Pehea e hoʻohana ai i ka Canon Metformin?
Loaʻa ka lāʻau lapaʻau i ke ʻano o nā papa kiʻi ʻoniʻoni. Aia nā papa he 500 mg, 850 mg a me 1000 mg o ka metformin.
Nā papa nui me ka nui o 500 mg e puni, a me nā papa me nā kaha he 850 mg a me 1000 mg (Metformin lōʻihi) oval.
Loaʻa ka lāʻau lapaʻau i ke ʻano o nā papa kiʻi ʻoniʻoni.
- Metformin hydrochloride.
- Polyethylene glycol (macrogol).
- ʻO Povidone.
- Talii.
- Sodium stearyl fumarate.
- ʻO ka māhu Sodium carboxymethyl.
- ʻO ke kumu a pregelatinized.
- ʻO Opadry II keʻokeʻo (hoʻohemo i ke ʻano kiʻiʻoniʻoni).
- Kaapili Titanium.
- Ka waiʻona Polyvinyl.
Ka hana lāʻau lapaʻau
Hoʻopili ka Metformin i ka gluconeogenesis, ke kō o ka waikawa momona kūlohelohe, a me nā kaʻina o ka lipolysis (hōʻeha momona) a me ka momona oxidation. I ka manawa like, hoʻāla ʻia ka nui o ka glucose i ke kino ma o ka hoʻonui ʻana i ka naʻau o nā mea pili i nā insulin.
ʻO ka lāʻau lapaʻau ka mea e hoʻoponopono ai i nā kiko o nā triglycerides a me ka cholesterol i ke koko. Ke lohi nei i ka emi ʻana o ka paona ma nā mea maʻi obese.
Hoʻomaopopo ʻia ka lāʻau lapaʻau i mua o ka thrombosis, no ka mea he hopena fibrinolytic. Kōkua ʻo Metformin e kāpae i nā koko koko i loko o nā moku koko.
Hoʻomaopopo ʻia ka lāʻau lapaʻau i mua o ka thrombosis, no ka mea he hopena fibrinolytic.
Lapaʻau lāʻau
A lawe ʻia ma ke alo, lawe lō ʻia ka lāʻau mai ke kaʻe ʻana o ke kaomi. ʻO ka hoʻoneʻe ʻana o ka metformin he 50%. ʻAʻoleʻoi aku ka bioavailability ma kahi o 60%. Ua hiki i ka waiwai i kona kao i loko o ka plasma i loko o nā hola 2-2.5.
Hoʻopili paʻa ʻo Metformin iā albumin koko, akā hoʻokomo koke i nā ʻōloʻomaʻi o nā ola mua. Ke hoʻokaʻawale ʻia nei ia mai ke kino e ka nunui a loli ʻole ʻia. Ka wā manawa i ka wā 8-12 mau hola.
No ke aha ka mea i kuhikuhi ai?
Noi ʻia ka lāʻau lapaʻau no nā pākeke a me nā keiki ma mua o 10 mau makahiki mai ka momona a me ke ʻano type diabetes mellitus (non-insulin-depend). Hiki i ka lāʻau lapaʻau ke hoʻohana pū me ka lua a me ka lua (ʻo ka hui pū me ka insulin).
ʻO nā hōʻike ʻē aʻe no ka hoʻohana ʻana:
- ʻO ka momona hepatosis (ate dystrophy). ʻO kahi maʻi kahi e hoʻohuli ai ka maʻi hepatocytes (nā aho pili) i ka lipid tissue i loaʻa.
- ʻŌnuʻi līpū polū. Hāpai pinepine ʻia kēia pathology me ka nui o ka pale ʻana i ka insulin. Over-production o kēia hormone a me ka hoʻonui nui 'ana i ke kō kōʻai koko e loaʻa.
- Hāpopo. Hōʻike ʻia ka maʻi e kahi kiʻekiʻe o ka lipids a me nā lipoproteins i ke koko.
ʻO ka hōʻikeʻana no ka hoʻohana ʻana he hepatosis momona.
Nā Hoʻohui
Hoʻokomo ʻia ka lāʻau lapaʻau i nā maʻi aʻe:
- intolerance pilikino e metformin a iʻa nō iʻa,
- coma maʻi maʻi
- hoʻōki hoʻōki,
- maʻi ʻino ʻeha
- huakaʻi renal function,
- nā hopena ʻino a me ka luaʻi paha,
- maʻi maʻi hopohopo nui
- hypoxia
- fiva
- sepsis
- anaphylactic haʻalulu,
- myocardial infarction
- i ka hanu ʻana a i ʻole ka naʻau hemahema,
- waiʻona
- lactic acidosis,
- ka hemahema calorie
- nā makahiki o nā keiki a hiki i 10 mau makahiki.
Lawe i ka lāʻau lapaʻau no ka maʻi maʻi maʻi
Wahi a nā ʻōkuhi, ua kuhikuhi ʻia nā pākeke me ka monotherapy i ka 1000-1500 mg o ka lāʻau i kēlā me kēia lā. Inā pono, hoʻonui ʻia ka nui o kēlā me kēia lā i 2000 mg. ʻO ka palena loa o kēlā me kēia lā he 3000 mg o ka metformin. Hiki ke hoʻokaʻawale ʻia ka nui o ka lā i kēlā me kēia mau dosis 2-3.
Ke hui pū me ka insulin, ʻo ka make o Metformin he 1000-1500 mg i kēlā me kēia lā. I ka wā ʻoi, hiki ke koi ʻia kahi hoʻoponopono insulin.
Pehea e lawe ai no ka lilo nui?
No ka mālamaʻana i ka momona, ke kumu o ke kū'ē o ka insulin, ua kuhikuhi ʻia ka lāʻau lapaʻau ma kahi inikua mua o 500 mg hoʻokahi. Hoʻonui ʻia ka nui i ka 2000 mg i kēlā me kēia lā, e hoʻohui ai i ka 500 mg i kēlā me kēia pule.
Kōkua ka Metformin e hōʻemi i ka paona i ka wā e hui pū ai me ka meaʻai kūpono.
Kōkua ka Metformin e hōʻemi i ka paona i ka wā e hui pū ai me ka meaʻai kūpono. Akā, ʻaʻole hiki ke hoʻopili ʻia kahi meaʻai paʻa ma muli o ka pilikia o ka hypoglycemia.
Mai ka ʻaoʻao o ka metabolism
Ka hopena i ka metabolism:
- lactic acidosis,
- Ka nele o ka B12 (hoʻemi ʻia ka ʻaihue waiū).
Nā ʻōlelo kikoʻī
Ma mua o nā hana hana a me nā hoʻokolohua e hoʻohana ana i nā lāʻau radiopaque, kahi oki ʻia ka lāʻau lapaʻau. Lawe ʻia ka lāʻau lapaʻau i nā lā 2 ma mua o ka hoʻokolokolo a laila hoʻomau ʻia ma hope o 2 mau lā.
Ma mua o ka wehe ʻana, he kāpae ʻia ka lāʻau lapaʻau.
Hoʻohana i ka wā hāpai a me ka lactation
ʻOiai ʻo ke mea ikaika e hele ma waena o ka plasenta, ʻaʻole i ʻōlelo ʻia ʻo nā wahine hāpai e lawe i kēia lāʻau lapaʻau. ʻAʻole i lawe ʻia nā noiʻi paʻa ʻana o nā hopena teratogenic o nā metformin. I kekahi manawa kākau nā kauka i kēia lāʻau lapaʻau i nā wahine hāpai inā pono.
Hoʻomaopopo ʻia ka male ʻana i ka wā lapaʻau e pani.
Ke noi no ka hana renal haukapole
Hoʻopili pū me nā lāʻau ʻē aʻe
Ua lawe ʻia ka lāʻau pono me ka mālama ʻana me kēia mau lāʻau lapaʻau.
- Danazole (ʻoihana hyperglycemic).
- Chlorpromazine.
- Hoʻopuka i nā ʻike.
- Nā hua palapala o nā sulfonylureas.
- Nā NSAID.
- PolohanaHula.
- ACE inhibitors a me MAO.
- Nā Hoʻolaka.
- Nā lāʻau lapaʻau maʻi (e komo pū ana i nā kūmole waha).
- Diuretics (mai ka hui o thiazide a ihi diuretics paha).
- ʻO nā hua o ka waikela nikotinic a me nā phenothiazine.
- Hoʻolālā.
- ʻO Cimetidine.
Inā pono kēlā mau hui, e hoʻoponopono ke kauka i ka maʻa o ka lāʻau a mālama i ka ʻaila o ke kō a me ka lactic acid i loko o ke koko.
Hoʻolaha ka waipuna
He maikaʻi ʻole ko kēia huahana me ka inu wai. Hoʻonui ka alapona i ka pilikia o ka hypoxia kiko, lactic acidosis a me nā hopena ʻē aʻe.
ʻO nā analogues kaulana o kēia huahana nā Glucophage (Merck Sante, Palani), Formmetin (Pharmstandard, Russia), Siofor (Berlin-Chemie, France). Ke loaʻa nei kēia mau lāʻau i ka hana like like - metformin hydrochloride.
ʻO nā lāʻau lapaʻau e like me Metformin Teva a me Metformin Richter he mau generics. Hoʻohālikelike lākou i ka Metformin Canon i ka hoʻonohonohoʻana a me ka hana, akā ua hoʻopuka ʻia e nā mea hana ʻē aʻe.
Nā Hōʻikeʻike Metonin Canon
Konstantin, 42 makahiki, St.
Ua hana wau ma ka endocrinologist ma mua o 10 mau makahiki. Ua kuhikuhi ʻia kēia lāʻau lapaʻau no nā mea maʻi me ka maʻi maʻi a me ka momona. Kōkua ia i ka hoʻomaʻamaʻa i ka metabolism a me ke kiʻekiʻe o ka glucose koko. ʻIke pinepine wau i nā hopena ʻaoʻao i kaʻu hana.
Irina, 35 makahiki, Krasnodar
ʻO Metformin kahi mea lapaʻau hypoglycemic maikaʻi i ka mālamaʻana i ka maʻi diabetes 2 ʻano. E hoʻomanawanui maikaʻi koʻu mau maʻi i kēia mau lāʻau. Ma hope o kahi mahina o ka lawe ʻana i ke kōhi koko koko. I mea e pale ʻole ai i ka ʻōpū o ka ʻōpū, ʻōlelo wau ʻaʻole lawe i ka lāʻau lapaʻau ma ka ʻōpū ʻole.
Valentine, 56 makahiki, Belorechensk
Ua aʻo wau e pili ana i nā lāʻau lapaʻau e like me Metformin, Siofor, Glucofage mai kahi endocrinologist. Ua koi ʻo ia iā lākou e hakakā i ka maʻi maʻi. Loaʻa ka maikaʻi o Metformin me ka hoʻohālikelike me kāna mau analogues. Ua kōkua ka lāʻau lapaʻau a ʻaʻole i hopena i nā hopena ʻaoʻao.
Alexander, 43 makahiki, Volgograd
Inu wau i kēia lāʻau lapaʻau no ka pale ʻana o ka maʻi maʻi. Hoʻomaka ke kōʻai koko, a ʻōlelo ke kauka iā Metformin. ʻAʻole i loaʻa iaʻu kekahi hopena maikaʻi ʻole i ka wā o ka lapaʻau.
Ekaterina, 27 makahiki, Moscow
Ma hope o ka hānau ʻana, hoʻomaka wau e ola wikiwiki. ʻAʻole hiki iaʻu ke pili i kaʻai ʻana i nā meaʻai lōʻihi no ka manawa lōʻihi, no laila ua hoʻoholo wau e hoʻāʻo iā Metformin e hōʻemi i ka momona. Ua kōkua ka lāʻau lapaʻau e hōʻoluʻolu i 5 kg i kēlā me kēia mahina. Lūmū maloʻo, ʻaʻole hiki ke hoʻonele nui.