ʻO Metformin Sandoz kekahi o nā lāʻau lapaʻau kaulana loa i hoʻohana ʻia no ka maʻi diabetes i ka like me ka injections insulin a no ka maʻi type II, i ka manawa o ka hoʻonaʻauao kino a me ka meaʻai momona i hāʻawi ʻole i ka emi o ka pae o ka glucose.
Mahalo i ka hana ikaika, he emi ʻana i ke kahe o ke kō i loko o ka serum koko, a ua hōʻemi ʻia ka waiwai nui o ka glucose.
E like me kāu e ʻike ai, loaʻa i kēlā me kēia lāʻau lapaʻau ka nui o nā contraindications, nā hopena hopena a me nā hiʻohiʻona lāʻau lapaʻau hou. No laila, he mea nui e ʻike i ka ʻike he nui e pili ana i ka lāʻau lapaʻau e lawe ʻia ana. Pehea e hoʻohana ai i ka lāʻau lapaʻau?
ʻO ka ʻike maʻamau e pili ana i ka lāʻau lapaʻau hypoglycemic
Aia kekahi kikowaena hypoglycemic ainga kumu, ka metformin hydrochloride, ʻo ia wale nō ke ʻano o ka papa biguanide. Hoʻokumu ʻia ma ke ʻano dosage, hua ʻia nā papa me ka 500 a 850 mg o ka mea kai olakino. Hoʻopili i ka hopena pharmacological o kēia mea me ka hiki ke pale i ka hoʻokumu ʻana o ka glucose mai nā pūpū waihala ʻole (gluconeogenesis).
Hoʻopili i nā metformin hydrochloride, hoʻokahi papa o ka lāʻau ua loaʻa ka liʻiliʻi o ka sodium starch, magnesium stearate, silicon dioxide, colloidal anhydrous, copolyvidone Va64 a me ka microcrystalline cellulose.
ʻAʻole hoʻonā ka lāʻau lapaʻau i ka hana ʻana o kahi kōmike hoʻohiolo koko, no laila ke poʻe olakino e lawe nei i kēia lāʻau lapaʻau ʻaʻole manaʻo i nā hōʻailona o ka hypoglycemia. I waena o nā mea kūpono o ka lāʻau lapaʻau, pono pono e hoʻolauna i nā mea penei:
- Hoʻokomo i ka gluconeogenesis.
- ʻO ka hoʻonui ʻia o ka hopena i nā ʻenemi huli i ka insulin.
- ʻO ka hoʻoulu ʻana o ka ea glucose e kaʻuʻu.
- ʻO ka lilo kaumaha, ʻoi aku hoʻi i nā poʻe momona lohi.
- E hoʻemi i nā kumukūʻai kumu nui o ke kō a me kāna ʻike ma hope o ka ʻai ʻana.
- Hoʻonui maikaʻi i ka metabolid lipid (hoʻemi i ka cholesterol, triglycerides a me LDL).
- Hoʻemi i ka pōloli.
- ʻO ka hoʻoikaika ʻana i ka glycolysis anaerobic.
- Hoʻopili i ka laweʻana o nā aʻe i loko o nā pāina.
Lawe ʻia ka ʻāpana antidiabetic i loko, ʻike ʻia ka lōʻihi o kona koʻo ʻana ma hope o 2,5 mau hola. Hoʻopilikia wale ka mea nui i ka digestive tract.
Hoʻopiliʻia ka Metformin hydrochloride i kahi loli ʻole me ka urine.
Nā ʻōkuhi no ka hoʻohana ʻana i nā papa
E like me ka mea i hōʻike ʻia ma ka mua, hiki ke hoʻohana ʻia ka lāʻau lapaʻau no ka maʻi kūpaʻa ʻana i ka insulin a me ka diabetes. Hiki i ke kauka ke hiki ke kuhikuhi i ka nui o ke ʻano o ka lāʻau lapaʻau, e pili ana i ka nānā ʻana o ka glucose a me nā hōʻailona pili i ka mea maʻi.
Ke kūʻai nei i ka lāʻau lapaʻau, ʻaʻole pono ka mea maʻi e hahai i nā ʻōlelo a ke kauka, akā hoʻomaʻamaʻa pū ʻo ia iā ia me ka hoʻokomo ʻana o ka pākeke. Inā kū i nā nīnau, pono e nīnau ʻia e kāu limahana olakino.
I ka hoʻomaka ʻana o ka hoʻōla, ua hoʻokaʻawale ʻia kahi lāʻau hoʻohaʻahaʻa i kēlā me kēia lā - 500 wale nō a 1000 paha mg. ʻElua mau pule ma hope, e hoʻonui paha ke kauā i ka nui o ka lāʻau, e noʻonoʻo ana i ke kō o ke kō i loko o ke koko. Initial therapy me kēia lāʻau lapaʻau hiki ke hele pū me ka hoʻonāukiuki o ka kaomi ʻana. ʻO kēlā mau ʻano leʻaleʻa i wehewehe ʻia e ka hoʻohālikelike ʻana o ke kino i ka mea ikaika a ma hope o nā lā 10-14 e hala e lākou iho. E mālama i kahi pae glucose maʻamau, pono ʻoe e hoʻopau i ka 1,500-2,000 mg i ka lā. ʻO ka nui loa ka 3000 mg. No ka hōʻemiʻana i ka hopena maikaʻi o ka lāʻau lapaʻau ma ka pale ʻana i ka hoʻomaka ʻana o ka maʻi, pono ʻoe e hoʻokaʻawale i ka dosage i nā manawa he nui.
I ka hoʻohuiʻana i ka Metformin Sandoz a me ka insulin, ua hiki ke loaʻa kahi hōʻemi i ʻoi aku ka maikaʻi o ka hoʻokaʻa gula. Lawe ʻia kēia lāʻau lapa ʻelua ʻelua a ʻekolu paha i ka lā, 500 mg i kēlā E pili ana i ka makeʻana o ka insulin, e kau ana i ka pae o ka glucose i ke koko.
ʻO nā maʻi maʻi kuʻuna no ka hoʻohana ʻana iā Metformin Sandoz pono i ka nānā kūikawā. E hoʻoholo ke kauka i ka dosage o ka lāʻau lapaʻau, hāʻawi ʻia i ke kūlana hana o nā keiki i ka hana.
I ke kūʻai ʻana i kahi lāʻau lapaʻau, mai poina e nānā i ka nānā ʻana i ka lā e pau ai, ʻo ia ka 5 mau makahiki.
Hoʻokomo ʻia ka lāʻau lapaʻau i kahi wahi maloʻo i kahi mahana ʻaʻole iʻoi aku ma mua o 25 tikelika Celsius.
Nā hiʻohiʻona a me nā hopena maikaʻiʻole
ʻAʻole ia e hōʻike ʻia ka lāʻau lapaʻau no nā maʻi maʻi (ʻoi aku ma mua o 60 mau makahiki), ka mea pili me kāna hana koʻikoʻi kino.
ʻO ka lawe ʻana i ka lāʻau lapaʻau me ka ukana kūlohelohe koʻikoʻi ke hoʻonui i ka manawa kūpono e hoʻomohala ai i kahi coma acid lactic.
Kahi nā ʻōlelo aʻoaʻo e pili ana i nā maʻi concomitant a me nā kūlana i hiki ʻole ai ke hoʻohana ʻia kahi huakaʻi antidiabetic.
Ma waena o nā contraindications maʻamau:
- coma maʻi maʻi, hoʻomanawanui a me ke ketoacidosis maʻi maʻi;
- functioning renal hele aku, i loko o kahi clearance hana (wikiwiki o ke koko ma o nā keiki) ka emi ma lalo o 60 ml mau minuke;
- ka hoʻomohala ʻana o nā pilikia poli e hiki ai ke alakaʻi i ka pōpilikia keiki. Hiki iā ia ke dehydration, fever, hypoxia, nā maʻi like ʻole;
- hana hou a me nā hōʻeha koʻikoʻi;
- ka hoʻomohala ʻana o ka hyperlactatacidemia, ma ka anamnesis;
- maʻi a i ʻole nā maʻi koʻikoʻi e hoʻonui ai i ka loli o ka hypoxia kiko, me ka infococote myocardial, ʻeha a me ka naʻau ʻole;
- humuhinu maoli, ʻawaʻawa ikaika;
- kuʻe o ka pāpaho;
- ka hoʻohana ʻana o nā iodine e hoʻohana ai i nā mea hoʻonaninani no nā lā ʻelua ma hope a ma hope o ka radioisotope a me nā hoʻokolohua radiological;
- kaʻai maʻi hypocoric, ma loko o kahi mea i loaʻa ʻole ma mua o 1000 kcal i kēlā me kēia lā;
- hapai a me ka umauma.
Ma muli o kahi overdose a i ʻole ka ākeʻa ʻole ʻana me nā ʻōlelo aʻo a ke kauka a pau, nā hopena i makemake ʻole ʻia mai ka lāʻau. E pili ana kēia:
- ʻO ka hoʻonāukiuki o ka pāpaʻi waiu - nā ʻono o ke kala i ka waha, nausea, luaʻi, hoʻemi a hōʻemi ʻole paha i ka makemake, ʻeha o ka ʻōpū, hoʻonui i ke kūkulu kino, ʻeha. Hoʻopilikia kēia mau maʻi ma muli o ke kino e hana ai i ka hana o ka lāʻau.
- ʻO ka maʻi Hepatobiliary - hepatitis a me nā pepili pili o ka maʻi.
- ʻO nā maʻi pālahalaha - he hemahema ka vitamin B12 a me ka comact acid lactic.
- Hōʻea ka hoʻonāukiuki o ka ʻōnaehana hematopoietic - ka maʻi nui megaloblastic.
- ʻO ka hopena o ka ʻili, hery, erythema, rash a me ka urticaria.
ʻO ka hopena maikaʻi loa e pili ana i ka hopena lactic coma (lactic acidosis). Me kona hoʻomohala ʻana, loaʻa i ka mea maʻi ka hanu o ka maʻi, hōʻeha ma nā ʻeha a me ka ʻōpū, ke hoʻonui ʻana i ke ʻano kino o ke kino, dizziness, ka hilahila, ka hanu wikiwiki a me ka hoʻomohala ʻana i ka piko. I kēia hihia, pono e hoʻokipa koke ʻia ka mea maʻi.
ʻO ka pinepine, hana ke kauka i ka hemodialysis - ʻo ke ala ʻoi loa e hoʻopau ai i ka lactate a me ka metformin.
Metformin Sandoz: Hoʻopuka i nā lāʻau lapaʻau
Pono e hoʻomanaʻo ʻia ua hiki i kekahi mau lāʻau ke hoʻonui a hōʻemi paha i ka hopena hypoglycemic o kēia lāʻau lapaʻau. ʻO kekahi o lākou e hana i kahi coma acid lactic.
Ma kēia mea e pono ai, ʻo ka mea lapaʻau e pono ai e hoʻomaopopo i nā maʻi āpau o ka mea maʻi e pale ai i nā hopena i kūpono ʻole. ʻO ka mea maʻi, no ka mea, ʻaʻole pono e kāohi i ke kauka i nā ala ʻē aʻe ʻē aʻe o ka maʻi maʻi.
No laila, ma lalo iho nā inoa o nā lāʻau lapaʻau e hōʻemi i ka pono o ka lāʻau, no laila e hoʻonui ai i ke kiʻekiʻe o ka glycemia i nā maʻi.
- Danazole;
- Chlorpromazine;
- nā mea kūlohelohe;
- kekona;
- o nā hormone thyroid
- diuretics thiazide;
- nā kinikini momona nikotinic;
- paeʻāina
- nā mea lawelawe estrogen-progestogen;
- nā mea hoʻokau beta-2-adrenergic;
- Nā hanaococococicicoseo o ka hana kūloko a me nā ʻōnaehana.
Nui kekahi a lāʻau lapaʻau e, ma kēlāʻaoʻao, hoʻoikaika i ka hopena hypoglycemic a ka mea e loaʻa i nā antidiabetic. E pili ana kēia:
- Acarbose.
- ʻO ka hana lōʻihi a me ka insulin hana pōkole.
- Nā antagonist Beta-2 adrenergic.
- MAO a me ACE inhibitors.
- Nā hua palapala o nā sulfonylureas.
- Nā Salicylates.
- ʻO nā hua o ka clofibrate.
- Nā NSAID.
- ʻO Cyclophosphamide, me nā mea pono o kona ʻano.
- PolohanaHula.
Hoʻonui i ka hopena o ka lactic acidosis lawe i ka lāʻau lapaʻau me ka waiʻona a me nā lāʻau lapaʻau e pili ana i ka ethanol, nā iodine e loaʻa nā mea hoʻohālikelike, cimetidine a me diuretics.
ʻO ke kumukūʻai o ka lāʻau lapaʻau, kūkā a me nā analog
Hiki ke kūʻai ʻia ka lāʻau lapaʻau ma kekahi lāʻau lapaʻau me ke ʻano kauka a ke kauka. E mālama i ke kālā, ua kauoha ʻia ka lāʻau lapaʻau ma ka pūnaewele luna o ka mea kūʻai.
I ka maʻamau, ua hoʻohālikelike ʻia ke kumukūʻai o ka lāʻau lapaʻau mai ka 230 a i nā 800 rubles, e like me ke ʻano o ka hoʻokuʻu. No laila, hiki i kahi papa antidiabetic ke loaʻa i nā ʻāpana āpau o ka lehulehu, ʻo ia hoʻi, ʻo ia kona hopena.
Ma ka Pūnaewele hiki iā ʻoe ke loaʻa nā loiloi kūpono loa mai nā mea maʻi e lawe ana i ka lāʻau. ʻOiai maoli ka hoʻohaʻahaʻa a hoʻopaʻa mau i nā pae glucose. Hiki ke kōkua i ka nalo ʻana i kekahi mau paona keu i nā maʻi diabetes obese. ʻO kahi loea hypoglycemic ma ke ʻano o nā papa i maʻalahi ka maʻalahi. Eia kekahi, ʻaʻole e hoʻomaʻamaʻa i nā hopena ʻaoʻao (i ka hoʻohui ʻia o ke kaowai ʻana o ke ala).
Eia nō naʻe, aia nā loiloi maikaʻi e pili ana i ka lāʻau lapaʻau. Hoʻohui pū lākou me kahi pale o ka hoʻoneʻe ʻana i hiki mai i ka manawa o ka hoʻololi o ke kino i ka mea ikaika. I kekahi mau mea maʻi, ʻoi aku ka maikaʻi o kēlā mau ʻōuli ma mua o nā poʻe ʻē aʻe, no laila pono lākou e hoʻololi i kēia kuʻuna antidiabetic i nā lāʻau lapaʻau ʻē aʻe.
ʻAʻole kōkua nā kauka i ka lawe ʻana i ka lāʻau lapaʻau i nā poʻe olakino no ka hāʻawi ʻana i ka momona. ʻAʻole pāpā ʻia i ka hoʻohana ʻana i ka wai ʻona i ka wā o ka ʻoihana.
I kekahi manawa pono e hoʻoponopono i nā kauka i ka regimen therapy sabar. Hiki paha kēia i nā hopena ʻino a me nā contraindications. Hiki ke hana ʻia kahi lāʻau lapaʻau kūpono ʻole me nā huahana e loaʻa ana ka huahana like ʻole a he hopena like ʻole.
ʻO ka metformin hydrochloride kahi mea i ʻike ʻia i nā wahi a pau o ka honua, no laila e hoʻohana ʻia ma ka hana ʻana o nā lāʻau he nui hypoglycemic. ʻAʻole ia he mea kupanaha ʻo Metformin Sandoz he nui nā helu o nā analogue, kahi e waiho nei i ka:
- ʻO Gliformin (112 mau rubles).
- Metformin-Teva (136 mau rubles);
- Kūkulu (223 rubles).
- Metformin Richter (183 mau rubles);
- Metfogamma 850 (134 rubles), Metfogamma 1000 (168 rubles).
- Metformin Zentiva (134 mau rubles).
- Siofor (245 rubles).
- ʻO Canon Metformin (172 mau rubles).
- Formmetin (100 mau rubles).
E like me kāu e ʻike ai, he lāʻau lapaʻau maikaʻi ʻo Metformin Sandoz e kāpae nei i nā maʻi hyperglycemia a me nā maʻi diabetes i nā maʻi maʻi. Me ka hoʻohana pono o kēia hāmeʻa, hiki iā ʻoe ke mālama i ka glycemia maʻamau i nā manawa lōʻihi.
E haʻi nā mea loea i ka hana a Metformin ma ka maʻi diabetes i ka wikiō ma kēia ʻatikala.
