FORMETIN - COV LUS QHIA RAU KEV SIV, NQE, XYUAS THIAB ANALOGUES

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Cov lus qhia qauv tshuaj rau kev siv yog tus yam ntxwv ua cov tshuaj tiv thaiv kab mob zoo ntawm cov chav kawm biguanide. Cov peculiarity ntawm cov tshuaj yog nws cov versatility: ntsiav tshuaj tuaj yeem siv rau hauv kev kho mob ntshav qab zib hom 2, noj Formin thiab cov uas nws hom rog tsis tso cai rau koj kom yuag tsuas yog los ntawm kev noj zaub mov thiab kev ua kis las.

Cov neeg mob ntshav qab zib feem ntau zam txoj kev kho kom yooj yim, qhov tsis xav ua yuav tshwm sim ntau dua yog tias cov lus qhia thiab cov cai uas kws kho mob sau tseg tsis ua raws. Cov lus qhia ntawm cov lus qhia ntawm lub xaib no tau yooj yim, ntxiv los ntawm kev txheeb xyuas thiab cov lus pom. Nws tsis yooj yim sua kom pom nws cov lus qhia rau kev coj tus kheej.

Dosage daim ntawv thiab cov kev mob cia

Sab nraud, cov tshuaj muaj qhov pom ntawm li niaj zaus zoo li lub qe dawb lub ntsiav tshuaj nrog cov kab sib faib tsis muaj tshwj xeeb saj lossis tsw ntxhiab tsw. Cov ntsiav tshuaj tau ntim rau hauv cov hlwv, hauv ib lub thawv muaj peev xwm muaj 10 lossis 12 daim ntawm cov tshuaj sib txawv: 0.5 g, 0.85 g lossis 1 g txhua. Lawv yog npaj rau kev siv qhov ncauj.

Ib pob tuaj yeem suav los ntawm 30 txog 120 ntsiav tshuaj. Forformin, tus nqi yog nyob ntawm tus naj npawb ntawm cov ntsiav tshuaj hauv lub thawv thiab cheeb tsam. Tus nqi siab kawg ntawm kev siv tshuaj hauv tsev yog 250 rubles. (Daim ntawv 1000, nqe 60 ntsiav tshuaj).

Cov tshuaj tsis tas yuav tshwj xeeb rau kev khaws cia. Hauv chav sov (+ 25 ° C) kom deb ntawm lub teeb ci ntsa iab thiab cov menyuam yaus mloog, Formin tuaj yeem khaws cia rau 2 xyoo - lub neej txee no muaj qhia ntawm pob. Hauv lub neej yav tom ntej, cov tshuaj yuav tsum tau muab pov tseg.

Tus txheej txheem ntawm kev ua ntawm formin

Qhov pib ua haujlwm tseem ceeb ntawm cov tshuaj yog metformin hydrochloride. Ntxiv nrog rau cov khoom tseem ceeb, tseem muaj cov neeg tsis paub nyob hauv cov lus muaj pes tsawg leeg: magnesium stearate, croscarmellose sodium, povidone.

Lub peev xwm ntawm Formetin, uas nws cov duab tuaj yeem pom hauv tshooj no, yog multivariate:

Lowers glycemia;
Nce rhiab heev ntawm cov hlwb rau insulin;
Txwv tsis pub cov nqus ntawm cov suab thaj;
Tswj cov metabolism hauv lipid:
Tsis provoke hnyav nce.

Cov tshuaj tsis txhim kho kev tsim cov tshuaj tua kab mob endogenous, β-hlwb ntawm cov txiav, lub luag haujlwm rau nws cov khoom cua, tsis txhob thauj khoom ntau dhau. Metformin nrawm nrawm: qhov kawg hauv nws qhov kev tsom xam tau pom tom qab ob teev.

Lwm qhov zoo dua ntawm metformin yog nws cov koom haum tsis zoo nrog cov ntshav protein. Formmetin tsis yog qhov muaj txiaj ntsig rau kev txhim kho hypoglycemia. Cov nquag ua haujlwm txuam hauv cov leeg, raum, siab, qog qaub ncaug. Nws yog tawm tsuas yog los ntawm lub raum. Cumulation ntawm metformin yog ua tau nrog tsuas yog loj pathologies ntawm ob lub raum. Tom qab ib teev thiab ib nrab, kev tso tawm ntawm cov tshuaj nquag nrog zis pib.

Txij li thaum cov tshuaj muaj lub nra hnyav ntxiv rau cov kab mob genitourinary, qhov xwm txheej ntawm lub raum thiab ntshav qab zib yuav tsum kuaj xyuas tsawg kawg ob zaug hauv ib xyoos.

Yog tias xav tau myalgia, lub sijhawm lactate hauv cov ntshav yuav tsum kuaj xyuas.

Yuav noj tshuaj li cas

Qhov tshuaj txhua hnub ntawm cov tshuaj no feem ntau muab faib ua ob zaug. Cov lus qhia meej dua yog npaj los ntawm tus kws kho mob uas koom nrog. Kev kho mob pib nrog kev txhaj tshuaj tsawg kawg nkaus (0.5-0.85 g / hnub), ib zaug ib asthiv endocrinologist tuaj yeem kho qhov kev siv tshuaj nyob ntawm kev soj ntsuam ntshav. Qhov siab tshaj plaws yog 3 pcs / hnub.

Metformin ib txwm noj 20 feeb ua ntej noj mov. Tom qab ntawd cov theem ntawm kev zom zaub mov thiab kev noj tshuaj ib yam nkaus.

Tsis noj zaub mov tom qab noj cov tshuaj yog qhov txaus ntshai: koj tuaj yeem ua rau cov piam thaj poob qis.

Formimetin yog dawb do los ntawm cov neeg mob ntshav qab zib uas tswj kev thauj khoom thiab cov txheej txheem nyuaj, vim nws tsis ua rau lub txim tsis tsim nyog uas txo qhov kev mloog zoo thiab ceev ntawm cov tshuaj tiv thaiv.

Hauv kev kho txoj kev nyuaj, phiv yog ua tau, yog li ntawd, cov nuances zoo li no yuav tsum raug pom tseeb los ntawm tus kws kho mob endocrinologist.

Leej twg xav kom noj thiab thaum cov tshuaj yog contraindicated

Formmetin tau tsim los tswj hom mob ntshav qab zib hom 2. Nws ua tiav cov tshuaj insulin nyob rau hauv kev kho mob sib xyaw, tuaj yeem siv rau kev kho mob monotherapy yog tias kev hloov kho hauv lub neej (noj cov zaub mov qis, ua kom lub cev txaus) tsis muab qhov tshwm sim.

Kev txiav txim los ntawm kev txheeb xyuas, cov formatein rau kev poob phaus yog qhia rau hauv android hom kev rog rog ntawm tus mob ntshav qab zib nrog hom mob thib ob, thaum cov rog ua rau thaj chaw hauv plab, feem ntau yog hauv plab.

Kev siv tshuaj kho mob kom kho qhov luaj li neeg noj qab haus huv yog qhov txaus ntshai.

Tsis txhob siv cov tshuaj:

Nrog rau kev ua kom haum nrog kev sib xyaw ntawm cov qauv tshuaj;
Yog tias qhov kev pheej hmoo ntawm cov kab mob lactic acidosis yog ntau dhau;
Nrog rau daim siab ua rau lub siab ua haujlwm siab;
Thaum muaj cawv quav cawv thiab lub keeb kwm ntawm kev quav cawv;
Yog tias muaj concomitant cov kabmob sib kis hnyav;
Yog tias tus mob ntshav qab zib nyob ntawm lub tshaib plab noj mov (txog 1000 kcal / hnub);
Nrog ketoacidosis;
Nyob rau hauv mob ntsws thiab mob raum pathologies;
Yog tus neeg mob tsis zoo li lub chaw tsis xwm yeem lossis qhov mob ua ntej nws;
Thaum muaj keeb kwm ntawm cov hlab plawv, qhov kev ua txhaum ntawm cerebral ntshav txaus.

Nrog kev kub nyhiab dav dav, kev raug mob hnyav, ua ntej thiab tom qab kev khiav haujlwm, tus neeg mob tseem raug xa mus rau cov tshuaj insulin. Yog tias ib lub cim iodine-raws li tau muab rau tus mob ntshav qab zib, 2 hnub ua ntej thiab 3 hnub tom qab kev sim, Formmetin thim tawm.

Tsis txhob xaj tshuaj rau lub sijhawm cev xeeb tub thiab noj niam mis, vim tias cov tshuaj metformin tuaj yeem nkag rau hauv tus menyuam thiab mis niam.

Nrog rau cov kev txwv, lawv siv Formethine rau cov neeg muaj hnub nyoog 65 xyoos, txij li ob lub raum thiab lwm yam hauv cov neeg mob ntshav qab zib nrog cov laus tsis nyob hauv txoj kev mob zoo, thiab qhov kev pheej hmoo ntawm lactic acidosis nce ntxiv.

Phiv thiab haus tshaj

Kev txiav txim los ntawm kev tshuaj xyuas ntawm cov ntsiab lus sib tham, formimetin diabetics zam ib txwm. Txawm li cas los xij, kev qhia muaj ib tug lej ntawm cov cim ntawm qhov yuav tshwm sim nyob rau hauv cov ntaub ntawv ntawm kev noj ntau dhau los yog tus yam ntxwv ntawm lub cev.

Kev kho mob txoj hnyuv. Qee lub sijhawm (hauv 3% ntawm tus neeg mob) mob plab tsis ua haujlwm, ua txhaum ntawm lub suab tawm ntawm lub cev ntawm txoj kev tso quav, tsis qab los noj mov, thiab mob hauv lub epigastrium yog kaw.
Kev fab tshuaj tiv thaiv Cov kev tawm tsam yog ua kom pom kev ua pob (txhais tes, hauv siab, lub puab tsaig), khaus thiab nce ntawm tawv nqaij. Muaj qee zaus, kub taub hau yuav ua tau.
Endocrine system. Kev mob ntshav qab zib tshwm sim thaum muaj qhov tsis sib luag ntawm cov tshuaj uas ua kom muaj peev xwm ntxiv cov tshuaj metformin, nrog rau kev hloov pauv ntawm cov tshuaj thiab cov tshuaj ntawm formin.
Kev zom zaub mov. Hauv cov xwm txheej huab, lactic acidosis pom - qhov xwm txheej txaus ntshai uas yuav tsum tshem tawm sai ntawm cov tshuaj thiab kev kho mob tshwj xeeb.
Nrog lub sijhawm ntev ntawm kev siv cov metformin, nws nqus tau zuj zus, qhov no cuam tshuam cov ntsiab lus ntawm cov vitamins B12 (kev siv ntau tshaj yog ua tau).
Kev kaw lus hauv lub cev. Muaj tsawg (tsawg) ntu kev mob ntshav ntawm megaloblastic anemia.

Raws li kev txheeb cais, cov kev mob tshwm sim feem ntau tshwm sim thaum pib ntawm kev kho, kom txog thaum lub cev tau yoog raws li cov xwm txheej tshiab. Nrog kev siv tsis tu ncua tom qab ib hlis, feem ntau cov tsos mob ploj yam tsis kho ntawm kev kho mob kiag. Nrog rau cov kev mob tshwm sim loj heev, kws kho mob tuaj yeem sau tshuaj antispasmodic lossis antacid.

Yog tias koj txhob txwm los yog txhob txwm nce qib ntau zaus ntau zaus, qhov tshwm sim tuaj yeem yog qhov tseem ceeb (txog thaum tuag). Lactic acidosis tuaj yeem tshwm sim yog tias ntau npaum li cas tau pom, yog tias lub raum tsis lees ua cov tshuaj metabolites hauv lub sijhawm.

Thawj cov tsos mob ntawm tus kab mob lactic acid:

Ib txoj kev ntshav siab heev;
Nkauj Hnub Qub;
Ua npaws lossis ua daus no;
Lub plawv dhia qeeb
Kev ua haujlwm tsis zoo;
Ua tsis taus pa
Mob plab zom mov coma.

Yog tias muaj txawm tias ob peb yam ntawm cov tsos mob tau teev tseg, kev siv cov tshuaj raug tso tseg, tus neeg mob tau muab cov tshuaj nqus kom tso txoj hnyuv tawm ntawm cov tshuaj tsis tau tso cai, thiab lawv hu thov kev pab kho mob. Thaum mus pw hauv tsev kho mob, kho mob hemodialysis, kev kho mob kuj yog tshuaj kho.

Qhia Txog Kev Sib Koom Tes Nrog Tshuaj

Formmetin yog ib qho tshuaj kho mob thoob plaws ntiaj teb: nws tuaj yeem siv rau kev kho mob monotherapy lossis txuas nrog rau lwm cov tshuaj hypoglycemic, suav nrog kev txhaj tshuaj insulin.

Tab sis qee qhov xwm txheej, hauv kev kho cov kab mob concomitant, kev kho nyuaj tuaj yeem muaj cov nyom zoo.

Nrog rau kev tswj hwm tib lub sijhawm ntawm Danazol, nws muaj kev pheej hmoo ntawm lub qog ntshav qab zib, yog li cov tshuaj ntawm cov tshuaj yuav tsum raug tswj hwm nruj lossis hloov nrog ib qho analog.
Thaum ua ke nrog cimetidine, qhov kev nthuav tawm ntawm metformin yog inhibited, nws cov tsub zuj zuj hauv lub cev tuaj yeem muab qhov tshwm sim uas tsis tuaj yeem tswj tau hypoglycemic.
Muaj peev xwm ntawm coumarin derivatives yog inhibited by metformin.
Ua ke nrog kev kho mob nrog carbazole, NSAIDs, clofibrate, insulin, ACE inhibitors, cytophosphamide, β-blockers, sulfonylureas, oxytetracycline txhim kho cov kev ua ntawm metformin.
Cov thawj coj ua ke ntawm glucagon, epinephrine, thiazide diuretics, cov thyroid hormones tiv thaiv kev ua haujlwm ntawm formin.

Thaum siv tshuaj tiv thaiv qhov ncauj, tus poj niam yuav tsum ceeb toom cov hom tshuaj mus rau endocrinologist kom kho qhov koob ntawm Formetin. Tsis txhob sau nws thiab ua ke nrog Nifedipine, uas nce qib ntawm cov metformin hauv cov hlab ntshav, ua kom nrawm nws qhov nqus, txo kev tshem tawm. Yog tias muaj teeb meem nrog lub raum, cov txiaj ntsig zoo li no tuaj yeem ua rau tus neeg tsis xeev rov qab.

Yog tias cov tshuaj ua rau lub hauv paus ntawm ethanol, ua ke nrog metformin, qhov kev pheej hmoo ntawm mob lactic acid nce ntau.

Formmetin tsis yog panacea, zoo li txhua yam tshuaj tiv thaiv kab mob, tab sis yog tias txhua qhov uas yuav tsum ua raws, nws yuav pab tswj ntshav qab zib tau ntev, tsis tas yuav ua rau kom yuag, xws li nws cov analogues.

Formmetin - analogues

Hauv pawg (cov tshuaj tiv thaiv kab mob hauv qhov ncauj) thiab cov tshuaj tiv thaiv (metformin hydrochloride), cov tshuaj hauv qab no sib luag: Metamine, Bagomet, NovoFormin, Formin.

Raws li cov tshuaj muaj peev xwm ntawm Formetin zoo sib xws:

Lymphomyozot;
Multisorb;
Glidiab;
Januvius;
Baeta;
Glucobay;
Glemaz;
Apidra
Khoom Plig Ntsuas;
Piroglar;
Levemir Flekspen;
Levemir Penfill;
Av ‡ Q

Cov kev xaiv ntawm lwm cov kua qab zib qis hauv kev lag luam tshuaj muaj peev xwm loj heev, txawm tias tus kws tshaj lij tshwj xeeb yog qhov nyuaj rau kev nkag mus hauv cov khoom pov thawj. Zoo, thiab cov neeg mob ntshav qab zib kom sim nrog lawv txoj kev noj qab haus huv ntau dua. Yog li, koj yuav tsum tsis txhob cia siab rau lub tswv yim ntawm cov neeg nyob ze lossis kev tshaj tawm hauv cov teeb meem no. Tsuas yog tus kws kho mob yuav xaiv qhov kev hloov pauv zoo, suav nrog qhov hnyav ntawm tus kab mob thiab kev noj qab haus huv feem ntau.

Cov Ntshav Qab Zib Cov Lus Qhia ntawm Formetin

Txog Formin, kev ntsuam xyuas ntawm tus mob ntshav qab zib yog sib xyaw. Cov neeg uas noj tshuaj ntev, nco txog nws cov txiaj ntsig zoo. Cov pib yws txog kev phiv. Dyspeptic mob ploj mus ntawm lawv tus kheej tom qab ob peb lub lis piam, yog tias koj tsis sim nrog kev teem caij ntawm tus kws kho mob. Txawm hais tias lub hnub nyoog txwv nyob rau hauv cov lus qhia yuav tsum tau coj mus rau hauv tus account.

Vera, 49 xyoo. Ntawm Gliformin Kuv tau nyob nrog ntshav qab zib tau 5 xyoos, tab sis maj mam lub cev tau siv rau nws thiab cov nyhuv tsis tiav lawm. Thaum kws kho mob hloov kuv mus rau Formetin, Kuv txhawj xeeb heev tias nws thev tsis taus, thiab yuav tsum zaum zaum ntawm tshuaj insulin. Tab sis cov tshuaj ua rau nws tus kheej: nws ua kom cov suab thaj tshaib plab li ntawm 6,5 mmol / l, thiab tsis pom muaj kev mob tshwm sim rau ib nrab xyoo. Kuv noj Formethine ib ntsiav tshuaj thaum sawv ntxov thiab yav tsaus ntuj. Hauv ib lub thawv ntawm 60 daim, txaus rau ib hlis. Tus nqi rau cov so haujlwm muaj kev lees paub - 170 rubles, lawv muab nws rau kuv raws li daim ntawv xaj ua ntej.

Ivan Sergeevich, 65 xyoo. Kuv coj Israeli Metformin tau ntau xyoo thiab txhua yam haum kuv. Tam sim no kuv raug yuam hloov mus rau Formmetin, thiab twb tau txais ib pawg kev xav hauv ib lub lim tiam. Nws hloov tawm tias thaum kuv muaj hnub nyoog nws tsis tuaj yeem haus nws. Txij thawj thawj hnub kuv hnov qhov tawg, kiv taub hau, xeev siab, muaj teeb meem nrog txoj hnyuv. Yog tias koj piv txawm tias yuav saj, ces cov ntsiav tshuaj tshiab muaj lub ntsej muag qab ntsev - Kuv tuaj yeem xav tias yuav muaj dab tsi tshwm sim rau kuv lub plab, yog li kuv yuav mob. Sij hawm dhau los, cov ntsiav tshuaj ib txwm nyob rau hauv lub plhaub haus thiab lub plab tsis yws txog lawv. Kuv tsis paub tseeb tias kuv yuav tswj kuv cov piam thaj ntawm cov nqi ntawd.

Formformin-based metformin yog tshuaj hauv tsev muaj cov ntawv pov thawj loj. Feem ntau, tshwj xeeb tshaj yog cov mob ntshav qab zib hom 2, tsuas yog tsis muaj lwm txoj kev rau zoo rau cov tshuaj metformin. Yog li, tsis txhob maj maj rau cov lus xaus hais txog nws cov txiaj ntsig, nws yog qhov zoo dua los pab lub cev hloov mus rau kev noj tshuaj tshiab nrog kev pab los ntawm kev noj zaub mov, kev coj tus cwj pwm kom zoo rau kev kho mob thiab cov kev tawm dag zog kom haum rau kev noj qab haus huv. Yog tias tsis muaj txoj hauv kev no, kev siv tshuaj tshiab tshiab tshaj plaws yuav tsis muaj txiaj ntsig.

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