Langerin: nā loiloi e pili ana i ka lāʻau lapaʻau, kumukūʻai, nā ʻōlelo aʻoaʻo

no ka olakino lapaau

ʻOiaʻiʻo: huii

Paerin 500: 1 papa o metformin hydrochloride 500 mg, like me 390 mg metformin,

Langerin 850: 1 papa o methyl metformin hydrochloride 850 mg, e like me ka 662.9 mg metformin,

Langerin 1000: 1 papa o metformin hydrochloride 1000 mg, e like me 780 mg metformin,

nā huaʻōlelo hou: sodium starch, wai 40, silicic acid anhydrous water, mais starch, magnesium stearate, barley Sepifilm bilium 752 (hypromellose, macrogol-2000-monostearate, titanium dioxide), macrogol.

Hoʻokomo Likarska Nā papa hana, ma kahi hamu.

ʻĀpana Pharmacotherapeutic. Hoʻokomo ʻia ka Antidiabetic. ʻO ka hypocliticemia oral. PBX code A10BA02.

- Insulonezonezhniy Tsukrov diabetes II II, inā Riven zucchar i loko o ke koko ʻaʻole lawa ka pidtrimuvati ma mua o ka dyutoy, nā kuleana kino a me ka haʻahaʻa masi ty,

- i hui pū me ka insulin - inā i ke ʻano maʻi cerebral type I, aia kekahi kiʻekiʻe kiʻekiʻe o nā pua o nā ala i piʻi aʻe, a laila hana hou ʻia i ka pale lua o ka insulin.

Diabetic keto acidosis, maʻi pāʻai precoma a me ka coma,

nirok

ʻO Gostrіi zhvoryuvannya, scho igry іz іz rіzіkom i ka hoʻolālā ʻana o ka nalowale o ka hana nirok: dehydration (ma ke ʻano o ka maʻi o ka maʻi ʻa, koko), pōpilikia, ikaika іnfektsііnі zhvoryuvannya, lilo i laʻa, sepsis.

ʻO nā hōʻike hoʻonā nui o nā gostrich a me nā hana koʻikoʻi, hiki iā ia ke alakaʻi i ka hoʻomohala ʻana o ka kiko hypoxia (maʻi o ka naʻau o ka dichromic insufficiency, gostrii myocardial infarction),

hana ʻoi me ka hōʻeha (inā pono, hoʻokō ʻia i ke olakino)

uhaki

palaka waihewa, gostre otruєnny alkohol,

ʻike i ka metformin a i ʻole nā ​​māhele o ka lāʻau lapaʻau,

uapo a me ka umauma,

lactic acidosis (me ka mōʻaukala),

dotrimannya gіpokalorіyno dієti (ma mua o іzh 1000 cal / ext),

keiki wiki a 10 papa.

ʻAʻole ia e hōʻike i ke kēkē ʻana o Langerin i nā kānaka he 60 a ʻoi aku ko lākou mau makahiki he ʻelemakule maikaʻi, he mea pono e hoʻomohala i ka acidosis lactic i loko o lākou.

Sposib zososuvannya that dozi.

ʻO nā keiki ma luna o 10 mau pōhaku

Mono therapy a me ka hui pū me ka hōʻoia

ʻO Pochatkova hale waihona puke 1 papa 500 mg a i ʻole 850 mg 1 mau manawa no ka dob. Ma hope o nā lā 10-15, hōʻailona ʻia ka nui o ke corigovati e hiki mai ana i ka pae ʻai o ke koko. Povіlnee pіdvishchenny dosuvannya moget hoʻohaʻahaʻa i ka nui o nā hopena ʻaoʻao ma ka ʻaoʻao o ka pahu o ka wahie.

ʻO ka dosis dobova nui loa he 2000 mg (rosodiene no 2-3 priyomi).

Mono therapy a me ka hui pū me nā lāʻau antidiabetic waha

Pochatkova dosis i Langerin warehouseє 500 mg 2-3 mau manawa i doba a i ʻole 850 mg 2 mau manawa no doba. Ma hope o nā lā 10-15, hōʻailona ʻia ka nui o ke corigovati e hiki mai ana i ka pae ʻai o ke koko. Hiki i ka waiwa kiʻekiʻe ke hoʻohaʻahaʻa i ka nui o nā hopena ʻaoʻao mai ka ʻaoʻao o ka iwi ʻeha.

ʻO ka nui loa o ka dobova o 3000 mg.

I ka manawa hoʻolilo i ka lawelawe waha oral antidiabetic mua loa, e lawe i ka lāʻau e hiki aʻe i ka manawa hou aku e pono ai e hoʻoponopono i ka lawe ʻana i ka meaʻai i wānana ʻia me kahi hapa o ka metformin.

E hui pū me ka insulin

I mea e hoʻokō ai i kahi mana pōkole o glikemії, hiki ke hoʻoponopono pono i ka metformin a me ka mea hoʻohui o ka mea hoʻohui. Zvichain pochatkova dosis Langerin Warehouse ск 500 abo 850 mg 2-3 mau manawa i ka wai, i kēlā hora hiki iaʻu ke lawe i kahi wai o ka insulin ma mua o ka helu koko.

Māhele o ka Honua

Hiki i ke Vrakhovuchi ke hoʻohaʻahaʻa i ka nui o nā hana i nā mea maʻi i kahi liʻiliʻi liʻiliʻi o ka metformin e hōʻike ʻia ana a pololei a hiki i ka hana o ka nela. Pono e nānā pinepine i ka hana a ka nirok.

Hōʻike ka Triviality o ka mālama ʻia e ka hōʻeha hōʻeha a i ka haki ʻia ʻana o ka hopu.

E lawe i ka pāpale, lawe ia, lawe, kali i ka lā, a lawe ʻia.

ʻO nā hopena Pobichny.Hoʻokomo ʻia ma ka ʻaoʻao o ka pākuhi-slag tract: nausea, blues, "metal" stomp i loko o ka waha, indigestion, kuko nui, flatulence, ʻeha ʻana, ʻeha o ka ʻōpū. Pau nā ʻōhā e ʻike pinepine i ka cob o ka wai, a me ke ʻano he kānāwai, ʻike lākou iā lākou iho. Hoʻololi kēia mau hōʻailona me ka antacid i hōʻike ʻia, ka atropine atopine, a me spasmolytic. I mea e hōʻemi ai i ka pōpilikia i kēia mau hopena, ua pono e hoʻomaka i ka lāʻau lapaʻau no ka hapalua hola, a i ʻole i nā manawa 2-3 i kēlā me kēia. ʻO Yakshcho dyspeptic hōʻailona __, lіkuvannya lāʻau slіd priniti.

Kuhi i ka ʻaoʻao obmіnu rechovin: lateic acid dyatez (pono wau vіdmіni lіkuvannya), me ka trivial lіkuvannі - gіpovіtamіnoz V₁₂ (ka ʻōpala i nā manawa a pau).

Ka luku ʻia ma ka ʻaoʻao o ke kahe: i okremich vipadakh - ʻo kahi maʻi he megaloblastic.

Nā maʻi kūwaha: Visip to shkіrі.

Ke keu. Me ka metastasis metformin ma kahi o ka 85 g, ʻaʻole i pau ka hoʻomohala ʻana o ka hypoglycemia. Ale ma tsyuyu vipadka aōhole lactic acidosis. ʻO nā ʻōmaʻomaʻo mua o ka lactic acidosis kahi є nausea, blues, maʻiʻaʻai, nui ke kiʻekiʻe, ʻōpū, ka ʻōpū a me ka mummy, ma kahi mamao aku hiki ke hele i loko o ka haunaele, e hōʻino ai i ka breech a me ke kūleʻa.

Likuvannya: ʻike ʻia i loko o kahi vipadok me kahi hōʻailona o ka lactic acidosis o ka lāʻau lapaʻau, pono ʻoe e hoʻopiʻi i luna, loaʻa kahi hoʻomehana koʻikoʻi maikaʻi, e hōʻike ana i ke ʻano o ka lactate, e wehewehe i ka maʻi. Naybilsh i kahi ala maikaʻi me ka hoʻopuka ʻana o ka organism lactate a hoʻomākaukau i ka препара hemodialysis. Hoʻoikaika pū kekahi symptomatic lіkuvannya.

Zastosuvannya i ka manawa o ka vaginosti abo makahiki o ka umauma. Inā ʻoe i hoʻolālā i ka vaginosti, a loaʻa pū kekahi vipad, ʻo ka vaginostnosti ma ke kua o ka lawe ʻana i ka lāʻau lapaʻau, pono ʻoe e hoʻomanaʻo a hōʻailona i ka maʻi o ka insulin. E akahele loa ka makuahine a me nā keiki hou.

ʻO nā hiʻohiʻona zastosuvannya. E like me ke kānāwai, ua pā nā maʻi, ka ʻeha o ka ʻōpū, nā ʻōpū o ka ʻōpū, nā nāwaliwali ka ikaika a ikaika ʻole i unuhi ʻia, a laila ikaika loa au i ka puka ʻana ʻo Langerin. Hāʻawi i kēia mau hōʻailona, ​​hiki iā ʻoe ke kiʻi maikaʻi i ka pepeiao o ka lactic acidosis.

48 mau makahiki ma mua o ka makahiki 48, ma hope o ke ʻano hoʻohālike o ka ʻāhā X-ray (orography, internal vennum), pono ke lawe ʻia ka lāʻau lapaʻau e hiki mai ana.

Kaʻo ʻana i ka metforminom i kahaki 48 mau makahiki ma mua o ka hoʻokō ʻana i ka hrurgicheskoe e hoʻopili ʻia ana me ka hoʻomaʻemaʻe ʻana a me ka wehe hou ʻana ma mua o 48 mau makahiki ma hope o ka hana hrurgicheskoy.

ʻAʻole maikaʻi ʻo Langerin i ka inu ʻona maikaʻi loa.

Pono ke olakino e hoʻonui ai i ka wikiwiki o ka hoʻohana ʻana i ka wā e hoʻohana ai i nā kaʻa ʻikepili ma nā ʻano āpau. ʻAʻole ʻo Langerin kahi kumu o ka hypoglycaemia, ʻo ia ke kumu no ka stagnation i ka ʻike o ka hana mono. Inā ʻoluʻolu ʻoe i nā hanana koʻikoʻi (ʻoiʻi, anti-diabetes, ʻoi aku ka maikaʻi o ka sulfonylase a me ka repaglination), hiki iā ʻoe ke holomua i ka metforminosis. Hāʻawi iā ʻoe i ka hoʻopiha maikaʻi ʻana i ka dyalnost, e like me ka wikiwiki o ka noʻonoʻo noʻonoʻo a me nā ʻano kūlohelohe, ʻae ʻana i kahi hoʻoholo wikiwiki (no ka laʻana, ka mālama ʻana i nā pilikia o ka halihali, ka lawelawe ʻana i nā kaʻa a me nā mīkini, a laila hana).

Ke kikowaena me nā pakuhi nui loa a ʻike i ka hoʻololi ʻana. ʻAʻohe mau manaʻo i ka pō primenom danazolu no ke koena giperglіkemіchno mau i koe. Inā makemake ʻoe e hāʻawi danazol a me ka hoʻihoʻi i ka maʻa, lawe i ka nui o ka wai lapaʻau me ka kaohi o ke koena o ka glitch.

ʻO ka lawe ʻana i ka waiʻona me ka waiʻona e kōkua i ka hoʻouluʻana i ka hoʻōla lactic i ka hora o kahi kūlana o ka ʻakaʻawa ʻawaʻawa, keu i ka pā ʻana i ka pōloli, akā aia ka hoʻopiʻi ʻana me ka hemahema o calorie, a me ka mea e hoʻopiʻi ʻia Hourід hola i kahi waiy priyomuyu slіd unikati priyyu ka waiʻona me ka lіkarskikh zasobіv, scho hoʻopaʻi ka wai inu.

ʻO nā hui e pono ai ka mālama kūikawā

Aomail: i ka wā e lawe ai i nā inika (100 mg pākēnē), ke lawe nei au i ka glіkemіy, hoʻohaʻahaʻa i ka pae o ka insulin. Ma kahi o nā antipsychotics a me ka laʻana, e lawe wau i ke koena o ka hoʻoponopono hoʻoponopono pono ʻia me ka kaohi o ke koena o ka hui.

Hulaiaohula (GCS) ʻōnaehana a me ka liʻiliʻi ʻae i ka hoʻokaʻawale ʻana o nā glucose. Inā ʻoe he GCS a me aʻu e kākau nei e lawe i ke koena o ka make, hoʻoponopono ʻia ka maʻi ma luna o ka hoʻomohala ʻana o ka GLI.

Duretics: ka hoʻokipa hoʻokahi hola no ka dyuretics loop hiki i ka hoʻomohala ʻana o ka acidosis lactic ma o ka nele o ka maliru nirkov.

ʻO ka ʻōlelo Yocvmіsnі radiocontrast: Loaʻa nā ʻike radiologic o nā cat-x red ray i hōʻeha i ka lactic acidosis i ka poʻe me ka maʻi maʻi o ka maʻi, ma mua o ka maʻi maʻi. Hoʻomoe i ka lāʻau lapaʻau i kahi mau makahiki 48 ma mua o ka mai ʻole i ka maʻi ma mua o ka makahiki o 48 mau makahiki ma hope o ka nānā ʻana o ka radiological ma mua o ka radiopaque rechinov.

Koho ʻia ma ka viglyad ін ʻєкцій b₂pili aloha: Hoʻolauleʻa hoʻonani o ka hoʻonāukiuki ʻia ʻana e b₂-oio. Ke tsyomu vipad potroben control glikemії. Inā loaʻa, ʻōlelo ʻia ke koho paipai ʻia.

Me kahi lāʻau lapaʻau hoʻokahi i hoʻokahi manawa me ka sulfonylsechovini hope loa, ka insulin, acarbozoy, salicylates, hiki iā ʻoe ke hoʻoikaika.

ʻO nā luna lāʻau lapaʻau.Lapaʻau lāʻau. ʻO Metformin - kahi nui me ka hopena anti-hyperglycemic, ʻo ia ka mea i hoʻohaʻahaʻa wau i ka hyperglycemia, ʻaʻole alakaʻi i ka hoʻolālā o ka hyperglycemic. ʻAʻole wau e hoʻowalewale i ka hana huna ʻana i ka insulin a ʻaʻole wau e hoʻopilikia i ka hopena olakino i ka poʻe olakino.

Metformin pidvishchu sensitivity e pili ana i nā peripheral receptors i ka insulin a me ka hoʻohana ʻana i ka glucose i nā clitins. ʻO Upovlennyu gluconeogenesis i loko o ka moʻo. E hoʻopili ana wau i nā huameka āpau i loko o nā ʻōpū. Ke hoʻomoʻa nei i ka hopena maikaʻi ma ka hana o nā lipids: he haʻahaʻa haʻahaʻa e hoʻowahāwahā i ka kolamu, a me nā pae haʻahaʻa o ka kolamu a me nā glycerides ʻekolu.

Lapaʻau lāʻau. I ka ʻike ʻia o ka metastasis kūloko mai loko mai o ka ʻōpū o ka ʻōpū, ʻoi aku ka nui o nā mehe, ʻo 20-30% o ka laikake ka ʻike. ʻO ka bioavailability piha kūpono e lilo i 50% a i 60%. Me kahi ʻae i hoʻokahi manawa o nā hoʻopili, ua hoʻemi ʻia ka metformin a hoʻoholo ʻia.

ʻO ka metformin shvidko rozpodilyaetsya i loko o nā hana, he mea pono ke komo i ka plasmas protein. ʻO ka hana Metformin metabolism he waiwai nui a alakaʻi i ka nirka.

Nā loea metafin Nirkovy lilo> 400 ml / hv. No ka makemake o ka poʻe e makemake e ʻānai i ke kipa, he hui no ka kānana kupaianaha a me ka pākuʻi ʻana i ka tubular. ʻO Kintseviy ka manawa ma ka pіvzhitty pіslya lawelawe waha i loko o ke kahua i loaʻa i ka metformіnu hale o 6.5 makahiki.

Me ka haki nirkov funktsion nirkov klirens metformіnu i hōʻemi ʻia me ka hapa klirensu hou a kaine kumu. E hālāwai me ka manawa o ka kahe, ke kiʻekiʻe o ka metformin i plasma zrosta.

Mākuhi pilikino a me ke kino:

Paerin 500: nā bіlі roundі, nā biconvex papa, i loko o ka ʻōpū,

Langerin 850: ʻO nā papa oval oum, i loko o ka pūpū, me ka piʻi o ka pilikia mai kekahi ʻaoʻao,

Langerin 1000: ʻO nā papa oval oval, ma loko o ke kinikia, me ka loaʻa o ka pilikia o nā ʻaoʻao ʻelua.

Ka hopena o ka hoʻopili. 3 pōhaku.

E holoi i ka zberigannya. ʻAʻole au e koi i ka noʻonoʻo kūikawā zberigannya. Zberalala ma waho o ka hiki ʻana o nā keiki.

ʻOhiʻohi. 10 papa no ke kolo, 3 no 6 pākahi, a he 9 paha no nā pōpō 9.

Kāleka vіdpusku. No ka papa ʻaina.

Virobnik. I KA "Zentiva".

Місцезнаходження. Нітрянська, 100, 920 27 Hlohovec, Republic of Slovak.

Ke ʻano lāʻau lapaʻau a me nā hōʻailona no ka hoʻohana ʻana

Hoʻopili ʻia ka hana ʻo ka hana o ka hana nui o ka lāʻau lapaʻau me kona hiki ke hoʻopaʻa i nā kaʻina o ka gluconeogenesis, me nā kaʻina o ka synthesis o nā kūmole momona a me ka momona oxidation. ʻAʻole i hoʻopili ʻia kahi ʻelima o ka papa biguanide i ka nui o ka insulin i hoʻokuʻu ʻia i loko o ke koko, akā ke hoʻololi nei i kāna pharmacodynamics ma ka hoʻemi ʻana i ka ratio o ka inika i hoʻopaʻa ʻia a hoʻoneʻe i ka ratio o ka insulin i ka proinsulin.

ʻO kahi mea nui i ka hana o nā hana o ia mau papa ke hoʻoweliweli ʻana i ka ea o ka glucose e nā ʻuna o nā hāmeʻa.

ʻO ka hōʻailona nui no ka hoʻohana ʻana i kahi lāʻau lapaʻau ka hoʻomohala ʻana i ka maʻi diabetes-hilinaʻi i loko o kahi kanaka, ʻoi aku hoʻi me ka hanaʻole o ka meaʻai i ukali.

ʻO nā kumu waiwai nui o Langerin e loaʻa:

• Hoʻemi i ka nui o ka hemoglobinꓼ glycated
• hoʻokaʻawale i ka pale ʻana i nā insulin i nā ʻāpana a me ka holomua o ka insulin ин
• hoʻopilikia maikaʻi i ka hoʻohanohano ʻana o ka mika lipid o ka plasma koko
• hōʻemi i ka cholesterol cholesterol maikaʻi

Eia kekahi, ʻo ka hoʻohana ʻana i ka lāʻau e hiki ke hoʻopaʻa i ka paona kino.

Nā ʻōkuhi no ka hoʻohana ʻana i nā papa

Loaʻa ka lāʻau Langerin i ka pepa i pani ʻia.

Hoʻopili ʻia nā papa ma kahi ʻeke wai, kahi i hoʻopaʻa ʻia me ka foil alumini.

Hoʻokomo ʻia nā pepa i ka pahu pepa me nā ʻōlelo aʻoaʻo no ka hoʻohana ʻana i ka lāʻau lapaʻau.

Kālai ʻia ma ka noi i koi ʻia o nā lāʻau lapaʻau i hoʻohana ʻia, hiki ke kūʻai ʻia i ka lāʻau lapaʻau me ka ʻaʻa ʻana o:

1. 500 milligrams.
2. 850 milligrams.
3. Hoʻokahi pahu o ka waiwai ikaika.

ʻO ke ʻano ka lawe ʻana i nā papa he waha, i ka manawa e ʻai ai a ma hope iho. Kūkū aku ke kauka komo i ka maʻi no kēlā me kēia maʻi pākahi e pili ana i ka nui o ka maʻi. Pēlā pū kekahi lāʻau lapaʻau i hoʻoholo i ka nui o nā kauka o nā lāʻau lapaʻau i ka lā.

Hōʻike ʻo Langerin no ka hoʻohana ʻana e hoʻomaka i kahi papa lāʻau e pili ana i ka lapaʻau ʻana me kahi laʻa liʻiliʻi loa o 500 mg o ka mea ikaika. ʻO ka helu o ka nui o ka lāʻau i ka lā hiki ke lilo mai hoʻokahi a ʻekolu. Hoʻolaha, hiki ke hoʻonui ʻia ka dosage i 850 mg o ka hana ikaika i ke ao holoʻokoʻa (hoʻokahi mau manawa i ka lā). ʻO ka mālama kauka e mālama nei i ke ʻano o ka mea maʻi a ʻaʻole iʻoi aʻe ma mua o hoʻokahi pule i ka hebedoma.

Ua kuhikuhi ʻia ka lāʻau lapaʻau no ka mālama ʻana o ka maʻi i nā keiki ma mua o ʻumi makahiki o kona mau makahiki. Hoʻomaka ʻo Monotherapy me kahi maʻi o 500 mg o ka mea hana i hoʻokahi a ʻelua paha i ka lā. Ma hope o kekahi manawa, ʻae ʻia kahi hoʻonui o ka lāʻau i ka lāʻau, akā, ʻaʻole iʻoi aʻe ma mua o ʻelua maumeka i kēlā me kēia lā, i māhele ʻia i ʻelua a ʻekolu paha mau ʻano.

ʻO ka maʻamau, ʻo kahi hoʻololi i loko o ka nui o ka lāʻau lapaʻau e loaʻa ma hope o ka ʻumi a hiki i ka ʻumikumamālima mau lā ma muli o nā hopena o kahi hōʻike koko no ka pae glucose.

I kekahi mau hihia, ʻo kahi papa papaʻaina he ʻāpana o ka hui pū ʻana me nā inikini insulin.

Pono e hoʻomanaʻo ʻia o ka lawelawe pū ʻana o Langerin me ka insulin, sulfonylurea derivatives, acarbose, a ACE inhibitors i nānā ʻia e hoʻonui i ka hopena hypoglycemic o nā lāʻau lapaʻau.

I kekahi mau hihia, hiki i ke kauka hele ke kahakaha ka hoʻohana ʻana iā Langerin me nā papa o ka like like. I kēia mau lā, he nui ka nui o nā lāʻau lapaʻau, ka papa hana koʻikoʻi o ia ka metformin.

Hiki ke loli nui ke kumukūʻai o nā lāʻau lapaʻau, e pili ana i ka ʻoihana o ka mea hana lapaʻau.

He aha nā contraindications no ka hoʻohana?

Ka hewa kūpono i koho ʻia a i ʻole ʻole a hoʻokō ʻole i nā ʻōlelo hōʻike a ke kauka hele i hiki ke hoʻonāukiuki i ke ʻano o nā hana ʻino i ka wā e lawe ai i ka lāʻau.

Eia kekahi, aia nā hihia i pāpā ʻia ai ka hoʻohana ʻana o ka lāʻau lapaʻau e pili ana i ka metformin.

ʻO nā ʻōlelo no ka hoʻohana ʻana i ka lāʻau lapaʻau e hōʻike i kahi papa o nā cont contications.

ʻO nā contraindications koʻikoʻi ma ka hoʻohana ʻana o nā papa Langerin e loaʻa i kēia aʻe:

• ka hopena koʻikoʻi o ka ate a me nā hana paha, kā lākou pono
• ka waihue, komo i loko o ke ʻano maʻi pehu
• naʻau a ʻeha ʻole
• myocardial huaʻala
• kahi kūlana o kahi maʻi maʻi maʻi kūpilikiʻi a i ʻole nā ​​kūpuna
• ka hoʻomohala ʻana o ka maʻi maʻi maʻi diabetes
• i ka hiki ʻana o kēlā me kēia intolerance e hele ai i ka metformin a me ka hoʻomohala ʻana o nā hopena kūloko i ka componentꓼ
• ka nui o nā maʻi ʻeha
• ka hookeai me ka maʻi ʻaʻai a i ʻole ka hahai ʻana i kahi meaʻai ko kēlā me kēia lā i ʻoi aku ai ma mua o hoʻokahi tausani kilocaloriesꓼ
• ma mua a ma hope o ka hoʻomaʻamaʻa
• me nā hōʻeha nui hou
• ma mua a ma hope o nā maʻi diagnostics e hoʻohana nei i ka isotropes radioaktif o iodineꓼ
• ketoacidosis a me ka hoʻōho lactic.

Eia kekahi, ʻaʻole pono nā wahine e lawe i ka lāʻau lapaʻau i ka wā hāpai a me ka lactation.

Hiki i ka hopena o nā hopena ʻaoʻao ke hōʻike iā ia iho ma ka ʻāpana o nā ʻāpana āpau a me nā ʻōnaehana o ke kino o ke kanaka - ka gastrointestinal tract, metabolism, cardiovascular system, integuments ʻili. ʻO nā manaʻo maikaʻi loa e kū mai paha ma muli o ka lawe ʻana i ka lāʻau lapaʻau nā:

1. Hoʻolaha Flulence. I kekahi manawa hele ka maʻi maʻi maʻi ma ka maʻi diabetes type 2. E loli paha ka nausea ma ka luaʻi.
2. ʻŌpū ʻōpū o ka ʻōpū.
3. ʻO ka hiʻohiʻona o ka ʻaha metallic ma ka waha waha.
4. Hematopoiesis a me ka hemostasis.
5. Megaloblastic anemia.
6. Ke hoʻohaʻahaʻa nei i ke kō o ke koko ma lalo o ka pae i aloha ʻia - hypoglycemia.
7. ʻO ke ʻano o ka nāwaliwali o ke kino.
8. ʻEhaʻeha.
9. Nā maʻi haipule.
10. Nā maʻi hōʻeha.
11. ʻO ke ʻano o ka dermatitis a i ʻole ma ka ʻili.

Pono e mālama nui ʻia ka lawe ʻana ʻana iā Langerin me nā lāʻau lapaʻau ʻē aʻe. ʻO ka hoʻohana pū ʻana o nā papa me ka cymeditine i hoʻonui i ka hopena o ka waikika lactic. Hiki i ka hui pūʻana o Langerin me nā diuretics loop e hoʻomohala i ka hopena like. I kēia hihia, ʻoi aku i ka hiki ke hōʻike ʻia o ka acidosis lactic, ʻike ʻia kahi hōʻailona o ka hiki ʻole o ka renal.

Ke hoʻohana nei i ka lāʻau lapaʻau, pono ia e nānā i nā hana maʻamau o nā pēpē a hoʻoholo i ka nui o ka lactate i ka plasma ma ka liʻiliʻi he ʻelua ma ka makahiki.

Hāʻawi ʻia ka ʻikepili e pili ana i nā lāʻau lapaʻau e hoʻohana ai e mālama i ka maʻi maʻi i ka wikiō ma kēia ʻatikala.

Inoa Kūʻai ʻole honua

Hoʻopili ka inoa honua i ka inoa o ka mea ikaika - Metformin (metformin).

Hoʻohana ʻia ʻo Langerin e hoʻohaʻahaʻa i ke koko koko.

AUKA ATX he helu A10BA02.

E hoʻokuʻu i nā palapala a me ka ʻano

Loaʻa ka lāʻau lapaʻau ma ke ʻano o nā papa papa no ka hoʻoponopono waha. Kūpono ʻia kēlā ʻano ʻano - heʻaina hoʻi, hana lōʻihi, uhi ʻia i ka membrane kiʻi, me ke kāʻei enteric.

ʻO ka pūhui koʻikoʻi koʻikoʻi ka metformin hydrochloride. Loaʻa nā mea hoihoi: nā keʻa palaoa, magnesium stearate, macrogol 6000, anhydrous colloidal silicon dioxide, povidone 40, titanium dioxide, nā kō kōa sodium glycolate, hypromellose, monostearate-2000-macrogol.

Lapaʻau lāʻau

Ke lawe nei i ka lāʻau lapaʻau i loko, ua hoʻopiha piha ʻia ka metformin mai ka pākaukau, ʻoiai hoʻi i kahi hapakolu e hoʻoiho ʻia mai ke kino me nā feces. Loaʻa ka lōʻihi o ke koʻina o ka waiwai ma hope o ʻelua a me ka hapa hola. I loko o ke koko, ʻaʻole hiki i ka lāʻau lapaʻau ke hana i nā mea paʻa me nā protein; i ka cytoplasm o nā sela ʻulaʻula, ʻo ka pūhui ikaika e hōʻiliʻili i ka ʻano o nā momi.

A hiki i ka hapakolu o nā lāʻau ke hoʻopau ʻia mai ke kino me nā feces.

Nā Hoʻohui

Lā ʻia ka Metformin no ka hoʻohana ʻana i ia mau hihia:

• hypersensitivity o nā ʻāpana,
• me ka hana koʻikoʻi o ka pēpē a me ka hana ate,
• me ka waiʻona,
• me nā maʻi o ka maʻi nui a me ka cardiovascular,
• ʻano ʻano like ʻole o ka acidosis,
• hapai a lactation
• hoʻohana iodine,
• me ka pōloli a me ka hune.

Pehea e lawe ai iā Langerin

Lawe ʻia ka lāʻau lapaʻau e ka nānā ʻana i ke kiʻekiʻe o ka glucose i ke koko, ka mea e hoʻoponopono ʻia e ka mea maʻi i nā manawa pinepine i ka lā: i ke kakahiaka, ma hope o kēlā me kēia pāʻina, i ke ahiahi ma mua o ka hiamoe.

Hōʻike ʻia - ma ke ʻano kai ʻana a i ʻole ka ʻai. ʻO ka dos Ua hoʻomaka nei mai ka 500 mg a 850 2 a i ʻole 3 mau manawa i kēlā me kēia lā. Ma hope o 2 mau pule, e hoʻoponopono ʻia ke ʻano e like me ka hopena o ka nānā ʻana i ka glycemic.

ʻAʻole hiki i ka nui o ka nui ma mua o 3000 mg, ka mahele iā 3 mau manawa.

No nā keiki ma hope o 10 mau makahiki, ʻo ka dosage he 500-850 mg i ka lā 1 ka manawa. ʻO ka dosis nui loa he 2000 mg, hoʻokaʻawale ʻia e 2-3 mau manawa.

Me ka maʻi diabetes

Nā ʻōlelo kuhikuhi no ka hoʻohana ʻana, e hoʻokaʻawale i ka mālama ʻana i ka monotherapy a hui pū me ka insulin. ʻO ka papa lāʻau mua he 500-850 mg pālua i kēlā me kēia lā a ma hope o ka papaʻaina. ʻElua mau pule ma hope aku, hana ʻia ka hoʻoponopono ʻia ʻana ma muli o nā hopena o ke kaomi gula. I kēia manawa āpau, pono ka mea maʻi e mālama i kahi kiʻi glycemic. ʻO ka nui loa i hāʻawi ʻia he 3 g, hoʻokaʻawale ʻia i 3 mau pona.

Ma ka maʻi mellitus, nā ʻōlelo no ka hoʻohana ʻana i ka lāʻau lapaʻau ka hoʻokaʻawale i ka mālama ʻana i loko o ka monotherapy a me ka hui pū ʻana me ka insulin.

Nā hopena hopena o Langerin

Hoʻokumu nā mea hoʻonāukiuki mai nā palu a me nā ʻōnaehana.

1. ʻO ka ʻili: kahi pīpī aʻa kala hoʻi, hives.
2. Pahu i ka ʻōnaehana hepatobiliary: hepatitis, hana hana aho ʻole ʻia.
3. ʻO nā hōʻailona neurological: nā maʻi hōʻeha.
4. Mai ka hanu hana ʻana: kani ʻana o ka nilo, ka luaʻi ʻana, ka ʻōpū ʻana, ka nele o ka ʻono, ka ʻōpū o ka ʻōpū, ka puhipuhi, ke kōkeke o ka metala ma ka waha.
5. Maʻalahi loa he loli i ke koko - ke anemia megaloblastic, ka hapa o ka bitamina B12.

Hōʻike nā hōʻike haukapila ma luna o lākou iho ma hope o ka lawe ʻana i ka lāʻau. I nā hihia pinepine, koi ʻia ka hōʻailona hōʻailona maʻi.

Nā ʻōlelo kikoʻī

Hoʻopili lākou i ka hoʻoponopono ʻana i ka ʻona (ua hoʻokaʻawale pinepine ʻia ka papa i nā halves) a hoʻopaʻa ʻia hoʻi i ka hiki o ke hoʻonohonoho ʻana i nā pūʻulu o nā poʻe.

Hoʻohana i ka wā kahiko

I ka poʻeʻelemakule, hana pinepine nā mea hana o nā ʻōnaehana (ʻōpū, hana i loko o ka puʻuwai), no laila, ʻo ka hapa nui o nā mea maʻi e hoʻohana i nā lāʻau lapaʻau e mālama iā lākou. A inā aia i hikiʻole ke ʻano o nā lāʻau lapaʻau, a laila pono ʻoe e haʻalele iā Langerin a hoʻololi i kona ʻano (inā pono, e uha i ka papa i ka hapalua, e lawe i hoʻokahi).

Koha i na keiki

Hoike ʻia ka lāʻau lapaʻau no nā keiki ma mua o ʻumi makahiki. I kahi wā ʻōpiopio, ua koho ʻia nā lāʻau lapaʻau ʻē aʻe. ʻAʻole i hōʻike ʻia ka ʻike ʻana i ka lāʻau lapaʻau i ka wā kamaliʻi, no laila, ʻaʻohe mea e pili ana i ka hopena ma ka ulu, ka hoʻomohala ʻana a me ka puberty o nā keiki, ʻoi aku ka hoʻohana lōʻihi. No laila, e hoʻohana pono me ka akahele me ka hui makahiki o 10-12 mau makahiki.

Hoʻohana i ka wā hāpai a me ka lactation

Ke hoʻolālā nei i ka wā hāpai, pono ʻoe e hoʻōki i ka lawe ʻana iā Langerin a hoʻomaopopo i kāu kauka e pili ana i kēia. E kākau ʻo ia i ka dosis kūpono o ka insulin, pono e hoʻohana ʻia i ka wā o ka gestation. Ua helu ʻia ka hopena o ka metformin ma ke kūpeʻe ʻo B.

Ke hoʻolālā nei i ka wā hāpai, pono ʻoe e hoʻōki i ka lawe ʻana iā Langerin a hoʻomaopopo i kāu kauka e pili ana i kēia.

ʻAʻole i mālama ʻia nā haʻawina i ka wā o ka umauma, ʻaʻohe ʻikepili i ka komo ʻana o nā metabolites i loko o ka waiū, no laila, i ka wā lactation, pono ʻoe e haʻalele i ka lāʻau.

ʻO kahi keu o ka langerin

Ke noi nei i kahi maʻa ma mua o ka pono, e hoʻomohala nā hōʻailona: lactic acidosis, kahi manaʻo maloʻo i ka waha o ka waha, nā ʻōpū mucous, ʻāwili, nā ʻāʻī a me ke ʻeha o ke alo, ka hanu wikiwiki, ka hoʻohālikelike ʻana i ka hiamoe, nā hōʻailona dyspeptic, ka maʻi neurological, ʻeha o ka ʻōpū, ka luaʻi. nā maʻi o ka naʻau, oliguria, ICE. Eia kekahi, ʻaʻole ulu nā kūlana hypoglycemic. ʻAʻohe ʻano lapaʻau kūikawā. Ma ke kau ʻana, ʻo ka dialysis a me hemodialysis e hoʻohana pono ai, a e lawe ʻia nō hoʻi ke ʻano me ke ʻano. Pono ʻia ka haʻalele ʻana i ka lāʻau lapaʻau.

Hoʻohui hui like ʻole

Inā pono e hoʻokō i kahi kaʻina hana i hoʻohana ʻia nā mea kūwaho iodine, pono e ho'ōki i ka lawe ʻana iā Langerin i ʻelua lā. A ʻo ka hiki ʻana o ka lāʻau lapaʻau ke hiki i 2 mau lā ma hope o ke aʻo ʻana, ma mua o kēia, pono e ʻike ʻia nā hoʻokolohua e nānā i ke ʻano o ka hana o ka ʻōnaehana. Inā ʻaʻole, he hiki ke hoʻomohala ʻia ka pilikia o ka hana ʻana i ka hopena o ka lactic acidosis.

Hiki i Gliformin ke kahakaha o ka lāʻau.

ʻAʻole hoʻohana ʻia ka lāʻau lapaʻau ʻo Danazol i ka mālama ʻana iā Langerin. Hoʻopili ʻia kēia me ka suka, nui, ka waona, a me kahi nui o ka coma. No laila, pono e nānā ponoʻia ka glycemia.

ʻO nā hui e koi ana i ka mālama

Me ka mālama pono ʻole, pono e hoʻohana ʻia ka lāʻau lapaʻau e hui pū me ka glucocorticosteroids systemic a i ʻole, inhibitions ACE, diuretics, beta-2-sympathomimetics - ʻo kēia mau hui o nā lāʻau lapaʻau e hiki ke hōʻemi i ke koko koko. No laila, pono e ao aku i ka mea maʻi e pili ana i kēia, me ka hoʻoponopono pū kekahi i ka make ʻana o Langerin.

ʻO ka chlorpromazine a me nā antipsychotics nā lāʻau lapaʻau, i hui pū ʻia me ka mea e hoʻoponopono ʻia ai ke ʻano o ka metformin i hoʻohana ʻia.

Hoʻolaha ka waipuna

Ua kūlike ʻole i ka waiʻona. Ke hui pū me ka ethanol, hiki i ka hopena o ke kūkuluʻana i kahi kūlana lactic acidotic, ʻoi aku ka pilikia me ka pehu me ka palaka ole o ka aʻai (a me ka hapa ʻole o ka ʻai).

ʻO nā mea haʻahaʻa no Langerin ia mau lāʻau:

• ʻO Glyformin
• ʻO Gliformin Prolong,
• Hopu,
• Metformin
• Metfogamma,
• Formin
• Siofor i nā ʻano uku (1000, 800, 500),
• Vero-Metformin,
• Glycomet 500.

Hoike e pili ana iā Langerin

ʻO Anton, 48 makahiki, ʻo Oryol: "Ua maʻi wau i ka maʻi diabetes i ka 2 no nā makahiki he 3. Kauka ke kauka i ka lāʻau lapaʻau. ʻOliʻoli wau ʻaʻohe ala kūpono ʻole, ʻaʻole hoʻi i kiʻekiʻe nā kiʻekiʻe o ke kō. "

ʻO Anna, 31 makahiki, ʻo Moscow: "Ua maʻi wau i ka maʻi type 2, ua maʻi wau i ʻaneʻane he ʻelima mau makahiki. ʻO ka makahiki mua i mālama ʻo ia i nā pae glucose ma o ka hoʻomaʻamaʻa a me kaʻai. Eia naʻe, ʻaʻohe mea kūpono. Kauka ke kauka nei i kēia lāʻau lapaʻau ma kahi o 850 mg ʻelua i ʻelua o ka lā. ʻAʻohe hopena hopena. "

ʻO Vasily, he 28 mau makahiki, ʻo Krasnodar: “Ua loaʻa ka maʻi diabetes i ka 2 ma mua aʻe o ka makahiki i hala. Ke lawe nei au i kēia lāʻau lapaʻau. Ua ʻōlelo ʻo ke kauka he hana maikaʻi ʻo ia a mālama i nā pae o ka glucose. Kuhi i kahi hapa liʻiliʻi o 500 mg. Pono mau ka hoʻohana ʻana i ka lāʻau lapaʻau, ʻaʻohe hopena o ka hopena, no laila ke manaʻo nei au ua maikaʻi ka lāʻau lapaʻau. ”