Jagora na formethine don amfani ana nuna shi azaman magani mai maganin antidiabetic na aji na biguanide. Peididdigar ƙwayar magani ita ce madaidaici: ana iya amfani da allunan a cikin lura da ciwon sukari na 2, ɗaukar Formin da waɗanda nau'in kibarsu ba ta ƙyale ku rasa nauyi kawai ta abinci da wasanni.
Yawancin masu ciwon sukari suna jure rashin lafiya a sauƙaƙe, sakamakon da ba a so ba zai iya faruwa idan ba a bi umarnin da ka'idodin likita ba. An sauƙaƙa fassarar umarnin a wannan rukunin yanar gizon, yana inganta ta hanyar sake dubawa da tsokaci. Ba shi yiwuwa a tsinkaye shi a matsayin jagora don shan magani.
Sigar tsari da yanayin ajiya
A waje, miyagun ƙwayoyi suna da fitowar kwamfutar hannu fararen madaidaiciya madaidaiciya tare da layin rarraba ba tare da dandano na musamman ko wari ba. Allunan an cika su a blisters, a cikin kwalin za'a iya samun guda 10 ko 12 na allurai daban-daban: 0.5 g, 0.85 g ko 1 g kowannensu. An yi nufin amfani dasu ne na baka.
Packaya daga cikin fakitin ɗaya na iya ƙidaya daga allunan 30 zuwa 120. Forformin, farashin ya dogara da adadin allunan a cikin akwatin da yankin. Matsakaicin farashin magani na gida shine 250 rubles. (Fitowa ta 1000, farashin allunan 60).
Magungunan ba ya buƙatar yanayi na musamman don ajiya. A zazzabi a daki (+ 25 ° C) nesa ba kusa da haske mai haske da kuma kulawar yara ba, za'a iya adana Formin har tsawon shekaru 2 - an nuna wannan rayuwar akan kunshin. Nan gaba, dole ne a zubar da maganin.
Hanyar aiwatarwa don tilastawa
Kayan aiki mai mahimmanci na maganin shine metformin hydrochloride. Bugu da ƙari ga babban abu mai aiki, akwai kuma waɗanda suka gabata a cikin abun da ke ciki: magnesium stearate, ssumum croscarmellose, povidone.
Abun da Formetin yake, wanda za'a iya ganin hoton shi a wannan sashe, Multivariate ne:
- Lowers glycemia;
- Yana kara karfin jijiyoyin sel zuwa insulin;
- Yana hana shaye-shaye na sukari;
- Yana sarrafa metabolism:
- Ba ya tsokanar ƙimar nauyi.
Magungunan ba ya haɓaka aikin samar da insulin ruwa, β-sel na fitsari, ke da alhakin haɗinsa, kar a cika nauyin. Metformin yana ɗaukar hanzari: ana lura da ganiya a cikin hankali bayan sa'o'i biyu.
Wata fa'ida na metformin ita ce gurbatacciyar tarayyarta tare da sunadarai na jini. Formmetin ba shi da fa'ida ga ci gaban haila. Abubuwan da ke aiki mai aiki suna tarawa a cikin tsokoki, ƙodan, hanta, gabobin haɓaka. Ana cire shi da kodan. Haɗuwar metformin mai yiwuwa ne kawai tare da mummunan cututtukan ƙwayoyin da kodan. Bayan awa daya da rabi, sakin abu mai aiki tare da fitsari yana farawa.
Tun da maganin yana da ƙarin nauyi a kan tsarin ƙwayar cuta, yanayin kodan da ciwon sukari ya kamata a bincika aƙalla sau biyu a shekara.
Yadda ake shan kwayoyin
Ana amfani da maganin yau da kullum a kashi biyu. Akwai ƙarin madaidaitan shawarwari daga likitan halartar. Jiyya yana farawa tare da ƙarancin allurai (0.5-0.85 g / day), sau ɗaya a mako ƙungiyar endocrinologist na iya daidaita sashi gwargwadon sakamakon gwajin jini. Matsakaicin adadin shine 3 inji / rana.
Yawancin lokaci ana ɗaukar Metformin minti 20 kafin abinci. Sannan matakan matakan narkewa da kuma magani daidai.
Ficewa abinci bayan shan maganin yana da haɗari: zaku iya tsokanar raguwar sukari a cikin sukari.
Magungunan da ke kula da sufuri da hanyoyi masu rikitarwa suna amfani da Formimetin da yardar rai, tunda ba ya haifar da sakamako mara amfani wanda ke rage yawan tunani da saurin halayen.
Wanene shawarar kuma lokacin da aka contraindicated magani
An tsara Formmetin don sarrafa nau'in ciwon sukari na 2. Ya cika injections na insulin a hade magani, za'a iya amfani dashi don monotherapy idan gyaran salon (abinci mai karancin carb, ingantaccen aikin jiki) bai bada sakamakon da ake tsammanin ba.
Yin hukunci da sake dubawa, an nuna formatein don asarar nauyi don nau'in haɓakar haɓakawa na masu ciwon sukari tare da nau'in cuta ta biyu, lokacin da aka keɓo da adon mai akan jikin gabobin, galibi a cikin ciki.
Yin amfani da mummunan magani don gyara siffar mutum mai lafiya yana da haɗari.
Kada ku yi amfani da magani:
- Tare da rashin kwanciyar hankali ga abubuwan da ke cikin tsari;
- Idan hadarin lactic acidosis ya yi yawa;
- Tare da tsananin lalatawar hanta;
- Idan akwai haɗarin maye giya da kuma tarihin maye;
- Idan akwai cututtukan cututtukan da ke tattare da cuta;
- Idan mai ciwon sukari yana cikin abincin abinci (har zuwa 1000 kcal / day);
- Tare da ketoacidosis;
- A cikin na kullum da kuma m renal pathologies;
- Idan wanda aka cutar ya kasance cikin halin rashin lafiya ko yanayin da yake gabanta;
- Lokacin da tarihin cututtukan zuciya, take hakkin jijiyoyin jini.
Tare da ƙonewa mai yawa, raunin da ya faru, kafin da bayan aikin, an kuma tura mai haƙuri zuwa insulin. Idan an sanya alamar tushen aidin ga mai ciwon sukari, kwana 2 kafin da kuma kwanaki 3 bayan gwaje-gwaje, an soke formmetin.
Tare da iyakance, suna amfani da Formethine don mutane fiye da 65, tun da kodan da sauran gabobin cikin masu ciwon sukari tare da manya ba su cikin yanayin da ya fi dacewa, kuma haɗarin haɓakar lactic acidosis yana ƙaruwa.
Side effects da yawan abin sama da ya kamata
Kuna hukunta by sake dubawa a kan labarun dandalin suna, masu fama da ciwon sukari suna jure yanayin yau da kullun. Koyaya, umarnin yana kunshe da alamomi masu yawa na yiwuwar sakamako idan ya kasance yawan wucewar gaba ko halayen jiki.
- Gastrointestinal fili. Wasu lokuta (a cikin 3% na lokuta) rikicewar dyspeptik, rikice-rikice na rushewar lalacewa, rashin ci, da jin zafi a cikin epigastrium ana rikodin su.
- Cutar Jiki Abubuwan da ake nunawa suna bayyana a cikin hanyar rashes (hannaye, kirji, cheeks), itching da kuma ƙara ji na fata. A cikin yanayi mai wuya, zazzabi mai yiwuwa ne.
- Tsarin Endocrin. Hypoglycemia yana faruwa ne lokacin da akwai rashin daidaituwa daidai da wasu magunguna waɗanda ke haɓaka ƙarfin metformin, tare da canji a tsarin jigilar magunguna da allurai.
- Tsarin rayuwa. A cikin matsanancin yanayi, an lura da lactic acidosis - yanayin haɗari wanda ke buƙatar cire magani daga nan da magani na musamman.
- Tare da yin amfani da metformin na tsawan lokaci, shakar sa ta karu, wannan yana shafar abun da ke ciki na bitamin B12 (yawan zafin jiki zai yuwu).
- Tsarin kewaya. Akwai wasu (rare) aukuwa na megaloblastic anemia.
Dangane da ƙididdiga, sakamako masu illa suna bayyana sau da yawa a farkon matakin magani, har sai jiki ya sami sabon yanayin. Tare da amfani na yau da kullun bayan wata guda, yawancin bayyanar cututtuka suna ɓacewa ba tare da gyaran tsarin kulawa ba. Tare da mummunan sakamako masu illa, likita na iya ba da maganin antispasmodic ko antacid.
Idan kun bazata ko da gangan ku kara kashi sau da yawa, sakamakon zai iya zama mai mahimmanci (har mutuwa). Lactic acidosis kuma na iya faruwa idan an lura da sashin, idan kodan ta ƙi yin amfani da metabolites lokacin.
Alamun farko na lactic acidosis:
- Saukowar kaifi a cikin karfin jini;
- Myalgia;
- Zazzabi ko jin sanyi;
- Sannu a hankali zuciya
- Ingantaccen daidaituwa;
- Rage numfashi
- Cutar masu ciwon sukari
Idan har ma da yawa daga cikin alamomin da aka lissafa, aka dakatar da amfani da maganin, ana bai wa wanda aka azabtar don ya saki jijiyoyin daga sharan magungunan da ba a rufe su ba, kuma suna kira don neman lafiya. A lokacin asibiti, ana yin hemodialysis, ana wajabta maganin cututtukan alamu.
Sakamakon Cutar Magunguna
Formmetin magani ne na duniya: ana iya amfani dashi don monotherapy ko a haɗe tare da sauran magungunan hypoglycemic, gami da allurar insulin.
Amma a wasu halaye, a cikin magance cututtukan concomitant, ƙwayar cuta mai rikitarwa na iya samun sakamako masu illa.
- Tare da cin abinci mai kama da na Danazol, akwai haɗarin sakamako na hypoglycemic, don haka dole ne a sarrafa ƙwayar sosai ko a maye gurbinsu da analog.
- Lokacin da aka haɗo shi tare da cimetidine, an hana fitowar metformin, haɗuwarsa a cikin jiki na iya ba da sakamako na rashin daidaituwa na jini.
- Yiwuwar samowar abubuwan coumarin an hana shi ta hanyar metformin.
- Haɗin magani tare da carbazole, NSAIDs, clofibrate, insulin, ACE inhibitors, cytophosphamide, β-blockers, sulfonylureas, oxygentetracycline suna haɓaka ayyukan metformin.
- Gudanar da na yau da kullun na glucagon, epinephrine, thiazide diuretics, hormones thyroid yana hana aikin ofmin.
Lokacin amfani da maganin hana haifuwa na baki, yakamata mace tayi rahoton nau'ikan kwayoyi zuwa ga endocrinologist don daidaita sigar Formetin. Kada a wajabta shi kuma a hade tare da Nifedipine, wanda ke ƙara matakin metformin a cikin jini, yana haɓaka sha, yana rage jinkirin cirewa. Idan akwai matsaloli tare da kodan, irin wannan sakamakon na iya tayar da komputa.
Idan an yi maganin ta hanyar ethanol, a hade tare da metformin, haɗarin lactic acidosis yana ƙaruwa sosai.
Formmetin - analogues
A cikin rukuni (magungunan maganin antidiabetic) da kuma sashi mai aiki (metformin hydrochloride), magunguna masu zuwa sun hada da: Metamine, Bagomet, NovoFormin, Formin.
Dangane da magunguna na Formetin sun yi kama:
- Lymphomyozot;
- Multisorb;
- Glidiab;
- Januvius;
- Baeta;
- Glucobay;
- Glemaz;
- Apidra
- Glurenorm;
- Piroglar;
- Levemir Flekspen;
- Levemir Penfill;
- Avandiya
Zaɓin madadin magunguna masu rage sukari a cikin kasuwar magunguna yana da girma, har ma da ƙwararren mawuyaci yana da wahala kewaya cikin irin wannan tsarin. Da kyau, da masu ciwon sukari suyi gwajin lafiyarsu harma da hakan. Sabili da haka, bai kamata ku dogara da ra'ayin maƙwabta ko talla a cikin wannan batun ba. Likita ne kawai zai zaɓi musanya mai nasara, la'akari da tsananin cutar da lafiyar gaba ɗaya.
Ra'ayoyin masu ciwon sukari akan Formetin
Game da Formin, nazarin masu ciwon sukari sun cakuda. Wadanda suke shan maganin na dogon lokaci, lura da tasirin sa. Sabon shiga koka game da sakamako masu illa. Rashin cututtukan fitsari na ɓoye a nasu bayan weeksan makonni, idan ba kuyi gwaji tare da nadin likita ba. Kodayake ƙuntatawa na shekaru da aka nuna a cikin umarnin dole ne a la'akari dasu.
Metformin tushen tushen tsari shine magani na gida tare da babban tushe. A yawancin halaye, musamman tare da nau'in ciwon sukari na 2, babu wani madadin zabi don samo asali na metformin. Sabili da haka, kada ku yi gaggawa zuwa ga ƙarshe game da tasirinsa, yana da kyau ku taimaki jiki ya dace da sabon magani tare da taimakon abinci, halayyar da ta dace game da magani da kuma tsarin motsa jiki da suka dace don lafiya. Idan ba wannan hanyar ba, mafi yawan sabbin magunguna zasu zama marasa amfani.
