Bagomet ndi othandizira a hypoglycemic omwe ali m'gulu la Biguanides. Chofunikira chachikulu pa mankhwalawa ndi metformin. Mankhwalawa amapangidwa mwanjira ya biconvex, mapiritsi oyera oyera, aliyense waiwo amakhala ndi 500, 850 kapena 1000 mg ya chinthu. Mankhwalawa atha kugulidwa m'matumba a zidutswa 10.
Chokhacho chomangogwiritsa ntchito mankhwalawa ndi mtundu wachiwiri wa matenda a shuga, omwe sangathe kuthandizidwa ndimankhwala (onenepa kwambiri kwa odwala omwe samakonda kukula kwa catoacidosis). Mankhwalawa amatha kugwiritsidwa ntchito ngati monotherapy kapena palimodzi ndi insulin, mitundu ina ya mankhwala amkamwa a hypoglycemic.
Mtengo wa mankhwalawa: 500 mg - kuchokera ku 200 mpaka 350 ma ruble, 850 mg - kuchokera ku 380 mpaka 450 rubles, 1000 mg - kuchokera ku 440 mpaka 550 rubles. Ndemanga za mankhwalawa kwathunthu nthawi zonse zimakhala zabwino, odwala amawona zabwino za matendawa atatha masiku angapo atalandira mankhwala.
Mapiritsi a Bagomet
Mankhwalawa amatengedwa pakamwa, popanda kutafuna, ndi madzi okwanira opanda mpweya. Ndi bwino kumwa mapiritsi mukatha kudya kapena musanadye. Mlingo weniweni wa mankhwalawa uyenera kukhazikitsidwa ndi dokotala aliyense payekhapayekha, kutengera chizindikiro cha glycemia, kuopsa kwa matenda a shuga a 2 komanso kupezeka kwa zovuta zake.
Kukula koyamba kwa mankhwalawa ndi 1000-1500 mg patsiku, kuti muteteze kusakhudzidwa kwa thupi kosafunikira, mlingo uyenera kugawidwa pakulu waukulu, 2 kapena 3.
Pakatha masiku 14 chiyambireni chithandizo, pokhapokha ngati palibe zoyipa zomwe zimachitika m'matumbo, zimaloledwa kuwonjezera mlingo. Ndi kuwonjezeka pang'onopang'ono kuchuluka kwa mankhwalawa, kulolerana pochiza matenda am'mimba kumatha kusintha. Pulogalamu yayikulu yokonza imachokera ku 1000 mpaka 1500 mg (logawidwa mu milingo ingapo).
Ngati Bagomet ndi gawo limodzi la mankhwala:
- Mlingo watsiku ndi tsiku uyenera kukhala 1500 mg;
- kuchuluka kwa insulin pamenepa iyenera kusankha payokha.
Dokotala atakupatsani mapiritsi okhala ndi nthawi yayitali, kuchuluka koyamba kwa mankhwalawa kumayambira 850 mg mpaka 1000 mg.
Ngati wodwala yemwe ali ndi matenda ashuga ali ndi vuto lalikulu la metabolic, Bagomet imayikidwa pa mlingo wotsika kwambiri.
Contraindication
Mankhwalawa ali contraindicated mu pachimake circulatory matenda mu ubongo, mtima, kupuma kulephera, kuchepa magazi, kudalira mowa kwambiri, myocardial infarction ndi zina zam'magawo, pakakhala mwayi wotukuka kwa lactic acidosis.
Mapiritsi sanayendetsedwe opaleshoni ndikuvulala kwambiri, pakafunika kugwiritsa ntchito mankhwala a insulin, poyizoni wakumwa, kuwonongeka kwa chiwindi, mavuto a impso. Zochita zina zotsutsana ndi Bagomet: diabetesic chikomokere, kholo, ketoacidosis, hypoxia, sepsis, mantha, matenda a impso, matenda a bronchopulmonary.
Dokotala samalimbikitsa chithandizo chotere ndi zakudya zama calorie ochepera, ngati kuli kotheka, khalani ndi maphunziro a radioisotope, x-ray pogwiritsa ntchito mitundu yamagulu omwe muli ayodini.
Ana osakwana zaka 10 sayenera kugwiritsa ntchito Bagomet pa mlingo wa 500 mg, ana osaposa zaka 18 sakhazikitsidwa ngati mankhwala 850 ndi 1000 mg. Zotsutsana zina zidzakhala:
- nthawi ya pakati ndi mkaka wa m`mawere;
- kwambiri chidwi chachikulu yogwira pophika mankhwala.
Mosamala kwambiri, mapiritsi ayenera kumwedwa ndi okalamba odwala matenda ashuga, komanso amene amagwira ntchito zolimbitsa thupi, mtengo wa chithandizo chotere ndi chitukuko cha mkaka wa asidi wowawasa.
Zotheka zimachitika, bongo
Ndizotheka kuti mankhwalawa Bagomet azitha kuyambitsa zovuta zina mthupi. Chifukwa chake, wodwala matenda ashuga amatha kumva zovuta m'mimba;
Kuchokera kumbali ya dongosolo lamanjenje lamkati, limatha kuvulala mutu, kuthamanga kwambiri, chizungulire, kufooka kwathunthu m'thupi.
Nthawi zina kagayidwe kachakudya kamavuta, ndi chithandizo cha mankhwala omwe amapezeka nthawi yayitali, vitamini B12 hypovitaminosis, lactic acidosis amadziwika.
Monga momwe ndemanga za wodwala zimasonyezera, nthawi zina pamakhala kuchepa kwa magazi m'thupi, mafupa am'mimba, zotupa pakhungu, erythema ndi pruritus.
Ngati wodwala watenga mapiritsi ochuluka kwambiri, amapanga lactic acidosis ndi zovuta. Zizindikiro zoyambira zokhala ngati izi:
- kusanza
- nseru
- kupweteka pamimba;
- kupweteka kwa minofu
- kuchepa kwa kutentha kwa thupi.
Zinthu zikaipiraipira, kupumira mwachangu, kusokonezeka komanso kusokonezeka kwa chizungulire, chizungulire chikuwoneka, pakalibe chithandizo chokwanira, odwala matendawa amagwa.
Ngati lactic acidosis yapezeka mwa wodwala mtundu wachiwiri wa matenda ashuga, chithandizo chamankhwala chikuyimitsidwa, wodwalayo ayenera kupita kuchipatala. Kuti atsimikizire kuti apezeka mchipatala, dokotala amayenera kudziwa kuchuluka kwa lactate m'thupi la munthu.
Pankhaniyi, hemodialysis imakhala yophunzitsa momwe mungathere, chidziwitso cha mankhwala chimachitika.
Malangizo apadera
Munthawi yamankhwala, mumayenera kuwunika pafupipafupi ma shuga a magazi, izi zimachitika pamimba yopanda kanthu ndikatha kudya. Ngati pakufunikira ma radioisotope ndi X-ray maphunziro ogwiritsa ntchito mosiyanitsa, Bagomet ikuwonetsedwa kuti yathetsedwa masiku awiri isanachitike njirayi ndikukana kumwa mapiritsiwo masiku enanso awiri atangodandaula.
Kuyambiranso kofananako kungakhale pakuchita opareshoni ya opaleshoni, msana ndi mankhwala opweteka.
Wodwala matenda ashuga akaona kupweteka pamimba, kutsekeka kwambiri, kupweteka kwamisempha, kusanza komanso mseru, amapemphedwa kupita kuchipatala kuti akuuzeni malangizo. Zizindikiro zotchedwa zingakhale umboni wa zovuta zomwe zimayamba.
Ngati pali mbiri yodwala matenda a impso, pali zambiri zomwe zingapereke mankhwala a Bagomet mosamala kwambiri. Mwachitsanzo, izi ndizofunikira kumayambiriro kwa chithandizo:
- okodzetsa;
- anti-steroidal odana ndi kutupa;
- antihypertensive othandizira.
Pankhani ya kukula kwa matenda opatsirana amtunduwu kapena matenda a bronchopulmonary, kufunsira kwa adotolo ndikofunikira. Pakutalika kwa mankhwala, kudziletsa pakumwa zakumwa kumasonyezedwa, izi zimathandiza kupewa kukula kwa lactic acidosis.
Ngati kuli koyenera kuphatikiza Bagomet ndi mankhwala ena kuti achulukitse glycemia, dokotala amalimbikitsa kusamala mukamagwira ntchito yoopsa, yomwe imafuna:
- kuchuluka chidwi;
- kuthamanga kwa psychomotor reaction.
Sungani mankhwalawo m'malo osavuta kwa ana, kutentha kwa chipinda osati kupitirira 25 digiri. Alumali moyo wa mapiritsi ndi zaka 2. Mankhwalawa amatulutsidwa pokhapokha kuchokera kwa adokotala, mankhwalawa ali pamndandanda B.
Analogi
Malinga ndi chophatikizira chachikulu, Bagomet ikhale fanizo la mankhwalawa: Glformin, Langerin, Metospanin ndi Glucobay, komanso Fomu.
Analogs pamapangidwe azotsatira zamthupi: Glemaz, Diatika, Diabinax, Glidiab, Diamerid, Maniglide.
Mtengo wa mankhwalawa umatengera wopanga, mtengo wosinthana ndi malire apano azamalonda.
Mu kanema mu nkhaniyi, dotolo wophika magazi amalankhula za mtundu wachiwiri wa shuga ndi mapiritsi ochepetsa shuga.
