Pochiza matenda a shuga, mankhwalawa Siofor amagwiritsidwa ntchito nthawi zambiri.
Muyenera kudziwa mfundo zomwe zikuchitika pathupi la wodwalayo komanso zomwe zingayambitse mavuto.
Wopanga malonda ndi Germany. Mankhwalawa amachokera ku Metformin ndipo cholinga chake ndi kuchepetsa kuchuluka kwa shuga m'magazi a odwala matenda ashuga.
Zambiri, kapangidwe ndi mawonekedwe ake amasulidwe
Wothandizirayo ndi piritsi yamlomo. Gwiritsani ntchito mankhwalawa mankhwala okhawo omwe mukupatsidwa ndi dokotala, potsatira malangizo ake ndi kuchuluka kwa mankhwalawa. Kupanda kutero, Siofor imatha kubweretsa zovuta.
Mankhwala amapezeka mwa mapiritsi okha. Amakhala ndi khungu loyera komanso mawonekedwe osalala. Chofunikira chachikulu pakuphatikizidwa kwawo ndi Metformin.
M'mafakitala, muli mitundu ingapo ya Siofor, yomwe imasiyana ndizomwe zimagwira. Awa ndi mapiritsi okhala ndi mlingo wa 500, 850 ndi 1000 mg. Odwala amasankha mtundu wina kapena wamankhwala wina malinga ndi momwe amathandizira.
Kuphatikiza pa Metformin, kapangidwe kake kanali ndi zida zina.
Izi ndi:
- silicon dioxide;
- macrogol;
- povidone;
- stesiate magnesium.
Zowonjezera zimatsimikizira mawonekedwe oyenera a mankhwalawo, komanso zimathandizira kuwonekera kwake.
Pharmacology ndi pharmacokinetics
Mankhwalawa ndi hypoglycemic, omwe amalola kuti agwiritsidwe ntchito kuthana ndi matenda a shuga.
Kutsika kwa glucose pamlingo wake kumatheka chifukwa cha izi:
- Kuchepetsa kuyamwa kwa shuga kuchokera m'mimba;
- kuchuluka kwa insulin;
- kutsika kwa kuchuluka kwa shuga m'magazi;
- yogwira yogwira mafuta mu minofu minofu ndikugwiritsa ntchito.
Kuphatikiza apo, pogwiritsa ntchito Siofor, mutha kuchepetsa kuchuluka kwa cholesterol m'thupi, yomwe imathandizira kupewa atherosulinosis. Nthawi zambiri chida ichi chimagwiritsidwa ntchito pakuchepetsa thupi, chifukwa chimathandizira kuchepetsa kulakalaka komanso kuwonda.
Kutsimikizika kwa chigawo chogwira ntchito kumachitika m'mimba. Izi zimachitika patatha maola 2,5 atamwa. Ndikofunika kudya musanadye, chifukwa m'mimba mukadzaza, mankhwalawa amachitika pang'onopang'ono komanso moyenera.
Metformin pafupifupi samakumana ndi mapuloteni a plasma ndipo samapanga metabolites. Kupereka zinthu izi kumachitika ndi impso. Amasiya thupi likusasinthika. Hafu ya moyo imafuna pafupifupi maola 6.
Ngati kugwira ntchito kwa impso kukulephera, zimatenga nthawi yayitali kuti muchotse mankhwala, ndichifukwa chake Metformin imatha kudzikundikira m'thupi.
Kanema wochokera kwa Dr. Malysheva okhudza Metformin ndi momwe amagwiritsira ntchito matenda ashuga:
Zizindikiro ndi contraindication
Kulingalira za momwe mungagwiritsire ntchito ndikofunikira kwambiri mukamagwiritsa ntchito mankhwala aliwonse. Simungamwe mankhwala popanda kufunika, chifukwa akhoza kukhala ovulaza.
Siofor anagwiritsa ntchito mankhwalawa matenda a shuga amitundu iwiri. Kugwiritsa ntchito kwake movutikira kumaloledwa, koma monotherapy imakonda kuchitidwa. Makamaka nthawi zambiri amalembedwa kwa odwala omwe, kuphatikiza pa matenda ashuga, omwe ali ndi mavuto onenepa (kunenepa kwambiri). Mankhwalawa amathandizira kuchepetsa thupi pamene izi sizingatheke kudzera mu zakudya komanso zolimbitsa thupi.
Kugwiritsa ntchito kwa Siofor kumatsutsana ndi odwala ena.
Izi zikugwira ntchito kwa anthu omwe ali ndi izi:
- tsankho kwa zigawo zikuluzikulu;
- mtundu 1 shuga;
- chikomokere kapena khansa yoyambitsidwa ndi matenda ashuga;
- ketoacidosis wa matenda ashuga;
- kulephera kupuma;
- infarction waposachedwa waposachedwa;
- kukhalapo kwa kulephera kwa chiwindi;
- kulephera kwaimpso;
- kukhalapo kwa zotupa;
- kuvulala
- chithandizo cha opaleshoni chaposachedwa kapena chomwe chikukonzekera;
- matenda opatsirana opatsirana;
- hypoxia;
- kutsatira zakudya okhazikika zopatsa mphamvu;
- uchidakwa wambiri;
- mimba
- kudya kwachilengedwe;
- zaka za ana.
Pamaso pa zonsezi, kugwiritsa ntchito mankhwalawa kuyenera kutayidwa.
Malangizo ogwiritsira ntchito
Kuti mankhwalawa abweretse zotsatira zabwino, ndikofunikira kutsatira malangizo mosamalitsa.
Dokotala ayenera kudziwa momwe angatengere Siofor. Izi ndichifukwa cha kuchuluka kwa zinthu zomwe zimayenera kuganiziridwa posankha mulingo. Zimakhala zovuta kuchita nokha.
Palibe zochitika zapadera, mankhwalawa amagwiritsidwa ntchito motere:
- Pamene zomwe zili Metformin 500 mg, magawo oyamba ndi mapiritsi 1-2. Kupitilira apo, mlingo umatha kuchuluka. Kuchuluka kwake ndi mapiritsi 6.
- Ngati zomwe zili pazomwe zimagwira ndi 850 mg, yambani ndi 1 unit. Ngati ndi kotheka, onjezerani gawo. Kuchuluka kovomerezeka ndi mapiritsi atatu.
- Pazakudya za Metformin 1000 mg, mlingo woyambira mankhwala ndi piritsi limodzi. Zolemba malire - mapiritsi atatu.
Ngati katswiriyo adalimbikitsa kutenga chidutswa choposera chimodzi patsiku, phwando liyenera kugawidwa kangapo. Kugwiritsa ntchito ndalama kumachitika ndi pakamwa kugwiritsa ntchito madzi osagaya. Izi zimagwira musanadye.
Pitilizani mankhwala ndi mankhwalawa monga momwe dokotala wakupangira. Ndikosatheka kuwonjezera gawo popanda malamulo ake - choyamba muyenera kupenda zamagulu a shuga.
Odwala Apadera ndi Mayendedwe
Kupereka mankhwala kwa magulu anayi a odwala ayenera kusamala. Malangizowa amaperekera malamulo apadera kwa iwo - ngakhale atakhala ndi zotsutsana zina ndi zina.
Izi zikuphatikiza:
- Amayi oyembekezera. Zambiri molondola zokhudza mawonekedwe a Metformin pa nthawi yomwe ali ndi pakati komanso kukula kwa mwana sikusowa. Pankhaniyi, kusankha Siofor kwa odwala oterewa kumapeweka. Kumayambiriro kwa chithandizo chazida ichi, akuyenera kuchenjeza mzimayi kuti azidziwitse adotolo akakhala ndi pakati.
- Akazi omwe amachita kudya kwachilengedwe. Kuchokera ku maphunziro a nyama, zidadziwika kuti chophatikizacho chimadutsa mkaka wa m'mawere. Kuopsa kovutitsa mwana sikumatsimikiziridwa. Koma kusowa kwa chidziwitso chofanana chokhudza anthu kumatikakamiza kusiya kugwiritsa ntchito mankhwalawa panthawiyi.
- Zaka za ana. Chifukwa cha kusowa kwa maphunziro pazotsatira za mankhwalawa, kugwiritsa ntchito ana osaposa zaka 10 ndizoletsedwa. Pakati pa zaka 10 ndi 12, kugwiritsa ntchito mankhwala osokoneza bongo kuyenera kuchitika moyang'aniridwa ndi dokotala.
- Anthu okalamba. Siofor siowopsa kwa odwala okalamba ambiri. Kusamala kumafuna kugwiritsidwa ntchito mwa odwala omwe nthawi zambiri amakakamizidwa kugwira ntchito yolemetsa (wazaka 60). Anthu oterewa ali ndi chiopsezo chowonjezeka cha lactic acidosis, chifukwa chake, njira yochiritsira iyenera kuyang'aniridwa ndi katswiri.
Achibale ndi odwala ena, chithandizo choyenera chimayenera.
Malangizo apadera a Siofor akuphatikizapo matenda monga:
- Kulephera kwa chiwindi. Ndi matenda amtunduwu, ndizoletsedwa kugwiritsa ntchito mankhwalawa, chifukwa gawo lake lomwe limagwira limagwira ntchito ya chiwalochi.
- Kulephera kwamkati kapena kuwonongeka kwaimpso. Kuchotsa chogwirira ntchito kumachitika ndendende ndi impso. Ndi zovuta muntchito yawo, njirayi imachepetsa, zomwe zimakhala zowopsa pakuphatikizidwa kwa Metformin. Pankhaniyi, kuwonongeka kwa impso ndi kuphwanya kugwiritsa ntchito mankhwalawa.
Mankhwala, akamagwiritsidwa ntchito moyenera, samatulutsa machitidwe a hypoglycemic. Chifukwa chake, pochiza ndikugwiritsa ntchito, mutha kuyendetsa galimoto - sizikhudza kuthekera kolamulira Siofor.
Ngati ikuphatikizidwa ndi mankhwala ena, pamakhala chiopsezo cha hypoglycemia, chomwe chimalepheretsa chidwi chambiri ndikuchepetsa kuthamanga kwa zomwe zimachitika. Izi zikuyenera kukumbukiridwa.
Zotsatira zoyipa ndi bongo
Kulandila kwa Siofor nthawi zina kumayambitsa mavuto.
Zina mwazodziwika ndi:
- Ziwengo Imadziwoneka yokha machitidwe amtundu wa khungu. Kuti mupewe kupezeka kwake, mutha kuyeserera koyeserera kuti mumve kuphatikizidwa.
- Lactic acidosis.
- Anemia
- Kusokonezeka kwa ntchito yam'mimba (kupumula kwa mseru, kupweteka kwam'mimba, kusowa kudya). Izi zimakonda kupezeka pamayambiriro a chithandizo ndipo zimasinthidwa pang'onopang'ono mukazolowera kulandira Metformin.
Kuwonongeka kwa zovuta kumachepetsedwa ngati malangizo atsatiridwa. Kuzindikira kwawo kumafuna chisamaliro chamankhwala.
Mankhwala osokoneza bongo osokoneza bongo samayambitsa hypoglycemia, yomwe imawerengedwa kuti ndiyo zotsatira zake. Ngati mumwa mlingo wambiri wa Siofor, lactic acidosis imayamba, yomwe imathetsedwa ndi hemodialysis.
Mitu ya mankhwalawa
Kufunika kogwiritsa ntchito analogues kumachitika pazifukwa zosiyanasiyana.
Siofor ikhoza m'malo mwa mankhwala monga:
- Glucophage;
- Fomu;
- Metfogamma.
Mankhwalawa ndi ofanana ndi mankhwala omwe amafunsidwa chifukwa cha kapangidwe kake.
Muthanso kusankha mankhwala ofanana omwe ali ndi chinthu china chogwira ntchito.
Dokotala ayenera kusankha cholocha china, chifukwa posamutsa kuchokera ku mankhwala kupita ku wina, njira zopewera chitetezo ziyenera kuonedwa.
Siofor pakuchepetsa thupi - malingaliro a odwala
Popeza mankhwalawa amathandizira kuchepetsa kulakalaka komanso kuchepa thupi, anthu ena amamugwiritsa ntchito kuti achepetse thupi. Izi ziyenera kuchitika kokha pambuyo pokambirana ndi katswiri. Mphamvu ya Siofor pazolinga zotere imatha kupezeka ndikuwunika ndemanga za iwo omwe akuchepetsa thupi.
Adayamba kutenga Siofor monga adanenera ndi endocrinologist. Poyamba, kulemera kunachepa pang'ono (3 kg mu masabata awiri). Koma chidwi changa sichinachepe, koma chinawonjezeka, motero mapaundiwo anayamba kubwerera. Pepani koma m'malo mopeputsa thupi padzakhala zotsatirazi.
Galina, wazaka 36
Ndakhala ndikutenga Siofor 1000 kwa miyezi iwiri tsopano. Munthawi imeneyi, zidatenga 18 makilogalamu. Sindikudziwa ngati mankhwalawo kapena zakudya zinandithandiza. Mwambiri, ndimakhutira ndi momwe zimakhalira, palibe zoyipa zomwe zimachitika, ndikumva bwino.
Vera, wazaka 31
Anandisankha zaka 3 zapitazo za Siofor kuti azichiritsa matenda ashuga. Mankhwalawa adabwera kwa ine, palibe mavuto, shuga amawongolera bwino, motero ndakhala ndikuigwiritsa ntchito nthawi yonseyi. Kwa zaka 3, kulemera kwake kunatsika kuchoka pa 105 mpaka 89 kg. Sindigwiritsa ntchito njira zina zolemetsa, ndimangotsatira zakudya.
Larisa, wazaka 34
Ine ndekha ndidapempha adotolo kuti andipatse mankhwala ochepetsa thupi. Kwa miyezi itatu yogwiritsira ntchito Siofor, zimanditengera 8 kg. Nkhani zama cyomu zidasowanso. Tsopano sindikugwiritsa ntchito, ndipo kulemera kwake kumayima. Ndikuganiza kuti ndibwino kubwereza maphunzirowa.
Irina, wazaka 29
Kanema pakugwiritsa ntchito Metformin kuti muchepetse kunenepa:
Mankhwalawa amagulitsidwa m'mafakisoni mwa mankhwala kuchokera kwa dokotala. Mtengo wake umasiyanasiyana molingana ndi kuchuluka kwa zinthu zomwe zikugwira. Kuti mugule mankhwalawa Siofor 500 muyenera ma ruble 230-270.
Pa mlingo wa 850 mg, mankhwalawa adzafunika 290-370 rubles. Mankhwala osiyanasiyana Siofor 1000 amagawidwa pamtengo wa 380-470 rubles.
