Metformin Canon: nā ʻōlelo no ka hoʻohana ʻana a no ke kumu e pono ai

Nā Hoʻohui

ʻO ka hapanui o nā contraindications i nā ʻōkuhi no ka hoʻohana ʻana he mea hoʻāʻo a ka mea hana e pale i ka lactic acidosis. ʻAʻole hiki ke kuhikuhi ʻo Metformin:

• inā he maʻi hōʻino a ka mea maʻi me ka GFR me ka liʻiliʻi o ka 45,
• me ka hypoxia koʻikoʻi, hiki ke hōʻeha ʻia e nā maʻi ʻeha, ka puʻuwai o ka puʻuwai, ka hōʻeha o ka naʻau, ka anemia,
• me ka poho ole,
• Alikaila
• inā ua maʻa ka mea maʻi ma mua o ka maʻi laʻi lactic, ʻoiai inā ʻaʻole i loaʻa e ka metformin,
• i ka wā hapai, ʻo ka insulin e ʻae ʻia mai nā lāʻau lapaʻau hypoglycemic i kēia manawa.

Hoʻokuʻu ʻia ka lāʻau lapaʻau me ka ketoacidosis, i ka wā e mālama ai i nā maʻiʻeha o ka maʻi, nā hōʻeha hōʻeha, ka hoʻohemo ʻana o ka dehydration, ma mua o ka hana o ka hōʻemi. Hoʻokuʻu ʻia ka Metformin i 2 mau lā ma mua o ke ʻano hihi X-hihi me kahi mea kuʻi like ʻole, a hoʻomau ʻia ke ʻano o 2 mau lā ma hope o ke aʻo ʻana.

Hōʻemi pinepine ʻia ka maʻi maʻamau e hoʻopiʻi ʻia me ka hoʻopau ʻole o ka naʻau. Ma nā ʻōlelo ʻōlelo, pili kēia maʻi e pili i ka contraindications e hoʻomaʻamaʻa me ka metformin, akā ma ka hoʻomaʻamaʻa, pono i nā kauka ke kuhikuhi i ka lāʻau lapaʻau i kēlā mau mea maʻi. Wahi a nā haʻawina ma mua, ʻo ka metformin i nā mea maʻi me nā maʻi puʻuwai e hoʻomaikaʻi wale ana i ka uku o ka maʻi maʻi, akā e hōʻemi ana i ka make ma ke ʻano a me ka hoʻomālamalama ʻana i ke ʻano maʻamau. I ka hopena o ka lactic acidosis ma kēia hihia e hoʻonui nui ʻia. Inā e hōʻoia ʻia kēia hana, e kāpae ʻia ka puʻuwai ʻole mai ka papa inoa o nā contraindications.

E hoʻokuʻu i ke ʻano

Hoʻolahalaha ʻia ka lāʻau lapaʻau i nā ʻano like ʻole, a ʻo kekahi o lākou he 850 mg. Loaʻa nā ʻōlelo aʻoaʻo no "Metformin Canon" i kēlā me kēia pakuhi. Hoʻohana ʻia ka mea hana ma ke ʻano o nā papa oval biconvex, he ʻula ʻulaʻula.

Nā hopena lāʻau lapaʻau

ʻO ka lāʻau lapaʻau i nīnau ʻia he mea lawehala hypoglycemic, ka mea i kapa ʻia ʻo biguanides. Hiki iā ia ke hōʻiliʻili i loko o ka ate, a me nāʻaoʻao a me nā kūnake salivary. ʻO ka maikaʻi o kēia lāʻau lapaʻau e pili pono ana i ka hiki ke hoʻokaʻawale i ka gluconeogenesis. Ma muli o ka hana pono ʻana e hana ʻia me nā waikawa manuahi a me ka hoʻoneʻe o ka momona, e pili ana i ka hopena pharmacological o ka lāʻau lapaʻau.

• ʻO ka hoʻohaʻahaʻa ʻana i ke kō.
• Hoʻonui ka naʻau o ka receptor insulin me ka hoʻōla a me ka hoʻoliʻi ʻana o ke kō, hoʻonui ʻia ka hoʻohuihui a me ka hoʻohana ʻana i nā glucose.
• ʻO ka hōʻemi ʻana i ka lawe ʻana o ka hormone thyroid-hoʻoulu ʻia a me ka glucose mai ka papa hana ʻana.
• ʻO ka kolamu haʻahaʻa, triglyceride a me nā lipoprotein haʻahaʻa haʻahaʻa.
• ʻO ke kaʻina o ka hoʻohuihui i ka coagulability koko me ka hoʻomaikaʻi ʻana i kona mau kūlana rheological, kahi e hoʻemi ana i ka hopena o nā clots koko.
• Kau ka momona kaumaha ma ke ʻano o ka mālama ʻana i ka momona.

Nā ʻōlelo kikoʻī

E like me nā kauoha a Metformin Canon, 850 mg, i ka wā e hoʻohana ai i kēia lāʻau lapaʻau, mālama ka glucose i ka ʻai ma hope o ka ʻai a ma ka ʻōpū ʻole he mea nui loa ia, me ka mālama pinepine ʻana i nā kuhi creinine (me nā hana o nā keiki a mālama ʻia i hoʻokahi manawa i hoʻokahi makahiki, a no nā poʻe kahiko me ka hōʻemi ʻana i ka hoʻomaʻamaʻa ʻehā mau manawa i ka ʻumikumamālua mau mahina). Inā pilikia ka ʻeha a me ka ʻōpū, pane a me ka nāwaliwali i ke kino, kū i ke ʻano o malaise (nā hōʻailona o ka lactic acidosis), a, me ka mea pū kekahi, me nā hōʻailona o nā maʻi genitourinary tract a me nā maʻi pulmonary, pono ʻoe e kāpae i ka lawe ʻana i nā ʻōpū, a laila e nīnau i ke kauka.

Ke hoʻohana nei i ka lāʻau lapaʻau me nā lawena hypoglycemic ʻē aʻe, ua pau ka hiki i ka hopena psychomotor wikiwiki. I ka wā o ka lāʻau lapaʻau, pono e pale i ka inu ʻana i ka ʻawaʻī e pale aku i ka wā o ka hoʻōho lactic acidosis. Hoʻopilikia ka lāʻau lapaʻau i ka wā o ka hapai, e kū'ē ana i ke kua o ka lactation, e kū ka ka ʻai kūlohelohe inā i loaʻa ka pono no ka hoʻohana ʻana iā Metformin Canon. No ka momona kaumaha, hoʻohana pinepine ʻia kēia lāʻau lapaʻau.

ʻO ka wehe ʻana i nā kilograms me ka nui o ke kaumaha he hana paʻakikī ia i nā ʻōlelo noʻonoʻo a me ka physiological, ma ke ʻano he nui ka hoʻoikaika ʻana a me nā loli koʻikoʻi ma ke ʻano maʻamau. I kēia hana, ʻaʻole wale nā ​​nutrists, akā pololei nō ka poʻe makemake e hoʻemi i ke kaumaha, e ʻimi mau ana i nā ala maʻalahi e hoʻomaʻamaʻa i ke kaumaha o ke kino. I kēia mau makahiki i hala iho nei, ua lilo ia i mea kaulana e hoʻohana i nā lāʻau lapaʻau e hōʻemi i ke kaumaha o nā lāʻau i manaʻo ʻole ʻia no ka hoʻolilo ʻana i ke kaumaha, akā e hōʻike i kēlā mau hopena i ka mālama o ka maʻi lalo.

ʻO kekahi o kēia mau lāʻau lapaʻau ʻo Metformin Canon. Kuhi ʻia kēia mau lāʻau e nā kauka e hoʻohaʻahaʻa i ka pae o ka glucose i mua o ka maʻi o ka maʻi maʻi. ʻO nā pelekane a me nā bodybuilders ka mea mua i hoʻohana i ka Metformin Canon no ka pohō kaumaha. Eia kekahi, i ka loaʻa ʻana o nā loiloi maikaʻi o ka maikaʻi, hoʻomaka ka lāʻau lapaʻau e hele ma kahi o nā haʻuki a me nā pōʻai.

Pēlā, i ka hakakā ʻana me ke kūloko ʻana i ka maʻi diabetes, hoʻohaʻahaʻa ka lāʻau lapaʻau i nā pae glucose, e hoʻopau ana i ka momona nui me ka makemake nui no nā ʻōlima. ʻO nā Athletes a me nā kaikamahine ma kahi meaʻai e loaʻa ʻole i ka lolo ke hoʻohana i ka lāʻau lapaʻau ʻekolu mau manawa i ka lā no 500 milligrams no ka iwakāluakūmālua mau lā (ma hope o kahi pono ʻoe e hoʻomaha ai no kahi mahina).Ke lawe ʻia, pono ka hana pilikino me ka wehe ʻana o ka ʻai me nā momona momona mai nā meaʻai.

Hoʻohui nūhou

E like me ka hōʻike ʻana a nā kuhikuhi a Metformin Canon, 850 mg, contraindicated e hoʻohana i kēia mau papa i ʻelua mau lā ma mua a ma hope o ke aʻo ʻana e hoʻohana ana i ka lāʻau radiopaque. Aia kekahi mau lāʻau e pono ai e hoʻohana me ka lāʻau lapaʻau e wehewehe pono ai mākou:

• ʻO kēia ka mea mua, ʻo Danazol, ka mea i hoʻonui i ka hiki ke kūpono o ka hoʻouluʻana o ka hyperglycemic.
• "Chlorpromazine" i nāosa kiʻekiʻe (100 milligrams i kēlā me kēia lā) a me nā lāʻau antihypertensive e hoʻonui i ka hoʻoili o ka glucose i ke koko. "Hoʻopili ʻo Chlorpromazine" i ka hoʻokuʻu o ka insulin.
• I kekahi mau hiʻohiʻona, hoʻoneʻe ʻia ka ketosis e ka glucocorticosteroids, hoʻohaʻahaʻa ka hoʻohaʻahaʻa glucose a piʻi ka manaʻo.
• Hoʻonui ka diuretics Loop i ka hopena o ka hoʻomohala ʻana i nā hōʻailona o ka waikawa lactic.
• Hoʻomoe nā huina o ka adrenomimetics i ka hopena hypoglycemic.
• ʻO ka hua o ka insulin, sulfonylurea, acarbose a me salicylate e hoʻonui i ka hopena hypoglycemic.
• "Hoʻonui ka" Nifedipine "i ka kaheʻana o ka metformin.

Nā hōʻailona no ka koho

Hoʻomaopopo ʻia ka lāʻau lapaʻau "Metformin Canon" no nā maʻi maʻi makua me ka lua o ka maʻi i ka hopena i ka hoʻololi ʻana o ke ʻano ola (haʻahaʻa-carb me ka hana ʻana i ke kino kūlohelohe, ʻona mokuʻāina) ʻaʻole i hāʻawi i ka glycemic control.

No nā poʻe maʻi e ʻoi aku ke kaumaha, ʻo Metformin ka koho maikaʻi loa. Hiki ke hoʻohui pū i kēia lāʻau lapaʻau me nā lāʻau lapaʻaka hypoglycemic o nā ʻano lāʻau lapaʻau ʻē aʻe, i mea e kūlike ai ka ʻano o nā hana i nā biguanides. Hoʻopili ʻia ka lāʻau hoʻohui me ka insulin.

Ua kuhikuhi ʻia ka lāʻau lapaʻau no ka mālama ʻana o ke ʻano maʻi type II i nā keiki i ʻoi aku i nā makahiki he ʻumi. Hoʻohana ʻia ia e like me ka lālani kūmole hoʻokahi a i ʻole me ka hoʻohui ʻana me ka insulin. Ke hoʻohana nei nā mea hoʻoikaika kino i kēia lāʻau lapaʻau e hoʻomaloʻo i nā ʻāʻī, a me nā kaikamahine me ka pohō kaumaha, ke hoʻomaʻamaʻa nei, akā ke hoʻāpono wale ʻia kēlā mau hoʻohana ʻana i ka wā e pili ana nā pilikia koʻikoʻi o ke kaupaona ʻana me ka pale ʻana i ka hana kaʻina.

Nā hopena hopena

E like me nā ʻōlelo a me nā loiloi no Metformin Canon, 850 mg, i nā pākeke a me nā keiki, nā ʻāpana like o ka lawe ʻana i ka lāʻau lapaʻau. Aia kahi ʻono o ka metala ma ka pū me kahi pūnaehana hoʻowalewale huhū ma ke ʻano o ka nele o ka makemake, ka ʻōpū, ke ʻeha o ka ʻōpū, ʻōpū a me ka luaʻi. Hana ʻia ka māka hana ʻalopona, hele ʻia ka maʻi hepatitis. ʻO nā hopena e like me ka B12 hypovitaminosis me nā mea hoʻohālikelike (mālama i ka ʻili, ʻupena, erythema, urticaria) i ka lāʻau lapaʻau ka loaʻa pinepine.

Ke keu

E lawe wale ʻia kēia lāʻau lapaʻau i ka ʻāpana i ʻōlelo ʻia, inā ʻaʻole i loaʻa ka hopena o ka overdose. ʻO ka komo ʻana o Metformin, like me ka 85 ka grika, hiki i ka hoʻomohala ʻana i ka hoʻōla lactic acid, e hui pū ʻia me ka ʻeha o ka naʻau, a, kahi pū kekahi i loko o ka ʻōpū, nīa a me ka luaʻi. Ma ke ʻano ka hāʻawi ʻia ʻana o ka kōkua i ka manawa kūpono, a laila ʻaʻole i hoʻokaʻawale ʻia kahi overdose o kēia lāʻau lapaʻau. ʻĀnō mākou e huli i contraindications a ʻike i ka manawa ʻaʻole lawe nā maʻi i kēia lāʻau lapaʻau no ka mālama ʻana.

ʻO nā hiʻohiʻona maʻamau o ka lāʻau

ʻO ka pūmeni o ka hoʻi antidiabetic a ʻo Metformin Canon e loaʻa ai ka metformin hydrochloride, kahi mea maikaʻi loa i ka honua a hiki ke hoʻemi i ka nui o ke kō i ka maʻi diabetes.

Eia kekahi ma kēia māhele, ʻo ka hoʻomākaukau no ka mea liʻiliʻi o ka sodium stearyl fumarate, starch, titanium dioxide, talc, macrogol a me nā mea'ē aʻe.

ʻO ka mea hana i ka ʻaihue hypoglycemic ka mea kūʻai aku i ka ʻoihana home drug Canological Canonfarm Production.

Hoʻouka ka hui i ka lāʻau lapaʻau i ke ʻano o nā papa (keokeo, biconvex) i nā ʻano like ʻole:

1. ʻO Metformin Canon 500 mg.
2. Metformin Canon 850 mg.
3. ʻO Metformin Canon 1000 mg.

ʻAe ʻia ka lāʻau lapaʻau e lawe ʻia aku mai ka makahiki he 10, ʻaʻole wale i ka monotherapy, akā i hui pū ʻia me nā inikini insulin. Ke nānā ʻia, ʻike ʻia ka metformin i loko o ka hana ʻana o ka huina, a me kona ʻike kiʻekiʻe e loaʻa ana ma kahi o 2-2,5 mau hola ma hope o ka nānā ʻana. Hana ʻia kahi hana o kahi hypoglycemic:

• e kāohi i ka hoʻokumu ʻana o ka glucose i nā mea kanu kino e hoʻonā ai i ka ate,
• e hoʻonāwaliwali i ka lilo ʻana o nā mea i ka glucose i loko o ka pānaehana ʻana,
• e hoʻonui i ka hiki i nā ʻenehana kikoʻī i ka hormon-low-hormone,
• e kāohi i ka glucose i nā kiko,
• e hoʻoluhi i ka glycogenesis intracellular,
• ma ka hoonanea ana o ka glycogen synthase,
• e hoʻomau i ka hana lipid metabolism.

Eia kekahi, ʻo ka lāʻau lapaʻau he hopena fibrinolytic. Hiki i ka Metformin Canon ke hoʻoponopono a hōʻemi i ka nui o ke kaumaha. ʻOkoʻa nā ʻokoʻa no ka hoʻomākaukau ʻana o nā derivatives o ka sulfonylurea ma ka mea ʻaʻole ia e hana i ka hoʻoulu ʻana o ka insulin a ʻaʻole i alakaʻi i ka emi wikiwiki o ke kō i ka poʻe olakino.

Hoʻonui koke ka māhele ikaika i nā kiko. Hiki iā ia ke hōʻiliʻili i nā ate, nā kohu salivary a me nā pōpoki.

Hoʻopili ʻole ʻo Metformin no laila, ʻaʻole ia e kāpae ʻia e nā ʻōpū ma kahi ʻano like ʻole.

Nā ʻōkuhi no ka hoʻohana ʻana i nā papa

ʻOiai ma hope o ka kamaʻilio ʻana me kāu kauka ma hope o ke kūʻai ʻana i ka lāʻau, pono e ʻike pono ʻia nā ʻōkuhi no ka hoʻohana ʻana. Inā loaʻa i kahi nīnau me ka mea maʻi, pono ʻoe e ʻimi i ka ʻōlelo aʻo a kekahi kauka.

Hoʻomaopopo loa nā papa i ka hoʻohana ʻana i ka wā a ma hope o ka ʻaina. ʻAi ʻia lākou, ke uhi ʻia me ke aniani o ka wai. ʻO ka wehewehe ʻana o ka lāʻau lapaʻau ka mea e hōʻike ai ka dosage mua no nā pākeke he 1000-1500 mg i kēlā me kēia lā. I kēia hihia, makemake ʻia e hoʻokaʻawale i ka ʻona i nā manawa he nui i ka lā. ʻO kēia loiloi ma muli o ka mea i ka hoʻololi o ke kino i ka hana o ka metformin, ka hopena kekahi o ka hopena, ka pili nui me ke kaʻina hana. Hiki ke hoʻopiʻi ka maʻi maʻi maʻi o ka luaʻi, ke kuʻuna, ka hoʻololi i ke ʻono, ʻeha o ka ʻōpū, a me ka lemulewa. Eia naʻe, ma hope o nā lā 10-14, e holo kā kēia mau hopena.

Ma hope o ke hoʻohana pono o ke kino e metformin, hiki i ke kauka ke hoʻonui i ka nui o ka ʻaihue hypoglycemic e pili ana i ka pae o ke kō a ka mea maʻi. Kuhi ʻia kahi mālama mālama ʻia mai 1500 a 2000 mg i kēlā me kēia lā. ʻO ka nui kuʻi i nā lā a pau he 3000 mg.

Inā hoʻololi ka mea maʻi i ka Metformin Canon me nā antipyretic ʻē aʻe, nāna e kāpae i ka lawe i ka hopena. Ke hoʻohui nei i ka lāʻau lapaʻau me ka inanini insulin, ʻoi aku ia i ka hoʻomaka o ka hana e lawe i ka 500 a 850 mg mau lā a i ʻekolu mau manawa i ka lā. Lawe ʻia ka Metformin 1000 mg i hoʻokahi lā.

Hiki i nā keiki i hiki i ka makahiki 10 ke hoʻomaka i ka mālama ʻana me 500 mg o ka lāʻau. Manila ʻia e ʻai i ke ahiahi i ka wā ʻaina. Ma hope o nā lā 10-14, hiki i ke kauka ke hoʻonui i ka lolo i kēlā me kēia lā i 1000-1500 mg. ʻAe ʻia ke keiki e lawe ʻole aku ma mua o 2000 mg i kēlā me kēia lā.

Pono nā poʻe maʻi maʻi pākahi i ka nānā kūikawā. ʻO nā maʻi a me ka lōʻihi o ke kau ʻana ke koho e ke kauka ponoʻī. Ma mua o 60 makahiki, hiki i ka lāʻau lapaʻau hypoglycemic hiki ke alakaʻi i ka hina o ke keiki.

Pono e hoʻolilo ʻia ʻaʻole hiki ke kūʻai ʻia ka lāʻau lapaʻau me ka ʻole o ka ʻōlelo lapaʻau ʻana. Pono ka pale o ka Metformin Canon e mālama ʻia i waho o ka pohā o ka lā a me ka mākeke. ʻAʻole pono nā kau o ka mālama ʻana i ka 25 tikeleka Celsius.

Ma hope o ka lā laha, ʻo ia ka 2 makahiki, ua pāpā ʻia ke alakaʻi ʻana i kahi mea e loaʻa iā antidiabetic.

ʻO nā hōʻike ʻē aʻe ʻē aʻe

E like me kāu e ʻike ai, hiki i kekahi mau lāʻau lapaʻau ke loaʻa ke hopena pololei i ka hana a Metformin Canon, hōʻemi a hoʻonui paha i kona hopena hypoglycemic.

Ke ʻōlelo nei nā kauoha i kahi hui contraindicated ka hoʻohana ʻana i nā mea kūlike i ka iodine.

E pale aku i ke ʻano o ka hikiʻole o ka renal i ka poʻe maʻi, hiki iā lākou ke alakaʻi i ka hoʻomohala ʻana i ka waikosis lactic. ʻAʻole ia he mea kūpono hoʻi e hoʻohui i ka waiʻona, ka diuretics loop a me nā hoʻomākaukau e loaʻa ana ka ethanol me ka hoʻohana ʻana o ka metformin.

Hana ʻia ka ʻike ākea e nā lāʻau lapaʻau e hiki ai ke hoʻonāwaliwali i ka hana a ka metformin a alakaʻi i ka hyperglycemia. E pili ana kēia:

1. Danazole
2. Chlorpromazine.
3. Hoʻopuka i nā ʻike.
4. Hoʻolaha ʻia nā kukuna.
5. ʻO nā agonists Beta2-adrenergic.

ʻO Angiotensin-hoʻohuli i ka pale o ka enzyme, injections o ka insulin, salicylates, acarbose a me nā derivatives sulfonylureas hiki ke hoʻonui i ka hopena hypoglycemic o ka metformin.

Pono e noʻonoʻo pono me ka hoʻokahuli like ʻana o ka nifedipine a me ka metformin, hypoglycemia e kū mai i ka maʻi mellitus. I mea e pale ai i ka hoʻomohala kino ʻana, pono ia e hoʻohana i nā NSAID me ka akahele.

I kekahi hihia, i ka wā e hoʻoholo ai e hoʻohana i kekahi mau lāʻau lapaʻau, ʻo ka mea mua loa, pono ia e kūkā me kāu kauka. ʻO ka hūnā ʻia o nā ala holomaka mai ke kauka ke alakaʻi i nā hopena i kū ʻole ʻia.

ʻO nā kumu uku a me nā loiloi loiloi

Hāʻawi ʻia kēlā me kēia maʻi i ka manawa e kūʻai ai i kēia lāʻau i loko o kahi kīkeke a hoʻopiha paha i kahi noi no ke kūʻai ʻana ma o ka pūnaewele limahana hana.

ʻAʻole pili ka mea kūʻai kūlohelohe wale ma ka hopena therapeutic o ka lāʻau lapaʻau, akā pū kekahi i kona kumukūʻai. Pono e haʻiʻia he haʻahaʻa haʻahaʻa ʻo Metformin Canon.

No laila, hiki i kēlā me kēia mea maʻi ke kūʻai i ka lāʻau lapaʻau.

Kuhi ʻia kona kumukūʻai i ke ʻano o ka hoʻokuʻu a me ka nui o nā papa i loko o ka peke.

• ʻO Metformin Canon 500 mg (30 mau papa) - mai 94 a 110 mau rubles,
• ʻO Metformin Canon 850 mg (30 mau papa) - 112 a 116 mau ʻauʻao,
• ʻO Metformin Canon 1000 mg (30 mau papa) - mai 117 a 165 mau rubles.

Ma waena o nā kauka a me nā mea maʻi, hiki iā ʻoe ke loaʻa nā ʻōlelo maikaʻi e pili ana i ka hoʻohana ʻana i kēia lāʻau lapaʻau. No laila, ua hoʻomaopopo ka hapanui maʻi e hiki i ka Metformin Canon ke hoʻomehana i ka pae o ka glucose me ka ʻole o ka hypoglycemia. Hōʻike pū nā loiloi i ka hoʻolilo ʻana i ke kaupaona ʻana me nā poʻe momona. No laila, i waena o nā pono o ka lāʻau lapaʻau hiki ke hoʻomaopopo i ka hana kūpono, maʻalahi o ka hoʻohana a me ke kumu kūʻai haʻahaʻa.

Hoʻomaopopo ka ʻaoʻao maikaʻi o ka hoʻohana ʻana i kēia lāʻau lapaʻau i nā hopena ʻino e kū nei i ka pane i ka hana a ka metformin - huhū huhū. Akā ka mahele ʻana i kēlā me kēia lā i loko o kekahi mau inikua, nui ka hoʻohaʻahaʻa nui ʻia.

ʻO ka hapanui o nā poʻe maʻi i lawe i ka Metformin Canon e hoʻomanaʻo hou me ka mālama ʻana me ka lāʻau lapaʻau "nullified" inā ʻaʻole ʻoe e pili i ka ʻohi ʻana i ka meaʻai, mai hana i nā haʻuki a ʻaʻole hoʻi e hoʻokele i nā pae momona i kēlā me kēia lā.

Nā lāʻau like ʻole

I kekahi mau manawa ke lilo i ka hoʻohana ʻana i ka lāʻau no nā kumu like ʻole, inā he contraindications a he ʻano ʻino paha.

I kēlā mau hihia, pili ke kuleana āpau me ke kauka, nāna e hoʻoholo i ka hoʻololi ʻana i ka lāʻau lapaʻau. I ka manawa like, pono ʻo ia e noʻonoʻo i ka nui o ka hilo i ke koko o ka mea maʻi a me kona kūlana ākea.

ʻO nā lāʻau like like he like ia me ka hopena therapeutic, akā ʻokoʻa i kā lākou hui.

ʻO ka metformin kahi lāʻau lapaʻau kaulana loa ia e hoʻohana ʻia e hana i nā pae ʻai glucose. I kēia mea, hoʻohana ʻia kahi papa hana no ka nui o nā loea hypoglycemic.

Ma waena o nā mea ʻike kaulana o Metformin Canon e wehewehe:

1. ʻO Gliformin kahi lāʻau lapaʻau antidiabetic e hoʻohana ʻia no ka hana ʻana o ka sulfonylureas. Mahalo i ka metformin i loaʻa, kōkua iā ia e hōʻemi i ke kaumaha ma nā poʻe luhi. ʻO kona kumukūʻai awāwa e kau ʻia ma ke ʻano o ka hoʻokuʻu ʻana: 500 mg -106 rubles, 850 mg -186 a me 1000 mg - 368 rubles.
2. ʻO ka Glucophage kekahi ʻano hana hou e pili ana i ka hui nui. Loaʻa i ke ʻano o kahi hana lōʻihi (Glucophage Long). Hoʻohana ʻia nō hoʻi ia no ka maʻi maʻamau o ka insulin. ʻO ka awelika kumukūʻai o hoʻokahi pahu pahu ma waena o 107 a 315 rubles.
3. ʻO Siofor 1000 kahi lāʻau lapaʻau i hoʻohana ʻia no ke pale ʻana a me ka mālama ʻana i ka maʻi maʻi, a no ke kaumaha nui hoʻi. I ka awelika, hoʻololi ka uku mai 246 a 420 rubles, no laila, ʻaʻole hiki ke kapa ʻia ʻo ia kekahi ʻano analog kekahi.
4. ʻO ka Metformin-Teva kahi lāʻau lapaʻau e hoʻohana ʻia no ke ʻano maʻi type 2, i ka wā eʻai maikaʻi ai ka meaʻai a me ka hoʻomaʻamaʻa. E like me Metformin Canon, paʻa ia glycemia, lipid metabolism a me ke kaumaha o ke kino o ka mea maʻi. ʻO ka kumukūʻai maʻamau o ka lāʻau lapaʻau mai 125 a 260 rubles.

He nui nā lāʻau lapaʻau ʻē aʻe nā hopena like ma ka Metformin Canon. Hiki ke ʻike ʻia ka ʻike kikoʻī e pili ana iā lākou me ka hoʻohana ʻana i ka Pūnaewele a i ʻole ma ka nīnau ʻana i kāu kauka.

ʻO ka Metformin Canon kahi lāʻau lapaʻau antidiabetic maikaʻi. Me ka hoʻohana kūpono, hiki iā ʻoe ke pale i nā hōʻailona o ka "maʻi ʻala" a ola ola me nā poʻe olakino. Eia nō naʻe, i ka wā o ka hoʻohana ʻana i ka lāʻau, pono ʻoe e hahai i nā ʻōlelo a pau a ke kauka, i ʻole e hōʻino iā ʻoe iho.

ʻO ka mea loea mai ka wikiō ma kēia ʻatikala e kamaʻilio e pili ana i ka Metformin.

He aha ka Metformin

ʻO ke alakaʻi alakaʻi i ka mālama ʻana i ka maʻi mellitus type 2 i lawe iā Metformin. No nā biguanides. ʻO kēia nā mea e hoʻohaʻahaʻa i ka glucose o ke koko. Hōʻoiaʻiʻo ka maikaʻi o ka lāʻau lapaʻau e ka manawa, hoʻomaʻamaʻa o ka hoʻohana ʻana, e like me ka hōʻike ʻia e nā loiloi maʻi hoʻomanawanui. ʻO kēia wale nō ka lāʻau lapaʻau i hoʻohanaʻia e mālama i ka maʻi diabetes i nā keiki. He nui nā inoa o Metformin, ua kūʻai ʻia ʻo ia he Glucofage, Siofor, Gliformin. Aia ia i ka mea hana a me ka ʻano o nā lāʻau lapaʻau.

Ka hoʻonohonoho ʻana a me ke ʻano o ka hoʻokuʻu ʻana

Loaʻa ka metformin i ka puka pā. Ua puni lākou, he biconvex, i uhi ʻia me ka pūlima enteric o ke keʻokeʻo. Hoʻopaʻa ʻia ka lāʻau lapaʻau i nā poli o 10 a 15 mau ʻāpana paha. E hoʻopaʻa i ka kāʻei karton i 30 mau papa. Hōʻike ka papa i ka ʻano like o hoʻokahi kapula o ka lāʻau lapaʻau:

Hoʻohui kūlaʻi mau mea

Metformin hydrochloride (a dimethylbiguanide)

Kāpili kolala (a i ʻole ka mea kanu)

Pehea e lawe ai

Uhai ʻia nā papa āpau, holoi ʻia me ka wai nui. ʻO ka 500 dosis mua ma mua o 500 i hoʻokahi manawa i ka lā, ʻo ke kiʻekiʻe ka 2.5-3 g. Manaʻo ʻia e lawe i nā papa metformin ma hope o ka ʻaina awakea a i ʻole ma mua o ka hiamoe. ʻOi aku ka nui o ka lāʻau o ka lāʻau e hoʻonui me ka liʻiliʻi. ʻO kahi nui ma mua o ka nui o ka dimethylbiguanide e hoʻopiʻi i ka ʻeha o ka ʻōpū a hoʻonāukiuki i ke kaʻina hana. ʻO ka momona metallic, nausea nā hōʻailona o kahi overdose ma nā papa mua o ka hoʻohana ʻana i kahi huahana lāʻau lapaʻau.

Me ka monotherapy me kahi lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka hoʻokau ʻana i kahi hoʻolālā i hōʻoia ʻia:

1. I ka hebedoma mua, he lāʻau lāʻau i ka nui o 500 mg ka lawe i ka manawa 1.
2. ʻOi aku, hoʻonui ʻia ka nui o kēlā me kēia lā i 850-1000 mg a māhele ʻia i 2 mau pūhaka.
3. Inā hōʻoluʻolu paha nā kaʻina metabolic i kahi kiʻekiʻe loa o ka 2000 mg, hoʻohui ʻia ka sulfonylureas e pili ana i ka metformin a i ʻole ka hoʻohana ʻana o ka insulin.
4. Hoʻokumu ka hoʻonui ʻana i ka dosage i ka heluhelu heluhelu. Koho ʻia ke ʻano he lāʻau kaukau me ka lāʻau kauka.
5. I nā poʻe maʻi maʻi, ʻo ka nui o ka nui o nā lā ma mua o 1000 mg.

Ke waiho ʻana a me ke kumu kūʻai

Hoʻokuʻu ʻia ka lāʻau lapaʻau ma o ke ʻano wale nō. ʻO ʻelua mau makahiki o ke ola o kēia huahana, ma ka hope o ke pāpā ʻia ʻana ia e hoʻohana i kēia lāʻau lapaʻau. Pono e mālama i ka lāʻau lapaʻau i kahi wahi i pale ʻia mai ka mālamalama, pono a maloʻo, i kahi wela ʻaʻole eʻoi aku i ka iwakālua.

ʻO ke kumu kūʻai o 60 mau papa o "Metformin Canon" 850 mg - aneane 200 rubles.

ʻO ka mea hou, ʻike mākou i ka mea a ka poʻe e kākau ai e pili ana i kēia lāʻau lapaʻau, a, ʻoiai, e ʻike mākou i nā manaʻo o nā kauka e pili ana i ka hopena o ka lāʻau lapaʻau ma ka nīnau ʻana.

ʻO ka mea mua, e noʻonoʻo i nā loiloi e pili ana i ka "Metformin Canon" 850 mg mai nā mea maʻi.

ʻ Commentslelo Nānā

Ma nā loiloi, hōʻoia nā mea maʻi i ka hiki o ka lāʻau lapaʻau i ka nīnau i ka mālama ʻana i ka maʻi maʻi ma ke ʻano o ka lilo ʻana i nā kilograms i makemake ʻole ʻia.Wahi a nā loiloi mea kūʻai, ʻo Metformin Canon kahi lāʻau lapaʻau kūpono a kūpono hoʻi, ma mua e pili ana i ka mālama glucose, a me ke kaumaha o ke kino. I waena o nā hemahema koʻikoʻi, ʻo ka hiʻohiʻona o nā hopena o ka ʻaoʻao mai ke kaʻe o ka digestive e ʻōlelo pinepine ʻia.

Hōʻike nā kauka i nā kauka

Ma kā lākou mau loiloi o "Metformin Canon" 850 mg, hōʻoia nā loea i nā hiki o kēia lāʻau. Akā ke mālama aku i ka wā o ka lāʻau e pono ai e mālama i ka nānā pinepine ʻana o ka kaila o ka glucose.

Eʻoi aku ka maikaʻi o ka familiarize iā ʻoe me nā loiloi o nā kauka e pili ana i ka Metformin Canon ma mua.

Ua kākau nā kauka e ke ke lawe nei i kēia lāʻau lapaʻau, malaise koʻikoʻi, nāwaliwali laulā, nā hōʻeha ma nā ʻeha a me nā ʻōpū paha e hiki ai i ka luaʻi. I kēia mau hihia āpau, pono e ʻike nā mea maʻi i ke kauka, e like me ia mau hōʻailona e hōʻike ai i ka hoʻomohala ʻia o ka waikawa lactic.

Eia kekahi, ʻo nā kauka i nā loiloi o ka Metformin Canon e kuhikuhi i ka mālama i nā hihia o ka hana renal impaired, no ka laʻana, i ka hoʻomaka ʻana o ka maʻi me nā lāʻau anti-inflammatory non-steroid. Hāpai ka poʻe loea i nā maʻi me kahi kauka e kūʻē i ke kua o ka hoʻomohala ʻia o nā maʻi ʻeha o ka genitourinary system a me ka maʻi bronchopulmonary.

Metformin Long Canon

Ke hana nei kēia lāʻau lapaʻau ma ke ʻano he waha hypoglycemic waha mai ke kāwai o biguanides. Hoʻopili ka hana ʻo ka hana me ka hiki ke hoʻohana i ka lāʻau lapaʻau e kāohi i ka gluconeogenesis me ka hana o nā wai momona momona. Hoʻonui ka lāʻau i ke kūlohelohe o ka maʻi receptor peripheral. He mea kūpono ia e ʻike ʻole ai ʻo Metformin Long Canon i ka nui o ka insulin i ke koko, akā hoʻololi i kāna pharmacodynamics.

Hoʻonui ka lāʻau lāʻau i ka synthesis glycogen. Hoʻonui ka mākaukau o ka halihali i nā ʻano pelekikena membrane glucose. ʻO ka lāʻau lapaʻau, ma waena o nā mea ʻē aʻe, e kāpae i ka loaʻa ʻana o ka glucose i loko o nā kumuhaluhi, hōʻemi i ka pae o ka triglycerides, a hoʻomaikaʻi hou i nā ʻano koko fibrinolytic. E kū'ē i ke ʻano o ke hoʻohana ʻana i kēia lāʻau lapaʻau, paʻa mau ke kino o ka mea maʻi a i ʻole ka hoʻohaʻahaʻa ʻana.

Nā hōʻike no ka hoʻohanaʻana i kahi lāʻau lōʻihi

Ke hōʻike nui nei ka maʻi maʻamau o ka maʻi maʻamau i nā pākeke 2 (ʻoi aku hoʻi i waena o nā mea maʻi me ka momona o ke poʻo), ke hoʻolako ʻia ka maikaʻi ʻole o ka hoʻomaʻamaʻa a me ka ʻai ʻana. I kēia mau hihia, ua kuhikuhi ʻia ka lāʻau lapaʻau ma ke ʻano o ka monotherapy a me ka hui pū me nā mea lawelawe waha hypoglycemic a i ʻole insulin.

Ke ʻano o ka hoʻokele ʻana a me ka loaʻa ʻana o ka lāʻau lapaʻau lōʻihi

Pono e lawe ʻia kēia lāʻau lapaʻau e nā maʻi i loko. Kolo ʻia nā papa, ʻaʻole nau ʻia a holoi ʻia ma kahi lawa o ka wai. Hiki iā lākou ke inu i ka manawa ma hope o a i ka wā ʻaina ʻaina. Koho ke kauka i ka ʻōmole o ka lāʻau lapaʻau hoʻokahi no kahi maʻi maʻamau e pili ana i ka hopena o ke ana o ka ʻai ʻana o ka glucose.

No ka poʻe maʻi i lawe ʻole i ka metformin, ʻo ke ʻano o ka lāʻau lapaʻau mua o kēia lāʻau lapaʻau he 500 milligrams hoʻokahi manawa i ka lā ma hope o ka ʻaina. He ʻumi a i ʻole ʻumikūmālima mau lā, hōʻike ʻia ʻo ia e hoʻoponopono i ka nui o nā lāʻau lapaʻau e pili ana i ka hopena o ke ana ʻana i ka ʻai o ka glucose i loko o ke koko koko. ʻO ka hoʻonui pinepine ʻana i ka dosis makemake e hoʻomanawanui maikaʻi i ka ʻāpana o ke kaomi.

No laila, ʻo ka lāʻau lapaʻau ʻo Metformin Canon, i manaʻo ʻia i loko o ka ʻatikala, ua hoʻomohala ʻia no ka mālama ʻana i ka maʻi type 2 i nā maʻi maʻi pākeke. Akā, e like me ka mea i hōʻike pinepine ʻia, i kēia manawa ke ulu nei ka wānana ma ke ʻano o ke ʻano e hiki ai ke loli wikiwiki, a i kekahi manawa i koho ʻia e nā kānaka e like me nā mea mālama ola.

Ua nānā mākou i nā kuhikuhi no ka "Metformin Canon" 850 mg.

Ka hana lāʻau lapaʻau

ʻO ka medication Metformin he lawehala hypoglycemic pili i ka biguanides a hōʻiliʻili i nā ate, nā kipi salivary, a me nā pūpū. ʻO ka maikaʻi o ka lāʻau lapaʻau e pili pū me ka hiki ke hoʻoweliweli i ka gluconeogenesis, ka hoʻolālā ʻana o nā momona momona a me ka hoʻoweliweli o nā momona.e pili ana i ka hopena o ka lāʻau lapaʻau:

• hōʻemi gula
• hoʻonui mahuahua o nā ʻĀina insulin, hoʻomaikaʻi i ke kōpaʻa hoʻoliʻi, ka momona momona o ka wai momona a me ka hoʻohana nui ʻana o peripheral glucose.
• hoʻemi i ka komo ʻana o ka glucose mai ka pāwili ʻana, ka hoʻāla ʻana o ka hormone thyroid.
• hoʻohaʻahaʻa i ka kolamu, triglycerides a me nā lipoproteins haʻahaʻa haʻahaʻa,
• ka hoʻōlaʻana o ka coagulability koko, hoʻomaikaʻi i kona waiwai rheological, kahi e hoʻemi ai i ka hopena o ka thrombosis,
• ka kaumaha o ke kaumaha ma ka mālama ʻana i ka momona.

Ke noi

Hoʻomau ʻia ʻo Metformin no nā poʻe me ka maʻi diabetes mellitus type 2 (non-insulin dependant). Hoʻololi ʻia ka mālama ʻia me ka lāʻau lapaʻau inā e loaʻa ana i ka mea maʻi mai ka huakaʻi concomitant a i ʻole, inā pono, e nānā ana i nā ʻike glucose. ^ E Ha yM. Ua hōʻike ʻia ka lāʻau lapaʻau e like me ka monotherapy a i ʻole he lāʻau lapaʻau hou no ka insulin a i nā lāʻau lapaʻau anti-diabetes ʻē aʻe.

ʻLoe a me ke kākele

Lawe ʻia ka lāʻau lapaʻau i ka wāʻai a i ka manawa koke paha. E hoʻopau loa ʻia nā papa me ka moʻo ʻole o ka moʻo ʻana. ʻO ke kumukūʻai o ka hoʻokele a me ka hopena o Metformin ma muli o ke ʻano o ka mālama ʻana:

Nā pākeke Metformin monotherapy a me ka hui pū ʻana me ka lāʻau a me nā lāʻau lapaʻau hypoglycemic waha

1000-1500 mg / lā. - ka hopena mua o ka lāʻau. Hiki iā ke hōʻemi i nā hopena ʻaoʻao mai ka gastrointestinal tract (gastrointestinal tract) ma ka hoʻokaʻawale ʻana i ka intake ma 2-3 mau manawa. Ma ka hana ʻole o kahi hopena maikaʻi loa i ka pā gastrointestinal, ma hope o nā lā 10-15, hiki ke hoʻonui ikaika ʻia ka nui (e pili ana i ka glucose).

Ke mālama nui nei i kēlā me kēia lā - 1500-2000 mg. Ka nui o kēlā me kēia lā - 3000 mg, hoʻokaʻawale ʻia i 3 pā.

Ke hoʻololi ʻana mai kekahi lāʻau lapaʻau waha i ka lāʻau lapaʻau ʻo Metformin

Hoʻomaka e lawe i ka lāʻau (ma luna o nā wai) ma hope o ka hoʻopaʻa ʻana i ka hoʻohana ʻana i kekahi lāʻau lapaʻau hypoglycemic.

Hoʻohui hui me ka insulin

Ma kahi hoʻomaka mua o 500 mg a me 850 mg, e lawe i hoʻokahi papa 2-3 manawa / lā., Ma 1000 mg - 1 papa 1 manawa / lā. Koho ʻia ka nui o ka insulin e pili ana i ka heluhelu heluhelu.

Na keiki mai 10 a 16 mau makahiki aku. Hoʻohana ʻia ka lāʻau lapaʻau no ka monotherapy a ma ka hoʻohui pū ʻana me ka insulin.

ʻO ka paapa mua he 500 mg 1 mau manawa i kēlā me kēia lā, lawe ʻia i ke ahiahi me ka ʻaina. Ma hope o nā lā 10-15, e hoʻoponopono ʻia ka mahele ma ka helu glucose. 1000-1500 mg / lā., Ua hoʻokaʻawale ʻia e 2-3 mau manawa - kahi mālama mālama. 2000 mg ma 3 mau puʻupuʻu i māhele ʻia - kiʻekiʻe.

Nā kānaka i ka wā kahiko

Koho ʻia ka pākēia ma muli o ka mālama pinepine ʻana i nā hōʻailona hana hana ʻole (ma ka liʻiliʻi o 2-4 manawa i kēlā me kēia makahiki).
E hoʻoholo ke kauka i ka lōʻihi o ka mālama ʻana.