Momwe mungagwiritsire ntchito Bagomet kuchokera ku matenda a shuga

INN - metformin + glibenclamide. Mankhwalawa amapangidwa ndi kampani yopanga mankhwala ku Argentina Kimika Montpelfer. Ofesi yoimira aku Russia ya Laboratoryios Bago SA ili ku Moscow.

M'mafakitala ambiri mdziko muno, Bagomet 850 mg (mu phukusi la zidutswa 60) zitha kugulidwa mumitundu yokwana ma 170-240 ma ruble. Mitundu ina pakadali pano siyikupezeka.

Zotsatira za pharmacological

Bagomet ndi othandizira a hypoglycemic a gulu la Biguanide. The achire zotsatira zachokera ku mphamvu ya yogwira thunthu kuponderera gluconeogenesis. Kuphatikiza apo, amakhathamiritsa mafuta ndipo amapanga mafuta ache. Sichikhudzanso kuchuluka kwa insulin m'magazi, komabe, imakhudza insulin pharmacodynamics. Amasintha kukhathamiritsa kwa glucose ndimaselo a minofu. Mankhwala amathandizira kaphatikizidwe ka glycogen kuchokera kwa iwo, ali ndi phindu pa kufalikira kwa kwa chiwindi.

Bagomet Plus ndi kuphatikiza magawo awiri a hypoglycemic omwe ali m'magulu osiyanasiyana a mankhwala - metformin ndi glibenclamide.
Loyamba ndi biguanide, lomwe limachepetsa glycemic indices chifukwa cha kuchuluka kwa minofu kukana insulin, komanso chifukwa cha kuchuluka kwa shuga.
Glibenclamide ndi mtundu wachiwiri wa sulfonylurea. Imakulitsa katulutsidwe wa mahomoni a insulin ndi kapamba, zomwe zimapangitsa kuti shuga achepe.

Pharmacokinetics

Kamodzi m'magazi, mankhwalawa amatengedwa ndi gawo logaya chakudya. Kuchuluka kwa plasma kumawonekera maola angapo pambuyo pokhazikitsa. Zomwe zimagwiritsidwa ntchito sizikugwirizana ndi mapuloteni a plasma. Amadziunjikira impso, chiwindi ndi mavu gasi. Pambuyo maola 10, amathandizidwa mkodzo, motero, ndi kuwonongeka kwa impso, kuwonjezereka kwa ndende yogwira ntchito ndikotheka.

Amawerengera odwala matenda a shuga omwe amadalira achikulire:

• Popeza mphamvu ya zakudya (monga mzere wachiwiri),
• kuti musinthe Metformin ndi Glibenclamide mwa odwala omwe ali ndi milingo yoyenera ya glycemic.

Contraindication

Bagomet siyenera kutengedwa ndi:

• chidwi chapadera chokhudzana ndi ndalama za gulu ili,
• mtundu wodwala wa shuga
• ketoacidosis, kholo, chikomokere,
• achina,
• aimpso
• mtima, chiwindi, kupuma, limodzi ndi minofu hypoxia, kugunda kwamtima,
• mimba ndi mkaka wa m`mawere
• matenda opatsirana
• opaleshoni yayikulu
• kuledzera kwadzaoneni, uchidakwa wopitirira,
• lactic acidosis
• zakudya zapadera za hypocaloric.

Ndikosayenera kutenga Bagomet kwa anthu azaka zopitilira 60.

Ndi radioisotope, kuyezetsa kwa X-ray pogwiritsa ntchito njira yosiyanitsa (iodine), mankhwalawa ayenera kuthetsedwa masiku 2 asanafike ndendende ndikuyambiranso kukonzekera pambuyo pa masiku 4.

Chenjezo liyenera kugwiritsidwa ntchito ngati Bagomet:

• malungo
• matenda a chithokomiro
• zochitika zolimbitsa thupi, chifukwa chiopsezo cha lactic acidosis chikuwonjezeka,
• kuchepa kwa ntchito ya adrenal cortex ndi anterior pituitary lobe.

Pakakhala pakati, mankhwalawa amasiya ndipo insulin imayikidwa.

Bagomet imapangidwira kukonzekera pakamwa ndi chakudya. Mlingo umatsimikiziridwa ndi adotolo kutengera ndi kuchuluka kwa shuga. Nthawi zambiri, piritsi limodzi limayikidwa patsiku. Ngati ndi kotheka, kamodzi pa masiku 10, kusintha kumachitika pambuyo poyesedwa magazi.

Ngati mankhwalawa adapangidwa ngati njira ina ya Metformin ndi Glibenclamide, mapiritsi a 1-2 amatha kumwa kawiri patsiku (kutengera mlingo wapitawo). Mapiritsi 4 ndi okwera, owonjezera omwe ndi osavomerezeka.

Zotsatira zoyipa

Odwala ena akuti:

• kugaya chakudya
• kusanza
• kupweteka pamimba,
• kulawa kwazitsulo mkamwa
• kuchepa magazi
• kusowa kwa chakudya
• hypoglycemia.

Pogwiritsa ntchito nthawi yayitali ya Bagomet, hypervitaminosis (B₁₂).

Bongo

Ngati kuchuluka kwa mankhwala omwe adalandira adotolo adapitilira, kukhazikika kwa zinthu zosiyanasiyana zam'mimba ndizotheka, kuphatikiza lactic acidosis ndi zotsatira zakupha. Cholinga cha izi ndi kudziunjikira kwazinthu zomwe zimagwira impso, makamaka ngati wodwalayo ali ndi vuto la ziwalo zophatikizika. Zizindikiro zoyambirira za lactic acidosis ndi kuchepa kwa kutentha kwa thupi, njira za dyspeptic, kupweteka kwam'mimba komanso minofu. Kenako chizungulire, kupumira mwachangu, chikumbumtima chosazindikira, chikomokere chitha kuoneka.

Ngati mankhwala osokoneza bongo, ndikofunikira kusiya kumwa mankhwalawo, wodwala amayenera kupita naye kuchipatala kuti adziwe momwe amadzazidwa ndi lactate ndikuwonetsa.

Kukhazikitsidwa munthawi yomweyo kwa Bagomet ndi mankhwala ena a sfanilurea kungayambitse kukula kwa hypoglycemia.

Kuyanjana kwa mankhwala osokoneza bongo

• insulin
• NSAIDs
• sulfonamides,
• acarbose,
• Mao ndi ACE zoletsa,
• adrenergic blockers,
• oxytetracycline.

Kuchepetsa vuto la hypoglycemic:

• GOK,
• glucocorticosteroids,
• mahomoni a chithokomiro
• nicotinic acid ndi zotumphukira zake,
• okodzetsa
• glucagon,
• epinephrine
• zotumphukira za phenothiazine.

Cimetidine amakhudzanso kuchoka kwa mankhwala m'thupi.

Fananizani ndi fanizo

1. Metformin. Ndi ya gulu lomwelo monga Bagomet. The yogwira ndi dimethylbiguanide. Limagwirira a zochita za mankhwalawa zimatengera chopinga cha shuga ndi chiwindi, zomwe zimapangitsa kuchepa kwa shuga m'magazi. Amalandira mankhwala a matenda a shuga 1 ndi mtundu 2. Mtengo wamba wa Metformin ndi ma ruble 110, omwe ndi ochepa kuposa mtengo wa Bagomet. Kupanda kutero, kukonzekera kuli kofanana.
2. Glucophage. Amachepetsa mawonetseredwe a hyperglycemia popanda kuyambitsa chitukuko cha hypoglycemia. Amalembera odwala omwe ali ndi matenda a shuga 2. Zimathandizira kuchepetsa kunenepa. Mtengo wa Glucofage 500 mg umasiyana kuchokera ku 170 mpaka 200 rubles.
3. Siofor. Mankhwala amapatsidwa mankhwala ochizira matenda a shuga a 2 komanso kupewa. Chithandizo chogwira chimakhudza kuchuluka kwa kukana insulini, ndipo ichi ndiye chifukwa chachikulu chosinthira kuchuluka kwa glucose m'magazi ndikuwoneka molemera kwambiri. Kuphatikiza apo, Siofor imathandizira cholesterol, imachepetsa chilimbikitso, imakhudza mahomoni a chithokomiro, ndipo imakhala ndi phindu pa mtima. Mtengo wa Siofor 500 mg ndi 300-350 rubles. mapiritsi 60.

Palinso zitsanzo zina za Bagomet:

• Metfogamma,
• Sofamet
• Glyminfor,
• Nova Met
• Metospanin
• Methadiene
• Langerine ndi ena.

Ngakhale kuti Bagomet idapangidwira chithandizo cha matenda ashuga, posachedwapa azimayi ambiri omwe samadwala matendawa ayamba kugwiritsa ntchito mankhwalawa kuti achepetse kulemera popanda chisonyezo, pogwiritsa ntchito zotsatira zoyipa monga kuwotcha mafuta. Kudya kosalamulirika kotereku kumawopseza kukula kwamavuto osiyanasiyana komanso kumakhudza mkhalidwe waumoyo. Kuchepetsa thupi, pali zida zambiri zopangidwira kuthana ndi vutoli, chifukwa chake simuyenera kugwiritsa ntchito mankhwala opatsirana popanda matenda.

Zofunika! Bagomet silingatengedwe motsutsana ndi maziko a kuchuluka kwa mphamvu zolimbitsa thupi, kutsatira zakudya zama calori zochepa. Nthawi yomweyo, kuchuluka kwa zopatsa mphamvu zomwe zimadyedwa sikuyenera kukhala zosakwana 1000. Kulephera kutsatira malamulowa kumakhala ndi zotsatira zoyipa zaumoyo, kuphatikizapo imfa.

Sarycheva Elena, wazaka 43, Kemerovo. "Ndakhala ndikutenga Bagomet kwa nthawi yayitali. Sindinamvepo mavuto ena pandekha. Kuphatikizika kwa glucose m'magazi kumakhalabe pamlingo wovomerezeka. Ndili wokondwa ndimankhwala onse, mtengo wake ndi wokwera mtengo. ”

Rogova Anastasia, wazaka 35, Omsk. “Mankhwala abwino. Kwa ine, shuga pamimba yopanda kanthu anali 5.3. Panalinso zovuta za kunenepa. Makalasi ochita masewera olimbitsa thupi komanso kudya sanathandizireni bwino, chifukwa sindikanatha kupatula mapiritsi. Shuga idatsika pang'onopang'ono, koma inde. Poyamba ndidakhumudwa ndi izi. Koma kenako adazindikira kuti kuchepa msanga kwa shuga ndizowopsa. Chifukwa chake, ndinali woleza mtima ndikudikira. Pambuyo pa miyezi 4, kuchuluka kwa glucose kunali 4.4. Chachikulu ndikuti mankhwalawo atatha, zizindikiritso zidakhala zomwezo. Mfundo ina yabwino ndikuti kupitirira miyezi 4 kulemera kwake kunachepa ndi makilogalamu 19. ”

Larina Galina, wazaka 28, Obninsk. "Mayi anga akhala akutenga nthawi yayitali ku Bagomet. Poyamba adadandaula kuti mankhwalawa sanali othandiza, koma atatha kusintha pang'ono kwa mankhwalawo momwe mankhwalawo "amapangira" momwe amayenera. Kwa iwo omwe akunena kuti Bagomet samachiritsa, ndikufuna kukumbutsa: sayenera kuchira. Chida ichi ndikuchisunga kuti shuga akhalebe pamalo oyenera. "

Kravchuk Maria, wazaka 30, Pavlovsk. "Ndili ndi matenda a shuga a mtundu wachiwiri, Bagomet wokhazikika. Anatenga masiku awiri, atatha kusanza kwambiri, kutsegula m'mimba kunayamba, kufooka ndi chizungulire. Adotolo adachotsa mankhwalawo ndi Glucofage, koma nkhaniyi idabwerezedwa. Zikuoneka kuti mankhwalawa siabwino kwenikweni. ”

Losev Vitaliy, wazaka 39, St. Petersburg. "Poyamba kumwa botomet, mavuto adawonedwa, koma adafotokozeredwa, motero mankhwalawo adapitilirabe kumwa. M'tsogolo, adayamba kulekerera bwino. Mlingo wa glucose sunachepe mwachangu, zimatenga nthawi ndikusintha kwa Mlingo. Kunenepa, ndinataya 25 kg m'miyezi isanu ndi umodzi. ”

Kutulutsa mawonekedwe ndi kapangidwe kake

Mankhwala okhala ndi metformin hydrochloride ngati yogwira ntchito amapangidwa mwa mitundu:

• Mapiritsi okhala ndi mafilimu, 500 mg aliyense (ma PC 10. M'matumba),
• Mapiritsi otetezedwa osasunthika, ophatikizidwa ndi filimu, 850 mg ndi 1000 mg (ma PC 10. M'matumba).

Mankhwala

Bagomet imatsitsa kuchuluka kwa shuga m'magazi omwe ali ndi matenda osokoneza bongo mwa kupondereza gluconeogeneis m'chiwindi, kuchepetsa kuyamwa kwa glucose kuchokera m'matumbo am'mimba ndikuwonjezera kuthamanga kwake mu minofu. Gawo lomwe limagwiritsa ntchito mankhwalawa - metformin - silimbikitsa kupanga insulini ndipo silichititsa hypoglycemia komanso hypoglycemic reaction.

Bagomet imathandizira kuchepetsa kulemera kwa odwala omwe ali ndi matenda a shuga, okhala ndi kunenepa kwambiri, pochepetsa hyperinsulinemia. Mphamvu yake yogwira imadziwikanso ndi mphamvu ya lipolytic. Mankhwala amachepetsa kuchuluka kwa cholesterol yonse m'madzi am'magazi, triglycerides ndi otsika osalimba lipoprotein.

Zizindikiro zogwiritsidwa ntchito

Bagomet ndi mankhwala mankhwala a matenda a shuga 2, makamaka kuphatikiza kunenepa kwambiri, kuphatikizapo milandu yomwe mankhwalawa sulfonylurea amagwira ntchito.

Mankhwala angagwiritsidwe ntchito monotherapy kapena munthawi yomweyo ndi insulin kapena mankhwala ena amkamwa a hypoglycemic.

Malangizo ogwiritsira ntchito Bagomet: njira ndi mlingo

Mlingo wa Bagomet umatsimikiziridwa ndi kuchuluka kwa shuga m'magazi ndipo umayikidwa pawokha ndi dokotala.

Kumayambiriro kwa mankhwalawa, mapiritsi a 2-3 (500 mg) nthawi zambiri amaperekedwa tsiku lililonse, omwe amalimbikitsidwa kuti atengedwe mu Mlingo wa 2-3 kuti muchepetse kuwonongeka kwa mawonetsedwe am'mimba. Pokhapokha ngati pali zovuta, ngati pakufunika kutero, muthowu ungachuluke pang'onopang'ono. Zolemba malire - mapiritsi 6 patsiku, ogawidwa 3 waukulu.

Achinyamata ndi ana opitirira zaka 10 nthawi zambiri amapatsidwa piritsi limodzi la Bagomet (500 mg) patsiku. Kutengera zomwe zimachitika ndi mankhwalawa patatha masiku 10-14, mlingo umasintha. Pazipita tsiku lililonse mapiritsi 4 patsiku, agawidwa 3 waukulu.

Monga gawo la mankhwala ophatikiza ndi insulin, pafupifupi tsiku lililonse ndi 1500 mg. Mlingo wa insulin umasankhidwa ndi dokotala potengera zomwe zimapangitsa shuga m'magazi.

Popereka mankhwala ngati mapiritsi okhala ndi nthawi yayitali, mlingo woyambirira ndi 850 mg kapena 1000 mg. Mapiritsi ayenera kumwedwa ndi chakudya, kumwa zamadzi zambiri. Ndi kulekerera bwino kwa Bagomet, kuwonjezeka kwapang'onopang'ono kwa Mlingo ndikotheka. Monga lamulo, mlingo wokonza ndi 1700 mg, pazomwe ndi 2550 mg patsiku.

Mukamwa mankhwala ngati gawo limodzi la mankhwala, tsiku lililonse mankhwalawa amapezeka piritsi limodzi la 850 mg kapena 1000 mg.

Malangizo apadera

Mukamamwa Bagomet, kuyang'anira kuchuluka kwa shuga wamagazi mukatha kudya ndi pamimba yopanda kanthu ndikofunikira.

Zizindikiro monga kusanza, kupweteka kwa minofu, kufooka ponseponse, komanso kuchepa thupi kwambiri kungasonyeze kuyamba kwa lactic acidosis. Ngati zizindikirozi zikuwoneka, komanso kukula kwa chizindikiro cha matenda opatsirana a matenda amtundu kapena matenda a bronchopulmonary, muyenera kusiya kumwa mankhwalawo ndi kupita kwa dokotala.

Mankhwalawa amathetsedwa masiku awiri asanafike pakuyesa kwa X-ray, opaleshoni ya opaleshoni yovomerezeka, kapena yam'mimba.

Pogwiritsa ntchito Bagomet, simungathe kumwa mowa, chifukwa chowonjezera chiopsezo cha lactic acidosis.

Palibe umboni uliwonse wosonyeza kuti mankhwalawo akuyendetsa bwino galimoto. Komabe, munthawi yophatikiza mankhwala munthawi yomweyo ndimankhwala ena a hypoglycemic, kusamala kumalangizidwa pochita ntchito yofunika chidwi kwambiri.

Gwiritsani ntchito mu ukalamba

Malinga ndi malangizo, a Bagomet sakuvomerezeka kwa odwala azaka zopitilira 60 omwe ntchito yawo imayenderana ndi masewera olimbitsa thupi, popeza kumwa mankhwalawa kumawonjezera chiopsezo cha lactic acidosis mwa iwo.

Odwala okalamba, pazipita tsiku lililonse sayenera kupitirira 1000 mg.

Ndemanga za Bagomet

Ndemanga za Bagomet pakati pa madokotala ndizabwino. Malingaliro awo, kumwa mankhwala otsika mtengo awa kumapereka khola la plasma yamagazi kwa maola 12, komwe kumathandizira kuchepetsa pafupipafupi kumwa mankhwalawa ndikuwongolera kuwunika kwa kagayidwe kazinthu. Izi zimathandiza kukonza kuyamwa kwa metformin pamimba ndikuchepetsa chiopsezo cha zotsatira zoyipa kuchokera m'mimba.

Mtengo wa Bagomet mumafesi

M'mafakitala ambiri, mtengo wa Bagomet 850 mg ndi ma ruble a 180-230 (60 pa paketi iliyonse). Mitundu ina ya mankhwalawa palibe.

Maphunziro: Yoyamba University State Medical University yotchedwa I.M. Sechenov, wapadera "General Medicine".

Zambiri zokhudzana ndi mankhwalawa ndizofanana, zimaperekedwa pazidziwitso ndipo sizilowa m'malo mwa malangizo ovomerezeka. Kudzipatsa nokha mankhwala kuopsa!

Pali ma syndromes osangalatsa kwambiri azachipatala, monga kuphatikiza zinthu. M'mimba mwa wodwala m'modzi wodwala mania uyu, zinthu 2500 zakunja zidapezeka.

Kuphatikiza pa anthu, cholengedwa chimodzi chokha padziko lapansi - agalu, omwe ali ndi vuto la prostatitis. Awa ndi abwenzi athu okhulupilika kwambiri.

Okonda akapsopsona, aliyense wa iwo amataya 6.4 kcal pamphindi, koma nthawi yomweyo amasinthana mitundu pafupifupi 300 ya mabakiteriya osiyanasiyana.

Impso zathu zimatha kuyeretsa malita atatu a magazi mphindi imodzi.

Munthu amene amamwa mankhwala opondeleza nthawi zambiri amakhalanso ndi nkhawa. Ngati munthu athana ndi kukhumudwa paokha, ali ndi mwayi wonse wakuyiwalako zamtunduwu mpaka kalekale.

Chiwindi chanu chikasiya kugwira ntchito, imfa imatha pakatha tsiku limodzi.

Kulemera kwaubongo wamunthu kuli pafupifupi 2% ya kulemera konse kwathupi, koma kumadya pafupifupi 20% ya mpweya womwe umalowa m'magazi. Izi zimapangitsa kuti ubongo wamunthu ukhale wovuta kwambiri kuwonongeka chifukwa cha kusowa kwa mpweya.

Magawo anayi a chokoleti chakuda ali ndi zopatsa mphamvu pafupifupi mazana awiri. Chifukwa chake ngati simukufuna kukhala bwino, ndibwino kuti musadye zopitilira awiri patsiku.

Mankhwala odziwika bwino "Viagra" adapangidwa poyambirira pochizira matenda oopsa.

Malinga ndi kafukufuku, azimayi omwe amamwa magalasi angapo a mowa kapena vinyo pamlungu amakhala pachiwopsezo chotenga khansa ya m'mawere.

Chiwindi ndi chiwalo cholemera kwambiri m'thupi lathu. Kulemera kwake pafupifupi 1.5 kg.

Kuti tinene ngakhale mawu afupi komanso osavuta, timagwiritsa ntchito minofu 72.

Mankhwala ambiri poyamba anali ogulitsidwa ngati mankhwala osokoneza bongo. Mwachitsanzo, a heroin adagulitsidwa ngati mankhwala a chifuwa. Ndipo cocaine adalimbikitsidwa ndi madokotala ngati opaleshoni komanso ngati njira yowonjezerera kupirira.

Asayansi ochokera ku Oxford University adachita kafukufuku wambiri, pomwe adazindikira kuti zamasamba zimatha kuvulaza ubongo wa munthu, chifukwa zimapangitsa kuti kuchuluka kwake kuzikhala kochepa. Chifukwa chake, asayansi amalimbikitsa kuti asachotsere konse nsomba ndi nyama muzakudya zawo.

Asayansi aku America adayesera mbewa ndipo adati madzi amadzi amalepheretsa kukula kwa atherosulinosis yamitsempha yamagazi. Gulu limodzi la mbewa limamwa madzi am'madzi, ndipo lachiwiri ndi madzi a mavwende. Zotsatira zake, zombo za gulu lachiwiri zinali zopanda ma cholesterol.

Aliyense angathe kukumana ndi vuto lomwe limataya dzino. Izi zitha kukhala njira yomwe madokotala a mano amagwiritsa, kapena zotsatira za kuvulala. M'modzi ndi.

Kutulutsa mafomu ndi kapangidwe kake

Mankhwala ndi piritsi wokhala ndi metformin hydrochloride (yogwira mankhwala) pakapangidwe. Pali mitundu yosiyanasiyana - 1000, 850 ndi 500 mg. Kuphatikiza pazomwe zimagwira, zina zowonjezera zomwe zimakhala ndi mankhwala ochiritsira zimaphatikizidwa ndi mankhwalawa. Mapiritsiwo ndi ozunguliridwa, okutidwa, ndipo mawonekedwe a 850 mg ndi mankhwala.

Bagomet ndi piritsi lokhala ndi metformin hydrochloride pakapangidwe.

Kodi akutenga bagomet?

Mlingowo umatsimikiziridwa ndi adokotala ndipo zimatengera umboni, kuchuluka kwa shuga m'magazi a wodwala. Kulandila kumatengedwa mkati pamimba yopanda kanthu. Kugwiritsa ntchito mankhwalawo ndi chakudya kumachepetsa mphamvu yake.

Mukamagwiritsa ntchito mapiritsi okhala ndi 500 mg, muyeso woyamba uyenera kukhala 1000-1500 mg. Pofuna kupewa kuyipa, tikulimbikitsidwa kuti mugawane Mlingo mu 2-3 Mlingo. Pambuyo pa chithandizo cha milungu iwiri, amaloledwa kuwonjezera pang'onopang'ono ngati kuwerenga kwa shuga m'magazi kwayamba kuyenda bwino. Mlingo watsiku ndi tsiku sayenera kupitirira 3000 mg.

Achinyamata amatha kumwa pafupifupi 500 mg madzulo ndi chakudya. Pambuyo masiku 10-15, mlingo uyenera kusinthidwa. Oposa 2000 mg ya mankhwalawa sayenera kumwa tsiku lililonse.

Ndi munthawi yomweyo makonzedwe ndi insulin, muyenera kutenga piritsi 1 2-3 r. / Tsiku.

Mukamagwiritsa ntchito mapiritsi a 850 mg, wamkulu ayenera kumwa piritsi limodzi. Mlingo patsiku suyenera kupitirira 2500 mg. Mukamatenga mapiritsi a 1000 mg, 1 pc imagwiritsidwa ntchito. patsiku. Mlingo wololedwa wambiri ndi 2000 mg. Ngati mankhwala a insulin amachitika nthawi yomweyo, ndiye kuti piritsi limodzi ndi 1 piritsi.

Matumbo

Kusanza, kusanza, kusowa kudya kumatha.

Zizindikiro zotere zimatha kuvutitsa wodwala kumayambiriro kwa maphunzirowa, koma osafuna kuti mankhwalawo achotse.

Ndi kumwa kolakwika, zotsatira zoyipa zimatha kupezeka pafupi mbali zonse za thupi.

Kuchita ndi mankhwala ena

Ndikotheka kuchepetsa kuchuluka kwa zotsatira zamagulu yogwira ntchito pakanthawi kogwiritsidwa ntchito ndi:

• shuga mankhwala
• mankhwala omwe ali ndi mahomoni
• ma epinephrins,
• glucagon,
• amphanomachul
• phenytoin
• mankhwala omwe ali ndi phenothiazine,
• thiazide okodzeya,
• zotumphukira zosiyanasiyana za nikotini acid,
• Bcc ndi isoniazid.

Zotsatira za hypoglycemic zotsatira za metformin zitha kupitilizidwa ndi mankhwala ogwirizana:

• Kukonzekera kochokera ku sulfonylurea,
• acarbose
• insulin
• NSAIDs
• Mao zoletsa
• oxytetracycline
• ACE zoletsa
• mankhwala opangidwa ndi clofibrate,
• cyclophosphamide, β-blockers.

Bagomet imatha kupitilizidwa ndi mphamvu ya zotsatira za hypoglycemic ya metformin ikaphatikizidwa ndi insulin.

Metformin itha kuchepetsa mayamwidwe a cyanocobalamin (vitamini B12).

Cimetidine amachepetsa nthawi yochotsa metformin, yomwe imakwiyitsa kukula kwa lactic acidosis.

Nifedipine amachepetsa nthawi ya kuchotsa metformin.

Metformin imatha kufooketsa mphamvu ya ma anticoagulants (omwe amapangidwa kuchokera ku coumarin).

Kuyenderana ndi mowa

Panthawi yomwe mumamwa mankhwalawa, ndibwino kuti musagwiritse ntchito mankhwala omwe ali ndi mowa, ndikukana kwakanthawi kumwa zakumwa zoledzeretsa.

Bagomet Plus ndi mankhwala ofanana, ofanana ndi cholinga ndi katundu, koma okhala ndi glibenclamide. Zofananira zina zikuphatikiza:

• Fomu,
• Glucophage kutalika,
• Metformin
• Metformin Teva
• Glformin.

Siofor ndi Glucofage ya matenda ashuga komanso kuwonda kwa mawonekedwe a Formetin: malangizo ogwiritsira ntchito, mtengo, mapiritsi ochepetsa shuga a MetforminHealth. Live mpaka 120. Metformin. (Marichi 20, 2016) Glyformin wa matenda ashuga: malingaliro pa mankhwalaSugar-kutsitsa Glyformin wa matenda a shuga a mtundu wa 2Glyformin

Ndemanga Zahudwala

Svetlana, wazaka 49, Kirov: "Ndakhala ndikudwala matenda a shuga kwa nthawi yayitali. Ndipo kulemera kwadutsa makilogalamu 100. Dokotala adalemba mankhwala, nati kuti glucose m'magazi adzatsika, ndipo kulemera kwake kudzatha. Masiku 2 oyambawo adamvanso: adakhala osokoneza, panali kuphwanya kwa chikumbumtima. Kenako mlingowo unachepetsedwa, ndinayamba kumva bwino. Ndili pachakudya kuti shuga asakhazikika, koma ndikupitiliza kumwa mankhwalawo. Kulemera ndikunyamuka. Ndataya makilogalamu 6 m'mwezi umodzi. "

Trofim, wazaka 60, ku Moscow: "Mapiritsiwa adalembedwa posachedwa, mtengo wake udatha, ndipo ndemanga zake zidali zabwino. Nditangoyamba kumwa, ndidayamba kuphwanya m'mimba mwanga, ndidatsuka m'mimba mwanga mu ambulansi. Ndipo ndidazindikira kuti ndimadandaula ndi gawo limodzi, komanso dokotala. Muli mankhwala okwera kwambiri.

Nifedipine amachepetsa nthawi ya kuchotsa metformin.

Madokotala amafufuza

Mikhail, wazaka 40, Saratov: "Mankhwalawa ali ndi zotsutsana zambiri ndipo nthawi zambiri zimayambitsa zovuta, chifukwa chake ndimapereka mankhwala mosamala kwambiri kwa odwala, makamaka okalamba ndi ana. Koma omwe alekerera bwino amakhala ndi zotsatira zabwino. shuga wamagazi, ndikulingalira ndi mlingo. "

Ludmila, wazaka 30, Kursk: "Odwala ambiri amadandaula kuti akumwa mankhwalawa m'masiku oyamba kumwa mankhwalawa, ena amakhala ndi zotsatirapo zina.