Mankhwala Glucophage ndi mankhwala ozikidwa ndi metformin hydrochloride, omwe awonetsa zotsatira zabwino pochiza matenda osagwirizana ndi insulin omwe amadalira odwala onenepa kwambiri.
Nthawi zambiri imayikidwa pamene mankhwala othandizira pakudya ndi masewera olimbitsa thupi samapereka chifukwa chofunira.
Kodi ndizotheka kuchepa thupi ndi glucophage
Chakudya cholowa m'thupi chimabweretsa shuga. Amayankha mwa kuphatikiza insulin, ndikupangitsa kusintha kwa glucose kukhala maselo amafuta ndi mawonekedwe awo mu minofu. Mankhwala a antiidiabetesic Glucofage amatha kuwongolera, kubwezeretsa kuchuluka kwa shuga m'magazi.
Yogwira pophika mankhwala ndi metformin, imachepetsa kuwonongeka kwa chakudya chamthupi ndikupanga matenda a lipid metabolism:
- oxidizing mafuta zidulo;
- kukulitsa chidwi cha receptors ku insulin;
- kuletsa kaphatikizidwe ka shuga m'chiwindi ndikuwongolera kulowa kwake minofu yamitsempha;
- yambitsa njira yowonongera maselo amafuta, kutsitsa cholesterol.
Kugwiritsa ntchito Glucofage palimodzi ndi zakudya zama carb ochepa kumapereka zotsatira zabwino zoonda. Ngati simutsatira zoletsa zamtundu wa carb kwambiri, zotsatira za kuchepa thupi zimakhala zofatsa kapena ayi.
Mukamagwiritsa ntchito mankhwalawa pokhapokha kuchepa thupi, amathandizika pakapita masiku 18 mpaka 22, kenako ndikofunikira kutenga nthawi yayitali kwa miyezi iwiri ndi kubwereza maphunzirowo. Mankhwala amatengedwa ndi zakudya - katatu patsiku, pakumwa madzi ambiri.
Kutulutsa Mafomu
Kunja, Glucophage amawoneka ngati miyala yoyera, yamafuta-filimu, mapiritsi awiri apawiri.
Patsamba lofufuza, amapezeka m'mitundu ingapo, omwe amasiyana pa yogwira ntchito, mg:
- 500;
- 850;
- 1000;
- Kutalika - 500 ndi 750.
Mapiritsi ozungulira 500 ndi 850 mg amaikidwa m'matumba a 10, 15, 20 ma PC. ndi makatoni. Phukusi limodzi la Glucofage likhoza kukhala ndi matuza 2-5. Mapiritsi a 1000 mg ndi chowulungika, ali ndi notches ophatikizika mbali zonse ndi chikhomo "1000" chimodzi.
Amayikidwanso mumatumba a ma PC 10 kapena 15, amaikidwa m'mathumba okhala ndi matuza awiri mpaka 12. Kuphatikiza pa zomwe tafotokozazi pamwambapa, Glucofage, pamashelefu ammagulu a zamankhwala anaperekanso Glucofage Long - mankhwala omwe amakhala ndi mphamvu yayitali. Mawonekedwe ake ndi kutulutsa pang'onopang'ono kwa chigawo chogwira ntchito komanso nthawi yayitali.
Mapiritsi azitali ndi owotcha, oyera, pachimodzi mwa mawonekedwe awo ali ndi chizindikiro chosonyeza zomwe zimagwira - 500 ndi 750 mg. Mapiritsi aatali a 750 amalembedwanso kuti "Merck" mbali inayo ya chisonyezo. Monga wina aliyense, adayikika mu matuza 15 zidutswa. ndipo zanyamula makatoni okhala ndi matuza a 2-4.
Ubwino ndi kuipa
Kutenga Glucophage kumalepheretsa hypoglycemia, pomwe kumachepetsa zizindikiro za hyperglycemia. Sichikukhudza kuchuluka kwa insulini yomwe imapangidwa ndipo sikubweretsa zotsatira za hypoglycemic mwa odwala athanzi.
Glucophage 1000 mapiritsi
Metformin yomwe ili ndi mankhwalawo imalepheretsa kuphatikizika kwa shuga m'chiwindi, amachepetsa kukoka kwake kwa zotumphukira, ndi mayamwidwe am'matumbo. Kudya kwa glucofage kumapangitsa kagayidwe ka lipid, komwe kumakuthandizani kuti muchepetse kulemera kwanu ngakhale pang'ono pang'ono.
Malinga ndi kafukufuku wazachipatala, kugwiritsa ntchito mankhwalawa kwa prophylactic mu mankhwala asanafike matenda ashuga kungalepheretse kukula kwa matenda a shuga a mtundu wachiwiri.
Zotsatira za kutenga Glucofage zitha kukhala zotsatira zoyipa kuchokera:
- Matumbo. Monga lamulo, zizindikiro zam'mbali zimawonekera m'magawo oyambilira ndikuvulala pang'ono ndi pang'ono. Imafotokozedwa ndi nseru kapena kutsegula m'mimba, kusowa kudya. Kulekerera kwa mankhwalawa kumakhala bwino ngati mlingo wake ukuwonjezeka pang'onopang'ono;
- dongosolo lamanjenje, kuwonetseredwa mu mawonekedwe a kuphwanya kwa zomverera kukoma;
- bile duct ndi chiwindi. Amawonetsedwa ndi kukomoka kwa ziwalo, hepatitis. Ndi kufooka kwa mankhwalawo, zizindikirizo zimazimiririka;
- kagayidwe - N`zotheka kuchepetsa mayamwidwe a vitamini B12, kukula kwa lactic acidosis;
- khungu mawonekedwe. Itha kuwoneka pakhungu ndi zotupa, kuyabwa, kapena ngati erythema.
Cholepheretsa kutenga Glucophage ndiko kukhalapo kwa wodwala:
- amodzi mwa mitundu ya kusakwanira - mtima, kupuma, hepatic, aimpso - CC <60 ml / min;
- vuto la mtima;
- odwala matenda ashuga kapena precoma;
- kuvulala ndi maopaleshoni;
- uchidakwa;
- lactic acidosis;
- Hypersensitivity kumagawo.
Simungathe kuphatikiza kugwiritsa ntchito mankhwalawa ndi zakudya zochepa zama calorie, ndipo muyenera kupewa kumwa panthawi yomwe muli ndi pakati. Mosamala, adayikidwa kuti azikhomera akazi, okalamba - opitilira 60, anthu ogwira ntchito zolimbitsa thupi.
Kutenga?
Glucophage imapangidwira kukonzekera pakamwa kwamasiku onse ndi akulu ndi ana. Mlingo wa tsiku ndi tsiku umatsimikiziridwa ndi dokotala.
Glucophage nthawi zambiri amalembera achikulire omwe ali ndi kuchuluka kwa 500 kapena 850 mg, piritsi limodzi kawiri kapena katatu patsiku panthawi yakudya kapena pambuyo pake.
Ngati kuli kofunikira kutenga Mlingo wapamwamba, tikulimbikitsidwa kusintha pang'ono ndi pang'ono ku Glucofage 1000.
Kwa anthu achikulire, mulingo wake umasankhidwa payekha, poganizira momwe impso zimafunikira, kawiri pachaka, kuchititsa maphunziro a creatinine. Glucophage imagwiritsidwa ntchito mu mono-komanso mankhwala ophatikiza, amatha kuphatikizidwa ndi mankhwala ena a hypoglycemic.
Kuphatikiza ndi insulin, mawonekedwe a 500 kapena 850 mg nthawi zambiri amalembedwa, omwe amatengedwa mpaka katatu patsiku, mlingo woyenera wa insulin amawerengedwa payekha, kutengera kuwerengera kwa glucose.
Kwa ana osaposa zaka 10, mankhwalawa amamuika ngati 500 kapena 850 mg, 1 piritsi 1 nthawi patsiku ngati monotherapy kapena insulin.
Pambuyo pakudya kwa milungu iwiri, mlingo woyenera umatha kusintha poganizira kuchuluka kwa shuga m'magazi. Mlingo woyenera kwambiri wa ana ndi 2000 mg / tsiku.Amagawidwa pang'onopang'ono 2-3 kuti asayambitse kukhumudwa.
Glucophage Long, mosiyana ndi mitundu ina yamtunduwu, imagwiritsidwa ntchito mosiyana. Amatengedwa usiku, ndichifukwa chake shuga m'mawa nthawi zonse amakhala wabwinobwino. Chifukwa chakuchedwa, sioyenera kudya kawiri tsiku lililonse. Ngati pakukhazikitsidwa kwake kwa masabata 1-2 kufunika komwe sikukwaniritsidwa, tikulimbikitsidwa kusinthana ndi glucophage yanthawi zonse.
Ndemanga
Poyerekeza ndi ndemanga, kugwiritsa ntchito Glucofage kumalola anthu odwala matenda ashuga a mtundu wachiwiri kuti azitha kuwonetsa kuchuluka kwa glucose nthawi yomweyo kuwonda.
Nthawi yomweyo, anthu omwe adagwiritsa ntchito pokhapokha pochotsa mapaundi owonjezera amakhala ndi malingaliro aposachedwa - wina amathandizira, winayo satero, zotsatirapo zoyipa zimadutsa phindu lazotsatira zomwe zimachitika chifukwa cha kuwonda.
Zotsatira zoyipa za mankhwalawa zimatha kuphatikizidwa ndi hypersensitivity, kupezeka kwa ma contraindication, komanso mlingo wodziyimira payekha - osaganizira mawonekedwe a thupi, osagwirizana ndi zakudya.
Ndemanga zina pa glucophage:
- Marina, wazaka 42. Ndimamwa Glucofage 1000 mg malinga ndi endocrinologist. Ndi chithandizo chake, ma glucose surges amapewedwa. Panthawi imeneyi, chidwi changa chinkachepa ndipo zolakalaka zanga za maswiti zinazimiririka. Kumayambiriro koyamba kumwa kwa mapiritsiwo, panali zotsatira zoyipa - zimadwala, koma adotolo atachepetsa mlingo wake, zonse zidachoka, ndipo tsopano kulibe mabvuto.
- Julia, wazaka 27. Kuti muchepetse kunenepa, Glucofage adandiuza ndi endocrinologist, ngakhale ndilibe matenda ashuga, koma ndimangowonjezera shuga - 6.9 m / mol. Ma voliyumu amachepera ndi kukula kwama 2 pambuyo pakudya kwa miyezi itatu. Zotsatira zake zidakhala kwa miyezi isanu ndi umodzi, ngakhale atasiya kumwa mankhwalawo. Kenako adayambanso kuchira.
- Svetlana, wa zaka 32. Makamaka pofuna kuchepetsa thupi, ndinawona Glucofage kwa masabata atatu, ngakhale ndilibe mavuto ndi shuga. Mkhalidwewo sunali wabwino kwambiri - kutsekula m'mimba kumachitika nthawi ndi nthawi, ndipo ndinali ndi njala nthawi zonse. Zotsatira zake, ndidataya 1.5 makilogalamu ndikutaya mapiritsiwo. Kuchepetsa thupi ndi iwo sizachidziwikire kuti si njira yabwino kwa ine.
- Irina, wazaka 56. Mukazindikira boma la prediabetes, Glucophage adalembedwa. Ndi chithandizo chake, zinali zotheka kuchepetsa shuga kukhala mayunitsi 5.5. ndi kuchotsa ma kilogalamu 9 owonjezera, omwe ndimakondwera nawo kwambiri. Ndazindikira kuti kudya kwake kumalepheretsa chidwi chake ndipo kumakupatsani chakudya chochepa. Panalibe zotsatirapo zoyipa nthawi yonse yoyang'anira.
Makanema okhudzana nawo
Zotsatira za kukonzekera kwa Siofor ndi Glucophage pakanema:
