Kusiyana pakati pa Maninil ndi Diabetes

Metformin ndi mankhwala ovuta omwe ali ndi katundu wa hypoglycemic. Malinga ndi ndemanga imatenga nthawi. Malangizo ogwiritsira ntchito kuwunikira mfundo zolondola kwambiri zomwe zimafunikira kuti zidziwike kwa wodwala aliyense yemwe dokotala wamulamula. Mankhwala othana ndi ukalamba ndi kukalamba Elena Malysheva. Momwe mungatenge, kuvulaza kapena kupindulitsa thupi, kuyenderana, dzina lamalonda, zomwe zili bwino komanso zomwe zikusimbidwa pansipa.

Mankhwalawa ali ndi mawonekedwe apadera - yogwira - metformin hydrochloride ndi othandizira angapo - povidone, wowuma chimanga, magnesium stearate, talc. Kutulutsidwa mawonekedwe - mapiritsi a biconvex wachikasu.

Mtengo wake komanso kuchuluka kwake zimatengera dziko lakapangidwe. Mutha kuwona mitengo yomwe mumakonda pa tsamba lovomerezeka la woimira.

Ndi cholinga chani, zikuwonetsa kugwiritsa ntchito

Mankhwalawa ndi othandiza:

• 1. Ndi matenda a shuga
• 2. Pakukonzanso
• 3. Kutalikitsa ubwana
• 4. Popewa khansa
• 5. Mukumanga thupi
• 6. Ndi kunenepa kwambiri
• 7. Ndi ovomerezeka ya polycystic
• 8. Mu gynecology
• 9. Pa chowumitsa
• 10. Ndi matenda a chiwindi
• 11. Ndi zotumphukira m'mimba

Mankhwalawa ali ndi malo angapo osinthira komanso ma analoge otsika mtengo omwe amasiyanasiyana pamitengo ya bajeti.

• 1. Richter
• 2. Glibenclamide
• 3. Siofor
• 4. Glucophage
• 5. Formentin
• 6. A shuga
• 7. Reduxin
• 8. Vidal
• 9. Biguanide ED
• 10. Vildagiptin
• 11. Maninil
• 12. Saxagliptin

Dokotala wa Matendawa

Mankhwala ndi mtundu wachiwiri wa matenda ashuga. Zimathandizira kutulutsa insulini, kumawonjezera kukhudzika kwa minofu, kumachepetsa nthawi kuchokera pakudya kupita ku insulin, ndikutsitsa cholesterol. Ngati nephropathy ikukula m'kupita kwa matendawa, ndiye kuti mankhwalawa amatha kuchepetsa kuchuluka kwa proteinuria.

Ngakhale zotsatira zabwino mthupi la munthu, a Diabetes ali ndi zotsutsana zingapo:

• mtundu 1 shuga
• coma kapena mkhalidwe wa makolo,
• matenda a impso ndi chiwindi.
• Hypersensitivity kuti sulfonamides ndi sulfonylurea.

Ngati matenda akudwala, machitidwe olimbitsa thupi komanso zakudya zimayikidwa, ngati izi sizingayendetse bwino matendawa, ndiye kuti mankhwala a shuga amawaikira. Gliclazide, yomwe ndi gawo lake, imathandizira maselo a pancreatic kupanga insulin yambiri. Zotsatira zakuvomerezeka ndizabwino. Odwala amafotokoza kuchepa kwakukulu kwa shuga m'magazi, pomwe chiopsezo cha hypoglycemia ndichopere 7%. Ndikosavuta kumwa mankhwalawa kamodzi patsiku, kotero odwala saganiza zosiya kulandira chithandizo, koma apitirizebe kwa zaka zambiri. Zizindikiro zolemera zimachulukitsa pang'ono, zomwe sizikhudza thanzi la wodwalayo.

Madokotala amalembera odwala matenda ashuga chifukwa ndi yabwino kwa odwala komanso omalekerera. Kwa odwala ambiri, ndikosavuta kumwa mapiritsi kamodzi patsiku kuposa kumangodzilimbitsa nokha ndi katundu komanso zakudya zowonjezera. 1% yokha mwa odwala ndi omwe amadandaula za mavuto, ena onse akumva bwino.

Zoyipa zamankhwala ndizomwe zimayambitsa imfa ya maselo a pancreatic beta. Potere, matendawa amatha kudwala matenda oyamba. Gulu lowopsa likuphatikiza anthu oonda. Kusintha kwa gawo lovuta la matendawa kuyambira zaka ziwiri mpaka zisanu ndi zitatu. Mankhwalawa amachepetsa shuga, koma samachepetsa kufa, monga akuwonera p kafukufuku wapadziko lonse lapansi.

Madokotala ambiri amapereka mankhwala a shuga, koma izi ndizolakwika. Kafukufuku wambiri watsimikizira kuti muyenera kuyamba ndi Metformin, yomwe idakhazikika pazinthu zodziwika za dzina lomweli. Gulu lomweli limaphatikizapo mankhwalawa Siofor, Glformin ndi Glucofage.

Sankhani zomwe mungalembe - Metformin kapena Diabeteson - akhale katswiri woyenera. Malinga ndi malingaliro aboma, kutenga woyamba kungathandize kuchepetsa shuga ya magazi a anthu. Kukwanirana bwino kwa zigawo za mankhwalawa kumakupatsani mwayi woti shuga azikhala osadwalika kwazaka zingapo. Ngati Metformin sangathe kulimbana ndi shuga wowonjezereka, mankhwala ena (omwe amachokera ku sulfonylurea) amawonjezeredwa kwa iyo ndipo mlingo umakulitsidwa.

Maninil ndi machitidwe ake

Mapiritsi a shuga a Maninil adalembedwa kuti achepetse shuga m'magazi a munthu omwe ali ndi matenda a 2. Mankhwala amakhala ndi kapamba, amamukulitsa maselo a beta. Komanso kumawonjezera chidwi cha insulin receptors.

Contraindication ogwiritsa ntchito ndi mtundu 1 shuga, hypersensitivity ku zigawo zikuluzikulu, kuchotsedwa kwa kapamba, matenda a impso, matenda amchiwindi ndi nthawi atachitidwa opaleshoni. Osamamwa mapiritsi pa nthawi ya pakati, panthawi yotsekemera komanso m'matumbo.

Mankhwalawa ali ndi zovuta zingapo: chiopsezo cha hypoglycemia, nseru ndi kusanza, jaundice, hepatitis, zotupa za pakhungu, kupweteka palimodzi. Ngati mungaganizire kusintha mankhwalawo ndi mawonekedwe ake, ndiye kuti muyenera kufunsa dokotala yemwe apange ndandanda ya Mlingo ndi Mlingo.

Zidadziwika kuti sulfonylureas ndizovulaza kuposa zopindulitsa thupi ngati mukudwala. Kusiyana pakati pa Maninil ndi Diabeton ndikuti zakale zimawonedwa ngati zowopsa. Kuopsa kwa vuto la mtima kapena matenda amtima kumaonjezera nthawi ziwiri kapena zingapo mukamamwa mankhwalawa.

Mapiritsi akulimbikitsidwa pharmacotherapy odwala omwe ali ndi matenda a shuga a 2. Zotsatira za Metformin zimasiyana ndi mankhwala ena popeza zimakhala ndi antihyperglycemic. Izi ndichifukwa choti njira yochepetsera glucose wamagazi sichikugwirizana ndi kuwonjezeka kwa insulin. Amayendedwe akuwoneka ngati awa:

• pali kuponderezana kwamatenda a shuga m'chiwindi,
• kumva kwa insulin kumawonjezeka
• kuyamwa kwa minofu ndi chiwindi kumakhala bwino
• mayamwidwe a shuga m'matumbo amachepetsa.

Kuchita bwino kwa Metformin ndikuwongolera kuchuluka kwa glycemia ndikuchepetsa chiopsezo cha magazi. Poterepa, mwayi wamatenda amtima umatha. Mankhwalawa amaperekedwa kwa odwala omwe ali ndi kuchuluka kwa thupi komanso kunenepa kwambiri.

Zotsatira zoyipa za kumwa mapiritsi ndi kutsekula m'mimba komanso zizindikiro zina za dyspeptic.

Koma zovuta izi nthawi zambiri zimathetsa pakapita masiku angapo. Pofuna kupewa zoyipa, mankhwalawa amayenera kuyamba ndi mapiritsi ochepa. Imwani mankhwalawa mutadya chakudya chamadzulo kapena musanayambe kugona, kumwa madzi ambiri kapena tiyi. Zotsatira za Metformin zimatha kuyesedwa patatha sabata limodzi ndikugwiritsa ntchito pafupipafupi. Nthawi zambiri, mankhwalawa amagwiritsidwa ntchito nthawi 1 patsiku, zomwe zimakhala bwino komanso zosavuta kwa odwala.

Kuphatikiza koyenera kwa mankhwala ochepetsa shuga

Pokhala ndi mbiri yochepa yodwala matenda a shuga a 2, mwa odwala ambiri chithandizo cha mankhwala okhala ndi hypoglycemic ndiwokwera kwambiri. Popita nthawi, mphamvu ya mankhwalawa imachepetsedwa mwachilengedwe, chifukwa, mwina pang'onopang'ono kwambiri, koma kupitilira kwa matendawa. Mu izi, muyenera kusankha mitundu yosiyanasiyana yochepetsera shuga. Kuphatikiza kosiyanasiyana kwa mapiritsi ochepetsa shuga ndi insulin kumathandizanso.

Kuphatikiza komwe kumagwiritsidwa ntchito kwambiri ndi:

1) Metformin + Thiazolidinedione.

2) Metformin + Sulfonylurea imachokera.

Mwachilengedwe, ndizosatheka kuphatikiza mapiritsi osiyanasiyana ochepetsa shuga mkati yaying'ono yomweyo. Mwachitsanzo, Avandia ndi Aktos sangathe kugwiritsa ntchito nthawi imodzi. Kapena Glibenclamide ndi Glimepiride. Komanso, kuphatikiza kwa mankhwala ochokera ku gulu la meglitinides ndi zotumphukira za sulfonylurea sikulimbikitsidwa. Ndi kusakhazikika kwa kayendedwe kamodzi ka magulu angapo a mankhwala ochepetsa shuga, munthu ayenera kugwiritsa ntchito mankhwala a insulin kwinaku akusungabe wina mwa iwo.

Kuti athandizidwe kukhala oleza mtima kwambiri, makampani ena opanga mankhwala amapanga mankhwala ochepetsa shuga m'magulu opangidwa okonzeka. Kwenikweni, awa ndi kuphatikiza kwa metformin ndi mankhwala ochepetsa shuga a gulu lina.

1) Kuphatikizidwa kwa Metformin ndi Glibenclamide: Bagomet Plus (Argentina), Glibomet (Germany), Glukovans (France), Gluconorm (Russia).

2) Kuphatikiza kwa Meftormin ndi Glyclazide: Glimecomb (Russia).

3) Kuphatikizidwa kwa Metformin ndi Glimepiride: Amaril M (Korea).

4) Kuphatikizidwa kwa Metformin ndi Vildagliptin: Galvus Met (Switzerland).

5) Kuphatikizidwa kwa Metformin ndi Sitagliptin: Yanumet (USA).

Siyani ndemanga ndikupeza MPHATSO!

Gawani ndi abwenzi:

Werengani zambiri pamutuwu:

• Mfundo za glucometer
• Maupangiri a Thanzi la a shuga
• Kodi ndi mfundo ziti zomwe muyenera kuyesetsa kuti muchepetse matenda ashuga? Mukuyang'ana malo apakati ...

Malangizo a Metformin onenepa ogwiritsira ntchito ndemanga

Malinga ndi kuwunika kwa kugonana koyenera, metformin ndiwothandiza kwambiri kuchepetsa thupi, kupewa mapaundi owonjezera kuti asakhazikike m'chiuno. M`pofunika kumwa piritsi 1 2 pa tsiku. Komabe, onetsetsani kuti mwawonana ndi dokotala.

Mankhwalawa ali ndi zotsutsana zingapo:

• 1. Ngati chiwindi ntchito
• 2. Kulephera kwina
• 3. Aliyense tsankho kwa mankhwala
• 4. Hypersensitivity ku gawo yogwira ntchito la chinthucho
• 5. Kuledzera
• 6. Matenda mu nthawi yovuta
• 7. Nthawi yogwira ntchito

Zotsatira zoyipa

• 1. Hypoglycemia
• 2. Thupi lawo siligwirizana - urticaria, kuyabwa kwa khungu, khungu, zotupa.
• 3. Lactic acidosis

Ndi mankhwala osokoneza bongo, pali milandu ya lactic acidosis yokhala ndi zotsatira zakupha. Ndikofunikira kuti musiye kaye mankhwalawa ndikutsuka m'mimba.

Mankhwalawa sagwirizana ndi mowa. Zithunzi, dzina lapadziko lonse, kafukufuku, momwe amagwirira ntchito, nthawi yayitali bwanji, kuwunika kwa iwo omwe achepetsa thupi, momwe mungagwiritsire ntchito ndi zakudya, Teva, mankhwala aku Latin - onani zambiri zofananira pa paketi kapena pa Wikipedia.

Nemozol: malangizo a ana

Malangizo a mapiritsi a Neuromidin ogwiritsira ntchito

Malangizo a Groprinosin ogwiritsira ntchito

Mvuto: malangizo ogwiritsira ntchito mankhwalawa

Malangizo a mapiritsi a Nurofen ogwiritsa ntchito, makandulo a ana, manyuchi ...

Nasonex ya malangizo a ana, ndemanga, analogi ndiotsika mtengo

Kodi mungadziteteze bwanji ngati mukuyenera kumwa mowa?

Anthu odwala matenda ashuga sayenera kumverera ngati wakunja kumaphwando komanso osamwa mowa. Ndikofunika kumvetsetsa malamulo angapo ofunikira ndikugwiritsa ntchito mowa. Kenako zonse zikhala bwino. Madokotala amakhulupirira kuti ndikofunikira kulingalira kuchuluka kwa zakumwa zoledzera ndi kuchuluka kwa chakudya chamagulu mwa iwo. Pafupifupi anthu odwala matenda ashuga amatha kumwa 50-70 ml ya mowa wamphamvu kupatula zosakaniza zotsekemera ndi zakumwa zina. Vinyo wouma, champagne yowuma ingagwiritsidwe ntchito 150-200 ml. Ndikosatheka kugwiritsa ntchito zakumwa, zotsekemera, ma viniga okhala ndi mipanda yolimba kwambiri omwe ali ndi shuga wambiri. Zakumwa zonse zakumwa ziyenera kutsagana ndi chakudya. Mlingo uwu amawerengedwa kwa amuna odwala matenda ashuga, chifukwa azimayi amayenera kudulizidwa, popeza amakhala ndi vuto la hypoglycemia ndipo amalabadira mowa.

Malamulo omwera mowa kwa odwala matenda ashuga:

1. Ndikwabwino kumwa mowa wokhala ndi anthu omwe amadziwa za matenda a shuga ndipo amatha kupereka thandizo ngati kuli kofunikira.
2. Osamamwa mowa pamimba yopanda kanthu.
3. Ndikwabwino kudya zakudya zamafuta "phwando lalitali" phwando lisanachitike, lomwe lidzawonongeke maola ambiri. Apanga mtundu wa buffer womwe umalepheretsa kuchepa kwambiri kwa shuga m'magazi, sangalole kuti shuga igwere pamlingo wovuta, pomwe osachulukitsa kwambiri. Mulimonsemo, ndibwino kuyenda pang'ono ndi shuga wambiri kuposa kupulumuka hypoglycemia.
4. Ngati mukuyenera kusuntha kwambiri, ndiye kuti mutha kuchepetsa pang'ono insulin, ndipo simungathe kumwa mankhwala ochepetsa shuga konse.
5. Ndikofunika kumwa mphesa zowuma ndi zowuma paphwando, zomwe ndizothandiza ngakhale pang'ono.
6. Inde, zingakhale bwino kuyeza shuga ndi glucometer pamadyerero, koma sizichitika kawirikawiri mosangalatsa.
7. Musanagone, muyenera kuyang'ana kuchuluka kwa glucose ndipo ngati kuli kotheka, muzidya zakudya zopatsa mphamvu.

Zofunika! Mowa umaphatikizidwa kwathunthu matenda ophatikizika monga matenda ashuga nephropathy ndi kulephera kwa impso, gout, matenda a lipid metabolism, zomwe zimayambitsa kuwonjezeka kwa cholesterol.

Anthu omwe ali ndi matenda ashuga amaloledwa kumwa mowa pang'ono. Kupatula apo, nthawi zina kuyeserera kukondwerera chochitika china, ndikumwa, kumawonjezera mantha a kupeza hypoglycemia kapena mavuto ena azaumoyo. Nthawi zina odwala matenda ashuga samadziwa kuti mowa ungakhale ndi gawo lotani m'magazi a glucose komanso kagayidwe kazonse ka chakudya. Koma muyenera kudziwa izi kuti mumvetsetse momwe mungaphatikizire mowa ndi matenda ashuga. Podziwa zambiri za zakumwa zomwe zakumwa ndi shuga m'magazi, mutha kusintha mankhwalawa ndi zakudya. Ndipo chikondwererochi chidzachitika popanda chochitika.

Momwe mungabwezeretsere chiwindi mukamwa mowa

Kuchotsa mowa m'magazi

Contraindication

Glucophage sinafotokozedwe kapena kuletsedwa pamene:

• Kukhalapo kwa hypersensitivity (ziwengo kwa mankhwala),
• Zizindikiro zakulephera kwa impso kapena chiwindi,
• Matenda owopsa a mtima, mantha amthupi (kupweteka kwamkati pamtima, kufooka kwa mtima, kugunda kwamphamvu),
• Matenda opatsirana ambiri, pakuchita maopareshoni ambiri, kapena pachimake cha kuvulala kwambiri,
• Uchidakwa wopitilira muyeso, sikulimbikitsidwa kumwa mowa konse,
• Matenda a metabolism (ketoacidosis, mbiri ya lactic acidosis),
• Kukulitsa njira ya matenda ashuga, limodzi ndi kukula kwa chikomokere kapena mankhwala,
• Kuchititsa (kwa masiku awiri asanafike kapena pambuyo) maphunziro a x-ray ogwiritsa ntchito ayodini omwe ali ndi zosiyana pakati,
• Glucophage amatsatiridwa pakuyamwa. Ngati mkaka wa mkaka umasungidwa ndipo pakufunika kugwiritsa ntchito mankhwalawa nthawi yoyamwitsa, kuyamwitsa kuyenera kuyimitsidwa.

Njira yogwiritsira ntchito

Glucophage itha kutumizidwa ngati mankhwala a mzere woyamba (monga chithandizo choyambirira) pochiza matenda amtundu wa 2. Mlingo wa mankhwala kwa wodwala amasankhidwa payekha ndi dokotala, kutengera kulemera kwa thupi, milingo ya glycemia.

Ndikulimbikitsidwa kugwiritsa ntchito mkati mwa mankhwala omwe aperekedwa (mu Chinsinsi), nthawi zambiri kawiri pa tsiku, kumwa musanadye kapena pakudya. Pa mankhwala, Mlingo ndi pafupipafupi wa mankhwala akhoza kusiyanasiyana ndi kupezeka kwa dokotala. Kuchiza kumatenga nthawi yayitali kuti mukwaniritse zolinga zanu zamankhwala.

Amasankhidwa mosaganizira jenda la wodwala: wamwamuna kapena wamkazi. Chifukwa cha jenda komanso kulemera kwa wodwala, mlingo umatha kusintha.

• Mwa ana, mankhwalawa ali osavomerezeka, chifukwa palibe deta yokwanira pakukwaniritsidwa komanso chitetezo cha mankhwalawa ali mwana. Chifukwa chake, nkovuta kudziwa momwe ana angalandire chithandizo.
• Kwa odwala okalamba, ndikofunikira kuyang'anitsitsa ntchito yaimpso, mankhwala ochepetsedwa nthawi zambiri amagwiritsidwa ntchito.
• Pa nthawi yomwe mayi ali ndi pakati kapena pakukonzekera, komanso ngati mayi ali ndi pakati pamimba yodzatenga metformin, mankhwalawa ayenera kuthetsedwa (insulin imayikidwa). Mphamvu ya metformin pa mwana wosabadwa sizimamveka bwino.

Kuchita ndi mankhwala ena

Kukhazikitsidwa kwa glucophage kumawerengedwa mosamala ndi munthawi yomweyo:

• Chlorpromazine
• Glucocorticosteroids,
• zida zodulira
• Mankhwala okhala ndi ayodini wokhala ndi radiopaque,
• β2-adrenergic agonists,
• Kupanga mankhwala ena a hypoglycemic.

Cholinga cha mankhwalawa amaloledwa (osagwirizana ndi zolakwika) ngati pakufunika kugwiritsa ntchito maantibayotiki.

Tsiku lotha ntchito

Zaka 5 Amasungidwa pa kutentha osaposa 25 ° C.

Chithandizo cha matenda a shuga a mellitus (ndiko kuti, osagwirizana ndi insulin kapena mtundu 2 shuga

) Glucofage imagwiritsidwa ntchito ngati mankhwala a hypoglycemic. "Data-url =" https://diabetes-help.ru/kategoriya/preparaty/glyukofazh/ "data-services =" vkontakte, facebook, twitter, odnoklassniki, moimir, gplus ">

Gulu la pharmacological - mankhwala ochepetsa shuga, omwe amachokera ku sulfonylureas ndipo amagwiritsidwa ntchito pakamwa pokha. Limagwirira ntchito zachokera kukondoweza kwa kapangidwe ka insulin ndi kanyumba kamunthu.

• kuchuluka kwa insulin,
• antioxidant katundu
• kuchepa kwamatenda a mtima mu shuga,
• shuga kutsika
• thrombosis prophylaxis chifukwa cha kuchepa kwa kuphatikiza kupindika kwa maselo,
• kuchuluka kwa thupi mwamphamvu kwambiri (ntchito Diabeteson pomanga thupi, koma moyang'aniridwa ndi madokotala).

Zizindikiro zogwiritsidwa ntchito

Pakati pazisonyezo zakugwiritsira ntchito Diabeteson, wopanga adalembetsa matenda monga mtundu wachiwiri wa matenda ashuga. Diabetes imafotokozedwa chifukwa cha kusakwanira kwa njira zoyambirira zothanirana ndi shuga:

1. Zakudya.
2. Zochita kuchepetsa thupi.
3. Masewera olimbitsa thupi.

Otsutsa otsatirawa amagwiritsidwa ntchito ndi mawonekedwe a mankhwalawa:

• chifuwa
• wodwala matenda ashuga
• mtundu 1 shuga
• kulephera kwa impso
• kugwiritsa ntchito mankhwala antifungal Miconazole,
• nyere
• kulephera kwa chiwindi
• mimba
• zaka za ana. Diabeteson sagwiritsidwa ntchito kwa ana ochepera zaka 18,
• ketoacidotic chikomokere.

Mavuto obwera chifukwa cha bongo

• achina,
• chikomokere
• kukhumudwa.

Njira Zokuthandizani Wodwala:

• kuchipatala
• chakudya
• kusintha kwa mlingo
• chakudya
• Mluza Wamkati
• kuwunika magawo a shuga.

Zotsatira zoyipa zomwe zimafotokozedwa mu zomwe wopanga akupanga ndi mafotokozedwe a maphunziro a mankhwalawa ndi hypoglycemia. Amayamba motsutsana ndi maziko a kumwa mankhwalawo mosayenera zakudya (kulumpha zakudya). Zimayendera limodzi ndi izi:

• nseru
• kutopa
• kutsutsa
• njala
• zosokoneza tulo
• mavuto
• kuthamanga kwa mtima,
• mavuto a kulankhula
• kusakhazikika
• chizungulire
• kuchepa kwa masomphenya
• miyendo yanjenjemera
• kulephera kudziwa
• chikomokere
• zotsatira zakupha.

• kudya chakudya chamafuta (shuga),
• chisamaliro chadzidzidzi pakugwiritsa ntchito mafuta osagwira bwino.

Zotsatira zina zoyipa:

• chifuwa
• chiwindi
• kupweteka m'mimba
• dyspepsia
• kupatuka kwamawonekedwe amwazi,
• jaundice.

Kuchita ndi njira zina

Kuwonjezeka kwa mphamvu ya matenda a diabetes (mwayi wa hypoglycemia) amadziwika akaphatikizidwa ndi othandizira oterewa (kugwiritsa ntchito palimodzi sikulimbikitsidwa):

• Miconazole (kufananizidwa ndikotsutsana),
• Ethanoli
• Phenylbutazone.

Mosamala, kugwiritsa ntchito Diabeteson kuyenera kuphatikizidwa ndi othandizira (chiopsezo cha hypoglycemia):

• Insulin
• β-blockers
• Biguanides
• Fluconazole
• NSAIDs
• Acarbose
• monoamine oxidase zoletsa
• histamine receptor blockers,
• ACE zoletsa.

Kuphatikiza ndi mankhwala otsatirawa kumachepetsa mphamvu ya Diabeteson (chiopsezo cha hyperglycemia):

• corticosteroids
• Terbutaline
• Chlorpromazine
• Ritodrin
• Tetracosactide,
• Salbutamol.

Matenda a shuga amawonjezera mphamvu ya ma anticoagulants. Mlingo wa mankhwala omwe amachepetsa kuchuluka kwa magazi amayenera kusintha.

Kuchita kwa mankhwala ndi mowa kumapangidwa. Ndikofunikira kudziwa kuti pogwiritsa ntchito Diabeteson ndi mowa munthawi yomweyo, chiopsezo cha hypoglycemia chimakulanso, zomwe zimawonetsa kutsutsana kochepa kwambiri.

Ma Synonyms (aku Russia ndi achilendo) a Diabeteson ndi ndalama zolemba.

• Dziwani
• Gliclazide kuchokera kwa opanga osiyanasiyana,
• Diazide,
• Dianorm,
• Diabetalong (analogue)
• Glykinorm,
• Glidia
• Sinthani
• Panmicron
• Mdyerekezi.

Zofanizira zoterezi zimachokera kunja kapena Russian (zotsika mtengo) ndizosankha zodzaza ndi Diabeteson, zomwe zimasiyana ndi iwo okha opanga (mawonekedwe omasulidwa kwa mankhwala onse ndi mapiritsi).

Zofananira zina za Diabetes, zomwe zimasiyana pakapangidwe, koma zimayenderana ndi zomwe zimachitika mthupi, ndimankhwala otere:

• Matenda a shuga, Forekonda (BAA),
• malonda okhala ndi glimepiride (Amaryl, Altar),
• Kukonzekera kochokera ku Glibenclamide (Maninil),
• mankhwala okhala ndi glipizide (glenez),
• Zinthu zopangidwa ndi Metformin (Siofor, Glucofage),
• zinthu zomwe zili ndi glycidone (glurenorm).

Zofunika! Dokotala wokhawo amene amapezekapo ndi amene amatha kusintha mankhwala ochepetsa shuga. Tiyenera kumvetsetsa kuti mankhwalawa amatha kuthandizidwa pang'onopang'ono moyang'aniridwa ndi dokotala kuti apewe zovuta komanso kufalikira kwa matendawa.

Migwirizano yogulitsa ndikusunga

Mankhwalawa amayenera kuperekedwa m'mafakisoni pokhapokha ngati odwala ali ndi maphikidwe ku Chilatini.

Kusunga ndalama kuyenera kuchitika munyengo yotere:

• zipinda zowuma
• kutentha kusaposa 25⁰⁰,
• kutali ndi ana.

Kuopsa kwa hypoglycemia kumatha kukhudza kuthekera kwa odwala kuyendetsa magalimoto ndi machitidwe enieni. Ndikofunika kusamala kwambiri, makamaka kumayambiriro kwa chithandizo.

Kutengera zakumwambazo pomwa mankhwalawa, ndikofunikira kusunga zakudya zoyenera, kuti muchepetse zakumwa zina. Pa mankhwala ndi mankhwalawa, mphamvu ya thupi imatha kuchepa, zomwe zimafunikira kuwunika mozama kuchuluka kwa shuga m'magazi komanso kusintha kwa nthawi yake.

Mtengo wa odwala matenda ashuga amasiyana mitundu yayikulu:

• mapiritsi a 30 mg mg kuchokera ku ruble 272,
• mapiritsi mv 60 mg - kuchokera ku ma ruble 320.

Oksana Palerna, endocrinologist: Diabeteson imathandizira kutulutsa shuga m'magazi. Mlingo woyenera (kamodzi patsiku) umachotsa zolakwa pakugwiritsa ntchito mankhwalawo. Nthawi yovomerezeka imadalira momwe wodwalayo alili, amasankhidwa payekha.

Ivanna Radchenko, endocrinologist: musanatenge matenda a shuga, ndikofunikira kuphunzira malangizo ogwiritsira ntchito ndi malangizo a dokotala. Matenda a shuga amangolembera matenda onga matenda ashuga a 2 okha. Ndikofunikira kutsatira zakudya, zolimbitsa thupi za odwala. Zovuta zoterezi zimapangitsa chithandizo chamankhwala kukhala chothandiza kwambiri.

Irina G.: Wokhala ndi matenda ashuga a 2, ndinayesa mankhwala osokoneza bongo monga Diabetesalong, Amaril, Diabeteson, Siofor. Ndalama zonsezi ndizofanana pogwira ntchito, koma zimasiyana pakapangidwe kake. Ndikunena kuti a Diabetes adakhala wothandiza kwa ine, zomwe ndakhala ndikuzitenga kwa nthawi yayitali. Ndimalekerera mankhwalawa bwino, ndimatsata zakudya zomwe adokotala adandipatsa.

Oleg N .: m'mbuyomu, pa matenda ashuga, adokotala adamuuza Maninil. Tsopano asintha kugwiritsa ntchito Diabeteson. Ndizosatheka kunena mosamveka kuti ndibwino - Maninil kapena Diabetes. Ndikuwona kuti ndalekerera bwino Diabeteson, yomwe imapangitsa kuti shuga azikhala bwino kwa maola 24. Mukamagwiritsa ntchito Maninil (zimawononga pang'ono) pofika madzulo (mutadya chakudya chamadzulo) nthawi zina, kuchuluka kwa shuga kumawonjezeka, sizinawone kuti mutu umapweteka.

Maninil akutani?

Maninil ndi othandizira odwala matenda ashuga omwe chophatikiza chake chachikulu ndi glibenclamide.

Maninil ndi othandizira odwala matenda ashuga omwe chophatikiza chake chachikulu ndi glibenclamide.

Mulinso:

• lactose monohydrate,
• gelatin
• talcum ufa
• magnesium wakuba,
• wowuma mbatata
• utoto.

Fomu yotulutsayo ndi mapiritsi osachedwa kupindika, omwe kuchuluka kwa zidutswa 120 ali m'mabotolo amtundu wamagalasi osakhala ndi maonekedwe omwe amaikidwa mukatoni.

Zotsatira zamankhwala pathupi ndikuti maselo a beta amathandizira kupanga insulin. Izi zimachitika m'maselo a kapamba munthu atatha kudya, zomwe zimapangitsa kuti magazi a glycemia m'magazi amatsika. Achire zotsatira zimatha tsiku. Mankhwalawa amamwetsa msanga komanso pafupi kutha. Yake kwambiri ndende pambuyo ntchito zimatheka pambuyo 2,5 maola.

Gawo lalikulu limatha kumangiriza kwathunthu mapuloteni a plasma. Kagayidwe kake ka chinthu chogwira ntchito kamapezeka m'maselo a chiwindi, ndikupanga 2 metabolites osagwira. Kuchotsa kwina kumachitika ndi bile, ndipo chachiwiri ndi mkodzo.

Maninil akuwonetsedwa ngati matenda ashuga amtundu wa 2. Kuphatikiza apo, mankhwalawa amatha kugwiritsidwa ntchito nthawi imodzi ndi othandizira ena odwala matenda a shuga, kuwonjezera pa sulfonylureas ndi ironides.

Maninil akuwonetsedwa ngati matenda ashuga amtundu wa 2.

• mtundu 1 shuga
• Matumbo, m'mimba,
• kwambiri aimpso ndi kwa chiwindi kulephera,
• atachitidwa opaleshoni kuti muchotse kapamba,
• matenda ashuga ketoacidosis,
• matenda a shuga
• leukopenia
• shuga-6-phosphate dehydrogenase akusowa,
• kuwonongeka kwa kagayidwe kachakudya kagayidwe kachakudya, kuwonongeka, matenda opatsirana kapena pambuyo pa opaleshoni ndi mankhwala a insulin,
• wazaka 18
• Mimba ndi kuyamwa
• tsankho limodzi ndi zigawo zikuluzikulu za mankhwala.

Manilin ayenera kugwiritsidwa ntchito mosamala odwala omwe ali ndi vuto loledzera la mowa, matenda a febrile, uchidakwa, matenda a chithokomiro omwe ali ndi vuto la kuwonongeka, chiwopsezo cha anterior pituitary kapena adrenal cortex, odwala omwe ali ndi zaka zoposa 70.

Kumwa mankhwala akhoza limodzi ndi chitukuko cha mavuto kuchokera:

• kugaya chakudya: nseru, kusanza, kulemera m'mimba, kutsekula m'mimba, kutsekemera kwazitsulo mkamwa, kupweteka kwam'mimba,
• hematopoietic: thrombocytopenia, leukopenia, erythropenia, agranulocytosis, pancytopenia, hemolytic anemia,
• chitetezo: urticaria, kuyabwa, phenura, petechiae, kuchuluka kwa khungu, zomwe zimachitika limodzi ndi proteinuria, jaundice, malungo, zotupa pakhungu, arthralgia, Matupi a vasculitis, anaphylactic mantha,
• kagayidwe: hypoglycemia, yomwe imawonetsedwa ndi kunjenjemera, njala, kugona, tachycardia, hyperthermia, kupweteka kwa mutu, nkhawa, kusokonezeka kwa kayendedwe, chinyezi cha khungu, mantha,
• chiwindi ndi biliary thirakiti: chiwindi, intrahepatic cholestasis.

Kuphatikiza apo, mutamwa mankhwalawa, kutsegula m'maso kumatha kuwona, kukomoka kumawonjezereka, kuchepa kwa proteinuria, hyponatremia kumatha. Pogwiritsa ntchito Maninil, muyenera kutsatira malangizo a dokotala, kuona kadyedwe komanso kuwongolera kuchuluka kwa shuga m'magazi.

Wopanga mankhwalawa ndi Berlin-Chemie AG, Germany.