Malangizo a Glimepiride, mtengo, analogi, ndemanga

Glimepiride ndi mankhwala amakono omwe amathandizira kupanga insulin, amachotsa glycemia.

Kwa nthawi yoyamba, mankhwalawa amapangidwa ndi Sanofi.

Masiku ano m'maiko onse mankhwalawa amapangidwa.

Malangizo othandizira kuthana ndi glycemia ndi osavuta, mankhwalawa ali ndi mawonekedwe ambiri omwe angakwanitse. Mankhwalawa ndi gawo limodzi la zovuta, chithandizo chamankhwala samachotsa glycemia.

Zizindikiro zogwiritsidwa ntchito

Glimepiride amalembera mtundu wachiwiri wa matenda ashuga, pamene kudya ndi kuchita masewera olimbitsa thupi sizikubweretsa zotsatira, kuchepa thupi sikuchepetsa vutoli.

Ngati mankhwalawo sagwira ntchito mokwanira, mutha kuwaphatikiza ndi metformin kapena insulin yokumba.

Kutulutsa Fomu

Glimepiride imapezeka m'mapiritsi ndi makapisozi, imagawidwa m'mitundu inayi:

• 1 mg pinki kapisozi
• 2 mg laimu,
• 3 mg chikasu
• 4 mg buluu.

Makapisozi ali mumatumba a aluminiyamu m'bokosi lamatoni. Alumali kwambiri amakhala zaka 3 firiji.

Mtengo wa mankhwalawa m'mafakitore kuyambira 153 mpaka 355 rubles. Glimepiride amagulitsidwa ndi mankhwala okha.

Pulogalamu yogwira glimepiride kuyambira 1 mpaka 6 mg imaphatikizidwa piritsi limodzi.

Omwe amathandizira: lactose, mapadi, polysorbate 80, povidone K-30.

Malangizo ogwiritsira ntchito

Kuletsa glycemia kwathunthu, sikokwanira kugwiritsa ntchito mankhwala okha. Odwala amapanga zakudya zama carb zotsika, malo omasuka komanso osapatsa mphamvu. Madokotala amayang'anitsitsa shuga, kuchita masewera olimbitsa thupi nthawi zonse.

Glimepiride ndi gawo limodzi la zovuta mankhwala. Mphamvu zolimbitsa thupi zimachitidwa katatu pa sabata. Yendani mwachangu 3 pa sabata. Kusambira, kupalasa njinga - 1 nthawi pasabata. Tsiku lililonse muyenera kukwera masitepe, kuyenda modekha mumsewu.

Kuchita masewera olimbitsa thupi ndikofunikira kwa munthu wodwala matenda ashuga a 2, kukhala moyo wongokhala. Popanda kupumira m'malo okhazikika, wodwalayo amaloledwa kukhala kwa theka la ola. Mlingo umakhazikitsidwa kutengera magawo a matendawa, zovuta zamtundu wina, moyo wabwino, gulu la zaka, momwe thupi limagwirira ntchito pamagawo a mankhwala.

Madokotala amalangiza glimepiride kuti atenge 1 g patsiku. Pakatha milungu ingapo, zotsatira zoyambirira zikaonekera, mulingo wake umasinthidwa kuti uchulukitse. Nthawi zambiri, madokotala amapereka 4 mg tsiku lililonse. Kuchuluka kwovomerezeka kwa mankhwalawa ndi 6 mg patsiku. Kuchuluka kwa metformin sikuwongolera kwathunthu glycemia. Chifukwa chake, odwala matenda ashuga amagwiritsanso ntchito glimepiride.

Kuphatikiza mankhwala kumachitika ndi osachepera Mlingo wa glimepiride. Kuwunikira pafupipafupi kuchuluka kwa shuga kumakupatsani mwayi wodziwa mlingo woyenera. Kusintha kulikonse kwa njira zamankhwala kumachitika pokhapokha kuvomerezedwa ndi adokotala. Kuphatikiza kwa glimepiride ndi insulin ndikotheka. Mlingo womwe uli pamenepa ndi ochepa.

Kutengera ndi zotsatira za kusanthula, mlingo umasintha pakadutsa milungu iwiri iliyonse. Mankhwalawa amaphatikizidwa ndi chakudya, ndikofunikira kumwa mapiritsi am'mawa. Ndikulimbikitsidwa kuti mumwe mapiritsi mphindi 15 musanadye chakudya kuti ayambe kugwira ntchito. Wodwala akaphonya mankhwalawo, muyenera kuwagwiritsa ntchito posachedwa osasintha mlingo.

Mlingo wocheperako ukakwiyitsa hypoglycemia, madokotala amaletsa mankhwalawa, chifukwa wodwalayo sangathe kuyendetsa shuga pazakudya, wodekha, maphunziro olimbitsa thupi. Kukana kwa insulini kumachepa ngati nkotheka kuthana ndi matenda amtundu wa 2, pang'onopang'ono kufunika kwa mankhwala kumatha. Ndikofunikira kusintha Mlingo ndi kuchepa thupi msanga, kusintha kwamtundu wa masewera olimbitsa thupi, kupsinjika kwambiri, kapena chifukwa cha zina zomwe zikuyambitsa zovuta za glycemic.

Kuchita ndi mankhwala ena

Mankhwalawa amagwira ntchito bwino akaphatikizidwa ndi mankhwalawa:

• Insulin
• Allopurinol,
• Dizopyramiddol,
• Miconazole
• Tetracycline
• Azapropazone.

Kugwiritsa ntchito glimepiride ndi mankhwala ena kumayambitsa kufooka kwa mphamvu ya hypoglycemic. Chifukwa chake, mankhwala ena amagwiritsidwa ntchito pokhapokha chilolezo cha dokotala.

Kutsika kwa zotsatira za hypoglycemic komanso kuwonjezeka kwa shuga m'magazi kumachitika ndi kuphatikiza kwa mankhwalawa:

Zizindikiro za hypoglycemia zimafooka kapena kuchotsedwa kwathunthu pakulimbana ndi beta-blockers. Poyerekeza ndi kugwiritsa ntchito glimepiride, kusintha kwa zochitika za coumarin kumachitika. Pogwiritsa ntchito nthawi yomweyo mankhwala omwe amachepetsa kupanga magazi m'mafupa, mwayi wokhala ndi myelosuppression ukuwonjezeka. Zakumwa zoledzeretsa zimasiyananso ndi zotsatira za hypoglycemic.

Zotsatira zoyipa

Tilembapo mavuto akulu:

• hypoglycemia, yofanana ndi sitiroko, koma zizindikirizo zimachotsedwa pambuyo posiya matendawa.
• Mavuto amawonedwe chifukwa cha kusintha kwa shuga m'magazi, zomwe zimapangitsa kuti mandala asinthe, kusintha kwa mawonekedwe a kuyatsa.
• vuto ndi maselo amwazi
• kusanza, kusanza, kupweteka m'mimba, chiwindi chimatulutsa michere yambiri, jaundice, cholestasis imawoneka, nthawi yovuta, kulephera kwa impso kumayamba.
• mavuto ndi chitetezo chokwanira, chifuwa, vasculitis, kuzindikira kuwala, kuthamanga kwa magazi kumachepetsa, kufupika kwamphamvu kumawonekera, kugwedezeka kwa anaphylactic. Pa chizindikiro choyamba cha urticaria, muyenera kulumikizana ndi katswiri.

Nthawi zina kuchuluka kwa sodium m'magazi kumachepera.

Contraindication

Osagwiritsa ntchito pazinthu ngati izi:

• mimba
• thupi lawo siligwirizana,
• odwala ketoacidosis
• ndi matenda a shuga 1
• ndi zokondweretsa kapena zaphokoso.

Contraindication ndi chiwindi ndi impso.

Bongo

Mankhwala osokoneza bongo ndi omwe amachititsa hypoglycemia, yomwe imatenga masiku atatu. Pambuyo chikhululukiro, kubwereza kubwereza kumachitika kawirikawiri. Zizindikiro sizichoka masana mutamwa mankhwalawa m'mimba.

Zizindikiro zotsatirazi zimachitika:

• nseru
• akukumbutsa
• mbali yakumanja imapweteka
• kusangalala kwachilengedwe kumawonjezeka
• manja akunjenjemera
• masomphenya amawonongeka
• Mavuto oyanjana,
• munthu amasiya kuzindikira
• kukokana kuwoneka
• kufuna kugona nthawi zonse.

Kuti muchepetse mphamvu ya mankhwalawa, ndikofunikira kutsitsimutsa kapena kusambitsa m'mimba ndi kena kake, kumwa makala oyambitsa, komanso mankhwala otupa. Nthawi zina, wodwalayo amatumizidwa kuchipatala, shuga amapaka, ndipo shuga amawunika.

Uku sikuti mndandanda wathunthu wa mankhwala; chaka chilichonse mankhwala atsopano amalowa mumsika.

Konstantin, zaka 48:

Ndimagwiritsa ntchito glimepiride ndi muyeso woyamba wa 2 mg, tsopano ndimatenga 4 mg kawiri patsiku m'mawa komanso madzulo. Ndikugula mankhwala apakhomo, popeza kuti mankhwala ochokera kunja ndi okwera mtengo kwambiri. Shuga akhoza kuchepetsedwa kuchokera pa 13 mpaka 7, kwa ine ndi chizindikiro chabwino. Dokotala akulangizani kumwa mapiritsi musanadye chakudya cham'mawa komanso cham'mawa. Kupanda kutero, shuga amatsika kwambiri. Chakudya cham'mawa muyenera kudya phala, nyama, kumwa chilichonse mkaka.

Nditatenga endocrinologist, chithandizo changa chinasintha ndipo Glimepirid adalembedwa. Mankhwalawa amachepetsa shuga m'magazi. Poyamba ndidagula Glimepiride Canon, zotsatira zake zinali zokhutiritsa, chifukwa chake ndimayesetsa kugwiritsa ntchito mankhwalawa okha. Mapiritsiwo ndi ochepa, osavuta kumeza. Malangizo a mankhwalawa ndi akulu kwambiri, opanga amasamalira makasitomala awo ndiudindo. Pali zovuta zingapo, mwina ndiyenera kuthokoza thupi langa chifukwa cha izi.

Mankhwalawa amagwiritsidwa ntchito kukonza glycemia zizindikiro za odwala matenda ashuga omwe ali ndi mtundu wachiwiri wa matenda. Malangizowo samatchulapo nthawi yomwe muyenera kugwiritsa ntchito mankhwalawa, mankhwalawo ndi njira ya mankhwalawa amatsimikiziridwa ndi endocrinologist yekha. Shuga mu odwala matenda ashuga amadzuka chifukwa cha malingaliro olakwika a ma pancreatic enzymes, kuchepa kwa kupanga kwa insulin. Kutsutsa kumachitika mpaka zizindikiro zoyambirira za matenda ashuga, ndikuzindikirika ndi odwala onenepa kwambiri.

Mavuto amabwera chifukwa chosakhala bwino bwino pazogulitsa, m'moyo wosakhalitsa komanso mavuto onenepa kwambiri. Munthawi imeneyi, insulini imapangidwa kwambiri, ma cell amakana kwambiri, thupi silingagonjetse izi, magazi amayeretsedwa bwino shuga. Wodwala akuyenera kusintha moyo wake, kusewera masewera, kudya moyenera, kumwa mapiritsi.