Metformin Canon yog ib tus neeg sawv cev rau kev tiv thaiv kab mob uas muaj cov tshuaj tiv thaiv metformin hydrochloride. Cov tshuaj yeeb yaj kiab tau suav nrog hauv pawg ntawm biguanides ntawm peb tiam.
Nws qhov kev siv tau pom zoo thaum muaj kev tswj tsis tau zoo hauv glycemia siv kev noj zaub mov zoo thiab kev tawm dag zog. Hauv qee, cov tshuaj yuav pab cov neeg mob rog.
Nws yuav tsum nco ntsoov tias txhua yam tshuaj muaj qee qhov tsis sib xws thiab tuaj yeem muaj kev tsis zoo ntawm lub cev. Yog li, ua ntej siv ib qho yeeb tshuaj twg, koj yuav tsum sab laj tus kws tshaj lij thiab ua tib zoo kawm cov lus qhia nyob hauv ntawv.
Kab lus no yuav pab kom paub cov yam ntxwv ntawm kev siv Metformin Canon, ntxiv rau nws cov analogues, cov tswv yim ntawm cov kws tshaj lij thiab cov neeg mob.
Cov yam ntxwv dav dav ntawm cov tshuaj
Qhov sib xyaw ua ke ntawm cov kab mob antidiabetic Metformin Canon suav nrog metformin hydrochloride, cov tshuaj zoo hauv ntiaj teb uas tuaj yeem txo cov piam thaj hauv ntshav qab zib.
Ntxiv rau cov khoom tivthaiv no, cov kev npaj muaj ib qho me me ntawm sodium stearyl fumarate, hmoov txhuv nplej siab, titanium dioxide, talc, macrogol thiab lwm yam.
Cov chaw tsim cov tshuaj hypoglycemic yog lub tuam txhab kev lag luam hauv tuam txhab Canonfarm ntau lawm.
Lub tuam txhab ua tshuaj rau hauv daim ntawv ntawm cov ntsiav tshuaj (dawb, biconvex) hauv kev siv ntau yam:
- Metformin Canon 500 mg.
- Metformin Canon 850 mg.
- Metformin Canon 1000 mg.
Cov tshuaj yog pub rau noj los ntawm lub hnub nyoog ntawm 10, tsis tsuas yog raws li kev kho mob monotherapy, tab sis kuj muaj kev sib xyaw nrog kev txhaj tshuaj insulin. Thaum noj, metformin yog nqus rau hauv cov hnyuv, thiab nws cov kev xav ntau yog ua tiav kwv yees li 2-2.5 teev tom qab kev noj mov. Qhov kev txiav txim ntawm tus hypoglycemic yog qhia:
- kev txwv ntawm kev tsim cov piam thaj los ntawm cov tsis-carbohydrate sib txuas hauv lub siab;
- ua kom tsis muaj zog ntawm kev nqus ntawm cov piam thaj hauv cov hnyuv;
- txhawm rau ua kom muaj kev cuam tshuam ntawm phiaj cov nqaij ua kom muaj suab thaj txo qis;
- kom tshem tawm cov piam thaj ntawm cov nqaij;
- los txhawb kev mob ntsws glycogenesis;
- kev ua haujlwm ntawm glycogen synthase;
- kom ruaj khov lipid metabolism.
Tsis tas li ntawd, cov tshuaj muaj qee cov nyhuv fibrinolytic. Metformin Canon muaj peev xwm ruaj khov thiab txo qhov hnyav lub cev. Nws txawv ntawm kev npaj ntawm sulfonylurea derivatives nyob rau hauv tias nws tsis ua rau muaj cov tshuaj insulin ntxiv thiab tsis ua rau cov piam thaj txo qis hauv cov neeg noj qab nyob zoo.
Cov nquag tivthaiv kis tau sai sai hauv cov ntaub so ntswg. Nws tuaj yeem tshwm sim hauv daim siab, ua kua qaub ncaug thiab lub raum.
Metformin yog kev xyaum tsis tau metabolized, yog li nws raug tawm los ntawm lub raum hauv ib daim ntawv yuav luag tsis hloov.
Cov lus qhia rau kev siv ntsiav tshuaj
Txawm tias tom qab sab laj nrog koj tus kws kho mob tom qab yuav cov tshuaj, cov lus qhia rau kev siv yuav tsum tau ua tib zoo kawm. Yog tias koj muaj lus nug nrog tus neeg mob, koj yuav tsum nrhiav tus kws kho mob cov lus ntuas.
Cov ntsiav tshuaj tau pom zoo kom siv thaum lub sijhawm lossis tom qab noj mov. Lawv tsis yog zom, tab sis nqos nrog ib khob dej. Cov lus piav qhia ntawm cov tshuaj hais tias thawj zaug tshuaj rau cov laus yog 1000-1500 mg ib hnub. Hauv qhov no, nws yog ntshaw kom faib cov koob tshuaj ntau zaug hauv ib hnub. Qhov kev pom zoo no yog vim qhov tseeb tias thaum lub sijhawm yoog lub cev mus rau qhov kev ua ntawm metformin, qee qhov kev mob tshwm sim, feem ntau cuam tshuam nrog kev zom cov txheej txheem. Tus mob ntshav qab zib tuaj yeem yws yws txog ntuav, raws plab, hloov pauv hauv qhov qab, mob plab, thiab flatulence. Txawm li cas los xij, tom qab 10-14 hnub, cov kev cuam tshuam no ploj mus ntawm lawv tus kheej.
Tom qab lub cev tau siv tshuaj metformin, tus kws kho mob tuaj yeem nce cov tshuaj ntxiv ntawm cov neeg sawv cev hypoglycemic raws li tus neeg mob cov ntshav qab zib. Txoj kev saib xyuas txij nkawm tau txiav txim siab los ntawm 1500 txog 2000 mg rau ib hnub. Qhov pom zoo pub rau txhua hnub yog 3000 mg.
Yog tias tus neeg mob hloov mus rau Metformin Canon nrog lwm cov kev tawm tsam, nws yuav tsum tsum tsis txhob noj lub tom kawg. Thaum muab cov tshuaj sib xyaw nrog cov tshuaj insulin, nws raug nquahu thaum pib kho kom noj 500 lossis 850 mg ob rau peb zaug ib hnub. Metformin 1000 mg tau noj ib hnub ib zaug.
Cov menyuam yaus uas muaj hnub nyoog txog 10 xyoo tuaj yeem pib kho nrog 500 mg ntawm yeeb tshuaj. Nws raug nquahu kom noj hmo thaum noj mov. Tom qab 10-14 hnub, tus kws kho mob tuaj yeem nce cov tshuaj rau txhua hnub rau 1000-1500 mg. Tso cai rau tus menyuam noj tsis pub ntau tshaj 2000 mg rau ib hnub.
Cov neeg mob ntshav qab zib tsim nyog yuav tsum tau tshwj xeeb. Dosages thiab sijhawm ntawm kev kho mob yog xaiv los ntawm tus kws kho mob tshwj xeeb. Hla lub hnub nyoog 60 xyoo, ib qho yeeb tshuaj hypoglycemic tuaj yeem ua rau lub raum tsis ua hauj lwm.
Nws yuav tsum raug sau tseg tias cov khoom tsis tuaj yeem nqus tsis tau yam tsis muaj ntawv kho mob. Txoj kev ntim cov Metformin Canon yuav tsum ceev cia kom tsis txhob ncav cuag tshav ntuj thiab av noo. Cia qhov kub thiab txias yuav tsum tsis tshaj 25 degrees Celsius.
Tom qab hnub tas sij hawm, uas yog 2 xyoos, kev siv tshuaj tiv thaiv kab mob kev nkeeg yog txwv tsis pub.
Cov kev thaiv tsis zoo thiab cov tshuaj tiv thaiv tsis zoo
Metformin Canon tsis tuaj yeem siv nrog hypersensitivity rau cov nquag ua haujlwm thiab kev nthuav dav. Ntxiv rau, nws tsis yog siv thaum yug menyuam thiab yug menyuam. Qhov no tau piav qhia los ntawm qhov tseeb tias cov chaw tsim khoom lag luam tsis ua cov kev tshawb fawb txaus kom paub cov nyhuv ntawm metformin hauv niam cev xeeb tub thiab lactating. Yog li, thaum npaj kev cev xeeb tub, cov tshuaj raug tso tseg. Yog tsim nyog, siv thaum lactation yog txwv tsis pub.
Hais txog lub hnub nyoog ntawm cov neeg mob, muaj qee lub moj khaum. Raws li tau hais ua ntej, nws yog txwv tsis pub noj cov tshuaj rau cov menyuam yaus hnub nyoog qis dua 10 xyoo. Nrog ua ntej, Metformin Canon yuav tsum tau siv rau cov neeg mob hnub nyoog laus dua 60 xyoo, tshwj xeeb tshaj yog cov neeg ua haujlwm hnyav lub cev.
Cov ntawv qhia txuas nrog ntau pathologies thiab xwm txheej nyob rau hauv uas kev siv tshuaj tiv thaiv hypoglycemic yog contraindicated. Cov no suav nrog:
- Kev tsim cov kab mob lactic acidosis.
- Haus dej cawv.
- Kev haus cawv mus ntev
- Kev noj zaub mov kom tsawg, kom lawv noj tsawg dua 1000 kcal ib hnub.
- Raug mob hnyav thiab doog ntshav.
- Kev phais mob
- Tsis hlauv.
- Kev tsim tawm ntawm hypoxia.
- Mob thiab mob ntsws ntev ntev uas tuaj yeem ua rau cov nqaij hypoxia.
- Lub cev qhuav dej vim ntuav, raws plab, kub ib ce, lossis mob hnyav.
- Lub raum tsis ua hauj lwm.
- Mob pathologies uas nce kev pheej hmoo ntawm kev ua tsis taus lub raum.
- Kev txhim kho ntawm coma, precoma, lossis ketoacidosis uas mob ntshav qab zib.
- Kev siv ntawm iodine-muaj qhov tsis sib thooj ntawm tus neeg sawv cev thaum lub sijhawm tshawb nrhiav radiological lossis radioisotope (2 hnub ua ntej thiab tom qab).
Ntawm cov kev mob tshwm sim uas feem ntau tshwm sim los ntawm qhov tsis ua raws li cov cai ntawm kev noj tshuaj, peb tuaj yeem paub qhov txawv:
- kev zom plab (feem ntau cuam tshuam nrog kev yoog ntawm lub cev mus rau metformin);
- CNS tsis meej - kev hloov pauv ntawm kev saj (saj ntawm hlau hauv lub qhov ncauj);
- daim siab ua hauj lwm, kev loj hlob ntawm daim siab;
- kev hloov pauv ntawm daim tawv nqaij - liab, khaus, tawm pob, erythema (tsis tshua muaj);
- lactic acidosis;
- tsis hnov qab nqus ntawm cov vitamin B9;
- vitamin B12 tsis muaj peev xwm.
Nrog kev noj tshuaj ntau dhau, kiv taub hau tshwm sim, clouding ntawm kev nco qab, qhov mob ntawm cov nqaij thiab lub plab tshwm sim, lub cev kub nce, kev zom, kev zom, yam ntxwv ntawm lactic acidosis, cuam tshuam. Nyob rau hauv cov teeb meem loj, lub coma yuav loj hlob, nyob rau hauv uas tus neeg mob yuav tsum tau coj sai mus rau lub tsev kho mob.
Qhov kev ua tau zoo tshaj plaws ntawm kev tshem tawm cov lactate ntau tshaj yog hemodialysis, thiab kev kho mob cov tsos mob kuj tseem ua.
Lwm cov tshuaj sib cuam tshuam
Raws li koj paub, qee cov tshuaj tuaj yeem ua rau muaj kev cuam tshuam ncaj qha rau kev ua ntawm Metformin Canon, txo lossis nce nws cov nyhuv hypoglycemic.
Cov lus qhia tau hais tias kev sib xyaw ua ke yog kev siv ntawm iodine-muaj qhov sib xyaw sib xyaw.
Tawm tsam keeb kwm yav dhau los ntawm lub raum tsis ua haujlwm hauv cov neeg mob, lawv tuaj yeem ua rau kev txhim kho ntawm cov kab mob lactic acidosis. Nws kuj tseem tsis pom zoo kom sib xyaw ua ke haus cawv, lub voj kev tshuaj thiab kev npaj muaj ethanol nrog metformin.
Qhov kev tshwj xeeb tshwj xeeb yog qhov yuav tsum tau los ntawm cov tshuaj uas tuaj yeem ua rau qaug zog ntawm kev ua cov tshuaj metformin thiab ua rau hyperglycemia. Cov no suav nrog:
- Danazole
- Chlorpromazine.
- Cov tshuaj tiv thaiv.
- Glucocortecosteroids.
- Beta2-adrenergic agonists.
Angiotensin-hloov enzyme inhibitors, insulin txhaj tshuaj, salicylates, acarbose thiab sulfonylureas derivatives tuaj yeem txhim kho hypoglycemic nyhuv ntawm metformin.
Nws yog ib qho tsim nyog yuav tsum tau coj mus rau hauv tus account tias thaum noj nifedipine thiab metformin, kev mob ntshav qab zib yuav tshwm sim mob ntshav qab zib mellitus. Txhawm rau tiv thaiv kev txhim kho lub raum tsis ua haujlwm, nws yog qhov yuav tsum tau siv NSAIDs nrog ceev faj.
Nyob rau hauv txhua rooj plaub, thaum txiav txim siab yuav siv cov tshuaj, ua ntej ntawm txhua yam, nws yog qhov yuav tsum tau sab laj nrog koj tus kws kho mob. Kev zais ntawm cov pathologies los ntawm kws kho mob tuaj yeem ua rau muaj qhov tsis tuaj yeem hloov pauv tau.
Tus nqi thiab tshuaj tshuaj
Txhua tus neeg mob muaj txoj hauv kev los yuav cov tshuaj no hauv cov khw muag tshuaj lossis sau ib daim ntawv thov rau kev yuav khoom hauv khw muag khoom lub vev xaib.
Ib tus neeg tuaj yeem yuav tsom tsis tsuas yog kho cov nyhuv tshuaj, tab sis kuj ntawm nws tus nqi. Nws yuav tsum raug sau tseg tias Metformin Canon muaj tus nqi tsawg.
Yog li, txhua tus neeg mob tuaj yeem tuaj yeem yuav cov tshuaj.
Nws tus nqi yog nyob ntawm daim ntawv tso tawm thiab cov naj npawb ntawm cov ntsiav tshuaj hauv pob:
- Metformin Canon 500 mg (30 ntsiav tshuaj) - los ntawm 94 txog 110 rubles;
- Metformin Canon 850 mg (30 ntsiav tshuaj) - 112 txog 116 rudders;
- Metformin Canon 1000 mg (30 ntsiav tshuaj) - los ntawm 117 txog 165 rubles.
Ntawm cov kws kho mob thiab cov neeg mob, koj tuaj yeem pom ntau cov lus zoo hais txog kev siv cov tshuaj no. Yog li, cov ntshav qab zib tau ceeb toom tias Metformin Canon tswj cov qib ntshav qabzib tsis tas ua rau cov ntshav qab zib. Kev txheeb xyuas tseem qhia tau poob phaus ntawm cov neeg rog. Yog li, ntawm qhov zoo ntawm cov tshuaj tuaj yeem txheeb xyuas kev ua tau zoo, yooj yim siv thiab tus nqi qis.
Kev phiv tsis zoo ntawm lub cev uas tshwm sim nyob rau hauv teb rau qhov kev ua ntawm metformin - kem plab yog suav tias yog qhov tsis zoo ntawm kev siv cov tshuaj no. Tab sis thaum faib cov tshuaj txhua hnub rau hauv ntau zaus, cov tsos mob zoo li txo tau.
Feem coob ntawm cov neeg mob uas tau siv Metformin Canon ib zaug qhia ntxiv tias kev kho mob nrog rau kev siv tshuaj tau raug txo mus rau "tsis tau" yog tias koj tsis ua raws li kev noj zaub mov noj, tsis koom nrog kev ua kis las thiab tsis tswj kev ua kom muaj suab thaj txhua hnub.
Cov tshuaj zoo sib xws
Qee zaum kev siv cov tshuaj yuav dhau los tsis yooj yim rau ntau yam laj thawj, seb nws yog contraindications los yog phiv tshuaj.
Hauv cov xwm txheej zoo li no, txhua lub luag haujlwm yog nyob nrog tus kws kho mob, uas txiav txim siab hloov cov tshuaj. Hauv qhov no, nws yuav tsum coj mus rau hauv theem ntawm cov piam thaj hauv cov ntshav ntawm tus neeg mob thiab nws lub xeev kev noj qab haus huv.
Cov tshuaj zoo sib xws muaj cov nyhuv tshuaj zoo sib xws, tab sis txawv hauv lawv muaj pes tsawg leeg.
Metformin yog ib hom tshuaj uas nrov heev uas siv los ua kom cov ntshav qabzib ntau. Hauv qhov hais txog no, nws raug siv los ua cov haujlwm tseem ceeb ntawm ntau tus neeg sawv cev hypoglycemic.
Ntawm cov analogues paub ntawm Metformin Canon paub qhov txawv:
- Gliformin yog cov tshuaj tiv thaiv kev ua kom zoo uas siv rau kev tsis haum ntawm sulfonylureas. Ua tsaug rau cov metformin uas muaj, nws pab txo kom yuag hauv cov neeg rog. Nws cov nqi nruab nrab yog nyob ntawm daim ntawv tso tawm: 500 mg -106 rubles, 850 mg -186 thiab 1000 mg - 368 rubles.
- Glucophage yog lwm qhov kev kho mob uas zwm rau hauv cov pab pawg biguanide. Nws tshwm sim nyob rau hauv daim ntawv ntawm kev ncua ntev (Glucophage Ntev). Nws kuj tseem siv kho mob ntshav qab zib insulin. Tus nqi nruab nrab ntawm ib pob nyob ntawm 107 txog 315 rubles.
- Siofor 1000 yog ib hom tshuaj siv los tiv thaiv thiab kho ntshav qab zib, nrog rau poob phaus. Qhov nruab nrab, tus nqi nws txawv ntawm 246 txog 420 rubles, yog li nws tsis tuaj yeem hu ua tus qauv pheej yig heev.
- Metformin-Teva yog ib cov tshuaj uas siv rau ntshav qab zib hom 2, thaum kev noj haus thiab kev tawm dag zog tsis muaj zog. Zoo li Metformin Canon, nws ua rau glycemia, lipid metabolism, thiab cov neeg mob lub cev qhov hnyav. Tus nqi nruab nrab ntawm cov tshuaj yog los ntawm 125 txog 260 rubles.
Muaj ntau lwm yam tshuaj uas muaj cov nyhuv zoo ntawm Metformin Canon. Cov ncauj lus kom ntxaws txog lawv tuaj yeem nrhiav siv Is Taws Nem lossis nug koj tus kws kho mob.
Metformin Canon yog tshuaj zoo tiv thaiv kab mob. Nrog rau kev siv kom zoo, koj tuaj yeem tshem tawm cov tsos mob ntawm "tus kab mob qab zib" thiab nyob nrog cov neeg muaj mob noj qab haus huv. Txawm li cas los xij, thaum lub sijhawm siv cov tshuaj, koj yuav tsum ua raws li txhua tus lus qhia ntawm tus kws kho mob, thiaj li tsis ua rau koj tus kheej raug mob.
Tus kws tshaj lij los ntawm daim vis dis aus hauv tsab xov xwm no yuav tham txog Metformin.
