Wani nau'in insulin mai cin gashin kansa ana nuna shi ta wani bangare na dakatar da samar da hodar dake rage sukari. Ana amfani da maganin Metformin don maganin ciwon sukari na 2 idan ba zai yiwu a kula da ƙimar glucose a cikin iyakantaccen al'ada ba (3.3-5.5 mmol / lita) ta amfani da abinci na musamman da motsa jiki.
Saboda shaharar duniya, ana ƙera Metformin a ƙarƙashin sunayen iri daban-daban. Shin wannan wakili na hypoglycemic da gaske yana rage yawan sukarin jini, da yadda ake ɗaukar Metformin tare da ciwon sukari, wannan labarin zai faɗi.
Babban bayani game da miyagun ƙwayoyi
Iyakar abin da wakilin ajin biguanides shine metformin hydrochloride. Abubuwan da ke aiki da ƙwayar Metformin suna da kyawawan kaddarorin kuma ɓangare ne na wasu magunguna masu rage sukari, waɗanda ke bambanta da farashi.
A cikin nau'in 1 na ciwon sukari, dole ne a yi allurar insulin akai-akai don hana hauhawar hyperglycemia. A cikin marasa lafiya da ke dauke da ciwon sukari na 2, metformin yana taimakawa da sauri don rage matakan glucose ba tare da jagorantar yanayin hypoglycemic a cikin mutane masu lafiya ba.
Magungunan mai ciwon sukari suna aiki a matakin salula, yana kara haɓakar ƙwaƙƙwaran ƙwayoyin cuta zuwa insulin. A jikin mutum, lokacin shan kwayoyin, canje-canje masu zuwa suna faruwa:
- rage yawan samar da glucose na hanta;
- haɓakar yiwuwar ƙwayoyin zuwa hormone;
- ragewa da shan gulukos a cikin karamin hanji;
- kunnawa kan aiwatar da hadawan abu da iskar shaka;
- ƙananan ƙwayoyin cuta.
Kulawa na yau da kullun tare da Metformin yana taimakawa ba kawai hana haɓaka sukari na jini ba, har ma yaƙar kiba. Dukkan godiya ga dukiyar magungunan don rage ci.
Metformin kuma yana rage hawan jini da samuwar plato atherosclerotic, da rage hadarin zuciya da cututtukan jijiyoyin jiki tare da ci gaban ciwon sukari na 2.
Umarnin don amfani da allunan
Babban nuni da cewa kuna buƙatar shan Metformin shine ciwon sukari na 2, wanda rikitarwa ta wuce kima, lokacin cin abinci da aikin jiki ba su taimaka wajen rage yawan ƙwayar cuta ba.
Kafin shan Metformin don kamuwa da ciwon sukari na 2, lallai ne ya kamata ku nemi shawarar endocrinologist. Likita, yana yin la’akari da abubuwan da ke cikin glucose da kuma lafiyar kowa na mai haƙuri, ya tsara magunguna kuma ya kayyade sashi. Bayan sayan maganin, ya kamata a bincika takaddun rubutun a hankali.
Ya danganta da abun da ke aiki na mai aiki da karfin jiki, akwai magunguna daban-daban:
- Kwayoyin 500 MG: allurai na yau da kullun daga 500 zuwa 1000 MG. A farkon farawar, bayyanar sakamako masu illa da ke tattare da rashi mai yiwuwa. Irin waɗannan hanyoyin suna faruwa ne saboda jikin mutum ya sami amfani da sashin ƙwayar mai aiki. Bayan makonni 2, halayen marasa kyau sun tsaya, don haka ana iya ƙara kashi zuwa 1500-2000 MG kowace rana. An ba shi damar ɗaukar nauyin 3000 MG kowace rana.
- Allunan kwalaji 850: a farko, maganin shine 850 MG. Da zaran jikin mai haƙuri ya dace da aikin miyagun ƙwayoyi, zaku iya ƙara yawan ci ta hanyar cin 1700 MG kowace rana. Matsakaicin yawan maganin Metformin ga masu ciwon sukari ya kai 2550 MG. Ba a ba da shawarar marasa lafiya na tsufa ba su wuce kashi na 850 MG.
- Allunan kwayar MG 1000: a farko, maganin shine 1000 MG, amma bayan makonni 2 ana iya ƙara zuwa 2000 MG. Iyakar damar zuwa cinye 3000 MG.
- Cikakken amfani da ilimin insulin: farkon farawa na Metformin shine 500 ko 850 mg. Yaya ake buƙatar insulin don inje, likitan da ke halartar ya zaɓa.
Allunan kwayar Metformin ba za a iya tauna ba, an hadasu duka, an wanke su da ruwa. Dole ne a bugu da ƙwayoyi a lokacin ci ko bayan abinci.
Lokacin sayen magani, ya kamata ka kula da ranar karewa da aka nuna akan kunshin. Ana kulawa da ita a cikin wuri mai sanyi mai nisa daga ƙananan yara.
Contraindications da m halayen
Shigar da umarnin ya ƙunshi jerin abubuwan contraindications da sakamako masu illa.
Sabili da haka, mai haƙuri ya kamata yayi gargaɗi game da duk cututtukan da ke hade da ciwon sukari mellitus a alƙawarin likita. Wataƙila mai haƙuri zai buƙaci yin gwaji.
Umarnin ya bayyana a fili cewa amfani da allunan ciwon sukari Metformin an haramta shi idan shekarun masu haƙuri basu kai shekaru 10 ba.
Hakanan, baza ku iya shan kwayoyin magani tare da:
- gazawar koda (creatinine a cikin mata - fiye da 1.4 ml / dl, a cikin maza - fiye da 1.5 ml / dl; ƙaddamar da creatinine - ƙasa da 60 ml / min);
- hankalin mutum ga metformin hydrochloride da sauran abubuwan magungunna;
- yanayin da ke haifar da abin da ya faru na lactic acidosis (rashin ruwa, gazawar zuciya, gazawar numfashi, matsanancin myocardial infarction, m cerebrovascular accident);
- take hakkin hanta (digiri na biyu da ƙari gazawar hanta bisa ga -aukar-Pugh);
- gudanarwa na tsawon kwanaki 2 kafin kuma bayan x-ray, gwajin radioisotope tare da gabatar da sabanin matsakaici;
- mummunan raunin rauni da kuma ayyukan tiyata;
- lactic acidosis, musamman a cikin tarihi;
- rage cin abinci mai kalori, wanda zai baka damar daukar 1000 kcal a rana;
- ketoacidosis na masu fama da ciwon sukari, da kuma masu ciwon suga.
- dauke da yaro da shayarwa;
- barasa maye.
Mai ciwon sukari wanda bai dauki Metformin kamar yadda likita yayi shawarar ba na iya haifar da sakamako masu illa.
- Rashin CNS: cin zarafin dandano mai ɗanɗano.
- Rashin ƙwayar jijiyoyin ƙwayar cuta: zafin ciki, ƙarancin gas, gudawa, tashin zuciya, amai, rashin ci. Don rage zafin bayyanar cututtuka, kuna buƙatar rarraba magungunan cikin sau da yawa.
- Rashin ƙwayar cuta ta metabolismic: ci gaban lactic acidosis a cikin ciwon sukari.
- Tabarbarewar tsarin hematopoietic: faruwar cutar megaloblastic.
- Allergic halayen: fatar fata, erythema, pruritus.
- Dysfunction hanta: take hakkin manyan alamu da hepatitis.
- Rashin samun bitamin B12.
Idan an lura da alamun bayyanar da ke sama a lokacin warkarwa, ya kamata ku daina amfani da allunan kuma ku nemi taimakon likita da wuri-wuri.
Kudin, sake dubawa, analogues
Shirye-shiryen da suka ƙunshi metformin hydrochloride galibi suna zuwa ga tsakiyar aji. Kuna iya ajiye kuɗi ta hanyar sayen magungunan masu ciwon sukari akan layi. Don Metformin, farashin ya dogara da sashi:
- 500 MG (Allunan 60) - daga 90 zuwa 250 rubles;
- 850 MG (allunan 60) - daga 142 zuwa 248 rubles;
- 1000 mg (60 Allunan) - daga 188 zuwa 305 rubles.
Kamar yadda kake gani, farashin wakilin hypoglycemic wakili bai da girma sosai, wanda shine babban ƙari.
Nazarin haƙuri game da ƙwayoyi suna da inganci galibi Metformin yana rage matakan sukari daidai kuma baya haifar da hypoglycemia. Likitocin sun kuma amince da amfani da magungunan maganin cututtukan cututtukan fata. Yin amfani da Metformin na yau da kullun don rigakafin cututtukan zuciya ya biya.
Wasu mutanen da basu da ciwon sukari suna shan magani don rage nauyin su. Masana sun ba da shawarar yin amfani da wannan magani don asarar nauyi ga mutane masu lafiya.
Babban gunaguni suna da alaƙa da narkewar ƙwayar cuta, wanda ke faruwa saboda jiki ya saba da abu mai aiki. A wasu nau'ikan marasa lafiya, alamomin suna yin faɗakarwa sosai har suka daina shan Metfomin don rage yawan glucose.
Wani lokaci akwai buƙatar zaɓar analog - kayan aiki wanda ke da irin kayan aikin warkewa. Amma yadda za a maye gurbin Metformin? Akwai magunguna da yawa waɗanda suke da irin wannan sakamako na warkewa:
- Metformin Richter;
- Metformin-Teva;
- Novo-Metformin;
- Langerine;
- Dianormet;
- Tsarin Pliva;
- Siofor;
- Metfogamma;
- Novoformin;
- Diafor;
- Orabet;
- Diaformin;
- Glucophage;
- Bagomet;
- Glyformin;
- Glucovans.
Wannan ba cikakkun jerin samfuran da aka yi amfani dasu don rage sukari ba. Likita mai halarta zai taimake ka ka zabi mafi inganci don maganin ciwon sukari na 2.
Metformin magani ne mai inganci wanda ke inganta amsawar ƙwayoyin masu niyya ga insulin. Yin amfani da Metformin yana magance glycemia, yana hana haɓakar rikice-rikice kuma yana daidaita nauyin mai haƙuri. Don ci gaba da kula da ciwon sukari, duk shawarwarin da ƙwararren likita yakamata a bi, kuma idan ya cancanta, zaɓi analog mai tasiri.
Kwararre a cikin bidiyon a cikin wannan labarin zai ba da labarin game da rage ƙwayar sukari na Metformin.
