Sesebelisoa se sebelisetsoa mellitus e sa itšetleheng ka insulin. Setlhare se thusa ho etsa hore tsoekere e ngata maling. Motsoako o sebetsang o tsitsisa boima ba botenya le ba LDL tlase.
Lebitso la Machaba le sa Tšoanelehang
Metformin
![](http://img.diabetesentity.com/img/sayd-2020/1091/1000.jpeg)
Metfogamm 1000 e thusa ho etsa hore boemo ba tsoekere bo maling bo tšoane.
ATX
A10BA02
Lokolla liforomo le sebopeho
Moetsi o hlahisa moriana ka mokhoa oa litafole, tse sirelelitsoeng ke koae ea filimi. Moetso o na le 1000 mg ea metformin. Sehlahisoa sena se boetse se na le povidone, hypromellose, stearate ea magnesium. Ka pakete e nang le lithupa ea matlapa a 10 kapa a 15. Likotoana tse 30 kapa tse 120 ka pakete e ngoe le e ngoe.
Ketso ea pharmacological
Motsoako o sebetsang o thibela ho etsoa ha tsoekere ho metsoako e se nang nama ea kolobe ho sebete, mme e thibela ho monya ha tsoekere maling. Sesebelisoa se fokotsa bongata ba k'holeseterole e mpe maling 'me e ntlafatsa ho monya ha tsoekere ke linama tse kenellang. Kamora ho busa, mmele o ameha haholo ka insulin. Ntle le moo, sehlahisoa se thatafatsa boima ba 'mele ka botenya mme se khothaletsa ho chesoa ha makhulo a macha a mali.
![](http://img.diabetesentity.com/img/sayd-2020/1091/1000-2.jpeg)
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Mofumahali
Ka potlako e tsoang ka mpeng ea gastrointestinal. Ha e amane hantle le liprotheine. Ha e sebetse ka bongata mmeleng. Ts'ebetso ea metformin ho plasma e fihla hofeta kamora lihora tse peli. E tšeloa halofo ea moroto ho tloha lihora tse peli ho isa ho tse hlano. E ka ipokella liseleng tsa 'mele ka ts'ebetso ea mokokotlo oa mokokotlo.
Matšoao a ho sebelisoa
Moriana o etselitsoe phekolo ea lefu la tsoekere la mofuta oa 2. E thusa ho theola boima ba 'mele. E sebelisoa kalafo ea bakuli ba se nang mokhoa oa ho eketsa 'mele ea ketone maling.
Contraindication
Setlhare sena se kopantsoe maemong a mang:
- ho hloka mamello ho likarolo tsa lithethefatsi;
- bana ba ka tlase ho lilemo tse 18;
- tlolo ea kelello ea mesebetsi ea methapo ea methapo;
- khatello e phahameng ea 'mele ea glucose le ketone maling;
- lefu la tsoekere le lefu la tsoekere;
- matla a senyehileng a renal le hepatic;
- boimana
- ho anyesa;
- myocardial infarction sethaleng se matla;
- lactic acidosis le maemo a eona a khopisang, ho kenyelletsa ho sebelisa joala hampe;
- tlolo ea tekanyo ea li-electrolyte tsa 'mele.
![](http://img.diabetesentity.com/img/sayd-2020/1091/1000-5.jpg)
Lithethefatsi tse boletsoeng ha li fuoe ho phefumoloha le pelo.
Moriana ha o fuoe ho phefumoloha le pelo.
Mokhoa oa ho nka Metfogamma 1000
Matlapa a nooa ka molomo le lijo, a hlatsuoa ka metsi a lekanang.
Le lefu la tsoekere
Motsoako o khothalelitsoeng o tsoa ho 500 mg ho isa ho 2000 mg. U ke ke ua nka litafole tse fetang 3 ka letsatsi. Litekanyetso li phahameng ha li ame katleho ea kalafo. Ngaka e ka fetola lethal dose ho latela boemo ba mokuli le maloetse a amanang le ona.
Litla-morao tsa Metphogamm 1000
Setlhare nakong ea kalafo se ka baka litlamorao tse fapaneng tse tsoang ho litho tsa 'mele le litsamaiso.
Phekolo ea ka mpeng
Ho utloa bohloko ka mpeng, ho hlatsa, litulo tse sa tsoakoang, tatso ea tšepe molomong, ho felloa ke takatso ea lijo.
Hematopoietic litho tsa ka hare
Ka linako tse ling e baka anemia ea khaello ea folic acid.
![](http://img.diabetesentity.com/img/sayd-2020/1091/1000-6.jpeg)
Metphogamm 1000 e baka anemia ea khaello ea folic acid.
Tsamaiso ea methapo e bohareng
Ho thothomela, bofokoli, hlooho ea hlooho, ho tsekela, le mofufutso o eketsehileng.
Ho tsoa ho tsamaiso ea methapo ea pelo
Palo ea lisele tsa mali ea fokotseha.
Sistimi ea Endocrine
Tšebeliso ea nako e telele e lebisa ho kenngoeng hampe ha vithamine B12.
Ho tloha ka lehlakoreng la metabolism
Ho fokotseha ha tekanyo ea tsoekere maling maling ho fihlela litekanyetso tse bohlokoa (ka tlase ho 3.3 mmol / L), ponahalo ea lactic acidosis.
Allergie
Bofubelu ba letlalo ka lebaka la ho eketsoa ha li-capillaries, ho hlohlona le ho soahlana.
![](http://img.diabetesentity.com/img/sayd-2020/1091/1000-6.jpg)
Setlhare se ka baka ho hlohlona le bofubelu.
Tšusumetso ho bokhoni ba taolo ea methapo
Moriana o ka ba le litlamorao. Hammoho le meriana e meng bakeng sa hyperglycemia, moriana o ka lebisa ho hypoglycemia (ho tsekela, ho opeloa ke hlooho, ho se khone ho tsepamisa mohopolo, malaise ka kakaretso). Nakong ea kalafo, ho molemo ho khanna makoloi ka hloko.
Litaelo tse khethehileng
Ho thibela ho hlaha ha maemo a mabe ho tsoa mpeng ea gastrointestinal, lethal dose le lokela ho eketsoa butle butle. Ka ponahalo ea lactic acidosis (ho hlatsa, ho nyekeloa, ho fokola), kalafo e emisitsoe.
Sehlahisoa sena sa molomo ha sea lokela ho sebelisoa ha ho na le mafu a tšoaetsanoang le likotsi tse mpe.
Khaotsa ho nka moriana matsatsi a 2 pele ho ts'ebetso e reriloeng. O ka qala hape ka ho nka matsatsi a 2 kamora ho buuoa.
Haeba bohloko ba mesifa bo hlaha, ho hlokahala hore ho etsoe liteko bakeng sa litaba tsa lactic acid e plasma ea mali. Nakong ea phekolo, ho hlokahala hore ho hlahlojoe ts'ebetso ea renal, ho lekanya palo ea creatinine ho serum le tsoekere ka khafetsa e nyane.
![](http://img.diabetesentity.com/img/sayd-2020/1091/1000-7.jpeg)
Haeba bohloko ba mesifa bo hlaha kamora ho nka Metfogamma, o hloka ho etsa liteko bakeng sa litaba tsa lactic acid e plasma ea mali.
Ha ho khothalletsoe ho sebelisa lithethefatsi bakeng sa bakuli ba latelang lijo kapa ba sa fepehang hantle (lijong tse ka tlase ho 1000 kcal / ka letsatsi).
Bakuli kamora lilemo tse 60 ba nang le mosebetsi o boima oa 'mele ha ba khothalletsoe ho sebelisa lithethefatsi. Kotsi ea ho ba le lactic acidosis e ntse e eketseha.
Sebelisa botsofaling
E lokela ho nkoa ka hloko. Botsofaling, lethal dose ha ea lokela ho feta 1000 mg ka letsatsi.
Mosebetsi ho bana
Hore na moriana o sebetsa hantle hakae bongoaneng ha ho tsejoe. Batho ba ka tlase ho lilemo tse 18 ba eletsoa hore ba se ke ba e nka.
Sebelisa nakong ea bokhachane le pelehi
Nka sethethefatsi ka linako tsena se contraindicated.
![](http://img.diabetesentity.com/img/sayd-2020/1091/1000-7.jpg)
Nka sethethefatsi seo ho buuoang ka sona nakong ea kemolo se thibetsoe.
Kopo ea ts'ebetso ea renal e senyehileng
Sebelisa moriana haeba ho na le ts'oaetso e mpe ea renal e kenang.
Sebelisa bakeng sa ts'ebetso ea sebete e sa sebetseng
Tšebeliso maemong a matla a sebete a bopiloe.
Bongata ba Metfogamm 1000
Ka overdose, lactic acidosis e etsahala. E alafshoa ka ho hloekisoa hoa mali ka mokhoa o mongata (hemodialysis).
Ho sebelisana le lithethefatsi tse ling
Ho nka sulfonylurea, Acarbose, insulin, lithethefatsi tse seng khahlanong le ho ruruha, li-inhibitors tsa MAO, li-Oxetetracycline, li-inhibitors tsa ACE, li-derifatives tsa Clofibrate, Cyclophosphamide le B-blockers li lebisa keketseho ea phello ea tsoekere.
Matla a sethethefatsi a fokotsoa ke tšebeliso ea nako e le 'ngoe ea glucocorticosteroids, lithibela-pelehi tsa molomo, adrenaline, lithethefatsi tsa adrenomimetic, lihormone tsa qoqotho, thiazide le loopture tsa loopt, lihormone tse shebaneng le ts'ebetso ho insulin, li-derotheo tsa phenothiazine le acid ea nicotinic.
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Matla a metfogamma a fokola ka tšebeliso e tšoanang ea li-glucocorticosteroids.
Nifedipine e ntlafatsa ho amoheloa ha metformin. Cimetidine e fokotsa sekhahla sa ho felisoa ha lithethefatsi mme sena se lebisa ho lactic acidosis. Haeba ho hlokahala, o ka sebelisa li-insulin le lithethefatsi tse entsoeng ka litlolo tsa lefutso ka tlasa taolo ea ngaka. Metfogamm 1000 e fokotsa katleho ea lithethefatsi tse thibelang thrombosis.
Tekanyo ea joala
Setlhare ha se sebelisoe hammoho le joala. Lino tse tahang li eketsa kotsi ea ho ba le maemo a hypoglycemic.
Li-analog
Khemisteng, o ka reka lithethefatsi tse tšoanang:
- Bagomet;
- Glycometer;
- Glucophage;
- Glumet;
- Dianormet;
- Diaformin;
- Methamine;
- Metformin;
- Mepharmil;
- Panfort Wed;
- Sinjardi;
- Siofor.
Pele o nkela analogue, o lokela ho etela ngaka le ho hlahlojoa.
Lipehelo tsa khefu ea khemisi
Setlhare se fanoa ka taelo ea ngaka.
A na nka reka ntle le lengolo la ngaka?
Se ke oa lokolla ntle le lengolo la ngaka.
Litsenyehelo
Theko Ukraine - ho tloha ho 150 UAH, Russia - ho tloha ho li-ruble tse 160.
Maemo a polokelo ea moriana
Matlapa a lokela ho bolokoa ka har'a lipakete tsa 'ona tsa mantlha ka lithemparetjha ho fihla ho 25-25 C.
Letsatsi la ho felloa ke nako
Lilemo tse 4
![](http://img.diabetesentity.com/img/sayd-2020/1091/1000-8.jpg)
Metfogamma 1000 e na le lebitso la tlhaho Metformin, le bolokiloeng ka lithemparetjha ho fihla ho 25-25 C.
Moqapi
Dragenopharm Apotheker Püschl GmbH & Co KG, Jeremane.
Litlhahlobo
Nikolai Grantovich, ea lilemo li 42, Tver
Moriana o etselitsoe ho thibela gluconeogeneis. E sebetsana le tsoekere e phahameng ea mali. Litla-morao tse bobebe ha li hlahe haeba u latela litaelo.
Marina, ea lilemo li 38, Ufa
Ke na le lefu la tsoekere la mofuta oa bobeli 'me ke na le boima ba' mele bo feteletseng. Joalokaha ho laetsoe ke ngaka, Diaformin o sebelisitsoe, empa o ne a sa khone ho sebetsana le mesebetsi ea hae. Kamora ho nka Metfogamma, mehopolo e ntlafala haholo. Tsoekere ea mali e tsitsitse mme ho ne ho se na hypoglycemia.
Victoria Asimova, ea lilemo tse 35, Oryol
The endocrinologist e laetse pheko ea botona bo khahlanong le lefu la tsoekere. Lipilisi li ntlafatsa metabolism. Matsatsi a mabeli a pele e ne e le litulo tse otlolohileng. Matšoao a ile a fela kapele. Ho ile ha khonahala ho lahleheloa ke lik'hilograma tse 9, ho ntlafatsa glucose le ho ntlafatsa boemo bo akaretsang. Ke khahliloe ke phello.