Bagomet yog ib tus neeg sawv cev hypoglycemic uas los ntawm cov pab pawg ntawm biguanides. Cov tshuaj tiv thaiv tseem ceeb ntawm cov tshuaj yog metformin. Cov tshuaj yog tsim nyob rau hauv daim ntawv ntawm biconvex, puag ncig dawb ntsiav tshuaj, txhua ntawm lawv muaj 500, 850 lossis 1000 mg ntawm cov tshuaj yeeb dej caw. Cov tshuaj yuav tuaj yeem yuav hauv hlwv ntawm 10 daim.
Qhov tsuas yog qhia txog kev siv tshuaj yog hom 2 mob ntshav qab zib mellitus, uas tsis tuaj yeem kho nrog kev noj zaub mov noj (rau kev rog cov neeg mob uas tsis nquag txhim kho catoacidosis). Cov tshuaj yuav siv tau los ua kev kho mob monotherapy lossis ua ke nrog insulin, lwm yam ntawm cov tshuaj tiv thaiv kab mob hauv lub qhov ncauj.
Tus nqi ntawm cov tshuaj: 500 mg - los ntawm 220 txog 350 rubles, 850 mg - los ntawm 380 txog 450 rubles, 1000 mg - los ntawm 440 txog 550 rubles. Kev txheeb xyuas txog cov tshuaj kom tag nrho yog ib txwm zoo, cov neeg mob nco ntsoov tus cwj pwm zoo hauv tus kab mob tom qab ob peb hnub ntawm kev kho nrog cov tshuaj.
Bagomet ntsiav tshuaj
Cov tshuaj yog noj ntawm qhov ncauj, tsis txhaws, nrog rau cov dej txaus tsis muaj roj. Nws yog qhov zoo tshaj rau haus cov ntsiav tshuaj tom qab lossis thaum noj mov. Qhov ntau npaum li cas ntawm cov tshuaj yuav tsum tau tsim los ntawm tus kws kho mob koom nrog ib tus zuj zus, nyob ntawm qhov ntsuas glycemia, qhov hnyav ntawm hom 2 mob ntshav qab zib mellitus thiab muaj cov teeb meem tshwm sim.
Thawj qhov ntim ntawm cov tshuaj yog 1000-1500 mg ib hnub, txhawm rau txhawm rau tiv thaiv kev txhim kho ntawm lub cev tsis haum xeeb ntawm lub cev, cov koob tshuaj yuav tsum tau muab faib ua ntau txoj kev noj tshuaj, zoo - 2 lossis 3.
14 hnub tom qab pib txoj kev kho mob, muab tsis muaj kev phiv tshuaj los ntawm cov hnyuv, nws raug tso cai nce tshuaj. Nrog rau maj mam nce hauv cov tshuaj, zam rau kev kho mob lub plab zom mov tuaj yeem hloov kho. Qhov nruab nrab ntawm cov tshuaj txij nkawm nyob ntev li ntawm 1000 txog 1500 mg (muab faib ua ntau zaug).
Yog Bagomet yog ib feem ntawm kev sib ntxiv:
- kev noj tshuaj txhua hnub yuav tsum yog 1500 mg;
- tus nqi ntawm cov tshuaj insulin nyob rau hauv cov ntaub ntawv no yuav tsum tau xaiv ib tus zuj zus.
Thaum kws kho mob sau tshuaj rau lub sijhawm ntev, qhov pib ntawm cov tshuaj yuav yog los ntawm 850 mg txog 1000 mg.
Yog tias tus neeg mob ntshav qab zib ua lub nrawm rau kev mob plab zom mov, Bagomet yuav raug kho nyob rau qhov siv tau qis tshaj plaws.
Cov Yuav Tsum Muaj
Cov tshuaj yog contraindicated nyob rau hauv mob circulatory mob nyob rau hauv lub hlwb, lub plawv, ua pa tsis ua hauj lwm, lub cev qhuav dej, kev haus dej cawv ntev, myocardial infarction thiab lwm yam mob pathological, thaum muaj ib tug muaj peev xwm ntau dua ntawm kev tsim tau lactic acidosis.
Cov tshuaj tsis yog siv rau kev phais mob thiab raug mob hnyav, thaum nws yuav tsum tau siv tshuaj tua kab mob, kho dej cawv sai, ua rau lub siab ua haujlwm tsis zoo, mob raum tshwm sim. Lwm txoj kev tsis sib haum xeeb rau Bagomet: mob ntshav qab zib coma, poj koob yawm txwv, ketoacidosis, hypoxia, sepsis, poob siab, mob raum, mob ntsws bronchopulmonary ailments.
Tus kws kho mob tsis pom zoo kom kho cov kev noj zaub mov uas tsis muaj calorie ntau, yog tias tsim nyog, ua cov xov tooj cua xoo hluav taws xob, kev tshawb nrhiav xoo hluav taws xob uas siv cov tshuaj tiv thaiv tsis zoo uas muaj iodine.
Cov menyuam yaus hnub nyoog qis dua 10 xyoo yuav tsum tsis txhob siv Bagomet ntawm txoj cai ntawm 500 mg, cov menyuam yaus hnub nyoog qis dua 18 xyoo tsis tau muab tshuaj rau 850 thiab 1000 mg. Lwm yam contraindications yuav yog:
- lub sijhawm cev xeeb tub thiab lactation;
- tob tob tob rau lub ntsiab active khoom sib ua tshuaj.
Nrog rau qhov ceev faj, cov ntsiav tshuaj yuav tsum tau noj los ntawm cov neeg laus ntshav qab zib, nrog rau leej twg ua lub cev ua haujlwm nyuaj, tus nqi ntawm cov kev kho mob ntawd yog kev loj hlob ntawm cov kua mis qaub acidosis.
Muaj cov nyom phiv rov qab, noj ntau dhau
Nws yog qhov ua tau tias cov tshuaj Bagomet yuav ua rau ntau qhov tsis txaus siab ntawm lub cev. Yog li, tus kab mob ntshav qab zib tuaj yeem xav teeb meem nrog lub plab zom mov: xeev siab, ntuav, saj ntawm hlau hauv kab noj ntawm qhov ncauj, ua tsis taus pa, raws plab thiab mob plab.
Los ntawm ib sab ntawm lub hauv nruab nrab lub paj hlwb, nws tuaj yeem mob taub hau, muaj kev nkees sai sai, kiv taub hau, ua rau lub cev tsis muaj zog.
Qee zaum cov metabolism yuav hnov qab, nrog kev kho mob ntev nrog cov tshuaj, vitamin B12 hypovitaminosis, lactic acidosis tau sau tseg.
Raws li kev tshuaj xyuas cov neeg mob, qee zaum muaj qee yam ntshav siab tsis txaus, megaloblastic anemia, ua pob rau daim tawv nqaij, mob erythema thiab mob pruritus.
Yog tias tus neeg mob tau noj ntau dhau heev lawm ntawm cov ntsiav tshuaj, nws muaj kev mob lactic acidosis nrog rau kev mob hnyav. Thawj cov cim ntawm tus mob no yuav yog:
- ntuav
- xeev siab
- mob hauv plab hauv plab;
- mob leeg
- txo hauv lub cev kub.
Raws li qhov xwm txheej loj zuj zus, ua pa ceev, tsis hnov qab thiab tsis meej pem, kiv taub hau yog pom, thaum tsis muaj kev kho kom txaus, cov ntshav qab zib poob rau hauv lub cev tsis xeev.
Yog tias kuaj mob lactic acidosis hauv tus neeg mob uas muaj tus mob ntshav qab zib hom 2 mob ntshav qab zib, kev kho mob nrog rau cov tshuaj raug nres, tus neeg mob yuav tsum tau coj mus rau lub tsev kho mob tam sim ntawd. Txhawm rau paub tseeb tias qhov kev thov kuaj mob hauv tsev kho mob, tus kws kho mob yuav tsum tsim kom muaj tus nqi ntawm lactate hauv tib neeg lub cev.
Hauv qhov no, hemodialysis yuav dhau los ua cov ntaub ntawv ntau li ntau tau, kev kho cov tsos mob yog ntxiv ntxiv.
Cov lus qhia tshwj xeeb
Thaum lub sijhawm kho mob, nws yuav tsum tau soj ntsuam cov ntshav qab zib kom tsis txhob muaj kab mob, qhov no yog ua rau ntawm lub plab khoob thiab tom qab noj mov. Yog tias xav tau kev kho mob sai sai rau kev siv tshuaj radioisotope thiab X-ray siv cov tshuaj tiv thaiv kev sib xyaw, Bagomet tau qhia tias yuav tsum tau muab tso tseg 2 hnub ua ntej kev ua thiab ua kom tsis txhob noj cov ntsiav tshuaj 2 hnub ntxiv tom qab kev siv dag zog.
Ib qho kev pom zoo zoo li no yuav tsum tau txais thaum phais mob nrog tshuaj loog, txha caj qaum thiab epidural anesthesia.
Thaum tus mob ntshav qab zib ceeb toom txog kev mob plab, mob hnyav, mob nqaij pob txha, txhaws qa thiab xeev siab, nws tau hais kom nws tam sim ntawd nrog kws kho mob kom muab tswv yim. Cov tsos mob muaj npe tuaj yeem yog pov thawj ntawm cov kev mob uas pib pom.
Yog tias muaj keeb kwm ntawm lub raum mob, muaj cov kev qhia los sau tshuaj Bagomet nrog kev ceev faj heev. Piv txwv, qhov no yog qhov tseem ceeb thaum pib kho:
- tshuaj kho mob;
- non-steroidal anti-inflammatory;
- antihypertensive cov neeg sawv cev.
Nyob rau hauv cov ntaub ntawv ntawm kev loj hlob ntawm cov cim ntawm kev kis tus kab mob ntawm genitourinary kheej los yog nrog rau tus mob bronchopulmonary, kev sab laj ntawm kws kho mob kuj tsim nyog. Rau lub sijhawm ntawm kev kho mob, tsis hais txog kev haus dej haus cawv yog qhov qhia, qhov no yuav pab tiv thaiv kev txhim kho ntawm cov kab mob lactic acidosis.
Yog tias nws yuav tsum tau ua ke Bagomet nrog lwm cov tshuaj los ua kom muaj glycemia li qub, tus kws kho mob pom zoo kom ceev faj thaum ua haujlwm ua haujlwm txaus ntshai, uas yuav tsum muaj:
- nce kev mloog ntxiv;
- ceev ntawm kev xav txog psychomotor.
Khaws cov tshuaj rau hauv qhov chaw uas tsis zoo rau me nyuam yaus, hauv chav sov tsis siab dua 25 degrees. Lub txee lub neej ntawm cov ntsiav tshuaj yog 2 xyoos. Cov tshuaj yog tso tawm tshwj xeeb los ntawm cov tshuaj los ntawm cov kws kho mob tuaj koom, cov tshuaj hauv npe B.
Analogs
Raws li cov khoom siv tseem ceeb, Bagomet yuav yog cov tshuaj ntxiv: Gliformin, Langerin, Metospanin thiab Glucobay, ntxiv rau Formetin.
Cov cim qhia ntawm cov txheej txheem ntawm kev cuam tshuam rau lub cev: Glemaz, Diatika, Diabinax, Glidiab, Diamerid, Maniglide.
Tus nqi ntawm cov tshuaj no yog nyob ntawm cov chaw tsim khoom, kev sib pauv thiab kev lag luam tam sim no.
Hauv video hauv kab lus no, kws tua tus kws kho mob hais txog hom mob ntshav qab zib hom 2 thiab tshuaj muaj ntshav qab zib.
