Ana bada shawarar magunguna da yawa ga marasa lafiya da masu ciwon sukari. Ofayansu shine Glucofage tsawon 1000, farashin wanda ke gwada shi da kyau tare da sauran magungunan maganin cututtukan ƙwayoyi. Glucophage ne sau da yawa ana tsara shi ga marasa lafiya da ke da nau'in 1 ko masu ciwon sukari na 2 An nuna nau'in magani na tsawan lokaci ga marasa lafiya da ke fama da cutar sankara, musamman ma a cikin nau'ikan cutar.
Glucophage yana da tasiri mai ma'ana. Yana da babban tasiri ga matakan sukari, yana taimaka wa mara haƙuri rage matakan glucose na jini yayin da yake hana hypoglycemia.
A cikin marasa lafiya da ke da nauyi mai yawa ko kiba a sakamakon shan ƙwayoyi, ana lura da raguwa mai yawa a cikin nauyin jiki saboda ƙona kitse. An ɗanɗana wannan tasirin sakamakon 'yan wasa da ƙwararrun masu motsa jiki waɗanda ke da niyyar rage kitse mai ƙyalƙyali.
Amma, kamar kowane magani, Glucophage ba kawai zai iya taimakawa wajen inganta zaman lafiya ba, har ma da lahani, yana haifar da rikitarwa da sakamako masu illa. Don hana lalacewa kuma kada ku cutar da lafiya, ya zama dole a fahimci yiwuwar haɗarin miyagun ƙwayoyi. Kuma don wannan kuna buƙatar sani game da aikin, kaddarorin da kuma yiwuwar sakamako masu illa.
Tasirin maganin
Magungunan Glucofage Long magani ne don gudanar da maganin baka, wanda ke cikin ƙungiyar biguanide. Babban tasirin miyagun ƙwayoyi shine hypoglycemic, wato, nufin rage girman haɗarin glucose. A lokaci guda, Glucophage, sabanin sauran kwayoyi dangane da abubuwan da suka samo asali na sulfanylurea, baya haɓakar insulin. Sabili da haka, ba a lura da sakamako na hypoglycemic akan jikin mutum mai lafiya ba. A wannan yanayin, marasa lafiya da ciwon sukari suna da damar da za su iya kawar da hyperglycemia, yayin da suke gujewa raguwa mai yawa a cikin matakan glucose - hypoglycemia.
Shan Glucofage shima yana taimakawa wajen shawo kan wata matsalar gama gari da marassa lafiyar ke fama da ita - insulin damar kamuwa da ita. Sakamakon shan magungunan, an dawo da hankalin masu karɓa na kewaye, yana ƙarfafa aiki na glucose.
Glucophage kuma zai iya shafar matakan sukari ta hanyar dakatar da gluconeogenesis, hanyar aiwatar da glucose a cikin hanta. Wannan yanayin yana haɓaka sakamakon juriya na insulin, lokacin da glucose ya fara zama isasshen aiki na sel. Don rashi raunin kuzarin, hanta fara haɓaka ta hanta, yayin shaƙar ta cikin tsokoki yana raguwa. Saboda wannan, maida hankali ya kasance babba. Tunda glucophage yana hana gluconeogenesis, yana taimakawa rage matakan sukari. Koyaya, maganin yana rage jinkirin aiwatar da sha na glucose a cikin hanji.
Babban kayan aiki yana aiki akan glycogen synthetase, don haka inganta ayyukan samar da glycogen.
Bugu da kari, metformin yana da tasirin gaske akan metabolism na lipid: a cikin marassa lafiya, yawan cholesterol, TG da LDL an daidaita su.
Kamar yadda yake tare da gudanar da kwayoyi tare da metformin a matsayin babban sinadari mai aiki, wasu marasa lafiya suna fuskantar raguwa mai yawa a cikin nauyin jikin mutum, kodayake rashi irin waɗannan canje-canjen cikakkiyar al'ada ce ta shan miyagun ƙwayoyi.
Bugu da ƙari, metformin na iya kawar da ci, wanda kuma yana taimakawa rage nauyi, amma wannan tasiri yana da rauni sosai.
Bayanin miyagun ƙwayoyi Glucofage Long
Abun da ke cikin miyagun ƙwayoyi ya haɗa da babban abun ciki - metformin da ƙarin kayan aikin.
Componentsarin abubuwan da aka gyara suna yin ayyuka na taimako.
Hadaddun abubuwan da ke cikin miyagun ƙwayoyi, yin ƙarin ayyuka na iya bambanta cikin kayan haɗin gwargwadon masana'antun magungunan:
Mafi daidaitattun abubuwan da ke tattare da ƙwayar cuta sun ƙunshi waɗannan manyan abubuwan haɗin ciki:
- magnesium stearate;
- hypromellose 2208 da 2910;
- carmellose;
- cellulose.
Ayyukan ƙarin abubuwan haɗin an yi niyya don haɓaka tasirin metformin hydrochloride.
A halin yanzu, ana amfani da maganin a cikin nau'ikan daban-daban: Glucophage da Glucophage Long. Abun da ya shafi magunguna da magunguna iri daya ne. Babban bambanci shine tsawon lokacin aiwatarwa. Dangane da haka, Glucofage Long yana da sakamako mai tsayi. Haɗarin babban abu a wannan yanayin zai zama ɗan ƙarami, amma saboda wannan, ɗaukar zai daɗe, kuma tasirin zai daɗe.
Magungunan Glucofage Long yana samuwa ne kawai a cikin nau'ikan allunan don amfanin ciki. Akwai manyan siffofin guda 3 da suka sha bamban a cikin babban bangaren:
- 500 MG
- 850 MG
- 1000 mg
Mafi girman maida hankali akan aiki na tsawan tsawan ana samun shi a hankali fiye da na Glucofage na yau da kullun - a cikin awanni 7 akan awa 2.5. Ingancin ƙwayar cuta daga metformin ba ya dogara da lokacin cin abinci.
The lokacin kawar da abubuwan da ke cikin miyagun ƙwayoyi shine 6.5 hours. Metformin an cire shi ta hanyar kodan. Tare da cututtukan koda, lokacin kawarwa da sharewar metformin yana raguwa.
Sakamakon haka, maida hankali ga sinadaran aiki a cikin jini na iya ƙaruwa.
Manuniya da contraindications don amfani
Nau'in nau'in ciwon sukari na 2 yana buƙatar cikakken magani.
Tushen aikin likita ba kwayoyi ba ne, amma da farko yanayin canje-canje ne: inganci da abinci iri-iri, yawan amfani da tsaftataccen ruwa (shawarar da aka bayar shine 30 mg / 1 kg na nauyin jiki) da aikin jiki. Amma ba koyaushe waɗannan matakan sun isa su kawo ci gaba ba.
A zahiri, babban nuni ga alƙawarin allurar Glucofage don lura da manya da yara kanana shekaru 10 shine nau'in ciwon sukari na 2, wanda tsarin kula da abinci da wasanni basu taimaka ba wajen cimma tasirin da ake so.
Ana iya tsara magungunan ko dai ta hanyar monotherapy, ko a haɗe tare da magunguna masu maganin antidiabetic daban-daban ko insulin idan mai haƙuri yana buƙatar allurar insulin.
Glucophage Long ba'a wajabta shi ga yawancin cututtuka ko yanayin jikin ba:
- ciwon sukari ko kuma hadarin kamuwa da cuta;
- cututtuka na kodan da hanta a cikin kullun mara lafiya;
- aikin tiyata, idan bayan an sake yin gyara tare da taimakon insulin therapy;
- gazawar na koda (a cikin m siffan);
- shekarun haƙuri (ba a sanya wa jarirai, matasa ba);
- ciki da lactation;
- alerji ga metformin ko kayan taimako na miyagun ƙwayoyi;
- barasa giya da rashin shan barasa;
- lactic acidosis;
- abincin da ba a daidaita shi ba (tare da adadin kuzari na yau da kullun bai wuce 1000 kcal ba).
Ga kowane cututtukan da aka lissafa a sama, bai kamata ku dogara da sa'a ba ku ɗauki maganin. Haɓaka bazai yuwu ba, kuma cutar na iya ɗaukar sabon tsari. Bugu da kari, rikice-rikice a cikin jiki na iya sanya wahalar cire abubuwan da ke cikin miyagun ƙwayoyi daga jikin, wanda zai haifar da yanayin da ke kara dagula yanayin, wanda zai iya zama mai mutuwa. Sabili da haka, bai kamata a yi watsi da cututtuka ta kowane yanayi ba.
Tare da zaɓin da ya dace na yadda ake amfani da miyagun ƙwayoyi, sakamako masu illa suna da ɗanɗano, amma bayyanar su ba za a iya yanke hukunci gaba ɗaya ba. Mafi na kowa sun hada da:
- Rashin damuwa na ciki (gudawa, tashin zuciya, amai, ciwon zuciya).
- Haushi na fata da fata na mucous, itching.
- Rage abinci.
- Cutar amai da gudawa
- Karfe dandano na bakin karfe.
- M rare - hepatitis.
Idan wani sakamako masu illa sun faru, dole ne a dakatar da shan Glucofage nan take kuma nemi likita.
Yarda da Glucofage Tsayi tare da wasu magunguna
Lokacin kulawa da cututtukan cututtukan ƙwayar cuta tare da hadaddun magunguna, yana da mahimmanci la'akari da jituwarsu da Glucophage, saboda wasu haɗuwa suna da haɗari ga lafiyar kuma wani lokacin rayuwar mai haƙuri.
Mafi haɗari shi ne haɗakar magunguna Glucofage Long tare da shirye-shiryen bambanci dangane da aidin, waɗanda ake amfani da su a cikin karatun x-ray. Haɗin wannan haɗari yana da haɗari musamman ga marasa lafiya tare da gazawar rashin koda, saboda yana iya haifar da mummunan yanayi - lactic acidosis.
Idan yayin yin jiyya akwai buƙatar yin gwajin X-ray, to ya kamata a soke karɓar Glucophage kafin ranar jarrabawar aƙalla kwanaki biyu kafin a yi amfani da X-ray da kwana 2 bayansa. Za'a iya dawo da jiyya idan aikin na koda ne na al'ada.
M, amma ba da shawarar ba, shine haɗuwa da Glucophage tare da barasa. Shan giya yana kara haɗarin haɗarin lactic acidosis, don haka don lokacin magani yana da daraja watsi da abubuwan sha da giya.
Tare da taka tsantsan, glucophage na tsawan mataki ya kamata a haɗe shi da wasu rukunin magunguna. Diuretics da metformin yayin ɗaukar shi na iya tayar da haɓakar ci gaban lactic acidosis. Shan Glucophage a lokaci guda tare da insulin, salicylate, abubuwan sulfanilurea na iya haifar da hypoglycemia. Nifedipine, Kolesevelam da wasu wakilai na cationic na iya tayar da haɓakawa a cikin yawan haɗarin metformin.
Umarnin don amfani da allunan
Ka'idojin amfani da miyagun ƙwayoyi suna bayyana a cikin takardun. Cikakken umarnin don amfani yana nuna duk halayen amfani da miyagun ƙwayoyi Glucofage Long, harma da sakamako masu illa.
Ga majinyata da suka fara girma, shawarar da aka bayar da shawarar farko ita ce 1000 mg na maganin a kowace rana. Wannan adadin maganin ya kasu kashi biyu. Idan babu sakamako masu illa, za a iya ƙara yawan lokaci zuwa lokaci zuwa 500-850 MG 2 ko sau 3 a rana. Increasearin yakamata ya faru a hankali, saboda yana ba da gudummawa ga haɓaka sannu a hankali game da haƙuri. Likita na iya yanke shawara daidai yawan maganin. Sashi zai dogara da glucose jini. Matsakaicin adadin ƙwayoyi shine 3 MG kowace rana.
Mafi kyawun sashi don kula da taro na glucose shine 1.5-2 g na miyagun ƙwayoyi. Don haka cin zarafin narkewar hanji bai bayyana ba, ana bayar da shawarar sashi gaba daya na miyagun ƙwayoyi zuwa allurai da yawa.
Ya kamata a dauki Glucophage Long a cikin hanyar magani na yau da kullun na aikin da ba a tsawaita ba - yayin cin abinci ko kuma bayan abinci. Chew, niƙa Allunan ya kamata. Dole ne a ɗauke su gaba ɗaya. Don sauƙaƙe hadiya, zaku iya shan ruwa kaɗan.
Idan an yi maganin farko ta amfani da wani magani wanda ya ƙunshi metformin, zaku iya ci gaba da shan Glucofage Long. Don yin wannan, kawai dakatar da shan maganin kuma fara shan maganin tare da ƙaramin matakin.
Don cimma sakamako mafi kyau, ana iya haɗa Glucofage Long tare da injections insulin. A wannan yanayin, an wajabta mai haƙuri mafi ƙarancin magani na 0.5-0.85 g na miyagun ƙwayoyi don 2-3 allurai. An zabi sashi na insulin daban-daban, gwargwadon maida hankali akan glucose a cikin jini.
Don lura da ciwon sukari a cikin yara 'yan ƙasa da shekara 10, Glucophage Long ba a ba shi izini ba. Daga shekara 10, ana iya tsara maganin duka lokacin monotherapy kuma a hade far. Minimumarancin farawa iri ɗaya ne kamar na masu cutar girma, 500-850 MG. An wajabta insulin dangane da matakin glucose.
Glucophage Long ya yarda da marasa lafiya da shekarunsu suka wuce 60. Kawai yanayin shi ne cewa kuna buƙatar yin gwaje-gwaje aƙalla sau 2 a shekara, ƙayyade aikin ƙodan. Tun da metformin na iya shafar aikin koda, kulawar lafiya ya zama dole.
Lokacin da kake rubuta magani ta amfani da miyagun ƙwayoyi Glucofage Long, kuna buƙatar ɗaukar miyagun ƙwayoyi kowace rana.
Idan saboda kowane dalili to kun tsallake shan maganin, ya kamata ku sanar da likitanka game da wannan.
Nazarin Magani
Magungunan Glucophage Long ana ɗauka ɗayan magunguna masu tasiri don rage matakan glucose. Reviews on wannan magani ne mafi yawa tabbatacce.
Yawancin marasa lafiya sun yi imanin cewa yana da tasiri sosai fiye da yawancin magungunan antiglycemic.
Glucophage Long yana taimakawa sosai ga rage yawan tasirin glucose. Bugu da kari, an wajabta shi don magance cututtukan metabolism, tare da hepatosis mai hanta.
Idan aka kwatanta da sauran kwayoyi, glucophage ba shi da wataƙila yana haifar da sakamako masu illa, saboda haka ana iya ɗauka mafi aminci. Koyaya, yiwuwar bayyanar mummunan sakamako bayan an gudanar da mulki.
Daga cikinsu akwai masu zuwa:
- ciwon ciki
- fata mai ƙyalli;
- cutar gudawa;
- rashin jin daɗi a cikin hanta;
- amai, tashin zuciya.
A cikin wasu marasa lafiya, waɗannan alamun ba su bayyana a sarari ko sun ɓace ba da daɗewa ba bayan fara magani.
Bugu da ƙari, da yawa daga waɗanda suka yi amfani da Glyukofazh sun lura da raguwar nauyin jikin mutum, duk da gaskiyar cewa ba kowa bane ke bin tsarin abinci mai kyau da tsarin horo. Rage nauyi daga 2 zuwa 10 kg.
Rashin magungunan, marasa lafiya sunyi la'akari da buƙatar ci gaba da amfani. Dole ne a dauki Glucophage Long yau da kullun. Idan kun daina shan magani, to nan da nan hanzarin tattara glucose ya sake tashi zuwa matakan da suka gabata.
Tare da amfani da tsawan lokaci, wasu marasa lafiya suna fuskantar tasirin sakamako.
Kudin da miyagun ƙwayoyi Glucofage Long
Ana iya siyan Glucofage Long a kowane kantin magani, amma tare da takardar sayan magani. Zaɓuɓɓukan fitarwa daban-daban sun bambanta cikin farashi.
Misali, Glycophage Long 500 farashin kusan 200 rubles (30 Allunan a kowace fakitin), ko 400 rubles (Allunan 60). Kudin maganin yana iya bambanta dangane da masana'anta da yankin rarraba.
Idan ba zai yiwu ba si iya siyan magungunan da kanta, ko kuma idan an sami sakamako masu illa, zaku iya maye gurbin Glucofage tare da analogues ɗin.
Da farko dai, ya cancanci zabar magunguna dangane da metformin:
- Siofor (500, 850, 1000).
- Metformin.
- Metfogamma.
- Sunan mai suna.
- Gliformin.
- Glycon.
- Bagomet.
- Formin da sauransu
Adana miyagun ƙwayoyi a cikin duhu da wuri mai sanyi (a zazzabi na bai wuce digiri 25 ba). Kada a kai yara. Tsawon lokacin ajiya - bai wuce shekaru 3 ba.
Lokacin ɗaukar Glucofage a sashi fiye da shawarar da aka ba da shawarar, yawan zubar da jini yana yiwuwa. Ko da lokacin shan 85 g na miyagun ƙwayoyi (wato, wuce haddi fiye da sau 40), hypoglycemia ko hypoglycemic coma ba ya faruwa. Amma a lokaci guda, haɓakar lactic acidosis yana farawa. Doaukar ƙarin jini fiye da kima, musamman a hade tare da wasu abubuwan haɗari, yana haifar da lactic acidosis.
A gida, ba za ku iya kawar da alamun cutar yawan ƙwayar cuta ba. Da farko dai, dakatar da shan magungunan, kuma a kwantar da wanda aka cutar. Bayan bayyana cutar don kawar da yawan shan ruwa da kuma karɓar ƙwayoyi, an wajabta wa mai haƙuri maganin hemodialysis da magani.
Bayanai game da tasirin glucophage a jikin mai ciwon sukari a cikin bidiyon a cikin wannan labarin.
