Matenda a shuga ndi limodzi mwa matenda owopsa omwe angayambitse kuchuluka kwakukulu.
Chifukwa cha kuchuluka kwa shuga komanso kuchuluka kwa shuga m'magazi, kuwonongeka kwa minofu pafupifupi ziwalo zonse kumachitika.
Chifukwa chake, ndikofunikira kutha kuwongolera izi ndikuwazisamalira "bwino". Pachifukwa ichi, odwala amatha kuikidwa mankhwala omwe amafunikira kuchepetsa ndikukhazikitsa Zizindikiro za shuga ndi shuga, zomwe zimaphatikizapo Glucofage ndi Metformin.
Kupanga
Glucophage imagulitsidwa mwa mawonekedwe a piritsi. Mtundu uliwonse wa mankhwalawo umakhala ndi kuchuluka kwake kwa zinthu zomwe zimagwira, kotero kuti kusankha kwa mankhwalawa kumatheka kutengera ndi kusasamala kwa matendawo.
Chofunikira chachikulu pakuphatikizidwa kwa mapiritsi, omwe amachititsa kuti katundu azikhala ndi hypoglycemic, ndi metformin hydrochloride yomwe imapezeka m'mapiritsi a Glucofage mu zotsatirazi:
- Glucophage 500 ili ndi chinthu chogwira ntchito 500 mg;
- Glucofage 850 ili ndi 850 mg yazitsulo;
- Glucophage 1000 imakhala ndi 1000 mg ya chigawo chachikulu, chomwe chimapereka shuga yotsitsa;
- Glucophage XR imaphatikizapo 500 mg ya chinthu chachikulu.
Metformin imagulitsanso monga mapiritsi, chinthu chachikulu chomwe ndi Metformin.
Odwala amatha kugula mapiritsi okhala ndi 500 mg kapena 850 mg ya mankhwala akuluakulu.
Zochita zamankhwala
Glucophage ndi mankhwala opangidwira kukonzekera pakamwa komanso katundu wa hypoglycemic. Kuphatikizika kwa mankhwalawa kumakhala ndi chinthu "chanzeru" - metformin.
Mapiritsi a Glucofage 1000 mg
Chochititsa chidwi ndi gawo ili ndizotheka kuyankha chilengedwe komanso kugwiritsa ntchito moyenerera mogwirizana ndi momwe zinthu ziliri. Ndiye kuti, chinthu chimayamba kukhala ndi vuto la hypoglycemic pokhapokha kuchuluka kwa glucose m'madzi a m'magazi kumatha. Kwa anthu omwe ali ndi misinkhu yokhazikika, mankhwalawa samayambitsa kuchepa kwa shuga.
Kumwa mankhwalawa kumawonjezera chidwi cha minyewa kupita ku insulin ndipo kumalepheretsa kuyamwa kwa glucose ndi m'mimba, chifukwa chake kuchuluka kwake m'magazi kumachepa. Mankhwalawa amakhudza thupi mwachangu, chifukwa amakamizidwa ndi minofu yake munthawi yochepa.
Metformin 850 mg
Metformin ndi mankhwala ena odana ndi matenda ashuga ogwiritsira ntchito mkati omwe amakhalanso ndi hypoglycemic katundu. Mankhwalawa samathandizira kupanga insulini, chifukwa chake, pamene imatengedwa, kuchepa kwakukulu kwa msinkhu wa glucose sikumayikidwa.
Zinthu zomwe zimagwiritsidwa ntchito ndi mankhwala zimalepheretsa gluconeogeneis, zomwe zimapangitsa kutsika kwa kuchuluka kwa shuga, komanso kutsika kwa kuchuluka kwa shuga komwe kumapezeka m'magazi mutatha kudya. Chifukwa cha izi, mkhalidwe wa wodwalayo umasinthika, ndipo kuyambika kwa matenda ashuga sikumatha.
Kodi pali kusiyana kotani?
Kuphatikiza pa chinthu chachikulu chogwira ntchito, limagwirira ntchito pa thupi, Glucophage amasiyana ndi Metformin pamndandanda wazomwe ungagwiritse ntchito.
Metformin imalembedwa kwa odwala akuluakulu omwe adapezeka ndi matenda amtundu 1 komanso matenda ashuga a 2.
Mankhwala angagwiritsidwe ntchito mu zovuta antidiabetesic mankhwala osakanikirana ndi insulin ndi mankhwala ena omwe amaphatikizidwa pochita mankhwalawa, komanso mankhwala amodzi (mwachitsanzo, omwe ali ndi matenda a shuga 1, Metformin amagwiritsidwa ntchito, kuphatikiza kokha ndi insulin).
Komanso, mankhwalawa amathandizidwa kuti azigwiritsidwa ntchito ngati wodwala amakhala ndi vuto la kunenepa kwambiri lomwe limasokoneza kuchuluka kwa shuga pamachitidwe olimbitsa thupi komanso zakudya.
Metformin ndi mankhwala okhawo omwe ali ndi mankhwala othandizira odwala matenda ashuga komanso amathandizira kupewa zovuta ndi chiwopsezo cha matenda a mtima.
Glucophage amalembedwa kwa odwala omwe ali ndi matenda a shuga a 2, omwe kudya ndi kuchita masewera olimbitsa thupi sanapatse zotsatira zomwe akufuna.
Mankhwalawa amatha kugwiritsidwa ntchito ngati mankhwala amodzi kapena kuphatikiza ndi mankhwala ena omwe amachepetsa shuga.
Glucophage imalembedwa kwa ana opitirira zaka 10, kuphatikiza ndi ena othandizira a hypoglycemic kapena monotherapy.
Metformin, Siofor kapena Glucofage: zili bwino?
Ndikofunika kunena nthawi yomweyo kuti kusankha kwa mankhwalawa aliyense payenera kuchitika ndi dokotala. Glucophage ndi Siofor ndizofananira. Zomwe zimapangidwira, katundu wa pharmacological, chinthu chachikulu chogwira ntchito ndi zomwe zimagwiritsidwa ntchito ndizofanana. Kusiyanitsa kochepa kungakhale pamtengo.
Mapiritsi a Siofor 850 mg
Munjira zina zonse, kukonzekera kuli kofanana, ndipo mawonekedwe a kusankha kwawo amatengera mawonekedwe a matendawa ndi kuchuluka kwa kunyalanyaza kwake. Pazifukwa izi, kusankha kwamankhwala kuyenera kuchitika ndi adotolo potengera zotsatira za kuyesedwa kwa madokotala ndi mayeso.
Glucophage amasiyana ndi Siofor pazikhalidwe zotsatirazi:
- Glucophage ili ndi zowerengeka zowerengeka zamavuto, kotero kuwunika komwe mankhwalawo sanakwane kudzakhala kwakukulu poyerekeza ndi mankhwalawa kuposa zokhudzana ndi Siofor kapena Metformin;
- Glucophage imakhala ndi mtengo wokwera kuposa Siofor. Chifukwa chake, ngati funsolo ndi mtengo wa mankhwalawo, wodwala amatha kusankha njira yomwe ikugwirizana ndi kuthekera kwachuma;
- ndikofunika kulabadira kuti mukalandira chithandizo kwa nthawi yayitali, muyenera kugula mankhwala olembedwa "Kutalika". Kuphatikizika kwake ndikoyenera kugwiritsidwa ntchito kwa nthawi yayitali, koma mtengo wamapiritsi uwonjezeka.
Ngakhale pali kusiyana, magwiridwe antchito a mankhwala omwe ali pamwambawa atha kukhala osiyana. Chilichonse chimadalira mawonekedwe amunthu, komanso panjira, mtundu wa matenda ndi zovuta zomwe zimayenderana ndi matenda a shuga.
Contraindication
Mukamasankha mankhwala, muyenera kuyang'anitsitsa ma contraindication omwe mankhwalawo ali nawo. Pankhaniyi, zitheka kupangitsa kuti thupi lipindule kwambiri, ndikuchotsa mavuto.
Zina mwazinthu zotsutsana zomwe Glucophage ili nazo ndi monga:
- thupi lawo siligwirizana zigawo zikuluzikulu za mankhwala;
- matenda ashuga ketoacidosis, chikomokere kapena precom;
- aimpso kuwonongeka;
- matenda okhalitsa komanso osakhazikika, omwe amakhala ndi hypoxia, kugunda kwa mtima, kulephera mtima;
- kulowererapo kwakubwera;
- kuphwanya chiwindi;
- mikhalidwe ina.
Mwa zina mwa zomwe Metformin osavomerezeka akuphatikizapo:
- zaka zosakwana 15;
- matenda a shuga kapena ketoacidosis;
- wandewu
- matenda ashuga;
- kugunda kwamtima kwambiri;
- kulephera kwa chiwindi;
- mkaka wa m'mimba kapena pakati;
- mikhalidwe ina.
Makanema okhudzana nawo
Pa zoyipa zomwe zimagwiritsidwa ntchito ndi mankhwala Metformin, Siofor, Glucofage mu kanema:
Ndi chisankho choyenera cha mankhwala, kusintha kwamphamvu ndi kukhazikika kwa zomwe wodwala akuchita. Kuti mukwaniritse izi, musamayerekeze komanso musagwiritse ntchito upangiri wa anzanu ngati maziko. Kuti mupeze zizindikiro zowopsa, funsani dokotala nthawi yomweyo ndikuyezetsa.
