Bagomet Plus ndi othandizira a hypoglycemic omwe cholinga chake ndi kugwiritsa ntchito pakamwa. Kugwiritsidwa ntchito pochiza matenda am'mimba a shuga, kumakuthandizani kuti muchepetse zilembo zodziwika bwino za matendawa.
Dzinalo Losayenerana
Metformin hydrochloride + glibenclamide
Bagomet Plus ikupezeka mu mawonekedwe a piritsi.
ATX
NoA10BD02
Metformin osakanikirana ndi sulfonamides.
Kutulutsa mafomu ndi kapangidwe kake
Amapezeka piritsi. Mapiritsiwo ali ndi mawonekedwe ndi mlingo wake:
- metformin hydrochloride 500 mg + glibenclamide - 2 5 mg;
- metformin hydrochloride 500 mg + glibenclamide - 5 mg.
Mapiritsiwa amakhala atakutidwa ndi filimu. Zinthu zothandiza zomwe zimaphatikizidwa ndizomwe zimapangidwira zimaphatikizapo lactose monohydrate, magnesium, sodium, starch.
Zotsatira za pharmacological
Mankhwalawa ali ndi tanthauzo la hypoglycemic chifukwa cha kuphatikiza kwa metformin ndi glibenclamide. Metformin ndi ya Biguanides. Zimawonjezera chidwi cha zotumphukira zimakhala ndi zotsatira za insulin, potero zimachepetsa magazi. Imakhazikika pamlingo wa cholesterol yoyipa m'magazi.
Glibenclamide (zotumphukira kuchokera ku sulfonylurea) imachepetsa kuyamwa kwa chakudya cham'mimba ndimatumbo am'mimba. Imathandizira kupanga kwapadera kwa ma cell a pancreatic β-cell awo.
Pharmacokinetics
Bagomet Plus imadziwika ndi kuchuluka kwambiri kwa bioavailability pafupifupi 60%. Mankhwalawa amatha kugwa pang'onopang'ono. Hafu ya moyo ndi pafupifupi maola 6. Kuchuluka kwa zinthu zogwira ntchito kumatheka pambuyo pa maola 1.5-2 kuchokera nthawi yomwe mumamwa mapiritsi. Zigawo zomwe zimagwiritsa ntchito mankhwalawa zimapukusidwa ndi bile komanso mothandizidwa ndi zida za impso.
Zowonetsa Bagomet Plus
Amalandira kwa odwala omwe ali ndi mtundu wa matenda ashuga a 2:
- ndi osakwanira kudya mankhwala ndi masewera olimbitsa thupi;
- Pakakhala zotsatira zamankhwala mukamagwiritsa ntchito glibenclamide nokha kapena metformin;
- yokhala ndi khola la glycemic lotheka kuyang'aniridwa ndi azachipatala;
- kunenepa kwambiri, kukulira motsutsana ndi maziko a matenda osokoneza bongo omwe amadalira shuga.
Bagomet Plus imafotokozedwera ngati sikokwanira mphamvu ya mankhwala olimbitsa thupi komanso kuchita masewera olimbitsa thupi.
Nthawi zambiri amagwiritsidwa ntchito limodzi ndi mankhwala ena kuchipatala chovuta cha odwala omwe ali ndi matenda a shuga 2 ngati chothandizira.
Contraindication
Ndi zoletsedwa kugwiritsa ntchito mankhwalawa pazinthu zotere:
- lembani matenda a shuga 1 mellitus (mawonekedwe a insulin);
- kuphwanya magazi mu ubongo, kumachitika mu mawonekedwe.
- chizolowezi chokhala ndi lactic acidosis;
- mtundu wa creatinine pamwamba pa 135 mol / l;
- uchidakwa wambiri;
- kulephera kwa mtima, kulowerera kwamtima;
- mitundu yayikulu ya aimpso ndi kwa chiwindi;
- matenda ashuga ketoacidosis;
- mawonetseredwe a hypoglycemia, chikomokere chikomokere ndi chikhazikitso;
- mbiri ya acidosis;
- gulu la odwala zaka zopitilira 60;
- matenda omwe amapezeka pachimake kapena mawonekedwe osakanikirana ndi concomitant minofu hypoxia, matenda;
- Hypersensitivity kapena payekha tsankho kwa yogwira zinthu.
Mankhwala a Bagomet Plus ndi oletsedwa kugwiritsa ntchito matenda a shuga a mtundu wa I.
Wothandizirana ndi hypoglycemic uyu amapatsirana kuvulala kwambiri koopsa komwe kumachitika pakanachitika opaleshoni yaposachedwa panthawi ya chakudya cha hypocaloric. Mosamala, mankhwalawa amagwiritsidwa ntchito pochiza odwala omwe ali ndi vuto la chithokomiro, kutentha thupi, zotupa za adrenal cortex, pituitary hypofunction.
Kodi mutenge bwanji Bagomet Plus?
Zapangidwa kuti zizigwiritsidwa ntchito m'nyumba. Mapiritsi a Bagomet Plus, malinga ndi malangizo, amayenera kumamwa lonse, osafuna kutafuna, ndi madzi oyera ambiri. Imwani mankhwala ndi zakudya. Mlingo woyenera umadziwika ndi dokotala payekhapayekha, poganizira kuchuluka kwa shuga m'magazi komanso zomwe zimachitika ndi matenda.
Malinga ndi chiwembu chokhacho, njira yochiritsira yokhala ndi Bagomet Plus imayamba ndi piritsi limodzi, lomwe limatengedwa nthawi 1 patsiku. Pokhapokha poti pakhale zovuta, mankhwalawa amatha kuchuluka pakapita milungu iwiri.
Kumwa mankhwalawa Bagomet Plus kumayamba ndi piritsi limodzi kamodzi patsiku, mutatha milungu iwiri mlingo ungathe kuchuluka.
Ngati akuwonetsa, adokotala amatha kuwonjezera kuchuluka kwa tsiku lililonse kwa mapiritsi 2, kumwedwa kawiri tsiku lonse. Pofuna kusintha mlingo, maphunziro amachitika pafupipafupi ndi cholinga chofuna kudziwa kuchuluka kwa shuga m'magazi.
Pazipita tsiku mlingo sayenera upambana 4 mapiritsi. Kutengera mlingo womwe waperekedwa, tikulimbikitsidwa kusunga nthawi kuti tisunge kwambiri magazi omwe ali ndi magazi. Ngati piritsi limodzi latengedwa, ndiye kuti ndibwino kumwa pakumwa m'mawa.
Pa mlingo wokulirapo, voliyumu yonse ya mankhwalawa imagawidwa m'magawo atatu, kumwa mapiritsi m'mawa, masana ndi madzulo.
Pamaso pa zovuta za metabolic, mankhwalawa amadzipatsa Mlingo wocheperako, amawonjezera ndi mankhwala ena kuti akwaniritse zotsatira zabwino zochizira.
Zotsatira zoyipa za Bagomet Plus
Njira yothandizira odwala ndi Bagomet Plus ikhoza kuyambitsa zovuta zotsatirazi:
- nseru ndi zovuta kusanza;
- kupweteka kwapadera pamimba;
- kuphwanya kayendedwe ka m'mimba;
- kuchepa magazi
- lactic acidosis;
- kumverera kwa zitsulo kukoma mkamwa;
- hypoglycemia;
- hepatitis;
- mawonekedwe a thupi lawo siligwirizana;
- kuyabwa pakhungu ndi zotupa, monga urticaria;
- erythema;
- kusowa kwa chakudya kosatha;
- kuphwanya kwa chiwindi ntchito;
- kutopa;
- kufooka wamba, malaise;
- chizungulire.
Zotsatira zoyipa zimawonetsedwa mwa anthu okalamba, kuphwanya njira yolondola kwambiri, wodwalayo amakhala ndi zotsutsana.
Zotsatira zoyipa zikachitika, muyenera kufunsa dokotala ndi cholinga chofuna kusintha kapena kusintha mankhwalawo ndi analogue yoyenera.
Zokhudza mphamvu pakuwongolera njira
Chipangizocho chimatha kukhala ndi choletsa pamagetsi amkati komanso kuthamanga kwa zochitika zama psychomotor.
Chifukwa chake, munthawi yamankhwala othandizira, ndibwino kuti musayendetse magalimoto oyendetsa magalimoto ndi njira zovuta.
Malangizo apadera
Anthu odwala matenda ashuga omwe amamwa mankhwalawa amayenera kuyang'anira shuga.
Miyeso iyenera kumwa m'mawa m'mimba yopanda kanthu, kenako mukatha kudya.
Munthawi ya mankhwalawa, ndikofunikira kutsatira zakudya zomwe adokotala adya ndi kudya pafupipafupi. Kupanda kutero, ngozi za kukulitsa hypoglycemia zimachuluka. Mlingo umasinthidwa m'njira yochepetsera posintha zakudya, nkhawa zowonjezera, kulimbitsa thupi kapena kulimbitsa thupi.
Munthawi ya mankhwalawa ndi Bagomet Plus, ndikofunikira kwambiri kutsatira zakudya zomwe adotolo adya ndikudya pafupipafupi.
Wodwala amayenera kuwunika mosamalitsa mkhalidwe wake. Mukamagwiritsa ntchito mankhwalawa, acidosis imatha kukhazikika limodzi ndi nseru, kupuma komanso kusanza. Zikatero, pitani kuchipatala msanga.
Ngati munthawi ya chithandizo wodwalayo adawonetsa matenda opatsirana, kwamikodzo, izi ziyeneranso kudziwitsidwa kwa dokotala.
Pochita ma x-ray, pogwiritsa ntchito zida zosiyanasiyanazo zomwe zimaperekedwa kudzera m'mitsempha, mankhwalawa ayenera kusiyidwa kwa masiku awiri.
Njira yochizira imayambiridwanso patatha masiku angapo atatha njira zodziwitsira, njira zochitira opaleshoni.
Gwiritsani ntchito mu ukalamba
Osasankha anthu okalamba (opitilira zaka 60-65), zomwe zimachitika chifukwa cha kuchuluka kwa acidosis komanso kuwonetsa zina zomwe zimachitika. Choyamba, lamuloli limagwira ntchito kwa anthu achikulire omwe amagwira ntchito yolemetsa.
Kupatsa ana
Chifukwa chosowa chidziwitso chokwanira mthupi la ana, mankhwalawa samalimbikitsidwa pochiza odwala omwe ali ndi zaka zosakwana ambiri.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Sichigwiritsidwa ntchito kuchitira amayi apakati. Amayi omwe ali ndi mwana ndipo akuvutika ndi insulin-yodziyimira payokha amathandizidwa kuti azisintha ndi Bagomet ndi insulin.
Pa nthawi ya pakati, ndikulimbikitsidwa kuti muthane ndi Bagomet Plus ndi insulin.
Musagwiritse ntchito mankhwalawa mukamayamwa chifukwa chosowa chidziwitso chokwanira chokhudzana ndi kuthekera kwa zinthu zogwira ntchito kulowa mkaka wa m'mawere. Ngati pali umboni, mwana amasamutsidwa ku chakudya chongopeka.
The ntchito aimpso kuwonongeka
Kugwiritsa ntchito mankhwalawa kuphatikizidwa kwa odwala omwe ali ndi vuto la aimpso ndi kuwonongeka kwaimpso. Musavomereze kugwiritsa ntchito mankhwala osokoneza bongo chifukwa chokhala ndi madzi am'mimba, ndimomwe mungagwiritsire ntchito mankhwalawa komanso njira zina zopatsirana zomwe zingayambitse vuto laimpso.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Madokotala samapereka mankhwalawa kwa odwala omwe ali ndi vuto la chiwindi kapena omwe ali ndi mavuto akulu ndi ziwalo.
Bongo
Kuchulukitsa mlingo wovomerezeka kungapangitse mawonekedwe:
- nseru ndi zovuta kusanza;
- kupweteka kwa minofu;
- chizungulire;
- ululu matenda kufalikira pamimba;
- Zizindikiro wamba za asthenic;
- kutsegula m'mimba
- kulephera kudziwa.
Mankhwala osokoneza bongo a Bagomet Plus angayambitse matenda am'mimba.
Ndi mawonetseredwe azachipatala oterowo, wodwala amafunikira chithandizo chamankhwala chodzidzimutsa. Kupanda kutero, matenda a pathological amapita patsogolo ndipo amaphatikizidwa ndi chikumbumtima chovulala, kuletsa kupuma, kugwa pakumwa, ngakhale kufa kwa wodwalayo.
Chithandizo chachikulu cha bongo chimachitika pang'onopang'ono moyang'aniridwa ndi achipatala.
Odwala amakumana ndi hemodialysis, njira yothandizira yothandizira.
Kuchita ndi mankhwala ena
Ma cyclophosphamides, anticoagulants, mankhwala osapinga a antiidal, mankhwala antimycotic, anabolic steroids, ACE inhibitors, Fenfluramine, Chloramphenicol, Acarbose amathandizira pakukula kwa zotsatira za hypoglycemic.
Kugwiritsa ntchito kwa barbiturates, glucocorticosteroids, kulera kwa mahomoni, ma diuretics, mankhwala osokoneza bongo, m'malo mwake, kumachepetsa mphamvu ya Bagomet Plus, kumachepetsa mphamvu ya maphunzirowo.
Kuyenderana ndi mowa
Mankhwala osokoneza bongo amtunduwu sagwirizana ndi mowa.
Chifukwa chake, munthawi yogwiritsira ntchito Bagomet Plus ndikulimbikitsidwa kuti musamwe mowa ndi mankhwala, kuphatikizapo mowa wa ethyl.
Analogi
Zida zofananira ndi izi: Zukronorm, Siofor, Tefor, Glycomet, Insufor, Glemaz, Diamerid.
Kupita kwina mankhwala
Mankhwalawa atha kugulidwa pokhapokha ngati mukuwapatsa mankhwala oyenera.
Kodi ndingagule popanda kulandira mankhwala?
Popanda mankhwala kuchokera kwa dokotala, mankhwalawa samamasulidwa.
Mtengo wa Bagomet Plus
Mtengo wapakati umasiyana kuchokera ku ma ruble 212 mpaka 350.
Zosungidwa zamankhwala
Mankhwala tikulimbikitsidwa kuti tisungidwe pamalo owuma, amdima, ozizira, osafikika kwa ana aang'ono.
Bagomet Plus imafuna kusungidwa pamalo owuma, amdima, ozizira, kwa nthawi yoposa zaka zitatu.
Tsiku lotha ntchito
Osapitirira zaka zitatu, kugwiritsa ntchito kwina kumatsutsana.
Wopanga
Kampani "Kimika Montpellier S.A.", Argentina.
Ndemanga za Bagomet Plus
Valeria Lanovskaya, wazaka 34, Moscow
Ndakhala ndikukumwa mankhwala a Bagomet Plus kwazaka zingapo. Mankhwalawa amathandizira kukhazikika kwa glucose wamagazi, amalekeredwa bwino komanso amakhala ndi mtengo wotsika mtengo.
Andrey Pechenegsky, wazaka 42, mzinda wa Kiev
Ndili ndi matenda osokoneza bongo a insulin. Ndayesa ndalama zambiri, koma adotolo adalangiza za kugwiritsidwa ntchito kwa Bagomet Plus. Kukhutitsidwa ndi mphamvu ya mankhwalawa, ndipo koposa zonse - kusowa kwa jakisoni wokhazikika.
Inna Kolesnikova, wazaka 57, mzinda wa Kharkov
Kugwiritsa ntchito kwa Bagomet Plus kumakupatsani mwayi wochepetsera kuchuluka kwa shuga, kukhala bwino ndikukhalanso ndi moyo wabwinobwino. Mankhwala amalekeredwa bwino. Ndimamwa pa mlingo woyenera, ndimadya molondola, chifukwa sindinakumanepo ndi zovuta.
