Allformin Allunan: alamu don amfani, sake dubawa na likitoci

Ana amfani da Metformin don insulin-dogara da cututtukan da ba na insulin ba, duka daban kuma a hade tare da wasu sinadarai masu rage sukari.

Sau da yawa, nau'in ciwon sukari na 2 yana haɓakawa da asalin nauyin wuce kima. Ba kowane mutum bane zai iya shawo kan nauyi mai yawa. Koyaya, dragees suna taimakawa wajen rasa poundsan fam, saboda haka koda mutane masu lafiya suna amfani dasu don rasa nauyi.

Dole ne mu manta cewa kowace kwayar magunguna tana da wasu fasalolin amfani da faɗakarwa. Maganar da aka ƙayyade, sunan ƙasa da ƙasa yana ɗauka ne tare da babban aikinta, ba ƙari bane. Duk mai haƙuri ya kamata ya san daki-daki yadda za a ɗauki Allunan tare da wannan sinadari mai aiki mai aiki, kayan sa, wakilai iri ɗaya da kuma farashin farashi.

Janar halaye na miyagun ƙwayoyi

Sunan kasa da kasa don wannan fili shine magungunan metformin hydrochloride. Masana da yawa sun san shi daga sassa daban-daban na duniya, saboda haka kasuwar magunguna tana samar da ɗumbin zaɓi na dragees tare da wannan sinadarai mai aiki.

Ana iya kiran sifa na miyagun ƙwayoyi ta raguwa a hankali a matakin glycemia a cikin masu ciwon sukari. Kasancewa kawai wakili na aji na biguanide, fili sunadarai ba zai shafi matakin sukari a cikin mutane masu lafiya ba.

Mai sana'antawa ya samar da magunguna a sifar kwamfutar hannu tare da sashi na babban sunadarai mai nauyin 500, 850 da 1000 mg. A cikin kantin sayar da magunguna, ana samun nau'i na saki mai tsawan tasiri. Blaya daga cikin kumburi ya ƙunshi allunan 30 ko 120. Baya ga babban fili, talc, magnesium stearate da adadi kaɗan na sitaci ana haɗasu cikin kashi ɗaya.

Sakamakon magani shine nufin hana aiwatar da aikin glucose ta hanta (gluconeogenesis). Ba ya shafar samar da insulin ta hanyar ƙwayoyin beta, don haka ba ya haifar da raguwar raguwa a matakin sukari da ke ƙasa da al'ada. Gidaje sun bayyana ta wannan hanyar:

1. Rage digiri don ɗaukar mahadi mai sauƙi na carbohydrate ta bangon hanji.
2. Increasearin haɓakawa a cikin tasirin tsarin nama zuwa insulin.
3. Thearfafa ayyukan keɓaɓɓen amfani da glucose.
4. Dakatar da hyperinsulinemia.
5. Tsarewa da rage kiba.
6. Rage yawan ƙarancin linoproteins da triglycerides a cikin jini na jini.
7. A wasu hanyoyi, samar da tasirin fibrinolytic.
8. Rage kuzarin fatima mai kiba.
9. Haramcin samar da mai mai kitse.
10. M sakamako a kan zuciya da na jijiyoyin jini tsarin.
11. Dakatar da ci gaban yaduwa da faffadar tsoka mai narkewa na bangon jijiya.

Hanyar aiwatarwa tana ba da kariya ga irin wannan rikice-rikice na ciwon sukari kamar masu ciwon sukari na angiopathy, wanda ke shafar tsarin jijiyoyin jiki kusan dukkanin gabobin ciki na mutum.

Bayan an shiga ciki, aikin yana faruwa ne cikin awanni 2.5. Abubuwan sun shiga cikin narkewa, sannan shiga cikin tasoshin. Ya kamata mai haƙuri ya san cewa lokacin cin abinci, shawo kan babban ɓangaren aiki yana rage muhimmanci. Rabin rayuwar kusan awa 6.5 ne. Kwayar aiki mai aiki ba ta ɗaure da kariyar plasma.

Kimanin 20-30% na kashi na maganin an keɓance ta ta hanjin kodan.

Umarnin don amfani da allunan

Alamu don amfani a cikin dragees sune kamar haka: ciwon sukari na nau'in farko da na biyu (duka monotherapy kuma a hade tare da wasu kwayoyi), ƙwayar polycystic. Magungunan suna da amfani musamman lokacin da marasa lafiya suka kasa rage matakan glucose ta hanyar wasanni da kuma maganin abinci tare da kiba mai yawa.

Lokacin sayen Allunan, umarnin yin amfani da shi dole ne a bincika a hankali. Idan kuna da wasu tambayoyi, tabbatar cewa tuntuɓi likita.

Ya kamata a hadiye kwamfutar hannu gaba daya, a wanke da ruwa mai yawa. Shan magungunan a karon farko, umarnin ya bada shawarar kar a wuce kashi 500-1000 MG a rana. Bayan makonni biyu, likita zai iya daidaita tsarin magani ta hanyar tsara manyan matakan magunguna.

Ya kamata a lura cewa a farkon farawar, yawancin marasa lafiya suna fuskantar mummunar halayen da ke tattare da tsarin narkewa. Irin waɗannan bayyanar da ba a ke so su ne sakamakon karɓar jikin mutum ga tasirin aiki mai aiki. Bayan jikin mutum yayi amfani dashi, alamomin su daina.

Matsakaicin izini a kowace rana ya kai 3000 MG, kuma ana ɗaukar nauyin kulawa kamar 1500-2000 MG. Tunda Allunan a cikin tsofaffin masu ciwon sukari na iya shafar aikin koda, shawarar da aka ba da shawarar ya kamata ta wuce 2000 MG kowace rana. Wannan gargadi kuma ya shafi marasa lafiya da ke fama da matsananciyar cuta na rayuwa.

Idan mai haƙuri ya ɗauki wani abu mai yawan hypoglycemic yana buƙatar shan maganin da aka nuna, to lallai zai yi watsi da ilimin da ya gabata. Ta hanyar hada allunan tare da allurar insulin, sashi na karshen za'a iya rage shi ta hanyar farawa da likita.

Yin amfani da allunan-aka saki tsawan-lokaci, ƙaramin matakin ya kamata a bi zuwa - 500 ko 850 MG (ya danganta da nau'in sakin). Ana gudanar da alƙawarin ƙarin sigogi daban-daban daban-daban, yin la'akari da matakin glucose a cikin jini da kuma lafiyar lafiyar haƙuri.

Nemi magani a cikin kantin magani tare da takardar sayan magani. An adana shirye-shiryen a hankali a cikin duhu, yana buƙatar tsarin zazzabi na musamman wanda bai wuce digiri 25 ba.

Lokacin sayen, kuna buƙatar kula da ranar karewa, wanda yawanci shekaru uku ne.

Contraindications da yiwuwar lahani

Masu ciwon sukari suna buƙatar sanin yadda zai yiwu game da fili, saboda waɗannan kwayoyin suna da jerin magunguna masu yawa.

Karanta bayanin miyagun ƙwayoyi, ya kamata ka karanta jerin duk cututtukan da yanayi yayin da aka haramta amfani da miyagun ƙwayoyi.

Don haka, an haramta amfani da maganin antidiabetic ga marasa lafiya yayin taron wasu yanayi da yanayin jikin.

An hana karɓar karɓar baƙi a cikin halayen masu zuwa:

• kasancewar cutar hanta / koda;
• gaban abubuwan da ake bukata na kamuwa da cutar sankarau da cututtukan fata;
• a cikin matsanancin jijiyoyin cutar - rashin ruwa, zazzabi, zazzabi, cututtuka daban-daban, wani yanayi na rashin lafiya na jini (bronchopulmonary cuta, gigicewa, sepsis, kamuwa da koda);
• a gaban cututtukan cututtukan da ke haifar da hypoxia na nama (matsanancin rashin ƙarfi na rauni, raunin numfashi / gazawar zuciya);
• kasancewar rashin maye mai guba, haka nan kuma yawan shan giya;
• aukuwa na alamun lactic acidosis;
• idan an gano gaskiyar hankalin mutum zuwa babba da ƙarin kayan aikin;
• idan ana amfani da waken bambancin aidin a yayin binciken R-ray ko radioisotope;
• lokacin haihuwa;
• idan akwai amfani da karancin kalori (kasa da 1 dubu kcal a kowace rana);
• shayarwa;
• yayin mummunan tiyata ko rauni (tare da gabatarwar allurar insulin).

Wanda ba a ke so ba don masu ciwon sukari kan shekaru 60 da haihuwa, ana tilasta musu yin aiki tukuru, tare da yawan motsa jiki. In ba haka ba, yiwuwar haɓakar lactic acidosis yana da girma.

Daga cikin sakamako masu illa da ke haifar da amfani da magungunan hana haihuwa, ana rarrabe abubuwa masu zuwa:

1. Marasa lafiya na iya koka game da matsalar rashin abinci, wato amai, tashin zuciya, canji na ɗanɗano, rage ko rashin ci, haɓakar iskar gas, ciwon ciki da zawo.
2. A wasu halaye, ci gaban megaloblastic anaemia yana yiwuwa.
3. Tare da tsawan magani, bitamin B12 ya daina kasancewa a jiki, wanda ke haifar da rashi.
4. Samuwar lactic acidosis, hypoglycemia da bayyanar fatar fata.

Lokutta na yawan abin sama da ya kamata koyaushe zai yiwu, wanda ke tattare da haɓakar lactic acidosis. Wannan yanayin yana da matukar hadari saboda yana iya haifar da sakamako mai kisa. Babban alamun cututtukan lactic acidosis sune hare-hare na tashin zuciya da amai, yawan zafin jiki, zawo, rauni mara nauyi, jin zafi, ƙoshin tsoka, saurin numfashi da kuma ci gaba da ƙonewa.

Lokacin da alamun da ke sama suka bayyana, dole ne a kai haƙuri zuwa nan da nan zuwa wurin likita. Dole ne cibiyar likita ta tantance matakin lactate da hemodialysis da sauri.

Hakanan ana amfani da maganin ta Symptomatic.

Yin hulɗa tare da wasu abubuwa na magani

Babu wani fili irin wannan magani wanda, lokacin hulɗa tare da wasu kwayoyi, ba zai sami tasiri ba ga jikin ɗan adam.

Don haka tare da kayan aikin da aka bayyana: lokacin da aka haɗu tare da wasu abubuwa, hypoglycemia yana faruwa, lokacin da aka haɗu da wasu, hyperglycemia yana faruwa, kuma tare da wasu, lactic acidosis yana haɓaka.

Haɗuwa da abubuwa masu haifar da saurin haɓakar haɗarin glucose a cikin masu ciwon sukari ba a bada shawarar ba.

Wadannan magunguna sune:

• Danazole;
• Chlorpromazine;
• maganin tari;
• glucocorticosteroids;
• maganin hana haihuwa haihuwar;
• Epinofirn;
• abubuwan da ake amfani da shi na nicotinic acid da phenothiazine;
• madauki diuretics;
• kwayoyin hodar iblis;
• m
• glucagon.

Abubuwa masu zuwa na farwa suna ƙaruwa da sakamako na hypoglycemic:

1. Abubuwan da suka samo asali na sulfonylureas.
2. NSAIDs.
3. MAO da masu hana ACE.
4. Acarbose.
5. Harshen Cyclophosphamide.
6. Abubuwan da aka samo daga clofibrate.
7. Inulin insulin
8. Masu tallata Beta.
9. Maganin Kawaus.

Yin amfani da giya a lokaci daya tare da cimetidine na iya haifar da ci gaban lactic acidosis. Amfani da hadadden kwayoyi da maganin kashe kwari suna iya raunana sakamako akan jikin na karshen.

Yawancin marasa lafiya suna sha'awar yadda ƙwayoyi da ƙwayoyin cuta ke aiki. Masu ciwon sukari da ke kula da cututtukan ƙwayar cuta ba sa damuwa, sun dace. Babban abu shine ɗaukar su a lokuta daban-daban.

Kudin da sake dubawa dangane

Kasuwancin magani yana ba da alluna da yawa tare da kayan aikin da aka bayyana.

Duk da nau'ikan kayan aikin taimako daban-daban, kwayoyin basu da tsada sosai.
Misali, farashi a Rasha ya kai 90 zuwa 260 rubles.

Farashin Metformin daga wasu kamfanonin magunguna na kasashen waje ba su bambanta da yawa.

Kudin Metformin daga masana'antun kasashen waje daban-daban sune:

• Slovakia - daga 130 zuwa 210 rubles.
• Harshen Harshen - daga 165 zuwa 260 rubles.
• Poland - daga 75 zuwa 320 rubles.

A Metformin, farashin yana da aminci ga duk masu haƙuri. Wannan babban kayan kayan aiki ne. Game da kwayoyin hana daukar ciki, zaku iya samun ingantattun ra'ayoyi masu yawa a cikin tattaunawa daban daban. Tabbas, magani ne wanda ke rage yawan tasirin glucose. Tare da gudanarwa na gari, hauhawar jini kusan ba zai taɓa faruwa ba.

Ga ɗayan ingantattun sake dubawa game da Metformin daga Lyudmila (ɗan shekara 49):

Wannan magani ne na asali wanda ya taimaka wajan magance cututtukan hawan jini ba kawai a gare ni ba, har ma da mijina. Mun sha kuma muka ci gaba da shan shi a cikin shekaru biyu da suka gabata. Yana warkarwa da gaske, a wurina babu wasu kwayoyin. Tabbas, a farkon duka sun sha wahala "karbuwa", kimanin makonni 1.5-2 aka sami matsala. Amma yanzu matakin sukari bai wuce 6.5-7 mmol / l ba, kuma nauyina ya ragu da 4 kilogiram sama da shekarar da ta gabata.

Reviews na likitoci ma mafi yawa tabbatacce. Yawancin masana suna ba da wannan magani saboda kayanta don sannu a hankali rage yawan ƙwayar sukari, ba tare da haifar da hypoglycemia ko glycemic coma ba. Koyaya, likitoci sunyi gargaɗin mutanen da suka yanke shawarar rasa nauyi ta amfani da sinadaran da ke aiki game da sakamako mai illa. A matsayinka na mai mulki, likitoci ba sa yin wannan magani don asarar nauyi.

Wani lokaci zaku iya samun maganganu marasa kyau daga marasa lafiya suna ɗaukar fili. An danganta su da ciwon ciki na hanji. Gaskiyar ita ce kowane sashin kwayoyi suna tsinkayen magunguna daban, don haka yanayin zafin halayen shima ya bambanta. A wannan batun, wasu masu ciwon sukari sun canza zuwa magani tare da wani wakili na hypoglycemic.

Marasa lafiya wanda ya sha giya yayin maganin Metformin ya kamata ya san yiwuwar rikice-rikicen da ke faruwa sakamakon sakaci da lafiyar sa.

Magunguna na likita analogues

Tunda sashin da aka bayyana wanda bai bayyana ba ya dace da duk masu ciwon sukari, idan suka tuntuɓi cibiyar likita, ana zaɓan analogues.

Daga cikin wadannan kudade, ana rarrabe wadanda ke dauke da babban abin guda, kazalika da wadanda ke dauke da abubuwa daban-daban, amma suna da irin tasirin warkewa, ana rarrabe su.
Shahararrun magungunan rigakafin cututtukan da ke ɗauke da fili sun bayyana sune Glyformin, Glucofage, Metfogamma Forte, Siofor.

Gliformin magani ne na cikin gida. Baya ga abu mai aiki, an haɗa povidone, crospovidone, sitaci, silicon dioxide, glycerol da stearic acid.

Glucophage kwaya ne da Faransa tayi. A ka’ida, galibi basu da bambanci. Sabili da haka, likita ne kawai zai iya kwatanta ingancin su.

Metfogamma Forte wani abokin tarayya ne mai tsada. Musamman, yana da tasiri a cikin rashin nasarar magani tare da kwayoyi na sulfonylurea. Abun da aka haɗa ya haɗa da kayan haɗin.

Siofor - allunan, wanda ya haɗa da povidone, magnesium stearate, macrogol da silicon dioxide.

Kuna iya nemo wasu kalmomin daidai a cikin littafin likitancin Vidal. Shafin Vidal yana ba da bayani game da maganin, yadda yake aiki, wanene aka ba shi damar ɗaukar shi, da abin da ke taimaka. Wanne magani ya fi kyau da wuya a faɗi. Mai haƙuri ya ƙaddara wannan da kansa, gwargwadon farashi da sakamako mai warkewa.

Tare da hankalin mutum game da babban ɓangaren, likitan ya tsara magani wanda kayan aikinsu sun bambanta sosai. Misali, Glibenclamide kwamfutar hannu ce mai dauke da sinadarin hypoglycemic, antithrombotic da tasirin hypoliplera. Hakanan za'a iya sanya kayan haɗin glibenclamide, Glucobai (Jamus), Altar (Jamus), da dai sauransu .. Bayan ziyartar kundin likitancin Vidal, zaku iya samun bayanai akan kowane analog na sha'awa, abun da ke ciki da yadda yake bambanta da sauran hanyoyin.

Kusan kowane mai haƙuri da ciwon sukari ya ji fa'idodin yayin ɗaukar hydrochloride. Ana amfani dashi shi kadai ko tare da allurar insulin. Kuma idan kwatsam allunan basu dace ba, kwatanta tare da likitanka magunguna iri ɗaya. Wanne ya fi kyau zai taimaka wajen ƙayyade ƙwararrun likitancin ko kundin adireshin likita. Kwaya ta shahara saboda ingantaccen aikinta, don haka tare da cutar sikila yana da daraja a gwada. Lokacin shan glucose ya koma al'ada, kuma gaba ɗaya lafiyar.

Masana za su ba da labarin kayan da ke lalata sukari na Metformin a cikin bidiyon a cikin wannan labarin.