Me ke taimaka wa Siofor? Umarnin, farashin, sake dubawa da kuma shigarwar analogues

Siofor magani ne daga ƙungiyar biguanide. Babban sinadaran aiki shine metformin, wanda aka yi amfani dashi don magance cututtukan sukari shekaru da yawa.

Ba kamar sauran magungunan maganin cututtukan cututtukan ba, ƙwayar ta rage samar da glucose ta ƙwayoyin hanta, yana hana shansa daga ɓangarorin sama na jijiyoyin, yana ƙaruwa da buƙatar tsoka don glucose, kuma yana rage yawan raguwar insulin a cikin jiki.

Babban sakamakon shan miyagun ƙwayoyi:

• Ragewa da kuma daidaita matakin glycosylated haemoglobin da gulukos na jini,
• increasedara yawan abubuwan motsa jiki a cikin ƙwayoyin cuta,
• ƙara haƙuri da jini na sukari.

• yana rage ƙarancin lipoproteins mai ƙarancin raguwa,
• yana da antioxidant da kariya mai tasiri akan membranes cell,
• normalizes nauyin jiki a cikin kiba.

Ana amfani da wannan magani don magance cututtukan type 2.

Hanyoyin sakin magunguna

Magungunan magani suna da nau'ikan sakin jiki, kuma dukkansu suna kan tebur, wanda ke sa magani musamman dace don ɗauka a gida.

• Siofor 500 - fararen allunan, farare mai kauri, mai rufi, an rufe su a cikin murhun musamman na guda goma sha biyar, kowane kwali na kwali ya kunshi daga blisters biyu zuwa takwas,
• Siofor 850 - farin fararen kwalabe, da kananzir, wanda shima ya lullube, aka sanya shi cikin murhunan guda goma sha biyar, a kowane kunshin kwali daga blisters biyu zuwa takwas,
• Siofor 1000 - allunan farin tare da karamin kananun a saman, suna da harsashi, Hakanan suna cushewa a cikin blister na guda goma sha biyar, a cikin kunshin guda biyu daga blisters biyu zuwa takwas tare da allunan.

Contraindications

Bayanin kowane magani ya haɗa da babi akan maganin hana ƙwayoyin cuta. Idan babu kyakkyawar kulawa ga wannan ɓangaren koyarwar, akwai haɗarin haɗari na rikice-rikice iri daban-daban.

Contraindications don yin amfani da Siofor a matsayin wakili na maganin cututtukan ƙwayar cuta:

• hypersensitivity na gabobin na miyagun ƙwayoyi,
• type 1 ciwon sukari mellitus, insulin dogara,
• kwayar cutar sankara bayan
• furta ketoacids,
• yanayin rawar jiki: rawar zuciya, tashin zuciya mai guba da rawar jiki,
• hargitsi a cikin daidaitawar ruwa-electrolyte,
• gajiya da anorexia,
• lalata ƙone fiye da 40% na jiki,
• zubar jini fiye da ɗaya da rabi na jini,
• tiyata a karkashin allurar gaba ko kashin baya,
• cututtuka na cututtukan cututtukan ƙwayar cuta da tsarin bronchopulmonary,
• toshewar hanji na yanayi ko sihiri,
• rikicewar motsi na ciki,
• lalacewa da cutar malaria,
• cututtukan tsarin endocrine: thyrotoxicosis, autoimmune thyroiditis, cututtukan tagulla, cututtukan cututtukan cututtukan mahaifa,
• cutar febrile
• dadewa da shan giya tare da cin gaban giya,
• jaraba
• ciki a cikin dukkan ukun uku,
• nono
• shekara shekara har zuwa shekaru goma da mutane sama da sittin da biyar da haihuwa,
• ciwukan raunuka daga cikin rauni da kuma kasasshen kashi na mummunan cuta da cututtukan etiology.

Girman ya dogara da ko za a yi amfani da maganin a hade tare da sauran jami'ai masu maganin cututtukan fata. An zaɓi mafi kyawun ƙwayar ta hanyar endocrinologist bayan an yi gwajin likita. Magungunan na iya ƙunsar 0.5, 0.85 da 1 gram na babban abu.

Siofor far kawai

Sun fara shan miyagun ƙwayoyi tare da sashi na 0.5 grams sau ɗaya ko sau biyu a rana ko daga gram 0.85 sau ɗaya a rana. Makonni biyu bayan farawar gudanarwa, in babu mummunan tasirin, ƙara sashi a hankali zuwa gram 1.5-2. Idan sannu a hankali ka kara adadin miyagun ƙwayoyi, to sakamako masu illa na haɓaka a cikin mafi ƙarancin adadin da zai iya.

Hada magani

Mafi sau da yawa, ana amfani da haɗin siofor tare da insulin a cikin ilimin sukari. A lokaci guda, sun fara shan Allunan tare da sashi na 0.5 grams, kowane mako suna ƙaruwa da wani rabin gram har sai ya isa matsakaita na yau da kullun (3-4 grams). Yawan allurar insulin ana ƙaddara ta hanyar auna sukari jini.

Umarnin don amfani

Siofor, wanda umarninsa ke amfani da shi ba ya haifar da matsaloli masu yawa, ana ɗauka sau ɗaya ko sau biyu a rana (gwargwadon sashin kwararrun da aka tsara). An bada shawara a ɗauki Allunan kafin babban abincin, a wanke su da gilashin tsabta ruwa. Ba za a yarda a sha kwamfutar hannu tare da barasa ba, 'ya'yan itace mai tsami ko ruwan' ya'yan itace, har ma da kayan kiwo, saboda wannan zai cutar da kaddarorin warkarwa.

Umarni na musamman

Idan an tsara magungunan a hade tare da abubuwan da ake amfani dasu na sulfonylurea ko insulin, ana buƙatar yin la'akari da matakin glucose a cikin jini a lokuta daban-daban na rana. Hakanan wajibi ne don ɗaukar gwaji don hawan jini na glycosylated.

Bayan shan magungunan, ana bada shawara don yin amfani da urinalysis na gaba ɗaya da kuma nazarin ƙididdigar ƙwayar fitsari da jini a kowane wata shida, kazalika da ƙididdige yawan ƙirar ƙasa. Wadannan gwaje-gwaje suna ba ku damar sanin yanayin kodan da kuma tasirin maganin a kan tsarin fitsari.

Idan mai haƙuri yana da cutar huhu, cutar hanta, ko cututtukan cututtukan fata, yakamata ku sanar da likitan ku game da wannan kuma ku nemi shawara game da dabarar ƙarin ilimin.

Idan za a bincika mara lafiyar tare da gabatar da sabanin aikin rediyo ko tiyata, an soke maganin ne kwana biyu kafin aikin.

Rashin shayarwa bashi da jituwa ga shan maganin. Binciken masana ya tabbatar da cewa an cire maganin a madarar nono. Lokacin da ake shirin daukar ciki a cikin 'yan watanni bayan fara shan miyagun ƙwayoyi, ya kamata ka sanar da likitan da ke halartar wannan game da yin sauyawa.

Yin hulɗa da miyagun ƙwayoyi tare da wasu abubuwa na magani

Lokacin da aka sami magunguna da yawa a cikin jikin mutum lokaci daya, wannan na iya canza tasirin su sosai. Cutar sankarau wacce ke da wahalar sarrafawa tana haifar da amfani da wasu ƙwayoyin cuta a lokaci guda, wanda hakan na iya haifar da wasu sakamako masu illa.

Sakamakon hulɗar da Siofor tare da sauran abubuwa na magani:

• madauki, thiazide da potassium-sparing diuretics suna rage tasirin sugar,
• glucocorticosteroids, hana haihuwa, magunguna na maza da mata na kwayoyin halittar jima'i (wanda ke dauke da kwayoyin testosterone, estrogens) suna tasiri sosai a aikin aikin hypoglycemic,
• nifedipine, sinadarin nicardipine suna kara yawan shan miyagun ƙwayoyi a cikin jijiyoyin ciki na sama,
• insulin da abubuwa masu insulin-ins, shirye-shiryen sulfonylurea suna kara babban tasirin magungunan kuma suna iya haifar da kwayar cuta,
• antidepressants, angiotensin-canza mai hana enzyme wasu kwayoyi kuma suna kara haɓakar siofor,
• lokacin shan cimetidine, cirewar maganin daga jikinta ya rikice, wanda zai haifar da ketoacidosis,
• shan giya yana kara haɗarin jihar ketoacidotic sau da yawa,
• sinadarin ioine mai dauke da sinadari a hade tare da siofor na iya haifar da rashin lafiyan rashin jijiyoyi tare da edema na Quincke da ci gaban tashin hankali na tashin hankali na anaphylactic.

Side effects

Siofor 500 na iya haifar da wasu sakamako masu illa, wanda a ka'ida halayyar kowane abu ne na ƙwayoyi. Yawancinsu suna tashi ne saboda halayen haɗin mutum na asali da ƙarin abubuwan haɗin maganin tare da masu karɓar jiki.

Sakamakon sakamako na yau da kullun daga shan Siofor:

• dyspepsia a duka bayyanar cututtuka: alamomin ƙwannafi da haushi a bakin, belching,
• kunna kunna jiji, tashin zuciya,
• zawo da maƙarƙashiya,
• gas a cikin ƙananan jijiyoyin jini,
• stitching sha raɗaɗin a ciki,
• jin cikakken bayan cin karamin abinci,
• ɗanɗano-ɗaci mai daci na yau tare da taɓa ƙarfe,
• raguwa sosai a cikin glukos din jini, yana haifar da yanayin hypoglycemic,
• syncope da syncope
• migraine da migraine vertigo,
• lethargy, juyayi,
• asarar nauyi
• tsawan rai da damuwa, tare da halayyar tashin hankali,
• hematopoiesis: megaloblastic anemia,
• canjin hali
• rawar jiki na sama,
• increasedarin tashin hankali ko rashin bacci,
• itching da fata,
• fata peeling
• kurji a kan mucous membranes da kan fata,
• rashin lafiyan da halayen rashin lafiyan: Harshen Quincke, tsawar anaphylactic,
• ga cigaban m renal gazawar,
• ci gaban nakasa koda.

Magungunan suna cikin tsakiyar farashin farashin. Farashin farashi a biranen duniya daban daban ya dan kadan. Kamar yadda yake a cikin manyan birane da lardi, Farashin zai dogara ne akan abin da likita ya wajabta muku. Bambancin kuɗin Siofor 500 da Siofor 1000 suna da mahimmanci.

Matsakaicin farashin a cikin biranen duniya:

1. A cikin yankin Moscow da yankin na Moscow, ana iya samun magungunan don farashin 340 zuwa 850 rubles.
2. A St. Petersburg, farashin maganin zai kasance daga 350 zuwa 850 rubles.
3. A cikin kantin magani a cikin garin Chelyabinsk siofor farashin daga 265 zuwa 340 rubles.
4. Magungunan Novosibirsk suna sayar da maganin a farashin 215 zuwa 800 rubles.
5. A cikin Lipetsk da yankin Lipetsk, mutum zai iya bayarwa daga 212 zuwa 840 rubles don magani.
6. Magunguna a Rostov-on-Don sun fallasa kayan magani a farashin daga 347 rubles zuwa 860.
7. A cikin Vladivostok, zaku iya siyan waɗannan magungunan a farashin 234 zuwa 836 rubles.

Siofor, kamar kowane magani, yana da samfirin analogues. Yawancinsu sun bambanta kawai a cikin ƙasa mai samar. Wasu nau'ikan kwayoyi suna da ƙananan canje-canje a cikin abun da ke ciki, wanda ke sa su zama mafi araha ga wasu mutane.

Babban analogues na miyagun ƙwayoyi:

1. Glucophage wani magani ne da aka yi da Faransa wanda ke da wasu bambance-bambance a cikin abubuwan taimako na maganin. Farashin a cikin kantin magani ya kasance daga 122 zuwa 322 rubles.
2. Bagomet, ba kamar sauran magunguna ba, yana da wasu ƙuntatawa na shekaru akan amfani: ga mutanen da suka wuce shekaru sittin da haihuwa an wajabta shi da taka tsantsan. Sashin farashin yana daga 110 zuwa 340 rubles.
3. Glycon magani ne na Kanada. Hakanan, kamar sauran analogues, yana dauke da metformin, amma yana samuwa a cikin nau'ikan Allunan a cikin kwalabe. A cikin kantin magunguna zaka iya samun farashi mai mahimmanci na 219 rubles.
4. Glyminfor magani ne daga kamfanin kera magunguna a Indiya. Yana haifar da ƙarin sakamako masu illa da ke tattare da aiki mai illa ga gastrointestinal. Reviews game da wannan magani ne wajen gauraye. Farashin da aka ba da shawarar a cikin kantin magunguna shine 200 rubles.
5. Pliva na asali - ya ƙunshi ƙananan canje-canje a cikin haɗin tsofaffin. Farashin ƙarshe a cikin kantin magani shine 250 rubles.
6. Metfogamma magani ne na Jamusanci. Tare da amfani da tsawan lokaci, zai iya haifar da karancin rashi na bitamin An sayar da shi a kantin magani a farashin 180 zuwa 660 rubles.
7. Metformin tsayi - ba kamar metformin na yau da kullun ba, yana da sakamako mai daɗewa. Farashin yana daga 135 zuwa 262 rubles.

Yawan damuwa

Lokacin shan magani fiye da kashi na likitoci da aka ba da shawarar, mai haƙuri yana haɓaka lactic acidosis (canji a ma'aunin acid-base a cikin jiki).

Babban alamun cututtukan lactic acidosis:

• tashin zuciya
• amai
• zawo
• ciwon ciki
• karuwar gas,
• zafi spasmodic tsoka
• jin rashin iska.

Hakanan yana yiwuwa haɓakar ƙwayar cuta, taɓarɓarewa zuwa cutar motsa jiki na hypoglycemic. Wannan yanayin yana tare da asarar hankali, rashin nutsuwa na sassauci, ciwo mai narkewa, gumi mai sanyi da kuma mummunan numfashi.

Taimako na farko don maganin hypoglycemia da lactic acidosis - cin abinci na glucose duka a cikin maganganu na baki da na ciki.

Zaka iya amfani da karamin adadin sukari ko zuma. Bayan haka, yakamata a kai mara lafiya zuwa asibiti na musamman, inda zaiyi maganin hemodialysis don cire abu mai aiki daga jiki.

Siofor magani ne mai haɓaka da ƙwaƙwalwar ƙwayar cuta wanda ke da mutuƙar fa'ida da halaye masu yawa. Yana da kyau a tuna cewa, da farko dai, Siofor 500 da Siofor 1000 suna taimakawa rage karfin jini, kuma dogaro kan sake duba wadanda suka yi amfani da su azaman kwayoyi don asarar nauyi babu shakka bai cancanci hakan ba. Ya kamata kowane likita ya tsara shi kuma ya yarda da shi.

Formaddamar da tsari da abun da ke ciki

Ana yin Siofor a cikin nau'ikan allunan da aka rufe da farin fim ɗin fim.

Abunda yake aiki shine metformin hydrochloride. Volumearar ta a cikin shirye-shiryen shine 500 MG, 850 MG ko 1000 MG, kayan haɗin taimako: povidone, hypromellose, magnesium stearate, shafi fim: macrogol 6000, hypromellose, titanium dioxide.

Kayan magunguna

Siofor, umarnin yin amfani da shi ya tabbatar da wannan, yana samar da raguwa a cikin tasoshin tasoshin jini da na postprandial. Ba ya tayar da rufin insulin kuma sabili da haka baya haifar da hypoglycemia.

Aikin metformin (sashi mai aiki) yana yiwuwa ya dogara ne akan hanyoyin da ke gaba: rage raguwar samarwa da glucose a cikin hanta sakamakon hana gluconeogenesis da glycogenolysis, haɓakar jijiyoyin jiki zuwa insulin kuma, sabili da haka, haɓaka haɓakar glucose a cikin hanji da kuma amfani, hanawar glucose sha a cikin hanji .

Allunan na Siofor na 500 MG, 850 MG ko 1000 MG ta hanyar aikin su akan glycogen synthetase suna haɓaka haɗarin ƙwayar glycogen intracellular. Thearfin sufuri na duk abubuwan da suka faru zuwa yanzu sunadaran sunadarin glucose membrane sunadarai.

Ko da kuwa tasirin tasirin glucose a cikin jini, miyagun ƙwayoyi suna da tasiri mai amfani ga metabolism na lipid, yana haifar da raguwa a cikin jimlar cholesterol, ƙarancin ƙarancin cholesterol da triglycerides.

Magungunan "Siofor": umarnin don amfani (yadda za a sha)

Shaidaitawa da kashi na maganin, kazalika da tsawon lokacin shan magani, ƙwararrun likitocin ne ke halarta gwargwadon matakin glucose a cikin jinin mai haƙuri.

Manya Tare da monotherapy, mafi kyawun kashi na farko na maganin shine 500 MG (1/2 kwamfutar hannu. Siofor 1000 ko kwamfutar hannu 1. Siofor 500) sau 1-2 a rana ko 850 MG (kwamfutar hannu 1. Siofor 850) 1 lokaci a kowace rana.

Bayan kwanaki 10-15 bayan fara magani tare da miyagun ƙwayoyi, ƙarin karuwar kashi (a hankali) yana yiwuwa gwargwadon taro na glucose a cikin jini zuwa matsakaita na yau da kullun: Allunan 3-4. 500 MG, Allunan 2-3. 850 MG kowane, 2 Allunan Siofor 1000 mg.

A wannan yanayin, matsakaicin yarda da izini shine 3000 MG kowace rana zuwa kashi 3 allurai.

Ga marasa lafiya waɗanda aka rubuta su da magunguna masu yawa (2000-3000 mg kowace rana), sauyawa na allunan 2 yana yiwuwa. 500 MG a kwamfutar hannu 1 1000 mg.

Lokacin canja wurin marasa lafiya zuwa maganin ƙwaƙwalwa tare da magani tare da wani magani na maganin antidiabetic, ya zama dole don dakatar da ɗayan karshen kuma fara shan allunan Siofora a cikin abubuwan da ke sama.

Tare da haɗakar amfani da miyagun ƙwayoyi da insulin, daidaitaccen matakin farko shine 500 mg 1-2 sau a rana ko 850 MG 1 sau ɗaya kowace rana. A nan gaba, a hankali ana kara yawan kashi zuwa matsakaicin kullun:

• Allunan 3-4 Siofor 500 MG
• Allunan 2-3 850 MG kowane
• 2 shafin. 1000 mg kowane.

Yi wannan a tsakanin tsaran mako guda. Ana saita kashi na insulin dangane da matakin glucose a cikin jini. Matsakaicin izini da aka yarda dashi shine 3000 MG a kowace rana ya kasu kashi uku.

Yara masu shekaru 10 zuwa 18.Matsakaicin matakin farko don amfani da shi tare da insulin da monotherapy shine 500 MG tare da mita na 1 lokaci a rana ko 850 MG 1 lokaci a rana.

Bayan kwanaki 10-15 bayan farawar, ƙarin ƙaruwa a cikin kashi mai yiwuwa ya danganta da ɗaukar hankali na glucose a cikin jini. Matsakaicin da aka yarda da izini ga yara shine 2000 MG a kowace rana zuwa kashi 2-3. Matsakaicin insulin an ƙaddara yana yin la'akari da matakin glucose a cikin jini.

Side effects

Shan magungunan na iya haifar da mummunan halayen kamar haka:

• fata tayi
• megaloblastic anemia,
• rashin ci
• tashin zuciya, amai,
• zawo
• rashin tsoro
• ciwon ciki
• ƙarfe ɗanɗano a bakin
• hypoglycemia (take hakkin tsarin sashi)
• tare da magani na tsawan lokaci, haɓakar B12 hypovitaminosis (malabsorption) mai yiwuwa ne,
• a cikin maganganun da ke cikin rashi (tare da yawan ƙwayar magunguna, a gaban cututtukan da ke amfani da miyagun ƙwayoyi, tare da barasa), lactic acidosis na iya haɓaka (yana buƙatar dakatar da magani).

Analogues na maganin "Siofor"

Cikakkun analogues na aiki mai aiki:

1. Sofamet.
2. Kayan tsari.
3. Metospanin.
4. Metfogamma 1000.
5. NovoFormin.
6. Metfogamma 500.
7. Metphogamma 850.
8. Glyminfor.
9. Methadiene.
10. Metformin.
11. Bagomet.
12. Glucophage.
13. Glucophage Tsayi.
14. Tsarin Pliva.
15. Langerine.
16. Metformin hydrochloride.
17. Nova Sanda
18. Glycon.
19. Gliformin.

Sharuɗɗan hutu da farashi

Matsakaicin farashin Siofor a Moscow shine 322 rubles. A cikin Kiev, zaku iya siyan allunan (500 MG No. 60) don hryvnias 179, a cikin Kazakhstan - don 1595 tenge. A cikin Minsk, magunguna suna ba da Siofor 850 No. 60 don bel 9-10. rubles. Akwai shi daga magunguna tare da takardar sayan magani.

Game da Siofor 1000, 850, 500, sake dubawar likitoci galibi tabbatacce ne, amma kwararru sun jaddada cewa yakamata a sha magungunan ta hanyar masu fama da cutar sankara, kuma ba lafiya ba, suna rasa mutane masu nauyi. Magungunan suna taimakawa wajen dawo da matakan sukari na yau da kullun kuma, a additionari, mutane masu ciwon sukari suna shan nauyin maganin.

A kan hanyar sadarwa za ku iya samun sake dubawa da yawa na waɗanda suka rasa nauyi tare da taimakon wannan kayan aiki, waɗanda suke da'awar cewa lokacin da kuka ɗauka, abincinku yana raguwa da gaske. Koyaya, dole ne a kiyaye sakamako masu illa. Ba za ku iya shan magani ba tare da takardar sayan magani ba.