Yanumet 1000 50: mtengo, ndemanga zamankhwala, ma analogs a mapiritsi
Matenda a shuga ndi matenda osachiritsika, omwe nthawi zambiri amakumana ndi zovuta.
Tsoka ilo, mankhwala omwe angapulumutse wodwalayo kwa iye kwamuyaya sanapangidwebe.
Mankhwala aposachedwa samayima, mankhwala opangidwa mwatsopano akupangidwa omwe atha kusintha moyo wa anthu omwe ali ndi matenda ashuga. Zina mwazomwe zachitika posachedwapa ndi mankhwala a "Yanumet".
Makalata ochokera kwa Owerenga
Agogo anga akhala akudwala matenda a shuga kwa nthawi yayitali (mtundu 2), koma posachedwapa mavuto atuluka pamiyendo ndi ziwalo zamkati.
Mwangozi ndidapeza nkhani pa intaneti yomwe idapulumutsa moyo wanga. Ndidalumikizidwa kumeneko kwaulere pafoni ndipo ndidayankha mafunso onse, ndikuuzidwa momwe ndingachitire ndi matenda ashuga.
Patatha milungu iwiri atatha kulandira chithandizo, agogo aja adasinthiratu momwe akumvera. Ananenanso kuti miyendo yake sikupweteka komanso zilonda zake sizinayende; sabata yamawa tidzapita ku ofesi ya dotolo. Falitsa ulalo wa nkhaniyo
Zizindikiro zogwiritsidwa ntchito
Yanumet ndi mankhwala osokoneza bongo okhazikika. Kuchepetsa kugulitsa kwake kwaulere ndikofunikira kuti muteteze odwala omwe amadzipatsa okha ku zovuta zomwe zingachitike ndi zovuta zina.
Amawonetsedwa mtundu wa 2 wodwala mellitus monga gawo la mono - kapena mankhwala osakanikirana pazinthu zotsatirazi:
- pamene zakudya ndi masewera olimbitsa thupi sizipanga zotsatira za hypoglycemic,
- Palibe chifukwa chotsatira mankhwala omwe ali mgawo limodzi: mankhwala a metformin kapena sulfonylurea.
Kutulutsa Fomu
"Yanument" ndi piritsi yomwe yaphatikizidwa ndi kuphatikizika kwa filimu. Pa kipimo chilichonse, mtundu wa chipolopolo umakhala payekhapayekha. Mapiritsi a 50/500 ndi amtundu wotumbuluka, 50/50 apinki, ndi 50/1000 ofiira.
Mankhwalawa amadzaza m'matumba a mapiritsi 14. Phukusi limodzi mumatha kukhala matuza 1, 2, 4, 6 ndi 7.
Yanument ndi mankhwala okwera mtengo. Phukusi la mapiritsi 28 okhala ndi muyeso wa 50/1000 lidzawononga ndalama zoposa ma ruble 1700. Kuchulukitsa kuchuluka kwa mapiritsi, komweko kumakhala kokwera mtengo kwambiri. Mwachitsanzo, paketi ya mapiritsi a 56 500/50 amaika ndalama zoposa ma ruble 3000.
Kuchita bwino kwa mankhwalawa kwa Yanument kumachitika chifukwa chapadera: kuphatikiza kwa metformin ndi sitagliptin.
Kuzindikira kwa shuga - ingomwani tsiku lililonse.
Metformin ndi m'gulu la Biguanides. Amachepetsa kupanga shuga m'magazi komanso kupukusa kwake m'mimba. Nthawi yomweyo, insulin chiwopsezo chimakulitsidwa, ndipo chinsinsi chake chimasinthiratu.
Sitagliptin imalepheretsa kuphatikiza kwa shuga m'chiwindi ndikuchepetsa kupanga glucagon.
Mosiyana ndi mankhwala ena a shuga, makamaka mankhwala a sulfonylurea, ngakhale metformin kapena sitagliptin amakhumudwitsa hypoglycemia.
Yanumet imapangidwa mumiyeso ingapo: 500/50, 850/50, 1000/50. Nambala yoyamba ikuwonetsa kuchuluka kwa metformin, yachiwiri - sitagliptin.
Malangizo ogwiritsira ntchito
Malangizo omwe amamwa mankhwalawa amadalira mlingo woyenera. Pofuna kupewa zovuta, zoyipa, wodwalayo ayenera kuphunzira malangizo mosamala ndikutsatira malangizowo. Mlingo wa tsiku ndi tsiku wa sitagliptin sungathe kupitirira 100 mg patsiku. Ndi malingaliro awa, njira yothandizira odwala imapangidwa.
Yanumet 50/500
Mlingo woyamba ndi piritsi limodzi patsiku. Ngati patapita nthawi wodwala saulula zovuta zoyipa, ndiye kuti muyezo mutha kuchuluka.
Mankhwalawa amatengedwa ndi zakudya ndikutsukidwa ndimadzi okwanira. Ndikofunika kudziwa kuti kuwonjezera kuchuluka kwa mankhwalawo, pankhani ya mankhwalawa, kumatanthauza kusankha metformin yambiri pamaumbidwe, osati kuchuluka kwa mapiritsi.
"Janumet 50/850 ndi 50/1000"
Njira yogwiritsira ntchito imafanana ndi mlingo wotsika: ndi chakudya komanso madzi ambiri. Muyenera kuyang'anira ngati wodwala atenga othandizira ena a hypoglycemic mofananako, ndizomveka kuchepetsa kuchuluka kwa mankhwala wachiwiri kuti muchepetse kuchitika kwa hypoglycemia. Kuyanjana kofananako ndi insulin.
Ngakhale zili choncho, kuchuluka kwa Yanumet patsiku ndi magome awiri. Muli ndi kuchuluka kwa tsiku ndi tsiku kwa sitagliptin. Kuchuluka kwa metformin kumasankhidwa ndi dokotala payekhapayekha kwa wodwala aliyense. Zimapangitsa nsanje wodwala, kulemera kwake, kulimba, thanzi, kupezeka kwa matenda ena, makamaka okhawo omwe ali pachimake.
Timapereka kuchotsera kwa owerenga tsamba lathu!
Zolemba zogwiritsira ntchito
Therapy "Yanumet" nthawi zina imatha kubweretsa kukula kwa kapamba. Pazifukwa izi, zizindikiro zazikulu ziyenera kufotokozedwa kwa wodwala. Zodziwikiratu kwambiri ndi ululu wammbuyo wammbuyo. Ndi pancreatitis yomwe ingatheke, kulandiridwa kwa "Yanumet" kumatha.
Mosamala, mankhwalawa ayenera kumwedwa ndi anthu omwe ali ndi vuto laimpso. Izi ndichifukwa choti metformin ndi stagliptin amachotsedwa mthupi ndendende ndi kusefedwa kwa impso. Asanapereke mankhwala "Yanumet," adotolo ayenera kuonetsetsa kuti wodwalayo alibe matenda. Kupanda kutero, mankhwalawa sangathe kugwiritsidwa ntchito. Kuthandizira okalamba, mlingo wotsika kwambiri womwe umagwiritsidwa ntchito umagwiritsidwa ntchito. Amaphatikizidwanso ndi vuto laimpso chifukwa cha zaka.
Wodwala yemwe akuthandizidwa ndi Yanumet pazifukwa zina sangathe kuyang'anira kuchuluka kwa shuga m'magazi, mwachitsanzo, ndi kuvulala, kuyenera kuyimitsidwa. Cholowa chovomerezeka ndi insulin mpaka wodwalayo atachira.
Kufanana kwa Yanumet ndi mankhwala ena kungatheke pokhapokha povomerezana ndi adotolo kuti tipewe kusagwirizana komanso kusokoneza dongosolo la nephrotic.
Kulandila kwa sitagliptin kumayendera limodzi ndi ulesi, kugona, kuchepa ndende. Izi ziyenera kuganiziridwa kwa odwala omwe ntchito yawo imalumikizidwa ndi chidwi chowonjezeka, makamaka, oyendetsa magalimoto.
Therapy "Yanumet" pa nthawi yapakati, kuyamwa, komanso kukonzekera kutenga mimba ndikosatheka.
Zotsatira zoyipa
Mankhwalawa amaphatikiza onse mphamvu ya metformin ndi sitagliptin, ndi zovuta zake. Nthawi zambiri, minyewa yam'mimba, dongosolo la mtima, kagayidwe, komanso khungu zimakhudzidwa. Nthawi zina - chitetezo chokwanira, kupuma, mantha, minofu ndi kwamikodzo.
- Kuchokera m'mimba: theru, kusanza, kukoma kwazitsulo,
- kuchokera kumbali ya kagayidwe: hypoglycemia, lactic acidosis,
- kuchokera ku mbali ya chitetezo chokwanira: anaphylactic shock, angioedema,
- Kuchokera mmimba: chimbudzi, kupweteka kwa pachimake (mwina kupha).
Kuti muchepetse zotsatira zoyipa, odwala ayenera kutsatira malangizo omwe amwa mankhwalawo.
Contraindication
Yanumet ili ndi mndandanda waukulu wa ziletso. Onsewa ndi amtheradi, ngati alipo (kapena akuwakayikira), mankhwalawo sangathe kulembedwera.
- mtundu 1 shuga
- matenda a impso ndi mtima
- matenda
- matenda a kupuma, limodzi ndi hypoxia,
- kuchitapo kanthu pokonzekera,
- poyl mowa
- ana ochepera zaka 18,
- ziwengo kapena hypersensitivity chilichonse cha mankhwala.
Ndizofunikira kudziwa kuti kukalamba si kuphwanya mankhwala a Yanumet. Gulu ili la odwala liyenera kuwonedwa pafupipafupi ndi dokotala.
Bongo
Ngati mankhwala ambiri osokoneza bongo, wodwalayo amakumana ndi zovuta zomwe zafotokozedwa koyambirira kwa mawonekedwe. Kutha kwa zotsatirapo zake ndi kupweteka kwam'mimba, komanso hemodialysis. Nthawi zina, mothandizidwa ndi mankhwala othandizira angafunike.
Pulogalamu yamapulogalamu imapereka mankhwala angapo omwe ali ofanana ndikupanga Yanumet.
Odziwika kwambiri a:
Ndikofunikira kudziwa kuti kusinthaku kuyenera kuchitika malinga ndi malamulo ena ndikuyang'aniridwa ndi dokotala. Ngakhale achire momwe, zotsatira zoyipa ndi zotsutsana ndizosiyana.
Ndakhala ndikuvutika ndi matenda ashuga kwa zaka zingapo. Poyamba ndinkaopa kuti moyo wasintha kwambiri: zakudya, mankhwala. Mwamwayi, adotolo adandiwuza kuti ndiyese Janumet. Inde, zimawononga ndalama zambiri. Komabe, ndi iye ndidayamba kumva ngati munthu wamphumphu. Ndipo palibe mankhwala amene angalowe m'malo mwa zakudya.
Katerina, wazaka 56:
Mgwirizano wathu ndi matenda ashuga ndi wautali. Zogwiritsidwa ntchito pakudya ndi maphunziro akuthupi. Tsopano, chifukwa cha ukalamba, mankhwala owonjezera amafunikira. Ndidayesera kwambiri komanso Yanumet. Mankhwalawa sioyipa, koma mtengo wake umangododometsa. Sindingakwanitse.
Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.
Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu
Kodi wothandizira hypoglycemic ndi chiyani?
Mankhwala Yanumet amaphatikizidwa ndi gulu la mankhwala omwe ali ndi vuto la hypoglycemic. Ichi ndichifukwa chake, nthawi zambiri amalembera shuga mellitus wa fomu yodziyimira payekha.
Kuchita kwake kumapangidwira ndi zosakaniza zingapo zomwe ndi gawo lamankhwala.
Dziko lomwe Yanniet idachokera ndi United States of America, yomwe imalongosola mtengo wokwera kwambiri wa mankhwalawa (mpaka ma ruble 3,000, kutengera mlingo).
Mapiritsi a Janumet amagwiritsidwa ntchito motere:
- Kuchepetsa shuga wamagazi, makamaka ngati kudya zakudya zamagulu limodzi ndi zolimbitsa thupi zolimbitsa thupi zikuwonetsa zotsatira zoyipa,
- ngati monotherapy yogwiritsira ntchito imodzi yokha yogwiritsira ntchito siyinabweretse zotsatira zomwe mukufuna,
- Itha kugwiritsidwa ntchito ngati njira yovuta yothandizira pamodzi ndi zotumphukira za sulfrnylurea, insulin kapena PPAR-gamma antagonists.
Mankhwalawa ali ndi magawo awiri omwe amagwira ntchito omwe ali ndi vuto la hypoglycemic:
- Sitaglipin ndi nthumwi ya DPP-4 enzyme inhibitor group, yomwe, ndi kuchuluka kwa shuga m'magazi, imalimbikitsa kaphatikizidwe ndi katulutsidwe ka insulin ndi maselo a pancreatic beta. Chifukwa cha izi, pali kuchepa kwa kapangidwe ka shuga m'chiwindi.
- Metformin hydrochloride ndi woimira gulu lachitatu-greatuanide gulu, lomwe limathandizira kuletsa kwa gluconeogeneis. Kugwiritsa ntchito mankhwala ozikidwa ndikulimbikitsa glycolysis, komwe kumapangitsa kuti shuga azikhala bwino ndi maselo komanso minyewa ya thupi. Kuphatikiza apo, pali kuchepa kwa mayamwidwe am'magazi ndimaselo a m'matumbo. Ubwino wawukulu wa metformin ndikuti siziyambitsa kuchepa kwambiri kwa glucose (m'munsimu muyezo) ndipo sizitsogolera pakupanga hypoglycemia.
Mlingo wa mankhwala umatha kusintha mamiligalamu 500 mpaka chikwi chimodzi mwazomwe zimagwira - metformin hydrochloride. Ichi ndichifukwa chake, pharmacology yamakono imapatsa odwala mitundu yamitundu iyi:
Chiwerengero choyamba pakuphatikizidwa kwa mankhwalawa chikuwonetsa kuchuluka kwa yogwira zigawo sitaglipin, yachiwiri ikuwonetsa mphamvu ya metformin. Monga zinthu zothandizira zimagwiritsidwa ntchito:
- Microcrystalline cellulose.
- Povidone.
- Sodium stearyl fumarate.
- Sodium lauryl sulfate.
- Mowa wa Polyvinyl, titanium dioksidi, macrogol, talc, oxide wachitsulo (chipolopolo cha kukonzekera kwa piritsi chimakhala ndi iwo).
Chifukwa cha chida chachipatala Yanumet (Yanomed), ndikotheka kukwaniritsa zopinga zama glucagon, zomwe, ndi kuwonjezeka kwa insulin, kumabweretsa kukula kwa shuga m'magazi.