Munthu yemwe akudwala matenda a shuga a mtundu wachiwiri sayenera kungotsatira kadyedwe komanso kuchita masewera olimbitsa thupi, komanso kumwa mankhwala omwe amachepetsa shuga. Glucophage 500 amatanthauza mankhwalawa.
ATX
A10BA02
Glucophage 500 amachepetsa shuga.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwala amapangidwa mwa mawonekedwe a mapiritsi ozungulira a pakamwa. Amakutidwa ndi chipolopolo choyera. Mapiritsi amatsekedwa mu ma contour cell - 20 ma PC aliyense. m'modzi aliyense. 3 mwa maselowa ali mumatulu amakhadi, omwe amaperekedwa ku malo ogulitsa mankhwala.
Mapiritsiwo ali ndi zigawo zingapo, zomwe zimagwira omwe ndi metformin hydrochloride. Glucofage 500 yazinthu izi ili ndi 500 mg. Zothandiza zothandizira ndi povidone ndi magnesium stearate. Amathandizira kuchiritsa kwa mankhwalawa.
Zotsatira za pharmacological
Glucophage ndi mankhwala osokoneza bongo a hypoglycemic. Kutsika kwa plasma glucose kumachitika chifukwa cha kukhalapo kwa metformin mu mankhwalawa. Mankhwalawa ali ndi tanthauzo lina - amathandizira kuchepetsa kunenepa. Kwa odwala matenda ashuga, izi ndizofunikira, chifukwa matendawa nthawi zambiri amakhala ndi kunenepa kwambiri.
Odwala omwe akutenga Glucofage, pali kusintha kwa mafuta m'thupi, omwe amathandiza pa ntchito ya mtima.
Pharmacokinetics
Mankhwalawa amatengedwa kuchokera m'mimba. Ngati mapiritsi amatengedwa ndi chakudya, ndiye kuti njira yolembera imachedwa. Mulingo wamphamvu kwambiri wamagazi umawonedwa patatha maola 2,5 atatha kumwa mankhwalawa.
Metformin imagawidwa mwachangu mthupi lonse. Hafu ya moyo ndi pafupifupi maola 6.5.
Zizindikiro zogwiritsidwa ntchito
Mankhwala amalembedwa kwa odwala omwe amapezeka ndi matenda osokoneza bongo omwe amadalira shuga. Mankhwalawa amagwiritsidwa ntchito ngati othandizira kapena kuphatikiza ndi Insulin.
Contraindication
Glucophage amatsutsana zotsatirazi:
- tsankho ku chinthu chilichonse chomwe chiri gawo la mankhwalawa (musanagwiritse ntchito, werengani mosamala malangizo kuti mugwiritse ntchito);
- matenda a shuga kapena chikomokere;
- matenda omwe amatsogolera minofu hypoxia;
- chithandizo cha opaleshoni kwa odwala omwe akufuna insulin;
- uchidakwa wambiri;
- poyizoni wa ethanol;
- kulephera kwa chiwindi;
- kulephera kwaimpso;
- lactic acidosis;
- kuchititsa maphunziro ogwiritsa ntchito iodine okhala ndi ayodini - masiku awiri asanafike ndondomekoyi ndipo atatha maola 48 itatha;
- Kutsatira zakudya ngati kuchuluka kwa kcal kumalandira zosakwana 1000 patsiku.
Ndi kulephera kwa chiwindi, glucophage sichilandiridwa.
Mankhwala sangathe kumwedwa ndi uchidakwa, kumapitilira munthawi yayitali.
Mankhwala satengedwa ngati, kutsatira zakudya, kuchuluka kwa kcal komwe kumapezeka kuli kochepa kuposa 1000 patsiku.
Kulephera kwammimba ndikuphwanya kumwa mankhwalawa.
Mankhwala amalembedwa kwa odwala omwe amapezeka ndi matenda osokoneza bongo omwe amadalira shuga.
Ndi chisamaliro
Mankhwala amaikidwa mosamala odwala azaka 60 ndi akulu, popeza pali chiopsezo cha lactic acidosis.
Momwe mungatenge Glucofage 500?
Mapiritsi amatengedwa ndikudya kapena mutatha kudya. Mankhwalawa akuyenera kutsukidwa ndi madzi. Osadzilimbitsa: mlingo ndi nthawi ya mankhwala zimatsimikiziridwa ndi dokotala. Katswiriyu amaganizira zinthu zosiyanasiyana, zazikulu zomwe ndi mulingo wa shuga m'magazi. Matenda obwera omwe amapezeka mwa wodwala amatengedwa.
Akuluakulu
Malinga ndi malangizo, mankhwalawa amatengedwa motere:
- Mlingo woyambirira ndi 500-850 mg patsiku. Kuchuluka kwake kumagawidwa pawiri. Kenako dotolo amachititsa maphunziro owongolera, molingana ndi zotsatira za zomwe mlingo umasintha.
- Mlingo wokonza ndi 1500-2000 mg patsiku. Kuchuluka kwake kumagawidwa pawiri.
- 3000 mg ndi mlingo wapamwamba kwambiri wololedwa. Iyenera kugawidwa m'magawo atatu.
Kwa ana
Malangizowo akuti mwana wazaka 10 kapena kuposerapo Glucophage ndi mankhwala pafupifupi 500-850 mg tsiku lililonse. M'tsogolomu, kuchuluka kwa mlingo ndikotheka, koma mlingo wambiri watsiku ndi tsiku sungathe kupitirira 2000 mg.
Pofuna kukulitsa vuto losabadwa mwa ana, ndizosatheka kumwa mankhwala popanda chilolezo cha dokotala.
Chithandizo cha matenda ashuga
Ngati mukufunika kumwa Glucofage ndi Insulin nthawi yomweyo, ndiye kumayambiriro kwa chithandizo, mlingo wa tsiku ndi tsiku wa mankhwala ndi 500-850 mg. Kenako dokotalayo amasintha mlingo wa mankhwalawa posintha kuchuluka kwa insulin yomwe idalandiridwa.
Kuchepetsa thupi
Mukamagwiritsa ntchito Glucofage 500 kuti muchepetse thupi, muyenera kumwa piritsi limodzi 1 nthawi patsiku kwa masiku 3-5. Ngati mankhwalawa amalekeredwa bwino, ndiye kuti mlingo umaloledwa kuwonjezeka mpaka 1000 mg patsiku. Koma izi zimaloledwa kwa odwala omwe kulemera kwawo kumapitilira muyeso wopitilira 20 kg.
Mukamagwiritsa ntchito Glucofage 500 kuti muchepetse thupi, muyenera kumwa piritsi limodzi 1 nthawi patsiku kwa masiku 3-5.
Mankhwalawa amatha milungu itatu. Pambuyo pa izi, yopuma ya miyezi iwiri imafunika. Ngati maphunziro oyamba sanapereke zovuta, ndiye kuti amaloledwa kuwonjezera Mlingo wachiwiri. Koma simungathe kutenga zoposa 2000 mg patsiku. Kuchuluka kwake kumagawidwa ndi 2 times. Kutalikirana pakati Mlingo ndi maola 8 kapena kupitilira.
Munthawi ya mankhwalawa, ndikofunikira kumwa madzi ambiri kuti mupewe mavuto: mankhwalawa amathandiza impso kuti zichotse msanga zopweteka za mankhwala.
Zotsatira zoyipa
Kutenga Glucophage kumatha kuyambitsa mavuto.
Matumbo
Kusowa kwa chakudya, kupweteka kwam'mimba, kutsegula m'mimba, kusanza, kusanza - zizindikirozi ndizodziwika nthawi yoyamba ya chithandizo. Amawonekera mwa odwala omwe sagawana Mlingo wa tsiku ndi tsiku mu Mlingo wa 2-3.
Pakati mantha dongosolo
Nthawi zambiri, omwe amamwa mankhwalawa amasokonezeka.
Kuchokera kwamikodzo
Malangizowo sakhala ndi chidziwitso cha zoyipa za mkodzo.
Pa mbali ya chiwindi ndi biliary thirakiti
Nthawi zina, pakakhala kusokonezeka kwa chiwindi, hepatitis imayamba. Mapiritsi atachotsedwa, mavuto amatha.
Malangizo apadera
Ngati opaleshoni yomwe mukufuna kukonzekera ili patsogolo, muyenera kusiya kumwa Glucofage masiku awiri musanachite opareshoni. Pitilizani mankhwala ayenera kukhala masiku awiri atachitidwa opareshoni.
Kutenga Glucofage kumatha kuyambitsa lactic acidosis. Ngati kupsinjika, zizindikiro za dyspeptic ndi zizindikiro zina zosakhala zachindunji zikuwoneka munthawi ya chithandizo, muyenera kusiya kumwa mankhwalawo ndikupempha thandizo kuchipatala.
Kuyenderana ndi mowa
Osamamwa mowa pamene mukumwa Glucofage. Mankhwala okhala ndi ethanol ayenera kupewedwa.
Zokhudza mphamvu pakuwongolera njira
Anthu omwe amamwa mankhwalawo ndi metformin amatha kuyendetsa galimoto, chifukwa mankhwalawa samakhudza mbali zomwe zimachitika. Amaloledwanso kuti azigwira ntchito ndi zigawo zovuta.
Gwiritsani ntchito panthawi yoyembekezera komanso mkaka wa m`mawere
Amayi omwe ali ndi gestation saloledwa kutenga glucophage. Pokonzekera kutenga pakati, wodwalayo ayenera kufunsa dokotala, chifukwa kusintha kwa insulin kumafunika. Ndikofunikira kusungitsa shuga wambiri pafupi ndi yabwinobwino kuti musavulaze mwana wosabadwayo.
Iwo ali osavomerezeka kumwa mankhwalawa. Ngati kufunikira koteroko kulipo, ndiye kuti muyenera kusiya kuyamwitsa, ngati adokotala akulangizani.
Gwiritsani ntchito mu ukalamba
Kwa odwala okalamba omwe akutenga Glucofage, mavuto a impso angayambe, kotero mawonekedwe awo amayenera kuyang'aniridwa panthawi ya chithandizo.
Bongo
Ndi kuchuluka kwakukulu kwa mlingo wovomerezeka, lactic acidosis imayamba. Panthawi ya chizindikiro, kugonekedwa kuchipatala ndikofunikira. Ku chipatala, kumayesedwa, zotsatira zake zimawonetsa kuchuluka kwa magazi m'thupi, pambuyo pake njira yochiritsira iyenera kukhazikitsidwa.
Kuchita ndi mankhwala ena
Kutenga Glucophage kumafuna kusamala ngati wodwala akugwiritsa ntchito mankhwala ena.
Kuphatikiza kophatikizidwa
Kusiyanitsa othandizira omwe ali ndi ayodini.
Osavomerezeka kuphatikiza
Mankhwala okhala ndi ethanol.
Kutenga Glucophage kumafuna kusamala ngati wodwala akugwiritsa ntchito mankhwala ena.
Kuphatikiza komwe kumafunikira kusamala
- Danazole;
- Chlorpromazine mu Mlingo wambiri;
- GCS (yogwiritsira ntchito pakamwa ndi kwanuko);
- zida zodulira.
Glucophage analogues 500
Pakati pa mankhwala a hypoglycemic omwe ali ndi mphamvu yofanana ndi Glucofage,:
- Siofor;
- Metformin;
- Insufor;
- Glucophage kutalika.
Kupita kwina mankhwala
Ichi ndi mankhwala omwe mumalandira.
Kodi ndingagule popanda kulandira mankhwala?
Ogwira ntchito mumaofesi angapo safuna mankhwala, omwe amaphwanya malamulo ogulitsa mankhwala.
Mtengo
Mtengo wapakati wa mankhwalawo ndi ma ruble 170-250. kunyamula.
Glucofage 500
Kutentha kwa malo osungiramo mankhwalawo sikuyenera kupitirira + 25 ° C.
Tsiku lotha ntchito
Zaka 5
Ndemanga za Glucofage 500
Ndemanga za mankhwalawa amapereka onse madokotala ndi odwala.
Madokotala
Ekaterina Parkhomenko, wazaka 41, Krasnodar: "Nthawi zambiri ndimapereka mankhwala kwa anthu odwala matenda ashuga omwe safuna Insulin. Mankhwalawa ndi othandiza, okwera mtengo, osavuta kugwiritsa ntchito. Koma sindipereka lingaliro kwa iwo omwe akufuna kuchepetsa thupi, koma alibe matenda ashuga. Pali njira zina zochepetsera thupi - chakudya, masewera. "
Odwala
Alexey Anikin, wazaka 49, Kemerovo: "Ndine wodwala matenda ashuga, koma sindimadalira Insulin. Ndimatenga Glucophage kukhalabe ndi shuga - 500 mg katatu patsiku. Palibe mavuto, ndimamva bwino. Ndimalimbikitsa mankhwalawa ngati mankhwala othandiza."
Rimma Kirillenko, wazaka 54, Ryazan: "Ndikudwala matenda ashuga a mtundu wa 2. Posachedwa, adotolo adamuwuza Glucophage. Atangomaliza chithandizo, atatuluka mikwingwirima, nseru, ndi matenda otsegula m'mimba.
Kuchepetsa thupi
Lyubov Kalinichenko, wazaka 31, Barnaul: "Ndili ndi mavuto onenepa kwambiri, omwe sindingathe kuthana ndi kadyedwe kapena masewera olimbitsa thupi. Ndidawerenga kuti Glucofage imathandiza kwambiri. Ndinagula mankhwala a 500 mg ndipo ndinayamba kumwa mapiritsi molingana ndi malangizo "Kunenepa kunayima chilili, ndipo ikuyima. Koma nseru ndi matendawa atatha, ndiye ndiyenera kusiya kugwiritsa ntchito mankhwalawa."
A Valery Khomchenko, wa zaka 48, Ryazan: "Matenda a shuga sanapezekebe, koma shuga nthawi zina amawonedwa. Kulemera kumakhala kotalika kuposa koyenera. Ndinapita kwa endocrinologist yemwe adalemba Glucophage. Ndimamwa mapiritsi ndipo ndikusangalala, chifukwa kulemera kukuchokerako pang'ono, ndikumva bwino."
