Nāʻikepili no ka hoʻohana "Metformin": ke aʻo a me ka manaʻo

"Metformin" mea he nui paahana no kanaka e loaa ana mai ka mimikō mellitus. "Metformin Richter" nāʻikepili no ka hoʻohana i mea pono no ka hapanui nā mea maʻi me ka mimikō, e kokua i ka ho'ēmi i ke koko kō pae, a pela no i ka pono nui o ka carbohydrate pūnao, ma laila 'ō i ka pono o ke ola, e like me ka mea e hoikeike ia e ka lehulehu maikaʻi pane o nā mea maʻi.

Pharmacodynamics a me Pharmacokinetics

"Metformin" 'aʻole hoʻi ia i ke kaʻina hana o ka gluconeogenesis i loko o ke ake, a ua lilo i keʻakeʻa nei i noho mai i ka naʻau liʻiliʻi i loko o ke kino o ka monakō koko. Pela i mea holomua o kaʻike ākea monakō koko cleavage a maoli he ake'aʻaʻa pā lonoaʻili i ka insulina. Mau keʻano o ka hanaʻana i ole pu gipoglemicheskimi reactions Agena aʻole e pili mai ka? Iecaianoaaiiie maoli o Hoʻokolohua keena o na pancreas insulina, e like kekahi lāʻau analogues "Metformin".

Nāʻikepili no ka ke kaupaona poho lapaʻauʻia iʻikeʻia ma muli o ia kona hiki e stabilize a me ka nui loa emi i ka hoʻomanawanui i ka kino o ke kaumaha.

Ma hope o ka lawe "Metformin" mai ka gastrointestinal'āpana e hoomaka ana e komo i kaʻeleu waiwai, a me ka pono ka hana o ka lāʻau Ka hoʻomaka 'ana ma hope o 2-2.5 hola. A kūikawā hiʻona mea i ka mea, 'o ia hoʻi kokoke piha unlinkability i ka wai koko nā polokina.

"Metformin" ke loaa i loko o nā puʻupaʻa, a akepaa, salivary gland, muscular nā'aʻaʻa. E hōʻike 'aneane loa puʻupaʻa ma hope o 9-12 hola ma hope hooponopono. Inā kaʻaʻa puʻuwai hoʻomanawanui hana o Nyos i na mea i loaa i loko o ke kino, no ka lōʻihi manawa.

Nāʻikepili a me contraindications

Nāʻikepili no ka hoʻohana "Metformin" like penei:

• Mimikō mellitusʻano 2, maalo ae la oia me ka inclination e ketoacidosis, i mea loa nui no diabetics mea overweight.
• Ma ka hui pu ana me ka insulina maʻano 2 mimikō, obesity ehaeha, i ukali ia e nā haumāna insulina e kū'ē'ē mai.

I loko nō o ka ka hoʻokōʻana kiʻekiʻe o ka lāʻau, he mau contraindications i ka hoʻohana 'ana o "Metformin":

• Ketoacidosis ma mimikō predkomatoznoe moku'āina paha coma.
• Malfunction o nā puʻupaʻa.
• Huʻi maʻi, e alakai ana i ke ano o ka hakuʻala dysfunction - maʻiʻaʻai, dehydration me ka loa diarrhea a me ka luaʻi, wela, maʻi o ka naehana nenoaiu, hypoxia.
• Huʻi a me ka maʻi maʻi, e alakai ana i ke ano o ka'aʻaʻa hypoxia - cardiac paha naehana hoʻokō 'ole', huʻi myocardial infarction.
• Undergoneʻoki lāʻau lapaʻau 'uao, ma hope i ka hoʻopaʻa' insulina Inc.
• Ake dysfunction.
• Huʻi ethanol kaʻapu kōheoheo, maʻi alcoholism.
• Hāpai keiki.
• Breastfeeding.
• Idiosyncrasy.

laʻau heluna

Laʻau heluna "Metformin" Ua nānā 'ia me ka nānā i ke koko monakō koko maʻiʻo a me ka ua ia i ke kauka no kela a me keia hoʻomanawanui pākahi. IeAUPIIe, IAa IO e hoʻomaka ana laʻau heluna papa koa mai ka 0.5 hiki i 1 g. / Lā. (1-2 papa), a laila, ma muli o ka monakō koko kiʻekiʻe ma hope o 10-15 lā? Eaia hiki mālie māhuahua ma ka laʻau heluna.

Ka malama mahele lāʻau "Metformin" He 1.5-2.0 g. / Lā. (3-4 papa), a me ka mea i kā mākou laʻau heluna - 3.0 g. / Lā. ole 6 na papa. No nā mea maʻi i loko o holomua makahiki kiekie mahele lāʻau - i oi aku mamua o 1.0 g. / Lā. (2 papa).

Nāʻikepili no ka hoʻohana "Metformin" a me ka hoike ana o nā mea maʻi paipai i ka lāʻau e e ia iʻai ai koke ma hope o ka mea, inu akaka ka wai. Na kela la i keia mahele lāʻau ua? Aeiiaiaoaony e mahele i loko o 2-3 nā māhele a pau o ka lā.

Hana ma ka overdose

Overdose ke alakai i ka lactic acidosis, i Hoʻoweliweli 'o ia i ka make.

Lactic acidosis ua wehewehe aku ma ka kēia symptoms:

• Pōniuniu pū ma ka nausea a me ka luaʻi.
• Diarrhea.
• Ke oi emi ma ke kino ana wela.
• kokololio hanu.
• ʻoi eha ma na nāʻiʻo, abdomen.
• Loss o ka ike paka i a me ka hoouka kaua ana o coma.

A hiki i ka ma ka liʻiliʻi loa mehana hoailona o lactic acidosis e lawe i ka lāʻau "Metformin" koke ana lawe ana i ka hospitalization.

Ka loa ka hoʻokō pākōlea ha awina ka wā hemodialysis mea lactic acidosis, a me ka hoʻokō hana o kanaka symptoms.

Hana kūleʻa me nā ai '

Ka lāʻau "Metformin" nāʻikepili no ka hoʻohana i hookaawale ia i ka concomitant hana o ka lāʻau a me nā ai 'hiki ole e hoʻohana pu me dinazolom ma muli o ka hyperglycemia hope hopena. Inā pono, 'inikua lapaʻau dinazolom pono i ka mahele lāʻau hoʻoponopono "Metformin", a pono e paa i ke kauka.

"Metformin"? Eaia Pono e loa ana i kekahi laʻau heluna hoʻoponopono ma ka hui pu ana me na kēia mau ai ':

• "Chlorpromazine".
• Neuroleptics.
• Ku una ha contraceptives, thyroid hormones, thiazide Loop diuretics.
• "Epinephrine".
• "Cimetidine".

No hoi, ka wā i hōʻike mai no ka hoʻohana "Metformin" pono e loa haʻalele i ka waiʻonaʻai ana, i ole ia, i poe lunakanawai no na pane o nā mea maʻi, me ka nui loa ua hoemiia ka pākōlea hopena.

"Metformin": manaʻo ka wā hoʻohana no ke kaupaona lilo ana

Wale kekahi pākōlea hopena ua i kaupalena 'ia i ka laulā o ka hoʻohana' ana i ka lāʻau "Metformin". Nāʻikepili no ka hoʻohana, a me nā hōʻike manaʻo hoike o ia nā mea hiki e like me:

• Ka ho'ēmiʻana i loko o ke koko kōpaʻa.
• Ka ho'ēmiʻana o maoli insulina, i hiki aku ai i ka ka ho'ēmiʻana i loko o kona'ōpū.
• Ka paleʻana i ke kahua o ka carbohydrate i wahie ma ke akepaʻa.
• Hoemi i ka nui o ka kaʻaluna o carbohydrates komo i ke kino a me ka ai.

E hoʻohana i ka "Metformin" i mea e lilo aku ke kaupaonaʻana ka mea, ua maopopo i kona papa kuhikuhiE kuleana pili i mea e ho okumu i ka 'ia i loko o a he mea na lilo o ka momona hoʻokomo kālā ma mua o Muscle'aʻaʻa. No ka mea, no ka pono a me ka noho malie hoi i ke kino kaumaha poho, e like me ka hailona no kou manaʻo e pili ana i ka makaukau ana o nā nā mea maʻi a me na kumu, e hana 'ano kūpono:

• Hōʻole ono a me ka palaoa, e like me pono ai (noodles, kiliala, Masa uala).
• E emi i kaʻai ana o calories.
• ʻeleu a me ka hoʻokō mau.

I ka hoʻohana 'ana i ka "Metformin" slimming laʻau heluna E haʻalele 500 mg / lā, a me kaʻai ana e ke hoakaka mua awakea a me kaʻaina awakea. Reviews o ka hoʻomanawanui hoʻomākaukau hōʻike lawa laulā o ia ka wā e kahe mai ana ka liki ole ke kaupaonaʻana, akā, no ka hoʻohana o "Metformin" kaʻoi loa no kēia mau hana ua i aeia me kukakuka me ka lapaau a me ka dietitian.

ʻaoʻao waiwai

I loko nō o ka mea, he akea nāʻikepili no ka hoʻohana 'ana, "metformin" e i, a me ka hoike ana o kekahi o kaʻawaʻawa loa symptoms o ka gastrointestinal'āpana, mai anaʻaoʻao' ole o ka lāʻau.

• Ka luaʻi, a nausea.
• Hune ikaika loa ka makemake a me kona wa e kaawale aku.
• Flatulence, diarrhea, abdominalʻeha.

Muli o kona kulana pinepine mau symptoms i ka hoʻomaka o ka lapaau, a, ma ka manao o ka hoʻomanawanui iki mai nalo ma o lakou iho.

Nui hou hoʻoponoponoʻaoʻao ona mai nā nenoai:

• B12 wikamina ia wā, a me nā lactic acidosis.
• Megaloblastic anemia.
• Hypoglycemia.
• Skin rashes me ka allergic NaI.

Special aʻo no ka hoʻohana, a ahonui e hoike

Like kekahi'ē aʻe lāʻau i kona contraindications a me nāʻikepili no ka hoʻohana 'ana, "Metformin" pono akahele noonoo i ka laʻau heluna a me ka manawa o ka loaa ana mai.

Ma kekahi, i ka hiki pono mau kanaka hoʻoponopono hakuʻala hana, no ka mea, i ka palena iki o ka palua o ka makahiki, e like me ka hoike ana o myalgia i, e hooholo i ka maʻiʻo o ka lactate i loko wai koko. Eia hou kekahi, o kela mea keia eono mahina e e ua hoʻonānā i ka lāʻau lapaʻau creatinine, o ka oi aku i ka makahiki o ka hoʻomanawanui iki mai.

I ka loaa ana "Metformin" ma ka hui pu ana, me ka sulfonylureas ia mea nui ia mau kanaka hoʻoponopono i ka nui o ka monakō koko i loko o ke koko.

I ka wa e ike koke haʻi ia i ka maʻi o ka genitourinary oihana, a bronchopulmonary nā mea palahēhē i kou kauka.

Ka lāʻau 'aʻole e pili mai ka hiki, e kipaku aku i kekahi kaʻa, a aole i ālai ia' aʻe i loko o ka hana o na maomeka.

I ka hoʻohuiʻia o ka "Metformin" me nā hypoglycemic ai 'ke alakai i ka hooulu ana o hypoglycemic rula, wehewehe aku ma ka hoomanao ana kāna hana, a papa aku mālama' ana i ke kaʻa, a komo i loko o nā hana palena papaha pilikia loa, a koi nui maliu a me ka naoh.

I ka wā o ka iapaau ana ua pololei pāpā hoʻohana o ka waiʻona, a ai 'i loaʻa ethanol.

E like me ka hōʻike manaʻo o ka lāʻau "Metformin" mamua o na mea he nui o kona makau i provleniyaʻaoʻao ole ana ka mea e nō loa pohihihi keia, a me ka uuku loa. A me ua mau ipo olelo oi loa ono, oiai lawe ka lapaʻauʻia ia mea hiki e hoʻolimalima i ka māhele o ka pōpō palaoa a me ka meaʻala, albeit infrequently.

Nō hoʻi i loko o ka loiloi patsintov diabetic memo a me ka hoonuiia likelihood o ka lilo ana i hapai ana ka loaa ana "Metformin" i ole wale kōkua i ka pakele ana i ka maʻi, akā, i loaʻa i ka Launa Male ka pomaikai.