Siofor 1000 ndi mankhwala omwe ali m'gulu la njira zothetsera mtundu wa 2 shuga mellitus (osadalira insulini).
Mankhwalawa amachepetsa shuga m'magazi akuluakulu, komanso kwa ana a zaka 10 (omwe ali ndi matenda a shuga a 2).
Itha kugwiritsidwa ntchito pochiza odwala omwe ali ndi kulemera kwakukulu chifukwa chokhala osakwanira muzakudya komanso zolimbitsa thupi. Malangizo ogwiritsira ntchito mankhwalawa akuti amathandizira kuchepetsa chiwopsezo cha kuwonongeka kwa thupi la anthu odwala matenda ashuga m'gulu la achikulire onenepa.
Mankhwalawa angagwiritsidwe ntchito ngati monotherapy ya ana azaka 10, komanso akulu. Kuphatikiza apo, Siofor 1000 ingagwiritsidwenso ntchito limodzi ndi othandizira ena omwe amachepetsa shuga ya magazi. Tikulankhula zamankhwala am'kamwa, komanso insulin.
Kuphwanya kwakukulu
Mankhwala osavomerezeka kuti mugwiritse ntchito ngati:
- pali chidwi chachikulu ndi chinthu chachikulu chogwira (metformin hydrochloride) kapena zigawo zina za mankhwala;
- kutengera chiwonetsero cha zizindikiro za kusokonezeka motsutsana ndi maziko a matenda ashuga. Izi zitha kukulira mwamphamvu kuchuluka kwa glucose m'magazi kapena kuwonjezeranso kuchuluka kwa magazi chifukwa cha kuchuluka kwa matupi a ketone. Chizindikiro cha izi chidzakhala kupweteka kwambiri m'mimba, kupuma movutikira kwambiri, kugona, komanso kununkhira kwachilendo, kopanda chiberekero.
- matenda a chiwindi ndi impso;
Zovuta kwambiri zomwe zingayambitse matenda a impso, mwachitsanzo:
- matenda opatsirana;
- kuchepa kwamadzi ambiri chifukwa chosanza kapena kutsegula m'mimba;
- magazi osakwanira;
- pakakhala kofunikira kuyambitsa wothandizira wosiyana ndi ayodini. Izi zitha kufunikira pamaphunziro osiyanasiyana azachipatala, monga x-ray;
Kwa matenda omwe angayambitse kufa ndi oxygen, mwachitsanzo:
- kulephera kwa mtima;
- aimpso kuwonongeka;
- magazi osakwanira;
- kugunda kwamtima kwaposachedwa;
- pa kuledzera kwambiri, komanso uchidakwa.
Ngati muli ndi pakati komanso mkaka wa m'mawere, kugwiritsa ntchito Siofor 1000 kumaletsedwanso. Zikatero, adotolo ayenera kulandira mankhwalawo ndi kukonzekera insulin.
Chimodzi mwa zinthu izi chitachitika, muyenera kudziwitsa dokotala za matendawo.
Ntchito ndi mlingo
Mankhwala a Siofor 1000 ayenera kumwedwa molondola kwambiri monga adanenera dokotala. Mwa ziwonetsero zilizonse zoyipa zimayenera kuonana ndi dokotala.
Mlingo wa ndalama uyenera kutsimikiziridwa munthawi iliyonse. Nthawiyo idzakhazikitsidwa malinga ndi kuchuluka kwa shuga m'magazi. Izi ndizofunikira kwambiri pochiza odwala onse.
Siofor 1000 imapangidwa piritsi. Piritsi lililonse limakhala lophimba ndipo lili ndi 1000 mg ya metformin. Kuphatikiza apo, pali mtundu wa mankhwalawa wotulutsidwa ngati mapiritsi a 500 mg ndi 850 mg a chinthu chilichonse.
Njira zotsatirazi zochiritsira zikhala zowona:
- kugwiritsa ntchito Siofor 1000 ngati mankhwala odziyimira pawokha;
- kuphatikiza mankhwala pamodzi ndi mankhwala ena amkamwa omwe amachepetsa shuga ya magazi (odwala achikulire);
- mogwirizana ndi insulin.
Odwala achikulire
Mulingo woyambira ukhale mapiritsi okhala ndi TACHIMATA mapiritsi (izi zitha kufanana ndi 500 mg ya metformin hydrochloride) katatu patsiku kapena 850 mg ya chinthu katatu patsiku (kumwa kwa Siofor 1000 sikungatheke), malangizo zikuwonetseratu.
Pambuyo masiku 10-15, dokotala wopezekapo amasintha mlingo wofunikira malinga ndi kuchuluka kwa shuga m'magazi. Pang'onopang'ono, kuchuluka kwa mankhwalawa kumawonjezereka, chomwe chimakhala chinsinsi chololera bwino mankhwalawa kuchokera kugaya chakudya.
Mukasintha, mlingo udzakhala motere: 1 piritsi Siofor 1000, yokutidwa, kawiri pa tsiku. Voliyumu yowonetsedwa ikugwirizana ndi 2000 mg ya metformin hydrochloride mu maola 24.
Mulingo wambiri watsiku ndi tsiku: piritsi limodzi la Siofor 1000, yokutidwa, katatu patsiku. Voliyumu imafanana ndi 3000 mg ya metformin hydrochloride patsiku.
Ana kuyambira zaka 10
Mulingo wamba wa mankhwalawa ndi 0,5 ga piritsi yovindikira (izi zimafanana ndi 500 mg ya metformin hydrochloride) katatu patsiku kapena 850 mg ya chinthu 1 nthawi patsiku (mlingo woterewu ndiwosatheka).
Pambuyo pa masabata awiri, dokotala amasintha mlingo woyenera, kuyambira pakuphatikizidwa kwa shuga m'magazi. Pang'onopang'ono, voliyumu ya Siofor 1000 ichulukira, yomwe imakhala njira yabwino kwambiri yololera kwa mankhwalawa kuchokera m'matumbo am'mimba.
Mukasintha, mlingo udzakhala motere: piritsi 1, yokutidwa, kawiri pa tsiku. Voliyumu yotereyi imafanana ndi 1000 mg ya metformin hydrochloride patsiku.
Kuchuluka kwazomwe zingagwire ntchito kudzakhala 2000 mg, omwe amafanana ndi piritsi limodzi la mankhwala a Siofor 1000, omwe adakwaniritsidwa.
Zochita Zosiyanasiyana
Monga mankhwala aliwonse, Siofor 1000 imatha kuyambitsa zovuta zina, koma amatha kuyamba kukhala kutali ndi odwala onse omwe amamwa mankhwalawa.
Ngati mankhwala osokoneza bongo agwiritsidwa ntchito, ndiye kuti mukuyenera kutero muzipempha thandizo kuchipatala msanga.
Kugwiritsira ntchito voliyumu yambiri sikumayambitsa kuchepa kwakukulu kwa kuchuluka kwa shuga m'magazi (hypoglycemia), komabe, pali kuthekera kwakukulu kwa kuthamanga kwa magazi a wodwala ndi lactic acid (lactate acidosis).
Mulimonsemo, chithandizo chamankhwala mwadzidzidzi ndi chithandizo kuchipatala ndizofunikira.
Kuchita ndi mankhwala ena
Ngati kugwiritsa ntchito mankhwalawa kwaperekedwa, ndiye pankhani iyi ndikofunikira kwambiri kudziwitsa dokotala za mankhwala omwe agwiritsidwa ntchito ndi odwala omwe ali ndi matenda osokoneza bongo mpaka posachedwapa. Tizitchulanso ngakhale zithandizo zakutsogolo.
Ndi mankhwala a Sifor 1000, pali mwayi wa madontho osayembekezeka m'magazi oyambira kumene pa chithandizo, komanso mukamaliza mankhwala ena. Munthawi imeneyi, shuga wa glucose amayenera kuyang'aniridwa mosamala.
Ngati chimodzi mwa zotsatirazi zikugwiritsidwa ntchito, ndiye kuti izi siziyenera kunyalanyazidwa ndi dokotala:
- corticosteroids (cortisone);
- mitundu ina ya mankhwala omwe angagwiritsidwe ntchito ndi kuthamanga kwa magazi kapena kusakwanira kwa minofu ya mtima;
- okodzetsa omwe amagwiritsidwa ntchito kuchepetsa magazi (okodzetsa);
- mankhwala ochizira matenda amphumu (beta-sympathomimetics);
- kusiyanasiyana othandizira okhala ndi ayodini;
- mankhwala okhala ndi zakumwa zoledzeretsa;
Ndikofunika kuchenjeza madotolo pakugwiritsa ntchito mankhwalawa omwe angawononge mawonekedwe a impso:
- mankhwala ochepetsa magazi;
- mankhwala omwe amachepetsa zizindikiro za kupuma kwamphamvu ma virus kapena rheumatism (kupweteka, kutentha thupi).
Zomwe zimagwiritsidwa ntchito pa mankhwala a Siofor 1000
Pafupipafupi, mukamagwiritsa ntchito Sifor 1000, chiwopsezo cha kukhathamiritsa kwambiri kwa magazi ndi lactic acid imayamba. Njira ngati imeneyi imatchedwa lactate acidosis.
Izi zimachitika ndi zovuta pakugwiritsidwa ntchito kwa impso. Chifukwa chachikulu cha izi chikhoza kukhala chosafunikira cha metformin hydrochloride m'thupi la odwala matenda ashuga, malangizo ogwiritsira ntchito akuwonetsa mfundoyi.
Ngati simukuchita zoyenera, ndiye kuti pali vuto lalikulu la kukomoka.
Kuti muchepetse chiopsezo chokhala ndi vuto la kukomoka, ndikofunikira kuganizira za contraindication onse a Siofor 1000, komanso musaiwale kutsatira mlingo womwe adokotala adawalimbikitsa.
Kuwonetsedwa kwa lactic acidosis kungafanane ndi zotsatira zoyipa za metformin hydrochloride kuchokera m'mimba yogaya:
- kutsegula m'mimba
- kupweteka m'mimba;
- kusanza mobwerezabwereza;
- nseru
Kuphatikiza apo, pakupita milungu ingapo, kupezeka kwa ululu m'misempha kapena kupumira mofulumira ndikotheka. Kuzindikira kwamphamvu, komanso kukomoka, kumachitikanso.
Ngati zizindikirozi zikuchitika, ndiye kuti mankhwalawo ayenera kusiyidwa ndikupempha thandizo kuchipatala mwachangu. Pali nthawi zina pamene chithandizo chikufunika kuchipatala.
Chofunikira chachikulu cha mankhwala a Siofor 1000 chimapukutidwa ndi impso. Poona izi, mkhalidwe wa thupi uyenera kupimidwa musanayambe mankhwala. Kuzindikira kuyenera kuchitika kamodzi pachaka, ndipo ngati pangafunikire izi kawiri kawiri.
Onani bwino momwe ntchito ya impso ili.
- zaka wodwalayo zoposa zaka 65;
- Nthawi yomweyo, mankhwalawa amagwiritsidwa ntchito omwe amayambitsa impso.
Chifukwa chake, muyenera nthawi zonse kumuuza dokotala za mankhwala onse omwe atengedwa, ndikuwerenga malangizo mosamala kuti agwiritse ntchito.
Malinga ndi kukhazikitsidwa kwa wothandizira yemwe ali ndi ayodini, pali kuthekera kwa vuto laimpso. Izi zimabweretsa kuphwanya mawonekedwe a yogwira mankhwala a Siofor 1000.
Madokotala amalimbikitsa kusiya kugwiritsa ntchito mankhwalawa Siofor 1000 masiku awiri asanafike pa x-ray kapena maphunziro ena. Kuyambiranso kugwiritsa ntchito mankhwalawa kumayamba patatha maola 48 mutagwira.
Ngati opaleshoni yomwe idakonzedweratu idagwiritsidwa ntchito pogwiritsa ntchito mankhwala oletsa kupweteka kwa mankhwalawa kapena mu ubongo.
Mutha kupitiliza kumwa pokhapokha ngati mukuyambiranso mphamvu kapena osathamanga kuposa maola 48 mutangogwira ntchito. Komabe, adokotala asanayang'ane impso. Kuphatikiza apo, ndikofunikira kuyang'anira ntchito ya chiwindi.
Ngati mumamwa mowa, chiopsezo cha kutsika kwakuthwa kwa glucose komanso kukula kwa lactic acidosis kumawonjezeka kangapo. Poganizira izi, mankhwalawa ndi mowa ndizosagwirizana kwambiri.
Njira zopewera kupewa ngozi
Pa mankhwala mothandizidwa ndi kukonzekera kwa Siofor 1000, ndikofunikira kutsatira njira ina yazakudya ndikumvetsera kwambiri pakumwa zakudya zamatumbo. Ndikofunika kudya zakudya zokhala ndi wowuma kwambiri momwe mungathere:
- mbatata
- Pasitala
- chipatso
- mkuyu.
Ngati wodwalayo ali ndi mbiri yakukula kwambiri kwa thupi, ndiye kuti muyenera kutsatira zakudya zapadera zopatsa mphamvu. Izi ziyenera kuchitika moyang'aniridwa ndi adokotala.
Kuti muwonetsetse nthawi ya matenda ashuga, muyenera kuyezetsa magazi nthawi zonse.
Siofor 1000 singayambitse hypoglycemia. Ngati mugwiritsidwa ntchito munthawi yomweyo ndi mankhwala ena a shuga, mwayi wothothoka kwambiri m'magazi a shuga ungakulitse. Tikuyankhula za kukonzekera kwa insulin ndi sulfonylurea.
Ana ochokera zaka 10 ndi achinyamata
Asanayambe kugwiritsa ntchito Siofor 1000 kwa anthu am'badwo uno, endocrinologist akuyenera kutsimikizira kukhalapo kwa matenda ashuga a 2 odwala.
Therapy mothandizidwa ndi mankhwalawa amachitika ndikusintha kwa zakudya, komanso ndi kulumikizana kwakanthawi kokwanira.
Chifukwa cha kafukufuku wazaka chimodzi wovomerezeka, zotsatira za chinthu chachikulu cha mankhwala Siofor 1000 (metformin hydrochloride) pakukula, kukula ndi kutha kwa ana sizinakhazikitsidwe.
Pakadali pano, palibe maphunziro omwe adachitidwa.
Kuyesaku kunakhudza ana azaka 10 mpaka 12.
Anthu okalamba
Chifukwa chakuti odwala okalamba, ntchito ya impso imalephera, kuchuluka kwa Siofor 1000 kuyenera kusinthidwa. Kuti muchite izi, kuchipatala, kuyesedwa kwa impso kumachitika.
Malangizo apadera
Siofor 1000 sinathe kukhudza kuyendetsa bwino magalimoto ndipo sizikhudza mtundu wa machitidwe.
Pazomwe zimagwiritsidwa ntchito munthawi yomweyo ndi mankhwala ena othandizira odwala matenda a shuga mellitus (insulin, repaglinide kapena sulfonylurea), zitha kukhala zosemphana ndi kuyendetsa magalimoto chifukwa chakuchepa kwa magazi a wodwala.
Tulutsani mawonekedwe a Siofor 1000 ndi malo osungirako oyambira
Siofor 1000 imapangidwa m'matumba a mapiritsi 10, 30, 60, 90 kapena 120, omwe amaphatikizidwa. Patsamba lothamangitsa mankhwala, sizigawo zonse za mtundu wa 2 za shuga zomwe zingayambike.
Sungani mankhwalawo m'malo omwe palibe ana. Kugwiritsa ntchito kwa mankhwala a Siofor ndi ana a 1000 kuyenera kuchitika motsogozedwa ndi akulu.
Mankhwalawa sangathe kugwiritsidwa ntchito ngati mankhwala atatha, omwe akuwonetsedwa pachimake chilichonse kapena paketi.
Nthawi ya kugwiritsidwa ntchito kumatha ndi tsiku lomaliza la mwezi lomwe lidalembedwa paphukusi.
Palibe mikhalidwe yapadera yosungirako mankhwala a Siofor 1000.
