Siofor: cov lus qhia rau kev siv, tus nqi, xyuas, cov qauv ntawm cov ntsiav tshuaj

Hauv tsab xov xwm no, koj tuaj yeem nyeem cov lus qhia rau kev siv tshuaj yeeb SioforCov. Muab tswv yim los ntawm cov neeg tuaj saib rau ntawm thaj chaw - cov neeg tau txais kev pab ntawm cov tshuaj no, nrog rau kev xav ntawm cov kws kho mob tshwj xeeb txog kev siv Siofor hauv lawv cov kev coj ua. Qhov kev thov loj yog nquag ntxiv kev tshuaj xyuas koj ntawm cov tshuaj: cov tshuaj tau pab lossis tsis pab ua kom tshem tawm ntawm tus kabmob, muaj dab tsi tshwm sim thiab cov kev mob tshwm sim, tejzaum nws tsis tshaj tawm los ntawm tus tsim khoom hauv cov lus piav qhia. Cov cim ntawm Siofor nyob rau hauv muaj cov qauv txheej txheem qauv. Siv rau kev kho mob ntawm hom 2 mob ntshav qab zib mellitus thiab ntsig txog kev rog (rau qhov hnyav dua) hauv cov neeg laus, menyuam yaus, nrog rau lub sijhawm cev xeeb tub thiab pub mis. Cov lus sib xyaw thiab kev cuam tshuam ntawm cov tshuaj nrog cawv.

Siofor - Cov tshuaj hypoglycemic los ntawm pab pawg biguanide. Muab qhov txo qis hauv ob qho tib si hauv basal thiab postprandial ntshav qabzib feem ntau. Nws tsis txhawb kev puas tsuaj rau cov tshuaj insulin thiab vim li ntawd nws tsis coj mus rau hypoglycemia. Qhov kev ua ntawm metformin (cov yeeb tshuaj nquag ntawm yeeb tshuaj Siofor) yog tej zaum raws cov txheej txheem hauv qab no:

• txo qis nyob rau hauv cov piam thaj ntau ntau hauv lub siab vim kev txaum ntawm gluconeogenesis thiab glycogenolysis,
• nce cov leeg rhiab rau insulin thiab, vim li ntawd, txhim kho peripheral qabzib kev siv zog thiab siv,
• kev txwv tsis pub muaj plab hnyuv tawm.

Siofor los ntawm nws cov kev ua ntawm glycogen synthetase stimulates intracellular glycogen synthesis. Nws tsub kom thauj muaj peev xwm ntawm tag nrho cov piam thaj cov thauj cov nqaijrog paub txog rau hnub tim.

Tsis hais txog ntawm cov nyhuv ntawm cov ntshav ntawm cov ntshav, nws muaj txiaj ntsig zoo ntawm lipid metabolism, ua rau cov roj (cholesterol) tag nrho tsawg, cov roj cholesterol tsawg thiab triglycerides.

Muaj pes tsawg leeg

Metformin hydrochloride + kev xa tawm.

Cov Tshuaj Pharmacokinetics

Thaum noj mov, kev nqus tsawg dua thiab ua rau me ntsis tso. Qhov tseeb txog kev tsis tuaj yeem nyob hauv cov neeg mob noj qab haus huv yog kwv yees li 50-60%. Nws xyaum tsis khi rau cov plasma protein. Nws tawm hauv cov zis tsis hloov pauv.

Cov Khoom Qhia

• yam 2 mob ntshav qab zib mellitus (non-insulin-dependant), tshwj xeeb tshaj yog ua ke nrog kev rog nrog kev kho kev noj haus tsis muaj txiaj ntsig.

Tso Tawm Cov Ntawv

Coated ntsiav tshuaj ntawm 500 mg, 850 mg thiab 1000 mg.

Cov lus qhia rau kev siv thiab regimen

Cov koob tshuaj ntawm cov tshuaj no tau teeb tsa ua ib tus zuj zus nyob ntawm seb nws muaj ntshav qabzib nyob rau hauv cov ntshav. Kev kho yuav tsum tau ua nrog kev nce ntxiv hauv koob tshuaj, pib nrog 0.5-1 g (1-2 ntsiav tshuaj) ntawm Siofor 500 lossis 850 mg (1 ntsiav tshuaj) ntawm Siofor 850. Tom qab ntawd, nyob ntawm theem ntawm cov piam thaj hauv cov ntshav, cov tshuaj ntawm cov tshuaj tau nce nrog ib nrab ntawm 1 lub lis piam ua ntej qhov nruab nrab txhua hnub ntawm 1.5 g (3 ntsiav tshuaj) ntawm Siofor 500 lossis 1.7 g (2 ntsiav tshuaj) ntawm Siofor 850. Qhov siab tshaj plaws txhua hnub ntawm Siofor 500 yog 3 g (6 ntsiav tshuaj), Siofor 850 yog 2.55 g (3 ntsiav tshuaj) Cov.

Qhov nruab nrab txhua hnub siv ntawm Siofor 1000 yog 2 g (2 ntsiav tshuaj). Qhov nyiaj pab ntau tshaj txhua hnub ntawm Siofor 1000 yog 3 g (3 ntsiav tshuaj).

Cov tshuaj yuav tsum noj thaum lub sijhawm noj mov, tsis tas yuav zom, haus dej kom ntau.

Yog tias qhov koob tshuaj txhua hnub ntau dua li 1 ntsiav tshuaj, nws yuav tsum tau faib ua 2-3 koob. Lub sijhawm tiv thaiv kev siv ntawm cov tshuaj Siofor yog txiav txim los ntawm tus kws kho mob.

Cov tshuaj tu mob yuav tsum tsis txhob them nyiaj rov qab los ntawm ib lub koob muaj ntau npaum li cas ntawm cov ntsiav tshuaj.

Vim tias muaj qhov pheej hmoo ntxiv ntawm cov kab mob lactic acidosis, cov koob tshuaj yuav tsum raug txo qis yog tias muaj kev cuam tshuam loj ntawm cov metabolism hauv lub cev.

Sab sij huam

• xeev siab, ntuav,
• nws yog xim hlau ci hauv qhov ncauj
• tsis qab los noj mov
• zawv plab
• flatulence
• mob plab
• nyob rau hauv cov kev mob cais (nrog kev siv tshuaj ntau dhau, nyob rau hauv muaj cov kab mob uas siv tshuaj tsis sib haum, nrog kev quav dej quav cawv), cov kab mob lactic acidosis yuav tshwm sim (yuav tsum muaj kev kho mob mus ntxiv),
• nrog rau kev kho mob ntev, kev txhim kho ntawm B12 hypovitaminosis (malabsorption) yog qhov ua tau,
• megaloblastic anemia,
• hypoglycemia (ua txhaum ntawm txoj kev muab tshuaj),
• daim tawv nqaij ua pob.

Cov Yuav Tsum Muaj

• ntshav qab zib hom 1
• ua tiav kev tsis ua tiav ntawm kev tso ntshav ntawm insulin hauv lub cev nrog mob ntshav qab zib hom 2,
• ketoacidosis, mob ntshav qab zib precoma, coma,
• lub siab thiab lub raum tsis zoo,
• myocardial infarction
• hlab plawv tsis ua haujlwm
• lub cev qhuav dej
• mob ntsws hnyav nrog lub ntsws ua pa nyuaj,
• cov kab mob kis hnyav
• haujlwm, kev raug mob,
• catabolic tej yam kev mob (tej yam kev mob nrog txoj kev ua kom zoo noj, piv txwv li, thaum mob qog),
• hypoxic mob
• haus cawv ntev,
• lactic acidosis (suav nrog keeb kwm),
• cev xeeb tub
• lactation (noj niam mis),
• kev ua raws li kev noj haus nrog rau kev txwv ntawm lub caloric kom tsawg ntawm cov khoom noj (tsawg dua 1000 kcal ib hnub),
• cov me nyuam muaj hnub nyoog
• siv rau 48 teev lossis tsawg dua ua ntej thiab nyob rau hauv 48 teev tom qab ua kev tshawb fawb radioisotope lossis xoo hluav taws xob nrog kev qhia ntawm iodine-uas muaj cov tshuaj tiv thaiv tsis zoo (Siofor 1000),
• ua kom lub cev tsis haum rau cov tshuaj ntawm cov tshuaj.

Cev xeeb tub thiab lactation

Cov tshuaj yog contraindicated rau kev siv thaum cev xeeb tub thiab thaum lactation (pub niam mis).

Cov lus qhia tshwj xeeb

Ua ntej sau cov tshuaj, ntxiv rau txhua 6 lub hlis, nws yog ib qho tsim nyog los soj ntsuam daim siab thiab lub raum ua haujlwm.

Nws yog ib qho tsim nyog los tswj qib ntawm lactate hauv cov ntshav tsawg kawg 2 zaug hauv ib xyoos.

Cov chav kawm ntawm kev kho mob nrog Siofor 500 thiab Siofor 850 yuav tsum tau hloov nrog kev kho nrog lwm cov tshuaj hypoglycemic (piv txwv li, tshuaj insulin) 2 hnub ua ntej kev kuaj mob X-ray nrog kev saib xyuas cov tshuaj iodine uas muaj cov tshuaj tiv thaiv kab mob, nrog rau 2 hnub ua ntej kev ua haujlwm los ntawm kev siv tshuaj loog, thiab txuas ntxiv cov kev kho no rau lwm qhov 2 hnub tom qab tshuaj xyuas no lossis tom qab phais.

Hauv kev sib xyaw nrog kev kho nrog sulfonylureas, yuav tsum tau saib xyuas kom ntshav qabzib ntau ntau yog tsim nyog.

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

Thaum siv Siofor, nws tsis raug nquahu kom koom nrog cov haujlwm uas yuav tsum tau saib xyuas thiab cov kev xav sai ntawm psychomotor vim qhov pheej hmoo ntawm hypoglycemia.

Yeeb tshuaj sib cuam tshuam

Nrog rau kev siv tib lub sijhawm nrog sulfonylurea derivatives, acarbose, insulin, non-steroidal anti-inflammatory drugs (NSAIDs), MAO inhibitors, oxytetracycline, ACE inhibitors, clofibrate derivatives, cyclophosphamide, beta-adrenergic blockers, hypoglycemic effect ntawm cov tshuaj yuav kho kom zoo.

Nrog rau kev siv ua ke nrog glucocorticosteroids (GCS), tshuaj tiv thaiv qhov ncauj, epinephrine, sympathomimetics, glucagon, thyroid hormones, phenothiazine derivatives, nicotinic acid derivatives, nws muaj peev xwm txo cov nyhuv hypoglycemic ntawm Siofor.

Siofor tuaj yeem txo cov nyhuv ntawm qhov tsis ncaj ntawm cov tshuaj tiv thaiv.

Nrog rau kev siv ua ke nrog ethanol (cawv), kev pheej hmoo ntawm cov kab mob lactic acidosis nce ntxiv.

Nifedipine nce ntxiv kev nqus thiab theem ntawm metformin hauv ntshav ntshav, ntev nws tshem tawm.

Cov tshuaj cationic (amiloride, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamteren, vancomycin) zais cia rau hauv cov tubules sib tw rau cov tub ntxhais thauj khoom thiab, nrog kev kho lub sijhawm ntev, tuaj yeem nce siab ntawm metformin hauv ntshav ntshav.

Cimetidine qeeb qeeb kev tshem tawm ntawm Siofor, uas ua rau muaj kev pheej hmoo ntawm lactic acidosis.

Cov tshuaj ntawm cov tshuaj Siofor

Cov qauv ntawm cov qauv ua haujlwm:

• Bagomet,
• Glycon
• Glyminfor,
• Glyformin
• Glucophage,
• Glucophage Ntev,
• Looj Yaj
• Methadiene
• Metospanin
• Metfogamma 1000,
• Metfogamma 500,
• Metfogamma 850,
• Metformin
• Metformin hydrochloride,
• Nova Met
• NovoFormin,
• Siofor 1000,
• Siofor 500,
• Siofor 850,
• Sofamet
• Rau feeb,
• Formin Pliva.

Pharmacological kev txiav txim

Siofor yog qhov tshuaj hypoglycemic uas yog pawg lojmuasCov. Cov tshuaj muaj cov nyhuv tshuaj tiv thaiv kab mob. Nws pab inhibit qhov nqus ntawm cov piam thaj ntawm lub plab zom mov, nce insulin rhiab heev nyob rau hauv cov ntaub so ntswg peripheral, thiab ua rau qeeb qeeb. glucogenesisCov. Hauv qab ntawm qhov tshuaj, qabzib siv los ntawm cov leeg yog ua haujlwm. Siofor tseem muaj qhov cuam tshuam zoo rau lipid metabolism vim lipid-txo cov teebmeem thiab ntawm cov coagulation system vim muaj cov teebmeem fibrinolytic.

Cov tshuaj txo cov ntshav qabzib, pab txo lub cev qhov hnyav hauv cov neeg muaj mob mob ntshav qab zibtxo qhov qab los noj mov.

Pharmacodynamics thiab pharmacokinetics

Qhov siab tshaj plaws ntawm cov tshuaj yog tiav 2.5 teev tom qab kev tswj hwm qhov ncauj. Yog tias zaub mov noj tib lub sijhawm nrog rau cov tshuaj, nqus tuaj poob thiab txo qis. Hauv cov neeg muaj kev noj qab haus huv, kev noj qab nyob zoo yog li 50-60%.

Cov tshuaj nquag yuav luag tsis khi rau cov protein ntshav.

Kev tshem tawm ntawm cov tshuaj tshwm sim tsis hloov pauv ntawm cov zis. Ib nrab-lub neej tom qab kev tswj hwm ntawm qhov ncauj yog kwv yees li 6.5 teev.

Yog hais tias tus neeg mob tau txo lub raum kev ua haujlwm, qhov kev tshem tawm ib nrab ntawm lub neej nce, yog li ntawd, cov tshuaj lom hauv cov ntshav nce ntxiv metformin.

Cov Yuav Tsum Muaj

Cov txheej txheem ua kom tsis txhob noj tshuaj yog li nram qab no:

• kev tiv thaiv tsis haum
• mob ntshav qab zib mellitusthawj hom,
• mob ketoacidosis,
• kuaj mob ntshav qab zib, coma,
• txiav ntawm endogenous insulin secretion nyob rau hauv cov neeg mob uas muaj hom 2 mob ntshav qab zib mellitus,
• lub raum, mob hepatic, ua tsis taus pa,
• myocardial infarction nyob rau theem mob,
• cov kab mob kis hnyav
• kev raug mob thiab kev khiav haujlwm
• hypoxic mob
• txhim kho kev puas tsuaj hauv cov txheej txheem hauv lub cev (cov qog, thiab lwm yam),
• lactic acidosis,
• haus cawv ntev,
• kev noj haus nrog cov khoom noj tsawg kawg calories (tsawg dua 1000 calories tauj ib hnub),
• cov me nyuam muaj hnub nyoog
• lub sijhawm cev xeeb tub, pub niam mis.

Sab sij huam

Thaum noj Siofor, cov kev mob tshwm sim hauv qab no yog qhov ua tau:

• Hauv cov kab ke ntawm lub plab zom mov: thaum pib kho, nws yuav muaj xim hlau hauv lub qhov ncauj, tsis qab los, ntuav, mob hauv plab, raws plab. Thaum kho, cov kev mob tshwm sim no maj mam ploj.
• Hauv cov kab mob hematopoietic: tuaj yeem tsis tshua muaj tshwm sim megaloblastic anemia.
• Daim tawv nqaij: hauv qee qhov tsawg, tsim kho kev fab tshuaj tsis haum.
• Nyob rau hauv tsawg zaus, tshwm sim yog tau lactic acidosis.

Cov lus qhia rau Siofor (Txujci thiab ntau npaum li cas)

Feem ntau, cov ntsiav tshuaj noj ntawm qhov ncauj, lawv yuav tsum tau ntxuav nrog dej ntau, tsis yog zom. Cov koob tshuaj yog tshuaj los ntawm tus kws kho mob mus kawm nyob ntawm seb qib ntshav qab zib nyob hauv tus neeg mob nrhiav pom dab tsi.

Cov lus qhia ntawm Siofor 500 cov hauv qab no: thaum pib 1-2 ntsiav tshuaj yog kho ib hnub, maj mam koob tshuaj txhua hnub yog nce rau peb ntsiav tshuaj. Qhov loj tshaj plaws ntawm cov tshuaj ib hnub yog rau 6 ntsiav tshuaj. Yog tias ib tug neeg noj ntau dua ib ntsiav tshuaj hauv ib hnub, nws yog qhov tsim nyog yuav tsum faib lawv ua ntau zaug. Koj tsis tuaj yeem nce ntxiv ntau npaum li cas yam tsis muaj kev sab laj nrog kws kho mob. Lub sijhawm kho mob tsuas yog teem los ntawm tus kws tshwj xeeb.

Cov lus qhia rau kev siv Siofora 850 tom ntej: thaum pib, cov tshuaj pib nrog ib ntsiav tshuaj. Maj mam, qhov koob tshuaj yuav nce ntxiv rau 2 ntsiav tshuaj. Koj tuaj yeem noj tsis pub ntau tshaj 3 ntsiav tshuaj hauv ib hnub. Yog tias ntau dua ib ntsiav tshuaj noj ib hnub, koj yuav tsum faib lawv rau ntau koob. Koj tsis tuaj yeem nce ntxiv ntau npaum li cas yam tsis muaj kev sab laj nrog kws kho mob. Lub sijhawm kho yog txiav txim los ntawm tus kws tshwj xeeb xwb.

Cov lus qhia ntawm Siofor 1000 Cov hauv qab no: qhov pib kom tsawg nrog 1 ntsiav tshuaj, tsis pub ntau tshaj 3 ntsiav tshuaj tuaj yeem noj ib hnub. Qee zaum nws yuav tsum tau ua ke los noj cov tshuaj no nrog insulin. Koj tuaj yeem siv tsis tau Siofor rau qhov kev poob phaus yam tsis muaj tus thawj tham nrog kws kho mob.

Noj cov tshuaj nrog polycystic lub zes qe menyuam tau tsuas yog tom qab kev pom zoo ntawm kev kho mob los ntawm tus kws kho mob.

Noj ntau dhau

Thaum ua qhov kev tshawb fawb tsis pom qhov tshwm sim ntshav qog txawm tias ib qho koob tshuaj ntau tshaj li niaj hnub los 30 zaug tau noj lawm. Yog noj ntau dhau yuav ua rau lactic acidosisCov. Cov tsos mob ntawm tus mob no yog ntuav, raws plab, qaug zog, nquag ua pa, tsis nco qab. Hauv qhov no, hemodialysis tau ua. Tab sis feem ntau tshem tawm cov tsos mob tso cai rau siv cov piam thaj lossis qab zib.

Kev sib txuam

Yog tias Siofor tau noj ib txhij nrog rau lwm cov tshuaj uas muaj suab thaj, NSAIDs, MAO inhibitors, fibrates, ACE inhibitors, insulin, nws yog ib qho tseem ceeb kom ua tib zoo saib xyuas cov ntshav qabzib ntau. Hauv qhov no, qhov ua kom hypoglycemic ntawm Siofor yuav nce tuaj.

Qhov ua tau zoo ntawm cov tshuaj tuaj yeem txo qis yog tias nws raug coj los ua ke nrog cov thyroid hormones, glucocorticosteroids, progesterone, tshuaj estrogenthiazide diuretics sympathomimetics, zoo li nrog nicotinic acidCov. Hauv qhov no, nws yog ib qho tseem ceeb uas tswj hwm qib ntawm glycemia, kev kho tshuaj ntawm Siofor yog ua tau.

Ib txhij kev kho mob cimetidine tej zaum yuav ua rau kom qhov kev ua kom paub zoo tshaj tuaj lactic acidosis.

Cov lus qhia tshwj xeeb

Hauv lub sijhawm kho nrog tshuaj, nws yog ib qho yuav tsum tau ua tib zoo saib kev ua haujlwm ntawm tus neeg mob lub raum.

Yog tias kev ntsuas mob radiological tau npaj, cov tshuaj yuav tsum raug ncua ua ntej kev kuaj mob thiab tsis txhob noj cov tshuaj rau ob hnub ntxiv tom qab kev tshuaj xyuas, txij li kev qhia ntawm qhov sib txawv tuaj yeem ua rau npau taws lub raum tsis ua hauj lwm.

Txais tos ntawm Siofor yuav tsum nres ob hnub ua ntej txoj kev npaj phais mob, uas yuav ua raws li kev siv tshuaj loog. Txoj kev kho tuaj yeem txuas ntxiv rau ob hnub ntxiv tom qab kev phais.

Koj yuav tsum tsis txhob ua ke nrog kev siv cov tshuaj no nrog cov tshuaj uas txhim kho cov nyhuv hypoglycemic.

Cov tshuaj kho mob tau siv rau kev kho mob ntawm cov neeg laus uas twb muaj hnub nyoog 65 xyoos.

Pom zoo kom tswj theem ntshav lactateob zaug ib xyoos. Yog tias qhov ua kom tsawg ntawm Siofor yuav ua ke nrog lwm cov tshuaj uas ua rau kom muaj suab thaj tsawg dua, ib tus neeg muaj peev xwm tsav tsheb thauj mus los yuav muaj qhov tsis taus.

Ntsia hauv qab, Dianormet, Glucophage XR, Metfogamma, Diaformin, Metformin Hexal.

Cov lus piav qhia qee zaum siv los hloov chaw ntawm Siofar. Cov lus qhia hauv qab no tau thov: Metformin, Metfogamma, Tshuaj nyob, Ntsia hauv qabCov. Lawv muaj cov tshuaj lom neeg zoo sib xws, yog li ntawd lawv cov txiaj ntsig ntawm lub cev yog zoo ib yam. Tab sis tsuas yog ib tus kws kho mob tshwj xeeb tuaj yeem hloov cov tshuaj nrog analogues.

Qhov twg yog qhov zoo dua: Siofor lossis Glyukofazh?

Glucophage muaj cov tshuaj metformin hydrochloride ua cov tshuaj ua kom nquag plias thiab siv ob qho tib si li mono-kho rau hom 2 mob ntshav qab zib mellitus thiab hauv txoj kev kho mob nyuaj. Txawm li cas los xij, cov tshuaj no, zoo li Siofor, tsis yog siv los ua txhais tau tias tsuas yog ua kom yuag xwb. Yog li no, lo lus nug ntawm dab tsi yog qhov zoo dua rau kev poob phaus tsis raug rau hauv qhov no.

Metformin lossis Siofor - uas yog ib qho zoo dua?

Ob qho tshuaj yeeb tshuaj yog koom nrog pab pawg ntawm qhov ncauj tshuaj hypoglycemic thiab tuaj yeem sib hloov tom qab kev pom zoo los ntawm tus kws kho mob. Tus kws kho mob txiav txim siab qhov tsim nyog ntawm kev siv cov tshuaj no lossis cov tshuaj no ib tus zuj zus.

Txog rau hnub no, tsis muaj cov ntaub ntawv hais txog kev soj ntsuam hauv lub tebchaws, yog li cov tshuaj tsis siv los kho menyuam yaus.

Rau qhov poob phaus

Cov tshuaj zoo txo ​​cov ntshav qabzib, thiab, ua ntej txhua yam, nws yog tshuaj rau cov neeg uas muaj mob ntshav qab zibuas yog rog. Txawm li cas los xij, cov kws kho mob tsis txhawb nqa cov neeg uas siv Siofor tshwj xeeb rau kev poob phaus. Txawm li cas los xij, kev soj ntsuam ntawm Siofor rau cov kev poob phaus qhia tias, ua ntej txhua yam, cov tshuaj txo qis qhov muaj siab noj cov khoom qab zib.

Cov neeg tsis tuaj yeem tawm tswv yim rau hauv lub rooj sab laj txog yuav ua li cas Siofor 500 lossis Siofor 850 thiab lub cev yuag poob ua ke ceeb toom tias qhov poob phaus tshwm sim sai, tshwj xeeb tshaj yog ua ke nrog kev txo qis hauv kev noj zaub mov hauv lub cev thiab ua kom lub cev. Txawm li cas los xij, cov neeg uas noj cov ntsiav tshuaj noj cov zaub mov tseem muaj cov kev mob tshwm sim - colic, fermentation hauv plabheev thiab xoob tso quav xeev siab.

Tab sis yog tias ib tug neeg tseem txiav txim siab sim ua cov qauv no ntawm kev poob phaus, koj xav tau kev qhia kom meej txog kev noj Siofor kom yuag poob. Hauv qhov no, ib cov tshuaj siv nrog tsawg kawg ntawm cov tshuaj nquag - 500 mg. Koj yuav tsum tau siv tshuaj noj thaum noj mov lossis ua ntej noj mov.

Yog tias kev noj zaub mov zoo raws thaum noj cov tshuaj, koj yuav tsum txwv rau ib ntsiav tshuaj ib hnub. Koj tsis tuaj yeem noj tshuaj yog tias muaj qhov hnyav, muab sib xyaw nrog lwm cov tshuaj los txo qhov hnyav, mob plab, tshuaj diureticCov. Chav kawm ntawm txoj kev kho yuav tsum tau tsum tsis ua hauj lwm thaum kub, ua txhaum cai ntawm cov hnyuv. Nws tsis pom zoo kom noj cov tshuaj no ntau dua 3 hlis.

Kev txheeb xyuas txog Siofor

Cov kws kho mob cov lus ntawm Siofor 1000, 850, 500 feem ntau yog qhov zoo, tab sis cov kws tshaj lij taw qhia tias cov tshuaj yuav tsum noj tshwj xeeb los ntawm cov neeg mob ntshav qab zib mellitus, thiab tsis muaj kev noj qab haus huv, poob cov neeg muaj ceeb thawj. Cov tshuaj pab ua kom cov ntshav qab zib tau rov qab zoo thiab ntxiv rau, cov neeg muaj ntshav qab zib noj Siofor 850 lossis cov tshuaj hauv lwm qhov tshuaj ceeb toom yuag poob.

Hauv lub network koj tuaj yeem nrhiav ntau cov kev txheeb xyuas ntawm cov neeg uas tau poob phaus nrog kev pab los ntawm cov cuab yeej no, uas lees tias thaum koj coj nws, koj lub qab los noj tsawg. Tab sis kev tshuaj xyuas ntawm Siofor 500 rau cov ntshav qab zib, nrog rau kev xav ntawm cov neeg uas coj nws rau qhov kev poob phaus, pom zoo tias tom qab tas kev kho mob, qhov hnyav feem ntau rov qab los sai sai. Nws tseem raug sau tseg tias cov ntsiav tshuaj muaj tus nqi pheej yig. Txawm li cas los xij, tseem muaj ntau qhov tsis zoo tshuaj xyuas cov kev mob tshwm sim thaum tsim kho. Hauv tshwj xeeb, peb tab tom tham txog cov teeb meem hauv kev ua haujlwm ntawm lub siab, kab mob plab hnyuv, hnyuv, lub plab.

Siofor: kev qhia rau kev siv

Siofor tuaj yeem txo cov ntshav qab zib thiab tswj cov ntshav mob ntshav qab zib hom 2.
Ua tsaug rau kev noj cov tshuaj, muaj qabzib ntau maj mam nqus mus rau hauv cov ntshav los ntawm lub siab.
Siofor tsis cia cov carbohydrates los ntawm cov khoom noj yuav raug tso rau hauv cov ntshav hauv qhov ntau.
Cov keeb ntawm lub cev hloov zuj zus ntxiv rau cov tshuaj insulin, uas pab txhawb kev nkag mus ntawm cov tshuaj hormone rau lawv.
Lub hauv paus ntawm cov tshuaj Siofor yog cov tshuaj ua kom nquag plias Metformin. Tom qab nkag mus rau hauv lub cev, nws tsis nthuav tawm hauv nws, tab sis yog tawm nrog rau lub raum thiab daim siab.

Thaum twg mam coj

Siofor tau raug tshuaj rau kev txhim kho hom 2 mob ntshav qab zib mellitus hauv cov neeg mob uas, rau kev tswj hwm tus kabmob, tsis tas yuav tsum muaj kev noj zaub mov zoo thiab tawm dag zog xwb.
Cov tshuaj tuaj yeem ua ke nrog lwm cov tshuaj. Nws tuaj yeem tsim tshuaj thaum lub sijhawm kho cov tshuaj insulin.
Qee zaum cov tshuaj siv rau kev tiv thaiv kev rog, txawm hais tias mob ntshav qab zib hauv cov neeg mob no tseem tsis tau raug tshuaj.
Siofor yog siv nyob rau hauv kev kho mob gynecological thaum tus poj niam qhia tawm lub cev polycystic syndrome.
Muaj pov thawj tias Siofor tiv thaiv kev laus hlwb thaum ntxov, yog li ua kom ntev lub neej ntawm cov neeg mob. Txawm li cas los xij, cov ntawv pov thawj scientific rau qhov kev xav no tseem tsis txaus.

Thaum twg los tsis lees txais

Cov kev txwv tsis pub siv rau qhov tshuaj:

• Mob ntshav qab zib hnyav, uas cuam tshuam nrog kev pheej hmoo ntawm kev tsim ketoacidosis thiab coma.
• Kev kis kab mob ntawm lub cev hauv qhov mob tsis zoo.
• Mob ncauj plab.
• Lub plawv tsis ua hauj lwm.
• Ncua lub plawv nres. Cov tshuaj tsis tau sau tseg nyob rau lub sij hawm kho kom ntxov.
• Daim siab ua kom puas, lwm yam tshaj li cov roj ua hepatosis.
• Kev quav dej caw nrog kev txhim kho cawv.
• Lub hnub nyoog qis dua 10 xyoo.
• Kev puas tsuaj rau lub raum, nrog rau kev poob qis hauv glomerular infiltration tus nqi mus rau 60 ml / min lossis tsawg dua.

Dab tsi koj yuav tsum them sai sai rau

Yog tias tus neeg mob xav tau kev phais mob, lossis kev kuaj mob X-ray, tom qab ntawd cov tshuaj yuav tsum raug tso tseg 2 hnub ua ntej cov txheej txheem.
Yog tias muaj cov tshuaj contraindications kom noj Siofor, uas tsis tau xav txog ua ntej pib kev kho mob, tus neeg mob yuav muaj kev cuam tshuam tsis zoo hauv cov txheej txheem hauv metabolic - lactic acidosis. Hauv qhov no, koj yuav tsum tsis kam noj tshuaj thiab nrhiav kev pab kho mob.
Thaum kho, nws tsis yog tsuas yog ua raws li kev noj haus zoo, tab sis kuj tseem yuav ua rau lub neej muaj sia.

Hauv qhov khob, qhov ntau npaum ntawm cov tshuaj yuav tsum tsis pub tshaj 2550 mg. Ib qho ntxiv, txhua ntsiav tshuaj muaj 850 mg, uas txhais tau tias koj yuav tsum tsis txhob noj ntau tshaj peb ntsiav tshuaj hauv ib hnub.
Qee zaum cov koob tshuaj niaj hnub tuaj yeem nce ntxiv txog 3000 mg. Hauv qhov no, tus neeg mob tau sau tshuaj uas nws qhov ntau yog 1000 mg rau ib ntsiav tshuaj.
Thawj qhov tshuaj ntawm cov tshuaj yuav tsum raug txo kom tsawg li qhov ntau thiab tsawg. Yog li, cov neeg mob tau raug xaj 1 ntsiav tshuaj hauv 500 lossis 850 mg rau ib hnub. Cov koob tshuaj tau nce nrawm dua li ntau lub lis piam. Yog hais tias tus neeg mob zam kev kho kom zoo, tom qab ntawd txhua 11-14 hnub cov koob tshuaj tau nce ntxiv, nqa nws mus rau theem tsim nyog.
Siv yeeb tshuaj nrog zaub mov.

Yog tias tus neeg mob pib txhim kho kev tsis haum tshuaj, ces koj yuav tsum tsis kam lees siv tshuaj.
Lwm cov kev phiv suav nrog:

Raws li txoj cai, tom qab ob peb hnub txij li hnub pib kho, txhua qhov kev hnov ​​tsis zoo yuav nres.
Raws li rau kev kuaj ntshav qog ntshav (ib qho mob uas cov ntshav qab zib hauv lub cev poob qis hauv lub cev), Siofor tsis tuaj yeem ua rau nws npau taws. Txawm li cas los xij, yog tias nws tau raug sau ua ke nrog lwm cov tshuaj, nws tsis tuaj yeem tshem tawm txoj kev txhim kho ntawm cov kev mob tshwm sim no.
Yog tias tus neeg mob tau txhaj tshuaj insulin thaum kho nrog Siofor, ces cov koob tshuaj yuav tsum raug txo kom tsawg dua 25%.
Yog hais tias kev kho mob ntev, tom qab ntawd nqus ntawm cov vitamin B12 yuav txo qis hauv lub cev. Qhov tseeb no yuav tsum raug coj los txiav txim thaum sau tshuaj rau cov neeg mob megaloblastic anemia.

Ntxais menyuam, noj niam mis

Siofor tsis raug txwv rau kev pub niam mis thiab thaum cev xeeb tub.
Txawm li cas los xij, ntawm kev npaj theem ntawm cev xeeb tub, Siofor tuaj yeem kho rau cov poj niam thaum lawv kuaj mob polycystic ovary syndrome. Yog hais tias nyob rau lub sijhawm no muaj kev xeeb tub, hais txog qhov tus poj niam tsis paub thiab txuas ntxiv kev noj tshuaj, ces qhov no tsis txaus ntshai rau qhov tsis zoo rau kev noj qab haus huv ntawm leej niam thiab tus menyuam thiab yuav tsum tsis txhob txhawj txog qhov no.
Thaum lub sijhawm pub mis, kev kho nrog Siofor tsis kam, vim nws cov khoom tseem ceeb muaj peev xwm nkag mus rau hauv niam mis.

Kev cuam tshuam nrog lwm yam tshuaj

Siofor tsis pom zoo kom ua ke nrog tshuaj tiv thaiv qhov ncauj, cov thyroid hormones, phenothiazine derivatives, nicotinic acid, Epinephrine thiab lwm yam tshuaj. Qhov no yog qhov txaus ntshai vim tias thaum lawv nkag rau hauv kev sib txuam, lawv muaj peev xwm los txo qis qhov kev ua tau zoo ntawm kev kho nrog Siofor.
Qee qhov teeb meem kuj tseem yuav tshwm sim thaum sau ntawv rau Siofor nrog cov tshuaj kom txo cov ntshav siab thiab nrog cov tshuaj rau lub plawv tsis ua haujlwm.
Tag nrho cov no ib zaug ntxiv tau lees paub qhov tseeb tias yuav tsum muaj kev sib tham ntxiv txog kev kho mob ua ntej yuav pib kho.

Yog tau txhaj koob tshuaj siab

Kev siv ntau dhau ntawm cov tshuaj hem thawj rau kev txhim kho ntawm cov kab mob lactic acidosis, tab sis cov neeg mob tsis txhim kho hypoglycemia. Txawm li cas los xij, kev txuam nrog cov lactic acid hauv cov ntshav yog qhov xwm txheej txaus ntshai uas ua rau muaj kev hem thawj rau lub neej. Hauv qhov xwm txheej no, tus neeg mob tau pw hauv tsev kho mob sai. Txhawm rau tshem tawm cov tshuaj tawm hauv lub cev sai li sai tau, hemodialysis yuav tsum ua. Nyob rau hauv parallel, kev kho mob yog nqa tawm hom phiaj ntawm tshem tawm yam tsis xav tau ntawm tus kab mob.

Kev Sau, tso daim foos thiab ntim khoom cia

Cov tshuaj muaj rau cov tshuaj tshwj xeeb nkaus xwb. Cov ntsiav tshuaj yog oblong lossis puag ncig zoo thiab dawb hauv cov xim. Lawv nyob hauv cov blisters uas tau ntim rau hauv cov thawv ntawv los qhia. Cov tshuaj yog ua raws li metformin hydrochloride, uas yog cov khoom siv tseem ceeb. Cov koob tshuaj sib txawv thiab tej zaum yuav yog 500, 850 lossis 1000 mg.
Raws li cov khoom siv pabcuam, cov tshuaj xws li hypromellose, macragolum, titanium dioxide, magnesium stearate, povidone, thiab lwm yam yog siv.
Cov tshuaj tau muab tso tawm ntawm qhov ncav cuag ntawm cov menyuam ntawm qhov kub uas yuav tsum tsis pub tshaj 25 ° C. Lub sijhawm tas sijhawm ntawm hnub ua khoom siv yog peb xyoos.

Siofor yog tsim los ntawm lub tuam txhab German Berlin-Chemie AG / Menarini Group. Lub hauv paus tseem ceeb ua ke yog metformin. Tus nqi ntawm Siofor tsis tau tsim nyog dhau, yog li cov tshuaj muaj rau kev yuav txawm tias cov pej xeem tsis zoo ntawm Lav Xias. Txawm li cas los xij, Siofor cov analogues muaj muag, uas txawv txawm tias tus nqi qis dua.

Cov qauv tshuaj ntawm cov tshuaj Siofor, uas tau tsim hauv tebchaws Russia:

Akrikhin tuam txhab tsim tawm ib cov tshuaj hu ua Gliformin.

Tuam Txhab Metformin-Richter tsim ib cov tshuaj hu ua Gedeon Richter-RUS.

Lub tuam txhab Pharmstandard-Leksredstva siv cov tshuaj hu ua Fermetin.

Lub tuam txhab Canonfarm ntau lawm xa cov tshuaj hu ua Metformin Canon.

Siofor tau siv los kho cov neeg mob ntshav qab zib tau ntau xyoo. Qhov no tso cai rau koj los txiav txim siab qhov kev ua tau zoo ntawm tshuaj. Ntxiv nrog rau kev kho mob rau cov neeg mob ntshav qab zib, Siofor raug noj los ntawm cov neeg rog.

Ntxiv nrog rau qhov pheej yig cov analogues ntawm cov khoom lag luam hauv tsev, ntawm khw muag tshuaj koj tuaj yeem nrhiav tshuaj ntawm cov tuam txhab txawv teb chaws.

Cov no suav nrog:

Lub tuam txhab Fabkis Merk tsim ib cov tshuaj hu ua Glucofage.

Lub tuam txhab German Worwag Pharma ua cov tshuaj hu ua Metfogamma.

Lub tuam txhab Bulgarian Sopharma muaj cov tshuaj Sofamet rau cov neeg mob ntshav qab zib.

Lub tuam txhab Israeli Teva xa tawm Metformin-Teva.

Lub tuam txhab Slovak Zentiva ua cov Metformin Zentiva.

Kev siv cov tshuaj Siofor hauv kev coj ua kev kho mob poj niam

Yog tias tus poj niam muaj tus kab mob hu ua polycystic ovary, tus kws kho mob yuav muab tshuaj rau Siofor rau nws. Qhov no tso cai rau koj tswj cov txheej txheem hauv lub cev hauv lub cev, ua kom lub cev ntas coj khaub ncaws tsis tu ncua thiab txawm tias muaj qhov tsis ua haujlwm ntxiv lawm. Ntxiv nrog rau kev noj cov tshuaj, cov kws kho mob poj niam pom zoo kom lawv cov neeg mob ua raws li cov zaub mov tsis muaj carbohydrates, uas yuav tiv thaiv kom tsis txhob muaj ntshav qab zib hom 2.

Siofor yog qhov pheej yig thiab siv yeeb siv tshuaj zoo rau kev kho mob ntawm polycystic ovary. Yog li, nws tseem nyob ntawm cov tshuaj ntawm kev xaiv rau cov neeg mob nrog kev kuaj mob no. Yog tias tsis muaj txiaj ntsig los ntawm kev kho mob, tom qab ntawd lawv siv rau lwm txoj hauv kev xeeb tub, piv txwv, sau tshuaj rau cov tshuaj hormones, ua tshuaj IVF, thiab lwm yam, qee zaum, kws kho mob poj niam pom zoo kom noj Siofor mus rau lawv cov neeg mob rog. Nyob rau tib lub sijhawm, tus poj niam kuj yuav tsum tau ua raws kev noj haus thiab kev tawm dag zog.

Siofor tuaj yeem hloov los ntawm Glucofage lossis Glucofage Ntev. Nws yog nws leej twg yog tus qub cuab yeej raws li metformin.

Dab tsi los xaiv Siofor lossis Glyukofazh?

Glucophage yog cov tshuaj qub rau kev kho mob ntshav qab zib hom 2. Siofor ua haujlwm raws li nws cov neeg sawv cev. Qee cov kws tshaj lij hais tias glucophage tsis tshua muaj kev phiv tshuaj, tab sis nws kuj tseem zoo txo ​​cov ntshav qab zib. Txawm li cas los xij, ntau nyob ntawm tus yam ntxwv ntawm tus neeg mob. Feem ntau, qhov sib txawv ntawm cov tshuaj tsis tseem ceeb. Yog li no, yog tias ib tus neeg nyiam siv cov tshuaj qub rau kev kho, ces nws yuav tsum xaiv Glucofage. Yog tias qhov tseeb no tsis tseem ceeb rau tus neeg mob, ces Siofor siv tau.

Puas yog Siofor tau hais tseg yog tias tsis muaj ntshav qab zib?

Cov tshuaj Siofor tau tsim nws tus kheej los ua cov cuab yeej zoo rau kev poob phaus. Yog li, ntau tus neeg uas rog dhau sijhawm noj cov tshuaj no rau qhov poob phaus. Raws li txoj cai, qhov no tshwm sim tsis muaj lus qhia kho mob. Koj tuaj yeem yuav Siofor yam tsis tas yuav tshuaj.

Metformin yog ib yam khoom uas ua rau koj poob ceeb thawj tsis muaj teeb meem rau koj kev noj qab haus huv. Muaj qhov kev coj ua ntawm nws qhov kev siv rau kev kho mob rog menyuam yaus (rau cov neeg mob hnub nyoog tshaj 10 xyoo).

Txog rau hnub tim, cov kev tshawb fawb twb tab tom hais txog qhov tseeb tias Siofor tuaj yeem ntev lub neej. Ntxiv mus, qhov no yog qhov tseeb ob qho tib si rau cov rog thiab nyias. Txawm li cas los xij, txog hnub no, cov kev tshawb fawb no tseem tsis tau ua tiav.

Txais tos Siofora cuam tshuam rau daim siab. Qhov no puas muaj tseeb?

Qhov tseeb, Siofor tsis raug siv rau cov neeg mob uas muaj mob qog ntshav thiab lwm yam kab mob hnyav ntawm cov kab mob hepatobiliary. Feem ntau, mob ntshav qab zib mellitus, uas yog qhov nyuaj los ntawm tus mob hepatic pathologies, yog qhov nyuaj heev rau kev kho.

Tib lub sijhawm, Siofor tuaj yeem siv los kho cov neeg mob rog rog daim siab. Hauv tib lub sijhawm, tus neeg mob yuav tsum ua raws li kev noj zaub mov kom tsawg carb.

Raws li rau cov lus nug hais txog cov nyhuv ntawm Siofor nyob rau hauv lub siab, kib thiab haus luam yeeb thiab cov dej cawv ua rau ntau qhov kev puas tsuaj rau lub cev. Yog tias koj hloov mus rau cov khoom noj kom tsim nyog, uas yog qhov tsis zoo ntawm cov khoom noj muaj txiaj ntsig zoo, lub siab yuav ua tiav nrog kev noj qab haus huv.

Metformin thiab Siofor - qhov txawv yog dab tsi?

Metformin yog lub npe ntawm cov tshuaj uas yog ib feem ntawm cov tshuaj Siofor. Yog li ntawd, lo lus nug ntawm dab tsi yog qhov sib txawv ntawm lawv yog qhov tsis tsim nyog.

Nws yog tsim nyog sau cia tias Siofor muaj ntau cov tsiaj nyeg thiab txawv teb chaws, uas kuj tau ua raws metformin. Cov tshuaj qub raws li metformin yog Glucofage.

Siofor cov zaub mov kom tsawg

Cov tshuaj tau noj nrog zaub mov lossis tam sim ntawd tom qab ib pluas noj. Yog tias koj noj tshuaj ua ntej, nws nce kev pheej hmoo ntawm kev phiv los ntawm cov hnyuv. Piv txwv li, tus neeg yuav mob raws plab, mob plab, thiab lwm yam.

Yog hais tias tus neeg mob txom nyem los ntawm qis qis hauv qabzib thaum sawv ntxov, ces cov kws kho mob pom zoo kom noj Siofor yav tsaus ntuj ua ntej mus pw. Ntxiv mus, xum yuav tsum tau muab rau ib cov tshuaj raws li metformin nrog kev ua ntev, piv txwv li, cov tshuaj Glyukofazh Ntev.

Yuav kho tus mob ntev npaum li cas?

Yog tias tus poj niam txom nyem los ntawm polycystic ovary, ces nws yuav tsum tau siv cov tshuaj kom txog thaum nws tuaj yeem tshem tawm cov teeb meem. Tom qab cev xeeb tub, kev kho mob nres.

Yog tias Siofor tau raug tshaj tawm rau kev kho mob hom 2 ntshav qab zib mellitus, tom qab ntawd nws yuav tsum tau ua siab ntev ntev. Feem ntau, kev kho mob kav ib sim neej. Yog tias koj tsis kam lees kev kho mob, ib tus neeg yuav pib nce phaus, thiab tus kab mob yuav nce zuj zus.

Tsis txhob ntshai ntawm lub caij nyoog siv cov tshuaj. Qhov no yuav tsis ua rau muaj kev phom sij rau kev noj qab haus huv, tab sis, ntawm qhov tsis tooj, yuav pab kho nws. Ntxiv mus, rau cov neeg mob ntshav qab zib, kev kho yog ib yam mob tseem ceeb heev.

Txhawm rau kom tsis txhob muaj qhov tsis txaus B12, uas tuaj yeem tsim kho vim yog kev kho mob ntev nrog Siofor, cov kws kho mob pom zoo kom haus cov vitamin B12 ib zaug lossis ob zaug ib xyoos. Nyob rau tib lub sijhawm, nws tsis tuaj yeem tsis lees txais qhov kev khomob loj.

Kuv puas tuaj yeem noj cov tshuaj nrog ib hnub luv ntawm ib hnub?

Yog tias koj noj Siofor txhua txhua hnub, koj yuav tsis tuaj yeem ua kom tiav cov ntshav qab zib kom tsawg. Tsis tas li, nws yuav tsis ua hauj lwm poob phaus ntxiv. Yog li, koj yuav tsum nruj me ntsis raws li cov lus pom zoo kho mob thiab haus cov tshuaj raws li cov lus qhia, uas yog, txhua hnub.

Thawj qhov tshuaj thawj zaug yuav tsum yog li 50 txog 850 mg rau ib hnub. Txhawm rau nqa nws mus rau qhov siab tshaj plaws tau tso cai, nws yuav siv sijhawm.

Siofor thiab cawv

Thaum kho nrog Siofor, koj tuaj yeem haus dej cawv, tab sis hauv ib qho me me. Txawm li cas los xij, nws meej txog kev haus cawv me me. Yog tias qhov kev pom zoo no tsis raug saib xyuas, tom qab ntawv qhov tseeb ntawm kev txhim kho cov kev mob tshwm sim ntau, tshwj xeeb yog cov kab mob lactic acidosis, tau nce ntxiv. Tus mob no yog hais txog neeg txoj sia. Yog li, kev haus dej haus cawv tsis raug txwv.

Tib lub sijhawm, kev kho nrog Siofor tsis yuam tus neeg mus tso cawv haus mus ib txhis. Yog tias tsis muaj lwm yam kev tiv thaiv kom coj nws, tom qab ntawd nws raug tso cai qee zaum haus ib feem ntawm cov dej cawv. Hauv qhov no, tsis muaj kev vam khom rau lub sijhawm ntawm kev haus tshuaj uas cuam tshuam nrog kev haus dej haus cawv, uas yog, haus cawv yog tso cai yuav luag tam sim ntawd tom qab siv koob tshuaj ntxiv.

Kev siv tshuaj ntau tshaj txhua hnub ntawm Siofor

Raws li tau hais los saum toj no, kev pib kho nrog qhov siab noj txhua hnub yog txwv. Thaum lub cev hloov pauv, tus neeg mob yuav tsum noj ib ntsiav tshuaj peb zaug ib hnub, thaum noj mov loj. Ib koob tshuaj yog 850 mg.

Yog tias ib tus neeg noj tshuaj ncua ntev-tso tawm tshuaj, tom qab ntawd cov koob tshuaj ntau tshaj plaws txhua hnub ntawm metformin yog txo rau 2000 mg. Haus cov tshuaj ua ntej mus pw, ib hnub ib zaug. Qhov no yuav tiv thaiv kom tus sawv ntxov dhia hauv ntshav qab zib.

Feem ntau cov neeg siv Siofor ntawm lawv tus kheej kom qeeb cov laus ntawm lub cev. Hauv qhov no, tsis tas yuav tsum haus qhov siab tshaj plaws txhua hnub qhov siab ntawm cov tshuaj. Nws yog txaus yuav raug txwv los ntawm 500-1700 mg rau ib lub khob. Cov ntaub ntawv tshiab txog noj Siofor los tiv thaiv kev laus tam sim no ploj lawm.

Hypothyroidism thiab Siofor: cov qauv tos txais

Hypothyroidism tsis yog qhov sib kis rau kev noj tshuaj Siofor. Cov tshuaj tso cai rau koj kom poob phaus, tab sis nws tsis muaj peev xwm daws qhov teeb meem ntawm kev tsis txaus siab hauv lub cev.

Endocrinologist koom tes nrog kho hypothyroidism. Nws yog nws leej twg yuav tsum xaiv cov tshuaj hormones kho mob, uas yog ua raws cov ntaub ntawv kuaj mob ntawm tus neeg mob tshwj xeeb.

Tsis tas li, cov neeg mob hypothyroidism yuav tsum ua raws li kev noj zaub mov, tshem tawm cov zaub mov ntawm lawv cov zaub mov uas tuaj yeem ua rau muaj kev cuam tshuam hauv kev noj qab haus huv. Txoj kev kho tuaj yeem yog pabcuam ntxiv los ntawm kev noj cov vitamins-mineral complexes.

Qhia Txog Prophylactic Txais Siafora

Kev tiv thaiv tus mob ntshav qab zib hom 2 koom nrog kev noj zaub mov kom tsawg. Tsis yog ib qho yeeb tshuaj xwb, suav nrog tus nqi kim tshaj plaws, muaj peev xwm tiv thaiv kev txhim kho tus kab mob no yog tias ib tus neeg noj khoom noj tsis txaus.

Kev ua raws li cov qauv ntawm kev noj zaub mov zoo thiab tswj kev noj qab haus huv yog qhov muaj txiaj ntsig zoo tiv thaiv tsis tsuas yog mob ntshav qab zib, tab sis kuj tseem muaj ntshav siab, mob atherosclerosis thiab lwm yam pathologies.

Dab tsi siv yeeb siv tshuaj tuaj yeem hloov Siofor?

Pom kev hloov rau Siofor yog qhov teeb meem heev, vim tias nws cov khoom siv tseem ceeb (metformin) tuaj yeem hu ua tshwj xeeb. Qee zaum noj tshuaj Siofor tsis tso cai txo cov ntshav qab zib kom qis rau cov qib yam xav tau. Feem ntau cov yuav muaj, qhov no qhia tau tias tus neeg mob tau mob ntshav qab zib siab dua, lossis hom mob ntshav qab zib thib ob tau dhau los ua hom mob ntshav qab zib thawj zaug. Hauv qhov no, tsis muaj cov tshuaj txo suab thaj yuav pab tus neeg mob. Koj yuav tsum tau txhaj tshuaj insulin. Qhov txiav txiav tau tag nrho nws cov chaw cia thiab tsis tuaj yeem tsim cov tshuaj insulin. Ib tug neeg pib poob ceeb thawj, nws muaj kev cov nyom mob ntshav qab zib. Yog hais tias tshuaj insulin tsis pib nyob rau lub sijhawm, tus neeg mob yuav tuag.

Qee zaum cov neeg mob xav hloov Siofor tsis yog vim nws tsis pab, tab sis vim tias cov tshuaj ua rau muaj kev tsis zoo ntawm lub cev, piv txwv, raws plab. Hauv qhov no, koj tuaj yeem sim hloov mus rau cov tshuaj Glyukofazh Ntev. Kev nce qib hauv cov tshuaj yuav pab kom tshem tau cov teeb meem zom zaub mov. Feem ntau, cov kev soj ntsuam pom tias kev noj zaub mov ntau heev yuav tshwm sim hauv cov neeg mob uas tsis ua raws li txoj cai no, tam sim ntawd pib noj ntau tshaj plaws ntawm cov tshuaj.

Cawv ntawm Siofor ntawm cov plab hnyuv sab hauv thiab ntawm keeb kwm hormonal

Yog tias tus neeg mob muaj daim siab rog hepatosis, tom qab ntawd noj Siofor yuav pab tshem tawm qhov kev ua txhaum no. Qhov no tsuas yog ua tau yog tias tus neeg ua raws kev noj zaub mov kom muaj protein ntau. Yog tias tus neeg mob muaj kab mob siab, ces nws yuav tsum tau sab laj nrog tus kws kho mob tshwj xeeb txog kev muaj peev xwm noj cov tshuaj no.

Siofor pab ua kom cov ntshav qab zib cov ntshav ntau thiab pab tiv thaiv kev txhim kho lub raum tsis ua haujlwm. Txawm li cas los xij, yog tias ib tus neeg twb muaj mob raum, ces noj Metformin yog contraindicated. Yog li, ua ntej pib kev kho mob, koj yuav tsum xeem kom dhau qhov kev ntsuas tsim nyog.

Siofor yog yeeb tshuaj uas tso cai rau koj kom koj poob phaus. Yog tias ib tus neeg muaj kev noj qab haus huv, ces cov tshuaj no tsis muaj peev xwm ua rau muaj kev ntxhov siab rau ntawm ob lub raum thiab mob siab.

Thaum cov poj niam noj Siofor rau kev kho mob ntawm polycystic ovary syndrome, tom qab ntawd lawv cov tshuaj hormones zoo tuaj.

Txog cov tshuaj Siofor, koj tuaj yeem nrhiav tau ob qho tib si kev txheeb xyuas qhov tsis zoo.

Tib neeg qhia tias kev noj cov tshuaj no tuaj yeem kov yeej txoj kev nqhis mus rau kev hnyav thiab poob 2 mus rau 15 kg ntawm qhov hnyav tshaj, txawm tias qhov nruab nrab ntawm cov kav dej yog los ntawm 3 txog 6 kg.

Muaj kev txheeb xyuas txog qhov tseeb tias Siofor ua rau mob raws plab thiab lwm yam kev mob plab zom mov. Txawm li cas los xij, yog tias koj nyeem cov kev txheeb xyuas kom zoo dua, nws hloov tawm tias lawv tau sau los ntawm cov neeg uas pib kho tam sim ntawd nrog kev txhaj tshuaj ntau. Qhov no txhais tau tias lawv txawm tsis nrog kws kho mob lossis inattentively nyeem cov lus qhia rau kev siv. Yog tias cov koob tshuaj tau nce ntxiv, cov teeb meem nrog txoj hnyuv yuav zam tau. Zoo tib yam rau lwm cov kev mob tshwm sim.

Nws tsis paub meej tias qhov hnyav rov qab los tom qab kawg ntawm cov tshuaj. Cov kws tshaj lij ntseeg tias ib feem ntawm cov phaus ploj yuav tseem rov qab ua dua tshiab. Qee tus neeg mob tom qab tsis siv tshuaj ntxiv mus txuas ntxiv rau kev noj zaub mov zoo, thiab lawv qhov hnyav tau khaws cia nyob ntawm theem xav tau. Txawm li cas los xij, rau qhov no koj yuav tsum hloov koj txoj kev xav thiab kev ua neej nyob rau hauv dav.

Rau cov neeg mob uas muaj ntshav qab zib hom 2, Siofor yog kev cawm dim tiag. Cov tshuaj no tso cai rau koj tsis tsuas yog ua kom poob phaus, tab sis kuj tseem tswj hwm koj tus kab mob.

Yog li, kev tshuaj xyuas tsis zoo yog feem ntau sab laug los ntawm cov neeg mob uas tsis txaus siab nyeem cov lus qhia rau kev noj tshuaj thiab cuam tshuam rau nws, ua rau kev txhim kho kev phiv loj heev.

Nws yuav tsum nco ntsoov tias kev kho mob ntshav qab zib mellitus los tsis yog noj tshuaj nkaus xwb, tab sis kuj ua raws kev noj haus. Yog tsis muaj qhov no, txoj kev kho yuav tsis muaj txiaj ntsig. Nws tsis txaus los txwv koj tus kheej hauv cov rog thiab kilocalories, nws yog qhov yuav tsum tau txiav rov qab kom tsawg ntawm kev noj zaub mov carbohydrate. Yog tias qhov no tsis ua, tom qab ntawv kho mob ntshav qab zib yuav txuas ntxiv, txawm tias muaj kev kho txuas ntxiv. Ntxiv mus, txawm hais tias tus neeg mob yuav siv tshuaj uas kim tshaj plaws, uas Siofor tsis siv.

Hais txog tus kws kho mob: Txij xyoo 2010 txog 2016 Tus kws kho mob kho mob hauv tsev kho mob ntawm lub hauv paus chav noj qab haus huv naj npawb 21, lub nroog ntawm elektrostal. Txij li xyoo 2016, nws tau ua haujlwm hauv chaw kuaj mob tus lej 3.

Cov qauv siv los noj tshuaj ntsuab rau cov kab mob poj niam (hauv paus ntawm tshuaj ntsuab)

Yuav ua li cas sai thiab yooj yim txo cov ntshav siab?

Tso tawm daim ntawv thiab muaj pes tsawg leeg

Dosage daim ntawv ntawm Siofor 500 - cov ntsiav tshuaj uas muaj xim: dawb, puag ncig, biconvex (10 daim txhua qhov hauv lub hlwv, hauv ib daim npav los ntawm 12, 6 lossis 3 hlwv).

1 ntsiav tshuaj muaj:

• cov tshuaj nquag: metformin hydrochloride - 0.5 g,
• ntu Cheebtsam: povidone, hypromellose, magnesium stearate,
• plhaub muaj pes tsawg leeg: hypromellose, titanium dioxide (E171), macrogol 6000.

Cov Tshuaj Pharmacokinetics

Qhov ncauj nqus ntawm metformin tshwm sim nyob rau hauv lub plab zom mov. Qhov siab tshaj plaws hauv plasma tshwm sim tom qab 2.5 teev. Tom qab noj ntau tshaj qhov siab, nws tsis dhau 0.004 mg / ml. Kev noj tshuaj nrog zaub mov ua rau txo qis hauv nqus thiab ua rau me ntsis poob. Hauv cov neeg mob noj qab nyob zoo, kev noj qab haus huv ntawm cov tshuaj yog kwv yees li 50-60%.

Kev sib txuam ntawm cov tshuaj nquag tshwm sim hauv cov qaub ncaug salivary, mob siab, ob lub raum thiab cov leeg, thiab metformin kuj nkag mus rau cov ntshav liab. Kev khi rau cov ntshav muaj protein ntau tsis tshwm sim. Qhov ntim ntawm kev faib khoom tuaj yeem yog 63-226 litres.

Ib nrab-lub neej ntawm cov tshuaj yog li 6,5 teev .Txawm tsis hloov, nws yog tawm los ntawm lub raum. Lub raum tshem tawm ntawm metformin ntau dua 400 ml / min.

Nrog kev ua haujlwm tsis zoo hauv lub raum, metformin tshem tawm kom tsawg hauv qhov sib npaug rau creatinine qhov kev tshem tawm (CC). Qhov no yog vim li cas ua rau muaj kev nce ntxiv hauv ib nrab-lub neej thiab nce ntxiv ntawm theem ntawm metformin hauv ntshav ntshav.

Kev ntsuas rau siv

Raws li cov lus qhia, Siofor 500 yog qhia rau kev kho mob hom 2 mob ntshav qab zib mellitus nrog kev tsis muaj txiaj ntsig ntawm kev noj zaub mov noj thiab kev siv lub cev, tshwj xeeb tshaj yog nyob rau cov neeg mob rog dhau los.

Cov tshuaj yog tshuaj raws li kev kho mob monotherapy lossis ua ib feem ntawm kev sib txuam nrog kev kho mob. Tsis tas li ntawd, rau cov neeg laus - hauv kev sib xyaw nrog lwm tus neeg sawv cev hauv qhov ncauj hypoglycemic.

Cov lus qhia rau kev siv Siofora 500: txoj kev thiab qhov ntau npaum li cas

Siofor 500 ntsiav tshuaj noj ntawm qhov ncauj thaum noj mov lossis tom qab noj mov.

Kev tswj hwm ntawm kev txais tos, koob tshuaj, ntev ntawm cov chav kawm ntawm kev kho, tus kws kho mob tau sau tseg ib tus zuj zus, coj mus rau theem tus lej ntawm cov piam thaj hauv ntshav plasma.

Cov tshuaj pom zoo rau cov neeg laus:

• monotherapy: thawj koob tshuaj - 1 pc. (0.5 g) 1-2 zaug hauv ib hnub rau 10-15 hnub. Tom qab ntawd, muab cov theem ntawm cov piam thaj hauv ntshav, cov koob tshuaj yog maj mam nce mus rau 3-4 daim. ib hnub. Kev maj mam nce zuj zus ntawm lub koob tshuaj zam dhau cov tsos mob ntawm kev tsis txaus siab txoj hnyuv huam tuaj. Qhov siab tshaj plaws niaj hnub noj yog 6 pcs. (3 g), faib ua 3 koob,
• kev sib xyaw ua ke nrog kev siv tshuaj insulin: thawj koob - 1 pc. 1-2 zaug ib hnub. Qhov kev txhaj tshuaj yuav tsum tau nce ntxiv maj mam, nrog ib lub sijhawm ntawm 7 hnub. Qhov nruab nrab cov tshuaj txhua hnub tom qab nce yog 3-4 pcs. Qhov kev txhaj tshuaj ntawm cov tshuaj insulin yog txiav txim siab raws li theem ntawm cov piam thaj hauv cov ntshav. Cov koob tshuaj txhua hnub ntawm cov tshuaj yuav tsum tsis pub ntau tshaj 6 pcs., Nws yuav tsum tau faib ua 3 koob.

Kev hloov pauv los ntawm kev siv lwm tus neeg sawv cev tiv thaiv kab mob yog ua tiav los ntawm kev tso tseg qhov qub thiab pib tam sim ntawm kev noj Siofor 500 hauv kev noj tshuaj saum toj no.

Rau cov neeg mob laus, cov tshuaj ntawm cov tshuaj yuav tsum tau txiav txim siab nrog kev ceev faj, tsuas yog ua tib zoo xav txog theem ntawm creatinine hauv ntshav ntshav. Txoj kev kho yuav tsum yog nyob rau hauv kev soj ntsuam lub raum kev ua haujlwm tsis tu ncua.

Cov koob tshuaj pom zoo ntawm Siofor 500 rau cov menyuam yaus hnub nyoog tshaj 10 xyoo nrog kev kho mob monotherapy thiab kev sib xyaw nrog cov tshuaj insulin: thawj koob - 1 pc. (0.5 g) 1 sijhawm ib hnub. Yuav kom ua tiav qhov kev xav daws xav tau tom qab 10-15 hnub ntawm kev tswj hwm, koj tuaj yeem pib maj mam nce cov koob tshuaj nyob ntawm theem ntawm cov piam thaj hauv cov ntshav ntshav. Qhov koob tshuaj ntau tshaj txhua hnub rau cov menyuam hnub nyoog 10 txog 18 xyoo yog 4 pcs. (2 g ntawm metformin) hauv 2-3 koob. Qhov kev txhaj tshuaj ntawm cov tshuaj insulin yog txiav txim siab raws li theem ntawm cov piam thaj hauv cov ntshav ntshav.

Nrog kev teem sijhawm 4-6 pcs. (2-3 g) ib hnub, koj tuaj yeem siv cov ntsiav tshuaj rau hauv ib koob tshuaj 1 g (Siofor 1000).

Kev cuam tshuam rau kev muaj peev xwm tsav tsheb thiab cov txheej txheem nyuaj

Kev siv ntawm Siofor 500 raws li kev kho mob monotherapy tsis ua rau mob ntshav qab zib thiab tsis cuam tshuam rau tus neeg mob lub peev xwm los tsav ntau lub tsheb lossis cov txheej txheem.

Raws li ib feem ntawm kev sib xyaw ua ke nrog lwm cov tshuaj tiv thaiv hypoglycemic, Siofor 500 tuaj yeem ua rau kev txhim kho hypoglycemic, yog li, cov neeg mob yuav tsum ua tib zoo ua kom muaj peev xwm ua haujlwm txaus ntshai uas yuav tsum muaj kev xav thiab muaj kev kub ceev ntawm cov tshuaj psychomotor.

Cev xeeb tub thiab lactation

Kev siv ntawm Siofor 500 yog sib kis thaum lub sijhawm xeeb tub thiab pub niam mis.

Tus neeg mob uas muaj tus mob ntshav qab zib hom 2 yuav tsum tau ceeb toom txog dab tsi uas yuav tsum tau qhia rau tus kws kho mob yog tias npaj ua ntej lossis pib ntawm cev xeeb tub, txij li lub sijhawm no cov tshuaj yuav tsum tsis ua haujlwm ntxiv thiab kev kho mob insulin yuav tsum siv los kho lossis kwv yees li cov ntshav qabzib hauv cov ntshav ntshav ntawm tus niam yug. Qhov no yuav txo qhov kev pheej hmoo ntawm cov teeb meem pathological ntawm hyperglycemia ntawm kev txhim kho ntawm lub cev xeeb tub.

Raws li qhov yuav tsum tau siv cov tshuaj thaum lactation, tus kws kho mob koom nrog yuav tsum txiav txim siab tso tseg Siofor 500, lossis txwv tsis pub niam mis.

Tsis muaj ntaub ntawv hais txog kev nkag mus ntawm metformin rau hauv niam cov kua mis.

Siv rau thaum yau

Siofor yuav tsum tsis txhob raug sau tseg rau 500 cov menyuam yaus hnub nyoog qis dua 10 xyoo.

Ceev faj yuav tsum siv los kho cov menyuam yaus hnub nyoog 10-12 xyoo.

Cov menyuam yaus hnub nyoog 10 txog 18 xyoo qhia txog kev siv Siofor 500 rau kev kho tshuaj monotherapy thiab kev sib xyaw nrog insulin. Thawj koob tshuaj yog 1 ntsiav tshuaj (0.5 g) 1 zaug hauv ib hnub. Tom qab 10-15 hnub ntawm kev tswj hwm, kev nce qib hauv koob tshuaj yog qhia txog kev noj qab haus huv qib hauv cov ntshav ntshav. Qhov siab tshaj plaws niaj hnub noj yog 4 ntsiav tshuaj (2 g ntawm metformin) hauv 2-3 koob. Qhov kev txhaj tshuaj ntawm cov tshuaj insulin yog txiav txim siab raws li theem ntawm cov piam thaj hauv cov ntshav ntshav.

Siv rau lub sijhawm qub

Rau cov neeg mob laus (laus dua 60 xyoo) uas lawv cov kev ua ub no cuam tshuam nrog kev ua kom lub cev ua kom lub cev nyhav dhau los, cov tshuaj yuav tsum tau ua nrog ceev faj vim tias qhov kev pheej hmoo ntawm lactic acidosis.

Cov koob tshuaj ntawm Siofor 500 yuav tsum tau txiav txim siab ntawm lub hauv paus ntawm qhov ntsuas ntawm qib ntawm creatinine hauv ntshav ntshav. Txoj kev kho yuav tsum nrog soj ntsuam xyuas lub xeev tsis muaj haujlwm ntawm lub raum.

Yeeb tshuaj sib cuam tshuam

Kev siv cov metformin yog contraindicated ib txhij nrog kev txhaj tshuaj rau hauv lub cev iodine uas muaj cov tshuaj tiv thaiv kev tiv thaiv, vim tias qhov no tuaj yeem ua rau lub raum tsis ua haujlwm thiab ceev ntawm metformin hauv tus neeg mob. Yog li, yog tias yuav tsum tau siv cov tshuaj iodine uas muaj cov tshuaj sib piv rau kev kuaj mob xoo hluav taws xob hauv cov neeg mob uas muaj cov ntshiab si creatinine, noj Siofor 500 yuav tsum nres 48 teev ua ntej thiab rov pib dua 48 teev tom qab kev tshawb fawb. Lwm cov kab mob hypoglycemic, xws li insulin, yuav tsum tau siv nyob rau lub sijhawm no.

Nws tsis pom zoo kom sib xyaw ua ke noj cov tshuaj nrog cov tshuaj pleev cov cawv thiab haus dej haus cawv. Kev haus dej cawv mus rau hauv lub cev lossis kev siv tshuaj sib xyaw ua ke nrog cov tshuaj xws li, tshwj xeeb tiv thaiv cov keeb kwm ntawm daim siab tsis ua hauj lwm, noj zaub mov tsis zoo los yog tshaib plab, nce qhov kev pheej hmoo ntawm lactic acidosis.

Nrog rau kev siv ua ke ntawm Siofor 500:

• danazol tuaj yeem pab txhawb kev txhim kho ntawm cov nyhuv hyperglycemic, yog li, kev hloov kho tshuaj ntawm metformin yog xav tau thaum lub sijhawm tswj hwm thiab tom qab tsis txiav tawm ntawm danazol, coj mus rau hauv tus lej qib ntawm cov piam thaj hauv ntshav plasma,
• derivatives ntawm sulfonylureas, insulin, acarbose, salicylates tuaj yeem ua rau kev nce hauv hypoglycemic nyhuv ntawm cov tshuaj,
• qhov ncauj tiv thaiv kab mob, epinephrine, glucagon, cov thyroid hormones, phenothiazine thiab nicotinic acid derivatives tuaj yeem nce qhov concentration ntawm cov piam thaj hauv ntshav plasma,
• nifedipine nce ntxiv qhov nqus thiab qhov siab tshaj plaws ntawm metformin hauv cov ntshav ntshav, ua rau nws qhov txo qis qis qis,
• cimetidine prolongs qhov kev tshem tawm ntawm cov tshuaj, nce kev pheej hmoo ntawm cov kab mob lactic acidosis,
• amiloride, morphine, quinidine, procainamide, ranitidine, vancomycin, triamteren (tshuaj cationic) nrog kev siv ntev tuaj yeem ua rau nce qhov siab tshaj plaws ntawm metformin hauv ntshav ntshav,
• qhov tsis ncaj rau cov tshuaj tiv thaiv tuaj yeem txo lawv cov nyhuv kho,
• furosemide txo nws lub siab tshaj plaws thiab ib nrab-lub neej,
• beta-adrenergic agonists, diuretics, glucocorticoids muaj hyperglycemic kev ua si,
• antihypertensive cov neeg sawv cev, suav nrog angiotensin-hloov ua enzyme inhibitors, tuaj yeem txo cov ntshav muaj ntshav qab zib ntau ntau.

Cov qauv ntawm Siofor 500 yog: Bagomet, Diaformin, Gliformin, Metformin, Glyukofazh, Metfogamma, Formmetin.

Kev piav qhia thiab muaj pes tsawg leeg

Cov ntsiav tshuaj yog dawb, oblong. Lub rooj zaum wedge-shaped li nyob hauv nruab nrab ntawm lub caij. Cov tshuaj nquag ua haujlwm ntawm cov tshuaj yog metformin hydrochloride.

Cov npe ntawm cov khoom siv pabcuam yog nthuav tawm raws li hauv qab no:

Muaj pes tsawg leeg ntawm lub plhaub muaj cov khoom hauv qab no:

Pharmacological pawg

Siofor yog qhov tshuaj noj qhov ncauj hypoglycemic.

Kev siv tshuaj hypoglycemic los ntawm cov npe ntawm biguanides. Muab tso rau hauv cov kua qab zib thiab mob hauv qab zib hauv tus neeg mob cov ntshav. Cov tshuaj tiv thaiv tsis txuam nrog kev tsim tawm hauv cov tshuaj insulin thiab yog li tsis ua rau cov ntshav qis. Cov nyhuv ntawm metformin yog tej zaum raws li qhov kev ua kom pom:

• qhov kev txo qis hauv kev siv ntawm cov piam thaj ntau hauv cov nplooj siab vim muaj kev txo qis ntawm gluconeogenesis thiab glycogenolysis,
• nce nqaij mob mus rau insulin,
• kev txhim kho ntawm cov peripheral qab zib sau thiab nws kev rhuav tshem,
• kev txwv tsis pub muaj cov hnyuv tawm.

Tom qab kev tswj hwm ntawm qhov ncauj, qhov siab tshaj plaws ntshav plasma nce mus txog tom qab kwv yees li 2 teev. Thaum noj mov, kom nqus tau yog inhibited thiab qee yam qeeb. Daim ntawv qhia txog kev nyab xeeb ntawm cov neeg mob ua noj qab nyob zoo yog 50-60%. Cov tshuaj nquag xyaum tsis khi rau cov protein ua plasma. Nws yog tawm hauv tus neeg mob lub cev nrog zis.

Rau cov laus

Yog tias muaj kev qhia rau kev siv, cov tshuaj tuaj yeem raug kho rau cov neeg mob laus. Ua ntej siv cov khoom lag luam, koj yuav tsum nyeem cov lus qhia rau kev siv. Yog tias muaj kev mob tshwm sim thaum siv cov tshuaj muaj pes tsawg leeg, kev kho mob raug tso tseg thiab tus qauv tshiab ntawm kev raug xaiv tau xaiv.

Cov tshuaj Siofor tsis siv rau hauv kev kho mob hauv cov menyuam yaus. Cov lus qhia rau kev siv paub tias cov tshuaj no tsuas siv tau rau cov menyuam muaj hnub nyoog 14 xyoos xwb. Tus neeg mob yuav tsum tau soj ntsuam tas li.

Rau cev xeeb tub thiab lactating

Cov tshuaj Siofor yog contraindicated rau kev siv thaum cev xeeb tub thiab pub niam mis. Tus neeg mob yuav tsum nco ntsoov qhov yuav tsum tau qhia rau tus kws paub tshwj xeeb ntawm cev xeeb tub endocrinologist. Tus poj niam uas npaj yuav cev xeeb tub yuav tsum qhia tus kws tshaj lij txog qhov no; rau qhov ib txwm muaj ntawm cov txheej txheem kev xeeb tub, yuav tsum kho cov tshuaj tawm ntawm lub cev. Tus ntxhais tau pauv mus rau tshuaj insulin. Nws yog ib qho tseem ceeb kom xaiv cov tshuaj uas ua rau koj ruaj khov nyob hauv qib hauv qab zib hauv cov ntshav. Cov ntaub ntawv no yuav txo qis qhov uas yuav muaj qhov tshwm sim ntawm cov me nyuam hauv plab uas tshwm sim los ntawm hyperglycemia.

Peb kuj yuav tsum tsis txhob hnov ​​qab tias cov tshuaj nquag nkag mus rau hauv niam mis. Yog tias nws tsis tuaj yeem thim qhov noj Siofor thaum pub mis, tus menyuam yuav pauv mus rau zaub mov nrog mis nyuj sib tov.

Cia rau cov neeg mob

Cov tshuaj no tau faib tawm los ntawm lub khw muag tshuaj lub rooj rau cov neeg mob uas muaj ntawv pov thawj los ntawm tus kws tshaj lij endocrinologist. Cov kev siv tsis raug cai ntawm cov tshuaj muaj txiaj ntsig tuaj yeem ua rau tsis muaj kev cuam tshuam ntawm kev noj qab nyob zoo ntawm tus neeg noj qab haus huv. Txhawm rau khaws cov tshuaj kho kom zoo ntawm cov khoom, nws yog ib qho tsim nyog yuav tsum ua raws li cov lus qhia yooj yim rau kev cia: chav sov txog 25 degrees, tiv thaiv los ntawm noo noo thiab ncaj qha hnub ci. Khaws cov tshuaj rau menyuam yaus kom nyab xeeb. Lub sijhawm cia tau tso cai yog 2 xyoos los ntawm hnub ntau lawm. Kev siv cov khoom lag luam tom qab lub sijhawm no raug txwv tsis pub.

Ntawm kev muag koj tuaj yeem nrhiav cov qauv hauv qab no ntawm Siofor:

1. Glucophage, cov tshuaj tsim tawm hauv cov ntsiav tshuaj, uas muaj metformin uas yog cov tshuaj nquag. Qhov no nws yog cov tshuaj nyob sab Europe, uas raug nqi tsawg dua li Siofor, tab sis tib lub sijhawm tsis yog qis dua rau nws hauv kev ua tau zoo. Cov tshuaj no tau pom zoo siv rau cov menyuam yaus hnub nyoog dhau 12 xyoos.
2. Glucophage Ntev. Cov tshuaj muaj nyob rau hauv cov ntsiav tshuaj nrog kev tso tawm qeeb ntawm metformin, uas tso cai rau koj noj nws tsuas yog 1 zaug hauv ib hnub thaum mus pw, tab sis, hmoov tsis, nws yog contraindicated rau cov neeg mob hnub nyoog qis dua 18 xyoo. Nws kuj txawv ntawm Siofor hauv kev sau cov tshuaj ntxiv.
3. Bagomet Ntxiv. Cov tshuaj yeeb tshuaj sib xyaw ua ke, cov tshuaj sib xyaw ua ke uas yog metformin thiab glibenclamide. Vim tias qhov kev kho mob cuam tshuam ntawm cov tshuaj yog ntau dua. Nws raug tso cai siv rau kev kho mob tsuas yog kho rau cov neeg mob hnub nyoog tshaj 18 xyoo. Nws tsis pom zoo rau cov neeg mob laus dua 60 xyoo.
4. Galvus Met yog tshuaj sib xyaw ua ke hauv Swiss uas nws cov khoom xyaw yog metformin thiab vildagliptin. Ob leeg cov yeeb yam txo qis cov ntshav qab zib thiab ua tiav cov kev kho rau ib leeg thiab nws muaj peev xwm ntau dua li Siofor. Cov tshuaj tuaj yeem siv rau cov neeg mob hnub nyoog 18 xyoo.

Cov peev nyiaj uas tau teev tseg tuaj yeem siv ua kev hloov chaw txaus rau cov khoom lag luam tshuaj, Txawm li cas los xij, nws tsim nyog los tham txog kev hloov ntawm Siofor tshuaj nrog cov tshuaj analogues nrog cov kws tshaj lij ua ntej.

Tus nqi ntawm Siofor yog qhov nruab nrab ntawm 315 rubles. Cov nqi txij li ntawm 197 txog 481 rubles.

Cov kws kho mob tshuaj xyuas txog Siofor 500

Siofor (metformin) - cov tshuaj uas txhim kho cov metabolism hauv carbohydrate thiab cov nqaij hauv rhiab rau insulin. Hauv kuv kev coj ua, Kuv sau ntawv rau (hmoov tsis!) Cov menyuam yaus, feem ntau ua rau thaum tiav hluas. Nws yog qhia rau cov ntshav qab zib hom 2 nyob rau hauv cov ntaub ntawv pov thawj ntawm insulin tsis kam hauv menyuam yaus, tsis yog rau txhua tus PCOS, tsawg dua rau kev tsis hnov ​​lus qab zib.

Txo cov theem ntawm cov vitamin B12.

Hauv kev hais txog kabmob endocrinology no tsis yog siv tshuaj ntawm kev xaiv. Muab ntau cov kev mob tshwm sim!

Qhov "tus qauv kub" ntawm endocrinology niaj hnub thiab ntshav qab zib. Qhov ua tau zoo ntawm cov tshuaj tsis yog qhov tsis ntseeg. Kuv siv nws hauv kev xyaum kho mob yuav luag txhua hnub. Qhov zoo thiab muaj qhov tsis zoo tau muaj kev kawm zoo, cov tshuaj yog kwv yees paub, uas yog qhov tseem ceeb.

Qee zaum cov neeg mob yws yws vim plab zom mov, plab zom mov, mob plab. Tab sis! Feem ntau, tom qab ib lub sijhawm ntawm kev yoog, tag nrho cov kev mob tshwm sim ploj. Thiab yog tias lawv tsis tshua txo tus neeg mob lub neej zoo, ces kuv tsis tuaj yeem thim qhov tshuaj!

"Metformin", "Siofor" tuaj yeem sau tag nrho lau laudatory ode. Nws pab tau ntau tus neeg mob kom noj qab nyob zoo!

Cov tshuaj yog qhov zoo heev, nws siv ntau nrog hom 2 mob ntshav qab zib mellitus, nrog cov ntshav qab zib hauv lub xeev (tsis hnov ​​qab ceev ceev glycemia, tsis hnov ​​qab cov ntshav qab zib tsis haum), nrog PCOS. tsis yog txhua txhua thiab tsis tas li, tab sis feem ntau muaj qhia.

Qee zaum muaj cov quav xoob xoob xoob li qhov tshwm sim, yog li cov neeg mob yuav tsum tau ceeb toom txog kev pib kho ua ntej hnub so (yog li teeb meem ntawm kev ua haujlwm tsis tshwm sim).

Cov tshuaj Insulin txhais tau tias Metformin (Siofor).

Kev Xyuas Neeg Mob rau Siofor 500

"Siofor" tau sau ntawv rau kuv los ntawm tus kws kho mob endocrinologist nrog rau siab qab zib. Thaum xub thawj txhua yam zoo, thiab tom qab ntawd nws xav tias tsis zoo heev. Nws tau ua ntuav thaum nruab hnub, lub plab mob. Kuv yuav tsum tau muab rau nws. Tus kws kho mob hloov nrog Glucophage.

Cov tshuaj "Siofor" tau pib siv ib lub hlis dhau los ntawm kev pom zoo los ntawm kws kho mob. Thaum pib ntawm daim ntawv thov muaj cov kev mob tshwm sim rau hauv daim ntawv ntawm zawv plab thiab mob plab, tab sis tom qab 2 lub lis piam txhua yam mus. Kuv nyiam siv tshuaj vim tias nws txo qis ua kom qab los noj mov thiab pab kom muaj qabzib rau kev nqus tau zoo dua, uas ua rau kom poob phaus nrawm.

Kuv tus pog no muaj mob nrog ntshav qab zib tsis yog-insulin muaj mellitus, nws tau noj tshuaj ntau xyoo rau hauv, suav nrog Siofor. Nws siv cov tshuaj no kom txo cov ntshav qab zib thiab hu nws ua qhov zoo tshaj plaws ntawm txhua qhov kev sim tshuaj rau nws xyoo dhau los. Nws noj nws 3 zaug hauv ib hnub thiab qab zib ua kom zoo heev hauv thaj av 7-8, qhov no yog qhov tshwm sim zoo rau nws lub cev. Tsis ntev los no, nws muaj peev xwm txawm tias noj me ntsis qab zib, tab sis ua tsaug rau cov tshuaj, qhov no tsis cuam tshuam rau nws lub xeev kev noj qab haus huv. Cov tsis zoo tsuas yog tus nqi theej siab.

Kuv tsis tau mus rau qhov tseeb! Siv tau hnub tsis zoo nyob hauv nws lub neej - txhua yam raug mob: ob lub taub hau thiab txhua qhov chaw sab hauv, zoo li yog hluav taws! Ntxiv nrog rau kev zoo siab, nruam ntuav tib lub sijhawm nrog kev zawv plab txuas ntxiv! Raws nraim 24 teev tom qab txais tos, nws zoo li lub nias tau nias - txhua yam mus! Sijhawm rau menyuam noj tshiab! Kuv txiav txim siab tias muaj ntau txoj hauv kev sparing los xaus kuv lub neej, thiab kuv tau koom nrog Siofor.

Tus kws kho mob tau hais rau kuv Siofor 500 peb xyoos dhau los. Kuv siv nws txhua txhua hmo rau 1 ntsiav tshuaj nrog zaub mov kom normalize cov ntshav qab zib, raws li kuv mob ntshav qab zib. Thaum lub caij noj cov tshuaj phiv pom, nws tsis pom. Tab sis kuv tsis tuaj yeem hais 100% tias nws ua cov piam thaj ib txwm muaj, vim qee zaum kuv qhov ntsuas tau nce ntau. Nws yog ib qho tseem ceeb heev rau kev noj haus thiab tswj koj noj dab tsi txawm tias noj cov tshuaj no.

Koomhaum ntau zaug. Ntawm qhov tsawg kawg nkaus, thawj lub hlis yog qhov nyuaj heev, cuam tshuam rau cov kua tsib, ua rau mob hnyav. Tom qab ntawd kev pib quav, tab sis nrog kev nce ntxiv ntawm cov koob tshuaj ntawm qhov mob hauv cov kab mob uas lawv ua rau tsis nkag siab, Kuv yuav tsum tau thim cov tshuaj. Glucofage tau zoo dua, tab sis kuj tseem 500.

Nws pab ua kom tshem tawm cov tshuaj insulin thiab cov piam thaj ntau dhau (txo ntawm 5.6 mus rau 4.8 hauv peb lub hlis). Nws kho polycystic.

Tab sis nws tsis pab kuv, tus kws kho mob endocrinologist tau hloov kuv mus rau insulin, tab sis kuv yeej tsis xav. Kuv muaj tag nrho kev cia siab rau siofor!

Kuv tau zaum ntawm Siofor tau txog 3 xyoos - txhua yam yog qhov qub, tsis muaj overdose, tsis muaj piam thaj nyob hauv ib qho kev txwv. Tab sis tus kws tshuaj endocrinologist tau hais rau kuv tam sim ntawd tsis muaj ib qho siofor tuaj yeem hloov txoj kev noj haus. Yog li cov lus pom zoo yuav tsum tau ua hauv txhua rooj plaub.

Cov lus qhia luv luv

Siofor (INN - metformin) yog cov tshuaj tiv thaiv kab mob kev tiv thaiv kab mob uas koom nrog pab pawg biguanide. Nws muaj cov nyhuv ua rau antihyperglycemic, thiab muaj peev xwm txo qis cov ntshav qabzib hauv cov ntshav ob qho tib si tom qab noj mov thiab hauv lub plab tas. Nws yog ib qho tseem ceeb heev kom nco ntsoov tias siofor (tsis zoo li sulfonylurea derivatives) tsis txhawb qhov kev tso tshuaj insulin endogenous thiab yog li ntawd tsis ua rau muaj cov piam thaj ntau dhau. Tus txheej txheem ntawm kev ua ntawm Siofor tau nqis tes ua nyob rau peb qhov kev qhia tseem ceeb: kev ua kom muaj qabzib nyob rau hauv lub siab, txo qis rau cov ntaub so ntswg tsis kam mus rau insulin, thiab ua rau cov piam thaj nqus hauv cov hnyuv. Los ntawm kev ua haujlwm ntawm glycogen synthase, lub siofor txhawb kev tsim cov glycogen hauv cov hlwb thiab ua kom muaj kev ua tau zoo ntawm txhua yam paub ntawm GLUT (cov piam thaj thauj). Lwm qhov zoo ntawm siofor, ywj siab txog qib ntawm cov piam thaj hauv cov ntshav, nws cov txiaj ntsig zoo ntawm lipid metabolism, uas tau rov hais dua hauv kev tswj xyuas cov kev soj ntsuam. Cov tshuaj txo cov concentration ntawm triglycerides, tag nrho cov roj (cholesterol) thiab cov lipoproteins uas tsis muaj ntau.

Cov koob tshuaj ntawm siofor tau teeb tsa ib tus zuj zus los ntawm tus neeg endocrinologist nyob ntawm seb tam sim no ntshav nce ntshav nyob ntev. Siofor kev kho mob yuav tsum tau nqa nrog kev nce ntxiv hauv qhov kev txhaj tshuaj los ntawm 500-850 mg rau qhov ntau kawg ntawm 3000 mg (qhov nruab nrab, koob tshuaj txhua hnub ntawm Siofor yog 2000 mg).

Cov tshuaj tau noj nrog pluas noj. Lub sijhawm tiv thaiv cov tshuaj no yog txiav txim los ntawm tus kws kho mob. Ua ntej noj Siofor, thiab tom qab ntawd txhua rau lub hlis nws pom zoo kom soj ntsuam daim siab thiab lub raum kuaj rau lawv txoj haujlwm. Kev tswj xyuas cov piam thaj hauv ntshav ntshav kuj tseem xav tau, tshwj xeeb nrog kev sib xyaw ntawm siophore thiab sulfonylurea derivatives. Ntawm lwm pab pawg ntawm cov tshuaj uas muaj peev xwm hwj chim hypoglycemic nyhuv ntawm cov tshuaj, tsis-steroidal anti-inflammatory tshuaj, monoamine oxidase inhibitors, angiotensin hloov enzyme inhibitors, thiab beta-blockers tuaj yeem sau tseg. Yog tias koj muab cov Siofor nrog cov thyroid cov tshuaj hormones, tshuaj tiv thaiv qhov ncauj, glucocorticosteroids, ces cov xwm txheej rov qab muaj peev xwm ua tau - qhov txo qis hauv cov nyhuv hypoglycemic. Cov ntaub ntawv hais txog cov tsos mob ntawm kev siv ntau tshaj ntawm cov tshuaj yuav tsis yog superfluous: tsis muaj zog, ua tsis taus pa, tsaug zog, ntuav, raws plab, mob plab thiab txo ntshav siab. Hauv cov xwm txheej zoo li no, kev kho cov tsos mob tshwm sim.

Kws Tshuaj

Kev siv tshuaj hypoglycemic los ntawm pab pawg biguanide. Muab qhov txo qis hauv ob qho tib si hauv basal thiab postprandial ntshav qabzib feem ntau. Nws tsis txhawb kev puas tsuaj rau cov tshuaj insulin thiab vim li ntawd nws tsis coj mus rau hypoglycemia. Qhov kev ua ntawm metformin yog tej zaum raws cov txheej txheem hauv qab no:

• txo qis nyob rau hauv cov piam thaj ntau ntau hauv lub siab vim kev txaum ntawm gluconeogenesis thiab glycogenolysis,
• nce cov leeg rhiab rau insulin thiab, vim li ntawd, txhim kho peripheral qabzib kev siv zog thiab siv,
• kev txwv tsis pub muaj plab hnyuv tawm.

Metformin, los ntawm nws cov kev ua ntawm glycogen synthetase, txhawb kev ua haujlwm ntawm cov tshuaj glycogen intracellular. Nws tsub kom thauj muaj peev xwm ntawm tag nrho cov piam thaj cov thauj cov nqaijrog paub txog rau hnub tim.

Tsis hais txog ntawm cov nyhuv ntawm cov ntshav ntawm cov ntshav, nws muaj txiaj ntsig zoo ntawm lipid metabolism, ua rau cov roj (cholesterol) tag nrho tsawg, cov roj cholesterol tsawg thiab triglycerides.

Siv rau lub raum tsis zoo muaj nuj nqi

Cov tshuaj yog contraindicated nyob rau hauv kev txiav txim siab raum tsis ua hauj lwm los yog lub raum lub raum tsis ua hauj lwm (KK is, nws yog ib qho tsim nyog yuav tau hloov mus ib ntus kev kho nrog lwm cov tshuaj hypoglycemic (piv txwv li, tshuaj insulin) 48 teev ua ntej thiab 48 teev tom qab xoo hluav taws xob soj ntsuam nrog kev tswj hwm ntawm iodinated cov tshuaj tiv thaiv kev tiv thaiv.

Kev siv cov tshuaj Siofor ® yuav tsum nres 48 teev ua ntej lub sijhawm npaj ua haujlwm phais raws li kev siv tshuaj loog dav dav, nrog pob txha caj qaum lossis tshuaj pleev ib ce. Txoj kev kho yuav tsum txuas txuas ntxiv tom qab rov qab pib noj cov zaub mov noj ntawm lub qhov ncauj lossis tsis ntxov dua 48 teev tom qab kev phais, yuav tsum lees paub txog kev ua haujlwm li qub raum.

Siofor ® tsis hloov pauv rau kev noj haus thiab kev tawm dag zog txhua hnub - cov kev kho mob no yuav tsum muaj kev sib xyaw ua raws li tus kws kho mob pom zoo. Thaum kho nrog Siofor ®, txhua tus neeg mob yuav tsum ua raws li kev noj haus nrog kev noj haus nrog cov carbohydrates txhua hnub. Cov neeg rog rog rog yuav tsum ua raws li cov zaub mov tsis muaj calorie tsawg.

Kuaj ntshav hauv tsev kawm ntawv yuav tsum kuaj kom tsis tu ncua.

Ua ntej siv Siofor ® hauv cov menyuam hnub nyoog 10 txog 18 xyoo, yuav tsum paub tseeb tias mob ntshav qab zib hom 2.

Hauv kev kawm ib xyoos tswj kev tshawb fawb, cov txiaj ntsig ntawm metformin ntawm kev loj hlob thiab kev loj hlob, nrog rau cov nkauj tiav nkauj ntawm cov menyuam tsis tau pom, cov ntaub ntawv ntawm cov ntsuas no nrog kev siv ntev dua tsis muaj. Hauv qhov no, ua tib zoo saib xyuas qhov ntsuas tseem ceeb hauv cov menyuam yaus uas tau txais metformin raug pom zoo, tshwj xeeb tshaj yog nyob rau lub sijhawm prepubertal (10-12 xyoo).

Kev kho mob Monotherapy nrog Siofor ® tsis ua rau mob ntshav qab zib, tab sis ceev faj yog qhia thaum siv cov tshuaj nrog insulin lossis sulfonylurea derivatives.

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

Kev siv ntawm Siofor ® tsis ua rau mob ntshav qab zib, yog li ntawd, tsis cuam tshuam txog kev muaj peev xwm tsav tsheb thiab tswj kev ua haujlwm.

Nrog rau kev sib txig ntawm cov tshuaj Siofor ® nrog rau lwm cov tshuaj hypoglycemic (sulfonylureas, insulin, repaglinide), kev txhim kho hypoglycemic yog qhov ua tau, yog li ntawd, yuav tsum tau ceev faj thaum tsav tsheb thiab lwm yam kev phom sij uas yuav tsum muaj kev kub siab thiab ceev ntawm lub hlwb kev xav.