Mankhwala kuonda - Glucofage yayitali - ndemanga zoyipa

Ndakhala ndikutenga Glucophage Kutalika kwa kuchepa thupi kwa nthawi yoposa chaka, ndipo panthawiyi sindinangotaya makilogalamu 10 (kuchokera 78 mpaka 68 kg), komanso ndakhazikika pamtunda womwe ndimafuna. Zachidziwikire, kungakhale kukokomeza kunena kuti metformin yekha ndi "wolakwa" pazopambana izi. Popanda kusintha pamakhalidwe ndi kadyedwe, sindikadakhala kuti nditha kuchepetsa thupi moyenera. Palibe ndemanga zambiri pa netiweki kuyambira kutaya thupi pa metformin ndipo ndidaganiza zondiuza mwatsatanetsatane za zomwe ndakumana nazo.

Kodi maubwino wochepetsa thupi ndi Glucofage Long?

Mosiyana ndi zakudya zambiri zothandizira kuchepetsa thupi, zomwe mphamvu ndi chitetezo chake zimakhalabe pa chikumbumtima cha opanga - zotsatira za metformin pakuchepetsa thupi zimatsimikiziridwa komanso mwasayansi malinga ndi njira zamankhwala zopangira umboni,

Ndi chiyambi choyenera kutenga - ndi osachepera 500 mg ndi kuwonjezeka pang'onopang'ono kwa mlingo, Glucofage Long sizimabweretsa zotsatira zoyipa mwa anthu athanzi,

Chifukwa cha kutulutsa pang'onopang'ono kwa metformin, Glucofage Long imatha kutengedwa kamodzi patsiku (nthawi yamadzulo), yomwe imathandizanso kupewa mavuto,

Kusungitsa kulemera kokhazikika, pamlingo wochepera 500 mg, Glucofage Long imatha kutengedwa kwa moyo wonse. Kuphatikiza apo, phindu la metformin yathanzi ndikukhala ndi moyo wautali sikukweza kukayikira kulikonse pakati pa madokotala ndi asayansi.

Kodi zovuta ndi zoyipa zake ndi ziti?

Glucophage Long si piritsi lazakudya zamatsenga. Osadikirira kuonda msanga popanda kuchita khama. Kuchepetsa thupi ndi metformin kumachitika bwino ndipo pang'onopang'ono - kuwonda, "pofika nthawi yotentha," muyenera kuyamba kutenga metformin nthawi yakugwa kapena nthawi yozizira.

Metformin ndiyothandiza kwambiri pakuchepetsa thupi popanda kusintha pa moyo ndi zakudya. Ngati chakudyacho chili ndi zopatsa mphamvu zochuluka (makamaka chakudya champhamvu kwambiri) ndipo simumawononga zochulukirapo - mwanjira yabwino kwambiri, metformin imangochepetsa zotsatira za moyo woterowo - imakhazikitsa kulemera kapena kuchepetsa kuchepa kwake. Sizowoneka kuti kuchepetsa thupi popanda zovuta,

Zotsatira za metformin zimadalira mlingo, koma ndizosatheka kutenga kuchuluka kwakukulu pakuchepetsa thupi popanda chisonyezo (mtundu 2 matenda ashuga) chifukwa chakuwonjezereka kwa zotsatira zoyipa. Pachifukwa ichi, mulingo woyenera kwambiri wochepetsa thupi ndi 1500 mg patsiku, ndipo, moyenera, kuti muchepetse chiopsezo cha mavuto - 750-1000 mg. Kukonza mlingo - 500 mg

Mukamamwa mankhwala okwanira (1000 mg) ndipo makamaka kumayambiriro kwa mankhwalawa, zotchulidwa zoyambira m'matumbo zimatheka. Popita nthawi,

Simuyenera kukhala pachakudya chokhazikika mukamamwa Glucophage Long. (osakwana 1300 kcal / tsiku) komanso amachepetsa kuchuluka kwa chakudya chamagulu muzakudya. Nthawi yomweyo, "chakudya changa" (makamaka zakumwa zotsekemera) zitha ndipo zimayenera kuchotsedwa muzakudya. Kwamuyaya.

Mukumwa kale mankhwala aformform ndipo simungathe kuchepetsa thupi? Werengani za zifukwa zomwe zingatheke pano.

Momwe ndimachepera thupi ndi Glucophage Long

Ndidayesa kuchepetsa thupi nthawi zambiri. Zowona, sindinakhale wonenepa kwenikweni - kulemera kwanga kokhazikika ndi 78 kg. Ndipo, adadzimva kuti ali ndi mphamvu zambiri, kutalika kanga pang'ono ndi masentimita 170 - mafupa amafuta adawoneka bwino m'mbali + ndi mafuta owoneka bwino m'chiuno.

Tsoka ilo, ma kilogalamu atayika mu thukuta nthawi zonse amabwerera ndipo mwachangu kwambiri kulemera kunayambiranso "zinthu", zomwe zimagwirizana ndi thupi, koma osati ine. Kuchepetsa thupi kwa nthawi yayitali sikugwira ntchito ngakhale kamodzi.

Ndidaphunzira za metformin padera pa mutu wakuchepetsa thupi. Zambiri komanso zochulukirapo zidayamba kuwonekera pamasamba osiyanasiyana ophatikizika pazabwino zake zosakayikitsa zowonjezera chiyembekezo cha moyo. Ma biohackers padziko lonse lapansi komanso ma gerontologists amatenga Metformin tsiku lililonse kwa zaka kuti achedwetse kuoneka ngati zironda zokhudzana ndi zaka zambiri.

Pambuyo pake, ndikuwerenga malangizo a Glucofage Long 750 ndidapereka tanthauzo ili:

Ngakhale mukutenga "Glucofage Long 750", thupi la wodwalayo limakhalabe lolimba kapena limatsika pang'ono (kuchepa kwa thupi kumachitika).

Nditawerenga nkhaniyi, zinaonekeratu kuti metformin imathandizadi kuonda. Osanama. Kupatula apo, zimakhudza kagayidwe ka glucose kwenikweni pammbali zonse. Amachepetsa kuchuluka kwa shuga m'magazi am'magazi, kumawonjezera chidwi cha zotumphukira za insulin zolandilira komanso kugwiritsa ntchito shuga ndi maselo. Kuphatikiza apo, amachepetsa kupanga kwa chiwindi ndikuchepetsa kuyamwa kwa m'matumbo.

M'malo mwake, metformin imatsitsa chakudya chamagulu amoto ndikuwonjezera mphamvu yogwiritsa ntchito shuga, yomwe ikadasungidwa m'mafuta. Osati zoyipa, sichoncho?

Ndipo ndidasankha kuyeseza ndikuyesanso kuyesa kunenepa. Mwamwayi, ku Glyukofazh ma pharmacies a Long amagulitsa popanda mankhwala modekha, ndipo mtengo wake ndi wokwanira (makamaka motsutsana ndi maziko azakudya zodabwitsa zambiri zotsatsa zomwe zimatsimikizidwa pamawebusayiti ndi maforamu a kuwonda, ngati Evalar). Kuti musunge, mutha kugula zina wotsika mtengo wotsutsana - Metformin MV.

Mlingo "Glucofage Long" kuwonda

Kuti muchepetse zotsatira zoyipa, ndinayamba kumwa metformin pogwiritsa ntchito mlingo wocheperako. Pazifukwa izi, ndidagula phukusi la "Glucofage Long 500". Chifukwa chiyani metformin imatenga nthawi yayitali? Pali zifukwa zingapo, koma chachikulu ndicho kukonzekera. Tengani tsiku lililonse kamodzi pa tsiku chakudya chamadzulo. Mapiritsi sayenera kugawidwa kapena kutafuna.

Mukamatenga phukusi loyamba ndi mlingo wa 500 mg patsiku palibe zotsatira zoyipa zomwe zidawonedwa. Chifukwa chake, pomwe zidatha, ndidasinthira mwakachetechete kupita ku Glucofage Long 750. Pakupita kwa chaka, ndidasinthanso ku Glucofage Long 1000, yomwe idawonetsa kuwonda kwakukulu. Pambuyo pake, ndinabwereranso ku mlingo wa 750 mg, monga wopatsa bwino kwambiri komanso wosavomerezeka.

Kamodzi, pafupifupi theka la chaka nditayamba kumwa metformin kuti muchepetse thupi, ndidaganiza zoyesera kutenga mlingo waukulu wa 2000 mg kwa nthawi yochepa. Moona mtima, sindinakonde kutengeka konse - zoyipa zamitundu yayikulu za metformin zinayamba kumveka bwino. Nthawi zonse, ngati kuti muli ndi njala, chizungulire, muli ndi njala. Mwambiri, ndinayimitsa kuyesera pasadakhale.

Nthawi yomweyo, ngati simungathe kuchepa thupi pamankhwala ochepa, mutha kuthyoka 2000 mg m'magawo awiri - piritsi limodzi mutadya chakudya, ndipo chachiwiri mutadya kadzutsa. Zotsatira zoyipa ndi kupatukana kumeneku kumachitika kawirikawiri.

Glucophage Long Slimming Mbali Zowawa

Izi sizikutanthauza kuti kulandiridwa kwa Glucophage Long kumadutsa wopanda mitambo. Pa mlingo wa 1000 mg, pomwe mumadya maswiti ochulukirapo ndi zakudya zina zokhala ndi chakudya cham'mimba mosavuta, zovuta zam'mimba zimatha kuchitika.

Chifukwa chake ndi chosavuta - metformin imachedwetsa kuyamwa kwa shuga m'matumbo, chifukwa chake, microflora imapeza michere yambiri. Zotsatira zake, kumatulutsa, mpweya komanso zina zosasangalatsa. Komabe, pamankhwala osakwana 1000 mg. Pafupifupi sindinakumane ndi izi.

Chochitika china chosadziwika kuchokera pakugwiritsa ntchito metformin imakhudzanso amuna. Chowonadi ndi chakuti metformin imathandiza kuchepetsa cholesterol yathunthu. Zingawonekere kukhala zoyipa? Koma thupi lathu limatulutsa testosterone kuchokera ku cholesterol, ndipo motsutsana ndi maziko ogwiritsira ntchito metformin nthawi yayitali, kuchuluka kwa testosterone kumatha kuchepa, komwe kumakhudza kuchuluka kwa kuchepa kwa thupi.

Komabe, ndinapeza njira yotithandizira. Poyamba, monga ndidalemba pamwambapa, patapita nthawi ndidachepetsa kuchuluka kwa 750 mg, ndipo chachiwiri, ndidayamba kumwa nsomba ndikumanga mafuta. Njira izi zinali zokwanira kuthetsa vutoli.

Ndipo zoona chachikulu mbali ya Glucophage Long ndi kuwonda. Zambiri pazowonera pansipa.

Kuchepetsa thupi ndi Glucophage Kutalika kwa chaka

Zachidziwikire kuti kuchepetsa thupi ndi 10 kg kungotenga piritsi limodzi la metformin 1000 mg kumakhala kovuta kwambiri. Osachepera zingatenge nthawi yoposa chaka.

Mwamwayi, ndinali ndi chidwi kale ndikuchepetsa thupi ndipo ndinali ndi lingaliro labwino lazomwe ziyenera kuchitidwa kuti muwonjezere mphamvu ya Glucofage Long kuwonda:

• Ndidayesa momwe ndingathere kukana chakudya chofulumira, makamaka zakumwa. Kupatula pachakudya tiyi wokoma ndi khofi, mandimu ndi shuga ndi timadziti,
• Ndikofunikanso kuwongolera shuga omwe ali muzakudya. Opanga amaika shuga pamitengo yambiri ngakhale pazinthu zopanda mafuta! Mwachitsanzo, samalani ndi kuchuluka kwa shuga mu ketchup. Zomwezi zimafunanso ma yoghurts "athanzi". Ambiri a iwo mpaka 16-19 magalamu a shuga pamagalamu 100 a mankhwala
• Ndinayesa kukhazikitsa chakudya chovuta kudya. Mwachitsanzo, nthambi zingapo ndi fiber zimatha kuwonjezeredwa ku chakudya chilichonse, ndipo zotsatira zake zimadziwika kwambiri - zimachepetsa kuyamwa kwa chakudya ndikuwonjezera kukhumudwa. Samalani zakudya zonse zambewu ndi kutaya katundu wanu woyamba wopaka. Zowona, ndi makina owonjezeranso ndikofunikira kuti asamachulukitse - mabakiteriya omwe ali m'matumbo samapindika ndipo amasangalala kukonzekera kutulutsa bwino,
• Zochita zam'nyumba - paliponse popanda iwo. Tsiku lililonse muyenera kupita osachepera 8-10,000, kuwonjezera, mwachangu. Kuphatikiza apo, ndinayesetsa kusiyira okwera ndi okwera paliponse momwe ndingathere - ngakhale ndikukwera pansi tsiku lililonse tsiku lililonse, mudzachepera pang'ono, koma kuwonjezera mphamvu zamagetsi ndikuthandizira kuchepetsa thupi,

Chifukwa chake, mothandizidwa ndi zoletsa zina zosavuta zomwe mumadya posachedwa (chinthu chofunikira kwambiri ndikukana zakumwa za shuga!) Ndipo kuchuluka kwakuchulukirapo, kochita zolimbitsa thupi, ndidakwanitsa kuchepetsa 10 makilogalamu.

Ubwino wa Glucophage Long? Poyamba, m'mbuyomu pofuna kuchepetsa thupi, sindingathenso kutaya makilogalamu 10 nthawi imodzi, ngakhale nditakhala ndi zoperewera kwambiri pazakudya komanso katundu wolemera. Ndipo ndinataya ma kilogalamu obwerera. Ndipo nthawi ino - osati zamtunduwu! Kulemera kwake kwakhazikika ndipo kwasungidwa mkati mwa 68-69 kwa miyezi ingapo, ngakhale kuti ndimapuma pang'ono komanso maswiti ambiri "oletsedwa" adayamba kupezeka mukudya. Zowona, izi sizikunena zakumwa.

M'malingaliro anga, mulibe konse momwe muyenera kuyembekezera kuchokera ku Glucophage Long njira iliyonse yachangu komanso yamatsenga. "Kuchepa kwambiri ndi nthawi yotentha" kwa miyezi ingapo kungotenga metformin sikungathandize. Zotsatira zokhazikika komanso zooneka zimayembekezera okhawo omwe amayesetsa pang'ono kuposa kungomwa mapiritsi atatha kudya.

Ngati kusintha kwa zakudya ndi kudya Metformin sikumapangitsa kuti muchepetse kuwonda, yesani kuwonjezera kuchuluka kwa mankhwalawo, koma kumuphwanya m'magawo awiri. Mwachitsanzo, 1000 mg pakudya chamadzulo ndi 500 mg pakudya cham'mawa. Onani malingaliro anu, koma sindingavomereze kupitilira muyeso uwu.

Imwani mankhwalawo nthawi zonse komanso osasokoneza. Metformin yotulutsa pang'onopang'ono, ikagwiritsidwa ntchito Mlingo wocheperako, ilibe zotsatira zoyipa, ndipo gawo lake lathanzi komanso kuchepa thupi limathandiza kwambiri. Ndipo ngati mukuwonjezera kusintha koyenera m'zakudya ndi moyo pazakudya za Glucofage, zotsatira sizitenga nthawi yayitali. Kuchepetsa thupi kudzakhazikika komanso kukhala ndi zotsatira zosatha.

Ndemanga zoyipa

Ndinamwa mankhwalawa kwa milungu iwiri. Ndipo milungu iwiri yonseyi ndidadwala matenda otsegula m'mimba. Kulemera sikunachepetse gramu. Sindikupangira izi!

Sindikupangira izi kwa aliyense, pokhapokha chifukwa zimapangidwira odwala matenda ashuga okha okha! Izi zikufotokozedwa mwatsatanetsatane mu malangizo. Inde, itha kugwiritsidwa ntchito kuti muchepetse kunenepa, koma pamtengo wotani yomwe imagwira ntchito ya endocrine, yomwe ingayambitse zotsatira zakupha, zovuta mu impso, chiwindi, mtima. Pali mankhwala ena ambiri omwe amagwiritsidwa ntchito ndi anthu athanzi, ndi otetezeka! Musati muwononge thanzi lanu;

Nkhani yanga siyosiyana ndi nkhani za akazi mazana ambiri omwe adakwatirana ndi atsikana oterera, ndipo patapita zaka zochepa za moyo wabanja komanso kubadwa kwa ana adasandulika kukhala agogo a plump. Ndidaphunzira m'magaziniyi kuti glucophage yotalika 750 imatha kundithandiza kuti ndichotse mapaundi owonjezera ndi masentimita m'chiuno. Poyamba, ndimawona mavuto pang'ono - ndimakhala osokoneza pang'ono, mutu umandipweteka, ndimakonda kuthamangira kuchimbudzi. Ndidayamba kuganiza zondipweteka kwambiri chifukwa chodya glucophage nthawi yayitali 750 nditakafika kuchipatala ndili ndi microinfarction, ndipo ndidali ndisanakhalepo ndimavuto amtima. Nditauza madotolo kuti ndimamwa glucophage kutalika kwa 750, ndidawadabwitsa, chifukwa mankhwalawa amagwiritsidwa ntchito pochiza matenda ashuga. Ndinalangizidwa mwamphamvu kuti ndisiye kumwa mankhwalawa nthawi yomweyo. Komabe, kuwonongeka kwakukulu kwa thanzi langa kwachitika kale, chifukwa ndidapulumuka kawonedwe kakang'ono. Ndizowopsa kuganiza ngakhale zomwe zingachitike kwa banja langa ndi ana ngati sindikadakumana ndi vuto la mtima. Sindikupangira izi kwa aliyense!

Ubwino:

sanapeze, chifukwa adatenga pang'ono.

Zoyipa:

Kumva zosasangalatsa, chizungulire.

Adaneneratu endrocrinologist kuti achepetse shuga. Ndinagula. Dokotala nthawi yomweyo anachenjeza kuti ngati mutenga ndi kudya mkate, ndiye kuti kutsekula m'mimba kudzakhala 100%. (Zambiri) Ndidayamba kuzitenga, koma kwa masiku opitilira 3 sindinathe. Ndimamva kudwala kuchokera kwa iye. Ndidasintha kupita ku Siofor. Chifukwa chake, ndimakana kupenda mankhwalawa.

Palibe mankhwala okayikitsa, sindingagule, kwa ine ndibwino kudya zochepa komanso kuchepa thupi kuposa kudya zonse kenako ndikumamwa mapiritsi ngati amenewo. Palibe chifukwa chokhulupirira kuti pali “piritsi labwino” lomwe lidzathetse mavuto onse.

Ndemanga zopanda ndale

Gluklfazh akuyenera kuyamba kulemba ndi milingo yaying'ono. Nthawi yoyamba yomwe sindinadziwe. Pepani - *****. Zodandaulitsa, zomwe zinali ndi m'mimba. Nthawi yachiwiri ndidayamba ndi piritsi limodzi ndikukula pang'onopang'ono. M'masabata angapo, thupi limasinthasintha ndipo chilichonse chimakhala chabwinobwino. Glucfage imachepetsa ukalamba. Ichi ndi chowonadi chotsimikiziridwa mwasayansi ndi zaka zambiri zowonera.

Ubwino:

Zoyipa:

Kuchepetsa kunenepa kwambiri ndi funso la nthawi zonse! Choyamba, timadya zomwe opanga amapereka, ndiye timadabwitsidwa kuti kulemera kumachitika. Ndakhala ndikuyesera pafupifupi zaka khumi kuti ndikonzenso mgwirizano wakale. Osati ogwira ntchito.
Nditayesera gulu

machitidwe, adadza kwa adotolo.
Ndidapambana mayeso ndipo ndidapeza nthawi.
Chimodzi mwa izo chinali metformin. Ndidasankha glucophage nthawi yayitali, chifukwa ndimazengereza kudya mapiritsi nthawi zonse ndikatha kudya.
Glucophage yayitali imakhala ndi kuphatikiza kwakukulu - ndimatenga kamodzi patsiku. Ndidapatsidwa magulu mazana asanu. Ndinaganiza kaye mwachinsinsi kwa adotolo kuti ndiziwonjezera mlingo. Koma kenako adayima. Kodi mukudziwa mawu akuti: "Mbali ya thupi yomwe siyilimbitsa thupi imathetsedwa." Izi zikutanthauza kuti ngati simugwiritsa ntchito mchira, ndiye kuti chisinthiko chimakutengani. Ndipo glucophage imayamba kugwira ntchito m'malo mwa kapamba ndi dongosolo lonse lomwe silikugwirizana ndi kugwiritsa ntchito mafuta, koma limathandizira kuti lizikundikira. Sindikufuna kutalika kwa glucophage kukhala cholowa m'malo mwa zanga. Aloleni athandize, koma pamodzi, sindikuvomereza. Ndinaganiza zoyesa mayunitsi mazana asanu.
Kulemera kunayamba kuchepa kuyambira pafupifupi sabata lachitatu, ndipo, tinthu tabwino kwambiri tomwe tinatulutsa kuyambira m'chiuno kumanzere. Ndipo ichi ndi kuphatikiza kwakukulu, chifukwa ndiko kuphwanya komwe kumabweretsa kutsitsidwa kwamafuta m'chiuno komwe kumayambitsa nkhawa yayikulu pakati pa madokotala.
Ndi mphamvu ndimanena kuti ndili ndi vuto la mseru. Koma akudutsa pang'ono pokha.
Koma zabwino zake ndi monga kumwa mankhwalawo kamodzi patsiku. Ndimavomereza ndisanakagone.
Ndikupangira.

Ubwino:

Mlingo woyenera, mtengo wotsika, zotsatira zoyipa zochepa kuposa Siofor.

Zoyipa:

Matumbo ang'onoang'ono

Ndili ndi metformin, ndinayamba kudziwana ndili ndi zaka 20. Palibe njira imodzi yomwe idapangidwira kukhala ndi pakati ndi mazira ovomerezeka a polycystic. Ok adayambitsa mimba, koma adapanga mazira. Ndipo pomwepo ndi dotolo watsopano uja tidaganiza zogwiritsa ntchito Siofor, ndidalembanso ndemanga za iye. Zikomo kwa iye, duphaston ndi clostilbegit, mimba yanga yomwe ndimayembekezera kwakanthawi idachitika. Koma miyezi isanu ndi umodzi yonseyi yomwe ndinamwa Siofor, ndinali woipa kwambiri, ndimasowa mapiritsi, kupewetsa kudzimbidwa, mseru komanso kusinthasintha.
Tsopano mwana wanga wamkazi ali kale ndi 1.6, ndidaganiza zoyambiranso njira ya metformin, popeza siyimangokhazikitsa komanso sikumakulolani kuti muyambe kugona, komanso zimathandizira kuchepetsa thupi (mwachilengedwe, ndi chakudya choyenera). Funso lidabuka nthawi yomweyo kuti sindingathe kumwa Sifor, sindinakonzekere, kutengera "zomverera" izi. Ndipo nditawerenga malingaliro angapo pa intaneti, ndidaganiza zosinthira glucophage, koma osati yosavuta, koma yayitali. Ndinganene kuti sabata latha, mwachidziwikire, pali zizindikiro zosapweteka zotenga metformin, ali ndi vuto la matumbo, pazinthu zina zonse, ndikumva bwino.
P: s, zachidziwikire, manambala onse, ndikusintha kwa mankhwalawa, makamaka, chiyambi cha kugwiritsidwa ntchito kwawo, ndidavomereza ndi dokotala wanga!

Njirayi si yachangu, koma ndi glucophage ndimachepetsa thupi. Tayesani 4 kilogalamu. Ndipo njirayi ikupita patsogolo. Eya, adatsitsanso shuga kwa ine, adakwezedwa, adotolo adatinso kuti pakhoza kukhala ndi prediabetes.

Mayankho abwino

Ndimavomereza Glucophage ndi prediabetes. Kugwetsa 5 kilogalamu. Koma iyi si mfundo! Chachikulu ndichakuti shuga yachepa, kupsinjika kwabwerera mwakale, ndipo mphamvu zawonekera. Ndikhulupirira kuti mankhwalawa sayenera kumwedwa kuti muchepetse thupi. Ndipo mulimonsemo, muyenera kufunsa dokotala.

Ndataya 10 kg ndi glucophage m'miyezi 3, ndikuganiza zotsatira zabwino

Sindinadandaule ndi mapaundi owonjezera, ndinalibe nawo. Komabe, pazaka zambiri ndidayamba kuwona kuti zinthu zomwe ndimakonda sizabwino kwambiri kukhala kwa ine zaka zingapo zapitazo. Chifukwa chake, mnzanga atandiuza kuti ndiyese glucophage kutalika 750 kuti ndichepe mapaundi ochepa, ndidavomera osakayika. Kupatula apo, ichi ndi mankhwala ovomerezeka, ndipo osati ena onyalanyaza chakudya kapena othandizira ochokera komwe sakudziwika. Sindimanong'oneza bondo! Pambuyo pa kudya kwa masiku khumi, ndinataya 5 kg. Sindinawonepo "zoyipa" zilizonse; bwenzi langa, yemwe ndimayamika kwambiri, sanadandaulanso chilichonse. Sindifunikanso kuchepa thupi, motero ndinayimitsa, ndipo ma kilos sanabwerenso. Ngati wina akukayikira mawu anga, ndikulangizani kuti mufunsane ndi dokotala kuti mupeze zotsutsana musanayambe chithandizo. Chifukwa chake, glucophage yayitali 750 Ndikupangira aliyense amene akufuna kuchepetsa thupi!

Kwa ine, Glucophage akadali woyamba pamtundu wa ndalama zochepetsa thupi, ngakhale ndimavomereza osati kuti muchepetse thupi, komabe ndimafunikira kuti ndichepetse magazi m'thupi. Poyerekeza ndi kuchepa kwamphamvu kwa shuga ndi cholesterol, kulemera kumachepetsedwa. Izi ndizabwino kwambiri. Popeza ndidayamba kumwa zowonjezera, ndipo izi ndi zaka ziwiri, kulemera kwanga sikunangokulirapo, komanso kutsika ndi ma kilogalamu 11. Tsopano thupi lazolowera kale kutenga zowonjezera, zisonyezo zonse zabwerera kwazonse, kotero ndidasiya kuwonda. Mukuyankhula mwachindunji za ma kilogalamu omwe adatayika, ndidataya pafupifupi makilogalamu 6 m'miyezi 4, asanu otsala adatsala pang'ono pang'ono, miyezi inanso isanu ndi umodzi. Tsopano, kwa chaka tsopano, zolemetsa zakhala zikuyimira ndipo izi nzabwino. Panopa ndili ndi zaka 53, choncho kudwala thupi ndicho chinthu changa chachikulu. Tsopano kulemera kwanga kukundipweteka ndipo Glucophage ndimamwa pokhapokha, malinga ndi kusanthula, cholesterol imalumphanso. Kwa shuga ndidagula chowonjezera pamtundu wachilengedwe ndipo ndimatenga ngati prophylaxis. Sindinganene chilichonse chokhudza chitetezo cha Glucofage, pali zambiri zophwanya, palinso zotsatirapo zina mwa malangizo, koma palibe amene adandivutitsa ngakhale kamodzi pazaka 2 za oyang'anira.

Poyamba, muyenera kumvetsetsa kuti Glucofage Long siwothandizira, kapena panacea yolemetsa kwambiri. Awa ndi mankhwala athunthu omwe amalembedwa kwa odwala matenda ashuga, komanso omwe ali ndi shuga okwanira wopanda magazi. Chifukwa chake, musanayankhe payekha "kukupatsani" mankhwalawa, muyenera kufunsa dokotala kuti musavulaze thupi lanu. Mwachitsanzo, ndidadumphadumpha wodwala wamagazi, ndipo kulemera kwanga kudali kopitilira muyeso, chimodzimodzi 6 kg. The endocrinologist zotchulidwa Glucophage. Amachepetsa shuga m'magazi, chabwino, ndipo amakhala ndi mbali imodzi yabwino "- yoyaka mafuta pang'onopang'ono. Saw mapiritsi 1 nthawi patsiku chakudya chamadzulo. Panalibe zotsatirapo zoipa kuchokera pomwe adalandila, ngakhale, m'malo mwake, kulakalaka kumachepa kangapo, sikunali kotheka pa maswiti konse. Ndidayesetsa kutsatira zakudya zoperewera. Maphunziro anga amawerengedwa ndendende kwa mwezi umodzi, munthawi imeneyi ndinawona zotsatira zenizeni osati pakuwunika magazi, komanso kalilore. Makilogalamu 5 adandisiya osazindikira konse, kuchuluka ndi kutupa komwe kumanditsatira kumanzere.

Mankhwala ndi othandizadi, koma onetsetsani kuti mwatsatira malangizowo ndikuwayang'aniridwa ndi dokotala.

Glucophage anandithandiza kwambiri, ndikugwetsa 10 kg kuchokera pamenepo. Koma ndimatsatirabe zakudya zama carb otsika, chifukwa ndili ndi matenda ashuga a 2. Mwa njira, ndidakondana ndi masamba. Shuga alinso otsika kwambiri tsopano, ochepera kuposa momwe analiri (magawo 13 - tsopano 6)!

Ubwino:

Zoyipa:

Usiku wabwino, owerenga anga okondedwa!
Ndikufuna kugawana nanu chidziwitso changa ndikugwiritsa ntchito mapiritsi a Glucofage aatali a 500mg. M'mbuyomu, ndidalemba kale za mankhwala a Glyukofazh (http://otzovik.com/review_2694684.html). Ndikufunsani kuti musasokoneze mankhwalawa. Glucofage amangoyenera kuledzera katatu patsiku, ndipo Glucofage yayitali amayenera kumwa kamodzi kokha patsiku - madzulo.
Ndimadwala matenda a shuga, motero endocrinologist-geneticologist adandiuza kuti ndimwe mankhwalawa Glucofage yayitali mu mlingo wa 500 mg.
Ganizirani za mankhwalawo.
Mapiritsi amagulitsidwa m'bokosi losauka la 30 kapena 60 zidutswa. Nthawi zonse ndimatenga zidutswa 60, ndizachuma.
Tsegulani bokosi. Ili ndi matuza 4 a mapiritsi a zidutswa 15 pachimake chilichonse ndi malangizo ogwiritsira ntchito
Mapiritsi ndi zoyera, zowonda.
Timawerenga malangizowo. The yogwira pophika ndi metformin hydrochloride, zotuluka ndi sodium carmellose, hypromellose 2910, hypromellose 2208, microcrystalline cellulose, magnesium stearate.
Zizindikiro ntchito: mtundu 2 shuga.
Mankhwalawa ali ndi contraindication ambiri. Iyenera kutengedwa mosamala ndi anthu okalamba.
Sangaphatikizidwe ndi mowa.
Ndekha nditha kunena kuti machitidwe a mankhwalawa ndi okwanira patsiku, chifukwa chake ndimamwa kamodzi patsiku chakudya chamadzulo. Ndasambitsa ndimadzi. Piritsi ndiyosavuta kuyala.
Mwambiri, ndakhutira. Mtengo wa bokosi wokhala ndi mapiritsi 60 ndi ma ruble 450.

Ubwino:

Kugwiritsa ntchito, palibe zovuta zoyipa, zabwinobwino pamtengo

Zoyipa:

Tsiku labwino kwa onse!
Lero ndikufuna kulankhula za glucophage ya mankhwala yayitali.
Ndakhala ndikusokonekera kwa mahomoni kwa zaka ziwiri, kunenepa kwambiri. Chaka chatha ndidapita kwa endocrinologist, Siofor ndi Veroshpiron (kuthamanga) adalembedwa.
Zonse zidayamba bwino, koma kenako ndidayamba kukhala ndi zovuta kuchokera kwa Siofor ndipo ndidalemba chilichonse.
Koma chaka chino ndiyenera kuyamba kuchita kena kake, chifukwa kulemera kwanga kudafika pamalo ovuta a 130 kg.
Ndinapitanso kuchipatala cholipira, kwa a endocrinologist omwewo. Ma hormone onse ndi abwinobwino, kupatula testosterone. Anandisankha kuti ndizikhala ndi glucophage nthawi yayitali 500, kenako 750, pambuyo pa 1000. Koma mlingo uyenera kuwonjezeka pokhapokha ngati nditha kulolera bwino. Chilichonse chiri bwino, tsopano ndimamwa glucophage dong 1000. Palibe zotsatira zoyipa, ndimatha kuyimitsa mapiritsiwo, ndimawamwa m'mawa nditatha kadzutsa. Amathetsa kudya ndipo chifukwa chake adayamba kudya zochepa ndipo anali atataya kale 10 kg. Ndimayitanitsa mapiritsi ku pharmacy. Ru, mumzinda wathu sapezeka.
Ndauzidwa kuti ndimwe mapiritsiwa musanabadwe, zomwe ndikachite)
Malangizo monga buku))
Malingaliro anga, mapiritsi awa ndiwabwino kuposa Siofor, koma sindikukulimbikitsani kuwatenga popanda kufunsa dokotala. Zaumoyo kwa inu

Ubwino:

Zoyipa:

Ndinali ndi vuto la kuthana ndi mahomoni kwa nthawi yayitali, zomwe zimandibweretsera matenda a shuga, a insulin yambiri komanso kunenepa kwambiri. Poyamba, adandiuza kuti azikhala ndi glucophage mwachizolowezi, kuchokera kwa iye zovuta zam'mimba ndizambiri: kulawa kwazitsulo ", mseru wokhazikika. Sindinathe kuyimirira ndikuyitaya. Pambuyo pazaka zingapo, endocrinologist wina adalangiza glucophage motalika, kwa ine inali chipulumutso. Zomwe zimathandiza kuti muchepetse kunenepa ndizowona, chifukwa kwa zaka ziwiri ndatsika zoposa 25 kg, inde, simungathe kuyang'ana kwambiri pamalonda awa, muyenera kutsatira zakudya, koma zotsatira zake zimakhala zabwino zonse. Kungomwa mankhwalawa kuti ndisakulimbikitseni kuchepetsa thupi, chimodzimodzi si chakudya chowonjezera osati kungowonjezera zakudya zokha, koma ndi mankhwala oopsa. Musanagule, ndikukulangizani kuti mufunse katswiri wa gynecologist kapena endocrinologist.

Ndataya 10 kg ndi glucophage m'miyezi 3, ndikuganiza zotsatira zabwino

Ndikumwa mankhwalawa kuchiza matenda a prediabetes. Imagwira, shuga idatsikira mpaka magawo 5.5. (chizolowezi) ndi kulemera kwambiri kumachokerapo. Amachepetsa kudya, ndimatha kuchepetsa magawo. Ndataya makilogalamu 9 onse. Kumva bwino pompano.

Dokotala adakhazikitsa theka latha glucophage kutalika. Nditapeza shuga wambiri. Iwo anati "Type 2 shuga." Shuga yachepa, koma ndidatoperanso kwambiri - 15 kilogalamu! Mankhwala abwino! Ndikumva bwino kwambiri! Zovuta zokhudza kuchuluka ndi kufooka sizinathe.

Ndakhala ndikumwa glucophage 500 mg, kwa miyezi itatu tsopano, sinditsatira zakudya zilizonse, ndimakonda maswiti, sindingakane tsiku popanda iwo. Ndipo nditayika makilogalamu 6, ndikuganiza kuti izi ndi zotsatira zabwino. Kuganiza kuti nthawi yachisanu nthawi zonse ndimakhala bwino pa 5, 6 kg, kenako ndikuchepetsa thupi, komanso popanda kudya komanso kuchita masewera olimbitsa thupi.

Ndinamwa mankhwalawa, ndikuganiza kuti adangowonjezera kuchepa thupi. Papita kanthawi kochepa, koma kulemera kumakhalabe m'malo, sikubwerera. Sichimayambitsa mavuto aliwonse.

Mitengo ya glucophage yayitali muma pharmacies ku Moscow

Madokotala amawunika za glucophage yayitali

Mawonekedwe abwino a metformin yayitali. Ndimayambitsa matenda azachipatala a matenda am'mimba komanso matenda amitundu iwiri. Ndimapereka mankhwala othandizira komanso zakudya zosavuta. Sindigwiritsa ntchito ngati mankhwala amodzi. Zotsatira zoyipa zimachepetsedwa. Fomu yolandirayi ndi yabwino kwambiri kamodzi m'mawa.

Zotsatira zabwino kwa odwala kumayambiriro kwa mtundu wachiwiri wa matenda ashuga, ochita bwino ngati 6%%, kutsatira zakudya zomwe zili ndi mafuta a nyama, chakudya chamagulu ochepa, motsutsana ndi "Metformin" wangwiro, kamodzi tsiku lililonse , zomwe ndizofunikira ngati wodwala ali ndi mankhwala ambiri omwe ndi osavuta kumwa

Kugwiritsa ntchito kosavuta - mankhwalawa ayenera kumwedwa 1 pa tsiku. Sichimayambitsa hypoglycemia, ndiye kuti, kutsika kwamisempha. Amagwiritsidwa ntchito pa matenda a shuga a 2, komanso matenda a shuga komanso kunenepa kwambiri.

Metformin (ichi ndi chiwiya chogwiritsidwa ntchito cha mankhwala "Glucofage") choyambirira chimatha kubweretsa chisokonezo pamimba ndikuwonjezereka, koma izi zimatha ndi kuchepa kwa mlingo.

Ndi mankhwala a mzere woyamba pochiza matenda amishuga amitundu iwiri. Kugwiritsa ntchito bwino kuphatikiza zakudya komanso kukonza moyo, kuwonjezera pamenepa, kumathandizira kuchepetsa kuchepa kwa thupi ndi kuchuluka kwake. Glucophage ndi mankhwala oyamba a metformin. Chifukwa cha mawonekedwe a "kutalika" amaphatikizidwa ndi zovuta zochepa. Mlingo umabweretsedwa pamlingo womwe ukulowera pang'onopang'ono.

Ine, monga gynecologist-endocrinologist, ndimakonda kugwiritsa ntchito mankhwalawa, koma musaganize kuti mankhwalawa ndi ochepetsa thupi. Mankhwala ovuta, kutsatira malangizo a zakudya ndi moyo, odwala anga ndimapeza zotsatira zabwino. Izi zikukula mpaka 7 kg pa mwezi komanso kubwezeretsanso kwa mahomoni m'thupi.

Muyezo wagolide polimbana ndi insulin, ndipo osati popanda chifukwa! Kutakasuka kwa kayendetsedwe, kulolerana kwabwino pakati pa kukonzekera kwa metformin.

Zotsatira zoyipa zomwe zimachepetsa kwambiri moyo sizimakhala zokwanira.

Mankhwala abwino, koma popanda kudya mankhwala, mphamvu zake zimakokomeza, makamaka pankhani yochepetsa thupi, zotsatira zake zimakhala zopanda matenda. Pankhani yochepetsa glycemia, komanso wopanda chakudya imagwira ntchito bwino. Mukukhalabe ndi moyo wakale, wodwalayo amakhala ndi zotsika (koma ndizofunikira!) Njira yoletsa.

Mankhwala agwira bwino ntchito. Odwala omwe amawagwiritsa ntchito amalipiridwa bwino, nthawi zina zinali zotheka kuchepetsa ngakhale mlingo wa insulin (sd 2), wotengedwa kamodzi patsiku, womwe ndi wofunikira kwambiri. Glucophage Long adathandizira ena mwa odwala anga kuchepetsa kulemera kwawo, komanso kuthamanga ndi kuthamanga kwa magazi.

Mankhwala amalekeredwa bwino. Zotsatira zoyipa zochepa, motero ndikulembera. Kuchita bwino kutsimikiziridwa.

Glucophage Long ndi mankhwala oyamba kwambiri. Ndiwo metformin wokhazikika. Amayambitsa zotsatira zoyipa pafupipafupi kuchokera ku m'mimba thirakiti. Mosangalatsa zimakhudza kagayidwe ka lipid. Mankhwalawa amatengedwa 1 nthawi patsiku, mapiritsi awiri nthawi yamadzulo.

Mankhwalawa amalekeredwa bwino poyerekeza ndi "Glucofage" yanthawi zonse.

Mankhwala omwewo, ndi abwino, koma siwothandiza kuti muchepetse kunenepa. Kwa okayikira, ndimalimbikitsa kuyang'ana malangizo azomwe zingachitike kuti kunenepa kwambiri komanso kunenepa kwambiri. Koma ngati agwiritsidwa ntchito monga momwe anafunira, alibe ofanana, chifukwa mankhwalawo ndi achikale komanso osakhalitsa, zomwe zimapangitsa kuti magazi azikhala pafupipafupi komanso azikhala zovuta.

Fomu yabwino, piritsi ndi yovomerezeka kwa maola 24, pafupipafupi pamaulamuliro kamodzi patsiku, kawirikawiri sizotsatira zoyipa. Mtengo ndi wabwino. Imagwira bwino ntchito.

Piritsi yayikulu, si aliyense amene angameze.

Ndimapereka mitundu yonse ya kukana kwa insulin: shuga, polycystic ovary syndrome, metabolic syndrome, ziphuphu.

Kwambiri amalekerera subjitively mavuto.

Mankhwala ochepetsa mphamvu, sikuti amasintha chakudya ndikuwonjezera ntchito zamagalimoto, koma amangowonjezera. Ndikofunikira kutsatira kuphatikiza ndi mankhwala ena, kuphatikiza njira za tonic (osati phytotherapeutic) ndikuchulukitsa mphamvu zolimbitsa thupi ndi mphamvu yogwira ntchito. Ndiosavuta kupereka malingaliro "kuyamba kuthamanga osadya", koma kuthamanga osadya ndikovuta.

Glucophage kutalika ndi mankhwala abwino kwambiri. Ndikupangira mu zovuta zovuta kwa odwala anga omwe ali ndi polycystic ovary syndrome komanso popanda kunenepa kwambiri. Mankhwala ndi osavuta kugwiritsa ntchito, kamodzi patsiku. Olekerera bwino ndi odwala.

Phwando lalitali likufunika kuti mupange zotsatira zabwino. Mtengo wololera.

Loyamba la metformin yokonzekera tsiku lililonse. Zotsatira zoyipa zochepa kuposa Metformin.

Chokwera mtengo kwambiri kuposa metformin yokhazikika.

Mankhwala odabwitsa omwe ndimapereka nthawi zambiri amaleredwa bwino ndipo angagwiritsidwe ntchito kwa odwala omwe ali ndi hyperinsulinism, matenda a shuga komanso PCOS.

Glucophage ndiwothandiza kwambiri kunenepa. Mankhwalawa amathandiza odwala kumenya nkhondo mopitirira muyeso, kunenepa kwambiri. "Glucophage" imathandizira kufulumizitsa kagayidwe, kuchepetsa insulin.

Nthawi zina mankhwala "Glucophage" amakhala ndi mavuto, monga nseru.

Mankhwala oyenera omwe amagwiritsidwa ntchito onse pakuchepetsa thupi komanso kwa odwala matenda ashuga.

Mankhwala abwino ochizira matenda a shuga a 2, komanso kuphatikizira kunenepa. Sindinazindikire vuto lililonse. Amachepetsa kulakalaka bwino. Ndikofunikira kuti wodwalayo akwaniritse zonse zomwe dokotala wanena, asinthe kapangidwe ka chakudya ndikuwonjezera ntchito zamagalimoto.

Wopanga wabwino, wodalirika.

Zotsatira zoyipa zochepa poyerekeza ndi ena a Metformin analogues.

Mankhwala abwino kuti muthe kusintha kwa insulin, koma si mapiritsi amatsenga. Potengera maziko oti titenge "Glucophage nthawi yayitali" ndikofunikira kutsatira zakudya za 9a, komanso kukulitsa mphamvu zamagetsi. Tsoka ilo, odwala ochepa amatsatira malangizo osachepera awiri mwa atatuwo. Komano, zovuta zambiri za matenda ashuga zitha kupewedwa.

Kulimbitsa thupi kumachepetsedwa m'masiku oyamba kudya chifukwa cha kuchuluka kwa kagayidwe kazakudya ndi kuphatikiza kwa mapangidwe a insulin, omwe amalola kuti odwala azolowere kusintha kwatsopano kuti akhale ndi thupi.

Glucophage yayitali ndi njira yabwino yothandizira mankhwalawa amtundu wa endocrine wosabereka ndi kutsimikizika kwa insulin kukana kunenepa kwambiri.

Glucophage ndiwothandiza kwambiri pochiza kunenepa kwambiri ndi insulin. Ndizovuta kwa odwala omwe ali mgululi kuti azitsatira ngakhale zoletsa zazing'ono poyamba, osatchula chithandizo chamankhwala chokhwima. Glucophage imathandizira kusintha kagayidwe ka glucose, kuchepetsa kuchuluka kwa insulin, motero, kulakalaka, kumathandiza wodwalayo (pambuyo pa zonse, pali chikhulupiriro piritsi lam'mutu lathu). Njira yosavuta kwambiri yotulutsira, kulandira 1 nthawi patsiku. Chiwerengero cha magwiridwe antchito ndizokhutiritsa.

Ndemanga za wodwala pa glucophage yayitali

Ndinatenga ndi polycystosis, adotolo adanditsimikizira kuti ndichepa thupi - sindimakhulupirira) Pakutha kwamaphunziro ndidataya makilogalamu 4, ndine wokondwa)

Metformin ali munthawi yayitali sanalenge mavuto chifukwa chotenga, kunalibe nseru, kapena zovuta zina zam'matumbo. Ndinaona kuti chitetezo chathupi chimakwera bwino, popeza metformin m'thupi imatsata zakudya zopatsa mphamvu zochepa, kuchepa thupi kumayamba nthawi yayitali, ndimatha kutaya nawo makilogalamu 4. Komabe, piritsi ndi lalikulupo, koma kumeza mwawamba.

Kuyesera kwanga konse kuchepetsa thupi kunalibe kanthu mpaka nditayamba kumwa Glucofage. Katswiri wake wamaphunziro adalembera ine pomwe ndidamupempha kuti andithandizire kunenepa kwambiri. Ndi kutalika kwanga kwa 160, kulemera kwanga kunafika ma kilogalamu 79. Ndimamva, kuyiyika pang'ono, osati bwino. Ndinkapuma movutikira, zinali zovuta kuyenda, ndinakwereranso masitepe kwa theka la ola. Ndipo zonse zinayamba ndi metabolism yolakwika. Ndiye panali chithandizo cha mahomoni ndipo, motsutsana ndi izi, kunenepa kwambiri. Ndidamvetsetsa kuti ndikufunika kuchita kena kake, ndizovuta kuti ndizikhala ndi kulemera kotero, sindingathe kuchepetsa thupi ndekha motero ndidatembenukira kwa katswiri wazophunzira za endocrinologist. Pambuyo pa mayeso, adotolo adandiuza kuti ndidye zakudya zowonjezera ndi mapiritsi a Glucophage Long. Adanenanso kuti mankhwalawa amatithandizira kuti kagayidwe kazinthu kambiri mthupi kagwiridwe ntchito ndikuthandizani kuti muchepetse kunenepa kwambiri, koma mukamamwa, nthawi zonse muyenera kutsatira zakudya. Dotolo adandiuza zakudya kwa mwezi umodzi ndipo adandiuza Glucofage Long pamiyeso ya 500 mg theka la piritsi kwa masiku 10, kenako adandiuza kuti ndiziwonjezera mlingo ndikumwa piritsi limodzi la 500 mg usiku. Chokhacho chomwe ndimamva pamene ndimayamba kumwa Glucophage Long chinali kuchepa pang'ono kwa chikhumbo. Koma ndinalibe mseru komanso matumbo okhumudwa. Ndinawerenga kuti metformin imatha kuyambitsa kugaya chakudya, koma ku Glucofage Long imatulutsidwa kuchokera pachifuwa pang'onopang'ono komanso moyenera kulowa m'magazi. Chifukwa cha izi, zoyipa ndizochepa. Kwa ine, kunalibe. Malinga ndi chiwembuchi, ndidatenga "Glucophage kutalika" kwa mwezi umodzi ndipo nthawi imeneyo ndidataya ma kilogalamu 9. Kenako, kwa miyezi itatu, ndinatenga Glucophage Long. Mlingo unakulitsidwa ndi dokotala mpaka 1000 mg. Panthawi imeneyi, kwathunthu, ndinataya mapaundi 17. The endocrinologist adati zotsatira zake ndi zabwino, muyenera kupuma miyezi iwiri, kenako, ngati kuli kotheka, pitilizani kutenga "Glucofage yayitali." Sanathetse chakudya changa, ndipo ndimachilimbitsa. Cholinga changa ndikuponyera kilogalamu ina 10. Ndipangitsirani zabwino zonse panjira yovuta iyi! "Glucophage kutalika" anali othandizira abwino kwambiri pakuchepetsa thupi. Ndikupangira anthu onse onenepa kwambiri kuti ayesetse kuchepetsa thupi.

Ndakhala ndikutenga Glucophage Long kwa pafupifupi chaka. Anazindikira mtundu wachiwiri wa matenda ashuga, womwe unapangidwa ndi Metformin mwa mtundu wa "Glucophagee Long", osadya kwambiri komanso kuchita masewera olimbitsa thupi. Malinga ndikuwunikira, tsopano zonse zili bwino, ndimatsatira mosamalitsa malingaliro onse a dokotala. Glucophage Long imathandiza.

Yosavuta kugwiritsa ntchito. Kugwiritsidwa ntchito kwa miyezi iwiri ndikupeza zotsatira zomwe mukufuna. Mankhwalawa sayambitsa chifuwa. Otetezeka kwathunthu. Panalibe mavuto amtundu wa m'mimba pambuyo pake. Ndikulangira aliyense ku mankhwalawa.

Glucophage amathandizira kuchepetsa kulakalaka. Nditangoyamba kumwa, nthawi yomweyo ndinayamba kudya zochepa. Anandithandizanso kuonda. Ndipo koposa zonse, shuga amabwerera mwakale.

Anali ku endocrinologist atadandaula kuti ndi wonenepa kwambiri, adalemba "Glucophage Long". Sindinaphikemo kuphika kokha kuchokera ku chakudya, ndinali ndimapeto omaliza kudya maola awiri asanagone, madzulo ndimayenda Nordic ndikumwa mankhwalawa. Kwa milungu itatu, idatsika makilogalamu 6. Glucophage nthawi yayitali sanazindikire zovuta zilizonse. Ndinapita kukasankhidwa kachiwiri. Malangizo a Dokotala - pitilizani kumwa mapiritsi awa, kutsatira malangizo osankhidwa. Pama supermodels sakulingana, mwanjira yabwino amabwera kulemera kwa "kukula-100".

Ndimatenganso Glucophage monga adanenera ndi endocrinologist. Kwa pafupifupi miyezi itatu ndakhala ndikumwa tsiku lililonse, popanda kusokoneza komanso kupuma, piritsi limodzi patsiku. Sanandibweretsere mavuto ena, ngakhale wina atalemba kuti m'mimba thirakiti limakhala lotheka. Adotolo adati pachiyambipo kuti ndi mulingo woyenera, mavuto sayenera kuchitika. Ndiye kuti, ndikuganiza kuti mwina Glyukofazh anali wondiyenera, kapena ndinali ndi mwayi kwambiri ndi adotolo ndipo adawerengera moyenera dongosolo langa, ndipo mwina onse awiri. Muzochitika zanga, mwachidziwikire, nditha kunena kuti pali zotsatira kuchokera pa kulandilaku. Mwazi wamagazi ndi wabwinobwino. Zakudyazo poyambira zinali zolimba, tsopano popeza thupi lasintha, adotolo apumula. Zachidziwikire, ndimayesetsa kuti ndisamagwiritse ntchito molakwika, koma nthawi zina ndimalolera china chake chokoma - kuchokera pazomwe ndingathe, inde. Dotoloyo sanathetse Glucofage ndipo, monga momwe ndikumvera, zikuwoneka kuti sadzasiya. Monga ndimamvetsetsa, ngati shuga, ndiye kuti mankhwalawa amagwiritsidwa ntchito pafupipafupi. Pazonse, sindisamala, chifukwa ndikumverera bwino kwambiri kuposa momwe talandirira. Inde, komanso modekha, kuti thupi, ngati ndinganene choncho, ndilabwinobwino. Ndikukufunirani zabwino zonse ndi shuga wamagazi abwino!

Ndakhala ndikutenga Glucophage Long monga adalangizidwa ndi adokotala kwa nthawi yayitali. Monga momwe ndinganene, zimathandiza. Ndikumva bwino kwambiri, kutopa ndi kutopa ndikusiyidwa, kugona mosalekeza kumakhalanso m'mbuyomu, ndidasiya kuthamangira kuchimbudzi nthawi 5-6 usiku, pepani chifukwa cha kunena moona mtima. Chifukwa chake mankhwalawa amagwira ntchito.

Ndimamwa Glucophage motalika pa upangiri wa endocrinologist wokhudzana ndi matenda a insulin. Anayamba kuwona kusintha kwatha sabata yoyamba atamwa mankhwalawo: chilakolako chake chachepa, kufunafuna maswiti kunazimiririka. Kwa mwezi umodzi adataya 8 makilogalamu, koma kusintha kwa zakudya komanso kuchuluka kwa masewera olimbitsa thupi kunathandizanso kuti achepetse thupi. M'masiku ochepa oyambilira, ndidazindikira zoyipa zam'mimba komanso kusasangalala kwam'mimba, koma izi zidapita mwachangu. Mwambiri, ndine wokondwa ndimankhwala!

Anayamba kutenga monga adanenera ndi endocrinologist, adayamba ndi 875 mg, ndikuwonjezera pang'onopang'ono mlingo mpaka 1000. Kukayikira kunali pa matenda a shuga a 2, phindu silinatsimikizidwe pambuyo pa zaka zingapo zoyang'anira. Ndikuwona kuti mwachiwonekere sindinachepetse thupi kuchokera kwa iye, patatha chaka chotenga ndidapeza angioma (chotumphukira ziwiya zazing'ono). Nditangoyamba kumwa, akuwonekerabe, nseru zosatha, zomwe sizingasokonezedwe ndi chilichonse. Muyenera kumwa usiku, mapiritsi ndi osayenera ndikukhazikika mum'mero. Nditangomwa kumwa, ndimavutikabe kwanthawi yayitali chifukwa cha phokoso kummero kwanga. insulin ndi yabwinobwino kuchokera kwa iwo. Zaka ziwiri pambuyo pake, adasankha Reduxine (mwina amaganiza kuti ndikudya kwambiri ..) kotero ngati, Mulungu ataletsa, mwangozi kudya kena kake mafuta m'gawo laling'ono, ndiye kuti m'mimba mumatuluka. Mpaka ndipange zala zanga mkamwa mwanga, chakudya sichisiye thupi langa. Tsopano akukweza mlingo mpaka 2000, ndikuwopa kumwa mankhwalawa. Tsiku lina kupita kwa gastroenterologist.

Tsiku labwino. Ndikufuna kulemba ndemanga zabwino. Ndidatumizidwa kuti nditenge ndi index yowonjezera ya HOLA. Pambuyo pa miyezi itatu yoyendetsamo mlingo wa 750 mg m'mawa ndi madzulo, chindoko chinachepa. Zotsatira zoyipa, kunyansidwa kokha komwe nthawi zina kumadziwika ndipo zimachitika kwambiri chifukwa cha fungo.

Glucophage motalika anayamba kutenga, monga endocrinologist adandiuza ine. Kuzindikira komwe kwachitika ndi prediabetes. Zizindikiro zomwe zinali: kutopa, kulemera msanga kwambiri (30 makilogalamu kuposa zaka 5), ​​nsapato zam'maso ndizosawoneka bwino. Ndikatenga, ndimamva bwino: Ndimatha kuiwona, ndikuyamba kukhala yokhazikika, ndinasiya kunenepa, sindinachepetse thupi, koma, sindikulemera msanga monga kale (ndimatenga zaka ziwiri, chikhumbo changa chayamba kuchepa).

Mlongo wanga amamwa mankhwalawa. Amanenepa kwambiri. Monga adanenera dokotala, ndidagula ndipo mosangalatsa ndimataya ma kioogram owonjezera. Mtengo wopikisana kwambiri ndi ichi. Tsopano mu sabata imataya pafupifupi 2 kg. Akhutira ndi izi.

Dotolo adapereka mankhwala "Glucophage kutalika" kwa amayi anga okalamba, ali ndi matenda a shuga ndipo, motero, kunenepa kwambiri. Zachidziwikire, simungathe kuzitcha kuti piritsi yokhazikika yachakudya ndipo aliyense amene akufuna kuchepa thupi naye sangathe kuzichita. Ngakhale m'malangizo mulibe mawu oti ichi ndi machiritso a kunenepa. Zimangothandiza kuchepetsa kulemera kwa anthu omwe amadalira insulin komanso omwe amakhala ndi moyo wongokhala, koma monga chowonjezera pakudya, osachotsa. Kulemera kwa amayi, kwenikweni, kunasinthidwa pang'ono mothandizidwa ndi Glucofage Long. Mwa njira, alibe zotsatira zoyipa, osati ngati "Glucophage" wamba.

Dokotala wa endocrinologist adalimbikitsa kutenga Glucophage chifukwa chokhala wonenepa kwambiri komanso kuwongolera kuchuluka kwa shuga. Zotsatira zoyipa kuchokera m'matumbo am'mimba zinali masiku oyambira, ndiye kuti zonse zidabwezereredwa. Chimodzi mwazomwe zimayembekezeredwa chinali kuperewera kwa maswiti komanso kuchepa kwa chilakolako, koma kwenikweni palibe chomwe chachitika kwambiri, kukana kungatheke kokha mwa kufuna! Mwakutero, kuchepa thupi kwachitika, koma muyenera kuzitenga pafupipafupi komanso kwa nthawi yayitali, osati maphunziro. Ngati mwasiya kulandira phwandolo, ndiye kuti kukonda kwanu ndi kulakalaka maswiti kumawonjezera kwambiri kuposa momwe analiri musanalandire.

Glucophage yayitali idayamba kutengedwa monga momwe adalembera gynecologist-endocrinologist - kulemera kochepa kwambiri pambuyo pa HB, chiopsezo chokhala ndi matenda a shuga (makolo onsewo akudwala matendawa). Zinali zowopsa kukhala ndi zotsutsana zambiri komanso zoyipa, komabe anaganiza. Sabata yoyamba inali nseru m'mawa komanso kusweka kwa chopondapo, koma posakhalitsa zonse zidayamba kukhala bwino. Kuchulukitsa kwa magalimoto, idyani zochepa, makamaka madzulo. Kupitilira miyezi itatu yakuvomerezedwa, kulemera kwake kunachepetsedwa ndi makilogalamu 8 (kuchoka pa 71 kupita ku 63), mwina chifukwa cha kusintha kwa moyo, mwina chifukwa cha "Glucophage" (ndikuganiza chifukwa chake). Zabwino zimawoneka kuti ndizotheka kuzidya - kamodzi patsiku lamadzulo nthawi yamadzulo, zoipa zimakhalapo pamndandanda wazotsatira zoyipa.

Kufotokozera kwapfupi

Glucophage yayitali (metformin) - mankhwala ochepetsa glucose omwe amakhala nthawi yayitali. Amagwiritsidwa ntchito pochiza matenda osokoneza bongo omwe amadalira insulin posakhalitsa chifukwa chamankhwala (makamaka mwa anthu onenepa kwambiri). Imagwiritsidwa ntchito ngati mbali ya monotherapy komanso ngati gawo la mankhwala osokoneza bongo osakanikirana ndi mankhwala ena othandizira. Sizitulutsa nawo kanthu kuti amasulidwe a insulin, koma amamva ma insulin receptors. Imayambitsa ntchito yobwezeretsanso malo ogulitsa shuga ndi maselo. Imaletsa kupangidwa kwa shuga ndi chiwindi chifukwa cha kulepheretsa kwa kupanga kwa glucose kuchokera pazinthu zopanda mafuta komanso kuwonongeka kwa glycogen. Imalepheretsa mayamwidwe a shuga m'matumbo am'mimba. Mutatha kumwa mapiritsi, kuyamwa kwa zinthu zogwira ntchito kumatsitsidwa pang'onopang'ono poyerekeza ndi mitundu yokhazikika (yosakhalitsa). Mulingo wambiri wa metformin m'magazi umafikiridwa pa ora la 8, pamene mukumwa mapiritsi amsonkhano, kuphatikiza kwakukulu kumafikiridwa mu maola a 2,5. Kuthamanga ndi kuchuluka kwa mayamwidwe a Glucofage motalika sikukhudzidwa ndi kuchuluka kwa zomwe zili m'mimba mwake. Kuchuluka kwa thupi la metformin mawonekedwe osakhalitsa sikumawonedwa. Mankhwala a pharmacokinetic a mankhwala amati amalamulira pakudya. Glucophage nthawi yayitali imakuthandizani kuti muwonetsetse kuti gawo lofunikira limalowetsa magazi mkati mwa nthawi yokhazikika, yomwe imakupatsani mwayi woti mugwiritse ntchito mankhwalawa kamodzi patsiku, mosiyana ndi Glucofage yokhazikika, yomwe imayenera kumwedwa katatu patsiku.

Glucophage kutalika ndiye metformin yokhazikika yomwe ingagwiritsidwe ntchito kamodzi patsiku. Mankhwalawa amalekeredwa bwino: poyerekeza ndi Glucofage, nthawi zambiri zotsatira zoyipa zomwe zimapezeka m'matumbo amatsika ndi 53%. Osati kawirikawiri (monga lamulo, mwa anthu omwe ali ndi vuto lalikulu la aimpso kulephera) akamwa mankhwala omwe ali ndi metformin, chifukwa chakuwunikira, izi zimabweretsa vuto lalikulu monga lactic acidosis imayamba. Zina zomwe zimayambitsa kukulira lactic acidosis ndi shuga wosalamulirika, uchidakwa, Hypoxia, kusakwanira kwa chiwindi, mkhalidwe wopatsa mphamvu wa maselo, pamene thupi liyamba kuthana ndi minyewa ya adipose kuti ibwezereni mphamvu zosunga. Kugwiritsira ntchito Glucofage motalika kuyenera kusokonezedwa masiku awiri asanafike pokonzekera opareshoni. Njira ya mankhwala ikhoza kuyambiridwanso patatha masiku awiri pambuyo pa opareshoni, malinga ndi momwe impso imagwirira ntchito. Pa pharmacotherapy, ndikofunikira kusiya zakumwa zoledzeretsa. Mukamagwiritsa ntchito Glucofage bola ngati njira yokhayo yolamulira matenda osokoneza bongo, hypoglycemia sikukula, motero, wodwalayo amakhalanso ndi zochitika zina zomwe zimafunikira chidwi ndi chisamaliro (kuyendetsa galimoto, kugwira ntchito ndi njira zowopsa, ndi zina).

Pharmacology

Mankhwala am'magazi a hypoglycemic ochokera pagulu la Biguanide, omwe amachepetsa magulu a shuga ndi postprandial plasma. Simalimbikitsa insulin katemera chifukwa chake sayambitsa hypoglycemia. Zimawonjezera chidwi cha zotumphukira zolandilira ku insulin ndikugwiritsa ntchito shuga ndi maselo.Imachepetsa kupanga shuga kwa chiwindi poletsa gluconeogeneis ndi glycogenolysis. Kuchepetsa mayamwidwe m'matumbo.

Metformin imalimbikitsa kapangidwe ka glycogen pochita glycogen synthetase. Kuchulukitsa kuchuluka kwa mayendedwe amtundu uliwonse wa ma membrane glucose.

Poyerekeza ndi kagwiritsidwe ntchito ka metformin, thupi la wodwalayo limakhalabe lolimba kapena locheperako.

Metformin imakhala ndi phindu pa metabolidi ya lipid: imatsitsa cholesterol yathunthu, LDL ndi triglycerides.

Pharmacokinetics

Pambuyo pakukonzekera pakamwa mankhwala osokoneza bongo ngati mapiritsi atulutsidwa kale, kuyamwa kwa metformin kumayamba pang'onopang'ono kuyerekeza ndi piritsi ndi kutulutsidwa kwa metformin. Pambuyo m`kamwa makonzedwe 2 tabu. (1500 mg) ya mankhwala Glucofage ® Nthawi yayitali kufikira C_max metformin (1193 ng / ml) mu plasma ndi maora 5 (pamtunda wa maola 4-12). Nthawi yomweyo, T_max piritsi lokhala ndi chizolowezi chamasamba awiri ndi awiri

Mofananira ndendende ndi C_ss mapiritsi a metformin mu mawonekedwe a mbiri yapadera yotulutsidwa, C_max ndipo AUC samachulukana molingana ndi mlingo. Pambuyo pakamwa limodzi lokhala ndi 2000 mg ya metformin mwa mapiritsi a nthawi yayitali, AUC ndi ofanana ndi yomwe imaperekedwa pambuyo pa 1000 mg ya metformin mwa mapiritsi ndi kutulutsidwa kwapafupipafupi kwa 2 nthawi / tsiku.

Kusintha C_max ndi AUC mwa odwala pawokha akamamwa mapiritsi a metformin okhala ngati mapiritsi a nthawi yayitali otulutsidwa amafanana ndi omwe amapezeka kuti amatenga mapiritsi okhala ndi mbiri yabwino yotulutsidwa.

Mafuta a metformin kuchokera pamapiritsi a nthawi yayitali sasintha kutengera chakudya.

Kumanga kwa mapuloteni a Plasma ndikosatheka. Ndi_max m'magazi pansi pa C_max plasma ndipo imafikiridwa pafupifupi nthawi yomweyo. Pakati V_d imasinthasintha mosiyanasiyana malita 63-276.

Palibe kuwerengera komwe kumachitika mobwerezabwereza mpaka 2000 mg ya metformin mwa mapiritsi otulutsidwa.

Palibe ma metabolites omwe amapezeka mwa anthu.

Kutsatira pakamwa kwa T_1/2 ili pafupifupi maora 6.5. Metformin imachotsedwa ndi impso. Kutsimikizika kwa impso ndi> 400 ml / min, zomwe zikuwonetsa kuti metformin imachotsedwera ndi kusefera kwamadzi ndi kubisalira kwa tubular.

Pharmacokinetics mu milandu yapadera yamankhwala

Ndi vuto laimpso, kuwonongeka kwa metformin kumachepa molingana ndi CC, T imachuluka_1/2, zomwe zingayambitse kuchuluka kwa plasma metformin.

Kutulutsa Fomu

Mapiritsi okhala ndi manja kwa nthawi yayitali kapena oyera, pafupifupi kapangidwe kake, biconvex, wolemba "750" mbali imodzi ndi "Merck" mbali inayo.

Omwe amathandizira: carmellose sodium - 37,5 mg, hypromellose 2208 - 294.24 mg, magnesium stearate - 5.3 mg.

15 ma PC. - matuza (2) - mapaketi a makatoni.
15 ma PC. - matuza (4) - mapaketi a makatoni.

Chizindikiro "M" chimayikidwa pachithuza ndi paketi yamakhadi kuti aziteteza kuti zisasokoneze.

Mankhwala amatengedwa pakamwa 1 nthawi / tsiku, nthawi ya chakudya. Mapiritsiwo amameza lonse, osafuna kutafuna, ndimadzi okwanira.

Mlingo wa Glucofage ® Kutalika uyenera kusankhidwa payekha kwa wodwala aliyense potengera zotsatira za kuyeza kuchuluka kwa shuga m'magazi.

Glucophage ® Kutalika kuyenera kutengedwa tsiku ndi tsiku, osasokoneza. Ngati atasiya kulandira chithandizo, wodwalayo ayenera kudziwitsa dokotala za izi.

Mukadumpha mlingo wotsatira, mlingo wotsatira uyenera kumwedwa nthawi yokhazikika. Musamachulukitse kawiri mlingo wa mankhwala Glucofage ® Kutalika.

Monotherapy ndi kuphatikiza mankhwalawa kuphatikiza othandizira ena a hypoglycemic

Kwa odwala omwe sanatenge metformin, mlingo woyambira wa Glucofage ® Long ndi 1 tabu. 1 nthawi / tsiku

Pakadutsa masiku 10-15 aliwonse, mlingo umalimbikitsidwa kuti usinthidwe kutengera zotsatira za kuyeza ndende yamagazi. Kukula pang'onopang'ono kwa mankhwalawa kumathandizira kuchepetsa zoyipa kuchokera m'mimba.

Mlingo woyenera wa mankhwala Glucofage ® Kutalika ndi 1500 mg (mapiritsi 2) nthawi 1 / tsiku. Ngati mukumwa mlingo wovomerezeka, sizingatheke kukwaniritsa kuyendetsa bwino glycemic, ndizotheka kuonjezera mlingo mpaka 2250 mg (mapiritsi atatu) 1 nthawi / tsiku.

Ngati mokwanira glycemic control siyikupezeka ndi mapiritsi atatu. 750 mg 1 nthawi / tsiku, ndikotheka kuti musinthe ndikukonzekera metformin ndikumasulidwa kwazomwe zimagwira (mwachitsanzo, mapiritsi a Glucofage ®, mapiritsi okhala ndi mafilimu) okhala ndi 3000 mg yayikulu tsiku lililonse.

Kwa odwala omwe amalandila chithandizo ndi mapiritsi a metformin, mlingo woyambirira wa Glucofage ® Kutalika uyenera kukhala wofanana ndi mlingo wa mapiritsi a tsiku ndi tsiku ndikamasulidwa mwachizolowezi. Odwala omwe amatenga metformin mwanjira ya mapiritsi omwe amatulutsidwa mwanjira yoposa 2000 mg ali osavomerezeka amasinthira ku Glucofage ® Long.

Pofuna kukonza kusintha kuchokera kwa wothandizila wina wa hypoglycemic: ndikofunikira kusiya kumwa mankhwala ena ndikuyamba kumwa mankhwalawa Glucofage ® Long mu mlingo wasonyezedwa pamwambapa.

Kuphatikiza kwa insulin

Kuti mupeze kuwongolera kwakukhazikika kwa shuga wamagazi, metformin ndi insulin zitha kugwiritsidwa ntchito ngati mankhwala ophatikiza. Mulingo woyenera wa mankhwala Glucofage ® Kutalika ndi 1 tabu. 750 mg 1 nthawi / tsiku pakudya, pamene mlingo wa insulin umasankhidwa potengera kuchuluka kwa shuga m'magazi.

Odwala omwe ali ndi vuto la impso

Metformin itha kugwiritsidwa ntchito kwa odwala omwe amalephera kupweteka aimpso (CC 45-55 ml / min) pokhapokha ngati pali zinthu zomwe zingakulitse chiopsezo cha lactic acidosis. Mlingo woyambirira ndi 500 mg 1 nthawi / tsiku. Mlingo waukulu kwambiri ndi 1000 mg / tsiku. Ntchito ya impso iyenera kuyang'aniridwa bwino miyezi iliyonse ya 3-6. Ngati QC yachepera 45 ml / min, mankhwalawo ayenera kusiyidwa pomwepo.

Mu okalamba odwala ndi odwala aimpso kuchepetsedwa, mlingo umasinthidwa malinga ndi kuwunika kwa impso, womwe uyenera kuchitidwa pafupipafupi, osachepera 2 pachaka.

Bongo

Zizindikiro: ndi kugwiritsa ntchito metformin pa mlingo wa 85 g (nthawi yokwanira 42,5 nthawi yayikulu), chitukuko cha hypoglycemia sichinawoneke, komabe, munthawi iyi, kukula kwa lactic acidosis kunawonedwa. Zofunikira kwambiri za bongo kapena zovuta zomwe zingagwirizane nazo zimatha kuyambitsa lactic acidosis.

Chithandizo: ngati zizindikiro za lactic acidosis, chithandizo ndi mankhwala ziyenera kuyimitsidwa nthawi yomweyo, wodwalayo amayenera kugonekedwa kuchipatala mwachangu ndipo atatsimikiza kuchuluka kwa lactate, kufotokozera kuyenera kumveka bwino. Njira yothandiza kwambiri yochotsa lactate ndi metformin kuchokera mthupi ndi hemodialysis. Chithandizo cha Zizindikiro zimachitidwanso.

Kuchita

Poyerekeza ndi maziko a kulephera kwa ntchito yaimpso kwa odwala omwe ali ndi matenda osokoneza bongo, kafukufuku wama radiology ogwiritsira ntchito ayodini omwe amakhala ndi radiopaque othandizira amatha kuyambitsa lactic acidosis. Glucophage ® Kutalika kuyenera kuyimitsidwa maola 48 asanafike komanso kusapangidwanso maola 48 atayesedwa kwa X-ray pogwiritsa ntchito ma ayodini okhala ndi ayodini, malinga ngati ntchito ya impso imadziwika kuti ndi yachilendo pakubwereza.

Kudya kwa Ethanol kumawonjezera chiopsezo cha lactic acidosis panthawi yoledzera ya pachimake, makamaka ngati akuperewera kwa vuto la kuperewera kwa thupi, kudya zakudya zochepa za calorie, komanso kulephera kwa chiwindi. Pa chithandizo, musagwiritse ntchito mankhwala okhala ndi Mowa.

Kuphatikiza komwe kumafunikira kusamala

Mankhwala okhala ndi vuto losakhazikika la hyperglycemic (mwachitsanzo, GCS ndi tetracosactide yogwiritsika ntchito mwadongosolo komanso zodwala)₂--adrenomimetics, danazol, chlorpromazine pamene atengedwa kwambiri Mlingo (100 mg / tsiku) ndi okodzetsa: kuwunika pafupipafupi kwa shuga wamagazi kungafunike, makamaka kumayambiriro kwa chithandizo. Ngati ndi kotheka, mlingo wa mankhwala Glucofage ® Long ungasinthidwe munthawi ya chithandizo ndipo utatha, kutengera mtundu wa glycemia.

Kugwiritsa ntchito munthawi yomweyo mankhwala a "loop" okodzetsa kungayambitse kukula kwa lactic acidosis chifukwa chakulephera kugwira ntchito kwaimpso.

Ndi munthawi yomweyo kugwiritsa ntchito mankhwala Glucofage ® Kutalika ndi zotumphukira za sulfonylurea, insulin, acarbose, salicylates, hypoglycemia imayamba.

Nifedipine imachulukitsa mayamwidwe ndi C_max metformin.

Mankhwala a Cationic (amiloride, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamteren, trimethoprim ndi vancomycin) omwe amatulutsidwa mu renal tubules kupikisana ndi metformin kwa machitidwe oyendetsa ma tubular ndipo angayambitse kuchuluka kwa C_max.

Pogwiritsidwa ntchito nthawi yomweyo ndi metformin mu mawonekedwe a mapiritsi othandizira-amasulidwe, wheelsetel imachulukitsa kuchuluka kwa plasma ya metformin (kuchuluka kwa AUC popanda kuchuluka kwakukulu kwa C_max).

Zotsatira zoyipa

Kutsimikiza kwamafupipafupi a zovuta: pafupipafupi (≥1 / 10), nthawi zambiri (≥1 / 100, 5 mmol / l, kuchuluka kwa anionic ndi lactate / pyruvate. Ngati mukukayikira lactic acidosis, muyenera kusiya kumwa mankhwalawo ndikuwonana ndi dokotala nthawi yomweyo.

Kugwiritsa ntchito metformin kuyenera kusiyidwa kwa maola 48 kusanachitike opaleshoni yomwe ikukonzedwa ndipo kutha kupitiliridwanso osapitilira maola 48 zitatha, pokhapokha ngati pakuwunika ntchito ya impso idadziwika kuti ndiyabwino.

Popeza metformin imachotsedwa impso, isanayambe chithandizo, komanso nthawi zambiri, ndikofunikira kudziwa QC: kamodzi pachaka kwa odwala omwe ali ndi vuto laimpso, komanso kawiri pachaka kwa odwala okalamba, komanso odwala CC malire ochepera. Pankhani ya CC zosakwana 45 ml / min, kugwiritsa ntchito mankhwalawa kumatsutsana.

Kusamalidwa makamaka kuyenera kuchitika ngati zingatheke kuwonongeka kwa impso mwa okalamba, pamene ntchito antihypertensive mankhwala, okodzetsa kapena NSAIDs.

Odwala omwe ali ndi vuto la mtima ali ndi chiopsezo chachikulu chokhala ndi hypoxia komanso kulephera kwa impso. Odwala omwe ali ndi vuto la mtima akudwala ayenera kuyang'anira ntchito ya mtima ndi impso akamamwa metformin.

Metformin makonzedwe owopsa a mtima Kulephera ndi mtima kulephera kwa osakhazikika hemodynamic magawo ndi contraindicated.

Njira zina zopewera

Odwala akulangizidwa kuti apitirize kudya zakudya zokhala ndi chakudya chamafuta tsiku lonse.

Odwala onenepa kwambiri amalangizidwa kuti azitsatira zakudya zama calorie otsika (koma osachepera 1000 kcal / tsiku). Komanso, odwala ayenera kuchita masewera olimbitsa thupi pafupipafupi.

Odwala ayenera kudziwitsa dokotala za chithandizo chilichonse chomwe chaperekedwa komanso matenda ena opatsirana, monga kupuma komanso matenda amkodzo thirakiti.

Kuyesedwa pafupipafupi kwa labotale kuyenera kuchitidwa pafupipafupi kuyang'anira matenda ashuga.

Metformin siyimayambitsa hypoglycemia pa nthawi ya monotherapy, koma kusamala kumalangizidwa mukamagwiritsidwa ntchito ndi insulin kapena othandizira ena pakamwa (mwachitsanzo, sulfonylureas kapena repaglinide). Zizindikiro za hypoglycemia ndi kufooka, kupweteka mutu, chizungulire, kutuluka thukuta, malo amaso, kusawona bwino, kapena chidwi.

Ndikofunikira kuchenjeza wodwalayo kuti zigawo zomwe zingagwiritsidwe ntchito ndi mankhwala Glucofage ® Kutalika zitha kutulutsidwa mosasinthika kudzera m'matumbo, zomwe sizikukukhudzani ntchito yochizira mankhwalawa.

Kukopa pa kuyendetsa magalimoto ndi kayendedwe kazinthu

Monotherapy yokhala ndi Glucofage ® Kutalika sikumayambitsa hypoglycemia, chifukwa chake sikukhudza kuyendetsa galimoto ndikugwira ntchito ndi makina.

Komabe, odwala ayenera kuchenjezedwa za chiopsezo cha hypoglycemia mukamagwiritsa ntchito metformin limodzi ndi mankhwala ena a hypoglycemic (zotumphukira za sulfonylurea, insulin, repaglinide).

Kutulutsa Mafomu

Mitundu yodziwika kwambiri yotulutsidwa kwa Glucophage ndi mapiritsi okhala ndi mitundu yosiyanasiyana yogwira ntchito:

• 500 mg - mapiritsi, ofanana ndi makapisozi, omwe khungu lake ndi loyera kapena loyandikira, mbali imodzi pali zolemba "500 mg",
• 750 mg - mawonekedwe omwewo ndi mapiritsi okhala ndi 500 mg yogwira ntchito, olemba "750" mbali imodzi, olembedwa "MERCK" mbali inayo,
• 1000 mg - mtundu womwewo ndikulemba ngati mapiritsi okhala ndi zinthu 750, koma m'malo molemba "750" - "1000".

Palinso mapiritsi okhala ndi 850 mg yogwira ntchito.

Phukusili limakhala ndi miyala 30 mpaka 100 ya miyala.

Kapangidwe ka mapiritsi Glucophage ndi ofanana pamitundu yonse yotulutsidwa:

Zothandiza pa metformin

Metformin ili ndi zinthu zambiri zothandiza:

• Kutsitsa shuga m'magazi mukamamwa m'mimba yopanda kanthu kapena mukatha kudya,
• Kuchulukitsa kulolera kwa glucose
• Amachepetsa mayamwidwe a shuga ndi kuchuluka kwake kwa chiwindi,
• Imathandizira kagayidwe kakang'ono ka shuga,
• Sichikukhudza katemera wa pancreatic
• Matenda amasintha kapangidwe ka magazi mwa odwala omwe ali ndi matenda ashuga mpaka pazofunikira kuti akhale ndi thanzi,
• Zimatithandizira kulemera kwa thupi mwa anthu onenepa kwambiri ndipo zimathandizira kuchepetsa,
• Mafuta omwe amachepetsa omwe amaphatikizidwa ndi chakudya, thupi,
• Kuchepetsa kuchuluka kwa cholesterol pamakoma amitsempha yamagazi, komwe kumalepheretsa matenda ambiri a mtima komanso kuyendetsa maphunziro awo.

Ma fanizo odziwika a mankhwala:

1. Glyformin - mankhwala omwe ali ndi ntchito yomweyi, yopangidwa ngati mapiritsi. Zochita zimayenderana ndi mawonekedwe a Glucophage. Gawani odwala omwe ali ndi mtundu wa shuga wachiwiri ngati njira zochizira sizothandiza.
2. Glucophage Kutalika - zomwe zimagwira ntchito zomwezo komanso zimakhudza thupi, monga kumwa Glucofage, koma kusiyana pakati pa mankhwalawa ndikuti Metformin imatengedwa pang'onopang'ono - kuyika kwake kwakukulu m'thupi kumachitika pambuyo pa maola 7, osati pambuyo pa 2,5. Izi zimakuthandizani kuti mumutenge muyezo 2 nthawi zochepa kuposa Glucofage.
3. Combogliz - kuphatikiza pa metformin, mankhwala omwe amagwiritsidwa ntchito ndi saxagliptin. Kafukufuku wopita patsogolo amatsimikizira kuthekera kotenga zinthu ziwiri zochepetsa glucose munthawi yomweyo pazovomerezeka. Izi zimathandiza kuchepetsa kwambiri mkhalidwe wa wodwalayo komanso njira ya matendawa.
4. Forethine - ndi metformin yogwira ntchito ndi zomwe zimayenderana kwathunthu ndi Glucofage.
5. Bagomet - mapiritsi okhala ndi nthawi yayitali komanso mankhwala a metformin, omwe amakhala ndi 850 mg aliyense.
6. Metfogamma 850 - yokhala ndi mawonekedwe ofanana ndi Glucofage, ndiyothandiza kwambiri kwa anthu odwala matenda ashuga a 2 komanso kukhala onenepa kwambiri.

Kuphatikiza pazomwe tafotokozazi, ma fanizo ndi monga: Combogliz, Metfogamm 500 ndi Metfogamm 1000, Fomu Pliva, Langerin, Metaspanin ndi Metadiene.

Fotokozerani mankhwalawo ayenera kukhala katswiri pamaziko a mtundu uwu wa kafukufuku wofufuzira, monga magazi kuti apange magazi.

Mfundo yogwira ntchito

Malangizo ogwiritsira ntchito Glucofage pakuchepetsa thupi amalumikizidwa ndi zomwe zimachitika ndi zomwe zimachitika pakapangidwe kake. Kuphatikiza pa kuchepetsa ndende ya shuga, mankhwalanso:

• Kutsitsa Magazi testosterone, zomwe ndizofunikira kwa amayi omwe mahomoniwa amawabisalira mopitirira muyeso kuti athetse kuchuluka kwa mahomoni ndikupewa kubereka kapena kusabereka.
• Imachepetsa chilako ndipo zimayambitsa kudzimbidwa posagwirizana ndi zakudya zamagulu, zomwe zimaperekedwa kwa anthu odwala matenda ashuga. Izi zitha kuperekedwa kwa anthu omwe alibe matendawa, koma imwani mankhwalawa kuti muchepetse thupi mofulumira.
• Lowers kolesterol, zomwe zimatsogolera kuthamanga kwa magazi ndi njira zama metabolic ambiri.
• Amachepetsa kuchuluka kwa shuga, zomwe zimatsogolera kutsegula kwamafuta acids ndikuwotcha kwamafuta kwambiri - chifukwa thupi ligwiritsa ntchito minofu yamafuta kusunga ntchito yofunika, osati mphamvu yomwe imabwera ndi chakudya.

Kutenga?

Malamulo akuluakulu ogwiritsira ntchito glucophage:

1. Onetsetsani kuti mukugwirizana pakumatenga mankhwalawo ndi katswiri, kuti musavulaze thanzi lanu.
2. Muyenera kuyamba ndi milingo yaying'ono ndikuwonjezera pang'onopang'ono - kusintha thupi pang'onopang'ono ndi mankhwalawo, kumakhala kothandiza kwambiri. Kusintha kumawonetsedwa ndi kudzimbidwa, komwe kumawerengedwa ngati chofunikira kwambiri masiku oyambira.
3. Kuti zotsatira zoyipa zichepe, muyenera kugawa mlingo wa tsiku ndi tsiku mumagawo angapo ndi kumwa mankhwalawo nthawi yayitali.
4. Kuti muchite bwino mukamachepetsa thupi, muyenera kutsatira zakudya zomwe zili ndi zoperewera za calorie.
5. Pa nthawi yochepetsa thupi, ndikofunikira kumwa madzi ambiri - izi zimathandizira njira za metabolic ndikusintha khungu.
6. Tengani mankhwalawa musanadye.
7. Kutalika kokwanira kwa maphunziro a Glucofage kuti achepetse thupi ndi masabata atatu, ngati kuli koyenera, zitha kubwerezedwa pambuyo pa miyezi iwiri.

Limodzi mwa malamulo akuluakulu otenga Glucofage kuti muchepetse kuwonda ndi kuwonjezeka kwapang'onopang'ono kwa mlingo. Muyenera kuyamba ndi 1000 mg wa mankhwala patsiku loyamba la masiku 3-7, pokhapokha mutatchula zovuta, muwonjezere mlingo mpaka 8000 mg.

Kodi kuchepetsa thupi ndi glucofage?

Kulandila kwa glucophage sikungakhale njira yayikulu yolimbana ndi kunenepa kwambiri. Ma kilogalamu omwe adataya nthawi ya maphunzirowa adzabweranso patangotha ​​nthawi yochepa mukamaliza kumwa mankhwalawo, ngati moyo wanu sufanana ndi womwe walimbikitsidwa kuti muchepetse kunenepa.

Upangiri wambiri kuchokera kwa akatswiri amomwe mungapangire kuti muchepetse kuwonda mosavuta komanso momwe zotsatira zake zingakhalire:

1. Phatikizani zakudya zopatsa mphamvu mwachangu: maswiti, zophika zoyera, chakudya mwachangu, chimanga chotsetsedwera, zakudya zosavuta. Muyenera kupewa kudya mbatata, zipatso zokoma za kalori.
2. Maziko ake azikhala: masamba osaphika ndi zipatso, nyama yopendekera, nsomba, nyemba ndi mtedza, zopatsa mphamvu pang'onopang'ono m'magulu a chimanga omwe sanayende pang'onopang'ono.
3. Kutsatira ndi kuperewera kwa kalori ya 20% kumakhala kotsimikizika kukuthandizani kuti muchepetse thupi osavulaza thanzi ndi upholstery wa khungu, zomwe zimachitika kawirikawiri ndi zakudya zama calorie otsika.
4. Kuledzera kwamafuta, ngakhale athanzi, kuyenera kukhala kochepera komanso kuchuluka kwa zakudya zomwe zimakhala ndi omega acid ndi 10-15% ya zakudya zonse. Magulu abwino kwambiri amafuta: mafuta apamwamba apamwamba, mtedza, mbewu, mapeyala.
5. Monga zakudya zilizonse zathanzi, ndikofunika kupewa kuchepa kwa madzi ndi kumwa magalasi osachepera 10 amadzi oyera tsiku lililonse.
6. Kudya chakudya m'magawo ang'onoang'ono - izi zimathandizira kugaya chakudya, komanso kuthandizira kuchepetsa kukula kwa m'mimba, zomwe zimapangitsa kuti chiuno chichepe.
7. Ndikofunikira kudya masamba ndi zipatso zosaphika, zinthu zina zonse zomwe zimafunikira kutentha zimayenera kuwiritsa, kuwotcha, kuphika. M'malo mokazinga, gwiritsani ntchito kuphika kopanda ndodo kapena kudyetsa m'madzi.
8. Kuphatikiza pa zakudya, ndikofunikira kulipira chidwi chifukwa cha zolimbitsa thupi. Zochita za Cardio ndizoyenera: kuthamanga, kudumpha, kukwera, kuyenda mwachangu, masewera olimbitsa thupi ndi masewera olimbitsa thupi. Tiyenera kukumbukira kuti kuphunzira kwambiri minofu kumalimbikitsa kupanga lactic acid, yomwe imachepetsa mphamvu ya glucophage.
9. Kusisita, kukulunga thupi, kusungunuka, kuchezera malo osambira ndi suna, kusungunulira madzi pafupipafupi komanso kudyetsa khungu lanu kumathandizira kuti khungu likhale labwino.

Zizindikiro zogwiritsidwa ntchito

Zizindikiro zazikulu pakugwiritsira ntchito mankhwalawa ndi:

1. Anazindikira ndi katswiri wokhala ndi matenda a shuga 2, ngati chithandizo cha mankhwala chomwe adokotala adapereka sichimapereka zotsatira zabwino. Ndikofunika makamaka kugwiritsa ntchito mankhwalawa kwa anthu omwe ali ndi thupi lolemera.
2. Zochizira akuluakulu omwe ali ndi matenda ashuga monga monotherapy kapena kuphatikiza ndimankhwala ena amkamwa kuti ayang'anire shuga.
3. Zochizira ana kuyambira zaka 10 monga monotherapy kapena osakaniza mankhwala ena.

Contraindication

Contraindative pakutenga Glucofage ndi:

• Kusalolera payekha kwa zomwe zikuchitika kapena zothandiza za mankhwala.
• Matenda a shuga.
• Mitundu iliyonse ya acidosis ndikuphwanya mulingo wa asidi-momwe mungakulitse acidity.
• Kulephera kwakukulu kwaimpso.
• Pachimake zinthu mu thupi, kumene kumatha kuyambitsa matenda aimpso: kuchepa magazi, kutupa, kuletsa, mantha.
• Matenda omwe zotsatira zake zimatha kuchitika minofu hypoxia: kulephera kwa mtima kapena kupuma, kulowetsedwa kwa myocardial, kugwedezeka.
• Kuchepa kwa chiwindi, uchidakwa komanso kuledzera.
• Zaka kuyambira zaka 60.
• Mimba komanso nthawi yoyamwitsa.
• Kubwezeretsa nthawi pambuyo pa matenda akulu ndi maopareshoni.

Kodi pali zotsatira?

Ndemanga kuchokera pakutenga Glucofage kuti muchepetse kuwonda kukuwonetsa zotsatirazi:

• Kuwonongeka kwa 6 kg mu masabata atatu chifukwa chotsatira zakudya ndi kuchepa kwa kalori. Nthawi yomweyo, oposa theka la iwo omwe amachepetsa thupi amayamba kukhala ndi zotsatirapo zamagetsi.
• Kuwonongeka kwa 3 makilogalamu mu masabata atatu osagwirizana ndi zakudya komanso popanda kuchita masewera olimbitsa thupi.
• Kuperewera kwa zotsatira, limodzi ndi zovuta.
• Kuperewera kwa zotsatira popanda zoyipa, ngakhale mutatsata malangizowo pazakuchepetsa.

Musanaganize zothana ndi mankhwala kuti muchepetse kunenepa, muyenera kukumbukira kuti Glucofage ndi mankhwala ochizira matenda oopsa, osati othandizira pazakudya kapena mavitamini omwe amalimbikitsa kutentha kwa mafuta.

Glucophage pambuyo pobadwa

Mimba imadziwika kuti ndi yolakwika kwambiri pa ntchito yogwiritsira ntchito Glucofage ndipo isanayambike maphunziro, akatswiri amalimbikitsa mwamphamvu kuti mkazi awonetsetse kuti alibe pakati.

Nthawi yobereka, ngakhale mayiyo sayamwitsa, imawoneka nthawi yoyenera kumwa mankhwalawa, chifukwa ndi zofanana ndi kuchira matenda akuluakulu kapena opareshoni. Kuchira pambuyo pake kumatha pafupifupi miyezi iwiri. Nthawi yomwe mutha kugwiritsa ntchito Glucophage iyenera kutsimikiziridwa ndi dokotala.

Ngati mayi ayamwitsa pambuyo pobadwa kwa mwana, ndiye kuti saloledwa kumwa Glucofage. Ngakhale kuti kumwa mankhwalawa ndi azimayi oyamwitsa, kunalibe zotsatirapo zakhanda la mwana, akatswiri akuti pakupaka msambo, mankhwalawa amatha kuvulaza thanzi la mayiyo.

Koma ngati patha zaka ziwiri kapena kupitilira apo, mayiyo akwaniritsidwa ndipo palibe zotsutsana chifukwa chotenga Glucofage, ndiye mutha kuyigwiritsa ntchito pakuchepetsa nthawi yomweyo, mukuwona mlingo woyenera.

Kanema - Siofor ndi Glucophage kuchokera ku matenda ashuga komanso kuwonda

Simungagwiritse ntchito mankhwalawa limodzi ndi mankhwalawa:

• Lorista N - adapangira zochizira matenda amtima,
• Phenibutntchito yochotsa mavuto amisala ndikubwezeretsa dongosolo lamanjenje,
• Ataraxzotchulidwa zochizira matenda osiyanasiyana etiology,
• Arion retard - mankhwala omwe amatenga matenda oopsa kuti abwezeretsenso mavuto ena,
• Fluoxetine - mankhwala omwe ndi ofunikira kuchiza matenda amisala, makamaka pakudya.

Kusintha kofunikira pakudya

Kusintha kwakukulu mu zakudya komwe kumakwaniritsidwa kuti mupeze zotsatira zabwino komanso kuchepetsa zoopsa zoyipa:

• Kupatula kwathunthu kwa chakudya chamafuta mu mawonekedwe a ufa, wokoma, mbatata, uchi ndi zipatso zotsekemera, zipatso.
• Kuchepetsa kwa pang'ono pang'onopang'ono wamafuta munjira yophika.
• Kugwiritsa ntchito mkaka ndi mkaka moperewera,
• Kukana mafuta azinyama.
• Chepetsani kumwa mafuta azamasamba.
• Lowetsani mndandanda wazakudya zambiri zokhala ndi fiber: zosakonzedwa monga chimanga, yaiwisi, yophika, yophika, yophika ndi masamba ophika, zipatso zatsopano zowawasa ndi zipatso. Mutha kuwonjezera ma fiber tsiku ndi tsiku monga chimanga chilichonse, komanso ma fiber owuma, omwe amagulitsidwa m'masitolo ogulitsa mafuta mu mawonekedwe a ufa.
• Pali magawo ang'onoang'ono, koma nthawi zambiri.
• Ndi kulimbitsa thupi kwambiri, kuti musunge minyewa ya corset muyenera kudya nyama yopanda tanthauzo, nsomba ndi nsomba zam'madzi tsiku lililonse.