Glucophage wokhala ndi polycystic ovary

Siofor ndi Glucophage (Siofor, Glucophage, Glucophage yaitali) ndizopanga zamankhwala zomwe zimakhala ndi metformin ndipo nthawi zambiri zimaperekedwa kwa azimayi omwe ali ndi PCOS (polycystic ovary syndrome). Amakhudzana ndi insulin-sensitizing biguanides, yomwe imagwiritsidwa ntchito kwambiri pochiza shuga m'magazi mwa anthu odwala matenda ashuga a 2. Mankhwalawa adayamba kupatsidwa kwa azimayi omwe ali ndi PCOS chifukwa chofanana ndi zotsatirapo zabwino.

Ngati mtsikana ali ndi ovary ya polycystic, ndiye kuti mwina akhoza kukhalanso ndi insulin. Poterepa, kuthekera kwa maselo kuyankha machitidwe a insulin panthawi ya kayendedwe ka glucose (shuga) kuchokera m'magazi kupita ku minofu ndi minyewa kumachepa. Metformin imasintha mayendedwe a cell ku insulin ndipo imathandizira kutulutsa glucose mu cell. Zotsatira zake, thupi silisowa kutulutsa insulin yowonjezera.

Momwe GLUCOFAGE NDI NTCHITO YA SIOFOR IN SPK

  1. Glucophage ndi Siofor amachepetsa kuyamwa kwamatumbo kuchokera ku chakudya.
  2. Glucophage amachepetsa kupanga shuga m'magazi.

Chiwindi chimagwiritsa ntchito chakudya kusunga shuga. Thupi likapanikizika, chiwindi chimatulutsa shuga wosungika kuti upatse ubongo ndi minofu ndi gwero lamphamvu lolowera ndikuwongolera kupsinjika. Mankhwala okhala ndi metformin, monga Siofor ndi Glucofage, amalepheretsa kupanga gasiyu.

  1. Chachitatu, mwina chofunikira kwambiri, zimakulitsa chidwi cha maselo am'mimba kuti apange insulin.

Insulin ndi timadzi timene timatulutsa glucose m'maselo. Amayi omwe ali ndi PCOS nthawi zambiri amakhala ndi "insulin kukaniza," momwe zimafunikira kuti inshuwaransi yambiri ilowe m'maselo. Glucophage ndi Siofor zimathandiza kunyamula glucose ndi insulini yocheperako, potero kumachepetsa mphamvu ya timadzi timeneti.

Mwa azimayi ambiri, kukana insulini ndiye chifukwa chachikulu cha ovary ya polycystic, ndipo nthawi zina matenda ashuga.

Matenda a glucose okwera kwambiri komanso chifukwa chachikulu cha insulin ndicho chifukwa chachikulu chomwe chimapangitsa kuti mayi asamayendetse nkhawa, amakhala osabereka komanso amatha kukhala ndi vuto la mtima, mitundu ina ya khansa komanso matenda ashuga.

SIOPHOR MU POLYCYSTOSIS YA OVARIES: ZOONA ZA AMAKONZITSA

Polycystic ovary syndrome ndi zizindikiro zake, monga hyperandrogenism (ziphuphu zakumaso, tsitsi lowonjezera, dazi), mavuto obeleka (osakhazikika nthawi, akufalitsika, kusabereka, kuperewera kwa mazira a polycystic) ndi kusokonekera kwa metabolic (kulemera, kunenepa kwambiri), mwa akazi ambiri amagwirizana ndi hyperinsulinemia ndi kukana kwa insulin.

Siofor zochizira polycystic ovary: kuphunzira zazokhudza PCOS

Kafukufuku awonetsa kuti kulandira chithandizo ndi Glucophage kapena Siofor kumachepetsa hirsutism, kumayambitsa kuvunda komanso kusintha msambo ndi kusintha kwa msambo ndi polycystic. Chifukwa chake, malinga ndi kafukufuku wina, yemwe adakhudza azimayi 39 omwe ali ndi polycystic ovary syndrome ndi hyperinsulinemia (insulin yambiri m'magazi), chithandizo cha metformin chinayambitsa kutsika kwa kuchuluka kwa insulin, komanso kuchuluka kwathunthu ndi testosterone yaulere, yomwe idasintha kwambiri mkhalidwe wawo, kuphatikizapo kuchipatala. mawonetseredwe a hyperandrogenism (kupanga kwambiri androgens mwa akazi), komanso kusintha kwa msambo. Komabe, kafukufuku adawonetsanso kuti kuchepa thupi chifukwa cha zochitika zolimbitsa thupi komanso kudya kumatha kuthandizanso chimodzimodzi pakuwongolera kusamba ndi zizindikiro za hyperandrogenism.

Chifukwa Chomwe Madokotala Amayambitsa Glucophage Wopeza Matenda a Polycystic Ovary

Matenda ofala kwambiri a kubereka mwa akazi ndi chotupa cham'mimba. Ichi ndi kapisozi koboweka komwe kali ndi zinthu zamadzimadzi, zomwe zitha kukhala zogwira ntchito kapena zopangidwa mwachilengedwe.

Pakakhala zisindikizo zingapo, wodwalayo amapezeka ndi PCOS (polycystic ovary syndrome). Ili ndi matenda owopsa omwe amachititsa kuti munthu asaberekane, amatha kuyambitsa magazi mkati kapena kupangitsa khansa.

Monga gawo la zovuta mankhwala, madokotala nthawi zambiri amapereka Glyukofazh ndi polycystic ovary.

Matenda akapezeka msanga, mankhwalawo amatha. Mankhwalawa amayenera kuperekedwa nthawi zonse ndi dokotala wodziwa bwino, mankhwala omwe amadzisokoneza yekha amawononga thanzi ndipo amatha kubweretsa zovuta zingapo. Mukamamwa mankhwalawa, ndikofunikira kuti mumvetsetse zomwe zimaphatikizidwa ndi kapangidwe kake, momwe mankhwalawa amagwirira ntchito, zomwe zikuwonetsa komanso zotsutsana, komanso zoyipa, zimachitika mwa odwala.

PCOS yoyankhulirana ndi metformin

Glucophage Ndi mankhwala omwe mawonekedwe ake akuluakulu ndi metformin. Ili ndi hypoglycemic effect, i.e., imachepetsa shuga.

Anthu ambiri amafunsa kuti chifukwa chiyani mapiritsi omwe amafunsidwa ndi odwala matenda ashuga amapatsidwa PCOS?

Chowonadi ndi chakuti mtundu wachiwiri wa matenda ashuga umakhudza mwachangu kukula kwa polycystic. Insulin imathandizira kuwonjezeka kwa testosterone, mahomoni achimuna. Momwe insulin ingagwiritsidwe ntchito m'mwazi, testosterone yapamwamba. Ndiye amene amakanikiza estrogen yachikazi ndikupangitsa mapangidwe a cysts. Metformin imatsitsa misempha ya shuga, yomwe imathandizira kukwaniritsa moyenera mahomoni ogonana amuna ndi akazi.

Mankhwalawa amatha kuyikidwa kuti ateteze kukula kwa matenda ashuga, kwa anthu omwe ali ndi insulin yambiri. Mphamvu ya mankhwalawa cholinga chake ndikuchepetsa zizindikiro za matendawa - ziphuphu, kuchedwa msambo, kuchuluka kwa tsitsi lakumaso, ndi zina zambiri. Ndemanga zikuonetsa kuti pambuyo pa Glucofage, ambiri amatha kukhala ndi pakati.

Kutulutsa mawonekedwe ndi mlingo

Mankhwala amapezeka mu mawonekedwe a mapiritsi ogwiritsira ntchito pakamwa. Pali mawonekedwe ndi kutulutsidwa kwazomwe zimagwira ntchito, komanso pang'onopang'ono (nthawi yayitali). Poyambirira, mapiritsi amatchulidwa muyezo:

Muyenera kumwa iwo katatu patsiku malinga ndi zomwe adotolo akuuzani. Glucophage Long mu mlingo wa 750 mg ndi mankhwala a gulu lachiwiri. Ayenera kutengedwa kamodzi patsiku. Fomuyi idapangidwa kuti muchepetse mavuto omwe amapezeka pazinthu zopakidwa pansi.

Ndikofunikira kumvetsetsa kuti metformin sikuti nthawi zonse imagwira polycystic. Njira yodziwika yochizira idzaonekera pokhapokha ngati PCOS imayambitsidwa ndendende ndikuwonjezeka kwa testosterone.

Koma matendawa sikuti nthawi zonse amayambitsa izi. Zomwe zimayambitsa kukula kwa matendawa ndi kupsinjika, kugwiritsa ntchito njira za kulera, kuchotsa mimba pafupipafupi, komanso chibadwa chamtsogolo.

Poterepa, zotsatira za Glucofage zidzakhala zochepa.

Kuti mankhwalawa athandizidwe kuthana ndi zizindikiro za matendawa, poyambirira mkazi amayenera kuyesedwa kwambiri, kukayezetsa magazi ndikuyendera endocrinologist kuti akambirane. Ndi azimayi 60% okha omwe amakhala ndi insulin.

Contraindication ndi zoyipa

Mankhwala okhala ngati Metformin amathandizira azimayi omwe ali ndi ovomereza ya polycystic. Komabe, si aliyense amene angamwe mankhwalawo. Anthu omwe ali ndi vuto la impso, matenda a chiwindi, chikhalidwe cha hypoxic, matenda oopsa a Glucophage amatsutsana. Komanso, simungathe kuphatikiza mankhwala ndi mowa.

Ngati mayi alibe choletsa kumwa mankhwalawa, ndikofunikira kudziwa kuti mankhwalawa angayambitse mavuto:

  • nkhawa komanso kukhumudwa
  • kugona kusokonezedwa
  • kusasamala kwa mahomoni,
  • kuledzera kwa thupi,
  • kukula kwa atherosulinosis,
  • kuchepa magazi
  • kutsegula m'mimba komanso mavuto ena am'mimba.

Muyenera kumwa mankhwalawa mosamala. Kuchulukitsa kuchuluka kwa mankhwalawo kungayambitse kukula kwa lactic acidosis. Ngati mukuwona mawonekedwe osazindikira komanso Zizindikiro mutatha kumwa mapiritsi, onetsetsani kuti mwakumana ndi dokotala. Ndi dokotala yekhayo amene angasinthe Mlingo kapena kuletsa mankhwalawo.

Maganizo a madotolo ndi amayi

Kuti mumvetsetse bwino zomwe zimayenera kugwiritsidwa ntchito ndi mankhwalawo ndikuganiza zothandiza mu PCOS, muyenera kudziwa malingaliro a omwe adatenga Glyukofazh, komanso kuwerenga kuwunika kwa madokotala.

Tatyana, wazaka 38

"Ndili ndi zaka 38, PCOS idakhazikitsidwa miyezi itatu yapitayo. Pambuyo pakuwunika zambiri ndi mayeso, adotolo adatulutsa Glucofage. Ndidamva kuti zimayambitsa zovuta zambiri, makamaka zokhudzana ndi ntchito ya chakudya chamagaya.

Nditamwa mapilitsi, ndinayamba kumva mseru, ndipo kugona komanso kusowa chidwi kumawonekeranso. Panalibe mawonetseredwe ena. Mankhwalawa amathandiza, chifukwa kusamba kwakhazikika.

Ndimamva bwino. "

Sofia, wazaka 24

“Matenda a Polycystic anapezeka mwangozi pomwe ine ndi mwamuna wanga tinaganiza zokhala ndi pakati. The gynecologist adalangiza kuti ayambe ndi Glucofage, chifukwa kuyesa kwa mahomoni kunawonetsa kuchuluka kwa testosterone.

Ndinkamwa mankhwala osokoneza bongo kwa miyezi inayi, sindinamvetse mavuto aliwonse, ndipo koposa zonse, ndinali ndi pakati.

"Mankhwalawa amathandizadi, koma pokhapokha ndi PCOS yamtundu wina womwe umalumikizidwa ndi insulin."

Irina, dokotala wazamankhwala

Ndine katswiri wazachipatala. Kuchokera kuzomwe ndakumana nazo, ndinganene kuti gawo lalikulu la azimayi limadwala PCOS chifukwa chazovuta pantchito ya pancreatic ndi insulin. Zikatero, ndikukulemberani maphunziro a Glucophage Long. Mankhwala ndi othandizika komanso odalirika, amadziwika ndi zochepa zotsutsana. Ndikapeza mlingo woyenera, zotsatira zake zimakhala zochepa. ”

PCOS - matenda omwe amafunikira chithandizo chovuta. Mukamamwa mankhwala, musaiwale za zakudya, kuchita masewera olimbitsa thupi, kutikita minofu ndi njira zina zothandizira kuti muchepetse nkhawa. Yang'anirani thanzi lanu ndikuyankha mwachangu "mabelu osokoneza" a thupi. Izi zimateteza matendawa kapena kuwachiritsa koyambirira.

Glucophage mu gynecology: ma nuances a mankhwala ndi ovomerezeka a polycystic

Glucophage pa polycystic ovary ndi gawo limodzi mwa zovuta za matendawa, zomwe cholinga chake ndikuchotsa mawonekedwe a cystic, kuyambiranso ntchito yamchiberekero yam'mimba komanso kuthekera kwa mkazi kubereka.

Mankhwalawa amalembedwa kwa kugonana koyenera, omwe amadwala matenda a shuga ndipo sangathe kutenga pakati.

Chowonadi ndi chakuti nthawi zambiri kumakhala kusowa kwa insulin ndi hyperglycemia komwe kumapangitsa kuti pakhale ma cysts ambiri pamimba yam'mimba. Glucophage 500 mu gynecology imathandizira kusintha mapangidwe a kusasitsa kwa dzira ndikuyambiranso msambo. Kuti akwaniritse zabwino zaumoyo, madokotala amapereka mankhwala kwa azimayi kuyambira 16th mpaka 26th tsiku lazungulira.

Kodi Glucophage ndi chiyani?

Glucophage ndi antidiabetesic monopreparation, gawo lalikulu lomwe ndi metformin biguanide. Amachepetsa kuchuluka kwa shuga m'magazi am'magazi asanachitike komanso asanadye, osakhudza kupanga kwa insulin ndi kapamba.

Mankhwala omwe amagwira ntchito amakhala motere:

  • amalepheretsa kuchepa kwa glycogen m'chiwindi, komwe kumachepetsa kuchuluka kwa shuga m'magazi,
  • kumawonjezera kumva kwa insulin, kumathandizira kuti pakhale shuga wokwanira kuchokera ku zotumphukira,
  • imayimitsa mayamwidwe osavuta a chakudya m'mimba.

Kuphatikiza apo, Glucophage imalimbikitsa kaphatikizidwe ka glycogen kuchokera ku glucose ndipo imathandizira pakupanga kwa lipid mankhwala.

Zotsatira zamankhwala:

  • lembani matenda ashuga a 2 odwala akuluakulu (makamaka ogwirizana ndi kunenepa kwambiri) ndi wachibale kapena kusakwanira kwathunthu pakudya,
  • hyperglycemia, chiopsezo cha matenda ashuga,
  • kulolerana kwa shuga kwa insulin.

Zomwe amagwiritsidwa ntchito ndi mankhwalawa a polycostic ovary syndrome

Polycystic ovary syndrome kapena PCOS ndi matenda ofala kwambiri pamagulu azimayi azaka 16 mpaka 45.

Pathology imanena za kuchuluka kwa zovuta za endocrine, zomwe zimakhazikitsidwa ndi hyperandrogenism ya chiyambi cha ovari ndi mzunguko wa anovulatory. Zisokonezozi zimayambitsa zovuta zosiyanasiyana za kusamba kwa msambo, hirsutism ndipo ndizomwe zimayambitsa kusabereka kwachiwiri.

Polycystic Ovary Syndrome

Asayansi adatha kuzindikira momwe azimayi omwe akudwala PCOS amalemera kwambiri 70% pamavuto azachipatala ndipo pafupifupi mmodzi mwa anayiwo amapezeka kuti amalekerera shuga kapena matenda a shuga.

Izi zidapangitsa madotolo ku lingaliro lotsatira. Hyperandrogenism ndi hyperglycemia ndi njira ziwiri zomwe zimagwirizanirana.

Chifukwa chake, kuikidwa kwa Glucofage mu PCOS, kuchepetsa insulin, kumapangitsa kuti azitha kusintha kayendedwe ka mwezi, kuthetsa androjeni ochulukirapo, ndikulimbikitsa ovulation, zomwe zingayambitse kutenga pakati.Malinga ndi kafukufuku wambiri m'derali, wapezeka:

  • Pambuyo pa miyezi isanu ndi umodzi ya kumwa mankhwalawa mwa akazi, kuchuluka kwa shuga m'magazi kumawonjezeka kwambiri,
  • Pambuyo pa miyezi isanu ndi umodzi ya chithandizo, ndikotheka kukhazikitsa nthawi yanthawi ya kusamba ndi ovulation pafupifupi 70% ya odwala,
  • m'modzi mwa akazi asanu ndi atatu omwe ali ndi PCOS amakhala ndi pakati pakutha kwa maphunziro oyamba.

Mlingo wa Glucofage ngati ovary ya polycystic ndi 1000-1500 mg patsiku. Ngakhale chizindikiro ichi ndichoperewera ndipo chimatengera kuchuluka kwa hyperglycemia, umunthu wa thupi, mulingo wa ovarian androgens, kukhalapo kwa kunenepa kwambiri.

Contraindication

Tsoka ilo, si odwala onse omwe angatenge Glucophage ndi polycystic ovary, popeza mankhwalawa ali ndi zotsutsana zingapo zogwiritsidwa ntchito, kuphatikizapo:

  • ketoacidosis wokwiyitsidwa ndi matenda osokoneza bongo,
  • zovuta zapamwamba za matenda ashuga,
  • aimpso ndi chiwindi kulephera,
  • poyizoni wazakumwa zoledzeretsa komanso uchidakwa,
  • tsankho limodzi ndi zigawo za mankhwala,
  • pachimake pathological zinthu zikuchitika motsutsana maziko a vuto lalikulu aimpso (chic, kuchepa madzi m'thupi),
  • matenda omwe amachititsa kuti pachimake minyewa iwale hypoxia, monga: kupuma movutikira, kulowetsedwa kwam'mnyewa wam'mimba, kuphwanya kwakumwa.

Mankhwala a glucofage ayenera kusiyidwa ngati ali ndi pakati. Mukamayamwitsa, mankhwalawa amayenera kumwedwa mosamala, chifukwa amathandizidwa mkaka wa m'mawere.

Zosiyanasiyana zimachitikira mankhwala

Ngati mukukhulupirira ndemanga za mankhwalawa ndi Gluconage PCOS, ndiye poyambira kumwa mankhwalawa, zimatha kuyambitsa zovuta zingapo zomwe sizikufunika kudzipereka ndikuzipereka kwaokha kwa masiku angapo.

Mwa zina zosasangalatsa zamankhwala, odwala amasiyanitsa nseru, kusanza kwa episodic, mawonekedwe a ululu pamimba, chopondapo chopondera, kulephera kudya..

Mwamwayi, zoterezi sizimachitika kawirikawiri ndipo sizowopsa pakugwira ntchito kwakuthupi. Zotsatira zoyipa zomwe zimapezeka kwambiri m'mimba, zomwe zimasonyezedwa ndi dyspepsia, ululu m'malo osiyanasiyana am'mimba, komanso kusowa kwa chakudya.

Zizindikiro zonsezi zimatha patapita masiku angapo kuyambira chiyambi cha mankhwala. Mutha kuzipewa ngati mugwiritsa ntchito mankhwalawa muyezo zingapo (zolimbikitsidwa katatu patsiku) mukamadya kapena musanadye. Odwala ambiri amakhalanso ndi vuto lamanjenje, ndiko kusowa kwa kukoma.

Kuwala komwe kumakhala ndi ma polycystic thumba losunga mazira kumatha kupangitsa kuti ma metabolic asokonezeke mwanjira ya lactic acidosis.

Komanso, pogwiritsa ntchito mankhwala kwa nthawi yayitali kuchokera ku gulu la Metformin, kuchepa kwa mayamwidwe a cyancobalamin (vitamini B12) kumayang'aniridwa, zomwe pambuyo pake zimatsogolera kukukula kwa kuchepa kwa magazi m'thupi.

Ndizosowa kwambiri kuti azimayi apezeke ndi vuto lochokera ku chiwindi ndi chithokomiro, komanso khungu. Zosokoneza pakuyenda kwa hepatobiliary system zimawonetsedwa ndi hepatitis yaposachedwa, yomwe imazimiririka atayimitsa mankhwalawo. Erythema, kuzimiririka komanso kupyapyala kumatha kuonekera pakhungu, koma izi sizachilendo kuposa kukhala pafupipafupi.

Kuchita ndi mankhwala ena ndi mowa

Glucophage mu PCOS iyenera kugwiritsidwa ntchito mosamala pamodzi ndi mankhwala omwe ali ndi chochitika chomwe chimawonjezera kuchuluka kwa shuga m'magazi, monga glucocorticosteroids ndi sympathomimetics.

Osagwiritsa ntchito mankhwalawa kuphatikiza ndi zida zodulira.

Machitidwe oterewa amawonjezera chiopsezo cha lactic acidosis chifukwa cha kuchepa kwa impso.

Musanachite maphunziro a x-ray ndikusakanikirana kwa ayodini kokhazikika, ndikofunikira kuletsa kulandira Glucofage masiku awiri asanafike njirayi. Kunyalanyaza chilimbikitsochi nthawi zambiri kumayambitsa kulephera kwa impso.

Malinga ndi iwo, mankhwalawa amavomerezedwa bwino ndi thupi, samawonjezera ndipo pakapita nthawi amakulolani kukwaniritsa zotsatira zomwe mukufuna pogwiritsa ntchito njira zosasamala.

Mphindi yokhayo, theka la odwala omwe adayeserera mankhwalawo anali ndi zoyipa koyambirira kwa chithandizo, koma adadutsa mwachangu popanda chifukwa chothana ndi mankhwalawo.

Makanema okhudzana nawo

Zakudya ndi gawo lofunikira pakuchiritsa kovuta kwa ovary ya polycystic:

Ndemanga zambiri zabwino za Glucophage nthawi yayitali mu PCOS zikusonyeza kuti mankhwalawa ndi othandizadi polimbana ndi zotupa za polycystic ovarian ndi hyperandrogenism yofanana ya genesis. Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kumalola kuti azimayi athetse vuto la mapangidwe a cyst, komanso kuti ayambenso kusintha kwachilendo kwa msambo, amalimbikitse ovulation ndipo, chifukwa chake, amakhala ndi pakati, ngakhale atazindikira kuti ali ndi matenda ashuga.

  • Imakhazikika pamisempha ya shuga kwa nthawi yayitali
  • Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Limagwirira ntchito ndi mawonekedwe kumasula

Chofunikira chachikulu cha Glucophage ndi metformin. Amatsitsa shuga. Matenda a shuga ndi chimodzi mwazinthu zachiwiri zomwe zimayambitsa kupezeka kwa thumba losunga mazira la polycystic, chifukwa zomwe zimachitika zimasintha mawonekedwe a mahomoni. Glucophage imatsitsa shuga, chifukwa chomwe testosterone ndi estrogen imakhala yofanana.

Mankhwalawa sanangolembera odwala matenda ashuga okha, komanso ndi chizolowezi chokhala ndi vuto la insulin.

Chogulacho chimapezeka mu mawonekedwe a piritsi ndipo ali ndi mitundu yambiri - 500, 850 ndi 1000 mg ya mankhwala othandizira. Pali mitundu iwiri ya kutulutsidwa kwake - kuchokera ku polycystic ovary, onse Glucophage Long ndi Glucophage wamba amagwiritsidwa ntchito. Kusiyana kwakukulu ndikuchita kwanthawi yayitali. Chifukwa cha izi, mlingo umodzi wa mankhwalawa patsiku ndi wokwanira, pomwe njira yokhazikika yamankhwala imayenera kumwedwa katatu. Kugwiritsidwa ntchito kamodzi pa mankhwalawa kumachepetsa katundu pamimba.

Zambiri za chithandizo cha PCOS

Matenda a Polycystic amadziwika kuti ndi amodzi mwa matenda ofala kwambiri m'mimba. Imachitika mu nthawi yobereka ndipo imakhala chifukwa chododometsa kusintha kwa magawo azinthu mwezi. Izi zimachitika chifukwa cha kusalingana kwa mahomoni ndi matenda a ziwalo za endocrine. Kulephera kwa endocrine system kumatha kudzetsa kuchuluka kwa shuga. Pokhapokha ngati Glucophage amamuona kuti ndiwothandiza.

Kuchuluka kwa shuga m'magazi kumawonedwa mu kotala ya odwala omwe ali ndi polycystic ovary. Izi nthawi zambiri zimawonetsedwa ndi kunenepa kwambiri komanso kuchepa kwa zakudya zoyenera. Mankhwala, ndikofunikira kuti mupereke maphunziro a miyezi isanu ndi umodzi a Glucofage kapena analogues. Pamapeto pa mankhwala azimayi, zotsatirazi zalembedwa:

  • kulemera masanjidwewo
  • kubwezeretsa kuzungulira kwa mwezi,
  • Kupha kwa polycystic ovary,
  • kutsitsa shuga
  • kukhazikitsa bwino testosterone ndi estrogen.

Nthawi zambiri, ndemanga zabwino za Glucofage yokhala ndi ovary ya polycystic imasiyidwa ndi azimayi, zomwe zimangokhala zowonjezera shuga m'magazi.

About metformin ndi polycystic

Gawo lalikulu la Glucofage ndi metformin, lomwe limakhala ndi vuto la hypoglycemic, potero limachepetsa kuchuluka kwa shuga m'magazi. Kuphatikiza apo, chinthu chogwira ntchito chimathandizira kukonza kwa glycogen kaphatikizidwe ndipo kamapangitsa kagayidwe ka lipid.

Kupezeka kwa polycystic kumakhudzidwa mosavomerezeka ndi matenda a shuga. Mafuta ambiri a insulin amathandizira kupanga mahomoni achimuna - testosterone, yomwe imalepheretsa kupanga estrogen ndikuthandizira kuwonetsa kwa cysts. Kuchita kwa mankhwalawa Glucofage ndikufuna kuchepetsa kuchuluka kwa shuga m'magazi, omwe amakupatsani mwayi wofanana ndi mahomoni a amuna ndi akazi.

Glucophage samangogwiritsidwa ntchito pothana ndi ovary ya polycystic. Nthawi zambiri, kumwa mankhwalawa ndi mankhwala kuti apewe kukula kwa matenda osokoneza bongo kapena kuchepetsa insulin. Glucophage amachotsa bwino zizindikiro zosasangalatsa - kusachedwa kwa msambo, zotupa pakhungu, kukula kwambiri kwa tsitsi.

Kutulutsa mafomu ndi kapangidwe kake

Mankhwala ali ngati mapiritsi, omwe akuwonetsedwa pakamwa. Mankhwala ali ndi yogwira pophika metformin, komanso othandiza zinthu - magnesium stearate ndi povidone. Kuphatikiza apo, pali mitundu iwiri ya kumwa: kutulutsa pafupipafupi komanso mosadukiza kwa metformin.

Mapiritsi omwe amapereka kutulutsidwa kwazomwe amaphatikizika akuwonetsedwa amatengedwa katatu patsiku. Ubwino wa mapiritsi otulutsa pang'onopang'ono a metformin ndi kusakhalapo kwa vuto pa magwiridwe am'mimba: sayenera kumwedwa kamodzi patsiku.

Chithandizo cha ovary ya polycystic ndi metformin chitha kukhala chothandiza ngati chitukuko cha ma cystic chikupangiridwa ndi kuphatikiza kwa testosterone kwambiri. Ngati kupangika kwa mawonekedwe osakhazikika ndi chifukwa chakugwiritsira ntchito njira zakulera zamkamwa, kuchotsa mokhazikika kwa mimba kapena cholowa chotengera, njira zakuchiritsa sizingalephereke.

Zizindikiro ndi contraindication

Glucophage akuwonetsedwa kuti agwiritse ntchito pamaso pa ma pathologies:

  • matenda ashuga okalamba odwala, limodzi ndi kunenepa kwambiri,
  • hyperglycemia, yomwe imawonjezera mwayi wokhala ndi matenda a shuga,
  • matenda ashuga am'mawa.

Milandu ikuluikulu yomwe imamwa mankhwalawa ndi monga:

  • kukhalapo kwa chiwindi kapena kulephera kwa impso,
  • chitukuko cha ketoacidosis,
  • mawonetseredwe a poizoni owopsa, owonjezereka ndi minofu hypoxia,
  • kukula kwa kuledzera kwambiri chifukwa cha poyizoni wa mowa
  • kupezeka kwa zovuta zabwino,
  • Kukula kwa kusintha kwamatumbo chifukwa cha vuto laimpso.

Kuchiza ndi glucophage kuyenera kusiyidwa pambuyo pathupi. Sitikulimbikitsanso kumwa mankhwalawa panthawi yoyamwitsa.

Malangizo ogwiritsira ntchito, mlingo

Mankhwala amaperekedwa pakamwa. Mapiritsiwo ayenera kuwameza pachakudya ndipo, ngati kuli kotheka, azitsuka ndi madzi oyeretsedwa. Kutafuna ndi kusungunula mapiritsi sikuletsedwa kokhako.

Mlingo wofanana watsiku ndi tsiku umakhazikitsidwa pa 1000 mg. Kusintha kwa mankhwalawa kumachitika ndi gynecologist, potengera zomwe zili m'magazi: ndi kuchuluka kwake, mlingo umakwera mpaka 1500 mg. Kuti mupeze njira yochizira yothandiza, Glucophage ngati polycystosis iyenera kumwedwa tsiku lililonse kwa miyezi isanu ndi umodzi.

Zotsatira zoyipa

Mankhwala a polycystic potenga Glucofage nthawi zambiri amakhala ndi zotsatirazi zoyipa:

  1. Kukhalitsa kwanthawi yayitali.
  2. Kupanda chilimbikitso.
  3. Kusilira ndi mseru.
  4. Kutsegula m'mimba kuwonetsa kugaya bwino kwam'mimba.
  5. Kuperewera kwa mahomoni.
  6. Atherosulinosis
  7. Kuledzera kwakukulu kwa thupi.
  8. Anemia

Kuphatikiza pazovuta zomwe tafotokozazi, mankhwala a Glucofage amatsogolera kukukula kwa ululu pamimba komanso kusokonezeka kwamanjenje, komwe kumadziwika ndi kuyamba kwa kukhumudwa komanso kusachita chidwi.

Mankhwala osokoneza bongo a metformin amabweretsa zovuta za metabolic, zomwe zimadziwoneka ngati lactic acidosis. Komanso, kuchuluka kwodziyimira pawokha kumathandizira kusokonezeka kwa dongosolo la hepatobiliary, lomwe limayambira kukula kwa hepatitis yaposachedwa.

Nthawi zambiri, chifukwa chogwiritsa ntchito Glucofage, khungu lotupa kapena khungu lake limapangidwa. Kuwoneka kwa zoyipa ndi nthawi yochezera ndi gynecologist. Panthawi ya kuonana, dokotala amawunika kukula kwa zizindikirazo ndikuwongolera mlingo.

Kuyanjana kwa mankhwala osokoneza bongo

Glucophage yokhala ndi polycystic ovary siyikulimbikitsidwa limodzi ndi mankhwala omwe ali m'gulu la sympathomimetics kapena glucocorticosteroids. Sizoletsedwa konse kukonzekera zomwe zimakhala ndi metformin limodzi ndi mankhwala othandizira kuzungulira.

Glucophage iyenera kuyimitsidwa masiku awiri asanafike panjira ya X-ray, yomwe imakhazikitsidwa ndi kuyamwa kwa magazi a ayodini. Kunyalanyaza izi kumapangitsa kuti pambuyo poti radiology, wodwala ayambe kulephera.

Glucophage: ndemanga yakuchepetsa thupi ndi chithunzi

Zochizira mtundu wa 2 matenda a shuga, mankhwalawa amagwiritsidwa ntchito omwe angayambitse vuto lalikulu la hyperglycemia - kusokonezeka kwa insulin. Popeza ambiri odwala omwe ali ndi mtundu wachiwiri wa matendawa ndi onenepa kwambiri, ndizokwanira ngati mankhwalawa atha kuthandiza nthawi yomweyo mankhwalawa onenepa.

Popeza mankhwalawa ochokera ku gulu la Biguanide - metformin (Metfogamma, Glucofage, Siofor, Dianormet) amatha kuthana ndi kagayidwe kazakudya komanso mafuta, zimalimbikitsidwa pamankhwala ovuta a odwala omwe ali ndi matenda osokoneza bongo.

Mu 2017, kugwiritsa ntchito mankhwala okhala ndi Metformin anali ndi zaka 60, koma pakadali pano akuphatikizidwa pamndandanda wa mankhwala ochiritsira matenda a shuga mothandizidwa ndi WHO. Kufufuza zamtundu wa metformin kumapangitsa kuti chiwonetsero chake chikugwiritsidwe.

Limagwirira a zochita za glucophage

Mankhwala Glucophage amawonetsedwa m'masitolo amitundu amtunduwu: Glucofage 500, Glucofage 850, Glucofage 1000 ndi mitundu yowonjezeredwa - Glucofage yayitali. Ubwino wosakayika wa mankhwala ozikidwa pa metformin umaphatikizapo mtengo wotsika mtengo. Kupanga kwake kwa mankhwala kumveka bwino.

Maziko ake ndi momwe amapangira mamolekyulu atsopano a glucose m'chiwindi. Mu shuga mellitus, njirayi imakulitsidwa nthawi 3 poyerekeza ndi chizolowezi. Glucophage poyambitsa ma enzyme angapo amaletsa gluconeogeneis.

Kuphatikiza apo, odwala omwe ali ndi glucofage amalimbikitsa chidwi cha minofu kuti insulin (makamaka minofu minofu). Mankhwala amalimbikitsa kulumikizana kwa insulin ndi ma receptor m'magazi ofiira, ma hepatocytes, maselo amafuta, myocyte, kukulitsa kuchuluka kwa kulowa kwa glucose mwa iwo ndi kukodwa kwake kuchokera m'magazi.

Kutsika kwa mapangidwe a shuga m'chiwindi kumayambitsa kutsika kwa kudya kwa glycemia, ndipo kuletsa kwa kuyamwa kwa mafuta mu lumen ya m'matumbo ang'ono kumayambitsa nsonga yowonjezera kuchuluka kwa shuga wamagazi atatha kudya. Glucophage imatha kuchepetsa kuthamanga kwa m'mimba ndikuwonjezera mphamvu ya matumbo ochepa.

Nthawi yomweyo, makutidwe ndi okosijeni amafuta achilengedwe amakwera, cholesterolemia, mlingo wa triglycerides ndi atherogenic lipids amachepa. Zotsatira zonsezi zimachitika pokhapokha ngati insulin ili m'magazi.

Chifukwa cha chithandizo cha Glucofage, zotsatirazi zimadziwika:

  • Kuchepa kwa glycemia ndi 20%, hemorrhea wambiri ndi 1.54%.
  • Chiwopsezo cha myocardial infarction, kufa kwathunthu kumachepetsedwa.
  • Akapatsidwa gawo la prediabetes, matenda a shuga amayamba pafupipafupi.
  • Kuchulukitsa chiyembekezo cha moyo komanso kumachepetsa chiopsezo chotupa chotupa (zoyesa deta).

Glucophage imayamba kugwira ntchito mkati mwa maola 1-3, ndi mitundu yowonjezera (Glucofage yayitali) maola 4-8. Njira yokhazikika imawonedwa kwa masiku awiri ndi atatu. Zinadziwika kuti chithandizo cha metformin sichimatsogolera ku vuto la hypoglycemic, chifukwa sichimatsitsa mwachindunji shuga m'magazi, koma imaletsa kuchuluka kwake.

Glucophage ndiye mankhwala oyamba a metformin, chifukwa chake amagwiritsidwa ntchito pofufuza. Mphamvu ya Glucophage pa chiwongolero cha matenda a shuga 2, komanso kuchepa kwa chiwopsezo cha matenda, makamaka mtima.

Glucophage wa matenda ashuga a 2

Chizindikiro chachikulu chogwiritsa ntchito mankhwalawa ndi mtundu wachiwiri wa shuga kuphatikiza kunenepa kwambiri, cholesterol yayikulu m'magazi, komanso kulemera kwakanthawi kwamthupi. Odwala ena omwe ali ndi matenda ashuga samaloleza kukonzekera kwa sulfonylurea, kapena kukana nawo, Glucofage imatha kuthandiza gulu ili la odwala.

Komanso, metformin ikhoza kuphatikizidwa kuti iphatikizidwe ndi mankhwalawa ndi insulin ya matenda a shuga 1, komanso kuphatikiza kosiyanasiyana ndi mankhwala ochepetsa shuga m'mapiritsi a matenda a shuga a 2.

Ndimasankha mlingo wa Glucophage payekha, motsogozedwa ndi glycemia. Mlingo umodzi ndi 500-850 mg, ndipo tsiku ndi tsiku ndi 2,5 mpaka 2-3 Gawo lothandiza la odwala ambiri ndi 2-2.25 g.

Chithandizo chimayamba ndi mlingo wochepa - 500 mg patsiku, ngati ndi kotheka, muwonjezeke ndi 500 mg ndi gawo la masiku 7. Mlingo wambiri (kupitirira 3 g) samabweretsa kusintha kwa kagayidwe kakang'ono ka shuga. Nthawi zambiri, glucophage imatengedwa katatu patsiku.

Popewa zovuta m'matumbo, mankhwalawa amalimbikitsidwa kuti amwe pakudya kapena mutatha kudya.

M'pofunika kuganizira kuchepa kwa Glucophage, omwe mankhwala ena ochepetsa shuga alibe - kuteteza kwa shuga m'magazi a m'mawa. Kuti mugwiritse ntchito chinthu chapaderachi mpaka pazambiri, muyenera kutenga glucophage musanagone.

Kupititsa patsogolo kagayidwe kachakudya kumawonekera pakatha masiku 7-10, ndipo kuchuluka kwa shuga m'magazi kumayamba kutsika pakatha masiku awiri. Pambuyo pa kubwezeretsedwa kwa hyperglycemia ndikwaniritsidwa bwino, mutha kuyesa kuchepetsa pang'onopang'ono mlingo wa mankhwalawa popenyerera shuga wamagazi.

Mankhwala otsatirawa amagwiritsidwa ntchito:

  1. Glucophage + Glibenclamide: amagwiritsa ntchito njira zosiyanasiyana pokopa glycemia, onjezerani zochita za wina ndi mnzake.
  2. Glucophage + Insulin: kufunikira kwa insulin kumachepetsedwa mpaka 25-50% ya zoyambirira, dyslipidemia ndi kukakamizidwa zimakonzedwa.

Kafukufuku wambiri wa matenda osokoneza bongo amatipangitsa kuti tiziganiza kuti insulini imayamba kudwala kale kwambiri kuposa momwe amayembekezera. Chifukwa chake, Glucofage ikulimbikitsidwa kugwiritsidwa ntchito pa mlingo wa 1 g patsiku, limodzi ndi zakudya komanso zolimbitsa thupi.

Prophylaxis yotere imachitika mwa odwala omwe ali ndi kunenepa kwambiri, kuchepa kwa chakudya chamafuta, mafuta ambiri, matenda oopsa komanso kutengera kwa makolo chibadwa chachiwiri.

Glucophage imathandiza kuthana ndi insulin kukana ndipo imachepetsa kwambiri zomwe zili m'magazi, kupewa mtima.

Glucophage wokhala ndi polycystic ovary

Polycystic ovary ndi insulin kukana kumawonetsedwa ndi kuchuluka kwachulukidwe kwamahomoni ogonana aamuna, kutalika kwa msambo ndi kusowa kwa ovulation, komwe kumapangitsa odwala kukhala osabereka.

Amayi nthawi zambiri amakhala onenepa kwambiri ndi polycystic ovary syndrome, amadwala matenda a carbohydrate kapena amatsimikizira matenda a shuga. Kugwiritsa ntchito Glucophage mu zovuta chithandizo cha odwala oterewa kumawongolera ntchito yobereka, nthawi yomweyo kumabweretsa kuchepa kwa thupi ndi kuphatikiza mawonekedwe a mahomoni.

Kugwiritsa ntchito Glucofage muyezo wa 1500 mg tsiku lililonse kwa miyezi isanu ndi umodzi kumachepetsa kuchuluka kwa insulin m'magazi, msambo umasinthidwa pafupifupi 70% ya azimayi.

Nthawi yomweyo, zotsatira zabwino za kapangidwe ka magazi zidadziwika: kuchepa kwa mafuta m'thupi ndi lipoproteins yotsika.

Glucophage zimakhudza kulemera

Ngakhale mankhwala ozikidwa pa metformin alibe chisonyezo chachindunji chogwiritsa ntchito kunenepa kwambiri, amagwiritsidwa ntchito kuchepetsa thupi, makamaka ngati pali kuphwanya kwa kagayidwe kazakudya. About ndemanga ya Glucofage yochepetsa thupi, zonse zabwino ndikuwonetsa kutsika kwake kochepa.

Maganizo osiyanasiyana - "Ndinachepa thupi pa Glyukofage ndipo ndinataya makilogalamu 6", "sindimachepetsa thupi, ngakhale ndimankhwala ochulukirapo", "Glyukofage yekha ndi amene amachepetsa thupi", "poyamba ndinachepetsa thupi pa Glyukofage, kenako kulemera kunayima", "Ndataya kilogalamu imodzi m'mwezi umodzi ", Sonyezani kuti mankhwalawa sangathandize aliyense.

Katundu wamkulu wa mankhwalawa, omwe amathandiza kuchepa thupi, ndikuwonjezereka kwa insulin, komwe kumapangitsa kuchepa kwa chinsinsi chake, popeza kuchuluka kowonjezereka sikuyenera kuthana ndi kukana kwa receptor. Kutsika koteroko kwa insulin m'magazi kumapangitsa kutsika kwamafuta ndikuthamangitsa kusunthika kwake.

Kuphatikiza apo, mphamvu ya Glucofage imadziwoneka pakumva njala, imachepetsa chilimbikitso, komanso kuletsa kuyamwa kwa matumbo m'matumbo ndi kuchotsedwa kwawo kwothamanga chifukwa cha kuchuluka kwa peristalsis kukapezeka mu chakudya kumachepetsa kuchuluka kwa zopatsa mphamvu.

Popeza Glucofage siyimayambitsa kutsika kwa shuga m'magazi pansi pazomwe zimakhalapo, kugwiritsidwa ntchito kwake ndikothekanso ndi glycemia, ndiye kuti, pamlingo wa kusokonekera kwa glucose kumatha kusokonezeka koyambirira kwa chakudya chamafuta ndi mafuta.

Pofuna kuti musakhale ndi zovuta za metabolic pamodzi ndi kuwonda, muyenera kuganizira mukamatenga Glucofage kapena Glucofage yayitali:

  • Kumwa mankhwalawa sikutanthauza kuwonda.
  • Zatsimikizika kufunika kwa kuchepa thupi kuphwanya kulekerera kwa chakudya chamthupi ndi hyperinsulinemia.
  • Muyenera kutsatira zakudya.
  • Sipayenera kukhala chakudya chamagulu m'zakudya.
  • Mlingo umasankhidwa payekha - mlingo woyambirira ndi 500 mg kamodzi patsiku.
  • Ngati kutsegula m'mimba kumachitika pambuyo pa kutsata, izi zikutanthauza kuti pali chakudya chamagulu ambiri.
  • Ngati nseru ikuchitika, chepetsani kwakanthawi.

Omanga a thupi amagwiritsa ntchito metformin limodzi ndi maphunziro aerobic kuti atenthe mafuta. Kutalika kwa maphunzirowa ndi masiku 20, kenako muyenera kupuma kwa mwezi umodzi. Kugwiritsa ntchito mankhwalawa koletsedwa mosavomerezeka ndi dokotala.

Chifukwa chake, titha kunena kuti kuikidwa kwa Glucofage kungakhale koyenera kuchitira odwala omwe ali ndi vuto la mafuta m'thupi, omwe amaphatikizidwa ndi kuchuluka kwa insulin m'magazi komanso kukana kwa chiwindi, minofu ndi mafupipafupi a mafuta.

Naturalization ya kagayidwe kachakudya njira kumabweretsa kuwonda, malinga ndi zakudya zoletsa komanso zokwanira zolimbitsa thupi. Mankhwala sakusonyezedwa mankhwalawa kunenepa popanda kuyeserera koyambirira.

Nthawi zambiri, kuchepa thupi kumachepa, ndipo chiwopsezo cha kusokonezeka kwa metabolic ndi chambiri.

Zotsatira zoyipa za glucophage komanso kuvulaza thanzi

Zotsatira zoyipa kwambiri za Glucophage ndizovuta m'matumbo, chosasangalatsa pambuyo pake pakamwa, kutsekula m'mimba, matumbo a colic, nseru, ulemu. Zotsatira zosasangalatsa zotere za kumwa mankhwalawa zimadziwika m'masiku oyamba kugwiritsa ntchito Glucophage, kenako ndikungopereka okha, popanda chithandizo chowonjezera.

Ndi matenda otsekula m'mimba, mankhwalawa amatha. Thupi likazolowera, mphamvu ya metformin pamatumbo samamveka kwenikweni. Ndi kuchuluka pang'onopang'ono kwa mlingo, kusapeza bwino kungapeweke.

Kugwiritsa ntchito nthawi yayitali kwa Glucophage kumabweretsa chiwonetsero cha B12 hypovitaminosis: kufooketsa kukumbukira, kukhumudwa, kugona tulo. Ndizothekanso kukula kwa kuchepa kwa magazi m'thupi.

Popewa, tikulimbikitsidwa kuti mudye mavitaminiwa m'maphunziro pamwezi, makamaka ndi zakudya zamasamba.

Zotsatira zoyipa kwambiri za gulu la Biguanide, zomwe metformin yokha imagwiritsidwa ntchito, ndikupanga lactic acidosis. Ndi chifukwa chowopsa chitukuko chake kuti mankhwala otsala a gululi amachotsedwa pamsika wamankhwala. Vutoli limachitika chifukwa chakuti lactate imagwiritsidwa ntchito popanga shuga m'magazi, ndipo metformin imalepheretsa njira yotembenuka iyi.

Pa ntchito yachilendo impso, lactate yambiri imachotsedwa, koma ndimakonda kumwa mowa, kulephera kwa mtima, matenda am'mapapo kapena kuwonongeka kwa impso, lactic acid imadziunjikira, zomwe zimabweretsa mawonetsedwe:

  1. Kupweteka kwa minofu
  2. Ululu pamimba ndi kumbuyo kwa sternum.
  3. Kuchepetsa mseru
  4. Kupuma kwamphamvu.
  5. Chisoni ndi kugona.

Milandu yayikulu, lactic acidosis imatha kukhala ndi vuto. Kuphatikiza apo, Glucophage imachepetsa kuchuluka kwa mahomoni olimbikitsa chithokomiro, ndipo mwa amuna - testosterone.

Metformin imaphatikizidwa matenda a impso, chiwindi ndi mapapu, uchidakwa komanso kulephera kwamtima, ketoacidosis, zovuta za matenda a shuga mellitus monga hyperosmolar kapena lactic acidosis chikomokere.

Mankhwala sinafotokozeredwe chakudya chochepa mphamvu ya calorie (pansi pa 1000 kcal patsiku), kuchepa magazi, pambuyo pa zaka 60, kuchita masewera olimbitsa thupi komanso nthawi yobereka.

Dr. Kovalkov kuchokera mu kanema munkhaniyi ayankhula za zabwino za Glucophage kwa anthu onenepa kwambiri.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Mafunso omwe amakonda kugwiritsa ntchito Glucophage - malangizo osavuta

Mankhwala Glucofage ndi mankhwala osagwirizana ndi mankhwala omwe amapangidwira kuti apange zotsatira za hypoglycemic m'thupi la wodwalayo.

Opanga mankhwalawa ndi Merck Sante, France. Mutha kugula Glucophage m'masitolo am'mayiko ambiri popanda zovuta.

Mankhwalawa sakhala operewera, ndipo mankhwala sawafunikira kuti apatsidwe.

Glucophage imapezeka m'mapiritsi, omwe ali ndi 500, 750 kapena 1000 mg ya metformin.

Mtengo wake umatengera mlingo wa mankhwalawo. Mtengo wa mapiritsi 30 a 500 mg aliyense ndi pafupifupi $ 5.

Mlingo ndi njira yothandizira matenda ashuga

Dokotala yemwe amatipatsa mankhwalawa nthawi zonse amauza momwe angatengere Glucophage molondola. Mankhwala amafunika kutsatira njira zina zogwiritsira ntchito.

Ngati wodwala wasankha kumwa mapiritsi akewo, ndiye muyenera kuphunzira malangizo mwatsatanetsatane.

Mulingo woyambira woyamba umaphatikizapo kugwiritsa ntchito kapisozi 1 patsiku. Pakupita milungu iwiri, wodwalayo amayenera kuwunika kuchuluka kwa shuga m'magazi.

Ngati izi zikufunika, ndiye kuti patatha masiku 15, mankhwalawa amawonjezereka pang'onopang'ono. Kuti mukhale ndi thanzi labwinobwino, mankhwalawa tsiku lililonse azitha kuwonjezeka mpaka magalamu amodzi ndi theka.

Kutalika kokwanira komwe kumaperekedwa kwa mankhwala ndi mapiritsi atatu patsiku, 750 mg aliyense.

Pa mimba ndi mkaka wa m`mawere

Glucophage pa nthawi yomwe ali ndi pakati sangathe kugwiritsidwa ntchito. Nthawi zambiri, chithandizo chamankhwala ichi chimachitika kwa odwala omwe akukonzekera kutenga pakati.

Ngati mankhwalawo amaliza ntchito yake, ndipo mimba yabwera, ndiye kuti muyenera kuwona dokotala kuti akonzenso zina.

Mankhwalawa amatha kudutsa mkaka wa m'mawere ndikupatsira mwana. Ngakhale pakalibe zovuta zoyipa kwa mwana, chithandizo chotere sichikulimbikitsidwa.

Ngati mayi woyamwitsa akufunika chithandizo cha hypoglycemic, ndiye kuti mkaka wa m'mawere uyenera kuchepetsedwa.

Ndi kusabereka ndi polycystic ovary

Kuphatikiza pa kuchiza matenda a shuga, kuwongolera glucose wanu wamagazi ndikofunikira makamaka pakubereka kwa azimayi omwe amayamba chifukwa cha polycystic ovary syndrome.

Chowonadi ndi chakuti awa amagwirizana. Mkulu kwambiri a insulin amachititsa kuti testosterone ikwere.

Mankhwala omwe ali ndi PCOS amadzetsa kuchepa kwa shuga, chifukwa chotsatira chomwe kulumikizana kwa mahomoni amphongo ndi amuna kumachitika, komanso kubwezeretsanso kwa kuzungulira kwa ovulatory.

Kwa mankhwala Glucofage, mlingo umasankhidwa payekha.

M'mbuyomu, mayi amafunika kuyesedwa kuti adziwe kuchuluka kwa mahomoni komanso kukaona endocrinologist. Kutalika kwa mankhwalawa kumatsimikiziridwa ndi zotsatira za chithandizo.

Momwe angatenge

Glucophage kuchokera ku shuga ayenera kumwedwa nthawi yamadzulo kapena itatha chakudya chamadzulo. Mapiritsiwo amatsukidwa ndi madzi osaperera koyambirira.

Ndikofunika kuonjezera pang'onopang'ono kuchuluka kwa mankhwalawa kuti musachitike zovuta.

Ndikwabwino kukambirana zamagulu onse a mankhwalawa ndi dokotala.

Kodi mankhwalawa ndi osokoneza bongo?

Mankhwala Glucophage, akagwiritsidwa ntchito moyenera, amaloledwa ndi odwala ndipo samawonjezera.

Kodi mwatenga / mukutenga Glucofage?

Komabe, mukamadwala waukulu, pali chiopsezo chokhala ndi lactic acidosis. Zotsatira zake, mankhwalawa samabweretsa zabwino, koma kuvulaza thupi.

Vutoli limaphatikizidwa ndi kusanza ndi mseru. Ngati zizindikilo zotere kapena kupatuka kwina kuchokera pamatumbo am'mimba zikugwiritsidwa ntchito, ndiye kuti mlingo wa tsiku ndi tsiku uyenera kuchepetsedwa.

Kodi zimakhudza bwanji kusamba?

Ngakhale kuti Glucofage si mankhwala a mahomoni, imatha kukhala ndi zotsatira zosakhudzana ndi msambo.

Amayi omwe ali ndi polycystic ovary syndrome amakhala ndi nthawi yayitali pang'onopang'ono komanso akuchedwa komanso amatuluka magazi nthawi yayitali.

Pambuyo popita kuthandizira wothandizirana ndi hypoglycemic wothandizila, momwe ma hormone amuna ndi akazi amagwirizanirana.

Ngati vuto la kusakhazikika kwa nthawi linayamba chifukwa cha kuchuluka kwa shuga mthupi la mkazi, ndiye kuti amachotsedwa.

Zotsatira zake, wodwalayo samalandira kokha msambo, komanso ntchito ya m'mimba.

Dziwani ngati pazochitika zina Glucophage amathandizira kukhazikitsa msambo, zimatheka pokhapokha atayeza dokotala.

Kuphatikiza ndi mankhwala osokoneza bongo

Musanagwiritse ntchito Glucofage yochepetsa thupi kapena chithandizo cha matenda ashuga, muyenera kulingalira za kuphatikiza kwake ndi mankhwala ena:

  • pamodzi ndi insulini imagwiritsidwa ntchito kuti muwonjezere mphamvu ya mankhwala,
  • Sizovomerezeka kutenga mukamachititsa maphunziro a x-ray pogwiritsa ntchito njira zothetsera ayodini.
  • Sikulimbikitsidwa kuphatikiza ndi mankhwala omwe amapezeka ndi mowa,
  • ntchito mosamala limodzi okodzetsa ndi mankhwala a yosalunjika hypoglycemic kwenikweni,
  • mankhwala kutsitsa magazi amafuna kusintha kwa glucophage,
  • Nifedipine imathandizira kuyamwa kwa ntchito yogwira.

Glucophage mavuto

Zotsatira zoyipa za Glucofage zitha kuchepetsedwa ngati muigwiritsa ntchito mosamala malinga ndi malangizo ndipo musapitirire muyeso.

Komabe, kuthekera kwa malingaliro oyipa kumapitirirabe. Muyenera kupita kwa dokotala ngati zizindikilo zotere ziziwoneka:

lactic acidosis,
kusokoneza kukoma
mavuto a dyspeptic (kutsegula m'mimba, kudzimbidwa, kusanza, kusanza),
chifuwa
kusintha kwa magawo a hepatic.

Ndemanga za madotolo za mankhwala Glucofage

Akatswiri nthawi zambiri amapereka mankhwala a glucophage kwa odwala, osati chifukwa cha chithandizo, komanso kupewa. Malangizo onse amachokera pa mayeso a labotale.

Ubwino wosakayikira wamankhwala, madokotala akuti, ndiko kusowa kwa hypoglycemia chifukwa chogwiritsa ntchito.

Ndiye kuti, mankhwalawa sangatsitse shuga pamlingo wovuta. Komanso, mapiritsi sangathe kugwira ntchito ngati sakufunika.

Katunduyu amapangitsa kuti Glucofage ikhale mankhwala otetezeka, pamaziko omwe amaphatikizidwa ndi mndandanda wa mankhwala OTC.

Glucophage Slimming Host Maoni

Anthu ambiri adakwanitsa kuchepetsa thupi pa Glucofage. Ambiri a iwo adamwa mankhwalawo monga adauzira adotolo.

Anthu onenepa a shuga, monga azimayi omwe ali ndi polycystic ovary syndrome, adatha kutaya mpaka kilogalamu 10 pachikhalidwe chilichonse.

Chowonadi ndi chakuti mankhwalawo amalepheretsa kulemera. Ngati ndizotheka kuti muchepetse thupi, ndiye kuti thupi silimakula.

Ndemanga zoterezi zimapangitsa kuti mankhwalawo akhale otchuka. Nthawi zambiri, anthu amayamba kutenga Glucofage pawokha kuti achepetse kulemera ndikulangiza anzawo. Izi sizikulimbikitsidwa, chifukwa zamoyo zonse ndizosiyana, ndizomwe zimayambitsa kunenepa kwambiri.

Chifukwa chiyani chidachi chimatsogolera kuonda?

Kuti mumvetsetse chifukwa chake othandizira a hypoglycemic amathandizira kuchepetsa kunenepa, muyenera kutengera njira zawo.

Glucophage imalepheretsa kuyamwa msanga kwa maselo a thupi la munthu, ndipo ndiye glucose yemwe amawapaka mafuta.

Kutenga Glucofage, mutha kuonetsetsa kuti shuga alowa m'mimba, koma nthawi yomweyo sangathe kuyamwa kudzera mu mucosa wam'mimba posachedwa.

Kodi pali kusiyana kwanji pakati pa Glucophage nthawi zonse ndi Glucophage Long?

Kutalika kwa chochita. Glucophage Long ndi mankhwala omwe amakhala ndi mphamvu yayitali. Kuchokera apa idatchedwa dzina.

Kutulutsidwa kwa mankhwalawa Glucofage ndi Long ndizofanana.

Ngati mungasankhe pakati pawo, kuti mugwiritse ntchito mosavuta, mutha kuyesetsa kukonda kwachiwiri, chifukwa kuyenera kugwiritsidwa ntchito kamodzi patsiku, osati 2-3.

Zizindikiro

Pamaso chithandizo cha polycystic ovary ndi kuikidwa kwa glucophage ndikofunikira kuchita kafukufuku. Mankhwala amafunikira mayeso otsatirawa:

  • kuyeserera kwa glucose
  • kuzindikira kwa ndende ya C-peptide,
  • kutsimikiza kwa mlozera wa NOMA.

Kuphatikiza apo, pochizira polycystic ovary, kuyezetsa magazi, kupweteka kwa m'chiuno, komanso kuyezetsa magazi kwa kuchuluka kwa mahomoni ogonana amafunikira. Chithandizo chimayikidwa mosamalitsa malinga ndi zotsatira zake.

Zokhudza kusamba

Panthawi yamankhwala, komanso kuthetsedwa kwa ovary ya polycystic, kubwezeretsanso kwa msambo kumatha kuchitika. Izi ndizotheka pamaso pa kulephera kwa mahomoni komwe kumachitika kokha chifukwa cha kuchuluka kwa shuga m'magazi. Ndi zovuta zina za endocrine, kusokonezeka kwa msambo kumatha kupitiliza.

Nthawi zambiri, pambuyo pa kumwa mankhwalawa ndi Glucofage, msambo umakhala wokhazikika. Izi ndi zotsatira za chithandizo chopambana cha PCOS. Kuti mubwezeretsenso kuchuluka kwa kusamba, ndikofunikira kuyesa kuchuluka kwa mahomoni ogonana ndikusintha njira yothandizira mankhwalawa malinga ndi kupatuka komwe wapezeka.

Amayambitsa kusowa kwa mankhwala

Mankhwala ambiri amatha kugwiritsidwa ntchito pochiza polycystic ovary, kotero glucophage nthawi zonse satha kuchepetsa kukula kwa cysts. Zifukwa zakusowa kwa chithandizo:

  • kugwiritsa ntchito mankhwalawa osayesa mayeso - wodwalayo mwina alibe mavuto ndi kuchuluka kwa shuga m'magazi,
  • kusagwirizana ndi pafupipafupi kumwa mankhwalawa,
  • Chithandizo cha osabereka apamwamba
  • kulephera kuwongolera kuchira munthawi ya njira yochizira.

Mankhwala ochiza PCOS ayenera kumwedwa pokhapokha ngati akuwuzani dokotala. Zotsatira zamankhwala zimatengera kutsatira malingaliro a katswiri komanso kupezeka kwa zida zoyambirira.

Glucophage, Glucophage Long kapena Siofor: ndibwino bwanji?

Siofor ndi analogue ina ya Glucophage. Mankhwalawa amagwiritsidwa ntchito pochiza komanso kupewa matenda a shuga a 2, ndipo amalembedwanso kwa azimayi omwe ali ndi PCOS.

Palibe amene anganene motsimikiza kuti ndi njira yanji yabwinoko. Mankhwala onse ali ndi chinthu chimodzi chogwira ntchito ndipo amasiyana mwaopanga, mlingo ndi zina zamagetsi.

Kodi maubwino ndi zovulaza za thupi kuchokera pama mapiritsiwa ndi ziti?

Ubwino ndi kuwonongeka kwa mankhwalawa amachepetsa kutsatira:

  • njira yoyaka mafuta imathandizira,
  • mafuta mayamwidwe amachepetsa
  • kusweka kwa glucose kwathandizira,
  • kuchuluka kwa insulin kumachepa
  • kulakalaka kuponderezedwa
  • cholesterol yafupika
  • cholemetsa wabwerera mwakale
  • mavuto akhoza kuchitika
  • kumwa mapiritsi nthawi zonse,
  • ndikofunikira kuwongolera kugwiritsa ntchito mankhwala ena.

Kodi ndingamwe mowa?

Glucophage ndi mowa sizigwirizana. Zakumwa zoledzeretsa zimayambitsa hypoglycemia, chifukwa chomwe wodwalayo amatha kukhala wowopsa - mkaka acidosis.

Nthawi zina zazikulu zimatha kufa. Pa nthawi yonse yogwiritsira ntchito Glucofage, ndikofunikira kusiya zakumwa zoledzeretsa.

Glucophage sichithandiza, kulangizani mankhwala amphamvu

Ngati mankhwalawa sathandiza, ndiye kuti madokotala amawonjezera kuchuluka kwake. Mulingo waukulu ndi 3000 mg patsiku.

Ndikosatheka kudziyimira payekha kuchuluka kwa mankhwalawa, mwinanso kuphatikiza kwa Glucofage kumatha.

Mlingo wa munthu nthawi zina umagwiritsidwa ntchito kuonjezera mphamvu ya mankhwala. Komanso, kuchita masewera olimbitsa thupi komanso kudya zakudya zamafuta ochepa kumathandizanso kuti muthandizike.

Kodi kumwa mankhwala ochepetsa thupi kumachitika bwanji?

Pali malingaliro kuti nthawi ya chithandizo sayenera kusewera masewera chifukwa chopanga lactic acid.

Amakhulupirira kuti amachepetsa kugwiritsa ntchito glucophage. Komabe, maphunziro ambiri awonetsa kuti kuphunzitsidwa sikusintha kwenikweni acidity yamagazi.

Ngati muli ndi nkhawa, koma mukufuna kusewera masewera, ndiye kuti kulimbitsa thupi kolimbikira kungalowe m'malo ndi yoga, Pilates kapena kusinthasintha kwa thupi.

Kusiya Ndemanga Yanu