Mapiritsi ochepetsa shuga a gluluorm: malangizo, mtengo, malo ogulitsira komanso kuwunika anthu odwala matenda ashuga

Nthawi zambiri, odwala matenda ashuga a 2 amakonda kudziwa momwe angatengere glurenorm. Mankhwalawa ndi a amodzi omwe amachepetsa shuga kuchokera pagulu lachiwiri la sulfonylurea.

Ili ndi mtundu wa hypoglycemic wotchulidwa ndipo nthawi zambiri imagwiritsidwa ntchito pochiza odwala omwe ali ndi matenda oyenera.

Kapangidwe ndi kapangidwe ka zochita

Gawo lalikulu la mankhwala Glenrenorm ndi glycidone.

Othandizira ndi:

• Wowuma ndi wowuma chimanga wowuma.
• Magnesium wakuba.
• Lactose Monohydrate.

Glycvidone ali ndi hypoglycemic. Momwemo, chizindikiritso chogwiritsa ntchito mankhwalawa ndi mtundu wa 2 shuga wambiri pomwe chakudya chokha sichingapangitse kuchuluka kwa shuga m'magazi.

Mankhwala Glurenorm ndi a gulu la zotumphukira za sulfonylurea, chifukwa chake zotsatira zake zimagwirizana kwathunthu (nthawi zambiri) ndi othandizira ofananawo.

Zotsatira zazikulu zochepetsera kuchuluka kwa shuga ndi zotsatirazi zamankhwala:

1. Kukondoweza kwa amkati a insulin.
2. Kuchulukana kwamphamvu kwa zotumphukira zathu kuzinthu zokhudzana ndi mphamvu ya timadzi.
3. Kuwonjezeka kwa chiwerengero cha insulin receptors.

Chifukwa cha izi, nthawi zambiri zimakhala zotheka kusinthasintha magazi a glucose.

Ntchito malangizo Glyurenorm

Mankhwala a glucorm angagwiritsidwe ntchito pokhapokha mukaonana ndi dokotala ndikusankha Mlingo wokwanira wodwala wina. Kudzichitira nokha mankhwala kumaperekedwa chifukwa chokhala ndi chiopsezo chambiri komanso kuwonjezeka kwa zomwe wodwalayo amadwala.

Njira zochizira mtundu wachiwiri za matenda a shuga a mankhwalawa zimayamba ndi theka la piritsi (15 mg) patsiku. Glurenorm imatengedwa m'mawa kumayambiriro kwa chakudya. Pakufunika kwa zotsatira za hypoglycemic, mlingo umalimbikitsidwa kuti uwonjezeke.

Ngati wodwalayo amadya mapiritsi awiri a Glyurenorm patsiku, ndiye kuti ayenera kumwedwa panthawi yotsegula chakudya. Ndi kuwonjezeka kwa tsiku ndi tsiku mlingo, ayenera kugawidwa zingapo Mlingo, koma gawo lalikulu la yogwira zimayenera kutsalira m'mawa.

Mlingo wambiri tsiku lililonse ndikumwa mapiritsi anayi. Kuwonjezeka koyenera kwa mankhwalawa ndikuwonjezeka kwa kuchuluka kwa mankhwalawa mopitilira chiwerengerochi sikunawonedwe. Chiwopsezo chokha cha kukulitsa zovuta zomwe zimachitika chimawonjezeka.

Simunganyalanyaze njira yodya mukatha kugwiritsa ntchito mankhwalawa. Ndikofunikanso kugwiritsa ntchito mapiritsi ochepetsera shuga panjira (koyambirira) kwa chakudya. Izi zikuyenera kuchitika pofuna kupewa matenda a hypoglycemic ndi chiopsezo chochepa cha kukhala chikomokere (cha mankhwala osokoneza bongo).

Odwala omwe ali ndi vuto la chiwindi ndipo amatenga mapiritsi a Glurenorm opitilira awiri patsiku ayenera kuwunikiridwa pafupipafupi ndi dokotala kuti ayang'anire ntchito ya chiwalocho.

Kutalika kwa mankhwalawa, kusankha kwa Mlingo ndi malingaliro pazomwe mungagwiritse ntchito ziyenera kuyikidwa ndi adokotala okha. Kudzichitira nokha mankhwala kuli ndi zovuta zingapo zamatenda oyamba ndikubwera pazotsatira zingapo zosayenera.

Ndi kusakwanira kwenikweni kwa Glyurenorm, kuphatikiza kwake ndi Metformin ndikotheka. Funso la kuchuluka kwa mankhwalawa komanso kugwiritsa ntchito mankhwala mosokoneza bongo kumawerengedwa pambuyo pa kuyesedwa koyenera kachipatala ndi kufunsa kwa endocrinologist.

Analogi a njira

Popeza ndi mitundu yambiri ya mankhwala omwe amagwiritsidwa ntchito pochiza matenda amtundu wa 2, odwala ambiri ali ndi chidwi ndi momwe angachotse Glurenorm. Ndikofunika kudziwa kuti kusiyanasiyana kwa dongosolo komanso chithandizo cha wodwala popanda kudziwitsa adokotala ndikosavomerezeka.

Komabe, pali njira zingapo zosinthira.

Glurenorm analogues:

Nthawi zambiri, mankhwalawa amakhala ndi chinthu chimodzi chomwe chimagwira ndi mtundu wina wowonjezera. Mlingo wa piritsi limodzi umatha kusiyana, zomwe ndikofunikira kuziganizira mukamachotsa Glyurenorm.

Ndikofunika kudziwa kuti pazifukwa zina, nthawi zina mankhwala ngati omwewo amakhala ndi magwiridwe osiyanasiyana ogwira ntchito. Izi zimachitika makamaka chifukwa cha mawonekedwe a kagayidwe kamunthu aliyense payekha komanso masinthidwe a kapangidwe ka mankhwala ochepetsa shuga. Mutha kuthetsa vuto lakusintha ndalama kokha ndi dokotala.

Kugula Glyurenorm?

Mutha kugula Glyurenorm m'magawo azachikhalidwe komanso pa intaneti. Nthawi zina sizikhala pamasamba a akatswiri ogulitsa mankhwalawa, kotero odwala omwe ali ndi matenda a shuga a 2, omwe amathandizidwa kwambiri ndi mankhwalawa, amayesa kuyitanitsa kudzera pa World Wide Web.

Mwakutero, kulibe vuto lililonse kupeza Glurenorm, mtengo wake womwe umachokera ku 430 mpaka 550 rubles. Kukula kwa mayeso mu njira zambiri zimadalira kokhazikika kwa wopanga komanso mawonekedwe amomwe amapangira mankhwala. Nthawi zambiri, madokotala enieniwo amatha kuuza wodwala kumene angapeze mapiritsi ochepetsa shuga.

Ndemanga Zahudwala

Odwala omwe akutenga Glurenorm, omwe ndemanga zawo ndizosavuta kupeza pa intaneti, nthawi zambiri amakhala ndi mankhwala okwanira.

Komabe, ndikofunikira kuti mumvetsetse kuti chida ichi sichinthu chopezeka pagulu komanso chosangalatsa. Imagulitsidwa (nthawi yayitali) kokha ndi mankhwala ndipo imapangidwira chithandizo chachikulu cha matenda oopsa.

Chifukwa chake, mukamawerenga ndemanga pa intaneti, nthawi zonse muyenera kufunsa dokotala mofanananira. Glyurenorm itha kukhala yothandiza kwa odwala ena, koma yolakwika kwa ena.

Malangizo apadera

Kuphatikiza pazidziwitso zonse zomwe zili pamwambazi, ndikofunikira kulabadira zazing'ono zingapo:

• Glurenorm sikuti amangotsala ndi impso, yomwe imalola kugwiritsidwa ntchito kwa odwala matenda ashuga nephropathy ndi kusakwanira kwa ziwalo zofanana.
• Chipangizocho, ngakhale chikunyalanyaza njira yoyenera yoyendetsera, chikhoza kuyambitsa chitukuko cha dziko la hypoglycemic.
• Mapiritsi sangathe kulowa m'malo mwa chithandizo chamankhwala. Ndikofunikira kuphatikiza njira yosinthira moyo ndikugwiritsira ntchito mankhwala ochepetsa shuga.
• Kuchita masewera olimbitsa thupi kumathandizira mphamvu ya Glenrenorm, yomwe iyenera kukumbukiridwa poyesa kuchuluka kwa wodwala wina.

Contraindication ndi zotsatira zosafunikira

Simungagwiritse ntchito Glurenorm pazinthu zotsatirazi:

1. Mtundu woyamba wa shuga. Zochitika za ketoacidosis.
2. Porphyria.
3. Lactase akusowa, galactosemia.
4. Kulephera kwamphamvu kwa chiwindi.
5. Kuchotsa koyambirira (kapangidwe kake) ka kapamba.
6. Nthawi ya bere ndi kuyamwa.
7. Pachimake matenda opatsirana m'thupi.
8. Kusalolera payekha.

Zotsatira zoyipa zomwe zimatsalira ndizotsalira:

• Kugona, kutopa, kugona tulo tosokoneza, mutu.
• Kuchepa kwa kuchuluka kwa leukocytes ndi mapulateleti m'magazi.
• Kusanza, m'mimba kusokonezeka, kusayenda kwa ndulu, kuchepa kwamatenda, kusanza.
• Kuchuluka kwa magazi m'magazi a shuga (hypoglycemia).
• Khungu limawonetsa khungu.

Kudzipatsa nokha mankhwala ndi Glenororm kumatsutsana. Kusankhidwa kwa Mlingo ndi regimen kumachitika kokha ndi adokotala.

Kupanga ndi pharmacological kanthu

Piritsi limodzi lamankhwala limakhala ndi:

1. glycidone yogwira pophika 30 mg,
2. zokopa zomwe zimayimiridwa ndi: wowonda chimanga, lactose, wowuma chimanga 06598, magnesium stearate.

Ngati tizingolankhula zamankhwala omwe amapezeka pamankhwala, ndiye kuti zimangowonjezera kubwezeretsa kwa chinsinsi cha mahomoni ndi beta-cell ya kapamba, komanso kumakulitsa ntchito ya insulin-secretory ya glucose.

Chipangizochi chimayamba kugwira ntchito pambuyo pa maola 1-1.5 mutatha kugwiritsa ntchito, pomwe mphamvu yayikulu imachitika mu maola 2-3 ndipo imakhala kwa maola 9-10.

Ndikupezeka kuti mankhwalawa amatha kukhala ngati sulfonylurea ya kanthawi kochepa ndipo angagwiritsidwe ntchito pochiza odwala matenda ashuga a mtundu II komanso odwala omwe ali ndi vuto la impso.

Chifukwa Njira yochotsa glycidone ndi impso ndiyosafunikira kwenikweni, mankhwalawa amalembedwa kwa odwala matenda ashuga omwe ali ndi matenda ashuga. Zatsimikiziridwa mwasayansi kuti kutenga Glyurenorm kumakhala kothandiza komanso kotetezeka.

Zowona, nthawi zina, panali kutsika kwapang'onopang'ono pakuwonetsa kwa metabolites osagwira. Kumwa mankhwalawa kwa zaka 1.5-2 sikuti kumawonjezera kuchuluka kwa thupi, koma, m'malo mwake, kutsika kwake ndi 2-3 kg.

Malangizo ogwiritsira ntchito mapiritsi Glenrenorm

Mankhwala adapangira pakamwa. Mlingo wofunikira umatsimikiziridwa ndi dokotala atatha kudziwa mtundu wa anthu omwe ali ndi vuto la matenda ashuga, komanso matenda aliwonse othandizira, komanso njira yotupa yotupa.

Njira yothetsera mapiritsi imayendera kuti muzitsatira zakudya zomwe katswiri adalemba komanso njira yabwino.

Njira ya chithandizo "imayamba" ndi mulingo wocheperako wofanana ndi gawo la piritsi. Kudya koyamba kwa Glyurenorm kumachitika kuyambira m'mawa mpaka chakudya.

Ngati zotsatira zabwino sizinachitike, ndiye kuti muyenera kufunafuna uphungu wa endocrinologist, chifukwa, mwina, kuchuluka kwa kuchuluka kumafunika.

Mu tsiku limodzi, amaloledwa kutenga osaposa 2 ma PC. Odwala osagwirizana ndi hypoglycemic, kuchuluka kwa mankhwala sikukula, ndipo Metformin imawonjezedwanso ngati adjunct.

Contraindication

Monga mankhwala ena aliwonse, mankhwala omwe amafotokozedwawo amadziwika ndi kukhalapo kwa contraindication ogwiritsa ntchito, omwe amaphatikizapo:

• Mtundu woyamba wa shuga,
• kuchira pambuyo opaleshoni kuti resection wa kapamba,
• kulephera kwa aimpso
• chiwindi ntchito,
• acidosis yoyambitsidwa ndi matenda "okoma",
• ketoacidosis
• chikomokere chifukwa cha matenda ashuga,
• lactose tsankho,
• matenda a matenda opatsirana,
• opaleshoni kuchitapo kanthu anachita
• nthawi yobala mwana,
• ana osakwana zaka 18,
• kusalolera payekha pazinthu za mankhwala,
• nthawi yoyamwitsa
• Matenda a chithokomiro,
• kusiya mowa
• pachimake porphyria.

Mankhwala osokoneza bongo ambiri komanso zoyipa

Nthawi zambiri, mankhwalawa amaloledwa ndi munthu wodwala matenda ashuga, koma nthawi zina, wodwala angakumane ndi:

Odwala ena adakumana ndi intrahepatic cholestasis, urticaria, Stevens-Johnson syndrome, agranulocytosis, ndi leukopenia. Pankhani ya mankhwala osokoneza bongo, njira yoopsa ya hypoglycemia imayamba.

Nthawi yomweyo ndi bongo, wodwalayo amamva:

• kukomoka mtima,
• kutuluka thukuta kwambiri
• kumva kwamphamvu njala
• kugwedezeka miyendo,
• mutu
• kulephera kudziwa
• cholakwika ntchito.

Ngati chimodzi mwazizindikiro zomwe zili pamwambapa chikuwoneka, ndikulimbikitsidwa kuti mupemphe thandizo la akatswiri oyenerera.

Kuyanjana kwa mankhwala osokoneza bongo

Mphamvu ya hypoglycemic ya mankhwalawa imatha kuwonjezeka mukamagwiritsa ntchito imodzi ndi zinthu monga:

• salicylate,
• sulfanilamide,
• phenylbutazone
• odana ndi chifuwa chachikulu
• machez
• ACE inhibitor
• Mao inhibitor
• guanethidine.

Mphamvu ya hypoglycemic imachepetsedwa mukamagwiritsa ntchito wothandizila ndi GCS, phenothiazines, diazoxides, njira zakulera za pakamwa komanso mankhwala a nicotinic acid.

Mtengo wa mapiritsi a Glurenorm m'masitolo ogulitsa mankhwala

Paketi imodzi yamankhwala ili ndi ma PC 60. mapiritsi olemera 30 mg. Mtengo wa paketi yoyamba mumasitolo ogulitsa mankhwala osokoneza bongo ndi ma ruble 415-550.

Kuchokera pamenepa titha kunena kuti ndizovomerezeka kwa gulu lililonse la anthu.

Kuphatikiza apo, mutha kugula mankhwala kudzera pa pharmacy ya pa intaneti, yomwe ingapulumutse ndalama zina.

Analogs ndi choloweza m'malo mankhwala

Lero mutha kupeza mayendedwe otsatirawa a Glurenorm:

Tiyenera kudziwa kuti ma fanizo omwe ali pamwambawa a mankhwala ofotokozedwawo amakhala ndi kukhalapo kwa mankhwala ofanana, koma ndi mtengo wotsika mtengo.

Ndemanga za madotolo ndi odwala matenda ashuga

Komabe, munthu ayenera kudziwa kuti mankhwalawa sachinthu china chomwe chimapezeka "zosangalatsa"

Amazindikira makamaka malinga ndi zomwe dokotala amupatsa ndipo amawapangira kuti alandire matenda akulu.

Chifukwa chake, ndikuphunzira nthawi imodzi kwamawonekedwe a wodwala pamaneti, ndikofunikira kufunsa katswiri. Inde, kwa odwala matenda ashuga ena mankhwalawa ndi mankhwala abwino, pomwe ena ndi oyipa kwambiri.

Makanema okhudzana nawo

Zambiri pazogwiritsa ntchito mapiritsi a Glurenorm muvidiyo:

Pomaliza, ziyenera kudziwidwa kuti chithandizo cha matenda oopsa monga matenda a shuga amafunika kugwiritsa ntchito nthawi yake, ndipo koposa zonse, osankhidwa mwanzeru akatswiri.

Zachidziwikire, tsopano mu malo ogulitsa mankhwala osokoneza bongo mutha kupeza mitundu yosiyanasiyana yamankhwala, iliyonse yomwe ili ndi phindu lake, komanso mtengo wake. Dokotala wokhazikika yekha ndi amene angakuthandizeni kusankha mwanzeru mukatha kupanga maphunziro ofunika.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Zambiri, kapangidwe ndi mawonekedwe ake amasulidwe

Glurenorm ndi nthumwi ya sulfonylureas. Ndalamazi zimapangidwa kuti muchepetse magazi.

Mankhwalawa amalimbikitsa katemera wa yogwira insulin ndi maselo a kapamba, omwe amathandiza kuyamwa shuga wambiri.

Mankhwala amathandizidwa ndi odwala omwe amadya zakudya osapatsa mphamvu, ndipo njira zina zimafunikira kuti zikhale zovuta kuzindikiritsa magazi.

Mapiritsi a mankhwalawa ndi oyera, ali ndi cholembedwa "57C" komanso chogwirizana ndi wopanga.

• Glycvidone - gawo lalikulu - 30 mg,
• wowuma chimanga (wouma ndi sungunuka) - 75 mg,
• lactose (134.6 mg),
• magnesium stearate (0.4 mg).

Phukusi lamankhwala limatha kukhala ndi mapiritsi 30, 60, kapena 120.

Pharmacology ndi pharmacokinetics

Kumwa mankhwalawa kumayambitsa zotsatirazi kagayidwe kachakudya mthupi:

• maselo a beta, malo oti asakhumudwenso ndi shuga amachepetsa, omwe amachititsa kuchuluka kwa insulin,
• zotumphukira khungu kudziwa kwa mahomoni ukuwonjezeka
• katundu wa insulin ukuwonjezeka kuchititsa mayamwidwe chiwindi ndi glucose zimakhala,
• lipolysis yomwe imachitika minofu ya adipose imachepetsa,
• kuchuluka kwa glucagon m'magazi kumachepa.

1. Kuchita kwa zigawo zikuluzikulu za wothandizirazi kumayamba patatha pafupifupi ola limodzi ndi 1.5 kuchokera nthawi yomwe inayamba kumwa. Chiwonetsero chachikulu cha zinthu zomwe zimaphatikizidwa pokonzekera chimatha pambuyo pa maola atatu, ndipo maola ena 12 atsala.
2. Kagayidwe ka zigawo zikuluzikulu za mankhwala kumachitika makamaka mu chiwindi.
3. Kuchotsa zigawo zikuluzikulu za mankhwalawa kumachitika kudzera m'matumbo ndi impso. Hafu ya moyo ili pafupifupi maola awiri.

Magawo a kinetic a mankhwalawa sasintha akagwiritsidwa ntchito ndi okalamba, komanso odwala omwe ali ndi vuto la pathological pantchito ya impso.

Zizindikiro ndi contraindication

Glurenorm imagwiritsidwa ntchito ngati mankhwala oyenera omwe amagwiritsidwa ntchito pochiza matenda a shuga a 2. Nthawi zambiri, mankhwalawa amaperekedwa kwa odwala akafika zaka zapakati kapena zaka zapakati, pamene glycemia sangakhale yofanana ndi chithandizo cha mankhwala.

• kupezeka kwa matenda a shuga 1
• kuchira pambuyo pancreatectomy,
• kulephera kwa aimpso
• Kusokonezeka kwa chiwindi,
• acidosis yopezeka mu shuga
• ketoacidosis
• chikomokere (choyambitsidwa ndi matenda ashuga)
• galactosemia,
• lactose tsankho,
• matenda opatsirana omwe amapezeka m'thupi,
• othandizira opaleshoni
• mimba
• ana osakwana zaka zambiri
• tsankho pamagawo a mankhwala,
• nthawi yoyamwitsa,
• matenda a chithokomiro
• uchidakwa
• pachimake porphyria.

Zotsatira zoyipa ndi bongo

Kumwa mankhwalawa kumapangitsa zotsatirazi zina mwa odwala ena:

• mogwirizana ndi hematopoietic dongosolo - leukopenia, thrombocytopenia, agranulocytosis,
• achina,
• mutu, kutopa, kugona, chizungulire,
• kuwonongeka kwamawonekedwe
• angina pectoris, hypotension and extrasystole,
• Kuchokera pakukamwa - kusanza, kusanza, kukhumudwa, cholestasis, kusowa chilakolako cha chakudya,
• Matenda a Stevens-Johnson
• urticaria, zotupa, kuyabwa,
• kupweteka kumamveka m'chifuwa.

Mankhwala osokoneza bongo amatsogolera ku hypoglycemia.

Pankhaniyi, wodwalayo amamva chizindikiro cha mkhalidwe:

• njala
• tachycardia
• kusowa tulo
• kutuluka thukuta kwambiri
• kugwedezeka
• kusokonekera kwa mawu.

Mutha kuyimitsa chiwonetsero cha hypoglycemia potenga chakudya chamafuta ambiri. Ngati munthu sakhudzidwa pakadali pano, ndiye kuti kuchira kwake kumafunika shuga mkati. Pofuna kupewa kubwereza kwa hypoglycemia, wodwalayo ayenera kukhala ndi zina zowonjezera pambuyo pobayidwa.

Maganizo a odwala

Kuchokera pa ndemanga za odwala omwe akutenga Glurenorm, titha kunena kuti mankhwalawa amachepetsa shuga, koma adanenanso zoyipa zomwe zimakakamiza ambiri kuti asinthane ndi mankhwala a analog.

Ndakhala ndikuvutika ndi matenda ashuga a 2 kwa zaka zingapo. Miyezi ingapo yapitayo, dokotala wanga adandiyikira Glyurenorm, popeza Diabeteson sanali pamndandanda wa mankhwala omwe amapezeka.

Ndinatenga mwezi umodzi wokha, koma ndazindikira kuti ndibwerera ku mankhwala omwe ndidalandira kale. "Glurenorm", ngakhale imathandizira kukhala ndi shuga wabwinobwino, koma imayambitsa mavuto ambiri (pakamwa lowuma, kudzimbidwa komanso kusowa kwa chilimbikitso).

Pambuyo pobwerera ku mankhwala am'mbuyomu, zizindikiro zosasangalatsa zidasowa.

Konstantin, wazaka 52

Nditapezeka kuti ndayamba kudwala matenda ashuga, nthawi yomweyo adamuuza Glurenorm. Ndimakonda momwe mankhwalawo amathandizira. Shuga wanga amakhala pafupifupi wabwinobwino, makamaka ngati simuphwanya zakudya. Sindidandaula za mankhwalawa.

Ndili ndi matenda ashuga kwa zaka 1.5. Poyamba, kunalibe mankhwala; shuga anali wabwinobwino. Koma kenako adazindikira kuti pamimba yopanda chizindikiro zizindikiro zimachulukirachulukira. Dokotala adayambitsa mapiritsi a Glurenorm. Nditayamba kumwa, nthawi yomweyo ndidamva. Shuga m'mawa adabweranso pazikhalidwe zabwino. Ndinkakonda mankhwalawo.

Mtengo wa mapiritsi 60 a Glenrenorm ndi ma ruble pafupifupi 450.

Adalimbikitsa Zolemba Zina Zogwirizana

Kugwiritsa

Glurenorm imalembedwa kwa odwala azaka zapakati komanso achikulire omwe ali ndi matenda a shuga 2, zakudya zikayamba kugwira ntchito.

Mlingo amasankhidwa payekhapayekha ndipo amatha kusintha pakumwa. Kukana kumwa mankhwalawo kapena kusinthanitsa ndi analogi kuyenera kuvomerezedwa ndi dokotala.

Zotsatira zimayambika 65 - 95 mphindi mutatha kumwa mapiritsi. Kuchuluka kwake kumachitika patatha maola awiri mpaka atatu kuchokera pamene Glurenorm idatengedwa.

Mafuta a mankhwalawa, monga Glyrenorm pawokha, amafunikira kusamalidwa bwino pakudya. Ndikofunika kuti musadumphe chakudya, ndipo nthawi zambiri mumadyanso m'magawo ang'onoang'ono. Kukana chakudya kumatha kuchepetsa shuga m'magazi anu mpaka kumakupangitsani kuti musamve bwino.

Kutulutsa Mafomu

Glurenorm imagulitsidwa monga mapiritsi oyera ndi 30 mg yogwira - glycidone. Ayenera kukhala:

• mtundu woyera
• mawonekedwe osalala ndi ozungulira
• asintha mbali
• mbali imodzi ikhale pachiwopsezo chogawika,
• mbali zonse ziwiri za phale zilembedwe "57C",
• kumbali ya piritsi, komwe kulibe zoopsa, payenera kukhala ndi logo yamakampani.

Mu makatoni mapaketi ndi matuza a mankhwala Glyurenorm 10 mapiritsi.

Zotsatira zoyipa

Mtengo wapakati wa mankhwalawo ndi pafupifupi ma ruble 440 phukusi lililonse. Mtengo wocheperako pama pharmacies opezeka pa intaneti ndi ma ruble 375. Nthawi zina, odwala matenda ashuga a 2 amalandila mankhwalawo kwaulere.

Glurenorm imalembedwa kwa odwala ambiri. Malangizo ake agwiritsidwe ntchito mogwirizana ndi mankhwala onse omwe ali ndi vutoli. Kuperewera kwa malo ogulitsa mankhwala, mtengo wokwera kapena zotsatira zoyipa zimatha kupangitsa munthu kuti awerenge ndemanga ndikuyang'ana kufanana kwa mankhwalawo.

Glidiab

The yogwira pophika mankhwala ndi gliclazide. Piritsi limodzi lili 80 mg. Mankhwalawa amadziwitsidwa ngati kupezeka kwa mtundu wachiwiri wa shuga kwatsimikiziridwa. Mtundu woyamba wa shuga, kugwiritsa ntchito kwake kumatsutsana. Mtengo wa phukusi wokhala ndi mapiritsi 60 ndikuchokera ku ruble 140 mpaka 180. Ndemanga zodwala zambiri zimakhala zabwino.

Glibenclomide

Zomwe zimagwira ndi glibenclamide. Mankhwalawa amapezeka mu mawonekedwe a mapiritsi 120 mu vial. Botolo limayikidwa mthumba. Piritsi limodzi lili ndi 5 mg ya glibenclamide. Mtengo wa ma CD umachokera ku ruble 60.

Gliklada

Mankhwalawa amapezeka pamiyeso ingapo - 30, 60 ndi 90 mg. Pali njira zingapo zosakira. Mapiritsi 60 okhala ndi mlingo wa 30 mg amatenga pafupifupi ma ruble 150.

Palinso ma analogu ena, kuphatikizapo Glianov, Amiks, Glibetic.

Ndi malangizo ofananawo ogwiritsira ntchito ndi zofananira zofananira, ndalamazi zimayikidwa payekhapayekha. Mukamasankha endocrinologist mumawunikira zambiri zokhudzana ndi matenda osatha komanso mankhwala omwe adamwa. Mankhwala amasankhidwa omwe amaphatikizidwa ndi chithandizo chonsecho.

Chikhumbo cha odwala kuti akwaniritse shuga yabwinobwino chimagwiritsidwa ntchito mwachangu ndi makampani osapatsa thanzi othandizira zakudya. Mukamasankha mankhwala a matenda ashuga, simuyenera kudalira kutsatsa. Mankhwala okwera mtengo osagwiritsidwa ntchito mosagwirizana nthawi zambiri sayenera kulandira chithandizo.

Mapiritsi ochepetsa shuga a gluluorm: malangizo, mtengo, malo ogulitsira komanso kuwunika anthu odwala matenda ashuga

Pafupifupi munthu aliyense amene akudwala nthenda yachiwiri ya "lokoma" amadziwa kuti matenda awa ndi a mtundu wa metabolic.

Amadziwika ndi kukula kwa matenda a hyperglycemia, opangidwa chifukwa chophwanya kuyanjana kwa insulin ndi maselo a cell.

Ndilo gulu ili la odwala lomwe liyenera kulabadira zamankhwala ngati Glurenorm, lomwe limadziwika kwambiri masiku ano.

Koma zizindikiritso za matenda a shuga a 2 zitha kuonetsedwa ndi ludzu losatha, pakamwa pouma, kukoka pafupipafupi, kuyabwa khungu, kuchiritsa mokwanira mabala, komanso kunenepa kwambiri.

Ndili ndi chitukuko cha zochitika zotere zomwe mankhwalawa amagwiritsidwa ntchito. Pansipa aperekedwa malangizo ogwiritsa ntchito, ma fanizo omwe amapezeka, mawonekedwe ake ndi mawonekedwe ake omasulira.

Glurenorm: ndemanga pafupifupi 30 mg mapiritsi, mtengo ndi analogies

Kugwiritsa ntchito Glurenorm tikulimbikitsidwa ngati chakudya chapadera sichitha kuyendetsa glycemia. Matenda amtunduwu ndiofala mu 90% ya anthu odwala matenda ashuga, ndipo ziwerengero zamilandu zimati chiwerengero cha odwala omwe amadziwika ndi izi chikuwonjezeka chaka chilichonse.

Posachedwa, mankhwalawa amveka ndi odwala onse omwe ali ndi matenda ashuga. Chifukwa chake, pakufunika kudziwa momwe mungagwiritsire ntchito mankhwalawa moyenera komanso momwe sizoyenera kugwiritsa ntchito mankhwalawo.

Zotsatira za mankhwala

Mu mankhwalawa mutha kugula mankhwalawa (mu Latin Glurenorm) monga mapiritsi. Aliyense wa iwo ali ndi 30 mg yogwira - glycidone (mu Latin Gliquidone).

Mankhwalawa ali ndizinthu zochepa zothandiza: zouma chimanga chouma komanso chosungunuka, magnesium stearate ndi lactose monohydrate.

Mankhwalawa ali ndi hypoglycemic, chifukwa ndi zotumphukira za sulfonylureas za m'badwo wachiwiri. Kuphatikiza apo, mankhwalawa ali ndi extrapancreatic ndi pancreatic.

Atamwa mapiritsi a Glurenorm, amayamba kukhudza shuga wamagazi chifukwa:

1. Kutsitsa gawo lodetsa msanga ma cell a beta, potero kumapangitsa kupanga mahomoni ochepetsa shuga.
2. Kuchulukitsa chidwi kwa mahomoni ndi msinkhu wake womangika ku ma cell apangidwe.
3. Kulimbitsa zotsatira za insulin pa mayamwidwe a shuga ndi chiwindi ndi zotumphukira minofu.
4. Choletsa cha lipolysis mu adipose minofu.
5. Kuchepetsa kuchuluka kwa glucagon m'magazi.

Mukatha kugwiritsa ntchito mankhwalawa, gawo lalikulu la glycidone limayamba kugwira ntchito pambuyo pa maola 1-1,5, ndipo chiwonetsero chazomwe chimachitika pambuyo pa maola 2-3 ndipo chimatha mpaka maola 12. Mankhwalawa amaphatikizidwa kwathunthu m'chiwindi, ndikufukutsa matumbo ndi impso, ndiko kuti, ndi ndowe, bile ndi mkodzo.

Ponena za momwe mankhwalawo amagwiritsidwira ntchito, ziyenera kukumbukiridwa kuti amalimbikitsa odwala omwe ali ndi matenda a shuga 2 omwe amalephera kugwiritsa ntchito mankhwalawa, makamaka ali ndi zaka zapakati komanso zaka.

Mankhwalawa amasungidwa m'malo osavomerezeka ndi ana pamtunda wa mpweya osaposa +25 degrees.

Nthawi yogwiritsira ntchito mapiritsi ndi zaka 5, atatha nthawi imeneyi zoletsedwa kugwiritsa ntchito.

Contraindication ndi zoyipa

Nthawi zina, kugwiritsa ntchito mankhwalawa kumatha kuletsedwa.

Kuletsa kugwiritsa ntchito mankhwalawa kumakhudzana ndi matenda a wodwala kapena kupezeka kwa zomwe munthu akuchita pazigawo za mankhwala.

Asanapange mankhwala, dokotala ayenera kuganizira zotsutsana zomwe angagwiritse ntchito.

Sizoletsedwa kugwiritsa ntchito mapiritsi a hypoglycemic kwa odwala:

• ndi matenda a shuga 1
• ndi hypersensitivity a mankhwala osokoneza bongo, komanso sulfonylurea zotumphukira ndi sulfonamides,
• ndimatenda opatsirana oyipa kwambiri,
• ndi matenda ashuga ketoacidosis ndi acidosis,
• akungochita opaleshoni,
• ndi kuperewera kwa lactase, kusalolera kwa lactose ndi malisorption a glucose-galactose,
• ndi chitukuko cha chikomokere ndi mitundu,
• osakwana zaka 18,
• pa gestation ndi mkaka oyamwa.

Dziwani kuti anthu odwala matenda ashuga omwe amalephera kupweteka aimpso ayenera kumwa mankhwalawa mosamala kwambiri moyang'aniridwa ndi dokotala. Izi zimagwiranso ntchito kwa iwo omwe ali ndi vuto la uchidakwa, febrile syndrome ndi kusowa kwa glucose-6-phosphate dehydrogenase.

Ngati mankhwalawa agwiritsidwa ntchito molakwika kapena pazifukwa zina, wodwalayo akhoza kukumana ndi zovuta. Izi zikuphatikiza:

1. Hemopoiesis kukanika - kukula kwa leukopenia, thrombocytopenia ndi agranulocytosis.
2. Kusokonezeka kwa chapakati mantha dongosolo - kulumikizana, dzanzi miyendo, mutu, chizungulire, kugona, ndi kusokonezeka kwa malo okhala.
3. Kusokonekera kwa mtima dongosolo - kukula kwa mtima kulephera, angina pectoris, extrasystole ndi hypotension.
4. Zosowa zambiri zomwe zimachitika ndi mtundu wa hypoglycemic, kusintha kwa mapangidwe amwazi, chifuwa cha pakhungu, ndi vuto la kukomoka.

Pokhudzana ndi mankhwala osokoneza bongo ambiri, zizindikiro monga hypoglycemia, ziwengo, kapena kugaya chakudya zimachitika.

Kuti muchepetse zizindikiro zotere mwa wodwala, kuthandizidwa kuchipatala mwachangu ndi kukhazikitsa njira yothetsera shuga mkati kapena kudzera m'mitsempha kumafunika.

Kuchita ndi njira zina

Kugwiritsanso ntchito limodzi ndi mankhwala ena kungakhudze kutsitsa kwake shuga m'njira zosiyanasiyana. Pazochitika zina, kuwonjezereka kwa hypoglycemic kungatheke, ndipo kwina, kufooka ndikotheka.

Ndipo, ACE inhibitors, cimetidine, mankhwala antifungal, anti-tuberculosis, Mao inhibitors, biganides ndi ena atha kukulitsa machitidwe a Glenrenorm. Mndandanda wathunthu wa mankhwalawa ukhoza kupezeka pazomwe zalembedwa patsamba.

Othandizira monga glucocorticosteroids, acetazolamide, mahomoni a chithokomiro, estrogens, njira zothandizira pakamwa, thiazide diuretics ndi ena amachepetsa mphamvu ya hypoglycemic ya Glurenorm.

Kuphatikiza apo, zotsatira za mankhwalawa zimatha kukhudzidwa ndi kumwetsa mowa, kulimbitsa thupi mwamphamvu komanso zovuta zina, zonsezi zimakulitsa kuchuluka kwa glycemia ndikuchepetsa.

Palibe deta pazokhudza Glurenorm pa chidwi cha anthu. Komabe, zikaoneka zosokoneza malo okhala ndi chizungulire, anthu omwe amayendetsa magalimoto kapena amagwiritsa ntchito makina olemera amayenera kusiya ntchito yoopsayi kwakanthawi.

Mtengo, ndemanga ndi fanizo

Phukusili lili ndi mapiritsi 60 a 30 mg aliyense. Mtengo wa ma CD otere umasiyana kuchokera pa 415 mpaka 550 rubles aku Russia. Chifukwa chake, chitha kuonedwa zovomerezeka kwa magawo onse a anthu. Kuphatikiza apo, mutha kuyitanitsa mankhwalawo mufamu ya pa intaneti, potero mumasunga ndalama.

Ndemanga za odwala ambiri omwe amamwa mankhwala osokoneza bongo ndi abwino. Chidacho chimachepetsa shuga, kugwiritsa ntchito kwake kosatha kumathandizira kuti glycemia ikhale yachilendo.

Anthu ambiri amakonda mtengo wamankhwala omwe "sangathe kugula." Kuphatikiza apo, mitundu ya mankhwalawa imakhala yosavuta kugwiritsa ntchito. Komabe, ena amawona mawonekedwe amutu akumwa mankhwalawo.

Tiyenera kudziwa kuti kutsatira kwambiri mankhwalawa komanso malingaliro onse a othandizira amachepetsa chiopsezo cha mavuto.

Komabe, ngati wodwalayo aletsedwa kugwiritsa ntchito mankhwalawo kapena ngati sakugwirizana bwino, dokotalayo atha kumuuza mtundu wina. Awa ndi mankhwala omwe ali ndi zinthu zosiyanasiyana, koma ali ndi vuto lofananira la hypoglycemic. Izi zikuphatikizapo Diabetesalong, Amix, Maninil ndi Glibetic.

Glurenorm ndi chida chothandiza kuchepetsa matenda a shuga mwa odwala matenda ashuga a 2. Pogwiritsa ntchito bwino mankhwalawa, zotsatira zabwino zimatha. Komabe, ngati mankhwalawo sagwirizana ndi odwala matenda ashuga, palibe chifukwa chokhumudwitsidwa, adokotala angakupatseni mankhwala ofanana. Nkhaniyi ikhale ngati mtundu wamalangizo a kanema wamankhwala.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Palibe chidziwitso pakugwiritsa ntchito glycidone mwa amayi nthawi yapakati komanso yoyamwitsa.

Sizikudziwika ngati glycidone kapena ma metabolites ake amapita mkaka wa m'mawere. Amayi oyembekezera omwe ali ndi matenda ashuga amayenera kuwunika mozama ma plasma glucose.

Kumwa mankhwala antidiabetesic mwa amayi apakati samapereka ulamuliro wokwanira wa kuchuluka kwa kagayidwe kazakudya.

Chifukwa chake, kugwiritsa ntchito mankhwala Glurenorm® pa nthawi ya pakati komanso mkaka wa m`mawere ali wotsutsana.

Ngati muli ndi pakati kapena pokonzekera kutenga pakati pa kugwiritsa ntchito mankhwalawa Glyurenorm ®, mankhwalawa ayenera kuyimitsidwa ndikusintha kwa insulin.