Gliformin, ntsiav tshuaj 1000 mg, 60 pcs.

Thov, ua ntej koj yuav Gliformin, ntsiav tshuaj 1000 mg, 60 pcs., Txheeb xyuas cov ntaub ntawv hais txog nws nrog cov ntaub ntawv ntawm lub vev xaib raug cai ntawm cov chaw tsim khoom lossis hais kom meej cov qauv tshwj xeeb nrog tus thawj tswj haujlwm ntawm peb lub tuam txhab!

Cov ntaub ntawv qhia ntawm lub xaib tsis yog pej xeem kev pom zoo. Lub chaw tsim khoom muaj txoj cai los hloov cov qauv tsim, tsim qauv thiab ntim khoom. Cov duab ntawm cov khoom hauv cov duab tau tshaj tawm hauv phau ntawv teev npe rau ntawm lub xaib yuav txawv ntawm cov qauv.

Cov ntaub ntawv ntawm tus nqi ntawm cov khoom tau hais hauv phau ntawv qhia rau ntawm lub xaib yuav txawv qhov tseeb ntawm ib tus neeg thaum lub sijhawm tso daim ntawv txiav txim rau cov khoom lag luam.

Pharmacological kev txiav txim

Gliformin yog tus sawv cev hypoglycemic rau kev tswj hwm qhov ncauj ntawm cov pab pawg biguanide. Glyformin inhibits gluconeogenesis nyob rau hauv daim siab, txo cov piam thaj kev nqus ntawm cov hnyuv, txhim kho peripheral qabzib kev siv, thiab tseem ua rau cov nqaij mos rhiab rau insulin. Txawm li cas los xij, nws tsis muaj kev cuam tshuam cov kua dej los ntawm cov kua hlwb ntawm lub cev ua kua txiav. Txo cov theem ntawm triglycerides thiab qis lipoproteins ntau hauv cov ntshav. Stabilizes lossis txo qhov hnyav lub cev. Nws muaj cov nyhuv fibrinolytic vim yog kev tsuj tawm ntawm cov nqaij plasminogen activator inhibitor.

Hom 2 mob ntshav qab zib mellitus (tshwj xeeb tshaj yog nyob rau cov neeg mob rog) nrog kev kho mob tsis ua hauj lwm.

Cev xeeb tub thiab lactation

Siv thaum cev xeeb tub thiab thaum lactation (pub niam mis) yog contraindicated. Thaum npaj kev cev xeeb tub, nrog rau muaj xwm txheej thaum cev xeeb tub thaum noj Gliformin, cov tshuaj yuav tsum tau txiav tawm thiab kev kho mob insulin yuav tsum tau kho. Nws tsis paub meej tias metformin raug tawm hauv niam cov kua mis, yog li Glyformin® yog qhov sib kis hauv kev pub niam mis. Yog tias nws tsim nyog yuav tsum tau siv tshuaj Glyformin® thaum lactation, pub mis niam yuav tsum tsis cuam tshuam.

Cov Yuav Tsum Tau Ua

• ketoacidosis, mob ntshav qab zib precoma, coma,
• mob raum khiav tsis zoo,
• mob plawv thiab ua pa tsis ua haujlwm, mob theem myocardial infarction, mob cerebrovascular mob hnyav, lub cev qhuav dej, mob cawv cawv thiab lwm yam mob uas yuav ua rau muaj kev tiv thaiv kab mob lactic acid,
• cev xeeb tub thiab lactation,
• hypersensitivity rau cov tshuaj,
• kev phais mob hnyav thiab raug mob thaum kho cov tshuaj insulin,
• lub siab ua tsis taus pa, qaug cawv qaug cawv,
• lactic acidosis (suav nrog keeb kwm),
• siv tsawg kawg 2 hnub ua ntej thiab tom qab 2 hnub tom qab ua kev tshawb fawb radioisotope lossis xoo hluav taws xob nrog kev qhia ntawm iodine-contrast contrast medium,
• ua raws li cov khoom noj uas tsis muaj calories ntau (tsawg dua 1000 calories / hnub).

Nws tsis pom zoo kom siv cov tshuaj rau cov neeg laus dua 60 xyoo uas ua haujlwm lub cev hnyav, uas cuam tshuam nrog kev pheej hmoo ntawm kev tsim mob lactic acidosis hauv lawv.

Sab sij huam

Los ntawm lub plab zom mov: xeev siab, ntuav, "nws yog xim hlau" saj hauv lub qhov ncauj, tsis qab los noj mov, raws plab, plab, mob plab.
Los ntawm ib sab ntawm cov metabolism: hauv qee qhov tsis tshua muaj tshwm sim - cov kab mob lactic acidosis (xav kom tsis muaj kev kho mob), nrog kev kho mob mus ntev - hypovitaminosis B12 (malabsorption).
Los ntawm cov kabmob hemopoietic: qee kis - megaloblastic anemia.
Los ntawm cov kab ke endocrine: hypoglycemia (thaum siv tsis tas).
Kev ua xua rau: xoo pob khaus.

Kev sib txuam

Nrog rau kev siv tib lub sijhawm nrog sulfonylurea derivatives, acarbose, insulin, non-steroidal anti-inflammatory drugs, monoamine oxidase inhibitors, oxytetracycline, angiotensin hloov enzyme inhibitors, clofibrate derivatives, cyclophosphamide, beta-adrenergic thaiv cov khoom siv, nws muaj peev xwm ntxiv dag zog. Nrog rau kev siv ua ke nrog glucocorticosteroids, tshuaj tiv thaiv qhov ncauj, epinephrine, sympathomimetics, glucagon, cov thyroid hormones, thiazide thiab "voj" diuretics, phenothiazine derivatives, nicotinic acid derivatives, nws tuaj yeem txo qis cov nyhuv hypoglycemic ntawm Glyformin®.
Cimetidine qeeb qeeb ntawm kev rhuav tshem Glyformin®, uas ua rau muaj kev pheej hmoo ntawm tus mob lactic acidosis.
Glyformin ® tuaj yeem txo cov nyhuv ntawm anticoagulants (coumarin derivatives). Nrog rau kev haus dej cawv ib txhij, kev txhim kho ntawm lactic acidosis muaj peev xwm ua tau.

Yuav ua li cas coj, chav kawm ntawm kev tswj hwm thiab ntau npaum li cas

Cov koob tshuaj ntawm lub tshuaj yog teem los ntawm tus kws kho mob ib leeg zuj zus, nyob ntawm seb muaj qib ntshav qabzib hauv cov ntshav.
Qhov hno thawj yog 0.5-1 g / hnub. Tom qab 10-15 hnub, nce ntxiv hauv koob tshuaj ntau dua yog ua tau nyob ntawm qib glycemia. Kev saib xyuas cov tshuaj ntawm cov tshuaj feem ntau yog 1.5-2 g / hnub. Qhov ntau tshaj plaws yog 3 g / hnub. Txhawm rau kom txo cov kev mob tshwm sim los ntawm txoj hnyuv plab, qhov tshuaj txhua hnub yuav tsum tau muab faib ua 2-3 zaug. Hauv cov neeg mob laus, cov koob tshuaj pom zoo txhua hnub yuav tsum tsis pub ntau tshaj 1 g. Glyformin® ntsiav tshuaj yuav tsum noj tag nrho thaum lossis noj mov tom qab noj mov nrog kua tsawg (ib khob dej). Vim tias qhov pheej hmoo ntawm cov kab mob lactic acidosis, qhov koob tshuaj Glyformin® yuav tsum tau txo qis hauv cov teeb meem hauv lub cev loj hauv lub cev.

Noj ntau dhau

Thaum tus Glyformin d noj ntau dhau, kab mob lactic acidosis yuav pib mob. Qhov ua rau kev txhim kho ntawm cov kab mob lactic acid tuaj yeem tuaj yeem yog cov txuam nrog tshuaj vim tias ua rau lub raum tsis zoo. Cov tsos mob ua ntej tshaj plaws ntawm tus kab mob lactic acidosis yog xeev siab, ntuav, raws plab, kub ib ce, mob plab, mob leeg, thiab tom qab ntawd yuav muaj kev ua pa ntxiv, kiv taub hau, tsis hnov ​​qab thiab ua rau tsis nco qab lawm.
Kev Kho Mob: Yog tias pom tias lactic acidosis, kev kho mob nrog Gliformin® yuav tsum nres tam sim ntawd, tus neeg mob yuav tsum tau mus pw hauv tsev kho mob sai sai, thiab tau txiav txim siab qhov hnoos ntawm lactate, paub meej tias txoj kev kuaj mob. Qhov ua tau zoo tshaj plaws los tshem tawm lactate thiab Gliformin® los ntawm lub cev yog hemodialysis. Cov kev mob tshwm sim kuj yog nqa tawm. Nrog rau kev sib txuas ua ke ntawm Glyformin® nrog sulfonylurea kev npaj, hypoglycemia yuav loj hlob tuaj.

Cov lus qhia tshwj xeeb

Thaum kho, nws yog qhov yuav tsum tau saib xyuas lub raum ua haujlwm. Tsawg kawg 2 zaug hauv ib xyoos, nrog rau qhov pom ntawm myalgia, lub lactate cov ntsiab lus hauv cov ntshav yuav tsum txiav txim siab.
Glyformin® tuaj yeem siv nrog cov tshuaj sulfonylurea derivatives. Hauv qhov no, tshwj xeeb tshaj yog saib xyuas cov ntshav ntshav qab zib kom tsim nyog.