Umuthi we-hypoglycemic usetshenziselwa ukwehlisa isisindo, ngoba ucindezela isifiso sokudla sikashukela.
Ukuphawula kodokotela ngeMetformin Richter kulungile.
Nikeza umuthi kuphela ngemuva kocwaningo olunzulu. Ungayithatha kanjani ngokuya ngemiyalo? Yimaphi ama-analogues angasetshenziswa uma lo muthi ungafanele? Le mibuzo ithinta abanesifo sikashukela abaningi.
Imininingwane ejwayelekile mayelana nomuthi
IMetformin Richter iyatholakala ngesimo samathebhulethi amhlophe e-convex. Umkhiqizi yinkampani yasekhaya iGEDEON RICHTER-RUS CJSC. Ithebhulethi eyi-1 iqukethe i-metformin hydrochloride, kanye ne-talc, i-magnesium stearate ne-corn starch ngamanani amancane. Akhiqizwa ngemithamo ehlukene: 500 mg, 850 mg no-1000 mg.
Umenzeli we-hypoglycemic angabekwa udokotela ongu-endocrinologist wesifo sikashukela sohlobo 2 uma isiguli singathambekele ekwakheni i-ketoacidosis, kanye nasekuhlanganiseni nemijovo ye-insulin. Umuthi uthathwa ngokungasebenzi kahle kokudla okulinganiselayo nemfundo yomzimba.
Lapho isiguli sithatha amaphilisi e-Metformin Richter, ayangena emzimbeni wokugaya ukudla. Ukuhoxiswa komuthi kwenzeka ngezinso ezingashintshiwe. Isenzo se-pharmacological somuthi yile:
- Ukunciphiswa kweglucose esibindini.
- Ukuqhakanjiswa kokuqhekeka kwe-peripheral kwe-glucose.
- Ukwehla kokuxineka kwe-hormone ekhuthaza i-thyroid ku-seramu yegazi.
- Ukuvinjelwa kwe-glucogenesis - inqubo yokwenziwa kwe-glucose esibindini.
- Ukuzwela okwengeziwe okwandayo kwezicubu zomgogodla ku-insulin ye-hormone.
- Ukwehla kwamandla okwenza izingqimba zegazi.
- Ukusebenziseka kwenqubo yokutholwa kabusha kwezigaba zegazi.
- Kwehliswe ama-triglycerides kanye nama-linoprotein aphansi.
- Khuphula i-fatty acid oxidation.
- Yehla ekuhlushweni kwe-cholesterol.
Ngaphezu kwalokho, ukusetshenziswa kwesidakamizwa kuyazinza futhi kunciphisa isisindo somzimba.
Imiyalo yokusebenzisa amaphilisi
Lo muthi awunakuthengwa ngaphandle kwemvume kadokotela. Umthamo wesidakamizwa ungahluka ngokuya ngenani likashukela egazini, ubukhulu besifundo sesifo, ama-pathologies ahlobene nenhlala-kahle yesiguli. Ngemuva kokuthenga iMetformin Richter, imiyalelo yesiguli yokusetshenziswa kufanele ifundwe ngokucophelela.
Abantu abanesifo sikashukela abaqala ukwelashwa bavunyelwe ukuthatha amamiligremu ayisihlanu kuya kwewaka lesi sidakamizwa. Ngemuva kwamaviki amabili zokwelashwa, kungenzeka ukuthi ukwenyuswe ngemithamo. Kuyenqatshelwe ngokuphelele ukwandisa ngokuzimela umthamo womuthi, udokotela kuphela ongabheka ngokufanelekile ukwanda kwawo.
Abantu abadala badinga ukuthatha kuze kufike ku-1000 mg ngosuku. Umthamo wesondlo uthathwa njengowusuka ku-1500 mg uye ku-2000 mg. Ngaso leso sikhathi, kuze kufike ku-3000 mg kungadliwa okuphezulu ngosuku. Kokufakiwe okunamathiselwe, kuyalulekwa ukuphuza umuthi ngesikhathi sokudla noma ngemuva kwawo, uphuze amaphilisi ngamanzi.
Kumele kuqashelwe ukuthi ngenxa yokuthatha iMetformin Richter, ukusabela okuthile komzimba kungenzeka. Zihambisana nomlutha wayo esenzweni sento esebenzayo. Emavikini amabili okuqala, isiguli singakhalaza ngokuhlukumezeka kokugaya ukudla, okungukuthi isicanucanu, isifo sohudo, ushintsho ekunambithekeni, ukuntuleka kwesifiso sokudla, ukwanda kwegesi, ubuhlungu besisu. Imvamisa, lezi zimpawu zihamba zodwa. Ukuze unciphise usizi lokuphendula okungalungile, umuthi kufanele uhlukaniswe kaningi.
IMetformin Richter kufanele igcinwe ngaphandle kwamanzi, lapho kude nezingane. Izinga lokushisa akufanele lidlule ama-+25 degrees Celsius.
Ngemuva kweminyaka emi-2 kusuka ngosuku okhululwe ngalo umuthi, ukuphathwa kwawo kwenqatshelwe.
Contraindication kanye nomonakalo ongaba khona
Okokuqala, umuthi awuvunyelwe ezinganeni ezingaphansi kweminyaka engu-18. Okwesibili, ayikwazi ukusetshenziswa ngokuzwela komuntu ngamunye kwizakhi zomuthi.
Abesifazane abahlela ukukhulelwa, noma labo asebeke banengane, nabo bayenqatshelwa ukuthatha lo muthi. Kulokhu, kungcono ukushintshela ekwelashweni kwe-insulin. Njengoba kungekho datha ethembekile ku-Metformin Richter maqondana nesenzo ngesikhathi sokuqunjelwa, umuthi akufanele uthathwe. Okunye ukuphikisana okubaluleke ngokulinganayo yile:
- isifo sikashukela sikashukela;
- ukungasebenzi kwezinso;
- i-pathology yesibindi;
- i-lactic acidosis;
- isifo sikashukela nesifo sikashukela;
- ukuhlinzwa kwakamuva;
- ukulimala okukhulu;
- Ukudla kwe-hypocaloric (ukudla nsuku zonke okungaphansi kwe-1000 kcal);
- ukudakwa kotshwala;
- ukuthembela ngotshwala okungamahlalakhona;
- Izinsuku ezi-2 ngaphambi nangemva kokuhlolwa kwe-radioisotope kanye ne-x-ray kusetshenziswa izinto eziqukethe iodine;
- amathuba we-izicubu hypoxia, ozibonakalisa njenge-myocardial infarction, ukuphefumula noma ukwehluleka kwenhliziyo;
- ama-pathologies ashubile angadala umsebenzi we-renal ongasebenzi kahle (umkhuhlane, ukopha ngenxa yokuhlanza noma isifo sohudo, i-hypoxia, izifo ezahlukahlukene, i-bronchopulmonary pathologies evusa ukukhwehlela).
Uma umuthi usetshenziswa ngendlela engafanele noma ngenxa yezinye izizathu, kungaba nemiphumela engemihle. Njengoba kushiwo ngaphambili, ezinye zazo zihambisana nokuhambisana nomzimba nomuthi. Kulokhu, isiguli sinokugayeka. Okunye ukusabela okungekuhle kungafaka:
- Isimo se-Hypoglycemic.
- I-Megablastic anemia.
- Ukuntuleka kweVithamini B12 emzimbeni.
- I-Lactic acidosis.
- Ukuqhuma esikhunjeni.
Ukwehla okukhulu kwamazinga kashukela, isiguli singakhononda ngesiyezi nokuba buthakathaka. Ezimweni ezimbi kakhulu, ukudideka noma ukulahleka kwengqondo, ngisho nokukhohlisa, kuyavezwa.
Uma kwenzeka lezo zimpawu, isiguli kufanele siyiswe esibhedlela ngokuphuthumayo.
Okunye ukusebenzisana kwezidakamizwa
Kukhona izidakamizwa ezihlukile emphumeleni wazo ekuthonyeni okwelashwa kwezinye izidakamizwa. Ngakho-ke, ezinye zazo zinciphisa umphumela we-hypoglycemic weMetformin Richter, ngaleyo ndlela kubangele ukwanda kwamazinga kashukela. Abanye, kunalokho, bakhulisa kuphela umphumela wesidakamizwa futhi kungaholela ekwehleni okubukhali kwe-glucose.
Ngakho-ke, inhlanganisela enconyiwe neMetformin Richter, engaholela ku-hyperglycemia, yi-danazol, glucocorticosteroids, inzalo yokuqedela inzalo, ama-epinofrin, ama-loop kanye ne-thiazide diuretics, ama-audiathomimetics, ama-hormone e-thyroid, i-nicotinic acid ne-phenothiazine.
Ukusetshenziswa kanyekanye kweMetformin Richter ene-ACE ne-MAO inhibitors, i-sulfonylurea kanye nokutholakala kokuthambile, ama-NSAIDs, i-oxytetracycline, i-cyclophosphamide, i-insulin, i-acarbose ne-beta-blockers kukhulisa amathuba okwehla okubukhali kweshukela.
Ngaphezu kwalokho, ngokusetshenziswa kotshwala ngesikhathi sokwelashwa kwezidakamizwa, ukuthuthukiswa kwe-lactic acidosis kungenzeka, ikakhulukazi uma isiguli singalandelanga ukudla okulinganiselayo. I-Cimetidine ingangezelela nengozi ye-lactic acidosis yohlobo 2 lwesifo sikashukela, ngoba yehlisa ukuthunyelwa kwengxenye esebenzayo yomuthi.
Ukuvimbela imiphumela enjalo, yonke inhlanganisela yezidakamizwa kumele ixoxwe nongoti oholayo, futhi ufunde ngokucophelela incazelo yomuthi emiyalweni enamathiselwe.
Amanani, ukubuyekezwa kanye nezimpawu
Isiguli, sithola umuthi othile, sigxile hhayi kuphela emiphumeleni yaso yokwelapha.
Njengoba inani labantu linemivuzo ehlukile, wonke umuntu angakwazi ukuthola umuthi ngokwamandla abo wezezimali. Izindleko zomuthi ziyehluka ngokuya ngomthamo wesithako esikhulu esisebenzayo.
Izindleko zeMetformin Richter:
- 500 mg (amaphilisi angama-60 ngephakethe ngalinye): intengo kusuka kuma-ruble ayi-165 kuye kwangama-195;
- I-850 mg (amaphilisi angama-60 ngephakethe ngalinye): intengo kusuka kuma-ruble ayi-185 kuye kwangama-250;
- I-1000 mg (amaphilisi angama-60 ngephakethe ngalinye): intengo kusuka kuma-ruble angama-220 kuye kwangama-280.
Ukubuyekezwa kwabanesifo sikashukela iningi nodokotela kulungile. I-Metformin Richter isiza ukuvikela isifo sikashukela lapho isiguli sitholakala sinesimo se-prediabetesic. Umuthi uphungula ngempumelelo ushukela. Imiphumela emibi, ngaphezu kokugaya, ayibonakali. Umuthi futhi usiza ukulahlekelwa ngamakhilogremu ambalwa angeziwe.
Kwesinye isikhathi iMetformin Richter ayikwazi ukusetshenziswa ngenxa yobukhona bokuphambana okuthile, kanye nokuvela kokungaphenduki okuhle. Kulokhu, udokotela angabeka omunye umphumela ofanayo wokwelapha isiguli. Njengoba i-metformin iyi-ejenti ethandwayo ye-hypoglycemic emhlabeni wonke, kunenqwaba yezidakamizwa eziqukethe le nto. Umehluko ngezindlela kungaba kuphela okuqukethwe abathandayo. Umuthi iMetformin Richter unezifinyezo ezilandelayo ezingaboniswa usokhemisi kunoma yiliphi ikhemisi ezweni, izidakamizwa zingahluka ngokwakhiwa kepha ziyafana ngomgomo wokusebenza:
- IGlatini (500mg No. 60 - 108 ruble).
- IGlucophage (500mg No. 30 - 107 rubles).
- I-Metfogamma (850mg No. 30 - 130 ruble).
- I-Metformin Teva (500mg No. 30 - 90 ruble).
- Ifomula (500mg No. 30 - 73 ama-ruble).
- I-Siofor (500mg No. 60 - 245 rubles).
- I-Metformin Canon (500mg No. 60 - 170 rubles).
- I-Metformin Zentiva (500mg No. 60 - 135 ruble).
Zonke lezi zihlahlana ezingenhla zisetshenziselwa ushukela ongaxhomekeli e-insulin, umehluko kuphela ekuphikisaneni nasekulimazeni okungenzeka. Ngokusetshenziswa okufanele, ungafinyelela ukwehla nokuzinza kwamazinga kashukela, futhi iMetformin Richter ayitholi imiphumela emibi kakhulu.
Ividiyo ekulesi sihloko, enikezwe ngezansi, izokhuluma ngezimpawu ze-pharmacological zeMetformin.
