Sethethefatsi se theolang tsoekere bakeng sa tsamaiso ea molomo se laeloa bakuli ba baholo le ba lilemong tsa bocha kalafong ea lefu la tsoekere. Sesebelisoa se fokotsa kotsi ea mathata.
Lebitso la Machaba le sa Tšoanelehang
INN: metformin; ka Selatine - Metforminum.
![](http://img.diabetesentity.com/img/sayd-2020/1411/kak-pravilno-ispolzovat-preparat-metformin-rihter.jpg)
Sethethefatsi se theolang tsoekere bakeng sa tsamaiso ea molomo se laeloa bakuli ba baholo le ba lilemong tsa bocha kalafong ea lefu la tsoekere.
ATX
A10BA02.
Lokolla liforomo le sebopeho
Mokhoa o teng oa tokollo ke matlapa. Letlapa le leng le le leng ke filimi e koahetsoeng. Moetso o na le 500 mg, 850 mg kapa 1000 mg ea metformin hydrochloride.
Ketso ea pharmacological
Sehlahisoa se na le phello ea hypoglycemic.
Mofumahali
Ho chona ho hlaha ka mpeng ea mpa. Khokahano ea ntho e sebetsang maling e fihla holimo haholo kamora lihora tse peli, le kamora ho ja - kamora lihora tse 2,5. Ka linako tse ling metformin e bokellana liseleng. E ntšoa 'meleng ke liphio ka letsatsi la pele kamora tsamaiso. Tlhophiso ea Renal -> 400 ml / min. Bakeng sa ts'ebetso ea renal e sa sebetseng, e tšolloa nako e telele.
Se laetsoeng
Moriana o laetsoe ho se sebetse hantle ha phepelo ho fokotsa bongata ba tsoekere maling. Moriana o bontšoa ho bakuli ba nang le lefu la tsoekere la mofuta oa 1, ho kenyeletsoa le botenya. Lithethefatsi tse ling li ka sebelisoa hammoho ho theola tsoekere ea mali kapa insulin.
![](http://img.diabetesentity.com/img/sayd-2020/1411/kak-pravilno-ispolzovat-preparat-metformin-rihter-2.jpg)
Moriana o laetsoe ho se sebetse hantle ha phepelo ho fokotsa bongata ba tsoekere maling.
Contraindication
Pele o sebelisoa, ho bohlokoa ho ithuta li-contraindication. Moriana ha o fuoe bakuli ba nang le mafu le maemo a itseng:
- hypoxia khahlano le semelo sa phokolo ea mali, pelo le ho hema, ho nyekeloa ke pelo haholo, ho senyeha hoa phallo ea methapo ea methapo;
- ho felloa ke metsi 'meleng;
- karabelo e kulang ho motsoako o sebetsang;
- ts'ebetso e matla ea ho fokola ha sebete le liphio (ho kenyeletsoa le maemo a phahameng a creatinine);
- ho ba teng ha mafu a tšoaetsanoang;
- tlhekefetso ea joala
- khatello e eketsehileng ea 'mele ea ketone ho plasma ea mali;
- lefu la tsoekere la ketoacidotic coma;
- lactacidemia;
- tšebeliso ea lijo tse nang le khalori e tlase (lijong tse ka tlase ho 1000 kcal ka letsatsi);
- tlhoko ea ho sebelisa li-isotopes tsa iodine e nang le radio nakong ea thuto:
- boimana
![](http://img.diabetesentity.com/img/sayd-2020/1411/kak-pravilno-ispolzovat-preparat-metformin-rihter-3.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1411/kak-pravilno-ispolzovat-preparat-metformin-rihter-4.jpg)
![](http://img.diabetesentity.com/img/sayd-2020/1411/kak-pravilno-ispolzovat-preparat-metformin-rihter-5.jpg)
Ntho e sebetsang e fetela lebeseng la matsoele, ka hona o tlameha ho emisa ho fepa pele o qala kalafo.
Ka tlhokomelo
Ka hlokolosi, moriana o laetsoe bana le bakuli ba tsofetseng, hammoho le mathata a liphio (clearinine clearance - 45-59 ml / min). Haeba mosebetsi o tsamaisana le ho ikoetlisa ka thata, moriana o lokela ho lumellana le ngaka.
Mokhoa oa ho nka Metformin Richter
Nka tafole eohle kahare ebe ue hlatsoa ka metsi a hloekisitsoeng.
Pele o ja kapa ka mor'a lijo
Matlapa a lokela ho nooa pele ho lijo kapa ka lijo.
Bakeng sa boima ba 'mele
Bakeng sa tahlehelo ea boima ba 'mele mongobo oa lefu la tsoekere, litekanyetso li lokela ho beoa ke ngaka.
Le lefu la tsoekere
E fuoe mofuta oa mellitus ea 2 ea lefu la tsoekere la 500 mg, 850 mg kapa 1000 mg ka letsatsi. Haeba ho hlokahala, eketsa litekanyetso kamora libeke tse peli. Sekhahla se phahameng sa letsatsi ke 3 g kapa 2,5 g ka letsatsi (bakeng sa litekanyetso tsa 850 mg). Bakuli ba seng ba tsofetse ha ba hloke ho nka letlapa le fetang 1 ka letsatsi le tekanyetso ea 1000 mg.
Tabeng ea "mellitus" e bakoang ke lefu la tsoekere, ho ka sebelisoa moriana ho latela moralo o le mong, empa ho ka hlokoa phokotso ea tekanyetso ea insulin.
![](http://img.diabetesentity.com/img/sayd-2020/1411/kak-pravilno-ispolzovat-preparat-metformin-rihter-9.jpg)
Matlapa a lokela ho nooa pele ho lijo kapa ka lijo.
Litlamorao
Moriana o lumelloa hantle ke bakuli, empa litla-morao li ka hlaha.
Phekolo ea ka mpeng
Ho na le ho nyekeloa ke pelo, ho thunya ho bohloko, litulo tse tona le ho hlatsa. Mokuli a ka latsoa tšepe e molomong oa hae.
Ho tloha ka lehlakoreng la metabolism
Ho na le tlolo ea sebopeho sa mali ka lebaka la khaello ea vithamine B12 maling.
Karolong ea letlalo
Letlalo la letlalo.
Sistimi ea Endocrine
Ho amoheloa ho ka lebisa ho tsekela, khatello e fokotsehileng, bohloko ba mesifa le mokhathala. Khafetsa, ha litekanyetso li fetisoa, hypoglycemia e hlaha.
Allergie
Ho ruruha ha letlalo, bofubelu le ho hlohlona.
![](http://img.diabetesentity.com/img/sayd-2020/1411/kak-pravilno-ispolzovat-preparat-metformin-rihter-10.jpg)
Ho amoheloa hoa motho e mong ho ka baka likotsi.
Tšusumetso ho bokhoni ba taolo ea methapo
Ho nwa moriana maemong a mang ho lebisa ho fokotseha hoa maemo a glucose. Ho otsela, ho tsekela, tlhokomelo e ferekaneng e ka hlaha. Nakong ea kalafo, ho molemo ho hana ho khanna makoloi le ho etsa mosebetsi o hlokang tlhokomelo e eketsehileng.
Litaelo tse khethehileng
Ka tšebeliso e tšoanang ea "insulin" le "sulfonylureas", ho hlokahala hore ho be le boemo ba tsoekere maling. Phekolo e hloka ho hlahlojoa khafetsa ho tsa bongaka, ho kenyelletsa boemo ba liphio, tekanyo ea khatello ea lactate le vithamine B12 plasma ea mali (haholo-holo bongoaneng le botsofaling).
Mokhoa oa ho sebelisa Metformin 1000?
Ho molemo ke eng ho nka Flemoxin Solutab kapa Amoxiclav?
Diaformin e sebelisetsoa ho theola khatello ea tsoekere maling. Bala haholoanyane ka sethethefatsi sena mona.
Sebelisa nakong ea bokhachane le pelehi
Bakhachane le baimana ha ba fuoe litlhare.
Ho rera Metformin Richter ho Bana
E ka sebelisoa haeba lilemo li tsoa ho lilemo tse 10.
Sebelisa botsofaling
Hoa hlokahala ho hlokomela boemo ba liphio le ho khetha litekanyetso ka hloko.
Kopo ea ts'ebetso ea renal e senyehileng
Kamohelo ha e kenyelelloe le ho senyeheloa ke matla a ho hlaba. Tlhokomeliso e lokela ho sebelisoa ha tumello ea creatinine e le 45-59 ml / min.
![](http://img.diabetesentity.com/img/sayd-2020/1411/kak-pravilno-ispolzovat-preparat-metformin-rihter-11.jpg)
Haeba mafu a matla a sebete a le teng, sethethefatsi ha se khethoe.
Sebelisa bakeng sa ts'ebetso ea sebete e sa sebetseng
Haeba mafu a matla a sebete a le teng, sethethefatsi ha se khethoe.
Bongata
Ho ja litafole tse sa tloaelehang ho lebisa ho overdose. Ho ts'oaroa ke letsoalo, ho opeloa ke hlooho, ho nyekeloa, ho hlatsa, bohloko ba mesifa, ho foufala, lets'ollo lea hlaha. U ka emisa matšoao a lactic acidosis u sebelisa hemodialysis.
Ho sebelisana le lithethefatsi tse ling
Ho na le ho fokotseha hoa phello ea ho nka matlapa ha a kopantsoe le GCS, lihormone tsa steroid, li-estrogens, adrenaline, antipsychotic, lihormone tsa qoqotho.
Ho fokotseha ho hoholo ha khatello ea kelello ho etsahala ha o ntse o nka li-salicylates, li-inhibitors tsa ACE, oxytetracycline, sulfonylurea derivatives, acarbose le clofibrate.
Setlhare sena ha se lumellane hantle le litlamorao tsa coumarin le cimetidine. Ha o sebetsana le Nifedipine, moemeli oa hypoglycemic o kenella ka potlako, empa o qotsitsoe nako e telele ho tsoa 'meleng.
Litokisetso tsa cationic li eketsa khatello ea ntho e sebetsang ka 60%.
![](http://img.diabetesentity.com/img/sayd-2020/1411/kak-pravilno-ispolzovat-preparat-metformin-rihter-12.jpg)
Ha o sebetsana le Nifedipine, moemeli oa hypoglycemic o kenella ka potlako, empa o qotsitsoe nako e telele ho tsoa 'meleng.
Tekanyo ea joala
Setlhare se thibetsoe ho kopana le ethanol. Ho nwa joala ho lebisa ho lebese acidosis.
Li-analog
Pheta sesebelisoa sena ka lithethefatsi tse joalo:
- Trulicity;
- Amaryl;
- Diabetes;
- Glidiab;
- Maninil.
Ho na le li-analogues tsa ntho e sebetsang:
- Siofor;
- Glucophage;
- Glyformin;
- Metfogamma.
Ka k'hemisteng o ka fumana sethethefatsi sena ka mongolo o tlatsetsang sephutheloaneng:
- Zentiva
- Nako e telele
- Teva
- Sandoz
- Boloi.
Pele u reka, u hloka ho etsa bonnete ba hore ha ho na lintho tse kulang le tse ling tse sa rateheng. Ho molemo ho buisana le ngaka pele u e nka.
Se leng betere - Metformin kapa Metformin Richter
Lithethefatsi ka bobeli li etselitsoe ho ntlafatsa maemo a bakuli ba nang le hyperglycemia. Bakeng sa lithethefatsi tsena, likarolo tse thusang litaelong le ho baetsi li fapane, empa li tšoana ka ts'ebetsong.
Maemo a matsatsi a phomolo Metformina Richter o tsoa pharmising
E fanoe ke lengolo la ngaka.
A na nka reka ntle le lengolo la ngaka?
Khemisi ea inthanete e ka laeloa ntle le lengolo la ngaka.
![](http://img.diabetesentity.com/img/sayd-2020/1411/kak-pravilno-ispolzovat-preparat-metformin-rihter-13.jpg)
Lithethefatsi ka bobeli li etselitsoe ho ntlafatsa maemo a bakuli ba nang le hyperglycemia.
Theko ea Metformin Richter
Theko ea Metformin Richter ho la Russia ke li-ruble tse 250.
Maemo a polokelo ea moriana
Sephutheloana se beoa sebakeng se lefifi se nang le mocheso oa mocheso oa ho fihlela + 25 ° C.
Letsatsi la ho felloa ke nako
Bophelo ba Shelf ke lilemo tse 3.
Mohlahisi oa Metformin Richter
Jonathan Richter-RUS ZAO (Russia)
Tlhahlobo mabapi le Metformin Richter
Tlhahlobo e ntle e bonts'a katleho ea moriana, liphetho tse potlakileng le polokeho. Bakuli ba ileng ba sitoa ho theola boima ba 'mele ka nako e khutsoanyane ba arabela hampe. Maemong a mang, ponahalo ea litla-morao e bonoa.
Lingaka
Maria Tkachenko, setsebi sa endocrinologist
Ha u sebelisa lipilisi, maikutlo a insulin a eketseha, 'me ka lebaka leo,' mele o qala ho sebetsa lik'habohaedreite hantle haholo. Ka kalafo ea lefu lena, o hloka ho ja le ho ikoetlisa khafetsa. Phekolo e phethahetseng e tla thusa ho qoba hyperglycemia le ho fokotsa kotsi ea ho ba le mathata a pelo.
Anatoly Isaev, setsebi sa phepo
Lithethefatsi li thusa ho fokotsa sekhahla sa tsoekere - ho thehoa ha tsoekere ho tsoa linthong tse se nang carbohydrate (limolek'hule tsa organic). Boithuto bo tiisa hore moriana o sebetsana le hyperglycemia. Setlhare se thusa ho theola boima ba 'mele, empa ho phekolo e rarahaneng. Khahlano le mokokotlo oa joala bo sa foleng, ha ho lumelloe ho noa lipilisi, ho kenyeletsoa le nakong ea kalafo ka marotholi.
Bakuli
Kristina ea lilemo tse 37
Lithethefatsi li mpholositse ho hyperglycemia. Boemo ba tsoekere bo ne bo tloaelehile ka ho nka lipilisi tsena le bophelo bo mafolofolo. Ke ile ka nka Letlapa le le leng, mme kamora matsatsi a 10 ngaka e ile ea eketsa lethal dose ho 2 likhomphutha. ka letsatsi. Qalong o ne a ikutloa a sa thaba ka mpeng, ho thunya, ho nyekeloa le pelo. Kamora letsatsi, matšoao a ile a fela.
Ho fokotsa boima ba 'mele
Marina, ea lilemo li 29
Setlhare sena se ile sa nkela Siofor ho moetsi "Berlin-Chemie" (Jeremane). Ketso e tšoana, ho bonolo ho e nka. Ke hlokomela phello e laxative kamora ho nka le ho hlasimoloha. Metformin e thusitse ho sebetsana ka botlalo le botlalo. E theohetse 9 kg ho likhoeli tse 4 le halofo. Takatso ea ka ea lijo e fokotsehile, 'me ke ja lik'habohaedreite tse fokolang ka lebaka la lijo tseo ke li jang. Ke khothaletsa litlhare.
Ilona, ea lilemo tse 46
Kamora ho etsa kopo, o ile a lahleheloa ke 8 kg ka likhoeli tse tšeletseng. Khatello e khutletse ho tloaelehileng, lipalo tsa mali li ile tsa ntlafala. Palo ea k'holeseterole e mpe le tsoekere e fokotsehile. Litla-morao, ntle le ho tsekela, ha li lemohe. Ke tla tsoelapele ho alafa ka moriana, hobane ho na le phello, 'me theko e ea amoheleha.