Iziguli eziningi ezinesifo sikashukela zizwile ngomuthi onjengeFomu. Ukwakheka kwalesi sidakamizwa kufaka izithako eziningana, okuyinhloko okuyi-metformin hydrochloride yegama elifanayo. Kuya ngesimo sokukhishwa, kukhona izibhebhe eziqukethe kuphela amamayela wamakhulu ayisishiyagalombili namashumi ayisihlanu eento, futhi kukhona nalezo eziqukethe amamiligremu ayinkulungwane.
Uma ufunda izibuyekezo eziningi zeziguli ezihlala ziwuphuza lo muthi, kuyacaca ukuthi zinhlangothi zombili ezinhle nezingalungile.
Kuyacaca futhi ukuthi lesi sidakamizwa kumele sithathwe ngokuqinile ngokuya ngemiyalo noma kumthamo onqunywe ngudokotela. Ngaphandle kwalokho, isiguli singase sizizwe sibi kakhulu.
Ngaphezu kwento esemqoka esebenzayo, kunezinye izithako ekwakhekeni komuthi, okungukuthi:
- isitashi se-sodium;
- kukhona nesitashi esenziwe ngombila;
- i-silicon dioxide;
- i-povidone nezinye izinto eziningi.
Ukuqiniseka ukuthi iziphi ezinye izithako eziyingxenye yalesi sidakamizwa, vele uvule imiyalo yomuthi. Ngendlela, imiyalelo yokusetshenziswa nayo inolunye ulwazi oluwusizo lokuthi ungawaphuza kanjani la mapilisi ngendlela efanele, nokuthi unamthelela muni emzimbeni wesiguli.
Imiyalo yokusebenzisa umuthi
Vele, cishe sonke isiguli sihlala sizama ukutadisha imiyalo evela kumenzi ngaphambi kokusebenzisa umuthi. Futhi lesi yisinqumo esifanele. Impela, kuleli cala kuphela lapho kuzokwazi ukuthi uzitholele ngokwakho ukuthi imiphi imiphumela emibi engahle ibangelwe ukuphathwa ngendlela engafanele komuthi, nokuthi uthinta kanjani umzimba nokuthi ungaba yini umphumela omuhle ekusebenzeni isikhathi eside komuthi.
Okokuqala, kufanele kuphawulwe ukuthi umuthi usatshalaliswa ngendlela yamaphilisi. Kunamaphakeji aqukethe amaphilisi angamashumi amathathu, futhi kukhona lawo kuwo angamashumi ayisithupha.
Isenzo esikhulu semithi uPondin Ply aboniswa ngaso ukuthi ngemuva kokusetshenziswa isikhathi eside kungenzeka ukunciphisa ngempumelelo ushukela egazini lesiguli. Ngaphezu kwalokho, kunconywa ukuyithatha ngokufanele kulezo ziguli ezizimele ze-insulin, okungukuthi, kulabo abangayifaki i-insulin.
Le mpahla enhle kungenzeka ngenxa yokuthi into esemqoka esebenzayo isiza ukusetshenziswa okufanele kwe-glucose. Njengomphumela, zonke izinqubo ze-gluconeogenesis ezenzeka esibindini zivinjelwe. Izinga lokufakwa kwama-carbohydrate angahlanzekile akhona emgodini wokugaya ukudla kwanoma yimuphi umuntu nalo lehla kakhulu.
Enye impahla enhle iFomu Pliva ehlukile kuyo ukuthi inegalelo ekwandeni kokuzwela kwawo wonke izicubu zomzimba kuyi-insulin. Kungakho, kungenzeka ukuthi ukunciphisa ngempumelelo izinga le-glucose egazini lesiguli.
Kuliqiniso, uma sikhuluma ngokuthi kungenzeka yini ukwandisa inqubo yokukhiqizwa kwe-insulin emzimbeni ngenxa yokusebenzisa umuthi isikhathi eside, khona-ke kulokhu umphumela uzoba yize.
Kepha kuyaziwa ukuthi ngemuva kokuthatha iFomu, kukhona ukwehla kwenani lama-triglycerides egazini lesiguli, kanye nokwehla kokuqina kokuqubuka kwoketshezi olushiwo ngenhla.
Umuthi uthathwa ngaphakathi, ukuqoqwa okuphelele kwento esebenzayo emzimbeni kutholakala emahoreni amabili emva kokuphathwa. Kepha ukufakwa kwakhe kokugcina egazini kwenzeka ngemuva kwamahora ayisithupha.
Kuyakhishwa esigulini ngokusebenzisa izinso.
Uqala nini ukuphuza umuthi?
Sele kushiwo ngenhla ukuthi kufanelekile ukuqala umuthi kuphela ngemuva kokubonisana nodokotela wakho okokuqala. Awukwazi ukuqala ukwelashwa okuzimele ngalo muthi.
Imvamisa, eqenjini elinjalo leziguli ezinconywa iFomin Pliva, lezo ziguli zitholakala zinesifo sikashukela sohlobo 2.
Futhi imvamisa lezi yiziguli ezinezinkinga ezisobala zokukhuluphala ngokweqile, kanye nalezo ezingasebenzisi i-insulin ngemijovo.
Kepha kubalulekile futhi ukukhumbula ukuthi iFomin pliva inezinhlangothi ezingezinhle. Kufakwe umthetho kuleli cala:
- lapho isiguli sine-ketoacidosis yesifo sikashukela noma isifo sikashukela;
- kungenzeka futhi lapho isiguli sithola izifo ezahlukahlukene ezithathelwanayo noma ukungenelela kokuhlinzwa, ngenxa yalokho satholwa njenge-insulin ngomjovo;
- uhlu lwe-contraindication lubandakanya nezinkinga ezisobala ngomsebenzi wenhliziyo, kanye nayo yonke imiphumela yesifo salesi sitho;
- Ungathathi umuthi ngesikhathi sokukhulelwa noma ngesikhathi lapho owesifazane ancelisa ingane ibele;
- futhi-ke, uma kukhona ukungabekezelelani ngakunye kwezakhi eziyingxenye yomuthi.
Ukubuyekezwa kweziguli eziningi kusikisela ukuthi kubalulekile ukulandela ukudla okuyisipesheli ngenkathi ulashwa nalesi sidakamizwa.
Kufanele kube ngamakhalori amancane futhi kufake isandla ekwehlelweni kwesisindo esifanele kwesiguli. Lokhu kuphinde kuthiwe cishe yibo bonke ochwepheshe.
Yini ama-analogues nezindleko zawo?
Njenganoma yimuphi omunye umuthi, iFomu Pliva inezifiso zayo. Intengo yabo ikakhulukazi ixhomeke enkampanini yabakhiqizi, okungukuthi, bakwenza kweliphi izwe le mithi. Uma sikhuluma ngeqiniso lokuthi le yi-ejenti yezokwelapha yaphesheya kwezwe, ke izindleko zayo, ngokulandelana, zizoba eziphindwe kaningana kunezomlingani waseRussia.
Kunoma ikuphi, ngaphambi kokuqala ukwelashwa kwezifo ezingaphansi, kufanele uthintane nodokotela wakho njalo. Udinga ukuthola kuye ukuthi yimiphi imiphumela emibi engahle ivele kumuthi othile, nokuthi yikuphi ukuphikisana okukhona nokusetshenziswa kwawo. Kubalulekile ukuhlolwa okugcwele futhi ngemuva kwalapho kuqala ukwelashwa ngeFomu Pliva, imiyalo yokusebenzisa umuthi ichaza ukuthi umuthi usetshenziswe kuphi nokuthi imiphi imithamo.
Kwesinye isikhathi ekuqaleni kokwelashwa kusuka ohlelweni lokugaya ukudla, kungaba khona ukungakhululeki okuthile. Lokhu kuvezwa ngendlela yesicanucanu noma ukuhlanza. Kungenzeka futhi ukwehla kwesifiso sokunambitha noma ukunambitheka okungajwayelekile emlonyeni.
Ezinye iziguli zibika ukuqubuka kwesikhumba isifo sikashukela. Kuyiqiniso, uma uphuza umuthi ngemithamo ephezulu kakhulu, khona-ke imiphumela emibi eyindida yezempilo ingavela.
Uma sikhuluma ngokuthi imaphi ama-analogues athandwa kakhulu namuhla, ke, ngokwesibonelo, odokotela abaningi bangabeka i-Bagomet, izindleko zayo ziqala kusuka ku-130 futhi zifinyelela kuma-ruble angama-220 ngephakeji ngalinye, kuye ngenani lamaphilisi akulo. Izindleko ziphinde zithinteke ekuhlakazweni kwento esemqoka, isibonelo, iphakethe lamaconsi angamashumi ayisithupha ama-850 mg lilinye lilinganiselwa kuma-ruble angama-220, kodwa inani elifanayo lezibhebhe ze-1000 mg selivele libiza ngaphezulu kwama-ruble angamakhulu amane.
Kukhona futhi i-analogue efana neGlycon. Izindleko zayo futhi zincike ekuhlakazweni kwento esemqoka kanye nenani lamathebulethi. Kusuka kuma-ruble ayi-115 kuye kwangama-280. Izwe lokukhiqizwa kwalamaphilisi, njengasekuqaleni, yiArgentina.
Kodwa noma ngabe kungenzeka, akufanele uguqule ngokuzimela umuthi otuswe ngudokotela wakho, ngaphandle kwalokho ungalimaza impilo yakho kuphela.
Ividiyo ekulesi sihloko ichaza ukuthi ungaphuza kanjani iFomu kanye namanye amaphilisi ngokufanele.