Yadda ake ɗaukar metformin 850 don asarar nauyi

Metformin wani abu ne wanda yake mallakar biguanides. Metformin magani ne na likita da aka yi amfani da shi don kula da ciwon sukari.

Ayyukan miyagun ƙwayoyi ya dogara ne akan gaskiyar cewa yana da ikon hana aiwatar da gluconeogenesis a cikin sel na hanta hanta, rage ƙimar shan glucose daga ƙwayar hanji kuma yana taimakawa haɓaka hanyoyin yin amfani da yanki na glucose.

Bugu da ƙari, allunan kwayoyi masu ƙwaƙwalwar ƙwayoyin cuta na metformin 850 suna ƙaruwa da ƙwayar insulin a cikin sel da keɓaɓɓun kasusuwa na jikin mutum.

Yin amfani da miyagun ƙwayoyi ba shi da tasiri na musamman kan ayyukan samar da insulin a cikin ƙwayar ƙwayar cuta, baya tsokani ci gaban yanayin rashin lafiyar jiki a cikin jiki. Shan magunguna na iya rage yawan triglycerides da lipoproteins a cikin jini.

Abun da ya shafi samfurin magani da kaddarorin magungunan sa

Magungunan yana hana haɓaka aiki na abubuwa masu laushi na jikin bangon tsarin jijiyoyin jiki. An bayyana sakamako mai kyau na miyagun ƙwayoyi akan janar yanayin tsarin zuciya da jijiyoyin bugun jini kuma yana hana ci gaba da cutar ciwon sukari.

Jiyya na ciwon sukari tare da Metformin kawai likitanku zai iya yin wasiyyarsa bayan cikakken binciken mai haƙuri. Tsawon lokacin jiyya da adadin maganin da aka yi amfani da shi an ƙaddara yin la'akari da duk abubuwan aikin cutar a jikin mai haƙuri.

Abubuwan da ke aiki da maganin shine Metformin hydrochloride. Tabletaya daga cikin kwamfutar hannu yana ƙunshe da nauyin 850 na ƙwayoyin mai aiki. Baya ga babban fili, abun da ke cikin magungunan ya hada da mahallin sunadarai masu taimakawa.

Abubuwan sunadarai masu guba da ke cikin magunguna sune masu zuwa:

alli phosphate dibasic,
sitaci masara
lactose
povidone
sodium benzoate,
foda talcum
magnesium stearate,
sitaci soda sittin glycolate,
titanium dioxide
hydroxypropyl methylcellulose,
ethyl cellulose,
prolylene glycol
polyethylene glycol.

Samun Metformin baya tasiri matakin hormone a jikin mutum, amma yana ba da gudummawa ga canji a cikin harhada magunguna, wanda ke faruwa sakamakon raguwa a cikin rabo tsakanin insulin da kuma 'yanci, karuwa a cikin sashin jikin mutum tsakanin insulin da proinsulin. Ofayan mafi mahimman matakai a cikin aikin aiwatar da miyagun ƙwayoyi shine haɓaka amfani da glucose ta hanyar ƙwayoyin tsoka.

Abunda yake aiki yana inganta hawan jini a cikin hanta kuma yana taimakawa hanzarta sarrafa glucose cikin glycogen. Amfani da Metformin 850 MG na inganta abubuwan da ke cikin fibrinolytic na jini. Wannan shi ne saboda hanawar ƙwaƙwalwar ƙwaƙwalwar ƙwayar plasminogen mai hanawa.

Ana ɗaukar ƙwayar abu mai aiki daga lumen ƙwayar gastrointestinal kuma alama ce da ke fitowa daga 48 zuwa 52%. Rabin rayuwar rabi mai aiki shine kimanin awa 6.5.

Abubuwa masu aiki suna daga jikin mutum ta asali. Abubuwan da ke aiki basu da ma'amala tare da abubuwan gina jiki na plasma jini. Rarraba magungunan yana faruwa ne a cikin gland shine yake ji, ƙwayar tsoka, hanta da hanta.

Drawacewa daga jiki ta hanyar ƙodan yayin aiwatar da fitsari.

Alamu da magunguna don amfani da magani

Nuna sukari ko zaɓi jinsi don shawarwari Bincike ba'a samo ba Bincike ba'a samo ba

Babban alamu don amfani sune masu zuwa:

kasancewar nau'in ciwon sukari na 2 na cuta ba tare da nuna hali ba zuwa ketoacidosis,
kasancewar kamuwa da cutar sikari idan babu inganci daga maganin rage cin abinci,
lura da ciwon sukari mai nau'in 2 a hade tare da ilimin insulin, musamman tare da ƙaddara mai kiba, wanda ke haɗuwa tare da bayyanar juriya na sashin insulin na hormone.

Babban contraindications ga yin amfani da miyagun ƙwayoyi a cikin lura da ciwon sukari na type 2 sune kamar haka:

ci gaba a cikin jikin mai ciwon sukari ketoacidosis, ciwon sukari precoma ko coma,
koda mai aiki,
fitowan da ci gaba a jikin mai haƙuri da cututtukan da ke tattare da haɗarin aiki na ƙarancin ƙwayar cuta - rashin ruwa, zazzabi, ƙwanƙwasawa, cututtuka na kodan, haɓakar cututtukan bronchopulmonary,
da ci gaban m da na kullum cututtuka da za su iya tsokani ci gaban da hypoxia nama,
mummunan ayyukan cikin jiki da mara lafiya na karbar raunin jiki,
abin da ya faru da ci gaban cuta a cikin aiki na hanta,
mara lafiya yana da yawan barasa ko shan guba mai guba,
ci gaban lactic acidosis a cikin jiki,
bukatar abinci mai karancin kalori,
tsawon lokacin haihuwa,
lactation zamani
mara lafiya yana da rashin kwanciyar hankali ga abubuwan da ke cikin miyagun ƙwayoyi.

Umarnin don amfani da miyagun ƙwayoyi

Domin sanin yadda ake shan magungunan daidai, yakamata ku nemi likitan ku. Yakamata a bincika mai haƙuri umarnin yin amfani da Metformin.

Ana saita kashi na miyagun ƙwayoyi ne ta hanyar halartar endocrinologist. Likita ya kayyade sashi don kowane mai haƙuri daban-daban, la'akari da sakamakon da aka samu yayin nazarin jikin mutum da yin la’akari da halayen jikin mai haƙuri. Yawan maganin da mai haƙuri ya kamata ya sha ya dogara da matakin glucose a cikin jini na jini a jikin mai haƙuri.

Don ɗaukar Metformin daidai, kashi na farko ya kamata ya zama daga 500 zuwa 1000 MG kowace rana, wanda shine Allunan 1-2. Bayan kwanakin 10-15 na shiga, bisa ga shawarar endocrinologist na lura da mara lafiyar, ƙarin haɓaka matakin zai yiwu idan an buƙaci wannan ta hanyar yawan abubuwan glucose a jikin mai haƙuri.

Umarnin don amfani yana ba da shawarar amfani da 1500-2000 MG na miyagun ƙwayoyi azaman maganin kiyayewa, wanda shine Allunan 3-4, kuma mafi girman adadin da aka ba da izinin shan shine 3000 MG kowace rana.

Game da batun kula da cututtukan sukari na 2 na mellitus a cikin tsofaffi marasa lafiya, kashi da na'urar likita ta yi amfani da ita kada ya wuce 1 g ko allunan 2 a rana.

Allunan ya kamata a sha a baka ba tare da taunawa ba ko a kai tsaye bayan cin abinci. Ya kamata a sha miyagun ƙwayoyi tare da karamin adadin ruwa. Don hana haɓaka sakamako masu illa a cikin jiki, ana bada shawarar sashi na yau da kullun don kasha kashi 2-3.

Tun lokacin da kuke shan maganin, akwai babban yiwuwar haɓakar lactic acidosis, ana rage kashi da aka yi amfani da shi don maganin nau'in ciwon sukari na 2 na mellitus idan mai haƙuri yana da mummunar cuta na rayuwa.

Game da kulawa na lokaci guda tare da insulin a cikin kashi na ba fiye da raka'a 40 a kowace rana ba, sakin magunguna yana canzawa. A cikin jiyya da ke buƙatar kashi na yau da kullun na insulin fiye da raka'a 40 a kowace rana, ya kamata a dauki matakan kulawa da tsananin kulawa. Zabi sashi ya kamata a yi a wannan yanayin a asibiti karkashin kulawar akai-akai na halartar likita.

Side sakamako na miyagun ƙwayoyi a jiki

Tare da yin amfani da magani na tsawan lokaci, mai yuwuwar faruwa a jikin rikice-rikicen da ke tattare da shan ƙwayoyin Vitamin B12.

Tare da tsawanta yin amfani da miyagun ƙwayoyi, ya kamata a kula da kulawa ta musamman don lura da yanayin aikin hanta da ƙodan.

Lokacin amfani da miyagun ƙwayoyi, waɗannan sakamako masu illa na iya faruwa:

Daga aikin gastrointestinal tract, ana iya samun rikice-rikice, ana nuna su ta hanyar bayyanar jin tashin zuciya, amai, jin zafi a ciki, raguwa ko rashin ci, bayyanar dandano mai ƙarfe a bakin.
Daga fata akwai yiwuwar halayen rashin lafiyan ta hanyar fatar fata.
Tsarin endocrine yana da ikon amsawa game da amfani da miyagun ƙwayoyi ta hanyar ƙirƙirar yanayin hypoglycemic. Mafi yawan lokuta, irin wannan yanayi yana faruwa ne sakamakon karancin magunguna.
A wani ɓangaren sashi na tafiyar matakai na rayuwa a lokuta mafi wuya, lokacin ɗaukar isasshen allurai, ci gaban lactic acidosis a cikin ƙila yana yiwuwa. Idan wannan yanayin ya faru, ana buƙatar dakatar da maganin.
Tsarin jijiyoyin jini yana da ikon amsa magunguna ta hanyar samuwar a wasu halayen cutar megaloblastic.

Sakamakon babban haɗari ga jiki, amfani da metformin a gaban raunin koda a cikin mutum ya kamata a dakatar dashi ko yakamata a ɗauka ƙarƙashin kulawar likita kuma a cikin ƙaramin sashi.

Yawancin masana kimiyyar halittar endocrinologists a cikin wannan yanayin suna ba da shawarar dakatar da miyagun ƙwayoyi gaba daya, da ɗaukar shi a cikin raguwa sosai, tunda sa ido akan abubuwan sukari shine mafi mahimmanci.

Umarnin na musamman don amfanin Metformin

Lokacin da ake shirin yin ciki ko lokacin da ya faru, ya kamata a dakatar da maganin. Game da ciki, ana maye gurbin amfani da miyagun ƙwayoyi don lokacin haila ta hanyar maganin insulin.

Tunda babu bayanai game da yiwuwar shigar shigar da abubuwan da ke cikin miyagun ƙwayoyi da kuma kayan aiki a cikin abin da ke cikin madara, lokacin amfani da nono, ya kamata a dakatar da amfani da maganin. Idan akwai buƙatar gaggawa don amfani da Metformin yayin shayarwa, ya kamata a dakatar da ciyar da nono.

An haramta yin amfani da miyagun ƙwayoyi ga yara da matasa a ƙarƙashin shekara 18.

Likitoci ba su ba da shawarar yin amfani da miyagun ƙwayoyi a cikin lura da ciwon sukari a cikin tsofaffi, wanda shekarunsa ya kai shekaru 60 da yin babban aiki mai alaƙa da haɓaka damuwa ta jiki. Wannan shawarar ta kasance saboda gaskiyar cewa irin waɗannan marasa lafiya suna da matukar yiwuwar haɓaka lactic acidosis a cikin jiki.

Game da shan Metformin, ana iya haɗe shi tare da wakilai waɗanda aka samo daga sulfonylurea. Tare da irin wannan haɗuwa na ƙwayar cuta, ana buƙatar saka idanu musamman game da yanayin alamar glucose a cikin jiki.

Haramun ne a sha giya da magunguna masu dauke da ethanol a lokacin shan maganin. Shan Metformin a lokaci guda tare da barasa na iya tayar da haɓakar ci gaban lactic acidosis a cikin haƙuri tare da ciwon sukari.

Kudin Metformin, analogues da nazarinsa na haƙuri game da amfani da miyagun ƙwayoyi

Kwayoyi masu zuwa sune analogues na Metformin:

Bagomet,
Glycon
Glyminfor,
Glyformin
Glucophage,
Glucophage Tsawon,
Langerine
Methadiene
Metospanin
Metfogamma 500, 850, 1000
Metformin
Karin Richter,
Metformin Teva,
Metformin hydrochloride,
Nova Sanda
Lankaranna,
Siofor 1000,
Siofor 500,
Siofor 850,
Sofamet
A tsari,
Tsarin Pliva.

Binciken da aka yi amfani da shi ta hanyar amfani da miyagun ƙwayoyi ta hanyar amfani da masu cutar don magance cututtukan cututtukan ƙwayar cuta yana nuna cewa wannan magani yana da tasiri a jiki, wanda ke ba ka damar sarrafa yawan glucose a cikin jiki.

Akwai sake dubawa da yawa game da magungunan da ke nuna canji mai kyau a cikin jiki lokacin shan Metformin ko analogues da bayyanar ingantaccen kuzari a cikin lura da ciwon sukari.

Mafi sau da yawa, marasa lafiya da ke fama da ciwon sukari mellitus da kiba suna nunawa a cikin sake duba su cewa yin amfani da Metformin a cikin aikin maganin ƙwaƙwalwa ya rage nauyin jiki.

Farashin magungunan a cikin magungunan kasar ya dogara da yankin da kuma shirya maganin.

Kudin magungunan Metformin Teva 850 MG a cikin ƙasa shine matsakaici na 100 rubles a kowane fakitin da ke ɗauke da allunan 30.

Magunguna kamar Metformin Canon 1000 MG yana da matsakaicin tsada a cikin ƙasar 270 rubles a kowane fakitin, wanda ya ƙunshi allunan 60.

Kudin magungunan sun dogara da yawancin Allunan suna cikin kunshin. Lokacin da sayen maganin, ya kamata a tuna cewa hutunsa yana gudana ne kawai a kan takardar sayan magani daga likitan halartar.

A cikin bidiyon a cikin wannan labarin, Dr. Myasnikov zai yi magana game da ka'idodin aikin Metformin a cikin ciwon sukari.

Nuna sukari ko zaɓi jinsi don shawarwari Bincike ba'a samo ba Bincike ba'a samo ba

Tare da yin amfani da lokaci guda tare da abubuwan da aka samo na sulfonylurea, acarbose, insulin, salicylates, MAO inhibitors, oxygentetracycline, ACE inhibitors, tare da clofibrate, cyclophosphamide, tasirin hypoglycemic na metformin na iya inganta.

Tare da yin amfani da lokaci guda tare da GCS, rigakafin hormonal don gudanar da maganin baka, danazol, epinephrine, glucagon, hormones na thyot, abubuwan phenothiazine, magungunan thiazide, abubuwan nicotinic acid, raguwar sakamako na hypoglycemic na metformin mai yiwuwa ne.

A cikin marasa lafiya da ke karɓar metformin, yin amfani da iodine-dauke da wakilai masu bambanci don gwaje-gwaje na bincike (ciki har da urography intravenous, cholangiography, angiography, CT) yana ƙara haɗarin mummunan lalacewa na koda da lactic acidosis. Wadannan abubuwan hade

Magungunan beta2-adrenergic agonists suna ƙara yawan haɗuwar glucose a cikin jini saboda haɓakar masu karɓa na ren2-adrenergic. A wannan yanayin, ya zama dole don sarrafa tattarawar glucose a cikin jini. Idan ya cancanta, ana ba da shawarar yin insulin insulin.

Amfani da cimetidine na iya ƙara haɗarin lactic acidosis.

Yin amfani da "madaukai" daya na lokaci daya zai iya haifar da ci gaban lactic acidosis saboda gazawar aiki na kasa aiki.

Gudanar da lokaci tare da ethanol yana kara haɗarin lactic acidosis.

Nifedipine yana haɓaka sha da Cmax na metformin.

Magungunan cationic (amiloride, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamteren, trimethoprim da vancomycin) waɗanda aka ɓoye a cikin tubules na koda suna gasa tare da metformin don tsarin jigilar tubular kuma suna iya haifar da karuwa a Cmax.

Metformin don asarar nauyi: dokoki don amfani, sashi, farashi, analogues da bita

- daina shan kitse! Kuna iya rasa nauyi ba tare da yin babban ƙoƙari ba.

•Cire mara jijiyoyin jiki daga ciki da gewaye•Cire daga jikin mai hadari "kitse na ciki"•Yana rage kitse mai kitse•Yana cire gubobi, yana tsaftace jiki

Metformin (ko kuma Glucophage a wata hanyar) mutane suna ɗaukar shi ne kawai bayan shekaru 20 da haihuwa tare da nau'in ciwon sukari na 2, kuma yana rage cholesterol sosai, duk da haka, idan har ana samar da insulin a cikin jiki.

Lokacin shan wannan magani, asarar nauyi mai sauri yana faruwa, wanda baya dawowa. Tsarinsa a cikin jiki abu ne mai sauqi qwarai, yana toshe duk mai mai shigowa kuma baya barin shi ya tara a cikin "shagunan" jikin, matsanancin karfin dan adam ya fara cinyewa. Sabili da haka, yawancin samfurori, 'yan wasa da adalci waɗanda ke son rasa nauyi a cikin ɗan gajeren lokaci, suna ɗaukar Metformin.

Aiwatar da jiki

Magungunan na rage samar da insulin a jiki, ɗaukar ƙwayar carbohydrates a cikin ƙwayar gastrointestinal, yana ƙara yawan glucose ta ƙwayoyin tsoka, yana haɓaka matakan oxidative na mai mai da metabolism. Duk waɗannan ayyuka akan jiki suna haifar da raguwa da daidaitaccen nauyi.

Babban mahimmancin shan Metformin shine cewa:

yana rage yawan ci,
yana rage sha'awar alamomi,
lokacin da akayi daidai, magani ba ya haifar da sakamako,
rage da kuma daidaita matakin glucose na al'ada na jini ba tare da gudanarwar insulin ba,
Hakanan yana rage mummunar cholesterol a cikin jiki.

Amma babban abin magana shine cewa nauyin da aka rasa lokacin shan maganin ba zai dawo ba, ba shakka, idan mutumin bai zagi ba, kamar yadda ya gabata, wuce haddi a cikin abinci da kuma yanayin rayuwa.

Rashin daidaituwa game da amfani da maganin akai-akai rikice-rikice ne na kiwon lafiya, wanda zai iya haifar da ci gaban bayyanar cututtuka.