Glucophage Long 500 don asarar nauyi - umarnin don amfani da abun da ke ciki, nau'i na saki da farashi

Glucophage Long: umarnin don amfani da bita

Sunan Latin: Glucophage mai tsawo

Lambar ATX: A10BA02

Ingantaccen kayan aiki: Metformin (Metformin)

Mai kera: Merck, KGaA (Jamus), Merck Sante, s.a.s. (Faransa)

Descriptionaukaka bayanin da hoto: 10.23.2018

Farashin kuɗi a cikin kantin magani: daga 205 rubles.

Glucophage Long - magani ne mai tasirin hypoglycemic.

Formaddamar da tsari da abun da ke ciki

Nau'in sashi na sakin Glucofage Dogon - allunan-saki allunan: kwalliyar-kifin, biconvex, kusan fari ko fari, a gefe daya yana zana "500", "750" ko "1000" (dangane da sashi), 750 da 1000 mg kowane a gefe guda, Siffar Merck (7 inji mai kwakwalwa a cikin blisters, 4 ko 8 blisters a cikin kwali na kwali, guda 10 a cikin blisters, 3 ko 6 blisters a cikin kwali na kwali, guda 15 a cikin blisters, a cikin wani kunshin 2 ko 4 furen baki, a kan boge da akwatin kwali don kare taushe da alama mai alama "M").

Abun ciki 1 kwamfutar hannu:

• abu mai aiki: metformin hydrochloride - 500, 750 ko 1000 mg,
• abubuwan taimako (500/750/1000 mg): sodium carmellose - 50 / 37.5 / 50 mg, microcrystalline cellulose - 102/0/0 mg, hypromellose 2208 - 358 / 294.24 / 392.3 mg, hypromellose 2910 - 10/0/0 mg, magnesium stearate - 3.5 / 5.3 / 7 mg.

Pharmacodynamics

Glucophage Long yana cikin magungunan maganganu na baki na jini daga rukunin biguanide, wanda ke rage yawan matakan glucose na jini da bayan jini bayan jini a cikin jini.

Metformin baya motsa ƙwayar insulin kuma baya haifar da ci gaban hypoglycemia. Theara hankalin mai karɓar insulin na karɓa da amfani da glucose ta sel. Sakamakon hanawar glycogenolysis da gluconeogenesis, yana rage samar da glucose ta hanta. Yana jinkirta ɗaukar ciki na glucose.

Metformin, aiki akan glycogen synthetase, yana ƙarfafa glycogen synthesis. Capacityara ƙarfin jigilar kayayyaki na kowane nau'ikan jigilar jini na membrane.

Abun yana da tasiri mai amfani akan metabolism na lipid: lowers triglycerides, low lipoproteins density yawa (LDL) da jimlar cholesterol.

Yayin aikin jiyya, nauyin mai haƙuri ko dai ya kasance tsayayye ko yana raguwa da matsakaici.

Pharmacokinetics

Rashin metformin bayan sarrafawa na maganin Glucofage Long a kwatancen tare da Allunan tare da sakin al'ada yana da jinkiri. T_max (lokaci don isa ga maida hankali kan abu) bayan ɗaukar 500 MG shine 7 hours (lokacin ɗaukar 1500 mg T_max na iya canzawa tsakanin sa'o'i 4-12), T_max don Allunan tare da sakin al'ada - awa 2.5.

A ma'auni, C_max (matsakaicin maida hankali ne akan abu) da kuma AUC (yanki a ƙarƙashin ɓakakken lokaci-lokaci) ba haɓakawa gwargwado. Bayan kashi ɗaya na 2000 MG na metformin a cikin nau'ikan allunan-aka saki, AUC yana kama da cewa bayan gudanar da 1000 mg na metformin sau 2 a rana a cikin nau'ikan Allunan tare da saki na yau da kullun.

A wasu marasa lafiya, canji a cikin C_max da AUC a cikin batun shan Glucofage Long sun yi kama da waɗanda a cikin batun shan allunan tare da bayanin martaba na al'ada.

Samfurin ƙwayar metformin daga allunan ɗaukar aiki na tsawan lokaci baya dogaro da yawan abinci.

Babu makawa ga abin da ya rage ga sunadaran plasma. C_max a cikin jini a kasa plasma C_max kuma an kai shi bayan kusan lokaci guda. Matsakaici V_d (distributionarar rarraba) yana cikin kewayon daga lita 63 zuwa 276.

Ba a lura da haɗarin metformin tare da allurai masu yawa har zuwa 2000 MG kowace rana.

Ba a sami metabolites ba.

T_1/2 (kawar da rabin rayuwa) bayan gudanar da maganin baka shine kusan awanni 6.5. Kallonta yayi ya fice da ita. Addamar da ɗan danyen abin shine> 400 ml / min (metformin an keɓance shi saboda ɓarɓuwar tubular da tacewar ƙasa).

Tabbatarwar Metformin a cikin marasa lafiya tare da nakasa aiki na koda yana raguwa gwargwadon yardawar keɓancewar creatinine, T_1/2 a cikin wannan rukuni na marasa lafiya yana ƙaruwa, wanda na iya haifar da karuwa a cikin ƙwayar plasma.

Contraindications

lalacewar aikin na koda ko gazawar renal (bayanin creatinine na 10% - sau da yawa sosai,> 1% da 0.1% da 0.01% da 5 mmol / l, haɓaka rabo na lactate / pyruvate da haɓaka ragin anionic. Idan ana zargin laos acidosis Glucofage Long soke nan da nan.

Ya kamata a dakatar da miyagun ƙwayoyi awanni 48 kafin a fara aikin tiyata. Za a iya dawo da magani daga bayan sa'o'i 48, muddin a lokacin gwaji, an gano aikin na kowa ne kamar al'ada.

Kafin fara magani kuma a kai a kai a nan gaba, ya kamata a ƙaddara tsabtacewar creatinine: in babu rikice-rikice, aƙalla lokaci 1 a cikin shekara, a cikin tsofaffi marasa lafiya, da kuma a cikin marasa lafiya da keɓancewar creatinine a ƙananan matakin al'ada, daga 2 zuwa sau 4 a shekara. Tare da keɓancewar creatinine ƙasa da 45 ml / min, amfani da Glucofage Long yana haɓaka.

A gaban yiwuwar aiki na ƙarancin aiki na ƙarancin aiki dangane da asalin haɗin gwiwa tare da magungunan antihypertensive, diuretics ko magungunan anti-mai kumburi ba a cikin tsofaffi marasa lafiya ba, ya kamata a kula da kulawa ta musamman.

Ana lura da haɗarin hauhawar hypoxia da gazawar koda a cikin marasa lafiya tare da raunin zuciya. Wannan rukunin marasa lafiya a yayin maganin yana buƙatar saka idanu akai-akai na aikin zuciya da yanayin aikin kodan.

An shawarci marasa lafiya su ci gaba da rage cin abinci tare da ɗimbin ƙwayoyin carbohydrates a cikin kullun.

Tare da kiba mai yawa, yakamata ku ci gaba da bin tsarin abinci mai ɗauke da jini (amma ba kasa da 1000 kcal a kowace rana ba). Hakanan, marasa lafiya suna buƙatar yin motsa jiki a kai a kai.

Dukkanin cututtukan da suka kamu da cutar (hanjin kumburin hanji da kuma cututtukan hanji) da magani ya kamata a sanar da likitanka.

Don magance ciwon sukari, ya kamata a gudanar da gwaje-gwaje na yau da kullun a kai a kai.

Tare da monotherapy, Glucophage Long baya haifar da hypoglycemia, amma ana ba da shawarar yin hankali lokacin amfani dashi tare da insulin ko wasu wakilai na bakin jini na hypoglycemic. Babban alamun cututtukan hypoglycemia: karuwar gumi, rauni, rashi, ciwon kai, cututtukan fata, rashin hankali ko gani.

Abubuwanda basu da ƙarfi na Glucofage Long za'a iya fitar dasu ta hanji mara canzawa, wanda baya shafar aikin warkewa na miyagun ƙwayoyi.

Tare da nakasa aiki na koda

• lalacewar aikin na renal (keɓantar da keɓaɓɓen 60asa da 60 ml / min), matsanancin yanayi tare da haɗarin aiki mai ƙarancin aiki (ciki har da bushewa a cikin / matsananciyar zawo, sake kamuwa da matsananciyar ƙwayar cuta), cututtukan da suka kamu da matsananciyar damuwa, girgiza: Glucofage Long yana contraindicated,
• gazawar koda (creatinine share 45-55 ml / min): ya kamata a gudanar da farjin magani tare da taka tsantsan.

Hulɗa da ƙwayoyi

Nazarin ilimin rediyo ta amfani da wakilan iodine-mai dauke da kayan aikin radiopaque don gazawar aikin ƙididdigar ƙwaƙwalwar ƙwaƙwalwa a cikin marasa lafiya tare da ciwon sukari na mellitus na iya haifar da ci gaban lactic acidosis. Awanni 48 kafin binciken, ya kamata a soke Glucophage Long. Idan aka ga aikin na koda ne al'ada yayin gwajin, ana iya sake farawa a jiyya bayan awanni 48.

Yayin shan ethanol, da alama na lactic acidosis a lokacin shan giya mai yawa yana ƙaruwa, musamman tare da gazawar hanta, da kuma a cikin yanayin ƙarancin kalori da rashin abinci mai gina jiki. Ba za a yi amfani da magungunan da ke ɗauke da ethanol ba a lokacin jiyya.

Kulawa mai da hankali:

• diuretics, danazol, beta₂-adrenomimetics, chlorpromazine (a allurai daga 100 MG kowace rana), kwayoyi tare da tasirin hyperglycemic kai tsaye (musamman, glucocorticosteroids da tetracosactides don Topical / systemic): ana buƙatar ƙarin sa ido akai-akai game da maida hankali na glucose jini, musamman a farkon farfajiya, Idan ya cancanta, a cikin jiyya, ana iya daidaita kashi na Glucofage Long,
• "Madauki" diuretics: cin gaban lactic acidosis (an danganta shi da lalacewa na aiki na aiki koda),
• abubuwan da suka samo asali na sulfonylureas, insulin, acarbose, salicylates: cin gaban cututtukan jini,
• nifedipine: ƙara yawan sha da C_max metformin
• zuwa chiki: karuwa a cikin ƙwayar plasma na metformin a cikin jini (karuwa a cikin AUC ba tare da babban ci gaba ba a cikin C_max),
• magungunan cationic (quinine, triamteren, ranitidine, quinidine, amiloride, digoxin, procainamide, morphine, vancomycin da trimethoprim), waɗanda aka ɓoye a cikin tubules na koda: gasa tare da metformin don tsarin jigilar tubular, wanda zai iya haifar da karuwa a C ta_max.

Misalin Long Glucophage sune: Formin, Metformin, Metadiene, Formina Pliva, Diasfor, Bagomet, Gliformin, Glucofage, Sofamet da sauransu.

Manufar aiwatar da allunan

Tasirin magungunan babban sinadari mai aiki - metformin, an yi niyya ne don rage girman yawan glucose a jikin mutum, wanda zai iya karuwa sosai bayan cin abinci.

Tsarin hauhawar sukari na jini bayan cin abinci abu ne na zahiri koda kuwa ga kowane mutum lafiyayyen abu ne, kuma kansar kodayaushe tana cikin ta, samarda aikin da yakamata a samar da insulin na hormone. Manufar hormone shine karya sukari cikin abubuwan mai.

Wannan magani yana da sakamako guda ɗaya mai ban sha'awa - yana ba da asarar nauyi ba kawai ga ciwon sukari na 2 ba, har ma a cikin mutanen da ke da lafiya.

Don haka, menene tasirin da za a sa ran daga magani mai amfani da dogon lokaci? Shan Allunan yana samar da masu zuwa:

• Tsayayyen metabolism a jiki.
• Gudanar da rushewar carbohydrates da juyowarsu ga tsotse nama.
• Normalization na cholesterol a cikin jini.
• Rage da tsayar da sukari a matakin da ya dace.
• Inganta ayyukan cututtukan fitsari.
• Rage abinci, raguwar sha'awar abinci mai daɗi.

Lokacin da aka lura da raguwar haɗarin sukari, ana juyar da kwayoyin glucose kwayoyin zuwa ƙwayar tsoka kanta. A nan suka zazzage, sukari “yana ƙonewa”, ana lura da hadawan abu mai da ƙarfi, ana hana aikin narkewar ƙwayar carbohydrate.

Sakamakon haka, wannan yana haifar da gaskiyar cewa an gano raguwar ci, ƙwayoyin mai ba su tara, bi da bi, ba a sanya su a wurare daban-daban na jiki ba.

Alamu don amfani

Babban nuni ga amfani da Glucofage Long 500 MG shine magani na nau'in ciwon sukari na 2, idan marasa lafiya basu da tasirin warkewar cutar magani.

A cikin mafi yawan lokuta, ana ba da shawarar wannan maganin ga marasa lafiya waɗanda, a kan asalin cutar da suke fama da ita, suma suna fama da kiba. Allunan za a iya ba da shawarar su azaman hanyar magance cututtukan ƙwayar cuta, wato, azaman magani kawai.

Ko ana sanya su a cikin cikakkiyar tsarin kulawa, wanda ya hada da sauran magunguna na hypoglycemic don sarrafa bakin, ko insulin.

Nazarin haƙuri yana nuna tasirin maganin. Sun lura cewa maganin yana da tasirin gaske, yana ci, kuma sha'awar ɗanɗano zai shuɗe. Amma game da rage sukari, wannan aikin yana faruwa a hankali, kuma glucose ya inganta a matakin da ake buƙata akan lokaci.

Kuna iya siyan magani na tsawan mataki a cikin kantin magani, kiosk na kantin magani ko cikin shagunan kan layi na musamman.

Farashin Glucofage Long 500 MG (a cikin kunshin 60 Allunan) kusan 550 rubles.

Umarnin don amfani

Kafin ci gaba zuwa umarnin kai tsaye don amfani da miyagun ƙwayoyi, ya kamata a sake lura da shi. Duk da gaskiyar cewa miyagun ƙwayoyi sun taimaka wa mutane da yawa sun kawar da karin fam, ba kwa buƙatar shiga cikin aikin kai.

Wannan nau'in magani an yi shi ne don maganin ciwon sukari, amma ba don asarar nauyi ba. Sabili da haka, idan miyagun ƙwayoyi sun taimaka wajen rasa nauyi - wannan sakamako ne kawai, amma ba komai ba.

Ana bada shawarar maganin da aka tsawaita a baki. Allunan dole ne a hadiye su gaba daya, baza ku iya tauna maganin ba, ko kuma kara shi ta wata hanyar. An tsara sashin ɗin akayi daban-daban, kuma ya dogara da farkon sukari a cikin jini.

Fasali na amfanin miyagun ƙwayoyi:

• A matsayinka na mai mulki, daidaitaccen sashi shine kwamfutar hannu guda 500 na 500 sau ɗaya a rana yayin abincin yamma.
• Idan an canza haƙuri daga Glucofage na yau da kullun zuwa Glucofage Long, sashi zai zama daidai da kashi na yau da kullun na Glucofage.
• Dangane da kuzari na raguwa a cikin sukari na jini, sashi na magunguna yana ƙaruwa sau ɗaya ta 500 MG zuwa matsakaicin matsakaici kowace rana.
• Matsakaicin kashi shine ɗaukar allunan 4 a rana yayin cin abinci na yamma.

Dole ne a dauki maganin Glucophage kowace rana, ba za ku iya yin jinkiri tsakanin liyafar ta ba. Idan mara lafiya ya soke maganin ba tare da izini ba, ko kuma ba zai iya shan shi ba saboda kowane dalili, to ya zama tilas a sanar da likita.

Mahimmanci: idan kun rasa shan magani, to ana ɗaukar sashi na gaba kamar yadda aka saba, ba za ku iya shan Allunan guda biyu lokaci guda ba.

Analogues na miyagun ƙwayoyi

Kamar yadda aka ambata a sama, magani don magance ciwon sukari ya taimaka wa marasa lafiya da yawa, amma babban jerin contraindications ba koyaushe yana ba da damar yin likitan shi a cikin wani yanayi ba.

A cikin wannan kamfani, likita na iya ba da shawarar irin waɗannan magunguna don taimakawa wajen magance babban taro na sukari a cikin jini. Yi la'akari da mafi kyawun kwayoyi masu amfani don rage sukarin jini.

Bagomet - magani ne don lura da ciwon sukari mellitus, wanda ya haɗa da abubuwa guda biyu masu aiki a cikin abun guda ɗaya: metformin da glibenclamide. Allunan an wajabta su don maganin ciwon sukari idan mai haƙuri ba shi da sha'awar haɓakar ketoacidosis a cikin nau'in ciwon sukari na 2. Farashin miyagun ƙwayoyi ya kusan 250 rubles.

1. Gliminfor - magani wanda ke taimakawa rage yawan sukari a cikin jini, ya kasance cikin rukuni na biguanides. Yana da magunguna da yawa da kuma sakamako masu illa, ana tsara sashi daban daban. Matsakaicin matsakaici shine 300 rubles.
2. Metfogamma 500 MG - magani don maganin ciwon sukari, ana samun su ta hanyar allunan don maganin baka. A miyagun ƙwayoyi nasa ne rukuni na biguanides, taimaka haɓakar ji na laushi kyallen takarda zuwa sukari, lowers nauyi jiki. Farashi a cikin yanki na 600-700 rubles.

A ƙarshe, ya kamata a faɗi cewa a cikin mafi yawan lokuta, nazarin Glucophage Long sun kasance masu kyau. Amma don cimma tasirin warkewar da ake so, kuna buƙatar zaɓar sashin da ya dace, kuma likita ne kawai zai iya yin wannan.

Wadanne magunguna kuke ɗauka don kula da ciwon sukari? Shin Glucophage ya ba ku shawarar, kuma menene sakamakon? Rarraba maganganunku don inganta rairayi tare da sake dubawa na ainihi.

M sakamako masu illa

Yawancin marasa lafiya waɗanda zasu iya yin nasarar raunin cutar sankara tare da metformin ana tilasta su watsar da shi a farkon makonni na jiyya. Don wannan ana tilasta su ta hanyar narkewar cuta, waɗanda sune sakamako masu illa na miyagun ƙwayoyi.Za a iya rage haɗarin su ta hanyar ƙara yawan hankali, ɗaukar metformin lokaci guda tare da abinci kuma kawai da yamma. Dangane da sake dubawa, alamu marasa dadi a hankali suna raunana kuma a ƙarshen farkon watan farko na magani galibi sukan ɓace.

Idan sakamakon cututtukan gastrointestinal ya tsoma baki ga rayuwa ta al'ada ko kuma tsayawa na dogon lokaci, endocrinologists suna ba da shawarar ɗaukar glucophage na tsawanta ko analogues ɗin. A cikin rabin maganganun, canji a cikin miyagun ƙwayoyi yana haɗuwa tare da ɓacewa ko babban rauni na sakamako masu illa.

Lissafi da mita (a cikin%) na yiwuwar cututtukan gastrointestinal:

Sauran umarnin suna kira ragowar sakamako marasa illa na Glucofage wani abu ne mai saurin gaske, a cewar mai ƙira, ƙasa da 0.01% na marasa lafiya suna haɗuwa da su:

• ana nuna yawancin halayen rashin lafiyan a cikin nau'i na itching da urticaria,
• rushewar hanta, haɓakar hanta enzymes. Wannan sakamako na gefen yawanci baya buƙatar magani kuma ya ɓace akan kansa bayan karɓar Glucofage Long,
• rashi na bitamin B12 tare da tsawan magani,
• lactic acidosis yana faruwa sau da yawa tare da gazawar koda, wanda ke haifar da urination mai lalacewa na metformin. Hadarin lactic acidosis yana ƙaruwa ta hanyar hypoxia, barasa, tsawan azumi.

Abun da ke cikin miyagun ƙwayoyi, nau'in saki, yanayin ajiya da yanayin sayarwa

Maganin masana'antar ta hanyar magunguna ne kawai ya samar da nau'in kwamfutar hannu.

A waje, kwamfutar hannu tana da tsari mai kama da juna, a gefe ɗaya akwai kwatankwacin 500 MG, wanda ke nufin abubuwan da ke cikin babban sashin aiki, a gefe guda akwai kwatankwacin sunan mai ƙera.

Baya ga babban aikin mai aiki mai karfi, allunan kuma sun hada da mahallin sunadarai masu taimakawa.

Abubuwan haɗin da ke gaba suna taka rawar taimako a cikin Glucofage Long 500:

• sabbinne,
• magnesium stearate,
• povidone
• Carmlolose Sodium,
• cellulose a cikin microcrystals.

Ana amfani da wannan magani mafi yawan nau'in ciwon sukari na 2. Tare da wannan binciken, ya taimaka wa marasa lafiya da yawa su rage matakan sukari na jini ta hanyar daidaita abubuwan glucose ta sel. Hakanan, maganin yana da tasirin gaske akan aikin rasa nauyi na mai haƙuri, kuma ana samun wannan matsalar sau da yawa a cikin marasa lafiya masu ciwon sukari mellitus.

Ya kamata a lura cewa kayan aiki yana da sake dubawa masu inganci, waɗanda ke nuna cewa ba wai kawai magungunan warkewa ne kawai ba, amma yana haifar da ƙarancin lahani ga jiki. Binciken da aka yi game da miyagun ƙwayoyi ya nuna cewa kyakkyawan tasirin shan ƙwayar yana tasiri sosai akan bayyanar tasirin sakamako masu illa da haifar da ƙarancin lahani ga jiki.

Magunguna da magunguna na magunguna

Idan ka fahimci kanka da umarnin yin amfani da magani dalla-dalla, zai zama bayyananne menene fa'idar amfani da wannan magani, da kuma yadda yake aiwatar da jikin ɗan adam.

Babban aikin magunguna na abu wanda ya ƙunshi glucophage tsawon 500 yana da niyya don rage girman sukari a cikin jinin mutum.

Metformin, wanda shine ɗayan magungunan, ba shi da ikon tayar da samar da ƙarin insulin ta ƙwayoyin beta. A saboda wannan dalili, shan maganin ba ya tsokani cigaban yanayin rashin ƙarfi a cikin jikin mutum. Ayyukan mai aiki yana da nufin kunna masu karɓar ƙwayoyin insulin-dogara da ƙwayoyin jikin jikin da ke kan ƙwayoyin sel.

Bayan shan Glucofage Long 500, an lura da haɓakar hankalin masu karɓar sel zuwa insulin, wanda ke haifar da ƙaruwa ga darajar yin amfani da glucose daga jini.

Bugu da ƙari, akwai raguwa mai yawa a cikin adadin ƙwayar glucose mai ƙwaƙwalwa ta hanyar ƙwayoyin hanta saboda kunnawar hanyoyin aiwatar da hanawar glycogenolysis da gluconeogenesis.

Metformin, wanda shine ɗayan allunan, yana haifar da jinkiri a cikin shan glucose daga lumen ƙwayar gastrointestinal ta sel bangon hanji. Wanda ke rage yawan shan carbohydrates a cikin jini. Wannan yana kara rage karfin mahaifa a jikin mutum.

Metformin yana kunna ayyukan da ke da alhakin samar da glycogen. Kunnawa na faruwa ne sakamakon tasirin metformin akan glycogen synthetase.

Shiga ciki da ke aiki a jiki yana kara karfin kowane mai jigilar kwayar membrane.

Yawancin marasa lafiya da ke shan Glucofage Long sun nuna cewa miyagun ƙwayoyi sun taimaka musu daidaita matakan sukari.

Bugu da ƙari, kayan aiki yana haɓaka asarar nauyi mai dacewa, wanda shine muhimmin mahimmanci game da lura da ciwon sukari.

Bugu da ƙari, maganin yana ba da gudummawa ga:

• normalization na rayuwa tafiyar matakai,
• sarrafa tsarin rarrabewar carbohydrates wanda ya shiga jiki tare da abinci,
• na yau da kullun na kayan aikin insulin, a sakamakon wanda aka rage matakin carbohydrates,
• sarrafa kwayar jini.

A cikin goyon bayan wannan, mai haƙuri yana nazarin sauti, alal misali, cewa, sun ce, Na sha ko na sha Glucofage kuma a sakamakon haka, nauyin jikina ya koma al'ada.

Lokacin shan Glucofage, akwai raguwa a cikin abinci, wanda ke rage yawan adadin mai a jiki.

Rage yawan ci yana taimaka wa daidaituwar nauyin jikin mai haƙuri da ciwon sukari.

Tasirin sakamako da hulɗa tare da wasu kwayoyi

Tabbatattun kaddarorin da Glucophage Long 500 ya riga sun bayyana a sama.

Yanzu kuna buƙatar bayyana abin da mummunan sakamako wannan maganin zai iya haifar, kuma a cikin wane yanayi ne mafi kyawun ƙin jiyya tare da wannan magani.

Don haka, a cikin wane yanayi ne yafi kyau rashin shan maganin:

• lokacin haihuwar mata, da kuma lokacin da mahaifiyar take shayar da jariri,
• da yawan shan barasa,
• lokacinda akwai alamun matsaloli a hanta,
• coma a cikin masu ciwon sukari
• tare da matsaloli tare da urination, wanda ke da alaƙa da ilimin cututtukan ƙwayoyin cuta na yara,
• bayan infarction myocardial,
• lokacin da matsaloli tare da tsarin zuciya.
• post-traumatic ko postoperative yanayin.

A duk waɗannan yanayin, yana da kyau ka ƙi jiyya tare da wannan magani. A lokaci guda, kuma kada kuyi amfani da analogues na wannan magani. Tasirin babban abu mai aiki a jiki a cikin yanayin da ke sama na iya haifar da lahani ga lafiyar ɗan adam.

Tabbas, akwai lokuta da yawa inda magani ya taimaka wa mai haƙuri da gaske, amma akwai kuma tabbacin cewa zai iya cutar da lafiyar.

Musamman ma sau da yawa, gaskiyar ƙarshen yana faruwa a cikin yanayi inda marasa lafiya suka yi watsi da shawarar likita kuma suka fara jinya da kansu.

Umarnin don amfani da miyagun ƙwayoyi

Sakamakon da ke taimakawa daidaitaccen sukari a jikin mai haƙuri yana faruwa lokacin da mai haƙuri ya lura da sashi daidai lokacin magani da kuma maganin.

Saboda gaskiyar cewa maganin ya ƙunshi fili mai aiki da yawa, ya isa ya ɗauki allunan sau ɗaya a rana. Kuma ya fi kyau a yi shi da daddare.

Idan ana aiwatar da maganin daidai da umarnin don amfani, to, an nuna shi - tsawon lokacin shan maganin yana gudana daga kwanaki 10 zuwa 20. Bayan haka, ana yin ɗan gajeren hutu na tsawon wata zuwa watanni biyu, bayan haka an ci gaba da aikin lafiya bisa ga umarnin likitan halartar.

Za'a iya ba da tsarin likita guda ɗaya don kowane haƙuri, la'akari da halayen jikinsa da kuma babban ganewar asali. Yawanci, wannan tsari na magani shine wanda mahaukacin endocrinologist ne ya tsara shi, wanda da farko yayi cikakken bincike na mara lafiyar, kuma sai bayan hakan shine ya tsara hanyar da ake so.

Wannan ya faru ne saboda gaskiyar cewa kowane mai ciwon sukari yana da nasa halaye na jikin mutum. Ta wata ma'ana, a yanayi babu irin wannan halittar da za ta sami halaye iri daya. Sabili da haka, tsarin likita yana koyaushe koyaushe da kaina kuma yana iya bambanta da waɗannan shawarwarin da likita ya ba wa wani haƙuri.

A wannan batun, ba shi da wahala a ƙarasa da cewa bai kamata ku fara shan maganin da kanku ba. Da farko kuna buƙatar tattaunawa tare da ƙwararren masanin ilimin endocrinologist.

Wannan magani, har da magungunan ta, wadanda suka hada da Metformin Long, an wajabta masu irin wannan cututtukan:

• type 2 ciwon sukari a cikin matasa marasa lafiya,
• lura da cutar sukari ba tare da amfani da wasu magunguna masu rage sukari ba (monotherapy),
• ga marasa lafiya waɗanda shekarunsu ba su wuce 18 ba, ana amfani da maganin a hade tare da maganin insulin,
• lokacin da abinci da motsa jiki basu taimaka karkatar da yawan sukari a jiki ba.
• tare da matsaloli tare da nauyin jiki (don ingantaccen asarar nauyi).

Dangane da wannan bayanin, ya zama a sarari cewa ana amfani da maganin ne musamman ga masu ciwon sukari, waɗanda, sabanin asalin cutar, suna da matsaloli a fili da yawan kiba.

Yana da kyau a lura cewa bayanin miyagun ƙwayoyi da ke cikin umarnin yana ba da cikakken bayani game da yadda miyagun ƙwayoyi ke aiki akan jikin mutum da kuma yadda tsarin rayuwar rayuwa yake tasiri.

Duk wani mara lafiya yakamata ya dauki magani mai dogon aiki daidai gwargwado tare da magungunan da likitan halartar suka bada shawara kuma yayi daidai da tsarin maganin da mahaukacin endocrinologist ya kirkira.

Nazarin magungunan haƙuri da kuma shawarar likita

Magani kamar Glucofage Long 500 shine sabon magani na zamani. Ya dace da waɗancan marasa lafiya waɗanda ke neman tsawaita aiki. Yana taimaka wajan rage tasirin jini mai haƙuri. haɓaka tasirin glucose da kuma daidaita ƙididdigar insulin.

Amma waɗannan sune kawai babban abubuwan da ke cikin umarnin Glucophage Long 500 don amfani kuma yana ba da shawarar cewa maganin yana taimakawa sosai ga masu ciwon sukari da kiba.

Amma, ba shakka, saboda ya taimaka wa mai haƙuri da gaske, ya kamata ku fara fara yin cikakken bincike kuma ku gano ainihin gaskiyar haƙuri. Wannan zai taimaka wajen tsara ingantaccen tsarin kulawa da magani kuma, idan ya cancanta, don zaɓar magungunan da za'a sha tare da wannan maganin. Hakanan yana da mahimmanci a cire contraindications mai yiwuwa ga wani haƙuri.

A bayyane yake cewa a yau akwai alamun analogues na wannan kayan warkewa. Amma kuna buƙatar zaɓar su kawai a kan shawarar likita, ba za ku iya yanke shawara kan kanku wane analogues na magungunan da aka gindaya ba sun fi kyau kuma canza tsarin kulawa da ke akwai.

Game da sake dubawa a cikin salon “Glucophage, An sami ceto na har abada daga ƙiba" ko "Ina shan wannan magani tsawon shekaru kuma nauyina yayi al'ada", za su iya zama gaskiya ne, amma fa idan wannan haƙuri yana da matsaloli tare da shan sukari, a wasu kalmomin, ciwon sukari. Theauki magani kawai don asarar nauyi, ba tare da binciken farko daga likita ba shi yiwuwa.

Yawancin marasa lafiya suna jin daɗin farashin magunguna. Ya kamata a lura cewa farashin kayan yana da matukar ma'ana, saboda haka mutane da yawa marasa lafiya za su iya biya. Tabbas, akwai alamun analogues na wannan maganin, likitan halartar ne yakamata a bashi shawarar. Bai kamata ku shiga cikin haɗarin ku ba kuma ku zaɓi ɗaya ko wata don magance kanku, zai fi kyau ku dogara ga ƙwararren masani.

An bayyana aikin magunguna na Glucophage a cikin bidiyon a cikin wannan labarin.

Yarda da wasu magunguna

Don rage yiwuwar sakamakon guba na Glucofage kuma ku guji sakamako masu illa, an bada shawarar kada ku hada amfani da magungunan abinci tare da wasu magunguna. Wadannan sun hada da:

• maganin rage sukari, idan likita ba ayi amfani da shi tare ba,
• maganin rigakafi, maganin rashin ƙarfi, abubuwan ƙarfafawa,
• barasa da magunguna dauke da shi,
• madauki diuretics
• antihypertensive (rage-rage) kwayoyi,
• cationic kwayoyi da aka ɓoye a cikin tubules na koda (Digoxin, Quinine, Quinidine, Morphine),
• abubuwan asalin sulfonylureas, acarbose, salicylates (mai yiwuwa ci gaban hypoglycemia).

Ga wanda da miyagun ƙwayoyi ne contraindicated

Lactic acidosis yanayi ne mai matukar hatsari. Yawan adadin masu mutuwa a cikin masu fama da cutar sankara tare da lactic acidosis yafi girma idan aka kwatanta da sauran rikitattun cututtukan cututtukan cututtukan sukari Metformin yana ƙaruwa da yawan lactate a cikin jiki, sabili da haka, a cikin contraindications zuwa ga gudanarwarsa, umarnin ya haɗa da duk yanayin yanayin haɗarin lactic acidosis. Waɗannan su ne duk wasu cututtukan da ke haifar da hypoxia: zuciya, koda da gazawar numfashi, ƙonewa, rashin ruwa sakamakon amai ko gudawa, cututtukan da ke damun su, musamman cututtukan numfashi da cututtukan hanji. Ba za ku iya ɗaukar Glucophage Tsayi tare da isasshen adadin kuzari (ƙasa da 1000 a kowace rana), barasa, shan maye mai yawa. Da fatan za a lura cewa aikin metformin ya wuce kwana ɗaya, saboda haka ba za ku iya shan kwaya da safe ku sha giya da yamma ba.

Contraindications sun haɗa da kowane yanayin m a cikin masu ciwon sukari, yayin da ba shi yiwuwa a sarrafa glycemia tare da Allunan, kuma maganin insulin ya zama dole. Waɗannan duk rikice-rikice ne na ciwon sukari, ba tare da la'akari da matakin su ba, rauni mai yawa, ƙonewa, shirye-shiryen gaggawa da tiyata na gaggawa da ke buƙatar maganin tashin hankali gaba ɗaya.

An hana Glucophage Long daukar ciki tun yana karami, tunda masana'anta ba su gudanar da bincike ba wanda ke tabbatar da amincinsa. An yarda da glucophage na yau da kullun daga shekaru 10.

Amfani da juna biyu

Metformin zai iya shiga daga jinin mahaifiyar cikin jinin tayi. Koyaya, baya haifar da rikicewar cutar haihuwar ciki, baya haɓakar macewar cikin mutum. Akwai shawarwari da magungunan na iya haifar da sakamako masu illa a cikin yaro, amma ba a same su ba a cikin karatun da suke gudana. A cikin Rasha, daukar ciki shine cikakken contraindication na metformin. Yin hukunci da sake dubawa, koda kuwa ba a yi amfani da maganin ba bisa ga alamu (haɓaka aikin ƙwayar ƙwayar ƙwayar ciki), an soke ta tare da farawar ciki. A cikin Turai, an yarda da metformin don maganin ciwon sukari.

Abubuwan na iya wucewa cikin madara, kuma daga ita zuwa cikin narkewa da jinin jariri. Tare da lactation, koyarwar ta ba ku damar ɗaukar Glucofage Long da analogues na miyagun ƙwayoyi tare da taka tsantsan kuma kawai idan fa'idinta ya fi ƙarfin cutar da yarinyar. Wannan na iya zama juriya na insulin a hade tare da kiba, kuma, gwargwadon haka, buƙatuwar adadin insulin. Don asarar nauyi bayan haihuwa ko don rage glycemia dan kadan, ba a yawan amfani da metformin yayin lactation.

Haɗuwa da sauran magunguna

Wasu abubuwa na iya shafar magunguna na Glucophage Long, suna kara haɗarin tasirin sakamako: