Nthawi zambiri, odwala ambiri omwe ali ndi matenda a shuga a 2 sangathe kuchepetsa shuga wawo chifukwa cha zakudya kapena masewera olimbitsa thupi okha. Metformin 1000 mg ibwera kudzapulumutsa - wothandizira wa hypoglycemic yemwe amagwiritsidwa ntchito pokana kukhudzana ndi insulin komanso kunenepa kwambiri mu odwala matenda ashuga.
Mankhwalawa ndiwotchuka kwambiri ndipo amapangidwa m'maiko ambiri. Koma, monga mankhwala aliwonse, ili ndi contraindication komanso zosiyana zimachitika.
Mankhwala otchedwa Metformin amapezeka piritsi. Kuphatikiza pa kuchuluka kwa 1000 mg, pali kukonzekera kwakutali ndi mlingo wa 500 ndi 850 mg. Chida ichi ndi cha gulu la Biguanides, ndiye kuti, othandizira a hypoglycemic.
Kuchita kwa gawo lalikulu, metformin, sikugwirizana ndi kuwonjezereka kwa kupanga kwa mahomoni omwe amawongolera shuga. Zomwe zili piritsi limodzi la mankhwalawa zimaphatikizanso zinthu monga magnesium stearate, povidone K90, wowuma chimanga ndi ena.
Mankhwala amagwiritsidwa ntchito ngati:
- Type 2 shuga mellitus ndi onenepa kwambiri kapena onenepa kwambiri.
- Monga kuwonjezera kwa insulin mankhwala mu mtundu woyamba wa matenda.
- Panthawi yoletsa kukalamba.
- Pa mankhwalawa Cleopolycystic ovary.
- Ndi matenda a metabolic.
Kwenikweni, kugwiritsa ntchito kwa Metformin 1000 kumalumikizidwa ndi chithandizo cha matenda amtundu wa 2. Amawerengedwa kuti akhale ndi monotherapy, komanso kuwonjezera kwa mankhwala ena ochepetsa shuga. Kuphatikiza apo, ndi mtundu woyamba wa matenda, chida ichi kuphatikiza ndi jakisoni wa insulin, ngati atengedwa nthawi yomweyo, amatha kuchepetsa kufunikira kwa mahomoni ndi 25-50%. Zabwino zoterezi zatsimikiziridwa mwasayansi.
Mankhwala tikulimbikitsidwa kuti asayandikire ana aang'ono, kutentha kwa chipinda osapitirira 25C. Nthawi yosungirako mapiritsi ndi zaka zitatu.
Malangizo ogwiritsira ntchito mankhwalawa
Mankhwala amathandizidwa ndi dokotala yemwe amapanga mtundu wa mankhwala ndikukhazikitsa mlingo woyenera. Ndizosatheka kugula mankhwala muchipatala popanda mankhwala. Malangizo ogwiritsira ntchito Metformin 1000 amaphatikizidwa phukusi lililonse. Musanayambe kumwa mankhwalawo, muyenera kuwerenga malangizo.
Mapiritsi amatengedwa pakamwa osawataya ndi kuwamwa ndi madzi. Mankhwala atha kumwa kapena mutadya. Kwa akuluakulu, omwe ali ndi monotherapy kapena kuphatikiza kwa Metformin 1000 ndi mankhwala ena ochepetsa shuga, mankhwalawa otsatirawa amaloledwa:
- Pa gawo loyamba la chithandizo, amaloledwa kumwa mapiritsi a 0,5 (500 mg) katatu patsiku. Popita nthawi, mlingo wa mankhwalawa ukhoza kuchuluka kutengera kuchuluka kwa shuga m'magazi a wodwala.
- Kusamalira mankhwalawa kumapereka tsiku lililonse - kuyambira 1500 mpaka 2000 mg, ndiye mpaka mapiritsi awiri. Pofuna kupewa zoyipa zomwe zimakhudzana ndikusokoneza chimbudzi, tikulimbikitsidwa kugawa mankhwalawa katatu patsiku.
- Mlingo wapamwamba wa mankhwalawa ndi 3000 mg. Iyenera kugawidwa m'njira zitatu.
Ngati wodwalayo atasintha kuti asinthane ndi Metformin ndi mankhwala ena, muyenera kusiya kugwiritsa ntchito.
Pophatikiza mankhwalawa ndi mankhwala a insulin, odwala ambiri amatha kuwongolera zomwe zili m'magazi. Kumayambiriro kwa chithandizo, akulu amapatsidwa piritsi limodzi patsiku (1000 mg). Kwa ana (kuyambira azaka 10) ndi achinyamata, amaloledwa kumwa mankhwalawa mapiritsi 0,5 (500 mg) tsiku lililonse mu monotherapy komanso osakanikirana ndi insulin.
Pambuyo pa milungu iwiri yamankhwala, imasinthidwa potengera kuwunika kwa shuga. Mlingo woyenera kwambiri pakukula kwa achinyamata ndi mapiritsi awiri (2000 mg), ogawidwa pawiri. Kwa odwala okalamba, dokotala amakupangira mankhwala, poganizira thanzi lawo. Dokotala ayenera kusamala makamaka ngati ntchito ya impso ya wodwalayo imazirala pamene akumwa mankhwalawo. Kuti mupeze ma pathologies, kusanthula kumapangidwa chifukwa cha kuchuluka kwa creatinine mu seramu yamagazi.
Njira yochizira imatha kutsimikiziridwa ndi dokotala wopita.
Contraindication ndi zoyipa
Pali zifukwa zina zomwe kugwiritsa ntchito mankhwalawa sikungatheke. Monga mankhwala ena, Meformin 1000 ili ndi zotsutsana zingapo:
- Kusalolera kwamunthu aliyense payekha pazinthu zomwe zikugwira komanso zothandizira.
- Mkhalidwe matenda a shuga, okhazikika, matenda ashuga ketoacidosis (kuphwanya chakudya kagayidwe kachakudya).
- Kulephera kwina kapena kulephera kwa impso.
- Mkhalidwe wamadzi, kusokonezeka, matenda.
- Acute kapena matenda opatsirana omwe amakulitsa kupuma, mtima kulephera, kupweteka kwamtima.
- Kutumiza kwa kulowererapo kwa opaleshoni, kukhalapo kwa kuvulala kambiri.
- Kusokonezeka kwa chiwindi, chitukuko cha kulephera kwa chiwindi.
- Kuzindikira thupi ndi zakumwa zoledzeretsa.
- Kubereka ana komanso kunyamula mkaka.
- Gwiritsani ntchito masiku awiri isanachitike komanso itatha mayeso a x-ray ndi radioisotope pogwiritsa ntchito ayodini.
- Ana osakwana zaka 10.
- Zakudya zamafuta ochepa-kashiamu zosakwana 1000 kcal patsiku.
- Lactic acidosis (kudzikundikira kwa lactic acid).
Kugwiritsa ntchito molakwika mankhwala kapena mankhwala osokoneza bongo, wodwala amatha kukumana ndi zovuta:
- Matenda a metabolism, owonetsedwa ndi lactic acidosis. Vutoli limatha chifukwa cha malabsorption a vitamini B12.
- Kuphwanya kwamanjenje, chifukwa, kusintha kwa kukoma.
- Matenda am'mimba, owonetsedwa ndi mseru, kusanza, kupweteka kwam'mimba, kusowa kwa chakudya.
- Mkwiyo pakhungu, mwachitsanzo, totupa, erythema, kuyabwa.
- Kuphwanya chiwindi, mawonekedwe a chiwindi.
Zotsatira zoyipa zomwe zimadza kwambiri chifukwa chotenga Metformin ndi zovuta m'mimba. Amagwirizana ndi kupewa matumbo a m'mimba. Zotsatira zake, kupatsa mphamvu kwa chakudya kumayamba, zomwe zimathandiza kukulitsa zizindikiro zosiyanasiyana. Pakatha milungu iwiri mutagwiritsa ntchito mankhwalawa, mavuto omwewo amadzichitira okha. Kuti muchepetse zizindikiro, muyenera kuthana ndi mankhwalawa kangapo patsiku.
Kuphatikiza apo, kafukufuku wasonyeza kuti ana a zaka zapakati pa 10 mpaka 16 amakumananso ndi mavuto omwewa ngati achikulire.
Kugwiritsa ntchito mankhwala ochepetsa
Aliyense amadziwa kuti kunenepa kwambiri kumayenderana ndi matenda a shuga. Chifukwa chake, ambiri odwala matenda ashuga omwe ali onenepa kwambiri sangathe kuchititsa shuga awo bwino.
Koma kulimbana ndi kunenepa kwambiri kungakhalenso ndi vuto la shuga. Mankhwala Metformin 1000 amagwiritsidwa ntchito ndi odwala ambiri kuchepetsa thupi. Kuti mukhale ndi zotsatira zabwino komanso kupewa zovuta, munthu ayenera kutsatira malangizo angapo:
- Pitilizani maphunziro anu osaposa masiku 22.
- Khalani ndi moyo wokangalika.
- Tenganso madzi ena ambiri.
- Tsatirani zakudya ndipo muzikhala ndi chakudya.
Ngati wodwalayo akufuna kuchepa thupi komanso kuchepetsa shuga, ayenera kuchita masewera olimbitsa thupi tsiku lililonse. Kuyamba, kuyenda kwa mphindi 30 kumakhala kokwanira. Popita nthawi, mutha kusinthanitsa zochitika zapanja ndi masewera, kusambira padziwe, kuthamanga mmawa, Pilates, kulimbitsa thupi ndi zina zambiri.
Mukamagwiritsa ntchito mankhwalawa, zakudya zazing'ono ndizofunikira kwambiri. Mautumiki azikhala ochepa. Zakudya zamafuta, zakudya zokazinga, komanso zopatsa mphamvu zamagetsi zosafunikira ziyenera kuyikidwa pambali pazakudyazo. Zakudya za wodwalayo ziyenera kukhala ndi masamba ambiri ndi zipatso zosaphatikizika, zakudya zomwe zimakhala ndi michere yambiri komanso fiber.
Kudzilanga nokha pakadali pano sikofunika, dokotala yekha ndi amene amatha kusankha mlingo woyenera wa mankhwalawo, atawunika momwe wodwalayo alili.
Kuphatikiza apo, Metformin 1000 imatha kutengedwa osati ndi anthu onenepa kwambiri, komanso owonda, omwe amakonda kuzala.
Ndemanga ndi mitengo yamankhwala
Metformin 1000 imatha kugulidwa ndi aliyense ku pharmacy iliyonse kapena kuyitanitsa pa intaneti. Mtengo wa mankhwalawa umatengera kaya ndi zapakhomo kapena zakunja. Popeza mankhwalawa ndi othandiza komanso otchuka padziko lonse lapansi, amapangidwa m'maiko ambiri. Mtengo wa Metformin 1000 umatengera dziko lomwe akupanga komanso kampani yopanga mankhwala. Chifukwa chake Metformin, yopangidwa pagawo la Russian Federation, imakhala ndi mtengo wokwanira kuyambira 196 mpaka 305 rubles, mankhwala omwe amapangidwa ku Slovakia m'dera la Russian Federation amatenga ma ruble 130. Zomwe zimachokera ku Hungary zimakhala ndi mitengo pafupifupi 314 rubles.
Titha kunena kuti mtengo wa mankhwalawo ndi wotsika, kotero aliyense angathe kugula mankhwalawa. Ali ndi chinthu chachikulu - metformin, osiyana ndi wina ndi mnzake m'magawo othandizira okha. Wodwala aliyense amagula mankhwala potengera zochizira zomwe zimayembekezereka komanso kuthekera kwazandalama. Kuphatikiza apo, mankhwala apakhomo ndi otsika mtengo, koma amakhala ndi zotsatira zake.
Zokhudza ogula za mankhwalawa, zimakhala zabwino. Kuunika kwa odwala ambiri kumawonetsa kuchepa kwenikweni kwa misempha ya shuga kukhala yofanana. Pankhaniyi, mankhwalawa amakwanitsa kupititsa patsogolo shuga m'magazi ndi njira yayitali yothandizira. Mwa zina zabwino za mankhwalawa, kugwiritsa ntchito mosavuta komanso mtengo wotsika ndizosiyanitsidwa.
Ambiri odwala matenda ashuga akuti Metformin 1000 imathandiza kuthana ndi mapaundi owonjezera. Nthawi yomweyo, ena a iwo adakwanitsa kuchepetsa thupi chifukwa chotsatira malamulo onse munthawi yogwiritsa ntchito mankhwala osokoneza bongo. Kulephera kugwiritsa ntchito mapiritsi kungatengeke ndi zinthu monga kusakwanira kwa mankhwalawa, kusapeza bwino pakudya kwa shuga, kugwiritsa ntchito mankhwalawa mosagwirizana, komanso kusaganizira bwino za mankhwala.
Mankhwalawa ali ndi zovuta zina. Amaphatikizidwa ndi kupezeka kwa zoyipa, makamaka kugaya kwam'mimba, thupi la munthu likazolowera zochita za hypoglycemic wothandizira.
Nthawi zambiri, izi zimachitika zokha.
Othandizira a hypoglycemic omwe
Chifukwa cha kutchuka kwake, Metformin ili ndi mavumikidwe ambiri. Kukonzekera kofananira komwe kumakhala nako kogawana kungasiyane pokhapokha. Mankhwalawa akuphatikizapo:
- Glyformin;
- Metfogamm;
- Bagomet;
- Fomu yamafuta;
- Glyminfor;
- Nova Met.
Mndandandawu ukhoza kuwonjezeredwa ndi ndalama zambiri zofananira. Anthu ambiri amadabwa kuti ndi mapiritsi abwino ati. M'malo mwake, palibe kusiyana kwakukulu, popeza gawo lalikulu limapezeka mumankhwala onsewa. Chifukwa chake, chomwe chimakhudza kusankha kwa mankhwala ndi mtengo wake.
Ngati mankhwalawa Metformin 1000 sangakhale oyenera kwa wodwalayo, zomwe zimayambitsa zovuta, dokotalayo amatha kusintha mankhwalawa popereka mankhwala ena. Mwachitsanzo:
- Siofor ndi mankhwala abwino kwambiri ochepetsa shuga omwe amatha kuphatikizidwa ndi mankhwala ena monga salicylate, sulfonylurea, insulin ndi zina zambiri. Ndi chithandizo chovuta ndi mankhwalawa, zotsatira zake zimasintha. Mtengo wapakati wamankhwala (1000 mg) ndi ma ruble 423.
- Glucophage ndi mankhwala ena othandiza omwe ali ndi vuto la hypoglycemic. Kafukufuku waposachedwa akuwonetsa kuti kumwa mankhwalawa kumachepetsa chiyembekezo chakufa ndi matenda ashuga ndi 53%, mwayi wakuphwanya myocardial - ndi 35%, ndi stroke - ndi 39%. Pafupifupi, mankhwala (850 mg) angagulidwe kwa ma ruble 235.
- Diagnizide ndi mankhwala omwe amachepetsa kukana kwa insulin ndikuwonjezera mphamvu ya kutsitsa kwa shuga - insulin. Chofunikira kwambiri pa mankhwalawa ndi zotumphukira za sulfonylurea. Mankhwalawa sangatengedwe ndi uchidakwa wambiri, phenylbutazone ndi danazole. Mtengo wapakati wa mankhwalawa (2 mg, mapiritsi 30) ndi ma ruble 278.
- Guwa lili ndi gawo limodzi - glimepiride, yomwe imatulutsa insulin ndi maselo a beta a kapamba. Chifukwa chake, chida ichi chimagwiritsidwa ntchito pochiza matenda a shuga ndi kunenepa kwambiri. Kuphatikiza apo, mankhwalawa ali ndi zovuta zambiri zomwe zimaganiziridwa musanagwiritse ntchito. Mtengo wapakati wamankhwala (3 mg, 30 ma PC.) Ndi ma ruble 749.
Chifukwa chake, Metformin 1000 ndi othandizira a hypoglycemic omwe adziyambitsa okha bwino kwambiri m'maiko ambiri padziko lapansi. Kugwiritsa ntchito kwake kumatheka pokhapokha mukaonana ndi dokotala, chifukwa mankhwalawa ali ndi zotsutsana zina ndi zina. Pogwiritsa ntchito mapiritsi molondola, wodwala matenda ashuga angaiwale za vuto la hyperglycemia kwa nthawi yayitali ndipo amatha kutaya mapaundi owonjezera.
Mu kanema mu nkhaniyi, Elena Malysheva, pamodzi ndi akatswiri, azikambirana za Metformin.
