Mankhwala ochepetsa shuga pamlomo wotsekemera amaperekedwa kwa odwala akuluakulu ndi achinyamata pothandizira matenda a shuga. Chidachi chimachepetsa chiopsezo cha zovuta.
Dzinalo Losayenerana
INN: metformin; m'Chilatini - Metforminum.
Mankhwala ochepetsa shuga pamlomo wotsekemera amaperekedwa kwa odwala akuluakulu ndi achinyamata pothandizira matenda a shuga.
ATX
A10BA02.
Kutulutsa mafomu ndi kapangidwe kake
Mtundu womwe ulipo wa kumasulidwa ndi miyala. Piritsi lililonse ndi filimu. Kuphatikizikako kumakhala ndi 500 mg, 850 mg kapena 1000 mg ya metformin hydrochloride.
Zotsatira za pharmacological
Chogulitsachi chimakhala ndi mphamvu ya hypoglycemic.
Pharmacokinetics
Mafuta amapezeka kuchokera m'mimba. The kuchuluka kwa yogwira mankhwala m'magazi ukufika kwambiri pambuyo 2 maola, ndipo atatha kudya - pambuyo 2,5 maola. Nthawi zina metformin imadziunjikira mu minofu. Amachotseredwa m'thupi ndi impso tsiku loyamba kutengera makonzedwe. Chilolezo chololeza>> 400 ml / min. Ngati vuto laimpso losaoneka bwino, limapukutika nthawi yayitali.
Zomwe zimayikidwa
Mankhwala amapatsidwa mankhwala osagwira ntchito kuti muchepetse magazi. Mankhwalawa akuwonetsedwa kwa odwala omwe ali ndi matenda amtundu woyamba wa 2, kuphatikizapo kunenepa kwambiri. Mankhwala ena amatha kugwiritsidwa ntchito limodzi kuti muchepetse magazi kapena insulin.
Mankhwalawa adapangidwira kukonzekera kwa chakudya kuti muchepetse kuchuluka kwa shuga m'magazi.
Contraindication
Musanagwiritse ntchito, ndikofunikira kuphunzira contraindication. Mankhwala sinafotokozeredwe kwa odwala omwe ali ndi matenda ndi zina:
- Hypoxia motsutsana maziko a magazi m'thupi, mtima ndi kupuma, kulephera kwa mtima, kuwonongeka kwa magazi
- kuchepa kwa thupi;
- thupi lawo siligwirizana yogwira pophika;
- chiwindi ndi impso kwambiri (kuphatikiza ndi milingo yayitali);
- kukhalapo kwa matenda opatsirana;
- uchidakwa
- kuchuluka kwa ketone matupi a madzi am'magazi;
- matenda a shuga a ketoacidotic;
- lactacidemia;
- kugwiritsa ntchito zakudya zamafuta ochepa (muzakudya zosakwana 1000 kcal patsiku);
- Kufunika kugwiritsa ntchito ayodini wa ayodini pa nthawi ya kafukufuku:
- mimba
Chithandizo chogwiritsa mkaka wa m'mawere, muyenera kusiya kudyetsa musanayambe mankhwala.
Ndi chisamaliro
Mochenjera, mankhwalawa amaperekedwa kwa ana ndi odwala okalamba, komanso mavuto ndi impso (creatinine chilolezo - 45-59 ml / min). Ngati ntchito ikulumikizidwa ndi kulimbikira, mulingo woyenera uyenera kuvomerezedwa ndi dokotala.
Momwe mungatenge Metformin Richter
Tengani piritsi yonse mkati ndikusambitsa ndi madzi oyeretsedwa.
Asanadye kapena pambuyo chakudya
Mapiritsi ayenera kumwedwa pamaso chakudya kapena chakudya.
Kuchepetsa thupi
Kuti muchepetse thupi pazoyambira matenda a shuga, muyenera kuyika dokotala.
Ndi matenda ashuga
Amalembera mtundu wa 2 shuga mellitus wa 500 mg, 850 mg kapena 1000 mg patsiku. Ngati ndi kotheka, onjezani kuchuluka pambuyo pa masabata awiri. Mlingo wapamwamba tsiku lililonse ndi 3 g kapena 2,5 ga patsiku (kwa 850 mg). Odwala okalamba sayenera kumwa mapiritsi oposa 1 patsiku ndi mlingo wa 1000 mg.
Ngati mankhwalawa amadwala matenda a shuga a insulin, mankhwalawa amaperekedwa malinga ndi chiwembu chomwecho, koma kuchepetsa insulin kungafunike.
Mapiritsi ayenera kumwedwa pamaso chakudya kapena chakudya.
Zotsatira zoyipa
Mankhwalawa amaloledwa ndi odwala, koma mavuto amayamba.
Matumbo
Pali mseru, kupweteka kwam'mimba, zotulutsa zotayirira, ndi kusanza. Wodwala amatha kulawa zitsulo mkamwa mwake.
Kuchokera kumbali ya kagayidwe
Pali kuphwanya mapangidwe amwazi chifukwa chosowa vitamini B12 m'magazi.
Pa khungu
Zotupa pakhungu.
Dongosolo la Endocrine
Kuvomerezedwa kumatha kubweretsa chizungulire, kuchepa kwa mavuto, kupweteka kwa minofu ndi kutopa. Nthawi zambiri, mlingo ukapitirira, hypoglycemia imawonekera.
Matupi omaliza
Kutupa kwa khungu, redness ndi kuyabwa.
Kulandila kungayambitse chizungulire.
Zokhudza mphamvu pakuwongolera njira
Kutenga mankhwalawa nthawi zina kumabweretsa kuchepa kwa shuga. Kugona, chizungulire, chidwi chododometsa chingaoneke. Pa chithandizo, ndi bwino kukana kuyendetsa magalimoto ndikuchita ntchito yomwe imafuna kuti anthu azikhala ndi chidwi chachikulu.
Malangizo apadera
Ndi kugwiritsa ntchito pamodzi kwa insulin ndi sulfonylureas, ndikofunikira kuyang'anira kuchuluka kwa shuga m'magazi. Kuchiza kumafunikira kuyang'aniridwa nthawi zonse kuchipatala, kuphatikizapo momwe impso ikuyimira, kuchuluka kwa mapangidwe a lactate ndi vitamini B12 m'magazi am'magazi (makamaka paubwana ndi ukalamba).
Momwe mungagwiritsire ntchito Metformin 1000?
Kodi pali bwino kutenga Flemoxin Solutab kapena Amoxiclav?
Diaformin imagwiritsidwa ntchito kutsitsa kuchuluka kwa shuga m'magazi. Werengani zambiri za mankhwalawa apa.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Amayi oyembekezera komanso oyembekezera sapereka mankhwala.
Kupangira Metformin Richter kwa Ana
Itha kugwiritsidwa ntchito ngati m'badwo wachokera zaka 10.
Gwiritsani ntchito mu ukalamba
Ndikofunikira kuyang'anira momwe impso zimasankhira mosamala.
The ntchito aimpso kuwonongeka
Kulandilidwa sikumaphatikizidwa ndi kuwonongeka kwambiri kwaimpso. Chenjezo liyenera kugwiritsidwa ntchito pamene creatinine chilolezo ndi 45-59 ml / min.
Ngati matenda owopsa a chiwindi alipo, mankhwalawa saikidwa.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Ngati matenda owopsa a chiwindi alipo, mankhwalawa saikidwa.
Bongo
Kumwa mapiritsi osokoneza bongo kumayambitsa bongo. Chizungulire, kupweteka mutu, nseru, kusanza, kupweteka kwa minofu, khungu losazindikira, kutsegula m'mimba. Mutha kuyimitsa zizindikiro za lactic acidosis pogwiritsa ntchito hemodialysis.
Kuchita ndi mankhwala ena
Pali kuchepa kwamphamvu pakumwa mapiritsi mukaphatikizidwa ndi GCS, mahomoni a steroid, estrogens, adrenaline, antipsychotic, mahomoni a chithokomiro.
Kuchepa kwambiri kwa ndende kumachitika mutatenga salicylates, ACE inhibitors, oxytetracycline, sulfonylureas, acarbose ndi clofibrate.
Mankhwala samayenderana ndi coumarin ofanana ndi cimetidine. Mukamayanjana ndi Nifedipine, wothandizira wa hypoglycemic amalowetsedwa mwachangu, koma amakhala atachotsedwa mu thupi.
Kukonzekera kwa cationic kumawonjezera ndende ya yogwira ndi 60%.
Mukamayanjana ndi Nifedipine, wothandizira wa hypoglycemic amalowetsedwa mwachangu, koma amakhala atachotsedwa mu thupi.
Kuyenderana ndi mowa
Mankhwala amaletsedwa kuphatikiza ndi Mowa. Kumwa mowa kumabweretsa mkaka acidosis.
Analogi
Sinthani chida ichi ndi mankhwalawa:
- Zachinyengo;
- Amaryl;
- Diabetes;
- Glidiab;
- Maninil.
Pali fanizo pazogwira ntchito:
- Siofor;
- Glucophage;
- Glyformin;
- Metfogamma.
Mu mankhwala mungapeze mankhwalawo ndi mawu ena owonjezera pa phukusi:
- Zentiva
- Kutalika
- Teva
- Sandoz
- Nyenyezi.
Musanagule, muyenera kuwonetsetsa kuti palibe zoyipa ndi zoyipa zina. Ndikwabwino kukaonana ndi dokotala musanalowe m'malo.
Zomwe zili bwino - Metformin kapena Metformin Richter
Mankhwalawa onse amapangidwa kuti azithandiza odwala omwe ali ndi hyperglycemia. Kwa mankhwalawa, zida zothandizira pamalangizo ndi opanga ndizosiyana, koma ndizofanana pochita.
Miyezo ya tchuthi Metformina Richter wochokera ku mankhwala
Yoperekedwa ndi mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Piritsi la pa intaneti lingathe kuyitanidwa popanda mankhwala.
Mankhwalawa onse amapangidwa kuti azithandiza odwala omwe ali ndi hyperglycemia.
Mtengo wa Metformin Richter
Mtengo wa Metformin Richter ku Russia ndi ma ruble 250.
Zosungidwa zamankhwala
Malongedzawa amawaika pamalo amdima ndi boma lotentha mpaka + 25 ° C.
Tsiku lotha ntchito
Moyo wa alumali ndi zaka zitatu.
Wopanga Metformin Richter
A George Richter-RUS ZAO (Russia)
Ndemanga pa Metformin Richter
Ndemanga zabwino zikuwonetsa kugwira ntchito kwa mankhwalawa, zotsatira zake mwachangu ndi chitetezo. Odwala omwe adalephera kuchepa thupi kwakanthawi amayankha molakwika. Nthawi zina, maonekedwe a zoyipa amadziwika.
Madokotala
Maria Tkachenko, endocrinologist
Mukamamwa mapiritsi, chidwi cha insulin chimawonjezeka, ndipo chifukwa cha ichi, thupi limayamba kupanga michere yambiri. Pochiza matendawa, muyenera kudya komanso kuchita masewera olimbitsa thupi pafupipafupi. Kuchiza mokwanira kumathandizira kupewa hyperglycemia ndikuchepetsa chiopsezo chokhala ndi mtima wamtima.
Anatoly Isaev, wazakudya
Mankhwala amathandizira kuchepetsa kufupika kwa gluconeogeneis - kapangidwe ka glucose kuchokera ku zinthu zopanda mafuta (ma cell mamolekyulu). Kafukufuku akutsimikizira kuti mankhwalawa amatha ndi hyperglycemia. Mankhwalawa amathandizira kuchepetsa thupi, koma pamankhwala ovuta. Poyerekeza ndi zakumwa zoledzeretsa zosaletseka, ndizoletsedwa kumwa mapiritsi, kuphatikiza pa chithandizo ndi madontho.
Odwala
Kristina, wazaka 37
Mankhwalawa adandipulumutsa ku hyperglycemia. Mlingo wa shuga unapangidwa modabwitsa pomwa mapiritsiwa ndi moyo wokangalika. Ndidatenga piritsi limodzi, ndipo patatha masiku 10 adokotala adakulitsa mlingo ku 2 pcs. patsiku. Poyamba ankamva kupweteka m'mimba, kutulutsa, mseru. Patatha tsiku limodzi, zizindikirizo zinatheratu.
Kuchepetsa thupi
Marina, wazaka 29
Mankhwalawa adalowa m'malo mwa Siofor kuchokera kwa wopanga "Berlin-Chemie" (Germany). Zochitazo ndizofanana, zosavuta kunyamula. Ndikuwona kukomoka kwake mutatha kutenga komanso kusangalatsa. Metformin anathandiza kuthana ndi chidzalo. Adatsitsa makilogalamu 9 mu miyezi 4 ndi theka. Kulakalaka kwanga kwatsika, ndipo ndimadya zakudya zochepa chifukwa cha chakudya changa. Ndikupangira mankhwalawa.
Ilona, wazaka 46
Pambuyo pakugwiritsa ntchito, adataya 8 kg m'miyezi isanu ndi umodzi. Kupanikizika kunabwereranso kwawoko, kuchuluka kwa magazi kunayamba kuyenda bwino. Kuchuluka kwa cholesterol yoyipa ndi glucose kunachepa. Zotsatira zoyipa, kupatula chizungulire, sizinazindikire. Ndipitiliza mankhwala ndi mankhwalawa, chifukwa zimachitika, ndipo mtengo wake uvomerezeka.
