Yuav siv li cas Bagomet los ntawm ntshav qab zib
INN - metformin + glibenclamide. Cov tshuaj no yog tsim los ntawm lub tuam txhab kev lag luam Argentinean Kimika Montpellier. Lavxias tus sawv cev chaw lis haujlwm ntawm Laboratoryios ပဲခူး SA nyob hauv Moscow.
Hauv cov khw muag tshuaj feem ntau hauv lub teb chaws, Bagomet 850 mg (hauv ib pob ntawm 60 daim) tuaj yeem yuav hauv thaj tsam ntawm 170-240 rubles. Lwm hom ntawv tam sim no tsis muaj.
Pharmacological kev txiav txim
Bagomet yog ib tus neeg sawv cev hypoglycemic ntawm pab pawg biguanide. Tus txheej txheem kho yog ua raws li kev muaj peev xwm ntawm cov tshuaj nquag los tswj cov gluconeogenesis. Tsis tas li, nws oxidizes cov rog thiab cov qauv dawb fatty acids. Nws tsis cuam tshuam rau qhov kev ntsuas ntawm cov tshuaj insulin hauv cov ntshav, txawm li cas los xij, nws cuam tshuam cov tshuaj insulin pharmacodynamics. Txhim kho qhov kev sib txuam ntawm cov piam thaj los ntawm cov leeg hlwb. Cov tshuaj tsub nqi hluavtaws ceev cov glycogen los ntawm nws, muaj qhov cuam tshuam zoo rau kev mob hepatic.
Bagomet Plus yog kev sib txuas ntawm ob qho hypoglycemic Cheebtsam koom nrog cov pab pawg sib txawv tshuaj - metformin thiab glibenclamide.
Thawj zaug yog biguanide, uas txo cov glycemic indices vim tias muaj ntau dua cov ntaub so ntswg tiv thaiv cov tshuaj insulin, nrog rau vim tias muaj cov piam thaj hauv qab.
Glibenclamide yog tiam thib ob tiam sulfonylurea derivative. Txhim kho kev zais cia ntawm insulin hormone los ntawm tus txiav, ua rau txo qis cov ntshav qab zib.
Cov Tshuaj Pharmacokinetics
Ib zaug hauv cov ntshav, cov tshuaj tau nqus los ntawm lub plab zom mov. Qhov siab tshaj plaws hauv plasma yog mus txog ob peb teev tom qab kev tswj hwm. Cov tshuaj yeeb dej caw tsis tuaj rau hauv kev sib cuag nrog plasma protein qauv. Nws accumulates nyob rau hauv lub raum, mob siab thiab salivary qog. Tom qab 10 teev, nws yog tawm hauv cov zis, yog li ntawd, nrog kev ua haujlwm tsis zoo ntawm lub raum, ib qho kev nce siab ntawm cov tshuaj nquag yuav ua tau.
Nws yog tsim rau ntshav qab zib mob ntshav dej rau cov neeg laus:
- thaum tsis muaj kev ua tau zoo ntawm kev kho kev noj haus (ua yeeb tshuaj rau kab thib ob),
- los hloov cov Metformin thiab Glibenclamide hauv cov neeg mob uas muaj qib glycemic zoo.
Cov Yuav Tsum Muaj
Bagomet yuav tsum tsis txhob coj nrog:
- tus kheej rhiab rau derivatives ntawm pab pawg no cov nyiaj,
- hom mob ntshav qab zib insulin,
- ketoacidosis, poj koob yawm txwv, coma,
- ntshav qab zib,
- lub raum pathologies
- lub plawv, nplooj siab, ua tsis taus pa, nrog cov nqaij hauv hypoxia, lub plawv nres,
- cev xeeb tub thiab lactation
- kis kab mob
- dav hlais tawm
- haus dej cawv txaus, mob cawv sij hawm ntev,
- lactic acidosis
- khoom noj khoom haus tshwj xeeb hypocaloric.
Nws yog qhov tsis tsim nyog yuav tau coj Bagomet rau cov neeg laus dua 60 xyoo.
Nrog rau kev xaim hluav taws xob, kev soj ntsuam hluav taws xob xoo hluav taws xob uas siv tus neeg sawv cev sib piv (iodine), cov tshuaj yuav tsum tau muab tshem tawm 2 hnub ua ntej txheej txheem thiab rov ua txoj haujlwm tom qab 4 hnub.
Ceev faj yuav tsum siv Bagomet thaum:
- npaws
- kev cuam tshuam ntawm cov thyroid caj pas,
- cov kev qoj ib txwm ua lub cev, raws li kev pheej hmoo ntawm lactic acidosis nce,
- cov haujlwm tsawg dua ntawm adrenal cortex thiab anterior pituitary lobe.
Thaum cev xeeb tub, cov tshuaj yuav tsum nres thiab cov tshuaj insulin yog cov tsim nyog.
Bagomet npaj rau kev tswj hwm qhov ncauj nrog zaub mov. Qhov ntau npaum li cas yog txiav txim los ntawm tus kws kho mob tuaj koom nyob ntawm tus neeg cov ntshav qabzib. Feem ntau, 1 ntsiav tshuaj yog tshuaj ib hnub. Yog tias tsim nyog, ib zaug txhua 10 hnub, hloov kho kom haum rau lub sijhawm tom qab kuaj ntshav.
Yog tias cov tshuaj tau ntawv sau ua lwm txoj kev hloov pauv rau Metformin thiab Glibenclamide, 1-2 ntsiav tshuaj yuav noj ib hnub ob zaug (nyob ntawm kev siv ntau npaum li cas). 4 ntsiav tshuaj yog qhov siab tshaj plaws, qhov tshaj uas tsis tsim nyog.
Sab sij huam
Qee cov neeg mob qhia:
- lub plab zom mov
- ntuav
- mob hauv plab,
- saj ntawm hlau nyob rau hauv lub qhov ncauj
- anemia
- tsis qab los noj mov
- ntshav qog.
Nrog kev siv sijhawm ntev ntawm Bagomet, hypervitaminosis (B12).
Noj ntau dhau
Yog tias qhov ntau npaum li cas ntawm cov tshuaj uas kws kho mob tau tshaj, qhov kev txhim kho ntawm ntau yam kab mob pathological ua tau, suav nrog cov kab mob lactic acid nrog cov txiaj ntsig yuav ua rau tuag taus. Cov laj thawj rau qhov tshwm sim no yog qhov kev txuam nrog cov khoom nquag hauv lub raum, tshwj xeeb tshaj yog yog tias tus neeg mob tau ua tsis zoo ntawm cov paired ntawm cov plab hnyuv siab raum. Thawj cov tsos mob ntawm tus kab mob lactic acidosis yog qhov txo qis hauv lub cev, ua haujlwm dyspeptic, mob plab thiab leeg mob. Tom qab ntawd kiv taub hau, ua pa nrawm, qhov muag plooj plooj, hnov qab yuav tshwm.
Thaum noj ntau dhau, nws yog ib qho tsim nyog yuav tsum tau txiav tam sim ntawd, thiab tus neeg mob yuav tsum tau coj mus rau lub tsev kho mob kom ceev nrooj los txiav txim qhov kev mob siab ntawm lactate thiab kuaj mob.
Kev tswj hwm tib lub sijhawm ntawm Bagomet nrog lwm cov tshuaj sulfanilurea tuaj yeem ua rau kev loj hlob ntawm lub qog ntshav qab zib.
Yeeb tshuaj sib cuam tshuam
- tshuaj insulin
- NSAIDs
- sulfonamides,
- acarbose,
- MAO thiab ACE inhibitors,
- adrenergic blockers,
- oxytetracycline.
Txo cov nyhuv hypoglycemic:
- GOKOJ,
- glucocorticosteroids,
- cov thyroid hormones
- nicotinic acid thiab nws cov derivatives,
- tshuaj kho mob
- glucagon,
- epinephrine
- derivatives ntawm phenothiazine.
Cimetidine cuam tshuam tsis zoo rau kev tshem tawm cov tshuaj tawm ntawm lub cev.
Piv nrog analogues
- Metformin. Nws yog rau tib pawg neeg li Bagomet. Cov tshuaj yeeb tshuaj yog dimethylbiguanide. Tus txheej txheem ntawm kev ua ntawm cov tshuaj yog ua raws li kev ua kom tsis muaj piam thaj ntau los ntawm lub siab, uas ua rau txo qis cov ntshav qab zib. Nws yog tshuaj kho rau hom 1 thiab hom 2 ntshav qab zib hauv cov neeg laus. Tus nqi nruab nrab ntawm Metformin yog 110 rubles, uas yog tus nqi tsawg dua rau Bagomet. Txwv tsis pub, cov npaj tau zoo sib xws.
- Ntsia hauv qab. Nws txo cov kev qhia ntawm hyperglycemia yam tsis muaj kev cuam tshuam kev txhim kho ntawm hypoglycemia. Nws yog tshuaj rau cov neeg mob ntshav qab zib hom 2. Pab txo qhov hnyav. Tus nqi ntawm Glucofage 500 mg sib txawv ntawm 170 txog 200 rubles.
- Siofor. Cov tshuaj tau tawm rau kev kho mob ntshav qab zib hom 2 thiab nws txoj kev tiv thaiv. Cov tshuaj nquag cuam tshuam rau qib ntawm kev tawm tsam cov tshuaj insulin, thiab qhov no yog qhov tseem ceeb ntawm qhov kev hloov pauv ntawm cov concentration ntawm cov piam thaj hauv cov ntshav thiab cov tsos ntawm qhov hnyav dhau. Tsis tas li ntawd, Siofor muaj cov txiaj ntsig zoo ntawm cov roj (cholesterol), txo kev qab los noj mov, cuam tshuam cov thyroid hormones, thiab muaj cov txiaj ntsig zoo ntawm cov hlab plawv. Tus nqi ntawm Siofor 500 mg yog 300-350 rubles. rau 60 ntsiav tshuaj.
Muaj lwm yam analogues ntawm Bagomet:
- Metfogamma,
- Sofamet
- Glyminfor,
- Nova Met
- Metospanin
- Methadiene
- Langerine thiab lwm tus.
Txawm hais tias Bagomet yog npaj rau kev kho mob ntshav qab zib, tsis ntev los no ntau tus poj niam uas tsis raug mob los ntawm tus kab mob no tau pib siv cov tshuaj no kom poob phaus yam tsis muaj kev taw qhia, siv cov kev mob tshwm sim xws li hlawv rog. Xws li qhov kev tswj hwm tsis txaus ntseeg hem ua rau muaj kev txhim kho ntawm ntau yam teeb meem thiab cuam tshuam tsis zoo rau lub xeev kev noj qab haus huv. Txog kev poob phaus, muaj ntau yam khoom siv tsim los daws cov teeb meem tshwj xeeb no, yog li koj yuav tsum tsis txhob siv cov tshuaj tiv thaiv kab mob uas tsis muaj qhov qhia tau.
Tseem Ceeb! Bagomet tsis tuaj yeem tiv thaiv keeb kwm ntawm kev nce lub cev lub cev, ua raws nrog cov zaub mov tsis muaj calorie ntau. Tib lub sijhawm, tus naj npawb ntawm cov calories uas noj yuav tsum tsis txhob tsawg dua 1000. Tsis ua raws li cov cai no ua rau muaj kev tsis zoo rau kev noj qab haus huv, suav nrog kev tuag.
Sarycheva Elena, 43 xyoo, Kemerovo. “Kuv tau noj Bagomet tau ntev. Kuv tsis muaj kev mob tshwm sim rau kuv tus kheej. Qhov concentration ntawm cov piam thaj hauv cov ntshav yog tswj nyob rau theem ntawm qhov tsim nyog. Kuv zoo siab nrog cov tshuaj siv tagnrho, tus nqi pheej yig. ”
Rogova Anastasia, 35 xyoo, Omsk. “Kho tau zoo Hauv kuv li, qab zib ntawm qhov khoob yog 5,3. Kuj tau muaj teeb meem nrog hnyav. Cov chav kawm hauv chav ua si thiab kev noj haus tau pab tsis zoo, yog li kuv tsis tuaj yeem ua yam tsis muaj tshuaj noj. Qab zib tsis yeem maj mam, tab sis muaj tseeb. Thaum xub thawj kuv poob siab txog qhov no. Tab sis tom qab ntawd nws kawm paub tias kev txo piam thaj sai sai yog qhov txaus ntshai heev. Yog li ntawd, Kuv ua siab ntev thiab tos. Tom qab 4 lub hlis, cov piam thaj nyob hauv 4.4 theem. Qhov loj tshaj plaws yog tias tom qab cov tshuaj txiav tawm, cov ntsuas tseem tsis tau hloov kho. Lwm qhov zoo yog tias dhau 4 lub hlis qhov hnyav poob los ntawm 19 kg. "
Larina Galina, 28 xyoo, Obninsk. “Kuv niam tau noj Bagomet ntev. Thaum xub thawj nws yws yws tias cov tshuaj tsis ua hauj lwm zoo, tab sis tom qab kev kho ntau qhov ntau lawm cov tshuaj "khwv tau" raws li qhov nws yuav tsum tau ua. Rau cov neeg uas hais tias Bagomet tsis tuaj yeem kho, Kuv xav kom koj nco: nws yuav tsum tsis txhob kho. Cov cuab yeej no yog tsom tswj hwm qab zib hauv ib qho kev txwv. "
Kravchuk Maria, 30 xyoo, Pavlovsk. “Kuv muaj ntshav qab zib hom 2, Bagomet tau qhia tseg. Tau li 2 hnub, tom qab ntawd ntuav heev, raws plab pib, tsis muaj zog thiab kiv taub hau. Tus kws kho mob hloov cov tshuaj nrog Glucofage, tab sis zaj dab neeg dua. Thaj, cov tshuaj ntawm pawg no tsis haum rau kuv. ”
Losev Vitaliy, 39 xyoo, St. Petersburg. "Thaum pib noj Bagomet, phiv tshuaj tau pom, tab sis lawv tsis muaj zog qhia, yog li cov tshuaj txuas ntxiv haus. Tom qab ntawd nws pib kom ua siab ntev zoo. Cov piam thaj hauv qab zib tsis tau poob qis tam sim ntawd, siv sijhawm thiab ntsuas kev kho ntau dua. Raws li rau qhov hnyav, Kuv poob 25 kg hauv rau lub hlis. ”
Tso tawm daim ntawv thiab muaj pes tsawg leeg
Ib cov tshuaj uas muaj cov tshuaj metformin hydrochloride yog ib yam tshuaj ua nyob rau hauv cov tshuaj hauv qab no:
- Cov ntsiav tshuaj ua yeeb yaj kiab, 500 mg txhua (10 pcs. Hauv cov hlwv),
- Cov tshuaj siv tau ntev-tso tawm, zaj duab xis-txheej, 850 mg thiab 1000 mg (10 pcs. Hauv cov hlwv).
Cov Tshuaj Hauv Tshuaj
Bagomet txo qis cov ntshav qabzib hauv cov neeg mob ntshav qab zib mellitus los ntawm kev tiv thaiv gluconeogenesis nyob rau hauv daim siab, txo qhov nqus ntawm cov piam thaj hauv cov hnyuv thiab ua kom nws khiav ceev hauv cov nqaij. Cov tshuaj tiv thaiv tseem ceeb ntawm cov tshuaj - metformin - tsis txhawb qhov kev tsim cov tshuaj insulin thiab tsis ua rau cov ntshav qis thiab tsis ua rau lub cev tsis muaj teeb meem dab tsi li.
Bagomet pab pab txo lub cev qhov hnyav hauv cov neeg mob ntshav qab zib mellitus, kev txom nyem los ntawm kev rog dhau los, los ntawm kev txo hyperinsulinemia. Nws cov tshuaj ua haujlwm hauv lub cev kuj yog yam ntxwv ntawm cov nyhuv lipolytic. Cov tshuaj txo qis theem ntawm cov cholesterol nyob hauv ntshav ntshav, triglycerides thiab lipoproteins tsawg ntom.
Kev ntsuas rau siv
Bagomet yog tau kho nyob rau hauv kev kho mob ntawm hom 2 mob ntshav qab zib mellitus, tshwj xeeb tshaj yog ua ke nrog kev rog, suav nrog cov mob uas kho nrog sulfonylurea tshuaj tsis muaj txiaj ntsig.
Cov tshuaj yuav siv tau rau hauv monotherapy lossis ib txhij nrog insulin lossis lwm yam tshuaj ntawm qhov ncauj hypoglycemic.
Cov lus qhia rau kev siv Bagomet: txoj kev thiab ntau npaum li cas
Qhov koob tshuaj ntawm Bagomet yog txiav txim siab los ntawm kev mloog zoo ntawm cov piam thaj hauv cov ntshav thiab tau tsim los ntawm tus kws kho mob.
Thaum pib kho, 2-3 ntsiav tshuaj (500 mg) feem ntau yog siv tshuaj rau ib hnub, uas tau nquahu kom noj 2-3 koob los txhawm rau txo qhov mob hnyav ntawm kev tshwm sim ntawm lub plab zom mov. Thaum tsis muaj kev mob tshwm sim, yog tias tsim nyog, ntau npaum li cas yuav maj mam nce ntxiv. Qhov ntau kawg - 6 ntsiav tshuaj hauv ib hnub, muab faib ua 3 koob.
Cov tub ntxhais hluas thiab cov menyuam yaus hnub nyoog tshaj 10 xyoo feem ntau tau sau 1 ntsiav tshuaj ntawm Bagomet (500 mg) ib hnub. Ua raws li cov tshuaj tiv thaiv rau cov nyhuv ntawm cov tshuaj tom qab 10-14 hnub, kev noj tshuaj tau muab kho. Qhov siab tshaj plaws ib hnub twg yog 4 ntsiav tshuaj hauv ib hnub, muab faib ua 3 koob.
Raws li ib feem ntawm kev kho mob sib xyaw nrog insulin, qhov nruab nrab ib hnub tshuaj yog 1500 mg. Cov koob tshuaj insulin yog xaiv los ntawm tus kws kho mob raws li kev ntsuas ntawm cov piam thaj hauv cov ntshav.
Thaum muab tshuaj rau hauv daim ntawv ntawm cov ntsiav tshuaj nrog lub sijhawm ntev, thawj zaug kev noj yog 850 mg lossis 1000 mg. Cov ntsiav tshuaj yuav tsum noj nrog zaub mov, haus dej kom ntau. Nrog zoo kam rau ntawm Bagomet, maj mam nce ntxiv rau hauv cov tshuaj yog ua tau. Raws li txoj cai, koob tshuaj txij nkawm yog 1700 mg, qhov ntau yog 2550 mg ib hnub twg.
Thaum noj cov tshuaj ua ib feem ntawm kev sib xyaw ua ke, cov tshuaj txhua hnub feem ntau yog 1 ntsiav tshuaj ntawm 850 mg lossis 1000 mg.
Cov lus qhia tshwj xeeb
Thaum noj Bagomet, yuav tsum saib xyuas cov ntshav qabzib hauv lub siab tom qab noj mov tag thiab ntawm lub plab khoob yog qhov tsim nyog.
Cov tsos mob xws li ntuav, mob leeg, ua kom tsis muaj zog, thiab mob hnyav tuaj yeem qhia tau tias mob lactic acidosis pib. Yog tias muaj cov tsos mob no tshwm sim, nrog rau kev txhim kho cov tsos mob ntawm tus kab mob sib kis ntawm tus mob genitourinary lossis tus mob bronchopulmonary, koj yuav tsum tsis txhob noj tshuaj thiab sab laj nrog kws kho mob.
Cov tshuaj raug muab tso tseg ob hnub ua ntej kev soj ntsuam xoo hluav taws xob, kev ua haujlwm hauv kev ua haujlwm dav dav, epidural lossis tus txha caj qaum tsis nco qab.
Thaum lub sij hawm siv Bagomet, koj tuaj yeem tsis haus cawv, vim tias qhov pheej hmoo ntawm mob lactic acidosis.
Tsis muaj pov thawj tshwm sim tsis zoo ntawm lub tshuaj ntawm lub peev xwm los tsav tsheb. Txawm li cas los xij, thaum lub sijhawm sib koom ua ke kho nrog rau lwm cov tshuaj hypoglycemic, kev ceev faj yog qhia thaum ua haujlwm ua haujlwm uas yuav tsum tau nce siab ntxiv.
Siv rau lub sijhawm qub
Raws li cov lus qhia, Bagomet tsis pom zoo rau cov neeg mob uas laus dua 60 xyoo uas nws ua haujlwm cuam tshuam nrog kev ua haujlwm hauv lub cev, vim tias kev noj tshuaj ntau dhau qhov kev pheej hmoo ntawm lactic acidosis hauv lawv.
Hauv cov neeg mob laus, qhov siab tshaj plaws txhua hnub yuav tsum tsis pub tshaj 1000 mg.
Kev txheeb xyuas txog Bagomet
Kev tshuaj xyuas txog Bagomet ntawm cov kws kho mob feem ntau zoo. Hauv lawv lub tswv yim, noj cov tshuaj pheej yig no muab kev ruaj khov ntawm cov tshuaj metformin hauv cov ntshav ntshav rau 12 teev, uas txo cov zaus ntawm kev tswj hwm tshuaj thiab txhim kho kev soj ntsuam ntawm cov txheej txheem hauv metabolic. Qhov no pab txhawm rau txhim kho kev nqus ntawm metformin los ntawm lub plab thiab txo qhov kev pheej hmoo ntawm kev phiv los ntawm cov hnyuv plab.
Tus nqi ntawm Bagomet hauv chaw muag tshuaj
Hauv cov khw muag tshuaj feem ntau, tus nqi ntawm Bagomet 850 mg yog 180-230 rubles (60 rau ib koog). Lwm hom tshuaj no tam sim no tsis muaj.
Kev Kawm Ntawv: Thawj Moscow State Medical University muaj npe tom qab I.M. Sechenov, tshwj xeeb "Tshuaj General".
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!
Muaj ntau cov kev kho mob nthuav tawm heev, xws li kev siv khoom tsis nco qab ntawm cov khoom. Hauv plab ntawm ib tus neeg mob uas tau mob los ntawm tus txiv neej no, 2500 cov khoom txawv teb chaws tau pom.
Ntxiv rau tib neeg, tsuas yog ib qho tsiaj muaj sia nyob hauv ntiaj chaw ntiaj teb - dev, raug kev txom nyem los ntawm prostatitis. Cov no yog peb cov phooj ywg ncaj ncees tshaj plaws.
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.
Peb lub raum tuaj yeem ntxuav peb liv cov ntshav hauv ib feeb.
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.
Yog tias koj lub siab ua haujlwm, kev tuag yuav tshwm sim hauv ib hnub.
Qhov hnyav ntawm tib neeg lub hlwb yog li 2% ntawm tag nrho lub cev qhov hnyav, tab sis nws noj txog 20% ntawm cov pa mus rau hauv cov ntshav. Qhov tseeb no ua rau tib neeg lub hlwb muaj kev tiv thaiv rau kev puas tsuaj los ntawm cov pa oxygen.
Plaub qho ntawm chocolate tsaus muaj txog ob puas calories. Yog li yog tias koj tsis xav tau zoo dua, nws zoo dua tsis txhob noj ntau tshaj li ob lobules ib hnub.
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, cov poj niam uas haus ob peb khob npias lossis cawv txiv hmab ib lim tiam muaj feem ntau yuav muaj mob khees xaws mis.
Lub siab yog qhov ua haujlwm hnyav tshaj plaws hauv peb lub cev. Nws qhov hnyav nruab nrab yog 1.5 kg.
Txhawm rau hais txawm tias cov lus luv thiab yooj yim, peb siv 72 leeg leeg.
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.
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 kev noj haus.
Cov kws tshawb fawb Asmeskas tau sim cov nas thiab tau xaus lus tias cov kua txiv mab txiv ntoo txwv tsis pub muaj kev txhim kho ntawm cov hlab ntshav atherosclerosis ntawm cov hlab ntshav. Ib pawg nas haus dej dawb, thiab lub thib ob ua kua txiv. Raws li qhov tshwm sim, cov hlab ntsha ntawm cov pab pawg thib ob yog pub dawb cov plahaum roj.
Txhua tus tuaj yeem ntsib cov xwm txheej uas nws plam hniav. Nov yog ib qho txheej txheem niaj hnub ua los ntawm kws kho hniav, los yog ua rau muaj kev raug mob. Hauv txhua thiab.
Tso cov ntaub ntawv thiab cov nyob ua ke
Cov tshuaj yog ib ntsiav tshuaj nrog metformin hydrochloride (cov tshuaj ua kom muaj zog) hauv qhov muaj pes tsawg leeg. Nws muaj ntau qhov sib txawv - 1000, 850 thiab 500 mg. Ntxiv nrog rau cov khoom siv tiv thaiv, ntau yam tshuaj ntxiv uas muaj cov txiaj ntsig kho tau zoo nrog rau hauv cov tshuaj. Cov ntsiav tshuaj muaj puag ncig, txheej, thiab 850 mg daim ntawv kws tshuaj yog tshuaj ntsiav.
Bagomet yog ib ntsiav tshuaj nrog metformin hydrochloride nyob rau hauv cov lus muaj pes tsawg leeg.
Yuav ua li cas noj bagomet?
Cov koob tshuaj yog txiav txim los ntawm tus kws kho mob thiab nyob ntawm cov lus pov thawj, theem ntawm cov piam thaj hauv tus neeg mob cov ntshav. Kev txais tos yog kwv sab hauv lub plab tas. Siv cov tshuaj nrog cov zaub mov kom txo qis nws cov nyhuv.
Thaum siv cov ntsiav tshuaj muaj 500 mg, thawj koob tshuaj yuav tsum yog 1000-1500 mg. Txhawm rau kom tsis txhob phiv tshuaj, nws raug nquahu kom faib cov koob tshuaj 2-3 zaug. Tom qab 2 lub lim piam ntawm kev kho mob, nws raug tso cai rau maj mam nce cov koob tshuaj yog tias nyeem ntawm cov piam thaj hauv cov ntshav tau zoo dua. Qhov koob tshuaj txhua hnub yuav tsum tsis pub ntau dua 3000 mg.
Cov tub ntxhais hluas tuaj yeem noj ntau li 500 mg thaum yav tsaus ntuj nrog zaub mov noj. Tom qab 10-15 hnub, qhov tshuaj yuav tsum tau kho. Ntau tshaj 2000 mg ntawm cov tshuaj yuav tsum tsis txhob noj ib hnub.
Nrog rau kev coj ua ib txhij nrog insulin, koj yuav tsum noj 1 ntsiav tshuaj 2-3 r. / Hnub.
Thaum siv cov ntsiav tshuaj hauv ib koob tshuaj 850 mg, ib tus neeg laus yuav tsum noj 1 lub tshuaj. Cov koob tshuaj rau ib hnub yuav tsum tsis txhob siab tshaj 2500 mg. Thaum noj 1000 mg ntsiav tshuaj, 1 pc yog siv. ib hnub. Qhov siab tshaj plaws tau tso cai yog 2000 mg. Yog tias tshuaj insulin ua tiav tib lub sijhawm, tom qab ntawd cov koob tshuaj uas pom zoo yog 1 ntsiav tshuaj.
Lub plab zom mov
Xeev siab, ntuav, qab los noj mov yuav ploj, thiab kev iab nyob hauv qhov ncauj yuav tshwm sim.
Cov cim zoo li no tuaj yeem thab tus neeg mob thaum pib ntawm qhov kho mob, tab sis tsis tas yuav tsum tsis txuas lub tshuaj ntxiv.
Nrog rau cov tshuaj tsis yog, qhov tshwm sim tsis zoo tuaj yeem tsim los ntawm yuav luag txhua qhov ntawm lub cev.
Kev cuam tshuam nrog lwm yam tshuaj
Nws yog qhov ua tau kom txo cov nyhuv hypoglycemic ntawm kev ua haujlwm nquag thaum mus siv nrog:
- piam thaj steroids
- tshuaj uas muaj cov tshuaj hormones
- epinephrins,
- glucagon,
- sympathomimetics
- phenytoin
- tshuaj uas muaj phenothiazine,
- thiazide diuretics,
- ntau yam neeg mob ntawm nicotinic acid,
- Bcc thiab isoniazid.
Cov nyhuv ntawm cov nyhuv ntawm hypoglycemic ntawm metformin tej zaum yuav kho kom zoo dua nrog kev sib koom tes nrog:
- npaj los ntawm sulfonylurea derivatives,
- acarbose
- tshuaj insulin
- NSAIDs
- MAO inhibitors
- oxytetracycline
- ACE inhibitors
- cov tshuaj ua los ntawm clofibrate,
- cyclophosphamide, β-blockers.
Bagomet tuaj yeem kho kom zoo ntxiv los ntawm cov nyhuv ntawm cov nyhuv hypoglycemic ntawm metformin thaum sib xyaw nrog cov tshuaj insulin.
Metformin tuaj yeem txo qis kev nqus ntawm cyanocobalamin (vitamin B12).
Cimetidine qeeb lub sijhawm txiav tawm ntawm cov tshuaj metformin, uas ua rau kev txhim kho ntawm lactic acidosis.
Nifedipine ua rau qeeb lub sijhawm ntawm kev nthuav tawm ntawm metformin.
Metformin muaj peev xwm ua kom tsis muaj zog ntawm cov tshuaj tiv thaiv (uas yog ua los ntawm coumarin).
Cawv tau zoo
Thaum lub sijhawm noj cov tshuaj, nws zoo dua tsis txhob siv cov tshuaj muaj cawv, thiab txwv tsis pub haus dej haus cawv ib ntus.
Bagomet Plus yog cov tshuaj zoo sib xws, zoo ib yam hauv lub hom phiaj thiab cov khoom, tab sis muaj cov tshuaj glibenclamide. Lwm cov lus zoo xws li:
- Txog rau cov,
- Glucophage ntev,
- Metformin
- Metformin Teva
- Gliformin.
Siofor thiab Glucofage rau cov ntshav qab zib thiab kom poob phaus Formmetin: cov lus qhia rau kev siv, tus nqi, analogues Qab zib-txo cov ntsiav tshuaj MetforminHealth. Nyob rau 120. Metformin. (Lub Peb Hlis 20, 2016) Glyformin rau cov ntshav qab zib: tshuaj xyuas txog cov tshuajSugar-txo qis Glyformin rau hom 2 ntshav qab zib Glyformin kev qhia
Kev Ntsuas Xyuas Mob Ntshav Qab Zib
Svetlana, hnub nyoog 49 xyoo, Kirov: "Kuv tau mob ntshav qab zib tau ntev los lawm. Thiab qhov hnyav tshaj 100 kg. Tus kws kho mob tau sau tshuaj rau, hais tias cov piam thaj hauv cov ntshav yuav poob, thiab qhov hnyav yuav ploj mus. Thawj 2 hnub uas tau txais nws xav tias tsis zoo: nws xeev siab, muaj qhov ua txhaum tsis nco qab lawm. Tom qab ntawd cov koob tshuaj tau txo, Kuv pib zoo siab. Kuv noj zaub mov kom cov suab thaj kom ruaj khov, tab sis kuv txuas ntxiv haus cov tshuaj. Qhov hnyav tawm mus. Kuv poob 6 kg hauv 1 hlis. "
Trofim, hnub nyoog 60 xyoo, Moscow: "Cov tshuaj tau sau tseg tsis ntev los no, tus nqi tau tsim, thiab kev tshuaj xyuas tau zoo. Tom qab txhaj thawj, Kuv tam sim ntawd pib tsim kua muag thiab ntswj kuv lub plab, Kuv yuav tsum tau yaug cov hnyuv hauv lub tsheb thauj neeg mob. xa mus rau lwm qhov tshuaj ntxiv. "
Nifedipine ua rau qeeb lub sijhawm ntawm kev nthuav tawm ntawm metformin.
Cov kws kho mob tshuaj xyuas
Mikhail, hnub nyoog 40 xyoo, Saratov: "Cov tshuaj muaj ntau lub contraindications thiab feem ntau ua rau muaj kev phiv, yog li kuv sau nws nrog kev saib xyuas zoo rau cov neeg mob, tshwj xeeb tshaj yog cov laus thiab cov menyuam yaus. ntshav qabzib, kwv yees nrog ib koob. "
Ludmila, hnub nyoog 30 xyoo, Kursk: "Ntau tus neeg yws yws txog qhov tshwm sim hauv thawj hnub ntawm kev noj tshuaj, qee qhov muaj kev phiv tshuaj.