Pehea e hoʻohana ai iā Metformin-Teva?

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ʻO ka Metformin Teva kahi hoʻomākaukau no ka pūʻulu biguanide, i hōʻike ʻia e ka hopena hypoglycemic. Ke hōʻike ʻia nei no ka hoʻohana ʻana e nā maʻi me ka maʻi mellitus maʻi maʻi mellitus. He nui nā mea e kau ai ka pono o kēia mea hana, a he pōkole loa kona kikoo. I waena o nā pono o ka lāʻau lapaʻau ka hiki ke hoʻemi i ke kaumaha o ke kino.

Inoa Kūʻai ʻole honua

Metformin.

ATX

A10BA02.

ʻO ka Metformin Teva kahi hoʻomākaukau no ka pūʻulu biguanide, i hōʻike ʻia e ka hopena hypoglycemic.

E hoʻokuʻu i nā palapala a me ka ʻano

Hōʻike ʻia ka huahana e kahi kūlana paʻa. Hāʻawi nā papa i nā hopena i ka lōʻihi, ma muli o ka neʻe o kahi kiʻi kiʻi kiʻi kūikawā. Pono ʻia ka lāʻau lapaʻau no ka hoʻohana pono ʻana. Hoʻohana ʻia ka mea o ka inoa like (metformin) ʻo ia ka mea hana maʻamau. He ʻokoʻa paha kona neʻe ʻana i ka papa ʻaina 1 maʻa: 500, 850 a me 1000 mg.

ʻAʻole i hōʻike ʻia nā mea hoʻohui ʻē aʻe i ka hana i ka hana hypoglycemic, ʻo ia hoʻi:

  • povidone K30 a me K90;
  • kūlohelohe kūlohelohe;
  • magnesium stearate;
  • ʻ Oplepena Opadry keʻokeʻo Y-1-7000H;
  • titanium dioxide;
  • Macrogol 400.

Oe ke kuai i ka lāʻau lapaʻau i nīnau ʻia i nā pepa pepa i loaʻa iā 3 a 6 paha blisters, i kēlā me kēia - 10 papa.

Ka hana lāʻau lapaʻau

ʻO Biguanides, ka hui o ka metformin, ʻaʻole e hoʻonui i ka uluʻana o ka hana insulin. Kālala ʻia ka loina o ka lāʻau lapaʻau e kau ʻia ana o ka loli ma ka ʻano like o ka inulin i nā ʻano like ʻole. ʻO kekahi hana nui o kēia pono hana ʻo ka hoʻonui ʻana i ka ratio o ka insulin i ka proinsulin. A ʻo kahi hopena, ua ʻike ʻia ka pale ʻana i ka hoʻomohala ʻana o ka pale ʻana i ka insulin (he kue ʻole o ka pane ʻana o ka metabolic i ka insulin, kahi e piʻi ai i ka piʻi o ke kaohi o ke koko).

Eia kekahi, ʻo ka hōʻemi ʻana i ka glucose o ka plasma e loaʻa i nā ala ʻē aʻe. Aia kahi ala metabolic e hoʻopuka ai i ka hoʻokumuʻana i ka glucose. I ka manawa like, ʻo ka emi ʻana o ka hoʻoulu ʻana o kēia waiwai e nā pā o ka digestive system hoʻoemi. Hoʻonui ka kiʻekiʻe o ka hoʻōlaʻana o ka glucose i nā kiko.

ʻOiai e lawe ana i ka lāʻau lapaʻau, hiki i ka luhi ke kaumaha.

ʻO kekahi ʻaoʻao o ka hana o ka metformin ka mea hiki ke hoʻomohala i ka hana lipid metabolism. Ma kēia hihia, loaʻa ka emi ʻana o ka neʻe o ka nui o nā mea i loko o ka serum koko: kolamu, triglycerides, lipoproteins haʻahaʻa haʻahaʻa. Hoʻohui hou, ʻike ʻia ka hoʻoulu ʻia o ka hana cellular, ma muli o ia ʻano e hoʻohuli ʻia ka glucose i glycogen. Mahalo i kēia mau kaʻina hana, ʻike ʻia kahi emi o ke kaumaha kino i ke kino, a i ʻole ke pale ʻia i ka ulu ʻana o ka momona, kahi maʻi maʻamau i loko o ka maʻi mellitus.

Nā ʻōkuhi no ka hoʻohana ʻana i ka Metformin Richter.

He aha nā Detralex 1000 i hoʻohana ʻia? Heluhelu hou aʻe i loko o ka ʻatikala.

ʻO nā papa Gent murain kahi antibiotic ākea ākea.

Lapaʻau lāʻau

ʻO ka maikaʻi o ka lāʻau lapaʻau ka wikiwiki o kona hoʻomoʻohiwi ʻana mai ke aʻoki ʻana. Hōʻike ʻia nā papa hoʻihoʻi paʻa ʻia e ka bioavailability i ke pae o 50-60%. Loaʻa ka hana ʻoi o ka lāʻau lapaʻau i loko o nā hola e hiki mai i ka hope o 2 mau hola. Ka ke hoʻololi i ke kaʻina (a me ka hoʻēmi ʻana o ka neʻe o ka pūhui ikaika) e hoʻomaka i ka ulu ʻana ma hope o 7 mau hola.

ʻAʻole hāʻawi i ka mea koʻikoʻi i ka hiki ke hoʻopaʻa i nā kahe o ke koko, ka wikiwiki ka holo ʻana i nā kiko. Hiki ke loaʻa ka Metformin i nā puʻupaʻa, nā aʻalolo, nā hua ʻai salivary, a me nā wahi koko ʻula. Na nā keiki i kuleana no ke kaʻina hana. Hoʻokuʻu ʻia ka māhele nui mai ke kino ʻaʻole i loli. ʻO ka hapalua ola i ka hapa nui o nā hola 6.5.

Nā hōʻailona no ka hoʻohana ʻana

ʻO ke kumu nui o ka hoʻohana ʻana i kēia lāʻau lapaʻau ka momo diabetes 2 type. Ua hōʻike ʻia ka lāʻau lapaʻau no ka hoʻoluhi kaumaha inā ʻaʻole hoʻolako ka meaʻai a me ka hoʻomaʻamaʻa i ka hopena i makemake ʻia. Hiki i ka MS ke hoʻohana ma muli o kahi paʻakikī paʻakikī a i ʻole ke ʻano lāʻau nui.

ʻO ke kumu nui o ka hoʻohana ʻana i kēia lāʻau lapaʻau ka momo diabetes 2 type.

Nā Hoʻohui

ʻO kekahi o nā kūlana o nā papa no ka pāpā ʻia i ka hoʻohana ʻana i kahi lāʻau i hōʻike ʻia e ka hopena hypoglycemic:

  • maʻi pākuʻi hypersensitivity i nā hopena o ka metformin a i ʻole kekahi mea hoʻohui i ka pūnaehana o ka huina;
  • he nui o nā ala i hoʻomake ʻia e ka maʻi maʻi ma mua: precoma a me coma, ketoacidosis;
  • intervenative bed, hōʻeha hōʻeha, inā ma kēia mau hihia ka mea e mālama ʻia ai ka lāʻau lapaʻau;
  • nā maʻi i hele pū ʻia e ka hypoxia: ka hana naʻau ʻole, ka hana hanu paʻa ʻole, ka wahina myocardial;
  • lactic acidosis;
  • hoʻonāukiuki i ke kino me ka wai huhū;
  • kahi mea ʻaina kahi i kū ʻole ʻia ai e ʻoi aku i kahi la i kēlā me kēia lā o 1000 kcal.

Me ka mālama pono

Pono e mālama ʻia nā mea maʻi ma lalo o ka mālama ʻia o ka lāʻau lapaʻau. Hoʻohana kēia ʻākana i nā poʻe ma luna o 60 inā e hana lākou i ka hana kino olakino.

Pono e mālama ʻia nā mea maʻi ma lalo o ka mālama ʻia o ka lāʻau lapaʻau.

Pehea e lawe ai iā Metformin Teva

Ke koho nei i kahi hoʻoponopono hoʻoponopono, mālama ʻia nā ʻano like ʻole a me ka hōʻino o ka hele ʻana o ka pathological.

Ma mua o hoʻokahi a ma hope o kahi pāʻina

ʻO ka ʻai ʻana he hopena maikaʻi ʻole o ka hoʻopili ʻana o ka mea nui: ua nalo ke ʻano o ka lohi, no ka mea, ke hoʻomaka nei ka lāʻau lapaʻau e hana ma hope o kahi manawa lōʻihi. Akā, ʻaʻole ia e pili i ka maikaʻi o ka hāmeʻa. No kēia kumu, hiki iā ia ke lawe i nā papa ma luna o ka ʻōpū ʻole a i ka wā e ʻai ai, inā he mau hōʻailona no kēia, no ka laʻana, nā hanana erosive i loko o ka ʻōpū a i loko paha o ka ʻawa.

ʻO ka ʻai ʻana he hopena maikaʻi ʻole o ka hakahaka ʻana o ka mea nui.

Lawe i ka lāʻau lapaʻau no ka maʻi maʻi maʻi

Nā ʻōkuʻi no ka hoʻohana ʻana i ka lāʻau lapaʻau e like me ka nui o ka hopena therapeutic a i ʻole, me nā ʻano hana ʻē aʻe e pili ana i ka hopena hypoglycemic:

  1. I ka papa mua, ua hoʻonoho ʻia ka 0.5-1 g o ka waiwai i hoʻokahi manawa i ka lā (e lawe ʻia i ke ahiahi). ʻAʻoleʻoi aku ka lōʻihi o nā papa ma mua o 15 mau lā.
  2. E hoʻonui iki ʻia ka nui o ka hana a ka 2 mau manawa, a me kēia ʻāpana ke mahele i 2 mau maʻi.
  3. Kahi ʻia ka 1.5-2 g o ka lāʻau lapaʻau e mālama i ka mālama mālama ʻia, ua ʻoka ʻia kēia nui ma 2-3 mau pona. Ka pāpā ʻia i ka lawe ʻana ma mua o 3 g o ka lāʻau lapaʻau i ka lā.

Kau ʻia ka lāʻau lapaʻau me ka insulin. I kēia hihia, e lawe i 0,5 a 0.85 mg 2-3 mau manawa i ka lā. Hiki ke koho ʻia kahi maʻi pololei ʻoi aku ma o ke ʻano o ka glucose. Hoʻopaʻa hou ʻia ka nui o ka lāʻau lapaʻau ma hope o 1-1,5 mau pule. Inā mālama ʻia ka lāʻau hoʻohui, ʻoi aku ma mua o 2 g o ka lāʻau lapaʻau i kēlā me kēia lā ʻaʻole i kuhikuhi ʻia.

Kau ʻia ka lāʻau lapaʻau me ka insulin.

Pehea e lawe ai no ka lilo o ka momona

Hāʻawi ʻia kahi hopena mai ke ʻano kākoʻo e kōkua ai i ka hana o ke kaʻina metabolic. ʻO ka dosis i ʻōlelo ʻia i kēlā me kēia lā he 0.5 g ʻelua i ka lā; e kakahiaka. Inā he pono, ua hoʻokomo ʻia kahi papa kolu (ma ke ahiahi). ʻAʻole pono nā lōʻihi o ka papa ma mua o 22 mau lā. E ʻae ʻia ka hana hoʻokele hou, akā ʻaʻole i hala ma mua o ka mahina 1 mahina. I ka wā mālama, eʻai i kahi meaʻai (ʻaʻole iʻoi aʻe ma mua o 1200 kcal i ka lā).

Nā ʻāpana ʻaoʻao o Metformin Teva

Hoʻonui pinepine ʻia kekahi mau maʻi maʻamau, ʻano ʻē aʻe kekahi. I ka poʻe maʻi me ka regimen mālama like ʻole, hiki mai paha nā ʻano ʻano like ʻole.

ʻŌpala Gastrointestinal

ʻOi aku pinepine ma mua o nā hōʻailona ʻē aʻe, ka maʻi nausea, ka luaʻi. Hoʻemi ka ʻaka, nā mea pinepine ma muli o ka ʻeha ma ka ʻōpū a i ʻole ka loaʻa ʻana o ka hoʻāʻo. Ma hope o ka lawe ʻana i nā papa, ua kūwaha ka ʻaha metallic i loko o ka waha.

Hoʻolālā pinepine pinepine i nā māka o ke au a me nā kau. Ma hope o ka haʻalele ʻana o ka lāʻau lapaʻau, hoʻopau koke nā hōʻike hōʻino. Ma muli o ka hikiʻole o ka digestive tract (ate), hiki i ka hepatitis ke ulu.

Ma ka ʻāpana o ka ʻili

ʻOhi, kala, ʻulaʻula i ka ʻili.

ʻO nā maʻi a me ka luaʻi paha nā hopena ʻaoʻao mai ka lawe ʻana i ka lāʻau.
Maʻalahi loa ma hope o ka lawe ʻana i ka lāʻau lapaʻau, ulu nā naʻau i ka ʻaoʻao.
Kekahi hopohopo o hope o ka lawe ʻana i ka lāʻau, ulu nā pathologies kidney.
Ma hope o ka lawe ʻana i ka lāʻau, hele, ʻeha, a ʻulaʻula ma ka ʻili.

ʻŌnaehana Endocrine

Hypoglycemia.

Mai ka ʻaoʻao o ka metabolism

Lactic acidosis. Eia kekahi, ʻo kēia ʻano pathological he contraindication i ka hoʻohana hou ʻana i ka metformin.

Allergies

ʻIke pinepine, ulu nā erythema.

Hoʻopilikia i ka hiki ke mālama i nā mīkini

Ke mālama nei i ka mālama ʻana i nā maʻi paʻakikī, aia kahi pilikia o ka hypoglycemia. No kēia kumu, pāpā ʻia ke kaomi ʻana i nā kaʻa i ka wā o ka mālama ʻana me ka lāleo i nīnau ʻia. Inā hoʻohana ʻia ʻo Metformin ma ke ʻano nui o ka therapeutic fepetra i ka hemo ʻole o nā pepa ʻē aʻe, ʻaʻole hoʻomohala kēia hoʻopiʻi ʻana.

Lā ʻia ka lawe ʻana i nā kaʻa i ka wā o ka mālama ʻana me ka lāʻau lapaʻau i nīnau ʻia.

Nā ʻōlelo kikoʻī

I ka wā o ka hoʻomehana, he mea nui e hoʻomalu i nā pae glucose glucose. Eia kekahi, ʻo ka loiloi o ke ʻano hui i ke koko, e hana ʻia ma kahi ʻōpū ʻole a ma hope o ka ʻai ʻana.

Inā hoʻolālā ʻoe e hana i kahi haʻawina x-ray e hoʻohana ana i ka hoʻohālikelike, hoʻopau ʻia ka lāʻau i ka lawe ʻana i 2 mau lā ma mua o ke kaʻina hana. Hiki iā ia ke hoʻomau i ka mālama ʻana i nā lā 2 ma hope o ka hoʻokolokolo ʻana.

ʻAʻole hoʻohana ʻia ka lāʻau lapaʻau ma mua o ka hoʻomaʻamaʻa ʻana (ke hoʻokuʻu ʻia ke papa no 2 mau lā). Pono e hoʻomau i ka mālama ʻana ma mua o nā hola 48 ma hope o ka hoʻomaʻamaʻa ʻana.

Hoʻonohonoho ʻia ke kūlana o ka mea maʻi me ka hoʻomaʻamaʻa ʻole a me ke nānā ʻana inā mālama ʻia nā lāʻau me nā NSAID, diuretic a me nā antihypertensive nā mea kanu.

Hōʻike ka hypovitaminosis (ka liʻiliʻi o ka vitamin B12) i ka wā mālama me ka metformin. Inā hoʻopau ʻoe i kēia hāmeʻa, nalowale nā ​​hōʻailona.

Hoʻohana i ka wā hāpai a me ka lactation

ʻO ka lāʻau inā loaʻa ke keiki, ʻaʻole i kuhikuhi ʻia. Inā hele i ka wā hānau i ka wā e mālama ai me Metformin, ua ʻōlelo ʻia kahi inikini insulin.

ʻO ka lāʻau inā loaʻa ke keiki, ʻaʻole i kuhikuhi ʻia.

Hāʻawi ʻia inā ʻaʻohe ʻike e pili ana i ka komo ʻana o ka mahele nui i ke koko, pono ʻoe e ʻae i ka lawe ʻana i ka lāʻau lapaʻau i ka wā ʻo HB.

Hoʻonohonoho ʻana i ka Metformin Teva i nā Keiki

Hiki ke hoʻohana ʻia ka lāʻau lapaʻau mai nā makahiki he 10, akā pono e lawe ʻia ka mālama.

Hoʻohana i ka wā kahiko

I ka wā o ke kaupaona e pono e kiaʻi i ke ʻano o ka mea maʻi. Inā loaʻa, hana ʻia ka hoʻoponopono hoʻoponopono ʻia. I kēia hihia, aia kahi palena - ke pālahalaha o kēlā me kēia lā o ka lāʻau ʻaʻole e hoʻonui i ka mea i 1 g.

Ke noi no ka hana renal haukapole

Me ka loaʻaʻole o ka renal, kahi lohi i ka kaʻina o ka hoʻopihapiha o nā mea ikaika mai ke kino ua ʻike ʻia. Inā hoʻomau ka mālama ʻana i ka wā i hoʻemi ʻole ʻia ka hala, hiki ke hoʻonui ʻia ke ʻano o ka metformin, hiki iā ia ke alakaʻi i ka hoʻopiʻi ʻana. No laila, ʻaʻole ʻoe e lawe i ka lāʻau lapaʻau me kēia maʻi. Eia kekahi, ʻo ka pono o ka renal, i hele pū me ka neʻe o ka hana ma cleinine ma kahi o 60 ml / min. a ma lalo iho hoʻi e hoʻopili ai i nā contraindications.

Mai hoʻohana i ka lāʻau lapaʻau no ka maloʻo, hele pū me ka maʻi ʻalopona.

Mai hoʻohana i ka lāʻau lapaʻau a me nā dehydration, i hui pū ʻia e ka pūlohelohe, helehelena. ʻO ka hui pū kekahi o nā palena i loaʻa i nā kūlana pathological koʻikoʻi ma muli o nā maʻi maʻi, nā maʻi bronchopulmonary, sepsis, a me nā maʻi o ka maʻi.

Hoʻohana no ka hana lawelawe lēwa

ʻO nā hōʻeha ikaika o kēia kino he contraindication. ʻAʻole hoʻohana ʻia ka lāʻau lapaʻau no ka hōʻemi haʻahaʻa ʻana o ka ate.

ʻO ke kauā o Metformin Teva

Inā loaʻa ka dosage i kahi pākahi hoʻokahi 85 g, aia ka hopena o ka acidosis lactic. Eia naʻe, ʻaʻole kū ka hōʻailona o ka hypoglycemia.

Nā hōʻailona o ka lactic acidosis:

  • naki, holo
  • kīwaha haole;
  • ke emi ʻana o ka mahana o ke kino;
  • ʻeha i loko o nā palu palupalu, ʻeha;
  • lawelawe kīnā ʻole;
  • ke holo wikiwiki nei;
  • nalowale o ka ike;
  • koma.

ʻO ka nalowale o ka hoʻomaopopo ʻana kekahi o nā hōʻailona o kahi overdose.

E hoʻopau i nā hōʻailona, ​​hoʻopau ʻia ka lāʻau, hoʻopau ʻia ka hemodialysis. Hoʻohui, hiki ke kuhikuhi ʻia i ka mālama maʻi. Me kahi overdose o Metformin, koi ʻia ka hoʻokipa maʻi.

Hoʻopili pū me nā lāʻau ʻē aʻe

Pāpā ʻia ka hoʻohana ʻana i ka lāʻau lapaʻau i ka nīnau a Danazol.

Hōʻike ʻia ka puʻuwai ke hoʻohana ʻana i ka Chlorpromazine a me nā mea antipsychotics, nā lāʻau lapaʻau o ka hui GCS, kekahi mau lāʻau diuretic, nā derivatives sulfonylurea, nā ACE inhibitors, beta2-adrenergic agonists, NSAIDs. I ka manawa like, aia ka hemahema kūponoʻole o kēia mau kālā a me Metformin.

Hoʻolaha ka waipuna

Ke pāpā ʻia aku nei ka lāʻau no ka hoʻohana ʻana me nā mea inu wai inu wai, no ka mea hiki i kēia hui ke alakaʻi i ke ʻano o kahi hopena disulfiram-like, hypoglycemia, a me ka pōʻino o ka pāʻai.

Nā kuʻina

Nā koho kūlike:

  • Metformin Long;
  • Metformin Canon;
  • Hoʻolaha lōʻihi, etc.

Lā ʻia ka lāʻau lapaʻau no ka hoʻohana ʻana me nā mea inu waiʻona.

ʻO ka ʻokoʻa ma waena o ka Metformin Teva a me Metformin

ʻO kēia mau lāʻau lapaʻau e hoʻohuli i ka analogue, no ka mea he mau mea koʻikoʻi; like me kā lākou dosis He haʻahaʻa ka uku o Metformin, no ka mea ua hua ʻia ka lāʻau lapaʻau ma Rusia. ʻO kāna analogue Teva aia i loko o ka ʻIseraʻela, i hāʻawi i ka hoʻonui i ka waiwai.

Waihue huaʻōlelo waiho nā huaʻōlelo

ʻO ka lāʻau lapaʻau i ka nīnau he pūʻulu o nā lāʻau lapaʻau lapaʻau. ʻO ka inoa ma ka ʻōlelo Latin he Metformin.

Hiki iaʻu ke kūʻai me ke kī ʻole

ʻAʻohe ʻano like aʻe paha.

Kumukuai no Metformin Teva

Hoʻololi ka kumukūʻai kumukūʻai ma Lūkini mai 150 a 280 rubles, kahi e kau nei ma muli o ka neʻe ʻana o ka mea nui a me ka helu o nā papa i loko o ka pākau

Ke waiho nei i nā kūlana no ka lāʻau lapaʻau

He ākea ka mahana o ka ea - a hiki i + 25 ° С.

ʻO ka lā kau

ʻO ka lōʻihi o ka hoʻohana ʻia ʻana he 3 mau makahiki mai ka lā i hoʻopuka ai.

ʻO ke kōpaʻa haʻahaʻa hoʻohanohano ʻo Metformin
METFORMIN no ka maʻi maʻamau a me ka momona.

Mea hana

Teva Pharmaceutical Enterprises Ltd., Israel.

Nā Hōʻikeʻike iā Metformin Teva

Mahalo i ka loiloi o nā mea hoʻohana, hiki iā ʻoe ke loaʻa kahi manaʻo o ka pae o ka pono o ka lāʻau lapaʻau.

Kauka

Khalyabin D.E., endocrinologist, 47 makahiki, Khabarovsk

ʻAʻole hiki i ka lāʻau ke hōʻeha i nā hoʻopiʻi koʻikoʻi. Hoʻonohonoho wau i nā ʻano maʻi like i hoʻonāukiuki ʻia e ka maʻi diabetes, no ka laʻana, me ka hoʻomau mau ʻia o ka loaʻa ʻana o ka paona.

Gritsin, A.A., mea hoʻomaʻikaʻi i lalo, 39 makahiki, Moscow

ʻO kahi pono lāʻau lapaʻau, akā he nui nā palena i ka hoʻokau ʻia. ʻO ka manawa pinepine e pono i ka hoʻoponopono ʻana i ka maʻi ma nā maʻi i nā makahiki he 60. Eia kekahi, hāʻawi wau iā ia i nā ʻōpio. ʻO nā hopena ʻaoʻao i ka wā o ka lāʻau lapaʻau i loko o kaʻu hoʻomaʻamaʻa ʻaʻole i loaʻa.

I mea e kūʻai ai i nā lāʻau i loko o kahi lāʻau lapaʻau, pono ʻoe e hōʻike i kahi papa inoa.

ʻO nā maʻi maʻi

Anna, 29 makahiki, Penza

Lawe au i 850 mg, akā pōkole ke papa. Ma hope o hoʻokahi mahina, ʻike hou ka lāʻau. Ua like kēia mea hana no ka mea inakē, ʻae ʻia. ʻOi wale nō e pono ke hoʻololi iā ia me nā lāʻau lapaʻau hypoglycemic ʻē aʻe, no ka mea ke kaupalena nei ka lōʻihi o Metformin.

Valeria, he 45 makahiki, ʻo Belgorod

ʻO ka lāʻau lapaʻau maikaʻi, akā ma kaʻu hihia ʻaʻole maikaʻi ka hopena, e ʻōlelo wau - nāwaliwali. Hōʻike ke kauka i ka hoʻonui ʻana i nā maʻi, akā ʻaʻole au makemake e alo i nā hopena ʻaoʻao.

ʻO ka momona kaumaha

Miroslava, 34 makahiki, Perm

Ua momona loa wau ma mua o koʻu wā kamaliʻi, i kēia manawa ua hakakā wau i koʻu ola a pau. Ua hoʻāʻo wau e hoʻohana i kēlā lāʻau lapaʻau no ka manawa mua. ʻAʻole i emi ka mea i makemake ʻia, akā ma ke ʻano o ka helu ʻana i nā kaloli, ua ʻike ʻia nā hopena, no ka mea pili i ka metformin i ka metabolism.

Veronika, 33 makahiki, St.

I koʻu hihia, ʻaʻole i kōkua ka lāʻau lapaʻau.A hoʻonui ka nui, a hoʻāʻo e hoʻokō i ka meaʻai, akā ʻike au ʻaʻohe hopena, hoʻolei wau i loko o kekahi mau pule.

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