Hiki iaʻu ke inu i ka Glucofage a me ka wai ʻawa? Ka hoʻohālikelike a me nā hopena kūpono paha

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Loaʻa ka Metformin ma lalo o ka inoa inoa inoa ʻo Glucophage. ʻO ia ka lāʻau lapaʻau mua ia i hana ʻia no ka mālama ʻana i ka maʻi mellitus type 2, i loaʻa aʻe i nā poʻe momona lohi.

Hoʻohana pū ʻia i ka mālama ʻana o ka maʻi polycystic ovary syndrome.

He palena paʻa nā mea e hiki ai ke metformin e pale ai i nā hoʻopiʻi cardiovascular ma waena o ka hoʻokaʻaʻana o ka hoʻohaʻahaʻa glucose. ʻO ka poʻe e hoʻomaka e lawe i kēia lāʻau lapaʻau, he nui nā nīnau e pili ana i ka regimen dosage, nā hopena ʻaoʻao, nā meaʻai, a me nā kikowaena me nā mea ʻē aʻe.

ʻO ka Glucophage a me ka waiʻona, no ka laʻana, ʻaʻole i kūlike kekahi me kekahi, ʻoiai lawe aku iā lākou i ka manawa like me ka hoʻonui ʻana i ka ulu ʻana o ka comog hypoglycemic a me nā alakaʻi cerebrovascular (ONMK).

Hōʻike

ʻO ka papa Glucofage he 500, 800 a me 1000 mg o ka metformin hydrochloride. Loaʻa i nā pila 30 a me 60 mau ʻāpana.

Nā hana hana i ka hana

ʻAʻole pili ka lāʻau lapaʻau i ka synthesis a me ka huna ʻana o ka insulin. Hoʻopili mua ia ma ka kāohi ʻana i ke kaʻina o ka wāwahi i ka glycogen hepatic i free glucose.

ʻO nā papa ʻaina Glucofage 1000 mg

Hoʻonui i ka naʻau kikoʻai i ka insulin (momona a me ka ʻiʻo), e hoʻolauleʻa ana i ke komo ʻana o nā huapalapala i loko o ka pūpū. No ka mea ke pale aku i ka synthesis o nā triglycerides a pale i ka nalo ʻana o nā momona momona i loko o nā palu, hana ʻia no ka hoʻohana ʻana i nā maʻi me ka momona nui. Ua hoʻomaopopo ʻia kona hopena maikaʻi i ka metabolism cholesterol.

Hoʻopaʻa iki ʻia, hoʻopau ʻia i loko o 60 mau minuke, ke ana ka nui o ka plasma wela kūpono ma hope o 2, 5 mau hola. ʻO ka hapalua kahi ola he 6.5 - 7.5 mau hola, e hōʻike ana i ka pono no ka hoʻohana pinepine ʻana o ka lāʻau. Hoʻomau ʻia ka nui i ka ate.

Nā Hōʻike

ʻO ka hōʻike nui no ka hoʻohana ʻana o Glucophage i hoʻonui ʻia i ka hoʻomanawanui i ka glucose a me ka maʻi diabetes type 2.

Me ka maikaʻi ʻole o ka mālama ʻana i ka meaʻai a me ka loli o ke ʻano o ke ʻano, ua kuhikuhi ʻia ka lāʻau lapaʻau i ke ʻano o ka monotherapy a i ʻole hui pū me nā lāʻau haʻahaʻa e hoʻohiolo ai i ke kō, me ka insulin.

Ua hoʻokūpaʻa ʻo ia iā ia iho he mea no ka pale ʻana i ka hoʻomohala ʻana o nā hoʻopiʻi maʻi (micro and macroangiopathies).

Hoʻomaʻi pinepine ka Glucophage e nā kānaka olakino (ʻoi aku i nā mea hoʻokūkū) no ka nalowale i ke kaumaha. Kēia mea hoʻohana i ka lāʻau lapaʻau loa ia i ka makemake nui a hiki i ke kumu o nā pono o ka metabola.

Nā Mana Kūʻai

Lawe ʻia ka Glucophage i hoʻokahi papa 3 mau manawa i ka lā, ma hope o ka papaʻaina. Pono e holoi ʻia ka lāʻau lapaʻau me kahi aniani o ka wai maʻemaʻe. Hoʻomaka ka dosis hoʻomaka ma ka 500 mg, hoʻonui inā pono.

Nā Hoʻohui

ʻO Glucophage ka lāʻau lapaʻau e koho ai i nā mea maʻi me ka maʻi mellitus no ke kiʻi ʻana o ke kaumaha o ke kino.

Ma mua o ke koho ʻana, pono ka endocrinologist e hoʻomaʻamaʻa i ka mea maʻi me nā contraindications e like me kēia:

  • kekahi mōʻaukala kūloko i ka metformin (anaphylaxis, urticaria, Quincke edema);
  • makahiki a hiki i 10 mau makahiki;
  • ka palaualelo o nā ʻano ʻōiwi like ʻole;
  • waiʻona wai;
  • congestive heart failed;
  • pilikia ʻole ʻole (kūmole manawa);
  • maʻi ketoacidosis maʻi.
Ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau, pono e hana i kekahi mau noiʻi a me nā mea hana pono e hoʻoholo ai i ka hana o ke akeʻa a me nā puʻupaʻa. Me kahi emi i hua ʻia ma ka helu filtration glomerular, pono ke hoʻoponopono ʻia.

Nā hopena hopena

E kūʻē i ke kiʻi ʻana o ka lawe ʻana i ka Glucofage, hiki i ka hopena ʻino ke hōʻea pinepine i ka loli ʻana o ka lāʻau lapaʻau.

  • hoʻowahāwahā ʻaʻa;
  • hana ʻino i loko o ke ʻano o ka hoʻomālamalama, ʻūlū, ke ʻeha, ka luaʻi ʻana;
  • anemia megaloblastic;
  • ʻili kino ʻili;
  • haʻi leo hypoglycemic;
  • lactic acidosis.

Inā kū ʻia nā hōʻailona luna aʻe, e nīnau koke i ke kauka.

Hiki iaʻu ke hoʻohui me ka waiʻona?

E makaʻala ʻoe i ka hiki o ka hoʻomohala ʻana i ka hoʻopiʻi ʻana i ka hoʻopulapula o nā lāʻau lapaʻau āu e lawe ai. Hiki i nā glucose a me ka waiʻona ke hoʻonui i ka hopena o ka hopena maikaʻi ʻole. ʻO ka pōʻino nui loa ka hoʻohana pinepine ʻana i ka nui o ka waiʻona i ka wā o ka mālama ʻana me ka metformin.

Hoʻopilikia paha nā pilikia e pili ana i ke ola:

  • hypoglycemia. ^ E Ha yM. ʻO ka inu ʻawaʻawa a ʻoiai e lawe ana i ka Metformin e hoʻonāukiuki i ka hōʻemi o ke kō koko. Hoʻopukū ʻia, ke hōʻike nei kēia ʻano i ka haunaele, ka haunaele o nā lima, ka lūlū. ʻO kēia ke kumu i ka nui o ka glucose i hoʻopau i ka wā o ka hoʻoneʻeneʻeʻana i nā alaka wai. Inā ʻoe e hoʻohui i kēia hiki i ka metformin ke hoʻopau i ka wāwahi o ka glycogen i loko o ka ate, e loaʻa iā ʻoe kahi maikaʻi maikaʻi no ka hypoglycemia. Inā hiki ʻole iā ʻoe ke ʻalo i ka inu ʻawaʻawa liʻiliʻi (i loko o kahi hui ʻoliʻoli o nā hoa kolohe), e ʻōlelo aku iā ʻoe e lawe ana ʻoe i ka Glucophage, e haʻi aku iā lākou e pili ana i nā ʻōmaʻomaʻo o ke kōpaʻa koko, e wehewehe pehea e hiki ai iā lākou ke kōkua;
  • lactic acidosis. ^ E Ha yM. He kūlana liʻiliʻi kēia, akā, he mau hanana hoʻoweliweli ia e ola i ka wā e hui pū ai ka metformin me ka waiʻona. Lactic acid (lactate) kahi huahana kūlohelohe o nā kaohi metabolism, hoʻohana ʻia e nā ʻili āpau no ke kumu o ka ikehu. E kū'ē i ke ʻano o ka lawe ʻana i Glucofage, hoʻomaka ke kino e hana i nā mea hou aku o kēia mau mea ma mua o ka mea maʻamau, hoʻōla ka mea ʻawaʻawa iā ia. No laila, ʻoi aku ka lactate e kūkulu i loko o ka aʻalopona, nā māmā, nā ʻōpū, a me ka pā vascular, e hōʻino ana i ka ʻeha. ʻO nā maʻi maʻamau ka maʻi lactic acidosis ʻo ka nāwaliwali laulā, maloʻo, hōʻeha, hōʻeha ʻana i ka naʻau nui, ke kīwī, ke kāwele o ka hanu, ka ʻōpū, a me ka luaʻi.
Pono ka hypoglycemia a me ka lactic acidosis i ka mālama olakino ma kahi haukapila kūikawā. Inā ʻoe e noʻonoʻo i kēia mau ʻōlapa a ke lawe nei i ka metformin a inu i ka wai inu, pono e kāhea koke i kahi ambulance.

ʻOiai ʻo ka metformin a me ka waiʻona e hoʻokau ai i nā hopena i makemake ʻole ʻia, ʻaʻole kēia manaʻo ke haʻalele iki i ka waiʻona. Ma nā puke haole he manaʻo ka "hoʻokahi inu", maoli "hoʻokahi waiʻu", nona ka 14 o ka wai ʻona. No laila, he mea nui e hoʻolohe i ka ikaika i ka inu.

ʻO kahi laʻana, ʻo "ka mea inu" hoʻokahi 350 ml pia (5% alkohol), 140 ml o ka wai nāwaliwali, 40 ml o ka vodka maʻamau.

Hōʻike nā ʻepekema ʻepekema i nā wahine e hoʻohana ʻole i hoʻokahi hapa i hoʻokahi lā i kēlā me kēia lā, ʻoi aku nā kāne ma mua o ʻelua.

Pono ʻoe e hahai i nā lula ma ka ʻahaʻaina o ka ʻahaʻaina: mai inu i ka wai ʻawa ma kahi ʻōpū ʻole, pale aku i ka waiʻona me ka haʻahaʻa o ka glucose i ke koko, inu nui ka wai, e nānā mau i nā pae o ke kō ma mua o ka inu i nā wai ikaika.

Pehea ka lōʻihi o ka lāʻau lapaʻau i hōʻino ʻia mai ke kino?

He pōkole ka hapa pōkole o ka lāʻau, ʻo 6.5 mau hola wale nō.

ʻO kēia ka mea a ma hope o kēia manawa o kona hoʻoilo ʻia i loko o ke kaila koko e hōʻemi ʻia e ka hapalua. ʻO ka palena haʻahaʻa haʻahaʻa, aia kahi hopena therapeutic a kumu no kahi hopena kūponoʻole, ma kahi o 5 hapalua ola.

ʻO kēia ka mea i hoʻoneʻe loa ʻia ʻo Glucofage mai ke kino ma hope o 32 mau hola. Ua luku ʻia ka lāʻau e nā enzyme hepatic, ma kahi o 30% e hoʻopau ʻia me ka feces.

Hoike Mai

Anastasia: "He lāʻau lapaʻau maikaʻi i ka hoʻomaka mua ʻana o ka maʻi diabetes type 2, ma hope o ka malama o ka hoʻohana maʻamau, hoʻokaʻawale ka glucose koko mai 7.5 mmol / L a 5 mmol / L. Kauka ke kauka e hoʻomau i ke papa no hoʻokahi makahiki. ”

Vitaliy: "Koi ikaika wau e lawe i Glucophage no ka maʻi maʻi maʻi wale nō, a ʻaʻole me ka manaʻo e hōʻemi i ka paona. Lawe au i 850 mg 3 mau manawa i ka lā ma hope o ka ʻai, ʻike nui au. Hoʻololi me ka kumukūʻai, hiki ke kūʻai ʻia nā papa 60 he 100 no nā rubles. "

Natalya: "Ua lawe ʻo ia i Glucofage no ka pāhāhina polycystic, loaʻa kahi hōʻoluʻolu nui loa a nalowale 7 kilokilo no hoʻokahi mahina. Ke kuhikuhi nei au i kaʻu mau hoaaloha. I ka wā mua ʻaʻole au i manaʻo i kona pono, akā ʻoi aku ka wā i ʻike ʻo ia ka mea ʻike i ka kūleʻa o ka hoʻokipa pinepine ʻana a me ka hahai pono i nā ʻōlelo a ke kauka hele mai. "

Nā wikiō pili

Hōʻikeʻike o nā lāʻau Siofor a me Glucofage:

No laila, he hōʻemi maikaʻi loa ʻo Glucophage no ka mālama ʻana i ka kū ʻana o ka insulin a me ka maʻi diabetes type 2. Hiki ke hoʻohui pū me ia me nā mea hana ʻē aʻe hypoglycemic. Hiki iā ia ke inu i kahi liʻiliʻi o ka waiʻona i ka wā o ka hoʻouluʻana me ka glucophage.

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