Glucophage ndi mowa: kuyenderana ndi ndemanga za wodwala pazotsatira zake

Glucophage ndi mankhwala omwe ali ndi vuto la hypoglycemic. Monga mankhwala ambiri omwe amagwiritsidwa ntchito pochiza matenda amtundu wa 2 shuga, glucophage ndi mowa sizigwirizana.

Pachifukwa ichi, funso loti ngati ndizotheka kumwa mankhwalawa chifukwa chomwa mowa wokhawokha lingayankhidwe pazoyipa. Kuphatikiza apo, kugwiritsa ntchito mankhwala ndi mowa nthawi yomweyo sikuletsedwa chifukwa kuphatikiza kumeneku kukhoza kuvulaza thupi la wodwala yemwe ali ndi matenda a shuga a mtundu wachiwiri.

Glucophage mu kapangidwe kake imakhala ndi metformin monga chophatikizira. Mankhwalawa amapangidwa ndi makampani opanga mankhwala mumapiritsi a 500, 850 ndi 1000 mg pazomwe zimagwira piritsi limodzi.

Mitundu yosiyanasiyana ya mankhwalawa omwe ali ndi mitundu yosiyanasiyana ya mankhwalawa imapangitsa kukhala kosavuta kuphatikiza pa mlingo woyenera ndi mankhwala ena a hypoglycemic mukamapangira zovuta zamtundu wa 2 matenda a shuga, kuphatikiza apo, mitundu yosiyanasiyana ya mankhwalawa imakhala yosavuta kusankha mlingo wofunikira pa nthawi ya monotherapy.

Kuphatikiza pa gulu lalikulu lomwe limagwira, zina zowonjezereka zimapatsidwa ntchito yothandizira.

Zomwe zimapangidwa pakupanga mankhwala ndi awa:

Metformin, yomwe ndi gawo lenileni la mankhwala, imaphatikizidwa mu mawonekedwe ake a hydrochloride. Mankhwalawa adakonzera pakamwa pakamwa ndipo ali m'gulu la Biguanides. Endocrinologists amalembera kugwiritsa ntchito mankhwalawa ngati kuli koyenera kuchepetsa shuga mu thupi la wodwala yemwe ali ndi matenda osokoneza bongo osagwirizana ndi zotsatira zabwino chifukwa chotsatira kudya kwapadera ndikupereka masewera olimbitsa thupi.

Kugwiritsa ntchito mankhwalawa sikuthandizira kukondoweza kwa kutulutsa insulin ndi maselo apadera a pancreatic minofu.

Kuphatikiza apo, mukamwa mankhwalawa ndi munthu wathanzi, sizimapangitsa kuchepa kwa shuga mthupi.

Mankhwalawa amapangidwa m'mitundu iwiri, yomwe imasiyana ndi inzake yomwe ikuchitika. Glucophage nthawi yayitali imakhala ndi nthawi yayitali kuchitira thupi poyerekeza ndi mtundu wanthawi zonse wamankhwala.

Malangizo ogwiritsira ntchito mankhwalawa

Mukamamwa Glucofage, mutha kugwiritsa ntchito othandizira ena ngati pakufunika kutero.

Kumwa mankhwalawa kumatha kuphatikizidwa ndikugwiritsa ntchito mankhwala, omwe amaphatikizapo insulin.

Mutha kumwa mankhwalawa pokhapokha malinga ndi zomwe dokotala wakupatsani.

Zizindikiro zazikulu zogwiritsira ntchito mankhwalawa ndi izi:

Kupezeka kwa thupi la munthu wamkulu wodwala matenda a shuga 2.
Kupezeka kwa mtundu wachiwiri wa matenda ashuga a ana osaposa zaka 10 (mankhwalawa amatha kugwiritsidwa ntchito pa nthawi ya monotherapy komanso kuphatikiza mankhwala omwe ali ndi insulin).
Pankhani ya kunenepa kwambiri m'thupi la wodwalayo motsutsana ndi maziko a insulin-yodziyimira payokha ya matenda a shuga, pamaso pa insulin kukana.

Chithandizo chogwira mankhwalawa chimawonetsa mphamvu zake za hypoglycemic pokhapokha ngati pali hyperglycemia m'thupi la wodwala.Mukamagwiritsa ntchito mankhwalawa, mphamvu yokhazikika ya hypoglycemic imachitika.

Kupanga kwa momwe mankhwalawa amakhudzira thupi kumafotokozedwa ndi kuthekera kwa metformin kukopa magwiritsidwe a gluconeogeneis ndi glycogenolysis; Komanso, mankhwalawa amathandizira kuchepetsa kuchuluka kwa shuga m'matumbo am'mimba. Kuphatikiza apo, kugwiritsa ntchito Glucofage kumapangitsa kuti chiwopsezo cha insulin chodalira zotumphukira zomwe zimapezeka pama cell membrane a maselo.

Kugwiritsa ntchito mankhwalawa kumakhudza kagayidwe ka lipid, kuchepetsa kuchuluka kwa lipoproteins, triglycerides ndi cholesterol m'thupi la wodwala yemwe ali ndi matenda a shuga a mtundu wachiwiri.

Gawo logwiridwalo siligwira ntchito mthupi, ndipo theka la moyo limakhala pafupifupi maola 6.5.

Kupukusa kwa chigawo chogwira ntchito kwa thupi kuchokera mwa munthu kumachitika ndi impso komanso m'matumbo.

Contraindication ndi zotsatira zoyipa mukamagwiritsa ntchito Glucofage

Monga mankhwala aliwonse, Glucophage imakhala ndi zotsutsana zingapo.

Komanso, mukamamwa Glucofage, mavuto osiyanasiyana amatha kuchitika.

Popewa kupezeka kwa zotsatira zoyipa, malangizo omwe angagwiritsidwe ntchito ngati mankhwalawa akuyenera kutsatiridwa.

Ma contraindication ambiri omwe samakulolani kutenga glucophage ndi awa:

wodwalayo amakhala ndi tsankho limodzi ndi mankhwala a metformin kapena mankhwala ena,
zovuta mu chiwindi ndi impso,
nthawi ya bere ndi nthawi yoyamwitsa,
kukhalapo kwa zizindikiro za matenda ashuga a ketoacidosis mthupi,
Zakudya zochepa zopatsa mphamvu
kukhalapo kwa kuchuluka kwakukulu kwa kuthekera kwachitukuko mthupi la dziko la okosijeni lakufa ndi maselo amisempha yambiri
Kukula kwa thupi la wodwala wodwala matenda ashuga a mtundu wachiwiri wamadzimadzi,
kupezeka kwa kugwedezeka kwa thupi.

Mukamamwa Glucofage, odwala omwe ali ndi matenda a shuga 2, omwe ali ndi zaka zopitilira 60, ayenera kusamala, chifukwa mwayi wokhala ndi vuto la hypoglycemic ukuwonjezeka.

Zotsatira zoyipa za thupi zimatha kuchitika mukaphatikiza kumwa glucophage ndi mowa.

Musanayambe kumwa mankhwala a Glucophage, muyenera kuphunzirapo za mavuto omwe angachitike mthupi.

Zotsatira zoyipa izi zitha kuchitika mthupi la munthu:

Lawani kuphwanya.
Kupezeka kwamavuto ndi kulakalaka.
The kupezeka zosiyanasiyana thupi lawo siligwirizana, zikuwoneka mawonekedwe a zotupa pakhungu ndi urticaria.
Kumva nseru komanso kufuna kusanza.
Maonekedwe a ululu m'mimba komanso kusokonezeka kwa m'mimba. Matenda am'mimba amasonyezedwa nthawi zambiri m'mimba.
Nthawi zina, kukula kwa chiwindi.
Pankhani yakuphwanya kwambiri kugwira ntchito kwa thupi, wodwalayo amakhala ndi zizindikiro za lactocytosis.

Pofuna kupewa kuwoneka ngati mavuto ndi thupi, simuyenera kuphatikiza mowa ndi kumwa mankhwalawo.

Kuphatikizika kwa Glucophage ndi mowa ndikosavomerezeka, popeza mowa wophatikiza ndi metformin, womwe ndi gawo la Glucophage, umatha kupangitsa kuti maonekedwe azisokonezeka m'thupi omwe ungayambitse imfa.

Kuopsa kowopsa kwa ethanol ku thupi

Odwala ambiri, kuweruza ndi ndemanga yomwe ilipo, amaganiza kuti mankhwalawa Glyukofazh ndiwosapindulitsa. Mankhwalawa samayenderana ndi mankhwala ena, ndipo monga chinthu monga mowa suyenera kuphatikizidwa. Zakuti mowa ndi glucophage sizingatheke kuphatikizidwa zikuwonetsedwa bwino ndi malangizo ogwiritsira ntchito mankhwalawa.

Mukamamwa mankhwalawo, ndizoletsedwa kumwa zakumwa zilizonse zomwe zimakhala ndi mowa, monga, mwachitsanzo, mowa ndi woletsedwa.

Muyenera kudziwa kuti kumwa mowa mwa odwala, hypoglycemia imayamba m'matenda a shuga, kuphatikizapo kuchedwa.

Kusagwirizana kwathunthu ndi mowa ndi Glucofage kumachitika chifukwa chakuti zinthu zonse ziwiri zimakhala ndi vuto lalikulu pakugwira ntchito kwa chiwindi, ndipo zikagwiridwa pamodzi, katundu uyu pa chiwalo amachulukitsidwa.

Chiwindi m'thupi chimayambira njira zam'magazi zomwe zimapangitsa kutsika kwa shuga m'magazi, omwe amalowa mthupi limodzi ndi mowa ndikuthandizira kukulitsa insulin.

Glucophage ndi mankhwala omwe amakhudza njira zam'magazi mu chiwindi. Mowa utagwiritsidwa ntchito nthawi yomweyo, pamakhala kuwonjezeka kwakukulu kwa kupanga kwa insulin ndi kutsegulira kwa njira yochotsa shuga m'madzi a m'magazi. Pazovuta, njira zonsezi zimatsogolera kuchepetsa kwakukulu kwa shuga m'thupi ndi kuwoneka kwakukulu kwa wodwalayo atagwa. Ngati munthu sangalandire chithandizo chamankhwala munthawi imeneyi, ndiye kuti zotsatira zake zakupha.

Kuphatikiza apo, kugwiritsa ntchito moledzera mowa ndi Glucofage, kuthekera kwakukulu kwa chitukuko m'thupi la wodwala yemwe ali ndi matenda osokoneza bongo a mtundu wachiwiri wa zizindikiro za lactic acidosis kumawonekera.

Ndi kukula kwa vutoli mthupi, kuwonjezeka kowopsa kwa kuchuluka kwa lactic acid kumawonedwa, komwe kumachitika chifukwa cha kusokonezeka kwa njira ya kusinthana kwa ma ion m'maselo ndi kukulitsa kupanga lactate ndi maselo a chiwindi.

Mkhalidwe wa lactic acidosis umadziwika ndi kukula kwazizindikiro. Acid yomwe imasonkhana mu minofu imatsogolera ku chiwonongeko cha khungu ndi kufa. Zotsatira zakupha zalembedwa malinga ndi ziwerengero zamankhwala komanso pafupipafupi 50 mpaka 90% ya milandu yonse ya lactic acidosis mwa odwala omwe ali ndi matenda a 2.

Popewa zovuta zoyipa, ndibwino kusiya kumwa mowa panthawi yomwe mankhwala a Glucofage akuchipatala. Musanagule mankhwalawo, muyenera kuphunzira mwatsatanetsatane funso la momwe mungatenge Glucophage kuti mukwaniritse bwino.

Kanemayo munkhaniyi akukuuzani momwe mungamwe mankhwalawo moyenera.

Mfundo za mankhwalawa

Gawo lalikulu la Glucophage ndi metformin. Izi zimapangidwa kuti muchepetse kuchuluka kwa shuga m'magazi. Mapiritsi opangidwa pamaziko ake amaperekedwa kwa odwala matenda ashuga omwe ali ndi matenda amtundu wa 2. Ndi kudya kwake pafupipafupi, kuchepa kwa kuchuluka kwa cholesterol, triglycerides kumawonedwa. Imawongolera machitidwe a mitsempha yamagazi ndikuchepetsa chiopsezo cha kufa chifukwa cha matenda amtima omwe adayamba kupezeka ndi matenda ashuga.

Iyenera kumwedwa tsiku lililonse katatu. Mukamamwa mankhwala a Glucofage, ndikofunikira kupitiliza kutsatira zakudya komanso kusaiwala zofunikira zolimbitsa thupi. Mankhwala enieniwo samakhudza mwachindunji insulin, amachepetsa njira yopanga shuga m'magazi a chiwindi. Komanso, pamene imatengedwa, chidwi cha minofu kumadzi opanga insulin chimawonjezeka. Izi zikutanthauza kuti glucose amayamba kulowa bwino mthupi.

Muthanso kupeza Glucophage Long pogulitsa. Awa ndi mankhwala a metformin. Koma malinga ndi chitsimikiziro cha opanga, Glucofage Long solution imatenga nthawi yayitali, kotero piritsi limodzi limakwanira patsiku. Ngati tsiku lina mwayiwala kumwa piritsi, ndiye kuti simungathe kumwa tsiku lotsatira 2, muyenera kupitiliza kumwa mankhwalawa malinga ndi chiwembu chokhacho.

Glucophage ndi mowa: kuyenderana, zotsatira ndi kuwunika kwa wodwala

Ndi kupita patsogolo kwa matenda a shuga a 2, mankhwala othandizirana ndikofunikira.Mu magawo oyamba, odwala amatha kuyang'anira kuchuluka kwa shuga ndi zakudya komanso masewera olimbitsa thupi.

Koma mitengo ya shuga ikachuluka, ndiye kuti dokotalayo atha kukupatsani mapiritsi a metformin hydrochloride. Izi zimaphatikizapo glucophage.

Poyembekeza tchuthi, odwala matenda ashuga ayamba kukhala ndi chidwi ndi kuphatikiza kwa glucophage ndi mowa.

Zolemba za mankhwala

Pophwanya zakudya za carbohydrate metabolism, madokotala amakulangizani kuti muiwale za mowa. Komabe, nthawi zina odwala matenda ashuga amakonda kudziwa ngati Glucophage Long ndi mowa zimatha kumwa nthawi yomweyo. Mankhwala ndi mapiritsi omwe amakhala ndi nthawi yayitali amaletsedwa kuphatikiza mowa.

Musanapeze ndalama, ndibwino kuti muwerenge mndandanda wa zotsutsana. Izi zikuphatikiza, makamaka:

uchidakwa wambiri,
poyizoni wazakumwa zoledzeretsa,
matenda a impso
vuto la m'mapapo ndi chiwindi.

Mukamagwiritsa ntchito Glucofage, ziyenera kukumbukiridwa kuti awa ndi mankhwala oopsa, osati chakudya chowopsa.

Chidacho chimakuthandizani kuti muchepetse shuga ndi 20%, pomwe hemoglobin ya glycated imatsitsidwa ndi 1.5%.

Ndi monotherapy yokhala ndi metformin, ndizotheka kuchepetsa kufa pakati pa odwala matenda ashuga omwe samadalira insulin. Izi zatsimikiziridwa mu maphunziro ambiri.

Kuphatikiza ndi mowa

Mukamalemba mankhwala ozikidwa pa metformin, kuphatikizapo Glucofage, endocrinologists amachenjeza za kusagwirizana kwake ndi mowa. Popeza kuti mankhwalawa amayenera kukhala oledzera kwa nthawi yayitali, anthu amakakamizidwa kusiya mowa kwathunthu. Koma si aliyense amene ali wokonzeka kuchita izi.

Poyerekeza ndi kafukufuku, anthu opitilira 40% omwe amakana kumwa mankhwala osokoneza bongo amatero chifukwa chofuna kusiya mowa. Ngati kumwa mowa kwadzetsa vuto la impso ndi chiwindi, ndiye kuti simungathenso kutenga Glucophage. Ngakhale kukana mowa kwathunthu sikungasinthe mkhalidwewo.

Kuti mumvetsetse chifukwa chake mowa sugwirizana ndi metformin, muyenera kudziwa zomwe zingachitike chifukwa cha mowa mukamamwa Glucofage. Pogwiritsa ntchito zakumwa zoledzeretsa, kuchuluka kwa shuga m'magazi kumachepa, hypoglycemia imayamba. Pamaso pa zomwe zimathandizira, kukomoka kwa hypoglycemic kumatha kuyamba.

Mowa pakumwa mankhwala a glucophage angayambitse lactic acidosis. Pogwiritsa ntchito metformin, kuyamwa kwa lactate ndi chiwindi kumachepetsedwa. Koma ngati ntchito ya impso imalephera, ndiye kuti kuchotsa kwa lactate ndi metformin m'thupi kumachepa. Mlingo wawo wamagazi umakwera - izi zimatha kuyambitsa kukulira kwa lactic acidosis chifukwa chakuti lactic acid imadziunjikira.

Chifukwa chakuti metformin imathandizira kuchepetsa kuyamwa kwa maselo a chiwindi, vuto lililonse lomwe lingayambitse vuto lactic acidosis ndikunyoza mwachindunji kutenga chinthu ichi. Zomwe zimayambitsa mapangidwe a lactic acid ndi monga:

kumwa mowa
kulephera kwamtima,
mavuto ndi kupuma thirakiti (chifukwa cha kusakwanira kwa mpweya wokwanira wa minofu),
mavuto a impso.

Malinga ndi lingaliro lina, kugwiritsa ntchito Glucofage ndi mankhwala ofananawo kumalimbikitsa njira yopanga lactate m'matumbo ang'ono. Koma nthawi zambiri mavuto amakhudzana ndendende ndi kuwonongeka kwake kwa chiwindi.

Ngozi zowopsa

Muyenera kumvetsetsa kuti ngakhale mutamwa kamodzi, mutha kusokoneza kugwira ntchito kwa chiwindi. Kumwa mowa ndizowopsa kwa onse odwala matenda ashuga, ngakhale kwa omwe sanawonetsedwe mankhwala. Ndi kuledzera, kuledzera kumayamba kuledzera. Amawonekera chifukwa cha:

wonjezerani katulutsidwe ka insulin, kamene kamalimbikitsidwa ndi Mowa,
Kuletsa gawo la gluconeogeneis, pomwe lactic acid ndi alanine amasinthidwa kukhala pyruvic acid,
kutsika kwa glycogen depot, yomwe iyenera kukhala m'chiwindi.

Chifukwa chake, kumwa mowa nthawi zonse kumalumikizidwa ndi chiopsezo cha lactic acidosis. Anthu odwala matenda ashuga ayenera kudziwa zazikulu zake:

mphwayi
kupweteka kwa minofu
kusanza ndi zizindikiro zina za dyspeptic,
kupumira msanga.

Kusowa kwa chithandizo cha panthawi yake kumayambitsa kukayika komanso kufa pambuyo pake.

Komanso, pogwiritsa ntchito mowa komanso glucophage, matenda a hypoglycemic amatha. Mwanjira imeneyi, kuchuluka kwa glucose kumatsikira pansi pazofunikira zovomerezeka. Wodwala ali ndi izi:

kufooka
mutu
kunjenjemera
kukomoka mtima,
dzanzi la miyendo
njala,
kuwonongeka kwamawonekedwe
chisangalalo / choletsa.

Kunyalanyaza zizindikirazi kumayambitsa kutsika kwina kwa shuga ndikupanga kukula kwa hypoglycemic coma.

Maganizo a madokotala ndi odwala

Polankhula za kuthekera kwakumwa mowa mu chithandizo cha Glucophage, madokotala amalengeza mosakayikira kuti sangaphatikizidwe. Koma si onse odwala matenda ashuga omwe amavomerezana ndi zoletsa zamtunduwu. Ndemanga za odwala zimawonetsa kuti samakana maphwando.

Ngati mukufuna kumwa zakumwa zoledzeretsa, anthu ashuga samamwa piritsi lina. Amakondanso kudumpha tsiku lotsatira.

Koma izi zitha kuchititsa kuti matendawa azikhala ndi matenda ashuga osakhalitsa. Kuchuluka kwa shuga kumasintha kwambiri, ndipo mowa umangokulitsa vutolo.

Nkhaniyi ikukambidwa mwatsatanetsatane pambuyo pake m'nkhaniyi yokhudza zakumwa za shuga m'magazi.

Glucophage Kutalika kwa 1000 ndi mankhwala osokoneza bongo a 500 ndi mowa: kuyanjana, zotsatira, ndemanga

Glucophage Long amapangidwa kuti azilamulira kuchuluka kwa shuga mu shuga, koma imagwiritsidwanso ntchito kuti muchepetse kunenepa kwambiri. Kukana maswiti kumakhala kupsinjika kwa thupi, komwe ena amasankha kuthana ndi chithandizo cha mowa. Chifukwa chake, funsoli limakhala lofunikira: kodi ndizotheka kuphatikiza mankhwalawa ndi mowa?

Glucophage Long ndi mankhwala otchuka ochokera ku gulu la Biguanide. Imakhala ndi hypoglycemic, imachepetsa shuga m'magazi am'magazi. Kusiyanitsa pakati pa Glucophage Long ndi mawonekedwe a mulingo wotalikirapo ndi nthawi yayitali yobwera ndi chinthu chogwira ntchito.

Zizindikiro zama Glucofage Long ndi:

lembani matenda ashuga achiwiri a shuga kuyambira ana azaka 10 (chithandizo chovuta kapena monotherapy),
mtundu II matenda ashuga achikulire,
kunenepa
mtundu II shuga mellitus (wowonjezera malamulo a shuga panthawi ya insulin).

Mankhwalawa amapezeka m'magulu awiri a mapiritsi amkamwa, omwe amasiyana ndi zomwe zimagwiritsidwa ntchito ndi metformin (500 mg kapena 1000 mg). 500 mg - Mlingo wochepera, koma ngati vutoli silikwanira, dokotala amamuwonjezera.

Glucophage Long poyambirira adapangidwa kuti azichiritsa odwala omwe sangathe kuchepetsa shuga m'magazi awo kudzera muzakudya. Mankhwala amawongolera kupanga shuga m'chiwindi, kusintha kwake kugwira ndi kugwiritsidwa ntchito ndi minofu. Kuphatikiza apo, chinthu chogwira ntchito chimalimbikitsa kagayidwe ka mafuta, kuphatikiza kuchepetsa kuchuluka kwa mafuta m'thupi.

Tsopano endocrinologists akukhazikitsa Glucophage Long kwa odwala awo kuti achepetse thupi. Mapaundi owonjezera amalumikizidwa ndi kuperewera kwa thupi, chifukwa mafuta amayikidwa pamene thupi silingathe kuwaphwanya.

Glucophage Long amakhala ndi shuga ndi insulin, kubwezeretsa kagayidwe. Mosiyana ndi othandizira ena a hypoglycemic, mwa anthu athanzi Glucophage Long samachepetsa shuga la magazi ndipo siziwonjezera kuchuluka kwa insulin.
Ndemanga ya Glucophage:

Momwe mungaphatikizire

Glucophage Kutalika kumakhala pafupifupi maola 7.Chifukwa chake, nthawi ino iyenera kudikirira kuti isasakanikirane ndi mankhwala ndi mowa.

Komabe, nthawi yoyamwa ya mowa imatha kukulitsidwa - mwachitsanzo, ngati munthu amamwa pamimba yonse. Chifukwa chake, ngati simungathe kumwa popanda kumwa, ndikulimbikitsidwa kuti mulumphe Mlingo wachiwiri wa mankhwalawo mutamwa.

Komabe, pakapita nthawi yayitali pakati pamankhwala, shuga amayamba kusakhazikika. Mowa umatsitsa, koma kenako umadzuka posowa chithandizo. Acetone idzadziwika mkodzo ndi magazi.

Zotsatira zake, matenda obwezeretsanso a shuga am'tsogolo amayamba. Chifukwa chake, kulumpha mankhwala sikulimbikitsidwa. Komanso, simungathe kuzisakaniza ndi zakumwa zoledzeretsa.

Kuphatikiza apo, Glucofage Long imagwiritsidwa ntchito ngati gawo la mankhwalawa a shuga, ndipo mowa nthawi zambiri umaperekedwa kwa anthu omwe ali ndi matendawa. Zomwezi zimagwiranso ntchito kwa anthu omwe amamwa mankhwalawa kuti athane ndi kunenepa kwambiri. Mowa umakhala ndi zopatsa mphamvu zambiri, motero simalowa muzakudya zilizonse.

Odwala omwe akutenga Glucofage Long akuti amamwa mowa panthawi ya chithandizo, koma waukulu. Malinga ndi iwo, izi sizinabweretse mavuto akulu.

Odwala ena adayamba kutsekula m'mimba, koma mwina izi ndi zomwe zimachitika makamaka pakumwa mowa, osatinso kuphatikiza kwake ndi Mowa. Ndipo komabe, anthu ambiri sasiya kumwa mankhwalawa ngati akufunadi kumwa.

Madotolo akuti milandu ya lactic acidosis yopweteketsedwa ndi kuphatikiza kwa mowa ndi mapiritsi a Glucofage Long ndizosowa kwambiri kotero kuti palibe njira yosungira ziwerengero. Komabe, amalimbikira kuti ndi matenda ashuga, mowa umadzetsa mkwiyo wa hypoglycemia. Glucophage Kutalika ndi zotsatira za hypoglycemic pankhaniyi kumangokulitsa zizindikirazo.

Komabe, kuledzera, munthu akhoza kuphonya zizindikiro zoopsa za hypoglycemic syndrome. Chifukwa chake, madokotala amaletsa odwala awo onse kuphatikiza Glucophage Long ndi mowa.

Glucophage Kutalika ndi mowa siziyenera kumwa nthawi yomweyo. Mankhwalawa amaperekedwa kwa anthu omwe, makamaka, ayenera kupewa mowa - odwala matenda ashuga, kuchepetsa thupi. Komabe, kuphatikiza kwa mowa ndi wothandizila wa hypoglycemic kumangokulitsa zovuta za zovuta, chifukwa chake, ngakhale mankhwala okhala ndi ethanol sayenera kugwiritsidwa ntchito pakumwa.

Ngati mukufunikirabe kumwa mowa panthawi ya chithandizo, mutha kuchepetsa ngozi. Kuti muchite izi, dikirani maola 7 musanamwe mowa komanso maola 14 pambuyo pake.

Glucophage yokhudza kuwonda (500, 750, 850, 1000): momwe imagwirira ntchito, momwe mungatengere malingaliro ena molondola + kuwunika kwa iwo omwe achepetsa thupi ndi madotolo

Tonsefe timafuna kukhala okongola komanso oonda. Tonsefe timayesetsa kuchita izi - wina mwadongosolo komanso pafupipafupi, winawake nthawi ndi nthawi, pomwe kulakalaka kulowa mu mathalauza okongola kumakulitsa chikondi cha makeke komanso sofa yofewa.

Koma nthawi ndi nthawi, ayi, ayi, ndipo panali lingaliro lopenga: ndizachisoni kuti simungatenge piritsi yamatsenga ndikuchotsa mavitamini owonjezera osachita masewera olimbitsa thupi ndi zakudya ... Koma bwanji ngati piritsi loterolo lilipo kale, ndipo limatchedwa Glucofage? Poyerekeza ndi ndemanga zina, mankhwalawa amagwira ntchito ngati zozizwitsa zenizeni zakuchepetsa!

Glucophage - mankhwala a shuga kapena njira yochepetsera kunenepa?

Ndizachisoni, koma owerenga amayenera kukhumudwitsa nthawi yomweyo, omwe atha kusintha magwiridwe osavuta ndi kulemera kambiri: Glucofage sinapangidwe konse kuti aliyense athe kukwaniritsa zomwe zingatheke posachedwa, koma ngati njira yothandizira matenda ashuga.

Ntchito yake yayikulu ndikuchepetsa kupanga kwa insulin mthupi, kusintha matendawa m'magazi ndikonzanso njira za metabolic. Zowona, Glucophage imaperekabe vuto lina lochepa thupi, chifukwa limasokoneza mayamwidwe am'madzi ndikuwachepetsa kudya.

Koma musaiwale kuti, choyambirira, ndi njira yokonzekera zamankhwala, ndipo muyenera kuigwiritsa ntchito mozama.

Mankhwalawa amapezeka mosiyanasiyana - 500, 750, 850 ndi 1000 mg

Kodi mankhwalawa amagwira ntchito bwanji?

Tisanamve zomwe zochita za Glucophage zimakhazikika, tiyeni tikumbukire chifukwa chake kunenepa kwambiri kumachitika.

Zakudya zamagalimoto zikafika m'mimba yathu limodzi ndi chakudya ndikugaya mashupi osavuta, kenako zimatengedwa m'magazi kudzera m'matumbo a m'mimba, chiwindi chimawatenga.

Mothandizidwa ndi iwo, ma monosaccharides amasinthidwa kukhala glucose ndipo amagawidwa kudzera mu maselo amthupi ndi mtsempha wamagazi, komwe amalumikizidwa ndi insulin yomwe imapangidwa ndi kapamba. Ndi chithandizo chake, glucose amasinthidwanso - nthawi ino kukhala mphamvu yofunikira pamoyo.

Ngati titha kuwononga ndalama, ndizodabwitsa: machitidwe onse amagwira ntchito moyenera, minyewa imagwirizananso, ndipo thupi limakhala ndi thanzi komanso thanzi. Koma tikamadya zoposa zomwe tingakwanitse, chamoyo champhamvu chimayambira, mophiphiritsa, kukankha mphamvu zochulukirapo kudzera muming'alu yonse momwe muli mawonekedwe osanjikiza.

Choyamba, minyewa ya chiwindi ndi minofu imakhala malo ake osungira, kenako zotchinga zosavuta m'mbali, pamimba, kumbuyo, ndi kulikonse komwe zingatheke. Zipatso za ntchito zosaletseka zomwe timaziwona pagalasi.

Kodi glucophage imagwira ntchito bwanji? Chifukwa cha metformin yake, imathetsa njirayi mwachangu, mongoletsa kuyamwa kwa monosaccharides m'magazi. Popeza chiwindi chiribe chilichonse chotulutsa shuga kuchokera panonso, thandizo la insulini silifunikiranso ndipo mtengo wake wopangira ukuchepa.

Mphamvu sizipanga kuchuluka komweko, koma thupi zimafunikirabe! Atataya zomwe zimafunikira mwa nthawi zonse, pakapita kanthawi amayamba "kumasula" malo ake osungirako ndikutulutsa mphamvu kuchokera kumankhwala amafuta omwe amapezeka kwa iye.

Njira yochepetsera thupi imayamba, momasuka, koma molimba mtima, koma m'njira:

shuga wamagazi ochepa
zombo zimayeretsedwa pama cholesterol,
ngozi ya matenda amtima yachepa,
lipid metabolism imakulitsidwa,
chilala chimagwa.

Ndani angaganize kuti chinyengo choterechi chitha kuthetsa vuto la kunenepa kwambiri?!

Zikumveka zabwino? Osathamangira kukondwa, mbiya ya uchi yotchedwa "Glucophage" pali zigawo zingapo za phula.

Choyamba, muyenera kukhalabe ndi zakudya. Menyu wokhala ndi zakudya zopatsa mphamvu zambiri ungachepetsa mphamvu yonse ya Glucophage ndipo mudzakhala komwe muli nokha - shuga, shuga ndi mafuta.

Kachiwiri, tikukumbutsaninso: simulimbana ndi zakudya zamavuto, koma mankhwala azovuta omwe ali ndi zotsatila zambiri. Mwa njira, tiyeni tikambirane za iwo padera.

Momwe mungatenge: malamulo ndi malangizo

Ngati kulandira kwa Glucofage kumayambitsidwa ndi matenda aliwonse, kuchuluka kwake ndi nthawi ya chithandizo zimatsimikiziridwa ndi dokotala payekhapayekha komanso kangapo kasinthidwe mogwirizana ndi thanzi la wodwalayo. Chithandizo chotere chimatenga nthawi yayitali - kuyambira miyezi ingapo mpaka chaka kapena kupitirira apo.

Glucophage iyenera kutumizidwa ndi katswiri

Ngati mankhwalawa adangogwiritsidwa ntchito kuti muchepetse thupi ... komabe musakhale aulesi kuyang'ana endocrinologist. Ndizotheka kuti dokotalayo sangakane lingaliro lanu ndikukuthandizani kusankha mlingo womwe ndi wabwino kwa thanzi lanu. Koma ngati akana kukupatsani malangizo a Glucophage kwa inu, adzayenera kutero - adotolo amadziwa bwino.

Kodi mwasankha kuchita popanda kuthandizidwa ndi katswiri pa zoopsa zanu? Ngakhale zili choncho, samalani kutsatira malamulo oyamba achitetezo.

Tengani Glucophage mosamalitsa mukamadya kapena mukangomaliza kudya.
Osakaniza kuphatikiza kwa mankhwalawa ndi zakumwa zoledzeretsa, komanso mankhwala othandizira okodzetsa komanso ayodini.
Osatafuna phukusi kapena kumeza piritsi, kumeza lonse ndikumwa kumwa ndi madzi ochepa (100-200 ml) a madzi wamba.
Osamayeserera kuchita masewera olimbitsa thupi - izi zimatha kuyambitsa matenda oyamba omwe amatchedwa lactic acidosis. Koma osanama pabedi - yambani kuyenda, muzitsuka pafupipafupi, m'mawu amodzi, kusuntha.
Sinthani ku chakudya chamafuta ochepa. Atsikana ena, pozindikira Glucophage ngati mtundu wa "chakudya chopatsa mphamvu," nthawi imeneyi amayamba kutsamira kwambiri maswiti - atero, bwanji osadziletsa ngati piritsi lozizwitsa litulutsa chilichonse! Kodi ndikofunikira kunena kuti chogwirizira chokwanira cha zomwe nthawi zambiri chimakhala chofanana ndi zero?
Ngati kulekanitsidwa ndi kulemera kochepa mpaka 5 makilogalamu kukonzekera, njira ya kumwa mankhwalawa imayambira masiku 18 mpaka 22. Kuwerengeredwa kilo kukafika pa makumi, nthawi yakuvomerezedwa imapitilira miyezi iwiri. Chulukitsani chiwerengero ichi, ngakhale simunafikire kulemera kumene mukufuna, simungathe.

Mukamamwa mankhwalawa, muyenera kuwunikira nthawi zonse momwe mukusinthira. Ngati zotsatirapo zoyipa zimatchulidwa kwambiri ndikupangitsa vuto lalikulu, ndibwino kukana kugwiritsa ntchito Glucofage. Kwa wolimbikitsa wogwira ntchito yochepetsa thupi, zinthu zitha kutha mosavuta ndi ambulansi!

Glucometer imathandizira kuti shuga asayang'anitsidwe

Munthawi imeneyi, ndibwino kukhala ndi mita ya glucose yakumanja yowunikira kuchuluka kwa shuga m'magazi. Kapenanso perekani mayeso ofunikira musanayambe kuchepera thupi. Kumbukirani kuti ntchito yayikulu ya Glucophage ndikuchepetsa kuchuluka kwa insulin m'magazi. Mankhwala ake azichitira nawo zoyamba, ngakhale mutakhala kuti mukuyembekezera chiyani.

Chilichonse chomwe ma epic anu okhala ndi "matsenga" amatha, mutatha kumwa, onetsetsani kuti mupumula kwa miyezi 1.5-2, osachepera. Kulibwino pitani muzakudya chamagulu, ndipo simuyenera kubwerera ku Glucophage.

Malingaliro a madotolo

Madokotala nthawi zonse amalimbikitsa Glucophage osati kwa eni “osangalala” omwe ali ndi matenda a shuga 2, komanso kwa anthu omwe ali ndi cholesterol yambiri, komanso omwe ali ndi kunenepa kwambiri. Koma panthawi imodzimodzi, ali osavomerezeka pa lingaliro logwiritsa ntchito mankhwalawa kuti achepetse thupi pazokha, popanda kukhala ndi umboni wazachipatala.

Kufunsa akatswiri sikudzapweteketsa

Sikuti ndizopusa kugwiritsa ntchito mankhwala oopsa osafunsa dokotala - Glucofage imatha kupondereza kaphatikizidwe ka insulin yanu kwa nthawi yayitali, kusokoneza chiwindi ndi impso komanso kupereka munthu wopanda nkhawa wambiri ndi gulu lonse la matenda owopsa - sizothandiza nthawi zonse. Ndiye kuti, mutha kudzipereka pang'onopang'ono kuti thupi lanu likhale pachiwopsezo chachikulu komanso osamva chilichonse.

Pomaliza, ngakhale mankhwala omwe atchulidwa ataphunziridwa kwathunthu ali ndi mwayi wosokoneza wodwalayo. Ndiye chifukwa chake Glyukofazh ndi wotchuka kwambiri chifukwa cha "mavuto" ake osangalatsa kwambiri! Koma ngati chithandizo chikuchitika moyang'aniridwa ndi katswiri, zoyipa sizingachitike.

Dokotala amasintha machitidwe a kuvomereza, kusintha mlingo wa mankhwalawo kapena kuikonzanso ina.

Kupita ku "kusambira pawokha", mumatenga udindo wonse, ndipo ndani adziwa komwe kuyesedwa koyesedwa ndi thanzi lanu kukutsogolereni? Mwina molunjika pabedi la chipatala?

Ndemanga za ogwiritsa ntchito

Ndi Glucophage, ndikofunikira kwambiri kuti musakhale mumkhalidwe womwe "wina amachiritsidwa ndipo wina wolumala." Ngati mungamwe potsatira dokotala mosamalitsa, mankhwalawa amakuthandizani kukhala ndi chidwi chofuna kudya, kusintha shuga m'magazi ndikuthandizirani kunena kuti muyambenso kulemera.

Koma kuigwiritsa ntchito mosasamala, mutha kukhala pachiwopsezo chodziwonjezera nokha mavuto azaumoyo. Ndipo koposa zonse, ngakhale Glucofage sichimapumula iwo omwe akuchepetsa thupi chifukwa chakufunika koyendetsa zakudya zawo ndikuwonetsetsa kuti akuchita zolimbitsa thupi.

Kalanga ine, koma pokhapokha ngati izi zitha kuwonetsa mawonekedwe ake abwino ndikuthandizani kuti mudzabwerenso mawonekedwe okongola munthawi yochepa.

Mankhwala "Glucophage": ndemanga yochepetsa thupi ndi madokotala, malangizo:

Si chinsinsi kuti anthu ambiri masiku ano amalota kuti akhale ochepa thupi komanso athanzi. Oimira atsikana oyenera amafuna makamaka kuchepetsa thupi.

Komabe, ndi angati mwa anthuwa amene amayesetsa kuchita izi? Pa intaneti pali zidziwitso zambiri zamomwe mungadye moyenera, zolimbitsa thupi zolimbitsa thupi ndi zomwe mungachite kuti zolemerazo zitheke popanda kupweteka. Komabe, ndizosavuta kungotenga mapiritsi amatsenga omwe angakuchitire zonse.

Chokhacho chomwe chatsala kuti mukhale ndi moyo, monga kale: imwani mitundu yambiri ya zinthu zoyipa ndikuyamba kumangokhala.

Nthawi zambiri anthu amangopita kukadokotala kukafufuza njira zomwe zingawathandize kutaya mapaundi ochepa mu sabata popanda kuyesetsa. Ndipo lingaliro lawo ndi ili: popeza mapiritsi amagulitsidwa pa mankhwala, zikutanthauza kuti sangakhale ovulaza thanzi.

Komabe, nthawi zambiri anthu omwe amagonjera kukopa kutsatsa, amagula mankhwala osokoneza bongo, osadziwa cholinga chake. Munkhaniyi tikambirana za mankhwala "Glucofage". Ndemanga zakuchepetsa thupi zimatsimikiziradi kuti chidacho ndichothandiza kwambiri.

Komabe, mankhwalawo pawokha amalembera anthu omwe ali ndi matenda a shuga.

Kutulutsa mawonekedwe ndi kapangidwe kake ka mankhwala

Chofunikira kwambiri mwa mankhwalawa ndi metformin hydrochloride. Komabe, kuwonjezera pa izi, zida zothandizira zimaphatikizidwanso. Izi zimaphatikizapo povidone, magnesium stearate, microcrystalline cellulose ndi hypromellose.

Mankhwala "Glucophage" (kuwonda pakuwunikira akufotokozedwa pansipa) ali ndi mawonekedwe a mapiritsi, omwe amasiyana mu kuchuluka kwa zinthu zomwe zimagwira. Mwachitsanzo, piritsi limodzi limatha kukhala 500, 850 kapena 1000 mg yogwira ntchito. Piritsi lirilonse limakhala ndi mawonekedwe a biconvex ndipo limakulungidwa ndi nembanimu yoyera.

Phukusi limodzi nthawi zambiri limakhala ndi mapiritsi makumi atatu.

Chifukwa chiyani chida ichi chimatsogolera kuwonda

Mapiritsi a Glucophage amafotokozedwa mu malangizo ogwiritsira ntchito ngati njira yochizira matenda a shuga a 2. Komabe, mankhwalawa amagwiritsidwa ntchito nthawi zambiri moyenera kuchepetsa thupi. Chifukwa chiyani mankhwalawa amatchuka kwambiri ndi anthu oonda?

Metformin imatha kuchepetsa shuga m'magazi, omwe amakwera kwambiri pambuyo pa chakudya chilichonse. Njira zoterezi zimakhala zachilengedwe mthupi, koma ndi matenda ashuga amasokonezeka. Komanso mahomoni opangidwa ndi kapamba amalumikizidwa ndi njirayi. Amathandizira pakusintha shuga kukhala maselo amafuta.

Chifukwa chake, kumwa mankhwalawa, odwala amatha kuwongolera shuga, komanso kusintha momwe timadzi mu thupi timagwirira ntchito. Metformin imakhala yosangalatsa kwambiri mthupi la munthu. Amachepetsa kwambiri magazi chifukwa cha kudya mwachindunji kwa minofu minofu.

Chifukwa chake, shuga amayamba kuwotcha, osasanduka mafuta osungira. Kuphatikiza apo, mankhwalawa "Glucophage" ali ndiubwino wina. Ndemanga zakuchepetsa thupi zimatsimikizira kuti chida ichi chimapangitsa kuti chishuwere. Zotsatira zake, munthu samangodya chakudya chochuluka.

Glucophage Kutalika ndi mowa

Zizindikiro zama Glucofage Long ndi:

lembani matenda ashuga achiwiri a shuga kuyambira ana azaka 10 (chithandizo chovuta kapena monotherapy),
mtundu II matenda ashuga achikulire,
kunenepa
mtundu II shuga mellitus (wowonjezera malamulo a shuga panthawi ya insulin).

"Glucophage": malangizo ogwiritsira ntchito

Kumbukirani kuti, kudzipereka nokha si njira imodzi. Mankhwala oterowo ayenera kuyikidwa kokha ndi katswiri. M'malo mwake, owerengeka kwambiri amathandizira odwala awo kumwa mapiritsi a Glucofage moyenera kuti achepetse thupi. Chida choterocho chikuyenera kugwiritsidwa ntchito, motsogozedwa ndi dongosolo lapadera.

Nthawi zambiri, njira ya mankhwalawa imatenga masiku 10 mpaka 22, pambuyo pake ndikulimbikitsidwa kuti mupumule kwa miyezi iwiri. Pambuyo pa nthawi iyi, ngati pangafunike, maphunzirowo atha kubwereza.

Chonde dziwani kuti ngati mumagwiritsa ntchito mankhwalawa pafupipafupi, pali kuthekera kwakukulu koti thupi lanu limangoligwiritsa ntchito, zomwe zikutanthauza kuti njira yoyaka mafuta idzayimitsidwa.

Mlingo amasankhidwa ndi dokotala payekhapayekha. Katswiriyu ayenera kuganizira za thanzi lanu, komanso jenda, kulemera kwake komanso kutalika kwake. Komabe, mlingo wocheperako tsiku lililonse ndi piritsi limodzi lokhala ndi 500 mg yogwira ntchito patsiku. Koma nthawi zambiri pakuchepetsa thupi mankhwala "Glucofage" siomwe amatengedwa.

Ndemanga zakuchepetsa thupi zimatsimikizira kuti zotsatira zabwino kwambiri zimatheka pokhapokha mutamwa mapiritsi awiri a mankhwalawa tsiku lililonse. Nthawi yomweyo, muyenera kuchita izi nthawi ya nkhomaliro komanso madzulo. Osati kawirikawiri, mlingo umakulitsidwa kumapiritsi atatu patsiku.

Komabe, kuchuluka kwa mankhwalawa kungapangidwe ndi dokotala.

Anthu ambiri ali ndi chidwi ndi funso lofunsidwa: Kodi ndibwino - "Glyukofazh" kapena "Glukofazh Long"? Dokotala wanu adzayankha funso ili.

Ngati mankhwalawa okwanira a metformin ndi oyenera kwa inu, ndiye kuti ndibwino kulabadira mankhwala achiwiriwo, chifukwa amakhala ndi mphamvu yayitali mthupi. Piritsi lililonse liyenera kumwedwa nthawi yomweyo musanadye kapena chakudya.

Imwani mapiritsiwo ndi madzi pang'ono. Ndikofunika kuwonjezera mlingo pang'onopang'ono. Izi zithandiza bwino m'mimba thirakiti.

Yemwe samalimbikitsidwa kumwa mankhwalawa

Musaiwale kuti Glucophage, mtengo womwe umasonyezedwa pansipa, siwowonjezera vitamini. Mankhwalawa amapangidwa makamaka pochiza matenda amishuga a 2. Chifukwa chake, muyenera kuigwiritsa ntchito mosamala kwambiri, chifukwa mankhwalawo ali ndi zambiri zotsutsana.

Dziwani kuti kusankha kolakwika kwakanthawi kungapangitse kuti thupi la munthu lisayankenso insulin yomwe imapanga payokha. Ndipo izi, posachedwa, zidzatsogolera kukukula kwa matenda ashuga. Ndipo izi zitha kuchitika ngakhale mutakhala kuti simunayang'anitsidwe ndi matenda oopsa ngati amenewa.

Palibe chifukwa osatenga mankhwalawa "Glyukofazh" (mtengo wa nega umasiyanasiyana madera mazana awiri kapena mazana anayi) ngati mwazindikira chidwi ndi zomwe zimapezeka. Komanso, musamwe mankhwalawa kuti muchepetse thupi ngati muli ndi matenda amtima komanso ma mtima.

Zachidziwikire, simungagwiritse ntchito mankhwala a ana, komanso azimayi oyembekezera komanso oyembekezera. Simuyenera kuigwiritsa ntchito ngati mukudwala matenda omwe ali pachimake pakukula. Komanso, musayese thanzi lanu ngati mukudwala matenda ashuga.

Mwachitsanzo, musagwiritse ntchito mankhwalawa kuchiza matenda a shuga 2 ngati muli ndi matenda ashuga 1.

Glucophage: mavuto

Musaiwale kuti chida ichi chinapangidwira makamaka kuti chikhale ngati wodwala akudwala matenda ashuga. Mankhwalawa ndi akulu kwambiri, chifukwa chake ali ndi mndandanda waukulu wazotsatira zoyipa. Nthawi zambiri, odwala omwe amamwa mankhwalawa makamaka kuti achepetse thupi amadandaula za zotsatira zoyipa zamagetsi.

Nthawi zambiri pamakhala mseru komanso kusanza, komanso kutsegula m'mimba, kapena, kudzimbidwa. Ngati mukuwona kuti mudayamba kuvutika chifukwa cha kuchuluka kwa mpweya m'matumbo, ndiye kuti mumadya chakudya chochuluka kwambiri. Pankhaniyi, muyenera kusintha zakudya zanu momwe mungathere. Ngati mukuwona nseru, ndiye kuti mankhwalawa amasankhidwa molakwika.

Muyenera kuti muchepetse.

Nthawi zambiri limodzi ndi zoyipa kumayambiriro kwa chithandizo, kumwa mankhwalawa "Glucofage" kuwonda. Ndemanga za madotolo ndi odwala akufotokozedwa pansipa, ndipo muyenera kuzidziwa bwino musanayambe kumwa mankhwalawa. Komabe, patatha masiku ochepa, wodwalayo amayamba kumva kuti ndi wabwinobwino.

Nthawi zina, matenda a lactic acidosis amatha kuyamba. Amayamba chifukwa cha kusokonezeka kwa lactic acid metabolism m'thupi. Zimadzipangitsa kukhala ngati kusanza kosalekeza ndi mseru. Nthawi zina pamakhala zowawa m'mimba. Nthawi zambiri, odwala amayamba kusiya kuzindikira. Potere, kumwa mankhwalawa kuyenera kuyimitsidwa mwachangu.

Kuti athetse mawonekedwe owoneka bwino, madokotala nthawi zambiri amapereka mankhwala othandizira. Chonde dziwani kuti kugwiritsa ntchito mosayenera komanso mosasamala mankhwala omwe ali ndi metformin kukhoza kuwononga thanzi lanu. Chifukwa chake, mugwireni ndi udindo wonse.

Mlingo wowonjezereka wa metformin ungayambitse njira zina zosasintha zomwe zimachitika mu ubongo.

Malangizo Ofunika

Ngati mukuganiza kumwa mankhwala "Glucofage" kuti muchepetse thupi, mulingo woyenera uyenera kukhala wochepa. Komanso, ngati simutsatira mfundo za zakudya zoyenera, ndiye kuti simungathe kudalira zotsatira zabwino. Muyenera kupatula zakudya zomwe zili ndi chakudya chambiri kuchokera kuzakudya zanu. Choyamba, maswiti ndi zipatso zouma ziyenera kutchulidwa apa.

Komanso musayese kudya phala la mpunga, mbatata ndi pasitala. Palibe chifukwa choti musakhale pachakudya chamafuta ochepa, pomwe mumadya zosakwana kilositeti chikwi. Dziwani kuti Glucophage ndi mowa sizigwirizana kwathunthu. Koma mutha kugwiritsa ntchito zonunkhira ndi mchere mulingo uliwonse. Palibe zoletsa zapadera kwa iwo.

Kodi ndingachite masewera ndikumwa mankhwala ochepetsa thupi?

Mpaka posachedwa, madokotala adanenanso kuti mukamachita masewera, muthana ndi zotsatira zonse za kumwa mapiritsi a Glucophage.

Komabe, chifukwa cha kafukufuku waposachedwa, asayansi adazindikira kuti kuchita masewera olimbitsa thupi ndikukhalabe ndi moyo wogwira ntchito, m'malo mwake, imathandizira njira yochepetsera thupi kangapo. Ngakhale odwala omwe amamwa mankhwalawa Glucofage mumiyeso yaying'ono kwambiri ndikusewera masewera amasangalala kwambiri ndi zotsatira zake.

Musaiwale kuti metformin imalimbikitsa kutuluka kwa glucose mwachindunji kumisempha minofu. Chifukwa chake, pochita masewera olimbitsa thupi, mumawotcha chakudya chonse chomwe mumadya.Kupanda kutero, glucose, posachedwa, imasandukanso mafuta osungidwa m'thupi lanu.

Ngati mukuganiza zopanga kuchepa thupi mothandizidwa ndi mankhwalawa, onetsetsani kuti mwapanga dongosolo la masewera olimbitsa thupi, komanso kuwerenganso zakudya. Ndipo zotsatira zabwino sizitenga nthawi yayitali.

Glucophage komanso mowa

Mankhwalawa amathandizika kwambiri akaphatikizidwa ndi mankhwala ena komanso osakhudzidwa kwambiri pakumwa mowa. Mowa ndi mankhwala sizingatheke, kuphatikiza koteroko kumawonjezera katundu pa chiwindi ndikusokoneza magwiridwe ake. Malangizowa akuwonetsa kuti simungatenge ndalama limodzi. Komabe, odwala ambiri akupitiliza kuyesa.

Glucophage ndi mowa - mumatha kumwa zochuluka motani? Ngati mankhwalawo amagwiritsidwa ntchito kale pa matenda a chiwindi, ngakhale muyezo umodzi umabweretsa zotsatira zoyipa ndipo zilibe kanthu kuti pakhale pakati pawo. Kulandila kwa malo ogona kotereku sikolandiridwa, chifukwa kumachulukitsa ndikuwonjezera zotsatira zoyipa za lactic acidosis.

Kukhalapo kwa ethanol ndi metformin kumayambitsa kuwonjezeka pakukula kwa chikhalidwe cha lactic acid, acid acid ndi minyewa ndipo sangathe kupirira ntchito ya lactate metabolism. Ngati pali matenda a impso, izi zimalepheretsa kuchotsa lactic acid ndi metformin.

Kodi Glucophage angatengedwe ndi mowa?

Mowa ndi matenda ashuga ndi malingaliro osiyana. Matendawa amayenda ndi munthuyo mpaka masiku atha ndipo mudzamwa mankhwala omwe amalephera kumwa ndi mowa. Zikhala zotsatila za glucophage ndi mowa, ngati kulandiridwa kwawo kuphatikizidwa?

Makhalidwe azamankhwala

Glucophage ndi mankhwala a hypoglycemic ogwiritsira ntchito mkati. Chogwira ntchito ndi metformin, yomwe ntchito yake yayikulu ndikuchepetsa kuchuluka kwa shuga m'magazi mpaka mulingo woyenera. Zowonjezera: povidone ndi magnesium stearate.

Glucophage siziwonjezera insulin, koma m'malo mwake imalola maselo ndi ziwalo kupanga glucose.

Mankhwala amachititsa insulin kuzindikira mu mitsempha yamitsempha, kuchedwa kagayidwe kazinthu zopanda mafuta mu chiwindi ndi mapangidwe a glucose, ndikuletsa kuyamwa kwa hydrocarbon compressor m'matumbo. Mankhwalawa ali ndi mphamvu pa lipid metabolism, potero kuchepetsa cholesterol.

Mukamagwiritsa ntchito mankhwalawa, zotsatira zake:

chiopsezo cha kuchepa kwa mpweya m'maselo,
kusowa kwamadzi
kugwedeza
chifuwa
kusowa kwa chakudya komanso kusowa kwa kukoma
kunyansidwa ndi kusanza
kutsegula m'mimba
lactic acidosis.

Glucophage ndi mowa: kuyenderana ndi kuwunika - ndizotheka ndi mowa

Odwala omwe ali ndi gawo 2 la shuga amakhala onenepa kwambiri.

Kuphatikiza apo, popanga matenda, odwala matenda ashuga ayenera kumvana ndi lingaliro la kusiyanitsidwa kwathunthu ndi zakumwa zoledzeretsa m'miyoyo yawo, chifukwa, choyambirira, ethanol imakhala ndi zotsutsana kwambiri ndi machitidwe onse a odwala, ndipo chachiwiri, sizachilendo kuphatikiza ndi mankhwala omwe mumalandira Kusintha ndikukhazikika kwa wodwalayo. Imodzi mwa mankhwalawa ndi Glucophage. Ponena za mankhwalawa pomwe odwala omwe amamwa nthawi zambiri amafunsa funso: Kodi mowa ndi glucophage zimaphatikizidwa kukhala "malo ogumuka"?

Mankhwala "Glucofage" ndi a gulu la Biguanides, omwe amathandiza kuchepetsa magazi a wodwalayo

Mankhwala "Glucofage" ali m'gulu la Biguanides, omwe amathandiza kuchepetsa shuga ya wodwala. Chofunikira chachikulu pa mankhwalawa ndi metformin hydrochloride. Monga zida zothandizira, magnesium stearate ndi povidone adagwiritsidwa ntchito. Monga lamulo, m'mafakitala ku Russia mutha kupeza mankhwalawa mu mapiritsi a 500, 850 ndi 1000 mg.

Mankhwala "Glucofage" ndi "Glucophage long" amakhala ndi mphamvu yayitali mthupi la wodwalayo, koma sasintha mwachindunji kuchuluka kwa insulini ndipo sangathe kusintha kuchuluka kwa shuga m'magazi a wodwala wathanzi labwino (ngati mankhwalawo amagwiritsidwa ntchito ngati chowonjezera pazakudya zamagulu kuti muchepetse kulemera) .

Ndikofunika kudziwa kuti mtundu uwu wa mankhwala umapangidwira ma pathologies ndi matenda:

Mtundu wa shuga wachiwiri mwa akuluakulu (osagwira insulin),
Shuga wa shuga kwa ana atatha zaka 10 (onse ngati othandizira monotherapeutic, komanso kuphatikiza ndi insulin),
Kunenepa kwambiri ndi matenda ashuga
Kungonenepa kwambiri.

Zochita zamankhwala

Ndizofunikira kudziwa kuti gawo lalikulu la Glucophage, metformin, limachepetsa shuga ya magazi kokha mwa odwala omwe ali ndi hyperglycemia

Ndizofunikira kudziwa kuti gawo lalikulu la Glucofage, metformin, limachepetsa shuga ya magazi kokha mwa odwala omwe ali ndi hyperglycemia (ndiye kuti, ndi shuga wambiri). Ngati kuchuluka kwa shuga ndi kwabwinobwino, ndiye kuti mankhwalawo sasintha kukhala gawo laling'ono kwambiri.

Komanso, ngati odwala matenda ashuga amwa mankhwalawa pafupipafupi, ndiye kuti zotsatira zake zimakhala zothandiza kuchepetsa shuga m'magazi a m'magazi. "Glucophage" imadziwika bwino ndi thupi ndipo imachotsedwapo pang'ono pambuyo pa maola 6.5, ndipo itatha maola 11-13.

Mankhwalawa amachotseredwa mkodzo komanso pang'ono ndi ndowe.

Ngati mankhwalawa atengedwa ndi kuchuluka kwambiri, ndiye kuti mankhwalawo amangothandiza thupi kukhazikika kwa insulin ndi glucose, kuphwanya cholakwika cha metabolic.

Izi, zimayamba ndi kumwa kwambiri chakudya chamafuta. Zotsatira zake, kagayidwe kabwinobwino ka wodwalayo kamabwezeretsedwa ndipo kulemera kwake kumayamba kuchepa.

Ndipo kuti mupeze phindu lochulukirapo pakutenga mankhwalawa, ndikofunikira kuti musatenge zakudya zotsekemera komanso zopatsa mphamvu zamagetsi.

Glucophage kuphatikiza mowa

Mankhwala omwe amagwiritsidwa ntchito pakuchepetsa thupi ndi oletsedwa kuphatikiza mowa.

Mankhwala omwe amagwiritsidwa ntchito kuchepetsa thupi ndi oletsedwa kuphatikiza mowa. Koma izi ndi zomwe odwala nthawi zambiri sagwirizana nazo. Moyenera, anthu omwe amakakamizidwa kuti azilamulira thupi komanso kukana chakudya chamafuta akukumana ndi zovuta zambiri.

Monga bonasi, odwala oterowo amayamba kumwa mowa. Koma ndikofunikira kukumbukira kuti tandem yotereyi ndiyosavomerezeka. Popeza Glucophage sichakudya chowonjezera, koma mankhwala odzaza omwe amakhudza chiwindi.

Chifukwa chiyani simumatha kumwa mowa ndi glucophage komanso zomwe zingachitike ngati mutanyalanyaza malangizo a akatswiri azamankhwala ndi madokotala, tikumvetsetsa zowonjezereka.

Chifukwa chake, amadziwika kuti mowa (makamaka wambiri) umasokoneza chiwindi, nthawi zambiri umayambitsa hypoglycemia. Ndiye kuti, mthupi la chidakhwa (kapena munthu yemwe amakonda kumwa pafupipafupi), kuchuluka kwa glucose kumakhala kotsika.

Izi sizingafanane ndi wathanzi, chifukwa mphamvu ya ethanol pachiwindi komanso kuchepa kwa glucose komwe kumachitika. Kapenanso, munthu amene amamwa kapena kuledzera amatha kudwala matendawa.

Mosakayikira, mankhwalawa "Glucofage" achulukitsa vuto lomwe liripo.

Ichi ndichifukwa chake Glucophage imaphatikizidwa kwathunthu mgulu la anthu:

Odwala omwe ali ndi mitundu yosiyanasiyana ya hepatitis
Odwala odwala matenda amitsempha
Odwala omwe ali ndi kuchuluka kwa michere
Anthu omwe ali ndi vuto la hypoxic,
Odwala omwe ali ndi vuto la kuwonongeka kwa mafuta
Amayi oyembekezera ndi azimayi oyembekezera
Odwala osowa madzi m'thupi
Odwala mwa mantha
Oledzera osatha pamlingo wa 2-3 wodalira,
Anthu opitilira zaka 60.

Mowa mukamamwa mankhwala

Kusankha kophatikiza mankhwalawa ndi mowa kumaletsedwanso kwambiri

Njira iyi yophatikiza mankhwalawa ndi mowa ndi mapiritsi nawonso ndi oletsedwa. Makamaka kwa odwala matenda ashuga.

Popeza mowa womwewo umavulaza thupi la wodwala, ndipo kuphatikiza kwa mankhwalawo ndi Mowa kumachulukitsa vutolo.

Ndipo kuledzera kumawonekeranso mukamamwa mowa, ndiye kuti wodwalayo amatha kudwala kwambiri hypoglycemia. Nawonso, hypoglycemia yoledzera imatha kuchitika chifukwa cha zifukwa zake,

Mitengo yambiri ya ethanol yotulutsidwa ndi insulin,
Kuperewera kwa glycogen m'chiwindi chifukwa chomwa mowa pafupipafupi m'matenda a shuga,
Kubisa kwa njira imodzi kapena zingapo zopangira gluconeogeneis. Njirayi imayambitsa kutembenuka kwa alanine ndi lactic acid kukhala paragravic acid. Zotsatira zake, wodwalayo amalandira kuchuluka kwa lactic acid mthupi, komwe ndi vuto kwambiri kwa moyo wa wodwalayo.

Zovuta za kuphatikiza kwa mowa ndi glucophage

Ndi bongo wambiri, kupweteka m'matumbo ndi m'mimba kumatha kuonekera

Ngati malingaliro onse ndi zochotsa pamalangizo zikanyalanyazidwa (ndiye kuti, zosokoneza bongo zachitika), izi zitha kutsogolera kuchitika zamomwezi:

Maonekedwe owoneka ngati osagwirizana,
Kulawa kwamphamvu kapena kusowa kwa chakudya,
Kuchepetsa mphuno ndi kusanza kwamtsogolo,
Zowawa m'matumbo ndi m'mimba,
Pafupipafupi, chiwindi
Choyipa chachikulu, pamene Glucofage ikuphatikizidwa ndi mowa, lactic acidosis imatha - kuchuluka kwachulukidwe ka lactic acid m'misempha yonse ya wodwala, komwe kumatha kubweretsa imfa popanda chithandizo chanthawi yake.

Ndizofunikanso kudziwa kuti ngati dokotala, ngakhale wodwalayo atadwala matenda, amamulembetsa kuti "Glucofage", ndiye kuti ngakhale kachilomboka kakang'ono kwambiri kwa munthu wotereyu akhoza kutenga gawo loyambitsa matenda opha ziwonetsero zakufa - lactic acidosis. Ichi ndichifukwa chake kuphatikiza mowa ndi Glucophage ndizoletsedwa kwambiri kupweteka kwa imfa.

Kumbukirani kuti pakati pa tsiku lomaliza la piritsi la Glucophage ndi tsiku lamasulidwe, masiku atatu ayenera kudutsa. Zoyenera, ngati ndi sabata. Komabe, malangizowo amagwira ntchito kwa anthu omwe amamwa mapiritsi ngati njira yochepetsera thupi. Anthu odwala matenda ashuga saloledwa kumwa kuchuluka kulikonse.

Kuphatikiza apo, muyenera kudziwa kuti kuphatikiza mowa ndi mankhwala a gulu la greatuanide kumatha kukulitsa ketoacidosis. Potere, motsutsana ndi maziko a matenda, matenda a hypoglycemia omwe ali ndi lactic acidosis amakonzanso, zomwe zimapangitsa kuti wodwalayo akhale ndi vuto pafupifupi 100%.

Kuwerengeredwa:

Ndemanga za madotolo za mankhwala "Glucofage"

Apanso, ndikofunikira kubwereza kuti mankhwalawa adapangidwa kuti azitha matenda a shuga a 2. Mankhwala "Glucophage" ndiwofunika kwambiri, chifukwa chake popanda chifukwa chomveka sichikulimbikitsidwa. Mpaka pano, akatswiri sanapeze malingaliro osatsutsika pakugwiritsa ntchito mapiritsi azakudya izi.

Komabe, kuwunika kwa madotolo ambiri kumawonetsa kuti mapiritsi amathandiziradi kuti achepetse thupi popanda kuwononga thanzi. Koma ndikofunikira kulingalira kuti ambiri ogwira ntchito zachipatala amaletsa kumwa mapiritsi a Glucofage kwa anthu omwe alibe matenda a shuga.

Ngakhale kupatuka pang'ono panjira kungayambitse kuphwanya thupi m'thupi, zomwe zimayambitsa matenda ashuga.

Masiku ano, m'maiko ambiri, maphunziro apadera azachipatala amachitidwa, cholinga chake ndikupeza umboni wa chitetezo cha mankhwala omwe ali ndi metformin.

Chifukwa chake, zotsatira za kafukufuku wotere zikuwonetsa kuti gawo ili limakulitsa kuchuluka kwa moyo osati kokha mwa odwala omwe ali ndi matenda a shuga, komanso mwa anthu omwe alibe matenda oterewa.

Kuphatikiza apo, metformin imatha kuchepetsa kukalamba mthupi la munthu, zomwe ndi nkhani yabwino.

Glucophage ndi mowa - nkhani yoyenderana

Metabolic syndrome ndi vuto lomwe zizindikiro zake zikuluzikulu, matenda ashuga 2 ndi matenda oopsa. Imayanjanitsa gulu lonse la zinthu zomwe zimatsogolera pakupanga matenda a mtima ndi kusasamala kwa metabolic.

Zimatengera chodabwitsa cha kukana insulini, ndiko kuti, chitetezo cha maselo ndi minyewa kupita ku insulin. Matendawa ndi mliri wamakono ndipo ndi zovuta zovuta za metabolic, mahormoni ndi zamankhwala.

Monga vuto lililonse la metabolic, matendawa amakonzedwa ndikugwiritsa ntchito mankhwala omwe amathandizira kukhazikika kwa kagayidwe kazinthu.

Poona izi, kunenepa kwambiri kukukhala vuto lalikulu masiku ano. Chiwerengero cha anthu onenepa kwambiri chikukula mwachangu chaka ndi chaka.

Chikhumbo chokhala ndi mawonekedwe abwinobwino m'mikhalidwe yotere, ngakhale mutaganizira upangiri wonse wa akatswiri azakudya, nthawi zina chimakhala ntchito yosatheka kwa munthu wamba.

Kuphatikiza apo, kunenepa kwambiri komanso kuphwanya komwe kumakhalapo chifukwa cha kudzikundikira kwake sikutilola kuthetsa vutoli pakuchepetsa thupi.

Panthawi imeneyi, makampani opanga mankhwala omwe amapanga mankhwala omwe amachepetsa kuchuluka kwa shuga wamagazi ndikuchepetsa thupi kungathandize pamlingo wina kuthetsa vutoli.

Imodzi mwa mankhwalawa ndi Glucophage. Kwenikweni, mankhwalawo pawokha amatanthauza zochizira matenda ofala m'nthawi yathu - matenda ashuga.

Kuthekera kolimbana ndi kunenepa kwambiri ndi zotsatira zamtundu wa mankhwalawa.

Kufotokozera za mankhwala Glucofage

Glucophage (Glucophage) - mankhwala opatsirana pakamwa kuchokera pagulu la Biguanide, omwe amalimbikitsidwa kuti azigwiritsidwa ntchito mu endocrinology pofuna kuchepetsa shuga. Chofunikira chachikulu (yogwira) cha mankhwalawa ndi metformin hydrochloride. Kuphatikiza pazomwe zimagwira, piritsi la mankhwalawa limakhala ndi zotuluka - magnesium stearate ndi povidone.

Mankhwala amapezeka mu mawonekedwe a mapiritsi okhala ndi 500, 850 kapena 1000 mg yogwira ntchito.

Mankhwalawa amagwiritsidwa ntchito pochiza odwala omwe ali ndi mtundu wachiwiri wa matenda a shuga, makamaka ngati palibe zotsatira kuchokera pakudya. Itha kugwiritsidwa ntchito ngati othandizira monotherapeutic, komanso kuphatikiza mankhwala ena a hypoglycemic ndi insulin.

Mosiyana ndi mankhwala ena angapo ofanana, Glucophage samayendetsa mwachindunji pamankhwala a insulin ndipo sasintha kuchuluka kwa shuga kwa munthu wathanzi.

Mankhwalawa amapezekanso ngati mapiritsi a Glucofage atenga nthawi yayitali. Kusiyana kwawo kwakukulu ndi mtundu wanthawi yayitali ndi kutalika kwa chinthu chogwira ntchito.

Njira yogwiritsira ntchito

Ndikulimbikitsidwa kuti mankhwalawa a mtundu 2 a shuga ayambitsidwe ndi mlingo wocheperako (500 mg) wa mankhwala omwe amatengedwa katatu patsiku. Mlingo umatha kukhala wosasinthika panthawi yonse ya chithandizo kapena kusintha pang'onopang'ono mpaka 2000 mg patsiku.

Ndi ntchito pamodzi ndi insulin mankhwala, Mlingo wa Glucofage ndi insulin wakhazikitsidwa poganizira kuyesa kwa kuchuluka kwa shuga mumagazi a wodwala. Kutalika kwa maphunzirowa kumatsimikiziridwa ndi dokotala wopita.

Zizindikiro zachindunji zamankhwala ndi:

lembani matenda a shuga 2
lembani matenda ashuga a 2 a ana osaposa zaka 10 (monotherapy ndi zovuta mankhwala ophatikiza ndi insulin),
kunenepa kwambiri kumbali ya matenda osokoneza bongo a shuga ndi yachiwiri insulin.

Njira yamachitidwe

The yogwira mankhwala Glucofage (yogwira gawo la metformin) ndi gulu la Biguanides ndi lotchulidwa hypoglycemic kwenikweni, lomwe limayamba pokhapokha ngati hyperglycemia ilipo.

Mankhwala alibe Hypoclycemic pa zomwe odwala ali ndi shuga achilengedwe.

Ndi hyperglycemia, kumwa mankhwalawa kumayambitsa kuthamanga kwa magazi.

Kupanga kwamachitidwe kukufotokozedwa ndi kuthekera kwa chinthu chogwira ntchito kupondera njira za gluconeogeneis ndi glycogenolysis, komanso kuchepetsa kuchuluka kwa shuga m'matumbo am'mimba, pomwe kumakulitsa chidwi cha insulini.

Mwanjira ina, metformin imathandizira kuchepetsa kupangidwa kwa shuga ndi maselo a chiwindi, imathandizira kuyambitsa kugwiritsidwa ntchito kwake ndi minofu komanso kuchepetsa kuchuluka kwa glucose. Kuphatikiza apo, mankhwalawa amathandizira kukonza kagayidwe ka lipid, kutsitsa kuchuluka kwa lipoproteins, triglycerides ndi cholesterol.

Metformin simapukusidwa mthupi, theka lake limakhala pafupifupi maola 6.5. Kuchotsa mankhwalawa kumachitika makamaka kudzera mu impso komanso pang'ono m'matumbo.

Glucophage komanso kunenepa kwambiri

Zokwera plasma insulin ndizofunikira kuti zimayikidwa mu mawonekedwe a mafuta amkati, michere yomwe imalowa m'thupi la munthu ndi chakudya. Kuphatikizika kwa insulin kumayenderana mwachindunji ndi kukweza kwa magazi. Ubwenziwu umabweretsa kunenepa kwambiri komanso kunenepa kwambiri.

Kutenga Glucophage kumakupatsani mwayi kusintha njira za metabolic mthupi komanso kukhazikika pakupanga glucose komanso insulin. Kutupa kwa kagayidwe kachakudya kolakwika kamabwezeretsanso kagayidwe kachakudya ndikuthandizira kuchotsa mapaundi owonjezera.

Kuphatikiza apo, mankhwalawa amathandizira kuchepetsa kuchuluka kwa cholesterol m'magazi, zomwe zimayambitsa kuchepa kwa chiwopsezo cha matenda ndi mtima.

Monga tawonetsera pofufuza zambiri zasayansi, kutenga glucophage kumachepetsa kufa chifukwa cha kulowera kwa myocardial ndi 38%.

Kudya pafupipafupi kwa Glucofage (monga momwe amalemba ndi endocrinologist) kumabweretsa kubwezeretsanso kwa metabolidi wa lipid m'thupi, kuchepetsa kuchepa kwa gluconeogeneis ndi kugwiritsidwa ntchito kwa chakudya cham'mimba m'mimba.

Kugwiritsa ntchito bwino kwa mankhwalawa kumapangidwanso ndikuletsa, makamaka kupatula kwathunthu kwamakanema ophatikizika am'mimba ndi maswiti ku zakudya.
Kugwiritsa ntchito mankhwalawa, malinga ndi malingaliro a asing'anga, amadziwika kuti ndi otetezeka ndi monotherapy.

Kuphatikiza ndi mankhwala ena kuyenera kuvomerezana ndi dokotala wopita.

Kuchita kwa mankhwala a glucophage ndi mowa

Chikhumbo chakuchepetsa thupi, chomwe chimafuna kukanidwa kwa zakudya zamafuta ndi maswiti, nthawi zambiri chimabweretsa zovuta zomwe odwala amayesa kulowerera m'njira yodziwika bwino - kumwa mowa.

Komabe, mukamagwiritsa ntchito mankhwala a Glyukofazh ngati njira yochepetsera thupi, munthu sayenera kuyiwala kuti, choyambirira, ndi mankhwala, osati bioadditive wopanda vuto kuti muchepetse thupi.

Monga mankhwala aliwonse, imakhala ndi Mlingo winawake, malire ogwiritsira ntchito, makamaka kuyanjana ndi mankhwala ena ndi zotsutsana ndi anthu ena.

Glucophage imaperekedwa chifukwa cha zovuta zilizonse za chiwindi ndi matenda ake osiyanasiyana.

Zambiri kuchokera ku kafukufuku wasayansi ndi zamankhwala zikuwonetsa kuti chimodzi mwazifukwa zazikulu zokanira (zopitilira 44%) kuchokera pakukhazikitsidwa kwa glucophage ngati othandizira achiwerewere ndi uchidakwa wa odwala.

Mowa wadzaoneni umasokoneza kukula kwa hypoglycemia, mpaka kufika pakukomoka kwa hypoglycemic.

Matenda onse a chiwindi - hepatitis (aakulu kapena viral pachimake), kuchuluka kwa michere, cirrhosis, komanso zotupa za chidacho - zimapangitsa kugwiritsidwa ntchito kwa glucophage kukhala kowopsa kapena kovuta. Zomwezi ziletso zimagwiranso ntchito kwa odwala omwe ali ndi vuto la hypoxic, kuwonongeka kwa minofu ina yamaukidwe osiyanasiyana, kukhalapo kwa mbiri ya lactic acidosis komanso milandu ya uchidakwa.

Ngakhale kumwa kamodzi kwa zakumwa zoledzeretsa zamphamvu kwambiri kumatha kuyambitsa kuphwanya kwamphamvu kwa chiwindi. Ichi ndichifukwa chake kukhalapo kwa magazi aliwonse okhudzana ndi magazi ndikotsutsana ndi kupezeka kwa mankhwala omwe ali ndi metformin. Kuphatikiza apo, kumwa zakumwa zoledzeretsa kuli pachiwopsezo chachikulu cha nthendayi - matenda ashuga.

Kuledzera ndi kuledzera kumatha kukhala chimodzi mwazomwe zimayambitsa kwambiri hypoglycemia ngakhale mwa munthu wathanzi. Zomwe zimayambitsa hypoglycemia woledzera ndizomwe zimasiyanitsidwa:

kuchuluka kwa insulin, chifukwa cholimbikitsidwa ndi ethanol,
kutsika kwa gawo la glycogen m'chiwindi mu uchidakwa wophatikizana ndi shuga,
Kutseka gawo limodzi la gluconeogenesis, lomwe limapangitsa kuti pakhale kusintha kwa lactic acid ndi alanine kukhala palruvic acid, chomwe chimalepheretsa glycerol kuphatikizidwa.

Chimodzi mwazinthu zowopsa pakukula kwa izi zitha kukhala mkaka acidosis (lactic acidosis) - njira ya thupi yomwe imachitika chifukwa cha kuphatikizika komanso kuchepa kwa chilolezo cha lactate. Amadziwonetsa, monga ulamuliro, ndi kutchulidwa kwa metabolic acidosis, limodzi ndi kulephera kwamtima.

Matendawa amagwirizanitsidwa ndi kuwonjezeka kwakukulu kwa kuchuluka kwa acidity mkati mwa thupi chifukwa chakuchulukitsidwa kopitilira muyeso wa lactic acid.

Zomwe zimayambitsa zimadziwika ndi kutayika mu kuthekera kwa maselo amisempha kugwiritsa ntchito kapena kuchotsa owonjezera lactate, chifukwa cha kutayika kwa maziko a thupi kwa ion metabolism.

Nthawi yomweyo, maselo amisempha minofu ndi chiwindi, chifukwa cha kukomoka kwa metabolic acid-base, akupitiliza kupanga kupanga lactate owonjezera m'magazi.

Ngakhale lactic acidosis mwa odwala omwe ali ndi matenda osokoneza bongo ndi njira yocheperako pakali pano (kufupika kwake pakulimbikitsa mankhwala a metformin m'zaka zaposachedwa kwakhala kwa milandu ya 0.027-0.053 / odwala 1000), ikupitiliza kukhala chiopsezo chachikulu, chifukwa cha kuthamanga kwa chitukuko chachikulu. Nthawi kuyambira kumayambiriro kwa zisonyezo zoyambirira mpaka kukonzekera kwa terminal gawo limatenga maola angapo. Kuphatikiza apo, chiwerengero cha anthu omwe amafa pamatendawa ndiwokwera kwambiri, malinga ndi zomwe zapezeka posachedwapa, kuchokera pa 50 mpaka 90%.

Kukula kwa matendawa kumatengera kuyambika kwa msanga kwa njira zochizira matenda, kugwiritsa ntchito komwe kumavuta kwambiri ngati wodwala akuledzera.

Lactic acidosis osapezeka munthawi yake munthawi yomweyo mankhwala a Glucofage ndi ethyl mowa ndiwofala kwambiri milandu wakupha pakati oledzera chifukwa pachimake mowa poyipa, magwiridwe antchito a chiwindi komanso kuchepa kwa zakudya.

Zonsezi pamwambapa ndi chifukwa chokwanira choletsera mowa kwa odwala omwe amamwa mankhwala okhala ndi metformin.

Kuphatikiza pa chiwopsezo cha lactic acidosis komanso kuphatikiza kwa Biguanides ndi Mowa, izi zimatha kuyambitsa chitukuko ndikukulitsa boma la ketoacidosis.

Ndipo wodwala yemweyo, yemwe amakonda kumwa kwambiri (makamaka munthawi yochotsa matenda), mutha kuyang'ananso nthawi yomweyo zizindikiro za chidakwa hypoglycemia, lactic acidosis ndi ketoacidosis.

Malangizo ogwiritsira ntchito glucophage mosasamala sangathe kugwiritsa ntchito kwake mankhwalawa odwala omwe ali ndi zizindikiro za uchidakwa wambiri kapena poyizoni wa mowa.

Glucophage ndi zakudya

Kuchita bwino pogwiritsa ntchito mankhwala aliwonse kumachitika chifukwa cha njira yolumikizira chithandizo cha matenda oyambitsidwa.

Chifukwa chake, chidwi chachikulu pa mankhwalawa glucophage iyenera kuperekedwa, mwa zina, pomanga chakudya choyenera.

Choyamba, kulangizidwa pa zakudya zoyenera kumaphatikiza kukana kumwa mowa kwambiri ndikupanga kadyedwe koyenera.

Panthawi yamankhwala, kugwiritsa ntchito zakudya zamagulu ochepa (zowoneka bwino kapena zopanda nkhawa) zitha kuonedwa ngati zabwino. Pankhani ya chakudya chamagulu, chakudya choyenera chimakhalabe chosasinthika, zinthu zokhazokha zopatsa mphamvu zomwe zimatsitsidwa zimachepa.

Zakudya zachiwiri zimalola kukhalapo kwa chakudya chamagulu pang'ono ndi mafuta pang'ono muzakudya za tsiku ndi tsiku.

Ndemanga ya momwe mankhwalawo amathandizira akuwonetsa kuti glucophage imathandizira chidwi cha zotumphukira maselo a insulin, chifukwa chomwe minyewa ya glucose imayamba kuyendetsedwa ndi maselo a chiwindi minofu amachepetsa.

Mankhwalawa, mowa sayenera kuperekedwa kuchakudya, ngakhale kumwa mankhwala osokoneza bongo osavomerezeka. Kugwiritsa ntchito milingo yaying'ono ya mowa kumangovomerezeka kumapeto kwa chithandizo.

Glucophage ndi mowa: kuyenderana ndi zotsatira zake

Mowa sugwirizana ndi matenda ashuga - ichi ndi chinthu choyamba choti munthu amene wapezeka ndi vutoli adziwe.

Mfundo yachiwiri yomwe adzavomereze ngati lamulo (ndipo, mwina, kwa moyo wake wonse) ndikuti mowa sugwirizana ndi mankhwalawa omwe amalamulidwa kuti wodwala azisintha shuga.

Mankhwala Glucophage ndi amodzi mwa mankhwala omwe amadziwika kwambiri pakati pa odwala matenda ashuga, chifukwa chake kuphatikiza kwake (ndi kusowa kwake) ndi ethanol ndi funso lomwe limafunsidwa kwa madokotala nthawi zambiri.

Kufotokozera Kwazogulitsa

Mankhwala Glucophage ndi wothandizira wa hypoglycemic pakamwa, omwe ali m'gulu la Biguanides (guanidine ofanana nawo).

Chosakaniza chophatikizacho ndi metformin, chifukwa chomwe mankhwalawo amagwira ntchito yake yayikulu - kuchepetsa kwambiri shuga wamagazi (hyperglycemia) pamlingo wabwinobwino osapita m'magazi a shuga ochepa kwambiri (hypoglycemia).

Nthawi yomweyo, Glucophage siyipangitsa kuti mahomoni azikhala ndi mphamvu zochulukitsa, koma "mphamvu" zam'magazi kuti zimayamwa payokha, motero sizitulutsa mphamvu ya mthupi la munthu wathanzi.

Nthawi yomweyo, mankhwalawa amathandizira chidwi cha insulini kumapeto kwa zotumphukira, kuchedwa kuchepa kwa gluconeogeneis (kagayidwe kazinthu zosagwirizana ndi kapangidwe ka glucose) m'chiwindi, ndikuchepetsa kuyamwa kwa michere m'matumbo. Mwambiri, Glucofage imatha kukhala ndi vuto pa metabolidi ya lipid, chifukwa chomwe thupi limatsitsa cholesterol, otsika triglycerides ndi otsika kachulukidwe lipoproteins (LDL).

Mankhwalawa amafikira pazambiri zamagazi m'magazi a 2 mphindi 30, zomwe zimachitika chifukwa cha kuyamwa kwathunthu kwa mankhwala a metformin kale m'mimba, kenako ndikugawa mwachangu ziwalo za ziwalo zamkati. Mankhwalawa amachotsedwa m'thupi ndi impso maola 12 mpaka 13 pambuyo pakukonzekera, pang'ono pang'onopang'ono.

Zowonetsa kugwiritsa ntchito mankhwalawa zimaphatikizapo mndandanda wamavuto ochepa: mtundu wa matenda ashuga a 2. Glucophage ikhoza kutumizidwa:

Ana a zaka zopitilira 10 monga monotherapy komanso zovuta kuthandizira ndi insulin,
Akuluakulu omwe ali ndi chithandizo cha mankhwala limodzi ndi insulin, ngati nthendayo imayendera limodzi ndi kunenepa kwambiri, komanso kukana kwa insulini (pakakhala kuti kuphwanya kuyankha kwa thupi ku chithandizo cha insulin).

Mwa zina zomwe contraindication amagwiritsa ntchito Glucophage ndi monga:

chidwi cha munthu payekha

ntchito chiwindi kapena impso,

mimba ndi mkaka wa m`mawere

matenda ashuga ketoacidosis,

kutsatira zakudya zochepa zama calori,

chiopsezo cha kuchepa kwa mpweya wa minofu,

vuto lam'madzi

dziko lodzidzimutsa.

Zotsatira zoyipa zitha kuyembekezereka mukamamwa mankhwala a odwala omwe ali ndi zaka zopitilira 60 ndi anthu omwe amamwa mowa (makamaka modalira kapena kuledzera kwa thupi ndi mowa wa ethyl). Nthawi zina, ngati mutatengedwa molakwika (kupitirira muyeso), zotsatirazi zingachitike:

kuphwanya kaonedwe ka kukoma,
mavuto azolakalaka
mawonetseredwe (makamaka khungu) la sayanjana,
nseru musanayambe kusanza
kupweteka pamimba, kutsekula m'mimba,
samakonda hepatitis
m'malo ovuta kwambiri, lactic acidosis.

Ethanoli ndi wakufa

Ndemanga ya Glucophage imadziwika kuti ndi yopanda vuto, yosakanikirana ndi mankhwala ena komanso omangika kwambiri ndi zinthu zoopsa monga mowa.

Kusagwirizana kwa zomwe zimapangidwira munthawi yomweyo mwa zinthu ziwirizi zikuwonetsedwa mu malangizo ogwiritsira ntchito mankhwalawa, komabe odwala ambiri omwe amapezeka ndi matenda osokoneza bongo omwe amapezeka ndi matenda osokoneza bongo akupitiliza kuyesa mowa.

Mowa ndi mankhwala siziyenera kugwiritsidwa ntchito limodzi, popeza "tambala" wamtunduwu amachititsa kuti chiwindi chiziwonjezera mphamvu ndikugwira ntchito yake. Ngati mankhwalawa atengedwa ndi zovuta zomwe zilipo ndi ziwalo zamkati, ngakhale kumwa kamodzi kumatha kubweretsa mavuto.

Kumwa mowa ndikumamwa mankhwalawo sikovomerezeka chifukwa kungayambitse kukulitsa komanso kukulitsa zovuta zonse za mankhwalawo, ndipo vuto lalikulu kwambiri ndi lactic acidosis.

Vutoli limachitika chifukwa kuphatikizika kwa ethanol ndi metformin kumapangitsa kuti lactate acid idulidwe m'thupi, zomwe zimapangitsa kuti "acidization" ikhale yofunikira komanso kuti minofuyo, komanso ziwalo zawo, zimalephera kuphatikiza lactic acid.

Kuchepa kwa kukhala ndi lactic acidosis kumawonjezeka pomwe wodwalayo, kuphatikiza kuphatikiza kumwa ndi chithandizo, samadya moyenera, amatsatira zakudya zama calorie ochepa kapena akuvutika ndi chiwindi.

Ndikofunikira kuti kukhazikitsidwa kwa mankhwalawo ndikuwongolera kuwonjezeka kwa mlingo kuyenera kuchitika ndi katswiri

Ethanol mu mawonekedwe a mowa nthawi zina angapangitse kukula kwa hypoglycemia (kutsitsa kuchuluka kwa glucose m'madzi a m'magazi).

Mankhwala amapangidwira kuti apange zofanana ndi zomwe zimakhudzidwa ndi thupi, motero, kuphatikiza ndi zakumwa zoledzeretsa, mwayi wa kuchuluka kwa zotsatira za hypoglycemic ndi kuwonjezeka kwa zotsatira zoyipa kumakhala kwakukulu momwe mungathere.

Ndipo ngoziyo imakulanso chifukwa chakuti mkhalidwe wa kuledzera uli ndi zisonyezo zake, pambuyo pake ndizosavuta kuti usazindikire chizindikiro cha kutsika kwa shuga m'magazi omwe ndi owopsa ku thanzi ndi moyo. Ichi ndi chifukwa chinanso chomwe akatswiri amalimbikitsa kuti asamamwe mowa panthawi yamankhwala.

Malinga ndi ndemanga ya akatswiri odziwa bwino za matenda ashuga, mutha kuyamba kumwa mowa pokhapokha patadutsa masiku awiri atatha maphunziro anu, kapena ngakhale bwino, sabata.

Sizoletsedwa kumwa glucophage mu zakumwa zoledzeretsa kapena musanamwe zakumwa zomwe zingachitike ngati mukumva kupweteka.

Komanso, munthawi ya mankhwalawa pogwiritsa ntchito mankhwalawa, ndizoletsedwa ngakhale kumwa mankhwala ena omwe ali ndi mowa kapena zida zake.

Mawu ochepa kuchokera kwa anthu odziwa

Ndemanga kuchokera kwa madokotala omwe akupanga Glucophage chifukwa cha matenda ashuga, komanso kwa odwala omwe adachitapo kale chithandizo chotere, amavomereza lingaliro limodzi: mowa sugwirizana ndi mankhwalawa. Nawa malingaliro pamfundoyi:

A Sophia, a ku St. Petersburg: “Ndakhala ndikumwa mankhwalawa kwa zaka 6. Ndataya 40 kg. Maphunzirowa adapangidwa ndi endocrinologist. Poyerekeza zakumbuyo ya Glucofage, kumwa mowa sikulimbikitsidwa - umakhazikika pamtima, machitidwewo amakhala osakwanira. "

Vadim, Moscow: “Ndimafuna kuti ndizichita nawo tchuthi, koma kenako ndinayenera kusiya bizinesiyo. Ngakhale osamwa mapiritsi m'mawa ndikumwa kapu yowuma kuti ndidye chakudya chamadzulo - ndapeza zotupa pakhungu, i.e. chifuwa. "

Kuchepetsa thupi ndi Glucophage

Zizindikirozi zikawoneka, wodwalayo ayenera kuchipatala mwachangu, chifukwa chithandizo cha lactic acidosis ndipo, kuphatikizanso, kukomoka komwe kumachitika ndikotheka kokha kuchipatala.

Pochulukirachulukira pakuwona, zotsatira zoyipa zamagetsi zomwe zimachitika mofulumira komanso mosadukiza zimatha ngakhale Metformin ikupitilizidwa.

Metformin (Siofor, glucophage) amaperekedwa kwa odwala onenepa kwambiri, koma izi sizitanthauza kuti anthu omwe ali ndi mtundu uliwonse wa kunenepa kwambiri amatha kuuzidwa kuti ndi biguanides.

Guar ndi cholestyramine amalepheretsa kuyamwa kwa ntchito kwa mapiritsi a Metformin, omwe amatsagana ndi kuchepa kwake. Pakadali pano, monga momwe tikuonera, zisonyezo zakugwiritsa ntchito metformin ndizowonjezereka.

Koma ayi. Metformin ikulimbikitsidwa pothana ndi vuto lalikulu la matenda ashuga: BMI> 35, mbiri ya GDM, mitengo ya glycemic yokwera kapena yopita patsogolo. Osagwira ntchito mwa anthu opitilira zaka zopitilira 60 (pofuna kupewa, mwachidziwikire).

Koma sachepetsa thupi komanso kuchita masewera olimbitsa thupi Bodza 4: Metformin imayambitsa hypoglycemia. Komabe, tsiku lililonse mlingo umafuna kuchepetsedwa gawo limodzi mwa magawo atatu. Chikhulupiriro 7: Metformin imaphatikizidwa mu matenda a impso ndi chiwindi, matenda olephera a mtima.

Ndemanga za odwala omwe amamwa mapiritsi kuthana ndi kunenepa kwambiri

Anthu omwe amagwiritsa ntchito Glucofage, omwe mawonekedwe ake ndi kukhalapo kwa metformin, sikuti nthawi zonse amakhala olimba pakugwiritsa ntchito mankhwala oopsa.

Anthu ambiri sadziwa cholinga chake chenicheni ndipo amagwiritsa ntchito mapiritsi ngati chakudya pothandizidwa ndi anzawo ndi anzawo. Koma anthu ambiri ali okondwa kwambiri ndi zotsatirapo zake.

Tikutenga mulingo wocheperako (500 mg patsiku), mutha kuwona momwe kulemera kwake kumachoka pang'onopang'ono. Odwala amatsimikizira kuti kulakalaka kumabwera nthawi zambiri, ndipo mapaundi owonjezera amapita.

Komabe, anthu ena amawona kuti ngakhale kulemera kukucheperachepera, kumakhalabe kwapang'onopang'ono. Mwezi umodzi mutha kutaya pafupifupi ma kilogalamu awiri kapena atatu okha. Komabe, malinga ndi ogwira ntchito pachipatala, ndiye kuti zolemerazi ndizomwe zimawonedwa ngati zabwino. Ndikofunika kwambiri kuti musamangoganiza nokha.

Mapiritsi a Glucophage angagulidwe ku mankhwala aliwonse popanda mankhwala a dokotala, ndipo uwu ndi vuto lawo lalikulu. Ngakhale mutakhala otsimikiza kuti palibe chomwe chidzakuchitikireni mukatha kumwa mankhwalawa, onetsetsani kuti mwakumana ndi dokotala. Ndiye amene adzatha kuwerengera magawo anu onse akuthupi ndikusankha mulingo woyenera kwambiri.

Katswiri wodziwa bwino yekha ndi amene angakuuzeni momwe mungatenge Glucophage.

Pali gulu la anthu omwe amagwiritsa ntchito mapiritsi otere kuti apange minofu. Dziwani kuti simupeza zotsatira zabwino pankhaniyi, chifukwa mankhwalawa amagwira ntchito pamfundo ina yosiyana.

Musanagule mapiritsi oterowo, konzekerani kuti zotsatira za kuchepetsa thupi sizimachitika konse. Odwala ena sasangalala kwambiri ndi mapiritsi awa.

Zotsatira zoyipa zimawonekera motsutsana ndi kumbuyo kwawo, ndipo nthawi zina kunenepa kwambiri sikucheperachepera, koma kunkakulirakulira. Odwala omwe ali ndi matenda osiyanasiyana pachimake, akumamwa mapiritsi a Glucofage, adazindikira kuwonongeka kwa thanzi lawo.

Komanso, anthu omwe sanatsatire zakudya zoyenera ndikumwa mowa amadzimva kwambiri.

Ambiri ali ndi chidwi ndi funso la kuchuluka kwa kumwa Glucofage. Dokotala wopezekapo angakuuzeni za izi. Nthawi zambiri, mankhwalawa amaledzera m'magulu, omwe muyenera kupuma.

Ubwino wosakayikira wa mankhwalawa ndiwotsika mtengo kwambiri, komanso mwayi wogula pa mankhwala aliwonse. Ichi ndichifukwa chake mapiritsi a Glucophage akufuna kwambiri.

Kupatula apo, chotsatira chabwino chitha kupezeka mukamawononga ndalama zochepa.

Ganizirani za thanzi lanu masiku ano. Kunenepa kwambiri si sentensi. Anthu ambiri amakhala ndi moyo wosayenera, chifukwa chake amakhala onenepa kwambiri. Sinthani moyo wanu lero.

Yambani kudya kumanja, pitani masewera, pezani nthawi yambiri - ndipo mudzazindikira momwe kulemera kwanu pang'onopang'ono kumakhalira kokhazikika. Izi zitha kuchitika popanda kumwa mankhwala oopsa.

Zosintha mu KShchR nthawi ya mankhwalawa Glucofage komanso kuopsa kwa kayendedwe kake ndi mowa

Ntchito izi ndizofunikira mu kagayidwe kachakudya ka thupi, kotero mankhwalawa ali ndi mbiri yabwino pakati pa odwala omwe ali ndi metabolic syndrome. Mlingo wokhawo womwe umaperekedwa ndi endocrinologist, pomwe kuyang'anira kuchuluka kwa shuga m'magazi kumalimbikitsidwa kupewa hypoglycemia.

Kulemera kwambiri nthawi zonse kumakhudzana ndi kagayidwe kachakudya, chifukwa kufalikira kwa mafuta mu minofu kumachitika chifukwa chosatheka ndi kuwonongeka kwawo. Ubwino wabwino wa mankhwalawo ndi kusachita kwawo kosaloŵerera, komwe sikukhudza kuchuluka kwa kupanga kwa insulini kapena kuchepa kwa shuga m'magazi a munthu wathanzi (osati wodwala matenda ashuga).

Chizindikiro chodziwika bwino cha metformin ndi siofor, chomwe chimagwiritsidwa ntchito kwambiri ku Russia. Metformin idapangidwa kuchokera ku Galega bureanalis ndipo imagwiritsidwa ntchito pochiza matenda ashuga. Nthano 11: Metformin imagwirizanitsidwa ndi kuchepa kwa vitamini B12

Kufotokozera mwachidule za mankhwala Glucofage

Glucophage amalembedwa motere:

Ana a zaka zopitilira 10 - ndi mtundu II matenda ashuga, ochizira matenda a insulin kapena monotherapy,
Kunenepa kwambiri chifukwa cha matenda osokoneza bongo, komanso kukokana kwa insulin,
Type II shuga mellitus mwa akulu (osagwira insulin),
Kufunika kowonjezera kuchepetsa kuchuluka kwa shuga pa insulin mankhwala a mtundu II matenda a shuga.

Mankhwala amapangidwa mwanjira ya mapiritsi ogwiritsira ntchito pakamwa, omwe amatha kukhala ndi 500,850,1000 mg pazomwe zimagwira - metformin hydrochloride. Glucophage imatengedwa ndi chakudya kapena akangodya.

Mankhwalawa ali ophatikizidwa zingapo:

Mimba
Matenda a matenda ashuga, precoma, ketoacidosis,
Kulephera kwamkati, matenda aimpso,
Zovuta pachimake - kupsinjika, kuchepa magazi, matenda opatsirana,
Mtima, kulephera kupuma,
Lactic acidosis
Poyizoni ethyl mowa, uchidakwa,
Zakudya za Hypocaloric
Kuphwanya chiwindi.

Mankhwalawa ndi "osokoneza" kwambiri ndipo samaphatikizana ndi mankhwala ambiri, makamaka, okhala ndi mankhwala okhala ndi ayodini, chlorpromazine, GCS, mankhwala oopsa, nifedipine ndi mankhwala a cationic (ranitidine, vancomycin, trimethoprim, quinine, etc.) Kuphatikiza kwa Glucofage ndi mowa.

Glucophage komanso mowa

Zowona kuti malangizo opita ku Gluofage amalembedwa zakuda ndi zoyera kuti kuphatikiza ndi mowa ndizophatikiza zosayenera kuyenera kuwachenjeza odwala.

Choyamba, mowa ndi Glucophage zimayambitsa kusokonezeka kwakukulu kwa chiwindi chogwira ntchito mthupi. Ndipo ngati mukukhala ndi mavuto kale ndi thupi ili, ndibwino kuti musasewere ndi moto, makamaka chifukwa ngakhale kumwa kamodzi kwa ethyl mowa ndi kuledzera kwa zovuta zilizonse zakuperewera mukumwa mankhwalawo.

Koma vuto lalikulu kwambiri ndilo chiopsezo cha lactic acidosis. Mkhalidwe woopsawu umafunika chisamaliro chamankhwala mwadzidzidzi ndipo umawonetsedwa m'thupi kuti thupi limakumana ndi lactic acid yotulutsa ndipo, chifukwa chake, acidization yakuthwa ya zimakhala. Nthawi yomweyo, maselo a ziwalo ndi minyewa amasiya kugawanika komanso kuwumbidwa, zomwe zimapangidwa ndikupangidwa.

Ngati mulibe nthawi yoti muzindikire ndikukhala ndi vuto la munthu yemwe ali ndi lactic acidosis pakapita nthawi, imfa imachitika, makamaka kwa oledzera omwe akudziwa bwino omwe ali ndi vuto logona komanso chiwindi. Komabe, chithandizo cha matendawa ndi cha pathogenetic, chomwe chimayenera kuyambika nthawi zambiri, chimakhala chovuta chifukwa chakuti zimakhala zovuta kuzinyamula kuti munthu adye.

Ngati mwamaliza kale ntchito ya mankhwalawa ndi Glucofage, kumwa koyamba kwa mowa (kochepa kwambiri) komweko sikuloledwa kupitirira masiku awiri pambuyo pake.

Mwambiri, shuga ndi mowa ndizosagwirizana kwenikweni kotero, kuwonjezera pazowongolera mwachindunji ndi mankhwalawa, ndikofunikira kuyang'ana pa izi komanso.

Zotsatira za kuyanjana

Chiwopsezo chachikulu kwa odwala omwe amamwa mowa nthawi yomweyo ndi Glucofage Long, ngakhale gawo limodzi la mankhwala, ndikupanga lactic acidosis. Matendawa ndi oopsa ndipo amafuna chithandizo chamankhwala.

Lactic acidosis imadziwika ndi kuwonjezeka kwakuthwa mu acidity ya thupi chifukwa kumasulidwa kwambiri kwa lactic acid. Pazinthu zotere, maselo amisempha amasiya kuyeretsa kapena kupukusira mkaka, womwe umayikidwa nawo. Nthawi yomweyo, chiwindi ndi minofu zimakulitsa kutulutsa kwa lactate m'magazi kwambiri chifukwa cha kusokonekera kwa metabolism.

Matendawa amakula patangotha maola ochepa. Nthawi zambiri, zizindikiro zam'mbuyomu sizipezeka, ndipo lactic acidosis imawoneka mwadzidzidzi ndi mulu wonse wazizindikiro. Zina mwa izo ndi:

Lactic acidosis imapita patsogolo mwachangu ndipo popanda chithandizo chamankhwala chodzidzimutsa chimabweretsa kugwa, kukodza pokodza, hypothermia, thrombosis ndi chikomokere. Kusokonezeka kwa chiwindi ndi zakudya zochepa zopatsa mphamvu ndizinthu zomwe zimakulitsa vutoli ndi lactic acidosis. Chiwerengero cha anthu omwe amwalira ndi matendawa ndi oposa 50%.

Choopsa china ndi kukula kwa hypoglycemic syndrome, yomwe imadziwika ndi kuchuluka kwa shuga m'magazi a plasma.

Zizindikiro zake zimaphatikizapo:

arrhythmias
machitidwe osayenera
kunjenjemera
chizungulire komanso kuwona kawiri
chikopa,
matenda oopsa
kusanza ndi kusanza
njala yayikulu
kufooka wamba
khunyu
amnesia
kupuma komanso kuzungulira kwa matenda,
kukomoka
chikomokere.

Popanda kuthandizidwa ndi mowa, Glucophage Long silipitsa hypoglycemia. Izi zimagwiranso ntchito ngakhale pamankhwala osokoneza bongo.

Kodi ndizabwino kumwa?

Ngati mukufunikirabe kumwa mowa panthawi ya chithandizo, mutha kuchepetsa ngozi. Kuti muchite izi, dikirani maola 7 musanamwe mowa komanso maola 14 pambuyo pake.