Bagomet shine wakili na hypoglycemic wanda ke cikin rukunin biguanides. Babban kayan aiki na maganin shine metformin. Ana yin maganin ne a cikin nau'in biconvex, allunan farin fararen zagaye, kowannensu yana dauke da 500, 850 ko 1000 mg na kayan. Ana iya siyar da maganin a cikin blisters na guda 10.
Abinda kawai ke nuna amfani da miyagun ƙwayoyi shine nau'in ciwon sukari na 2 na ciwon sukari, wanda ba za a iya bi da shi tare da maganin rage cin abinci ba (na kiba a cikin marasa lafiyar da ba sa iya ci gaban catoacidosis). Za'a iya amfani da maganin azaman monotherapy ko tare da insulin, sauran nau'ikan wakilai na hypoglycemic na bakin.
Farashin miyagun ƙwayoyi: 500 MG - daga 220 zuwa 350 rubles, 850 MG - daga 380 zuwa 450 rubles, 1000 MG - daga 440 zuwa 550 rubles. Yin bita game da miyagun ƙwayoyi gaba ɗaya suna da kyau koyaushe, marasa lafiya suna lura da kyakkyawan yanayin cutar yayin cutar kwanaki da yawa tare da magani.
Allunan Bagomet
Ana ɗaukar maganin ta baka, ba tare da taunawa ba, tare da isasshen ruwa ba tare da iskar gas ba. Yana da kyau duka a sha Allunan bayan ko lokacin abinci. Ainihin sashi na maganin yakamata ya tabbata daga likitocin da ke halartar juna daban-daban, gwargwadon alamomin glycemia, tsananin zafin nau'in ciwon sukari na 2 da kasancewar rikitarwarsa.
Volumeafin farko na miyagun ƙwayoyi shine 1000-1500 MG kowace rana, don hana haɓaka halayen da ba'a so na jiki, ya kamata a raba kashi zuwa kashi da yawa, da kyau - 2 ko 3.
Bayan kwanaki 14 bayan fara magani, idan ba a sami sakamako masu illa daga narkewa ba, an yarda ya kara kashi. Tare da jinkirin karuwa a cikin adadin ƙwayoyi, haƙuri ga jiyya na jijiyoyin ƙwayar cuta na iya inganta. Matsakaicin aikin tabbatarwa yana daga 1000 zuwa 1500 MG (an kasu kashi dayawa).
Idan Bagomet wani bangare ne na hadewar jiki:
- sashi na yau da kullun ya kamata ya zama 1500 MG;
- yawan insulin a cikin wannan yanayin ya kamata a zaɓi daban daban.
Lokacin da likita ya tsara allunan tare da tsawan lokaci, adadin farkon maganin zai kasance daga 850 MG zuwa 1000 MG.
Idan mai ciwon sukari yana fama da matsananciyar cuta na rayuwa, za a wajabta Bagomet a mafi ƙarancin maganin.
Contraindications
Magungunan yana contraindicated a cikin m wurare dabam dabam cuta a cikin kwakwalwa, zuciya, na numfashi, rashin ruwa, na kullum shan barasa, myocardial infarction da sauran yanayin pathologies, lokacin da akwai karuwa da yiwuwar ci gaba lactic acidosis.
Ba a ba da magungunan ƙwayar cuta don gudanar da aikin tiyata da raunin da ya faru ba, lokacin da ya zama dole don amfani da maganin insulin, guba mai guba, aikin hanta mai rauni, matsalolin koda. Sauran contraindications ga Bagomet: ciwon sukari na ciki, magabaci, ketoacidosis, hypoxia, sepsis, girgiza, cututtukan koda, cututtukan cututtukan zuciya, cututtukan bronchopulmonary.
Likita baya bada shawarar irin wannan jiyya tare da karancin kalori, idan ya cancanta, gudanar da aikin radioisotope, nazarin x-ray ta amfani da wakilan kwatancen dake dauke da aidin.
Yara 'yan kasa da shekaru 10 bai kamata suyi amfani da Bagomet ba a sashi na 500 MG, yara' yan kasa da shekaru 18 ba a rubuta musu maganin 850 da 1000 mg ba. Sauran abubuwanda zasu kasance sune:
- lokacin ciki da lactation;
- wuce kima ji na ƙwarai zuwa ga babban aiki sashi na miyagun ƙwayoyi.
Tare da matsanancin taka tsantsan, allunan ya kamata tsofaffin masu ciwon sukari su sha shi, kamar yadda kuma wanda ke yin aiki na zahiri, farashin irin wannan magani shine haɓakar madara madara acidosis.
Matsalar mai yiwuwar cutarwa, yawan wuce gona da iri
Yana yiwuwa magungunan Bagomet zai haifar da halayen jiki marasa yawa. Don haka, mai ciwon sukari na iya jin matsaloli tare da narkewar abinci: tashin zuciya, amai, ɗanɗano da baƙin ƙarfe a cikin raunin baka, ciwancin abinci, zawo da zafin ciki.
Daga gefen tsarin juyayi na tsakiya, zai iya zama hare-haren ciwon kai, gajiya mai saurin wucewa, tsananin farin ciki, rauni gaba daya a jiki.
Wani lokaci ana iya lalata metabolism, tare da tsawan magani tare da magani, an lura da bitamin B12 hypovitaminosis, lactic acidosis.
Kamar yadda sake dubawar marasa lafiya ya nuna, a wasu yanayi akwai cututtukan hypoglycemia, megaloblastic anemia, fatar fata, erythema da pruritus.
Idan mai haƙuri ya dauki kwalayen ƙwayoyin cuta masu nauyin gaske, sai ya yi ɗamara da lactic acidosis tare da mummunan sakamako. Na farko alamun alamun wannan yanayin zai kasance:
- amai
- tashin zuciya
- zafi a cikin rami na ciki;
- ciwon tsoka
- raguwa a cikin zafin jiki.
Yayin da yanayin ya tsananta, saurin numfashi, nakasa da rikicewar hankali, ana lura da farin ciki, idan babu isasshen magani, mai ciwon suga ya fada cikin halin rashin lafiya.
Idan an gano lactic acidosis a cikin haƙuri tare da nau'in ciwon sukari na 2 na sukari, an dakatar da jiyya tare da miyagun ƙwayoyi, dole ne a kai haƙuri ga nan da nan zuwa wurin likita. Don tabbatar da binciken da aka gabatar a asibiti, likita dole ne ya tabbatar da yawan lactate a jikin mutum.
A wannan yanayin, hemodialysis zai zama mai ba da labari kamar yadda zai yiwu, ana magance cutar sikari.
Umarni na musamman
Yayin aikin, ana buƙatar saka idanu akan alamun sukari na yau da kullun na jini, ana yin wannan ne a kan komai a ciki kuma bayan cin abinci. Idan akwai wata bukatar gaggawa game da karatun radioisotope da kuma yin amfani da aikin yin amfani da wakoki masu bambanci, ana nuna cewa Bagomet an soke shi kwanaki 2 kafin a aiwatar kuma a daina shan Allunan a wasu kwanaki 2 bayan magudi.
Shawara iri ɗaya zata kasance yayin aikin tiyata tare da maganin sa barci, kashin baya da kuma maganin kasala.
Lokacin da mai ciwon sukari ya lura da ciwon ciki, zazzabin cizon saƙo, zazzabin ciwan ciki, yawan amai da tashin zuciya, ana roƙonsa da gaggawa ya nemi likita don shawara. Alamomin da aka ambata suna iya zama shaidar rikice-rikice da ke farawa.
Idan akwai tarihin cutar koda, akwai alamun da za a tsara allunan Bagomet tare da taka tsantsan. Misali, wannan yana da mahimmanci a farkon jiyya:
- kamuwa da cuta;
- maganin rashin kumburi steroidal;
- antihypertensive jami'ai.
Game da cigaban alamun cututtukan cututtukan cututtukan cututtukan kwayoyin cututtukan fata ko kuma cututtukan bronchopulmonary, shawara na halartar likitan ma ya zama dole. A tsawon lokacin da aka ba da magani, an nuna haramcin amfani da giya, wannan yana taimakawa hana ci gaban lactic acidosis.
Idan ya zama dole a hada Bagomet tare da wasu kwayoyi don daidaita cutar glycemia, likita ya ba da shawarar yin taka tsantsan yayin yin aikin da ke da haɗari, wanda ke buƙatar:
- karuwar maida hankali;
- saurin psychomotor dauki.
Adana miyagun ƙwayoyi a wuraren da ba a iya zuwa ga yara, a zazzabi a ɗakin da ba ya yin digiri 25. Rayuwar shiryayye na allunan shine shekaru 2. Ana fitar da miyagun ƙwayoyi na musamman ta hanyar takardar sayan magani daga halartar mahaɗan, likitan yana kan jerin B.
Analogs
Dangane da babban sinadaran da ke aiki, Bagomet zai kasance analolo na miyagun ƙwayoyi ne: Gliformin, Langerin, Metospanin da Glucobay, da kuma Formetin.
Analogs akan tsarin tasirin sakamako akan jikin: Glemaz, Diatika, Diabinax, Glidiab, Diamerid, Maniglide.
Farashin waɗannan magungunan ya dogara da masana'anta, farashin musayar da alaƙar kasuwanci na yanzu.
A cikin bidiyo a cikin wannan labarin, likitan mahaifa yayi magana game da nau'in ciwon sukari na type 2 da magungunan rage sukari.
