Glucobay - malangizo, ntchito, ndemanga, kugwiritsa ntchito

Glucobay amalembedwa ndi adotolo pomwe zakudya zomwe zimapangitsa kuti thanzi likhale labwino sizinapangitse chiyembekezo chodwala. Mankhwalawa amagwiritsidwa ntchito ngati mankhwala a monotherapeutic kapena kuphatikiza ndi insulin ndi mankhwala ena. Chithandizo cha Glucobai chimaphatikizapo zakudya zopatsa thanzi ndi zinthu zapadera zolimbitsa thupi.

Ndi kugwiritsa ntchito pafupipafupi, chiwopsezo chimachepa:

• kupezeka kwa kuukira kwa hyper- ndi hypoglycemia,
• kukula kwa myocardial infarction ndi mtima matenda osakhazikika mawonekedwe.

Kuchita kwa chigawo chogwira ntchito kumadalira kuchepa kwa ntchito ya alpha-glucosidase komanso kuwonjezeka kwa nthawi ya mayamwidwe m'matumbo. Chifukwa chake, mankhwalawa amachepetsa zomwe zimapezeka m'magazi atatha kudya komanso amachepetsa kusinthasintha kwa tsiku ndi tsiku komwe kumachitika shuga m'magazi am'magazi. Mutatha kumwa mankhwalawa pambuyo pa maola 1-2, nsonga yoyamba ya acarbose imawonedwa ndipo nsonga yachiwiri imakhala pagulu kuyambira maola 14 mpaka 24 pambuyo pa kutsata. Kuphatikiza kwake bioavailability kuyambira 1% mpaka 2%. Zinthu zosweka za mankhwalawa zimapukusidwa m'matumbo - 51% ndi impso - 35%.

Kupanga ndi mawonekedwe a kumasulidwa

Glucobay imakhala ndi gawo la acarbose mu muyezo wa 50 mg ndi 100 mg, komanso zothandizira: magnesium stearate (0.5 mg ndi 1 mg), colloidal silicon dioxide (0,25 mg ndi 0,5 mg), wowuma chimanga (54, 25 mg ndi 108.5 mg) ndi cellulose (30 mg ndi 60 mg).

Mankhwalawa amapezeka mu mawonekedwe a mapiritsi a biconvex a mtundu oyera ndi oyera ndi mtundu wachikaso wamitundu iwiri, womwe umasiyana ndi zomwe zimagwira. Kumbali ina ya cholembapo, mulingo wa acarbose "G50" kapena "G100" umayikidwa ndipo kampani yomwe ili ndi chizindikiro cha mtanda wa Bayreux ili mbali inayo.

Mapiritsi ali ndi zidutswa 15. m'matumba, omwe ndi zidutswa ziwiri chilichonse, amadzaza makatoni. Moyo wa alumali ndi zaka 5. Mankhwalawa amayenera kusungidwa m'malo owuma osapezekapo kwa ana firiji, koma osapitirira madigiri 30.

Zolemba ntchito

Ndi maphunziro a mankhwala omwe adapangidwa ndi adokotala ndi Glucobai, tikulimbikitsidwa kuphunzira malangizo omwe aphatikizidwa. Makamaka chidwi chake chikuyenera kulipira pazomwe zikuwonetsa, zotsutsana ndi zotsatira zoyipa za wogwiritsa ntchito achire.

Malinga ndi malangizowo, Glucobai amatengedwa ngati othandizira mankhwalawa mtundu wa 1 ndi mtundu wa 2 matenda a shuga, komanso matenda osokoneza bongo omwe amayambitsa kunenepa kwambiri. Kuchepetsa thupi, mankhwalawa amayenera kuphatikizidwa ndi zakudya zapadera, zomwe wodwalayo angadye osachepera 1000 kcal patsiku. Zakudya zochepa zama calorie zimatha kukulitsa kukula kwa hypoglycemia, mpaka kuukira.

Mlingo wa mankhwalawa komanso kutalika kwa nthawi yotsatila zimatsimikiziridwa ndi dokotala payekhapayekha, kutengera mtundu wa thupi la wodwalayo komanso momwe matendawo alili. Ndi matenda oyamba m'mimba mwa wodwala, mlingo umachepetsedwa, ndipo nthawi zina njira yochizira imatha kusokonezedwa.

Contraindication

Contraindication poika Glucobay ndikusalolerana kwa zinthu zomwe zimapangidwa. Kuphatikiza apo, kuperekedwa kwa mankhwalawa kumapangidwa mu:

• matenda ndi mavuto a chiwindi (matenda a chiwindi, hepatitis),
• matenda am'mimba thirakiti ya pachimake kapena matenda, komanso pamaso pa matumbo kutsekeka, zilonda zam'mimba ndi matumbo,
• kuwonongeka kwaimpso (kupanga kuchuluka kwa 2 ml pa 1 decilita) ndi kulephera kwaimpso,
• metabolic acidosis wodwala matenda ashuga,
• gastrocardial syndrome
• maldigestion syndrome ndi malabsorption syndrome,
• hernias pakhoma pamimba,
• The zimachitika thupi lawo siligwirizana kumwa mankhwala,
• kupukusa ndi mkaka
• kusowa kwamadzi
• kupuma movutikira,
• myocardial infaration panthawi yowonjezera.

Glucobay, malinga ndi malangizo, sangalembedwe kwa anthu ochepera zaka 18.

Ngakhale mukumwa mankhwalawa, muyenera kupewa kudya zakudya zomwe zili ndi sucrose, chifukwa ngati mutatero ndiye kuti pali zovuta zina zomwe zingayambitse matenda osokoneza bongo.

Mlingo

Mlingowo umatsimikiziridwa ndi adotolo kutengera mtundu wa matendawo ndi momwe thupi la wodwalayo lilili. Mwachilengedwe, mlingo woyambirira wa Glucobay ndi 50 mg wa mankhwala othandizira, ndiye kuti, piritsi limodzi la G50 kapena theka la mapiritsi a G100, omwe amayenera kumwedwa katatu patsiku. Muyezo wa tsiku lililonse wa mankhwalawa umayenera kukhala 300 mg acarbose katatu patsiku, ndiye kuti mapiritsi atatu a G100 kapena mapiritsi awiri a G50 panthawi imodzi.

Ngati zotsatira zomwe sizikuyembekezeka sizipezeka mkati mwa miyezi 1-2, pafupifupi tsiku lililonse mlingo wa mankhwalawa ukhoza kupitirira 600 mg ya yogwira ntchito. Panthawi ya vuto laimpso, lomwe siligwera pansi pa contraindication, mogwirizana ndi malangizo ogwiritsira ntchito, kusintha mulingo woyenera sikuchitika.

Zotsatira za bongo

Kuphwanya malamulo oti amwe mankhwalawa, kusokonezeka kwa ntchito ya m'mimba, mtima ndi hematopoietic zokhudza thupi zimatha kuchitika. Milandu yosokoneza njira za metabolic imadziwika.

Pankhani ya ntchito yam'mimba thirakiti, izi zimachulukirachulukira, nseru, mpaka kusanza, kutsekula m'mimba. Kuphwanya ntchito za mtima dongosolo - kutupa kwa m'munsi malekezero, hematopoietic - thrombocytopenia. Zotsatira za anaphylactic ndizothekanso.

Zotsatira zoyipa

Malinga ndi zotsatira za mayeso azachipatala ndi kuwunika kwa wodwala, kugwiritsa ntchito mankhwalawa kwathunthu sikubweretsa zovuta zoyipa, komabe, nthawi zina, zotsatirazi zingachitike:

• kutupa chifukwa cha kusokonekera kwa mtima dongosolo,
• milandu ya thrombocytopenia,
• zam'mimba thirakiti, kuchuluka kwaulemu komanso kutsegula m'mimba pang'ono,
• kupuma mseru, mpaka kusanza,
• kupweteka pamimba,
• jaundice pakhungu chifukwa kuwonjezeka zomwe zili mu chiwindi michere,
• Zizindikiro za hepatitis (kawirikawiri).

Zotsatira zoyipa izi zikaonekera, wodwalayo ayenera kufunsa dokotala kuti asinthe mlingo wa mankhwalawo kapena asinthane ndi mankhwala ena.

Kukonzekera kofananako

Maupangiri wothandizira antidiabetesic Glucobay amaperekedwa kwa wodwala milandu pomwe wodwala amatsutsana ndikugwiritsa ntchito kapena chimodzi mwazotsatira zomwe zalembedwa pamwambapa zomwe zadziwonetsa. Mankhwala omwewo ofanana ndi achire:

1. Glucophage adaganiza imodzi mwazithandizo zabwino zomwe zimakhudzanso wodwala. Amagwiritsidwa ntchito pamaphunziro azithandizo zochizira matenda onse a shuga. Pakuchita bwino, othandizira onsewa ndi ofanana, ngakhale ali osiyana magwiridwe ake (glucophage - metformin hydrochloride) ndi mfundo ya pharmacological action. Mtengo wa mankhwalawa mu network ya pharmacy umachokera ku 500 mpaka 700 rubles.
2. Siofor - mankhwala antidiabetesic kuchokera pagulu la Biguanide. Ili ndi chophatikizika - metformin hydrochloride. Ili ndi magwiritsidwe ofanana ndipo monga mankhwala ofotokozedwawo, amachepetsa thupi mwa odwala omwe ali ndi matenda amtundu II. Mtengo wa Siofor, kutengera zomwe zili pazomwe zimagwira, zimatha kukhala 240 mpaka 450 rubles.
3. Acarbose - mankhwala a hypoglycemic omwe amagwiritsidwa ntchito pochiza matenda amisempha II a shuga osakwanira ndimankhwala ena. Amagwiritsidwanso ntchito pa zovuta zovuta za matenda a shuga a mtundu I. Ndi analogue yathunthu ya Glucobay, zonse ziwiri zomwe zimapangidwa pazomwe zimagwira komanso momwe zimagwirira ntchito. Mtengo womwe umapangidwira muma cell apulogalamu umachokera ku ma ruble 478. (50 mg) mpaka 895 ma ruble. (100 mg).
4. Alumina - mankhwala antidiabetesic ntchito mankhwalawa odwala matenda ashuga. M'mapangidwe ake imakhala ndi chigawo chimodzi (acarbose) chofanana ndi Glucobaia ndipo chili ndi njira yofananira. Amasiyana mu kapangidwe ka ochulukitsa komanso dziko la kupanga (Turkey). Mtengo pafupifupi wa mankhwalawo phukusi lililonse umachokera ku ma ruble 480. (50 mg) komanso kuchokera ku ma ruble 900. (100 mg).

Ndemanga za Odwala

Mchitidwe wogwiritsa ntchito mankhwalawa Glucobay wawonetsa kugwira ntchito kwake mothandizidwa ndi matenda a shuga, komabe, kugwira kwake ntchito molunjika kumatengera momwe mulingo womwe umatsimikiziridwa ndikuwonetsetsa. Udindo wofunika kwambiri pa mankhwalawa ndi chithandizo cha zakudya komanso zolimbitsa thupi. Simuyenera kuigwiritsa ntchito ngati njira yochepetsera kunenepa chifukwa cha zotsatira zoyipa zaumoyo chifukwa cha zotsutsana ndi zotsatira zoyipa.

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.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

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.

Kuchita ndi mankhwala ena

Mukamalumikizana ndi othandizira ena a hypoglycemic, kuphatikizapo insulin, kutsitsa kwa shuga kumakulitsidwa.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Ma enzyme opatsa mphamvu, ma sorbents, mankhwala ochizira kutentha kwa mtima ndi gastritis amachepetsa mphamvu ya mankhwalawa.

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.

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