Metformin Richter 500, 850, 1000: umarni, bita, nazari

A cikin mafi yawan lokuta, ana wajabta biguanides a matsayin magani na farko ga marasa lafiya da masu ciwon sukari mellitus. Metformin-Richter yana ɗaya daga cikin magunguna da yawa da suka danganci wannan aji na wakilai na hypoglycemic. An samar da kwamfutar hannu ne daga reshen Rasha na kamfanin kasar Hungary Gideon-Richter, wanda yana daya daga cikin manyan masana'antar harhada magungunan Turai.

An bayyana shahararren metformin ta hanyar kwazonsa sosai a farkon cutar, ƙananan sakamako masu illa, sakamako mai kyau akan tsarin zuciya da nauyin mai ciwon sukari. Ba tare da la'akari da tsarin al'ada ko sabuwar hanyar da likitanku ya ɗauka ba, kai tsaye bayan bayyanar cutar sankara, zai ba da umarnin rage cin abinci, motsi da metformin.

Mahimmanci: tabbatar da karanta labarin mu game da Metformin na asali

Formaddamar da tsari da abun da ke ciki

Akwai Metformin Richter a cikin nau'i na oval ko allunan zagaye. Abubuwan da ke aiki a cikinsu shine metformin hydrochloride. A matsayin ƙarin abubuwan haɗin, abun da ke ciki ya haɗa da ɗayan copovidone da povidone, filler microcrystalline cellulose da magnesium stearate, farin fim mai rufi Opadry.

A bisa ga al'ada, masana'antun suna samar da miyagun ƙwayoyi a cikin kashi biyu - 500 da 850 MG. Bayan 'yan watanni da suka gabata, Metformin-Richter 1000 an ƙara yin rajista, wanda aka ƙaddara ga masu ciwon sukari tare da tsayayyar insulin, kuma, gwargwadon haka, babban adadin maganin yau da kullun. Nan gaba kadan, ana tsammanin ya bayyana a cibiyar sadarwa ta kantin magani.

Ciwon sukari da hauhawar jini zai zama abin da ya wuce

• Normalization na sukari -95%
• Cirewa kan jijiyoyin mara wuya - 70%
• Cire zuciyar mai karfin zuciya -90%
• Rabu da cutar hawan jini - 92%
• Increasearuwar kuzarin rana, inganta bacci da dare -97%

Farashin maganin yana da ƙasa: 200-265 rubles. na allunan 60. A cikin yawancin kantin magani, ana iya siye ta ba tare da takardar sayan magani ba. Don karɓar maganin a kyauta, dole ne a yi wa mai ciwon sukari rajista tare da endocrinologist.

Rayuwar rayuwar Shekaru Metformin-Richter 500 da shekaru 850 - 3, za'a iya adana allunan 1000 na tsawon shekaru 2.

Ta yaya miyagun ƙwayoyi ke aiki?

Metformin shine babban magani wanda aka wajabta wa masu ciwon sukari nan da nan da kuma rayuwa. Dalilin sadaukarwar likitoci ga wannan magani ya ta'allaka ne:

1. Metformin yana da mahimmancin ingancin hypoglycemic wanda yake daidai da sulfonylureas. Dalilinsa yana ba da izinin rage glycated haemoglobin da matsakaita na 1.5%. Ana lura da kyakkyawan sakamako a cikin masu ciwon sukari.
2. An hada magungunan sosai tare da wasu magungunan da aka tsara don masu ciwon sukari. Magunguna na kashi biyu da na uku tare da metformin na iya cimma ikon kula da masu cutar siga a cikin yawancin marasa lafiya.
3. Magungunan suna da kaddarorin musamman na zuciya. An tabbatar da cewa shan shi yana rage haɗarin bugun zuciya, da inganta haɓakar hanji.
4. Metformin shine ɗayan amintaccen maganin antidiabetic. Kusan ba ya haifar da hypoglycemia, sauran sakamako masu illa masu haɗari ana rikodin su da wuya.

Tasirin rage sukari na Metformin-Richter shine sakamakon yawancin hanyoyin, ba ɗayansu kai tsaye da ke haifar da aikin insulin ba. Bayan shan kwaya, samarda glucose ta hanta ana shayar da su lokaci guda, jigilar kwayar ta zuwa kyallen takarda yana inganta ne sakamakon raguwar jarin insulin. Umarnin don amfani da bayanin kula cewa effectsarin tasirin metformin yana taimakawa haɓaka ikon kula da masu ciwon sukari - rage jinkirin shan ƙwayoyi daga narkewar abinci, da kuma rage ci. Dangane da sake dubawa, wannan matakin na iya sauƙaƙe aiwatar da asarar nauyi a cikin masu ciwon sukari.

Alamu don amfani

A cikin nazarin likitoci, yawancin lokuta ana kiranta metformin tushe don maganin cututtukan type 2. Shawarwarin asibiti na ƙasa da na Rasha sun cika yarda da wannan sanarwa. Hanyoyin zuwa magani suna canzawa, sabbin kwayoyi da hanyoyin ganewar asali sun bayyana, amma wurin metformin har yanzu ba a yin aiki.

An wajabta magunguna:

1. Duk masu ciwon sukari don wanda gyaran abinci ya ki bayar da maganin cutar yoyon fitsari.
2. Nan da nan bayan gano ciwon sukari, idan gwaje-gwajen sun nuna juriya ta insulin. Ana iya ɗauka a cikin marasa lafiya tare da nauyi mai nauyi.
3. A zaman wani ɓangare na jiyya ga masu ciwon sukari tare da doguwar rashin lafiya.
4. Tare da ciwon sukari mai dogaro da insulin, don rage kashi na insulin.
5. Marasa lafiya tare da ciwo na rayuwa, ciwon suga kamar ƙari ga canje-canjen rayuwa.
6. Mutane masu kiba da kuma haɗarin kamuwa da cutar sankara. Ta hanyar rage juriya insulin, Metformin Richter yana kara karfin abincin.

A halin yanzu, akwai shaidar yiwuwar amfani da miyagun ƙwayoyi don ƙwayoyin polycystic da ƙwayar hanta, amma har yanzu ba a haɗa waɗannan alamun ba a cikin umarnin.

Rashin sakamako na metformin

Babban sakamako na metformin yana da alaƙa da tasirin sa akan ƙayyadadden hanyar abinci ta hanyar ciki da kan motsin ƙananan hanjin, wanda acikin manyan hanyoyin narkewa suke faruwa. Wadannan rikice-rikicen ba su da haɗari ga kiwon lafiya, amma suna daɗa rashin haƙuri game da ƙwayar cuta da ƙara yawan ƙi daga magani saboda ƙarancin lafiyar marasa lafiya.

Ana lura da sakamako masu illa a cikin gastrointestinal fili a farkon jiyya tare da Metformin-Richter a cikin 25% na masu ciwon sukari. Ana iya bayyana su cikin tashin zuciya da dandano mai ƙarfe a cikin bakin akan komai a ciki, amai, zawo. Wannan sakamako mara amfani wanda yake dogara da kashi, wato, yana haɓaka lokaci guda tare da haɓaka sashi. Bayan 'yan makonni, maƙarƙashiyar mahaifa ta dace da metformin, mafi yawan alamu sun raunana ko sun ɓace.

Binciken masu ciwon sukari ya nuna cewa shan kwayoyi a lokaci guda a matsayin ingantaccen abinci yana taimakawa rage alamun, rarraba kashi yau da kullun zuwa kashi 3, kuma sannu a hankali yana ƙara yawan farawa daga mafi ƙarancin (500, matsakaicin 850 MG).

Hakanan, lokacin shan Metformin-Richter a cikin marasa lafiya da ciwon sukari, halayen ƙwayar fata, ana iya lura da rauni na ɗan lokaci da ƙananan rauni na aikin hanta. Ana tantance haɗarin su a matsayin mai saukin kai (har zuwa 0.01%).

Sakamakon sakamako na gefen sakamako kawai na metformin shine lactic acidosis. Yiwuwar ita ce lokuta 3 a cikin marasa lafiya dubu 100. Don kauce wa lactic acidosis, dole ne a bi umarnin don amfani, kar a sha miyagun ƙwayoyi idan akwai contraindications, kar a ƙayyade maganin da aka tsara.

Contraindications

A cikin wanne yanayi ne amfani da Metformin-Richter da aka haramta:

Yadda ake ɗaukar Metformin Richter

Ya kamata a zaɓi sashi na Metformin da kaina don kowane mai ciwon sukari. Lokacin zaɓin, koyarwar ta ba da shawarar cewa a ɗauki matakan glucose akai-akai.

Yadda za a tantance sigar da ake so:

1. Anyi la'akari da farawa ana amfani da 1 kwamfutar hannu Metformin-Richter 500 ko 850. Makon 2 na farko ba a gyara shi ba. Allunan ana cin su bayan abincin dare.
2. Idan babu sakamako masu illa, sashi zai karu da kashi 500 ko 850 a kowane mako 2. Allunan sun kasu kashi biyu, sannan kuma kashi uku. Yayinda kashi ke ƙaruwa, glucose na farko yana yin al'ada, sannan glucose na yau da kullun.
3. Mafi kyawun sashi shine 2000 MG. Furtherarin ci gaba da adadin Allunan yana haɗuwa da raguwa kaɗan na glycemia idan aka kwatanta da na farkon.
4. Matsakaicin adadin metformin na yau da kullun shine 3000 MG, don cututtukan koda - 1000 mg, a cikin yara - 2000 MG.

Likitoci da masu ciwon sukari game da maganin

A cikin shekarun da suka gabata, Metformin-Richter ya yi nasarar tattara da yawa na sake dubawa mai kyau da marasa kyau. A cikin marasa lafiya da ciwon sukari, wannan magani ya shahara sosai, saboda yana da kyau rage hyperglycemia, ba tare da haifar da hypoglycemia ba. Sun lura da saurin maganin, "a zahiri daga kwamfutar hannu ɗaya."

Hakanan ana daukar Metformin-Richter a matsayin wata hanya ta hana cin abinci, ta motsa ovulation a cikin PCOS, don rage karsashin kitse a cikin 'yan wasa. Effectsarin tasirin metformin ana kimantawa da gangan. A cikin bankin alade akwai ɗaukar ciki da aka dade ana jira da kuma asarar nauyi ta hanyar kilo goma. Ta halitta, akwai kuma sake dubawa mara kyau. Mafi sau da yawa, marubutan su sune mutanen da suka dauki metformin ba tare da neman likita ba, wanda ke da sauƙin bayani. Endocrinologists suna ba da magani don asarar nauyi kawai ga marasa lafiya da juriya na insulin, wanda ba kowane cikakken mutum yake da shi ba.

Likitoci sun lura da babban tasiri na Metformin-Richter, ba wai kawai a cikin masu ciwon sukari ba, har ma a cikin mutanen da nan gaba zasu fuskancin ciwon sukari. Tare da ingantaccen magani da halayyar masu haƙuri, yana yiwuwa a guje wa cutar a cikin 75% na lokuta.

Analogues na miyagun ƙwayoyi

Duk wani magungunan Rasha tare da kalmar "metformin" da sunan zai iya maye gurbin Metformin-Richter. An samar dasu ta hanyar Vertex, Medisorb, Canonfarm, Akrikhin da sauransu. Glyformin, Merifatin, Bagomet suna da sifa ɗaya. Misalin kasashen waje na Metformin-Richter - Glucophage na Faransa, Siofor na Jamusanci da Metfogamma. Wadannan kwayoyi suna da kama da ƙarfi, don haka zaka iya juyawa gare su ba tare da sake zaɓin kashi ba.

Ga marasa lafiya waɗanda ba su yarda da allunan ba, likitoci sun ba da shawarar maimakon Metformin-Richter don shan kwayar ta analogues na tsawaita aiki tare da abu guda mai aiki: Glucofage Long, Metformin Prolong, Metformin MV.