Daga cikin magungunan da ake amfani da su wajen maganin ciwon sukari mellitus, zamu iya ambaci maganin Yanumet.
Sau da yawa ana sanya shi ga masu ciwon sukari, kuma yana da mahimmanci a san yadda ma'anar wannan magani take da yadda ake amfani da ita. A cikin radar, ana amfani da wannan kayan aikin a matsayin hypoglycemic. An kafa tushen sa a cikin Netherlands.
Yanumet magani ne na kwayar magani, tunda alƙawarin likita ya zama dole don ɗauka. Idan ba tare da shi ba, bai kamata ku yi amfani da wannan kayan aikin don rikitarwa ba ya tashi. Idan kana da takardar sayan magani, ya kamata ka bi umarnin, tunda akwai manyan haɗarin cutarwa.
Abun ciki, sakin saki
Ana sayar da maganin a cikin allunan da aka rufe. Ya dogara da abubuwa masu aiki guda 2, wanda sakamakonsa ya samu - Metformin da Sitagliptin.
Don haɓaka tasiri na miyagun ƙwayoyi, an ƙara waɗannan abubuwa masu taimako zuwa abun da ke ciki:
- talc;
- macrogol;
- microcrystalline cellulose;
- sodium stearyl fumarate;
- povidone;
- titanium dioxide;
- sodium lauryl sulfate;
- barasa na polyvinyl
Allunan Yanumet suna da nau'ikan guda uku, gwargwadon abun da ke ciki na Metformin (500, 850 da 1000 mg).
Sitagliptin a cikin su duka yana a cikin adadin guda - 50 MG. Launin allunan na iya zama ruwan hoda mai haske, ruwan hoda da ja.
An tattara magungunan a cikin blisters don 14 inji mai kwakwalwa. Fakitin na iya haɗawa da adadin kumburi daban-daban.
Bidiyo game da kaddarorin Metformin:
Pharmacology da pharmacokinetics
Kayan aiki yana da tasirin hypoglycemic sakamako, wanda aka samu saboda hulɗa da abubuwan haɗin abubuwa biyu masu aiki. Godiya ga sitagliptin, yawan samarda insulin ta hanjin beta na fitsari yana ƙaruwa. Hakanan, wannan sinadarin yana rage haduwar glucose a cikin hanta.
Sakamakon Metformin, yana inganta ƙarfin jikin mutum zuwa insulin kuma tsarin karɓar sukari a cikin narkewa ya narke. Wannan yana samar da sakamako mai rikitarwa akan jiki sakamakon wanda ya daidaita matakan glucose. A lokaci guda, Yanumet ba ya haifar da hypoglycemia (amma ban da lokuta idan mai ciwon sukari yana da cututtukan da ke rikitarwa waɗanda ke rikitar da tasirin maganin).
Sitagliptin
Rage sitagliptin yakan faru ne a cikin sauri. Matsakaicin adadin wannan abu (da mafi girman ƙarfi) ana lura dashi a cikin kwanakin 1-4 bayan shan maganin.
Lambar marasa mahimmanci ne kawai ke shiga dangane da furotin plasma.
Bangaren da ke ciki ba ya samar da metabolites kuma an kusa cire shi ta hanjin kodan a asalinsa. Ragowar shi an cire shi da feces.
Amfani da Metformin shima ana amfani dashi da sauri. Tasirinsa ya kai matsayinsa bayan awa 2. Kusan ba ya ɗaurin haɗin gwiwa tare da furotin plasma. Excretion wannan sashin yana gudana ne ta hanyar kodan.
Manuniya da contraindications
An ba da izinin amfani da maganin kawai tare da ingantaccen ganewar asali. Idan ba ya nan, maganin zai cutar da mutum kawai. Sabili da haka, ya zama dole Yanumet nada wani kwararre. Ana yin wannan ne don nau'in ciwon sukari na 2.
Ana gudanar da jiyya tare da shi ta hanyoyi da yawa. Wasu lokuta kawai ana amfani da wannan magani (a hade tare da abinci). Hakanan yana yiwuwa a yi amfani da waɗannan allunan tare da wasu magunguna (alal misali, tare da kayan aikin insulin ko abubuwan da ake samowa na sulfonylurea). Zaɓin shine saboda hoton cutar.
Ba tare da nadin likita ba, ba a yarda da amfani da wannan magani ba saboda contraindications. Kasancewarsu na iya haifar da ɗaukacin matsalolin da ake ciki.
Contraindications sun hada da:
- rashin haƙuri ga sinadaran;
- mummunan cutar koda;
- mai girma take hakki a cikin hanta;
- cututtuka;
- barasa ko giya mai maye;
- ketoacidosis;
- nau'in ciwon sukari na 1;
- karancin lalacewa;
- bugun zuciya;
- ciki
- ciyarwa ta zahiri.
Waɗannan halayen suna buƙatar watsi da amfani da Yanumet, duk da kasancewar bayyanar cututtuka da suka dace. Dole ne likita ya zaɓi wata hanyar magani don kada a jefa rayuwar mai haƙuri cikin haɗari.
Umarnin don amfani
Domin maganin ba ya cutar da mara lafiyar, bin umarnin ya zama dole. Zai fi kyau gano game da ka'idojin shiga tare da likita, tunda jadawalin da allurai na iya bambanta dangane da halayen cutar.
Kwararrun yakamata ya bincika mai haƙuri kuma ya ƙayyade sashi na maganin da ya dace dashi.
Yana da kyawawa don ɗan ɗanɗana shi a farkon farfaɗo. Don haka jiki zai iya dacewa da karɓar kudade. Nan gaba, ana iya karuwa da kashi idan sakamakon gwajin jini ya nuna bukatar hakan.
Ya kamata ku mai da hankali kan yawan sitagliptin. Matsakaicin izinin sashi na wannan abun shine 100 MG kowace rana. Yawan Metformin na iya bambanta. Ana shan miyagun ƙwayoyi sau biyu a rana tare da abinci. Niƙa Allunan ba sa buƙata.
Musamman marasa lafiya
Contraindications ba shine kawai dalili ba saboda abin da ake buƙatar taka tsantsan a cikin maganin. Ana ba da matakan musamman ga marasa lafiya na mutum, tunda waɗannan mutane na iya kasancewa haɓaka ƙwarewar haɓaka da tasirin abubuwan haɗin.
Wadannan sun hada da:
- Mata masu juna biyu. A gare su, ɗaukar Yanumet ba a so, tunda ba a san yadda wannan maganin zai shafi rayuwar ciki da ci gaban jariri ba. Koyaya, idan akwai buƙatar gaggawa don magani tare da wannan magani, likitan likita zai iya yin maganin shi.
- Iyayen mata masu shayarwa. Ba a yi nazarin tasirin abubuwan abubuwa masu inganci akan ingancin madara ba. A wannan batun, yayin shayarwa, ya kamata mutum ya guji shan shi domin hana cutar da yaro. Idan jiyya tare da Yanumet har yanzu ya zama tilas, dakatar da shayarwa.
- Tsofaffi mutane. Suna iya fuskantar matsaloli daban-daban a cikin aiki na jiki saboda canje-canje da suka shafi shekaru. Haka kuma, mafi girma shekarun shekarun mara lafiya, da mafi girman alama da irin wannan take hakkin. Saboda wannan, yana iya zama da wahala a ɗauka da cire maganin daga jikin mutum. Sabili da haka, ga irin waɗannan marasa lafiya, wajibi ne don zaɓar sashi a hankali. Hakanan, lallai ne ya kamata suyi nazarin hanta da kodan kamar sau ɗaya a kowane watanni shida don gano matsaloli a wannan lokacin.
- Yara da matasa. Sakamakon rashin karfin jikin wadannan masu wannan cutar, Janumet na iya shafar su ba tare da jituwa ba. Likitocin sun guji magani tare da wannan magani a wannan zamani, sun gwammace sauran magunguna.
Idan an samo ciwon sukari a cikin wakilan waɗannan rukunin, kwararru yakamata su yi taka-tsantsan kuma bi umarnin.
Umarni na musamman
Hakanan kasancewar cututtukan da ke tattare da cututtukan concoitant shima lokaci ne na cikakken bincike kafin nadin Yanumet.
Gaskiya ne gaskiya ga waɗannan masu zuwa:
- Cutar koda. Tare da ƙananan ƙuntatawa a cikin aikin wannan jikin, an yarda da magani. Matsakaici ko yanayi mai ƙarfi yana haifar da watsi da amfani da shi, saboda saboda su, kawar da abubuwa masu aiki daga jiki zai rage aiki, wanda hakan na iya haifar da hypoglycemia.
- Jawabi a cikin aiki na hanta. Wannan magani yana da tasiri a hanta. Idan akwai matsaloli tare da wannan sashin, wannan sakamako na iya karuwa, wanda zai haifar da rikice-rikice. Saboda haka, an haramta shan Yanumet a wannan yanayin.
Kayan aiki ba shi da ikon yin tasiri cikin saurin halayen da hankali, don haka tuki da abubuwan da ke buƙatar taro ba a haramta su ba. Amma lokacin amfani da miyagun ƙwayoyi a hade tare da wasu jamiái, yanayin hypoglycemic na iya haɓaka, saboda wane matsala na iya tasowa a wannan yanki.
Side effects da yawan abin sama da ya kamata
Amfani da wannan magani zai iya haifar da ci gaban sakamako.
Daga cikinsu akwai:
- tari
- ciwon kai
- ciwon ciki
- tashin zuciya
- nutsuwa
- rikicewar gastrointestinal;
- maganin ciwon huhu
Wannan ba koyaushe yake faruwa ba, kuma galibi ba a ganin abin da ya faru masu haɗari. Sau da yawa waɗannan bayyananniyar suna kawar da kansu bayan wani lokaci. Wannan ya faru ne saboda karbuwa daga jiki zuwa hanyoyin warkarwa. Amma tare da babban mahimmancin abubuwan da aka lissafa, ana bada shawara don maye gurbin Yanumet tare da wata hanyar.
Idan akwai yawan abin sama da ya kamata, al'amuran guda iri daya suna faruwa wadanda suka danganci sakamako masu illa, kawai sune aka fi ambata. Ana iya kawar dasu ta hanyar cire ragowar magungunan daga jikin mutum da hemodialysis. Hakanan za'a iya buƙatar tallafin taimako.
Hadin gwiwar Magunguna da Analogs
Cututtukan da suka haɗa kansu suna buƙatar gyara dabarun magani da aka zaɓa. Idan suna nan, ya zama dole a magance cututtukan da yawa a lokaci guda, bi da bi, akwai buƙatar haɗuwa da magunguna daban-daban.
Ba a gudanar da cikakken bincike game da tasirin Yanumet akan wasu kwayoyi ba. Amma sananne ne cewa yana iya canza tasirin wasu kwayoyi lokacin amfani tare.
Daga cikinsu akwai:
- Furosemide;
- Nifedipine;
- Digoxin;
- Cyclosporin;
- Januvius.
Idan akwai buƙatar yin amfani da irin waɗannan haɗuwa, kuna buƙatar zaɓar sigogi a hankali kuma ku kula da hanya.
Wannan kwayar tana dauke da inganci wajen lura da ciwon sukari, amma bai dace da duk marasa lafiya ba. Saboda wannan, ya zama dole don zaɓar kuɗi tare da irin wannan aiki.
Daga cikin analogues na Yanumet da ake samu a kan ƙasar Rasha akwai:
- Velmetia;
- Tafiya;
- Glibomet;
- Avandamet;
- Douglimax, da sauransu.
Ya kamata a bayar da zaɓi na analogues wa likita, tunda sauyawa daga wannan magani zuwa wani ya kamata a aiwatar bisa ga ka'idodi. Bugu da kari, magungunan da aka jera suna da contraindications, rajista wanda yake wajibi.
Ra'ayoyin likitoci da marasa lafiya
Ra'ayoyin masana game da Yanumet sun sha bamban sosai - ba duk likitoci ne ke rubuta magani ba saboda illolin da ke tattare da ita, marasa lafiya kuma suna ba da amsa daban - wani ya taimaka wa maganin, kuma wani ya sha azaba sakamakon cutarwar. Hakanan an lura da babban farashin magungunan.
Ina sanya magunguna Janumet ga marasa lafiya koyaushe. Yana da sakamako mai kyau a lokuta mafi ƙarancin sakamako masu illa. Amma kafin rubuta magani, ya zama dole a bincika mai haƙuri don tabbatar da cewa babu maganin hana haihuwa, in ba haka ba mai haƙuri zai zama mafi muni.
Maxim Leonidovich, endocrinologist
A aikace na, Yanumet ba shine sanannen magani ba. Ingantarsa ya dogara da yadda ya dace da mai haƙuri. Idan akwai contraindications, yana da haɗari a rubuto shi. Haka kuma, bai dace da duk shari'ar ba. Saboda haka, Dole ne in ba da shawarar shi sau da yawa - yawanci marasa lafiya suna buƙatar wasu magunguna. Wasu lokuta marasa lafiya suna ƙin hakan saboda babban farashi. Kodayake yawancin abokan aikina sun amsa wannan magani sosai.
Tamara Alexandrovna, endocrinologist
Mahaifina ya ɗauki Yanumet, kuma ya yi shekara ɗaya da rabi ke yin wannan. Ba shi da gunaguni, matakin sukari koyaushe al'ada ne, matsaloli suna tasowa ne kawai da cin zarafin abincin.
Marina, shekara 32
Magungunan suna da tsada sosai, amma yana da ƙima. Na kamu da ciwon sukari shekaru 5 da suka gabata, don haka na gwada magunguna da yawa. Wasu kawai ba su taimaka ba, yayin da wasu suka haifar da sakamako masu illa na dindindin. Yanumet shine magani na farko wanda bai haifar da mummunan sakamako ba da ƙayyadaddun sukari.
Pavel, shekara 49
Ba zan iya kiran Yanumet magani mai kyau ba - bai taimaka mini ba. Da farko sukari bai ragu ba, to kwatsam sai ya faɗi warwas - likita har ma ya yi tunanin cewa na ƙara sashi. Tsawon makonni da yawa ina ɗaukar shi, alamu sun kasance al'ada, amma ciwon kai ya sa na sha wahala, na fara bacci mara kyau, ina jin ƙishirwa koyaushe. Sannan kuma, raguwa mai kaifi ba tare da canje-canje ba. Wasu matsaloli, don haka sai na nemi likita don musanya wani abu kuma mai rahusa.
Elena, 42 years old
Kudin maganin yana da mahimmanci mahimmanci wanda ke shafar zaɓin hanyar magani. Yanumet yana cikin magungunan da ke da tsada - ba kowane mai haƙuri ba zai iya yin amfani da shi. Farashin miyagun ƙwayoyi na iya bambanta dangane da sashi da adadin allunan a cikin kunshin.
Don Allunan 56 tare da abun ciki na Metformin 1000 MG, kuna buƙatar kashe 2800-3000 rubles. Yawan lambobi iri ɗaya a sashi na 500 ko 850 MG farashin 2700-2900 rubles.
