Metformin Sandoz yana daya daga cikin shahararrun kwayoyi da aka yi amfani da su don nau'in ciwon sukari na I a hade tare da injections na insulin kuma don cutar ta II, lokacin da ilimin jiki da daidaitaccen abinci ba ya samar da raguwar matakan glucose.
Godiya ga abu mai aiki, raguwa a cikin taro na sukari a cikin jijiyoyin jini yana faruwa, kuma ƙimar mahimmancin glucose shima an rage shi.
Kamar yadda ka sani, kowane magani yana da adadin contraindications, sakamako masu illa da sauran abubuwan fasahar. Sabili da haka, yana da mahimmanci sanin cikakken bayani game da magani game da shan maganin. Yaya ake amfani da maganin?
Babban bayani game da maganin hypoglycemic
Wakilin hypoglycemic ya ƙunshi sashi mai aiki, metformin hydrochloride, wanda shine kawai wakilin ajin biguanide. Dangane da tsarin sashi, ana samar da allunan da suka hada da 500 ko 850 MG na kayan aiki mai aiki. Tasirin magunguna na wannan sinadari yana da alaƙa da ikon hana samuwar glucose daga mahallin da ba a fitsari ba (gluconeogenesis).
Baya ga metformin hydrochloride, kwamfutar hannu guda ɗaya na ƙwayar ta ƙunshi karamin adadin sitaci sitaci, magnesium stearate, silicon dioxide, colloidal anhydrous, copolyvidone Va64 da microcrystalline cellulose.
Maganin ba ya tsokane samar da sinadarin rage kiba ba, don haka mutane masu lafiya da suke shan wannan magani ba sa jin alamun cututtukan hawan jini. Daga cikin ingantattun kaddarorin na miyagun ƙwayoyi, ya wajaba a haskaka masu zuwa:
- Ressionarkewar gluconeogenesis.
- Susara yawan mai saurin kamuwa da ƙwayoyin niyya zuwa insulin.
- Imuarfafa ƙwayar glucose ta hanyar myocytes.
- Rage nauyi, musamman ma a cikin mutane masu kiba.
- Rage cikin duka mahimmancin sukari da abubuwan da ke cikin bayan cin abinci.
- Tasiri mai tasiri akan metabolism na lipid (raguwa a cikin cholesterol, triglycerides da LDL).
- Rage yunwa.
- Ingarfafa glycolysis anaerobic.
- Jinkiri sha na carbohydrates a cikin hanjin.
Ana ɗaukar wakilin antidiabetic a ciki, ana lura da iyakar girmansa bayan awa 2.5. Kasancewa babban bangaren yana faruwa ne a cikin narkewar abinci.
An cire Metformin hydrochloride a cikin wani tsari wanda ba a canzawa tare da fitsari.
Umarnin don amfani da allunan
Kamar yadda aka riga aka ambata a farkon, ana iya amfani da maganin don insulin-dogara da cututtukan da ba na insulin ba. Likita ne kawai zai iya ba da mahimmancin sashi na miyagun ƙwayoyi, dangane da tattarawar glucose da alamomin masu haƙuri.
Lokacin sayen magani, mai haƙuri ya kamata ba kawai bi shawarar likita ba, har ma ya san kansa tare da shigar kunshin. Idan tambayoyi suka taso, dole ne kwararrun likitanku su tambaya.
A farkon jiyya, ana sanya magani mara ƙarancin yau da kullun - kawai 500 ko 1000 mg. Makonni biyu bayan haka, likita na iya kara yawan maganin, la'akari da sukarin jini. Zai yiwu a fara amfani da maganin farko tare da wannan maganin tare da keta tsarin narkewa. Irin waɗannan bayyanar cututtuka mara kyau ana bayanin su ta hanyar daidaitawar jiki zuwa ɓangaren aiki kuma bayan kwanaki 10-14 suka wuce da kansu. Don kula da daidaitaccen glucose na yau da kullun, yakamata ku ci 1,500-2,000 MG kowace rana. Matsakaicin adadin shine 3000 MG. Don rage tasirin mummunar ƙwayar a kan narkewa a farkon farawa, kuna buƙatar rarraba sashi sau da yawa.
Ta hanyar haɗuwa da Metformin Sandoz da insulin, ana iya samun ingantaccen rage raguwar haɗarin sukari. Ana shan wannan magani sau biyu ko sau uku a rana, 500 MG kowane. Game da adadin insulin, ya dogara da matakin glucose a cikin jini.
Tsofaffi masu ciwon sukari waɗanda ke amfani da Metformin Sandoz sun cancanci kulawa ta musamman. Likita ya kayyade sashi na maganin, ba yanayin aikin kodan.
Lokacin sayen magani, wanda bai kamata ya manta game da duba ranar karewa ba, wanda yawanci shekaru 5 ne.
Ana adana maganin a cikin bushewa a zazzabi da bai wuce 25 digiri Celsius ba.
Contraindications da m halayen
Ba'a bada shawarar miyagun ƙwayoyi ga marasa lafiya tsofaffi (fiye da shekaru 60), waɗanda aikinsu yana da alaƙa da matsanancin ƙoƙari na jiki.
Shan magunguna tare da nauyin jiki mai girma yana haifar da damar haɓaka coma acid na lactic acid.
Umarnin don amfani ya haɗa da cututtukan haɗin gwiwa da yanayi wanda ba za'a iya amfani da wakili na maganin cutar kansa ba.
Daga cikin manyan contraindications sune kamar haka:
- coma mai ciwon sukari, mai haƙuri da ketoacidosis mai ciwon sukari;
- aikin lalacewa na aiki, wanda aikin keɓantar da keɓaɓɓen (saurin jini ta cikin kodan) ƙasa da 60 ml minti ɗaya;
- ci gaban m pathologies wanda zai iya haifar da dysfunction koda. Zai iya zama rashin ruwa, zazzabi, hypoxia, cututtuka daban-daban;
- kwanan nan tiyata da mummunan rauni;
- ci gaban hyperlactatacidemia, musamman a cikin anamnesis;
- m ko cututtuka na kullum wanda ke kara saurin kamuwa da cututtukan nama, gami da cutar sikila, sanyin jiki da kasala na zuciya;
- rashin shan barasa, guba mai sa maye;
- take hakkin hanta;
- amfani da aidin mai dauke da abubuwan kwantar da hankali na kwana biyu kafin da bayan gwajin radioiso da gwajin rediyo;
- abincin hypocaloric, a cikin abin da bai ɗauki fiye da 1000 kcal kowace rana;
- ciki da shayarwa.
Sakamakon yawan shaye-shaye ko rashin bin duk shawarwarin likita, tasirin da ba'a so daga maganin zai iya faruwa. Wadannan sun hada da:
- Rushewar narkewar abinci - dandano na ƙarfe a bakin, tashin zuciya, amai, rage ko rashin ci, ciwon ciki, haɓakar iskar gas, zawo. Wadannan bayyanar cututtuka suna faruwa ne saboda jikin mutum yayi amfani da shi don aiwatar da maganin.
- Rashin lafiyar hepatobiliary - hepatitis da dysfunction hanta.
- Rashin narkewar ma'adinai - rashi na bitamin B12 da lactic acid coma.
- Take hakkin tsarin hematopoietic - megaloblastic anemia.
- Halin da fata ke nunawa shine itching, erythema, fitsari da urticaria.
Mafi haɗarin mummunan sakamako shine lactic coma (lactic acidosis). Tare da haɓakawarsa, mai haƙuri yana da raunin narkewa, jin zafi a cikin tsokoki da ciki, haɓaka yawan zafin jiki, tsananin ƙima, rikicewa, saurin numfashi da haɓaka ƙonewa. A wannan yanayin, dole ne a kwantar da mai haƙuri nan da nan.
Mafi sau da yawa, likita yayi aikin hemodialysis - hanya mafi inganci na kawar da lactate da metformin.
Metformin Sandoz: Harkokin Magunguna
Ya kamata a tuna cewa wasu ƙwayoyi na iya haɓaka ko rage tasirin hypoglycemic na wannan magani. Wasu daga cikinsu na iya haifar da lactic acid coma.
Dangane da wannan, kwararren likita zai kula da duk cututtukan da ke tattare da haƙurirsa don guje wa sakamakon da ba a so. Mai haƙuri, bi da bi, bai kamata ya haƙura daga likita sauran cututtukan ban da ciwon suga ba.
Don haka, a ƙasa akwai sunayen magungunan da ke rage tasirin maganin, ta yadda za a ƙara yawan ƙwayar cuta a cikin marasa lafiya:
- Danazole;
- Chlorpromazine;
- maganin tari;
- glucagon;
- kwayoyin hodar iblis;
- thiazide diuretics;
- abubuwan nicotinic acid;
- m
- wakilan estrogen-progestogen;
- beta-2-adrenergic masu karɓa;
- glucocorticosteroids na aikin gida da kuma tsarin tsari.
Akwai kwayoyi da yawa waɗanda, akasin haka, haɓaka tasirin hypoglycemic na wakilin maganin cututtukan ƙwayar cuta. Wadannan sun hada da:
- Acarbose.
- Dogon aiki da insulin aiki
- Beta-2 adrenergic antagonists.
- MAO da masu hana ACE.
- Abubuwan da suka samo asali na sulfonylureas.
- Salicylates.
- Abubuwan da aka samo daga clofibrate.
- NSAIDs.
- Cyclophosphamide, har ma da abubuwan da aka samo ta.
- Maganin Kawaus.
Theara yawan yiwuwar lactic acidosis shan magani tare da barasa da kwayoyi waɗanda ke ɗauke da ethanol, abubuwan aidin mai ɗauke da sinadarai, cimetidine da diuretics.
Kudin maganin, sake dubawa da kuma alamun analogues
Za'a iya siyan magungunan a kowane kantin magani tare da takardar sayen magani na likita. Don adana kuɗi, ana ba da umarnin magani akan gidan yanar gizon official na mai siyarwa.
A matsakaici, farashin miyagun ƙwayoyi ya bambanta daga 230 zuwa 800 rubles, dangane da irin sakin. Sabili da haka, wakilin maganin cututtukan ƙwayar cuta yana samuwa ga kowane ɓangare na yawan jama'a, wanda, ba shakka, shine fa'idarsa.
A yanar gizo zaka iya samun ingantattun ra'ayoyi da yawa daga marasa lafiya da ke shan maganin. Yana da kyau sosai lowers kuma yana daidaita matakan glucose. Hakanan yana taimaka rasa poundsan poundsarin fam a cikin masu ciwon sukari. Wakili mai zubar da jini a cikin nau'ikan allunan abu ne mai sauki wanda za'a iya dauka. Bugu da kari, kusanci baya haifar da sakamako masu illa (ban da rushewar tsarin narkewar abinci).
Koyaya, akwai sake dubawa mara kyau game da maganin. Suna da alaƙa da narkewar cuta wanda ke faruwa yayin lokacin daidaitawar jiki ga abu mai aiki. A cikin wasu marasa lafiya, irin waɗannan alamu sun fi ƙa'idodin yawa fiye da sauran, don haka dole ne su maye gurbin wannan wakilin maganin cututtukan tare da wasu kwayoyi.
Likitoci ba su bada shawarar shan magunguna ga mutane masu lafiya don asarar nauyi ba. Hakanan an haramta shi sosai don amfani da giya yayin aikin jiyya.
Wasu lokuta likitoci dole su daidaita tsarin kula da haƙuri. Wannan na iya zama sakamakon halayen da ba su dace da su ba. Sauya wani magani wanda bai dace ba ana iya yin shi tare da samfuran da ke ɗauke da abu ɗaya mai aiki ko waɗanda ke da tasirin warkewa iri ɗaya.
Metformin hydrochloride sananne ne a duk faɗin duniya, saboda haka ana amfani dashi wajen samar da magunguna na hypoglycemic da yawa. Ba abin mamaki bane cewa Metformin Sandoz yana da adadi mai yawa na analogues, daga cikinsu akwai:
- Gliformin (112 rubles).
- Metformin-Teva (136 rubles);
- Glucophage (223 rubles).
- Metformin Richter (183 rubles);
- Metfogamma 850 (134 rubles), Metfogamma 1000 (168 rubles).
- Metformin Zentiva (134 rubles).
- Siofor (245 rubles).
- Canform na Metformin (172 rubles).
- Formmetin (100 rubles).
Kamar yadda kake gani, Metformin Sandoz magani ne na gaske wanda ke kawar da cututtukan hyperglycemia da alamomin kamuwa da cuta a cikin majinyata na manya. Tare da yin amfani da wannan kayan aiki daidai, zaku iya kula da glycemia na al'ada na dogon lokaci.
Masana za su ba da labari game da aikin Metformin akan kwayoyin masu ciwon sukari a cikin bidiyon a cikin wannan labarin.
