Kuchulukirapo, mutha kukumana ndi anthu omwe ali ndi matenda monga matenda a shuga.
Kutengera zomwe zimayambitsa matendawa, njira ya matendawa, chithandizo chimayikidwa ndi dokotala payekhapayekha. Chimodzi mwa mankhwala othandiza ndi Siofor. Kodi mawonekedwe amankhwala ndi ati, ndi momwe mungagwiritsire ntchito, afotokozedwa pambuyo pake.
Kuphatikiza apo, kwa ambiri, funso loti Siofor ndi mowa zimagwirizana bwanji, zotsatira zake zingakhalepo. Mupeza yankho mtsogolo munkhaniyi.
Zoyambitsa matenda ashuga
Matenda a shuga amapezeka pomwe wodwala amakhala ndi shuga wambiri wololedwa m'magazi.
Zomwe zimayambitsa izi ndizovuta kwa kapamba. Insulin motero sichipangidwa mokwanira kuti muthane ndi shuga.
Nthawi zambiri kuposa apo, anthu onenepa kwambiri amadwala matenda ashuga, omwe amadya zakudya zophatikiza ndi mafuta ndi mafuta: ufa, zonunkhira, wokazinga.Matenda a shuga ndi amitundu iwiri: yoyamba, yomwe imakhudzidwa kwambiri ndi ana, ndipo yachiwiri, yomwe imadziwonetsa yokha mwa akuluakulu.
Sizotheka kuteteza matendawa, chifukwa mankhwalawa, mankhwala omwe angathandize kuthetsa nkhaniyi kulibe lero. Kugawidwanso kumachitika mogwirizana ndi kuopsa kwa matendawa: ofatsa, odziletsa, okhwima.
Chithandizo cha mankhwalawa zimatengera kuuma kwa wodwala yemwe ali ndi matenda osokoneza bongo pakadali pano. Pachifukwa ichi, jakisoni kapena mapiritsi a insulin ndi omwe amapatsidwa. Muyenera kutsatanso zakudya zoyenera komanso kuchita masewera olimbitsa thupi moyenera.
Pharmacological zochita za mankhwala
Siofor amatanthauza othandizira a hypoglycemic omwe ali ndi vuto la antiidiabetes. Kuchita kwake ndikufuna kuwonjezera kuchuluka kwa shuga, pomwepo ndikuchepetsa kuchepa kwa shuga ndi mafuta m'mimba.
Mapiritsi a Siofor 850 mg
Zimakupatsanso kukhazikika pathupi, kugwiritsa ntchito mankhwalawa kumapezekanso mu kunenepa kwambiri, komwe kunayambitsidwa ndi vuto la metabolic. Anthu omwe amadalira insulin omwe ali ndi matenda a shuga a 2 amakonda kugwiritsa ntchito mankhwalawa. Yogwira ntchito ya mankhwala ndi metformin hydrochloride.
Siofor ali ndi zotsatirazi zamankhwala:
- antifibrinolytic ndi hypoglycemic;
- kutsika kwa shuga;
- cholesterol yotsika;
- kuchuluka kwa insulin;
- kudya kwakachepa, ndipo chifukwa chake, kuchepa thupi;
- Kugwiritsa ntchito shuga, kuchedwa kuyamwa kwam'mimba.
Malinga ndi odwala omwe amagwiritsa ntchito mankhwalawa, imakhala bwino, kuchuluka kwa shuga kumachepetsedwa bwino, ndipo nkhondo yolimbana ndi kuchuluka imakhala yosavuta.
Mlingo ndi makonzedwe
Mapiritsi a Siofor amapezeka osiyanasiyana. Piritsi limodzi limatha kukhala ndi 500, 850 kapena 1000 mg yogwira ntchito.
Mlingo, komanso nthawi yayitali ya chithandizo, zitha kutsimikiziridwa ndi dokotala mwanjira inayake. Nthawi yomweyo, zimatengera mtundu wa matendawa, kuuma kwake, komanso mkhalidwe waumoyo wodwala.
Poyamba, mulimonsemo, muyenera kumwa mulingo wochepa, womwe ndi 500 mg / tsiku. Pambuyo pake, imatha kuwonjezeka, chinthu chachikulu ndikuti izi zimachitika pang'onopang'ono. Nthawi zambiri, kusintha kwa mlingo kumachitika pambuyo masiku 10-15.
Zomwe zimakhazikitsidwa ndizizindikiro za shuga. Mlingo woyenera kwambiri ndi 3 g ya metformin hydrochloride, ndiye mapiritsi 6 a 500 mg a chinthu chomwe chikugwira ntchito. Imwani mankhwalawa pakudya, kapena mukangomaliza kuchita izi.
Zotsatira zoyipa
Siofor imatha kuyambitsa zovuta zina, chifukwa chake, iyenera kumwa pokhapokha mankhwalawo omwe adokotala adanenanso.
Ngati muphwanya malingaliro a katswiri, zotsatirazi zingachitike:
- mseru, kubwatula, kupweteka pamimba, kusanza, kutsekula m'mimba;
- megaloblastic anemia;
- lactic acidosis - kufooka, kugona, kupweteka kwam'mimba ndi minofu, kupuma, kulephera, kuchepa kwa mtima, kuchepa kwa thupi. Matendawa ndi oopsa kwambiri ndipo amafuna chithandizo chamankhwala mwachangu;
- hypovitaminosis;
- thupi lawo siligwirizana.
Contraindication
Choyamba, ndikofunikira kukumbukira kuti Siofor saloledwa kutenga nthawi yokhala ndi pakati, komanso pa nthawi ya mkaka wa m`mawere.
Chifukwa chake, pakachitika izi, ndikofunikira kukaonana ndi dokotala kuti musinthe mankhwalawa kapena kusinthana ndi insulin.
Simungathe kugwiritsa ntchito mankhwalawa komanso ana osakwana zaka 10. Kuphatikiza apo, mankhwalawa samatengedwa ndi mtundu woyamba wa matenda ashuga.
Nthawi zambiri odwala matenda ashuga, mungakumane ndi kuphwanya kwa endocrine system, chifukwa cha omwe odwala atupa kwambiri. Pankhaniyi, Siofor ili ndi phindu ndipo imasintha kagayidwe, imathandiza kuchepetsa kunenepa. Chifukwa cha izi, ambiri ali ndi lingaliro lolakwika kuti mankhwalawa amatha kugwiritsidwa ntchito pakuchepetsa thupi popanda matenda ashuga. Komabe, popanda chilolezo cha dokotala, izi ndizoletsedwa.
Izi ndichifukwa choti kuchepa thupi kumatheka kokha ndi insulin yokwanira mthupi. Kupanda kutero, sipangakhale zotulukapo, kupatula ngati zoipa. Kuphatikiza apo, ziyenera kukumbukiridwa kuti awa siwowonjezera mankhwala, koma mankhwala omwe ali ndi mtima wonse, omwe cholinga chake chinali kuwongolera kuchuluka kwa shuga m'magazi.
Kugwirizana kwa mankhwala a Siofor ndi mowa
Za kuphatikiza pamodzi kwa mankhwala a Siofor ndi mowa, ndemanga za madokotala sizili bwino kwenikweni.
Ngakhale kwa munthu wathanzi, mowa wambiri umakhala ndi zotsatira zoyipa mthupi. Chopatsa chidwi kwambiri ndikufunika kogwirizana ndi kugwiritsa ntchito zakumwa zoledzeretsa za anthu omwe ali ndi matenda a shuga.
Kuopsa kwa zotsatira zoyipa kumawonjezeka ngati mutatenga Siofor ndi mowa nthawi yomweyo, zotsatirapo zake zimakhala zosiyanasiyana, mpaka kukula kwa matenda akulu ndi imfa.
Lactociadosis ndi imodzi mwazotsatira zoyipa zomwe zimachitika mutamwa mankhwalawa. Omwe ali ndi vuto la impso kapena chiwindi ndi omwe ali pachiwopsezo chachikulu, chifukwa ndi omwe amadziunjikira lactic acid, zomwe zimapangitsa kuti matendawa ayambe.
Ngati mumwenso mowa, ndiye kuti chiopsezo cha lactociadosis chimakulanso, ndipo kukula kwina kumachitika mwachangu kwambiri. Zotsatira zake, wodwala angayembekezere kukomoka kwa hyperlactacidemic.
Musanayambe chikomokere kwa hyperlactacidemic, zizindikiro zotsatirazi zalembedwa:
- kulephera kwa mtima;
- kupweteka pamimba, kusanza;
- kuchuluka kwa acidity ya base-based usawa;
- kununkhira kwa acetone kuchokera mkamwa;
- kupuma kwapuma;
- paresis kapena hyperkinesis, areflexia.
Zikatero, zotsatira zakupha zimawonedwa nthawi zambiri.
Zotsatira zinanso za kumwa nthawi yomweyo za zakumwa zoledzeretsa zimatha kukhala katundu pa kapamba ndi kuwonda. Chifukwa chakumwa mowa, kuchuluka kwa chidwi kumachitika, chifukwa pomwe wodwalayo samawongolera kuchuluka ndi zakudya zomwe amadya. Zikondamoyo zimasokonekera chifukwa cha zakudya zama calorie ambiri. Izi zimayamba chifukwa cha kunenepa kwambiri.
Matenda a shuga ndi vuto lina la kuphatikiza kwa Siofor ndi mowa. Imawonedwa chifukwa cha kuwonjezeka kwadzidzidzi kwa glucose, kenako dontho lake lakuthwa chimodzimodzi.
Khansa ya matenda ashuga imayamba masana ndipo imakhala ndi zotsatirazi:
- kamwa yowuma
- kudya kwamadzi ambiri;
- kutaya mphamvu;
- kupweteka m'mimba ndi mutu;
- 2-3 kuchuluka kwa shuga;
- kusanza, mseru, kudzimbidwa, kapena kutsegula m'mimba;
- kusowa kwa chakudya.
Mowa wokha sukulitsa kuchuluka kwa glucose. Izi zimachitika zikaphatikizidwa ndi chakudya chamafuta, omwe nthawi zambiri amapezeka muzakumwa zomwe zimakhala ndi mowa, kapena zakudya zomwe zimamwa ngati zokhwasula-khwasula.
Komanso munthu amakhala pachiwopsezo chotenga matenda a mtima. Kumwa mowa ndi Siofor kumathandizira kuti muthe kulipira katundu wina pamtima. Chifukwa cha arrhasmia ndi kukakamizidwa kowonjezereka, chiopsezo cha vuto la mtima chikuwonjezeka.
Mulimonsemo, m'mawa mutha kuwona zosokoneza mu ntchito ya mtima, kukhazikika kwake komwe kumadza pambuyo masiku ochepa.
Kuphatikiza apo, hypoglycemia imatha kukhazikika chifukwa chotsitsa shuga. Izi ndizotheka chifukwa cha kusokoneza chiwindi, chomwe sichitha kusintha mapuloteni kukhala glucose.
Choyipa chachikulu ndichakuti Zizindikiro za hypoglycemia zikufanana ndi kuledzera, ndipo ndizovuta kwambiri kudziwa kukhalapo kwa matenda.
Makanema okhudzana nawo
Zokhudza mankhwala a shuga a Siofor ndi Glucofage mu kanemayo:
Chifukwa chake, Siofor ndi mankhwala othandiza kukhazikitsa glucose omwe ali ndi matenda ashuga. Ndi za Siofor ndi mowa, ndemanga za madokotala sizili bwino kwenikweni. Izi ndizophatikiza zowopsa zomwe zimatha kukhala ndi zoopsa zomwe zingawononge moyo wa wodwala.
