Momwe mungatenge Metformin ndi matenda a shuga a 2?

Mtundu wa shuga wodziyimira pawokha umadziwika ndi kusiyanasiyana pang'ono komwe kumapangidwa kwa timadzi timene timachepetsa shuga. Mankhwala Metformin a matenda a shuga a 2 amagwiritsidwa ntchito ngati nkosatheka kusunga kuchuluka kwa shuga mkati mwazolondola (3.3-5,5 mmol / lita) pogwiritsa ntchito zakudya zopatsa thanzi komanso masewera olimbitsa thupi.

Chifukwa chotchuka padziko lonse lapansi, Metformin imapangidwa pansi pa mayina osiyanasiyana. Kodi wothandizirayi wa hypoglycemic amachepetsa shuga m'magazi, komanso momwe mungatenge Metformin yemwe ali ndi matenda ashuga, nkhaniyi ifotokoza.

Zambiri pazamankhwala

Woyimira yekha wa kalasi ya greatuanides ndi metformin hydrochloride. Gawo lomwe limagwiritsidwa ntchito ndi mankhwala a Metformin lili ndi zinthu zabwino ndipo ndi gawo la mankhwala ena ambiri omwe amachepetsa shuga, omwe amasiyana kwambiri mtengo wake.

Mtundu wa shuga 1, jakisoni wa insulin amayenera kuchitidwa pafupipafupi kuteteza hyperglycemia. Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, metformin imathandiza kuchepetsa msanga shuga popanda kutsogola mtundu wa hypoglycemic mwa anthu athanzi.

Mankhwala osokoneza bongo a shuga amachitika pamaselo a cellular, kukulitsa chidwi cha maselo olimbana ndi insulin. Mu thupi la munthu, mutamwa mapiritsi, zosintha zotsatirazi zimachitika:

• kuchepa kwa shuga wama chiwindi;
• kukonza chiwopsezo cha maselo kwa mahomoni;
• kutsitsa mayamwidwe a shuga m'matumbo aang'ono;
• kutsegula kwa makutidwe ndi okosijeni a mafuta zidulo;
• cholesterol yotsika.

Kuchiza pafupipafupi ndi Metformin sikuthandizira kupewa kuchuluka kwa shuga wamagazi, komanso kumalimbana ndi kunenepa kwambiri. Zikomo zonse chifukwa cha mankhwalawa kuti muchepetse chidwi.

Metformin imachepetsa kuthamanga kwa magazi ndikupanga mapangidwe a atherosulinotic, kuchepetsa chiopsezo cha matenda a mtima ndi mtima komanso kupitirira kwa matenda a shuga a 2.

Malangizo ogwiritsira ntchito mapiritsi

Chizindikiro chachikulu chakuti muyenera kumwa Metformin ndi matenda amtundu wa 2, wovuta ndi kunenepa kwambiri, pamene kudya komanso kuchita masewera olimbitsa thupi sizithandiza kuchepetsa glycemia.

Musanatenge Metformin wa mtundu wachiwiri wa matenda ashuga, muyenera kuonana ndi endocrinologist. Dokotala, poganizira zomwe zili ndi shuga komanso thanzi la wodwalayo, amamulembera mankhwala ndi kuwafotokozera. Mutagula mankhwalawo, tsamba lolembalo liyenera kuphunzira bwino.

Kutengera ndi zomwe zimagwiritsidwa ntchito ndi othandizira a hypoglycemic, pali mitundu yosiyanasiyana:

1. Mapiritsi a 500 mg: mlingo wa tsiku lililonse umachokera ku 500 mpaka 1000 mg. Kumayambiriro kwa mankhwalawa, kuwoneka kwa mavuto omwe amabwera ndi kudzimbidwa ndikotheka. Njira zotere zimachitika chifukwa choti thupi limazolowera mankhwala. Pambuyo pa masabata awiri, zotsatirapo zoyipa zimayimitsidwa, kotero mlingo umatha kuchuluka mpaka 1500-2000 mg patsiku. Amaloledwa kutenga kuchuluka kwa 3000 mg patsiku.
2. Mapiritsi a 850 mg: poyamba, mlingo ndi 850 mg. Thupi la wodwalayo likangosintha machitidwe a mankhwalawo, mutha kuwonjezera kuchuluka kwake mwa kudya 1700 mg patsiku. Pazakudya zambiri za mankhwala Metformin a odwala matenda ashuga ukufika 2550 mg. Odwala okalamba salimbikitsidwa kupitilira mlingo wa 850 mg.
3. Mapiritsi a 1000 mg: poyamba, mlingo ndi 1000 mg, koma pambuyo pa masabata awiri amatha kuchuluka mpaka 2000 mg. Zolemba malire kuloledwa kudya 3000 mg.
4. Kugwiritsa ntchito zovuta ndi insulin mankhwala: Mlingo woyambirira wa Metformin ndi 500 kapena 850 mg. Kuchuluka kwa insulin yofunikira bwanji, jakisoni amasankha.

Mapiritsi a Metformin sangatengeke, amameza athunthu, atsukidwa ndi madzi. Mankhwalawa amayenera kuledzera pakudya kapena mutatha kudya.

Pogula mankhwala, muyenera kulabadira tsiku lotha ntchito lomwe lasonyezedwa pa phukusi. Amamuyang'aniridwa m'malo abwino amdima kutali ndi ana aang'ono.

Contraindication ndi zoyipa zimachitika

Malangizo akutsatira ali ndi mndandanda woyerekeza wa contraindication ndi mavuto.

Chifukwa chake, wodwalayo ayenera kuchenjeza za matenda onse okhudzana ndi matenda osokoneza bongo atasankhidwa ndi dokotala. Mwina wodwalayo adzafunikanso kupezedwa.

Malangizowo akuwonetseratu kuti kugwiritsa ntchito mapiritsi a shuga Metformin ndi koletsedwa ngati msinkhu wa wodwalayo sufika zaka 10.

Komanso, simungamwe mapiritsi ndi:

• kulephera kwa aimpso (creatinine mwa akazi - opitilira 1.4 ml / dl, mwa amuna - oposa 1.5 ml / dl; chilolezo cha creatinine - zosakwana 60 ml / min);
• chidwi cha munthu ndi metformin hydrochloride ndi zigawo zina za mankhwala;
• zinthu zomwe zimayambitsa kupezeka kwa lactic acidosis (kuchepa kwa madzi m'thupi, mtima kulephera, kupuma, kulephera kwamkati, kupweteka kwamitsempha;
• kuphwanya chiwindi (digiri yachiwiri ndi kulephera kwambiri kwa chiwindi malinga ndi Mwana-Pugh);
• kuchitira kwa masiku awiri isanachitike komanso pambuyo pa x-ray, mayeso a radioisotope ndikuyambitsa njira yosiyanitsa;
• kuvulala kwambiri komanso kulowererapo;
• lactic acidosis, makamaka m'mbiri;
• Zakudya zama calori zochepa, zomwe zimakupatsani mwayi woti mumwe 1000 kcal patsiku;
• matenda ashuga ketoacidosis, matenda a shuga ndi chikomokere;
• kunyamula mwana ndi kuyamwitsa;
• kuledzera.

Munthu wodwala matenda ashuga yemwe sanatenge Metformin monga momwe adalimbikitsira adokotala amatha kuyambitsa zovuta zingapo:

1. CNS chisokonezo: kuphwanya mitundu yamalingaliro.
2. Matenda am'mimba thirakiti: kupweteka kwam'mimba, kupangika kwa mpweya, kutsegula m'mimba, kusanza, kusanza, kusowa kwa chilimbikitso. Kuti muchepetse kuopsa kwa zizindikiro, muyenera kugawa mankhwalawo kangapo.
3. Matenda a Metabolic: kukula kwa lactic acidosis mu shuga.
4. Hematopoietic dongosolo kukanika: kumachitika megaloblastic magazi m'thupi.
5. Thupi lawo siligwirizana: zotupa pakhungu, erythema, pruritus.
6. Kuchepa kwa chiwindi: kuphwanya zizindikiro zazikulu ndi hepatitis.
7. Kuyamwa kwa vitamini B12.

Ngati zizindikiro zomwe zili pamwambazi zadziwika pa nthawi ya chithandizo, muyenera kusiya kugwiritsa ntchito mapiritsi ndi kufunafuna chithandizo chamankhwala posachedwa.

Mtengo, ndemanga, analogi

Zokonzekera zomwe zimakhala ndi metformin hydrochloride nthawi zambiri zimapezeka kwa gulu lapakati. Mutha kusunga ndalama pogula mapiritsi a shuga pa intaneti. Kwa Metformin, mtengo umatengera mlingo:

• 500 mg (mapiritsi 60) - kuchokera ku 90 mpaka 250 ma ruble;
• 850 mg (mapiritsi 60) - kuchokera 142 mpaka 248 rubles;
• 1000 mg (mapiritsi 60) - kuchokera 188 mpaka 305 rubles.

Monga mukuwonera, mtengo wa hypoglycemic wothandizira Metformin siwokwera kwambiri, womwe ndi kuphatikiza kwakukulu.

Ndemanga za wodwala zamankhwala zimakhala zabwino. Metformin imachepetsa shuga m'magazi ndipo simatsogolera ku hypoglycemia. Madokotala amavomerezanso kugwiritsa ntchito mankhwala othandizira odwala matenda ashuga. Kugwiritsa ntchito Metformin kosalekeza popewa matenda amtima kulipira.

Anthu ena omwe alibe matenda ashuga amatenga mankhwala kuti achepetse kunenepa. Akatswiri salimbikitsa kugwiritsa ntchito mankhwalawa kuti muchepetse kunenepa kwa anthu athanzi.

Zidandaulo zazikulu zimakhudzana ndi kukhumudwa kwa chakudya, zomwe zimachitika chifukwa choti thupi limazolowera chinthucho. M'magulu ena a odwala, zizindikirazi zimatchulidwa kotero kuti amasiya kumwa Metfomin kuti achepetse kuchuluka kwa glucose.

Nthawi zina pamakhala kufunika kosankha analogue - chida chomwe chili ndi zofanana ndi achire. Koma momwe mungasinthire Metformin? Pali mankhwala ambiri omwe ali ndi vuto lofanana:

• Metformin Richter;
• Metformin-Teva;
• Novo-Metformin;
• Langerine;
• Dianormet;
• Forom Pliva;
• Siofor;
• Metfogamm;
• Novoformin;
• Diafor;
• Orabet;
• Diaformin;
• Glucophage;
• Bagomet;
• Glyformin;
• Glucovans.

Uwu si mndandanda wathunthu wazinthu zomwe zimagwiritsidwa ntchito kuti muchepetse shuga. Dokotala wopezekapo angakuthandizeni kusankha njira yothandiza kwambiri yodwala matenda ashuga a 2.

Metformin ndi mankhwala othandiza omwe amasintha mayankho a maselo ojambulidwa ku insulin. Kugwiritsa ntchito Metformin kumatulutsa glycemia, kumalepheretsa kukula kwa zovuta komanso kukhazikika kwa wodwala. Kuti muchepetse matenda a shuga, malingaliro onse a katswiri amayenera kutsatiridwa, ndipo ngati kuli kotheka, sankhani analogue yothandiza.

Katswiri wa kanema m'nkhaniyi anena za Metformin yemwe amachepetsa shuga.