Fomu ya Mlingo: mapiritsi otsekemera osalala okhala ndi metformin 500 kapena 850 mg.
The mankhwala a Metfogamm 500: metformin - 500 mg.
Zowonjezera zina: propylene glycol, methylhydroxypropyl cellulose, magnesium stearate, povidone, polyethylene glycol 6000, sodium glycolate, titanium dioxide (E 171), silicon dioxide anhydrous colloidal, talc woyenga, chimanga wowuma.
Metphogamm 850: metformin - 850 mg.
Zowonjezera: methylhydroxypropyl cellulose, macrogol 6000, povidone, titanium dioxide (E 171), magnesium stearate.
Metfogamm 500: zokutira, biconvex, mapiritsi oyera ozungulira. 30 ndi 120 zidutswa pa paketi iliyonse.
Metphogamma 850: mapiritsi otsekemera osalala, oyera oblong okhala ndi mzere wolakwika. Hypoglycemic mankhwala.
Zisonyezero zogwiritsidwa ntchito - lembani matenda osokoneza bongo a 2 omwe samatengera insulin, osakhala ketoacidosis (okhudza odwala onenepa kwambiri).
Contraindication
- Ketoacidosis ndi matenda ashuga.
- Matenda a shuga, wodwala.
- Kutsutsa komanso kulephera kwa mtima.
- Kuphwanya koyenera kwa chiwindi ndi impso.
- Kuthetsa madzi m'thupi.
- Lactic acidosis.
- Kubala mwana ndikuyamwitsa.
- The pachimake mawonekedwe a myocardial infarction.
- Kuzungulira kwa ubongo.
- Uchidakwa wambiri ndi zina zofananira zomwe zingayambitse kukula kwa lactic acidosis.
- Kuzindikira kwakukulu pazigawo za mankhwala.
Mlingo ndi njira yoyendetsera
Mlingo wa mankhwala a Metfogamm 500 amadziwika poganizira kuchuluka kwa shuga m'magazi payekhapayekha. Mlingo woyambirira nthawi zambiri umakhala wa 500-1000 mg (matani 1-2) patsiku, kuwonjezeka kwapang'onopang'ono kwa mlingo kumaloledwa kutengera zotsatira zamankhwala.
Mlingo wa tsiku ndi tsiku wa Metfogamm 500 wokonza ndi mapiritsi 2-4. patsiku. Mlingo wololedwa tsiku lililonse ndi 3 g (6 t). Kugwiritsa ntchito Mlingo wapamwamba sikothandiza kukonza zamankhwala (ndemanga za madokotala).
Njira ya mankhwala osokoneza bongo ndi yayitali. Metfogamm 500 iyenera kumwedwa ndi chakudya, chonse ndikutsukidwa ndi madzi pang'ono
Mlingo wa mankhwala a Metfogamm 850 amadziwika poganizira kuchuluka kwa shuga m'magazi amodzi. Mlingo woyambirira nthawi zambiri umakhala wa 850 mg (1 t) patsiku, kuwonjezeka kwapang'onopang'ono kwa mlingo kumaloledwa ngati mphamvu ndi kuwunika zili bwino.
Mlingo wa tsiku ndi tsiku wa Metphogamm 850 wokonza ndi mapiritsi 1-2. patsiku. Mlingo wololedwa tsiku lililonse ndi 1700 mg (2 t). Kugwiritsa ntchito Mlingo wapamwamba sikukweza mphamvu ya mankhwalawa.
Njira ya mankhwala ndi Metfogamm 850 ndi yayitali. Metfogamm 850 iyenera kumwedwa ndi chakudya, idatengedwa yonse ndikutsukidwa ndi madzi pang'ono.
Mlingo wa tsiku ndi tsiku wa mankhwala ochulukirapo 850 mg umagawidwe mu 2 Mlingo (m'mawa ndi madzulo). Odwala okalamba, mlingo womwe umalimbikitsidwa patsiku suyenera kupitirira 850 mg.
Malangizo apadera:
Mankhwala sangathe kumwa:
- ndi matenda pachimake;
- ndi kuvulala;
- ndi kuchulukitsa kwa matenda osachiritsika oyambitsidwa;
- ndi matenda opareshoni ndi kufalikira kwawo;
- ndi poika insulin mankhwala.
Simungagwiritse ntchito mankhwalawa musanachite opareshoni komanso kwa masiku awiri pambuyo pawo. Zomwezi zikugwiranso ntchito pa mayeso a radiology ndi radiology (osati masiku awiri kale ndi masiku awiri pambuyo).
Ndi osafunika kugwiritsa ntchito mankhwalawa odwala kutsatira calorie -oletsa zakudya (zosakwana 1000 kcal patsiku). Simungathe kupereka mankhwalawa kwa anthu opitilira zaka 60 omwe amagwiritsa ntchito mphamvu zazikulu. Izi zimawonjezera chiopsezo cha lactic acidosis.
Panthawi yonse ya chithandizo, ndikofunikira kuwunika momwe impso ikuwunikira. Kamodzi miyezi isanu ndi umodzi, makamaka pamaso pa myalgia, ndikofunikira kudziwa kuchuluka kwa lactate mu plasma.
Metfogamma angagwiritsidwe ntchito limodzi ndi ma insulin kapena sulfonylureas. Zomwe zimachitika ndikuwonetsetsa kuchuluka kwa shuga m'magazi.
Kuchita ndi mankhwala ena
N`zotheka kuwonjezera hypoglycemic zotsatira za metformin akaperekedwa limodzi ndi:
- b-blockers;
- cyclophosphamide;
- clofibrate zotumphukira;
- ACE zoletsa;
- oxytetracycline;
- Mao zoletsa;
- mankhwala osapweteka a antiidal;
- insulin;
- acarbose;
- zochokera sulfonylurea.
N`zotheka kuchepetsa hypoglycemic zotsatira za metformin akaperekedwa limodzi ndi:
- loop ndi thiazide okodzetsa;
- nicotinic acid analogues;
- mahomoni a chithokomiro;
- glucagon;
- sympathomimetics;
- adrenaline
- kulera kwamlomo;
- glucocorticosteroids.
Pogwiritsa ntchito munthawi yomweyo ndi cimetidine, chiopsezo cha lactic acidosis chimawonjezeka. Izi zikufotokozedwa chifukwa chakuti cimetidine amachepetsa kuchotsedwa kwa metformin m'thupi.
Metformin imatha kufooketsa mphamvu ya ma anticoagulants.
Mukamamwa mowa, pamakhala ngozi yotenga lactic acidosis, izi zimatsimikiziridwa ndi ndemanga.
Zotsatira zoyipa
Kuchokera m'matumbo:
- kutsegula m'mimba, kukokana kwam'mimba;
- kusanza, kusanza
- kulawa kwazitsulo mkamwa;
- kusowa kwa chakudya.
Kwenikweni, zizindikiro zonsezi zimangozipanga zokha, popanda kusintha kwa mtundu uliwonse. Kuopsa kwake komanso pafupipafupi zamankhwala kuchokera m'matumbo am'mimba zimatha kuchepa kapena kutha pambuyo pokuwonjezera mlingo wa metformin.
Kuchokera ku endocrine system (mukamagwiritsa ntchito mankhwala osakwanira), hypoglycemia imatha kupanga (ndemanga za odwala).
Mawonekedwe a mziwopsezo: zotupa pakhungu.
Nthawi zina, kuchokera ku kagayidwe, kamene kakufuna kusiya mankhwala, lactic acidosis.
Nthawi zina, hematopoiesis - megaloblastic anemia.
Zomwe zimawopseza bongo
Mankhwala osokoneza bongo a Metfogamma ndi owopsa ndi mwayi waukulu wokulitsa lactic acidosis wokhala ndi zotsatira zakupha, ndemanga siziri chete. Chomwe chitukuko cha matendawa chikugona ndi kuphatikizika kwa zigawo zina za mankhwalawa chifukwa cha kuwonongeka kwa impso. Zizindikiro zoyambirira za lactic acidosis zimaphatikizapo:
- kuchuluka kwa kutentha kwa thupi;
- kusanza, kusanza
- colic pamimba ndi minofu;
- kutsegula m'mimba
m'tsogolo zitha kuchitika:
- Chizungulire
- kupuma msanga;
- chikumbumtima.
Zofunika! Pazizindikiro zoyambirira za lactic acidosis, chithandizo ndi mankhwalawa ziyenera kuyimitsidwa nthawi yomweyo, ndipo wodwalayo amayenera kugonekedwa kuchipatala komwe kuwunika kwa lactate kumayikidwa kuti atsimikizire matendawa.
Ndi chitukuko cha lactic acidosis, njira yothandiza kwambiri yochotsa lactate ndi hemodialysis. Pamodzi ndi izi, chithandizo chamankhwala chimachitidwanso. Ngati metfogamma 850 imagwiritsidwa ntchito limodzi ndi sulfonylureas, pamakhala chiopsezo cha hypoglycemia.
Kusunga
Metfogamma 850 ndi Metfogamma 500 imakonzedwa kuti isungidwe osaposa 25 ° C. Moyo wa alumali ndi zaka 4.
Tcherani khutu! Zonse zangokhala chitsogozo chokha ndipo cholinga chake ndi madotolo. Zambiri zokhudzana ndi mankhwalawa zili munthawi yake kuti mugwiritse ntchito phukusili, ndipo ndemanga zake zimapezeka pa intaneti
