Glyformin ntsiav tshuaj

Gliformin yog qhov tshuaj hypoglycemic rau kev siv lub qhov ncauj. Nws yog ib qho yooj yim twv hais tias theem ntawm piam thaj hauv cov ntshav yuav tsum tau "pacified" los ntawm cov neeg mob ntshav qab zib. Hauv kev siv tshuaj, cov tshuaj no yog siv tshwj xeeb rau kev kho mob ntshav qab zib. Nws txoj kev pub mis li cas cuam tshuam nrog kev poob ceeb thawj?

Thawj thawj zaug, lawv tau pib koom nrog cov kws tawm dag lub cev uas yog kev tswm seeb txog lawv cov "puab" puab cov leeg uas lawv tau npaj rau txhua qhov kev sim siab xav ua kom lub cev nyob rau hauv lub xeev "tsis muaj roj".

Lawv zoo li ntsuam xyuas lawv tus kheej ntau yam ntawm cov tshuaj hluavtaws, kev txais tos ntawm uas yog suav nrog xws li "qab ntxiag" ntxim nyiam uas ua rau lub cev yuag sai.

Gliformin yog ib hom tshuaj uas txo cov piam thaj hauv qab ntshav thiab cov roj "tsis zoo" hauv cov ntshav, ua rau cov roj carbohydrates nqus, ua kom lub zog thiab ua kom lub cev tsis ua haujlwm, thiab tsis qab los noj mov. Vim li no, nws thiaj nyiam ua kis las thiab cov poj niam uas nrhiav kev kom yuag sai sai.

Analogues ntawm cov tshuaj Gliformin - Metformin, Glucofage, Bagomet, Metfogamma. Qee yam ntawm lawv muag hauv khw muag tshuaj hauv khw muag khoom, thiab yog li ntawd suav nrog hauv qhov tshwj xeeb ntawm cov neeg uas poob ceeb thawj. Hypoglycemic tshuaj ntawm hom no tsis muaj teeb meem loj, yog li muaj coob tus neeg mus rau lawv qhov kev txais tos kiag li tsis muaj kev ntshai. Thiab heev nyob rau hauv vain.

Cov kws kho mob kis las xav pom zoo rau ib cov tshuaj hu ua Gliformin rau lawv pawg ntseeg. Txawm li cas los xij, lawv muaj tag nrho lawv cov ntaub ntawv txhawm rau txo qis kev pheej hmoo ntawm kev txhim kho cov kab mob tseem ceeb thaum noj cov tshuaj.

Yog tias koj mob siab xav nrhiav "cov tshuaj khawv koob" rau qhov poob phaus, thiab txiav txim siab tig mus rau cov tshuaj hypoglycemic, nws yog ib qho tseem ceeb kom paub txog cov teebmeem uas lawv lub cev muaj cuam tshuam dab tsi thiab Glyformin, siv rau qhov poob phaus, tuaj yeem cuam tshuam koj txoj kev noj qab haus huv li cas.

Cov ntsiav tshuaj hu ua Gliformin suav nrog hauv lawv cov lus sau rau cov tshuaj nquag - metformin hydrochloride. Nws yog siv nyob rau hauv txoj kev kho mob ntawm cov ntshav qab zib hom 2. Cov neeg mob uas muaj teeb meem zoo li no yuav tsum tau siv cov tshuaj no, thiab rau qee yam nws yog kws kho lub neej txoj sia.

Lub tshuab ntawm nws cov kev ua yog yooj yim: nws inhibits lub zog ua ke ntawm cov piam thaj nyob hauv siab, tiv thaiv nws txoj kev nqus sai hauv cov ntshav. Cov tshuaj provokes nrawm nqus ntawm qab zib los ntawm cov leeg, vim ib tug ntawm cov nqaij leeg sai sai, thiab tshaj li subcutaneous rog sai sai hlawv tawm.

Tab sis qhov tseem ceeb tshaj plaws ntawm cov tshuaj Gliformin rau kev poob phaus yog nws lub peev xwm los txo qis cov tshuaj insulin - ib yam tshuaj uas hloov lub zog rau hauv cov rog rog. Yog li, carbohydrates pib yuav tsum tau nqus thiab fermented hauv txoj hauv kev sib txawv, kev noj zaub mov muaj calorie tau noj sai, thiab nws tshaj tsis tau xa mus rau "cov rog rog".

Los ntawm kev txo cov ntshav qabzib hauv cov qib, cov ntsiav tshuaj ib txhij los tiv thaiv kev tshaib kev nqhis, txo ntau qhov qab los noj mov. Nws yog nyob ntawm no nyuaj ntawm cov teebmeem uas lub tswvyim ntawm kev noj tshuaj tsawg dua li ua.

Noj tshuaj koj tus kheej yog nruj me ntsis tsis pom zoo. Ua ntej, yam tsis muaj ntshav qab zib, koj yuav tsis paub tseeb tias koj cov ntshav qab zib kom ruaj khov nyob hauv. Rau qhov loj ntawm cov neeg, nws yog twb qis dua qhov kev cai. Yog li, koj khiav txoj kev pheej hmoo ntawm kev tau txais tus mob hypoglycemia.

Thib ob, thaum siv cov khoom lag luam nrog cov khoom xyaw zoo li no, nws tseem ceeb heev kom muaj 100% lav tias tsis muaj kev tiv thaiv kev tsis sib haum. Tsis muaj leej twg ntawm peb tuaj yeem twv ua ntej tus neeg tsis kam txais ua ke ntawm cov tshuaj, thiab paub tseeb tias tsis muaj cov kab sib txawv hauv lub cev uas tsis sib xws nrog kev siv cov ntsiav tshuaj no.

Yog li, qee kis, koj yuav tsum tau sab laj nrog kws kho mob.

Thiab qhov tseem ceeb tshaj plaws, koj yuav tsum tsis txhob hnov ​​qab txog nws - qhov tsov rog sib faib ntawm cov teeb meem cuam tshuam nrog kev rog dhau los ntawm kev tawm ntawm qhov tsis muaj lub zog thiab tus cwj pwm ntawm kev coj ua lub neej nyob rau hauv "kev tswj hwm" ntawm kev tsis muaj lub zog.

Xav txog tej yam - tsuas yog 10% ntawm tag nrho cov neeg mob rog yeej muaj teeb meem nrog caj dab monstrous, metabolism thiab lwm yam kev tswj tsis tau.

Yog li no, yog tias koj txiav txim siab tias koj qhov hnyav dhau los tau ua pov thawj vim yog "metabolism" qeeb dua, peb tuaj yeem lav koj 90% tias qhov no tsis muaj tseeb. Thiab yuav ua li cas metabolism tau nrawm yog tias koj tau siv los siv tag nrho koj lub sijhawm dawb ntawm ottoman nrog hlais pizza hauv koj txhais tes?

Nco ntsoov - koj tuaj yeem ua kom koj cov txheej txheem metabolic ntau txoj hauv kev noj qab haus huv ntau dua. Qhov ua tau zoo tshaj plaws ntawm lawv yog cov kev tawm dag zog tas mus li (txawm hais tias nws yog kev tawm dag zog hauv tsev) thiab noj zaub mov zoo. Koj puas xav tau kev hem thawj thiab kev phiv los ntawm cov tshuaj yog tias qhov teeb meem tuaj yeem daws sai dua, ua haujlwm tau zoo thiab muaj kev nyab xeeb ntxiv?

Peb taw qhia: txawm tias cov kws qhia noj haus pom zoo tias Glyformin tsis muaj zog nyob rau hauv kev cuam tshuam los ntawm kev ua rog rau cov rog uas tsis tau noj haus thiab ua haujlwm tsis tu ncua. Yog li no, yog tias vim li cas rau qhov pom ntawm qhov hnyav tshaj hauv koj cov lus dag hauv banal kev ua haujlwm thiab kev ua tsis tiav, kev noj tshuaj rau koj yuav dhau los tsis tsuas yog txaus ntshai, tab sis kuj tsis muaj qab hau.

Nyob rau tib lub sijhawm, cov kev xaiv zoo rau kev poob phaus, uas suav nrog kev noj zaub mov zoo rau lub cev qis thiab kev ua haujlwm lub cev, ua ke nrog kev siv cov khoom, yuav pab koj sai sai tshem tawm 8-10 kg ntawm subcutaneous rog los ntawm koj lub cev. Yog li, ua ntej nug koj tus kheej yuav ua li cas noj Gliformin kom raug, npaj txhij ua raws li kev noj haus thiab tawm dag zog hauv txhua kis.

Kev noj cov tshuaj yuav tsum tau ceev faj li sai tau:

  • Tag nrho cov chav kawm ntawm "kev kho mob" yuav tsum tsis txhob ntau tshaj 22 hnub nyob rau hauv lub sijhawm,
  • Kev noj tshuaj ib leeg ntawm cov tshuaj yuav tsum yog los ntawm koj qhov pom tus kws tshuaj endocrinologist,
  • Cov ntsiav tshuaj tau noj nrog lossis tom qab noj mov nrog cov dej huv txaus.
  • Kev noj tshuaj tagnrho yuav tsum tsis pub ntau tshaj 500-600 mg ib hnub twg. Qee tus neeg nyiam xum cov nyiaj no mus ua ob peb kauj ruam,
  • Thaum pib theem ntawm chav kawm, koj tuaj yeem hnov ​​cov kev mob tshwm sim zoo ib yam li cov tsos mob ntawm toxicosis - xeev siab, tsis qab los noj mov, nkees thiab tsis nco qab. Feem ntau txhua tus ntawm lawv tus kheej ua tiav tsis pub dhau 3-5 hnub.

Xav txog tus tsis contraindications rau noj:

  • Cov kab mob lactic acidosis (lactic acidosis),
  • Cov kab mob loj heev ntawm ob lub raum thiab mob siab,
  • Kev mob plawv
  • Lub sijhawm tom qab thiab tomqab mob siab,
  • Kev haus cawv ntev dhau los lossis qaug cawv dhau los,
  • Cev xeeb tub thiab lactation
  • Hypersensitivity rau lub Cheebtsam.

Yog tias koj ua raws li tag nrho cov kev cai thiab cov sijhawm teem tseg, Gliformin yuav pab koj ua kom qhov txheej txheem ua kom poob qis los ntawm 2-3 kg hauv ib hlis.

Yog tias, thaum noj cov tshuaj Gliformin, koj pom cov kev mob tshwm sim hauv qab no, tam sim ntawd sab laj nrog kws kho mob!

  • Kev khaus khaus
  • Mob plab zawv
  • Nws yog xim hlau saj ntawm lub qhov ncauj
  • Tsaus muag rau cov neeg mob
  • Kub muag kub
  • Mob plab
  • Cov tawv nqaij ua pob ntawm cov keeb kwm tsis paub.

Los ntawm kev kho mob lub siab, qhov tsis raug tso cai siv tshuaj rau cov neeg mob hnyav nrog lub hom phiaj poob phaus yog qhov tsis muaj tseeb.

Thiab peb txhawb nqa txoj haujlwm ntawm cov kws kho mob. Sim ua kom poob phaus hauv txoj kev noj qab haus huv ua ntej ntog poob siab thiab tig mus rau cov neeg sawv cev hypoglycemic.

Yuav siv Gliformin nrog cov txiaj ntsig siab tshaj plaws, kev soj ntsuam ntawm kws kho mob thiab ntshav qab zib

Gliformin yog neeg Lavxias analogue ntawm tus thawj Fabkis txoj tshuaj Glucofage. Lub hauv paus nquag tshuaj uas lawv muaj ua ke yog metformin.Cov tshuaj kho mob uas nrov tshaj plaws thiab muaj koob muaj npe nrog cov ntawv pov thawj uas muaj txiaj ntsig zoo thiab kev nyab xeeb yog siv ob qho tib si hauv kev kho mob ntshav tshuaj thiab hauv txoj kev kho mob ntshav qab zib hom 2.

Gliformin muaj qhov tsawg kawg ntawm kev phiv thiab mus zoo nrog lwm tus cov suab thaj hauv qhov ncauj, nrog rau cov tshuaj insulin.

Kev Sib Sau thiab daim ntawv ntawm kev tso tawm

Hauv qhov xa tawm xa tawm, muab tshuaj rau hauv cov qauv tshuaj. Lawv paub qhov txawv ntawm cov xim thiab qhov hnyav: hauv dawb 0.5 g ntawm lub hauv paus tivthaiv, hauv qab zib - 0.85 lossis 1 g. Glyformin yog ntim rau hauv 60 daim. rau hauv hnab looj tes yas looj nrog ntsia hlau hau.

Cov tshuaj nquag ua haujlwm ntawm cov tshuaj yog metformin hydrochloride. Tsim thiab ntev ntawm Glyformin - Glyformin Prolong.

Yuav ua li cas glyformin ua haujlwm

Cov tshuaj hypoglycemic nyob ntawm pawg biagunides. Lub tshuab ntawm nws cov txiaj ntsig yog ua raws li kev nce ntxiv hauv rhiab ntawm cell receptors rau endogenous insulin.

Ntawm cov peripheral los ntawm cov tshuaj:

  • Txo hauv paus kev glycemic kev loj hlob vim los ntawm kev tswj cov tso tawm glycogen,
  • Kev txwv tsis pub muaj piam thaj ntau los ntawm cov rog thiab cov protein,
  • Thaiv lub plab hnyuv nqus ntawm kev nqus,
  • Noj hauv insulin tsawg dua,
  • Ua kom nrawm nrawm hloov pauv ntawm cov piam thaj rau hauv lactate,
  • Kev ua kom cov piam thaj kev thauj mus los rau cov leeg, qhov twg ua tiav tiav,
  • Txhim kho cov lipid muaj pes tsawg leeg ntawm cov ntshav: ib qho kev nce siab hauv HDL, ib qho kev txo qis hauv kev mloog ntawm tag nrho cov roj cholesterol, triglycerol thiab LDL.

Cov khoom muaj txiaj ntsig zoo ntawm Glyformin yog tias nws tsis ua rau lub ntim ob npaug ntawm tus txiav, tsis txhawb lub hlwb b lub luag haujlwm rau kev tsim tawm ntawm lawv tus kheej insulin, vim hais tias nyob rau hom 2 ntshav qab zib lawv twb 50-60% rhuav tshem.

Cov tshuaj, tsis zoo li lwm cov tshuaj tiv thaiv kab mob ntshav thiab tshuaj insulin, tsis ua rau nce phaus, thiab nrog siv ntev nws maj mam txo lub cev qhov hnyav. Rau cov neeg mob ntshav qab zib nrog hom 2, qhov no yog qhov tseem ceeb heev, vim tias kev rog rog yog ib qho tseem ceeb ua rau ntshav qab zib.

Rau Gliformin, cov lus qhia rau kev siv kuj tseem nco ntsoov tias cov tshuaj kho cov ntshav thiab tiv thaiv platelet adhesion. Tom qab nkag mus rau hauv lub zom zaub mov, metformin yog nqus sai heev nrog bioavailability txog li 60%.

Lub ncov ntawm nws cov kev tsom xam tau pom tom qab 2 teev. Cov tshuaj yeeb yaj kiab tsis khi rau cov ntshav protein. Metabolites raug tshem tawm los ntawm lub raum lawm.

Leej twg yog tus muab tshuaj Gliformin

Glyformin tsis yog tsuas yog cov tshuaj qab zib rau cov ntshav qab zib: ntxiv rau cov kws kho mob endocrinologist, cov kws kho mob poj niam, cov kws kho plawv, kws kho mob thiab cov kws kho mob tseem siv nws.

Ib cov tshuaj universal yuav pab tau rau:

  1. Ntshav qab zib Hom 2, yog tias hloov kho ntawm txoj kev ua neej tsis tau muab cov txiaj ntsig yam xav tau,
  2. Ntshav Qab Zib Hom 1, ntxiv rau kev npaj tshuaj insulin,
  3. Polycystic lub zes qe menyuam,
  4. Kev mob ntshav siab
  5. Kev tiv thaiv kev laus
  6. Lub cev ua haujlwm hauv kev ua kis las thiab rau poob phaus.

Metformin tseem tseem siv los kho cov menyuam yaus rog thiab hom 2 ntshav qab zib laus dua 10 xyoo. Xyoo tsis ntev los no, qhov teeb meem no, tshwj xeeb tshaj yog nyob hauv cov teb chaws vam meej, tau txais qhov tseeb tshwj xeeb.

Los ntawm kev kho mob glycemia, Glyformin ua haujlwm ua cov tshuaj tiv thaiv kab mob uas ua rau lub cev qeeb ntawm lub cev: ua kom lub cev tiv thaiv cov ntshav siab, txhim kho vascular elasticity, thiab tiv thaiv kev txhim kho atherosclerosis thiab lub plawv tsis ua haujlwm.

Txij li thaum metformin raug nteg tawm los ntawm lub raum, nws yog qhov tseem ceeb uas yuav tau saib xyuas lawv tus mob tsis tu ncua, tshwj xeeb tshaj yog cov neeg laus thiab nyob ntawm ib qho pathologies ntawm sab no. Thaum txhua rau lub hlis, qib ntawm lactate kuj tseem raug kuaj xyuas.

Siv cov tshuaj nrog kev ua haujlwm zoo tshaj plaws

Ua raws li cov lus qhia thiab pharmacokinetics ntawm Gliformin, nws yuav tsum tau noj nrog zaub mov noj lossis sai sai tom qab nws. Cov koob tshuaj thiab ntau zaus ntawm kev tswj hwm tau xaiv los ntawm tus kws kho mob endocrinologist, coj mus rau hauv kev txiav txim siab hnyav ntawm ntshav qab zib, kab mob sib kis, kev noj qab haus huv, kev noj qab haus huv rau ib tus neeg.

Cov ntsiav tshuaj yog tiaj-cylindrical hauv lub teeb xim thiab muaj cov khoom xyaw nquag metformin.

Cov khoom siv ntxiv: sorbitol, povidone, macrogol (polyethylene glycol), calcium phosphate dihydrate, stearic acid.

Pharmacodynamics thiab pharmacokinetics

Qhov tshuaj hypoglycemic nyob rau hauv cov pab pawg lojmuas, npaj rau sab hauv. Nws muaj peev xwm kom qeeb gluconeogenesis nyob rau hauv lub siab, txo qhov nqus ntawm cov piam thaj los ntawm lub plab zom mov, txhim kho nws txoj kev siv ntu, nce rhiab rau tshuaj insulin.

Cov tshuaj tsis cuam tshuam rau kev tsim khoom tshuaj insulin hauv beta hlwb ntawm cov txiav. Lowers cov qib LDL thiab triglycerides nyob rau hauv muaj pes tsawg leeg ntshavCov. Lub siab ruaj khov lossis txo qis ntawm lub cev.

Ib qho kev ua haujlwm fibrinolytic tau sau tseg los ntawm kev txo cov ntaub so ntswg plasminogen activator inhibitor.

Sab hauv lub cev metformin sai sai nqus los ntawm cov hnyuv. Qhov siab tshaj plaws nyob rau hauv muaj pes tsawg leeg ntshav ntshav kuaj pom tom qab 2-2.5 teev

Lub bioavailability ntawm yam khoom yog kwv yees li 50-60%. Cov tshuaj yeeb yaj kiab tsis nkag mus rau hauv cov ntshav plasma protein. Sau tau sau tseg cia metformin hauv cov salivary qog, ob lub raum thiab mob siab.

Los ntawm lub cev, cov tshuaj yog dhau los ntawm lub raum, yuav luag tsis hloov pauv.

Cov Yuav Tsum Tau Ua

Nws tsis pom zoo kom noj cov tshuaj no nrog:

  • mob ntshav qab zib coma thiab precomatous tej yam kev mob
  • ketoacidosis,
  • kis kab mob
  • qhov txhab ntawm daim siab thiab lub raum,
  • hlab plawv lossis hlab plawv tsis ua haujlwm,
  • mob myocardial infarction,
  • lactation, cev xeeb tub.

Cov lus qhia rau kev siv ntawm Gliformin (Txuj ci thiab ntau npaum li cas)

Raws li tau qhia los ntawm cov lus qhia rau kev siv Gliformin, cov ntsiav tshuaj yog noj ntawm qhov ncauj. Hauv qhov no, thawj 3 hnub, cov neeg mob tau kho 500 mg rau 3 koob tshuaj ib zaug thaum nruab hnub, tib lub sijhawm lossis tom qab noj mov. Tom qab ntawd qhov tsuas tshuaj yog maj mam nce mus rau 1 g. Feem ntau, kev saib xyuas txhua hnub ntau npaum li yog 0.1-0.2 g.

Noj ntau dhau

Nyob rau hauv cov ntaub ntawv ntawm overdose yuav tshwm sim lactic acidosisneeg tuag taus. Lub ntsiab yog vim li cas rau nws txoj kev loj hlob yog kev ntseeg siab. metformin vim yog mob raum tsis zoo muaj nuj nqi.

Thaum nyuam qhuav pib tshwm: xeev siab, ntuav, raws plab, kev ua kom tsis muaj zog, txo qis kub, mob plab thiab mob nqaij, poob qis, lub zog bradyarrhythmia.

Tom qab ntawd ua pa sai dua kiv taub hau tsis nco qab zoo li kev loj hlob coma.

Thaum cov tsos mob tshwm sim lactic acidosis koj yuav tsum tam sim ntawd tsum tsis txhob noj Gliformin.

Kev kho ntxiv yog nqa hauv tsev kho mob, yog li tus neeg mob yuav tsum tau mus pw hauv tsev kho mob, teeb tsa qhov kev xav ntawm lactate, lees tias txoj kev kuaj mob.

Cov txheej txheem zoo hemodialysispab txhawm rau tshem tawm ntawm lub cev lactate thiab metforminCov. Ua ntxiv rau cov tsos mob zoo nkauj kuj tseem ua.

Kev sib txuam

Nrog rau kev siv tib lub txiaj ntsig ib txhij sulfonylureas, acarbose, tshuaj insulin, NSAIDs, MAO inhibitors thiab ACE, oxytetracyclinederivatives clofibrate, cyclophosphamidebeta-blockers tuaj yeem txhim kho hypoglycemic nyhuv ntawm Gliformin.

Cov tshuaj sib xyaw ua ke thiab GKS, tshuaj tiv thaiv qhov ncauj epinephrinesympathomimetics Glucagon, cov thyroid hormones, thiazides thiab “Voj” diuretics, phenothiazine derivatives thiab Nicotinic acid tej zaum yuav txo tau nws cov nyhuv hypoglycemic.

Cimetidine inhibits kev tshem tawm metforminuas nce txoj kev pheej hmoo ntawm txoj kev loj hlob lactic acidosis.

Gliformin kev sib txuas nrog anticoagulants muab tau los ntawm coumarin tej zaum yuav qaug zog lawv cov nyhuv.

Gliformin's cov duab sib piv

Cov ntsiab lus zoo ntawm Gliformin yog sawv cev los ntawm cov tshuaj Glucophagus, Dormin, Diaberite, Diabetosan, Metformin, Diabexil, Diguanil, Gliguanid, Melbin, Mellitin, Glukoran, Metiguanid, Modulan thiab lwm tus.

Kev siv dej cawv thiab lwm yam khoom muaj cawv muaj peev xwm ua rau muaj kev txhim kho lactic acidosis.

Kev tshuaj xyuas txog Gliformin

Raws li kev tshuaj xyuas ntawm Gliformin qhia, nws tuaj yeem raug coj los ua tus neeg mob ntsib kev txom nyem mob ntshav qab zib, thiab ntau yam teeb meem ntawm metabolic. Tsis tas li ntawd, cov yeeb tshuaj yog feem ntau noj los ntawm cov poj niam uas xav kom sai sai tshem tawm qhov hnyav.

Txawm li cas los xij, qee tus neeg uas coj Gliformin rau qhov poob phaus, nco ntsoov tias lawv muaj peev xwm rov qab los cov tshuaj hormones thiab pom tias poob ceeb thawj.

Nrog rau qhov no, muaj ntau cov lus ceeb toom ceeb toom tias kev noj Gliformin rau qhov kev poob phaus yog tsis pom zoo yog tias tsis muaj qhov qhia tau rau qhov no.

Koj tseem tuaj yeem ntsib cov dab neeg uas kho nrog cov tshuaj no ua rau muaj kev txhim kho kev mob tshwm sim, piv txwv li, kem plab, tsis muaj zog, mob taub hau thiab yog li ntawd.

Raws li koj paub, Gliformin yog ib qho tshuaj uas tuaj yeem muaj ntau yam kev ua haujlwm hauv lub cev, thiab tsis yog qhov zoo tas mus li. Yog li no, nyob rau lub sijhawm kho mob, yuav tsum saib xyuas txhua yam xwm txheej ntawm cov neeg mob thiab kev cuam tshuam nrog cov kws tshaj lij tshwj xeeb.

Gliformin tus nqi, qhov twg yuav

Tus nqi ntawm Glyformin 1000 g sib txawv ntawm 280-350 rubles.

Koj tuaj yeem yuav cov ntsiav tshuaj 500 lossis 800 mg ntawm tus nqi ntawm 120 txog 290 rubles.

  • Gliformin ntsiav tshuaj 500 mg 60 pcs Akrikhin
  • Gliformin 500mg No. 60 ntsiav tshuajAkrikhin HFK OAO
  • Gliformin 850mg No. 60 ntsiav tshuajAkrikhin HFK OAO
  • Gliformin 1000mg No. 60 ntsiav tshuajAkrikhin HFK OAO
  • Gliformin Prolong 1000mg No. 60 pab txhawb nqa-ntsiav tshuajAkrikhin HFK OJSC

THEM SAIB! Cov ntaub ntawv hais txog cov tshuaj ntawm lub xaib yog kev saib xyuas-dav dav, sau los ntawm pej xeem cov chaw thiab tsis tuaj yeem ua lub hauv paus rau kev txiav txim siab txog kev siv tshuaj thaum lub sijhawm kho mob. Ua ntej yuav siv cov tshuaj Gliformin, nco ntsoov sab laj nrog koj tus kws kho mob.

Ntsiab cai ntawm kev hloov roj ntsha

Qhov no yog qhov tshuaj hypoglycemic. Ntawd yog, nws txoj haujlwm tseem ceeb yog txo cov ntshav qab zib. Qhov ntawd yog lub hauv paus ntsiab lus tseem ceeb vim li cas Metformin tau sau tseg yog kev kho mob hom 2 ntshav qab zib mellitus thiab mob ntshav qab zib.

Txawm li cas los xij, txoj kev nws ua kuj yuav pab tau kom poob phaus.

Cov tshuaj muaj feem xyuam rau lub cev hauv peb txoj kev tseem ceeb, txhua qhov ntawm tuaj yeem pab poob ceeb thawj.

  1. Txo cov khoom tsim tawm ntawm cov piam thaj hauv lub siab.
  2. Ua rau cov piam thaj ntau ntxiv uas siv los ntawm cov leeg nqaij.
  3. Nws txo tus nqi ntawm lipolysis (qee zaum nws yog pab rau poob phaus, vim nws txo qis ntawm cov dej qab zib).

Cov nyhuv ntawm cov tshuaj no ua rau txo qis ntawm kev tsis kam ntawm lub cev nqaij mus rau cov tshuaj insulin (ib qho ntawm cov laj thawj tseem ceeb rau kev nce phaus, tshwj xeeb tshaj yog nyob rau hauv lub plab hauv plab), nrog rau kev txo qis ntawm lub plab.

Puas yog nws pab kom yuag tiag?

Cov neeg uas xav kom poob phaus ntawm cov tshuaj no feem ntau xav nyeem kev tshuaj xyuas txog qhov poob phaus ntawm kev siv cov metformin. Qhov no tsis yog tag nrho. Txij li "kev txheeb xyuas qhov tseeb ntawm kev poob phaus" feem ntau yog sau los ntawm cov neeg tsim khoom noj zaub mov kom txo qhov hnyav thiab tsis muaj dab tsi ua rau qhov tseeb.

Yog li ntawd, nws yog qhov zoo dua rau kev tsom xam cov ntaub ntawv ntawm cov kws tshawb fawb tau los ntawm lawv hauv kev sim kho mob. Metformin tau siv ntev, nrog rau kev poob phaus. Yog li ntawd, muaj ntau qhov tseem ceeb ntawm cov ntaub ntawv kho mob mus sib piv rau cov tshuaj no.

Dab tsi yog cov kev tshuaj xyuas tiag tiag ntawm cov kws tshaj lij? Nws tau tsim tsa tias metformin pab ua kom poob phaus, tab sis tsis ua nws zoo.

Thaum noj thaum xyoo tsis hloov pauv kev noj haus thiab kev ua neej, koj tswj kom poob 3 kg.

Yog tias koj hloov mus rau qhov khoom noj kom raug, ces koj tuaj yeem poob 5-7 kg hauv 6 lub hlis.

Ntawd yog, hais txog cov nyhuv ntawm poob phaus, cov tshuaj qhia tau ntau dua cov txiaj ntsig tau tshwm sim. Ntxiv mus, nws qhia tau qhov ua tau zoo tshaj plaws tiv thaiv tom qab ntawm kev noj zaub mov zoo thiab ua kom lub cev muaj zog. Ntxiv mus, kev cob qhia yog qhov tseem ceeb heev, vim tias metformin cuam tshuam rau kev siv cov kua nplaum los ntawm cov leeg. Tab sis rau nws kom ua kom cov txheej txheem no, cov leeg yuav tsum ua haujlwm.

Pom tseeb, koj tuaj yeem poob phaus los ntawm kev noj zaub mov kom raug thiab kev tawm dag zog yam tsis muaj tshuaj.Ntxiv mus, tom qab kev txiav tsis mloog tshuaj, qhov hnyav feem ntau rov qab los rau nws cov txiaj ntsig yav dhau los.

Cov lus qhia rau siv rau qhov poob phaus

Metformin muaj nyob rau hauv ob qho: ua yeeb yam nrawm thiab nyob rau hauv daim ntawv ntev.

  • Thawj zaug kev siv ntawm kev siv tshuaj sai yog 500 mg ob zaug ib hnub, lossis 850 mg ib hnub ib zaug.
  • Yog li, cov tshuaj raug rau 1 lub lis piam txhua hnub.
  • Lwm lub lim tiam, cov koob tshuaj tau nce ntxiv ntawm 500 mg.
  • Maj mam (nce ntxiv los ntawm 500 mg rau ib lim tiam), qhov tshuaj tau muab hloov kho yog 2000 mg rau ib hnub. Qhov siab tshaj koob yuav yog 2550 mg.

Txog metformin hauv daim ntawv ntev, kev qhia zoo li no:

  • noj 500 mg ib hnub ib zaug rau thawj lub lim tiam,
  • tom qab ntawd nce qhov koob tshuaj 500 mg rau ib lis piam kom txog thaum kawg txhaj tshuaj 2000 mg.

Cov lus pom zoo dav

  1. Nws raug nquahu kom faib cov tshuaj ntau dua 500 mg rau hauv 2-3 koob.
  2. Noj nrog cov zaub mov noj kom tsawg li tsawg tau hauv calories.
  3. Haus nrog ib khob dej.

Gliformin, formin, lossis metformin: uas yog ib qho zoo dua? Tsis muaj dab tsi. Nws yog txhua qhov tib yam. Gliformin thiab formine yog lwm cov npe coj mus muag rau tib yam khoom.

Qhov kev hem thawj ntawm lactic acidosis

Cov kev mob tshwm sim hnyav tshaj plaws ntawm cov tshuaj metformin yog lactic acidosis, uas ua rau muaj lub raum pathology hauv ib tus neeg, lub xeev lub cev qhuav dej, lub plawv tsis ua haujlwm, thiab qhia txog kev haus cawv ntau.

Yog li, metformin yog nruj me ntsis txwv tsis pub nqa nrog:

  • mob raum loj,
  • nyob rau hauv lub xeev muaj ntshav qab zib ketoacidosis.

Kuj nrog kev saib xyuas zoo yuav tsum tau siv thaum:

  • daim siab mob
  • mob plawv, tshwj xeeb yog mob plawv tam sim,
  • senile (tshaj 80) thiab menyuam yaus (hnub nyoog qis dua 10),
  • quav cawv
  • kis kab mob.

Hauv txhua qhov xwm txheej no, ua ntej koj pib noj tshuaj, koj yuav tsum sab laj nrog koj tus kws kho mob.

Cov mob ntawm cov kab mob lactic acid, tuaj yeem tsim thaum noj cov tshuaj, yog cov tuag taus. Yog li, koj yuav tsum nrhiav kev pab tam sim ntawd yog tias, tom qab siv tshuaj, cov tsos mob tshwm sim:

  • mob leeg los yog mob nyhav,
  • loog lossis hnov ​​zoo li mob khaub thuas ntawm caj npab thiab txhais ceg,
  • txog siav
  • kiv taub hau thiab tsaus muag,
  • mob plab nrog xeev ntuav thiab ntuav,
  • qeeb thiab lub plawv dhia.

Lwm yam phiv

Ntxiv nrog rau cov kab mob lactic acidosis, cov tshuaj tuaj yeem ua rau muaj kev txhim kho ntawm lwm cov kev mob tshwm sim, feem ntau yog cuam tshuam nrog cov tsos mob tsis zoo ntawm lub plab zom mov. Nov yog zawv plab, xeev siab, thiab mob plab.

Metformin muaj ib qho kev tshwm sim ntxiv. Qhov no yog vitamin B12 tsis txaus. Txawm hais tias qhov tseeb tias qhov txiaj ntsig tsis zoo ntawm cov tshuaj no tau paub tseeb hais tias, lawv tsis tshua hais txog nws. Tsuas yog vim lawv tsis tshua muaj kuaj tau pom. Qhov tseeb yog tias ob peb tus kws kho mob tau sau ntawv tshuaj ntsuam rau qhov vitamin no rau lawv cov neeg mob, txawm tias lawv muaj kev tsis txaus siab tsim nyog.

Cov tsos mob thawj zaug ntawm vitamin B12 yog qhov nyuaj ua kom pom tseeb thiab tsis nco qab zoo, ua rau cov leeg tsis muaj zog thiab ua rau lub cev mob ntev.

Vim li cas thiaj noj tshuaj metformin?

Metformin yog lub npe ntawm cov tshuaj txuam hauv tshuaj rau kom txo cov ntshav qab zib. Metformin ua rau lub cev raws li hauv qab no:

  • nkoos insulin rhiab heev ntawm cov hlwb,
  • txo cov hnyuv kom zoo haum,
  • txhim kho cov piam thaj hauv kev cuam tshuam ntawm cov hlwb.

Metformin tsis txhawb qhov tsim tawm ntawm nws tus kheej cov insulin, tab sis tsuas yog txhim kho kev teb ntawm cov hlwb rau cov tshuaj no. Nws yuav tsum nkag siab tias muaj mob ntshav qab zib hom 1, metformin tuaj yeem noj, tab sis nws tsis hloov cov tshuaj insulin txhua hnub.

Cov tshuaj no txhim kho cov metabolism hauv cov roj metabolism hauv lub cev ntawm tus neeg mob ntshav qab zib. Kev npaj Metformin yog qhia rau kev kho mob ntawm cov neeg mob ntshav qab zib hom 2 nrog lub hom phiaj ntawm:

  • tsis qab los
  • normalization ntawm carbohydrate metabolism,
  • poob phaus
  • txo ntshav qab zib kom ntau.

Cov khoom kuj tseem pab txo qis kev pheej hmoo ntawm kev tsim muaj cov mob ntshav qab zib.Nws yog tshuaj tau yog tias muaj kev pheej hmoo ntawm kab mob plawv.

Nws ua haujlwm li cas?

Txhua yam tshuaj nrog metformin sib txawv hauv lub sijhawm ua haujlwm thiab muab ntau npaum li cas. Nws muaj metformin ntev ua. Qhov no txhais tau hais tias cov tshuaj tsis ua tam sim ntawd, tab sis maj mam dhau mus, nyob rau qee lub sijhawm, tseem ua tau zoo txo ​​qis cov piam thaj hauv cov ntshav. Raws li txoj cai, cov tshuaj muaj cov lo lus "ntev" hauv lub npe, piv txwv li, Glucofage Ntev.

Kev noj tshuaj xws li Glucofage Ntev pab ua kom cov metabolism hauv kev ua haujlwm zoo dua thiab txo cov ntshav qab zib, thiab tseem ua kom cov protein metabolism thiab bilirubin zoo li qub. Txawm li cas los xij, qhov no tsis txhais tau tias cov tshuaj hloov pauv kev noj haus rau ntshav qab zib.

Metformin kev npaj

Cov tshuaj uas nrov tshaj plaws ntawm metformin yog Glucofage, Glybomet lossis Siofor. Peb yam tshuaj no feem ntau muaj rau kws kho mob ntshav qab zib kom kho lawv tus mob.

Ntau zaus, cov neeg mob txaus siab yog tias lawv tau sau ntawv tshuaj Glibomet, Glyukofazh lossis Siofor - dab tsi yuav zoo dua thiab yam tshuaj twg los muab qhov kev nyiam.

Nws yuav tsum nkag siab tias Glybomet, Glucophage thiab Siofor yog cov npe lag luam ntawm cov tshuaj. Cov tshuaj yeeb dej caw hauv lawv yog ib qho thiab zoo ib yam - metformin yog ib feem ntawm Glibomet, Glucofage ntsiav tshuaj thiab Siofor, thiab tus nqi ntawm cov tshuaj no yog tib yam.

Feem ntau muaj lus nug ntawm cov tshuaj twg - metformin, Glybomet lossis Glucofage ntsiav tshuaj yuav tsum tau noj, uas yog qhov zoo dua thiab ua haujlwm dua.

Cov kws kho mob paub tseeb tias metformin, Glybomet lossis Siofor - xws li kev xaiv yuav tsum tsis txhob ua, thiab qhov twg zoo dua - qhov no tsis muaj peev xwm hais tau, vim tias cov tshuaj ua haujlwm zoo ib yam nkaus. Glucophage Ntev ua haujlwm zoo ib yam thiab Metformin Ntev - nws yog qhov qub.

Qhov kws kho mob tau pom zoo, nws zoo dua rau noj nws, tsis hais lub npe - nws tuaj yeem yog Siofor lossis Glucofage Ntev lossis lwm yam tshuaj nrog metformin, pom zoo rau hom ntshav qab zib hom 2 mellitus.

Yuav xaiv cov tshuaj li cas?

Muaj ntau cov tshuaj nrog cov npe sib txawv, tab sis tib yam yeeb yam, yog li kev xaiv tshuaj yog qhov zoo tshaj plaws rau cov kws kho mob koom. Qhov tsuas yog qhov sib txawv ntawm cov ntsiav tshuaj sib txawv yog tias qee cov tshuaj muaj kev pab cuam tso tawm. Feem ntau cov ntaub ntawv no tau qhia hauv lub npe, cov tshuaj no yog cim nrog lo lus "ntev."

Cov tshuaj siv tshuaj ua rau muaj ntau qhov tshwm sim. Txhawm rau zam qhov no, nws yog ib qho tseem ceeb kom ua raws li cov cai hauv qab no:

  • Ua tau raws li cov khoom noj uas pom zoo
  • kev tawm dag zog lub cev,
  • noj cov tshuaj raws li kws kho mob pom zoo.

Kev noj tshuaj rau yus tus kheej tuaj yeem tsim kev puas tsuaj rau kev noj qab haus huv, yog li yog tias yuav tsum tswj cov qib qab zib nrog kev siv tshuaj, koj yuav tsum ntseeg koj tus kws kho mob thaum xaiv cov tshuaj.

Cov lus nug ntau txog yuav ua li cas Glucofage, Glibomet, Gliformin lossis Siofor thiab metformin sib txawv thiab uas lawv zoo dua rau kev noj, qhia tias tus kws kho mob tau muab ntau yam tshuaj los xaiv, yog li tus neeg mob tuaj yeem kawm kev tshuaj xyuas thiab txiav txim siab txog cov tshuaj ntawm nws tus kheej.

Cov tshuaj tiv thaiv

Cov tshuaj muaj ntshav qab zib muaj ntau yam tsis zoo lub siab xav txog. Txo cov kev pheej hmoo ntawm qhov tsis pom kev tsis txaus ntseeg, cov kws kho mob feem ntau sau ntawv tshuaj nrog cov tshuaj taurine hauv cov lus muaj pes tsawg leeg, piv txwv li, Dibicor.

Dibicor tuaj yeem raug coj los ua kev pab txuas rau txhua yam mob ntshav qab zib. Cov ntsiav tshuaj muaj qhov cuam tshuam zoo ntawm lub plawv kev mob plawv, yog li Dibicor feem ntau tau kho thaum muaj kev pheej hmoo ntawm kev mob hlab ntshav hauv ntshav qab zib.

Dibicor tseem normalizes bilirubin, ib qho kev nce ntxiv uas feem ntau pom nyob rau hauv cov neeg mob ntshav qab zib nyob hauv kev muaj kev rog.

Cov kauj ruam tseem ceeb hauv kev kho mob ntshav qab zib yog qhov ib txwm ua rau lub cev hnyav. Kev pham tsuas yog ua rau lub cev muaj mob ntau ntxiv.

Koj tuaj yeem hnov ​​feem ntau uas cov kws kho mob sau ntawv rau Reduxin rau cov neeg mob, cov tshuaj uas txhim kho cov txheej txheem hauv lub cev thiab pab ua rau tus neeg mob lub cev qhov hnyav.

Reduxin tsuas yog noj raws li kws kho mob qhia.Hauv qhov no, tus neeg mob tseem tuaj yeem nqa tshuaj Dibicor, yog tias tsis muaj contraindications.

Yuav ua li cas thiab nrog dab tsi koj tuaj yeem ua ke Dibikor - cov ntaub ntawv no raug nthuav tawm hauv cov lus qhia. Yog tias tsis muaj kev pom zoo los ntawm tus kws kho mob, Dibikor thiab Reduxin tsis raug coj, txawm tias qhov tseeb tias cov tshuaj muaj peev xwm yuav tau yam tsis muaj daim ntawv yuav tshuaj hauv txhua lub tsev muag tshuaj.

Koj tuaj yeem feem ntau hnov ​​cov lus nug ntawm qhov twg zoo dua - Cov ntsiav tshuaj Dibicor lossis Glucofage. Xws li lo lus nug yog qhov tseeb tsis yog. Dibikor tsis tswj cov qib suab thaj, tsis zoo li Cov ntsiav tshuaj Glucofage, tab sis ntxiv dag zog rau cov hlab plawv. Cov tshuaj no tuaj yeem siv nrog cov tshuaj hypoglycemic, tab sis tsuas yog qhia los ntawm kws kho mob.

Kev Nyhav nrog Metformin

Cov tshuaj Metformin kuj tseem tuaj yeem noj los ntawm cov poj niam noj qab haus huv uas rog dhau. Qhov tshuaj no pab txhim kho cov txheej txheem hauv lub cev hauv lub cev, yog li ntawd, nws muaj kev sib ntaus sib tua nyhav. Kev txheeb xyuas qhia tias poob phaus thaum noj Reduxin, Glibomet, Gliformin ntsiav tshuaj nce mus txog kaum kilo ib hlis twg.

Txawm li cas los xij, ntawm no nws yuav tsum nkag siab, ua ntej koj pib noj cov tshuaj metformin thiab Siofor, cov tshuaj no ua haujlwm li cas thiab dab tsi sib txawv ntawm ntuj poob thiab yuag poob los ntawm kev txhawb cov txheej txheem hauv lub cev nrog tshuaj.

Nws yog qhov ua tau kom poob phaus sai sai nrog cov tshuaj, tab sis koj tseem yuav tsum ua raws kev noj haus thiab kev tawm dag zog. Cov neeg uas xav kom poob phaus feem ntau nyiam qhov kev xaiv - Metformin, Glucophage Ntev lossis Siofor, thiab dab tsi pom tau zoo los ntawm lub cev. Feem ntau cov tshuaj xyuas, pom zoo kom noj Glucophage Ntev.

Qhov no yog vim muaj qhov tseeb tias cov tshuaj tsawg cuam tshuam rau lub plab zom mov, tsis ua rau kev mob plab zom mov thiab tsis cuam tshuam rau bilirubin.

Rau kev poob phaus, ntau tus nyiam Glyformin lossis Glucofage, thiab yog tias tsis paub tseeb, koj yuav tsum sab laj tus kws kho mob uas yuav hais tias nws zoo dua rau kev coj tus neeg mob tshwj xeeb.

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov ntsiav tshuaj no yog npaj rau kev kho mob ntshav qab zib thiab yog tshuaj. Lawv ua rau muaj ntau cov kev mob tshwm sim thiab yuav tsum tau siv tshuaj ntau npaum li cas. Yog li no, yog tias koj xav kom poob phaus siv metformin, koj yuav tsum xub sab laj nrog tus kws kho mob endocrinologist thiab tus kws qhia zaub mov noj haus.

Glucophage thiab Siofor ntsiav tshuaj rau kev kho qhov hnyav tsis muaj qhov txawv, qhov txawv tsuas yog qhov chaw tsim khoom thiab lub npe. Ib qho ntxiv uas Glucophage txawv ntawm Siofor yog nws nthuav dav hauv cov khw muag tshuaj, thawj cov tshuaj yog nrov dua thiab ntau dua.

Lwm cov tshuaj zoo rau qhov poob phaus yog Reduxin. Feem ntau nws tau hais rau cov neeg mob ntshav qab zib uas tuaj yeem tsis rog los ntawm kev noj zaub mov zoo thiab tawm dag zog.

Reduxine yog qhov txawv txav los ntawm nws tus nqi pheej yig thiab daim ntawv tso tawm yooj yim. Noj Reduxin pom zoo 1 zaug nyob rau ib hnub, thaum noj mov thawj zaug.

Reduxin muaj nyob hauv tsiav tshuaj, uas yooj yim nqos thiab zoo nqus los ntawm lub cev.

Yog tias koj xav tso tseg cov qog ntshav noj tshuaj rau qhov hnyav, txoj hauv kev zoo tshaj los hloov cov tshuaj yog Reduxin.

Cov yam ntxwv dav dav ntawm cov tshuaj thiab cov lus qhia rau kev siv

Ua ntej suav nrog cov tshuaj Gliformin nyob rau hauv cov chav kawm dav dav ntawm kev kho, nws yog qhov yuav tsum tau kawm nws cov yam ntxwv dav dav thiab cov cai ntawm kev siv. Glyformin paub tias yog ib qho tshuaj noj hauv qhov ncauj uas qhov kev txiav txim yog txhawm rau txo cov ntshav qab zib hauv cov neeg mob ntshav qab zib. Muaj 2 hom ntawv: ntsiav tshuaj thiab zaj duab xis-tsiav tshuaj capsule. Cov tshuaj tiv thaiv tseem ceeb ntawm cov tshuaj yog metformin hydrochloride.

Kev qhia rau kev siv cov tshuaj no yog cov xwm txheej hauv qab no:

  • ntshav qab zib hom 1 thiab hom 2
  • hypoglycemia hob kev rog.

Raws li txoj cai, Gliformin tuaj yeem siv los daws cov tsos mob no ob qho tib si ua ib feem ntawm kev kho mob monotherapy thiab ua kev tivthaiv txoj kev kho mob.

Cov tshuaj tiv thaiv kom tsis txhob noj tshuaj Gliformin tej zaum yuav yog cov hauv qab no:

  • kev tsis qaug rau cov tshuaj yeeb tshuaj,
  • mob ntshav qab zib tsis txaus: precoma, coma, hypoglycemic ketoacidosis,
  • cov mob hnyav ntawm daim siab, lub raum thiab lub plab zom mov, hlab plawv,
  • haus cawv ntev,
  • cev xeeb tub thiab lactation,
  • hnub nyoog tshaj 60 xyoo.

Ua ntej noj cov tshuaj no, tus neeg mob xav tau ib qho kev kuaj mob dav dav, uas yuav pab txheeb xyuas cov kev hloov pauv hauv lub cev mus rau cov tshuaj. Hauv kev tshwm sim uas lub xeev ntawm lub cev raug txheeb xyuas uas sib luag nrog contraindications, analogues ntawm Glyformin (Glucofage, Diguanil, Fortmetin, thiab lwm yam) tau sau tseg rau tus neeg mob. Yog tias qhov kev ntsuas tau ua tiav thiab tus kws kho mob tau koom nrog lub teeb ntsuab rau kev siv ntawm Gliformin, nws yog qhov yuav tsum tau coj nws raws li qhov tshwj xeeb, ib tus qauv npaj rau txhua tus neeg mob.

Cov lus qhia rau kev siv tshuaj Gliformin yog raws li hauv qab no:

  1. Gliformin ntsiav tshuaj yuav tsum tau coj lawv tus kheej nrog cov zaub mov lossis tom qab noj mov nrog dej.
  2. Cov koob tshuaj txhua hnub yuav tsum tsis pub ntau tshaj 3 g. Yog li, qhov muab xam ntawm qhov koob tshuaj hauv thawj 10-15 hnub ntawm kev kho mob tuaj yeem sib txawv ntawm 0.5 mus rau 1 g ntawm cov tshuaj nquag hauv 24 teev thiab sib txawv raws li cov concentration ntawm cov piam thaj hauv cov ntshav ntawm tus neeg mob.
  3. Thaum kho txoj kev kho, qhov tshuaj ntawm cov tshuaj tuaj yeem yog li 1.5 txog 2 g thiab tau faib ua 2-3 koob tshuaj.
  4. Cov neeg laus tau raug xaj 1 g ntawm Gliformin ib hnub ib zaug.
  5. Thaum muaj teeb meem ntawm lub cev metabolism, kev kho mob tau pom zoo kom ncua lossis txo qhov ntau ntau cov tshuaj txhua hnub.

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tshuaj no yuav tsum tau noj tsuas yog nyob rau hauv kev saib xyuas nruj ntawm cov kws kho mob koom thiab tsuas yog nws qhov kev pom zoo. Kev siv tsis zoo ntawm cov tshuaj muaj peev xwm ua rau lub raum, lub siab thiab lub plab ua haujlwm.

Tsis ntev los no, kom txo qis qhov tshwm sim ntawm kev coj tus kheej tsis zoo, Gliformin hauv cov khw muag tshuaj tau pib tso tawm tsuas yog sau ntawv tso cai.

Cov yam ntxwv dav dav thiab cov lus qhia rau kev siv Glyformin Prolong

Ib qho ntawm ntau yam ntawm cov tshuaj uas tau nthuav qhia yog tshuaj Glyformin Prolong. Cov tshuaj no yog hais txog cov tshuaj uas coj mus ntev. Qhov no yog vim qhov tseeb tias cov ntsiab lus ntawm cov tshuaj nquag nyob hauv nws yog qhov siab dua hauv daim qauv tshuaj. Kev tivthaiv ntawm metformin hydrochloride hauv ib chav yog 1000 mg. Tso tawm hom: ntsiav tshuaj nrog cim cim rau so.

Raws li txoj cai, cim thiab contraindications rau kev siv Glyformin Prolong yog tib yam li hauv cov qauv hauv tshuaj. Txawm li cas los xij, muaj ib qho txawv. Cov tshuaj no tau txais kev pom zoo rau kev siv los ntawm cov menyuam yaus txij li 10 xyoo, ob qho tib si hauv daim ntawv ywj pheej thiab ua ib feem ntawm txoj kev kho mob.

Cov lus qhia rau noj Glyformin Prolong yog raws li hauv qab no:

  1. Cov tshuaj yuav tsum tau noj thaum lub sijhawm / tom qab noj mov, haus dej ntau.
  2. Nrog rau kev kho mob monotherapy, qhov tshuaj thawj zaug rau cov neeg laus yuav tsum yog 500 mg (ib nrab ntsiav tshuaj) 1-3 zaug hauv ib hnub lossis 850 mg 2-3 zaug. Yog tias tsim nyog, cov tshuaj tau maj mam kho rau 1000 mg, nce ntxiv ntawm qhov ua kom tsawg los ntawm 2-3 g ntawm 24 teev.
  3. Hauv kev kho ua ke, koj yuav tsum haus Glyformin Prolong 500-850 mg 2-3 zaug ib hnub.
  4. Hauv kev kho mob monotherapy, koj yuav tsum tau noj 500-850 mg 1 zaug hauv ib hnub, lossis tsoo 1000 mg 2 zaug (500 mg hauv ib koob). Nws yog qhov tsim nyog yuav tau nce lub koob tshuaj 2-3 g hauv 24 teev hauv txhua lub lis piam.

Nws yog ib qho tseem ceeb kom nco ntsoov tias tom qab 10-15 hnub tom qab kev kho mob, nws yog ib qho tsim nyog yuav tau hloov kho cov koob tshuaj metformin hydrochloride raws li cov tshuaj insulin hauv cov ntshav. Tsuas yog tus kws kho mob uas tuaj koom thiaj yuav tsum hloov txoj kev npaj khomob.

Kev Ntsuam Xyuas Neeg Siv Khoom

Ntxiv nrog rau kev paub txog tus yam ntxwv dav dav thiab cov lus qhia rau cov tshuaj, rau kev ua kom zoo dua qub, nws tseem pom zoo kom kawm cov kev tshuaj xyuas ntawm lwm cov neeg siv. Nov yog qee qhov ntawm lawv.

Alexandra, 45 xyoo.

“Lawv nyuam qhuav mus kuaj mob ntshav qab zib thaum pib, vim tias qhov no nws tsuas yog txaus ntshai heev. Kuv xav tias lawv yuav sau tawm ib cov tshuaj tag nrho. Tus kws kho mob tau sau npe rau Gliformin 2 zaug nyob rau ib hnub, 0.5 mg ib. Kuv zoo siab dua. Lub cev hnyav pib poob. Qab zib thaum lub sijhawm pub nkag mus yog muaj nyob rau hauv ib txwm txwv. Kuv tsis xav tias muaj zog cuam tshuam txog qhov tshwm sim rau kuv tus kheej, tab sis tsis ntev ntawv kuv txhais ceg tau mob loj heev. "

“Ntau dua 10 xyoo, Kuv tau mob ntshav qab zib hom 2. Kuv noj Gliformin Prolong rau 2 ntsiav tshuaj hauv ib hnub raws li kws kho mob tau hais rau 2 lub hlis. Feem ntau, Kuv xav zoo, txawm tias qee zaum muaj teeb meem plab zom mov thiab tsis hnov ​​qab zoo. Kuv tus tij laug kuj muaj ntshav qab zib, tab sis nws raug mob ntawm tus kab mob pancreatitis. Cov tshuaj tsis haum nws. Feem ntau, yog tias muaj kev ua txhaum hauv kev ua haujlwm ntawm lub raum, Kuv pom zoo kom siv cov analogues. Nws zoo heev cuam tshuam lawv cov haujlwm. "

Tatyana, 23 xyoos.

"Kuv tsis raug kev mob ntshav qab zib, kuv txiav txim siab siv Gliformin ua tshuaj rau qhov poob phaus. Bribed los ntawm nws cov roj hlawv ceev nyhuv. Qhov hnyav pib poob sai, tab sis tib lub sijhawm nws ntuav thiab raws plab pib. Kuv tsis paub txog cov neeg mob ntshav qab zib li cas, tab sis kuv lub cev raug mob heev. Feem ntau, cov tshuaj tsis haum rau poob phaus. "

Ntshav qab zib mellitus yog ib qho kab mob uas ua rau muaj qhov txaus ntshai ntau dua li qhov nws xav tias thaum xub thawj. Cov tshuaj Glyformin yuav pab txo qis kev phom sij ntawm tus kab mob rau lub cev. Txawm li cas los xij, ua ntej muab cov tshuaj no rau txoj kev kho kom zoo, sab laj nrog koj tus kws kho mob. Kev noj tshuaj rau tus kheej rau ntshav qab zib tuaj yeem tsim kev phom sij tau. Saib xyuas koj tus kheej thiab muaj kev noj qab haus huv!

Luam cov khoom xaib tuaj yeem ua tiav yam tsis tau txais kev pom zoo ua ntej

teeb tsa qhov ua cim rau txuas rau peb lub xaib.

Saib xyuas! Cov ntaub ntawv luam tawm ntawm lub xaib tsuas yog rau kev ua xov xwm nkaus xwb thiab tsis yog kev pom zoo rau kev siv. Nco ntsoov sab laj nrog koj tus kws kho mob!

  • Hais txog xaib
  • Cov lus nug rau tus kws tshaj lij
  • Hu rau cov ntsiab lus
  • Rau cov neeg tshaj tawm
  • Tus neeg siv pom zoo

Mob ntshav qab zib mellitus yog ib qho kab mob txaus ntshai nrog tus tswv tsev ntawm cov tsos mob tsis zoo. Tus neeg mob muaj teeb meem pw tsaug zog, mob sib koom tes thiab nqhis dej. Koj kuj yuav tsum tau ua raws li kev noj haus nruj thiab kev tawm dag zog. Tab sis muaj qee lub sijhawm thaum qhov no tsis txaus thiab xav tau kev pab kho mob. Gliformin Prolong yog ib qho ntawm cov tshuaj uas ua rau cov ntshav qab zib cov ntshav ntau. Xav txog nws.

Thov

Glyformin Prolong txhawb kev siv ntawm cov piam thaj los ntawm cov leeg nqaij, maj mam txo qhov nqus ntawm cov carbohydrates hauv txoj hnyuv. Tsis tas li, cov tshuaj tsub kom rhiab ntawm cov nqaij mos rau insulin.

Cov cim tseem ceeb rau kev siv tshuaj:

  • Hom Ntshav Qab Zib Hom 2. Siv rau hauv kis mob uas kev noj zaub mov thiab ua kom lub cev tsis coj qhov tshwm sim xav tau.
  • Yam 1 ntshav qab zib. Siv ua lub zog txuas rau cov kua dej.

Rau kev kho mob hlwb. Siv nrog lwm cov tshuaj uas muaj cov nyhuv zoo sib xws.

Cov tshuaj tsis raug tso cai siv tsis siv tshuaj ntsuam mob: glyformin cov lus qhia rau kev siv qhia ntau tus kabmob sib kis.

Kev kho mob Gliformin yog qhov ntev. Thaum lub sij hawm kho, koj yuav tsum tau ua tas li cov kev sim ntsuas uas qhia txog lub xeev ntawm lub raum thiab daim siab ua haujlwm tam sim no. Ua ntej kev kuaj mob, koj yuav tsum tsis txhob noj cov tshuaj tsawg kawg 48 teev. Yog tias koj tsis ua raws li txoj cai no, ces cov ntawv xeem yuav tsis muaj tseeb. Cov tshuaj muaj cai rov ua ob peb hnub tom qab cov txheej txheem.

Txwv tsis pub haus cawv ntau thaum lub sijhawm kho mob. Koj kuj yuav tsum tau caiv tsis txhob siv cov tshuaj uas muaj ethanol.

Tsis tas li, kev tshawb nrhiav tsis tau ua rau cov menyuam yaus hnub nyoog qis dua 18 xyoo. Nyob rau lub sijhawm no, cov tshuaj yuav tsum ua tib zoo, nyob rau hauv kev saib xyuas kev noj qab haus huv tas li.

Gliformin Prolong tsis pom zoo rau kev poob phaus, tshwj tsis yog kev ua xyem xyav ntawm kev txhim kho ntshav qab zib.

Sab sij huam

Cov tshuaj yuav ua rau muaj qee qhov teeb meem, xav txog hauv pawg:

Kev ntshaib plab cov teeb meem. Lactic acidosis tej zaum yuav tshwm sim, uas yuav tsum tsis muaj kev kho mob. Yog tias cov tshuaj noj ntev ntev, tom qab ntawv nws muaj teeb meem nrog nws txoj kev nqus hauv lub cev.

Cov teeb meem hauv cov ntshav ncig. Hauv qee kis, kev kuaj mob megaloblastic kev kuaj ntshav tsis zoo.

Kev mob tshwm sim los ntawm ua pob rau ntawm daim tawv nqaij kuj tuaj yeem tshwm sim. Ntawm lawv, tawm pob thiab liab tau txawv.

Yog tias muaj kev mob tshwm sim, tom qab ntawd nws tsim nyog los txo cov tshuaj ntau npaum li cas. Muaj qee kis, ncua sijhawm teem sijhawm rau lub sijhawm pom zoo nrog tus kws kho mob koom nrog.

Yog tias tus neeg mob tsis zoo, nws yog qhov yuav tsum tau hu rau lub tsheb thauj neeg mob tam sim ntawd. Txwv tsis pub siv tshuaj rau tus kheej.

Tus nqi yog rau 60 ntsiav tshuaj ntawm Gliformin, nyob ntawm cov ntsiab lus ntawm cov tshuaj nquag:

Gliformin Prolong 1000 mg yuav raug nqi 479 rubles.

Hauv cov khw muag tshuaj sib txawv, tus nqi kuj yuav txawv me ntsis.

Xav txog Gliformin hloov chaw:

  • Ntsia hauv qab. Muaj cov tshuaj metformin. Tsis txhawb nqa insulin zais cia. Txo cov piam thaj hauv cov ntsiab lus ntawm tib neeg lub cev kev ua haujlwm. Tus nqi rau 30 ntsiav tshuaj yog 500 mg.
  • Glucophage Ntev. Yuav luag tib yam li cov tshuaj siv dhau los. Nws yog tsiag ntawv los ntawm qhov pom ntawm lub sijhawm ntev (qeeb tso tawm ntawm cov tshuaj) tes haujlwm. Tus nqi rau 60 ntsiav tshuaj ntawm 500 mg yog 452 rubles.
  • Metformin. Tsis hloov pauv cov insulin hauv cov ntshav. Muaj qabzib ntau ntxiv. Nws tau nquag nug txog qhov twg Gliformin lossis Metformin zoo dua. Ob qho tshuaj yeeb tshuaj muaj tib lub tshuaj nquag thiab cov ntsiab cai ntawm kev ua haujlwm, tab sis tus nqi rau tom kawg yog qis dua - 103 rubles. rau 60 ntsiav tshuaj ntawm 500 mg.
  • Rau menyuam yaus. Txhim kho txoj kev nqus ntawm cov hnyuv. Tsub kom muaj insulin ntau ntxiv rhiab. Cov tshuaj phiv tshuaj yog metformin. Formmetin yog qhov muaj txiaj ntsig zoo dua rau lwm cov analogues, - 92 rubles. rau 60 ntsiav tshuaj ntawm 500 mg.
  • Siofor. Pab daws cov piam thaj. Nws raug tshem tawm tsis hloov pauv ntawm lub cev. Siofor zoo ib yam li Gliformin hauv txoj haujlwm ntawm kev ua. Tus nqi hauv khw muag tshuaj yog 255 rubles. rau 60 ntsiav tshuaj ntawm 500 mg.

Analogs tau lawv qhov tshuaj teev tsis tau teev nyob rau hauv qhov kev qhia no. Kev hloov ntawm ib cov tshuaj mus rau lwm qhov yuav tsum tau ua kom zoo. Ua ntej siv, nws yuav tsum tau sab laj nrog koj tus kws kho mob.

Kev tshuaj xyuas txog "Gliformin (ntsiav tshuaj)" los ntawm cov kws kho mob thiab cov neeg mob:

Cov ntaub ntawv muaj nyob rau ntawm lub xaib rau cov ntaub ntawv nkaus xwb. Nco ntsoov sab laj nrog cov kws tshaj lij.

Yog tias koj pom qhov ua yuam kev hauv cov ntawv nyeem, kuaj tsis raug lossis cov ntaub ntawv tsis raug nyob hauv cov lus piav qhia, tom qab ntawd peb thov koj qhia tus thawj coj xaib txog qhov no.

Kev tshuaj xyuas tau tso rau hauv lub xaib no yog kev xav ntawm tus kheej ntawm cov neeg uas sau lawv. Tsis txhob tus kheej noj tshuaj!

Gliformin: cov lus qhia rau kev siv thiab tshuaj xyuas

Lub npe Latin: Gliformin

ATX Code: A10BA02

Tus nquag ua hauj lwm: metformin (metformin)

Cov tsim tawm: JSC Akrikhin (Russia)

Hloov kho cov lus piav qhia thiab yees duab: 10.20.2017

Cov nqi hauv khw muag tshuaj: los ntawm 106 rubles.

Gliformin yog ib tus neeg sawv cev ntawm qhov ncauj hypoglycemic.

Tso tawm daim ntawv thiab muaj pes tsawg leeg

Dosage daim ntawv ntawm Gliformin:

  • Cov Tshuaj Ntsiav Tshuaj: tiaj-cylindrical nrog faib cov kab thiab chamfer, dawb lossis yuav luag dawb (10 daim txhua qhov ua paug rau cov hlwv, 6 ntim hauv ib lub thawv ntawv).
  • Cov yeeb yaj kiab-pleev xim: dawb los yog dawb nrog lub greyish lossis qab zib zas, biconvex, oval duab (60 pcs. Hauv polyethylene lossis polypropylene cov kaus poom, hauv daim ntawv thawv 1 tuaj yeem).

Tus nquag ua hauj lwm yog metformin hydrochloride:

  • 1 ntsiav tshuaj - 0.5 g
  • 1 ntsiav tshuaj hauv ib txheej zaj duab xis - 0.85 g lossis 1 g.
  • Ntsiav tshuaj: calcium stearate lossis stearic acid, sorbitol, povidone (polyvinylpyrrolidone), calcium phosphate dihydrate, macrogol (polyethylene glycol),
  • Cov ntsiav tshuaj zaj duab xis: povidone, qos hmoov txhuv nplej siab, stearic acid.

Cov muaj pes tsawg leeg ntawm cov zaj duab xis membrane: macrogol (polyethylene glycol 6000), hypromellose (hydroxypropyl methylcellulose), talc.

Cov Tshuaj Pharmacokinetics

Tom qab cov neeg siv qhov ncauj, metformin yog nqus los ntawm cov hnyuv zom tag nrho. Nws qhov tseeb txog qhov tsis tuaj yeem loj txog 50-60%. Qhov siab tshaj plaws ntawm ib yam khoom hauv ntshav tau txog kwv yees li 2.5 teev tom qab kev tswj hwm thiab yog 15 μmol, lossis 2 2g / ml. Thaum noj cov tshuaj metformin nrog rau cov zaub mov, nws txoj kev nqus qis thiab txo qis qis. Nws muab faib nrawm thoob plaws cov ntaub so ntswg ntawm lub cev, xyaum tsis txhob khi rau cov protein ntau.

Metformin tshuaj tiv thaiv kab mob me me thiab txhaws hauv cov zis. Nws txoj kev tshem tawm hauv cov neeg tuaj yeem noj qab haus huv yog 400 ml / min (uas yog 4 npaug ntau dua li creatinine tshem tawm), uas ua pov thawj qhov tsis pom muaj cov tubular ua kom zoo. Ib nrab-lub neej yog kwv yees li 6,5 teev. Nrog raum tsis ua haujlwm, nws nce, uas ua rau muaj kev pheej hmoo ntawm kev txuam nrog cov tshuaj.

Cov lus qhia rau kev siv ntawm Gliformin: txoj kev thiab ntau npaum li cas

Cov ntsiav tshuaj Glyformin yog noj ntawm qhov ncauj thaum noj mov lossis tom qab, tsis tas yuav zom, nrog dej ntau.

Tus kws kho mob sau ntawv qhov ntau npaum li cas thiab lub sijhawm rau kev tswj hwm tus kheej, coj mus rau theem tus lej ntawm cov piam thaj hauv cov ntshav.

Thaum pib kho, thawj ib, cov koob tshuaj tuaj yeem yog txij li 0.5 txog 1 g ib hnub ib zaug, tom qab ntawd, nyob ntawm seb muaj suab thaj hauv ntshav ntau npaum li cas, nws tuaj yeem maj mam nce ntxiv. Cov koob tshuaj saib xyuas, raws li txoj cai, yog 1.5-2 g ib hnub, muab faib ua 2-3 koob.

Qhov siab tshaj plaws txhua hnub koob ntawm Gliformin yog 3 g.

Rau cov neeg mob laus, cov tshuaj ntau tshaj yog 1 g nyob rau ib hnub.

Thaum muaj teeb meem loj ntawm lub cev cov teeb meem, qhov koob tshuaj yog pom zoo kom txo qis, txij li kev pheej hmoo ntawm cov kab mob lactic acid nce.

Sab sij huam

  • Los ntawm cov kab ke endocrine: nyob rau hauv rooj plaub ntawm kev siv ntau dhau - hypoglycemia,
  • Los ntawm lub plab zom mov: tsis muaj qab los noj mov, mob plab, xeev siab, hnov ​​qab hauv plab hauv lub qhov ncauj, raws plab, ntuav, flatulence (cov tsos mob no yog cov yam ntxwv rau kev pib kho, tom qab ntawd qhov xwm txheej ib txwm ua),,
  • Los ntawm cov kab mob hemopoietic: qee zaum - megaloblastic anemia,
  • Los ntawm sab ntawm cov metabolism: nrog kev kho mob ntev - hypovitaminosis B12, muaj qee zaus, cov kab mob lactic acidosis,
  • Kev ua xua rau: xoo pob khaus.

Yog tias muaj kev mob tshwm sim, nws yog qhov yuav tsum tau rho tawm Glyformin ib ntus thiab sab laj nrog kws kho mob.

Cov lus qhia tshwj xeeb

Txoj kev kho yuav tsum nrog soj ntsuam cov ntshav qabzib kom tsis tu ncua.

Thaum lub sijhawm kho, cov kev tshawb fawb yuav tsum tau ua txhua txhua rau lub hlis los txiav txim siab txog qib ntawm lactate thiab creatinine hauv ntshav ntshav. Lub raum kev ua haujlwm tshwj xeeb tshaj yog saib xyuas hauv cov neeg laus. Glyformin yuav tsum tsis txhob raug rau cov txiv neej nrog qib siab creatinine siab dua 135 μmol / L, rau cov poj niam - 110 μmol / L.

Cov kev mob tshwm sim los ntawm lub plab zom mov tuaj yeem raug txo qis los ntawm kev siv tib lub sijhawm ntawm antacids lossis antispasmodics.

Lub sijhawm kho yuav tsum tsis pub haus dej cawv thiab cov khoom ntim uas muaj ethanol.

Nrog rau kev kho mob monotherapy, Gliformin tsis cuam tshuam rau lub peev xwm los tsav tsheb thiab ua haujlwm nrog cov txheej txheem.

Thaum noj cov tshuaj Gliformin nrog rau lwm cov kab mob hypoglycemic, suav nrog insulin, sulfonylureas, nws yog qhov yuav tsum tau ceev faj thaum tsav tsheb thiab ua cov haujlwm muaj kev phom sij uas xav tau kev kub ceev ntawm cov kev xav psychomotor thiab nce siab.

Yeeb tshuaj sib cuam tshuam

Nws yog ua tau los txhim kho qhov kev ua ntawm Glyformin nrog kev siv tib lub sijhawm nrog insulin, beta-blockers, sulfonylureas, tshuaj tsis-steroidal anti-inflammatory, acarbose, monoamine oxidase inhibitors, angiotensin hloov enzyme inhibitors, oxytetracycline, cyclophosphamide, thiab lwm yam.

Cov nyhuv ntawm Gliformin yuav raug txo qis thaum siv glucagon, glucocorticosteroids, tshuaj tiv thaiv qhov ncauj, cov thyroid hormones, epinephrine, sympathomimetics, "voj" thiab thiazide diuretics, derivatives ntawm nicotinic acid thiab phenothiazine.

Kev siv cov pa tshuaj ua ke nrog cov tshuaj pleev ua rau cov kab mob ua rau cov kab mob lactic acidosis.

Kev tshem tawm ntawm Glyformin qeeb qeeb thaum ua ke nrog cimetidine, qhov ntxim nyiam ntawm kev lactic acidosis nce ntxiv.

Nrog rau kev coj ua ke nrog cov tshuaj tiv thaiv anticoagulants, coumarin derivatives, lawv cov nyhuv raug txo kom tsawg.

Gliformin's analogues yog: Glucofage, Glucofage Ntev, Glukoran, Gliguanid, Dformin, Diaberit, Diabetosan, Diabexil, Diguanil, Metformin, Melbin, Mellitin, Metiguanid, Modulan, Formmetin.

Tus nqi ntawm Gliformin hauv cov khw muag tshuaj

Tus nqi kwv yees ntawm Gliformin 0.5 g ntsiav tshuaj hauv cov khw muag tshuaj yog 86-130 rubles (pob muaj 60 ntsiav tshuaj). Koj tuaj yeem yuav cov ntsiav tshuaj hauv zaj duab xis txheej nrog qhov tshuaj ntawm 0.85 g rau kwv yees li 191-217 rubles, thiab ntau npaum li 1 g rau 242-329 rubles (txhua pob muaj 60 ntsiav tshuaj).

Gliformin 500mg No. 60 ntsiav tshuaj

Gliformin 500 mg n60 tab

Gliformin ntsiav tshuaj 500 mg 60 pcs.

Gliformin Tab. 500mg n60

Gliformin Tab. p.p.o. 850mg n60

Gliformin Ntev Tab. rub tawm. tab. n / cov raug txhom. 750mg No. 30

Gliformin ntsiav tshuaj 60 pcs.

Kev Kawm: Rostov State Medical University, tshwj xeeb "General Tshuaj".

Cov ntaub ntawv hais txog cov tshuaj raug muab dav dav, muab rau kev qhia tawm thiab tsis hloov chaw cov lus qhia. Kev siv tshuaj rau tus kheej yog qhov txaus ntshai rau kev noj qab haus huv!

Raws li ntau tus kws tshawb fawb, cov vitamins complex yog qhov tsis muaj txiaj ntsig rau tib neeg.

Thaum cov neeg nyiam hnia, lawv ib leeg poob 6.4 kcal ib feeb, tab sis tib lub sijhawm lawv sib pauv yuav luag 300 ntau hom kab sib txawv.

Nrog kev mus saib xyuas lub txaj tanning, txoj kev pheej hmoo ntawm kev mob qog tawv nqaij yuav nce 60%.

Ntau cov tshuaj tau xub pib ua lag luam li tshuaj. Piv txwv li yeeb dawb, tau pib ua lag luam ua tshuaj hnoos. Thiab cocaine tau pom zoo los ntawm cov kws kho mob ua tshuaj loog thiab yog lub zog ntawm kev ua kom lub siab ntev.

Hauv kev mob siab kom tau tus neeg mob tawm, cov kws kho mob feem ntau mus deb dhau. Yog li, piv txwv li, qee yam Charles Jensen nyob rau lub sijhawm txij xyoo 1954 txog 1994. muaj sia nyob ntau dua 900 lub neoplasm tshem tawm txoj haujlwm.

Kev ua haujlwm uas ib tus neeg tsis nyiam yuav muaj kev phom sij rau nws lub siab ntau dua li qhov uas tsis muaj haujlwm hlo li.

Cov kws tshawb fawb los ntawm University of Oxford tshawb nrhiav ntau qhov kev tshawb fawb, thaum lub sijhawm lawv tau txiav txim siab tias kev tsis noj zaub ua rau muaj kev phom sij rau tib neeg lub hlwb, vim tias nws ua rau nws qhov tsawg. Yog li cov kws tshawb fawb pom zoo kom tsis txhob cais cov ntses thiab nqaij los ntawm lawv cov zaub mov noj kom ntau.

Thaum lub neej, tus neeg nruab nrab tsim tawm tsis tsawg tshaj li ob lub pas dej loj uas muaj qaub ncaug.

Tus neeg noj tshuaj tiv thaiv kab mob feem ntau yuav rov qab muaj kev nyuaj siab. Yog tias ib tug neeg mob nrog kev nyuaj siab ntawm nws tus kheej, nws muaj txhua lub sijhawm tsis nco qab txog lub xeev no tas mus li.

Ntxiv rau tib neeg, tsuas yog ib tus tsiaj muaj sia nyob ntawm ntiaj chaw ntiaj teb - dev, raug kev txom nyem los ntawm prostatitis. Cov no yog peb cov phooj ywg ncaj ncees tshaj plaws.

Cov tshuaj muaj npe zoo "Viagra" tau tsim thaum chiv thawj los kho kev mob ntshav siab los ntawm arterial tawg.

Raws li kev tshawb fawb los ntawm WHO, kev sib tham ib nrab hnub nyob rau ntawm lub xov tooj ntawm tes tau qhov feem ntau ntawm kev txhim kho lub hlwb lub hlwb los ntawm 40%.

Lub siab yog qhov ua haujlwm hnyav tshaj plaws hauv peb lub cev. Nws qhov hnyav nruab nrab yog 1.5 kg.

Yog tias koj luag nyav tsuas yog ob zaug ib hnub, koj tuaj yeem txo cov ntshav siab thiab txo qhov kev pheej hmoo ntawm lub plawv thiab mob nkees.

Tib neeg cov ntshav "khiav" los ntawm cov hlab ntsha hauv qab qhov siab, thiab yog tias nws txoj kev ncaj ncees tau ua txhaum, nws tuaj yeem tua txog 10 meters.

Cov kev ua mob ntawm kev nce qib hauv qib "tsis zoo" cov roj (cholesterol) yog pom tseeb rau lub cev.Nws tau dhau los ua pov thawj tias qhov xwm txheej no ua rau atherosclerosis thiab, vim li ntawd, tsis muaj kev pheej hmoo.

Ntsiav tshuaj dawb lossis yuav luag dawb, pav ca-cylindrical, nrog bevel thiab nqis siab tshaj.

Cov muaj mob: sorbitol, calcium phosphate dihydrate, povidone (polyvinylpyrrolidone), macrogol (polyethylene glycol), calcium stearate lossis stearic acid.

10 Pcs. - blister packagings (6) - pob ntawv ntawm cardboard.

Zaj duab xis-coated ntsiav tshuaj dawb lossis dawb nrog lub creamy lossis greyish tint, oval, biconvex.

Cov muaj mob: cov hmoov txhuv nplej siab, povidone (polyvinylpyrrolidone), kua qaub stearic.

Muaj pes tsawg leeg zaj duab xis plhaub: hypromellose (hydroxypropyl methylcellulose), macrogol (polyethylene glycol 6000), talc.

60 pcs. - polypropylene poom (1) - pob khoom los ntawm cardboard.

60 pcs. - polyethylene poom (1) - pob ntawm cardboard.

Zaj duab xis-coated ntsiav tshuaj dawb lossis dawb nrog lub creamy lossis greyish tint, oval, biconvex.

Cov muaj mob: cov hmoov txhuv nplej siab, povidone (polyvinylpyrrolidone), kua qaub stearic.

Muaj pes tsawg leeg zaj duab xis plhaub: hypromellose (hydroxypropyl methylcellulose), macrogol (polyethylene glycol 6000), talc.

60 pcs. - polypropylene poom (1) - pob khoom los ntawm cardboard.

60 pcs. - polyethylene poom (1) - pob ntawm cardboard.

Kev siv tshuaj hypoglycemic rau qhov ncauj tswj hwm los ntawm pab pawg ntawm biguanides. Glyformin inhibits gluconeogenesis nyob rau hauv daim siab, txo qhov nqus ntawm cov piam thaj los ntawm cov hnyuv, txhim kho kev siv ntu ntawm cov piam thaj, thiab tseem ua rau kev nkag siab ntawm cov ntaub so ntswg mus rau insulin. Txawm li cas los xij, nws tsis muaj kev cuam tshuam rau cov kua dej tso tawm los ntawm beta hlwb ntawm tus txiav. Txo cov qib triglycerides thiab LDL hauv cov ntshav. Stabilizes lossis txo qhov hnyav lub cev. Nws muaj cov nyhuv fibrinolytic vim yog kev tsuj tawm ntawm cov nqaij plasminogen activator inhibitor.

Tom qab noj cov tshuaj hauv, metformin yog nqus los ntawm cov hnyuv. Cmax metformin hauv plasma tuaj txog tom qab 2-2.5 teev. Tom qab noj cov tshuaj txheem, bioavailability yog 50-60%.

Nws xyaum tsis khi rau cov plasma protein. Nws accumulates nyob rau hauv salivary qog, mob siab thiab ob lub raum.

T1/2 yog 1.5-4.5 teev.Nws yog qhov cuam tshuam tsis hloov los ntawm lub raum.

Pharmacokinetics hauv cov chaw kuaj mob tshwj xeeb

Nrog kev ua haujlwm tsis zoo hauv lub raum, kom ceev cov tshuaj yog tau.

- hom 2 mob ntshav qab zib mellitus nrog qhov tsis muaj txiaj ntsig ntawm kev kho kev noj haus (tshwj xeeb tshaj yog nyob rau cov neeg mob rog rog) raws li kev kho mob monotherapy lossis hauv kev sib xyaw nrog lwm cov tshuaj hypoglycemic.

- mob ntshav qab zib precoma, coma,

- Lub raum khiav tsis zoo,

- cov kab mob mob cuam tshuam nrog txoj kev pheej hmoo ntawm lub raum tsis ua haujlwm: lub cev qhuav dej (nrog rau mob raws plab, ntuav), kub taub hau, mob hnyav kis, hypoxia (poob siab, sepsis, mob raum, kab mob ntsws).

- cov lus tshaj tawm los ntawm cov kab mob kev mob siab thiab mob ntev uas tuaj yeem ua rau kev loj hlob ntawm cov nqaij mos hypoxia (suav nrog lub plawv lossis txoj hlab ua pa tsis ua haujlwm, mob myocardial infarction, mob sib tsoo cerebrovascular),

- Kev phais mob hnyav thiab raug mob thaum tua tshuaj insulin,

- Lub siab ua haujlwm tsis zoo,

- ntev kev haus cawv, mob qaug dej qaug cawv,

- lactic acidosis (suav nrog keeb kwm),

- siv tsawg kawg yog 2 hnub ua ntej thiab nyob rau 2 hnub tom qab ua kev tshawb fawb radioisotope lossis xoo hluav taws xob nrog kev qhia ntawm iodine-muaj qhov tsis zoo ntawm tus neeg sawv cev,

- kev ua raws li kev noj zaub mov kom tsis txhob muaj calories ntau tsawg (tsawg dua 1000 cal / hnub),

- lactation (pub niam mis),

- Hypersensitivity rau lub Cheebtsam ntawm cov tshuaj.

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

Cov koob tshuaj ntawm lub tshuaj yog teem los ntawm tus kws kho mob ib leeg zuj zus, nyob ntawm seb muaj qib ntshav qabzib hauv cov ntshav.

Thawj koob tshuaj yog 0.5-1 g / hnub lossis 0.85 g 1 zaug / hnub. Ib qho kev nce zuj zus ntxiv hauv koob tshuaj yog muaj peev xwm ua raws qib ntawm glycemia. Kev saib xyuas cov tshuaj ntawm cov tshuaj feem ntau yog 1.5-2 g / hnub. Qhov ntau tshaj plaws yog 3 g / hnub. Txhawm rau kom txo qis qhov tsis haum ntawm lub plab, cov tshuaj txhua hnub yuav tsum tau muab faib ua 2-3 koob.

Hauv cov neeg mob laus, cov koob tshuaj pom zoo txhua hnub yuav tsum tsis pub ntau tshaj 1 g.

Hauv kev mob plab zom mov tsis haum tshuaj, qhov koob tshuaj Glyformin yuav tsum raug txo vim muaj kev pheej hmoo mob siab ntsws mob ntsws lactic acidosis.

Glyformin ntsiav tshuaj yuav tsum noj yam tsis muaj kev zom, lub sijhawm lossis tom qab noj mov tas, haus dej ntau.

Los ntawm lub plab zom mov: xeev siab ntuav, ntuav, nws yog xim hlau hauv lub qhov ncauj, tsis qab los noj mov, raws plab, pom, mob plab. Cov tsos mob no tshwj xeeb tshaj yog thaum pib kho thiab feem ntau yuav ploj mus ntawm lawv tus kheej. Cov tsos mob no tuaj yeem txo qis los ntawm kev sau tshuaj antacids, atropine derivatives lossis antispasmodics.

Los ntawm sab ntawm cov metabolism: hauv qee qhov tsawg - mob lactic acidosis (yuav tsum muaj kev kho mob ntev ntxiv), nrog kev kho mob ntev - hypovitaminosis B12 (malabsorption).

Los ntawm cov kab ke hemopoietic: hauv qee kis - megaloblastic anemia.

Los ntawm cov kab ke endocrine: hypoglycemia (thaum siv hauv cov koob tshuaj tsis tsim nyog).

Kev tsis haum tshuaj: daim tawv nqaij ua pob.

Yog tias muaj kev phiv, qhov tshuaj yuav tsum raug txo lossis txiav ib pliag.

Cov tsos mob tuag taus lactic acidosis yuav tsim. Qhov ua rau kev txhim kho ntawm cov kab mob lactic acid tuaj yeem tseem yog kev ruaj khov ntawm cov tshuaj vim tias lub zog ua haujlwm tsis zoo. Cov tsos mob thaum ntxov ntawm lactic acidosis yog kev ua kom tsis muaj zog, xeev siab, ntuav, raws plab, txo qis lub cev qhov kub, mob plab, mob leeg nqaij, txo ntshav siab, bradyarrhythmia, yav tom ntej yuav muaj kev ua pa ntxiv, kiv taub hau, tsis meej pem thiab tsis nco qab.

Kev Kho Mob: Thaum muaj cov tsos mob ntawm cov kab mob lactic acidosis, kev kho mob nrog Gliformin yuav tsum tau nres tam sim ntawd, tus neeg mob yuav tsum tau mus pw hauv tsev kho mob sai thiab, tau txiav txim siab qhov hnoos ntawm lactate, paub meej tias txoj kev kuaj mob. Qhov ua tau zoo tshaj plaws los tshem tawm lactate thiab metformin tawm ntawm lub cev yog hemodialysis. Cov kev mob tshwm sim kuj yog nqa tawm.

Nrog tib lub sijhawm siv nrog sulfonylurea derivatives, acarbose, insulin, NSAIDs, MAO inhibitors, oxytetracycline, ACE inhibitors, clofibrate derivatives, cyclophosphamide, beta-blockers, nws yog qhov ua tau los txhim kho hypoglycemic nyhuv ntawm cov tshuaj Glyformin.

Nrog rau kev siv ua ke nrog corticosteroids, tshuaj tiv thaiv qhov ncauj, epinephrine, sympathomimetics, glucagon, cov thyroid hormones, thiazide thiab "loop" diuretics, phenothiazine derivatives, nicotinic acid derivatives, nws tuaj yeem txo qis cov nyhuv hypoglycemic ntawm cov tshuaj Glyformin.

Cimetidine qeeb qeeb qhov kev txiav tawm ntawm cov tshuaj Glyformin, vim tias qhov kev pheej hmoo ntawm kev txhim kho lactic acidosis nce ntxiv.

Gliformin muaj peev xwm ua kom tsis muaj zog ntawm cov tshuaj tiv thaiv anticoagulants (coumarin derivatives).

Nrog rau kev sib xyaw ua ke ntawm ethanol, kev txhim kho ntawm lactic acidosis yog ua tau.

Thaum kho, lub raum kev ua haujlwm yuav tsum raug saib xyuas: ib zaug txhua txhua 6 lub hlis, kev tswj hwm tus kab mob paum muaj qhov tsim nyog (tshwj xeeb tshaj yog rau cov neeg laus). Gliformin yuav tsum tsis txhob raug tshuaj yog tias theem ntawm cov ntshav creatinine hauv cov ntshav siab tshaj 135 μmol / L hauv cov txiv neej thiab 110 μmol / L hauv cov poj niam.

Tsawg kawg 2 zaug hauv ib xyoos, nrog rau qhov pom ntawm myalgia, lub lactate cov ntsiab lus hauv cov ntshav yuav tsum txiav txim siab.

48 teev ua ntej thiab nyob hauv 48 teev tom qab kev xoo hluav taws xob xoo (urography, iv angiography), koj yuav tsum tsis txhob noj tshuaj Glyformin.

Thaum kho, koj yuav tsum caiv tsis txhob haus cawv thiab tshuaj muaj ethanol.

Glyformin tuaj yeem siv ua ke nrog sulfonylurea derivatives. Hauv qhov no, tshwj xeeb tshaj yog saib xyuas cov ntshav ntshav qab zib kom tsim nyog.

Cuam tshuam rau kev muaj peev xwm tsav tsheb thiab tswj cov tshuab

Thaum siv los ua monotherapy, Glyformin tsis muaj kev cuam tshuam rau lub peev xwm ntawm kev tsav tsheb thiab ua haujlwm nrog cov txheej txheem. Thaum Gliformin koom ua ke nrog lwm cov kab mob hypoglycemic (suav nrog sulfonylurea derivatives, insulin), kev mob hypoglycemic tuaj yeem txhim kho qhov uas muaj peev xwm tsav tsheb thiab koom nrog lwm cov kev muaj feem phom sij uas xav tau kev nce siab ntxiv thiab cov tshuaj tiv thaiv mob hlwb sai.

Siv thaum cev xeeb tub thiab thaum lactation (pub niam mis) yog contraindicated.

Thaum npaj kev cev xeeb tub, nrog rau muaj xwm txheej thaum cev xeeb tub thaum noj cov tshuaj Gliformin, cov tshuaj yuav tsum tau txiav tawm thiab kev kho mob insulin yuav tsum tau kho.

Nws tsis paub meej tias metformin raug ntuav tawm hauv niam cov kua mis, yog li ntawd, gliformin yog sib kis hauv kev pub niam mis. Yog tias nws tsim nyog yuav tsum siv tshuaj Glyformin thaum lactation, pub mis niam yuav tsum tsis ua kom ncua.

Nws tsis pom zoo kom siv cov tshuaj hauv cov neeg mob hnub nyoog laus dua 60 xyoo uas ua haujlwm lub cev hnyav, uas cuam tshuam nrog kev pheej hmoo ntawm kev tsim cov kab mob lactic acidosis hauv lawv. Hauv cov neeg mob laus, cov koob tshuaj pom zoo txhua hnub yuav tsum tsis pub ntau tshaj 1 g.

Sau npe B. Cov tshuaj yuav tsum muab cia kom ncav tsis cuag ntawm cov menyuam yaus, hauv qhov chaw qhuav thiab tsaus ntawm qhov kub ntawm qhov tsis kub tshaj 25 ° C. Lub txee lub neej rau cov ntsiav tshuaj 500 mg yog 3 xyoos, rau cov ntsiav tshuaj ntawm 850 mg thiab 1 g - 2 xyoos.

Txhawm rau nug ib cov lus nug txog kev ua haujlwm ntawm qhov project lossis hu rau cov neeg kho, siv daim ntawv no.

Cov lus qhia rau kev siv:

Cov nqi hauv cov khw muag tshuaj hauv online:

Gliformin yog ib qho tshuaj hypoglycemic hauv qhov ncauj.

Sab sij huam

Gliformin yog ib qho kev nyab xeeb uas tsis muaj kab mob ntshav qab zib; ntau yam tsis xis nyob ploj mus ntawm lawv tus kheej dhau sijhawm, tsis muaj kev kho mob. Yog li ntawd qhov kev zam tsis raug cuam tshuam tsawg dua, lub koob tshuaj yuav tsum tau kho me ntsis thaum lub cev tau hloov mus rau cov kev mob tshiab.

Rau kev ua kom loj, qhov ua rau lub ntsiab yog qhov kev ua txhaum ntawm cov hnyuv:

  1. Dyspeptic txawv txav,
  2. Zawv plab
  3. Tsis qab los noj mov
  4. Hloov pauv hauv lub saj saj (lub cim muaj xim hlau).


Kev txiav txim los ntawm gliformin nyob rau hauv cov ntshav qab zib mellitus raws li kev txheeb xyuas, tom qab ntawd feem ntau kev hloov kho siv sijhawm 2-4 lub lis piam. Kev thaiv cov piam thaj hauv plab hnyuv yog ua nrog kev zom thiab kev tso tawm ntawm cov pa roj carbon dioxide. Li no cov kev tsis txaus siab ntawm flatulence, tsam plab, raws plab.

Yog hais tias dyspeptic tsis sib haum nrog kev mob epigastric thiab tsis ploj mus nyob rau hauv ib hlis, koj tuaj yeem sim txo qhov kev txhaj tshuaj lossis hloov cov tshuaj hauv tsev nrog cov qub Fabkis Glucophage, cov muaj pes tsawg leeg, suav nrog cov tshuaj ntxiv metformin, tau kawm tau 10 xyoo.

Kev ua xua uas ua rau muaj kev tawm tsam erythema, tawm pob, khaus khaus yog tsis tshua muaj, tab sis muaj qee qhov kev hloov tshuaj feem ntau hloov. Kev mob ntshav qab zib yog ua tau tsuas yog nrog kev kho mob nyuaj, nrog kev siv tshuaj ntau dhau, noj zaub mov tsis zoo, ua haujlwm lub cev nyhav.

Leej twg tsis haum Glyformin

Daim ntawv ntawm contraindications rau tag nrho cov tshuaj raws li metformin yog ib qho. Ntxiv rau lub raum tsis ua haujlwm, ib qho kev phom sij txaus ntshai ntawm cov khoom lwj uas ua rau qaug tshuaj, cov tshuaj tsis raug cai rau:

  • Mob qab zib coma
  • Hepatic pathologies loj,
  • Tsis ntev los no myocardial infarction,
  • Kev ua yauv tsis haum rau cov khoom xyaw,
  • Cev xeeb tub thiab pub niam mis (hom mob ntshav qab zib yuav tsum yog nyob rau insulin)
  • Mob ntshav qab zib rau cov menyuam yaus hnub nyoog qis dua 10 xyoo - tsis muaj pov thawj ntawm qhov ua tau thiab kev nyab xeeb,
  • Nyob rau hauv lub neej muaj mob uas ua rau lactic acidosis.

Kev tsub zuj zuj ntawm cov kab mob lactic acid (lub suab tawm ntawm lactic acidosis) yog txhawb los ntawm kev ua haujlwm rau lub raum, kev haus cawv, cov kab mob uas ua rau ua pa nyuaj rau cov ntaub so ntswg (mob, mob plawv, mob ntsws), mob ntshav qab zib ketoacidosis, lub cev qhuav dej nrog zawv plab, kub cev, thiab ntuav. Txog thaum rov qab kho lub homeostasis yog rov qab, Glyformin raug tso tseg hauv txhua kis.

Thaum lub sijhawm phais mob, nrog kev raug mob hnyav, kis kab mob, kev tshawb fawb radiopaque, metformin hloov rau ob peb hnub nrog kev npaj tshuaj insulin.

Nrog cov khoom noj tsis zoo, kev tshaib plab, thaum tus neeg mob tau txais tsawg dua 1000 kcal / hnub, lub cev nqaij siav. Tus mob no yog txaus ntshai los ntawm kev txhim kho cov ketoacidosis metabolic.

Qhia Txog Tshuaj Yeeb

Qhov ntxim nyiam ntawm kev ua kom cov hypoglycemic muaj peev xwm ntawm Glyformin nce nrog kev siv insulin, NSAIDs, tshuaj sulfa-urea, thiab β-blockers.

Tus neeg sawv cev ntawm kev ua ntawm metformin tuaj yeem yog glucocorticosteroids, tshuaj tiv thaiv qhov ncauj, cov thyroid hormones, nicotinic acid derivatives, thiazide diuretics.

Tus nqi thiab cia rau cov kev mob ntawm cov tshuaj

Kev khaws cia ntawm Gliformin, cov xwm txheej tshwj xeeb tsis tas yuav tsum muaj: lub ntim khoom qub, qhov kub txog li 25 ° C, qhov chaw tiv thaiv los ntawm cov duab hluav taws xob ultraviolet thiab menyuam yaus. Lub chaw tsim khoom txiav txim rau cov ntsiav tshuaj hauv lub plhaub lub sijhawm lav ntawm 2 xyoos, yam tsis muaj nws - 3 xyoos. Thaum kawg ntawm nws lub neej txee, cov tshuaj yuav tsum tau muab pov tseg.

Ntawm Gliformin, tus nqi rau feem ntau pheej yig:ib daim ntim ntawm cov ntsiav tshuaj hauv zaj duab xis tiv thaiv tuaj yeem muas tau 300 rubles, yam tsis muaj nws - rau 150 rubles. (noj tshuaj ntawm metformin yog 0.5 mg).

Yuav ua li cas hloov cov tshuaj gliformin

Nws tuaj yeem muaj ntau lub laj thawj ntawm kev hloov cov tshuaj - los ntawm cov peev txheej hauv nyiaj txiag rau ib tus neeg tsis kam txais, tab sis nyob rau hauv txhua rooj plaub, tus kws kho mob yuav tsum xaiv cov analogues rau Gliformin raws li tus neeg mob tshuaj ntsuam thiab kev muaj txiaj ntsig. Ntawm qhov kev sab laj, koj yuav tsum qhia qhov tseeb txog cov kev phiv tshuaj, thiab tseem sau tag nrho cov tshuaj uas koj noj ua ib txhij.

Los ntawm cov pab pawg ntawm biagunides, tsuas yog ib cov tshuaj yog nquag siv - metformin, ntawm cov analogues ntawm Glyformin nrog tib yam tshuaj sib xyaw ua ke feem ntau paub:

    Fabkis Cov Kab Hauv Plab, Gliformin rau kom poob phaus

Qhov teeb meem ntawm poob phaus txhawj xeeb txog 23% ntawm cov pej xeem. Lub siab xav ua kom khib thiab qhuas txog qhov pom, sim rau kev zam tshiab tsis tas muab lawv tus kheej ntim rau hauv lub hnab uas tsis muaj dab tsi ua rau cov ntxhais ua rau lawv muaj kev noj qab haus huv yam tsis tau xav txog qhov tshwm sim. Metformin ua hauj lwm li cas hauv qhov no?

Raws li cov kws kho mob, nrog kev rog dhau, kev tiv thaiv insulin yog qhov tseem ceeb. Yog hais tias lub xovtooj kaw nrog cov tshuaj ntsiav roj, qhov rhiab heev ntawm cov receptors poob qis thiab qabzib tsis ncav cuag. Qhov txiav ua tiav txhim kho kev tsim cov tshuaj insulin, cov txuam nrog kev tshaj tawm muaj cov lus tsis zoo hauv cov roj metabolism.

Ib qho ntawm cov laj thawj tseem ceeb rau insulin tsis kam yog kev noj zaub mov tsis zoo nrog ntau ntawm cov sai carbohydrates. Cov insulin tsis ua haujlwm ntau ntxiv los ntawm lub cev, ua rau nws tsis zoo siab rau nws. Qhov tshwm sim yog kev rog, hyperinsulinism. Cov tshuaj rov qab los ua rau lub cev ua rau lub zog ua haujlwm, thiab thaum cov piam thaj feem ntau nqus tau, cov rog txheej tsis loj hlob.

Gliformin: cov lus qhia rau kev siv rau kev poob phaus

Yog tias koj tau txiav txim siab kom poob tiag tiag nrog cov ntsiav tshuaj, tsawg kawg koj yuav tsum ua kom nws yog. Glyformin tsis yog ib qho teeb meem yuav, txawm hais tias tag nrho cov tshuaj hypoglycemic yog cais raws li cov tshuaj xaj. Thaum kawm txog cov lus qhia, them nyiaj tshwj xeeb rau contraindications thiab phiv - ntshav liab, gastritis, neuritis.

Pib kev kawm nrog qhov tsawg kawg nkaus (0.5 g), taug qab ua xua thiab txhua yam kev hloov ntawm kev noj qab nyob zoo. Yog tias koj pib nrog lwm cov koob tshuaj, qhov tsis txaus siab ntawm kev mob tshwm sim (tshwj xeeb yog mob plab zom mov) yuav tsis ua rau koj nyob tos.

Cov ntsiav tshuaj yog siv ua ntej lossis tom qab noj mov, tab sis nws kuj tseem tuaj yeem siv thaum hmo ntuj - qhov no tsis cuam tshuam nrog lawv lub zog. Hauv ob lub lis piam, koj tuaj yeem soj ntsuam qhov ua tau zoo los kho qhov koob tshuaj rau 2 g / hnub. lossis hloov cov tshuaj ntawm.

Gliformin kwv yees los ntawm cov kws kho mob thiab cov ntshav qab zib

Cov kws kho mob soj ntsuam cov nyhuv kho ntawm Gliformin los ntawm nws lub peev xwm los txhim kho insulin receptor rhiab, pab tswj glycemic, nce microcirculation hauv cov ntaub so ntswg, txo cov ntshav txhaws thiab endothelial kawg, thiab zoo cuam tshuam rau dyslipidemia thiab atherogenesis. Thov Gliformin rau kev poob phaus, txiav txim los ntawm kev tshuaj xyuas ntawm cov kws kho mob, yog impractical.

Cov kws soj ntsuam kev txawj ntse ntawm lub peev xwm ntawm Glyformin thiab Lwm Cov Tshuaj Metformin Derivatives rau Qhov hnyav - hauv daim vis dis aus no

Pharmacological kev txiav txim

Glyformin rau cov ntshav qab zib yuav tsum noj tshwj xeeb. Tus txheej txheem ntawm kev ua ntawm cov tshuaj ntawm cov kab ke ntawm cov khoom nruab nrog sab hauv yog tsis to taub tag nrho.

Kev nkag mus rau hauv lub cev, cov tshuaj nquag pabcuam tau koom nrog hauv cov hauv qab no:

Kev siv cov tshuaj "Glyformin" rau cov ntshav qab zib thiab kev rog ua rau poob qis rau lub cev thiab lub cev qhov hnyav. Cov lus qhia tau qhia tias cov tshuaj txhawb nqa ua kom maj mam xaus ntawm cov ntshav txhaws thiab tiv thaiv platelet adhesion.

Metformin hydrochloride nrawm nrawm los ntawm cov hlwb ua lub plab zom mov. Qhov siab tshaj plaws ntawm cov khoom ua kom nquag plias yog tsau tom qab ob teev los ntawm lub sijhawm saib xyuas. Nws cov peev txheej xyoob ntoo yog kwv yees li 50-60%. Cov tshuaj tsis tuaj rau hauv kev sib cuag nrog cov plasma protein, maj mam nthuav tawm hauv cov kab ke ntawm cov plab hnyuv siab raum. Los ntawm lub cev, qhov kev cais tawm uas zoo li yuav luag tsis hloov.

Tsuas tshuaj thiab tswj hwm

Ib qho koob tshuaj tshwj xeeb ntawm Gliformin yog txiav txim los ntawm tus kws kho mob mus kawm rau txhua tus neeg mob ib tus zuj zus, suav txog qib ntawm cov piam thaj hauv ntshav, lub hnub nyoog thiab qhov hnyav ntawm cov kev tshawb fawb ntawm tus kab mob.

Thawj koob yuav yog los ntawm 500 mg rau 1 gram ntawm metformin. Noj cov tshuaj ib hnub ib zaug nrog pluas noj lossis tam sim ntawd tom qab noj mov. Nyob ntawm theem ntawm glycemia tom qab pib kev kho mob, ntau npaum li cas yuav maj mam nce. Cov koob tshuaj saib xyuas, raws li txoj cai, yog 1.5-2 grams tauj ib hnub, qhov tso cai ntau tshaj yog 3 g. Txhawm rau txo cov xwm txheej tsis zoo los ntawm lub plab zom mov, koob tshuaj txhua hnub yuav tsum tau muab faib ua 2-3 koob.

Cov neeg laus yog tsis pom zoo kom ntau tshaj qhov noj ntau npaum li 1 g. lawv muaj kev pheej hmoo ntawm kev tsim cov kab mob lactic acidosis.

Cov lus thiab cov xwm txheej ntawm kev cia

Khaws rau hauv qhov chaw qhuav thiab qhuav ntawm qhov kub txog li 25 ° C. Khaws tsis ncav cuag ntawm cov menyuam yaus.

Txee lub neej: ntsiav tshuaj - 3 xyoos, lev-coated ntsiav tshuaj - 2 xyoos.

Cov Cai Siv Tshuaj So

Tso tawm los ntawm kev kho mob.

Kev tshuaj xyuas txog Gliformin

Raws li cov lus pov thawj txog Gliformin ua tim khawv, nws muaj txiaj ntsig zoo rau kev muaj ntshav qab zib mellitus thiab hauv ntau yam teeb meem ntawm lub cev zom zaub mov. Tsis tas li, feem ntau nws siv los ntawm cov neeg mob tshawb nrhiav kom poob phaus, thiab qee cov neeg siv nws rau cov laj thawj no tau lees tias lawv muaj peev xwm pom poob ceeb thawj thiab ua tsis tau cov tshuaj hormones. Txawm li cas los xij, ntau tus kws tshaj lij ceeb toom tawm tsam kev siv ntawm Gliformin rau qhov poob phaus, yog tias tsis muaj kev ntsuas nruj rau qhov no.

Qee tus neeg mob tau hais txog qhov tshwm sim tsis zoo ntawm cov tshuaj, suav nrog mob taub hau, tsis muaj zog, mob plab tsis ua hauj lwm. Txij li nws muaj peev xwm tawm ntawm ob qho tib si zoo thiab tsis zoo rau lub cev, nws raug pom zoo kom ua kev kho mob nruj raws li kev saib xyuas ntawm tus kws kho mob.

Tus nqi ntawm Gliformin hauv cov khw muag tshuaj

Tus nqi kwv yees ntawm Gliformin 0.5 g ntsiav tshuaj hauv cov khw muag tshuaj yog 86-130 rubles (pob muaj 60 ntsiav tshuaj).Koj tuaj yeem yuav cov ntsiav tshuaj hauv zaj duab xis txheej nrog qhov tshuaj ntawm 0.85 g rau kwv yees li 191-217 rubles, thiab ntau npaum li 1 g rau 242-329 rubles (txhua pob muaj 60 ntsiav tshuaj).

Gliformin 500mg No. 60 ntsiav tshuaj

Gliformin 500 mg n60 tab

Gliformin ntsiav tshuaj 500 mg 60 pcs.

Gliformin Tab. 500mg n60

Gliformin Tab. p.p.o. 850mg n60

Gliformin Ntev Tab. rub tawm. tab. n / cov raug txhom. 750mg No. 30

Gliformin ntsiav tshuaj 60 pcs.

Kev Kawm: Rostov State Medical University, tshwj xeeb "General Tshuaj".

Cov ntaub ntawv hais txog cov tshuaj raug muab dav dav, muab rau kev qhia tawm thiab tsis hloov chaw cov lus qhia. Kev siv tshuaj rau tus kheej yog qhov txaus ntshai rau kev noj qab haus huv!

Raws li ntau tus kws tshawb fawb, cov vitamins complex yog qhov tsis muaj txiaj ntsig rau tib neeg.

Thaum cov neeg nyiam hnia, lawv ib leeg poob 6.4 kcal ib feeb, tab sis tib lub sijhawm lawv sib pauv yuav luag 300 ntau hom kab sib txawv.

Nrog kev mus saib xyuas lub txaj tanning, txoj kev pheej hmoo ntawm kev mob qog tawv nqaij yuav nce 60%.

Ntau cov tshuaj tau xub pib ua lag luam li tshuaj. Piv txwv li yeeb dawb, tau pib ua lag luam ua tshuaj hnoos. Thiab cocaine tau pom zoo los ntawm cov kws kho mob ua tshuaj loog thiab yog lub zog ntawm kev ua kom lub siab ntev.

Hauv kev mob siab kom tau tus neeg mob tawm, cov kws kho mob feem ntau mus deb dhau. Yog li, piv txwv li, qee yam Charles Jensen nyob rau lub sijhawm txij xyoo 1954 txog 1994. muaj sia nyob ntau dua 900 lub neoplasm tshem tawm txoj haujlwm.

Kev ua haujlwm uas ib tus neeg tsis nyiam yuav muaj kev phom sij rau nws lub siab ntau dua li qhov uas tsis muaj haujlwm hlo li.

Cov kws tshawb fawb los ntawm University of Oxford tshawb nrhiav ntau qhov kev tshawb fawb, thaum lub sijhawm lawv tau txiav txim siab tias kev tsis noj zaub ua rau muaj kev phom sij rau tib neeg lub hlwb, vim tias nws ua rau nws qhov tsawg. Yog li cov kws tshawb fawb pom zoo kom tsis txhob cais cov ntses thiab nqaij los ntawm lawv cov zaub mov noj kom ntau.

Thaum lub neej, tus neeg nruab nrab tsim tawm tsis tsawg tshaj li ob lub pas dej loj uas muaj qaub ncaug.

Tus neeg noj tshuaj tiv thaiv kab mob feem ntau yuav rov qab muaj kev nyuaj siab. Yog tias ib tug neeg mob nrog kev nyuaj siab ntawm nws tus kheej, nws muaj txhua lub sijhawm tsis nco qab txog lub xeev no tas mus li.

Ntxiv rau tib neeg, tsuas yog ib tus tsiaj muaj sia nyob ntawm ntiaj chaw ntiaj teb - dev, raug kev txom nyem los ntawm prostatitis. Cov no yog peb cov phooj ywg ncaj ncees tshaj plaws.

Cov tshuaj muaj npe zoo "Viagra" tau tsim thaum chiv thawj los kho kev mob ntshav siab los ntawm arterial tawg.

Raws li kev tshawb fawb los ntawm WHO, kev sib tham ib nrab hnub nyob rau ntawm lub xov tooj ntawm tes tau qhov feem ntau ntawm kev txhim kho lub hlwb lub hlwb los ntawm 40%.

Lub siab yog qhov ua haujlwm hnyav tshaj plaws hauv peb lub cev. Nws qhov hnyav nruab nrab yog 1.5 kg.

Yog tias koj luag nyav tsuas yog ob zaug ib hnub, koj tuaj yeem txo cov ntshav siab thiab txo qhov kev pheej hmoo ntawm lub plawv thiab mob nkees.

Tib neeg cov ntshav "khiav" los ntawm cov hlab ntsha hauv qab qhov siab, thiab yog tias nws txoj kev ncaj ncees tau ua txhaum, nws tuaj yeem tua txog 10 meters.

Cov kev ua mob ntawm kev nce qib hauv qib "tsis zoo" cov roj (cholesterol) yog pom tseeb rau lub cev. Nws tau dhau los ua pov thawj tias qhov xwm txheej no ua rau atherosclerosis thiab, vim li ntawd, tsis muaj kev pheej hmoo.

Ntsiav tshuaj dawb lossis yuav luag dawb, pav ca-cylindrical, nrog bevel thiab nqis siab tshaj.

Cov muaj mob: sorbitol, calcium phosphate dihydrate, povidone (polyvinylpyrrolidone), macrogol (polyethylene glycol), calcium stearate lossis stearic acid.

10 Pcs. - blister packagings (6) - pob ntawv ntawm cardboard.

Zaj duab xis-coated ntsiav tshuaj dawb lossis dawb nrog lub creamy lossis greyish tint, oval, biconvex.

Cov muaj mob: cov hmoov txhuv nplej siab, povidone (polyvinylpyrrolidone), kua qaub stearic.

Muaj pes tsawg leeg zaj duab xis plhaub: hypromellose (hydroxypropyl methylcellulose), macrogol (polyethylene glycol 6000), talc.

60 pcs. - polypropylene poom (1) - pob khoom los ntawm cardboard.

60 pcs. - polyethylene poom (1) - pob ntawm cardboard.

Zaj duab xis-coated ntsiav tshuaj dawb lossis dawb nrog lub creamy lossis greyish tint, oval, biconvex.

Cov muaj mob: cov hmoov txhuv nplej siab, povidone (polyvinylpyrrolidone), kua qaub stearic.

Muaj pes tsawg leeg zaj duab xis plhaub: hypromellose (hydroxypropyl methylcellulose), macrogol (polyethylene glycol 6000), talc.

60 pcs. - polypropylene poom (1) - pob khoom los ntawm cardboard.

60 pcs. - polyethylene poom (1) - pob ntawm cardboard.

Kev siv tshuaj hypoglycemic rau qhov ncauj tswj hwm los ntawm pab pawg ntawm biguanides. Glyformin inhibits gluconeogenesis nyob rau hauv daim siab, txo qhov nqus ntawm cov piam thaj los ntawm cov hnyuv, txhim kho kev siv ntu ntawm cov piam thaj, thiab tseem ua rau kev nkag siab ntawm cov ntaub so ntswg mus rau insulin. Txawm li cas los xij, nws tsis muaj kev cuam tshuam rau cov kua dej tso tawm los ntawm beta hlwb ntawm tus txiav. Txo cov qib triglycerides thiab LDL hauv cov ntshav. Stabilizes lossis txo qhov hnyav lub cev. Nws muaj cov nyhuv fibrinolytic vim yog kev tsuj tawm ntawm cov nqaij plasminogen activator inhibitor.

Tom qab noj cov tshuaj hauv, metformin yog nqus los ntawm cov hnyuv. Cmax metformin hauv plasma tuaj txog tom qab 2-2.5 teev. Tom qab noj cov tshuaj txheem, bioavailability yog 50-60%.

Nws xyaum tsis khi rau cov plasma protein. Nws accumulates nyob rau hauv salivary qog, mob siab thiab ob lub raum.

T1/2 yog 1.5-4.5 teev.Nws yog qhov cuam tshuam tsis hloov los ntawm lub raum.

Pharmacokinetics hauv cov chaw kuaj mob tshwj xeeb

Nrog kev ua haujlwm tsis zoo hauv lub raum, kom ceev cov tshuaj yog tau.

- hom 2 mob ntshav qab zib mellitus nrog qhov tsis muaj txiaj ntsig ntawm kev kho kev noj haus (tshwj xeeb tshaj yog nyob rau cov neeg mob rog rog) raws li kev kho mob monotherapy lossis hauv kev sib xyaw nrog lwm cov tshuaj hypoglycemic.

- mob ntshav qab zib precoma, coma,

- Lub raum khiav tsis zoo,

- cov kab mob mob cuam tshuam nrog txoj kev pheej hmoo ntawm lub raum tsis ua haujlwm: lub cev qhuav dej (nrog rau mob raws plab, ntuav), kub taub hau, mob hnyav kis, hypoxia (poob siab, sepsis, mob raum, kab mob ntsws).

- cov lus tshaj tawm los ntawm cov kab mob kev mob siab thiab mob ntev uas tuaj yeem ua rau kev loj hlob ntawm cov nqaij mos hypoxia (suav nrog lub plawv lossis txoj hlab ua pa tsis ua haujlwm, mob myocardial infarction, mob sib tsoo cerebrovascular),

- Kev phais mob hnyav thiab raug mob thaum tua tshuaj insulin,

- Lub siab ua haujlwm tsis zoo,

- ntev kev haus cawv, mob qaug dej qaug cawv,

- lactic acidosis (suav nrog keeb kwm),

- siv tsawg kawg yog 2 hnub ua ntej thiab nyob rau 2 hnub tom qab ua kev tshawb fawb radioisotope lossis xoo hluav taws xob nrog kev qhia ntawm iodine-muaj qhov tsis zoo ntawm tus neeg sawv cev,

- kev ua raws li kev noj zaub mov kom tsis txhob muaj calories ntau tsawg (tsawg dua 1000 cal / hnub),

- lactation (pub niam mis),

- Hypersensitivity rau lub Cheebtsam ntawm cov tshuaj.

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

Cov koob tshuaj ntawm lub tshuaj yog teem los ntawm tus kws kho mob ib leeg zuj zus, nyob ntawm seb muaj qib ntshav qabzib hauv cov ntshav.

Thawj koob tshuaj yog 0.5-1 g / hnub lossis 0.85 g 1 zaug / hnub. Ib qho kev nce zuj zus ntxiv hauv koob tshuaj yog muaj peev xwm ua raws qib ntawm glycemia. Kev saib xyuas cov tshuaj ntawm cov tshuaj feem ntau yog 1.5-2 g / hnub. Qhov ntau tshaj plaws yog 3 g / hnub. Txhawm rau kom txo qis qhov tsis haum ntawm lub plab, cov tshuaj txhua hnub yuav tsum tau muab faib ua 2-3 koob.

Hauv cov neeg mob laus, cov koob tshuaj pom zoo txhua hnub yuav tsum tsis pub ntau tshaj 1 g.

Hauv kev mob plab zom mov tsis haum tshuaj, qhov koob tshuaj Glyformin yuav tsum raug txo vim muaj kev pheej hmoo mob siab ntsws mob ntsws lactic acidosis.

Glyformin ntsiav tshuaj yuav tsum noj yam tsis muaj kev zom, lub sijhawm lossis tom qab noj mov tas, haus dej ntau.

Los ntawm lub plab zom mov: xeev siab ntuav, ntuav, nws yog xim hlau hauv lub qhov ncauj, tsis qab los noj mov, raws plab, pom, mob plab.Cov tsos mob no tshwj xeeb tshaj yog thaum pib kho thiab feem ntau yuav ploj mus ntawm lawv tus kheej. Cov tsos mob no tuaj yeem txo qis los ntawm kev sau tshuaj antacids, atropine derivatives lossis antispasmodics.

Los ntawm sab ntawm cov metabolism: hauv qee qhov tsawg - mob lactic acidosis (yuav tsum muaj kev kho mob ntev ntxiv), nrog kev kho mob ntev - hypovitaminosis B12 (malabsorption).

Los ntawm cov kab ke hemopoietic: hauv qee kis - megaloblastic anemia.

Los ntawm cov kab ke endocrine: hypoglycemia (thaum siv hauv cov koob tshuaj tsis tsim nyog).

Kev tsis haum tshuaj: daim tawv nqaij ua pob.

Yog tias muaj kev phiv, qhov tshuaj yuav tsum raug txo lossis txiav ib pliag.

Cov tsos mob tuag taus lactic acidosis yuav tsim. Qhov ua rau kev txhim kho ntawm cov kab mob lactic acid tuaj yeem tseem yog kev ruaj khov ntawm cov tshuaj vim tias lub zog ua haujlwm tsis zoo. Cov tsos mob thaum ntxov ntawm lactic acidosis yog kev ua kom tsis muaj zog, xeev siab, ntuav, raws plab, txo qis lub cev qhov kub, mob plab, mob leeg nqaij, txo ntshav siab, bradyarrhythmia, yav tom ntej yuav muaj kev ua pa ntxiv, kiv taub hau, tsis meej pem thiab tsis nco qab.

Kev Kho Mob: Thaum muaj cov tsos mob ntawm cov kab mob lactic acidosis, kev kho mob nrog Gliformin yuav tsum tau nres tam sim ntawd, tus neeg mob yuav tsum tau mus pw hauv tsev kho mob sai thiab, tau txiav txim siab qhov hnoos ntawm lactate, paub meej tias txoj kev kuaj mob. Qhov ua tau zoo tshaj plaws los tshem tawm lactate thiab metformin tawm ntawm lub cev yog hemodialysis. Cov kev mob tshwm sim kuj yog nqa tawm.

Nrog tib lub sijhawm siv nrog sulfonylurea derivatives, acarbose, insulin, NSAIDs, MAO inhibitors, oxytetracycline, ACE inhibitors, clofibrate derivatives, cyclophosphamide, beta-blockers, nws yog qhov ua tau los txhim kho hypoglycemic nyhuv ntawm cov tshuaj Glyformin.

Nrog rau kev siv ua ke nrog corticosteroids, tshuaj tiv thaiv qhov ncauj, epinephrine, sympathomimetics, glucagon, cov thyroid hormones, thiazide thiab "loop" diuretics, phenothiazine derivatives, nicotinic acid derivatives, nws tuaj yeem txo qis cov nyhuv hypoglycemic ntawm cov tshuaj Glyformin.

Cimetidine qeeb qeeb qhov kev txiav tawm ntawm cov tshuaj Glyformin, vim tias qhov kev pheej hmoo ntawm kev txhim kho lactic acidosis nce ntxiv.

Gliformin muaj peev xwm ua kom tsis muaj zog ntawm cov tshuaj tiv thaiv anticoagulants (coumarin derivatives).

Nrog rau kev sib xyaw ua ke ntawm ethanol, kev txhim kho ntawm lactic acidosis yog ua tau.

Thaum kho, lub raum kev ua haujlwm yuav tsum raug saib xyuas: ib zaug txhua txhua 6 lub hlis, kev tswj hwm tus kab mob paum muaj qhov tsim nyog (tshwj xeeb tshaj yog rau cov neeg laus). Gliformin yuav tsum tsis txhob raug tshuaj yog tias theem ntawm cov ntshav creatinine hauv cov ntshav siab tshaj 135 μmol / L hauv cov txiv neej thiab 110 μmol / L hauv cov poj niam.

Tsawg kawg 2 zaug hauv ib xyoos, nrog rau qhov pom ntawm myalgia, lub lactate cov ntsiab lus hauv cov ntshav yuav tsum txiav txim siab.

48 teev ua ntej thiab nyob hauv 48 teev tom qab kev xoo hluav taws xob xoo (urography, iv angiography), koj yuav tsum tsis txhob noj tshuaj Glyformin.

Thaum kho, koj yuav tsum caiv tsis txhob haus cawv thiab tshuaj muaj ethanol.

Glyformin tuaj yeem siv ua ke nrog sulfonylurea derivatives. Hauv qhov no, tshwj xeeb tshaj yog saib xyuas cov ntshav ntshav qab zib kom tsim nyog.

Cuam tshuam rau kev muaj peev xwm tsav tsheb thiab tswj cov tshuab

Thaum siv los ua monotherapy, Glyformin tsis muaj kev cuam tshuam rau lub peev xwm ntawm kev tsav tsheb thiab ua haujlwm nrog cov txheej txheem. Thaum Gliformin koom ua ke nrog lwm cov kab mob hypoglycemic (suav nrog sulfonylurea derivatives, insulin), kev mob hypoglycemic tuaj yeem txhim kho qhov uas muaj peev xwm tsav tsheb thiab koom nrog lwm cov kev muaj feem phom sij uas xav tau kev nce siab ntxiv thiab cov tshuaj tiv thaiv mob hlwb sai.

Siv thaum cev xeeb tub thiab thaum lactation (pub niam mis) yog contraindicated.

Thaum npaj kev cev xeeb tub, nrog rau muaj xwm txheej thaum cev xeeb tub thaum noj cov tshuaj Gliformin, cov tshuaj yuav tsum tau txiav tawm thiab kev kho mob insulin yuav tsum tau kho.

Nws tsis paub meej tias metformin raug ntuav tawm hauv niam cov kua mis, yog li ntawd, gliformin yog sib kis hauv kev pub niam mis. Yog tias nws tsim nyog yuav tsum siv tshuaj Glyformin thaum lactation, pub mis niam yuav tsum tsis ua kom ncua.

Nws tsis pom zoo kom siv cov tshuaj hauv cov neeg mob hnub nyoog laus dua 60 xyoo uas ua haujlwm lub cev hnyav, uas cuam tshuam nrog kev pheej hmoo ntawm kev tsim cov kab mob lactic acidosis hauv lawv. Hauv cov neeg mob laus, cov koob tshuaj pom zoo txhua hnub yuav tsum tsis pub ntau tshaj 1 g.

Sau npe B. Cov tshuaj yuav tsum muab cia kom ncav tsis cuag ntawm cov menyuam yaus, hauv qhov chaw qhuav thiab tsaus ntawm qhov kub ntawm qhov tsis kub tshaj 25 ° C. Lub txee lub neej rau cov ntsiav tshuaj 500 mg yog 3 xyoos, rau cov ntsiav tshuaj ntawm 850 mg thiab 1 g - 2 xyoos.

Txhawm rau nug ib cov lus nug txog kev ua haujlwm ntawm qhov project lossis hu rau cov neeg kho, siv daim ntawv no.

Cov lus qhia rau kev siv:

Cov nqi hauv cov khw muag tshuaj hauv online:

Gliformin yog ib qho tshuaj hypoglycemic hauv qhov ncauj.

Tso tawm daim ntawv thiab muaj pes tsawg leeg

Daim ntawv tsuas tshuaj ntawm Gliformin yog cov ntsiav tshuaj.

Cov tshuaj nquag ua haujlwm ntawm cov tshuaj yog metformin hydrochloride. Qhov nws mob siab hauv ib ntsiav tshuaj tuaj yeem yog 500 mg, 850 mg lossis 1 gram.

Ntu cov khoom siv ntawm 500 mg ntsiav tshuaj yog calcium phosphate dihydrate, sorbitol, povidone (polyvinylpyrrolidone), stearic acid los yog calcium stearate, macrogol (polyethylene glycol). 60 daim raug muag. hauv cov thawv ntawv thawv (6 lub blister ntim muaj 10 ntsiav tshuaj txhua).

Cov tshuaj ntxiv ntawm Glyformin 850 mg thiab 1 gram ntsiav tshuaj yog qos hmoov txhuv nplej siab, stearic acid, povidone (polyvinylpyrrolidone). Ntawm cov tshuaj no, 60 ntsiav tshuaj yog muag. hauv polypropylene cov kaus poom.

Kev ntsuas rau siv

Glyformin, raws li cov lus qhia, yog npaj rau kev kho mob hom 2 ntshav qab zib mellitus, tshwj xeeb tshaj yog cov neeg mob rog. Cov tshuaj no tau raug sau tseg yog tias txoj kev noj zaub mov tsis muaj txiaj ntsig.

Cov Yuav Tsum Muaj

Raws li cov lus piav qhia rau cov tshuaj, contraindications rau kev siv ntawm Gliformin yog:

  • Ntshav qab zib ketoacidosis
  • Mob ntshav qab zib precoma thiab coma
  • Kev ua haujlwm ntev tshaj plaws, kev raug mob hnyav thiab lwm yam mob thaum kev kho mob insulin,
  • Mob raum tsis zoo,
  • Mob kab mob uas tuaj yeem ua rau lub raum ua haujlwm tsis zoo: lub cev qhuav dej (suav nrog ntuav, raws plab), kub taub hau, mob hnyav, hypoxia (nrog rau mob raum, mob sepsis, mob ntsws, ua rau mob ntsws, ua rau poob siab),
  • Mob cawv lom,
  • Kev haus cawv mus ntev
  • Cov kab mob lactic acidosis (mob lactic acid coma), suav nrog keeb kwm ntawm
  • Ua raws li kev noj haus hypocaloric (thaum ib tus neeg noj tsawg dua 1000 calories / hnub),
  • Daim siab ua haujlwm tsis zoo,
  • Mob nyhav thiab mob ntev tuaj yeem ua rau cov nqaij mos hypoxia (suav nrog rau mob myocardial infarction, mob plawv lossis ua pa tsis ua haujlwm, mob cerebrovascular mob hnyav)

Tsis tas li ntawd, Gliformin, raws li cov lus qhia, yog contraindicated:

  • Thaum cev xeeb tub
  • Pub Niam Mis Los Noj
  • Nrog rau qhov ua kom tsis haum kab mob rau metformin lossis lwm qhov ntu.

Cov tshuaj tsis pom zoo rau cov neeg mob laus dua 60 xyoo uas ua lub cev hnyav, vim tias Hauv qhov no, qhov kev pheej hmoo ntawm kev tsim cov kab mob lactic acidosis yog siab.

Tsuas tshuaj thiab tswj hwm

Ib qho koob tshuaj tshwj xeeb ntawm Gliformin yog txiav txim los ntawm tus kws kho mob mus kawm rau txhua tus neeg mob ib tus zuj zus, suav txog qib ntawm cov piam thaj hauv ntshav, lub hnub nyoog thiab qhov hnyav ntawm cov kev tshawb fawb ntawm tus kab mob.

Thawj koob yuav yog los ntawm 500 mg rau 1 gram ntawm metformin. Noj cov tshuaj ib hnub ib zaug nrog pluas noj lossis tam sim ntawd tom qab noj mov. Nyob ntawm theem ntawm glycemia tom qab pib kev kho mob, ntau npaum li cas yuav maj mam nce.Cov koob tshuaj saib xyuas, raws li txoj cai, yog 1.5-2 grams tauj ib hnub, qhov tso cai ntau tshaj yog 3 g. Txhawm rau txo cov xwm txheej tsis zoo los ntawm lub plab zom mov, koob tshuaj txhua hnub yuav tsum tau muab faib ua 2-3 koob.

Cov neeg laus yog tsis pom zoo kom ntau tshaj qhov noj ntau npaum li 1 g. lawv muaj kev pheej hmoo ntawm kev tsim cov kab mob lactic acidosis.

Sab sij huam

Cov kev tshwm sim uas nquag tshaj plaws uas tau sau tseg nrog Gliformin yog cov teeb meem ntawm lub plab zom mov, uas yog mob plab, pom pob zom, muaj xim hlau hauv lub qhov ncauj, ntuav, xeev siab, raws plab, thiab tsis qab los. Cov tsos mob no feem ntau tshwm sim thaum pib kho thiab feem ntau yuav ploj mus ntawm lawv tus kheej. Ntxiv mus, lawv qhov mob hnyav tuaj yeem txo los ntawm kev noj tshuaj antispasmodics, antacids lossis atropine derivatives.

Qee qhov xwm txheej, cov kev mob tshwm sim ntawm Gliformin tau sau tseg:

  • Los ntawm sab ntawm cov metabolism - lactic acidosis,
  • Los ntawm cov kab mob hemopoietic - megaloblastic anemia,
  • Ua xua - tawv nqaij ua pob khaus thiab khaus.

Nrog rau kev siv lub sijhawm ntev heev ntawm Gliformin, hypovitaminosis B12 yuav tshwm sim, thaum noj cov tshuaj tsis haum tshuaj, hypoglycemia.

Nrog kev siv tshuaj ntau dhau, muaj txoj hmoo los tsim cov kab mob lactic acidosis, qee zaum muaj qhov ua rau neeg tuag taus. Lwm qhov ua rau cov kab mob lactic acidosis tuaj yeem yog cov txuam nrog metformin vim yog ua haujlwm tsis zoo rau lub raum. Cov tsos mob thaum ntxov ntawm lactic acidosis yog xeev siab, dav dav tsis muaj zog, ntuav, txo qis lub cev kub, raws plab, mob plab thiab mob leeg, bradyarrhythmia, thiab txo qis ntshav siab. Nyob rau hauv lub neej tom ntej, kiv taub hau tshwm, ua pa ceev thiab tsis hnov ​​qab, nco qab.

Yog tias muaj kev noj ntau dhau thiab qhov tshwm sim ntawm cov tsos mob ntawm cov kab mob lactic acidosis, kev tswj hwm ntawm Gliformin yuav tsum tau muab tshem tawm sai sai thiab tus neeg mob tau pw hauv tsev kho mob sai. Qhov ua tau zoo tshaj plaws ntawm kev tshem tawm cov tshuaj metformin thiab lactate los ntawm lub cev yog hemodialysis. Yav tom ntej, kev kho cov tsos mob yog qhia.

Cov lus qhia tshwj xeeb

Thaum lub sij hawm siv Glyformin, nws yog qhov tsim nyog:

  • Tsis txhob haus cawv thiab tshuaj muaj ethanol,
  • Tsawg kawg 2 zaug hauv ib xyoos, nrog rau cov tsos ntawm pom ntawm myalgia, txiav txim siab cov ntsiab lus plasma lactate,
  • Soj ntsuam lub raum kev ua haujlwm: ib zaug txhua rau lub hlis, txiav txim siab cov theem ntawm cov ntshav creatinine.

Yog tias nws yuav tsum tau ua txoj kev tshawb nrhiav X-ray lossis radioisotope nrog kev qhia txog kev tso tshuaj iodine uas muaj cov tshuaj tiv thaiv kab mob, koj yuav tsum tsis txhob noj Gliformin 48 teev ua ntej cov txheej txheem uas tau thov thiab tsis txhob noj ntxiv 2 hnub tom qab nws.

Raws li cov tshuaj nquag, Gliformin analogues yog cov tshuaj hauv qab no:

Cov lus thiab cov xwm txheej ntawm kev cia

Gliformin yog cov tshuaj kws kho mob xaj.

Nws yuav tsum muab cia rau hauv qhov chaw qhuav, nkag tsis tau rau kev nkag mus ntawm lub hnub ci, qhov kub ntawm siab txog 25 ºС. Nrog kev khaws cia kom zoo, lub txee lub neej ntawm 500 mg ntsiav tshuaj yog 3 xyoos, 850 mg ntsiav tshuaj thiab 1 gram - 2 xyoos.

Pom qhov yuam kev hauv cov ntawv nyeem? Xaiv nws thiab nias Ctrl + Enter.

Gliformin 500mg No. 60 ntsiav tshuaj

Gliformin 500 mg n60 tab

Gliformin ntsiav tshuaj 500 mg 60 pcs.

Gliformin Tab. 500mg n60

Gliformin Tab. p.p.o. 850mg n60

Gliformin Ntev Tab. rub tawm. tab. n / cov raug txhom. 750mg No. 30

Gliformin ntsiav tshuaj 60 pcs.

Lazolvan yog cov tshuaj mucolytic thiab expectorant. Daim ntawv c. cov ntsiab lus ntxiv

Diazolin yog tshuaj antihistamine uas nyob rau hauv pab pawg. cov ntsiab lus ntxiv

Helomirtol yog ib qho tshuaj siv rau. cov ntsiab lus ntxiv

Atoxil - cov tshuaj uas muaj bacteriostatic, mob txhab. cov ntsiab lus ntxiv

Amixin yog ib qho tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv kab mob ntshav siab (immunostimulating). F. ntau

Lincomycin yog cov tshuaj tua kabmob. Daim Ntawv. cov ntsiab lus ntxiv

Gliformin rau qhov poob phaus

Qhov teeb meem ntawm poob phaus txhawj xeeb txog 23% ntawm cov pej xeem.Lub siab xav ua kom khib thiab qhuas txog qhov pom, sim rau kev zam tshiab tsis tas muab lawv tus kheej ntim rau hauv lub hnab uas tsis muaj dab tsi ua rau cov ntxhais ua rau lawv muaj kev noj qab haus huv yam tsis tau xav txog qhov tshwm sim. Metformin ua hauj lwm li cas hauv qhov no?

Raws li cov kws kho mob, nrog kev rog dhau, kev tiv thaiv insulin yog qhov tseem ceeb. Yog hais tias lub xovtooj kaw nrog cov tshuaj ntsiav roj, qhov rhiab heev ntawm cov receptors poob qis thiab qabzib tsis ncav cuag. Qhov txiav ua tiav txhim kho kev tsim cov tshuaj insulin, cov txuam nrog kev tshaj tawm muaj cov lus tsis zoo hauv cov roj metabolism.

Ib qho ntawm cov laj thawj tseem ceeb rau insulin tsis kam yog kev noj zaub mov tsis zoo nrog ntau ntawm cov sai carbohydrates. Cov insulin tsis ua haujlwm ntau ntxiv los ntawm lub cev, ua rau nws tsis zoo siab rau nws. Qhov tshwm sim yog kev rog, hyperinsulinism. Cov tshuaj rov qab los ua rau lub cev ua rau lub zog ua haujlwm, thiab thaum cov piam thaj feem ntau nqus tau, cov rog txheej tsis loj hlob.

Kev taw qhia rau kev siv tshuaj "Gliformin"

Cov ntsiav tshuaj rau kev pom zoo pom zoo kom coj tus neeg mob nrog cov kab hauv qab no:

  • Ntshav Qab Zib Hom II, thaum kev noj zaub mov noj thiab sulfonylurea npaj tsis muaj txiaj ntsig.
  • Hom I mob ntshav qab zib mellitus (ntxiv rau ib qho qauv tshuaj insulin).

Thaum kho, kev saib xyuas lub raum tas li yog tsim nyog, ib zaug txhua rau lub hlis nws pom zoo kom kuaj cov lactate hauv cov ntshav ntshav.

Sab sij huam

Thaum kws kho mob sau tawm "Gliformin" rau cov ntshav qab zib, kev tshuaj xyuas cov neeg mob tiag tiag tuaj yeem ntsuas qhov ua tau zoo ntawm cov tshuaj. Zoo li lwm yam tshuaj, nws tuaj yeem ua rau ntau cov kev mob tshwm sim:

  • Cov tshuaj endocrine: hypoglycemia.
  • Ntshav ncig: mob ntshav liab.
  • Kev ua xua rau: ua pob khaus, urticaria.
  • Kev tiv thaiv kab mob: hypovitaminosis.
  • Lub plab zom mov: tsis muaj qab los noj mov, xeev siab, saj ntawm cov hlau hauv qhov ncauj, ntuav, raws plab.

Yog tias muaj qhov tshwm sim tsis zoo, nws yog qhov yuav tsum tsis kam noj cov ntsiav tshuaj rau qee lub sijhawm thiab sab laj nrog kws kho mob.

Nqe thiab kev mob cia

Cov tshuaj yuav tsum khaws cia ntawm qhov kub txog 25 degrees nyob rau hauv qhov chaw tiv thaiv los ntawm menyuam yaus. Txee lub neej yog 3 xyoos, thiab rau cov ntsiav tshuaj hauv zaj duab xis txheej - 2 xyoos.

Gliformin raug nqi ntau npaum li cas? Ntawm cov ntshav qab zib, tus nqi ntawm cov tshuaj tau ua lub luag haujlwm tseem ceeb rau ntau tus neeg mob. Cov tshuaj tau qhia nyob rau hauv tsab xov xwm yog tus nqi pheej yig. Rau kev ntim ntawm cov ntsiav tshuaj hauv ib txheej zaj duab xis yuav tau them me ntsis ntau dua 300 rubles. Tshuaj tua kab nrog ib qho sib cais chamfer (0.5 g ntawm cov tshuaj nquag) yog pheej yig dua - txog 150 rubles.

Thaum cov tshuaj "Glyformin" yog yuav, siv, cov lus qhia, tshuaj xyuas - qhov no yog thawj qhov uas cov neeg mob tau them siab. Vim tias muaj ntau yam kev tsis sib haum, cov tshuaj tsis haum rau ntau yam. Koj tuaj yeem xaiv cov tshuaj zoo ib yam hauv cov chaw muag tshuaj tom qab sab laj nrog kws kho mob.

Ntawm cov analogues uas feem ntau sib haum rau Gliformin nyob rau hauv cov ntsiab lus ntawm cov ntsiab lus ntawm cov tshuaj nquag, hauv qab no yog qhov txawv: Diaberite, Metformin, Glucoran.

Kev tshuaj xyuas ntawm cov neeg mob thiab kws kho mob

Coob tus neeg mob uas tau muab cov tshuaj no rau kev kho mob qhia qhov muaj peev xwm siab ntawm kev siv ntau tshaj. Feem ntau, nws yog vim kev siv tshuaj tsis yog. Kev noj tshuaj ntau dhau tuaj yeem ua rau muaj qhov tshwm sim ntawm kev sib koom tes lactic acidosis. Nws cov tsos mob tseem ceeb yog: mob leeg, ntuav thiab xeev siab, ua rau tsis nco qab. Yog tias tus neeg mob muaj cov cim zoo li no, nws raug nquahu kom tsis txhob noj cov tshuaj thiab nrhiav kev pab ntawm kws kho mob.

Ntawm qhov tshwj xeeb, kev tshuaj xyuas nyob rau hauv feem ntau yog qhov zoo. Yog vim li cas Glyformin yog li muaj feem ntau kho mob ntshav qab zib. Tus nqi ntawm cov tshuaj muaj feem tsawg, nws tuaj yeem yuav tom yuav luag txhua lub tsev muag tshuaj. Yog tias koj ua tib zoo ua raws li cov lus qhia, qhov ntxim nyiam ntawm kev phiv yog tsawg. Cov kws kho mob tau ceeb toom tias thoob plaws hauv kev kho mob nws yog ib qho tsim nyog yuav tau soj ntsuam rau cov dej ntshiab si cov ntsiab lus 2-3 zaug hauv ib xyoos.Thaum kho, haus dej cawv thiab tshuaj noj uas muaj ethanol yuav tsum tau muab pov tseg.

Yuav kom lub ntsiab

Ntshav qab zib yog ib qho muaj mob uas niaj hnub no, uas niaj hnub muaj ntau los soj ntsuam rau cov neeg hluas. Txog nws txoj kev kho mob, cov kws kho mob sau ntawv ua ntau yam tshuaj. “Glyformin” kuj yog hais txog lawv. Qhov no yog qhov tshuaj ntshav hypoglycemic uas yog lub luag hauj lwm rau kev nce qhov rhiab heev ntawm cov ntaub so ntswg rau insulin. Yog tias koj noj nws raws li cov lus qhia thiab raws li qhia los ntawm koj tus kws kho mob, yuav tsum tsis txhob muaj kev phiv tshuaj. Nws yog qhov tseem ceeb ib yam yuav tau xav txog kev sib kis cov tshuaj.

Cov ntaub ntawv dav dav

Gliformin yog tus sawv cev hypoglycemic npaj rau kev siv sab hauv. Pom zoo rau cov neeg mob ntshav qab zib. Nws yog dawb ntsiav tshuaj dawb los yog oval ntsiav tshuaj.

Cov cuab yeej muaj nyob hauv Lavxias. Nws lub npe Latin yog GLIFORMIN.

Cov tshuaj no tsuas yog muag tshuaj nkaus xwb, vim tias nws tsis haum rau txhua tus mob ntshav qab zib - hauv qee kis, nws txoj kev siv yuav muaj kev phom sij. Yog li, nws tsis tuaj yeem yuav tsum pib kho nws tus kheej nrog nws cov kev pab.

Cov khoom xyaw tseem ceeb hauv Gliformin yog Metformin. Nws yog ib feem ntawm cov tshuaj hauv daim ntawv ntawm hydrochloride.

Ntxiv nrog rau nws, cov tshuaj muaj cov txuam:

  • povidone
  • polyethylene glycol,
  • sorbitol
  • stearic acid
  • calcium phosphate dihydrate.

Glyformin yog tsim nyob rau hauv cov ntsiav tshuaj nrog cov ntsiab lus sib txawv ntawm cov nquag nquag. Muaj cov ntsiav tshuaj nrog qhov ntau npaum li 500 mg, 800 mg thiab 1000 mg (Gliformin Prolong). Feem ntau, cov tshuaj tau ntim rau hauv contour cell, txhua qhov ntawm nws muaj 10 units ntawm cov tshuaj. Cov pob muaj 6 hlwb. Kuj tseem muaj tso tawm hauv polypropylene fwj, qhov twg 60 ntsiav tshuaj ntawm cov tshuaj tau muab tso rau.

Cov chaw muag tshuaj thiab tshuaj pharmacokinetics

Cov tshuaj muaj nyob nrog pab pawg ntawm biguanides. Qhov kev ua ntawm metformin yog txhawm rau tshuaj gluconeogenesis. Nws kuj oxidizes cov rog thiab txhawb nqa kev tsim cov roj dawb dawb.

Nrog nws siv, peripheral receptors cuam tshuam rau cov insulin ntau dua, thiab lub cev lub cev metabolize cov piam thaj sai dua, uas txo nws cov nyiaj.

Raws li kev cuam tshuam ntawm Metformin, cov ntsiab lus hauv insulin tsis hloov pauv. Muaj cov kev hloov pauv hauv cov chaw muag tshuaj ntawm cov tshuaj no. Cov nquag ua haujlwm ntawm Glyformin txhawb nqa kev tsim khoom ntawm glycogen. Thaum noj cov tshuaj no, lub plab hnyuv nqus ntawm cov piam thaj ua rau kom qis.

Qhov nqus ntawm cov khoom xyaw nquag tshwm sim los ntawm lub plab zom mov. Nws yuav siv li ntawm 2.5 teev kom ncav cuag qhov siab tshaj plaws ntawm Metformin.

Qhov tshuaj no yuav luag tsis nkag rau hauv kev sib txuas nrog cov plasma protein. Nws cov tsub zuj zuj tshwm sim hauv lub raum thiab mob siab, nrog rau hauv cov qog ntawm cov salivary apparatus. Metabolites thaum noj Gliformin tsis raug tsim.

Kev tshem tawm cov metformin yog muab los ntawm lub raum. Rau ib nrab-lub neej, nws yuav siv li 4.5 teev. Yog tias muaj teeb meem hauv lub raum, ntau zuj zus tuaj.

Kev taw qhia thiab contraindications

Kev siv ntawm Gliformin yam tsis muaj kev xav tau thiab kev teev npe rau cov lus qhia tuaj yeem ua rau muaj kev phom sij rau kev noj qab haus huv thiab lub neej. Yog li, cov neeg mob yuav tsum tsis txhob siv nws yam tsis muaj kev teem caij los ntawm kws kho mob.

Nws yog ib qho tsim nyog yuav tsum coj mus rau hauv tus lej ntsuas thiab contraindications - tsuas yog tom qab ntawd kev kho mob yuav coj cov txiaj ntsig tsim nyog.

Tso rau cov cuab yeej no ua plaub:

Cov tshuaj tuaj yeem siv rau cov laus thiab cov menyuam yaus txij li 10 xyoo. Ib txoj kev tswj hwm cais ntawm cov tshuaj thiab siv ua ib feem ntawm txoj kev kho mob ua ke.

Ua ntej sau ntawv yuav tshuaj, tus kws kho mob yuav tsum kawm anamnesis, vim tias muaj qee yam kab mob yog qhov laj thawj tsis kam kho cov tshuaj no.

Cov no suav nrog:

  • ketoacidosis
  • kis kab mob
  • mob ntshav qab zib coma
  • tej yam mob ze rau tsis xeev (coma)
  • daim siab mob siab rau,
  • mob raum nyuaj
  • lub plawv tsis ua hauj lwm
  • ua pa tsis ua hauj lwm
  • plawv nres
  • cawv lossis quav dej caw,
  • kev phais mob thiab kev raug mob hnyav,
  • rhiab rhiab rau cov Cheebtsam ntawm cov tshuaj,
  • cev xeeb tub thiab lactation

Hauv txhua qhov xwm txheej no, nws raug nquahu kom xaiv lwm cov tshuaj uas muaj qhov zoo sib xws, tab sis tsis ua rau muaj kev pheej hmoo.

Tus neeg mob lub tswv yim

Los ntawm kev tshuaj xyuas ntawm cov neeg mob uas coj Gliformin, peb tuaj yeem xaus tias cov tshuaj txo cov piam thaj hauv ntshav qab zib, tab sis nws tau tshaj tawm cov kev mob tshwm sim, uas ua rau nws tsis tsim nyog los noj nws yam tsis muaj laj thawj (rau qhov poob phaus).

Tus kws kho mob nyuam qhuav dhau los kuaj xyuas kuv mob ntshav qab zib thiab pom zoo Glyformin. Kuv haus nws 2 zaug ib hnub rau ntawm ib ntsiav tshuaj. Kev nyab xeeb tau zoo dua qub lawm, qab zib tau rov qab zoo li qub, thiab txawm hais tias tswj kom poob qee qhov hnyav.

Kuv muaj ntshav qab zib tau 8 xyoo, yog li kuv tau sim siv tshuaj ntau heev. Kuv siv Gliformin li 2 hlis, Kuv hnov ​​zoo. Thaum xub thawj, muaj lub cev tsis qab los thiab xeev siab, tab sis tom qab ob peb lub lis piam lub cev tau siv mus rau nws thiab lawv tau dhau mus. Tab sis cov tshuaj no tsis pab kuv tus kwv tij - Kuv yuav tsum tau tsis kam, vim nws muaj tus mob ua kab xev.

Kuv tsis muaj ntshav qab zib, Kuv sim Gliformin txhawm rau kom poob ceeb thawj. Qhov tshwm sim ua rau kuv xav tsis thoob. Qhov hnyav, tau kawg, poob qis, tab sis cov kev mob tshwm sim raug tsim txom. Tsis kam siv.

Kev txheeb xyuas cov yeeb yaj kiab ntawm cov tshuaj nquag hu ua Metmorfin los ntawm Dr. Malysheva:

Hauv cov khw muag tshuaj hauv thaj chaw sib txawv, tej zaum yuav muaj qhov sib txawv ntawm tus nqi ntawm cov tshuaj no. Kuj tseem muaj qhov sib txawv hauv tus nqi rau Gliformin nrog cov ntsiab lus sib txawv ntawm cov tshuaj nquag. Qhov nruab nrab, cov nqi muaj raws li nram no: 500 mg ntsiav tshuaj - 115 rubles, 850 mg - 210 rubles, 1000 mg - 485 rubles.

Cia Koj Saib