Mob ntshav qab zib mellitus tuaj yeem ua rau rhuav tshem cov ntaub so ntswg ntawm ntau yam kabmob. Nws yog ib qho tseem ceeb uas tswj cov qib qab zib hauv cov ntshav, tswj nws kom raug. Rau qhov no, cov neeg mob tau sau tshuaj uas txo nws cov concentration. Cov tshuaj uas nrov tshaj plaws yog Metformin thiab Gliformin.
Cov Qauv Cim Gliformin
Cov tshuaj no belongs rau biguanides, uas yog npaj rau kev kho mob ntshav qab zib. Nws cov khoom tseem ceeb yog metformin. Daim ntawv tso tawm ntawm cov tshuaj yog ntsiav tshuaj. Noj glyformin sab hauv. Nws inhibits qhov tsim ntawm cov piam thaj hauv daim siab thiab txhawb nws txoj kev rhuav tshem. Tsim los rau hom 2 ntshav qab zib.
Cov tshuaj uas nrov tshaj plaws rau txo cov ntshav qab zib yog Metformin thiab Gliformin.
Cov tshuaj zoo dua khi cov tshuaj insulin nrog cov hlwb rhiab rau nws. Cov tshuaj pab rau txo cov qab los noj mov, yog li cov neeg mob rog rog zoo poob phaus. Qhov no tau piav qhia los ntawm qhov tseeb tias plasma theem ntawm cov cholesterol thiab triglycerides yuav txo qis. Qhov kev txiav txim ntawm cov tshuaj yog tsom rau dissolving ntshav txhaws thiab txo qhov kev pheej hmoo ntawm platelet adhesion. Nws ua tau zoo txo cov piam thaj hauv cov ntshav.
Cov lus qhia rau kev siv Gliformin yog raws li hauv qab no:
- ntshav qab zib hom 2;
- Tsawg ua haujlwm ntawm sulfonylurea;
- nrog ntshav qab zib hom 1 - yog ib qho cuab yeej ntxiv los kho mob tseem ceeb.
Contraindications suav nrog:
- rau kev tso dag mob duav;
- ua txhaum ntawm daim siab thiab lub raum;
- pulmonary tsis ua hauj lwm, mob myocardial infarction;
- cev xeeb tub thiab lactation;
- kev quav dej quav cawv vim yuav muaj feem ua rau qaug dej qaug cawv;
- kev raug mob hnyav;
- kev phais mob, hauv kev kho tshuaj insulin yog contraindicated;
- mob ketoacidosis;
- tus kheej tsis kam txais ua ke rau cov khoom lag luam;
- kev yoog raws rau kev noj zaub mov kom yuag tsawg.
Yog tias muaj kev tshawb nrhiav X-ray siv kev sib piv, tom qab 2 hnub ua ntej cov tshuaj yuav tsum tsis noj. Rov qab pib kho nrog cov tshuaj 2 hnub tom qab soj ntsuam.
Noj Gliformin qee zaum ua rau kev txhim kho cov kev mob tshwm sim hauv qab no:
- nws yog xim hlau xim hauv lub qhov ncauj;
- ua pob ua xua ua xua;
- xeev siab
- tsis qab los noj mov
- lactic acidosis;
- malabsorption ntawm cov vitamins B12;
- ntshav tshuaj qis;
- megaloblastic anemia.
Lub chaw tsim khoom ntawm Gliformin yog Akrikhin HFK, OJSC, Russia. Muaj txoj kev hloov rau cov tshuaj no, uas yog ntawv sau los ntawm kws kho mob. Cov qauv ntawm cov tshuaj muaj xws li:
- Metformin;
- Glucophage;
- Siofor.
Glucophage yog ib qho ntawm cov yeeb yaj kiab ntawm Glyformin.
Metformin Cov yam ntxwv
Nov yog cov tshuaj hypoglycemic uas txo cov ntshav qab zib hauv ntshav qab zib hom 2. Nws lub ntsiab tivthaiv yog metformin hydrochloride. Muaj nyob hauv ntsiav tshuaj daim ntawv.
Cov tshuaj muaj cov yam ntxwv li nram no:
- txo qhov nqus ntawm cov piam thaj mus rau hauv cov ntshav los ntawm cov hnyuv lumen;
- ua kom muaj kev siv cov carbohydrates, uas tshwm sim hauv cov nqaij mos ntawm lub cev;
- tsub kom muaj qhov tsis haum ntawm cov nqaij mos mus rau insulin.
Metformin tsis cuam tshuam rau lub hlwb ntawm tus txiav, uas yog lub luag hauj lwm rau cov synthesis ntawm insulin, thiab kuj tsis ua rau cov ntshav qog ntshav qab zib. Thov nws thiab rau poob phaus.
Metformin muaj nyob hauv daim ntawv foos.
Cov tshuaj yog tshuaj rau hauv cov teeb meem nram qab no:
- hom 2 mob ntshav qab zib mellitus, yog tias kev noj zaub mov noj tsis ua tiav;
- ua ke nrog cov tshuaj insulin - nrog hom ntshav qab zib hom 2, tshwj xeeb tshaj yog yog hais tias tus neeg mob tau kawm tiav qib rog.
Muaj ntau ntau yam contraindications los kho nrog cov tshuaj no:
- kuaj mob ntshav qab zib, coma;
- mob myocardial infarction, mob plawv sai sai;
- cov kab mob ntawm lub ntsws thiab mob ntsws, sepsis, poob siab;
- lub cev qhuav dej;
- npaws
- lub raum tsis ua haujlwm;
- cov kab mob kis hnyav;
- kev phais mob thiab kev raug mob;
- lom mob hnyav nrog ethyl cawv, ntev ntev ntawm cawv cawv;
- cev xeeb tub thiab lactation;
- kev cuam tshuam ntau dhau ntawm cov khoom sib xyaw;
- kev yoog raws rau kev noj zaub mov kom yuag tsawg.
Nws raug txwv tsis pub noj cov tshuaj metformin rau cov neeg muaj hnub nyoog 60 xyoo uas nws ua haujlwm nrog rau kev mob lub cev, vim tias lactic acidosis yuav tshwm sim.
Cov tshuaj tuaj yeem ua rau pom qhov tshwm sim ntawm cov kev mob tshwm sim los ntawm ntau lub cev:
- plab zom mov: xeev siab, ntuav, mob plab, raws plab, tsis qab los noj mov;
- hematopoietic: megaloblastic anemia;
- endocrine: hypoglycemia.
Tsis tshua muaj, nyob rau ib feem ntawm cov metabolism, qhov kev txhim kho ntawm cov kab mob lactic acidosis thiab hnov qab lub cev nqus tau cov vitamin B12 raug pom. Kev tawm tsam ua xua ntawm daim tawv nqaij tawm tuaj yeem tshwm sim.
Lub chaw tsim khoom ntawm Metformin yog Hemofarm A.D., Serbia. Nws cov analogues suav nrog cov tshuaj:
- Formmetin;
- Glucophage;
- Metfogamma;
- Glyformin;
- Sofamet.
Sofamet yog ib qho ntawm cov qauv ntawm Metformin.
Sib Piv ntawm Gliformin thiab Metformin
Ob qhov tshuaj muaj tib lub txiaj ntsig, tab sis muaj qhov sib txawv ntawm lawv.
Qhov zoo sib xws
Gliformin thiab Metformin yog cov qauv tshuaj thiab yog cov tshuaj ntshav hypoglycemic uas tau noj ntawm qhov ncauj. Muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, qhov muaj pes tsawg leeg yog sawv cev los ntawm cov tshuaj nquag. Cov khoom siv tshuaj muaj muag hauv lub thawv ntawv.
Cov nquag ua haujlwm ntawm cov tshuaj pab ua kom cov ntshav qab zib kom zoo. Noj cov tshuaj no tsis cuam tshuam rau qhov kev tsim tawm hauv insulin, yog li tsis muaj kev pheej hmoo hauv qab zib sai. Lawv kuj tseem pom zoo los ntawm kev noj haus kom txo lub cev nyhav.
Gliformin thiab Metformin ua ke nrog lwm cov tshuaj hypoglycemic.
Nws yog txwv tsis pub coj lawv nrog cawv, txwv tsis pub cov lactic acidosis yuav loj hlob tuaj.
Lawv muaj ntau yam contraindications.
Dab tsi yog qhov txawv
Cov tshuaj yog txawv cov tuam ntxhab thiab nqi. Gliformin noj rau hom 1 thiab hom 2 ntshav qab zib mellitus, thiab Metformin yog siv rau ntshav qab zib hom 2.
Uas yog pheej yig dua
Tus nqi nruab nrab ntawm Gliformin yog 230 rubles, Metformin yog 440 rubles.
Qhov twg yog qhov zoo dua - Gliformin lossis Metformin
Tus kws kho mob, txiav txim siab seb qhov tshuaj twg muaj qhov ntsuas tau zoo dua - Gliformin lossis Metformin, suav txog ntau yam ntsiab lus:
- ntawm chav kawm ntawm tus kab mob;
- cov yam ntxwv ntawm tus neeg mob lub cev;
- contraindications.
Lawv muaj tib qhov taw qhia rau kev siv, yog li cov tshuaj yuav tuaj yeem hloov nrog txhua lwm yam. Txog ntshav qab zib hom 1, Metformin raug tso cai.
Kev Ntsuam Xyuas Rau Neeg Mob
Irina, hnub nyoog 56 xyoo, Vladivostok: "Kuv tau sau npe nrog tus kws kho mob endocrinologist muaj tus mob ntshav qab zib hom 2 tau ntev los lawm. Kuv tau noj ntau yam tshuaj txhua lub sijhawm no, thiab tsis ntev los no tus kws kho mob tau sau npe rau Gliformin. Kuv tsis muaj qhov tsis zoo tshwm sim thaum tab tom noj. 3 zaug hauv ib lub lim tiam kuaj. Cov tshuaj pab tsis ua phem, cov piam thaj hauv qab qis dua qhov ua ntej siv. "
Valentina, hnub nyoog 35 xyoo, Samara: "Kuv tau zoo tom qab yug me nyuam thib ob. Kuv tsis nyiam mus ua kis las, Kuv tsis tuaj yeem ua raws li kev noj haus nruj me ntsis. Kuv tus phooj ywg pom zoo Metformin. Nyob rau thawj hnub ntawm kev kho mob, muaj qhov tsis muaj zog thiab tsis xav ua kom tau me ntsis. Cov tsos mob ploj mus. Hauv 3 lub lis piam lawv tswj kom poob 12 kg. "
Cov kws kho mob rov tshuaj xyuas txog Gliformin thiab Metformin
Anna, tus kws qhia noj haus, Kazan: "Kuv pom zoo siv tshuaj Glyformin rau ntau cov neeg mob yuag. Nws yog txwv tsis pub noj nws tsis muaj kev saib xyuas kev kho mob, vim tias nws yuav muaj kev phom sij rau kev noj qab haus huv. Yog tias noj raug, rog oxidation yog ua kom nrawm, cov piam thaj ua rau kom qeeb, thiab kev zom zaub mov carbohydrates hauv cov hnyuv txo qis. Tshuaj. koj tsis tuaj yeem noj ntau tshaj 3 asthiv vim tias kev phiv tsis tuaj yeem tswjfwm. "
Elena, tus kws kho mob endocrinologist, Yekaterinburg: "Hauv kuv kev coj ua, Kuv feem ntau siv tshuaj Metformin rau hom 2 mob ntshav qab zib mellitus, muaj kev cuam tshuam tsis kam rau cov carbohydrates, cov neeg mob hypothyroidism. Kuv tshwj xeeb tshaj yog qhia nws rau cov neeg mob nyhav dhau thiab nrog zes qe menyuam sclerocystosis tawm tsam cov tshuaj tiv thaiv insulin, vim tias nws nce ntxiv kom cev xeeb tub. Zawv plab yuav tshwm sim thaum pib kho. "
