I ka nui o nā hihia, ua kuhikuhi ʻia nā biguanides e like me ka lāʻau mua no ka poʻe maʻi me ka maʻi mellitus. ʻO Metformin-Richter kekahi o nā lāʻau lapaʻau e pili ana i kēia papa o nā mea hana hypoglycemic. Hoʻohana ʻia ka papa ʻaina e ka lālā Lūkini o ka hui ʻo Hungarian ʻo Gideon-Richter, ʻo ia kekahi o nā mea nui i ka ʻoihana lapaʻau nui maʻEulopa.
ʻO ka kaulana kaulana o ka metformin e wehewehe ʻia i kona mau keaka kiʻekiʻe ma ka hoʻomaka ʻana o ka maʻi, ka hapa liʻiliʻi o nā hopena ʻalika, he hopena maikaʻi ma ka ʻōnaehana cardiovascular a me ke kaumaha o ka mea maʻi. Ka kumu o ke ʻano kuʻuna a i ʻole ka hele a ke kauka i hāpai ai, ma hope koke o ka loaʻa ʻana o ka maʻi maʻi, e kuhikuhi nō ia i kahi papa ʻaina, ʻano hana a me ka metformin.
He mea nui: pono e heluhelu i kā mākou ʻatikala e pili ana i ka lāʻau lapaʻau mua o Metformin
E hoʻokuʻu i ke ʻano a me ka ʻano
Loaʻa ka Metformin Richter i ke ʻano o nā papa oval a i ʻole a puni. ʻO ka hana ikaika i loko o lākou ka metformin hydrochloride. E like me nā mea hoʻohui aʻe, ua hoʻohui pū ka mea hoʻonohonoho i ka copovidone me nā povidone, nā mea hoʻopiha i ka cellulose microcrystalline a me ke kō o ka magnesium stearate, ʻoniʻoni ke kāʻei kiʻi keʻokeʻo Opadry.
Ma ka ʻōlelo maʻamau, hana ka mea hana i ka lāʻau i loko o ʻelua mau wai - 500 a me 850 mg. ʻElua mau mahina i hala aku nei, ua kākau inoa pū ʻia ʻo Metformin-Richter 1000, kahi i manaʻo ʻia no nā maʻi maʻi me ka pale ʻana i ka insulin kiʻekiʻe, a, ʻo ia hoʻi, he nui ka lāʻau maʻamau o kēlā me kēia lā. I ka wā e hiki mai ana, ua manaʻo ʻia ʻo ia e ʻike ʻia i loko o ka ʻoihana kūʻai lapaʻau.
ʻO ka maʻi maʻi a me nā hoʻohaʻahaʻa manaʻo e hana ia i ka wā ma mua
- Ka hana maʻamau o ke kō -95%
- Hoʻokuʻuina o ka pua thrombosis - 70%
- Hoʻopau i kahi puʻuwai ikaika -90%
- Hoʻopau i ke kiʻekiʻe o ke koko - 92%
- ʻO ka hoʻonuiʻana i ka ikehu i ka wā, hoʻomaikaʻi i ka hiamoe i ka pō -97%
Ua emi ke kumu o ka lāʻau lapaʻau: 200-265 rubles. no 60 papa. I ka nui o nā lāʻau lapaʻau hiki ke kūʻai ʻia me ka ʻole o ka loaʻa ʻana o kahi hōʻailona. No ka loaʻa o ka lāʻau lapaʻau no ka manuahi, pono hoʻopaʻa ʻia ko ka mea maʻi maʻi maʻi me kahi endocrinologist.
E makaʻala! Ma ke kuhikuhi i kuhikuhi ʻia e ke kauka, ʻike ʻia ke ʻano ikaika wale nō - e hōʻike ʻia ka metformin. I loko o ka lāʻau lapaʻau, hiki ke hāʻawi ʻia iā ʻoe ʻaʻole ʻo ka Metformin-Richter wale nō, akā loaʻa kekahi kālā i loaʻa.
ʻO ke ola hoʻolaʻa Metformin-Richter 500 a me 850 - 3 mau makahiki, hiki ke mālama ʻia nā papa o 1000 mg no 2 mau makahiki.
Pehea e hana ai ka lāʻau lapaʻau?
ʻO ka Metformin ka lāʻau lapaʻau nui i kuhikuhi ʻia i nā maʻi maʻi maʻi a no ke ola. ʻO ke kumu no kaʻoiaʻiʻo o nā kauka i kēia lāʻau lapaʻau e pili ana i kāna hopena:
- Aia ka Metformin i ka hopena hypoglycemic kiʻekiʻe i hoʻohālikelike ʻia me ka sulfonylureas. ʻO kāna kumu e hiki ai ke hōʻemi i ka hemoglobin glycated e ka awelika o 1.5%. Loaʻa nā hopena maikaʻi loa i nā maʻi hānai o ka momona.
- Hoʻohui maikaʻi ʻia ka lāʻau lapaʻau me nā lāʻau ʻē aʻe i ʻōlelo ʻia no ka maʻi maʻi maʻi. Hiki i nā lāʻau ʻelua a me ʻekolu paha me nā metformin ke hoʻokō i ka mālama maʻi i ka hapa o nā maʻi.
- Loaʻa i ka lāʻau lapaʻau nā meaʻokoʻa o kā cardiovascular. Ua hōʻike ʻia ʻo ia ka lawe ʻana i ka hōʻemi o ka hoʻoulu ʻana i ka naʻau, hoʻomaikaʻi i ka sirkebral circulation.
- ʻO ka Metformin kekahi o nā lāʻau lapaʻau antiidiabetic palekana loa. ʻAʻole ia e hoʻokō i ka hypoglycemia, ʻoi aku ka paʻakikī o nā hopena ʻona maikaʻi ʻē aʻe.
ʻO ka hopena o ke kala ʻana o ka metformin-Richter ka hopena o kekahi mau mīkini, ʻaʻole kekahi o lākou e hoʻopilikia pololei i ka synthesis o ka insulin. Ma hope o ka lawe ʻana i ka pā, hoʻowalewale ʻia ka hana ʻana o ka glucose e ka ate, ka holomua o ka halihali ʻana i nā ʻāpana no ka emi ʻana o ke kū i ka insulin. ʻO nā ʻōlelo no ka hoʻohana ʻana i ʻike e pili ana nā hopena hou o ka metformin i ka hoʻomaikaʻi ʻana i ka hoʻomehana maʻi o ka maʻi - ka hoʻohaʻahaʻa ʻana i ka hoʻokahe ʻana o nā hāmeʻe mai ka huina o ke kūwaho ʻana, a me kahi hoʻohaʻahaʻa ʻana. Wahi a nā loiloi, hiki i kēia hana ke hoʻomaʻamaʻa i ke kaʻina o ka hōʻemi ʻana i ka hoʻomehana ma ka maʻi diabetes.
Nā hōʻailona no ka hoʻohana ʻana
Ma nā loiloi o nā kauka, ʻike pinepine ʻia ka metformin i ke kumu no ka mālama ʻana i ka maʻi type 2. Ua ʻae like loa nā manaʻo a me ka noiʻi lapaʻau ʻĀina a me kēia ʻōlelo. Ke loli nei nā ala e mālama ai, loli nā lāʻau hou a me nā ala diagnostic, akā paʻa ka wahi o ka metformin.
Ua kuhikuhi ʻia ka lāʻau lapaʻau:
- ʻO nā maʻi āpau āpau no nā mea hoʻoponopono kūpono ʻole e hāʻawi i ka glycemia i kuhikuhi ʻia.
- Ma hope koke o ka nānā ʻana i ka maʻi diabetes, inā hōʻike nā hōʻike i ke kū ʻana i ka insulin kiʻekiʻe. Hiki ke manaʻo ʻia i nā maʻi me ka paona kiʻekiʻe.
- Ma ke keʻena no ka mālama ʻana i nā maʻi maʻi maʻi me ka maʻi lōʻihi.
- Me ka maʻi diabetes e hilinaʻi nei, e hōʻemi i ka nui o ka insulin.
- ʻO ka poʻe maʻi me ka metabolic syndrome, prediabetes ma ke ʻano he hoʻololi no ka loli ʻana o ke ola.
- ʻO ka poʻe me ka luhi a me ka hopena kiʻekiʻe o ka maʻi maʻi. Ma ka hoʻohaʻahaʻa i ka pale ʻana i ka insulin, hoʻonui ʻo Metformin Richter i ka hopena o ka meaʻai.
I kēia manawa, aia kahi hōʻike o ka hiki ke hoʻohana i ka lāʻau lapaʻau no nā polycystic ovaries a me ka steatosis ate, akā ʻaʻole naʻe i komo i kēia mau kuhikuhi.
He hopena kūpono ʻole o ka metformin
Hoʻohui ka hopena nui o ka metformin me kona hopena ma ka helu o ka hele ʻana o ka meaʻai ma o ka ʻōpū a ma ka ʻano o ka ʻōpū liʻiliʻi, ma kahi o ke kaʻina hana nui. ʻAʻole maikaʻi kēia mau pilikia i ka olakino, akā hoʻonui koʻikoʻi ka ʻalena o ka lāʻau lapaʻau a hoʻonui i ka nui o nā mea hōʻole i ka mālama ʻana ma muli o ke olakino maikaʻi o nā maʻi.
Nā hopena hopena ma ka ʻili gastrointestinal i ka hoʻomaka o ka mālama ʻana me ka Metformin-Richter i nānā ʻia ma 25% o nā maʻi maʻi. Hiki iā lākou ke hōkele me ka hōʻaea metallic a i loko o ka waha ma ka ʻōpū ʻole, ka luaʻi, ke kuʻuna. ʻO kēia hopena kūpono ʻole i hilinaʻi ʻia o ka dosis, ʻo ia hoʻi, e ulu pū ana me ka piʻi ʻana o ka nui. Ma hope o hoʻokahi pule, ua kū ka gastrointestinal tract e hui ai i ka metformin, ʻo ka hapa nui o nā hōʻailona palupalu a nalowale paha.
Hōʻike ka hōʻike o nā maʻi maʻi i ka lawe ʻana i nā paila i ka manawa like me ka lāʻau paʻa paʻa e kōkua ai i ka hoʻohaʻahaʻa i nā hōʻailona, hoʻokaʻawale i kēlā me kēia lā i 3 mau kākē, a me ka hoʻonui pinepine ʻana i ka maʻi hoʻomaka mai ka palena (500, loaʻa a 850 mg).
Eia kekahi, i ka wā e lawe ai i ka Metformin-Richter i nā mea maʻi me ka maʻi maʻi, nā hopena kūlohelohe o ka ʻili, hiki ke ʻike ʻia kahi hana ʻokoʻa a me ka hapa ʻole o ka hana ate. ʻIke ʻia kā lākou hōʻeha ma mua o ka loaʻa pinepine ʻana (a hiki i 0,01%).
ʻO kahi hopena hopena wale nō ka metformin ka lactic acidosis. ʻO kāna kūleʻa he 3 mau maʻi no ka 100 tausani mau maʻi. I mea e hōʻalo ai i ka acidosis lactic, pono pono ʻoe e hahai i nā ʻōkuhi no ka hoʻohana ʻana, mai lawe i ka lāʻau lapaʻau inā he mau contraindications, mai pākuʻi i ka dosage kuhikuhi.
Nā Hoʻohui
I nā hihia i pāpā ʻia ai ka hoʻohana ʻana o Metformin-Richter:
Kumu no ka pāpā | Nā Hoʻohui |
Hoʻonui i ka hopena o ka acidosis lactic. | ʻO ka nele o Renal (85% o nā hihia o ka lactic acidosis), dehydration, maʻi nui, nā waiʻona, ka hypoxia ma muli o ka puʻuwai a i ʻole ka hanu, ka maʻi anemia. ʻO ka maʻi lactic acidosis o ka hala ma mua. |
Hiki i kahi kumu no ka anaphylactic | Allergy i nā ʻāpana wae. |
ʻAʻole paʻa i ka palekana | ʻPiopio, keiki i lalo o 10 mau makahiki. |
Pono i ke ʻano lapaʻau kino pilikino | ʻO nā hopena hoʻonā o ka maʻi maʻi, nā hōʻeha ākea a me nā hana holo. |
Pehea e lawe ai iā Metformin Richter
Pono e koho pono ʻia ka lāʻau Metformin no kēlā me kēia maʻi maʻi maʻi. I ka wā koho, ke kuhikuhi nei ke aʻo i nā ana e ʻike ai i ka nui o ka glucose.
Pehea e hoʻoholo ai i ka dosis makemake:
- Manaʻo ʻia ka hoʻomaka hoʻomaka ʻana me 1 papa Metformin-Richter 500 a i 850. ʻO nā 2 mau pule mua ʻaʻole i hoʻoponopono ʻia. Lawe ʻia nā papa ma hope o ka ʻaina ʻaina.
- Inā ʻaʻole he hopena hopena, e hoʻonui ʻia ka dosage e 500 a i ʻole 850 mg i kēlā me 2 wiki. Hoʻokaʻawale ʻia nā papa i 2, a laila ma 3 mau aniani. Ke piʻi nei o ka ʻai, e hoʻomaʻamaʻa ka glucose mua mua, a laila glucose i kēlā me kēia lā.
- ʻO ka dosage maikaʻi loa he 2000 mg. ʻO ke hoʻonui hou ʻana i ka helu o nā papa i ukali ʻia me ka hoʻohaʻahaʻa loa ʻana i ka glycemia hoʻohālikelike ʻia me ka mea mua.
- ʻO ka nui o ka lā i hiki ai i ke metformin ka 3000 mg, no nā maʻi o ke keiki - 1000 mg, ma ke kamaliʻi - 2000 mg.
ʻO nā kauka a me nā maʻi maʻi e pili ana i ka lāʻau
I nā makahiki, ua hoʻokele ʻo Metformin-Richter i ka hōʻiliʻili ʻana i nā nui o nā loiloi maikaʻi a maikaʻi ʻole. I nā poʻe maʻi me ka maʻi maʻi, loaʻa kēia lāʻau lapaʻau, kaulana loa ia, me ka hoʻēmi ʻana me ka hyperglycemia, me ka ʻole o ka hoʻonā ʻana me ka hypoglycemia. Kuhi lākou i ka hana wikiwiki o ka lāʻau lapaʻau: "maoli maoli mai i hoʻokahi papa."
Lawe pū ʻia ka Metformin-Richter i mea e hōʻoki ai i ka momona, hoʻoulu ʻia i ka ovulation ma PCOS, e hōʻemi ai i ka mānoanoa o ka momona subcutaneous i nā mea pāʻani. Hoʻomaopopo ʻia nā hopena hou o ka metformin. Ma ka waihona puaʻa hānai nā lōʻihi i nā wā hāpai a me nā paona i hoʻolilo ʻia e nā ʻumi haneli. No ka mea kūlohelohe, aia kekahi mau loiloi maikaʻi. ʻO ka hapanui pinepine, ʻo kā lākou mea kākau he poʻe i lawe i ka metformin me ke kūkākūkā ʻana me ke kauka, kahi maʻalahi i wehewehe. Ua kau ʻo Endocrinologists i kahi lāʻau lapaʻau no ka hoʻohaʻahaʻa ʻana i nā mea maʻi me ka pale ʻana i ka insulin, ʻaʻole nā mea āpau i piha.
Hoʻomaopopo nā kauka i ka hana kiʻekiʻe o ka Metformin-Richter, ʻaʻole wale no i ka maʻi maʻi maʻi maʻi, akā i ka poʻe i loko o ka wā e hiki mai ana e alo i ka maʻi maʻi. Me ka mālama kūpono a me ke ʻano kūpono o nā maʻi, hiki ke pale i nā maʻi i ka 75% o nā hihia.
Nā hiʻohiʻona o ka lāʻau
Hiki i kekahi lāʻau lapaʻau Lūkini me ka hua'ōlelo "metformin" ma ka inoa ke hoʻohuli iā Metformin-Richter. Hoʻohana ʻia lākou e Vertex, Medisorb, Canonfarm, Akrikhin a me nā mea ʻē aʻe. ʻO Glyformin, Merifatin, ʻo Bagomet ka like pū me ka like. Nā kūmoleʻāina kūwaho o Metformin-Richter - Kaukini Lūkini, Keleman Siofor a me Metfogamma. ʻO kēia mau lāʻau lapaʻau e like pū me ka potency, no laila hiki iā ʻoe ke hoʻololi iā lākou me ke koho ʻole ʻana i kahi kao.
No nā mea maʻi e ʻae ʻole i nā papa, ʻōlelo ʻo nā kauka ma kahi o Metformin-Richter e inu i nā hui o nā hana lōʻihi me ka mea like pū me ka mea like: Glucofage Long, Metformin Prolong, Metformin MV.