Yanumet 1000 magani ne mai tasiri tare da tasirin hypoglycemic. Ana amfani dashi don magance cututtukan cututtukan da ba na insulin ba.
Sunan kasa da kasa mai zaman kansa
Metformin + Sitagliptin
Yanumet 1000 magani ne mai tasiri tare da tasirin hypoglycemic.
ATX
A10BD07. Yana nufin magungunan baka na hakoran jiki.
Saki siffofin da abun da ke ciki
Akwai shi a cikin nau'in allunan da aka rufe. Kowane kwamfutar hannu ya ƙunshi 64.25 mg na sitagliptin da metformin (1000 mg). Kwamfutar hannu ta ƙunshi adadi kaɗan na abubuwan kwantar da hankula waɗanda ke sauƙaƙa sha da abubuwa masu aiki. Haɗin metformin a cikin nau'ikan kudade na iya bambanta daga 50 MG zuwa 1000 MG.
Membrane fim ya ƙunshi macrogol, dyes.
Aikin magunguna
Ana ɗauka shi azaman magani ne wanda ya haɗu da haɗakar magunguna masu rage sukari guda biyu waɗanda suke daɗaɗɗu. Wannan ya zama dole don inganta ikon haƙuri akan matakan insulin a cikin jini.
Sitagliptin mai hanawa ne na DPP 4. Ana amfani da wannan kayan a cikin jiyya ga mutanen da suke da nau'in ciwon sukari na II II mellitus. Sakamakon yana faruwa ne saboda gaskiyar cewa abu yana kunna incretins. Magungunan suna ƙara yawan ƙwayar plasma na glucagon-kamar peptide-1 da polypeptide insulinotropic-glucose. Wadannan abubuwa bangare ne na tsarin sarrafa glucose.
Metformin yana ƙara juriya ga haƙuri da glucose kuma yana rage haɗuwa da wannan abun a cikin jini.
A ƙarƙashin tasirin sitagliptin, ƙaruwar samuwar glucagon a cikin kyallen hanji yana raguwa. Hanyar hanawa ya bambanta da shirye-shiryen sulfonylurea, wanda shine dalilin da ya sa marasa lafiya ba su da alamun bayyanar cututtukan jini.
A cikin taro mai warkewa, sitagliptin baya rage samuwar wasu peptides masu glucagon.
Metformin sakamako ne na hypoglycemic. Yana kara juriya da haƙuri a cikin glucose kuma yana rage haɗuwar wannan abun cikin jini. Yana kara karfin jijiyoyin jikin mutum zuwa insulin. Kamar sitagliptin, wannan sinadarin ba ya haifar da hypoglycemia lokacin amfani da allurai na warkewa.
Yin amfani da metformin shine mafi kyawu kuma mai aminci idan aka kwatanta da sauran magunguna don maganin ciwon sukari da ƙwaƙwalwar ƙwayar cuta. Abun baya motsa tsokar karuwar insulin a cikin jini.
Pharmacokinetics
Rashin lafiyar bioavailability na sitagliptin shine 87%, kuma yawan cin abinci mai mai ba shi da wani canji a cikin kantin magunguna.
A bioavailability na metformin lokacin shan shi kafin abinci ya kai 60%. Idan an sha maganin tare da abinci, to ana samun karin wadatuwarsa. Wannan gaskiyar dole ne a yi la’akari da shi yayin haɓaka tsarin kulawa da shawarar da aka bayar.
Idan an sha maganin tare da abinci, to ana samun karin wadatuwarsa.
Theaddamar da sitagliptin zuwa sunadarai a cikin plasma kusan kashi 38%. Metformin, zuwa ƙarancin ƙima, yana ɗaure ga furotin plasma. A wani ɓangare kuma na ɗan gajeren lokaci, yana shiga cikin sel jini.
Mafi yawan sitagliptin an fallasa su ne a cikin fitsari ba a canzawa, kuma an kusa cire metformin daga jikin gaba daya kamar yadda aka karɓa lokacin shan shi da bakin.
Alamu don amfani
An nuna shi azaman ƙari ga babban jiyya don maganin ciwon sukari na 2 a cikin mutane waɗanda ba zasu iya samun ingantaccen glycemia da nauyin jiki tare da maganin rage cin abinci ba da kuma dawo da nauyin al'ada. Ana iya haɗe shi da:
- shirye-shiryen sulfonylurea;
- Ma'aikatan rigakafin PPAR-γ (a matsayin ƙari ga abinci mai gina jiki da tsari);
Ana iya amfani dashi don nau'in ciwon sukari na 2 a hade tare da maganin insulin.
Contraindications
Contraindications don shan Yanumet sune:
- ji na jiki don sitagliptin, metformin hydrochloride da sauran abubuwan haɗin maganin;
- marasa lafiya da nau'in ciwon sukari na 1;
- duk wani mawuyacin hali wanda zai iya cutar da aikin sihiri na al'ada;
- rashin ruwa a jiki;
- jihar rawar jiki;
- rauni na zuciya da rashin numfashi, raunin myocardial infarction;
- giya barasa da giya;
- lokacin ciyar da jariri;
- acidosis na rayuwa, ciki har da masu ciwon sukari;
- bincika jikin mutum ta hanyar gabatar dashi a cikin magungunan kansa.
Tare da kulawa
Tare da taka tsantsan, kuna buƙatar yin wannan magani idan akwai matsala koda da raunin hanta (ana rage raguwar sashi).
Yadda ake ɗaukar Janumet 1000
Ya kamata a sha wannan maganin sau 2 a rana. Ya kamata a dauki kwamfutar hannu tare da abinci. An haramta murkushe ko niƙa magani.
Tare da ciwon sukari
Dokar da aka bada shawarar farawa yana da shawarar ne daga likita bayan yin cikakken nazarin yanayin mai haƙuri. Idan har yanzu ana ɗaukar tsarin maganin sulfonylurea, to kuna buƙatar rage ƙarancin Yanumet don kada hypoglycemia ya inganta.
Side effects
Magungunan zai iya haifar da cin zarafin shan bitamin B12, canji a cikin jini. Wani lokacin megaloblastic anemia na tasowa.
Janumet na iya haifar da canji a cikin tsarin jini.
Gastrointestinal fili
A lokacin jiyya, zawo, zazzabi, asarar dandano, bloating na iya faruwa. Rashin damuwa a cikin ciki wani lokacin yakan ci gaba. Da wuya, marasa lafiya suna lura da ɗanɗano da ƙarfe a cikin raunin bakin.
Wadannan abubuwan mamaki suna tafiya a hankali. Don rage ƙarfin su, kuna buƙatar ɗaukar magungunan analgesic, antispasmodics. Yana da wuya a sha magungunan da ba na steroidal anti-inflammatory ba.
Daga gefen metabolism
Hypoglycemia na faruwa da wuya kuma kawai sakamakon rashin kyakkyawan maganin na miyagun ƙwayoyi tare da analogues na sulfonylurea. Alamar hauhawar jini ya bayyana sosai da sauri. Wani gumi mai sanyi ya bayyana a cikin mara lafiya, fuskarsa tayi jajir, tsananin jin yunwar ya bayyana. An lura da yanayin tashin hankali da rashin iya aiki. A lokuta masu tsauri, ya rasa hankali.
Don sauƙaƙa alamun bayyanar cututtuka na rashin daidaituwa, kuna buƙatar ba mai haƙuri ɗan ɗanɗano. Mai tsauraran lokuta ana tsayar da shi ne kawai a asibiti.
A ɓangaren fata
Da wuya sa fata tayi da kumburi.
Daga tsarin zuciya
Rashes na saukar karfin jini ba wuya.
Daga halayen rashin lafiyan, fitsari a kan fata mai yiwuwa ne.
Cutar Al'aura
Daga halayen rashin lafiyan, fitsari a kan fata mai yiwuwa ne. Yiwuwar irin wannan halayen yana ƙaruwa da matar tsohuwa.
Tasiri kan ikon sarrafa abubuwan inji
Domin Tunda maganin yana da ikon haifar da hypoglycemia, har tsawon lokacin magani yana da kyau ku ƙi fitar da mota kuma kuyi aiki tare da ƙayyadaddun hanyoyin.
Umarni na musamman
Yi amfani da lokacin daukar ciki da lactation
Yayin gestation, maganin yana halatta kawai lokacin da babu sauran barazanar da yarinyar ke ciki. A lokacin jiyya, ya kamata a sauya jariri zuwa hanyar da ba ta dace ba.
Alkawarin Yanumet ga yara 1000
Babu bayanai game da amfani da miyagun ƙwayoyi a cikin ilimin yara.
A lokacin jiyya, ya kamata a sauya jariri zuwa hanyar da ba ta dace ba.
Yi amfani da tsufa
Wajibi ne a rage sashi na maganin saboda canje-canje a cikin aikin shi.
Aikace-aikacen aiki mara kyau
A ƙarshen matakan ƙarewar koda, an haramta wannan maganin, saboda yawancinsa yana fitowa cikin fitsari. Cututtukan cututtukan cututtukan ƙwaƙwalwa da na yau da kullun suna buƙatar iyakancewar kashi don hana maye.
Amfani don aikin hanta mai rauni
Ba a yarda da maganin ba ga mutanen da ke fama da tsananin lalata hanta.
Yawan damuwa
Lactic acidosis yana haɓaka. Nan da nan gabanin ci gaban lactic acidosis, akwai aura. Tana bayyana kanta cikin tsawa da yawan jan numfashi.
Haɓakar haɓakar lactic acidosis yana ƙaruwa a cikin mutane tare da nau'ikan nau'ikan rashin zuciya.
Haɓakar haɓakar lactic acidosis yana ƙaruwa a cikin mutane tare da nau'ikan nau'ikan zuciya, koda, da gazawar hanta. Tare da haɓaka rashin ruwa, yunwar oxygen, dole ne a soke magani nan da nan.
An kula da yawan abin sama da ya kamata ta hanyar hemodialysis.
Yin hulɗa tare da wasu kwayoyi
Wadannan kwayoyi masu zuwa suna rage tasirin miyagun ƙwayoyi:
- diuretic thiazide;
- kwayoyin hodar iblis;
- maganin hana haihuwa;
- tausayawa;
- Isoniazid.
Amfani da barasa
Giya na inganta abubuwan metformin da rushewar lactic acid. Koda ƙananan allurai na giya suna kara haɗarin lactic acidosis.
Analogs
Kwayoyi masu canzawa waɗanda suke da irin wannan kaddarorin sun haɗa da:
- Avandamet;
- Vokanamet;
- Glibomet;
- Glucovans;
- Gentadueto;
- Dianorm;
- Dibizide;
- Yanumet Tsayi;
- Sinjardi.
Yanayin hutu Yanumeta 1000 daga kantin magani
Ana iya siyan sa kawai ta hanyar samar da takardar sayen magani.
Zan iya siye ba tare da takardar sayan magani ba
Banda
Farashin Yanumet 1000
Allunan 56 - kusan 2200 rubles.
Yanayin ajiya na miyagun ƙwayoyi
Adana a cikin duhu wuri daga yara.
Ranar karewa
Babu fiye da shekaru 2.
Yanumet mai gabatarwa 1000
"Pateon na Puerto Rico, Inc.", Puerto Rico.
Nazarin likitoci game da Yanumet 1000
Irina, 55 shekara, endocrinologist, Nizhny Novgorod: "Wannan magani ya rage karfin glucose na jini a cikin mutanen da ke fama da ciwon sukari na 2. Ban lura da wani sakamako ba yayin cutar, saboda duk marasa lafiya sun sha maganin da aka ba da shawarar kawai. Allunan Yanumet yana da kyau daidai maganin ƙwayar cuta da hana haɓakar cututtukan ciwon sukari. "
Oksana, dan shekara 34, likitan diabetologist, Moscow: "Wannan wata kyakkyawar hanya ce ga amfani da magungunan hana haihuwa cikin jini tare da maganin sulfonlurea. Wannan kwayar tana da kyau ta sarrafa cutar kanjamau kuma tana hana ci gaban yanayin barazanar rayuwa. Ban ga ci gaban haila ba a yayin aikin. Marasa lafiya suna samun ci gaba."
Neman Masu haƙuri
Alexander, dan shekara 55, Moscow: "Da taimakon Yanumet, na sami damar ci gaba da kirga yawan sukari na tsawon lokaci mai tsawo. Ba kamar sauran magunguna ba, ba ni da cutar tarin kumburi. Yanayin lafiya na yana da kyau, na samu karfi, na ci gaba da jin yunwa."
Olga, ɗan shekara 49, St. Petersburg: “Wannan magani ya inganta lafiyata, ina jin ciwo a ƙarshena, ya fara zuwa banɗaki sau da yawa a cikin dare. Yanzu na lura cewa idona ya inganta kaɗan bayan Yanumet. babu tsalle-tsalle a fuskoki daban-daban, babu hauhawar jini bayan fara magani. "
Oleg, mai shekara 60, Stavropol: “Lokacin da na sha magani, na lura da wani ci gaba a cikin lafiyata. Kusan na daina zuwa banɗaki a cikin dare, ikona ya inganta .. Ina ƙara magani na da abinci daidai kuma na manta gaba ɗaya game da zub da jini. Barci na yayi daidai kuma ana samun barkewar tashin hankali. Na lura da yarda da aiki na zahiri. "
