Magungunan Bagomet da ƙari shine ingantaccen haɗuwa na magungunan maganganu na baka guda biyu a lokaci ɗaya, wanda ya ƙunshi ƙungiyoyi daban-daban na magunguna: Metformin, Glibenclamide.
Metformin magani ne na rukunin biguanide, yana rage raguwar cutar glycemia saboda karuwar haɓakar kyallen takarda zuwa insulin na hormone, haɓaka haɓakar glucose.
Abubuwan da ke aiki na miyagun ƙwayoyi suna rage ɗaukar carbohydrates ta hanyar narkewa, hana gluconeogenesis a cikin hanta na mai haƙuri, kuma suna da tasiri mai kyau akan haɗarin kitsen jini, rage ƙwayar triglycerides da jimlar cholesterol.
Glibenclamide shine sulfonylurea na ƙarni na biyu, haɗuwar glucose bayan amfani da abu yana raguwa sakamakon aiki mai narkewa a cikin ƙwayar hormone ta sel ƙwayoyin kumburi.
Bayan amfani da maganin, tasirin hypoglycemic yana haɓaka bayan sa'o'i 2, kuma yana iya wuce awa 12. Babban mahimmancin amfani shine nau'in ciwon sukari na 2 na ciwon sukari a bango na ƙarancin sakamako daga maganin abinci ko magani tare da magunguna na hypoglycemic na baki.
Farashin Bagomet Plus (sashi na 500 MG) kusan 200 rubles. Analogs na maganin: Glybomet, Glukovans, Gluconorm.
Babban contraindications, halayen m
Ba za a iya ba da magani ba don nau'in 1 na ciwon sukari na mellitus, magabaciyar mai ciwon sukari, coma, ketoacidosis na ciwon sukari, na koda da na hepatic insufficiency, lactic acidosis, m barasa maye. Bagomet kuma ba a ba da shawarar yanayin m yanayin buƙatar buƙatar gabatarwar wakilai masu aidin ba.
Maganin yana maganin cututtukan da ke fama da matsanancin yanayi, wanda ke haɗuwa da matsanancin iskar oxygen, watau: faɗuwar girgiza, ɓarkewar zuciya, rashin ruwa. Hakanan akwai hani akan amfani da miyagun ƙwayoyi don porphyria, amfani da concomitant tare da miconazole, ciki, da shayarwa.
Yana yiwuwa a yayin yin jiyya da mai ciwon sukari zai sami halayen jikin da ba a so: hare-hare na amai, tashin zuciya, ciwon ciki, rage yawan ci, daɗin ɗan ƙarfe a cikin bakin, da erythema. Metformin a cikin abun da ke cikin miyagun ƙwayoyi wani lokacin yana haifar da raguwa a cikin sha, lactate acidosis.
Wani bangare na magungunan Bagomet - Glibenclamide - yana da ikon haifar da irin wannan yanayin:
- fata fitsari, itching, urticaria;
- amai, tashin zuciya, ciwon ciki;
- yawan wuce haddi na hepatic transaminases;
- leukopenia, hemolytic anemia, thrombocytopenia.
Wataƙila karuwa a cikin maida hankali na urea na jini, aplasia na kasusuwa, pancytopenia, hyponatremia, halayen disulfiram-like.
Umarnin don amfani da miyagun ƙwayoyi
An dauki Bagomet Plus tare da abinci, ana buƙatar zaɓar ainihin takaddara sashi daban-daban, gwargwadon yanayin tafiyar matakai na rayuwa. A matsayinka na mai mulkin, satin farko shine kwamfutar hannu 1, a hankali yawan magunguna yana ƙaruwa, dangane da alamun glycemic. Yawancin lokaci yakan ɗauki makonni 1-2.
Lokacin da akwai buƙatar gaggawa don maye gurbin maganin haɗin haɗin baya, likita ya tsara allunan 1-2 (sashi ya dogara da maganin da ya gabata). Ana ba da izini akan allunan 4 a kowace rana, dangane da manyan abubuwan da ke aiki - wannan shine 500 mg na metformin da 5 mg na glibenclamide.
Idan mai ciwon sukari ya yi aikin tiyata, yana da ƙonewa, raunin da ya sa ko cututtukan da ke ɗauke da cututtukan ƙwayar cuta, kuna iya buƙatar dakatar da shan magungunan ƙwaƙwalwa na baki da kuma sanya allurar insulin.
Yayin aikin jiyya, ana buƙatar kiyaye shi ƙarƙashin kulawa:
- azumi glycemia, bayan cin abinci;
- kullun kwana na sukari na jini.
Kuna buƙatar sanin game da yuwuwar haɓakar haɓaka ta hanji idan mai ciwon sukari, tare da Bagomet Plus, shan giya, magungunan anti-steroidal anti-inflammatory, kuma tana fama da matsananciyar yunwa.
Ana ba da damar daidaita magunguna don tsananin motsin rai, raunin jiki, canjin abinci mai kauri. Tare da tsananin taka tsantsan, ya kamata a dauki magunguna a kan asalin magani tare da masu hanawa.
Idan alamun cututtukan hypoglycemia ya faru, an nuna shi:
- ci abinci kaɗan na abincin carbohydrate;
- sarrafa glucose ko dextrose bayani a ciki.
Lokacin da ake buƙatar nazarin urographic ko na ilimin halittar mutum, Bagomet Plus an dakatar da shi kwanaki 2 kafin aikin kuma ya sake farawa bayan sa'o'i 48.
Tare da yin amfani da abubuwa masu daidaituwa na abubuwan da ke ɗauke da ethanol, akwai yuwuwar haɓaka halayen disulfiram-kamar.
A tsawon lokacin aikin jiyya, ana buƙatar mai ciwon sukari don yin taka tsantsan yayin tuki iri daban-daban na zirga-zirga, yin aiki tare da ƙilarori masu haɗari waɗanda suka haɗa da haɗuwa da hankali, da saurin halayen psychomotor.
Hulɗa da ƙwayoyi
Yin amfani da haɗin gwiwa tare da miconazole na iya haifar da ci gaban hypoglycemia na tsananin wahala, har zuwa ,arma. Idan ana amfani da Bagomet tare da Fluconazole, akwai yuwuwar cutar tarin fuka, tunda matakin na abubuwan ƙira na jini na haɓaka.
Magungunan Phenylbutazone yana da ikon kawar da abubuwan da suka samo asali na sulfonylurea, ta hanyar haifar da karuwar adadin su a cikin hanyoyin jini, hadarin cutar hypoglycemia.
Amfani da magungunan aidin-iodine wanda ke dauke da magunguna na iya haifar da haɓakar aikin ƙarancin abinci, tarawar metformin. A wannan yanayin, ci gaban lactic acidosis ba a cire shi ba. Ana nuna kulawa tare da miyagun ƙwayoyi za a lura da shi kwana biyu kafin yin amfani da irin waɗannan magunguna, kuma ana iya sake komawa ne kawai bayan awanni 48.
Yin magani na Bagomet tare da yin amfani da magungunan ethanol-dauke da kwayoyi a cikin wasu rukuni na marasa lafiya da ciwon sukari na iya tayar da halayen disulfiram-kamar.
Equivalentimar Bagomet Plus shine Metformin 850 ko 1000.
Tare da amfani da layi daya na amfani da magungunan glucocorticosteroid, diuretics da beta2-blockers:
- akwai raguwa mai tasiri a cikin tasiri na jiyya;
- akwai alamomi don daidaita yadda ake amfani da kwayoyi.
A kan asalin jiyya tare da masu hana ACE, da alama yiwuwar hauhawar jini ya bayyana, masu hana beta kewayawa za su kara mita da tsananin wannan yanayin cutar.
Idan ana amfani da magungunan ƙwayoyin cuta, saurin raguwa cikin matakan sukari na iya farawa, waɗannan magungunan sun haɗa da:
- sulfonamides;
- MAO masu hanawa;
- Pentoxifylline;
- Chloramphenicol;
- Abubuwan cikin rashin kunya.
Amincewa iri ɗaya na iya faruwa lokacin amfani da ƙananan ƙwayoyi don rage ƙwayoyi daga rukunin fibrates.
Adadin kararraki
Game da yawan abin sama da ya wuce, hypoglycemia na faruwa, ana haifar dashi ta kasancewar glibenclamide a cikin abu.
Don haka hypoglycemia a cikin ciwon sukari na iya haifar da yunwa, wuce kima, rauni na tsoka, fatar jiki, rawar jiki a jiki, jin zafi a kai.
Lokacin da hypoglycemia ya ci gaba, akwai haɗarin asarar kamun kai da ƙanƙantar da hankali. A wannan halin, yana da matukar muhimmanci a dauki ɗan adadin abincin da ke a jikin carbohydrate, a saka glucose a ciki. Koyaya, wannan dabarar zata amfana ne kawai tare da tsananin zafin jiki zuwa matsakaici na hypoglycemia.
Sauran bayyanai yakamata a kira shi:
- matsalar rashin bacci;
- rashin tsoro;
- ƙarancin madaidaici, daidaituwa da motsi;
- rikicewar jijiyoyin cuta na lokaci-lokaci;
- farin ciki.
A cikin alamun bayyanar cututtuka na hypoglycemia, idan mai ciwon sukari ya suma, yana buƙatar allura 40% dextrose bayani ko glucagon subcutaneously, intravenously or intramuscularly. Farashin waɗannan karkatarwa shine adana rayuwar mutum.
Lambar za ta dawo da hankali, mai haƙuri ya kamata ya ci abincin da ke ƙunshe da ƙwayoyin carbohydrates da yawa, wannan zai hana sake haɓakar ƙwanƙwasa jini.
Umarnin don amfani da Bagomet Plus yayi gargadin cewa magani na dogon lokaci na iya haifar da ci gaban rikitarwa kamar lactic acidosis, tunda maganin yana dauke da sinadaran metformin.
Lactic acidosis - yanayin da ke buƙatar kulawa da gaggawa na likita, ana gudanar da jiyya ta musamman a asibiti. Hanya mafi inganci don kawar dashi shine hemodialysis.
Bidiyo a cikin wannan labarin yayi magana game da sakamakon sinadarin metformin a kan ciwon sukari.
