Ambiri ali ndi chidwi ndi momwe angatenge Siofor? Ichi ndi mankhwala a gulu la Biguanide. Amagwiritsidwa ntchito kuwongolera shuga m'magulu a odwala matenda ashuga omwe amadzimayimira pawokha mwa matenda, pamene zolimbitsa thupi ndi zakudya zapadera sizingathe kupirira glycemia. Kuphatikiza apo, mankhwalawa Siofor amachepetsa cholesterol ndikuchotsa mapaundi owonjezera.
Siofor ndi mankhwala otchuka a hypoglycemic omwe pophika ake ndi metformin. Nkhaniyi ikuthandizani kuti mudziwe zambiri momwe mankhwalawo amagwirira ntchito, ndikuona momwe mungagwiritsire ntchito moyenera.
Pharmacological zimatha mankhwala
Mankhwala a Siofor amapangidwa ndi kampani yopanga mankhwala Berlin-Chemie AG, yomwe ndi gawo la gulu lalikulu kwambiri ku Italy - Menarini Group. Mankhwala amapezeka piritsi la piritsi - Siofor 500, 850 ndi 1000 mg.
Monga tanena kale, metformin ndi gawo limodzi la mankhwala a Siofor. Sichikukhudzana ndi ntchito ya maselo a beta, chifukwa chake insulin siyipangidwa mopambanitsa ndipo siyitsogolera ku hypoglycemia. Kuphatikiza apo, mankhwalawa ali ndi zinthu zina zochepa - povidone, magnesium stearate, hypromelase, titanium dioxide (E 171) ndi macrogol 6000.
Chifukwa cha gawo logwira, kutenga Siofor kumakupatsani mwayi kuti mukwaniritse zotsatirazi:
- Chepetsani mayamwidwe am'magazi m'mimba.
- Chepetsani ntchito yopanga shuga ndi chiwindi.
- Sinthani chiwopsezo cha zotumphukira kuzinthu zochepetsa shuga.
Kuphatikiza apo, Siofor mu shuga amakhala ndi phindu pa metabolidi ya lipid komanso amayendetsa magazi. Amachepetsa kuchuluka kwa shuga osati mutatha kudya, komanso pamimba yopanda kanthu.
Wodwala yemwe amamwa mankhwala ndikutsatira zakudya zapadera amatha kukwanitsa kuchepetsa thupi.
Mlingo wa mankhwala
Dokotala akhoza kuvomereza kugwiritsa ntchito mankhwalawa mankhwalawa matenda a shuga a 2, makamaka kuphatikiza ndi kunenepa kwambiri komanso kuperewera kwa zakudya m'thupi. Mlingo wa mankhwalawa amatsimikiziridwa ndi dokotala yemwe amapita, zomwe zimaganizira kuchuluka kwa shuga ndi zomwe wodwalayo ali nazo.
Mlingo woyambirira wa Siofor umachokera ku 500 mpaka 1000 mg patsiku, ndiye kuti milingoyo imakulitsidwa pang'onopang'ono ndi sabata limodzi. Mlingo wamba wa tsiku lililonse umachokera ku 1500 mpaka 1700 mg. Mlingo wapamwamba tsiku lililonse ndi 3000 mg.
Mapiritsi amadyedwa pachakudya, osafuna kutafuna ndikumwa ndi madzi. Ngati mukuyenera kumwa mapiritsi atatu patsiku, ndibwino kumwa mankhwalawo kangapo - m'mawa ndi madzulo.
Tiyenera kudziwa kuti kugwiritsa ntchito chida chayekha payekha kumatha kuyambitsa mavuto. Dokotala yekha ndi amene amatha kupanga njira yochiritsira yomwe wodwala amayenera kutsatira. Kuphatikiza apo, mankhwalawa atha kugulidwa ku pharmacy kokha mwa mankhwala.
Mankhwala a Siofor ayenera kusungidwa ndi ana pofunda firiji.
Pambuyo pa kumaliza ntchito kwake, zomwe ndi zaka 3, kugwiritsa ntchito mankhwalawo kumaletsedwa.
Contraindication ndi zomwe zingavulaze
Monga mankhwala ena ambiri, kugwiritsa ntchito Siofor kungakhale koletsedwa kwa odwala matenda ashuga.
Mankhwalawa ali ndi mndandanda waukulu wa ma contraindication omwe ayenera kuwaganiziridwa mukamapanga njira yothandizira. Izi zikuphatikiza:
- shuga wodalira insulin;
- kuchotsa kwathunthu kwa insulin yopanga mtundu wa 2 shuga;
- matenda a shuga ndi chikomokere, matenda a metabolic;
- chiwindi ndi / kapena kukanika kwa impso;
- kulephera kwa mtima ndi kuponderezana m'maso;
- kulephera kupuma ndi matenda am'mapapo;
- njira ya matenda opatsirana opatsirana;
- dziko la catabolic, mwachitsanzo chotupa;
- kuchitapo kanthu kwa opaleshoni, kuvulala;
- hypoxia;
- lactic acidosis (kuphatikizapo mbiri);
- kukulitsa zakumwa zoledzeretsa;
- nthawi yobereka mwana;
- kuyamwitsa;
- Zakudya zama calori zochepa (zosakwana 1000 kcal patsiku);
- ana ochepera zaka 18;
- chidwi cha munthu pazigawo.
Ngati itagwiritsidwa ntchito molakwika, m'malo momangokhala ndi zotsatirapo zabwino mthupi, izichita zoipa. Zotsatira zoyipa zazikulu ndi izi:
- Matenda am'mimba, omwe amawonetsedwa ndi kupweteka kwam'mimba, kutsegula m'mimba, kusintha kwa kulawa, kusanza, kuwonda.
- Kusokonezeka kwa ntchito ya hematopoiesis - megablast anemia (kuphwanya kapangidwe ka DNA ndikusowa kwa folic acid m'thupi).
- Thupi lawo siligwirizana pakhungu.
Wodwala akalandira chimodzi mwazizindikirozi, angafunikire kusokoneza chithandizo. Ngati wodwala atenga kuchuluka kwa mankhwalawo kuposa momwe amafunikira, amatha kuona zizindikiro za bongo:
- kukula kwa lactic acidosis;
- hypoglycemia;
- thukuta kwambiri;
- kukoka kwamtima;
- kugwedezeka
- kukomoka;
- kumverera kwa njala.
Ngati wodwala ali ndi mankhwala osokoneza bongo wofatsa ndipo amadziwa, amafunikira chakudya chokhala ndi shuga ndi shuga (chidutswa cha shuga, msuzi wokoma, maswiti). Chifukwa cha kusazindikira, wodwala amapaka jekeseni wa 40% m'mitsempha.
Pambuyo pakuwongolera mkhalidwe wake, wodwalayo amapatsidwa zakudya zokhala ndi chakudya chamagulu kuti ateteze kukula kwa hypoglycemia kachiwiri.
Malangizo mukamagwiritsa ntchito Siofor
Ambiri amakhulupirira nthano kuti kugwiritsa ntchito mankhwalawa popanda kuyesetsa kungathandize kuthana ndi hyperglycemia ndi mapaundi owonjezera. M'malo mwake, izi sizili choncho.
Matenda a shuga ndi matenda opatsirana kwambiri, momwe mulibe 'machiritso' othandiza. Pochizira matenda a mtima, muyenera kukhala oleza mtima komanso olimba, chifukwa kukonzekera bwino kwa shuga m'thupi kumadalira:
- Zakudya zapadera.
- Zochita zolimbitsa thupi.
- Mankhwala.
- Kuwongolera pafupipafupi.
Anthu odwala matenda ashuga ayenera kutsatira zakudya zoyenera. Amathetsa kugwiritsa ntchito zakudya zamafuta ndi zakudya zomwe zili ndi zopatsa mphamvu zamagetsi ndi shuga. M'malo mwake, muyenera kuphatikizapo zipatso, masamba, chopanda mkaka wopanda mafuta (kefir, kirimu wowawasa, mkaka wowotchera).
Moyo wokangalika ndi chinsinsi cha moyo wautali komanso kuchiritsa matenda ambiri. Ndi matenda a shuga, ndikofunikira kuti thupi lanu likhale lolemera. Kuti muchite izi, muyenera kukhala osachepera mphindi 30 patsiku kuyenda. Kuphatikiza apo, ndikulimbikitsidwa kuchita kuthamanga, yoga, kusewera masewera, pazonse, zomwe mzimu umafuna.
Nthawi zina ndikupanga matenda a shuga a 2 m'magawo oyamba, ndizotheka popanda mankhwala. Ngati pakufunika kugwiritsa ntchito mankhwalawa, wodwalayo ayenera kutsatira malingaliro onse a katswiri.
Ndiponso, muyenera kuyang'ana kuchuluka kwa glucose anu tsiku lililonse. Anthu odwala matenda ashuga omwe "akudziwa" nthawi zambiri amakhala ndi chida - glucometer, yomwe imayeza msanga shuga m'magazi. Ndi matenda 2 a shuga, kuwunika kuyenera kuchitika kangapo patsiku - pamimba yopanda kanthu komanso / kapena mutatha kudya, komanso usiku.
Panthawi ya matenda a shuga, mowa uyenera kuperekedwa kunja. Ngakhale chakumwa chopepuka kwambiri chimatha kuthana ndi shuga. Pokhapokha motere, kutsatira lamulo lililonse, mutha kukwanitsa zotsatira zenizeni, pewani zovuta zoyambitsa matendawa ngakhale mutataya mapaundi owonjezera ochepa.
Kuchita ndi mankhwala ena
Kutenga Siofor limodzi ndi mankhwala ena kungakhudze momwe amathandizira. Nthawi zina, kuchuluka kwamphamvu kwa glucose kumatha, ndipo kwina, kutsika kwamphamvu.
Mosamala, muyenera kutenga mapiritsi ndi kumwa kwa mapiritsi a Siofor ndi cimetidine, anticoagulants komanso ethanol. Mankhwala omwera ndi mankhwalawa angayambitse zovuta zambiri, mwachitsanzo, mkhalidwe wa hypoglycemia kapena lactic acidosis.
Kuwonjezeka kwa zochita za hypoglycemic kumayambitsa kugwiritsa ntchito zonsezi:
- ndi othandizira a hypoglycemic;
- ndi salicylates;
- ndi beta-blockers;
- ndi Mao ndi ACE zoletsa;
- ndi oxytetracycline.
Mankhwala oterewa amachepetsa mphamvu yochepetsera shuga:
- glucocorticoids;
- kulera kwamlomo (mwachitsanzo, Regulon);
- zotumphukira za phenothiazine ndi okodzetsa;
- mahomoni a chithokomiro;
- nicotinic acid zotumphukira;
- amphanomachul.
Kuphatikiza apo, funso limakhala pakati pa odwala: kodi ndizotheka kutenga Siofor ndi Orsoten ndikuchita izi? M'mawu omwe aphatikizidwa a mankhwalawa kuti muchepetse kunenepa, Orsoten akuti amatha kugwiritsidwa ntchito limodzi ndi othandizira a hypoglycemic a matenda a shuga 2. Koma mankhwalawa Torvakard okhala ndi Siofor ayenera kugwiritsidwa ntchito mosamala kwambiri.
Chimodzi mwazomwe zimapangitsa kuti Regulon apatsidwe kachilombo ndi matenda ashuga. Pa intaneti mutha kupeza ndemanga za odwala kuti Regulon amatha kuchepetsa kulemera kwakukulu. M'malo mwake, Regulon ndimapiritsi oteteza kubereka, osati mankhwala ochepetsa thupi. Chimodzi mwazochita zenizeni za mankhwalawa ndi kuchepa thupi pang'ono.
Ndipo, choncho, Siofor ndi mankhwala abwino ochepetsa magazi. Imasinthasintha momwe mthupi limalumikizirana ndi mayamwidwe ndikupanga shuga. Mankhwala ovomerezedwa ndi adotolo ayenera kumwa, kutsatira malamulo onse. Tsoka ilo, palibe mankhwala osokoneza bongo. Ngati pali contraindication kapena zovuta, muyenera kuyimitsa mankhwalawo. Komabe, odwala matenda ashuga ambiri amakhala okhutira ndi momwe mankhwalawo amathandizira. Kanemayo munkhaniyi athandiza kuzindikira matenda ashuga ndikuyamba kulandira chithandizo koyambirira.
