Pali mitundu yambiri ya mankhwala Glucofage. Ku Russia, mwachitsanzo ndi Fomu la Metetin ndi Metformin. Ndi mphamvu yakuchitapo kanthu iwo ali chimodzimodzi.
Mankhwalawa ndi a anthu odwala matenda ashuga. Amakhala ndi mawonekedwe ofanana ndipo amagwirizana ndi mitundu yochepetsa shuga. Zitha kugulidwa kokha ndi mankhwala. Zomwe zili bwino kuchokera ku mankhwalawa, dokotala yemwe amapita ndi amene amatsimikiza, kuyang'ana momwe zinthu ziliri, zotsatira zoyesa ndikuwunika.
Metformin
Ali ndi mawonekedwe apiritsi yotulutsidwa. Chofunikira chachikulu pakuphatikizidwapo ndi pawiri wa dzina lomweli. Amapezeka mu Mlingo wa 500 ndi 850 mg.
Metformin ili ndi chinthu chofunikira kwambiri cha dzina lomweli.
Mankhwala ndi a gulu la Biguanides. Kupanga kwamankhwala kumapangidwa ndikuwonetsa kulepheretsa kupanga kwa chiwindi mu chiwindi ndikuchepetsa mayamwidwe ake m'matumbo. Mankhwalawa sakukhudzana ndi kupanga kwa insulin mu kapamba, motero palibe chiopsezo cha hypoglycemic reaction.
Mankhwalawa ali ndi phindu pamtima wamatumbo, amaletsa kukula kwa angiopathy mu shuga.
Ndi pakumwa pakamwa mankhwala, pazotheka ambiri pazogwira pophika mu magazi zimachitika pambuyo maola 2,5. Kuyamwa kwa piritsi kumayima maola 6 mutatha kumwa mapiritsi. Hafu ya moyo wa chinthucho ndi pafupifupi maola 7. Bioavailability wafika 60%. Amathira mkodzo.
Zizindikiro zogwiritsidwa ntchito Metformin - matenda a shuga a mitundu yoyamba ndi yachiwiri. Mankhwalawa amatchulidwa ngati njira yothandizira insulin mankhwala ndi kugwiritsa ntchito mankhwala ena, popeza kuyanjana kwa mankhwalawa kwawonetsa zotsatira zabwino. Metformin imalembedwanso monga chida chachikulu munthawi yamankhwala.
Mankhwalawa amagwiritsidwa ntchito ngati kunenepa kwambiri, ngati mukufuna kuwongolera kuchuluka kwa shuga m'magazi, bola ngati zakudya sizipereka zotsatira zabwino. Mankhwala ena amatha kuthandizira kuti apezeke ovomerezeka a polycystic, koma mu nkhani iyi, mankhwalawa amagwiritsidwa ntchito moyang'aniridwa ndi dokotala.
Forethine
Mankhwala amapezeka mu mawonekedwe a mapiritsi oyera. Chofunikira chachikulu ndi metformin.
Piritsi 1 ili ndi 500, 850 ndi 1000 mg ya chinthu. Mankhwalawa adapangira pakamwa.
Mankhwalawa amaperekedwa kwa anthu odwala matenda a shuga a 2 pomwe zakudya sizithandiza. Mankhwalawa amagwiritsidwanso ntchito pakuchepetsa thupi. Mothandizidwa ndi insulin.
Kuyerekeza kwa Metformin ndi Fomu
Metformin ndi formin si mankhwala omwewo. Kuti mudziwe njira yanji yabwino, ndikofunikira kuyerekezera mankhwala ndikuwona kusiyana kwawo, kufanana kwawo.
Kufanana
Sizikupanga nzeru kusankha mankhwala omwe ali bwino kutengera mawonekedwe ake. Mankhwala onse awiriwa ali ndi chinthu chimodzi chomwe chikugwiritsidwa ntchito pakuphatikizika ndi zisonyezo zogwiritsidwa ntchito.
Metformin ndi formin amatengedwa chimodzimodzi.
Mapiritsi sayenera kutafuna. Amadyedwa yonse ndikutsukidwa ndimadzi ambiri. Izi zimachitika bwino mukamadya kapena mukatha kudya. Kuchuluka kwa madyerero patsiku kumatengera kuuma kwa mkhalidwe wa wodwalayo.
Kumayambiriro kwa mankhwalawa, 1000-1500 mg patsiku amalembedwa, ndikugawa kuchuluka kwa 3 waukulu. Pambuyo pa masabata 1-2, mlingo umatha kusintha malingana ndi kuchuluka kwa zinthu zomwe zimafunikira kuti magawo azikhala ndi kuchuluka kwa shuga.
Ndizotheka kusinthira ku Metformin kapena Formmetin kuchokera kuzinthu zina za analogue mu tsiku limodzi lokha, popeza kuchepetsa mlingo sikufunika.
Ngati mulingo wonjezeredwa pang'onopang'ono, ndiye kuti kulekerera kwa mankhwalawo kudzakulirakulira, popeza mwayi wazotsatira zoyambira m'mimba zimachepa. Mlingo wofanana patsiku ndi 2000 mg, koma oposa 3000 mg ndi oletsedwa kumwa.
Ndizotheka kusinthira ku Metformin kapena Formmetin kuchokera kuzinthu zina za analogue mu tsiku limodzi lokha, popeza kuchepetsa mlingo sikufunika. Koma onetsetsani kuti mwadya moyenera.
Mankhwala angathe kumwedwa panthawi ya insulin.
Pankhaniyi, mlingo woyamba ukhale 500-850 mg patsiku. Gawani chilichonse katatu. Mlingo wa insulin amasankhidwa pamalangizo a madokotala, kutengera zotsatira za kuyezetsa magazi.
Kwa ana, onse mankhwala amaloledwa kuchokera zaka 10. Poyamba, mlingo ndi 500 mg patsiku. Mutha kumwa kamodzi patsiku ndi chakudya madzulo. Pambuyo pa masabata awiri, mlingo umasintha.
Popeza Metformin ndi Formmetin ali ndi zomwe zimapangidwanso, zomwe zimabweretsa ndizofanana. Dzuka:
- mavuto ndi dongosolo la m'mimba, lomwe limaphatikizidwa ndi kupweteka kwam'mimba, kutsegula m'mimba, kunyansidwa, kusanza, kutsekemera kwazitsulo mkamwa, kusefukira;
- kusowa kwa vitamini, makamaka B12 (mogwirizana ndi izi, odwala amathandizanso kukonzekera mavitamini);
- thupi lawo siligwirizana zigawo zikuluzikulu za mankhwala (kuwonetsedwa ndi zotupa pakhungu, redness, kuyabwa, kuyabwa);
- kuchepa magazi
- lactic acidosis;
- kutsitsa shuga m'magazi pansi pazonse.
Contraindication a Metformin ndi Formetin ndi awa:
- aakulu ndi pachimake metabolic acidosis;
- glycemic coma kapena vuto patsogolo pake;
- zosokoneza mu chiwindi;
- kusowa kwamadzi kwambiri;
- kuphwanya impso ntchito;
- kulephera kwa mtima ndi kuponderezana m'maso;
- matenda opatsirana;
- mavuto ndi ngalande za kupuma;
- uchidakwa.
Kwa ana, onse mankhwala amaloledwa kuchokera zaka 10.
Mankhwalawa onse ndi oletsedwa kugwiritsa ntchito musanachite opareshoni. M'pofunika kudikirira masiku 2 musanachitike opareshoni.
Kodi pali kusiyana kotani?
Kusiyana pakati pa Metformin ndi Formmetin kumangopezeka m'mapiritsi. Zogulitsa zonsezi zimakhala ndi povidone, magnesium stearate, croscarmellose sodium, madzi. Koma Metformin ilinso ndi gelatinized starch ndi microcrystalline cellulose.
Mapiritsiwo ali ndi chipolopolo, chomwe chimakhala ndi talc, sodium fumarate, utoto.
Pogula mankhwala, ndikofunikira kuyang'anira zomwe zili pazinthu zothandizira: akapanda kukhala, aposa.
Zomwe zimakhala zotsika mtengo
Mwa mankhwalawa, opanga ndi makampani monga Canon, Richter, Teva, ndi Ozone.
Mlingo wa mankhwala ophatikizira piritsi limodzi ndi 500, 850 ndi 1000 mg uliwonse. Pamtengo, onse a Metformin ndi Formmetin ali mgulu lofanana: woyamba ungagulidwe ku Russia pamtengo wa pafupifupi ruble 105 kwa phukusi la mapiritsi 60, ndipo kwa chachiwiri, mtengo wake uzikhala pafupifupi ma ruble 95.
Kodi metformin kapena formin yabwino ndi chiani?
Mankhwala onse awiri, chinthu chachikulu chomwe chimagwiritsidwa ntchito ndi chinthu chimodzi - metformin. Pankhaniyi, mphamvu zamankhwala ndizofanana. Komanso ndalama izi zimasinthana.
Dokotala wokhayo ndi amene angadziwe mankhwala omwe ali abwino kwa wodwala aliyense, kutengera momwe alili.
Potere, m'badwo, momwe thupi limakhalira, momwe wodwalayo alili, mawonekedwe ndi kuuma kwa matendawo zimawerengedwa.
Ndi matenda ashuga
Mu matenda a shuga a mtundu woyamba, pakakhala kuphwanya kwathunthu kapena pang'ono pazomwe zimapangidwira insulin, Metformin ndi Formmetin amagwiritsidwa ntchito kuti achepetse kuchuluka kwa insulin, kuwonjezera kwa mankhwala a mahomoni, kusinthana ndi mitundu yatsopano ya insulin (kukhala otetezeka panthawiyi), komanso kupewa kunenepa kwambiri.
Mu matenda a shuga a mtundu wachiwiri, mankhwalawa amayenera kumwa pafupipafupi. Amathandizira wodwalayo atavulala kwambiri minyewa yomwe imayamba kutulutsira insulin. Chifukwa cha zida zotere, mwayi wopanga zovuta za shuga umachepa.
Mukamachepetsa thupi
Metformin ndi formin samangokhala ndi shuga, komanso zimachepetsa kuchuluka kwa lipoproteins, cholesterol ndi triglycerides m'magazi. Chifukwa cha izi, amagwiritsidwa ntchito ngati chowonjezera pa chakudya. Chilichonse chophatikizika mumakina chimapangitsa kuti muchepetse kunenepa.
Ndemanga za Odwala
Sergey, wazaka 38, ku Moscow: "Matenda a shuga a 2 apezeka. Ndakhala ndikutenga Metformin motsatana ndi jakisoni wa insulin kwa chaka chimodzi tsopano. Zimathandiza kuchepetsa shuga m'magazi. Ndili wokondwa ndimankhwala omwewo.
Irina, wazaka 40, Kaluga: "Forethine yemwe adatulutsidwa ndi adotolo. Shuga ndiwabwinobwino, koma pali vuto la kunenepa kwambiri. Nthawi yomweyo ndidasinthanso kudya zakudya zamafuta ochepa. Kuyambira chiyambi cha zovuta zamtunduwu ndatha kale kutaya makilogalamu 11. Thupi langa layamba kuyenda bwino."
Mtundu wachiwiri wa matenda ashuga, mankhwalawa akuyenera kutengedwa nthawi zambiri.
Ndemanga za madotolo za Metformin ndi Formetin
Maxim, endocrinologist, wazaka 38, St. Petersburg: "Ndimaona Metformin ngati mankhwala othandiza kuchiza matenda a endocrine system (matenda a shuga mellitus, kusokonezeka kwa kagayidwe kazakudya). Komabe, nthawi zonse ndimachenjeza odwala anga za zovuta zomwe zimachitika. Chida ichi chitha kugwiritsidwa ntchito ngati palokha komanso pophatikiza mankhwala. "
Irina, endorinologist, wazaka 49, Kostroma: "Formetin ndiyothandiza, ndipo ngati njira zonse zatsatidwe zimatsatidwanso, ndi mankhwala otetezeka. Kupanda kutero, kusokonezeka kwamatenda am'mimba kumawonekera. Iyi ndi njira yabwino kwambiri yochizira matenda ashuga."
