Glucophage ndi Metformin ndi mankhwala ochokera ku gulu la Biguanide omwe angachepetse kuchuluka kwa shuga m'magazi popanda kuwonetsa zochitika za hypoglycemic. Itha kuperekedwa kwa onse achikulire odwala ndi ana opitilira zaka 10. Chizindikiro chakugwiritsa ntchito kwawo ndi mtundu wa shuga wachiwiri, kuphatikiza kunenepa. Ndimalola kuphatikiza kwa mankhwalawa ndi insulin.
Khalidwe la Glucophage
Mankhwalawa ndi kuphatikiza kwa France ndi Russia, komwe kumatulutsa mapiritsi oyera, okhala ndi mafilimu. Mapiritsi ali ndi chinthu chogwira, metformin hydrochloride, m'magawo otsatirawa:
- 500 mg;
- 850 mg;
- 1000 mg
Kutengera mlingo, mapiritsiwo ndi ozungulira kapena ozungulira.
Kutengera mlingo, mapiritsiwo ndi ozungulira kapena ozungulira. Chizindikiro "M" chimayikidwa mbali imodzi, ndipo mbali inayo pamatha kukhala nambala yomwe ikuwonetsa kuchuluka kwa chinthu chomwe chikugwira ntchito.
Makhalidwe a Metformin
Mapiritsi opangidwa ndi ambiri makampani opanga mankhwala ku Russia. Zitha kukhala zokutira ndi filimu kapena zokutira enteric kapena sizingakhale nazo. Muli mankhwala 1 othandizira - metformin hydrochloride mu Mlingo:
- 500 mg;
- 850 mg;
- 1000 mg
Kuyerekeza Glucofage ndi Metformin
Glucophage ndi Metformin ali ndi chinthu chimodzi chogwiritsidwa ntchito, mawonekedwe omwewo akumasulidwa ndi kipimo ndipo amafananizana kwathunthu.
Kufanana
Mankhwalawa ali ndi mankhwala omwewo omwe amapangitsa kuti azitha kugwira ntchito:
- zotumphukira zolandirira ndikuwonjezera kuthekera kwawo kwa insulin;
- transmembrane shuga onyamula;
- njira yogwiritsira ntchito shuga m'misempha;
- glycogen synthesis process.
Glucophage ndi Metformin ali ndi zinthu zomwezi.
Kuphatikiza apo, metformin hydrochloride imachepetsa kuchuluka kwa shuga wopangidwa ndi chiwindi, kutsitsa cholesterol, kuchepa kwa lipoprotein ndi mahomoni a chithokomiro m'magazi, ndikuchepetsa kuyamwa kwa ma carbohydrate m'matumbo.
Katunduyu ali ndi bioavailability wa 50-60%, amene impso zake sizinasinthidwe.
Mlingo amasankhidwa ndi dokotala payekhapayekha. Opanga amalimbikitsa kuyamba ndi 500 mg katatu patsiku, ngati kuli kotheka, kuwonjezera mlingo umodzi monga momwe thupi limasinthira komanso kulolerana kwake kumakhala bwino. Kuchuluka kwa zinthu zogwiritsidwa ntchito patsiku sikuyenera kupitirira 3 g kwa akulu ndi 2 g kwa ana.
Mankhwalawa angayambitse zoyipa zingapo zoyipa. Zina mwa izo ndi:
- lactic acidosis;
- kuyamwa kwa vitamini B12;
- kuphwanya kulawa, kusowa kwa chakudya;
- zotupa ndi zotupa zina pakhungu;
- zosokoneza mu chiwindi;
- Zizindikiro za dyspeptic, komanso kusanza ndi kutsegula m'mimba, zomwe zimapangitsa kuti thupi lithe mphamvu.
Kusintha kulekerera, tikulimbikitsidwa kuphwanya mlingo wa tsiku ndi tsiku mu Mlingo wambiri. Anthu opitilira zaka 60 ndipo akugwira ntchito zolimbitsa thupi ali pachiwopsezo chotenga zovuta.
Popeza mankhwala onse omwe amagwiritsidwa ntchito ndi mankhwala amathandizidwa ndi impso, ndikofunikira kuwunika nthawi imodzi pachaka, ntchito zawo, ngakhale kuti metformin hydrochloride siyambitsa polyuria ndi zovuta zina pokodza.
Mankhwalawa ali ndi contraindication omwewo ndipo saloledwa kugwiritsidwa ntchito pazinthu zotsatirazi:
- kuwonongeka kwa impso kapena chiwopsezo cha kukula;
- hypoxia ya minofu kapena matenda omwe amatsogolera pakukula kwake, monga kugunda kwa mtima, kulephera kwa mtima;
- kulephera kwa chiwindi;
- opaleshoni ngati pakufunika insulin mankhwala;
- uchidakwa wambiri, kuledzera kwa pachimake;
- mimba
- chakudya chama hypocaloric;
- lactic acidosis;
- maphunziro ogwiritsa ntchito ayodini.
Mankhwala onse awiriwa ali ndi mitundu yayitali yochita, yowonetsedwa ndi chikhomo chautali. Mankhwala oterewa amatengedwa nthawi 1 patsiku ndikuwongolera kuchuluka kwa shuga kwa maola 24.
Kodi pali kusiyana kotani?
Kusiyana kwakukonzekera kumachitika chifukwa chakuti amapangidwa ndi makampani osiyanasiyana azamankhwala, ndipo ali ndi:
- kapangidwe ka ochulukitsa piritsi ndi chipolopolo;
- mtengo.
Chotsika mtengo ndi chiyani?
Mmodzi mwa malo ogulitsa pa intaneti, Glucofage mumapaketi a mapiritsi 60 itha kugulidwa ndi mtengo wotsatirawu:
- 500 mg - 178.3 rubles;
- 850 mg - 225.0 rubles;
- 1000 mg - 322,5 rubles.
Nthawi yomweyo, mtengo wofanana ndi Metformin ndi:
- 500 mg - kuchokera ku 102.4 rubles. ngati mankhwala opangidwa ndi Ozone LLC, mpaka ma ruble 210.1. kwa mankhwala opangidwa ndi a George Richter;
- 850 mg - kuchokera ku 169.9 rubles. (LLC Ozone) mpaka ma rubles 262.1. (Biotech LLC);
- 1000 mg - kuchokera ku ruble 201. (Kampani ya Sanofi) mpaka ma ruble 312.4 (kampani ya Akrikhin).
Mtengo wa mankhwala okhala ndi metformin hydrochloride sizitengera dzina lamalonda, koma ndondomeko yamitengo ya wopanga. Metformin itha kugulidwa pamtengo wotsika 30-40% posankha mapiritsi opangidwa ndi Ozone LLC kapena Sanofri.
Ndibwino - Glucofage kapena Metformin?
Glucophage ndi Metformin zili ndi zinthu zomwezo mumagawo omwewo, kotero ndikosatheka kuyankha funso loti ndi liti mwa mankhwalawa. Kusankha pakati pawo kuyenera kupangidwa molingana ndi mtengo wa ndalamazo ndi malingaliro a dokotala, omwe angagwirizane, mwachitsanzo, ndi omwe amapezeka pamapiritsi.
Kusankha pakati pa mankhwalawa kuyenera kupangidwa molingana ndi mtengo wa ndalamazo komanso malingaliro a dokotala.
Ndi matenda ashuga
Malinga ndi malangizo opanga, onse awiriwa amalimbikitsidwa kuti agwiritse ntchito mtundu 2 wa shuga.
Kuchepetsa thupi
Zotsatira zamankhwala awiriwa pakuchepetsa thupi ndizofanana. Odwala ambiri amafotokoza kuchepa kwa zofunika za chakudya, makamaka mu zakudya zomwe zimakhala ndi shuga wambiri.
Ndemanga za Odwala
Taisiya, wazaka 42, Lipetsk: "Ndimakonda mankhwalawa Glucofage, chifukwa ndimadalira wopanga waku Europe. Nditha kulolera bwino mankhwalawa: kuchuluka kwa glucose m'magazi kumakhalabe kosasunthika, koma zotsatira zake sizimawonekeranso.
Elena, wazaka 33, ku Moscow: "Dokotala wazachipatala adamuuza Glucophage kuti achepetse kunenepa. Mankhwalawa ndi othandiza, koma pakudya basi. Zotsatira zake zoyeserera ngati izi zimapangitsa kuti munthu asamadye chilangocho zidakhalapo kwakanthawi. Pakapita kanthawi, kuti apulumutse, adaganiza zokhala m'malo mwake. Metformin. Sindinawone kusiyana kulikonse pakuchita bwino ndi kulolera. "
Ndemanga za madokotala za Glucofage ndi Metformin
Victor, wazakudya, wazaka 43, Novosibirsk: "Nthawi zonse ndimakumbutsa wodwala wanga kuti cholinga chachikulu cha mankhwalawa ndimachepetsa shuga ya magazi. Zinthu izi zimagwiritsidwa ntchito pochiza matenda ashuga. Kusowa kwa chidwi, komwe kumathandizira kuchepetsa thupi "Chuma champhamvu. Kwa anthu athanzi, kugwiritsa ntchito kwawo sikuwonetsedwa, ndipo kudya ndi masewera olimbitsa thupi ndi njira zabwino kwambiri zolemerera."
Taisiya, endocrinologist, wazaka 35, ku Moscow: "Metformin hydrochloride ndi chida chothandiza polimbana ndi insulini komanso kulolera kulolera kwa glucose. Kuphatikiza apo, ili ndi mwayi wochepetsa glycemia. Ndimapereka mankhwala nthawi zonse kwa odwala omwe ali ndi matenda ashuga, osati 2 yokha, komanso 2 Mtundu 1. Choyipa chachikulu cha chinthucho ndizotsatira zoyipa zomwe zimawonekera kawirikawiri. "
