Yuav siv Metformin-Richter li cas?

Kev nqus tau tshwm sim los ntawm kev mob plab zom mov. Qhov kub siab ntawm cov tshuaj nquag hauv cov ntshav nce mus txog qhov siab tshaj tom qab 2 teev, thiab tom qab noj mov - tom qab 2.5 teev. Qee zaum metformin accumulates hauv cov ntaub so ntswg. Nws yog tawm hauv lub cev los ntawm lub raum hauv thawj hnub tom qab kev coj. Kev tsim kho lub raum -> 400 ml / min. Nrog kev ua haujlwm tsis zoo hauv lub raum, nws yog tawm ntev dua.

Vim li cas nws thiaj li raug tshuaj

Cov tshuaj yog tawm rau qhov tsis muaj txiaj ntsig ntawm kev noj haus txhawm rau txo qhov kev mloog zoo ntawm cov piam thaj hauv cov ntshav. Cov tshuaj yog qhia rau cov neeg mob uas muaj hom 1 thiab ntshav qab zib hom 2, nrog rau cov rog. Lwm yam tshuaj tuaj yeem siv ua ke kom txo qis ntshav qab zib lossis insulin.

Cov tshuaj yog tawm rau qhov tsis muaj txiaj ntsig ntawm kev noj haus txhawm rau txo qhov kev mloog zoo ntawm cov piam thaj hauv cov ntshav.

Cov Yuav Tsum Muaj

Ua ntej siv, nws yog ib qho tseem ceeb kom kawm contraindications. Cov tshuaj tsis tau sau tseg rau cov neeg mob uas muaj qee yam kab mob thiab kev mob:

• hypoxia tiv thaiv keeb kwm ntawm ntshav liab, plawv thiab ua pa tsis ua haujlwm, mob plawv nres, zuj zus ntawm cov hlab hlwb,
• lub cev qhuav dej
• kev tsis haum tshuaj rau cov nquag muaj,
• mob siab rau lub siab thiab lub raum kev ua haujlwm (suav nrog nrog rau qib creatinine siab),
• muaj cov kis kab mob,
• haus cawv
• muaj zog concentration ntawm ketone lub cev hauv cov ntshav ntshav,
• cov ketoacidotic mob ntshav qab zib,
• lactacidemia,
• kev siv cov khoom noj muaj calories tsawg (hauv kev noj haus tsawg dua 1000 kcal ib hnub),
• qhov xav tau los siv hluav taws xob isotopes ntawm iodine thaum kawm:
• cev xeeb tub

Cov tshuaj tsis raug cai rau cov neeg mob uas quav cawv.
Cov tshuaj tsis yog kws kho rau cov neeg mob lub cev qhuav dej.
Cov tshuaj tsis raug xaj rau cov neeg mob thaum noj cov zaub mov uas tsis muaj calorie ntau.

Cov tshuaj nquag kis mus rau niam mis, yog li koj yuav tsum tsum tsis txhob pub mis ua ntej pib kev kho.

Nrog ntshav qab zib

Nws yog tshuaj rau hom 2 mob ntshav qab zib mellitus ntawm 500 mg, 850 mg lossis 1000 mg ib hnub twg. Yog tias tsim nyog, ntxiv rau kev noj tshuaj ntxiv tom qab 2 lub lim tiam. Qhov nyiaj pab ntau tshaj txhua hnub yog 3 g lossis 2.5 g ib hnub (rau tshuaj ntau npaum 850 mg). Cov neeg laus cov laus tsis tas yuav noj ntau dua 1 ntsiav tshuaj ib hnub twg nrog noj li 1000 mg.

Thaum hais txog tshuaj insulin-mob ntshav qab zib mellitus, ib yam tshuaj tau raug raws li cov qauv, tab sis txo cov tshuaj insulin kuj yuav tsum tau ua.

Cov ntsiav tshuaj yuav tsum tau noj ua ntej noj mov lossis nrog zaub mov noj.

Endocrine system

Kev txais neeg tuaj yeem tuaj yeem ua rau kiv taub hau, tsis hnov ​​qab qis dua, mob nqaij thiab nkees. Feem ntau, thaum txoj kev muab tshuaj ntau dua rau, kev mob ntshav qab zib muaj tshwm.

Cov tawv nqaij o tuaj, liab thiab khaus.

Kev txais tos yuav ua rau kiv taub hau.

Daim ntawv thov rau lub raum khiav tsis zoo

Kev pub nkag mus yog suav nrog kev mob raum tsis zoo. Ceevfaj yuav tsum tau siv thaum muaj cov creatinine tshem tawm yog 45-59 ml / min.

Yog tias muaj kab mob siab hauv siab, cov tshuaj tsis raug txwv.

Kev cuam tshuam nrog lwm yam tshuaj

Muaj qhov txo qis hauv cov nyhuv ntawm kev noj cov ntsiav tshuaj thaum sib xyaw nrog GCS, tshuaj steroid, estrogens, adrenaline, tshuaj tiv thaiv kab mob, cov thyroid hormones.

Kev poob siab hauv kev poob siab tshwm sim thaum noj salicylates, ACE inhibitors, oxytetracycline, sulfonylurea derivatives, acarbose thiab clofibrate.

Cov tshuaj muaj qhov tsis zoo txaus nrog coumarin derivatives thiab cimetidine. Thaum sib cuam tshuam nrog Nifedipine, ib tus neeg sawv cev hypoglycemic yog nqus tau sai dua, tab sis ntev dhau los ntawm lub cev.

Kev npaj lub rooj noj mov nce ntxiv kev mloog zoo ntawm cov tshuaj nquag nquag ntxiv los ntawm 60%.

Thaum sib cuam tshuam nrog Nifedipine, ib tus neeg sawv cev hypoglycemic yog nqus tau sai dua, tab sis ntev dhau los ntawm lub cev.

Cawv tau zoo

Cov tshuaj yeeb yaj kiab yog txwv kom sib xyaw nrog ethanol. Haus dej cawv ua rau lactic acidosis.

Hloov cov cuab yeej no nrog cov tshuaj zoo li no:

Muaj cov analogues rau cov tshuaj nquag:

Hauv tsev muag tshuaj koj tuaj yeem nrhiav cov tshuaj nrog cov ntawv sau ntxiv ntawm cov pob:

Ua ntej yuav khoom, koj yuav tsum nco ntsoov tias tsis muaj kev fab tshuaj thiab lwm yam kev tsis haum siab. Nws yog qhov zoo dua rau sab laj tus kws kho mob ua ntej hloov.

Kev txheeb xyuas ntawm Metformin Richter

Cov kev soj ntsuam zoo qhia tau qhov txiaj ntsig ntawm cov tshuaj, kev tshwm sim sai thiab kev nyab xeeb. Cov neeg mob tsis tuaj yeem poob ceeb thawj hauv lub sijhawm luv luv teb tsis zoo. Qee qhov xwm txheej, qhov pom ntawm kev phiv yog sau tseg.

Maria Tkachenko, tus kws kho mob endocrinologist

Thaum noj tshuaj pab, qhov mob rhiab rau insulin ntau dua, thiab vim li ntawd, lub cev pib txheej txheem cov khoom noj carbohydrates ntau dua. Hauv kev kho cov kabmob, koj yuav tsum noj kom yuag thiab tawm dag zog tas li. Cov kev kho mob txhua yam yuav pab kom tsis txhob muaj hyperglycemia thiab txo txoj kev pheej hmoo ntawm kev tsim mob plawv.

Anatoly Isaev, tus kws noj haus zaub mov

Cov tshuaj pab txhawm rau txo qis ntu ntawm gluconeogenesis - kev tsim cov piam thaj los ntawm cov khoom siv tsis-carbohydrate (cov organic molecules). Cov kev tshawb fawb paub tseeb tias cov tshuaj tawm tsam nrog hyperglycemia. Cov tshuaj pab kom poob phaus, tab sis hauv kev kho txoj hauv kev. Tawm tsam cov nyom ntawm kev qaug cawv ntev ntev, nws yog txwv tsis pub haus tshuaj, nrog rau thaum kho nrog tee.

Metformin cov lus qhia tseeb nthuav dav

Christina, hnub nyoog 37 xyoo

Cov tshuaj cawm kuv ntawm hyperglycemia. Cov suab thaj theem tau li qub los ntawm kev noj cov tshuaj no thiab ua lub neej muaj sia. Kuv coj 1 lub tshuaj, thiab tom qab 10 hnub tus kws kho mob tau nce qhov koob rau 2 pcs. ib hnub. Thaum xub thawj nws hnov ​​mob hauv plab, tsam plab, xeev siab. Tom qab ib hnub, cov tsos mob ploj mus.

Cov tshuaj hloov Siofor los ntawm cov chaw tsim khoom "Berlin-Chemie" (Lub teb chaws Yelemees). Qhov kev ua zoo zoo ib yam, yooj yim los nqa. Kuv nco ntsoov cov laxative siv tom qab noj thiab flatulence. Metformin pab txhawm rau kho kom txhua yam. Poob 9 kg hauv 4 thiab ib nrab lub hlis. Kuv lub siab tau poob qis, thiab kuv tab tom noj tsawg carbohydrates vim yog kuv kev noj haus. Kuv pom zoo cov tshuaj.

Tom qab thov, nws poob 8 kg hauv rau lub hlis. Lub siab rov qab mus rau qhov qub, cov ntshav suav tau zoo tuaj. Tus nqi ntawm cov cholesterol thiab cov piam thaj tau tsawg dua. Cov kev mob tshwm sim, tsuas yog kiv taub hau, tsis pom. Kuv yuav txuas ntxiv cov kev kho mob nrog cov tshuaj, vim tias muaj cov nyhuv, thiab tus nqi yog tau.