Novonorm - mapiritsi a matenda a shuga a 2

Awa ndi mapiritsi ozungulira, a biconvex a mtundu oyera, wachikaso kapena wapinki, kumbali imodzi pali chizindikiro cha wopanga.

Chofunikira chachikulu pakupanga ndi repaglinide. Mapiritsi okhala ndi 0, 5, 1 kapena 2 mg ya repaglinide amapezeka.

• magnesium wakuba,
• poloxamer 188,
• calcium hydrogen phosphate anhydrous,
• wowuma chimanga
• glycerol 85% (glycerol),
• microcrystalline cellulose (E460),
• potaziyamu polyacrylate,
• povidone
• meglumine.

Atadzaza matuza a mapiritsi 15, mu paketi okhala ndi makatoni amatha kukhala matuza awiri kapena 6.

Zotsatira za pharmacological

Hypoglycemic wothandizila kwakanthawi. Panthawi ya mankhwala osokoneza bongo mthupi, insulin imamasulidwa kumaselo apadera a kapamba. Izi zimayambitsa kuchuluka kwa calcium, komwe kumalimbikitsa insulin.

Zotsatira zake zimadziwika mkati mwa theka la ola pambuyo pa makonzedwe. Imachepa pafupifupi maola 4 pambuyo poyambira kuchitapo kanthu.

Pharmacokinetics

Madzi amapezeka m'matumbo am'mimba, kuchuluka kwakukulu kumachitika pambuyo pa ola limodzi, kumatenga pafupifupi maola 4. Mankhwalawa amasinthika m'chiwindi kukhala ma metabolites osagwira, amuchotsa mu ndulu, mkodzo ndi ndowe pambuyo maola pafupifupi 4-6. The bioavailability wa mankhwalawa ndi ambiri.

Type 2 shuga mellitus ndi kusakwanira kwa zakudya ndi mitundu ina ya chithandizo Itha kuyesedwa ngati gawo la mankhwala ophatikiza kuwonda.

Contraindication

• Hypersensitivity kumagawo.
• Mtundu woyamba wa shuga.
• Mimba komanso kuyamwa.
• Ana ndi akulu okalamba kuyambira zaka 75.
• Matenda a shuga ketoacidosis.
• Mbiri yodwala matenda ashuga.
• Matenda opatsirana.
• Mowa
• Kugwiritsa ntchito kwambiri kwa chiwindi ndi impso.
• Zochita za opaleshoni zomwe zimafunikira insulin.

Malangizo ogwiritsira ntchito (njira ndi Mlingo)

Amadyedwa ndi pakamwa.

Mlingo woyamba ndi 0,5 mg. Kenako, kutengera zisonyezo za kusanthula, mlingo umakulitsidwa pang'onopang'ono - pang'onopang'ono, kamodzi pa sabata kapena masabata awiri). Mukasintha kuchokera ku mankhwala ena, mlingo woyambayo ndi 1 mg. Ndikofunikira nthawi zonse kuwunika momwe wodwalayo alili ndi mavuto. Ngati wakula, mankhwalawo amachotsedwa.

Mlingo umodzi wambiri ndi 4 mg, mlingo waukulu wa tsiku ndi tsiku ndi 16 mg.

Bongo

Choopsa chachikulu ndi hypoglycemia. Zizindikiro zake:

• kufooka
• womvera
• njala
• kuda nkhawa mpaka kugona.
• kugona
• nseru, etc.

Hypoflycemia yofatsa imakhazikika chifukwa chodya zakudya zopatsa thanzi. Zochepa komanso zowawa - ndi jakisoni wa glucagon kapena dextrose solution, yotsatiridwa ndi chakudya.

Zofunika! Onetsetsani kuti mwakumana ndi dokotala kuti musinthe mlingo!

Kuyanjana kwa mankhwala osokoneza bongo

Mankhwala ena amatha kupititsa patsogolo zotsatira za Novonorm. Izi zikuphatikiza:

• Mao ndi ACE zoletsa,
• zotumphukira
• osasankha beta-blockers,
• chloramphenicol,
• salicylates,
• phenenecid
• NSAIDs
• salicylates,
• octreotide
• anabolic steroids
• sulfonamides,
• Mowa.

Mankhwala ena, m'malo mwake, amatha kufooketsa mphamvu ya mankhwalawa:

• njira zakulera za pakamwa,
• calcium blockers,
• thiazide okodzeya,
• corticosteroids
• isoniazid
• danazol
• phenothiazines,
• mahomoni a chithokomiro,
• phenytoin
• amphanomachul.

Komanso kagayidwe kake ka gawo kogwira ntchito kumatha kupititsa patsogolo barbiturates, carbamazepine ndi rifampicin, kufooketsa erythromycin, ketoconazole ndi miconazole.

Muzochitika zonsezi, ndikofunikira kukambirana ndi adotolo kufunika kwa kuphatikizana kwa magwiridwe antchito awo. Njira yakuchiritsira iyenera kuchitika moyang'aniridwa ndi katswiri.

Malangizo apadera

Kupimidwa pafupipafupi komanso kuyezetsa magazi kumafunika kuti muchepetse zovuta zomwe zimachitika.

Pa mimba, njira yoyendetsera imayimitsidwa, wodwalayo amapatsidwa insulin.

Ndi chithandizo cha opaleshoni, matenda, ndi chiwindi ndi impso ntchito, mphamvu ya mankhwalawa imatha kuchepa.

Beta-blockers amatha kufinya zizindikiro za hypoglycemia. Izi ziyenera kukumbukiridwa ndi mankhwala ophatikizidwa.

Chifukwa cha chiwopsezo cha hypoglycemia, tikulimbikitsidwa kuti tisiye kuyendetsa galimoto nthawi yonse ya kumwa mankhwalawo.

Zofunika! NovoNorm imangopezeka ndi mankhwala okha.

Fananizani ndi fanizo

Mankhwalawa ali ndi ma analogi angapo omwe ndi othandiza kuwaganizira moyenera pakugwira ntchito ndi katundu.

1. "Diabeteson MV". Kuphatikizikako kumaphatikizapo gliclazide, ili ndi tanthauzo lalikulu. Mtengo - kuchokera ku ma ruble 300. Amapanga kampani "Service", France. Hypoglycemic wothandizira, wogwira mtima kwambiri, ndi ochepa momwe angapangire zovuta. Contraindication ndi ofanana ndi a Novonorm. Kutsitsa ndi mtengo wokwera.
2. Glucobay. Chothandizira chophatikizika ndi acarbose. Mtengo kuchokera ku ruble 500 kutengera kuchuluka kwa zinthu. Kupanga - Bayer Pharma, Germany. Mankhwala amachepetsa kuchuluka kwa shuga m'magazi. Imathandizira kunenepa kwamwano, kumakhala ndi mitundu yambiri yogwiritsa ntchito. Komabe, ili ndi mndandanda wowopsa wa contraindication ndi zoyipa. Choyipa chachikulu ndichokwera mtengo komanso kufunikira kwa dongosolo mu mankhwala.

Kugwiritsa ntchito kwa analogue kulikonse kuyenera kuvomerezana ndi dokotala. Simungathe kudzilimbitsa nokha - ndizowopsa thanzi!

Kwenikweni, mankhwalawo ali ndi malingaliro oyenera. Akatswiri onse komanso odwala matenda ashuga nawonso amamulangiza Komabe, Novonorm sangakhale woyenera anthu ena.

Anna: "Posachedwa apeza matenda a shuga." Ndibwino kuti mwazindikira mu nthawi, koma zoipa zake - zakudya sizinathandize, mukufunikanso kulumikiza mapiritsi. Chifukwa chake, ndimamwa "Novonorm" wowonjezera ndi chakudya chachikulu. Shuga ndi wabwinobwino, chilichonse chimakwanira. Sindinapeze zoyipa. Chithandizo chabwino. "

Igor: “Ndadwala kwa zaka zisanu. Munthawi imeneyi ndinayesa mankhwala ambiri. The endocrinologist adamuwonjezera Novonorm ku Metformin munthawi yamankhwala, chifukwa mayeso anga a glycated hemoglobin adakula. Ndakhala ndikumwa mapiritsi kwa miyezi itatu, shuga wanga wayamba, mayeso anga aposa. Palibe zoyipa, zomwe zimakondweretsa. "

Diana: “Anandiwonjezera Novonorm mankhwala ena atasiya kugwira ntchito. Ndili ndi vuto la impso, motero kunali kofunikira kuti ndisamakulire. Miyezi isanu ndi umodzi nditayamba kumwa, ndinazindikira kusintha. Mtengo wotsika mtengo, adokotala amayamika zotsatira za mayeso atangoyamba kumwa. Chifukwa chake ndili wokondwa. "

Daria: “Agogo anga aakazi ali ndi matenda ashuga a 2. Zovuta zowawa, nthawi zambiri pamabuka mavuto. Dotolo adamupangira Novonorm kwa iye mankhwala ena. Poyamba ndinkaopa kuyigula, chifukwa mu malangizo onse mavuto omwe akuwonekera akuwonetsedwa. Komabe anaganiza zoyesera. Agogo amasangalala - shuga amachepetsa bwino, popanda kudumpha. Komanso, thanzi lake lakhala bwino, amakhala wosangalala kwambiri. Ndipo mapiritsi sanaphetse, omwe amafunikira zaka zake, komanso mokulira. Ndipo mtengo wake uli bwino. Nthawi zambiri, ndimakonda mapiritsi komanso momwe amathandizira. ”

Pomaliza

Dziwani kuti Novonorm ali ndi chiwonetsero chabwino pamtengo, kuphatikiza ndemanga zimatsimikizira kugwira ntchito kwake. Mankhwalawa amakhalanso ndi abwino chifukwa amagulitsidwa pa mankhwala aliwonse. Ndizosadabwitsa kuti akatswiri nthawi zambiri amawalemba kuti awa ndi chida chodziyimira pawokha komanso pophatikiza chithandizo.

Zizindikiro zogwiritsidwa ntchito

Mankhwalawa amalamulidwa kwa odwala omwe ali ndi matenda ashuga, ngati pali owonjezera thupi kapena wodwalayo wanenepa kwambiri. Amupatseni mankhwala ndi mtundu wodziyimira pawokha wa insulin, pamene zakudya zamafuta ochepa sizithandiza kuthetsa vutoli.

Mapiritsi a Novonorm, malangizo ogwiritsira ntchito omwe ali phukusi lililonse, amalembedwa kwa odwala molumikizana ndi mankhwala a metformin kapena thiazolidatedione chifukwa chosagwiritsa ntchito monotherapy.

Kutulutsa Fomu

Mapiritsi a Biconvex oyera (0.5 mg), achikasu (1 mg) kapena mtundu wa pinki (Novonorm wokhala ndi muyeso wa 2 mg). Kugulitsidwa m'matumba a chithuza, m'matakata.

Mankhwalawa amawapaka m'mapiritsi 15 mu chithuza chimodzi. Mu paketi imodzi yamakatoni akhoza kukhala mapiritsi 30-90.

Zomwe zimapangidwira ndizosavuta kuzindikira komanso kusiyanitsa ndi zabodza. Mapiritsi aliwonse mu chithuza amapaka mafuta. Izi zimapangitsa kuti athe kusiyanitsa kuchuluka kwa mankhwalawa tsiku lililonse popanda kugwiritsa ntchito lumo.

Pofuna kuti musagule Novonorm wabodza, onani chithunzi cha mankhwalawa.

Mtengo wa mankhwalawo siwokwera, chifukwa chake umafunabe. Mtengo wa Novonorm ndi ma ruble 200-400.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Chosakaniza chophatikizacho ndi repaglinide. Mlingo wazinthu zomwe zimagwira piritsi limodzi la Novonorm ndi 0,5, 1 kapena 2 mg.

Chosakaniza chophatikizacho ndichotuluka mu amino acid. Repaglinide ndi secretogen yochita zinthu mwachidule.

Zowonjezera: mankhwala ophatikizira amchere a magnesium ndi stearic acid (C17H35COO), poloxamer 188, calcium dibasic phosphate, C6H10O5, C3H5 (OH) 3, E460, mchere wa sodium wa polyaconic acid, povidone, meglumine acridonacetate.

Malangizo ogwiritsira ntchito

Tengani mapiritsiwo mkati ndi madzi okwanira. Osasungunuka kapena kutafuna, izi sizingangochepetsa kuchiritsa kwa mapiritsi omwe atengedwa, komanso kungisiyanso chosasangalatsa pambuyo pake.

Imwani ndi chakudya. Madokotala amalimbikitsa kuyamba ndi mlingo wochepa. Tsiku lililonse, 0,5 mg ya mankhwalawa ayenera kugwiritsidwa ntchito.

Kusintha kwa Mlingo kumachitika nthawi imodzi mu masabata 1-2. Izi zisanachitike, kuyezetsa magazi kumachitika pofuna kudziwa kuchuluka kwa shuga. Kuunikaku kukuwonetsa momwe mankhwalawa alili othandiza komanso ngati wodwala akufunika kusintha kwa muyezo.

Zolemba ntchito

Kwa ana ochepera zaka 18, mankhwalawa amatsutsana. Odwala okalamba osakwana zaka 75 amaloledwa kumwa mankhwalawo. Komabe, odwala matenda ashuga ayenera kuyang'aniridwa ndi dokotala. Chithandizo chanthawi yovomerezeka chokha, chimavomerezedwa pokhapokha ngati pali abale omwe ali ndi achikulire omwe, ngati atayika, chikomokere kapena zina zina, amuperekeze wodwalayo kuchipatala.

Mukamayamwa, mankhwalawa amatsutsana. Kuyesaku kunawonetsa kukhalapo kwa mankhwalawa mkaka wa nyama. Komabe, Novonorm ilibe teratogenic.

Kuchita ndi mankhwala ena

Mankhwalawa aphatikizidwa kuti agwiritsidwe ntchito nthawi imodzi ndi Mao ndi ACE zoletsa, anabolic mankhwala ndi ethanol. Ndi kuphatikiza uku, zotsatira za hypoglycemic za Novonorm zimatheka, chifukwa chokhala ndi vuto la matenda ashuga kumatha kuchitika ndipo hypoglycemia imayamba.

Hypoglycemic zotsatira za mankhwala amachepetsa ndi munthawi yomweyo kugwiritsa ntchito njira za kulera za mahomoni.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Amaloledwa kumwa mankhwala ndi insulin kapena kugwiritsa ntchito mankhwala ena a shuga. Komabe, wodwalayo ayenera kutsatira mosamala mankhwalawo, idyani moyenera komanso muayeze magazi pafupipafupi.

Zotsatira zoyipa

Nthawi zambiri, odwala amakhala ndi zizindikiro za hypoglycemia. Awa ndi mkhalidwe womwe umadziwika ndi misempha yayikulu yamadzi am'magazi. Vutoli limawonetsedwa ndi vuto la autonomic, neurological and metabolic.

Ndi kuphatikiza kwa Novorom ndi mankhwala ena a hypoglycemic, kukulitsa zoterezi ndizotheka:

• thupi lawo siligwirizana mu vasculitis,
• hypoglycemic chikomokere kapena kuchepa kwa chikumbumtima chochepa matupi a shuga,
• kuwonongeka kwamawonekedwe
• kutsekula m'mimba ndi m'mimba zimasokoneza wodwala aliyense wachitatu,
• Nthawi zambiri mayeso awonetsa kuchuluka kwa michere ya chiwindi,
• Kuchokera mmimba, kuphwanya m'mimba, kusanza kapena kudzimbidwa zinaonekera (kuwopsa kwa zovuta ndizochepa, kumadutsa kanthawi pambuyo poti chithandizo chatha.

Mankhwala Nervonorm, malangizo, magwiritsidwe ntchito, mtengo ndi malingaliro omwe wodwala aliyense amafunika kuphunzira asanagule, nthawi zambiri amakhala ndi zotsatira zabwino mthupi.

Chiwerengero cha anthu omwe amabwera kuchipatala chifukwa cha zovuta zoyipa (monga chiwopsezo cha ntchito ya chiwindi kapena masomphenya) sichiwoneka.