Mapiritsi a Siofor nthawi zambiri amagwiritsidwa ntchito ngati mankhwala amakono a matenda a shuga a 2.
Kuphatikiza ndi Siofor, tikulimbikitsidwa kuti mutenge Losartan ndi Thioctacid. Losartan amathandiza kuteteza impso ngati proteinuria ilipo, komanso, losartan amachepetsa chiopsezo cha kugwidwa ndi matenda a mtima. Thioctacid wa mtundu 2 wa matenda a shuga amawongolera kagayidwe ka lipid ndi chakudya, kuwonjezera, Thioctacid imakhala ndi antioxidant.
Mpaka pano, magulu otsatirawa a mankhwala amtundu wa 2 shuga amagwiritsidwa ntchito ndi machitidwe apadziko lonse:
- Mankhwala omwe amachokera ku sulfonylurea. Ubwino wawo waukulu ndi kulekerera mosavuta kwa mankhwalawa ndi odwala ambiri. Awa ndi mankhwala oyamba omwe agwiritsidwa ntchito mochizira matenda a shuga.
- Zogulitsa kuchokera ku gulu la Biguanide. Zotsatira zawo cholinga chake ndikuchepetsa kufunika kwa katemera wa insulin.
- Mankhwala omwe amachokera ku thiazolidinol amathandizira kuchepetsa shuga m'magazi ndipo amathandizanso kusintha kwa mawonekedwe a lipid.
- Amayamwa.
Kuphatikiza apo, maphunziro othandizira odwala pakalipano akupangidwanso omwe amayang'ana kwambiri kugwiritsa ntchito mankhwala awiri kapena angapo odwala matenda ashuga.
Kugwiritsa ntchito kwazinthu zilizonse zachipatala kuyenera kuchitika moyang'aniridwa ndi katswiri wa zamankhwala; kudziziritsa nokha, pankhaniyi, nkoletsedwa.
Chachikulu mankhwala
Chimodzi mwa mankhwala odziwika kwambiri m'gulu la Biguanide ndi Siofor (chithunzi), yomwe imapezeka piritsi. Mlingo wazinthu zomwe zingagwiritsidwe ntchito zimatha kukhala zosiyanasiyana ndipo wazigulitsidwa ngati:
- Siofor 500 ili ndi mamiligalamu 500 a mankhwala othandizira (ngati kuli kotheka, muchepetsani 250 mg, mutha kugwiritsa ntchito theka la piritsi);
- mankhwala Siofor 850;
- siofor 100
Chofunikira chachikulu cha mankhwala ndi metformin hydrochloride; silicon dioxide, povidone, magnesium stearate, ndi macrogol amagwiritsidwa ntchito ngati zida zothandizira.
Siofor ya shuga imagwiritsidwa ntchito kuchepetsa magazi. Nthawi yomweyo, kuchepa kwa zizindikiro kumachitika osati pambuyo pa chakudya chachikulu, komanso kumakupatsani mwayi kuti muchepetse maziko.
Chofunikira chachikulu mu Siofor chimakupatsani mwayi wopanga ma insulin ndi kapamba, omwe amakhudza thupi bwino komanso samatulutsa chiwopsezo cha hypoglycemia. Kuphatikiza apo, zina mwazabwino ndi izi:
- kulowetsedwa kwa hyperinsulinomy;
- amathandizira kuchepetsa thupi;
- amachepetsa chiopsezo cha matenda opatsirana ndi mtima;
- bwino zimakhudza kagayidwe kachakudya matenda lipid;
- amachepetsa kwambiri kuchuluka kwa cholesterol;
- amachepetsa triglycerides.
Ndime yachiwiri ikuti mankhwalawo amathandizira kuchepetsa thupi. Pali malingaliro kuti amachepetsa kumverera kwa njala ndipo, motero, amakulolani kuchepa thupi komanso kukhala ochepa. M'malo mwake, Siofor pakukula kwa matenda a shuga nthawi zina amathandizira kuchepetsa thupi, koma zakudya zokha komanso moyo wokangalika ndi zomwe ziyenera kukhala njira zazikulu kwa wodwalayo.
Mankhwala a Siofor - zikuwonetsa kugwiritsa ntchito - kutsitsa kuchuluka kwa shuga m'thupi ndi matenda a shuga a 2 komanso kusowa kwa insulin pakulandila. Zochita za Siofor zimawonekeranso bwino posakhalapo ndi zotsatira za mankhwala. Ndi chitukuko cha mtundu wachiwiri wa matenda ashuga mthupi, Siofor ndi amodzi mwamankhwala othandiza kwambiri.
Gawo lomwe limagwira, lomwe ndi gawo la kapangidwe ka Siofor, limadziwonetsa kuti likuchepetsa kuyamwa kwa glucose m'matumbo ang'onoang'ono, limalepheretsa mapangidwe ake ndi maselo a chiwindi.
Malangizo ogwiritsira ntchito mankhwalawa
Kugwiritsa ntchito kwa Siofor pa matenda a shuga kumayikidwa ndi adokotala. Dziwani kuti mankhwalawa amawerengedwa kuchokera ku mankhwala pokhapokha ngati pali mankhwala omwe mumalandira.
Siofor amatumizidwa kwa odwala omwe ali ndi matenda osokoneza bongo omwe amachokera pa chithunzi chachikulu cha matenda ndi mawonekedwe a munthu wodwala. Chizindikiro chachikulu chomwe muyenera kulabadira posankha mlingo ndi kuchuluka kwa shuga m'magazi.
Malangizo ogwiritsira ntchito mankhwalawa akuti mapiritsiwo adapangira pakamwa pakamwa ndi madzi ambiri. Pankhaniyi, mlingo ungakhale motere:
- Mapiritsi okhala ndi 500 mg yogwira ntchito, piritsi limodzi limayikidwa kamodzi patsiku. Pang'onopang'ono, kuchuluka kwa mapiritsi kumatha kuwonjezereka mpaka atatu kapena kupitirira (koma osapitilira mapiritsi asanu ndi limodzi patsiku). Tiyenera kukumbukira kuti mlingo umodzi sungathe kupitirira 500 mg wa chinthu chimodzi, ndiye piritsi limodzi. Nthawi yovomerezeka iyenera kuyikidwa kokha ndi katswiri wazachipatala. Kuphatikiza apo, ndizoletsedwa kuwonjezera payekha popanda chololedwa ndi dokotala.
- Mapiritsi okhala ndi 850 mg a mankhwala othandizira, mankhwalawa amayamba piritsi limodzi ndipo, ngati pakufunika, amapitilira. Mulingo wambiri watsiku ndi tsiku ndi mapiritsi atatu.
- Siofor 100 imayamba kutenga piritsi limodzi ndi kuwonjezeka pang'onopang'ono. Dokotala wasayansi amatha kuwonjezera kuchuluka kwa mankhwalawa, koma mapiritsi atatu okha patsiku. Mlingo wotere umatengedwa kuti ndiwotheka kwambiri. Mochulukirapo, kumwa Siofor 100 kumaphatikizidwa ndi insulin.
Ngati, pazochitika zina, mankhwala adasowa, palibe chifukwa chowalipirira pochulukitsa mlingo wotsatira.
Mukamamwa mankhwalawa, ndikofunikira kuganizira njira yachilengedwe ya kagayidwe kachakudya ndi thanzi labwino, popeza pali chiopsezo cha lactic acidosis.
Kugwiritsa ntchito kwa Siofor 100 popanga ovary ya polycystic kumatheka pokhapokha mutakambirana ndi dokotala.
Ndi ziti zotsutsana zomwe zimagwiritsidwa ntchito?
Ngakhale kuti Siofor 100 imakhudza thanzi la wodwalayo ndikuthandizira kuwongolera kuchuluka kwa glucose m'magazi, pali zotsutsana zingapo pakugwiritsa ntchito kwake.
Zochita zamankhwala zimazindikira zinthu zotsatirazi zomwe zoletsedwa kumwa mankhwalawa:
- mtundu 1 matenda a shuga;
- ngati thupi litasiya kudzipangira payekha payekha, ndipo munthuyo amadalira kufunika koyambitsa mahomoni awa;
- kukula kwa matenda monga matenda ashuga a ketoacidosis, chikomokere kapena kholo la matenda ashuga;
- matenda akulu a chiwindi kapena impso;
- bronchitis;
- matenda a mtima dongosolo, mtima kulephera kapena myocardial infarction;
- matenda amapezeka m'mapapo, zimachitika zovuta kupuma;
- chiwonetsero cha matenda opatsirana;
- opaleshoni yaposachedwa komanso kuvulala;
- lactic acidosis;
- tsankho kapena hypersensitivity ku chimodzi kapena zingapo za mankhwala;
- ngati pali kutaya madzi;
- uchidakwa.
Kuphatikiza apo, simuyenera kugwiritsa ntchito chida chamadzulo cha kafukufuku wofufuza matenda (radiology kapena radioisotropic diagnoses) pogwiritsa ntchito chinthu china chosiyana ndi ayodini. Lekani kugwiritsa ntchito mankhwalawa masiku awiri isanachitike ndondomeko komanso masiku awiri otsatira.
Atsikana oyembekezera sangathe kumwa mankhwalawa kuti asavulaze kukula kwachibadwa ndi moyo wa mwana wosabadwayo. Kuphatikiza apo, mankhwalawa amaletsedwanso panthawi yoyamwitsa. Amakhulupirira kuti mwana wosakwana zaka 14 sayenera kugwiritsa ntchito mankhwalawa.
Ana komanso anthu athanzi labwino omwe akudwala matenda ashuga sangathe kumwa mankhwalawa ngakhale muyezo wochepa kapena prophylaxis (mwachitsanzo, pofuna kuchepetsa thupi).
Ndikofunikira kudziwa kuti kuphwanya kwakukulu kumatha kuchitika mukaphatikiza mankhwala omwe amapezeka ndi zakudya zochepa zopatsa mphamvu (zosakwana kilogalamu 1 patsiku).
Zotsatira zoyipa komanso zovuta zoyipa
Mankhwala a Siofora, ndikuwunika kwa madokotala ndi odwala akusonyeza izi, ndi amodzi mwa mankhwala othandiza kwambiri pochiza matenda ashuga.
Pankhaniyi, muyenera kulabadira kuti kulandiridwa kwa wothandizirayu ndi kusankha kwa milingo kuyenera kuchitika makamaka mosamala. Pali mndandanda waukulu wazotsutsana ndikugwiritsa ntchito kwake, ngakhale kuti mankhwalawa ali ndi zotsatira zabwino.
Kuphatikiza apo, ngati mulingo wosankhidwa molakwika kapena malingaliro a dokotala sanatsatire, zotsatirazi zingakhale ndi izi:
- zovuta zam'mimba thirakiti, zomwe zimatha kutsagana ndi kuphimbira, kupweteka pamimba kapena kutsekula m'mimba;
- kusanza ndi kusanza
- kusowa kwamagulu ena a mavitamini;
- kuwonetsedwa kwa thupi lawo siligwirizana pa chinthu chimodzi kapena zingapo;
- kukula kwa lactic acidosis;
- megaloblastic anemia.
Chimodzi mwazinthu zoyipa zomwe zimachitika chifukwa chogwiritsa ntchito mankhwalawa ndi lactic acidosis. Vutoli limayendera limodzi ndi zizindikiro monga kugona kwambiri, kuwonda minofu, kuchepa thupi komanso kuthamanga magazi, komanso kupuma movutikira.
Monga lamulo, kugwiritsa ntchito mankhwalawa kumatenga zoposa chaka chimodzi. Chifukwa chake, musanatenge, komanso miyezi isanu ndi umodzi iliyonse (mwachitsanzo, nthawi yachisanu-yotentha), mumaphunzitsidwa za momwe chiwindi chimagwirira ntchito komanso impso.
Monga prophylaxis, kugwiritsa ntchito mapiritsi a lozartan ndi thioctacid amaloledwa. Funso la prophylactic wa mankhwalawa Losartan ndi Thioctacid liyenera kugamulidwa ndi dokotala wokha.
Kugwirizana kwina ndi mankhwala ena
Chimodzi mwazinthu zoyipa kwambiri zomwe zingakhalepo ndi "kuphatikiza" kwa mapiritsi a Siofor ndi zakumwa zoledzeretsa. Kugwiritsa ntchito kwazinthu ziwiri izi kungapangitse kuti lactic acidosis ipangidwe.
Kuchita kwa mankhwala ndi mankhwala ena ndi motere:
- Mankhwalawa angayambitse kufooka kwa zotsatira za anticoagulants.
- Ngati mumwa mankhwalawa pogwiritsa ntchito njira zakulera za pakamwa, epinephrine, glucagon kapena mahomoni a chithokomiro, mwina kuchepa kwa zotsatira za hypoglycemic.
Kuphatikiza apo, kukulitsa mphamvu ya hypoglycemic ya mankhwalawa imatha kuphatikizidwa ndi kayendetsedwe kake ndi insulin, zotumphukira za sulfonylurea, mankhwala omwe si a antiidal kapena odana ndi zotupa.
Kodi pali fanizo lililonse lazamankhwala?
Masiku ano, pali zithunzi zambiri za mankhwalawa. Kodi Siofor ndi zingati? Mtengo wa Siofor m'masitolo amakankhwala ndi pafupi 250 mpaka 350 ma ruble pachilichonse, kutengera wopanga, mapiritsiwo akhoza kukhala osiyana.
Kuphatikiza apo, ku Siofor, mtengo pama pharmacies ukhoza kukhala wapamwamba kapena wotsika, zomwe zimatengera dera ladzikolo. Pali ma analogi omwe ali ndi mtengo wotsika kapena wapamwamba.
Mankhwala apamwamba a analog ndi Metformin yogwira ntchito, yomwe ikupezeka pamsika:
- Glucophage ndi mankhwala apiritsi okhala ndi katundu wa hypoglycemic. Amapezeka mu kipimo cha 500, 850 ndi 1000 mg ya mankhwala othandizira. Mtengo wapakati umafika mpaka ma ruble 200.
- Bagomet - mankhwala omwe ali ndi zinthu ziwiri zogwira ntchito - metformin ndi glibenclamide. Kuphatikiza uku kumagwiritsidwa ntchito pochiza mtundu II shuga mellitus. Mtengo wapakati wa mankhwalawo ndi ma ruble 210.
- Langerine.
- Siofor analogue m Nova akumana.
Mukamasankha mankhwala oyenera, ndi adokotala okha omwe angadziwe zomwe zingathandize wodwalayo ndipo amatha kusankha mitundu yoyenerera. Masiku ano, pali zambiri zoti musankhe, popeza zamakono zamankhwala zimapereka mankhwala ochuluka kwambiri. Kanemayo munkhaniyi akupereka kusankha kwa mitundu ingapo ya mankhwala ashuga.
