Umarnin don amfani da magani na Metformin

A cikin lura da ciwon sukari, ana ɗaukar jami'ai daban-daban na jini. Metformin maganin ƙwaƙwalwar ƙwaƙwalwa ana amfani dashi sosai a cikin aikin likita don cutar.

An haɗa magungunan a cikin jerin mahimman magunguna waɗanda ke rage sukari a cikin nau'in ciwon sukari na 2.

Bayani na gaba ɗaya, abun da ya shafi da kuma sakin saki

Metformin magani ne da ake amfani da shi sosai don maganin cututtukan type 2. Ya kasance cikin rukunan biguanides. An nuna shi ta hanyar haƙuri mai kyau, sakamako masu illa tare da amfani da su ba su da yawa. Ita ce kawai magani a cikin ajinsa wanda ba ya cutar da mutane da rauniwar zuciya.

Taimaka wajen rage triglycerides da LDL. Hakanan za'a iya wajabta shi a cikin ƙwaƙwalwar ƙwayar cuta a cikin lura da kiba. Ba ya shafar yawan hauhawar nauyi, rage hadarin cututtukan zuciya da ke fama da cutar sankara. Lokacin shan magani, haɗarin haɗarin hypoglycemia ne sakaci.

Babban nuni ga amfani shine ciwon sukari na 2. Ana iya tsara shi don lokacin balaga, tare da ƙwayar polycystic, wasu cututtukan hanta. Har ila yau, maganin yana maganin marasa lafiya tare da cutar sankarau.

Abubuwan da ke aiki da maganin shine metformin hydrochloride.

Kowane kwamfutar hannu na iya ƙunsar sashi daban-daban na sashi mai aiki: 500, 800, 1000 mg.

Akwai shi a cikin nau'ikan allunan a cikin kwasfa. Kunshin ya ƙunshi blister 10. Kowane boka yana dauke da Allunan 10.

Aikin magunguna da magunguna

Magungunan yana rage duka adadin sukari da taro yayin abinci. Abun yana shiga cikin tasirin glycogen kira kuma yana motsa jini a cikin hanta. Yana hana gluneocogenesis a jiki. Yana rage LDL kuma yana ƙara HDL.

Kayan aiki yana jinkirta yaduwar ƙwayar tsoka mai santsi ta ganuwar tasoshin jini. Yana rage shan glucose a cikin narkewar abinci, yana hana ci. An yi bayanin rage raguwar yawan sukari ta hanyar ci gaba a cikin kwayar halitta ta sel saboda karuwar haɓakar insulin.

Abun ba ya kunna samar da insulin, rage matakan glucose, yayin da ba ya haifar da tasirin hypoglycemic. Lokacin amfani da magani a cikin mutane masu lafiya, babu raguwa a cikin ƙimar glucose. Yana dakatar da hauhawar jini, wanda ke tsokani ƙimar nauyi da haɓaka rikitarwa.

Bayan gudanarwa, kayan sun kusan zama cikakke. Bayan awa 2.5, maida hankali ya kai matsayinsa. Lokacin da kake amfani da magani yayin cin abinci, ƙarar sha zata ragu.

Bayan awanni 6, tarawar Metformin yana raguwa, yawan sha a hankali zai tsaya. Bayan sa'o'i 6.5, rabin rayuwar maganin yana farawa. Magungunan ba su ɗaukar sunadarai na jini ba. Bayan awa 12, cirewar gaba daya yana faruwa.

Manuniya da contraindications

Alamu don shan maganin sune:

• rashin wadatar insulin (Nau'in nau'in ciwon sukari na 2) kamar yadda monotherapy a cikin rashin sakamakon da ya dace bayan maganin abinci;
• Nau'in nau'in ciwon sukari guda 2 tare da wakilan ƙwayoyin maganin cututtukan ƙwaƙwalwar ƙwayar cuta;
• Nau'in nau'in ciwon sukari na 2 don kula da yara daga shekaru 10 lokacin da aka haɗu ko aka keɓe;
• tare da insulin;
• a cikin hadaddun farke don kiba, idan abincin bai kawo sakamako ba;
• kawar da rikice-rikice masu ciwon sukari.

Ba a ba da shawarar maganin don amfani ba a cikin waɗannan lambobin:

• mai ciwon sukari mai ciwon sukari;
• rashin jituwa ga abubuwan da ke cikin magani;
• karancin lalacewa;
• barasa;
• gazawar koda
• bincike na rediyo tare da gabatarwar bambanci na musamman;
• mummunan cututtukan cututtuka;
• coma mai ciwon sukari, precoma;
• gazawar hanta.

Umarni don amfani

Shawarwarin manya: a farkon farawa, an tsara mafi ƙarancin adadin 500 MG. Ana shan maganin sau 2 a rana bayan abinci. Bayan makonni biyu, ana auna sukari kuma ana daidaita sashi gwargwadon sakamakon.

Magungunan yana nuna aikin warkewa bayan kwanaki 14 na gudanarwa. Theara yawan kashi yana faruwa a hankali - wannan yana rage sakamako gefen sakamako akan narkewa.

Matsakaicin abincin yau da kullun shine 3000 MG.

Shawarwarin yara: Da farko, an tsara 400 MG na miyagun ƙwayoyi (an rarraba kwamfutar hannu a rabi). Bayan haka, ana yin liyafar don daidaitaccen tsari. Matsakaicin ƙa'idodin yau da kullun shine 2000 MG.

Ana haɗuwa da miyagun ƙwayoyi tare da insulin. Ana ɗaukar Metformin a cikin hanyar da ta saba: 2-3r. kowace rana. Sashi na insulin an yanke shi ne ta likita bisa sakamakon binciken.

Marasa lafiya na musamman da kuma Jagorori

Kungiyar rukuni na musamman sun hada da:

1. Ciki da lactating. Ba'a amfani da maganin yayin daukar ciki da lactation. Likita ya ba da izinin insulin.
2. Yara. Ga yara a ƙarƙashin shekaru 10, da miyagun ƙwayoyi ne contraindicated. Ba a tabbatar da amincin shiga lokacin balaga ba.
3. Tsofaffi mutane. An tsara shi da taka tsantsan ga tsofaffi, musamman bayan 60. An zaɓi kashi an la'akari da yin amfani da ƙodan.

Yin amfani da miyagun ƙwayoyi na dogon lokaci yana buƙatar saka idanu akan yanayin kodan. Da zarar kowane watanni shida, ya kamata a bincika creatinine - a alama> 135 mmol / l, an soke maganin. Musamman a hankali ya kamata a lura da alamun da ke ƙetare tasirin aikin jiki.

Lokacin shan Metformin, yakamata a watsar da giya. Wannan kuma ya shafi magungunan da ke ɗauke da giya. Kafin a haɗa magungunan tare da wasu magungunan marasa ciwon sukari, kuna buƙatar sanar da likitanka. Lokacin da aka haɗu da abubuwan da keɓaɓɓe na sulfonylurea, ana buƙatar ingantaccen saka idanu akan matakan sukari na jini.

Kafin yin tiyata, an soke Metformin cikin kwanaki 2. Ci gaba da amfani da ba a cikin kwanaki 2 ba bayan hanyar, yin la'akari da aikin ƙodan. A cikin karatun rediyo (musamman tare da yin amfani da bambanci), ana kuma soke aikin magani a cikin kwanaki 2 kuma a dawo dashi bayan kwana 2, bi da bi.

Side effects da yawan abin sama da ya kamata

Tasirin sakamako yayin amfani da miyagun ƙwayoyi:

• lactic acidosis;
• megaloblastic anemia;
• aikin lalata hanta;
• urticaria, itching, fitsari, erythema;
• da wuya hepatitis;
• rashi mai aiki;
• Lafiya;
• mafi bayyanannun bayyanannun ana lura da su daga cikin jijiyoyin ciki: rashin ci da tashin zuciya, matsewar tashin hankali, ƙyashi, amai;
• rage sha na B12.

Lokacin shan magani, babu wata alama ta hypoglycemia, ba kamar sauran magunguna na ƙungiyar masu ciwon sukari ba. Tare da karuwa a kashi, lactic acidosis na iya haɓaka. Tare da ƙwaƙƙwarar jiyya tare da abubuwan samo asali na sulfonylurea, hypoglycemia na iya faruwa.

Lokacin yanke shawarar hypoglycemia, ana bada shawarar mai haƙuri ya ɗauki 25 g na glucose. Idan ana zargin lactic acidosis, an kwantar da maraice a asibiti don fayyace (musun) sanadin cutar, an soke maganin. Idan ya cancanta, ana yin hemodialysis.

Hadin gwiwar Magunguna da Analogs

An ba da kulawa ta musamman ga hulɗar Metformin tare da wasu kwayoyi. Wasu na iya haɓaka matakin glucose, wasu, akasin haka, ƙananan. Yin amfani da magunguna lokaci guda ba tare da tuntuɓar likita ba da shawarar ba.

Danazole na iya haifar da hauhawar jini. Idan ya cancanta, maganin ƙwayar cuta yana daidaita sashi na Metformin kuma yana ƙarfafa sarrafa sukari. Diuretics, glucocorticosteroids, hormones na mata, maganin antidepressants, hormones na thyroid, adrenaline, abubuwan nicotinic acid, glucagon suna rage tasirin.

Lokacin da aka yi amfani da su tare da fibrates, hormones na maza, abubuwan asali na sulfonylurea, ACE inhibitors, insulin, wasu ƙwayoyin rigakafi, acarbose, abubuwan ƙira na clofibrate, da sauran magungunan antidi masu cutar, ana inganta tasirin Metformin.

Shan giya na iya haifar da ci gaban lactic acidosis. Yayin magani, magunguna masu dauke da ethanol suma ba'a cire su ba. Chlorpromazine na rage sakin insulin.

Magunguna iri ɗaya masu tasiri iri ɗaya sun haɗa da: Metamine, Bagomet, Metfogamma, Glycomet, Meglifort, Dianormet, Diaformin Sr, Glyukofazh, Insufor, Langerin, Meglukon. Babban bangaren wadannan magunguna shine metformin hydrochloride.

Bidiyo daga Dr. Malysheva game da Metformin:

Ra'ayoyin marasa lafiya da kwararru

Yawancin marasa lafiya waɗanda ke fama da aikin maganin Metformin suna lura da ingantaccen kuzari a cikin bita. Haskaka ingancinsa da kyakkyawan tasirinsa. Wasu marasa lafiya sun lura da kyakkyawan sakamako a cikin gyaran nauyi, farashin mai saukin magani. Daga cikin abubuwan da ba su da kyau - raunin gastrointestinal.

Sun tsara Metformin don ciwon sukari bayan abincin da aka wajabta bai taimaka ba. Yana sarrafa sukari da kyau kuma baya haifar da sakamako mara kyau. Bayan mako biyu, likita ya daidaita sashi. Tare da taimakon magunguna na sami damar rasa karin kilos. Matsayin sukari ya ragu sosai. Gabaɗaya, magani na al'ada.

Antonina Stepanovna, 59 years old, Saratov

Kayan aiki ya dawo da alamu na yau da kullun ba kawai sukari ba, har ma jimlar cholesterol. Yana taimakawa wajen yaƙar nauyi mai yawa. Na ji bayyanannu mara kyau a kaina - karancin ci da tashin zuciya. Na lura cewa liyafar sauran magungunan maganin rashin lafiyar ma bai tafi yadda ya kamata ba. Ina tsammanin cewa Metformin ya nuna kansa a kan kyakkyawan halayen.

Roman, dan shekara 38, St. Petersburg

A farkon farawar, tasirin gefen ya kasance mai ƙarfi - ciwo mai zafi na kwana biyu da kuma rashin ci. Ina so in daina shan Metformin. Na sha kayan ado kuma bayan kwanaki 4 sai stool din ya koma al'ada. Sakamakon shan shi shine matakin sukari na al'ada da debe nauyin kilogram biyar. Ina kuma so in lura da farashin mai magani mai araha.

Antonina Aleksandrovna, 45 years, Taganrog

Hakanan masana sun lura da kyakkyawan sakamako da haƙuri da ƙwayar, amma sun ba da shawarar amfani da shi don nufin da ya nufa, kuma ba don asarar nauyi ba.

Ana daukar Metformin magani mai inganci don ciwon sukari na 2. Yana da kyakkyawar haƙuri tare da shigarwar da ta dace da kuma yarda da shawarar likita. Ba kamar sauran magungunan rigakafin ƙwayar cuta ba, Metformin yana da ƙananan haɗarin hauhawar jini. Binciken ya tabbatar da cewa gaba daya cutarwa ce ga mutanen da ke fama da ciwon zuciya. Mara lafiya masu lafiya ba da shawarar yin amfani da miyagun ƙwayoyi don daidaita nauyin jikin mutum.

Antsiferova S.M., endocrinologist

Farashin miyagun ƙwayoyi ya kusan 55 rubles. Metformin magani ne.

Metformin magani ne wanda aka tsara don rage sukari a cikin ciwon sukari da ba a cikin insulin ba. An nuna shi ta hanyar haƙuri mai kyau tare da ƙaramar haɗarin karuwar cutar glycemia. Hakanan yana daidaita nauyin jiki a cikin mutanen da ke da ciwon sukari, yana rage mummunar cholesterol. Babban sakamako na gefen shine lactic acidosis.