Malangizo a Glucobay ogwiritsa ntchito, analogues, ndemanga

Glucobai ndiwowongolera modabwitsa pamlingo wa tsiku ndi tsiku wa glycemia. Imagwira ntchito ngati chenjezo: sichichotsa shuga m'magazi, ngati mapiritsi ena a antidiabetes, koma chimalepheretsa kulowa kwake m'matumbo awo am'mimba. Mankhwalawa ndi okwera mtengo komanso osagwira ntchito kuposa metformin kapena glibenclamide, ndipo nthawi zambiri amadzetsa mavuto m'mimba.

Ambiri a endocrinologists amaganiza kuti Glucobai ndi mankhwala osungira. Amatchulidwa pamene wodwala matenda ashuga ali ndi contraindication chifukwa chomwa mankhwala ena kapena kuphatikiza nawo kuti apititse patsogolo hypoglycemic. Glucobai imadziwikanso bwino pamagulu ozungulira akufuna kuchepa thupi ngati njira yochepetsera zakudya zopatsa mphamvu.

Zikuyenda bwanji Glucobay

Zomwe zimagwira mu Glucobay ndi acarbose. M'matumbo ang'onoang'ono, acarbose imakhala mpikisano wa saccharides, omwe amabwera ndi chakudya. Iachedwetsa, kapena tikulephera, ma alpha-glucosidases - ma enzymes apadera omwe amaphwanya chakudya pama monosaccharides. Chifukwa cha izi, kulowetsa shuga m'magazi kumachedwetsedwa, ndipo kulumpha kwakuthwa mu glycemia mukatha kudya kumaletsedwa mu shuga. Mutatenga mapiritsi, gawo limodzi la glucose limazengereza ndikachedwa, linalo limachotsedwa m'thupi popanda kufinya.

Acarbose m'thupi siliyamwa, koma imaphatikizidwa m'mimba. Oposa theka la acarbose amachotsera ndowe, motero amatha kuikidwa ndi nephropathy komanso chiwindi. Pafupifupi gawo limodzi mwa magawo atatu a metabolites a chinthu ichi amalowa mkodzo.

Malangizo ogwiritsira ntchito amalola kugwiritsa ntchito Glucobay ndi metformin, kukonzekera kwa sulfonylurea, insulin. Mankhwalawo pawokha sangathe kuyambitsa hypoglycemia, koma ngati kuchuluka kwa othandizira a hypoglycemic ndikofunikira kuposa momwe angafunikire, shuga amatha kugwa pansi pazoyenera.

Ndani amasankhidwa mankhwalawo

Mankhwala Glucobay zotchulidwa:

1. Kubwezera mtundu wa matenda ashuga a 2 nthawi imodzi ngati kukonza zakudya. Mankhwalawa sangathe kusintha chakudya chochepa cha carb kwa onse odwala matenda ashuga, chifukwa izi zitha kufuna kuchuluka kwa mankhwala, komanso kukula kwa Mlingo wa Glucobay kumakulanso.
2. Kuthetsa zolakwika zazing'ono mu chakudya.
3. Monga gawo la chithandizo chokwanira ndi mankhwala ena, ngati sataya glycemia.
4. Kuphatikiza pa metformin, ngati odwala matenda ashuga ali ndi kuchuluka kwa insulin komanso sulfonylureas sakusonyezedwa.
5. Ngati mukufuna kuchepetsa kuchuluka kwa insulin mu mtundu 2 wa matenda ashuga. Malinga ndi odwala matenda ashuga, mlingo umatha kuchepetsedwa ndi magawo a 10-15 patsiku.
6. Ngati triglycerides m'magazi ndi apamwamba. Insulin yochulukirapo imaletsa kuchotsedwa kwa lipids m'mitsempha yamagazi. Pochepetsa shuga m'magazi, Glucobai imachotsanso hyperinsulinemia.
7. Kuyamba kwamtsogolo kwa insulin. Anthu odwala matenda ashuga achikulire amakonda kupilira mavuto omwe amapezeka m'mapiritsi poopa jakisoni wa insulin.
8. Mankhwalawa matenda oyamba a carbohydrate metabolism: prediabetes, NTG, metabolic syndrome. Malangizowo akuwonetsa kuti Glucobai amene amagwiritsidwa ntchito pafupipafupi ndi 25% amachepetsa mwayi wokhala ndi matenda ashuga. Komabe, pali umboni kuti mankhwalawa samakhudza zomwe zimayambitsa kusokonezeka: kukana insulini komanso kuwonjezeka kwa kupanga kwa shuga ndi chiwindi, chifukwa chake madokotala amakonda kupereka metformin yothandiza kwambiri kupewa matenda a shuga.
9. Kuwongolera kunenepa kwambiri. Ndi matenda ashuga, odwala ayenera kulimbana ndi kunenepa kwambiri. Glucobay imathandizira kukhala ndi thupi labwino, ndipo nthawi zina zimathandizanso kuchepetsa kunenepa.

Kafukufuku akuwonetsa kuti mankhwalawa amagwira bwino kwambiri odwala matenda ashuga okhala ndi shuga wochepa komanso kuchuluka kwa glycemia ya postprandial. Kafukufuku wachipatala awonetsa kuchepa kwa shuga: pamimba yopanda kanthu ndi 10%, mutatha kudya ndi 25% kwa miyezi isanu ndi umodzi ya chithandizo ndi Glucobay. Kutsika kwa hemoglobin wa glycated kunakwana 2,5%.

Malangizo a kumwa mankhwala

Mapiritsi a Glucobai amatha kuledzera nthawi yomweyo musanadye, kutsukidwa ndi madzi pang'ono, kapena kutafuna limodzi ndi supuni yoyamba ya chakudya. Mlingo wa tsiku ndi tsiku umagawika katatu ndipo umamwe ndi zakudya zazikulu. Nthawi zina, mankhwalawa sagwira ntchito. Glucobay ali ndi mitundu iwiri ya kusankha: 50 kapena 100 mg ya acarbose piritsi limodzi. Piritsi la 50 mg laledzera kwathunthu, malangizo a Glucobai 100 mg amakulolani kugawa pakati.

Dose Selection Algorithm:

Mlingo wa Glucobai umakulitsidwa ngati chiyambi sichimapereka shuga. Popewa zoyipa, onjezani mapiritsi pang'onopang'ono. Miyezi 1-2 iyenera kudutsa pakati pa kusintha kwa mlingo. Ndi prediabetes, mlingo woyambira umagwira bwino pakadutsa miyezi itatu. Malinga ndi ndemanga, zomwezo zimagwiritsidwa ntchito pakuchepetsa thupi monga Chithandizo cha prediabetes.

Mtengo wa paketi ya mapiritsi 30 a Glucobai 50 mg - pafupifupi ma ruble 550., Glucobai 100 mg - 750 rubles. Mukamamwa avareji ya mankhwalawa, chithandizo chidzafunika ma ruble 2250. pamwezi.

Zotsatira zoyipa zingakhale ndi

Pa maphunziro azachipatala a Glucobay, zotsatirazi zoyipa adazindikiridwa ndikuwonetsa mu malangizo (omwe adapangidwa mwatsatanetsatane wa pafupipafupi):

1. Nthawi zambiri - kuchuluka kwa mpweya m'matumbo.
2. Nthawi zambiri - m'mimba kupweteka chifukwa cha kuchuluka kwa mpweya, kutsegula m'mimba.
3. Nthawi zambiri - kuwonjezeka kwa michere ya chiwindi, mukamatenga Glucobay imatha kukhala yochepa ndikutha pakokha.
4. Pafupipafupi, kuchepa kwa michere yam'mimba, nseru, kusanza, kutupa, jaundice.

Mu nthawi yotsatsa itatha, zidziwitso zidapezeka pazomwe zimapangitsa kuti pakhale magawo a mapiritsi a Glucobai, chotupa, hepatitis, thrombocytopenia. Acarbose imachepetsa pang'ono mkaka wa m`mawere, womwe umafunika kuti mkaka uwonongeke, kotero mukamwa mankhwala, tsankho la mkaka lonse limatha.

Pafupipafupi komanso kuopsa kwa zovuta za mankhwalawa zimatengera mlingo wake. Zotsatira zoyipa zikachitika, kusiya mankhwala sikofunikira nthawi zonse, nthawi zambiri kumachepetsa.

Kugwiritsa ntchito Glucobay kumachepetsa kwambiri zotsatira zoyipa monga kusanja. Pafupifupi palibe amene zinthu zimamuyendera bwino popewa izi, popeza momwe zimagwirira ntchito zomwe mankhwalawo amathandizira pakupanga mpweya. Kuthira mafuta osaphatikizika kumayambira m'matumbo, komwe kumayendera limodzi ndi kutulutsa kwa mpweya. Chifukwa chake, mafuta ochulukirapo omwe amapezeka m'zakudya, njira zowotchera zimakhala zamphamvu. Flatulence imatha kuchepetsedwa pokhapokha kutsatira zakudya zamafuta ochepa.

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

Kwa odwala matenda ashuga, mbali iyi ingathenso kuonedwa ngati yabwino. Choyamba, Glucobay amakhala mtundu wowongolera, osalola kuswa chakudya chomwe wapatsidwa. Kachiwiri, odwala matenda ashuga nthawi zambiri amakhala ndi chizolowezi chodzimbidwa, ndipo Glucobai imakupatsani mwayi wowongolera pang'onopang'ono popanda kugwiritsa ntchito mankhwala ofewetsa thukuta.

Contraindication

Kutsutsana kwambiri kotenga Glucobai - hypersensitivity kwa mankhwala, ubwana, HBV komanso kutenga pakati. M'matumbo am'mimba, kuwunikira kowonjezereka kumafunikira kuti mudziwe kuchuluka kwa chimbudzi ndi mayamwidwe. Matenda omwe flatulence imawonjezeka amathanso kukhala cholepheretsa kutenga Glucobay. Kulephera kwakukulu kwa aimpso ndi GFR Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

Zizindikiro zogwiritsidwa ntchito

"Glucobay" - mankhwala omwe ali m'gulu la hypoglycemic. Amawonetsera mtundu wachiwiri wa matenda osokoneza bongo omwe amaphatikizidwa ndi zakudya zochizira. Mankhwalawa amatha kugwiritsidwa ntchito molumikizana ndi mankhwala ena omwe amachepetsa shuga, kuphatikizapo insulin.

Amaloledwa kupereka mankhwalawa kwa odwala omwe ali ndi vuto lalikulu la shuga, komanso kwa anthu omwe ali ndi matenda a prediabetes.

Kutulutsa Fomu

Mankhwalawa ndi mapiritsi ozungulira mbali zonse. Mtundu - woyera, kuwala wachikasu kutalika ndi kotheka. Kumbali ina pali zolemba zamtundu wa mtanda, mbali inayo - mwa mawonekedwe a "50". Mapiritsi okhala ndi 100 mg pazomwe zimagwira ntchito sizolembedwa ngati mtanda.

Glucobay ndi mankhwala opangidwa ndi kampani yaku Germany, Bayer, yomwe ili ndi mbiri yabwino komanso yabwino kwambiri yamankhwala. Makamaka, mtengo wolingalira umafotokozedwa ndi zinthu izi. Paketi ya mapiritsi 30 a 50 mg itenga pafupifupi ma ruble 450. Mapiritsi 30, 100 mg. azilipira pafupifupi ma ruble 570.

Maziko a mankhwalawa ndi chinthu cha acarbose. Kutengera mlingo, imakhala ndi 50 kapena 100 mg. The achire zotsatira amapezeka m'mimba thirakiti. Imachepetsa ntchito za ma enzymes ena omwe amakhudzidwa ndi kuphwanya kwa polysaccharides. Zotsatira zake, chakudya chamafuta chimapangidwira pang'onopang'ono, ndipo, motero, shuga amadzipaka mwamphamvu kwambiri.

Mwa zina zazing'ono zomwe zimakhala: silicon dioxide, magnesium stearate, starch ya chimanga, cellcrystalline cellulose. Chifukwa cha kuchepa kwa lactose pakati pazosakaniza, mankhwalawa ndiolandiridwa kwa odwala omwe ali ndi kuchepa kwa lactase (malinga ngati palibe zotsutsana zina).

Malangizo ogwiritsira ntchito

Mankhwalawa amatengedwa pakamwa musanadye. Piritsi liyenera kumeza lonse ndi madzi pang'ono. Ngati pali zovuta ndi kumeza, mutha kutafuna ndi chakudya choyamba.

Mlingo woyambirira amasankhidwa ndi dokotala payekhapayekha kwa wodwala aliyense. Monga lamulo, ndi 150 mg patsiku, logawidwa 3 Mlingo. M'tsogolomu, pang'onopang'ono amawonjezeka mpaka 300 mg. Osachepera miyezi iwiri iyenera kutha pakati pa kuwonjezeka kwa mtundu uliwonse wa mankhwalawa kuonetsetsa kuti acarbose ochepa samatulutsa njira yothandizidwa.

Chofunikira pakutenga "Glucobay" ndichakudya. Ngati nthawi yomweyo pali kuchuluka kwa kupanga kwa gasi ndi kutsekula m'mimba, ndizosatheka kuwonjezera mlingo. Nthawi zina, ziyenera kuchepetsedwa.

Zolemba zogwiritsira ntchito

Odwala okalamba (a zaka zopitilira 60), komanso odwala omwe ali ndi vuto la impso, kusintha kwa mlingo sikofunikira.

Kwa ana ndi achinyamata, kuyang'anira Glucobay kumatsutsana.

Odwala omwe amamwa mankhwalawa ayenera kudziwitsidwa kuti sangathe kudziletsa pokhapokha ngati atachokapo kwambiri.

Kuphatikiza ndi chakudya cha Glucobai chokha, sichichititsa hypoglycemia. Pankhani yophatikiza ndi othandizira ena ochepetsera shuga, kuphatikiza insulin, hypoglycemia imatha, mpaka kukomoka. Kuletsa kuukira kotereku kumachitika pogwiritsa ntchito njira ya glucose.

Mankhwalawa samakhudza kuyendetsa magalimoto ndi njira zina zamakono, komanso sikuchepetsa chidwi cha chidwi.

Kugwiritsa ntchito mankhwalawa panthawi yapakati komanso mkaka wa m`mawere kumayesedwa, chifukwa palibe chidziwitso chodalirika cha mphamvu ya acarbose pa mwana wosabadwayo. Ngati pakufunika thandizo la mankhwala a Glucobaem, mkaka wa mkaka uyenera kutha.

Zotsatira zoyipa

Monga mankhwala aliwonse opangidwa, Glucobay ali ndi zovuta zingapo. Ena mwa iwo ndi osowa kwambiri, ena nthawi zambiri.

Gome: "Zosasangalatsa"

"Glucobai" imatha kulekerera bwino, zovuta zomwe zanenedwazo ndizosowa komanso ndizosowa kwambiri. Zikachitika, zimadutsa palokha, chithandizo chamankhwala ndi zina zowonjezera sizofunikira.

Bongo

Kupitilira muyeso womwe wapatsidwa, komanso kudya popanda kudya, sizimayambitsa vuto m'mimba.

Nthawi zina, kudya zakudya zamafuta ochulukirapo komanso kudya mopitirira muyeso kumatha kuyambitsa kutsegula m'mimba komanso kuphwanya thupi. Poterepa, ndikofunikira kuchotsa chakudya chamagulu ochulukirapo m'zakudya zosachepera maola asanu.

Mankhwala ofanana mu kapangidwe ndi zochita zake ndi "Alumina" waku Turkey. Mankhwala okhala ndi mawonekedwe osiyana, koma othandizira ofanana:

Tiyenera kukumbukira kuti ndi adokotala okha omwe angatchule izi kapena mankhwala. Kusintha kuchokera ku mankhwala kupita kwina kuyenera kuchitika moyang'aniridwa ndi achipatala.

Matenda a 2 a shuga adapezeka zaka 5 zapitazo. Kwa kanthawi, kadyedwe komanso maphunziro azolimbitsa thupi amatulutsa, sindinkafunika kumwa mankhwala. Zaka zingapo zapitazo, zinthu zinaipa. Dokotala adamuuza Glucobay. Ndikhutira ndimankhwala. Pitilizani zabwino. Zotsatira zoyipa sizingachitike. Ndikuganiza kuti mtengo wake ndi woyenera.

Glucobay "- si mankhwala yanga yoyamba kuchiza matenda ashuga. Choyamba ndinapatsidwa Siofor, kenako Glucophage. Onsewo sanakwanitse: adayambitsa zovuta zingapo, makamaka hypoglycemia. "Glucobai" adabwera bwino. Ndipo mtengo wake ndi wololera, ngakhale siyochepa.

Mankhwala amakono amapereka mankhwala ambiri ngati chithandizo cha matenda a shuga a 2. "Glucobay" ndi mankhwala am'badwo waposachedwa, omwe ali ndi chithandizo chokwanira, pomwe ali ndi zovuta zingapo, ndipo sizichitika kawirikawiri.

Asanaikidwe, wodwalayo ayenera kudziwitsidwa za kufunika kotsatira zakudya. Ichi ndiye maziko achipambano. Ziribe kanthu kuti mankhwalawo angakhale abwino bwanji, popanda zakudya zoyenera, kuchotsedwa kwokhazikika sikungatheke.

Zisonyezero zakudikirira

Mankhwala ndi mankhwala endocrinologist ngati pali zotsatirazi matenda:

• lembani matenda ashuga 2
• kuchuluka kwa magazi ndi minyewa ya lactic acid (lactic diabetesic chikomokere).

Kuphatikiza apo, kuphatikiza ndi chakudya chamagulu, chakudya chimawonetsedwa ngati mtundu 1 wa shuga.

Kugwiritsa ntchito mankhwalawa ndikosavomerezeka ngati wodwalayo apeza zotsatirazi:

• tsankho lako,
• zovuta za matenda ashuga (diabetesic ketoacidosis kapena DKA),
• Kusintha kwamphamvu kwa chiwindi (cirrhosis),
• chimbudzi chovuta komanso chopweteka (dyspepsia) chachilengedwe chovuta,
• kusintha kwa mtima kwamphamvu kwa mtima kumene kumachitika mutatha kudya (a Remkheld's syndrome),
• nthawi ya bere ndi kuyamwitsa,
• kuchuluka kwa mpweya m'matumbo,
• matenda otupa a mucous nembanemba (colcerative colitis),
• kutuluka kwamimba ziwalo zam'mimba pansi pa khungu.

Kapangidwe ndi kapangidwe ka zochita

Acarbose (dzina lachi Latin loti Acarbosum) ndi chakudya chopatsa mphamvu chokhala ndi shuga wochepa wosavuta, wosungunuka mosavuta m'madzi.

Thupi limapangidwa kudzera mu kukonzanso kwamankhwala amitundu mothandizidwa ndi michere. Zophatikiza ndi Actinoplanes utahensis.

Acarbose hydrolyzes polymeric chakudya poletsa zomwe zimapangitsa chidwi cha enzyme. Chifukwa chake, mulingo wa mapangidwe ndi kuyamwa kwa shuga m'matumbo amachepetsedwa.

Izi zimathandizira kukhazikika kwamisempha yamagazi. Mankhwala samayambitsa kupanga ndi kubisalira kwa insulin ya mahomoni ndi kapamba ndipo salola kuchepa kwambiri kwa shuga m'magazi. Chithandizo chanthawi zonse chimachepetsa mwayi wokhala ndi matenda amtima komanso kupitirira kwa shuga.

Mafuta a chinthu (mayamwidwe) si oposa 35%. Kukumana kwa chinthu m'thupi kumachitika m'magawo: mayamwidwe oyamba amapezeka mkati mwa ola limodzi ndi theka, sekondale (mayamwidwe azinthu za metabolic) - pamtunda kuchokera maola 14 mpaka tsiku limodzi.

Ndi matenda a impso kuwonongeka kwa impso (aimpso kulephera), ndende ya mankhwalawa ukuwonjezeka kasanu, mwa anthu azaka 60+ - 1.5 zina.

Mankhwalawa amachotsedwa m'thupi kudzera m'matumbo ndi mkodzo. Kutalika kwa nthawi kwa njirayi kumatha kupitilira maola 10-12.

Kodi Acarbose Glucobai angagwiritsidwe ntchito poonda?

Mankhwala ambiri omwe amapangidwa pamaziko a Acarbose ndi mankhwala a ku Germany Glucobay. Matenda ake a pharmacological, zikuonetsa ndi ma contraindication ogwiritsa ntchito ali ofanana ndi Acarbose. Komabe, kugwiritsa ntchito mankhwalawa sikuti kungochiza matenda a shuga.

Glyukobay ndiodziwika kwambiri pakati pa othamanga komanso anthu omwe akulimbana ndi kunenepa kwambiri. Ichi ndichifukwa chachikulu cha mankhwalawa - kuthekera kotchinga mapangidwe ndi kuyamwa kwa shuga. Zomwe zimayambitsa kulemera mopitirira muyeso, monga lamulo, ndizokwanira zamafuta. Nthawi yomweyo, mafuta am'mimba ndi gwero lalikulu la mphamvu zamthupi.

Mukamayanjana ndi ziwalo zogaya, chakudya chophweka chamthupi chimayamwa nthawi yomweyo matumbo, ma carbohydrate ovuta amapitilira gawo la kuwonongeka kukhala losavuta. Ikamamwa, thupi limayesetsa kuyamwa zinthuzo ndikazikhazika "pambali". Pofuna kupewa njirazi, iwo omwe akufuna kuchepa thupi amatenga Glucobai ngati wothandizira kutsekereza wamafuta.

Makanema pazakudya zotchingira zakudya

Kuchita ndi mankhwala ena

Mothandizidwa ndi mankhwala osiyanasiyana omwe amagwiritsidwa ntchito limodzi ndi Acarbose, kugwira ntchito kwake kumatha kuwonjezeka kapena kuchepa.

Gome lothandizira komanso kuchepetsa zotsatira za mankhwala:

zotumphukira za sulfonylurea, zomwe ndi zigawo zazikulu za mankhwala ena a hypoglycemic (Glycaside, Glidiab, Diabeteson, Gliclada ndi ena)

mtima glycosides (digoxin ndi mawonekedwe ake)

makonzedwe akukongoletsa (kukonza kaboni, Enterosgel, Polysorb ndi ena)

thiazide diuretic mankhwala (hydrochlorothiazide, indapamide, clopamide

mahomoni ndi oletsa (pakamwa) othandizira

mankhwala omwe amalimbikitsa kupanga adrenaline

kukonzekera kwa nicotinic acid (mavitamini B3, PP, Niacin, Nicotinamide)

Kugwiritsa ntchito limodzi kwa mankhwalawa komwe kumachepetsa ntchito ya Acarbose kumatha kubweretsa kukula kwakukulu.

Mitu ya mankhwalawa

Mankhwala okhala ndi vuto lofananalo amakhala ndi acarbose monga chinthu chachikulu chogwira ntchito.

Mankhwala awiri amagwiritsidwa ntchito ngati olowa m'malo:

Maganizo a odwala

Kuchokera pakuwunika kwa wodwala, titha kunena kuti Acarbose imagwira bwino ntchito popanga shuga m'magazi ochepa, koma kayendetsedwe kake nthawi zambiri kumayendetsedwa ndi zotsatirapo zoyipa, chifukwa chake kugwiritsidwa ntchito ndikosathandiza kuchepetsa thupi.

Mankhwalawa adaperekedwa monga adauzidwa ndi adokotala ndipo mosamalitsa malinga ndi malangizo. Kuphatikiza apo, ndimatenga 4 mg ya NovoNorm nthawi ya nkhomaliro. Mothandizidwa ndi mankhwala awiri, ndizotheka kusunga shuga wabwinobwino masana. Acarbose "ozimitsa" momwe zimapangira chakudya chamaofesi, ndizowonetsa zanga maola awiri nditatha kudya ndi 6.5-7,5 mmol / L. M'mbuyomu, zosakwana 9-10 mmol / L sizinali. Mankhwalawa amagwiradi ntchito.

Ndili ndi matenda ashuga a 2. Dotolo adalimbikitsa Glucobai. Mapiritsi samalola kuti shuga azilowetsedwa m'matumbo am'mimba, ndiye, kuchuluka kwa shuga "sikumalumpha". M'malo mwanga, mankhwalawa amasintha shuga kuti akhale ochepa shuga.

Ndidayesa Glucobai ngati njira yochepetsera kunenepa. Zotsatira zoyipa. Matendawa pafupipafupi, komanso kufooka. Ngati simukudwala matenda ashuga, iwalani za mankhwalawa ndikuchepetsa thupi mothandizidwa ndi zakudya komanso zolimbitsa thupi.

Mankhwala ndi mankhwala. Mtengo wa mapiritsi a Glucobai ndi pafupifupi ma ruble 560 pazinthu 30, ndi mulingo wa 100 mg.

Zizindikiro ndi contraindication

Mapiritsi akulimbikitsidwa zochizira matenda amtundu II shuga matenda limodzi ndi thanzi thanzi. Amamulembera ndi dokotala yemwe akupita mu mawonekedwe a monotherapeutic wothandizirana ndi mankhwala ena, kuphatikizapo insulin.

Mapiritsi amathandizidwanso ngati njira yoteteza matenda a shuga II mwa odwala omwe ali ndi mbiri yolekerera shuga. Amayenera kuledzera malinga ndi kuchuluka kwa mankhwala, pomwe pulogalamu yothandizira mankhwalawa imaphatikizapo zakudya zoyenera komanso masewera olimbitsa thupi.

Glucobai ndi mankhwala, motero alibe mawonekedwe ake ogwiritsira ntchito, komanso contraindication. Sizoletsedwa kumwa mapiritsi ngati wodwalayo akonda chidwi ndi mankhwalawo kapenanso zida zake zothandizira.

Contraindra ndi izi:

• Ana osakwana zaka 18.
• Matenda a m'matumbo am'mimba.
• Matenda a m'matumbo akuphatikizidwa ndi kuchuluka kwa mpweya.
• Mimba, yoyamwitsa.
• Kulephera kwakukulu kwaimpso.

Zopondera zomwe zatchulidwa pamwambazi ndizachidziwikire, ndiye kuti, ndizoletsedwa kumwa mankhwalawo.

Contraindication othandizira ndi kutentha thupi, matenda opatsirana, kuvulala ndi opaleshoni.

Tiyenera kudziwa kuti mukamamwa mapiritsi, kuchuluka kwa michere ya chiwindi kumatha kuchuluka (matendawa amakula popanda zizindikiro), motero, m'miyezi isanu ndi umodzi kapena chaka chatha, ndikofunikira kuyang'anira zonse za ma enzymes awa.

Palibe deta yomwe ingakhudzane ndi chitetezo chogwiritsidwa ntchito panthawi yoyembekezera komanso yoyamwitsa, motero, mankhwalawa pakamwa sayenera kuvomerezeka.

Zotsatira zoyipa

Kuunika kwa odwala kumawonetsa kuti nthawi zambiri, mankhwalawa amaloledwa bwino, komabe, m'malo angapo, thupi limatha kuyankha ndi zovuta zina.

Mukutanthauzira kachipangizochi, mutha kupeza mndandanda wathunthu wazovuta zomwe zimapezeka pamayeso azachipatala, komanso malipoti a odwala.

Kumbali yamtima, kutupa kumawonedwa, komabe, izi ndizotsatira zoyipa. Kuchokera pa hematopoietic dongosolo - thrombocytopenia (pafupipafupi mawonekedwe owonetsera sanakhazikitsidwe).

Zotsatira zotsatirazi zingachitike:

• Nthawi zambiri - kuwonjezereka kwa mpweya, kusokonezeka kwam'mimba, kupweteka pamimba, kupuma mseru komanso kusanza.
• Kuchuluka kwa chiwindi michere (kawirikawiri), khungu la khungu.
• Hepatitis (chosowa kwambiri).

Chofunikira: ngati kutchulidwa koyipa kumawonedwa mutatha kugwiritsa ntchito mankhwalawo, ndiye kuti ndikofunikira kudziwitsa dokotala wanu za nkhaniyi nthawi yomweyo. Amusinthanso, kapena amwe mankhwala ena omwe ali ndi vuto lofananalo.

Momwe mungatenge Glucobay

Mankhwala "Glucobay" amatengedwa pakamwa asanadye chakudya. Mankhwala amatha kutsukidwa ndi madzi popanda kutafuna. Dokotalayo akutiuza kuchuluka kwa mankhwalawa "Glucobay", amawonetsa kutalika kwa kayendedwe kake ndi mtundu wake. Simungasinthe kuchuluka kwa mankhwalawo.

Mankhwala

Hypoglycemic mankhwala zoletsa alpha glucosidase. Acarbose- chachikulu yogwira mankhwala chimakhudzana pseudotetrasaccharides magwero achilengedwe.

Mphamvu ya machitidwe amachokera pakukakamiza kwa ntchito alpha glucosidase (enzyme ya m'mimba yaying'ono) yomwe imasweka saccharides, zomwe zimapangitsa kuti muchepetse zakudya zomwe zimapangitsa kuti mu chakudya muzikhala chakudya pang'ono komanso kuti muchepetse mayendedwe omasulidwa shugazopangidwa munthawi yakusokonekera kwa chakudya. Ndiye kuti, acarbose Kuchedwa ndi kuchepetsa ndende shuga m'magazi. Zotsatira zake, shuga amapezeka m'matumbo moyenera, ndipo kusinthasintha kwake m'magazi tsiku lonse kumachepetsedwa.

Pharmacokinetics

Mankhwalawa amayamba pang'ono pang'onopang'ono kuchokera Matumbo. Mitu iwiri yapadera imadziwika Cmaxacarbose m'magazi. Woyamba pambuyo pa maola 1-2 ndipo wachiwiri utatha maola 16-24. The bioavailability wa mankhwala pafupifupi 1-2%. Amayamwa m'matumbo (51%) komanso impso (35%) makamaka mwa ma metabolites.

Glucobay, malangizo ogwiritsira ntchito (Njira ndi Mlingo)

Mankhwalawa amagwira ntchito limodzi mukamadyedwa musanadye kaye ndi chakudya choyamba. Nthawi yomweyo mapiritsi amayenera kumwa onse, kutsukidwa ndi madzi. Mlingo wa mankhwalawa kwa wodwala aliyense ndiwofanana. Pafupifupi odwala matenda ashuga Mitundu iwiri, mlingo woyambirira ndi 50 mg katatu pa tsiku. Kumwa mankhwalawa kumaphatikizidwa ndi zakudya zapadera. Ngati ndi kotheka, ngati palibe achire zotsatira zake, muyezowo utha kuwonjezeka mpaka 300 mg patsiku.

Odwala ndi kulephera kwa aimpso ndikusintha kwakatalika kwa mankhwala sikofunikira. Kugwiritsa ntchito Glucoboy kuyenera kuchitika motsutsana ndi maziko azakudya zopatsa thanzi. Simungathetse mankhwalawo nokha, chifukwa izi zimapangitsa kuti shuga wamagazi awonjezeke. Ndi kuwonjezeka kwamtundu wosiyanasiyana wam'matumbo, ndikofunikira kuchepetsa mlingo wa mankhwalawa.

Ndemanga za Glucobaya

Ndemanga ya mankhwala ambiri mwa odwala ndiabwino. Komabe, munthu sayenera kuyiwala kuti ntchito yake imatsimikiziridwa ndi mlingo woyenera komanso kuvomerezera kudya motsutsana ndi maziko a chithandizo cha mankhwala. Alendo ambiri opezeka pazowonda zolemetsa amafunsa funso kuti: Kodi ndingagwiritse ntchito mankhwala Glucobay kuti muchepetse thupi? Tengani mankhwalawa kuti muchepetse kunenepa osavomerezeka. Gwiritsani ntchito zida zapadera kuti muchite izi.

Mtengo wa Glucobay, komwe mugule

Mtengo wa mapiritsi a Glucobaya umasiyana pakati pa 360 - 420 rubles pakiti iliyonse. Mutha kugula Glucobay m'masitolo ogulitsa mankhwala ku Moscow ndi m'mizinda ina popanda zovuta.

Maphunziro: Anamaliza maphunziro ku Sverdlovsk Medical School (1968 - 1971) ndi digiri ku Paramedic. Anamaliza maphunziro ake ku Donetsk Medical Institute (1975 - 1981) ndi digiri ku Epidemiologist, Hygienist. Anamaliza maphunziro omaliza maphunziro ku Central Research Institute of Epidemiology ku Moscow (1986 - 1989). Digiri Yapamwamba - Wophunzira wa Medical Science (digiri yoperekedwa mu 1989, chitetezo - Central Research Institute of Epidemiology, Moscow). Maphunziro ambiri apamwamba a matenda a mliri ndi matenda opatsirana atha.

Zokumana nazo: Gwirani ntchito ngati mutu wa dipatimenti yochotsa matenda osokoneza bongo ndi 1983 - 1992 Gwirani ntchito ngati mutu wa dipatimenti yamatenda oopsa 1992 - 2010 Kuphunzitsa ku Medical Institute 2010 - 2013