Tus neeg sawv cev hypoglycemic Glucofage - cov lus qhia rau kev siv

Glucophage yog ib hom tshuaj hypoglycemic uas ua hauj lwm zoo rau kev kho mob ntshav qab zib hom 2.

Cov twj ua tau sai sai cov ntshav qab zib. Nws tseem nrov ntawm cov neeg mob nyhav dhau.

Cov ntaub ntawv dav dav, muaj pes tsawg leeg thiab daim ntawv tso tawm

Glucofage Ntev yog mob ntshav qab zib npaj ntawm chav kawm biguanide nrog cov nquag ua ke Metformin hydrochloride. Muaj nyob rau hauv qhov ntau npaum ntawm 500, 850, 1000 mg.

Thaum noj, nws tau sai adsorbed. Qhov kev tso ntau ntau tshwm sim tom qab 2 teev tom qab kev tswj hwm.

Qhov no tso cai rau koj kom ua tiav cov txiaj ntsig hauv qab no:

• normalize ntshav qab zib;
• nce cov lus teb ntawm cov ntaub so ntswg rau cov tshuaj hormones tsim tawm;
• daim siab ua hauj lwm nyob hauv siab;
• txo txoj hnyuv kev nqus ntawm cov piam thaj;
• nqa lub cev hnyav rov zoo li qub;
• txhim kho cov lipid metabolism;
• cov roj (cholesterol) tsawg.

Cov ntsiav tshuaj ua haujlwm tau zoo hauv kev mob ntshav qab zib.

Ntawm kev muag, cov tshuaj tau nthuav tawm hauv cov qauv hauv cov ntsiav tshuaj, nrog nrog lub plhaub biconvex ntawm cov xim dawb. Qhov kub siab ntawm cov nquag tivthaiv yog 500, 850, 1000 mg. Rau qhov yooj yim ntawm tus neeg mob, ntau npaum ntawm cov tshuaj yog engraved rau ntawm ib nrab ntawm cov ntsiav tshuaj.

Cov chaw muag tshuaj thiab tshuaj pharmacokinetics

Cov tshuaj muaj pes tsawg leeg ntawm cov ntsiav tshuaj suav nrog Metformin, uas tuaj yeem lav cia ua lub ntsej muag hypoglycemic. Hauv cov neeg mob uas muaj cov piam thaj hauv siab, nws txo nws qhov qub. Hauv cov neeg muaj ntshav qabzib feem ntau, cov piam thaj hauv ntshav tseem tsis hloov pauv.

Qhov kev nqis tes ntawm cov khoom siv txuam yog ua los ntawm kev txwv tsis pub gluconeogenesis thiab glycogenolysis, muaj peev xwm nce insulin rhiab heev thiab txo qis nqus hauv cov hnyuv. Tsis tas li ntawd, cov tshuaj no ua rau cov txheej txheem metabolism hauv lub cev ua kom qis thiab ua kom cov rog poob qis.

Qhov siab tshaj plaws ntawm Metformin pom tau 2-3 teev tom qab nws tswj hwm. Ib qho tshwj xeeb ntawm Kev Ua Rau Ntsej Ntev Ntev yog qib qis ntawm kev khi rau cov ntshav protein. Lub ntsiab ua haujlwm tseem ceeb yog dhau los ntawm lub raum thiab cov hnyuv hauv 6,5 teev.

Tom qab noj tshuaj Glucofage, ua tiav kev tshaj tawm ntawm Metmorphine GIT raug sau tseg. Cov khoom ua haujlwm nquag tau muab faib sai sai thoob plaws cov ntaub so ntswg. Feem ntau yog tawm hauv cov raum, qhov seem los ntawm txoj hnyuv. Cov txheej txheem ntawm kev ntxuav cov tshuaj pib 6,5 teev tom qab siv tshuaj. Hauv cov neeg mob raum muaj teeb meem lub raum, ib nrab lub neej nce ntxiv, uas yog txoj kev phom sij ntawm Metformin ntau zuj zus.

Kev taw qhia thiab contraindications

Raws li cov lus qhia txuas nrog Glucofage, nws yog qhia rau tus mob ntshav qab zib hom 2, uas yog rog dhau ntawm kev noj zaub mov noj.

Ntau tus neeg mob siv Glucofage kom poob ceeb thawj. Hauv qhov no, koj yuav tsum ua raws li kev noj zaub mov hauv lub cev tsawg thiab ua qoj ib ce ntawm lub cev niaj hnub. Qhov no tso cai rau koj kom ua tiav cov txiaj ntsig zoo hauv lub sijhawm luv luv.

Zoo li txhua yam tshuaj, glucophage muaj contraindications.

Cov tshuaj txwv tsis pub:

• cov neeg nrog kev tsis txaus ntseeg rau ib qho ntawm cov khoom siv;
• nrog coma lossis mob ntshav qab zib ketoacidosis;
• nrog kev ua haujlwm tsis zoo ntawm lub raum thiab lub siab;
• nrog exacerbation ntawm mob ntev thiab kis kab mob;
• nrog rau kev sib xyaw kom zoo ntawm cov cawv cawv;
• nrog tshuaj lom lub cev;
• thaum cev xeeb tub thiab lactation;
• nrog cov kab mob lactic acidosis;
• 2 hnub ua ntej radiography thiab 2 hnub tom qab nws;
• cov hnub nyoog qis dua 10 xyoo;
• tom qab kev mob hnyav rau lub cev.

Kev noj tshuaj ntsiav los ntawm cov neeg laus yog nqa tawm los ntawm kev saib xyuas ntawm tus kws tshaj lij.

Cov lus qhia rau kev siv

Qhov txhaj tshuaj tsawg kawg nkaus yog 500 lossis 850 mg, uas tau muab faib ua ob peb zaug tshuaj. Tshuaj ntsiav tau noj nrog lossis tam sim ntawd tom qab noj mov. Ib qho hloov pauv ntawm cov tshuaj yog nqa tawm tom qab kev hloov suab thaj.

Qhov tshuaj ntau tshaj plaws yog 3000 mg ib hnub twg, uas tseem faib ua ob peb zaug tshuaj (2-3). Qhov qeeb qeeb ntawm kev saib xyuas ntawm cov tshuaj nquag hauv cov ntshav nce, qhov tshwm sim tsawg dua los ntawm qhov mob plab zom mov.

Thaum muab Glucofage Ntev nrog insulin, cov koob tshuaj pom zoo yog 500, 750, 850 mg 2-3 zaug ib hnub. Kev noj cov tshuaj insulin yog tswj hwm los ntawm kws kho mob.

Cov ntsiav tshuaj tau siv ob qho tib si ua ke nrog lwm cov tshuaj, thiab cais nyias. Hauv qee qhov tshwj xeeb, kev tuaj yeem lees paub pib txij lub hnub nyoog kaum xyoo. Qhov muab tshuaj yog muab los ntawm kws kho mob raws li kev saib xyuas ntawm cov ntshav qab zib. Qhov tsawg kawg nkaus yog 500 mg, qhov ntau yog 2000 mg.

Cov Neeg Mob Tshwj Xeeb thiab Cov Lus Qhia

Ua ntej siv cov tshuaj, koj yuav tsum sab laj nrog tus kws kho mob, kawm txog kev phiv, thiab paub koj tus kheej nrog cov lus pom zoo rau cov neeg mob nyob hauv pab pawg tshwj xeeb:

1. Cev xeeb tub lub sijhawm. Kev lees txais ntawm Glucophage thaum lub sijhawm lav tus menyuam thiab lactation yog txwv tsis pub ua. Cov ntshav qab zib yog tswj xyuas los ntawm kev txhaj tshuaj insulin. Kev txwv tsis pub noj tshuaj thaum lub sijhawm pub mis niam yog vim muaj kev tshawb fawb.
2. Cov me nyuam muaj hnub nyoogCov. Kev siv cov tshuaj qabzib los ntawm cov menyuam hnub nyoog qis dua 18 xyoo yog qhov tsis xav tau. Muaj qhov tseeb ntawm kev siv tshuaj los ntawm cov menyuam yaus ntawm 10 xyoo. Kev tswj hwm los ntawm kws kho mob yog qhov yuav tsum tau ua.
3. Neeg lausCov. Nrog kev ceev faj, koj yuav tsum noj cov tshuaj rau cov neeg laus uas muaj kev mob raum thiab mob plawv. Lub chav kawm ntawm kev kho mob yuav tsum tau saib xyuas los ntawm cov kws tshaj lij.

Nyob rau qee yam kabmob lossis cov xwm txheej, cov tshuaj raug mob nrog ceev faj, lossis feem ntau tso tseg:

1. Lactic acidosisCov. Qee zaum, nrog kev siv cov Metformin, uas cuam tshuam nrog cov lub raum tsis ua haujlwm nyob hauv tus neeg mob. Tus kabmob yog nrog cov leeg mob hauv lub cev, mob hauv plab thiab hypoxia. Yog tias pom tias muaj kab mob, yuav tsum tau muab cov tshuaj tshem tawm thiab tawm tswv yim tshwj xeeb.
2. Mob raumCov. Yog tias lub raum ua rau lub raum tsis ua haujlwm, yuav tsum ceev faj, vim tias lub cev yuav ris tag nrho lub nra uas tshem Metformin tawm hauv lub cev. Yog li, ua ntej pib siv cov tshuaj, yuav tsum tau them rau qib ntawm creatinine nyob rau hauv cov ntshav cov ntshav.
3. Kev phais mobCov. Cov ntsiav tshuaj nres ob hnub ua ntej kev ua haujlwm. Kev rov pib kho mob pib tom qab lub sijhawm zoo sib xws.

Hauv kev rog, noj tshuaj pab cov neeg mob ntshav qab zib hom 2 ua rau lawv qhov hnyav. Ntawm ib feem ntawm tus neeg mob, kev ua raws li kev noj zaub mov zoo noj yuav tsum nyob rau hauv uas tus naj npawb ntawm calories yuav tsum yog tsawg kawg 1000 kcal hauv ib hnub. Kev xa tawm ntawm chav kuaj yuav ua rau koj saib xyuas lub cev ntawm lub cev thiab qhov ua tau zoo ntawm cov qog ntshav qab zib.

Phiv thiab haus tshaj

Daim ntawv teev cov kev mob tshwm sim los ntawm kev noj cov tshuaj yog raws ntau cov kev tshawb fawb thiab kev kuaj mob ntawm tus neeg mob:

1. Txo Cov Vitamin Tsis Txaus B12 ua rau muaj kev txhim kho kab mob xws li ntshav liab thiab ntshav lactic acidosis.
2. Hloov hauv saj buds.
3. Los ntawm kev mob plab, raws plab, mob hauv plab, thiab tsis qab los noj mov yog cai. Kev xyaum qhia tau hais tias cov kev mob tshwm sim tshwj xeeb yog sau tseg rau feem ntau ntawm cov neeg mob thiab hla dhau ob peb hnub.
4. Ua rau muaj kev tsis haum, qhov mob urticaria yog muaj.
5. Kev ua txhaum ntawm cov txheej txheem hauv lub cev yuav ua rau lub sijhawm tsis pom zoo, vim qhov ntawd tshem tawm sai heev ntawm cov ntsiav tshuaj.

Kev sib cuam tshuam txog Yeeb Tshuaj thiab Analogs

Cov nyhuv hyperglycemic ntawm cov tshuaj Danazol ua rau nws tsis tuaj yeem coj nws nrog Glucofage. Yog tias nws tsis tuaj yeem tshem tawm cov tshuaj, kev tsuas ntau tau los kho tus kws kho mob.

Cawv-muaj tinctures ua rau kom muaj kev pheej hmoo ntawm lactic acidosis.

Cov koob tshuaj loj ntawm chlorpromazine (ntau dua 100 mg / hnub) tuaj yeem nce glycemia thiab txo qis qib kev tso tawm tshuaj. Yuav tsum tau txhaj tshuaj los kho tus kws kho mob.

Co-administration ntawm diuretics ua rau muaj kev pheej hmoo ntawm cov kab mob lactic acidosis. Nws yog txwv tsis pub noj Glucofage nrog kev ua kom muaj zog tsawg dua 60 ml / min.

Cov tshuaj Iodine uas muaj siv rau cov tshuaj fluoroscopy hauv cov neeg mob raum ua rau lactic acidosis. Yog li, thaum ntsuas tus neeg mob los ntawm kev xoo hluav taws xob, kev tshem tawm cov ntsiav tshuaj yog qhov tsim nyog.

Qhov ua rau lub ntsej muag hypoglycemic yog kho los ntawm sulfonylurea, insulin, salicylates, acarbose.

Cov lus piav qhia tau to taub raws li cov tshuaj npaj los hloov cov tshuaj tseem ceeb, lawv siv yog pom zoo nrog tus kws kho mob koom:

1. Bagomet. Tsim los rau cov neeg mob ntshav qab zib hom 2 uas muaj cov rog rog. Siv nyob rau hauv monotherapy thiab nyob rau hauv ua ke nrog insulin.
2. GlycometerCov. Cov tshuaj rau hom 2 ntshav qab zib nquag tau rog. Nws tuaj yeem siv rau ntshav qab zib hom 1 nrog rau cov tshuaj insulin.
3. DianormetCov. Pab ua kom muaj qib qog qis, tshwj xeeb tshaj yog rau cov neeg mob uas muaj roj lub cev tsis ua haujlwm.

Cov kab mob analogues no muaj nyob rau hauv kev thov thiab nrov ntawm hom 2 mob ntshav qab zib.

Tus Neeg Siv Khoom Xaiv Tswvyim

Los ntawm kev tshuaj xyuas cov neeg mob, peb tuaj yeem xaus lus tias Glucofage muaj txiaj ntsig zoo rau kev kho cov ntshav qab zib, tab sis nws siv tshwj xeeb rau cov kev poob phaus yog impractical, txij li thaum cov thawj coj nrog nrog ntau cov kev mob tshwm sim.

Thawj zaug peb tau hnov ​​txog Glucofage los ntawm peb tus pog, uas muaj ntshav qab zib hom 2 thiab tsis tuaj yeem txo qab zib nrog ib qho tshuaj. Tsis ntev los no, ib tus kws kho mob endocrinologist tau hais kom Glucophage rau nws hauv kev noj tshuaj ntawm 500 mg ob zaug ib hnub. Kuj ceeb tias, qhov qab zib qib tau txo qis li ib nrab, tsis muaj cov kev mob tshwm sim.

Ivan, 38 xyoo, Khimki

Kuv noj glucophage tsis ntev los no. Thaum xub thawj, Kuv mloog zoo li mob me ntsis thiab tau hnov ​​qhov tsis xis nyob hauv plab. Tom qab li 2 lub lis piam txhua yam mus. Cov piam thaj hauv qab no tau poob qis ntawm 8.9 rau 6.6. Kuv noj tshuaj yog 850 mg ib hnub twg. Tsis ntev los no kuv pib khaus, tej zaum yog ib koob tshuaj loj.

Galina, 42 xyoo. Ntsig

Kuv lees txais Glucofage Ntev ua kom poob ceeb thawj. Qhov ntau thiab tsawg tau kho los ntawm tus kws kho keeb. Kuv pib nrog 750. Kuv noj li ib txwm, tab sis kuv txoj kev ntshaw rau zaub mov tau poob qis. Kuv pib mus rau hauv chav dej ntau zaus. Ua rau kuv raws li ib tug cleansing enema.

Irina, 28 xyoo, Penza

Glucophage yog coj raws li cov kws paub tshwj xeeb. Qhov no yog qhov tshuaj nyhav heev rau cov ntshav qab zib hom 2, tsis yog cov khoom poob phaus. Kuv tus kws kho mob tau qhia kuv txog qhov no. Rau ntau lub hlis kuv tau noj nws ntawm 1000 mg ib hnub twg. Qib qab zib qib poob sai sai, thiab nrog nws rho 2 kg.

Alina, 33 xyoo, Moscow

Video los ntawm Dr. Kovalkov txog yeeb tshuaj Glucofage:

Tus nqi ntawm glucophage nyob ntawm qhov ntau npaum ntawm cov tshuaj nquag thiab tus naj npawb ntawm cov ntsiav tshuaj hauv pob. Tus nqi qis kawg yog 80 rubles., Qhov siab tshaj plaws yog 300 rubles. Nws yog tsim nyog teev cia hais tias xws li pom tau qhov sib txawv ntawm tus nqi yog nyob ntawm cov xwm txheej ntawm cov kev lag luam, cov nyiaj tau los ntawm kev lag luam thiab tus naj npawb ntawm cov nruab nrab.