Mankhwala Pamaneti

M'nthawi yathu ino, mliri wa matenda ashupi tsopano wakhala vuto lofunika kwambiri kwa anthu onse. Nthawi yomweyo, 90% ya onse odwala matenda ashuga ali ndi mtundu wachiwiri wa matenda.

Kwenikweni, glycidone amatengedwa ndi odwala omwe kuchita masewera olimbitsa thupi komanso kudya moyenera sangachepetse kuchuluka kwa glucose muzikhalidwe zabwino.

Musanagwiritse ntchito mankhwala okhala ndi chinthu ichi, ma contraindication ake, zoyipa zake komanso chidziwitso chokhudza analogues chikuyenera kuphunziridwa.

Makhalidwe azinthu zambiri

Glycvidone ndi ufa wowoneka bwino wa kristalo. Sungathe kusungunuka m'madzi, sikuti amasudzulidwa mu mowa. Mankhwala ali ndi hypoglycemic. Chifukwa chakuti shuga mellitus wamtundu wachiwiri amadziwika ndi kuphwanya kwamphamvu kwa maselo a thupi kupita ku timadzi timene amatsitsa shuga - insulin, mankhwala omwe amagwiritsidwa ntchito popanga mankhwala amakhudzana ndi kapamba ndi zolandilira zotumphukira.

Amayendedwe a machitidwe ake amachita ndikulimbikitsa maselo a beta omwe amapanga insulin, kutsitsa kuchuluka kwa glucagon, ndikuchulukitsa kuchuluka kwa mahomoni olandirira.

Wodwala yemwe adamwa mankhwalawa, pambuyo pa maola 1 mpaka 1.5, kuchepa kwa shuga kumawonedwa, mphamvu zake zimadza pambuyo pa maola 2-3 ndipo zimatha pafupifupi maola 8. Thupi limatengedwa mwachangu m'mimba. Kutupa kwake kumachitika kudzera m'matumbo (ndi ndowe ndi bile), komanso impso.

Glycvidone imalembedwa kwa anthu azaka zopitilira 45, pamene kudya moyenera komanso kuchita masewera olimbitsa thupi sikubweretsa zotsatira zomwe zikufunidwa ndikuwonjezereka kwa shuga wamagazi.

Malangizo ogwiritsira ntchito mankhwalawa

Asanagwiritse ntchito Glycvidon, wodwala matenda ashuga ayenera kufunsa dokotala kuti apereke njira yoyenera ya mankhwala ndi kumwa, poganizira zomwe wodwalayo ali nazo. Pofuna kupewa zoyipa, malangizo omwe agwiritsidwe ntchito ayenera kuphunziridwa.

Ku Glyurenorm, glycidone ndiye gawo lalikulu lomwe limakhala ndi hypoglycemic. Amapezeka mu mawonekedwe a mapiritsi oyera. Mankhwalawa amatengedwa pakamwa pakudya. Mlingo woyambirira ndi mapiritsi 0,5 (15 mg) nthawi ya chakudya cham'mawa. Kuti mukwaniritse bwino, mlingo umatha kuwonjezeka mpaka mapiritsi 4 (120 mg) patsiku. Pankhaniyi, kuchuluka kwa mlingo woposa 120 mg sikupangitsa kuti achulukane.

Pakusintha kuchokera ku mankhwala ena ochepetsa shuga, koyamba kudya kuyenera kukhala kochepa (15-30 mg).

Pewani Glurenorm kutali ndi ana aang'ono, m'malo owuma ndi kutentha kosaposa 25C. Pakukhazikitsa kwa mankhwala kuyenera kufotokozedwera tsiku lotha ntchito, lomwe nthawi zambiri limakhala zaka 5.

Pambuyo pa nthawi iyi, kumwa mapiritsi ndizoletsedwa.

Contraindication ndi zoyipa zimachitika

Kudzilanga nokha ndi mankhwalawa ndikosayenera kwambiri. Kugwiritsa ntchito mankhwalawooletsedwa motere:

1. Mtundu woyamba wa matenda a shuga 1 mellitus (mawonekedwe a insulin).
2. Kusagwirizana ndi zigawozi (makamaka, kuchokera ku sulfonamides ndi sulfonylureas).
3. Diabetesic acidosis (hypoglycemia ndi ketonemia).
4. Nthawi isanachitike opareshoni.
5. Matenda a shuga.
6. Precoma.
7. Mimba
8. Nthawi yochepetsetsa.

Nthawi zina, maonekedwe a zovuta zina monga hypoglycemia, ziwengo (zotupa pakhungu, urticaria, matenda a Stevens-Johnson, kuyabwa), kusintha kwa kapangidwe ka magazi, kuphwanya njira zamkati zam'mimba (kutsegula m'mimba, kusanza). Zizindikiro zotere zikawoneka, mungafunike kusintha mankhwalawo ndi analogue ina.

Pankhaniyi, chisamaliro chapadera chiyenera kulipidwa kwa odwala omwe ali ndi vuto la impso. Mankhwalawa amayenera kumwedwa moyang'aniridwa ndi adokotala.

Kugwiritsidwa ntchito kophatikizana ndi mankhwala ena, monga sympathomimetics, mahomoni a chithokomiro, kulera kwamlomo, chlorpromazine, sympathomimetics, ndi mankhwala okhala ndi nicotinic acid kungafooketse mphamvu ya Glycvidone.

Pakakhala mankhwala osokoneza bongo ambiri, zizindikilo zomwe zimafanana ndi zovuta zimatha kuwoneka. Kuti matenda akhale ndi shuga, muyenera kulowererapo shuga m'mitsempha kapena mkati.

Ndemanga, mtengo wake ndi kufanana

Mankhwalawa, odwala ambiri amawona zabwino chifukwa chogwiritsidwa ntchito ndi Glycvidon wopezeka mu mankhwala a Glyurenorm. Ndemanga zamakasitomala zimanenanso kutsatira izi:

Panthawi yomwe mumamwa mankhwalawa, munthu sayenera kuyiwala za zakudya komanso ntchito zapanja. Zakudya zopanda pake kapena kusamwa mosayembekezereka zimapangitsa kuchepa kwa shuga mwa odwala ena. Chifukwa chake, kutsatira malamulo a tsikulo ndi malamulo a chithandizo chamankhwala ndikofunikira.

Pakachitika vuto la hypoglycemic, mutha kudya chidutswa cha chokoleti kapena shuga. Koma ndikupitiliza kwa vutoli, muyenera kulankhulana ndi dokotala mwachangu.

Pakusintha kuchokera ku mankhwala kupita ku wina, odwala ena adawonetsa kuchepa kwa chidwi, kotero izi ziyenera kukumbukiridwa kwa oyendetsa magalimoto ndi zina zambiri zofunikira zomwe zimafunikira chidwi kwambiri.

Zokhudza mitengo, ndizodalirika kwa odwala omwe ali olemera. Mtengo wa phukusi la Glurenorm, wokhala ndi mapiritsi 60 a 30 mg aliyense, kuyambira 385 mpaka 450 rubles. Dziko lopanga mankhwalawa ndi Germany. Mankhwalawa atha kugulidwa ku malo aliwonse apafupi ndi mankhwala kapena kuyitanitsa kuti atenge mapiritsi pa intaneti. Mankhwalawa amagulitsidwa kokha ndi mankhwala.

Ngati, pazifukwa zilizonse, mankhwalawa sioyenera kwa wodwala, dokotala amatha kusintha njira yochiritsira mwa kupereka mankhwala ofananawo kuti achepetse shuga. Zofanizira zazikulu za Glyurenorm ndi:

• Amaril (1150 rubles),
• Maninil (ma ruble 170),
• Gluconorm (ma ruble 240),
• Mkulu wodwala matenda ashuga (ma ruble 350).

Ndipo, Glyrenorm, yomwe imakhala ndi glycidone yogwira ntchito, imatsitsa shuga, imalimbikitsa maselo a pancreatic beta ndikusintha chidwi cha zolandilira thupi.

Komabe, monga mankhwala aliwonse, ili ndi zotsutsana ndipo limakumana ndi zovuta. Chifukwa chake, kutenga nokha sikulimbikitsidwa. Choyamba muyenera kuwona dokotala yemwe amatha kuyesa wodwala ndikupereka njira zoyenera zamankhwala. Kumbukirani kuti mlingo woyenera komanso kukhalabe wathanzi pamagulu a shuga m'magazi a odwala matenda ashuga. Kanema yemwe ali munkhaniyi akuwuzani zomwe mungatenge ndi matenda ashuga.

Njira Yogwiritsira Ntchito:

Glycvidone ali ndi mitundu yambiri yazithandizo: kuyambira piritsi 1/2 (15 mg) mpaka mapiritsi 4 (120 mg) patsiku. Nthawi zambiri, pafupifupi tsiku lililonse mlingo wa 45 mg tsiku lililonse. Mlingo wa tsiku ndi tsiku umatengera umunthu wa kagayidwe ka odwala. Komabe, owonjezera tsiku lililonse mapiritsi 4 (120 mg), monga lamulo, samatsogolera kupitanso patsogolo kwa kagayidwe kazakudya. Mlingo watsiku ndi tsiku wa glycidone ungatengedwe kamodzi pakudya kadzutsa kapena ugawikidwe mu Mlingo wa 2-3 pakudya.

Zochita zolimbitsa thupi, kumwa mowa, kudya ma salicylates, sulfonamides, butadione, anti-TB, mankhwala a chloramphenicol, ma tetracyclines, zotumphukira za coumarin, ma inhibitors a MAO ndi beta-blockers angalimbikitse zotsatira za hypoglycemic (kutsitsa shuga wamagazi) a glycvidone. M'malo mwake, kulera kwapakamwa, chlorpromazine, sympathomimetics, corticosteroids, mahomoni a chithokomiro, nicotinic acid amachepetsa mphamvu ya mankhwalawa.

Zoyipa:

Mankhwala sayenera kugwiritsidwa ntchito ngati ali ndi matenda ashuga omwe amayamba chifukwa cha kuchepa kwa insulin, matenda a shuga. kupweteka ndi mawonekedwe a Reflex), ndi kuwonongeka kwambiri kwa kagayidwe (kagayidwe kazakudya ka metabolic), kokhala ndi acidosis (acidization) ndi ketosis (acidization chifukwa cha mitengo ya chipika) zolondola magazi ketone matupi - wapakatikati katundu wa kagayidwe), ngati inu matupi awo sagwirizana ndi sulfonamides, komanso pa mimba.

Kukonzekera kofananako:

Diaformin (Diaformin) Glucovans (Glucovance) Oltar (Oltar) Glyukofazh (Glucophage) Maninil (Maninil)

Sanapeze zomwe mukufuna?
Malangizo onse amomwe mankhwalawa "glycidone" angapezeke pano:

Madokotala okondedwa!

Ngati mukumva kuperekera mankhwala kwa odwala anu - gawani zotsatira (kusiya ndemanga)! Kodi mankhwalawa adathandizira wodwala, kodi panali zotsatirapo zilizonse zomwe zimachitika panthawi ya chithandizo? Zomwe mukuwona zidzakhala zosangalatsa kwa anzanu komanso odwala.

Okondedwa odwala!

Ngati mankhwalawa adakulangizani inu ndipo mwalandira chithandizo chamankhwala, ndiwuzeni ngati chinali chothandiza (ngakhale chinakuthandizani), ngakhale panali zovuta zina, zomwe mumakonda / simunazikonde. Anthu zikwizikwi akufuna kuyang'ana pa intaneti zamankhwala osiyanasiyana. Koma ochepa okha ndi omwe amawasiya. Ngati inu panokha simusiya ndemanga pamutuwu - ena onse sangakhale ndi zomwe angawerenge.