Langerin yana ɗayan magunguna masu yawa waɗanda ake amfani da su don magance tsarin ilimin cuta wanda ake kira mellitus-non-insulin-dogara da ciwon sukari mellitus. Magungunan yana daga cikin rukunin magunguna na biguanide, babban tasirin wanda aka yi niyya don rage buƙatar samar da insulin.
Farashin Langerin a cikin magunguna, dangane da adadin da ake buƙata, na iya kasancewa daga ɗari ɗari zuwa ɗari uku rubles.
Langerin magani ne na baka wanda aka yi amfani dashi wajen yin maganin cutar sankara. Babban abincinta shine metformin abu. Magungunan yana ɗayan magunguna masu rage sukari kuma ana amfani dashi sau da yawa don daidaita matakan sukari na jini a cikin masu ciwon sukari.
Ofayan ɗayan magunguna masu yiwuwar irin wannan maganin shine gudanarwarsa dangane da rashin aiki na allunan da aka yi amfani dasu a baya daga ƙungiyar sulfonylurea. Bugu da kari, kiba babbar matsala ce ta saduwa ga duk mutanen da ke dauke da ciwon sukari.
Abin da ya sa ke nan, Langerin ya ba da damar rage girman sukari kawai, amma yana ba da gudummawa ga jinkirin daidaita ƙimar haƙuri.
Kayan magani da alamomi don amfani
Hanyar aiwatar da aikin babban maganin yana da alaƙa da iyawarta don dakatar da ayyukan gluconeogenesis, kazalika da ayyukan ƙaddamar da kitse mai kitse da hadawar iskar shaƙa. Wani wakilin aji na biguanide ba ya shafar adadin insulin da aka saki a cikin jini, amma yana canza magunguna ta hanyar rage yawan ƙarancin insulin da ƙanƙantar da haɓaka rabo na insulin zuwa proinsulin.
Batu mai mahimmanci a cikin aikin aiwatar da irin waɗannan allunan shine ƙarfafa haɓakar glucose ta ƙwayoyin tsoka.
Babban mahimmancin amfani da magani shine haɓakar kamuwa da cutar insulin-a cikin mutum, musamman tare da rashin daidaituwa ga abincin da aka bi.
Babban kaddarorin magunguna na Langerin sun haɗa da:
- yana rage adadin haemoglobinꓼ glycated
- neutralizes juriya insulin Kwayoyin zuwa hormone insulinꓼ
- yana da kyau yana tasiri daidaitaccen bayanin martaba na jini na plasmaꓼ na jini
- rage mummunan cholesterolꓼ
Bugu da ƙari, yin amfani da miyagun ƙwayoyi zai iya daidaita nauyin jikin mutum.
Umarnin don amfani da allunan
Magungunan magani na Langerin yana samuwa a cikin nau'ikan allunan da aka rufe.
Allunan an cika su a cikin jaka na filastik, wanda aka rufe tare da tsare tsare na aluminium.
An sanya fakitoci a cikin kwali mai kwali tare da umarnin don amfani da miyagun ƙwayoyi.
Dogaro da maganin da ake buƙata na maganin da aka yi amfani da shi, ana iya siyan magani tare da sashi na:
- Miliyan 500.
- Milligrams 850.
- Graaya daga cikin gram na abu mai aiki.
Hanyar shan allunan magana ce ta baki, lokacin cin abinci ko bayan sa. Likitocin da ke halartar sun tsara adadin sashi don kowane mai haƙuri daban-daban dangane da tsananin cutar. Hakanan, ƙwararren likita ya ƙayyade yawan adadin magunguna yayin rana.
Umarnin-Langerin don amfani yana bada shawarar fara aikin warkewa tare da mafi karancin sashi na 500 MG na kayan aiki. Yawan allurai na maganin a lokacin zai iya zama daga daya zuwa uku. A hankali, za a iya ƙara yawan zuwa 850 MG na mai aiki a cikin yini (sau ɗaya a rana). Likita mai halartar yana lura da yanayin haƙuri kuma, ba fiye da sau ɗaya a mako ba, yana daidaita adadin maganin da aka karɓa a sama.
Hakanan an wajabta magunguna don magance cutar a cikin yara waɗanda suka fi shekaru goma girma. Monotherapy ya kamata ya fara da sashi na 500 MG na kayan aiki sau ɗaya ko sau biyu a rana. Bayan wani lokaci, an ba da izinin ci gaba na digiri a cikin ƙwayoyi, amma ba fiye da gram biyu a rana ba, an kasu kashi biyu zuwa uku.
Yawanci, canji a cikin maganin yana faruwa ne bayan kwanaki goma zuwa goma sha biyar dangane da sakamakon gwajin jini na matakin glucose.
A wasu halaye, shirye-shiryen kwamfutar hannu wani ɓangare ne na haɗin maganin tare da injections na insulin.
Ya kamata a lura cewa gudanarwar na lokaci guda na Langerin tare da insulin, abubuwan da suka haifar na sulfonylurea, acarbose, ko ACE inhibitors yana kara tasirin hypoglycemic na magungunan.
A wasu halaye, likita mai halartar na iya maye gurbin amfani da Langerin tare da allunan abubuwan da aka yi kama da su. A yau, akwai manyan adadin magunguna, babban sinadaran aiki wanda shine metformin.
Farashin magungunan analog na iya bambanta sosai, gwargwadon kamfanin da ke kera magunguna.
Menene contraindications don amfani?
Ba daidai ba da aka zaɓa sashi ko rashin jituwa tare da shawarwarin likitocin da ke halartar na iya haifar da bayyanar da halayen masu illa lokacin shan maganin.
Bugu da ƙari, akwai wasu lokuta waɗanda aka haramta amfani da magani a kan metformin.
Umarnin don yin amfani da miyagun ƙwayoyi yana nuna jerin manyan abubuwan hana haihuwa.
Babban sabbin hanyoyin amfani da allunan Langerin sun hada da masu zuwa:
- matsanancin rauni na hanta ko aikin koda, rashinsu ꓼ
- burin shan giya, ciki har da na kullum
- zuciya ko rashin numfashiꓼ
- m rashin ƙarfi infarctionꓼ
- yanayin cutar rashin lafiyan cuta ko asalinsu
- ci gaban cututtukan ƙafafun mahaifaꓼ
- a gaban rashin haƙuri ga metformin da haɓakar halayen rashin lafiyan jijiyoyin
- kasancewar kamuwa da cututtukaꓼ
- azumi tare da ciwon sukari ko bin wani abincin wanda abincinsa na yau da kullun bai wuce kilocalories dubu ba
- kafin da bayan tiyataꓼ
- tare da raɗaɗin raunin kwanan nanꓼ
- kafin da bayan binciken da suke amfani da isotropes na aidin iodineꓼ
- ketoacidosis da lactic acidosis.
Bugu da kari, mata bai kamata su sha maganin ba yayin daukar ciki da lactation.
Abunda ke tattare da tasirin sakamako zai iya bayyana kansa ga wani ɓangaren ɓangarori da tsarin jikin mutum - jijiyoyin ciki, ƙwayar jijiyoyin jini, tsarin jijiyoyin jini, cututtukan fata. Babban mummunan halayen da zai iya faruwa sakamakon shan magungunan sune:
- Haske mai ƙanshi. Wani lokacin tashin zuciya yana faruwa a cikin nau'in ciwon sukari na 2. Ana iya maye gurbin tashin hanci ta amai
- Nau'in ciki mai raɗaɗi.
- Bayyanar ɗanɗano mai ƙarfe a cikin ramin roba.
- Hematopoiesis da hemostasis.
- Megaloblastic anemia.
- Rage sukari na jini a matakin da aka yarda - hypoglycemia.
- Fitowar rauni a jiki.
- Damuwa.
- Hypotension.
- Rashin lafiyar numfashi.
- Bayyanar cututtukan fata ko fatar kan fata.
Ya kamata a kula da hankali yayin shan Langerin tare da wasu magunguna. Yin amfani da allunan lokaci guda tare da cymeditine yana ƙara haɗarin lactic acidosis. Haɗarin Langerin tare da madauki diuretics na iya haɓaka sakamako iri ɗaya. A wannan yanayin, ban da yiwuwar bayyana lactic acidosis, ana iya lura da wata alama ta gazawar koda.
Yin amfani da miyagun ƙwayoyi, ya zama dole don saka idanu kan aikin al'ada na kodan da kuma ƙayyade adadin lactate a cikin plasma aƙalla sau biyu a shekara.
Bayanai game da kwayoyi da aka yi amfani da su don magance cututtukan sukari an bayar dasu a cikin bidiyon a cikin wannan labarin.
