Glyformin rau cov ntshav qab zib

Gliformin yog cov tshuaj ua kom txo qis ntshav qab zib. Nws yog qhia rau tswj xyuas chav kawm hom ntshav qab zib hom 2, tshwj xeeb tshaj yog ua ke nrog kev rog. Rau qhov poob phaus, cov ntshav qab zib tau raug txiav txim los ntawm 1500 txog 3000 mg ntawm cov tshuaj, muab faib ua 2-3 koob tshuaj. Tej yam yuav tsum tau ua rau cov kev poob phaus - kev noj haus thiab tawm dag zog.

Contraindicated nyob rau hauv cov kab mob hnyav ntawm daim siab thiab ob lub raum, lub plawv tsis ua haujlwm. Hauv lub sijhawm kho, koj yuav tsum soj ntsuam txhua hnub ntsuas cov piam thaj, kuaj ntshav thiab tso zis txhua 3 lub hlis, koj tsis tuaj yeem haus cawv tau. Cov kev mob tshwm sim feem ntau yog xeev siab, raws plab, thiab qhov txaus ntshai tshaj plaws yog cov kab mob lactic acidosis (mob mob hauv plab, nqaij, xeev siab, tsis nco qab).

Nyeem kab lus no

Cov Nta Tseem Ceeb ntawm Gliformin

Gliformin yog qhov tshuaj rau txo cov ntshav qabzib, siv rau hom 2 ntshav qab zib mellitus. Nws cov yam ntxwv tseem ceeb muaj qhia hauv qhov rooj.

Gliformin Prolong yog ib ntsiav tshuaj 1000 mg nrog qeeb tso tawm ntawm cov tshuaj nquag. Nws suav hais tias yog mob me me, tsis tshua muaj kev phiv tshuaj los ntawm cov hnyuv. Daim ntawv tso tawm no zoo dua li ib txwm kuj vim tias lub siab ruaj ntawm metformin hauv cov ntshav tswj tau.

Thiab ntawm no yog ntau txog cov tshuaj Metformin rau ntshav qab zib.

Mechanism ntawm kev ua

Metformin txo qis cov ntshav qab zib rau ob qho sab nraud noj mov thiab tom qab noj mov. Nws ua raws li theem ntawm cov metabolism hauv metabolism:

• mob siab - inhibits qhov tsim ntawm cov kua nplaum tshiab kua, nres qhov tawg ntawm glycogen reserves, pab nws tsim,
• cov leeg - nce rhiab heev ntawm cov hlwb rau lub zog ntawm insulin, qabzib yog nqus los ntawm cov ntshav sai dua thiab muaj nyob hauv lub zog tsim tshuaj tiv thaiv,
• txoj hnyuv - ua kom qeeb ntawm kev nqus ntawm cov carbohydrates, txhawb lawv cov kev tshem tawm.

Ib qho ntawm qhov tseem ceeb ntawm cov tshuaj yog lub normalization ntawm rog metabolism. Cov tshuaj yuav txo cov roj cholesterol thiab triglycerides, txo cov ntsiab lus ntawm cov lipoproteins uas tsis muaj kev koom tes hauv kev tsim cov atherosclerotic plaques. Ua ke nrog kev noj haus thiab kev ua kom lub cev, nws pab kom poob phaus, tab sis ntawm nws tus kheej nws muab qhov tsis tseem ceeb thaum poob phaus.

Kev siv Gliformin hauv cov neeg mob uas muaj ntshav qab zib hom 2 txo txoj kev pheej hmoo ntawm txoj kev loj hlob:

• vascular diabetic ផលវិបាក (nephropathy, angiopathy, retinopathy) los ntawm 30%,
• 40% myocardial infarction thiab mob stroke,
• kev ploj tuag los ntawm cov ntshav qab zib thiab nws qhov tshwm sim los ntawm 42%.

Kev qhia rau cov ntsiav tshuaj glyformin

Gliformin ntsiav tshuaj tau qhia rau kev kho mob ntshav qab zib hom 2. Lawv siv los ua cov ntsiab lus tseem ceeb nrog tsis muaj txiaj ntsig ntawm kev txwv kev noj zaub mov thiab nce lub zog ntawm lub cev, thiab tseem tuaj yeem ua ke nrog lwm cov tshuaj, txhaj tshuaj. Pom zoo rau cov neeg mob ntshav qab zib. Nws yog tshuaj rau cov neeg laus thiab menyuam yaus txij li 10 xyoo, cov hluas.

Glyformin tseem tuaj yeem siv los tiv thaiv kev hloov pauv ntawm kev mob ntshav qab zib kom ntshav qab zib hom 2.

Xws prophylaxis yog kho rau cov neeg mob uas muaj kev phom sij:

• rog dhau
• Mob ntshav qab zib hauv lub cev thaum xeeb tub,
• mob ntshav qab zib hauv cov ntshav txheeb ze ntawm thawj kab (niam txiv, kwv tij, muam),
• qhov nce ntawm triglycerides thiab qhov txo qis hauv lipoproteins ntau ntom ntom (tiv thaiv cov hlab ntsha los ntawm qhov kev tso ntshav ntawm cov cholesterol).

Cov Yuav Tsum Muaj

Metformin thiab tag nrho cov tshuaj raws nws, suav nrog Gliformin, tsis pom zoo rau:

• tsis pom muaj peev xwm ntawm ob lub raum,
• ib tug neeg intolerance,
• nce qib ntawm ketone lub cev hauv cov ntshav thiab zis (ketoacidosis) - ua suab nrov thiab ua pa heev, hnov ​​ntxhiab ntawm acetone hauv kev tso pa tawm,

• cov cim qhia ntawm tus mob ntshav qab zib tsis nco qab (nqhis dej heev, ua rau lub siab poob qis, muaj lub plawv dhia, tsis hnov ​​qab, hais lus tsis meej, tsis muaj zog ntawm nqaj),
• lub cev qhuav dej
• mob hnyav
• tus mob ntshav siab heev
• poob siab mob
• kev mob ntsws tsis ua haujlwm - ua tsis taus pa, mob hawb pob, xiav tawv,
• mob ntshav - ua tsis taus pa, ua kom lub plawv dhia nrawm, o, mob hnyav hauv txoj cai hypochondrium,
• myocardial infarction hauv thawj lub hli,
• mob siab - kab mob siab, mob ntshav siab,
• haus cawv lom lossis mob cawv lom, qaug cawv.

Noj li cas thiaj yuav noj Gliformin rau qhov hnyav

Gliformin rau cov yuag poob tsuas yog noj nrog kev ua txhaum ntawm cov metabolism hauv cov txha rog - ntshav qab zib lossis hom ntshav qab zib hom 2. Thawj koob tshuaj rau ib tus neeg laus yog 500 mg 2-3 zaug ib hnub. Nws yog qhov zoo dua los mus haus ib ntsiav tshuaj nrog dej thaum noj mov lossis tam sim ntawd.

Tom qab 2 lub lim tiam ntawm kev siv, kuaj ntshav rau qab zib thiab kuaj ntshav qabzib yuav tsum kuaj. Raws li cov ntaub ntawv tau txais, cov koob tshuaj yuav maj mam nce ntxiv. Yog tias tsim nyog, nws raug coj mus rau 3000 g hauv ib hnub, muab faib ua 3 koob.

Kws txawj endocrinology

Gliformin thiab insulin kho mob

Gliformin yuav muab tso ua ke nrog cov tshuaj insulin. Qhov kev xav tau rau kev sib xyaw ua ke tshwm sim nyob rau hauv txoj kev mob hnyav ntawm hom 2 mob ntshav qab zib, thaum nws tsis tuaj yeem tiv thaiv kev phom sij ntawm cov leeg ntshav tsuas yog nrog cov ntsiav tshuaj. Feem ntau cov kev tawm tsam ntawm cov tshuaj ib txwm tshwm sim nrog lub caij nyoog ntev ntawm tus kabmob lossis qhov sib ntxiv ntawm kev kis tus kabmob hnyav, qhov kev xav tau kev khiav haujlwm.

Qhov pab pawg thib ob ntawm kev ntsuas yog teb tsis tshua muaj txiaj ntsig rau insulin hauv ntshav qab zib hom 1, feem ntau tshwm sim rau cov neeg hluas. Gliformin yog siv nyob rau hauv koob tshuaj 500 lossis 850 mg ob zaug hauv ib hnub, thiab qhov koob tshuaj ntawm lub cev yog xaiv nyob ntawm cov piam thaj hauv cov ntshav thiab tus nqi ntawm cov carbohydrates (khob cij) hauv ib feem ntawm cov khoom noj.

Saib hauv daim vis dis aus txog kev kho mob ntawm Gliformin rau cov ntshav qab zib hom 2:

Kev qhia rau cov menyuam yaus

Hauv cov menyuam yaus thiab tub ntxhais hluas, Gliformin tau siv txij li 10 xyoo. Pib nrog 500 mg lossis 850 mg ib hnub ib zaug. Tom qab 10 hnub dhau los tsim nyog kho qhov koob. Rau qhov no, kev kuaj ntshav tau tsim kho thiab raws li cov ntaub ntawv tau txais, ntau npaum li cas lossis ntau ntxiv pauv tsis hloov.

Kev nce qeeb yog qhov tseem ceeb los txhim kho qhov thev taus ntawm cov tshuaj, vim nws nquag ua rau lub plab zom mov hauv thawj hnub ntawm kev siv. Qhov ntau kawg ntawm cov tshuaj metformin ua ntej ncav cuag 16 xyoo yog suav tias yog 2000 mg rau ib hnub, faib tshaj 2 koob tshuaj.

Yog nws ua tau rau cev xeeb tub, lactating

Metformin hla cov hno mis rau tus me nyuam hauv plab, yog li nws tsis pom zoo rau siv thaum cev xeeb tub. Hais txog hom mob ntshav qab zib, cov poj niam pauv mus rau cov tshuaj insulin.

Vim tias tseem muaj peev xwm kis mus rau hauv niam mis, cov tshuaj Glyformin tsis tuaj yeem raug lactating. Txawm li cas los xij, tsis muaj pov thawj tias txawm tias tau txhaj tshuaj ntau dhau los ua rau muaj kev phiv hauv cov pawg ntawm cov neeg mob lossis cuam tshuam rau kev loj hlob ntawm tus menyuam.

Yuav glyformin thiab cawv ua ke

Thaum noj tshuaj Gliformin, cawv yog sib xyaw, nrog rau tag nrho cov tshuaj uas muaj cawv ethyl. Qhov kev sib txuam no ua rau muaj kev pheej hmoo ntawm kev phiv, tshwj xeeb tshaj yog cov tshuaj lom neeg lom ntawm cov kab mob lactic acid (lactic acidosis).

Cov phom sij nce ntxiv nrog yoo mov thiab ua raws li kev noj zaub mov nrog kev txwv tsis pub siv, ua rau lub raum lossis mob siab.

Puas muaj overdose tshwm sim

Thaum noj cov tshuaj loj heev, dhau qhov siab tshaj los ntawm 50 lossis ntau zaus, muaj qee zaum muaj cov kab mob lactic acidosis.

Cov tsos mob ntawm kev lom:

• cia li qaug zog
• xeev siab, ntuav,
• zawv plab
• mob leeg
• txo hauv cov ntshav siab thiab lub cev kub,
• lub plawv dhia qeeb
• mob plab
• nquag ua pa thiab ntiav
• kiv taub hau
• tsis nco qab zoo.

Yog tias kev pabcuam ua ntej (kev mob plab ua haujlwm) tsis tau muab rau, thiab tom qab ntawd kev saib xyuas zoo tsis raug coj hauv tsev kho mob (cov neeg mob nrog cov kev daws teeb meem, cov ntshav ua kom huv ntawm lub tshuab nqus), tom qab ntawd yuav ua rau muaj kev tuag yuav tshwm sim.

Sab sij huam

Cov teeb meem uas nquag muaj tshaj plaws ntawm kev siv Gliformin yog kev mob, tsam plab, raws plab thiab tsis qab los noj mov, qhov tsis zoo tom qab. Lawv feem ntau hais tawm nyob rau hauv thawj 10 hnub ntawm kev kho mob. Yog li ntawd, nws pom zoo kom pib noj nrog qhov tsawg kawg nkaus thiab maj mam nce lawv rau qhov tsim nyog.

Tsis tshua muaj cov kev mob tshwm sim suav nrog:

• ib qho kev txo qis hauv theem ntawm cov vitamin B12, nrog rau siv sijhawm ntev, nws yuav tsum ntxiv rau kev siv tshuaj,
• lub siab ua haujlwm hauv lub siab,
• stagnation ntawm kua tsib
• tawv nqaij ua pob, khaus, liab.

Cov lus qhia tshwj xeeb

Ntawm txhua qhov mob tshwm sim tsis zoo ntawm kev kho nrog Gliformin, lactic acidosis suav hais tias yog qhov txaus ntshai tshaj plaws. Yog tias tsis muaj kev kho mob sai, nws tuaj yeem ua rau tuag. Kev pheej hmoo rau kev tsim kho:

• mob raum lossis mob siab,
• theem siab ntawm cov piam thaj hauv cov ntshav (los ntawm 10 mmol / l),
• ketoacidosis
• kev yoo mov
• ua pa thiab lub plawv tsis ua haujlwm,
• kev siv dag zog lub cev, kev ua kis las dhau.

Cov tshuaj tsis tuaj yeem siv 2 hnub ua ntej thiab 2 hnub tom qab kev phais mob lossis qhia cov khoom ntawm radiopaque nrog iodine hauv kev kuaj mob. Yog tias muaj cov kab mob hauv lub raum, nws yog ib qho tseem ceeb uas yuav tsum ua kev soj ntsuam kom zoo thiab ntsuas tus nqi ntawm kev tso zis ua ntej pib siv.

Tom qab ntawd tswj lawv cov haujlwm yog qhov xav tau tsawg kawg 1 zaug hauv ib xyoos (hauv qhov tsis muaj pathologies) thiab nce txog 4 zaug hauv ib xyoo hauv cov neeg laus, kev ua haujlwm tsis zoo hauv lub raum, zoo li hauv kev kho cov tshuaj uas txo cov ntshav siab, diuretics, tiv thaiv.

Ceev faj thaum noj Gliformin muaj xws li:

• raug rau cov khoom noj muaj roj tsawg, nws tsis tuaj yeem txo tus nqi hluav taws xob qis dua 1000 kcal ib hnub,
• carbohydrates yuav tsum tau faib tusyees ntawm cov zaub mov noj,
• tsawg kawg 1 zaug nyob rau ib hlis txhawm rau soj ntsuam qhov tshwm sim ntawm kev kho mob.

Metformin lossis Glyformin - uas yog ib qho zoo dua?

Nws tsis tuaj yeem txiav txim siab seb qhov twg yog qhov zoo tshaj plaws rau kev mob ntshav qab zib mellitus - Metformin lossis Gliformin, txij li nkawd ob leeg muaj lub suab sib luag. Yog li, cov tshuaj hauv cov lus nug tsis yog hloov pauv rau cov tshuaj metformin, tab sis nws cov npe lag luam. Ntawm tag nrho cov tshuaj zoo li no, Glucophage yog suav tias yog qhov ua tau zoo tshaj plaws, vim tias nws yog cov tshuaj qub uas tau dhau los ua txhua qhov kev sim kho mob tsim nyog.

Tus nqi tshuaj

Tus nqi nruab nrab ntawm Gliformin yog 234 rubles rau ib pob khoom uas muaj 60 ntsiav tshuaj ntawm 1000 mg ib qho, rau tshuaj rau 500 mg koj yuav tsum them 95 rubles, thiab 850 mg yuav raug nqi 140 rubles. Gliformin Prolong tam sim no tsis muaj nyob hauv cov khw muag khoom muag cov khw muag khoom.

Thiab ntawm no yog ntau txog hom mob ntshav qab zib.

Gliformin yog siv rau cov ntshav qab zib hom 2, tshwj xeeb tshaj yog cov rog rog. Nws yog kho nrog ceev faj rau cov neeg laus, nws yog contraindicated nyob rau hauv cov kab mob ntawm lub raum thiab mob siab. Cov tshuaj tsis haum nrog cawv.

Metformin ntau zaus kho mob ntshav qab zib hom 2. Txawm li cas los xij, kev siv cov ntsiav tshuaj pub rau txawm tias lub hom phiaj ntawm kev tiv thaiv. Cov ntau npaum li cas ntawm cov tshuaj yog xaiv tus kheej. Hais txog dab tsi cuam tshuam ntawm cov tshuaj Metformin, ntev npaum li cas lub sij hawm coj nws, nyeem hauv peb cov lus.

Ib qho zoo tshaj plaws tshuaj yog mob ntshav qab zib mellitus. Ntsiav tshuaj pab nyob rau hauv kev kho mob ntawm hom thib ob. Yuav noj cov tshuaj li cas?

Ntshav qab zib hom

Nws yeej paub tias mob ntshav qab zib yog hom 1 thiab thib 2. Qhov sib txawv ntawm cov kabmob no tau nthuav tawm hauv lub rooj.

Raws li tuaj yeem pom los ntawm lub rooj, yog tias hom ntshav qab zib hom 1 feem ntau yuav ua rau muaj kev tuag tshwm sim thaum muaj teeb meem caj ces lossis nrog cov kab mob ntawm cov qog, tom qab ntawd hom 2 mob ntshav qab zib yog ntau dua cov kab mob hauv lub neej, qhov tshwm sim ntawm kev mob siab ntau dhau rau lub cev, dhau heev lawm cov cai ntawm cov piam thaj thiab kev nqus rog. Nrog cov ntsuas ntsuas qis, ib qho txiaj ntsig tom qab yog tsim, uas muaj qhov ua tsis tau tshwm sim.

Mob ntshav qab zib yog dab tsi

Cov kua nplaum, tsis siv los ntawm cov insulin rau ib qho los yog lwm qhov, cuam tshuam loj heev rau cov phab ntsa ntawm cov hlab ntshav. Lawv puas tsuaj ntawm sab hauv - microtraumas tshwm rau sab hauv ob sab phlu. Hauv cov kev raug mob no, cov roj ntsha tau sib tsoo hauv cov ntshav vim yog yuam kev hauv kev noj zaub mov raug khaws cia. Maj mam txhua cov txheej tshiab ntawm cov lipids tau ntxiv rau, ntxiv rau kev puas tsuaj tshiab rau cov hlab ntshav.

Tseem Ceeb!Rau lub sijhawm luv luv, lub sijhawm tsis sib haum ntawm lub lumen ntawm cov hlab ntshav tshwm sim, lub elasticity ntawm cov hlab ntsha poob qis, lub siab nyob rau hauv lawv nce - atherosclerosis tshwm sim.

Vim yog cov hlab ntsha o, tshem tawm cov lus ntawm cov quav hniav voos yuav ua tau. Cov ntawv me me tshaj plaws ntawm cov ntaub so ntswg tuaj yeem ua rau mob embolism - thaiv ntawm lub nkoj. Qhov txhab ntshav nyob hauv qee qhov chaw nres, uas ua rau necrosis. Nws yog qhov no mechanism uas underlies xws li cov xwm txheej zoo li ischemia ntawm lub plawv (nrog rau cov chord zaum kawg hauv daim ntawv ntawm myocardial infarction) thiab ischemic stroke, feem ntau ua rau muaj kev tsis taus.

Pab muaj ntshav qab zib

Yog hais tias kev kho mob ntawm hom 1 mob ntshav qab zib mellitus tau zoo sau tseg thiab tsis ua rau muaj kev cuam tshuam, tom qab ntawd cov hom mob ntawm tus mob thib 2 nyob ncaj qha nyob ntawm lub sijhawm kho thiab kho kho cov kev ua haujlwm tseem ceeb, lossis theej, kev ua neej. Nws yog qhov tsim nyog los muab:

• txo qis kev noj ntawm cov tsiaj rog,
• kev txwv ntawm kev ua kom tsawg ntawm cov carbohydrates yooj yim,
• kev siv cov kua nplaum los tsim lub zog hauv lub cev.

Nws yog qhov teeb meem no ncaj qha uas cov tshuaj Gliformin tuaj yeem daws (nrog kev koom tes nquag ntawm cov cab kuj ntawm tus kab mob).

Tseem Ceeb!Cov tshuaj yuav tsum yog kws kho mob sau tseg, kev noj tshuaj rau tus kheej yog qhov txaus ntshai.

Tus cwj pwm yeeb tshuaj

Kev Sib xyaw thiab pharmacological kev txiav txim ntawm tshuaj Glyformin

Yog tias koj tsis delve rau hauv cov lus siv tshuaj, tom qab ntawd cov nyhuv ntawm cov tshuaj yog kom xa cov piam thaj uas tau nkag mus rau hauv lub cev mus rau qhov chaw uas nws txoj kev ua haujlwm ntau tshaj yog siv - mus rau hauv cov leeg. Yog li ntawd, kev siv cov tshuaj insulin kuj ua haujlwm. Thiab thaum ua tiav kev ua tiav ntawm cov kua nplaum tshwm sim, lub peev xwm ntawm kev hloov pauv ntawm nws dhau mus rau hauv lipids thiab lawv cov deposition rau hauv cov rog rog yog tshem tawm.

Cov roj txheej nyob rau hauv qhov kawg txo qis - nrog rau cov kev txwv ntawm cov khoom qab zib, lub zog los tsawg dua, thiab cov khoom ntiag tug tau noj. Lub voj voog raug kaw: kev ib txwm tshwm tuaj ntawm metabolic tshwm sim, thiab hom 2 ntshav qab zib yog kho tau.

Tshuaj zoo

Kev taw qhia thiab contraindications rau cov tshuaj Gliformin

Gliformin hauv European thiab Neeg Esxias cov tebchaws tsuas yog siv tshwj xeeb rau cov ntshav qab zib, raws li cov tshuaj tseem ceeb hauv hom thib ob thiab ua ib qho txuas rau hauv thawj. Nws ntseeg tau ntawm no tias, tsis muaj kev cuam tshuam nrog cov tshuaj insulin, cov tshuaj tsis ua haujlwm lossis muaj kev phom sij heev. Thiab nyob rau hauv Asmeskas nws twb siv (thiab tsis yog tsis muaj kev vam meej) raws li ib txoj kev tiv thaiv kev rog.Qhov tseeb, ntxiv rau xa cov piam thaj rau cov neeg tau txais kev pab ncaj qha, cov leeg, Gliformin txwv tsis pub nws nkag mus rau cov ntaub so ntswg hauv txoj hnyuv, thiab kuj tseem txo cov nyiaj uas tso cai rau kev ua haujlwm hauv lub siab. Kev tshawb nrhiav hauv tebchaws Russia txog qhov tshwj xeeb ntawm cov tshuaj no tseem niaj hnub no. Hauv lub sijhawm, Gliformin tau ua tiav zoo siv los ntawm cov neeg mob ntshav qab zib.

Tseem Ceeb!Hauv tebchaws Lavxias, cov tshuaj no tsis raug sau los tawm tsam kev rog.

Daim ntawv thiab cov ntsiab lus

Gliformin yog ntsiav tshuaj npaj. Qhov no ua tau yooj yim thiab nthuav dav cov peev txheej ntawm nws kev teem caij.

Glyformin ntsiav tshuaj daim ntawv

Cov ntsiav tshuaj zoo li qub thiab yog ib puag ncig lossis tiaj tus kheej kheej (nyob ntawm qhov chaw ntau lawm) ntawm cov xim dawb (qab zib zas yog ua tau - qhov txiaj ntsig ntawm qhov quav ntxiv) nrog lub cim thiab chamfer.

Ua ib feem ntawm cov ntsiav tshuaj, sau rau hauv cov khoom me yog ntxiv rau tus neeg sawv cev nquag metformin (hydrochloride), uas tsis cuam tshuam qhov kev zom cov zaub mov tseem ceeb.

Daim ntawv thov nta

Gliformin tau sau tseg rau cov neeg mob rog rog ntshav qab zib hom 2 txhawm rau txhawm rau ua kom muaj txiaj ntsig ntawm kev noj zaub mov zoo. Kev noj tshuaj ntau npaum li cas yog txiav txim los ntawm tus kws kho mob, raws li kev soj ntsuam los ntawm kev kuaj mob ua ntej ntawm tus neeg mob. Qhov pib tshwm sim rau lub cev ntawm cov tshuaj tshiab yog ua tib zoo kawm, tom qab ntawd qhov ntau thiab tsawg zaus ntawm kev coj ua thaum nruab hnub.

Yog qhov tseem ceeb! Lub luag haujlwm tseem ceeb hauv kev kho mob ntshav qab zib thib ob tsis yog muab rau cov tshuaj, tab sis kom ua raws li tus kws kho mob cov lus pom zoo txog kev hloov pauv hauv lub neej, tsis muaj ib txwm noj zaub mov thiab ua kom cov leeg nce ntxiv, noj cov tshuaj tsis muaj qab hau.

Kev noj tshuaj thiab kev tswj hwm tshuaj Glyformin rau ntshav qab zib

Cov tshuaj yog thawj zaug pom zoo hauv qhov tsawg kawg nkaus (1/2 ntsiav tshuaj 1 zaug hauv ib hnub), thiab tom qab ntawd, yog tias tsim nyog, nce qhov koob tshuaj maj mam nce ntxiv (txog 3 ntsiav tshuaj hauv ib hnub). Kev tsim ntawm txoj kev niaj hnub tshwm sim tawm tsam keeb kwm ntawm kev ntsuas niaj hnub ntsuas ntsuas qab zib thiab saib xyuas qhov kev hloov pauv ntawm lawv qhov kev poob qis.

Cov ntsiav tshuaj tau noj ib txhij nrog zaub mov noj lossis tam sim ntawd tom qab noj mov, tsis txhob zom, haus dej kom ntau.

Sab sij huam

Yog tias koj tsis quav ntsej cov lus pom zoo thiab noj cov tshuaj yog tias muaj contraindications lossis tsis muaj kws kho mob sau ntawv, lub neej muaj sia-mob lactic acidosis tuaj yeem loj hlob. Qhov no yog qhov tsis haum ntawm lub cev nrog qhov dhau ntawm cov kab mob lactic acid hauv cov nqaij thiab qhov nyuaj hauv nws cov zis. Feem ntau ntawm cov neeg mob uas tau mob lactic acidosis yog tus neeg mob ntshav qab zib noj tshuaj los ntawm ntau tus lej loj, uas yog Gliformin yog. Yog tias tsis kho, lactacitosis tag kev ploj tuag.

Sab sij huam tshuaj

Cov tsos mob ntawm teeb meem, qhia tias muaj kev cuam tshuam acidic:

• kev ua kom tsis muaj zog, hypotension, txo lub plawv dhia (bradycardia),
• mob plab zom mov - xeev siab, mob plab hnyuv, raws plab,
• mob nqaij thiab mob ntswj
• kiv taub hau, tsis meej pem, tsaus muag, tsis nco qab.

Nrog kev hem thawj lactic acidosis, kev pw tom tsev kho mob yog ua tiav tam sim ntawd, ntsuas kev ua kom rov zoo li qub thaum tseem nyob ntawm txoj kev. Hauv cov teeb meem tshwj xeeb tshaj plaws, hemodialysis yuav tsum ua.

Yog li, Gliformin txoj kev kho tsis yog panacea, tab sis yog ib qho kev pab zoo rau cov neeg mob ntshav qab zib hom 2 uas tsis muaj kev sib kis rau hom kev kho no. Lub luag haujlwm tseem ceeb rau kev tshem tawm tus kabmob yog nyob nrog tus neeg mob nws tus kheej: qhov zoo ntawm nws lub neej yav tom ntej yog nyob ntawm nws txoj kev qhuab qhia, lub siab xav hloov nws lub neej, xwm yeem nyob rau hauv kev siv cov phiaj xwm kos raws li kev qhia ntawm kws kho mob. Thiab Glyformin, ua tsaug rau nws cov yam ntxwv tshwj xeeb, tsuas yog ua kom ceev me ntsis ntawm cov txheej txheem rov qab mus rau lub neej zoo.

Qhia txog ntawm cov tshuaj

Lub npe tshuaj nyob thoob ntiaj teb yog tshuaj Metformin. Glyformin ntsiav tshuaj muaj peev xwm tshaj tawm cov ntshav qabzib. Cov tshuaj no raug pom zoo rau kev kho mob rau cov ntshav qab zib tsis yog insulin-tiv thaiv mob ntshav qab zib mellitus (mob ntshav qab zib hom II) thaum kev noj zaub mov noj tsis muaj qhov tshwm sim tshwm sim. Raws li cov tshuaj pabcuam, Glyformin tseem tseem siv rau hom 1 mob ntshav qab zib (insulin-dependant).

Gliformin yog qhov tshuaj hypoglycemic qhov ncauj tawm rau ob hom ntshav qab zib

Qhov cuam tshuam ntawm Gliformin rau tib neeg lub cev tau ua kom pom ob txoj hauv kev: ntawm ib sab tes, nws inhibits qhov kev tsim ntawm cov piam thaj hauv lub siab, ntawm qhov tod tes, nws inhibits qhov nqus ntawm cov khoom hauv txoj hnyuv. Nyob rau tib lub sijhawm, cov txheej txheem ntawm kev siv kua nplaum nyob rau hauv cov leeg yog muaj zog, thiab qhov rhiab ntawm cov ntaub so ntswg mus rau qhov cuam tshuam ntawm insulin yog nce.

Tsis tas li ntawd, cov tshuaj muaj peev xwm txo cov kev qab los noj mov, txo cov kev sib haum ntawm cov rog thiab cov roj (cholesterol) hauv cov ntshav ntshav. Yog li, tus neeg mob muaj txoj hmoo los txo lub cev qhov hnyav, thiab raws li koj paub, kev rog yog ib qho ntawm cov neeg mob ntshav qab zib hom 2.

Tso cov ntaub ntawv thiab cov nyob ua ke

Gliformin muaj nyob rau hauv ntau daim ntawv sau npe:

1. Cov xim dawb lossis yuav luag txhua daim ntawv thau kab yeeb dawb nrog chamfer thiab muaj kev pheej hmoo. Cov tshuaj phiv yog metamorphine hydrochloride. Raws li cov tshuaj muaj feem siv:
   • sorbitol
   • calcium phosphate
   • polyvinylpyrrolidone (povidone),
   • polyethylene glycol,
   • calcium stearate lossis stearic acid.
2. Coated biconvex oval ntsiav tshuaj ntawm cov xim dawb lossis qab zib. Cov tshuaj yeeb dej caw ua haujlwm yog qhov qub, tab sis hauv qhov ntau npaum li ntawm 0.85 g rau 1 ntsiav tshuaj. Nws yog ntxiv nrog qos hmoov txhuv nplej siab, povidone thiab stearic acid. Cov qauv membrane muaj hypromellose, polyethylene glycol, talc.
3. Coated ntsiav tshuaj ntawm cov xim dawb lossis qab zib, oval, biconvex, tab sis muaj 1 g ntawm cov tshuaj nquag hauv cov nqe lus hauv ib lub ntsiav tshuaj. Cov neeg muaj txiaj ntsig yog tib yam. Cov qog ua yeeb yaj kiab tau tsim los ntawm cov txheej txheem ntawm hypromellose, macrogol thiab talc.

Muaj kev phiv ntau

Thaum lub sijhawm tswj hwm ntawm Gliformin, qhov xim hlau hauv lub qhov ncauj, xeev siab me ntsis thiab tsis qab los yog ua tau. Qee tus neeg mob qee zaum muaj kev fab tshuaj, cov tsos mob ntawm tus kab mob lactic acidosis pom:

• mob leeg
• mob mob qab pob tw
• Cov tsos mob dyspeptic
• apathy
• pa ceev heev
• pw tsis tsaug zog los sis nkees nkees.

Nrog rau kev siv sijhawm ntev ntawm cov tshuaj, lub nqus ntawm cov vitamin B12 txo.

Dosage rau ntshav qab zib

Gliformin tau siv nruj me ntsis raws li kws kho mob sau tseg rau hauv cov tshuaj uas ua raws li tus neeg mob lub cev thiab nws cov ntshav qabzib.

Tseem Ceeb! Kev ua txhaum ntawm kev siv ntau ntawm cov tshuaj tuaj yeem ua rau kom muaj kev mob tshwm sim ntau thiab txo cov nyhuv kho mob ntawm cov tshuaj.

Gliformin pib nrog kev txhaj tshuaj me me, tom qab ib pliag qhov tshuaj ntau ntxiv, maj mam tuaj rau ib qho kev tu xyuas.

Cov tshuaj nquag ntawm Gliformin yog metamorphine hydrochloride

Cov ntsiav tshuaj yuav tsum tau noj kom tag nrho, tsis txhob tsoo thiab ntxo, nrog zaub mov noj lossis tam sim ntawd tom qab noj mov. Cov tshuaj yuav tsum tau ntxuav nrog ib khob dej. Txhawm rau kom txo qhov tsis zoo ntawm cov tshuaj ntawm lub plab zom mov, qhov tshuaj txhua hnub tau muab faib 2-3 zaug (nyob ntawm daim ntawv tshuaj).

Glyformin analogs - rooj

* Tag nrho cov tshuaj no yog contraindicated rau kev siv los ntawm cov poj niam cev xeeb tub thiab cov niam uas tseem pub mis, nrog rau cov menyuam muaj hnub nyoog qis dua 10 xyoo.

Tshuaj Ntshav Qab Zib - Gallery

Kev npaj cov tshuaj metformin muaj cov nyhuv hauv cov hnyuv. Hmoov tsis, tsis muaj txoj kev khiav dim ntawm qhov no. Kuv xav qhia koj kom thov rau Siofor, mus rau Glyformin ntau heev, tib yam metformin, tab sis zoo me ntsis zoo. Nws tseem kim dua Formetin thiab Metformin, tab sis tej zaum nws yuav zoo dua.

Shakertdinova Inna

http://www.forumdiabet.ru/topic2094.html

Yog li, tom qab yug menyuam tas, cov kws kho mob tau muab ntshav qab zib hom 2 rau kuv thiab muab kuv tso rau Glyukafazh 1000, tab sis qee zaus tsis muaj ib qho thiab kuv yuav tau txais glyformin (0.5) lossis formentin (0.5), thiab tom qab ntawd muaj teeb meem, Kuv haus dej qab zib thaum sawv ntxov thiab yav tsaus ntuj ntawm lub ntsiav tshuaj, thiab nws hloov tawm tias koj yuav tsum haus cov tshuaj no thaum sawv ntxov 2 daim (0.5 + 0.5) thiab yav tsaus ntuj 2 daim, tab sis cov lus qhia hais kom tsis txhob haus ntau tshaj 0.5 (ib ntsiav tshuaj) ib zaug, nws hloov tawm koj yuav tsum haus tom qab lub sijhawm, uas tsis them nyiaj rau qab zib.

mila25

http://www.dia-club.ru/forum_ru/viewtopic.php?f=26&t=12763

Mob ntshav qab zib mellitus yog ib qho mob loj heev uas nyuaj los kho. Qhov zoo, kev lag luam pharmacological niaj hnub muaj peev xwm muab cov nyiaj uas pab hauv kev tawm tsam pathology. Tab sis txhua tus yuav tsum nkag siab tias tsuas yog siv cov tshuaj kom raug thiab qhov tseeb hauv qab kev noj tshuaj ntawm tus kws kho mob yuav ua rau muaj kev txhim kho zoo.

Cov lus qhia rau kev siv ntawm Gliformin hauv kev kho mob ntshav qab zib

Cov tshuaj yog zwm rau lub pharmacological pawg ntawm biguanides, yog muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj dawb. Qhov ua kom nquag plias ntawm cov tshuaj siv tshuaj yog metformin, uas nws lub luag haujlwm yog txo qis kev nqus ntawm cov piam thaj ntawm lub plab hnyuv, tso tawm hepatic gluconeogenesis, nce insulin rhiab heev, tshem tawm kev rog, thiab txhawb rau tus txiav. Cov tshuaj nkag mus rau hauv lub nruab nrab ncig, mus txog qhov siab tshaj plaws ntshav ntshav 2 teev tom qab ib koob.

Kev mob plab zom mov tshwm sim hauv lub siab, cov roj ntsha tsis ua haujlwm yog tawm los ntawm lub raum. Yog tias muaj kev cuam tshuam nrog kev ua haujlwm ntawm cov kabmob no, nws raug nquahu kom xaiv lwm txoj kev daws teebmeem. Gliformin yog hom tshuaj mob ntshav qab zib hom 2 uas koom nrog kev kho mob ntshav qab zib, ua ke nrog lwm cov tshuaj tiv thaiv ntshav qab zib nrog kev sib xyaw. Kev hnyav yog qhov tseem ceeb ntawm kev kho mob tau zoo yog tias tus neeg mob ua raws li kev qhia thiab kev pom zoo ntawm tus kws kho mob koom nrog. Tom qab thawj chav kawm, koj tuaj yeem tswj lub cev hnyav, tswj kev qab los noj mov, ua kom lub chaw kuaj ntshav tsis txaus.

Ntawm cov kab mob sib kis, nws tsim nyog hais txog lub cev tsis huv hauv qab no:

• raum thiab mob siab ua hauj lwm,
• kuaj mob ntshav qab zib
• haus cawv ntev,
• cev xeeb tub
• pub niam mis
• tsis hnov ​​mob rau Cheebtsam,
• kev ua haujlwm nrog kev kho insulin.

Yuav noj tshuaj noj ntshav qab zib li cas

Cov koob tshuaj txhua hnub yog nyob ntawm cov ntshav qab zib. Txoj kev kho yog kho raws tus kheej. Cov kev qhia tau tshaj tawm tias thawj koob tshuaj Glyformin rau cov ntshav qab zib ib hnub twg yog 0.5-1 g. Tom qab 2 lub lis piam, cov qauv no tuaj yeem maj mam nce ntxiv, raws li qib glycemia. Nrog kev saib xyuas kev kho, nws raug tso cai kom noj 1.5-2 g ib hnub, tab sis tsis ntau tshaj 3 g.

Cov tshuaj ntshav qab zib no yog siv rau qhov ncauj. Qhov koob tshuaj txhua hnub yog qhov zoo tshaj plaws muab faib ua 2-3 koob, kom tsis txhob muaj kev phiv, cais tawm cov mob ntawm kev noj ntau dhau. Rau cov kab mob ntawm daim siab thiab lub raum, cov qauv tshuaj yuav tsum tau txo kom tsis txhob muaj cov kab mob lactic acidosis. Ntshav qab zib hom 2 yog pom zoo kom nqos tag nrho, thaum haus dej ntau. Tom qab qhov kawg ntawm kev kho mob, txo cov koob tshuaj rau lub cev ib txwm maj mam, txwv tsis pub muaj kev phiv ntxiv.

Yog tias tus neeg mob tau xaj tshuaj Glyformin rau ntshav qab zib, nws yog qhov tseem ceeb kom paub tus nqi. Koj tuaj yeem yuav cov tshuaj hauv khw muag tshuaj, tab sis ua ntej txiav txim siab qhov ntau npaum li cas ntawm cov khoom siv ntxiv. Glyformin 1000 mg, 850 mg, 500 mg yog muaj muag rau khoom. Cov tshuaj muab cov ntshav qab zib sai heev.

Gliformin (ntsiav tshuaj), 500 mg

Gliformin (ntsiav tshuaj), 850 mg

Gliformin (ntsiav tshuaj), 1000 mg

Tshuaj xyuas ntshav qab zib Gliformin

Oksana, 42 xyoo. Kuv tau raug tus kab mob no ntev los lawm. Twb tau noj ntau cov tshuaj hauv nws lub neej, tab sis lawv txhua tus muaj cov txiaj ntsig nruab nrab. Cov tshuaj no rau cov ntshav qab zib tau dhau los ua txoj kev cawm seej tiag. Kuv tau noj Gliformin hauv kev kho mob ntshav qab zib rau ob peb lub hlis, kuv tau zoo siab dua. Tus kws kho mob hais tias suav cov ntshav yuav rov qab zoo li qub, nws tsuas yog tswj qhov mob xwb.

Ilona, ​​hnub nyoog 43 xyoos Kuv yuav tsis tso cov duab ntawm kuv qhov hloov tshiab, tab sis kuv ua siab ncaj lees tias cov tshuaj no pab kuv ua kom lub cev rog. Nrog ntshav qab zib nws yog qhov nyuaj heev, tab sis kuv ua tiav. Kuv tabtom kawm qib peb: kuv cov ntshav qab zib tau poob qis, qhov hnyav dhau mus lawm, ua tsis taus pa thiab tawm hws ntau dhau lawm, kuv txoj kev noj qab haus huv tau zoo tuaj.

Sveta, 45 xyoo kuv tsis kam lees qhov kev teem caij no, vim hais tias tom qab noj cov kev mob tshwm sim. Hauv kuv qhov xwm txheej, qhov no yog kev zom zaub mov ntau thiab ua rau lub cev tsis muaj zog. Nws taug kev zoo li tsaug zog ya, yog li tus kws kho mob pom zoo rau kuv ib qho tshuaj noj thiab tshuaj ntxiv ntawm Prolong rau cov leeg ntshav. Yog li, Gliformin tsis haum rau txhua tus neeg hauv kev kho mob ntshav qab zib.

Kev Sib Sau thiab daim ntawv ntawm kev tso tawm

Cov tshuaj mus muag hauv daim ntawv ntawm cov ntsiav tshuaj, uas tuaj yeem muaj ob hom:

• Cov tshuaj ntxuav dawb cylindrical nrog dawb chamfer (0.5 g ntawm active tshuaj). 10 daim ntim cov khoom ntim hauv tes.
• Tshuaj tua kab mob hauv zaj duab xis plhaub qab zib ntxoov ntxoo (0.85 lossis 1 g ntawm cov tshuaj yeeb dej caw). 60 daim tau ntim hauv polypropylene cov kaus poom.

Cov tshuaj ua hauj lwm yog metformin hydrochloride.

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 tsocai ntawm kev tsim ntawm cov piam thaj hauv molecules hauv lub siab.
• Kev ua kom tawg ntawm cov khoom noj carbohydrates.
• Txo cov piam thaj hauv cov hnyuv.

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.

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.

Yeeb tshuaj sib cuam tshuam

Raws li cov lus qhia, nrog rau siv cov tshuaj insulin, tib lub sijhawm uas tsis yog steroidal los tiv thaiv cov tshuaj, sulfonylureas, beta-blockers, kev nce ntawm Glyformin tsis raug txiav txim siab.

Nws cov hauj lwm zoo tuaj yeem cuam tshuam txog keeb kwm ntawm kev kho ntxiv nrog glucocorticosteroids, tshuaj tiv thaiv qhov ncauj, cov thyroid hormones, nicotinic acid derivatives, diuretics.

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.