Gluconorm: malangizo ogwiritsira ntchito: mtengo ndi kuwunika kwa odwala matenda ashuga okhudza mapiritsi a shuga

Mapiritsi a Gluconorm ndi mankhwala omwe amaphatikiza mitundu iwiri ya hypoglycemic yomwe ili m'magulu osiyanasiyana amitundu yopanga mankhwala: metformin ndi glibenclamide.

Metformin ndi mankhwala omwe ali m'gulu la gluuanides, ndipo amathandizira kuchepetsa kugwidwa kwa glucose m'thupi, chifukwa chakuti kumawonjezera chidwi cha zotumphukira zazinthu zokhudzana ndi mahomoni.

Glibenclamide ndi mtundu wachiwiri wa sulfonylurea. Zimapereka kukondoweza kwa kupanga kwa mahormoni pochepetsa njira yolumikizira shuga wa shuga wa pancreatic. Zotsatira zake, insulin chiwopsezo chikuwonjezeka komanso kuchuluka kwake kwokhudzana ndi maselo ojambulidwa.

Gluconorm imalimbikitsidwa pochiza matenda a shuga 2, pomwe amangoikidwa zaka 18 zokha.

Mukuyenera kuganizira zomwe zikuwonetsa ndi contraindication pakugwiritsa ntchito mankhwalawa, kuti mupeze zovuta zomwe mumamwa? Komanso taganizirani momwe mungamwe mankhwalawo moyenera, ndipo ndi malingaliro ati omwe odwala amasiya?

Zizindikiro ndi contraindication

Monga tafotokozera pamwambapa, mankhwalawa Gluconorm amalimbikitsidwa pochiza odwala matenda ashuga odwala azaka zopitilira 18. Nthawi yomweyo, amalembedwa milandu pomwe sizinali zotheka kukwaniritsa kufunika kwa zakudya zopatsa thanzi komanso zolimbitsa thupi.

Gluconorm imafotokozedwanso pamene chithandizo ndi metformin ndi glibenclamide sichinapereke mankhwala othandizira. Komanso ngati mukuthandizidwa ndi mitundu iwiri ya mankhwala othandizira odwala omwe ali ndi shuga wambiri m'thupi.

Ngakhale kuti mankhwalawa amagwira bwino ntchito, ali ndi mndandanda waukulu wotsutsa. Madokotala samapereka mankhwala Gluconorm munthawi zotsatirazi:

• Mtundu woyamba wa shuga.
• Matenda a shuga ketoacidosis, chikomokere.
• Precomatose.
• Kusokonezeka kwa Impso.
• Matenda owopsa a chiwindi.
• Pa kubereka mwana ndi kuyamwitsa.
• Zakudya zochepa zopatsa mphamvu.

Simungathe kupereka mankhwala kwa kudalira kwambiri mowa, poyizoni, kuvulala, kuyaka. Panthawi yovuta yomwe imayamba chifukwa cha kuwonongeka kwa impso.

Simungamwe mankhwala masiku awiri maphunziro asanachitike omwe amafunikira kuyambitsa njira yosiyanitsira. Amaloledwa kumwa mankhwalawa pokhapokha masiku awiri, atatha kuphunzira.

Kwa anthu opitilira zaka zopitilira 60, komanso mbiri ya febrile syndrome, pituitary hypofunction, mankhwalawa Gluconorm amalimbikitsidwa mosamala kwambiri, ndikuyang'aniridwa ndi dokotala wothandizira.

Choyambitsanso china ndi hypersensitivity chimodzi mwazinthu ziwiri zomwe zimagwira, kapena pazinthu zothandizira za mankhwala, zomwe ndi gawo la mankhwalawa.

Malangizo ogwiritsira ntchito mankhwalawa

Ku Gluconorm, malangizowo akuwonetsa kuti mapiritsi amayenera kumwedwa pakudya. Mlingo wa mankhwalawa nthawi zonse umatsimikiziridwa payekhapayekha kwa wodwala aliyense, pomwe zimatengera kuchuluka kwa shuga mthupi.

Nthawi zambiri, muyeso woyamba wapamwamba ndi piritsi limodzi. Pakatha masabata angapo, kusintha kwamankhwala kumapangidwa, ndipo izi zimatengera shuga zomwe zili mthupi.

Posintha chithandizo cham'mbuyomu, piritsi limodzi kapena awiri akhoza kutumikiridwa. Mlingo umasiyanasiyana kutengera mlingo woyamba. Mlingo waukulu patsiku suyenera kupitilira magome asanu.

Dziwani kuti kuchuluka kwa mankhwalawa kumayikidwa kokha moyang'aniridwa ndi adokotala. Nthawi zambiri izi zimachitika m'malo opumira, ndipo osati kuchuluka kwa shuga mthupi la wodwalayo komwe kumayendetsedwa, komanso thanzi lake.

Ndemanga za odwala zimawonetsa kuti mankhwalawo amagwiradi ntchito bwino, kuthandiza kutulutsa shuga m'thupi m'njira yofunikira. Pamodzi ndi kugwiritsa ntchito bwino kwa mankhwala a Gluconorm, ndikofunikira kuwunikira zotsatira zoyipa kuchokera ku machitidwe ambiri a thupi:

1. Thupi lawo siligwirizana zimachitika kawirikawiri, monga lamulo, zimatengera kusalolera kwa mankhwalawo. Kuchita kwamtunduwu kumadziwonetsera ngati kuyabwa pakhungu, urticaria, redness la khungu, kuwonjezeka kwa thupi.
2. Kuchokera kumbali ya metabolism ya carbohydrate, kukula kwa dziko la hypoglycemic sikutsutsidwa.
3. Nthawi zambiri, khansa ya m'magazi imawonedwa mbali ya magazi.
4. Mitsempha yapakati imatha kuyankha mankhwalawa potsatira izi: kupweteka mutu, chizungulire, kufooka mosalekeza, kusowa chidwi ndi ulesi, kutopa kwambiri, kukhumudwa.
5. Kusokonezeka kwa m'mimba ndi kugaya chakudya, kupweteka pamimba, kusowa kwa chakudya, kulawa kwa chitsulo pamkamwa.

Ziyenera kunenedwa kuti pakuwona zovuta zoyipa, ndikulimbikitsidwa kuti mulumikizane ndi dokotala nthawi yomweyo. Ndizotheka kuti mlingo umasankhidwa molakwika, kapena mavuto amakhudzana ndi hypersensitivity pazigawo za mankhwala.

Kwa Gluconorm, mtengo m'masitolo a Russian Federation (Russia) ndi wosiyana pang'ono, ndipo pafupifupi amasiyana 221 mpaka 390 rubles pakompyuta iliyonse.

Analogs popanga

Mutha kugula mankhwala ofanana omwe ali pafupi ndi Gluconorm - awa ndi Glucovans ndi Bagomet Plus.

Glucovans ndi mankhwala ophatikiza a hypoglycemic omwe ali ndi zosakaniza zofanana ndi Gluconorm. Zizindikiro zazikulu zogwiritsidwa ntchito mu matenda a shuga a mtundu wachiwiri ndizoperewera kwa chakudya, zolimbitsa thupi, komanso ndi cholinga chobwezeretsanso chithandizo kwa odwala omwe shuga yawo mthupi imayendetsedwa.

Glucovans ayenera kumwedwa. Potere, Mlingo wa mankhwalawa umatsimikiziridwa payekhapayekha, ndipo kusintha kwake kumadalira kuchuluka kwa shuga mthupi la wodwala wina.

Monga lamulo, chithandizo nthawi zonse chimalimbikitsidwa ndi piritsi limodzi, lomwe limatengedwa kamodzi patsiku. Kupatula kukula kotheka kwa dziko la hypoglycemic, ndikofunikira kuwerengetsa kuti mupeze mlingo womwe umaposa tsiku lililonse wopitilira muyeso wa chithandizo chathachi.

Glucovans siivomerezeka munthawi zotsatirazi:

• Hypersensitivity mankhwala.
• Kusokonezeka kwa magwiridwe antchito.
• Kukhalapo kwa kulephera kwa impso.
• Mtundu woyamba wa shuga.
• Matenda a shuga a ketoacidosis.
• Pachimake ndi matenda okhathamira ophatikizika ndi minofu yofewa.
• Zaka za ana.
• Mtundu wamagulu a uchidakwa.

Pochita mankhwala ndi a Glucovans, zimachitika zosiyanasiyana mosiyanasiyana zomwe zimakhudza ziwalo zonse zamkati ndi machitidwe.

Bagomet Plus tikulimbikitsidwa zovuta zochizira matenda a shuga 2 motsutsana kusakhazikika kwa mankhwalawa pogwiritsa ntchito zakudya zopatsa thanzi. Mlingo umatengera kuchuluka kwa shuga mthupi.

Makapisozi amatengedwa kwathunthu, kutsukidwa ndi madzi ambiri. Osabera kapena kupera m'njira ina iliyonse. Mlingo waukulu patsiku ndi 3000 mg.

Nthawi zambiri, mlingo woyambira umasiyanasiyana 500 mpaka 1000 mg patsiku. Kutengera kuuma kwa glycemia, mlingo umatha kuwonjezeka patatha milungu ingapo. Kuti muchepetse zovuta zoyipa, mulingo woyenera umagawidwa pawiri.

Mukamamwa Bagomet Plus, zotsatira zotsatirazi zingachitike:

1. Kutha kwa njala, kulumikizana ndi mseru.
2. Kulawa kwazitsulo pamkamwa.
3. Ululu pamimba.
4. Kuchulukitsa kwa mpweya.
5. Kuphwanya kwam'mimba.
6. Thupi lawo siligwirizana.

Mtengo wa Bagomet Plus umasiyana kuchokera ku ruble 350 mpaka 500, ndipo mtengo wa ma Glucovans kuchokera ku 360 mpaka 350 rubles.

Zitha kugulidwa ku mankhwala aliwonse, ogulitsidwa popanda mankhwala a dokotala.

Ma Analogs okhala ndi metformin

Palinso mankhwala omwe amaphatikiza metformin - Glybomet ndi Glucofage.

Musanayesedwe mankhwala ofananawo mwatsatanetsatane, ziyenera kudziwika kuti ndikulimbikitsidwa kuti musabwezere ndalamayo. Kuphatikiza apo, kuti zomwe zakonzedwa pamwambazi ndizogwirizana kwathunthu ndi Gluconorm, zimalimbikitsidwanso kuti mugule Glibenclamide.

Glibomet ndi mankhwala ovuta omwe amathandiza kuchepetsa shuga mthupi la munthu. Mapiritsi, omwedwa m'matumbo am'mimba, amathandizira kuyambitsa kugwira ntchito kwa kapamba, kuwonjezera chiwopsezo cha minofu ya insulin, ndikuwonjezera kupanga.

Zizindikiro zazikulu zogwiritsira ntchito ndi izi:

• Mtundu wosadalira shuga wa insulin.
• Kukaniza kwa thupi ku mankhwala osokoneza bongo omwe amapezeka ndi sulfonylurea.
• Kuchepetsa kudwala kwa wodwala kwa mankhwala a sulfonylurea, komwe kunabwera chifukwa chogwiritsa ntchito nthawi yayitali.

Kutalika kwa mankhwalawa komanso kuchuluka kwa mankhwalawa kumatsimikizika kutengera ndi kuchuluka kwa shuga mthupi, ndipo zimamveketsa kagayidwe kazakudya. Nthawi zambiri, mapiritsi angapo amaperekedwa patsiku, pomwe wodwalayo amawunikidwa nthawi zonse kuti apeze mlingo woyenera.

Glibomet ikhoza kuyambitsa zotsatirazi:

1. Anachepetsa magazi oyera.
2. Kuwonongeka kwa chakudya, kupumula mseru komanso kusanza, kulawa kwazitsulo mkamwa. Pafupipafupi - kuwonjezereka kwa ntchito ya ziwindi, kukulitsa chiwindi.
3. Kutopa kwambiri, kufooka kwa minofu. Pafupipafupi, vuto la kumva.
4. Ziwengo ndi khungu mawonekedwe (kuyabwa, redness of khungu).

Dziwani kuti panthawi yamankhwala omwe mumalandira mankhwalawa ndikulimbikitsidwa kukana kuyendetsa galimoto, komanso kumwa mowa.

Glucophage ndi mankhwala amkamwa a hypoglycemic omwe amagwiritsidwa ntchito pochiza matenda a shuga 2, ngati wodwalayo sanapindule ndi chakudya chambiri komanso maphikidwe a zakudya kwa odwala matenda ashuga. Chofunikira chachikulu pamapiritsi ndi metformin.

Malangizo ogwiritsira ntchito werengani izi:

• Mapiritsi amatengedwa nthawi ya chakudya, kapena itangotha.
• Simungathe kupera kapena kutafuna mankhwalawa, muyenera kumeza piritsi lonse ndi madzi abwinobwino.
• Mlingo ndi nthawi yayitali ya chithandizo chimasankhidwa payekha, kutengera mawonekedwe a wodwala wina.
• Monga lamulo, 500-800 mg kamodzi patsiku tikulimbikitsidwa;
• Pambuyo masiku 14, mlingo ukuwonjezeka. Poterepa, muyenera kudalira shuga zomwe zili m'thupi la wodwalayo.
• Mlingo wambiri pa maola 24 ndi 1000 mg.

Ndi kusamala kwambiri, mankhwalawa amaperekedwa kwa odwala omwe akuvutika ndi impso. Monga lamulo, chithandizo chimayamba ndi mlingo wocheperako, ndipo mlingo ukachuluka, kuchuluka kwa shuga kumathandizidwanso ndikuwona momwe impso imayesedwera.

Gluconorm ndi mawonekedwe ake amafunsira kuti azichiza matenda a shuga a mtundu 2. Mankhwala amagwira ntchito, koma ali ndi zovuta zambiri komanso contraindication, chifukwa chake, amalimbikitsidwa ndi dokotala wanu. Vidiyo yomwe yatchulidwa munkhaniyi ifotokoza za matenda amtundu wa 2 omwe amathandizidwabe.