Wonke umuntu onesifo sikashukela uyazi ukuthi kwenqatshelwe ukuthatha i-Glucofage yezidakamizwa, okuhambisana kwayo nokwelashwa kwezifo ezihlangene akuzange kunikezwe ngaphambili.
Leli thuluzi liyingxenye yeqembu le-Biguanide, linikeza umphumela we-hypoglycemic kuhlobo 2 sikashukela. Ngokungafani nezinye izidakamizwa eziningi ze-hypoglycemic, i-Glucofage ivunyelwe ukusetshenziselwa kokubili kubantu abadala nasezinganeni ezingaphezu kweminyaka eyi-10.
Isiguli esikhathalela impilo yaso siyazi ukuthi ukusetshenziswa kwanoma yisiphi isidakamizwa kufanele kuxoxwe kusengaphambili nodokotela oya khona. Le ndatshana izokusiza uthole ukuthi ungaphuza i-Glucofage nezinye izidakamizwa, uma kunjalo, ngayo.
Imininingwane ejwayelekile yezidakamizwa
Ithebhulethi ngayinye yezidakamizwa iGlucofage iqukethe isakhi esiyinhloko - i-metformin hydrochloride, kanye nenani elincane le-magnesium stearate, povidone ne-hypromellose. Itholakala ngezindlela ezahlukahlukene - 500 mg, 850 mg kanye neGlucofage 1000 mg noma iGlucofage Long (isenzo eside).
Umuthi uvunyelwe ukuthi usetshenziswe kanye ne-insulin therapy namanye ama-hypoglycemic agents, okuzoxoxwa ngawo kamuva. Ngaphezu kwalokho, lapho uphuza umuthi ezigulini ezikhuluphele, kukhona ukwehla kwesisindo somzimba.
Lokhu kufakazelwa izibuyekezo zokubonga zabashukela. ULudmila (oneminyaka engama-53): "Saw Glucofage isikhathi eside, ngenxa yalokho, izinga likashukela lihlelekile, futhi isisindo saqala ukwehla, ebengingakulindele." Le nqubo ihlotshaniswa nento esebenzayo - metformin hydrochloride, esiza ukushisa amanoni.
Ekuqaleni, abantu abadala bangaphuza umuthi ukusuka ku-500 kuye ku-850 mg kuze kube kathathu ngosuku. Uchwepheshe, ngokuya ngokuqukethwe ushukela egazini, angakhuphula umthamo we-Glucofage. Umthamo wokulungiswa uthathwa njengosuka ku-1500 kuye ku-2000 mg, kanti umkhawulo - ufike ku-3000 mg ngosuku. Izingane zilulekwa ukuthi zithathe kuze kufike ku-2000 mg ngosuku, zombili nge-monotherapy futhi zihlanganiswa nemijovo ye-insulin.
Ngakho-ke, njengeminye imithi, i-Glucophage akufanele isetshenziswe uma onesifo sikashukela esene-pathologies noma izimo ezinjalo:
- hypersensitivity kuzakhi zomuthi;
- ukungasebenzi kwesibindi nokuhluleka kwesibindi;
- ubungozi bokulimala kwezinso ngenxa yokuphelelwa ngamandla, izifo, noma ukushaqeka;
- ukungenelela kokuhlinzwa nokulimala okukhulu;
- ukuthwala ingane nokuncelisa (akunconyiwe);
- ukuhlolwa kwe-radioisotope kanye ne-x-ray (kungakapheli izinsuku ezi-2 ngaphambi nangemva kwalokho);
- i-lactic acidosis, i-ketoacidosis, i-diabetesicoma kanye ne-coma;
- Ukudla okunamakhalori aphansi noma ukudla okungalingani;
- ubuthi be-ethanol kanye notshwala obungamahlalakhona.
Phakathi kokunye ukusabela okuhlukile, okuvame kakhulu ukuphazamiseka kokugaya kanye nokwephulwa kwemizwa yokunambitha. Isifo sohudo, ukuqunjelwa, ukuthokomala, kanye nenausea kuhambisana nomzimba ukujwayela izakhi zomuthi, ngakho-ke ngemuva kwezinsuku eziyi-10-14 zonke lezi zimpawu ziyanyamalala kancane kancane.
Ngezikhathi ezithile, ukuqubuka kwesikhumba, ukulunywa, ukuthuthukiswa kwe-lactic acidosis, ukuntuleka kwevithamini B12, kanye nokuqina kwesibindi ne-hepatitis kungenzeka.
Inhlanganisela yezimali ehlanganisiwe
IGlucophage yaziwa wedwa njengomuthi "ongenasisekelo" odinga ukunakwa okukhethekile lapho usebenzisa ezinye izidakamizwa. Kepha okokuqala, abanesifo sikashukela kudingeka bayeke imikhuba emibi. Iziguli eziphuza amaphilisi kufanele zikhohlwe ngotshwala, kungaba ubhiya noma isiphuzo esisezingeni eliphansi. Ngokudakwa kwe-ethanol, kunethuba lokuthuthuka kwe-lactic acidosis, ikakhulukazi ezigulini ezihluleka isibindi kanye nokudla okungenakulinganisela.
Kumele kuqashelwe ukuthi utshwala abukwazi ukuhlanganiswa nesifo sikashukela, lapho imithambo ye-carbohydrate. Ezigulini ezingakwazi ukuyeka utshwala, odokotela batusa ukuyeka okungenani izinsuku ezintathu ngemuva kokuphela kwenkambo yokwelashwa kweGlucofage. Kukhona nemithi equkethe i-ethanol, ngakho-ke kwenqatshelwe ukuyiphuza kanyekanye ngomuthi we-hypoglycemic.
Ukusetshenziswa kwomuthi kuzodingeka kumiswe uma umuntu onesifo sikashukela onokwehluleka kwezinso ehlolwa ngemisebe esebenzisa ama-ejenti aqukethe iodine.
Kuzofanela ukhohlwe ngokuthatha i-Glucofage isikhashana, okungenani ezinsukwini ezi-2 ngaphambi nangemva kocwaningo, uma ukungasebenzi kwezinso kungatholakali.
Izidakamizwa ezidinga ukuqashelwa
Kukhona inhlanganisela ethile yama-ejenti ethinta umphumela wezokwelapha we-glucophage. Lokhu kunqunywa yizici ezinjengethonya le-hyperglycemic kanye ne-hypoglycemic yezidakamizwa ezithathwe nge-Glucofage.
UDanazole wehlisa ukusebenza kahle kwalo muthi, akhuphule izinga likashukela kwabanesifo sikashukela. I-Chlorpromazine, glucocorticosteroids, beta2-adrenergic agonists kanye ne-“loop” diuretics nayo inegalelo ekwandeni kwe-glycemia.
Uma uthatha i-Glucophage ngokuhambisana nezimali ezingenhla, isiguli sidinga ukubheka njalo okuqukethwe ushukela egazini.
Amanye amakhambi angaphikisana nokwandisa ushukela we-glucose. Lokhu kufaka phakathi i-ACE inhibitors, i-nifedipine, i-acarbose, i-sulfonylureas, ama-salicylates ne-insulin. Kumele kuqashelwe ukuthi i- "loop" diuretics iyimbangela yokuthuthukiswa kwe-lactic acidosis ngokumelene nesizinda sokwehluleka kwe-renal. Ngaphezu kwalokho, izidakamizwa ze-cationic zandisa ukunakekelwa kwe-metformin, ngaleyo ndlela kuvuse i-hypoglycemia.
Lapho usebenzisa lezi zimali, kuyadingeka ukulandela izincomo zikadokotela oholayo.
Ukungawunaki ngisho nomthetho owodwa kungaholela emiphumeleni emibi, kuze kufike ku-glycemic coma.
Akuhlanganisiwe ukuhlanganiswa ne-Glucofage
Ngenxa yempendulo evela ezigulini ezinesifo sikashukela, kungenzeka ukuthi kuhlanganiswe uhlu lwezidakamizwa ezingaba nomthelela othize emazingeni kashukela.
I-Lorista N isidakamizwa esingathathwa nge-hypertension ye-arterial kanye nokuvimbela ukuthuthukiswa kwezifo zenhliziyo. I-Lorist ayinconywa ukusetshenziswa neGlucophage.
Isifo sikashukela ngokuhluleka kwesibindi sidinga ukusebenzisa ngokucophelela isidakamizwa i-Phenibut, esisiza ukuqeda ukukhathazeka okuhlukahlukene nezimo ze-asthenic.
I-Atarax yisidakamizwa esine-antihistamine ne-bronchodilating effect. Akukho ukuxhumana okuqondile phakathi kwezinga le-glucose nomphumela womuthi. Kodwa-ke, i-Atarax ayihlanganisi nokungabekezeleli kofuzo ne-galactose.
I-Arifon Retard ingumuthi osetshenziselwa ukwehlisa umfutho wegazi. Imiyalo enamathiselwe ithi umuthi kufanele uphuzwe nesifo sikashukela ngokucophelela okukhulu.
I-Fluoxetine ingumuthi osetshenziselwa ukuphazamiseka okuphathekayo kanye ne-bulimic neurosis.
Ukusetshenziswa kwe-glucophage nge-fluoxetine kungathinta kabi amazinga kashukela.
Imithi evunyelwe
Kodwa-ke, kunezidakamizwa eziningi ezihlanganisa neGlucophage. Isibonelo, iNasonex isidakamizwa esitholakala ngendlela yesifutho. I-Nasonex isetshenziselwa i-rhinitis yezinkathi ezingezona nezesizini, i-sinusitis, i-rhinosinusitis, i-polyposis yamakhala nokuvimbela i-allergic rhinitis. INasonex ayivunyelwe kuphela kubantu abadala, kodwa futhi nezingane ezingaphezu kweminyaka eyi-12. INasonex ayinakho ukuphikisana okuhambisana nesifo sikashukela. Ngakho-ke, iziguli zingasebenzisa iNasonex yamakhaza nokuphendula komzimba.
I-Noliprel isidakamizwa esisetshenziselwa ukulwa nomfutho wegazi ophakeme kanye nokuvimbela i-pathologies yezinhliziyo, ikakhulukazi ezigulini ezinesifo sikashukela sohlobo 2 kanye nomfutho wegazi ophambili.
I-Alflutop iyisidakamizwa esikhiqizwa ngesimo sama-ampoules okuphathelene nokuphatheka kwe-intramuscular and intraarticular. I-Alflutop inqunyelwe i-osteoarthritis, i-osteochondrosis, i-periarthritis, i-osteomyelitis ene-mellitus yesifo sikashukela kanye nokunye ukuphazamiseka kwekholomu yomgogodla nokuhlangana. Leli thuluzi libhekisela kuma-chondroprotectors. I-Alflutop ithuthukisa izinqubo ze-metabolic ku-cartilage, ihlanganisa i-collagen futhi inomphumela wokulwa nokuvuvukala. Ngaphezu kwalokho, i-Alflutop inomphumela omuhle kakhulu we-analgesic. Ukubuyekezwa kwabanesifo sikashukela abaningi mayelana nomuthi i-Alflutop kukhombisa ukusebenza kwawo kanye nokuhambisana ngokuphelele neGlucofage.
- I-Mummy yi-ejenti ye-prophylactic yokwenziwa kwezifo ezithathelwanayo, ukunciphisa ukuqina kwegazi kanye nokwelashwa okusheshayo kwama-fractures. Ukuxhumana neGlucophage akuholeli kunoma yimiphi imiphumela.
- I-Human Chorionic Gonadotropin (hCG) isetshenziselwa ukuphazamiseka okuhlukahlukene kwama-hormone kwabesilisa nabesifazane.
- Iodomarin umuthi ovimbela ukuthuthukiswa kwe-endemic goiter.
Izindlela zokuvimbela inzalo ezahlukahlukene zingasetshenziswa nge-Glucofage, yize zisetshenziswa nezinye izidakamizwa ze-hypoglycemic, zingathinta amazinga kashukela.
Ngeshwa, asikho isidakamizwa esinjalo esingathinti imiphumela yokwelapha yomunye. Ngakho-ke, ekwelapheni izifo ezihlangene, umuntu onesifo sikashukela uzothatha umuthi ngaphansi kwezimo kuphela uma lokho kuhlangana kuphephile futhi kungalethi ukulimala okungenzeka.
Isazi esivela kuvidiyo ekulesi sihloko sizokhuluma ngeGlucofage kanye nomphumela wayo we-hypoglycemic.