Siofor 850 nthawi zambiri amagwiritsidwa ntchito pochotsa kunenepa kwambiri komanso kuchepetsa thupi, komanso mankhwalawa matenda a shuga. Mawonekedwe otetezeka komanso mtengo wotsika mtengo m'mafakisi adapangitsa kuti ukhale mankhwala otchuka kwambiri.
Dzinalo Losayenerana
Metformin.
Siofor 850 nthawi zambiri amagwiritsidwa ntchito pochotsa kunenepa kwambiri komanso kuchepetsa thupi, komanso mankhwalawa matenda a shuga.
ATX
A10BA02.
Kutulutsa mafomu ndi kapangidwe kake
Njira yotulutsira mankhwalawa ndi mapiritsi a 0,5 g yogwira ntchito (metformin hydrochloride). Monga othandizira:
- magnesium wakuba;
- povidone;
- hypromellose;
- macrogol.
Njira yotulutsira mankhwalawa ndi mapiritsi a 0,5 g yogwira ntchito (metformin hydrochloride).
Zotsatira za pharmacological
Yogwira pophika mankhwala ndi biguanide, yomwe imapangitsa antihyperglycemic. Mankhwala amachepetsa kuchuluka kwa shuga m'magazi, sikuyambitsa kupanga insulin ndipo sikuyambitsa hypoglycemia.
Chidacho chimathandizira kupanga glycogen mkati mwa zomanga zam'mimba komanso kayendedwe kazinthu zama protein.
Zotsatira zake, mankhwalawa amatulutsa shuga m'magazi, kusintha kagayidwe ka lipid, kutsitsa cholesterol ndi kutsika kwa triglyceride.
Mankhwala amachepetsa kuchuluka kwa plasma shuga (glucose).
Pharmacokinetics
Mankhwalawa amatengedwa ndi chakudya chamagaya. Kuzindikira kwakukulu kumafika patatha maola 2-2,5.
Chakudya chimalepheretsa kuyamwa kwa mankhwalawa.
Zinthu zomwe zimagwira zimatha kudziunjikira impso, chiwindi, minyewa yamkamwa ndi malovu. Imalowa mu erythrocyte membrane.
Mankhwala ochokera mthupi amachotsedwa ndi impso osasinthika. Hafu ya moyo imayambira maola 6 mpaka 7.
Zizindikiro zogwiritsidwa ntchito
- lembani matenda ashuga a 2 a shuga pakakhala kuti palibe chifukwa chochita zolimbitsa thupi ndi zakudya (makamaka odwala omwe ali ndi kunenepa kwambiri);
- mankhwalawa amatha kuphatikizidwa ndi insulin ndi othandizira a hypoglycemic.
Chizindikiro cha mtundu wachiwiri wa matenda osokoneza bongo chifukwa kulibe zotsatira zoyenera kuchokera pakulimbitsa thupi ndi zakudya.
Contraindication
Malangizo ogwiritsira ntchito akuwonetsa zoletsa kugwiritsa ntchito mankhwalawa:
- tsankho la munthu payekha (hypersensitivity);
- pachimake impso ndi chiwindi kulephera;
- matenda oopsa;
- mtundu 1 matenda a shuga;
- matenda a shuga ndi ketoacidosis;
- kuyamwa
- mimba
- pathologies omwe angapangitse minofu hypoxia (kugwedezeka, kupuma komanso kulephera kwa mtima);
- lactic acidosis;
- kutsatira zakudya zapadera, momwe simumapitirira 1000 kcal patsiku.
Ndi chisamaliro
- zotchulidwa ana kuyambira zaka 10 (malinga ndi zisonyezo);
- ntchito mankhwalawa okalamba (wopitilira zaka 60-65).
Mungatenge bwanji Siofor 850?
Kutalika kwa kayendetsedwe ka mankhwala ndi mlingo wa mankhwala ndi dokotala.
Kuchepetsa thupi
Pafupifupi tsiku lililonse mankhwala kumayambiriro kwa mankhwalawa (kuwonda) ndi piritsi limodzi 1-2 kamodzi patsiku kapena chakudya. Pambuyo pa masabata 1.5-2, mulingo amatha kuchuluka mpaka kumapiritsi atatu / tsiku.
Poterepa, kuchuluka kwa shuga m'magazi a plasma ndi boma la m'mimba kuyenera kuyang'aniridwa.
Mlingo waukulu ndi mapiritsi 6 / tsiku.
Pafupifupi tsiku lililonse mankhwala kumayambiriro kwa mankhwalawa (kuwonda) ndi piritsi limodzi 1-2 kamodzi patsiku kapena chakudya.
Chithandizo cha matenda ashuga
Mankhwala omwe amagwira ntchito akhoza kuphatikizidwa ndi insulin kuti achulukitse chiwongolero cha glycemic.
Pafupifupi kuchuluka kwa mankhwalawa ndi 0,5 ga mankhwalawa (piritsi 1) katatu patsiku.
Pazipita mlingo 3 g ya mankhwalawa.
Mankhwala omwe amagwira ntchito akhoza kuphatikizidwa ndi insulin kuti achulukitse chiwongolero cha glycemic.
Zotsatira zoyipa
Matumbo
- kuthawa;
- kutsegula m'mimba
- kutaya mtima;
- kusapeza bwino pamimba.
Izi nthawi zambiri zimawonekera koyambirira kwamankhwala ndikupita okha.
Hematopoietic ziwalo
Mukamagwiritsa ntchito mankhwalawa, megaloblastic anemia imatha kukula, koma ndizosowa kwambiri.
Mukamagwiritsa ntchito mankhwalawa, megaloblastic anemia imatha kukula, koma ndizosowa kwambiri.
Pakati mantha dongosolo
- mutu (kawirikawiri);
- kuphwanya kukoma.
Pa mbali ya chiwindi ndi biliary thirakiti
- kusinthasintha kwa chiwindi ntchito yolumikizana ndi kuchuluka kwa transaminase ntchito;
- chiwindi.
Matupi omaliza
- Edema ya Quincke;
- kuyabwa ndi totupa pakhungu.
Malangizo apadera
Mukamagwiritsa ntchito mankhwalawa, tikulimbikitsidwa kutsatira zakudya zapadera.
Mukamagwiritsa ntchito mankhwalawa, tikulimbikitsidwa kutsatira zakudya zapadera.
Kuyenderana ndi mowa
Kugwiritsa ntchito mankhwalawa pamodzi ndi mowa kungayambitse mavuto osaneneka, chifukwa chake ndi bwino osawaphatikiza.
Zokhudza mphamvu pakuwongolera njira
Mankhwala sasokoneza psychomotor ntchito.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Mankhwalawa sanatchulidwe poyamwitsa mwana ndi kubereka mwana wosabadwayo.
Kusankhidwa kwa Siofor kwa ana 850
Chipangizocho chikuvomerezedwa kuti chigwiritsidwe ntchito kuyambira wazaka 10.
Chipangizocho chikuvomerezedwa kuti chigwiritsidwe ntchito kuyambira wazaka 10.
Gwiritsani ntchito mu ukalamba
Amagwiritsidwa ntchito mosamala kwambiri pochiza anthu azaka zopitilira 65, pokhapokha ngati adokotala amafufuza komanso kuwunika chiwindi, impso ndi magazi.
Mankhwala sayenera kuperekedwa kwa okalamba ndi odwala ngati achitapo zolimba zolimbitsa thupi (chiopsezo chokhala ndi lactic acidosis).
The ntchito aimpso kuwonongeka
Kumwa mankhwala ndi osafunika kwa odwala omwe ali ndi vuto lalikulu la impso.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Sikugwiritsidwa ntchito pakulephera kwa chiwindi.
Siofor 850 sagwiritsidwa ntchito chifukwa cha kulephera kwa chiwindi.
Bongo
Akatswiri omwe adayeza mayesero a chipatala ndi mankhwalawo sanawululire zovuta zomwe zimagwiritsidwa ntchito muyezo mpaka 85 g.
Nthawi zina, bongo umatha kukhala limodzi ndi lactic acidosis.
Zizindikiro zazikulu za matenda:
- kupuma matenda;
- kumverera kwa kufooka;
- kusapeza bwino pamimba;
- kutsegula m'mimba ndi mseru;
- kutsika kwa kuthamanga kwa magazi;
- Reflex mtundu bradyarrhythmia.
Kuphatikiza apo, omwe akuvutika chifukwa cha kumwa Mlingo wambiri wa mankhwalawa amatha kumva ululu wamisempha ndikusokoneza malo.
Mankhwalawa ndi chizindikiro. Wovutitsidwa pazinthu zotere ayenera kuchipatala. Hemodialysis imawonedwa kuti ndiyo njira yothandiza kwambiri yochotsera metformin ndi mkaka wa m'thupi.
Nthawi zina, bongo umatha kukhala limodzi ndi lactic acidosis.
Kuchita ndi mankhwala ena
Kuphatikiza kophatikizidwa
Intravascular makonzedwe osiyanitsa a ayodini ndi odwala matenda ashuga kungayambitse kwambiri impso.
Wothandizidwa ndi hypoglycemic ayenera kuzunzidwa masiku awiri asanafike mankhwalawa.
Izi zimafunikira kuyang'anitsitsa kusamalitsa kwa thunthu ndi shuga m'magazi.
Osavomerezeka kuphatikiza
Chiwopsezo cha lactic acidosis imachulukirachulukira kumwa kwambiri pachimake ndi mowa, makamaka motsutsana ndi maziko osowa zakudya m'thupi kapena pamaso pa chiwindi cholephera.
Chifukwa chake, munthawi imeneyi, mowa uyenera kusiyidwa, apo ayi ungakumane ndi kuphwanya kwambiri chiwindi ndi impso.
Chiwopsezo cha lactic acidosis chimachulukirachulukira kuledzera kwambiri ndi mowa.
Kuphatikiza komwe kumafunikira kusamala
Kugwiritsa ntchito limodzi kwa mankhwalawa ndi Danazole kungayambitse vuto la hyperglycemic, chifukwa chake, Mlingo uyenera kusankhidwa ndi kuphatikiza mosamala.
Nifedipine ndi Morphine amawonjezera mayamwidwe a metformin m'madzi am'magazi ndipo amawonjezera nthawi ya kutulutsa kwake pambuyo pakamwa.
Mankhwala a Cationic amalimbikitsa plasma ndende ya metformin.
Cimetidine amalepheretsa kupezeka kwa mankhwala, kuonjezera ngozi ya lactic acidosis.
Cimetidine amalepheretsa kupezeka kwa mankhwala, kuonjezera ngozi ya lactic acidosis.
Analogi
- Metfogamm;
- Metformin-Teva;
- Glucophage motalika;
- Metformin Zentiva.
Analogue Glucofage yayitali.
Zinthu za tchuthi Siofora 850 ochokera ku malo ogulitsa mankhwala
Kodi ndingagule popanda kulandira mankhwala?
Kuti mugule mapiritsi muyenera kulandira mankhwala.
Mtengo
Kuyambira 255 ma ruble a mapiritsi 60, atakulungidwa ndi chipolopolo choyera.
Zosungidwa zamankhwala
Mukamasunga mankhwalawo, kutentha kwake sikuyenera kupitirira + 25 ° C.
Tsiku lotha ntchito
Zaka zitatu
Wopanga Siofora 850
Berlin-Chemie (Germany).
Wopanga Siofora 850 "Berlin-Chemie" (Germany).
Ndemanga za Siofor 850
Madokotala
Peter Klemazov (wochiritsa), wazaka 40, Voronezh.
Hypoglycemic iyi imawonetsa zotsatira zabwino pochiza matenda ashuga. Kuphatikiza apo, nthawi zambiri imagwiritsidwa ntchito pakuchepetsa thupi. Kusakhalapo kwa zoyipa pamankhwala kumakondweretsa, ndipo mtengo wotsika mtengo umapangitsa kuti ukhale wokongola kwambiri.
Odwala
Tatyana Vornova, wazaka 40, Tashkent.
Ndakhala ndikumwa mankhwalawo kwa zaka zingapo, mapiritsi awiri patsiku. Shuga amakhalabe wokhazikika. Posachedwa ndidasankha kuyambiranso kutenga ma Strepsils, popeza mmero wanga udali wowawa, ndidayenera kupita kwa adotolo kuti ndidziwe za kutsutsana kwawo. Tsopano mmero suvulala, ndipo shuga ndichabwinobwino! Komabe sizotheka kukhalabe ndi moyo wathanzi.
Kuchepetsa thupi
Victoria Shaposhnikova, wazaka 36, Tver.
Ndinadabwa momwe mankhwalawo amawotcha mapaundi owonjezera. Poyamba, sanakhulupirire zabwino zake, koma patatha milungu iwiri atayamba chithandizo, adazindikira kuti kulemera kunayamba pang'onopang'ono. Pakupita miyezi itatu, zinali zotheka kutaya makilogalamu 10, ndipo zochulukazo zikupitilira kuchepa, pomwe thanzi ndi malingaliro sizikuvutikira konse.
