Kuwonetsa kwa Maninil, malangizo, ndemanga za anthu odwala matenda ashuga

Maninil mankhwalawa amaperekedwa kwa odwala omwe ali ndi matenda a shuga a 2. Zomwe zimaphatikizidwa pakuphatikizidwa zimayambitsa kapangidwe ka insulin.

Hormon iyi imakhudzidwa ndi kayendedwe ka mamolekyu a glucose kupita m'maselo. Momwe mungamwe mankhwalawa ndipo muzochitika ziti zomwe ndiyenera kukana?

Zambiri pamankhwala Maninil ndi malangizo ogwiritsira ntchito.

Zokhudza mankhwalawa

Maninyl ndi wochokera ku sulfonylurea. Mankhwala amakhala ndi vuto la hypoglycemic m'thupi la wodwalayo. Gawo logwira limakhudza maselo a kapamba, njirayi imalimbikitsa kupangika kwa insulin ya mahomoni. Kugwedezeka kwamaselo kumawonjezeka. Chifukwa chake, izi zimapangitsa kuyamwa kwamphamvu kwa shuga m'magazi. Kuzungulira kwa shuga kumachepa.

Kuphatikiza apo, mukatenga Maninil, pali kuchepa kwa thrombosis m'mitsempha yamagazi.

Mulingo wambiri wambiri wa mankhwalawa umawonedwa patatha maola awiri atayikidwa. Hypoglycemic effect imapitilira tsiku lonse.

Zizindikiro zogwiritsidwa ntchito

Mankhwalawa amalembedwa:

• monotherapy ya mtundu 2 matenda a shuga monga othandizira hypoglycemic,
• pakutha kwa chakudya,
• zovuta za matenda a shuga mellitus, omwe safuna jakisoni wa insulin.

Maninil amathandizanso kukhala ndi shuga. Pambuyo pa utsogoleri, imalowa mwachangu kwambiri m'magazi.

Mankhwala amangoperekedwa ndi adokotala.

Kutulutsa Fomu

Maninil mankhwalawa amapezeka piritsi. Kutengera ndi kuchuluka kwa zomwe zikugwira, ndi:

• pinki yopepuka (yogwiritsa ntchito yogwiritsira ntchito 1.75 mg),
• pinki (yogwiritsa ntchito mankhwala a 3.5 mg),
• pinki yodzaza ndi mafuta ambiri a mg 5.

Fomu la piritsi ndi cylindrical, flatated. Pa dzanja limodzi pali ngozi. Mapiritsi amadzaza zidutswa za 120. m'mabotolo agalasi. Bokosi lirilonse limayikidwa mu bokosi lina.

Mtengo wa man Manilil umatengera kuchuluka kwa mankhwala othandizira ndipo sizidutsa ma ruble 200. mapiritsi 120.

• Maninyl 1.75 mg - 125 r,
• Maninil 3.5 mg - 150 r,
• Maninil 5 mg - 190 rub.

Mtengo wa mankhwalawa ndi kuchuluka kwa zosakaniza za 3.5 mg ndi chifukwa cha kuchuluka kwambiri kwa zomwe zimagwira.

Zomwe zikuchokera mankhwalawa zimaphatikizapo:

• yogwira pophika
• zosakaniza zomwe zimapangitsa kuchuluka kwa piritsi,
• zinthu za zipolopolo.

Chothandizira chophatikizika ndi glibenclamide. Zimakhudza kapamba komanso kutsika shuga.

• lactose monohydrate,
• talcum ufa
• kukhuthala
• silika
• magnesium wakuba.

Kuphatikizika kwa chipolalachi kumaphatikizapo zotsekemera komanso mitundu ya chakudya.

Malangizo ogwiritsira ntchito

Mlingo wa mankhwalawa komanso kutalika kwa nthawi ya chithandizo akutsimikiza ndi dokotala. Zimatengera zizindikiro izi:

• zaka odwala
• kuopsa kwa matenda ashuga
• kuchuluka kwa shuga m'magazi (pamimba yopanda kanthu ndikatha kudya).

Pazigawo zoyambirira zamankhwala, kuchuluka kwa mankhwalawa sikuyenera kupitirira 5 mg patsiku. Kuchuluka kwake kumayenera kutengedwa kamodzi (0,5 kapena piritsi 1), kutsukidwa ndi madzi okwanira.

Ngati mulingo womwewu sukupatsani mphamvu zake, ndiye kuti uyenera kukulitsidwa. Izi zimachitika pang'onopang'ono. Mlingo wovomerezeka watsiku ndi tsiku si oposa 15 mg.

Malamulo omwera mapiritsi:

• kumwa mankhwala theka la ola musanadye,
• phale silitha kutafunidwa
• muyenera kumwa mankhwalawa m'mawa,
• imwani mankhwalawo ndi madzi oyera (zakumwa zina sizoyenera).

Kumwa mankhwalawa ndikusintha Mlingo uyenera kuyang'aniridwa ndi dokotala. Ngati mavuto atawoneka, tikulimbikitsidwa kusiya mankhwalawa. Ndi zoletsedwa kusintha pawokha mankhwalawa. Izi zitha kuchititsa kuti wodwalayo azidwaladwala.

Malangizo apadera

Pa mankhwala ndi mankhwalawa, ndikofunikira kutsatira malamulo awa:

• Tsatirani malangizo onse azachipatala
• osadya magawo oletsedwa,
• kuwunika kuchuluka kwa shuga m'magazi.

Kwa anthu okalamba, mlingo wa mankhwalawa umayenera kusinthidwa. Ndikulimbikitsidwa kutenga ndalama zochepa, chifukwa Pankhaniyi, zotsatira za hypoglycemic zimatchulidwanso.

Ndizosavomerezeka kuphatikiza kumwa Maninil ndi zakumwa zoledzeretsa. Ethanol imawonjezera mphamvu ya hypoglycemic.

Mukamatenga Maninil ndizoletsedwa:

• kukhala padzuwa
• kuyendetsa galimoto
• kuchita zinthu zomwe zimafuna kuti ma psychomotor azichite msanga.

Komanso, mosamala, odwala matendawa amafunika kumwa mankhwalawo.

Zotsatira zoyipa

Poyerekeza ndi kumbuyo kwa kutenga Maninil, zowonetsa zotsatirazi zingaoneke:

• kutentha kuwonjezeka
• kusokonezeka kwa mtima
• kufuna kugona nthawi zonse, kumva kuti watopa,
• kutuluka thukuta kwambiri
• kugwedezeka miyendo,
• kuchuluka kwa nkhawa komanso kusakwiya,
• kusawona bwino ndi kumva.

Nthawi zambiri, Maninil angayambitse izi:

• nseru
• kusanza
• kupweteka m'mimba
• kukoma koyipa mkamwa
• zotupa mu chiwindi,
• thupi lawo siligwirizana
• zotupa pakhungu
• jaundice
• leukopenia
• malungo.

Ngati chizindikiro chimodzi kapena zingapo zapezeka, muyenera kusiya kumwa mankhwalawo ndikuonana ndi dokotala. Zikakhala zoterezi, m'malo mwa mankhwalawo mumafunikanso chimodzimodzi.

Contraindication

Maninil mankhwalawa sangatengedwe ndi:

• tsankho limodzi ndi zigawo za mankhwala,
• shuga wodalira insulin
• ketoacidosis,
• wodwala matenda ashuga
• nditatha kapamba,
• kulephera kwa chiwindi
• kuwonongeka kwaimpso,
• leukopenia
• matumbo
• lactose tsankho,
• mimba
• kuyamwitsa mwana.

Mankhwala ayenera kumwedwa mosamala ndi kuyang'anira mwapadera ngati:

• matenda a chithokomiro,
• osakwanira zochitika
• kukhalapo kwa uchidakwa wambiri.

Maninil sayenera kutengedwa ndi ana osakwana zaka 18. Akuluakulu ayenera kuthandizidwa mosamala kwambiri chifukwa ali ndi chiopsezo chachitukuko champhamvu cha hypoglycemia.

Bongo

Ngati mumwa mosayenera mankhwalawa, mankhwala osokoneza bongo amatha kuchitika. Zizindikiro zake:

• kusokonezeka kwa mtima
• kufunitsitsa kugona,
• njala
• malungo
• thukuta kwambiri
• mutu
• chizungulire
• kuda nkhawa kwambiri
• kupsinjika m'maganizo.

Ngati pali zizindikiro za kudya kwambiri kwa Maninil, wodwala ayenera kulandira chithandizo choyambirira:

• perekani kachidutswa kakang'ono ka shuga (kuwonjezera kuchuluka kwa shuga m'magazi),
• jekeseni njira ya shuga m'mitsempha (kuti mutaye chikumbumtima),
• itanani thandizo ladzidzidzi.

Jakisoni wa glucose amatha kuchitidwa kangapo mpaka zotsatira zomwe mukufuna zitheke.

Mankhwala osokoneza bongo a Maninil ndi owopsa kwambiri. Izi ndichifukwa choti kuchepa kwambiri m'magazi a shuga m'magazi kumatha kupangitsa kuyamba kudwala matenda ashuga. Chifukwa chake, simungathe kuwonjezera pawokha mlingo wa mankhwala popanda kuvomerezedwa ndi achipatala.

• zofananira zake: Betanaz, Daonil, Glitizol, Glibomet, Euglyukon.
• zofananazo: Bagomet, Galvus, Glitizol, Diben, Listata.

Zambiri mwatsatanetsatane za mankhwala ofananawa atha kuperekedwa ndi dokotala. Sizingatheke kusankha payokha pakumwa mankhwala ndi ena. Mapeto oterowo atha kupangidwa kokha ndi katswiri pamaziko a deta pamatenda a wodwala.

Ndemanga Zahudwala

Alexandra, wazaka 40: Ndili ndi matenda ashuga a 2. Kwa nthawi yayitali ndinadutsa ndikudya ndikuwongolera shuga, koma posachedwa, glucose yakhala ikuchulukirachulukira. Zoletsa zopatsa thanzi sizikhala zokwanira. Dotolo adasankha Maninil ngati mankhwala owonjezera omwe amachepetsa shuga. Mankhwalawa ndi othandizadi, amandithandizira kuti kuwerenga kwa glucose kusakhala kwakanthawi. Pazigawo zoyambirira zamankhwala, mutu udali wowawa kwambiri, pakupita nthawi, kuzolowera mankhwalawa kunachitika ndipo mbali iyi inatha.

Julia, wazaka 37: Ndimamwa Maninil nthawi yayitali. Kuphatikiza ndi zakudya zamankhwala kumapereka zotsatira zabwino. Pang'onopang'ono khungu limatuluka popanda zachilendo. Sindinazindikire mavuto aliwonse. Mkhalidwe wathanzi labwino.

Maninil amagwiritsidwa ntchito pochiza matenda ashuga. Madokotala amapereka mankhwala kwa odwala omwe ali ndi matenda a 2. Pankhani ya fomu yodalira insulin, Maninil ndi gawo limodzi la zovuta mankhwala.

Mankhwala ali ndi hypoglycemic kwambiri pamthupi. Ngati mulingo woyenera wa mankhwalawa, zotsatira zoyipa zamagetsi ndi zina zimatha kuzindikirika.

Pali mankhwala ambiri a analogue, koma simungathe kusintha wina kuti akhale nanu. Malangizowo atha kuperekedwa ndi dokotala. Komanso, simungasinthe mwaulere mlingo wa mankhwalawa. Odwala ambiri amalabadira ntchito ya mankhwalawa ndikuwona kugwira kwake ntchito.