Umuthi wokunciphisa ukugcwala kwe-glucose ku-Metfogamm yegazi: imiyalo yokusebenzisa, intengo nama-analogues

I-Metphogamma yisidakamizwa se-hypoglycemic sosithako sayo esisebenzayo yi-metformin hydrochloride.

Imvamisa igama lifushaniswa njenge-metformin.

Cabanga ukuthi amathebhulethi akwaMetfogamma asebenza kanjani kushukela, futhi kunoma yikuphi amanye amacala, kukhonjiswa umuthi.

Indlela yokusebenza

Ithuluzi lihloselwe ukunciphisa ukunqwabelana kwe-glucose egazini ezigulini ezinesifo sikashukela. I-Metformin ivimbela inqubo ye-gluconeogeneis, ngenxa yalokho, ushukela ophuma emgodini wokugaya udonswa kancane futhi buthakathaka. Ngaphezu kwalokho, le nto ikhulisa ukuzwela kwezicubu kuya ku-insulin, okuholela ekunyuseni ukusetshenziswa kwe-glucose.

Amathebhulethi e-Metfogamma 1000 mg

Inzuzo enkulu ye-metformin yabanesifo sikashukela ukuthi ayikwazi ukuthonya ukukhiqizwa kwe-insulin, okusho ukuthi akuholeli ekuthuthukiseni ukusabela kwe-hypoglycemic.

Uma usemzimbeni, iMetfogamma ilungisa i-lipid metabolism, okuholela ekuncipheni kwenani lama-lipoproteins, cholesterol kanye ne-triglycerides kumasampula we-serum.

Izici zokwamukela

I-Metfogamma ichazwa njengokuwukuphela kwesidakamizwa noma njengengxenye yokwelapha okuyinkimbinkimbi yohlobo 2 lwesifo sikashukela kubantu abaneminyaka engaphezu kweyishumi nesishiyagalombili uma ukusebenza ngokomzimba nokudla kunganikeli umphumela ofiselekile maqondana nokugcina isisindo esijwayelekile. Ama-Metphogamm 500, 850, kanye ne-1000 mg amaphilisi athengiswa.

Kunezici ezilandelayo zomuthi:

• ake sithi ukuphatha kanyekanye nge-insulin noma amanye ama-hypoglycemic agents;
• umuthi ukhiqizwa ngemithamo ehlukene, ukukhethwa kwesikhathi kanye nohlobo lomthamo kufanele kwenziwe ngudokotela oholayo, ukuhlola izinga likashukela egazini lesiguli, kanye nomlando jikelele;
• Ezimweni eziningi, ukuphuza umuthi kuqala ngamalungiselelo amancane, kancane kancane kulethe isilinganiso esifanele sokwelashwa;
• inkambo imvama. Udinga ukuphuza amaphilisi ngesikhathi sokudla nengilazi yamanzi.

Contraindication

I-Metfogamma ayisetshenziswa uma unezinkinga zempilo ezilandelayo:

• ukonakala okungathí sina kokusebenza kwezinso noma kwesibindi;
• ubuthi obudakayo obukhulu noma ukudakwa okungapheli;
• isifo sikashukela sikashukela noma i-precoma;
• i-myocardial infarction (isigaba esibuhlungu);
• isifo sikashukela sikashukela;
• ukungabekezeleli izingxenye zomuthi;
• ukukhulelwa nokuqunjelwa;
• iminyaka engaphezu kwengu-60;
• ukuphefumula noma ukuhluleka kwenhliziyo;
• ukusebenza kwakamuva noma ukulimala okungathi sína;
• i-lactic acidosis, kufaka phakathi umlando;
• ukusebenza kanzima ngokomzimba;
• Ukudla okunamakhalori aphansi alandelwa yisiguli;
• noma yiziphi izimo ezihambisana nokuphelelwa ngamanzi emzimbeni, kufaka phakathi izifo ezithathelwanayo, ubuthi, ukugabha, isifo sohudo, njll;
• noma yiziphi izimo ezihambisana ne-hypoxia, isibonelo, izifo ze-bronchopulmonary, sepsis, njll.

I-metfogamma ecwazimulayo

Abantu abaningi abakhuluphele bazimisele ukwenza noma yini ukunciphisa umzimba. Ososayensi bokucwaninga bakhombisile ukuthi i-metformin inomthelela ekwehliseni isisindo - bethatha le mininingwane njengesisekelo, abantu abangenaso isifo sikashukela baqala ukuthatha i-metfogram nezinye izidakamizwa, isithako esiyinhloko se-metformin. Lokhu kunengqondo kangakanani?

Sizophendula imibuzo eminingana ebalulekile:

1. Ingabe i-metformin ineqhaza ekunciphiseni isisindo? Yebo, kunjalo. IMetfogamma inciphisa ukumelana ngokuphelele kwe-insulin. I-insulini ayakhelwanga ngenani elikhulayo, futhi amafutha emzimbeni awagcinwanga. Ukudla okuvinjiwe ngokwengxenye, okubuye kube nomthelela ekunciphiseni isisindo. Umuthi, empeleni, unomthelela ekunciphiseni isisindo, kodwa kuyasiza ukuqonda ukuthi yenzelwe iziguli ezinokuxilongwa kwesifo sikashukela i-mellitus. Uma ungenalo ukuxilongwa okunjalo, ukuzama impilo akukhuthazwa;
2. Ingabe i-metformin isiza wonke umuntu? Phakathi kwabanesifo sikashukela, umuthi ubhekwa kakhulu - kuyasiza ngempela ukufeza izinhloso ezibekwe udokotela. Kulabo abangenaso isifo sikashukela, ukubuyekezwa kuyimpikiswano. Iningi likhononda ngemiphumela emibi eye yaqubuka nokungabi bikho kokuthola ukwamukelwa okuhle ngokulandela imigomo yokuqothula ngokweqile kg;
3. Ungalahlekelwa malini? Umphumela omkhulu ongatholakala ngesisindo esikhulu sokuqala esengeziwe ngamakhilogremu ambalwa. Kepha ngenxa yalokhu kuzofanela ungene kwezemidlalo futhi unciphise ukutholwa kwekhalori. Kodwa-ke, lezi zinyathelo zizoba nomthelela omuhle, noma ngabe kungekho ukusetshenziswa kwezidakamizwa.

Imiphumela emibi engenzeka

Ngaphambi kokuqala ukuthatha iMetfogamma, qiniseka ukuthi uzijwayeza imiphumela emibi engaba khona.

Imiphumela emibi ingenzeka ngokulandelayo:

• ukulahleka kwesifiso sokudla, isicanucanu, ukuhlanza, isifo sohudo, ubuhlungu besisu - izinkomba eziyinkimbinkimbi ezifana nalezo ezenzeka zinobuthi bokudla. Kwesinye isikhathi ukunambitheka kwensimbi emlonyeni kungenzeka. Yonke le miphumela emibi ezimweni eziningi yenzeka ekuqaleni kwe-metformin, bese inyamalala isikhashana. Ukukhishwa kwezidakamizwa, njengomthetho, akudingekile;
• engxenyeni yesikhumba, ukuvela komzimba ngendlela yokulunywa nokuqunjelwa kungabonakala;
• I-hypoglycemia ingaba yindlela yokusebenzisa isikhathi eside i-metformin kumithamo ephezulu ihlangene nezinye izidakamizwa ze-hypoglycemic;
• I-lactic acidosis yisimo esiyingozi esidinga ukuyekiswa ngokushesha komuthi, kanye nokwelashwa kwesiguli esibhedlela. Uma kungekho zinyathelo ezanele, i-lactic acidosis iphela ngokuphelele;
• okunye: i-malabsorption ye-Vitamin B12, i-megaloblastic anemia.

Yini okudingeka isiguli sazi?

Uma unikezwe umuthi obonisiwe ukuze uzinzise izinga likashukela wegazi, futhi ulondoloze isisindo esijwayelekile, kuyenqatshelwe ngokuqinile ukwedlula umthamo wemithi oboniswe udokotela ukuze uzuze umphumela obekiwe wokulapha.

Kufakazelwe ukuthi ukwanda kwemithamo akuthinti ukusebenza kahle kwezokwelapha, kepha kwandisa kakhulu ingozi yemiphumela emibi kakhulu.

Kuyenqatshelwe ngokuphelele ukuhlanganisa ukusetshenziswa kwe-metformin nanoma yikuphi ukuphuza utshwala - lokhu kwandisa ingozi yokuthola isimo esibulalayo esiyingozi - i-lactic acidosis - ngamashumi ezikhathi.

Ukuqashwa njalo koshukela wegazi kuyisidingo sokwelashwa isikhathi eside nge-Metfogamma. Enye inkomba ebalulekile yokuthi kuzofanela ulandele sonke isikhathi sokulashwa nge-metformin ukuqoqwa kwe-creatinine ku-serum yegazi .. Kubantu abanezinso ezinempilo, isifundo esinjalo kufanele senziwe kanye ezinyangeni eziyi-12, nakwabanye (kufaka phakathi bonke asebekhulile) - okungenani i-3-4 kanye ngonyaka.

Lapho kusetshenziswa njengezokwelapha ezisebenzayo ukunciphisa ushukela wegazi, kunengozi yokwehla okubukhali koshukela wegazi, okungaholela kusiyezi, ukulahleka kokuxineka nokunakwa okubuthaka. Lokhu kufanele kubhekwe abashayeli, kanye nanoma ngubani omsebenzi wakhe uhlanganisa umsebenzi oyingozi noma onembe.

Intengo nezimpawu

Isilinganiso seRussia kumathebhulethi iMetfogamma 500, 850 ne-1000 mg. ingama-250, 330, ama-ruble angama-600, ngokulandelana.

Izidakamizwa zeMetfogamma izidakamizwa zinokulandelayo:

• I-Metformin;
• I-Glucophage ende;
• Siofor;
• IGlucophage;
• Glyformin;
• IFommetin;
• I-Sofamet;
• I-Bagomet;
• I-Diaspora.

Amavidiyo ahlobene

Mayelana ne-Metformin ku-TV show "Live uphilile!"

I-Metfogamma iyisidakamizwa sanamuhla futhi iphephile (kuncike kuzo zonke izincomo zikadokotela) umuthi we-hypoglycemic. Ikuvumela ukuba uzuze ukulawula ushukela wegazi, kanye nokuqina kwesisindo ezigulini ezinesifo sikashukela. Ngokomthetho, amakhemisi kufanele atholakale kuphela kunikezwa kadokotela.