He ala maikaʻi nā Metformin e pale aku i ke koko kiʻekiʻe. Hoʻopili i nā lāʻau mālama pono no ka maʻi maʻi, hoʻolaʻa ʻia ka lāʻau lapaʻau e hōʻemi i ka paona. Aia kēia hua momona i ka pūʻulu o nā biguanides. Nui nā haʻawina e hōʻoia ana i ka mea, i ka hoʻopili ʻia o nā waiwai hypoglycemic a, ʻo ka metformin hydrochloride e kōkua i ka hoʻoemi ʻana i ka maʻi pancreatic cancer.
Inoa Kūʻai ʻole honua
Metformin.
![](http://img.diabetesentity.com/img/sayd-2020/1141/kak-pravilno-ispolzovat-preparat-metformin-zentiva.png)
He ala maikaʻi nā Metformin e pale aku i ke koko kiʻekiʻe.
ATX
A10BA02.
E hoʻokuʻu i nā palapala a me ka ʻano
Loaʻa ka Metformin Zentiva i nā papa ʻoniʻoni. ʻO ka mea hana ikaika o ka laʻana he metformin hydrochloride i ka nui o:
- 500 mg;
- 850 mg;
- 1000 mg
Ka hana lāʻau lapaʻau
ʻO ka hopena nui o ka Metformin ka hoʻoemi ʻana i ka hoʻoliʻi glucose glucose. Akā, ʻaʻole ia e hoʻoulu i ka hana o ka insulin, ma muli o kēia ʻaʻohe wahi o ka hypoglycemia.
ʻO ka hopena therapeutic o ka lāʻau lapaʻau ma muli o kona hiki ke hoʻolaʻa i nā receptors peripheral, e hoʻonui ana i ko lākou naʻau i ka insulin. Eia kekahi, metformin:
- pale i ke kaʻina o ka hana glucose i loko o ka ate;
- pale i ka komo ʻana o ka glucose i loko o ka ʻāpana;
- hoʻowalewale i ka hoʻohanaʻana i ka glucose intacellular a me ke synthesis glycogen;
- hoʻonui i ka nui o nā mea ukana glucose i nā membran cell;
- hoʻōla i ka metabolism momona, hōʻemi i nā mea o ka triglycerides, nā lipoproteins haʻahaʻa haʻahaʻa a me ka nui o ka kolamu.
![](http://img.diabetesentity.com/img/sayd-2020/1141/kak-pravilno-ispolzovat-preparat-metformin-zentiva.jpeg)
ʻO ka hopena nui o ka Metformin ka hoʻoemi ʻana i ka hoʻoliʻi glucose glucose. Akā, ʻaʻole ia e hoʻoulu i ka hana o ka insulin, ma muli o kēia ʻaʻohe wahi o ka hypoglycemia.
Lapaʻau lāʻau
ʻO ka lawe ʻana i ka lāʻau lapaʻau ma ka ʻōpū ʻole e hoʻolōʻihi i ka loaʻa o kahi kiʻekiʻe ma ka hoʻokau ʻana o ka waiwai ikaika i ka plasma koko. ʻAʻole nakinaki ʻia kēia waiwai i nā palekō koko, ua hoʻokaʻawale ʻia hoʻi i nā kiko. Kahi a 20-30% o ka lāʻau lapaʻau i hoʻokaʻawale ʻia ma waena o nā ʻōpū, nā mea ʻē aʻe - e nā keiki.
Mea i kuhikuhi ʻia
Hōʻike ʻia ka loaʻa ʻana o kēia lāʻau lapaʻau no ka maʻi mellitus type type 2, ʻano paʻakikī i ka pohihihi. Ma muli o kona hiki ke hoʻomaikaʻi i nā kaʻina metabolic, ʻo ka lāʻau lapaʻau ka mea hana kūpono e pale ai i ka nui o ke kaumaha.
Hoʻohana ka hoʻohana ʻana o Trental 100 i ka hoʻōlaʻana o ke kahe o ke koko a hoʻomaikaʻi i ke ʻano o nā kīʻaha koko.
I nā hana hoʻonaninani mai nā huakini, hoʻohana ʻia nā papa Gentamicin. Heluhelu hou ma aneʻi.
Ke Kauka Victoza: kuhikuhi aʻoaʻo no ka hoʻohana.
Nā Hoʻohui
ʻO ka lawe ʻana i kēia lāʻau lapaʻau ua contraindicated ma:
- hoʻonui mahuahua i kāna mau ʻāpana;
- diabetes ketoacidosis;
- maʻi maʻamau precoma a me ka pōʻai ʻole;
- nāwaliwali māmā a paʻakikī paha;
- huki a me nā kūlana ʻē aʻe i hiki ke alakaʻi i ka hana renal impaired;
- ʻo ka hana hanu a me nā kūlana ʻē aʻe e hoʻoulu ai i ka hypoxia kiko;
- lactic acidosis;
- hana pāpaʻi hemahema, hemahema i loko o ke ʻano;
- waiʻona a me ka hoʻohui lāʻau lapaʻau;
- hapai
- ka nele o ka calorie (intake me ka meaʻai ma mua o 1000 kcal / lā);
- hana i kahi hana hoʻokele aiʻole nā haʻawina e hoʻohana ana i kahi mea radiopaque.
![](http://img.diabetesentity.com/img/sayd-2020/1141/kak-pravilno-ispolzovat-preparat-metformin-zentiva-2.png)
Hōʻike ʻia ka Metformin no ka maʻi mellitus type 2, ʻoi loa ka paʻakikī o ka momona.
Me ka mālama pono
I kēia mau pilikia aʻe, ʻae ʻia ka hoʻohana ʻana o kēia lāʻau lapaʻau, akā pono ke ʻano o ka mea maʻi ma lalo o ka nānā ʻana o kekahi kauka:
- lactation wā;
- makahiki ma luna o 60 makahiki;
- hana ikaika kino;
- maʻi hoʻōla i ʻole.
![](http://img.diabetesentity.com/img/sayd-2020/1141/kak-pravilno-ispolzovat-preparat-metformin-zentiva.jpg)
I mea e hōʻemi ai i ke kaupaona, e aʻo ʻia e lawe i ka Metformin 3 mau manawa i ka lā ma 500 mg a i ʻole 2 mau manawa i ka lā ma 850 mg no 3 mau pule.
Pehea e lawe ai iā Metformin Zentiva
Ma mua o hoʻokahi a ma hope o kahi pāʻina
ʻOiai ka mea i ka wā a lawe ʻia ma luna o kahi ʻōpū ʻole, ua hoʻopili ʻia ka metformin hydrochloride, pono ia e inu i nā papa ma hope o ka ʻaina a i ka wā o ka pāʻina. Inā ʻaʻole, loaʻa i ka hopena o ke kūkulu ʻana i nā hōʻailona dyspeptic.
No ka hoʻoluhi kaumaha
I mea e hōʻemi ai i ke kaupaona, e aʻo ʻia e lawe i ka lāʻau lapaʻau i nā manawa 3 i ka lā no ka 500 mg a i ʻole 2 mau manawa i ka lā no 850 mg no 3 wiki. Ma hope o kēia, e lawe ʻia kahi hoʻomaha o ka liʻiliʻi o ka mahina.
He mea nui ia ʻo Metformin wale nō ʻaʻole alakaʻi i ka lilo kaumaha, ʻo ka mea mua i ka papaʻa ʻana i ka papa o ka hakahaka me kēia lāʻau lapaʻau.
Me ka maʻi diabetes
ʻO ka ʻōlelo mua i ʻōlelo ʻia e ka mea hana no ka maʻi maʻamau ʻo 2 ke mau papa he 500 mg o ka metformin 2-3 mau manawa i ka lā. ʻO ka hoʻonuiʻana i kahi pona hiki ke pau ma hope o nā lā 10-15. Pono e hoʻoholo i ka hoʻoholo e hoʻonui e pili i nā hopena o nā hōʻike koko no ke kō. ʻO ka 20 ka nui o ka nui o ka lā i ʻimi ʻia ka lā he 3 g, ʻo ka paʻapaʻi lāʻau maʻamau he 1.5-2 g.
Kahi ʻia ka nui o ka hoʻohui ʻia ʻana o ka insulin e mālama pono i kahi pae glucose maʻamau. ʻO ka nui o ka Metformin e like me ka monotherapy
![](http://img.diabetesentity.com/img/sayd-2020/1141/kak-pravilno-ispolzovat-preparat-metformin-zentiva-2.jpg)
Kahi ʻia ka nui o ka hoʻohui ʻia ʻana o ka insulin e mālama pono i kahi pae glucose maʻamau.
Nā hopena ʻaoʻao o Metformin Zentiva
Ke lawe aku i Metformin, kahi hiki ke hoʻonani ka manaʻo o ka ʻono, a me ka hoʻomohala ʻana:
- hepatitis;
- encephalopathy;
- hypomagnesemia;
- anemia.
Eia kekahi, hiki ke hōʻike ʻia i nā hopena maikaʻi ʻole mai nā ʻōnaehana kino like ʻole.
ʻŌpala Gastrointestinal
I ka papa mua o ka hoʻonā e kū pinepine ai:
- ninini
- nā ninia
- ʻeha ka ʻōpū
- hoʻemi i ka momona.
Hoʻopau kēia mau hōʻailona i ka hapa nui o lākou iho e hele a lilo ka kino i ka lāʻau.
![](http://img.diabetesentity.com/img/sayd-2020/1141/kak-pravilno-ispolzovat-preparat-metformin-zentiva-3.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1141/kak-pravilno-ispolzovat-preparat-metformin-zentiva-4.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1141/kak-pravilno-ispolzovat-preparat-metformin-zentiva-5.jpg)
Ma ka ʻāpana o ka ʻili
ʻIke pinepine paha ia:
- urticaria;
- erythema;
- huu
- hoʻonui mālamalama i ka mālamalama.
Mai ka ʻaoʻao o ka metabolism
I nā hihia lohi, hiki i ka hoʻomohalaʻana o ka acidact lactic a me ka hoʻopiʻi ʻana o ka vitamin B12, hiki ke alakaʻi ʻia i ka neuropathy peripheral.
ʻŌnaehana Endocrine
Ke lawe nei i ka Metformin, hiki i ka emi ʻana o ke koikoi o ka hormone thyroid-hoʻoulu i ka plasma.
Allergies
Allergic reaksi may ulu e like me ka palahalaha ka ʻili.
Hoʻopilikia i ka hiki ke mālama i nā mīkini
ʻAʻole pili ʻo Metformin monotherapy i ka hiki ke mālama i nā mīkini. I ka wā e lawe pū pū ai me nā hypolytics ʻē aʻe, hiki i ka hoʻomohala ʻana o ka hypoglycemia, e alakaʻi ana i kahi palupalu o ke kūpaʻa ʻana a me ka paʻakikī i ka hana ʻana me nā hana.
![](http://img.diabetesentity.com/img/sayd-2020/1141/kak-pravilno-ispolzovat-preparat-metformin-zentiva-9.jpg)
ʻAʻole pili ʻo Metformin monotherapy i ka hiki ke mālama i nā mīkini.
Nā ʻōlelo kikoʻī
Hoʻohana i ka wā hāpai a me ka lactation
ʻOiai ke loaʻa nei o nā hōʻike no ka mālama ʻana i kēia lāʻau lapaʻau, ʻaʻole ia e hoʻonui i ka hōʻemi o ka hōʻino i ka hoʻomohala ʻana o ka pūpū, ua hōʻike ʻia nā wahine hāpai e hoʻololi iā ia me insulin.
Hiki i ka metformin hydrochloride ke komo i loko o ka waiū umauma, ʻaʻohe data o ka palekana i kona palekana no nā pēpē hou. No laila, inā pono, ua pono e kau i ka hānai.
Kuhi ʻana iā Metformin Zentiva i nā keiki
Me ka diabetes mellitus i hoʻopaʻa ʻia, ʻae ʻia ka monotherapy a me ka hoʻohui ʻana me ka insulin no nā keiki a me nā ʻōpio. ʻO nā dosis initial a me nā therapeutic e like me nā mea i manaʻo ʻia no nā pākeke. ʻO ke alapine a me ke ʻano o nā hopena ʻokoʻa i hoʻokumu ʻia e kēia lāʻau kūʻokoʻa he kūʻokoʻa i ka makahiki.
Hoʻohana i ka wā kahiko
I ka wā elemakule, hoʻonui ʻia ka pilikia o ka hoʻoulu ʻana i ka renal, kahi mea e hiki ai ke asymptomatic. No laila, pono e koho i nā dosages a mālama i ka therapy maʻamau, ka nānā ʻana i ka hana o kēia ʻola.
![](http://img.diabetesentity.com/img/sayd-2020/1141/kak-pravilno-ispolzovat-preparat-metformin-zentiva-10.jpg)
I ka wā elemakule, hoʻonui ʻia ka pilikia o ka hoʻoulu ʻana i ka renal, kahi mea e hiki ai ke asymptomatic.
Ke noi no ka hana renal haukapole
ʻO ka palena kiʻekiʻe loa i loaʻa i ka 1 g i kēlā me kēia lā. Me ka ʻoihana Metformin, pono e mālama ʻia ka hoʻomaʻamaʻa iho i nā mea hana a hiki i ka 4 mau makahiki i ka makahiki
Hoʻohana no ka hana lawelawe lēwa
E like me nā kuhikuhi a ka mea hana, ua contraindicated ka lāʻau no ka hoʻohana ʻana i ka hihia o ka hana lūlū hemahema. ʻOiai ke loaʻa o ka ʻike ka hiki i ka Metformin hiki ke hoʻomaikaʻi i ke kūlana me ka momona hoʻonā o kēia ʻohana, hiki ke lawe ʻia i kēia hihia wale nō ma hope o ka kūkā ʻana me ka hepatologist.
ʻO ke kauā o Metformin Zentiva
Hiki i kahi overdose o ka metformin hydrochloride ke ulu i nā hanana o nā kūlana e like me ka lactic acidosis a me ka pancreatitis. I ka wā e puka mai ai, pono e hoʻokuʻu ʻia ka lāʻau lapaʻau. No ka wikiwiki o ka lawe ʻana aku i nā mea ola mai ke kino, hōʻike ʻia ka hemodialysis. Hoʻolālā ʻia hoʻi nā lāʻau lapa maʻi.
![](http://img.diabetesentity.com/img/sayd-2020/1141/kak-pravilno-ispolzovat-preparat-metformin-zentiva-11.jpg)
Hiki i kahi overdose o ka metformin hydrochloride ke ulu i nā hanana o nā kūlana e like me ka lactic acidosis a me ka pancreatitis.
Hoʻopili pū me nā lāʻau ʻē aʻe
ʻO ka hui pū me nā mea hoʻomohala iodine ka mea maʻi i contraindicated. I ka wā hana me ka Metformin, ʻaʻole i ʻōlelo ʻia ka hoʻokele o nā lāʻau lapaʻau e loaʻa ana i ka waiʻona etil. Pono ka mālama ʻana o ka glucose a / a i ʻole hana molī i ka wā e hui pū ʻia me nā mea like e like me:
- Danazole;
- Chlorpromazine;
- glucocorticosteroids;
- kūpeʻe;
- nā estrogens a me nā hormone thyroid;
- bta2-adrenomimetics ma ke ʻano o ka injections;
- nā lāʻau lapaʻau i hoʻolālā ʻia e hoʻohaʻahaʻa i ke koko, koe wale nō no ka ACE inhibitors;
- aracbose;
- kumuliiu aoli;
- salicylates;
- Nifedipine;
- Nā MAO inhibitors;
- Ibuprofen a me nā NSAID ʻē aʻe
- Moreline a me nā lāʻau lapaʻau cationic.
ʻO ka hoʻohana pono ʻana me kēia mau lāʻau e koi paha iā ʻoe e hoʻoponopono i ke ʻano o ka Metformin.
Eia kekahi, hōʻemi ʻo Metformin i ka hopena o ka hoʻomehana Fenprocumone.
![](http://img.diabetesentity.com/img/sayd-2020/1141/kak-pravilno-ispolzovat-preparat-metformin-zentiva-12.jpg)
I ka wā hana me ka Metformin, ʻaʻole i ʻōlelo ʻia ka hoʻokele o nā lāʻau lapaʻau e loaʻa ana i ka waiʻona etil.
Hoʻolaha ka waipuna
ʻAʻole kūpono ka hana ikaika o kēia lāʻau lapaʻau i ka ethanol.
Nā kuʻina
ʻO ka analogue kekahi lāʻau lapaʻau e pili ana i ka metformin hydrochloride mai nā mea hana like, e like me:
- Gideona Richter;
- Izvarino Pharma;
- Akrikhin;
- LLC "Merk";
- Hoʻoulu Canon Pharma.
Hiki i nā lāʻau lapaʻau ke loaʻa nā inoa kālepa like ʻole, no ka laʻana ʻo Glucofage a Siofor paha.
He aha ka hopena ma waena o Metformin a me Metformin Zentiva
ʻO ka ʻokoʻa wale ma waena o Metformin Zentiva a me Metformin ka hui papa. ʻAʻohe ʻano ʻokoʻa a me ka hana a ka lāʻau lapaʻau.
![](http://img.diabetesentity.com/img/sayd-2020/1141/kak-pravilno-ispolzovat-preparat-metformin-zentiva-3.png)
![](http://img.diabetesentity.com/img/sayd-2020/1141/kak-pravilno-ispolzovat-preparat-metformin-zentiva-4.png)
![](http://img.diabetesentity.com/img/sayd-2020/1141/kak-pravilno-ispolzovat-preparat-metformin-zentiva-13.jpg)
Waihue huaʻōlelo waiho nā huaʻōlelo
He lāʻau lapaʻau kēia lāʻau lapaʻau, a he mea i mua no ka hoʻokuʻu ʻia mai ka lāʻau lapaʻau i mea pono i ka papa loiloi, a ma muli o nā lula, e hōʻike ʻia ka inoa ma ka ʻōlelo Latin.
Hiki iaʻu ke kūʻai me ke kī ʻole
ʻO ke kūʻai aku i kēia lāʻau lapaʻau me ke ʻole kaʻae ʻia he mea kue ʻole ia, aia kekahi mau lāʻau lapaʻau i loko o kēia mea e hoʻokipa ʻia ana e nā mea kūʻai.
Kumukuai no Metformin Zentiva
ʻO ke kumukūʻai o kekahi lāʻau lapaʻau ka hilinaʻi i ke kumukūʻai kumukūʻai o ka lāʻau lapaʻau kahi e kūʻai aku ai. I loko o nā lāʻau lapaʻau ma ka pūnaewele, nā kumukūʻai penei:
- 60 pcs. 1 g kēlā - 136.8 rubles;
- 60 pcs. 0.85 g kēlā me kēia - 162.7 rubles;
- 60 pcs. 1 g kēlā - 192.4 mau rubles.
Ke waiho nei i nā kūlana no ka lāʻau lapaʻau
ʻAʻole pono kēia lāʻau lapaʻau i ka hoʻokumu ʻana o nā kūlana kūikawā. Hiki iā ʻoe ke mālama i ia i nā wahi he hiki ʻole i nā keiki.
ʻO ka lā kau
3 mau makahiki
Mea hana
ʻO kahiʻoihana kūʻai kā Lūkini nui ma Sanofi.
Hōʻikeʻike e pili ana iā Metformin Zentiva
Kauka
ʻO Galina, ka endocrinologist o nā keiki, 25 mau makahiki, ʻo Moscow: "ʻO ka maikaʻi nui o Metformin he mea kūpono ʻo ia no ka mālama ʻana i ke keiki. ʻO ka mea nui ka hana ʻana i kahi maʻi kūpono ma mua o ka hoʻomaka ʻana i ka lapaʻau."
ʻO Svetlana, endocrinologist, 47 makahiki, ʻo Tyumen: "Manaʻo wau he Metformin he lāʻau lapaʻau hypoglycemic maikaʻi. Akā, ʻoiai ʻo kona kaulana e lilo i kumu no ka hoʻolilo ʻana i ke kaupaona, ke manaʻoʻiʻo nei au e lawe ʻia kēia lāʻau lapaʻau e nā mea maʻi wale nō, a ʻoi aku ka maikaʻi o ka hōʻemi ʻana i ke kaumaha me ke kōkua o nā haʻuki diets. "
ʻO ka momona kaumaha
ʻO Gulnaz, 26 makahiki, Kazan: "Ua ʻōlelo ka mea mālama meaʻai me ka hoʻohana ʻana i nā lāʻau lapaʻau e pili ana i ka Metformin e hōʻemi i ka makemake. Ua makemake ʻo ia e kūʻai aku i nā huahana mai kēia mea hana, e ʻōlelo ana ua hilinaʻi ʻo ia i kāna ʻano a me ka maikaʻi. Ua hauʻoli wau i koʻu hahai ʻana i kāna ʻōlelo aʻo. ʻAʻole wau i nānā i ka lāʻau lapaʻau. "
ʻO Venus, he 37 makahiki, ʻo Sterlitamak: "ʻO ka hana o Metformin ka mea i wikiwiki i ka wikiwiki o ke kauʻana. Akā, i ʻole ke koʻo i ka manaʻo i makemake ʻia, he hopena like nō hoʻi me ka maʻa."