Nā lapuwale, i pani ʻia me ka uhi ʻia ʻo ke keʻokeʻo ke keʻokeʻo, he oblong, me ka pilikia, me ka aneane ʻaʻole mai o kahi honi.

Nā mea kūlike: hypromellose (1500CPS), hypromellose (5CPS), povidone (K25), magnesium stearate, macrogol 6000, titanium dioxide.

10 kamepiula - blisters (3) - nā ʻeke pepa.
10 kamepiula - ʻōmole (12) - nā kāʻei o ke kāleka.
20 mau kāleka. - blisters (6) - nā ʻeke pepa.

ʻO ka lāʻau lapaʻau hypoglycemic oral

ʻO ka lāʻau hypoglycemic Oral mai ka hui biguanide. Hoʻopiʻi ia i ka gluconeogenesis i loko o ka puʻuwai, e hoʻoneʻe i ka kao ʻana o ka glucose mai ka ʻōpū, hoʻomaikaʻi i ka hoʻohana ʻana i peripheral glucose, a hoʻonui hoʻi i ka ʻike ʻana o nā io i ka insulin. ʻAʻole pili i ka huna ʻana o ka insulin e nā β-cells o ka pancreas.

ʻO nā triglycerides haʻahaʻa, LDL.

Mālama a hoʻoikaika paha i ke kaumaha o ke kino.

Loaʻa ia he hopena fibrinolytic ma muli o ke kaohi ʻana o kahi kaila plasminogen activator inhibitor.

Ma hope o ka hoʻopale ʻana i ka waha, hoʻohuihui ʻia ka metformin mai ka digestive tract. Bioavailability ma hope o ka lawe ʻana i kahi maʻa maʻamau he 50-60%. C max ma hope o ka hoʻokele waha ʻana ma hope o 2 mau hola

ʻAʻole hiki ke hoʻopaʻaʻia i nā protein plasma. Hoʻopili ia i nā kuhi salivary, nā mākala, nā puʻuwai, a me nā pūpū.

Hoʻokuʻu ʻia ia i hoʻololi ʻia ma ka urine. T 1/2 ne 1.5-4.5 hola.

ʻO ka pharmacokinetics i nā hihia lapaʻau kūikawā

Me ka hana pūnāwai paʻa ʻole, hiki i ka hōʻiliʻili o ka lāʻau.

Nā Hoʻolauna Metfogamma 850

- ka maʻi ketoacidosis maʻi, maʻi diabetes precoma, coma,

- Hōʻeha renal,

- ka puʻuwai a me ka hanu, ke ana o ka wili myocardial infarction, ʻoi aku ka pilikia o cerebrovascular, dehydration, ka maʻi kūlohelohe a me nā mea e ae i hiki ke kōkua i ka hoʻomohala ʻana o ka lactic acidosis,

- ka lactic acidosis a me ka mōʻaukala o ia mea,

- nā hana hōʻeha koʻikoʻi a me nā hōʻeha (ma kēia mau hihia, ua hōʻike ʻia ka maʻi insulin),

- hana hewa pāpaʻi hemahema,

- ulia pōpilikia ʻae,

- ka lactic acidosis a me ka mōʻaukala o ia mea,

- hoʻohana no ka liʻiliʻi o 2 mau lā ma mua a me 2 mau lā ma hope o ka lawe ʻana i nā haʻawina radioisotope a i ʻole x-ray me ka hoʻomaka ʻana o ka iodine-medium medium,

- ka mālamaʻana i kahi pāʻina haʻahaʻa-haʻahaʻa (emi iho ma mua o 1000 cal / lā),

- lactation (umauma),

- Kūpono o nā maʻi o ka lāʻau.

ʻAʻole ia e noi i hoʻohana i ka lāʻau lapaʻau i nā mea maʻi i ʻoi aku ma mua o 60 mau makahiki e hana i ka hana kino kino, ma muli o ka hoʻonui nui o ka acidact lactic.

Hoʻoponopono a me ke ʻano ʻo Metfogamma 850

E hoʻonohonoho i kēlā me kēia, ke nānā nei i ke kiʻekiʻe o ka glucose i ke koko.

ʻO ka maʻa mua ka maʻamau 850 mg (1 tab.) / Lā. Hiki ke hoʻonui hou i ka neʻe ma ka hopena o ka hopena. ʻO ka papa mālama mālama he 850-1700 mg (1-2 papa) / lā. ʻO ka palena loa o kēlā me kēia lā he 2550 mg (3 papa).

Hoʻomaopopo ʻia ka wai ma kēlā me kēia lā nui ma mua o 850 mg i 2 mau māhele i ke kakahiaka (kakahiaka a me ke ahiahi.

I nā poʻe maʻi ʻelemakule, ʻo ka mea i ʻōlelo ʻia e pono ai e ʻole ma mua o 850 mg / lā.

Pono e kiʻi ʻia nā papa me ka papa ʻaina holoʻokoʻa, e holoi ʻia me kahi liʻiliʻi o ka wai (kahi kīʻaha wai).

Kuhi ʻia ka lāʻau no ka hoʻohana ʻana i ka lōʻihi.

Ma muli o ka hoʻonui nui o ka acidact lactic, ma nā hōʻeha metabolic koʻikoʻi, pono e hōʻemi ʻia ka ʻona.

Hoʻopilikia ka hopena Metphogamma 850

Mai ka pūnaehana ʻana: ka mualea, ka luaʻi, ka ʻōpū o ka ʻōpū, ka maʻi ʻeha, ka nele o ka momona, ka ʻaha metallic i loko o ka waha (me ke ʻano he kānāwai, ʻaʻole pono ke ʻano o ka mālama ʻana, ke neʻe nei nā hōʻailona ma kā lākou iho me ka loli ʻana o ka nui o ka lāʻau, hiki ke hoʻēmi ʻia ka nui o ka hopena a me ke kaumaha o nā hopena ʻaoʻao. nā dosis o ka metformin), lōkuhi - ke neʻe nei i ka maʻi pathological o nā palaleka poli, hepatitis (hele ma hope o ka hōʻemi ʻana i ka lāʻau).

Nā maʻi kūlou: hāpau ka ʻili.

Mai ka pūnaehana endocrine: hypoglycemia (i ka wa i hoʻohana ʻia ai i nā pilala i wai ʻole).

Mai ka ʻaoʻao o ka metabolism: loaʻa - lactic acidosis (koi i ka hoʻokuʻu ʻana o ka mālama), me ka hoʻohana lōʻihi - hypovitaminosis B 12 (malabsorption).

Mai ka ʻōnaehana hemopoietic: i kekahi mau hihia - megalemia megaloblastic.

Nā hōʻailona hōʻailona: e ulu paha nā momona lactic acidosis. ʻO ke kumu o ka hoʻomohala ʻana o ka acidosis lactic hiki ke lilo i ka hoʻohui ʻia o ka lāʻau ma muli o ka hana renal impaired. ʻO nā hōʻailona mua o ka lactic acidosis ka maʻi iki, ka luaʻi, ka maʻi ʻaʻa, ka hoʻohaʻahaʻa ʻana i ke ʻano kino, ke ʻeha o ka ʻōpū, ka ʻeha o ka naʻau, ma ka wā e hiki mai ana ka hanu wikiwiki, ka hilo, ka ʻike ʻole a me ka hoʻomohala ʻana i ka piko.

ʻO ka hoʻōla: inā loaʻa nā hōʻailona o ka acidosis lactic, mālama ʻia me ka Metfogamma 850 e pono e hoʻokaʻawale koke, pono e hoʻomoʻiʻi ʻia ka mea maʻi a me ka hoʻoholo ʻana i ke ʻano o ka lactate, e hōʻoia i ka maʻi maʻi. He maikaʻi loa ka Hemodialysis e lawe i ka lactate a me ka metformin mai ke kino. Inā pono, e hana i ka therapy hōʻailona.

Me ka hui pū ʻana me ka sulfonylureas, hiki i ka hypoglycemia ke ulu.

Me ka hoʻohana like ʻana me nā derivatives o sulfonylurea, acarbose, insulin, NSAIDs, MAO inhibitors, oxytetracycline, ACE inhibitors, clofibrate derivatives, cyclophosphamide a me beta-blockers, hiki ke hoʻonui i ka hopena hypoglycemic o metformin.

Me ka hana like me ka GCS, waha i ka maʻi kūlohelohe, epinephrine (adrenaline), sympathomimetics, glucagon, hormone thyroid, thiazide a me ka diuretics loopback, ka hopena derothiazine a me ka hoʻōla o ka nikotinic, he hōʻemi i ka hopena hypoglycemic o ka metformin.

Hoʻololi ʻo Cimetidine i ka hoʻopauʻana o ka metformin, ma muli o ka hopena i hoʻonui ʻia ai ka acidosis lactic.

Hiki i ka metformin ke nawaliwali i ka hopena o nā anticoagulants (derivatives Coumarin).

Me ka hoʻokūkū pinepine me ka ethanol, hiki ke hoʻomohala ʻia ka hoʻomohala lactic acidosis.

Me ka hoʻohana pinepine ʻana o ka nifedipine i hoʻonui i ka hoʻopili ʻana o ka metformin, C max, e hoʻolei ana i ka excretion.

ʻO nā lāʻau lapaʻau cationic (amlodipine, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamteren, vancomycin) i hūnā ʻia i loko o nā ʻōpū e hoʻohālikelike ana i nā ʻōnaehana transporteo tubula a, me ka hoʻomanawanui ʻana, hiki ke hoʻonui i ka C me metformin e 60%.

I ka wā o ka hoʻohana ʻana i ka lāʻau lapaʻau, pono nā kiaʻi e nānā pono ai nā māka hana. Ma kahi o 2 mau manawa i ka makahiki, e like me ka nānā ʻana me myalgia, pono ka hoʻoholoʻana o ka lactate ma ka plasma.

Hiki ke hoʻohana i ka Metfogamma ® 850 i hoʻohui pū me nā derivatives o sulfonylurea a i ʻole he insulin, a he mea pono e nānā pono ʻia ka nui o ka glucose koko.

Hoʻokomo i ka hiki ke lawe i nā kaʻa a kāohi i nā mīkini

I ka manawa e hoʻohana ai i ka monotherapy, ʻaʻole pili ka lāʻau i ka hiki ke hoʻokau i nā kaʻa a hana me nā mīkini.

Ke hui pū ʻia ka metformin me nā lāʻau lapaʻaka hypoglycemic ʻē aʻe (sulfonylurea derivatives, insulin), hiki i ke kūlana hypoglycemic ke hanana i ka hiki ke hoʻokele i nā kaʻa a me nā hana ʻē aʻe ʻē aʻe e koi ai i ka nānā nui a me ka wikiwiki o ka hopena psychomotor.

Pono e mālama ʻia ka lāʻau ma waho o ka hiki ʻana o nā keiki i ka mahana ʻaʻole iʻoi aku ma mua o 25 ° C. ʻO 4 mau makahiki kahi ola.

Metfogamma 1000: nā kuhikuhi no ka hoʻohana ʻana, ke kumukūʻai, nā hui kālā gula

ʻO kahi maʻi mellitus diabeta kahi maʻi metabolic kahi e hoʻomohala ai ka maʻi hyperglycemia. ʻO ka Dielles mellitus he 2 mauʻano - hilinaʻi-insulin a me ka hilinaʻi-non-insulin.

ʻO kahi predisposition genetic, kahi kīnā ʻole pale, obesity a i ʻole nā ​​pili e pili ana i nā hanana e hiki ke alakaʻi i ka ulu ʻana o ka maʻi. I ka mālamaʻana i ka mellitus non-insulin-hilinaʻi, hoʻohana ʻia nā lāʻau lapaʻau i loaʻa i ka hopena hypoglycemic.

ʻO kekahi o nā lāʻau maikaʻi loa o kēia ʻano ke ʻano o nā papa Metphogamma. ʻO ka hana ikaika a ka lāʻau lapaʻau ka metformin. Loaʻa ka lāʻau lapaʻau i nā ʻano like ʻole. ʻO ka mea maʻamau loa he 850 a me 1000 mg. Kuhi ʻia aku hoʻi ʻo Metphogamma 500 i loko o nā hale kūʻai.

Ehia ka lāʻau? Aia ke kumu kūʻai i ka nui o ka metformin i ka lāʻau lapaʻau. No Metfogamma 1000 ke kumukūʻai ʻo 580-640 rubles. ʻO ka Metfogamma 500 mg mau kumukūʻai e pili ana i ka 380-450 mau rubles. Ma Metfogamma 850 ke hoʻomaka ke kumukūʻai mai 500 rubles. He mea kūpono ia e hōʻole ʻia nā lāʻau lapaʻau ma o ke kau lāʻau ʻana.

Hana lākou i ka lāʻau lapaʻau ma Kelemānia. Aia ka keʻena luna ʻelele ma Moscow. I nā makahiki 2000, ua hoʻokumu ʻia ka hana ʻana i ka lāʻau lapaʻau ma ke kūlanakauhale ʻo Sofia (Bulgaria).

He aha ke kumu o ke ʻano hana i pili ai i ka lāʻau? ʻO ka Metformin (ka hana ikaika o ka lāʻau lapaʻau) e hōʻemi i ke kao o ka glucose i ke koko. Loaʻa kēia i ka hana ʻana i ka gluconeogenesis i loko o ka puʻuwai. Hoʻomaikaʻi hoʻi ʻo Metformin i ka hoʻohana ʻana i nā glucose i loko o nā lau a hoʻemi i ka loaʻa ʻana o ke kō i loko o ka digestive tract.

ʻAʻole ia he mea kūpono inā ke hoʻohana ʻana i ka lāʻau lapaʻau, hoʻemi ʻia ka pae o ka cholesterol a me LDL i ka serum koko. Akā ʻaʻole hoʻololi i Metformin i ka nānāʻana o nā lipoproteins. I ka wā e hoʻohana ai i ka lāʻau lapaʻau, hiki iā ʻoe ke lilo i ka momona. ʻO ka maʻamau, ʻo kahi 500, 850, a me 100 met metogram e hoʻohana ai i ka wā ʻaina ʻole ke kōkua i ka hoʻēmi ʻana o ka paona.

ʻAʻole wale ka Metformin e hoʻohaʻahaʻa i ke kō o ke koko, akā hoʻomaikaʻi nui hoʻi i nā waiwai o fibrinolytic.

Loaʻa kēia i ka hoʻonāukiuki ʻana i kahi papa plasminogen a type-type.

I nā hihia hea ka hoʻohana ʻana o ka lāʻau Metfogamma 500 i kūpono? ʻO nā ʻōlelo no ka hoʻohana ʻana e pono e hoʻohana i ka lāʻau lapaʻau i ka mālama ʻana i ka maʻi diabetes-2-type non-insulin. Akā ʻo Metfogamma 1000, 500 a me 800 mg e hoʻohana i ka mālama ʻana i nā maʻi i ʻike ʻole i ka ketoacidosis.

Pehea e lawe ai i ka lāʻau lapaʻau? Koho ʻia ka dosage e pili ana i ka pae o ka glucose i ke koko. ʻO ka maʻamau, ʻo ka dosis hoʻomaka he 500-850 mg. Inā hoʻohana ʻia ka lāʻau lapaʻau e mālama i nā kiʻekiʻe o ke kō, a laila hoʻonui ka lāʻau i kēlā me kēia lā i 850-1700 mg.

Pono ʻoe e lawe i ka lāʻau lapaʻau i 2 mau puʻupuʻu māhele. Pehea ka lōʻihi e lawe ai au i ka lāʻau lapaʻau? No ka Metfogamma 850, ʻaʻole i hoʻoponopono ke aʻo i ka lōʻihi o ke kau ʻana. Koho ʻia ka lōʻihi o ka mālama ʻana i kēlā me kēia mea i hilinaʻi.

I Metfogamma 1000, nā ʻōlelo e hoʻohana ai i ka hoʻoponopono ʻana i kēlā mau contraindications no ka hoʻohana:

• Maʻi molaʻi.
• Nā kipi o nā keiki.
• Haki puʻuwai.
• Ka pōʻino o Cerebrovascular.
• Ka maʻi waʻeha
• Naʻu?
• ʻO ke kumumānu o ke ahonui miʻi.
• Polōpiopio.
• He make alanā.
• Lactic acidosis
• Kahawai
• ʻO ka manawa lactation.
• Allergy i metformin a me nā mea kōkua o ka lāʻau.

Hōʻike nā loiloi o nā kauka ʻaʻole pono e hoʻohana i ka lāʻau i ka wā o kahi meaʻai haʻahaʻa, kahi i loaʻa ai ka liʻiliʻi ma mua o 1000 mau calorie i kēlā me kēia lā. Ināʻole, hiki i ka lāʻau Metfogamma 1000 ke hōʻeha i kahi hōʻeha koʻikoʻi, a hiki i kahi coma maʻi maʻi.

Hoʻomaʻamaʻa maikaʻi ʻia ka lāʻau lapaʻau e nā maʻi. Akā me ka hoʻohana mau ʻana o ka lāʻau lapaʻau, ka hopena o nā hopena like e like me:

1. Megaloblastic anemia.
2. ʻO nā kolohe i loko o ka hana o ka papa kūloko. Hiki ke Metfogamma 1000 ke kumu i ka ulu ʻana o nā hōʻailona dyspeptic, nausea, ka luaʻi a me nā maʻi o ka maʻi. I ka wā hoʻi o ka lapaʻau ʻana, hiki i ka mea metallic ke kū mai i loko o ka waha.
3. Hypoglycemia.
4. Lactic acidosis.
5. Allergic hopena pili.

Ke hōʻike nei ka hoʻomohalaʻana i ka lactic acidosis e ʻoi aku ka maikaʻi o ka hoʻopiʻi ʻana i ke ʻano o ka mālama ʻana.

Inā hele kēia kuhi, pono e lawe koke i ka lāʻau hōʻailona.

Pehea ka launa ʻana o ka metfogamma 1000 me nā lāʻau lapaʻau ʻē aʻe? ʻŌlelo nā ʻōlelo i hiki i ka lāʻau lapaʻau ke hōʻemi i ka pono o ka mālama ʻana me ka hoʻohana ʻana i nā anticoagulants.

ʻAʻole ia e hoʻohana i ka lāʻau lapaʻau no ka maʻi maʻi me ka MAO inhibitors, ka ACE inhibitors, clofibrate derivatives, cyclophosphamides a beta-blockers. Me ka hoʻohui o metformin me nā lāʻau lapaʻi i luna, e hoʻonui ʻia ka loaʻa o ka hana hypoglycemic hoʻonui.

He aha nā huaʻōlelo maikaʻi loa o Metfogamma 1000? Wahi a nā kauka, ʻo ka koho maikaʻi loa e:

• Kūkulu (220-400 rubles). ʻO kēia lāʻau lapaʻau e like me ka Metfogamma. ʻO ka hana ikaika a ka lāʻau lapaʻau ka metformin. Ke kōkua nei ka lāʻau lapaʻau i ka hoʻohaʻahaʻa o ke koko a hoʻonui i ka ʻike ʻana o nā receptor insulin peripheral.
• ʻO Glibomet (320-480 mau rubles). Mālama ka lāʻau i ka lipolysis i ka kiko adipose, hoʻoulu i ka naʻau o ka peripheral kūloko i nā hana o ka insulin a hōʻemi i ke kō koko.
• Siofor (380-500 rubles). Mālama i ka lāʻau lapaʻau i ke kao ʻana o ka glucose i loko o ka ʻōpū, hoʻomaikaʻi i ka hoʻohana ʻana o ke kō i ke kōpū ma nā o nā mākio a hoʻopau i ka hana o ka glucose i loko o ka ate.

Noi ʻia nā lāʻau ma luna no ka hoʻohana ʻana me ka maʻi diabetes-2-type type 2. Ke koho nei i kahi analogue, pono ʻoe e kamaʻilio i kāu kauka, no ka mea hiki i nā lāʻau hōʻemi e hōʻemi i ka glucose ka mea e hoʻoulu ai i ka acidact lactic. Ke hoʻomau nei ke wikiō ma kēia ʻatikala i ke kumumanaʻo o ka hoʻohana ʻana i ka Metformin no ka maʻi diabetes.

1. 
   Berger M., Starostina EG, Jorgens V., Dedov I. ʻO ka hoʻomaʻamaʻa ʻana o ka maʻi insulin, Springer, 1994.
2. 
   Vasyutin, A. M. Lawe i ka hauʻoli o ke ola, a pehea lā e wehe ai i ka maʻi diabetes / A.M. ʻO Vasyutin. - M .: Phoenix, 2009 .-- 224 p.
3. 
   Balabolkin M.I. Endocrinology. Moscow, hoʻopuka hale "Medicine", 1989, 384 pp.
4. Bulynko, S.G. ʻAiʻai a me ke ʻano therapeutic meaʻai no ka momona nui a me ka maʻi diabetes / S.G. Bulynko. - Moscow: Ke Kulanui ʻAmelika Hui Pū ʻIa Lūkini, 2004. - 256 p.

E haʻi iaʻu iaʻu. ʻO Elena koʻu inoa. Ua hana wau ma ka endocrinologist ma mua o 10 mau makahiki. Ke manaʻoʻiʻo nei wau he kanaka mākeke wau i kaʻu kahua a makemake wau e kōkua i nā malihini a pau i ka pūnaewele e hoʻonā i nā paʻakikī a ʻaʻole pēlā nā hana. ʻO nā ʻikepili a pau no ka pūnaewele e hōʻiliʻili a hoʻomaʻamaʻa maikaʻi i mea e hōʻike ʻia e like me nā mea e pono ai ka ʻike. Ma mua o ka hoʻopili ʻana i ka mea i hōʻike ʻia ma ka pūnaewele, he kūkākūkā mandatory me nā mea loea.

E hoʻokuʻu i nā palapala a me ka ʻano

Nā ʻāpana lapalapa, kahi ʻoniʻoni ʻia ʻoniʻoni a ʻaʻole i loaʻa nā ʻona papa kiko. ʻO ka waiwai nui ka metformin hydrochloride 850 mg. Nā kumuhana hou: sodium carboxymethyl starch, silicon dioxide, magnesium stearate, mais starch, povidone, hypromellose, macrogol 6000, titanium dioxide, talc, propylene glycol.

Hoʻopili ʻia nā papa i nā palaka, 10 mau ʻāpana i kēlā me kēia. Aia kahi pahu o nā kāleka wai i nā 3, 6 a i ʻole 12 mau māla a me nā ʻōlelo no ka lāʻau lapaʻau. Aia kekahi mau puana me 20 papa i loko o kahi kora. I loko o kahi pahu kahi kāleka 6 ua kīpī ʻia nā blus like.

Ka hana lāʻau lapaʻau

Aia kēia lāʻau lāʻau i ka pūʻulu o nā biguanides. He lāʻau lapaʻau hypoglycemic i manaʻo ʻia no ka hoʻohana waha.

Hāʻawi ka mea hana ikaika i ka lawe ʻana mai i nā gluconeogenesis, e hele mai ana i nā pūpuna o nā ate. Hoʻemi iki ka hoʻoneʻe o ka glucose mai ka huina aihue, a hoʻohana wale ʻia kona hoʻohana ʻana i nā kōpili peripheral. Hoʻonui ka maʻa o nā ʻili i nā insulin.

ʻO Metfogamma pili i ka hui o ka biguanides. He lāʻau lapaʻau hypoglycemic i manaʻo ʻia no ka hoʻohana waha.

Ma muli o ka hoʻohana nui ʻana o nā papa, ke emi ka pae o ka triglycerides a me nā lipoproteins. I ka manawa like, lilo ka nui o ke kino a emi i ka pae maʻamau no ka manawa lōʻihi. Ke pale nei ka lāʻau lapaʻau i ka hana o kahi mea pale o ka mea hana plasminogen, ka mea i hāʻawi i ka hopena fibrinolytic i haʻi ʻia.

Lapaʻau lāʻau

Hoʻokuʻu ʻia ka Metformin mai ke kaʻe ʻana o ka pīpī ma ka manawa pōkole. ʻO ka bioavailability a me nā mea e hiki ai ke hoʻopili i nā hāleʻa i ke koko he haʻahaʻa.ʻO ka hapa nui o ka lāʻau lapaʻau i loko o ke koko koko e nānā ʻia ma hope o hoʻokahi mau hola. Hiki i ka lāʻau lapaʻau ke hōʻiliʻili i loko o nā māhina o nā māhā, nāpaʻa, nā kima momona a me nā pōpoki. Hoʻolaha ʻia ka excretion me ka hoʻohana ʻana i nā kānana renal, ʻaʻohe loli. ʻO ka hoʻopau hapa-ola he 3 mau hola.

Nā Hoʻohui

Nui kekahi mau contraindications inā ʻaʻole hiki ke hoʻohana ʻia ka lāʻau lapaʻau:

• hypersensitivity o nā ʻāpana,
• maʻi maʻamau ketoacidosis,
• precoma maʻiʻaʻai
• koma
• huakaʻi renal function,
• puʻuwai a me ka hanu,
• lactic acidosis
• hapai
• lactation wā
• hoʻōki kūloko
• lawelawe aho ʻaia,
• nā make wai huakino
• ka ʻikepili me nā hoʻohālikelike o 2 mau lā ma mua a ma hope o ka hoʻomaka ʻana o ka hoʻōla,
• ka hoʻomauʻana i ka pāʻai haʻahaʻa.

ʻAʻole ia e noi i hoʻohana no nā poʻe ma mua o 60 mau makahiki o ka hana ma ka hana koʻikoʻi, e like me ono lākou i ka lactic acidosis.

ʻŌpala Gastrointestinal

ʻO ka maʻi o ke kaoʻi ʻana o ka ʻōnaehana: ka maʻi ʻōpū, ke kuʻi, ka luaʻi, ka ʻeha ma ka ʻōpū, ka hoʻāʻo ʻana i ka mea metala ma ka waha o ka waha, flatulence. E hele koke kēia mau maʻi i loko o kahi mau lā.

Me ka hoʻohana mau ʻana o Medfogamma 850 a i ʻole ka launa ʻana i ka dosage, hiki i kahi nui o nā hopena ʻino ke hele nei e koi ai i kahi loli a i ʻole ka loli o ka lāʻau lapaʻau.

Mai ka ʻaoʻao o ka metabolism

Lactic acidosis, hypovitaminosis a me ka hoʻopihapiha ʻole o ka waiū B12.

I kekahi mau hihia, hiki ke ulu mai nā maʻi kūlohelohe i ke ʻano o ka hōʻeha kino.

ʻAʻole pono e mālama ʻia nā wahine hāpai i ka maʻi diabetes type 2 me ka metformin.

Hoʻohana i ka wā hāpai a me ka lactation

ʻAʻole pono e mālama ʻia nā wahine hāpai i ka maʻi diabetes type 2 me ka metformin. Ke hoʻomau nei i kahi pae glucose maʻamau, e hoʻomaʻamaʻa ʻia ka hoʻololi ʻana o ka insulin. ʻO kēia ka mea e hōʻemi ai i ka pūpū.

Hoʻonui koke ka mea hana i ka waiū umauma, hiki ke hoʻopilikia i ke kūlana olakino o ke pēpē. No laila, no ka manawa o ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka haʻalele i ka umauma.

Hoʻohana i ka wā kahiko

Pono ia i ka mālama ʻana, no ka mea nā kānaka ma luna o 65 mau makahiki e pilikia ana ka hoʻomohala ʻana i ka hypoglycemia, lactic acidosis, kahi hopena renal impaired, ʻūpā a me ka puʻuwai puʻuwai. No laila, e hoʻoponopono ʻia ka ʻākana no kēlā me kēia maʻi pākahi, ma ke ʻano he hoʻomaka ʻana o nā hōʻeha o ka maʻi maʻi.

ʻAʻole kāhea ʻia ka lāʻau Metfogamma 850 no nā keiki ma lalo o 10 makahiki.

Hoʻopilikia i ka hiki ke mālama i nā mīkini

Ke hoʻohana nei i nā papa i hui pū ʻia me nā mea hoʻohana e hoʻohālikelike i ka hypoglycemia, hiki ke loaʻa i nā hōʻailona o ka hypoglycemia, e kūlohelohe i ka wikiwiki o nā hopena psychomotor a me ka neʻe ʻana. No laila, no ka wā o ka mālama ʻana, ʻoi aku ka maikaʻi e pale i ka hoʻokele ʻana.

Ke noi no ka hana lawelawe lēʻaleʻa

Hiki ke hoʻohana wale ʻia nā papa i ka hihia o ka palupalu lohi mauʻu. Ma nā hōʻemi pale o ka ate, paʻa ʻole ka lāʻau.

Ma nā hana hoʻonā o ka kō, paʻa ʻole ka Metfogamma ua papa ʻole ʻia.

Overdose o Metfogamma 850

Ke hoʻohana nei ʻo Metfogamma i kahiʻu o 85 g, ʻaʻohe hōʻailona o ka overdose i nānā. Me ka hoʻonui nui o ka lāʻau o ka lāʻau, hiki i ka hoʻomohala ʻana o ka hypoglycemia a me ka lactic acidosis. I kēia hihia, hoʻonui ʻia nā hopena ʻino. Ma hope paha, hiki i ka mea maʻi ke maʻi, nā ʻeha ma ka ʻōpū a me nā ʻōpū, ka wikiwiki wikiwiki, ka nalowale o ka ʻike a me ka coma.

I ka hiki ʻana aku o kēia mau hōʻailona, ​​pani koke ka lāʻau, ua mālama ʻia ka mea maʻi i ka haukapila. Hoʻokuʻu ʻia kahi lāʻau lapaʻau mai ke kino e nā hemodialysis.

Hoʻopili pū me nā lāʻau ʻē aʻe

Me ka hana like i nā derivatives sulfonylurea, i ka hana i nā insulin, MAO a me ACE inhibitors, cyclophosphamide, non-steroidal anti-inflammatory drug, clofibrate derivatives, tetracyclines a me nā beta-blockers pilikino, hoʻonui ʻia i ka hopena hypoglycemic o ka hoʻohana ʻana o ka metformin.

ʻO Glucocorticosteroids, sympathomimetics, epinephrine, glucagon, he nui nā OC, nā hormone thyroid, diuretics a me nā derivatives acid nicotinic e alakaʻi i ka hopena o ka hopena hypoglycemic o ka lāʻau.

Hoʻololi ʻo Cimetidine i ka hoʻopili ʻana o ka metformin, ke alakaʻi pinepine nei i ka hoʻomohalaʻana o ka acidact lactic. Hoʻonui ka waiwai ikaika i ka hopena o ka hoʻohana ʻana i nā anticoagulants, ʻo nā mea derivatives Coumarin.

Hoʻonui ka Nifedipine i ka hoʻopili ʻana, akā e hoʻolohi i ka kinai o nā mea ikaika mai ke kino. ʻO Digoxin, morphine, quinine, Ranitidine a me Vancomycin, i hūnā ʻia e ka hūnā ma nā pākuʻi, me ka hoʻomanawanui lōʻihi e hoʻonui i ka manawa o ka lālapa.

Hoʻolaha ka waipuna

ʻAʻole hiki ke hoʻohui pū ʻia ka hoʻokomo ʻana o nā papa i ka wai ʻona, ʻoiai hoʻonohonoho pū me ka ethanol e hoʻomōhala i ka hoʻomohala ʻana o ka acidact lactic.

ʻAʻole hiki ke hoʻohui pū ʻia nā papa metphogamma me nā mea inu wai inu, e like me hoʻonohonoho pū me ka ethanol e hoʻomōhala i ka hoʻomohala ʻana o ka acidact lactic.

Aia nā mea lapaʻau e loaʻa nā mea like me ka hopena a me ka hopena.

• Bagometua,
• KiKiluna
• Glulovin,
• Hopu,
• Hūmole
• Dianormet 1000,500,850,
• Diaformin,
• Insufor,
• Langerin
• Meglifort
• ʻO Meglucon,
• Hāpai
• Metformin Hexal,
• Metformin Zentiva,
• Metformin Sandoz,
• Metformin Teva,
• Metformin
• Panfort
• Siofor
• Zucronorm,
• Hauoli Er.

Hōʻike nā kauka i nā kauka

Minailov AS, 36 makahiki, endocrinologist, Yekaterinburg: "Kū pinepine wau i koho ʻo Metphogamma i 850 mau mea maʻi momona kaumaha. Mālama ʻo ia i ka gula. He kūpono kūpono e lawe ʻia, e like e lawe ʻia ka nui o kēlā me kēia lā. He kumukūʻai kūpono, hiki i nā kānaka ke kūʻai. ”

ʻO Pavlova MA, 48 makahiki, endocrinologist, Yaroslavl: "Ke hoʻāʻo nei wau e kākau pololei me ka metfogam. Loaʻa i ka lāʻau i ke drawbacks, ʻaʻole maikaʻi loa ia e leʻa a i kekahi manawa i ka hopena makemake ʻole. Inā hele i kahi maʻi mau ke hele nei i ka wā e mālama ai, hoʻopau wau i ka lāʻau. ”

Nā Hōʻike Hoʻomaʻi

ʻO Roma, 46 makahiki, ʻo Voronezh: “He mau makahiki i hala aku nei ua maʻi wau i ka maʻi maʻi. Ua kuhikuhi ʻia ka metphogamma 850 i nā papa ma hope o koʻu ho'āʻo ʻana i ʻelua mau lāʻau lapaʻau, ʻaʻole lākou i paʻa i ka kō. Ua ʻoluʻolu wau i ka hopena. ”

Oleg, 49 makahiki, ʻo Tver: "Ua hala wau i ka lāʻau i ka hapalua makahiki. He mea maʻamau nā kikoʻī. Akā naʻe, ke kipa mau nei au i ka endocrinologist, no ka mea ʻo ka "banal" hiki ke hōʻeha i nā hōʻeha koʻikoʻi i ka wā e lawe ai i kēia lāʻau lapaʻau.

Hōʻike no ka pohō kau kaumaha

ʻO Katerina, 34 makahiki, ʻo Moscow: “Ma ke ʻano o koʻu hele ʻole ʻana i nā mea ʻai, ʻaʻole ia e lawa ka momona, akā me ka nui o ke kaumaha, ʻaʻole i mamao loa ka maʻi maʻi maʻi. Kauka ke kauka i ka lāʻau lapaʻau i loko o nā papa - Metfogamma 850. I ka manawa mua ua holo maikaʻi nā mea a pau, akā ma hope o hoʻokahi mau mahina ua hoʻomaka koʻu ʻeha i ka hōʻeha maikaʻi. Ua oki wau i ka lawe ʻana i ka lāʻau lapaʻau a hele hou wau i ka papaʻaina. Hoʻoholo wau iaʻu iho e pono kēia lāʻau lapaʻau i ka poʻe maʻi hānai e mālama i ka kō, a ʻaʻole no ka pauna ʻana i ka paona i nā poʻe olakino. ”

Metformin: ʻōlelo aʻoaʻo no ka hoʻohana ʻana no ka pohō kaumaha

I ka hoʻomaka ʻana, ua hana mua ʻia ʻo Metformin no ka mālama ʻana i nā maʻi i ka maʻi maʻi mellitus. Ma hope mai, i ka noi ʻana o nā lāʻau lapaʻau, ua hōʻike ʻia nā hōʻailona ʻē aʻe, no ka laʻana, ka mālama ʻana o ka momona a me ke kaumaha nui loa. Akā he maikaʻi ia i ka poʻe momona ma mua o ka maʻi diabetes? No ka hana ʻana i kēia, pono mākou e hoʻomaopopo pehea e hana ai kēia lāʻau lapaʻau a no ke aha e kūlohelohe ai ka momona.

Inā makemake ʻoe e hoʻomaʻamaʻa maikaʻi i nā hana a pau o ka metformin, hoʻolaha wau e heluhelu mua ʻoe i ka ʻatikala loiloi "Metformin: pehea e hana ai." Ma kēiaʻatikala, ʻaʻole wau e kamaʻilio e pili ana i nā waiwai i loaʻa, akā e kamaʻilio wale wau no nā mea pili i ka lilo kaumaha.

Ma muli o ka mea e kōkua ai ka metformin "i ka nalo

Hiki iā wau ke haʻi me ka hōʻoia o ka mea 99% ua kokoke nā poʻe āpau kaumaha e hoʻomau i ka pilikia o ka naʻau o ka insulin i ka wā lōʻihi. ʻO ka Insulin kahi hormone pancreatic e hui pū me nā molekiko glucose i loko o nā wahi. No kekahi mau kumu, ʻaʻole i hoʻokomo nā cell i ka insulin a me ka glucose e komo i loko o nā hale. Ma muli o kēia mea, hāʻawi ʻia ka pancreas i hōʻailona e hoʻonui i ka hana ʻana o ka insulin a lilo i nui i ka kahe koko.

He hopena maikaʻi loa kēia ʻoi aku i ka momona o ka momona o ka momona, no ka mea ʻo ka mālama o ka momona e lilo i maʻalahi a wikiwiki hoʻi. ʻO nā kumu e pau ai i nā pehu i manaʻo ai i ka nui o ka insulin, akā i ka hapa nui ka nui o ka haʻahaʻa o nā pale. Hōʻī nā cells me ka glucose a no laila e hoʻāʻo iā ia e pani me ka ʻole o ka ʻike ʻana i ka insulin. Ka mea, hewa ole ka hewa o ka insulin i kekahi mea, no ka mea, ua hana wale ia i kāna hana.

Ma muli ke kolo, e lilo a mui; a nui a lilo i, no ka nui ke inaina aku no nā sela o ke kino. Ka mea i huli mai i kahi pōleʻa pōpilikia e hopena i ka momona, insulin resist a me hyperinsulinism.

Hoʻopilikia ka Metformin i ka pale kino peripheral, hōʻemi a hoʻihoʻi i kona ʻano kūlohelohe. Ke alakaʻi nei kēia i ka hoʻoliʻi pinepine o ka glucose e nā ʻāpana a ʻaʻole ʻae i ka synthesis i synthesize i loko o ka nui, ʻo ia ka mea e mālama pono i ka momona.

Hoʻohālike maʻalahi, hana ʻia ka metformin e ka hana ʻana i ka paʻa ʻana o ka insulin ma o ke kāpae ʻana ʻana i ka kūʻē o ka insulin. Eia kekahi, loaʻa i ka hopena conformin nāwaliwali - e hōʻemi i ka makemake (i ka hopena anorexigenic). ʻO ia ka mea a ka poʻe āpau e noʻonoʻo ai iā ia ke hoʻomaka lākou e inu i ka lāʻau.

Eia naʻe, palupalu kēia hopena ʻaʻole ia iʻike mau ʻia e kēlā me kēia. No laila ke hilinaʻi ma kēia, mamao loa i ka mea nui, ʻaʻole pono ka hopena o ka lāʻau lapaʻau.

E mālama anei ia e nalo i ke kaumaha me metformin: loiloi a ke kauka

ʻOiai ke kūpono o ka hoʻohaʻahaʻa maikaʻi kōmela, ma muli o ka hoʻolauna ʻana o ka hoʻopili ʻana o ka glucose i nā huaʻai, ʻaʻole alakaʻi ka metformin i ka lilo nui. E ʻōlelo paha wau he luhi nui kēia a ʻaʻole i haʻi ʻia mai.

Inā ʻoe e noʻonoʻo e lawe i nā papa ʻelua i ka lā, akā me ka ʻole e hana i nā mea ʻē aʻe e hōʻemi ai i ke koʻikoʻi o ke kino, a pau ka 30 kg o ka momona, a laila ua nele wau iā ʻoe. ʻAʻole loaʻa ka metformin i ia mau waiwai. ʻO ke kiʻekiʻe loa o kēia kūlana e nalowale wale nō ʻoe he mau pauna.

A laila pehea e lawe ai i ka metformin no ka pohō kaumaha

Pono e hoʻomanaʻo i ka metformin ʻaʻole ka pākana kilokilo i hoʻomaikaʻi maoli i kou mau kilogram, a ma kēia manawa ʻoe e ʻai ai i ka ʻumiʻumi pie e moe ana ma luna o ka sofa. Me kēia ala, ʻaʻohe pono o ka mea hana. ʻO ka hoʻololi wale nō i ka nohona, ke komo me ka meaʻai, ka neʻe a me nā manaʻo, hiki ke alakaʻi i nā hopena maoli.

Hiki iā mākou ke ʻōlelo he mea nui loa ka nohona o ka hana hou, a kōkua wale nō ka metformin. ʻAʻole kēia lāʻau lapaʻau kahi panacea a hiki iā ʻoe ke hana me ka ʻole. ʻAʻole pili kēia i nā hihia i hui pū ʻia ai ka nui o ke kaumaha me ka maʻi diabetes. Akā inā he lāʻeha ʻoe a ʻaʻohe maʻi diabetes, ua ʻoluʻolu ka psychologically e hōʻemi ʻia i ka paila ʻana i nā paila, a laila hana pono.

ʻO nā metformin e koho? ʻO Metformin Richter a i ʻole Metformin Teva, a hiki iā Metformin Canon

I kēia manawa, aia i loko o ka mākeke pharmacological he nui nā hui e hana ana i kēlā mau papa. Māhala maoli, ʻo kēlā me kēia hui e hana i ka metformin ma lalo o kona inoa kālepa, akā i kekahi manawa ua kapa ʻia ʻo "Metformin", kahi hui wale nō e hoʻohui ʻia e hōʻike ana i ka inoa o ka hui. No ka laʻana, metformin-teva, metformin-canon a metformin-richter paha.

ʻAʻohe ʻano nui i loko o kēia mau lāʻau, no laila hiki iā ʻoe ke koho i kekahi. Hiki iā wau ke ʻōlelo aku, ʻoiai ʻo ka mea hana like ʻole, ʻokoʻa paha nā ʻāpana hou aʻe, a ma luna o ia mea hiki ke ʻike ʻia kahi intolerance a i ʻole nā ​​hopena alerine. Heluhelu i ka ʻatikala aʻu i kuhikuhi ʻia ma luna.

Pehea e inu ai i ka metformin no ka pohō kaumaha

E hoʻomaka ʻoe me kahi liʻiliʻi o 500 mg pākahi. Loaʻa ka lāʻau lapaʻau i nā ala like ʻole - 500.850 a me 1000 mg. Inā makemake ʻoe e hoʻomaka me kahi hopena nui, e noʻonoʻo ʻoe i nā leʻaleʻa a pau o nā hopena hoʻopihapiha, ʻo nā maʻi maʻamau ʻo dyspeptic aiʻole, i ka ʻōlelo Lūkini. Hoʻonui i ka nui ala ma ka 500 mg i kēlā me kēia pule.

Hiki i ka nui o nā lā ma kēlā me kēia lā a hiki i ka 3,000 mg, akā, ma ke ʻano he kānāwai, ua paʻa nā kauka a me aʻu ma waena o lākou he dosis o 2,000 mg. ʻOi aku ma mua o kēia huina, ka liʻiliʻi o ka hoʻoulu ʻia, a ke hoʻonui nei nā hopena ʻaoʻao.

Lawe ʻia ka lāʻau ma ke wā a ma hope o ka ʻai. Hoʻonohonoho ʻia ʻo ia ma mua o ka wā hiamoe - pololei pū kēia ʻano a me kahi wahi e noho ai. Inā hele mai nā hopena ʻaoʻao a ʻaʻole i hala ma hope o 2 mau pule mai ka hoʻomaka ʻana o ka hoʻokele ʻana, a laila ʻaʻole kūpono kēia lāʻau lapaʻau iā ʻoe a laila e hoʻokuʻu ʻia.

Metformin: nā loiloi o ka nalowale kaumaha

ʻAʻole wau i palalalie a piʻi i luna ma nā papa pūnaewele a me nā pūnaewele ma kahi e hiki ai ke kamaʻilio ma waena o ka nalowale o ke kaumaha a ma kahi e hōʻike ai lākou i ko lākou ʻike. Ua kau koke ke noi i ka pono o metformin. Hāʻawi wau iā ʻoe i nā loiloi maoli ʻana o ka poʻe a ʻaʻole ʻoe e ʻimi iā lākou ma ka pūnaewele. ʻO ka hapa nui o nā loiloi he maikaʻi ʻole. ʻO kēlā mau mea kūpono e hāpai pinepine i kekahi mau lāʻau lapaʻau a hoʻohana paha i nā ʻano hana ʻē aʻe ʻē aʻe o ke metformin. ʻAʻole au i alakaʻi i nā manaʻo i hala, he mau hewa paha lākou.

Heluhelu 1 (ma ka hōʻoia ʻana o kaʻu mau ʻōlelo)

E hoʻolohe, inā pili paha ʻoe i nā loiloi aʻai i loko o nā metformin .. a laila ʻaʻole pono ka metformin ponoʻī))))))))

Heluhelu 2 (a, no nā maʻi āpau)

ʻO koʻu makuahine, he maʻi maʻi maʻi, ua inu pōʻai metformin. A me kekahi mea e emi ʻole ai ka momona me ia. = -)))))))) aku kekahi i kahi scam.

Heluhelu 3 (ke hopena o kahi hopena, he mea nui ka manaʻo nui.)

Hoʻoholo wau e inu i ko Metformin i mea e hōʻemi ai i ka momona, no ka mea ua kuhi ʻia ka poloka. Ua inu wau ma muli o nā ʻōlelo kuhikuhi, e hoʻonui mālie i ka dosage me ka liʻiliʻi. Pono e ʻōlelo pololei wau ʻaʻole loaʻa iaʻu kekahi maʻi maʻi a me kekahi mau maʻi ākea e inu ai e like me nā kuhikuhi. A, ʻo ka mea maoli, ʻaʻole au i ʻike i kekahi hopena ma hope o hoʻokahi mahina. Ua kākau kekahi e loaʻa kāna hopena kūpono ʻole, hiki iā ʻoe ke maʻi inā inu ʻoe me ka ʻole i koho ʻia. Ua maikaʻi iaʻu nā mea āpau, a i ʻole, ʻaʻohe mea ʻole - ka inu ʻole i ka mea aʻu i hana ʻole ai. Maikaʻi paha e like me ka lāʻau lapaʻau, akā no ka hoʻolilo ʻana o ka momona - 0. No laila ʻaʻole hiki iaʻu ke ʻōlelo pololei no ke kāhea aku nei au ʻaʻole paha. Akā no ka pohō kaumaha, ʻaʻole maoli.

Heluhelu 4 (hopena hopena)

ʻO wau iho, ʻaʻole kūpono kēia ʻano iaʻu, ua hoʻopilikia ʻia koʻu mau pilikia, a ʻaʻole hoʻi i hōʻalo ka nausea ma hope o ka pau ʻana o ka ʻōlelo, pono wau e ke hoʻopiʻi i ka papa. ʻAʻole i ho'āʻo hou.

Heluhelu 5 (ka hana ʻole me ka ʻaʻai)

Ua inu wau e like me nā hōʻike olakino a ʻaʻole hoʻi i emi ka nui me ka ʻai ʻole. me ka meaʻai, ʻoiaʻiʻo, ua nalowale wau i ka momona, akā ʻaʻohe mea o ka glucophage me ia

No laila, manaʻo wau ua hoʻomaopopo nā mea āpau ʻaʻole he kupanaha ʻo ka metformin ka pā maikaʻi a i ʻole ka mea kanu hou i makemake ʻia, ʻaʻole ia he mea momona momona, ʻaʻole ia kahi huna kalaiʻa i loko o nā ʻōpū, akā, he lāʻau lapaʻau koʻikoʻi ka mea nāna i hōʻike mau. A ʻo ka manaʻo nui aʻu i makemake ai e haʻi aku iā ʻoe, ʻaʻole e kōkua ke metformin me ka loli ʻole o ka ʻai, akā, e like me nā lāʻau lapaʻau ʻē aʻe e hakakā ai i ka momona. Me ka metformin a me kahi ala hou, ʻoi aku ka leʻaleʻa o ke kaumaha he mea leʻaleʻa, i kekahi mau ala e hiki ke maʻalahi.

A no ka manawa i hiki ai ke hoʻokō i kahi hopena me ka loaʻa ʻole o ka lāʻau lapaʻau, a laila ʻaʻole pono ʻoe e hoʻomaka koke e inu i ka metformin? ʻOi aku ka liʻiliʻi o ka chemistry i ka olakino hou aʻe! Pau kēlā. Hoʻopāka e loaʻa i nā mea hou ma o ka leka uila a kaomi i nā pihi media pili pono ma lalo o ka ʻatikala.

Me ka mahana a me ka mālama, endocrinologist Lebedeva Dilyara Ilgizovna

* ʻAʻole pili ka ʻike i ka poʻe me ka hui pū ʻana o ka nui nui, maʻi o ka maʻi a i ʻole nā ​​pilikia ʻē aʻe o nā pakanā kiola. ʻO ka loaʻa ʻana o ka metformin i kēia hihia ka mea i hōʻike ʻia e ke ʻano kuhikuhi, e like me ka hypoglycemic.

Metfogamma 850: nā ʻōlelo e hoʻohana ai, nā loiloi

Ma hope o ka makahiki hou, ua loaʻa iaʻu (ma ka manawa kūpono paha) kahi loiloi e pili ana i kēia lāʻau lapaʻau. Ua heluhelu wau i nā loiloi a me nā kauoha a hoʻoholo wau e hoʻāʻo iā ia iho a kūʻai. Akā ma mua o ke kūʻai ʻana, kūkā au me kekahi kauka a nīnau pehea i hana ai ka Metfogamma 850 no ka hoʻolilo ʻana i ka mea kaumaha.

Ua hoʻohuli ʻia kēia lāʻau lapaʻau i ka poʻe kaumaha nui loa a no nā kumu olakino hiki ʻole i kaupalena iā lākou iho i ka ʻai. No ka mea, he ʻōpū o ka ʻōpū, ka maʻi diabetes, etc.Mākaukau ka hoʻomākaukau ʻana he mau mea e ʻae ʻole i ke kō a me nā ʻaina e kau i ka 100%. Hoʻopili wale ʻia lākou ma loko o nā ʻōpū.

ʻAʻole nā ​​mea nui o kēlā mau pila - he 340 mau rubles no 30 mau mea. Pono ʻoe e inu i ʻelua papa i kēlā me kēia lā. Lawe au i ka 1 kakahiaka, 1 ke ahiahi. E ʻoi aku ka maikaʻi e hoʻomaka i ka papa ʻana mai ka hopena pule, no ka mea i nā lā mua e hoʻomaʻemaʻe maikaʻi nā ʻōpū a hiki ʻole ʻoe e hele i kahi mamao loa.

ʻAʻole i loaʻa iaʻu kekahi hopena pili. He maʻi maʻamau kona ola, ʻaʻohe mea hōʻeha. No nā lā 15, hiki iaʻu ke wikiwiki wikiwiki i ka momona ma ka 5 kg. ʻOiai wau - he hopena maikaʻi kēia me ka ʻole o ka diets a me ke ʻano haʻuki.

Akā ʻaʻole hiki iā ʻoe ke lawe i ka Metphogamma 850 mau. Pono e hāʻawi i ke kino e hoʻomaha ai ma ka liʻiliʻi he mahina. Noʻu iho, loaʻa iaʻu nā papa meaʻai maikaʻi loa. He kūleʻa lākou, ʻike maopopo pehea lākou i hana a me ke kōkua. No laila, ke kūʻai nei au i kēia lāʻau lapaʻau wale nō.