Aliyense wodwala matenda ashuga amadziwa kuti ndizoletsedwa kumwa mankhwala a Glucofage, omwe kuyanjana kwake ndi matenda othandizira sikunaperekedwe kale.
Chida ichi ndi gawo limodzi la gulu la Biguanide, kupereka mtundu wa shuga. Mosiyana ndi mankhwala ena ambiri a hypoglycemic, Glucofage imaloledwa kugwiritsidwa ntchito mwa akulu ndi ana opitilira zaka 10.
Wodwala yemwe amasamala zaumoyo wake amadziwa kuti kugwiritsa ntchito mankhwala aliwonse muyenera kukambirana pasadakhale ndi adokotala. Nkhaniyi ikuthandizani kudziwa ngati mungathe kumwa Glucofage ndi mankhwala ena, ndipo ngati ndi choncho, ndi iti.
Zambiri zamankhwala
Piritsi lililonse la mankhwala Glucofage imakhala ndi gawo lalikulu - metformin hydrochloride, komanso kuchuluka kochepa kwa magnesium stearate, povidone ndi hypromellose. Imapezeka m'mitundu yosiyanasiyana - 500 mg, 850 mg ndi Glucofage 1000 mg kapena Glucofage Long (zochita nthawi yayitali).
Mankhwalawa amaloledwa kugwiritsidwa ntchito limodzi ndi insulin mankhwala ndi othandizira ena a hypoglycemic, omwe tidzakambirana pambuyo pake. Kuphatikiza apo, mukamamwa mankhwala kwa odwala onenepa kwambiri, pamachepa thupi.
Izi zikuwonetsedwa ndikuwunika kwa odwala matenda ashuga. Lyudmila (wazaka 53): "Tinaona kuchuluka kwa nthawi yayitali, chifukwa cha ichi, shuga ali bwino, ndipo kulemera kunayamba kutsika, zomwe sindinkayembekezera." Njirayi imagwirizanitsidwa ndi chinthu chogwira - metformin hydrochloride, yomwe imathandizira kutentha mafuta.
Poyamba, achikulire amatha kumwa mankhwalawa kuchokera 500 mpaka 850 mg mpaka katatu patsiku. Katswiriyu, kutengera kuchuluka kwa shuga m'magazi, amatha kuonjezera kuchuluka kwa Glucofage. Mlingo wokonzanso umalingaliridwa kuti kuyambira 1500 mpaka 2000 mg, ndipo pazokwanira - mpaka 3000 mg patsiku. Ana akulangizidwa kuti azitenga 2000 mg tsiku lililonse, onse pamodzi ndi monotherapy komanso kuphatikiza jakisoni wa insulin.
Chifukwa chake, monga mankhwala ena, Glucophage sayenera kugwiritsidwa ntchito ngati wodwala matenda ashuga ali ndi zotere:
- Hypersensitivity zigawo zikuluzikulu za mankhwala;
- kukanika kwa chiwindi ndi kulephera kwa chiwindi;
- chiwopsezo cha kuwonongeka kwa impso chifukwa cha kusowa kwamadzi, matenda, kapena mantha;
- kuchitapo kanthu kwa opaleshoni ndi kuvulala kwakukulu;
- kunyamula mwana ndi kuyamwitsa (osavomerezeka);
- kuyesedwa kwa radioisotope ndi x-ray (mkati mwa masiku 2 isanachitike ndi pambuyo);
- lactic acidosis, ketoacidosis, matenda a shuga ndi chikomokere;
- Zakudya zama calori zochepa kapena zakudya zopanda thanzi;
- poyizoni wa ethanol komanso uchidakwa woperewera.
Zina mwa zoyipa zosiyanasiyana zomwe zimachitika, zomwe ndizovuta kwambiri kugaya chakudya ndi kuphwanya kwa zomverera. Kutsegula m'mimba, kudzimbidwa, kugonthana ndi mseru kumalumikizidwa ndi thupi kugwiritsidwa ntchito pazinthu zomwe zimapangidwira, motero pakatha masiku 10 mpaka 14 zizindikiro zonsezi zimatha pang'onopang'ono.
Nthawi zina, zotupa za pakhungu, kuyabwa, kukula kwa lactic acidosis, kuchepa kwa vitamini B12, komanso chiwindi ndi kukanika kwa hepatitis ndizotheka.
Kuphatikiza kovomerezeka kwa ndalama
Glucophage amadziwika yekha ngati mankhwala "osawoneka bwino" omwe amafunikira chisamaliro chapadera pogwiritsa ntchito mankhwala ena. Koma poyamba, odwala matenda ashuga ayenera kusiya zizolowezi zoyipa. Odwala omwe amamwa mapiritsi ayenera kuiwala za mowa, ngakhale ndi mowa kapena chidakwa. Ndi kuledzera kwa ethanol, pali mwayi wokhala ndi lactic acidosis, makamaka kwa odwala omwe ali ndi vuto la chiwindi komanso osagwirizana ndi zakudya.
Dziwani kuti mowa sungaphatikizidwe ndi matenda a shuga, omwe zimam'patsa metabolism. Kwa odwala omwe akulephera kusiya mowa, madokotala amalimbikitsa kuti azisala pang'ono masiku atatu kumapeto kwa maphunziro a Glucofage. Palinso mankhwala omwe ali ndi ethanol, kotero ndizoletsedwa kumwa nawo nthawi yomweyo ndi mankhwala a hypoglycemic.
Kugwiritsa ntchito mankhwalawa kuyenera kuyimitsidwa ngati wodwala matenda ashuga okhala ndi vuto la impso akayezedwa mayeso pogwiritsa ntchito mankhwala okhala ndi ayodini.
Muyenera kuyiwala kutenga Glucofage kwakanthawi, osachepera masiku awiri isanachitike komanso mutatha kuphunzira, ngati vuto la impso silikupezeka.
Mankhwala osokoneza bongo omwe amafunikira kusamala
Pali kuphatikiza kothandizirana komwe kumakhudza kuchiritsa kwa glucophage. Izi zimatsimikiziridwa ndi njira monga hyperglycemic ndi hypoglycemic zotsatira za mankhwala omwe amamwa ndi Glucofage.
Danazole amachepetsa mphamvu ya mankhwalawa, ndikuwonjezera kuchuluka kwa shuga mu odwala matenda ashuga. Chlorpromazine, glucocorticosteroids, beta2-adrenergic agonists ndi "loop" diuretics amathandizanso kukulitsa kwa glycemia.
Ngati mutenga Glucophage kuphatikiza ndalama zomwe zili pamwambazi, wodwalayo ayenera kuyang'anira kuchuluka kwa shuga m'magazi.
Mankhwala ena, m'malo mwake, amatha kupititsa patsogolo shuga wa glucose. Izi zimaphatikizapo zoletsa za ACE, nifedipine, acarbose, sulfonylureas, salicylates ndi insulin. Dziwani kuti "kuzungulira" okodzetsa ndizomwe zimayambitsa kukula kwa lactic acidosis motsutsana ndi maziko a kulephera kwa impso. Kuphatikiza apo, mankhwala a cationic amawonjezera kuchuluka kwa metformin, potero kumapangitsa hypoglycemia.
Pogwiritsa ntchito ndalamazi, ndikofunikira kutsatira malangizo a dokotala.
Kunyalanyaza ngakhale lamulo limodzi kumatha kubweretsa zovuta, mpaka kukomoka kwa glycemic.
Osavomerezeka kuphatikiza ndi Glucofage
Chifukwa cha mayankho ochokera kwa odwala matenda ashuga, zinali zotheka kupanga mndandanda wa mankhwala omwe angakhudze kuchuluka kwa shuga.
Lorista N ndi mankhwala omwe angatengedwe ndi matenda oopsa komanso kupewa matenda a mtima. Lorest sikulimbikitsidwa kuti mugwiritse ntchito ndi Glucophage.
Anthu odwala matenda ashuga omwe ali ndi vuto la chiwindi amafunika kugwiritsa ntchito mosamala mankhwala Phenibut, omwe amathandiza kuthetsa nkhawa zosiyanasiyana komanso zikhalidwe za asthenic.
Atarax ndi mankhwala omwe ali ndi antihistamine ndi bronchodilating. Palibe kulumikizana mwachindunji pakati pa kuchuluka kwa glucose ndi mphamvu ya mankhwalawa. Komabe, Atarax sichiphatikiza ndi kusalolera kwa majini kwa galactose.
Arifon Retard ndi mankhwala omwe amagwiritsidwa ntchito kuchepetsa magazi. Malangizo omwe aphatikizidwa akuti mankhwalawa amayenera kumwedwa ndi matenda ashuga mosamala kwambiri.
Fluoxetine ndi mankhwala omwe amagwiritsidwa ntchito pazovuta zowonera komanso ma bulimic neurosis.
Kugwiritsa ntchito glucophage ndi fluoxetine kungasokoneze kwambiri kuchuluka kwa shuga.
Mankhwala Ovomerezeka
Komabe, pali mankhwala ambiri omwe amaphatikiza ndi Glucophage. Mwachitsanzo, Nasonex ndi mankhwala omwe amapezeka mu mawonekedwe a kutsitsi. Nasonex amagwiritsidwa ntchito nyengo kapena popanda rhinitis, sinusitis, rhinosinusitis, polyposis ya mphuno komanso kupewa matenda a chifuwa. Nasonex amaloledwa osati kwa akulu okha, komanso kwa ana opitirira zaka 12. Nasonex ilibe zotsutsana zomwe zimayenderana ndi matenda a shuga. Chifukwa chake, odwala amatha kugwiritsa ntchito Nasonex chifukwa cha chimfine ndi zovuta zina.
Noliprel ndi mankhwala omwe amagwiritsidwa ntchito polimbana ndi matenda oopsa komanso kupewa matenda a mtima, makamaka kwa odwala omwe ali ndi matenda a shuga a 2 komanso matenda oopsa.
Alflutop ndi mankhwala omwe amapangidwa mwa ma ampoules a intramuscular and intraarticular management. Alflutop adalembedwa kuti matenda a nyamakazi, matenda am'mimba, matenda am'mimba, matenda am'mimba komanso matenda ena a msana ndi mafupa. Chida ichi chikutanthauza chondroprotectors. Alflutop imakulitsa kagayidwe kachakudya mu cartilage, synthes collagen ndipo imakhala yotsutsa-kutupa. Kuphatikiza apo, Alflutop ali ndi zotsatira zabwino kwambiri za analgesic. Ndemanga ya anthu ambiri odwala matenda ashuga okhudzana ndi mankhwala a Alflutop akuwonetsa kugwira ntchito kwake ndikugwirizana kwathunthu ndi Glucofage.
- Mummy ndi prophylactic wothandizira popanga matenda opatsirana, kuti achepetse magazi ndi kuchiritsa mwachangu ma fractures. Kuchita ndi Glucophage sikumabweretsa zotsatirapo zilizonse.
- Human Chorionic Gonadotropin (hCG) imagwiritsidwa ntchito pazovuta zosiyanasiyana za mahomoni amuna ndi akazi.
- Iodomarin ndi mankhwala omwe amalepheretsa kukula kwa endemic goiter.
Njira zingapo zakulera zitha kugwiritsidwa ntchito ndi Glucofage, ngakhale zikagwiritsidwa ntchito ndi mankhwala ena a hypoglycemic, zimatha kusokoneza shuga.
Tsoka ilo, palibe mankhwala ngati amenewo omwe samakhudza kuchiritsa kwa wina. Chifukwa chake, mankhwalawa, odwala matenda ashuga amatenga mankhwalawo pokhapokha ngati kuphatikiza koteroko ndikabwino ndipo sikubweretsa vuto.
Katswiri kuchokera pavidiyoyi munkhaniyi ayankhula za Glucofage ndi zotsatira zake za hypoglycemic.
