Diabefarm MV 30 - mankhwala ochepetsa magazi

Matenda a 2 a shuga ndi matenda omwe amapezeka kuti shuga m'magazi amayamba. Matendawa amapita patsogolo chifukwa cha kuchepa kwa chidwi cha minyewa yokhudzana ndi insulin (mahomoni obisika ndi kapamba).

Matenda a 2 a shuga amadziwika ndi hyperglycemia. Poterepa, kuchuluka kwa glucose m'magazi kumakwera. Ichi ndi chifukwa chake chithandizo cha matendawa chimayamba kugwiritsa ntchito mankhwala omwe ali ndi vuto la hypoglycemic.

Mankhwala abwino ochokera pagululi ndi Diabefarm MV 30 mg. Mankhwalawa amapangidwa ndi kampani yaku Russia ya mankhwala Farmakor. Mtengo wa mankhwalawa m'masitolo samapitilira ma ruble 120-150. Diabefarm MV imapezeka mu piritsi. Pogula mankhwala, muyenera kupereka mankhwala.

Pharmacological zochita za mankhwala

Diabefarm MV ndi m'badwo wachiwiri wa sulfonylurea. Yogwira pophika mankhwala ndi gliclazide. Izi ndi zokuthandizira yogwira insulin. Pogwiritsa ntchito mapiritsi, kupanga kwa insulin ndi kapamba kumakulirakulira.

Komanso, mapiritsi a Diabefarm MV amalimbikitsa kukhudzika kwa zotumphukira pazovuta za insulin. Chifukwa cha zinthu izi, kuchuluka kwa shuga m'magazi kumachepa, ndipo pakapita nthawi zimakhazikika kuzungulira 5.5 mmol l.

Komanso, mapiritsi a Diabefarm amathandizira:

1. Sinthani kupindika kwamitsempha. Chifukwa cha izi, chiopsezo cha thrombosis komanso atherosulinosis yayitali panthawi ya chithandizo amachepetsedwa.
2. Kubwezeretsanso njira ya thupi yolimbitsa thupi (parietal).
3. Chepetsani chiopsezo chowonjezeka cha epinephrine ndi microangiopathies.
4. Bwezeretsanso nsonga zoyambirira za insulin.
5. Chepetsani magazi m'thupi.

Ndizofunikira kudziwa kuti mukamagwiritsa ntchito Diabefarma, kulemera kwa thupi sikukula. Chifukwa cha izi, mankhwalawa amatha kuphatikizidwa ndi mankhwala othandizira.

Chinanso chomwe chimasiyanitsa mankhwalawa ndikuti samayambitsa hyperinsulinemia.

Malangizo ogwiritsira ntchito mankhwalawa

Ngati Diabefarma MV yakhazikitsidwa, malangizo ogwiritsira ntchito ndi omwe ayenera kuvomerezedwa. Ndi munthawi ziti zomwe zikuyenera kugwiritsidwa ntchito mankhwalawa? Kufotokozera kwa mankhwalawa kumawonetsa kuti ikhoza kugwiritsidwa ntchito ngati mtundu 2 wa shuga mellitus (wosadalira insulin).

Ndikofunika kugwiritsa ntchito mapiritsi a mtundu 2 matenda a shuga oledzera, omwe amaphatikizidwa ndi zizindikiro zoyambirira za matenda ashuga a shuga. Malangizowo amanenanso kuti Diabefarm ikhoza kugwiritsidwa ntchito ngati prophylactic pophwanya magazi pamagazi.

Momwe mungamwe mankhwalawo? Malangizowo akuti mlingo woyambira tsiku lililonse ndi 80 mg. Pambuyo pa masabata 2-3, mlingo ungathe kukwezedwa ku 160 mg kapena mpaka 320 mg. Kuchulukana kwa mankhwalawa ndi 2 kawiri pa tsiku. Kutalika kwa mankhwala othandizira amakhazikitsidwa payekhapayekha.

Zotsatira zosagwiritsidwa ntchito ndi mankhwalawa:

• Mtundu woyamba wa matenda a shuga 1 mellitus (wodalira insulin).
• Ketoacidosis.
• Matenda a shuga. Komanso, simungamwe mankhwalawo pamaso pa boma.
• Kusokonezeka kwa chiwindi, makamaka pachimake kapena kuperewera kwa chiwindi.
• Kuchepa kwa impso. Ndemanga za madotolo zikuwonetsa kuti mankhwalawa ndi owopsa pakulephera kwa impso.
• Zoyipa zonse zopezeka.
• Mimba
• Nthawi yoyamwitsa.
• Zaka za ana. Diabefarm sinafotokozeredwe odwala osakwana zaka 18.
• Lactase akusowa, shuga-galactose malabsorption, lactose tsankho.

Pa mankhwala othandizira, tikulimbikitsidwa kuwongolera kuchuluka kwa shuga. Mukamagwiritsa ntchito mapiritsi, ndizoletsedwa kumwa mowa komanso mankhwala osokoneza bongo, omwe amaphatikizapo mowa wa ethyl.

Kupanda kutero, chiopsezo chokhala ndi vuto la hypoglycemic chikuwonjezeka. Diabefarm imatha kudyedwa munthawi ya zakudya, zomwe zimapereka kuchepa kwa kuchuluka kwa mafuta m'zakudya.

Mukamagwiritsa ntchito mapiritsi, zotsatirazi zingachitike:

1. Kuchokera ziwalo zam'mimba thirakiti: kuchepa kwa chilimbikitso, kusanza, kutsegula m'mimba, kupweteka kwa epigastric. Woopsa milandu, kuchuluka kwa ntchito ya chiwindi michere ukuwonjezeka. Palinso mwayi wopanga hepatitis ndi jaundice.
2. Kuchokera ziwalo za hematopoietic dongosolo: magazi m'thupi, granulocytopenia, pancytopenia, thrombocytopenia, leukopenia.
3. Thupi lawo siligwirizana. Mankhwala osokoneza bongo, pali mwayi wokhala ndi ziwopsezo vasculitis.
4. Kuchepetsa maonedwe owoneka.
5. Mbali ya ziwalo za mtima dongosolo: kuchuluka magazi, kupweteka kwa sternum, bradycardia, arrhasmia.
6. Kuchokera ku dongosolo lamanjenje: kuchepa kwa ndende, kupweteka mutu, kutopa, kukwiya, kusokonezeka kwa tulo, kuchuluka thukuta.

Pa chithandizo, sikulimbikitsidwa kuti mugwire ntchito ndi zida zoopsa kapena magalimoto oyendetsa galimoto, chifukwa mapiritsi a Diabefarm amachepetsa mayendedwe ake.

Analogue yabwino kwambiri ya Diabefarma

Ngati Diabefarm ndi yosemphana, ndiye kuti analogi yamagulu amagwiritsidwa ntchito pochiza matenda amtundu wa 2 shuga. Ndi mankhwala ati omwe ali abwino kwambiri? Malinga ndi madotolo, m'malo mwa Diabefarm ndikofunikira kugwiritsa ntchito fanizo la gulu la sulfonylurea la mibadwo iwiri.

Chimodzi mwa mankhwala othandiza kwambiri m'gululi ndi Maninil. Mtengo wa mankhwalawa ndi ma ruble 160-200. Mankhwalawa ali ngati mapiritsi ogwiritsira ntchito mkati.

Maninil akulimbikitsidwa kugwiritsa ntchito mankhwalawa matenda a shuga a 2. Komanso, chida ichi chimagwiritsidwa ntchito pophatikiza mankhwala ndi insulin. Chithandizo chogwira ntchito cha mankhwalawa chimapangitsa kuti khungu lizigwira bwino ntchito, komanso limapangitsa kuti khungu lathu lizigwira ntchito. Ndikofunikira kudziwa kuti zotsatira za hypoglycemic zimatha kwa maola 12 mutatha kumwa mapiritsi.

Maninil amathandizanso:

• Pansi mafuta m'thupi.
• Kuchepetsa dongosolo la lipolysis mu adipose minofu
• Chepetsani mphamvu za magazi.

Momwe mungamwe mankhwalawo? Mlingo wamba watsiku ndi tsiku ndi 2,5-15 mg. Potere, muyenera kugwiritsa ntchito mankhwalawa ndi kuchuluka kwa katatu patsiku. Mankhwalawa matenda a shuga achikulire okalamba, tsiku ndi tsiku mlingo umachepetsedwa 1 mg.

Zotsatira pa Mania:

1. Mtundu woyamba wa shuga. Komanso contraindication ndi chikomokere kapena prcomatose zinthu zomwe zimayambitsa matendawa.
2. Hepatic ndi aimpso kulephera.
3. Kukhalapo kwa zowotcha zambiri.
4. Mimba
5. Nthawi yonyamula.
6. Zaka za ana.
7. Leukopenia
8. Paresis wam'mimba.
9. Matenda omwe amaperekedwa ndi malabsorption a chakudya.
10. Kusakwanira kwa adrenal.
11. Matenda a chithokomiro, makamaka hypothyroidism ndi chithokomiro.

Mukamagwiritsa ntchito mapiritsi, mavuto ake amawoneka ndi bongo wambiri. Njira yolakwika yamankhwala ingayambitse kukulitsa kwamatenda pakugwera kwam'mimba, mantha, hematopoietic ndi mtima dongosolo.

Mu kanema munkhaniyi, njira zingapo zikufotokozedwa momwe mungapangire popanda matenda a shuga pochiza matenda ashuga.

Mfundo za mankhwalawa

Machitidwe a mankhwala omwe amagwiritsidwa ntchito mu shuga ayenera kukhala ogwirizana ndi pathophysiology yamatendawa. Mavuto oyamba a carbohydrate nthawi zambiri amafotokozedwa kukana insulini, motero odwala amapatsidwa mapiritsi otsimikiza kuti athetse. Chithandizo chothandiza kwambiri pankhaniyi ndi metformin (Siofor, Glucofage ndi analogues). Komanso, odwala amadziwika ndi gluconeogenesis yowonjezera: glucose amapangidwa ndi chiwindi chambiri kwambiri kuposa kale. Metformin amalimbana ndi kuphwanyidwaku.

Mu gawo lachiwiri la matenda ashuga, kuchepa kwa ntchito ya pancreatic kumayamba. Choyamba, kusintha kumachitika mgawo loyamba la katulutsidwe: kuchuluka kwa kutulutsidwa kwa insulin m'magazi kumatsika pambuyo poyamwa shuga. Pang'onopang'ono, gawo loyamba limatheratu, ndipo masana shuga amakhala pamlingo wokwera nthawi zonse. Pakadali pano, shuga m'magazi amatha kuchepetsedwa m'njira ziwiri: amachepetsa kudya kwa michere pogwiritsa ntchito zakudya zopanda mafuta, kapena kutsatira zakudya zam'mbuyomu ndikuwonjezera Diabefarm kapena mawonekedwe ake pamankhwala othandizira.

Diabefarm imakhudza maselo a pancreatic, kuwakakamiza kuti apange insulin. Imatha kubwezeretsa gawo loyamba lomwe linatayika, chifukwa chomwe nthawi pakati pakumasulidwa kwa glucose m'magazi ndi kuyamba kwa chinsinsi cha timadzi timene amachepetsa, ndipo glycemia atatha kudya amakula pang'ono. Kuphatikiza pa kuchitapo kanthu kwakukulu, Diabefarm amatha kuthana ndi insulin, koma osagwira kuposa metformin. Kuti mulipirire bwino shuga, mankhwalawa amalembedwa ngati awiriawiri.

Komanso mankhwalawa, choonjezera china chinapezedwa ndikuwonetsedwa mu malangizo, osagwirizanitsidwa ndi kuchepa kwa shuga, koma othandiza kwambiri kwa odwala matenda a shuga. Mankhwala amalepheretsa mapangidwe amitsempha yamagazi m'mitsempha yamagazi, kusintha magwiridwe ake achilengedwe. Izi zimakuthandizani kuti muchepetse kukula kwa retinopathy ndi mavuto ena a mtima. Mu matenda a diabetes nephropathy, kutenga Diabefarm kumabweretsa kutsika kwa mapuloteni mumkodzo.

Zizindikiro zogwiritsidwa ntchito

Diabefarm imangoperekedwa kwa okhawo omwe adasunga kaphatikizidwe ka insulin, koma sikokwanira kwa shuga wabwinobwino wamagazi. Anthu odwala matenda ashuga a Mtundu 2 amakwaniritsa zofunika izi pakadutsa zaka 5 matenda atayamba. Tsimikizani kuchepa kwa timadzi timene timayesa magazi a C-peptide kapena insulin.

Pakumwa mankhwala, mankhwalawa amaletsa: gome la 9 kapena kuposa apo okhazikika wama carb. Maswiti sayenera kuphatikizidwa komanso chakudya chamagulu kuchokera ku zakudya zina: chimanga, masamba ndi zipatso zina. Komanso, odwala amawonetsedwa machitidwe olimbitsa thupi. Ngati zakudya, masewera olimbitsa thupi, metformin ndi Diabefarm pamlingo wokwanira musachepetse shuga, odwala matenda ashuga amafunika insulin.

Kutulutsa mawonekedwe ndi mlingo

Mu mayina a mankhwala, mankhwalawa amalembedwa m'mitundu iwiri: Diabefarm ndi Diabefarm MV.

Kusiyana kwamapiritsi	Diabefarm	Diabefarm MV
Zakudya zamafuta zomwe zimagwira m'magazi	Atangoyamwa.	Pang'onopang'ono, m'magawo ang'onoang'ono pomwe piritsi imatulutsidwa.
Kuopsa kwa hypoglycemia	Kukwera m'maola atangomwa mapiritsi.	Kuchepetsa chifukwa chosapezeka pachimake ndende ya gliclazide m'magazi.
Mlingo wopereka wofanana ndi kuchepetsa shuga	80 mg	30 mg
Pafupipafupi kavomerezedwa	Mlingo pamwamba 80 mg ayenera kugawidwa 2 Mlingo.	Mlingo uliwonse umatengedwa kamodzi patsiku.
Malamulo Ovomerezeka	Palibe zofunika pakukhulupirika piritsi pamalangizo ogwiritsira ntchito.	Kusunga katundu wowonjezereka, piritsi liyenera kukhala losasunthika, silingathe kutafunidwa kapena kulipiririka.
Mulingo woyenera	320 mg (mapiritsi 4)	120 mg (mapiritsi 4)
Mtengo, pakani.	109-129	140-156
Tsiku lotha ntchito, zaka	2	3

Fomu yokhazikika (kumasulidwa posachedwa) ndi mtundu wachikale wamasulidwa, ndizovuta kuti mupeze m'masitolo ogulitsa mankhwala. Ndiosavuta kusiyanitsa mankhwalawa mlingo wa 80 mg.

Diabefarm MV ili ndi mlingo wa 30 mg yekha. Awa ndi mankhwala osinthika kapena otulutsidwa. Fomuyi imakupatsani mwayi wochepetsera kayendetsedwe ka kayendetsedwe ka mankhwala ndi mlingo, muchepetse kukhumudwitsa komwe kumagwira ntchito pamimba yodyetsera, kuchepetsa chiopsezo cha mavuto. Malinga ndi malangizo, kuchuluka kwa gliclazide kumakhala pafupifupi tsiku lonse mutatha Diabefarma MV. Malinga ndi anthu odwala matenda ashuga, mankhwalawa amapezeka kuti sangayambitse matenda a hypoglycemia kuposa omwe adalipo kale. Madokotala amavomerezana ndi odwala, maphunziro adatsimikizira mwayi wowonjezera wa gliclazide pazowonjezera.

Malangizo ogwiritsira ntchito

Amamwa Diabefarm MV 30 nthawi yomweyo ngati kadzutsa. Ndi chiyambi chogwiritsa ntchito mankhwalawa, muyenera kukonza zakudya zanu malinga ndi zomwe dokotala akukulangizani: idyani pafupipafupi, osadumphira chakudya, kugawa chakudya chamagulu tsiku lonse.

Momwe mungayambire chithandizo:

1. Mosasamala kanthu za kuchuluka kwa hyperglycemia, Diabefarm imayamba ndi piritsi limodzi la 30 mg. Kwa milungu iwiri yotsatira, kuonjezera mlingo kumaletsedwa. Nthawi iyi ndiyofunikira kuti zochita za Glyclazide zitheke bwino, ndipo thupi limakhala ndi nthawi yoti lizolowere mankhwalawa.
2. Ngati shuga sanabwerere mwakale, mlingo umakulitsidwa 60 mg. Malinga ndi ndemanga, Mlingo uwu ndiwokwanira kwa odwala matenda ashuga ambiri.
3. Ngati ndi kotheka, imatha kuwonjezeka pang'onopang'ono mpaka 120 mg (mapiritsi 4), koma osatinso.

Mwa okalamba, odwala omwe ali ndi vuto lochepa kwambiri laimpso, Diabefarm amalipiritsa shuga mellitus moyenera, motero safunikira kusintha kwa mlingo. Kuchulukitsa mlingo wa Diabefarm kapena othandizira ena a hypoglycemic omwe atengedwa nawo ayenera kuphatikizidwa ndikuwunika pafupipafupi magazi a glucose, chifukwa nthawi imeneyi chiwopsezo cha hypoglycemia chimakhala chambiri. Malangizo ogwiritsira ntchito amalola kuikidwa kwa mankhwalawo pamodzi ndi metformin, acarbose ndi insulin.

Zotsatira zoyipa za mankhwalawo

Choopsa chachikulu chotenga Diabefarma ndi hypoglycemia. Nthawi zambiri, imayendera limodzi ndi zovuta zomwe zimadziwika kwa aliyense wodwala matenda a shuga: kunjenjemera, kusowa kwa mutu, kupweteka mutu, kutopa, kusamva bwino kapena kuyamwa, chizungulire.

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

Choyambitsa hypoglycemia chitha kukhala:

1. Mankhwala osokoneza bongo kapena olumikizana nawo limodzi ndi mankhwala omwewa: sulfonylurea, DPP-4 inhibitors, ndi analogues a GLP-1.
2. Zolakwika mu zakudya: kulumpha zakudya kapena kuchepa kwambiri kwa chakudya popanda nthawi yomweyo kuchepetsa kuchuluka kwa Diabefarm.
3. Kulandila ndi mankhwala ena omwe amathandizira zotsatira za gliclazide: antihypertensive, antifungal, anti-tuberculosis, mahomoni, anti-kutupa.

Monga mankhwala ena aliwonse, Diabefarm imatha kuyambitsa zovuta zam'mimba. Khansa ya m'mimba, kutsekula m'mimba, kumverera kolemetsa m'mimba kumatha kupewedwa ngati mumwa mankhwalawa ndi chakudya, monga malangizo amalangizira. Palinso chiopsezo chochepa cha chifuwa, nthawi zambiri chotupa komanso kuyabwa. Ngati ziwopsezo zimapezeka ku Diabefarm, mwayi womwe umakhala nawo pamankhwala onse omwe ali mgululi ndiwokwera.

Pogwiritsa ntchito zakumwa zoledzeretsa, machitidwe osagwirizana ndi omwe angathe. Uku ndiko kudzikundikira m'thupi la zinthu zowola za ethanol, zomwe zimadziwonetsera mu kusanza, mavuto a kupuma, kuchuluka kwa mtima, komanso kutsika kwa kupanikizika. Mowa wambiri womwe umaletsedwa, ndizomwe zimayambitsa matendawa. Izi zimachitika nthawi iliyonse. Ngati kuphatikiza mowa ndi Diabefarm sikunadzetse vuto, sizitanthauza kuti nthawi yotsatira sipadzakhalanso mavuto.

Kwa omwe Diabefarm adatsutsana

• Hypersensitivity kuti gliclazide kapena gulu analogues,
• aimpso kapena chiwindi ntchito,
• kuperewera kwamatumbo,
• nthawi yamankhwala othandizira odwala matenda ashuga, kuvulala kwambiri, kuwotcha ndi zina zomwe zingawopseze moyo,
• leukopenia
• mimba, chiwindi B,
• odwala osakwana zaka 18.

Momwe mungasinthire

Diabefarm ndi amodzi mwa akatswiri ambiri a Diabeteson.Zoyambirira zimapangidwa ku France, mtengo wake umakhala wokwera katatu kuposa uwo wamakonzedwe apabanja omwe ali ndi mawonekedwe omwewo. Komanso, zida zomwe Diabeteson ndi fanizo za Diabefarm ndi:

• Glyclazide MV, MV Pharmstandard, SZ, Canon, Akos,
• Golda MV,
• Gliklada
• Diabetesalong
• Glidiab MV,
• Diabinax
• Zolemba.

Malinga ndi ndemanga, otchuka kwambiri pamndandandawu ndi a Diabeteson woyambirira, komanso Russian Gliklazid ndi Glidiab.

Analogs a mankhwala Diabefarm MV

Analogue ndiyotsika mtengo kuchokera ku ruble 2.

Gliclazide MV ndi piritsi lokonzekera mankhwalawa mtundu wa matenda a shuga 2 chifukwa cha zomwe zimagwiritsidwa ntchito mu 30 mg. Amawerengedwa kuti asadye bwino komanso azichita masewera olimbitsa thupi. Gliclazide MV imapikisidwa kwa odwala omwe ali ndi matenda a shuga 1 (omwe amadalira insulin).

Analogue ndiyotsika mtengo kuchokera ku ma ruble 10.

Glidiab ndi amodzi mwamalo opindulitsa kwambiri a gliclazide. Imapezekanso m'mapiritsi, koma mulingo wa DV ndiwambiri apa, womwe uyenera kukumbukiridwa musanayambe chithandizo. Amawonetsera matenda a shuga a 2 omwe samatha kudya komanso kuchita masewera olimbitsa thupi.

Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble 158.

Kukonzekera piritsi ku Russia kuchiza matenda a shuga. The yogwira pophika gliclazide mu 60 mg piritsi. Amawonetsedwa pochiza matenda amishuga amtundu wa 2 komanso chifukwa cha prophylactic.

Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble 62.

Wopanga: Dzuwa (Russia)
Kutulutsa Mafomu:

• Tab. 2 mg, ma 30 ma PC., Mtengo kuchokera ku ma ruble 191
• Tab. 3 mg, ma PC 30., Mtengo kuchokera 272 ma ruble

Mitengo ya Glimepiride muma pharmacistine apulaneti
Malangizo ogwiritsira ntchito

Glimepiride ndi mankhwala apakhomo pochizira matenda amishuga a 2. Amapezeka mu mawonekedwe a mapiritsi okhala ndi zinthu zomwezi mu gawo la 2 mpaka 4 mg pa piritsi.

Analogue ndiyotsika mtengo kuchokera 1 rub.

Wopanga: Ikufotokozedwa
Kutulutsa Mafomu:

• Tab. ndi MV 30 mg, ma PC 30., Mtengo kuchokera ku ma ruble a 128
• Tab. 3 mg, ma PC 30., Mtengo kuchokera 272 ma ruble

Mitengo ya diabetesalong m'mafakitale opezeka pa intaneti
Malangizo ogwiritsira ntchito

Diabetesalong ndi piritsi yothandiza mankhwalawa mtundu wa matenda a shuga 2 ochokera ku gliclazide wokwanira 30 mg. Mankhwala ndi mankhwala osakwanira olimbitsa thupi ndi kudya. Pali contraindication ndi mavuto.

Analogue ndiotsika mtengo kuchokera ku ma ruble 83.

Wopanga: Valenta (Russia)
Kutulutsa Mafomu:

• Mapiritsi a 5 mg, 50 ma PC., Mtengo kuchokera ku ma ruble 46
• Tab. 3 mg, ma PC 30., Mtengo kuchokera 272 ma ruble

Mitengo ya Glibenclamide muma pharmacistine apakompyuta
Malangizo ogwiritsira ntchito

Glibenclamide ndi mankhwala otsika mtengo a ku Russia ochizira matenda ashuga omwe ali ndi zomwe zimapangidwa pakapangidwe. Mlingo umatengera zaka za wodwala komanso kuopsa kwa chithandizo cha matenda ashuga.

Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble a 180.

Wopanga: Sanofi-Aventis S.p.A. (Italy)
Kutulutsa Mafomu:

• Tab. 1 mg, ma PC 30., Mtengo kuchokera ku 309 rubles
• Tab. 2 mg, ma PC 30., Mtengo kuchokera ku ma ruble 539

Mitengo ya Amaryl muma pharmacistine opezeka pa intaneti
Malangizo ogwiritsira ntchito

Amaryl ndimankhwala amtundu wa shuga wachiwiri mwanjira ya mapiritsi ofunikira kugwiritsidwa ntchito kwamkati. Monga yogwira mankhwala, glimepiride imagwiritsidwa ntchito pa 1 mpaka 4 mg. Pali contraindication ndi mavuto.

Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble 10.

Wopanga: Berlin-Chemie / Menarini Pharma (Germany)
Kutulutsa Mafomu:

• Mapiritsi a 5 mg, ma PC 58., Mtengo kuchokera ku ma ruble 139
• Tab. 2 mg, ma PC 30., Mtengo kuchokera ku ma ruble 539

Mitengo ya Maninil 5 muma pharmacin opezeka pa intaneti
Malangizo ogwiritsira ntchito

Piritsi yothandizira mankhwalawa matenda a shuga yochokera ku glibenclamide (mu mawonekedwe a micron) mu muyeso wa 1.75 mg. Amawonetsedwa kuti agwiritse ntchito mtundu wa 2 matenda a shuga (ndi kusagwira ntchito mosamalitsa m'thupi).

Analogue ndiokwera mtengo kwambiri kuchokera ma ruble 57.

Wopanga: Canonpharma (Russia)
Kutulutsa Mafomu:

• Tab. 2 mg, 30 ma PC., Mtengo kuchokera ku 186 rubles
• Tab. 4 mg, ma 30 ma PC., Mtengo kuchokera ku ma ruble 252

Mitengo ya Canon glimepiride muma pharmacistine apulaneti
Malangizo ogwiritsira ntchito

Glimepiride Canon ndi imodzi mwamankhwala opindulitsa kwambiri pochiza matenda a shuga 2 omwe amachokera ku glimepiride chimodzimodzi. Amawonetsera kusagwira bwino kwa zakudya komanso zolimbitsa thupi.

Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble 81.

Wopanga: Akrikhin (Russia)
Kutulutsa Mafomu:

• Tab. 1 mg, ma PC 30., Mtengo kuchokera ku ma ruble 210
• Tab. 2 mg, ma PC 30., Mtengo kuchokera ku 319 rubles

Mitengo ya Diameride muma pharmacistine apulogalamu
Malangizo ogwiritsira ntchito

Canonpharma (Russia) Glimepiride Canon ndi imodzi mwamankhwala opindulitsa kwambiri pochizira matenda amishuga a 2 omwe amachokera pa glimepiride chimodzimodzi. Amawonetsera kusagwira bwino kwa zakudya komanso zolimbitsa thupi.

Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble 173.

Wopanga: Krka (Slovenia)
Kutulutsa Mafomu:

• Mapiritsi 60 mg, 30 ma PC., Mtengo kuchokera 302 rubles
• Tab. 2 mg, ma PC 30., Mtengo kuchokera ku 319 rubles

Mitengo ya Gliclada pamafakitale apakompyuta
Malangizo ogwiritsira ntchito

Kukonzekera kwa piritsi la ku Slovenia zochizira matenda amitundu iwiri. Monga yogwira mankhwala, gliclazide imagwiritsidwa ntchito mu 30 kapena 60 mg piritsi limodzi. Pali contraindication ndi zotheka zoyipa.

Zotsatira za pharmacological

Ndi yotengedwa m'badwo wachiwiri sulfonylurea. Izi zikutanthauza kuti kuwonjezera pakuchepetsa shuga, komwe kumatheka ndikuwonjezera katulutsidwe ka insulin ndi maselo a beta mu kapamba, zimathandizira kukulitsa chidwi cha minofu kuti ipangire insulin. Kukondoweza kwa ma enzymes ena okhudzana nako kumachitikanso. Nthawi kuyambira nthawi yomwe amadya mpaka kuyamba kupanga insulin yachepetsedwa. Mankhwalawa amathandizira kubwezeretsa koyambirira pachimake cha kutulutsidwa kwa mahomoni ndikuwongolera zomwe zimachitika mutatha kudya. Imathandizanso kusintha kwamitsempha yamagazi, ndikuwonjezera kupezeka kwawo.

Pharmacokinetics

Mafuta amapangidwa kuchokera m'mimba. Kuzindikira kwakukulu kumatha pambuyo pa maola 4. Kupanga metabolism kumachitika m'chiwindi, ma metabolites asanu ndi atatu amapangidwa. Kuchotsa theka-moyo ndi pafupifupi maola 12. Imafufutidwa ndi impso mu mawonekedwe a metabolites ndi mawonekedwe osasinthika.

Mtundu wa shuga wachiwiri mwa akulu.

Amagwiritsidwanso ntchito kupewa misempha.

Contraindication

• Mtundu woyamba wa shuga
• Hypoglycemia,
• Matenda a shuga ketoacidosis
• Lactose tsankho,
• Hypersensitivity pamagawo ake,
• Hepatic ndi aimpso kulephera ndi zina zovuta ntchito yawo,
• Mbiri yakale yokoma
• Kumwa mankhwala enaake.

Bongo

Hypoglycemia imayamba. Zizindikiro zake: kufooka, khungu, khungu, kumva kusanza, kusanza, kusokonezeka kwa chikumbumtima, mpaka kugona. Fomu yakuwala imachotsedwa pakudya chakudya chokoma. Zapakati komanso zowopsa - jakisoni wa shuga kapena dextrose solution. Munthu akazindikira, amayenera kudyetsedwa chakudya chamafuta ambiri. M'tsogolomu, onetsetsani kuti mwakumana ndi dokotala kuti musinthe mankhwalawa.

Kuyanjana kwa mankhwala osokoneza bongo

Mphamvu ya mankhwalawa imatheka:

• pyrazolone zotumphukira,
• antibacterial sulfonamide mankhwala,
• salicylates,
• mankhwala antifungal
• coumarin anticoagulants,
• beta blockers,
• khofi
• cyclophosphamide,
• phenylbutazone
• chloramphenicol,
• fluoxetine
• H2 histamine receptor blockers,
• mafupa
• anti-TB mankhwala
• theofylline
• Mao ndi ACE zoletsa,
• mankhwala ena a hypoglycemic.

Mphamvu ya mankhwalawa itha kufooka:

• GKS,
• estrogens ndi progestin,
• amphanomachul
• mitundu yosiyanasiyana ya okodzetsa
• blockers a "pang'onopang'ono" calcium njira,
• chlortalidone
• baclofen
• mangochinos
• danazol
• kopambana
• diazoxide
• katsitsumzukwa
• glucagon,
• mahomoni a chithokomiro,
• diphenin
• isoniazid
• morphine
• rifampicin
• mchere wa lithiamu
• barbiturates
• kuphatikiza mankhwala a estrogen-progestogen,
• rifampicin.

Ndiosafunika kugwiritsa ntchito limodzi ndi beta-adrenergic blockers othandizira, gliclazide, acarbose, cimetidine - hypoglycemia ndi zotsatira zina zovuta.

Malangizo apadera

Munthawi yonse ya chithandizo, ndikofunikira kumayesedwa nthawi zonse ndikuwunika momwe impso, chiwindi ndi thupi lonse limayendera. Ngati zimachitika kwambiri, funsani katswiri. Wodwala ayenera kudziwa zizindikiro za hypoglycemia komanso athe kupereka thandizo.

Zotsatirazi zimayambitsa hypoglycemia:

• kusala
• kupsinjika
• Kusintha kwa malo,
• kulimbitsa thupi kwambiri,
• matenda ena
• kudya kwa ethanol, etc.

Mapiritsi amatha kugwiritsidwa ntchito molumikizana ndi chakudya chamafuta ochepa.

Ndi chithandizo cha opaleshoni, matenda ena osachiritsika komanso opatsirana, kutenga pakati, ndikofunikira kusamutsa wodwala kupita ku insulin.

Sichiyenera kugwiritsidwa ntchito ndi Cimetidine. Ndi Verapamil ndi Acarbose, kuwunika mosamala mkhalidwe kumafunikira.

Imatulutsidwa kokha pamankhwala!

Gwiritsani ntchito muubwana ndi ukalamba

Ndiosafunika kugwiritsa ntchito pofuna kuchiza odwala osaposa zaka 18 chifukwa sadziwa zambiri zokhudza momwe thupi limachitikira ndi sulfonylurea.

Palibe zomwe zikuwonetsa kuletsedwa kwa okalamba. Komabe, amayenera kuyesedwa pafupipafupi ndikuwonetsetsa mayendedwe a shuga ndi magazi awo. Ngati munthu ali ndi vuto lothandizira impso ndi chiwindi, ndiye kuti Diabefarm sichosankhidwa.

Fananizani ndi fanizo

Diabefarm imakhala ndi mitundu yambiri ya kapangidwe kake kapangidwe kake komanso katundu. Kukhala kofunikira kuziganizira poyerekeza.

"Diabeteson MV". Mankhwala okhala ndi glyclazide. Kampani yopanga - "Mtumiki", France. Mtengo wake ndi pafupifupi ma ruble 300 phukusi lililonse. Ma contraindication odziwika komanso mndandanda wazotsatira zoyipa. Simalimbikitsidwa kwa anthu okalamba.

Diabetesalong. Mtengo wake ndi ma ruble 120. Olimba - Synthesis Acomp, Russia. Komanso ndi sulfonylurea yochokera. Gawo lalikulu ndi gliclazide. Ili ndi mphamvu yayitali.

Glidiab. Zomwe zimagwiranso ntchito. Imayambitsa kampani yaku Russia "Akrikhin." Mtengo - kuchokera ku ma ruble 140 (mapiritsi 60). Mankhwala amapezeka pamtengo. Ndizoletsedwa kwa ana, ndi chisamaliro - kwa okalamba.

Gliclazide. Mapiritsi a glyclazide. Makampani awiri ku Russia amatulutsa Ozone ndi Pharmstandard. Mtengo - pafupifupi ma ruble 130 (zidutswa 30). Zomwe zimagwira bwino ntchito, zomwezi zimagwirizana ndi nthawi yayitali komanso makina. Zimachitika ngati zochita pafupipafupi, komanso nthawi yayitali (kamodzi patsiku). Sizingatheke kwa ana ndi amayi apakati, okalamba - mosamala.

Maninil. Mankhwala okhala ndi glibenclamide. Amapanga "Berlin Chemie", Germany. Mtengo wake ndi ma ruble 120 pa paketi iliyonse ya mapiritsi 120. Analogue wotsika mtengo kwambiri. Komabe, si odwala onse omwe ali oyenera. Mndandanda wanthawi yoletsa kulowa: Amayi oyembekezera komanso oyamwitsa, ana.

Glyurenorm. Mtengo - kuchokera ku ma ruble 450. Amapanga kampani yachi Greek Beringer Ingelheim Ellas. Chofunikira ndi glycidone, zotumphukira za sulfonylurea. Mapiritsi amakhala ndi kanthawi kochepa. Pali zotsutsana zambiri.

Kusinthira ku mankhwala ena kumachitika kokha ndi katswiri. Kudzipatsa nokha koletsedwa!

Mwambiri, zomwe anthu odwala matenda ashuga akudziwa pa mankhwalawa ndi zabwino. Mphamvu yokhazikika, kuyambira mwachangu kumadziwika. Zambiri zazomwe zimayambitsa mavuto. Nthawi zambiri amagwiritsidwa ntchito kuphatikiza ndi metformin. Mankhwalawa sioyenera anthu ena.

Oleg: “Poyamba ndimagula Diabeteson. Kenako zidatha ku pharmacy, ndipo ndidalangizidwa kuti ndiyese Diabefarm. Dotolo adatsimikiza kuti amafanananso muzinthu. Zinapezeka kuti mankhwalawo ndi othandiza kwambiri! Shuga akhazikika mofulumira, ndimamva bwino, palibe chomwe chimavutitsa. Ndikupangira. "

Eugene: “Tsopano ndathandizidwa ndi Dabefarm kwa miyezi ingapo. Poyamba panali zovuta zina, makamaka zam'mimba. Anawongolera muyezo komanso zakudya, ndipo thanzi lawo linasintha nthawi yomweyo. Ndi katundu, ndi chida chothandiza kwambiri. Ndikufuna kuti ikuyamba kugwira ntchito mwachangu. ”

Irina: “Ndinkakhala pa metformin, koma kenako mavuto ena obwera. Dotolo adayambitsa Diabefarm. Poyamba, zidandiwopsa kuti ndi mankhwala aku Russia - sindidazolowera kudalira wopanga nyumba. Koma adapeza mwayi. Ndinkadandaula pachabe, momwe mapiritsiwo muliri oyipa kuposa omwe amakhala akunja. Chifukwa chake tsopano ndikugwiridwa nawo. Zomwe zili zosavuta - ngati mawonekedwe awa atha mu pharmacy, ndiye kuti mutha kutenga "Diabeteson" yemweyo kapena generic wina. Ndiwofanana ndendende. ”

Valery: “Anandisankha kuti ndikhale Diabefarm. Poyamba ankalandira chithandizo, zonse zinali bwino. Apanso adayamba kupereka magazi - hemoglobin idagwa. Dokotala nthawi yomweyo adasamukira ku mankhwala ena. Zina zili ndi zotere. Zimandivuta kukhala ndi matenda ashuga. ”

Denis: “Ndinasiya kugwiritsa ntchito mankhwala okwera mtengo kwambiri kupita nawo kwa mnzake waku Russia wokhala ndi gliclazide. Kodi ndinganene chiyani: chida chothandiza, chotsika mtengo, chotsika mtengo. Sindinadziwepo zoyipa zilizonse. M'malo mwake, adayamba kugwira ntchito. Ndiwosavuta kugwiritsa ntchito pamodzi ndi ma hypoglycemics ena. "

Kutulutsa mawonekedwe ndi kapangidwe kake

Mlingo wa Diabefarma MV:

• mapiritsi otulutsidwa: miyala yosalala, yoyera yokhala ndi imaso yachikasu, yokhala ndi chiwopsezo champhamvu komanso yoloweka (pamakatoni 1 mthumba la mapiritsi 60 kapena 3 kapena 6 matuza a mapiritsi 10),
• mapiritsi otulutsidwa: mapiritsi okhala ndi biconvex, pafupifupi oyera kapena oyera ndi otuwa pachikasu, kumbali zonse ziwiri zowopsa (m'matumba: phukusi la makatoni 5 mapaketi a 6., kapena 3, 6, 9 mapaketi a 10. ma PC, kapena 5, 10 mapaketi a ma PC 12, kapena 2, 4, 6, 8 mapaketi a ma PC 15.).

Paketi iliyonse ilinso ndi malangizo ogwiritsira ntchito Diabefarma MV.

Piritsi limodzi:

• yogwira mankhwala: gliclazide - 30 kapena 60 mg,
• othandizira zigawo: magnesium stearate, hypromellose, colloidal silicon dioxide, cellcrystalline cellulose.

Mankhwala

Glyclazide - chinthu chomwe chimagwiritsidwa ntchito ndi Diabefarma MV, ndi amodzi mwa mankhwala a hypoglycemic omwe amachokera ku sulfonylureas a m'badwo wachiwiri.

Zotsatira zazikulu za gliclazide:

• kukondoweza kwa insulin katemera kudzera pancreatic β-cell,
• kuchuluka kwazinsinsi za insulin,
• kuchuluka kwa zotumphukira zimakhala kwa insulin,
• kukondoweza kwa ntchito ya michere yama intracellular - minofu ya glycogen synthetase,
• Kuchepetsa nthawi kuchokera pakudya mpaka kuyamba kwa insulin,
• kubwezeretsa koyamba kwa insulin secretion (uwu ndi kusiyana pakati pa gliclazide ndi zina zotumphukira za sulfonylurea, zomwe zimakhudza gawo lachiwonetsero chachiwiri),
• kutsika kwa kuchuluka kwa gluprose.

Kuphatikiza pa kukhudza kagayidwe kazakudya, gliclazide imathandizanso kukoka kwa michere: imachepetsa kuphatikizika kwa maselo ambiri komanso zomatira, imalepheretsa kuwoneka kwa atherosclerosis ndi micothrombosis, imapangitsa kukula kwa mitsempha, ndikubwezeretsanso thupi parietal fibrinolysis.

Komanso, mphamvu ya chinthucho imapangidwa kuti muchepetse chidwi cha mtima wam'mimba kulandira adrenaline ndikuchepetsa kuyambika kwa matenda ashuga retinopathy panthawi yomwe sikukula.

Poyerekeza ndi kugwiritsa ntchito kwa Diabefarma MV kwa nthawi yayitali odwala matenda ashuga, pali kuchepa kwakukulu kwa proteinuria. Imakhudza makamaka pachimake choyambirira cha insulin secretion, chifukwa chake sizomwe zimayambitsa kuwonjezeka kwa thupi ndipo sizimayambitsa hyperinsulinemia, ndikutsatira zakudya zoyenera kwa odwala omwe ali ndi kunenepa kwambiri kumapangitsa kuti thupi lizichepa.

Diabefarm MV, malangizo ogwiritsira ntchito: njira ndi mlingo

Diabefarm MV imatengedwa pakamwa, m'mawa nthawi yam'mawa, nthawi 1 patsiku. Ndikulimbikitsidwa kumeza piritsi kapena theka la piritsi (ngati kuli kotheka, kugawa piritsi limodzi ndi mulingo wa 60 mg) yonse, osafinya kapena kutafuna.

Mlingo umasankhidwa payekha, zimatengera chiwonetsero cha matenda, komanso kusala glucose komanso maola awiri mutatha kudya.

Mlingo woyambira womwe watsimikiziridwa tsiku lililonse (kuphatikiza odwala okalamba) ndi 30 mg, ngati pangafunike, mtsogolo, mankhwalawa atha kuwonjezeredwa ndikupumula kwa masiku osachepera 14. Mlingo waukulu kwambiri ndi 120 mg patsiku.

Odwala omwe akutenga Diabefarm amatha kusinthana ndi Diabefarm MV.

Mankhwalawa amatha kugwiritsidwa ntchito limodzi ndi othandizira ena a hypoglycemic: insulin, biguanides kapena α-glucosidase inhibitors.

Zotsatira zoyipa

Kugwiritsa ntchito Diabefarma CF kumbuyo kwa chakudya chosakwanira kapena kuphwanya mlingo wa mankhwala kungayambitse kukula kwa hypoglycemia. Matendawa akuwoneka ndi mutu, kumva kutopa, kukwiya, kufooka kwambiri, njala, thukuta, nkhawa, kusazindikira, kuyamwa, kulephera kukhazikika, kusachedwa poyankha, kukhumudwa, kusawona bwino, kuphwanya, kunjenjemera, kumverera kosowa thandizo, kusokonezeka kwa malingaliro, kulephera kudziletsa, chizungulire. , delirium, hypersomnia, kupsinjika, kusazindikira, bradycardia, kupuma kosakhazikika.

Zochitika zina zotheka:

• ziwalo zam'mimba: dyspepsia (yowonetsedwa ngati mseru, kutsegula m'mimba, kumva kupsinjika kwa epigastrium), anorexia (kukula kwa vutoli kumachepa ndimankhwala ndikudya), chiwopsezo cha hepatic ntchito (kuchuluka kwa hepatic transaminases, cholestatic jaundice),
• hematopoiesis: thrombocytopenia, kuchepa magazi, leukopenia,
• thupi lawo siligwirizana: zotupa za maculopapular, urticaria, pruritus.