Yuav ua li cas los hloov cov Metformin: cov tshuaj tiv thaiv kab mob analogues thiab cov generics ntawm cov tshuaj rau ntshav qab zib

Metformin yog hom tshuaj hypoglycemic nyob hauv cov pab pawg ntawm biguanides ntawm lub cim thib peb.

Ib qho tshuaj tua kab mob tus neeg sawv cev muab cov kev txwv ntawm gluconeogenesis cov txheej txheem thiab kev thauj mus los hauv tshuab pa hauv cov pa ua pa ntawm mitochondria. Cov tshuaj txhim kho cov tshuaj tiv thaiv glycolysis, uas ua rau kev nqus sai dua ntawm cov piam thaj los ntawm cov hlwb. Tsis tas li ntawd, cov tshuaj txo qhov nqus ntawm carbohydrates los ntawm phab ntsa ntawm cov hnyuv.

Cov chaw muag tshuaj thiab cov tshuaj pharmacodynamics ntawm cov tshuaj yog xws li tias nws tsis ua rau poob qis rau cov ntshav qab zib hauv lub cev, vim tias nws tsis muaj qhov cuam tshuam ntawm lub hlwb pancreatic uas tsim cov tshuaj insulin.

Cov tshuaj tiv thaiv tseem ceeb ntawm cov tshuaj yog metformin hydrochloride.

Muaj ob peb ntau yam ntawm Metformin uas sib txawv hauv cov neeg kawm ntawv siab ntshiab ntawm cov tshuaj thiab cov sib xyaw ua ke ntawm cov koom haum pabcuam. Tsis tas li, cov tshuaj muaj ntau ntawm cov analogues. Generics ntawm Metformin yog tsim los ntawm ntau lub tuam txhab tshuaj hauv tebchaws Russia, Ixayees, Poland thiab Hungary.

Cov tshuaj muaj pes tsawg tus contraindications thiab phiv, raws li kev qhia kom paub ntawm cov kws kho mob xav kom cov tshuaj kho tshiab yuav hloov nrog cov analogues uas tsim nyog.

Yog tias muaj cov kev mob tshwm sim, tus mob ntshav qab zib yuav tsum paub yuav hloov Metformin thiab dab tsi Metformin analogues muaj nyob txhua lub sijhawm, nrog rau cov tshuaj sib txawv li cas.

Kev muaj ntau ntawm cov tshuaj sib txawv ntawm qee qhov sib txawv ntawm lub npe, thiab qhov tseeb ua cov ntsiab lus ntawm Metformin, ua rau tus neeg mob xav txog qhov twg Metformin zoo dua thiab yuav ua li cas kom tsis txhob yuam kev nrog txoj kev xaiv tshuaj rau kev kho mob ntshav qab zib

Cov tshuaj muaj zog Metformin yog dab tsi?

Cov tshuaj muaj zog metformin (thoob ntiaj teb tsis yog-tus tswv lub npe - pln) yog cov khoom tseem ceeb hauv ntau cov ntsiav tshuaj, uas feem ntau tau muab rau cov neeg mob kuaj ntshav qab zib mellitus. Qhov no yog qhov tshuaj pleev ntshav hypoglycemic los ntawm cov pab pawg ntawm biguanides ntawm peb tiam.

Kev noj tshuaj hypoglycemic inhibits cov txheej txheem ntawm gluconeogenesis, kev thauj khoom ntawm cov khoom siv hluav taws xob dawb hauv kev ua pa ntawm mitochondria.

Metformin stimulates cov tshuaj tiv thaiv ntawm cov txheej txheem glycolysis, cov hlwb pib nqus cov piam thaj sai dua thiab hauv cov ntim ntau dua. Cov tshuaj yuav pab txo cov nqus ntawm cov suab thaj los ntawm lumen ntawm cov hnyuv mus rau hauv cov ntshav ntshav. Cov tshuaj tsis ua rau qhov txo qis ntawm cov carbohydrates hauv cov ntshav ntshav, vim nws tsis muaj kev cuam tshuam ntawm cov txheej txheem ntawm cov tshuaj insulin.

Tus txheej txheem ntawm kev nqis tes ua ntawm cov kev ua kom nquag plias ntawm tib neeg lub cev yog qhov kev coj ntawm cov teebmeem hauv qab no:

Txo theem ntawm glycogen txo los ntawm ib qho khoom nruab nrog xws li daim siab. Raws li qhov txiaj ntsig ntawm qhov no, qhov kev ntsuam xyuas cov ntshav qabzib yog cov ntshav qabzib hauv qib siab.
Ua rau qeeb qeeb ntawm cov txheej txheem ntawm kev coj ua ntawm cov kua nplaum los ntawm cov protein thiab lipids.
Favorably stimulates lub deposition ntawm cov piam thaj nyob rau hauv lub siab.
Nws pab rau neutralize qhov pom ntawm insulin tsis kam thiab nce rhiab ntawm cov hlwb thiab cov nqaij ua rau cov tshuaj no, uas yog ua los ntawm cov txiav.
Favorably txo cov hnyuv nqus ntawm cov piam thaj.
Txhawb nqa kev hloov pauv ntawm cov piam thaj rau lactate hauv txoj hnyuv.
Tsub kom ntshav lipids. Tsis tas li ntawd, tib lub sijhawm muaj qhov txo qis hauv cov rog hauv lub cev.
Qoj zog rau cov leeg kom nqus tau cov piam thaj ntau dua.

Kev npaj nrog metformin muaj ib qho kev tsis pom zoo piv rau lwm cov tshuaj - lawv tsis ua rau kev txhim kho cov ntshav qog ntshav, uas yog, theem ntawm carbohydrates hauv cov ntshav tsis poob qis dua cov qauv kev kawm.

Cov lus qhia rau kev siv ib qho tshuaj metformin-based tshuaj qhia tau hais tias tsis tsuas yog tsim muaj ntshav qab zib tuaj yeem ua qauv qhia txog kev nkag mus. Cov ntsiav tshuaj kuj tseem tuaj yeem nqa nyob rau hauv xws li:

yog tias muaj kev ua txhaum cov piam thaj hauv kev siab lossis teeb meem nrog glycemia tsim kho tom qab paub,
nrog rau kev txhim kho cov tshuaj tiv thaiv insulin thiab qhov hnyav nce ntxiv (tshwj xeeb hauv plab) the
Gynecology siv cov tshuaj metformin los kho mob ntawm zes qe menyuam cleopolycystosis ꓼ
thaum lub sij hawm manifestation ntawm metabolic syndromeꓼ
raws li prophylactic los tiv thaiv kev laus.

Cov tshuaj nquag nquag muaj qhov zoo rau lub hlwb thiab txo qhov kev pheej hmoo ntawm kev txhim kho Alzheimer tus kab mob.

Dab tsi yog npe lag luam rau cov tshuaj?

Tshuaj nrog metformin hauv chaw muag tshuaj yog muaj nyob rau hauv ntau txaus. Niaj hnub nimno chaw muag tshuaj thiab cov chaw tsim khoom lag luam tsim ntau cov qauv tshuaj sib txawv hauv cov ntawv tshuaj sib txawv. Nws tuaj yeem yog cov ntsiav tshuaj lossis tshuaj ntsiav.

Pab pawg ntawm cov tshuaj zoo li no suav nrog ntau hom tshuaj noj.

Cov tshuaj qub yog Metformin Teva. Hauv cov ntsiav tshuaj zoo li no, tej zaum yuav muaj li 0.5 txog 1.0 gram ntawm yam muaj sia. Nyob ntawm seb qhov mob loj zuj zus tuaj ntawm tus mob, tus kws kho mob koom nrog sau ntawv noj tshuaj nrog qhov yuav tsum tau muaj cov tshuaj metformin hydrochloride. Kev tsim khoom thiab kev ua tau zoo ntawm cov ntsiav tshuaj yog lub luag haujlwm ntawm Israeli chaw tsim tshuaj paus. Metformin Teva yog tshuaj noj nrog cov nyhuv hypoglycemic. Nws yog tshuaj rau kev txhim kho mob ntshav qab zib hom 2. Ib qho ntxiv, ntxiv rau cov kev muab tshuaj li niaj zaus, cov ntsiav tshuaj kuj yuav raug nthuav tawm nyob rau hauv ib daim ntawv xws li kev txhawb nqa kev tshaj tawm metformin. Tus nqi ntawm cov tshuaj yuav nyob ntawm tus nqi ntawm cov tshuaj uas muaj feem nrog uas yog ib feem ntawm cov ntsiav tshuaj. Tus nqi nruab nrab, nyob ntawm seb qhov koob tshuaj ntawm cov nquag nquag nyob rau hauv qhov muaj pes tsawg leeg ntawm cov khoom siv kho mob, nws txawv ntawm 77 txog 280 rubles.

Metformin Canon yog tus sawv cev ntawm ib cov tshuaj txawv teb chaws hauv Lavxias. Nws chaw tsim tshuaj paus yog Lavxias pharmacological enterprise Canonfarm ntau lawm. Hauv cov tshuaj ntsiav tshuaj ntawm cov tshuaj xws li, 500, 850 lossis 1000 mg ntawm cov tshuaj ua kom nquag plias. Cov tshuaj no ua haujlwm zoo li hypoglycemic, thiab kuj tseem pab ua kom ib txwm muaj qhov hnyav dua, tshwj xeeb tshaj yog siv kev kho mob. Metformin Canon yog tsim tau zoo hauv khw muag tshuaj. Nws tus nqi yog tus nqi tsawg thiab txawv txav ntawm 89 txog 130 rubles, nyob ntawm seb yuav tsum tau siv pes tsawg.

Metformin Zentiva yog qhov sawv cev kim dua ntawm ib pawg ntawm cov tshuaj qab zib-txo cov tshuaj no. Tus nqi ntawm cov tshuaj yuav yog los ntawm 118 txog 200 rubles. Lub chaw tsim khoom yog lub tuam txhab Slovak, uas muaj nws cov neeg siv tshuaj nyob rau hauv cov tshuaj hauv qab no - 0.5, 0.85 lossis 1 gram ntawm cov tshuaj nquag. Raws li txoj cai, Metformin Zentiva raug samfwm kom ua kom ib txwm muaj qib ntawm carbohydrates hauv cov ntshav, zoo li yog muaj cov tshuaj insulin tsis zoo rau cov neeg mob laus dua kaum xyoo.

Metformin Richter yog ib qho ntawm cov qauv ntawm metformin tsim los ntawm ib qho ntawm ob lub tuam txhab kev tsim khoom. Lub thaj chaw ntawm thaj chaw ntawm lub tuam txhab kws muag tshuaj yog Lavxias Federation thiab Hungary. Cov tshuaj muaj pes tsawg leeg suav nrog suav ntawm 500 txog 1000 mg ntawm cov tshuaj ua kom nquag plias. Cov txheej txheem ntawm kev ua ntawm metformin yog tsom rau tshem tawm hyperglycemia thiab normalizing hnyav dhau.

Feem ntau xws li cov tshuaj no tau sau tseg ua ib qho hloov pauv rau cov tshuaj ua dhau los. Tus nqi ntawm cov tshuaj yog los ntawm 180 rau 235 rubles.

Yuav noj cov tshuaj li cas?

Tshuaj Metformin hydrochloride-based cov ntsiav tshuaj feem ntau yog kws kho thaum thawj cov tsos mob ntshav qab zib tshwm sim.

Thawj qhov tshuaj ntawm cov tshuaj yuav tsum tsis txhob siab dua 0.5 grams ntawm cov tshuaj ua kom nquag plias. Tus kws kho mob uas tuaj koom yuav pom zoo kom noj tshuaj thaum lub sijhawm lossis tom qab noj mov, nyob ntawm tus neeg mob cov kev xav tau. Tus naj npawb ntawm cov tshuaj ntawm cov tshuaj yuav tsum tsis pub ntau tshaj ob lossis peb zaug hauv ib hnub. Tsuas yog ib mus rau ob lub lis piam tom qab pib kawm txoj kev kho mob, txoj kev tshuaj ntawm cov tshuaj kom raug yog pub rov qab. Qhov siab tshaj plaws niaj hnub noj hauv lub cev yuav tsum tsis pub ntau tshaj ob gram ntawm cov nquag tivthaiv. Nws yuav tsum tau yug los hauv lub siab tias yog tias koj siv yeeb tshuaj ua ntej pib noj mov, tom qab ntawd cov yeeb yam ntawm cov nquag tuaj yeem txo qis. Hauv qee kis, metformin muab tso ua ke nrog kev txhaj tshuaj insulin. Yog li, qhov nce ntawm cov nyhuv ntawm kev txhaj tshuaj tau tiav.

Hauv Metformin, pharmacokinetics qhia tias cov tshuaj, tom qab kev tswj hwm ntawm qhov ncauj, mus txog nws qhov ntshav siab tshaj plaws tom qab txog ob thiab ib nrab teev.

Kev nqus ntawm cov khoom siv nres nres tom qab rau teev tom qab daim ntawv thov ntawm cov ntsiav tshuaj.

Cov analogues nrov tshaj plaws ntawm Metformin yog Siofor thiab Glucofage.

Dab tsi tuaj yeem hloov tau Metformin ntsiav tshuaj? Lub tsev muag tshuaj twg yog cov tshwj xeeb tshaj plaws ntawm cov neeg siv khoom?

Ib qho tshuaj uas nrov tshaj plaws ntawm cov pab pawg biguanide yog Siofor, uas yog ua hauv cov qauv tshuaj. Lub hauv paus ua haujlwm tseem ceeb ntawm cov tshuaj yog metformin hydrochloride, thiab silicon dioxide, povidone, magnesium stearate, thiab macrogol yog siv los ua cov khoom sib txuas.

Siofor 1000 rau cov ntshav qab zib yog siv los txo cov ntshav qab zib. Nyob rau tib lub sijhawm, qhov txo qis hauv qhov ntsuas tshwm sim tsis tsuas yog tom qab noj mov tseem ceeb, tab sis kuj tso cai rau koj kom qis dua qib pib. Cov khoom siv tseem ceeb hauv Siofor tso cai rau koj los tswj kev tsim tawm cov tshuaj insulin los ntawm tus txiav, uas cuam tshuam rau lub cev thiab tsis ua rau kev txhim kho hypoglycemia.

Cov cim tseem ceeb uas Siofor tau kho yog cov ntshav qab zib mellitus ntawm yam thib ob, uas tsis nrog los ntawm kev kho mob insulin. Cov nyhuv ntawm Siofor kuj tau pom zoo nrog qhov ua tsis tau zoo ntawm kev noj zaub mov noj.

Cov nquag ua haujlwm, uas yog ib feem ntawm qhov muaj pes tsawg leeg, nthuav qhia nws tus kheej hauv kev ua kom qeeb ntawm kev nqus ntawm cov piam thaj hauv txoj hnyuv me, ua kom nws cov ntau lawm los ntawm daim siab lub hlwb.

Glucophage yog qhov zoo sib xws thiab muaj cov khoom lag luam raws li metformin hydrochloride. Txog hnub tim, koj tuaj yeem yuav cov ntsiav tshuaj ntawm cov lus pom zoo lossis lub sijhawm ntev. Kev tshawb fawb txog kev kho mob tau pom tias kev noj cov tshuaj glucophage yog ob zaug uas yuav ua rau muaj kev phiv los ntawm lub plab hnyuv plab hnyuv plab zom mov.

Nyob rau tib lub sijhawm, tus nqi ntawm Glucofage Ntev yog qhov kev txiav txim ntawm lub siab loj dua li ntawm lwm cov ntsiav tshuaj npaj.

Dab tsi ntxiv uas tuaj yeem hloov cov tshuaj?

Yuav hloov cov metformin li cas? Lo lus nug no yuav tshwm sim rau txhua tus neeg mob ntshav qab zib. Niaj hnub no, muaj ntau tshaj li ib puas yam tshuaj uas ua kom zoo nkauj los yog cov qauv tshuaj tiv thaiv tsis zoo.

Lawv yuav suav nrog metformin hydrochloride, ua cov khoom tseem ceeb, lossis ib yam ntawm lawv (hauv kev sib xyaw tshuaj). Cov hauv paus chiv keeb tau muab coj los ua cov qauv tsim ua pheej yig dua lossis kim dua. Qhov sib txawv hauv tus nqi kuj nce raws qhov chaw tsim khoom lossis ntau npaum li cas ntawm cov tshuaj.

Cov npe nrov tshaj plaws rau cov tshuaj zoo sib xws:

Qhov twg yog qhov zoo tshaj rau tus neeg mob tsuas yog txiav txim tau los ntawm tus kws tshwj xeeb uas tswj hwm nws tus mob.

Piv txwv, Gliformin kuj tseem yog tus sawv cev ntawm chav kawm biguanide, uas suav nrog metformin hydrochloride.Cov yam ntxwv zoo sib xws ntawm nws cov txiaj ntsig ntawm lub cev tau piav qhia los ntawm qhov tseeb tias nws muaj pes tsawg leeg muaj cov tshuaj qub. Glyformin txhawb ntxiv kev tsim kho ntxiv ntawm kev tso cov kua ntshav tawm ntawm cov kua dej los ntawm beta hlwb, thiab kuj tseem cuam tshuam rau kev siv hluav taws xob los ntawm kev nce ntxiv ntawm cov piam thaj los ntawm cov leeg.

Yog tias koj noj Gliformin nrog lwm cov tshuaj hypoglycemic nyob rau tib lub sijhawm, nws cov nyhuv ua rau cov ntshav qab zib cov ntshav nce siab.

Puas muaj qhov sib txawv hauv cov txhais tau tias nrog ib yam tshuaj?

Qee zaum koj tuaj yeem pom cov neeg mob tshuaj xyuas tias kev siv cov Metformin hloov pauv tsis coj zoo tib yam. Qee tus pib pib muaj kev cuam tshuam ntau yam tsis zoo. Nws yuav tsum raug sau tseg tias kev txiav txim siab ntawm qhov xav tau los hloov cov tshuaj yuav tsum tuaj tshwj xeeb los ntawm cov kws kho mob koom nrog, nyob ntawm qhov kev loj hlob ntawm cov kab mob, nrog rau cov tib neeg cov yam ntxwv ntawm tus neeg mob. Yog vim li ntawd, nws tsis tsim nyog rau kev ywj pheej tshawb nrhiav cov tshuaj uas yog ib feem ntawm cov qauv ntawm cov tshuaj uas cov kws kho mob tau sau tseg.

Tsis tas li ntawd, ntau cov cuab yeej siv kho mob yuav muaj cov kev ua tib zoo, tab sis txawv ntawm cov lus qhia ntau ntawm cov khoom siv pabcuam. Nws yog cov ntxiv no uas tuaj yeem tsim kev puas tsuaj rau lub cev thiab ua rau muaj kev phiv.

Tias yog vim li cas, kev xav ntawm cov kws tshaj lij rwj mus rau qhov tseeb tias cov tshuaj analog tuaj yeem hloov cov tshuaj tseem ceeb tsuas yog kev txiav txim siab los ntawm tus kws kho mob koom nrog. Raws li txoj cai, thaum hloov mus rau lwm cov tshuaj noj, qhov tsis muaj tshwm sim zoo yog tias kev noj kom haum lossis cov koob tshuaj tsis raug saib zoo thiab yog tias muaj kev ua txhaum hauv cov zaub mov noj.

Cov tshuaj dab tsi tuaj yeem siv rau kev mob ntshav qab zib yuav piav qhia los ntawm cov kws tshaj lij hauv cov yeeb yaj kiab hauv tsab xov xwm no.

Lub ntsiab hom ntawm Metformin

Muaj ntau ntau yam tshuaj. Txhua tus ntawm lawv muaj tib lub hauv paus rau lub npe thiab sib txawv tsuas yog hauv cov tsiaj ntawv ntxiv ua ntej hauv nws lossis cov tsiaj ntawv luv.

Cov sib xyaw ua ke ntawm txhua yam tshuaj muaj xws li metformin hydrochloride ua lub hauv paus tseem ceeb, muaj cov cim ntawm kev ua kom huv. Qeb kev ntxuav kom huv ntawm cov khoom tseem ceeb nyob ntawm cov thev naus laus zis siv los ntawm cov tuam txhab kev lag luam hauv kev tsim tshuaj

Ntxiv rau, cov tshuaj yuav muaj qhov sib txawv hauv cov muaj pes tsawg leeg thiab tus lej ntawm cov khoom siv ntxiv uas ua ib qho haujlwm pabcuam.

Lub ntsiab ntau yam ntawm cov tshuaj yog cov tshuaj hu ua Metformin thiab ntxiv qhov hauv qab ntawm lub npe:

Hauv cov hom tshuaj no, cov tebchaw hauv qab no yog siv los ua cov khoom sib txuas ntxiv:

Povidone K 90.
Pob kws nplej siab.
Crospovidone.
Magnesium stearate.
Talc.
Methacrylic acid.
Methyl methacrylate copolymer.
Macrogol 6000.
Titanium dioxide

Cov tshuaj no yog tsim los ntawm cov tuam txhab sib txawv, tab sis yog sib piv rau cov tshuaj qub. Kev npaj muaj qhov sib txawv ntawm cov khoom ntim thiab tus nqi ntawm cov nquag ua hauv ib ntsiav tshuaj.

Yuav hloov Metformin licas - uas cov analogues zoo dua?

Cov tshuaj muaj ntau nyob rau hauv chav kawm biguanide, tag nrho lawv cov tshuaj analogues lossis hloov pauv rau Metformin. Cov tshuaj no tuaj yeem muaj qhov sib txawv sib txawv ntawm ob qho tib si hauv kev muaj txiaj ntsig thiab hauv cov cheeb tsam ntu.

Txhua cov tshuaj no koom nrog ib pab, chaw muag tshuaj thiab chaw muag tshuaj. Txoj kev lag luam kws tsim khoom lag luam tsim ob qho tib si pheej yig thiab ntau yam kev hloov zoo.

Thaum siv ntshav qab zib hauv cov txheej txheem kho, ntau yam tshuaj qhia sib txawv phiv, kuj yuav muaj ntau yam contraindications thiab kev txwv hauv kev siv.Vim li no, kev xaiv ntawm txoj kev kho zoo tshaj plaws yuav tsum tau nqa tawm los ntawm tus kws kho mob uas koom nrog ua raws li tus yam ntxwv ntawm tus neeg mob lub cev thiab cov txiaj ntsig ntawm kev tshuaj xyuas.

Txog hnub tim, cov yeeb yaj kiab hauv qab pheej yig ntawm Metformin tau raug tsim:

Lub npe ntawm cov tshuaj	Tus nqi ntawm cov tshuaj hauv Russia
Formmetin - ib qho tshuaj sib xyaw ua ke thiab cov cim qhia rau siv	54 rubles
Glucophage analogue hauv cov tshuaj lom neeg thiab cov cim	90 rubles
Metfogamma	123 rubles

Cov tshuaj nrov tshaj plaws ntawm cov qauv kho mob qub yog:

Lub npe tshuaj	Tus nqi nruab nrab ntawm kev ntim ib cov tshuaj hauv Lav Xias
Reduxin Met - ib cov tshuaj uas nyuaj xws li metformin thiab sibutramine	745 rubles
Siofor - cov tshuaj zoo sib xws nyob rau hauv muaj pes tsawg leeg thiab muaj txiaj ntsig ntawm qhov qub	208 RUB
Bagomet - ib qho khoom sib piv hauv kev muaj pes tsawg leeg thiab qhia txog kev siv	90 rubles

Ntxiv rau cov tshuaj no, lwm yam tshuaj muaj nyob rau hauv, nyob rau hauv uas metformin kuj ua raws li ib tug active compound. Cov tshuaj no yog:

Dianormet
Diaformin,
Emnorm EP,
Meglifort
Metamine
Metamine SR,
Tefor
Glycomet
Glycomet SR
Dag nyiaj txiag,
Mepharmil.

Tsis tas li ntawd, kev lag luam kws kho mob tsim tawm tag nrho cov tshuaj uas txawv hauv tshuaj sib txawv, tab sis muaj cov txheej txheem ntawm pharmacological cuam tshuam rau lub cev zoo ib yam li Metformin.

Cov tshuaj uas nrov tshaj plaws hauv pab pawg no yog cov tshuaj hauv qab no:

Avantomed muaj rosiglitazone thiab metformin.
Glibenclamide.
Maninil.
Glenrenorm.
Lawj xeeb.
Gliclazide.
Glibomet.
Glucovans.
Dianorm.
Gluconorm.
Glybophor.
Galvus thiab lwm yam.

Txhawm rau kom raug xaiv cov tshuaj tiv thaiv kab mob tsim nyog, koj yuav tsum hu rau tus kws kho qhov muag endocrinologist uas yuav txiav txim siab txog kev kho qhov zoo tshaj plaws thiab kev siv tshuaj rau kev kho mob kom zoo.

Siofor thiab Glucofage - muaj pes tsawg leeg tshuaj, tso cov ntaub ntawv thiab daim ntawv thov

Siofor yog ib qho tshuaj tiv thaiv kab mob rau kev tiv thaiv, yog cov khoom lag luam ntawm German tsim thiab npaj rau kev kho mob ntshav qab zib hom 2. Cov khoom siv tseem ceeb yog metformin hydrochloride. Muaj nyob hauv daim ntawv ntawm cov ntsiav tshuaj nrog qhov tshuaj ntawm 500 thiab 1000 mg. Nws yog muag hauv cov ntawv thawv thiab muab khoom nrog cov lus qhia kom ntxaws rau kev siv.

Cov tshuaj yog rau cov chav kawm ntawm biguanides. Cov tshuaj muaj peev xwm tsis tsuas yog txo cov ntshav qab zib hauv cov ntshav ntshav, tab sis kuj tseem muaj cov txiaj ntsig zoo rau lipid metabolism. Kev siv cov tshuaj yog pom zoo nyob rau hauv muaj cov hom 2 mob ntshav qab zib mellitus txuam nrog kev txhim kho kev rog. Cov tshuaj txwv tsis pub noj thaum cev xeeb tub thiab pub niam mis.

Glucophage yog kev tsim khoom hauv tebchaws Fabkis. Nws yog siv rau kev kho mob ntshav qab zib hom 2. Cov khoom lag luam tsim tawm hauv cov ntsiav tshuaj muaj tshuaj ntawm 500 thiab 1000 mg. Cov ntsiav tshuaj muaj cov tshuaj tsuas cuam tshuam - metformin hydrochloride.

Cov tshuaj muaj ntau txoj kev tiv thaiv kom tsis txhob mob, yog li ua ntej siv nws, koj yuav tsum sab laj nrog tus kws kho mob endocrinologist.

Gluconorm thiab Glibenclamide - siv thiab muaj pes tsawg leeg hauv cov tshuaj

Gluconorm yog kev sib xyaw ua ke, uas muaj ob yam tshuaj - metformin hydrochloride thiab glibenclamide, uas yog sulfonylurea derivative.

Ntxiv rau, cov tshuaj muaj pes tsawg leeg suav nrog cov hmoov txhuv nplej siab, glycerol, silicon dioxide, magnesium stearate, talc, croscarmellose thiab sodium carboxymethyl hmoov txhuv nplej siab, gelatin, diethyl phthalate thiab cellacephate raws li cov khoom siv ntxiv.

Cov khoom yog nyob rau hauv daim ntawv ntawm ntsiav tshuaj. Cov tshuaj muaj cov nyhuv anti-glycemic. Thaum siv nws, ceev faj yuav tsum xyaum.

Nws yuav tsum nco ntsoov tias thaum kho nrog cov tshuaj no, kev txhim kho cov kev mob tshwm sim cuam tshuam rau:

cov txheej txheem hauv kev zom zaub mov
kev ua haujlwm ntawm lub siab thiab cov kabmob ntawm cov hnyuv plab,
kev ua haujlwm ntawm cov ntshav-ua haujlwm ntawm cov nruab nrog cev thiab cov hlab ntsha nruab nrab.

Xws li cov kev mob tshwm sim yuav tuaj yeem ua ke nrog hypoglycemia, lactic acidosis, xeev siab, ntuav thiab mob hauv plab. Cov tshuaj tau noj ib txhij nrog rau kev noj zaub mov.

Glibenclamide belongs rau cov yeeb yaj kiab ntawm Metformin hais txog cov txiaj ntsig pharmacological, txawm li cas los xij, cov khoom xyaw nquag yog ib tus neeg sawv cev ntawm lwm pawg sib txuas. Lub ntsiab lus tseem ceeb ntawm Glibenclamide yog qhov sib txuas ntawm tib lub npe, uas hais txog sulfonylurea derivatives.

Glibenclamide txhawb kev ua ke ntawm cov tshuaj insulin hauv lub cev hauv pancreatic beta hlwb. Kev teem sij hawm ntawm Glibenclamide tsuas yog tias yog kev siv tshuaj tiv thaiv kab mob tsis haum tshuaj tsis muaj txiaj ntsig zoo. Cov tshuaj raws li cov lus qhia muaj cov npe zoo txaus siv ntawm contraindications rau kev siv thiab phiv los ntawm nws siv.

Yog li ntawd, thaum sau ntawv rau nws, ib qho yuav tsum coj mus rau hauv tus account qhov muaj peev xwm nyob ntawm contraindications thiab kev txhim kho ntawm kev phiv.

Saksagliptin, Satagliptin - analogues ntawm Metformin

Saxagliptin yog ib qho tshuaj tiv thaiv kab mob, nyob rau hauv kev sib xyaw ua ke uas cov neeg tsis muaj lub cev nyob rau hauv daim ntawv ntawm hydrochloride yog suav nrog cov tshuaj tiv thaiv. Cov tshuaj muaj ib daim ntawv me me ntawm contraindications rau siv.

Tsis tas li, nws yuav tsum siv nrog ceev faj hauv cov neeg laus laus thiab cov neeg mob raum thiab mob siab tsis txaus.

Yuav tsum tau ceev faj ntxiv thaum siv cov cuab yeej no ua ke nrog sulfonylurea derivatives thaum kho mob hom 2 ntshav qab zib mellitus.

Thaum siv tshuaj, cov kev mob tshwm sim txuas ntxiv tuaj yeem tshwm sim:

Thaum siv ua ke nrog Metformin, nasopharyngitis thiab mob taub hau yuav tshwm sim.

Sitagliptin yog qhov muaj kev xaiv tshwj xeeb rau DPP-4. Cov tshuaj muaj tus txheej txheem tseem ceeb los ntawm lwm cov neeg sawv cev. Npaj rau kev tswj hwm qhov ncauj. Qhov kev txiav txim ntawm siagliptin txawv ntawm cov nyhuv pharmacological rau ntawm lub cev ntawm biguanides. Cov nquag ua haujlwm, thaiv DPP-4, ua rau kev nce siab hauv ntau ntxiv, insulinotropic qabzib-dependant thiab glucagon-zoo li peptide.

Cov nyhuv ntawm cov tshuaj no ua rau txo qis ntawm glucagon, uas, tawm tsam tom qab ntawm qhov nce ntawm cov tshuaj lom ntawm cov tshuaj insulin, ua rau muaj qee qhov txo cov piam thaj hauv cov ntshav ntshav.

Dab tsi yog metformin

Metformin belongs rau cov chav kawm ntawm cov tshuaj hu ua biguanides. Metformin txo cov piam thaj tsim tawm los ntawm lub siab, yog li txo cov ntshav qab zib. Los ntawm qhov kev coj ua no, nws tseem tuaj yeem pab lub cev teb tau zoo dua rau nws cov insulin. Cov tshuaj Metformin feem ntau yog ib hom tshuaj siv rau kev kho mob polycystic thiab ntshav qab zib, vim nws tsis tshua muaj kev phom sij rau cov ntshav qab zib tsawg dua piv rau lwm cov tshuaj.

Txawm hais tias qhov tseeb hais tias metformin ua tau zoo heev, nws tseem muaj ntau yam kev paub tshwm sim, uas suav nrog:

zawv plab
tsam plab / nce plab
mob plab
kev hnoos
tsis qab los
mob nqaij thiab mob ntswj
nws yog xim hlau ci hauv qhov ncauj
nkees

Tsis tas li, thaum noj, tawm pob xoo lossis mob hauv siab tuaj yeem tshwm sim, uas yog qhov cuam tshuam loj heev kom tshem tawm cov tshuaj! Tsis tas li, yog tias koj muaj kab mob hauv lub raum, tom qab ntawd kev siv cov metformin yog contraindicated rau koj thiab koj yuav tsum hloov nws nrog qee yam. Txwv tsis pub, nws muaj kev pheej hmoo ntawm kev tsim muaj qhov tsis tshua muaj tab sis txaus ntshai kev phiv hu ua lactic acidosis.

Nco ntsoov tham nrog koj tus kws kho mob yog tias koj muaj tej kev phiv los sis txhawj xeeb txog cov tshuaj uas koj siv.

1. Cov khoom noj kom zoo thiab tawm dag zog

Txoj hauv kev zoo tshaj plaws rau kev tswj hwm PCOS yog kom muaj kev hloov pauv noj qab haus huv rau koj kev noj haus thiab kev ua neej.Ua raws li kev noj haus rau PCOS nrog rau kev qoj ib ce ua kom cov ntshav qab zib kom tsawg, txhawb kev tswj hwm qhov hnyav thiab ua kom cov insulin sib npaug. Noj zaub mov zoo, ua haujlwm tsawg, tag nrho cov zaub mov thiab kev tawm dag zog niaj hnub yog qhov nyuaj rau hnub no, tab sis tus nqi zog yog tsim nyog!

Cov lus qhia tseem ceeb rau kev npaj kom muaj zaub mov zoo hauv PCOS: sim noj 5 zaug hauv ib hnub rau qhov chaw me me nyob rau ib hnub. Qhov no yuav pab kom tsis txhob muaj kev cuam tshuam dab tsi sai sai rau hauv insulin hauv cov ntshav, kom ntseeg tau tias nws qib thiab qib.

Nws yog ib qho tseem ceeb heev rau tus poj niam lub cev kom haus cov khoom noj muaj txiaj ntsig zoo ntawm cov rog txhua hnub. Nws yog cov rog uas koom nrog hauv kev sib txuas ntawm cov tshuaj hormones poj niam txiv neej thiab sib npaug tag nrho cov kev ua haujlwm poj niam cev poj niam.

2. Sim Ayurvedic Tshuaj ntsuab Jimnem Sylvester (Gymnema)

Gymnema sylvestre, qee zaum hu ua "ua kom piam thaj," cuam tshuam lub cev lub peev xwm los saj qab zib. Tsob nroj no yog ib qho ntawm cov txiaj ntsig zoo tshaj plaws los hloov cov metformin. Nws pab tswj cov ntshav qab zib thiab cov tshuaj insulin.

Ib txoj kev tshawb nrhiav xyoo 2001 tau luam tawm nyob rau hauv Cov Ntawv Xov Xwm Ntshav Qab Zib hauv Kev Tswj Xov Xwm pom tias kev siv tshuaj pab tawm dag zog ncua kho cov ntshav qabzib hauv hom 2 ntshav qab zib.

Jimnyu Sylvester tuaj yeem haus tau dej cawv hauv cov tshuaj yej, tsiav tshuaj thiab cov tshuaj ntsuab raws li muab tshuaj npaum li cas qhia rau ntawm cov khw.

Piv txwv li, peb tau xaiv koj cov kev xaiv zoo tshaj plaws rau qhov tsis zoo los ntawm iHerb.com:

Savesta, Gymnema, 60 Cov Veggie Caps

Qhov Xwm Ntawm Kev Teb, Gymnema, Cawv Dawb, 600 mg, 1 fl oz (30 ml)

3. Kawm Txog Chromium Picolinate

Chromium picolinate yog cov ntxhia pob zeb tseem ceeb uas tuaj yeem pab txo qis cov piam thaj hauv qab zib thiab txhim kho cov tshuaj insulin - qhov teeb meem rau ntau tus poj niam muaj PCOS.

2009 kawm tawm nyob rau hauv phau ntawv journal "Mob ntshav qab zib, rog thiab Metabolism", Qhia tias ntxiv ntawm chromium ntxiv txhim kho kev sib kis ntawm cov tshuaj insulin hauv cov nas uas muaj ntshav qab zib.

Txawm hais tias yuav tsum muaj kev tshawb fawb ntxiv, kev tshawb fawb thaum ntxov cia siab. Tus nqi uas pom zoo: 200-400 mcg txhua hnub.

Solgar, Chromium Picolinate, 500 mcg, 120 Cov Ntaub Ntawv Ci Tshiab

Tam sim no Cov Khoom Noj, Chromium Picolinate, 200 mcg, 250 Capsules

4. Ntxiv Inositol

Kev tshawb fawb luam tawm xyoo 2014 hauv phau ntawv journal "Gynecological Endocrinology », qhia tau hais tias myo-inositol thiab D-chiro-inositol pab normalize insulin tsis kam rau cov poj niam nrog PCOS. Raws li cov tshuaj insulin ua kom sib npaug, kev ua ntawm zes qe menyuam, qe zoo, thiab kev noj qab haus huv lub cev tuaj yeem hloov kho. Cov nyiaj uas pom zoo: 500 mg ob txog plaub zaug ib hnub.

Cov Qauv Jarrow, Inositol, 750 mg, 100 Cov Ntaub Ntawv Ci Tshiab

5. Kawm txog Berberine

Yuav ua li cas hloov metformin, yog tias tsis yog Berber. Txoj kev tshawb no luam tawm nyob rau hauv Phau Ntawv Xov Xwm European ntawm Endocrinology hauv 2012, nws qhia tau tias berberine muaj cov txiaj ntsig zoo li insulin-normalizing, zoo ib yam li metformin hauv kev kho mob ntawm PCOS, tab sis tsis muaj kev phiv! Tsis tas li ntawd, berberine yog qhov zoo dua rau Metformin hauv kev txo lwm cov kev pheej hmoo, xws li kev nce ntawm lub duav ncig thiab lub duav kom lub duav piv. Berberine yog ib txwm muaj nyob hauv cov nroj tsuag xws li Coptis (Coptis chinesis), Oregon txiv hmab (Berberis aquifolium) thiab Goldenseal (Hydrastis canadensis). Nws tau ntev tau siv hauv tsoos suav tshuaj ua tshuaj rau kev tiv thaiv thiab kho ntshav qab zib.

Zoo tshaj plaws berberine ntawm iHerb.com:

Cov Ntaub Ntawv Ntuj, Berberine WellBetX, 500 mg, 60 Cov Kua Nqaij

Solaray, Berberine Extract, Tshaj tawm qib siab, 60 Lub Ncauj Qab Zib

PCOS yog teeb meem uas tuaj yeem daws tau!

Kev kuaj mob PCOS yuav zoo li tsis tuaj yeem ua haujlwm. Txawm li cas los xij, feem ntau nws tuaj yeem hloov kho nrog kev noj haus thiab kev ua neej. Metformin tuaj yeem muaj txiaj ntsig rau qee tus poj niam nrog insulin-resistant PCOS. Tab sis tsis yog txhua tus poj niam uas muaj mob ntxiv nrog PCOS yuav tsum tau noj. Nug koj cov kws kho mob thiab tshawb nrhiav lwm txoj hauv kev thaum twg tsim nyog.

Pib nrog kev noj haus kom zoo. Xws li cov rog kom zoo rau cov poj niam hauv koj cov zaub mov noj. Noj txiv hmab txiv ntoo ntau dua thiab tshwj xeeb tshaj yog zaub thiab tshuaj ntsuab.Kuaj koj cov piam thaj hauv ntshav seb seb koj qhov kev pab cuam rov qab zoo li cas. Tam sim no koj paub yuav hloov metformin li cas. Muaj kev kawm thiab paub txog txhua yam kev xaiv tau!

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 lub ntim ntawm assimilated,
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.

Nws yuav tsum nco ntsoov tias kev poob phaus tsuas yog ib qho ntxiv ntawm cov tshuaj xwb. Thiab tsuas yog kws kho mob tuaj yeem txiav txim siab qhov kev xav tau ntawm Metformin los tawm tsam kev rog dhau.

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.

Pharmacodynamics thiab pharmacokinetics

"Metformin" inhibits cov txheej txheem ntawm gluconeogenesis nyob rau hauv daim siab thiab dhau los ua ib qho kev nyuaj rau kev nkag ntawm cov piam thaj los ntawm cov hnyuv rau hauv cov khoom nruab nrog cev.Hauv qhov xwm txheej no, qhov nce ntawm qhov piam thaj ntawm cov piam thaj tau tshwm sim thiab qhov kev cuam tshuam ntawm daim siab ua kom cov kua dej insulin nce. Cov txheej txheem no tsis yog nrog cov tshuaj tiv thaiv hypoglycemic; cov tshuaj tsis cuam tshuam rau lub ntuj tsim cov tshuaj insulin los ntawm beta hlwb ntawm cov txiav, tsis zoo li qee qhov analogues ntawm cov tshuaj Metformin.

Cov lus qhia rau kev siv rau kev poob phaus tshwm sim vim yog lub peev xwm ntawm cov tshuaj yuav ua kom lub zog ruaj khov los yog txo tus neeg mob lub cev qhov hnyav.

Tom qab noj cov Metformin, cov tshuaj nquag pib ntws los ntawm lub plab zom mov, thiab cov nyhuv ntawm cov tshuaj pib tom qab 2-2.5 teev. Ib qho tshwj xeeb ntawm cov tshuaj yog nws yuav luag tiav tsis khi rau plasma protein.

"Metformin" muaj peev xwm nthuav tawm hauv ob lub raum thiab nplooj siab, mob qog noj qab nyob, cov leeg nqaij. Nws yog tawm yuav luag tag nrho los ntawm ob lub raum tom qab 9-12 teev tom qab kev tswj hwm. Yog tias tus neeg mob lub raum lub luag haujlwm tsis zoo, cov tshuaj yuav khaws ntau hauv lub cev ntev.

Kev taw qhia thiab contraindications

Kev qhia rau kev siv Metformin yog li hauv qab no:

Hom 2 mob ntshav qab zib mellitus, dhau mus yam tsis muaj ketoacidosis, uas tseem ceeb heev rau cov neeg mob ntshav qab zib.
Nrog rau cov tshuaj insulin hauv hom 2 mob ntshav qab zib, rog dhau heev, tom qab ntawd cov tshuaj insulin kuj tiv taus.

Txawm hais tias ua tau zoo ntawm cov tshuaj, muaj cov contraindications rau kev siv cov Metformin:

Ketoacidosis mob ntshav qab zib, ntshav khov hauv lub xeev lossis coma.
Kev ua txhaum ntawm kev ua haujlwm li qub ntawm ob lub raum.
Cov mob hnyav ua rau lub ntsej muag ua kom lub raum tsis zoo - mob voos, lub cev qhuav dej nrog mob raws plab lossis ntuav, kub cev, kab mob ntawm cov pa ua pa, hypoxia.
Mob thiab mob mus ntev ua rau cov nqaij mos hypoxia - mob plawv lossis ua pa tsis ua haujlwm, mob myocardial infarction.
Ncua kev phais mob ncua, tom qab uas kev kho tshuaj insulin raug kho.
Daim siab ua hauj lwm.
Mob ethanol lom, mob qaug cawv ntev.
Cev xeeb tub
Kev pub niam mis.
Tus neeg tsis kam txais.

Tshuaj muab tshuaj

Kev noj cov tshuaj "Metformin" yog txiav txim siab raws li cov ntsiab lus ntawm cov piam thaj hauv cov ntshav thiab tau sau tseg los ntawm tus kws kho mob rau txhua tus neeg mob. Feem ntau, cov tshuaj pib ntau ntau nyob ntawm 0.5 txog 1 g / hnub. (1-2 ntsiav tshuaj), thiab tom qab ntawd, raws li theem ntawm cov piam thaj, tom qab 10-15 hnub ntawm kev coj ua, ib kauj ruam ntxiv cov tshuaj ntxiv yog ua tau.

Cov koob tshuaj saib xyuas ntawm Metformin yog 1.5-2.0 g / hnub. (3-4 ntsiav tshuaj), thiab kev siv tshuaj ntau tshaj yog 3.0 g / hnub. yog 6 ntsiav tshuaj. Rau cov neeg mob hauv lub hnub nyoog laus, qhov kev siv tshuaj ntau tshaj yog tsis ntau tshaj 1.0 g / hnub. (2 ntsiav tshuaj).

Kev qhia rau kev siv Metformin thiab kev tshuaj xyuas tus neeg mob tau qhia tias cov tshuaj yuav tsum tau noj thaum noj mov lossis tam sim ntawd tom qab, ntxuav nrog dej huv. Qhov koob tshuaj txhua hnub yog pom zoo kom muab faib ua 2-3 koob thaum nruab hnub.

Khuv Xim Qhov Muag Tshaj

Ib qho kev tshaj tawm tuaj yeem ua rau qhov kev loj hlob ntawm cov kab mob tuag tes tuag taw mob acidosis.

Cov kab mob lactic acidosis yog tus yam ntxwv li hauv qab no:

Kiv taub hau, nrog nws xeev siab thiab ntuav.
Zawv plab
Ib qho ntse me me hauv lub cev kub.
Ua pa ntau dua.
Ntse mob hauv cov leeg, plab.
Poob ntawm kev nco qab thiab qhov pib ntawm coma.

Yog tias tsawg kawg cov tsos mob ntawm cov kab mob lactic acid tshwm sim, koj yuav tsum tso tseg tsis noj tshuaj Metformin tam sim ntawd, ntsuas kev mus rau tom tsev kho mob ntawm tus neeg mob.

Txoj kev kho mob zoo tshaj plaws rau cov mob lactic acidosis yog hemodialysis, thiab kev kho mob ntawm qee yam tsos mob kuj tau ua tiav.

Kev cuam tshuam nrog lwm yam tshuaj

Cov tshuaj "Metformin", kev qhia txog kev siv uas tsis suav nrog kev tswj hwm tib lub sijhawm nrog lwm cov tshuaj, tsis tuaj yeem siv ua ke nrog dinazole vim yog cov nyhuv hyperglycemic ntawm tom kawg.Yog tias koj xav tau kev kho mob nrog dinazole, koj yuav tsum kho qhov tshuaj ntawm Metformin, uas yuav tsum tau nqa los ntawm kws kho mob.

Txais tos ntawm "Metformin" yuav tsum tau nres kiag li lossis cov tshuaj kho mob ua ke nrog cov tshuaj hauv qab no:

Chlorpromazine.
Cov tshuaj tiv thaiv kev puas hlwb.
Qhov tshuaj tiv thaiv ntawm qhov ncauj, cov thyroid hormones, thiazide thiab cov diuretics.
"Epinephrine."
"Cimetidine."

Tsis tas li ntawd, thaum siv Metformin, nws yog ib qho tsim nyog yuav tsum tsis txhob haus cawv, txwv tsis pub, txiav txim los ntawm kev tshuaj xyuas cov neeg mob, cov kev kho mob zoo txo qis.

"Metformin": kev tshuaj xyuas thaum siv rau lub cev poob

Kev ua rau txoj kev kho tsis tas rau thaj chaw ntawm kev siv Metformin kev npaj. Kev ntsuas rau kev siv, kev txheeb xyuas pom tias muaj peev xwm:

Txo cov ntshav qab zib.
Txo cov ntuj tsim tawm ntawm cov kua dej, ua rau lub cev khiav tsis zoo.
Kev thaiv cov kev tsim ntawm cov roj carbohydrate hauv lub siab.
Txo kev nqus ntawm carbohydrates hauv lub cev los ntawm cov zaub mov.

Txhawm rau siv "Metformin" rau qhov poob phaus, nws yuav tsum to taub tias nws lub luag haujlwm tseem ceeb yog los tsim cov kev mob zoo li no nyob rau hauv qhov kev tso nyiaj ntawm cov rog, thiab tsis ua kom cov leeg nqaij, tshwm sim. Yog li no, rau qhov ua tau zoo thiab tsis muaj mob rau lub cev poob phaus, raws li ntau cov tshuaj xyuas ntawm cov tshuaj, ob qho tib si tus neeg mob thiab kws kho mob, cov mob uas yuav tsum tsim:

Tsis kam lees qab zib thiab hmoov, ntxiv rau cov khoom lag luam tseem ceeb (noodles, cereals, mashed qos).
Txo cov khoom noj muaj calorie kom tsawg.
Nquag ua thiab nquag ce.

Thaum siv Metformin rau qhov poob phaus, qhov tshuaj yuav tsum yog 500 mg / hnub, thiab yuav tsum noj ua ntej noj su thiab noj hmo. Kev tshuaj xyuas ntawm tus neeg mob cov tshuaj qhia tau hais tias nws muaj txiaj ntsig zoo rau kev poob phaus, tab sis kev siv Metformin rau cov laj thawj no tsis tuaj yeem lees paub yog tsis muaj kev sab laj nrog kws kho mob thiab tus kws qhia noj zaub mov.

Sab sij huam

Txawm hais tias muaj kev qhia dav dav rau kev siv, Metformin kuj tseem tuaj yeem ua rau kom pom qee qhov kev tsis txaus siab los ntawm kev mob plab, uas yog qhov tshwm sim ntawm kev phiv los ntawm cov tshuaj:

Ntuav thiab xeev siab.
Tsis muaj zog qab los noj mov lossis nws ua tiav tag nrho.
Flatulence, raws plab, mob plab.

Feem ntau, cov tsos mob no tshwm sim thaum pib kho thiab, raws li cov neeg mob, lawv ploj lawv tus kheej.

Cov kev mob tshwm sim los ntawm lwm cov kab ke muaj ntau dua:

Kev Hypovitaminosis B12 thiab cov kab mob lactic acidosis.
Megaloblastic anemia.
Kev ntshav siab.
Cov tawv nqaij ua pob raws li kev ua xua.

Cov lus qhia tshwj xeeb rau kev siv thiab tshuaj xyuas cov neeg mob

Zoo ib yam li lwm yam tshuaj, uas muaj nws cov contraindications thiab cov cim rau siv, Metformin yuav tsum ua tib zoo saib xyuas haus thiab sijhawm ntawm kev tswj hwm.

Tshwj xeeb, thaum nkag mus, nws yog qhov yuav tsum tau soj ntsuam tas li ntawm lub raum kev ua haujlwm, uas tsawg kawg ob zaug hauv ib xyoos, nrog rau kev tshwm sim ntawm myalgia, nws yog qhov tsim nyog los txiav txim siab cov ntsiab lus ntawm plasma lactate. Ntxiv rau, cov tshuaj creatinine yuav tsum tau saib xyuas txhua txhua rau lub hlis, tshwj xeeb tshaj yog rau cov neeg laus.

Thaum noj cov tshuaj Metformin txuam nrog sulfonylurea derivatives, nws yog qhov tseem ceeb los soj ntsuam cov ntshav qabzib hauv cov qib siab.

Yog tias muaj kab mob ntawm cov kab mob genitourinary lossis kab mob bronchopulmonary, koj yuav tsum qhia koj tus kws kho mob tam sim no.

Kev noj tshuaj tsis cuam tshuam rau lub peev xwm tsav lub tsheb thiab tsis cuam tshuam rau kev ua haujlwm nrog kev ua haujlwm.

Kev sib xyaw ntawm Metformin nrog lwm tus tuaj yeem ua rau muaj kev txhim kho hypoglycemic uas yog lub cim xeeb tsis zoo, hauv qhov uas nws yog txwv tsis pub tsav tsheb thiab koom nrog lwm yam uas muaj feem phom sij thiab xav kom muaj kev saib xyuas thiab tawm tsam ntxiv.

Raws li kev tshuaj xyuas txog cov tshuaj "Metformin", txawm hais tias txaus ntshai ntau qhov kev cuam tshuam ntawm cov kev mob tshwm sim, lawv tseem pom muaj tsawg kawg lossis ib feem tsawg. Thiab, uas yog tshwj xeeb tshaj yog sau tseg los ntawm kev nyiam ua khoom qab zib, thaum noj tshuaj, nws muaj peev xwm them taus ib qho khoom qab zib lossis khoom qab zib, txawm tias ua tsis tau.

Tsis tas li ntawd, hauv kev tshuaj xyuas cov neeg mob ntshav qab zib, muaj qhov nce ntxiv ntawm kev cev xeeb tub thaum noj cov tshuaj Metformin, uas pab tsis tsuas yog tshem tawm tus kab mob, tab sis kuj pom tsev neeg muaj kev zoo siab.

Tus poj niam uas xav kom muaj lub cev zoo nkauj tsis tuaj yeem nres. Qee lub sij hawm nws siv tsis tshua txhais tau tias nws yuav ua tiav nws cov hom phiaj. Piv txwv li, cov neeg mob ntshav qab zib tau tshaj tawm cov tshuaj Metformin rau qhov poob phaus. Tsis muaj tus kws qhia noj qab haus huv pom zoo siv cov tshuaj yam tsis muaj laj thawj zoo. Txawm li cas los xij, qee tus pojniam tau sau ntawv kho mob rau lawv tus kheej, tsis hais txog ntawm muaj tus kabmob (contraindications) thiab muaj feem tau txais teebmeem kev noj qab haus huv.

Tus txheej txheem ntawm kev ua ntawm "Metformin" rau kev poob phaus

"Metformin" yog kho rau cov neeg tau txais kev kho mob insulin. Nws siv los ntawm cov kws kho mob los soj qab theem ntawm cov insulin hauv tus neeg mob cov ntshav thiab txo qhov hnyav yog tias tom kawg tsis tuaj yeem ua tiav nrog kev noj haus thiab kev tawm dag zog. Nws txwv tsis pub hyperinsulinemia (nce qib hauv qib ntshav hauv cov ntshav mus rau qhov tseem ceeb), uas, nyeg, nyob rau hauv cov neeg mob ntshav qab zib yog qhov tseem ceeb tshaj plaws rau kev nce phaus thiab tshwm sim ntawm cov hlab plawv pathologies.

Metformin tsis cuam tshuam rau cov insulin ntau lawm.

Nws tswj cov concentration ntawm cov tshuaj hormones hauv qhov ruaj khov, kom tus neeg mob ploj mus tsis tu ncua los ntawm kev tshaib plab.

Yog hais tias cov tshuaj noj nrog zaub mov, qhov loj ntawm cov tshuaj nquag sawv daws thiab khaws nyob rau hauv plab hnyuv phab ntsa. Hauv qhov no, metformin tiv thaiv kev nqus ntawm cov piam thaj los ntawm cov khoom noj thiab muaj txiaj ntsig zoo rau nws txoj kev siv nrawm.
Yog tias cov tshuaj noj tau cais tawm hauv cov zaub mov, nws yog qhov ua tau zoo nqus tau los ntawm cov mucosa. Li ntawm ib nrab ntawm nws cov khoom nquag nkag rau cov ntshav, thiab los ntawm qhov ntawd nws kis mus rau cov kabmob tseem ceeb.

Cov tshuaj muaj nyob hauv lub siab, qhov uas nws inhibits cov txheej txheem tshwm sim hauv lub cev ntawm kev hloov pauv ntawm cov tsis-carbohydrate sib txuas rau hauv suab thaj. Raws li qhov tshwm sim, tus nqi ntawm cov piam thaj nkag mus rau hauv cov ntshav txo qis.

Cov khoom noj carbohydrates yog qhov tseem ceeb ntawm lub zog. Yog tias lawv cov khoom nqus lossis cov khoom cua sib txuas qeeb, lub cev pib siv cov nyiaj rog. Yog li, tib neeg siv cov tshuaj metformin tswj kom poob phaus.

Cov tshuaj ua rau muaj qhov tshwm sim ntau ntawm cov cell mus rau insulin, vim tias cov leeg nqaij no pib haus cov piam thaj ntau ntau.

Cov carbohydrate nkag mus rau cov ntshav los ntawm cov ntshav. Qab zib cov qib qis dua li qub. Muaj lub sijhawm los, thaum tag nrho cov piam thaj tau noj, thiab cov uas tawm los ntawm sab nraud, thiab uas tau sib txuas los ntawm lub cev, plhaw nws tus kheej kom tau txais lub zog. Tsis muaj ib qho seem ntxiv, uas txhais tau hais tias tsis muaj cov nyiaj khaws cia tau tsim nyob hauv daim ntawv ntawm cov rog rog.

Txoj kev kho yuav tsum tau nrog cov khoom noj tshwj xeeb thiab kev tawm dag zog. Nco ntsoov zam tag nrho cov carbohydrates ceev: hmoov nplej, khoom qab zib, confectionery, txiv hmab txiv ntoo qab zib heev, chocolate. Txwv tsis pub, qhov teeb meem kev zom zaub mov tsis tuaj yeem zam. Cov piam thaj vim qhov tsis muaj peev xwm mus ua kom lub plab hnyuv quav yuav ua rau nws ntsa thiab yuav tawm.

Cov lus qhia rau kev siv

Txoj kev qhia tseem hais ntxiv tias txhua tus neeg mob tau xaj los ntawm kws kho mob. Cov tshuaj pib noj nrog 500-1000 mg ib hnub twg. Tom qab ntawd, nyob ntawm cov piam thaj hauv cov ntshav, ntawm 10-15 hnub ntawd cov tshuaj no tuaj yeem nce ntxiv txog 1700-2000 ib hnub. Qhov siab tshaj plaws uas tuaj yeem noj ib hnub yog 3000 mg.

Txhawm rau kom txo qhov tshwm sim ntawm kev noj, qhov koob tshuaj tau muab faib los ntawm 2-3 zaug. Cov ntsiav tshuaj tau nqos tag nrho, tsis yog ntxo, nrog me me ntawm cov dej tam sim ntawd ua ntej noj mov lossis twb nrog zaub mov noj.

Yog tias muaj kev mob tshwm sim, tus kws kho mob kho cov koob tshuaj.Ua ntej haus cov Metformin, koj yuav tsum kuaj cov ntshav thiab saib xyuas seb lawv hloov pauv li cas hauv cov txheej txheem.

Nws yuav tsum tsis txhob muab rau neeg:

tom qab ua haujlwm hnyav
muaj mob plawv, ua haujlwm tsis zoo rau lub raum, mob siab, teeb meem ua pa,
nrog lactase deficiency thiab lactose intolerance,
kis kab mob
leej twg underwent xoo hluav taws xob soj ntsuam tsis pub dhau ob hnub ua ntej noj cov tshuaj,
quav cawv quav cawv
hnub nyoog tshaj 60 xyoo koom nrog kev ua hauj lwm hnyav.

Cov tshuaj tsis tau noj nrog ntau yam tshuaj: tshuaj tiv thaiv kabmob, tshuaj tiv thaiv kabmob, tshuaj muaj menyuam, tshuaj tiv thaiv qog, cov tshuaj hormones.

Cov tshuaj noj kom tsis txhob muaj lub zog ua kom sib xyaw nrog kev noj zaub mov kom yuag tsawg. Tsawg kawg ntawm 1000 kcal yuav tsum tau noj ib hnub.

Cov kev mob tshwm sim feem ntau (hauv 18-20% ntawm cov neeg mob) yog mob raws plab, rumbling hauv plab, aversion rau zaub mov, mob taub hau. Tawm tsam keeb kwm ntawm kev siv lub sijhawm ntev, ib qho tsis txaus ntawm cov vitamins B12 muaj kev txhim kho.

Tus nqi tsis txaus ntawm cov nyiaj hauv kev sib tham yog:

Tshuaj nyob
Siofor
Glucophage,
Gliformin
Bagomet.

Txhua tus ntawm lawv muaj cov qauv zoo sib xws thiab cov qauv thov, thiab txawv tsuas yog cov tsim khoom lag luam thiab tus nqi. Ntawm cov khoom lag luam ntawm Metformin lub npe, qhov kev tawm tsam tshaj plaws txog Ozone ntsiav tshuaj yog. Ib txhia hais tias lawv tsis xav tias qhov cuam tshuam los ntawm lawv. Feem ntau, qhov muaj siab nyiam tau muab rau kev npaj ua los ntawm Gedeon Richter.

Metformin lossis Glucophage, uas yog ib qho zoo dua?

Cov tshuaj Metformin muaj cov hmoov txhuv nplej siab, thaum Glucofage puv nrog macrogol. Yog li ntawd, tom kawg ua rau kev mob tshwm sim tsawg dua nrog kev zom.

Kev ua tau zoo ntawm cov tshuaj "Metformin" raws li kev txhais tau tias kom poob phaus yog qhov tsis sib haum xeeb. Qhov tseeb, nws tsis tuaj yeem kho yam tsis muaj pov thawj. Puas tsim nyog koj txoj kev noj qab haus huv, cia siab tias yuav poob 2-4 kg, lossis tej zaum sim ua qhov no, tsuas yog tso siab rau kev noj zaub mov kom zoo thiab ua kom lub cev qoj ib ce? Cov lus teb zoo li pom tseeb.

Metformin yog cov tshuaj kho mob ntshav qab zib tshaj plaws rau cov ntshav qab zib. Ntxiv rau, nws yog siv los tawm tsam kev rog thiab kom tshem tau polycystic ovary hauv gynecology. Cov tshuaj tso cai rau koj kom tshem tawm ntau tshaj qhov hnyav, txo qis ntawm theem, tab sis tsis ua rau muaj kev phiv loj heev.

Kev noj tshuaj Metformin yog ib txoj kev tiv thaiv zoo rau kev txhim kho kev mob ntshav qab zib hnyav, xws li mob plawv nres thiab mob hlab ntsha hlwb, thiaj li ua rau lub neej ntev dua ntawm cov neeg mob. Muaj cov ntaub ntawv pov thawj tias Metformin tiv thaiv tib neeg los ntawm qee yam qog hlav qog ntshav.

Tus nqi ntawm cov tshuaj yog tsawg, vim tias ntau lub tuam txhab ua lag luam koom nrog nws cov khoom lag luam.

Cov lus qhia rau noj Metformin, uas tau hais hauv cov lus qhia ntawm nom:

Mob ntshav qab zib Hom 2.

Yam 1 ntshav qab zib mellitus hauv cov neeg mob rog rog thiab insulin tsis kam.

Txawm li cas los xij, hauv kev muaj tiag, ntau tus neeg siv Metformin kom poob ceeb thawj. Nws kuj tseem raug kho rau kev kho mob polycystic ovary syndrome hauv cov poj niam. Qhov kev ntsuas no nce siab rau tus neeg mob txoj kev muaj lub siab zoo.

Ntxiv nrog rau kev noj tshuaj, cov poj niam uas muaj mob polycystic ovary syndrome yuav tsum ua raws li kev noj haus kom tsawg thiab ua kom ib ce muaj zog. Qhov no ua rau kom muaj kev pheej hmoo zoo.

Metformin: cov lus qhia rau kev siv

Cov tshuaj ua haujlwm li cas?

Metformin tau raug tshuaj rau kev mob ntshav qab zib mellitus ntawm yam thib ob, thiab qee zaum hauv kev tswj hwm kev kho mob rau hom ntshav qab zib hom 1. Cov tshuaj yuav pab txo cov ntshav qab zib ob qho tib si rau ntawm lub plab khoob thiab tom qab noj mov, thiab tseem tso cai rau koj kom ib txwm muaj qib glycated hemoglobin.
Kev noj cov tshuaj ua rau nws tuaj yeem txo cov piam thaj hauv kev ua haujlwm hauv lub siab, thiab tseem tiv thaiv kom tsis txhob nqus cov carbohydrates ntau dhau ntawm cov hnyuv. Ua tsaug rau Metformin kev tswj hwm, nws muaj peev xwm nce qhov rhiab heev ntawm cov hlwb rau insulin.Lub txiav ua kab mob thaum kho tsis tuaj yeem tsim cov insulin ntau dhau, uas tiv thaiv kom tsis txhob muaj qog ntshav qab zib.

Cov tshuaj tsis nthuav tawm hauv lub cev. Feem ntau ntawm nws yog tawm los ntawm lub raum. Thaum siv tshuaj yeeb-tshuaj ntev ntev, piv txwv li, Glucofage Ntev, Metformin yog nqus tau ntev dua yog tias koj piv lub sijhawm no nrog kev noj cov tshuaj tsis tu ncua.
Qhia rau kom paub tias ib tug neeg raug kev txom nyem los ntawm qee yam kab mob hauv lub raum, Metformin yuav tsum tau siv nrog ceeb toom.

Thaum twg mam coj

Cov tshuaj yog tawm rau cov neeg mob uas muaj hom 2 mob ntshav qab zib mellitus, cov tib neeg muaj rog rog thiab muaj tsawg cov cell ua rau cov tshuaj insulin.
Kev kho mob nrog metformin yuav tsum tshwm sim tawm tsam ntawm qhov kev qoj ib ce txaus thiab nrog rau kev noj zaub mov kom tsawg.

Thaum cov tshuaj tsis tuaj yeem noj

Cov tshuaj tiv thaiv kev kho mob nrog Metformin:

Ntshav qab zib ketoacidosis.
Mob qab zib coma.
nrog glomerular infiltration tus nqi ntawm 45 ml / min thiab hauv qab.
Qeb ntshav creatinine yog 132 μmol / L rau txiv neej thiab 141 μmol / L rau poj niam.
Daim siab ua haujlwm.
Kev kis tus kab mob hauv cov theem mob ceev.
Lub cev qhuav dej

Dab tsi koj yuav tsum them nyiaj tshwj xeeb rau

Yog tias tus neeg mob yuav tau phais, lossis xoo hluav taws xob los siv kev sib piv, ces nws yuav tsum tsis txhob noj cov tshuaj Metformin 2 hnub ua ntej kev kho mob.
Qee zaum cov neeg mob tuaj yeem tsim cov kev mob hnyav hnyav uas yog cov kab mob lactic acidosis. Qhov no yog nrog nrog txo qis pH hauv ntshav mus rau 7.25, uas ua rau muaj kev hem thawj tsis tsuas yog ua rau muaj kev noj qab haus huv thiab lub neej. Yog li no, thaum pom cov tsos mob xws li mob plab, ua kom tsis muaj zog, ntuav thiab ua pa luv, yuav tsum hu rau lub tsheb thauj neeg mob.
Raws li txoj cai, lactic acidosis kev loj hlob tsuas yog thaum ib tus neeg tau noj ntau dhau lawm ntawm cov tshuaj, lossis kev kho mob tau ua yog tias muaj contraindications. Hauv lwm qhov xwm txheej, Kev Siv Tshuaj Metformin tsis ua rau kev txhim kho ntawm cov kab mob lactic acidosis.

Yuav noj li cas thiab noj li cas

Txoj kev kho yuav tsum pib nrog ib koob tshuaj 500-850 mg ib hnub twg. Maj mam, nws tau nce siab thiab nqa ntau txog 2550 mg rau ib hnub, noj 1 lub tshuaj ntawm 850 mg peb zaug ib hnub. Qhov nce yuav tsum tshwm sim 1 zaug hauv 7-10 hnub.
Yog tias ib tus neeg siv tshuaj nrog qhov ua ntev ntev rau kev kho mob, qhov tshuaj txhua hnub raug txo kom qis dua 2000 mg. Siv cov tshuaj 1 zaug hauv ib hnub, thaum mus pw.

Cov kev mob tshwm sim qhia nyob rau hauv daim ntawv tsis sib haum xeeb hauv kev ua haujlwm ntawm lub plab zom mov. Ib tus neeg yuav raug mob raws plab, xeev siab, ntuav, nws qab los noj mov hloov zuj zus, nws txoj kev saj yuav cuam tshuam. Raws li txoj cai, qhov tsis xis nyob yog pom tsuas yog hauv thawj hnub txij li pib kho.
Txhawm rau kom txo qhov zoo li ntawm cov kev mob tshwm sim rau qhov tsawg kawg, kev kho yuav tsum tau pib nrog kev txhaj tshuaj tsawg kawg.
Yog hais tias tus neeg mob muaj pob khaus tawv nqaij thiab khaus, ces qhov no yuav tsum tau txais tswv yim kho mob, vim tias nws yuav qhia tau tias ib tug neeg tsis qaug rau cov tshuaj.
Thaum lub sij hawm ntev kev kho mob, qhov tsis muaj peev xwm ntawm cov vitamin B12 hauv lub cev yog qhov ua tau.

Lactation thiab cev xeeb tub

Thaum xeeb menyuam thiab thaum pub niam mis, cov tshuaj tsis raug cai rau cov pojniam. Txawm li cas los xij, nws feem ntau siv los kho polycystic ovary syndrome. Yog nyob rau lub sijhawm no tus pojniam tau xeeb tub, ces tsis muaj ib yam dabtsi txaus ntshai yuav tshwm sim. Nws yuav tsum tsis lees noj tshuaj tom qab nws pom ntawm nws qhov xwm txheej.

Yog tias loj npaum li cas tau noj

Nrog kev siv tshuaj ntau dhau, hypoglycemia tsis tshwm sim, tab sis cov kab mob lactic acid tuaj yeem tshwm sim (hauv kwv yees li 32% ntawm cov neeg mob). Tus neeg yuav tsum tau mus pw hauv tsev kho mob ceev. Txhawm rau tshem tawm cov tshuaj ntawm lub cev, yuav tsum lim ntshav yog qhov yuav tsum tau ua. Nyob rau hauv parallel, kev tshwm sim kev kho mob yog ua.

Kev cuam tshuam nrog lwm yam tshuaj

Nrog rau kev tswj fwm ntawm Metformin nrog insulin, ib qho kev txo qis hauv cov ntshav qab zib yog tau.Tsis tas li, cov tshuaj muaj peev xwm tig tau nrog cov tshuaj txo qis ntshav siab thiab nrog tshuaj rau kev kho mob.

Tso tawm daim ntawv, chaw cia khoom

Cov tshuaj muaj peev xwm nrhiav tau nyob hauv qhov ntau ntawm 500, 850 thiab 1000 mg. Nws muaj nyob hauv ntsiav tshuaj daim ntawv.
Qhov kub ntawm huab cua yuav tsum tsis pub tshaj 25 degrees. Txee lub neej nws txawv ntawm 3 txog 5 xyoos.

Ntshav Qab Zib thiab Metformin

Metformin tuaj yeem noj rau cov neeg mob ntshav qab zib rog. Qhov no yuav txo qhov feem ntau ntawm kev tsim hom ntshav qab zib 2.

Ua ntej koj yuav tsum tau sim ua kom poob phaus nrog zaub mov noj. Yog tias cov nyhuv tsis tiav, tom qab ntawd koj tuaj yeem txuas cov tshuaj. Ntxiv rau kev noj zaub mov noj, ib tus neeg xav tau nce nws lub cev kev ua si: kom koom nrog kev kawm tawm dag zog, taug kev ntau, khiav. Nyob rau hauv tib si, nws yog ib qhov tsim nyog los saib xyuas qib ntawm cov ntshav siab, nrog rau cov qib ntawm cov piam thaj hauv cov ntshav, suav nrog kev yoo mov.

Metformin tsis yog daim ntawv yuav tshuaj. Nws noj thoob plaws lub neej, tsis muaj kev cuam tshuam, txhua hnub.

Yog tias ib tus neeg ua mob raws plab los yog mob plab zom zaub mov tshwm sim, tom qab ntawv qhov no tsis yog qhov laj thawj uas yuav tsum tau kho. Nws yog qhov tau hais tias koj xav tau kom txo tau cov tshuaj rau lub sijhawm.

Txhua 6 lub hlis ib zaug, kev kuaj ntshav yuav tsum ua raws li kev txiav txim siab cov vitamin B12 hauv lub cev. Yog tias muaj qhov tsis muaj peev xwm, ces nws yuav tsum muab cais nyias. Kuj tseem pom zoo kom noj cov vitamins B12 ua kev tiv thaiv kev tiv thaiv.

Kev Qhia Tawm Metformin

Cov nquag ua haujlwm ntawm kev kho mob hypoglycemic thiab nws cov analogues yog metformin. Ntawm cov tshuaj pabcuam rau cov ntsiav tshuaj daim ntawv tshuaj, magnesium stearate, hmoov txhuv nplej siab, talc yog siv. Cov tshuaj yog rau cov chav kawm ntawm biguanides.

Cov nyhuv pharmacological yog qhov cuam tshuam ntawm gluconeogenesis - kev tsim cov piam thaj raws li kev coj ua ntawm cov metabolism hauv lub siab. Cov tshuaj txo cov nqus ntawm cov carbohydrate hauv txoj hnyuv, txhim kho kev siv ntshav qab zib. Nws txo cov kev pheej hmoo ntawm hypoglycemia thiab hyperinsulinemia, pab tswj qhov hnyav, thiab tiv thaiv kev txhim kho vascular pathologies (mob ntshav qab zib).

Kev ua ntawm metformin tsis cuam tshuam rau tsim cov tshuaj insulin thiab tsis txhim kho nws qhov zais cia. Cov tshuaj txo cov ntsiab lus ntawm lipoproteins tsis zoo hauv cov ntshav. Cov cuab yeej no yog siv rau hauv kev kho kev rog.

mob ketoacidosis,
cev xeeb tub, lactation,
cov me nyuam muaj hnub nyoog
lub raum thiab lub siab ua haujlwm,
npaws
plawv nres
quav cawv.

Metformin thiab tshuaj yeeb yaj duab tau muab sau ua ke nrog insulin. Kev noj tshuaj yog txiav txim los ntawm tus kheej los kho tus mob endocrinologist. Thawj koob tshuaj pom zoo yog 500 mg / hnub (1 ntsiav tshuaj).

Cov npe lag luam

Hauv kev kho mob, ob qho tib si cov tshuaj qub Metformin, nws cov analogues, thiab cov generics ntawm tus nqi pheej yig yog siv:

Metformin-Teva (ua hauv Ixayees). Thawj cov tshuaj hauv cov ntsiav tshuaj daim ntawv. Nqe - los ntawm 80 rubles.
Metaformin Ntev (ua ntev npaum li cas).
Metformin-Richter (tshuaj Lavxias). Nqi los ntawm 180 rub.
Metformin-Zentiva (tshuaj ntawm lub tuam txhab Slovakia). Nqe txij 120 rub.
Metformin-Kanon (tsim los ntawm Lavxias teb sab chaw muag tshuaj Kanonfarma Ntau Lawm). Cov tshuaj muaj nyob hauv tsiav tshuaj. Tus nqi qis - los ntawm 90 rubles.

Cov tshuaj Metformin analogues muaj cov tshuaj nquag hauv ntau npaum li 500 txog 1000 mg. Cov tshuaj muaj cov nyhuv tshuaj zoo sib xws.

Kev tsim kho hauv ntshav qab zib - tsuas yog haus txhua txhua hnub.

Metamorphine Ntev Nws zoo dua rau qhov kev kho mob ntawm kev noj nws ntev dua piv rau cov tshuaj nyob hauv pawg no.

Cov tshuaj npaj tshuaj muaj ib qho sib txawv, tab sis muaj cov qauv zoo xws li cov tshuaj, hu ua analogues. Lub tuam txhab twg, thiab qhov twg zoo dua ntawm Metformin cov yeeb yaj kiab, yuav txiav txim los ntawm tus kws kho mob uas tuaj koom.Ntau hom tshuaj hypoglycemic nyob rau ntawm kev ua lag luam.

Cov tshuaj noj uas muaj ntau yam ntawm Metformin yog cov tshuaj qab zib-txo cov tshuaj hauv qab no:

Yuav kom daws tau lo lus nug ntawm yuav ua li cas los hloov cov Metamorphine, ib qho yuav tsum coj mus rau hauv tus account qhov ntxim nyiam ntawm cov kev mob tshwm sim los ntawm cov tshuaj sib txuam ntawm cov tshuaj. Cov cim qhia thiab cov lus txhais sib txawv ntawm cov khoom sib txawv ntawm cov khoom sib ntxiv thiab cov neeg ua haujlwm ntawm cov ntsiav tshuaj thiab tshuaj ntsiav.

Muaj peev xwm muaj kev tsis haum tshuaj thaum noj tshuaj Metformin hloov chaw. Hauv qhov no, koj yuav tsum hu rau koj tus kws kho mob-endocrinologist.

Thaum xaiv cov tshuaj hypoglycemic, ib qho yuav tsum tsis txhob mob siab rau tus nqi, cov kev tawm tsam rau cov tshuaj yuav tsum ua tib zoo xav.

Kev siv tshuaj hypoglycemic, ib qho ntawm cov tshuaj pleev nyiam tshaj plaws ntawm Metformin. Muab kev txo qis hauv qib qis dua cov piam thaj. Txhawb nqa qabzib uptake los ntawm cov leeg nqaij. Txo kev ua kom yuag sai li sai tau los ntawm cov roj ntsha hauv plab hnyuv.

Siofor 1000 nkoos lub zog thiab nce zuj zuj ntawm glycogen hauv cov qog hlwb. Txhim kho cov lipid metabolism. Nws yog siv los txo qhov hnyav tshaj. Txhawb kev mob nkeeg rau cov neeg mob uas muaj ntshav qab zib hom 2.

Siofor 1000 muaj nyob rau hauv cov ntsiav tshuaj daim ntawv ntawm 1000 mg ntawm cov tshuaj yeeb tshuaj, hauv qhov npaum li ntawm 60 pcs. ntawm tus nqi ntawm 369 rubles. Siofor 500 thiab Siofor 850 yog tsim nrog cov khoom tsim nyog ntawm metformin 500 mg thiab 850 mg.

Qab zib-txo cov tshuaj Fabkis los ntawm pawg tshuaj ntawm Metformin analogues.

Peb muab cov luv nqi rau cov nyeem ntawm peb lub xaib!

Nws yog siv hauv kev kho mob ntshav qab zib. Tsis muaj dab tsi cuam tshuam rau cov piam thaj hauv cov neeg uas muaj cov metabolism hauv lub cev. Muaj nyob hauv 1000 mg hauv ntsiav tshuaj ntawm 60 daim. Nqe - 322 rub. Glucophage Ntev muaj 500 mg, 750 mg, 1000 mg ntawm metformin. Nws muaj lub sijhawm ntev ntawm kev siv tshuaj pharmacological.

Lavxias-ua ntsiav tshuaj tshuaj nrog hypoglycemic cov nyhuv.

Nws tsis muaj qhov cuam tshuam ncaj qha rau kev tsim cov tshuaj insulin. Txo cov concentration ntawm triglycerides thiab lipoproteins uas tsim kev puas tsuaj. Txo cov roj lub cev. Regulates tus piv ntawm khi thiab pub dawb insulin. Tawm los ntawm Akrikhin OJSC. 500 mg, 850 mg, 1000 mg ntsiav tshuaj. Tus nqi yog los ntawm 120 rubles.

Muab cov tshuaj hypoglycemic sib xyaw (tsim hauv Argentina). Ntxiv rau metformin, nws muaj cov kab mob glibenclamide.

Cov tshuaj txo cov concentration ntawm cov piam thaj hauv ntshav dej. Nws ua kom cov roj metabolism hauv lub cev ua kom ntev, inhibits qhov ua haujlwm ntawm cov piam thaj hauv lub siab thiab kev tso tawm ntawm carbohydrate rau hauv cov ntshav. Favorably cuam tshuam rau lipid metabolism.

Glibenclamide, tsis zoo li metformin, cuam tshuam rau kev ua haujlwm ntawm insulin-ua cov pancreatic hlwb, txhawb lawv cov kev ua haujlwm tsis pub lwm tus paub.

Bagomet muaj nyob rau hauv cov ntsiav tshuaj ntawm 850 mg (60 daim ib pob) ntawm tus nqi ntawm 136 rubles.

Tshuaj qhov ncauj hypoglycemic. Nws muaj nyob rau hauv daim ntawv ntawm enteric-coated ntsiav tshuaj.

Lub tswv yim ntawm cov kws kho mob

Endocrinologist tau pom tias cov neeg tau thov ntshav qab zib ntau dua.

Qhov xwm txheej yog exacerbated los ntawm kev noj zaub mov tsis zoo, uas cuam tshuam cov metabolism hauv kev ua noj. Cov tshuaj tswj ntshav qab zib nyob hauv ntshav pab cov neeg mob kom nyob tus. Los ntawm cov tshuaj tiv thaiv hypoglycemic, cov kws kho mob cais tawm Metaformin thiab nws cov analogues, uas muaj cov nyhuv tshuaj zoo sib xws.

Olga Dmitrievna (endocrinologist)

Metformin ua pov thawj rau qhov muaj txiaj ntsig ntau hauv kev kho mob ntawm cov khoom noj khoom haus metabolism hauv cov neeg mob ntshav qab zib mellitus. Nws yog qhov tshwj xeeb tshaj plaws hauv thawj theem ntawm kev loj hlob ntawm pathology. Ua ke nrog kev kho mob nrog lwm tus neeg mob ntshav qab zib. Ntawm cov minuses, qhov tshwm sim ntawm txoj hnyuv mob raws li kev phiv tuaj yeem pom. Muaj qee leej tsis kam rau ua ke ntawm cov tshuaj.

Konstantin Leonidovich (tus kws qhia noj haus)

Metformin analogues tau siv los kho thiab txo qhov hnyav hauv kev kho mob rog. Nws yog ua tau kom ua tiav qhov zoo rau kev kho mob. Tab sis muaj cov kev mob tshwm sim, kev fab tshuaj tsis haum. Cov neeg mob yws yws txog kev xeev siab, raws plab, tsam plab. Lub qab los ua ploj zuj zus lawm, lub siab xav ntev zog.

Kev Ntsuas Xyuas Mob Ntshav Qab Zib

Ntshav qab zib Hom 2 tso cai rau koj los tswj kev ua haujlwm, tab sis txo lub neej zoo. Cov neeg mob tau raug yuam kom noj tshuaj rau lub neej. Cov neeg mob ua kom tiav rau kev kho tus mob yog muaj tsawg. Kev siv tshuaj kho mob tuaj yeem tswj hwm tus neeg mob cov ntshav nyob ntawm qib uas tsim nyog.

Veronika Sergeevna (mob mob ntshav qab zib rau ntau tshaj 20 xyoo)

Kuv yog neeg rog. Nyhav tshaj 100 kg. Nws tsis xav tias yuav muaj txuj ci tseem ceeb los ntawm kev noj cov tshuaj Metformin. Qhov hnyav siv yog 113 kg, tom qab ntawd nws pib maj mam poob qis. Ntau zaus, raws plab tshwm sim. Tab sis qhov tshwm sim yog me me. Qhov ntxiv yog tias tshuaj yog qhov pheej yig. Qab zib tuaj yeem raug txo tsawg. Tus mob no feem ntau zoo dua ua ntej cov tshuaj no.

Ntawm kev pom zoo ntawm tus neeg noj zaub mov zoo, nws pib haus Metformin rau qhov hnyav dua. Kuv tsuas tuaj yeem hais tias yog tias muaj tshwm sim los ntawm kev noj cov tshuaj no, nws yog qhov tsis txaus ntseeg heev. Kuv tsis tau pom cov nyhuv. Kuv paub tias ntxiv rau kev noj tshuaj, koj yuav tsum mus noj zaub mov noj thiab ua kom muaj zog. Tom qab nws yuav daws tau qhov teeb meem ntawm cov phaus ntxiv.

Metformin, nrog rau ntau yam tshuaj tiv thaiv kab mob, yog siv rau hauv kev xyaum endocrinological los txhim kho cov mob ntawm cov neeg mob ntshav qab zib mellitus. Nws kuj tseem siv rau hauv kev kho mob gynecology rau kev kho mob ntawm cystic masses thiab poob phaus hauv kev rog. Cov tshuaj yeeb tshuaj qhia tau tias kho qhov ua tau zoo. Tus nqi qis ntawm qee cov khoom noj ntsig kom them nyiaj rau qhov tshwm sim ntawm kev mob tshwm sim.

Mob ntshav qab zib ib txwm ua rau neeg tuag taus. Noj ntshav qab zib ntau heev yog qhov txaus ntshai heev.

Aronova S.M. muab cov lus qhia txog kev kho mob ntshav qab zib. Nyeem tag nrho

Kev Noj Qab Haus Huv thiab Metformin

Txhawm rau kom tshem tawm cov phaus ntau dhau lawm, nrog rau kev kho mob ntshav qab zib, koj yuav tsum ua raws li cov zaub mov muaj protein tsawg. Nws tsis txaus ntseeg tsuas yog txiav tawm cov ntsiab lus ntawm cov calories kom txhua hnub thiab qhov noj ntawm cov roj ntau ntau - qhov no yuav tsis tso cai rau koj kom cov suab thaj nyob hauv kev tswj. Ntxiv mus, kev noj zaub mov kom tsis muaj calorie pab ua kom qab los noj mov, uas yuav ua rau muaj kev ntxhov siab, ua kom tawg thiab lub cev hnyav.

Yog tias koj tsis txo tus nqi ntawm cov carbohydrates noj, ces koj yuav tsis muaj peev xwm ua tiav qhov kev kho mob los ntawm kev noj tshuaj thiab txawm tias muaj cov tshuaj insulin. Noj cov khoom noj zoo yuav ua rau koj muaj txiaj ntsig thiab tiv thaiv kev rog.

Yam tshuaj twg xaiv: Metformin, Siofor lossis Glucofage?

Glucophage yog thawj cov tshuaj raws li metformin. Siofor thiab lwm yam tshuaj yog nws cov analogues.

Glucophage Ntev - lub cuab yeej nrog cov nyhuv ntev. Nws cov thawj coj yog qhov tsawg dua los ua rau kev loj hlob ntawm qhov tshwm sim tsis zoo hauv cov qauv ntawm kev zawv plab dua li cov tshuaj raws li metformin. Glucophage Ntev ntev npaum li cas ua ntej mus pw, uas yuav tiv thaiv cov ntshav qab zib kom sawv ntxov.

Tus nqi ntawm Glucofage thiab Glucophage Kev npaj ntev tsis siab. Yog li ntawd, nws tsis paub hloov mus rau lawv cov analogues. Tseem ceeb txuag yuav tsis tiav.

Pa ntev metformin thiab metformin - qhov txawv yog dab tsi?

Yog tias ib tug neeg noj tshuaj metformin tsis tu ncua, cov tshuaj yuav nqus sai heev. Tom qab 4 teev tom qab nws tau txais hauv cov ntshav, qhov siab tshaj plaws ntawm cov tshuaj tseem ceeb tau tshawb pom. Qhia cov tshuaj 3 zaug hauv ib hnub nrog zaub mov.

Thaum ib tug neeg siv sijhawm ntev-tso tawm metformin, cov tshuaj yuav nqus tau ntev dua, tab sis nws yuav siv sijhawm ntev dua. Qhia cov tshuaj no 1 zaug hauv ib hnub, ua ntej yuav mus pw. Qhov no yuav tiv thaiv kom cov ntshav qab zib ntau ntxiv thaum sawv ntxov.

Ntev ntev metformin tsis tshua muaj kev phiv ua rau txoj kev ua txhaum nyob rau hauv kev ua haujlwm ntawm lub plab zom mov. Txawm li cas los xij, nws tswj cov qib qab zib zuj zus thaum nruab hnub.Yog li, nws raug nquahu kom txais mus kawm rau cov neeg uas muaj ntshav qabzib ntau dua. Cov tshuaj qub ntawm metformin yog Glucofage Ntev. Ntawm kev muag kuj tseem muaj cov yeeb yaj kiab ntawm cov tshuaj no nrog lub sijhawm ntev.

Cov nyhuv ntawm metformin rau daim siab. Rog ua rau hepatosis thiab metformin

Metformin yuav tsum tsis txhob noj nrog lub siab ua rau mob siab, piv txwv li, nrog mob qog lossis daim siab ua haujlwm. Nrog rau daim siab ua rog hepatosis, nws txoj kev siv, ntawm qhov tsis sib xws, yuav coj tau cov txiaj ntsig tseem ceeb. Ib qho ntxiv, tus neeg mob yuav tsum ua raws li cov zaub mov uas tsis muaj carbohydrate tsawg. Yog tias koj ua raws li cov lus qhia no, koj yuav ua tau sai sai txhim kho lawv tus kheej kev noj qab haus huv. Kev ua rog rog tuaj yeem dhau ntawm cov khoom noj muaj txiaj ntsig thiab Metformin. Hauv kev sib txuam, ib tus neeg yuav pib poob ceeb thawj.

Metformin thiab cov tshuaj hormones

Metformin tsis cuam tshuam rau txiv neej potency thiab ntshav testosterone qib.

Nrog polycystic ovary syndrome nyob rau hauv cov poj niam, qib siab ntawm txiv neej poj niam txiv neej cov tshuaj tiv thaiv, nrog rau kev cuam tshuam ntawm metabolic thiab insulin tsis kam. Noj tshuaj metformin, piv txwv li, Siofor, yuav tshem tawm qhov teeb meem uas twb muaj lawm. Cov tshuaj pab ua rau cov poj niam keeb kwm yav dhau los ua poj niam thiab nce qhov zoo ntawm qhov muaj menyuam.

Yuav siv cov tshuaj dab tsi hloov cov metformin rau lub raum tsis ua hauj lwm?

Noj tshuaj Metformin rau lub raum tsis ua haujlwm yog txwv tsis pub. Nws tsis yog cov tshuaj rau cov neeg mob ntshav qab zib uas qhov glomerular infiltration tus nqi txo mus rau 45 ml / feeb.

Nrog kev mob raum tsis ua haujlwm, koj tuaj yeem noj tshuaj xws li Januvia, Galvus, Glyrenorm. Cov lus qhia ntawm kev siv tshuaj insulin kuj tseem muaj peev xwm ua tau. Nyob rau hauv txhua rooj plaub, tsuas yog tus kws kho mob yuav tsum sau ntawv kho rau cov neeg mob uas muaj teeb meem zoo li no.

Metformin prolongs lub neej - yog li ntawd?

Metformin qhia meej meej txhawb rau lub sijhawm ntev ntawm lub neej hauv cov neeg muaj kev mob ntshav qab zib, vim nws txwv tsis pub muaj kev loj hlob ntawm tus mob hnyav.

Raws li rau kev nce hauv lub neej nyob hauv cov neeg mob uas tsis mob ntshav qab zib, tsis muaj pov thawj tshawb fawb txog qhov tseeb no. Txawm li cas los xij, kev tshawb fawb txog cov teeb meem no twb tau pib ua haujlwm.

Koj tseem tuaj yeem pom kev tshuaj xyuas uas kho nrog Glucofage qeeb qeeb kev laus. Qhov no muaj tseeb los ntawm cov neeg uas siv nws tsis yog rau kev kho mob ntshav qab zib.

Prophylactic Metformin thiab nws ntau npaum li cas

Yog tias tus neeg rog dhau sijhawm, tom qab ntawd nws tuaj yeem siv tshuaj Metformin rau kev sojntsuam. Cov tshuaj no tso cai rau koj kom tshem tau ob peb phaus ntawm qhov hnyav dhau, nrog rau cov roj cholesterol ua kom tsis txaus, uas ua rau muaj kev tiv thaiv zoo rau hom ntshav qab zib hom 2.

Ua ntej pib txoj kev txhaj tshuaj tiv thaiv kab mob, koj yuav tsum kawm cov lus qhia rau kev siv thiab ua kom ntseeg tau tias tsis muaj kev sib txuam.

Nws raug nquahu kom pib noj cov tshuaj Metformin thaum hnub nyoog 35-40 xyoo, txawm hais tias tsis muaj cov ntaub ntawv hloov tshiab ntawm qhov no. Ntxiv nrog rau kev kho mob qhov hnyav, koj yuav tsum tau yoog kom cov pluas noj qis carbohydrates. Nws yuav tsum nkag siab tias cov nyhuv ntawm cov ntsiav tshuaj yuav tsawg heev yog tias koj pheej noj tsis raug. Ntawm kev raug mob yog cov khoom muaj cov suab thaj ua kom zoo.

Rog neeg yuav tsum noj cov tshuaj Metformin ntau npaum ntawm 2550 mg rau ib hnub. Yog hais tias cov kev kho mob nqa tawm nrog ib cov tshuaj uas muaj lub cev ntev, tom qab ntawd cov tshuaj txhua hnub yuav tsum yog 2000 mg. Koj yuav tsum tau tsa nws mus zoo. Hauv thawj lub lis piam, nws yuav txaus noj 500-850 mg ntawm cov tshuaj ib hnub. Qhov no yuav ua rau lub cev hloov kho rau cov tshuaj.

Yog tias tus neeg tsis muaj teeb meem ntawm cov rog tshaj, thiab nws xav noj tshuaj Metformin tiv thaiv kev laus thaum ntxov, ces nws txaus los haus 500-1700 mg ntawm cov tshuaj ib hnub. Tsis muaj cov ntaub ntawv kho tshiab ntawm qhov teeb meem no.

Metformin tso cai rau koj kom koj poob ceeb thawj tsis muaj teeb meem rau kev noj qab haus huv, vim tias qhov tshuaj tsawg tsawg ua rau muaj kev mob tshwm sim ntau. Tsis tas li ntawd, nrog nws cov kev pab nws yog ib qho ua tau kom nruab nrab ntawm cov roj (cholesterol) thiab ntshav qabzib hauv cov ntshav.

Muab cov ntsiab lus tseeb no, nws tsis yog qhov ceeb uas metformin feem ntau siv rau kev poob phaus. Cov kev paub ntawm kev noj nws tau ntau tshaj 50 xyoo. Tshuaj Metformin-based tshuaj yog tsim los ntawm ntau lub tuam txhab ua tshuaj. Qhov no tso cai rau koj los khaws tus nqi qub tshuaj Glucofage nyob rau hauv qis.

Txhawm rau kom tsis txhob ua rau mob kev loj hlob ntawm cov kev mob tshwm sim, metformin yuav tsum tau noj tshuaj me me (hauv thawj koob). Ua ntej pib kev sib ntaus tawm tsam tshaj qhov hnyav, koj yuav tsum paub tseeb tias ib tus neeg tsis muaj kev sib txuam nrog kev siv tshuaj.

Npaum li cas koj tuaj yeem poob nrog metformin?

Yog tias koj tsis rov txhim kho koj qhov kev noj haus thiab tsis tawm dag zog, ces koj yuav tsis ua kom poob phaus ntau tshaj 2-4 kg.

Thaum tom qab 1.5-2 lub hlis txij li pib noj cov tshuaj metformin, qhov tshwm sim tsis tuaj thiab qhov hnyav tseem nyob rau theem yav dhau los, qhov no yuav qhia tau tias tus neeg muaj hypothyroidism. Nco ntsoov sab laj tus kws tshaj lij thiab kuaj ntshav cov thyroid hormones txaus.

Tom qab cov zaub mov uas tsis muaj carbohydrate ua ke nrog metformin tuaj yeem txo qhov hnyav hnyav los ntawm 15 kg lossis ntau dua. Txhawm rau khaws cov txiaj ntsig no, koj yuav tsum tau noj tshuaj Metformin ua ntu zus. Tom qab muab cov ntsiav tshuaj tag, qhov hnyav tuaj yeem rov qab los.

Elena Malysheva hais tias metformin yog txoj kev kho rau cov laus, tab sis nws tsis qhia txog nws lub peev xwm los txo qhov hnyav tshaj. Tus neeg hu xov tooj TV uas muaj koob muaj npe pom zoo kom ua raws li nws txoj kev noj zaub mov, thiab tsis txhob siv tshuaj rau qhov poob phaus. Txawm li cas los xij, xws li kev ntsuas no tsis haum rau txhua tus neeg.

Metformin thiab hypothyroidism

Metformin tuaj yeem noj nrog hypothyroidism, vim tias tus kab mob no tsis yog qhia tias yog kev tiv thaiv. Nws tseem raug tso cai siv nrog rau kev sib xyaw nrog tshuaj rau kev kho mob ntawm hypothyroidism. Nws yog tau hais tias qhov no yuav ua rau koj poob phaus thiab txhim kho kev noj qab haus huv. Txawm li cas los xij, tus kws kho mob yuav tsum koom nrog kev kho mob ntawm hypothyroidism, thiab metformin tsis muaj kev cuam tshuam rau hauv chav kawm ntawm tus kab mob.

Metformin thiab ntshav qab zib hom 2

Metformin yog yeeb tshuaj rau kev kho mob ntshav qab zib hom 2, uas tso cai rau koj los tswj qib siab ntawm cov ntshav qab zib ob leeg tom qab noj mov thiab hauv plab tas. Kev siv cov metformin tso cai rau koj los tiv thaiv kev txhim kho ntawm kev mob hnyav ntawm tus kab mob, kom ncua nws qhov ua tau thiab tsis ua mob rau kev noj qab haus huv. Metformin yuav tsum tsis txhob suav hais tias yog kev kho mob tsis zoo uas yuav pab kho kom ntshav qab zib. Tau kawg, muaj qee kis thaum tus neeg mob nrog kev rog, thiab tus kab mob thim rov qab, uas tso cai rau tso tseg kev siv cov metformin, tab sis cov xwm txheej zoo li no tsis tshua muaj tshwm sim.

Yog tias ib tug neeg noj tshuaj metformin tsis tu ncua thiab ntev ntev, tom qab ntawv qhov no yuav ua kom cov ntshav qab zib, qib roj thiab triglycerides nyob rau hauv cov ntshav, nrog rau tshem tawm ntau dhau.

Metformin yog ib qho tshuaj zoo, yog li ntawd, nws tau sau tseg rau kev kho mob ntshav qab zib thiab rog rog hauv cov menyuam yaus hnub nyoog 10 xyoo. Koj yuav tsum pib noj cov tshuaj nrog tshuaj tsawg kawg ntawm 500-850 mg ib hnub, maj mam nqa cov tshuaj ntim txhua hnub rau 2250 mg. Yog tias cov tshuaj Glucofage Ntev siv rau kev kho mob, tom qab ntawd ib koob tshuaj tsawg dua 2000 mg yuav tsum noj ib hnub.

Txhawm kom tswj ntshav qab zib thiab qhov hnyav tau tswj hwm tshwj xeeb nrog kev pab ntawm cov tshuaj yuav tsis ua tiav. Tus neeg mob yuav tsum tau ua raws noj zaub mov noj. Txwv tsis pub, ntshav qab zib yuav txuas ntxiv ua txoj kev vam meej thiab ua rau txoj kev txhim kho ntawm cov mob hnyav.

Hom tshuaj twg uas metformin ua rau kom cov ntshav qab zib tsawg dua?

Rau kev kho mob ntshav qab zib, glucophage yog preferable. Nov yog ib qho tshuaj yeeb ntawm tus nqi pheej yig rau ntau tus neeg.Koj tuaj yeem nqa nws cov analogue Siofor.

Txhawm rau tiv thaiv cov ntshav qab zib kom tsis txhob nce thaum sawv ntxov, koj tuaj yeem siv cov tshuaj Glucofage Ntev. Nws tau noj ua ntej mus pw, yog li nws yuav ua haujlwm txhua hmo. Thaum qhov kev ntsuas no tsis ua kom cov suab thaj nyob ruaj khov, yuav tsum muaj cov insulin txhaj tshuaj. Nws yuav tsum nco ntsoov tias sawv ntxov cov ntshav qabzib nyob hauv lub cev pab txhawb kev txhim kho cov ntshav qab zib muaj teeb meem. Yog li ntawd, cov jumps no tsis tuaj yeem tsis quav ntsej.

Yog tias kuv muaj mob raws plab los ntawm metformin lossis nws tsis pab, yog li muaj dab tsi hloov nws?

Nws yog qhov nyuaj kom nrhiav tau hloov rau cov tshuaj metformin - nws yog qhov tshwj xeeb rau kev txo cov ntshav qab zib.

Yog li, ua ntej koj yuav tsum tau sim ua kom tsis txhob mob raws plab, kom tsis txhob nrhiav kev hloov pauv rau cov tshuaj metformin. Ua qhov no, pib kho nrog tsawg koob tshuaj yeeb tshuaj. Qhov no yuav ua rau lub cev hloov kho rau cov tshuaj thiab tsis teb rau nws los ntawm qhov tsis ua tiav ntawm cov zom zaub mov.

Tsawg tsawg zaus, muaj tshuaj pab txhawb kev mob tso tawm. Yog li no, rau ib lub sijhawm koj tuaj yeem hloov lawv nrog cov tshuaj Metformin ua ke.

Yog tias noj cov tshuaj tsis txo cov ntshav qab zib, tom qab ntawv nws yuav ua rau tus neeg muaj mob ntshav qab zib hom 1. Tib lub sijhawm, cov txiav tau ua tiav tag nrho nws cov chaw cia thiab tsis tuaj yeem tsim cov tshuaj insulin. Tom qab ntawd koj yuav tsum hloov mus rau kev txhaj tshuaj ntawm cov tshuaj no. Txwv tsis pub, ib tug neeg tuaj yeem tuag vim mob ntshav qab zib. Cov tshuaj yuav tsum tau muab pov tseg.

Nyob rau hauv ib qho xwm txheej uas metformin ua rau cov ntshav qab zib tsawg, tab sis qhov no tsis txaus, kev kho tuaj yeem muab ntxiv nrog kev txhaj tshuaj insulin, tab sis hauv kev txhaj tshuaj me me.

Yog tias ib tus neeg muaj lub cev tsis tshua hnyav, tab sis nws txhim kho ntshav qab zib, tom qab ntawd cov neeg mob yuav tsum tau muab tshuaj insulin tam sim ntawd. Cov tshuaj hlawv ntshav qab zib yuav tsis tso cai koj los tiv thaiv tus kabmob.

Kev noj cov tshuaj metformin ua rau cov ntshav qab zib nce ntxiv, yog vim li cas?

Metformin yuav tsis pab txo cov ntshav qab zib yog yam ntshav qab zib hom 2 hnyav heev, lossis thaum tus neeg kuaj ntshav mob ntshav qab zib hom 1 tsawg. Hauv qhov no, yuav tsum tau txhaj tshuaj insulin, nrog rau kev noj haus.

Tus kws kho mob yuav qhia kom hloov lossis ntxiv cov kev npaj cov tshuaj metformin nrog rau cov tshuaj xws li: Diabeton MV, Amaril, Manil, etc. Cov tshuaj uas tsim tawm tshiab kuj tseem muaj rau kev yuav, suav nrog Januvia, Galvus, Forsiga, Jardins, thiab lwm yam Yog tias lawv siv tsis tas tso cai rau koj kom ua tiav cov nyhuv yam xav tau, tom qab ntawd koj yuav tsum hloov mus rau kev txhaj tshuaj insulin. Tsis kam ua cov kev kho tshuaj insulin yuav tsum tsis yog. Ntxiv mus, noj tshuaj pab tuaj yeem txo qhov kev txhaj tshuaj insulin los ntawm 2-7 zaug. Qhov no tso cai rau koj kom cov piam thaj hauv qab tswj thiab tsis ua kom koj muaj mob.

Kev kho mob ntshav qab zib nrog metformin thiab insulin txhaj tshuaj

Feem ntau, kev npaj cov tshuaj metformin yog kws kho nyob hauv ib txoj kev nyuaj nrog kev txhaj tshuaj insulin. Qhov no yuav kho cov qib qab zib ntawm 4.0-5.5 mmol / L.

Tsuas yog los ntawm kev noj zaub mov noj thiab kev tswj hwm qhov ncauj qab zib ntawm cov tshuaj muaj ntshav qab zib tuaj yeem tswj tau yog tias nws nyob rau theem pib ntawm nws txoj kev loj hlob. Lwm qhov, yuav tsum tau txhaj tshuaj insulin qis. Qhov no muaj feem xyuam rau cov neeg mob uas cov suab thaj hauv qab tsis poob qis dua li ntawm 6.0-7.0 mmol / L. Nrog rau cov ntsuas no, cov teeb meem ntawm ntshav qab zib yuav vam meej, txawm hais tias tsis yog sai heev.

Yog tias peb xav txog cov kauj ruam rau kev kho mob ntshav qab zib mellitus, peb yuav tsum xub sim kho cov kev ua txhaum uas twb muaj lawm nrog kev pab los ntawm kev noj zaub mov ntawm kev noj zaub mov zoo thiab ua haujlwm rau lub cev. Tsuas yog tom qab ntawd lawv hloov mus rau haus cov tshuaj qab zib. Thaum cov nyhuv tsis tuaj yeem ua tiav, cov tshuaj insulin raug qhia. Qhov ntau npaum ntawm cov tshuaj insulin yuav tsum tau txo qis 25% yog tias tib lub sij hawm ib tus neeg tau txais cov tshuaj metformin npaj. Tshaj dhau qhov koob tshuaj ntawm cov tshuaj insulin thaum kho nrog cov tshuaj hlawv ntshav qab zib ua rau muaj kev tiv thaiv cov ntshav tsis txaus.

Ntxiv nrog rau cov txheej txheem kev kho mob sab saud, cov neeg mob ntshav qab zib yuav tsum ua si kis las.Nws pab tswj tus kabmob lossis khiav tawm, raws li nws tseem hu, qi-khiav. Koj tuaj yeem ua tau ntau yam rau koj lub cev kev ua si nrog Nordic taug kev.

Metformin: yuav lees li cas?

Metformin noj nrog zaub mov noj, uas txo qhov kev pheej hmoo ntawm phiv.

Cov tshuaj uas muaj lub cev ntev ntev yuav tsum noj tag nrho yam tsis ntxo. Lawv muaj cov cellulose matrix, uas yog lub luag hauj lwm rau kev tso tawm qeeb ntawm lub ntsiab nquag tshuaj. Qhov kev tawg ntawm xws li kev txhoj puab tshwm sim hauv cov hnyuv. Hauv qhov no, kev hloov pauv ntawm qhov quav txhawm rau muaj peev xwm ua tau, tab sis yog tsis muaj kev txhim kho raws plab. Qhov no tsis ua teeb meem rau kev noj qab haus huv.

Kuv puas tuaj yeem noj tshuaj metformin yam tsis tau sab laj nrog kws kho mob?

Cov tshuaj Metformin tau faib rau hauv cov khw muag tshuaj tsis muaj tshuaj, yog li ib tus neeg tuaj yeem yuav lawv yam tsis tas mus ntsib kws kho mob ua ntej. Ua ntej siv thawj zaug ntawm cov tshuaj, koj yuav tsum paub tseeb tias tus neeg mob tsis muaj contraindications rau nws siv. Nws yog ib qho zoo tshaj los kuaj ntshav rau qhov no. Nws yuav ntsuas qhov ua tau zoo ntawm daim siab thiab lub raum. Xws li kev xeem yuav tsum tau coj tsawg kawg 1 zaug hauv 6 lub hlis. Nws kuj tseem ceeb kom tswj cov qib ntshav hauv cov ntshav thiab qib ntshav siab, uas yuav ua rau nws tiv thaiv txoj kev loj hlob ntawm cov kab mob plawv.

Qhov siab tshaj plaws txhua hnub cov tshuaj metformin yog ntau npaum li cas?

Ob qho tib si rau kev poob phaus thiab rau kev kho mob ntshav qab zib hom 2, tus neeg mob tau sau tshuaj rau txhua hnub yog 2550 mg ntawm metformin. Hauv qhov no, ib tus neeg yuav tsum noj 3 lub tshuaj ntawm 3 zaug nyob rau ib hnub. Qhov ntau ntawm cov tshuaj yog 850 mg.

Yog tias cov tshuaj ntev-tso tawm siv rau kev kho mob, ces qhov siab tshaj plaws niaj hnub noj yog 2000 mg. Txhawm rau ua qhov no, noj 4 ntsiav tshuaj ntawm 500 mg ntawm cov tshuaj Glucofage Ntev ua ntej yuav mus pw.

Thawj koob ntawm cov tshuaj yuav tsum muaj tsawg: 500 lossis 850 mg. Tom qab ntawd, taug qab cov tshuaj tiv thaiv ntawm lub cev, ntau npaum li cas yog maj mam nce. Kev hloov qeeb qeeb yuav tiv thaiv kev txhim kho ntawm cov mob nyhav ntawm lub plab zom mov.

Yog tias ib tug neeg txiav txim siab siv tshuaj metformin los ua kom muaj kev cia siab ntau dua, nws pom zoo kom soj ntsuam qhov tshuaj ntau npaum li 500-1700 mg ib hnub, tab sis tsis muaj ntxiv.

Cov nyhuv ntev li cas?

Ntev ntev metformin ua haujlwm rau 8-9 teev. Cov tshuaj metformin ua tau tshwj xeeb tau khaws cia nws cov txiaj ntsig rau tsis pub dhau 6 teev. Yog tias cov koob tshuaj ntxiv tau noj ua ntej lub sijhawm ntawm koob dhau los, koj yuav tsum tsis txhob txhawj xeeb. Nws tsis muaj teeb meem rau kev noj qab haus huv. Nws yog ib qho tseem ceeb kom paub meej tias tsis muaj kev noj ntau dhau. Rau qhov no, cov tshuaj yuav tsum tsis txhob noj nyob rau hauv ib qho nyiaj tshaj qhov koob tshuaj txhua hnub.

Tshuaj metformin tuaj yeem ua ke nrog statins?

Metformin tuaj yeem siv nrog statins, uas pab txo cov ntshav hauv cov ntshav hauv cov ntshav. Yog tias tib lub sij hawm ib tug neeg ua raws kev noj haus, tom qab ntawd nws yuav ua kom ib txwm ua tsis tau roj, tab sis kuj triglycerides thiab coefficient ntawm atherogenicity. Ntxiv mus, noj cov tshuaj metformin thiab ua raws kev noj haus ntau dhau sijhawm tuaj yeem ua rau koj tsum tsis noj statins. Cov ntawv qhia zaub mov nrog cov ntsiab lus tsis muaj carbohydrate yuav tso cai rau koj kom tshem tawm cov kua ntau dhau ntawm lub cev, tshem tawm ntawm edema, thiab txo cov ntshav siab. Yog li, cov kws kho mob pom zoo maj mam txo cov tshuaj rau kev kho mob plawv pathologies, thiab tom qab ntawd koj tuaj yeem tso lawv tseg. Nws yog qhov ua tau tias nws yuav tuaj yeem nres kev kho mob nrog cov tshuaj diuretic.

Tshuaj metformin tuaj yeem ua ke nrog cawv?

Thaum kho nrog cov tshuaj metformin, nws raug tso cai siv tshuaj me me. Txawm li cas los xij, koj yuav tsum saib xyuas cov dej cawv uas tau haus, nws yog txwv tsis pub haus cawv.

Tsis tas yuav muaj sijhawm sib nrug ntawm kev noj tshuaj lossis haus cawv. Ntawd yog, koj tuaj yeem haus dej haus cawv yuav luag sai.

Yog tias koj tsis soj ntsuam seb qhov ntau npaum li cas thiab haus cawv ntau dhau, tom qab ntawd rau cov neeg mob ntshav qab zib qhov no yuav tsim kev puas tsuaj rau cov kab mob lactic acidosis. Qhov no yog ib qho mob hnyav uas tuaj yeem ua rau tuag taus. Yog li, kev haus cawv yog qhov txaus ntshai rau kev noj qab haus huv.

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