Chidachi chimagwiritsidwa ntchito posagwiritsa ntchito shuga. Mankhwala amathandizanso kutulutsa shuga m'magazi. Yogwira pophika imakhazikitsa kunenepa kwambiri ndikuchepetsa LDL.
Dzinalo Losayenerana
Metformin
Metfogamma 1000 imathandizira kuti magazi asungunuke m'magazi.
ATX
A10BA02
Kutulutsa mafomu ndi kapangidwe kake
Wopanga amatulutsa mankhwalawo ngati mapiritsi, omwe amatetezedwa ndi filimu. Kuphatikizikako kuli ndi 1000 mg ya metformin. Chogulitsachi chimakhalanso ndi povidone, hypromellose, magnesium stearate. Mu chithuza chokhala ndi mapiritsi 10 kapena 15. 30 kapena 120 zidutswa pa paketi iliyonse.
Zotsatira za pharmacological
Chosakaniza chophatikizika chimalepheretsa kupangika kwa glucose osagwirizana ndi mafuta osagwiritsa ntchito mu chiwindi, ndikuletsa kuyamwa kwa glucose m'matumbo. Chidachi chimachepetsa kuchuluka kwa cholesterol yoyipa m'magazi ndikuwonjezera kuyamwa kwa glucose ndi zotumphukira zimakhala. Pambuyo pakukonzekera, thupi limayamba kuganizira insulin. Kuphatikiza apo, mankhwalawa amatithandizanso kunenepa kwambiri ndipo amalimbikitsa kuyambiranso kwa magazi atsopano.
Pharmacokinetics
Mwamsanga odzipereka kuchokera m'mimba thirakiti. Sizikugwirizana ndi mapuloteni. Osati biotransformed mthupi. Kuchuluka kwa metformin mu madzi a m'magazi kumafika patatha maola awiri. Amayamwa mu mkodzo theka kuchokera 2 mpaka 5 maola. Itha kudzikundikira mu minofu ya thupi ndi vuto laimpso.
Zizindikiro zogwiritsidwa ntchito
Mankhwalawa adapangira zochizira matenda a shuga a mtundu wachiwiri. Zimathandizira kuchepetsa kunenepa. Amagwiritsidwa ntchito pochiza odwala omwe alibe chizolowezi chowonjezera matupi a ketone m'magazi.
Contraindication
Mankhwala contraindised zina:
- tsankho ku zigawo zikuluzikulu za mankhwala;
- ana ochepera zaka 18;
- kuphwanya ubongo ntchito za mtima;
- kuchuluka kwa shuga ndi matupi a ketone m'magazi;
- matenda okhudzana ndi matenda ashuga;
- kwambiri mkhutu aimpso ndi kwa chiwindi ntchito;
- mimba
- kuyamwitsa;
- myocardial infarction mu pachimake siteji;
- lactic acidosis ndi zovuta zake, kuphatikizapo kuledzera;
- kuphwanya kayendetsedwe ka madzi mu thupi.
Mankhwala omwe amafunsidwawo samapatsidwa kupuma komanso kulephera kwa mtima.
Mankhwalawa sanatchulidwe kupuma komanso kulephera kwa mtima.
Momwe mungatenge Metfogamma 1000
Mapiritsi amatengedwa pakamwa ndi chakudya, kutsukidwa ndi kuchuluka kwa madzi.
Ndi matenda ashuga
Mlingo wolimbikitsidwa umachokera ku 500 mg mpaka 2000 mg. Simungatenge mapiritsi oposa 3 patsiku. Mlingo wapamwamba sukhudza chithandizocho. Dokotala amatha kusintha mlingo wake kutengera mtundu wa wodwalayo komanso matenda ena okhudzana ndi matendawa.
Zotsatira zoyipa za Metphogamm 1000
Mankhwalawa pa mankhwala amatha kuyambitsa mavuto osiyanasiyana kuchokera ku ziwalo ndi machitidwe.
Matumbo
Ululu m'mimba, kusanza, chimbudzi, kukomoka kwachitsulo mkamwa, kusowa kwa chilimbikitso.
Hematopoietic ziwalo
Nthawi zina zimayambitsa kuchepa magazi kwa folic acid.
Metphogamma 1000 imayambitsa kuchepa kwa magazi m'thupi mwa folic acid.
Pakati mantha dongosolo
Kugwedezeka, kufooka, kupweteka mutu, chizungulire, kuchuluka thukuta.
Kuchokera pamtima
Chiwerengero cha maselo amwazi amachepa.
Dongosolo la Endocrine
Kugwiritsira ntchito nthawi yayitali kumabweretsa kuyamwa kwa vitamini B12.
Kuchokera kumbali ya kagayidwe
Kuchepa kwa kuchuluka kwa shuga m'magazi pazofunikira kwambiri (pansipa 3.3 mmol / L), mawonekedwe a lactic acidosis.
Matupi omaliza
Kucha kwa khungu chifukwa chakukula kwa capillaries, kuyabwa ndi zotupa.
Mankhwala amatha kuyambitsa kuyamwa komanso kufiira.
Zokhudza mphamvu pakuwongolera njira
Mankhwalawa amatha kukhala ndi zovuta zina. Kuphatikiza ndi mankhwala ena a hyperglycemia, mankhwalawa angayambitse hypoglycemia (chizungulire, kupweteka kwa mutu, kulephera kukhazikika, malaise yambiri. Mukamapatsa mankhwala, ndibwino kuyendetsa magalimoto mosamala.
Malangizo apadera
Popewa kupezeka kwa zovuta m'matumbo am'mimba, mlingo uyenera kuwonjezeka pang'onopang'ono. Ndi mawonekedwe a lactic acidosis (kusanza, mseru, kufooka), chithandizo chatha.
Izi pakamwa siziyenera kugwiritsidwa ntchito pamaso pa matenda opatsirana komanso kuvulala kwambiri.
Lekani kumwa mankhwalawa masiku awiri asanafike pokonzekera. Mutha kuyambiranso kumwa patatha masiku awiri mutachitidwa opaleshoni.
Ngati kupweteka kwamisempha kumachitika, ndikofunikira kuyesa kuyesa kwa lactic acid m'madzi a m'magazi. Mankhwala, m`pofunika kuwunika aimpso ntchito, kuyeza kuchuluka kwa creatinine mu seramu ndi shuga ndi yaying'ono pafupipafupi.
Ngati kupweteka kwamisempha kumachitika mutatha kutenga Metfogamma, muyenera kuyesa kuyesa kwa lactic acid m'madzi a m'magazi.
Sivomerezeka kugwiritsa ntchito mankhwalawa kwa odwala omwe amatsatira zakudya kapena omwe amadya kwambiri (m'zakudya zosakwana 1000 kcal / tsiku).
Odwala atakwanitsa zaka 60 ali ndi ntchito yolimbitsa thupi samalimbikitsidwa kuti atenge mankhwala. Chiwopsezo chokhala ndi lactic acidosis chikuwonjezeka.
Gwiritsani ntchito mu ukalamba
Ayenera kumwedwa mosamala. Mukakalamba, mlingo sayenera kupitirira 1000 mg patsiku.
Kupatsa ana
Momwe mankhwalawo alili ogwira ntchito ali mwana samadziwika. Anthu osakwana zaka 18 amalangizidwa kuti asatenge.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Tengani mankhwalawa mu nthawi izi ndizoperewera.
Tengani mankhwala omwe amafunsidwa pa nthawi ya pakati ndi oletsedwa.
The ntchito aimpso kuwonongeka
Gwiritsani ntchito mankhwalawa vuto lalikulu laimpso limaphatikizidwa.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Gwiritsani ntchito kwambiri chiwindi.
Mankhwala ochulukirapo a Metfogamm 1000
Ndi mankhwala osokoneza bongo, lactic acidosis imachitika. Amathandizidwa ndi kuyeretsa magazi kwambiri (hemodialysis).
Kuchita ndi mankhwala ena
Kutenga sulfonylurea, Acarbose, insulin, mankhwala osapinga a antiidal, ma inhibitors a MAO, Oxetetracycline, ACE inhibitors, zotumphukira za Clofibrate, cyclophosphamide ndi B-blockers zimapangitsa kuti chiwonjezero cha shuga chikule.
Mphamvu ya mankhwalawa imakhala yofooka chifukwa cha munthawi yomweyo kugwiritsa ntchito glucocorticosteroids, kulera kwapakamwa, adrenaline, adrenomimetic mankhwala, mahomoni a chithokomiro, thiazide ndi loop diuretics, mahomoni omwe ali motsutsana pochita insulin, zotumphukira za phenothiazine ndi nicotinic acid.
Mphamvu ya metfogamma imafooka ndi munthawi yomweyo kugwiritsa ntchito glucocorticosteroids.
Nifedipine bwino mayamwidwe a metformin. Cimetidine amachepetsa kuchepetsa magazi ndipo izi zimabweretsa lactic acidosis. Ngati ndi kotheka, mutha kumwa mankhwala a insulin komanso mankhwala opangidwa ndi antidiabetic moyang'aniridwa ndi dokotala. Metfogamma 1000 imachepetsa mphamvu ya mankhwala omwe amaletsa thrombosis.
Kuyenderana ndi mowa
Mankhwalawa sagwiritsidwa ntchito molumikizana ndi mowa. Mowa umawonjezera mwayi wokhala ndi machitidwe a hypoglycemic.
Analogi
Mu mankhwala, mutha kugula mankhwala ofanana:
- Bagomet;
- Glycometer;
- Glucophage;
- Glumet;
- Dianormet;
- Diaformin;
- Methamine;
- Metformin;
- Mepharmil;
- Panfort Wed;
- Sinjardi;
- Siofor.
Musanalowe m'malo analogue, muyenera kufunsa dokotala ndikuyezetsa.
Kupita kwina mankhwala
Mankhwala amaperekedwa ndi mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Osamasula osalandira mankhwala.
Mtengo
Mtengo ku Ukraine - kuchokera ku 150 UAH, ku Russia - kuchokera ku ma ruble 160.
Zosungidwa zamankhwala
Mapiritsi amayenera kusungidwa m'mapaketi awo oyambira kutentha mpaka + 25 ° C.
Tsiku lotha ntchito
Zaka 4
Metfogamma 1000 ili ndi dzina lofanana ndi Metformin, lomwe limasungidwa kuma kutentha mpaka + 25 ° C.
Wopanga
Dragenopharm Apotheker Püschl GmbH & Co. KG, Germany.
Ndemanga
Nikolai Grantovich, wazaka 42, Tver
Mankhwalawa cholinga chake ndi kuletsa gluconeogeneis. Zimachitika ndi shuga wambiri wamatenda. Zotsatira zoyipa sizimawoneka kawirikawiri ngati mungatsatire malangizo.
Marina, wazaka 38, Ufa
Ndili ndi matenda ashuga a 2 ndipo ndimadwala kwambiri. Monga adanenera adotolo, Diaformin adagwiritsidwa ntchito, koma sakanatha kupirira ntchito zake. Mutatha Metfogamma, zomverera zimakhala bwino. Mwazi wamagazi unkakhazikika ndipo kunalibe hypoglycemia.
Victoria Asimova, wazaka 35, Oryol
Endocrinologist adapereka njira yothetsera kunenepa kwambiri motsutsana ndi matenda a shuga. Mapiritsi amasintha kagayidwe. Masiku awiri oyambilira anali mapando otayirira. Zizindikiro zake zinazimiririka. Zinali zotheka kutaya makilogalamu 9, kusintha mtundu wa glucose ndikusintha zina zonse. Ndili wokondwa ndi zotsatira zake.
