Nā palapala hoʻohālikelike: nā papa pālahalaha nāwila i loaʻa ai ka metformin 500 a i ʻole 850 mg.
ʻO ka hoʻonohonohoʻana o ka lāʻau Metfogamma 500: metformin - 500 mg.
Nā kumuwaiwai hou: propylene glycol, methylhydroxypropyl cellulose, magnesium stearate, povidone, polyethylene glycol 6000, sodium glycolate, titanium dioxide (E 171), anhydrous colloidal silicon dioxide, purified talc, mais starch.
Metphogamma 850: metformin - 850 mg.
Nā kumuwaiwai hou: methylhydroxypropyl cellulose, macrogol 6000, povidone, titanium dioxide (E 171), magnesium stearate.
Metfogamma 500: nā pulu i hoʻohui ʻia, biconvex, nā papa keʻokeʻo ākea. 30 a 120 mau ʻāpana no ka pā.
ʻO ka metphogamma 850: nā pālima keʻokeʻo keʻokeʻo, keʻokeʻo keʻokeʻo a me ka laina hewa. Ka lāʻau Hypoglycemic.
Nā hōʻailona no ka hoʻohana ʻana - type 2 non-insulin-diabetes mellitus, ʻaʻole piʻi i ka ketoacidosis (e pili ana i nā mea maʻi obese).
Nā Hoʻohui
- ʻO ka maʻi maʻi Ketoacidosis.
- ʻO ka coma Diabetic, precoma.
- Hōʻalo a me ka puuwai o ka naʻau.
- Hoʻopilikia hewaʻole o nā pēpē a me nā puʻuwai.
- Naʻu?
- Lactic acidosis.
- Hānau ʻia a pēpē.
- ʻO ke ʻano nui o ka halaahi myocardial.
- Hoʻolālā ka pōʻai o ka lolo.
- Ka maʻi ʻalohi a me nā kūlana like ʻole e hiki ai ke hoʻonāukiuki i ka hoʻomohala ʻana i ka waikena lactic.
- Hoʻonui kiʻekiʻe i nā mea o ka lāʻau lapaʻau.
Dosis a me ke ala o ka hoʻokele ʻana
Ua kau ʻia ka hopena o ka lāʻau Metfogamma 500 ma ke ʻano he nui o ke kō i loko o ke koko. ʻO ka maʻa mua he 500-1000 mg (1-2 tons) i kēlā me kēia lā, ʻae ʻia ka hoʻonui hou ʻana i ka wai me ka hopena o ka mālama ʻana.
ʻO ka lākau o kēlā me kēia lā o Metfogamma 500 no ka mālamaʻana he mau papa 2-4. i ka la. ʻO ka laʻana i kēlā me kēia lā he 3 g (6 t). ʻAʻole kōkua ka hoʻohana ʻana o nā dosie kiʻekiʻe e hoʻomaikaʻi i ka dinamika o ka lāʻau (nā loiloi a nā kauka).
He lōʻihi ke ʻano o ke ʻano o ka lāʻau lapaʻau. Pono ka Metfogamma 500 me ka meaʻai, piha a holoi ʻia me ka wai liʻiliʻi
Ua kau ʻia ka hopena o ka lāʻau Metfogamma 850 ma ke ʻano he nui o ke kō i loko o ke koko. ʻO ka maʻa mua ka maʻa he 850 mg (1 t) i kēlā me kēia lā, kahi māhuahua o ka hoʻonui hou i ka maʻa inā ʻae ʻia inā maikaʻi nā dynamics a me nā loiloi.
ʻO kaʻaila o kēlā me kēia lā o Metphogamma 850 no ka mālamaʻana he 1-2 papa. i ka la. ʻO ka ʻāpana i kēlā me kēia lā ka 1700 mg (2 t). ʻAʻole e hoʻomaikaʻi ka hoʻohanaʻana i nā pale kiʻekiʻe i nā dynamics o ka hopena.
ʻO ka lōʻihi ke papa o ka mālamaʻana me Metfogamma 850. ʻO ka Metfogamma 850 e lawe ʻia me ka meaʻai, lawe ʻia a maʻemaʻe a holoi ʻia me ka liʻiliʻi o ka wai.
ʻO ka mahele lā o kēlā lā lāʻau lapaʻau ma mua o 850 mg e pono e hoʻokaʻawale i 2 mau wai (kakahiaka a i ke ahiahi). I nā poʻe maʻi maʻi, ʻaʻole eʻoi aku ka nui o ka lāʻau i ʻōlelo ʻia i kēlā me kēia lā 850 mg.
Nā ʻōlelo kikoʻī:
ʻAʻole hiki ke lawe ʻia ka lāʻau lapaʻau.
- me nā maʻi koʻikoʻi;
- me nā mea hōʻeha;
- me ka hoʻonui nui ʻana o nā maʻi maʻi o ka huakaʻi mai kahi maʻi;
- me nā maʻi maʻi a me kā lākou exacerbation;
- me ka wae ʻana o ka maʻi insulin.
ʻAʻole hiki iā ʻoe ke hoʻohana i ka lāʻau lapaʻau ma mua o ka hoʻomaʻamaʻa ʻana a no 2 mau lā ma hope o lākou. Pili ka pili i ka nānā ʻana i ka radiological a me radiological hoʻokolohua (ʻaʻole 2 mau lā ma mua a me 2 mau lā ma hope).
He mea pono ʻole ia e hoʻohana i ka lāʻau lapaʻau ma ka poʻe maʻi ma hope o kahi mea i kaupalena ʻia ke calorie (ʻoi aku ma mua o 1000 kcal i kēlā me kēia lā). ʻAʻole hiki iā ʻoe ke kuhikuhi i ka lāʻau i nā poʻe ma luna o 60 mau makahiki he nui ka mea e hoʻohana i ka nui o ka hoʻoikaika kino. Hoʻonui kēia i ka nui o ka lolo o ka lactic acidosis.
I ka wā o ka mālama holoʻokoʻa, pono ia e nānā i ke ʻano o nā keiki a nānā i ko lākou kūlana. I kēlā me kēia ʻeono mahina, ʻoi loa i mua o ka myalgia, pono ia e hoʻoholo i ka neʻe o ka lactate ma ka pulu.
Hiki ke hoʻohana ʻia ka metfogamma i hoʻohui pū me nā insulins a i ʻole sulfonylureas. ʻO ke kūlana wale nō ka mālama mau ʻana i ka glucose koko.
Hoʻopili me nā lāʻau lapaʻau ʻē aʻe
Hiki ke hoʻonui i ka hopena hypoglycemic o ka metformin i hoʻopaʻa ʻia i ka hui pū me:
- nā b-blockers;
- ʻoiʻuki;
- pākuʻi clofibrate;
- ACE inhibitors;
- Leikeleʻalani;
- Nā MAO inhibitors;
- nā huahana-anti-inflammatory stidal;
- insulin;
- acarbose;
- ololilurea derivatives.
Hiki ke hoʻemi i ka hopena hypoglycemic o ka metformin i ka manawa i kauoha ʻia ai me ka:
- hika a thiazide diuretics;
- nīnūnika hui moomi;
- o nā hormone thyroid
- kekona;
- paeʻāina
- adrenaline
- nā hana hoʻohālikelike waha ʻole;
- glucocorticosteroids.
Me ka hoʻohana like me ka cimetidine, hoʻonui i ka nui o ka lactic acidosis. Kuhi ʻia kēia e ka mea me ka cimetidine e lohi ai i ka hoʻopau ʻia o ka metformin mai ke kino.
Hiki i ka metformin ke hoʻonāwaliwali i ka hopena o nā anticoagulants.
Ke lawe ʻia me ka waiʻona, aia ka hopena o ke kūkulu ʻana i ka waikosis lactic, ua hōʻoia ʻia kēia ʻoiaʻiʻo e nā loiloi.
Nā hopena hopena
Mai ka palaki kuʻekuʻe:
- nā huʻeha, ka ʻeha o ka ʻōpū;
- hemo wale, he luaa
- ka hoʻāʻo ʻana o ka paulo ma ka waha;
- lilo ka momona.
Kahi maoli, ʻo kēia mau ʻōuli a pau e hele wale i luna o lākou, me ka loli ʻole o ka ʻōhua. ʻO ka hōʻeha a me ka heleʻana o ka hopena o ka hopena mai ka gastrointestinal tract e hōʻemi a nalowale paha ma hope o ka hoʻonuiʻana i ka nui o ka metformin.
Mai ka pūnaehana endocrine (i ka wā e hoʻohana ai i nā inikua nele), e ulu ana ka hypoglycemia (nā loiloi maʻi).
Hōʻike Allergic: ʻili kino.
I nā hihia lohi, mai ka ʻaoʻao o ka metabolism, e koi ai i ka hoʻopau ʻana o ka mālama ʻana, i ka acidosis lactic.
I kekahi mau hihia, heemia hematopoiesis - megaloblastic anemia.
He aha ka mea e hoʻoweliweli ai i kahi overdose
Hōʻino ka overdose o Metfogamma me ka hopena kiʻekiʻe o ka hoʻomohala ʻana i ka waikena lactic me kahi hopena momona, ʻaʻole i pau nā loiloi. ʻO ke kumu o ka hoʻomohala ʻana i kēia kūlana ke waiho nei i ka hōʻiliʻili ʻana o nā ʻāpana o ka lāʻau lapaʻau ma muli o ka hana renal impaired. ʻO nā hōʻailona ʻolua o ka acidosis lactic e pili ana:
- ke hoʻonui ʻana i ke ea kino;
- hemo wale, he luaa
- colic i loko o ka ʻōpū a me nā ʻōpū;
- nā ninia
i ka wā e hiki mai ana e nānā ʻia:
- ʻʻAla
- ke holo wikiwiki nei;
- naʻauao hemahema, coma.
Nui! I nā hōʻailona mua o ka lactic acidosis, hoʻōki me ka lāʻau lapaʻau e hoʻokaʻawale koke, a lawe ʻia i ka mea maʻi ma ka haukapila, kahi e hōʻike ai kahi loiloi o ke ʻano o ka lactate e hōʻoia i ka hoʻomau ʻana i ka maʻi.
Me ka hoʻomohalaʻana i ka acidosis lactic, ʻo ke ala maikaʻi loa no ka haʻalele ʻana o ka lactate o ka hemodialysis. Me kēia, lawe ʻia hoʻi ka ʻano maʻi maʻi maʻi maʻi. Inā hoʻohana ka metfogamma 850 e hui pū me ka sulfonylureas, aia kahi hewa o ka hypoglycemia.
Laki
Noi ʻia ka hoʻomākaukau ʻana ʻo Metfogamma 850 a me Metfogamma 500 e mālama ʻia ma kahi ʻaʻole i kau aʻe ma mua o 25 ° C. ʻO 4 mau makahiki kahi ola.
E makaʻala! Loaʻa nā ʻike āpau no ke alakaʻi wale nō a makemake ʻia no nā kauka. ʻO nā ʻike kikoʻī e pili ana i ka lāʻau lapaʻau, aia i nā ʻōlelo a puni no ka hoʻohana ʻana i ka peke, a me nā loiloi e pili ana i ka hiki ke loaʻa ma ka Pūnaewele.
