Kugwiritsa ntchito glyformin mu shuga

Kuchiza matenda a shuga kumafuna mwatsatanetsatane. Mankhwala ambiri ogwiritsidwa ntchito ndi matendawa amapangidwa kuti azigwiritsidwa ntchito kwa nthawi yayitali.

Pakati pawo pali mankhwala monga Glformin.

Zambiri

Gliformin ndi othandizira a hypoglycemic omwe cholinga chake chinali kugwiritsidwa ntchito mkati. Chalangizidwa kwa odwala matenda ashuga. Ndi piritsi yoyera kapena yoyera.

Chidachi chimapezeka ku Russia. Dzina lake lachi Latin ndi GLIFORMIN.

Mankhwalawa amagulitsidwa pokhapokha ngati akupereka mankhwala, chifukwa sioyenera kwa odwala matenda ashuga onse - nthawi zina, kugwiritsa ntchito mankhwalawa kumatha kukhala koopsa. Chifukwa chake, nkosavomerezeka kuyambitsa chithandizo chokha ndi mankhwalawo.

Chofunikira chachikulu mu Glformin ndi Metformin. Ndi gawo limodzi la mankhwalawa monga hydrochloride.

Kuphatikiza apo, mankhwalawa ali ndi zigawo zothandiza:

• povidone;
• polyethylene glycol;
• sorbitol;
• stearic acid;
• calcium phosphate dihydrate.

Glyformin imapangidwa m'mapiritsi okhala ndi zinthu zosiyanasiyana zomwe zimagwira. Pali mapiritsi okhala ndi muyeso wa 500 mg, 800 mg ndi 1000 mg (Glformin Prolong). Nthawi zambiri, mankhwalawa amapakidwa m'maselo a contour, omwe ali ndi magawo 10 a mankhwalawa. Phukusili lili ndi maselo 6. Komanso, amatulutsidwa m'mabotolo a polypropylene, pomwe mapiritsi 60 a mankhwalawa amayikidwa.

Pharmacology ndi pharmacokinetics

Mankhwala ndi a gulu la Biguanides. Zochita za metformin ndikupewa gluconeogeneis. Amathandiziranso mafutawa ndipo amalimbikitsa kupangidwa kwa mafuta kwamafuta acid.

Ndi kugwiritsidwa ntchito kwake, zolandirira zotumphukira zimakhudzidwa kwambiri ndi insulin, ndipo maselo amthupi amapanga glucose mwachangu, omwe amachepetsa kuchuluka kwake.

Mothandizidwa ndi Metformin, zomwe zili mu insulin sizisintha. Pali zosintha mu pharmacodynamics yamahomoni awa. Gawo logwira la Glyformin limalimbikitsa kupanga glycogen. Mukamamwa mankhwalawa, matumbo a m'mimba amayamba kuchepa.

Kuyamwa kwa magawo omwe amagwira ntchito kumachitika kuchokera m'mimba. Zimatenga pafupifupi maola 2,5 kuti mufikire kuchuluka kwa Metformin.

Izi pafupifupi sizimalumikizana ndi mapuloteni a plasma. Kudzikundikira kwake kumachitika mu impso ndi chiwindi, komanso mu tiziwalo timene timayambira. Ma metabolabolites mutatenga Glformin sakhazikitsidwa.

Excretion ya metformin imaperekedwa ndi impso. Kwa theka-moyo, zimatenga pafupifupi maola 4.5. Ngati zili impso mu impso, kukondoweza kumatha kuchitika.

Zizindikiro ndi contraindication

Kugwiritsa ntchito Glformin popanda kufunika komanso kuwerengera malangizo kungakhale koopsa thanzi komanso ngakhale moyo. Chifukwa chake, odwala sayenera kuigwiritsa ntchito popanda kusankha dokotala.

Ndikofunikira kuganizira zomwe zikuwonetsa ndi contraindication - pokhapokha chithandizo chidzabweretsa zotsatira zoyenera.

Gawani chida ichi motsatira:

• lembani matenda ashuga a shuga 2 (posakhala ndi zotsatira za mankhwala kuchokera pakudya ndi kumwa mankhwala ena);
• lembani matenda a shuga 1 mellitus (limodzi ndi mankhwala a insulin);

Mankhwalawa amatha kugwiritsidwa ntchito ndi achikulire ndi ana kuyambira zaka 10. A osiyana makonzedwe a mankhwala ndi ntchito monga mbali yophatikiza mankhwala zimachitidwa.

Asanapereke mankhwala, dokotala ayenera kuphunzira ma anamnesis, chifukwa matenda ena ndi chifukwa chokana chithandizo ndi mankhwalawa.

Izi zikuphatikiza:

• ketoacidosis;
• matenda opatsirana;
• matenda a shuga;
• zinthu pafupi ndi chikomokere;
• kuvulala kwambiri kwa chiwindi;
• matenda ovuta a impso;
• kulephera kwa mtima;
• kulephera kupuma;
• vuto la mtima;
• zakumwa zoledzeretsa kapena zakumwa zoledzeretsa;
• kuchitapo kanthu kwa opaleshoni ndi kuvulala kwambiri;
• kudziwa magawo a mankhwala;
• mimba ndi mkaka wa m`mawere;

Munthawi zonsezi, tikulimbikitsidwa kusankha mankhwala ena omwe ali ndi vuto lofananalo, koma osayambitsa zoopsa.

Malangizo ogwiritsira ntchito

Mlingo uyenera kusankhidwa ndi dokotala, poganizira zomwe wodwalayo ali nazo. Nthawi zambiri, kumayambiriro kwa mankhwalawa, kugwiritsa ntchito 0.5-1 g patsiku kumalimbikitsidwa.

Pakupita pafupifupi milungu iwiri, mulingo ungathe kuchuluka. Kuchuluka kwa zinthu zogwira ntchito sikuyenera kupitirira 3 g.

Ndi mankhwala othandizira, tikulimbikitsidwa kumwa mankhwalawa 1.5-2 g. Izi zikuyenera kugawidwa m'njira zingapo.

Okalamba, makamaka omwe kuchuluka kwa zochita zolimbitsa thupi kwambiri, sayenera kumwa mankhwala opitilira 1 g patsiku.

Ndondomeko yotenga Glyformin imatengera zisonyezo zambiri, chifukwa chake dokotala amayenera kuwunika kusintha kwa shuga. Ngati ndi kotheka, sinthani mlingo kuti mupeze zotsatira zabwino. Ndi kusintha kwa moyo wa wodwala, mlingo wake uyenera kuunikidwanso.

Kumwa mapiritsiwa amayenera kukhala nthawi ya chakudya kapena itatha. Sikoyenera kuwaphwanya kapena kuwataya - amameza athunthu, atsukidwa ndi madzi.

Kutalika kwa maphunzirowa kungakhale kosiyana. Pokhapokha ngati pali zovuta komanso mphamvu zambiri, mankhwalawa amatha kumwa kwa nthawi yayitali. Ngati zizindikiro zoyipa zikapezeka, ndibwino kugwiritsa ntchito zina m'malo mwake kuti zisawononge mkhalidwe wa wodwalayo.

Malangizo apadera

Pali magulu ena a odwala omwe ayenera kusamala popereka mankhwala.

Izi zikuphatikiza:

1. Amayi oyembekezera. Mankhwala owopsa a Metformin ndi owopsa kwa mayi ndi mwana wosabadwa sakudziwika, chifukwa palibe kafukufuku yemwe anachitika m'derali. Koma chinthu ichi chimatha kulowa mu placenta. Chifukwa chake, kugwiritsidwa ntchito kwa Glformin panthawi ya gestation kumaloledwa pokhapokha ngati pali milandu yayikulu.
2. Amayi oyamwitsa. Zomwe zimagwiritsidwa ntchito ndi mankhwalawa zimatha kulowa mkaka. Ngakhale kuti palibe zoyipa chifukwa cha izi zimapezeka mwa makanda, ndikosayenera kugwiritsa ntchito mankhwalawa ndi mkaka wa m`mawere.
3. Ana. Kwa iwo, Glyformin si mankhwala oletsedwa, koma kungoyambira zaka 10. Kuphatikiza apo, ndikofunikira kuwerengetsa mosamala mlingo.
4. Anthu okalamba. Ndi wodwala wopitilira zaka 60, mankhwalawa ndi osayenera, chifukwa pamakhala chiwopsezo cha zovuta.

Ndikofunikira kulabadira izi kuti zisawononge wodwala.

Kumutenga Gliformin kumafuna kutsatira njira zina zopewera matenda ndi zovuta za wodwala:

1. Simungagwiritse ntchito mankhwalawa ngati wodwala ali ndi vuto lalikulu pachiwindi.
2. Ndi kulephera kwa aimpso komanso mavuto ena omwe ali nawo, mankhwalawo amayenera kutayidwa.
3. Ngati opaleshoni yakonzekera, ndikosayenera kumwa mapiritsi awa musanadutse komanso mkati mwa masiku awiri otsatira.
4. Kuchulukitsa kwa matenda osachiritsika a chiyambi chopatsirana kapena kukulitsa kachilombo koyambitsa matenda ndi chifukwa chosiya kusiya.
5. Ndikofunikira kuyang'anitsitsa thanzi la odwala omwe akuchita masewera olimbitsa thupi panthawi yanthawi yamankhwala.
6. Mukamagwiritsa ntchito mapiritsiwa, ndikofunikira kuti musiye kumwa mowa.

Izi zidzachepetsa chiopsezo cha zovuta.

Zotsatira zoyipa ndi bongo

Kugwiritsa ntchito kwa Glyformin mu shuga kungayambitse mavuto.

Zomwe zikuluzikulu ndi izi:

• kulumikizana;
• thupi lawo siligwirizana;
• kulawa kwazitsulo mkamwa;
• mavuto m'mimba.

Ngati simutsatira malangizowo, bongo amatha kuchitika. Zotsatira zake zowopsa ndi lactic acidosis, chifukwa chomwe wodwalayo angafe.

Kukula kwake kumawonetsedwa ndi zizindikiro monga:

• kufooka
• kutentha pang'ono
• chizungulire
• kupsinjika
• kupumira msanga
• chikumbumtima.

Izi zikachitika, muyenera kufunsa dokotala. Ngati ndi chizindikiro cha lactic acidosis, Glformin iyenera kusiyidwa.

Kuyanjana Ndi Mankhwala Ndi Analogi

Ngati mugwiritsa ntchito mankhwalawa limodzi ndi mankhwala ena, mawonekedwe a machitidwe ake akhoza kusintha.

Gliformin amayamba kugwira ntchito molimbika ngati agwiritsidwa ntchito limodzi:

• insulin;
• mankhwala osapweteka a antiidal;
• beta-blockers;
• Mao ndi ACE zoletsa, etc.

Kuchepa mphamvu kwake kumawonedwa mukamagwiritsa ntchito glucocorticosteroids, mankhwala a mahomoni, njira zakulera pakumwa pamlomo, ndi zina.

Sizingatheke kutenga Gliformin ndi cimetidine, chifukwa izi zimapangitsa kuti lactic acidosis ipangidwe.

M'malo mwa mankhwalawa, mutha kugwiritsa ntchito zida monga:

1. Glucophage. Gawo lake logwira ntchito limaphatikizidwanso metformin.
2. Metformin. Chida ichi ndi chofanana kwambiri ndi Glformin, koma chili ndi mtengo wotsika.
3. Forethine. Ndi imodzi mwanjira zotsika mtengo kwambiri.

Sikoyenera kuti musankhe mankhwalawa kuti mubweze Glformin nokha - izi zimafuna kusamala. Ndikwabwino kukaonana ndi katswiri.

Maganizo a odwala

Kuchokera pa ndemanga za odwala omwe akutenga Glformin, titha kunena kuti mankhwalawa amachepetsa shuga m'magazi a shuga, koma adanenapo za zotsatira zoyipa, zomwe zimapangitsa kuti zikhale zopanda nzeru kumwa popanda chifukwa (kuchepa thupi).

Dokotalayo adandipeza posachedwa ndimatenda a shuga ndipo adalimbikitsa a Glyformin. Ndimamwa katatu patsiku piritsi. Kukhala bwino kwawoneka bwino, shuga abwerera mwakale, ngakhalenso kunenepa.

Alexandra, wazaka 43

Ndakhala ndi matenda ashuga kwa zaka 8, choncho ndinayesa mankhwala ambiri. Ndimagwiritsa ntchito Gliformin kwa miyezi iwiri, ndikumva bwino. Poyamba panali kusowa kudya komanso nseru, koma patapita milungu ingapo thupi lidazolowera ndipo zidapita. Koma mankhwalawa sanathandize mchimwene wanga - ndinayenera kukana, chifukwa ali ndi kapamba.

Victor, wazaka 55

Ndilibe matenda ashuga, ndinayesa Gliformin kuti ndichepe. Zotsatira zake zinandidabwitsa. Kulemera, kumene, kunachepa, koma mavuto ake adazunzidwa. Kukana kugwiritsa ntchito.

Tatyana, wazaka 23

Ndemanga kanema wa Metmorfin wogwira ntchito kuchokera kwa Dr. Malysheva:

M'mafakitale am'magawo osiyanasiyana, pakhoza kukhala kusiyana kwa mtengo wa mankhwalawa. Palinso kusiyana kwa mtengo kwa Glformin wokhala ndi zinthu zosiyanasiyana zogwira ntchito. Pakatikati, mitengo yake ndi motere: mapiritsi 500 mg - ma ruble 115, 850 mg - 210 rubles, 1000 mg - 485 rubles.