Maninil 5: malangizo ogwiritsira ntchito, ndemanga za madokotala ndi odwala matenda ashuga

Maninil amagwiritsidwa ntchito ngati mtundu wa 2 shuga mellitus (mtundu wosadalira insulini). Mankhwalawa amadziwitsidwa ngati kuchuluka kwa thupi, kuchepa thupi komanso kudya mosamalitsa sizinadzetse zotsatira za hypoglycemic. Izi zikutanthauza kuti muyenera kukhazikika m'magazi anu ndi Maninil.

Lingaliro pakusankhidwa kwa mankhwalawa limapangidwa ndi endocrinologist, malinga ndi kutsatira kwambiri zakudya. Mlingo uyenera kuphatikizidwa ndi zotsatira za kudziwa kuchuluka kwa shuga mu mkodzo ndi mbiri ya glycemic.

Chithandizo cha mankhwalawa chimayamba ndi waukulu Mlingo wa Maninil, ndizofunikira kwambiri:

1. odwala omwe ali ndi chakudya chosakwanira,
2. odwala asthenic omwe ali ndi vuto la hypoglycemic.

Kumayambiriro kwa mankhwalawa, mlingo ndi theka la piritsi patsiku. Mukamamwa mankhwala, muyenera kuyang'anira shuga wanu wamagazi nthawi zonse.

Ngati mulingo wochepetsetsa wa mankhwalawo sungathe kukonza bwino, ndiye kuti mankhwalawo amawonjezereka mwachangu kuposa sabata limodzi kapena masiku angapo. Njira zowonjezera mlingo zimayendetsedwa ndi endocrinologist.

Maninil amatengedwa patsiku:

• Mapiritsi atatu a Maninil 5 kapena
• Mapiritsi 5 a Maninil 3.5 (ofanana ndi 15 mg).

Kusamutsa odwala ku mankhwalawa kuchokera kwa mankhwala ena operekera matenda ashuga kumafuna chithandizo chofananacho ndi mankhwala omwe mumamwa poyambira.

Choyamba muyenera kuletsa mankhwala akale ndikuzindikira kuchuluka kwa shuga mumkodzo ndi magazi. Kenako, sankhani:

• theka la mapiritsi Maninil 3.5
• theka la mapiritsi a Maninil 5, okhala ndi zakudya komanso mayeso a labotale.

Ngati pakufunika thandizo, mlingo wa mankhwalawo umakulitsidwa pang'onopang'ono kukhala ochizira.

Kugwiritsa ntchito mankhwala osokoneza bongo

Maninil amatengedwa m'mawa asanadye, amatsukidwa ndi kapu imodzi yamadzi oyera. Ngati mlingo wa tsiku ndi tsiku woposa mapiritsi awiri a mankhwalawa, ndiye kuti umagawika m'mawa / madzulo, kawiri pa 2: 1.

Kuti mukwaniritse chithandizo chokwanira, mumayenera kugwiritsa ntchito mankhwalawa panthawi yoyenera. Ngati pazifukwa zina munthu sanamwe mankhwalawo, ndiye kuti ndikofunikira kuphatikiza mlingo wofunikira wa Maninil.

Maninil ndi mankhwala osokoneza bongo omwe nthawi yawo ya makonzedwe imatsimikiziridwa ndi endocrinologist. Pogwiritsa ntchito mankhwalawa, ndikofunikira kuyang'anira kuchuluka kwa shuga m'magazi ndi mkodzo wa wodwala sabata iliyonse.

1. Kuchokera kumbali ya kagayidwe - hypoglycemia ndi kulemera kwakukulu.
2. Kumbali ya ziwalo za masomphenya - zosokoneza malo m'malo okhala ndikuwona. Monga lamulo, mawonetseredwe amapezeka kumayambiriro kwa mankhwala. Matendawa amapita okha, safuna chithandizo.
3. Kuchokera pamiyambo ya m'mimba: mawonetseredwe a dyspeptic (nseru, kusanza, kulemera m'mimba, zopunthwitsa. Zotsatira zake sizitanthauza kusiya mankhwalawo ndikudziwonongera pawokha.
4. Kuchokera ku chiwindi: nthawi zina, kuwonjezeka pang'ono kwa phosphatase ya alkaline ndi transaminases yamagazi. Ndi mtundu wa hyperergic wa hepatocyte allergy ku mankhwalawa, intrahepatic cholestasis imatha kukhala ndi zotsatira zoyambitsa moyo - chiwindi chikuchepa.
5. Kuchokera kumbali ya CHIKWANGWANI ndi khungu: - zotupa za mtundu wa khungu lawo ndi kuyabwa. Mawonekedwe amawongolera, koma nthawi zina amatha kuyambitsa zovuta, mwachitsanzo, kugwedezeka kwamomwe, ndikupanga zowopsa m'moyo wa anthu.

Nthawi zina zimachitika ku ziwengo zimawonedwa:

• kuzizira
• kutentha kuwonjezeka
• jaundice
• mawonekedwe a mapuloteni mumkodzo.

Vasculitis (mafupa am'mimba otupa) amatha kukhala owopsa. Ngati pali kusintha kulikonse pakhungu ku Maninil, ndiye kuti muyenera kufunsa dokotala nthawi yomweyo.

1. Kuchokera ku machitidwe am'mimba komanso ozungulira, ma cell amapazi nthawi zina amatha kuchepa. Ndizachilendo kwambiri kuti kuchepa kwa chiwerengero cha zinthu zina zopangidwa m'magazi: maselo ofiira am'magazi, maselo oyera, ndi ena.

Pali nthawi zina pamene ma cell onse am'magazi amachepetsedwa, koma atasiya kugwiritsa ntchito mankhwalawa, izi sizinawononge moyo wa munthu.

1. Kuchokera ziwalo zina, nthawi zina, zotsatirazi zingaoneke:

• pang'ono diuretic kwenikweni
• proteinuria
• hyponatremia
• disulfiram ngati zochita
• thupi lawo siligwirizana mankhwala omwe hypersensitivity wodwala.

Pali zidziwitso kuti utoto wa Ponso 4R womwe umagwiritsidwa ntchito popanga Maninil ndi wolumikizana ndipo chifukwa chake ambiri amawoneka osagwirizana ndi anthu osiyanasiyana.

Contraindra mankhwala

Maninil sangatengedwe ndi hypersensitivity kwa mankhwala kapena zigawo zake. Kuphatikiza apo, imaphatikizidwa:

1. anthu omwe amadwala matendawa kwa okodzetsa,
2. anthu omwe ali ndi ziwengo zamitundu mitundu ya sulfonylureas, zotumphukira za sulfonamide, sulfonamides, probenecid.
3. Sizoletsedwa kupereka mankhwala ndi:

• mtundu wa shuga wodalira insulin
• mlangizi
• Kulephera kwaimpso 3 madigiri
• matenda a shuga
• pancreatic islet β-cell necrosis,
• metabolic acidosis
• kwambiri ntchito chiwindi kulephera.

Maninil sayenera kumwedwa ndi anthu omwe ali ndi chidakwa chopitirira muyeso. Mukamamwa zakumwa zoledzeretsa zochuluka, kuchuluka kwa mankhwalawa kumatha kuwonjezeka kwambiri kapena kuwonekera konse, komwe kumakhala ndi mikhalidwe yoopsa kwa wodwala.

Maninil mankhwala ali contraindicated ngati vuto la shuga-6-phosphate dehydrogenase enzyme. Kapena, chithandizo chimaphatikizapo chisankho choyambirira cha kufunsa kwa madokotala, chifukwa mankhwalawa amatha kupangitsa hemolysis yama cell ofiira a m'magazi.

Musanayambe kuchitapo kanthu kwakukulu m'mimba, simungatenge othandizira a hypoglycemic. Nthawi zambiri pamachitidwe oterewa ndikofunikira kuwongolera kuchuluka kwa shuga m'magazi. Odwala oterewa amapatsidwa jakisoni wosavuta wa insulin.

Maninil alibe zotsutsana kwathunthu ndi kuyendetsa. Koma, kumwa mankhwalawa kumayambitsa mikhalidwe ya hypoglycemic, yomwe ingakhudze chidwi ndi kusamalidwa. Chifukwa chake, odwala onse ayenera kuganizira ngati angatenge zoopsa zotere.

Maninil amatsutsana amayi apakati. Sizingathe kudyedwa panthawi ya mkaka ndi mkaka wa m`mawere.

Kugwirizana kwa Maninil ndi mankhwala ena

Wodwala, monga ulamuliro, samva kutengera kwa hypoglycemia akamwa Maninil ndi mankhwala otsatirawa:

Kuchepa kwa shuga wamagazi ndi mapangidwe a dziko la hypoglycemic kumatha kuchitika chifukwa chogwiritsidwa ntchito pafupipafupi ndi mankhwala ofewetsa thukuta ndi m'mimba.

Kugwiritsanso ntchito kwa insulin ndi mankhwala ena okhudzana ndi matenda opatsirana kungayambitse hypoglycemia ndikuwonjezera mphamvu ya Mananil komanso:

1. ACE zoletsa
2. anabolic steroids
3. antidepressants
4. zotumphukira za clofibratome, quinolone, coumarin, disopyramidum, fenfluramine, miconazole, PASK, pentoxifylline (pamene adagwiritsidwa ntchito pamitsempha yambiri), perhexylinoma,
5. kukonzekera kwa mahomoni ogonana amuna,
6. cytostatics of the cyclophosphamide group,
7. β-blockers, disopyramidum, miconazole, PASK, pentoxifylline (ndi makonzedwe amkati), perhexylinoma,
8. pyrazolone zotumphukira, phenenecidoma, salicylates, sulfonamidamides,
9. tetracycline mankhwala opha matenda a tritokvalinoma.

Maninyl limodzi ndi acetazolamide amatha kuletsa mphamvu ya mankhwalawa ndikupangitsa hypoglycemia. Izi zimagwiranso ntchito pakamayilo a Maninil pamodzi:

• β-blockers
• diazoxide
• nicotinates,
• phenytoin
• okodzetsa
• glucagon
• GKS,
• barbiturates
• phenothiazines,
• amphanomachul
• mitundu ya mankhwala a rifampicin,
• kukonzekera kwa chithokomiro,
• mahomoni ogonana achikazi.

Mankhwala amatha kufooketsa kapena kulimbitsa:

1. Otsutsa a H2 receptors m'mimba,
2. mathitidine
3. yotsalira.

Pentamidine nthawi zina imatha kubweretsa hypo- kapena hyperglycemia. Kuphatikiza apo, zotsatira za gulu la coumarin zimathanso kukhudza mbali zonse ziwiri.

Zinthu za bongo

Mankhwala osokoneza bongo a Maninil owopsa, komanso mankhwala osokoneza bongo chifukwa cha kuchuluka kwazomwe zimabweretsa, amakhala ndi vuto la hypoglycemia, lomwe limasiyana pakapita nthawi komanso nthawi yake, yomwe imawopseza wodwalayo.

Hypoglycemia nthawi zonse imakhala ndi mawonekedwe azachipatala.

Odwala omwe ali ndi matenda ashuga nthawi zonse amamva njira ya hypoglycemia. Mawonetsero otsatirawa a momwe zinthu ziliri:

• njala
• kugwedezeka
• paresthesia
• palpitations
• nkhawa
• kukopa kwa pakhungu
• kusokoneza ubongo ntchito.

Ngati zinthu sizinatenge nthawi, ndiye kuti munthu amayamba kukhala ndi hypoglycemic precoma ndi chikomokere. Hypoglycemic chikomacho chimapezeka:

• kugwiritsa ntchito mbiri ya banja
• kugwiritsa ntchito zambiri kuchokera poyeserera,
• ntchito labotale shuga.

Zizindikiro za hypoglycemia:

1. chinyezi, kumata, kutentha pang'ono kwa khungu,
2. kugunda kwa mtima
3. kutentha kochepa kapena kwabwinobwino kwa thupi.

Kutengera kuuma kwa chikomokere, zotsatirazi zingaoneke:

• kupweteka kwamphamvu kapena kukomoka,
• zamatsenga
• kulephera kudziwa.

Munthu amatha kudzipangira payekha chithandizo cha matenda a hypoglycemic ngati sanafike pachiwopsezo chamtundu wa precoma ndi chikomokere.

Kuchotsa zovuta zonse za hypoglycemia, supuni ya tiyi ya shuga yothiriridwa m'madzi kapena michere ina ingathandize. Ngati palibe kusintha, muyenera kuyimba ambulansi.

Ngati chikomokere chikukula, ndiye kuti mankhwalawa amayenera kuyamba ndi kuyamwa kwa 40% shuga, 40 ml wambiri. Pambuyo pake, kukonzekera kulowetsedwa mankhwala okhala ndi michere yaying'ono yamankhwala idzafunika.

Chonde dziwani kuti simungathe kulowa muyezo wa shuga wa 5% monga gawo la mankhwala a hypoglycemia, chifukwa apa zotsatira za kuchepetsedwa kwa magazi ndi mankhwalawa zidzatchulidwa kachulukidwe kuposa mankhwala a carbohydrate.

Milandu yakuchedwa kapena hypoglycemia yomwe yachedwa kulembedwa. Izi zimachitika makamaka chifukwa cha kuchuluka kwa Maninil.

Milandu imeneyi, chithandizo cha odwala omwe ali pachipatala chofunikira ndikofunikira, ndipo masiku osachepera 10. Chithandizo chimadziwika ndi mwatsatanetsatane labotale yoyang'ana kuchuluka kwa shuga m'magazi komanso ndi chithandizo chapadera, pomwe shuga amatha kuwongolera pogwiritsa ntchito, mwachitsanzo, mita imodzi yosankhidwa.

Ngati mankhwalawa amagwiritsidwa ntchito mwangozi, muyenera kuchita zam'mimba, ndikupatseni supuni ya shuga kapena shuga.

Mitengo ya manin ku malo ogulitsa mankhwala ku Moscow

Madokotala amawunikira za maninil

Mankhwala a wopanga ku Germany "Maninil" adziwonetsa okha mwa madokotala ambiri omwe amalimbana ndi odwala omwe ali ndi matenda a shuga, kokha kumbali yabwino. Monga lamulo, zomwe zimachitika mwachangu chifukwa chogwiritsa ntchito mankhwalawa zimadziwika.

Zotsatira zoyipa za kugwiritsa ntchito mankhwalawa zimadziwika, koma zosowa kwambiri ndipo izi ndi zomwe zimachitika mwa odwala.

Mtengo ndiwotchipa kwa odwala ambiri.

Yothandiza kwambiri kutsitsa glycemia, mtengo wotsika.

Sikuti ndimamwa mankhwala awa zomwe ndimachita. Mankhwala a gululi ali ndi zovuta zingapo - kulemera kwambiri, chiopsezo cha hypoglycemia, komanso njira yodwalayo yothetsera insulin. Zonsezi zimangokulitsa kuwonongeka kwa odwala mtsogolo. Ndimagwiritsa ntchito sulfonylurea kukonzekera pokhapokha ngati palibe chosankha.

Mankhwalawa amadziwitsidwa mwachangu kuchokera ku m'mimba, komwe umatheka chifukwa cha kuchuluka kwa mankhwala.

Ndimapereka mankhwala mankhwalawa mtundu wachiwiri wa matenda ashuga a mellitus (osadalira insulin) osakanikirana ndi mankhwala ena ndi zakudya zomwe zimachepetsa shuga. Ndimasankha mlingo wa mankhwalawo payekhapayekha kuti mupereke mankhwala osokoneza bongo.

Ndemanga za Odwala a Maninil

Mwadzidzidzi ndinapeza shuga m'magazi ndili ndi zaka 64, komanso kuchuluka kwakukulu pansi pa 16-18. Ndipo zinayamba, zikuwoneka, mchaka, nditamaliza kugwira ntchito yopanga zaka zapitazo. Kukhala moyo wongokhala chaka chatha ndipo zanditsogolera. Madotolo atatu adadutsa ndikulipira, ndipo ayi. Ndi m'modzi yekha amene amandipatsa mankhwala okhala ndi zinthu zotere. "Gluconorm" wophatikiza. Mankhwala ena onse monga Siofor sanakhale ndi phindu lililonse kwa ine. Ma CD atatha, Gluconorm adagula mankhwalawa ndi bang. Magazi a shuga m'magazi awonjezereka kamodzi. Imodzi mwa ngozi zake ndi kuti tisamachite izi.

Muyenera kudziwa kuti shuga ndi yamtundu woyamba komanso wachiwiri. Mu mtundu woyamba wa matenda ashuga kuyambira kubadwa, wachiwiri - wopezeka mu moyo wonse. Matenda a shuga nawonso amadalira insulin komanso kudziimira payekha. Maninil amagwiritsidwa ntchito mu mtundu wachiwiri, insulin yodziimira payekha. Kutumizidwa ndi endocrinologist, kutsatira kwambiri zakudya kuti muwongolere thupi. Mlingo umatengera kuchuluka kwa shuga mumkodzo. Kugwiritsa ntchito ndikosavuta - mapiritsi amamwa ndi madzi pamimba yopanda kanthu. Mankhwala ndi abwino komanso ogwira ntchito. Agogo anga aakazi adatenga pomwe adazindikira kuti ali ndi matenda ashuga.

Maninil adalemba dokotala kwa agogo anga, ali ndi matenda ashuga a 2, motero ndakhala ndikumugulira mapiritsiwa kwa zaka zingapo tsopano. Ndinganene kuti Maninil kwa ife sanayambitse, kwa zaka zingapo kutenga, mavuto. Inde, mukamamwa Maninil, muyenera kutsatira zakudya mosamalitsa, koma mapiritsiwo amawongolera kuchuluka kwa shuga m'magazi.

Bambowo ali ndi matenda ashuga, ndipo matendawa amafunika chithandizo choyenera ndi mankhwala oyenera. Adapita kwa madotolo osiyanasiyana ndikulemba mankhwala osiyanasiyana nthawi iliyonse, koma mankhwala amodzi amodzi ndipo mankhwalawo adakhala abwino kwambiri kuposa onse omwe adayesedwapo kale. Abambo anga anayamba kumva bwino kwambiri, makamaka, palibe mavuto obwera chifukwa cha mankhwala. Tithokoze Maninil chifukwa cha thandizo lake ndipo ndikukulangizani kuti muyese ena omwe ali ndi vuto lofanananso ndi thanzi.

Mayi anga anapezeka ndi matenda a shuga aang'ono ali aang'ono. Dokotalayo adalimbikitsa kuti aziwonetsetsa pafupipafupi kuchuluka kwa shuga m'magazi, kutsatira zakudya zapadera zomwe zawonetsedwa pakadali pano ndikumamwa mankhwala a Maninil. Mlingo wake anapatsidwa 3.5. Kwa zaka zingapo tsopano, nthawi zambiri amamwa mankhwalawa nthawi yayifupi ndikuyesetsa kuchita izi ngakhale kuchuluka kwa shuga kwakanthawi kakhalidwe koyenera kupewa (kumangochepetsa mlingo wa mankhwalawa). Mankhwalawa ndi oyenera kwa iye, akumva bwino pakumwa mankhwalawo, ndipo palibe mavuto ena alionse.

Zotsatira za pharmacological

Glibenclamide imachepetsa kukula kwa maselo a beta ndi shuga, omwe amalowa m'thupi ndi chakudya, mwakutero amalimbikitsa kapamba kuti apange insulin yokwanira.

Mankhwalawa amakulitsa chidwi cha insulin, ndikufulumizitsa kumangiriza kwa timadzi tambiri kuti tipeze ma cell. Amayambitsa kuthamanga kwa kutulutsa kwa insulin. Iwo linalake ndipo tikulephera ntchito ya lipolysis mu adipose zimakhala.

Pharmacokinetics

Achire zotsatira zimatha tsiku, mankhwala amayamba kuchita 1.5-2 mawola ntchito. Zigawozi zimayamwa mwachangu komanso mokwanira m'thupi. Kuzindikira kwakukulu m'magazi kumadziwika pambuyo pa maola 2-2,5.Chiwerengero cha zomangira kumapuloteni amwazi ndi 98%.

Chofunikira chachikulu cha mankhwalawa chimachitika mu metabolism m'chiwindi, chifukwa awiri omwe amapanga metabolites amapangika. Chimodzi mwa izo chimapukusidwa ndi mkodzo, inayo ndi ndulu.

Kutha kwa theka-moyo kumatenga maola 7, ndipo kwa anthu odwala magazi kumatenga nthawi yayitali.

Zizindikiro zogwiritsidwa ntchito

Amawerengera mankhwalawa mtundu wa 2 wodwala matenda a shuga. Kumwa mankhwala ndikofunikira pakakhala kuti sikutheka kusintha kwamagulu a shuga ndi zakudya zamagulu komanso masewera olimbitsa thupi. Mankhwalawa matenda a shuga, mankhwalawa adapangidwa kuti aphatikizidwe ndi mankhwala ena othandizira ena, kuphatikiza ma glinides ndi sulfonylureas.

Kufotokozera kwa Diabetes

Chizindikiro chogwiritsira ntchito mankhwalawa ndi shuga mellitus (mitundu iwiri yokha). Mapiritsi amathandizira kupanga insulini ndikuwonjezera kukhudzika kwa minofu, komanso kuchepetsa kuchuluka kwa cholesterol ndi chisonyezo cha nthawi (kuchokera pakudya mpaka kutulutsidwa kwa insulin). Ngati impso zikuvutika ndi komwe kumayambira matenda oyamba, mapiritsiwo amathandizira kuchepetsa mapuloteni mumkodzo.

Ngakhale kutchulidwa kwakeko, mankhwalawo ali ndi zotsutsana:

1. Chiwindi, kukanika kwa impso
2. Mtundu woyamba wa shuga
3. Coma ndi vuto asanafike chikomokere
4. Adanenanso kuti thupi limasilira mankhwala osokoneza bongo a sulfonylurea.

Popanga matenda, dokotalayo amakupangira kukhazikitsa zina, koma ngati sizithandiza kusunga matenda, matenda amayatsidwa. Gawo lambiri la gliclazide pakupanga mankhwala limakulitsa kuchuluka kwa insulini yomwe imapangidwa, ndiye kuti, imalimbikitsa kugwira ntchito kwa maselo a pancreatic.

Ndemanga pazotsatira zovomerezeka kuchokera kwa odwala ndizabwino kwambiri. Kutsika kwakukulu kwa shuga m'magazi kumadziwika. Tiyenera kudziwa kuti mwayi wopanga njira ya hypoglycemic ndi wochepa - mochepera 7%.

Momwe mungatenge matenda a shuga? Mankhwalawa ndi osavuta kugwiritsa ntchito, chifukwa mumangofunika kumwa kamodzi patsiku. Chifukwa chake, odwala ambiri safuna kusiya kumwa mankhwalawo, koma pitilizani kuugwiritsa ntchito kwazaka zambiri. Mankhwalawa amatha kupweteka pang'ono, zomwe nthawi zambiri sizimakhudza thanzi.

Madokotala nthawi zambiri amasankha njira yochizira matenda ashuga a 2 - Diabeteson chifukwa chogwiritsa ntchito mosavuta komanso kulolera bwino kwa odwala. Anthu ambiri odwala matenda ashuga amavomereza kuti ndizovuta kukhala ndi zakudya zochepa koma ndizolimbitsa thupi. Ndipo kungomwa piritsi limodzi patsiku ndikosavuta.

Kuyanjana Ndi Mankhwala Ndi Analogi

Ngati muphatikiza Manin wa matenda ashuga ndi njira zotsatirazi, ndiye kuti wodwalayo samva kuyambika kwa hypoglycemia:

Shuga wamagazi amatsika msanga ngati munthu:

• mankhwala osokoneza bongo,
• odwala ndi m'mimba.

Kuopseza kwa hypoglycemia kumawonjezereka ngati mankhwalawo aphatikizidwa ndi:

• mankhwala ena a shuga
• insulin
• antidepressants
• kutanthauza kukhala ndi mahomoni achimuna,
• tetracycline mankhwala othandizira.

Mndandanda wathunthu ukusonyezedwa mu malangizo. Ngati wodwalayo amadziwa za ziwopsezo zomwe zimapezeka pamapiritsi, ndikofunikira kuti nkhaniyi ipatsidwe kwa adokotala.

Kuchita bwino kwa mankhwalawa kumatithandizanso kudziwa kuphatikiza kwa mankhwala.

Manilin amakhumudwa ndi mankhwala monga:

• barbiturates
• okodzetsa
• amphanomachul
• estrogens
• njira zakulera za mahomoni.

Izi zikutanthauza kuti ngati mukufuna kumwa mankhwala a Maninil munthawi yomweyo, muyenera kuwonjezera.

Kuchulukitsa momwe amagwirira ntchito zimathandizira ku:

• hypoglycemic mankhwala,
• mankhwala antifungal
• beta blockers,
• ACE zoletsa
• salicylates,
• manzeru.

Potengera zachilengedwe, mapiritsi omwe akufunsidwa ayenera kumwedwa.

Mankhwala ofanana ndi glibenclamide ndi clonidine, komanso β-adrenergic blockers, reserpine, guanethidine, zizindikiro za hypoglycemia zomwe zikubwera zimaphimbidwa ndipo salola kuti azindikire kuperewera kwa matenda ashuga.

Kugwiritsa ntchito mankhwala osokoneza bongo mosalekeza komwe kumayambitsa kusokonezeka kwa chopondapo kumachepetsa shuga m'magazi ndikukulitsa mwayi wa hypoglycemia.

About ndemanga za Maninil ndizosakanikirana. Madotolo amati ndi mankhwala achikhalidwe cha hypoglycemic okhala ndi umboni wamphamvu wokhala chithandizo ndi chitetezo. Anthu odwala matenda ashuga sakhutira ndi kuwonjezereka kwakanthawi kotsimikizika komanso zotsatira zina zoyipa, koma kuwunika mphamvu ya mankhwalawa malinga ndi zotsatira za wodwala wina sikutha.

Oksana, wazaka 47 "Maninil 3.5 adandiwuza adokotala za matenda ashuga, popeza mapiritsi am'mbuyomu sanatigwirizenso, ndipo ndikuopa majakisoni chifukwa cha mantha. Chifukwa chake, ndimayesetsa kudya zakudya ndikuyenda zochulukirapo. Ngakhale mankhwalawa amathandizira, shuga m'mawa sapitirira 7 mmol / l (kale anali 10-11). Amati akuchira ku Maninil, koma kwa miyezi isanu ndi umodzi sindinazindikire izi mu yunifolomu yanga ndi zovala zanga. ”

Irina "Maninil 5 adawerengedwa kuti agogo anga. Wakhala ndi matenda a shuga kwa nthawi yayitali, poyamba adapereka piritsi limodzi, tsopano asinthana awiri (m'mawa ndi madzulo), chifukwa amasuntha pang'ono, ndipo mlingo umodzi sukhala ndi shuga. Sindikuwona zovuta zilizonse zapadera, ngakhale kuti nthawi zonse zimakhala zopweteka pamsinkhu wake. "

Malangizo omwe ali patsamba lino ndi malangizidwe osinthika a malangizo ovomerezeka, omwe cholinga chake ndi kuwazolowera, osati kuti mudzipangire nokha. Kusankhidwa kwa mankhwalawa komanso kukonzekera njira zamankhwala ndizovomerezeka kwa dokotala.

Metmorphine ndiye chinthu chofunikira kwambiri pa mankhwalawa. Kuti mumvetsetse kuti ndi yani yabwino, munthu ayenera kutembenukira ku mankhwala.

Siofor ali ndi zotsatirazi:

1. Zilonda zam'mimba ziwalo zambiri kuti insulin iwonjezeke
2. Kulowetsedwa kwa shuga kuchokera m'mimba m'mimba kumachepetsa
3. Amachepetsa kuchuluka kwa shuga m'magazi
4. Kuchepetsa thupi komanso kulakalaka kudya

Diabeteson kapena Siofor - ndibwino kuti mutenge? Ndizosatheka kunena ndendende, mankhwalawa ndi othandizanso ndipo adokotala amafunikira kusankha.

Glucofage ilinso ndi zabwino zambiri:

1. Sinthani magazi shuga
2. Kuyang'anira glycemic
3. Kuchepetsa thupi la wodwalayo potengera matenda a protein ndi mafuta
4. Mavuto a matendawa amayambitsidwa kaŵirikaŵiri poyerekeza ndi mankhwala ena.

Ndikotheka kumwa mankhwalawa komanso mankhwala ena nthawi imodzi. Diabeteson kapena Glucophage - ndibwino kuti mutenge? Mankhwalawa onse ndi abwino kwa anthu omwe ali ndi matenda abwinobwino kapena onenepa kwambiri. Mukamasankha, mutha kuyang'ana pa mtengo wazomwe mukugulitsazo komanso malingaliro a dokotala.

Ngakhale pali mndandanda wazakudya zabwino za mankhwalawo, ndikofunikira kuganizira mitundu yonse ya zinthu zoyipa zomwe zingachitike mutagwiritsidwa ntchito.

Choyamba, ndikofunikira kulabadira mndandanda wa zoletsa zomwe chithandizo sichingachitike pogwiritsa ntchito Maninil

Maninil contraindication ndi ochulukirapo.

Milandu yayikulu ikuphatikiza:

• mtundu 1 chithandizo cha matenda ashuga,
• vuto la diabetesic ketoocytosis kapena mkhalidwe wa kholo la odwala matenda ashuga wodwala.
• mawonetseredwe a hypoglycemia wodwala,
• Pamaso pa matenda a matenda opatsirana,
• matenda a chiwindi kapena impso amayamba.
• ngati pali tsankho kapena chiphunzitso chimodzi kapena zingapo za mankhwalawo,
• leukopenia
• ali pambuyo pancreatic resection,
• pamaso pa lactose tsankho kapena lactase akusowa.

Mpaka pano, palibe chidziwitso chokwanira chokhudza momwe mankhwalawa amagwirira ntchito pochiza matenda a shuga kwa ana. Ndiye chifukwa chake, chithandizo kwa odwala chotere (mpaka azaka khumi ndi zisanu ndi zitatu) sichosankhidwa. Kuphatikiza apo, contraindication imaphatikizanso kumwa mankhwalawa kwa atsikana ndi amayi oyembekezera panthawi yoyembekezera.

Zotsatira zoyipa

Malinga ndi malingaliro a WHO, pafupipafupi pazovuta zomwe zimachitika chifukwa cha mankhwala zimawunikidwa pamlingo wapadera:

• Nthawi zambiri - kuchokera 10%,
• Nthawi zambiri - kuchokera pa 1 mpaka 10%,
• Nthawi zina - kuchokera ku 0,1 mpaka 1%,
• Si kawirikawiri - kuchokera pa 0,01% mpaka 0.1%,
• Osowa kwambiri - mpaka 0,01% kapena milandu sanalembedwe konse.

Chiwerengero cha zochitika zoyipa kuchokera ku Maninil chimawerengeredwa mosavuta pagome.

Zosokoneza zowonekera nthawi zambiri zimawonedwa munthawi ya kusinthana ndi mankhwalawa ndikudziyendera nokha, popanda chithandizo chamankhwala. Matenda a dyspeptic mu mawonekedwe a vuto la mseru, kusanza, kutsekula m'mimba sikufuna kusintha kwa mankhwalawo komanso kumazimiririka pakapita nthawi.

Analogi ndi mtengo

Phukusi limodzi la Maninil lili ndi miyala 120. Mlingo umawonetsedwa pa cholembera. Mitengo imadalira dera komanso mankhwala ogulitsa ndipo nthawi zambiri imakhala kuchokera ku ma ruble 120 mpaka 190.

Mukakumana ndi dokotala, mutha kugwiritsa ntchito ma fanizo otsatirawa:

Mininil nthawi zambiri amamufanizira ndi Diabetes, koma kusankha komaliza kumatsalira kwa akatswiri, chifukwa:

• Zinthu zomwe zimagwiritsidwa ntchito mu mankhwala ndizosiyana, ngakhale momwe zimakhudzira thupi ndizofanana.
• Dokotala amatenga zifukwa zambiri nthawi imodzi, kusankha mankhwala oyenera. Kudzilowetsa ndekha sikovomerezeka, popeza wodwalayo sangaganizire mawonekedwe ena, omwe angayambitse ziwengo ndi zotsatirapo zina.

Zofananira zonse ndi:

• momwemonso
• mndandanda womwewo wa zotsutsana.

Mankhwalawa amasinthidwa ndi mankhwala ena kuchokera pagululi ngati:

• phwando latsimikizira kusakwanira kwake,
• Zizindikiro za mankhwala osokoneza bongo kapena zina.

Maninil ndi njira yothandiza komanso yotsika mtengo yomwe nthawi zambiri imalembedwa kwa odwala omwe ali ndi matenda a shuga a 2 kuti amalimbikitse kapamba. Mankhwala siwopanda, chifukwa chake sasiya kuyimitsa kwina kwa madokotala kuti akhale ndi moyo wathanzi. Musanagwiritse ntchito, muyenera kuphunzira malangizo mosamala ndikufotokozera zamankhwala anu.

Fotokozani

Ngati muwerenga izi, mutha kuzindikira kuti inu kapena okondedwa anu mukudwala matenda ashuga.

Tinachita kafukufuku, tinaphunzira zambiri za zida ndipo koposa zonse tinayang'ana njira ndi mankhwala ambiri a shuga. Chigamulochi ndi motere:

Ngati mankhwalawa onse akaperekedwa, zinali zotsatira zosakhalitsa, atangomaliza kudya, matendawa amakula kwambiri.

Mankhwala okhawo omwe apereka zotsatira zabwino ali

Zokhudza mankhwalawa

Maninyl ndi wochokera ku sulfonylurea. Mankhwala amakhala ndi vuto la hypoglycemic m'thupi la wodwalayo. Gawo logwira limakhudza maselo a kapamba, njirayi imalimbikitsa kupangika kwa insulin ya mahomoni. Kugwedezeka kwamaselo kumawonjezeka. Chifukwa chake, izi zimapangitsa kuyamwa kwamphamvu kwa shuga m'magazi. Kuzungulira kwa shuga kumachepa.

Kuphatikiza apo, mukatenga Maninil, pali kuchepa kwa thrombosis m'mitsempha yamagazi.

Mulingo wambiri wambiri wa mankhwalawa umawonedwa patatha maola awiri atayikidwa. Hypoglycemic effect imapitilira tsiku lonse.

Kutulutsa Fomu

Maninil mankhwalawa amapezeka piritsi. Kutengera ndi kuchuluka kwa zomwe zikugwira, ndi:

• pinki yopepuka (yogwiritsa ntchito yogwiritsira ntchito 1.75 mg),
• pinki (yogwiritsa ntchito mankhwala a 3.5 mg),
• pinki yodzaza ndi mafuta ambiri a mg 5.

Fomu la piritsi ndi cylindrical, flatated. Pa dzanja limodzi pali ngozi. Mapiritsi amadzaza zidutswa za 120. m'mabotolo agalasi. Bokosi lirilonse limayikidwa mu bokosi lina.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Mtengo wa man Manilil umatengera kuchuluka kwa mankhwala othandizira ndipo sizidutsa ma ruble 200. mapiritsi 120.

• Maninyl 1.75 mg - 125 R,
• Maninyl 3.5 mg - 150 r,
• Maninil 5 mg - 190 rub.

Mtengo wa mankhwalawa ndi kuchuluka kwa zosakaniza za 3.5 mg ndi chifukwa cha kuchuluka kwambiri kwa zomwe zimagwira.

Zomwe zikuchokera mankhwalawa zimaphatikizapo:

• yogwira pophika
• zosakaniza zomwe zimapangitsa kuchuluka kwa piritsi,
• zinthu za zipolopolo.

Chothandizira chophatikizika ndi glibenclamide. Zimakhudza kapamba komanso kutsika shuga.

• lactose monohydrate,
• talcum ufa
• kukhuthala
• silika
• magnesium wakuba.

Kuphatikizika kwa chipolalachi kumaphatikizapo zotsekemera komanso mitundu ya chakudya.

Malangizo ogwiritsira ntchito

Mlingo wa mankhwalawa komanso kutalika kwa nthawi ya chithandizo akutsimikiza ndi dokotala. Zimatengera zizindikiro izi:

• zaka odwala
• kuopsa kwa matenda ashuga
• kuchuluka kwa shuga m'magazi (pamimba yopanda kanthu ndikatha kudya).

Pazigawo zoyambirira zamankhwala, kuchuluka kwa mankhwalawa sikuyenera kupitirira 5 mg patsiku. Kuchuluka kwake kumayenera kutengedwa kamodzi (0,5 kapena piritsi 1), kutsukidwa ndi madzi okwanira.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Ngati mulingo womwewu sukupatsani mphamvu zake, ndiye kuti uyenera kukulitsidwa. Izi zimachitika pang'onopang'ono. Mlingo wovomerezeka watsiku ndi tsiku si oposa 15 mg.

Malamulo omwera mapiritsi:

• kumwa mankhwala theka la ola musanadye,
• phale silitha kutafunidwa
• muyenera kumwa mankhwalawa m'mawa,
• imwani mankhwalawo ndi madzi oyera (zakumwa zina sizoyenera).

Kumwa mankhwalawa ndikusintha Mlingo uyenera kuyang'aniridwa ndi dokotala. Ngati mavuto atawoneka, tikulimbikitsidwa kusiya mankhwalawa. Ndi zoletsedwa kusintha pawokha mankhwalawa. Izi zitha kuchititsa kuti wodwalayo azidwaladwala.

Malangizo apadera

Pa mankhwala ndi mankhwalawa, ndikofunikira kutsatira malamulo awa:

• Tsatirani malangizo onse azachipatala
• osadya magawo oletsedwa,
• kuwunika kuchuluka kwa shuga m'magazi.

Kwa anthu okalamba, mlingo wa mankhwalawa umayenera kusinthidwa. Ndikulimbikitsidwa kutenga ndalama zochepa, chifukwa Pankhaniyi, zotsatira za hypoglycemic zimatchulidwanso.

Ndizosavomerezeka kuphatikiza kumwa Maninil ndi zakumwa zoledzeretsa. Ethanol imawonjezera mphamvu ya hypoglycemic.

Mukamatenga Maninil ndizoletsedwa:

• kukhala padzuwa
• kuyendetsa galimoto
• kuchita zinthu zomwe zimafuna kuti ma psychomotor azichite msanga.

Komanso, mosamala, odwala matendawa amafunika kumwa mankhwalawo.

Zotsatira zoyipa

Poyerekeza ndi kumbuyo kwa kutenga Maninil, zowonetsa zotsatirazi zingaoneke:

• kutentha kuwonjezeka
• kusokonezeka kwa mtima
• kufuna kugona nthawi zonse, kumva kuti watopa,
• kutuluka thukuta kwambiri
• kugwedezeka miyendo,
• kuchuluka kwa nkhawa komanso kusakwiya,
• kusawona bwino ndi kumva.

Nthawi zambiri, Maninil angayambitse izi:

• nseru
• kusanza
• kupweteka m'mimba
• kukoma koyipa mkamwa
• zotupa mu chiwindi,
• thupi lawo siligwirizana
• zotupa pakhungu
• jaundice
• leukopenia
• malungo.

Ngati chizindikiro chimodzi kapena zingapo zapezeka, muyenera kusiya kumwa mankhwalawo ndikuonana ndi dokotala. Zikakhala zoterezi, m'malo mwa mankhwalawo mumafunikanso chimodzimodzi.

Bongo

Ngati mumwa mosayenera mankhwalawa, mankhwala osokoneza bongo amatha kuchitika. Zizindikiro zake:

• kusokonezeka kwa mtima
• kufunitsitsa kugona,
• njala
• malungo
• thukuta kwambiri
• mutu
• chizungulire
• kuda nkhawa kwambiri
• kupsinjika m'maganizo.

Ngati pali zizindikiro za kudya kwambiri kwa Maninil, wodwala ayenera kulandira chithandizo choyambirira:

• perekani kachidutswa kakang'ono ka shuga (kuwonjezera kuchuluka kwa shuga m'magazi),
• jekeseni njira ya shuga m'mitsempha (kuti mutaye chikumbumtima),
• itanani thandizo ladzidzidzi.

Jakisoni wa glucose amatha kuchitidwa kangapo mpaka zotsatira zomwe mukufuna zitheke.

Mankhwala osokoneza bongo a Maninil ndi owopsa kwambiri. Izi ndichifukwa choti kuchepa kwambiri m'magazi a shuga m'magazi kumatha kupangitsa kuyamba kudwala matenda ashuga. Chifukwa chake, simungathe kuwonjezera pawokha mlingo wa mankhwala popanda kuvomerezedwa ndi achipatala.

• zofananira zake: Betanaz, Daonil, Glitizol, Glibomet, Euglyukon.
• zofananazo: Bagomet, Galvus, Glitizol, Diben, Listata.

Zambiri mwatsatanetsatane za mankhwala ofananawa atha kuperekedwa ndi dokotala. Sizingatheke kusankha payokha pakumwa mankhwala ndi ena. Mapeto oterowo atha kupangidwa kokha ndi katswiri pamaziko a deta pamatenda a wodwala.

Ndemanga Zahudwala

Alexandra, wazaka 40: Ndili ndi matenda ashuga a 2. Kwa nthawi yayitali ndidapita ndikudya komanso kuwongolera shuga, koma posachedwa, shuga ochulukirapo wayamba kukula. Zoletsa zopatsa thanzi sizikhala zokwanira. Dotolo adasankha Maninil ngati mankhwala owonjezera omwe amachepetsa shuga. Mankhwalawa ndi othandizadi, amandithandizira kuti kuwerenga kwa glucose kusakhala kwakanthawi. Pazigawo zoyambirira zamankhwala, mutu umapweteka kwambiri, pakupita nthawi, kuzolowera mankhwalawa kunachitika ndipo mbali iyi inatha.

Julia, wazaka 37: Ndimamwa Maninil nthawi yayitali. Kuphatikiza ndi zakudya zamankhwala kumapereka zotsatira zabwino. Pang'onopang'ono khungu limatuluka popanda zachilendo. Sindinazindikire mavuto aliwonse. Mkhalidwe wathanzi labwino.

Maninil amagwiritsidwa ntchito pochiza matenda ashuga. Madokotala amapereka mankhwala kwa odwala omwe ali ndi matenda a 2. Pankhani ya fomu yodalira insulin, Maninil ndi gawo limodzi la zovuta mankhwala.

Mankhwala ali ndi hypoglycemic kwambiri pamthupi. Ngati mulingo woyenera wa mankhwalawa, zotsatira zoyipa zamagetsi ndi zina zimatha kuzindikirika.

Pali mankhwala ambiri a analogue, koma simungathe kusintha wina kuti akhale nanu. Ndi dokotala yekha amene angapereke lingaliro lotere. Komanso, simungasinthe mwaulere mlingo wa mankhwalawa. Odwala ambiri amalabadira ntchito ya mankhwalawa ndikuwona kugwira kwake ntchito.

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