Glucofage 500: malangizo ogwiritsa ntchito, mtengo ndi kuwunika

Chithandizo cha matenda a shuga a mtundu wachiwiri sichimangophatikiza pachakudya chokha, komanso zimagwiritsanso ntchito mankhwala ochepetsa shuga.

Glucophage 500 ndi imodzi mwamankhwala oterewa.

Katswiri wa zamankhwala amatha kusankha kutenga piritsi ngati wodwalayo ali ndi kuchuluka kwa shuga m'magazi ndipo, nthawi yomweyo, amakumana ndi insulin.

Mpaka pano, njira yochizira yothandizira matenda a metabolism imaphatikizapo njira zazikulu zothandizira matenda a shuga mothandizidwa ndi mankhwala:

1. Mankhwala omwe amatha kuonjezera kuchuluka kwa insulin m'magazi. Chifukwa cha kudya kwawo, kapamba amayamba kugwira ntchito mwachangu ndipo kuchuluka kwa mahomoni kumakwera. Gulu la mankhwalawa limaphatikizapo mankhwala a sulfonylurea ndi glinides.
2. Zogulitsa zamankhwala, kudya komwe kumapereka kuchepa kwa minofu kukana insulin. Iwo pa ma cellular amawonjezera kukhudzika kwa mahomoni ndipo, nthawi yomweyo, samayambitsa kuwukira kwa hypoglycemia. Phindu la mankhwalawa limaphatikizanso kuthandizira kugwiritsidwa ntchito kwa shuga ndi minofu komanso kuchepetsa kuchuluka kwake mu chiwindi. Omwe akuimira gululi ndi a greatuanides ndi thiazolinediones.
3. Mankhwala omwe amalepheretsa mayamwidwe amthupi m'matumbo am'mimba ndi alpha glucosidase inhibitors.

Ndi omwe mankhwalawa ndi oyenera kwa wodwala zimatengera kuuma kwa matendawa, njira ya matenda, ndi zina. Kutengera ndi chidziwitso ichi, dokotala yemwe amapezekapo amasankha mankhwala abwino kwambiri kuchokera m'magulu omwe ali pamwambawa.

Pharmacological katundu wa hypoglycemic mankhwala

Mapiritsi a Glucofage 500 ndi hypoglycemic okonzekera zamankhwala kuchokera pagulu la Biguanide. Chofunikira chachikulu chomwe chimachepetsa kuchuluka kwa shuga m'magazi ndi metformin hydrochloride. Mankhwala omwe aperekedwa akuphatikizapo theka la gramu ya mankhwala othandizira. Nthawi yomweyo, m'mafakitala mungapeze mankhwala omwe ali ndi mitundu yayikulu (0,85 kapena 1 g).

Mankhwalawa amagwiritsidwa ntchito mwachangu pakupanga mtundu wa insulin wodziimira pawokha ngati monotherapy kapena chithandizo chovuta. Tisaiwale kuti kuwonjezera pa mphamvu yayikulu yochepetsera shuga, mankhwalawa ali ndi phindu lothandiza pakuchepetsa thupi. Kwa odwala matenda ashuga, malowa ndiofunikira kwambiri, chifukwa njira ya pathological nthawi zambiri imayendera limodzi ndi kupezeka kwa kunenepa kwa mtundu wam'mimba.

Zisonyezo zakugwiritsa ntchito mankhwalawa zimaphatikizapo kuwonetsa kulolera kwa shuga mwa wodwala, kukula kwa metabolic syndrome. Nthawi zambiri, mankhwalawa amagwiritsidwa ntchito ku gynecology pochiza ovary polycystic.

Chimodzi mwazinthu zabwino za piritsi ndi kuthekera kotulutsa shuga m'magazi, koma osadutsa malire a zilembo. Ndipo izi zimakuthandizani kuti muchepetse chiopsezo cha hypoglycemia.

Wothandizira antidiabetesic amalepheretsa ntchito ya gluconeogenesis, kayendedwe ka ma elekitironi a ma kupuma ma mitochondria. Glycolysis imakhudzidwa, maselo amayamba kuyamwa bwino, ndipo mayamwidwe ake ndi makoma am'mimba amachepa.

Pali kusintha kwa mafuta m'thupi, omwe amalola kugwiritsa ntchito mankhwalawa kupewa matenda a mtima.

Malangizo ogwiritsira ntchito akuwonetsa kuti mankhwalawa atatha kudya wokwanira amamwa kuchokera m'matumbo am'mimba. Kuchuluka kwa kuchuluka kwake kwa plasma yamagazi kumawonedwa patatha pafupifupi maola awiri ndi awiri.

Ngati mumamwa mapiritsi nthawi yomweyo ndi chakudya, mayamwidwe a chophatikizacho amachepetsa ndipo amachedwa.

Malangizo ogwiritsira ntchito mankhwalawa

Glucophage 500mg amatengedwa pokhapokha ngati akuwongolera dokotala. Mlingo wa kuchuluka kwa shuga m'magazi ndi kupezeka kwa matenda opanikizika mwa wodwala ndizovomerezeka.

Chithandizo cha monotherapeutic chiyenera kuyamba ndi kuchuluka kwa mankhwalawa ndikukhala theka la gramu ya yogwira. Kulandila piritsi kumachitika kawiri kapena katatu patsiku ndi chakudya.

Masiku asanu ndi awiri kufikira khumi atayamba chithandizo, katswiri wa zamankhwala, potengera zotsatira za kuwunika kwa wodwalayo, amapanga lingaliro pakufunika kusintha madontho omwe alipo.

Monga lamulo, mlingo woyenera wokhazikitsa shuga m'magazi umachokera ku 1500 mpaka 2000 milligrams of the yogwira ntchito.

Kuchepetsa chiopsezo chosiyana ndi machitidwe osiyanasiyana a thupi pakumwa, kuchuluka kwa mankhwalawa kuyenera kugawidwa kangapo (kawiri mpaka katatu masana).

Mulingo wokwanira tsiku ndi tsiku wa mankhwala ochizira sungakhale woposa magalamu atatu a mankhwala othandizira.

Ngati wodwala akuyenera kumwa mankhwalawa muyezo waukulu kuti atsimikizire kuchuluka kwa shuga, tikulimbikitsidwa kusintha kuchokera pamlingo wocheperako wa mankhwala Glucofage 500 mg kupita pamwambamwamba.

Chithandizo chogwiritsa ntchito Glucofage chimachitidwanso mwa ana akangofika zaka khumi. Pankhaniyi, mapiritsi a piritsiwa amasiyana ndi chithandizo cha wodwala wamkulu. Njira yothira mankhwala mwa ana ndikutsatira malamulo awa:

• kuyamba kwa mankhwalawa sayenera kutenga theka la gramu ya mankhwala;
• kuchuluka kwa phwando patsiku - kamodzi ndi chakudya;
• kuchuluka kwa mankhwalawa n`kotheka osati kale kuposa masiku khumi ndi anayi atayamba chithandizo;
• Mulingo woyenera kwambiri wa ana sayenera kupitirira magalamu awiri a ntchito patsiku, omwe amatengedwa kawiri kapena katatu.

Chithandizo cha odwala okalamba chimachitika ndi kuwunikira ntchito kwa impso. Katswiri wazachipatala ayenera kuwonetsetsa kuti seramu creatinine wambiri osaposa 59 ml / min.

Mlingo wa mankhwalawa umaperekedwa kwa wodwala aliyense.

Zosiyanasiyana zimakhudzana ndi contraindication pa ntchito Glucofage 500

Mukamagwiritsa ntchito mankhwala a hypoglycemic, ndikofunikira kudziwitsa adokotala za kumwa mankhwala ena othandizira ena.

Chowonadi ndi chakuti pali mitundu yosakanikirana ya mankhwala a magulu osiyanasiyana omwe sagwirizana, amakulitsa kapena kufooketsa chithandizo chamankhwala. Sizoletsedwa kutenga Glucofage limodzi ndi zinthu zokhala ndi ayodini, chifukwa zosiyanasiyana zoyipa kuchokera mthupi la wodwalayo zimatha kuchitika.

Kuphatikiza apo, kuphatikiza kwa gawo lomwe limagwiritsidwa ntchito ndi piritsi lomata ndi ethyl kumakulitsa kwambiri chiopsezo chokhala ndi lactic acidosis.

Kuphatikiza kotsatizana kwa Glucofage ndi mankhwala kungayambitse kuwonjezeka kwa zotsatira za hypoglycemic:

1. ACE zoletsa.
2. Mankhwala kuchokera pagulu la ma salicylates.
3. Jakisoni wa insulin
4. Acarbose ndi sulfonylurea zotumphukira.

Zotsatira zoyipa zamankhwala zimatha kuchitika kwakukulu kapena pang'ono. Makamaka nthawi zambiri mawonekedwe a mavuto, nseru ndi kusanza, kupweteka pamimba kumawonekera. Chifukwa chake, minyewa yam'mimba ya munthu imayankha mankhwalawo.

Monga lamulo, izi zimachitikira zimatchulidwa koyamba magawo azithandizo zamankhwala. Kuti muchepetse chiwopsezo cha mawonekedwe awo, tikulimbikitsidwa kuti muwonjezere kuchuluka kwa mankhwalawa pang'onopang'ono, ndikuphwanya Mlingo waukulu waukulu.

Kuphatikiza apo, mavuto obwera chifukwa cha mankhwalawa atha kukhala:

• kuyamwa kwa mavitamini B
• kukoma zosokonezaꓼ
• kuchepa kwa chilala
• erythema
• anemiaꓼ
• kupezeka kwamavuto ndi khungu pakhungu, kuyamwa, kapena kufiira, kotero thupi limayankha ndikumwa mankhwalawo ngati pali gawo lina la chidwi ndi ziwalo zina za piritsi;
• kuwonongeka kwa chiwindi mpaka kukula kwa chiwindi;
• mawonetseredwe a lactic acidosis.

Kafotokozedwe kazinthu zakuchipatala akuwonetsa kukhalapo kwa nthawi yomwe kugwiritsidwa ntchito kwa mankhwala a hypoglycemic ndizoletsedwa.

Mankhwala oletsedwa:

1. Amayi pa nthawi yoyembekezera komanso mkaka wa m`mawere, chifukwa cha kusowa kwa deta yokwanira pazokhudza mankhwalawa pakukula ndi moyo wa mwana.
2. Ngati pali kuwonjezeka kwa kumverera kwa chimodzi mwazigawo za mankhwala.
3. Ngati wodwala akuvutika ndiimpso ntchito.
4. Ngati pali zizindikiro za lactic acid lactic acidosis mu 2 mtundu wa mellitus (kuphatikizapo mbiri).
5. Ngati zizindikiro za kholo la odwala matenda ashuga ataya.
6. Ndi kuledzera kwa thupi, komwe kumayendetsedwa ndi kusanza kwambiri kapena kutsegula m'mimba, ndipo kumatha kuyambitsa vuto la impso.
7. Pamaso pa kuwonekera kwa njira zosiyanasiyana za pathological mu magawo osiyanasiyana a chitukuko, zomwe zimapangitsa kukhala minofu yamtundu wa hypoxia.
8. Pa kuvulala kwambiri kapena kuchitapo kanthu opaleshoni.

Musanayambe chithandizo chamankhwala, ndikulimbikitsidwa kuti muwerenge mosamala mndandanda wa contraindication, kuphatikiza piritsi ndi mankhwala ena.

Glucophage 500 Mankhwala Ovuta

Monga lamulo, mankhwalawa amapezeka kwa wodwala aliyense ndi kupezeka mumasitolo am'mizinda ndi mtengo wokhazikitsidwa.

Nthawi zambiri odwala amawona izi ngati phindu la piritsi.

Mtengo wa Glucofage 500 uli mumafakitale am'mizinda kuchokera ku ruble 100 mpaka 130 pa paketi (mapiritsi makumi atatu). Mankhwalawa ndi a gulu la mankhwala okwera mtengo komanso a bajeti.

Ndemanga za makasitomala zikuwonetsa kulolera kwapafupi kwa piritsi komanso kugwiranso ntchito bwino.

Malinga ndi odwala, Glucofage 500 ili ndi zotsatirazi:

• ogwira kuchepetsa magazi shuga, matenda a glycemia;
• kuthekera kwa mankhwalawa pamtengo;
• kuthetseratu kwa zizindikiro za pathological process;
• kuwonda pang'onopang'ono, komwe kumathandizira njira yamatendawa ndikuwongolera thanzi la wodwalayo.

Nthawi yomweyo, milandu sikuchotsedwa pakakhala kufunikira kwakumwa kwina. Ndipo pomwepo odwala amachita chidwi ndi kupezeka kwa mankhwala a Glucofage 500, zomwe zikuwonetsa momwe angagwiritsire ntchito komanso mtengo wake.

Tiyenera kudziwa kuti opanga mankhwala a hypoglycemic ochokera ku gulu la Biguanide (mankhwala ozikidwa pa metformin hydrochloride) amapereka makasitomala awo kusankha mitundu yosiyanasiyana. Otchuka kwambiri a iwo omwe ali ndi Mlingo wofanana ndi awa:

1. Siofor 500.
2. Bagomet.
3. Metilamu 500.
4. Fomu.
5. Glformin.

Mankhwala onse omwe ali pamwambawa ali ndi kapangidwe kake komwe amagwiritsa ntchito - metformin hydrochloride.

Kuchuluka kwake kumawonetsedwa mu malangizo ogwiritsira ntchito mankhwalawa ndipo ndi ma milligram 500. Mtengo wawo umatha kukhala wosiyanasiyana kapenanso pansi, kutengera wopanga.

Tiyenera kukumbukira kuti mankhwala osokoneza bongo, monga lamulo, ndi otsika mtengo, ndipo pankhani yothandizidwayi siosiyana ndi omwe adagulitsidwa nawo.

Simuyenera kupanga chisankho kusinthira ku mankhwala ena nokha, kuyimitsidwanso kwa mankhwalawa kuyenera kuchitika ndi katswiri wazachipatala.

Zomwe ndimankhwala zithandizira kuchepetsa shuga m'magazi ziziwuza katswiri yemwe ali muvidiyoyi.