Diabeteson MV: malangizo, ntchito, maupangiri, ndemanga, mitengo, mankhwala ku Russia

Diabetes ndi mankhwala omwe amalimbikitsidwa pochiza matenda a shuga a mtundu wachiwiri. Chofunikira chachikulu ndi gliclazide, mankhwalawo ndi amtundu wa mankhwala omwe amachokera ku sulfonylurea.

Mu mankhwalawa mutha kugula mankhwala a Diabeteson okha, komanso mankhwala a Diabeteson MV 30 kapena 60 mg. MV imatanthawuza kutulutsidwa kosinthidwa kwa gawo logwira, ndipo chifukwa cha izi, mapiritsi a shuga amachitika modekha thupi.

Ngati tiyerekeza awa mankhwalawa, titha kunena kuti ali ndi mawonekedwe omwewo. Komabe, Diabeteson yosavuta imadziwika ndi kutulutsidwa mwachangu, komwe sikumakhala koyenera nthawi zonse pochiza matenda "okoma".

Nawonso, shuga yosinthidwa yosinthika imakhudzanso thupi, zomwe zimapangitsa kuti mankhwalawa akhale othandiza. Ichi ndichifukwa chake madokotala amalimbikitsa kugula mapiritsi olembedwa "MV".

Zochita zikuwonetsa kuti odwala matenda ashuga 30 mg kapena 60 mg ndi omwe amaperekedwa pafupifupi kulikonse, ndipo nthawi zonse izi sizoyenera. Munthawi zambiri, nkoyenera kugwiritsa ntchito mitundu ya Diabeteson.

Chifukwa chake, tiyeni tiwone m'malo omwe Diabeteson alowa m'malo abwino kwambiri komanso othandiza kwambiri, komanso momwe angatengere ma analogi molondola?

Zambiri zokhudzana ndi mankhwalawa komanso mawonekedwe ake

Diabeteson MV 60 mg n30 ali m'gulu lamankhwala omwe amathandizira kugwira ntchito kwa kapamba, chifukwa chomwe chikuwonjezera kuchuluka kwa insulin mthupi.

Dziwani kuti mankhwalawa ali osavomerezeka pochiza matenda osokoneza bongo, omwe amapezeka motsutsana ndi maziko a kunenepa kwambiri. Zimaphatikizidwa ndi chithandizo chamankhwala pomwe zidziwitso zakutha kwa magwiridwe antchito a kapamba ziwululidwa.

Matenda a shuga sayenera kugwiritsidwa ntchito ngati wodwala ali ndi mbiri yokhala ndi matenda a shuga 1, matenda okhudzana ndi mankhwala osokoneza bongo, ketoacidosis, sayenera kuledzera pakubala kwa ana, vuto la chiwindi ndi impso.

Mankhwala oyamba omwe amagulitsidwa ku pharmacies omwe ali ndi yogwira pophika gliclazide ndi a shuga. Chingalowe m'malo mankhwalawa, odwala ali ndi chidwi ndi chiyani? A Diabetes ali ndi ma fanizo otsatirawa:

• Diabefarm (wopanga Russia).
• Glidiab, Glyclazide.
• Diabinax, Predian.
• Glioral, Vero-Glyclazide.

Dziwani kuti ma fanizo a mankhwalawa ali ndi gawo limodzi monga Diabeteson MV 60 mg n30, komabe, amatha kusiyanasiyana pazinthu zina zothandizira, motero, kugwiritsa ntchito kwake kumatha kutsika pang'ono.

Chofunikira: pakuwongolera kupereka mankhwala oyambira kapena mawonekedwe ake, chisankho chimapangidwa ndi adokotala. Simungathe kusintha mankhwalawa nokha, ngakhale atakhala ndi mawonekedwe ofananawo.

Diabefarm - cholowa m'malo mwa Diabeteson MV

Diabefarm ndi mankhwala ochizira matenda osachiritsika, omwe amagwiritsidwa ntchito kwambiri ndi glycazide. Mankhwalawa ndi amachokera ku sulfonylurea, mapiritsi amayenera kumwa ndi pakamwa.

Muyenera kumwa mankhwalawa pakudya, pafupifupi mankhwala tsiku lililonse ndi 80 mg. Zokhudza mlingo wapakati, zimasiyanasiyana mosiyanasiyana kuyambira 160 mpaka 320 mg.

Mlingo umatengera gulu la odwala, momwe matendawo alili komanso zovuta zake, komanso kuchuluka kwa shuga mthupi.

Mankhwala okhala ndi masinthidwe osinthika amayenera kumwa kamodzi m'mawa. Mlingo ndi 30 mg. Zikakhala kuti mlingo umodzi wa mankhwalawo umadulidwa, tsiku lachiwiri mlingo wovomerezeka ndi wovomerezeka.

Malangizo ogwiritsa ntchito akuti kumwa mankhwalawa kungapangitse zotsatirazi zoyipa:

1. Hypoglycemic state.
2. Mutu, kukhumudwa kosalekeza.
3. Kukula kudya, kuchuluka thukuta.
4. Kusavutikira kwenikweni, kuchita ukali.
5. Chizungulire, mayiko olimbikitsa.
6. Kufupika, kuthamanga kwa mtima.

Nthawi ya bere, nthawi yoyamba ya shuga, ketoacidosis, hypoglycemic chikomokere, ana osaposa zaka 18. Mtengo wa malonda umasiyanasiyana kuchokera ku ruble 100 mpaka 130.

Gliclazide pa matenda ashuga

Analog ya Diabeteson MV 30 mg n30 ndi mankhwala Gliclazide - mankhwala okhudzana ndi sulfonylureas a m'badwo wachiwiri. Mapiritsi amathandizira pakupanga insulin m'thupi, zomwe zimapangitsa kuti shuga azikhala ochepa.

Chizindikiro cha mankhwalawa ndikuti amadziwika ndi nthawi yayitali, ndipo zotsatira zake zimapitilira tsiku limodzi. Iwo akulimbikitsidwa zochizira mtundu 2 matenda a shuga, komanso kupewa mavuto a matenda.

Type 1 shuga mellitus, matenda a impso ndi chiwindi, Hypersensitivity kwa mankhwala, pakati ndi kuyamwitsa, ana osakwana zaka 18.

Malangizo ogwiritsira ntchito mankhwalawa:

• Mlingo woyamba wa tsiku ndi tsiku ndi 80 mg. Tengani kawiri patsiku kwa theka la ola musanadye.
• Mankhwala, mlingo umatha kusintha kuti mupeze kufunika kwa achire.
• Mlingo waukulu mu maola 24 ndi 320 mg.

Gliclazide yosinthika yosinthika imatengedwa kamodzi patsiku chakudya cham'mawa. Mlingo woyambirira ndi 30 mg. Pambuyo pa milungu iwiri mutatenga, mutha kuonjezera mpaka 90-120 mg.

Mutha kugula mankhwala ochizira matenda amishuga amtundu wa 2 mu pharmacy kapena kiosk. Mtengo wake umachokera ku ruble 100 mpaka 150.

Predian pochiza matenda "okoma"

Predian - mapiritsi olamulidwa otulutsidwa amathandizidwa pochizira matenda a shuga a 2 pomwe chakudya chochepa kwambiri cha anthu odwala matenda ashuga komanso masewera olimbitsa thupi sichinapangitse kufunika.

Mankhwalawa amatengeka kwambiri m'mimba, ndipo kuchuluka kwa zinthu zogwira ntchito mthupi kumawonedwa patatha maola 2-4 mutatha. Pafupifupi 70% ya mankhwalawa amachotsedwa ndi mkodzo, 12-15% imachotsedwera limodzi ndi ndowe mu mawonekedwe a metabolites.

Simungatenge: matenda a shuga omwe amadalira insulin, mtundu uliwonse wa kulephera kwaimpso kapena chiwindi, boma la precomatose, pakati, chidwi ndi mankhwalawo kapena zigawo zake.

Ponena za kuchuluka kwa mankhwalawa, ndiye kuti Predian adayamwa kuti amwe mlingo womwewo wa Diabeteson ndi mankhwala ofanana. Malangizo ogwiritsira ntchito akuwonetsa kuti chipangizocho chili ndi mndandanda wazotsatira zoyipa:

1. Kutentha kwamphamvu, mutu ndi chizungulire.
2. Minyewa ndi kupweteka kwamkati, mseru komanso kusanza.
3. Kusokoneza kwam'mimba.
4. Kukwiya komanso kuchita ukali.
5. Hypoglycemic state.
6. Thupi lawo siligwirizana ndi mawonekedwe a khungu.

Tiyenera kudziwa kuti odwala matenda ashuga ndi mitundu yake yonse amayenera kumwedwa molingana ndi mlingo womwe adotolo adauza, osati malangizo. Chowonadi ndi chakuti pophunzitsidwa ndi mankhwalawo amaperekedwa ndi zisonyezo zapakati pake, motero, sizigwirizana ndi aliyense kuchipatala.

Ndi mankhwala ati omwe mungasankhe mumkhalidwe woperekedwa amasankhidwa ndi adokotala okha. Mukamapereka mankhwala, zaka za wodwalayo, zomwe matendawo akuwona komanso zovuta zake, njira zothandizira, thanzi la wodwalayo ndi zovuta zina zimawaganiziridwa.

Kodi mukuganiza bwanji pamenepa? Mumamwa mtundu wanji wa matenda a shuga, ndipo amakuthandizani?

Zizindikiro zogwiritsidwa ntchito

Kodi chimathandiza ndi ndani Diabeteson MV? Malinga ndi malangizo, mankhwalawa amalembedwa motere:

• Type 2 shuga mellitus ngati njira zina (chithandizo cha zakudya, zolimbitsa thupi ndi kuchepa thupi) sizigwira ntchito mokwanira,
• Mavuto a shuga mellitus (kupewa ndi glycemic control): kuchepa kwakukulu kwa zovuta zamankhwala ochepa (nephropathy, retinopathy, stroko, myocardial infarction) kwa odwala amtundu wa matenda a shuga 2.

Malangizo ogwiritsira ntchito Diabeteson MV (30 60 mg), mlingo

Mlingo wa tsiku ndi tsiku wa mankhwala amatsimikiziridwa ndi dokotala kutengera kuchuluka kwa shuga m'magazi, kapamba, kukhalapo kapena kusowa kwa zovuta.

Mankhwalawa amapangidwira achikulire okha. Piritsi imachotsedwa yonse pakudya kapena isanayambe, kutsukidwa ndi madzi, 1 nthawi patsiku limodzi.

Mlingo woyambirira woyesedwa ndi malangizo a Diabeteson MV - piritsi limodzi 30 mg 1 nthawi patsiku.

Pofuna kuwongolera mokwanira, mankhwalawa amatha kugwiritsidwa ntchito pokonzanso mankhwala.

Ndi osakwanira pakuwongolera glycemic, mlingo wa tsiku ndi tsiku wa Diabeteson MV ukhoza kuwonjezeka motsatana mpaka 60 mg, 90 mg kapena 120 mg.

Mlingo wambiri watsiku ndi tsiku ndi 120 mg.

Pokhapokha ngati mukuyembekezeredwa, muyenera kufunsa dokotala kuti musinthe mankhwalawa komanso mankhwalawa.

Mukasintha kuchokera ku Diabeteson kupita ku Diabeteson MV, piritsi limodzi la 80 mg lingasinthidwe ndi piritsi 1 la 30 mg ya Diabeteson MV. Pakusintha ndikulimbikitsidwa kuti muzitsatira mosamala glycemic control.

Malangizo apadera

Pa mankhwalawa, kukula kwa hypoglycemia kumatheka, ndipo nthawi zina mu fomu yayitali / yayikulu, yomwe imafuna kugonekedwa kuchipatala ndi dextrose wamkati kwa masiku angapo.

Diabeteson MB imatha kutumikiridwa pokhapokha ngati wodwala amadya pafupipafupi komanso kuphatikiza chakudya cham'mawa. Ndikofunika kwambiri kuti pakhale chakudya chokwanira chamafuta kuchokera ku chakudya, chifukwa kuchuluka kwa matenda a hypoglycemia osakhazikika / kuperewera kwa zakudya m'thupi, komanso kudya zakudya zoperewera m'thupi, kumawonjezeka.

Nthawi zambiri, kupezeka kwa hypoglycemia kumachitika ndi chakudya chamafuta ochepa, mutatha kuchita masewera olimbitsa thupi kwa nthawi yayitali, kumwa mowa, kapena munthawi yomweyo kugwiritsa ntchito mankhwala angapo a hypoglycemic.

Zotsatira zoyipa

Malangizowa amachenjeza za mwayi wokhala ndi zotsatirapo zoyipa mukamapereka mankhwala a Diabeteson MV 30-60 mg:

• Hypoglycemia (kuphwanya malamulo a dosing komanso kudya mokwanira): kupweteka mutu, kumva kutopa, njala, kutuluka thukuta kwambiri, kufooka, kugona, kugona, kugona, kukwiya, nkhawa, kusakwiya, kuzindikira, kulephera kuganizira komanso kusachedwa kuyankha, kukhumudwa, kusokonezeka m'maso, kuphwanya, kugwedezeka, kusokonezeka kwamalingaliro, chizungulire, kumva zopanda pake, kulephera kudziletsa, kupuma, kukokana, kupsinjika, kuzindikira dicardia.
• Kuchokera mmimba: dyspepsia (nseru, kutsegula m'mimba, kumva kupsinjika kwa epigastrium), kuchepa kudya - zovuta zimachepa ndimakudya, kawirikawiri - kusowa kwa chiwindi (cholestatic jaundice, kuchuluka kwa transaminases ya "chiwindi").
• Kuchokera hemopoietic ziwalo: chopinga cha mafupa hematopoiesis (magazi m'thupi, thrombocytopenia, leukopenia).
• Thupi lawo siligwirizana: kuyabwa, urticaria, zotupa za maculopapular.
• Zina: kuyipa kwa khungu ndi mucous nembanemba Overdose. Zizindikiro: hypoglycemia, kusokonezeka kwa chikumbumtima, hypoglycemic chikomokere.

Contraindication

Amatsutsana kuti apereke mankhwala a Diabeteson MV pazotsatirazi:

• Mtundu woyamba wa shuga
• Dongosolo la matenda ashuga ketoacidosis, matenda a shuga, matenda a shuga,
• Zowopsa zaimpso kapena kwa chiwindi (mu izi, ndikofunikira kugwiritsa ntchito insulin),
• Kugwiritsa ntchito miconazole moyenera,
• Mimba
• Kuchepetsa (kuyamwitsa),
• Osakwana zaka 18
• Hypersensitivity kuti gliclazide kapena aliyense wotenga mankhwala, ena sulfonylurea zotumphukira, sulfonamides.

Chifukwa cha kupezeka kwa lactose mu kapangidwe kake, mankhwalawa samalimbikitsidwa kwa anthu omwe amabadwa ndi vuto lactose, galactosemia, glucose / galactose malabsorption.

Sitikulimbikitsidwa kugwiritsa ntchito mankhwalawa limodzi ndi phenylbutazone kapena danazole.

Chenjezo liyenera kugwiritsidwa ntchito mosasamala komanso / kapena kuperewera kwa zakudya m'thupi, kuchepa kwa glucose-6-phosphate dehydrogenase, matenda owopsa a mtima, kuperewera kwa mitsempha, kulephera kwa adrenal kapena pituitary, aimpso ndi / kapena kulephera kwa chiwindi, chithandizo cha nthawi yayitali ndi glucocorticosteroids, uchidakwa, odwala okalamba .

Bongo

Pankhani ya mankhwala osokoneza bongo, hypoglycemia imatha kupezeka (onani mavuto).

Ngati munthu sagwiritsa ntchito jakisoni panthawi, ndiye kuti vutoli limatha. Ngati mwangozi mwalandira mankhwala ambiri, muyenera kumwa tiyi wokoma nthawi yomweyo ndikupempha thandizo kuchipatala.

Ngati ndi kotheka, mankhwala othandizira amachitidwa.

Analogs Diabeteson MV, mtengo pama pharmacies

Ngati ndi kotheka, mutha kusintha m'malo mwa Diabeteson MV ndi analogue yogwira ntchito - awa ndi mankhwala:

Mukamasankha analogues, ndikofunikira kumvetsetsa kuti malangizo ogwiritsira ntchito Diabeteson MV (30 60 mg), mtengo ndi ndemanga sizigwira ntchito kwa omwe ali ndi mankhwala ofananawo. Ndikofunikira kupeza upangiri wa dokotala komanso kuti usasinthe popanda mankhwala.

Mtengo m'masitolo apamwamba aku Russia: Mapiritsi a Diabeteson MV 60 mg 30 - kuchokera pa 331 mpaka 372 ma ruble, malinga ndi mafakitale 692.

Pewani kufikira ana. Mankhwala safuna malo osungirako apadera. Moyo wa alumali ndi zaka 2.

Miyezo yofalitsa kuchokera kuzipatala ndi mankhwala.

Ndemanga zisanu za "Diabeteson MV"

Agogo anga aakazi amatenga piritsi limodzi la Diabeteson MV m'mawa pafupifupi zaka zisanu. Kukhutitsidwa kwambiri. Ku chipatala adayesa kupereka analog, tidakana. Tsopano dzigulireni.

Matenda a shuga koyambirira. Piritsi limodzi 1 ndilokwanira kusunga kuchuluka kwa shuga + zakudya, koma osati okhwima kwambiri.

sizindithandiza, ndadwala miyezi 9, kuchokera pa 78 kg ndataya 20 kg, ndili ndi mantha kuti mtundu wa 2 udasandulika 1, posachedwa ndazindikira.

Kumwa piritsi limodzi ndikothandiza ndipo sikuyambitsa chifuwa kapena mavuto ena.

Ntchito mogwirizana ndi malangizo Malangizo apakati Mimba ndi mkaka wa m`mawere Ntchito ana

M'malo oyenera a Diabeteson MV

Glidiab (mapiritsi) Kukala: 81 Pamwamba

Analogue ndiyotsika mtengo kuchokera ku ma ruble 168.

M'malo opindulitsa kwambiri a Diabetes, chifukwa choti phukusi silikhala ndi mapiritsi 30 (monga momwe adalili mankhwala oyambirirawo), koma 60, motero ndi chithandizo chotenga nthawi yayitali zimakhala zopindulitsa kwambiri. Kuphatikizika, kuphatikiza pa kuchuluka kwa gawo lomwe limagwira, palibe kusiyana kwakukulu.

Ine ndekha ndidayandikira mankhwalawo, koma ndikuchenjezani nthawi yomweyo - zotsatira zake sizithamanga. Shuga wanga anali kuyambira 7.5 mpaka 8.2 - kwenikweni, koma nthawi yomweyo amakhala otsika, anthu amatenga 20. Koma ngakhale shuga uyu wa Glidiab anali wocheperako pakatha mwezi umodzi wokha - izi zimayenda pang'onopang'ono. Koma, nthawi yomweyo, mankhwalawa ndi abwino chifukwa chakuti shuga amachepetsedwa pang'ono pang'ono, simudzapeza dontho lakuthwa komanso hypoglycemia ngati mutasankha mlingo woyenera. Ndimamwa piritsi limodzi lokha, choncho kulibenso mavuto, ndipo kuchokera kumbali zakumaso, ndimangolumbira thukuta. Tsopano ndikupitilizabe kutenga Glidiab - kwa mwezi wachinayi tsopano, kuuluka kwawo ndikwabwinobwino - sindimakonda kukwera pamwamba pa shuga 5.3-5.5.

Roxanne, koma sunayese maninil?

Kodi ndingathe kuzigwiritsa ntchito ngati ndimamwa metoformin?

Analogue ndiotsika mtengo kuchokera ku ma ruble 160.

Mapiritsi amasinthidwe otulutsidwa a Glyclazide mu mlingo wa 30 mg kapena kupitilira. Amagwiritsidwanso ntchito ngati mtundu wachiwiri wa matenda ashuga, ngati mukudya mokwanira komanso / kapena zochitika zolimbitsa thupi. Pali zotsutsana ndi zoletsa zaka.

Ndinagula chifukwa cha mtengo wabwino, koma ndikuyenerabe kugula Diabeteson yotchuka.Pankhani ya Gliclazide, kusankha kwa mankhwala ndi nkhani ina. Poyamba, zochepa ndizomwe zimayikidwa, koma kwa ine zinakhala zopanda mphamvu - shuga idatsika pang'ono, mwa 0.5-0.7 mmol. Thandizo lofooka mukakhala ndi shuga 9.2 mmol. Ndinaganiza kuti mukungofunika kuzitenga nthawi yayitali, ndiye kuti zotsatira zake ziziwonjezeka. Chilichonse chomwe chinali - ndinamwa kwa milungu itatu, koma zonse sizinaphule kanthu. Kenako, kuchuluka kwa mankhwalawo - zinthu zinayenda bwino, ngakhale pang'ono, koma zotsatira zake zoyipa zinatuluka - zolimba kwambiri. Poyamba, kumangomva kulira kwa mutu kumandizunza, koma patapita nthawi kunjenjemera ndikuwonjezeredwa kwa izi, ndipo masomphenyawo adayamba kukhala opusa - ndidawona chilichonse mozungulira ngati galasi lonyansa. Zachidziwikire, ndidapereka uthenga wabwino kwa Glyclazide ndikusinthira ku Diabeteson. Imeneyi ndi nkhani inanso. Shuga amabwerera mwachangu koma osayambitsa mavuto ambiri, nthawi zina ndimakhala wofooka kwambiri.

Diabefarm MV (mapiritsi) Kukala: 49 Pamwamba

Analogue ndiotsika mtengo kuchokera ku ma ruble 158.

Mankhwala ena aku Russia, omwe nawonso amakhala otsika mtengo kwambiri kuposa a Diabetes, ngakhale mwanjira ya kapangidwe, njira yogwiritsira ntchito ndi zidziwitso zake sizimasiyana. Contraindated pansi pa zaka 18, pa mimba ndi mkaka wa m`mawere.

Diabetes, Diabefarm ndi kampani - zonsezi zimayambitsa hypoglycemia. Ngakhale ndi mlingo wocheperako, ndinamva kuwawa, ndipo ndikamwa nthawi yayitali, mavutowo anali kukulira - izi zinali chifukwa chakuti shuga anali kuchulukirachulukira. Ndizinthu zachilendo - ndimamwa mapiritsi awiri omwewo, koma pazifukwa zina sabata yoyamba shuga yanga idatsikira pafupifupi asanu, ndipo ngakhale nditatha sabata lopitilira ndidasiya kukwera kuposa anayi. Nthawi yomweyo, panali kufooka koopsa, mutu wanga unkangotuluka tsiku lonse ndikukana kugwira ntchito konse. Pakuyamba sabata yachinayi yakuvomerezedwa, adakomoka pakati pamsewu, pambuyo pake adalimbana ndi Diabefarm.

Popeza kuti matenda ashuga amayenera kumwa pafupipafupi, zimakhala zopindulitsa kwambiri kutenga Diabefarm - ndi "m'bale" wa Diabeteson, monga zinachitikira, zimangotsika mtengo. Amachitanso chimodzimodzi - ndimamwa mapiritsi awiri patsiku, m'mawa ndi madzulo, izi ndizokwanira kuti shuga isayende. Imayamba kuthandizidwa kuyambira tsiku loyamba kudya, ndizofunikira - shuga amayamba kudzilimbitsa nthawi yomweyo, ngakhale ndiwokwera kwambiri, amagwiritsa mpaka 15. Koma muyenera kumwa tsiku lililonse ngati mawotchi - nditayiwala kumwa m'mawa, ndiye kuti shugayo analumpha kwambiri, ndiye muyenera kuzindikira kuti takhala ndi "Diabefarm" moyo wathu wonse. Zotsatira zake ndizovuta - chida chimathandizira kuthana ndi chisangalalo chosatha. Ndinali ndimavuto akulu thupi zisanachitike, ndipo nditayamba kumwa mankhwalawo, patatha sabata imodzi ndinazindikira kuti kulakalaka kwanga kumachepa, ndinachepa pang'ono ndipo ndinadzazidwa mofulumira. Kuphatikiza apo, Diabefarm imathandizira minofu kutentha kwambiri shuga ndikuyambitsa kagayidwe kazakudya - kwakukulu, pakupitilira miyezi 7 ndataya 18,3 kg yonse, ndipo njirayi ikadali yopitilira. Ndipo zokhudzana ndi zovuta - simuyenera kuwopa iwo, ngati mlingo wake uli wolondola ndipo palibe zotsutsana, palibe chomwe chidzachitike kwa inu - ndakhala ndikumwa mankhwalawa kwa nthawi yayitali, ndipo sindinazindikire china chilichonse chowopsa kuposa chizungulire.

Kugwiritsa ntchito mankhwala a shuga

Mankhwala a Diabeteson mu mapiritsi amodzi ndi kumasulidwa kosinthika (MV) amaperekedwa kwa odwala omwe ali ndi matenda a shuga a 2, omwe kudya ndi kuchita masewera olimbitsa thupi sikuyendetsa bwino matenda. The yogwira pophika mankhwala ndi gliclazide. Ndi m'gulu la sulfonylureas. Gliclazide imathandizira maselo a kancreatic pancreatic beta kuti apange ndikusunga insulin yambiri m'magazi, timadzi timene timatsitsa shuga.

Ndikulimbikitsidwa kuti odwala omwe ali ndi matenda a shuga a 2 asamayike mankhwala a Diabeteson koyambirira, koma mankhwala a Metformin - Siofor, Glucofage kapena Glformin. Mlingo wa metformin pang'onopang'ono umachulukitsidwa kuchokera 500-850 mpaka 2000-3000 mg patsiku. Ndipo pokhapokha ngati mankhwalawo amachepetsa shuga mosakwanira, zochokera ku sulfonylurea zimawonjezeredwa kwa iwo.

Gliclazide mapiritsi otulutsidwa otulutsidwa mosiyanasiyana kwa maola 24. Mpaka pano, machitidwe othandizira odwala matenda ashuga amalimbikitsa kuti madokotala azigwiritsa ntchito Diabeteson MV kwa odwala awo omwe ali ndi matenda a shuga a 2, m'malo mwa m'badwo wam'mbuyomu sulfonylureas. Mwachitsanzo, onani nkhani ya "Zotsatira za kafukufuku wa DYNASTY (" A Diabeteson MV: pulogalamu yowonera pakati pa odwala omwe ali ndi matenda a shuga 2 nthawi zonse azolowera kuchita ")" mu magazine "Matenda a Endocrinology" No. 5/2012, wolemba M. V. Shestakova, O K. Vikulova ndi ena.

Diabeteson MV amachepetsa kwambiri magazi. Odwala monga choncho ndiosavuta kutenga kamodzi patsiku. Imakhala yotetezeka kuposa mankhwala akale - mankhwala a sulfonylurea. Komabe, imakhala ndi vuto, chifukwa ndibwino kuti odwala matenda ashuga asamamwe. Werengani pansipa zomwe zili ndi vuto la Diabetes, lomwe limafotokoza zabwino zake zonse. Tsamba la Diabetes-Med.Com limalimbikitsa chithandizo chamankhwala amtundu wa 2 wopanda mapiritsi owononga.

• Chithandizo cha matenda a shuga a mtundu wachiwiri: njira yotsatirira - yopanda njala, mankhwala osokoneza bongo komanso jakisoni wa insulin
• Mapiritsi a Siofor ndi Glucofage - metformin
• Momwe mungaphunzirire kusangalala ndi maphunziro akuthupi

Ubwino ndi zoyipa

Chithandizo cha matenda a shuga a mtundu wachiwiri mothandizidwa ndi mankhwalawa a Diabeteson MV zimapereka zotsatira zabwino pakanthawi kochepa:

• Odwala achepetsa shuga la magazi,
• chiopsezo cha hypoglycemia sichikupitilira 7%, chomwe ndi chotsika kwambiri poyerekeza ndi zina zomwe zimachokera ku sulfonylurea,
• ndikwabwino kumwa mankhwalawo kamodzi patsiku, kotero odwala samapereka chithandizo,
• mukumwa mankhwala a gliclazide pamapiritsi otulutsa, thupi la wodwalayo limakulitsidwa pang'ono.

Diabeteson MB yakhala mtundu wotchuka wa mankhwala ashuga a 2 chifukwa ali ndi zabwino kwa madotolo ndipo ndi abwino kwa odwala. Ndiosavuta nthawi zambiri kuti ma endocrinologists akupatseni mankhwala kuposa kulimbikitsa odwala matenda ashuga kuti azitsatira zakudya komanso masewera olimbitsa thupi. Mankhwalawa amachepetsa shuga ndipo amalekeredwa bwino. Palibe oposa 1% ya odwala omwe amadandaula za zoyipa, ndipo ena onse amakhutira.

Zoyipa zamankhwala a Diabeteson MV:

1. Imathandizira kufa kwa maselo a pancreatic beta, chifukwa matendawa amasintha kukhala matenda a 1 a shuga. Nthawi zambiri zimachitika pakati pa 2 ndi 8 zaka.
2. Mwa anthu ochepa thupi komanso owonda, matenda ashuga omwe amadalira insulin amayamba makamaka - osachedwa kuposa zaka 2-3.
3. Sizichotsa zomwe zimayambitsa matenda a shuga a 2 - kuchepa kwa chidwi kwamaselo kuti insulini. Vutoli limatchedwa insulin kukana. Kutenga Diabeteson kumatha kulimbikitsa.
4. Amachepetsa shuga yamagazi, koma samachepetsa kufa. Izi zidatsimikiziridwa ndi zotsatira za kafukufuku wawukulu wapadziko lonse ndi ADVANCE.
5. Mankhwalawa amatha kuyambitsa hypoglycemia. Zowona, kuthekera kwake ndikocheperako poyerekeza ndi kutengedwa kwina kutachitika. Komabe, matenda ashuga amtundu wa 2 amatha kuyendetsedwa mosavuta popanda chiwopsezo cha hypoglycemia.

Akatswiri kuyambira zaka za m'ma 1970 amadziwa kuti kupezeka kwa matenda a shuga a 2 kumapangitsa kuti matenda ashuga a 2 akhale osavuta. Komabe, mankhwalawa akupitilizabe kutumikiridwa. Cholinga chake ndikuti amachotsa mtolo kwa madokotala. Pakanakhala kuti palibe mapiritsi ochepetsa shuga, ndiye kuti madokotala amayenera kulemba zakudya, masewera olimbitsa thupi, ndi mtundu wa insulin kwa aliyense wodwala matenda ashuga. Iyi ndi ntchito yovuta komanso yosayamika. Odwala amakhala ngati ngwazi ya Pushkin: "Palibe zovuta kundinyenga, inenso ndili wokonzeka kudzinyenga." Alola kumwa mankhwala, koma sakonda kutsatira kadyedwe, masewera olimbitsa thupi, komanso makamaka jekeseni wa insulin.

Zowonongeka za Diabeteson pama cell a pancreatic beta kwenikweni sizikhudzanso endocrinologists ndi odwala awo. Palibe zolemba m'magazini azachipatala zokhudzana ndi vutoli. Cholinga chake ndikuti odwala ambiri omwe ali ndi matenda amtundu wa 2 alibe nthawi yopulumuka asanayambe matenda a shuga. Machitidwe awo a mtima ndi cholumikizira chochepa kwambiri kuposa kapamba. Chifukwa chake, amafa ndi vuto la mtima kapena sitiroko. Chithandizo cha matenda a shuga a mtundu 2 pochokera pakudya kopatsa mphamvu ya calcium nthawi imodzi imapangitsa matenda ashuga, kuthamanga kwa magazi, zotsatira za kuyesedwa kwa magazi chifukwa cha cholesterol ndi zina zomwe zimayambitsa mtima.

Zotsatira zakuchipatala

Momwe mayeso akulu azachipatala a Diabeteson MV anali kuphunzira VUTO: Chitetezo cha matenda a shuga komanso matenda a VAscular -
preterax ndi Diamicron MR Kuwongoleredwa Kuwunika. Idayambitsidwa mu 2001, ndipo zotsatira zake zidasindikizidwa mu 2007-2008. Diamicron MR - pansi pa dzina ili, glyclazide pamapiritsi osintha osinthika amagulitsidwa ku mayiko olankhula Chingerezi. Izi ndizofanana ndi mankhwala a Diabeteson MV. Preterax ndi mankhwala ophatikiza matenda oopsa, zosakaniza zomwe zili indapamide ndi perindopril. M'mayiko olankhula Chirasha, amagulitsidwa pansi pa dzina la Noliprel. Phunziroli lidakhudza odwala 11,140 omwe ali ndi matenda a shuga 2 komanso matenda oopsa. Adawonedwa ndi madotolo kuzipatala 215 zamayiko 20.

Diabeteson MV imatsitsa shuga, koma siyimachepetsa kufa kwa odwala omwe ali ndi matenda ashuga a 2.

Malinga ndi zotsatira za kafukufukuyu, zidapezeka kuti mapiritsi opsinjika mwa odwala omwe ali ndi matenda a shuga 2 amachepetsa pafupipafupi zovuta zamtima ndi 14%, mavuto a impso - mwa 21%, kufa - ndi 14%. Nthawi yomweyo, Diabeteson MV imachepetsa shuga m'magazi, imachepetsa kuchuluka kwa matenda a shuga ndi 21%, koma sizimakhudza kufa. Gwero la chilankhulo cha Russia - nkhani "Kutsogolera kwa odwala omwe ali ndi matenda a shuga 2: zotsatira zakufufuza" muzolemba System Hypertension No. 3/2008, wolemba Yu. Karpov. Gwero loyambirira - "Gulu la Mgwirizano WABODZA. Kulamulira kwamphamvu kwa glucose komanso zotheka mu mtima mwa odwala omwe ali ndi matenda a shuga a 2 ”mu New England Journal of Medicine, 2008, No. 358, 2560-2572.

Odwala omwe ali ndi matenda amtundu wa 2 amamulembera mapiritsi ochepetsa shuga ndi jakisoni wa insulin ngati zakudya ndi zolimbitsa thupi sizimapereka zotsatira zabwino. M'malo mwake, odwala safuna kutsatira zakudya zochepa zopatsa mphamvu. Amakonda kumwa mankhwala. Amakhala akukhulupirira kuti njira zina zochiritsira zothandiza, kupatulapo mankhwala ndi jakisoni a milingo yayikulu ya insulin, kulibe. Chifukwa chake, madokotala akupitilizabe kugwiritsa ntchito mapiritsi ochepetsa shuga omwe samachepetsa kufa. Pa Diabetes-Med.Com mutha kudziwa kuti ndizosavuta bwanji kuthana ndi matenda ashuga amtundu wa 2 popanda zakudya za "njala" ndi jakisoni wa insulin. Palibe chifukwa chomwa mankhwala oyipa, chifukwa mankhwalawa amathandizanso.

• Chithandizo cha matenda oopsa kwa odwala omwe ali ndi mtundu woyamba 1 ndi shuga
• Mapiritsi a Pressure Noliprel - Perindopril + Indapamide

Mapiritsi osinthidwa osinthidwa

Diabeteson MV - mapiritsi osinthidwa amasinthidwe. Chithandizo - gliclazide - chimamasulidwa kwa iwo pang'onopang'ono, osatero nthawi yomweyo. Chifukwa cha izi, kuphatikizika kwa gliclazide m'magazi kumakhalabe kwa maola 24. Imwani mankhwalawa kamodzi patsiku. Monga lamulo, limayikidwa m'mawa. Common Diabeteson (wopanda CF) ndi mankhwala achikulire. Piritsi lake limasungunuka kwathunthu m'matumbo atatha maola awiri ndi atatu. Gliclazide yonse yomwe imakhala imalowa nthawi yomweyo m'magazi. Diabeteson MV imatsitsa shuga bwino, komanso mapiritsi wamba, ndipo zotsatira zake zimatha msanga.

Mapiritsi amasinthidwe amasinthidwe amakono ali ndi phindu lalikulu pamankhwala okalamba. Chachikulu ndichakuti amakhala otetezeka. Diabeteson MV imayambitsa hypoglycemia (kutsitsidwa shuga) kangapo poyerekeza ndi Diabeton wokhazikika komanso zotumphukira zina za sulfonylurea. Malinga ndi kafukufuku, chiopsezo cha hypoglycemia sichidutsa 7%, ndipo nthawi zambiri chimatha popanda zizindikiro. Poyerekeza ndi pobwera kuti mupeze mtundu watsopano wamankhwala, matenda oopsa a hypoglycemia omwe ali ndi vuto losokonezeka samachitika kawirikawiri. Mankhwalawa amalekeredwa bwino. Zotsatira zoyipa zimadziwika mu zosaposa 1% za odwala.

Mu zolemba m'magazini azachipatala, adziwe kuti molekyulu ya Diabeteson MV ndi antioxidant chifukwa cha kapangidwe kake kapadera. Koma izi zilibe phindu lenileni, sizikhudza kuthandizira kwa chithandizo cha matenda ashuga. Amadziwika kuti Diabeteson MV imachepetsa mapangidwe amwazi m'magazi. Izi zimachepetsa chiopsezo cha stroke. Koma palibe komwe kwatsimikiziridwa kuti mankhwalawa amaperekadi zoterezi. Zoyipa zamankhwala a shuga, zotumphukira za sulfonylurea, zidalembedwa pamwambapa. Mu Diabeteson MV, kutayikira kumeneku sikungatchulidwe pang'ono poyerekeza ndi mankhwala akale. Imakhudzanso pang'ono ma cell a beta a kapamba. Mtundu wa 1 wa inshuwaransi sukutuluka mwachangu.

Momwe mungamwe mankhwalawa

Diabeteson MV imatengedwa kamodzi patsiku, nthawi zambiri imakhala ndi kadzutsa. Piritsi la 60 mg lochekera limatha kugawidwa m'magawo awiri kuti mupeze mlingo wa 30 mg. Komabe, sichitha kutafunidwa kapena kuphwanyidwa. Mukamamwa mankhwalawa, amwe ndi madzi. Webusayiti ya Diabetes-Med.Com imalimbikitsa mankhwala othandizira odwala matenda ashuga amtundu wa 2. Amakulolani kuti musiye matenda a shuga, kuti musayang'anitsidwe ndi zovuta zake. Komabe, ngati mumamwa mapiritsi, tsiku lililonse osapeza mipata. Popanda apo shuga amakwera kwambiri.

Kuphatikiza pa kutenga matenda a shuga, kulekerera mowa kumatha kukulirakulira. Zizindikiro zake ndi kupweteka mutu, kufupika, kupweteka kwam'mimba, mseru komanso kusanza.

Mitengo yotsatira ya sulfonylureas, kuphatikiza Diabeteson MV, si mankhwala oyamba ashuga amitundu iwiri. Mosavomerezeka, ndikulimbikitsidwa kuti odwala azisankhidwa choyamba mapiritsi a metformin (Siofor, Glucofage). Pang'onopang'ono, mlingo wawo umakulitsidwa mpaka pazochulukirapo 2000-3000 mg patsiku. Ndipo pokhapokha ngati izi sizikwanira, onjezerani Diabeteson MV. Madokotala omwe amapereka mankhwala a shuga m'malo mwa metformin amalakwitsa. Mankhwalawa onse akhoza kuphatikizidwa, ndipo izi zimapereka zotsatira zabwino. Kupitilira apo, sinthani ku pulogalamu yachiwiri ya matenda ashuga kukana mapiritsi owononga.

Zomwe zimachokera ku sulfonylureas zimapangitsa khungu kumvetsetsa kwambiri ma radiation ya ultraviolet. Chiwopsezo chowonjezereka cha kutentha kwa dzuwa. Ndikulimbikitsidwa kugwiritsa ntchito ma sunscreens, ndipo ndibwino kuti musayake ndi dzuwa. Ganizirani za chiopsezo cha hypoglycemia chomwe Diabeteson angayambire. Mukamayendetsa kapena kugwira ntchito yoopsa, yesani shuga yanu ndi glucometer mphindi 30-60 zilizonse.

Ndani sakukwanira

Diabeteson MB sayenera kumwedwa kwa aliyense, chifukwa njira zina zochizira matenda amtundu wa 2 zimathandiza komanso sizimayambitsa mavuto. Izi ndizotsutsana ndi boma. Dziwani kuti ndi magulu ati a odwala omwe akuyenera kupatsidwa mankhwalawa mosamala.

Pakakhala pakati komanso poyamwitsa, mapiritsi aliwonse omwe amachepetsa shuga amakhala otsutsana. Diabeteson MV siikuperekedwa kwa ana ndi achinyamata, chifukwa kugwira ntchito ndi chitetezo cha gululi sichinakhazikitsidwe. Musamamwe mankhwalawa ngati m'mbuyomu simunakhale nawo kapena mankhwala ena a sulfonylurea. Mankhwalawa sayenera kumwa ndi odwala omwe ali ndi matenda amtundu woyamba 1, ndipo ngati muli ndi vuto losakhazikika la 2 shuga, nthawi zambiri za hypoglycemia.

Zotumphukira za Sulfonylurea sizingatengedwe mwa anthu omwe ali ndi matenda owopsa a chiwindi ndi impso. Ngati muli ndi matenda ashuga a nephropathy - kambiranani ndi dokotala. Mwambiri, amalangizanso kulowetsa mapiritsiwo ndi jakisoni wa insulin. Kwa anthu achikulire, Diabeteson MV ndiyoyenera ngati chiwindi ndi impso zawo zikuyenda bwino. Mosavomerezeka, zimapangitsa kusintha kwa mtundu wa 2 shuga kukhala mtundu wovuta kwambiri wa insulin wodalira inshuwaransi.Chifukwa chake, odwala matenda ashuga omwe akufuna kukhala ndi moyo wautali popanda zovuta, ndibwino kuti asamwe.

Kodi Diabeteson MV imalembedwa mosamala nthawi ziti?

• hypothyroidism - ntchito yofooka ya chithokomiro komanso kusowa kwa mahomoni ake m'magazi,
• kuchepa kwa mahomoni opangidwa ndi tiziwalo timene timatulutsa timadzi tambiri,
• zakudya zosakhazikika
• uchidakwa.

Diabeteson analogues

Mankhwala oyamba a Diabeteson MV amapangidwa ndi kampani yopanga mankhwala Laboratory Serviceier (France). Kuyambira mu Okutobala 2005, adasiya kupereka mankhwala am'badwo wapitalo ku Russia - mapiritsi a shuga a shuga a 80 mg. Tsopano mutha kugula kokha mapiritsi a Diabeteson MV - mapiritsi otulutsidwa amasinthidwe. Fomu ya Mlingo iyi ili ndi zabwino zake, ndipo wopanga adaganiza zokhazokha. Komabe, gliclazide pamapiritsi otulutsira mwachangu imagulitsidwa. Izi ndi fanizo za Diabetes, zomwe zimapangidwa ndi opanga ena.

Kukonzekera komwe kaphatikizidwe kake ndi gliclazide mu mapiritsi otulutsira msanga tsopano kwatha. Ndikofunika kugwiritsa ntchito Diabeteson MV kapena mawonekedwe ake m'malo mwake. Chabwinonso chithandizo ndi mtundu wa matenda a shuga a 2 chifukwa chokhala ndi zakudya zamagulu ochepa. Mudzatha kukhala ndi shuga wokhazikika wabwinobwino, ndipo simudzafunika kumwa mankhwala ovulaza.

Diabeteson kapena Maninil - zomwe zili bwino

Gwero la gawoli linali la mutu wakuti "Kuopsa kwa anthu wamba komanso kuwonongeka kwa mtima, komanso kuwonongeka kwamatenda am'mimba komanso ngozi yam'mimba yovuta kwambiri kwa odwala omwe ali ndi vuto la matenda ashuga a 2 malinga ndi mtundu wa kuyamba kwa matenda a hypoglycemic" munkhani ya "Matenda a shuga" 4 4 .9. Olemba - I.V. Misnikova, A.V. Dreval, Yu.A. Kovaleva.

Njira zosiyanasiyana zochizira matenda amtundu wa 2 zimachitika mosiyanasiyana pachiwopsezo cha matenda a mtima, stroko ndi kufa kwathunthu mwa odwala. Olemba nkhaniyo adafufuza zambiri zomwe zidalembedwa mu mbiri ya anthu odwala matenda ashuga a dera la Moscow, omwe ndi gawo la boma lolembetsa matenda a shuga a Russian Federation. Anawunika anthu omwe anapezeka ndi matenda a shuga a 2 mu 2004. Amayerekezera mphamvu ya sulfonylureas ndi metformin ngati amathandizidwa zaka 5.

Zinapezeka kuti mankhwalawa - mankhwala a sulfonylurea - ndizovulaza kuposa zothandiza. Momwe amathandizira poyerekeza ndi metformin:

• chiopsezo cha kufa ndi mtima wonse chidachulukitsidwa,
• kuwopsa kwa mtima
• chiopsezo cha matenda a sitiroko chinachulukitsidwa katatu.

Nthawi yomweyo, glibenclamide (Maninil) inali yovulaza kuposa gliclazide (Diabeteson). Zowona, nkhaniyi sichinatchule kuti ndi mitundu iti ya Manilil ndi Diabeteson yomwe imagwiritsidwa ntchito - mapiritsi otulutsidwa kapena ena wamba. Zingakhale zosangalatsa kuyerekezera zomwe zimachitika ndi odwala omwe ali ndi matenda amtundu wa 2 omwe adalandira mankhwala a insulin m'malo mwa mapiritsi. Komabe, izi sizinachitidwe, chifukwa odwala oterowo sanali okwanira. Ambiri mwa odwala amakanika jakisoni jakisoni, motero anapatsidwa mapiritsi.

Mafunso Ofunsidwa Kawirikawiri

A Diabetes adawongolera matenda amtundu wa 2 bwino kwa zaka 6, ndipo tsopano asiya kuthandiza. Anawonjezera mlingo wake mpaka 120 mg patsiku, koma magazi a magazi akadali okwera, 10-12 mmol / l. Chifukwa chiyani mankhwalawa alephera? Kodi atichitira chiyani tsopano?

Diabetesone ndi wochokera ku sulfonylurea. Mapiritsiwa amachepetsa shuga m'magazi, komanso amakhala ndi zovulaza. Pang'onopang'ono amawononga ma cell a pancreatic beta. Pambuyo pa zaka 2-9 za kudya kwawo kwa wodwala, insulini ikusowa kwenikweni m'thupi. Mankhwalawa alephera kugwira ntchito chifukwa maselo anu a beta "atha." Izi zikanachitika kale. Kodi atichitira chiyani tsopano? Kufunika kubaya insulin, palibe njira. Chifukwa muli ndi matenda ashuga amtundu wa 2 adasanduka mtundu waukulu wa shuga. Patani diabeteson, sinthani ku chakudya chochepa chamafuta ndipo mupeze insulin yambiri kuti mukhale shuga wabwinobwino.

Wachikulire wakhala akudwala matenda a shuga 2 amtundu wazaka zisanu ndi zitatu. Shuga wamagazi 15-17 mmol / l, zovuta zopangidwa. Adatenga manin, tsopano adasamukira ku Diabeteson - sizinaphule kanthu. Kodi ndiyambe kumwa amaryl?

Zomwezo ngati wolemba wa funso lakale. Chifukwa chazaka zambiri zosachiritsika bwino, matenda ashuga amtundu wa 2 asintha kukhala mtundu waukulu wa shuga. Palibe mapiritsi omwe angapatsidwe. Tsatirani pulogalamu ya matenda a shuga 1, yambani kubayila insulin. Zochita, nthawi zambiri zimakhala zosavuta kukhazikitsa chithandizo choyenera cha odwala matenda ashuga. Ngati wodwala akuwonetsa kuiwalika ndi kusakhazikika - siyani chilichonse monga momwe ziliri, ndipo dikirani modekha.

Kwa matenda a shuga a 2, adokotala adandiuza 850 mg tsiku lililonse kwa Siofor. Pambuyo pa miyezi 1.5, adasamukira ku Diabeteson, chifukwa shuga sizidagwere konse. Koma mankhwalawa nawonso ndi osathandiza kwenikweni. Kodi ndizoyenera kupita ku Glibomet?

Ngati Diabeteson sachepetsa shuga, ndiye kuti Glybomet sikhala othandiza. Mukufuna kuchepetsa shuga - yambani kubayila insulini. Pa vuto la matenda apamwamba a shuga, palibe njira yina yomwe ingapezeke. Choyamba, sinthani ku chakudya chochepa chamafuta ndikuleka kumwa mankhwala owononga. Komabe, ngati mwakhala muli ndi mbiri yakale ya matenda ashuga amtundu wa 2 ndipo mwathandizidwa molakwika pazaka zapitazi, ndiye kuti mukufunikanso kubaya insulini. Chifukwa chakuti kapamba amatayika ndipo sangathe kupirira popanda kuthandizidwa. Zakudya zamafuta ochepa zimatsitsa shuga wanu, koma osazungulira. Kuti mavutowa asadzayambike, shuga sayenera kupitirira 5.5-6.0 mmol / l 1-2 patatha chakudya komanso m'mawa pamimba yopanda kanthu. Phatikizani pang'onopang'ono insulini pang'ono kuti mukwaniritse izi. Glibomet ndi mankhwala ophatikiza. Zimaphatikizapo glibenclamide, yomwe imakhala ndi zovulaza zofanana ndi Diabetes. Osagwiritsa ntchito mankhwalawa. Mutha kutenga "pure" metformin - Siofor kapena Glyukofazh. Koma palibe mapiritsi omwe angalowe m'malo mwa jakisoni wa insulin.

Kodi ndizotheka ndi mtundu wachiwiri wa shuga kutenga Diabeteson ndi sapxin kuti muchepetse thupi nthawi yomweyo?

Momwe diabeteson ndi sapxin zimalumikizirana - palibe deta. Komabe, Diabetes imalimbikitsa kupanga insulin ndi kapamba. Insulin, nayenso, imasintha shuga kukhala mafuta ndikulepheretsa kuchepa kwa minofu ya adipose. Mokulira kwambiri m'magazi, zimakhala zovuta kwambiri kuchepetsa thupi. Chifukwa chake, odwala matenda ashuga ndi othandxin amakhala ndi zotsutsana. Reduxin amayambitsa mavuto ambiri ndipo chizolowezi chake chimayamba msanga. Werengani nkhani ya "Momwe mungachepetse thupi ndi matenda ashuga a 2." Siyani kumwa Diabeteson ndi sapxin. Sinthani ku chakudya chochepa chamafuta. Amasintha shuga, kuthamanga kwa magazi, cholesterol m'magazi, ndipo mapaundi owonjezera amathanso.

Ndakhala ndikutenga Diabeteson MV kwa zaka 2 kale, kuthamanga shuga kumakhalabe pafupifupi 5.5-6.0 mmol / l. Komabe, chidwi choyaka m'mapazi chayamba posachedwa ndipo mawonekedwe akutsika. Chifukwa chiyani zovuta za matenda ashuga zimayamba ngakhale shuga ndi abwinobwino?

Dotolo adayikira Diabeteson kuti akhale ndi shuga wambiri, komanso zakudya zochepa zopatsa mphamvu komanso zosakoma. Koma sananene kuti angachepetse kuchuluka kwa zopatsa mphamvu. Ngati ndimadya zopatsa mphamvu 2000 patsiku, ndiye kuti sizachilendo? Kapena mukufunanso zochepa?

Zakudya zanjala zimathandiza kuchepetsa shuga m'magazi, koma machitidwe, ayi. Chifukwa odwala onse amamuthawa. Palibe chifukwa chokhalira ndi njala! Phunzirani ndikutsatira mtundu wa 2 wa matenda a shuga. Sinthani ku chakudya chochepa chamafuta - chimakhala chokoma mtima, chokoma komanso chotsika shuga. Lekani kumwa mapiritsi owononga. Ngati ndi kotheka, jekeseni insulini ingapo. Ngati vuto lanu la shuga silikuyenda, ndiye kuti mutha kusunga shuga wabwinobwino popanda jakisoni.

Ndimatenga Diabeteson ndi Metformin kuti ndikalipire T2DM yanga. Mwazi wamagazi umagwira 8-11 mmol / L. The endocrinologist akuti izi ndi zotsatira zabwino, ndipo zovuta zanga zaumoyo zimayenderana ndi zaka. Koma ndikuwona kuti zovuta za shuga zikukula. Ndi chithandizo chiti chothandiza kwambiri chomwe mungalangize?

Shuga wabwinobwino wamagazi - monga mwa anthu athanzi, osapitilira 5.5 mmol / l mutatha 1 ndi maola awiri mutadya. Nthawi zonse, matenda a shuga amakula. Kuti muchepetse shuga komanso kuti zisakhale bwino, werengani ndikutsatira njira yachiwiri yothandizira anthu odwala matenda ashuga. Ulalo wa icho umaperekedwa poyankha funso lapita.

Dokotala adalamula kuti atenge Diabeteson MV usiku, kotero kuti panali shuga wabwinoko m'mawa wopanda kanthu. Koma malangizowo akuti muyenera kumwa mapiritsiwa kuti mudye chakudya cham'mawa. Ndiyenera kukhulupirira ndani - malangizo kapena malingaliro a dokotala?

Wodwala matenda a shuga a 2 omwe ali ndi zaka 9 zokumana, zaka 73. Shuga amakwera mpaka 15-17 mmol / l, ndipo manin samatsitsa. Anayamba kuchepa thupi kwambiri. Kodi ndiyenera kupita ku Diabeteson?

Ngati mannin satsitsa shuga, ndiye kuti palibe lingaliro kuchokera kwa Diabetes. Ndinayamba kuchepa thupi kwambiri - zomwe zikutanthauza kuti palibe mapiritsi omwe angathandize. Onetsetsani kuti mwabaya insulin. Matenda othamanga 2 a shuga asintha kukhala mtundu woyamba wa matenda ashuga, chifukwa chake muyenera kuphunzira ndikukhazikitsa pulogalamu yothandizira matenda a shuga 1. Ngati sizotheka kukhazikitsa jakisoni wa okalamba wodwala matenda ashuga, siyani zonse momwe ziliri ndikuyembekezera modekha. Wodwalayo amakhala ndi moyo wautali ngati atathetsa mapiritsi onse a shuga.

Ndemanga za Odwala

Anthu akayamba kumwa diabetes, shuga wawo wamagazi amatsika mofulumira. Odwala amadziwa izi pakuwunika kwawo. Mapiritsi osinthidwa osinthidwa nthawi zambiri samayambitsa hypoglycemia ndipo nthawi zambiri amalekeredwa bwino. Palibe kubwereza komwe kumanenedwa za mankhwala a Diabeteson MV pomwe munthu wodwala matenda ashuga amadandaula za hypoglycemia. Zotsatira zoyipa zokhudzana ndi kufinya kwam'mimba sizimakhazikika nthawi yomweyo, koma patatha zaka 2-8. Chifukwa chake, odwala omwe adayamba kumwa mankhwalawa posachedwa samatchula.

Oleg Chernyavsky

Kwa zaka 4 ndakhala ndikumwa piritsi la Diabeteson MV 1/2 m'mawa nthawi yam'mawa. Chifukwa cha izi, shuga imakhala yabwinobwino - kuyambira 5.6 mpaka 6.5 mmol / L. M'mbuyomu, idafika 10 mmol / l, mpaka idayamba kuthandizidwa ndi mankhwalawa. Ndimayesetsa kuchepetsa maswiti komanso kudya pang'ono, monga adokotala adalangizira, koma nthawi zina ndimatsika.

Mavuto a shuga amabwera pamene shuga amasungidwira maola angapo chakudya chikatha. Komabe, kuthamanga kwa shuga m'magazi kumatha kukhala kwabwinobwino. Kuwongolera shuga osala kudya komanso osayesa pambuyo pake pakatha maola awiri ndikudya kumadzinyenga nokha. Muwalipira ndikuwoneka koyambirira kwa zovuta zovuta. Chonde dziwani kuti miyezo ya shuga ya magazi kwa anthu odwala matenda ashuga ndiochuluka. Mwa anthu athanzi, shuga atatha kudya sakwera pamwamba pa 5.5 mmol / L. Muyeneranso kuyesetsa kuzizindikira, osamvetsera nthano zomwe shuga itatha kudya 8-11 mmol / l ndiyabwino kwambiri. Kwaniritsa chiwongolero chabwino cha matenda ashuga kumatheka mwa kusintha zakudya zamafuta ochepa komanso zochitika zina zolongosoledwa patsamba la Diabetes-Med.Com.

Svetlana Voitenko

Dokotala wothandizira wa endocrinologist adandiuza kuti ndikhale ndi matenda ashuga, koma mapiritsiwa adangokulirakulira. Ndakhala ndikutenga kwa zaka ziwiri, nthawi iyi ndidasanduka munthu wokalamba kwenikweni. Ndataya 21 kg. Masomphenya amagwa, khungu limakhala lakuwona pamaso, mavuto ndi miyendo idawonekera. Mwazi umakhala wowopsa kuyeza ndi glucometer. Pepani matenda ashuga amtundu wa 2 asintha kukhala mtundu waukulu wa matenda ashuga.

Odwala onenepa kwambiri omwe ali ndi matenda a shuga a 2, zotumphukira za sulfonylurea zimathetsa kapamba, makamaka pambuyo pa zaka 5-8. Tsoka ilo, anthu owonda komanso owonda amachita izi mwachangu kwambiri. Phunzirani nkhani yokhudza matenda a shuga a LADA ndikuyesa mayeso omwe alembedwamo. Ngakhale ngati pali kuchepa kwamphamvu kwa thupi, ndiye kuti popanda kusanthula zonse zili zomveka ... Phunzirani pulogalamu ya chithandizo cha matenda a shuga 1 ndikutsatira malangizowo. Patulani diabeteson yomweyo. Jakisoni wa insulin ndi ofunika, simungathe popanda iwo.

Andrey Yushin

Posachedwa, dotolo yemwe adalipo adandiwonjezera piritsi limodzi la 1/2 la metformin kwa ine, lomwe ndidali nditamwa kale. Mankhwala atsopanowa adayambitsa vuto la atypical - zovuta m'mimba. Nditatha kudya, ndimamva kuwawa m'mimba mwanga, kutulutsa, nthawi zina kutentha. Zowona, kulakalaka kunagwa. Nthawi zina simumamvanso ludzu, chifukwa m'mimba mwadzaza kale.

Zizindikiro zomwe zimafotokozeredwa sizotsatira zoyipa za mankhwalawa, koma zovuta za shuga zomwe zimatchedwa gastroparesis, gawo la ziwopsezo zam'mimba. Imachitika chifukwa cha kuwonongeka kwa mitsempha yomwe imalowa mu kayendedwe kazinthu zamagetsi ndikuwongolera chimbudzi. Ichi ndi chimodzi mwamawonekedwe a matenda am'mimba. Njira zapadera ziyenera kuchitidwa motsutsana ndi izi. Werengani nkhani yomwe "Diabetesic gastroparesis" mwatsatanetsatane. Zimasinthidwa - mutha kuzichotsa kwathunthu. Koma chithandizo ndimavuto ambiri. Zakudya zamafuta ochepa, masewera olimbitsa thupi komanso jakisoni wa insulini zimathandizira kuti shuga azingokhala pokhapokha mutagwira ntchito m'mimba. Matenda a shuga ayenera kuchotsedwa, monga onse odwala matenda ashuga, chifukwa ndi mankhwala owopsa.

Pambuyo powerenga nkhaniyi, mudaphunzira zonse zomwe mukufuna pa mankhwala a Diabeteson MV. Mapiritsi awa mwachangu komanso mwamphamvu amachepetsa shuga. Tsopano mukudziwa momwe amachitira izi. Zafotokozedwera mwatsatanetsatane momwe Diabeteson MV imasiyanirana ndi zomwe zimachokera m'mibadwo yam'mbuyomu. Muli ndi maubwino, koma zovuta zake zimapezekabe. Ndikofunika kuti musinthane ndi mtundu wachiwiri wa chithandizo cha matenda ashuga kukana kumwa mapiritsi owononga. Yesani zakudya zamafuta ochepa - ndipo patatha masiku atatu mutha kuwona kuti mutha kusunga shuga wabwinobwino. Palibenso chifukwa chotengera zochokera ku sulfonylurea ndikuvutika ndi zovuta zake.