Momwe mungatengere Siofor 500 pa matenda a shuga a 2

Madokotala amatcha Siofor 500-850 a mtundu wa 2 wa shuga kuti ndi imodzi mwazithandizo zabwino kwambiri zochizira matenda a metabolism. Mankhwalawa amagwiritsidwa ntchito ndi odwala kukonza glycemia komanso kupewa zovuta za matendawa. Nthawi zina mankhwalawa amagwiritsidwa ntchito kuchepetsa thupi la munthu wodwala matenda ashuga.

Mphamvu ya Siofor mwamwambo imakhalabe metformin hydrochloride. Kupanga kwamankhwala amtunduwu kumabweretsa kutsika kwa kuchuluka kwa shuga m'magazi, kumapangitsa kuti thupi lizikhala ndi chakudya komanso mafuta ambiri.

Siofor pamsika wamankhwala amaperekedwa mwanjira ya mapiritsi. Zosiyanasiyana, kutengera mlingo:

1. 500 mg Madokotala amapereka mankhwala awa m'magawo oyambirira a mankhwala a 2 a matenda ashuga. Popita nthawi, mlingo wa mankhwalawa umachuluka.
2. 850 mg The ambiri ndende ya mankhwala ntchito mankhwalawa matenda.
3. 1000 mg Mlingo woterewu umaperekedwa kwa odwala omwe sangathe kukwaniritsa zolinga zawo za glycemic pogwiritsa ntchito metformin yapitayi.

Kuphatikiza pa metformin, magnesium stearate ndi povidone zilipo pakupanga Siofor.

Njira yamachitidwe

Metformin ndiye muyeso wa "golide" wothandizila matenda a shuga 2. Madokotala amalimbikitsa kumwa mankhwalawa kwa anthu onse omwe ali ndi vuto la kuwononga mafuta m'thupi monga mtundu wa insulin.

Madokotala amagwiritsa ntchito Siofor yokhayo kapena ngati gawo la mankhwala ochepetsa shuga. Endocrinologists kusiyanitsa zotsatirazi zochita za mankhwala:

• Kupititsa patsogolo chiwopsezo cha minyewa komanso zotumphukira maselo zokhudzana ndi insulin. Siofor imachepetsa kukana mahomoni ofanana, imayambitsa matenda a glycemia, osapangitsa kuchepa kwambiri kwa ndende yamagazi.
• Kuletsa chiwindi shuga. Mankhwalawa amaletsa kaphatikizidwe ka monosaccharide wolingana ndi mankhwala osagwiritsa ntchito chakudya - gluconeogeneis, amalepheretsa kusweka kwa malo ake.
• Anachepetsa chilako. Mapiritsi a shuga a Siofor amalepheretsa kuyamwa kwa chakudya cham'mimba. Chifukwa cha izi, mankhwalawa adagwiritsidwa ntchito mwa odwala omwe akufuna kuchepetsa thupi.
• Kukondoweza kwa glycogeneis. Metformin imagwira ntchito pa puloteni inayake yomwe imatembenuza mamolekyulu omasuka kukhala ma glycogen conglomerates. Carbohydrate imachokera m'magazi, "kukhazikika" m'chiwindi ndi minofu.
• Kuwonjezeka kwa m'mimba mwake wa pore. Kutenga Siofor ku matenda a shuga kumathandizira kukweza kwa glucose m'maselo ndikulimbikitsa otenga amkati mwa mamolekyulu.

Mankhwalawa amaphatikizanso minofu ya adipose yaumunthu komanso mankhwala a lipid aulere. Kukhazikika kwa mankhwala a Siofor kumabweretsa kuchepa kwa kuchuluka kwa cholesterol ndi atherogenic lipoproteins m'mwazi.

Zotsatira Zoyembekezeredwa

Endocrinologists amalimbikitsa kuti odwala omwe ali ndi insulin kukana amwe mankhwalawa kuti azitha kukhazikitsa metabolism. Kafukufuku wachipatala adatsimikizira kugwira ntchito kwa Siofor (metformin).

Zotsatira zotsatirazi zitha kusiyanitsidwa pambuyo poyambira mankhwala:

• Kuchepetsa shuga. Mu milandu ya 50-60%, ndizotheka kukwaniritsa zolinga za glycemic ndi monotherapy, ngati mankhwalawa atengedwa molondola.
• Kuchepetsa Zizindikiro. M ludzu, kuuma ndi kuyabwa kwa khungu kumatha, kukodzanso kumasintha. Kuchita kwake kumatengera kusankha koyenera kwa mlingo.
• Kukhazikika kwakhazikika ndikukonza moyo wabwino.
• Kuchepetsa chiwopsezo cha zovuta za matenda - retino-, angio-, polyneuro- ndi nephropathy.

Metformin mu kapangidwe ka Siofor, chifukwa cha momwe imakhudzira thupi ndi kulekererana kwabwino, amalembedwa ndi madokotala 85% ya milandu pamaso pa mtundu wa 2 wodwala omwe amafunikira kuwongolera kuchipatala.

Zizindikiro ndi contraindication

Endocrinologists amalimbikitsa kutenga Siofor pazotsatirazi:

• Matenda a 2 a shuga, omwe sangakhale okhazikika ndi zakudya zochizira komanso masewera olimbitsa thupi nthawi zonse.
• Kupewa matenda ashuga. Metformin imachepetsa chiopsezo cha kupita patsogolo kwa matenda a carbohydrate metabolism mu gawo la prediabetes. Madokotala amalimbikitsa kugwiritsa ntchito mankhwalawa kwa odwala omwe ali ndi kunenepa kwambiri kapena onenepa kwambiri kumbuyo kwa hyperglycemia.

Zomwe zikuwonetsedwa ndizovomerezeka kwa odwala azaka zopitilira 10. Pochita, pali nthawi zina pomwe simungathe kutenga Siofor. Contraindations akuphatikiza:

• Hypersensitivity gawo limodzi kapena zingapo za mankhwalawa.
• Hyperketonemia kapena chikomokere.
• Zowononga kwambiri impso ndi chiwindi ndi kupita patsogolo kwa ziwalo zogwirizana.
• Manjenje, sepsis.
• Zochita za opaleshoni zofunika kusintha kwa insulin.
• Kuwonjezeka kwa ndende ya lactic acid mu seramu ndi lactic acidosis.
• Mimba komanso yoyamwitsa.
• Kuledzera.
• Zaka mpaka zaka 10.

Kugwiritsa ntchito kwa Siofor pazinthu zonse pamwambazi kumawopseza kukulitsa zovuta zazikulu ndikukulitsa mkhalidwe wa wodwalayo.

Malamulo ogwiritsira ntchito

Malangizo ogwiritsira ntchito mankhwalawa amaphatikizanso kumwa mankhwalawa monga gawo la monotherapy kapena kuphatikiza ndi mankhwala ena ochepetsa shuga. Madokotala amamwa kumwa mapiritsi a Siofor 500 mg kawiri kapena katatu patsiku, kutengera kuwopsa kwa matendawa.

Odwala amamwa nawo pakamwa kuti achepetse chiopsezo chokhala ndi mavuto. Pakadutsa masiku 14 aliwonse, endocrinologist imasintha mlingo malinga ndi mphamvu ya glycemia yamunthu.

Mapiritsi a Siofor 850 a shuga 2 amalembedwera matenda olimbitsa thupi nthawi zonse kuwonetsetsa kuchuluka kwa shuga m'magazi.

Mlingo wovomerezeka kwambiri, womwe suyambitsa zovuta, opanga amatcha 1000 mg imodzi. Osagwiritsa ntchito mankhwala oposa 3 g pa tsiku.

Siofor pakuchepetsa thupi

Malangizo aboma amapereka ntchito kwa Siofor kuchokera ku matenda osokoneza bongo komanso kupewa. Odwala akufuna kudziwa ngati ndizotheka kugwiritsa ntchito mankhwalawa kuthana ndi kunenepa kwambiri. Odwala amakumana pa intaneti akutsimikiza kuti muchepetse thupi ndi Siofor.

Zotsatira za mankhwalawa, zomwe zimapangitsa kuti kulemera kwake kukhale kwamphamvu:

• Anachepetsa chilako.
• Kuletsa kwamatumbo a shuga.
• Kukhazikika kwa chakudya chamafuta ndi mafuta.

Mankhwala achikhalidwe salimbikitsa kumwa Siofor kuti muchepetse thupi. Mankhwala amakhalabe mankhwala omwe amakhala achilendo kwa thupi la munthu.

Kuti mukwaniritse zotsatira za kuchepa thupi, wodwalayo amatsata zakudya zapadera ndikuchita masewera olimbitsa thupi pafupipafupi. Kungomwa mapiritsi sikwabwino.

Madokotala amayang'ana kwambiri payokha. Siofor amathandizira odwala ena kutaya mapaundi owonjezera, pomwe kwa ena sapereka zotsatira zomwe akufuna.

Musanagwiritse ntchito mankhwalawa kuti muchepetse kunenepa, koma popanda mavuto ndi kagayidwe kazakudya, muyenera kufunsa dokotala. Dokotala amafotokozera maphunziro azachipatala ndi a labotale, zotsatira zake zimakhazikitsa kufunikira kotenga Siofor.

Zotsatira pa Magnesium ndi calcium calcium

Thupi laumunthu limafunikira mavitamini ndi michere kuti igwire ntchito. Matenda a shuga amapezeka ndimatenda a metabolic, omwe amatsagana ndi:

• kuchepa kwa ndende ya magnesium ndi zinc mu magazi,
• kuchuluka kuchuluka kwamkuwa.

Kuchuluka kwa calcium kumayambiriro kwa matendawa sikusintha. Asayansi apeza momwe Siofor amakhudzira kagayidwe kazakudya m'thupi la wodwalayo. Kupita patsogolo kwa kuchepa kwa magnesium ndi zinc kumayendera limodzi ndi kuwonongeka kwamunthu.

Mankhwala samakulitsa kuchepa kwa zinthu izi. Asayansi aku Romania adayesa momwe adatsimikizira kuti mankhwalawa amtundu wa 2 matenda, metformin:

• kuchuluka kwa zinc ndi magnesium kumawonjezeka,
• zomwe zimakhala ndi calcium ndi mkuwa sizimasinthika.

Kuteteza matenda a shuga a Sioforom

Kupewa matenda a shuga ndi vuto lamakono la anthu. Asayansi sanapezebe njira yomwe matenda angapewere. Malinga ndi malingaliro a endocrinologists a ku Europe ndi ku America, kuti muchepetse kusokonezeka kwa kagayidwe kazachilengedwe, muyenera kutsata moyo wathanzi.

Mwa anthu omwe amadya zakudya zopatsa thanzi ndipo nthawi zonse amachita nawo masewera, chiopsezo chokhala ndi zovuta za metabolic zimachepetsedwa ndi theka.

Siofor ndiye mankhwala okhawo omwe amalimbikitsidwa ndi madokotala popewa hyperglycemia. Komabe, silimaperekedwa kwa aliyense. Endocrinologists amadziwa njira zotsatirazi pogwiritsa ntchito njira zoletsa matenda:

• Kuchuluka kwa hemoglobin wa glycated ndi 6% kapena kuposa.
• Matenda oopsa
• Kuwonjezeka kwa kuchuluka kwa cholesterol ndi triacylglycerides m'magazi.
• Kunenepa kwambiri
• Kupezeka kwa matenda amtundu wa 2 mwa abale apamtima.

Malangizo a kusankha Siofor popewa matenda am'magazi onse amakhazikitsidwa payekhapayekha. Madokotala amagwiritsa ntchito Mlingo kuchokera 250 mpaka 850 mg mpaka kawiri pa tsiku.

Zotsatira zoyipa

Siofor ndi mankhwala omwe samayambitsa zotsatira zoyipa. Wopanga azindikiritsa zotsatirazi:

• Matenda a Dyspeptic. Odwala amavutika ndi kusintha kwamakomedwe, mseru, kusanza, kusokonekera kumapitilira. Kuti muchepetse zizindikirozi, mankhwalawa amadyedwa ndi chakudya.
• Kufooka, chizungulire.
• Kuchepa kwa khungu ndi kumachitika pakhungu.
• Kuwonjezeka kwa ndende ya lactic acid m'magazi ndi lactic acidosis.

Kuti muchepetse kuopsa kwa zoyipa, wodwalayo amakambirana ndi adotolo, ndipo mlingo umakulitsidwa pang'onopang'ono.

Malangizo apadera

Endocrinologists amayang'ana chidwi cha odwala omwe amagwiritsa ntchito Siofor ya matenda ashuga pazinthu zotsatirazi:

• Kawongoleredwe ka glycemic pafupipafupi komanso kusintha kwa mankhwalawa kutengera zizindikiro.
• Kafukufuku wa kotala anayi okhudza kuchuluka kwa lactate m'mwazi.
• Kusankha kwamunthu payekha kwa mlingo wa Siofor mwa odwala omwe ali ndi vuto la impso ndi kwa chiwindi.

Endocrinologists samapereka mankhwalawa kwa amayi apakati komanso amayi oyamwitsa. Palibe zenizeni zokhudzana ndi zoyipa za Siofor pa mwana wosabadwa, koma mankhwala omwe amatha kulowa mu choletsa cha fetoplacental.

Metformin ndi chinthu chogwira ntchito cha Siofor. Mumsika wogulitsa, mankhwala amaperekedwa omwe amachitanso chimodzimodzi, koma ali ndi mayina osiyanasiyana. Zowerengera za chida ichi ndi:

• Glucophage.
• Metformin MV-Teva.
• Metformin Ozone.
• Metfogamma.

Endocrinologists amayang'ana odwala mankhwala Glucofage Long. Mankhwalawa amakhala ndi metformin, yomwe imalowa m'thupi pang'onopang'ono ndipo imapereka chitetezo chokhazikika cha glycemic. Kuti athetse vuto lawo, odwala amagwiritsa ntchito piritsi limodzi patsiku.

Dokotala wofunsayo amasankha kuti ndi mankhwala ati omwe angafotokozere wodwala wina. Kusankha kwayekha kwa mankhwala kumawonekera pakukula kwa matendawa komanso kukula kwa zoyipa.

The zikuchokera, kumasulidwa mawonekedwe ndi pharmacological zochita za mankhwala

Izi zimapangidwa mu mawonekedwe a piritsi, kugwiritsidwa ntchito kwa zinthu zomwe zimatsogolera kungakhale kosiyana. 500 ndi 1000 mg ndizopatukana, komanso Siofor 850. Chofunikira kwambiri ndi metformin, ndipo zida zothandizira ndi povidone, hypromellose, magnesium stearate ndi ena.

Zotsatira zake zimachitika chifukwa chakuchepa kwamphamvu kwa kuphatikiza glucose yogaya m'matumbo, kuperewera kwa kuchuluka kwa kapangidwe kazinthu mu chiwindi. Chidwi chimakopedwa ndikuwongolera kuchuluka kwa chiwopsezo cha zida zopanga minofu pachipumi mpaka ku mahomoni okhala ndi chinthucho. Musaiwale za:

• zabwino pa kagayidwe ka lipid kokwanira,
• kusintha kwakukulu pakupanga magazi,
• kutsika kwa shuga, pakudya komanso pambuyo pake.

Chifukwa cha metformin, momwe glycogen synthetase imadziwika ndi kupanga kwa glycogen kwachilengedwe kumapangidwira. Kuchuluka kwa kuchuluka kwa mapuloteni otengedwa omwe amaphatikizidwa kumakonzedwa ngati kosakhazikika, komwe kumathetsa kuwoneka koyipa kwambiri.

Zizindikiro zogwiritsidwa ntchito

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Siofor imayambitsidwa ndi mtundu wachiwiri wa matenda ashuga, ndiko kuti, ndikukhazikitsa fomu yodziyimira payokha. Izi ndizofunikira kwambiri pakakhala kunenepa kwambiri komanso insulin kukana matenda (kuchepa kwa chidwi cha minofu).

Mlingo ndi malamulo ogwiritsa ntchito mankhwalawa

Mitundu yamagwiritsidwe ntchito imatsimikizidwa ndi katswiri potengera kuchuluka kwa shuga, msambo wa wodwalayo, ndi zina mwa momwe alili. Kuchulukitsa koyamba kwa matenda ashuga amtundu wa 2 kuchokera pa 500 mpaka 1000 mg maola 24. Pakukonzekera chithandizo, chiŵerengerocho chimawonjezeka sabata iliyonse - iyi ndiyenera kuvomerezedwa. Pankhaniyi, mlingo wamba patsiku umatha kufika 1300-1700 mg, ndipo kuchuluka kwake ndi 3000 mg.

Dokotala dzina limatengedwa pachakudya, mapiritsiwo samatafunidwa ndikusambitsidwa ndi madzi ambiri. Ngati voliyumu ya tsiku lililonse yomwe dokotala wakhazikitsa ndi madigiri awiri kapena atatu, tikulimbikitsidwa kuti tiziigawa kangapo. Chifukwa chake, ndikofunikira kumwa Siofor kuchokera ku shuga m'mawa ndi madzulo. Tiyenera kukumbukira kuti:

• onetsani kuti mwana sangathe,
• Zizindikiro za kutentha ziyenera kukhala mkati,
• mwa zotere, mankhwalawa amasungidwa zaka zitatu, pambuyo pake kugwiritsa ntchito sikuvomerezeka.

Contraindication ndi zoyipa

Malangizo ogwiritsira ntchito ndi awa: Fomu yodalira insulin, kuletsa kupanga kwa mahomoni, mapangidwe a chikomokere ndi makolo, komanso kupezeka kwa ketoacidosis ndi zovuta zina za metabolic. Tchera khutu ku chikhazikitso cha impso ndi chiwindi, mtima, kupuma kulephera komanso kusanachitike infarction state ndi pathological changes mu kupuma dongosolo.

Zina zofunika kwambiri za matenda a shuga a 2 amatha: kutseguka kwa matenda ochulukirachulukira, ma neoplasms, ndi dziko la catabolic. Osagwiritsa ntchito mankhwalawa pachimake hypoxia, opaleshoni ndi kuvulala, zakudya zama calorie ochepa. Zoletsa, ndizoletsa zaka za 18, mtundu wina wauchidakwa komanso kusalolera pazinthu zazikulu ndi zowonjezera za dzinalo.

Zotsatira zoyipa 50% ya milandu imakhala yotsatirayi - kugaya chakudya m'mimba ndi thirakiti lam'mimba, kupweteka kwam'mimba, kupwetekedwa m'mimba pafupipafupi. Komanso samalani ndikuphwanya lamulo la kumverera, kutsekemera kwama gag ndikuwonda kwambiri. Osachepera zosowa ndi zovuta mu hematopoietic dongosolo ndi thupi lawo siligwirizana.

Kumbukirani:

1. ndikuwoneka thukuta kwambiri, kunjenjemera, kumverera kwanjala, kufooka ndi kukomoka, mutha kuweruza vuto lochulukirapo.
2. Ngati wodwalayo akudziwabe, amapatsidwa chakudya chochuluka ndi chakudya,
3. ndi kutayika kwa ndende, kuyamwa kwa njira ya 40% ya shuga amaperekedwa.

Kuyanjana kwa mankhwala osokoneza bongo

Dzinali ndi cimetidine, ethanol ndi anticoagulants limagwiritsidwa ntchito nthawi zambiri. Kuyambitsa kwawo munthawi yomweyo kuchira kumayambitsa mavuto, monga kupangika kwa mitundu yayikulu ya hypoglycemia, lactic acidosis.

Kuwonjezeka kwakukulu kwa zotsatira zovuta za hypoglycemic kumatha kugwiritsa ntchito mankhwala ochepetsera shuga, ma salicylates, beta-blockers, MAO inhibitors ndi ACE inhibitors.Zomwezi zitha kunenedwa za oscitetracycline.

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Kugwiritsa ntchito nthawi imodzimodziyo glucocorticoids, kulera kwapakamwa kumachepetsa kuchuluka kwa shuga. Zofanana zimadziwika ndi mitundu yonse ya phenothiazine ndi mankhwala okodzetsa, mahomoni ochita kupanga kuti asunge endocrine gland. samalani nicotinic acid ndi mawonekedwe ake, sympathomimetics. Gwiritsani ntchito mosamala kwambiri kapangidwe kake pophatikizira ndi Torvacard.

Kupanga kwamankhwala

Zinthu zothandiza zomwe zili piritsi limodzi la Siofor 500.

Zotsatira za pharmacological

Siofor 500 - othandizira a hypoglycemic omwe cholinga chake ndi kuthana ndi matenda ashuga. Imachepetsa nthawi yoyamwa shuga m'mimba, imachepetsa kuchuluka kwa shuga omwe amalowa m'magazi. Mankhwalawa amalimbikitsa kuzindikira kwa minofu. Chifukwa cha mapiritsi, kugwiritsa ntchito shuga ndi minofu kumakulitsidwa. Mulingo wake m'thupi umachepa.

Siofor 500 imasintha kagayidwe ka lipid. Hypolipidemic effect imathandizira izi. Kugwiritsa ntchito mapiritsi kumakhudza thupi la munthu amene amakonda kudwala matenda ashuga komanso amachepetsa chilakolako chofuna kudya, monga taonera malangizo.

Pharmacodynamics ndi pharmacokinetics

Piritsi ikamezedwa, kuyamwa kwa metformin hydrochloride kumachitika m'mimba ndi m'matumbo. Kwambiri machulukidwe a yogwira mankhwala zimawonedwa 2 mawola atamwa mlingo waukulu wa mankhwala. Kutalika kwa plasma yogwira ntchito sikudutsa 0,004 mg.

Ngati muphatikiza kudya magome ndi kudya, mapangidwe a mankhwalawa amachepetsa ndipo amalowa m'magazi ocheperako.

Odwala omwe ali ndi thanzi labwino, kuthekera kotengera mankhwalawa kumafika pafupifupi 60%. Zogwira ndi zogwira ntchito za mankhwalawa zimadziunjikira mu tiziwalo tating'ono ndi ziwalo zosiyanasiyana za munthu. Metformin imawoneka m'magazi ofiira. Kulumikizana ndi mapuloteni a plasma sikumawonedwa.

Pambuyo maola 6, mankhwalawa amachoka m'thupi ndi 50%. Kupyola impso, imatuluka monga momwe idakhalira. Chilolezo cha metformin chimafikira 400 ml / min. Ndi mavuto mu ntchito ya ziwalo zamkati, Zizindikiro zimachepa, zomwe zimawonjezera nthawi ya chimbudzi cha zinthu.

Siofor 500, malangizo ogwiritsira ntchito amafotokoza momwe athane ndi matenda amtundu wa 2 shuga. Koma amawapatsa mankhwala atatha kudya pothandizidwa ndi zovuta zolimbitsa thupi samapereka zotsatira zomwe akufunazo. Nthawi zambiri izi zimachitika mwa anthu omwe ali ndi thupi lalikulu kwambiri.

Mankhwalawa amagwiritsidwa ntchito mosiyanasiyana. Nthawi zambiri, ngati monotherapy. Izi zimathetsa kufunika kotenga mankhwala angapo nthawi imodzi ndikuwononga ndalama pogula. Siofon amagwiritsidwanso ntchito ngati akukhudzana ndi mankhwala a insulin kapena hypoglycemic.

Malangizo ogwiritsira ntchito Siofor500, mlingo wa matenda ashuga

Siofor 500, malangizo ogwiritsira ntchito akuwonetsa kuti mugwiritse ntchito ndi chakudya, kapena mutatha. Chifukwa chake imamwekedwa bwino. Ndondomeko ya kumwa mapiritsi, mlingo, nthawi yanthawi yamankhwala amatchulidwa ndi dokotala. Njira yothandizira odwala ndi payekha. Mlingo woyenera wa mankhwalawa umatengera kuchuluka kwa shuga m'magazi.

Malamulo oyambira:

1. Mlingo wa monotherapy wa okalamba odwala: mapiritsi 1-2 (0,5 g) patsiku kwa masiku 10-15.
2. Pambuyo pake, poganizira kuchuluka kwa kuchuluka kwa shuga m'thupi, mlingo wa mankhwalawa umachulukirapo, kubweretsa mapiritsi anayi tsiku lililonse. Kuwonjezereka kosavuta kwa mankhwalawa kumapangitsa kuti asatenge mwayi wokhala ndi zizindikiritso zosiyanasiyana zamkati. Makamaka, m'mimba, matumbo.
3. Simungathe kugwiritsa ntchito mapiritsi oposa 6 a mankhwala patsiku, omwe amagawidwa kuposa 3 waukulu.
4. Ndi mankhwala osakanikirana ndi insulin, muyenera kumwa piritsi limodzi mpaka 2 pa tsiku. Mlingo pang'onopang'ono umakulitsidwa mapiritsi 4, kutsatira masiku asanu ndi awiri. Kutengera ndi zomwe zimapezeka mu glucose m'magazi a munthu, dokotala amasankha kuchuluka kwa insulin. Mlingo wa tsiku ndi tsiku sapitirira 6 ma PC., Sagwiritsidwa ntchito kamodzi, koma mu 3 waukulu.
5. Kusintha kuchokera ku mankhwala amodzi a shuga kupita ku Siofor 500, ndikofunikira. Mapiritsi am'mbuyomu adathetsedwa ndipo wina amamwa.
6. Kwa nzika zakale, mlingo umayikidwa mosamala, kuyambira pamlingo wa creatinine. Pa mankhwala, kuyang'anira impso nthawi zonse.
7. Ana, kuyambira zaka 10, amapatsidwa piritsi 1 (0.5 g) patsiku. Njirayi ndiyothandiza pa monotherapy komanso pochizira insulin. Pambuyo pa masabata awiri, ngati kuli kotheka, mlingo umawonjezereka mpaka mapiritsi 4 a mankhwala.
8. Kuchuluka kwa insulin kumayikidwa poyerekeza ndi kuchuluka kwa shuga m'magazi.
9. Ndikofunikira kudziwa! Mukamagwiritsa ntchito Siofor, muyenera kupimitsa magazi anu onse. Izi zikuwonetsa tsatanetsatane wa kugwira ntchito kwa chiwindi, impso, zimakulolani kuchitapo kanthu mofulumira ngati mukulephera.

Izi ndizofunikira, chifukwa mankhwalawa ndi owopsa ku matenda a chiwindi komanso mavuto ena a hepatobiliary system. Siofor iyemwini ali ndi zotsatira zoyipa zochepa pachiwindi kuposa kugwiritsa ntchito yokazinga, kusuta.

Sizoletsedwa kumwa mapiritsi komanso kupewa matenda ashuga. Komabe, limodzi ndi kugwiritsa ntchito mankhwala, ndikofunikira kutsatira zakudya zomwe zili ndi chakudya chokwanira. Kupanda kutero, zotsatira zake zimakhala zopanda mphamvu.

Momwe mungamwe mapiritsi a polycystic ovary

Kuchuluka kwa insulin kumadzetsa mavuto osiyanasiyana azaumoyo. Chodziwika kwambiri mwa akazi ndi ovary ya polycystic.

Zizindikiro za polycystic:

• kulephera kwa ovulation kumachitika
• kuchuluka kwa androjeni opangidwa ndi thumba losunga mazira kumawonjezeka,
• kulephera kwa mahomoni kumachitika,
• maselo amthupi amalephera kuyamwa glucose.

Zomwezi zimachitikanso ndi matenda ashuga. Chifukwa chake, madokotala adayamba kuchiza matenda a ovary a polycystic. Siofor 500 imakhazikika pakumayenda kwa ovulation popanda kuyambitsa zovuta za insulin. Mankhwalawa amalembera mitundu ina ya kusabereka. Kutsutsa kwa insulini ndikofanana kwa azimayi a mawonekedwe aliwonse, mosiyana ndi mawonekedwe a shuga.

Mukamamwa mapiritsi:

• kulakalaka kumachepa
• kulemera kwa mzimayi kumachepa
• pali kuchepa kwa kuchuluka kwa kupanga androgen,
• khungu limakhala loyera
• kupsinjika kwabwerera mwakale
• kusamba kwayamba kuyenda bwino.

Zotsatira - mwayi wopanga mwana wosabadwayo ndikuwonjezereka kwake. Ndi polycystosis, khalani oleza mtima. Amathandizidwa nthawi yayitali - kuyambira miyezi isanu ndi umodzi. Panthawi imeneyi, msambo, kusinthana kwa khungu kumachitika. Ngati ndi kotheka, njira yochizira imakulitsidwa kapena kusinthidwa.

Madokotala amalembera:

• Imwani 500 mg ya mankhwalawa patsiku, wogawidwa katatu.
• Imwani mankhwalawo ndi chakudya mukamamwa madzi ambiri,
• Simungathe kutenga zoposa 1700 mg ya mankhwalawa patsiku.

Siofor 500 imagulitsidwa mosamalitsa malinga ndi chinsinsi. Amadziphimba kuti agwiritse ntchito pakudzipangira nokha mankhwala.

Ndemanga pakugwiritsa ntchito bwino kwa mankhwalawa ndi zabwino. Kuphatikiza apo ndikuwonetsa kukhathamira kwakukulu pochiza mazira a polycystic, mankhwalawa amachepetsa chiopsezo chokhala ndi matenda a shuga, mavuto pakuchitika kwa mtima. Ndikofunikira kudziwa! Osagwiritsa ntchito mankhwalawa masiku awiri musanayesedwe kwa X-ray.

Kodi Siofor500 ithandiza pakuchepetsa thupi? Malangizo ogwiritsira ntchito

Momwe mungataye mapaundi ochepa, kuthana ndi zolakalaka zazikulu zamafuta? Anthu ambiri ali ndi mafunso awa. Kuwayankha, madokotala nthawi zambiri amalimbikitsa Siofor. Pambuyo pothana ndi mankhwalawo, munthuyo amasiya kukopeka ndi maswiti. Amapanga chisankho pokomera zakudya zoyenera. Chiwerengerochi chimasinthidwa mwachangu, popeza kuchuluka kwa zopatsa mphamvu zomwe zimagwiritsidwa ntchito kumachepetsedwa kwambiri.

Zochita za Siofor pakuchepetsa thupi:

• kuchepetsa thupi
• kuchepetsa mafuta
• kuchepa kwa insulini,
• kumverera kwa kupepuka
• kutaya chidwi chofuna kudya maswiti,
• kapangidwe ka zakudya zopatsa thanzi.

Siofor ndi mankhwala amphamvu omwe cholinga chake ndi kuthana ndi matenda oopsa. Kuchepetsa thupi kumakhala kutali ndi ntchito yake yayikulu. Chifukwa chake, musanayambe maphunzirowa, ndikofunikira kuti mupezane ndi katswiri, kuti mupambane mayeso ofunikira. Pofuna kuchepetsa thupi, mankhwalawa amatengedwa sabata iliyonse.

Zofunika:

1. Maphunzirowa amamangidwa kotero kuti masiku 7 aliwonse, munthu amakhala wolimba kwambiri mpaka 2 kg. M'tsogolomu, kuwonjezeka kwa mulingo sikusiyidwa.
2. Kuchepetsa kusapeza bwino, mapiritsi amamwa atatha kudya. Ndi njira yayitali, kufooketsa matumbo a ntchito ya vitamini B12, yomwe imakhudzidwa ndi hematopoiesis, imawonedwa.
3. Poyamba, Siofor 500 amatenga mapiritsi awiri patsiku. Kuchulukitsa mlingo wa mapiritsi 4 kumayamba osati patatha sabata limodzi ndi theka.

Ndikofunikira kudziwa! Odwala omwe amagwiritsa ntchito Siofor kwa nthawi yayitali amasiya kuwona kuchepa kwakukulu kwa thupi.

Siofor ndi mankhwala osankhidwa a mtundu wa matenda a shuga a 2

Kuphatikiza apo, katswiri aliyense amadziwa bwino kuyanjana kwamafupipafupi, mtundu wa 2 matenda a shuga komanso matenda am'mitsempha, omwe amatsogolera pakupita patsogolo kwa atherosulinosis. Apanso, ubale wa kunenepa kwambiri, kusokonezeka kwa chakudya cham'mimba komanso lipid metabolism komanso kufalikira kwa mtima zamatumbo kumalongosoledwa ndi njira yonse ya pathogenetic - insulin kukana.

Siofor ndi chisankho choyamba chothandizira odwala omwe ali ndi matenda a shuga a 2 omwe amakhala ndi chithandizo chamankhwala osagwiritsa ntchito bwino, kuthetsa ntchito yofunikira kwambiri komanso yovuta panthawi yolandira matenda a shuga a 2, monga, amathandizira kuchepetsa thupi komanso kupewa kuwonjezeka. Mankhwala amathandiza kwambiri osati kokha ndi monotherapy.

Biguanide iyi ndiwowonjezera ku sulfonylureas ndi mosemphanitsa. Izi zimakuthandizani kuti mukwaniritse bwino chiphuphu pamlingo wotsika wa PSM ndikuchepetsa insulin. Siofor tikulimbikitsidwa kuti azigwiritsidwa ntchito mosaperekera chindapusa cha mtundu 2 wa shuga mwa odwala omwe ali ndi insulin.

Izi zimabweretsa kusintha kwa insulin sensitivity komanso kusintha kwa kagayidwe kazakudya, kamene kamapangitsa kuchepa kwa insulin. Siofor imapezeka m'mapiritsi a 500 ndi 850 mg, omwe amalola kusankha kosavuta kwa mlingo wofunikira.

Malinga ndikufufuza kwa anthu odwala matenda ashuga ku Britain (UKPDS, 1998), kumwa mankhwala okhaokha a Metformin kunapangitsa kutsika kwa kufa kwa matenda ashuga ndi 42%, komanso kunachepetsa chiopsezo cha kuphwanya myocardial ndi 39%, komanso zovuta zonse za anthu odwala matenda ashuga ndi 32%.

Kugwiritsa ntchito kwa Siofor kumavomerezeka mu "Malangizo a Federal kwa madokotala pakugwiritsa ntchito mankhwala", 2001. Mankhwala amasiyanitsidwa ndi mtundu wotsimikizika malinga ndi malamulo apadziko lonse lapansi.

Kugwiritsa

Magawo ogwiritsira ntchito: matenda oopsa a shuga osadalira insulin (mtundu wachiwiri wa matenda ashuga), makamaka onenepa kwambiri ngati milandu yolimbitsa thupi yogwiritsa ntchito zakudya zoyenera yokhazikika ikhoza kukhazikitsidwa. Siofor itha kugwiritsidwa ntchito limodzi ndi sulfonylurea zotumphukira, insulin.

Siofor imachulukitsa kugwiritsidwa ntchito kwa glucose m'matumbo onse munthawi yokhazikika komanso pamimba yopanda kanthu, zomwe zimathandiza kwambiri kupewa kutuluka kwa glycemia pambuyo. Poyerekeza ndi maziko a mankhwala a Siofor, glycemia atatha kudya amachepetsa 20 - 25%. Zomwe zimachitika ndi lactate metabolism pa anaerobic glucose glycolysis pa mankhwala ndi mankhwalawa zimachepetsa chiopsezo cha hypoglycemia.

Katundu wina

Siofor ilinso ndi katundu wina. Chifukwa chake, chosafunikira kwenikweni mtundu wa matenda ashuga a 2 ndi kuthekera kwake kuchepetsa kuchuluka kwa lipids mu plasma ndikupanga choletsa minyewa ya plasminogen activator -1 (IAP-1), yomwe imawonjezera ntchito ya fibrinolytic ya magazi. Zotsatira zake, kugwiritsa ntchito mankhwalawa kwa nthawi yayitali, chiopsezo chokhala ndi atherosulinosis chimachepa.

Njira yotsitsa shuga

Zimatsimikiziridwa kuti kuchepa kwa shuga kwa Siofor kumalumikizidwa ndi kuthana kwake ndi kaphatikizidwe ndi thirakiti la onyamula shuga mu cell. Chiwerengero cha omwe amayendetsa glucose amachulukitsidwa mothandizidwa ndi metformin mu membrane wa plasma wa adipocytes onse ndi monocytes.

Odwala omwe akuchitidwa ndi metformin, kuchepa thupi kumawonedwa, mosiyana ndi zomwe zingachitike ndikugwiritsa ntchito mankhwala a sulfonylurea ndi insulin. Kuphatikiza apo, metformin imathandizira kuchepetsa lipids mu seramu, imawonjezera ntchito ya fibrinolytic ya magazi, imachepetsa kuphatikiza ma cell, yomwe imakhudza bwino njira ya macroangiopathy.

Ngati ma glycosylated hemoglobin indices m'magulu onsewa anali ofanana ndipo amachepetsa kwambiri ndi 2% poyerekeza ndi nthawi yamankhwala, ndiye kuti kuchuluka kwa odwala omwe amathandizidwa ndi metformin ndipo insulin inali yotsika 5 kg poyerekeza ndi gulu la odwala omwe amachitidwa ndi gliclazide ndi insulin

Kuyerekeza katundu wa Siofor ndi Glucofage kukonzekera odwala matenda ashuga

Anthu odwala matenda ashuga nthawi zambiri amadzifunsa kuti: "Ndi mankhwala ati abwinoko, Siofor kapena Glucofage?". Mutha kuyankha funsoli mwakuwunika momwe mankhwalawa amagwiritsidwira ntchito onse.

Siofor amadziwika kuti ndi wotchuka kwambiri padziko lonse lapansi ngati mankhwala a matenda a shuga. Mankhwalawa amakhala ndi metformin, yomwe imathandizira maselo kubwezeretsa chidwi cha insulin, potero kupewa insulin.

Kuphatikiza apo, Siofor amathandizira kuchepetsa cholesterol yamagazi ndikuchepetsa chiopsezo chokhala ndi matenda amtima. Koma mwayi wake wosakayikira ndikuchepetsa thupi pang'onopang'ono komanso moyenera.

Siofor wa matenda ashuga amtundu wa 2

Malamulo oyambira kupewa matenda a shuga a 2 amaphatikizanso kukhala ndi moyo wathanzi. Popeza dziko lili ndi kuchuluka kwa anthu, kupewa kungaphatikizepo kusintha kwa chakudya komanso kuchuluka kwa zochita zolimbitsa thupi.

Glucofage imatha kutengedwa ngati chiwonetsero cha Siofor cha matenda ashuga a 2. Ku mulingo wina, ndizabwino, koma palinso zovuta zina.

Ubwino wake ndiwakuti Glucofage yayitali imakhala ndi mphamvu yayitali, ndiye kuti metformin imamasulidwa ku mankhwalawa pasanathe maola 10. Pomwe Siofor mu theka la ola likutha kuchitapo kanthu. Komabe, palinso glucophage osatenga nthawi yayitali.

Kodi Glucophage ndi wabwino bwanji kuposa Siofor?

Kwa Siofor, pali mlingo ndipo ndi bwino kumamwa kangapo patsiku. Mapiritsi a Glucophage amatengedwa kamodzi patsiku. Zotsatira zoyipa kuchokera m'matumbo am'mimba ndizochepa, makamaka chifukwa chovomerezeka. Palibe kusintha kwadzidzidzi m'kukoka kwa glucose m'magazi, makamaka m'mawa ndi maola ausiku. Ngakhale mulingo wotsika, siwotsika ndi Siofor pakuchepetsa shuga. Monga mapiritsi a Siofor, Glucofage imalembedwa mtundu wachiwiri wa matenda a shuga ndipo kuchepetsa thupi ndi njira yabwino.

Siofor - malangizo, mtengo, ndemanga ndi fanizo la mankhwala

Siofor ndi mankhwala amkamwa a hypoglycemic pochizira matenda a shuga a mtundu wachiwiri. Siofor imachepetsa kukana kwa insulin, imalimbikitsa kuyamwa kwa glucose ndi minofu, imalepheretsa gluconeogeneis, imachepetsa adsorption ya glucose m'matumbo, imapangitsa mbiri ya lipid, imakhazikika kapena imachepetsa thupi.

Zochizira

Siofor ndi kukonzekera kwa pakamwa kwa hypoglycemic komwe kumaphatikizapo mphamvu ya metformin biguanide, kumawonjezera kugwiritsidwa ntchito kwa glucose ndi maselo a minofu, ndikuwonjezera mphamvu yakuphatikizika kwa insulin, potero kumachepetsa kukana kwa insulini.

Imalepheretsa kuyamwa kwa glucose, inhibits gluconeogenesis, imasintha mawonekedwe a lipid, imakhazikika kapena kuchepetsa thupi, kuilepheretsa kukhazikikanso, imathandizira fibrinolysis komanso imalepheretsa kukula kwa zovuta zamagazi a shuga. Sichikhudza chinsinsi cha insulin ndi kapamba.

Siofor akuwonetsedwa pochiza odwala omwe ali ndi mtundu wa matenda a shuga a 2 mellitus (osagwirizana ndi insulin omwe amadalira shuga), makamaka iwo onenepa kwambiri, ngati chithandizo cha zakudya sichingagwire ntchito limodzi. Amalandira kwa odwala omwe ali ndi mtundu 1 wa matenda a shuga kuti achepetse insulin komanso kuti acepetse kunenepa.

Njira yogwiritsira ntchito

Mlingo wa mankhwalawa, mtundu wa makonzedwe ake komanso nthawi yayitali ya chithandizo zimatengera matenda a kagayidwe kachakudya kogwiritsa ntchito kogwiritsa ntchito dokotala. Tengani pakamwa pakudya kapena mukatha kudya. Nthawi zambiri, chithandizo chimayamba ndi mapiritsi 1-2 a Siofor 500 kapena piritsi limodzi la Siofor 850 patsiku, ndikuwonjezera pang'onopang'ono mlingo, mpaka kubwezeretsedwa kolimba kwa hyperglycemia kumatheka. Mulingo woyenera wambiri sayenera kupitirira 3 g ya metformin patsiku.

Zotsatira zoyipa

Mukamamwa Siofor, zizindikiro za dyspeptic (kupweteka kwam'mimba, mseru, kusanza, kutsekula m'mimba) zimatha kuchitika, matupi awo sagwirizana, hypoglycemia ikhoza kukhala (ngati mankhwalawa sanasankhidwe molondola). The ntchito motsutsana maziko a kwambiri aimpso kulephera kapena kwambiri matenda a mtima dongosolo kumaonjezera ngozi ya lactic acidosis.

Mankhwala a Siofor, ayenera kuyembekezera chithandizo cha matenda ashuga komanso kuwonda

Kuti akhale ndi shuga wabwinobwino, odwala matenda a shuga a 2 ayenera kutsatira zakudya, kusuntha kwambiri ndikulimbana ndi kunenepa kwambiri. Mankhwala a Siofor amathanso kuthandizira mu izi, chifukwa machitidwe ake amakhazikitsidwa pakuwongolera machitidwe a hypoglycemic a thupi. Sichikukhudza kupanga insulin, koma imakhudza, chifukwa chake metabolic metabolism imasintha.

Musanagwiritse ntchito Siofor ngati njira yochepetsera thupi, muyenera kufunsa dokotala, chifukwa mankhwalawa ali ndi zovuta komanso contraindication.

The zikuchokera ndi zomwe mankhwala

Siofor amatanthauza biguanides, chinthu chogwira ntchito ndi metformin, chomwe chimasintha kagayidwe, kamachepetsa shuga m'magazi ndi cholesterol, ndikuchepetsa njala. Kuphatikizika kwa mankhwalawa kumaphatikizanso povidone, hypromellose, magnesium stearate.

Kodi metformin ili ndi zinthu ziti:

Imachepetsa kupanga shuga. Ichepetsa kupangidwa kwa glucose kuchokera pamapuloteni. Ili ndi chuma chothandizira kuphatikiza shuga ndi minofu. Amachepetsa kuyamwa kwamatumbo. Matendawa shuga ndi mafuta m'thupi. Amawongolera chiwopsezo cha minofu.

Siofor sikukhudza kupanga kwa insulin ndi kapamba, chifukwa chake kugwiritsidwa ntchito kwa matenda a shuga 1 sikuthandiza. Zimangokhudza insulin ya thupi, kukonza njira za hypoglycemic.

Zizindikiro, contraindication ndi mawonekedwe omasulidwa

Kugwiritsa ntchito mankhwalawa Siofor ndikokwanira, sikuti ndi njira yothandiza odwala matenda ashuga okha. Nthawi zina, amauzidwa ndi gynecologist, amatengedwa ndi osewera kuti athetse mafuta pansi pa khungu.

Koma kumwa mosalamulirika kwa mankhwalawa ndizowopsa, chiwonetsero cha zotsatira zonse zoyipa chimayamba atangoyamba kumene chithandizo. Kuphatikiza apo, kufa kwa metformin bongo kumadziwika.

Siofor adaikidwa:

Anthu omwe ali ndi matenda ashuga a 2. Kuchulukanso mobwerezabwereza kwa shuga (prediabetes state). Kuchepetsa thupi kwa anthu omwe alibe shuga. Ochita masewera. Zochizira polycystic ovary (gynecology). Anthu omwe ali ndi vuto la metabolic.

Mankhwala ali ndi mndandanda waukulu wokwanira wa contraindication. Palibe chifukwa chomwe muyenera kutenga Siofor panthawi yoyembekezera komanso mkaka wa m'mawere, monga metformin imalowetsedwa m'magazi, ndikusintha kapangidwe kake ndi katundu wake. Metformin imapatsidwanso matenda a shuga 1, chifukwa sangathe kuyang'anira katemera wa insulin.

Simungagwiritse ntchito Siofor:

Ana osakwana zaka 10. Ndi matenda a shuga 1. Pa nthawi yoyembekezera komanso yoyamwitsa. Ngati mutsatira zakudya zomwe zimapatsa mphamvu tsiku lililonse zosakwana 1000. Lactocytosis. Mu matenda opepuka komanso kuphwanya impso, chiwindi ndi mtima. Pankhani ya kupuma kulephera. Ngati pali mowa m'magazi, uchidakwa. Ndi matenda oncological. Ngati pali ziwopsezo zomwe zimapangidwa mu mankhwala.

The ziwengo kwa zigawo za mankhwala kumachitika mu mawonekedwe a redness, kuyabwa, ndi urticaria. Ndi zotsatira zoyipa zotere, kulandira kwa mankhwalawa kuyenera kuyimitsidwa ndikuyang'ana kwa dokotala.

Siofor imapezeka m'mapiritsi, omwe amasiyana ndi mitundu: 500, 850 ndi 1000 mg. Izi ndizothandiza kwambiri, chifukwa kuchuluka kwa mankhwalawa ndi 0,5 g, ndipo akuyenera kuwonjezeredwa ndi nthawi. Anthu omwe ali ndi matenda osokoneza bongo amatenga Metformin kwa nthawi yayitali ndipo ndiosavuta kugwiritsa ntchito mapiritsi 1 g kwa iwo.

Momwe mungatenge ndi matenda a shuga a 2

Mankhwala a shuga a Siofor amawonetsedwa ndi endocrinologist kuchiza matendawa. Zotsatira zake ndikuchepetsa shuga ndikuwonjezera chidwi cha insulin.

Wopanga endocrinologist amasankha metformin ngati pali umboni wa izi. Matenda a shuga a Type 2 amatsogozedwa ndi omwe ali kale ndi matendawa. Pankhaniyi, Siofor amathanso kusankhidwa.
Kumayambiriro kwa maphunzirowa, kugwiritsidwa ntchito ndi Siofor 500. Iyenera kukhala yoledzera kawiri pa tsiku ndi zakudya.

Pambuyo pakugwiritsa ntchito masabata awiri, mlingo wa mankhwalawa umachulukitsidwa: katatu pa tsiku kwa 0,5 g. Kuwonjezeka kwina kwa mankhwalawa kumachitika moyang'aniridwa ndi dokotala. Mlingo wabwino kwambiri wa metformin sungathe kupitirira 3 g patsiku.

Bongo

Mukamatsatira malangizo a dokotala, ngozi ya zotsatirapo zovuta mukamamwa mankhwalawa idzachepetsedwa. Ngati mulingo wa mankhwalawo udakulitsidwa molakwitsa, muyenera kuyitanitsa gulu la madokotala azadzidzidzi, kapena kulumikizana ndi chipatala.

Ndi mankhwala ochulukirapo m'thupi, pali:

• kulumikizana
• kufuna kusanza
• kutsegula m'mimba
• kupweteka m'mimba
• kusapeza bwino kwa minofu
• kutayika kwa chidziwitso
• insulin chikomokere.

Ndi kukhazikitsidwa kwachangu kwa zinthu, zizindikirazi zimathetsedwa mwachangu ndipo sizikuwonanso ngozi kwa anthu.

Kuchita

Mukamamwa Siofor, muyenera kusamala ndi zinthu zina zamankhwala. Amachokera ku insulin, aspirin, maantibayotiki angapo amatha kupangitsa shuga kukhala ochepa mthupi la munthu.

Zotsatira za hypoglycemic zidzachepera ngati muphatikiza kugwiritsa ntchito Siofor ndi:

• mahomoni
• kulera
• mapiritsi kuti azitha kugwiririra ntchito chithokomiro chokhala ndi ayodini wambiri,
• mapiritsi ogona, kutengera phenothiazine.

Siofor 500, malangizo ogwiritsira ntchito amafotokozera momwe wothandizira yemwe sangaphatikizidwe ndi mankhwala opangidwa ndi ethanol. Cimetidine amasokoneza chitukuko cha acidosis. Pa chithandizo, sikulimbikitsidwa kumwa zakumwa zoledzeretsa. Izi zimatha kuyambitsa hypoglycemia, acidosis - choopseza osati thanzi, komanso moyo. Ngati mukukumbukira muyeso, mavuto sayenera kuwuka.

Chipangizo chachipatala ndi chiyani?

Chithandizo cha matenda ashuga nthawi zambiri chimakhala ndi zovuta kuchipatala, zomwe mosakayikira zimakhala ndi kumwa mankhwala.

Mankhwala Siofor amadziwika kuti ndi amodzi mwa mankhwala othandiza kuchepetsa shuga.

Chofunikira chachikulu pa mapiritsi oterewa ndi mankhwala a metformin hydrochloride, omwe samangokhala ndi mphamvu ya hypoglycemic, komanso amakhalanso ndi mwayi wosaneneka.

Zizindikiro zazikulu zogwiritsa ntchito mankhwalawa:

• ndikupanga mankhwala osokoneza bongo omwe samadalira insulini ngati monotherapy kapena ngati gawo la chithandizo chovutaꓼ
• Kuchepetsa kulemera kwa odwala matenda ashuga ngati zizolowezi zamafuta sizigwira bwinoꓼ
• monga chida china chowonjezera cha insulin.

Kuchita bwino pogwiritsa ntchito mankhwalawa kumatheka pokhapokha thupi likupitiliza kupanga zake zake zokha kapena mahomoni akabayidwa.

Ubwino wa mankhwalawa ndi awa:

1. Mankhwala omwe adapangidwira amakhudza mwachindunji kuchepa kwa insulin. Komanso, zoterezi zimawonedwa pakapita nthawi yochepa atayamba kumwa mankhwala. Zotsatira za njirayi ndikuwonjezera chidwi cha maselo ndi minyewa kupita ku mahomoni, zomwe zimapangitsa kuti shuga ayambe kumwa kwambiri.
2. Popeza kukonzekera kwa piritsi kuyenera kumwedwa pakamwa, kumakomoka kudzera m'matumbo am'mimba, omwe amachepetsa kuyamwa kwa glucose kuchokera m'matumbo, chifukwa chomwe kulibe kudumphira shuga. Kutsika kwa shuga kumachitika pang'onopang'ono ndipo sikupangitsa kuti hypoglycemia itukuke.
3. Kulepheretsa kwa gluconeogenesis mu chiwindi kumachitika.
4. Chifukwa cha mankhwala omwe amwedwa, kuchepa kwa chakudya kumawonedwa. Chifukwa chake, wodwalayo amayamba kudya zakudya zochepa, zomwe ndizofunikira kukhazikika thupi.
5. Zotsatira zabwino za mankhwalawa pamlingo woyipa (wochepetsedwa) ndi cholesterol yabwino. Chifukwa cha njirayi, pali kuchepa kwa dyslipidemia ndi msana wa triglycerides, otsika kachulukidwe lipoproteins.

Kuphatikiza apo, pali kuponderezedwa kwa njira ya lipid peroxidation, yomwe imathandizira kukula kwa mamolekyulu aulere.

Ndi mitundu yanji ya mapiritsi omwe amapezeka?

Mankhwalawa Siofor amapangidwa ndi kampani yaku Germany yopanga mankhwala Berlin-Chemie AG.

Malangizo ogwiritsira ntchito manotsi akuti mankhwalawo ali ndi mtundu umodzi wokha wa kutulutsidwa - piritsi.

Makampani ogulitsa mankhwala akwaniritsa kutulutsidwa kwa mankhwalawo m'mitundu yosiyanasiyana, yomwe ili ndi mulingo wosiyanasiyana waomwe amagwira ntchito.

Mpaka pano, Mlingo wotsatira wa mankhwalawa ulipo:

1. Siofor 500 - mapiritsi okhala ndi mawu omwe ali ndi 500 mg metformin hydrochloride.
2. Siofor 850 - mankhwala omwe ali ndi kuchuluka kwa mankhwalawa. Chosakaniza chophatikizika ndi 850 mg piritsi limodzi.
3. Siofor 1000 - 1 gramu ya mankhwala othandizira imaphatikizidwa piritsi limodzi.

Monga zina zomwe zimagwiritsidwa ntchito:

• piritsi lililonse lili ndi hypromellose, povidone, magnesium stearateꓼ
• Chipolopolocho chimakhala ndi hypromellose, titanium dioxide, macrogol 6000.

Kutengera ndi kuchepetsedwa kwa shuga m'magazi, katswiri wa zamankhwala amasankha mlingo wa wodwala aliyense.

Mapiritsi amagulitsidwa ku pharmacies akumatauni m'makatoni amapepala a 10, 30, 60 kapena 120. Mtengo wa mankhwala umatengera kuchuluka kwa mapiritsi ndi kuchuluka kwake. Monga lamulo, pakulongedza zidutswa 60, mtengo umasiyanasiyana 240 mpaka 300 rubles.

Zotsatira za mankhwalawa ndi mankhwalawa omwe ali ndi mankhwala othandizira metformin - Glucofage, Formmetin, Glformin.

Malangizo ogwiritsira ntchito mapiritsi

Momwe mungagwiritsire Siofor komanso nthawi yayitali yochizira, katswiri wa zamankhwala asankha.

Mapiritsi a Siofor 500 ali ndi mawonekedwe ake ogwiritsira ntchito komanso njira yolondola yoyendetsera. Kuyamba kwa njira yochizira kuyenera kukhala ndi mlingo wochepa wa mankhwalawa. Monga lamulo, iyi ndi gramu imodzi ya zinthu zomwe zimagwiritsidwa ntchito (mapiritsi awiri) patsiku chakudya chachikulu kapena pambuyo pake.

Mankhwala amatengedwa pakamwa ndi kuchuluka kwamadzi amchere. Mlingo wa tsiku ndi tsiku uyenera kugawidwa pawiri - m'mawa ndi madzulo. Malowa ayenera kuonedwa kwa masiku atatu oyambirira a mankhwala, pambuyo pake kuchuluka kwa mapiritsi kumawonjezeka.

Monga lamulo, kuyambira tsiku lachinayi ndi milungu iwiri yotsatira, mankhwalawa amatengedwa gramu imodzi katatu patsiku. Pakatha milungu iwiri, dotolo yemwe amapita ndi amene amawona kuti ndiwofunika kumwa mankhwalawa. Izi zitha kukhala kuchepa kwa mankhwala. Mankhwala a Siofor achire a mankhwalawa adzayikidwa kutengera zotsatira za mayeso ndi kuchuluka kwa shuga m'magazi ndi mkodzo.

Zimatenga nthawi yayitali bwanji kumwa mapilitsi Mlingo wotere, adokotala amafunsa. Monga lamulo, galamu imodzi kapena ziwiri za chinthu chogwira ntchito patsiku ndizokwanira kusunga zotsatira zomwe mukufuna.

Ngati wodwala akutenga nthawi yomweyo mankhwala a insulin (osachepera 40 magawo patsiku), ndiye kuti mankhwalawa a Siofor 500 ndi ofanana ndi omwe ali pamwambapa.

Pankhaniyi, muyenera kuyang'anira kuchuluka kwa shuga m'magazi, mungafunike kuchepetsa kuchuluka kwa jakisoni wa insulin yomwe mumalandira.

Ndi nthawi ziti pamene ndizoletsedwa kugwiritsa ntchito hypoglycemic wothandizira?

Musanagwiritse ntchito mankhwalawa, muyenera kudziwa bwino kuchuluka kwa zolakwika, mungafunike cholowa m'malo mwake.

Ma analogi omwe atha kukhala osiyanasiyana amatha kusintha mosiyanasiyana ndikumapirira kotheka.

Siofor ali ndi zotsutsana zingapo, momwe mankhwalawo amaletsedwa.

Zoletsa zomwe zikulimbikitsidwa kuti musagwiritse ntchito Siofor 500 ndi monga:

• mawonekedwe a shuga a insulin
• ngati kapamba amasiya katulutsidwe kake ka mankhwala a insulin panthawi yopanga mtundu wa 2 shuga
• mu nthawi ya kholo kapena matenda ashuga
• ndi chiwonetsero cha ketoacidosisꓼ
• ngati pali vuto lalikulu la impso kapena chiwindi
• ndi myocardial infarction ndi mtima kulepheraꓼ
• Kukhazikika kwa njira zama pathological m'mapapu, zomwe zingayambitse kupuma movutikiraꓼ
• matenda opatsirana oyipaꓼ
• isanachitike kapena itachitika opaleshoni kapena ngati pachitika kuvulala kulikonse
• zochitika za thupi za thupi, izi zitha kuphatikiza njira zowonongeka, monga zotupa pathologiesꓼ
• hypoxia stateꓼ
• kudalira mowa, kuphatikiza pa fomuꓼ
• lactic acidosis udindoꓼ
• ndi kusala kudya kwanthawi yayitali kapena kutsatira zakudya zosavomerezeka zomwe mumadya tsiku lililonse ndizopanda zopatsa mphamvu 1000
• mwa ana ochepera zaka khumi ndi zisanu ndi zitatu kapena atakwanitsa zaka zisanu ndi chimodzi ndi zisanu
• ngati pali chidziwitso chowonjezeka cha chinthu chimodzi kapena zingapo zomwe ndi gawo la mankhwala.

Kuphatikiza apo, monga mankhwala ena ambiri, Siofor 500 ndi yoletsedwa kumwa mkaka wokhudzana ndi mkaka wa m'mawere, popeza mankhwalawa amakhudza bwino kukula kwa mwana.

Kugwiritsa ntchito mankhwala kuti muchepetse kunenepa kwambiri

Mankhwalawa amathandizira kuchepetsa kulemera kwa odwala matenda ashuga molumikizana ndi mankhwala omwe amakhazikitsidwa pakudya ndikuchita zolimbitsa thupi. Ndemanga zotere zimadziwika ndi ogula ambiri a malonda.

Dziwani kuti kuthandizira kwa mankhwalawa kumachitika chifukwa chakuti amathandizadi polimbana ndi anthu onenepa kwambiri omwe akupanga matenda a shuga omwe amadalira osavuta kwambiri. Tsoka ilo, ndemanga zoterezi zadzetsa mfundo yoti ngakhale azimayi athanzi kwathunthu omwe akufuna kutsitsimuka ayambe kumwa Siofor 500.

Zotsatira zake, shuga m'magazi awo amatsika, ndipo zovuta zosiyanasiyana komanso zizindikiro za hypoglycemia zimayamba kuonekera.Ichi ndichifukwa chake, simuyenera kusankha nokha pazamankhwala okhudzana ndi kunenepa kwambiri.

Ngati Siofor 500 idalembedwa ndi adotolo kupita kwa wodwala yemwe ali ndi matenda a shuga, zotsatira zake zabwino zitha kupitiliza zoyembekezera zonse. Ndi kunenepa kwambiri komanso matenda a shuga, zotsatira za kuchepa thupi zimatha kuyambira ma kilogalamu atatu mpaka khumi pamwezi.

Zochita za piritsi zimachitika mwanjira yoti thupi limakhala kuti munthu amalakalaka zakudya zotsekemera - zinthu zophika makeke, makeke kapena maswiti. Ndiye chifukwa chake, zakudya za tsiku ndi tsiku zimapulumutsidwa kuchokera ku zopatsa mphamvu zowonjezera ndipo kulemera kumayamba kuchepa.

Ubwino waukulu wogwiritsira ntchito piritsi pakulimbana ndi kunenepa kwambiri ndikuwonetsa zotsatirazi:

• yofulumira, koma yopweteka thupi, kuwonda.
• kuchepetsa kulakalaka kwa zakudya za shuga ndi zovulaza (zomwe ndizoletsedwa mu shuga)
• Palibenso chifukwa chowonjezera thupi kwambiri chifukwa chofuna kutaya mapaundi ochepa, ndikokwanira kungokhala moyo wakhama ndi kusunthira zina zambiri,
• Mathandizidwe amathandizira wodwala kusintha zakudya zoyenera komanso chakudya chopatsa thanzi.

Njira zotsatirazi zingatenge kumwa mankhwalawa:

1. Ndikofunikira kuti ndiyambireni chithandizo cha adokotala ndipo akuwongolera.
2. Tiyenera kukumbukira kuti mankhwalawa ali ndi shuga wochepetsera shuga ndipo amapangidwira odwala matenda ashuga.
3. Chenjerani ndi ziwonetsero zoyipa zamagetsi osiyanasiyana. Ndiye chifukwa chake, mankhwalawa amayenera kumwa kokha pamankhwala omwe wodwala wamankhwala amapanga

Kudziyang'anira nokha ndi kusankha kwa mankhwalawa mukamamwa mankhwalawa kumatha kubweretsa zotsatira zoyipa ndi zolakwika zamkati mwanu.

Momwe mungagwiritsire ntchito Siofor kwa odwala matenda ashuga adzauzidwa ndi katswiri muvidiyoyi.

Analogs ndi ndemanga

Chothandizira cha Siofora - metformin chimagwiritsidwa ntchito popanga mankhwala ena kuti azitha kuwonetsa shuga. Pali mankhwala omwe amagwiritsidwa ntchito nthawi yayitali, ndiye kuti, amakhala ndi mphamvu kwa nthawi yayitali, omwe amatha kugwiritsidwa ntchito 1 nthawi patsiku.

Ma Analogs a mankhwala a Siofor:

Metformin (Serbia). Glucophage (France). Nova Met (Switzerland). Langerine (Slovak Republic). Gliformin (Russia). Novoformin (Serbia, Russia). Sofamet (Bulgaria). Gluconorm (India, Russia). Glycon ndi ena.

Ndemanga zambiri zokhudzana ndi mankhwalawa Siofor amatsimikizira kutchuka kwake, makamaka ngati njira yochepetsera thupi. Zolemba patsamba la azimayi zokhudzana ndi njira za Siofor ndizosiyanasiyana.

Kwenikweni, mankhwalawa amatengedwa ndi amayi omwe ali ndi matenda amtundu wa 2, amagwirizanitsa kuwonda kwawo ndi chithandizo. Koma si azimayi onse omwe amalankhula za kuchepa thupi komanso ngakhale kudya. Ambiri amangoti ndi chida chabwino kuperekera shuga m'magazi ndipo osachepetsa thupi konse. Nthawi yomweyo, ali okondwa kuti mankhwalawa amasintha moyo wawo mwakuwongolera kuchuluka kwa shuga m'magazi.

Pali ndemanga za atsikana ang'onoang'ono za kusakwanira kwa Siofor poyesa kuchepa thupi. Nkhondo yolimbana ndi kunenepa kwambiri ndi chifukwa cha chithandizo cha matenda a shuga a mtundu wachiwiri, komanso momwe matenda a metabolic amatithandizira kuti azitha kunenepa. Potere, muyenera kutsatira zakudya zoyambira za anthu odwala matenda ashuga, kupatula mitundu yonse yazogulitsa okhala ndi index yayikulu ya hypoglycemic.

Matenda a shuga amabweretsa zovuta zambiri m'moyo wa wodwala, motero chithandizo chovuta ndichofunikira. Mankhwala a Siofor akhoza kumwedwa limodzi ndi insulin ndi mankhwala ena kuti muchepetse shuga.
Simungathe kuphatikiza mankhwalawa ndi maantibayotiki, mankhwala othandizira khansa ndi ma diuretics.

Pazotsatira, kutsatira malangizo a dokotala omwe amayang'aniridwa ndikuyang'aniridwa. Simungathe kumwa mlingo waukulu wa mankhwalawo ngakhale piritsi loyambalo lidasowa.

Ngati zotsatirapo za mankhwalawa zimakhudza kwambiri moyo wanu, funsani kwa dokotala nthawi yomweyo, popeza pali mankhwala ambiri okhala ndi metformin, mwina mankhwala ochokera kwa wopanga wina amatha bwino.

Migwirizano yogulitsa ndikusunga

Siofor 500 imangopezeka paokha. Ndikofunika kusunga mankhwalawo pamalo omwe ana amafikira malire. Kutentha kwa mpweya kuyenera kusungidwa pamlingo wofika mpaka madigiri 30. Nthawi yosungirako ndi kugwiritsa ntchito mapiritsi, kuyambira nthawi yomwe amapanga - zaka zitatu. Pambuyo pa nthawi iyi, simungathe kumwa mankhwalawa.

Kupeza malo oyenera a Siofor sikophweka. Cholinga chake ndikusiyana kwa zinthu zomwe zikugwira ntchito. Metformin ilipo m'mapiritsi osowa. Odwala ena amafunafuna njira yatsopano yothandizira, chifukwa cha kusakhudzidwa ndi thupi, mwachitsanzo, nseru. Pankhaniyi, madotolo amasamutsa munthu kupita ku mankhwala ena, ofanana ndi kapangidwe kake.

Mankhwalawa ali ndi fanizo la kupanga kwa Russia ndi akunja. Simuyenera kusankha mankhwala okhala nokha. Komanso, musadalire upangiri wa katswiri wazamankhwala. Ndikofunikira kutsogoleredwa kokha ndikulimbikitsidwa ndi adokotala.

Analogs opanga Russian:

Pali zophatikizira zowonjezera ziwiri zakupanga kwachilendo:

• Bagomet.
• Glucophage.
• Diaformin.
• Metfogamma.
• Metformin MV-Teva.
• Metformin Richter (Hungary).

Mtengo wa Siofor 500 ku Moscow, St. Petersburg, zigawo

Mtengo wa mapiritsi mumafakisi ndi osiyana. Nthawi zina pamakhala mtengo wama ruble angapo, komanso zimachitika zingapo.

Ndemanga za madotolo zakuyenda bwino kwa Siofor 500

Akatswiri ambiri amaganiza kuti Siofor 500 ndi mankhwala othandiza. Nthawi zambiri amalembera odwala omwe ali ndi matenda a shuga a mtundu 2. Misonkhano imalembedwa pafupipafupi, chifukwa kupangidwa kwa Siofor 500, malinga ndi akatswiri, kumakwaniritsa zofunikira zonse zomwe madokotala ndi akatswiri opanga mankhwala amapanga.

Odwala amayankha bwino za mankhwalawa. Ndi kuvomereza koyenera, kuthekera kwa mavuto kumachepetsedwa. Ena samazindikira kusintha kwamphamvu mthupi, amangodziwa zabwino za mapiritsi.

Ubwino wonsewu ukhoza kuwerengedwa pokhapokha potsatira malangizo azachipatala, malangizo, komanso manambala a Siofor 500. Kenako, kugwiritsa ntchito mapiritsi kumakhala ndi phindu lapadera pa thanzi la munthu.

Cholinga chachikulu cha mankhwalawa Siofor 500 mu shuga

Ntchito yayikulu ya mankhwalawa imatha kuchepetsedwa ngati shuga. Zotsatira zabwino zimapezeka pogwiritsa ntchito mankhwala amphamvu - metformin hydrochloride. Kukondoweza kwa kuphatikizika kwa glycogen wopangidwanso ndi ntchito inanso yowonjezera.

Siofor 500 imakulanso mulingo wamapuloteni omwe amapezeka m'magazi a wodwala.

Chifukwa cha izi, osati kuchuluka kwa cholesterol kwathunthu m'thupi komwe kumayamba kutsika msanga, komanso otsika cholesterol. Zizindikiro za triglycerides ngakhale munthawi yoyenera kugwiritsa ntchito mankhwalawa mwachangu imayandikira yapita.
Komanso metformin hydrochloride imakhudzanso kagayidwe ka lipid. Kuphatikizidwa kwachilengedwe komanso kwakuthupi kumachitika moyenera, kumathandizira wodwalayo komanso kusasangalala, komanso zizindikiro zina za matenda ashuga amtundu wa 2. Mothandizirana ndi izi, mankhwalawa amakhala osavuta komanso olemetsa. Chinthu chinanso chochititsa kusintha ndicho Kuchepetsa thupi. Chifukwa chake, zitha kudziwika kuti mankhwalawa amathandizadi wodwala, monga zikuwonekeranso ndi zizindikiro zamkati ndi zakunja zochiritsira.

Malangizo ogwiritsira ntchito ndi mtengo

Kudya kwa mkati kwa mankhwalawa kuyenera kuchitika musanadye kapena pambuyo pake. Pa gawo loyamba la chithandizo, Siofor amalimbikitsidwa kuti agwiritsidwe ntchito ochepa: pafupifupi mapiritsi 1 - 2. Zimatsatiridwa powerengera kuti piritsi limodzi limakhala ndi metmorphine mu kuchuluka kofanana ndi 0,5 g. Momwemo, mapiritsi awiri - 1 g. Pambuyo masiku ochepa kumwa mankhwalawa, nthawi imatha kuchuluka. Njira y kumwa mankhwalawa imatheka ndikutalika kwa masiku angapo mpaka masabata. Mulingo wamba wa tsiku ndi tsiku ndi mapiritsi atatu (1.5 g). Kutenga mankhwalawa kuchuluka kwa mapiritsi 6 kumatanthauza kuti pali mlingo waukulu ndipo tikulimbikitsidwa pokhapokha.

Chonde dziwani kuti pafupifupi kuchuluka kwa kuchuluka kwa kuchuluka kwa mapiritsi komanso kugwiritsa ntchito mapiritsi a tsiku ndi tsiku okwanira sikutsimikizira zotsatira zabwino! Nthawi zambiri, motere sizingatheke.

Ngati ndi kotheka, ndizotheka kugawa mapiritsiwo m'magawo ang'onoang'ono.

Polankhula za mtengo, titha kunena mosabisa kuti zikuwonetsa chifukwa chomwe chikuyembekezeredwa. Ndondomeko yamitengo imasiyana kuchokera ku ruble 250 mpaka 300 (mapiritsi 60 pa paketi iliyonse). Fiziki yapaintaneti yomwe sikuti amangogulitsa mankhwalawo, komanso kuigulitsa ngakhale m'mizinda ya CIS, ingafune ndalama yolongedza ma ruble 700 kapena kuposerapo. Pogula mankhwalawo mumsika wamaukonde waku Ukraine mutha kupulumutsa kwambiri. Ndizopindulitsa kwambiri kugula Siofor 500 osati pa intaneti, koma m'masitolo ogulitsa mumzinda.

Siofor 500 popewa matenda ashuga

Mankhwalawa omwe tawonetsedwa nthawi zambiri amagwiritsidwa ntchito ndi madokotala osati pokhapokha ngati ali ndi matenda a shuga a 2, komanso ngati amodzi mwa njira zopewera matenda, chifukwa cha kukhazikika komwe zotsatira zabwino zimachitika munthawi yochepa kwambiri.
Kugwiritsa ntchito mankhwala nthawi zambiri kumayikidwa popewa kupitirira kwa shuga komanso kupewa kwake. Anthu omwe asokoneza kulolera kwa glucose kwakukulu, pogwiritsa ntchito zovuta, kuphatikizapo Siofor 500, amawonjezera mwayi wawo wopambana ndi 35-40%.
Njira zina zodzitchinjiriza ndi matenda a shuga a 2:

• Kuyang'aniridwa kwakukulu kumalipiridwa ku nkhani ya zakudya zopatsa thanzi komanso kusalowerera pazinthu zomwe zimakwiyitsa.
• Kuchulukitsa zolimbitsa thupi ndi masewera olimbitsa thupi osavuta omwe amachitika motsatizana ndi ndandanda.
• Kukana zizolowezi zoipa ndizofunikanso.
• Palibe kupsinjika ndikuchepetsa.

Kudya komwe kumapangidwa ndi mankhwala opatsirana moyenerera kumakupatsani mwayi wochotsa zovuta zomwe zimayambitsa matenda a shuga monga kuyabwa kwa khungu komanso kumangokhala ndi ludzu. Chifukwa chake, pali gawo la kuwonjezeka kwa zochitika zofunikira, zamtendere komanso zamkati.

Kuchepetsa thupi

Kugwiritsa ntchito mankhwalawa ndizovomerezeka ngati munthu akufunika kuwonda msanga. Tatha kuwunikiranso ndemanga, titha kunena kuti ndemanga zoyipa sizimveka kawirikawiri pamankhwala awa.

Siofor 500 kuti muchepetse kunenepa kudalamulidwa ndi dokotala waluso! Ndizowopsa kudziwa dzina la mankhwalawo komanso kuchuluka kwa mankhwalawo!

Nthawi zina, poyesera kuchepetsa thupi mwachangu momwe zingathekere, anthu ena atha kuwonjezera kuchuluka kwa mankhwalawa Pazifukwa zanu, kapena imwani mapiritsi awiri m'malo mwa 1 ngati mwaphonya mlingo. Izi sizoyenera! Inde, zizindikiro za bongo zimawonekera pakatha mphindi 15 mpaka 20. Izi sizingangokhala kugona komanso kupweteka mutu, kusanza ndi kusanza, komanso kufooka kwathunthu komanso kulephera kupuma. Ndizotheka kuti padzakhala chikumbumtima chambiri kapena mudzamva kupweteka kwa minofu. Chifukwa chake, ndibwino kuti muchepetse thupi pang'onopang'ono, kutsatira mokwanira zomwe dokotala amafotokozera.