Siofor 500, 850, 1000: malangizo ogwiritsira ntchito mapiritsi

Endocrinologists amalemba mankhwalawa Siofor kwa anthu omwe ali ndi mtundu wachiwiri wa matenda ashuga. Kugwiritsa ntchito mankhwalawa cholinga chake ndikuchepetsa magazi aanthu mwa anthu ndikuwonjezera chidwi cha insulin. Machitidwe ogwiritsa ntchito Siofor awonetsa kuti anthu omwe amathandizidwa ndi mankhwalawa amawotcha mafuta, ndipo amachepetsa thupi.

Kapangidwe ka mankhwala Siofor

500, 850 ndi 1000 ndiye kuchuluka (kwama milligram) pazogwira ntchito. Kuphatikiza apo, piritsi la Siofor limakhala ndi magnesium, silicon dioxide, povidone ndi macrogol.

Amayi amakono nthawi zambiri amagwiritsa ntchito Siofor polimbana ndi ma kilogalamu awo.

Tiyeni tiwone pomwe Siofor imagwiritsidwa ntchito? Kodi mapiritsi a Siofor angagwiritsidwe ntchito kokha kuwonda? Kodi mapiritsi a Siofor ndi othandiza?

Kugwiritsa ntchito mankhwala osokoneza bongo

Kuphatikiza pa kuchiza matenda a shuga a 2, Siofor amagwiritsidwa ntchito kwambiri pakubala kwa endocrine.

Chiwerengero cha mapiritsi omwe amatengedwa pakamwa zimatengera Mlingo wa yogwira Siofor (500, 850 kapena 1000).

Kumayambiriro kwa kumwa Siofor 500, muyenera kumwa mapiritsi 1 kapena 2 a mankhwalawo (kutengera kuchuluka kwa shuga m'magazi a wodwala). Pakatha sabata, kuchuluka kwa mapiritsi omwe amwedwa kumafikira 3. Mankhwala awa ndi okwanira kuti kagayidwe koyenera.

Malangizo ogwiritsira ntchito Siofor 850 pakuchepetsa thupi akuwonetsa kuti muyenera kuyamba kumwa mankhwalawa piritsi limodzi, mutatha masabata awiri - 2. Nthawi yomweyo, muyenera kuyang'anira kuchuluka kwa metformin mthupi (zosaposa magalamu a 2,5).

Malangizo ogwiritsira ntchito Siofor 1000 amalimbikitsa kuyamba kumwa mankhwalawa ndi mapiritsi a 0,5. Pambuyo masiku 10-15, muyenera kusanthula shuga. Zotsatira zakuwunika zimakhudza mapiritsi angati omwe mungafunikire kumwa mtsogolo.

Akatswiri amatha kudziwa mankhwalawa: gynecologist ndi endocrinologist.

Zochita za Siofor pathupi

Mwa kusintha misempha ya shuga komanso kuchepetsa mapangidwe a insulin, Siofor amakhudza thupi motere:

• shuga amatengeka kwambiri ndi minofu ya minofu,
• kagayidwe kazida ka lipid ka thupi kamafulumira
• shuga amatenga matumbo ndi chiwindi poyenda pang'onopang'ono,
• chakudya kagayidwe kachakudya kabwereranso mwakale (ngati pali zolakwika),
• kumangokhala njala kumatha,
• chilala chimachepa nthawi zina.

Contraindication Siofora

Ngakhale mndandanda wazabwino, Siofor ali ndi mndandanda waukulu wotsutsa:

• matenda a impso
• lactic acidosis
• kukanika kwa chiwindi
• vuto la mtima
• kuvulala ndi ntchito zomwe zachitika posachedwa,
• matenda a m'mapapo
• matenda kupuma dongosolo
• kuwonongeka kwa mtima ndi mtima dongosolo,
• tsankho la zigawo zikuluzikulu za mankhwala,
• matenda opatsirana pachimake,
• Matenda aliwonse omwe amabweretsa minofu hypoxia,
• mtundu 1 shuga
• uchidakwa
• matenda ashuga ketoacidosis,
• kulephera kwa thupi kudzipangira pawokha insulin.

Anthu omwe ali ndi zaka 60 kapena kupitilira ayenera kumwa mankhwalawa mosamala kwambiri.

Ngati muphatikiza mankhwalawo ndi mphamvu zolimbitsa thupi, ndiye kuti mutha kudzutsa matenda a lactic acidosis.

Simuyenera kumwa Siafor mutakumana ndi x-ray (kapena maphunziro a radioisotope).

Siaphore samaphatikizidwa ndi mankhwala monga glucocorticoids ndi sympathomimetics.

Mankhwala Siofor amatengedwa ndi chakudya. Piritsi imameza (osati kutafuna) ndipo iyenera kutsukidwa ndi madzi ambiri.

Zotsatira zoyipa kuchokera ku Siofor zimatulukira mu:

• zotupa
• kupweteka kwambiri kwa paroxysmal m'mimba,
• matenda ammimba
• kulawa kwazitsulo.

Kuphatikiza pazotsatira zoyipa izi, Siofor amachepetsa kuyamwa kwa vitamini B12 wofunikira. Kusowa kwake kumawonjezera thanzi la dieter.

Siofor ndi kuwonda

Ngati mankhwalawa amatengedwa kokha kuti awotche mafuta osaneneka, ndiye kuti muyenera kusankha mlingo wa 500. Ndiye, mungatenge bwanji Siofor 500 kuti muchepetse thupi?

Choyamba, kumwa mankhwalawa muyenera kutsatira zakudya zoyenera komanso zopatsa thanzi. Kachiwiri, kuchita masewera olimbitsa thupi. Chachitatu, onetsetsani kuchuluka kwa mankhwalawa.

Kuti muchepetse thupi, mankhwalawa amatengedwa pa mlingo wa piritsi limodzi ndi chakudya. Madokotala amalimbikitsa kumwa m'mawa. Mukalandira phwando muyenera kukhala ndi kadzutsa kokhazikika komanso koyenera komwe kali ndi mapuloteni (masamba kapena nyama).

Ngati munthu wofuna kuchepa thupi ali ndi chikhumbo champhamvu chodya usiku kapena madzulo, ndiye kuti mutha kumwa piritsi lina la Siofor pakudya chamadzulo. Mlingo wotere wa mankhwalawa umachepetsa kulakalaka kudya kwambiri zamadzulo ndikuwonjezera mphamvu ya mafuta oyaka.

Ngati munthu wofuna kuchepa thupi sangathe kutsatira zakudya, ndiye kuti mutha kumwa Siofor kuti muchepetse thupi pakudya zitatu zazikulu, zomwe ndi chakudya cham'mawa, chakudya cham'mawa komanso nkhomaliro. Nthawi yomweyo, zinthu sizimagwiritsidwa ntchito masiku onse:

• shuga
• pasitala
• buledi
• ma pie
• maswiti
• buns
• zakumwa zoziziritsa kukhosi
• chokoleti
• mowa
• mbatata
• chakudya chofulumira.

Kutsatira ndi kuyikirako ndikofunikira. Popeza (monga tafotokozera pamwambapa), mankhwalawa amalepheretsa kuyamwa kwa chakudya cham'madzi. Zotsatira zake, ambiri aiwo amadzisonkhana. Munthu amayamba kumva kudzimbidwa ndikuyamba kutsekula m'mimba.

Siofor 1000 yochepetsa thupi sizikulimbikitsidwa. Kuchuluka kwa zinthu zotere (1000 mg) kumatha kusokoneza magwiridwe antchito a ziwalo zambiri, chifukwa metformin ndi mankhwala, osati mavitamini osavulaza.

Zomwe madokotala akunena za Siofor

Madokotala akuti kugwiritsa ntchito Siofor pakuchepetsa thupi kuyenera kuthandizidwa mosamala. Osatenge popanda chosowa chachikulu. Metformin ndi othandizira odwala matenda ashuga ndipo amangokhala ndi zovuta zake pakuchepetsa thupi.

Siofor kwa aliyense ali ndi zosiyana. Mwa anthu ena, kuchuluka kwa kuchepa thupi kumaonekera, pomwe ena sikumapezeka konse.

Kuphatikiza apo, akatswiri amati thupi labwino silingayankhe bwino kugwiritsa ntchito Siofor: njira za metabolic zimasokonezeka mwadzidzidzi komanso zotsatirapo zake zosangalatsa (nseru, kutsegula m'mimba ndi kupweteka kwakukulu m'mimba) kudzachitika.

Mtengo wa Siofor ndi fanizo zake

Pamapiritsi 60 a Siofor 500 mudzalipira ma ruble 300. Mlingo wina wa Siofor umawononga ndalama zambiri (mpaka ma ruble 500).

Yogwira pophika mankhwala amaphatikizidwanso m'njira zina zambiri zochepetsera thupi. Mankhwalawa amaphatikiza glucophage yayitali. Ndiwotsika mtengo kwambiri kuposa Siofor ndipo imagwira pang'onopang'ono. Pali "analogue yotsika mtengo" maola 10 pambuyo pa utsogoleri, ndipo Siofor - patatha mphindi 30.

Pomaliza

Chifukwa chake, Siofor ndi mankhwala amphamvu kwambiri. Tengani mankhwalawa monga momwe mukuwunenera komanso motsogozedwa ndi katswiri.

Inde, Siofor amathandizira kuchotsa mapaundi owonjezera, koma amavulaza thupi. Kuopsa kotenga mankhwalawo kuyenera kukhala koyenera.

Ndikofunikira kuthamangitsa kagayidwe m'thupi pogwiritsa ntchito: kuyenda, kuvina, kusambira, kuyenda, kusewera, kuthamangitsa ana ndikutsatira mfundo za zakudya zoyenera. Kenako mukutsimikiza kuti musinthe kulemera ndikukhala ndi thanzi labwino.

Kupanga ndi mafomu omasulira

Siofor 500 yochepetsa thupi imakhala ndi 500 mg ya metformin hydrochloride (gawo logwira ntchito). Zomwe sizigwira ntchito m'mapiritsi ndi magnesium stearate, silicon dioxide, povidone.

Palinso Siofor 850 yolemetsa, imakhala ndi zowonjezera zofananira monga kusiyanasiyana kwina mwanjira yotulutsira. Siofor 1000 yochepetsa thupi siyosiyana pamaso pa ochulukirapo.

Mankhwalawa amapezeka piritsi. Mapiritsiwo ali pang'onopang'ono pakati, oyera. Zadzaza matuza a zidutswa 15. Mu phukusi limodzi, matuza awiri oterowo amagulitsidwa.

Kuchiritsa katundu

Metformin ndi gulu lalikulu la gulu lomwe latchulira katundu wa hypoglycemic. Poyamba, mankhwalawa amagwiritsidwa ntchito ngati mankhwala ochizira matenda osokoneza bongo a insulin (mtundu II). Omwe amatenga njira yochepetsera kunenepa ayenera kumvetsetsa kuti kwa anthu athanzi omwe ali ndi shuga m'magazi, metformin siyabwino ndipo ingayambitse zoopsa. Kugwiritsa ntchito mankhwala ochiritsira kulemera kumatheka pokhapokha ngati pali matenda ena. Kapangidwe kake ka mankhwala ndikulepheretsa kuyamwa kwa shuga kuchokera m'matumbo am'mimba, chifukwa chomwe chiwonetsero chachikulu cha antidiabetic chikuwonekera, ndipo odwala amachepetsa thupi kwambiri (pokhapokha zakudya zamafuta ochepa).

Chipangizocho chili ndi phindu losasinthika - limalimbana ndi chifukwa chachikulu cha matenda ashuga, imathandizira kubwezeretsa kutulutsa kwamtundu wa insulin, komanso imachepetsa njira ya glucogenesis. Mothandizidwa ndi mankhwala, minofu imagwiritsa ntchito bwino glucose. Komanso, mankhwalawa amalimbikitsa metabolism yamafuta ndipo amakhudza bwino magazi a rheological. Natural bioavailability ndi 50-60%, pachimake ndende kupezeka 2,5 mawola pakamwa. Mukamagwiritsidwa ntchito ndi chakudya, mayamwa amachepetsa kwambiri. Kutha kwa theka-moyo ndi maola 6 mwa anthu omwe ali ndi impso zathanzi, ndipo palibe chomanga mapuloteni a plasma.

Njira yogwiritsira ntchito

Momwe mungagwiritsire ntchito siofor? Mankhwalawa amamwa pakamwa yopanda kanthu ndikutsukidwa ndi kapu yamadzi. Mulingo woyenera wovomerezeka umasankhidwa ndi katswiri, kutengera mulingo wa hyperglycemia wodwala. Momwe mungatenge Siofor 500 kuti muchepetse kunenepa? M`pofunika kumwa Siofor 500 kangapo patsiku, pazipita mlingo tsiku lililonse sayenera kupitirira 6 mapiritsi. Kutengera cholinga, mankhwalawa amagwiritsidwa ntchito mofanana tsiku lonse katatu patsiku. Kutalika kwa chithandizo ndi munthu payekha.

Momwe mungatenge Siofor 850 pakuchepetsa thupi? Ndikofunikira kuyamba chithandizo ndi piritsi limodzi patsiku. Kuphatikiza apo, mwanjira imeneyi mankhwalawa amawonjezereka kukhala mapiritsi awiri. Pazipita tsiku lililonse mapiritsi atatu. Osamachulukitsa mulimonse. Mapiritsi 1000 Siofor amatengedwa motere: piritsi 1 imodzi, zosaposa zidutswa zitatu patsiku. Nthawi zina, kuphatikiza ndi insulin kumafunika. Pamaso pa polycystic neoplasms mu thumba losunga mazira, mankhwalawa amatchulidwa pokhapokha atayeza kwathunthu ndi dokotala.

Pa nthawi yoyembekezera komanso yoyamwitsa

Siofor pa nthawi ya pakati siikudziwika. Ngati banjali likufuna kukhala ndi pakati, ndiye kuti zoletsedwanso ndi zoletsedwa. Malangizo omwewo a mkaka wa m'mawere.

Contraindication ndi Kusamala

Mtengo wapakati wa mankhwala ku Russia ndi ma ruble 238 pa paketi iliyonse.

Mankhwalawa ali ndi mndandanda wofunikira wa zotsutsana:

• Kusalolera payekha kapena Hypersensitivity
• Mafuta ndi nthawi yodzala
• Mawonekedwe osagwirizana ndi insulin
• Osakwana zaka 18
• Matenda a shuga kapena predomatosis
• Zakudya zamafuta ochepa (mpaka 1000 kcal)
• Kuchotsa kwathunthu kwamkati mwa insulin 2 odwala matenda ashuga
• Kudalira kwachangu
• Mbiri ya kukanika kwa hepatic ndi aimpso
• Lactic Acid Acidosis
• Mbiri ya khansa
• Myocardial infarction isanayambike
• Hypoxia
• Zilonda zopatsirana
• Opaleshoni kapena kuvulala.

Kuchita mankhwala osokoneza bongo

Mankhwala osagwirizana ndi ma antisteroidal, ma inhibitors a MAO, fibrate, insulin amathandizira kukulitsa zotsatira za hypoglycemic za metformin. Pachifukwa ichi, kusintha kwa mlingo kapena kuyang'anira pafupipafupi kuchuluka kwa shuga m'magazi kumafunika. Mahomoni a chithokomiro, progesterone, estradiol ndi nicotinic acid, m'malo mwake, amachepetsa mphamvu ya metformin, popeza ali ndi katundu wofatsa wa hyperglycemic. Pankhaniyi, kusintha kwa mlingo wa mankhwalawa ndikuwunika kuyang'anira kuchuluka kwa shuga m'magazi kumafunanso.

Zotsatira zoyipa ndi bongo

Izi zikuphatikiza:

• Pa mbali ya m'mimba ndi kugaya chakudya - kutsegula m'mimba, kusanza, kudya, kumva kuwawa, kupweteka m'mimba, ndikofunikira kudziwa kuti zinthu zoyipa izi zimatha kusintha ndikulandira chithandizo pang'onopang'ono.
• Nthawi zina, vuto la kuchepa kwa magazi m'thupi limatha kuchepa (kuperewera kwa mphamvu ya cyanocobalamin ndi folic acid m'thupi la wodwalayo), lomwe limaletsedwa mosavuta ndi mavitamini owonjezera osowa
• Kuchokera pakhungu - matupi awo sagwirizana ndi zina zakunja (urticaria, kuyabwa, kupweteka, redness)
• Lactic acidosis.

Ponena za kupezeka kwa hypoglycemia, mankhwalawo si owopsa, chifukwa panthawi yoyesedwa matenda adatsimikiziridwa kuti kuwonjezereka kamodzi kwa tsiku lililonse kwa 1 piritsi limodzi nthawi zopitilira 30 sizinayambitse kuphwanya kwakukulu kwa zizindikiro zamagazi. Zowona, vuto linanso limapezeka ngati mankhwala osokoneza bongo - lactic acidosis, mothandizidwa ndi matenda osokoneza bongo amayamba m'matumbo, kusanza, kupuma msanga, kulephera kugwira ntchito. Akufuna hemodialysis. Nthawi zambiri, mutha kuyimitsa vutoli ndi gawo lalikulu la chakudya chambiri.

Merck Sante, France

Mtengo wapakati ku Russia - ma ruble 110 phukusi lililonse.

Glucophage - generic wotchuka waku France, amatanthauza fanizo la Siofor 850. Palinso zogulitsa pamiyeso ya 500 ndi 1000 mg. Fomu yayikulu ya kuchuluka imakhala yolumikizana ndi piritsi ndipo ina yonse ndi yozungulira. Mothandizidwa ndi glucophage, kunenepa kwambiri komwe kumayenderana ndi kuyambika kwa matenda a shuga a 2 kungathe kuthandizidwa. Mankhwalawa ndi osiyana ndi ena chifukwa amapangidwa ndi kampani yayikulu yachipatala ya ku France, imalekerera bwino kuposa ma fanizo apakhomo, komanso imawonongera ndalama zochulukirapo.

Ubwino:

• Mankhwala othandiza
• Mnzake wakunja.

Chuma:

• Lilinso ndi mavuto ambiri.
• Mwina sizingafanane.

Akrikhin, Russia

Mtengo wapakati mankhwala - ma ruble a 106 pa paketi iliyonse.

Gliformin ndi generic wabwino wanyumba yemwe amatha kusinthitsa mnzake wakunja. Monga ma analogu ena onse, glyformin ndiyofunika m'malo mwa metformin iliyonse yopanga. Malinga ndi kuwunika kwa omwe adachepetsa thupi, komanso aliyense amene amamwa, palibe vuto, ndipo mtengo wake udzakhala wosangalatsa kwambiri. Kutulutsa mawonekedwe - mapiritsi a 500, 800 ndi 1000 mg. Potere, mankhwalawa ndi osiyana chifukwa amakhala ndi gawo logawanidwa pang'ono la mapiritsi. Ngati mwa mitundu ina yotulutsidwa - 850 mg, ndiye nayi 800. Monga mitundu ina ya glyformin imakhala ndi zotsatirapo zake zomwezo komanso kupatsirana mankhwala.

Ubwino:

• Kugwiritsa ntchito generic Russian opangidwa
• Yotsika mtengo.

Chuma:

• Zotsatira zoyipa zitha kuchitika.
• Siwothandiza aliyense.

Malangizo ogwiritsira ntchito

Siofor - ubongo wa kampani Berlin-Chemie, gawo la bungwe lotchuka lazamankhwala Menarini. Mankhwala ndi Achijeremani kwathunthu, kuyambira gawo lopanga, kutha ndi ulamuliro womaliza. Mu msika waku Russia, adziyambitsa yekha ngati njira yapamwamba komanso yotetezeka yolimbana ndi matenda ashuga komanso onenepa kwambiri. Chidwi ndi mankhwalawa zakula kwambiri posachedwa, pomwe zidapezeka kuti zili ndi zotsatira zambiri zabwino mthupi.

Malinga ndi malangizo, Siofor amachepetsa shuga m'magazi pochita zinthu motsutsana ndi insulin komanso kupangika kwa shuga m'chiwindi. Kuchepetsa kudya kwa michere kuchokera ku chakudya, kumapangitsa kuti muchepetse kunenepa.Normalizing lipid kagayidwe: kumachepetsa kuchuluka kwa triglycerides ndi cholesterol yoyipa m'magazi, osakhudza kuchuluka kwa lipoproteins yapamwamba kwambiri yothandiza mitsempha yamagazi.

Pali maphunziro omwe akutsimikizira kuti Siofor amalimbikitsa kuyambika kwa ovulation ndi mimba mwa azimayi omwe ali ndi ovary ya polycystic, imatha kulepheretsa kukula kwa zotupa zina, kuchepetsa kutupa komanso kutalikitsa moyo. Kafukufuku wambiri akuchitika kuti atsimikizire kapena kutsutsa kusakhala ndi matenda ashuga a mankhwalawa. Chifukwa cha zotsatira zosatsimikizika pazotsatira zomwe zili pamwambazi, siziphatikizidwe ndi malangizo ogwiritsa ntchito.