Mutane da yawa suna sha'awar yadda za a dauki Metformin domin cimma iyakar tasirin warkewar cutar.
Don amsa wannan tambaya, ya kamata kuyi nazarin umarnin don amfani da miyagun ƙwayoyi dalla-dalla kuma ku sami shawara daga ƙwararrun masaniyar dabbobi.
Ana samun magungunan a cikin nau'ikan allunan, waɗanda suke da nau'ikan uku dangane da sashi: 500, 850 da 1000 MG. Babban kayan da ke cikin magungunan shine metformin. Wadanda suka kware a cikin kwayoyin sunadarai sune magnesium stearate, crospovidone, povidone K90, talc, sitaci masara.
Metformin, ko metformin hydrochloride wakilin aji ne na biguanide, wanda ke taimakawa kawar da hyperglycemia, wato, haɓaka glucose na jini. Ana ɗaukar irin wannan magani musamman nau'in ciwon sukari na biyu. Gabaɗaya, mai haƙuri wanda ya ɗauki maganin zai sami nutsuwa daga alamun cututtukan hypoglycemia, tunda hanyoyin da suka biyo baya zasu faru a jikin:
- Increara yawan ƙwayar glucose ta hanyar kyallen jiki na gefe.
- Rage saurin aiwatar da rarrabuwar kitse da sunadarai.
- Saurin haɗarin glucose a cikin kayan narkewar abinci da juyawar ta zuwa lactic acid.
- Haramcin sakin glycogen daga hanta.
- Cire insulin juriya.
- Starfafa tarin ƙwayar glucose a cikin hanta.
- Yawan fitowar cholesterol, wanda zai iya shafar lafiyar lipids.
Metformin ba shi da wani tasiri a cikin aiki na farji, wanda ke samar da insulin. Magungunan ba zai haifar da hypoglycemia ba - raguwa a cikin taro na glucose a cikin jini.
Umarnin don amfani da miyagun ƙwayoyi
Kafin amfani da Metformin, kuna buƙatar sanin menene cututtukan da ake amfani dashi.
A wannan yanayin, ya fi dacewa da bin shawarar likitan da ya tsara wannan magani, la'akari da halayen kowane mai haƙuri.
Abubuwan da ke nuna alamun rubuta magani sune:
- ciwon sukari mellitus na farko da na biyu;
- ciwon suga (matsakaici);
- kiba tare da raunin insulin mai rauni;
- Cutar ƙwayar ƙwayar ƙwayar ƙwayar cuta a cikin ƙwayar ƙwayar cuta;
- ciwo na rayuwa;
- a wasanni;
- rigakafin tsufa na jiki.
Duk da jerin abubuwa da yawa wadanda za ku iya sha na Metformin, ana ɗaukar yawancin lokuta tare da ciwon sukari na 2. A cikin nau'in cutar ta farko, ana amfani da wannan magani mai wuya, galibi azaman ƙari ga ilimin insulin.
Yawancin karatu sun nuna cewa yayin shan magungunan a lokaci guda tare da allurar insulin, buƙatar hormone yana raguwa da kusan 25-50%. Bugu da kari, bayan tsawaita amfani da miyagun ƙwayoyi, ramawar ƙwayar metabolism yana inganta. Hakanan ana amfani dashi a cikin nau'in na biyu na ciwon sukari, wanda ke buƙatar allurar insulin.
A cikin nau'in cuta ta biyu, an wajabta Metformin a kusan kowane yanayi. A lokacin monotherapy, sashi ya kamata a ƙara hankali. Don haka, da farko an ba shi damar amfani da kwamfutar hannu 1 a kowace rana (500 ko 850 MG). Zai fi kyau a sha maganin da yamma, amma don guje wa rushewar hanji, ana bada shawara a sha Allunan yayin cin abinci sau biyu a rana - safe da yamma.
A tsawon lokaci, ana iya ƙaruwa da adadin ƙwayar ta hanyar tuntuɓar likita kafin hakan. Matsakaicin kashi a rana kada ya wuce 2.5 MG, wato, mai haƙuri na iya ɗaukar allunan 2-3 a rana. Bayan makonni biyu, metabolism metabolism yana fara komawa zuwa al'ada. Bayan ya isa matakin sukari na al'ada na jini, ana iya rage sashi a hankali.
Haɗin maganin Metformin da sulfonylurea na iya samar da sakamako mai kyau na ɗan gajeren lokaci. Amma jikin mutum da sauri yana amfani da wannan nau'in magani. Sabili da haka, monotherapy tare da Metformin na iya samun sakamako mai dorewa. Koyaya, a cikin 66% na marasa lafiya da ciwon sukari, wannan haɗin magungunan da gaske ƙayyadadden tsarin carbohydrate metabolism.
Ana adana Metformin a zazzabi wanda bai wuce 25 ° C daga idanun yara ba. Rayuwar shiryayye na miyagun ƙwayoyi shine shekaru 3.
Contraindications da sakamako masu illa
Kafin shan wannan magani, kuna buƙatar tabbatar da cewa mai haƙuri zai iya ɗaukar shi. Kamar sauran kwayoyi, Metformin yana da wasu contraindications, kamar:
- lokacin haihuwar yaro;
- shayarwa;
- shekarun yara har zuwa shekaru 10;
- na kullum mai shan giya;
- ilimin halittar yara na hanta, hanta, zuciya da tsarin numfashi;
- coma mai ciwon sukari ko kakanni;
- lactic acidosis na baya ko tsinkayar da shi;
- karancin kalori;
- raunin da ya gabata da mummunar tasirin tiyata.
Ya kamata ya zama ɗan ƙara maida hankali kan lactic acidosis - tarin tarin lactic acid. Wasu yanayi na iya haifar da ci gaba ko haɓakar lactic acidosis:
- lalacewar aikin na yara, a sakamakon haka, gazawa wajen sarrafa acid;
- shan maye ethanol saboda yawan shan barasa;
- zuciya da gazawar numfashi;
- cutar huhu;
- cututtukan cututtukan da ke bushe jikin mutum - amai, gudawa, zazzaɓi;
- mai ciwon sukari (ketoacidosis) mai ciwon sukari (mai rauni a cikin ƙwayoyin metabolism);
- infarction na zuciya.
Wani magani mara kyau (yawan shan ruwa) zai iya haifar da sakamako masu illa ga marasa lafiya, misali:
- narkewa cikin damuwa - tashin zuciya, amai, rashin jin daɗi, zawo, ɗanɗano, ƙarfe ko kuma rashin cikakken ci;
- halayen rashin lafiyan - fatar jiki da itching;
- lactic acid coma ne mai wuya, amma a lokaci guda rikitarwa mai haɗari.
Ainihin, halayen marasa kyau suna tafi da kansu bayan makonni biyu na shan magani. Wannan ya faru ne saboda gaskiyar cewa maganin yana hana shan glucose a cikin hanji. Sakamakon haka, carbohydrates suna fara ferment a ciki, suna haifar da ƙonewa, sannan sauran alamun rushewar hanji. Yawancin lokaci jikin mutum yana amfani da tasirin miyagun ƙwayoyi, kuma idan mummunan halayen ba su da wuyar jurewa, to babu yadda za a yi magani.
Kafin shan Metformin, mai haƙuri ya kamata ya faɗi game da duk cututtukan da suka kasance kuma sun kasance, tunda ɓoye irin waɗannan mahimman bayanan zasu iya cutar da mara haƙuri.
Yin amfani da miyagun ƙwayoyi a cikin kiba
Yawancin masu ciwon sukari masu dauke da cutar ta biyu suna da kiba ko kiba.
A irin waɗannan halayen, yin amfani da Metformin na iya samun tasiri mai kyau akan asarar nauyi na mai haƙuri. Amma saboda kada ya cutar da jikinsa, mai ciwon sukari ya kamata ya bi irin waɗannan shawarwarin:
- Aikin yakamata ya wuce kwanaki 22.
- Shan magungunan, mai haƙuri ya kamata ya jagoranci salon rayuwa mai aiki.
- Shan maganin yana hade da shan giya mai yawa.
- Farfadiya yana iyakance abincin mai haƙuri.
Kowace rana, mai haƙuri da ciwon sukari dole ne ya aiwatar da wasu ayyukan jiki, ko yana gudana, yawo, iyo, wasan kwallon volleyball, ƙwallon ƙafa da ƙari. Daga cikin abincin da za ku ci sai ku ware kayayyakin burodi, kayan lemo, cakulan, jam, zuma, 'ya'yan itaciya mai ɗaci, abinci mai mai daɗin abinci.
Likita ya zama mai yanke hukunci game da sashi na mai magani ga mara lafiyar. Ba shi yiwuwa a shiga magani na kai, saboda wannan na iya haifar da mummunan sakamako. Hakanan, ana iya amfani da shi ta hanyar mutanen da ba su da kiba, amma mai saurin cikawa.
Sau da yawa, sashi na magani a gare su yana dan kadan m.
Farashi da analogues na miyagun ƙwayoyi
Za'a iya siyan magungunan a kowane kantin magani a cikin birni ko kuma an umurce shi ta kan layi. Tunda ana samar da Metformin ta kamfanonin daban-daban na gida da na kasashen waje daban, farashin na iya bambanta sosai.
Misali, idan wanda ya kirkirar magungunan kamfanin Rasha ne, to, farashinta, ya danganta da sashi, na iya zama daga 112 zuwa 305 rubles. Idan mai ƙirar Poland ne, to, farashin maganin a cikin ƙasa na Tarayyar Rasha ya tashi daga 140 zuwa 324 rubles. Magungunan yana daga asalin ƙasar Hungary a cikin yankin na Tarayyar Rasha daga 165 zuwa 345 rubles, dangane da adadin kayan aiki a cikin kayan aiki.
Farashin magani ya yarda da mutanen da ke da matsakaitan matsakaita da ƙanana. Sabili da haka, za'a iya zaɓin maganin ta hanyar tasirin warkewa da kuma karfin kuɗin mai amfani. Sabili da haka, ba za ku iya biya sama da wani magani mai tsada wanda zai sami sakamako iri ɗaya ba kamar mai araha.
Tunda an samar da maganin a cikin ƙasashe da yawa, yana iya samun maganganu da yawa, alal misali, Gliformin, Metfogamma, Bagomet, Formlinpliva da sauransu. Hakanan akwai wasu magunguna masu kama da yawa waɗanda zasu iya ɗauka lokacin da Metformin saboda wasu dalilai bai dace da kula da mai haƙuri ba. Wadannan sun hada da:
- Glucophage magani ne mai inganci a cikin lura da ciwon sukari na 2 da kiba. Yana da kaddarorin hypoglycemic. Wadannan karatun sun nuna cewa shan wannan magani yana rage yawan mace-mace daga kamuwa da cutar sankara da kashi 53%, infarction myocardial - da kashi 35%, bugun jini - kashi 39%. Matsakaicin matsakaici (500 MG) shine 166 rubles.
- Siofor wani magani ne mai kyau don rage sukarin jini. Halinsa shine cewa za a iya haɗa magungunan tare da sulfonylureas, salicylates, insulin da wasu mutane. Cikakken magani zai inganta sakamakon da ake tsammanin. Matsakaicin matsakaici (500 MG) shine 253 rubles.
Yawancin marasa lafiya suna mamakin wanne magani ne mafi kyau. A zahiri, yawancin kwayoyi suna dauke da abu mai aiki - metformin, bambanci shine kawai a cikin abubuwan taimako, don haka suna da kusan iri ɗaya sakamako a cikin maganin ciwon sukari.
Nazarin haƙuri game da Metformin
Binciken game da amfani da miyagun ƙwayoyi Metformin a mafi yawan lokuta tabbatacce ne.
Yawancin marasa lafiya da ke da nau'in ciwon sukari na 2 suna lura da raguwa da yawaitar glucose jini zuwa matakan al'ada da kiyaye su a matakin daya.
Bugu da kari, fa'idar wannan kayan aikin sune:
- wani nau'i mai dacewa na allunan waɗanda dole ne a hadasu su kuma wanke shi da ruwa;
- aikace-aikacen yana faruwa sau ɗaya ko da safe da maraice;
- wajen ƙarancin farashin magani.
Yawancin masu amfani kuma sun ba da rahoton asarar nauyi yayin shan Metformin. Amma a lokaci guda, kuna buƙatar bin dokoki da yawa: wasa wasanni, bi abinci, sha ruwa mai yawa, iyakance kanku a cikin cin abinci. Don yin wannan, kuna buƙatar ku ci 'ya'yan itatuwa da kayan marmari waɗanda ba a taɓa gani ba, mai sauƙin narkewa na carbohydrates, abinci mai wadataccen fiber.
Wani lokaci zaku iya samun ra'ayoyi marasa kyau game da marasa lafiya game da wannan magani. An haɗu da su sosai tare da m halayen ga miyagun ƙwayoyi. Kamar yadda aka ambata a baya, yawancin mummunan tasirin suna tafiya da kansu bayan makonni biyu na magani, saboda jiki dole ne ya sami amfani da aiwatar da metformin.
Metformin kyakkyawan magani ne da ake amfani da shi don rage matakan sukari a cikin nau'in 1 da nau'in ciwon sukari na 2. Ana amfani dashi azaman ƙari ga ilimin insulin, kuma azaman babban maganin rage sukari a cikin nau'in cutar ta biyu. Kafin amfani da samfurin, tattaunawa mai mahimmanci tare da likita ya zama dole, wanda zaiyi la'akari da duk contraindications kuma ya tsara madaidaicin sashi.
Bugu da kari, Metformin ba na siye bane ba tare da takardar sayan magani ba. A zahiri, contraindications da rikicewar halayen miyagun ƙwayoyi sunyi ƙanana, kuma bayyanuwar su ta kasance da wuya. Gabaɗaya, sake dubawa game da miyagun ƙwayoyi suna da inganci. Saboda haka, wannan magani ana iya ɗauka mara lahani da tasiri.
A kowane hali, yakamata a kula da magunguna ta hanyar yin amfani da kulawa akai-akai game da matakan sukari ta amfani da glucometer, aikin jiki da kuma warwatse masu kitse da abinci mai soyayyen nama, kayan lemo, kayan lemun abinci daga abinci. Kawai bin duk waɗannan ƙa'idodin, mai haƙuri zai iya samun sakamako na magani na dogon lokaci kuma ya kiyaye matakin glucose na jini a cikin kewayon ƙimar al'ada.
Za a tattauna ka'idodin amfani da Metformin a cikin bidiyon a cikin wannan labarin.
