ʻO ka formin a i ʻole metformin

Nui nā mana o ka lālani Glucofage. Ma Lūkia, kahi hiʻohiʻona he Formetin a me Metformin. Ma ka ikaika o ka hana, ua like nō ia.

ʻO kēia mau lāʻau lapaʻau no nā maʻi maʻi. Loaʻa iā lākou kahi pūpū like a pili i nā lāʻau lapaʻau haʻalulu. Hiki ke kūʻai ʻia aku lākou me kahi papa inoa. ʻOi aku ka maikaʻi o nā lāʻau lapaʻau, e hoʻoholo ke kauka komo, e nānā ana i ke kūlana, nā hopena hōʻike a me nā loiloi.

Loaʻa i kahi papa papa o ka hoʻokuʻu. ʻO ka hana nui i loko o ke kākau inoa ka nui o ka inoa like. Loaʻa i nā dosages o 500 a 850 mg.

Loaʻa iā Metformin ka hana koʻikoʻi o ka inoa like.

Aia ka lāʻau lapaʻau i ka māhele o biguanides. Hōʻike ʻia ka hopena o ka lāʻau lapaʻau ma ka pale ʻana i ka hana o ka glucose i loko o ka ate a me ka hoʻohaʻahaʻa ʻana i kona kō ʻana i loko o ka ʻawaʻawa. ʻAʻole pili ka lāʻau lapaʻau i ke kaʻina o ka hana o ka insulin i ka pancreas, no laila ʻaʻohe pilikia o kahi hopena hypoglycemic.

He pono ka hopena o ka lāʻau lapaʻau ma ka pūnaehana cardiovascular, ke pale ʻana i ka hoʻomohala ʻana o ka angiopathy i ka maʻi diabetes.

Me ka hoʻokolohua waha o ka lāʻau lapaʻau, ka piʻi ʻana o ka nui o ke kumu ikaika i loko o ke koko ma hope o nā hola 2.5. ʻO ka emi ʻana o ka pūhui e pani i nā hola 6 ma hope o ka lawe ʻana i ka paila. ʻO ka hoʻopauʻana hapa-hapalua o ka waiwai o ka mea ma kahi o 7 mau hola. ʻO Bioavailability a 60%. Hoʻokuʻu ʻia i ka urine.

Nā hōʻailona no ka hoʻohana ʻana i ka Metformin - diabetes mellitus o nā ʻano mua a me ʻelua. Ua hōʻike ʻia ka lāʻau lapaʻau e like me ke ʻano no ka hoʻomehana ʻana i ka insulin a me ka hoʻohana ʻana i nā lāʻau lapaʻau ʻē aʻe, ʻoiai ua hōʻike kekahi i ka lāʻau lapaʻau i nā hopena maikaʻi. Ua kuhikuhi ʻia ʻo Metformin ma ke ʻano nui o ka wā o ka ʻoihana.

Hoʻohana ʻia ka lāʻau lapaʻau no ka momona, inā makemake ʻoe e kāohi i ka pae o ka glucose i ke koko, ʻoiai ke hāʻawi ʻole ka meaʻai i ka hopena maikaʻi. Hiki i kahi lāʻau lapaʻau hou ke kuhikuhi ʻia no ka maʻi o ka ovary polycystic, akā i kēia hihia, hoʻohana ʻia nō ka lāʻau lapaʻau ma lalo o ka mālama ʻana o kekahi kauka.

Loaʻa ka lāʻau lapaʻau i ke ʻano o nā papa keʻokeʻo oval. ʻO ka mea hana pono a ka metformin.

1 papa i ka 500, 850 a me 1000 mg o ka waiwai. Kuhi ʻia ka lāʻau lapaʻau no ka hoʻohana ʻana ma nā waha.

Hoʻomaopopo ʻia ka lāʻau lapaʻau no nā poʻe me ka maʻi diabetes type 2 inā ʻaʻole kōkua ke ʻai. Hoʻohana ʻia ka lāʻau lapaʻau no ka pohō ʻana. Hoʻohui maikaʻi me kaʻenehana insulin.

He aha nāʻokoʻa

ʻO ka ʻokoʻa ma waena o Metformin a me Formmetin aia wale nō i loko o nā mea iʻike ʻia i ka hoʻolālā o nā papa. Aia nā huahana ʻelua i ka povidone, magnesium stearate, sodium croscarmellose, ka wai. Akā ʻo Metformin pū kekahi pūlou gelatinized me cellulose microcrystalline.

Aia ka papa i nā kiʻi ʻoniʻoni, nona ka talc, sodium fumarate, nā mea kanu.

Ke kūʻai nei i ka lāʻau lapaʻau, pono e mālama i ka manaʻo o nā mea hoʻohui o ka pilina: ʻo ka liʻiliʻi o kā lākou, ʻoi aku ka maikaʻi.

ʻOi ka uku

No nā lāʻau ʻelua, ʻo nā mea hana ʻoihana e ʻoihana e like me Canon, Richter, Teva, a me Ozone.

ʻO ka makeʻana o ka lāʻau kaha i loko o hoʻokahi papa he 500, 850 a me 1000 mg pākahi. Ma ke kumukūʻai, ua like ka Metformin a me Formmetin i ka māhele like: he hiki ke kūʻai ʻia ka mea mua ma Rū ma ke kumukūʻai e pili ana i ka 105 rubles no kahi pōpake o 60 papa, a no ka lua, ʻo ka uku o ka 95 mau rubles.

He aha ka metformin maikaʻi a formin

I nā lāʻau ʻelua, ʻo ka mea hana nui ka mea like - metformin. I kēia hiʻohiʻona, he like nā hopena o nā lāʻau lapaʻau. Hoʻololi, hiki ke hoʻololi ʻia kēia mau kālā.

ʻO ka kauka hele wale nō e hiki ke hoʻoholo ʻo wai ka lāʻau maikaʻi loa no kēlā me kēia maʻi, e pili ana i ke kūlana.

Ma kēia hihia, ua manaʻo ʻia nā hiʻohiʻona pilikino o ke kino, ke ʻano maʻamau o ka mea maʻi, ka ʻano a me ka hōʻeha o ka pathology.

Me ka maʻi diabetes

Ma ka maʻi maʻamau o ka ʻano mua, i ka manawa a i ʻole ka hopena ʻokoʻa i loko o ke kōkuhi o ka insulin, ua hoʻohana ʻia ʻo Metformin a me Formmetin e hoʻemi ai i ka hoʻowalewale o ka hopena, hoʻomohala i ka hormonal therapy, huli i nā ʻano hou o ka insulin (e palekana i kēia manawa), a ke pale aku hoʻi i ka uluhua.

I ka maʻi ʻaina o ka ʻano lua, pono e lawe pinepine ʻia nā lāʻau lapaʻau. Hoʻomaikaʻi lākou i ke kūlana maʻamau o ka mea maʻi me ka maʻi ʻaluhi a hiki i kahi maʻi i ka insulin. Mahalo i kēlā me kēia mea, ua hoʻemi ʻia ka hopena o ka ulu ʻana o nā hoʻopiʻi o ka maʻi maʻi.

Nā Hōʻike Hoʻomaʻi

Sergey, 38 makahiki, Moscow: "Ua loaʻa ke maʻi type 2. Ua lawe wau i ka Metformin i ka hana like me nā inikini insulin no hoʻokahi makahiki. Kōkua ka mea kōkua e hoʻemi i ke kō koko. Ua hoʻomaha wau i ka lāʻau lapaʻau, ʻaʻohe hopena o ka hopena. "

ʻO Irina, he 40 ona makahiki, ʻo Kaluga: “Ua loaʻa iā Formethine e like me ka ʻōlelo a ke kauka. He maʻamau ke gula, akā he pilikia me ka momona kaumaha. Ma ka like like, ua hoʻohuli wau i kaʻai ʻai haʻahaʻa. Mai ka hoʻomaka ʻana o ia ʻano paʻakikī paʻakikī ua hōʻemi ʻoe i ka paona me 11 kg. Ua hoʻomaikaʻi ʻia ke ʻano o ka ʻili. ”

I ke ʻano type diabetes 2, pono ke lawe ʻia nā lāʻau lapaʻau ma lalo o ka noʻonoʻo.

Hōʻikeʻike a nā kauka e pili ana i ka Metformin a me Formmetin

Maxim, endocrinologist, 38 mau makahiki, ʻo St. Petersburg: "Manaʻo wau iā Metformin i kahi lāʻau lapaʻau maikaʻi no ka mālamaʻana i nā ala o ka ʻoihana endocrine (diabetes mellitus, nā pilikia o ka hōʻemi kino o ka metabolism). Akā i ka manawa like, ke hoʻolaha pinepine nei au i kaʻu mau mea maʻi e pili ana i nā hopena ʻokoʻa. Hiki i kēia lāʻau mālama ke kūʻokoʻa a me ka hoʻohui ʻana.

Metformin a me formin - wehewehe a me ka hana

ʻO nā lāʻau lapaʻau metformin a me Formmetin he mau lāʻau lapaʻau hypoglycemic (hypoglycemic), no nā biguanides. Hoʻololi ʻia nā lāʻau lapaʻau ʻelua i Lūkini a ua maʻamau pinepine i nā maʻi maʻi maʻi.

Loaʻa i nā lāʻau lapaʻau ka waiwai ikaika - metformin (metformin hydrochloride).

Ke kumukūʻai o nā lāʻau lapaʻau ma ka ʻāpana like o ke kumukūʻai - kūʻai ʻia ʻo Formmetin 95 mau rubles / 60 papa, ke kumu kūʻai o Metformin no 105 mau rubles no ka pākeke like ʻole. Kūleʻa nā mea hōʻike i ka mālama ʻana i nā mea hoʻoweliweli - ka liʻiliʻi o ko lākou, ʻoi aku ka maikaʻi o ka hopena. ʻO nā mea maʻamau i nā ʻano ʻelua:

• konekena stearate,
• povidone
• wai
• kahi sodium a ʻaihoe.

Loaʻa ka Metformin i nā selulose microcrystalline, ke kō ke pregelatinized. ʻO nā lāʻau lapaʻau o kekahi ʻoihana o nā ʻoihana i hoʻokumu ʻia i nā pale, talc, sodium stearyl fumarate. Hāʻawi ʻia nā kālā ʻelua e nā hui e like me Teva, Richter, Canon, Ozone a me nā mea ʻē aʻe ʻē aʻe. Kapuai - 0,5, 0.85, 1 g.

Ma muli o ka hopena like, hiki ke hoʻololi ʻia nā lāʻau. Hoʻokomo ʻia ka komo ʻana o ka gluconeogenesis i loko o nā peka o ka pulu, e hōʻemi ai i ka kahe koko. Eia nō hoʻi, ke emi iho nei ka komo ʻana o nā kōpono mai ka gastrointestinal tract, e hoʻohana ana ka hoʻohana ʻana o ka glucose i loko o nā ʻano like ʻole. ʻAʻole aneane like ka hopena o ka lāʻau lapaʻau ma ka hoʻonui ʻana o ka naʻau o ka insulin i ka kiko adipose, akā kōkua ia i ka hoʻomaikaʻi ʻana i kēia mākaʻi i ka ʻoiwi ʻoihana.

Nā hōʻailona no ka hoʻokomo

E koho i kahi ʻoi aku ka maikaʻi - Formmetin a i ʻole Metformin - e like me ke ʻano o ka hōʻike. Loaʻa nā lāʻau ʻelua i ke kumu like a lawe ʻia i nā ʻano like like. Ma ka maʻi pākaʻi type 1, ka mea i loaʻa me ka hoʻopau piha ʻole a ʻāpana paha i ka hana o ka insulin, pono lākou no ia mau ʻano:

• Hn
• supplementing insulin,
• ka manawa o ka neʻe ʻana i nā ʻano insuline hou (no nā kumu palekana),
• kaupaona lilo kaumaha.

I ke ʻano type diabetes 2, ʻike pinepine ʻia ka metformin a me formin i nā manawa pinepine loa. No ka mea, ʻoi ka ʻike ʻana o nā ʻoli i nā insulin i kēia ʻano maʻi, e hoʻomaikaʻi maikaʻi ʻia nā lāʻau lapaʻau. ʻO kahi hopena, e emi ka hopena o nā ʻōpiopio. Ua kuhikuhi ʻia nā lāʻau lapaʻau no ka hoʻopiʻi ʻana i ka meaʻai ʻai, i ka hoʻohui ʻana i ka meaʻai, no ka hoʻēmi kaumaha. Hoʻokomo ʻia nā lāʻau lapaʻau no ka momona koʻikoʻi.

ʻO nā lāʻau ma ka like me ka hoʻokaʻawale i ke kahe o ka triglycerides a me ka kolamu ma ke koko.

Hoʻopili i kahi hopena maikaʻi i ka lipid metabolism, mālama pū kekahi i ka metformin i nā hana koko i ka hana ʻana. Kāhea ia i nā protein kūikawā e hoʻonui ai i ke koikoi koko. Hāʻawi kēia i ka hōʻemi o ka hōʻeha ʻana, ka hōʻiliʻili o ka naʻau.

Nā kauoha no nā lāʻau lapaʻau

E inu i nā papa me ka ʻole o ka palaualuhi, kōʻai, me ka wai (ka nui o ka nui). ʻO ka lawe ʻana ma hope o kahi ʻai, a i ka wā ʻai. Ka helu ʻana o nā helu me ka pohō o ka maʻi maʻi. Hiki iā ʻoe ke hoʻohana i nā lāʻau lapaʻau ma monotherapy, i ka hoʻohui pū ʻana me nā lāʻau lapaʻau ʻē aʻe o ka orientation like.

ʻO nā ʻōlelo manaʻo no ka hoʻoponopono kauʻana:

• i ka hoʻomaka ʻana o ka maʻi - 1-1.5 g / lā, hoʻokaʻawale i ka helu i makemake ʻia (ʻoiaiʻo 3).
• ma hope o hoʻokahi pule a ʻelua pule paha, hiki iā ʻoe ke hoʻonui i ka nui i koho ʻia e like me ka mea e koi ʻia e hoʻāluulu i ka nui o ka glucose.
• inā e hoʻonui lohi i ka momona, e hoʻomaikaʻi hou i ka hoʻomanawanui, hoʻopiʻi i nā pilikia me ka gastrointestinal tract,

Hiki ke ʻeha nā lāʻau lāʻau me ka insulin. I kēia kūlana, ʻoi aku ka haʻahaʻa o mua ma mua - 500-850 mg / lā, hoʻokaʻawale ʻia i 3 mau pona. Koho ʻia ka nui o ka insulin e nā mea loea e pili ana i nā ʻike koko. Hiki i nā lāʻau ʻelua ke hāʻawi i nā keiki mai nā makahiki 10. ʻO ka wai maʻa mua loa he 0.5 g / lā hoʻokahi i ke ahiahi, me ka meaʻai. Ma hope o 2 mau pule, e hoʻohālikelike ʻia ka pele ma ke kiko kūpono, ʻo ka nui loa / lā he 2 g.

Nā hiʻohiʻona a me nā hopena ʻaoʻao

Nui nā contraindications i kēia mau lāʻau, ma waena o lākou e ke ahonui, e kūlohelohe ai kekahi maʻi, a me kekahi helu o ke ʻano maʻi i kahi maʻi maʻi.

• ketoacidosis
• precoma coma
• kōpala hema ʻole,
• make wai nui,
• nā maʻi ʻeha loa
• nā kūlana hū

Lele ʻia nā lāʻau lapaʻau e inu ma hope o nā hōʻeha, i ka wā ma hope o nā hana lehulehu. I kēia hihia, me kekahi ʻano maʻi o ka maʻi maʻi, ua huli lākou i ka insulin. ʻAʻole i kuhikuhi ʻia nā lāʻau lapaʻau i ka wā o ka hapai ʻana, ma mua a ma hope o ka hana ʻana i nā haʻawina radiopaque (2 lā).

Hoʻohana ʻia lākou me ka mālama lāʻau me nā keiki i nā keiki mai 10 mau makahiki he mau maʻi, i nā mea maʻi ma mua o 65 mau makahiki, i ka wā lactation.

ʻO ka hoʻohana lōʻihi ʻana i nā lāʻau lapaʻau me ka metformin me ka hoʻoluhi ʻole ʻole e hōʻeha i ka hoʻoheheʻe ʻana o nā huaora B .. I waena o nā hopena ʻaoʻao ka hopena o ka hōʻeha ʻana o ka ʻōpū, ka ʻōpū o ka ʻōpū, ka lua, ke hoʻopuka a me ka maʻi ʻeha.

Holoi paha ka hana. ʻO ka maʻamau, hele a pau kēia mau hopena ma hope o nā lā 14 o ka mālama ʻana. Inā hele mai nā hōʻailona gastrointestinal, pono e lawe ʻia nā papa me nā papa. Ma nā noho kaawale, hepatitis (hoʻohuli), ua kākau ʻia nā hopena kūloko o ka ʻili.

Nā kikowaena a me nā mea ʻē aʻe e pono ai ʻoe e ʻike?

I waena o nā mea kikoʻī he nui o nā lāʻau lapaʻau - lawe ʻia a me ka ʻĀina, kahi i metformin ka mea i hoʻohui ʻia a i ʻole kekahi mea ikaika me ka hopena hypoglycemic. ʻO kekahi mau lāʻau lapaʻau he hormonal (no ka laʻana, e pili ana i ka gliclazide):

I ka wā o ka papa hana, he mea nui e hana pinepine i ka urine a me nā hoʻāʻo koko e loiloi i ka hana o ka keiki. No ka hana ʻana i ka hoʻōho lactic acid i ka nui o nā mea maʻi i ka wā e lawe nei i ka lāʻau lapaʻau, pono nō hoʻi e nānā i ka hele ʻana o lactate i ke koko 1-2 mau manawa / makahiki (ʻo ia ka mea e hana ʻia no ka ʻeha o ka naʻau). Me ka hui pū ʻana o ka insulin, he mea nui ka kaohi o ka glucose, pono ia e hana i kēlā me kēia lā. Hiki ke pilikia me ka hoʻopau ʻana i nā ʻaihue hypoglycemic me kahi puna koi loa i ke kō. Inā loaʻa ʻoe i nā nāwaliwali, haʻalulu, nāwaliwali, a me nā hōʻailona ʻē aʻe o ka hypoglycemia, wikiwiki ʻoe e hana i nā kaʻina ma ka home a nīnau aku paha i kahi kauka.