Momwe mungagwiritsire ntchito mankhwala Glyformin 1000?

Zonse Zokhudza Matenda A shuga »Momwe mungagwiritsire ntchito Glyformin 1000?

Gliformin 1000 ndi mankhwala othandiza kuchiza matenda a shuga a 2 omwe samatengera insulin. Kugwiritsa ntchito bwino glycemia, kumalepheretsa kukula kwa zovuta za matenda ashuga.

Zotsatira za pharmacological

Zimalepheretsa njira ya gluconeogenesis m'matenda a chiwindi komanso amachepetsa mphamvu ya kuyamwa kwa shuga. Imalimbitsa njira zomwe zimagwiritsidwa ntchito popanga zinthuzi m'magazi. Kuchulukitsa chiwopsezo cha zimakhala zathupi kuti insulin.

Metformin siyimakhudzana ndi kaphatikizidwe ka glucose ndipo sikuyambitsa zochitika za hypoglycemia. Amathandizira kuchepetsa thupi, motero mankhwalawa amagwiritsidwa ntchito moyenera pakuchepetsa thupi.

Metformin imachepetsa ntchito ya fibrin.

Pambuyo pakukonzekera pakamwa, mankhwalawa amayamba pang'onopang'ono kuchokera m'mimba. Bioavailability pafupifupi 60%. Kuchuluka kwa plasma ndende kumafikiridwa pafupifupi maola 2,5 atamwa. Sichigwirizana ndi mapuloteni a plasma. Mankhwalawa amatha kudziunjikira mu tiziwalo timene timatulutsa minofu, minyewa, impso ndi chiwindi.

Amayipitsidwa osasinthika ndi impso kuchokera mthupi. Nthawi yomwe kuchuluka kwa mankhwalawa amachepetsedwa m'thupi ndi theka, mwa anthu osiyanasiyana amachokera ku ola limodzi ndi theka mpaka maola 4.5. Kuvetsetsa kwa mankhwala kumatheka ndi vuto lalikulu laimpso.

Contraindication

Otsimikizika muzochitika zotere:

ketoacidosis
chikomokere ndi zokwanira
kulephera kwaimpso,
matenda owopsa omwe angawononge impso,
kusowa kwamphamvu kwamadzi chifukwa cha kusanza ndi kutsegula m'mimba,
matenda opatsirana oyipa kwambiri,
pachimake vuto la oxygen, mantha,
matenda am'mapapo ndi bronchi,
matenda omwe amatsogolera kukulira kwa njala ya okosijeni, kuphatikizapo mphumu, kulephera kupuma komanso kulephera kwa mtima,
kuchitapo opaleshoni yayikulu ndi kuvulala,
zinthu zofunika insulin
pachimake chiwindi kukomoka,
poyizoni wakumwa woledzera, uchidakwa wambiri,
bere ndi nthawi yoyamwitsa,
Hypersensitivity kuti metformin,
kugwiritsa ntchito mankhwala a radioisotope ndi othandizira kusiyanasiyana kwa x-ray ndi maginito a resonance,
Zakudya zopatsa mphamvu zopatsa mphamvu

Amalembedwa kwa anthu omwe ali pachiwopsezo chachikulu chokhala ndi lactic acidosis.

Momwe mungatenge Glyformin 1000?

Mankhwala a hypoglycemic amatha kugwiritsidwa ntchito pakuchepetsa thupi. Kuti muchite izi, tengani theka la piritsi (0,5 g) kawiri pa tsiku. Kugwiritsa ntchito mankhwalawa mu Mlingo waukulu kumabweretsa poyizoni. Njira ya mankhwala ndi masiku 20. Kenako amapuma kwa mwezi umodzi ndikubwereza zomwezo. Ngati mutenga nthawi yocheperako, ndiye kuti wodwalayo amayamba kuzolowera metformin, ndipo mphamvu ya mankhwalawa imachepa.

Kugwiritsa ntchito mankhwalawa sikuwotcha mafuta, koma kumagawa mphamvu mthupi.

Mlingo wa mankhwalawa umaperekedwa payekhapayekha. Amatengedwa pakamwa. Choyimira chosankhidwa ndi chizindikiro cha glycemia. Imwani piritsi lonse, osafuna kutafuna. Mlingo wokonzanso wa metformin ndi mapiritsi awiri.

Ndikofunika kuti anthu okalamba atenge piritsi limodzi la Glformin 1000.

Momwe zimachitikira kwambiri kagayidwe, mlingo wa wothandizirayo umachepetsedwa.

Zotsatira zoyipa za Gliformin 1000

Posemphana ndi regimen ya yoyang'anira ndi dosing, zovuta zingapo ndizotheka.

Maonekedwe a nseru komanso kusanza. Odwala amatha kusokonezedwa ndi kakang'ono kosangalatsa kazitsulo kamkati kamkamwa. Nthawi zina kutenga Gliformin kumabweretsa kugwa kwakuthwa, kusasangalala.

Zizindikiro izi zitha kuchepetsedwa ndi ma antacid ndi antispasmodics.

Nthawi zina, kumwa mankhwalawa kumayambitsa matenda amitsempha.

Metformin ikhoza kuyambitsa malabsorption a vitamini B12 (cyanocobalamin).

Nthawi zina, zimayambitsa lactic acidosis. Izi zimafuna kusiya ntchito mankhwala.

Zotsatira zoyipa kwambiri za metformin, makamaka kumayambiriro kwa chithandizo, ndi hypoglycemia. Zimayamba mwadzidzidzi ndipo zimadziwika ndi pallor, nkhawa, mawonekedwe a thukuta lozizira, chisokonezo. Munthawi yoyambirira yakukula kwake, wodwalayo amatha kusiya izi pakudya lokoma pang'ono.

Ndi kwambiri hypoglycemia, wodwalayo amataya chikumbumtima. Ndizotheka kumutulutsa m'ndende zoopsa zokhazokha pokhapokha ngati akufunika kwambiri.

Pazovuta zomwe zimachitika, khungu limakhala lotupa nthawi zambiri.

Chifukwa mankhwalawa amatha kuyambitsa hypoglycemia, munthawi ya chithandizo sikofunikira kuyendetsa galimoto komanso njira zovuta kwa anthu omwe amakonda kutsika kwambiri m'magazi a shuga.

Malangizo apadera

Pa mankhwala, impso iyenera kuyang'aniridwa nthawi zonse. Kupweteka kwamisempha kumachitika, kuchuluka kwa magazi a lactate kumayendera. Kamodzi pa miyezi isanu ndi umodzi, kuchuluka kwa creatinine kumayendera. Ndi kuchuluka kwazinthu izi, palibe mankhwala omwe adayikidwa.

Masiku awiri asanafike ndi atatha kugwiritsa ntchito radiology pogwiritsa ntchito mankhwala osiyanitsa, mankhwalawa sayenera kuperekedwa.

Pa mankhwala, munthu ayenera kupewa zakumwa zoledzeretsa ndi chilichonse chomwe chilimo.

Kubzala kwa parasitic sikuti kuphwanya mankhwala.

Glyformin Prolong ilibe kusiyana kwakukulu mu pharmacodynamics ndi pharmacokinetics.

Pa nthawi ya pakati, metformin imathetsedwa, ndipo wodwalayo amapatsidwa insulin. Mankhwalawa saloledwa kwa amayi apakati chifukwa chosadziwa za chitetezo chake kwa mwana wosabadwa. Ngati ndi kotheka, kugwiritsa ntchito metformin panthawi yoyamwitsa imasinthidwa kukhala zosakanikirana zochita kupanga.

Kupereka mankhwala awa kwa ana sikulimbikitsidwa.

Ndikofunikira kuyang'anira mosamala kuwerenga kwa shuga ndi mkaka wa magazi.

Chifukwa cha vuto la chiwindi, ma lactate indices amayenera kuyang'aniridwa bwino.

Ndikulimbikitsidwa kuti muchepetse mulingo wochepera.

Mankhwala ochulukirapo a Glyformin 1000

Mankhwala osokoneza bongo a metformin angayambitse kwambiri lactic acidosis yokhala ndi mwayi waukulu wokufa. Chomwe chimapangitsa kuti izi zitheke ndi kudziunjikira kwa zinthu chifukwa chosagwira impso. Wodwala akapanda kuthandizidwa, amakhala atayamba kusokonezeka, kenako amakomoka.

Zizindikiro za lactic acidosis zikawoneka, chithandizo cha metformin chimathetseka mwachangu. Wodwala amagonekedwa m'chipatala. Metformin itha kuchotsedwa msanga kwambiri kuchokera mthupi kudzera mu dialysis.

Pharmacokinetics

Kupezeka kwakukulu kwa kogwira ntchito kumawonedwa patatha maola 2 mutatha kumwa mankhwalawa. Amadziunjikira m'chiwindi, impso, komanso kumisempha yakumaso. Kulankhulana ndi mapuloteni a plasma ndizochepa.

Mankhwala omwe ali mumtundu womwewo amatuluka mothandizidwa ndi impso. Kutha kwa theka-moyo kumayambira maola 1.5 ndipo kumatha kufika maola 4,5.

Ndi chiyani?

Mankhwala ndi madokotala milandu zotsatirazi:

mtundu I matenda a shuga a mellitus (chithandizo chimaphatikizidwa ndi mankhwala a insulin),
mtundu II shuga mellitus, ngati zakudya sizinathandize.

Mankhwalawa amaperekedwa kwa odwala omwe ali ndi mitundu 1 ndi 2 shuga.

Kumwa mankhwala a shuga

Mlingo wowonetsedwa ndi dokotala payekhapayekha, kutengera kuchuluka kwa shuga m'magazi a wodwala. Mlingo kumayambiriro kwa mankhwala nthawi zambiri amakhala awa: 0,5-1 g pa tsiku kapena 0,85 ga 1 nthawi patsiku. Pambuyo pamankhwala a masiku 10-15, mankhwalawa amatha kuwonjezereka kutengera mtundu wa glycemia. Mlingo wokonza ndi 1.5-2 g patsiku. Nthawi yamankhwala yofunikira kuti wodwalayo azikhala wathanzi imawonetsedwa ndi adotolo ndipo akhoza kusinthidwa ndi iye munthawi yamankhwala.

Mapiritsi amatha kuledzera pakudya kapena pambuyo chakudya, ndipo sayenera kutafuna. Muyenera kumwa mapiritsi ndi madzi okwanira.

Panthawi yamankhwala, dokotala amayenera kuyang'anira kuchuluka kwa odwala omwe ali ndi shuga.

Zaumoyo Live mpaka 120. Metformin. (03/20/2016) Siofor ndi Glucophage kuchokera ku matenda ashuga komanso kuwonda

Kuchepetsa thupi

Mankhwala osalala nthawi zambiri amagwiritsidwa ntchito ndi akazi. Makina pankhaniyi ndi motere: mankhwalawa amatithandizanso kudziwa ntchito ya insulin, ndipo kuyamwa kwa shuga ndikolondola. Chifukwa cha izi, mafuta wosanjikiza samadzisonkhanitsa. Ngati mayi asankha kuchepetsa thupi mothandizidwa ndi mapiritsi, izi ziyenera kuchitika mosamala, osayiwala kuti ndikofunikira kufunsa dokotala, apo ayi mutha kuvulaza thanzi lanu.

Matumbo

Wodwala amatha kusanza, kusanza, kutsekemera kwazitsulo mkamwa, kutsekula m'mimba, komanso kupweteka m'mimba. Zizindikiro zoterezi zimachitika makamaka kumayambiriro kwa zamankhwala ndipo kenako zimazimiririka. Kuti muwongolere mawonetsedwe, mutha kutumiza ma antacid kapena ma painkiller.

Kuchokera m'matumbo am'mimba, kusanza, kutsegula m'mimba, ndi kupweteka kwam'mimba kumatha ngati mavuto.

Dongosolo la Endocrine

Hypoglycemia ndiyotheka kugwiritsa ntchito mankhwala osokoneza.

Kuchokera ku endocrine system, hypoglycemia ndiyotheka kugwiritsa ntchito mankhwala olakwika.

Zotupa pakhungu zimatha kuchitika.

Gwiritsani ntchito panthawi yoyembekezera komanso mkaka wa m`mawere

Simungathe kumwa mankhwala mukanyamula mwana wosabadwa ndi kuyamwa. Zambiri pa kulowa mkaka wa m'mawere sizikupezeka. Ngati mayi ali ndi pakati pomwa mankhwalawo, ndikofunikira kusiya nawo ndikupereka mankhwala a insulin.

Simungathe kumwa mankhwala mukanyamula mwana wosabadwa ndi kuyamwa.

Kuchita ndi mankhwala ena

Mahomoni a chithokomiro, njira zakulera za pakamwa, zotumphukira za nicotinic, ndi zotupa zotsekemera zimatha kuchepetsa mphamvu ya Hypoglycemic.

Cimetidine amachedwetsa kuchoka ku mankhwalawa kuchokera mthupi.

Kupititsa patsogolo kwa zomwe zimapangidwa ndi mankhwalawa zimawonedwa pamene atengedwa ndi cyclophosphamide ndi mao inhibitors.

Mankhwala amatha kufooketsa zotsatira za coumarin.

Migwirizano ya Tchuthi cha Mankhwala

Ndi zolembedwa zokha. Wodwala ayenera kuwerenga malangizo kuti agwiritse ntchito.

Mankhwala Glformin akhoza m'malo mwa wina wofanana ndi Siofor.
Forethine ndi amodzi mwa mankhwala ofanana ndi omwe.Mndandanda wa mankhwalawa ndi Glucofage.
Metformin nthawi zambiri imalembedwa kwa odwala ngati mankhwala omwewo.

Ndemanga za Gliformin

A.L. Dolotova, katswiri wamkulu, Krasnoyarsk: "Mankhwalawa ndi othandizira polimbana ndi matenda amtundu wa 2, palibenso zoyipa zilizonse zomwe zingachitike."

R.Zh. Sinitsina, dokotala wamkulu, Norilsk: “Ndimaona kuti mankhwalawo ndi abwino kwambiri polimbana ndi matenda a shuga. Mphamvu zake zimakhala zabwino. ”

Alumali moyo wa mankhwala ndi zaka 3.

Irina, wazaka 34, Bryansk: “Mankhwalawa anathandizira kukhazikika kwa thupi la anthu odwala matenda ashuga. Mtengo wake ndi wotsika, thanzi likuyenda bwino, motero ndimalimbikitsa. ”

George, wazaka 45, Yoshkar-Ola: “Anandilandira mankhwala ochizira matenda ashuga. Matendawa sanachoke, koma zinakhala zosavuta. ”

Angelina, wazaka 25, Vladimir: “Ndinatha kuchepetsa thupi chifukwa cha mankhwala omwe ndimakondwera nawo. Kugwiritsa ntchito kwake kulibe ngozi kwa thupi, ngati mungakumane ndi dokotala. "

Nina, wazaka 40, ku Moscow: “Sindingathe kuchepetsa thupi kwa nthawi yayitali. Kenako adapita kwa adotolo, adawafotokozera kuti vuto ndi chiyani ndipo adamuuza mankhwalawa. Kulemera kwatsika. ”