambiri. Ndidzalemba ndikamwa iwo kwa pafupifupi sabata limodzi.

Moni nonse! Ndikufuna kuzindikira nthawi yomweyo kuti palibe amene adandiuza Metformin kwa ine. Mbiri yochepa yomwe ndachulukitsa shuga (ndinayesedwa) ndipo zimakhudza khungu langa, ndiye kuti, chakudya chilichonse chosangalatsa chomwe ndimadya chimasanduka ziphuphu. Ndipo pamene ndidafunsa adotolo choti achite kuti ndichepetse shuga, ndidapeza yankho lanzeru, paliponso lokoma. Dokotala uyu angadziwe kuti ndakhala mwezi, ayi, ndiye ... komabe, iyi ndi nkhani yosiyana kotheratu. ? ? Mwachidule, simungathe kudalira thandizo la madotolo, ndipo ndidatembenukira ku World Wide Web ndikupeza zambiri za Metformin. Ndinawerenga, kuyesa zabwino ndi zovuta, kugula ndikuyamba kulandira. The zikuchokera mankhwala yogwira ndi metformin hydrochloride - 5 mg kapena 85 mg, kapena mg, zotuluka - wowuma 5, povidone, croscarmellose sodium, magnesium stearate, mapadi. werengani zambiri Oza microcrystalline, Opadry II (muli: mowa wa polyvinyl, macrogol 335, talc, titanium dioxide (E 7), indigo carmine (E 32), chikasu cha quinoline (E 4). Metformin imagwiritsidwa ntchito pochepetsa kulemera kwa magazi ndikuwongolera glucose wamagazi (monga adokotala adanenera.) Kwenikweni, ndidanyalanyaza mfundo iyi. Yang'anani! Metformin, monga mankhwala ena aliwonse, saloledwa kuphatikiza ndi mowa! (Ngati simukuopa chilichonse, ndiye kuti mukudziwa kuti sizingathandize. Bwinobwino) Chakudya chimafunika. Mukamamwa metformin, zakudya zamafuta othamanga (shuga, maswiti, makeke, makeke, uchi, zakumwa za shuga, zipatso zabwino kwambiri) ziyenera kusiyidwa ndi zakudya. Nthawi yomweyo, zakudya zanu za tsiku ndi tsiku ziyenera kukhala ndi Kcal (mapuloteni, mafuta, chakudya pang'ono). Ngati mumakonda kutsegula m'mimba chifukwa chomwa mankhwalawa, muyenera kudziwa kuti mumagwiritsa ntchito mankhwala ochulukirapo othamanga. Vutoli limatha msanga mukatha kukonza zakudya. & Yalimbikitsidwa kuchita masewera olimbitsa thupi a 2ob katatu pa sabata, osachepera mphindi 45. & Ndikofunikira kumwa metformin nthawi yakudya kapena itangotha, muyezo womwe madokotala amakupatsani. metformin yowunika kuwonda & mlingo woyenera tsiku lililonse ndi 3 mg, wogawidwa ndi katatu. & Mafuta mseru ukapezeka utatha kumwa mankhwalawo, mlingo wake uyenera kuchepetsedwa. & Nthawi yayitali yogwiritsira ntchito metformin pokonzekera kuchepa thupi sayenera kupitirira masiku awiri. Kuchulukitsa nthawi yowonekera kumakhala koyipa ku thanzi. Vuto lalikulu kwambiri pamenepa ndi ketoacetosis, lactic acidosis, hypoglycemia, ndi matenda a shuga. Pambuyo pa mankhwalawa, kupumula kofunikira kutenga masabata a 6-8 ndinamwa mapiritsi a 5 mg tsiku lililonse kwa milungu iwiri. Ndipo pomwepo ndidangomwa mapilitsi momwe amafunikira (osati tsiku lililonse, mwachitsanzo, ngati ndimafuna maswiti, koma ndimawopa mawonekedwe anga amtundu wa khungu) Maubwino a Metformin amachepetsa kulakalaka kwa maswiti. Kuphatikiza apo, zidakhala bonasi yosangalatsa kuti imayenerabe chilimbikitso. Nkhani yabwino kwambiri kwa ine - amachepetsa shuga m'magazi. Zovuta Komabe, izi ndi mankhwala, choncho zotsatira zake ndizotheka. Chifukwa chake, kwa ine mankhwalawa adakhala chipulumutso, koma komabe sindingaganizire kuti sindine dokotala. Ganizirani nokha, sankhani nokha, zikomo nonse.

Moni nonse! Ndikufuna kuzindikira nthawi yomweyo kuti palibe amene adandiuza Metformin kwa ine. Mbiri yochepa yomwe ndachulukitsa shuga (ndinayesedwa) ndipo zimakhudza khungu langa, ndiye kuti, chakudya chilichonse chosangalatsa chomwe ndimadya chimasanduka ziphuphu. Ndipo pamene ndidafunsa adotolo choti achite kuti ndichepetse shuga, ndidapeza yankho lanzeru, paliponso lokoma. Dokotala uyu angadziwe kuti ndakhala mwezi, ayi, ndiye ... komabe, iyi ndi nkhani yosiyana kotheratu. ? ? Mwachidule, simungathe kudalira thandizo la madotolo, ndipo ndidatembenukira ku World Wide Web ndikupeza zambiri za Metformin. Ndinawerenga, kuyesa zabwino ndi zovuta, kugula ndikuyamba kulandira. Muli: yogwira pophika - metformin hydrochloride - 5 mg kapena 85 mg, kapena mg, zotupa - wowonda 5, povidone, croscarmellose sodium, magnesium stearate, microcrystalline cellulose, Opadry II (yomwe ili ndi: polyvinyl mowa, macrogol 335, talc, titanium dioxide (E 7), indigo carmine (E 32), quinoline wachikasu (E 4). Metformin imagwiritsidwa ntchito pochepetsa kulemera kwa magazi ndikuwongolera glucose wamagazi (monga adokotala adanenera.) Kwenikweni, ndidanyalanyaza mfundo iyi. Yang'anani! Metformin, monga mankhwala ena aliwonse, saloledwa kuphatikiza ndi mowa! (Ngati simukuopa chilichonse, ndiye kuti zitha kugwira ntchito. Bwino) Pamafunika chakudya. Mukamamwa metformin, zakudya zamafuta othamanga (shuga, maswiti, makeke, makeke, uchi, zakumwa za shuga, zipatso zabwino kwambiri) ziyenera kusiyidwa ndi zakudya. Nthawi yomweyo, zakudya zanu za tsiku ndi tsiku ziyenera kukhala ndi Kcal (mapuloteni, mafuta, chakudya pang'ono). Ngati mumakonda kutsegula m'mimba chifukwa chomwa mankhwalawa, muyenera kudziwa kuti mumagwiritsa ntchito mankhwala ochulukirapo othamanga.Vutoli limatha msanga mukatha kukonza zakudya. & Yalimbikitsidwa kuchita masewera olimbitsa thupi a 2ob katatu pa sabata, osachepera mphindi 45. & Ndikofunikira kumwa metformin nthawi yakudya kapena itangotha, muyezo womwe madokotala amakupatsani. metformin yowunika kuwonda & mlingo woyenera tsiku lililonse ndi 3 mg, wogawidwa ndi katatu. & Mafuta mseru ukapezeka utatha kumwa mankhwalawo, mlingo wake uyenera kuchepetsedwa. & Nthawi yayitali yogwiritsira ntchito metformin pokonzekera kuchepa thupi sayenera kupitirira masiku awiri. Kuchulukitsa nthawi yowonekera kumakhala koyipa ku thanzi. Vuto lalikulu kwambiri pamenepa ndi ketoacetosis, lactic acidosis, hypoglycemia, ndi matenda a shuga. Pambuyo pa mankhwalawa, kupumula kofunikira kutenga masabata a 6-8 ndinamwa mapiritsi a 5 mg tsiku lililonse kwa milungu iwiri. Ndipo pomwepo ndidangomwa mapilitsi momwe amafunikira (osati tsiku lililonse, mwachitsanzo, ngati ndimafuna maswiti, koma ndimawopa mawonekedwe anga amtundu wa khungu) Maubwino a Metformin amachepetsa kulakalaka kwa maswiti. Kuphatikiza apo, zidakhala bonasi yosangalatsa kuti imayenerabe chilimbikitso. Nkhani yabwino kwambiri kwa ine - amachepetsa shuga m'magazi. Zovuta Komabe, izi ndi mankhwala, choncho zotsatira zake ndizotheka. Chifukwa chake, kwa ine mankhwalawa adakhala chipulumutso, koma komabe sindingaganizire kuti sindine dokotala. Ganizirani nokha, sankhani nokha, zikomo nonse.

Mukuwunika kwa Fitokod "Pa chinthu chofunikira kwambiri" No. 14 ya tiyi wa tiyi, ndidalankhula za kuti mlongo wanga adapezeka ndi prediabetes, ndiye kuti, magazi ake amakhala abwinobwino kuposa omwe amatchedwa kuvina. mozungulira iye. Chifukwa chake, mlongoyo amayang'anira chisonyezicho mosamala ndi chida monga glucometer. Ndipo chimatsatiranso kadyedwe. Ndinayesanso ndikupitilizabe kuyesa kupeza njira zochepetsera shuga osati ndi mankhwala, mwachitsanzo, ndimamwa omwe omwewo omwe ndanena pamwambapa. Koma endocrinologist, yemwe mlongo amawonetsedwa, adamulimbikitsa, ngakhale osapitilira, koma nthawi zina kumwa mankhwalawo. Ndidamulembera zingapo zingapo, ndipo mwatsoka, si onse omwe anali othandiza. Mwa kuyeserera ndi kulakwitsa, mlongo adatha kuwerengera mankhwala omwe amatsimikizira. kuwerenga kwambiri filakisi kumathandiza kuchepetsa shuga m'magazi ndipo sikuvulaza thupi lonse. Uyu ndi Metformin-Teva. Izi ndi zomwe phukusi lomwe lili ndi mankhwalawa limawoneka: Mankhwalawo pawokha ndi metformin, ndipo chowonjezera cha Teva chimangowonetsa komwe mankhwalawa amapangidwira. Mutha kuwerengera za wopanga mbali inayo ya phukusi: Pano, panjira, pali mtengo wamtengo wazaka izi. Ponena za wopanga, mankhwalawo amapakidwa ku LLC Teva Yaroslavl. Ndipo idapangidwa mu kampani yopanga mankhwala "Teva", yomwe ili ndi zaka zopitilira 100 ndipo idachokera ku Israeli, koma tsopano ndi limodzi mwamakampani akuluakulu padziko lonse azachipatala. Mkati mwa bokosili muli matuza 6, aliyense ali ndi mapiritsi 10: - Piritsi lililonse lili ndi 500 mg ya mankhwala - metformin hydrochloride. Palinso mapiritsi pomwe pali 850 mg ndi 1000 mg. Mlongo wanga amamwa Mlingo wocheperako komanso piritsi limodzi lokha patsiku ndikudya. Mankhwalawa amamuthandizanso kuti azisunganso nthawi yowerengera shuga. Ndipo mwamwayi, alibe mavuto. Metformin-Teva ndiyoyenera zisanu chifukwa chogwira ntchito komanso kutsika mtengo kotsika. Koma upangiri wanga kwa inu, owerenga okondedwa, musamayesetse ndikungotenga pokhapokha ngati dokotala wakupangirani mankhwalawa.

Mukuwunika kwa Fitokod "Pa chinthu chofunikira kwambiri" No. 14 ya tiyi wa tiyi, ndidalankhula za kuti mlongo wanga adapezeka ndi prediabetes, ndiye kuti, magazi ake amakhala abwinobwino kuposa omwe amatchedwa kuvina. mozungulira iye. Chifukwa chake, mlongoyo amayang'anira chisonyezicho mosamala ndi chida monga glucometer. Ndipo chimatsatiranso kadyedwe. Ndinayesanso ndikupitilizabe kuyesa kupeza njira zochepetsera shuga osati ndi mankhwala, mwachitsanzo, ndimamwa omwe omwewo omwe ndanena pamwambapa. Koma endocrinologist, yemwe mlongo amawonetsedwa, adamulimbikitsa, ngakhale osapitilira, koma nthawi zina kumwa mankhwalawo. Ndidamulembera zingapo zingapo, ndipo mwatsoka, si onse omwe anali othandiza. Pakuyesera ndi kulakwitsa, mlongo wake adatha kuwerengera mankhwalawo omwe amamuthandiziradi shuga m'magazi ndipo samavulaza thupi lonse. Uyu ndi Metformin-Teva. Izi ndi zomwe phukusi lomwe lili ndi mankhwalawa limawoneka: Mankhwalawo pawokha ndi metformin, ndipo chowonjezera cha Teva chimangowonetsa komwe mankhwalawa amapangidwira. Mutha kuwerengera za wopanga mbali inayo ya phukusi: Pano, panjira, pali mtengo wamtengo wazaka izi. Ponena za wopanga, mankhwalawo amapakidwa ku LLC Teva Yaroslavl. Ndipo idapangidwa mu kampani yopanga mankhwala "Teva", yomwe ili ndi zaka zopitilira 100 ndipo idachokera ku Israeli, koma tsopano ndi limodzi mwamakampani akuluakulu padziko lonse azachipatala. Mkati mwa bokosili muli matuza 6, aliyense ali ndi mapiritsi 10: - Piritsi lililonse lili ndi 500 mg ya mankhwala - metformin hydrochloride. Palinso mapiritsi pomwe pali 850 mg ndi 1000 mg. Mlongo wanga amamwa Mlingo wocheperako komanso piritsi limodzi lokha patsiku ndikudya. Mankhwalawa amamuthandizanso kuti azisunganso nthawi yowerengera shuga. Ndipo mwamwayi, alibe mavuto. Metformin-Teva ndiyoyenera zisanu chifukwa chogwira ntchito komanso kutsika mtengo kotsika. Koma upangiri wanga kwa inu, owerenga okondedwa, musamayesetse ndikungotenga pokhapokha ngati dokotala wakupangirani mankhwalawa.

Ndinaganiza zogwiritsa ntchito metformin kuti ndiyese kuyesera kuchepa thupi, ngakhale sinali vuto lalikulu. Pa intaneti, ndidapeza chidziwitso chosangalatsa: metformin sikuti imachepetsa shuga m'magazi, imasinthanso kuchuluka kwa mahomoni pankhani ya polycystic ovary syndrome, ndi mankhwala omwe amatenga moyo. Ingoti pan panthaka ya mavuto onse !? Adafunsana ndi endocrinologist, adandiuza kuti makamaka limayenerera mtundu wachiwiri wa matenda ashuga, koma kunjaku amapatsidwa pafupifupi okalamba onse ndipo amagwiritsidwa ntchito kwambiri pachipatala. Chifukwa chake, mlingo woyambirira wa sabata anali 5 mg tsiku lililonse pambuyo pa nkhomaliro. Ndidayesa kupatula chakudya chokazinga, chifukwa kutsegula m'mimba sikungakuthandizeni kudikira. Mwakutero, uku ndikwabadwa kwamatenda kumachitika mankhwalawo. Pambuyo masiku 4, vutoli lidasowa pafupifupi pakati. werengani zambiri ndi cholembera. Ndi mankhwala osokoneza bongo ambiri, zotsatira za hypoglycemic sizichitika, koma ndibwino kuti musapitirire mlingo wa 5 mg. Kuchotsa kwa mankhwalawa mwanjira yachilengedwe kudzera m'matumbo kunachitika pambuyo pa maola 6 pambuyo pa kuperekedwa. Chifukwa chake, mutha kukonzekera mosavuta kutulutsidwa kwa mankhwalawo mosayembekezereka. Pambuyo pa sabata la kumwa 5 mg patsiku, ndidakulitsa mlingo: 5 mg pa nkhomaliro ndi 5 mg nditatha kudya. Zotsatira zoyipa zidasiya kuvutika, kulakalaka kusowa kwathunthu, kumverera kusowa kudya zotere? Panali malingaliro akuti mwina muyenera kudya. Cons yawonekera patatha mwezi umodzi, mafuta atayamba kusungunuka, kupumula kwa mafomu kumakhala kopepuka. Inde! Kulemerako kunali kutuluka ndipo zinali zowonekera kwambiri, koma nthawi imodzi m'mimba ndi bile zidayamba kuwawa kwambiri, zinali ngati zonse zamkati zimapindika ndi mpeni mkati. Mankhwalawa adayenera kuti aletsedwe, ndipo zotsatirapo zake zimayenera kulandira chithandizo kwa milungu itatu, mwina mankhwalawo komanso gawo la kutulutsa linagwirizana? Sindikudziwa, koma ndikalandira chithandizo chamatumbo ndimayesanso. Mwambiri, ndi mankhwala othandiza kwambiri, atsikana ambiri atagwiritsa ntchito metformin kwa nthawi yayitali amatha kukhala ndi pakati, motero polycystic ovary syndrome si chiganizo!

Ndinaganiza zogwiritsa ntchito metformin kuti ndiyese kuyesera kuchepa thupi, ngakhale sinali vuto lalikulu. Pa intaneti, ndidapeza chidziwitso chosangalatsa: metformin sikuti imachepetsa shuga m'magazi, imasinthanso kuchuluka kwa mahomoni pankhani ya polycystic ovary syndrome, ndi mankhwala omwe amatenga moyo. Ingoti pan panthaka ya mavuto onse !? Adafunsana ndi endocrinologist, adandiuza kuti makamaka limayenerera mtundu wachiwiri wa matenda ashuga, koma kunjaku amapatsidwa pafupifupi okalamba onse ndipo amagwiritsidwa ntchito kwambiri pachipatala. Chifukwa chake, mlingo woyambirira wa sabata anali 5 mg tsiku lililonse pambuyo pa nkhomaliro. Ndidayesa kupatula chakudya chokazinga, chifukwa kutsegula m'mimba sikungakuthandizeni kudikira. Mwakutero, uku ndikwabadwa kwamatenda kumachitika mankhwalawo. Pambuyo masiku 4, vutoli lidazimiririka. Ndi mankhwala osokoneza bongo ambiri, zotsatira za hypoglycemic sizichitika, koma ndibwino kuti musapitirire mlingo wa 5 mg. Kuchotsa kwa mankhwalawa mwanjira yachilengedwe kudzera m'matumbo kunachitika pambuyo pa maola 6 pambuyo pa kuperekedwa. Chifukwa chake, mutha kukonzekera mosavuta kutulutsidwa kwa mankhwalawo mosayembekezereka. Pambuyo pa sabata la kumwa 5 mg patsiku, ndidakulitsa mlingo: 5 mg pa nkhomaliro ndi 5 mg nditatha kudya. Zotsatira zoyipa zidasiya kuvutika, kulakalaka kusowa kwathunthu, kumverera kwa zinthu zoterezi kudatha? Panali malingaliro akuti mwina muyenera kudya. Cons yawonekera patatha mwezi umodzi, mafuta atayamba kusungunuka, kupumula kwa mafomu kumakhala kopepuka. Inde! Kulemerako kunali kutuluka ndipo zinali zowonekera kwambiri, koma nthawi imodzi m'mimba ndi bile zidayamba kuwawa kwambiri, zinali ngati zonse zamkati zimapindika ndi mpeni mkati. Mankhwalawa adayenera kuti aletsedwe, ndipo zotsatirapo zake zimayenera kulandira chithandizo kwa milungu itatu, mwina mankhwalawo komanso gawo la kutulutsa linagwirizana? Sindikudziwa, koma ndikalandira chithandizo chamatumbo ndimayesanso. Mwambiri, ndi mankhwala othandiza kwambiri, atsikana ambiri atagwiritsa ntchito metformin kwa nthawi yayitali amatha kukhala ndi pakati, motero polycystic ovary syndrome si chiganizo!

Mabwenzi abwino tsiku ndi alendo obwereza zomwe ndawerengapo. Ndili wokondwa kwa aliyense amene wayang'ana ndemanga yanga. Ndikufuna kulemba ndemanga yokhudza "Metformin-Teva, itha kukhala yothandiza kwa wina. Metformin imagwiritsidwa ntchito kwambiri, kwa odwala matenda ashuga kuti atseke shuga. Metformin imayikidwa kwa osewera komanso azachipatala. odwala matenda ashuga kuti amwe shuga ndi mapiritsi a shuga amapangidwa. Pambuyo atamwa mankhwalawo, metformin imachotsedwa kwathunthu m'malo ogaya ndikutsitsidwa ndi impso osasinthika, nthawi ya kuchotsa ndi pafupifupi maola 6. Mapiritsiwo ndi oyera kapena pafupifupi oyera, 1000 mg aliyense. T ndi contraindication, hypersensitivity kwa mankhwalawa.Kutenga mapiritsi pambuyo kapena pakudya, koyamba mlingo wa 500 mg katatu patsiku. Tengani tsiku lililonse osasowa.

Moni Amayi ndi heroine wathu. Anabereka ana asanu ndi mmodzi, onse anayesedwa. Ngakhale amagwira ntchito ngati mayi pa famu yophatikizira, 4 koloko m'mawa anali atapumira kale. Ndinkadya ngati mbalame. Sizikudziwika komwe matendawa adachokera. Matendawa amayambitsa zovuta m'matumbo amaso; matenda a shuga a retinopathy adalembedwa pa khadi. Adadandaula kuti cellophane amamuletsa kuti asaone, maso ake onse akupukutira. Ndipo tikangomva kulira kuchokera ku khitchini, ngati kuti mbale zikumenyedwa. Anabwera akuthamanga, ndipo amayi, atagwira maso, akukhala pakati pazidutswa pansi ndikubuula. Samathanso kufotokoza chilichonse, amangogwedeza mutu wake. Tidaganiza zoopsa, adatcha ambulansi. Zinakhala kugunda kwa glaucoma. Dotolo adati kuphatikiza kwa retinopathy ndi glaucoma ndi kowopsa, iyi ndi njira yolunjika yakhungu. Osati izi! Kuthandiza amayi anga, ndakonzeka chilichonse, ndakulumikiza anzanga onse kuti apeze pom. werengani zambiri. Wachibale adalangiza mankhwalawa a matenda a shuga a Metformin. Amayi adathandizira bwanji mapiritsi awa! Shuga adachepa kuchoka pa mayunitsi 12 mpaka 5.5. Wakhala akugwiritsa ntchito mankhwalawa kwa mwezi wopitilira, koma akuwona kale zonse bwino lomwe. Ndinaponyera magalasi anga kwinakwake. Tinapita kwa dotolo kuti ndikaone ngati zonse zili bwino pang'onopang'ono. Tsopano mumamwa mapiritsi awa nthawi zonse. Zikomo nonse chifukwa chamadongosolo anu ndikukhala athanzi!

Moni Amayi ndi heroine wathu. Anabereka ana asanu ndi mmodzi, onse anayesedwa. Ngakhale amagwira ntchito ngati mayi pa famu yophatikizira, 4 koloko m'mawa anali atapumira kale. Ndinkadya ngati mbalame. Sizikudziwika komwe matendawa adachokera. Matendawa amayambitsa zovuta m'matumbo amaso; matenda a shuga a retinopathy adalembedwa pa khadi. Adadandaula kuti cellophane amamuletsa kuti asaone, maso ake onse akupukutira. Ndipo tikangomva kulira kuchokera ku khitchini, ngati kuti mbale zikumenyedwa. Anabwera akuthamanga, ndipo amayi, atagwira maso, akukhala pakati pazidutswa pansi ndikubuula. Samathanso kufotokoza chilichonse, amangogwedeza mutu wake. Tidaganiza zoopsa, adatcha ambulansi. Zinakhala kugunda kwa glaucoma. Dotolo adati kuphatikiza kwa retinopathy ndi glaucoma ndi kowopsa, iyi ndi njira yolunjika yakhungu. Osati izi! Kuthandiza amayi anga, ndakonzeka chilichonse - ndakulumikiza anzanga onse kuti apeze thandizo. Wachibale adalangiza mankhwalawa a matenda a shuga a Metformin. Amayi adathandizira bwanji mapiritsi awa! Shuga adachepa kuchoka pa mayunitsi 12 mpaka 5.5. Wakhala akugwiritsa ntchito mankhwalawa kwa mwezi wopitilira, koma akuwona kale zonse bwino lomwe. Ndinaponyera magalasi anga kwinakwake. Tinapita kwa dotolo kuti ndikaone ngati zonse zili bwino pang'onopang'ono. Tsopano mumamwa mapiritsi awa nthawi zonse. Zikomo nonse chifukwa chamadongosolo anu ndikukhala athanzi!

Ndimatenga Metformin kwa mwezi umodzi. Mlingo 5 mg 2 kawiri pa tsiku - m'mawa ndi madzulo. Palibe mavuto. Ndinkakonda kupita kumasewera, ndimalemekeza calorie ndi BJU kwa zaka pafupifupi ziwiri, kunenepa kwambiri - kenako ndidakumananso. Dzikoli lili ndi mavuto, kutayika komanso kufunafuna ntchito, mavuto m'moyo wake. Chozungulira chozungulira: kulemera kukukula - palibe chosinthika - kudya kuchokera kokhumudwa (makamaka usiku) - kulemera kukukula. Ndi Metformin ndizosavuta - sindikufuna kudya, osachepera usiku, kotero ndimasamala calorie yanga modekha, osasokoneza. Ndikukhulupirira kuti ndimazolowera komanso masamba azithunzi.

Masana abwino, abwenzi anga. Ndinaganiza zolemba za metformin, chifukwa nditawerenga ndemanga apa, ndazindikira kuti anthu patsamba lino ndi anzeru, osazindikira! Metformin ndiye woyamba hypoglycemic amene angagwiritsidwe ntchito prophylactically! Kodi mukumvetsetsa mawu awa? Izi zikutanthauza kuti ngati muli pachiwopsezo cha matenda ashuga komanso ngati muli ndi ngakhale shuga 5+ pamimba yopanda kanthu, zikutanthauza kuti mukamadya maswiti adzakhala ali ndi 7 kapena 8, ndipo izi ndi prediabetes ndi metformin - chizowonetsero chimawonetsedwa mu anthu omwe alibe shuga ngakhale atadya shuga osaposa 5.5. Ndipo inde, ngakhale mutakhala okwanira, ndiye kuti muli ndi% insulin kukana glucose komanso zomwe zingayambitse kunenepa kwanu kapena kunenepa kwambiri, metformin ikuwonetsedwa. Ngati muli ndi vuto losagwirizana ndi njala, ngati zakudya sizikuthandizani, ndiye kuti ndiwowonjezera shuga kapena insulini. werengani zambiri zosagwirizana. Ndipo kukana insulin ndi chiyani? Apa ndipamene maselo anu sangagwidwe chifukwa cha mafuta ku glucose ndipo sangathe kupeza chakudya komanso ali ndi njala. Ubongo wanu ukufuulira kwa inu - ndili ndi njala, tidye, ngakhale mudangodya. Pakadali pano, shuga wamagazi anu amakhala okwera, insulin imadzukanso, kuti ichotse shuga yambiri ndikuyamba kufalitsa shuga m'maselo. Akubwera ndi kugogoda: "Gogoda, chakudya, bwana, pakhomo, pitani mukadye chakudya, chonde." -Nthawi imeneyi khola ndi wotanganidwa ndipo chitseko sichitseguka ndipo amakhala ndi njala ndikulira. Uku ndiko kukana insulini.Ndiye insulin imatani? Ntchito yake ndikuchepetsa shuga mwanjira iliyonse; amawatenga ndikuwayika mumasamba amafuta, ngakhale alipo angati. Nayi chodabwisa. Kodi metformin imatani? Zimawonjezera kukhudzika kwa maselo kupita ku insulin ndipo maselo ayamba kudya ndipo shuga amachepa. Mfundo inanso yosangalatsa ya metformin, ndikulembanso mawuwa kwa anthu omwe sawerenga mawu komanso mawu onena za mankhwalawo: METFORMIN SIYENSO ZOLINGA PAKATI PA SUGAR MU BLOOD EVEN HEALTHY PERSON. Inde, zimayambitsa kutsegula m'mimba pang'ono koyamba, kapena kugudubuza ndiye. Tsopano za ZINSINSI, ndinayamba kumwa ndekha, nditagula shuga ndi kuyesa shuga, ndipo ndinali nayo 8. Pamenepo, ndinanjenjemera kwambiri, ndiko kuti, kunjenjemera, kupweteka mutu komanso kuwawa. Ndinakumana ndi njala yankhanza, yosalamulirika. Monga la, kudya kwambiri mokakamira kumayambira tsopano. Ndipo zonse zidakhala banal, prediabetes. Kapena lembani matenda ashuga 2. Kenako anandipeza movomerezeka ndipo anandiuza kuti ndimupatse hafu ya chaka kuti ndimwe metformin chifukwa cha insulin. Mwa njira, ndinachepetsa shuga, koma insulin kukana idapitilira. Zimatsika motalika. Mutha kuwerengera nokha. Ndipo gawo loyamba, ngakhale wopanda dokotala. Pitani kukayezetsa magazi ndikupereka ngati mukukayikira kuti muli ndi matenda ashuga kapena prediabetes ndipo mupatseni insulin ndi shuga. Ndipo yang'anani. Ndibwino kuti shuga pamimba yopanda kanthu isapitirire 4.2 kapena 3.8, ngati yayitali, ndiye kuti, ngati yanga, nditadya tangerine ndikuuluka mpaka 8. Ndidayesa ndi glucometer: pamimba yopanda kanthu ndikatha kudya komanso musanadye ndikulemba pagome. Nditapita ku Hemotest (iyi ndi malo odziwika odziwika, omwe pafupifupi mzinda uliwonse), ndinawerengera insulin pogwiritsa ntchito fomula. Ndinkakhala ndimunthu wabwinobwino, malinga ndi ziwonetsero zasayansi, koma pokhudzana ndi shuga, ndinali ndi insulin. MUNGATANI KUTI MUYESERE KUTI MUZILIMBITSA ZINSINSI? Njira yodziwika yodziwira kukana kwa insulini yokhudzana ndi kutsimikiza kwa basal (kusala) chiyerekezo cha glucose ndi milingo ya insulin. Phunziroli limachitika pang'ono pamimba yopanda kanthu, pambuyo pa kusala kwa maola 8-2. Mbiri imaphatikizapo zizindikiro: glucose, insulin ndi index ya HOMA-IR ya insulin. Mlozera wa HOMA-IR amawerengedwa pogwiritsa ntchito njira: HOMA-IR kudya glucose (mmol / L) x kusungira insulini (μU / ml) / 22.5. Kukula kwa glucose kapena insulin, chiwonetsero cha HOMA-IR, motero, chikuwonjezeka. Mwachitsanzo, ngati glucose yothamanga ndi 4,5 mmol / L, ndipo insulini ndi 5, mcU / ml, HOMA-IR, ngati shuga yothamanga ndi 6, mmol, ndipo insulin ndi 5 mcd / ml, HOMA-IR 4 ,. Mitengo yotchulidwa HOMA-IR:

Masana abwino, abwenzi anga. Ndinaganiza zolemba za metformin, chifukwa nditawerenga ndemanga apa, ndazindikira kuti anthu patsamba lino ndi anzeru, osazindikira! Metformin ndiye woyamba hypoglycemic amene angagwiritsidwe ntchito prophylactically! Kodi mukumvetsetsa mawu awa? Izi zikutanthauza kuti ngati muli pachiwopsezo cha matenda ashuga komanso ngati muli ndi ngakhale shuga 5+ pamimba yopanda kanthu, zikutanthauza kuti mukamadya maswiti adzakhala ali ndi 7 kapena 8, ndipo izi ndi prediabetes ndi metformin - chizowonetsero chimawonetsedwa mu anthu omwe alibe shuga ngakhale atadya shuga osaposa 5.5. Ndipo inde, ngakhale mutakhala okwanira, ndiye kuti muli ndi% insulin kukana glucose komanso zomwe zingayambitse kunenepa kwanu kapena kunenepa kwambiri, metformin ikuwonetsedwa. Ngati mukumenyedwa ndi vuto losalamulirika la matenda, ngati zakudya sizikuthandizani, ndiye kuti mwina ndiwowonjezera shuga kapena insulin. Ndipo kukana insulin ndi chiyani? Apa ndipamene maselo anu sangagwidwe chifukwa cha mafuta ku glucose ndipo sangathe kupeza chakudya komanso ali ndi njala. Ubongo wanu ukufuulira kwa inu - ndili ndi njala, tidye, ngakhale mudangodya. Pakadali pano, shuga wamagazi anu amakhala okwera, insulin imadzukanso, kuti ichotse shuga yambiri ndikuyamba kufalitsa shuga m'maselo. Akubwera ndi kugogoda: "Gogoda, chakudya, bwana, pakhomo, pitani mukadye chakudya, chonde." -Nthawi imeneyi khola ndi wotanganidwa ndipo chitseko sichitseguka ndipo amakhala ndi njala ndikulira. Uku ndiko kukana insulini. Ndiye insulin imatani? Ntchito yake ndikuchepetsa shuga mwanjira iliyonse; amawatenga ndikuwayika mumasamba amafuta, ngakhale alipo angati. Nayi chodabwisa. Kodi metformin imatani? Zimawonjezera kukhudzika kwa maselo kupita ku insulin ndipo maselo ayamba kudya ndipo shuga amachepa. Mfundo inanso yosangalatsa ya metformin, ndikulembanso mawuwa kwa anthu omwe sawerenga mawu komanso mawu onena za mankhwalawo: METFORMIN SIYENSO ZOLINGA PAKATI PA SUGAR MU BLOOD EVEN HEALTHY PERSON. Inde, zimayambitsa kutsegula m'mimba pang'ono koyamba, kapena kugudubuza ndiye. Tsopano za ZINSINSI, ndinayamba kumwa ndekha, nditagula shuga ndi kuyesa shuga, ndipo ndinali nayo 8. Pamenepo, ndinanjenjemera kwambiri, ndiko kuti, kunjenjemera, kupweteka mutu komanso kuwawa. Ndinakumana ndi njala yankhanza, yosalamulirika. Monga la, kudya kwambiri mokakamira kumayambira tsopano. Ndipo zonse zidakhala banal, prediabetes. Kapena lembani matenda ashuga 2. Kenako anandipeza movomerezeka ndipo anandiuza kuti ndimupatse hafu ya chaka kuti ndimwe metformin chifukwa cha insulin. Mwa njira, ndinachepetsa shuga, koma insulin kukana idapitilira. Zimatsika motalika. Mutha kuwerengera nokha. Ndipo gawo loyamba, ngakhale wopanda dokotala. Pitani kukayezetsa magazi ndikupereka ngati mukukayikira kuti muli ndi matenda ashuga kapena prediabetes ndipo mupatseni insulin ndi shuga. Ndipo yang'anani. Ndibwino kuti shuga pamimba yopanda kanthu isapitirire 4.2 kapena 3.8, ngati yayitali, ndiye kuti, ngati yanga, nditadya tangerine ndikuuluka mpaka 8. Ndidayesa ndi glucometer: pamimba yopanda kanthu ndikatha kudya komanso musanadye ndikulemba pagome. Nditapita ku Hemotest (iyi ndi malo odziwika odziwika, omwe pafupifupi mzinda uliwonse), ndinawerengera insulin pogwiritsa ntchito fomula. Ndinkakhala ndimunthu wabwinobwino, malinga ndi ziwonetsero zasayansi, koma pokhudzana ndi shuga, ndinali ndi insulin. MUNGATANI KUTI MUYESERE KUTI MUZILIMBITSA ZINSINSI? Njira yodziwika yodziwira kukana kwa insulini yokhudzana ndi kutsimikiza kwa basal (kusala) chiyerekezo cha glucose ndi milingo ya insulin. Phunziroli limachitika pang'ono pamimba yopanda kanthu, pambuyo pa kusala kwa maola 8-2. Mbiri imaphatikizapo zizindikiro: glucose, insulin ndi index ya HOMA-IR ya insulin. Mlozera wa HOMA-IR amawerengedwa pogwiritsa ntchito njira: HOMA-IR kudya glucose (mmol / L) x kusungira insulini (μU / ml) / 22.5. Kukula kwa glucose kapena insulin, chiwonetsero cha HOMA-IR, motero, chikuwonjezeka. Mwachitsanzo, ngati glucose yothamanga ndi 4,5 mmol / L, ndipo insulini ndi 5, mcU / ml, HOMA-IR, ngati shuga yothamanga ndi 6, mmol, ndipo insulin ndi 5 mcd / ml, HOMA-IR 4 ,. Mfundo za HOMA-IR: Muyeso: 5 5

Moni kwa onse amene ayang'ana kuwunika kwanga. Lero ndikufuna kugawana nawo zomwe ndakhala ndikugwiritsa ntchito METFORMIN KWA SLIMMING. Inde, ndikudziwa kuti njira zotere sizolandilidwa, ndikufunika kufunsa madokotala, ndi zina zambiri. Koma powona chidziwitso chabwino chakuchepetsa thupi kwa bwenzi langa, sindinathe kukana ndipo I BUY METFORMIN) Komanso, mapiritsi siokwera mtengo, phukusi limanditengera ma ruble 75. Ndimazindikira nthawi yomweyo, metformin ndi mankhwala osokoneza bongo. metformin yowunika kuwonda Yapangidwira mankhwalawa a matenda a shuga omwe ali ndi zovuta mu mawonekedwe a kunenepa kwambiri. Sizikulimbikitsidwa kwa anthu athanzi ndipo kufunsa kwa dokotala ndikofunikira. Chifukwa chake, choyamba, mudziwitse pang'ono za mawonekedwe a mankhwalawo. Pharmacological zochita Metformin linalake ndipo tikulephera gluconeogeneis mu chiwindi, amachepetsa mayamwidwe am'matumbo kuchokera m'matumbo, timathandizanso kugwiritsidwa ntchito kwina kwa glucose. kuwerenga kwambiri kumawonjezera chidwi cha zimakhala mpaka insulin. Sichikukhudzana ndi kubisika kwa insulini ndi ma cell a beta, sikuti kumayambitsa kutengeka kwa hypoglycemic. Amachepetsa mulingo wa triglycerides ndi lipoproteins wotsika m'magazi. Imakhazikika kapena kuchepetsa thupi. Ili ndi fibrinolytic mwina chifukwa chokakamira minofu ya plasminogen activator inhibitor. Zisonyezero zogwiritsira ntchito: - lembani matenda a shuga 2 popanda chizolowezi cha ketoacidosis (makamaka kwa odwala omwe ali ndi kunenepa kwambiri) komanso osagwiritsa ntchito bwino mankhwala. -. mimba ndi nthawi yoyamwitsa, - kuchitapo kanthu opaleshoni ndi kuvulala pamene insulin mankhwala akusonyezedwa, - mkhutu chiwindi ntchito, - pachimake mowa poyizoni golem, - lactate acidosis (kuphatikizapo mbiri), - kutsatira zakudya zochepa zopatsa mphamvu (zosakwana kcal / tsiku), - kukulitsa chidwi cha mankhwalawa. Njira ya ntchito: Mapiritsi .5 g: mlingo woyamba ndi .5 g / tsiku. Pambuyo -5 masiku, kuwonjezereka kwapang'onopang'ono kwa mlingo kumatheka kutengera mtundu wa shuga m'magazi. Mlingo wokonza mankhwalawa nthawi zambiri .5-2 g / tsiku. Mulingo waukulu ndi 3 g / tsiku. Mapiritsi a Metformin-Richter amayenera kumwa nthawi zonse mukatha kudya, kutsukidwa ndi madzi pang'ono (kapu yamadzi). Kuti muchepetse mavuto kuchokera m'matumbo am'mimba, mlingo wa tsiku ndi tsiku uyenera kugawidwa mu Mlingo wa 2-3. ZOTHANDIZA PAMODZI ZA KUGWIRA NTCHITO YOPHUNZITSA. Musanagwiritse ntchito metformin, ndikukulangizani kuti muphunzire malangizo mosamala! Popeza ndizovuta kuchepetsa thupi osasintha momwe mumakhalira. Anthu athanzi sangathe kugwiritsa ntchito metformin kwa nthawi yayitali. Chifukwa chake, maphunziro anga anali masiku atatu, nthawi yomwe ndidachotsa 6 kg. Koma musaganize kuti popitiliza kudya maswiti ali pa sofa, chiuno chichepa. Ayi! Kuti muchepetse thupi pogwiritsa ntchito metformin, ndikofunikira kuti muchepetse zopatsa mphamvu zopatsa thanzi komanso, zolimbitsa thupi. Ndidya bwanji? Kupatula kwathunthu lokoma, ufa, wokazinga, soseji, mafuta. Ndinkayesetsa kutsatira zakudya zoyenera, osati mafuta onenepa, nsomba zam'madzi ndi masamba. Amawerengera zipatso ndendende chifukwa cha shuga. Sindinazolowere chakudya cham'mawa, ndimangokhala ndi khofi wamphamvu m'mawa. Pa nkhomaliro, adatenga piritsi ya metformin atatha kudya. Chodabwitsa ndi mapiritsi awa ndikuti amathetseratu chilakolako chofuna kudya! Kumwa mapilitsi nthawi ya nkhomaliro, sindinkafuna kudya chakudya chamadzulo. Ndidadzikakamiza kudya chakudya chamadzulo pa 7-3 ndipo ndi zomwe. Sindinadye chilichonse pambuyo pake. Sanamve kusasangalala kapena kumva njala, m'mimba mwake munalibe chilichonse chosangalatsa. Masewera Sindinachitepo nawo masewera, koma ndikumvetsa kuti popanda masewera munthu wokongola sadzakhalapo. Ndipo mfundo zoyeserera za metformin imalimbikitsidwa pophunzitsidwa zamasewera. Mphamvu ya metformin pakhungu limadziwonetsera motere: Kuchuluka kwa chakudya chamafuta m'mimba kumachepa. Kupanga kwa insulin m'magazi kumachepa, komwe kumapangitsa kuti munthu asakhale ndi chidwi chofuna kudya. Kutenga minofu ya glucose ikukula. Mafuta acid oxidation imathamanga. Ndatsitsa pa intaneti maphunziro awiri a mat ndi matako. Kutanganidwa kunyumba ndi ndandanda, ndikuchulukitsa kuchuluka kobwereza. Komanso mthandizi wabwino wa osewera waulesi amakhala wothamangitsana; umalimbitsa ndikupangitsa magulu onse a minofu kugwira ntchito. metformin yowunika kunenepa kwambiri Cholinga chachikulu! Zachidziwikire, zonse ziwiri mphamvu ndi zomwe tikufunikira) Ndidangokangana ndi amuna anga kuti pofika nthawi yachilimwe ndidzakhala phony) Ndipo scoundrel iyi idachotsanso mkanganowu muvidiyo! Kodi, bwanji osachepera thupi? Inde, mankhwala osokoneza bongo si njira yokhayo yotithandizira kunenepa kwambiri. Koma chowonadi ndi chakuti, m'masabata atatu ndidatulutsa makilogalamu asanu. Pambuyo pazaka 3, zimandivuta kuti ndichepetse kunenepa, nthawi zina zimawoneka ngati ndikuchepetsa thupi ngakhale mlengalenga. Ndipo nthawi zina zimakupangitsani kudwala matenda oyenera, mumafuna soseji yaiwisi ndi cognac) Mukamagwiritsa ntchito mankhwalawa, mwina mungathe kuwonetsa zovuta. Metformin mwina singakukwanire! Khansa ya m'mimba, mutu, kulawa kwazitsulo mkamwa, etc. Mwamwayi, sindinakhale ndi vuto lililonse, koma mayi anga a metformin adandipweteka mutu. Ndi munthawi yomweyo kugwiritsa ntchito maswiti ndi metformin, kupweteka m'mimba ndikotheka. Chifukwa chake sindinathyole ndi PP ndipo sindinaphule maswiti. Ndinagula chakumwa chokoma, ndiye kuti zotsekazo zidatha. Ngati onenepa kwambiri, pitani kuchipatala. Izi ndizofunikira kwambiri pakuyesa komanso kupatsidwa mankhwala olondola a mankhwalawa. Metformin adalembedwa ndi dokotala wa mzanga pambuyo pakulephera kwa mahomoni ndi kunenepa. Ndidapeza mwayi, ndidasankha ndekha. Maphunzirowa atha, ndipo ndimadandaula chinthu chimodzi. Metformin singagwiritsidwe ntchito kwa nthawi yayitali, imachepetsa chilakolako chofuna kudya komanso imathandizira pakudya. Ndikupangira! Metformin inandithandiza kuchepetsa thupi.

Moni kwa onse amene ayang'ana kuwunika kwanga. Lero ndikufuna kugawana nawo zomwe ndakhala ndikugwiritsa ntchito METFORMIN KWA SLIMMING. Inde, ndikudziwa kuti njira zotere sizolandilidwa, ndikufunika kufunsa madokotala, ndi zina zambiri. Koma powona chidziwitso chabwino chakuchepetsa thupi kwa bwenzi langa, sindinathe kukana ndipo I BUY METFORMIN) Komanso, mapiritsi siokwera mtengo, phukusi limanditengera ma ruble 75. Ndimazindikira nthawi yomweyo, metformin ndi mankhwala osokoneza bongo. metformin yowunika kuwonda Yapangidwira mankhwalawa a matenda a shuga omwe ali ndi zovuta mu mawonekedwe a kunenepa kwambiri. Sizikulimbikitsidwa kwa anthu athanzi ndipo kufunsa kwa dokotala ndikofunikira. Chifukwa chake, choyamba, mudziwitse pang'ono za mawonekedwe a mankhwalawo. Pharmacological action Metformin imalepheretsa gluconeogeneis m'chiwindi, amachepetsa kuyamwa kwa m'matumbo, imathandizira kugwiritsidwa ntchito kwa glucose, komanso kumapangitsa chidwi cha minofu kuti insulini. Sichikukhudzana ndi kubisika kwa insulini ndi ma cell a beta, sikuti kumayambitsa kutengeka kwa hypoglycemic. Amachepetsa mulingo wa triglycerides ndi lipoproteins wotsika m'magazi. Imakhazikika kapena kuchepetsa thupi. Ili ndi fibrinolytic mwina chifukwa chokakamira minofu ya plasminogen activator inhibitor. Zisonyezero zogwiritsira ntchito: - lembani matenda a shuga 2 popanda chizolowezi cha ketoacidosis (makamaka kwa odwala omwe ali ndi kunenepa kwambiri) komanso osagwiritsa ntchito bwino mankhwala. -. mimba ndi nthawi yoyamwitsa, - kuchitapo kanthu opaleshoni ndi kuvulala pamene insulin mankhwala anasonyezedwa, - kuwonongeka chiwindi ntchito, - pachimake mowa poyizoni golem, - lactate acidosis (kuphatikizapo mbiri), - kutsatira zakudya zochepa zopatsa mphamvu (zosakwana kcal / tsiku), - kukulitsa chidwi cha mankhwalawa. Njira ya ntchito: Mapiritsi .5 g: mlingo woyamba ndi .5 g / tsiku. Pambuyo -5 masiku, kuwonjezereka kwapang'onopang'ono kwa mlingo kumatheka kutengera mtundu wa glucose m'magazi. Mlingo wokonza mankhwalawa nthawi zambiri .5-2 g / tsiku. Mulingo waukulu ndi 3 g / tsiku. Mapiritsi a Metformin-Richter amayenera kumwa nthawi zonse mukatha kudya, kutsukidwa ndi madzi pang'ono (kapu yamadzi). Kuti muchepetse mavuto kuchokera m'matumbo am'mimba, mlingo wa tsiku ndi tsiku uyenera kugawidwa mu Mlingo wa 2-3. ZOTHANDIZA PAMODZI ZA KUGWIRA NTCHITO YOPHUNZITSIRA. Musanagwiritse ntchito metformin, ndikukulangizani kuti muphunzire malangizo mosamala! Popeza ndizovuta kuchepetsa thupi osasintha momwe mumakhalira. Anthu athanzi sangathe kugwiritsa ntchito metformin kwa nthawi yayitali. Chifukwa chake, maphunziro anga anali masiku atatu, nthawi yomwe ndidachotsa 6 kg. Koma musaganize kuti popitiliza kudya maswiti ali pa sofa, chiuno chichepa. Ayi! Kuti muchepetse thupi pogwiritsa ntchito metformin, ndikofunikira kuti muchepetse zopatsa mphamvu monga zakudya, komanso, zolimbitsa thupi. Ndidya bwanji? Kupatula kwathunthu lokoma, ufa, wokazinga, soseji, mafuta.Ndinkayesetsa kutsatira zakudya zoyenera, osati mafuta onenepa, nsomba zam'madzi ndi masamba. Amawerengera zipatso ndendende chifukwa cha shuga. Sindinazolowere chakudya cham'mawa, ndimangokhala ndi khofi wamphamvu m'mawa. Pa nkhomaliro, adatenga piritsi ya metformin atatha kudya. Chodabwitsa ndi mapiritsi awa ndikuti amathetseratu chilakolako chofuna kudya! Kumwa mapilitsi nthawi ya nkhomaliro, sindinkafuna kudya chakudya chamadzulo. Ndidadzikakamiza kudya chakudya chamadzulo pa 7-3 ndipo ndi zomwe. Sindinadye chilichonse pambuyo pake. Sanamve kusasangalala kapena kumva njala, m'mimba mwake munalibe chilichonse chosangalatsa. Masewera Sindinachitepo nawo masewera, koma ndikumvetsa kuti popanda masewera munthu wokongola sadzakhalapo. Ndipo mfundo zoyeserera za metformin imalimbikitsidwa pophunzitsidwa zamasewera. Mphamvu ya metformin pakhungu limadziwonetsera motere: Kuchuluka kwa chakudya chamafuta m'mimba kumachepa. Kupanga kwa insulin m'magazi kumachepa, komwe kumapangitsa kuti munthu asakhale ndi chidwi chofuna kudya. Kutenga minofu ya glucose ikukula. Mafuta acid oxidation imathamanga. Ndatsitsa pa intaneti maphunziro awiri a mat ndi matako. Kutanganidwa kunyumba ndi ndandanda, ndikuchulukitsa kuchuluka kobwereza. Komanso mthandizi wabwino wa osewera waulesi amakhala wothamangitsana; umalimbitsa ndikupangitsa magulu onse a minofu kugwira ntchito. metformin yowunika kunenepa kwambiri Cholinga chachikulu! Zachidziwikire, zonse ziwiri mphamvu ndi zomwe tikufunikira) Ndidangokangana ndi amuna anga kuti pofika nthawi yachilimwe ndidzakhala phony) Ndipo scoundrel iyi idachotsanso mkanganowu muvidiyo! Kodi, bwanji osachepera thupi? Inde, mankhwala osokoneza bongo si njira yokhayo yotithandizira kunenepa kwambiri. Koma chowonadi ndi chakuti, m'masabata atatu ndidatulutsa makilogalamu asanu. Pambuyo pazaka 3, zimandivuta kuti ndichepetse kunenepa, nthawi zina zimawoneka ngati ndikuchepetsa thupi ngakhale mlengalenga. Ndipo nthawi zina zimakupangitsani kudwala matenda oyenera, mumafuna soseji yaiwisi ndi cognac) Mukamagwiritsa ntchito mankhwalawa, mwina mungathe kuwonetsa zovuta. Metformin mwina singakukwanire! Khansa ya m'mimba, mutu, kulawa kwazitsulo mkamwa, etc. Mwamwayi, sindinakhale ndi vuto lililonse, koma mayi anga a metformin adandipweteka mutu. Ndi munthawi yomweyo kugwiritsa ntchito maswiti ndi metformin, kupweteka m'mimba ndikotheka. Chifukwa chake sindinathyole ndi PP ndipo sindinaphule maswiti. Ndinagula chakumwa chokoma, ndiye kuti zotsekazo zidatha. Ngati onenepa kwambiri, pitani kuchipatala. Izi ndizofunikira kwambiri pakuyesa komanso kupatsidwa mankhwala olondola a mankhwalawa. Metformin adalembedwa ndi dokotala wa mzanga pambuyo pakulephera kwa mahomoni ndi kunenepa. Ndidapeza mwayi, ndidasankha ndekha. Maphunzirowa atha, ndipo ndimadandaula chinthu chimodzi. Metformin singagwiritsidwe ntchito kwa nthawi yayitali, imachepetsa chilakolako chofuna kudya komanso imathandizira pakudya. Ndikupangira! Metformin inandithandiza kuchepetsa thupi.

Zotsatira za mankhwala

Mayina apadziko lonse lapansi opangira mankhwala awa ndi metformin hydrochloride. Amadziwika akatswiri ambiri ochokera kumakona osiyanasiyana padziko lapansi, chifukwa chake msika wamankhwala umapereka mitundu yambiri yamakina omwe ali ndi izi.

A mawonekedwe a mankhwalawa amatchedwa kuchepa kwake kwapang'onopang'ono mu gawo la glycemia mu odwala matenda ashuga. Pokhala chete oyimira kalasi la greatuanides, mankhwala omwe samapangidwa samakhudza kuchuluka kwa shuga mwa anthu athanzi.

Wopanga amapanga mankhwalawa mu mawonekedwe a piritsi ndi mlingo waukulu wa mankhwala, 500, 850 ndi 1000 mg. M'malo ogulitsa mankhwala osokoneza bongo, mawonekedwe amtundu wanthawi yayitali amapezekanso. Chithuza chimodzi chimakhala ndi mapiritsi 30 kapena 120. Kuphatikiza pazomwe zimapangidwira, talc, magnesium stearate komanso ochepa owuma amaphatikizidwa mu gawo limodzi.

Kugwiritsa ntchito kwamankhwala kumapangitsanso kulepheretsa kupanga kwa shuga ndi chiwindi (gluconeogeneis). Sizikhudza kupanga kwa insulin ndi maselo a beta, chifukwa chake, sizipangitsa kuti shuga achepetse kwambiri. Katundu akuwoneka motere:

Kuchepetsa mayamwidwe osavuta a mankhwala osakanikirana ndi makhoma am'mimba.
Kuwonjezeka kwa chiwopsezo cha zida zopanga minyewa kupita ku insulin.
Kulimbikitsa njira yophatikizira magwiritsidwe a shuga.
Kuletsa hyperinsulinemia.
Kukhazikika komanso kuchepetsa kunenepa kwambiri.
Kuchepetsa kuchuluka kwa ma linoprotein otsika kwambiri ndi triglycerides m'madzi a m'magazi.
Mwanjira inayake, kuperekedwa kwa fibrinolytic effect.
Kuchepetsa kuchepa kwa mafuta oxidation.
Kuletsa mafuta acids.
Zabwino pa mtima ndi mtima dongosolo.
Kuyimitsidwa kwa chitukuko cha kuchuluka kwa minofu yosalala ya khoma la mtima.

Limagwirira ntchito amapereka kupewa matenda a shuga monga matenda ashuga angiopathy, omwe amakhudza minyewa ya pafupifupi ziwalo zamkati za munthu.

Pambuyo kulowa mkati, chochitikacho chimachitika mkati mwa maola 2,5. Thupi limalowetsedwa m'mimba, kenako kulowa m'matumba. Wodwala ayenera kudziwa kuti mukamadya, mayamwidwe a chinthu chachikulu chogwira ntchito amachepetsa kwambiri. Hafu ya moyo ili pafupifupi maola 6.5. Yogwira pophika sikugwirizana ndi mapuloteni a plasma.

Pafupifupi 20-30% ya mlingo wa mankhwalawa amachotsedwa kudzera mu impso.

Malangizo ogwiritsira ntchito mapiritsi

Zizindikiro zogwiritsidwa ntchito mu dragees ndi motere: shuga ya mtundu woyamba komanso wachiwiri (onse a monotherapy komanso osakanikirana ndi mankhwala ena), ovary ya polycystic. Mankhwalawa ndiwofunikira makamaka pamene odwala akulephera kuchepetsa kuchuluka kwake kwa glucose kudzera m'masewera ndi mankhwala othandizira kudya kwambiri.

Pogula mapiritsi, malangizo ogwiritsira ntchito ayenera kuphunziridwa mosamala. Ngati muli ndi mafunso, onetsetsani kuti mwawonana ndi dokotala.

Piritsi liyenera kumezedwa lonse, kutsukidwa ndi madzi ambiri. Kumwa mankhwalawa koyamba, malangizowo akutsimikizira kuti asapitirire mlingo wa 500-1000 mg patsiku. Pakatha milungu iwiri, dokotala amatha kusintha mankhwalawo popereka mankhwala okwanira.

Tiyenera kudziwa kuti kumayambiriro kwa chithandizo, odwala ambiri amakumana ndi zovuta zomwe zimagwirizanitsidwa ndi dongosolo la chimbudzi. Mawonetsero osayenera awa ndi chifukwa cha kusinthasintha kwa thupi kuti likhale ndi mphamvu yogwira ntchito. Thupi laumunthu litazolowera, Zizindikiro zimasiya.

Kutalika kwakukulu komwe kumaloledwa patsiku kuli mpaka 3000 mg, ndipo mlingo wokonzanso umawonedwa kuti ndi 1500-2000 mg. Popeza mapiritsi a odwala matenda ashuga okalamba angayambitse matenda a impso, mulingo woyenera sayenera kupitirira 2000 mg patsiku. Chenjezo limagwiranso ntchito kwa odwala omwe ali ndi vuto lalikulu la metabolic.

Wodwala yemwe akumwa chinthu china cha hypoglycemic ayenera kumwa mankhwalawo, ndiye kuti asiya chithandizo chamankhwala omwe adalandira kale. Kuphatikiza mapiritsi ndi jakisoni wa insulini, mulingo wotsatira ungathe kuchepetsedwa mwa kusanthula koyamba ndi dokotala.

Kugwiritsa ntchito mapiritsi atulutsidwa nthawi yayitali, mulingo wocheperako uyenera kutsatira - 500 kapena 850 mg (kutengera mtundu wa kumasulidwa). Kukhazikitsidwa kwa Mlingo wapamwamba kumachitika payekhapayekha, poganizira kuchuluka kwa shuga m'magazi am'magazi komanso kukula kwa wodwalayo.

Pezani mankhwala osokoneza bongo ndi mankhwala. Phukusi limasungidwa mosamala pamalo amdima, limasowa boma lapadera lotentha losaposa 25 digiri.

Pogula, muyenera kulabadira tsiku lotha ntchito, lomwe nthawi zambiri limakhala zaka zitatu.

Contraindication ndi zomwe zingavulaze

Odwala matenda ashuga ayenera kudziwa zambiri momwe zingathere pofikira, chifukwa mapiritsi awa ali ndi mndandanda wambiri wa contraindication.

Kuwerenga mafotokozedwe a mankhwalawa, muyenera kuwerengera mosamalitsa mndandanda wa matenda onse ndi zochitika zonse pamene kugwiritsa ntchito mankhwalawo kuli koletsedwa.

Chifukwa chake, kugwiritsa ntchito antidiabetesic othandizira kumakhala koletsedwa kwa odwala chifukwa cha zochitika zina za thupi.

Zilandiratu ndizoletsedwa pamilandu yotsatirayi:

kukhalapo kwa vuto la chiwindi / impso,
kupezeka kwa zofunikira za matenda a shuga komanso prcom,
mu pachimake pathologies - kuchepa madzi m'thupi, kutentha thupi, matenda osiyanasiyana, matenda a hypoxia (bronchopulmonary matenda, mantha, sepsis, matenda a impso),
Pamaso pa pathologies yotsogolera minofu hypoxia (pachimake myocardial infarction, kupuma / mtima kulephera),
kukhalapo kwa uchidakwa wambiri, komanso uchidakwa wambiri,
kupezeka kwa zizindikiro za lactic acidosis,
ngati mungazindikire kuzindikira kwamphamvu pazinthu zazikulu komanso zowonjezera,
ngati othandizira okhala ndi ayodini azigwiritsidwa ntchito pa kafukufuku wa X-ray kapena radioisotope,
nthawi yapakati
Ngati mumagwiritsa ntchito zakudya zamafuta ochepa (zosakwana 1 kcal patsiku),
yoyamwitsa
pa opaleshoni yayikulu kapena kuvulala (ndikuyambitsa jakisoni wa insulin).

Chithandizo chosafunikira kwa odwala matenda ashuga opitilira zaka 60, okakamizidwa kugwira ntchito molimbika, limodzi ndi zolimbitsa thupi. Kupanda kutero, mwayi wokhala ndi lactic acidosis ndiwokwera.

Zina mwazotsatira zoyipa zomwe zimachitika chifukwa chogwiritsa ntchito mankhwala a hypoglycemic, ndizodziwika:

Wodwalayo amatha kudandaula kuti kudzimbidwa, monga kusanza, nseru, kusintha kukoma, kuchepa kapena kusowa kudya, kuchuluka kwa mapangidwe a mpweya, kupweteka kwam'mimba komanso kutsegula m'mimba.
Nthawi zina, kukula kwa kuchepa kwa magazi m'thupi kumatheka.
Ndi chithandizo chazitali, Vitamini B12 imasiya kumumizidwa nthawi zonse, zomwe zimayambitsa kusowa.
Kukula kwa lactic acidosis, hypoglycemia ndi mawonekedwe a zotupa pakhungu.

Milandu yama bongo osokoneza bongo nthawi zina imakhala yotheka, yomwe imaphatikizapo kukula kwa lactic acidosis. Vutoli limakhala lowopsa chifukwa limatha kubweretsa zotsatira zakupha. Zizindikiro zazikulu za lactic acidosis ndikuwopseza mseru komanso kusanza, kutentha pang'ono kwa thupi, kutsegula m'mimba, chikumbumtima, kusinza, kupweteka kwa minofu, kupumira mwachangu komanso kukula kwa chikomokere.

Ngati zizindikiro zomwe zili pamwambazi zikuwoneka, wodwala ayenera kupita naye kuchipatala msanga. Gulu lachipatala liyenera kudziwa msanga kuchuluka kwa lactate ndi hemodialysis.

Syndrome dalili zimagwiritsidwanso ntchito.

Mogwirizana ndi mankhwala ena

Palibe mankhwala osokoneza bongo omwe, pakukhudzana ndi mankhwala ena, sangakhudze thupi la munthu.

Momwemo ndi zomwe zikulankhulidwa: zikaphatikizidwa ndi zinthu zina, hypoglycemia imapezeka, ikaphatikizidwa ndi ena, hyperglycemia imachitika, ndipo ndi ena, lactic acidosis imayamba.

Kuphatikiza ndi zinthu zomwe zimapangitsa kuti chiwopsezo cha shuga chikhale kwambiri mu odwala matenda ashuga osavomerezeka.

Mankhwalawa ndi:

Danazole
Chlorpromazine
antipsychotic
glucocorticosteroids,
mankhwala oletsa kubereka kwa mahomoni
Tsimikizani
zotumphukira za nicotinic acid ndi phenothiazine,
zida zodulira
mahomoni a chithokomiro,
amphanomachul
glucagon.

Zotsatira zotsatirazi zamankhwala zimachulukitsa zotsatira za hypoglycemic:

Zothandiza kuchokera ku sulfonylureas.
NSAIDs.
Mao ndi ACE zoletsa.
Acarbose.
Cyclophosphamide.
Zothandiza pofikira.
Jakisoni wa insulin
Beta blockers.
Oxytetracycline.

Kugwiritsa ntchito limodzi pakumwa zakumwa zoledzeretsa ndi cimetidine kungayambitse kukulira kwa lactic acidosis. Kugwiritsa ntchito kosavuta kwa pawiri ndi ma anticoagulants kumatha kufooketsa mphamvu yokhudza thupi la womaliza.

Odwala ambiri amachita chidwi ndi momwe mankhwalawa amathandizira. Anthu odwala matenda ashuga omwe amachiza matenda a bakiteriya sayenera kuda nkhawa, ndizogwirizana. Chinthu chachikulu ndikuwatenga nthawi zosiyanasiyana.

Ndemanga ndi kulumikizidwa

Msika wama pharmacological umapereka mapiritsi ambiri ndi mankhwala omwe ali ndi chidwi.

Ngakhale mawonekedwe osiyanasiyana othandizira, mapiritsi siokwera mtengo.
Mwachitsanzo, mtengo ku Russia umachokera ku 90 mpaka 260 rubles.

Mtengo wa Metformin kuchokera kumakampani ena akunja opanga mankhwala samasiyana kwambiri.

Mtengo wa Metformin kuchokera kwa opanga osiyanasiyana akunja ndi:

Slovakia - kuchokera pa ma ruble 130 mpaka 210.
Hungary - kuyambira 165 mpaka 260 rubles.
Poland - kuchokera 75 mpaka 320 ma ruble.

Ku Metformin, mtengo ndiwokhulupirika kwambiri kwa odwala onse. Ichi ndi chida chachikulu chophatikizira. About mapiritsi, mutha kupeza ndemanga zambiri zabwino pamaforamu osiyanasiyana. Inde, ndi mankhwala omwe amachepetsa kwambiri kuchuluka kwa shuga. Ndi makonzedwe oyenera, hypoglycemia pafupifupi sizimachitika.

Nayi ndemanga zabwino za Metformin kuchokera ku Lyudmila (wazaka 49):

Ichi ndi mankhwala oyamba omwe adathandiza kuthana ndi hyperglycemia osati ine, komanso amuna anga. Tinamwa ndikupitiliza kumwa kwa zaka ziwiri zapitazi. Zimachiritsa kwenikweni, kwa ine palibe mapiritsi ena onse. Zachidziwikire, poyambilira onse adavutika "kuzolowera", pafupifupi masabata 1.5-2 panali kudzimbidwa. Koma pakadali pano kuchuluka kwa shuga sikupitirira 6.5-7 mmol / l, ndipo kulemera kwanga kwatsika ndi 4 kg kuposa chaka chatha.

Kuunikiridwa kwa madokotala kulinso koyenera. Akatswiri ambiri amapereka mankhwalawa chifukwa cha malo kuti achepetse kuchuluka kwa shuga pang'onopang'ono, osatsogolera ku hypoglycemia kapena glycemic coma. Komabe, madokotala amachenjeza anthu omwe asankha kuchepetsa thupi pogwiritsa ntchito mankhwala othandizira pazotsatira zoyipa zomwe zingachitike. Monga lamulo, madokotala samapereka mankhwalawa kuti achepetse thupi.

Nthawi zina mutha kupeza ndemanga zoyipa kuchokera kwa odwala omwe akutenga mankhwala. Amalumikizidwa ndimatumbo okhumudwa. Chowonadi ndi chakuti chiwalo chilichonse chimazindikira mankhwalawo mosiyana, kotero kuwopsa kwa kupezeka kosiyana kumakhalanso kosiyana. Pankhani imeneyi, odwala matenda ashuga ena amasintha kuthandizanso ndi wothandizira wina wa hypoglycemic.

Wodwala yemwe amamwa mowa pa Metformin ayenera kudziwa zovuta zomwe zimadza chifukwa chanyalanyaza thanzi lake.

Mankhwala a mankhwala analogue

Popeza chinthu chomwe chafotokozedwerachi sichabwino kwa onse odwala matenda ashuga, akakumana ndi chipatala, amawasankha.

Mwa ndalama izi, zomwe zimakhala ndizomwe zimapangidwanso, komanso zomwe zimakhala ndi zinthu zosiyanasiyana, koma zimagwiranso ntchito mwanjira zina, zimasiyanitsidwa.
Mankhwala odziwika kwambiri a antidiabetes omwe ali ndi pofotokozedwayu ndi Glyformin, Glucofage, Metfogamm Forte, Siofor.

Gliformin ndi mankhwala osokoneza bongo. Kuphatikiza pazomwe zimagwira, povidone, crospovidone, wowuma, silicon dioxide, glycerol ndi stearic acid akuphatikizidwa.

Glucophage ndi piritsi yopangidwa ndi France. M'malo mwake, ali osiyana ndi onse. Chifukwa chake, ndi dokotala yekha yemwe angayerekeze kugwira ntchito kwawo.

Metfogamm Forte ndi mnzake wotsika mtengo. Makamaka, imathandizira pakulephera kwa chithandizo cha mankhwala ndi sulfonylureas. Kuphatikizikako kumaphatikizapo magawo omwewo.

Siofor - mapiritsi, omwe amaphatikizapo povidone, magnesium stearate, macrogol ndi silicon dioxide.

Mutha kupeza zofananira zina mu buku lachipatala la Vidal. Webusayiti ya Vidal imafotokoza zambiri za mankhwalawo, momwe amagwirira ntchito, omwe amaloledwa kumwa mankhwalawo, ndipo ndi chiyani chothandiza. Ndi omwe mankhwalawa ali bwino ndizovuta kunena. Wodwala amadzisankhira yekha, kutengera mtengo ndi chithandizo.

Ndi chidwi chamunthu pazinthu zazikulu, dokotalayo amapereka mankhwala omwe mawonekedwe ake amakhala osiyana kwambiri. Mwachitsanzo, Glibenclamide ndi piritsi lokhala ndi hypoglycemic, antithrombotic ndi hypolipidemic. Chipangizochi chimaphatikizira gawo lochita glibenclamide, Glucobai (Germany), Altar (Germany), ndi zina zotheka kupezekanso. Mutayendera buku lachipatala la Vidal, mutha kudziwa zambiri za chidwi chilichonse, kapangidwe kake komanso momwe zimasiyanirana ndi njira zina.

Pafupifupi aliyense wodwala matenda ashuga adamva phindu atamwa hydrochloride. Amagwiritsidwa ntchito okha kapena jakisoni wa insulin. Ndipo ngati mwadzidzidzi mapiritsi sakukwanira, yerekezerani ndi adotolo mankhwala omwewo. Zomwe zili bwino zingakuthandizeni kudziwa akatswiri kapena madokotala. Piritsi ndiyotchuka chifukwa chothandiza, chifukwa ndi hyperglycemia ndikoyenera kuyesera. Mukamamwa shuga amabwerera mwakale, komanso thanzi lathunthu.

Akatswiri azakuuzani za kuchuluka kwa kuchepetsa kwa Metformin mu kanema munkhaniyi.