Metformin rau lub neej ntev: puas yog nws haus tau cov tshuaj ntshav qab zib rau cov neeg mob ntshav qab zib?

"Metformin rub tawm lub neej ntev ntev" - qhov no yog lub tswv yim muab tso rau pem hauv ntej los ntawm ntau tus kws tshawb fawb thaum lub sij hawm soj ntsuam ntau yam. Tus mob ntshav qab zib feem ntau paub zoo txog cov tshuaj no, uas raug yuam kom noj tshuaj ib ce yuav luag tag nrho lawv lub neej.

Cov tshuaj no yog ib qho ntawm cov tshuaj nrog cov nyhuv hypoglycemic, vim tias nws tau dhau los ua tus khub tas mus li hauv kev txhim kho hyperglycemia. Muab Metformin rau cov neeg noj qab haus huv yog tias tsis muaj ntshav qab zib?

Cov kev tshawb fawb txog pov thawj pom tias metformin rau lub neej ntev yog ib qho qauv tshuaj tiv thaiv kev laus.

Nws txoj kev siv ua rau muaj kev txwv tsis pub muaj kev laus hauv tib neeg lub cev.

Metformin ua rau qeeb kev ua rau lub hnub nyoog nyob rau theem ntawm tes.

Raws li kev tshawb fawb txog kev kho mob, ib qho tshuaj tuaj yeem coj cov kev mob tshwm sim hauv qab no vim nws siv:

Nws muaj kev tiv thaiv ua haujlwm txog kev ua haujlwm ntawm lub hlwb tawm tsam kev laus. Nws yuav tsum raug sau tseg tias ib qho ntawm cov kab mob senile yog txoj kev loj hlob ntawm Alzheimer tus kab mob, nyob rau hauv uas muaj qhov kev poob qis tseem ceeb hauv cov hlab hlwb hauv lub hippocampus.

Raws li kev sim, nws tau ua pov thawj tias cov tshuaj ua rau cov hlwb lub hlwb ua rau lub hlwb ua rau cov ntshav ntawm hlwb tshiab thiab hlwb pob txha caj qaum.

Yuav kom ua tiav qhov tshwm sim no, koj yuav tsum tau noj li ib gram ntawm cov nquag ua noj - metformin hydrochloride - ib hnub.

Qhov ntau npaum no yog npaj rau cov neeg mob lub cev hnyav txog rau caum kilos. Tsis tas li ntawd, ntau yam kab mob ntawm cov hlab plawv cov ntshav pib tshwm nrog hnub nyoog.

Kev noj tshuaj pab ua rau lub hlwb rov ua haujlwm tom qab raug mob nkees. Metformin tseem nruab nrab kev txhim kho ntawm ntau yam sclerosis rau cov neeg laus.

Pab inhibit qhov mob o sai vim tias nce qib c-reactive protein ntau hauv cov ntshav qab zib.
Nws muaj cov txiaj ntsig zoo rau lub xeev ntawm cov hlab ntsha thiab lub siab. Ib qho kev paub ntawm vascular kev puas tsuaj yog txoj kev txhim kho ntawm atherosclerosis, nce ntshav siab, hypertrophy ntawm lub plawv mob, arrhythmia, lossis plawv nres. Cov ntsiav tshuaj npaj pab ua kom nruab nrab txoj kev loj hlob ntawm cov kab mob txuas nrog kev laus ntawm cov kab mob vascular thiab lub plawv.
Cov tshuaj muaj peev xwm neutralize qhov tshwm sim ntawm vascular calcification, kev txhim kho uas muaj kev tsis zoo nyob rau hauv kev ua haujlwm ntawm lub siab.
Nws tuaj yeem raug siv los ua prophylactic rau kev nthuav qhia mob ntshav qab zib mellitus lossis tswj hwm kev txhim kho ntawm pathology, nruab nrab kev muaj peev xwm ntawm nws ntau cov teeb meem.
Tseem ceeb txo txoj kev pheej hmoo ntawm kev tsim cov kab mob qog ntshav qab zib txoj hauv kev (raug "metformin thiab mob cancer"). Ib qho tshuaj noj tuaj yeem txo qhov muaj feem ntawm kev mob qog nqaij hlav prostate, nplooj siab, tus txiav, cov tshwm sim ntawm cov hlav qog ua ntshav hauv lub ntsws. Qee lub sij hawm nws yog kws kho raws li ib feem ntawm kev kho mob thaum siv tshuaj khomob. Tsis ntev dhau los, kev tshawb fawb txog kev tshawb fawb tau ua pov thawj tias pom tias tsuas siv 0.25 grams cov tshuaj metformin ib hnub rau ib hlis tuaj yeem tshem tus mob qog nqaij hlav cancer.
Pab txhawm rau txhim kho kev ua haujlwm ntawm txiv neej thaum muaj hnub nyoog so.
Nws yog cov tshuaj rau kev kho mob txha caj dab thiab mob caj dab hauv kev txhim kho ntshav qab zib.
Favorably txhim kho cov thyroid muaj nuj nqi.
Pab txhim kho lub raum kev ua haujlwm ntawm qhov tsis to ntawm nephropathy.
Nws muaj cov txiaj ntsig zoo ntawm kev tawm dag zog tag nrho ntawm lub cev tiv thaiv kab mob.
Nws muaj lub luag haujlwm tiv thaiv txog kev pheej hmoo ntawm kev tsim kab mob ua pa.

Yog li, cov tshuaj muaj peev xwm tiv thaiv tib neeg lub cev los ntawm kev txhim kho ntawm ntau yam kab mob thiab nqa cov txiaj ntsig kev tiv thaiv kev laus.

Cov lus qhia rau kev siv

Pharmacological kev txiav txim	Metformin txhim kho kev tswj cov piam thaj hauv cov neeg mob ntshav qab zib hom 2, thiab kuj tseem qee zaum sau tseg rau ntshav qab zib hom 1. Nws ua kom yoo qab zib sai tom qab noj mov tas, thiab sijhawm ntau dhau los txhim kho cov kev kuaj ntshav rau glycated hemoglobin HbA1C. Nws ua rau lub siab ua kom cov kua nplaum tsawg dua, thiab tseem cuam tshuam rau kev nqus ntawm kev noj zaub mov carbohydrates hauv cov hnyuv. Nce rhiab heev ntawm cov hlwb rau insulin. Nws tsis txhawb kev txiav txim siab los tsim cov tshuaj insulin ntau dhau, yog li tsis muaj kev pheej hmoo rau ntshav qab zib.
Cov Tshuaj Pharmacokinetics	Cov tshuaj no tawm los ntawm lub raum nrog zis yuav luag pauv tsis hloov. Qhov nqus ntawm cov khoom ua kom nquag plias los ntawm cov ntsiav tshuaj ntawm kev ua kom ntev (Glucofage Ntev thiab analogues) qeeb qeeb dua piv rau cov ntsiav tshuaj muaj txiaj ntsig. Hauv cov neeg uas lub raum tsis ua haujlwm, qhov kev cia siab ntawm cov khoom muaj sia nyob hauv cov ntshav ntshav tuaj yeem nce ntxiv, thiab qhov no tsis nyab xeeb.
Kev ntsuas rau siv	Yam 2 ntshav qab zib mellitus, tshwj xeeb tshaj yog nyob rau cov tib neeg rog thiab lub cev tsis muaj zog tiv thaiv cov ntaub so ntswg rau insulin (tiv thaiv insulin). Noj cov tshuaj metformin tsuas yog ua tiav, tab sis tsis hloov chaw, kev noj kev haus thiab kev ua haujlwm lub cev. Kev siv cov tshuaj no rau ntshav qab zib, poob phaus thiab lub neej txuas ntxiv tau piav qhia txhua yam hauv qab ntawm nplooj ntawv no.

Kev noj cov tshuaj metformin tiv thaiv ntshav qab zib, polycystic zes qe menyuam lossis tsuas yog kom poob phaus, koj yuav tsum ua raws li kev noj haus.

Cov Yuav Tsum Muaj

Kev tswj ntshav qab zib tsis zoo nrog cov kab mob ketoacidosis, mob ntshav qab zib nyob coma. Mob lub raum tsis ua haujlwm - tus qog ua ntshav siab (GFR) qis dua 45 ml / min, ntshav creatinine siab tshaj 132 μmol / L hauv cov txiv neej, saum 141 μmol / L hauv cov poj niam. Daim siab ua haujlwm. Mob kis kis yooj yim. Cov neeg quav cawv lossis qaug cawv. Lub cev qhuav dej

Cov lus qhia tshwj xeeb

Metformin yuav tsum tau tsum tsis txhob tsum 48 teev ua ntej kev phais lossis kho mob radiopaque tom ntej. Koj yuav tsum paub txog cov kab mob lactic acidosis - ib qho kev phom sij loj heev uas cov ntshav pH los ntawm cov cai ntawm 7.37-7.43 poob rau 7.25 lossis qis dua. Nws cov tsos mob: qaug zog, mob plab, ua tsis taus pa, ntuav, tsis nco qab. Txoj kev pheej hmoo ntawm cov teeb meem no yog xyaum siv xoom, tshwj tsis yog cov neeg uas tau noj tshuaj yog tias muaj cov tshuaj contraindications lossis tshaj li qhov pom zoo noj tshuaj txhua hnub.

Tsuas tshuaj

Nws raug nquahu kom pib kho nrog kev siv tshuaj txhua hnub ntawm 500-850 mg thiab maj mam nce nws kom ntau li 2550 mg, peb 850 mg ntsiav tshuaj. Rau lub sijhawm ntev dua cov ntsiav tshuaj, qhov ntau tshaj qhov tau siv txhua hnub yog 2000 mg. Cov koob tshuaj ntau dua yog tias tus neeg mob tsis muaj kev mob tshwm sim ntau, tsis pub tshaj ib zaug ib lim tiam, lossis txawm tias txhua 10-15 hnub. Cov ntsiav tshuaj txuas ntev-tso tawm yog siv 1 zaug nyob rau ib hnub thaum tsaus ntuj. Cov pa ntim tau 3 zaug nyob rau ib hnub nrog rau kev noj mov.

Sab sij huam

Cov neeg mob feem ntau yws yws txog kev zawv plab, xeev siab, tsis qab los, thiab ua txhaum txoj cai los ntawm saj. Cov no tsis yog tim phiv txaus ntshai uas feem ntau yuav ploj lawv tus kheej hauv ob peb hnub. Txhawm rau txo lawv, pib nrog 500 mg thiab tsis txhob maj kom nce cov tshuaj txhua hnub no. Qhov tsis zoo yog tias khaus, tawm pob, thiab tsis yog ua kom mob plab zom mov. Metformin cuam tshuam tsis zoo rau kev nqus ntawm kev noj zaub mov vitamin B12.

Cev xeeb tub thiab pub niam mis	Metformin yog sib kis thaum lub caij cev xeeb tub thiab thaum pub niam mis, vim tias nws hla dhau lub tsho me nyuam thiab mus rau niam mis. Nws tsis yog siv los kho ntshav qab zib gestational. Ntawm qhov tod tes, kev siv cov tshuaj no hauv PCOS nws muaj kev nyab xeeb thiab muaj txiaj ntsig. Yog tias tom qab koj tau kawm tias koj cev xeeb tub, thiab txuas ntxiv rau noj - tsis ua li cas. Koj tuaj yeem kawm kab lus hauv Lavxias txog qhov no.
Kev cuam tshuam nrog lwm yam tshuaj	Tsis kam noj tshuaj mob ntshav qab zib, tsis txhob siv lawv nrog metformin.Kev tswj hwm nrog insulin yuav ua rau cov piam thaj hauv ntshav tsawg. Tej zaum muaj kev cuam tshuam tsis zoo nrog cov tshuaj rau ntshav siab thiab lub plawv tsis ua haujlwm. Lawv qhov kev pheej hmoo tsis loj. Nyeem cov lus qhia raug rau kev siv hauv pob nrog tshuaj rau cov ntsiab lus.
Noj ntau dhau	Kev kis ntau dhau hwv lawm piav qhia nrog kev siv ib zaug 50 g ntawm cov tshuaj lossis ntau dua. Qhov ntxim nyiam yuav muaj cov piam thaj hauv ntshav tsawg, tab sis qhov kev pheej hmoo ntawm cov kab mob lactic acidosis yog li ntawm 32%. Yuav tsum tau pw hauv tsev kho mob sai. Nws yog qhov ua tau los siv dialysis kom ceev cov kev tshem tawm cov tshuaj los ntawm lub cev.
Tso tawm daim ntawv, cov mob thiab cov ntsiab lus ntawm kev cia	Cov ntsiav tshuaj muaj 500, 850 lossis 1000 mg ntawm cov tshuaj ua kom nquag plias. Cov tshuaj no yuav tsum muab tso cia rau qhov chaw ncav cuag ntawm cov menyuam yaus ntawm qhov kub tsis tshaj 25 ° C. Txee lub neej yog 3 lossis 5 xyoos.

Hauv qab no yog cov lus teb rau cov lus nug nquag los ntawm cov neeg mob.

Metformin prolongs lub neej thiab ua kom lub cev rov qab: ua li cas coj mus?

Xyoo tsis ntev los no, cov kws tshawb fawb tau suav tias qhov hnub nyoog laus lawm tsuas yog ib tus mob uas tuaj yeem kho xwb.

Txhua lub tshuaj pharmacological yauv mus tshawb fawb tsis yog ntawm nws cov txiaj ntsig uas tau npaj tseg, tab sis kuj tseem cuam tshuam los tiv thaiv kev laus.

Muaj ntau cov tshuaj hauv lub ntiaj teb uas tuaj yeem ua rau tus neeg lub neej ntev dua, thiab ib qho ntawm lawv yog Metformin, tsim los ntawm cov kws tshawb fawb Lavxias ntau dua 60 xyoo dhau los. Yog li nws yuav ua lub neej ntev li cas?

Qhia txog ntawm cov tshuaj

Ntau tus neeg hais txog Metformin tias nws ua rau lub neej ntev dua. Thiab qhov no tau hais los ntawm cov kws tshawb fawb ua ntau yam kev tshawb fawb ntawm cov tshuaj. Txawm hais tias cov lus piav qhia rau cov tshuaj qhia tau hais tias nws noj tsuas yog rau cov ntshav qab zib mellitus 2T, uas tuaj yeem hnyav los ntawm kev rog dhau thiab insulin tsis kam.

Metformin 500 mg

Nws kuj tseem siv tau rau cov neeg mob ntshav qab zib 1T. Tab sis tom qab ntawd, Metformin tsuas yog ntxiv rau cov tshuaj insulin. Los ntawm cov lus qhia sib kis nws yog qhov tseeb tias cov neeg uas muaj cov roj metabolism hauv lub cev tsis txaus siab tsis pom zoo kom siv nws.

Yuav muaj dab tsi tshwm sim yog tias koj noj Metformin yam tsis muaj ntshav qab zib? Cov lus teb tau muab los ntawm cov kws tshawb fawb uas tau kawm txog cov yam ntxwv ntawm cov tshuaj no, tso cai rau kev tiv thaiv kev laus ntawm lub cev, thiab hauv qib ntawm tes.

Cov tshuaj Metformin:

dab kev loj hlob ntawm Alzheimer tus kab mob, nyob rau hauv uas lub paj hlwb lub luag hauj lwm rau nco tuag,
stimulates qia hlwb, pab rau kev rov tshwm sim ntawm cov hlwb tshiab (lub hlwb thiab pob txha caj qaum),
pab txhim kho cov hlwb paj hlwb tom qab mob stroke,
tiv thaiv kev txhim kho ntawm ntau yam sclerosis.

Ntxiv nrog rau txoj hauv kev zoo rau lub hlwb kev ua si, Metformin tswj kev ua haujlwm ntawm lwm cov kabmob thiab cov kab ke ntawm lub cev:

pab rau kev txo qis kev mob cuam tshuam nrog cov ntshav qabzib ntau dhau ntawm C-reactive protein,
inhibits kev txhim kho ntawm pathologies tshwm sim los ntawm kev laus ntawm lub plawv, cov hlab ntsha,
cuam tshuam nrog vascular calcification, uas cuam tshuam rau kev ua haujlwm ntawm lub siab,
txo txoj kev pheej hmoo ntawm kev tsim mob qog nqaij hlav (prostate, ntsws, mob siab, kab mob ntsws). Qee lub sij hawm nws yog siv nyob rau hauv txoj kev kho tshuaj,
tiv thaiv cov ntshav qab zib thiab cov kab ntsig ntsig txog,
txhim kho kev ua haujlwm ntawm cov txiv neej laus dua,
Kuaj ntshav txha caj qaum thiab mob caj dab ua rau mob ntshav qab zib,
txhim kho cov qog ua haujlwm,
pab lub raum nrog nephropathy,
nthuav lub cev tiv thaiv kab mob
Pab tiv thaiv txoj hlab ua pa ntawm kab mob.

Lub zog los tiv thaiv kev laus ntawm cov tshuaj no tau tshawb pom tsis ntev los no. Ua ntej no, Metformin tsuas yog siv los tua ntshav qab zib xwb. Tab sis cov ntaub ntawv tau los ntawm kev saib xyuas cov neeg mob tau txais kev kho mob nrog tus neeg sawv cev kev kho mob no pom tias lawv nyob ntev li plaub hlis ntev dua li cov tib neeg tsis muaj kev kuaj mob no.

Qhov no yog dab tsi ua rau cov kws tshawb fawb xav txog cov nyhuv los tiv thaiv kev laus ntawm Metformin. Tab sis cov lus qhia rau nws siv tsis tau cuam tshuam qhov no, vim tias kev laus tsis yog kab mob, tab sis yog txheej txheem ntawm kev ua kom tiav lub neej.

Tus txheej txheem rejuvenation yog:

tshem tawm cov roj plaques tawm ntawm cov hlab ntsha.Kev pheej hmoo ntawm thrombosis yog tshem tawm, ntshav ncig yog tsim, ntshav txaus yog txhim kho,
txhim kho cov txheej txheem metabolic. Qab los noj mov yog qhov txo qis, uas ua rau qeeb qeeb, xis nyob kom poob thiab ua kom lub cev yuag zuj zus,
txo plab hnyuv tawm nyob rau hauv. Kev tiv thaiv ntawm cov protein molecules yog tiv thaiv.

Metformin belongs rau peb tiam loj loj. Nws cov khoom ua kom nquag plias yog metformin hydrochloride, ntxiv los ntawm lwm cov tshuaj sib txuas.

Cov txheej txheem ntawm cov tshuaj ntawm cov tshuaj tiv thaiv ntshav qab zib yog mob sib khuav xwb. Nws muaj nyob rau hauv inhibiting cov txheej txheem ntawm gluconeogenesis, thaum txhawb glycolysis. Qhov no ua rau muaj kev nqus zoo dua ntxiv ntawm cov piam thaj, thaum txo qib ntawm nws nqus los ntawm txoj hnyuv. Metformin, tsis yog ua rau lub zog tsim cov tshuaj insulin, tsis ua rau cov piam thaj txo qis.

manifestation insulin kuj lossis mob metabolic,
qabzib kam
ntshav qab zib ntsig txog kev rog
scleropolycystic tus mob ovary,
mob ntshav qab zib mellitus 2T nrog cov kev kho mob nyuaj,
ntshav qab zib 1T nrog kev txhaj tshuaj insulin.

Daim Ntawv Thov Kev Pab Lub Cev Nyuag

Nws puas tuaj yeem haus Metformin rau qhov poob phaus, yog tias qab zib yog qhov qub? Qhov kev coj ntawm cov tshuaj no yog vim nws lub peev xwm los tawm tsam tsis yog nrog cov plaques hauv cov hlab ntsha xwb, tab sis kuj nrog cov roj ntsha.

Lub cev poob thaum noj tshuaj tshwm sim vim cov hauv qab no:

kev kub ceev cov rog oxidation,
txo nyob rau hauv tus nqi ntawm carbohydrates nqus,
qabzib cov qog ua ke los ntawm cov leeg nqaij.

Qhov no kuj tshem tawm cov kev xav ntawm kev tshaib kev nqhis, ua rau nce qhov nce nrawm hauv lub cev qhov hnyav. Tab sis koj yuav tsum hlawv roj thaum ua zaub mov noj.

Yuav kom poob ceeb thawj, koj yuav tsum tso tseg:

Kev ua kom tsawg, xws li kev tawm dag zog txhua hnub, kuj tseem xav tau. Yuav tsum ua tib zoo tswj kev haus cawv. Tab sis kev haus cawv tsis txwv tsis pub.

Daim ntawv thov rau anti-aging (anti-aging)

Metformin tseem tseem siv txhawm rau tiv thaiv kev hloov pauv ntsig txog lub hnub nyoog hauv lub cev.

Txawm hais tias cov tshuaj tsis yog panacea rau cov hluas nyob mus ib txhis, nws tso cai rau koj:

rov qab muab cov khoom ntim ntawm lub hlwb mus rau qhov ntim xav tau,
txo cov kev pheej hmoo ntawm malignant neoplasms,
ntxiv dag zog rau lub plawv mob.

Cov teeb meem tseem ceeb ntawm cov kab mob kev laus yog atherosclerosis, uas cuam tshuam txoj haujlwm ntawm lub plawv thiab cov hlab ntsha. Nws yog nws leej twg ua rau feem ntau ntawm kev tuag uas tshwm sim ua ntej.

Kev tso cov roj (cholesterol) uas ua rau atherosclerosis tshwm sim vim:

ua txhaum ntawm txoj haujlwm ua haujlwm ntawm tus txiav,
malfunction hauv lub nruab nrog cev,
teeb meem metabolic.

Qhov laj thawj tseem yog kev ua neej nyob sedentary uas cov neeg laus coj, thaum tswj kom muaj tib lub ntim thiab cov calories ntau ntawm cov zaub mov, thiab qee zaum txawm tias dhau lawv.

Qhov no ua rau stagnation ntawm cov ntshav hauv cov hlab ntsha thiab tsim muaj cov roj cholesterol khaws cia. Cov tshuaj pab txhawm rau txo cov roj cholesterol, txhim kho ntshav ncig thiab rov ua haujlwm ntawm txhua yam hauv nruab nrog cev thiab kab ke. Yog li yuav siv Metformin noj yog tsis muaj ntshav qab zib? Nws yog ua tau, tab sis tsuas yog thaum tsis muaj contraindications.

Cov kev tiv thaiv tsis haum rau kev siv Metformin yog:

acidosis (mob siab los yog mob ntev),
lub sijhawm cev xeeb tub, pub mis,
ua xua rau cov tshuaj no,
mob siab los yog mob plawv,
myocardial infarction
cov cim qhia ntawm hypoxia thaum noj cov tshuaj no,
lub cev qhuav dej ntawm lub cev nrog cov kab mob sib kis,
lub plab zom mov (kab mob),
kev siv dag zog ntau dhau.

Thov Metformin rau qhov kev poob phaus thiab lub cev rov qab yog qhov tsim nyog yuav tau coj mus rau hauv tus account qhov tshwm sim tsis zoo:

kev pheej hmoo ntxiv rau txoj kev tsis nco qab
xeev siab, ntuav, raws plab yuav tshwm sim,
qee zaum nws yuav yog xim hlau zoo li
anemia tej zaum yuav tshwm sim
muaj ib qho kev txo qis ntawm cov B-vitamins, thiab ntxiv cov tau txais ntawm kev npaj muaj lawv yuav tsum,
nrog kev siv ntau dhau, hypoglycemia yuav tshwm sim,
kev fab tshuaj tsis haum yuav ua rau muaj teeb meem ntawm daim tawv nqaij.

Pharmacological kev txiav txim

Cov tshuaj nquag ua haujlwm ntawm cov tshuaj yog metformin hydrochloride. Lub npe no thoob ntiaj teb.

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Metformin analogues muaj nyob nrog tib yam tshuaj ua ke. Daim ntawv tso tawm rau txhua yam tshuaj zoo ib yam - ntsiav tshuaj.

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Tus thawj cov tshuaj, zoo li cov generics, muaj cov txiaj ntsig zoo rau tib neeg lub cev:

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tiv thaiv lub hlwb los ntawm kev laus
tiv thaiv kab mob vascular thiab kab mob hauv lub plawv,
txo txoj kev pheej hmoo ua mob qog noj ntshav
tiv thaiv kom tsis txhob osteoporosis rau cov neeg mob ntshav qab zib,
zoo cuam tshuam cov thyroid caj pas,
tiv thaiv tus txheej txheem ua pa ntawm cov pa phem.

Nrog rau txhua qhov kev tshawb fawb, cov yam ntxwv zoo tshiab ntawm Metformin tau pom. Qhov no tso cai rau ntau tus neeg siv nws.

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Thaum pib, lub tshuab ntawm kev ua ntawm cov tshuaj yuav raug txhais tias yog hypoglycemic.

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Hauv lwm lo lus, cov tshuaj uas muaj metformin hydrochloride tau siv los ua kom cov ntshav qab zib tsawg, ua rau cov kua dej tsis txaus siab thiab ua rau lub siab ua cov ntshav qab zib.

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Kev Qhia Tawm Metformin

Tus txheej txheem ntawm kev txiav txim ntawm Metformin yog txiav txim siab nyob rau hauv qhov kev ntsuam xyuas ib puag ncig ntawm daim ntawv teev npe.

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Raws li cov lus qhia, tshuaj siv los kho hom 2 mob ntshav qab zib, nrog rau kev tiv thaiv tus kabmob no.

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Tshuaj Metformin mob ntshav qab zib yog tshuaj rau cov neeg muaj hnub nyoog, suav nrog menyuam yaus txij thaum 10 xyoo.

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Qee qhov xwm txheej, nws yuav raug pom zoo ua ntej.

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Txav txav mus deb ntawm cov lus qhia rau kev siv, koj tuaj yeem pom tias cov tshuaj siv rau hauv kev kho mob poj niam, kev noj tshuaj, kev yug me nyuam, kev pleev tshuaj, kev pleev ib ce, kev mob hlwb, qhov tsis txaus ntseeg, uas ib zaug ntxiv ua pov thawj nws qhov tsis zoo thiab muaj txiaj ntsig.

Cov lus qhia tshwj xeeb

Kev siv cov Metformin ua lub luag haujlwm rau tus neeg mob ua lub luag haujlwm tsis tu ncua rau lub raum kev hloov pauv thiab cov ntshav pauv hloov.

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Raws li cov txiaj ntsig tau, kev kho mob tuaj yeem hloov kho los ntawm tus kws kho mob.

Thaum coj xoo hluav taws xob siv qhov nruab nrab ntawm kev sib piv, nws yog qhov yuav tsum tsis txhob siv cov tshuaj rau 2 hnub.

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Yog tias muaj cov kab mob bronchopulmonary lossis kev ua haujlwm ntawm lub chaw tso zis, tus kws kho mob yuav tsum paub.Tej zaum yuav siv Metformin txuas ntxiv, yuav tau xaiv ntau yam koob tshuaj.

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Metformin thiab cawv yog cov tshuaj siv tsis tau, vim tias cawv tuaj yeem txo cov ntshav qab zib kom tsawg, uas tsim teeb meem rau tus neeg mob lub cev.

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Koj kuj tseem tuaj yeem tsis siv cov tshuaj raws cov cawv uas muaj cov kua cawv.

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Qhov ua kom zoo dua qub uas siv tshuaj metformin

Cov txheej txheem ntawm cov teebmeem ntawm metformin rau ntawm sab hauv nruab nrog cev.

Cov tshuaj ua haujlwm nquag ntawm cov tshuaj yog metformin hydrochloride, uas muaj cov txiaj ntsig uas ua rau qeeb ntawm kev laus ntawm ib tug neeg.

Metformin tau tsim tawm thaum chiv thawj los kho hom 2 ntshav qab zib. Nws tau tshawb pom los ntawm cov kws tshawb fawb Lavxias 60 xyoo dhau los.

Txij thaum ntawd los, ntau cov ntaub ntawv tau txais txog nws txoj kev kho kom zoo li qub. Cov neeg mob ntshav qab zib noj cov tshuaj metformin nyob ntev dua 25% dua li cov tsis muaj tus kab mob no.

Cov ntaub ntawv zoo li no tau ua rau cov kws tshawb fawb los kawm txog cov tshuaj uas yog ib txoj hauv kev ua neej ntev.

Niaj hnub no, ntau cov kev tshawb fawb ntawm metformin ua ib qho kev kho mob rau cov hnub nyoog laus tab tom ua thoob ntiaj teb. Tshwj xeeb, xyoo 2005 hauv lub koom haum Oncology Research Institute muaj npe tom qab N.N.

Petrova, txoj kev tshawb fawb tau tshawb pom nyob hauv kev sim rau kev tshawb nrhiav kev laus thiab cov carcinogenesis, uas tau qhia tias metformin ua rau lub neej ntev dua. Muaj tseeb, qhov kev sim tau tsuas yog ua rau tsiaj.

Ib qho ntxiv ntxiv, raws li kev tshawb pom, yog qhov kev tshawb pom tias cov khoom kuj tseem tiv thaiv tsiaj txhu los ntawm mob qog nqaij hlav.

Tom qab qhov kev tshawb fawb no, tag nrho lub ntiaj teb kev paub txog kev noj qab haus huv tau txaus siab rau kev txiav txim ntawm metformin. Txij thaum ntawd los, ntau txoj kev tshawb nrhiav tau ua uas paub meej tias txiaj ntsig ntawm kev sim xyoo 2005.

Tseem Ceeb! Nco ntsoov soj ntsuam thiab cov neeg noj tshuaj. Nws muab tawm tias thaum noj cov tshuaj, qhov kev pheej hmoo ntawm kev tsim oncology yog txo los ntawm 25-40%.

Hauv cov lus qhia rau kev siv, koj tsis tuaj yeem pom cov lus hais txog qhov cuam tshuam ntawm cov tshuaj nyob rau hauv lub neej ntev. Tab sis, qhov no tsuas yog vim qhov tseeb tias lub hnub nyoog laus hnub nyoog tseem tsis tau lees paub tias yog kab mob.

Metformin cuam tshuam rau lub cev li cas?

Kev tso tawm ntawm cov hlab ntsha los ntawm cov plahaum rog. Qhov no ua rau cov kev ua haujlwm tsis tu ncua ntawm cov roj ntshav, tiv thaiv kom tsis txhob mob thrombosis thiab vasoconstriction. Cov nyhuv ntawm cov tshuaj no pab ua kom ntev cov hluas ntawm cov hlab plawv. Nws paub tias feem ntau ntawm cov neeg tuag ntau vim yog cov kab mob ntawm cov kab ke no.

Nws yog qhov tseeb tias metformin nres qhov kev loj hlob ntawm cov kab mob senile.

Txhim kho cov metabolism los ntawm kev nce qib hauv cov roj (cholesterol) thiab txo qis kev phom sij. Raws li, muaj cov metabolism hauv lub cev sib npaug. Cov rog yog nqus tau qhov tseeb, muaj qhov maj mam zuj zus, tsis mob qhov quav, pov tseg cov rog ntau thiab qhov hnyav. Raws li qhov tshwm sim, lub nra rau tag nrho cov kab ke tseem ceeb yog txo. Yog tias, tib lub sij hawm thaum noj tshuaj, ib tus neeg pib txhim kho nws txoj kev ua neej, kev cuam tshuam ntawm cov tshuaj nce ntxiv.

Tsis qab los noj mov. Tus yuam sij rau lub neej ntev yog poob phaus. Nov yog pov thawj tseeb. Metformin pab ua tiav lub luag haujlwm no los ntawm kev txwv tsis xav noj ntau dhau.

Txo kev nqus ntawm cov piam thaj los ntawm cov hnyuv. Lub peev xwm ntawm cov piam thaj kom nrawm ua kom sib koom tes ntawm cov txheej txheem protein molecules pab txhawb kev laus ua ntej thiab tshwm sim ntawm ntau yam kab mob.

Txhim kho cov ntshav txaus. Tes haujlwm no txo cov kev pheej hmoo ntawm ntshav txhaws, mob hlab ntsha tawg thiab plawv nres. Cov kab mob no yog cov coj los ntawm cov laj thawj uas ua rau neeg tuag ua ntej.

Cov tshuaj muaj pes tsawg leeg

lilac
tshis paus
talcum hmoov
magnesium stearate,
hmoov txhuv nplej siab
titanium dioxide
crospovidone
povidone K90,
macrogol 6000.

Lub hauv paus ntsiab lus tseem ceeb ntawm cov tshuaj muaj pes tsawg leeg yog metformin hydrochloride, ua los ntawm cov khoom ntuj cog: lilac thiab tshis lub hauv paus. Tsis tas li, cov tshuaj muaj cov nyom ntawm cov khoom siv ntxiv, tshwj xeeb ntawm talc, magnesium stearate, titanium dioxide thiab cov uas tau teev saum toj no.

Cov lus qhia rau coj cov tshuaj

Txhawm rau siv cov metformin kom qeeb kev laus, koj yuav tsum siv cov tshuaj ntawm ib nrab cov tshuaj tau qhia hauv cov lus qhia rau kev siv. Muaj tshuaj rau kev kho mob ntshav qab zib thiab lwm yam kab mob. Tab sis, yog tias tus neeg noj qab haus huv siv cov koob tshuaj no, lawv tuaj yeem tsim kev phom sij ntau dua li qhov zoo.

Tseem Ceeb! Ua ntej yuav txiav txim siab txog kev siv cov metformin, yuav tsum ua tiav kev soj ntsuam. Qhov no yog qhov tsim nyog txhawm rau txhawm rau txo qis kev phiv thiab paub cov tshuaj prophylactic.

Txhawm rau siv cov tshuaj ua cov tshuaj tiv thaiv kev laus, cov cim hauv qab no yuav tsum raug coj mus rau hauv tus account:

lub hnub nyoog yuav tsum tsis pub tsawg dua 30 xyoo, tab sis tsis tshaj 60,
rog thiab rog dhau,
cov cholesterol thiab / lossis cov piam thaj ntau dua li ib txwm.

Txoj kev noj tshuaj kom raug yog qhov yuav tsum tau hais kom sai los ntawm kws kho mob thiab piav qhia txog kev noj cov tshuaj metformin. Rau kev siv, nws raug nquahu kom tsis txhob ntau tshaj 250 mg ntawm metformin ib hnub.

Rejuvenating nyhuv ntawm kev noj tshuaj

Cov nyhuv los tiv thaiv kev laus ntawm cov tshuaj tau pom tias tsis ntev los no. Thaum pib, cov tshuaj tau tsim tawm los ua lub tshuaj hypoglycemic rau kev kho mob ntawm qhov tsis muaj qhov cuam tshuam ntshav qab zib.

Cov tshuaj no tau tshawb pom los ntawm cov kws tshawb fawb Lavxias txog rau caum xyoo dhau los. Hauv cov xyoo no, ntau txoj kev sim hauv tsev kho mob tau ua uas qhia tias kev muaj peev xwm siv tshuaj tsis yog tsuas yog thaum ua haujlwm ntshav qab zib. Raws li cov ntaub ntawv kho mob, cov neeg mob ntshav qab zib uas tau txais kev kho mob siv metformin hydrochloride nyob ntev li ib hlis plaub ntev dua li cov tib neeg tsis muaj kev kuaj mob. Yog li ntawd, cov kws tshawb fawb tau txiav txim siab los kawm txog cov tshuaj raws li tshuaj tiv thaiv kev laus.

Ob peb xyoos dhau los, kev tshawb fawb txog kev tshawb fawb tau tshawb fawb hauv Petrov Tshawb Fawb Kev Tshawb Fawb, uas tau qhia tias metformin tsis yog tsuas yog kho rau hnub nyoog laus xwb, tab sis kev tiv thaiv kev tiv thaiv kev mob tshwm sim. Thaum noj cov tshuaj no, qhov pheej hmoo ntawm kev tsim mob qog noj yuav txo qis ntawm 25 txog 40 feem pua.

Cov lus qhia rau kev siv tshuaj tsis tshwm cov ntaub ntawv zoo li no. Tej zaum qhov no yog vim qhov tseeb tias kev laus ntawm tib neeg lub cev yog suav tias yog kev ua haujlwm ntawm lub neej, thiab tsis yog kab mob.

Qhov los tiv thaiv kev laus los ntawm kev noj cov tshuaj metformin yog hais raws li:

kev tso tawm ntawm cov hlab ntshav los ntawm cov plahaum roj ntshav, uas qhia txog kev laus ntawm cov hlab plawv hlab plawv, yog li ua kom cov ntshav tawm mus ntev, tshem tawm cov kev pheej hmoo ntawm thrombosis thiab nqaim ntawm lumen ntawm cov hlab ntsha,
txhim kho chav kawm ntawm cov txheej txheem hauv lub cev hauv lub cev, ua kom tsis qab los, ua kom lub cev yuag qeeb thiab lub cev yuag, ua rau lub luag haujlwm ntawm tag nrho cov plab hnyuv siab raum thiab lub cev,
tuaj yeem txo qhov nqus ntawm cov piam thaj ntawm lub plab zom mov. Tseeb, kev laus ua ntej, raws li paub, yog yooj yim los ntawm kev muaj peev xwm ntawm cov khoom qab zib kom leeb lub nra txheej txheem ntawm cov protein molecules,

Ib qho ntxiv, kev siv cov Metformin txhim kho cov ntshav txaus.

Yeeb tshuaj sib cuam tshuam

Cov tshuaj Metformin rau ntshav qab zib hom 2 yuav tsum noj raws li kws kho mob qhia. Cov tshuaj yog qhov tseem ceeb rau cov neeg mob uas tseem muaj tus kabmob no.

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Txawm li cas los xij, kev tiv thaiv thiab kev kho mob tuaj yeem nqa tawm mus rau hauv txoj kev siv lwm yam tshuaj.

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Metformin reacts nrog tshuaj, ua cov nyhuv hauv qab no:

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cov ntaub ntawv lactic acidosis thiab lub raum tsis ua haujlwm thaum ua ke nrog cov tshuaj iodine uas muaj nyob hauv kev xoo hluav taws xob,
txuag txoj kev pheej hmoo ntawm cov kab mob lactic acidosis thaum sib xyaw nrog ethanol, hypoglycemic agents thiab thaum yoo mov,
hyperglycemic thaum siv nrog danazol,
txo cov nyhuv thaum siv nrog chlorpromazine,
yuav tsum tau txhaj tshuaj hloov thaum noj nrog tshuaj tiv thaiv kev kho mob thiab corticosteroids,
txo cov kev ua tau zoo thaum siv nrog cov tshuaj tiv thaiv beta-adrenergic agonists,
txhim kho cov nyhuv thaum siv nrog nifedipine.

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Cov qauv ntawm Metformin

Pharmacological cov chaw lag luam tsim ntau yam hloov rau Metformin.

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Qee tus muaj lub npe lag luam zoo sib xws, tab sis tsim tawm los ntawm cov tuam txhab sib txawv, thaum lwm tus muaj kev lag luam raws lwm cov npe:

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Metformin Richter,
Metformin Canon
Metformin Teva,
Siofor
Glucophage thiab Glucophage Ntev,
Rau feeb,
Formin Pliva,
Sofamet.

Cov Lus Nquag Nug

Cov lus qhia rau kev siv, txuas nrog rau cov tshuaj Metformin, qhia hauv kev nthuav dav cov cim, contraindications, phiv thiab cov phiaj xwm kev ua thaum lawv tshwm sim.

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Dua li ntawm qhov no, cov neeg mob muaj ntau cov lus nug uas tsis tau them rau hauv cov ntawv nqe lus. Qhov no yog vim qhov kev tshawb fawb kawg ntawm Metformin thiab nws hloov chaw.

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Metformin Puas Yuav Tsum Ua Lub Neej Ntxiv?

Yog tias koj siv Metformin rau kev tiv thaiv mob ntshav qab zib thiab tib lub sijhawm tswj koj cov ntshav qab zib, koj tuaj yeem txuas ntxiv koj lub neej thiab tswj kev noj qab haus huv.

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Tsis tas li ntawd, cov tshuaj muaj txiaj ntsig zoo rau lub xeev ntawm cov hlab ntsha thiab lub siab, thiab kev ua haujlwm ntawm cov kab mob tseem muaj nyob ntawm lawv.

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Metformin nthuav cov pob txha, tshwj xeeb tshaj yog rau cov poj niam thaum lub cev ntas, thaum cov tshuaj estrogen txo ntau heev. Yog li ntawd, kev tsim cov txha caj qaum yog tiv thaiv.

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Hauv lub hlwb, cov tshuaj noj cuam tshuam rau cov qia hlwb, pab txhawb nqa cov yug ntawm neurons tshiab.

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Qhov no pab txhawb txoj kev nco, tiv thaiv lub hlwb kev laus thiab lub neej ntev.

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Nws yog ib qho tseem ceeb kom ua raws li cov cai rau noj Metformin rau kev tiv thaiv thiab siv nws hauv koob tshuaj tsis ntau tshaj 1000 mg ib hnub.

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Thaum noj tshuaj ntau npaum licas Metformin noj rau prophylaxis?

Metformin muaj cov tshuaj tiv thaiv: kev ua haujlwm tsis haum, lub raum thiab ntshav siab tsis txaus, daim ntaub hypoxia, cawv, lactic acidosis, cev xeeb tub thiab lactation.

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Hauv cov rooj plaub no, koj siv tsis tau cov tshuaj los tiv thaiv. Lwm tus neeg mob tuaj yeem haus Metformin - kho mob rau cov hnub nyoog laus - kom tau txais kev tiv thaiv.

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Nws raug pom zoo kom koj ua ntej sab laj nrog koj tus kws kho mob txhawm rau tsim kev muab tshuaj rau txhua tus. Feem ntau, chav kawm ntawm kev kho mob pib nrog 1000 mg ib hnub, muab faib ua 2-3 koob tshuaj (koj tuaj yeem faib cov ntsiav tshuaj tag nrho hauv ib nrab).

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Cov tshuaj no puas tsim nyog rau mob ntshav qab zib?

Nco ntsoov tias noj tus neeg sawv cev hypoglycemic uas muaj kev pheej hmoo loj ntawm kev mob ntshav qab zib. Nws yuav pab tiv thaiv kom tsis txhob muaj kab mob txaus ntshai thiab txhim kho lub cev ua haujlwm.

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Lub chav kawm ntawm kev kho mob ntshav qab zib tuaj yeem ntev. Cov lus qhia ntawm tus kheej yog muab los ntawm kws kho mob raws li kev tawm tsam ntawm lub cev thiab ntshav qab zib.

Kuv yuav tsum tau noj tshuaj ntev npaum li cas (hnub, limtiam lossis hli)?

Ntev npaum li cas noj Metformin tsuas yog teeb tsa los ntawm kws kho mob. Rau qee cov neeg mob, kev siv rau ib hlis lossis ib xyoos yog qhov txaus.

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Lwm tus tau qhia kom siv tshuaj rau lub sijhawm ntev.

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Kev kho mob tau sau cia cov ntawv sau cia thaum tus neeg sawv cev hypoglycemic tau muab rau kev siv thoob lub neej, uas cuam tshuam ntau ntxiv rau tus neeg mob txoj sia.

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Thaum siv cov tshuaj, nws yog ib qho tsim nyog yuav tsum tsis txhob xav txog lub sijhawm ntev ntawm kev kho mob xwb, tab sis kuj yog qhov siab tshaj plaws.

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Thaum nruab hnub, nws raug tso cai siv tsis ntau tshaj 3 gram ntawm cov tshuaj. Seem no yog qhov ntau thiab yog los ntawm kws kho mob nkaus xwb.

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Kuv puas xav tau cov zaubmov tshwj xeeb thaum noj Metformin?

Yog tias koj noj cov tshuaj Metformin rau qhov poob phaus, koj yuav tsum ua raws li txoj kev noj haus txhua lub sijhawm. Tus nqi ntawm cov nyiaj carbohydrates ceev yuav tsum raug txo kom tsawg.

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Txawm li cas los xij, koj tsis tuaj yeem tshaib plab, txwv tsis pub, cov kev mob tshwm sim yuav pib los ntawm kev siv tshuaj.

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Cov ntsiab lus ntawm calories ntau ntawm cov khoom noj yuav tsum yog tsawg kawg 1000 kcal.Cov khoom noj protein, zaub mov kom zoo rau lub cev thiab cov carbohydrates ua si, ntxiv rau fiber ntau thiab vitamins yog qhov tseem ceeb.

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Puas yog Metformin Ua rau lub neej ntev dua?

Metformin qhia qhov tseeb ncua lub neej ntawm cov neeg mob uas muaj ntshav qab zib hom 2, qeeb lawv txoj kev loj hlob ntawm cov teeb meem. Nws tseem tsis tau raug pov thawj tseeb tias cov tshuaj no pab tau cov neeg muaj ntshav muaj ntshav qab zib txij thaum laus los. Kev tshawb nrhiav loj ntawm qhov teeb meem no tau pib lawm, tab sis lawv cov txiaj ntsig yuav tsis muaj sai sai no. Txawm li cas los xij, ntau tus neeg muaj koob npe nyob rau sab hnub poob lees paub tias lawv tau noj thawj cov tshuaj Glucofage, ua kom qeeb lawv cov laus. Lawv tau txiav txim siab tsis tos rau kev lees paub tseeb.

Cov kws kho mob uas muaj suab npe thiab TV presenter Elena Malysheva tseem pom zoo cov tshuaj no ua cov tshuaj rau cov laus.

Kev tswj hwm ntawm endocrin-patient.com txiav txim siab nws plausible tias metformin qeeb qeeb kev laus, tshwj xeeb tshaj yog cov neeg rog. Elena Malysheva feem ntau tshaj tawm cov ntaub ntawv tsis raug lossis cov ntaub ntawv qub. Tus mob ntshav qab zib uas nws tau hais txog tsis pab txhua. Tab sis ntawm qhov hais txog metformin, ib tus tuaj yeem pom zoo nrog nws. Qhov no yog cov tshuaj zoo heev, thiab tsis muaj kev phiv loj, yog tias koj tsis muaj contraindications los kho lawv.

Metformin, Siofor lossis Glucofage: uas yog qhov zoo dua?

Feem ntau cov neeg mob nug lawv tus kheej tias qhov twg zoo dua rau kev noj: Glucophage lossis Metformin Richter rau kev poob phaus?

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Yog tias koj siv cov tshuaj tsis muaj lus qhia kho mob, ces tsis muaj qhov sib txawv ntau. Cov tshuaj no zoo ib yam thiab sib pauv tau.

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Siofor tau kho ntau dua nyob rau hauv kev kho mob poj niam, Metformin yog tshuaj los ntawm cov ntshav qab zib, thiab Glucophage yog qhov nrov heev thiab feem ntau nrhiav tau ntawm nws tus kheej.

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Tib lub sijhawm Siofor muaj cov nqi siab dua. Dab tsi yog yuav kom poob phaus - tsis muaj ntau qhov sib txawv.

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Qhov chaw tsim khoom ntawm Metformin yog qhov zoo dua?

Cov neeg noj qab haus huv tsis ua qhov tseem ceeb uas Metformin yuav: kev nyeg lossis neeg txawv teb chaws.

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Cov tshuaj nquag hauv qhov kev npaj tau yog tib yam, qhov tsuas tshuaj yog zoo ib yam, tus nqi yog nyob rau tib theem.

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Tos rau ib qho tshuaj kho kom ua haujlwm zoo dua li lwm qhov ua rau tsis muaj txiaj ntsig. Koj tuaj yeem yuav Metformin los ntawm cov tuam txhab tsim khoom.

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Piav qhia qhov sib txawv ntawm lub caij nyoog ntev thiab Metformin li niaj zaus?

Ntev ntev metformin muaj lub npe lag luam Glucofage Ntev.

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Lub cim tshwj xeeb ntawm cov tshuaj no yog tias nws yuav tsum tau noj ib hnub ib zaug thaum noj hmo lossis tom qab noj mov.

Cov cuab yeej no tso cai rau koj kom txo cov ntshav qab zib thaum hmo ntuj, thiab thaum sawv ntxov kom ntsuas.

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Tshuaj Metformin ua tsawg dua nyob rau lub sijhawm thiab tsis tso cai ntsuas qhov tseeb ntawm cov piam thaj tom qab siv tshuaj.

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Qhov tshwm sim ntawm Metformin rau poj niam thiab txiv neej poj niam txiv neej cov tshuaj hormones yog dab tsi?

Cov tshuaj yog siv hauv kev kho mob gynecology rau kev kho mob ntawm polycystic ovary syndrome. Ntsiav tshuaj yuav pab tau yog tias tus kab mob no ua los ntawm ntshav qab zib.

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Raws li qhov tshwm sim ntawm kev ua tsis zoo ntawm tus txiav, theem ntawm cov txiv neej cov txiv neej hauv poj niam lub cev nce ntxiv. Kev loj hlob ntawm Testosterone suppresses lub luag haujlwm ntawm zes qe menyuam.

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Metformin pib cov txheej txheem thim rov qab, vim li cas cov kev coj khaub ncaws tau tsim muaj hauv cov poj niam thiab ovulation rov qab los, thiab cov qib testosterone txo kom tsawg.

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Cov tshuaj muaj qhov cuam tshuam zoo rau tus txiv neej potency thiab txhim kho qhov ua kom zoo dua yog tias muaj kev hloov thaum muaj hnub nyoog ua rau nws ua txhaum. Hauv cov txiv neej, kev noj cov tshuaj tsis ua rau poob hauv testosterone.

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Nws cuam tshuam li cas rau cov thyroid ua haujlwm li cas?

Cov tshuaj pom zoo cuam tshuam lub xeev ntawm cov thyroid caj pas, yog tias tus neeg mob tsis muaj kab mob pathologies ntawm no.

Thaum siv cov tshuaj tiv thaiv kev txhawb nqa, ib tus neeg sawv cev hypoglycemic tuaj yeem txo qib ntawm cov tshuaj hormones.

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Thaum lub sijhawm tswj hwm, nws raug nquahu kom siv ib qho khoom ntxiv ntawm iodine.

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Cov analogues rau mob raum tsis ua hauj lwm yog dab tsi?

Vim tias qhov tseeb tias cov tshuaj yog contraindicated nyob rau hauv thaum muaj mob ntawm lub raum tsis ua haujlwm, nws yuav tsum tau hloov nrog cov tshuaj uas raug pom zoo rau siv nyob rau hauv cov mob no:

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Galvus
Glidiab
Glurenorm
lossis cov kws kho mob sau los ntawm koj tus kws kho mob.

Cov poj niam cev xeeb tub puas tuaj yeem siv tshuaj Metformin rau mob ntshav qab zib thaum xeeb tub?

Metformin yog contraindicated thaum cev xeeb tub. Txawm li cas los xij, kev tshawb fawb txog cov poj niam cev xeeb tub tau pom cov txiaj ntsig zoo.

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Raws li kev siv tshuaj kho mob, tus cev xeeb tub tsis rog ntxiv, thiab tus menyuam tau yug los yam tsis muaj mob ntshav qab zib.

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Cov lus nug hais txog qhov tseem yuav siv Metformin rau mob ntshav qab zib muaj mob tau txiav txim siab ib tus zuj zus.

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Puas muaj feem yuav mob khees xaws?

Cov txiaj ntsig thiab kev tsim txom ntawm lub cev tsis sib piv. Cov kev tshawb fawb qhia tias cov neeg uas siv tshuaj Metformin tsawg dua yuav mob qog nqaij hlav cancer.

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Yog lawm, tus neeg sawv cev hypoglycemic tsis tuaj yeem kho cov mob cancer thiab tsis tshem tawm cov metastases, tab sis nws txo qis kev pheej hmoo ntawm cov teeb meem zoo li no.

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Daim siab ua rau daim siab tuaj yeem txo qis thiab yog NAFLD (tsis muaj roj nyeem ua rau lub siab ua rau mob ntshav qab zib) kho mob ntshav qab zib?

Qhov tseeb nthuav tawm yog tias feem ntau cov neeg mob uas tsis yog cawv cawv daim siab lub siab muaj tsos mob ntawm tus mob ntshav qab zib hom 2.

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Kev siv cov Metformin favorably cuam tshuam cov mob no thiab tiv thaiv qhov tsim los ntawm hepatocellular carcinoma.

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Puas muaj tseeb tias qhov tshuaj tiv thaiv lub cev ua kom muaj zog thiab ntxiv dag zog rau lub cev?

Cov tshuaj muaj qhov cuam tshuam zoo nyob rau hauv cov txheej txheem hauv metabolism thiab ncig ntawm lub tshuab ua pa.

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Ntsiav tshuaj tiv thaiv kab mob sib kis thiab mob ntawm lub ntsws thiab mob ntsws.

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Hauv kev coj ua, cov neeg mob siv Metformin yuav luag ib txwm tsis raug mob COPD.

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Kuv tuaj yeem txuas kuv lub neej nrog Metformin?

Nws tuaj yeem suav tias qhov zais cia ntawm kev ua ntev thiab lub neej nyob mus ib txhis yog muab zais rau hauv Metformin txoj kev kho.

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Cov tshuaj muaj txiaj ntsig zoo rau txhua yam hauv nruab nrog cev thiab kab ke ntawm lub cev uas ua haujlwm tseem ceeb: nplooj siab, plab hnyuv, lub paj hlwb, lub plawv thiab ntshav.

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Rau cov txiv neej, cov tshuaj tuaj yeem ncua sijhawm cov hluas thiab tswj kev ua haujlwm erectile, txo qhov ntxim nyiam ntawm kev mob qog nqaij hlav prostate.

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Rau cov poj niam, cov tshuaj yuav pab tsim cov haujlwm ntawm zes qe menyuam, rov qab tsim kom muaj fertility thiab tsim cov metabolism.

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Cov cuab yeej siv tsis yog tsuas yog rau kev noj qab haus huv tab sis kuj rau kev zoo nkauj, vim nws normalizes lub cev qhov hnyav, ua kom cov plaub hau, pob txha, tes thiab hniav.

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Los ntawm kev txhawb nqa cov thyroid caj pas, cov tshuaj tiv thaiv ua rau ntau yam kab mob phem.

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Ua ntej siv cov tshuaj, nws raug nquahu kom sab laj nrog tus kws kho mob thiab xaiv cov tshuaj noj ib tus neeg.

Yuav siv tshuaj metformin rau kev tiv thaiv? Yog li, nyob rau hauv dab tsi dosages?

Yog tias koj muaj tsawg dua qhov hnyav dua, nws ua rau pom kev noj cov tshuaj metformin rau kev tiv thaiv, pib ntawm hnub nyoog nruab nrab. Cov tshuaj no yuav pab kom poob phaus, txhim kho cov roj cholesterol, thiab txo qhov kev pheej hmoo ntawm mob ntshav qab zib hom 2.

Ua ntej koj pib haus cov tshuaj no, ua tib zoo nyeem cov lus qhia rau kev siv, tshwj xeeb yog tshooj ntawm contraindications thiab phiv.

Tsis muaj tseeb cov ntaub ntawv thaum muaj hnub nyoog li cas koj tuaj yeem pib noj cov tshuaj metformin. Piv txwv li, hauv 35-40 xyoo. Nco ntsoov tias txoj kev kho mob tseem ceeb yog kev noj zaub mov kom tsawg. Ib qho tshuaj twg, txawm tias kim tshaj plaws, tsuas yog ua tiav cov nyhuv uas cov khoom noj yuav muaj rau koj lub cev. Refined carbohydrates muaj kev phom sij heev. Tsis muaj cov tshuaj phom sij tuaj yeem them lawv cov teeb meem tsis zoo.

Cov neeg rog yog qhia kom maj mam nqa cov tshuaj txhua hnub mus rau qhov ntau tshaj - 2550 mg rau ib hnub rau qhov ib txwm siv tshuaj thiab 2000 mg rau ncua kev tso tshuaj (Glucofage Ntev thiab analogues). Pib noj 500-850 mg ib hnub twg thiab tsis txhob maj nce qhov ntau ntxiv kom lub cev muaj sij hawm yoog.

Piv txwv tias koj tsis muaj qhov hnyav tshaj txhua qhov, tab sis koj xav noj cov metformin kom tiv thaiv kev hloov pauv hnub nyoog. Hauv qhov no, nws tsis yog tsim nyog siv qhov ntau tshaj cov tshuaj. Sim 500-1700 mg ib hnub twg. Hmoov tsis, tsis muaj xov xwm meej txog kev noj tshuaj tiv thaiv kom zoo rau cov neeg nyias nyias.

Kuv puas yuav tsum haus cov tshuaj no rau ntshav qab zib?

Yog lawm, metformin yuav pab yog tias koj rog dhau, tshwj xeeb tshaj yog cov rog ua rau lub plab thiab ncig ntawm lub duav. Kho nrog cov tshuaj no yuav txo tau qhov ntxim siab tias ntshav qab zib yuav dhau los ua hom ntshav qab zib 2.

Ua ntej tshaj, mus rau ntawm kev noj haus kom tsawg-carbohydrate, thiab tom qab ntawd ntsaws hauv cov ntsiav tshuaj. Tsis txhob sim hloov cov khoom noj nrog kev noj tshuaj. Koom nrog qee yam kev tawm dag zog lub cev - tsawg kawg taug kev, thiab nyiam kev dhia. Saib xyuas koj qhov hnyav, ntshav siab thiab ntshav qab zib, nrog rau kev yoo plasma ntshav plasma sai heev.

Pes tsawg hnub, lub lis piam, lossis hli koj xav tau noj cov tshuaj?

Metformin tsis yog txoj kev kho rau ib txoj kev kho mob. Nyob rau hauv cov lus qhia thiab qhov tsis muaj kev phiv loj heev, nws raug nquahu kom coj tag kuv lub neej, txhua hnub, yam tsis muaj cuam tshuam.

Zawv plab zom mov thiab lwm yam mob plab zom mov tsis yog qhov laj thawj kom thim nws. Txawm hais tias nws ua rau pom zoo kom txo cov tshuaj me me. Yog tias tsim nyog, kuaj ntshav rau vitamin B12 txhua txhua rau lub hlis. Los yog tsuas yog noj cov vitamins no nrog cov kev kawm prophylactic.

Kuv yuav tsum yoo mov dab tsi thaum noj cov tshuaj metformin?

Txog kev poob phaus thiab / lossis ntshav qab zib, kev noj zaub mov kom tsawg-carbohydrate yog qhov zoo tshaj plaws thiab xaiv tib txoj haujlwm. Kev noj zaub mov zoo nrog kev txwv tsis tshua muaj calories thiab rog - yuav luag tsis pab. Vim tias nws tsis muaj peev xwm ua kom soj ntsuam vim hais tias ntawm sab nrauv muaj kev tshaib nqhis. Tsis tas li ntawd, nyob rau hauv kev teb rau qhov txo qis hauv caloric kom tsawg, lub cev ua rau lub cev metabolism hauv lub cev. Qhov no thaiv kom poob phaus.

Kev noj haus rau cov neeg mob ntshav qab zib, uas feem ntau yog cov kws kho mob pom zoo, muaj ntau cov khoom uas ua rau cov ntshav qab zib nce siab thiab yog li muaj kev phom sij. Kev puas tsuaj ntawm cov khoom no tsis tuaj yeem them nyiaj rau ib qho kev noj tshuaj thiab kev txhaj tshuaj ntawm insulin. Cov khoom txwv tsis pub yuav tsum muab pov tseg tag nrho. Saib xyuas cov khoom noj uas tau tso cai. Lawv tsis tsuas yog noj qab nyob zoo, tab sis kuj muaj lub siab zoo thiab muaj lub siab nyiam.

Lub chaw tsim tshuaj cov tshuaj metformin zoo dua?

Lub Vev Xaib endocrin-patient.com pom zoo kom noj Glucophage lossis Glucophage Ntev tsim los ntawm Merck, Fabkis. Qhov sib txawv hauv nqe nrog Siofor thiab metformin ntsiav tshuaj tsim hauv CIS lub teb chaws tsis loj dhau.

Domestic metformin thiab glucophage: tshuaj xyuas tus neeg mob

Tsim cov tshuaj los yog metformin: qhov twg zoo dua? Los sis yog nws tib yam?

Formmetin yog cov tshuaj metformin uas tsim los ntawm Pharmstandard, Russia. Lawv tuaj nyob rau hauv cov kev coj ua thiab lub caij nyoog ntev, hauv qhov ntau npaum li 500, 850 thiab 1000 mg. Cov tshuaj no yog qhov pheej yig dua li cov tshuaj yeeb yaj kiab tuaj txawv teb chaws Glucofage, tab sis tus nqi sib txawv tsis loj heev. Nws ua rau tsis muaj kev nkag siab mus rau nws kom thiaj cawm tau. Kev txheeb xyuas tus mob ntshav qab zib txog nws yog qhov yuav ntau dua qhov tsis zoo.

Dab tsi yog qhov sib txawv ntawm metformin thiab glyformin?

Metformin tsis txawv ntawm glyformin, nws yog ib qho thiab tib yam. Gliformin yog qhov sib tw ntawm cov formin ntsiav tshuaj tau piav qhia saum toj no. Cov tshuaj no yog tsim los ntawm Akrikhin OJSC, Russia. Thaum lub sij hawm ntawm kev npaj ntawm tsab xov xwm ntawm tus nqi nws yuav luag tsis txawv ntawm thawj cov tshuaj Glyukofazh.

Metformin, glyformin lossis formin: dab tsi los xaiv

Gliformin tsis nrov heev, muaj ob peb kev kuaj xyuas txog nws.

Dab tsi yog qhov sib txawv ntawm ntev metformin thiab niaj zaus?

Cov pa metformin ua rau lub cev nqus tau yuav luag sai tom qab ib tug neeg nqos lawv. Qhov siab tshaj plaws ntawm cov tshuaj nquag hauv cov ntshav tau pom 4 teev tom qab kev coj noj coj ua. Ntawm cov ntsiav tshuaj ntawm lub caij nyoog ntev (ntev ntev) kev txiav txim siab, cov tshuaj nquag yuav tsis nqus sai sai, tab sis cov tshuaj no siv sijhawm ntev dua.

Cov tshuaj metformin niaj zaus yuav tsum noj 3 zaug hauv ib hnub nrog zaub mov.Ib qho tshuaj noj ntev li tau sau tseg ib hnub ib zaug, feem ntau yog thaum tsaus ntuj, yog li tag kis sawv ntxov, kev yoo mov cov ntshav qab zib kom zoo dua.

Cov metformin ntev ntev ua rau lub plab zom mov tsawg dua li cov ntsiav tshuaj tsis tu ncua. Tab sis nws muaj txiaj ntsig tsawg rau kev tswj hwm cov ntshav qabzib hauv lub hnub. Tus mob ntshav qab zib feem ntau noj nws thaum hmo ntuj kom ua kom qab zib sai sai rau tag kis. Glucophage Ntev yog qhov qub-ntev ua yeeb yam metformin kev npaj. Koj tseem tuaj yeem pom cov analogues hauv cov tsev muag tshuaj uas pheej yig dua.

Metformin cuam tshuam li cas rau daim siab? Kuv puas tuaj yeem nqa nws nrog rog hepatosis?

Metformin yog sib kis hauv cov hlab ntsws thiab lwm yam mob ua rau daim siab, tsis suav nrog cov rog rog. Rau cov neeg muaj lub siab tsis ua haujlwm, feem ntau nws yuav lig dhau los ua kom yuag thiab kho tus mob ntshav qab zib.

Txawm li cas los xij, kev mob rog hepatosis (rog ua rog) yog qhov sib txawv kiag li. Nrog rau cov teeb meem no, metformin tuaj yeem thiab yuav tsum tau ua. Kuj tseem hloov mus rau kev noj zaub mov kom tsis tshua muaj carb. Koj yuav zoo nyob sai. Feem ntau cov yuav, koj yuav poob ceeb thawj. Cov ntawv kuaj ntshav kuj tseem yuav ua kom zoo ntxiv. Rog ua rau lub cev muaj kab mob yog ib qho kev nyuaj ua tsis ploj ib qho ntawm thawj tom qab ib tug neeg hloov pauv nws txoj kev ua neej.

Saib cov vis dis aus txog fructose rau ntshav qab zib thiab rog. Nws tham txog cov txiv hmab txiv ntoo, zib ntab zib ntab, thiab cov khoom noj uas muaj ntshav qab zib tshwj xeeb. Ntau cov lus qhia tseem ceeb rau cov neeg mob ntshav siab, rog rog rog (rog rog) thiab gout.

Cov tshuaj no cuam tshuam li cas rau txiv neej thiab poj niam txiv neej cov tshuaj hormones?

Tsis muaj qhov ua pov thawj me ntsis tias metformin txo qis testosterone rau tus txiv neej, worsens potency. Txhob txhawj txog qhov no.

Rau cov poj niam ntawm lub hnub nyoog yug me nyuam, muaj cov teeb meem metabolic uas qib ntawm txiv neej poj niam txiv neej cov ntshav nce ntxiv hauv cov ntshav, thiab qhov rhiab ntawm cov nqaij mos rau insulin tsawg dua. Qhov no yog hu ua polycystic ovary syndrome (PCOS). Yuav luag txhua tus poj niam uas tau ntsib PCOS siv metformin, tshwj xeeb hauv Siofor ntsiav tshuaj. Cov tshuaj no muaj cov txiaj ntsig zoo rau poj niam txiv neej cov tshuaj hormones, ua kom muaj feem ntau hauv plab, txawm tias nws tsis tau lees tias tag nrho.

Yuav ua li cas hloov metformin hauv kev mob raum tsis ua haujlwm?

Yog li, koj ua tib zoo nyeem cov lus qhia thiab pom tias lub raum tsis ua haujlwm yog qhov cuam tshuam rau kev noj cov tshuaj metformin. Qhov tseeb tiag, cov tshuaj no tau pom zoo kom muab ncua tseg yog tias, hauv qhov ntshav qab zib, txhaws qog lub raum qis dua 45 ml / min.

Cov tshuaj raug cai tso cai rau qee cov tshuaj ntshav qab zib kom noj tau rau lub raum tsis ua haujlwm. Piv txwv, Glurenorm, Glidiab, Januvius thiab Galvus. Txawm li cas los xij, qee cov tshuaj no tsis muaj zog, thaum lwm cov muaj kev phom sij. Lawv tuaj yeem txo cov ntshav qab zib, tab sis tsis txo qhov kev tuag ntawm cov neeg mob, lossis tseem nce ntxiv.

Kev loj hlob ntawm lub raum mob ntshav qab zib txhais tau tias qhov kev tso dag tau dhau mus. Hloov chaw ntawm kev sim tshuaj tshiab, koj yuav tau pib txhaj cov tshuaj insulin.

Metformin Kev Tawv Khaub

Metformin tsuas yog ua rau cov tshuaj pab kom yuag nkaus xwb uas tsis muaj kev phiv loj heev. Ntawm qhov tsis sib xws, nws yog qhov muaj txiaj ntsig - tsis tsuas yog txo qhov hnyav, tab sis tseem txhim kho cov txiaj ntsig ntawm kev kuaj ntshav rau cov piam thaj thiab cov roj cholesterol.

Nws tsis yog qhov xav tsis thoob uas ntawm cov neeg muaj kev rog, cov tshuaj no nrov heev. Nws tau siv rau yuav luag 50 xyoo. Nws yog tsim los ntawm ntau cov tuam txhab sib tw. Vim yog kev sib tw ntawm cov tuam ntxhab, tus nqi hauv cov khw muag tshuaj txawm tias muaj rau qhov kev siv tshuaj yeeb ib txwm dhau los Glucofage.

Koj yuav tsum tau noj cov tshuaj metformin rau cov kev poob phaus raws li cov qauv uas tau piav qhia hauv nplooj ntawv no, nrog kev nce cov ncauj lus tsawg zuj zus txhua hnub. Ua tib zoo nyeem cov lus qhia thiab paub tseeb tias koj tsis muaj kev tsis sib haum rau kev siv cov cuab yeej no. Nws yog qhov tsim nyog kom rov ua dua ib zaug ntxiv uas fatty hepatosis tsis yog contraindication.

Koj yuav hnyav npaum li cas kg los poob ntawm metformin?

Koj tuaj yeem cia siab kom poob 2-4 kg yog tias koj tsis hloov koj qhov kev noj zaub mov thiab qib kev tawm dag zog. Tej zaum nws yuav muaj hmoo los poob ntau phaus, tab sis tsis muaj kev lees paub.

Peb rov qab hais tias metformin yuav luag tsuas yog cov tshuaj uas ua rau nws poob phaus yam tsis muaj kev phom sij rau kev noj qab haus huv. Yog tias tom qab 6-8 lub lim tiam ntawm kev noj nws, nws tsis tuaj yeem tshem ntawm ob peb phaus ntxiv - feem ntau, tus neeg muaj kev tsis txaus cov thyroid hormones. Kuaj ntshav rau tag nrho cov tshuaj hormones no, tsis txwv rau TSH. Qhov ntsuas tseem ceeb tshwj xeeb yog T3 pub dawb. Tom qab ntawd sab laj nrog endocrinologist.

Hauv cov tib neeg uas hloov mus rau kev noj zaub mov kom tsis raug carb, cov txiaj ntsig ntawm qhov kev poob phaus zoo dua. Coob leej hauv lawv qhov kev tshuaj xyuas sau tias lawv tau tswj kom poob 15 kg lossis ntau dua. Koj yuav tsum haus cov tshuaj metformin txuas ntxiv kom tswj qhov ua tiav tau. Yog tias koj tsum tsis noj cov tshuaj no, ces qee feem ntawm qhov phaus ntxiv yog qhov yuav rov qab los.

Puas yog Elena Malysheva pom zoo kom metformin rau qhov kev poob phaus?

Elena Malysheva ua cov tshuaj metformin uas nrov los ua kev kho mob rau cov laus, tab sis nws tsis txhawb nws ua kev kho mob rau cov rog. Nws feem ntau pom zoo kom nws pluas noj kom yuag, thiab tsis yog qee yam tshuaj noj. Txawm li cas los xij, cov zaub mov no muaj ntau cov khoom noj uas ntau dhau nrog cov carbohydrates. Lawv nce qib ntawm cov kua dej hauv cov ntshav thiab yog li thaiv kev tawg ntawm cov rog hauv lub cev.

Cov ntaub ntawv hais txog kev kho mob ntshav qab zib thiab poob phaus, uas tshaj tawm los ntawm Elena Malysheva, yog rau feem ntau tsis muaj tseeb, tsis muaj hnub nyoog.

Cov tshuaj twg zoo dua rau qhov poob phaus: metformin lossis glucophage?

Glucophage yog thawj cov tshuaj yeeb tshuaj txawv teb, cov tshuaj nquag ntawm uas yog metformin. Tus xaib endocrin-patient.com pom zoo kom noj nws rau qhov hnyav thiab / lossis kho ntshav qab zib. Tsis zoo li cov tshuaj kho ntshav qab zib kawg, glucophage pheej yug. Nws ua rau tsis muaj kev cuam tshuam sim Siofor lossis Lavxias analogues pheej yig dua. Qhov sib txawv ntawm tus nqi yuav yog qhov me, thiab qhov tshwm sim ntawm kev kho yuav tsis zoo.

Sim noj Glucofage Ntev Slimming 2-3 zaug hauv ib hnub yog tias Glucofage ib txwm lossis lwm yam tshuaj Metformin ua rau mob raws plab heev.

Nrog ntshav qab zib hom 2

Metformin yog hom tshuaj mob ntshav qab zib hom nrov tshaj plaws 2. Nws ua rau cov ntshav qab zib nyob rau ntawm lub plab khoob thiab tom qab noj mov, ua rau muaj kev txhim kho qeeb ntxiv yam tsis muaj teeb meem tshwm sim. Qhov no tsis yog panacea rau cov neeg mob ntshav qab zib, tab sis ib qho tseem ceeb thiab tseem ceeb uas yuav tsum tau ntawm kev kho tus mob. Txhua tus neeg uas muaj ntshav qab zib hom 2 yuav tsum noj cov tshuaj metformin yog tias tsis muaj cov lus sib kis. Qee lub sij hawm cov neeg mob tswj kom yuag poob kom ntau uas lawv khaws cov suab thaj li qub tsis tas siv cov tshuaj no. Tab sis xws li cov mob no tsis tshua muaj.

Nrog rau siv ntev, metformin kho txhim kho cov piam thaj hauv ntshav, ntxiv rau cov txiaj ntsig ntawm kev soj ntsuam cov roj cholesterol thiab triglycerides, pab kom poob phaus ntxiv. Cov tshuaj no muaj kev nyab xeeb heev li uas nws tau hais tseg txawm tias menyuam yaus txij thaum 10 xyoo, kev txom nyem los ntawm kev rog rog thiab hom 2 ntshav qab zib. Cov koob tshuaj rau T2DM yog tib yam li rau cov neeg noj qab haus huv poob ceeb thawj. Pib nrog kev siv tshuaj ntau kawg ntawm 500-850 mg thiab maj mam nce nws ntau tshaj 2550 mg ib hnub (3 ntsiav tshuaj ntawm 850 mg ib qho). Rau cov tshuaj ncua ntev Glucofage Ntev ntev, qhov siab tshaj plaws niaj hnub noj tshuaj qis dua - 2000 mg.

Tsis txhob cia siab tias kev noj cov tshuaj metformin lossis cov tshuaj muaj ntshav qab zib muaj txiaj ntsig zoo dua yuav cia koj tsis kam ua raws li kev noj zaub mov noj. Cov kev sim no ua rau xav tau nrog cov kws kho mob uas kho cov teeb meem hauv ob txhais ceg, pom kev thiab ob lub raum. Kawm cov kev kho mob ib qib zuj zus rau kev mob ntshav qab zib hom 2 thiab tswj hwm koj tus mob raws li tau sau rau ntawd. Zawv plab thiab xeev siab tsis zoo tshwm sim thaum ntxov, tab sis yuav tsum ua kom mob siab rau, lawv tsis muaj kev phom sij txaus ntshai. Thiab yog tias koj lub siab tsis qaug zog, koj yuav tsis zoo siab yuav chim siab.

Yam 2 ntshav qab zib metformin: kev rov qab tus neeg mob

Cov tshuaj metformin twg zoo tshaj plaws pab rau cov ntshav qab zib?

Lub vev xaib endocrin-patient.com pom zoo kom noj cov tshuaj tuaj txawv teb chaws Glucofage. Qhov sib txawv hauv nqe nrog Siofor ntsiav tshuaj thiab Lavxias teb sab ua qauv yog tsawg heev. Dr. Bernstein qhia tias thawj cov tshuaj Glucofage ua rau kom cov ntshav qab zib ntau dua nws cov tshuaj los ntawm cov tuam txhab sib tw.

Cov metformin twg yog qhov zoo dua rau kev rov ua dua?

Metformin yog tsim nyob rau hauv ntau cov cim lag luam thiab raug tsim los ntawm ntau lub tuam txhab:

Metformin
Glycon
Metospanin
Siofor
Glucophagus,
Gliformin thiab lwm tus.

Qhov zoo tshaj plaws Metformin muaj nyob rau hauv cov tshuaj uas nrov npe Glucofage.

Qhov kev nyab xeeb tshaj plaws thiab pom zoo tshaj plaws nyob rau Asmeskas, Russia thiab 17 lwm lub tebchaws nyob sab Europe yog Glucofage. Nws raug tso cai kom coj cov menyuam yaus muaj 10-xyoo. Nws yog qhov tseeb tias nws yog Glucophage uas ua rau muaj kev phiv yam tsawg kawg nkaus, thiab hauv kev tiv thaiv kev laus nws yuav luag 100% muaj kev nyab xeeb.

Txawm li cas los xij, nws yog qhov yuav tsum tau sab laj nrog koj tus kws kho mob txog kev siv tshuaj twg uas muaj cov tshuaj metformin.

Sab sij huam

Yog tias koj noj cov tshuaj hauv cov koob tshuaj txo qis, tom qab ntawd tsis muaj kev phiv tshuaj. Txawm li cas los xij, nws yog qhov ncaj ncees los hais txog lawv:

smack ntawm hlau
kev tsis nco qab
mob hnyuv (raws plab),
kem plab (ntuav, xeev siab),
anemia (yog tias koj tsis noj tshuaj vitamin B12 thiab folic acid),
lactic acidosis.

Saib xyuas! Yog tias ib tus neeg ua hauj lwm nyhav los yog noj tsis tau ua ntej siv metformin, ntshav qab zib yuav poob qis. Cov tsos mob: tuav tes, tsis muaj zog, kiv taub hau. Hauv qhov no, koj yuav tsum noj tej yam qab zib.

Malysheva hais li cas txog cov tshuaj?

Malysheva hais txog metformin hauv kev nthuav dav hauv nws txoj haujlwm "Noj Qab Haus Huv", qhov chaw uas nws mus daws qhov teeb meem los ntawm qhov pom ntawm kev siv cov tshuaj tshwj xeeb rau kev rov ua haujlwm. Cov pab pawg kws tshaj lij kuj koom nrog txoj haujlwm, uas muab cov lus teb rau ntau cov lus nug ntsig txog kev nqis tes ua thiab cov yam ntxwv ntawm cov tshuaj.

Video: Elena Malysheva txog metformin, raws li kev kho mob rau cov laus.

Rau qhov poob phaus thiab lub cev rov qab ua dua tshiab: nws puas muaj peev xwm haus Metformin yog tias tsis muaj ntshav qab zib?

Metformin yog cov tshuaj qab zib poob qis uas siv los ntawm hom 2 mob ntshav qab zib (2T). Cov tshuaj tau paub txog ntau caum xyoo.

Nws cov khoom muaj suab thaj txo qis tau pom rov qab rau xyoo 1929. Tab sis Metformin tau siv dav nyob hauv xyoo 1970, thaum lwm cov tshuaj loj tau coj tawm hauv kev lag luam tshuaj.

Cov tshuaj tseem muaj lwm yam khoom muaj txiaj ntsig, nrog rau kev ua kom qeeb hauv cov laus. Tab sis nws puas muaj peev xwm haus Metformin yog tias tsis muaj ntshav qab zib? Qhov teeb meem no tab tom tshawb nrhiav los ntawm ob tus kws kho mob thiab cov neeg mob.

Yuav hloov cov metformin li cas yog tias nws tsis pab muaj ntshav qab zib lossis ua rau mob plab zawv?

Metformin tsis yooj yim los hloov nrog qee yam, nws yog nyob rau hauv ntau txoj kev uas ib txwm siv yeeb tshuaj. Txhawm rau kom tsis txhob mob raws plab, koj yuav tsum noj tshuaj nrog zaub mov, pib nrog kev siv tshuaj rau hnub tsawg thiab maj mam ntxiv. Koj tseem tuaj yeem sim hloov ib ntus ntawm cov ntsiav tshuaj ib txwm mus rau kev noj tshuaj ntev. Yog tias cov tshuaj metformin tsis txo cov ntshav qab zib txhua - nws yog qhov ua tau tias tus neeg mob hnyav ntshav qab zib hom 2, uas tau hloov mus ua hom ntshav qab zib 1. Hauv qhov no, koj yuav tsum maj nrawm pib txhaj tshuaj insulin, tsis muaj tshuaj yuav pab tau.

Hauv cov ntshav qab zib, metformin feem ntau ua rau cov piam thaj qis dua, tab sis tsis txaus. Hauv qhov no, nws yuav tsum tau ntxiv nrog kev txhaj tshuaj ntawm insulin.

Nco qab tias cov neeg nyias ib txwm tsis muaj txiaj ntsig noj cov tshuaj ntshav qab zib. Lawv yuav tsum hloov mus rau cov insulin tam sim ntawd. Kev teem sij hawm ntawm kev kho tshuaj insulin yog qhov teeb meem loj, koj yuav tsum to taub nws. Kawm cov lus hais txog insulin hauv lub xaib no, sab laj nrog koj tus kws kho mob. Ua ntej tshaj plaws, koj yuav tsum hloov mus rau qhov kev noj haus tsawg-carb. Yog tsis muaj nws, kev tswj tus kab mob zoo tsis yooj yim sua.

Kuv haus metformin, thiab qab zib tsis poob thiab tseem nce - yog vim li cas?

Metformin yog cov tshuaj uas tsis muaj zog rau txo cov ntshav qab zib. Hauv cov ntshav qab zib hom 2 hnyav, yuav tsis muaj kev nkag siab ntau hauv nws. Ntawm hom ntshav qab zib hom 1, cov tshuaj no feem ntau tsis zoo.

Ua ntej tshaj plaws, koj yuav tsum hloov mus rau qhov kev noj haus tsawg-carb.Nyob ntawm koj qhov kev kuaj mob, siv cov hom phiaj kho mob ntshav qab zib hom 2 los yog qib 1 tswj hwm kev mob ntshav qab zib.

Koj tus kws kho mob yuav qhia cov tshuaj muaj zog dua qub los hloov lossis ntxiv rau kev siv cov metformin. Piv txwv li, Diabeton MV, Amaril, Maninil lossis qee qhov sib piv yog pheej yig dua. Kev tsim kho kabmob ntshav qab zib tshiab tshaj plaws yog Galvus, Januvius, Forsig, Jardins thiab lwm tus.

Feem ntau yuav luag, txoj kev daws teeb meem zoo tshaj plaws rau koj yog pib txhaj cov tshuaj insulin. Tsis txhob ntshai kev txhaj tshuaj. Lawv tuaj yeem ua kom mob kiag li, nyeem ntxiv ntawm no. Nco qab tias cov neeg mob ntshav qab zib uas ua raws li cov zaub mov noj qis rau lub cev yuav nqus cov tshuaj insulin 2-7 zaug qis dua li ib txwm. Kev txhaj tshuaj ntawm cov tshuaj insulin nyob rau hauv cov koob tshuaj qis yuav ua kom ruaj khov thiab twv xyuas, tsis ua teeb meem.

Koj txoj kev xav ntawm cov tshuaj metformin ua ke - Glibomet, Galvus Met, Yanumet yog dab tsi?

Qee cov tshuaj muaj npe rau cov ntshav qab zib hom 2 yog qhov muaj teeb meem thiab yuav tsum tau muab pov tseg tam sim ntawd. Cov tshuaj Glibomet yog ib qho ntawm lawv. Nws muaj metformin thiab ib qho kev cuam tshuam thib ob, yog li nws yuav tsum tsis txhob ua. Cov tshuaj no ua rau cov ntshav qab zib ib ntus poob qis, tab sis ua rau mob ntshav qab zib ntau zuj zus thiab ua rau muaj kev phom sij ploj tuag. Yog xav paub ntxiv, saib kab lus “Cov tshuaj rau ntshav qab zib.”

Galvus Met thiab Yanumet tshuaj yog kim, tab sis raws li kev soj ntsuam cov neeg mob lawv ua haujlwm zoo dua li ntawm Glucofage thiab Glucofage Ntev.

Yuav kho cov ntshav qab zib puas tau nrog cov tshuaj metformin thiab cov tshuaj insulin rau tib lub sijhawm?

Nov feem ntau yog qhov koj yuav tsum tau ua. Koj lub hom phiaj yog ua kom cov piam thaj kom ruaj khov nyob rau ntawm 4.0-5.5 mmol / L, zoo ib yam li cov neeg noj qab haus huv. Lub vev xaib endocrin-patient.com piav qhia yuav ua li cas kom ua tiav qhov no tsis muaj kev tshaib plab thiab lwm yam tsim txom.

Tsawg tus neeg mob ntshav qab zib tswj nqa qab zib kom rov zoo li qub nrog kev noj haus thiab ntsiav tshuaj. Tshwj tsis yog ib tus neeg mob uas muaj ntshav qab zib hom 2 hloov mus rau qhov kev noj zaub mov kom tsawg thaum lub sijhawm, nyob rau theem pib ntawm tus kabmob.

Feem ntau, koj yuav tsum tau txhaj cov tshuaj insulin hauv cov koob tshuaj qis ntxiv rau kev ua raws li kev noj haus thiab noj cov tshuaj metformin. Tsis txhob ua neeg tub nkeeg ua li no. Vim tias nrog cov piam thaj muaj txiaj ntsig ntawm 6.0-7.0 thiab siab dua, cov kab mob ntshav qab zib txuas ntxiv txhim kho, txawm tias muaj qeeb.

Feem ntau, ntshav qab zib hom 2 pib kho nrog kev noj haus, tom qab ntawv metformin ntxiv rau nws thiab, txawm tias tom qab, kev txhaj tshuaj insulin tsawg raws li cov txheej txheem xaiv los ntawm tus kheej. Qee zaum cov tshuaj yuav pib noj cov ntshav qab zib uas twb tau txhaj tshuaj insulin lawm. Feem ntau nyob rau hauv cov xwm txheej zoo li no, qhov xav tau rau cov kua dej yog txo 20-25%.

Xyuam xim tsis txhob txhaj tshuaj insulin ntau dhau thiab ua rau lub ntsej muag ntshav qog. Nws yog qhov zoo dua los txo cov tshuaj ntawm cov tshuaj insulin nrog lub npoo, thiab tom qab ntawd ua tib zoo nce lawv hauv cov ntshav qab zib. Rau ntau tus neeg uas muaj ntshav qab zib hom 2, kev tso dag dag zaum (qoj ib ce) pab lawv ua kom lawv qab zib zoo meej thaum tsis kam siv tshuaj insulin. Sim khiav cov txheej txheem no lossis tsawg kawg taug kev Nordic taug kev.

Yuav noj cov tshuaj metformin li cas

Cov tshuaj no yuav tsum tau noj nrog zaub mov. Kev xyaum tau qhia tias nws yog thev taus zoo dua li yog tias koj haus cov tshuaj ua ntej lossis tom qab noj mov. Cov ntsiav tshuaj ntev ntev tsis tuaj yeem zom, koj yuav tsum nqos tag nrho. Lawv muaj qhov hu ua cellulose matrix, uas ua rau qeeb qeeb ntawm kev tshaj tawm ntawm cov tshuaj nquag. Feem ntau qhov no txhoj tsom los ua ke hauv plab hnyuv. Tab sis qee zaum nws pauv pauv qhov tsos qhov quav yam tsis ua kom plab zom mov. Tsis txhob txhawj xeeb, nws tsis txaus ntshai thiab tsis muaj kev phom sij.

Yog tias tsis muaj cov tshuaj sib kis thiab cov kev mob tshwm sim loj heev, tom qab ntawv metformin yuav tsum noj mus ib txhis, rau lub neej. Yog tias cov tshuaj noj raug tso tseg, kev tswj xyuas cov piam thaj hauv ntshav yuav phem zuj zus ntxiv, qee qhov phaus ntxiv uas yuav rov qab pib dua yuav rov qab los. Ua ke nrog cov tshuaj no, cov vitamin B12 tuaj yeem nqa tawm rau 1-2 cov chav kawm ib xyoos. Ntxiv rau cov vitamin B12, metformin tsis tshem tawm cov txiaj ntsig zoo hauv lub cev, tab sis theej khaws lawv.

Yuav noj cov tshuaj metformin yam tsis noj tshuaj los ntawm kws kho mob?

Nov yog cov tshuaj uas muaj kev nyab xeeb uas, feem ntau, nyob hauv cov chaw muag tshuaj koj yuav muag tsis tas yuav tshuaj. Nco ntsoov tias koj tsis muaj contraindications rau nws siv.Yog tias lawv tsis tau, tom qab ntawd koj tuaj yeem noj cov tshuaj no yam tsis muaj kws kho mob sau los tswj hom 2 ntshav qab zib thiab / lossis kom poob phaus. Nws raug nquahu kom dhau txoj kev kuaj ntshav uas kuaj xyuas qhov haujlwm ntawm ob lub raum thiab mob siab. Tom qab ntawv nqa lawv dua, piv txwv li, txhua rau lub hlis.

Nws kuj tseem tau saib xyuas cov roj (cholesterol) thiab lwm yam kev phom sij ntawm lub plawv.

Qhov koob tshuaj ntau tshaj txhua hnub yog dab tsi?

Qhov siab tshaj plaws txhua hnub ntawm metformin yog tib yam rau kev kho mob ntawm hom 2 mob ntshav qab zib thiab poob phaus. Rau kev ncua ntev cov ntsiav tshuaj Glucofage Ntev lossis analogues, nws yog 2000 mg (4 ntsiav tshuaj ntawm 500 mg). Feem ntau nws tau coj thaum hmo ntuj kom txhim kho cov roj qab zib yoo tom qab sawv ntxov. Rau cov tshuaj metformin tsis tu ncua, qhov siab tshaj plaws niaj hnub noj yog 2550 mg, ib 850 mg ntsiav tshuaj nrog txhua ntawm peb daim ntawv noj mov.

Lawv pib kho nrog qhov tsawg kawg nkaus ntawm 500 lossis 850 mg rau ib hnub, thiab tom qab ntawd maj mam nce nws kom muab lub cev sijhawm rau kev yoog. Txwv tsis pub, tej zaum yuav muaj kev ua pa raws plab. Cov neeg tsis tshua muaj ntshav qab zib ib txwm siv metformin los ua kom lub neej ntev. Nyob rau hauv cov xwm txheej zoo li no, nws ua rau tsis muaj txiaj ntsig kom noj qhov ntau tshaj. Txwv koj tus kheej kom ntau li 500, 1000 lossis 1700 mg ib hnub.

Ib koob tshuaj twg tau siv ntau npaum li cas?

Kev tso tawm qeeb mentsis metformin ntsiav tshuaj ntev li 8-9 teev. Cov pa tshuaj - 4-6 teev. Yog tias qhov kev txiav txim ntawm cov ntsiav tshuaj dhau los tseem tsis tau tas, thiab tus neeg tau noj ib qho tshuaj ntxiv lawm, qhov no feem ntau tsis muaj teeb meem lossis tsis txaus ntshai. Qhov loj tshaj plaws yog tsis pub kom dhau qhov siab tshaj qhov tso cai tau kho txhua hnub.

Lub sijhawm sijhawm hnub twg thiaj zoo dua rau cov tshuaj no?

Kev ua yeeb yam ntev ntev (metformin) feem ntau noj thaum tsaus ntuj los tswj cov ntshav qab zib sai rau tag kis sawv ntxov. Nyeem tsab xov xwm "Qab zib ntawm lub plab khoob thaum sawv ntxov: yuav ua li cas coj nws rov mus nyob qhov qub".

Cov ntsiav tshuaj tseem ceeb ntawm cov metformin tau noj nrog zaub mov thawm hnub - thaum sawv ntxov, thaum noj su thiab yav tsaus ntuj. Tag nrho cov koob tshuaj txhua hnub ntawm cov tshuaj no yuav tsum tsis pub tshaj 2550 mg.

Puas yog metformin thiab statins sib haum nrog cov roj cholesterol?

Yog lawm, metformin thiab statins tuaj yeem sib haum. Kev noj zaub mov kom tsis muaj carb ntau ua rau cov ntshav muaj roj cholesterol zoo, txo qis cov roj triglycerides thiab txhim kho atherogenicity. Nrog rau qhov muaj feem ntau, koj yuav tuaj yeem tsis kam noj cov tshuaj statins yam tsis muaj kev pheej hmoo ntawm lub plawv nres. Tsis tas li, kev noj zaub mov kom tsawg-carb tshem tawm cov kua ntau dhau ntawm lub cev, tshem tawm ntawm edema thiab ua kom ntshav siab. Cov koob tshuaj ntawm cov tshuaj rau kub siab thiab lub plawv tsis ua hauj lwm feem ntau txo qis, kom txog thaum lawv txiav tawm tag nrho. Ua ntej tshaj plaws, koj yuav tsum tsis lees noj cov tshuaj diuretic uas tsis zoo.

Saib Dr. Bernstein daim vis dis aus txog qhov hnyav li cas, ntshav qab zib thiab cov roj cholesterol, thiab cov thyroid hormones txaus yog txuas nrog. Nkag siab yuav ua li cas suav cov kev pheej hmoo ntawm lub plawv nres raws li cov txiaj ntsig tau los ntawm kev soj ntsuam rau "phem" thiab cov "cholesterol" zoo. Nrhiav kom paub dab tsi cov kab mob hlab ntsha plawv koj yuav tsum tau soj ntsuam, tshwj tsis yog muaj roj cholesterol.

Puas yog metformin thiab dej cawv sib txuam?

Metformin thiab haus cawv kom tsawg. Noj cov tshuaj no tsis tas yuav muaj kev qaug dab peg puv. Yog tias koj tsis muaj contraindications rau kev kho mob nrog metformin, tom qab ntawd nws tsis raug txwv tsis pub haus dej cawv kom tsis khov. Koj yuav pom ntau yam txaus nyiam hauv tsab xov xwm "Cawv hauv ntshav qab zib". Cov koob tshuaj tiv thaiv cawv uas qhia tau tias siv tau rau cov txiv neej thiab poj niam laus yog tsis muaj kev phom sij.

Coob tus neeg nyiam txog ntev npaum li cas tom qab noj cov tshuaj Metformin koj tuaj yeem haus cawv tau. Koj tuaj yeem haus dej haus cawv me me yuav luag tam sim ntawd, tsis tas yuav tos ob peb teev. Txawm li cas los xij, tiv thaiv lub keeb kwm ntawm kev kho nrog cov tshuaj no, ib qho tsis tuaj yeem haus ntau.

Koj nyeem saum toj no yog dab tsi lactic acidosis yog. Nov yog ib qho ua rau tuag taus, tab sis tsawg kawg uas muaj kev phom sij ntau. Nyob rau hauv ib txwm muaj xwm txheej, nws qhov kev pheej hmoo yog xyaum xoom, tab sis nrog haus cawv, nws ua tus tseem ceeb. Yog tias koj tsis mob pesnrab, tsis txhob haus cawv ib qho twg kiag.

Kev tshuaj xyuas txog cov tshuaj qub Glyukofazh thiab Glyukofazh Ntev zoo dua txog cov tshuaj Siofor, thiab ntau heev dua, hais txog cov tshuaj metformin ua Lavxias. Cov neeg mob ntshav qab zib hom 2 uas sib xyaw cov zaub mov muaj roj tsawg nrog rau cov tshuaj pom zoo kom paub meej tias nws tau txais txiaj ntsig zoo. Ntshav qab zib cov ntshav tsawg zuj zus thiab kev noj qab haus huv hloov sai.

Kev kuaj tsis zoo yog feem ntau luam tawm los ntawm cov neeg mob ntshav qab zib uas tsis paub txog kev noj zaub mov kom tsawg los sis tsis xav tias nws tsim nyog hloov mus rau nws. Hauv cov neeg mob no, cov txiaj ntsig ntawm kev kho ntshav qab zib yog qhov tsis zoo, tsis hais leej twg cov tshuaj metformin uas lawv noj.

Ntawm ntau qhov chaw koj tuaj yeem nrhiav tshuaj zoo rau cov neeg mob ntshav qab zib hom 2 uas noj cov tshuaj metformin ua ke nrog sulfonylureas. Piv txwv li, cov tshuaj Glibomet, uas muaj metformin thiab glibenclamide. Xws li cov tshuaj sai thiab txo cov ntshav qab zib. Qhov ntsuas ntawm glucometer thaum pib zoo siab cov neeg mob. Txawm li cas los xij, sulfonylureas muaj kev phom sij vim tias lawv ua tiav txoj kev ua tiav ntawm lub txiav.

Tom qab ob peb lub hlis lossis xyoo, kev kho mob nrog kev npaj no ntawm pancreatic beta hlwb kawg poob. Tom qab qhov no, chav kawm ntawm tus kab mob sai sai zuj zus, nws zoo li nkag mus rau hom ntshav qab zib hom 1.

Nws ua tsis yooj yim sua kom tiv thaiv kev txhim kho ntawm cov teeb meem. Muaj tseeb, ntau tus neeg mob tuag los ntawm kev mob plawv lossis hlab ntsha tawg ua ntej lawv lub ntsws ua pa thaum kawg sab sab. Tsis txhob noj cov tshuaj mob ntshav qab zib, tab sis yog tias koj pom cov kev txheeb xyuas zoo txog lawv.

Metformin Slimming: Kev Ntsuam Xyuas Neeg Mob

Cov neeg uas xav kom poob phaus feem ntau xaiv cov tshuaj ua yeeb yam Glyukofazh lossis Siofor. Lawv siv cov metformin ntsiav tshuaj ntawm Lavxias tsim tawm tsawg dua. Raws li lawv, Glucophage yog tsawg dua li ntawm Siofor ua rau mob raws plab thiab lwm yam phiv. Tsis zoo li lwm cov tshuaj uas poob phaus, metformin tsis ua rau muaj teeb meem kev noj qab haus huv mus ntev. Kev poob phaus tau lees tias cov zaub mov muaj carb tsawg pab tau zoo dua li kev noj zaub mov hauv lub cev uas muaj calorie tsawg dua ua ke nrog cov tshuaj no.

36 lus ntawm Metformin

Nyob zoo. Kuv muaj hnub nyoog 42 xyoos, qhov siab 168 cm, hnyav 87 kg. Kuv tau raug mob los ntawm hom ntshav qab zib hom 2, uas nrhiav tau qhov tsis txaus ntseeg thaum lub Peb Hlis 2017. Lub sijhawm ntawd, qab zib yog 16. Txawm li cas los xij, Kuv xav tias tsuas yog qhov tsis muaj zog thiab qee zaum mob ntawm kuv ob txhais ceg. Cov tshuaj muab tshuaj: metformin 850 mg, 1 ntsiav tshuaj 2 zaug hauv ib hnub, thiab lwm 3.5 mg maninil 2 zaug hauv ib hnub. Qab zib poob mus rau 7.7. Qhov no yog tej zaum feem ntau Maninil ua. Xwm txheej tuaj mus rau koj qhov chaw thiab pom txog cov zaub mov tsis muaj roj ntau ntau. Nrog nws cov kev pab, nws txo qis qab zib rau 3.8-5.5. Kuj tseem nyeem koj cov ntaub ntawv ntsig txog tshuaj noj ntshav qab zib. Kuv xam tau tias nws yog beckoning tsis zoo, thiab ntawm kuv tus kheej kuv tsum tsis noj nws. Qab zib tau raug sim hauv tsev ntawm ib qho khoob khoob nrog glucometer - 4.8, 2 teev tom qab noj mov - 5.5. Txawm li cas los xij, muaj teeb meem nyob hauv cov quav - cem quav. Puas yog qhov nce ntxiv ntawm cov tshuaj metformin txhua hnub pab puas tau?

Kuv xam tau tias nws yog beckoning tsis zoo, thiab ntawm kuv tus kheej kuv tsum tsis noj nws

Thov qhuas, tsis yog txhua tus yog tus txawj ntse txaus

muaj teeb meem nrog lub rooj zaum - cem quav. Puas yog qhov nce ntxiv ntawm cov tshuaj metformin txhua hnub pab puas tau?

Koj tsis tau nyeem lub ntsiab lus ntawm kev noj zaub mov noj kom tsawg - http://endocrin-patient.com/dieta-pri-saharnom-diabete/. Nws qhia meej meej kom ua kom tshem tawm quav tawv. Qhov no yog qhov tshwm sim uas ib txwm muaj ntawm kev noj haus, tab sis cov hau kev los tawm tsam nws twb tau tsim los.

Ua kom nce rau hauv cov tshuaj txhua hnub ntawm metformin kuj tseem yuav pab, tab sis tsis txhob ua tub nkeeg ua qhov seem uas tau teev tseg hauv tsab xov xwm.

Nyob zoo Kuv muaj 39 xyoos, tau mob hom mob ntshav qab zib hom 1 txij xyoo 2003, qhov siab 182 cm, hnyav 111 kg - rog rog loj. Retinopathy, albuminuria (creatinine hauv cov ntshav 107 mmol / l), nrog rau polyneuropathy, ntshav ncig hauv ob txhais ceg, ntau lwm yam teebmeem kev noj qab haus huv twb tau tsim. Glycated hemoglobin 7.7% yog nyob rau lub Rau Hli xyoo no. Kuv tsis tu ncua kev tawm dag zog lub cev kom ntau li ntau tau thiab sim ua raws li cov zaub mov tsis muaj carb raws li Bernstein. Tab sis poob phaus tsis ua hauj lwm. Muaj ntau cov stubing insulin - txog 65 units hauv ib hnub.Kuv nkag siab tias muaj kev tiv thaiv insulin. Tau metformin raug sim txo qhov hnyav thiab nce insulin rhiab heev? Kuv ntshai pib haus nws, vim tias nws yog contraindicated hauv T1DM.

Puas tuaj yeem siv tshuaj metformin tuaj yeem txo qhov hnyav?

Koj yuav tsum kuaj xyuas koj ob lub raum raws li tau piav qhia ntawm no - http://endocrin-patient.com/diabet-nefropatiya/. Yog tias lawv tsis raug puas dhau (glomerular filtration rate saum 60 ml / min), koj tuaj yeem sim.

Yog tias koj xav tau, koj tuaj yeem yooj yim nrhiav lub laij lej online kom paub cov kab mob siab glomerular ntawm lub raum raws li cov ntaub ntawv no, nrog rau koj lub hnub nyoog thiab poj niam txiv neej

Nyob zoo os Yog tias koj pib noj cov tshuaj no, ces koj twb yuav tsum coj nws tas li yam tsis muaj kev cuam tshuam dab tsi? Rau qhov hnyav me me, nws puas yog qhov tsis muaj peev xwm txwv?

noj txuas ntxiv yam tsis muaj cuam tshuam dab tsi? Zawv me me

Metformin yuav pab poob ob peb phaus yog koj muaj hmoo. Tsum noj - feem ntau yuav yog, cov kilos uas tau ploj mus lawm yuav rov qab los.

Vim li cas koj tsis mus koom kev noj zaub mov kom tsawg?

Nyob zoo Tav Ua tsaug, nws yog qhov nthuav heev los kawm koj tsab xov xwm! Tab sis kuv tsuas muaj lus nug xwb. Thawj zaug txog koj tus kheej. Hnub nyoog 44 xyoo, hnyav 110 kg, loj hlob, qhov siab 174 cm. Kuv haus 1000 mg siofor 2 zaug ib hnub twg rau 2-3 xyoos, sawv ntxov thiab yav tsaus ntuj. Kuv cov ntshav qab zib tsis nce, Kuv pom tias yog cov insulin tsis kam. Kuv tau tawm tsam kev hnyav dhau mus ntau xyoo. Nws yog 143 kg, nws poob phaus ntawm cov zaub mov muaj txog li ntawm 114 kg, tom qab ntawd nce txog 126 kg. Tom qab ntawd nws poob phaus ntawm cov ntsiav tshuaj, Siofor thiab kev noj haus kom txog 103 kg, thiab hauv 2 xyoo yam tsis muaj kev noj haus Kuv nce mus txog 110.

Cov lus nug yog npliag tuav. Kuv hnov mob nyhav dhau heev. Cov ntawv soj ntsuam tsis tau qhia qhov ua rau. Muaj ob peb oxalates hauv cov zis; tsis muaj hypothyroidism. Kuv tsis haus ntau, tsis muaj ntsev rau saum rooj, Kuv tsis nyiam cov khoom qab zib, Kuv tsis tshua noj nws thiab me ntsis. Noj zaub mov tawv tsis tuaj yeem sawv ntsug ntxiv, nws tau tawg. Kuv pom tias tsis muaj tshuaj diuretic, tsis muaj qhov poob phaus tuaj yeem tiav. Metformin tsis sib xws nrog tshuaj diuretics. Kuv muaj kev xaiv li cas? Lo lus nug thib ob: yog tias kuv tsis muaj ntshav qab zib, yuav ua li cas kuv tuaj yeem thim lub Siofor, thiaj li tsis zam lub ntsej muag hypoglycemia?

poob phaus ntawm cov khoom noj kom txog li 114 kg, tom qab ntawd nce txog 126 kg. Tom qab ntawd nws poob phaus ntawm cov ntsiav tshuaj, Siofor thiab kev noj haus kom txog 103 kg, thiab hauv 2 xyoo yam tsis muaj kev noj haus Kuv nce mus txog 110.

Koj tuaj yeem pom tias nws muaj txiaj ntsig zoo los nrhiav thiab nyeem Tus Txheej Txheem Gabriel: Txoj Kev Tawm Tsam Tsis Pub Lwm-txoj hauv kev kom Totally Hloov Koj Lub Cev. Hmoov tsis zoo, nws tsuas yog lus Askiv. Kuv tsis paub meej tias kuv yuav tau txais kuv txhais tes ntawm Lavxias

Kuv hnov mob nyhav dhau heev.

Qhov laj thawj yog nce qib ntawm cov tshuaj insulin hauv cov ntshav. Kev noj zaub mov kom tsawg-carb pab.

Noj zaub mov tawv tsis tuaj yeem sawv ntsug ntxiv, nws tau tawg.

Qhov kev noj haus no tsis yog "tshaib plab", tab sis hearty thiab saj, nws yooj yim los ua raws

Nws tsis zoo rau rov hluas nkauj txoj kev sib raug zoo. Kev txhim kho kev noj qab haus huv yog qhov tiag.

Kuv pom tias tsis muaj tshuaj diuretic, tsis muaj qhov poob phaus tuaj yeem tiav.

Rau noj cov tshuaj diuretic rau tshuaj noj los ntawm peb cov sect raug tshem tawm, anathematized

Kuv tuaj yeem rhuav tshem Siofor licas thiaj li tsis mus tsoo nrog cov ntshav qab zib hauv lub cev?

Kuv tsis nkag siab cov lus nug nyob rau hauv tag nrho

Kuv muaj hnub nyoog 45 xyoos, hnyav 90 kg, qhov siab 174 cm Hauv lub Peb Hlis Kuv tau kuaj pom tus mob ntshav qab zib hom 2. Qab Zib 8,5. Kuv noj tshuaj metformin 850 mg thaum sawv ntxov thiab yav tsaus ntuj. Thiab nyob rau hauv Lub Xya hli ntuj, kev kuaj mob tshiab - kab mob siab mob rau hauv lub siab nyob rau hauv thawj theem ntawm kev tsis nco qab etiology. Kab mob siab B thiab C tsis muaj. Yuav ua li cas nrog Metformin?

Yuav ua li cas nrog Metformin?

Kev daws cov teeb meem ntshav qab zib tsis yooj yim los ntawm kab mob ntsws yog dhau ntawm qhov ua kuv muaj peev xwm. Sib tham koj cov lus nug nrog koj tus kws kho mob.

Kuv kos cov xim ntawm cov nyeem hais tias daim siab mob ntsws thiab rog hepatosis yog cov kab mob sib txawv. Cov neeg mob uas mob rog hepatosis kom ua raws li cov lus pom zoo tau tsim ntawm lub xaib no tuaj yeem thiab yuav tsum yog, tsis muaj dab tsi ntshai.

Nyob zoo, Kuv muaj 33 xyoos, hnyav 64 kg. Raws li kev txheeb xyuas, txhua yam zoo li qhov qub ua ntej, txawm hais tias lub sijhawm ntev lawv tsis tau tso. Tabsis kuv pheej tshaib plab. Yog tias kuv tsis noj ntau tshaj peb teev - feem ntau yuav muaj ntshav qab zib tsawg. Kuv noj thiaj li yuav luag tas li. Yog tias kuv txwv kuv tus kheej rau zaub mov, Kuv poob ntau. Tab sis kuv tsis tuaj yeem tuav ib qho zoo li ntawd tau ntev, Kuv xav txog zaub mov txhua lub sijhawm, Kuv xav tias tsis muaj zog.Qhov siab tshaj plaws ntawm 6-8 lub hlis, thiab tom qab ntawd ua txhaum lawm thiab rov fatter mus rau lawv 64 kg. Kuv tau muaj qhov hnyav li ntawd txij li 15 xyoo. Rau kuv, qhov no yog ntau heev, qhov ntxiv 12-15 kg. Nws puas ua kev txiav txim siab sim cov tshuaj no? Kuv tuaj yeem xav tias kuv muaj cov kab mob insulin. Kuv tsis paub dab tsi.

Nws puas ua kev txiav txim siab sim cov tshuaj no?

Ua ntej tshaj plaws, koj yuav tsum hloov mus rau qhov kev noj haus tsawg-carb. Koj tuaj yeem ua ke nws nrog kev noj cov tshuaj metformin.

Yog tias kuv txwv kuv tus kheej rau zaub mov, Kuv poob ntau. Tab sis kuv tsis tuaj yeem tuav kom ntev

Yog tias koj paub lus Askiv, nrhiav thiab nyeem The Gabriel Method los ntawm Jon Gabriel

Nyob zoo, Nyob zoo kws kho mob! Kuv muaj hnub nyoog 74 xyoo, qhov siab 164 cm, hnyav 68 kg, plab loj. Mus txog 60 xyoo, qhov hnyav yog 57-60 kg, tsis muaj plab plab. Lawv ib txwm sau - astenik. Xyoo 1984, kev ua haujlwm tau ua rau suav nrog tus lej cholecystitis - 2 lub pob zeb ntawm 1 cm txhua. Tom qab ntawd, lub neej hloov mus rau hauv kev npau suav phem! Kev tawm tsam zawv plab raws hom mob lom tom qab txiv hmab txiv ntoo, zaub, haus. Taug kev ncig gastroenterologists thiab nyob hauv TsNIIG lub tsev kho mob - yam tsis muaj tshwm sim. Cov kev kho mob kws kho mob thaum lub sij hawm ntsuas qhov mob, vim tias ntau yam tshuaj muaj suab thaj raws li cov neeg hos! Kuv pom tias cov kev tawm tsam cuam tshuam nrog kev siv cov piam thaj. Ib tus kws kho mob tau hais tias nws yog tus tsis hnov qab cov ntshav qab zib. Lawv tau pib kuaj xyuas cov piam thaj: feem ntau ntawm lub plab khoob 5.6-5.8, thaum nruab hnub nws tshwm sim 7.8-9.4. Glycated hemoglobin 6.1%. Endocrinologist tsis quav ntsej txog kuv cov kev tsis txaus siab. Feem ntau lawv hais tias qhov no yog lub xeev cov ntshav qab zib thiab tsis tas kho nws, tsuas yog noj zaub mov kom zoo xwb. Khoom noj ua rau kuv ceeb! Puas yog metformin lossis lwm yam tshuaj noj pab kuv? Ua tsaug rau koj

Glycated hemoglobin 6.1%. Endocrinologist tsis quav ntsej txog kuv cov kev tsis txaus siab. Feem ntau lawv hais tias qhov no yog lub xeev cov ntshav qab zib thiab tsis tas kho nws, tsuas yog
kev noj haus

Hauv txoj ntsiab cai, lawv tau yog. Txawm li cas los xij, nws txhua yam nyob ntawm seb nws yuav noj zaub mov zoo li cas.

Kuv pom tias cov kev tawm tsam cuam tshuam nrog kev siv cov piam thaj.

Vim li cas koj tsis mus koom kev noj zaub mov kom tsawg? Cov neeg uas lawv lub rwj yog tshem tawm feem ntau nyob ntawm nws.

Puas yog metformin lossis lwm yam tshuaj noj pab kuv?

Metformin yuav ua rau kom raws plab ntxiv. Cov tshuaj no muab tsis ntau tshaj li 10-15% ntawm cov nyhuv cuam tshuam rau cov zaub mov noj. Hauv lwm lo lus, tsis muaj noj zaub mov zoo, tsis muaj kev nkag siab me me hauv nws, txawm tias muaj qee yam.

Nyob zoo os Kuv muaj 45 xyoos. 4 xyoos dhau los, tshawb pom hom ntshav qab zib hom 2 tau pom. Thiab ob peb hnub dhau los, roj ua rau lub siab ua paug. Climax pib 8 lub hlis dhau los, muaj goiter ntawm 1st degree. Nrog qhov siab ntawm 160 cm, Kuv hnyav 80 kg. Kuv yuav siv cov tshuaj metformin txhua hnub li cas thiab siv sijhawm ntev npaum li cas?

Kuv yuav siv cov tshuaj metformin txhua hnub li cas thiab siv sijhawm ntev npaum li cas?

Pib nrog qhov kev txhaj tshuaj tsawg kawg nkaus thiab maj mam nce nws mus rau 3 * 850 = 2550 mg ib hnub twg. Raws li tau piav nyob rau hauv tsab xov xwm uas koj tau sau ntawv tawm tswv yim.

Kuv nco koj tias kev noj haus qis-carb - http://endocrin-patient.com/dieta-pri-saharnom-diabete/ - yog 10 lub sijhawm tseem ceeb tshaj rau koj dua li metformin thiab lwm cov ntsiav tshuaj.

Kuv tau txais kev phais mob oncological rau lub qog mammary thiab tau mus 6 chav kawm ntawm kev sib deev lightest. Nws tau yuav luag 6 xyoo, Kuv pom tias tsis muaj ib qho rov qab xav tau. Kuv puas tuaj yeem siv tshuaj metformin rau qhov hnyav? Thiab tom qab qhov kev ntxhov siab, qab zib qee zaum pib nce mus rau 5.7 - 5.9. Kuv tsis ua raws li kev noj haus kom nruj, tab sis kuv sim noj ntau yam thiab tsis noj ntau.

Kuv tau txais kev phais mob oncological rau lub qog mammary thiab tau mus 6 chav kawm ntawm kev sib deev lightest. Nws tau yuav luag 6 xyoo, Kuv pom tias tsis muaj ib qho rov qab xav tau. Kuv puas tuaj yeem siv tshuaj metformin rau qhov hnyav?

Koj cov lus nug dhau qhov kuv muaj peev xwm. Kuv xav tias tsis muaj leej twg paub tseeb tias kev noj cov tshuaj metformin tuaj yeem txhawb kev phom sij rau kev rov ua mob cancer dua. Kuv tsis paub yog tias kuv yuav haus cov tshuaj no hauv koj qhov chaw lossis tsis. Nws yuav ua raws li cov nruj noj cov zaub mov carb nruj. Muaj kev cia siab tias nws txo qis mob qog noj ntshav. Yuav tsis muaj li cas Kuv yuav haus cov vitamin C thiab lwm yam tshuaj tua kab mob tiv thaiv.

Zoo hnub! Kuv muaj hnub nyoog 58 xyoo, mob ntshav qab zib hom 2 txij xyoo 2014. Kuv noj tshuaj metformin 500 mg 3 zaug ib hnub. Thawj thawj zaug dhau cov ntawv xeem rau C-peptide - qhov tshwm sim yog 2.47 ng / ml, glycosylated hemoglobin - 6.2%. Cov Nov hais txog dab tsi? Kuv sim ua kom cov ntshav qab zib nyob rau hauv ib txwm tsis muaj, tab sis qee zaus kuj muaj jumps. Ua tsaug rau koj

C-peptide - qhov tshwm sim ntawm 2.47 ng / ml, glycosylated hemoglobin - 6.2%. Cov Nov hais txog dab tsi?

Koj tuaj yeem nrhiav cov kev cai yooj yim hauv Is Taws Nem thiab piv koj cov txiaj ntsig tau nrog lawv.

Nyob zoo. Kuv yog 37 xyoo, qhov siab 180 cm, nyhav 89 kg.Kuv pib noj cov tshuaj metformin rau qhov poob phaus, tab sis hnub thib ob kuv hnov zoo li kuv tus mob: Kuv tau txais lub zog ntau dua, Kuv tau ploj mus rau cov khoom qab zib. Tam sim no kuv xav mus kuaj ntshav qab zib. Thov qhia rau kuv, ntev npaum li cas cov kev kuaj yuav cuam tshuam nrog kev noj tshuaj? Kuv pom hauv tsab xov xwm tias metformin li niaj zaus kav 4-6 teev. Puas yog qhov no txhais tau tias ib hnub tom qab koj tau noj tshuaj koj tuaj yeem kuaj ntshav qab zib?
Ua tsaug rau koj

ntev npaum li cas cov kev kuaj mob yuav txawv txav los ntawm kev noj tshuaj?

Metformin txo qis ntshav qab zib los ntawm 1-2 mmol / l, thiab glycated hemoglobin - los ntawm 0.5-1.5%. Tab sis qhov kev ua no tsis tshwm sim sai, tab sis tsuas yog tom qab ob peb hnub lossis lim tiam ntawm kev noj tshuaj.

Puas yog qhov no txhais tau tias ib hnub tom qab koj tau noj tshuaj koj tuaj yeem kuaj ntshav qab zib?

Hauv koj qhov chaw, Kuv tam sim ntawd yuav mus xeem ntawv. Yog tias koj muaj ntshav qab zib hnyav, yuav kuaj pom tus kab mob no nyob hauv qee kis.

Kuv muaj ntshav qab zib hom 2, Kuv tsis haus metformin tseem tsis tau. Cov piam thaj hauv qab zib tom qab ib lim piam ntawm koj qhov kev noj zaub mov kom tsawg yog 5.5-7, thiab ib lub lis piam dhau los lawv tau yog 7-12. Qhov tsim nyog yog metformin hauv qhov no? Kuv puas yuav tsum pib noj nws, lossis kuv tuaj yeem ua tsis tau nws? Tom qab tag nrho, kev noj haus twb dhau los ua haujlwm zoo. Kuv muaj tus mob pyelonephritis ntev, yog li kuv ntshai noj tshuaj ntxiv.

Kuv muaj tus mob pyelonephritis mus ntev.

Koj yuav tsum tau mloog zoo rau txoj kev rov zoo los ntawm tus kab mob no. Nws yog qhov yuav tsum tau nrhiav kom paub nrog kev pab ntawm cov qoob loo li cas tshuaj tua kab mob koj cov kab mob nkag siab, thiab tom qab ntawd siv cov tshuaj tua kab mob no kom txog thaum kawg yeej. Cov kws kho mob nyiam muab cov tshuaj tua kab mob tib yam rau txhua tus neeg mob, tsis tas txiav txim ib tus neeg mob. Vim tias qhov no, pyelonephritis raug suav hais tias yog ib tus mob ntev, mob tsis yooj yim. Yog tias koj xaiv cov tshuaj tua kab mob ib tus zuj zus, koj tuaj yeem tshem tawm cov teeb meem no tau ntau zaus.

Qhov tsim nyog yog metformin hauv qhov no?

Hauv koj qhov teeb meem, nws yog qhov zoo dua rau kev txhaj tshuaj me ntsis dua li haus cov tshuaj metformin rau stably kom qab zib qis dua 5.5 mmol / l.

Sergey, ua tsaug rau koj cov kev pabcuam.

Txog tam sim no kuv tsis tau xeem dhau, vim kuv nyob hauv Syria, muaj qee qhov kev nyuaj. Kuv noj tshuaj metformin thiab txwv tsis pub muaj carbohydrates. Los ntawm txoj kev, kom poob ceeb thawj, albeit me ntsis, nws muab rau thawj zaug. Kuv tsis muaj qhov tso zis kom ntau ntxiv; thaum nruab hnub pw tsaug zog tau ploj lawm txij li thaum pib noj tshuaj. Txawm hais tias yav dhau los dov thiaj li hais tias nws yog tsis yooj yim sua kom tiv. Nws tau pw tsaug zog li 15 feeb, sawv los nrog qhov kev xav hauv lub sijhawm thiab chaw. Cov mob ntawm daim tawv nqaij ntawm caj npab thiab ceg zoo dua. Muaj qee yam zoo li dandruff ntawm caj npab, hauv caug thiab lub duav.

Tab sis kuv cov plaub hau pib poob ntau heev. Qhov no tuaj yeem yog vim cov tshuaj lossis cov protein ntau kom tsawg?

Hauv nws cov hluas, nws tau pom tias muaj kev nce ntxiv ntawm cov thyroid txoj haujlwm, raug kho nrog tshuaj noj, thiab ua tiav kev kho mob hauv xyoo 2001. Lub sijhawm kawg uas kuv dhau ATTG thiab F4 ob xyoos dhau los - txhua yam nyob rau hauv kev txiav txim.

Nws yog qhov nyuaj rau kuv los xeem ntawv (Kuv yuav tsum mus rau lwm thaj chaw) thiab kim, Kuv xav tau koj cov lus qhia. Kuv puas yuav tsum coj lawv thiab qhov twg?

Tsaug dua.

kuv cov plaub hau pib poob ntau heev. Qhov no tuaj yeem yog vim cov tshuaj lossis cov protein ntau kom tsawg?

Kuv ntshai qhov no yog qhov tshwm sim ntawm hypothyroidism tshwm sim los ntawm kev kho mob ntawm hyperthyroidism. Thiab tsis muaj dab tsi tuaj yeem ua kom txog nws. Yog tias tsim nyog, muab daim ntawv txheeb xyuas rau T3 pub dawb.

Nws yog qhov nyuaj rau kuv los xeem ntawv (Kuv yuav tsum mus rau lwm thaj chaw) thiab kim, Kuv xav tau koj cov lus qhia. Kuv puas yuav tsum coj lawv thiab qhov twg?

Txhua tus neeg mob ntshav qab zib yuav tsum tau kuaj xyuas lawv txoj kev hemoglobin - http://endocrin-patient.com/glikirovanny-gemoglobin/ thiab C-peptide tsis tu ncua - http://endocrin-patient.com/c-peptid/. Tus so - raws li xav tau.

Nyob zoo thaum tsaus ntuj, Kuv yog 25 xyoo, qhov hnyav 59-60 kg. Kuv tau ua raws li kev noj haus hauv carb qis rau 1.5 xyoo, tab sis tsis muaj qhov ua kom poob ceeb thawj. Kev ntsuam xyuas tau zoo heev - insulin 6.9 μU / ml, piam thaj 4.5 mmol / l, glycated hemoglobin 5%, leptin 2.4 ng / ml. Puas yog nws ua rau kuv nkag siab qhov siv tshuaj metformin?

Kuv tau ua raws li kev noj haus hauv carb qis rau 1.5 xyoo, tab sis tsis muaj qhov ua kom poob ceeb thawj.

Saib kuv cov vis dis aus txog kev poob zoo - https://youtu.be/SPBR2aYNi-o - Kuv vam tias nws yuav ua rau koj lub siab nqig

Puas yog nws ua rau kuv nkag siab qhov siv tshuaj metformin?

Koj tuaj yeem sim ua kom poob ceeb thawj, thiab tshwj xeeb yog tias muaj teeb meem nrog kev xeeb tub

Nyob zoo Tav Qhia rau kuv, thov, Kuv noj tshuaj metformin 1000 mg 2 zaug ib hnub. Tam sim no qab zib thaum sawv ntxov yog 5, 2 teev tom qab noj 6. Kuv tau noj nws txij li lub Tsib Hlis 2018, ntxiv rau kev noj haus, Kuv tau poob 17 kg. Puas yog tuaj yeem txo qhov koob tshuaj metformin? Qab zib rov qab thiab koj tsis xav kom poob phaus ntxiv lawm.

Puas yog tuaj yeem txo qhov koob tshuaj metformin? Qab zib bounced rov qab

Muab rau nws. Txawm li cas los xij, nco ntsoov tias cov piam thaj yuav nce ntxiv los ntawm qhov kev txo koob tshuaj.

Kuv kuj yuav kuaj ntshav C-peptide nyob hauv koj qhov chaw.

Nyob zoo, Kuv muaj hnub nyoog 45 xyoos, hnyav 96 kg, ua ntej kev noj haus yog 115 kg, qhov siab txog 170 cm. Pom muaj piam thaj ntau ntxiv nyob rau ib hlis thiab ib nrab dhau los, nrog kev kho mob tom ntej los ntawm kws kho plawv, uas tau sau npe rau 15 xyoo. Raws li cov ntsiab lus ntawm kev ntsuam xyuas, glycated hemoglobin yog 15.04%. Cov tsos mob muaj xws li lub qhov ncauj qhuav, nqhis dej, thiab tso zis heev. Nws tig mus rau endocrinologist. Yuav pib nrog, nws sau tshuaj gluconorm thiab nolpase, nrog rau kev noj zaub mov kom tsis muaj carbohydrates thiab cov rog tsawg. Ib hlis tom qab, raws li cov txiaj ntsig tau los ntawm kev ntsuam xyuas ntawm kev yoo cov ntshav sai, 8.25 mmol, thiab tom qab 2 teev tom qab noj rau qee qhov laj thawj 5.99, cov proteinur txhua hnub 0.04 g / hnub. Lawm, Is Taws Nem pib plaub thiab tuaj thoob koj qhov chaw. Txog ob lub lim tiam dhau los kuv tau pib ua raws li kev noj haus carbohydrate tsis pub dawb, Kuv yuav ib qho khoom noj me me. Txij li nag hmo, nws tau pib noj cov tshuaj metformin 500 mg, thiab tau tshem ntawm cov ntsiav tshuaj gluconorm. Tam sim no tsis muaj nqhis dej ntau thiab lub qhov ncauj qhuav, Kuv mus ntsib chav dej li qub. Raws li cov lus qhia glucometer, kev yoo mov sai yog 6.1 mmol, thiab 2 teev tom qab noj 5.9. Kuv puas saib cov ntshav ntsuas lub sijhawm kom raug? Tom qab qab qab zib, thaj suab thaj yuav siab dua? Kuv yuav tsum tau ntsuas pes tsawg zaus? Kuv puas xav tau cov insulin? Peb puas tuaj yeem tham txog kev kuaj mob ntshav qab zib lossis ntshav qab zib? Kuv puas yuav tsum muaj kev txhaj tshuaj ntau ntxiv rau cov tshuaj metformin?

tau tshem ntawm cov tshuaj gluconorm.

2 teev tom qab noj 5.9. Kuv puas saib cov ntshav ntsuas lub sijhawm kom raug?

Koj tuaj yeem sim ua 3 teev tom qab noj mov

Kuv yuav tsum tau ntsuas pes tsawg zaus?

glycated hemoglobin yog 15.04%. Peb puas tuaj yeem tham txog kev kuaj mob ntshav qab zib lossis ntshav qab zib?

Kuv puas yuav tsum muaj kev txhaj tshuaj ntau ntxiv rau cov tshuaj metformin?

Kuv ntshai tias metformin yog contraindicated vim tias lub raum twb cuam tshuam lawm, muaj protein nyob hauv cov zis

Tam sim no cov piam thaj yuav luag zoo li qub, tab sis koj cov ntshav qab zib yog mob hnyav, yog li koj tsis tuaj yeem ua yam tsis muaj insulin, rau cov lus qhia ntxiv mus saib http://endocrin-patient.com/insulin-diabet-2-tipa/

Nyob zoo, Kuv muaj 57 xyoo, qhov siab 160 cm, hnyav 78 kg. Qhov kev ntsuas yog raws li nram no: yoo qab zib 5.05, glycated hemoglobin 6.08. Cov roj (cholesterol) tag nrho yog 6.65 (qhov ntom ntom-1.35, qis 4.47, triglycerides 1.81). Tsib xyoos tas los, lub hnab kem tau raug tshem tawm. Thov qhia kuv yog tias kuv tuaj yeem pib thiab yog tias yuav tsum muaj metformin. Thiab yog tias muaj, hauv dab tsi ntau npaum li cas, thiab rau lub neej lossis tsis. Kuv puas yuav tsum tau ua ib qho kev ntsuam xyuas ntxiv. Tsis muaj kev yws tshwj xeeb rau kev noj qab haus huv, tab sis cov kev ntsuas no tsis zoo heev.

Thov qhia kuv yog tias kuv tuaj yeem pib thiab yog tias yuav tsum muaj metformin.

Kuv puas yuav tsum tau ua ib qho kev ntsuam xyuas ntxiv.

Nyob zoo. Kuv nqa Siofor 850 ib ntsiav tshuaj thaum sawv ntxov thiab yav tsaus ntuj. Mob ntshav qab zib Hom 2. Glucometer nyeem tawm thaum sawv ntxov nyob rau ntawm lub plab khoob 5.7-6.5. Lub lag luam ua ntej yog cataract. Lus Nug: Puas yog nws tuaj yeem coj Siofor ua ntej thiab tom qab kev phais mob? Los yog qee qhov kev txwv? Ua tsaug rau koj

Kuv puas tuaj yeem siv Siofor ua ntej thiab tom qab phais mob? Los yog qee qhov kev txwv?

Cov khoom sib xyaw ua ke ntawm cov khoom siv thiab nws siv

Kev nquag siv tshuaj metformin yog ib feem ntawm ntau cov tshuaj muaj suab thaj. Raws li cov lus piav qhia tshwj xeeb rau kev siv tshuaj, nws yog cov tshuaj lom neeg lub cev sib koom nrog cov pab pawg ntawm biguanides ntawm peb tiam thiab pab txo qis cov ntshav qabzib hauv cov ntshav.

Cov tshuaj muaj pes tsawg leeg suav nrog kev ua haujlwm ntawm cov tshuaj ua kom nquag plias - metformin hydrochloride, uas yog ntxiv los ntawm ntau cov tshuaj tiv thaiv kev tiv thaiv.

Niaj hnub no hauv cov khw muag tshuaj koj tuaj yeem yuav cov tshuaj nrog ntau qhov sib txawv ntawm cov tshuaj nquag, nyob ntawm qhov xav tau ntawm tus neeg mob thiab qhov mob hnyav.

Tus neeg sawv cev tiv thaiv kab mob tsis haum rau cov txheej txheem ntawm gluconeogenesis thiab kev thauj khoom ntawm cov pa hluav taws xob ntawm cov pa ntawm txoj hlab ua pa ntawm mitochondria. Glycolysis yog tsa kho thiab lub hlwb pib nqus zoo dua rau cov piam thaj, nws txoj kev nqus los ntawm cov hnyuv phab ntsa kom tsawg.

Ib qho ntawm qhov zoo ntawm cov tshuaj tiv thaiv tam sim no yog tias nws tsis ua kom cov piam thaj txo qis. Qhov no yog vim qhov tseeb tias metformin tsis yog qhov tshuaj lom rau lub zais cia ntawm cov tshuaj insulin.

Cov cim tseem ceeb rau kev siv cov tshuaj raws li metformin yog raws li kev qhia rau kev siv:

Qhov muaj cov tsos mob metabolic lossis cov tsos mob ntawm insulin tsis kam.
Raws li txoj cai, nyob rau hauv muaj cov tshuaj tiv thaiv insulin, kev rog yog loj hlob sai hauv cov neeg mob. Vim yog cov tshwm sim ntawm metformin thiab ua raws li kev noj haus tshwj xeeb kev noj haus, maj mam poob phaus tuaj yeem ua tiav.
Yog tias muaj kev ua txhaum cov suab thaj ua rau lub siab ntev.
Tsim muaj cov txiv neej lub qe.
Tsis-insulin-mob ntshav qab zib mellitus raws li kev kho mob monotherapy lossis ua ib feem ntawm txoj kev kho mob nyuaj.
Mob ntshav qab zib mellitus yog ib qho insulin-dependent daim ntawv ua ke nrog kev tiv thaiv insulin.

Thaum piv cov tshuaj metformin-based nrog lwm cov tshuaj uas muaj suab thaj, qhov zoo tseem ceeb ntawm metformin yuav tsum tau hais txog:

nws cov txiaj ntsig ntawm kev txo qis cov tshuaj insulin nyob rau hauv tus neeg mob, metformin hydrochloride muaj peev xwm nce qib ntawm kev nkag siab ntawm cov hlwb thiab cov ntaub so ntswg mus rau cov kua nplaum ua los ntawm cov txiav
noj tshuaj yog nrog nws txoj kev nqus tau los ntawm cov plab hnyuv ntawm lub plab zom mov. Yog li, ua kom qeeb ntawm kev nqus ntawm cov piam thaj los ntawm txoj hnyuv yog tiav
pab rau kev txiav txim siab ntawm daim siab gluconeogenesis, lub npe thiaj li hais txog kev them nyiaj qabzib
pab txo kom qab los noj mov, uas yog qhov tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib
muaj cov txiaj ntsig zoo ntawm cov roj (cholesterol), txo qhov tsis zoo thiab nce qhov zoo ntxiv

Tsis tas li ntawd, nws yuav pab txo qhov txheej txheem ntawm cov roj peroxidation.

Yuav noj li cas?

Feem ntau, ib qho tshuaj tiv thaiv kab mob hypoglycemic yog siv rau hauv kev kho mob lossis ua ib feem ntawm txoj kev kho kom rov qab los kho qhov theem uas yuav tsum tau muaj ntawm glycemia hauv tus neeg mob.

Hauv qhov no, daim ntawv yuav tshuaj ntawm cov tshuaj muaj tshwm sim tshwj xeeb los ntawm cov kws kho mob tshwj xeeb uas yog tus kws kho mob tuaj koom ntawm tus mob ntshav qab zib.

Ua ntej sau cov tshuaj, kev tshuaj ntsuam ntawm tus neeg mob lub cev yog nqa tawm.

Cov txheej txheem ntawm kev tswj hwm thiab kev noj tshuaj yog tsim rau txhua tus neeg mob ib tus zuj zus, raws li cov kev ntsuas:

Qhov loj ntawm cov kab mob pathology thiab theem ntawm cov piam thaj hauv cov ntshav.
Nyhav qeb ntawm tus neeg mob thiab nws lub hnub nyoog.
Lub xub ntiag ntawm cov kab mob concomitant.

Ua ntej pib txoj kev kho mob, nws raug nquahu kom muaj kev kuaj mob tsim nyog thiab ntsuas kev soj ntsuam los txiav txim siab cov kev pheej hmoo thiab tshwm sim ntawm kev tsis zoo thaum siv tshuaj.

Ib yam tshuaj rau ntshav qab zib, raws li txoj cai, raug noj raws li cov tswv yim hauv qab no:

hais lus tom qab noj mov tas, haus dej kom ntau ꓼ
pib txoj kev kho yuav tsum pib nrog kev siv tshuaj tsawg kawg thiab yuav tsum yog tsib puas milligrams ib hnub twg
tom qab lub sijhawm dhau los (feem ntau tom qab lub sijhawm ob-lub lim tiam), tus kws kho mob koom, raws li cov txiaj ntsig ntawm kev tshuaj ntsuam thiab cov ntshav qabzib hauv cov ntshav, ua rau kev txiav txim siab hloov cov tshuaj ntau npaum li cas, suav txog tias qhov tshuaj nruab nrab txhua hnub txawv ntawm 500 mus rau 1000 mg ntawm cov tshuaj yeeb dej caw metformin hydrochloride,
kev siv ntau tshaj plaws ntawm kev siv tshuaj ntsiav ib hnub yuav tsum tsis pub tshaj 3000 mg ntawm cov tshuaj nquag, rau cov neeg laus cov duab no yog 1000 mg.

Koj tuaj yeem siv tshuaj metformin ib zaug lossis ob peb zaug hauv ib hnub, nyob ntawm cov koob tshuaj uas tau tsim tseg. Yog hais tias tus neeg mob xav tau ntau ntawm cov tshuaj, nws yog qhov zoo dua rau kev tso nws qhov kev nqus tsawg zaug hauv ib hnub.

Txais tos ntawm ntsiav tshuaj npaj raws li kev tiv thaiv kev laus, raws li txoj cai, muaj koob tshuaj txhua hnub ntawm 250 mg ntawm cov nquag tivthaiv. Nws yuav tsum tau yug los hauv lub siab tias cov neeg tshaj 65 xyoo tsis pom zoo kom noj ntau dua ob ntsiav tshuaj hauv ib hnub. Kwv yees li ntawm tib cov tshuaj tau muab khaws cia rau cov pawg ntawm cov neeg mob uas siv cov tshuaj metformin uas yog txhais tau tias ua kom yuag.

Nws tseem yuav tsum tau sau tseg tias kev nce qib ntawm kev haus tshuaj yuav tsum nrog cov khoom noj kom tsim nyog - kev tsis lees txais cov khoom qab zib, rog thiab kib. Ntxiv rau, kev noj zaub mov txhua hnub yuav tsum tsis pub tshaj 2500 kilocalories. Nrog rau kev siv cov tshuaj, nws yog ib qho tsim nyog los ua lub neej nquag thiab nquag ua kev tawm dag zog kho ntshav qab zib.

Tsuas yog hauv qhov no tuaj yeem ua kom tau cov txiaj ntsig zoo.

Cov tshuaj tiv thaiv tsis zoo thiab ua rau muaj kev phom sij los ntawm Metformin

Txawm hais tias muaj pes tsawg tus muaj txiaj ntsig zoo ntawm cov tshuaj metformin hydrochloride, nws qhov kev siv tsis raug tuaj yeem ua rau muaj kev cuam tshuam tsis zoo rau tib neeg lub cev.

Yog vim li cas thiaj li cov poj niam noj qab haus huv uas nrhiav kev yooj yim kom poob ceeb thawj yuav tsum xav txog seb nws puas tsim nyog noj cov tshuaj no?

Cov ntsiav tshuaj kuj nquag siv ua tshuaj rau kom poob phaus. Yuav siv cov metformin tsis siv ntshav qab zib?

Cov kev tshwm sim tsis zoo uas tuaj yeem tshwm sim los ntawm kev noj cov tshuaj metformin hydrochloride suav nrog:

Qhov tshwm sim ntawm ntau yam teeb meem nrog txoj hnyuv plab hnyuv. Ua ntej tshaj plaws, cov tsos mob no tshwm sim xws li xeev siab thiab ntuav, raws plab, tsam plab thiab mob hauv plab.
Cov tshuaj ua rau muaj kev pheej hmoo ntawm qhov tsis nco qab.
Tej zaum muaj kev hloov pauv hauv qhov saj, uas tau raug nthuav tawm hauv qhov tshwm sim ntawm qhov tsis kaj siab tom qab ntawm hlau hauv kab noj ntawm qhov ncauj.
Ib qho kev txo qis hauv cov vitamin B, uas yuam koj ntxiv siv tshuaj nrog cov tshuaj ntxiv.
Lub manifestation ntawm anemia.
nrog ib qho tseem ceeb noj ntau dhau, nws yuav muaj kev pheej hmoo ntawm hypoglycemia.
muaj teeb meem ntawm daim tawv nqaij, yog tias muaj kev ua kom tshwm sim ntawm kev tsis haum tshuaj rau kev siv tshuaj.

Hauv qhov no, Metformin, Siofor lossis lwm yam kev teeb tsa ntawm cov pob txha caj qaum tuaj yeem ua rau kev txhim kho ntawm cov kab mob lactic acid yog tias muaj kev txuam ntau tseem ceeb ntawm nws cov nyiaj hauv lub cev. Xws li qhov pom tsis zoo feem ntau tshwm sim nrog lub raum tsis ua haujlwm zoo.

Nws yuav tsum raug sau tseg tias nws yog txwv tsis pub noj tshuaj yeeb tshuaj thaum paub qhov tseeb cov ntsiab lus hauv qab no:

Acidosis hauv cov mob huam los yog mob ntev ꓼ
rau cov menyuam ntxhais thaum lub sijhawm xeeb menyuam lossis pub niam mis ꓼ
cov neeg mob so, tshwj xeeb tom qab rau caum tsib
intolerance rau cov tshuaj ntawm cov tshuaj, txij li kev txhim kho kev ua xua heev yog ua tau ꓼ
yog tias tus neeg mob kuaj tau tias muaj lub plawv tsis ua haujlwm ꓼ
nrog rau yav dhau los myocardial infarctionꓼ
yog tias muaj hypoxia
thaum lub cev qhuav dej, uas tuaj yeem tshwm sim los ntawm ntau yam kab mob sib kis
kev khwv lub cev lub zog ꓼ
daim siab ua hauj lwm.

Tsis tas li ntawd, tus neeg sawv cev hypoglycemic cuam tshuam tsis zoo rau lub plab zom mov, yog li ntawd nws raug txwv tsis pub coj mus rau hauv qhov muaj cov kab mob ntawm lub plab zom mov (mob rwj).

Elena Malysheva yuav tham txog Metformin ua ke nrog cov kws tshaj lij hauv video hauv cov lus no.

Qhia koj qab zib lossis xaiv tus tub los ntxhais rau cov lus pom zoo. Tshawb nrhiav. Nrhiav tsis pom. Nrhiav. Tsis pom. Pom. Nrhiav. Nrhiav tsis pom.

Kuv puas tuaj yeem haus tshuaj metformin yog tias tsis muaj ntshav qab zib

Metformin yog cov tshuaj qab zib poob qis uas siv los ntawm hom 2 mob ntshav qab zib (2T). Cov tshuaj tau paub txog ntau caum xyoo.

Nws cov khoom muaj suab thaj txo qis tau pom rov qab rau xyoo 1929. Tab sis Metformin tau siv dav nyob hauv xyoo 1970, thaum lwm cov tshuaj loj tau coj tawm hauv kev lag luam tshuaj.

Rau qhov poob phaus thiab lub cev rov qab ua dua tshiab: nws puas muaj peev xwm haus Metformin yog tias tsis muaj ntshav qab zib?

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