Ubwino wa matenda ashuga - Glucophage kapena Metformin ndi uti? Kuyerekeza mankhwala, malangizo, ndemanga

Kodi chimathandiza bwanji kuchepetsa kunenepa - Siofor kapena Metformin? Yankho lingaperekedwe kokha ndi katswiri wazachipatala woyenerera, ndipo zimatengera zomwe zimagwira monga chisonyezo pazolinga zake - kunenepa kwambiri kapena zizindikiro za matenda ashuga. Muzochita zachipatala, mankhwalawa amagwiritsidwa ntchito makamaka pochiza matenda ashuga, koma osati kale kwambiri pomwe adayamba kugwiritsidwa ntchito mwachangu pochizira kunenepa. Kusiyana kwa njira ndi kocheperako, koma kusankha komwe kuli koyenera kwa adokotala omwe amapezekapo.

Kufotokozera zamankhwala

Onse Siofor ndi Metformin amachokera ku metformin yemweyo. Njira yake yochitapo kanthu ndikulimbikitsa chiwopsezo cha insulin ndi / kapena shuga m'magayidwe amishuga, ndikuchepetsa kuchuluka kwa glucose komwe kumangidwa ndi matumbo a matumbo. Ndikofunika kumvetsetsa kuti chinthu ichi sichingayambitse kupanga kwake kwa insulini yokha, koma kumangowonjezera mayamwidwe ake ndipo sangathe kusintha momwe angagwiritsidwire ntchito.

Zomwe tafotokozazi zili ndi zisonyezo zachipatala zodziwikiratu. Mndandanda wawo ukuphatikizapo:

  • Type 2 shuga
  • Kunenepa kwambiri komanso kunenepa kwambiri,
  • Ovary Polycystic,
  • Insulin yolakwika ndi / kapena shuga
  • Kutha msanga,
  • Matenda a khansa yapakansa
  • Kukhalapo kwa mafupa amafuta mu chiwindi.

Potengera maziko a maphunziro a Sifor kapena Metformin, kutsegula kwa kagayidwe kazakudya, kuchepa kwa chakudya, komanso matenda a shuga. Zinthu zonsezi zimathandizira osati kungokhala wathanzi, komanso kuchepa thupi kwakanthawi. Koma ndikofunikira kumvetsetsa kuti ndizosatheka kuchira ndi mankhwalawa nokha kapena kuchepa thupi - muyenera kutsatira zakudya ndi zakudya zomwe akatswiri azachipatala adalimbikitsa.

Kodi pali kusiyana kotani pakati pa Siofor ndi Metformin

Mfundo zawo zogwirira ntchito ndi kapangidwe kake ndizofanana. Onsewa amapezeka mu mawonekedwe a makapisozi kapena mapiritsi mu chipolopolo, chomwe, kuphatikiza ndi chophatikizika chachikulu cha metformin, mumakhala wowuma, talc, magnesium stearate, povidone ndi titanium dioxide.

Onetsetsani kuti mwawerenga: Malangizo ogwiritsira ntchito Holosas ya mankhwala ochepetsa thupi

Mapiritsi a Siofor ali ndi Mlingo wa 500 mg, ndipo Metformin ikhoza kutulutsidwa pa 500 ndi 850 mg. Kuchuluka kwa zinthu zomwe zimagwira m'thupi la wodwala komanso madzi a m'magazi kumachitika patatha maola 2,5 mutatenga imodzi mwa mankhwalawa monga piritsi kapena kapisozi. Mapeto ake amapezeka molingana ndi chiwembu chimodzi - kudzera mu impso, mkati mwa maola 7-9.

Kusiyanitsa ndalamazi kumangokhala mu mtengo wawo, koma sikofunika. Mapiritsi a 60 a Siofor okhala ndi Mlingo wa 500 mg amatenga ma ruble 240-250, ndi chiwerengero chofanana cha mapiritsi a Metformin okhala ndi mlingo womwewo kuchokera pa 100 mpaka 120 rubles. Mtengo wamankhwala umatengera dziko lomwe amapanga, ndondomeko yamitengo yamapulogalamu komanso dera logulitsa.

Momwe Siofor ndi Metformin amagwirira ntchito ndi kuchepa thupi komanso matenda ashuga

Kwa nthawi yoyamba pamsika waku Russia, mankhwalawa adawoneka mu 1957, ndipo poyambirira adangopangidwira odwala matenda ashuga, amagwiritsidwa ntchito ngati chida chothandizira kwa odwala omwe samatha kuyamwa kapena samamwa insulin konse. Munthawi yogwiritsidwa ntchito ndi mankhwala a metformin, zoyipa zimadziwika, koma osati zoyipa, koma zabwino - kuchepa kwa cholesterol motsutsana ndi maziko a maphunziro, kuchepa kwa chidwi. Zotsatira zoyipa izi zidathandizira odwala matenda ashuga kuchepetsa thupi, zomwe zidawathandiza pamoyo wawo wonse.

Ndizosatheka kuchepetsa thupi mothandizidwa ndi Siofor kapena Metformin, osagwiritsa ntchito njira ndi njira zothandizira. Ochita Zakudya Zakuthambo amalimbikitsa kuti azikhala ndi zakudya zochepa zama calorie komanso mafuta ochepera carb mukamakonda kumwa mankhwalawa, kusewera masewera, pokhapokha ngati izi zitha kuchepetsa thupi.

Kutengera malamulowa, ngakhale iwo omwe samatha kulemera mokwanira amatha bwino posintha thupi kuchokera pakufa, ndipo chakudya chikatha, amapezanso kulemera. Koma omwe samatsata malangizowo samangomeranso thupi, koma amakhala mafuta ochulukirapo atasiya kulandira chithandizo.

Contraindication kumwa mankhwala opangidwa ndi metformin

Mankhwalawa ndi amphamvu, ndipo kugwiritsa ntchito kwawo sikungatheke nthawi zonse. Mndandanda wa contraindication kuti agwiritse ntchito, akatswiri azachipatala ndi opanga akuphatikizapo:

  • Kulephera mu dongosolo la endocrine,
  • Matenda a mtima ndi magazi,
  • Impso kapena chiwindi,
  • Matenda oyambitsidwa ndi matenda,
  • Kulephera kwamtopola kwa etiology iliyonse,
  • Oncology kapena nthawi yogwira ntchito,
  • Mimba ndi kuyamwitsa,
  • Kuyambira ndili mwana ndi unyamata.

Onetsetsani kuti mukuwerenga: Momwe mungasankhire zonona zoyenera za anti-cellulite?

Kuphatikiza apo, munthawi ya chithandizo kapena kuchepa thupi mothandizidwa ndi Siofor, Metformin, muyenera kuyang'anira moyo wanu mosamala, kuwonetsa kwa zoyipa. Kupatuka kulikonse mwazonse ndizoyenera kusiya kumwa mankhwalawa ndikuwonana ndi dokotala yemwe adalimbikitsa chithandizo chamtunduwu kapena kuwonda. Kuphatikiza apo, chakudyacho chikuyenera kupangidwa ndi katswiri wazakudya, malinga ndi mawonekedwe a thupi la wodwalayo komanso kuchuluka kwake.

Momwe mungachepetse thupi ndi Siofor ndi Metformin

Njira zoyendetsera Siofor ndi Metformin sizitha milungu itatu (masiku 21). Kuphatikiza apo, mankhwalawa amachotsa mphamvu pakuchepetsa thupi. Musanayambe kumwa, muyenera kufunsa dokotala, kuti mupeze kuwunika kwa impso m'magazi, kudziwa momwe impso zimagwirira ntchito. Odwala ena atha kulangizidwa kuti akhale ndi kamimba m'mimba.

Malangizo ogwiritsira ntchito Siofor ndi Metformin pakuchepetsa thupi kuchokera kwa wopanga akuphatikizani izi:

  • Tsiku mlingo - zosaposa 1500 mg,
  • Mlingo umodzi - 500 mg,
  • 850 mg ndi yotheka m'mawa ndi madzulo,
  • Mankhwala amatengedwa musanadye,
  • Maphunzirowa ayenera kukhala awiri ndi gawo la miyezi 1.5-2.

Sizotheka kutalikitsa maphunzirowo pawekha - thupi limazolowera kuligwira kapena kusiya kuyilabadira, kapena kusintha komwe kumayambika, ndipo wodwalayo akuyamba kulemera mwachangu.

Pali malamulo ena angapo ochepetsa thupi mothandizidwa ndi Siofor kapena Metformin. Choyamba ndi kudya bwino. Kutsika kwama calorie ndi zakudya zamafuta m'zakudya, kuthamanga ndikuyamba kuthamanga. Ndi kumayambiriro kwa kumva kwanjala kwamphamvu, simungathe kulolera - mutha kukhala ndi chithunzithunzi cha mtedza kapena zipatso zouma. Chakudya chizikhala chopindika, osachepera 5 pa tsiku. Chakudya chotsiriza sichingachitike pasanadutse maola 4 nthawi yogona isanachitike, ndiye zakudya zochepa.

Kuchepetsa Mphamvu Zotsatira

Kuchepetsa thupi ndi Siofor kapena Metformin, kuchokera ku malo azaumoyo, kumawoneka ngati kotetezeka, koma izi sizitanthauza kuti chiopsezo cha zotsatira zoyipa sichitha. Izi sizichitika kawirikawiri, zizindikiro zosasangalatsa zimangowonekera kumayambiriro kwa nthawi yopeza ndalama ndikusowa lokha patatha masiku ochepa. Komabe, ndikofunikira kuwalabadira ndikuyang'ana kwa dokotala aliyense wa iwo. Ma foni odzutsa amatha

  • Zotupa pakhungu ndi matupi awo sagwirizana,
  • Mutu wocheperako paroxysmal
  • Kusokonezeka kwa m'mimba - Kusintha kwa kukoma, kulawa kwazitsulo, kutsekula m'mimba,
  • Anemia kapena lactic acidosis - wapezeka pokhapokha pounika,
  • Mitsempha yamkati ndi kuchuluka kwa mpweya,
  • Anachepetsa libido mwa amuna ndi akazi.

Onetsetsani kuti mukuwerenga: Malangizo ogwiritsira ntchito fluoxetine kuti muchepetse kunenepa kwambiri

Nthawi zambiri, iwo omwe amachepetsa thupi ayenera kutsutsidwa chifukwa cha zovuta, zomwe zimakhudzana ndi mankhwala a Siofor ndi Metformin, monga zakudya zamagulu onse, amanyalanyaza malangizo a akatswiri azachipatala, kapena kumwa mankhwala popanda malingaliro alionse. Njira iyi yochepetsera thupi ndiosavomerezeka, yowopsa thanzi, imatha kubweretsa imfa.

Lingaliro la akatswiri pazakuchepetsa thupi mothandizidwa ndi Metformin ndi Siofor

Ogwira ntchito zamagulu onse ndi akatswiri azakudya zamagetsi amatsimikizira kuti mankhwalawa amachepetsa thupi, koma amalimbikitsa kuyang'anira kuyanjana kwawo ndi magulu ena. Mwachitsanzo, kulera kwamlomo, mahomoni a chithokomiro komanso mankhwala osokoneza bongo a nicotinic acid, phenothiazine amachepetsa mphamvu ya Metformin ndi Siofor. Ndiye kuti, kuzitenga nthawi yomweyo sizingachite bwino kusiya kunenepa.

Mankhwala osagwirizana ndi mowa. Kwa nthawi yochepetsa thupi ndi chithandizo chawo, muyenera kusiya zakumwa zoledzeretsa, mosasamala mphamvu zawo, mitundu ya mankhwala malinga ndi izi komanso zakudya zina monga mowa. Kunyalanyaza lamuloli kumatha kubweretsa zotsatira zoyipitsitsa - kukulira kwa lactic acidosis, komwe nthawi zambiri kumatha kuphwanya.

Ndikosatheka komanso kosavomerezeka kuti muchepetse thupi nokha mothandizidwa ndi maphunziro a Siofor kapena Metformin, kugula mankhwala osafunsa katswiri ndikofunika kwambiri kwa iwo omwe akufuna kuchepetsa thupi popanda kuvulaza thanzi lawo.

Malangizo ogwiritsira ntchito "Metformina"

"Metformin" imakhala ndi zotumphukira zake. Izi zikutanthauza kuti sangathe kuyambitsa katemera wa pancreatic insulin. Mankhwalawa ali ndi zotulukapo zambiri, timayika mndandanda wazofunikira kwambiri:

• kutsitsa kumasulidwa kwa glycogen ku chiwindi,

• pali kuwonjezeka kwa kuzindikira kwa zotumphukira za insulin zolandilira, pomwe insulin kukana kumachepetsedwa,

• amathandiza kuchepetsa kuyamwa kwa glucose m'matumbo,

• zimakhudza magazi lipids, kumachulukitsa kuchuluka kwa lipoproteins (HDL), kutsika kolesterol kwathunthu,

• imathandizira kusuntha kwa glucose ku minofu kudzera mu nembanemba, ndiko kuti, kumakulitsa kukoka kwa glucose ndi minofu.

Metformin: zikuwonetsa

Mankhwala a gulu la Metformin sagwiranso ntchito ngati mankhwala antidiabetes. Mankhwalawa amagwiritsidwa ntchito:

• vuto la shuga kuloleza ndi kusala kwamphamvu kwa glucose,

• zochizira kunenepa, limodzi ndi insulin,

• mankhwalawa acopolycystic ovary (PCOS) m'magazi azachipatala,

• vuto la metabolic,

• ngati prophylactic motsutsana ndi ukalamba,

Contraindra mankhwala

Mankhwala "Metformin" savomerezeka:

  • pa mimba ndi kuyamwa,
  • opaleshoni yayikulu ndikuvulala,
  • chiwindi ntchito,
  • ana ochepera zaka 10
  • Zakudya zama calori zochepa, chifukwa izi zimapangitsa acidization kuti akhale ndi thupi, monga metabolic acidosis,
  • Kulephera kwaimpso (ndi misempha ya creatinine yopitilira 0.123 mmol / L mwa akazi ndi 0.132 mmol / L mwa amuna),
  • lactic acidosis m'mbuyomu.

Chothandiza kwambiri ndi chiyani "" Glucophage "kapena" Metformin "? Zokhudza - patsogolo.

Siofor mu shuga - kapangidwe ndi mawonekedwe a kumasulidwa

  • Dzina ladziko lonse lamankhwala: Metformin.
  • Kupanga: Kampani ya Berlin-Chemie, Germany.
  • Fomu yotulutsira: mapiritsi oyera pachikuto. 500, 850 kapena 1000 mg ya yogwira piritsi, m'matumba 30, 60, 120 ma PC. Mapiritsi 15 m'matumba, m'matumba a makatoni pamakhala matuza 2, 4, 8.
  • Mtengo: mtengo wapakati wa mapiritsi 60 Siofor 850 ndi 300 rubles.

  • 850 mg ya chinthu chogwira ntchito ndi metformin.
  • Mankhwala ena: 5 mg ya magnesium stearate, 30 mg ya hypromellose ndi 45 mg ya povidone.
  • Chipolopolocho chimakhala ndi 8 mg ya titanium dioxide, 2 mg ya macrogol 6000 ndi 10 mg ya hypromellose.

Ubwino:

  • kuchepa kwamtima
  • kuchuluka kwa kuwonda,
  • matenda a shuga.

Chuma:

  • kupezeka kwa mavuto
  • kusagwirizana ndi mankhwala ambiri,
  • Simungathe kumwa popanda kuyang'aniridwa ndi dokotala.

Mlingo ndi makonzedwe

Mapiritsiwo amameza osafuna kutafuna musanadye. Ndasambitsa pansi ndi 200 gr. madzi. Dokotala amakhazikitsa mlingo wa wodwala aliyense payekhapayekha.

Chiwembu chogwiritsira ntchito mapiritsi a Siofor 850: pafupifupi sabata limodzi, wodwalayo amamwa kapisozi kamodzi patsiku, ndiye kuti amachulukitsa zidutswa ziwiri.

Zolemba malire, mogwirizana ndi adotolo, mutha kutenga zidutswa zitatu patsiku, ndikuzigawa mu 2-3 Mlingo umodzi pakalikiliki.

Kugwirizana kwina ndi mankhwala ena ndi zinthu zina

Pali magulu awiri a mankhwala omwe amalumikizana ndi Siofor: ena amachulukitsa mphamvu ya hypoglycemic, pomwe ena amachepetsa.

Zoyambazo nthawi zambiri zimaperekedwa limodzi. Lachiwiri liyenera kumwedwa mosamala, kuyang'anira momwe zinthu ziliri.

Sinthani zotsatira za hypoglycemic:

  • insulin
  • Asipirin
  • beta blockers,
  • zoletsa zina
  • gawo la maantibayotiki.

Waletsa hypoglycemic zotsatira:

  • glucocorticoids,
  • mapiritsi olembera
  • mankhwala okodzetsa
  • phenothiazine ndi zotumphukira,
  • nicotinic acid ndi zotumphukira.

Komanso Ndikoletsedwa kuphatikiza zakumwa za Siofor ndi zakumwa zoledzeretsa. Chifukwa cha kuphatikiza uku, ntchito ya kapamba, chiwindi, ndi mtima zimasokonekera. Mwazi wamagazi ukuwonjezeka kwambiri ndikuchepa, zomwe ndizofunikira kwa odwala matenda ashuga.

Hypoglycemia, diabetesic coma, lactic acidosis, kugunda kwa mtima - izi ndi gawo laling'ono chabe lazotsatira zamowa. Ngakhale zotsatira zakupha zitha.

Chingakhale cholakwika kuganiza kuti popeza zakumwa zoledzeretsa siziloledwa, mutha kumamwa mowa wopanda mowa. Ayi, ayenera kusamaliridwa. Mlingo wocheperako wa mowa udakalipo.

Chifukwa chake, ngakhale munthu atakhulupirira kuti ali wokhazikika, mawonekedwe osasintha amthupi amatha kuyamba m'magazi ngakhale atatha mabotolo awiri. Ndikwabwino kuyembekezera kutha kwa mankhwalawo osayika moyo wanu ndi thanzi lanu.

Pali mankhwala ambiri omwe ali ofanana ndikuchita Siofor ndipo ali ndi gawo limodzi lofanana.

Izi ndizotchuka kwambiri:

  • Glucophage, yopangidwa ku France ndi Merck, mtengo kuchokera kuma ruble 140.,
  • Metfogamma, yopangidwa ku Germany ndi Vörwag Pharm, yotsika mtengo kuchokera ma ruble 330.,
  • Gliformin imapangidwa ku Russia ndi kampani ya Akrikhin, mtengo wake umachokera ku ruble 140.,
  • Formetin imapangidwa ku Russia ndi kampani ya Pharmstandard-Leksredstva, mtengo wake umachokera ku ruble 100.,
  • Metformin-Richter, imapangidwa ku Russia ndi kampani ya George Richter, mtengo wake umachokera ku ruble 200.

Zonsezi ndizokhazikitsidwa ndi metformin, yosiyana pokhapokha pazopanga ndi zipolopolo.

Kuchotsa mankhwala

Ngati Siofor adalembedwa kuti achulukitse kunenepa kwambiri, nthawi yoyendetsera nthawi zambiri siyidutsa miyezi itatu. Kuchepetsa Mlingo kumachitika bwino, moyang'aniridwa ndi dokotala.

Ngati mankhwalawa amupatsa mankhwala a matenda a shuga a 2, ndiye kuti amatha kuumwa kwa moyo wonse. Kapena mpaka gawo la matendawa lisinthe, mankhwalawo amaleka kuchita bwino.

Kuthekera kotheka

Siofor amaletsedwa kumwa ndi:

  • Hypersensitivity
  • kusiyidwa kwa katemera wa insulin mu mtundu 2 wa shuga,
  • kulephera kwa mtima
  • ketoacidosis,
  • precoma chikomokere
  • matenda osiyanasiyana
  • matenda a impso ndi chiwindi.
  • kuvulala, ntchito,
  • mtundu 1 shuga
  • lactic acidosis.

Zotsatira zoyipa

Poyamba, thupi limagwirizana ndi mankhwalawa, chifukwa cha izi, kwanthawi yayitali, kupweteka kwam'mimba, kusanza, kutsegula m'mimba, mseru. Nthawi zambiri, zizindikirozi zimazimiririka zokha atasinthira mankhwala.

Ndikofunika kupita kwa dokotala ngati zotsatirazi zizindikiridwa ngati mavuto: matupi awo sagwirizana, magazi m'thupi, lactic acidosis.

Bongo

Pakakhala kuchuluka kwa mankhwala osokoneza bongo, lactic acidosis ingachitike.Zizindikiro zake: nseru, kusanza, kutopa, kulephera kupuma, kugunda kwa mtima, kugona. Pazizindikiro zoyambirira za matendawa, amafunika kusiya yomweyo kutenga Siofor ndikugoneka wodwala.

Siofor kapena Glyukofazh: ndibwino ndi shuga?

Glucophage ndi woyamba wokhala ndi chidziwitso chokhala ndi metformin, ndipo Siofor ndi imodzi mwazofanana kwambiri.

Mankhwala onsewa amagwiritsidwa ntchito kuti wodwalayo azichitira mtundu wachiwiri wa matenda ashuga. Zizindikiro ndi zoyipa za mankhwalawa ndizofanana.

Glucophage sichikhudzana ndi m'mimba kwambiri, motero imakonda kupatsidwa matenda a prediabetes. Siofor siosokoneza, ndipo mukatenga Glucofage, palibe kulumpha mumagazi a glucose.

Zachidziwikire, ngakhale kuti wodwalayo amakonda zomwe wachita, ndi dokotala yekha yemwe angadziwe kuti ndi mankhwala ati omwe ali oyenerera bwino pazolinga zomwe akufuna. Sichosavomerezeka kusankha pakati pa mankhwala omwe ali ndi mphamvu kwambiri mthupi popanda chidziwitso chapadera. Chifukwa chake, ngakhale ataphunzira zofunikira zonse za mankhwala achidwi, lingaliro lomaliza liyenera kupangidwa atakambirana ndi katswiri.

Siofor ndi Metformin, pali kusiyana kotani?

Malinga ndi endocrinologists, kuchuluka kwa anthu odwala matenda ashuga m'masiku ano kukuchulukirachulukira. Chithandizo cha matendawa ndi cha moyo wonse ndipo ndikofunikira kusankha njira yabwino komanso yothandiza. Metformin ndi Siofor ndi amodzi a mankhwala osokoneza bongo, mankhwala akale kwambiri komanso atsogoleri osagwirizana ndi omwe amathandizira matenda a shuga. Ndi mankhwala ati oti musankhe? Kapena ndi zomwe zomwezo pansi pa mayina osiyanasiyana?

Zotsatira zochizira za mankhwalawa pakhungu zimatsimikiziridwa ndi gawo lawo lalikulu - metformin. Ku Siofor, ili mu mawonekedwe a metformin hydrochloride, omwe sasintha malo ake.

Njira yamachitidwe

Kuchita kwa metformin kumakhazikitsidwa mwachindunji pama receptors (chidwi mitsempha mathero) a insulin mu minofu, chifukwa chomwe chiwopsezo chawo chomaliza chikukula. Ndi chifukwa ichi chomwe chimalepheretsa njira yayikulu kuti pakhale mtundu wa 2 matenda a shuga - insulin kukana (insulin immune insulin). Komabe, kutsitsa kwa shuga kumapangidwanso ndikuwonjezera kugwiritsidwa ntchito kwa glucose ndi minofu ya thupi ndikupondereza kupangika kwa glucose ndi maselo a chiwindi.

Mankhwala okhala ndi metformin amaperekedwa kwa anthu odwala matenda ashuga a 2.

Ndizofunikira kudziwa kuti mankhwalawa amaperekedwa makamaka kwa anthu omwe ali ndi kulemera kwakukulu chifukwa chakuti mukamagwiritsa ntchito mapiritsi a metformin, chimodzi mwazofunikira zachipatala ndi kuchepa moyenera.

Contraindication

Mankhwala sayenera kuperekedwa:

  • Thupi lawo siligwirizana,
  • Matenda a impso,
  • Kuthetsa madzi m'thupi
  • Matenda opatsirana
  • Kuchepa kwa chiwindi ntchito,
  • Mowa, mkhalidwe woledzera,
  • Lactic acidosis (lactic acid chikomokere),
  • Mimba

Tulutsani mafomu ndi mtengo

  • Mapiritsi a Zentiva, omwe amaphatikizidwa ndi 500 mg 60 pcs. - 133 p.
  • Mapiritsi a Teva, omwe amaphatikizidwa ndi filimu ya 1000 mg 60 pcs. - 304 p.,
  • Mapiritsi okhala ndi utoto wa Canon:
    • 500 mg 60 ma PC. - 165 p.,
    • 850 mg 30 ma PC. - 113 p.,
    • 850 mg 60 ma PC. - 206 p.,
    • 1000 mg 30 ma PC. - 137 p.,
    • 1000 mg 60 ma PC. - 265 p.,
  • Metformin Long Canon Amadalira Mapale Otulutsidwa:
    • 500 mg 30 ma PC. - 175 p.,
    • 750 mg 30 ma PC. - 201 p.,
    • 750 mg 60 ma PC. - 381 p.,
    • 1000 mg 60 ma PC. - 511 p.

  • Siofor 500 mapiritsi 500 mg, 60 ma PC. - 250 p.,
  • mapiritsi a 850 mg, 60 ma PC. - 299 p.,
  • mapiritsi 1000 mg, 60 ma PC. - 427 tsa.

Siofor kapena Metformin, ndibwino bwanji kwa matenda ashuga?

Kusanthula mitengo ya mankhwalawa, zokonda zimaperekedwa momveka bwino kwa Metformin. Pophatikizika, amasiyana pazinthu zina zowonjezera zomwe sizikuwakhudza mchitidwewo, ndipo kugwiranso ntchito kwawo ndikofanana, popeza ali ndi chinthu chofanana, ndiye kuti mankhwalawa akhale kusankha koyenera.

Anthu omwe ali ndi matenda otchedwa 2 shuga ayenera kumwa mankhwala amoyo wawo wonse. Kuchita bwino kwa othandizira a pharmacological omwe ali ndi metformin kwatsimikiziridwa ndi mayeso ambiri ndipo sasintha ngakhale atagulitsidwa pansi pa dzina la Metformin, Glucofage kapena Siofor. Chifukwa chake, posankha othandizira a pharmacological, muyenera kuwongoleredwa ndi mtengo, komwe Metformin ili ndi mawonekedwe apamwamba kuposa Siofor ndipo ndiye yankho labwino kwambiri.

Kodi Siofor amagwira ntchito bwanji?

Mankhwala a hypoglycemic, omwe ali m'gulu la pharmacological gulu la biguanides. Chofunikira chachikulu cha mankhwalawa ndi antidiabetesic, womwe umachepetsa kuchepa kwa mayamwidwe am'mimba a glucose. Mankhwala amalimbikitsa kukhudzika kwa zotumphukira zimakhala kuti apangidwe ndi insulin, amachepetsa glucogenesis.

Mukamamwa mankhwalawa, kugwiritsa ntchito shuga pogwiritsa ntchito minofu ya minyewa kumachitika. Mankhwala zimakhudza kagayidwe kachakudya matenda a lipid, kupereka tanthauzo la hypoglycemic. Siofor amathandizira kuchepetsa kuchuluka kwa shuga m'magazi, omwe amathandizira kuchepetsa thupi mwa anthu omwe amapezeka ndi matenda a shuga. Kuchepetsa thupi mwa anthu odwala matenda ashuga pogwiritsa ntchito Siofor kumatheka chifukwa chakuti mankhwalawa amachepetsa njala, amakhala ndi chidwi chofuna kudya ndipo amathandizira kagayidwe kachakudya.

Katundu wa Metformin

Limagwirira zake mankhwala:

  1. Anachepetsa ndende ya glycogen m'chiwindi, chifukwa chomwe pakuwonjezeka kwa shuga.
  2. Kuchepetsa kuchepa kwa shuga kuchokera ku lipids ndi mapuloteni.
  3. Kuseweretsa dongosolo la shuga maselo chiwindi.
  4. Kutsegula kwa minyewa mayamwidwe mkulu shuga.
  5. Kuchepetsa njira ya mayamwidwe ndi matumbo mucosa wa glucose.
  6. Kuwonjezeka kwa ndende ya lipid pamene kumachepetsa kuchuluka kwa cholesterol yoyipa m'magazi.

Mankhwalawa amabwezeretsa kupanga insulin ndipo amathandizanso kuchepetsa matenda, chifukwa omwe kumwa mankhwalawa sikuyenda ndi chiopsezo monga chitukuko cha hypoglycemia. Metformin imalepheretsa chizindikiro cha kukana kwa thupi ndi ma insulin, yomwe imapangitsa chidwi cha maselo.

Metformin imakhala ndi vuto losautsa la kudya, lomwe limathandizira kuchepetsa thupi.

Mankhwalawa ali ndi nkhawa yokhudza kukondweretsedwa, komwe kumapangitsa kuti thupi lizolowereka. Pamaso pa ochepa matenda oopsa, Metformin imachepetsa kuthamanga kwa magazi.

Kuyerekeza kwa Siofor ndi Metformin

Siofor ndi analogue ya Metformin, yomwe imakhala ndimikhalidwe yambiri nayo. Koma pali zosiyana, zomwe zimakupatsani mwayi wosankha imodzi mwazamankhwala.

Gawo lomwe limagwiritsa ntchito mankhwalawa ndi metformin. Njira yayikulu yogwiritsira ntchito thupi ndikuwonjezera chitetezo cha mthupi, kukonza njira za kagayidwe kachakudya, kuwongolera shuga. Chifukwa cha izi, odwala matenda ashuga sayenera kubayira insulin nthawi zambiri. Kuthamanga njira za metabolic kumathandizira kuchepetsa kunenepa kwa anthu odwala matenda ashuga.

Chifukwa kapangidwe ndi kapangidwe kake ka mankhwalawa ndi chimodzimodzi, zomwe zikugwiritsidwa ntchito ndizofanana:

  1. Type 2 shuga.
  2. Prediabetes - chiwopsezo chachikulu chokhala ndi matenda a shuga pamaso pa zinthu zomwe zimapangitsa.
  3. Chiwopsezo chachikulu cha thrombosis ku matenda ashuga.
  4. Gestational mtundu wa matenda ashuga (mwa amayi pamene muli ndi pakati).
  5. Kusokonezeka kwa kulolera kwa shuga.
  6. Glycemia yemwe amadzuka m'mawa.
  7. Kukana insulini, limodzi ndi kuwonjezeka kwa thupi, pomwe mafuta onunkhira amasonkhana makamaka pamimba.
  8. Polycystic ovary mwa akazi.
  9. Metabolic syndrome kumayambiriro kwa chitukuko.

Mankhwala onsewa amatha kutengedwa ngati prophylactic kuti muchepetse ukalamba. Metformin imachepetsa kuthekera kwa matenda a Alzheimer's mwa kukonza magwiridwe antchito aubongo ndi malingaliro am'mutu.

Ngati tithana ndi kufananizira kwa zotsutsana ndi kugwiritsa ntchito Metformin ndi Siofor, zimapezeka kuti ndizofanana:

  1. Mtundu woyamba wa shuga.
  2. Kuyimitsidwa kwathunthu kwa ntchito yopanga insulin.
  3. Zovuta za shuga.
  4. Kukula kwa kulephera kwa mtima.
  5. Kulephera kwa impso.
  6. Matenda am'mapapo.
  7. Kuchepa kwa chiwindi, komwe kumachitika ndi chithunzi.
  8. Matenda a mtima.
  9. Opaleshoni yoyeserera.
  10. Kuvulala kwambiri.
  11. Matenda opatsirana.
  12. Anemia
  13. Mowa
  14. Zovuta pantchito ya impso.

Sizoletsedwa kumwa mankhwala kwa odwala omwe amadya okhazikika ndi zopatsa mphamvu zoperewera mu shuga - osapitirira 1000 kcal patsiku.

Mosamala kwambiri, mankhwalawa amatengedwa ndi glucocorticosteroids, omwe amachepetsa kulolera kwa glucose.

Mankhwala onsewa nthawi zambiri amaloledwa ndi thupi, kuopsa kwa zovuta zake ndizochepa kwambiri (pakalibe zotsutsana ndi kugwiritsa ntchito mankhwala moyenera). Zotsatira zoyipa: kupweteka m'misempha, mseru, kutuphuka, kufooka, kusanza, kusokonezeka.

Mapangidwe ndi mawonekedwe ake amasulidwe ali ofanana - mapiritsi.

Siofor ali ndi contraindication ngati munthu tsankho la othandizira zigawo.

Kodi pali kusiyana kotani?

Kusiyana pakati pa mankhwalawa ndikosathandiza, ndipo kusiyana komwe kulipo sikukhudza pharmacology ndi kuchuluka kwa magwiridwe antchito:

  1. Dziko lomwe adachokera: Siofor - mankhwala omwe amapangidwa ku Russia, Metformin amapangidwa ku Hungary.
  2. Siofor ali ndi contraindication monga kusalolera payekha pazinthu zothandizira, chifukwa chake magwiritsidwe ake amagwiritsidwa ntchito mwanjira yochepa poyerekeza ndi mankhwala oyambira.
  3. Chiwembu chomwa mankhwala ndiosiyana, chifukwa Mapiritsi amapezeka mosiyanasiyana. Ubwino wa Metformin ndikuti mumangofunika kumwa kamodzi patsiku, komanso Siofor pafupipafupi. Chifukwa chakuti Metformin imayenera kutengedwa nthawi zambiri, kuchuluka kwa zoyipa zam'mimba zimachepetsedwa, kufalikira kwa ziwopsezo zam'mbali za ziwalo zam'mimba.

Kuchepetsa thupi

Siofor ndiyotchuka kwambiri pakuchepetsa thupi mu shuga. Mankhwalawa samangoleketsa chilakolako chofuna kudya, komanso amachepetsa kulakalaka kwa maswiti mwa munthu, kudzutsa, m'malo mwake, kufunitsitsa kudya masamba ndi zipatso. Ubwino wogwiritsa ntchito mankhwalawa kuti muchepetse kunenepa ndikuti zotsatira zake zimachitika mwachangu, palibe chifukwa chotsatira zakudya zopindulitsa ndikuchita zolimbitsa thupi, pomwe kulemera kwa thupi kumachepa msanga.

Kumwa mankhwalawa kumathandizira kuti musinthe zakudya zoyenera komanso kuti muzilamulira nthawi zonse chilakolako chofuna kudya, chomwe ndicho njira yabwino kwambiri yopewera kulemera kwabwino kwa anthu odwala matenda ashuga. Mukamamwa Metformin, zotsatira zake mu kuchepa thupi zimatheka pokhapokha ngati munthu atsatira zakudya, kuchepetsa kuchuluka kwa zopatsa mphamvu ndikuchita masewera nthawi zonse.

Ndemanga za madotolo za Siofor ndi Metformin

Svetlana, wazaka 51, wazachipatala, Syzran: “Mankhwalawa ndi abwino, amasinthana wina ndi mnzake, omwe amathandiza kuchepetsa kuchuluka kwa shuga m'magazi ndipo amathandizira kuchepetsa thupi. Kuti muchite bwino, ndikulimbikitsidwa kuphatikiza kudya kwawo koyambirira koyambira, ndipo zotsatira zake zikaoneka kale, mutha kugwiritsa ntchito imodzi mwazomwezi. Ngati cholinga chake ndi kuchepetsa thupi, Siofor amapatsidwa mwayi. ”

Nikolai, wazaka 46, wodziwika bwino pa zaumoyo, a Pskov: "Ziribe kanthu momwe wopangayo akutsimikizira kuti kutenga Siofor ndi Metformin kumathandizira kuthetsa mofulumira kwambiri odwala matenda ashuga, zotsatira zabwino komanso zosatha zitha kuchitika pokhapokha ngati zovuta zikuwoneka - mokhazikika masewera olimbitsa thupi komanso zakudya. Ndikulimbikitsidwa kuphatikizidwa kwa mankhwalawa, ndipo monotherapy imapindulitsa omwe amalemera mozungulira, koma pamakhala ngozi zowonjezera. ”

Ndemanga za Odwala

Anna, wazaka 46, Kemerovo: “Ndimakhutira ndi Siofor, chifukwa Kuchepetsa thupi kumachepetsedwa mwachangu, osafunikira kudziletsa pakudya komanso kuzunzidwa ndi masewera olimbitsa thupi. Kutukuka pambuyo potenga ndi thanzi lathunthu. Mankhwalawa ndi abwino, amathandizira kukhala ndi moyo wokwanira ngakhale kwa anthu odwala matenda ashuga. "

Kirill, wazaka 53, ku Moscow: “Ndimagwiritsidwe ntchito okhawo omwe analandila mankhwala onsewo. Ndi kuphatikiza uku, kulemera kunayamba kuchoka, ndipo zinthu zinasintha. Kuyesedwa kwa magazi, komwe ndimapereka pafupipafupi, kumawonetsa zotsatira zabwino. Kuphatikiza apo, adayamba kuchepa jakisoni. Chilakolako chake chinali chosinthika, chisanachitike popanda maswiti, ine ndimafuna makeke, keke, kapena bun. Tsopano kulakalaka maswiti kunazimiririka, boma linayamba kuchita bwino. ”

Irina, wazaka 62, Samara: “Siofor adakumana ndi mavuto. Ngakhale poyamba zinathandiza bwino, ndinayamba kuchepa thupi, koma chifukwa cha kusanza pafupipafupi komanso kupweteka m'mimba, sindinathe kupitiliranso. Dotolo adayambitsa Metformin. Ndikutenga pamlingo, palibe zovuta, kulemera kumachoka, koma osati mwachangu ndi Siofor. "

Zisonyezo zakugwiritsa ntchito mankhwala?

Chimodzi mwazinthu zabwino zomwe zimagwira ntchito ndichakuti sizipangitsa kuti shuga achepetse kwambiri. Izi ndichifukwa choti Metformin sichinthu chosangalatsa chobisika la insulin.

Zizindikiro zazikulu zakugwiritsa ntchito mankhwalawa potengera metformin ndi:

  • kukhalapo kwa metabolic syndrome kapena mawonekedwe a insulin kukana,
  • Monga lamulo, pamaso pa insulin kukana, kunenepa kwambiri kukukulira kwa odwala, chifukwa cha zotsatira za Metformin komanso kuwunika kwapadera kwa zakudya zopatsa thanzi, kuchepa thupi pang'onopang'ono kumatheka.
  • ngati pali kuphwanya kwa kulekerera kwa glucose,
  • scleropolicystosis wa thumba losunga mazira limayamba,
  • insulin yodalira matenda a shuga monga monotherapy kapena gawo limodzi la chithandizo chokwaniraꓼ
  • mawonekedwe a shuga omwe amadalira insulin molumikizana ndi jakisoni wa insulin.

Poyerekeza mapiritsi okhala ndi metformin ndi mankhwala ena ochepetsa shuga, zabwino zazikulu za metformin ziyenera kufotokozeredwa:

  1. Zake pakuchepetsa kukana kwa insulin wodwala. Metformin hydrochloride imatha kuwonjezera kukhudzika kwa maselo ndi minyewa ku glucose wopangidwa ndi kapamba.
  2. Kutenga mankhwalawo kumayendetsedwa ndi mayamwidwe ake ndi ziwalo zam'mimba. Chifukwa chake, kutsika kwa glucose adsorption kwamatumbo kumatheka
  3. Imathandizira kuletsa shuga wa chiwindi, zomwe zimatchedwa kuperekera shuga.
  4. Zimathandizira kuchepetsa kulakalaka, komwe ndikofunikira kwambiri kwa odwala matenda ashuga onenepa kwambiri.
  5. Zimakhala ndi phindu pa cholesterol, kuchepetsa zoyipa ndikuwonjeza zabwino.

Ubwino wamankhwala ophatikizika ndi metformin ndikuwathandizanso kuti asasokoneze njira ya mafuta peroxidation.

Zotsatira zoyipa komanso kuvulaza komwe kungachitike ndi metformin

Ngakhale kuchuluka kwa zinthu zopangidwa ndi metformin hydrochloride, kugwiritsidwa ntchito molakwika kumatha kuvulaza thupi.

Ichi ndichifukwa chake azimayi athanzi omwe akufuna njira zosavuta zochepetsera thupi ayenera kuganizira za kumwa mankhwalawa?

Piritsi imagwiritsidwanso ntchito monga mankhwala ochepetsa thupi.

Zoyipa zazikulu zomwe zimachitika chifukwa chotenga metformin hydrochloride ndi monga:

  • kupezeka kwa mavuto osiyanasiyana ndi m'mimba, makamaka zizindikiro monga mseru komanso kusanza, kutsegula m'mimba, kutulutsa ndi m'mimba,
  • mankhwalawa amawonjezera chiopsezo cha matenda a anorexia,
  • Kusintha kwakumva kwa zotheka ndikotheka, komwe kumawonekera pakapangidwe kazitsulo kosasangalatsa kazitsulo kamkamwa.
  • kutsika kwa kuchuluka kwa vitamini B, yemwe amakukakamizani kuti mupangire mankhwala osokoneza bongo,
  • kuwonetsa magazi m'thupi,
  • ndi bongo wambiri, pamakhala chiwopsezo cha hypoglycemia,
  • mavuto ndi khungu, ngati pali kuwonetseredwa kwa thupi lawo siligwirizana.

Pankhaniyi, Metformin, Siofor kapena mitundu ina yazinthu zopanga zimayambitsa kukula kwa lactic acidosis ngati kuchuluka kwakukulu kwa kuchuluka kwake kumachitika m'thupi. Kuwonetsera koteroko nthawi zambiri kumawonekera ndi kusayenda bwino kwa impso.

Dziwani kuti ndizoletsedwa kumwa mankhwala akazindikira zinthu izi:

  1. Acidosis mu mitundu kapena pachimake.
  2. Atsikana pa nthawi yobereka mwana kapena yoyamwitsa.
  3. Odwala a zaka zopuma pantchito, makamaka atatha zaka makumi asanu ndi limodzi ndi zisanu.
  4. Kusagwirizana ndi gawo la mankhwalawa, chifukwa kuyambitsidwa kwa ziwengo zovuta kumatheka.
  5. Ngati wodwala wapezeka ndi vuto la mtima.
  6. Ndi infernation yam'mbuyo yam'mbuyomu.
  7. Ngati hypoxia imachitika.
  8. Pakusowa kwamadzi, komwe kumayambanso chifukwa cha matenda osiyanasiyana opatsirana.
  9. Kugwira ntchito kwambiri.
  10. Kulephera kwa chiwindi.

Kuphatikiza apo, wothandizira wa hypoglycemic samasokoneza mucous.

Sizoletsedwa kumwa mankhwala pamaso pa matenda am'mimba (zilonda zam'mimba).

Kodi pali kusiyana pakati pa mankhwala?

Kodi pali kusiyana kotani pakati pa Metformin, Glyformin, mankhwala a Siofor a shuga? Kodi mankhwala amodzi ndi osiyana ndi ena? Nthawi zambiri odwala amakakamizidwa kusankha: Glucophage kapena Siofor, Glucofage kapena Metformin, Siofor kapena Metformin ndi zina zotero. Tiyenera kudziwa kuti kusiyana kwakukulu kumangokhala mu dzina la mankhwala.

Monga tafotokozera pamwambapa, chinthu chomwe ndi Metformin hydrochloride chimagwiritsidwa ntchito ngati chofunikira chachikulu pazida zamankhwala zotere. Chifukwa chake, zotsatira za kumwa mankhwalawa ziyenera kukhala zofanana (mukamagwiritsa ntchito Mlingo womwewo). Mu

Kusiyanaku kungakhale mu zigawo zowonjezera, zomwe zimakhalanso gawo la mapiritsi. Izi ndi zokopa zosiyanasiyana. Mukamagula, muyenera kuyang'anira zomwe ali nazo - ocheperako kuchuluka kwa zowonjezera, ndizabwino. Kuphatikiza apo, dokotala yemwe akupezekapo angalimbikitse kumwa mankhwala ena ake, kutengera mtundu wa wodwalayo.

Mwachitsanzo, Siofor 500 ili ndi mawu awa:

  • gawo lalikulu ndi metformin hydrochloride,
  • zotuluka - hypromellose, povidone, magnesium stearate, titanium dioxide, macrogol 6000.

Mankhwala Glucophage (kapena Glucophage nthawi yayitali) m'mapangidwe ake ali ndi zinthu izi:

  • yogwira mankhwala - metformin hydrochloride,
  • monga zina zowonjezera, hypromellose, povidone, magnesium stearate imagwiritsidwa ntchito.

Chifukwa chake, ngati pali kusankha pakati pa Siofor kapena Glucophage pa matenda a shuga a 2, kusankha kwachiwiri, komwe kuli ndizinthu zochepa, kumakhala koyenera kuti pakhale mankhwala.

Posankha mankhwala, munthu amayeneranso kuganizira zinthu monga mtengo wa mankhwalawo. Nthawi zambiri, ma analogi achilendo amakhala ndi mtengo wokwirirapo kuposa mankhwala akwathu. Monga momwe masewera amasonyezera, momwe amalandirira zilinso zosiyana. Mpaka pano, mapiritsi a Metformin ndi njira yabwino kwambiri yowerengera ndalama pakati pa zida zamankhwala zomwe zimakhala ndi metformin hydrochloride.

Ngati wodwala matenda ashuga akukayika kena kake ndipo sakudziwa ngati zingatheke kusintha wina ndi mnzake, muyenera kufunsa dokotala. Katswiri wazachipatala azitha kufotokoza kusiyana pakati pa mankhwala angapo a analogue, ndikufotokozeranso chifukwa chake mankhwalawa ndi oyenera kwa munthu wina.

Glucophage kapena Siofor - monga momwe malangizo akugwiritsira ntchito?

Mankhwala a Glucophage ndi Siofor ndi ma analogu apangidwe.

Chifukwa chake, momwe amagwiritsidwira ntchito akuyenera kuwonetseredwa chimodzimodzi.

Nthawi zina dokotala yemwe amapezekapo amapatsa wodwala mndandanda wa mapiritsi a analog ndi mwayi wogula imodzi ya iwo.

Zikatero, zinthu zotsatirazi ziyenera kuganiziridwa:

  1. Mankhwalawa ayenera kukhala otsika mtengo.
  2. Ngati ndi kotheka, khalani ndi zowonjezera zochepa.
  3. Kusiyanako kungakhale mu mndandanda wa contraindication ndi zotsatira zoyipa.

Poyerekeza, ndibwino kugwiritsa ntchito malangizo omwe amagwiritsidwa ntchito pakugwiritsa ntchito mankhwalawa, ndikusankha mankhwala omwe ali oyenera.

Metformin, Glucofage 850 imasiyana ndi Siofor pamakhalidwe awa:

  1. Glucophage 850 ili ndi zowonjezereka zingapo zoyipa. Ndiye chifukwa chake, owerenga ena amawonetsa kuti mankhwalawo sanawakomere.
  2. Fananizi akuwonetsa kukhalapo kwa zochulukitsa zochulukirapo ndi milandu pamene sizingatheke kutenga Siofor (mosiyana ndi Glucofage ndi Metformin).
  3. Mtengo wa Glucofage ndiwokwera pang'ono, pankhaniyi Siofor ndiyabwino.

Dziwani kuti ngati katswiri wazachipatala amathandizira kuyang'anira mapiritsi a nthawi yayitali, mtengo wa mankhwalawo umakwera kwambiri. Mwachitsanzo, Glucofage yayitali idzawononga pafupifupi ma ruble mazana atatu ndi mulingo wochepera.

Lingaliro la akatswiri azachipatala ndilakuti mankhwalawa amachepetsa shuga yayikulu magazi, amachepetsa chiwonetsero cha insulin kukana mahomoni ndikuthandizira kuphatikiza cholesterol yabwino. Mapiritsi amatha kusinthidwa, chifukwa chomwe wodwalayo angasankhe njira yabwino kwambiri kwa iye.

Zomwe othandizira a hypoglycemic ndizothandiza kwambiri zikufotokozedwa mu kanema munkhaniyi.

Njira yogwiritsira ntchito "Metformin"

Kutengera ndi zomwe zikuwonetsedwa, Metformin imayikidwa muyezo.

Amapereka mankhwala atangoyamba kumene za matenda ashuga, popeza chithandizo chiyenera kuperekedwa panthawi yake, izi ndizopambana 50%.

Mpaka pano, pali mitundu iwiri yokha ya mankhwala omwe amasiyanasiyana nthawi yayitali: oblong ndi mawonekedwe apiritsi. Mtundu wa mankhwala "Metformin" wopangidwa mwanjira ya 500, 850 ndi 1000 mg, ndikuwamasulidwa kwa nthawi yayitali mu 750 ndi 500 mg.

Koma pali mankhwala osakaniza omwe Metformin ndi 400 mg. Mapiritsi amatengedwa pokhapokha mukadye kapena kangapo patsiku. Pakupita milungu ingapo, mlingo wa mankhwalawa ukhoza kuchuluka, koma zimatengera kuchuluka kwa shuga. Mlingo waukulu patsiku ndi 2000 mg.

Mukamamwa mankhwala musanadye, zotsatira za Metformin zimachepetsedwa. Kumbukirani kuti ngati muchepetsa zakudya zamafuta, ndiye kuti kugwiritsa ntchito bwino mankhwala kumakhala kochepa. Chifukwa chake, zakudya pakudya zikavomerezedwa ziyenera kutsatira mfundo zonse zomwe zimatsatiridwa chifukwa cha matenda ashuga komanso kunenepa kwambiri.

"Metformin" imatha kuphatikizidwa ndi mankhwala ena omwe amachepetsa shuga ya magazi, komanso ndi insulin chifukwa cha mphamvu yayikulu yotsirizira.

Musaiwale za kudziwa kuchuluka kwa shuga pamimba yopanda kanthu (musanadye chakudya cham'mawa) pogwiritsa ntchito glucometer, komanso musanadye komanso nthawi yogona. Mukuyenera kukumbukira kupuma pakati pa chakudya, chomwe sichenera kupitilira maola anayi kapena asanu.

Kutalika Kovomerezeka

Kutalika kwa mankhwalawa kumatengera zolinga ndi zofunikira zake pofotokoza Metformin. Ndi matenda a shuga, kagayidwe kazakudya kameneka kamasokonekera, kenako kuyikidwa kwa mankhwalawa kuyenera kuchitika kwa nthawi yayitali. Komabe, lingaliro la kuletsa mankhwalawo liyenera kutengedwa molumikizana ndi adokotala.

Kodi ndibwino kuti muchepetse kunenepa?

Kusangalatsa kwa Metformin, komwe ndikofunikira kwa odwala matenda ashuga, ndikuchepa kwa thupi, ndichifukwa chake kukonzekera kwamachiritso a mankhwalawa amalembedwa makamaka kwa anthu onenepa kwambiri. Mitengo ya Siofor ndiyokwera pafupifupi kawiri, ngakhale kuli kwofanana pazomwezi, kotero Metformin ikhala kusankha komwe ikusankhidwa.

Mlingo

Akuluakulu amatchulidwa ngati monotherapy komanso kuphatikiza mankhwala ndi mankhwala ena a hypoglycemic gulu pakamwa.

Nthawi zambiri, mlingo woyambirira ndi 500 mg kapena 850 mg 2-3 nthawi / tsiku, uyenera kumwedwa nthawi yakudya kapena itatha. Mwinanso kuwonjezeka kwa mlingo, koma zimatengera kuchuluka kwa shuga m'magazi.

Kwa mankhwala a Glucofage, malangizo ogwiritsira ntchito amatsimikizira kuti mulingo wolimbikitsira wamphamvu ndi 1500-2000 mg / tsiku. Kuti muchepetse mavuto kuchokera m'matumbo am'mimba, Mlingo wa tsiku ndi tsiku umatengedwa pawiri kapena katatu. Mlingo wapamwamba kwambiri patsiku ndi 3000 mg / tsiku, womwe umayenera kugawidwa mu 3 waukulu.

Mukachulukitsa mlingo pang'onopang'ono, ndiye kuti kulolera m'mimba kumakhala bwino.

Odwala omwe adalandira metformin mu Mlingo wa 2000-3000 mg wa tsiku ndi tsiku amatha kusamutsidwa ku glucofage 1000 mg. Mlingo wapamwamba kwambiri patsiku, malinga ndi malingaliro a akatswiri, ayenera kukhala 3000 mg ndipo ayenera kugawidwa mu 3 waukulu.

Ana ndi achinyamata

Mwa ana opitirira zaka 10, mankhwalawa "Glucofage" amawonetsedwa mu mawonekedwe a monotherapy ndipo, kuphatikiza ndi insulin. Mlingo woyamba wa tsiku lililonse ndi 500 mg kapena 850 mg 1 nthawi, yomwe imatengedwa nthawi ya chakudya kapena itatha. Pambuyo masiku 10-15, mlingo umasinthidwa malinga ndi kuchuluka kwa shuga m'magazi. Mlingo waukulu kwambiri watsiku ndi tsiku ndi 2000 mg, womwe umagawidwa ma Mlingo angapo.

Zotsatira zoyipa

Zina mwazotsatira zoyipa:

- lactic acidosis, pogwiritsa ntchito nthawi yayitali, akhoza kuchepetsedwa kwa vitamini B12,

- Kuphwanya kukoma kumatha kuchitika,

- kutsegula m'mimba, kusanza, nseru, kupweteka m'mimba, kuchepa kudya - Nthawi zambiri zizindikirozi zimachitika munthawi yoyamba ya mankhwalawa ndipo zimachitika nthawi yomweyo,

- erythema, mawonekedwe a kuyabwa, zotupa,

- matenda a chiwindi komanso hepatitis.

Mukasiya kutenga zoipa zonse nthawi zambiri zimazimiririka.

Mwa chikhalidwe ndi kuuma, zovuta zoyambira mwa ana sizosiyana kwenikweni ndi odwala achikulire. Izi zimatsimikiziridwa ndi kuwunika kwa "Metformin" ndi "Glucofage".

Malo osungira

Glucophage iyenera kusungidwa pamalo pomwe kutentha sikupitirira 25 ° C. Alumali moyo mapiritsi a 500 mg ndi 850 mg ndi zaka 5. Moyo wa alumali wa mapiritsi a 1000 mg ndi zaka zitatu. Mankhwala atha kugulidwa m'mafakitala popereka mankhwala kuchokera kwa dokotala.

Mankhwala a Metformin amathandizidwa pochiza matenda ashuga pamene zakudya zimatsatiridwa sizikupereka tanthauzo lalikulu. Mankhwalawa amathandizidwa kuti muchepetse magazi. Dokotalayo amapereka zosankha zingapo za mankhwalawa, monga Glucofage ndi Metformin. Kodi pali kusiyana kotani, tikupeza.

Mankhwala aliwonse omwe ali ndi metformin amasiyanasiyana pakanthawi kochedwa ndi Mlingo wofunikira. Pali mphamvu yayitali, zomwe zikutanthauza kuti mankhwalawa nthawi zambiri samachita mwachangu, koma pang'onopang'ono. Sikoyenera kumwa kangapo patsiku, kumwa kamodzi kokha ndikokwanira.

Kugwiritsa ntchito mankhwala monga Glucofage ndi Metformin kumapangitsa kagayidwe kachakudya kagayidwe kake, kumachepetsa shuga m'magazi, komanso kufalitsa matenda a protein metabolism komanso bilirubin. Koma muyenera kukumbukira kuti mankhwala samasinthiratu chakudya chamagulu a odwala matenda ashuga.

Kodi metformin kapena siofor yabwino ndi chiani? Ndemanga

Madokotala anandiuza kuti ndili ndi matenda ashuga, omwe ndi Siofor. Mwezi umodzi wokha ndidaphunzira za Metformin. Ndinayesa, kufananizira mitengo. Chifukwa chambiri? Sizikudziwika.

Ndakhala ndi matenda ashuga kwa zaka zopitilira 10. Munthawi imeneyi, ndinayesa mankhwala ambiri. Ndinagula mtengo wokwera mtengo, ndikuyembekeza kuti akhale bwino. Palibe zamtunduwu, musakhulupilire zotsatsa. Chilichonse chodula ngati Siofor sichabwino kuposa Metformin wokhazikika.

Mnzake adalangiza Siofor, akunena kuti mumachepetsa thupi. Tawona pamaso pa Glucofage ndi Metformin iyi. Sindinazindikire kusiyana, ndizo zonse.

Kukonzekera kwa Metformin

Ma fanizo odziwika kwambiri a Metformin amakhalabe Glyukofazh, Glybomet kapena Siofor.

Nthawi zambiri, odwala omwe awalembera amakhala ndi chidwi ndi zomwe zingachitike ndikumwa mankhwala omwe ndi abwino.

Chifukwa chake, kumbukirani kuti mankhwalawa amasiyana m'mazina amalonda okha. Koma amaphatikizidwa chifukwa chakuti zomwe zimagwira mwa iwo ndizofanana, kuchuluka kwa thunthu m'mapiritsi ndi chimodzimodzi. Koma ndi dokotala yemwe ayenera kusankha ma fanizo a Metformin.

Nthawi zambiri mumatha kukumana ndi odwala omwe amafunsira kuti ndi uti wa mankhwalawo - "Metformin", "Glucofage" kapena "Glibomet" - ndiyabwino komanso wogwira ntchito ndipo ndiyotani yomwe iyenera kumwa. Glucophage Long ndi Metformin Long ndi ofanana.

Ndikwabwino kutenga zomwe adokotala adalemba, mosasamala za dzina la mankhwala omwe ali ndi metformin, ogwiritsidwa ntchito ngati mtundu 2 wa shuga.

Glucophage ndi Metformin: ndemanga za madokotala ndi odwala

Ndemanga zimatsimikizira kuti mankhwalawa ndi ofanana. Zili ndi zinthu zomwezo, motero zotsatira zonse, kuphatikizapo zovuta, zimakhala zofanana. Pali ndemanga zabwino za mankhwala awiriwa. Amalekeredwa bwino, chitani zinthu mwachangu.

Tidazindikira zomwe zingakhale bwino ndi matenda ashuga - Glucophage kapena Metformin.

Kusiya Ndemanga Yanu