Metv Galvus - cikakkun umarnin don amfani, sake dubawa game da masu ciwon sukari da likitoci

Magungunan Galvus da aka haɗuwa an yi shi ne don jiyya da sauƙin bayyanar cututtuka na mellitus na ciwon sukari na kamfani mai zaman kanta. Magungunan zamani sun haɓaka daɗaɗɗan magunguna daban-daban na rukuni da aji daban-daban.

Wanne magunguna don amfani da abin da yake mafi kyau ga marasa lafiya tare da wannan ganewar asali don hana pathology da rage cutar da sakamakon da likita halartar wanda ke jagorantar cutar haƙuri.

Magungunan zamani yana amfani da rukuni daban-daban na magunguna don daidaita matakan glucose da kuma tafiyar matakai na rayuwa a jiki.

Duk wani magani yakamata a ƙwace ta kwararren likita.

A wannan yanayin, magani na kai ko canji a cikin ƙwayoyi, an hana farashi sosai, saboda zai iya haifar da sakamako mara kyau.

Yayin gwagwarmaya da haɓakar ƙwayar cuta, ya kamata a tuna cewa shan magunguna ya kamata ya kasance tare da saka idanu akai-akai na matakan glucose na jini.

Zuwa yau, lura da nau'in ciwon sukari na 2 shine amfani da ɗayan rukuni na na'urorin likita:

1. Magunguna waɗanda ke samo asali na sulfonylurea. Tasirin magungunan ne don ta da tsoratarwar insulin na ciki. Ammonyl da Diabeton wasu magunguna ne da aka yi akan maganin sulfonylurea.
2. Kayayyakin likita daga ƙungiyar biguanide. Sakamakon su yana nufin rage buƙatar insulin insulin. Babban wakilan magungunan wannan hatsi dukkan shirye-shirye ne tare da babban aikin metformin hydrochloride (Glucofage).
3. Magunguna waɗanda keɓaɓɓen thiazolidinol suna taimaka wajan rage yawan sukarin jini kuma suna da tasiri mai amfani akan bayanin martaba na lipid. Irin waɗannan kwayoyi a cikin aikin maganin su suna kama da biguanides.
4. Meglitinides yana ba da gudummawa ga haɓakar insulin tare da haɓaka glucose na jini. Babban fa'idar irin waɗannan kwayoyi ita ce cewa suna ba ku damar tsara babban sukari tare da masu ciwon sukari na al'ada.
5. Alfa glucosidase inhibitors. Babban tasirin waɗannan magungunan an yi niyya don hana shan ƙwayoyi masu rikitarwa, sakamakon abin da glucose ya shiga cikin jini a cikin adadi kaɗan.
6. Incretins.
7. An haɗo samfuran likita, waɗanda suka haɗa da yawancin manyan abubuwan haɗin daga rukuni na sama.

Magungunan da aka zaba domin magani yakamata a sha a magungunan da likitan halartar suka nuna.

Bugu da ƙari, yanayin haƙuri, matakin motsa jiki, ya kamata a la'akari da nauyin jikin.

Menene maganin shayewar jini?

Magungunan Galvus haɗuwa shine magani na hypoglycemic don gudanar da maganin baka. Babban abubuwan haɗin maganin suna cikin abubuwa guda biyu - vildagliptin da metformin hydrochloride

Vildagliptin wakili ne na ajin masu kara kuzari na jijiyoyin hanji. Abun yana taimakawa haɓaka haɓakar ƙwayoyin beta zuwa sukari mai shigowa gwargwadon lalacewarsu. Ya kamata a sani cewa idan mutum mai lafiya ya karɓi irin wannan abun, babu wani canji a matakin sukari na jini.

Metformin hydrochloride wakili ne na rukuni na biguanide na uku, wanda ke ba da gudummawa ga hanawar gluconeogenesis. Yin amfani da kwayoyi dangane da shi yana ƙarfafa glycolysis, wanda ke haifar da ingantacciyar haɓaka glucose ta sel da kyallen jikin mutum. Bugu da kari, akwai raguwar yawan shan glucose ta kwayoyin hanji. Babban amfani da metformin shine cewa ba ya haifar da raguwa mai yawa a cikin matakan glucose (a ƙasa matakan daidaitacce) kuma baya haifar da ci gaban hypoglycemia.

Bugu da kari, abun hade da Galvus ya hadu dasu ya hada da magabata daban daban. Irin waɗannan allunan ana ba su umarnin sau da yawa ga marasa lafiya da masu ciwon sukari na mellitus, tun da yake suna da tasiri sosai ga ƙwayar lipid a cikin jiki, kuma suna taimakawa rage yawan mummunan cholesterol (ƙara yawan nagarta), triglycerides da low lipoproteins mai yawa.

Magungunan suna da alamomi masu zuwa don amfani:

• a matsayin magani na monotherapeutic na nau'in ciwon sukari na 2 na ciwon sukari, yayin da ake bukata shine a ci abinci mai ratsa jiki da yawan motsa jiki,
• don sauya wasu kayan aikin Galvus Met masu aiki
• idan magani ba shi da amfani bayan shan magunguna tare da abu guda mai aiki - metformin ko vildagliptin,
• a cikin hadaddun magani tare da insulin farjin ko abubuwan samo asali na sulfonylurea.

Umarnin Galvus na amfani da shi yana nuna cewa ana shan maganin daga ƙwayar ƙananan hanjin cikin jini. Don haka, ana lura da tasirin allunan a cikin rabin sa'a bayan gudanarwar su.

An rarraba abu mai aiki a ko'ina cikin jiki, bayan wannan ana kebe shi tare da fitsari da feces.

Hyvglycemic magani Galvus Met - umarnin don amfani

Galvus Met shine maganin hadewar jini wanda ke rage adadin glucose a cikin jini.

Ana amfani dashi a cikin maganin cututtukan type 2 don kwantar da yanayin kuma yawanci jiki yana karɓa.

Babban bayani game da miyagun ƙwayoyi

Sakamakon tasirin vildagliptin (abu mai aiki), lalacewar tasirin enzyme peptidase, kuma haɗin glucagon-kamar peptide-1 da HIP kawai yana ƙaruwa.

Lokacin da adadin waɗannan abubuwa a cikin jiki ya zama sama da na al'ada, Vildagliptin yana haɓaka ayyukan ƙwayoyin beta dangane da glucose, wanda ke haifar da karuwar kwayar halitta wanda ke rage sukari.

Ya kamata a sani cewa karuwar ayyukan kwayar beta gaba ɗaya ya dogara da ragin lalata su. Saboda wannan, a cikin mutane masu matakan glucose na yau da kullun, vildagliptin ba shi da tasiri a cikin aikin insulin.

Abubuwan da ke aiki na miyagun ƙwayoyi suna ƙaruwa da adadin glucagon-kamar peptide-1 kuma yana ƙaruwa da hankalin ƙwayoyin alpha zuwa glucose. A sakamakon haka, haɗin glucagon yana ƙaruwa. Rage yawan adadin sa yayin cin abinci yana haifar da karuwa a cikin yiwuwar ƙwayoyin sel na gefe dangane da hormone dake rage sukari.

Abun ciki, sakin saki

Magungunan suna cikin nau'ikan Allunan, wanda aka sanyaya. Daya yana dauke da abubuwa guda biyu masu aiki: Vildagliptin (50 mg) da Metformin, suna cikin allurai uku - 500 mg, 850 mg da 1000 mg.

Kari a kansu, abubuwanda ke tattare da magunguna irinsu:

• magnesium stearic acid,
• hydroxypropyl cellulose,
• hydroxypropyl methyl cellulose,
• foda talcum
• titanium dioxide
• baƙin ƙarfe baƙin ƙarfe rawaya ko ja.

Allunan an tattara su cikin blisters na guda goma. Kunshin ya ƙunshi blister uku.

Pharmacology da kuma kantin magunguna

Sakamakon rage yawan sukari da miyagun ƙwayoyi ya haifar da godiya ga aikin abubuwa masu mahimmanci biyu:

• Vildagliptin - yana haɓaka ayyukan ƙwayoyin ƙwayar cututtukan ƙwayar ƙwayar jiki a cikin sukari na jini, wanda ke haifar da karuwar insulin,
• Metformin - yana rage adadin glucose a jikin mutum ta hanyar rage yawan adadin karuwar carbohydrates, rage hadarin glucose ta kwayoyin hanta da inganta amfani da kyallen kwayar halitta.

Ana amfani da miyagun ƙwayoyi don haifar da raguwa a cikin sukari na jini a jiki. Haka kuma, a cikin lamurran da ba a sani ba, an lura da samuwar hypoglycemia.

An gano cewa cin abinci ba ya tasiri da sauri da kuma matakin ƙwayar ƙwayar cuta, amma yawan haɗakar abubuwan da ke motsa jiki yana raguwa kaɗan, duk da cewa duk ya dogara da adadin maganin.

Cutar da ƙwayoyi yana da sauri sosai. Lokacin shan magani kafin abinci, ana iya gano kasancewar sa cikin jini a cikin awa daya da rabi. A jikin, za a canza magungunan zuwa metabolites da ke cikin fitsari da feces.

Manuniya da contraindications

Babban nuni ga amfani shine ciwon sukari na 2.

Akwai yanayi da yawa lokacin da kake buƙatar amfani da wannan kayan aikin:

• a cikin hanyar monotherapy,
• yayin jiyya tare da Vildagliptin da Metformin, waɗanda ake amfani da su azaman magunguna masu cikakken ƙarfi,
• yin amfani da miyagun ƙwayoyi a hade tare da wakilai waɗanda ke rage sukari jini da ƙunshi sulfanyl urea,
• amfani da miyagun ƙwayoyi a hade tare da insulin,
• yin amfani da wannan magani azaman magani mai mahimmanci a cikin lura da ciwon sukari na 2, lokacin da abinci mai gina jiki ya daina taimakawa.

Za'a kimanta sakamakon shan maganin ta hanyar raguwar ingantaccen yawan sukari a cikin jini.

Yaushe amfani da miyagun ƙwayoyi kada:

• rashin haƙuri ga marasa lafiya ko babban abin lura da abubuwan da ake amfani da na'urar kiwon lafiya,
• nau'in ciwon sukari guda 1
• Kafin yin aiki da kuma hanyar x-ray, hanyar bincikar hotontoto,
• tare da rikice-rikice na rayuwa, lokacin da aka gano ketones a cikin jini,
• aikin hanta mai rauni da gazawa ya fara haɓaka,
• na kullum ko m nau'in zuciya ko gazawar numfashi,
• mai guba mai sa maye,
• karancin abinci mai kalori
• ciki da lactation.

Kafin ka fara shan kwayoyin, kana buƙatar tabbatar da cewa babu abubuwan hana haifuwa.

Bayanin sigar sashi

A cikin cibiyar sadarwar kantin magani, ana ba da magani a cikin nau'ikan allunan mai rufi, kowannensu yana dauke da abubuwa biyu masu aiki: 50 MG na vildagliptin da 500, 850 ko 1000 mg na metformin. Magnesium stearate, hyprolose, hypromellose, talc, titanium dioxide, macrogol 4000 da baƙin ƙarfe ana amfani da su azaman matattara.

Kowane boka yana dauke da Allunan 10. An shirya faranti a cikin kwalaye na guda 3, kowane kunshin Galvus Met yana da umarnin.

• 50/500 mg - m Allunan tare da kaifi baki a cikin kwasfa da launin ruwan hoda shuɗi. An rage LLO a gefe ɗaya da NVR a baya.
• 50/850 mg - wani nau'in kwamfutar hannu mai kama da ita, harsashi kawai ya zama launin toka-toka kuma alamar ta dace: SEH a gefe guda kuma NVR a ɗayan.
• 50/1000 mg - allunan da suka bambanta da nau'in da suka gabata a cikin inuwa mai cike da rawaya tare da ƙari na launin toka da raguwa: NVR - a gefen gaba da FLO - a baya.

Thearfin hypoglycemic na miyagun ƙwayoyi an gano shi ta nau'ikan abubuwa biyu na asali, kowane ɗayan yana da nasa hanyar aiwatarwa. Complexarfinsu masu rikitarwa yana ba ka damar dogara da sarrafa glycemia yayin rana.

1. Vildagliptin - mai hanawa na dipeptidyl peptidase-4 (DPP-4) - yana inganta halayyar sel zuwa insulin, yana haɓaka haɓakar sa. An bayar da wannan sakamakon ta hanyar ƙarfafawa ta nau'in gliptin na samar da sunadarai masu mahimmanci ga ƙwayar cuta - nau'in peptide glucagon-G1P (GLP-1) da glucose-polypeptide-insulinotropic-Hulin).
2. Metformin, wani yanki na rukunin riguanide na hydrochloride, yana daidaita abubuwan glycemic indices ta hanyar rage yawan adadin karuwar carbohydrates a cikin karamin hanji, rage samar da glycogen a cikin hanta da kuma inganta amfani da shi a cikin sassan jijiyoyin. Kwayar zata iya haifar da hauhawar jini.

Tare da amfani da baka na maganin, vildagliptin da metformin suna shiga cikin jini ta hanyar bango na hanji, suna isa yanayin warkewa a cikin mintuna 25-30 kuma a ko'ina aka rarraba kan gabobin da kyallen takarda. Metabolism na metabolite na Galvus Met yana faruwa a cikin hanta. Kayan kayayyakin lalata lalata ƙwayoyin hanji da fitsari. Matsakaicin lokacin wanda rabin yadda ake amfani da shi an nuna shine kimanin awanni uku.

A yayin jiyya mai rikitarwa tare da kwayoyi guda biyu a farashin yau da kullun na 1500-3000 mg da vildagliptin 50 mg, rarraba fiye da aikace-aikacen 2, an yi rikodin raguwa mai yawa na sukari jini a cikin tsawon shekara guda. A lokaci guda, glycosylated kwalliyar haemoglobin ta ragu da 0.7%, idan aka kwatanta da ƙungiyar kulawa, wanda kawai ya karɓi metformin.

A cikin masu ciwon sukari da ke kan hadaddun jiyya na Galvus Metom, ba a yi rikodin gyara mai nauyi ba. Fiye da makonni 24 na amfani da miyagun ƙwayoyi, an gano raguwa mai yawa a cikin karfin jini a cikin marasa lafiya masu hauhawar jini da nau'in ciwon sukari na 2. Laifukan cututtukan cututtukan zuciya sun rubutaccen adadi.

Lokacin da aka tsara Galvus Meta yayin kulawa tare da insulin (a cikin kashi na raka'a 41) a cikin masu ba da agaji na masu ciwon sukari waɗanda ke cikin binciken, matakin glycosylated haemoglobin ya faɗi da 0.72%. Hypoglycemia a cikin ƙungiyar gwaji da ƙungiyar placebo ba ta bambanta da lokuta da yawa ba.

Tare da yin amfani da daidaituwa na amfani da glimepiride (daga 4 mg / rana) tare da Galvus Met, an kuma rage yawan raguwar haemoglobin glycosylated - ta 0.76%.

Karshen

Idan kun dauki Allunan kafin abinci, sinadaran da ke aiki suna karuwa cikin hanzari, suna iyakancewa zuwa minti 105 bayan shigowa. Lokacin amfani da miyagun ƙwayoyi tare da abinci, yawan sha yana rage kadan.

Cikakken bayanin bioavailability na miyagun ƙwayoyi yana da matuƙar ƙima - 85%. Rarraba metabolite tsakanin plasma da sel jini yana da daidaituwa, yana ɗaure da ƙarfi ga furotin na jini - kawai 9.3%.

Babban hanyar kawar da miyagun ƙwayoyi shine biotransformation, 69% na kashi a cikin jiki ya juya ya zama mai aiki na Lay151 na pharmacologically marasa aiki. Ficewar vildagliptin yana faruwa ne ta hanyar kodan (85%) da hanji (23%).

Wakilan kabilu daban-daban, na mace ko na mace, na nau'ikan sikelin jiki daban-daban suna nuna kusan magungunan maganin guda ɗaya ne.

Tare da ƙarancin hepatic a cikin m ko matsakaici na tsari, bioavailability na vildagliptin ya ragu zuwa 20%, a cikin mummunan yanayin yana ƙaruwa da 22%.

Tare da ilimin cututtukan koda, matsakaici, matsakaici da tsauraran siffofin AUC, vildagliptin yana haɓaka 1.4 zuwa sau 2.

Ba a yi nazarin sakamakon vildagliptin a kan magungunan magunguna ba a cikin yara.

A sashi na 500 MG, bioavailability na metformin shine 50-60% idan an sha shi kafin abinci. Tare da kara sashi, mai nuna alama yana ƙaruwa gwargwado. Idan kun sha magani a layi daya tare da abinci, bioavailability yana raguwa.

Tare da kashi ɗaya, metabolite a zahiri ba a ɗaura shi ga furotin plasma (don kwatantawa, shirye-shiryen sulfonylurea sun haɗa 90%). Tare da yin amfani da dogon lokaci, ƙwayar a hankali ya shiga cikin sel jini.

Guda da allurar rigakafi na miyagun ƙwayoyi ga masu sa kai masu lafiya sun nuna raunin koda na al'ada a cikin wannan tsarin. Babu wani metabolites da aka samo a cikin hanta. A cikin masu ciwon sukari, har kashi 90% na magungunan da aka dauka suna dauke da kodan ne a cikin sa'o'i 24.

Bambance-bambancen jima'i ba su shafar magungunan magunguna ba. Masu ciwon sukari na kabilu daban-daban sun yi tasirin sakamako na metformin.

Ba a yi nazarin fasalolin shaye-shaye, rarrabawa da kawar da miyagun ƙwayoyi a cikin marasa lafiya da cututtukan hanta ba. Tare da ilimin cututtukan koda, rabin rayuwar yana ƙaruwa. Sakamakon rage karfin ƙwayar koda, masu haƙuri sunada irin wannan sakamako. Babu bayanai game da tasirin maganin a kan sakamakon jiyya a cikin yara.

Wanda aka nuna don maganin

Haɗin haɗin an tsara shi don bi da masu ciwon sukari tare da nau'in ciwon sukari na 2.Dangane da Galvus Meta, akwai magungunan warkewa iri iri.

1. Monotherapy - don daidaita sukari, suna amfani da magani ɗaya - Galvus Met.
2. Rarraba amfani da abubuwa masu aiki na Metformin da Vildagliptin azaman magunguna masu zaman kansu.
3. Hade jiki tare da magungunan sulfanylurea.
4. Tsarin sau uku tare da ƙari na insulin zuwa Galvus Meta.
5. A matsayin magani na farko-farko da aka yi amfani da shi a farkon farawar magani, lokacin da abinci maras nauyi da kuma nauyin tsoka ba ya haifar da sakamakon da ake so.

Maganin Galvus mai kyau ga mata masu juna biyu da masu shayarwa

Gwaje-gwaje a kan dabbobi masu ciki, wanda aka gudanar da allurai na vildagliptin sau 200 fiye da yadda aka saba, ya nuna cewa miyagun ƙwayoyi ba ya keta ci gaban embryos kuma baya da tasirin cutar kwayar cuta. Yin amfani da Galvus Meta a cikin sashi na 1/10 ya nuna irin wannan sakamako.

Ba a yi nazarin tasirin magani a cikin tayin ɗan adam yadda ya kamata ba, don haka ba a ba da umarnin mata masu juna biyu. Metformin ya shiga cikin madara mai nono; babu bayanai akan shigarwar vildagliptin.

Gabaɗaya, ba a amfani da Galvus Met don shayarwa ba.

Ga wanda hypoglycemic wakili ne contraindicated

Abubuwan cututtukan jini wanda ba a ba da umarnin metabolite ba:

• Kayan aiki daban-daban, rashin jituwa ga kowane bangare na maganin,
• Ciwon sukari na 1 - tare da cutar da ya dogara da wannan nau'in, ana buƙatar insulin,
• Bayan 'yan kwanaki kafin a fara aikin, X-ray da kuma gwajin radiisotropic, zazzabin cutar baƙi,
• Alcoholism a matsayin cuta ko guda barasa maye,
• Abun kwanciyar hankali, lokacin da har zuwa 1000 kcal / rana ya shiga jiki,
• Duk lokacin haila da lactation,
• Yara - aminci da tasirin magani ba a kafa su ba.

Yadda ake amfani da maganin

Ya kamata a hadiye kwamfutar hannu gaba daya, ba tare da taunawa ko narkewa ba, a wanke shi da isasshen ruwan a zazzabi mai dadi. Idan kun ɗauki kwaya tare da abinci, haɗarin cutar zai iya raguwa.

Yawan allurai na Galvus Meta sun dogara da matakin biyan diyya, sakamakon magani na baya tare da analogues, da tsawon lokacin cutar. A kowane hali, tsarin kulawa likita ne.

Idan an wajabta magungunan a karon farko, a matsayin ƙari ga rage cin abinci mai inganci da aiki na jiki, ƙayyadaddun zai zama 50/500 MG (alamomi na farko shine vildagliptin, na biyu shine metformin). A nan gaba, tare da isasshen sakamako na warkewa, wanda aka ƙaddara ta hanyoyin dakin gwaje-gwaje, za a iya daidaita sashi matakin.

Lokacin da mai haƙuri ya riga ya saba da magungunan (ya ɗauki su daban ko a sauran haɗuwa), suna ba da shawarar ɗayan zaɓi - 50/850 MG ko 50/1000 MG.

A cikin shekaru masu girma ko tare da haɓakar ƙwayoyin koda, mafi ƙarancin yawanci ana bada shawara.

Don kimanta sakamakon maganin Galvus Metom, ya zama dole don bincika matakin sugars (duka a gida, tare da glucometer, kuma a cikin dakin gwaje-gwaje) a kai a kai.

Side effects

Ba a yin rikodin da ba a ke so ba sau da yawa, amma wajibi ne don nazarin jerin abubuwan kafin amfani da masu ciwon sukari.

1. Gastrointestinal fili - cutawar dyspeptik, ƙwannafi, bugun ƙwayar cuta, ƙanshin ƙarfe a bakin, ƙarancin shan Vitamin B12.
2. CNS - asarar daidaituwa, ciwon kai, hannaye da rawar jiki.
3. Hankalin hanta da bile - hepatitis da dysfunction hanta.
4. Tsarin Musculoskeletal - haɗin gwiwa da ciwon tsoka.
5. Fata - blisters, busa, fata mai bushe.
6. Metabolism - lactic acidosis (karuwa a cikin taro na uric acid, amsawar acidic na yanayin).
7. Allergies - fatar fata, itching, urticaria, a cikin matsanancin halaye - ciwan ciki da kumburin Quincke (kumburi fuska da gabobin) da tashin hankali anaphylactic (raguwar hauhawar jini, haɓaka ta ɓangaren ƙwayar cuta mai yawa).

Wani lokacin yawan rashin ƙarfi na haɓakawa tare da saukad da gumi mai sanyi, da rawar jiki. A alamomin farko, kuna buƙatar shan rabin gilashin shayi mai zaki ko ruwan 'ya'yan itace, ku ci alewa.

Umarni na musamman

Lokacin da yake rubuta magani, mai ciwon sukari yana buƙatar nazarin umarnin kansa. Umarni na musamman zai taimaka wajen nisantar da illa.

• Galvus Met ba shine maganin insulin ba, yana da mahimmanci, da farko, ga masu ciwon sukari masu fama da ciwon sukari da suka dogara da insulin.
• A cikin jiyya tare da miyagun ƙwayoyi, saka idanu na yau da kullun game da sukari na jini (duka dakin gwaje-gwaje da mutum, ta amfani da glucometer) ya zama tilas.The abubuwa masu aiki na metabolite suna hulɗa tare da magunguna da yawa, kuma ya kamata a sanar da likita game da duk magunguna lokacin da suke tsara tsarin kulawa.
• Sakamakon Galvus Meta akan halayen psychomotor da kuma matakin tattara hankali ba a yi nazari ba. Lokacin aiki tare da inji da injuna yayin jiyya tare da miyagun ƙwayoyi, dole ne mutum yayi hankali sosai.

Yawan abin sama da ya kamata

Idan shawarar da aka ba da shawarar ta wuce sau da yawa, myalgia, hypoglycemia, rikicewar dyspeptic, kumburi daga ƙarshen, lactic acidosis (daga wuce haddi na metformin) haɓaka. Alamar yawan shan ruwa fiye da kima ya ɓace bayan dakatarwar magani.

Tare da irin wannan bayyanar cututtuka, an soke maganin, an wanke shi tare da jijiyoyin mahaifa kuma ana yin magani na alama. Amfani da hemodialysis, metformin kawai za'a iya cire shi gaba daya, vildagliptin an cire wani sashi.

Karfe Galvus - analogues

Idan muka kwatanta abun da ke ciki da sakamakon jiyya, to gwargwadon abubuwan aiki masu karfi da tasiri na warkewa, analogues na iya zama:

Nova Met, shawarwari don ajiya da farashin magani

Dangane da umarnin, Galvus Met ya dace don amfani a cikin watanni 18 daga ranar da aka sake shi, ƙarƙashin batun ajiya mai dacewa. Dole ne a zubar da maganin da ya ƙare. Wuri mai duhu da bushewa wanda ba ya isa ga hankalin yara ya dace da ajiya, tare da yanayin zazzabi har zuwa 30 ° C.

An sake sayan magani. Don maganin Galvus Met, sashi yana ƙayyade farashin:

1. 50/500 MG - matsakaita na 1457 rubles,
2. 50/850 MG - matsakaita na 1469 rubles,
3. 50/1000 MG - matsakaici na 1465 rubles.

Ko da tare da amfani guda ɗaya na yau da kullun, ba duk masu ciwon sukari sun gamsu da wannan farashi ba, mafi yawan korafe-korafe daga masu fansho tare da ƙananan ragi Koyaya, samfuran kamfanin Switzerland na Novartis Pharma ana rarrabe su koyaushe ta hanyar ƙimar su, kuma basa cikin ɓangaren kasafin kuɗi na wakilan masu zubar da jini.

Galvus Met - sake dubawa game da masu ciwon sukari da likitoci

A cikin ɗakunan tattaunawar maganganu, endocrinologists suna ba da amsa game da sakamakon maganin Galvus Metom. Ba'a ba da shawarar yin shi don matsalolin oncological ba, tun da DPP-4, enzyme wanda ke hana ci gaban neoplasms, Galvus Metom yana hana shi. A cikin cututtukan cututtukan fata na ƙwayar cuta, ana ba da umarnin insulin yawanci. Nazarin marasa lafiya game da Galvus Mete an gauraye, babban batun muhawara shine ingancin farashi.

Bayanai game da miyagun ƙwayoyi Galvus Met hadewar hypoglycemic sakamako a kan insulin da glycogen a cikin jiki ya dogara da umarnin hukuma, amma an ba da shi don dalilai na bayanai kawai kuma ba za a iya samun jagora don ganewar asali ko magani na kai ba.

Umarnin don amfani

Dole ne a dauki allunan magungunan a baki baki daya kuma ba a tauna ba.

Don cire yiwuwar ci gaban sakamako, yana da kyau a sha maganin lokacin cin abinci.

Likita ya saita kashi da ake buƙata dabam dabam ga kowane mara lafiya, yana farawa daga shawarar da ya yanke game da adadin glucose ɗin da aka ƙaru, abin da mai haƙuri ya sha magani kafin kuma ko yana da tasiri.

Daidaitaccen sashi shine kwamfutar hannu 1 sau biyu a rana, safe da maraice. Idan kashi daya ne a rana, to kana buƙatar shan maganin da safe.

Side effects da yawan abin sama da ya kamata

Yin amfani da Allunan zai iya tayar da haɓaka sakamakon sakamako na miyagun ƙwayoyi, kuma wannan zai shafi yanayin ƙwayoyin da tsarin da ke gaba:

1. Tsarin narkewa - yana fara yin amai, akwai jin zafi a cikin ciki, ruwan 'ya'yan itace na ciki ya jefa zuwa ƙananan sassa na esophagus, mai yiwuwa kumburi da ƙwayar ƙwayar cuta, dandano mai ƙarfe na iya bayyana a bakin, bitamin B ya fara zama mafi muni.
2. Tsarin mara amfani - jin zafi, farin ciki, hannaye masu rawar jiki.
3. Cutar hanta da gallstone - hepatitis.
4. Tsarin Musculoskeletal - jin zafi a cikin gidajen abinci, wani lokacin a cikin tsokoki.
5. Tsarin aiki na metabolism - yana ƙara matakin uric acid da acidity na jini.
6. Allergy - rashes a saman fata da itching, urticaria. Hakanan zai yuwu a samarda mafi tsananin alamun rashin lafiyan jiki ga jikin mutum, wanda aka bayyana shi cikin angioedema Quincke ko firgigitaccen tashin hankali.
7. A lokuta da dama, ana bayyanar alamun bayyanar cututtukan jini, wato, rawar jiki na sama, "gumi mai sanyi". A wannan yanayin, ana bada shawarar daskarar da carbohydrates (shayi mai zaki, confectionery).

Idan sakamako masu illa na miyagun ƙwayoyi sun fara haɓaka, to ana buƙatar dakatar da amfani da shi don neman shawarar likita.

Hadin gwiwar Magunguna da Analogs

Idan kayi amfani da Galvus Met tare da wasu magunguna, haɓaka halayen cuta ko haɓaka / raguwa a cikin tasirin maganin da aka yi amfani da shi yana yiwuwa.

Tare da yin amfani da lokaci ɗaya tare da furosemide, maida hankali a cikin jini na miyagun ƙwayoyi na biyu zai karu, amma adadin na farko zai ragu.

Shan Nifedipine a lokacin jiyya yana haifar da ƙwayar hanzari, ƙoshin kodan, da kuma ƙaruwa da yawaitar Metformin a cikin jini.

Idan an yi amfani da shi tare da glibenclamide, to, maida hankali na ƙarshen zai fara raguwa.

Ba'a ba da shawarar a ɗauka tare da Donazol ba, tunda yana da tasiri mai ruɓewa. Idan haɗuwa da kwayoyi ya zama dole kawai saboda dalilai na likita, to lallai ne ku daidaita sashi na Metformin kuma ku kula da yawan sukari a cikin jini.

Diuretic, hana daukar ciki, magunguna na glucocosteroid, allurar tasirin alli, Phenothiazine - lokacin da aka yi amfani dasu tare da Galvus Met, zasu iya haifar da cututtukan jini. Amfani da akalla 100 MG na Chlorpromazine tare da Galvus Met a rana, zaku iya haɓaka glycemia, tare da rage samar da insulin.

Lokacin amfani da wakilai na radiopaque tare da aidin yayin lokacin jiyya, lactic acidosis yana farawa, wanda aka sauƙaƙe ta rashin nasara na koda. Idan kun sha kwayoyi waɗanda ke dauke da giya ethyl a lokaci guda, haɗarin lactic acidosis shima yana ƙaruwa.

Galvus Met yana da alamun analog ɗin masu zuwa na gida: Avandamet, Glimecomb da Combogliz Prolong.

Avanta ya ƙunshi abubuwa masu aiki guda 2 - Rosiglitazone da Metformin. Ana amfani da maganin don magance nau'in insulin-rashin lafiya na cutar. Rosiglitazone yana ƙaruwa da hankalin ƙwayoyin sel zuwa insulin, kuma Metformin yana rage haɗarin glucose ta hanta.

Glimecomb ya ƙunshi Metformin da Glyclazide, wanda ke ba ku damar daidaita matakan sukari da sauri. An contraindicated don amfani tare da nau'in insulin-dogara da ciwon sukari, coma, lactation, da dai sauransu.

Comboglyz Prolong ya ƙunshi Metformin da Saxagliptin. Ana amfani dashi don magance ciwon sukari na 2, lokacin da ba zai yiwu ba don rage matakan sukari tare da abinci da aikin jiki. Ba'a ba da shawarar yin amfani da shi don rashin haƙuri ba ga abubuwan da ke ciki, ciwon sukari na dogaro da insulin, yara, yayin daukar ciki, lokacin lactation.

Ra'ayoyin kwararru da marasa lafiya

Daga sake dubawar likitoci da marasa lafiya game da Galvus Met, zamu iya yanke hukuncin cewa magungunan suna da tasiri wajen rage yawan glucose na jini. Tasirin sakamako yana da ɗanɗano kuma an dakatar da shi ta raguwa a cikin yawan ƙwayoyi.

Magungunan yana cikin rukunin magunguna IDPP-4, an yi rajista a Rasha a matsayin magani don maganin ciwon sukari na 2 na mellitus. Yana da tasiri kuma yana da aminci, masu fama da cutar sun yarda da su, ba sa haifar da nauyi. Galvus Met an ba da izinin amfani dashi tare da raguwa a aikin renal, wanda bazai zama superfluous a cikin kula tsofaffi ba.

Ingantaccen magani. Yana nuna kyakkyawan sakamako a cikin sarrafa matakan sukari.

An gano nau'in ciwon sukari na 2 na sukari shekaru goma da suka gabata. Na yi ƙoƙari in ɗauki magunguna da yawa, amma ba su inganta yanayin nawa ba. Sannan likita ya shawarci Galvus.

Na sha shi sau biyu a rana kuma ba da daɗewa ba matakin glucose ya zama al'ada, amma sakamakon sakamako na miyagun ƙwayoyi ya bayyana, watau ciwon kai da rashes. Likita ya ba da shawarar canzawa zuwa kashi 50 na MG, wannan ya taimaka.

A yanzu, yanayin yana da kyau, kusan an manta da cutar.

Mariya, mai shekara 35, Noginsk

Fiye da shekaru goma sha biyar tare da ciwon sukari. Na dogon lokaci, jiyya bai kawo mahimman sakamako ba har sai likita ya ba da shawarar siyan Galvus Met. Babban kayan aiki, kashi daya a rana ya isa ya daidaita matakan sukari. Kuma kodayake farashin yana da girma sosai, ban ƙi magani ba, yana da tasiri sosai.

Nikolay, ɗan shekara 61, Vorkuta

-Material daga Dr. Malysheva game da samfuran da zasu iya taimakawa taimako ga magunguna don ciwon sukari:

Ana iya siyar da magani a kowane kantin magani. Farashin ya tashi daga 1180-1400 rubles., Ya danganta da yankin.

Muna bada shawara ga wasu labaran masu alaƙa

Shin akwai nau'ikan wakoki na cututtukan jini?

Zuwa yau, kasuwar magunguna ta haɗa da irin waɗannan magunguna, Galvus da Galvus sun hadu. Babban bambancin Galvusmet shine cewa ya ƙunshi abubuwa biyu masu aiki a lokaci daya - metformin da vildagliptin.

Wanda ya kirkiro samfurin kwamfutar hannu shine kamfanin kamfanin magunguna na kasar Jamus watau Novartis Pharma Production GmbH. Bugu da kari, a cikin kantin magunguna zaka iya samun samfuran samfuran Switzerland iri-iri.

Ana samun maganin ta musamman a cikin kwamfutar hannu.

Bayanin magungunan a cikin umarnin hukuma yana nufin cewa INN Galvus shine vildagliptin, INN Galvus haɗuwa shine vildagliptin metformin.

Kafin ɗaukar Galvus Met, yana da daraja kula da abubuwan da ake samu na irin wannan magani:

• Galvus ya sadu da kwamfutar hannu 50 500 na kwamfutar hannu
• Galvus ya sadu da allunan 50 a cikin kwamfutar hannu,
• Galvus Met 50 1000 kwamfutar hannu.

Don haka, lambar farko tana nuna adadin milligram na ɓangaren aiki na vildagliptin, na biyu yana nuna matakin metformin hydrochloride.

Ya danganta da abun da ke jikin allunan da kuma yadda ake sanya su, an saita farashin wannan maganin. Matsakaicin farashin Galvus meth 50 mg / 500 MG shine kusan dubu ɗaya da rabi rubles don allunan talatin. Bugu da kari, zaku iya siyan magani da guda 60 a kowane fakiti.

Contraindications a cikin amfani da hypoglycemic jamiái

Kamar kowane shiri na likitanci, Galvus ya hadu da abubuwa da dama da kuma hana amfani da shi.

Tambayar yin amfani da miyagun ƙwayoyi ya kamata a tantance kawai ta likitan halartar.

An haramta amfani da wakili na hypoglycemic a cikin yanayi inda ake bayyanar da bayyanar cututtuka na musamman ko na jikin mutum.

Contraindications sun haɗa da waɗannan:

• halayyar mutum mai haƙuri a cikin rashin haƙuri zuwa ɗaya ko fiye da kayan aikin magani,
• tare da haɓakar kamuwa da cututtukan da suka shafi insulin,
• kafin da bayan aikin tiyata, gwaje gwaje ta hanyar amfani da wasu dabaru na zamani,
• idan akwai wani abu da ya sabawa tsarin na rayuwa a jikin mutum ta hanyar acetonemia,
• yayin rashin ruwa a jiki, kamar yadda akwai haɗarin aikin keɓaɓɓiyar aiki,
• m ko na kullum na koda,
• cututtuka masu yaduwa a cikin tsananin matakan ci gaba, yanayin zazzabi,
• gazawar hanta
• cututtuka daban-daban na hanta, gami da hepatitis ko cirrhosis,
• gajiyawar zuciya a cikin mummunar cuta ko mai saurin kamuwa da cuta, tare da faruwar rauni na zuciya,
• idan akwai matsalolin numfashi wadanda zasu iya haifar da irin wannan gazawar.
• barasa ko shan giya na jiki,
• manne wa abinci mai daidaitawa ko matsananciyar yunwa (adadin da aka karɓa na kilocalo a kowace rana ya kasa da dubu),
• yara ‘yan kasa da shekara goma sha takwas.

A lokacin haihuwar ciki, an hana yin amfani da irin wannan maganin ƙwayar cuta, tunda babu isasshen bayani game da tasirin sa ga ci gaban jariri. Bugu da kari, bai kamata ku sha magani ba yayin shayarwa.

Har zuwa yau, ba a gudanar da nazarin likitanci ba don tantance sakamakon - shin ana iya fitar da abubuwan da ke cikin maganin tare da madara.

Tasirin sakamako da sakamako masu illa

Gudanar da rashin ingantaccen maganin shaye-shayen ƙwayar cuta na iya haifar da haɓaka sakamako daban-daban.

Yiwuwar tasirin sakamako yakamata a yi la'akari lokacin yin lissafin sashi na miyagun ƙwayoyi.

Irin waɗannan sakamako masu illa suna fara bayyana ta ɓangaren gabobin ciki da tsarin jikin mutum.

Da farko dai, sakamakon magani zai iya amsa mummunar amsa:

1. Gastrointestinal fili.
2. Tsarin ciki.
3. A hanta.

Abubuwan da ke tattare da mummunan tasiri na jiki, a cikin shan magungunan, na iya faruwa ta hanyar:

• Ciwon ciki
• jin zafi a ciki,
• abin da ya faru na gastroesophageal reflux, wannan yanayin yana bayyana kanta lokacin da aka saki acid na ciki a cikin ƙananan ƙwayar cuta,
• bloating da ƙara ƙarancin abinci,
• mai fama da cutar kansa
• kumburi da mara kumburin ciki;
• take hakkin al'ada game da bitamin B,
• bayyanar wani dandano na ƙarfe a cikin ramin roba,
• matsanancin ciwon kai ko tsananin kishi,
• bayyana rawar jiki a cikin babban gabar jiki,
• Tsarin kumburi a cikin hanta wanda ke lalata aikinta na yau da kullun,
• zafi a cikin gidajen abinci da tsokoki,
• kumburi fata, fitowar kumburi a kansu,
• haɓaka yawan uric acid, wanda zai iya haifar da haɓakar lactic acidosis,
• rashin lafiyan halayen da bambancin mai wahala.

Idan mai haƙuri yana shan magunguna a allurai masu yawa, tashin zuciya, amai, jin zafi mai zafi a cikin tsokoki, matsewar jiki, ko faɗuwar matakin sukari da ke ƙasa da karɓaɓɓun na iya faruwa.

Idan ya cancanta, likitan halartar na iya bayar da shawarar maye gurbin wannan magani tare da magungunan analog (mafi arha ko mafi tsada).

Shan irin wannan magungunan, yakamata a yi la’akari da abubuwan da suka faru:

1. Allunan an haramta amfani da su yayin shan giya.
2. Aƙalla sau ɗaya a kowane weeksan makonni, yakamata a gudanar da bincike don gano ƙayyadadden aikin hanta da ƙodan.
3. Za'a iya lura da bambancin maganin da kwayoyi na wasu kungiyoyi da azuzuwan. Wannan shine dalilin da ya sa likitan halartar ya kamata ya kula da shan wasu magunguna don guje wa bayyanuwar halayen da ba su dace ba sakamakon amfani da su.
4. Ba'a ba da shawarar yin wasu ayyukan daban-daban waɗanda ke buƙatar haɓakar maida hankali ba.

Bugu da kari, tsawaita amfani da miyagun ƙwayoyi na iya haifar da rikicewar metabolism a cikin tsarin juyayi. Sakamakon haka, anemia ko neuropathy na iya haɓaka.

Menene shaidar masu amfani da kwararrun likitoci?

Game da miyagun ƙwayoyi Galvus haɗuwa da sake dubawa suna da yawa. A matsayinka na doka, daga bangarorin marasa kyau na miyagun ƙwayoyi, masu amfani da keɓaɓɓun farashi mai tsada ga magani. Gabaɗaya, hakika, ɗayan allunan tare da mafi ƙarancin adadin metformin ya bambanta a cikin yanki na dubu ɗaya da rabi rubles.

Ya kamata a lura cewa yawancin marasa lafiya ba su da korafi game da inganci da ingantaccen samfurin. A ra'ayinsu, maganin ya fara aiki da sauri kuma yana kawo kyakkyawan sakamako. Kari akan haka, daya daga cikin ingantattun bangarorin irin wadannan kwayoyin shine gaskiyar cewa masu cutar sukari zasu iya cinye wasu gungun abinci da aka haramta.

A cewar likitoci, babban farashin maganin yana tabbatar da kansa. Haka kuma, Metformin shi kadai (azaman shirye-shiryen kwamfutar hannu) ba arha bane, kuma ana buƙatar adadin kudade don samarwa da haɗin ginin vildaglipin.

Kwararrun likitocin, dangane da babban tasiri na miyagun ƙwayoyi, lura cewa ƙimar darajar ƙimar tana cikin kewayon al'ada. Shan miyagun ƙwayoyi yana haɗuwa tare da kwantar da hankulan ƙwayar jini, daidaitaccen nauyin wuce kima da kuma ingantawa gaba ɗaya cikin jin daɗin haƙuri.

An bayyana magungunan cututtukan jini a cikin bidiyon a cikin wannan labarin.

Nuna sukari ko zaɓi jinsi don shawarwari.Bayan bincike ba a samu ba Show ShowNa bincike ba a samu ba.

Hanyar Galvus: umarnin don amfani. Yadda ake ɗaukar fiye da maye gurbin

Galvus da Galvus Met Cutar Kwalara: Koyi Duk Abin da kuke buƙata. Mai zuwa jagorar koyarwa ne da aka rubuta cikin harshen lafazi. Koyi alamomi, contraindications da sashi.

Galvus Met magani ne mai inganci don ciwon sukari na 2, wanda ya shahara sosai, duk da babban farashinsa. Yana rage karfin jini sosai kuma da wuya ya haifar da mummunan sakamako.

Abubuwan da ke cikin aiki na hada magunguna sune vildagliptin da metformin. Allunan Galvus suna dauke da vildagliptin tsarkakakke, ba tare da metformin ba.

Karanta amsoshin tambayoyin:

1. Yanumet ko Galvus Met: wanne magani ne mafi kyau.
2. Yadda ake shan waɗannan magungunan don babu cutar gudawa.
3. Yarda da Galvus da Galvus Met tare da barasa.
4. Yadda za a maye gurbin vildagliptin idan bai taimaka ba ko yana da tsada sosai.

Galvus da Galvus Met: cikakken labarin

Galvus shine sabon magani. Ya fara sayar da kasa da shekaru 10 da suka gabata. Ba shi da kayan maye na gida mai arha, saboda ba a ƙare aikin mallaka ba.

Akwai analogues na masu yin gasa - Yanuviya da Yanumet, Onglisa, Vipidiya da sauransu. Amma duk waɗannan magungunan ana kiyaye su ta hanyar lambobin ruwa kuma suna da tsada.

Belowasan da ke ƙasa an bayyana shi dalla-dalla menene Allunan Allunan zaka iya maye gurbin vildagliptin idan baza ku iya samun wannan maganin ba.

Hanyar Galvus ko Galvus: Wanne ya fi kyau? Ta yaya suka bambanta?

Galvus tsarkakakke ne na vildagliptin, kuma Galvus Met shine magani mai haɗuwa wanda ya ƙunshi vildagliptin da metformin. Mafi muni, metformin yana rage sukarin jini a cikin masu ciwon sukari fiye da vildagliptin.

Sabili da haka, kuna buƙatar ɗaukar Galvus Met, sai dai idan mai haƙuri yana da mummunar contraindications zuwa alƙawarin metformin. A farkon zamanin jiyya, zawo, amai, bloating da sauran raunin narkewa na iya faruwa. Amma yana da kyau a jira kuma a jira har sai sun wuce.

Sakamakon magani da aka samu yana biya muku wahala.

Yanumet ko Galvus Met: wanne magani ne mafi kyau?

Yanumet da Galvus Met sune irin waɗannan magunguna daga masana'anta daban-daban guda biyu waɗanda ke gasa wa juna. Suna da kusan daidai wannan farashin. Kayan maganin Yanumet yafi tsada, amma ya ƙunshi ƙarin allunan. Babu ɗayan waɗannan magungunan da ke da analogues mai arha, saboda duka magungunan biyu har yanzu sababbi ne, an basu kariya ta hanyar mallakar abubuwa.

Duk magungunan sun tattara kyawawan ra'ayoyi daga marasa lafiya masu magana da harshen Rashanci masu fama da ciwon sukari na 2. Abin takaici, babu wani bayani har yanzu da yakamata amsar wanne daga cikin wadannan kwayoyi ke rage sukarin jini mafi kyau. Dukansu suna da kyau kuma suna da aminci.

Ka tuna cewa a cikin haɗin maganin, Yanumet metformin shine mafi mahimmancin bangaren fiye da sitagliptin.

Galvus ko metformin: Wanne ya fi kyau?

Maƙerin ya ce vildagliptin shine babban sinadaran aiki a cikin allunan Galvus Met. Kuma metformin shine kawai kayan taimako.

Koyaya, Dr. Bernstein ya ce metformin yana rage sukari jini fiye da vildagliptin. Galvus Met yana da mafi kyawun ra'ayoyin haƙuri a tsakanin duk sababbin magunguna masu ciwon sukari na 2.

Akwai zaton cewa babban aikin wannan nasarar ana yinsa ta hanyar tsohuwar metformin, kuma ba sabon tallafin vildagliptin ba.

Varfin Galvus mai tsada yana taimakawa ɗan ƙara kyau daga sukarin jini sama da Allunan tsarkakakken tsarkakakken alluna.

Koyaya, yana ɗan inganta sakamakon maganin cutar sankara, kuma yana biyan kuɗi sau da yawa fiye da Siofor ko Glucofage. Idan damar kuɗi ta ba da izini, ɗauki vildagliptin + metformin.

Game da rashin kuɗi, kuna iya canza zuwa metformin tsarkakakke. Mafi kyawun maganinsa shine ainihin asalin magunguna da aka shigo da shi, Glucofage.

Allunan Siofor sun shahara. Zai yiwu sun ɗan yi rauni kaɗan fiye da Glucofage, amma kuma suna da kyau. Duk waɗannan magungunan suna da rahusa sau da yawa fiye da Galvus Met. Kuna iya samun koda allunan metformin masu rahusa waɗanda aka kera a Rasha da ƙasashen CIS, amma ya fi kyau kada kuyi amfani da su.