Duk da kyawawan kaddarorin magungunan, Glucophage, tasirin sakamako wanda ya kamata kowa ya sani, yana da wasu fasalolin amfani.
Bugu da kari, masana'antun sun samar da Glucophage Long, magani ne na baki wanda ake amfani dashi don kara tasirin masu karɓar rayayyar hormone, da kuma amfani da glucose ta sel.
Wannan labarin zai taimaka fahimtar irin waɗannan mahimman batutuwan kamar fasalin amfani, tasirin sakamako daga glucophage, contraindications, sake dubawa, farashi da analogues.
Kayan magunguna
An nuna Glucophage na miyagun ƙwayoyi don cututtukan da ba su da insulin-insulin, lokacin da aiki na jiki da abinci mai gina jiki na musamman ba sa taimakawa ƙananan matakan glucose. Umarnin ya ce wakili na maganin alurar cuta yana tasiri a cikin kiba idan aka inganta juriya ta biyu. A aikace, ana haɗe shi da duka maganin insulin da magunguna masu rage yawan sukari.
Mai sana'anta ya samar da wakilin maganin cututtukan Glucophage a cikin kwamfutar hannu nau'in magunguna daban-daban: 500, 850 da 1000 mg. Babban bangaren maganin shine metformin hydrochloride - wakilin sashen biguanide. Kowane kwamfutar hannu na miyagun ƙwayoyi ya ƙunshi abubuwa kamar povidone, macrogol (4000, 8000), hypromellose da magnesium stearate.
Wani nau'in sakin fuska na musamman magani ne mai dorewa. Allunan an samar dasu a allurai daban-daban (Glucofage Long 500 da Glucofage Long 750).
Glucophage baya haifar da ci gaban hypoglycemia, kuma babu kuma tsalle-tsalle masu tsinkaye a alamomin glucose na jini. Lokacin ɗaukar Glucofage a cikin mutane masu lafiya, babu raguwa a cikin glycemia da ke ƙasa da ƙimar 3.3-5.5 mmol / L. Normalization na sukari abun ciki ana samun shi saboda abubuwan da ke gaba na miyagun ƙwayoyi:
- Samun insulin ta hanyar ƙwayoyin beta.
- Susara yawan mai saurin rikitarwa na "ƙwayoyin manufa" na furotin da ƙwayoyin adipose zuwa insulin.
- Hanzarta aiki na sugars ta hanyar tsokoki.
- Rage narkewar carbohydrates ta tsarin narkewa.
- Rage yawan adon glucose a cikin hanta.
- Inganta metabolism.
- Rage yawan haɗari na cholesterol, ƙarancin lipoproteins mai yawa da triglycerides.
- Rage nauyi a cikin marasa lafiya tare da matsanancin kiba (Glucofage acidates acid acids masu kiba).
Tare da amfani da baka na Glucofage metformin, hydrochloride yana saurin narkewa a cikin ƙwayar gastrointestinal, kuma ana lura da matsakaicin abun ciki bayan sa'o'i biyu da rabi. Glucophage Long, ya yi akasin haka, yana ɗaukar tsawon lokaci, don haka ana ɗaukar sau 1-2 kawai a rana.
Abubuwan da ke aiki basu da ma'amala tare da sunadarai, cikin hanzari yada zuwa dukkanin tsarin jikin salula. An cire Metformin tare da fitsari.
Mutanen da ke shan wahala daga lalata koda, ya kamata su san da yiwuwar hana shan miyagun ƙwayoyi a cikin kyallen.
Umarnin don amfani da allunan
An sayi magunguna biyu (Glucophage da Glucophage Long) a cikin kantin magani, suna da takardar sayen maganin endocrinologist tare da su. Likita ya ba da umarnin kwatankwacin adadin glucose da alamu a cikin masu ciwon sukari.
A farkon farawa, ana bada shawara don cinye 500 MG sau biyu-sau uku a rana. Bayan sati biyu, an yarda ya kara sashi. Ya kamata a lura cewa bayan shan Glucofage kwanaki 10-14 na farko akwai sakamako masu illa waɗanda ke hade da daidaitawar jiki ga ɓangaren aiki. Marasa lafiya sun koka da wani batun cin abinci mai narkewa, wato, hare-hare na tashin zuciya ko amai, maƙarƙashiya, ko kuma, biyun, zawo, ɗanɗano mai ƙarfe a cikin ramin bakin.
Sigar kiyayewa shine 1500-2000 MG kowace rana. Don rage sakamako masu illa daga shan miyagun ƙwayoyi, kuna buƙatar rarraba kashi na yau da kullun sau 2-3. Ana ba da izini a kowace rana don cinyewa har zuwa 3000 MG.
Idan mai haƙuri ya yi amfani da wani magani na maganin ɓacin rai, to, yana buƙatar soke abincinsa kuma ya fara jiyya tare da Glucofage. Lokacin haɗuwa da miyagun ƙwayoyi tare da maganin insulin, ya kamata ku bi wani magani na 500 ko 850 mg sau biyu ko sau uku a rana, kazalika da 1000 mg sau ɗaya a rana. Mutane daban-daban da suka sha wahala daga na koda ko wasu cututtuka na koda, yana da kyau a zabi kashi na maganin a cikin daban. A irin waɗannan halayen, masu ciwon sukari suna auna creatinine sau ɗaya a kowane watanni 3-6.
Yi amfani da Glucofage Long 500 ya zama dole sau ɗaya a rana da yamma. Gyara magunguna yana faruwa sau ɗaya a kowane mako biyu. An hana Glucophage Long 500 amfani da fiye da sau biyu a rana. Game da sashi na 750 MG, ya kamata a lura cewa matsakaicin kashi shine sau biyu a rana.
Ga marasa lafiya na ƙuruciya da samari (fiye da shekaru 10) an ba shi izinin cinyewa har zuwa 2000 MG kowace rana. Ga marasa lafiya da shekarunsu suka wuce 60, likita ya zaɓi sashi daban-daban saboda yiwuwar raguwar aikin koda.
Allunan an wanke su da gilashin ruwa a fili, ba tare da cizo ko tauna ba. Idan kun tsallake shan magani, ba za ku iya ninka biyu ba. Don yin wannan, dole ne a ɗauka nan da nan gwargwadon kashi na Glucofage.
Ga waɗancan marasa lafiya waɗanda suka sha fiye da 2000 na glucophage na glucophage, babu buƙatar ɗaukar magani na jigilar lokaci mai tsawo.
Lokacin sayen wakili na antidiabetic, duba lokacin karewa, wanda shine shekaru 500 da 500 MG na Glucofage, da shekaru biyar don Glucofage 1000 MG - shekaru uku. Tsarin zazzabi wanda akan adana kwandastan kada ya wuce 25 ° C.
Don haka, Shin Glucophage zai iya haifar da sakamako masu illa, kuma yana da maganin hana haifuwa? Bari muyi kokarin gano ta gaba.
Contraindications hypoglycemic magani
Magunguna na yau da kullun da aikin tsawaitawa yana da contraindications na musamman da sakamako masu illa.
Don kauce wa mummunan halayen da ke faruwa bayan ɗaukar Glucofage, masu ciwon sukari suna buƙatar tattauna duk cututtukan haɗin gwiwa tare da likitan su.
Kowace kunshin na magani yana haɗe tare da takardar shigarda wanda ya ƙunshi dukkanin abubuwan da suka dace tare da maganin Glucophage.
Babban contraindications sune:
- susara yawan mai saukin kamuwa zuwa abubuwan da aka haɗa;
- mai ciwon sukari mai ciwon sukari;
- coma, precoma tare da ciwon sukari;
- haɓakar cututtukan cututtukan da ke haifar da bayyanar hypoxia nama (infarction myocardial, rauni na numfashi / bugun zuciya);
- dysfunction hanta ko gazawar hanta;
- lalacewar aikin na koda ko gazawar renal (creatinine ƙasa da 60 ml a minti ɗaya);
- mummunan yanayi wanda ke kara saurin kamuwa da cutar koda (zawo, amai), rawar jiki, cututtukan da ke kama mutum;
- babban raunin da ya faru, har da ayyukan tiyata;
- lokacin gestation da lactation;
- mai sa maye a cikin maye, haka nan kuma yawan shan barasa;
- kwana biyu kafin da bayan gwajin rediyo da x-ray tare da gabatarwar wani abu mai dauke da aidin;
- lactacidemia, musamman a cikin tarihi.
Bugu da kari, haramun ne a sha magani idan an yi amfani da abincin hypocaloric (kasa da 1000 kcal a rana).
Side effects da yawan abin sama da ya kamata
Mene ne raunin da miyagun ƙwayoyi ke fuskanta?
Kamar yadda aka ambata a baya, Glucophage yana shafar aikin gastrointestinal fili a farkon far.
Addu'ar jiki yana tattare da alamomin ciki kamar tashin zuciya, amai, mara kan gado, maƙarƙashiya, ɗanɗano na ƙarfe, bushewar baki, rashin cin abinci, rashin ƙarfi.
Wata "sakamako guda" yana hade da cuta daban-daban a cikin aiki da tsarin gabobin ciki.
Da farko, ana nuna sakamako mai ruɓi:
- Ci gaban lactic acidosis.
- Abin da ya faru na rashi na bitamin B12, wanda dole ne a ɗauka da mahimmanci tare da cutar rashin lafiyar megaloblastic.
- Fata da ƙananan halayen fata kamar pruritus, fitsari, da erythema.
- Sakamakon raunin da ya shafi hanta, haɓakar hepatitis.
Tare da yawan abin sama da ya kamata, ba a lura da ci gaban yanayin haila ba. Koyaya, lactic acidosis na iya faruwa a wasu lokuta. Wataƙila alamomin na iya haɗawa da ƙwaƙwalwar haske, fitsari, amai, tashin zuciya, tsananin rauni, ciwon kai, da sauran su.
Me za a yi idan mai haƙuri ya nuna alamun lactic acidosis? Dole ne a kawo shi asibiti da wuri-wuri don ƙayyade taro na lactate. A matsayinka na mai mulki, likita ya tsara hemodialysis a matsayin hanya mafi inganci don cire lactate da metformin hydrochloride daga jiki. Hakanan ana yin aikin tiyata.
Jagororin suna ba da shawarar hanya da abubuwan da ba a ba da shawarar ba, wanda idan aka yi amfani da su lokaci guda tare da Glucofage, na iya tayar da haɓaka mai sauri ko raguwa a matakin sukari. Ba za ku iya haɗaka maganin Glucofage tare da:
- maganin tari;
- danazol;
- chlorpromazine;
- beta2-jinƙai
- maganin farji;
- "madauki" diuretics;
- ethanol.
Bugu da ƙari, ba a ba da shawarar haɗakar da aikin Glucofage tare da abubuwan kwantar da aidin.
Amfani da miyagun ƙwayoyi don asarar nauyi da lafiyar mata
Yawancin marasa lafiya suna mamakin dalilin da yasa glucophage ke shafar asarar nauyi. Tun da magani yana inganta acidification na mai mai da kuma rage yawan amfani da carbohydrates, yana haifar da rage kai tsaye a cikin nauyin jiki.
Ofaya daga cikin sakamako masu illa, asarar ci, yawancin masu ciwon sukari suna da amfani, saboda suna rage yawan abincinsu na yau da kullun. Koyaya, ana iya rage tasirin maganin a sakamakon karuwa a cikin yanayin acidic a jiki. Sabili da haka, yayin liyafar Glucofage, ba a ba da shawarar cika kanka da motsa jiki mai wahala ba. Amma babu wanda ya soke daidaitaccen abincin. Wajibi ne a ki abinci mai kiba kuma a sauƙaƙa narkewar carbohydrates.
Tsawon lokacin jiyya don asarar nauyi kada ya wuce makonni 4-8. Kafin shan miyagun ƙwayoyi, kuna buƙatar tuntuɓi ƙwararren likitan ku na kiwon lafiya don kaucewa cutar da yiwuwar ci gaba da ƙwanƙwasa hanji a cikin ciwon sukari mellitus.
Binciken da aka yi kwanan nan ya nuna cewa shan magani yana da tasiri a cikin rashin haihuwa. Bugu da ƙari, an ɗauka don polycystic, wanda ya haifar a cikin 57% na lokuta rashin iyawar yara. Wannan ilimin cutar na iya faruwa ne ta hanyar ciwo na rayuwa ko juriya ta insulin.
Da farko, yawancin marasa lafiya suna fuskantar alamu kamar jinkiri, lokutan rashin daidaituwa, da cystitis. Waɗannan alamun ba su cika kyau ba kuma suna buƙatar hulɗar kai tsaye tare da likitan mata.
Haɗin Glucophage da Duphaston yana taimakawa wajen daidaita matakan hormone.
Kudin, sake dubawa da makamantansu
Glucophage yana ba da mamaki ba kawai tare da inganci ba, har ma da farashi mai daɗi. Don haka, farashin kunshin 1 na Glyukofage ya bambanta daga 105 zuwa 310 rubles na Rasha, da kuma tsawaita aikin - daga 320 zuwa 720 rubles, dangane da nau'in sakin.
Nazarin marasa lafiya da ke shan wannan magani galibi tabbatacce ne. Glucophage baya haifar da hypoglycemia kuma yana daidaita matakin sukari a cikin masu ciwon sukari. Hakanan, ra'ayoyi da yawa suna nuna tasiri na magani don asarar nauyi. A nan, alal misali, ɗaya daga cikin jawabai ne:
Lyudmila (shekara 59): “Na ga Glucofage a cikin shekaru uku da suka gabata, sukari bai wuce 7 mmol / L. Ee, a farkon jiyya na kamu da rashin lafiya, amma ina tsammanin idan kun kamu da rashin lafiya, zaku iya shawo kan hakan. Idan kuka ci gaba da shan magani, irin waɗannan "Shekaru uku da suka wuce, nauyin jikina ya kasance kilogiram 71, tare da taimakon wannan kayan aikina matsakaicina ya ragu zuwa kilo 64. Yarda, kyakkyawan sakamako. Tabbas, ba za ku iya yin ba tare da cin abinci da cajin likita ba."
Koyaya, akwai sake dubawa mara kyau game da maganin. Suna haɗuwa da ƙoshin ciki da sauran halayen raunin jiki. Misali, kara matsin lamba, sakamako mara kyau ga kodan.Haka kuma, maganin zai iya haifar da ci gaban cholecystitis, atrial fibrillation, kara alamu na cutar psoriasis, a cikin mutanen da ke fama da wannan cuta. Kodayake ainihin dangantakar tsakanin cututtuka da shan miyagun ƙwayoyi ba a tabbatar da cikakke ba.
Tunda Glucophage ya ƙunshi sanannen abu a duk faɗin duniya - metformin, yana da magunguna masu yawa. Misali, Metformin, Bagomet, Metfogamma, Formmetin, Nova Met, Gliformin, Siofor 1000 da sauransu.
Glucophage (500, 850, 1000), kazalika da Glucophage 500 da 750 sune magunguna masu inganci don ciwon sukari na 2. Gabaɗaya, magungunan da ke haifar da mummunan sakamako ana amfani dasu kawai. Lokacin amfani da shi ta hanyar da kyau, suna da kyau ga lafiya da kuma kawar da cutar ƙyallen ƙwayoyi a cikin masu ciwon suga.
Ana ba da bayani game da Glucofage a cikin bidiyon a cikin wannan labarin.
