Kutalika kwa Combogliz
Tsambali limapereka mndandanda wazofanizira zonse za Combogliz Prolong malinga ndi kapangidwe kake ndi zisonyezo zogwiritsira ntchito. Mndandanda wama analogi otsika mtengo, mutha kuyerekezeranso mitengo muma pharmacies.
- Analogue yotsika mtengo kwambiri ya Combogliz Kutalika:Janumet
- Analogue yotchuka kwambiri ya Combogliz Prolong:Vipdomet
- Gulu la ATX: Metformin limodzi ndi saxagliptin
- Zosakaniza / yogwira: metformin, saxagliptin
| # | Mutu | Mtengo ku Russia | Mtengo ku Ukraine |
|---|---|---|---|
| 1 | Janumet metformin, sitagliptin Mndandanda wazowonetsera ndi njira yogwiritsira ntchito | 9 rub | 1 UAH |
| 2 | Glucovans glibenclamide, metformin Mndandanda wazowonetsera ndi njira yogwiritsira ntchito | 34 rub | 8 UAH |
| 3 | Gluconorm Analogue pakuwonetsa ndi njira yogwiritsira ntchito | 45 rub | -- |
| 4 | Vipdomet metformin, alogliptin Mndandanda wazowonetsera ndi njira yogwiritsira ntchito | 55 rub | 1750 UAH |
| 5 | Sinjardi empagliflozin, metformin hydrochloride Mndandanda wazowonetsera ndi njira yogwiritsira ntchito | 240 rub | -- |
Mukamawerengera mtengo wake zotchipa Combogliz Kutalika mtengo wocheperako womwe umapezeka mumndandanda wamapulogalamu omwe amaperekedwa ndi ma pharmacies adaganiziridwa
| # | Mutu | Mtengo ku Russia | Mtengo ku Ukraine |
|---|---|---|---|
| 1 | Vipdomet metformin, alogliptin Mndandanda wazowonetsera ndi njira yogwiritsira ntchito | 55 rub | 1750 UAH |
| 2 | Gentadueto linagliptin, metformin Mndandanda wazowonetsera ndi njira yogwiritsira ntchito | -- | -- |
| 3 | Janumet metformin, sitagliptin Mndandanda wazowonetsera ndi njira yogwiritsira ntchito | 9 rub | 1 UAH |
| 4 | Glibomet glibenclamide, metformin Mndandanda wazowonetsera ndi njira yogwiritsira ntchito | 257 rub | 101 UAH |
| 5 | Avandamet Analogue pakuwonetsa ndi njira yogwiritsira ntchito | -- | -- |
Popeza mndandanda wamankhwala osokoneza bongo kutengera manambala a mankhwala omwe apemphedwa kwambiri
Analogs popanga ndi chisonyezo chogwiritsidwa ntchito
| Mutu | Mtengo ku Russia | Mtengo ku Ukraine |
|---|---|---|
| Tripride glimepiride, metformin, pioglitazone | -- | 83 UAH |
| Comboglize XR metformin, saxagliptin | -- | 424 UAH |
Mndandanda womwe uli pamwambapa wa analogies ya mankhwala, omwe akuwonetsa m'malo Combogliz Kutalika, ndizabwino kwambiri chifukwa zimakhala ndi zinthu zomwe zimagwirizana ndipo zimagwirana molingana ndi chisonyezo chogwiritsidwa ntchito
Analogs mwa chisonyezo ndi njira yogwiritsira ntchito
| Mutu | Mtengo ku Russia | Mtengo ku Ukraine |
|---|---|---|
| Amaryl M Limepiride Micronized, Metformin Hydrochloride | 856 rub | 40 UAH |
| Glibomet glibenclamide, metformin | 257 rub | 101 UAH |
| Glucovans glibenclamide, metformin | 34 rub | 8 UAH |
| Dianorm-m Glyclazide, Metformin | -- | 115 UAH |
| Dibizid-m glipizide, metformin | -- | 30 UAH |
| Douglimax glimepiride, metformin | -- | 44 UAH |
| Duotrol glibenclamide, metformin | -- | -- |
| Gluconorm | 45 rub | -- |
| Glibofor metformin hydrochloride, glibenclamide | -- | 16 UAH |
| Avandamet | -- | -- |
| Avandaglim | -- | -- |
| Janumet metformin, sitagliptin | 9 rub | 1 UAH |
| Velmetia metformin, sitagliptin | 6026 rub | -- |
| Galvus Met vildagliptin, metformin | 259 rub | 1195 UAH |
| Gentadueto linagliptin, metformin | -- | -- |
| Vipdomet metformin, alogliptin | 55 rub | 1750 UAH |
| Sinjardi empagliflozin, metformin hydrochloride | 240 rub | -- |
Kuphatikizika kosiyanasiyana, kungagwirizane mukuwonetsa ndikugwiritsa ntchito njira
| Mutu | Mtengo ku Russia | Mtengo ku Ukraine |
|---|---|---|
| Rosiglitazone wothandiza, metformin hydrochloride | -- | -- |
| Bagomet Metformin | -- | 30 UAH |
| Glucofage metformin | 12 rub | 15 UAH |
| Glucophage xr metformin | -- | 50 UAH |
| Reduxin Met Metformin, Sibutramine | 20 rub | -- |
| Dianormet | -- | 19 UAH |
| Diaformin metformin | -- | 5 UAH |
| Metformin metformin | 13 rub | 12 UAH |
| Metformin sandoz metformin | -- | 13 UAH |
| Siofor | 208 rub | 27 UAH |
| Fomu metformin hydrochloride | -- | -- |
| Emnorm EP Metformin | -- | -- |
| Megifort Metformin | -- | 15 UAH |
| Metamine Metformin | -- | 20 UAH |
| Metamine SR Metformin | -- | 20 UAH |
| Metfogamma metformin | 256 rub | 17 UAH |
| Tefor metformin | -- | -- |
| Glycometer | -- | -- |
| Glycomet SR | -- | -- |
| Forethine | 37 rub | -- |
| Metformin Canon metformin, ovidone K 90, wowuma chimanga, crospovidone, magnesium stearate, talc | 26 rub | -- |
| Insuffor metformin hydrochloride | -- | 25 UAH |
| Metformin-teva metformin | 43 rub | 22 UAH |
| Diaformin SR metformin | -- | 18 UAH |
| Mepharmil Metformin | -- | 13 UAH |
| Metformin Farmland Metformin | -- | -- |
| Glibenclamide Glibenclamide | 30 rub | 7 UAH |
| Maninyl Glibenclamide | 54 rub | 37 UAH |
| Glibenclamide-Health Glibenclamide | -- | 12 UAH |
| Glyurenorm glycidone | 94 rub | 43 UAH |
| Bisogamma Glyclazide | 91 rub | 182 UAH |
| Glidiab Glyclazide | 100 rub | 170 UAH |
| Diabeteson MR | -- | 92 UAH |
| Diagnizide mr Gliclazide | -- | 15 UAH |
| Glidia MV Gliclazide | -- | -- |
| Glykinorm Gliclazide | -- | -- |
| Gliclazide Gliclazide | 231 rub | 44 UAH |
| Glyclazide 30 MV-Indar Glyclazide | -- | -- |
| Glyclazide-Health Gliclazide | -- | 36 UAH |
| Glioral Glyclazide | -- | -- |
| Diagnizide Gliclazide | -- | 14 UAH |
| Diazide MV Gliclazide | -- | 46 UAH |
| Osliklid Gliclazide | -- | 68 UAH |
| Diadeon gliclazide | -- | -- |
| Glyclazide MV Gliclazide | 4 rub | -- |
| Amaril | 27 rub | 4 UAH |
| Glemaz glimepiride | -- | -- |
| Glian glimepiride | -- | 77 UAH |
| Glimepiride Glyride | -- | 149 UAH |
| Glimepiride diapiride | -- | 23 UAH |
| Guwa | -- | 12 UAH |
| Glimax glimepiride | -- | 35 UAH |
| Glimepiride-Lugal glimepiride | -- | 69 UAH |
| Clay glimepiride | -- | 66 UAH |
| Diabrex glimepiride | -- | 142 UAH |
| Meglimide glimepiride | -- | -- |
| Melpamide Glimepiride | -- | 84 UAH |
| Perinel glimepiride | -- | -- |
| Glempid | -- | -- |
| Wokongola | -- | -- |
| Glimepiride glimepiride | 27 rub | 42 UAH |
| Glimepiride-teva glimepiride | -- | 57 UAH |
| Glimepiride Canon glimepiride | 50 rub | -- |
| Glimepiride Pharmstandard glimepiride | -- | -- |
| Dimaril glimepiride | -- | 21 UAH |
| Glamepiride diamerid | 2 rub | -- |
| Voglibose Oxide | -- | 21 UAH |
| Glutazone pioglitazone | -- | 66 UAH |
| Dropia Sanovel pioglitazone | -- | -- |
| Januvia sitagliptin | 1369 rub | 277 UAH |
| Galvus vildagliptin | 245 rub | 895 UAH |
| Onglisa saxagliptin | 1472 rub | 48 UAH |
| Nesina alogliptin | -- | -- |
| Vipidia alogliptin | 350 rub | 1250 UAH |
| Trazhenta linagliptin | 89 rub | 1434 UAH |
| Lixumia lixisenatide | -- | 2498 UAH |
| Malo a Guarem Guar | 9950 rub | 24 UAH |
| Insvada repaglinide | -- | -- |
| Novonorm Repaglinide | 30 rub | 90 UAH |
| Repodiab Repaglinide | -- | -- |
| Baeta Exenatide | 150 rub | 4600 UAH |
| Baeta Long Exenatide | 10248 rub | -- |
| Viktoza liraglutide | 8823 rub | 2900 UAH |
| Saxenda liraglutide | 1374 rub | 13773 UAH |
| Forksiga Dapagliflozin | -- | 18 UAH |
| Forsiga Dapagliflozin | 12 rub | 3200 UAH |
| Invocana canagliflozin | 13 rub | 3200 UAH |
| Jardins Empagliflozin | 222 rub | 566 UAH |
| Trulicity Dulaglutide | 115 rub | -- |
Kodi mungapeze bwanji analogue yotsika mtengo ya mankhwala okwera mtengo?
Kuti mupeze analogue yotsika mtengo kwa mankhwala, a generic kapena ofanana, choyambirira timalimbikitsa kulabadira kapangidwe kake, zomwe ndi zinthu zomwezi zomwe zikugwiritsidwa ntchito ndikuwonetsa. Zomwe zimagwiritsidwanso mosiyanasiyana ndi mankhwalawa zimawonetsa kuti mankhwalawo ndi ofanana ndi mankhwalawo, monga mankhwala ena kapena mitundu ina. Komabe, musaiwale za zovuta zomwe zimagwiritsidwa ntchito ndi mankhwala ofanana, omwe angakhudze chitetezo ndi kugwiranso ntchito. Musaiwale za malangizo a madotolo, kudzipereka nokha kungawononge thanzi lanu, chifukwa chake onani dokotala wanu musanagwiritse ntchito mankhwala.
Combogliz Kupititsa patsogolo malangizo
MALANGIZO Code ya ATX: Zinthu zogwira ntchito Mlingo Kutulutsa mawonekedwe, kapangidwe kake ndi ma CD Combogliz Pronge ndi mankhwala a hypoglycemic. Amasankhidwa kuti akhale ndi matenda ashuga amtundu wachiwiri. Kuti mankhwala azachipatala abweretse zotsatira, chithandizo chamankhwala chikuyenera kuphatikizidwa ndi zakudya komanso masewera. Mankhwalawa ali ndi zinthu ziwiri zazikulu: metformin ndi saxagliptin. Kuphatikiza pa iwo, mapiritsi ali ndi zinthu monga magnesium stearate, sodium carmellose, hypromellose. Chifukwa cha metformin, kulolerana kwa glucose kumakulanso. Kuphatikiza apo, zimathandiza:
pa kugwiritsa ntchito mankhwalawa
Kutalika kwa Combogliz
A10BD10 (Metformin kuphatikiza ndi saxagliptin)
metformin (metformin) Rec.INN yolembedwa ndi WHO
saxagliptin (saxagliptin) Rec.INN lolembetsedwa ndi WHO
tabu. ndi kumasulidwa kosinthidwa. zokutira filimu, 500 mg + 5 mg: 28 kapena 56 ma PC.
Mapiritsi Otulutsidwa Omasulidwa, Filimu Yogwirizana 1 Tab.
metformin 500 mg
saxagliptin 5 mg
7 ma PC - matuza (4) - mapaketi a makatoni.Kugwiritsa
Gawo lachiwiri ndi saxagliptin. Imalimbikitsa kumasulidwa kwa mahomoni a incretin. Zotsirizazo ndizofunikira kuti zithandizire kupanga insulin. Mothandizidwa ndi saxagliptin pa thupi, kuchuluka kwa insulin m'magazi sikuchepetsa msanga.
Zolemba zogwiritsira ntchito
Kafukufuku wokhudza kugwiritsa ntchito ma hypoglycemic othandizira azimayi oyembekezera komanso oyamwitsa sanachitike. Kugwiritsa ntchito mankhwalawa sikuloledwa m'magulu awa. Mankhwalawa amaleredwa mwa ana osakwana zaka 18.
Kugwiritsa ntchito mankhwalawa ukalamba kumachitika chifukwa cha zina. Kuchepa kwa ntchito kwamikodzo mu nthawi imeneyi kumafunika kusamala pochiza. Izi ndichifukwa choti mbali yina ya mankhwala (saxagliptin ndi metformin) imachitika ndi impso.
Ndikulimbikitsidwa kutenga mosamala gawo la hypoglycemic kwa iwo omwe ali ndi pancreatitis. Izi ndichifukwa chakusowa kwazidziwitso zokhudzana ndi ubale pakati pa kugwiritsa ntchito mankhwalawa komanso mwayi wokhala ndi matendawa.
Kutulutsa Mafomu
Mankhwala amapezeka monga mapiritsi. Amawoneka ngati makapisozi powoneka ndipo amaphimbidwa ndi filimu yapadera pamwamba. Mtundu wake umatengera mlingo wa mankhwalawo. Mtundu wachikasu umawonetsa zomwe zili ndi 1000 mg ya metformin palimodzi ndi saxagliptin (kuchuluka kwa 2 mg mg). Mithunzi yapinki ya phale ikuwonetsa izi: 1000 mg ya metformin ndi 5 mg ya saxagliptin. Pamene kapisozi ndi khofi wowoneka bwino, mapiritsiwo amakhala ndi 500 mg ya metformin ndi 5 mg ya saxagliptin. Mu chodzaza matuza 7 mapiritsi. Katemera wa makatoni amakhala ndi matuza 4 kapena 8. Phukusi lililonse lili ndi malangizo ogwiritsa ntchito.
Malangizo ogwiritsira ntchito
Kutalika kwa Combogliz amatengedwa nthawi imodzi patsiku. Nthawi yokwanira ndi chakudya chomaliza. Mankhwalawa amayenera kuledzera kwathunthu, osagawana.
Chimodzi mwazinthu za mankhwalawa - metformin imachotsedwa makamaka ndi impso, motero kuyeserera koyenera ndikofunikira. Izi ndizofunikira kuti musatenge kupezeka kwa kulephera kwa impso kapena zina zomwe zimagwira ntchito kwa impso.
Pofuna kuchitidwa opaleshoni yomwe ikubwera, siyani kugwiritsa ntchito mankhwalawa. Chosiyana ndi kusintha kwazomwe sizigwirizana ndi kuchepa kwa chakudya komanso madzi akumwa. Pambuyo pa opaleshoni, kugwiritsa ntchito mankhwalawa kumayambiranso pamene ntchito yachilendo ya impso ibwezeretsedwa ndipo wodwalayo amatha kumwa mankhwalawo pakamwa.
Contraindication
Nthawi zina, kugwiritsa ntchito mankhwalawa Combogliz Prolong ndikoletsedwa. Izi ndi monga mfundo izi:
- kukhalapo kwa chidwi champhamvu cha munthu pazinthu zomwe zikubwera,
- chizindikiritso cha zochitika zapadera za DPP-4 zoletsa mwa mawonekedwe a anaphylactic mantha kapena angioedema,
- kukhalapo kwa matenda a shuga a mtundu woyamba, chifukwa palibe zidziwitso pakugwiritsa ntchito mankhwalawa matenda,
- ntchito ndi insulin,
- matenda obadwa nawo, mwachitsanzo, kulekerera kwa chinthu monga galactose,
- Mimba ndi kuyamwa
- zaka mpaka 18
- matenda a impso, momwe ma serum creatinine zizindikiro ndi ≥1.5 mg / dL (kwa amuna), ≥1.4 mg / dL (kwa akazi), kapena kuvomerezedwa kwa creatinine kumatsitsidwa,
- matenda a impso chifukwa cha pathologies a mtima kapena mtsempha wamagazi.
- matenda pachimake okhudzana ndi kuthekera kwa chitukuko cha matenda a impso: kuchepa kwamadzi chifukwa kusanza kapena chimbudzi, kutentha thupi, matenda oyambitsidwa ndi matenda, kuphwanya kagayidwe ka oxygen.
- kuphwanya acid-m'munsi mitundu yosiyanasiyana,
- kukhalapo kwa matenda owopsa chifukwa cha kuphwanya kwa kuperekera kwa oksijeni ku minofu (mwachitsanzo, ndi mitundu yosiyanasiyana ya kusakwanira, kuphwanya kwa myocardial infarction),
- opaleshoni kapena kuvulala komwe kumafunikira insulin,
- matenda a chiwindi
- kukhalapo kwa mbiri yakale yosamwa kwambiri kapena poyizoni wazakudya zopezeka ndi zakumwa zoledzeretsa,
- kupezeka kwa lactic acidosis,
- masiku awiri isanachitike komanso pambuyo pa phunziroli pogwiritsa ntchito ma radioisotopes kapena ma x-ray,
- Zakudya zochepa zama calorie (Mlingo
Kuchuluka kwa mankhwala omwe wodwala amayenera kumwa kumasankhidwa ndi adokotala atamaliza mayeso onse ofunikira. Ngati mankhwalawa amachitika ndi magawo awiri okonzekera omwe ali ndi zinthu monga saxagliptin ndi metformin, ndiye kuti gawo loyamba la iwo ndi 5 mg kamodzi patsiku.
Pankhaniyi, metformin iyenera kudya koyamba 500 mg kamodzi patsiku. Pang'onopang'ono wonjezerani chiwerengerocho kuti muchepetse chiopsezo cha zotsatira zoyipa zomwe zimakhudzana ndi m'mimba. Pazipita (patsiku) imatengedwa mulingo wotsatira: saxagliptin - 5 mg, wa metformin - 2000 mg.
Kugwiritsa ntchito nthawi yomweyo zamankhwala ochepetsa mphamvu a CYP3A4 / 5 isoenzymes (mwachitsanzo, ketoconazole) kumafuna kuchepetsedwa kwa muyezo wa saxagliptin mpaka 2,5 mg kamodzi patsiku.
Zotsatira zoyipa
Nthawi zina, ngati mankhwalawo amagwiritsidwa ntchito molakwika, wodwalayo amatha kusokonezedwa ndi zosankha zoyipa. Tebulo limawonetsa zovuta zomwe zimagwiritsidwa ntchito potsatira Combogliz Prolong.
Zotsatira zoyipa (chithandizo ndi imodzi mwanjira ndi chithandizo chowonjezera).
- mutu
- Matenda opatsirana pogonana,
- m'mimba kupweteka ndi kusanza,
- thrombocytopenia
- lymphocytopenia (wogwiritsa ntchito nthawi yayitali),
- kutsitsa kuchuluka kwa vitamini B12 m'thupi (ndikugwiritsa ntchito nthawi yayitali)
- zimbudzi zotayirira
- shuga wamagazi ochepa
- nasopharyngitis,
- zotupa pakhungu la mtundu wa urticaria,
- gastroenteritis
- kutupa kumaso,
- pachimake kapamba.
- kutsegula m'mimba
- kumva mseru
- kupanga gasi bwino,
- kusanza
- matenda a zomverera kukoma.
Mwa zina zofunika za mankhwala aliwonse, kuphatikiza Combogliz Prolong, musiyanitse magwiridwe antchito ndi mtengo wake. Yotsirizira imatsimikiziridwa ndi mawonekedwe a kumasulidwa. Mtengo wa mankhwalawa umasiyanasiyana malinga ndi malire:
- Mlingo wa 1000 mg ndi 5 mg (pamaso pa mapiritsi 28 pa paketi iliyonse): 2730 mpaka 3250 rubles,
- ndi mlingo wa 1000 mg ndi 2.5 mg (pamaso pa mapiritsi a 56 pa paketi iliyonse): kuyambira 2600 mpaka 3130 rubles.
Mtengo wokwera wa mankhwalawa ndi chifukwa chakuti imalowetsedwa. Dziko lopanga ndi Great Britain.
Nthawi zina, mothandizidwa ndi Combogliz Prolong, zimachitika mthupi zimachitika. Izi zitha kukhala chifukwa cha tsankho kwa magawo omwe amapezeka, kukhalapo kwa zotsutsana. Zikatero, kuwongolera njira zamankhwala ndikofunikira. Ndi dokotala yekhayo amene angasankhe mankhwala ena pamaziko a data yoyeserera ya odwala.
Mwa zoyerekeza za mankhwala Combogliz Prolong musankhe imodzi mwazomwe mukukonzekera. Gulu loyamba limayimiridwa ndi mankhwala otsatirawa:
- Janumet - mankhwala omwe ali ndi zigawo ziwiri zikuluzikulu: metfomin ndi saxagliptin. Mwa zabwino zake, chachikulu ndichakuti mungagwiritse ntchito mankhwalawa kuphatikiza ndi insulin mankhwala komanso ma gamon receptor agonists. Mtengo wa mankhwalawa umachokera ku ruble 3,000.
- Galvus Met zimaphatikizapo vildagliptin ndi metfomin. Ngakhale pali kusiyana pakapangidwe, mankhwalawa, monga Combogliz Prolong, ali ndi vuto la hypoglycemic. Nthawi yomweyo, mankhwala a insulin, mankhwala a sulfonylureas, metformin akhoza kuchitika. Pafupifupi, mtengo wa mapiritsi 30 ndi ruble wani miliyoni ndi theka.
- Comboglize Xr - mankhwala omwe ali ndi vuto la hypoglycemic. Izi ndichifukwa cha zomwe zili metformin ndi saxagliptin. Mlingo wa mankhwalawa umatsimikiziridwa ndi dokotala atasanthula wodwalayo. Mwa zina zomwe amatsutsana ndi mankhwalawa, nthawi yokhala ndi pakati, kuyamwa, kuchuluka kwa ana mpaka zaka 18 ndizosiyanitsidwa. Zotsatira zoyipa komanso zoyipa zomwe zimachitika chifukwa cha kutenga Comboglyz Xr ndizofanana ndi zomwe zimachitika mutagwiritsa ntchito Combogliz Prolong. Mtengo wapakati wa paketi yamankhwala (kuchokera pamapiritsi 28) ndi ma ruble 1,600.
- Glimecomb - mankhwala ophatikiza a hypoglycemic. Kuphatikizika kwa mankhwalawa kumaphatikizapo magawo awiri yogwira: metformin hydrochloride ndi gliclazide. Mlingo umatengera shuga wamagazi. Munthawi ya mankhwalawa, zakudya zofunikira ziyenera kuperekedwa. Zakudya ziyenera kuphatikiza chakudya chamagulu ochepa. Nthawi yomweyo, chakudya cham'mawa ndichotsatira cham'mawa. Mtengo wake umatengera mlingo komanso mankhwalawo. Pafupifupi, mtengo wake umachokera ku ma ruble 246. mpaka ma ruble 497.
- Avandamet - Uyu ndi wina wothandizira hypoglycemic. Kapangidwe ka mankhwalawa kumaphatikizapo zinthu monga rosiglitazone (mu mawonekedwe a menate) ndi metformin hydrochloride. Izi zimathandizira zochita za wina ndi mnzake, zimapereka kuchepa kwa shuga m'magazi. Kugwiritsa ntchito mankhwalawa sikudalira chakudya. Komabe, kugwiritsa ntchito mankhwalawa mukamadya kapena mukatha kudya kumachepetsa chiopsezo chosinthika. Mtengo muma pharmacies osiyanasiyana umachokera ku 1398 mpaka 1526 rubles.
Mwa zina zomwe zimapanga gawo limodzi, pali:
- Kutalika kwa Glformin - chida chomwe chili ndi chinthu chimodzi - metformin. Mankhwalawa amagwiritsidwa ntchito ku monotherapy. Koma itha kugwiritsidwa ntchito kuphatikiza, mwachitsanzo, ndi insulin kapena mankhwala ena ochepetsa shuga. Mtengo wake umachokera ku 224 mpaka 508 rubles.
- Glucophage. Maziko a mankhwalawa ndi metformin. Itha kugwiritsidwa ntchito pophatikiza mankhwalawa pogwiritsa ntchito insulin. Mtengo umasiyana kuchokera ku 90 mpaka 770 rubles, kutengera mlingo wa mankhwalawo.
- Onglisa Muli gawo limodzi yogwira - saxagliptin mu mawonekedwe a hydrochloride. Amagwiritsidwa ntchito limodzi ndi monotherapy komanso ngati gawo la zovuta mankhwala. The munthawi yomweyo mankhwala a insulin ndi contraindicated. Mtengo muma pharmacies osiyanasiyana umachokera ku 1594 mpaka 2195 rubles.
- Siofor. Yogwira ntchito ya mankhwala ndi metformin hydrochloride. Chifukwa cha kuchepa kwa kudya, mankhwalawo amathandizira kuchepetsa thupi. Mtengo wa Siofor pa avareji kuyambira 238 mpaka 293 rubles.
Bongo
Mankhwala osokoneza bongo ambiri ndi otheka kugwiritsa ntchito molakwika kapena kugwiritsa ntchito nthawi yayitali. Kugwiritsa ntchito saxagliptin nthawi yayitali komanso kuzindikira zizindikiro za mankhwala osokoneza bongo, njira ya hemodialysis imayikidwa. Kuphatikiza apo, mankhwala othandizira amachitidwa.
Nthawi zambiri, bongo wa metformin umachitika. Izi zikuwonetsedwa ndi hypoglycemia ndi lactic acidosis, yomwe nthawi zambiri imayendera limodzi ndi vuto laimpso. Mkhalidwe wotsiriza, lactic acidosis, ndi vuto lalikulu la metabolic. Amaphatikizidwa ndi kuwonjezeka kwa kuchuluka kwa metformin m'magazi oposa 5 μg / ml. Zina mwazizindikiro za lactic acidosis ndi:
- kutopa,
- kulephera kupuma
- kupweteka m'mimba
- kutsitsa magazi
- kutsitsa kutentha kwa thupi
- kupweteka kwa minofu
- kulimbana ndi bradyarrhythmia.
Lactic acidosis imatha kukhala yopanda tanthauzo, chifukwa chake, kuyenera kuyang'aniridwa mwapadera chifukwa cha chizindikiro chosamveka. Maonekedwe amtundu uliwonse wa malaise amafunikira kulumikizana ndi dokotala. Ngati zochitika zapamwambazi zapezeka, lactic acidosis imachitika:
- ulamuliro wa ma seramu elekitirodi,
- kuwerenga kwa matupi a ketone,
- kuphunzira zamankhwala am'magazi,
- magazi pH kuwunika
- kuwongolera msana,
- kuphunzira kwa metformin pakuyesedwa kwa magazi.
Odwala omwe amagwiritsa ntchito metformin ku monotherapy kapena ndi chithandizo chovuta kwambiri ayenera kukumbukira kuti lactic acidosis iyenera kuthandizidwa kuchipatala. Mwanjira yonyalanyazidwa, pakakhala chisamaliro chamankhwala chapanthawi yake, chisokonezo chimachitika, zomwe zimapangitsa kuti pakhale phokoso. Mwa zina mwa zizindikiro za hypoglycemia, pali:
- kutopa
- mawonekedwe a chizungulire,
- kukomoka
- kugona
- zikamera nthawi zonse.
Pofuna kukhazikitsa metformin, hemodialysis imachitika. Mulimonsemo, mukamagwiritsa ntchito mankhwalawa, ndikofunikira kuyang'ana momwe wodwalayo alili. Zotsatira zilizonse zoyipa ziyenera kudziwitsidwa kwa dokotala.
Cholinga cha mankhwalawa Combogliz Prolong, ndemanga zabwino zomwe zimapezeka kwambiri, zimachitika ndi dokotala pambuyo pakuwunika koyenera. Osadzichitira nokha. Mlingo komanso kuthekera kwa kumwa mankhwalawa kungadziwike ndi katswiri. Kupanda kutero, pali chiopsezo chokhala ndi zovuta kapena mawonekedwe a bongo. Ndi matenda a shuga a 2, mutha kukhala moyo wabwino, chinthu chachikulu ndikuwongolera momwe muliri ndikuyendera dokotala.
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Matenda a shuga
Mitundu ya kugwidwa kwa matenda a shuga ... -
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