Ọrịa shuga mellitus nwere ike ibute mbibi nke anụ ahụ nke ọtụtụ akụkụ ahụ. Ọ dị mkpa ijikwa ọkwa shuga dị n’ọbara, jigide ya n’usoro o kwesịrị. Maka nke a, a na-enye ndị ọrịa ọgwụ ndị na-ebelata ịba ya. Ọgwụ kachasị ewu ewu bụ Metformin na Gliformin.
Njirimara Gliformin
Ọgwụ a bụ nke biguanides, nke ezubere maka ịgwọ ọrịa shuga. Ihe bụ isi ya bụ metformin. Ofdị ntọhapụ ọgwụ ahụ bụ mbadamba. Were glyformin n'ime. Ọ na-egbochi ịmịnye shuga n'ime imeju ma na-akwalite nbibi ya. Ezubere maka ụdị ndị ọrịa mamịrị 2.
Ọgwụ kachasị ewu ewu maka iwetulata shuga dị ala bụ Metformin na Gliformin.
Ọgwụ dị mma na - ejikọ insulin na sel ndị nwere ya. Ọgwụ na-enyere aka belata agụụ, yabụ ndị ọrịa na-ebu oke ibu na-efulata oke. A kọwara nke a site n'eziokwu ahụ bụ na e wedata ọkwa nke kọlọtọle na triglycerides. Ebumnuche nke ọgwụ a bụ iji gbazee mkpụkọ ọbara ma belata ihe ize ndụ nke nrapado platelet. Ọ na -ewelata oke shuga dị n’ọbara.
Ihe ngosi maka iji Gliformin bu ndi a:
- ụdị shuga 2;
- arụmọrụ dị ala nke sulfonylurea;
- nwere ụdị ọrịa shuga 1 - dị ka ngwa ọzọ maka usoro ọgwụgwọ bụ isi.
Ihe mgbochi:
- n'ihi na ọria mamịrị;
- imebi imeju na akụrụ;
- ọria pulmonary ọdịda, nnukwu myocardial infarction;
- afọ ime na lactation;
- ahoụrụma n'ihi ị dueụbiga mmanya ókè;
- nnukwu mmerụ ahụ;
- ihe ogwugwo, nke ogwu ogwu insulin;
- ọrịa mamịrị ketoacidosis;
- anabataghị ihe niile dị na ngwaahịa ahụ;
- na-agbaso nri kalori.
Ọ bụrụ na enwere nyocha X-ray site na iji ọdịiche, mgbe ahụ, ụbọchị 2 tupu ịkwụsị iji ọgwụ a. Umemaliteghachi iji ọgwụ ahụ ọgwụ ụbọchị 2 mgbe nyocha ahụ gasịrị.
Inweta Gliformin mgbe ụfọdụ na-eduga na mmepe nke mmetụta ndị a na-esote:
- ọla n ’ọnụ;
- akpụkpọ ahụ ọkụ ọkụ;
- ọgbụgbọ
- agụụ
- lactic acidosis;
- malabsorption nke vitamin B12;
- hypoglycemia;
- megaloblastic anaemia.
Onye rụpụtara Gliformin bụ Akrikhin HFK, OJSC, Russia. Enwere ọgwụ ndị edochi anya ọgwụ a, nke dọkịta nyere ya. Ihe analogues nke ogwu gunyere:
- Metformin;
- Glucophage;
- Siofor.
Glucophage bụ otu n'ime analogues nke Glyformin.
Njirimara Metformin
Nke a bụ ọgwụ hypoglycemic na-ebelata shuga ọbara na ụdị shuga 2. Akụkụ bụ isi ya bụ metformin hydrochloride. Ọ dị n'ụdị mbadamba.
Ogwu ahu nwere otutu ihe ndia:
- na-eme ka ịmịkọta glucose banye n'ọbara site na eriri afọ.
- na - eme ka ojiji nke carbohydrates, nke na - eme na akwara nke aru;
- na - eme ka ọgụgụ isi ndị na - anabata anụ ahụ banye insulin.
Metformin anaghị emetụta mkpụrụ ndụ nke pancreas, nke nwere ọrụ maka insulin nke insulin, ọ nweghịkwa ebute hypoglycemia. Itinye ya n'ọrụ na ịbelata ibu.
Metformin dị n'ụdị mbadamba.
Edere ọgwụ ahụ n'ọnọdụ ndị a:
- ụdị ọrịa shuga abụọ nke ọrịa shuga, ma ọ bụrụ na usoro ọgwụgwọ nri enweghị nke ọma;
- tinyere insulin - ya na ụdị shuga nke 2, ọkachasị ma ọ bụrụ na onye ọrịa nwere oke ibu.
Enwere ọtụtụ contraindications maka ịgwọ ọgwụ a:
- precca ọrịa mamịrị, koko;
- nnukwu myocardial infarction, obi ike;
- ọrịa nke akwara na akpa ume, sepsis, ujo;
- akpịrị ịkpọ nkụ;
- ahụ ọkụ
- arụ ọrụ ezumike;
- ọrịa na-efe efe siri ike;
- ihe ịwa ahụ na mmerụ ahụ;
- nsị na-egbu egbu na mmanya ethyl, mmanya na-egbu egbu;
- afọ ime na lactation;
- uche gabigara ihe dị na ngwaahịa ahụ uru;
- na-agbaso nri kalori.
Amachibidoro iwere Metformin ndị mmadụ karịa afọ 60 onye ọrụ ya na ịrụ ọrụ ike, ebe ọ bụ na enwere ike ịrịa lactic acidosis.
Ogwu nwere ike iduga n'inweta ihe ojoo site na otutu aru mmadu:
- digestive: ọgbụgbọ, ọgbụgbọ, mgbu afọ, afọ ọsịsa, enweghị agụụ;
- hematopoietic: megaloblastic anaemia;
- endocrine: hypoglycemia.
N’oge na-adịbeghị anya, na akụkụ nke metabolism, a na-ahụ mmepe mmepe nke lactic acidosis na ịmịcha vitamin B12. Mmeghachi omume nfụkasị ụdị nke ahụ ọkụ ọkụ nwere ike apụta.
Onye rụpụtara Metformin bụ Hemofarm A.D., Serbia. Ọ bụ analogues gụnyere ọgwụ:
- Mpempe;
- Glucophage;
- Metfogamma;
- Glyformin;
- Sofamet.
Sofamet bụ otu n'ime analogues nke Metformin.
Tụnyere nke Gliformin na Metformin
Ọgwụ abụọ ahụ nwere otu mmetụta, mana enwere ọdịiche n'etiti ha.
Mmekorita
Gliformin na Metformin bụ analogues nke nhazi ma bụrụkwa ọgwụ ọgwụ hypoglycemic nke a na-ewere n'ọnụ. Odikwa n'ụdị mbadamba nkume, ihe mebere eme ihe na-anọchi anya ya. A na-ere ọgwụ ọgwụ na mkpọchi kaadiboodu.
Akụkụ ọgwụ ndị a na - arụ ọrụ na - enyere aka ịme ka shuga dị n'ọbara. Medicationsakingụ ọgwụ ndị a anaghị akpalite nrụpụta insulin, yabụ enweghị ihe ọ bụla nwere ike ịdaba na shuga na mberede. Ndị ọkachamara n'ihe banyere nri na-atụkwa aro ka ha belata oke ahụ.
A na-ejikọ Gliformin na Metformin na ọgwụ hypoglycemic ndị ọzọ.
Amachibidoro ị themụ mmanya na-aba n'anya, ma ọ bụrụ na lactic acidosis nwere ike ịmalite.
Ha nwere ọtụtụ contraindications.
Kedu ihe dị iche
Ọgwụ ndị ahụ dị iche iche na-emepụta yana ọnụ ahịa ya. A na-ewere Gliformin maka ụdị 1 na ụdị ọrịa shuga 2 nke ọrịa shuga, a na-ejikwa Metformin maka ụdị shuga 2.
Kedu nke dị ọnụ ala
Onu ogugu nke Gliformin bu 230 rubles, Metformin bu 440 rubles.
Kedu nke ka mma - Gliformin ma ọ bụ Metformin
Dọkịta, na-ekpebi ọgwụ nke nwere ihe ngosi ka mma - Gliformin ma ọ bụ Metformin, na-eburu n'uche ọtụtụ isi:
- ọrịa ahụ;
- atụmatụ nke ahụ onye ọrịa;
- contraindications.
Ha nwere otu uzo ha si eji eme ihe, ya mere enwere ike dochie ogwu ndi ozo. Maka ụdị shuga 1, a na-ahapụ Metformin.
Nyocha nyocha Ndidi
Irina, dị afọ 56, Vladivostok: “Edewo m aha na endocrinologist nke nwere ọrịa shuga nke 2 ogologo oge. Anọ m ọgwụ dị iche iche n'oge a, na nso nso a dọkịta nyere Gliformin iwu. Enweghị m mmeghachi omume ọ bụla n'oge m na-ewere. Iji chịkwaa glucose ọbara m, agaghị m akwụsị Ule ugboro atọ n'izu. Ọgwụ ahụ adịghị enye ọ badụ, ọkwa shuga dị ala karịa ka esi eji ya. "
Valentina, onye dị afọ 35, Samara: "Akpaala m nke ọma mgbe amuchara nke abụọ. Achọghị m ịga maka egwuregwu, enweghị m ike ịgbaso nri siri ike. Enyi m tụrụ aro Metformin. N'ụbọchị mbụ ọgwụgwọ, enwere adịghị ike na obere ọgbụgbọ. Mgbe ahụ ahụ malitere iji ọgwụgwọ a na nke ahụ bụ ihe niile. ọrịa ahụ kwụsịrị. N'ime izu atọ, ha jisiri ike were kilogram 12. "
Ndị dọkịta na-eme nyocha banyere Gliformin na Metformin
Anna, onye na-ahụ maka ihe oriri na-edozi ahụ, Kazan: “Ana m akwado ọgwụ Gliformin maka ọtụtụ ndị ọrịa na-enwe oke bekee. A machibidoro ya ike na-enweghị nlekọta ahụike, n'ihi na ọ nwere ike imerụ ahụ ike ike. ị gaghị eri ihe karịrị izu 3 maka na anaghị egbochi mmetụta ndị ọzọ. ”
Elena, endocrinologist, Yekaterinburg: "N'omume m, ana m edobekarị Metformin maka ụdị ọrịa shuga 2 nke ọrịa obi, ndidi na-anabata carbohydrates, ndị ọrịa nwere hypothyroidism. Ana m akwado ya karịsịa maka ndị ọrịa nwere oke ibu yana ọrịa sclerocystosis na-egbochi mmegide insulin, n'ihi na ọ na-abawanye ohere nke ịtụrụ ime. Ọrịa shuga nwere ike ịpụta na mmalite ọgwụgwọ. "
