Umuntu onenkinga yesifo sikashukela sohlobo 2 akufanele aqhubeke nokudla nokuzivocavoca umzimba, kodwa futhi aphuze nemithi ekwehlisa amazinga kashukela egazi. IGlucophage 500 isho izidakamizwa ezinjalo.
I-ATX
A10BA02
I-Glucophage 500 yehlisa ushukela wegazi.
Khipha amafomu nokwakheka
Umuthi wenziwa ngesimo samaphilisi ayindilinga wokuqondisa ngomlomo. Zimbozwe ngegobolondo elimhlophe. Iithebula lifakwe emaseli we-contour - ama-20 ama-PC ngalinye. lilinye. Ama-3 kula maseli asemakhadini amakhadibhodi, anikezwa emakhemisi.
Amacwecwe aqukethe izakhi eziningana, ezisebenzayo yi-metformin hydrochloride. I-glucofage 500 yale nto iqukethe ama-500 mg. Izakhi ezisizayo yi-povidone ne-magnesium stearate. Benza ngcono umphumela wokwelapha umuthi.
Isenzo se-Pharmacological
I-Glucophage isidakamizwa se-hypoglycemic. Ukwehla kwe-plasma glucose kungenxa yokuba khona kwe-metformin kulo muthi. Umuthi unomunye umphumela - uyasiza ukwehlisa isisindo. Kwabanesifo sikashukela, le mfanelo ibalulekile, njengoba lesi sifo sivame ukuhambisana nokukhuluphala.
Ezigulini ezithatha i-Glucofage, kunokuthuthuka kwe-cholesterol, okunomthelela omuhle emsebenzini wohlelo lwezinhliziyo.
I-Pharmacokinetics
Umuthi udonswa emgodini wokugaya ukudla. Uma amaphilisi ethethwe ngokudla, khona-ke inqubo yokumunca iyabambezeleka. Izinga eliphakeme kakhulu lezinto ezisebenzayo egazini ziqashelwa amahora angama-2,5 ngemuva kokuthatha umuthi.
I-Metformin isatshalaliswa ngokushesha emzimbeni wonke. Isigamu sempilo cishe amahora angama-6.5.
Izinkomba zokusetshenziswa
Kunikezwa umuthi ezigulini ezitholakala zinenkinga yesifo sikashukela esinga-insulin. Umuthi usetshenziswa njenge-ejenti ye-monotherapeutic noma ngokuhlanganiswa ne-Insulin.
Contraindication
IGlucophage icutshwe kule mibandela elandelayo:
- ukungabekezeleli kunoma iyiphi into eyingxenye yemithi (ngaphambi kokusebenzisa, funda ngokucophelela imiyalo esetshenzisiwe);
- isifo sikashukela noma ukoma;
- ama-pathologies aholela ku-tishu hypoxia;
- ukwelashwa kokuhlinzwa kwalezo ziguli ezidinga i-insulin;
- uphuzo oludakayo;
- ubuthi be-ethanol;
- ukwehluleka kwesibindi;
- ukwehluleka kwezinso;
- i-lactic acidosis;
- ukwenza izifundo ngisebenzisa i-iodine equkethe i-ejenti ehlukile - ezinsukwini ezi-2 ngaphambi kwenqubo futhi kungakapheli amahora angama-48 emva kwayo;
- Ukulandela ukudla uma inani le-kcal litholakele lingaphansi kwe-1000 ngosuku.
Ngokuhluleka kwesibindi, i-glucophage ayemukelwa.
Umuthi awukwazi ukuphuzwa kanye nophuzo oludakayo, uqhubeke ngendlela engapheli.
Umuthi awuthathwa uma, kulandela ukudla, inani le-kcal elitholiwe lingaphansi kwe-1000 ngosuku.
Ukwehluleka kwangempela kungukuphula umthetho ekuphuzeni umuthi.
Kunikezwa umuthi ezigulini ezitholakala zinenkinga yesifo sikashukela esinga-insulin.
Ngokunakekela
Umuthi unikezwa ngokuqapha ezigulini ezineminyaka engama-60 nangaphezulu, ngoba kunengozi enkulu ye-lactic acidosis.
Ungayithatha kanjani i-Glucofage 500?
Ithebhulethi zithathwa kanye noma emva kokudla. Umuthi kufanele ugezwe phansi ngamanzi. Musa ukuzindla: umthamo kanye nesikhathi sokwelashwa kunqunywa ngudokotela. Uchwepheshe unaka izinto ezahlukahlukene, okuyiwona amazinga ashukela egazini. Izifo ezikhona ezigulini ziyabhekelelwa.
Kwabadala
Ngokuyalela imiyalo, isidakamizwa sithathwa kanjena:
- Umthamo wokuqala ngu-500-850 mg ngosuku. Leli nani lihlukaniswe ngemithamo engu-2-3. Ngemuva kwalokho udokotela wenza izifundo zokulawula, ngokuya ngemiphumela yalapho umthamo ulungiswa khona.
- Umthamo wokulondolozwa ngu-1500-2000 mg ngosuku. Leli nani lihlukaniswe ngemithamo emi-3 ngosuku.
- I-3000 mg yidosi ephezulu kunazo zonke evunyelwe. Kufanele ihlukaniswe ngemithamo emithathu.
Okwezingane
Imiyalo ithi ingane eneminyaka eyi-10 noma ngaphezulu i-Glucophage ichazwe kumthamo ojwayelekile wansuku zonke we-500-850 mg. Esikhathini esizayo, ukwanda komthamo kungenzeka, kepha umthamo wansuku zonke ophezulu awukwazi ukudlula ku-2000 mg.
Ukuze ungakhuli kabi ukungazalwa kahle ezinganeni, akunakwenzeka ukuthi uphuze umuthi ngaphandle kwemvume kadokotela.
Ukwelashwa kwesifo sikashukela
Uma udinga ukuthatha i-Glucofage ne-Insulin ngasikhathi sinye, khona-ke ekuqaleni kokwelashwa, umthamo wosuku lomuthi ngu-500-850 mg. Ngemuva kwalokho udokotela ushintsha umthamo wesidakamizwa ngokushintsha inani le-insulin elitholile.
Ukwehla kwesisindo
Lapho usebenzisa i-Glucofage 500 yokunciphisa umzimba, kufanele uthathe ithebhulethi eyi-1 isikhathi ngosuku ngezinsuku ezingama-3-5. Uma umuthi ubekezelelwa kahle, khona-ke umthamo uvunyelwe ukwandiswa ube ngu-1000 mg ngosuku. Kepha lokhu kuvunyelwe kuphela kwiziguli ezinesisindo esidlula isilinganiso esingaphezu kuka-20 kg.
Lapho usebenzisa i-Glucofage 500 yokunciphisa umzimba, kufanele uthathe ithebhulethi eyi-1 isikhathi ngosuku ngezinsuku ezingama-3-5.
Ukwelapha kuthatha amasonto ama-3. Ngemuva kwalokhu, ikhefu lezinyanga ezi-2 liyadingeka. Uma isifundo sokuqala singanikanga yimiphumela emibi, khona-ke kuvunyelwe ukukhuphula umthamo ngesikhathi sesifundo sesibili. Kepha awukwazi ukuthatha ngaphezu kwe-2000 mg ngosuku. Le mali ihlukaniswe izikhathi ezi-2. Isikhathi phakathi kwemithamo amahora angama-8 noma ngaphezulu.
Ngesikhathi sokulashwa, kubalulekile ukuthi uphuze amanzi amaningi ukuze ugweme imiphumela enobuthi: uketshezi luzosiza izinso zisuse ngokushesha imikhiqizo yokuwohloka yomuthi.
Imiphumela emibi
Ukuthatha i-Glucophage kungadala imiphumela emibi.
Amapheshana wesisu
Isifiso esingesihle, ubuhlungu besisu, uhudo, isicanucanu, ukugabha - lezi zimpawu zibonisa isikhathi sokuqala sokwelashwa. Zivela kulezo ziguli ezingahlukanisi umthamo wansuku zonke kuma-doses angama-2-3.
Isistimu yezinzwa ephakathi
Imvamisa, labo abathatha umuthi baba nokunambitheka okuphazamisayo.
Kusuka ohlelweni lomchamo
Imiyalo ayinalo ulwazi mayelana nemiphumela emibi evela ohlelweni lokuchama.
Engxenyeni yesibindi ne-biliary
Ezimweni ezingavamile, kuba nokuphazamiseka esibindini, i-hepatitis iba khona. Lapho amaphilisi ekhanseliwe, imiphumela emibi iyanyamalala.
Imiyalo ekhethekile
Uma ukuhlinzwa okuhleliwe kusengaphambili, khona-ke kufanele uyeke ukuthatha i-Glucofage ezinsukwini ezi-2 ngaphambi kokuhlinzwa. Ukuqhubeka nokwelashwa kufanele kube yizinsuku ezi-2 ngemuva kokuhlinzwa.
Ukuthatha i-Glucofage kungadala ukuthuthukiswa kwe-lactic acidosis. Uma ukwehluleka, izimpawu ze-dyspeptic nezinye izimpawu ezingezona eziqondile zivele phakathi nesikhathi sokulashwa, kufanele uyeke ukuthatha umuthi futhi ufune usizo lodokotela.
Ukuhambisana notshwala
Ungabuphuzi utshwala ngenkathi uthatha i-Glucofage. Imithi equkethe i-ethanol kufanele igwenywe.
Umthelela ekhonweni lokulawula izindlela
Abantu abathatha umuthi nge-metformin bangashayela imoto, ngoba lesi sidakamizwa asithinti kabi imibuthano yokuhlushwa nokuhlushwa kwengqondo. Kuvunyelwe futhi ukusebenza ngezinqubo eziyinkimbinkimbi.
Sebenzisa ngesikhathi sokukhulelwa nokukhishwa komzimba
Abesifazane abanomzimba abanconyiwe ukuthatha i-glucophage. Lapho uhlela ukukhulelwa, isiguli kufanele sibonane nodokotela, ngoba kudingeka ushintsho ekwelashweni kwe-insulin. Kuyadingeka ukugcina amazinga kashukela egazi asondele kokujwayelekile ukuze kungalimazi ingane.
Akunconywa ukuthatha umuthi ngesikhathi sokuqunjelwa. Uma isidingo esinjalo sikhona, khona-ke kufanele uyeke ukuncelisa, uma udokotela eluleka.
Sebenzisa ebudaleni
Ezigulini esezikhulile ezithatha i-Glucofage, izinkinga zezinso zingase ziqale, ngakho-ke isimo sazo kumele siqashelwe ngesikhathi sokwelashwa.
Ukweqisa
Ngokweqile okukhulu komthamo owemukelekile, i-lactic acidosis ingahle ikhule. Uma kwenzeka kunezimpawu, ukungena esibhedlela kubalulekile. Esibhedlela kuyenziwa ukuhlolwa, umphumela wazo uzokhombisa ukugcwala kwe-lactate egazini, emva kwalokho inqubo yokwelashwa izonqunywa.
Ukuxhumana nezinye izidakamizwa
Ukuthatha i-Glucophage kudinga ukuqapha uma isiguli sisebenzisa ezinye izidakamizwa.
Inhlanganisela ehlanganisiwe
Hlukanisa ama-ejenti nokuqukethwe kwe-iodine.
Akuhlanganisiwe ukuhlanganisa
Imithi equkethe i-ethanol.
Ukuthatha i-Glucophage kudinga ukuqapha uma isiguli sisebenzisa ezinye izidakamizwa.
Inhlanganisela edinga ukuqashelwa
- UDanazole;
- I-Chlorpromazine kwimithamo ephezulu;
- I-GCS (yokusetshenziswa komlomo nokwasendaweni);
- ilogo diuretics.
I-Glucophage analogues 500
Phakathi kwezidakamizwa ze-hypoglycemic ezinomphumela ofana neGlucofage, okulandelayo:
- Siofor;
- I-Metformin;
- Insufor;
- I-Glucophage ende.
Imibandela yekhefu lekhemisi
Umuthi umuthi obhalwe phansi.
Ngingakwazi ukuthenga ngaphandle kadokotela?
Izisebenzi eziningi zamakhemisi azidingi incwadi kadokotela, ephula imithetho yokuthengiswa kwemithi.
Intengo
Izindleko ezimaphakathi zomuthi ama-ruble angama-170-250. ukupakisha.
Izimo zokugcina i-Glucofage 500
Izinga lokushisa egumbini lokugcina lomuthi akumele lidlule + 25 ° C.
Isikhathi sokuphelelwa yisikhathi
Iminyaka emi-5
Ukubuyekezwa kwe-Glucofage 500
Ukubuyekezwa mayelana nomuthi kunika bobabili odokotela kanye neziguli.
Odokotela
U-Ekaterina Parkhomenko, oneminyaka engama-41, uKrasnodar: "Ngivame ukubekela i-Glucofage kwabanesifo sikashukela abangayidingi i-Insulin. Umuthi uyasebenza, ungabizi, awusebenziseki kalula. Kepha angikukhuthazi kulabo abafuna ukunciphisa umzimba, kepha abanesifo sikashukela. Kunezinye izindlela zokunciphisa umzimba - ukudla, ezemidlalo. "
Iziguli
U-Alexey Anikin, oneminyaka engama-49, uKemerovo: "Nginoshukela onesipiliyoni, kepha angixhomekeki ku-Insulin. Ngithatha i-Glucophage ukugcina izinga lami likashukela - 500 mg izikhathi ezi-3 ngosuku. Akunamphumela emibi, ngizwa kahle. Ngincoma umuthi njengomuthi osebenzayo."
URimma Kirillenko, oneminyaka engama-54, uRyazan: "Nginenkinga yesifo sikashukela sohlobo 2. Muva nje, udokotela usinikeze uGlucophage. Ngokushesha ngemuva kokuqala ukwelashwa, kwaqhamuka izimbumbulu ezandleni, isicanucanu kanye nesifo sohudo. Bekumele ngiye kudokotela ngizoqokwa, ngoba umuthi wawungafanele."
Ukulahlekelwa isisindo
ULyubov Kalinichenko, oneminyaka engama-31 ubudala, uBarnaul: "Nginezinkinga zesisindo ngokweqile, engingakwazi ukubhekana nazo ekudleni noma ukuzivocavoca. Ngifunde ukuthi i-Glucofage isiza kakhulu. Ngathenga umuthi ku-500 mg futhi ngaqala ukuphuza amaphilisi ngokuya ngemiyalo "Isisindo sime, futhi siyamile. Kepha isicanucanu nesifo sohudo siphelile, ngakho-ke kwadingeka ngiyeke ukusebenzisa lo muthi."
UValery Khomchenko, oneminyaka engama-48, uRyazan: "Isifo sikashukela asikaze sitholakale, kepha ushukela kwesinye isikhathi uyabonakala. Isisindo siphezulu kakhulu kunesivamile. Ngaya kudokotela ophethe i-endocrinologist onikeze iGlucophage. Ngiphuza amaphilisi futhi ngijabule, ngoba isisindo sihamba kancane, ngizizwa ngingcono."
