Ua makemake ka nui i ka pehea e lawe ai i ka Metformin i mea e hiki ai i ka hopena therapeutic kūpono loa.
No ka pane i kēia nīnau, pono ʻoe e noi i nā ʻōkuhi no ka hoʻohana ʻana i ka lāʻau lapaʻau i ka kikoʻī a loaʻa i ka ʻōlelo aʻo mai ka endocrinologist.
Loaʻa ka lāʻau lapaʻau ma ke ʻano o nā papa, he ʻekolu ʻano me ke ʻano hoʻohālikelike: 500, 850 a me 1000 mg. ʻO ka mea nui i loko o ka lāʻau lapaʻau ka metformin. ʻO nā mea iʻike i ka hana o ka lāʻau, ka magnesium stearate, crospovidone, povidone K90, talc, kaʻa kō.
ʻO Metformin, a i ʻole he metformin hydrochloride he ʻelele o ka papa biguanide, i kōkua i ka hoʻopau ʻana i ka hyperglycemia, ʻo ia hoʻi, he piʻi o ka glucose o ke koko. Kēia lā ka waiwai e lawe ʻia i ka maʻi maʻi lua. Ma keʻano holoʻokoʻa, ʻo ka mea maʻi e lawe i ka lāʻau e hoʻomaha ʻia i nā hōʻailona o ka hypoglycemia, ʻoiai ke ʻano kēia mau hana i loko o ke kino:
- Hoʻonui ka hoʻonuiʻana i ka glucose e nā kōpili peripheral.
- Ke hoʻolei nei i ke kaʻina hana e hoʻokaʻawale i nā pono a me nā protein.
- ʻO ka Rapid synthesis o ka glucose i ka pāwili a me kona hoʻololi i ka waikawa lactic.
- Ke hōʻike nei i ka hoʻokuʻuʻiaʻana o ka glycogen mai ka puʻu.
- Hoʻopau i ka pale ʻana i ka insulin.
- Hoʻomoe i ka hōʻemi o ka glucose i loko o ka ate.
- Ka ʻcrlelo o ka cholesterol, ka mea e hoʻopilikia nui i ka ʻāina o lipids.
ʻAʻohe ʻike o Metformin i ka hana o ke pancreas, kahi e hana ai i ka insulin. ʻAʻole hiki i ka lāʻau lapaʻau ke alakaʻi i ka hypoglycemia - kahi emi o ke kaʻe o ka glucose i loko o ke koko.
Nā ʻōkuhi no ka hoʻohana ʻana i ka lāʻau lapaʻau
Ma mua o ka hoʻohana ʻana i ka Metformin, pono ʻoe e ʻike i nā ala āpau e hoʻohana ai no ia.
Ma kēia hihia, ʻoi aku ka maikaʻi o ka pili ʻana i nā ʻōlelo a ke kauka nāna i kuhikuhi i kēia lāʻau lapaʻau, me ka noʻonoʻo ʻana i nā ʻano o kēlā me kēia maʻi.
ʻO ka hōʻike no ke kuhikuhi ʻana i nā lāʻau lapaʻau ka:
- diabetes mellitus o ke ʻano mua a me ka lua;
- prediabetes (kūlana waena);
- nā momona me ka pale ʻana i ka insulin ʻaʻa;
- maʻi maʻi cleopolycystic;
- metabolism;
- i loko o nā hāmeʻa;
- ka pale ʻana o ke ʻano kino.
ʻOiai he papa helu koʻikoʻi o nā ala e hiki ai iā ʻoe ke inu i ka Metformin, lawe pinepine ʻia me ka maʻi maʻamau ʻo ka maʻi 2. I ke ʻano o nā maʻi mua, hoʻohana pinepine ʻia kēia lāʻau lapaʻau, ʻo ka mea maʻamau ka mea i hoʻohui i ka therapy insulin.
Ua hōʻike nui nā haʻawina i ka wā e lawe pū ana i ka lāʻau i ka manawa like me nā inikini insulin, pono ka emi ʻana o ka hormone i ka aneane 25-50%. Eia kekahi, ma hope o ka hoʻohana lōʻihi ʻana o ka lāʻau lapaʻau, hoʻomaikaʻi ka uku o ka metabolism. Hoʻohana ʻia nō hoʻi ia i ke ʻano o ka maʻi pālua, e pono ai i ka ʻae ʻana o ka insulin.
I ke ʻano o ka maʻi ʻelua, ua kauoha ʻia ʻo Metformin i nā hihia a pau. I ka wā monotherapy, e hoʻonui hoʻonui ʻia ka dosis. No laila, ma ka manawa mua e ʻae ʻia e hoʻohana i ka papa hana 1 i kēlā me kēia lā (500 a i ʻole 850 mg). ʻOi aku ka maikaʻi o ka lawe ʻana i ka lāʻau lapaʻau i ke ahiahi, akā i mea e pale ʻole ai i ka ʻōpū o ka gastrointestinal tract, pono ʻia e inu i nā papa i ka wā e ʻai ai i ka meaʻai ʻelua i ka lā - i ke kakahiaka a i ke ahiahi.
ʻO ka lōʻihi o ka manawa, hiki ke hoʻonui ʻia ke ʻano o ka lāʻau lapaʻau ma ka nīnau ʻana i kahi kauka ma mua o kēlā. ʻAʻole hoʻonui ka dosis loa i kēlā me kēia lā he 2,5 mg, ʻo ia hoʻi, hiki i ka mea maʻi ke lawe i nā papa 2-3 i kēlā me kēia lā. Ma hope oʻelua pule, hoʻomaka ka hoʻoneʻeʻana o ka hoʻohaʻahaʻa nui i ka maʻamau. Ma hope o ka hōʻea i kahi papa koko koko maʻamau, hiki ke hōʻemi iki ʻia ka nui o nā kaila.
ʻO ka hui pūʻana o ka lāʻau Metformin a me ka sulfonylurea hiki ke hopena i kahi hopena kūpono pōkole. Akā paʻa koke ke kino o ke kanaka i kēia ʻano lāʻau. No laila, hiki i ka monotherapy me Metformin ka hopena paʻa. Eia nō naʻe, ma ka 66% o nā mea maʻi me ka maʻi maʻi, ʻo kēia hui pū me nā lāʻau lapaʻau e hoʻomaʻamaʻa maoli ai i ka hoʻokaʻawale ʻana o nā pakanā aola.
Mālama ʻia ʻo Metformin ma ke ʻano wela ʻaʻole 25 ° C kahi mamao mai nā maka o nā keiki. Noho ola ka lāʻau lapaʻau i nā makahiki 3.
Nā hiʻohiʻona a me nā hopena ʻaoʻao
Ma mua o ka lawe ʻana i kēia lāʻau lapaʻau, pono ʻoe e hōʻoia e hiki ke lawe i ka mea maʻi. E like me nā lāʻau lapaʻau ʻē aʻe, ʻo Metformin kekahi mau contraindications, e like me:
- ka manawa o ka hānau ʻana i ke keiki;
- liilii;
- kamekau nā keiki a hiki i ka 10 mau makahiki;
- lāleʻa hemahema;
- ke kuʻuna o ka pūpū, nā puʻuwai, ka naʻau a me ka papa hana hanu;
- maʻi niaau coma poʻo kūpuna paha;
- ka lactic acidosis mua a i ʻole he predisposition iā ia;
- meaʻai haʻahaʻa-kalona;
- mua a me nā hōʻeha hōʻeha paʻa.
Pono e liʻiliʻi ia i ka lactic acidosis - ka hōʻiliʻili o ka waikawa lactic. Hiki i kekahi mau kūlana ke alakaʻi i ka hoʻopou a hoʻomohala paha i ka lactic acidosis:
- hana ʻole ʻia 'āina i hana ai, ma muli o ka, hiki ʻole i ka excrete acid;
- hoʻohuihui ethanol ma muli o ka palaka kūlohelohe;
- nā naʻau a me nā hina ʻole;
- maʻi maʻi pulmonary;
- nā maʻi ʻeha e hōʻemi i ke kino - hoʻopuka, ke nānā ʻana, ka maʻi;
- maʻiʻo ketoacidosis (kūmole kaola ana i ka momona o ka huina);
- myocardial infarction.
Hiki i kahi lāʻau lapaʻau maikaʻi (overdose) ke kumu i nā hopena maikaʻi ʻole no ka mea maʻi, no ka laʻana:
- hoʻoweliweli ka hoʻonāukiuki - hoʻomehana, ka luaʻi, ka lemulipule, ke nānā ʻana, ka ʻaha metallic, i hōʻemi ʻia ʻole ka pau ʻole o ka momona;
- maʻi kūlohelohe - rashes ka ʻili a me ka ʻeha;
- ʻO ka coma waiona lactic kahi hopena, akā i ka manawa like ka hoʻopiʻi weliweli.
Kahi, ka hele hewa i ka lākou iho ma hope o ʻelua mau pule o ka lawe i ka lāʻau. ʻO kēia no ka hopena o ka lāʻau lapaʻau e pale i ka komoʻana o ka glucose i loko o ka pākia. I ka hopena, hoʻomaka ka huapalapala i ka ferment i loko o ia mea, e hoʻomāhaʻeha ana i ka maʻi āpau, a laila hiki i nā hōʻailona ʻē aʻe o ke uhai ʻia o ka pā o ka gastrointestinal. Hoʻomaʻamaʻa pinepine ke kino i ka hopena o ka lāʻau, a inā ʻaʻole paʻakikī loa nā hopena ʻino e hōʻae, a laila, ʻaʻole pono ke ʻano lāʻau lapaʻau.
Ma mua o ka lawe ʻana i ka Metformin, pono e haʻi ka mea maʻi e pili i nā ala āpau i loaʻa i kēia manawa, mai ka hūnā ʻana o ia ʻike nui i hiki ke hōʻeha i ka mea maʻi.
ʻO ka hoʻohanaʻana i ka lāʻau lapaʻau i ka momona
Nui nā maʻi maʻi me ke ʻano ʻelua o ka maʻi i ke kaumaha a ʻōpū paha.
I kēlā mau hiʻohiʻona, he hopena maikaʻi ka hoʻohana ʻana o Metformin i ka pohō ʻana o ka mea maʻi. Akā i ka mea ʻole e hōʻino i kona kino, pono e maʻi ka maʻi maʻi i kēlā mau ʻōlelo:
- Pono ka lōʻihi o ke ʻano i nā ʻoihana ma mua o 22 mau lā.
- Ke lawe nei i nā paila, pono ke alakaʻi i ke ʻano hana.
- Lawe ʻia ka lāʻau lapaʻau me ka inu ʻawa.
- Hoʻokipa ʻia ka lāʻau maʻi i ka meaʻai a ka mea maʻi.
I kēlā me kēia lā, ʻokoʻa kahi mea maʻi me ka maʻi maʻi e hoʻomaʻamaʻa i kekahi mau hana kino, inā paha e holo ana, piʻi, ka ʻauʻau ana, volleyball, ka pôpeku a me nā mea hou aku. Mai ka ʻaʻai ʻoe e hoʻokaʻawale ai i nā huahana bakery, nā pastries, ka pōʻaiʻai, ka waiʻai, ka meli, nā hua momona, nā mea momona a me nā meaʻai.
Ke hoʻoholo kūʻokoʻa nei ke kauka i ka hopena o ka lāʻau no ka mea maʻi. ʻAʻole hiki ke komo i loko o ka lāʻau lapaʻau ponoʻī, ʻoiai hiki ke alakaʻi i nā hopena koʻikoʻi. Eia kekahi, hiki ke hoʻohana ʻia e nā poʻe ʻaʻole keu i ke kaumaha, akā pili i ka piha.
ʻO ka pinepine, ʻo ka liʻiliʻi o ka lāʻau no lākou.
Kūʻai a me nā helu o ka lāʻau lapaʻau
Hiki ke kūʻai ʻia ka lāʻau lapaʻau ma kekahi lāʻau lapaʻau ma ke kūlanakauhale a kauoha ʻia ma ka pūnaewele pūnaewele. No ka mea ke hoʻopili ʻia ʻo Metformin e nā ʻāpana ʻokoʻa o ka ʻoihana ʻĀina a me nā ʻāina ʻoihana, hiki ke ʻano nui ke kumukūʻai.
No ka mea, inā he mea hana ʻo Lio kahi mea Lūkini, a laila ʻo kāna kumukūʻai, ma muli o ke dute, hiki ke 112 mai ka 305 rubles. Inā ʻo ka mea hana i Polani, a laila ke kumukūʻai o ka lāʻau lapaʻau ma ka ʻāina o ka Lūkini Rūsia mai ka 140 a 324 mau rubles. ʻO ka lāʻau lapaʻau ka poʻe Hungarian i ka wahi i loaʻa i ka Lūkini Lūkini mai 165 a 345 mau rubles, e pili ana i ka nui o ka waihona ikaika o ka hana.
ʻO ke kumukūʻai o ka lāʻau lapaʻau e ʻae ʻia no nā poʻe me ka uku haʻahaʻa a me ka haʻahaʻa. No laila, hiki ke koho i ka lāʻau lapaʻau e pili ana i ka hopena therapeutic i manaʻo ʻia a me nā kaha kālā o ka mea kūʻai. No laila, ʻaʻole hiki iā ʻoe ke hoʻolimalima no kahi lāʻau lapaʻau nui e loaʻa iā ia ka hopena e like me ka mea ʻala.
ʻOiai ka hua ʻana i ka lāʻau i nā ʻāina he nui, hiki iā ia ke loaʻa nā mea like like, no ka laʻana, Gliformin, Metfogamma, Bagomet, Formlinpliva a pēlā aku. Aia kekahi mau huahana like me nā hopena e hiki ke lawe ʻia i ka wā ʻo Metformin no kekahi mau kumu ʻaʻole kūpono ia no ka mālama ʻana i kahi mea maʻi. E pili ana kēia:
- ʻO ka Glucophage kahi lāʻau lapaʻau maikaʻi no ka mālama ʻana i ke ʻano maʻi type 2 a me ka momona. Loaʻa iā ia nā waiwai hypoglycemic. Ua hōʻike ʻia kēia mau noiʻi ʻana i ka lawe ʻana i kēia lāʻau lapaʻau i hōʻemi ʻia mai ka maʻi o ka maʻi mai ka maʻi maʻi ma o 53%, ka infoction myocardial - e ka 35%, hōʻeha - ma ka 39%. ʻO ka kumukūʻai awelika (500 mg) ka 166 rubles.
- He maikaʻi maikaʻi ʻo Siofor no ka hoʻohaʻahaʻa ʻana i ke kō koko. ʻO kāna hiʻohiʻona hiki ke hoʻohui pū i ka lāʻau lapaʻau me ka sulfonylureas, salicylates, insulin a me nā mea ʻē aʻe. E hoʻomaikaʻi ka hoʻomaʻemaʻe kūpono i nā hopena i manaʻo ʻia. ʻO ka kumukūʻai maʻamau (500 mg) kahi 253 rubles.
Manaʻo nā mea maʻi he nui ka lāʻau lapaʻau loa. I kaʻoiaʻiʻo, ʻo ka hapa nui o nā lāʻau lapaʻau e loaʻa ai ka waiwai ikaika - metformin, ʻokoʻa ka mea i loko o ke ʻano o nā mea kōkua, no laila ua like lākou i ka hopena like ma ka mālama ʻana i ka maʻi maʻi.
ʻO nā loiloi maʻi maʻi e pili ana i ka Metformin
Hōʻike maikaʻi nā loiloi e pili ana i ka hoʻohana ʻana i ka lāʻau Metformin i nā hapa nui.
Nui nā maʻi me ka maʻi diabetes type 2 e ʻike i ka emi o ke kaila o ka glucose o ke koko i ka pae maʻamau a mālama iā lākou ma ka pae like.
Eia kekahi, ʻo ka maikaʻi o kēia pono hana:
- kahi ʻano kūpono o nā papa i pono e moni ʻia a ʻauʻau ʻia i ka wai;
- komo ke noi hoʻokahi a i ke kakahiaka a me ke ahiahi;
- me ka uku haʻahaʻa o ka lāʻau lapaʻau.
Ua hōʻike pū kekahi nui o nā mea kūʻai aku i ke kaupaona ʻana me ka lawe ʻana iā Metformin. Akā i ka manawa like, pono ʻoe e pili i nā rula he nui: pāʻani i ka haʻuki, e hahai i ka ʻai, inu i nā wai o ka nui, hoʻōki iā ʻoe iho i ka ʻai. No ka hana i kēia, pono ʻoe eʻai i nā huaʻai ʻole nā punahele a me nā mea kanu ʻai, nā mea momona e hoʻāʻo ʻia, nā mea momona a nā momona.
I kekahi manawa hiki iā ʻoe ke ʻike i nā loiloi maikaʻi ʻole o nā maʻi e pili ana i kēia lāʻau lapaʻau. Hoʻohana nui loa lākou me nā hopena ʻino i ka lāʻau. E like me ka mea i hōʻike mua ʻia, ʻo ka hapa nui o nā hopena maikaʻi loa e lele ma luna o lākou iho ma hope o ʻelua mau pule o ka mālama ʻana, no ka mea, e hana ʻia ke kino i ka hana o ka metformin.
ʻO ka Metformin kahi hana maikaʻi maikaʻi e hoʻohana ai e hoʻemi i nā kiʻekiʻe o ke kō i ke ʻano type 1 a me ka maʻi diabetes type 2. Hoʻohana ia e like me ka hoʻohui i ka insulin insulin, a me ke ʻano nui o ka lāʻau hoʻoliʻu koko nui ma ke ʻano lua o nā pathology. Ma mua o ka hoʻohana ʻana i ka huahana, pono ke ʻano kūkākūkā me ke kauka, kahi mea e noʻonoʻo ai i nā contraindications a kuhikuhi i ke ʻano kūpono.
Eia kekahi, ʻaʻole i kūʻai aku ka Metformin me ke ʻole o ka papa inoa. ʻO ka mea maoli, ua liʻiliʻi ka nui o nā contraindications a me nā hōʻino o ka lāʻau, a ke ʻano nui loa ko lākou ʻike. Ma ka laulā, nā loiloi e pili ana i ka lāʻau lapaʻau. No laila, hiki i kēia lāʻau lapaʻau ke noʻonoʻo pono ʻole a me ka maikaʻi.
I kekahi hihia, mālama pū ʻia nā lāʻau lapaʻau e ka mālama mau ʻana i nā pae kō i ka hoʻohana ʻana i kahi glucometer, ka hana pilikino a me ka wehe ʻana o nā momona a me nā pā, nā pōpoki, nā momona mai i ka meaʻai. Ke hoʻokau wale nei nei i kēia mau lula āpau, e hiki i ka mea maʻi ke hoʻokō i ka hopena lōʻihi o ka lāʻau lapaʻau a mālama i ke kiʻekiʻe o ka glucose koko ma ke ʻano o nā kūpono maʻamau.
ʻO nā lula no ka hoʻohana ʻana iā Metformin e kūkākūkā i ka wikiō ma kēia ʻatikala.
