Hyvglycemic magani Galvus Met - umarnin don amfani

Galvus Met magani ne wanda yake da tasirin gaske a jiki. Ana amfani dashi don daidaita matakan glucose na jini. Abunda yake aiki shine vildagliptin. Akwai shi a cikin kwamfutar hannu.

An wajabta magunguna don ciwon sukari na 2.

  • Mutane a baya suna fuskantar monotherapy tare da vildagliptin da metformin.
  • Tare da monotherapy, haɗe tare da abinci mai warkewa da ilimin jiki.
  • A matakin farko na maganin ƙwayar cuta - a lokaci guda tare da metformin. Wannan yana da mahimmanci musamman lokacin da rage cin abinci da motsa jiki ba su da tasiri.
  • A hade tare da metformin, insulin, sulfonylurea, tare da abinci mara amfani, maganin motsa jiki da monotherapy tare da waɗannan magunguna.
  • Tare da sulfonylurea da metformin ga waɗancan marasa lafiya waɗanda a baya sun haɗa maganin haɗin gwiwa tare da waɗannan magungunan kuma basu sami ikon glycemic iko ba.
  • Lokaci guda tare da metformin da insulin tare da ƙarancin wadatar waɗannan kudaden.

Contraindications

  • Cututtukan numfashi.
  • Kowane mutum rashin haƙuri zuwa ga abubuwan da miyagun ƙwayoyi.
  • Rashin rikicewar yara.
  • Zawo, zazzabi, amai. Waɗannan bayyanar cututtuka na iya nuna ɓacin rai na cututtukan koda da cututtukan fata.
  • Rashin bugun zuciya, raunin jini na ciki da sauran cututtukan cututtukan zuciya.
  • Kasancewar cutar lactic acidosis mai ciwon sukari da ketoacidosis, a kan asalin jihar predomatous ko coma.
  • Al'adun giya.

Bugu da kari, ba a bada shawarar amfani da miyagun ƙwayoyi don amfani da shekaru 60 da matasa da ke ƙasa da shekara 18 ba. Marasa lafiya na waɗannan rukunin shekaru suna da matukar kulawa ga metformin.

Umarnin don amfani

An zaɓi sashi daban-daban ga kowane mara lafiya. Wannan yana la'akari da tsananin cutar, rashin haƙuri ga ɓangarorin magungunan.

Nagari Dosages Galvus Met
MonotherapyA hade tare da metformin da sulfonylureaTare da insulin, metformin da thiazolidinedioneA hade tare da sulfonylurea
50 MG sau ɗaya ko sau 2 a rana (Matsakaicin adadin izini shine 100 MG)100 MG kowace rana50-100 mg sau ɗaya ko sau 2 a ranaMG 50 a kowace rana don awa 24

Idan matakin glucose bai ragu ba lokacin shan matsakaicin ƙwayar 100 mg, yana da kyau a ɗauki ƙarin magungunan hypoglycemic.

Shan maganin yana dogara da abincin. Ana buƙatar gyaran gyale don marasa lafiya masu rauni marasa ƙarfi na ƙwayoyin cuta. Matsakaicin na iya wuce 50 MG kowace rana. Ga sauran nau'ikan marasa lafiya, ba a buƙatar zaɓi na kashi.

Side effects

Idan ana amfani da shi ba tare da kyau ba, tasirin sakamako masu zuwa zai yiwu:

  • yawan tashin zuciya da amai,
  • tsananin farin ciki
  • ciwon kai
  • kamar haka, gastroesophageal reflux,
  • jin sanyi
  • rawar jiki
  • zawo ko maƙarƙashiya.

  • zafi a ciki
  • hawan jini,
  • rashin tsoro
  • gajiya,
  • rauni
  • hyperhidrosis.

Wasu marasa lafiya sun lura da ɗanɗano da ƙarfe a bakinsu. Wani lokacin ana samun fatar fata da urticaria, yawan ƙwayar epidermis, ƙoshin kumburin fata, da yawan tara ruwa mai taushi. Haɗin gwiwa, raunin ƙwayar cutar huhu, raunin bitamin B baya cikin su.12 da kuma hepatitis (ya ɓace bayan katse magani).

Umarni na musamman

Dukkanin marasa lafiya da ke dauke da ciwon sukari na 2, tare da shan maganin, ana bada shawara don bin tsayayyen abinci Abincin kalori ya zama bai wuce 1000 kowace rana ba.

Kafin alƙawarin kuma yayin jiyya tare da miyagun ƙwayoyi, ya zama dole don saka idanu kan alamun ayyukan hanta. Wannan ya faru ne saboda haɓaka ayyukan aminotransferase yayin ɗaukar vildagliptin.

Tare da tara metformin a cikin jiki, haɓakar lactic acidosis mai yiwuwa ne. Wannan baƙon abu ne mai wahala amma mara wahala mai wahala. Riskungiyar haɗarin ta hada da mutanen da suka dade da fama da yunwa ko kuma sun sha giya. Wannan kuma ya shafi masu ciwon sukari da ke fama da gazawar rashin koda.

Ciki

Galvus Met 50/1000 MG yana cikin ciki da mata masu shayarwa. Babu bayanai game da amfani da miyagun ƙwayoyi a wannan lokacin.

A cikin taron cewa ana buƙatar maganin metformin, endocrinologist zai zaɓi wani magani wanda aka tabbatar. A wannan yanayin, kuna buƙatar auna sukarin jini akai-akai har zuwa ƙarshen ciki. In ba haka ba, akwai haɗarin haɓakar asaran haihuwa a cikin yaro. A mafi munin yanayi, mutuwar tayi tana yiwuwa. Don daidaita yanayin glucose, mace tana buƙatar allurar da insulin.

Hulɗa da ƙwayoyi

Magungunan yana da ƙananan matakan hulɗa da miyagun ƙwayoyi. Saboda wannan, ana iya haɗe shi da inhibitors da enzymes daban-daban.

Tare da yin amfani da lokaci ɗaya tare da Glibenclamide, Warfarin, Digoxin da Amlodipine, babu wata hulɗa mai mahimmanci a cikin asibiti da aka kafa.

Galvus Meta yana da magungunan analogues da yawa na magunguna. Daga cikin su akwai Avandamet, Glimecomb, Combogliz Prolong, Januvius, Trazhent, Vipidiya da Onglisa.

Hada magunguna na rashin daidaito. Haɗin ya haɗa da manyan abubuwan biyu - rosiglitazone da metformin. An wajabta don magance ciwon sukari da ke dogaro da insulin. Metformin yana hana haɗin sukari a cikin hanta, kuma rosiglitazone yana ƙara haɓaka hankalin sel sel zuwa insulin.

Ya ƙunshi gliclazide da metformin. Normalizes jini glucose. Contraindicated a cikin insulin-dogara da masu ciwon sukari, mata masu juna biyu, fama da hypoglycemia da marasa lafiya a cikin coma.

Ciwan Combogliz

Abun da ke cikin magungunan ya hada da saxagliptin da metformin. An tsara shi don bi da ciwon sukari na 2. Contraindicated a cikin mutane da wani insulin-dogara da nau'in ciwon sukari, mata masu ciki, matasa masu shekaru 18 da haihuwa. Hakanan, Ba a tsara Combogliz Prolong don zubar da hankali ga manyan abubuwan da ke ciki da kuma ga hanta da koda da dysfunction.

Sitagliptin yana aiki azaman aiki mai aiki na wakilin jini. Magungunan yana daidaita matsayin glucagon da glycemia. An contraindicated a cikin mutane tare da mutum haƙuri ga aka gyara da insulin-dogara da ciwon sukari. A lokacin jiyya, cututtukan hanji, ciwon kai, zafin hadin gwiwa, da narkewa yana iya faruwa.

Akwai shi a cikin nau'ikan Allunan tare da linagliptin. Yana daidaita matakan glucose kuma yana raunana gluconeogenesis. Dosages aka zaɓi akayi daban-daban.

Magungunan an yi shi ne don haɗaka magani ko monotherapy na ciwon sukari na 2. Akwai shi a cikin kwamfutar hannu. Haramun ne ga mutanen da ke da zuciya, koda da gazawar hanta, ciwon sukari da ke dogaro da ketoacidosis masu ciwon sukari.

Ana amfani da miyagun ƙwayoyi don kula da sukarin jini mai azumi da kuma bayan cin abinci. Saxagliptin wanda yake shine ɓangaren sarrafa glucagon. Ana amfani dashi don monotherapy ko a hade tare da wasu kwayoyi. Contraindicated a cikin nau'in 1 na ciwon sukari da ketoacidosis.

Reviews game da aikace-aikacen mafi yawan gaske tabbatacce ne. Galvus Met yana da haƙuri sosai kusan dukkanin marasa lafiya. Iyakar abin da miyagun ƙwayoyi kawai shine babban farashinsa. Hakanan akwai buƙatar ƙarin amfani da magunguna masu rage sukari.

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.

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 jin ciwo, akwai jin zafi a cikin ciki, ruwan 'ya'yan ciki na jefa cikin ƙananan sassan esophagus, kumburin farji yana yiwuwa, ɗanɗano mai ƙarfe na iya bayyana a bakin, ana samun Vitamin B 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.

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

Abubuwan bidiyo daga Dr. Malysheva game da samfuran da za su 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.

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