Matenda a shuga amapatsa anthu mavuto ambiri. Tsoka ilo, iye ndiosavomerezeka.
Chifukwa chake, odwala ambiri amatembenukira kwa madokotala kuti athandize kukonza thanzi lawo mothandizidwa ndi mankhwala apadera.
Mankhwala othandiza kwambiri pakuwongolera mawonedwe a shuga ndi omwe amatha kuchepetsa shuga m'magazi a anthu.
Chida choterocho ndi Metfogamma, malangizo omwe amafotokozera mwatsatanetsatane zomwe zikugwiritsidwa ntchito, zikuchokera, zotsutsana ndi zoyipa. Mutha kuzolowera izi pazomwe zili m'nkhaniyi.
Zizindikiro zogwiritsidwa ntchito
Amawerengera matenda a shuga a mtundu wachiwiri, omwe amatchedwanso insulin-pawokha, popanda chizolowezi cha ketoacidosis. Ndiwothandiza kwambiri makamaka pama milandu omwe amayenda limodzi ndi kukhalapo kwa kunenepa kwambiri.
Kutulutsa Fomu
Imapezeka m'mapiritsi, omwe amaphatikizidwa ndi zokutetezani zoteteza. Chithuza chimodzi chimakhala ndi mapiritsi khumi. Koma paketi imodzi imatha kukhala ndi mapiritsi atatu kapena khumi ndi awiri. Mlingo uli motere: 500 mg, 850 mg ndi 1000 mg.
Mapiritsi a Metfogamm 1000 mg
Kupanga
Gawo lolimbikira ndi metformin hydrochloride. Kuphatikiza apo, mapiritsi ali ndi hypromellose, povidone ndi magnesium stearate. Zomwe zimapangidwa ndi membrane zimaphatikizapo hypromellose, macrogol, komanso titanium dioxide.
Zotsatira za pharmacological
Mankhwalawa ndi wothandizira wapadera wa hypoglycemic, womwe umapangidwira pakamwa.Kwa odwala omwe ali ndi matenda osiyanasiyana a shuga, Metfogamma amathandizira kutsitsa shuga poletsa gluconeogenesis m'matumbo a katulutsidwe wakunja, kuchepetsa kuyamwa kwa glucose m'mimba yotsekemera ndikuwonjezera kukonzanso kwake mu minofu ya ziwalo mwakukulitsa chidwi chawo ndi mahomoni a kapamba.
Malangizo ogwiritsira ntchito mankhwalawa omwe amatchedwa Metfogamma 850 amadziwitsa kuti silithandiza kuti chimbudzi chikhale ndi insulin komanso sichimayambitsa chilichonse mosayembekezeka komanso chosayenera. Mankhwala amathanso kukhudza kagayidwe.
Zambiri
Pa mankhwala ndi mankhwalawa, ndikofunikira kuyang'anira magwiridwe antchito ndi impso.
Ndikofunikira kwambiri kutsimikiza kwa plasma lactate osachepera kawiri pachaka.
Ngati pali chitukuko cha lactic acidosis mwachangu, ndiye kuti ndikofunikira kumaliza mankhwalawo. Sitikulimbikitsidwa kugwiritsa ntchito matenda, kuvulala ndi chiopsezo chodana ndi thupi.
Ndi mankhwala osakanikirana ogwiritsira ntchito sulfonylureas, kuwunika mosamala kusintha kwa shuga kuyenera kuthandizidwa.
Njira yogwiritsira ntchito
Muyenera kumwa mapiritsi okha mkati mwa chakudya kapena mukatha kudya.
Odwala omwe ali ndi matenda ashuga omwe samalandira insulin yofunika ayenera kumwa mapiritsi awiri kawiri patsiku kwa masiku atatu oyamba.
Mutha kuyesanso kuyamba kumwa piritsi limodzi (500 mg) katatu patsiku, ndikuwonjezeranso kamodzi kawiri. Kuyambira pafupifupi tsiku lachinayi mpaka kumapeto kwa sabata yachiwiri la makonzedwe, muyenera kumwa mapiritsi awiri ndi mlingo wa 500 mg panthawi katatu patsiku.
Patadutsa milungu iwiri kuchokera pano, mankhwalawa amathanso kuchepetsedwa, poganizira kuchuluka kwa shuga m'magazi ndi mkodzo. Njira yokonza pafupifupi 2 g patsiku. Ngati wodwala amalandira insulin mu mlingo wosakwana 40, mlingo wa mankhwalawa patsiku umakhalabe womwewo.
Contraindication
Malangizo ogwiritsira ntchito mankhwala a Metfogamma, omwe mtengo wake umapezeka mu mankhwala aliwonse, uli ndi zotsutsana zotsatirazi:
- myocardial infarction;
- Ananeneza kuphwanya kwachilendo kwa ziwalo za zotumphukira;
- kusakwanira kwa ziwalo zamtima ndi kupuma;
- ketoacidosis, precoma ndi chikomokere;
- kusokonezeka kwa magazi m'mitsempha ya ubongo;
- kusowa kwamadzi;
- lactic acidosis;
- uchidakwa wambiri;
- poyizoni wa mowa;
- kukhudzika kwakukulu pazigawo za mankhwala, makamaka zogwira ntchito;
- mimba
- yoyamwitsa.
Sizikulimbikitsidwa kuti zigwiritsidwe ntchito ndi anthu omwe ali m'gulu la anthu opitirira zaka makumi asanu ndi limodzi omwe amagwira ntchito zolimbitsa thupi, omwe amafunikira mphamvu zambiri. Komanso chida chimatha kukopa kasamalidwe ka kayendedwe kazinthu ndi zovuta, chifukwa chimachepetsa chidwi cha anthu. Chifukwa chake, munthawi yamankhwala ndibwino osawononga moyo wanu ndi moyo wa anthu ena. Kuti muchite izi, muyenera kuchepetsa kugwiritsa ntchito galimoto panthawi ya mankhwalawa.
Zotsatira zoyipa
Malangizo ogwiritsira ntchito Metfogamma 1000 amachenjeza kuti zinthu izi ndizotheka:
- kusanza ndi kusanza
- kukoma kotchedwa "kochedwa" pamkamwa;
- kutaya mtima;
- dyspepsia
- kutulutsa ndi kupweteka mmenemo;
- lactic acidosis;
- kugona
- hypovitaminosis B12;
- kutsitsa magazi;
- hypothermia;
- zotupa pakhungu lomwe limachitika panthawi yomwe sayanjana.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Maupangiri ogwiritsira ntchito Metfogamma akuti ndi koletsedwa kugwiritsa ntchito mankhwalawa pomupanga.
Nthawi yakukonzekera kutenga pakati imayeneranso kusamalidwa mwapadera.
Pakadali pano, ngati wodwalayo amamwa mankhwalawo, ayenera kuyimitsidwa nthawi yomweyo ndipo chithandizo chokhala ndi mahomoni a kapamba ayenera kuyikidwa.
Ndikofunikira kuti wodwalayo adziwitse dokotala ngati ali ndi pakati. Amayi ndi mwana ayenera kuyang'aniridwa. Pakadali pano, sizikudziwika ngati mankhwala omwe agwiritsidwa ntchito pothiriridwa ndi mkaka wa m'mawere kapena ayi. Chifukwa chake, ngati mayi amasamala za thanzi la mwana wake, kugwiritsa ntchito mapiritsi kuyenera kusiyidwa panthawi yoyamwitsa.
Bongo
Milandu yamankhwala osokoneza bongo a mankhwalawa adadziwika. Chimodzi mwazizindikiro ndi lactic acidosis.
Chithandizo cha chodabwitsachi chimakhala kutha kwa kumwa mapiritsi, hemodialysis ndi dalili.
Zomwe zimapangitsa kuti pakhale kuchuluka kwa lactic acid mthupi kumatha kukhala kuchepa kwa mankhwalawa chifukwa chovuta kuwononga impso. Zizindikiro zoyambilira ndi zosokoneza za lactic acidosis ndikulimbikitsa kusanza, kutsekula m'mimba, kutsika kwa kutentha kwa thupi, kupweteka kosagona pamimba ndi minofu, kupumira mwachangu, kuthamanga kwa malingaliro ndipo, monga chifukwa, chikomokere.
Kuphatikiza ndi mankhwala ena
Pakadali pano, pali zosakaniza zomwe sizoyenera kugwiritsa ntchito.
Kuphatikizidwa kwa Metfogamma ndi Danazole, mankhwala okhala ndi ethanol, Chlorpromazine ndi njira zina zofananira sikofunikira.
Mukamagwiritsidwa ntchito ndi antipsychotic ndipo atachotsa, muyezo wa Metfogamma uyenera kukonzedwa. Koma glucocorticosteroids omwe amagwiritsidwa ntchito ndi abambo komanso am'deralo kwambiri amachepetsa kulekerera kwa plasma, nthawi zina kumapangitsa ketoacidosis.
Ngati pakufunika kugwiritsa ntchito njira yodumphira okodze ndi chinthu chogwira ntchito metformin, pamakhala chiwopsezo cha lactic acidosis chifukwa chakuchitika kwa kulephera kwa ntchito kwaimpso, ndipo kupezeka kwake ndikothekanso pakuwunika kwa radiology pogwiritsa ntchito maodine okhala ndi ayodini.
Kuchiza ndi mankhwalawa kuyenera kuchotsedwa masiku awiri asanakwane ndipo osakonzedwanso kale kuposa nthawi yomweyo mutatha kugwiritsa ntchito x-ray pogwiritsa ntchito zida zapadera za ayodini.
Makanema okhudzana nawo
Mankhwala Metformin ndi analogue a Metfogamma. Momwe mungamwe mankhwalawa, onani vidiyo:
Malangizo ogwiritsira ntchito Metfogamm 500, omwe angagulidwe ku pharmacy iliyonse pamtengo wotsika mtengo, ali ndi zambiri mwatsatanetsatane momwe angatengere bwino. Musanayambe chithandizo ndi mankhwalawa, muyenera kufunsa dokotala. Ndikofunikanso kwambiri kuti mudziwe bwino za mankhwala, ma contraindication, zotsatira zosafunikira ndi chidziwitso china chofunikira chomwe malangizowa musanayambe kumwa. Izi zimateteza thupi ku zotsatirapo zoipa za mankhwalawo ngati sioyenera munthu wina. Kuphatikiza apo, ngati bongo waledzera pamakhala chiopsezo cha kufa. Chifukwa chake, ndikofunikira kuwerengetsa mosamala mlingo kuti usavulaze, koma, m'malo mwake, muchepetse kuchuluka kwa shuga m'magazi a anthu.
