Hypoglycemic wakili Glucofage - umarnin don amfani

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Glucophage shine maganin cututtukan cututtukan zuciya wanda ke da matuƙar tasiri a cikin maganin cututtukan type 2.

Kayan aiki da sauri yana daidaita sukari na jini. Hakanan ya shahara tsakanin marasa lafiyar masu kiba.

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

Glucofage Long shine shirye-shiryen masu ciwon sukari na rukuni na biguanide tare da aiki mai aiki na Metformin hydrochloride. Akwai shi a cikin adadin 500, 850, 1000 MG.

Lokacin da ake ciki, yana cikin hanzari a tallata shi. Matsakaicin mafi girma yana faruwa ne bayan sa'o'i 2 bayan gudanarwa.

Wannan zai baka damar cimma sakamako kamar haka:

  • daidaita al'ada sukari na jini;
  • kara martanin kyallen takarda zuwa kwayoyin da aka samar;
  • ƙananan haɓakar glucose na hanta;
  • rage girman hanji na glucose;
  • dawo da nauyin jiki zuwa al'ada;
  • haɓaka metabolism;
  • ƙananan ƙwayoyin cuta.

Allunan suna da tasiri a cikin kamuwa da cutar sankara.

A kan siyarwa, ana gabatar da maganin a cikin nau'in kwamfutar hannu, an rufe shi da harsashi na biconvex na farin launi. Maida hankali ne akan sashi mai aiki shine 500, 850, 1000 MG. Don saukaka wa mai haƙuri, an sassaka matakin maganin akan ɗaya rabin kwamfutar.

Pharmacology da pharmacokinetics

Abinda ke ciki na allunan sun hada da Metformin, wanda ke ba da tabbacin sakamako na rashin ƙarfi a cikin jini. A cikin marasa lafiya da matakan glucose mai yawa, yana rage shi zuwa al'ada. A cikin mutane masu matakan glucose na al'ada, sukari jini baya canzawa.

Ayyukan aikin mai aiki ya dogara da hanawar gluconeogenesis da glycogenolysis, ikon haɓaka hankalin insulin da rage shaye-shaye a cikin narkewa. Bugu da kari, wannan maganin yana hanzarta tafiyar matakai na rayuwa a jiki kuma yana rage cholesterol.

Matsakaicin mafi yawa na Metformin ana lura da sa'o'i 2-3 bayan gudanarwarsa. Wani fasali na Glucophage Long shine karancin matsayin da ke daure wa garkuwar plasma. Babban kashin da ke cikin aiki an cire shi ne da kodan da hanjin cikin sa'o'i 6.5.

Bayan shan Glucofage, an lura da cikakkiyar adsorption na Metmorphine GIT. Abubuwan da ke aiki suna rarraba cikin hanzari cikin kyallen takarda. Mafi yawancin ana toshe su ta hanyar kodan, sauran kuma ta cikin hanji. Hanyar tsarkake magungunan yana farawa awanni 6.5 bayan shan shi. A cikin marasa lafiya da matsalolin koda, rabin-rayuwa yana ƙaruwa, wanda ke ƙara haɗarin tarin Metformin.

Manuniya da contraindications

Dangane da umarnin da aka haɗo da Glucofage, ana nuna shi ga masu ciwon sukari na 2, waɗanda suke da yawa duk da maganin rage cin abinci.

Yawancin marasa lafiya suna amfani da Glucofage don rasa nauyi. A wannan yanayin, ya kamata ku bi tsarin rage yawan kalori da kuma yin tsarin motsa jiki na yau da kullun. Wannan yana ba ku damar cimma kyakkyawan sakamako a cikin ɗan gajeren lokaci.

Hankali! Don asarar nauyi, ana amfani da miyagun ƙwayoyi a ƙarƙashin kulawar likita.

Kamar kowane magani, glucophage yana da contraindications.

An haramta miyagun ƙwayoyi:

  • mutane tare da rashin haƙuri akan ɗayan abubuwan haɗin;
  • tare da coma ko mai ciwon sukari ketoacidosis;
  • tare da aiki mara kyau da kodan da zuciya;
  • tare da wuce gona da iri na cututtukan cututtukan fata da cututtuka;
  • tare da shan giyar a lokaci guda;
  • tare da guba jikin mutum;
  • yayin daukar ciki da lactation;
  • tare da lactic acidosis;
  • Kwana 2 kafin daukar hoto da kwana 2 bayansa;
  • mutane kasa da shekara 10;
  • bayan tsananin motsa jiki.

Shan magungunan tsofaffi ana gudanar da shi a karkashin kulawar kwararrun.

Umarnin don amfani

Mafi ƙarancin farko shine 500 ko 850 MG, wanda aka kasu kashi da yawa. Ana shan kwayoyin tare da ko kuma bayan abinci. Ana aiwatar da canji na sashi bayan canjin sukari.

Matsakaicin sashi shine 3000 MG kowace rana, wanda shima ya kasu kashi dayawa (2-3). A hankali hankali na mai aiki abu a cikin jini yana ƙaruwa, da kaɗan sakamako masu illa daga hanji.

Lokacin haɗin Glucofage Long tare da insulin, shawarar da aka bada shawarar shine 500, 750, 850 mg sau 2-3 a rana. Likita ne ya tsara sashi na insulin.

Ana amfani da allunan duka a hade tare da wasu magunguna, kuma daban. A wasu lokuta na musamman, ana yarda da shiga ne tun daga shekaru goma. Ana yin maganin ne ta hanyar likita bisa la'akari da maida hankali kan sukari jini. Mafi ƙarancin shine 500 MG, matsakaicin shine 2000 MG.

Marasa lafiya na musamman da kuma Jagorori

Kafin amfani da maganin, dole ne ka nemi likita, ka yi nazarin tasirin sakamako, kuma ka san kanka tare da shawarwarin marasa lafiya na ƙungiyar ta musamman:

  1. Lokacin haila. Amincewa da Glucophage yayin haihuwar yaro da lactation an haramta shi sosai. Ana kiyaye glucose na jini ta hanyar allurar insulin. Haramcin kwayoyin hana daukar ciki yayin shayarwa saboda karancin bincike.
  2. Yaran zamani. Yin amfani da glucophage ta yara thean ƙasa da shekara 18 ba a son su. Yana da gaskiyar amfani da maganin ta hanyar yara na shekaru 10. Ikon likita ya zama tilas.
  3. Tsofaffi mutane. Tare da taka tsantsan, ya kamata ku sha maganin don tsofaffi waɗanda ke fama da cututtukan koda da cututtukan zuciya. Kwararrun likitan ya kamata kula da su.

A wasu cututtuka ko yanayi, ana ɗaukar magani da hankali, ko an soke shi gaba ɗaya:

  1. Lactic acidosis. Lokaci-lokaci, tare da amfani da Metformin, wanda ke da alaƙa da kasancewar rashin cin nasara na yara a cikin haƙuri. Cutar tana haɗaka tare da murdiya tsoka, jin zafi a cikin ciki da hypoxia. Idan ana zargin wata cuta, cire magani da kuma shawarar kwararru wajibi ne.
  2. Cutar koda. Game da aiki mai rauni na yara, yakamata a yi taka tsantsan, tunda jiki yana ɗaukar nauyin cire Metformin daga jiki. Sabili da haka, kafin fara amfani da miyagun ƙwayoyi, ya kamata a kula da hankali ga matakin ƙirar da ke cikin ƙwayar jini.
  3. Turewa. Kwayar ta daina kwana biyu kafin a fara aiki. Za a sake dawowa da jinya daga lokaci guda.

A cikin kiba, shan kwayoyin hana daukar ciki suna taimakawa nau'in masu ciwon sukari guda 2 suna daidaita nauyin su. A ɓangaren mai haƙuri, za a buƙaci yarda da ingantaccen tsarin abinci wanda adadin adadin kuzari ya kamata ya zama akalla 1000 kcal a kowace rana. Isar da gwaje-gwaje na dakin gwaje-gwaje zai baka damar saka idanu akan yanayin jikin mutum da kuma tasirin glucophage.

Side effects da yawan abin sama da ya kamata

Jerin tasirin sakamako daga shan miyagun ƙwayoyi ya dogara ne da yawan karatun likita da kuma sake duba masu haƙuri:

  1. Rage fitowar Vitamin B12 yana haifar da haɓakar cututtuka irin su anemia da lactic acidosis.
  2. Canja a cikin dandano mai ɗanɗano.
  3. Daga cikin jijiyoyin ciki, zawo, zazzabi a cikin ciki, da kuma rashin ci. Aiki yana nuna cewa ƙayyadadden alamun cutar an lura da ita cikin yawancin marasa lafiya kuma suna wucewa a cikin 'yan kwanaki.
  4. A matsayin rashin lafiyar, rashin lafiyar urticaria mai yiwuwa ne.
  5. Rashin aiwatar da matakan metabolism na iya haifar da yanayin da ba a tsammani ba, sakamakon abin da warware gaggawa na allunan zai yiwu.

Hadin gwiwar Magunguna da Analogs

Tasirin hyperglycemic na miyagun ƙwayoyi Danazol ya sa ya kasa haɗuwa da shi tare da Glucofage. Idan ba zai yiwu a ware maganin ba, likitan ya daidaita sashi.

Abubuwan da ke dauke da sinadarai na karafa suna kara hadarin lactic acidosis.

Babban allurai na chlorpromazine (fiye da 100 mg / rana) na iya haɓaka glycemia da rage matakin sakin insulin. Ana buƙatar yin gyaran fuska ta likitoci.

Gudanar da ayyukan diuretics yana ƙara haɗarin lactic acidosis. An hana shi shan Glucofage tare da matakin creatinine kasa da 60 ml / min.

Magungunan Iodine da ake amfani da su don maganin mura a cikin marasa lafiya da ke fama da matsalolin koda suna haifar da lactic acidosis. Sabili da haka, idan ana binciken mai haƙuri ta hanyar x-ray, zubar da allunan ya zama dole.

Tasirin hypoglycemic na maganin yana inganta ta hanyar sulfonylurea, insulin, salicylates, acarbose.

Analogin analogs azaman magungunan da aka yi niyya don maye gurbin babban magani, an yarda da amfani da su tare da likitan halartar:

  1. Bagomet. An tsara shi don marasa lafiya da masu ciwon sukari na 2 tare da kiba mai yawa. Ana amfani dashi a cikin maganin monotherapy kuma a hade tare da insulin.
  2. Glycometer. Magani ga masu ciwon sukari na 2 suna da kiba. Ana iya amfani dashi don nau'in 1 na ciwon sukari a hade tare da insulin.
  3. Dianormet. Taimakawa tsauraran matakan hormone, musamman ga marasa lafiya da raunin mai mai rauni.

Waɗannan analog ɗin suna cikin buƙatu kuma sun shahara tsakanin masu ciwon sukari na 2.

Ra'ayoyin Masu Amfani

Daga bita daga marasa lafiya, zamu iya yanke hukunci cewa Glucofage yana da tasiri sosai don gyaran sukari na jini, amma amfaninsa na musamman don asarar nauyi ba daidai bane, tunda gudanarwar yana tare da sakamako masu yawa.

A karo na farko da muka ji game da Glucofage daga tsohuwar mahaifiyarmu, wanda ke da nau'in ciwon sukari na 2 kuma ba zai iya saukar da sukari tare da kowane magani ba. Kwanan nan, wani masanin ilimin endocrinologist ya wajabta mata Glucophage a cikin sashi na 500 MG sau biyu a rana. Abin mamaki, matakin sukari ya ragu da rabi, ba a gano sakamako masu illa ba.

Ivan, 38 years old, Khimki

Na dauki glucophage kwanan nan. Da farko, na ji ciwo kaɗan kuma na sami rashin jin daɗi a cikin ciki. Bayan kamar sati 2 komai ya tafi. Indexididdigar sukari ya ragu daga 8.9 zuwa 6.6. My sashi ne 850 MG kowace rana. Kwanan nan na fara ƙaiƙayi, wataƙila babban adadin.

Galina, ɗan shekara 42. Lipetsk

Na yarda da Glucofage Long don rasa nauyi. An daidaita sashi ta hanyar endocrinologist. Na fara ne da 750. Ina ci kamar koyaushe, amma muradin abinci ya ragu. Na fara zuwa bayan gida sau da yawa. An yi mini rauni azaman mai ƙamshi mai tsarkakewa.

Irina, 28 years old, Penza

Ana ɗaukar Glucophage kamar yadda kwararrun likitoci suka umarta. Wannan magani ne mai mahimmanci ga masu ciwon sukari na 2, ba samfurin asarar nauyi ba. Likita ya sanar da ni game da wannan. Na yi watanni da yawa ina shan shi a 1000 mg kowace rana. Matakan sukari sun faɗi da sauri, kuma tare da shi an rage 2 kg.

Alina, ɗan shekara 33, Moscow

Bidiyo daga Dr. Kovalkov game da kwayar cutar Glucofage:

Kudin glucophage ya dogara da sashi na abu mai aiki da adadin allunan a cikin kunshin. Mafi ƙarancin farashin shine 80 rubles., Matsakaicin shine 300 rubles. Yana da kyau a lura cewa irin wannan bambancin da ake gani a farashin ya dogara da matsayin kamfanin, izinin ciniki da kuma adadin masu shiga tsakani.

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