ʻO Gliformin kahi lāʻau lapaʻau hypoglycemic no ka hoʻohana waha, ʻo ia ka poʻe o ka biguanides. Mālama i ka lāʻau lapaʻau i ka glycogenesis i loko o ka puʻuwai, e hoʻemi ana i ka nalo ʻana, hoʻonui i ka ʻike ʻana o nā io i ka insulin hormone, a hoʻomaikaʻi hou i ka hoʻohana ʻana i ka peripheral o ke kō.
I ka manawa like, ʻaʻole hiki i ka lāʻau lapaʻau ke hoʻoikaika i ka hana o ka insulin, hoʻohaʻahaʻa i ka nui o nā triglycerides, nā lipoproteins haʻahaʻa haʻahaʻa, a hoʻonui i nā hōʻailona hōʻailona. Hoʻopili ʻia, ma muli o ka mea o ka pale ʻana o ka mea plasminogen inhibits e ka ʻano o ka kiko, hiki i ka hopena fibrinolytic.
No hoʻokahi pahu o ka lāʻau lapaʻau i ka pale kiʻi kiʻiʻoniʻoni, pono e hāʻawi ka mea maʻi i ka 300 mau rubles, nā papa Gliformin me ka uku hoʻokaʻawale ʻē aʻe ma kahi o 150 rubles. ʻO ka loiloi e pili ana i ka lāʻau lapaʻau he kūpono maikaʻi, ʻaʻole maʻamau i hāʻawi i nā ʻano kūpono ʻole i ke kino.
Ka hana lāʻau lapaʻau
Hiki ke kūʻai ʻia ka lāʻau lapaʻau i nā ʻano like ʻole: 250, 500, 850 a me 1000 mg. ʻO ka hana nui o ka lāʻau ka metformin. Loaʻa ka hopena o ka mālama ʻana i ka wā e hoʻomau ana ka maʻi diabetes i kāna iho ponoʻī a i ʻole hoʻokele ʻia kēia ʻenehana.
Nā mea hoʻoweliweli:
- sorbitol;
- kalaka ʻaʻa;
- stearic acid;
- povidone.
Hoʻomaʻi nui ʻia ka lāʻau lapaʻau e nā sela o nā lālā o ke ake o ka gastrointestinal, ʻike ʻia ʻoi loa ka lōʻihi o ʻelua mau hola ma hope o ka lawe ʻana i nā papa. ʻO ka bioavailability o ka metformin hydrochloride e pili ana i ka 50-60%, ʻaʻole i hui pū ka waiwai me ka protein. Mai ke kino, haʻalele ka lāʻau i kāna kūlana kumu.
Me ka maʻi hakahaka, lawe wale ʻia ʻo Gliformin i nā ʻōlelo maʻamau. Pono ʻoe e ʻike i ka moʻo ʻana o kāna hana. Ma hope o ke komoʻana i ke kahe koko, ʻo ka mea ikaika o ka lāʻau lapaʻau e komo i nā hana like:
- ka wikiwiki o ka uha ʻana o nā pale kālai;
- ka hōʻemi o ka nui o ka glucose e hiki mai ana mai nā ʻōpū;
- ka papaʻi o ka hana o nā molekikena glucose i loko o ka puʻuwai.
ʻO ka hoʻohanaʻana i ka lāʻau lapaʻau no ka maʻi maʻi a me nā ʻano like ʻole o ka momona nui i hoʻonāukiuki i ka paona o ke kino a me ka makemake. ʻO nā ʻōlelo e hoʻohana ai i ka lāʻau lapaʻau e ʻōlelo ka hoʻomau ikaika o ka metformin i ka lāʻau e hoʻopau i nā koko koko, pale i ka uhi ʻia o platelet.
Nā ʻōkuhi no ka hoʻohana ʻana i nā papa
ʻO nā ʻōpana no ka hoʻohana ʻana i ka lāʻau lapaʻau ka type 2 diabetes mellitus, inā he ʻai koʻikoʻi a me nā hui o ka hui ʻo sulfonylurea, ʻaʻole i loaʻa ka hopena i makemake ʻia. Ua kuhikuhi ʻia ʻia ʻo Glyformin no ka maʻi maʻamau i ka lā 1 ma kahi kokoke i nā inikini insulin.
I ka wā o ka mālama ʻana, pono ke nānā ʻia ka hana o nā pēpē, i ka liʻiliʻi o kēlā me kēia 6 mau mahina ʻoi ʻia e nānā i kahi loiloi e hoʻoholo i ka lactate i loko o ke koko koko.
Hiki ke hoʻohāinu ʻia nā papa i ka wā ʻai a ma hope o ka ʻai, pono ke kuhikuhi ʻia ka nui o ka dosage e ke kauka hele nei, i ka ʻike ʻana i nā hopena o kahi hōʻike koko koko.
- i ka hoʻomaka o ka hoʻōla, ʻaʻole nui ka make o ka mahele o ka 1 pākahi i kēlā me kēia lā;
- ma hope o 15 lā, ua hoʻonui ʻia ka nui o nā kālā.
Pono e uku ʻia ka nui o ka hoʻoponopono mālama ʻia ma mua o 2 mau greka no ka lā, pono ia e hoʻohele ʻia i nā kā he nui. Hana ʻia nā maʻi o ke ʻano kiʻekiʻe o kēlā me kēia lā e lawe i ka nui o ka 1 gr o ka lāʻau.
Inā hoʻoholo kekahi kauka iā Gliformin no ka maʻi maʻi, pono ke ʻike e hiki i ka poʻe maʻi ke hōʻeha i nā ʻano hopena maikaʻi ʻole o ke kino. Ma ka ʻāpana o ka ʻoihana endocrine, ulu ka hypoglycemia, ma ka ʻāpana o ka anemia kaila o ka nui o ka maʻi, ma ka ʻaoʻao o ka metabolism ka nui o ka hema. Penei ke ʻano o ke kino i nā lāʻau lapaʻau me nā hopena kūloko:
- urticaria;
- ʻili;
- pululalu.
Mai nā mea o nā palapu o ka gastrointestinal aia kahi hewaʻole o ka momona, ka ʻeha, ka luaʻi, ka ʻaila metala i loko o ka waha.
Inā he hanana ulu ʻino ʻē aʻe, hōʻike ʻia ia e hōʻole i ka mālama ʻana me Gliformin, e nīnau aku i kahi kauka.
Hiki ke hoʻohana ʻia ka lāʻau lapaʻau ʻo Glyformin (i kāna mau ʻōlelo aʻo i ka Pūnaewele) no ka hiki ke hoʻololi 'ole hou ʻana, akā i ka mea e pau ai ka piʻi ʻana o ka acidosis lactic. Ma kēia hihia, ʻike pono ʻia ka hana o ka keiki (ma ka liʻiliʻi o hoʻokahi manawa me 3-6 mau mahina), i ka wā e hoʻokaʻawale ke kihalakeke i ka pae o 45 ml / min, hoʻopau koke ka mālama ʻana.
Inā hōʻemi ka hana o ke keiki i ka maʻi maʻi maʻi maʻa, pono ke hoʻoponopono ʻia ka nui o ka metformin.
Nā Contraindications, ka pili ʻana o ka lāʻau lapaʻau
ʻAʻole ke ʻōlohelohe ʻo Gliformin no ka ketoacidosis, nā maʻi ʻeha o ka maʻi maʻi, ka maʻi maʻi maʻa, ka puʻuwai, ka pale pulmonary, i ka wā hāpai, ka hoʻoulu ʻana, ka myocardial infarction, ka mālamalama keu loa i nā mea o ka lāʻau.
Lawe maikaʻi ka mālama i ka lāʻau no nā maʻi o ka etiology infectious, ma mua o ka lāʻau lapaʻau koʻikoʻi.
Hiki ke emi paha ka hopena o ka lāʻau me ka hopena like ʻole:
- nā lāʻau lapaʻau glucocorticosteroid;
- o nā hormone thyroid
- kūpeʻe;
- nikolinic acid;
- i ka wā e lawe aku ai i nā mea hoʻohālikelike waha.
Inā hui pū kekahi me ka metformin me ka lālani o ka insulin, ka derivatives o sulfonylurea, nā lāʻau anti-inflammatory non-steroidal, a me nā beta-blockers, aia kahiʻike nui i ka hopena.
ʻO ka wā lōʻihi ʻo Gliformin
I kekahi mau hihia, hōʻike ʻia ke ahonui me ka maʻi maʻi maʻi Gliformin i lōʻihi - Gliformin hoʻolōʻihi. Lawe ʻia ia me ke kino, holoi ʻia me ka nui o ka wai. Hiki i ka paahana ke kōkua i kona iho a i ʻole ʻāpana o ka hui pū ʻana.
Inā ʻaʻole i lawe ka mea maʻi ma mua me metformin, ua ʻōlelo ʻia ʻo ia i ka hoʻomaka mua ʻana o 750 mg hoʻokahi i ka lā. Ma hope o 2 mau pule, e hoʻoponopono ke kauka i ka dosage (e lawe i 2 mau papa o 750 mg), e pili ana i nā hopena o nā hōʻike gula. Me kahi piʻi lohi i ka nui o ka lāʻau, loaʻa ka emi ʻana i nā hopena maikaʻi ʻole mai ka papa hana ʻana, ʻoi aku hoʻi, ua nalo aku ka maʻi palaka.
Inā ʻaʻole ʻae ʻia ka pauku i ʻōlelo ʻia e hoʻokō maʻamau i ka glycemia maʻamau, pono ia e lawe i ka nui o ka nui - 3 papa o 750 mg Prolong i hoʻokahi manawa i ka lā.
ʻO nā maʻi Diabetics e lawe i ka metformin i ke ʻano o ka mea hoʻoiho maʻamau.
- inu inu Prolong ma kahi pane like ʻole;
- inā e lawe lākou i mua o 2000 mg, ke hoʻololi ʻia ʻana o ka loli i kahi mana lōʻihi o ka lāʻau lapaʻau.
No ka hoʻokō ʻana i ka mana glycemic loa, ua hoʻohana ʻia ka metformin a me ka hoʻāneʻana o ka hormone manuahi e like me ka mālama hui. ʻO ka mea mua, e lawe i kahi maʻa maʻamau o nā lāʻau lapaʻau (1 papa 750 mg) i ka wā pāʻina, a me ke ʻano o ka insulin e pono e koho ʻia hoʻokahi, e pili ana i ke kō o ke koko.
Ma ka lā holo loa, ʻae ʻia ka lawe ʻia ʻana ma mua o 2250 mg o ka lāʻau lapaʻau, hōʻike ʻia e nā loiloi, e hōʻike ʻia ana ke ʻano o ke kino i kūpono, hiki ke hoʻololi i ka lawe ʻana i ka lāʻau me ka hoʻokuʻu maʻamau o ka metformin ma ke ʻano he 3000 mg.
Loaʻa i hala i ka mea maʻi ke lawe i ka lāʻau lapaʻau, ma ia hihia ke hōʻike ʻia nei e lawe i ka papa ʻaoʻao o ka lāʻau lapaʻau i ka manawa maʻamau. ʻAʻole hiki iā ʻoe ke ʻai i ʻelua pālua o ka metformin, e lilo kēia i ka hoʻolālā ʻana o nā hopena kūlohelohe maikaʻi ʻole, hoʻonui ʻia i nā hōʻailona o ka maʻi maʻi, kahi e ʻae ʻole ʻia.
Ponoʻo Glyformin Prolong e lawe i kēlā me kēia lā, pale i nā wāwahi.
Pono ka mea maʻi e hoʻomaopopo i ke kauka hele e pili ana i ka pau ʻana o ka hoʻōla, ʻike iā ia.
ʻO ka ʻōlelo, nā loiloi o nā kauka
Ma muli o ka hele ʻana o nā contraindications, ʻaʻole kūpono nā lāʻau lapaʻau no nā mea maʻi he nui, ma kēia ʻano he pono e koho i nā analogues o ka lāʻau lapaʻau, loaʻa nō hoʻi iā lākou kahi ʻano like ʻole o ka mea ola (250, 500, 850, 1000). Hiki i Gliformin ma luna o kahi pā me nā lāʻau lapaʻau:
- Glucoran;
- Metformin Teva;
- Diaberitis
ʻO ka maʻi Diabetics ua lawe ʻē i ka hana Gliformin e hōʻike ana i kahi nui o ka overdose. I ka hapa nui, he kūpono kēia no ka hoʻohana pono ʻana i ka lāʻau lapaʻau.
Hiki i kahi overdose ke hoʻomohala i ke ʻano o kahi ʻano pathological e like me ka lactic acidosis. ʻO nā mea hōʻike nui loa: ka ʻeha o ka naʻau, ka luaʻi, ka lua, me ka ʻike ʻole. Ke hele mai nei kēlā mau ʻōuli, ua hōʻike ʻia e kāpae i ka lawe ʻana i ka lāʻau.
Wahi a nā kauka e mālama maikaʻi ʻia ka lāʻau Gliformin me ka maʻi maʻi i nā maʻi maʻi, i ʻike ʻia e nānā pono ʻia nā mea i ʻōlelo ʻia. ʻO kekahi hoʻohui hou o ka lāʻau lapaʻau ke kumukūʻai kūpono a loaʻa i nā lāʻau lapaʻau.
Hoʻomaʻamaʻa ka poʻe Endocrinologists i loko o ka papa o ka ʻoihana e pono ke hana i nā hana hoʻohālikelike i nā pae serum creatinine. ʻAʻole pono e lawe pū ʻia ka lāʻau Glyformin no ka maʻi maʻi.
- me nā mea inu ʻona;
- nā mea kanu e loaʻa ai ka ethanol.
ʻO ka mea pōʻino, ua lilo ka maʻi diabetes i ka maʻi maʻamau, a i waena o nā poʻe'ōpio. No ka mālamaʻana, pono ia i ke kuhikuhi i ka lāʻau lapaʻau e kōkua ana i ka hoʻohālikelike i ke kiʻekiʻe o ka glycemia, kekahi o kēia mau lāʻau ʻo Glyformin. Inā hahai pono ʻia nā ʻōkuhi no ka hoʻohana ʻana, e hopena ka hopena o ka lāʻau i ka manawa pōkole.
Hāʻawi ʻia ka ʻike e pili ana i nā lāʻau lapaʻau haʻahaʻa i loko o ke wikiō ma kēia ʻatikala.
