Gliformin magani ne na hypoglycemic don amfani da baki, yana cikin rukunin biguanides. Magungunan yana hana glycogenesis a cikin hanta, rage sha, yana ƙaruwa da hankalin jijiyoyin zuwa insulin na hormone, da haɓaka amfani da sukari na yanki.
A lokaci guda, maganin ba shi da ikon yin tasiri ga samar da insulin, yana rage adadin triglycerides, ƙarancin lipoproteins, kuma yana nuna alamun nauyi. Bugu da ƙari, saboda hanawar hanawar plasminogen ta hanyar nau'in nama, tasirin fibrinolytic yana faruwa.
Don kunshin ɗayan magani a cikin murfin fim, mai haƙuri ya kamata ya ba da kusan 300 rubles, allunan Gliformin tare da raba facet farashin game da 150 rubles. Yin bita game da miyagun ƙwayoyi sun kasance mafi yawan gaske tabbatacce, ba da wuya ya ba da halayen da ba a so ga jiki.
Aikin magunguna
Ana iya siyar da maganin a cikin magunguna daban-daban: 250, 500, 850 da 1000 mg. Babban kayan aiki na maganin shine metformin. Ana samun tasirin magani lokacin da mai ciwon sukari yaci gaba da samarda insulin nasa ko kuma ana amfani da wannan kwayar.
Fitowa:
- sihiri;
- dankalin dankalin turawa;
- stearic acid;
- povidone.
Magungunan suna cikin ƙwayar hanzarin ƙwayar ƙwayar jijiyoyin ƙwayar hanji, ana lura da mafi girman yawan sa'o'i biyu bayan shan allunan. Rashin bioavailability na hydrochloride zai zama kusan 50-60%, kayan ba ya haɗuwa da furotin. Daga jikin mutum, ana fitar da maganin a asalinsa.
Tare da ciwon sukari, ana ɗaukar Gliformin kawai da baka. Yakamata yasan cewa tsarin aikinsa baiyi cikakken nazari sosai ba. Bayan shiga cikin jini, abu mai aiki na miyagun ƙwayoyi ya shiga cikin irin waɗannan hanyoyin:
- hanzarta rushewar carbohydrates;
- raguwa a cikin adadin glucose da ke fitowa daga hanji;
- dakatar da samar da kwayoyin glucose a cikin hanta.
Yin amfani da miyagun ƙwayoyi don ciwon sukari da matakai daban-daban na kiba yana haifar da raguwar nauyin jiki da ci. Umarnin don yin amfani da miyagun ƙwayoyi ya ce sinadarin mai aiki na metformin na miyagun ƙwayoyi yana taimakawa narkewar ƙwanƙwasa jini, yana hana adon jikin platelet.
Umarnin don amfani da allunan
Alamu don amfani da miyagun ƙwayoyi sune nau'in sukari na 2 na ciwon sukari, lokacin da tsayayyen abincin da kwayoyi na ƙungiyar sulfonylurea basu da tasiri da ake so. Hakanan ana wajabta Glyformin don kamuwa da ciwon sukari na 1 a matsayin haɗin kai don injections na insulin.
Yayin aikin, dole ne a sa ido kan ayyukan kodan, aƙalla a kowane watanni 6 ana bada shawara don yin bincike don tantance maganin lactate a cikin jini.
Allunan za a iya bugu yayin abinci ko bayan abinci, ainihin lokacin da ya kamata ya wajabta shi daban-daban daga likitan halartar, la'akari da sakamakon gwajin sukari na jini:
- a farkon farawa, kashi bai wuce gram 1 a rana ba;
- bayan kwanaki 15, adadin kudaden yana ƙaruwa.
Daidaitaccen matakin kiyayewa bai wuce 2 grams a rana ba, dole ne a rarraba shi akan allurai da yawa. Masu ciwon sukari na tsufa a kowace rana ana bada shawara don ɗaukar nauyin 1 gram na miyagun ƙwayoyi.
Idan likita ya tsara Gliformin don ciwon sukari, mai haƙuri ya kamata ya san cewa allunan na iya haifar da adadin mummunan halayen jiki. A wani ɓangare na tsarin endocrine, hauhawar jini yana haɓaka, a ɓangaren ɓangaren ƙwayar jini yana yiwuwa, a ɓangare na rashi bitamin metabolism yana faruwa. Jiki wani lokacin yakan amsa magunguna tare da halayen rashin lafiyan:
- urticaria;
- fata mai ƙyalli;
- rashes.
Daga gabobin ciki na ciki akwai cin abinci, zawo, amai, dandano mai ƙarfe a cikin bakin.
Idan wani mummunan halayen ya faru, yana nuna ƙin karɓar magani tare da Gliformin, nemi likita.
Magungunan Gliformin (ana ba da umarnin sa a yanar gizo) ana iya amfani dashi don lalacewar matsakaici na matsakaici, amma kawai cikin rashin yiwuwar karuwa a cikin lactic acidosis. A wannan yanayin, ana lura da aikin koda koda yaushe (aƙalla sau ɗaya a kowane watanni 3-6), lokacin da keɓancewar creatinine ya ragu zuwa matakin 45 ml / min, an dakatar da magani nan da nan.
Idan an rage aikin koda a cikin masu ciwon sukari na gaba, sashi na metformin yana buƙatar gyara.
Contraindications, hulɗa da miyagun ƙwayoyi
Bai kamata a rubuta Gliformin don ketoacidosis ba, cututtukan hanta na koda, cututtukan koda, zuciya, gazawar ƙwayar cuta, a lokacin daukar ciki, shayarwa, rashin ƙarfi daga myocardial, hankalin mai wuce gona da iri ga abubuwan da ke cikin miyagun ƙwayoyi.
An tsananta ɗaukar magani don cututtukan cututtukan etiology, kafin mummunan aikin tiyata.
Tasirin maganin zai iya raguwa tare da magani na layi daya:
- magungunan glucocorticosteroid;
- kwayoyin hodar iblis;
- kamuwa da cuta;
- nicotinic acid;
- lokacin shan magungunan baka.
Idan ana amfani da metformin tare da insulin, abubuwan da ake amfani da sulfonylurea, magungunan anti-mai kumburi, da kuma beta-blockers, akwai damar samun karuwa sakamakon sa.
Tsaunin Gliformin
A wasu halaye, mai haƙuri tare da ciwon sukari ana nuna Gliformin tsawanta - Gliformin tsawanta. Ana ɗauka ta baka, an wanke shi da isasshen ruwan. Kayan aiki na iya taimakawa a kan kansa ko kuma zama wani ɓangare na maganin warkewa.
Idan mai ciwon sukari bai taɓa shan metformin ba, ana ba shi shawarar farko na 750 MG sau ɗaya a rana. Bayan makonni 2, likita zai daidaita sashi (ɗauki 2 Allunan na 750 MG), dangane da sakamakon gwajin sukari. Tare da jinkirin karuwa a cikin adadin ƙwayoyi, akwai raguwar halayen marasa kyau daga tsarin narkewa, musamman, zazzabin cizon sauro ya ɓace.
Lokacin da shawarar da aka ba da shawarar ba ta ba da damar cin nasarar sarrafa glycemia na yau da kullun, ya zama dole a ɗauki matsakaicin sashi - allunan 3 na 750 MG na tsawon lokaci sau ɗaya a rana.
Masu ciwon sukari waɗanda ke shan metformin a cikin hanyar wakili na saki na yau da kullun:
- sha Ci gaba a cikin wani daidai sashi;
- idan sun dauki fiye da 2000 MG, ba a ba da izinin canzawa zuwa tsawan tsari na miyagun ƙwayoyi ba.
Don cimma iyakar sarrafa glycemic, ana amfani da metformin da insulin na hormone a matsayin magani hade. Da farko, ɗauki madaidaicin adadin magani (1 kwamfutar hannu 750 MG) a lokacin abincin dare, kuma dole ne a zaɓi adadin insulin daban-daban, gwargwadon sukari na jini.
Matsakaicin kowace rana, yana halatta a ɗauki fiye da 2250 MG na magani, sake dubawar likitoci sun nuna cewa, idan har ana kula da yanayin jikin yadda yakamata, zai yuwu canzawa zuwa shan magunguna tare da sakin tsoka na yau da kullun metformin a sashi na 3000 MG.
Yana faruwa da mara lafiya ya rasa shan maganin, wanda idan aka nuna shi zai dauki kwamfutar hannu na gaba na magani a lokacin da ya saba. Ba za ku iya ɗaukar ninki biyu na metformin ba, wannan zai haifar da ci gaban halayen da ba su da kyau, yana haifar da alamun ciwon sukari, wanda bai kamata a ƙyale shi ba.
Dole ne a dauki Glyformin Prolong a kowace rana, don guje wa hutu.
Mai haƙuri ya kamata ya sanar da likitan halartar game da dakatar da magani, gano ra'ayinsa.
Analogs, sake dubawa na likitoci
Saboda kasancewar contraindications, maganin bai dace da marasa lafiya da yawa ba, a wannan yanayin akwai buƙatar zaɓar analogues na miyagun ƙwayoyi, sun kuma ƙunshi adadin daban-daban na abu mai aiki (250, 500, 850, 1000). Gliformin na iya kasancewa tare da kwayoyi:
- Glucoran;
- Metformin Teva;
- Diaberitis
Masu ciwon sukari da suka riga sun yi amfani da maganin Gliformin suna nuna alama tana da yawan yuwuwar wuce haddi. A mafi yawan lokuta, wannan yana faruwa ne saboda rashin amfani da maganin.
Yawan abin sama da ya kamata na iya haifar da ci gaban irin wannan yanayin a matsayin lactic acidosis. Babban bayyanannunsa: jin zafi, amai, tashin zuciya, rashin lalacewa. Lokacin da irin waɗannan bayyanar cututtuka suka bayyana, ana bada shawara a daina shan magani.
Likitoci sun ce miyagun ƙwayoyi Gliformin yana maganin cututtukan ƙwayar cutar sankara yayin da ya dace, idan har ana lura da shawarar da aka bayar da shawarar sosai. Wani ƙari na maganin shine farashin mai dacewa da kuma kasancewa a cikin magunguna.
Endocrinologists yayi kashedin cewa a duk tsawon lokacin da ake ba da magani ana buƙatar ɗaukar matakan gwaje-gwaje don matakan ƙwayoyin serum creatinine. Kada a dauki magungunan Glyformin don ciwon sukari tare:
- tare da shan giya;
- kwayoyi masu ɗauke da ethanol.
Abin baƙin ciki, ciwon sukari ya zama cuta gama gari, kuma tsakanin matasa. Don neman magani, ya zama dole don rubanya magani wanda ke taimakawa wajen daidaita matakin glycemia, ɗayan waɗannan kwayoyi sun kasance Glyformin. Idan an bi umarnin don amfani daidai, sakamakon maganin yana faruwa a cikin ɗan gajeren lokaci.
Ana ba da bayani game da magunguna masu rage sukari a cikin bidiyon a cikin wannan labarin.
