Glucophage ndi wosiyana ndi glucophage.

1 Choyerekeza
- 1.1 Zizindikiro
- 1.2 Contraindication
- 1.3 Momwe mungagwiritsire ntchito?
- 1.4 Kusagwirizana kwa Mankhwala
2 Zomwe zili bwino ndi ziti: Siofor kapena Glucofage?

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Nthawi zambiri, pochiza matenda a shuga a mellitus (DM), madokotala amamulembera imodzi mwazolemba ziwiri: Siofor kapena Glucofage. Mankhwalawa ndi othandiza kwambiri komanso kuti mudziwe kuti pali bwino kaya pali kusiyana pakati pawo, ndikofunikira kudziwa nokha aliyense payekhapayekha. Kuti muchite izi, muyenera kuyerekezera zomwe zikuwonetsa, mlingo, zoletsa pazovomerezeka ndikugwirizana ndi mankhwala ena.

Makhalidwe oyerekeza

Kuti achepetse kuchuluka kwa shuga m'magazi wamba, madokotala amapereka mankhwala osiyanasiyana a hypoglycemic kwa odwala: Siofor, Glyukofazh (Glukofazh Long), Glformin ndi ena. Awiri oyamba amatchuka kwambiri pakati pa odwala matenda ashuga. Mankhwala wothandizila "Siofor" ali ndi magawo omwe amagwira ntchito - metformin, ndiye kuti amachepetsa glucose wa plasma ndipo amathandizira. "Siofor" amachepetsa kuthekera kwa m'mimba kuti amwe glucose, amachepetsa kuchuluka kwa mafuta m'thupi, komanso amachepetsa kulemera, kotero nthawi zambiri amagwiritsidwa ntchito pakuchepetsa thupi ndi odwala omwe ali onenepa kwambiri. Glucophage, monga Siofor, amathandizira kuchepetsa shuga m'magazi ndikuchita polimbana ndi kunenepa kwambiri. Sizosiyana ndi mawonekedwe ake analogue ndi yogwira ntchito. Glucophage imakhazikikanso ndi metformin.

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Cholinga chachikulu cha mankhwala omwe amawerengedwa ndikugwirira matenda a shuga a II. Ndikofunika kwambiri kugwiritsa ntchito "Siofor" ndi "Glucophage" ngati matenda a shuga akuphatikizidwa ndi kunenepa kwambiri, osagwiritsidwa ntchito pothandiza pakulimbitsa thupi komanso kuchita masewera olimbitsa thupi. Lemberani mankhwala kuti musangochotsa, komanso kuti muchepetse kuchuluka kwa kuchuluka kwa shuga m'magazi. Mu shuga, Glucophage ndi Siofor angagwiritsidwe ntchito ngati monotherapy kapena kuphatikiza ndi mankhwala ena omwe amakhudza glucose.

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Contraindication

Mankhwala oyerekeza poyerekeza sasiyana, popeza ali ndi zomwe zimapangira chimodzimodzi. Chifukwa chake, zoletsa zogwiritsidwa ntchito zidzakhala zofanana, komabe, pali zovuta zina ndipo mutha kuziwona bwino patebulopo.

Pancreatic Insulin DefenceMatenda a impso MacroalbuminemiaMankhwala osokoneza bongo osatha Ntchito zosokoneza za chiwindi ndi kulephera kuyeretsa zakudyazi m'magazi Matenda aubongo Mkhalidwe Kuchuluka kwa plasma hemoglobin Aliyense tsankho kwa zigawo zikuluzikulu za mankhwala Nthawi ya bere, kuyamwitsa Ntchito zaposachedwa Mtundu I shuga Matenda a mtima

Glucophage ndibwino kwa odwala omwe ali ndi matenda a impso.

Titha kudziwa kuti mankhwala a Siogor a hypoglycemic ali ndi zotsutsana zambiri. Ndipo ngati sikulimbikitsidwa kuti mugwiritse ntchito matenda a chiwindi, ndiye kuti Glucofage imatha kuvulaza odwala omwe ali ndi vuto la impso. Ubwino wa mankhwala omaliza pamwamba pa Siofor ndi kuthekera kwa kugwiritsidwa ntchito kwake ngati vuto la insulin silikwanira.

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Momwe mungagwiritsire ntchito?

Gwiritsani ntchito mankhwalawa matenda a shuga mellitus ozikidwa pa metformin angachitike pokhapokha atakambilana ndi dokotala wodziwika bwino.

Mankhwala Siofor amaperekedwa kwa odwala matenda a shuga pakamwa katatu patsiku chakudya chachikulu. Ngati mumamwa mankhwalawa pakudya, ndiye kuti kuyamwa kwa mankhwalawa kumachepetsa pang'ono. Chithandizo chimayamba ndi 0,5 g patsiku, patsiku la 4, mlingo umakwezedwa kwa 3 g Ndikofunikira panthawi yamankhwala kuti mupeze kuchuluka kwa shuga masabata awiri aliwonse kuti musinthe mlingo.

Palibe kusiyana pakudya, ndipo mapiritsi a Glucofage amafunikiranso kumeza athunthu, osasweka kapena ophwanya. Mlingo woyambirira ndi 500 mg katatu patsiku. Pambuyo pa masiku 14, kuchuluka kwa glucose kumayang'aniridwa ndipo, malinga ndi zomwe zasintha, mlingo umawunikiranso. Tiyenera kumvetsetsa kuti dokotala wodziwa mbiri yekhayo ndiye ayenera kusintha mlingo.

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Kugwirizana kwa mankhwala

Kuphatikiza kutenga Siofor ndi estrogens kapena progesterone kumachepetsa mphamvu ya mankhwala oyamba.

Kuchiza matenda a shuga kumatenga nthawi yambiri motero ndikofunikira kuti wodwalayo adziwe momwe mankhwala a hypoglycemic angakhalire ngati mankhwala ena amafunikira limodzi nawo. Chifukwa chake, kuchuluka kwa hypoglycemic kwa Siofor kumatha kuwonjezeka ngati mumamwa ndimankhwala ena ochepetsa shuga, ma fibrate, insulin kapena MAO zoletsa. Kugwiritsa ntchito kwa "Siofor" kumatha kuchepa limodzi ndi progesterone, mahomoni a chithokomiro, estrogens ndi thiazide diuretics. Ngati kuphatikiza kwa othandizira kotereku sikungatheke, ndiye kuti wodwalayo amayenera kuwongolera glycemia ndikusintha Mlingo wa wothandizila wodwala.

Ponena za Glucophage, sikulimbikitsidwa kuti muigwiritse ntchito nthawi imodzi ndi Danazol, chifukwa izi zingayambitse hyperglycemia. Kukula kwa lactic acidosis ndikotheka ngati Glucophage ikuphatikizidwa ndi loop diuretics. Pali kuwonjezeka kwa achire zotsatira za mankhwala a hypoglycemic pamene mukumwa ndi insulin, salicylates ndi mankhwala "Acarbose".

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Zomwe zili bwino: Siofor kapena Glucofage?

Mankhwala oyerekeza ndi ma analogi chifukwa chake nkosatheka kunena kuti ndi othandiza bwanji. Kusiyana kwakukulu ndi kuchuluka kwakukulu kwa contraindication kwa Siofor. Kupanda kutero, mankhwalawo ali pafupifupi ofanana, zomwe zikutanthauza kuti ndi dokotala woyenera yekha yemwe angasankhe zomwe angagwiritse ntchito pochiza matenda a shuga: Glucophage kapena Siofor, potengera momwe munthu payekha alili m'thupi la wodwalayo. Malinga ndi kuwunika kwa ogula, "Glucofage" ndiyabwino kuposa mzawo, chifukwa sichimakwiyitsa khoma lam'mimba kwambiri ndipo sawona kulumpha kwakanthawi mu glucose wa plasma panthawi yamankhwala.

Chithandizo cha matenda ashuga

Musanachiritse matenda a shuga, muyenera kudziwa chomwe chimayambitsa mawonekedwe ake. Masiku ano, pali mankhwala osiyanasiyana odwala matenda a shuga omwe amathandizira kupewa matenda, komanso kuthetsa zovuta zake.

Pali mitundu iwiri ya matenda ashuga, iliyonse yomwe imafunikira chithandizo chake.

Mtundu 2 wopanda-insulin-wodziimira pawokha umapezeka mwa 90% ya milandu. Kodi ndingathetse matenda ashuga osatha? Kodi matenda angachiritsidwe bwanji?

Kodi matenda ashuga angachiritsidwe?

Matenda a shuga amawoneka chifukwa kapamba samakwanitsa kupanga insulin kapena thupi silimamwa. Insulin ndi timadzi timene timayendetsa shuga m'magazi, motero hypoglycemia imayamba kukhala yochepa komanso ziwalo zambiri zowonongeka. Choyamba, mitsempha yamagazi, chapakati mantha dongosolo (CNS) akuvutika.

Zinthu zotsatirazi zimakhudza chitukuko cha matendawa:

kagayidwe kachakudya
cholowa
matenda opatsirana ndi ma virus
kuphwanya kapamba.

Mutazindikira zoyambitsa, muyenera kudziwa zomwe mungayembekezere.

Mosasamala mtundu, shuga ndi matenda osachiritsika omwe sangathe kuchiritsidwa.

Chifukwa chiyani amathandizidwa?

Kuchiza matenda ashuga ndikofunikira kuti muchepetse zovuta ndikuwongolera kuchuluka kwa shuga m'magazi. Popanda izi, munthu amatha kufa kuchokera pazovuta zake.

Njira zotsatirazi ziyenera kumwedwa kutengera mtundu wa matenda ashuga:

Mtundu wa matenda a shuga 1, jakisoni wa insulin amayenera kuperekedwa kwa moyo wonse.
Ndi matenda 2 a shuga, muyenera kutsatira zakudya ndipo nthawi zonse mumapeza ndalama kuti muchepetse shuga.

Ndi njira yovomerezeka yomwe madokotala amatipatsa yomwe imapereka chithandiziro chachikulu pa matenda ashuga.

Osagula mankhwala a shuga, omwe akuwonetsa kuti athetse matendawo munthawi yochepa. Ili ndi bodza. Matendawa amabweretsa kusokonezeka kwa machitidwe ndi ziwalo zambiri, ndizosatheka kubwezeretsa ntchito ya thupi lonse nthawi yomweyo.

Kumayambiriro kwa matenda ashuga a mtundu 2, kudya komanso kuchepetsa thupi pang'onopang'ono kumathandizira kuthetsa zizindikiro zonse za matendawa.

Kodi chithandizo chachikulu chikuwoneka bwanji?

Zolinga zakuchipatala:

Kupewa mavuto.
Matenda a shuga a magazi (osapitirira 5.5 mmol / g).
Kukwaniritsa glycated hemoglobin pansipa 5.5%.
Matenda a magazi mafuta m'thupi.
Kukwaniritsa kuthamanga kwa magazi kosaposa 130/90 mm RT. Art.

Ndikofunikira kuchiza matenda a shuga.

Ngati mukuyambitsa matendawa, ndiye kuti mukupanga zovuta za nthawi - matenda a mtima, mtima komanso mtima, kusawona bwino, kukumbukira komanso luntha komanso matenda ashuga.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Popeza matenda amtundu wa shuga 1 amadalira insulin, amangothandizidwa ndi jakisoni wa insulin. Matenda a 2 a shuga nthawi zambiri amayamba chifukwa cha kunenepa kwambiri komanso matenda a endocrine, pomwe amadalira osagwirizana ndi insulin.

Popewa kukula kwamavuto, muyenera kutsatira zakudya zamafuta ochepa ndipo onetsetsani kuti mumachita masewera olimbitsa thupi kapena masewera. Ndi izi, mutha kukhalabe oyenera, pewani zovuta ndi zotengera ndi miyendo.

yokazinga, mafuta komanso zokometsera
maswiti okanira ndi zakudya zokhuthala,
kupatula mowa
kuwerengetsa zopatsa mphamvu tsiku lililonse ndikuyesetsa kuti muchepetse,
idyani pang'ono mpaka katatu pa tsiku,
kuphatikiza nsomba ndi nyama zopendekera muzakudya.

Zakudya ziyenera kukhala ndi cholesterol yochepera.

Njira ina yothandizira matenda a shuga ndi maphunziro akuthupi. Kuchita masewera olimbitsa thupi kumathandiza kwambiri kuti maselo azikhala ndi insulin komanso kuti azikhala bwino.

Ngati matenda a shuga a mtundu wachiŵiri apita ndi zovuta, ndiye kuti wodwala amamulembera mankhwala ochepetsa shuga.

Mankhwala a insulin

Mankhwala a insulin amafunikira mtundu woyamba wa matenda ashuga, ndipo amafunikiranso ena matenda a shuga a mtundu wachiwiri.

Pali njira ziwiri zamakono: Lantus ndi Levemir. Ichi ndi insulin yayitali. Sichichita kwa maola 8, monga Protafan (pafupifupi insulin), koma kwa tsiku lathunthu.

Insulin yamtunduwu imalowetsedwa pamilandu yotsatirayi:

Sinthani shuga pamimba yopanda kanthu.
Pewani kukula kwa matenda a mtundu 1 ngati pali mtundu 2.

Tetezani kapamba ndikuletsa kuwonongeka kwa maselo a beta.
Pewani chitukuko cha ketoacidosis, chomwe chitha kupha.

Mankhwalawa ali ndi nkhawa yochepa pa kapamba kuposa jakisoni wa insulin yokhazikika. Samagwiritsidwa ntchito kuti abweretsenso shuga mwachangu. Amachita pang'onopang'ono, koma amapereka zotsatira zabwino, chifukwa shuga amakhalanso mu nthawi yayitali. Kuti muchepetse shuga mwachangu, muyenera kugwiritsa ntchito insulin yochepa kwambiri.

Kodi ndi bwino kusankha pakati pa kukonzekera insulini? Mankhwala onse awiriwa - Lantus ndi Levemir - ndi omwe ali ndi insulin.

Lantus ikhoza kusungidwa kwa mwezi umodzi, ndipo Levemir kwa miyezi 1.5, makamaka chifukwa ndiotsika mtengo ndipo imatha kuchepetsedwa. Zovuta za Levemir ndikuti amafunika kumenyedwa kawiri patsiku, m'malo mwa imodzi akamagwiritsa Lantus.

Lemberani mankhwala a shuga atatu

Mfundo za kakulidwe ka matenda ashuga amtundu wa 2 ndizoti kapamba amapanga insulin yokwanira, koma samatengedwa. Pankhaniyi, amalankhulanso za insulin, ndiye kuti, kukana kwa maselo kupita ku insulin.

Masiku ano, mankhwala amakono amapereka mankhwala awiri:

Metformin imapezeka mu mapiritsi a Siofor ndi Glucofage. Pioglitazone ndi mankhwala monga Actos, Pioglar, ndi Diaglitazone. Mapiritsiwa amathandizira kukulitsa chidwi cha insulin komanso shuga wochepa ngati palibe jakisoni wa insulin, zakudya, kapena masewera amathandizira kuchepetsa kuchuluka kwa shuga m'magazi.

Siofor amagwiritsidwa ntchito osati mankhwala, komanso kupewa matenda a shuga a 2. Glucophage imapangidwa ndi kampani yomwe idapanga Metformin ngati njira yochepetsera shuga.

Palinso Glucophage yayitali, yomwe ili ndi mphamvu yowonjezera. Imakhala ndi zovuta zochepa, koma imawononga ndalama zingapo.

Kukonzekera kwa Metamorphine kumaphatikizaponso:

Koma ndalama zomwe zili pamwambazi zimagwiritsidwa ntchito kwambiri. Ngati muthandizidwa moyenera, tsatirani zakudya ndikuyamba kukhala ndi moyo wogwira ntchito, ndiye kuti mutha kubwezeretsa shuga mwachangu ngakhale popanda jakisoni wa insulin.

Ngati, pochiza matendawa, mutenge mapiritsi okhala ndi sulfonylurea, ndiye kuti pakapita nthawi maselo a kapamba amwalira, munthu sadzatha kukhala ndi moyo popanda kubayidwa insulin. Zotsatira zake, mtundu 2 umalowa mtundu 1.

Matenda a shuga

Posachedwa, pakhala pali mankhwala omwe amagwiritsidwa ntchito pochiza komanso kupewa matenda monga matenda a shuga.

Matenda a shuga amathandiza kupewa zovuta. Chogulacho chimapezeka mu mawonekedwe a manyuchi ndipo ndi chowonjezera chakudya. Mu kapangidwe kake, imakhala ndi zinthu zofunikira pazomwe zimathandizira kuti kagayidwe kazachilengedwe kagayidwe kake ndi shuga m'magazi.

Syrup ndi mankhwala azitsamba omwe amachotsa poizoni ndi mchere wambiri m'thupi. Mankhwala amateteza kagayidwe, komwe ndiko kupewa kwambiri matenda ashuga. Matenda a shuga ndi othandizira mtundu uliwonse wa matenda ashuga, mwachidziwikire, molumikizana ndi chithandizo choyenera komanso zakudya. Zimathandizira kupewa kukula kwa matenda ashuga a m'mimba, retinopathy, nephropathy, komanso matenda a shuga.

Pochiza matenda a shuga, ndi njira zatsopano komanso mankhwala amakono omwe ayenera kugwiritsidwa ntchito. Amakhala ndi zoyipa zochepa komanso amapatsa bwino.

Kodi Glucophage ndi chiyani

Glucophage ndi mankhwala omwe amawongolera kagayidwe kachakudya. Zili pagulu la greatuanides, ali ndi kutchulidwa kwa hypoglycemic. Amagwiritsidwa ntchito pochiza matenda a shuga a mtundu wodziimira pawokha a insulin.

Mankhwala ochepetsa shuga amagwira ntchito m'njira zingapo:

Amachepetsa thupi
achenjeza ma pondo owonjezera,
imapondera kudya
kumakulitsa glycolysis,
ali ndi lipid-kutsitsa ndi fibrinolytic zotsatira,
zimakhazikitsa kuwonjezeka kwa shuga kwa magazi.

Mankhwalawa amagulitsidwa m'matangadza a pharmacy. Mtengo wapakati pamtengo wa 750 N60 (wa MSC) ndi ma ruble 388.

Kutulutsa mawonekedwe ndi kapangidwe kake

Glucophage - mapiritsi amtundu woyera, chowongolera kapena chozungulira. Mankhwalawa alibe mitundu ina ya kumwa. Mapiritsiwo ndi osanunkhira, komabe, akasweka, kukoma kwina kumatha kuwoneka.

Chidacho chimakutidwa ndi chipolopolo chapadera, chomwe chimalola kuti mankhwalawa amwe m'matumbo, pafupi kwambiri ndi kapamba.

Gawo lothandizira la Glucophage ndi Metformin, njira yothandiza kwambiri yodwala matenda ashuga a 2. Piritsi ili ndi ma 500 mpaka 1000 ma microgram a metformin hydrochloride. Zomwe zimagwira zimathandizidwa ndi povidone ndi magnesium stearate.

Mankhwalawa amadzaza matuza a zidutswa 20 (phukusi limodzi 3 matuza, ndiye mapiritsi 60). Mankhwalawa amaphatikizidwa ndi malangizo omwera ndi Glucofage. Kuwonjezeka kapena kuchepa kwa Mlingo kumadalira kuopsa kwa endocrine matenda.

Buku lamalangizo

Mlingo wa mankhwalawa zimatengera mawonekedwe a matendawa komanso kuopsa kwa matenda ashuga.Dokotala amakumbukira zinthu monga:

zaka odwala
mtundu wa matenda
zovuta zomwe zidayamba
Zizindikiro zake za matendawa.

Ndi njira yofatsa ya matenda ashuga, kapena ngati matenda adapezeka kumayambiriro, Glucofage imatengedwa mu mlingo wa 500 ndi 750. Lingaliro lovuta ndi 850. Posowa phindu pazakudya ndi zolimbitsa thupi, mlingo wolimbikitsidwa ndi 1000 mcg metformin.

Mankhwalawa amatengedwa 2 pa tsiku ndi zakudya. Mankhwalawa amayamba ndi mlingo wocheperako (500 mg) - piritsi la ½ kawiri pa tsiku. Phwando lomaliza limachitika madzulo, ola limodzi asanagone.

Pambuyo pa masiku 3-5, ngati kuli kotheka, muyezo umachulukitsidwa kufika pa 750 mg, ndi zina zambiri, mpaka mawonekedwe osakanikirana a mankhwalawo amasankhidwa, zomwe zimayambitsa vuto la hypoglycemic.

Mlingo wapamwamba ndi 2500 mg patsiku. Simungayambe kumwa Glucofage nthawi yomweyo ndi waukulu kukula, chifukwa zovuta zingapo komanso zovuta zimachitika.

Mankhwalawa amatsukidwa ndi madzi ambiri kuti amalimbikitsa kusefukira kwamkodzo komanso kutulutsa zinthu zomwe zimayipa (acetone, ketone). Njira ya mankhwalawa imatengera kuchuluka kwa magazi, makamaka glucose ndi glycosylated hemoglobin. Zotsatira zabwino, kudumpha mapiritsi sikuloledwa.

Malangizo apadera

Mankhwala ophatikizika ndi jakisoni wa insulin amaloledwa. Pankhaniyi, glucophage amalimbikitsa kuchepa thupi komanso kusabwezera pang'ono kwa zizindikiro za hyperglycemia. Mankhwalawa amatengedwa ngati ali ndi matenda a shuga omwe ali ndi insulin kukana glucose.

Kukonzekera kwa mankhwala sikutanthauza analogue ya insulini, chifukwa chake, pakakhala kufunika kwa jakisoni wa insulin, kufunika koyambitsa pakamwa mankhwala kumatha. Kugwirizana kungapangitse kugwa kwambiri m'magazi a shuga kapena kuwonjezera zotsatira zoyipa.

Pankhani yogwiritsa ntchito mankhwalawa kuchepetsa thupi, ndikofunikira kuwunika mlingo womwe umagwiritsidwa ntchito tsiku lililonse (osaposa 3000 patsiku). Kwa ana, Glucofage 500 imayikidwa limodzi ndi insulin komanso muyezo wa tsiku ndi tsiku wa magazi glycemia.

Zotsatira zoyipa

Metformin ndi chinthu chogwira ntchito pa mankhwalawa, kudya komwe kumatha kutsatiridwa ndikukula kwa zisonyezo zoipa kuchokera kugaya dongosolo ndi dongosolo la biliary.

Kupezeka kwa zoyipa kumalumikizidwa ndi chiwopsezo cha thupi, komanso chifukwa cha kuyankha kwa chitetezo cha mthupi. Nthawi zambiri chifukwa chimagwiritsidwa ntchito molakwika mankhwalawa.

Kukula kwa zizindikiro zotsatirazi sikuphatikizidwa:

kutsegula m'mimba
nseru
kuchuluka kwa mpweya,
chisangalalo
colic
kusowa kwa chakudya
kuchuluka kwa mitundu ya bile
chiwopsezo cha hepatitis chosachokera ku ma virus.

Hypovitaminosis imayamba munthawi ya mankhwala omwe amachepetsa shuga: pali kuchepa kwa mavitamini a B, makamaka B12 ndi B6. Pambuyo pake, kuperewera kwa mavitamini kumayambitsa kukula kwa magazi m'thupi ndi zotupa zapakhungu pakhungu.

Poyerekeza ndi chithandizo cha mankhwala, mankhwala owonjezera tsiku lililonse saloledwa. Pankhaniyi, zizindikiro za bongo zimachitika:

kwambiri hypoglycemia,
lactic acidosis,
chikomokere.

Wodwala amafunikira chithandizo chamankhwala mwadzidzidzi komanso kuchipatala mwachangu.

Kuphatikiza ndi mowa

Kumwa mowa wamtundu uliwonse wa shuga sikuvomerezeka kwenikweni. Ethanol (gawo la mowa) limasokoneza vuto la chiwindi, kusokonekera kwa mitsempha yamagazi.

Mphamvu ya metformin imachepetsedwa kwambiri ndipo zizindikiro za bongo zimayamba: nseru, kusanza, hyperthermia, chizungulire.

Mwina kutsika kwa shuga m'magazi ofunika kwambiri, komwe kumakhala chifukwa cha kupsa mtima kwa hypoglycemic coma.

Kuphatikiza ndi mankhwala ena

Monga gawo la chithandizo chokwanira, ndikofunikira kuganizira kuphatikiza kwa Glucophage ndi mankhwala ena:

Kuphatikizika ndi Danazol kumabweretsa zotsatira zotsutsana - kuchuluka kwa shuga kumawonjezeka.
Insulin imawonjezera mphamvu ya hypoglycemic.
Mankhwala a antibacterial amalepheretsa mayamwidwe a metformin.
Diuretics imawonjezera chiopsezo cha hyperglycemia, koma pamaso pa nephrological pathologies.

Kuphatikizidwa kwa metformin ndi ma multivitamin complexes (opanda shuga) ndi kusinkhira kotengera mankhwala azitsamba kumaloledwa.

Pali mankhwala ambiri okhala ndi zotsatira zofananira. Zomwe zimayikidwa motere: Glucofage Long ndi Metformin. Mankhwala ali ndi mawonekedwe ofanana komanso mankhwala. Glucophage Long imadziwika ndi zochita zazitali.

Hypoglycemic mankhwala ochizira matenda osokoneza bongo a mtundu wodziimira payekha omwe ali ndi vuto lofananawo akuphatikizapo:

Metformin 850 - mapiritsi (opangidwa ku Germany),
Diaformin - mapiritsi ndi makapisozi,
Formetin - mapiritsi
Siofor.

Mtengo wa analogues umatengera muyeso komanso kuchuluka kwa mapiritsi omwe ali phukusi. Zomwe zimapezeka kwambiri kwa makasitomala ndi Glucofage. Mtengo wake umasiyanasiyana kuchoka pa ma ruble 240 mpaka 390 pama mapiritsi 60 (kukwera kwakukulu kwa zinthu zomwe zimagwira, kukwera mtengo kwake).

Mankhwalawa ali ndi ndemanga zambiri zowonongera.

Irina T: "Matendawa matenda a shuga a 2 adayikidwa posachedwa, kuphatikiza pakudya chamafuta ochepa komanso kuchita masewera olimbitsa thupi, adotolo adapereka" Glucofage 750 ". Ndikuwona zosintha zabwino zokha. Palibe ma surges mu shuga, ndikumva bwino. Makamaka, kulemera kwachepa. ”

Elena S: "Ndine wodwala matenda a shuga. Ndinayesa njira zambiri zolimbana ndi matendawa: anthu, azikhalidwe, supernovae. Panalibe zotsatirapo, matenda a shuga amapita patsogolo. Pankafunika majakisoni a insulin. Kuphatikiza ndi insulin, ndinayikidwa metformin (Glucophage). Thanzi langa linasintha nthawi yomweyo. Tsopano pakufunika insulin, koma sindinakane mankhwalawo. ”

Glucophage ndi amodzi mwa mankhwala omwe amadziwika bwino pochiza matenda a endocrine. Zimaphatikiza mtengo ndi mtundu. Endocrinologists amalimbikitsa kumwa mankhwalawa malinga ndi dongosolo lomwe likhazikitsidwa popanda zosiyidwa. Ndipo pofunafuna thupi lochepera, osapitilira muyeso wa tsiku ndi tsiku.

Glucophage Kutalika kwa Ntchito

Mankhwalawa amatengedwa pamene msinkhu wa shuga ukufunika kutsitsidwa. Mu thupi lathanzi, izi zimachitika mwachilengedwe. Kulephera kumachitika pamene timadzi tating'onoting'ono tomwe timayambitsa matenda a glucose sadziwika ndi minofu. Zisonyezero zogwiritsa ntchito glucophage yayitali ndi motere:

kunenepa kwambiri
shuga kwa akulu,
ubwana ndi matenda a shuga achinyamata
chitetezo chokwanira mthupi la insulin.

Contraindication yogwiritsira ntchito ndi mimba chifukwa choopseza kubadwa kwa maliseche mwa mwana, ngakhale palibe chidziwitso chokwanira chonena izi motsimikiza. Mimba ikachitika munthawi ya mankhwalawa, mankhwalawo amayenera kuthetsedwa ndipo njira zamankhwala zimasinthidwa. Palinso deta yokwanira pa zomwe zimachitika pa ana poyamwitsa. Komabe, zimadziwika kuti gawo lalikulu limadutsa mkaka wa m'mawere, kotero kugwiritsa ntchito mankhwalawa panthawi yotsekemera sikulimbikitsidwanso. Kapangidwe kake sikogwirizana ndi mowa.

Glucophage Long Slimming

Malo ena ogwiritsira ntchito mankhwalawa ndikusintha thupi. Glucophage yaitali pang'onopang'ono amachepetsa chifukwa amachepetsa kuchuluka kwa shuga, amathandizira kuyamwa kwake, ndiye kuti amawongolera mamolekyulu a shuga m'matumbo. Momwe, mothandizidwa ndi kuphatikiza thupi, shuga amamwetsedwa ndipo ma acid acid amakhathamiritsidwa, kuyamwa kwa michere kumachepetsa. Zonsezi zimakhudza chilakolako cha kudya, chomwe chimachepetsedwa kwambiri, zomwe zimapangitsa kuti muchepetse kunenepa.

Ndemanga za Glucofage Long

Irina, wazaka 26. Ndinaganiza z kumwa Glucofage Long 500 kuti ndichepe thupi. Pamaso pake, panali zoyeserera zambiri: mitundu iwiri yamagetsi osiyanasiyana, komanso masewera olimbitsa thupi. Zotsatira zake zinali zosakhutiritsa, kunenepa kwambiri kunangobwerera chakudya chotsatira chikangomira. Zotsatira zake chifukwa mankhwalawo adadabwitsa: Ndataya 3 kg pamwezi. Ndipitilirabe kumwa, ndipo zimawononga ndalama zambiri.

Marina, wazaka 31 ndili ndi matenda ashuga. Shuga kuyambira pa 12 mpaka 17. Nditafufuza kwakanthawi, ndinamva ndemanga zabwino za glucophage. Adakumana ndi dokotala. Adalemba piritsi limodzi kawiri pa tsiku. Ndinadabwa kuti kunalibe zotsatirapo ngakhale sabata yoyamba kuvomerezedwa, ngakhale muzochitika zina panali. Zotsatira zake, shuga adafika 8-9. Ndimamva bwino.

Vasily, wazaka 40 ndikumwa mankhwala omwe ndimupatsa kuti muchepetse shuga. Piritsi limodzi linakhazikitsidwa pa 750 mg kamodzi patsiku. Asanamwe mankhwalawa, shuga anali 7.9. Pambuyo pa milungu iwiri, adatsikira mpaka 6.6 pamimba yopanda kanthu. Koma kuwunika kwanga sikungabwino. Poyamba, m'mimba mwanga mudadwala, m'mimba mudayamba. Patatha sabata limodzi, kuyabwa kunayamba. Ngakhale izi zikuwonetsedwa ndi malangizo, adotolo ayenera kupita.

Yana, wazaka 22 Ndinagula Glucophage m'sitolo yogulitsa pa intaneti kuti muchepetse kunenepa. Mankhwalawa anali othandiza: m'miyezi itatu idataya 9 kg. Koma panthawiyi ndinayesetsa kudya mafuta ochepa, zakudya zamasamba zambiri, zomwe mwina zimapatsa mphamvu. Nditayima, ndidayamba kuzindikira kuti ma kilogalamu akubwerera mwachangu. Ndikuganiza kuti ndiyambanso kumwa kapena ayi.