Magunguna don kula da ciwon sukari suna da bambanci sosai. Sun bambanta cikin ka'idodin tasiri, nau'i na saki, abun da ke ciki da sauran fasali.
Don amfaninsu ya zama mai amfani, kuna buƙatar sanin halayen magungunan. Ofayansu shine Combogliz Prolong. Shi, kamar sauran kwayoyi, yana da wasu halaye waɗanda ya kamata a san su.
Bayani na gaba ɗaya, abun da ya shafi da kuma sakin saki
Ana sayar da maganin a ƙarƙashin sunan Combogliz Prolong. Yana da tasirin hypoglycemic.
Ya wanzu a cikin nau'in Allunan a cikin fim mai rufi. Launin su na iya bambanta dangane da abubuwan abubuwan aiki.
Babban abubuwan haɗin waɗannan allunan sune abubuwa guda biyu - Metformin da Saxagliptin. Yana ƙarƙashin ikon su ne aka cimma burin da aka sanya wa maganin.
Baya ga su, abun da ke tattare da maganin ya hada da:
- stereate magnesium;
- hypromellose;
- carmellose;
- titanium dioxide;
- talc;
- hydrochloric acid;
- butanol;
- prolylene glycol;
- dyes.
A kan siyarwa zaka iya samun Combogliz tare da sashi na 1000 + 2.5 MG (Metformin da Saksagliptin, bi da bi), 500 + 5 mg da 1000 + 5 mg. An tattara su cikin blisters of 7 inji mai kwakwalwa. Akwatin na iya ƙunsar blister 4 ko 8. Launin allunan na iya zama launin rawaya, launin ruwan kasa, ko ruwan hoda. Kowane sashi yana daɗaɗɗe da abubuwan da abubuwa ke aiki.
Aikin magunguna da magunguna
Abubuwan da ke cikin waɗannan allunan suna faruwa ne saboda haɗarinsu, a cikinsu akwai abubuwa biyu masu aiki tare da sakamako mai ƙari.
Godiya ga Saksagliptin, aikin hormones, incretins, wanda ke motsa samar da insulin ta hanji, an kiyaye shi.
Insulin yana ba da gudummawa ga yawan hanzarin glucose ta sel, wanda ke tabbatar da rage raguwa a cikin ƙwayar jini. Hakanan, incretins yana rage jinkirin samarda glucose ta hanta.
A ƙarƙashin rinjayar abu na biyu, Metformin, ayyukan samar da glucose a cikin hanta suma yana raguwa. Hakanan, wannan kayan yana inganta halayyar jiki ga insulin, wanda ke tabbatar da saurin daukar jiki da rarraba sukari ta kyallen da gabobin jikinsu. Metformin baya shafar samar da insulin.
Lokacin da aka shiga cikin jikin, saxagliptin ya kusan ɗauka. Wannan abun kusan baya shiga cikin saduwa da sunadarai na jini. Tsarin metabolism dinsa yana faruwa a ƙarƙashin rinjayar cytochrome isoenzymes, sakamakon wanda aka kirkiro metabolite. Amfani da kayan yana gudana ne ta hanjin hanji da kodan. Wani sashi na abu an cire shi ba tare da an canza shi ba, sauran ragowar suna barin jiki a cikin hanyar metabolite.
Mafi ingancin aikin Metformin ana nuna shi kimanin sa'o'i 7 bayan gabatarwarsa cikin jiki. Babu wani takamaiman bayani game da rarraba wannan sinadarin, amma sakamakon wasu binciken yana nuna ƙaramar halaccinta na shiga dangane da garkuwar jini. Excretion yana gudana ne ta hanyar kodan, yayin da aka keɓance kayan a cikin asalin sa.
Manuniya da contraindications
Yi amfani da magunguna tare da taka tsantsan. Gaskiya ne game da kudade waɗanda ke tabbatar da tanadin mahimman alamun. Tun da mutum na iya mutuwa har ya mutu sakamakon hauhawar jini ko raguwa mai yawa a cikin sukari na jini, magunguna tare da tasirin hypoglycemic yakamata a ɗauka kamar yadda kwararrun likita suka tsara kuma tare da kashi.
Babban nuni ga nadin Combogliz Prolong shine ciwon sukari na 2. Amma kafin bayar da shawarar wannan magani, likita dole ne ya tabbata cewa babu magungunan rigakafi. Dole ne yakamata ya lissafa sashi sosai, la'akari da duk mahimman yanayi.
Waɗannan allunan suna da contraindications, saboda abin da bai kamata a yi amfani da Combogliz ba, duk da kasancewar ƙwayar cutar sankara ta rashin ƙwaƙwalwar ƙwayar cutar insulin-insulin.
Wadannan sun hada da:
- haƙuri haƙuri ga abun da ke ciki;
- nau'in ciwon sukari na 1;
- hargitsi a cikin aiwatar da metabolism na galactose;
- ilimin cutar koda;
- mummunan cuta na zuciya;
- lactic acidosis;
- gazawar hanta;
- metabolic acidosis;
- hypoxia da haɗarin ci gabanta;
- shekaru har zuwa shekaru 18;
- ciki
- nono.
A cikin irin wannan yanayi, ana bada shawarar maye gurbin waɗannan allunan tare da wani magani. In ba haka ba, za a cutar da jikin mai haƙuri.
Umarnin don amfani
Dole ne a yi amfani da kowane magani bisa ga umarnin. Amma shawarwarin likita yawanci sun zama mafi mahimmanci, tun da umarnin sun ƙunshi bayanan janar kawai, kuma ƙwararrun na iya bincika halayen mutum na kowane shari'ar. Sabili da haka, kada kuyi amfani da Hada kai ba tare da alƙawari ba.
Waɗannan allunan an yi niyya ne don gudanar da maganin baka, wanda akan yi sau ɗaya a rana. Wannan zai fi dacewa da yamma. Kwamfutar hannu ba ta buƙatar murƙushe ta da ɗanɗana - an hadiye ta da ruwa.
Sashi aka zaɓi akayi daban-daban. Yawancin lokaci ana jagorantar su da adadin Saksagliptin, kashi na yau da kullun wanda bai kamata ya wuce 5 MG ba. Matsakaicin shawarar Metformin a matakin farko na farji shine 500 MG. Idan ya cancanta, ana iya haɓaka shi zuwa 2000 MG (to, ya dace a yi amfani da Combogliz 1000 + 2.5). A wannan yanayin, an rarraba kashi na maganin zuwa kashi biyu - da safe da maraice.
Theara yawan kashi ya kamata a aiwatar da hankali, tun da ba haka ba yana yiwuwa a tsokani haɓakar ƙwayoyin cuta a cikin narkewa.
Marasa lafiya na musamman da kuma Jagorori
Lokacin amfani da waɗannan allunan, yana da daraja la'akari da cewa ana buƙatar taka tsantsan ga wasu marasa lafiya.
Wadannan sun hada da:
- Tsofaffi mutane. Masu ciwon sukari sama da shekara 60, wadanda rayuwarsu ta kunshi yin aiki na zahiri, suna cikin hadarin samun ci gaban lactic acidosis.
- Mata masu juna biyu. Ba a bincika sakamakon wannan magani a lokacin daukar ciki ba, don haka dole ne a guji amfani da shi.
- Iyayen mata masu shayarwa. Babu wani bayani game da ko abubuwa masu aiki zasu shiga cikin madarar nono. Don guje wa haɗarin haɗari, ba a yin amfani da maganin ciwon sukari tare da Combogliz a wannan lokacin.
- Yara. Ba a gwada maganin ba don inganci da aminci dangane da mutanen da shekarunsu ba su cika shekaru 18 ba.
Wadannan rukunan marasa lafiya suna buƙatar magani tare da wasu kwayoyi.
Yana da matukar muhimmanci a gano abubuwan da ke cikin mahaifa. Wasu daga cikinsu dalili ne na ƙin yin amfani da maganin a cikin tambaya.
Wadannan sun hada da:
- Kwayar cutar kansa. Ayyukan abubuwa masu aiki a kan hancin ƙwayar cuta a cikin wannan yanayin na iya zama wanda ba'a iya faɗi ba.
- Rashin zuciya. Tare da wannan ilimin, amfani da Combogliz zai iya cutar.
- Cutar hanta. Saboda kasancewarsu, miyagun ƙwayoyi na iya haifar da haɓakar hanzarin lactic acidosis.
- Rashin aikin koda. Wannan matsala na iya haifar da jinkiri a cikin abubuwa masu aiki a cikin jiki, wanda ke da haɗari tare da rikitarwa.
Sauran cututtukan ba su cikin contraindications, amma idan sun kasance, likita ya kamata tantance hadarin.
Side effects da yawan abin sama da ya kamata
Lokacin amfani da wannan magani tare da shawarar likita, da alama tasirin sakamako baya ragu.
Mafi yawan lokuta, ana ambaton irin wannan mummunan yanayin kamar:
- ciwon kai
- tashin zuciya
- kumburi na nasopharynx;
- yanayin rashin lafiyar hypoglycemic.
Idan kun sami irin waɗannan alamun, kuna buƙatar magana tare da likitan ku. Wani lokacin sukan canza magani.
Yawan shaye-shaye lokacin magani tare da waɗannan kwayoyin ba zai yiwu ba. Amma tare da babban takewar umarnin, mai haƙuri na iya fuskantar matsalar rashin ƙarfi dabam na rashin ƙarfi. A cikin lokuta masu tsauri, ana buƙatar kulawa da gaggawa na likita.
Yin hulɗa tare da wasu magunguna da analogues
Tunda akwai abubuwa guda biyu masu aiki a cikin abubuwan da ke hade allunan na Combogliz, idan ya cancanta, hada wannan magani tare da wasu kwayoyi, wajibi ne don la'akari da peculiarities na hulɗarsu da kowane bangare.
Wasu kwayoyi suna haifar da karuwar tasiri na abu.
Game da saxagliptin, waɗannan sune:
- Fluconazole;
- Verapamil;
- Ketoconazole;
- Amaryaw.
A kan Metformin ana amfani da wannan sakamakon ta:
- samfuran giya;
- Furosemide;
- Nifedipine.
A cikin yanayin inda har yanzu ake buƙatar ɗaukar waɗannan kwayoyi, sashi na Combogliz ya kamata ya karu.
Don rage tasirin magani tare da saxagliptin na iya:
- Pioglitazone;
- Rifampicin.
Ayyukan Metformin ya raunana ta:
- estrogens;
- kamuwa da cuta;
- nicotinic acid;
- tausayawa.
Wannan yana nufin cewa yayin shan kowane magunguna, kuna buƙatar sanar da likita game da su don ya iya tsara ingantaccen magani.
Bukatar yin amfani da magungunan analog shine yawanci saboda rashin yarda da miyagun ƙwayoyi a cikin tambaya, sakamako masu illa ko ƙananan sakamakon bayyanar sa.
Mafi sau da yawa, likita na iya zaɓar wanda zai maye gurbinsa daga jerin masu zuwa:
- Siofor;
- Glimecomb;
- Methadiene;
- Gliformin.
Ba a yarda da zaɓin masu zaman kansu na analogues na miyagun ƙwayoyi ba.
Abubuwan bidiyo akan lura da ciwon sukari na 2:
Ra'ayoyin masu haƙuri
Bayan nazarin nazarin sake duba marasa haƙuri da yawa, ana iya ƙarasa da cewa maganin Combogliz Prolong yana da haƙuri da kyau kuma yana iya rage sukarin jini. Abubuwan sakamako suna da wuya. Lokacin shan magani, an kuma lura da asarar nauyi.
Na dade ina amfani da kwayoyi tare da Metformin. Koyaushe suna da kyakkyawan sakamako. Shekara daya da ta gabata, Combogliz Prolong ya fara shan giya. Sugar yana tsaye a matakin al'ada, amma nauyina ya ragu da yawa. Yanzu na gano daga likita ko yana yiwuwa a ƙi shan kwayoyi gaba ɗaya, da kuma daidaita sukari tare da rage cin abinci.
Igor, ɗan shekara 42
Na kasance ina zaune tare da ciwon sukari tsawon shekaru 4. A wannan lokacin na gwada magunguna da yawa, amma kodayaushe akwai matsaloli - ko dai a tsallake cikin sukari, to sai a sami sakamako. Shekara daya da suka wuce, Na fara shan Combogliz Prolong. Babu wasu maganganu marasa kyau a ciki, gwaje-gwaje suna da kyau. Ina son komai.
Mariya, shekara 34
Kudin wannan kayan aiki ya dogara da abin da likitan likita ya tsara, da kuma Allunan da yawa a cikin kunshin. Kudin maganin yana kama daga 2700 zuwa 4100 rubles.
