Yawancin marasa lafiya da masu ciwon sukari suna sha'awar wannan tambaya: Metformin ko Diabeton - Wanne ya fi kyau?
Dukansu magungunan an tsara su don rage glucose a cikin nau'in 2 na ciwon sukari na mellitus.
Kowace shekara yawan mutanen da ke fama da wannan cuta yana ƙaruwa, saboda haka akwai buƙatar zaɓi mafi yawan magungunan rage ƙwayar sukari. Kasancewa sanannu ne tsakanin yawancin magungunan cututtukan jini, kowannensu yana da fa'idodi biyu da wasu rashin amfani.
Fasali na amfani da Metformin
Metformin sanannen magani ne na maganin cututtukan da ake amfani dashi a duk duniya. Ba abin mamaki bane, ana amfani da babban bangaren metformin - hydrochloride a cikin kwayoyi masu kama da yawa.
Abubuwan da ke nuna alamun amfani da wannan magani sune masu ciwon sukari (2) ba tare da sha'awar ketoacidosis ba, har ma a hade tare da maganin insulin.
Wannan babban bambanci ne tsakanin Metformin, tunda ba a amfani da Diabeton tare da allurar hormone.
Zai yiwu a hana amfani da miyagun ƙwayoyi idan:
- hypersensitivity ga abubuwan da ke cikin miyagun ƙwayoyi;
- dauke da yaro da shayarwa;
- cin abinci ƙasa da 1000 kcal / rana;
- precoma na ciwon sukari da coma, ketoacidosis;
- yanayin hypoxia da rashin ruwa a jiki;
- m da na kullum cututtuka;
- cututtukan cututtuka;
- sa bakin ciki;
- dysfunction hanta;
- lactic acidosis;
- m barasa guba.
- Nazarin X-ray da karatun radioisotope tare da gabatarwar abubuwa na iodine.
Yadda za a sha magani daidai kuma nawa? Kawai halartar ƙwararrun halartar na iya ƙayyade sashi, la'akari da matakin glycemia da kuma yanayin yanayin mai haƙuri. Matsakaicin matsakaicin na farko ya bambanta daga 500 zuwa 1000 MG kowace rana.
Aikin maganin har zuwa makonni biyu, bayan haka likita yana gyara sashi gwargwadon maganin warkewar cutar. Yayinda yake riƙe da adadin sukari na al'ada, ya zama dole a sha har zuwa 2000 MG kowace rana. Matsakaicin adadin yau da kullun shine 3000 MG. Marasa lafiya na tsufa (fiye da shekara 60) yakamata su cinye har zuwa 1000 MG kowace rana.
Sakamakon amfani da shi ko don wasu dalilai, bayyanar halayen m yana yiwuwa:
- Hypoglycemic jihar.
- Megablastic anemia.
- Fata fatar jiki.
- Rashin fitowar bitamin B12.
- Lactic acidosis.
Mafi sau da yawa, a cikin makonni biyu na farko na maganin, marasa lafiya da yawa suna cikin wahala. Zai iya zama amai, gudawa, ƙara gas, wani ɗanɗano ko ƙarfe na ciki. Don kawar da irin waɗannan bayyanar cututtuka, mai haƙuri yana ɗaukar maganin antispasmodics, abubuwan da ake buƙata na atropine da antacids.
Tare da yawan zubar da ruwa, lactic acidosis na iya haɓaka. A cikin mafi munin yanayi, wannan yanayin yana haifar da ci gaba na ciki da mutuwa. Saboda haka, idan mara lafiya yana da narkewa kamar narkewa, rage zafin jiki, gajiya da saurin numfashi, lallai ne a kai shi asibiti!
Fasali na miyagun ƙwayoyi masu ciwon sukari MV
Magungunan asali ana daukar su ne masu ciwon suga.
Kwanan nan, an yi amfani da wannan magani ƙasa da ƙasa, tunda Di mayeon ya maye gurbin Diabeton MV, wanda ana ɗaukar lokaci 1 kawai a rana.
Babban abun da ke tattare da maganin shaye-shayen jini shine gliclazide.
An nuna magungunan don ciwon sukari (2), lokacin da ilimin abinci da wasanni ba su taimakawa rage matakan sukari ba.
Ba kamar Metformin ba, ana amfani da cutar sankara don dalilai na rigakafi don hana ci gaban nephropathy, retinopathy, bugun jini, da infarction na zuciya.
A wasu yanayi, amfani da miyagun ƙwayoyi masu ciwon sukari MV zai iya zama cikin cikin marasa lafiya saboda:
- rashin hankali ga abubuwan da ke ciki;
- dauke da yaro da shayarwa;
- amfani da miconazole a cikin hadaddun;
- ciwon sukari da ke dogaro da insulin;
- shekarun yara (har zuwa shekaru 18);
- coma mai ciwon sukari, precoma da ketoacidosis;
- mai tsanani game da koda da / ko hanta gazawar.
Bugu da ƙari, ba a ba da shawarar yin amfani da miyagun ƙwayoyi a hade tare da danazol ko phenylbutazone. Saboda gaskiyar cewa maganin ya ƙunshi lactose, amfani da shi ba a so bane ga marasa lafiya waɗanda ke fama da rashin haƙuri na lactose, glucose / galactose malabsorption syndrome ko galactosemia. Hakanan ba a ba da shawarar yin amfani da Diabeton MV a cikin tsufa ba (fiye da shekaru 65) da tare da:
- Cutar cututtukan zuciya.
- Abincin da bai daidaita ba.
- Renal da / ko gazawar hanta.
- Rage aikin thyroid.
- Tabarwar mahaifa ko rashin isasshen ruwa.
- Al'adun shan giya.
- Dogon magani na corticosteroids.
Kawai halartar ƙwararren halartar ne ke tantance yawan maganin. Umarnin ya ba da shawarar shan maganin da safe sau ɗaya a rana. Aikin yau da kullun shine daga 30 zuwa 120 MG. Ga marasa lafiya sama da shekara 65, mafi girman shawarar da aka bayar shine 30 MG kowace rana. Ya kamata a yi amfani da iri guda ɗin tare da babban yuwuwar samun hauhawar jini. Sakamakon amfani da shi ba ta dace ba, ana iya bayyana cutar mai cutarwa ga masu ciwon suga kamar haka:
- saurin raguwa a cikin matakan sukari (sakamakon yawan zubar da ruwa);
- increasedara ayyukan enzymes na hanta - ALT, alkaline phosphatase, AST;
- jalestice cholestatic;
- narkewa cikin fushi;
- cin zarafin kayan gani;
- hepatitis
- rikicewar bashin jini (leukopenia, anemia, granulocytopenia da thrombocytopenia);
Bugu da ƙari, halayen fata daban-daban (fitsari, edema na Quincke, halayen tsoro, itching) na iya bayyana.
Kwatanta Miyagun Kwayoyi
Wasu lokuta jituwa ta kowane kwayoyi biyu ba zai yiwu ba.
Sakamakon amfani da su, ba a juyawa, har ma da m sakamakon na iya faruwa.
A saboda wannan dalili, mai haƙuri yana buƙatar ganin likita wanda ke yin la’akari da duk abubuwan da zasu iya shafar tasirin maganin, ko dai masu Ciwon Ciwan ne ko kuma Metformin.
Akwai takamaiman adadin magunguna waɗanda zasu iya haɓakawa da rage tasirin magani na magani.
Magunguna waɗanda ke haɓaka aikin Metformin, wanda tsarin sukari ya ragu:
- Abubuwan da suka samo asali na sulfonylureas.
- Inulin insulin Gabaɗaya, koyaushe ba bu mai kyau ga allurar insulin cikin ƙasa tare da yin amfani da magunguna masu rage sukari.
- Abubuwan da aka samo daga clofibrate.
- NSAIDs.
- ckers-masu hanawa.
- Harshen Cyclophosphamide.
- MAO da masu hana ACE.
- Acarbose.
Magunguna waɗanda ke rage yawan sukari bayan shan Diabeton MV:
- Miconazole;
- Phenylbutazone;
- Metformin;
- Acarbose;
- Injections na insulin;
- Thiazolidinediones;
- Agonists na GPP-1;
- ckers-masu hanawa;
- Fluconazole;
- MAO da masu hana ACE;
- Clarithromycin;
- Sulfonamides;
- Tarihin H2 masu karɓar karɓa;
- NSAIDs
- DPP-4 masu hanawa.
Yana nufin ke taimakawa wajen haɓaka yawan sukari idan aka ɗauke shi tare da Metformin:
- Danazole
- Thiazide da madauki diuretics.
- Chlorpromazine.
- Kwayarwa.
- GCS.
- Epinofrin.
- Abubuwan da aka samo daga nicotinic acid.
- Sympathomimetics.
- Epinephrine
- Jikin thyroid.
- Glucagon.
- Mai hana haihuwa (baka).
Magunguna masu haɓaka hyperglycemia lokacin amfani da Diabeton MV:
- Ethanol;
- Danazole;
- Chlorpromazine;
- GCS;
- Tetracosactide;
- Beta2-adrenergic agonists.
Metformin, idan shan babban magani na ƙwayar cuta, ya raunana tasirin maganin anticoagulants. Yin amfani da cimetidine da barasa suna haifar da lactic acidosis.
Diabeton MB na iya haɓaka tasirin cutar anticoagulants a jiki.
Farashi da magunguna
Farashin magungunan kuma yana taka muhimmiyar rawa. Lokacin zabar magani mai mahimmanci, mai haƙuri yayi la'akari ba kawai tasirin maganin warkewa ba, har ma da farashi, gwargwadon ikon kuɗi.
Tun da magani na Metformin ya shahara sosai, ana samarwa a ƙarƙashin alamun kasuwanci da yawa. Misali, farashin Metformin Zentiva ya bambanta daga 105 zuwa 160 rubles (dangane da irin fitowar), Metformin Canon - daga 115 zuwa 245 rubles, Metformin Teva - daga 90 zuwa 285 rubles, da Metformin Richter - daga 185 zuwa 245 rubles.
Amma ga miyagun ƙwayoyi Diabeton MV, farashinsa ya bambanta daga 300 zuwa 330 rubles. Kamar yadda kake gani, bambancin farashin abu ne sananne. Sabili da haka, mai haƙuri tare da karancin kuɗi zai karkata zuwa zaɓi mafi arha.
A yanar gizo zaka iya samun ingantattun ra'ayoyi masu kyau game da kwayoyi biyu. Misali, daya daga cikin maganganun Oksana (56 years old): “Ina da nau'in ciwon sukari guda 2, da farko zan iya yin ba tare da allurar insulin ba, amma daga karshe sai na koma wurinsu. Abin takaici, ban iya samun matakan sukari na al'ada ba. Metformin: Bayan na sha kwayoyi da insulin allura, sukari na bai karu fiye da 6-6.5 mmol / l ba ... "George ya sake dubawa:" Duk yawan magunguna masu rage sukari daban-daban da na gwada, Diabeton MV kawai na taimaka wajan jurewa tare da matakin glucose. Ban san mafi kyawun magani ba ... "
Bugu da ƙari, yawancin masu ciwon sukari da aka bi da Metformin sun lura da rage nauyin jikin kilogiram da yawa. Dangane da sake dubawa game da miyagun ƙwayoyi, yana rage ci da mai haƙuri. Tabbas, ba za ku iya yi ba tare da daidaita tsarin abincin ba.
A lokaci guda, akwai sake dubawa mara kyau game da magunguna. Suna da alaƙa galibi tare da kasancewar tasirin sakamako, musamman tare da rashin damuwa, ƙoshin abinci da raguwar sukari mai yawa.
Zamu iya cewa kowane ɗayan magungunan yana da fa'idarsa da rashin amfanin sa. Yarda da ra'ayin wasu mutane dari bisa dari ba shi da daraja.
Marasa lafiya da likita da kansu sun yanke shawarar wane magani za su zaɓa, an ba shi tasiri da farashi.
Analogs na Metformin da ciwon sukari
A yanayin idan mai haƙuri yana da contraindications zuwa wani magani ko yana da sakamako masu illa, likita ya canza tsarin kulawa. Don wannan, sai ya zaɓi magani wanda yake da tasirin warkewa.
Metformin yana da jami'ai da yawa iri daya. Daga cikin magungunan da suka hada da metformin hydrochloride, Gliformin, Glucofage, Metfogamma, Siofor da Formetin ana iya bambance su. Bari muyi daki-daki daki-daki game da Magungunan Glucofage.
Wannan magani ne mai inganci don sarrafa alamun cutar siga.
Daga cikin kyawawan halayen amfani da miyagun ƙwayoyi Glucophage za'a iya bambanta:
- kulawar glycemic;
- karfafawar glucose na jini;
- hana rikice-rikice;
- asarar nauyi.
Amma ga contraindications, ba su da bambanci da Metformin. Amfani da shi yana da iyaka a cikin ƙuruciya da tsufa. Kudin magungunan sun bambanta daga 105 zuwa 320 rubles, dangane da irin sakin.
Wanne ya fi kyau - Glucophage ko Diabeton? Ba za a iya amsa wannan tambaya ba ba tare da izini ba. Dukkanta ya dogara da matakin glycemia, kasancewar rikice-rikice, cututtukan haɗuwa da jin daɗin haƙuri. Sabili da haka, abin da za a yi amfani da shi - Diabeton ko Glucophage, ƙwararrun masanan sun haɗa da mai haƙuri.
Daga cikin magungunan masu kama da Diabeton MV, Amaryl, Glyclada, Glibenclamide, Glimepiride, da Glidiab MV ana ɗauka su ne mafi mashahuri.
Glidiab wani magani ne wanda aka sake inganta shi. Daga cikin fa'idodin maganin, ya zama dole a bayyana darajar rigakafin don ci gaban cututtukan cututtukan cututtukan zuciya. Hakanan yana ragewa sosai kuma yana daidaita matakan sukari a cikin masu ciwon sukari. Farashinsa ya tashi daga 150 zuwa 185 rubles.
Kamar yadda kake gani, bambanci a cikin aikin, contraindications da hulɗar magunguna dole ne a la'akari da su. Amma maganin maganin ba duka bane. Kiyaye ka'idodin abinci mai gina jiki da ilimin jiki, zaku iya kawar da hare-haren glycemic kuma ku kula da cutar.
Mai haƙuri! Idan har yanzu ba ku ɗauki magungunan hypoglycemic ba, amma matakin glucose ɗinku ba zai iya kasancewa da iko tare da abinci da motsa jiki ba, ɗauki Metformin ko Diabeton. Wadannan magungunan guda biyu sun rage yawan sukari. Koyaya, yi shawara da likitanka da farko. Bidiyo a cikin wannan labarin zai ci gaba da batun amfani da Metformin.
