Ukuze ulondoloze impilo ejwayelekile onesifo sikashukela, kubalulekile ukuthi ungalandeli nje kuphela indlela ekhethekile yokudla, kepha futhi uthathe njalo izidakamizwa ezinciphisa ushukela.
Imvamisa, odokotela banquma i-Glucophage. Umuthi uyasebenza futhi ungabizi. Kepha hhayi ngaso sonke isikhathi emakhemisi.
Ngakho-ke, udinga ukwazi ukuthi yini i-analogues Glucofage enayo, nokuthi yisiphi isidakamizwa esingcono ukushintsha umuthi. Lo mbhalo uzositshela.
Izici ezijwayelekile zomuthi
IGlucophage isidakamizwa esenziwe ngomlomo esenziwe ngesiFulentshi i-hypoglycemic. Kutholakala ngesimo samaphilisi e-oval biconvex camera. Zombili izinhlangothi zihlukaniswe yingozi emincane futhi zinomfanekiso obhalwe "1000", "850" noma "500" (ohambelana nomthamo womuthi).
Izibhebhe ze-Glucophage
Isithako esisebenzayo yi-metformin hydrochloride. Kuqukethwe ngesilinganiso se-1000, 850 noma 500 mg. Ngaphezu kwento esemqoka esebenzayo, kunezinto ezinje ezisizayo: i-povidone, hypromellose ne-magnesium stearate. Umphumela wehlisela ushukela ubonwa kuphela lapho kukhona i-hyperglycemia. Ezigulini ezinamazinga ashukela ajwayelekile, umuthi awunciphisi ukugxilisa ushukela we-plasma.
Indlela yokusebenza isebenza ngokusekelwe emandleni we-metformin ukuvimbela i-glycogenolysis ne-gluconeogeneis, ukukhulisa ukuzwela kwamangqamuzana ukungena ku-insulin, futhi kunciphise ukumuncwa kwe-glycogen emgodini wesisu. I-Metformin futhi ithuthukisa i-lipid metabolism, i-cholesterol esezingeni eliphansi, ama-triglycerides nama-lipoprotein aphansi.
Udokotela ukhetha umthamo ngamunye esigulini ngasinye. Umthamo wokuqala wansuku zonke wabantu abadala ngu-500-100 mg. Ngemuva kwamasonto amabili, uma kunesidingo, inyuka yaba ngu-1500-2000 mg ngosuku. Isilinganiso esiphezulu yi-3000 mg.
Imiphumela emibi kwesinye isikhathi ifaka phakathi:
- ukwehla noma ukuntuleka kokudla;
- isicanucanu
- ukunambitheka kwensimbi emlonyeni;
- ukuhlanza
- ukuqunjelwa.
Imvamisa lezi zimpawu zibonakala ekuqaleni kokwelashwa nangemva kwesikhashana esedlule sodwa. Ukuze unciphise imiphumela emibi, umthamo wansuku zonke uhlukaniswe ngemithamo emithathu. Uma ukuphazamiseka kwe-dyspeptic kungahambi, kungcono ukukhansela umuthi.
Ngesikhathi sokwelashwa, kwesinye isikhathi kuba nezinkinga zokwakheka kwegazi nemetabolism. Ezimweni ezingavamile, ukusabela komzimba ngendlela ye-urticaria kuyaqapheleka. Ngalezi zimo, amaphilisi ayamiswa.
Ngabe kufanele ngishintshele kwi-analogue?
Intengo yeGlucofage yemukelekile. Iphakethe lamathebulethi angama-30 elinokuqoqeka kwama-500 mg wento esebenzayo lithengiswa emakhemisi alomuzi ngama ruble ayi-100-130.
Ngokuya kokubuyekezwa kwabathengi, umuthi:
- kulula ukuthwala;
- isabalalisa ngempumelelo ushukela we-plasma;
- ejwayelekile i-glycemia;
- kuthuthukisa impilo yonke;
- kunciphisa isisindo;
- kuqeda izimpawu zesifo.
Ngakho-ke, bambalwa abantu abacabanga ngokuthola ama-analogues alesi sidakamizwa.
Kunezikhathi lapho kunesidingo sokubuyisa i-glucophage ngenye i-hypoglycemic. Lokhu kungenzeka ngezizathu ezahlukahlukene:
- umuthi ubhaliswa kabusha futhi ngenxa yalokho awuthengiswa okwesikhashana emakhemisi;
- amaphilisi awalungile, abangela imiphumela emibi eminingana;
- isiguli sifuna ukuthola umuthi oshibhile wokwelashwa.
Kuyasiza kwabanesifo sikashukela ukwazi ukuthi yikuphi ukufaka esikhundleni se-ejenti ye-hypoglycemic enikezwe. Lokhu kuzokuvumela ukuthi ukhethe ngokushesha umuthi ofanelekile.
Yiziphi izifaniso?
Abakhiqizi bamathebhulethi we-hypoglycemic eqembu le-Biguanide banikeza ukukhetha okuningi kwe-analogues. Izindleko zabo zingahluka phezulu noma phansi.
Izinsizakalo esikhundleni somuthi iGlucofage yile:
- I-Reduxin Met (ama-ruble ama-2);
- I-Metformin (ama-ruble angama-80);
- IFommetin (ama-ruble angama-77);
- I-Metformin-Teva (ama-ruble angama-94)
- Metformin Canon (ama-ruble angama-89);
- I-Meglift (ama-ruble ayi-7).
Ngenxa yenani elikhulu lamathebulethi aqukethe i-metformin, abantu abaningi abatholakala benesifo sikashukela banombuzo: iyiphi i-analogue engcono? Ukuphendula, udinga ukutadisha ukwakheka kwale mishanguzo futhi ujwayele nokubuyekezwa kwabathengi.
Yini engcono?
Siofor
Isithako esikhulu esisebenzayo seSiofor yi-metformin hydrochloride kumthamo ka-500 mg. Abagcotshwa bamelwe yi-povidone, titanium dioxide, hypromellose, macrogol 6000, magnesium stearate.Ukuqhathanisa ukwakheka kwamakhemikhali, kulula ukuphetha ngokuthi iGlucophage ingcono kuneSiofor.
Amacwecwe eSiofor 850 mg
Njengoba iqukethe izinto ezingezekile ezimbalwa. Futhi, ukusebenza kwayo isikhathi eside kufanele kubizwe ngokuthi inzuzo yayo: igcina ushukela wegazi ngezinga elifanele amahora angama-10. USiofor uyeka ukusebenza ngemuva kwemizuzu engama-30.
Lokhu okulandelayo kungukuphikisana kweGlucophage:
- akubangeli ushintsho olungazelelwe ekugxileni kwe-glucose ye-plasma;
- inemiphumela emibi embalwa evela emgodini wesisu;
- ishibhile;
- phuza amaphilisi kaningi.
I-Reduxin
I-Reduxin iqoqo lamathebulethi amabili. Owokuqala uqukethe i-metformin hydrochloride 850 mg, owesibili uqukethe i-subutramine hydrochloride monohydrate 10 mg ne-microcrystalline cellulose 158,5 mg.
Abaxhamazelayo yi-povidone, i-gelatin, i-magnesium stearate, i-croscarmellose sodium, amanzi ayisisekelo, i-calcium stearate
Amakhandlela weReduxine 10 mg
Ithebhulethi lesibili libonisa i-sorption, izakhiwo zokukhishwa emzimbeni. Kuthuthukisa imetabolism. Ithathwa kabili ngosuku. I-capsule equkethe i-Metformin idakwa kanye ngosuku.
Ama-reduksin endocrinologists ajwayele ukunqatshelwa kwabanesifo sikashukela ngokunciphisa isisindo. Ngakho-ke, uma kungekho ukukhuluphala, akufanele uthathe lo muthi. Kungcono ukukhetha ingxenye eyodwa ye-Glucophage enemiphumela emibi emincane.
I-Metformin
Into esebenzayo yeMetformin yi-metformin hydrochloride. Imithamo ingama-500, 850 no-1000 mg. Izakhi ezisizayo zifanekiselwa yi-povidone, isitashi 1500, i-magnesium stearate, opadra 2, croscarmellose sodium, microcrystalline cellulose.
Amathebhulethi e-Metformin 850 mg
Ngakho-ke, kunezici ezingeziwe kulawa mathebhulethi kuneGlucofage. Okufanele kuvezwe ngemithi yokuphuca. Ithuba lingabizwa ngentengo ebiza kakhulu.
Ucwaningo luye lwabonisa ukuthi ukwephula ukusebenza kohlelo lokugaya ukudla ngenkathi uthatha iMetformin kwenzeka kaningi kakhulu kunokwelashwa ngeGlucofage. Ngakho-ke, ama-endocrinologists awancomi ukukhetha le analogue.
Glyformin
I-Gliformin iyi-analogue yokukhiqizwa kweRussia. Inento efanayo esebenzayo. Ithebhulethi elilodwa liqukethe i-250 noma 500 mg ye-metformin.
Glyformin
Kukhona nezinye izinto ezengeziwe ezilandelayo: i-stearic acid, i-dihydrate, i-calcium phosphate, i-povidone, i-sorbitol. Ukwakheka kwamakhemikhali kweGlucophage kungcono. Njengoba i-glyformin ithengiswa ngemithamo emincane, kuyadingeka ukuyithatha kaningi. Ngaso leso sikhathi, intengo yokufakwa iphakeme.
Ungayithola kanjani i-analogue?
IGlucophage inezikhalo eziningi. Lapho ukhetha obambele, umuntu kufanele angacabangi ngentengo kuphela, kodwa futhi nezwe lokukhiqiza, idumela lomenzi. Izidakamizwa zasekhaya zishibhile kunokungeniswa, kanti azisebenzi kangako.
Kunezindlela ezintathu zokuthola obambele, ukwazi into esemqoka esebenzayo:
- iya kuwebhusayithi yeRegional State of Medicines futhi enkundleni ethi "International nonpparetary Igama" faka "metformin hydrochloride". Chofoza inkinobho ethi "Thola". Uhlu lwemithi equkethe i-metformin nezinye izinto ezithile ezisebenzayo zizovela. Ithebula eliphumele kufanele lihlelwe ukuthola uhlu lwalezo zidakamizwa ezisuselwa kwi-metformin kuphela. Ukuze wenze lokhu, chofoza kusixhumanisi esisekelweni sethebula, bese ubheka ku- "Trade Trade";
- iya ekhasini le-index ye-alfabhethi lezinto ezisebenzayo kwikholamu ethi "M" khetha ilinki "Me". Uhlu lwezinto eziqala ngo- "Me" luyavela. Udinga ukuthola i-metformin kulolu hlu bese uchofoza kukho. Kuzovulwa ikhasi elinencazelo eningiliziwe. Uhlu lwezidakamizwa olunale nto esebenzayo luzonikezwa ngezansi;
- iya kuwebhusayithi webapteka.ru. Iya ekhasini lohlu lweMithi Yomkhiqizo. Faka i- "metformin hydrochloride" kwifomu lokungena. Cindezela inkinobho "Thola". Ithebula livela negama lezidakamizwa, into esebenzayo yayo yi-metformin.
Lapho kunohlu lwezidakamizwa ezinciphisa ushukela ngokususelwa ku-metformin, kusala kuphela ukuba uzijwayeze nemiyalo yesidakamizwa ngasinye bese ukhetha inketho efaneleke kakhulu.
Amavidiyo ahlobene
Mayelana nezidakamizwa iMetformin, iSiofor, iGlucofage kuvidiyo:
Ngakho-ke, i-Glucophage, ngokusho kweziguli ezinenkinga yesifo sikashukela, kuyindlela ephumelelayo yokwenza izinga le-glycemia lilinganiswe ngokwejwayelekile. Amathebulethi ashibhile, anemiphumela emibi embalwa. Kepha ngenxa yezizathu ezahlukahlukene, kwesinye isikhathi kuyadingeka ukubuyisela leli thuluzi nge-analog.
Kunemithi eminingi esuselwa kwi-metformin. IGlatiniin ibonwa njengehamba phambili. Inokwakheka okufanayo, kepha bambalwa abephula umthetho. Kuliqiniso, kubiza ngaphezulu. Abapheki yiFomine neReduxine. Akusizi ukuthi uthathe isinqumo ngokushintshela komunye umuthi ngokwakho. Lokhu kufanele kwenziwe yi-endocrinologist.
