Nui nā poʻe maʻi me ka maʻi maʻi e pili ana i ka nīnau: Metformin a i Diabeton paha - ʻoi aku ka maikaʻi?
Hoʻolālā ʻia nā lāʻau ʻelua no ka hoʻohaʻahaʻa haʻahaʻa i ka type 2 diabetes mellitus.
I kēlā me kēia makahiki ka hoʻonui ʻana i ka nui o nā poʻe e loaʻa nei i kēia maʻi, no laila aia kahi pono e koho i nā lāʻau lapaʻau me ka hoʻolaʻa ʻana i ke kō. ʻO ka kaulana i waena o nā lāʻau lapaʻau hypoglycemic nui, loaʻa iā lākou kekahi me nā pono a pau kekahi.
Nā hiʻohiʻona o ka hoʻohana ʻana iā Metformin
ʻO ka metformin kahi lāʻau lapaʻau antidiabetic kaulana i hoʻohana i ka honua. ʻAʻole ia he mea kupanaha, ua hoʻohana nui ʻia ka hapa nui o ka metformin - hoʻohana ʻia ka hydrochloride i nā lāʻau like like ʻole.
ʻO nā ʻōmaka no ka hoʻohana ʻana i kēia lāʻau lapaʻau ka maʻi maʻamau (2) me kaʻole o ka ketoacidosis, a me ka hoʻohui pū ʻana me ka ʻomo insulin.
He hopena koʻikoʻi kēia ma waena o ka Metformin, ʻoiai ʻaʻole hoʻohana ʻia ʻo Diabeton me nā inikua hormon.
Hiki ke pāpā ʻia ka hoʻohana ʻana i ka lāʻau inā inā:
- hypersensitivity i nā māhele o ka lāʻau lapaʻau;
- lawe ana i kahi keiki a me ka umauma;
- ʻai liʻiliʻi ma mua o 1000 kcal / lā;
- maʻi maʻamau precoma a me ka coma, ketoacidosis;
- nā kūlana o ka hypoxia a me nā auhau;
- nā maʻiʻeha a me nā maʻi;
- hele wāwae
- wawao opera;
- molepole hana;
- lactic acidosis;
- huehue huakino huehue;
- ʻO nā haʻawina X-ray a me nā radioisotope me ka hoʻopuka i nā mea i loaʻa iodine.
Pehea e lawe pololei ai i ka lāʻau lapaʻau a pehea ehia? ʻO ka mea hele wale nō e hiki ke hoʻoholo i ka dosage, me ka mālama ʻana i ke kiʻekiʻe o ka glycemia a me ke ʻano maʻamau o ka mea maʻi. ʻ varieslelo ʻia ka awelika mua ma waena o 500 a 1000 mg i kēlā me kēia lā.
ʻO ke papa o ka papaola e mau i ʻelua mau pule, ma hope o ka hoʻoponopono ʻana i ke kauka i ka dosage e like me ka hopena o ka hopena o ka lāʻau. ʻOiai e mālama ana i kahi kikoʻi maʻamau, pono ia e inu a hiki i ka 2000 mg i kēlā me kēia lā. ʻO ka nui loa o ka lā helu he 3000 mg. ʻO nā maʻi o nā makahiki mua (ma mua o 60 mau makahiki) e hoʻopau a hiki i ka 1000 mg i ka lā.
Ma muli o kahi hoʻohana kūpono ʻole a i nā kumu ʻē aʻe paha, hiki ke ʻano ke ʻano o nā hopena ʻino:
- ʻO ka ʻāina Hypoglycemic.
- Nā polokalamu anemia Megablastic.
- ʻIli ʻia ka ʻili.
- Nā maʻi hōʻeha o ka vitamin B12.
- Lactic acidosis.
I ka manawa pinepine, ma nā pule ʻelua mua o ke ʻano o nā ʻoihana, nā maʻi he nui i kuʻi. Hiki iā ia ka luaʻi, hoʻomehana ʻana, hoʻonui i ka hau, ka ʻona metallic a ʻehaʻeha paha. No ka hōʻeuʻeu i kēlā mau ʻōuli, e lawe ka mea maʻi i ka antispasmodics, ka mea ala i ka atropine a me nā antacids.
Me ka overdose, ulu ka lactic acidosis. I ka hihia maikaʻi loa, hiki i kēia kūlana ke alakaʻi i ka coma a me ka make. No laila, inā he mea maʻi e hōʻeha nei i ka pale ʻana, kahi hoʻohaʻahaʻa i ka mahana o ke kino, nāwaliwali a wikiwiki hoʻi ka hanu, pono loa ia e lawe ʻia i ka haukapila!
ʻO nā hiʻohiʻona o ka lāʻau Diabeton MV
ʻO ka lāʻau lapaʻau mua ke manaʻo ʻia he Diabeton.
Ma kēia manawa, ua hoʻohana iki ʻia kēia lāʻau lapaʻau i ka mea liʻiliʻi loa, ʻoiai ua hoʻololi ʻia ʻo Diabeton e Diabeton MV, i lawe ʻia he 1 manawa wale nō i kēlā lā.
ʻO ka māhele nui o ka lāʻau hypoglycemic gliclazide.
Hōʻike ʻia ka lāʻau lapaʻau no ka maʻi diabetes (2), i ka wā e kōkua ʻole ai ka mālama ʻana i ka meaʻai a me nā haʻuki i nā haʻahaʻa haʻahaʻa.
ʻAʻole like me Metformin, Hoʻohana ʻia ʻo Diabeton no nā kumu prophylactic i mea e pale ai i ka hoʻomohala ʻana o ka nephropathy, retinopathy, stroke, a me ka myocardial infarction.
I kekahi mau kūlana, hiki ke hoʻohana ʻia ka hoʻohana i ka lāʻau lapaʻau Diabeton MV i nā maʻi ma muli o:
- hypersensitivity i nā waihona i loaʻa;
- lawe ana i kahi keiki a me ka umauma;
- ka hoʻohana ʻana o ka miconazole i loko o ka paʻakikī;
- diabetes haki ʻole;
- nā makahiki o nā keiki (a hiki i ka 18 mau makahiki);
- coma maʻiʻai, precoma a me ketoacidosis;
- pilikia hōʻeha a me / a i ʻole nele i ka kō.
Eia kekahi, ʻaʻole ia e ʻōlelo i ka hoʻohana ʻana i ka lāʻau i hui me ka danazol a i ʻole phenylbutazone. ʻO ka mea i loaʻa i ka lāʻau lapaʻau ka lactose, ʻoi aku ka hoʻohana ʻana no ka poʻe maʻi e maʻi nei i ka intolerance lactose, glucose / galactose malabsorption syndrome a galactosemia. ʻAʻole mahalo ʻia e hoʻohana i ka Diabeton MV i ka makahiki ʻelemakule (ma mua o 65 mau makahiki) a me:
- Nā ala wili o ka Cardiovascular.
- He meaʻai ʻoleʻai.
- ʻO Renal a me / a ʻole hāʻule kō.
- Hoʻemi i ka hana thyroid.
- ʻO ka pīpī a pito ʻole a adrenal paha.
- Ka maʻi waʻeha.
- Hoʻolālā lōʻihi i nā corticosteroids.
ʻO ka mea hele wale nō e hoʻokō i nā ana i makemake ʻia o ka lāʻau. ʻAno nā ʻōlelo aʻoaʻo e lawe i ka lāʻau lapaʻau i ke kakahiaka i hoʻokahi lā. ʻO ka ma waena o kēlā me kēia lā mai 30 a 120 mg. No nā poʻe maʻi ma mua o 65 mau makahiki, ʻo ka nui loa i mālama ʻia ʻo 30 mg i kēlā me kēia lā. Pono e ukali nā mea like ʻole me ka nui kiʻekiʻe o ka ulu ʻana i ka hypoglycemia. Ma muli o ka hoʻohana pono ʻole ʻana, e hōʻike ʻia ka pōʻino o ka maʻi Diabeton e like me kēia:
- ke piʻi wikiwiki ʻana i ke kiʻekiʻe o ke kō (ma muli o kahi overdose);
- hoʻonui hana o nā kino enme - ALT, alkatine phosphatase, AST;
- jaundice kikestice;
- huhū;
- kue ʻole ʻia i ka ʻike ʻike hana;
- maʻi maʻi maʻi maʻi
- nā maʻi hematological (leukopenia, anemia, granulocytopenia a me thrombocytopenia);
Eia kekahi, ʻano kūlike nā ʻano ʻano like o ka ʻili (rash, edema ʻo Quincke, he hopena bullous, heching).
Nā Hoʻohālikelike Uila Hoʻohālikelike
I kekahi manawa ʻaʻole hiki ke hoʻohui ʻia kekahi o nā lāʻau lapaʻau ʻelua.
Ma muli o kā lākou hoʻohana, hiki ʻole, a hiki hoʻi ke hopena i nā hopena momona.
No kēia kumu, pono ka mea maʻi e ʻike i ke kauka nāna e noʻonoʻo i nā mea āpau e pili pū ana i ka hopena o ka lāʻau lapaʻau, ʻo ia paha ʻo Diabeton a i ʻike ʻia ʻo Metformin.
Aia kekahi ʻano lāʻau lapaʻau e hiki iā ia ke hoʻoikaika a hōʻemi i ka hopena therapeutic o ka lāʻau.
ʻO nā lāʻau lapaʻau e hoʻoikaika i ka hana a Metformin, kahi e hoʻemi ai ka palena o ke kō.
- Nā hua palapala o nā sulfonylureas.
- Inii injection Ma keʻano holoʻokoʻa, ʻaʻole ia i nā manawa kūpono e hoʻoiho i ka insulin subcutaneously me ka hoʻohana ʻana i nā lāʻau hoʻohiolo gula.
- ʻO nā hua o ka clofibrate.
- Nā NSAID.
- β-blockers.
- Cyclophosphamide.
- MAO a me ACE inhibitors.
- Acarbose.
ʻO nā lāʻau lapaʻau i hoʻohālikelike ai i ke kōpaʻa ma hope o ka lawe ʻana i ka Diabeton MV:
- Miconazole;
- Phenylbutazone;
- Metformin;
- Acarbose;
- Injections injections;
- Thiazolidinediones;
- Agonists GPP-1;
- β-blockers;
- Fluconazole;
- Nā MAO a me ACE inhibitors;
- Clarithromycin;
- Sulfonamides;
- Huli i nā mea hoʻokani pahu hopu Hula;
- Nā NSAID
- Nā mea DPP-4.
ʻO nā mea e hāʻawi i ka hoʻonui i ka nui o ke kō i ka wā e lawe ʻia me Metformin:
- Danazole
- ʻO Thiazide a me diuretics loop.
- Chlorpromazine.
- Hoʻopuka i nā ʻike.
- GCS.
- Epinofrin.
- Kūpono o nā waikem Nikotinika.
- ʻO nā Sympathomimetics.
- Epinephrine
- Hapa miro.
- Hoʻolau.
- ʻĀpana kala (waha).
ʻO nā lāʻau hōʻemi e hoʻonui ana i ka hyperglycemia i ka wā i hoʻohana ʻia me ka Diabeton MV:
- Etanaol;
- Danazole;
- Chlorpromazine;
- GCS;
- ʻAmaʻomaʻo;
- ʻO nā agonists Beta2-adrenergic.
ʻO Metformin, ke lawe nei i ka nui o ka lāʻau lapaʻau, hoʻonāwaliwali i ka hopena o nā anticoagulants. ʻO ka hoʻohanaʻana o ka cimetidine a me ka waiʻona e hoʻoiho i ka lactic acidosis.
Hiki i ka Diabeton MB ke hoʻoikaika i ka hopena o nā anticoagulants ma ke kino.
ʻO nā kumu uku a me nā loiloi loiloi
ʻO ke kumukūʻai o ka lāʻau lapaʻau he pāʻani nui hoʻi. Ke koho nei i ka lāʻau lapaʻau e pono ai, noʻonoʻo ka mea maʻi e ʻaʻole wale i kona hopena therapeutic, akā i ka uku, e pili ana i kā lākou mana kālā.
ʻO ka mea kaulana loa ka lāʻau Metformin, ua hana ʻia ia ma lalo o nā mea kūʻai aku. No ka hoʻohālikelike, ʻano like ke kumukūʻai o Metformin Zentiva mai ka 105 a 160 mau rubles (e like me ke ʻano o ka hoʻopiʻi ʻana), ʻo Metformin Canon - mai 115 a 245 mau rubles, mai Metformin Teva - mai 90 a 285 mau rubles, a me Metformin Richter - mai 185 i 245 rubles.
Me ka lāʻau lapaʻau Diabeton MV, ʻokoʻa ke kumukūʻai mai ke 300 a 330 rubles. E like me kāu e ʻike ai, ʻike pinepine ʻia ka hopena. No laila, ʻo kahi mea maʻi me ka uku haʻahaʻa e hoʻopili ʻia e koho i ke koho māmā loa.
Ma ka Pūnaewele hiki iā ʻoe ke loaʻa nā loiloi maikaʻi e pili ana i nā lāʻau ʻelua. Ma kahi laia, kekahi o nā ʻōlelo a Oksana (56 mau makahiki): "Ua loaʻa iaʻu ka maʻi diabetes type 2, i ka manawa mua hiki iaʻu ke hana me ka wailua ʻana o ka insulin, akā he manawa lōʻihi wau i hele aku ai iā lākou. He kaumaha, ʻaʻole hiki iaʻu ke hoʻokō i nā pae gula maʻamau. A laila hoʻoholo wau e lawe Metformin: Ma hope o kuʻu inu i nā pōpoki a me nā maʻi i hoʻopaʻa ʻia, ʻaʻole i hoʻonui koʻu gula i ka 6-6.5 mmol / l ... "Ua hōʻoia ʻia e George (49 mau makahiki):" ʻAʻohe mea nui i nā wai hoʻoliʻu haʻahaʻa i hoʻāʻo ai, aia wale nō ʻo Diabeton MV e kōkua i ka hoʻokūkū. me ka pae o ka glucose. ʻAʻole wau i ʻike i ka lāʻau maikaʻi loa ... "
Eia kekahi, ʻo ka hapanui o nā maʻi maʻi i mālama ʻia me Metformin i ʻike i ka emi ʻana o ke kaupaona kino o kekahi mau kilo. Wahi a nā loiloi o ka lāʻau lapaʻau, e hōʻemi ana i ka makemake o ka mea maʻi. ʻO kaʻoiaʻiʻo, ʻaʻole hiki iā ʻoe ke hana me ke kīpono ʻole ʻana.
I ka manawa like, loaʻa nā loiloi maikaʻi e pili ana i nā lāʻau lapaʻau. Hoʻohui pinepine ʻia lākou me ka hiki ʻana o ka hopena o ka hopena, keu me ka hypersensitivity, indigestion a me kahi laʻa ʻoi i ke kō.
Hiki iā mākou ke hoʻoholo i kēlā me kēia lāʻau i kona mau pono a me kona mau hemahema. No ka hilinaʻi nui ʻana i ka manaʻo o ka poʻe ʻē aʻe he 100% ʻaʻole pono.
ʻO ka mea maʻi a me ke kauka ponoʻī e hoʻoholo i kahi lāʻau e koho ai, hāʻawi ʻia i kona pono a me nā uku.
Nā mea kikoʻī o Metformin a me Diabeton
I ka hihia i loaʻa i ka mea maʻi ke contraindications i kekahi lāʻau lapaʻau a loaʻa paha iā ia nā hopena ʻaoʻao, ke hoʻololi nei ke kauka i ka regimen mālama. No kēia, koho ʻo ia i ka lāʻau lapaʻau i like ka hopena therapeutic like.
He loaʻa nā mea like me ka Metformin. I waena o nā lāʻau lapaʻau e komo ai i ka metformin hydrochloride, Gliformin, Glucofage, Metfogamma, Siofor a me ka Formula hiki ke hoʻokaʻawale. E noho mākou i nā mea kikoʻī hou ma ka Glucofage lāʻau lapaʻau.
He hopena maikaʻi kēia no ka pale ʻana i nā hōʻailona o ka maʻi maʻi.
Ma waena o nā hiʻohiʻona kūpono o ka hoʻohana ʻana i ka lāʻau Glucophage hiki ke hoʻokaʻawale:
- kāohi glycemic;
- ka hoʻonohonoho ʻana o ka hoʻokaʻina o ke koko;
- ka pale ʻana o nā hoʻopiʻi;
- mea kaumaha.
ʻO nā contraindications, ʻaʻole lākou iʻokoʻa mai ka Metformin. Hoʻohana ʻia kāna hoʻohana i ke wā kamaliʻi a me ka ʻōpio. ʻO ka kumukūʻai o ka lāʻau lapaʻau e kūlike mai ka 105 a 320 ka rubles, e pili ana i ke ʻano o ka hoʻokuʻu.
ʻO wai ka maikaʻi - Glucophage a Diabeton paha? ʻAʻole hiki ke pane ʻia kēia nīnau. Hoʻokumu wale ia ma ka pae o ka glycemia, ka manawa o nā hoʻopiʻi ʻana, nā maʻi concomitant a me ke ola o ka mea maʻi. No laila, he aha nā mea e hoʻohana ai - Diabeton a Glucophage paha, ke hoʻoholo ʻia e ka loea me ka mea maʻi.
I waena o nā hopena like ʻole o ka maʻi Diabeton MV, Amaryl, Glyclada, Glibenclamide, Glimepiride, a me Glidiab MV i manaʻo ʻia i ka mea kaulana loa.
ʻO Glidiab kahi lāʻau lapaʻau hou e hoʻololi ʻia. I waena o nā pono o ka lāʻau lapaʻau, pono ia e hōʻike i kona waiwai pale ʻana no ke kūkulu ʻana i nā maʻi hemorheological. Hoʻonui pū kekahi a hoʻomaikaʻi i ke kiʻekiʻe o ka kō i nā maʻi maʻi maʻa. ʻO kona kumukūʻai mai 150 a 185 mau rubles.
E like me kāu e ʻike ai, pono ka ʻokoʻa i ka hana, nā contraindications a me nā hoʻopili ʻana i nā lāʻau lapaʻau. Akā ʻaʻole hoʻokō ka lāʻau lapaʻau. ʻO ka nānā ʻana i nā lula o ke olakino a me ka hoʻonaʻauao kino, hiki iā ʻoe ke kāpae i nā hōʻeha glycemic a mālama i ka maʻi i lalo o ka kaohi.
E ka maʻi ahonui! Inā ʻaʻole ʻoe i lawe i ka lāʻau hypoglycemic, akā ʻaʻole hiki i kou pae glucose ke hoʻomoe i kaʻai a me ka hoʻomaʻamaʻa, e lawe iā Metformin a Diabeton. Hoʻololi maikaʻi kēia mau lāʻau i ka nui o ke kō. Akā, e kamaʻilio pū me kāu kauka mua. ʻO ka wikiō ma kēia ʻatikala e hoʻomau i ke kumuhana o ka hoʻohana ʻana iā Metformin.
