Mankhwala a hypoglycemic amagwiritsidwanso ntchito pakuchepetsa thupi, chifukwa amachepetsa chilakolako cha anthu odwala matenda ashuga.
Ndemanga za Madotolo pa Metformin Richter ndizabwino.
Fotokozerani mankhwala pokhapokha mutatha kafukufuku wokwanira. Kodi mutenge bwanji malinga ndi malangizo? Ndi ma analogi ati omwe angagwiritsidwe ntchito ngati mankhwalawa siabwino? Mafunso awa amakhudza ambiri odwala matenda ashuga.
Zambiri pazamankhwala
Metformin Richter imapezeka mu mawonekedwe a mapiritsi oyera a convex. Wopanga kampaniyo ndi GEDEON RICHTER-RUS CJSC. Piritsi 1 ili ndi metformin hydrochloride, komanso talc, magnesium stearate ndi wowuma wa chimanga pang'ono. Amapangidwa mosiyanasiyana: 500 mg, 850 mg ndi 1000 mg.
Wothandizidwa ndi hypoglycemic amatha kutumizidwa ndi endocrinologist wa matenda a shuga a 2 ngati wodwala sakukonzekera kukula kwa ketoacidosis, komanso kuphatikiza jakisoni wa insulin. Mankhwala amatengedwa ndi osakwanira zakudya zopatsa thanzi komanso maphunziro olimbitsa thupi.
Wodwala akamatenga mapiritsi a Metformin Richter, amawamwa. Kuchoka kwa mankhwalawa kumachitika kudzera mu impso osasinthika. The pharmacological zochita za mankhwala ndi:
- Kuchepetsa shuga m'magazi.
- Kukhathamiritsa kwa kufalikira kwa kufalikira kwa glucose.
- Kutsika kwa kuchuluka kwa mahomoni olimbikitsa chithokomiro mu seramu yamagazi.
- Kuletsa kwa glucogeneis - njira ya kupanga mapangidwe a shuga m'chiwindi.
- Kuchuluka kwamphamvu ya zotumphukira kwa insulin.
- Kuchepa mphamvu kwa kupanga magazi.
- Kukhathamiritsa kwa njira yogwirizananso kwa magazi kuwundana.
- Kutsika kwa ma triglycerides komanso ma linoprotein otsika.
- Kuchuluka mafuta acid oxidation.
- Kuchepa kwa ndende ya mafuta m'thupi.
Kuphatikiza apo, kugwiritsa ntchito mankhwalawa kukhazikika ndikuchepetsa thupi.
Malangizo ogwiritsira ntchito mapiritsi
Mankhwalawa sangagulidwe popanda mankhwala a dokotala. Mlingo wa mankhwalawa ungasiyane kutengera kuchuluka kwa shuga m'magazi, kuopsa kwa matendawa, matendawo komanso momwe wodwalayo alili. Pambuyo pogula Metformin Richter, malangizo a wodwalayo kuti agwiritse ntchito ayenera kuphunzira bwino.
Anthu omwe ali ndi matenda ashuga omwe amayamba kulandira chithandizo amaloledwa kumwa ma milligram wani miliyoni mpaka chikwi chimodzi. Pambuyo pa milungu iwiri ya chithandizo, kuchuluka kwa mankhwalawa ndikotheka. Ndi zoletsedwa motsimikiza kuwonjezera kuchuluka kwa mankhwalawo, ndi dokotala yekha amene angayese kuthekera kowonjezera.
Akuluakulu ayenera kutenga mpaka 1000 mg patsiku. Mlingo wokonzanso akuti ndi 1500 mg mpaka 2000 mg. Nthawi yomweyo, mpaka 3000 mg amathanso kumudya kwambiri patsiku. Mu chomata cholumikizidwa, amalangizidwa kuti amwe mankhwalawo nthawi yakudya kapena itatha, kumwa mapiritsi ndi madzi.
Tiyenera kudziwa kuti chifukwa chotenga Metformin Richter, machitidwe ena amthupi amatha. Amalumikizidwa ndi chizolowezi chake cha zomwe zimagwira. Masabata awiri oyamba, wodwalayo amatha kudandaula kuti zakhumudwa, monga kuphwanya thupi, kutsegula m'mimba, kusintha kwa kakomedwe, kusowa chakudya, kuchuluka kwa mpweya, kupweteka kwam'mimba. Nthawi zambiri, zizindikirozi sizimapita zokha. Kuti muchepetse zovuta zamtundu wosiyanasiyana, mankhwalawa amayenera kugawidwa kangapo.
Metformin Richter iyenera kusungidwa kutali ndi madzi, kutali ndi ana aang'ono. Kutentha sikuyenera kupitirira +25 digiri Celsius.
Pambuyo pazaka ziwiri kuyambira tsiku lomwe lamasulidwe amasulidwe, kayendetsedwe kake koletsedwa.
Contraindication ndi zomwe zingavulaze
Choyamba, mankhwalawa amaletsedwa kwa ana osakwana zaka 18. Kachiwiri, sichingagwiritsidwe ntchito ndi chidwi cha munthu payekha pazinthu zomwe amapangira mankhwalawo.
Amayi omwe akukonzekera kukhala ndi pakati, kapena iwo amene ali ndi mwana kale, saloledwa kumwa mankhwalawa. Pankhaniyi, ndibwino kusinthana ndi insulin. Popeza palibe deta yodalirika pa Metformin Richter yokhudzana ndi kuchitapo kanthu pakadwala, mankhwalawa sayenera kumwa. Zofunikanso zina ndizofunikira:
- matenda ashuga ketoacidosis;
- kukanika kwa aimpso;
- matenda a chiwindi;
- lactic acidosis;
- matenda ashuga okoma ndi matenda a mtima;
- opaleshoni yaposachedwa;
- kuvulala kwambiri;
- kudya kwa hypocaloric (kudya tsiku lililonse zosakwana 1000 kcal);
- kuledzera;
- kudalira mowa kwambiri;
- Masiku awiri asanafike komanso atamaliza mayeso a radioisotope ndi x-ray pogwiritsa ntchito ayodini;
- kuthekera kwa minofu hypoxia, yomwe imadziwonetsa ngati kulowerera m'mitsempha, kupuma kapena mtima;
- pachimake pathologies omwe ungayambitse kusokonezeka kwa impso (kutentha thupi, kuchepa mphamvu chifukwa cha kusanza kapena kutsegula m'mimba, matenda a hypoxia, matenda osiyanasiyana, bronchopulmonary pathologies yomwe imayambitsa chifuwa).
Ngati mankhwalawa agwiritsidwa ntchito molakwika kapena pazifukwa zina, zimachitika zovuta. Monga tanena kale, ena a iwo amaphatikizidwa ndikusintha kwa thupi ndi mankhwalawo. Poterepa, wodwalayo ali ndi kudzimbidwa. Mavuto ena akhoza kukhala ndi:
- Hypoglycemic state.
- Megablastic anemia.
- Vitamini B12 akusowa mthupi.
- Lactic acidosis.
- Zowonekera pakhungu.
Ndi kuchepa kwakukulu kwa mishuga ya shuga, wodwala amatha kudandaula za chizungulire ndi kufooka. Milandu yayikulu, kusokonezeka kapena kusazindikira, ngakhale kukomoka kumawonetsedwa.
Ngati zoterezi zikuchitika, wodwalayo ayenera kupita kuchipatala mwachangu.
Zochita zina zamankhwala
Pali mankhwala omwe amasiyana mu machitidwe awo pakuchiritsika kwa mankhwala ena. Chifukwa chake, ena a iwo amachepetsa mphamvu ya hypoglycemic ya Metformin Richter, potero amachititsa kuchuluka kwa shuga. Ena, M'malo mwake, amangowonjezera zotsatira za mankhwalawo ndipo amatha kutsitsa kwambiri shuga.
Chifukwa chake, zosakanikirana zomwe zimaphatikizidwa ndi Metformin Richter, zomwe zingayambitse hyperglycemia, ndi danazol, glucocorticosteroids, njira zakulera, epinofrin, loop ndi thiazide diuretics, sympathomimetics, mahomoni a chithokomiro, nicotinic acid ndi phenothiazine.
Kugwiritsa ntchito limodzi kwa Metformin Richter ndi zoletsa za ACE ndi Mao, sulfonylurea ndi zotumphukira zochokera ku NSAIDs, oxytetracycline, cyclophosphamide, insulin, acarbose ndi beta-blockers kumawonjezera kuchepa kwa shuga.
Kuphatikiza apo, kugwiritsa ntchito zakumwa zoledzeretsa pamankhwala osokoneza bongo, kupanga lactic acidosis ndikotheka, makamaka ngati wodwalayo sanatsatire zakudya zoyenera. Cimetidine amathanso kukulitsa vuto lactic acidosis mu mtundu 2 wa matenda ashuga, chifukwa amachepetsa kuyamwa kwa mankhwala omwe amagwira.
Pofuna kupewa zoterezi, mitundu yonse ya mankhwalawa iyenera kukambidwa ndi katswiri wopezekapo, komanso kuwerenga mosamala mafotokozedwe a mankhwalawo m'mawu omwe aphatikizidwa.
Mitengo, ndemanga ndi fanizo
Wodwala, kupeza mankhwala enaake, samangoyang'ana pachithandizo chake.
Popeza chiwerengerochi chimakhala ndi zopeza zosiyanasiyana, aliyense angathe kupereka mankhwala mosiyanasiyana. Mtengo wa mankhwalawa umasiyana malinga ndi kuchuluka kwa mankhwala othandizira.
Mtengo wa Metformin Richter:
- 500 mg (mapiritsi 60 pa paketi): mtengo kuchokera ku 165 mpaka 195 ma ruble;
- 850 mg (mapiritsi 60 pa paketi iliyonse): mtengo kuchokera ku 185 mpaka 250 ma ruble;
- 1000 mg (mapiritsi 60 pa paketi iliyonse): mtengo kuchokera ku 220 mpaka 280 rubles.
Ndemanga za anthu ambiri odwala matenda ashuga komanso madokotala ndiabwino. Metformin Richter amathandiza kupewa matenda ashuga wodwala akapezeka ndi boma la prediabetes. Mankhwala amachepetsa shuga. Zotsatira zoyipa, kuphatikiza kudzimbidwa, sizowonetsedwa. Mankhwalawa amathandizanso kutaya mapaundi owonjezera ochepa.
Nthawi zina Metformin Richter singagwiritsidwe ntchito chifukwa cha kupezeka kwa zotsutsana zina, komanso kuwoneka kosiyanasiyana. Pankhaniyi, adotolo atha kutumiza wodwalayo m'njira inanso yofananira. Popeza metformin ndi othandizira odziwika a hypoglycemic padziko lonse lapansi, pali mitundu yambiri ya mankhwala omwe ali ndi chinthuchi. Kusiyana kwa njira zitha kungokhala zomwe zimakhudzidwa. Mankhwala Metformin Richter ali ndi ma fanizo otsatirawa omwe wogulitsa zamankhwala angawone ku mankhwala aliwonse amtunduwu mdziko, kukonzekera kungasiyane kapangidwe kake koma ndizofanana ndi lingaliro lofunikira:
- Gliformin (500mg No. 60 - 108 ma ruble).
- Glucophage (500mg No. 30 - 107 rubles).
- Metfogamma (850mg No. 30 - 130 ma ruble).
- Metformin Teva (500mg No. 30 - 90 ma ruble).
- Fomu (500mg No. 30 - 73 ma ruble).
- Siofor (500mg No. 60 - 245 rubles).
- Metformin Canon (500mg No. 60 - 170 rubles).
- Metformin Zentiva (500mg No. 60 - 135 ma ruble).
Zofanizira zonse pamwambazi zimagwiritsidwa ntchito posagwirizana ndi shuga omwe amadalira insulin, kusiyana kumangokhala mu contraindication komanso kuvulaza komwe kungakhalepo. Pogwiritsa ntchito moyenera, mutha kukwaniritsa kuchepa ndi kukhazikika kwa misempha ya glucose, ndipo Metformin Richter samapeza zotsatira zoyipa.
Kanemayo munkhaniyi, woperekedwa pansipa, adzalankhula za mawonekedwe a pharmacological a Metformin.
