ʻOiai nā kūpono kūpono o ka lāʻau, Glucophage, nā hopena ʻaoʻao i ʻike ʻia e nā mea a pau, he mau hiʻohiʻona o ka hoʻohana.
Eia kekahi, hoʻopuka ka mea hana i ka Glucofage Long, kahi lāʻau lapaʻau e hoʻohana ʻia e hoʻonui ai i ka pane o nā mea hōʻalono i ka hoʻohaʻahaʻa i ka hilahila gula, me ka hoʻohana pono ʻana o ka pona e nā cell.
E kōkua kēia ʻatikala e hoʻomaopopo i nā mea koʻikoʻi e like me nā hiʻohiʻona o ka hoʻohana, nā hopena ʻaoʻao mai ka glucophage, contraindications, nā loiloi, nā kumu kūʻai a me nā analogues.
ʻO nā waiwai Pharmacological
Hōʻike ʻia ka lāʻau Glucophage no ka maʻi non-insulin-like ole, i ka manawa hoʻoikaika kino a me nā mea kanu kūikawā ʻaʻole i kōkua i nā haʻahaʻa haʻahaʻa. Ke ʻōlelo nei nā ʻōlelo aʻoaʻo e mālama pono ana ka luna antidiabetic i ka momona i ka wā e hoʻomohala ʻia ka pale kūloko. Ma ka hoʻomaʻamaʻa, ua hui pū ʻia me ka inikua insulin a me nā ʻano lāʻau like ʻole.
Hana ka mea hana i ka mea nona ka hanukula Glucophage i loko o nā papa o nā ʻano like ʻole: 500, 850 a me 1000 mg. ʻO ka mea nui o ka lāʻau lapaʻau ka metformin hydrochloride - he mākaukau o ka papa biguanide. ʻO kēlā me kēia papa o ka lāʻau lapaʻau ka ʻano o nā mea like e like me povidone, macrogol (4000, 8000), hypromellose a me ka magnesium stearate.
ʻO kahi ʻano hana neʻe i ka lāʻau mālama lōʻihi. Hoʻonohonoho ʻia nā papa i nā ala like ʻole (Glucofage Long 500 a me Glucofage Long 750).
ʻAʻole alakaʻi ke Glucophage i ka hoʻolālāʻana o ka hypoglycemia, a ʻaʻohe nō hoʻi o nā lele ākea i nā hōʻailona o ka glucose koko. Ke lawe nei ʻo Glucofage i nā kānaka olakino, ʻaʻohe emi o ka glycemia ma lalo o ka palena o 3.3-5.5 mmol / L. Ka hoʻokala ʻia o ka honu gula ma muli o nā waiwai a pau o ka lāʻau lapaʻau.
- Nā hana beta Beta e nā beta beta.
- ʻO ka hoʻonui iki o "cell cells" o ka protein a me ka adipose kiko i ka insulin.
- ʻO ka hoʻomaikaʻi ʻana i ka hoʻopaʻa ʻana o nā honi ma o nā ʻĀpana hana.
- Hoʻemi ka hoʻokaʻawale ʻana o nā pauku e nā ʻōnaehana.
- ʻO ka hoʻohaʻahaʻa ʻana i ka haʻalele ʻana o ka glucose i ka palupalu.
- Hoʻoulu i ka hana metabolism.
- ʻO ka hōʻemi ʻana i nā mea e pili ana i ka pōʻino o ka cholesterol, haʻahaʻa lipoproteins haʻahaʻa a me nā triglycerides.
- ʻO ka momona kaumaha i nā mea maʻi me ka momona koʻikoʻi (Glucofage acidates fatty acid).
Me ka hana waha o Glucofage metformin, hoʻopili koke ʻia ka hydrochloride ma ke kiko o ke gastrointestinal, a ʻike ʻia ka lōʻihi o kona pae ma hope o ʻelua a me ka hapa hola. ʻO ka Glucophage Long, kahi ʻokoʻa, ke kau ʻia ma luna o ka manawa lōʻihi, no laila lawe ʻia he mau manawa 1-2 wale nō i ka lā.
ʻAʻole ka hana a ka mea ikaika me nā protein, e pālahalaha wikiwiki i nā ʻōkuhi āpau o ke kino. Hoʻopau ʻia ʻo Metformin me ka urine.
ʻO nā mea e loaʻa ana i ka disfunction kidney, e ʻike pono i ka hiki ke hoʻololi ʻana i ka lāʻau lapaʻau i loko o nā kiko.
Nā ʻōkuhi no ka hoʻohana ʻana i nā papa
Ua kūʻai ʻia nā lāʻau ʻelua (Glucophage a me Glucophage Long) i loko o kahi kīkini, me ka lāʻau kūʻai a endocrinologist me lākou. Kūkulu ke kauka i kahi maʻi i kau ʻia i ka nui o nā glucose a me nā hōʻailona i kahi maʻi maʻi.
I ka hoʻomakaʻana o ke pena, ua'ōlelo ʻia e hoʻopau i ka 500 mg palua i nā manawa ʻelua-ʻekolu i ka lā hoʻokahi. Ma hope oʻelua pule, ua ʻae ʻia e hoʻonui i ka hewa. Pono e hoʻomanaʻo ma hope o ka lawe ʻana iā Glucofage i nā lā 10-14 mua he mau hopena kūpono e pili ana i ka hoʻololi ʻana o ke kino i ka mea hana. ʻO nā mea maʻi e hoʻopiʻi i ka hōʻeha ʻana o ka ʻili o ka kūwili, ʻo ia hoʻi, ka hōʻeha ʻana o ka maʻi molo a i ʻole ka luaʻi ʻana, ka constipation a i ʻole, i ka ʻōlelo ʻana aʻe, nā ʻeha, ka ʻaha metaly i loko o ka lua o ka waha.
ʻO ka papa mālama mālama he 1500-2000 mg i kēlā me kēia lā. No ka hōʻemiʻana i nā hopena ʻaoʻao mai ka lawe ʻana i ka lāʻau lapaʻau, pono ʻoe e hoʻokaʻawale i kēlā me kēia lā i ka 2-3 mau manawa. ʻAe ʻia ka palena o ka lā no ke hoʻopau ʻana a hiki i 3000 mg.
Inā hoʻohana ka mea maʻi i kekahi lāʻau lapaʻau hypoglycemic hou, a laila pono iā ia e kāpae i kāna hoʻokomoʻana a hoʻomaka i ka mālama ʻana me Glucofage. I ka hoʻohui ʻana i ka lāʻau lapaʻau me ka maʻi lā o ka insulin, pono ʻoe e hoʻopiha i kahi pānaʻi o 500 a 850 mg ʻelua paha a ʻekolu paha i ka lā, a me ka 1000 mg hoʻokahi i ka lā. ʻO nā mea e ʻeha ana i ka palaka ʻole a me nā maʻi ʻē aʻe, e pono ke koho i ke ʻano o ka lāʻau lapaʻau ʻokoʻa. I kēlā mau hihia, hoʻohālikelike ʻia ke kahu maʻi i ka creatinine i kēlā me kēia o 3-6 mahina.
E hoʻohana i Glucofage Long 500 e pono i kahi lā i ke ahiahi. Hoʻokomo ʻia ka hoʻoponopono lāʻau i hoʻokahi manawa i kēlā me kēia pule. Hoʻopili ʻia ka Glucophage Long 500 e hoʻohana i nā mea hou aku ma mua o ke ʻelua i ka lā. E pili ana i ka papaʻa ʻana o 750 mg, pono e hoʻomanaʻo ʻia he ʻelua mau manawa ka nui o ka lā ma ka lā.
No nā poʻe maʻi o ke wā ʻōpiopio a me nā ʻōpio (ʻoi aku ma mua o 10 mau makahiki) e ʻae ʻia e hoʻopau i ka 2000 mg i kēlā me kēia lā. No nā poʻe maʻi ma mua o 60 mau makahiki, ke kēkahi nei ke kauka i ka nui o ka dosage ma muli o ka hopena o ka hē ʻana o ka hana ma hope o ka hana.
Hōʻalo ʻia nā papa me ke aniani o ka wai maoli, me ka ʻaihue ʻole ʻana. Inā kānalua ʻoe e lawe i ka lāʻau lapaʻau, ʻaʻole hiki iā ʻoe ke pāpālua i ka nui. No ka hana ʻana i kēia, pono koke ʻoe e lawe i ka nui o ke ʻano o ka Glucofage.
No kēlā mau mea maʻi e inu ana ma mua o 2000 mg o ka glucophage, ʻaʻohe mea pono e lawe i ka lāʻau lapaʻau lōʻihi.
I ke kūʻai ʻana i kahi antidiabetic agent, e nānā i kona manawa lohi, ʻo ia kahi 500 mau makahiki a me 500 mg no Glucofage, a ʻelima mau makahiki no ka Glucofage 1000 mg - ʻekolu mau makahiki. ʻO ka palena wela ma kahi e mālama ai ka pōpō, ʻaʻole pono eʻoi aku ma mua o 25 ° C.
No laila, hiki i Glucophage ke hoʻopiʻi i nā hopena ʻaoʻao, a loaʻa paha ia i kahi contraindications? E hoʻāʻo kākou e nānā hou aʻe.
Keʻano lāʻau lapaʻau hypoglycemic
ʻO ka lāʻau maʻamau a me ka hana lōʻihi e loaʻa nā contraindications a me nā hopena hopena.
I mea e pale ʻole ai i nā hopena ʻino e kū mai nei ma hope o ka lawe ʻana i Glucofage, pono ke kūkākūkā i nā maʻi āpau i nā maʻi āpau me ko lākou kauka.
ʻO kēlā me kēia pūʻulu o ka lāʻau lapaʻau pū kekahi me ia ka mea i hoʻopili ʻia e loaʻa ai nā cont contications e hiki ke hoʻohana ʻia me ka lāʻau Glucophage.
ʻO nā māhele nui
- hoʻonui mahuahua i nā mea i loaʻa;
- diabetes ketoacidosis;
- coma, precoma me ka maʻi maʻi;
- ka hoʻomohala ʻana o nā ala āpau e alakaʻi i ke ʻano o ke kiko hypoxia (myocardial infarction, respiratory / heart heart);
- molekale ʻaʻa ole a hōʻoki ʻole ʻia ka ate;
- hana ʻole a paʻa ʻole i kahi hana ʻole a hana ʻole (hana ma lalo o 60 ml mau minuke);
- nā hana ʻoi e hoʻonui ai i ka manawa o ke keiki o ka holo ʻana o ka huehue (ke nānā ʻana, ka luaʻi huakaʻi), ʻūhā, nā maʻi āpau;
- nā hōʻeha nui, a me nā hōʻiliʻili kaʻa;
- ka manawa gestation a me ka lactation;
- lawe mai i ka palaka kaumaha, a me ka palaka luhi;
- ʻelua mau lā ma mua a ma hope o ka radioisotope a me nā x-ray e nānā ai me ka hoʻopuka ʻana i kahi ʻano iodine i loko;
- lactacidemia, kūikawā ma ka mōʻaukala.
Eia kekahi, pāpā ʻia i ka lawe ʻana i ka lāʻau inā hoʻohana i ka meaʻai hypokalokalaka (e emi iho ma mua o 1000 kcal i kēlā me kēia lā).
Nā hopena ʻaoʻao a me ka overdose
He aha nā hopena maikaʻiʻole o ka lāʻau lapaʻau?
E like me ka mea i hōʻike mua ʻia, pili ʻia ka Glucophage i ka hana o ke kuapo gastrointestinal ma ka hoʻomaka ʻana o ka ʻoihana.
Hoʻohui ʻia ka hoʻohui ʻana o ke kino me nā hōʻailona e like me ka nausea, ka luaʻi, ka kīʻaha ʻaka, constipation, ka ʻaha metallic, ka ʻōpū maloʻo, ka nalowale o ka makemake, bulimia.
ʻO kekahi "ʻaoʻao ʻaoʻao" pili pū me nā pilikia like ʻole i ka hana o nā ʻōnaehana o nā kino o loko.
ʻO ka mea mua, hōʻike ʻia kahi hopena ʻaoʻao:
- ʻO ka hoʻomohalaʻana i ka hoʻomehana lactic acidosis.
- ʻO ka hōʻemi nui o ka waiora B12, pono e lawe nui i ka anemia megaloblastic.
- ʻO ka ʻili a me ka hopena o ka subcutaneous e like me pruritus, rash, a me ka erythema.
- Nā hopena maikaʻiʻole i ka ate, ka hoʻomohala ʻana o ka maʻi hepatitis.
Me ka overdose, ʻaʻole i nānā ʻia ka hoʻomohala ʻana o kahi kūlana hypoglycemic. Eia naʻe, hiki i ka acidact lactic ke hiki i kekahi manawa. Hiki paha i nā ʻōuli like paha ke luhi i ka palaualelo, nāwaliwali, ka luaʻi ʻana, ka luhi, ka ʻōpū, ke poʻo, a me nā mea ʻē aʻe.
He aha ka mea inā e hōʻike aku kahi mea maʻi i nā hōʻailona o ka lactic acidosis? Pono e hoʻolako ʻia i ka haukapila i ka hiki ke hoʻonā ai i ka paʻa o ka lactate. Ma ke ʻano he lula, ua kuhikuhi ke kauka i ka hemodialysis e like me ke ʻano maikaʻi loa no ka wehe ʻana i ka lactate a me ka metformin hydrochloride mai ke kino. Hoʻololi ʻia ka maʻi Symptomatic.
Ke hōʻike nei nā ʻōkuhi i ka ʻole o ka mea i kuhikuhi ʻia a me nā mea e hoʻohana ʻia ai ka manawa like me Glucofage e hiki ke hoʻonāukiuki i ka hoʻonui ʻana i ka wai hoʻoka. ʻAʻole hiki iā ʻoe ke hoʻohui i ka lau ʻo Glucofage me:
- nā mea kūlohelohe;
- danazol;
- Hoʻololi;
- beta2-sympathomimetics
- therapy;
- "loop" diuretics;
- ethanol.
Eia kekahi, ʻaʻole ia e ʻōlelo no ka hoʻohui ʻana i ka hoʻokele ʻana o Glucofage me nā mea i ʻike ʻia i ka iodine.
ʻO ka hoʻohanaʻana i ka lāʻau lapaʻau no ka hoʻolilo kaumaha a me ke olakino wahine
Manaʻo nā nui he nui i ke kumu e pili ai ka glucophage i ka pohō kaumaha. No ka mea ua hoʻomake ka lāʻau lapaʻau i ka hoʻoliʻiliʻi ʻana o nā momona momona a me ka hoʻohaʻahaʻa ʻana i ka hoʻohanaʻana i nā kālaiʻu, e hoʻopuka pololei ana i ka emi ʻana o ke kaumaha o ke kino.
ʻO kekahi o nā hopena hopena, ka nalowale o ka makemake, nui nā maʻi maʻi i loaʻa i nā mea pono no ka mea, e hoʻēmi ana i kā lākou ʻaiʻai i kēlā me kēia lā. Eia naʻe, hiki ke hoʻemiʻia ka hopena o ka lāʻau ma muli o ka piʻi o ka acidic i loko o ke kino. No laila, i ka wā o ka hoʻokipa ʻana o Glucofage, ʻaʻole ia he mea e hoʻolako nui iā ʻoe iho me nā mea hoʻoluhi. Akā, ʻaʻohe mea i hōʻaia i ka meaʻai kūpono. Pono e haʻalele i nā meaʻai momona a me nā maʻalahi o nā mea huʻakaiʻi.
Pono e lōʻihi ka lōʻihi o ka lāʻau no ka hoʻolilo ʻana i ka 4-8 mau pule. Ma mua o ka lawe ʻana i ka lāʻau lapaʻau, pono ʻoe e ʻōlelo aku me kāu mea mālama ola olakino e pale aku ai i ka pōʻino a me ka hoʻomohala ʻana o ka hypoglycemia ma ka maʻi mellitus.
Ua hōʻike ʻia nā haʻawina hou i ka lawe ʻana i ka lāʻau lapaʻau he pono ma ka infertility. Eia kekahi, ua lawe ʻia no ka polycystic, kahi i 57% o nā hihia no ka hiki ʻole o nā keiki. Hiki ke hana ʻia kēia ʻōpala me ka pale ʻana o ka metabolic a i ʻole ke pale ʻana i ka insulin.
I ka hoʻomaka, nui nā mea maʻi e ʻike i nā hōʻailona e like me ka lohi, nā manawa i hoʻoponopono ʻole ʻia, a me ka cystitis. ʻAʻole hana maikaʻi kēia mau ʻōlapa a koi i ka pilina koke me ka gynecologist.
ʻO ka hui pū ʻana o Glucophage a me Duphaston e kōkua i ka hoʻokūʻē i ka pae o ka hormone.
ʻO ke kumu kūʻai, nā loiloi a me nā like
ʻO nā haʻaheo o Glucophage ʻaʻole wale me kāna hopena maikaʻi loa, akā i nā kumukūʻai maikaʻi hoʻi. No laila, ke hoʻololi ʻia ke kumukūʻai o 1 Glyukofage mai ka 105 a 310 ka lālani Lūkini, a me ka hana lōʻihi - mai ka 320 a 720 mau rubles, e like me ke ʻano o ka hoʻokuʻu.
Hōʻikeʻike i nā mea maʻi e lawe nei i kēia lāʻau lapaʻau. ʻAʻole alakaʻi ke Glucophage i ka hypoglycemia a hoʻopaʻa i ke kiʻekiʻe o ke kō i ka maʻi diabetes. Eia kekahi, ʻike ka nui o nā loiloi i ka hopena o ka hoʻonā no ka pohō. Maanei, no ka laʻana, kekahi o nā ʻōlelo:
Lyudmila (59 mau makahiki): "Ua ʻike wau iā Glucofage ma nā makahiki ʻekolu i hala aku nei, ʻaʻole iʻoi aku ka hilo ma mua o 7 mmol / L. ʻAe, i ka hoʻomaka ʻana o ka hoʻōla mai iaʻu, akā ua manaʻo wau inā ua ʻeha ʻoe, hiki iā ʻoe ke lanakila. Inā hoʻomau ʻoe e hana i ka lāʻau lapaʻau, pēlā. "ʻEkolu mau makahiki i hala aku nei, ʻo 71 ka paona o koʻu kino he 71 kg, me ke kōkua o kēia hāmeʻa ua hāʻule koʻu momona momona i ka 64 kg. E ʻae wale, he hopena maikaʻi. ʻAʻole hiki iā ʻoe ke hana me ka ʻole o ka hoʻolako ʻana i ka lāʻau lapaʻau."
Eia nō naʻe, aia kekahi mau loiloi maikaʻi e pili ana i ka lāʻau lapaʻau. Hoʻohui ʻia lākou me ka indigestion a me nā ʻōlelo ʻē aʻe o ke kino. No ka laʻana, hoʻonui koʻikoʻi, ka hopena maikaʻi ʻole i loko o nā keiki, ʻo ka lāʻau hiki nō hoʻi ke hōʻeha i ka hoʻomohala ʻana o ka cholecystitis, fibrillation atrial, i hoʻonui ʻia nā hōʻailona o psoriasis, i nā poʻe e ʻeha nei i kēia maʻi. ʻOiai ka pilina pololei ma waena o nā maʻi a me ka lawe ʻana i ka lāʻau lapaʻa ʻaʻole i hoʻopaʻa paʻa.
No ka mea he Glucophage i kekahi mea kaulana a puni ka honua - metformin, he nui nā mea hoʻohālike. ʻO kekahi laʻana, ʻo Metformin, Bagomet, Metfogamma, Formmetin, Nova Met, Gliformin, Siofor 1000 a me nā mea ʻē aʻe.
ʻO Glucophage (500, 850, 1000), me Glucophage 500 a me 750 mau mea kūpono i nā lāʻau lapaʻau maikaʻi no ka maʻi maʻi ʻoka 2. E ka nui, nā lāʻau lapaʻau e hōʻino i ka maikaʻi ʻole. I ka wā e kūpono kūpono, maikaʻi lākou no ke olakino a kāpae i ka glycemia kiʻekiʻe i nā maʻi maʻi.
Hōʻike ka ʻike e pili ana i ka Glucofage i ke wikiō ma kēia ʻatikala.
