Zomwe zili bwino - Siofor kapena Glucofage: Kufotokozera za mankhwala, malangizo, kugwiritsa ntchito, ndemanga

Ndibwino - "Siofor" kapena "Glucophage"? Awa ndi mankhwala osokoneza bongo omwe ali ndi metformin pakapangidwe. Izi zimagwiritsidwa ntchito pochiza matenda ashuga ngati zakudya sizigwira ntchito. Mankhwala osokoneza bongo amachepetsa shuga. Dokotala amatha kukupatsani mankhwala angapo. Koma nthawi zambiri, mwina Glucophage kapena Siofor ndi omwe amapatsidwa. Ngakhale pali ena ofanana. Adzaperekedwa kumapeto kwa nkhaniyo.

Basic mankhwala

Metformin yogwira ntchito ndi chimodzimodzi pamankhwala awa. Chifukwa cha iye, zimachitika:

kuchepa kwa insulin
kutsekeka kwamatumbo a glucose,
kukonza shuga chiwopsezo cha maselo.

Kodi pali kusiyana kotani pakati pa Siofor ndi Glyukofazh? Tiyeni tiwone.

Kupanga kwa insulini kokha sikumakhudzidwa ndi metformin, koma kuyankhidwa kwa maselo kumamveka bwino. Zotsatira zake, pali kusintha kwa kagayidwe kazakudya m'thupi la odwala matenda ashuga. Chifukwa chake, zomwe zili pokonzekera:

amachepetsa kudya - munthu amangodya zakudya zochepa, chifukwa cha izi zowonda zimatayika,
amateteza kagayidwe kazakudya,
amachepetsa thupi
amachepetsa shuga.

Mavuto a shuga amabwera kawirikawiri mukamamwa mankhwalawa. Chiwopsezo cha matenda a mtima ndi mtima. Anthu odwala matenda ashuga nthawi zambiri amavutika ndi izi.

Mankhwala aliwonse amakhala ndi gawo lake komanso kutalika kwa chochita, chomwe chimatsimikiziridwa ndi dokotala. Pali metformin yokhala ndi nthawi yayitali. Izi zikutanthauza kuti mphamvu yochepetsera kuchuluka kwa shuga m'magazi imatenga nthawi yayitali. M'dzina lamankhwala muli mawu akuti "lalitali". Poyerekeza ndi kumbuyo kwa kutenga, mwachitsanzo, mankhwala a Glucofage Long, kuchuluka kwa bilirubin kumapangidwira ndipo mapuloteni a metabolism amakhala osinthika. Imwani mankhwala nthawi yayitali kamodzi patsiku.

Mukamasankha mankhwala amodzi kapena ena, ndikofunikira kumvetsetsa kuti ngati chinthu chogwira ntchito ndichofanana kwa iwo, ndiye kuti magwiridwe antchito adzafanana.

Anthu omwe ali ndi matenda a shuga amakonda kufunsa funso: Kodi Siofor kapena Glucophage ali bwino? Munkhaniyi, tikambirana mwatsatanetsatane wina ndi mnzake mankhwala.

Malangizo onse a mankhwala ayenera kuchitika ndi adokotala. Kudzichitira nokha mankhwala sikovomerezeka. Kupatula kupezeka kwa zoyipa zilizonse mthupi, ndikofunikira:

kutsatira zakudya zomwe zimalimbikitsidwa,
Chitani masewera olimbitsa thupi pafupipafupi (awa akhoza kusambira, kuthamanga, masewera akunja, kulimbitsa thupi),
imwani mankhwalawa, onani mlingo ndi malangizo ena onse a dotolo.

Ngati dokotala yemwe sanapezeko sanatchule mankhwala, koma adapereka mayina angapo kuti asankhe, wodwalayo amatha kudziwa zowunikira ndikugula njira zoyenera kwambiri.

Ndiye, chabwino ndi chiani - "Siofor" kapena "Glucophage"? Kuti tiyankhe funsoli, ndikofunikira kuganizira za zomwe mankhwalawa ali.

About mankhwalawa "Siofor"

Awa ndi mankhwala otchuka kwambiri, malinga ndi ogula, omwe amagwiritsidwa ntchito prophylactical pakuwongolera zolemetsa, komanso mankhwalawa matenda a shuga 2. Monga gawo la mankhwalawa, chinthu chogwira ntchito ndi metformin, chomwe chimathandiza maselo kuti azimvera insulin, ndiye kuti, amagwiritsidwa ntchito popewa insulin. Chifukwa chotenga, kuchuluka kwa cholesterol kumachepa, ndipo ndi chiopsezo cha matenda amtima amachepa. Pang'onopang'ono komanso moyenera, kulemera kumachepetsedwa, uwu ndiye mwayi waukulu wa Siofor.

Momwe mungagwiritsire "Siofor"?

Tidzakambilana za fanizo pambuyo pake.

Nthawi zambiri, mankhwalawa a Siofor ndi omwe amapatsidwa mtundu wa shuga wachiwiri chifukwa cha mankhwalawa komanso kupewa. Ngati masewera ena olimbitsa thupi komanso zakudya zina sizikupatsani zotsatira, ndi nzeru kuyamba kutero.

Itha kugwiritsidwa ntchito padera, kapena kuphatikiza ndimankhwala ena omwe amakhudza glucose wamagazi (insulin, mapiritsi ochepetsa shuga). Kulandila kumachitika bwino nthawi imodzi ndi chakudya kapena mukangomaliza kudya. Kuchuluka kwa Mlingo kuyenera kuyang'aniridwa ndi adokotala. Izi zikutsimikizira malangizo a kukonzekera kwa Siofor 500.

Kodi Siofor ali ndi zotsutsana ndi ziti?

Mankhwala saloledwa zotsatirazi:

Type 1 shuga mellitus (pokhapokha ngati kunenepa kwambiri, komwe kumathandizidwa ndi Siofor).
Zikondamoyo sizitulutsa insulin (zitha kuwonedwa ndi mtundu 2).
Coma ndi ketoacidotic chikomokere.
Micro- ndi macroalbuminemia ndi uria (zomwe zili mumkodzo wa mkodzo ndi magazi a globulins ndi albumin).
Matenda a chiwindi ndi ntchito yake yosakwanira.
Ntchito zosakwanira za mtima ndi mitsempha yamagazi.
Kulephera kopindulitsa.
Kuchepetsa hemoglobin m'magazi.
Opaleshoni komanso kuvulala.
Kumwa kwambiri.
Mimba komanso nthawi yoyamwitsa.
Mu ana osakwana zaka 18.
Aliyense tsankho kwa zigawo zikuluzikulu za mankhwala.
Kutenga njira zakulera zamkamwa, pamakhala chiopsezo cha kutenga pakati kosakonzekera.
Mukalamba mukatha zaka 60, ngati agwira ntchito molimbika.

Monga tawonera pamwambapa, "Siofor" imakhala ndi zotsutsana zambiri. Chifukwa chake, ndikofunikira kuti muzingozitenga pokhapokha ngati dokotala wakupatsani komanso mosamala.

Zotsatira zoyipa zikachitika, siyani kugwiritsa ntchito mankhwalawa ndipo pitani kuchipatala mwachangu.

Kugwiritsa ntchito "Siofor" pakuchepetsa thupi

"Siofor" si mankhwala apadera ochepetsa thupi, koma ndemanga zimatsimikizira kuti kunenepa kwambiri kumachoka mofulumira mukamamwa mapiritsi. Kulakalaka kumachepa, kagayidwe kamafulumira. Posakhalitsa, ambiri adakwanitsa kuchotsa ma kilogalamu angapo. Izi zimapitilira pomwe mankhwalawa akumamwa. Anthu akangosiya kumwa izi, kulemera kumabweranso chifukwa cha mafuta m'thupi.

Siofor ili ndi zabwino zambiri kuposa mankhwala ena. Kuchuluka kwa zoyipa ndizochepa. Zina mwazomwe zimakhalapo ndi kupezeka kwa matenda otsegula m'mimba, kutulutsa magazi ndi kugona. Mtengo wa mankhwalawa ndi wotsika, zomwe zimapangitsa kuti aliyense athe kugula.

Koma ndikofunikira kuganizira mfundo zina. Zakudya zamafuta ochepa ziyenera kutsatiridwa. Izi zimathandizira kuchepetsa thupi. Kuphatikiza apo, ndikofunikira kuchita masewera olimbitsa thupi nthawi zonse mukamamwa "Siofor."

Mwambiri, kukonzekera kwa Siofor kungakhale koopsa. Izi ndizodzaza ndi lactic acidotic state, yomwe imatha kupha. Chifukwa chake, mankhwalawa sayenera kupitilira, ndipo ngati mukufuna kuthana ndi kulemera kwambiri, mutha kuthamanga kapena kusambira mwachangu, mwachitsanzo.

Ndi matenda a shuga a 2

Momwe mungagwiritsire "Siofor 500"? Bukuli likuti malamulo oyambira kupewa matenda ashuga ndi awa:

moyo wathanzi
Zakudya zoyenera, zopatsa thanzi,
zolimbitsa thupi.

Koma si anthu onse amene akufuna kutsatira izi. "Siofor" mwa izi zimathandiza kuchepetsa thupi, zomwe zimathandiza kupewa matenda a shuga. Koma zakudya ndi masewera olimbitsa thupi ziyenera kukhalapo, apo ayi zotsatira zoyenera sizingachitike.

About Glucophage

Mankhwalawa amatha kuonedwa ngati "anofof". Amasanjidwanso mtundu wa 2 odwala matenda ashuga. Ambiri amawona kuti ndi othandiza, koma amakhalanso ndi malingaliro osalimbikitsa.

Glucophage imakhala ndi nthawi yayitali, iyi ndiye phindu lake lalikulu. Metformin imamasulidwa maola opitilira 10. Zochita za "Siofor" zimatha theka la ola. Pogulitsa mutha kupeza mankhwalawa "Glucophage", omwe satha nthawi yayitali.

Kodi maubwino ati a mankhwala "Glucofage" poyerekeza ndi "Siofor"? Za izi pansipa:

"Siofor" amatengedwa mu gawo linalake kangapo patsiku. Glucophage Kutalika kokwanira kumwa kamodzi patsiku.
Mimbayo imakhala yocheperako, chifukwa nthawi zambiri imayendetsedwa.
Kusintha kwadzidzidzi kwa glucose kulibe, makamaka m'mawa ndi usiku.
Mlingo wocheperako sukusokoneza kugwira bwino, shuga amachepetsedwa, komanso mukamamwa Siofor.

Madokotala amalembera Glucofage 500 wa mtundu wachiwiri wa shuga, koma kuchepa thupi ndiwowonjezera bwino.

Chifukwa chiyani munthu amachepetsa thupi kuchokera ku mapiritsiwa?

Pali kubwezeretsa kwa kusokonezeka kwa lipid kagayidwe m'thupi.
Kusweka kocheperako kachulukidwe kamakompyuta kumachitika, sizimamwa ndipo sizisintha kukhala mafuta.
Kuchuluka kwa shuga m'magazi kumapangidwira, ndipo kuchuluka kwa cholesterol kumachepetsedwa.
Kulakalaka kumachepa chifukwa cha kutulutsa kochepa kwa insulin m'magazi. Ndipo, motero, kugwiritsa ntchito zakudya zochepa kumayambitsa kuwonda.

Malangizo ogwiritsa ntchito "Glucofage"

Onetsetsani, monga momwe mumagwiritsira ntchito "Siofor", muyenera kutsatira zakudya:

Zopanda chakudya ndizakudya zomwe zimakulitsa kuchuluka kwa shuga.
Zakudya zamafuta othamanga zimathetsedwa kwathunthu. Izi ndi maswiti, makeke, mbatata.
Zakudya zokhala ndi CHIKWANGWANI zikuchulukirachulukira (muyenera kudya buledi wopanda nzeru, masamba abwino ndi zipatso, komanso nyemba).

1700 kcal patsiku - chizindikiro ichi chiyenera kufufuzidwa. Zizolowezi zoipa ndizofunikanso kuti zithetse. Mowa panthawi yamankhwala osokoneza bongo uyenera kuchepetsedwa. Kusuta kumabweretsa kuyamwa bwino, zomwe zikutanthauza kuti michere imayamwa pang'ono. Zochita zolimbitsa thupi ndizovomerezeka panthawi yogwiritsa ntchito mankhwala "Glucophage." Imwani mapiritsi kwa masiku 20, ndiye kuti kupuma kukuwonetsedwa. Pambuyo pake, mutha kubwereza njira ya chithandizo. Izi zimachitika kuti muchepetse chiwopsezo cha kuzolowera.

Kodi mankhwala amatsutsana ndi chiyani?

Sizikulimbikitsidwa kugwiritsa ntchito mankhwala "Glucofage 500" ndi:

Mtundu woyamba wa shuga.
Mimba komanso kuyamwa.
Atangochita opareshoni kapena kuvulala.
Matenda a mtima.
Matenda a impso.
Aliyense tsankho kwa zosakaniza za mankhwala.
Uchidakwa wambiri.

Zotsatira zoyipa

Mankhwala aliwonse angayambitse kuyipa kwamthupi. Ndikofunikira kutsatira mlingo. Zotsatira zoyipa sizimachitika kawirikawiri, koma nthawi zina, maonekedwe a:

Matenda a Dyspeptic.
Mutu.
Zachisangalalo.
Kutsegula m'mimba
Kuchuluka kwa kutentha kwa thupi.
Kufooka ndi kutopa.

Zimachitika nthawi zambiri pamene mulingo woyenera umaperekedwa. Kuphatikiza apo, zimachitika kuti popanda kudya kwamoto ochepa pomwe mukumamwa Ndikofunikira kuchepetsa mlingo ndi theka. Kufunsira kwa akatswiri ndikofunikira kuti athe kuthana ndi mavuto, makamaka ngati pali mtundu wachiwiri wa matenda ashuga.

Yakwana nthawi yodziwitsa - chomwe chiri bwino: "Siofor" kapena "Glucophage"?

Popeza awa ndi mankhwala ofanana ndi chinthu chimodzi chogwira ntchito, ndizovuta kusankha pakati pawo. Komanso, zotsatira za chithandizo kwathunthu zimatengera umunthu wake:

Glucofage imakhala ndi zoyipa zingapo, chifukwa chake chimakhala chochepa kuposa Siofor.
Siofor ali ndi zochulukirapo zotsutsana.
Ngati mumalephera kugwiritsa ntchito mankhwalawa, mutha kuyamba kumwa Glucophage ndi mphamvu yayitali.
Mtengo wawo ndi wofanana, Komabe, Glyukofazh ndi wokwera mtengo kwambiri. "Glucophage" imatenga ndalama zambiri kuposa masiku onse, chifukwa chake, posankha, mtengo ukhoza kukhala wofunika.
Chiwerengero cha madyerero patsiku sichikhudza zotsatira zake.

Mankhwalawa ali pafupifupi ofanana, kotero kusankha kumakhalabe ndi wogula. Kodi mtengo wa mapiritsi a Glucofage ndi chiyani? Kodi Siofor ndi zingati?

Siofor itha kugulidwa pa chipinda chilichonse cha mankhwala pamtengo wa ma ruble 250 a 500 mg. "Glucophage" wamba amatenga 100 mpaka 300 ma ruble, "Glucophage Long" kuchokera 200 mpaka 600, kutengera dera ndi mlingo.

Ndi mankhwala ati omwe ali bwino - "Glucofage" kapena "Siofor"? Ndemanga zimatsimikizira kuti ogula amakonda kufunsa funso ili.

Pali chiwerengero chachikulu cha ndemanga zokhudzana ndi mankhwalawa. Ambiri aiwo ali ndi chiyembekezo. Amagwira bwino ntchito, makamaka ngati mankhwala ogula omwe ali ndi katundu wa nthawi yayitali. Simuyenera kukumbukira nthawi zonse za kumwa mapiritsi, ingomwani kamodzi patsiku m'mawa. Mwazi wamagazi umachepetsedwa, palibe kulumpha kwakuthwa tsiku lonse. Ndi yabwino kwambiri. Zotsatira zoyipa ndizosowa kwambiri, makamaka pamene mulingo wawonjezereka. Anthu ambiri amakonda kuti kunenepa kwambiri kumachepetsedwa. Koma izi zimakhudzidwa ndi zakudya komanso zolimbitsa thupi.

Ganizirani kukonzekera "Glucofage" ndi "Siofor" analogues.

Khalidwe la Glucophage

Chofunikira chachikulu ndi metformin hydrochloride. Zowonjezera zina: hypromellose, povidone, stearate ya magnesium. Machitidwe a mankhwalawa: amachepetsa mayamwidwe a shuga ndikuwonjezera kuyankhidwa kwa maselo ku insulini, maselo am'mimba amaikulitsa mwachangu. Metformin siyingachititse kuti insulin ipange thupi lake.

Amagwiritsidwa ntchito pochiza matenda oyambitsidwa ndi vuto la kunenepa kwambiri. Kuchepetsa thupi kumafika mpaka 2-4 kg pa sabata.

Kutulutsa mawonekedwe: mapiritsi okhala ndi mlingo wa 500, 850 ndi 1000 mg wa chinthu chachikulu. Chithandizo: Vuto 2 mpaka katatu patsiku, piritsi limodzi nthawi ya chakudya kapena itatha kuti muchepetse kugaya chakudya. Mapiritsi akumezedwa kwathunthu, simungathe kuluma ndi kupera ufa.

Njira yovomerezeka ndi milungu itatu. Pambuyo pa masabata 1.5-2, kuchuluka kwa shuga m'magazi kumayesedwa ndipo mlingo umasinthidwa. Pofuna kupewa kukopeka, kumapeto kwa chithandizo chamankhwala muyenera kupuma kwa miyezi iwiri. Ngati pakufunika kuchitapo kanthu kwa nthawi yayitali, muyezo wa Glucofage Long umayikidwa.

Pochiza matendawa, ndikofunikira kuti musapatuke pang'onopang'ono zakudya zopatsa mphamvu, zopangidwira 1800 kcal. Ndikofunikira kupatula kumwa mowa ndikuletsa kusuta - izi zimalepheretsa kuyamwa ndi kugawa mankhwalawa.

migraine
kutsegula m'mimba
dyspepsia (monga nkhani ya poyizoni),
chisangalalo
kufooka
kutopa,
kuchuluka kwa kutentha kwa thupi.

mtundu 1 shuga
matenda a mtima ndi mtima,
matenda a nephrological
kupukusa ndi kuyamwitsa,
kuchira pambuyo opaleshoni,
uchidakwa wambiri,
tsankho limodzi la magawo a mankhwala.

Zotsatira zoyipa Glucophage: migraine, m'mimba.

Mu zovuta, mankhwalawa amachepetsedwa kawiri mpaka piritsi limodzi mpaka limodzi.

Makhalidwe a Siofor

Siofor amagwiritsidwanso ntchito pochiza matenda amitundu iwiri matenda ashuga. Chofunikira chachikulu ndi metformin. Imagwira pama cell receptors, imawonjezera chidwi chawo ku insulin, imathandizira kugwira ntchito kwa mtima, kumathandiza kuchepetsa kunenepa komanso kumawonjezera ndende. Zotsatira za mankhwalawa zimayamba mphindi 20 pambuyo pa kukhazikitsa.

Mlingo m'mapiritsi: 500, 850 ndi 1000 mg. Zowonjezera: titanium silicon dioxide, magnesium stearate, povidone, hypromellose, macrogol.

Ndondomeko ya dosing: yambani kulandira mankhwala ndi 500 mg, kenako onjezani mpaka 850 mg, mwapadera mpaka 1000 mg. Ndi bwino kumwa mapiritsi katatu patsiku mukamadya kapena mutatha kudya. Pa mankhwala a Siofor, shuga amawunika milungu iwiri iliyonse.

Zisonyezero zogwiritsidwa ntchito:

mtundu 2 chithandizo cha matenda ashuga,
kupewa matenda
onenepa kwambiri
lipid kagayidwe kachakudya.

Mankhwalawa ndi othandiza pakudya chamafuta ochepera mphamvu komanso kuchita masewera olimbitsa thupi. Munthawi yomweyo mankhwala ndi mankhwala ena n`zotheka.

lembani matenda ashuga 1 a shuga ndi jakisoni wa insulin,
kuzindikira kwa mapuloteni a albumin ndi globulin mkodzo,
Kulephera kwa chiwindi ndi kulephera kwa thupi kuyeretsa magazi a poizoni,
matenda a mtima
matenda am'mapapo komanso mavuto a kupuma,
hemoglobin wotsika
kutenga ndalama kuchokera pamimba yosakonzekera, chifukwa Siofor amathandizira zotsatira zawo,
mimba ndi mkaka wa m`mawere
tsankho limodzi ndi zigawo za mankhwala,
uchidakwa wambiri,
kutsegula m'mimba
chikomokere
nthawi yantchito
ana ndi anthu opitirira zaka 60.

Zotsatira zoyipa zake ndi izi:

akunjenjemera m'mimba
kutulutsa pang'ono
nseru
matumbo
kusanza
kulawa kwazitsulo
kupweteka m'mimba
zotupa
lactic acidosis
kuyan'anila zantchito ya chiwindi.

Zotsatira zoyipa za Siofor ndizotheka: kugubuduza pamimba, kumatulutsa pang'ono.

Kuti muchepetse kuwonetsedwa kwa zizindikiro zosasangalatsa, mlingo wa tsiku ndi tsiku uyenera kugawidwa m'magawo angapo.

Kuyerekezera Mankhwala

Mankhwala onse awiriwa ali ndi kufanana kwakukulu kusiyana.

Glucophage ndi Siofor ali ndi zofanana:

zikuchokera zikuphatikiza mankhwala omwewo a metformin,
mankhwala 2 mitundu ya matenda ashuga,
amachepetsa thupi
yambitsani kuda,
sayenera kumwedwa panthawi yoyembekezera,
likupezeka piritsi.

Kuphatikiza apo, muyenera kukana kumwa onse mankhwalawa masiku angapo musanachitike ndikuwunika kwa x-ray.

Kodi pali kusiyana kotani?

Mankhwala amasiyanasiyana mu thupi:

Glucophage imamuwonjezera shuga, ndipo kupuma pambuyo pa kayendetsedwe kumafunika kubwezeretsa thupi.
Mukamamwa Siofor pakatha miyezi itatu, kuchepa thupi kumachepetsa, koma osati chifukwa choti munazolowera mankhwalawa, koma chifukwa cha kayendedwe ka kagayidwe kachakudya.
Siofor amatha kuletsa kugaya kwam'mimba, ndipo Glucophage, m'malo mwake, samakwiyitsa m'mimba ndi matumbo.
Siofor ndiokwera mtengo kwambiri kuposa Glucofage.
Siofor ili ndi zotsutsana zambiri chifukwa cha zinthu zina zothandizira.

Ndibwino - Glucofage kapena Siofor?

Ndi mankhwala ati omwe amagwira ntchito bwino ndikovuta kuyankha mosaganizira. Kusankhidwa kwa mankhwala oyenera kumaganizira kuchuluka kwa kagayidwe kazomwe thupi limamuwona.

Cholinga chachikulu cha kukhudzana ndi mankhwalawa ndikuchiza komanso kupewa matenda ashuga komanso kuchepetsa kunenepa kwambiri. Mankhwala onse awiriwa amatha kulimbana ndi ntchitozi bwino ndipo alibe machitidwe ofananirana ndi momwe mphamvu zawo zimakhudzira thupi. Ngati mukufunika kuchepetsa shuga m'magazi munthawi yochepa, ndiye kuti Siofor achita bwino.

Ndi matenda ashuga

Mankhwalawa onse amachepetsa chiopsezo chokhala ndi matenda ashuga ndi 1/3, komanso ndi moyo wogwira - pafupifupi theka. Awa ndi mankhwala okhawo omwe angalepheretse matenda ashuga.

Pambuyo pakuthandizidwa ndi Siofor, thupi limabwezeretsa pang'onopang'ono kuthekera kodziimira payokha kuchuluka kwa shuga m'magazi. Mukamamwa Glucofage, kuphatikiza kwa glucose kumakhala pamlingo wokhazikika ndipo palibe kulumikizana kowongoka.

Mukamachepetsa thupi

Pofuna kuthana ndi kunenepa kwambiri, Siofor ndiyabwino kwambiri, popeza:

amalepheretsa kudya mwa kuchepetsa kutulutsa kwa insulin,
amachepetsa kulakalaka maswiti,
amachepetsa cholesterol
Imachepetsa kuchepa kwa chakudya chamafuta, imachepetsa mayamwidwe awo ndikusintha kukhala mafuta,
kubwezeretsa ndi kufulumizitsa kagayidwe,
sinthana kupanga mahomoni a chithokomiro.

Panthawi yoonda, muyenera kutsatira zakudya zamafuta ochepa. Zochita zolimbitsa thupi ziyenera kukhala tsiku ndi tsiku kuti zitheke kuwotcha mafuta ndikuchotsa poizoni m'thupi. Simungatenge oposa 3000 mg a metformin kuti muchepetse thupi mofulumira. Kutuluka kwa metformin yambiri kumatha kusokoneza ntchito ya impso ndi kusokoneza shuga.

Malingaliro a madotolo

Mikhail, wazaka 48, wazakudya zopatsa thanzi, Voronezh

Ambiri omwe ali ndi matenda ashuga ali ndi vuto lalikulu: zimawavuta kuti azilamulira pakudya kwawo. Mankhwala okhala ndi Metformin amathandizira kuchepetsa kulakalaka kwa maswiti. Pang'onopang'ono, chizolowezi cha kudya kwambiri komanso kudya usiku chimadutsa. Ndimalemba ndondomeko ya kadyedwe ka odwala anga ndikulembera Glyukofazh, chifukwa cha tsankho lake ndimasinthira Siofor. Imagwira ntchito kwa ola limodzi ndipo nthawi yomweyo imachepetsa kudya, kuchepetsa kuchuluka kwa shuga m'magazi.

Oksana, wa zaka 32, endocrinologist, Tomsk

Ndimawerengera a Siofor odwala anga. Zimathandiza kuthana ndi matenda ashuga komanso kunenepa kwambiri. Ngati zovuta zoyipa zimachitika mwanjira ya m'mimba ndi kusanja, ndiye kuti ndimasinthira mankhwala ndi Glucofage. M'masiku ochepa, zonse zimachoka. Masiku ano, Glucofage ndi Siofor ndi mankhwala okhawo omwe amachiza matenda a shuga komanso kunenepa kwambiri.

Ndemanga za wodwala za Glucofage ndi Siofor

Natalia, wazaka 38, Magnitogorsk

Anandipeza ndi matenda a shuga komanso mankhwalawa Siofor adalembedwa kuti alandire chithandizo. Anamwa mlingo womwe adawafotokozera ndi adotolo, mkhalidwe wake umakhala wathanzi, shuga adasungidwa mkati mwa nthawi zonse. Ndipo patapita kanthawi ndidazindikiranso kuti ndimachepetsa thupi. Kwa mwezi umodzi ndidataya 5 kg. Ngakhale adotolo adachenjeza kuti pakhoza kukhala zotsatirapo, koma ndimakhala ndimavuto pang'ono m'mimba poyambira kumwa mapiritsiwo. Ndipo mkati mwa sabata zonse zidapita.

Margarita, wazaka 33, Krasnodar

Dotolo adayikira Siofor, ndipo ndinayamba kumwa piritsi limodzi m'mawa ndi madzulo. Pambuyo masiku 10, mavuto matumbo, kukhumudwa, ndi kupweteka m'mimba. Dotolo adamuuza Glucophage m'malo mwake. Ntchito yamatumbo idabwezeretseka, ululu udatha. Kukonzekera ndi kwabwino, kuwonjezera pa izi ndinataya 7.5 kg.

Alexey, wazaka 53, Kursk

Pambuyo pa zaka 50, kuchuluka kwa shuga m'magazi kwachuluka. Poyamba, Siofor adatenga, koma ndimatuluka magazi, nseru, komanso kusanza. Kenako adotolo adamuuza Glucophage. Ndinapitilizanso kudya zomwe wopanga zakudya amapanga. Pafupifupi palibe zoyipa zomwe zimawonedwa pamankhwala. Patatha milungu itatu ndidapitilira kusanthula. Glucose anachira, kupuma movutikira kunatha, ndipo ndinataya makilogalamu 4.

Momwe mungasinthe?

Palinso mitundu ina yofananira pa chinthu:

Nthawi zambiri, pochiza matenda a shuga a mellitus (DM), madokotala amamulembera imodzi mwazolemba ziwiri: Siofor kapena Glucofage. Mankhwalawa ndi othandiza kwambiri komanso kuti mudziwe kuti pali bwino kaya pali kusiyana pakati pawo, ndikofunikira kudziwa nokha aliyense payekhapayekha. Kuti muchite izi, muyenera kuyerekezera zomwe zikuwonetsa, mlingo, zoletsa pazovomerezeka ndikugwirizana ndi mankhwala ena.

Makhalidwe oyerekeza

Kuti achepetse kuchuluka kwa shuga m'magazi wamba, madokotala amapereka mankhwala osiyanasiyana a hypoglycemic kwa odwala: Siofor, Glyukofazh (Glukofazh Long), Glformin ndi ena. Awiri oyamba amatchuka kwambiri pakati pa odwala matenda ashuga. Mankhwala wothandizila "Siofor" ali ndi magawo omwe amagwira ntchito - metformin, ndiye kuti amachepetsa glucose wa plasma ndipo amathandizira. "Siofor" amachepetsa kuthekera kwa m'mimba kuti amwe glucose, amachepetsa kuchuluka kwa cholesterol m'magazi amwazi, komanso amathandizira kulemera, kotero nthawi zambiri amagwiritsidwa ntchito pakuchepetsa thupi ndi odwala omwe ali ndi kunenepa kwambiri. Glucophage, monga Siofor, amathandizira kuchepetsa shuga m'magazi ndikuchita polimbana ndi kunenepa kwambiri. Sizosiyana ndi mawonekedwe ake analogue ndi yogwira ntchito. Glucophage imakhazikikanso ndi metformin.

Cholinga chachikulu cha mankhwala omwe amawerengedwa ndikugwirira matenda a shuga a II. Ndikofunika kwambiri kugwiritsa ntchito "Siofor" ndi "Glucophage" ngati matenda a shuga akuphatikizidwa ndi kunenepa kwambiri, osagwiritsidwa ntchito pothandiza pakulimbitsa thupi komanso kuchita masewera olimbitsa thupi. Lemberani mankhwala kuti musangochotsa, komanso kuti muchepetse kuchuluka kwa kuchuluka kwa shuga m'magazi. Mu shuga, Glucophage ndi Siofor angagwiritsidwe ntchito ngati monotherapy kapena kuphatikiza ndi mankhwala ena omwe amakhudza glucose.

Contraindication

Mankhwala oyerekeza poyerekeza sasiyana, popeza ali ndi zomwe zimapangira chimodzimodzi. Chifukwa chake, zoletsa zogwiritsidwa ntchito zidzakhala zofanana, komabe, pali zovuta zina ndipo mutha kuziwona bwino patebulopo.

Titha kudziwa kuti mankhwala a Siogor a hypoglycemic ali ndi zotsutsana zambiri. Ndipo ngati sikulimbikitsidwa kuti mugwiritse ntchito matenda a chiwindi, ndiye kuti Glucofage imatha kuvulaza odwala omwe ali ndi vuto la impso. Ubwino wa mankhwala omaliza pamwamba pa Siofor ndi kuthekera kwa kugwiritsidwa ntchito kwake ngati vuto la insulin silikwanira.

Momwe mungagwiritsire ntchito?

Gwiritsani ntchito mankhwalawa matenda a shuga mellitus ozikidwa pa metformin angachitike pokhapokha atakambilana ndi dokotala wodziwika bwino.

Mankhwala Siofor amaperekedwa kwa odwala matenda a shuga pakamwa katatu patsiku chakudya chachikulu. Ngati mumamwa mankhwalawa pakudya, ndiye kuti kuyamwa kwa mankhwalawa kumachepetsa pang'ono. Chithandizo chimayamba ndi 0,5 g patsiku, patsiku la 4, mlingo umakwezedwa kwa 3 g Ndikofunikira panthawi yamankhwala kuti mupeze kuchuluka kwa shuga masabata awiri aliwonse kuti musinthe mlingo.

Palibe kusiyana pakudya, ndipo mapiritsi a Glucofage amafunikiranso kumeza athunthu, osasweka kapena ophwanya. Mlingo woyambirira ndi 500 mg katatu patsiku. Pambuyo pa masiku 14, kuchuluka kwa glucose kumayang'aniridwa ndipo, malinga ndi zomwe zasintha, mlingo umawunikiranso. Tiyenera kumvetsetsa kuti dokotala wodziwa mbiri yekhayo ndiye ayenera kusintha mlingo.

Kugwirizana kwa mankhwala

Kuchiza matenda a shuga kumatenga nthawi yambiri motero ndikofunikira kuti wodwalayo adziwe momwe mankhwala a hypoglycemic angakhalire ngati mankhwala ena amafunikira limodzi nawo. Chifukwa chake, kuchuluka kwa hypoglycemic kwa Siofor kumatha kuwonjezeka ngati mumamwa ndimankhwala ena ochepetsa shuga, ma fibrate, insulin kapena MAO zoletsa. Kugwiritsa ntchito kwa "Siofor" kumatha kuchepa limodzi ndi progesterone, mahomoni a chithokomiro, estrogens ndi thiazide diuretics. Ngati kuphatikiza kwa othandizira kotereku sikungatheke, ndiye kuti wodwalayo amayenera kuwongolera glycemia ndikusintha Mlingo wa wothandizila wodwala.

Ponena za Glucophage, sikulimbikitsidwa kuti muigwiritse ntchito nthawi imodzi ndi Danazol, chifukwa izi zingayambitse hyperglycemia. Kukula kwa lactic acidosis ndikotheka ngati Glucophage ikuphatikizidwa ndi loop diuretics. Pali kuwonjezeka kwa achire zotsatira za mankhwala a hypoglycemic pamene mukumwa ndi insulin, salicylates ndi mankhwala "Acarbose".

Zomwe zili bwino: Siofor kapena Glyukofazh?

Mankhwala oyerekeza ndi ma analogi chifukwa chake nkosatheka kunena kuti ndi othandiza bwanji. Kusiyana kwakukulu ndi kuchuluka kwakukulu kwa contraindication kwa Siofor. Kupanda kutero, mankhwalawo ali pafupifupi ofanana, zomwe zikutanthauza kuti ndi dokotala woyenera yekha yemwe angasankhe zomwe angagwiritse ntchito pochiza matenda a shuga: Glucophage kapena Siofor, potengera momwe munthu payekha alili m'thupi la wodwalayo. Malinga ndi kuwunika kwa ogula, "Glucofage" ndiyabwino kuposa mzawo, chifukwa sichimakwiyitsa khoma lam'mimba kwambiri ndipo sawona kulumpha kwakanthawi mu glucose wa plasma panthawi yamankhwala.

Matenda a 2 a shuga ndi matenda oopsa, komabe. Pakadali pano, mankhwala omwe amakonda kwambiri ndi Siofor ndi Glucofage. Kugwiritsa ntchito kamodzi kwa mankhwalawa limodzi ndi masewera olimbitsa thupi komanso zakudya zabwino kumatha kuwongolera kwambiri mkhalidwe wa wodwalayo.

Glucophage ndi Siofor mu shuga zimapangitsa kuti maselo atengeke kwambiri ndi insulin, potero amachepetsa kukana kwawo kwa insulin. Kusanthula kofanizira kudzawonetsa siofor kapena glucophage - yomwe ndi bwino kugwiritsa ntchito shuga, komanso momwe mungamwe mankhwalawa.

Makhalidwe wamba

Metmorphine - maziko a Siofor ndi Glucophage (chithunzi: www.apteline.pl)

Siofir ndi Glucofage - amatanthauza momwe metformin ndiye chinthu chachikulu.

Mankhwala okhala ndi metformin amachepetsa kwambiri shuga mu matenda osokoneza bongo mwa kukulitsa chidwi cha maselo a thupi kupita ku insulin. Komanso, mankhwala ake othandizira - metformin - imayendetsa magwiritsidwe ntchito a glucose ochokera ku minofu minofu.

Kuphatikiza apo, metamorphine:

kumawonjezera milingo yamitsempha yama shuga yotulutsa m'magazi,
imathandizira kagayidwe ka lipid, kuchepetsa kuchuluka kwa ma triglycerides, komanso lipoproteins yotsika,
amachepetsa kwambiri cholesterol "yoyipa" (otsika kachulukidwe),
imayambitsa kugwiritsidwa ntchito kwa shuga pamagulu a ma cell,
chifukwa choletsa glycogenolysis ndi gluconeogeneis amachepetsa kupanga shuga ndi chiwindi.
Imachepetsa kuyamwa kwa shuga m'matumbo.

Mankhwalawa amalembedwa mtundu wa shuga wachiwiri. Amawonetsedwa makamaka pokhudzana ndi wodwala wonenepa, pamene zolimbitsa thupi ndi chithandizo chamankhwala sizingathandize kuti muchepetse kunenepa. Amawonetsedwanso insulin kukana matenda (pamene maselo amthupi amakhala ndi vuto lochepa kwambiri la insulin). Mankhwalawa amatha kugwiritsidwa ntchito ngati mankhwala oyambira, ndiye kuti.

Chifukwa chogwiritsa ntchito bwino mankhwala amodzi, wodwalayo amatha kuchotsa zodetsa nkhawa za matenda ashuga, monga ludzu losachedwa ndi kuyabwa, kumva kupepuka komanso kutulutsa mawu. Ndemanga zambiri zabwino zimatsimikizira kuchuluka kwa ndalamazi.

Ntchito ina yofunika ya metformin ndikuchepetsa kulemera kwa wodwalayo, komwe kumachitika chifukwa cha kuchuluka kwa kagayidwe komanso kuchepa kwa chakudya, kuphatikizapo kuchepa kwa chidwi cha maswiti. Malinga ndi ndemanga, pankhani ya zakudya zomwe zimagwirizana ndi zakudya zosavuta zam'madzi, ngakhale kutchulidwa kuti alibe chidwi ndi chakudya ndizotheka.

Zofunika! Kuti muchepetse thupi, mankhwalawa salimbikitsidwa kwa osewera: kuchepa kwamphamvu kwa shuga kungayambitse nseru komanso kusanza, makamaka m'mawa komanso pambuyo pakuphunzitsidwa.

Nthawi zambiri Siofor 850 kapena Glucofage imagwiritsidwanso ntchito ndi anthu athanzi pakuchepetsa thupi. Komabe, muyenera kuganizira: kuchepa thupi kumangokhala pokhapokha mankhwala atamwa. Pambuyo pa maphunzirowa, ma kilos onse otayika nthawi zambiri amabwerera mwachangu. Izi zikuwonetsedwa ndikuwunika ndi kuwunika konse omwe amagwiritsa ntchito mankhwalawa. Chifukwa chake, simuyenera kudalira pa iwo okha, komanso masewera olimbitsa thupi komanso kudya mokwanira. Kwa anthu athanzi, kufalikira kwa mankhwalawa mpaka 60%.

Glucophage kapena Siofor wa matenda ashuga amatha kugwiritsidwa ntchito ngati mankhwala okhawo (monotherapy), kapena kuphatikiza ndi insulin kapena mankhwala ena omwe adokotala amuuzani. Chisamaliro chikuyenera kuthandizidwa pophatikiza mankhwalawa ndi:

maantibayotiki
antidepressants
zida zodulira
njira yochepetsa thupi yokhala ndi sibutramine (ingayambitse kusalingana kwa mahomoni),
mahomoni opanga a chithokomiro,
mankhwala a iodine okhala ndi ayodini
chlorpromazine
glucocorticosteroids,
mankhwala ena ochepetsa shuga.

Kugwiritsa ntchito nthawi yomweyo kwa Siofor / Glucofage ndi mapiritsi othandizira kubereka kungathandize kuchepetsa mphamvu ya mankhwala ndipo nthawi yomweyo kumawonjezera katundu pa impso. Pankhaniyi, mimba yosakonzekera ndiyotheka.

Zofunika! Pakhalapo nthawi zina pomwe kugwiritsa ntchito bwino mankhwala okhala ndi metmorphine kudakhudza kudya kwina kwa mankhwala ena m'mbuyomu

Mukamamwa mankhwalawa (makamaka kumayambiriro kwa mankhwalawa kapena kuwonjezeka kwakanthawi), zotsatirazi zingachitike:

kutsegula m'mimba kapena mosiyanasiyana, kudzimbidwa,
akukumbutsa
kuphwanya kukoma ndi kulakalaka,
kuyabwa, redness, ndi zotupa pakhungu (zosowa kwambiri),
kutsegula m'mimba
kusanza
kukoma koyipa mkamwa
kufalikira ndi chisangalalo,
kupewera chakudya
Nthawi zina, kukula kwa kuchepa kwa magazi m'thupi kwa B12 ndikotheka (nthawi zambiri kumakhala ndi chithandizo cha nthawi yayitali).

Nthawi zambiri, mavuto amayamba kumayambiriro kwa mankhwalawa kenako pang'onopang'ono. Kuti achepetse zovuta zomwe zimachitika, mankhwalawa amayenera kuwonjezeka pang'onopang'ono.

Vuto lakufa ndi lactic acidosis. Mu gawo loyambirira, zizindikiro zake zimagwirizana ndizotsatira zoyipa kwambiri, monga nseru, kutsegula m'mimba, kufooka, kugona, kufupika, arrhasmia, kuthamanga kwa magazi, ndi hypothermia kumawonekeranso. Makamaka ayenera kuchenjeza wodwala omwe akumwa mankhwala a minyewa. Ndi kulimbitsa thupi komanso kufa ndi njala, lactic acidosis imatha kupangitsa kuti wodwala afe maola ochepa. Zizindikiro zikachitika, muyenera kusiya kumwa mankhwalawo ndikuonana ndi dokotala.

Laborator zizindikiro za kupsinjika - kulumpha mu mulingo wa lactic acid pamwamba 5 mmol / l ndi acidosis yayikulu. Mwamwayi, makonzedwe a mankhwala okhala ndi metfomine amakhumudwitsa lactic acidosis kawirikawiri. Malinga ndi ziwerengero, pa munthu m'modzi pa anthu 100. Anthu okalamba ali pachiwopsezo, makamaka ngati ayenera kugwira ntchito zolimbitsa thupi.

Milandu yomwe ili pachiwopsezo chachikulu cha matenda ashuga, Siofor 850 ndi Glucofage imatha kutumizidwa ndi dokotala kuti apewe kupewa. Malinga ndi kafukufuku wina, kugwiritsa ntchito mankhwalawa kumachepetsa chiopsezo cha matenda ashuga ndi 31% (wokhala ndi moyo wathanzi - ndi 58%).

Gulu la odwala omwe mankhwalawa amatha kuperekedwa kuti apewe matendawa limaphatikizapo anthu osaposa zaka 60, pomwe amakhala onenepa komanso omwe ali ndi ziwopsezo zina monga:

ochepa matenda oopsa
mafuta ochepa magazi
oposa 6% glycated hemoglobin,
magazi triglycerides ndi apamwamba kuposa abwinobwino
Achibale apafupi anali ndi matenda ashuga 2,
kuchuluka kwamphamvu kwa thupi kwa 35 kapena kupitirira.

Malamulo ogwiritsira ntchito mankhwala osokoneza bongo

Chithandizo cha matenda a shuga ndi Sephorous (chithunzi: www.abrikosnn.ru)

mtundu 1 shuga
lembani matenda ashuga 2, omwe thupi silipanga yake insulin,
ziwonetsero kuti metfomin kapena hypersensitivity kwa izo,
The kuchuluka kwa matenda, kukula kwa bwinobwino kapena chikomokere,
matenda opatsirana opatsirana
kuvulala kwambiri pachimake,
kukanika kwambiri kwa hepatic kapena aimpso,
matenda amanjenje
matenda a mtima dongosolo (pachimake mtima kulephera, pachimake m`mnyewa wamtima infarction, pachimake nthawi ya sitiroko),
zovuta zama metabolic (makamaka lactic acidosis, ngakhale zitawonedwa kale),
Mimba ndi mkaka wa m'matumbo (ngati mankhwala amafunikira, kuyamwitsa kuyenera kutha),
kutsatira kwa wodwalayo kudya kwa hypocaloric zakudya (zosakwana 1000 cal / tsiku),
ntchito yomwe ikubwera (mankhwala ayenera kuyimitsidwa mkati mwa maola 48).

Mankhwalawa sayenera kumwa masiku awiri m'mbuyomu komanso 2 pambuyo pa maphunziro a x-ray ngati mankhwala osokoneza bongo a iodini atagwiritsidwa ntchito.

Osamamwa mowa pomwa mankhwalawo. Uchidakwa wambiri ndi kuphwanya lamulo kugwiritsa ntchito. Simungathe kuphatikiza metformin ndi mankhwala aliwonse omwe ali ndi mowa.

Ndi chisamaliro chachikulu komanso pokhapokha mutafunsa dokotala, imodzi mwa mankhwalawa imagwiritsidwa ntchito ku ovary ya polycystic.

Siofir ikupezeka mu mawonekedwe a piritsi. Pali mitundu itatu ya izo. Amasiyana kulemera kwa chinthu chachikulu (metformin hydrochloride) piritsi lililonse. Pali Siofor 500 (500 mg of metformin piritsi), Siofor 850 (850 mg) ndi Siofor 1000 (1000 mg). Piritsi lililonse lilinso ndi zinthu zowonjezera: magnesium stearate, silicon dioxide, macrogol, povidone.

Mlingo wa Siofor kuchokera kwa omwe amadziwika ndi matenda osokoneza bongo amasankhidwa payekha ndi dokotala. Pankhaniyi, glycemia yokha ndi kulemera kwa thupi ndizomwe zimaganiziridwa. Okwatirana samalingaliridwa. Ndikofunikira kutenga Siofor osafuna kutafuna, nthawi zambiri kawiri patsiku, kapena ndi zakudya. Pazipita ndende ya mankhwalawa amafikira maola 2,5 atatha kumwa. Ngati mankhwalawa adatengedwa panthawi ya chakudya, mayamwidwe amachepetsa ndikuchepetsa. Mankhwalawa amuchotsa mkodzo, kuthana ndi theka la moyo kumakhala pafupifupi maola 6.5. Nthawi imeneyi imatha kuchuluka ngati wodwala wayambika ntchito yaimpso. Kwa ana ochepera zaka 18, mankhwalawo saloledwa.

Siofor 500 nthawi zambiri imagwiritsidwa ntchito kumayambiriro kwa maphunzirowo. zotsatira. Pankhaniyi, mlingo waukulu wa tsiku ndi tsiku ndi 3 g ya metformin. Kuti muwonjezere zotsatira zake, insulini imatha kupatsidwa chithandizo cha mankhwala ndi siofor.

Kugwiritsa ntchito shuga. Mitundu ya Glucophage yopanga mankhwala ndi mapiritsi. Monga Siofir, ili ndi mitundu 500/850 /000 yolumikizidwa ndi kuchuluka kwa metformin. Mapiritsi amayenera kumezedwa popanda kuluma ndikusambitsidwa pansi ndi madzi ambiri. Ndikofunika kudya mukamadya kapena mutatha kudya (kudya mukatha kudya kumachepetsa kukula kwa zovuta zoyipa). Akuluakulu, tsiku lililonse mlingo amakhala 2-3 mapiritsi a 500 kapena 850, kwa ana opitirira zaka 10 - piritsi limodzi. Masiku 10-15 atayamba maphunzirowo, kuchuluka kwa shuga kumayendera ndipo, kutengera izi, mlingo umasintha.

Pafupifupi, maphunziro amodzi ndi masiku 10 mpaka 21, pomwepo kupumula kwa miyezi iwiri ndikulimbikitsidwa kuti musazolowere.

Kutenga Glucophage mu matenda a shuga kumatanthauza kukana zakudya zama calorie ambiri omwe amakhala ndi chakudya chambiri. Zimatha kubweretsa zovuta m'mimba kapena zimawonjezera kuwonetsa kwa zotsatirazi. Zakudya za calorie tsiku lililonse siziyenera kupitilira 1800 kcal. Kupanda kutero, mankhwalawa sangathe kugwira ntchito. Ndikofunika kugwiritsa ntchito zakudya zomwe zimakhala ndi CHIKWANGWANI.

Zofunika! Odwala omwe amamwa mankhwalawa samalimbikitsidwa kuti azichita zinthu zomwe zimafuna kuthana ndi psychomotor mwachangu kapena kupaka chidwi, chifukwa pali vuto la hypoglycemia

Musanalembe mankhwala ndipo pakatha miyezi isanu ndi umodzi kapena kuposerapo ndikofunikira kuyendetsa ntchito ya impso ndi chiwindi, komanso mulingo wa mkaka m'magazi.

Mulinso Glucofage yayitali

Kapangidwe ka piritsi Glucophage kutalika (chithunzi: www.iedp.ru)

Othandizira osiyanasiyana monga Glucophage nthawi yayitali ali ndi mawonekedwe ake. Chifukwa cha zotchinga zamagetsi zatsopano, metformin imamasulidwa motsatana komanso pang'onopang'ono kuposa mankhwala ochiritsira. Ngati piritsi yokhala ndi kutulutsidwa kwabwinobwino imapereka chindende chochuluka pambuyo pa maola 2,5, ndiye wothandizika kwa nthawi yayitali atatha maola 7 (ndi bioavailability yomweyo). Chifukwa cha izi, mankhwalawa amatha kuledzera osati kawiri patsiku, monga Siofor kapena Glucofage wamba, koma kamodzi, panthawi yamadzulo. Zigawo zopanda ntchito zimachotsedwa pamatumbo mwachilengedwe.

Monga zotsatira za kafukufuku angapo zawonetsa, mukamagwiritsa ntchito Glucofage nthawi yayitali, kuchuluka kwa zovuta za msana komanso kukhumudwitsa kwam'mimba kumachepetsedwa kwambiri, pomwe zinthu zotsika ndi shuga zimakhalabe pamlingo womwewo ngati mukugwiritsa ntchito mankhwala akale.

Ubwino wina wozengereza sutchulira kuchuluka kwa shuga m'magazi a wodwala.

Ndemanga za chida ichi nthawi zambiri zimakhala zotsutsana, makamaka ikafika pakuchepetsa shuga, koma kuchepa thupi. Malinga ndi ziwerengero, 50% ya iwo omwe amachepetsa thupi amakhutira ndi zotsatira zake. Nthawi zina, kulemera kwake kunatayika mpaka makilogalamu khumi ndi asanu ndi atatu m'miyezi ingapo. Nthawi yomweyo, ena amabwera kudzamuyankha kuti ndi mankhwala omwe anathandiza pomwe mankhwala ena sanathe.

Komabe, malinga ndi mawunikidwe, sanakhale ndi mphamvu pa kulemera kwa anthu ena, ngakhale atatha maphunziro angapo.

Mikhalidwe yosankha pakati pa Siofir ndi Glucophage

Mukamasankha mtundu wamankhwala, muyenera kutsatira kusintha (chithunzi: www.diabetik.guru)

Malinga ndi akatswiri angapo, Siofor, mosiyana ndi Glucofage, samangokhala wokonda kuchepetsa magazi. Ngati Siofor 850 imagwiritsidwa ntchito ndi munthu wathanzi pakuchepetsa thupi, pambuyo pa miyezi itatu kuchuluka kwa kuchepa thupi kumayamba kuchepa - komabe, chifukwa chake sikuti kukakamiza, koma kufunitsitsa kwa thupi kuyendetsa kagayidwe.

Kusiyana kwina ndikuti Mlingo wa Siofor ukhoza kutumikiridwa payekhapayekha pazomwe zikuchitika ndi adotolo, pomwe Glucofage ili ndi malangizo omveka bwino oti atenge.

Poyerekeza njira ziwiri izi, munthu ayenera kukumbukiranso za Glucofage yayitali. Kwa ena, mankhwalawa atha kukhala abwino chifukwa cha mlingo umodzi. Izi zitha kukhala zabwino kwa odwala matenda ashuga omwe Siofor ndi mtundu wakale wa Glucophage zimayambitsa zovuta m'mimba. Ngati mukufuna zotsatira mwachangu, Siofor ndiye chisankho chabwino kwambiri.

Mukakambirana ndi adotolo ndikutsata momwe thupi limayankhira mankhwala ena, mutha kusankha zoyenera kwambiri.

Onani kanemayo pansipa kuti mufanane ndi Siofor ndi Glucofage.

Kuyerekeza Glucofage ndi Siofor

Kuphatikizika kwa mankhwalawa kumaphatikizapo metformin. Mankhwalawa amapatsidwa mtundu wachiwiri wa matenda ashuga kuti matenda asinthe. Mankhwala mwanjira ya mapiritsi amapezeka. Amakhala ndi zofanana pakugwiritsa ntchito komanso mavuto.

Glucophage imapezeka piritsi.

Kuchepetsa thupi

Siofor bwino amachepetsa kulemera, chifukwa imachepetsa kudya ndipo imathandizira kagayidwe. Zotsatira zake, wodwala matenda a shuga amatha kutaya mapaundi ochepa. Koma zoterezi zimawonedwa pokhapokha pomwa mankhwalawo. Pambuyo pakutha kwake, kulemerako kumabwezedwa mwachangu.

Mothandizidwa amachepetsa kulemera ndi glucophage. Mothandizidwa ndi mankhwalawa, kupha mphamvu kwa lipid kumabwezeretsedwanso, ma carbohydrate samasweka ndikuyamwa. Kutsika kwa kutulutsidwa kwa insulin kumabweretsa kuchepa kwa chilakolako chofuna kudya. Kuchoka kwa mankhwalawa sikupangitsa kuti muchepetse thupi lanu mwachangu.

Madokotala amafufuza

Karina, endocrinologist, Tomsk: “Glucophage ndi matenda a shuga komanso kunenepa kwambiri. Zimathandizira kuchepetsa thupi popanda kuvulaza thanzi lanu, komanso kuchepetsa shuga m'magazi. Odwala ena amatha kutsegula m'mimba akamamwa mankhwalawo. ”

Lyudmila, endocrinologist: “Siofor nthawi zambiri imaperekedwa kwa odwala anga omwe ali ndi matenda ashuga a 2 komanso prediabetes. Pazaka zambiri zochita, watsimikizira kufunikira kwake. Vutoli komanso kusabereka m'mimba nthawi zina kumayamba. Zotsatira zoyipazi zimachitika pakapita kanthawi. "

Mankhwala

Mankhwala onse awiriwa ali ndi mankhwala osakaniza a metformin, chifukwa chake ali ndi zodziwikiratu, zosemphana ndi kachitidwe ka zinthu. Metformin imakulitsa chiwopsezo cha maselo kupita ku insulin yopangidwa ndi kapamba, mothandizidwa ndi iwo omwe amayamba kuyamwa mwachangu ndikusintha shuga. Kuphatikiza apo, metformin imalepheretsa kupanga shuga ndi chiwindi ndipo imasokoneza mayamwidwe ake m'mimba ndi matumbo.

lembani matenda ashuga a 2 shuga, makamaka ndi kuwonjezeka kwa thupi komanso kuchepa kwa zakudya ndi masewera olimbitsa thupi,
kupewa matenda a shuga ndi chiopsezo chowonjezeka cha chitukuko chake.

Zotsatira zoyipa

kusanza, kusanza,
kulakalaka kuponderezana
kuphwanya kaonedwe ka kukoma, kulawa kwazitsulo
kutsegula m'mimba
kupweteka kapena kusasangalala pamimba,
zotupa khungu
lactic acidosis,
kuchepa mayamwidwe a vitamini B12, omwe pambuyo pake angayambitse magazi m'thupi,
kuwonongeka kwa chiwindi.

Kutulutsa mawonekedwe ndi mtengo

0,5 g mapiritsi, 60 ma PC. - 265 p.,
tabu. aliyense 0,85 g, 60 ma PC. - 272 p.,
tabu. 1 g, ma PC 60. - 391 tsa.

0,5 g mapiritsi, 60 ma PC. - 176 p.
tabu. aliyense 0,85 g, 60 ma PC. - 221 p.
tabu. 0,1 g iliyonse, 60 ma PC. - 334 p.
Mapiritsi atali a 0,5 g, 60 ma PC. - 445 p.,
tabu. "Kutalika" 0,75 g, ma 60 ma PC. - 541 p.,
tabu. "Kutalika" 0,1 g, 60 ma PC. - 740 tsa.

Glucophage kapena Siofor: ndibwino kuti muchepetse kunenepa

Zaka zaposachedwa, mankhwalawa atchuka pakati pa anthu onenepa kwambiri, chifukwa chimodzi mwazomwe ali ndi kuthekera kuchepetsa thupi. Ponena za kuchuluka kwa kulemera, sizingatheke kunenanso kuti ndi mankhwala ati othandiza kwambiri. Mutha kusankha iliyonse ya iwo, ndikofunikira kutsatira malamulo onse pakugwiritsa ntchito.

Ndi kunenepa kwakanthawi kwamankhwala (kophatikizidwa ndi zakudya zosayenera), kugwiritsa ntchito kwa Siofor, komanso kugwiritsa ntchito Glucofage sikuwonetsedwa. Amasankhidwa kuti azitha kunenepa kwambiri, komwe kumalumikizidwa ndi "kuwonongeka" mu metabolic process. Vutoli limaphatikizidwanso ndi kuwonjezeka kwa seramu cholesterol, matenda oopsa, PCOS (polycystic ovary syndrome) ndi kusamba kwa msambo kwa akazi.

Kugwiritsa ntchito Siofor, komanso Glucofage yochepetsa thupi popanda kudya komanso kuchita masewera olimbitsa thupi sizingayende bwino. Amayamba kumwa mankhwalawa pamiyeso yotsika (0,5 g patsiku), pang'onopang'ono kusankha othandiza. Chovuta chomwe anthu ambiri amafuna kuti ataya mapaundi awo owonjezera ndikuyamba kugwiritsa ntchito mankhwala osokoneza bongo, zomwe zimabweretsa zotsatira zoyipa, zomwe ndizovuta kwambiri zam'mimba komanso vuto la kukoma.

Glucophage yayitali kapena Siofor: ndibwino bwanji?

Glucophage yayitali ndi mawonekedwe owonjezereka a metformin. Ngati Glucofage kapena Siofor yokhazikika imakhazikitsidwa katatu patsiku, ndiye kuti Glucofage yayitali imatha kutengedwa kamodzi patsiku. Potere, kusinthasintha kwakukhudzika kwake m'mwazi wamagazi kumachepetsedwa, kulolerana kumakhala bwino ndipo kugwiritsa ntchito kumakhala kosavuta. Zimawononga pafupifupi 2 kawiri kuposa mitundu ina ya mankhwalawa, koma zimakhala ndi zolandilira zambiri.

Chifukwa chake, ngati pali chisankho, chomwe mapiritsi ndi bwino kugula: Siofor, Glyukofazh kapena Glyukofazh motalika, ndiye mwayi umakhala ndi wotsiriza.