Pehea e hoʻohana ai iā Metformin-Richter?

Hoʻopukaʻia kahi maʻi mai ka gastrointestinal tract. Loaʻa ka ʻike ʻana o ka waiwai ikaika i ke koko ma hope o 2 mau hola, a ma hope o ka ʻai ʻana - ma hope o 2 mau hola. I kekahi manawa hoʻohui i metformin i loko o nā lau. Hoʻokuʻu ʻia ia mai ke kino e nā keiki ma ka lā mua ma hope o ka hoʻokō ʻana. Hoʻololi ʻo Renal -> 400 ml / min. Me ka hana renal paʻa ʻole, ua excreted ka lōʻihi.

No ke aha ke kuhikuhi ana

Hoʻomaopopo ʻia ka lāʻau lapaʻau no ka hiki ʻole o ka meaʻai e hoʻemi i ka kaʻe o ka glucose i loko o ke koko. Hōʻike ʻia ka lāʻau lapaʻau no nā mea maʻi me nā maʻi maʻi type 1 a me ke ʻano type 2, e komo pū me ka obesity. Hiki i nā lāʻau lapaʻau ke hoʻopau pū me ka hoʻohaʻahaʻa i ka glucose koko a i ʻole insulin.

Hoʻomaopopo ʻia ka lāʻau lapaʻau no ka hiki ʻole o ka meaʻai e hoʻemi i ka kaʻe o ka glucose i loko o ke koko.

Nā Hoʻohui

Ma mua o ka hoʻohanaʻana, pono e aʻo i nā contraindications. ʻAʻole kuhikuhi ʻia ka lāʻau lapaʻau no nā mea maʻi me nā maʻi a me nā kūlana.

• ʻO ke hypoxia e pili ana i ka anemia o ka anemia, ka puʻuwai a me nā ea ʻole, ka hōʻeha ʻana o ka puʻuwai, ka ulu ʻana o ka palahalaha cerebral
• huehue
• kahi maʻi kūlohelohe i ka mea kanu akten,
• hana ʻoi loa ka maʻi pāpaʻi a me nā hana hana (me ke kiʻekiʻe o ka hana ʻoi aku)
• ka hele ʻana o nā maʻi nui,
• inu waiʻawa
• mahuahua i nā kino ketone i loko o ke koko koko,
• maʻi maʻi como ketoacidotic,
• lactacidemia,
• ka hana ʻana o nā meaʻai haʻahaʻa-haʻahaʻa (ma ka ʻai i ka 1000 kcal i ka lā),
• ka pono o ka hoʻohana ʻana o ka isotopes radioaktif o ka iodine i loko o ke aʻo ʻana:
• hapai

ʻAʻole kuhikuhi ʻia ka lāʻau lapaʻau no nā mea maʻi me ka inu ʻona.
ʻAʻole kuhikuhi ʻia ka lāʻau lapaʻau i nā mea maʻi me ka hoʻomehana.
ʻAʻole kuhikuhi ʻia ka lāʻau lapaʻau i nā mea maʻi i ka wā e ʻai ana i nā meaʻai haʻahaʻa-calorie.

Hoʻouna ʻia ka mea ikaika i ka waiū umauma, no laila e kū ʻoe ma ka hānai ʻana ma mua o ka hoʻomaka ʻana i ka ʻoihana.

Me ka maʻi diabetes

Ua kuhikuhi ʻia no ka mellitus type type 2 o 500 mg, 850 mg a i ka 1000 mg i ka lā. Inā pono, e hoʻonui i ka dosage ma hope o 2 mau pule. ʻO ka nui loa no ka lā maʻamau he 3 g a i ka 2.5 g i kēlā me kēia lā (no kahi maʻi o 850 mg). ʻAʻole pono nā poʻe maʻi e lawe i kahi ma mua o ka 1 papa i kēlā me kēia lā me kahi kumu o 1000 mg.

I ka hihia o ka insulin mellitus e hilinaʻi ʻia, kauoha i ka lāʻau lapaʻau e like me ke ʻano like ʻole, akā pono paha e hoʻemi ʻia ka nui o ka insulin.

Pono e lawe ʻia nā papa ma mua o nā papa ʻaina a me nā pāʻina paha.

ʻŌnaehana Endocrine

Hiki i ke komoʻana ke alakaʻi i ka dizziness, hoʻohaʻahaʻa i ke kaumaha, ʻeha a me ka ʻeha. I ka manawa pinepine, i ka nui o ke kauka ʻana, ʻike ʻia ka hypoglycemia.

Ka ʻū ʻana o ka ʻili, ʻulaʻula a me ka ʻeha.

Pilikia ke kumu i ka hilahila.

Hoʻohana no ka hana renal impaired

Hoʻokuʻu ʻia ka komo ʻana me ka hana ʻino nui. Pono e mālama ʻia ka nānā ʻana i ka wā ʻo cleince clearance he 45-59 ml / min.

Inā hele nā ​​maʻi ʻino, ʻaʻole i kuhikuhi ʻia ka lāʻau lapaʻau.

Hoʻopili pū me nā lāʻau ʻē aʻe

Aia ka emi ʻana o ka hopena o ka lawe i nā papa i ka wā e hui pū me GCS, nā huaʻai a me ka testosterone, estrogens, adrenaline, antipsychotics, hormone thyroid.

ʻO ka hōʻemi nui o ka neʻe e loaʻa i ka wā e lawe ana i ka salicylates, ACE inhibitors, oxytetracycline, sulfonylurea derivatives, acarbose a clofibrate.

ʻO ka lāʻau lapaʻa ka ʻokoʻa kūpono me ka derivatives Coumarin a me cimetidine. I ka wā e launa pū me Nifedipine, ua hele koke ʻia kahi mākeke hypoglycemic wikiwiki, akā ua lōʻihi loa ia ma ke kino.

Hoʻonui ka mākaukau cationic i ke kaohi ʻana o ka hana ikaika ma 60%.

I ka wā e launa pū me Nifedipine, ua hele koke ʻia kahi mākeke hypoglycemic wikiwiki, akā ua lōʻihi loa ia ma ke kino.

Hoʻolaha ka waipuna

Lā ʻia ka lāʻau lapaʻau e hoʻohui pū me ka ethanol. ʻO ka inu ʻawaʻawa ke kumu o ka lactic acidosis.

Hoʻopili i kēia mea hana me nā lāʻau lapaʻau penei:

Aia kekahi kuʻikahi no ka mea ikaika:

I loko o ke kalapona hiki ke loaʻa ʻoe i ka lāʻau lapaʻau me kahi kākau hou i ka peke.

Ma mua o ke kūʻai aku, pono ʻoe e hōʻoia pono ʻaʻohe alia a me nā hopena ʻē aʻe i makemake ʻia. ʻOi aku ka maikaʻi o ka nīnau ʻana i kahi kauka ma mua o ka hoʻololi ʻana.

Nā Hōʻikeʻike iā Metformin Richter

ʻO nā loiloi kūpono e hōʻike pono ana i ka hopena o ka lāʻau lapaʻau, nā hopena wikiwiki a me ka palekana. ʻO nā mea maʻi i hōʻa ʻole ʻole i ka lawe ʻana i ka kau pōkole i pane maikaʻi ʻole. I kekahi mau hihia, ʻike ʻia ka hiʻohiʻona o nā hopena ʻaoʻao.

Maria Tkachenko, endocrinologist

Ke lawe nei i nā paila, piʻi i ka hoʻowalewale i ka insulin, a ma muli o ke ʻano, hoʻomaka ke kino e hoʻōla i nā polokalamu kaloli hou me ka hua nui. I ka mālamaʻana o ka maʻi, pono ʻoe i ka ʻaʻai a hoʻomaʻamaʻa pinepine. E kōkua ka hoʻopōmaikaʻi ākea e pale i ka hyperglycemia a hōʻemi i ka hopena o ka hoʻomohala ʻana i nā hoʻopiʻi cardiovascular.

ʻO Anatoly Isaev, kaiʻai

E kōkua ana ka lāʻau lapaʻau e hōʻemi i ka pinepine o gluconeogenesis - ke hoʻokumuʻana o ka glucose mai nā hāmeʻa-ʻaʻohe o nā kalaiʻa (kūmole organik). Hōʻike nā noiʻi e hoʻopili ana ka lāʻau lapaʻau me ka hyperglycemia. Kōkua ka lāʻau lapaʻau e hoʻolōʻihi i ka paona, akā i loko o ka lāʻau paʻakikī. E kue ana i ke kua o ka wai kūlohelohe, ʻaʻole ia e papa ʻia i ka ʻai ʻana i nā pōpoki, me ka wā o ka mālama ʻana me nā hāʻule.

He ʻike maoli paha ʻo Metformin

Christina, 37 makahiki

Hoʻōla mai ka lāʻau iaʻu mai ka maʻi hyperglycemia. Hoʻohālikelike ʻia ke kōholi ma ka lawe ʻana i kēia mau pā a me ke ʻano hana. Ua lawe au i 1 papa, a ma hope o 10 mau lā, ua hoʻonui ke kauka i ka pauka i 2 pcs. i ka la. I ka manawa mua ua hoʻolilo ʻo ia i ka ʻeha ma ka ʻōpū, hāwī, maloʻi. Ma hope o kahi lā, nalowale nā ​​hōʻailona.

Ua kāpae ka lāʻau iā Siofor mai ka mea hana "Berlin-Chemie" (Kelemānia). Hoʻohālike ka hana, maʻalahi i ka lawe. Ke nānā nei wau i ka hopena laxative ma hope o ka lawe ʻana a me ka palaualelo. Ua kōkua ʻo Metformin i ka hoʻopauʻana i ka piha. Hoʻopau ia 9 kg i 4 a me ka hapa mahina. Ua emi koʻu make ʻana, a e ʻai ana wau i ka ʻai liʻiliʻi ma muli o kaʻu ʻai ʻana. Kūleʻa wau i ka lāʻau lapaʻau.

Ma hope o ka noi ʻana, ua nalo ʻo 8 kg i nā mahina eono. Hoʻi hou ke kaumaha, ua hoʻomaikaʻi ʻia ke koko. Ua emi ka nui o ka kolamu a me ka glucose. ʻO ka hopena ʻaoʻao, ke ʻole ka dizziness, ʻaʻole i ʻike. E hoʻomau wau i ka lāʻau me ka lāʻau lapaʻau, no ka mea aia kekahi, a ʻae ʻia ke kumukūʻai.