Cutar sankara (mellitus) cuta ce mai tsananin gaske, don maganin da ake amfani da magunguna daban-daban, gami da Novoformin. Wannan magani ya kasance ga rukuni na biguanides kuma an yi niyya don daidaita matakan sukari.
An ba da shawarar yin amfani da maganin don marasa lafiya da masu ciwon sukari na type 2 waɗanda suke da kiba sosai idan ba abinci ya isa ba.
Bugu da kari, Novoformin ne sau da yawa ana haɗa shi tare da allurar insulin idan mai haƙuri yana shan wahala ba kawai daga kiba ba, har ma daga juriya na insulin na sakandare.
Da abun da ke ciki da kuma irin maganin
Novoformin yana cikin rukunin magungunan maganin cututtukan jini don gudanar da maganin baka.
Babban nau'in sakin magunguna shine farin allunan. Siffar shine biconvex; akwai hadari a gefe guda na kwaya.
Babban abu mai amfani da maganin shine metformin hydrochloride. Dangane da maida hankali, ana samar da nau'ikan allunan guda biyu: 500 MG na kayan aiki mai aiki da 850 MG. Wadanda suka rage magunguna sun hada da:
- polyethylene glycol,
- povidone
- sihiri
- magnesium stearate.
Bambancin magunguna ma sun bambanta da nau'in kwasfa: sun saki duka allunan talakawa da allunan tsawan tsawaita, tare da fim ko kayan murfin shiga ciki.
Magungunan yana cikin rukunin biguanides. Babban tasirin Novoformin shine hypoglycemic, i.e., yana taimakawa rage yawan glucose a cikin jini. Metformin yana da ikon rage jinkirin samuwar glucose a cikin hepatocytes, yana rage ikon shan glucose. A lokaci guda, miyagun ƙwayoyi suna inganta amfani da sukari mai yawa da kuma ƙwayar kyallen takarda zuwa insulin. Duk da wannan tasirin, Novoformin ba ya cutar da ƙarancin insulin kuma ba ya haifar da amsawar hypoglycemic.
Sakamakon magani na miyagun ƙwayoyi yana nuna rauni sosai a cikin rashin insulin. Tasirin magungunan ƙwayar cuta ya ɗan bambanta dangane da tsari. Don haka, allunan al'ada suna haifar da raguwa a cikin cholesterol, IG da LDL. Magunguna na dogon lokaci, akasin haka, ba ya shafar matakin cholesterol da LDL, amma a wasu yanayi yana yiwuwa a ƙara matakin TG.
Bugu da ƙari, maganin yana taimakawa wajen daidaita nauyin marasa lafiya tare da ciwon sukari na mellitus, kuma a wasu lokuta ma akwai raguwar kitsen jiki. Sau da yawa ana amfani dashi don asarar nauyi, har ma da rashin bayyanar cututtuka na ciwon sukari.
Amfani da maganin yana fitowa daga narkewa. A bioavailability na kashi na Novoformin yana zuwa 60%. A miyagun ƙwayoyi na da ikon tarawa a cikin jiki - akasarinsu a cikin kyallen takarda, kodan, hanta da glandar salivary. Ana samun babban taro a cikin kusan awa 2. Drawacewa da miyagun ƙwayoyi na faruwa ba a canzawa ta hanyar kodan. Lokacin cire rabin rabin abu mai magani shine awoyi 6.5
Haɗin Novoformin mai yiwuwa ne, amma yawanci yakan faru ne tare da nakasa aikin aikin haya. Daga jikin, ana fitar da maganin a cikin fitsari.
Umarnin don amfani da miyagun ƙwayoyi
Kafin shan maganin, ya zama dole ku san kanku tare da umarnin don amfani da Novoformin ta yadda a nan gaba babu alamun rashin jin daɗi.
An ƙayyade lokutan aiki da sashi daban-daban ga kowane mai haƙuri. Tabletsauki allunan 500 MG na kwayar mai aiki ana bada shawarar farawa tare da Allunan 1-2 a kowace rana, wato, ba fiye da 500-1000 MG ba. Bayan kimanin makonni 1.5-2 na jiyya, karuwa a yawan ƙwayoyi yana yiwuwa, kodayake wannan ya dogara da yawa dangane da matakin glucose a cikin jini. Don kula da yanayin, ana bada shawarar sashi na Allunan 3-4 na Novoformin, matsakaicin kada ya zarce allunan 6.
Kwayoyin novoformin 850 MG Allunan farawa tare da kwamfutar hannu 1 kowace rana. Bayan makonni 1.5-2, gwargwadon matakin glucose a cikin jini, an yanke shawara game da karuwa a hankali. Matsakaicin adadin ƙwayoyi bai wuce 2.5 g ba.
Irin waɗannan ka'idojin ana bada shawara ga manya. Ga tsofaffi, an ba da shawarar rage sashi zuwa allunan 2 (ba fiye da 1000 mg ba). Hakanan, sashi yana raguwa tare da mummunan rikicewar metabolism a cikin jiki.
Zai fi kyau a sha maganin tare da abinci ko kuma bayan cin abinci. Allunan za a iya wanke ƙasa, amma adadin ruwa ya kamata ƙanana. Tunda sakamako masu illa na miyagun ƙwayoyi na iya faruwa, ana shawarar gabaɗaya kullun zuwa kashi guda ɗaya zuwa kashi 2-3.
Idan an wajabta mai haƙuri Novoformin tare da insulin (kashi ɗaya na yau da ƙasa da raka'a 40), to alƙawarin ɗaya ne. A wannan yanayin, yana halatta a hankali a rage rage yawan insulin, da aƙalla sama da raka'a 8, sau ɗaya a cikin kwanaki 2. Idan an tilasta mai haƙuri ya ɗauki fiye da 40 IU na insulin kullun, to, rage rage sashi shima ya halatta, amma ba da shawarar gudanar da shi shi kaɗai ba. Yawancin lokaci, ana yin rage insulin a cikin asibiti, a cikin bin duk matakan kariya.
Magungunan suna da contraindications da yawa don amfani:
- Cututtuka na hanta, kodan.
- Myocardial infarction a cikin ciwon sukari.
- Rashin haƙuri ga metformin ko wasu abubuwan maganin.
- Maganin rashin lafiya.
- Abincin mai-kalori (tare da rage yawan caloric kasa da 1000 kcal / rana).
Bugu da kari, ba a sanya maganin a cikin kwanaki 2 kafin duk wani aikin tiyata da kuma gwaje-gwaje wadanda a cikin su ake sarrafa abun ciki na aidin.
Contraindication zuwa alƙawarin maganin shine ciki.
Yayin shirin ɗaukar ciki, da kuma lokacin daukar ciki bayan fara maganin, dole ne a dakatar da lura da Novoformin.
Nazarin da farashin magani
Nazarin game da magungunan Novoformin galibi tabbatacce ne, duka tsakanin likitoci da kuma tsakanin marasa lafiya. Masu ilimin Endocrinologists wadanda suka bar ra'ayoyinsu sun ba da rahoton cewa sun kwashe fiye da shekara guda suna taɗin maganin. Musamman magani mai mahimmanci ana la'akari da marasa lafiya tare da manyan kiba (tare da BMI fiye da 35). Yana ba da gudummawa ga asarar mai mai yawa, kodayake don cimma sakamako yana da mahimmanci don bin abincin da rage yawan abincin da ke ɗauke da sukari.
Dangane da sake dubawa, Novoformin miyagun ƙwayoyi yana da mataki mafi sauƙi a tsakanin biguanides. Hakanan magani yana da tasiri don rage matakan glucose na jini. A cikin marasa lafiya da mummunar kiba, wannan alamar ta rage da 1.5% ba tare da shan ƙarin magunguna da insulin ba.
Abubuwan da ke tattare da miyagun ƙwayoyi sun haɗa da farashinsa: dangane da birni da kantin magani, magani zai iya tsada a cikin adadin 100-130 rubles.
Baya ga sake dubawa masu inganci, ƙwayar ta karɓi waɗanda ba su da kyau. Wasu marasa lafiya ba su lura da wani ci gaba ba, har ma da tsawan amfani. Wasu likitoci sun yarda da su: sun yi imani da cewa Novoformin ya fi "rauni" fiye da analogues, kamar Glucofage ko Siofor.
Don ingantacciyar jiyya, an shawarci masana ilimin endocrinologists don zaɓar analogues na miyagun ƙwayoyi:
- Metformin (babban abu mai aiki),
- Glucophage,
- Siofor
- Tsarin Pliva,
- Sofamet
- Metfogamma.
Wasu marasa lafiya da ke shan maganin sun koka game da bayyanar sakamako masu illa na miyagun ƙwayoyi:
- tsananin zafin ciki
- tashin zuciya
- rashin ci
- rushewa daga cikin narkewa,
- alerji
Za'a iya siyan magungunan a kowane kantin magani, amma kawai takardar sayen magani.
Takeauki miyagun ƙwayoyi daidai da umarnin, guje wa yawan abin sha.
Wuce adadin da ake buƙata na miyagun ƙwayoyi na iya haifar da mummunar illa ga lafiya. Don haka, shan kowane kwayoyi na ƙungiyar biguanide (gami da Novoformin) na iya haifar da lactic acidosis - yanayin cututtukan cuta wanda zai iya haifar da mutuwa. Alamomin lactic acidosis sune ciwon tsoka, rashin tausayi, nutsuwa, zazzage jiki, da tashin zuciya.
Idan wani bayyanar cututtuka na lactic acidosis ya bayyana, ya zama dole a daina shan Novoformin kuma a hanzarta kai asibiti ga wanda abin ya shafa.
Wadanne magunguna za a iya amfani da su maimakon Noformin don ciwon sukari? Za a tattauna wannan a cikin bidiyon a cikin wannan labarin.
