Coob tus neeg mob ntshav qab zib muaj lub siab xav txog lo lus nug: Metformin lossis Diabeton - uas zoo dua?
Ob qho tshuaj yeeb tshuaj no yog tsim los txo cov piam thaj hauv hom 2 ntshav qab zib mellitus.
Txhua xyoo cov naj npawb ntawm cov neeg mob los ntawm tus kab mob no nce ntxiv, yog li ntawd yuav tsum xaiv cov tshuaj txo cov ntshav qab zib kom zoo tshaj plaws. Ua nrov ntawm ntau cov tshuaj hypoglycemic, txhua ntawm lawv muaj ob qho zoo thiab qee qhov tsis zoo.
Cov yam ntxwv ntawm kev siv Metformin
Metformin yog cov tshuaj tiv thaiv kev tiv thaiv zoo uas siv thoob ntiaj teb. Tsis ceeb, qhov tseem ceeb ntawm metformin - hydrochloride siv ntau yam tshuaj zoo sib xws.
Kev qhia rau kev siv cov tshuaj no yog ntshav qab zib (2) yam tsis muaj ketoacidosis, zoo li tsis tas li los ua ke nrog kev kho mob.
Qhov no yog qhov sib txawv ntawm Metformin, vim tias Diabeton tsis siv nrog kev txhaj tshuaj hormone.
Kev siv cov tshuaj yuav raug txwv yog tias:
- ua kom lub cev tsis haum rau cov tshuaj;
- nqa tus menyuam thiab pub niam mis;
- kev noj haus kom tsawg dua 1000 kcal / hnub;
- cov uas ua rau mob ntshav qab zib thiab coma, ketoacidosis;
- cov xwm txheej ntawm hypoxia thiab lub cev qhuav dej;
- mob thiab mob raum;
- cov kab mob sib kis;
- kev phais mob;
- daim siab ua haujlwm siab;
- lactic acidosis;
- mob qaug cawv qaug cawv;
- Kev yees duab xoo hluav taws xob thiab xoo hluav taws xob nrog kev qhia txog iodine-muaj cov tshuaj yeeb dej caw.
Yuav ua li cas rau cov tshuaj kom raug thiab ntau npaum li cas? Tsuas yog tus kws kho mob tshwj xeeb tuaj yeem txiav txim qhov tsuas tshuaj, coj mus rau hauv theem ntawm glycemia thiab kev mob ntawm tus neeg mob. Qhov hno tshuaj nruab nrab mas txawv txij li 500 txog 1000 mg rau ib hnub.
Lub chav kawm ntawm kev kho mob kav ntev txog li ob lub lis piam, tom qab uas tus kws kho mob kho cov ntau npaum li cas nyob ntawm kev kho tshuaj ntawm cov tshuaj. Thaum tswj hwm cov dej qab zib cov piam thaj ib txwm, koj yuav tsum haus txog 2000 mg ib hnub twg. Qhov siab rau ib hnub ntau yog 3000 mg. Cov neeg mob ntawm cov hnub nyoog qib (ntau dua 60 xyoo) yuav tsum haus ntau txog 1000 mg ib hnub twg.
Raws li qhov siv tsis raug lossis rau lwm qhov laj thawj, qhov tshwm sim ntawm kev tsis haum yog qhov ua tau:
- Kev kub siab lub xeev.
- Megablastic anemia.
- Daim tawv nqaij ua pob.
- Kev tsis haum rau cov vitamin B12.
- Lactic acidosis.
Ntau zaus, hauv thawj ob lub lis piam ntawm kev kho, ntau tus neeg mob muaj kem plab. Nws tuaj yeem yog ntuav, raws plab, muaj roj ntau dua, ua pa lossis saj plab. Txhawm rau tshem tawm cov tsos mob zoo li no, tus neeg mob siv tshuaj antispasmodics, derivatives ntawm atropine thiab antacids.
Nrog kev siv tshuaj ntau dhau, lactic acidosis yuav pib mob. Nyob rau hauv qhov phem tshaj qhov xwm txheej, qhov xwm txheej no ua rau kev loj hlob ntawm coma thiab tuag. Yog li, yog tias tus neeg mob lub plab ua rau lub plab zom mov, qhov txo qis ntawm lub cev kub, tsaus muag thiab ua pa nrawm, nws yuav tsum maj nrawm mus rau tsev kho mob!
Cov yam ntxwv ntawm cov tshuaj Diabeton MV
Tus thawj tshuaj yog suav hais tias yog Diabeton.
Tsis ntev los no, cov tshuaj no tau siv tsawg dua thiab tsawg dua, vim tias Diabeton tau hloov pauv los ntawm Diabeton MV, uas noj tsuas yog 1 zaug hauv ib hnub.
Qhov tseem ceeb ntawm cov tshuaj hypoglycemic yog gliclazide.
Cov tshuaj yog qhia rau cov ntshav qab zib (2), thaum kev qhia noj zaub mov thiab kev ua kis las tsis pab txo qis cov ntshav qab zib.
Tsis zoo li Metformin, Diabeton tau siv rau cov hom phiaj prophylactic los tiv thaiv kev txhim kho ntawm nephropathy, retinopathy, mob stroke, thiab myocardial infarction.
Qee qhov xwm txheej, kev siv tshuaj yeeb tshuaj Diabeton MV tuaj yeem pom nyob hauv cov neeg mob vim tias:
- lub cev tsis haum rau cov khoom xyaw;
- nqa tus menyuam thiab pub niam mis;
- kev siv ntawm miconazole hauv cov complex;
- cov kab mob ntshav qab zib insulin;
- cov menyuam yaus hnub nyoog (txog 18 xyoo);
- mob dias taub, precoma thiab ketoacidosis;
- mob raum thiab / lossis daim siab ua haujlwm.
Tsis tas li ntawd, nws tsis pom zoo kom siv cov tshuaj no ua ke nrog danazol lossis phenylbutazone. Vim tias qhov tseeb tias cov tshuaj muaj lactose, nws txoj kev siv yog qhov tsis txaus siab rau cov neeg mob uas raug mob los ntawm kev mob tsis haum mis, mob ntshav qab zib / galactose malabsorption syndrome lossis galactosemia. Nws kuj tseem pom zoo tsis xav siv Diabeteson MV thaum muaj hnub nyoog laus (tshaj 65 xyoos) thiab nrog:
- Kev hloov plawv.
- Kev noj haus tsis sib npaug.
- Renal thiab / lossis daim siab ua haujlwm.
- Txo cov thyroid muaj nuj nqi.
- Pituitary lossis adrenal tsis txaus.
- Kev haus cawv mus ntev.
- Lub sijhawm ntev kho mob corticosteroids.
Tsuas yog tus kws koom nrog tshwj xeeb txiav txim qhov xav tau ntau npaum li cas ntawm cov tshuaj. Cov lus qhia pom zoo kom noj tshuaj thaum sawv ntxov ib hnub ib zaug. Qhov koob tshuaj txhua hnub yog los ntawm 30 txog 120 mg. Rau cov neeg mob uas muaj hnub nyoog 65 xyoos, qhov xav kom ntau tshaj yog 30 mg rau ib hnub. Kev siv tshuaj zoo ib yam yuav tsum tau ua nrog qhov tshwm sim siab ntawm kev txhim kho hypoglycemia. Raws li qhov kev siv tsis raug, qhov ua rau muaj teeb meem rau Diabeton yog raws li nram no:
- sai zuj zus hauv cov piam thaj hauv cov ntshav (vim yog noj ntau dhau);
- nce kev ua si ntawm daim siab enzymes - ALT, alkaline phosphatase, AST;
- cholestatic jaundice;
- lub plab zom mov;
- ua txhaum ntawm lub twj siv kom pom;
- kab mob siab
- hematological ntshawv siab (leukopenia, anemia, granulocytopenia thiab thrombocytopenia);
Tsis tas li ntawd, muaj ntau yam tshwm sim ntawm daim tawv nqaij (ua pob liab, Quincke's edema, kev ua kom tawv nqaij, khaus) tuaj yeem tshwm sim.
Kev Sib Tham Sib Tham Yeeb Tshuaj
Qee lub sij hawm qhov sib xyaw ntawm ib qho tshuaj ob zaug tsis tau.
Raws li qhov lawv tau siv, tsis hloov pauv, thiab tseem muaj kev tuag ntau yog tias muaj.
Vim li no, tus neeg mob yuav tsum ntsib tus kws kho mob uas yuav tsum ua tib zoo suav nrog txhua yam cuam tshuam uas yuav cuam tshuam rau kev ua haujlwm ntawm cov tshuaj, tsis hais nws yuav yog Diabeton lossis Metformin.
Muaj qee qhov nqi ntawm cov tshuaj uas tuaj yeem txhim kho thiab txo qis kho qhov cuam tshuam ntawm cov tshuaj.
Tshuaj uas txhim kho qhov kev ua ntawm Metformin, uas cov suab thaj txo qis:
- Derivatives ntawm sulfonylureas.
- Kev txhaj tshuaj insulin Feem ntau, nws tsis tas yuav tau tso cov tshuaj insulin subcutaneously nrog kev siv cov tshuaj txo cov ntshav qab zib.
- Derivatives ntawm clofibrate.
- NSAIDs.
- β-blockers.
- Cyclophosphamide.
- MAO thiab ACE inhibitors.
- Acarbose.
Cov tshuaj uas cov ntshav qab zib feem ntau tom qab noj ntshav qab zib MV txo:
- Miconazole;
- Phenylbutazone;
- Metformin;
- Acarbose;
- Cov tshuaj insulin;
- Thiazolidinediones;
- GPP-1 agonists;
- β-blockers;
- Fluconazole;
- MAO thiab ACE inhibitors;
- Clarithromycin;
- Sulfonamides;
- Histamine H2 receptor blockers;
- NSAIDs
- DPP-4 cov tshuaj tiv thaiv.
Txhais tau hais tias pab txhawb kom muaj suab thaj ntau ntxiv thaum noj nrog Metformin:
- Danazole
- Thiazide thiab voj kev kho mob.
- Chlorpromazine.
- Cov tshuaj tiv thaiv.
- GCS.
- Epinofrin.
- Derivatives ntawm nicotinic acid.
- Sympathomimetics.
- Epinephrine
- Cov thyroid hormones.
- Glucagon.
- Tshuaj Txau (qhov ncauj).
Cov tshuaj uas ua rau nce hyperglycemia thaum siv nrog Diabeton MV:
- Ethanol;
- Danazole;
- Chlorpromazine;
- GCS;
- Tetracosactide;
- Beta2-adrenergic agonists.
Metformin, yog tias noj ntau ntawm cov tshuaj, ua rau lub ntsej muag tsis muaj zog. Kev siv cov cimetidine thiab cawv ua rau lactic acidosis.
Diabeton MB tuaj yeem txhim kho cov nyhuv ntawm anticoagulants ntawm lub cev.
Tus nqi thiab tshuaj tshuaj
Tus nqi ntawm cov tshuaj kuj tseem yog lub luag haujlwm tseem ceeb. Thaum xaiv cov tshuaj tsim nyog, tus neeg mob coj mus rau hauv tus account tsis tsuas yog nws cov txiaj ntsig kho, tab sis kuj tus nqi, raws li lawv cov peev nyiaj txiag.
Txij li cov tshuaj Metformin yog qhov nrov heev, nws tsim nyob rau hauv ntau cov cim kev lag luam. Piv txwv, tus nqi ntawm Metformin Zentiva sib txawv ntawm 105 txog 160 rubles (nyob ntawm daim ntawv ntawm qhov teeb meem), Metformin Canon - los ntawm 115 txog 245 rubles, Metformin Teva - los ntawm 90 txog 285 rubles, thiab Metformin Richter - ntawm 185 txog 245 rubles.
Raws li rau cov tshuaj Diabeton MV, nws tus nqi sib txawv ntawm 300 mus rau 330 rubles. Raws li koj tuaj yeem pom, tus nqi sib txawv yog qhov pib pom. Yog li, tus neeg mob uas tau nyiaj tsawg yuav tau xaiv txoj kev pheej yig tshaj.
Hauv Is Taws Nem koj tuaj yeem pom ntau cov kev txheeb xyuas zoo txog ob qho tshuaj. Piv txwv, ib qho ntawm Oksana cov lus hais (hnub nyoog 56 xyoo): “Kuv muaj ntshav qab zib hom 2, thaum xub thawj kuv tuaj yeem ua yam tsis muaj tshuaj txhaj insulin, tab sis thaum kawg kuv yuav tsum tau mus rau lawv. Metformin: Tom qab kuv haus tshuaj thiab txhaj tshuaj insulin, kuv qab zib tsis nce ntau dua 6-6,5 mmol / l ... "Rov los ntawm George (49 xyoo):" Tsis muaj teeb meem ntau npaum li cas cov tshuaj qab zib uas kuv tau sim, tsuas yog Diabeton MV pab daws Kuv tsis paub siv cov tshuaj zoo tshaj plaws ... "
Ib qho ntxiv, feem ntau cov neeg mob ntshav qab zib kho nrog Metformin tau sau tseg tias qhov hnyav hauv lub cev hnyav dua li ob peb phaus. Raws li kev tshuaj xyuas, nws txo cov qab los noj mov ntawm tus neeg mob. Yog lawm, koj tsis tuaj yeem ua yam uas tsis muaj zaub mov zoo.
Tib lub sijhawm, muaj kev txheeb xyuas tsis zoo txog tshuaj. Lawv cuam tshuam nrog qhov muaj cov tshwm sim, tshwj xeeb nrog kev ua kom tsis haum, kem plab thiab cov piam thaj txo qis.
Peb tuaj yeem xaus lus tias txhua qhov tshuaj muaj ob qho zoo thiab qhov tsis zoo. Yuav kom ntseeg lwm tus neeg lub tswv yim yog 100% tsis tsim nyog.
Tus neeg mob thiab tus kws kho mob lawv tus kheej txiav txim siab xaiv cov tshuaj twg, muab nws cov txiaj ntsig thiab qhov nqi.
Cov tshuaj ntawm Metformin thiab Diabeton
Nyob rau hauv rooj plaub thaum tus neeg mob tau contraindications rau ib qho kev kho mob lossis nws muaj kev mob tshwm sim, tus kws kho mob hloov txoj kev kho mob. Rau qhov no, nws xaiv ib cov tshuaj uas muaj cov nyhuv kho zoo sib xws.
Metformin muaj ntau yam neeg sawv cev. Ntawm cov tshuaj uas suav nrog metformin hydrochloride, Gliformin, Glucofage, Metfogamma, Siofor thiab Formetin tuaj yeem sib txawv. Cia peb nyob hauv kev nthuav dav ntxiv rau ntawm yeeb tshuaj Glucofage.
Nov yog ib txoj kev kho tau zoo los tswj hwm tus mob ntshav qab zib.
Ntawm qhov muaj txiaj ntsig zoo ntawm kev siv tshuaj Glucophage tuaj yeem paub qhov txawv:
- glycemic tswj;
- stabilization ntawm cov ntshav piam thaj;
- kev tiv thaiv ntawm cov teeb meem;
- poob phaus.
Raws li rau contraindications, lawv tsis txawv ntawm Metformin. Nws siv raug txwv rau thaum menyuam yaus thiab hnub nyoog laus. Tus nqi ntawm cov tshuaj nws txawv ntawm 105 rau 320 rubles, nyob ntawm daim ntawv tso tawm.
Qhov twg yog qhov zoo dua - Glucophage lossis Diabeton? Lo lus nug no tsis tuaj yeem raug teb ncaj qha. Txhua yam nws yog nyob ntawm theem ntawm glycemia, lub xub ntiag ntawm cov teeb meem, cov kab mob concomitant thiab tus neeg mob lub neej. Yog li, yuav siv dab tsi - Diabeton lossis Glucophage, txiav txim los ntawm tus kws tshwj xeeb ua ke nrog tus neeg mob.
Ntawm cov tshuaj zoo sib xws ntawm Diabeton MV, Amaryl, Glyclada, Glibenclamide, Glimepiride, ntxiv rau Glidiab MV tau suav tias yog cov neeg nyiam tshaj plaws.
Glidiab yog lwm txoj kev hloov kho tshuaj. Ntawm qhov zoo ntawm cov tshuaj, nws yog ib qho tsim nyog yuav tsum hais txog nws cov txiaj ntsig tiv thaiv kev txhim kho ntawm cov mob hemorheological. Nws tseem zoo txo thiab tswj cov suab thaj hauv cov ntshav qab zib. Nws tus nqi nyob ntawm 150 txog 185 rubles.
Raws li koj tuaj yeem pom, qhov sib txawv hauv kev nqis tes ua, contraindications thiab tshuaj sib cuam tshuam yuav tsum raug coj los txiav txim. Tab sis kev siv tshuaj kho tawm tsis yog txhua yam. Saib cov cai tswj kev noj zaub mov zoo thiab kawm siv lub cev, koj tuaj yeem tshem tawm cov kab mob glycemic thiab ua kom cov kabmob muaj kev tswjhwm.
Nyob Zoo Tus Neeg Mob! Yog tias koj tseem tsis tau noj tshuaj hypoglycemic, tab sis koj cov piam thaj hauv qib tsis tuaj yeem tswj tau nrog kev noj zaub mov zoo thiab tawm dag zog, noj Metformin lossis Diabeton. Ob qho tshuaj yeeb no ua rau txo cov suab thaj ntau. Txawm li cas los xij, sab laj nrog koj tus kws kho mob ua ntej. Cov vis dis aus hauv tsab xov xwm no txuas ntxiv lub ntsiab lus ntawm kev siv Metformin.
