Glucofage® (850 mg) Metformin

Odwala omwe ali ndi mtundu wofanana ndi matenda a shuga 2 amayamba kufunsa kuti atenge bwanji Glucophage kuti akwaniritse achire kwambiri? Chimodzi mwazida zotchuka zomwe zimakhala ndi metformin hydrochloride, Glucofage imagwiritsidwa ntchito osati "matenda okoma". Ndemanga za odwala ambiri zimawonetsa kuti mankhwalawo amathandizira kuchepetsa thupi.

Mitengo yamakono yamoyo ndiyotali kwambiri ndi yomwe madokotala amavomereza. Anthu anasiya kuyenda, mmalo mochita ntchito zapanja amakonda TV kapena kompyuta, ndikusintha chakudya chopatsa thanzi ndi zakudya zopanda pake. Khalidwe lotere limayamba kumawoneka ngati mapaundi owonjezera, kenako kunenepa kwambiri, komwe kumapangitsa kuti azikhala ndi matenda ashuga.

Ngati magawo oyambayo wodwalayo atha kuletsa kuchuluka kwa glucose pogwiritsa ntchito zakudya zochepa za carb ndikuchita masewera olimbitsa thupi, ndiye kuti pakapita nthawi zimakhala zovuta kwambiri kuzilamulira. Poterepa, Glucophage mu shuga imathandizira kuchepetsa shuga ndikuyipangitsa kukhala yofanana.

Zambiri pazamankhwala

Gawo la ma biguanides, glucophage ndi mankhwala osokoneza bongo a hypoglycemic. Kuphatikiza pa gawo lalikulu, mankhwalawo amakhala ndi povidone yaying'ono komanso magnesium stearate.

Wopanga amatulutsa mankhwalawa mwanjira imodzi - pamapiritsi okhala ndi mitundu yosiyanasiyana: 500 mg, 850 mg ndi 1000 mg. Kuphatikiza apo, palinso Glucophage Long, yomwe ndi hypoglycemic yomwe imatenga nthawi yayitali. Amapangidwa mumapiritsi monga 500 mg ndi 750 mg.

Malangizowo akuti mankhwalawa amatha kugwiritsidwa ntchito ndi mankhwala ena a hypoglycemic komanso kuphatikiza jakisoni wa insulin. Kuphatikiza apo, Glucofage imaloledwa kwa ana opitirira zaka 10. Pankhaniyi, imagwiritsidwa ntchito padera komanso m'njira zina.

Ubwino wawukulu wa mankhwalawa ndikuti amachepetsa hyperglycemia ndipo sizitsogolera pakupanga hypoglycemia. Glucophage ikalowa m'matumbo am'mimba, zinthu zomwe zimapezeka zimalowa mkati mwake, ndikulowa m'magazi. Zotsatira zazikulu pakugwiritsa ntchito mankhwalawa ndi:

• kuchuluka insulin receptor chiwopsezo,
• Kugwiritsa ntchito shuga kwa ma cell,
• Kuchedwa kuyamwa kwa shuga m'matumbo,
• kukopa kwa kapangidwe ka glycogen,
• kutsika kwa cholesterol yamagazi, komanso TG ndi LDL,
• kutsika kwa shuga m'magazi,
• kukhazikika kapena kuwonda kwa wodwalayo.

Sikulimbikitsidwa kumwa mankhwalawa nthawi ya chakudya. Kugwiritsidwa ntchito kwa metformin ndi chakudya kumabweretsa kuchepa kwa mphamvu ya chinthu. Glucophage kwenikweni sikugwirizana ndi mapuloteni a plasma. Dziwani kuti zigawo zikuluzikulu za mankhwalawo sizingagwiritsidwe ntchito kuti zimapangidwe, zimatsitsidwa m'thupi ndi impso m'njira yosasinthika.

Pofuna kupewa zovuta zoyipa, akuluakulu ayenera kusunga mankhwalawo kutali ndi ana ang'ono. Kutentha sikuyenera kupitirira 25 digiri.

Pogula chogulitsa chomwe chimangogulitsidwa ndi mankhwala okhawo, muyenera kuyang'anira tsiku lomwe wapanga.

Malangizo ogwiritsira ntchito mankhwalawa

Ndiye, momwe mungagwiritsire ntchito glucophage? Musanamwe mankhwalawa, ndibwino kufunsa katswiri yemwe angadziwe mitundu yoyenera ya mankhwala. Pankhaniyi, kuchuluka kwa shuga, momwe wodwalayo alili komanso kupezeka kwa matendawa amakumbukiridwa.

Poyamba, odwala amaloledwa kutenga 500 mg patsiku kapena Glucofage 850 mg 2-3 kawiri. Patatha milungu iwiri, mlingo wa mankhwalawa ukhoza kuwonjezereka pambuyo povomerezeka ndi dokotala.Dziwani kuti poyamba kugwiritsa ntchito metformin, wodwala matenda ashuga amatha kudandaula za zovuta zam'mimba. Zotsatira zoyipa zotere zimachitika chifukwa cha kusinthasintha kwa thupi ndi zomwe zimachitika. Pambuyo pa masiku 10 mpaka 14, kupukusa mgawo kumakhala kwabwinobwino. Chifukwa chake, kuti muchepetse zotsatira zoyipa, tikulimbikitsidwa kugawa Mlingo wa tsiku ndi tsiku wa mankhwala osiyanasiyana.

Mlingo wokonza ndi 1500-2000 mg. Kwa tsiku, wodwala amatha kutenga 3000 mg kwambiri momwe angathere. Kugwiritsa ntchito milingo yayikulu, ndikofunikira kuti anthu ashuga asinthe kupita ku Glucofage 1000 mg. Pakakhala kuti anaganiza zosintha kuchokera ku wothandizira wina wa hypoglycemic kupita ku Glucofage, choyamba ayenera kusiya kumwa mankhwalawa, kenako ayambe kulandira mankhwalawa. Pali zinthu zina zogwiritsa ntchito Glucofage.

Mwa ana ndi achinyamata. Ngati mwana ndi wamkulu kuposa zaka 10, amatha kumwa mankhwalawo mosiyana kapena kuphatikiza jakisoni wa insulin. Mlingo woyambirira ndi 500-850 mg, ndipo kuchuluka kwake ndi mpaka 2000 mg, womwe umayenera kugawidwa mu Mlingo wa 2-3.

Pa odwala matenda ashuga okalamba. Mlingo amasankhidwa ndi dokotala payekhapayekha, chifukwa mankhwalawa amatha kusokoneza mawonekedwe a impso pazaka izi. Akamaliza kumwa mankhwala, wodwalayo ayenera kudziwitsa dokotala.

Kuphatikiza ndi insulin. Ponena za Glucofage, Mlingo woyambirira umakhalabe womwewo - kuchokera 500 mpaka 850 mg kawiri kapena katatu patsiku, koma mlingo wa insulin umatsimikiziridwa molingana ndi kuchuluka kwa shuga.

Glucophage Long: mawonekedwe a ntchito

Taphunzira kale za kuchuluka kwa mankhwala Glucofage. Tsopano muyenera kuthana ndi mankhwala Glucophage Long - mapiritsi a nthawi yayitali.

Glucophage Kutalika 500 mg. Monga lamulo, mapiritsi amaledzera pakudya. The endocrinologist imatsimikiza muyezo wofunikira, poganizira kuchuluka kwa shuga. Kumayambiriro kwa mankhwalawa, imwani 500 mg patsiku (bwino kwambiri madzulo). Kutengera ndi zomwe zikuwonetsa magazi, kuchuluka kwa mankhwalawa kumatha kuwonjezeka pang'onopang'ono sabata iliyonse, koma pokhapokha kuyang'aniridwa ndi dokotala. Mlingo wapamwamba tsiku lililonse ndi 2000 mg.

Mukaphatikiza mankhwalawa ndi insulin, Mlingo wa timadzi timadzi timadzi timatulu ta shuga. Ngati wodwalayo adayiwala kumwa mapilitsi, kuonjezera Mlingo woletsedwa.

Glucophage 750 mg. Mlingo woyambirira wa mankhwalawa ndi 750 mg. Kusintha kwa mankhwalawa ndikotheka pakatha masabata awiri atamwa mankhwalawa. Mlingo wokonzanso tsiku lililonse umawonedwa kuti ndi 1500 mg, ndipo pazokwanira - mpaka 2250 mg. Wodwalayo akakhala kuti sakudziwa kuchuluka kwa shuga mothandizidwa ndi mankhwalawa, ndiye kuti amatha kusinthana ndi mankhwalawa monga Glucofage.

Muyenera kudziwa kuti odwala matenda ashuga samalimbikitsidwa kuti asinthane ndi mankhwalawa ndi Glucofage Long ngati agwiritsa ntchito Glucofage pafupipafupi ndi 2000 mg.

Mukasintha kuchoka ku mankhwala kupita ku lina, ndikofunikira kuti mupeze Mlingo wofanana.

Contraindication ndi zoyipa zimachitika

Amayi omwe akukonzekera kukhala ndi pakati, kapena ali ndi mwana kale, amalephera kugwiritsa ntchito mankhwalawa. Kafukufuku ambiri akuwonetsa kuti mankhwalawa angakhudze kukula kwa mwana wosabadwayo. Komabe, zotsatira za kuyesa kwina kumati kutenga metformin sikunakulitse mwayi wokhala ndi vuto mwa mwana.

Popeza mankhwalawa amachotseredwa mkaka wa m'mawere, sayenera kumwedwa panthawi ya mkaka wa m'mawere. Mpaka pano, opanga Glucofage alibe chidziwitso chokwanira pokhudzana ndi metformin pa mwana wakhanda.

Kuphatikiza pa zotsutsana izi, malangizo omwe aphatikizidwa amapereka mndandanda wazomwe mungathe kuwaletsa Glucophage:

1. Kulephera kwamkati ndi mikhalidwe komwe kumapangitsa kuti impso zizigwira bwino. Izi zimaphatikizira matenda osiyanasiyana, kukhumudwa, kusowa kwamadzi chifukwa cha kutsegula m'mimba kapena kusanza.
2. Kulandila kwa mankhwala okhala ndi ayodini pamayeso a X-ray kapena radioisotope. Munthawi yomwe amatha kapena atatha maola 48 ogwiritsa ntchito, ndizoletsedwa kumwa Glucofage.
3. Hepatic kulephera kapena chiwindi kukanika.
4. Kukula kwa matenda ashuga a ketoacidosis, chikomokere ndi chidziwitso.
5. Hypersensitivity pamagawo a mankhwala.
6. Kutsatira zakudya zamafuta ochepa (ochepera kcal),
7. Zakumwa zoledzeretsa kapena uchidakwa wambiri.
8. Lactic acidosis.

Monga tanena kale, kumwa Glucophage kumayambiriro kwa zamankhwala kumayambitsa mavuto omwe amabwera chifukwa cha kugaya chakudya m'mimba. Wodwala amatha kudandaula za nseru, kupweteka kwam'mimba, kusintha kwa kulawa, kutsegula m'mimba, komanso kusowa kudya. Komabe, pali zovuta zina zomwe zimachitika kawirikawiri, zomwe ndi:

Glucophage yokhayo siyitsogolera kutsika msanga, motero, sizikhudzanso chidwi cha chidwi komanso kuthekera koyendetsa magalimoto ndi njira zosiyanasiyana.

Koma akagwiritsidwa ntchito limodzi ndi insulin kapena othandizira ena a hypoglycemic, odwala ayenera kuganizira za kuchuluka kwa hypoglycemia.

Glucophage mogwirizana ndi njira zina

Mukamagwiritsa ntchito mankhwalawa, ndikofunikira kudziwitsa dokotala za matenda onse ophatikizika. Zochitika zoterezi zimatha kuteteza kumayambiriro kwa zotsatira zoyipa chifukwa ch kumwa mankhwala awiri osagwirizana.

Malangizo omwe aphatikizidwa ali ndi mndandanda wachindunji wa mankhwala omwe aletsedwa kapena osavomerezeka mukamagwiritsa ntchito Glucofage. Izi zimaphatikizira ndi mankhwala okhala ndi ayodini, omwe amaletsedwa kumwa mankhwala a metformin.

Zina mwazinthu zosaphatikizidwa ndi zakumwa zoledzeretsa ndi kukonzekera komwe kumakhala ndi ethanol. The munthawi yomweyo a iwo ndi Glucophage kungachititse kuti lactic acidosis.

Palinso mitundu ingapo ya mankhwala omwe amakhudza zotsatira za hypoglycemic Glucofage mosiyanasiyana. Chifukwa chake, ena a iwo amatsitsa kuchepa kwakukulu kwa shuga, pomwe ena, m'malo mwake, amachititsa hyperglycemia.

Njira zomwe zimathandizira kutsika kwa hypoglycemic:

1. ACE zoletsa.
2. Salicylates.
3. Insulin
4. Acarbose.
5. Zothandiza kuchokera ku sulfonylureas.

Zinthu zomwe zimachepetsa katundu wa hypoglycemic - danazol, chlorpromazine, beta2-adrenergic agonists, corticosteroids.

Mtengo, lingaliro la ogula ndi fanizo

Pogula mankhwala ena, wodwalayo samangoganizira zochizira zake zokha, komanso mtengo wake. Glucophage itha kugulidwa ku pharmacy yokhazikika kapena kuyika oda patsamba laopanga. Mitengo ya mankhwala imasiyana malinga ndi mtundu wa kumasulidwa:

• Glucofage 500 mg (mapiritsi 30) - kuchokera ku ruble 102 mpaka 122,
• Glucophage 850 mg (mapiritsi 30) - kuchokera ku ruble 109 mpaka 190,
• Glucophage 1000 mg (mapiritsi 30) - kuchokera 178 mpaka 393 rubles,
• Glucophage Long 500 mg (mapiritsi 30) - kuchokera 238 mpaka 300 rubles,
• Glucophage Long 750 mg (mapiritsi 30) - kuchokera 315 mpaka 356 rubles.

Kutengera ndi zomwe tafotokozazi, titha kunena kuti mtengo wa chida ichi siwokwera kwambiri. Ndemanga za odwala ambiri zimatsimikizira izi: Glucophage imatha kupereka aliyense wodwala matenda ashuga ndi ndalama zochepa. Zina mwazinthu zabwino pakugwiritsa ntchito mankhwalawa ndi:

1. Kuthandiza kuchepetsa shuga.
2. Kukhazikika kwa glycemia.
3. Kuthetsa zizindikiro za matenda ashuga.
4. Kuchepetsa thupi.
5. Kugwiritsa ntchito mosavuta.

Nayi ndemanga zabwino kuchokera kwa wodwala. Polina (wazaka 51): "Dotolo adandiwuza kuti ndilandire zaka 2 zapitazo, pomwe matenda ashuga adayamba kupita patsogolo. Pamenepo, ndinalibe nthawi yochita masewera, ngakhale panali mapaundi owonjezera. Ndinaona Glucofage yayitali mokwanira ndikuwona kuti kulemera kwanga kukuchepa. Ndinganene chimodzi - mankhwalawa ndi imodzi mwanjira zabwino kwambiri zothandiza kuti shuga asinthe komanso kuti muchepetse thupi. "

Metformin imapezeka mu mankhwala ambiri a hypoglycemic, chifukwa chake Glucofage ili ndi mitundu yambiri ya analogues.Mwa iwo, mankhwala monga Metfogamma, Metformin, Glformin, Siofor, Formmetin, Metformin Canon ndi ena amadziwika.

Wokondedwa wodwala, nenani za matenda ashuga! Mukachedwa kupita kwa dokotala, matendawo amakula msanga. Mukamamwa Glucophage, tsatirani mlingo woyenera. Kuphatikiza apo, musaiwale za zakudya zopatsa thanzi, zolimbitsa thupi ndi kayendedwe ka glycemic. Umu ndi momwe magazi abwinobwino amapezeka.

Kanemayo munkhaniyi akupereka zambiri za Glucofage ndi mankhwala ena ochepetsa shuga.

Mlingo

500 mg, mapiritsi a 850 mg ndi mapiritsi a 1000 mg

Piritsi limodzi lili

ntchito yogwira - metformin hydrochloride 500 mg, 850 mg kapena 1000 mg,

obwera: povidone, magnesium stearate,

makanema ojambula - hydroxypropyl methylcellulose, mu mapiritsi a 1000 mg - opadray pure YS-1-7472 (hydroxypropyl methylcellulose, macrogol 400, macrogol 8000)

Glucophage 500 mg ndi 850 mg: mozungulira, mapiritsi a biconvex, oyera-okhala ndi filimu

Glucophage 1000 mg: mapiritsi osalala, a biconvex, atakulungidwa ndi filimu yoyera, ali pachiwopsezo chosweka mbali zonse ziwiri ndikulemba chizindikiro "1000"

Mankhwala

Pambuyo pakukonzekera kwa pakamwa kwa mapiritsi a metformin, kuchuluka kwakukulu kwa plasma (Cmax) kumachitika pambuyo pa maola pafupifupi 2,5 (T max). Mtheradi wa bioavailability mwa anthu athanzi ndi 50-60%. Pambuyo pakukonzekera pakamwa, 20-30% ya metformin imatulutsidwa kudzera m'mimba m'mimba (GIT) yosasinthika.

Mukamagwiritsa ntchito metformin muyezo komanso ulamuliridwe, makonzedwe a plasma okhazikika amakwaniritsidwa mkati mwa maola 24-48 ndipo nthawi zambiri amakhala osakwana 1 μg / ml.

Mlingo womangidwa wa metformin kupita ku mapuloteni a plasma suwoneka. Metformin imagawidwa m'magazi ofiira. Mulingo wambiri m'magazi ndi wotsika kuposa plasma ndipo umafikiridwa pafupifupi nthawi yomweyo. Pafupifupi voliyumu yogawa (Vd) ndi malita 63-276.

Metformin imachotsedwa mu mkodzo osasinthika. Palibe metformin metabolites omwe adadziwika mwa anthu.

Chivomerezo cha aimpso chimaposa 400 ml / min, chomwe chikuwonetsa kuti kuchotsedwa kwa metformin pogwiritsa ntchito kusefedwa kwa glomerular ndi secretion ya tubular. Pambuyo pakamwa, theka la moyo ndi pafupifupi 6.5 maola.

Ngati vuto la impso, kutsekeka kwa impso kumatsika molingana ndi kupezeka kwa creatinine, motero, kuthetseratu theka la moyo kumawonjezereka, komwe kumabweretsa kuwonjezeka kwa plasma metformin.

Metformin ndi biguanide yokhala ndi antihyperglycemic effect, yomwe imachepetsa onse shuga ndi postprandial plasma glucose. Simalimbikitsa insulin katemera chifukwa chake siyambitsa hypoglycemia.

Metformin ili ndi njira zitatu:

amachepetsa kupanga shuga wa chiwindi poletsa gluconeogeneis ndi glycogenolysis,

imawonjezera kukhudzidwa ndikugwiritsika ntchito kwa zotumphukira m'misempha ndikuwonjezera mphamvu ya insulin,

Iachedwetsa mayamwidwe am'matumbo m'matumbo.

Metformin imalimbikitsa kapangidwe ka intracellular glycogen pochita glycogen synthase. Zimathandizanso kuthekera kwamitundu yonse ya ma membrane glucose transport (GLUT).

M'maphunziro azachipatala, kutenga metformin sikunakhudze thupi kapena kunachepetsa pang'ono.

Mosasamala kanthu za momwe zimakhudzira glycemia, metformin imathandizira kagayidwe ka lipid. Panthawi yoyesedwa pazachipatala pogwiritsa ntchito Mlingo wothandizirana, anapezeka kuti metformin amachepetsa cholesterol yonse, lipoproteins yotsika komanso triglycerides.

Zizindikiro zogwiritsidwa ntchito

Glucophage akuwonetsedwa pochiza matenda amishuga a 2 shuga, makamaka kwa odwala omwe ali ndi kunenepa kwambiri, pomwe zakudya zokha komanso masewera olimbitsa thupi sizipereka chiwonetsero chokwanira cha glycemic.

Akuluakulu, Glucofage itha kugwiritsidwa ntchito ngati monotherapy, kuphatikiza ndi othandizira ena odwala pakamwa kapena insulin,

mwa ana kuyambira zaka 10, Glucofage angagwiritsidwe ntchito ngati monotherapy kapena kuphatikiza ndi insulin.

Mlingo ndi makonzedwe

Monotherapy ndi kuphatikiza mankhwalawa othandizira pakamwa ena:

Mlingo woyambira wamba ndi 500 kapena 850 mg wa Glucofage

2-3 tsiku patsiku la chakudya kapena chakudya.

Pambuyo masiku 10-15 kuyambira poyambira chithandizo, ndikofunikira kusintha mlingo wa mankhwalawa malinga ndi zotsatira za kuyeza magazi. Kuchepetsa pang'ono kwa mankhwalawa kungathandize kusintha kulolerana kwa m'mimba.

Odwala omwe amalandira mlingo waukulu wa metformin hydrochloride (2-3 g patsiku), mapiritsi awiri a Glucofage omwe ali ndi mulingo wa 500 mg amatha m'malo mwake ndi piritsi limodzi la Glucofage ndi mlingo wa 1000 mg. Mulingo woyenera kwambiri ndi 3 g tsiku lililonse (magawo atatu).

Ngati mukufuna kusintha kuchokera ku mankhwala ena antidiabetes: muyenera kusiya kumwa mankhwalawa ndikuyamba kumwa mankhwalawa Glucofage pamwambapa womwe watchulidwa pamwambapa.

Kuphatikiza ndi insulin:

Kuti akwaniritse kuthana ndi shuga wamagazi, Glucofage ndi insulin zingagwiritsidwe ntchito ngati mankhwala ophatikiza. Mlingo woyamba wa Glucofage® ndi 500 mg kapena 850 mg kawiri pa tsiku, pomwe mlingo wa insulin umasankhidwa potengera zotsatira za kuyeza shuga m'magazi.

Mwa ana kuyambira zaka 10, Glucofage angagwiritsidwe ntchito limodzi ndi monotherapy komanso kuphatikiza insulin. Mulingo woyambira woyamba ndi 500 mg kapena 850 mg kamodzi tsiku lililonse mkati kapena mutatha kudya. Pambuyo masiku a mankhwalawa 10-15, ndikofunikira kusintha mlingo wa mankhwalawa malinga ndi zotsatira za kuyeza shuga wamagazi. Kuchepetsa pang'ono kwa mankhwalawa kumathandizira kulolerana kwamatumbo. Mlingo woyenera kwambiri ndi 2 g ya mankhwala Glucofage patsiku, womwe umagawidwa pawiri.

Chifukwa kuchepa kwa aimpso ntchito mu okalamba, mlingo wa mankhwala Glucofage uyenera kusankhidwa pamaziko a ntchito yaimpso. Kuwunika pafupipafupi kwa impso ndikofunikira.

Odwala ndi mkhutu aimpso ntchito:

Metformin itha kugwiritsidwa ntchito kwa odwala omwe ali ndi vuto la impso - gawo 3a yodwala matenda a impso (creatinine chilolezo KlKr 45-59 ml / mphindi kapena kuchuluka kwa kusefedwa kwa rSCF 45-59 ml / mphindi / 1.73 m2) - pokhapokha ngati pali zifukwa zina , omwe angakulitse chiopsezo cha lactic acidosis, komanso kusintha kwina kwa mlingo: mlingo woyambirira wa metformin hydrochloride ndi 500 mg kapena 850 mg kamodzi patsiku. Mlingo wapamwamba ndi 1000 mg patsiku, womwe umagawidwa pawiri. Kuwunikira mosamala kwa ntchito ya impso (miyezi 3-6 iliyonse) ndikofunikira.

Ngati mitengo ya CLKr kapena rSKF imatsikira

Zotsatira zoyipa

Kumayambiriro kwa chithandizo, zovuta zoyipa zimachitika ndi mseru, kusanza, kutsegula m'mimba, kupweteka kwam'mimba komanso kusowa kwa chilimbikitso, zomwe nthawi zambiri zimadutsa zokha. Pofuna kupewa kukula kwa zizindikirozi, tikulimbikitsidwa kumwa Glucofage mu 2 kapena 3 Mlingo wowonjezera pang'onopang'ono.

Mankhwala ndi Glucofage ®, zotsatirazi zotsatirazi zimachitika. Pafupipafupi zoterezi zimayikidwa motere: pafupipafupi (≥1 / 10), pafupipafupi (≥1 / 100, za:

Matenda Am'mimba

matenda am`mimba thirakiti monga mseru, kusanza, kutsegula m'mimba, kupweteka kwam'mimba, kusowa kwa chakudya. Nthawi zambiri, izi zoyipa zimachitika poyambira chithandizo ndipo, monga lamulo, zimangochitika zokha. Popewa kukula kwa zizindikirozi, tikulimbikitsidwa kumwa Glucofage mu 2 kapena 3 Mlingo musanadye kapena mukamaliza kudya ndi kuwonjezeka kwa pang'onopang'ono kwa mlingo

Kuphwanya chiwindi ndi njira ziwiri

zochitika zapadera za kupatuka pakuyesa kwa chiwindi kapena hepatitis yomwe idachitika atayimitsidwa kwa metformin

Zovuta za pakhungu ndi minofu yolowera:

zotupa pakhungu monga erythema, pruritus, urticaria

Odwala Odwala:

Zotsatira zoyipa mwa ana zinali zofanana mu chilengedwe ndi kuuma kwa zomwe zimawonedwa mwa akulu.

Pambuyo pakuyamba chithandizo ndi Glucofage ®, zovuta zonse zokayikitsa ziyenera kufotokozedwa. Izi zikuthandizani kuti muwunikire mosamala phindu / chiwopsezo cha mankhwalawo.

Zochita zamankhwala osokoneza bongo

Mowa: Chiwopsezo cha lactic acidosis imachulukitsidwa ndi kuledzera kwakumwa pachimake, makamaka chifukwa cha njala kapena kuperewera kwa zakudya m'thupi ndi vuto la chiwindi. Pa chithandizo ndi Glucofage®, mowa ndi mankhwala omwe ali ndi mowa uyenera kupewedwa.

Mitundu yokhala ndi Iodine:

Mothandizidwa ndi iodine okhala ndi ayodini omwe ali ndi vuto losiyanitsa amatha kuyambitsa impso. Izi zimatha kudzetsa chidwi cha metformin ndikupangitsa lactic acidosis.

Odwala omwe ali ndi eFFR> 60 ml / mphindi / 1.73 m2, kugwiritsa ntchito metformin kuyenera kusiyidwa isanayambike kapena kumaphunziriridwa pogwiritsa ntchito mankhwala okhala ndi ayodini, musayambirenso kupitilira maola 48 mutatha kafukufukuyu, komanso pokhapokha mutayang'ananso ntchito ya impso, yomwe idawonetsa zotsatira zabwinobwino, malinga ngati sizingawononge pambuyo pake.

Odwala omwe ali ndi vuto laimpso zolimbitsa thupi (eGFR 45-60 ml / mphindi / 1.73 m2), metformin iyenera kuchotsedwa maola 48 asanagwiritse ntchito mankhwala okhala ndi ayodini ndipo asayambirenso kupitirira maola 48 mutatha kafukufukuyu kuwunika kwa impso, komwe kunawonetsa zotsatira zabwinobwino komanso kuwonetsa kuti sizingavute pambuyo pake.

Kuphatikiza komwe kumafunikira kusamala

Mankhwala omwe ali ndi vuto la hyperglycemic (glucocorticoids (zokhudza zonse ndi zomwe zimachitika m'deralo) ndi sympotomimetics): kuyezetsa magazi pafupipafupi kwambiri kungafunike, makamaka poyambira chithandizo. Ngati ndi kotheka, Mlingo wa metformin wokhala ndi mankhwala oyenera uyenera kusintha mpaka womaliza utatha.

Ma diuretics, makamaka odzola okodzetsa achulukitse chiopsezo cha lactic acidosis chifukwa cha zovuta zawo pakuchitika kwa impso.

Malangizo apadera

Lactic acidosis ndizosowa kwambiri koma zovuta za metabolic zowopsa ndi kufa kwakukulu popanda chithandizo chadzidzidzi, chomwe chitha kupezeka chifukwa cha kuchuluka kwa metformin. Amanena milandu ya lactic acidosis mwa odwala omwe amalandira metformin makamaka opezeka ndi odwala matenda a shuga komanso aimpso kulephera kapena kupweteka kwambiri kwaimpso. Chenjezo liyenera kuchitika pakachitika vuto la impso, mwachitsanzo, ngati magazi atayika (kutsegula m'mimba kwambiri, kusanza) kapena mankhwala a antihypertensive, a diuretic therapy, kapena ochizira omwe si a antiidal. M'mikhalidwe yovuta kwambiri iyi, mankhwala a metformin ayenera kuyimitsidwa kwakanthawi.

Zina zokhudzana ndi chiopsezo ziyenera kuganiziridwanso, monga matenda osokoneza bongo osayendetsa bwino, ketosis, kusala kudya kwa nthawi yayitali, kumwa kwambiri mowa, kulephera kwa chiwindi, komanso vuto lililonse lomwe lingachitike ndi hypoxia (monga kuwonongeka mtima, kupunduka kwa mtima.

Kuzindikira kwa lactic acidosis kuyenera kuganiziridwanso ngati mukutsutsana ndi vuto lakhungu, monga kukokana kwa minofu, kupweteka kwam'mimba, komanso / kapena asthenia yayikulu. Odwala ayenera kudziwitsidwa kuti afotokozere izi kwa othandizira awo azaumoyo, makamaka ngati m'mbuyomu odwala anali ndi kulolera kwa metformin.Ngati lactic acidosis ikukayikira, chithandizo ndi Glucofage iyenera kusiyidwa. Kuyambiranso kwa kugwiritsa ntchito mankhwala Glucofage kuyenera kuganiziridwa pokhapokha mutaganizira kuchuluka kwa phindu / chiopsezo ndi ntchito yaimpso.

Lactic acidosis imadziwika ndi mawonekedwe a acidotic kufupika, kupweteka kwam'mimba komanso hypothermia, kenako kutsekeka. Diagnostic labotale magawo amaphatikizanso kuchepa kwa magazi pH, kuchuluka kwa plasma lactate yoposa 5 mmol / l, kuwonjezeka kwa gawo la anion, ndi lactate / pyruvate ratio. Ngati lactic acidosis ikukayikira, wodwalayo ayenera kuchipatala nthawi yomweyo. Madokotala ayenera kudziwitsa odwala za chiwopsezo ndi zizindikiro za lactic acidosis.

Popeza metformin imachotsedwa impso, kale komanso nthawi zonse mukamalandira chithandizo ndi Glucofage®, chilolezo cha creatinine chiyenera kuyang'aniridwa (kudziwa kuchuluka kwa creatinine mu seramu yamagazi pogwiritsa ntchito njira ya Cockcroft-Gault):

osachepera kamodzi pachaka kwa odwala omwe ali ndi vuto laimpso,

osachepera 2-4 pachaka odwala okalamba, komanso odwala omwe ali ndi creatinine chilolezo chotsika.

Ngati KlKr

Bongo

Pogwiritsa ntchito mankhwala Glucofage pa mlingo wa 85 g, kukula kwa hypoglycemia sikunachitike. Komabe, pankhaniyi, kukula kwa lactic acidosis kunawonedwa.

Mankhwala ochulukirapo a metformin kapena zoopsa zomwe zimagwirizanitsidwa zimatha kubweretsa lactic acidosis. Lactic acidosis ndi mankhwala azachipatala omwe amafunikira kuchipatala.

Chithandizo: chothandiza kwambiri pochotsa lactate ndi metformin kuchokera mthupi ndi hemodialysis.

Tulutsani mawonekedwe ndi ma CD

Mapiritsi okhala ndi mafilimu, 500 mg ndi 850 mg:

Mapiritsi 20 aikidwa mu zotumphukira zotulutsa za filimu ya polyvinyl chloride ndi zojambulazo za aluminium.

Ma paketi atatu ophatikizidwa pamodzi ndi malangizo ogwiritsira ntchito zachipatala m'boma ndipo zilankhulo zaku Russia zimayikidwa mu katoni

Mapiritsi okwana 1000 mg okhala ndi mafilimu:

Mapiritsi 15 amayikidwa m'matumba a blister a filimu ya polyvinyl chloride ndi zojambulazo za aluminium.

4 mapaketi a contour palimodzi ndi malangizo ogwiritsira ntchito zachipatala m'boma ndipo zilankhulo zaku Russia zimayikidwa pabokosi

Wogwirizira Sitifiketi Yoyang'anira

Merck Sante SAAS, France

37 Rue Saint Romain 69379 Lyon Cedex 08, France /

37 ryu Saint-Romain 69379 Lyon Zedex, France

Merck Sante SAAS, France

Adilesi ya bungweli yomwe imavomereza zodula kuchokera kwa ogula pamsika wazogulitsa (katundu) ku Republic of Kazakhstan

Zoyimira Takeda Osteuropa Holding GmbH (Austria) ku Kazakhstan

Mapiritsi a Glucophage

Malinga ndi gulu la pharmacological, mankhwala a Glucofage ndi a gulu la othandizira pakamwa omwe amachepetsa shuga ya magazi mwa odwala omwe ali ndi matenda a shuga. Mankhwalawa ali ndi kulekerera kwabwino m'matumbo, chinthu chomwe chimapangidwira ndikupangidwa ndi metformin hydrochloride, yomwe ndi gawo la gulu la Biguanides (zomwe zimachokera).

Glucophage Long 500 kapena Glucophage 500 - awa ndiwo mitundu yayikulu yotulutsira mankhwala. Loyamba limadziwika ndi kuchitapo kanthu kwanthawi yayitali. Mapiritsi ena okhala ndi mitundu yosiyanasiyana ya metformin hydrochloride nawonso amakhala pawokha. Makonda awo:

The ndende ya yogwira mankhwala, mg 1 pa pc.

500, 850 kapena 1000

Choyera, chozungulira (chozungulira cha 1000, cholemba)

Povidone, hypromellose, magnesium stearate, koyera opadra (hypromellose, macrogol)

Carlone sodium, magnesium stearate, hypromellose

10, 15 kapena 20 zidutswa pachimake

30 kapena 60 ma PC. mu paketi

Pharmacodynamics ndi pharmacokinetics

Mankhwala okhala ndi vuto la hypoglycemic kuchokera ku gulu la Biguanide amachepetsa kukula kwa hyperglycemia, kupewa hypoglycemia. Poyerekeza ndi mankhwala a sulfonylurea omwe amagwiritsidwa ntchito pochiza matenda osokoneza bongo, mankhwalawa samalimbikitsa kutulutsa insulin.Mankhwala amathandizira kudziwa mphamvu ya ma receptor, amathandizira kuchuluka kwa shuga ndi maselo, amachepetsa kaphatikizidwe ka shuga ndi chiwindi popewa gluconeogenesis ndi glycogenolysis. Chidachi chitha kuchedwa kuyamwa kwa shuga m'matumbo.

The yogwira mankhwala metformin hydrochloride imayambitsa kupanga glycogen, imachita pa enzyme yomwe imaphwanya, imawonjezera kuchuluka kwa mayendedwe ndi kuchuluka kwa onse onyamula michere. Kuphatikiza apo, gawo limathandizira kagayidwe ka lipid, kumachepetsa zonse za cholesterol, zomwe zimapangitsa kuti pakhale bata kapena kuchepa kwamphamvu kwa thupi la wodwalayo.

Mutatha kumwa mankhwalawa, imalowa m'mimba ndi matumbo, mayamwidwe ake amakhudzidwa ndi kudya kwakanthawi kotsikira. The bioavailability ya metformin hydrochloride ndi 55%, imafika pamlingo wamagazi pambuyo maola 2,5 (kwa Glucofage Long nthawi ino ndi maola 5). The yogwira thunthu limalowa minofu yonse, pang'ono amamangiriza mapuloteni a plasma, limapukusidwa pang'ono ndi kupukusidwa ndi impso.

Mankhwala a Glucophage a shuga

Mankhwalawa amathandizira chidwi cha zolandilira kuti apange insulin komanso imathandizira kukonzanso shuga m'mitsempha, zomwe zimapangitsa kutsika kwa shuga m'magazi. Izi zimathandiza kupewa hyperglycemia, yomwe itha kutsagana ndi matenda amtundu wa 2 shuga. A single (kwa Glucofage Long) kapena kawiri mlingo wa mankhwalawo amathandizira wodekha ndi matenda ashuga.

Kodi pali kusiyana kotani pakati pa glucophage ndi metformin?

Glucophage ndilo dzina lamalonda lamankhwala, ndipo metformin ndiwogwira ntchito. Glucophage si mtundu wokhawo wapiritsi womwe umagwira ndi metformin. Pamankhwala mutha kugula mankhwalawa a matenda a shuga komanso kuti muchepetse kunenepa pansi pa mayina osiyanasiyana. Mwachitsanzo, Siofor, Glformin, Diaformin, etc. Komabe, Glucofage ndi mankhwala ochokera kunja omwe amagulitsidwa kunja. Siotsika mtengo kwambiri, koma amaonedwa kuti ndi wapamwamba kwambiri. Mankhwalawa ali ndi mtengo wotsika mtengo kwambiri, ngakhale kwa nzika zapamwamba, motero tsamba endocrin-patient.com silikulimbikitsa kuyesa anzawo otsika mtengo.

Kodi pali kusiyana kotani pakati pa glucophage nthawi zonse ndi glucophage yayitali? Ndi mankhwala ati omwe amaposa?

Glucophage Long - ichi ndi piritsi lomwe limamasulidwa pang'onopang'ono pazomwe zimagwira. Amayamba kuchita mochedwerapo kuposa Glucophage yokhazikika, koma zotulukapo zawo zimakhala motalikitsa. Izi sizikutanthauza kuti mankhwala ena ndi abwino kuposa enawo. Amapangidwira zolinga zosiyanasiyana. Mankhwala otulutsidwa nthawi zambiri amatengedwa usiku kuti m'mawa wotsatira pakhale shuga wamba wamagazi. Komabe, mankhwalawa ndi oyipa kuposa glucofage wokhazikika, oyenera kuwongolera shuga tsiku lonse. Anthu omwe mapiritsi a metformin okhazikika amayambitsa matenda otsegula m'mimba amalangizidwa kuti ayambe kumwa mankhwalawa osathamangira kukweza. Ngati izi sizikuthandizani, ndiye kuti muyenera kusinthira ku kudya kwa tsiku ndi tsiku kwa mankhwala Glucofage Long.

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

Mu malangizo ogwiritsira ntchito mankhwalawa, muyenera kuphunzira mosamala magawo pazomwe akuwonetsa, zotsutsana ndi zotsatirapo zake. Ngati mulibe zotsutsana, ndiye kuti palibe vuto. Kwa anthu omwe ali ndi matenda onenepa kwambiri, prediabetes kapena mtundu 2, mapiritsi a metformin ndi othandiza kwambiri. Amachepetsa shuga m'magazi, amathandizira kuchepa thupi, amasintha zotsatira zoyeserera za cholesterol ndi zina zomwe zimayambitsa mtima. Zimatsimikiziridwa kuti mankhwalawa amachedwetsa kukula kwa zovuta za matenda a shuga ndikuwonjezera moyo wa odwala.

Glucophage Kutalika kwa Matenda Awo: Kuleza Mtima

Anthu mamiliyoni ambiri akhala akutenga Glucophage pafupifupi zaka 50. Kupeza kwawo kwakukulu kwatsimikizira kuti ndi mankhwala otetezeka. Chovuta chokhacho ndikuperewera kwa vitamini B12 m'thupi. Mutha kumwa mavitamini awa nthawi ndi nthawi popewera.

Glucophage, Glucophage Long kapena Siofor: ndibwino bwanji?

Glucophage ndi mankhwala oyambirira a metformin. Kutsimikizika kwa patent chifukwa kwatha, chifukwa ma analogu ambiri amagulitsidwa ku malo ogulitsa mankhwala. Siofor ndi amodzi mwa iwo.Komanso pamsika pali ma analogi angapo opanga Russian. Dr. Bernstein akuti Glucofage amatsitsa shuga koposa magazi a Siofor ndi mapiritsi ena ampikisano a metformin. Omvera ambiri a endocrin-patient.com amatsimikiziranso kuti Glucofage ndiyabwino kuposa mapiritsi a metformin otsika mtengo komanso osayambitsa matenda otsegula m'mimba.

Metformin yoyambirira yamankhwala ili ndi mtengo wotsika mtengo kwambiri. Chifukwa chake, sizikupanga nzeru kutenga Siofor ndi ma fanizo ena kuti apulumutse. Glucophage Long - Mapiritsi owonjezera otulutsidwa a Metformin amakampani yomweyo yomwe imatulutsa Glucophage yoyambirira. Mankhwalawa ndi oyenera kuwongolera shuga m'mawa pamimba yopanda kanthu, ngati atengedwa madzulo. Komanso, ngati Siofor kapena Glucofage wokhazikika amakupangitsani kutsegula m'mimba, yesetsani kuloweza ndi Glucofage Long.

Kodi mankhwalawa amakhudza bwanji chiwindi ndi impso?

Samalani gawo lomwe lili ndi contraindication mu malangizo ogwiritsa ntchito. Glucophage imaphatikizidwa ndikulephera kwa chiwindi, komanso kulephera kwaimpso pakati komanso magawo otsogola. Ndi matenda owopsa a chiwindi ndi impso, sachedwa kuthandizidwa ndi matenda ashuga.

Nthawi yomweyo, mapiritsi a metformin amatha ndipo ayenera kumwedwa ndi odwala omwe ali ndi mafuta a hepatosis - kunenepa kwambiri kwa chiwindi. Pamodzi ndi zakudya zama carb ochepa komanso zochita zolimbitsa thupi, mankhwalawa amathandizira odwala. Mafuta a hepatosis amasowa msanga anthu atayamba kutsatira zomwe tafotokozazi patsamba lino. Mavuto ena, monga ngati dzanzi m'miyendo, amafunika nthawi yochuluka yochira.

Kuchepetsa thupi

Glucophage ndi chida chotchuka cha kuchepa thupi, monga mankhwala enanso okhala ndi metformin. Mankhwalawa amathandizira kuchepa mapaundi owonjezera osati kokha kwa odwala omwe ali ndi matenda ashuga, komanso kwa anthu omwe ali ndi shuga wabwinobwino. Metformin ndi mankhwala okhawo omwe amathandizira kuti achepetse thupi popanda kuvulaza thanzi. M'malo mwake, idzasintha zotsatira za mayeso a cholesterol ndi triglycerides. Ndemanga ya anthu omwe amatenga glucophage kuti achepetse thupi amatsimikizira kugwira ntchito kwake. Komabe, kunenepa kwambiri sikuyamba kumachoka nthawi yomweyo, koma pakatha milungu ingapo. Mutha kuyembekezera kutaya mapaundi ochepa, koma mapiritsi a metformin sangakhale othandizira kukwaniritsa kulemera kwanu koyenera.

Glucophage ndi Siofor chifukwa cha kuwonda: kuwunika kwa wodwala

Kuti muthane ndi kunenepa kwambiri, muyenera kumwa Glucofage molingana ndi njira zomwezo monga zodwala. Yambani ndi mlingo wocheperako wa 500-850 mg patsiku ndikuwonjezera pang'onopang'ono mpaka muyeso wovomerezeka. Mutha kuyembekezera kuti chifukwa cha mankhwalawa kulemera kwanu kwamthupi kumatsika ndi 2-3 kg popanda kusintha kwa zakudya komanso kuchuluka kwa zolimbitsa thupi. Ngati muli ndi mwayi, mudzatha kutaya 4-8 kg. Glucophage iyenera kutengedwa mosalekeza kuti zotsatira zabwino zithe. Pankhani ya kusiya mankhwala, gawo la ma kilogalamu otayika limatha kubwerera, kapena ngakhale izo. Webusaitiyi endocrin-patient.com ilimbikitsa kusinthana ndi zakudya zama carb ochepa kuti muchepetse kuwonda kwambiri.

Insulin ndi mahomoni omwe samangokhudza mayamwidwe a glucose, komanso amathandizira kutsimikiza kwamafuta, amalepheretsa kuchepa kwa minofu ya adipose. Anthu omwe amakonda kunenepa kwambiri amakhala ndi insulini yambiri m'magazi awo. Tiziwalo tawo tili ndi chidwi chocheperako cha timadzi timeneti. Vutoli limatchedwa insulin kukana. Mankhwala Glucophage amachotsa pang'ono, mulingo wa insulin m'mwazi umachepa. Izi ndizothandiza kwa anthu onenepa kwambiri, komanso kwa odwala omwe ali ndi matenda ashuga a 2. Pafupifupi mwachizolowezi kuchuluka kwa insulin m'mwazi, ndizosavuta kuchepetsa thupi. Zakudya zamafuta ochepa zimathandizira kukana insulin kuposa Glucofage. Zotsatira zoyenera zimaperekedwa poyang'anira nthawi yomweyo zakudya komanso kumwa mapiritsi a metformin.

Momwe angatenge

Musanatenge Glucofage kuti muchepetse thupi kapena motsutsana ndi matenda ashuga, werengani mosamala malangizo omwe angagwiritsidwe ntchito. Onetsetsani kuti mulibe zotsutsana. Onani zotsatira zoyipa.Mvetsetsani kusiyana kwa mapiritsi a Glucofage Long komanso ochiritsira a metformin, omwe mankhwalawa ndi abwino pazolinga zanu. Ndikofunika kuyesedwa koyesa ntchito ya chiwindi ndi impso, komanso kufunsa dokotala. Komabe, metformin imawonedwa ngati mankhwala otetezeka kotero kuti imagulitsidwa m'masitolo osakanizidwa ndi mankhwala.

Glucophage nthawi zambiri imayambitsa matenda am'mimba komanso mavuto ena am'mimba. Kuti muchepetse, kapena ngakhale mupewe kwathunthu, yambani kumwa ndi osachepera 500-850 mg patsiku. Imwani mankhwalawa ndi zakudya. Mutha kuonjezera mlingo ndi 500 kapena 850 mg patsiku kamodzi pa sabata kapena masiku khumi ndi anayi, ngati wodwalayo angalekerere kulandira bwino chithandizo. Mulingo wovomerezeka tsiku lililonse ndi 2000 mg wa mankhwala Glucofage Long ndi 2550 mg (mapiritsi atatu a 850 mg) a mapiritsi wamba a metformin. Uwu ndiye mulingo woyenera wochizira kunenepa komanso kuwongolera matenda amtundu wa 2.

Odwala omwe ali ndi matenda oopsa a shuga amatha kuphatikiza kugwiritsa ntchito mankhwala Glucophage ndi jakisoni wa insulin. Metformin imachepetsa kufunika kwa insulin pafupifupi 20-25%, ndipo kusinthika kwa chakudya chama carb kotsika ndi 2-10 nthawi. Kwa odwala matenda ashuga, chiopsezo cha kubaya jakisoni kwambiri komanso kupangitsa kuti hypoglycemia ichuluke. Kuyambanso kumwa metformin, ndibwino kuti muchepetse kuchuluka kwa insulini, ndikuwonjezera mosamala ngati pakufunika kutero.

Glucophage ndiofunikira koma osati gawo lalikulu la mankhwala othandizira odwala matenda ashuga a 2. Chithandizo chachikulu ndi chakudya, ndipo mapiritsi ndi insulin amangowonjezera.

Kuchepetsa kukalamba

Anthu ena amatenga Glucophage kuti atalitse moyo wawo. Anthu ocheperako athanzi a prophylaxis safunanso mlingo wofanana ndi odwala matenda a shuga komanso kunenepa kwambiri. Mwinanso adzakhala ndi zokwanira ndi 500-1700 mg patsiku. Tsoka ilo, palibe chidziwitso chokwanira pamtundu wa metformin monga machiritso okalamba. Kafukufuku wokhudza nkhaniyi akupitirirabe, zotsatira zawo sizikuyembekezeka posachedwa. Mapiritsi a Glucophage Kutalika kwa mapiritsi sangathe kutafunidwa, muyenera kumeza lonse. Mankhwalawa sangathe kuyambitsa matenda otsegula m'mimba komanso zotsatira zina kuposa metformin yokhazikika, yomwe imamwa nthawi yomweyo. Onani patsamba ili kanema wa Elena Malysheva wokhudza kumwa metformin ngati mankhwala okalamba.

Kodi ndiyenera kumwa mankhwalawa kwa nthawi yayitali bwanji? Kodi ndizotheka kumwa Glucofage nthawi zonse?

Glucophage sindiwo mankhwala ochizira maphunziro. Ngati muli ndi zisonyezo zakugwiritsa ntchito kwake, ndipo mavuto ake amatha kulekerera, ndiye kuti muyenera kumwa mapiritsi pafupipafupi, tsiku lililonse, popanda kusokonezedwa. Ngati mankhwalawo amalekeka, kuchuluka kwa shuga m'magazi kumakulirakulira, ndipo mapaundi ena owonjezera omwe atayika abwerera.

Nthawi zina anthu omwe ali ndi vuto la kunenepa kwambiri komanso mtundu wa 2 matenda a shuga amatha kutsika thupi kwambiri, amasintha momwe amaganizira komanso kagayidwe. Zikatero, mutha kukana kutenga metformin popanda zotsatira zoyipa. Koma sizotheka.

Kodi mapiritsiwa ndi osokoneza bongo?

Pakapita kanthawi wodwalayo atapeza mlingo waukulu wa metformin, shuga ndi magazi ake zimachepa. Amakhala okhazikika, ndipo zili bwino. Mankhwala Glucophage amathandizira pakapita nthawi matendawa, koma sikuti ndi vuto komanso sangathe kuchiritsa kwathunthu. Kuti muthane ndi matenda a shuga kapena matenda ashuga, simuyenera kumwa mapiritsi okha, komanso kutsatira zakudya komanso masewera olimbitsa thupi.

Odwala omwe samakhala ndi moyo wathanzi, shuga wamagazi amadzuka pakapita zaka. Zikatero, ndikotheka kudandaula kuti mankhwalawa ndi osokoneza bongo. M'malo mwake, vuto ndiloti simukutsatira malamulowa. Kudya zakudya zoletsedwa, komanso kumangokhala phee, kumawononga thupi. Satha kulipirira piritsi lililonse, ngakhale yapamwamba kwambiri komanso yokwera mtengo.

Kodi ndiyenera kudya zakudya ziti mukamamwa mankhwalawa?

Zakudya zama carb ochepa ndizo njira yokhayo yoyenera kwa odwala omwe ali ndi kunenepa kwambiri, prediabetes ndi matenda a shuga a 2. Unikani mndandanda wazakudya zoletsedwa ndikuzichotseratu kuzakudya zanu.Idyani zakudya zopatsa thanzi komanso zopatsa thanzi, mutha kugwiritsa ntchito mndandanda wazakudya sabata limodzi. Zakudya zama carb ochepa ndizo chithandizo chachikulu cha matenda ashuga amtundu wa 2. Iyenera kuthandizidwa ndikugwiritsa ntchito mankhwalawa Glucophage, ndipo, ngati pakufunika,, jekeseni wa insulini wochepa. Kwa anthu ena, zakudya zamafuta ochepa zimakuthandizani kuti muchepetse thupi, pomwe ena, sichoncho. Komabe, iyi ndi chida chabwino kwambiri chomwe tili nacho. Zotsatira za kudya kwamafuta ochepa, zamafuta ochepa kwambiri ndi zoyipa kwambiri. Mwa kusinthira ku chakudya chamafuta ochepa, muthanso shuga wanu wamagazi, ngakhale ngati simungathe kuchepetsa thupi kwambiri.

Kodi glucophage imachulukitsa kapena kuchepetsa magazi?

Glucophage sikuchulukitsa magazi. Zimawonjezera pang'ono zotsatira zamapiritsi oopsa - okodzetsa, beta-blockers, ACE inhibitors ndi ena.

Mwa odwala matenda ashuga omwe amathandizidwa molingana ndi njira za endocrin-patient.com, kuthamanga kwa magazi kumatsikira mofulumira. Chifukwa umu ndi momwe chakudya chamafuta ochepa chimagwirira ntchito. Amachotsa madzimadzi owonjezera kuchokera mthupi, amachotsa edema ndikuwonjezera nkhawa pamitsempha yamagazi. Glucophage ndi mankhwala osokoneza bongo omwe amapangitsa kuti magazi azikhala ochepa. Ndi kuthekera kwakukulu, mudzafunika kusiyiratu mankhwala omwe amachepetsa kuthamanga kwa magazi. Izi sizokhumudwitsa :).

Kodi mankhwalawa amagwirizana ndi mowa?

Glucophage imagwirizana ndi kumwa moyenera. Kumwa mankhwalawa sikutanthauza kukhala ndi moyo wopanda nkhawa. Ngati palibe zotsutsana pakutenga metformin, ndiye kuti simukuletsedwa kumwa pang'ono. Onani nkhani ya "Mowa wa Matenda a shuga," yomwe ili ndi zambiri zothandiza. Mwawerenga pamwambapa kuti metformin ili ndi chowopsa koma chosowa kwambiri - lactic acidosis. Nthawi zambiri, mwayi wokhala ndi vutoli ndi pafupifupi zero. Koma imakwera ndi kuledzera kwambiri. Chifukwa chake, potengera maziko akumatenga metformin sayenera kuledzera. Anthu omwe sangakhale odziletsa ayenera kupewa mowa.

Zoyenera kuchita ngati glucophage sichithandiza? Ndi mankhwala ati omwe ali ndi mphamvu?

Ngati Glucophage atatha kudya masabata ochepa a 6-8 osathandiza kuti muchepetse makilogalamu angapo onenepa kwambiri, tengani mayeso a magazi a mahomoni a chithokomiro, kenako mukaonane ndi endocrinologist. Ngati hypothyroidism (kusowa kwa mahomoni a chithokomiro) akapezeka, muyenera kuthandizidwa ndi mapiritsi a mahomoni omwe dokotala wanu wakupatsani.

Mwa odwala ena omwe ali ndi matenda a shuga a 2, glucophage samachepetsa shuga ya magazi konse. Izi zikutanthauza kuti kapamba watha, kupanganso insulin yake kwatha, matendawa akusintha ngati matenda ashuga akulu amodzi. Mosakhalitsa muyenera kuyamba kubaya insulin. Amadziwikanso kuti mapiritsi a metformin sangathe kuthandiza odwala matenda ashuga. Odwala oterewa amafunika kusinthira insulin mwachangu, osasamala ndi mankhwala.

Kumbukirani kuti cholinga chamankhwala othandizira odwala matenda ashuga ndi kusunga shuga nthawi zonse mkati mwa 4.0-5,5 mmol / L. Ambiri mwa odwala matenda ashuga, Glucophage amatsitsa shuga, koma osakwanira kuti abwezeretse mwakale. Ndikofunikira kudziwa kuti ndi nthawi yanji ya kapamba yomwe singathe kuthana ndi katundu, ndikuthandizira ndi jakisoni wa insulini yochepa. Musakhale aulesi kugwiritsa ntchito insulin kuwonjezera pa kumwa mankhwala ndi kudya. Kupanda kutero, zovuta za shuga zidzachitika, ngakhale ndi shuga za 6.0-7.0 ndi apamwamba.

Ndemanga ya anthu omwe amamwa Glucofage kuti achepetse thupi komanso chithandizo chamankhwala a shuga 2 amatsimikizira kuti mapiritsiwa ndi othandizira. Amathandizira bwino kuposa Siofor komanso mitengo yotsika mtengo yopanga Russian. Zotsatira zabwino zimapezeka ndi odwala omwe amatsata zakudya zama carb ochepa ndikumwa mapiritsi. Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri amatha kuchepetsa shuga kuti akhale bwino monga momwe zimakhalira ndi anthu athanzi. Ambiri m'mawunikidwe awo amadzitamanso kuti amatha kutaya makilogalamu 15 mpaka 20 owonjezera thupi. Ngakhale chitsimikizo cha kunenepa kwambiri sichingaperekedwe pasadakhale.Tsamba la endocrin-patient.com limatsimikizira anthu odwala matenda ashuga kuti azitha kuyang'anira matenda awo, ngakhale atalephera kuonda kwambiri.

Kuyerekeza kwa mankhwala a Glucophage ndi Siofor: kuwunika kwa wodwala

Anthu ena amakhumudwitsidwa kuti Glucophage sikuti imayambitsa kuwonda msanga. Zowonadi zake, momwe zimakhalira pakuwonekera zimawonekera pasanathe milungu iwiri, makamaka mukayamba kulandira chithandizo chochepa. Mukamachepetsa thupi, mumakhala ndi mwayi wokulirapo zotsatira zazitali. Mankhwala Glucophage Long ndiwocheperako kuposa mankhwala ena onse a metformin kuyambitsa kutsegula m'mimba komanso zina. Kwa anthu omwe akufuna kuchepa thupi, zimathandiza kwambiri. Koma mankhwalawa siabwino kwenikweni kuwongolera shuga m'magazi odwala matenda ashuga pambuyo kudya masana.

Glucophage Kutalika kwa Matenda A 2 A shuga: Kubwereza Kwa Odwala

Ndemanga zoyipa zam'mapiritsi a Glucofage amasiyidwa ndi odwala omwe ali ndi matenda amtundu wa 2 omwe sakudziwa zakudya zamafuta ochepa kapena safuna kusintha. Zakudya zoletsedwa zomwe zimadzaza ndi chakudya zimachulukitsa shuga wamagazi ndikuchotsa thanzi. Kukonzekera kwa Metformin ngakhale jakisoni wa insulin sangabwezele zolakwika zawo. Mwa odwala matenda ashuga omwe amatsatira zakudya zamagulu ochepa zopatsa mphamvu, zotsatira za chithandizo chake sizabwino. Siyenera kulingaliridwa kuti izi zimachitika chifukwa cha kufooka kwa mankhwalawa.

Ndemanga 57 pa "Glucophage ndi Glucophage Long"

Moni Ndili ndi kunenepa kwambiri chifukwa cha hypothyroidism, zaka 24, kutalika 164 cm, kulemera kwa makilogalamu 82. Ndakhala ndikutenga ulingo wa eutirox ndi ayodini kwa zaka zingapo. Ndinkakhala pamazakudya osiyanasiyana, koma panali nzeru zochepa - ndikatha kusweka, kunenepa kwambiri kunabwezedwa ndipo nthawi zambiri kunkakulirakulira. Siofor sakanatha kutenga mapiritsi amodzi chifukwa cha zotsatira zoyipa. Ndaphunzira za Glucophage Long, zomwe zimawoneka kuti zimachita zinthu modekha. Ndawerenga nkhani yanu, komabe mafunso ambiri amakhalabe. Kodi ndingathe kumwa Glucofage Long popanda mankhwala a dokotala? Ngati ndi choncho, ndiyenera kutenga bwanji? Kodi ndizotheka kuphatikiza chida ichi ndi Xenical? Ndikuyembekeza kuwona yankho.

Kodi ndingathe kumwa Glucofage Long popanda mankhwala a dokotala?

Inde, pakalibe zotsutsana

Mapiritsi a Siofor sakanakhoza kutengedwa chifukwa cha mavuto

Zinali zoyenera kugwiritsa ntchito chiwembu chowonjezera pang'onopang'ono. Mwina sipakanakhala mavuto akulu.

ndingatenge bwanji?

Monga tafotokozera m'nkhaniyi

Kodi ndizotheka kuphatikiza chida ichi ndi Xenical?

Ndikadakhala kuti inu ndi inu, ndikadasintha kupita ku chakudya chama carb ochepa (chomwe, mwamwayi, chimakhala chopanda gluten) ndipo sindikanavomereza Xenical

Hypothyroidism (kusowa kwa mahomoni a chithokomiro) ndilo vuto lanu lalikulu. Kuti muwongolere, muyenera kudziwa Chingerezi, phunzirani buku la "Chifukwa Chiyani Ndimakhalabe ndi Zizindikiro za Chithokomiro Changa Pamene Ma Lab Anga Akuyesedwa Bwinobwino" kapena imodzi mwazofanana. Sindinawone zinthuzi ku Russia panobe. Manja omwe sangafikire kusuntha.

Pali lingaliro kuti kumwa mankhwala a ayodini sikungathandize, koma kumakulitsa matenda anu. Ndipo eutirox samachotsa chifukwa.

Masana abwino, wokondedwa Sergey! Ndikufuna upangiri wanu. Zaka 68 zaka, kutalika 164 cm, kulemera kwa 68 makilogalamu, glycated hemoglobin 5.8%. Endocrinologist adati mutenga Glucophage Long 500 mutadya chakudya chamadzulo. Kodi mankhwalawa amafunikira mukamatsatsa zakudya zamagulu ochepa? Pa zolimbitsa thupi, ndimangoyenda mphindi 50-60 chifukwa china chilichonse chimakweza magazi. Zikomo

Kodi mankhwalawa amafunikira mukamatsatsa zakudya zamagulu ochepa?

Zimatengera, choyambirira, pazizindikiro zanu za shuga m'magazi pamimba yopanda kanthu. Kuti mumve zambiri onani nkhaniyi - http://endocrin-patient.com/sahar-natoschak/

Ndimangoyenda kwa mphindi 50-60, chifukwa china chilichonse chimakweza magazi

Mwachidziwikire mumakhala ndi zakudya zochepa za carob. Odwala omwe amaletsa kwathunthu zoletsedwa zakudya, kuthamanga kwa magazi kumabwereranso kwina. Mwazi wa magazi uyenera kusungidwa ndi zochuluka kuposa matenda oopsa.

Moni. Ndili ndi zaka 32. Ndidabwera kwa endocrinologist kuti athetse mavuto a kunenepa kwambiri (kutalika 167 cm, kulemera 95 kg).Ndinadutsa kuyesa kwa magazi ndi mkodzo kwa mahomoni - zonse ndizabwinobwino, kupatula insulin yayikulu kwambiri. Dibicor anali kutumizidwa piritsi limodzi 2 kawiri pa tsiku, komanso Glucofage 500 - 1 piritsi tsiku, amatenga miyezi itatu. Ndawerenga nkhani yanu ndipo funso linadzuka. Kodi pamakhala mlingo wocheperako wa metformin? Mwinanso ndibwino kuti muzitenga katatu patsiku? Tithokoze chifukwa cha yankho lanu.

Kodi pamakhala mlingo wocheperako wa metformin?

Mwakutero, sikokwanira. Koma mulimonsemo, muyenera kuyamba ndi mlingo wochepa, kenako ndikuukweza pang'onopang'ono ngati mulekerera bwino chithandizo.

Ndikukumbutsani kuti chakudya chochepa kwambiri cha carb ndicho chida chachikulu. Ndipo mapiritsi aliwonse, kuphatikiza Glucophage, amangowonjezera chakudya chamagulu.

Moni. Ndili ndi zaka 61. Kutalika kwa 170 masentimita, kulemera kwa 106 kg. Matenda a shuga adapezeka kuyambira mu 2012. Kodi ndizotheka kumwa Glucofage m'mawa mwachizolowezi 850, ndipo usiku kukulitsidwa 500? Kapena m'mawa ndi madzulo, piritsi limodzi linakulitsa 500? Pazakudya zamafuta ochepa kuyambira Disembala 2016. Mkulu wa glucose watsika komanso kulemera kwambiri, koma sizingatheke kuyambitsa shuga.

khalani osintha shuga sikugwira ntchito.

Mwambiri, muyenera kuyambitsa pang'onopang'ono jekeseni wa insulin. Sizokayikitsa kuti mulingo wambiri wa metformin ungakupatseni mwayi wosungirako shuga muzochitika, zomwe zikusonyezedwa pano - http://endocrin-patient.com/norma-sahara-v-krovi/

Kodi ndizotheka kumwa Glucofage m'mawa mwachizolowezi 850, ndipo usiku kukulitsidwa 500?

Mwakutero, ndizotheka, koma sizokayikitsa kuti izi zikukwanira popanda jakisoni wa insulin. Mwakhala mukuyesetsa kwa miyezi ingapo kuti mubweretse shuga kwa nthawi yochepa, koma sikuyenda bwino. Ndawonapo milandu yambiri yotere.

Moni Ndili ndi zaka 63, kutalika 157 cm, kulemera kwa 74 kg. Shuga anali 6.3. Malinga ndi endocrinologist, adamwa Glucofage 1000 m'mawa ndi madzulo miyezi isanu ndi itatu. Zotsatira zake zimakhala zabwino - shuga idatsikira ku 5.1. Dokotala adachepetsa muyeso wanga mpaka 500 mg m'mawa ndi madzulo. Popeza mapiritsi a Glucofage ali ndi alumali moyo wazaka zitatu, mwana wanga nthawi yomweyo adandigulira mapaketi 10 a mankhwalawo kuchokera ku Merck (Spain). Ndazindikira kuti piritsi lililonse pali chithunzi. Funso: kodi ndizotheka kuwagawa m'magawo?

piritsi lililonse lili ndi chithunzi. Funso: kodi ndizotheka kuwagawa m'magawo?

Momwe ndikumvera, malangizo aboma samapereka yankho ku funso ili. M'malo mwanu, ndikanapitiliza kumwa mankhwala a 2 * 1000 mg patsiku, omwe amathandiza kwambiri. Sindikumvetsa chifukwa chake muyenera kuchepetsa mlingo. Pokhapokha ngati pali zovuta zoyipa zomwe simukulemba.

Monga mwachizolowezi, ndikukukumbutsani kuti chithandizo chachikulu ndichakudya chochepa cha carb - http://endocrin-patient.com/dieta-pri-saharnom-diabete/. Mavuto anu azaumoyo amayamba chifukwa cha kusalolera kwa chakudya chamagulu. Mankhwala Glucofage sangapatsenso 10-15% yazodabwitsa zomwe zimapereka kusintha kwa chakudya chopatsa thanzi.

Ndili ndi zaka 67, kutalika 157 cm, 85 85 kg. Zaka zitatu zapitazo, kulemera kwanga kunali 72-75 kg. Mafupa a miyendoyo adadwala, adayamba kuchepera, ndikuyamba kunenepa. Anadutsa mayeso a insulin ndi shuga. Insulin 19.6 mkU / ml. Mluza 6.6 mmol / L. Anapatsidwa Glyukofazh Long 1000 usiku. Choyamba, masabata angapo, adataya 2 kg, izi zidayimitsa kulemera. Anapereka magazi ku mahomoni a chithokomiro - TSH 0.34, T4 okwana 83.9. Mankhwala mapiritsi Laminaria, ndimamwa sabata. Pali kusanthula kwatsopano kwamakina - sindidziwa kuti ndilembe za chiyani. Sindingathe kuthiritsa kulemera! Mwinanso kuwonjezera kudya kwa glucophage? Ndifunikira upangiri. Kuphatikiza apo, ndili ndi matenda oopsa. Ndimatenga concor 5 mg, noliprel 10 + 2,5. Phokoso lowopsa m'mutu mwanga kuyambira 2015. Ndikupanga MRI - zikuwoneka kuti palibe chilichonse chodandaula. Ndipo ndili ndi tchuthi, pomwe phokoso ili kwa tsiku lipendekera. Madokotala amisala ndi ena amati kukhala ndi moyo tsopano. Koma ndi izi mutha kuchita misala, ndikuganiza. Dzulo ndinali phwando laukadaulo wamtima wazachipatala kwa angioneurologist. Adandisangalatsa kuti phokoso m'mutu mwanga silingathe kuthandizidwa, koma ndiyenera kuyesa kupeza dokotala wabwino.

Insulin 19.6 mkU / ml. Mluza 6.6 mmol / L.

Muli ndi metabolic syndrome yomwe yasintha kukhala prediabetes. Chiwopsezo cha kufa chifukwa cha vuto la mtima kapena matenda opha ziwopsezo ndi chambiri kwambiri ngati simutengera zomwe ndimalalikira.

Mwinanso kuwonjezera kudya kwa glucophage?

Ngati mukufuna kukhala ndi moyo, muyenera kuchita zonse zomwe zalembedwa apa - Ht. Ngakhale, makamaka, ndikotheka kuwonjezera pang'onopang'ono mpaka mlingo waukulu wa tsiku lililonse. Koma musayembekezere chozizwitsa kuchokera pamenepa, osasintha moyo wanu.

Kuphatikiza apo, ndili ndi matenda oopsa.Ndimatenga concor 5 mg, noliprel 10 + 2,5.

Pochiza matenda ashuga, zakudya zamafuta sizofunikira, koma ndi matenda oopsa ndizothandiza. Werengani zambiri apa. Osalotanso kuti kumwa mankhwala othandizira kudzakuthandizani m'malo mwa zakudya zanu komanso zolimbitsa thupi. Kusuntha ndikofunikira, kuthana ndi kupweteka palimodzi.

Ndili ndi zaka 50, kulemera kwa makilogalamu 91, kutalika kwa masentimita 160. Magazi operekedwa - shuga 6.6. Anadutsa kwa miyezi itatu - glycated hemoglobin 5.85%. Iwo anati ndizabwinobwino. Koma endocrinologist adalemba Glucofage 2 kawiri pa tsiku 850 mg. Kukhazikika pa chakudya chamafuta ochepa. Kupsinjika kunatsikira mpaka 126/80. Pambuyo pake panali 140/100, ndipo asanafike ku 190. Gastritis. Ndimamwa omeprazole.
Kodi ndiyenera kupitiliza kumwa lisinopril chifukwa chokakamizidwa? Ndipo ameprazole adzaphatikizidwa bwanji ndi mapiritsi a glucophage madzulo?

Simuli wabwinobwino, koma prediabetes. Komanso, ndizotheka, kusowa kwa mahomoni a chithokomiro.

Ngati simusintha momwe mumakhalira, koma pitilizani momwemo, mwayi wopulumukira kupuma pantchito sunakhale wambiri.

Kodi ndiyenera kupitiliza kumwa lisinopril chifukwa chokakamizidwa?

Yesani kuchepetsa pang'onopang'ono mlingo, mpaka kukana kwathunthu kwa mankhwalawa.

momwe omeprazole adzaphatikizidwa ndi mapiritsi a glucophage

Muyenera kuyesetsa kuti muchepetse gastritis popanda kuthandizidwa ndi mankhwalawa komanso mawonekedwe ake. Ndizowopsa kuposa mapiritsi omwe mumawafunsa. Chifukwa, chifukwa cha kulepheretsa katulutsidwe wa chapamimba, michere kuchokera ku chakudya sichiperewera, chiopsezo cha khansa yam'mimba chimawonjezeka. Muyenera kukulitsa chizolowezi chotafuna kudya pang'onopang'ono komanso bwino, osadya mwachangu. Kanani kusuta ndi kuwotcha (kwambiri yokazinga) chakudya. Chifukwa cha izi, gastritis yokha idzadutsa.

Moni, ndizotheka kuphatikiza Glucofage Long 1000 ndi mapiritsi opanikizika, makamaka, perindopril?

Kodi Glucofage Long 1000 ingaphatikizidwe ndi mapiritsi opanikizika, makamaka perindopril?

Mwakutero, ndizotheka, koma ndikadakambirana ndi adotolo ngati ndikadakhala inu. Mulimonsemo, phunzirani zotsutsana musanamwe mankhwala atsopano.

Ndikuwonetsa chidwi chakuti zakudya zamafuta ochepa - http://endocrin-patient.com/dieta-pri-saharnom-diabete/ - zimathandiza anthu omwe ali onenepa kwambiri kuchokera ku matenda oopsa. Mlingo wa mapiritsi kuchokera kupsinjika umatha kuchepetsedwa, nthawi zina mpaka kulephera kwathunthu.

Masana abwino Zaka 36 zaka, kutalika 168 masentimita, kulemera kwa 86 kg. Malinga ndi kusanthula, shuga ndi 5.5 insulini 12. Adatcha Glucofage Long 500 mg kwa miyezi itatu ndipo ndimapiritsi angapo - vitamini B12, folic acid, iodomarin, nthaka. Ndili ndi chizolowezi chomachita ziwonetsero zosiyanasiyana. Ndikuwopa kuti edema ya Quincke idzachitika. Kodi Mankhwala Glucofage amakhala bwanji?

Kodi Mankhwala Glucofage amakhala bwanji?

Pamaso pokhapokha, ndi clairvoyant yekha amene anganenere ngati simudzakhala bwino ndi mapiritsiwa kapena ayi.

Monga lamulo, kusinthana ndi chakudya chochepa cha carb kumachepetsa chitetezo cha mthupi ndipo kumachepetsa zovuta zonse zowoneka. Chifukwa gluten, zipatso za malalanje ndi zina zonse zomwe zimatsalira zimasiya zakudya za anthu.

Zaka 56, kutalika 164 cm, kulemera makilogalamu 69. Mtundu 2 wa shuga, hypothyroidism, osteochondrosis. Ntchito yopumira! TSH yachibadwa

6, glycated hemoglobin

6% Ndimatenga Glucofage Long 750, eutirox 75 ndi rosuvastatin 10 mg. Masana ndizotheka kusunga shuga, incl. ndi mathandizo anu. Komabe, ngakhale mutatenga Glucofage Long komanso chakudya cham'mawa choyambirira, shuga yothamanga idakali ndi 6.0-6.5. Kuphatikiza pa nthawi yomwe amakhala kunyanja, ndiye kuti patsiku lachiwiri shuga limabweranso! Chifukwa chiyani, mwa njira? Ndipo ndizotheka kuphatikiza izi? Funso lina: kodi ndingatenge mavitamini D3 ndi Omega 3 (Solgar) nthawi imodzi? Chonde ndiuzeni mitundu ndi maphunziro. Zikomo

ngakhale mutatenga Glucofage Long komanso chakudya cham'mawa choyambirira, shuga yothamanga imakhalabe ndi 6.0-6.5.

Chifukwa chake, muyenera kupaka insulin yayitali usiku. Palibe yankho losavuta kwa inu.

Kodi ndingatenge mavitamini D3 ndi Omega 3 (Solgar) nthawi imodzi?

Inde, amaphatikizidwa. M'malo mwake, mafuta a nsomba ndi ochepa mu vitamini D3.

Chonde ndiuzeni mitundu ndi maphunziro.

Sakani tsamba la Zaumoyo.

Zaka 66 zaka, kutalika 164 cm, kulemera kwa 96 kg.Cholesterol 4.7 pamene mukumwa mapiritsi a rosuvastatin 5 mg patsiku. Shuga 5.7. Nthawi zina mawonekedwe a paraxismal atria fibrillation amamveka. Ndimasunga zopanikizika nthawi zonse. Ndikuvomereza: m'mawa sotaprolol, omega-3, madzulo a Valsartan 40 mg, Pradaxa 150 mg, rosuvastine 5 mg. M'mwezi watha ndakhala ndikugwiritsa ntchito makandulo a Estronorm pazalangizo la dokotala wazamankhwala. Nyengo yozizira iyi inayamba kulemera kuyambira 92 mpaka 96 kg. Zowona, ndi chakudya chomwe ndimachimwa - chimanga, malalanje, nthawi zina zinthu zophika. Sindimadya kwambiri, ngakhale chifukwa cha kusowa tulo ndimatha kuluma nthawi ya 2 a.m. Ndiyenera kumwa Glucophage ndi mlingo uti? Koyambira?

Ndiyenera kumwa Glucophage ndi mlingo uti?

Zingakhale zopanda ntchito popanda kusinthira pakudya chamagulu ochepa a carb - HTTP:

Zowona, ndi chakudya chomwe ndimachimwa - chimanga, malalanje, nthawi zina zinthu zophika.

Zonsezi zibwera kwa inu m'mbali, ngakhale osati pomwepo. Ngakhale, inde, kutengera kuchuluka ndi momwe mukufuna kukhalira. Ngati mukukhuta kwakanthawi kochepa komanso zilonda - palibe funso, pitilizani.

Nthawi zina mawonekedwe a paraxismal atria fibrillation amamveka.

Ndikofunika kumwa mankhwala a magnesium-B6 mu milingo yayikulu, monga momwe amavomerezera ndi mitundu ina ya mankhwala

Muli ndi tsamba labwino! Ndinawerenga mosavuta komanso mosangalatsa! Chilichonse ndichopepuka, chopezeka komanso chosangalatsa! Ndidaphunzira ndekha. Zikomo chifukwa chantchito yabwino kwambiri imeneyi!
Ndili ndi zaka 30, ndipo kutalika kwa 171 cm - kulemera 90 kg, ndiye kuti, zochuluka. Kulemera kumeneku kwakhala kukugwira ntchito kwa zaka zingapo, ngakhale poyamba kunali kochepa thupi. Ndinkakhala pamazakudya ambiri, kutaya makilogalamu 4-5 pa sabata, kenako ndikuthyoka ndipo mwachangu ndinabweza zolemera. Ndikumvetsa kuti izi sizolondola.
Ndinaganiza zothandizidwa ndi gynecologist-endocrinologist. Ndinkapereka magazi kuma mahomoni. Zinapezeka kuti hemoglobin ya glycated ichulukitsidwa - HbA1c = 6.37%. Insulin ilibe malire, koma patsiku la 24.3 μMe / ml.
Adotolo adandiuza Glucofage kawiri pa tsiku kwa miyezi ingapo, mpaka ndichepetse thupi labwino, komanso zakudya zamafuta ochepa - kuti muchepetse michere "yofulumira" momwe ndingathere. Komanso ndikuchenjezanso kuti ngati mungayendetse zonsezi, mutha "kuyendetsa" ku matenda ashuga! Zowopsa.
Ngati ndi kotheka, chonde lembani zochitika zanga. Kodi mankhwalawo amathandizidwa moyenera, ndipo ndingatani ndi matenda awa?

Zinapezeka kuti hemoglobin ya glycated ichulukitsidwa - HbA1c = 6.37%.

Boma, ichi ndi prediabetes, ngakhale itakhala yoopsa bwanji. Ndikukuuzani kuti ndi shuga wofatsa kale. Ngati sagwiridwe ntchito mwachilungamo, pamakhala mwayi wina woti mupulumuke.

Kodi mankhwalawa amayikidwa molondola?

Mankhwalawa amalembedwa molondola. Onjezani mlingo pang'onopang'ono, monga momwe athandizira patsamba lino. Zakudya zamafuta ochepa zimagwira ntchito ngati mutachotsa zakudya zonse zoletsedwa, osati chakudya chokhacho chokhacho.

Ndichite chiyani ndi matendawo?

Zingakhale bwino kumayesa mayeso a mahomoni a chithokomiro.

Madzulo abwino Adotolo adatcha Glucofage Long. Ndiuzeni, chonde, kodi zingagwiritsidwe ntchito nthawi yomweyo ndi Regulon? Kusamba sanali miyezi 4. Posachedwa ndidamwa masiku 10 Duphaston. Dotolo adayikiranso Regulon, koma sindinamvetsetse, zitha kuyambitsidwa patsiku loyamba la kusamba? Ndikhala othokoza chifukwa cha yankho)))

Adotolo adatcha Glucofage Long. Ndiuzeni, chonde, kodi zingagwiritsidwe ntchito nthawi yomweyo ndi Regulon?

Funso ili kupitilira luso langa. Kambiranani ndi azachipatala anu.

Moni Ndili ndi zaka 63, kutalika 168 cm, kulemera 78 kg. Novembala watha, matenda a prediabetes adapezeka chifukwa cha kusala kudya kwa glucose a 6.4-6.8. Glycated hemoglobin 5.3%. Ndili ndi chakudya chamafuta ochepa. Shuga m'mawa poyamba adatsika mpaka 5.8-6.1. Koma kenako adabwerako pafupifupi 6.5. Ndinayamba kumwa Metformin 500 mg usiku. Zizindikiro 5.9-6.1. Ndawerenga patsamba lanu kuti Glucofage Long ndiyabwino. Ndimamwa piritsi limodzi la 750 mg mgonero. Shuga 6.8 m'mawa. Kodi nthawi yayitali yoyenera kutenga Glucophage ndi iti? Ndimadyera chakudya chamadzulo 8, ndikagone pakati pausiku. Mukupangira chiyani? Zikomo)

Pimani magazi a C-peptide. Malinga ndi zotsatira zake, zitha kuzindikirika kuti muyenera kuyamba kubaya insulin pang'ono. Osangotsatira kadyedwe komanso kumwa mankhwala.

Glucophage Kutalika. Ndimamwa piritsi limodzi la 750 mg mgonero.

Awa ndi mlingo wocheperako, womwe palibe nzeru. Tengani mankhwala omwe akuwonetsedwa m'nkhaniyi.

Moni. Zaka 26 zaka, kutalika 167 cm, kulemera 70 kg. Zotsatira za kusanthula: TSH - 5.37, T4 yaulere - 16.7, shuga - 5.4, insulini - 6.95.Endocrinologist adalamula L-thyroxine 100, glucophage 500 mg 2 kawiri pa tsiku, sananene chilichonse chokhudza zakudya. Ndimamwa mankhwalawa kwa miyezi itatu, koma kulemera kwake kumakhalabe. Pambuyo pa nkhani yanu, ndazindikira kuti simungathe kuchita popanda kudya mafuta ochepa. Ndiuzeni, kodi ndiyenera kuwonjezera kuchuluka kwa mapiritsi a glucophage? Ndikufuna kuchepetsa thupi, chaka chapitacho anali 58 kg.

Ndiuzeni, kodi ndiyenera kuwonjezera kuchuluka kwa mapiritsi a glucophage?

Inde, mutha kuyesa kuwonjezera pang'onopang'ono

Zakudya zamafuta ochepa ndizofunikira kuposa kumwa mankhwala.

Onaninso njira zina zochizira matenda a hypothyroidism, zomwe zimachokera ku buku la Nei Kodi Ndimamasiyanabe ndi Zizindikiro Zanga Za Labu Ngati Zachilendo. Yesani kumwa zowonjezera, koma osadya zipatso ndi michere ina yoyipa.

Madzulo abwino Ndili ndi zaka 54, ndimakhala ndi moyo wathanzi, shuga ndi glycated hemoglobin ndizovuta zina, kulemera kwa 110 makilogalamu ndi kutalika kwa 178. Ndimayesetsa kulimbana ndi kulemera kwa zaka zingapo, ndimatha kutsika mpaka 10 kg, koma nthawi yachisanu imalembanso. Palibe mavuto mu endocrinology, koma adalangizidwa kumwa Glucofage Long 750, mapiritsi 2 patsiku. Ndakhala ndikumwa kwa nthawi yopitilira sabata, zotsatira zake ndizochepa. Kodi ndiyenera kuwonjezera mlingo? Zikomo kwambiri pasadakhale yankho lanu.

Ndakhala ndikumwa kwa nthawi yopitilira sabata, zotsatira zake ndizochepa. Kodi ndiyenera kuwonjezera mlingo?

Inde, mutha kuyesa kuchuluka kwa mapiritsi atatu patsiku. Komabe, zakudya zamagulu ochepa pamutu panu ndizofunika kwambiri kuposa mankhwala aliwonse.

Moni, ndili ndi zaka 32, kutalika 157 cm, kulemera 75 kg. Pambuyo pa kubadwa, zaka 7 zidapita, kunenepa ndi 60 makilogalamu, sizinathandize kuti muchepetse thupi pazaka zambiri. Anadutsa mayeso a TSH - 2,5, insulin - 11, shuga - 5.8.
Adalemba Glucophage Long 500 mg madzulo, miyezi itatu, ndi multivitamin wina.
Kodi ndi mlingo wocheperako? Mukuganiza kwanu, kodi chithandizocho chimapangidwadi molondola? Zikomo

Zochepa, mutha kuyesa kuwonjezera pang'onopang'ono

Mukuganiza kwanu, kodi chithandizocho chimapangidwadi molondola?

Ngati simukulimbikitsidwa kudya chamafuta ochepa, ndiye kuti sizolondola

Moni, ndili ndi zaka 45, ndakhala ndikudwala matenda ashuga a 2 kuyambira 2012. Kodi tikulimbikitsidwa kuti mutenge Glucophage Kutalika kwausiku - ndi chakudya chomaliza pa maola 18 kapena mtsogolo? Mlingo wanga watsiku ndi tsiku ndi 2000 mg. Zingati kuti zitenge usiku? Kapena gawani zonse zomwe zimachitika tsiku lililonse mu Mlingo wofanana? Zikomo kwambiri yankho lanu.

Ndikulimbikitsidwa kutenga Glucofage Kutalika kwausiku - ndi chakudya chomaliza m'maola 18 kapena mtsogolo?

Kuti musinthe shuga m'mawa pamimba yopanda kanthu, tengani usiku musanagone, mochedwa momwe mungathere

Mlingo wanga watsiku ndi tsiku ndi 2000 mg. Zingati kuti zitenge usiku? Kapena gawani zonse zomwe zimachitika tsiku lililonse mu Mlingo wofanana?

Kuwona zovuta zanu za m'mawa m'mimba yopanda kanthu

Moni. Ndili ndi zaka 53. Matenda a shuga 2. Analemba Glyukofazh Long. Mankhwalawa amalimbikitsa kuchuluka kwa shuga, koma ndimachepetsa thupi poyambira kudya. Ndi kutalika kwanga kwa masentimita 170, kulemera kwake ndi 67 kg - izi ndizabwinobwino, zinali 75 kg. Ndikuopa kuwonda pang'ono, chifukwa cha izi ndinasiya kumwa mapiritsiwo. M'malo mwake, adotolo adatcha Vipidia. Mukuti chiyani pamankhwala awa?

Ndi kutalika kwanga kwa masentimita 170, kulemera kwake ndi 67 kg - izi ndizabwinobwino, zinali 75 kg. Ndikuwopa kuchepa thupi

Amakhulupirira kuti kulemera kwabwinobwino kwa thupi kuyenera kuganiziridwa malinga ndi kakhalidwe osatinso kuti "kukula komatu 100", koma "kukula kwa kukula 110". Ndingathenso kuyezetsa magazi a C-peptide m'malo mwanu kuti ndimayesere matenda amtundu wa matenda a shuga a m'mbuyomu akuluakulu (LADA).

Adotolo adatcha Vipidia. Mukuti chiyani pamankhwala awa?

Mankhwala okwera mtengo komanso ofooka. Imakhala yofooka kuposa metformin.

Tsiku labwino! Ndili ndi zaka 29, kutalika 180 cm, kulemera kwa makilogalamu 125, kudutsa hemoglobin 5.4%. Sabata yapitayo, ndinayamba kutsatira zakudya zopanda chakudya chopatsa thanzi, kupatula zhor usiku, kumwa mowa ndi mowa, tsopano makilogalamu 120 ndiye kulemera kwanga. Amayi ali ndi matenda a shuga, phazi la matenda ashuga. Funso: Kodi nkoyenera kutenga Glucophage mumkhalidwe wanga? Kodi ndi mayeso ena ati omwe amafunikira?

Kodi ndizoyenera kutenga Glucophage mumkhalidwe wanga?

Mutha kuyesa kuthamanga kuti muchepetse kunenepa.

Ndinkayang'ana magazi anu pamalo anu nthawi zonse.

Kuyesedwa kwa magazi kwa cholesterol ndi triglycerides kunayenera kudutsitsidwa musanayambe zakudya zamafuta ochepa. Kenako mutha kuchita chidwi ndi zomwe zotsatira zawo zimakhala zabwino.

P. S. Vinyo wofiira woletsedwa saloledwa. Vodka, makamaka,. Kusaina mpaka 100% teetotriers sikofunikira.

Masana abwino The endocrinologist zotchulidwa Glucophage Long 1000 mg.Pambuyo pokweza, insulin imakulitsidwa, komanso ndi kuchuluka kwa masentimita 169, kulemera kwake ndi 84 kg. Mayeso ena ndi abwinobwino. Ndikonzekera kutenga pakati. Ndiuzeni chonde, kodi ndizotheka kutenga glucophage mukakonzekera kutenga pakati?

Kodi ndizotheka kutenga glucophage pokonzekera kutenga pakati?

Inde, ndipo mpaka 2550 mg patsiku (3 zina 850 mg) kuonjezera mwayi wokhala ndi pakati.

Mukakhala ndi pakati - siyani. Ngati mwapezeka mwangozi milungu ingapo yoyambirira mwadzidzidzi kuti mukhale ndi pakati, ndiye kuti zili bwino.

Komabe, lingalirani za momwe mimbayo ikukhudzira thupi lanu komanso ngati ndiyoyenera kulowa. Pali gulu la VKontakte "chisangalalo cha kukhala amayi."

Moni. Pambuyo pa kubadwa kwachiwiri ndidapeza 30 kg. Zakudya ndi kulimbitsa thupi zilibe zotsatira. Kodi Glucophage ndiwothandiza kumwa kwambiri? Kutalika kwa 160 cm, kulemera kwa makilogalamu 82, zaka 34.

Kodi Glucophage ndiwothandiza kumwa kwambiri? Kutalika kwa 160 cm, kulemera kwa makilogalamu 82, zaka 34.

Muyenera kusinthira ku chakudya chamafuta ochepa, komanso kumwa mapiritsi molingana ndi chiwembu chofotokozedwa patsamba lino.

Komanso m'malo mwanu ndikadatenga mayeso a magazi a mahomoni a chithokomiro, makamaka kwa T3 yaulere.

Masana abwino, Sergey!
Zikomo kwambiri pazabwino komanso kutengapo gawo!
Ndili ndi zaka 27, kutalika 158 cm, 80 80 kg. Shuga ndi wabwinobwino, mahomoni onse, chithokomiro chazinso, komabe, kunenepa kwambiri kwa digiri yachiwiri. Zakudya zamafuta ochepa sizinathandize, adotolo adati chifukwa chotengera ma COC. Endocrinologist adalangiza Glucofage yayitali + chakudya chamafuta ochepa.
M'miyezi 3.5 idatenga 10 kg! Anatenga mlingo wa 1500 mg.
Koma tsopano kulemera kwanyamuka, kwa mwezi ndi theka palibe chomwe chasintha. Ndidayesa kuwonjezera mlingo mpaka 2000, palibe zotsatira, zimangokhala miseru, koma ndizovomerezeka.
Chifukwa chiyani kulemera kunasiya kugwera? Mwina muyenera kupuma? Ngati ndi choncho, mpaka liti?

kutalika 158 masentimita, kulemera 80 makilogalamu. Shuga ndi wabwinobwino, mahomoni onse, chithokomiro komanso

Simakhulupilira kuti ngati munthu wonenepa kwambiri sakhala ndi hypothyroidism. Sipangoyenera kuwerengera pa kusanthula pa TSH. Muyenera kuyang'ana gulu lonse, makamaka T3 yaulere.

Dotolo adatinso chifukwa chotsatira kukhazikitsidwa kwa ma COC.

Ndikadakhala kuti ndine inu, ndikadayesedwanso kuti khungu la ovary.

Mwina muyenera kupuma? Ngati ndi choncho, mpaka liti?

Ndikuganiza kuti ndi nzeru kuti nthawi zonse mutenge Glucophage, osapuma. Izi sizoyipa.

Onerani kanema wanga pazakudya za ketogenic. Pezani patsamba la patsamba.

Moni Sergey! Zaka 58 zakubadwa. Glucose, insulin, mahomoni a chithokomiro ndi abwinobwino. Sindimadya zotsekemera. Matenda oopsa PCES. Kulemera kwambiri. The endocrinologist adandiuza Glucofage kutalika 500 mg ndi kuwonjezeka pang'onopang'ono mpaka 1000 mg kamodzi patsiku, madzulo, ola limodzi mutatha kudya. Kuchepetsa thupi. Nthawi yomweyo, chakudya chamadzulo sichidutsa maola 17-18, mapuloteni. Pewani chakudya chamafuta. Kodi zimatenga kutenga Glucofage nthawi yayitali pa maola 18 mpaka 19? Ndizodabwitsa. Mumalimbikitsa kuti mutenge mankhwalawa usiku. Ndasokonezeka, njira yabwino kwambiri yochepetsera kuchepa thupi ndikuyenda bwino kwambiri? Kodi njira yabwino yothanira ndi piritsi ndi madzi yayikulu kapena yaying'ono ndi iti?

Mumalimbikitsa kuti mutenge mankhwalawa usiku.

Izi zimagwira ntchito kwa odwala matenda ashuga omwe ali ndi vuto la shuga m'mimba pamimba yopanda kanthu

Kodi njira yabwino yochepetsera thupi kumakhala yothandiza kwambiri ndi iti?

Bweretsani mlingo kwa 3 * 850 = 2550 mg patsiku. Tengani katatu pa tsiku ndi chakudya.

Kodi njira yabwino yothanira ndi piritsi ndi madzi yayikulu kapena yaying'ono ndi iti?

Madzi ochulukirapo sangapweteke thupi lanu, kumwa kwambiri.

Mwamuna, wazaka 66. Palibe shuga, koma onenepa kwambiri.
Kodi pali kusiyana pamomwe mungatengere Glucofage Long ndi T2DM kapena kuchepa thupi?

Simufunikanso kuyang'ana pakumwa usikuwo. Mutha kumwa iwo katatu pa tsiku kwa 500-850 mg ndi chakudya.

Kodi ndizotheka kuphatikiza kugwiritsa ntchito Glucofage motalika ndi mawonekedwe amadzimadzi a Kanefron N (amadzimadzi amadzimadzi a zitsamba), ngati mapiritsi a metformin samalimbikitsa osati mowa wokha, komanso mankhwala omwe amakhala ndi mowa?

Kodi ndizotheka kuphatikiza kulandira Glucofage motalika ndi mawonekedwe amadzimadzi a Kanefron N

Popewa miyala ya impso, ndikukulangizani kuti musatenge Kanefron, koma magnesium pamapiritsi, 400-800 mg patsiku, yabwino kwambiri monga citrate.

Ndikukayika kuti Kanefron amabweretsa phindu lililonse.

Ndilibe mafunso pano, koma werengani ndi chidwi chachikulu! Zikomo chifukwa chothandiza kwambiri.

Ndili ndi zaka 66, zolemera makilogalamu 94. Amalembetsa za matenda a shuga a mtundu wachiwiri pafupifupi zaka 10. Kuthamanga shuga 5.8-6.5. Cholesterol anagwetsedwa ndi 6.85 ndi ma statins mpaka 4.84, koma ndizovuta kumwa mapiritsi awa, mbali yake ndiyolimba pakumalumikizana ndi minofu, palibe mphamvu yopirira.Ndidayesera kumwa Glucofage nthawi yayitali 750 madzulo 1 nthawi, komanso mavuto am'mimba. Ndimamwa m'mawa okha a Diabetes. Ndimayesetsa kutsatira zakudya zamafuta ochepa. Kulemera sikutha, ngakhale ndimachita masewera olimbitsa thupi m'mawa 3-4 pa sabata kwa mphindi 45. Ndimapitilizanso 3-4 km 2-3 kawiri pa sabata. Hypertension, ndimakonda kumwa mankhwala osokoneza bongo m'mawa. Dokotala adawonjezera concor 5 mg usiku. Alangizeni choti achite.

Phunzirani bwino tsambali ndikutsatira zomwe akutsimikiza. Mutha kundiwerengenso pamasamba ochezera, za cholesterol yomwe ndimakonda kulemba pamenepo.

Masana abwino Ndili ndi zaka 30, kutalika 172 cm, kulemera kwa makilogalamu 82. Kuthamanga shuga 6.6 kunali, pambuyo pa shuga pambuyo pa 2 maola 9.0. Glycated hemoglobin 6.3%. Endocrinologist adalamula kudya + mwakuthupi. katundu + Glucofage Long 500 1 piritsi usiku wamiyezi itatu. Zinatenga masiku 12, ndikuyamba kudya shuga 6.0-6.3. Ngakhale m'masiku oyambira anali 5.6-5.8. M'masiku 12 zidatenga 4 kg. Mwinanso muyenera kuchuluka? Kodi mungachite bwanji? Zingati kumwa ndi chimodzimodzi madzulo?

Mwinanso muyenera kuchuluka? Kodi mungachite bwanji?

Muyenera kuphunzira mosamala nkhani yomwe mudalemba ndemanga, ndi tsamba lonse.

Malangizo ogwiritsira ntchito mapiritsi

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Mankhwala onsewa (Glucophage ndi Glucophage Long) amagulidwa ku mankhwala, okhala ndi malangizo a endocrinologist nawo. Dokotalayo amapereka mankhwala malinga ndi kuchuluka kwa glucose komanso Zizindikiro za munthu wodwala matenda ashuga.

Kumayambiriro kwa mankhwalawa, tikulimbikitsidwa kugwiritsa ntchito 500 mg kawiri pa tsiku. Pakatha milungu iwiri, amaloledwa kuwonjezera Mlingo.

Tiyenera kudziwa kuti mutatenga Glucofage woyamba masiku 10 mpaka 14 pali zotsatira zoyipa zomwe zimakhudzana ndi kusintha kwa thupi ndi gawo lomwe limagwira. Odwala amadandaula za kusokoneza kwam'mimba, monga, kugwidwa ndi mseru kapena kusanza, kudzimbidwa kapena, matendawa, kutsekemera kwazitsulo.

Mlingo wokonza ndi 1500-2000 mg patsiku. Kuti muchepetse mavuto chifukwa chomwa mankhwalawa, muyenera kugawa mlingo wa tsiku ndi tsiku katatu. Zolemba malire patsiku zimaloledwa kudya mpaka 3000 mg.

Ngati wodwalayo agwiritsa ntchito mankhwala ena a hypoglycemic, ndiye kuti ayenera kusiya kudya ndi kuyamba kulandira chithandizo ndi Glucofage. Mukaphatikiza mankhwalawa ndi insulin, muyenera kutsatira mlingo wa 500 kapena 850 mg kawiri kapena katatu patsiku, komanso 1000 mg kamodzi patsiku.

Anthu omwe ali ndi vuto la kulephera kwa impso kapena matenda ena a impso, ndikofunika kusankha mlingo wa mankhwalawa payekhapayekha. Zikatero, anthu odwala matenda ashuga amapanga kamodzi mwa miyezi 3-6.

Gwiritsani ntchito Glucofage Long 500 ndiyofunikira kamodzi patsiku madzulo. Mankhwalawa amasinthidwa kamodzi pakatha milungu iwiri iliyonse. Glucophage Long 500 ndi koletsedwa kugwiritsa ntchito zoposa kawiri pa tsiku. Ponena za kuchuluka kwa 750 mg, ziyenera kudziwika kuti kuchuluka kwambiri kumakhala kawiri pa tsiku.

Kwa odwala aubwana ndi unyamata (wopitilira zaka 10) amaloledwa kudya mpaka 2000 mg patsiku. Kwa odwala opitilira zaka zopitilira 60, dotoloyo amasankha payekha chifukwa cha kuchepa kwa impso.

Mapiritsiwo amatsukidwa ndi kapu yamadzi opanda, osaluma kapena kutafuna. Ngati mungadumphe kumwa mankhwalawo, simungawonjezere kuchuluka kwake. Kuti muchite izi, muyenera kumwa nthawi yomweyo ya Glucofage.

Kwa odwala omwe amamwa oposa 2000 mg a glucophage, palibe chifukwa chomwa mankhwala omwe atulutsidwa nthawi yayitali.

Mukamagula othandizira odwala matenda ashuga, onetsetsani kuti nthawi yake yatha, ndi zaka 500 ndi 500 mg kwa Glucofage, ndi zaka zisanu za Glucofage 1000 mg - zaka zitatu. Ulamuliro wa kutentha komwe ma CD amusungirako sayenera kupitirira 25 ° C.

Chifukwa chake, kodi Glucophage imayambitsa mavuto, ndipo imakhala ndi zotsutsana? Tiyeni tiyese kuzilingalira mopitirira.

Kuphatikiza ndi mankhwala ena

Kupanga ndi mitundu ya kutulutsidwa

Mu "Zowonetsa" gawo la malangizo ogwiritsira ntchito Glucophage Long - mtundu umodzi wokha wa matenda ashuga. Mankhwala ayenera kutumikiridwa pamodzi ndi zakudya komanso maphunziro akuthupi, kuphatikiza kwake ndi mapiritsi ena ochepetsa shuga, insulin ndi yovomerezeka.

Zowonadi zake, mitundu yogwiritsira ntchito Glucofage Long ndi yotakata kwambiri. Itha kuperekedwa:

1. Zochizira prediabetes. Metformin imachepetsa kwambiri matenda ashuga omwe ali ndi vuto lochepa la metabolism.
2. Monga chimodzi mwazinthu zothandizira pa matenda a metabolic, komanso mankhwala osokoneza bongo a lipid popanga magazi, antihypertensive mankhwala.
3. Odwala omwe ali ndi kunenepa kwambiri, komwe nthawi zambiri amakhala ndi insulin. Mapiritsi amtundu wa Glucofage amathandizira kuchepetsa insulin, zomwe zimatanthawuza kuti ntchito yogawa mafuta ndi "kuyambira" ichite.
4. Amayi omwe ali ndi PCOS. Zinapezeka kuti metformin imakhala ndi mphamvu yolimbikitsira ovulation. Malinga ndi ndemanga, mankhwalawa amawonjezera mwayi wokhala ndi pakati ndi polycystic.
5. Lembani odwala matenda ashuga 1 okhala ndi kulemera kwakukulu ndi insulin yayikulu tsiku ndi tsiku kuti amalimbikitse kuchepetsa thupi komanso kuchepetsa kufunika kwa mahomoni opanga.

Pali umboni kuti Glucofage Long imatha kuchepetsa chiwopsezo cha mitundu yina ya khansa, koma mothandizidwa ndi achipatala izi sizinapeze ntchito.

Mankhwala osokoneza bongo amapangidwa mosiyanasiyana: 500, 850, kapena 1000 mg ya metformin piritsi limodzi.

Glucophage 500 mg

• Zowonjezera: povidone, E572
• Zophatikiza ndi Shell: Hypromellose.

Mapiritsiwo ndi ozungulira, ozungulira mbali zonse ziwiri. Piritsi ikathyoledwa, mawonekedwe amunifolomu yoyera amawonekera. Chidacho chimayikidwa m'matumba a zidutswa 10, 15 kapena 20. Mu paketi yokhala ndi pulogalamu yofunsira - 2/3/4/5 mbale. Mtengo Wapakati: (30 ma PC.) - ma ruble 104., (ma 60 ma PC.) - 153 ma ruble.

• Zowonjezera: povidone, E572
• Phula: hypromellose.

Mapiritsi ali ozungulira mawonekedwe, otukutira mbali zonse, yokutidwa ndi filimu yoyera. Zolakwika zoyera zimawoneka pamalopo. Chidacho chimayikidwa m'matumba a zidutswa 15 kapena 20. Mu phukusi la makatoni - 2/3/4/5 zolemba, zosakhudzidwa. Mtengo wapakati wa Glucophage 850: No 30 - 123 rub., No 60-208 rub.

Glucophage 1000 mg

• Zowonjezera: Povidone, E572
• Zigawo za Shell: Opadra yoyera.

Mapiritsi okhala ndi mawonekedwe okumbika, ma convex mbali zonse ziwiri, atsekedwa ndi zokutira yoyera. Mukasweka, zoyera. Chidacho chimayikidwa m'matumba a zidutswa 10 kapena 15. Mu phukusi la makatoni - 2/3/4/5, malangizo a ntchito. Mtengo wapakati: Palibe ma ruble 30 - 176, Palibe ma 60 - 287 ma ruble.

Zogwira pophika: 500, 750 kapena 1000 mg ya metformin piritsi

• Gluconazh Kutalika 500 mg: sodium carmellose, hypromellose-2910, hypromellose-2208, MCC, E572.
• Gluconazh Long 750 ndi 1000 mg: sodium carmellose, hypromellose-2208, E572.

Mankhwalawa ndi 500 mg - mapiritsi oyera kapena oyera ngati kapisozi, otupa mbali zonse ziwiri. Pansanja ina pali chosindikizira Mlingo - chiwerengerocho ndi 500. Chochitikacho chimadzazidwa ndi zidutswa 15 pafoni imodzi. Mu paketi - 2 kapena 4 marekodi, osagwiritsika ntchito. Mtengo Wapakati: (30 tabu.) - 260 p., (Tabu 60) - 383 p.

Mapiritsi a 750 mg ndi mapiritsi oyera kapena oyera. Convex kumbali zonse ziwiri. Malo ena amalembedwa ndi chosindikizira chosonyeza kuchuluka - ndi chiwerengero 750, chachiwiri - ndi chidule MERCK. Mapiritsi amadzaza m'matumba a zidutswa 15. Mu paketi - 2 kapena 4 mbale, malangizo. Mtengo Wapakati: (30 tabu.) - 299 rub., (Tabu 60) - 493 rub.

Mapiritsi a Glucophage 1000 mg ali ndi mtundu womwewo komanso mapiritsi 750 mg. Pamtunda palinso chosindikizira cha MERCK, kwinakwake - mulingo wa 1000. Mankhwalawo amayikidwa m'matumba azidutswa 15. Phukusi la makatoni - 2 kapena 4 mbale, osagwiritsika ntchito. Mtengo Wapakati: (30 tabu.) - 351 rub., (Tabu 60) - 669 rub.

Iodini wokhala ndi mitundu yosiyanitsa ndi Glucofage amakhumudwitsa lactic acidosis. Mankhwala omwe anali ndi metformin sayenera kugwiritsidwa ntchito masiku awiri maphunziro a radiology komanso kwa masiku awiri pambuyo (pokhapokha ngati kugwira ntchito kwa impso kunali koyenera).

Glucophage ndi mowa: osalimbikitsa mgwirizano

Zakumwa zokhala ndi zakumwa zoledzeretsa kapena mankhwala osokoneza bongo akaphatikizidwa ndi metformin zimakulitsa chiwopsezo cha lactic acidosis. Mkhalidwe wamatumbo womwe umayamba ndi:

• Zakudya zoyipa, kutsatira zakudya zochepa zopatsa mphamvu
• Kulephera kwa chiwindi.

Mankhwala, pewani kumwa mowa kapena mankhwala osokoneza bongo omwe ali ndi Mowa.

Kuphatikiza kwa mankhwala omwe amafunikira chisamaliro chachikulu

Kuphatikiza kwa Glucophage ndi Danazole, mphamvu ya hyperglycemic ya mankhwala omaliza imawonjezeka nthawi zambiri. Ngati ndi kotheka, ndikofunikira kusintha muyezo wa metformin mogwirizana ndi zomwe zimayambitsa kutsekeka kwa glucose panthawi ya chithandizo ndipo patapita nthawi atasiya kugwiritsa ntchito Danazol.

Kugwiritsa ntchito milingo yayikulu ya chlorpromazine yokhala ndi metforimine kumawonjezera shuga ndipo nthawi yomweyo kumachepetsa kutulutsa kwa insulin. Pakupanga mankhwala a antipsychotic ndipo atatha kufooka, mawonekedwe a metformin a tsiku ndi tsiku amayenera kusinthidwa molingana ndi kuchuluka kwa shuga m'magazi.

Glucocorticosteroids (kugwiritsa ntchito kwawoko ndi kwadongosolo) kumachepetsa kulolera kwa glucose, chifukwa chomwe zomwe zimapangitsa zimakhala ndizambiri, zomwe zimayambitsa ketosis. Pofuna kupewa zinthu zoyipa, ndikofunikira kuyang'anira ndikuwongolera kuchuluka kwa Glucophage panthawi ya chithandizo cha GCS ndikamaliza.

Akaphatikizidwa ndi loop diuretics, lactic acidosis imatha kukula chifukwa cha kuchepa kwa impso. Glucophage simalimbikitsidwa kwa odwala omwe ali ndi CC ochepera 60 ml pa mphindi.

Kubayidwa kwa beta-2-adrenergic agonists kumawonjezera shuga, chifukwa mankhwalawa ali ndi mphamvu yolimbikitsa β2-adrenergic receptors. Chifukwa chake, kusintha kwa muyezo wa Glucophage kapena kugwiritsa ntchito mankhwala a insulin kumafunika.

Ma A inhibitors ndi mankhwala ena a antihypertensive amatha kutsitsa shuga, chifukwa chake, kuwunikira zomwe zili komanso kusintha kwakanthawi pamlingo wa metformin ndikofunikira.

Kutulutsa mawonekedwe ndi kapangidwe 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": malangizo ogwiritsira ntchito

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.

Njira yamachitidwe

Glucophage ndi mankhwala a hypoglycemic ochokera ku gulu la Biguanide. Pambuyo pakukonzekera pakamwa, mapiritsi amatengedwa mwachangu kudzera mu mucosa wam'mimba.

Chiwonetsero chazambiri zomwe zimagwira mu plasma zimapezeka patatha maola 2-3 mutatha kugwiritsa ntchito. Limagwirira zake ntchito mankhwala kuthetsa hyperglycemia.

Potere, mankhwalawa samayambitsa hypoglycemia, ngati mankhwala ena ambiri. Kwa mankhwalawa palibe kuthekera kolimbikitsa insulin, komanso kupereka zotsatira za hypoglycemic kwa odwala omwe safuna.

Mankhwala a Glucophage ndi chifukwa chowonjezeka cha zotumphukira zolandilira ku insulin komanso kuthamanga kwa kukonza kwa shuga m'maselo a thupi. Chifukwa chogwiritsa ntchito, zotsatirazi zimakwaniritsidwa:

• kuchuluka kwa shuga m'magazi kumachepera, koma pokhapokha pakufunika,
• shuga ndi shuga zimakonzedwa mwachangu ndi minofu,
• chiwindi chimasiya kutulutsa shuga, komwe thupi silikufunika,
• mayamwidwe a shuga m'matumbo amachepetsa,
• lipid metabolism bwino
• kulemera kwa thupi la wodwalayo kumachepa kapena sikukula.

Glucophage malangizo ogwiritsa ntchito akulimbikitsidwa kuti agwiritsidwe ntchito mankhwalawa komanso kupewa matenda ashuga a 2.

Chithandizo chofunikira kwambiri ndi cha odwala omwe kunenepa kwambiri kumakhala matenda amodzimodzi.

Glucophage ndi othandizira kutsitsa shuga pakuchita pakamwa (pakamwa), woimira biguanides. Zimaphatikizira gawo lomwe limagwira - metformin hydrochloride, ndi magnesium stearate ndi povidone amadziwikanso monga zinthu zowonjezera. Chigoba cha mapiritsi Glucofage 1000 chili, kuphatikiza hypromellose, macrogol.

Ngakhale kuchepa kwa shuga m'magazi, sikuti kumayambitsa hypoglycemia.Mfundo zoyeserera Glucophage zimakhazikika pakuwonjezera kuyanjana kwa insulin receptors, komanso pogwira komanso kuwononga glucose ndi maselo. Kuphatikiza apo, mankhwalawa amalepheretsa kupanga shuga m'magazi a chiwindi - poletsa njira za glucogenolysis ndi gluconeogenesis.

Kukonzekera makonzedwe amkamwa mwa mawonekedwe a mapiritsi okhala ndi zokutira zoyera.

Kuyambira pachiyambi cha maphunzirowa, amawerengedwa kuchuluka kwa 500 kapena 850 mg kangapo patsiku panthawi yachakudya kapena mukatha kudya. Kudalira kuchuluka kwa magazi ndi shuga, mutha kuwonjezera pang'onopang'ono.

Gawo lothandizira panthawi ya mankhwala ndi 1500-2000 mg patsiku. Chiwerengero chonsecho chimagawidwa pamiyeso 2-3 kuti mupewe matenda osafunikira am'mimba. Mulingo woyenera kwambiri wokonza ndi 3000 mg, uyenera kugawidwa m'magawo atatu patsiku.

Pakapita kanthawi, odwala amatha kusintha kuchokera ku mlingo wapadera wa 500-850 mg kukhala mlingo wa 1000 mg. Mlingo woyenera pazinthu zonsezi ali wofanana ndendende ndi kukonza mankhwalawa - 3000 mg, wogawidwa mu 3 waukulu.

Ngati kuli kofunikira kusintha kuchokera ku gawo lomwe limatengedwa kale la hypoglycemic kupita ku Glucophage, muyenera kusiya kumwa loyambalo, ndikuyamba kumwa Glucophage pa mlingo womwe watchulidwa kale.

Sizimaletsa kuphatikiza kwa mahomoni awa ndipo sikuti zimayambitsa mavuto motsatizana. Zitha kutengedwa palimodzi pazotsatira zabwino. Pachifukwa ichi, mlingo wa Glucofage uyenera kukhala wokhazikika - 500-850 mg, ndipo kuchuluka kwa insulini yoyendetsedwa kuyenera kusankhidwa poganizira kuchuluka kwa omwe ali m'magazi.

Kuyambira zaka 10, mutha kudziwa mankhwala a glucophage onse amodzi mankhwala, komanso limodzi ndi insulin. Mlingo wofanana ndi akulu. Pakatha milungu iwiri, kusintha kwa mtundu wa glucose kumatha kuchitika.

Mlingo wa Glucophage mwa okalamba uyenera kusankhidwa poganizira momwe zida za impso zimakhalira. Kuti muchite izi, ndikofunikira kudziwa kuchuluka kwa creatinine mu seramu ya 2-4 kawiri pachaka.

Mapiritsi oyera okhala ndi pakamwa. Ayenera kudyedwa kwathunthu, popanda kuphwanya umphumphu wawo, kutsukidwa ndi madzi.

Kuwongolera kwa mlingo wa 500 mg - kamodzi patsiku chakudya chamadzulo kapena kawiri pa 250 mg pa chakudya cham'mawa komanso chamadzulo. Kuchuluka kumeneku kumasankhidwa pa chizindikiritso cha shuga m'magazi am'magazi.

Ngati mukufuna kusintha kuchokera pa mapiritsi wamba kupita ku Glucofage Long, ndiye kuti muyezo womaliza umagwirizana ndi mlingo wa mankhwala wamba.

Malinga ndi kuchuluka kwa shuga, pakatha milungu iwiri amaloledwa kuonjezera mlingo woyambira ndi 500 mg, koma osapitilira muyeso waukulu - 2000 mg.

Ngati mphamvu ya mankhwala Glucofage Long yafupika, kapena sinafotokozeredwe, ndiye kuti ndikofunikira kumwa kwambiri monga momwe adanenera - mapiritsi awiri m'mawa ndi madzulo.

Kuchita ndi insulini sikusiyana ndi zomwe mumatenga glucophage osakhalitsa.

Mlingo woyamba wa Glucophage Long 850 mg - piritsi 1 patsiku. Mlingo waukulu kwambiri ndi 2250 mg. Kulandila ndikufanana ndi mlingo wa 500 mg.

Mlingo wa 1000 mg ndi wofanana ndi njira zina zazitali - piritsi limodzi patsiku ndi chakudya.

Mapiritsi a Glucophage amayenera kuledzera malinga ndi malangizo ogwiritsira ntchito kapena mogwirizana ndi mankhwala omwe mumalandira. Makamaka, momwe mungatenge Glucofage (kangati patsiku ndi kuchuluka kwa tsiku ndi tsiku) ziyenera kutsimikizidwa ndi katswiri wopezekapo. Mapiritsi amayenera kukhala oledzera tsiku lililonse, kupewa kupuma komanso kuchedwa.

Ngati pazifukwa zina munthu samatha kumwa mankhwalawa panthawi, ndiye kuti kudzaza msonkowo ndi muyeso wowirikiza sikuyenera kukhala, chifukwa izi zimatha kuyipa kwambiri mu vutoli. Mapiritsi osowa amayenera kuledzera panthawi yotsatira.

Wodwala akasiya kumwa mankhwala, ayenera kudziwitsa dokotala za izi.

Therapy (mono kapena zovuta ndi mankhwala a hypoglycemic) mu mtundu II matenda ashuga

Mapiritsi 500 mg kapena Glucofage 850 mg amatenga 2-3 r./s. ndi chakudya kapena mukatha kudya.

Kuchulukitsa kwa miyeso kumaloledwa kuchitika kamodzi m'masiku 10-15 malinga ndi zizindikiro za glycemia.Kuwonjezereka kosavuta kwa mankhwalawa kumalimbikitsidwa kuti muchepetse mavuto kuchokera m'mimba.

Ndi mankhwala othandizira, tsiku lililonse ndi 1500-2000 mg. Kuti muchepetse vuto loipa la m'mimba, liyenera kugawidwa m'njira zingapo zofanana. Mankhwala okwanira omwe wodwala angatenge ndi 3000 mg patsiku.

Posamutsa wodwala kuchokera ku mankhwala ena a hypoglycemic, mlingo woyambirira wa Glucofage umatsimikizika chimodzimodzi ndi omwe sanalandire metformin.

Kugwiritsa ntchito pamodzi mankhwala awiri kumachitika kuti akwaniritse bwino kuwongolera glycemia. Pa gawo loyamba la mankhwalawa, mlingo wa Glucofage ulinso 500-850 mg, womwe umatengedwa m'magawo angapo tsiku lonse, ndipo insulin imasankhidwa molingana ndi momwe thupi limayankhira komanso kuchuluka kwa shuga.

Kwa ana (pambuyo pa zaka 10), HF yoyambayo ndi 500-850 mg X 1 p. madzulo. Pambuyo masiku 10-15, imatha kusinthidwa kupita m'mwamba. Kuchuluka kwa mankhwalawa ndi 2 g mumadontho angapo (2-3).

Matenda a shuga

Ngati Glucofage imagwiritsidwa ntchito mu monotherapy, ndiye kuti nthawi zambiri 1-1.7 g / s imayikidwa koyambirira kwamaphunziro. masitepe awiri.

Odwala omwe ali ndi matenda a impso

Mankhwala atha kuperekedwa kwa odwala omwe ali ndi vuto laimpso. Ndipo pokhapokha ngati alibe zoopsa zomwe zimayambitsa lactic acidosis. Pankhani yopereka mankhwala, cheke chokhazikika chimapangidwa ngati kugwira ntchito kwa impso (miyezi 3-6).

Glucophage ikaperekedwa kwa odwala okalamba, mlingo umasankhidwa nthawi zonse payekha, kutengera zisonyezo za glycemia.

Kwa omwe mankhwalawo amatsutsana

Mankhwala Glucofage Long 500 ndi mankhwala otsatirawa:

• Type 2 shuga. Nthawi yomweyo, munthu amachepetsa thupi msanga ngati ali wonenepa kwambiri, koma alibe ma kilogalamu angapo onenepa kwambiri. Kugwiritsiridwa ntchito kumakhala koyenera pakuwonjezera katundu ndi kusakwanira kwa zakudya.
• Ndi monotherapy, pamene glucophage yokha imagwiritsidwa ntchito popanda kuphatikiza ndi mankhwala ena ochepetsa shuga.
• Munthawi ya mankhwala a insulin ndi mitundu ina ya mankhwala mwa anthu opitirira zaka 18.
• Amadziwika ndi matenda a shuga kwa ana ndi achinyamata.
• Monotherapy kuphatikiza ndi insulin kwambiri shuga mellitus.

Musanatenge mankhwala a Glucofage kuti muchepetse kunenepa, muyenera kufunsa dokotala komanso kukayezetsa. Adzakuthandizani kusankha mtundu woyenera wa mankhwalawa, omwe sangawononge thanzi lanu ndikupeza zotsatira zabwino.

Omwe akufuna kuchepa thupi mothandizidwa ndi Glucofage ayenera kuganizira zotsutsana zake:

• Kulephera kwamkati, komwe ntchito yowonjezera imalephera. Zotsatira zake, izi zimapukusidwa panthawi yake ndipo zimadziunjikira m'thupi.
• Ketoacidosis kapena matenda a shuga.
• Matenda omwe amachititsa kuperewera kwa madzi m'thupi, matenda a impso - kuwonda kwambiri ndi kusanza, kutentha thupi, kuperewera kwa oxygen m'thupi, matenda opatsirana.
• Kulephera kwa mtima kapena m'mapapo.
• Myocardial infaration.
• Kulephera mu chiwindi.
• Kubwezeretsa nthawi pambuyo povulala kapena kuchitidwa opaleshoni.
• Kuledzera.
• Mimba komanso kuyamwa.
• Masewera olimbitsa thupi pafupipafupi.
• Zaka zaka 60.
• Kugwirizana ndi zakudya zamafuta, zomwe zimaphatikizapo kudya zosakwana calories 1000 patsiku.

Ngati mkazi akufuna kukhala mayi posachedwa, ndiye kuti muyenera kukana kutenga Glucofage. Ngati mimba idachitika ndikugwiritsa ntchito mankhwalawa, muyenera kufunsa dokotala. Kukana kumwa kwa Glucofage panthawi yotsekemera kumachitika chifukwa chakuti pakadalibe deta yodalirika pakumwedwa kwa chinthu mkaka wa m'mawere.

Kulandila kumayimitsidwa masiku awiri kusanachitike kuyesedwa kwa X-ray ndi wothandizira wosiyana ndi mankhwala ambiri a ayodini. Ndikothekanso kuyambiranso chithandizo patangotha ​​masiku awiri kuchokera munjira.

Chomwe chimalepheretsa kugwiritsa ntchito mankhwalawa kuti achepetse thupi ndi kugwiritsa ntchito mankhwala enanso m'magulu otsatirawa:

• glucocorticoids,
• achina,
• antipsychotic.

Simungathe kumwa mankhwalawa kwa anthu omwe akudwala:

• ketoacidosis motsutsana ndi matenda a shuga
• kuyambira kuphwanya ntchito ya aimpso zida ndi chilolezo zosakwana 60 ml / min
• kusowa kwamadzi chifukwa cha kusanza kapena kutsegula m'mimba, kugwedezeka, matenda opatsirana
• matenda a mtima monga kulephera kwa mtima
• matenda a m'mapapo - CLL
• Kulephera kwa chiwindi ndi kuwonongeka kwa chiwindi
• uchidakwa wosatha
• tsankho la munthu mankhwala

Kuphatikiza apo, ndizoletsedwa kutenga Glucofage kwa amayi apakati omwe amatsata zakudya zama calorie otsika, kwa anthu omwe ali pachiwopsezo kapena chikomokere motsutsana ndi maziko a matenda ashuga.

Mankhwala okhala ndi metformin saloledwa kugwiritsidwa ntchito ndi:

• Hypersensitivity payokha pazinthu zomwe zili
• Mavuto a shuga: ketoacidosis, precoma, chikomokere
• Kulephera kwamkati, chiwalo cholakwika
• Kuchulukitsa kwa machitidwe omwe vuto la impso limatheka (kuchepa madzi m'mimba chifukwa cha kusanza ndi / kapena kutsekula m'mimba, mitundu yoopsa ya matenda opatsirana (mwachitsanzo, kupuma kapena kwamikodzo dongosolo), kuwopsa
• Matenda omwe amathandizira minofu hypoxia (mtima ndi / kapena kupuma, MI)
• Zowonjezera kuchitidwa opaleshoni ndikuvulala komwe kumafunikira chithandizo cha insulin
• Kuchepa kwa ntchito kwa chiwindi, kusagwira ntchito m'thupi
• Mowa wambiri, poyizoni wa ethanol
• Mimba
• Lactic acidosis (kuphatikizapo mbiri)
• Kugwiritsa ntchito mitundu yosiyanitsa ndi ayodini pochita njira zofufuzira (masiku awiri zisanachitike chochitikachi ndi masiku awiri pambuyo pawo)
• Zakudya za Hypocaloric (zosakwana 1000 Kcal / s.).

Zosafunika, koma mankhwala omwe mungamwe:

• Ndakalamba (60) chifukwa chodziwa zochepa za mankhwalawa pazotsatira za odwala omwe ali mgululi komanso kusowa kwa umboni wa chitetezo cha mankhwala
• Ngati wodwala agwira ntchito molimbika, chifukwa izi zimapangitsa kuti chiwopsezo cha lactic acidosis chidziwike
• Ndi kulephera kwa aimpso
• Ndili ndi GV.

Glucophage (mulingo uliwonse) sayenera kulembedwa kwa anthu omwe ali ndi zaka zosakwana 18 chifukwa chosowa umboni wa chitetezo cha malonda komanso ngozi zomwe zingavulaze thanzi.

Mtengo wa Glucophage m'masitolo aku Russia ndi:

• mapiritsi a milligram 500, zidutswa 60 - ma ruble 139,
• mapiritsi a mamililita 850, zidutswa 60 - ruble 185,
• mapiritsi a mamililita 1000, zidutswa 60 - ma ruble 269,
• mapiritsi a milligram 500, zidutswa 30 - ma ruble 127,
• mapiritsi a mamililita 1000, zidutswa 30 - ma ruble 187.

Mtengo umasiyanasiyana malo ogulitsa ogulitsa ndi malo ogulitsira pa intaneti. Mtengo umatengera mlingo wa mankhwalawo komanso kuchuluka kwa mapiritsi omwe ali phukusi.

Mu malo ogulitsa pa intaneti, mafotokozedwe amitengo yamapiritsi okhala ndi kuchuluka kwa zidutswa 30 - 500 mg - pafupifupi ma ruble 130, ma 850 mg - 130-140 rubles, 1000 mg - pafupifupi 200 ma ruble. Mlingo womwewo, koma kwa paketi yokhala ndi zidutswa 60 phukusi - 170, 220 ndi 320 ma ruble, motsatana.

M'maketi ogulitsa mankhwala, mtengo wake umatha kukhala wokwera pamitundu yokwana 20-30 rubles.

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 zoonda.

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 mphamvu yakucheperachepera, chifukwa imalepheretsa kuyamwa kwa chakudya cham'mimba ndikuchepetsa chidwi cha 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.

Matenda a shuga ndi matenda osachiritsika omwe amadziwika chifukwa chophwanya chithokomiro cha chithokomiro komanso zochita za metabolic m'thupi. Zotsatira zake, pali kuwonjezeka kwa shuga m'magazi.

Matenda a shuga koyambirira amayendetsedwa ndi kadyedwe ndikuwonjezera zochitika zolimbitsa thupi, ndipo m'magawo owopsa a matendawa, mapiritsi ochepetsa shuga, monga Glucofage 1000 a shuga mellitus, amawonjezeredwa pamankhwala.

Zofunika! Ndi matenda a shuga, mankhwala, muyezo ndi nthawi ya chithandizo zimayikidwa ndi adokotala okha. Kudzichiritsa nokha kungavulaze thanzi komanso kuyambitsa zovuta zowopsa.

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.

Glucofage 500 yakuonda

Kuphatikiza popanga shuga m'magazi, Glucofage imagwiritsidwa ntchito pakuchepetsa thupi. Malinga ndi madotolo, ndikosayenera kumwa mapiritsi a anthu athanzi, chifukwa nthawi zambiri pamakhala kuwonetsa kosiyanasiyana. Mankhwala amachepetsa cholesterol yoyipa ndipo amatulutsa matenda a metabolism mwa odwala matenda ashuga okha. Ena samvera zonena za madokotala ndipo amamwa mapiritsi azakudya. Poterepa, kufunsira ndikutsatira malangizowo ndikufunika:

• kumwa mlingo wa 500 mg musanadye katatu patsiku, mlingo waukulu wa metformin tsiku lililonse ndi 3000 mg,
• Ngati mulingo wambiri (chizungulire ndi mseru zimayang'aniridwa), muchepetse ndi theka.
• Maphunzirowa atenga masiku 18-22, mutha kubwereza mlingo pambuyo miyezi ingapo.

Glucophage pakuchepetsa thupi (500, 750, 850, 1000): momwe imagwirira ntchito, momwe mungatengere malingaliro ena molondola + kuwunikira kwa woonda ndi adotolo

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!

Contraindication ndi zoyipa

Glucophage ndi yoletsedwa kugwiritsidwa ntchito:

• anthu odwala matenda ashuga a mtundu 3
• kwa omwe apezeka ndi vuto lililonse la impso,
• odwala omwe ali ndi vuto la m'mimba,
• azimayi pa nthawi yoyembekezera komanso pakubala,
• anthu omwe akudwala mowa (mowa ndi Glucofage sugwirizana),
• kumwa mankhwalawa kumapangitsa kuti zikhale zosatheka komanso tsankho la munthu pazigawo zake.

Zotsatira zakukutenga Glucofage mosaganizira zitha kukhala zoopsa

Koma ngakhale simuli m'gulu lililonse la izi, izi sizitanthauza kuti thupi lanu lidzamwa mankhwalawo “ndi manja otseguka”. Glucophage nthawi zambiri imabweretsa zotsatira zosasangalatsa mwa anthu athanzi kwathunthu:

• kukoma kunali mkamwa mwanga
• nseru
• kusanza
• chizungulire
• kupuma movutikira
• ukufalikira
• kudula m'mimba
• kutsegula m'mimba
• kutopa,
• kupweteka kwa minofu
• makamaka muzovuta - kusokonezeka kwa chikumbumtima.

Kodi mungapewe bwanji zonsezi? Yankho lake ndi losavuta: pangana ndi dokotala ndikutsatira mosamalitsa malangizo ake.

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 sikudzapweteka

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

Pambuyo pobadwa kwa mwana, kulephera kwa mahomoni kunachitika, kulemera kwake kunali makilogalamu 97. Ili ndi tsoka chabe! Anandipeza ndi metabolic syndrome. Adalemba chakudya komanso Glucofage wa mr mr panthawi yomaliza. Miyezi iwiri idadutsa - popanda chotulukapo, ngakhale kuti zakudya zolimbitsa thupi zimatsatiridwa.

Ndinapitanso kwa adotolo, ndipo ndinazindikira kuti ndiyenera kumwa pafupifupi miyezi isanu ndi umodzi ndipo mwezi wachitatu zotsatira zake sizingachitike. Koma tidakweza mlingo wa 1000 mg. Ndipo tawonani ndikuwona, m'miyezi iwiri yotsatira, kudya kuphatikiza Glucophage, ndataya 8 kg. Tsopano 89 makilogalamu ndipo ndikupitilirabe chimodzimodzi.

Wogwiritsa ntchito wailesi Ket

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Mankhwala (Glucofage 850) amagwira ntchito yake mwachindunji: shuga ya magazi imatsika pambuyo pakatha masiku 5 - kuchokera pa 7 mpaka 4-5.5 m / mol, kugona ndi kutopa.

Zotsatira zoyipa, panali kuchepa chabe kwa njala. Pambuyo pakudya kwa milungu itatu, kulemera kwake kunachepera 2 kg kuchokera pa 54 mpaka 52.

Ndatinso kuti pakufunika kuwunika momwe shuga amathandizira, chifukwa ngati imagwera pansi 1.5m mol, chikomokere chidzakula ndi zotsatirapo zake zonse. Mvetsetsani kuti mankhwalawo ndi oopsa motani?

Woyang'anira Marguerite

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Adokotala a endocrinologist adalemba Glucophage Long kwa ine (500 mg). Ndinkamwa mankhwalawa kwa miyezi 9, mapiritsi awiri. m'mawa ndi madzulo.

Miyezi itatu yoyambirira sinamve chilichonse, kulemera kumakulirabe ndi 200-400 g pamwezi, kulakalaka sikunachepe.

Kumapeto kwa mwezi wachitatu, ndidayamba kuzindikira kuti ndimakhuta msanga, ndipo nditatha 6 koloko usiku sindimva njala. Kwa nthawi yonse ya chithandizo ndi Glucofage, ndidataya pafupifupi 6 kg. Mankhwala othandiza kunenepa kwambiri!

Jeanne2478

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Chifukwa chogwiritsa ntchito Glucofage, ndinatha kukana maswiti, chikhumbo changa sichikutha, koma ndikumva kuti ndili ndi gawo laling'ono, nkhope yanga idayatsidwa, shuga idakhala yabwinobwino, mahomoni amabwereranso kwazonse, ndinataya 40 makilogalamu m'miyezi isanu ndi umodzi yapitayo. Upangiri wanga - musaike moyo wanu pachiwopsezo mwa kumwa nokha mankhwalawo, popanda kuyesedwa koyenera ndi dokotala!

LisaWeta

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Ndiyenera kunena kuti malinga ndi momwe ndikumvera komanso thanzi langa, NDIMAKHALA ndi zotsatirazi. Miyezi iwiri yomwe Glucofage amamwa, ine, nditaimirira pamiyeso, ndinalota mwamseri kuwona munthu wotsika. Kalanga ine, izi zinalidi maloto - Glyukofazh sanandithandizire kuchepetsa thupi, kulemera kwanga kunakhalabe chimodzimodzi.

Koma ngakhale ngakhale sindinachepetse thupi, sindipita kokonda Glucofage. Kupatula apo, poyamba ndi mankhwala a odwala matenda ashuga.

Ndipo kuchuluka kwa shuga nditatha maphunziro a Glucofage ndidatsikirabe mpaka 5, ngakhale sindinakhalepo pazakudya zama carb ochepa (zomwe zimawonetsedwa kwa onse odwala matenda ashuga).

Ariadne777

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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 muthe kukonzanso pang'ono pang'onopang'ono.

Kodi ndizotheka kuchepa thupi ndi glucophage

Chakudya cholowa m'thupi chimabweretsa shuga. Amayankha mwa kuphatikiza insulin, ndikupangitsa kusintha kwa glucose kukhala maselo amafuta ndi mawonekedwe awo mu minofu. Mankhwala a antiidiabetesic Glucofage amatha kuwongolera, kusintha magazi a shuga.

Yogwira pophika mankhwala ndi metformin, imachepetsa kuwonongeka kwa chakudya chamthupi ndikupanga matenda a lipid metabolism:

• oxidizing mafuta zidulo
• kukulitsa chidwi cha receptors ku insulin,
• kuletsa kaphatikizidwe ka shuga m'chiwindi ndikuwongolera kulowa kwake minofu yamitsempha,
• yambitsa njira yowonongera maselo amafuta, kutsitsa cholesterol.

Ngakhale mukumwa mankhwalawa odwala, pali kuchepa kwa chilakolako chofuna maswiti, omwe amakupatsani mwayi wokwanira kudya, osadya pang'ono.

Kugwiritsa ntchito Glucofage palimodzi ndi zakudya zama carb ochepa kumapereka zotsatira zabwino zoonda. Ngati simutsatira zoletsedwa za carb zazikulu, zotsatira za kuchepa thupi zimakhala zofatsa kapena ayi.

Mukamagwiritsa ntchito mankhwalawa pokhapokha kuchepa thupi, imagwiritsidwa ntchito pakadutsa masiku 18 mpaka 22, ndipo ndikofunikira kutenga nthawi yayitali kwa miyezi 2-3 ndikubwereza maphunzirowo. Mankhwala amatengedwa ndi zakudya - katatu patsiku, pakumwa madzi ambiri .ads-mob-1

Kutulutsa Mafomu

Kunja, Glucophage amawoneka ngati miyala yoyera, yamafuta-filimu, mapiritsi awiri apawiri.

Patsamba lofufuza amaperekedwa m'mitundu ingapo, yomwe imasiyana mu yogwiritsa ntchito, mg:

Mapiritsi ozungulira 500 ndi 850 mg amaikidwa m'matumba a 10, 15, 20 ma PC. ndi makatoni. Phukusi limodzi la Glucofage likhoza kukhala ndi matuza 2-5. Mapiritsi a 1000 mg ali ndi chowulungika, ali ndi notches zosunthika mbali zonse ndipo amalembedwa "1000" pamodzi.

Amayikidwanso m'matumba a ma 10 kapena 15 ma CD, amaikidwa m'mathumba okhala ndi matuza awiri mpaka 12. Kuphatikiza pa zomwe tafotokozazi pamwambapa, Glucofage, pamashelefu am'magawo anaperekanso Glucophage Long - mankhwala omwe amakhala ndi mphamvu yayitali. Mawonekedwe ake ndi kutulutsa pang'onopang'ono kwa chigawo chogwira ntchito komanso nthawi yayitali.

Mapiritsi atali ndi oval, oyera, pamtunda umodzi ali ndi chizindikiro chosonyeza zomwe zimagwira - 500 ndi 750 mg. Mapiritsi aatali 750 amalembedwanso kuti "Merck" mbali inayo yolozera. Monga wina aliyense, adayikika mu matuza 15 zidutswa. ndipo zanyamula makatoni a matumbu a 2-4.

Ubwino ndi kuipa

Kutenga Glucophage kumalepheretsa hypoglycemia, pomwe kumachepetsa zizindikiro za hyperglycemia. Sichikukhudza kuchuluka kwa insulini yomwe imapangidwa ndipo sikubweretsa zotsatira za hypoglycemic mwa odwala athanzi.

Glucophage 1000 mapiritsi

Metformin yomwe ili ndi mankhwala imalepheretsa kuphatikizika kwa shuga m'chiwindi, amachepetsa kukhudzana ndi zotumphukira zolowa, komanso mayamwidwe am'mimba. Kudya kwa glucofage kumapangitsa kagayidwe ka lipid, komwe kumakupatsani mwayi wochepetsera kulemera kwanu komanso ngakhale kumachepetsa pang'ono.

Malinga ndi kafukufuku wazachipatala, kugwiritsa ntchito mankhwalawa kwa prophylactic mu mankhwala asanafike matenda ashuga kungalepheretse kukula kwa matenda a shuga a mtundu wachiwiri.

Zotsatira za kutenga Glucofage zitha kukhala zotsatira zoyipa kuchokera:

• Matumbo. Monga lamulo, zizindikiro zam'mbali zimawonekera m'magawo oyamba kutsata ndipo pang'onopang'ono zimatha. Yofotokozedwera ndi nseru kapena kutsekula m'mimba, kusadya bwino. Kulekerera kwa mankhwalawa kumakhala bwino ngati mlingo wake ukuwonjezeka pang'onopang'ono,
• dongosolo lamanjenje, yowonetsedwa ngati kuphwanya kukoma,
• bile duct ndi chiwindi. Amawonetsedwa ndi kukomoka kwa ziwalo, hepatitis. Ndi kutha kwa mankhwalawo, zizindikirizo zimazimiririka.
• kagayidwe - ndikotheka kuchepetsa kuyamwa kwa vitamini B12, kupanga lactic acidosis,
• khungu mawonekedwe. Itha kuwoneka pakhungu ndi zotupa, kuyabwa, kapena ngati erythema.

Mankhwala osokoneza bongo amatsogolera pakupanga lactic acidosis. Chithandizo chidzafunika kuchipatala mwachangu, maphunziro kuti akhazikitse mulingo wa lactate m'magazi, ndi chithandizo chamankhwala.

Cholepheretsa kutenga Glucophage ndiko kukhalapo kwa wodwala:

Simungathe kuphatikiza kugwiritsa ntchito mankhwalawa ndi zakudya zochepa zama calorie, ndipo muyenera kupewa kumwa panthawi yomwe muli ndi pakati. Mosamala, adayikidwa kuti azikhomera akazi, okalamba - opitilira 60, anthu olimbitsa thupi.ads-mob-2

Kutenga?

Glucophage imapangidwira kukonzekera pakamwa tsiku ndi tsiku ndi akulu ndi ana. Mlingo wa tsiku ndi tsiku umatsimikiziridwa ndi dokotala.

Glucophage nthawi zambiri amalembera achikulire omwe ali ndi kuchuluka kwa 500 kapena 850 mg, piritsi limodzi kawiri kapena katatu patsiku panthawi yakudya kapena pambuyo pake.

Ngati mukufuna kutenga Mlingo wapamwamba, tikulimbikitsidwa kusintha pang'ono ndi pang'ono ku Glucofage 1000.

Njira yothandizira tsiku ndi tsiku ya Glucofage, mosasamala kanthu za kuchuluka kwa mankhwalawa - 500, 850 kapena 1000, omwe amagawidwa pawiri Mlingo masana, ndi 2000 mg, malire ndi 3000 mg.

Kwa anthu achikulire, Mlingo umasankhidwa payekha, poganizira momwe impso zimafunikira, kawiri pachaka, kuchititsa maphunziro a creatinine. Glucophage imagwiritsidwa ntchito mu mono-komanso mankhwala ophatikiza, amatha kuphatikizidwa ndi mankhwala ena a hypoglycemic.

Kuphatikiza ndi insulin, mawonekedwe a 500 kapena 850 mg nthawi zambiri amapatsidwa mankhwala, omwe amatengedwa mpaka katatu patsiku, mlingo woyenera wa insulin amawerengedwa payekha, kutengera kuwerengera kwa glucose.

Kwa ana osaposa zaka 10, mankhwalawa amamuika ngati 500 kapena 850 mg, piritsi 1 nthawi imodzi ngati monotherapy kapena insulin.

Pambuyo pakudya kwa milungu iwiri, mlingo woyenera umatha kusintha poganizira kuchuluka kwa shuga m'magazi. Mlingo woyenera kwambiri wa ana ndi 2000 mg / tsiku.Amagawidwa pawiri Mlingo wambiri kuti musayambitse kukhumudwa.

Glucophage Long, mosiyana ndi mitundu ina yamtunduwu, imagwiritsidwa ntchito mosiyana pang'ono. Amatengedwa usiku, ndichifukwa chake shuga m'mawa nthawi zonse amakhala wabwinobwino. Chifukwa chakuchedwa, sioyenera kudya kawirikawiri tsiku lililonse. Ngati nthawi yoika masabata 1-2 zomwe akufuna sizikwaniritsidwa, tikulimbikitsidwa kusinthira ku Glucofage.ads-mob-1

Poyerekeza ndi ndemanga, kugwiritsa ntchito Glucofage kumalola anthu odwala matenda ashuga a mtundu wachiwiri kuti azitha kuwonetsa kuchuluka kwa glucose nthawi yomweyo kuwonda.

Nthawi yomweyo, anthu omwe adagwiritsa ntchito pokhapokha pochotsa mapaundi owonjezera amakhala ndi malingaliro a polar - wina amathandizira, winayo satero, zotsatirapo zoyipa zimadutsa phindu lazotsatira.

Zotsatira zoyipa za mankhwalawa zitha kuphatikizidwa ndi hypersensitivity, kupezeka kwa ma contraindication, komanso mlingo wodziyimira payekha - osaganizira mawonekedwe amunthu, osagwirizana ndi zakudya .ads-mob-2

Ndemanga zina pa glucophage:

malonda-pc-3

• Marina, wazaka 42. Ndimamwa Glucofage 1000 mg malinga ndi endocrinologist. Ndi chithandizo chake, ma glucose surges amapewedwa. Panthawi imeneyi, chidwi changa chinkachepa ndipo zolakalaka zanga za maswiti zinazimiririka. Kumayambiriro koyamba kumwa kwa mapiritsi, panali zotsatira zoyipa - zinali zopanda pake, koma adotolo atachepetsa mlingo wake, zonse zidapita, ndipo tsopano kulibe mavuto akudya.
• Julia, wazaka 27. Kuti muchepetse kunenepa, Glucofage adandiuza ndi endocrinologist, ngakhale ndilibe matenda ashuga, koma ndimangowonjezera shuga - 6.9 m / mol. Ma voliyumu amachepera ndi ma saizi awiri pambuyo pakudya miyezi itatu. Zotsatira zake zidakhala kwa miyezi isanu ndi umodzi, ngakhale atasiya kumwa mankhwalawo. Kenako adayambanso kuchira.
• Svetlana, wa zaka 32. Makamaka pofuna kuchepetsa thupi, ndinawona Glucofage kwa masabata atatu, ngakhale ndilibe mavuto ndi shuga. Vutoli silinali labwino kwenikweni - kutsekula m'mimba kumachitika nthawi ndi nthawi, ndipo ndinali ndi njala nthawi zonse. Zotsatira zake, ndidataya 1.5 makilogalamu ndikuwachotsa mapiritsiwo. Kuchepetsa thupi ndi iwo sizachidziwikire kuti si njira yabwino kwa ine.
• Irina, wazaka 56. Mukazindikira boma la prediabetes, Glucophage adalembedwa. Ndi chithandizo chake, zinali zotheka kuchepetsa shuga kukhala mayunitsi 5.5. ndi kuchotsa ma kilogalamu 9 owonjezera, omwe ndimakondwera nawo kwambiri. Ndazindikira kuti kudya kwake kumalepheretsa chidwi cha chakudya ndipo kumakupatsani mwayi wodya zakudya zazing'ono. Panalibe zotsatirapo zoyipa nthawi yonse yoyang'anira.

Mlingo wosankhidwa bwino ndi kuwongolera kuchipatala kungalepheretse kupezeka kwawo ndikupeza zotsatira zabwino kuti atenge Glucofage.

Zotsatira za kukonzekera kwa Siofor ndi Glucophage pakanema:

Glucophage amalamula mtundu wa matenda ashuga a 2

Glucophage ndi dzina lamalonda. Zomwe zimagwiritsidwa ntchito ndi mankhwala ndi Metformin. Mankhwala amapezeka mu mawonekedwe a mapiritsi mu chipolopolo. Wopanga amapatsa ogula atatu njira za mankhwala oyenera:

1. 500 mg - zotchulidwa koyambirira.
2. 850 mg - abwino kwa odwala omwe amathandizidwa nthawi yayitali.
3. 1000 mg - yogwiritsidwa ntchito mwa odwala omwe ali ndi mitundu yayikulu ya matendawa.

Mlingo wa mankhwalawa munjira iliyonse amasankhidwa ndi dokotala payekha, kutengera mawonekedwe a mlandu womwewo. The kuchuluka kwa mankhwalawa amakhudzidwa ndi:

• Kuopsa kwa matenda ashuga.
• Kulemera kwambiri.
• Susceptibility mankhwala.
• Moyo.
• Kukhalapo kwa matenda olumikizana.

Glucophage Long ndi mankhwala osiyana. Mankhwalawa amathandizanso thupi la wodwalayo, koma ali ndi fomula yokhala ndi mankhwala yokhala ndi nthawi yayitali yobwera ndi zinthuzo m'magazi. Chifukwa chake, odwala amagwiritsa ntchito mankhwalawa pafupipafupi. Chogulitsacho chimagulitsidwa m'mapiritsi a 0,5 g.

Mlingo wokhazikika ndi mapiritsi 1-2 kamodzi kapena kawiri pa tsiku. Kuchuluka kwa mankhwalawa kumatengera shuga m'magazi. Mankhwala akumwa amaloledwa mosasamala kanthu zakudya.

Pharmacological zochita za mankhwala

Cholinga cha mankhwala Glucophage mu matenda ashuga ndi chifukwa zabwino zimamuika chakudya mu seramu. Mankhwala amakhala ndi vuto la hypoglycemic, kukhazikika kwa wodwalayo.

Madokotala amati Metformin ndiye "golide" muyezo wowachizira matenda amtundu wa 2. Mankhwala ndi a gulu la Biguanides ndipo amachepetsa shuga. Limagwirira a zochita za mankhwala akuphatikiza zotsatirazi:

• Kutsika kwa insulin. Tizilombo tomwe timapanga ma cell ndi ma cell timayamba kuzindikira kutengera kwa mahomoni. Madokotala amayang'ana kwambiri pakakhala palibe kuwonjezeka kwa insulin secretion, yomwe imadziwika ndi magulu ena a mankhwala.
• Anachepetsa kapangidwe ka shuga chiwindi. Mankhwala amalepheretsa gluconeogenesis ndi glycolysis m'thupi, zomwe zimalepheretsa kutulutsidwa kwa magawo atsopano amthupi m'magazi.
• Kuletsa kuyamwa kwa glucose kuchokera m'matumbo.
• Kulimbikitsa glycogeneis. Mankhwala amathandizira glycogen synthase enzyme, chifukwa omwe ma molekyulu aulemu a carbohydrate amamanga ndikusungidwa m'chiwindi.
• Kuchulukitsa kwa ziphuphu za cell nembanemba kwa onyamula shuga. Kudya kwa glucofage kumathandizira kuyamwa kwa mamolekyulu amthupi ndi zida zoyambira thupi.

Zotsatira zabwino za kagayidwe kazakudya ka hypoglycemic zotsatira sizimachepetsa zotsatira za mankhwalawa. Mankhwala amathandizanso kagayidwe ka lipids, amachepetsa kuchuluka kwa cholesterol, otsika kachulukidwe lipoproteins ndi triacylglycerides.

Kulemera kwa thupi la wodwala motsogozedwa ndi metformin sikusintha kapena kutsika. Mankhwala amathandizidwa kuti odwala onenepa kwambiri achulukitse kulemera. Madokotala nthawi zina amalimbikitsa kutenga glucophage kuti aletse kukula kwa matenda ashuga a 2 pamlingo wolekerera shuga.

Zizindikiro ndi contraindication

Kugwiritsa ntchito glucophage kumakhala kochepa chifukwa cha zovuta zomwe mankhwalawo amakhala nazo mthupi la wodwalayo. Metformin imakhudza chakudya cham'mimba ndi lipid metabolism. Madokotala amatha kusiyanitsa izi potsatira kugwiritsa ntchito mankhwalawa:

• Mtundu wachiwiri wa matenda ashuga, osagwiritsidwa ntchito pokonza mothandizidwa ndi zakudya zamankhwala komanso zolimbitsa thupi, zomwe zimayendera limodzi ndi kunenepa kwambiri. Mankhwalawa amathandizidwanso kwa odwala omwe ali ndi kulemera kwabwino.
• Kupewa matenda ashuga. Mtundu woyambirira wa matendawa sikuti nthawi zonse umakhala chidziwitso chotsutsana ndi magwiritsidwe ntchito a Glucofage. Madokotala ena amakhulupirira kuti kugwiritsa ntchito mankhwalawa sikolondola.

Mankhwalawa amatengedwa ngati wamkulu pa monotherapy yamitundu yovuta ya shuga. Njira yodziwika bwino yamatendawa imafuna kuphatikiza Glucophage ndi othandizira ena a hypoglycemic.

Kugwiritsa ntchito moyenera mankhwalawa kukhazikika m'magazi a wodwalayo ndipo kumalepheretsa kupitirira kwa zovuta. Simungamwe mankhwalawa motere:

• Kusalolera payekha kwa metformin kapena zigawo zina za mankhwala.
• Ketoacidosis, mkhalidwe wamakhola kapena chikomokere.
• Kulephera kwina.
• Mikhalidwe yodabwitsa, matenda opatsirana opatsirana, matenda omwe angayambitse kulephera kwa impso.
• Maopareshoni akuluakulu omwe amafuna kuikidwa kwa insulin.
• Kuwonjezeka pamlingo wa lactic acid m'magazi ndi lactic acidosis.
• Mwana wosabereka, mkaka wa pachifuwa.

Muyenera kuthandizidwa moyenera, muyenera kufunsa dokotala musanamwe mankhwalawa.

Zotsatira zoyipa

Kugwiritsa ntchito mankhwala kumalumikizidwa ndi chiopsezo chotsatira. Ngati mumamwa mankhwalawa malinga ndi malamulo ndikutsatira malangizowo, ndiye kuti chiwopsezo cha zotsatira zosayenerera chimachepetsedwa.

Madokotala amasiyanitsa zotsatirazi zoyipa zomwe zimagwiritsidwa ntchito pogwiritsa ntchito Glucofage:

• Lactic acidosis komanso kuchepa kwa mayamwidwe a vitamini B12. Odwala omwe ali ndi vuto la kuchepa kwa magazi m'thupi amatha kugwiritsa ntchito mankhwalawa mosamala.
• Sinthani kukoma.
• Matenda a dyspeptic: nseru, kusanza, kutsegula m'mimba, kusilira. Zolakwika izi m'mimba thirakiti imagwira ntchito ndikudutsa yokha popanda kugwiritsa ntchito mankhwala kuwaletsa.
• Kuchepa khungu, mawonekedwe a totupa.
• Kufooka, mutu.

Zotsatira zoyipa izi zimachitika molingana ndi kutsatira malangizo ogwiritsira ntchito mankhwalawo, machitidwe a thupi ndi kuuma kwa matendawa. Kuchepetsa vuto la m'mimba, madokotala amalimbikitsa kudya mapiritsi.

Njira zopewera kupewa ngozi

Madokotala amayang'ana kwambiri kugwiritsa ntchito glucophage mosamala mu cores. Mankhwala a antihypertensive nthawi yomweyo amachepetsa kuchuluka kwa shuga wa seramu, komwe kumayambitsa hypoglycemia chifukwa chosintha kwa mankhwalawa.

Chosiyana ndi angiotensin-converting enzyme inhibitors (ACE inhibitors).Ngati mumatenga glucophage ndi mahomoni a kapamba kapena mankhwala ena ochepetsa shuga, ngozi ya hypoglycemia imakulanso.

Mankhwala osokoneza bongo a metformin sabweretsa kuchepa kwakukulu kwa kuchuluka kwa shuga m'magazi. Pazoyesayesazi, asayansi adatsimikizira kuti kuopsa kogwiritsa ntchito mankhwalawa ndiko kupitilira kwa lactic acidosis.

Pofuna kuthana ndi zotsatira za bongo, wodwalayo amapita kuchipatala ndipo chithandizo chamankhwala chimachitika ndikuyeretsa magazi a lactic acid. Madokotala amatcha hemodialysis njira yosankhira wodwala kwambiri.

Glucophage mu shuga: ndemanga, malangizo

Metabolic syndrome, mbali zazikuluzikulu zomwe zimawonetsedwa ngati kunenepa kwambiri, mtundu wachiwiri wa matenda osokoneza bongo ndi matenda oopsa ndi vuto la chitukuko chamakono. Kuchuluka kwa anthu omwe ali m'maiko abwino akudwala matendawa.

Momwe mungadzithandizire nokha kubwezeretsa thupi ndi kugwiritsa ntchito mphamvu zochepa? M'malo mwake, ambiri onenepa kwambiri safuna kuchita nawo masewera ena, ndipo matenda ochititsa chidwi ndi matenda ashuga ndi matenda osapeweka. Makampani opanga mankhwala amapulumutsa.

Chimodzi mwa mankhwala omwe amachepetsa glucose wamagazi ndikuthandizira kuchepetsa thupi ndi glucophage. Malinga ndi kafukufuku wofufuza, kumwa mankhwalawa kumachepetsa chiwerengero cha anthu omwalira ndi matenda ashuga ndi 53%, ndi 35% kuchokera kuphwanya myocardial komanso 39% kuchokera ku stroke.

Metformin hydrochloride imawerengedwa kuti ndiyo chinthu chofunikira kwambiri pa mankhwalawa. Monga zina zowonjezera ndi:

• magnesium wakuba,
• povidone
• michere ya microcrystalline
• hypromellose (2820 ndi 2356).

Wothandizila othandizira amapezeka mu mawonekedwe a mapiritsi, mapiritsi okhala ndi Mlingo wa chinthu chachikulu chomwe amapezeka mu 500, 850 ndi 1000 mg. Mapiritsi a shuga a Biconvex Glucophage ndiwopanda tanthauzo.

Adakutidwa ndi utoto wotetemera. Kumbali ziwiri, zoopsa zapadera zimayikidwa piritsi, pa imodzi mwa izo ndikuwonetsedwa.

Glucophage Kutalika kwa matenda ashuga

Glucophage Long ndi metformin yothandiza makamaka chifukwa cha zotsatira zake zanthawi yayitali.

Njira yapadera yothandizira mankhwalawa imapangitsa kuti zitheke kukwaniritsa zofananazo ngati mukugwiritsa ntchito metformin wamba, komabe, zotsatira zake zimapitiliza kwa nthawi yayitali, chifukwa chake, nthawi zambiri zimakhala zokwanira kugwiritsa ntchito Glucophage Long kamodzi patsiku.

Izi zimathandizira kwambiri kulolerana kwa mankhwalawo komanso moyo wa odwala.

Kukula kwapadera komwe kumagwiritsidwa ntchito popanga mapiritsi kumalola chinthu chogwira ntchito kuti chitha kulowa mu lumen yamtumbo motsatana komanso mofanananira, chifukwa chomwe glucose yolondola imasungidwa nthawi yonseyo, popanda kulumpha kapena madontho.

Kunja, piritsi imakutidwa ndi filimu yosungunula pang'onopang'ono, mkati mwake ndiye maziko okhala ndi zinthu za metformin. Pamene nembanemba imasungunuka pang'onopang'ono, chinthucho chimatuluka. Nthawi yomweyo, kupindika kwamatumbo ndi acidity sikumapangitsa zambiri pakumasulidwa kwa metformin; motere, zotsatira zabwino zimapezeka mwa odwala osiyanasiyana.

Gwiritsani ntchito Glucofage Nthawi imodzi. Izi zimachotsa kusakhudzidwa komwe kumachitika m'matumbo am'mimba, omwe amachitika pakudya metformin, polumikizana ndi kuchuluka kwake kwakhungu m'magazi.

Mankhwala ndi a gulu la Biguanides ndipo amapangidwa kuti achepetse magazi. Mfundo za glucophage ndikuti, pakuchepetsa kwambiri shuga, sizimabweretsa vuto la hypoglycemic.

Kuphatikiza apo, sizimawonjezera kupanga insulin ndipo sizimakhudza kuchuluka kwa glucose mwa anthu athanzi. The peculiarity of the mechanism of glucophage based on the chakuti imathandizira chidwi cha zolandilira ku insulin ndikuyambitsa kukonzanso kwa shuga ndi minyewa ya minofu.

Amachepetsa njira yodzikundikira glucose m'chiwindi, komanso chimbudzi cha chakudya ndi chimbudzi. Imachita bwino kwambiri kagayidwe kamafuta: imachepetsa kuchuluka kwa cholesterol, triglycerides ndi lipoproteins yotsika.

The bioavailability wa malonda si ochepera 60%. Imafikiridwa mwachangu kudzera m'makoma am'mimba ndipo kuchuluka kwakukulu kwa zinthu zomwe zili m'magazi kumalowanso maola awiri ndi theka pambuyo pakamwa.

Chinthu chogwira ntchito sichikhudza mapuloteni am magazi ndipo chimafalikira mwachangu kuma cell a thupi. Simalinganizidwa ndi chiwindi ndipo amachotsa mkodzo. Pali chiopsezo chopinga cha mankhwala mu minyewa mwa anthu omwe ali ndi vuto laimpso.

Ndani amene sayenera kumwa mankhwalawa?

Odwala ena omwe akutenga Glucofage amadwala matenda oopsa - lactic acidosis. Izi zimachitika chifukwa cha kudzikundikira kwa lactic acid m'magazi ndipo nthawi zambiri zimachitika ndi anthu omwe ali ndi vuto la impso.

Anthu ambiri omwe ali ndi matenda amtunduwu, madokotala samapereka mankhwala. Kuphatikiza apo, pali zinthu zina zomwe zingakulitse mwayi wopeza lactic acidosis.

Izi zimagwira ntchito kwa odwala omwe:

• mavuto a chiwindi
• kulephera kwa mtima
• pali mankhwala osagwirizana,
• mimba kapena mkaka wa m'mimba,
• opaleshoni idakonzedwa posachedwa.

Ndi mankhwala ena ati omwe amakhudza mphamvu ya glucophage?

Lankhulani ndi dokotala wanu za kumwa mankhwalawa nthawi yomweyo monga glucophage.

Sitikulimbikitsidwa kuphatikiza mankhwalawa ndi:

Kugwiritsira ntchito kwina kwa mankhwalawa ndi glucophage kungayambitse matenda a shuga (hypoglycemia), omwe ndi:

• phenytoin
• mapiritsi othandizira kubereka kapena mankhwala olowa m'mimba,
• zakudya zam'mapiritsi kapena mankhwala a mphumu, chimfine kapena chifuwa,
• mapiritsi a diuretic
• mtima kapena mankhwala oopsa,
• niacin (Advicor, Niaspan, Niacor, Simcor, Srb-niacin, etc.),
• phenothiazines (Compazin et al.),
• mankhwala a steroid (prednisone, dexamethasone ndi ena),
• mankhwala a mahomoni a chithokomiro cha chithokomiro (Synthroid ndi ena).

Mndandandawu suti wathunthu. Mankhwala ena amatha kuwonjezera kapena kuchepetsa mphamvu ya glucophage pakuchepetsa shuga.

Mafunso Ofunsidwa Kawirikawiri

1. Chimachitika ndi chiani ndikaphonya mlingo?

Imwani mankhwala omwe mwasowa mukangokumbukira (onetsetsani kuti mumwa mankhwalawo ndi chakudya). Lumikizani mlingo womwe mwasowa ngati nthawi yotsiriza yomwe mwakonzekererayi ndiyifupi. Sikulimbikitsidwa kumwa mankhwala ena owonjezereka kuti mupange mlingo womwe mwasowa.

1. Chimachitika ndi chiyani ngati mumagwiritsa ntchito bongo mopitirira malire?

Mankhwala osokoneza bongo a metformin angayambitse kukula kwa lactic acidosis, yomwe ikhoza kupha.

1. Ndiyenera kupewa chiyani ndikamamwa glucophage?

Pewani kumwa mowa. Imachepetsa shuga m'magazi ndipo imatha kukulitsa chiopsezo cha lactic acidosis mukamatenga Glucofage.

Glucophage kuchokera ku matenda ashuga: ndemanga

Kupanga chithunzithunzi chazomwe chimayambira matenda a shuga motsogozedwa ndi glucophage, kafukufuku adachitika pakati pa odwala. Kuti muchepetse zotsatira, ndemanga zidagawika m'magulu atatu ndipo cholinga chachikulu chidasankhidwa:

Ndidapita kwa dotolo ndili ndi vuto loti ndizichedwa kulemera msanga ngakhale kuti ndimadya komanso ndimachita masewera olimbitsa thupi, nditapimidwa kuchipatala ndidapezeka kuti ndili ndi insulin kwambiri komanso hypothyroidism, yomwe idapangitsa vuto la kulemera. Dokotala wanga anandiuza kuti ndimwe manformin pa mlingo waukulu wa 850 mg katatu pa tsiku ndikuyamba kulandira mankhwala a chithokomiro.Pakupita miyezi itatu, kulemera kunapangitsa kuti insulin ipangidwe. Ndinkakonzekera kutenga Glucofage kwa moyo wanga wonse.

Kutsiliza: kugwiritsa ntchito glucophage pafupipafupi kumapereka zotsatira zabwino ndi kuchepa kwakukulu.

Glucophage amatengedwa kawiri patsiku ndi mkazi wake. Ndasowa kangapo. Ndinachepetsa magazi anga pang'ono, koma mavuto ake anali oopsa. Chepetsani mlingo wa metformin. Pamodzi ndi zakudya komanso masewera olimbitsa thupi, mankhwalawa adachepetsa shuga m'magazi, ndinganene, 20%.

Kutsiliza: Kuthamangathira mankhwala kumayambitsa mavuto.

Woikidwa pafupi mwezi wapitawu, wapezeka posachedwapa ndi matenda a shuga a 2. Adatenga sabata zitatu. Zotsatira zoyipa sizinali zofooka poyamba, koma zidakulirakulira mpaka ndidakagonekera kuchipatala. Inayimitsidwa kutenga masiku awiri apitawa ndikupezanso mphamvu.

Kutsiliza: tsankho la munthu payekha lomwe limagwira

Glucophage pa nthawi yapakati

Kugwiritsira ntchito mankhwalawa kumapangidwa pakakhala pakati, koma, malinga ndi ndemanga zochepa za amayi apakati, omwe akukakamizidwa kuti amwe, palibe chitukuko cha zolakwika zamagulu mwa akhanda. Mukakonzekera kutenga pakati kapena pakachitika, chithandizo chamankhwala chikuyenera kutha, insulini iyenera kutumizidwa. Metformin amamuchotsa mkaka wa m'mawere;

Kuyanjana kwa mankhwala

Malangizo ogwiritsira ntchito Glucofage akuwonetsa kuyanjana kwake ndi mankhwala ena:

• ndizoletsedwa kuphatikiza mankhwalawa ndi ayodini okhala ndi radiopaque kuti asayambitse lactic acidosis ndi zovuta za matenda ashuga,
• mosamala, kuphatikiza ndi Danazole kumagwiritsidwa ntchito popewa zotsatira za hyperglycemic,
• Chlorpromazine imawonjezera kuchuluka kwa shuga m'magazi, kuchepetsa kutulutsa kwa insulin,
• mankhwalawa antipsychotic amafuna kusintha kwa glucophage,
• glucocorticosteroids amachepetsa kulolera kwa shuga, kuwonjezera kuchuluka kwake m'magazi, angayambitse ketosis,
• ndi diuretic mankhwala, lactic acidosis imayamba,
• jakisoni wa beta-adrenergic agonist amalimbikitsa kuchuluka kwa shuga, ACE zoletsa ndi antihypertensive mankhwala amachepetsa chizindikiro ichi,
• Akaphatikizidwa ndi mankhwala a sulfonylurea, acarbose, salicylates, hypoglycemia
• Amylord, Morphine, Quinidine, Ranitidine amatsogolera kukuwonjezeka kwa kuchuluka kwa ntchito.

Kuyamwa kwa mowa

Kuphatikizidwa komwe kumaphatikizidwa ndi kuphatikiza kwa glucophage ndi mowa. Ethanol mu zakumwa zoledzeretsa zam'mimba zimawonjezera chiopsezo cha lactic acidosis, yomwe imalimbikitsidwa ndi zakudya zama calorie ochepa, zakudya zama calorie ochepa, komanso kulephera kwa chiwindi. Munthawi yonse ya chithandizo chamankhwala, zakumwa zokhala ndi zakumwa zoledzeretsa ndi mankhwala, zakumwa zoledzeretsa ziyenera kupewedwa.

Migwirizano yogulitsa ndikusunga

Glucophage ikhoza kugulidwa kokha ndi mankhwala. Mankhwalawa amasungidwa kutali ndi ana m'malo amdima pa kutentha mpaka madigiri 25, moyo wa alumali ndi zaka 3-5, kutengera kuchuluka kwa metformin hydrochloride pamapiritsi.

Pali mitundu ingapo yachindunji ndi yosatchulika ya Glucofage. Zoyambazo zikufanana ndi mankhwalawa pophatikizika ndi zomwe zimagwira, zomwe zimatengera zomwe zimawonetsedwa. Patsamba lamasitolo ogulitsa mankhwala mumatha kupeza zotsatirazi zamafuta omwe amapangidwa m'mafakitale ku Russia ndi mayiko ena: