Isifo sikashukela i-mellitus singenye yezifo eziyingozi ezingadala izinkinga ezinkulu.
Ngenxa yokuthi igazi lesiguli lihlala linoshukela omningi odingekayo, zonke izitho zomzimba ziyahlupheka.
Ngaphezu kombono ongasebenzi kahle nokugaya, ukuvuvukala, ukuhamba kwegazi okungekuhle, nezinye izinkomba ezingemnandi ezingezinhle, isifo sikashukela sivame ukubangela umfutho wegazi ophakeme, okwenzeka ngenxa yokulahleka kwethoni yodonga lomthambo.
Ngakho-ke, ukuncishiswa okufika ngesikhathi kwe-glucose egazini nokuqapha njalo kwezinga layo yizinyathelo ezibalulekile kubantu abanesifo sikashukela. Ukusiza ukwehlisa amazinga kashukela afike ezingeni eliphephile kuzosiza uSiofor.
Izinkomba zokusetshenziswa
Umuthi lowo ulungele umzimba lapho kukhula isifo sikashukela sohlobo 2. Lesi sidakamizwa sibuye sikhonjiswe kulabo abanesifo sikashukela esihambisana nokukhuluphala.
Ukwakheka
ISiofor iyaqhubeka iyithengiswa ngendlela yamathebulethi ngokugxila okuhlukile kwesithako esisebenzayo.
Kumakhemisi ungathola iSiofor 500, Siofor 850 ne Siofor 1000, lapho isithako esiyinhloko (metformin hydrochloride) siqukethwe ngamanani angama-500, 850 kanye no-1000 mg.
Ukwakheka kwamathebhulethi kufaka phakathi izinto ezincane. Amagama amabili okuqala alo muthi aqukethe i-povidone, i-macrogol, i-magnesium stearate ne-silicon dioxide.
Ukwakheka kukaSiofor 1000 kuhluke kancane. Ngaphezu kwalokho okusohlwini olwedlule, kuhlanganisa nezinye izinto ezincane: i-hypromellose ne-titanium dioxide.
Khipha ifomu nokufakwa
Njengoba sishilo ngenhla, iSiofor ikhiqizwa ngohlobo lwamathebulethi ahlanganisiwe ngamanani ahlukile wokuqukethwe kwento eyisisekelo (metformin). Imithamo yemithi ifakwa emabhulini bese igcwele emabhokisini amakhadibhodi. Ibhokisi ngalinye liqukethe imithamo yezokwelapha engama-60.
Amacwecwe eSiofor 850 mg
Isenzo se-Pharmacological
ISiofor iphakathi kwama-Biguanides anezindawo zokunciphisa ushukela. Umuthi uvimbela ukwamukelwa kwe-glucose ohlelweni lwesisu ngumzimba, futhi futhi unengxenye ekuqhekekeni kwamaprotheni e-fibrin futhi ugcina izinga eliphephile lokuhlushwa kwe-lipid.
I-Pharmacokinetics ne-pharmacodynamics
Ngemuva kokuthatha i-Siafor, ukugcwala okukhulu kwezidakamizwa egazini kwenzeka ngemuva kwamahora we-2,5.Uma ukusetshenziswa komuthi kwenzeka ngesikhathi sokudla okuminyene, inqubo yokumuncwa izoncipha.
Isithako esisebenzayo esiyisisekelo sikhishwe ngokuphelele emchameni. Umuthi uqedwa uhhafu emzimbeni ngemuva cishe kwamahora ayi-6.5. Uma isiguli sinezinkinga zezinso, inqubo ihamba kancane. Futhi, umuthi udonswa kahle uvela emgodini wokugaya ukudla.
Imiyalo yokusebenzisa
Ukudla okwanele okuvumelekile kwansuku zonke kwento ngu-500 mg.
Uma isiguli sidinga ukwanda kwenani lemithi esetshenziswayo, ukuguqulwa komthamo kumele kwenziwe kancane kancane, kwandise umthamo 1 kumaviki ama-2. Kubalulekile ukulawula amazinga kashukela egazini.
Umthamo omkhulu ongasetshenziswa ezigulini ngaphandle kwemicimbi emibi ngu-3 g wento esebenzayo. Kwezinye izimo, ukufeza umphumela omuhle kakhulu, ukuhlanganiswa kweSiofor ne-insulin kuyadingeka.
Imithamo yomuthi, isikhathi sokwelashwa kanye nezimpawu zokwamukela kunconywa udokotela oholayo. Ukuzilawula kwesidakamizwa akufiseleki kakhulu, ngoba kungaholela ezinkingeni nasempilweni engeyinhle.
Contraindication
Kunamacala nemitholampilo yomtholampilo lapho ukuphuza umuthi kunganconywa. Contraindication ifaka:
- ukungabekezelelani ngakunye kwezithako ezakha umuthi;
- ukungasebenzi kahle kwezinso noma ukuhluleka kwezinso;
- ukushoda kwe-oksijini noma izimo ezihlobene ne-hypoxia (ukushaya kwenhliziyo, ukwehluleka ukuphefumula nezinye);
- ukukhulelwa
- isikhathi sokuncelisa izingane.
Uma uke wazibonela ngokwakho lezo zimo ezifakwe kuhlu, noma ngesikhathi sokuhlolwa kwatholakala ukuthi ukhulelwe, qiniseka ukuthi wazisa udokotela ngakho. Esimweni esinjalo, uchwepheshe uzokukhethela noma iyiphi i-analogue yomuthi enokwakheka okufanayo, isenzo sakho esingeke sibangele imiphumela emibi.
Imiphumela emibi
Imvamisa, esigabeni sokuqala sokwelashwa, iziguli zikhononda ngokunambitheka kwensimbi emlonyeni, isicanucanu, ukuphazamiseka kwengqondo kanye nokudla okungekuhle.
Kepha, njengoba ukuzijwayeza kukhombisa, ngokuqhubeka kokulashwa, ukubonakaliswa okusohlwini kuyanyamalala.
Kaningi, ukwanda kokuqukethwe kwe-lactic acid egazini naku-erythema kuyabukwa.
Ukuxhumana neminye imithi
Hlanganisa uSiofor neminye imithi ngokuqapha.
Isibonelo, inhlanganisela yomuthi nanoma yimaphi ama-ejenti we-hypoglycemic kungaholela ekwehleni kwezindawo ezinokwehlisa ushukela.
Ukuhlanganiswa kweSiofor namahomoni egilo, iprogesterone, i-nicotinic acid nezinye izidakamizwa kungenza umuthi ulahlekelwe yizinto zawo eziyisisekelo. Uma nje umuthi uhlanganiswa nemithi efakwe kuhlu, kunconyelwa ukulawula izinga le-glucose egazini.
Uma kunesidingo esiphuthumayo sokuphathwa kanyekanye kwaSiofor nezinye izidakamizwa, kuzodingeka ukulawula i-glycemia.
Imiyalo ekhethekile
Ngaphambi kokuthatha umuthi, kunconyelwa ukuthi kuhlolwe isibindi nezinso uma ukhubazekile.
Ngemuva kwesheke esifanayo, kunconywa ukuba kwenziwe njalo ezinyangeni eziyisithupha. Futhi, kanye ezinyangeni ezi-6, izinga le-lactate egazini liyahlolwa.
Kungcono ukulawula izinga le-glucose egazini ukuze ugweme i-hypoglycemia.
Umuthi unomthelela ijubane lokuphendula kwengqondo. Ngenxa yalesi sizathu, akukhuthazwa ukwenza imisebenzi edinga ukunakwa okwandisiwe nesivinini sokusebenza ngesikhathi sokwelashwa noSiofor.
Imibandela yokuthengisa, yokugcina nokugcina eshalofini
ISiofor umuthi onikezwa kadokotela.
Amathebulethi kufanele agcinwe lapho izingane zingafinyeleleki, futhi zivikelwe elangeni kanye nomswakama omningi.
Ukushisa komoya egumbini okugcinwa kulo uSiofor akufanele kudlule ku-30 C.
Isikhathi esivumelekile sesikhathi sokusebenzisa umuthi yizinyanga ezingama-36 kusukela ngosuku lokwenziwa kwephakheji. Ngemuva kokuthi lesi sikhathi sesiphelelwe yisikhathi, ukuphuza amaphilisi akunconyiwe.
Intengo nokuthi ungayithenga kuphi
Ungathenga iSiofor ngentengo yezingxoxo ekhemisi online. Izindleko zomuthi ezivela kubathengisi abahlukahlukene zingahluka. Isibonelo, imithamo engama-60 yeSiofor 500 izokubiza ama-ruble angama-265 ngokwesilinganiso. ISiofor 850 izobiza ama-ruble angama-324, kanye ne-Siofor 1000 - 416 rubles.
Ama-Analog
Kunenombolo eyanele yokuvumelanisa kwe-Siofor ekhiqizwa yizinkampani zemithi zaseRussia nezangaphandle. Kwezinye izichasiso kukhona iGlucophage XR, Glucophage, Metfogamma, Diaformin, Dianormet nabanye abaningi.
Izibhebhe ze-Glucofage 1000 mg
Udokotela ohambelayo kufanele akhethe i-analogue yomuthi, ngokubheka kwezimpawu zesifo, isimo somzimba kanye namandla ezimali esiguli.
Ngesikhathi sokukhulelwa nokuqunjelwa
Akunconyelwe ukusebenzisa uSiofor ngesikhathi sokuzala ingane.
Futhi, ngenxa yokumuncwa obisini lwebele, akunakufanelekela ukusetshenziswa komkhiqizo ngesikhathi sokuncelisa kwezinsana.
Uma kunesidingo esiphuthumayo sokuthatha uSiofor, ingane idluliselwa kokuphakelayo okufakwayo ukuze igweme imiphumela emibi yezithako zomuthi emzimbeni wengane.
Okwezingane
ISiofor ayinconywa ezinganeni. Uma isiguli sinesidingo esiphuthumayo sokuphuza umuthi, udokotela uzokhetha i-analogue efanelekile ekwakhekeni futhi ingalimazi umzimba wezingane.
Ebudaleni
Ukusetshenziswa kweSiofor ezindala kuyavunyelwa. Kodwa-ke, kulokhu, kulungiswa imithamo ethathiwe, ubukhulu kanye nesikhathi sokuphatha kuyadingeka. Uzodinga futhi ukubheka isimo sesiguli ngudokotela.
Ngotshwala
Ukuhlanganisa umuthi notshwala kuyinto engathandeki kakhulu.
I-Alcohol ingakhuphula imiphumela ye-hypoglycemic yomuthi, ngenxa yokuthi isiguli singase sibhekane nokubabaza, ukozela, ukuncipha okukhulu komfutho wegazi, kanye nokuhlaselwa kwe-hypoglycemia.
Ukuze uSiofor azuze umzimba futhi angabi nzima isimo, ukuqokwa kufanele kwenziwe ngudokotela ohambelayo. Kuyanconywa nokuthi kuhlolwe njalo ukusebenza komzimba.
Ukubuyekezwa
U-Eugene, oneminyaka engama-49: “Nginenkinga yesifo sikashukela sohlobo 2 yeminyaka emithathu selokhu ngingcwaba umkami. Uthole isisindo esithe xaxa. Nokho, lokhu kubuhlungu kunginikeza ukuphazamiseka okuningi! Udokotela unqume uSiofor. Sekuphele inyanga ngiyiphuza. Ulahlekelwe ngama-4 kg, ukuvuvukala kunyamalale, ushukela ubuye wehlela ku-8-9 esiswini esingenalutho. Ngihlose ukuqhubeka nokwelashwa. ”U-Albina, oneminyaka engama-54: “Nginesifo sikashukela seminyaka emihlanu. Ngenkathi akukho ukuthembela kwe-insulin. Sekuphele isonto ngithatha uSiofor. Nganikeza ushukela esiswini esingenalutho - babuyela kwesejwayelekile. Kuze kube manje, sanelisekile. Ngiyethemba ukuthi nami ngizokwehlisa isisindo kula maphilisi. ”
Amavidiyo ahlobene
Sibutsetelo sikashukela kanye nemithi ethambile ye-Siofor ne-Glucofage: