Diabetesalong matenda a shuga

Diabetesalong ndi mankhwala a makonzedwe omwe amagwiritsidwa ntchito ngati gawo limodzi la mankhwalawa a mtundu wa 2 kapena matenda a shuga. Mapiritsi a Diabetesalong ndi omwe amalembedwera osagwirizana ndi kusintha kwa chakudya komanso zochitika zolimbitsa thupi kwa wodwala, mogwirizana ndi zaka zake komanso mawonekedwe a thupi.

Kuchiza ndi mankhwalawa kuyenera kuphatikizidwa ndi chithandizo chamankhwala (tebulo No. 9) - izi ndizofunikira popewa kuwukira kwa hypoglycemic ndikuwonjezera mphamvu ya mankhwala.

Chowoneka mosiyana ndi mankhwalawa ndikutulutsidwa kwakanthawi kantchitoyo, komwe kumathandizira kuchepetsa kuchuluka kwa mankhwalawa ndikuwonetsetsa kuchepa kwa shuga m'thupi la magazi.

Kugwiritsa

"Diabetesalong" amatanthauza gulu la mankhwala omwe ali ndi vuto la hypoglycemic, lomwe limagwiritsidwa ntchito ngati chithandizo chachikulu kwa odwala omwe samadalira matenda a shuga. Zomwe zimagwiritsidwa ntchito pamapiritsi ndi gliclazide.

Awa ndi mankhwala okhala ndi kusankha kwakukulu, komanso bioavailability komanso kuchuluka kukana zinthu zina zachilengedwe.

The achire zotsatira za mankhwala chifukwa cha gliclazide, amene:

• kuchuluka kwa insulin ya iwo eni, omwe amachepetsa kuchuluka kwa timadzi timene timalowa m'magazi,
• kukondoweza kwa ntchito ya maselo a beta (maselo omwe amapanga minofu ya kapamba ndikuwonetsetsa kuti katundu wake ndi endocrine),
• Matenda a kagayidwe kazakudya (makamaka odwala omwe ali ndi kunenepa kwambiri kwa matenda a shuga 2, 3 kapena 4),
• chopinga wa kupatsidwa zinthu za m'mwazi (kuphatikizika) ndi kupewa kwa thrombocytopenia, thromboembolism ndi thrombosis.

Zimatsimikiziridwa kuti Diabetesalong ali ndi antisulinotic ntchito ndipo amachepetsa kwambiri chiopsezo chotenga zovuta zakupha kuchokera mumtima, mitsempha yamagazi, ziwalo zam'mimba ndi ubongo.

Chithandizo chogwira mankhwalawa chimamasulidwa nthawi yayitali, ndipo ndende yake yambiri imatheka mkati mwa maola 4-6.

Mphamvu ya mankhwalawa imasungidwa mpaka maola 10-12, ndipo theka la moyo limachokera ku maola 6 mpaka 12 (kutengera momwe machitidwe aimpso).

Chizindikiro cha kupezeka kwa mankhwalawa ndi mtundu wa 2 shuga mellitus - mtundu wodziyimira pawokha womwe wodwala amakula kwambiri hyperglycemia (kuwonjezeka kwa shuga wamagazi) komanso kuchepa kwa mphamvu ya insulin.

Kutulutsa Fomu

"Diabetesalong" imapezeka mu mtundu umodzi - mapiritsi otulutsidwa kapena mapiritsi osinthidwa. Chomera chopangira mankhwala chimapanga mitundu iwiri ya mankhwala:

• 30 mg (paketi ya zidutswa 30) - zolimbikitsidwa pakuyamba kwa chithandizo,
• 60 mg (paketi ya 60 zidutswa).

Wopangayo amagwiritsa ntchito zowonjezera monga zida zothandizira, mwachitsanzo, calcium stearate, silicon dioxide ndi talc.

Kusagwirizana ndi mankhwalawa kumatha kuchitika chifukwa cha lactose (mwa mawonekedwe a monohydrate) - mamolekyulu a shuga a mkaka okhala ndi mamolekyulu amadzi.

Odwala omwe ali ndi vuto lobadwa nalo kapena lactase akusowa akhoza kukhala ndi vuto la kusowa kwa magazi, chifukwa chake, ndi matenda amtunduwu, analogi kapena choloweza mmalo chofanana ndi zinthu zomwe sizikhala ndi mkaka wa shuga ziyenera kusankhidwa.

Mapiritsiwo ndi oyera komanso osalala monga mawonekedwe a silinda.

Nthawi zina, mankhwalawa amatha kukhala osunthika - izi zimafotokozedwa ndikugawidwa kosagwirizana kwa talcum ndipo sikukhudza ma pharmacological a mankhwala.

Malangizo ogwiritsira ntchito

Malangizo ogwiritsira ntchito "Diabetesalong" amalimbikitsa kumwa mankhwalawa 1 mpaka 2 pa tsiku (kutengera mlingo womwe waperekedwa).

Ngati mlingo wa tsiku ndi tsiku wa mankhwalawa ndi mapiritsi a 1-2, ayenera kumwedwa nthawi imodzi m'mawa.

Ngakhale kuti zonulirapo zimaloleza kumwa mapiritsi pakati pa chakudya, chithandizo cha mankhwalawa chimakhala chambiri ngati mutamwa "Diabetesalong" Mphindi 10-20 musanadye.

Ngati wodwalayo amaiwala kumwa mapilitsi, ndikofunikira kuyambiranso chithandizo chotsatira chotsatira chomwe mwalandira ndi mtundu womwe umagwiritsidwa ntchito.

Musati muwonjezere mlingo (mwachitsanzo, simungathe kumwa mapiritsi osowa m'mawa), chifukwa izi zimatha kudzetsa chiwopsezo cha hypoglycemia komanso kukula kwa chikomokere, makamaka mwa anthu opitilira 65 ndi odwala omwe ali pachiwopsezo.

Contraindication

Musanagwiritse ntchito mankhwala aliwonse a hypoglycemic, muyenera kufunsa dokotala, ndipo motsutsana ndi chithandizo cha mankhwala, ndikofunikira kuwongolera shuga komanso magwiridwe antchito aimpso.

Sizoletsedwa kumwa mankhwala m'gululi la matenda amtundu 1, chifukwa izi zimapangitsa kuti insulin ikwaniritse kwambiri.

Zomwe zimagwiritsidwa ntchito ndi glyclazide zimaphatikizidwa mwa amayi apakati komanso amayi oyamwitsa, chifukwa zimatha kuyambitsa kwambiri endocrine pathologies ndi zovuta zamtima mu mwana wosabadwayo komanso wakhanda.

Zotsutsana zina pakupanga Diabetesalong ndi:

• kwambiri pathologies a impso ndi chiwindi, zikubweretsa kwathunthu kapena pang'ono gawo lothandizira,
• pachimake zinthu limodzi ndi kuphwanya chakudya
• okhazikika zochita tsankho kapena hypersensitivity kwa zinthu gulu la sulfonylurea zotumphukira kapena sulfonamides,
• Matenda a matenda ashuga komanso momwe zidalili kale,
• kuchepa kwa michere yomwe imaphwanya shuga mkaka (chifukwa cha kupezeka kwa lactose pakuphatikizika).

Diabetesalong imangopangidwira zochizira odwala achikulire.

Kwa anthu opitirira zaka 65, mankhwalawa amatha kuikidwa pokhapokha kuwunikira magawo a magazi ndi mkodzo, komanso chilolezo cha creatinine. Popereka mankhwala, mulingo wa mankhwala ogwiritsidwanso ntchito uyenera kuganiziridwanso. Sizoletsedwa kumwa gliclazide ndi mankhwala antifungal systemic yochokera pa miconazole, komanso Danazol ndi Phenylbutazone.

Ndikofunikira kuti muyambe kulandira chithandizo chamankhwala osachepera 30 mg (mapiritsi osinthidwa). Pa mlingo womwewo, tikulimbikitsidwa kuti anthu omwe ali pachiwopsezo cha matenda a hypoglycemic atengedwe. Zina mwa zinthuzi ndi monga:

• kuperewera kwa zakudya m'thupi ndi mchere wopanda mavitamini ndi mavitamini komanso chakudya chochulukirapo chopatsa thanzi komanso shuga,
• ukalamba (wopitilira 65)
• Kusowa m'mbiri yamatenda azachipatala pogwiritsa ntchito mankhwala omwe amachepetsa magazi a magazi,
• zosokoneza pakugwira ntchito kwa gren adrenal gland
• kuperewera kwa mahomoni a chithokomiro mu chithokomiro.
• carotid arteriosulinosis,
• matenda oopsa a mtima (kuphatikiza matenda a mtima 3 ndi 4 madigiri).

Mankhwala osokoneza Mlingo wa 30 mg amatengedwa kamodzi patsiku m'mawa musanadye kapena nthawi ya chakudya cham'mawa.

Kwa magulu ena a odwala, Mlingo amawerengedwa payekhapayekha pozindikira zovuta zamisempha, zaka za wodwalayo, shuga wamagazi ndi zina zolozera kuyesa kwamikodzo kwamkodzo ndi magazi.

Mlingo wa tsiku ndi tsiku wa mankhwalawa sayenera kupitirira 120 mg (mapiritsi 2 a 60 mg kapena mapiritsi 4 a 30 mg).

Zotsatira zoyipa

Zotsatira zoyipa zomwe zimakhudzana ndi Diabetesalong ndizopweteka pamutu, kukomoka kwa magazi, kuchepa kwa magazi, komanso matupi awo sagwirizana ndi khungu. Pafupipafupi, pamakhala malipoti a zovuta zina, monga:

• chizungulire
• wodwala matenda opatsirana
• kunjenjemera m'thupi
• kusokoneza malingaliro,
• kupuma movutikira komanso kuyimitsidwa ntchito.
• chikaso cha khungu ndi mucous nembanemba wa diso sclera (chiwindi cha cholestatic mtundu),
• kutsika kwamawonedwe owoneka,
• kuchuluka kwa kuthamanga kwa magazi.

Nthawi zina, kumwa mankhwalawa "Diabetalong" kumatha kuyambitsa kuphwanya kwambiri chiwindi, ndikuwopseza moyo wa wodwalayo. Mankhwalawa amathanso kukhudza ntchito ya hematopoiesis ya m'mafupa, chifukwa chake, iyenera kutengedwa moyang'aniridwa ndi katswiri, kuphatikiza ndi kudya kwa achire komanso kuchita masewera olimbitsa thupi.

Mtengo wa "Diabetesalong" umawonedwa kuti ndiwodalirika m'magulu onse a odwala, chifukwa mankhwalawo pamtengo amatanthauza gawo lotsika. Mtengo wamba wapaketi ya mapiritsi 60 ndi ma ruble 120.

Mafuta a mankhwalawa angafunikire kuti munthu asagwidwe kapena kuti tsankho likhale lina lililonse la mankhwalawo. Kuwongolera kuchuluka kwa shuga, dokotala atha kukulemberani ndalama kuchokera ku gulu la sulfonylurea zotumphukira kapena mankhwala ena a hypoglycemic omwe ali ndi vuto lofanananso lamankhwala.

• "Diabeteson" (ma ruble 290-320). Analogue yaumboni ya "Diabetesalong" yomwe ili ndi ntchito yomweyo. Mankhwala amatengedwa kuti ndi othandiza kwambiri chifukwa cha kuyambika kwakanthawi kothira - kuchuluka kwa gliclazide kumatheka mu plasma ya 2-5 maola.
• "Gliclazide" (ma ruble 100-120). Kukonzekera kwa hypoglycemic mu mawonekedwe a ufa, mawonekedwe analogue a Diabetesalong.
• "Glucophage kutalika" (ma 170-210 ma ruble). Mankhwala okhalitsa, omwe amaphatikizapo metformin. Itha kugwiritsidwa ntchito ngati mankhwala akuluakulu ndipo imaphatikizidwa ndi insulin ndi mankhwala ena kuti muchepetse shuga.

Ndikosatheka kusiya mankhwala omwe ali ndi katundu wa hypoglycemic paokha, chifukwa amafunikira kuchoka pang'onopang'ono ndi kuchepetsedwa kwa mulingo wofanana ndikuwonetsetsa magazi ndi mkodzo magawo a mkodzo. Mankhwala aliwonse m'gululi amatha kusankhidwa ndikuyikidwa kokha ndi katswiri.

Bongo

Ngati mwangozi mwapamwamba mukulumikizidwa ndi kuyambika kwa chizindikiro cha vuto la hypoglycemic, muyenera kupereka mayankho a shuga (40% - 40-80 ml), kenako mukagwiritseni njira ya shuga ya 5-10% pogwiritsa ntchito kulowetsedwa. Ndi zizindikiro zofatsa, mutha kukweza msanga msanga ndi mankhwala aliwonse omwe ali ndi sucrose kapena mafuta osavuta.

Ndemanga za mankhwala a odwala matenda ashuga "Diabetesalong" ali ndi zabwino kwambiri.

Wogwiritsa ntchito Venera87 wochokera mumzinda wa Kursk powunikira http://otzovik.com/review_3106314.html akuti chidachi chidathandiza abale ake okalamba kuwongolera shuga. Mankhwalawa adapangidwira muyeso wa 30 mg kamodzi patsiku ndipo amatengedwa mosamalitsa monga adanenera dokotala. Palibe mavuto omwe adapezeka panthawi ya chithandizo.

Vitaly Koval amalankhulanso bwino za mankhwalawa ndipo akuti mapiritsiwo adathandizira agogo akewo kuthana ndi shuga wambiri (https://health.mail.ru/drug/diabetalong/).

Koma, Ivan, m'malo mwake, akuti mankhwalawo sanakwane ndi abambo ake, ndipo motsutsana ndi kumbuyo kwa mankhwalawo, wodwalayo adayamba kupweteka kwambiri pamimba, chifukwa chomwe mankhwalawa amayenera kuyimitsidwa patatha masiku 10 atayamba kumwa mapiritsi (http: //www.imho24) .ru / malingaliro / 57004 / # review77231).

"Diabetesalong" - mankhwala omwe amayenera kutumizidwa ndi adokotala okha omwe amawerengera kuchuluka kwa mankhwala ndi mankhwalawa. Ngati mankhwalawa sakugwirizana ndi wodwala wina, muyenera kufunsa dokotala ndikusankha mankhwala oyenera a hypoglycemic.

Sungani kapena gawani:

Diabetesalong ku Moscow

Oral hypoglycemic mankhwala, omwe amapezeka m'badwo wachiwiri.

Zimapangitsa secretion ya insulin ndi kapamba, imachepetsa kuchuluka kwa glucose m'magazi, imakulitsa mphamvu ya insulin-secretory ya glucose ndikuwonjezera chidwi cha zotumphukira zimakhala ndi insulin. Pambuyo pa chithandizo chazaka ziwiri, odwala ambiri samayamba kumwa mankhwala osokoneza bongo (kuchuluka kwa insulin ndikubisalira kwa C-peptides kumakhalabe.

Amachepetsa nthawi kuchokera pakudya mpaka kuyamba kwa insulin.

Imabwezeretsa chiyambi choyambirira cha insulin katulutsidwe poyamwa kudya kwa glucose (mosiyana ndi zina zomwe zimachokera ku sulfonylurea, zomwe zimakhudza gawo lachiwonetsero chachiwiri).

Zimathandizanso gawo lachiwiri la insulin secretion. Kuchepetsa kukwera kwa hyperglycemia mukatha kudya (kumachepetsa postprandial hyperglycemia).

Glyclazide imawonjezera chidwi cha zotumphukira zimakhala ku insulin (i.e., ili ndi kutchulidwa kwa extrapancreatic athari). Mu minofu minofu, mphamvu ya insulini pakukoka kwa glucose, chifukwa cha kusintha kwamphamvu kwa minyewa kupita ku insulin, imachulukitsidwa kwambiri (mpaka + 35%), chifukwa glycazide imalimbikitsa ntchito ya minofu ya glycogen synthetase.

Amachepetsa mapangidwe a shuga m'chiwindi, amateteza kusuntha kwa shuga.

Kuphatikiza pa kukhudza kagayidwe kazakudya, gliclazide imathandizanso kukoka kwa micro.

Mankhwala amachepetsa chiopsezo chaching'ono chotupa cha thrombosis, chikukhudza njira ziwiri zomwe zingakhudzidwe ndikupanga zovuta m'matenda a shuga: kusakanikirana kwakanthawi kwa kuphatikizana kwa mapulogalamu am'magazi komanso kutsika ndi kuchepa kwa kuchuluka kwa ma cell a activation (beta-thromboglobulin, thromboxane B2), komanso kubwezeretsa fibrinolytic mtima endothelial ntchito ndi kuchuluka kwa minofu plasminogen activator.

Glyclazide ili ndi antioxidant katundu: imachepetsa mulingo wa lipid peroxides mu plasma, imawonjezera ntchito ya maselo ofiira am'magazi a superoxide dismutase.

Chifukwa cha mawonekedwe a mlingo, tsiku lililonse mapiritsi a Diabetalong® 30 mg amapereka njira yothandizira yochizira gliclazide mu plasma ya maola 24.

Pambuyo pakamwa, gliclazide imadzaza kwathunthu kuchokera m'mimba. Kudya sizimakhudza mayamwidwe.

The kuchuluka kwa yogwira plasma magazi pang'onopang'ono ukuwonjezeka pang'onopang'ono, kufika pazipita ndikufika kumtunda maola 6-12 atatha kumwa mankhwalawa. Kusiyanasiyana kwamunthu aliyense kumakhala kotsika.

Ubale pakati pa kumwa ndi kuchuluka kwa mankhwalawa m'magazi am'magazi ndikudalira kwapanthawi.

Kugawa komanso kagayidwe

Plasma kumanga mapuloteni pafupifupi 95%.

Amapukusidwa mu chiwindi ndikuwachotsa makamaka ndi impso. Palibe metabolites yogwira mu plasma.

Kuchotseredwa ndi impso kumachitika makamaka mu mawonekedwe a metabolites, osakwana 1% ya mankhwalawa amachotsedwa osasinthika.

T1 / 2 ndi pafupifupi maola 16 (maola 12 mpaka 20).

Pharmacokinetics mu milandu yapadera yamankhwala

Okalamba, palibe kusintha kwakukulu pamawonekedwe a pharmacokinetic komwe kumawonedwa.

- Type 2 shuga mellitus kuphatikiza mankhwala ochizira zakudya osakwanira komanso kuchita masewera olimbitsa thupi.

Mankhwalawa amapangidwira chithandizo chokha. Za akulu.

Diabetesalong® 30 mg mapiritsi otulutsidwa amasamu amatengedwa pakamwa nthawi imodzi / tsiku pakudya m'mawa.

Kwa odwala omwe sanalandire chithandizo (kuphatikizapo anthu opitilira 65), mlingo woyambirira ndi 30 mg. Ndiye kuti mankhwalawa amasankhidwa payekhapayekha mpaka njira yothandizidwa itakwaniritsidwa.

Kusankhidwa kwa Mlingo uyenera kuchitika molingana ndi mulingo wa shuga m'magazi atangoyamba chithandizo. Kusintha kwa mtundu wina uliwonse kumachitika pakatha milungu iwiri.

Mlingo wa tsiku ndi tsiku wa mankhwalawa umatha kukhala 30 mg (1 tabu.) Mpaka 90-120 mg (3-4 tabu.). Mlingo wa tsiku ndi tsiku sayenera kupitirira 120 mg (mapiritsi 4).

Diabetesalong ® ikhoza kusintha mapiritsi a gliclazide (80 mg) mwachangu mu mapiritsi 1 mpaka 4 / tsiku.

Ngati mwaphonya mtundu umodzi kapena zingapo za mankhwalawa, simungatenge kumwa kwakukulu pa tsiku lotsatira (tsiku lotsatira).

Mukasinthira mankhwala ena a hypoglycemic ndi mapiritsi a Diabetalong® 30 mg, palibe kusintha kwakanthawi kofunikira. Muyenera kusiya kumwa mankhwala tsiku lililonse ndipo tsiku lotsatira mungayambe kumwa mankhwalawa.

Ngati wodwalayo alandila chithandizo kale ndi sulfonylureas wokhala ndi moyo wautali, ndiye kuti kuwunika mosamala (kuwunika shuga) kwa masabata 1-2 ndikofunikira kupewa hypoglycemia chifukwa chotsatira chotsalira cha chithandizo chotsatira.

Diabetesalong ® ikhoza kugwiritsidwa ntchito limodzi ndi biguanides, alpha glucosidase inhibitors kapena insulin.

Odwala wofatsa pang'ono komanso aimpso kulephera The mankhwala zotchulidwa chimodzimodzi Mlingo kwa odwala yachibadwa aimpso ntchito. At kulephera kwambiri kwaimpso Diabetalong® imatsutsana.

Odwala omwe ali pachiwopsezo cha kukhala ndi hypoglycemia (zakudya zosakwanira kapena zopanda thanzi, zovuta za endocrine zowonongeka - kuchepa kwa thupi ndi vuto la adrenal, hypothyroidism, kuthetsedwa kwa glucocorticosteroids atatha nthawi yayitali komanso / kapena kukonzekera kwadzaoneni, matenda oopsa a mtima dongosolo / kwambiri matenda a mtima, carotid arteriosulinosis, matenda atherosulinosis /) tikulimbikitsidwa kugwiritsa ntchito mlingo wochepa (30 mg 1 nthawi / tsiku) wa mankhwala a Diabetalong®.

Hypoglycemia (kuphwanya dongosolo lamankhwala komanso chakudya chokwanira): kupweteka mutu, kutopa, kugona, thukuta, kufooka kwambiri, kugona tulo, kuchuluka kwa magazi, kugona, kugona, kukwiya, kuda nkhawa, kusokonezeka, kupsinjika, kusaganiza bwino komanso kuchepetsedwa, kupsinjika, kuwona, kusamva bwino, aphasia , kunjenjemera, paresis, kusokonezeka kwa malingaliro, chizungulire, kumva kusowa pogwira, kulephera kudziletsa, kunjenjemera, kukokana, kupuma kosasunthika, bradycardia, kusazindikira.

Kuchokera m'mimba: nseru, kusanza, kutsegula m'mimba, kupweteka kwam'mimba, kudzimbidwa (kuchuluka kwa izi zimachepa ndikudya), kawirikawiri - chiwindi chimagwira ntchito (chiwindi, kuchuluka kwa hepatic transaminases, alkaline phosphatase, cholestatic jaundice - amafunikira kusiya mankhwala.

Kuchokera ku ziwalo za hemopoietic: kuletsa mafupa hematopoiesis (magazi m'thupi, thrombocytopenia, leukopenia, granulocytopenia).

Zotsatira zoyipa: pruritus, urticaria, zotupa pakhungu, kuphatikizapo maculopapular ndi ng'ombe zamphongo), erythema.

Zina: kuwonongeka kwamawonekedwe.

Zotsatira zoyipa za sulfonylureas: erythropenia, agranulocytosis, hemolytic anemia, pancytopenia, Matupi vasculitis, chiwopsezo cha chiwindi.

Contraindication

- lembani matenda ashuga 1

- matenda ashuga ketoacidosis, matenda a shuga, matenda a shuga,

Akuluakulu aimpso komanso / kapena kulephera kwa chiwindi,

- wazaka mpaka 18

- nthawi yoyamwitsa (mkaka wa m'mawere),

- kobadwa nako lactose tsankho, lactase akusowa kapena shuga-galactose malabsorption,

- Hypersensitivity to gliclazide kapena aliyense wokonda mankhwala, kupita kwa ena a sulfonylurea, kuti sulfonamides.

Sitikulimbikitsidwa kugwiritsa ntchito mankhwalawa nthawi imodzi limodzi ndi phenylbutazone kapena danazole.

Ndi chenjezo: okalamba, osakhazikika komanso / kapena osagwirizana ndi zakudya, matenda oopsa a mtima (kuphatikizapo mtima wamkati, atherosulinosis), hypothyroidism, adrenal kapena pituitary insuffence, hypopituitarism, aimpso ndi / kapena kulephera kwa chiwindi, chithandizo cha nthawi yayitali ndi corticosteroids, uchidakwa, kusakwanira shuga-6-phosphate dehydrogenase.

Mimba komanso kuyamwa

Palibe zinachitikira ndi gliclazide pa nthawi yapakati. Zomwe zimagwiritsidwa ntchito pazinthu zina za sulfonylurea panthawi yapakati ndizochepa.

Mu maphunziro a nyama yothandizira, teratogenic zotsatira za gliclazide sizinadziwikebe.

Kuchepetsa chiopsezo cha kubadwa mwatsopano, kuwongolera koyenera (chithandizo choyenera) cha matenda osokoneza bongo ndikofunikira.

Mankhwala a Oral hypoglycemic pa nthawi yoyembekezera sagwiritsidwa ntchito. Mankhwala osankhidwa pochiza matenda a shuga mwa amayi apakati ndi insulin. Ndikulimbikitsidwa kuti m'malo mankhwalawa pakhale kumwa kwa mankhwala a hypoglycemic ndi insulin mankhwala onse omwe ali ndi pakati, komanso ngati kutenga pakati kumachitika pakumwa mankhwalawo.

Poganizira kusowa kwa chidziwitso cha kudya kwa gliclazide mkaka wa m'mawere ndi chiopsezo chotenga neonatal hypoglycemia, kuyamwitsa kumayesedwa panthawi ya mankhwala.

Gwiritsani ntchito ana

Odwala ana osakwana zaka 18.

Zizindikiro hypoglycemia, kusokonezeka kwa chikumbumtima, hypoglycemic chikomokere.

Chithandizo: ngati wodwala akudziwa, tengani shuga mkati.

Mwina chitukuko cha matenda oopsa a hypoglycemic, limodzi ndi chikomokere, kukomoka kapena matenda ena amanjenje. Ngati zizindikiro zotere zikuwoneka, chithandizo chamankhwala chodzidzimutsa ndi kuchipatala mwachangu ndikofunikira.

Ngati hypoglycemic coma ikukayikiridwa kapena kupezeka, 50 ml ya 40% dextrose (glucose) yothetsera imalowetsedwa mwachangu kwa wodwala. Kenako, yankho la 5% dextrose (glucose) limayendetsedwa kudzera m'mitsempha kuti magazi azikhala ndi magazi okwanira.

Pambuyo podziwikanso, ndikofunikira kuti mupatse wodwalayo chakudya chambiri m'zakudya zamafuta ochepa (kuti mupewe kukonzanso kwa hypoglycemia).

Kuwunikira mosamala kuchuluka kwa shuga wamagazi ndikuwunika kwa wodwalayo kuyenera kuchitidwa kwa maola osachepera 48.

Pambuyo pa nthawi yino, kutengera mtundu wa wodwalayo, adokotala amafunikira pakuwunika ntchito zina.

Kutsegula m'mimba sikugwira ntchito chifukwa cha kutchulidwa kwa gliclazide kwa mapuloteni a plasma.

Glyclazide imawonjezera zotsatira za anticoagulants (warfarin); kusintha kwa antactagulant kungafunike.

Miconazole (wokhala ndi makonzedwe oyenera komanso akagwiritsa ntchito gel osakaniza pakamwa) amakulitsa mphamvu ya hypoglycemic ya mankhwala (hypoglycemia ikhoza kukhala mpaka kukomoka).

Phenylbutazone (kayendedwe kazinthu) amakulitsa mphamvu ya hypoglycemic ya mankhwala (amachoka chifukwa cha mapuloteni a plasma komanso / kapena amachepetsa kuchotsa kwa thupi), kuwongolera kwa glucose ndi kusintha kwa glyclazide ndikofunikira, onse pakukonzekera kwa phenylbutazone komanso atachotsedwa.

Mankhwala okhala ndi Ethanol ndi ethanol omwe amalimbikitsa hypoglycemia, poletsa zovuta zomwe zimachitika, angathandizire kukulitsa kukomoka kwa hypoglycemic.

Mukamamwa pamodzi ndi mankhwala ena a hypoglycemic (insulin, acarbose, biguanides), ma beta-blockers, fluconazole, ACE inhibitors (capopril, enalapril), histamine H2 receptor blockers (cimetidine), mao inhibitors, hypoglycemic ndi sulfanilamides ndikuwonetsa chiwopsezo cha hypoglycemia.

Pogwiritsa ntchito danazol, zotsatira za matenda a shuga zimadziwika. Ndikofunikira kuyendetsa kuchuluka kwa glucose wamagazi ndikusintha mlingo wa gliclazide, ponse pa nthawi ya danazol pambuyo poti wachoka.

Chlorpromazine mu Mlingo wambiri (woposa 100 mg / tsiku) amawonjezera shuga m'magazi, akumachepetsa katulutsidwe ka insulin. Ndikofunikira kuyendetsa shuga wamagazi ndikusintha mlingo wa gliclazide, onse munthawi ya makonzedwe a chlorpromazine atachokanso.

GCS (systemic, intraarticular, nje, rectal management) imakulitsa shuga wamagazi ndikuthekera kwa ketoacidosis (kuchepa kwa kulekerera kwa chakudya chamoto). Ndikofunikira kuyendetsa shuga wamagazi ndikusintha mlingo wa gliclazide onse munthawi ya makonzedwe a GCS komanso atachotsedwa.

Ritodrine, salbutamol, terbutaline (iv) kuwonjezera magazi. Mphamvu ya shuga yamagazi imalimbikitsa ndipo ngati nifunikira, kusamutsa wodwala kupita ku insulin.

Mankhwala Okhala Pamalo a Pharmacy

Mankhwala ndi mankhwala.

Migwirizano ndi magwiritsidwe akusungidwa

Mndandanda B. Mankhwalawa amayenera kusungidwa pamalo owuma, amdima, osatha kwa ana pa kutentha osaposa 25 ° C. Moyo wa alumali ndi zaka zitatu.

Gwiritsani ntchito ntchito yolakwika ya chiwindi

Ndi kusamala pakulephera kwa chiwindi.

- aimpso kwambiri ndi / kapena kulephera kwa chiwindi.

Gwiritsani ntchito ntchito yolakwika yaimpso

Odwala wofatsa pang'ono komanso aimpso kulephera The mankhwala zotchulidwa chimodzimodzi Mlingo kwa odwala yachibadwa aimpso ntchito. At kulephera kwambiri kwaimpso Diabetalong® imatsutsana.

Gwiritsani ntchito odwala okalamba

Kwa odwala omwe sanalandire chithandizo (kuphatikizapo anthu opitilira 65), mlingo woyambirira ndi 30 mg. Ndiye kuti mankhwalawa amasankhidwa payekhapayekha mpaka njira yothandizidwa itakwaniritsidwa.

Kuchiza kumachitika pokhapokha limodzi ndi kalori yotsika, yochepa-carb.

Ndikofunikira kuwunika pafupipafupi kuchuluka kwa shuga m'magazi pamimba yopanda kanthu ndikatha kudya, makamaka masiku oyamba a mankhwalawa.

Diabetesalong ® imatha kutumikiridwa kokha kwa odwala omwe amalandira chakudya chokhazikika, chomwe chimaphatikizapo chakudya cham'mawa komanso kudya chakudya chokwanira.

Popereka mankhwala, muyenera kukumbukira kuti chifukwa cha kudya kwa sulfonylurea, zotupa za hypoglycemia zimatha kukhazikika, ndipo nthawi zina zimakhala zovuta komanso zimatenga nthawi yayitali, zomwe zimafuna kugonekedwa kwa chipatala ndi shuga kwa masiku angapo. Hypoglycemia nthawi zambiri imayamba kudya zakudya zochepa zopatsa mphamvu, pambuyo pochita masewera olimbitsa thupi kwa nthawi yayitali kapena mwamphamvu, mutamwa mowa, kapenanso kumwa mankhwala angapo a hypoglycemic nthawi imodzi.

Kuti mupewe kukula kwa hypoglycemia, muyenera kusankha mosamala komanso mosamala payekha, komanso kupatsa wodwalayo chidziwitso chonse chamankhwala omwe akufuna.

Ndi kupsinjika kwakuthupi ndi kwakuthupi, posintha zakudya, kusintha kwa mankhwala a Diabetesalong® ndikofunikira.

Makamaka chidwi ndi machitidwe a mankhwala a hypoglycemic ndi anthu okalamba, odwala omwe salandira chakudya chokwanira, omwe amakhala ndi chifowoka chokwanira, odwala omwe ali ndi vuto la pituitary-adrenal.

Beta-blockers, clonidine, reserpine, guanethidine amatha kuphimba mawonetseredwe azachipatala a hypoglycemia.

Odwala ayenera kuchenjezedwa za chiwopsezo chowonjezereka cha hypoglycemia milandu ya ethanol, NSAIDs, ndi njala.

Pankhani ya ethanol (mowa), amathanso kukhala ndi discriram-like syndrome (kupweteka kwam'mimba, nseru, kusanza, kupweteka mutu).

Kulowerera kwakukulu ndikuvulaza, kuwotcha kwakukulu, matenda opatsirana omwe ali ndi febrile syndrome kungafune kuthetsedwe kwa mankhwala amkamwa a hypoglycemic ndi kukhazikitsidwa kwa mankhwala a insulin.

Kukula kwa kukana kwachiwiri kwa mankhwalawa ndikotheka (kuyenera kusiyanitsidwa ndi koyambirira, komwe mankhwalawo samaperekanso kuyembekezera kachipatala koyamba).

Potengera momwe mankhwalawo amathandizira mankhwala a Diabetalong®, wodwalayo ayenera kusiya kumwa ndi / kapena mankhwala okhala ndi ethanol ndi zakudya.

Pa mankhwala ndi Diabetesalong ®, wodwalayo ayenera kudziwa kuchuluka kwa glucose ndi glycosylated hemoglobin m'magazi, ndi glucose zomwe zili mkodzo.

Kukopa pa kuyendetsa magalimoto ndi kayendedwe kazinthu

Munthawi ya chithandizo, chisamaliro chikuyenera kuchitika poyendetsa magalimoto ndi kuchita zina zomwe zingakhale zoopsa zomwe zimafuna kuti anthu azisamalira komanso azithamanga kwambiri.

Diabetesalong - malangizo ogwiritsira ntchito

Matenda a shuga ndi matenda osachiritsika. Wodwalayo amakakamizidwa kumwa mankhwala omwe amayang'anira shuga m'magazi moyo wake wonse.

Kwa odwala matenda ashuga amtundu woyamba, iyi ndi insulin, ndipo yachiwiri ndi mankhwala osokoneza bongo a sulfonylurea.

Diabetesalong ndi mankhwala osokoneza bongo a hypoglycemic omwe amaperekedwa kwa anthu omwe ali ndi shuga yayikulu kuti achepetse.

Mankhwalawa amatengedwa pakamwa, ndipo chifukwa cha nthawi yayitali, amagwiritsidwa ntchito 1, kangapo kawiri pa tsiku.

Mankhwala amatchulidwa ngati chida chodziyimira pawokha kapenanso pakaphatikiza mankhwala. Amagwiritsidwa ntchito potsatira kuti kudya sikumathandiza, koma kumwa mankhwalawa nthawi zonse kumayenera kumayenderana ndi kupatsa thanzi.

Kuphatikizika, mawonekedwe omasulidwa

Diabetesalong imapezeka ngati mapiritsi oyera ozungulira. Zodzazidwa ndi matuza a zidutswa 10 ndi kabokosi kamakatoni, pomwe pamakhala ma mbale atatu mpaka 6.

Mankhwalawa amapezeka pamiyeso iwiri: 30 mg ndi 60 mg yogwira ntchito, yomwe ndi gliclazide.

Zothandiza zina za mankhwala:

• colloidal silicon dioxide,
• lactose monohydrate,
• calcium owawa
• pyromellose
• talcum ufa.

Fomu ya mankhwalawa itha kukhala ngati mapiritsi okhala ndi kutulutsidwa kosinthika kapena kuchitapo kanthu kwanthawi yayitali.

Pharmacology ndi pharmacokinetics

Chofunikira chachikulu ndi gliclazide, mwachilengedwe ndimtundu wa sulfonylurea wachiwiri. Gliclazide imawonetsa kusankha kwakukulu kosankha ndi bioavailability.

Amagwirizana ndi zovuta zachilengedwe ndipo zimakhala zotsatirazi:

• kumawonjezera kupanga kwa insulin ya insulin, ndikukulolani kuti muchepetse muyezo wa mahomoni omwe mumabayidwa,
• amateteza kagayidwe kazakudya,
• kumawonjezera ntchito ya maselo a kancreatic pancreatic,
• amachepetsa kupatsidwa zinthu za m'magazi, zomwe zimalepheretsa thrombosis ndi ma cell ena a mtima.

Diabetesalong kwathunthu odzipereka pambuyo makonzedwe. Pang'onopang'ono kudziunjikira m'magazi, kufika pazowonjezera ndende maola 4-6 pambuyo pa utsogoleri, kuwonetsa momwe zimakhalira kwa maola 10-12, ndiye kuti kuchuluka kwake kumachepa kwambiri ndipo pambuyo maola 12 mankhwala amachotsedwa kwathunthu m'thupi.

Gliclazide imapangidwa makamaka ndi chiwindi, ndikuwachotsa impso.

Zizindikiro ndi contraindication

Chifukwa chotenga Diabetesalong ndikozindikira kwa wodwala - mtundu wachiwiri wa matenda ashuga. Mankhwala amathandizidwa kutsitsa shuga m'magazi akamagwiritsa ntchito malamulo omwe amadyetsa pakudya sizithandiza.

Komanso, mankhwalawa amalembedwa ngati prophylactic pazovuta zomwe zimayambitsidwa ndi matenda a shuga, makamaka amasintha kapangidwe ka mitsempha ya magazi mothandizidwa ndi glycemia yayikulu.

Pali zotsutsana pamankhwala, monga:

• mtundu 1 shuga
• kutenga miconazole,
• kukanika kwambiri kwa hepatic ndi aimpso,
• nthawi ya pakati komanso yoyamwitsa,
• kukhalapo kwa matenda ashuga a ketoacidosis, chikomokere kapena khansa,
• kukhudzika kwakukulu pazinthu zomwe zimapanga mankhwala,
• kuphwanya lactose kagayidwe,
• zaka mpaka kukula.

Chenjezo ndipo pokhapokha moyang'aniridwa ndi dokotala, mankhwalawa amagwiritsidwa ntchito:

• muukalamba
• Anthu omwe zakudya zawo sizipezeka,
• odwala matenda a mtima,
• odwala omwe ali ndi vuto la shuga-6-phosphate dehydrogenase,
• atatenga nthawi yayitali glucocorticosteroid mankhwala,
• zidakwa
• kukhala ndi vuto la impso kapena chiwindi.

Pankhaniyi, adokotala ayenera kupanga chisankho pamaziko a deta yomwe ilipo.

Zambiri pazakanema kuchokera kwa akatswiri azamankhwala:

Odwala apadera

Kwa okalamba opitilira 65, kusintha koyenera kungafunike. Mwambiri, mankhwalawa amagwiritsidwa ntchito molingana ndi malamulo omwewo.

Munthawi ya bere, mankhwalawa amalimbikitsidwa kuti asinthidwe ndi insulin mankhwala mpaka pobereka. Palibe chokuchitikirani pakugwiritsa ntchito mankhwala a Diabetalong ndi mankhwala ena a glycoside pa nthawi yoyembekezera, chifukwa chake ndizosatheka kudziwa momwe zimayambira mwana wosabadwayo.

Pa mkaka wa m`mawere, mankhwalawa sangathe kugwiritsidwa ntchito, popeza pali mwayi wokhala ndi neonatal hypoglycemia mwa mwana. Chifukwa chake, kuyamwitsa mayi wodwala ndikuloledwa.

Odwala omwe ali ndi vuto la aimpso ndi ma pathologies ena ayenera kutsatira miyeso yotsika, koposa zonse, kuyang'aniridwa ndi adokotala.

Malangizo apadera

Chofunikira pakumwa Diabetesalong ndi zakudya zokhazikika. Iyenera kutsatira malangizo a gulu ili la odwala ndikukhazikika munthawi yake. Izi ndizofunikira kuti athetse chiwopsezo cha hypoglycemia, chomwe chingachitike chifukwa chosowa mphamvu m'magazi.

Zomwe zimapangitsa kuti zochitika za hypoglycemia zithe:

• Kulephera kuyang'anira wodwala momwe iye aliri,
• kusayang'anira machitidwe azakudya ndi kuchuluka, njala, chakudya chosakwanira,
• Kulephera kwa impso kapena chiwindi,
• mankhwala osokoneza bongo
• matenda a endocrine
• kulakwitsa kwa kuchuluka kwa zolimbitsa thupi ndi kuchuluka kwa chakudya chamafuta omwe analandiridwa,
• munthawi yomweyo mankhwala angapo.

Zotsatira zoyipa ndi bongo

Zotsatira zoyipa za kumwa mankhwalawa ndi:

• mutu
• hemolytic mtundu anemia,
• kuphwanya kukoma
• ziwengo, zomwe zimakonda kuwonetsedwa ngati zotupa pakhungu.

Zizindikiro zina zitha kuoneka:

• kukokana
• chizungulire
• kuphwanya zamkati
• kunjenjemera
• Kuphwanya kupuma ndi ntchito yamafuta,
• kukakamizidwa
• kutsika kwa mawonekedwe
• matenda a chiwindi a mtundu wa cholestatic.

Pankhaniyi, ndikofunikira kusiya kumwa mankhwalawa ndikusankha analogi kutengera zina.

Mankhwala osokoneza bongo amatha kutheka ngati mungodziyimira nokha kuchuluka kwa mankhwala omwe amwedwa. Zotsatira zake zazikulu ndi hypoglycemia, mpaka kukomoka.

Ndi hypoglycemia wosagulitsidwa, mlingo uyenera kuchepetsedwa, ndipo kuchuluka kwa chakudya m'thupi muzikulitsidwa. Pankhani ya chikomokere cha hypoglycemic, njira yokhazikika ya glucose imayikidwa.

Kuchita ndi mankhwala ena

Diabetesalong ikuyanjana mwachangu ndi zinthu zambiri, kotero musanayambe kumwa, muyenera kuzolowera izi.

Chifukwa chake, ngati munkakhala munthawi yomweyo:

• ndi mowa ungayambitse hypoglycemia,
• ndi Danazol, matenda a shuga amawonekera, omwe amachepetsa mphamvu ya mankhwalawo.
• ndi miconazole, mphamvu ya gliclazide imalimbikitsidwa, yomwe imathandizira pakupanga hypoglycemia, zomwezi zimachitika ndi ena othandizira a hypoglycemic,
• ndi chlorpromazine, yomwe imachepetsa kupanga insulin, mphamvu ya mankhwala imachepetsedwa,
• ndi tetracosactide ndi glucocorticosteroids zingayambitse kukulira kwa ketoacidosis ndi kuchepa kwa kulolerana kwa carbohydrate,
• ndi Wafarin ndi ma coagulants ena amathandizira zotsatira zake.

Ndemanga za madotolo zikuwonetsa kuti Diabetesalong ndiwothandiza kwambiri pakuchepetsa magazi, komabe, sangathe kugwiritsidwa ntchito nthawi zonse.

Pankhaniyi, analogues a Diabetesalong ndi omwe amapatsidwa, omwe ndi ambiri:

Diabetesalong ndi Diabeteson amapangidwa pamaziko amomwe amapangira zomwezo, koma mankhwala achiwiri amawerengedwa kuti ndi othandiza, chifukwa chotsatira zake zimatheka mwachangu, koma mtengo wa mankhwalawa ndiwonjezeredwe maulendo awiri. Glyclazide ndi analogue yathunthu.

Glucophage yayitali imakhala ndi metformin pakapangidwe kake ndipo imatha kuphatikizidwa ndi insulin ndi mankhwala ena kuti muchepetse shuga.

Adalimbikitsa Zolemba Zina Zogwirizana

Diabetesalong matenda a shuga

Sizotheka nthawi zonse kuthana ndi matenda a shuga a 2 kokha mothandizidwa ndi zakudya zotsika kwambiri zamatumbo komanso minofu ya dosed. Ndipo ndikofunikira kulimbana ndi hyperglycemia, chifukwa chithandizo cha kusaphunzira chimabweretsa zovuta zambiri.

Zina mwa zoopsa kwambiri ndi zovuta za mtima. Diabetesalong (Latin Diabetalong), mankhwala a hypoglycemic omwe amatulutsidwa nthawi yayitali kapena amasintha, amathandiza kuchepetsa chiopsezo chokhala ndi CVD.

Kuthekera kwama pharmacological

The antidiabetesic zimatha mankhwala chifukwa yogwira pawiri gliclazide. Mapiritsiwo ali ndi 30 kapena 60 mg pazofunikira ndi zosakaniza: calcium stearate, hypromellose, talc, lactose monohydrate, colloidal silicon dioxide.

Diabetesalong ndi mankhwala a gulu la 2 m'badwo wa sulfonylurea.

Ikafika m'magazi, gliclazide imalimbikitsa kapangidwe ka mahomoni amkati mwa β-maselo a kapamba, imathandizira kugwiritsidwa ntchito kwa glucose (imathandizira minofu ya glycogen synthase).

Pakupita masiku ochepa kuyambira pomwe maphunzirowa adayamba, mbiri ya glycemic imakhala yofanana. Kutalika kwa nthawi kuyambira pakumeza chakudya m'matumbo kuti pakupanga insulin kumachepetsedwa, ndipo zizindikiro za glycemic zomwe zimayambitsidwa ndi chakudya zimachepetsedwa.

Ndizodabwitsa kuti patatha zaka ziwiri atamwa mankhwalawa, anthu ambiri omwe amapezeka ndi postprandial insulin ndi C-peptide amasungidwa. Zokhudza thupi ku Diabetesalong ndizovuta:

• Amalamulira kagayidwe kazakudya,
• Ili ndi dongosolo la antioxidant,
• Imayendetsa katemera wa insulin,
• Imakhala ndi hemovasasmance (imapanikiza kuphatikizika kwa maselo a m'magazi).

Mkulu akalowa m'magazi, gliclazide imathandizira kupanga insulin. Ndi chithandizo chanthawi zonse, mankhwalawa amachenjeza:

• Mavuto a Microvascular - retinopathy (njira yotupa pa retina) ndi nephropathy (kuperewera kwa impso),
• Zotsatira zam'maso akulu - stroko, mtima.

Zolemba za Pharmacokinetic

Kuyambira pamimba, mankhwalawa amamwetsa kwathunthu. Zambiri zomwe zimakhala m'magazi zimafikira pambuyo pa maola 2-6, komanso mapiritsi okhala ndi MV - 6-12 maola.

The achire zotsatira kumatenga maola 24, mapuloteni a magazi glycazide amamangika mpaka 85-99%. Mu chiwindi, zinthu zachilengedwe zimasinthidwa kukhala ma metabolites, imodzi mwa izo imathandizira kusintha kwapang'onopang'ono. Hafu ya moyo ndi maola 8-12, mapiritsi okhala ndi MB - 12-16 maola. Mankhwala amatsitsidwa ndi 65% ndi mkodzo, 12% ndi ndowe.

Zotsatira zoyipa

Zotsatira zosafunikira pammimba zitha kukhala zosokoneza bongo mu mseru, kusanza, kupweteka m'mimba. Kuchokera kumbali ya kagayidwe kachakudya, hypoglycemia ndiyotheka, kwa dongosolo lozungulira - eosinophilia, cytopenia, kuchepa magazi. Pa khungu, ziwengo ndi photosensitization ndizotheka. Kuchokera ku ziwalo zam'maganizo mumakhala kusokonezeka kwa kulawa, kupweteka mutu, kuchepa kwa mgwirizano, kuchepa mphamvu.

Zochita zamankhwala osokoneza bongo

Kuchita bwino kwa glycoside kumatheka chifukwa chogwiritsidwa ntchito limodzi ndi anabolic steroids, ACE inhibitors, β-blockers, cimetidine, fluoxetine, salicylates, MAO inhibitors, Flucanazole, Pentoxifylline, Miconazole, Theophylline, Tetracycline.

Mwayi wa glycoside umakhala wofooka mukamagwiritsidwa ntchito molumikizana ndi barbiturates, glucocorticoids, sympathomimetics, saluretics, rifampicin, mapiritsi oteteza kubala, estrogens.

Momwe mungagwiritsire ntchito

Glycloside iyenera kumwedwa ndi chakudya. Piritsi limamezedwa lonse, kutsukidwa ndimadzi kutentha kwa firiji. Endocrinologist amasankha Mlingo ndi mankhwalawa amathandizika payekhapayekha, poganizira momwe matendawa amachitikira komanso momwe wodwala matenda ashuga amvera. Pa mankhwala a Diabetesalong, malangizo omwe angagwiritsidwe ntchito amalimbikitsa kuyambira kwa 30 mg ndi kukonza kowonjezereka pakuwonjezereka (ngati kuli kofunikira).

Kuti mukwaniritse chithandizo chokwanira, ndikofunikira kutsatira malamulo osavuta.

1. Mlingo wonse wa tsiku ndi tsiku umatengedwa kamodzi, koposa zonse - m'mawa,
2. Kuchuluka kwa mankhwalawa kumatha kusintha mkati mwa 30 -120 mg / tsiku,
3. Ngati mwaphonya nthawi yovomerezedwa, simungathe kuonjezera zomwezo patsiku lomaliza,
4. Mukamawerenga mlingo, dokotalayo amaganizira zowerengera za glucometer ndi HbAlc.

Ndi osakwanira, chizolowezi chimachulukitsa (pambuyo povomerezana ndi adokotala), koma osapitirira mwezi umodzi atamwa koyamba glycoside. Masabata awiri aliwonse, ndikubwezerera kwathunthu kwa glycemia, mutha kukulitsa mlingo.

Ndikofunikira kudziwa kuti piritsi limodzi la Diabetesalong PV lili ndi 60 mg ya glyclazide, izi zimafanana ndi mapiritsi awiri a Diabetalong MV 30 mg aliyense.

Mukasamutsa munthu wodwala matenda ashuga ku gliclazide kuchokera ku mankhwala ena a hypoglycemic, kupuma sikofunikira, kupatula zotumphukira za sulfonylurea. Mlingo woyambirira pamenepa ndi wokhazikika - 30 mg, ngati endocrinologist sanafotokoze chiwembu chake.

Mankhwalawa ovuta, Diabetesalong imagwiritsidwa ntchito pamodzi ndi mitundu yosiyanasiyana ya insulin, biagudins, α-glucosidase inhibitors. Mosamala, mankhwalawa amalembedwa kwa odwala matenda ashuga kuchokera ku gulu la chiopsezo cha hypoglycemic (uchidakwa, masewera olimbitsa thupi kapena masewera, njala, maziko osautsa). Ntchito za hematopoietic zimalephera kuyenda bwino kwa magazi m'thupi, thrombocytopenia, leukopenia, granulocytopenia.

Njira zopewera kupewa ngozi

Pofuna kupewa hypoglycemia, ndikofunikira kuti nthawi yogwiritsa ntchito mankhwalawa idye, kupewa nthawi yayikulu yopumira, kuti muchepetse zakumwa zoledzeretsa. Kukhazikika kwa β-blockers kumatha kupotoza zizindikiro za hypoglycemia.

Mkhalidwe wa hypoglycemic ukhoza kuzindikiridwa ndi kupweteka mutu, kusokonezeka kwa mgwirizano, kuukira kosagwirizana ndi njala, kukhumudwa, kukomoka, kusawona bwino, kusokonezeka kwa vuto layspeptic. Zochita za adrenergic zimawonetsedwanso: nkhawa, thukuta, kutsika kwa magazi, matenda a mtima, kusokonekera kwa mtima. Matenda a dyspeptic, kusokonezeka mumtundu wa defecation, komanso kusintha kwa khungu (zotupa, kusapeza bwino, erythema, urticaria, edema ya Quincke) ndi chikhalidwe.

Kuchita bwino kwa mankhwala sikungatheke popanda chakudya chochepa kwambiri. Chifukwa cha chiwopsezo cha zovuta zoyipa, oyendetsa amayenera kumwa mankhwalawa mosamala. Malingaliro omwewo amagwiranso ntchito kwa oimira mabungwe omwe amagwirizana ndi kukwera kwakukulu komanso kuchuluka.

Matenda a chiwindi ndi bile ducts amachititsa hepatitis, kuwonjezeka kwa enzyme ntchito.

Ngati wozunzidwayo akudziŵa, ayenera kudya maswiti, kumwa kapu ya tiyi kapena china chakudya chamagulu omwera. Zinthu zikayamba kuyenda bwino, endocrinologist amayenera kufunsidwa kuti asinthe mankhwalawo kapena kusintha mankhwalawo.

Mitu ya mankhwalawa

Malinga ndi gawo lomwe limagwira ntchito ya Diabetesalong, analogue ndiye mankhwala Glidiab ofunika mpaka ma ruble 140. Madokotala amapereka Diabeteson ndi Diabeteson MV mankhwala pamtengo wokwera kuyambira 286 mpaka 318 rubles. Pazokonzekera zomwe zimafananizidwa, Glyclada ingalimbikitsidwenso.

Kukonzekera ndi zotsatira zofanana za hypoglycemic monga Amaril, Glimepiride, Glemaz, Glyurenorm zidzakhala bwino pakupanga. Amalembera hypersensitivity kapena contraindication ena a glycoside.

Ndemanga za Diabetesalong

Anthu odwala matenda ashuga omwe adakumana ndi zovuta za matenda ashuga, mu ndemanga amawona zabwino zake:

• Kusintha pang'onopang'ono kwa zizindikiro za glucometer,
• Kuphatikiza kwabwino ndi mankhwala ena,
• Mtengo wotsika mtengo wa mankhwala
• Kuchepetsa thupi panthawi ya mankhwala.

Sikuti aliyense amakhutitsidwa ndikufunika kosinthika pafupipafupi (mpaka kasanu pa tsiku), koma pakapita nthawi zizindikilo zake zimakhazikika komanso kufunika kodziletsa pakudziletsa kumachepa.

Pafupifupi, Diabetesalong ndi mankhwala odalirika a antidiabetic omwe amasintha bwino mbiri ya glycemic. Kugwiritsa ntchito moyenera, imatha kupewa zochitika za mtima ndi zovuta zina zovuta za matenda a shuga a 2.