Kugwiritsa ntchito mankhwalawa - Maninil - odwala matenda ashuga

Mankhwalawa adapangira odwala omwe ali ndi matenda ashuga, osadalira insulin (kapena mtundu 2). Gawo lomwe limagwira ntchito lomwe limafotokozera mphamvu ya mankhwalawa m'thupi ndi yogwira chinthu glibenclamide. Zomwe zimatsala ndizomwe zimapangidwazo ndizowonjezera mu chilengedwe ndipo sizikhudza kusintha kwa thanzi la wodwalayo. Zili pagulu la sulfonylurea zotumphukira za mibadwo iwiri.

Zolinga zazikulu za Manilin:

kapamba
zowonjezera zamapazi.

Mankhwala ali ndi izi:

kuthamanga kwa mapangidwe a insulin mu kapamba,
Kuchepetsa glycogeneis yomwe imachitika m'chiwindi,
kukonza chiwopsezo cha maselo amthupi kupita m'matenda a insulin.

Kwa mankhwalawa, njira yotsatsira pakamwa imaperekedwa. Imamwilidwa mofananamo m'matumbo, mosasamala kuchuluka kwa zakudya zomwe zimadyedwa komanso nthawi yolandila.

Zinthu zofunikira kwambiri m'magazi zimachitika pafupifupi maola 2,5 mutamwa mankhwalawa.

Pali njira zingapo zakumwa zomwe zingapangidwe ndi mtundu wina wa makhwala:

Ma milligram akuwonetsa kuchuluka kwa glibenclamide yomwe ili. Kuwonjezeka kwa ndende yake kumalimbikitsa zomwe zikufotokozedwa.

"Maninil" amagwiritsidwa ntchito ndi anthu omwe ali ndi matenda a shuga a 2, okhala ndi:

monotherapy (mankhwala okhawo ndi omwe amagwiritsidwa ntchito),
Chithandizo chovuta kuphatikiza ndi othandizira ena.

Mankhwala onse a gululi odwala amaperekedwa ndi madokotala. Kudzichitira wekha mankhwala kumatha kupweteketsanso thupi komanso kusokonekera kwambiri m'thupi.

Kugwiritsa ntchito mankhwala osokoneza bongo

"Maninil" wayamba kudyedwa pang'onopang'ono, kotero kuti thupi limakhala ndi nthawi yokonzekera magawo atsopano a madzi a m'magazi. Mlingo wa 1.75 mg umatanthauza kuti mupeze mapiritsi 0,5 woyamba. Pambuyo pofotokozedwera malangizo kapena kuvomerezedwa ndi katswiri, mlingo umakulitsidwa kukhala mapiritsi 2 patsiku.

Kukula kwakukulu ndi mapiritsi atatu. Koma nthawi zina, ngati sizingatheke kukwaniritsa zomwe mukufuna, madokotala amalimbikitsa kuti odwala awo akafike 4 maola 24.

Ndondomeko zomwe zafotokozedwazo zimakhala zoyenera kwenikweni kwa mankhwala omwe ali ndi 3.5 mg ya glibenclamide. Malire pa kuvomereza ndi 3 patsiku. Gwiritsani 4 - kokha moyang'aniridwa ndi ogwira ntchito zamankhwala.

Subtleties yomwe iyenera kukumbukiridwa ndi mankhwala:

Mukamapereka mankhwala a 3.5 mg ndi mapiritsi awiri patsiku, mlingo wonse umalimbikitsidwa kudya m'mawa.
Ndi kuchuluka kwa zidutswa patsiku zoposa 2, muyenera kugawa phwandolo pafupifupi theka ndi kangapo.

Maninil 5 amatsatira zomwe akutsimikiza. Ndikofunika kukumbukira kuti kutsutsana kwa matendawa kumakhala kokwanira kwambiri.

Madokotala adapanga njira zopitilira 20 zosinthira mankhwalawa, zomwe zimasinthidwa mosavuta, kuzolowera zochitika zosiyanasiyana.

"Maninil" bwino ndipo amakhudza thupi mwachangu. Milandu yama bongo osokoneza bongo sizinachitike pokhapokha ngati zikhalidwe za mankhwalawa zimawonedwa.

Umboni wa odwala umawonetsa kuti mankhwalawa "Maninil" amawonekera mofulumira. Poyerekeza ndi momwe ntchito ikuyendera, thanzi la thanzi limasintha, kusintha kosasangalatsa kumawonedwa kawirikawiri ndi mlingo woyenera.

Kuphatikiza pa mapiritsi, wodwala matenda ashuga ayenera:

kutsatira zakudya zapadera za carb
masewera olimbitsa thupi
kuwongolera kunenepa, kuteteza kuwoneka kwamapaundi owonjezera.

Contraindra mankhwala

Mankhwalawa ali ndi ndemanga zambiri zabwino, koma asanamwe, ayenera kudziwa zovuta zomwe zingachitike komanso zoletsa zimafunika. Mndandanda wathunthu ukusonyezedwa mu malangizo. Zolemba zapadera zidzaperekedwa ndi adokotala.

Malamulo akulu omwe saloledwa kumwa mankhwalawo.

mtundu wa shuga wodalira insulini (1),
milandu ya hypoglycemia,
ketoacitosis,
kholo
matenda oyamba ndi kutupa,
mavuto a chiwindi kapena impso
thupi siligwirizana kapena Hypersensitivity chilichonse mankhwala zikuchokera,
leukopenia
pancreatic resection
kudzimbidwa kwa lactose,
kuchepa kwa lactase.

Zoletsa gulu:

Anthu ochepera 18
woyembekezera
amayi oyamwitsa.

Chisamaliro chofunikira chimafunikira ngati sizotheka kupewa Mininil, koma pali mwayi:

achina,
insulin yowonjezera
zovuta pambuyo pa opaleshoni.

Chisamaliro chowonjezera chofunikira kwa odwala omwe ali ndi vuto la m'mimba thirakiti.

Kuchita ndi mankhwala ena

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.

Milandu yambiri

Ngati wodwalayo anyalanyaza njira yochiritsidwira kapena wamwa mankhwalawa "Maninil" muyezo wowonjezera mosasamala, zinthu zotsatirazi zingasonyeze izi:

kutuluka thukuta kwambiri
njala yokhazikika,
Kusokoneza pakulankhula, chikumbumtima, kugona,
hypoglycemia.

Thandizo loyamba pazinthu zotere:

Apatseni wozunzidwayo shuga pang'ono.
Imbani ambulansi.

Chithandizo chowonjezereka chimachitika m'malo osavomerezeka, pomwe madokotala nthawi zonse amafufuza za momwe wodwalayo alili ndi kuchuluka kwa shuga panthawi yonseyi ya kuwonongeka.

Zotsatira zoyipa

Njira imodzi yovuta komanso yovuta imachitika m'magawo atatu:

Kukula kwa hypoglycemia (dokotala yekha ndi amene angathandize wodwalayo).
Matenda a shuga.
Zotsatira zoyipa.

Zifukwa zitha kuphatikiza:

Mlingo wosankhidwa bwino (waukulu) wa mankhwalawa,
kudya kolakwika
zaka odwala
matenda am'mimba thirakiti
uchidakwa
zolimbitsa thupi kwambiri.

Malinga ndi ndemanga ndi ziwerengero, Maninil amatha bwino ndi ntchito zake, koma nthawi zina zolephera zimatha poyambira chithandizo.

Zotsatira zotsatirazi zoipa za thupi ku mankhwalawa zalembedwa mu malipoti azachipatala:

Kuchokera pamimba: m'mimba ndi kusanza, kupweteka kwa peritoneum, vuto la chopondapo, kulawa kwazitsulo mkamwa, zizindikiro za hepatitis.
Mbali ya ziwalo zam'maganizo: mavuto ammaso, chizungulire, migraines.
Zizindikiro za ziwengo: urticaria, kuyabwa, kutupa, kufupika, kuchepa kwa magazi.
Ululu m'mafupa ndi minofu.
Thupi.

Ngati munthu waona chizindikiro chimodzi kapena zingapo kunyumba, ndiye kuti angathe kuletsa mankhwalawo. Koma kuyitanitsa dokotala mwachangu ndikofunikira kuti athetseretu zotsalazo komanso kupereka mankhwala atsopano.

Ngati bongo wa Manilin ali ndi chikhalidwe:

njala
kunjenjemera
kugunda kwamtima
nkhawa zochulukirapo
kukopa kwa pakhungu.

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.

Zotsatira zogwiritsira ntchito

Manin amachepetsa kuchuluka kwa shuga m'magazi, ali m'gulu la zotumphukira za sulfonylurea.

Maninil odwala matenda ashuga:

Amachepetsa postprandial (mutatha kudya) hyperglycemia.
Kuthamanga kwa shuga kulibe phindu.
Amayambitsa kapangidwe ka maselo a b kapangidwe kake kapangidwe ka insulin.
Lowers wachibale insulin akusowa.
Zimawonjezera chiwopsezo cha ma receptor apadera komanso zimakhala za insulin.
Sizikhudza kwambiri insulin kukana.
Imachepetsa kuphwanya kwa glycogen komanso kaphatikizidwe ka shuga m'chiwindi.
Imakhala ndi antiarrhythmic tingati, imachepetsa mapangidwe wamagazi.
Amachepetsa mwayi wokhala ndi zovuta zotsatirazi za matenda ashuga: angiopathy (mtima lesion), mtima (matenda amtima), nephropathy (aimpso matenda), retinopathy (retinal pathology).

Zotsatira pambuyo kumwa mannyl zimapitirira kwa maola opitilira 12.

Maninil akulimbikitsidwa kuti aikidwe kwa mtundu wachiwiri wa matenda ashuga a mellitus (mawonekedwe osagwirizana ndi insulin) osakhala ndi zotsatira zosakwanira kuchokera ku mankhwala osagwiritsa ntchito mankhwala (zakudya, zolimbitsa thupi zolimbitsa thupi).

Contraindication

Mankhwalawa sagwiritsidwa ntchito mtundu wa matenda ashuga 1 (mawonekedwe a insulin), kutsitsa shuga m'magazi m'munsi mwa manambala, mawonekedwe a zotumphukira zochokera mumkodzo, magazi, kapena chitukuko cha matenda a shuga. Maninil sayenera kumwedwa panthawi ya kukomoka ndi mkaka wa mkaka. Amadziwikanso kwa odwala omwe ali ndi mitundu yowonongeka ya chiwindi ndi matenda a impso, ndi kulekerera kwake kwa mankhwalawo.

Mlingo ndi makonzedwe

Mlingo wa mankhwalawa komanso nthawi yayitali ya mankhwala amathandizidwa ndi endocrinologist kutengera mlingo wobwezeredwa kwa matendawa. Monga lamulo, mapiritsi amatengedwa 2 pa tsiku, theka la ola musanadye. Pa mankhwala, Mlingo wa mankhwalawa umasinthidwa mpaka njira yothandizidwa itakwaniritsidwa. Mankhwala ochepetsa mphamvu ya mankhwalawa ndi mapiritsi 0,5, muyeso wovomerezeka tsiku lililonse ndi mapiritsi atatu.

Zotsatira zoyipa

Zotsatira zotsatirazi zitha kuoneka pakumwa maninil:

achina,
kunenepa
zotupa pakhungu,
kuyabwa
matenda ammimba
kupweteka kwa molumikizana
zovuta zamagazi
hyponatremia (kutsika kwa mulingo wa sodium m'magazi),
hepatotoxicity
mawonekedwe a mapuloteni mumkodzo.

Ndi kuwopsa kwa mavuto, mankhwalawa amathetsedwa ndikuchiritsidwa kwina.

Malangizo apadera

Gwiritsani ntchito mosamala mukamatenga clonidine, b-blockers, guanethidine, reserpine chifukwa chovuta kuzindikira zizindikiro za hypoglycemia. Pa chithandizo ndi mannil, kudya ndi kuwunika shuga wamagazi ndikofunikira.

Maninil ayenera kusungidwa m'malo amdima.

Mwambiri, mankhwalawa agwira ntchito bwino pawiri pachipatala cha matenda a shuga 2, komanso kuphatikiza mankhwala ena otsitsa shuga.

The zikuchokera, pharmacological kanthu ndi mawonekedwe a mankhwalawa

Chofunikira choyambirira ndi Glibenclamide. Pali mafilimu ena ambiri - iyi ndi lactose monohydrate, methyl hydroxyethyl cellulose, wowuma wa mbatata, magnesium stearate. Mndandanda wazinthu zomwe zimakhala ndi silicon dioxide ndi utoto wapadera Ponso 4R.

Mankhwala amadziwika ndi hypoglycemic effect ndipo amapezeka piritsi. Chotsirizachi chimadziwika ndi mawonekedwe amtundu-wozungulira, wapinki pamtundu. Chifukwa cha kukula kwakukulu ndi mawonekedwe ake, dzinalo limamezedwa mosavuta ndipo silimakupweteketsani.

Momwe mungatenge ndi kumwa Maninil

Zochizira matenda a shuga, mapiritsi amadya m'mawa, makamaka asanadye chakudya cham'mawa. Gawo lomwe limagwiritsidwa ntchito limatsukidwa ndi madzi osakwanira.

Kumbukirani:

ngati njirayi imaposa magawo awiri masana, imagawika m'njira zingapo mu 2: 1,
kukwaniritsa kwambiri hypoglycemic, mankhwalawa amatengedwa nthawi yomweyo,
ngati nthawi yosankhidwa idasowa pazifukwa zilizonse, sizovomerezeka kuphatikiza mitundu iwiriyi,
kuchuluka koyamba kumayenera kukhala kochepa - theka la piritsi (5 mg) kapena 3.5 mg kwa maola 24.

Mukasintha, chidwi chapadera chimaperekedwa kwa odwala asthenic omwe ali ndi chakudya cha hypocaloric. Chosadabwitsa kwenikweni ndi kukhalapo kwa mbiri yakuukira kwa hypoglycemic komanso kulimbitsa thupi. Monga gawo la sabata loyamba la chithandizo, kuwongolera glycemic tsiku lililonse ndizofunikira. Kusintha kapena kuchepetsedwa kwa mankhwalawa kumachitika molingana ndi umboni wa mita ndikupanga kwa dokotala.

Owerenga mabakera anena zowona zonse zokhudza matenda ashuga! Matenda a shuga amapita pakatha masiku 10 ngati mumamwa m'mawa. »Werengani zambiri >>>

Mankhwala ochiritsira odwala matenda ashuga salinso oposa 15 mg, omwe mapiritsi atatu a 5 mg kapena mapiritsi asanu a 3.5 mg. Kutengera kwa thupi kumalimbikitsidwa kuti azilamulidwa ndi osachepera 0,5 makapisozi. Kugwirizana ndi zakudya ndi zinthu zina zofunika pamoyo wabwino. Kuti athetse zotsatirapo zake, kuchuluka kwa mankhwalawa kumawonjezereka pang'onopang'ono.

Chidwi chachikulu chimaperekedwa kwa odwala omwe ali ndi vuto la kusokonezeka kwa maganizo, matenda amisala komanso zinthu zomwe zimapangitsa kuti azitha kulumikizana ndi katswiri. Kuyesedwa kwa Laborator kwa odwala amtunduwu kuyenera kuperekedwa pafupipafupi. Kuti mudziwe mokwanira zovuta zonse zomwe zimakhudza thupi, musanagwiritse ntchito fanizo ndi kutulutsidwa kwazomwe zimagwira.

Momwe mungathandizire ndi bongo

Ngati wozunzidwayo ayambanso kuzindikira, ndikofunikira kumwa tiyi wokoma ndi kuwonjezera kwa shuga, gwiritsani ntchito mafuta aliwonse othamanga - awa akhoza kukhala maswiti, makeke. Zikaonekeratu kuti zinthu sizikuyenda bwino, wodwalayo amayenera kuchipatala.

Ngati chikomacho chapezeka kuchipatala, 40% yankho la shuga (osapitirira 40 ml) jekeseni. Kugwiritsa ntchito kuyang'anira mayeso a labotale, akatswiri amasintha kulowetsedwa ndi mafuta ochepa olemera. Zonsezi zimabweretsa odwala matenda ashuga mu nthawi yochepa kwambiri - kuchokera maora eyiti kapena kupitilira.

Kuchita kwa Maninil ndi mankhwala osokoneza bongo

Kuphatikiza koyenera kumaperekedwa mukamagwiritsa ntchito ACE inhibitors, anabolic steroids, beta-blockers. Ma fonti, biguanides, chloramphenicol, cimetidine angagwiritsidwe ntchito. Otetezeka amatchedwa kulumikizana kwa zotsatira za coumarin, pentoxifylline, phenylbutazone, reserpine ndi zina zonse.

Nthawi zina, kufunsa kwa endocrinologist kumalimbikitsidwa musanayambitse mankhwala kukhala achire. Izi kupewa kupewa zovuta.

Kupanga ndi mawonekedwe a kumasulidwa

Mankhwala a hypoglycemic Maninil amapangidwa ngati mapiritsi a pinki. Chosakaniza chophatikizacho ndi glibenclamide mu kuchuluka kwa 1.75, 3.5 ndi 5 milligrams, kutengera mlingo. Zina zomwe zimapangidwa ndi lactose monohydrate, wowuma, magnesium stearate ndi silicon dioxide. Pali mapiritsi am'mabotolo a zidutswa za 120.

Mitu ya mankhwalawa

Ndi gawo lomweli, Glibenclamide ndi Glibamide atha kulocha dzinalo - koposa zonse, chifukwa zomwe machitidwe awo apakati (Zizindikiro, zoyipa zimasiyana) zimagwirizana. Malinga ndi code ya ATX-4, tikulankhula za mankhwalawa monga Glidiab, Gliclazide, Diabeteson, Glyrenorm, chifukwa ndi othandizanso ofanana.

Kuchita ndi njira zina

Kugwiritsa ntchito mankhwala omwe ali gawo la Maninil, ndizotheka kuwonjezera zamphamvu za insulin, kuwonjezera kutulutsidwa kwake, ndikuwonjezera mphamvu ya insulin pakulowetsedwa kwa shuga ndi chiwindi. Kuphatikiza apo, mankhwalawa amachepetsa mphamvu za magazi. Kuchepa kwa glucose m'thupi kumachitika patatha maola awiri pambuyo pa kukhazikitsa ndipo kumatenga pafupifupi tsiku.

Pogwiritsa ntchito munthawi yomweyo mankhwala omwe ali ndi anabolics, mankhwala osapweteka a antiidal, ACE inhibitors, mankhwala ena a hypoglycemic ndi a beta-blockers, kuwonjezereka kwa zotsatira za mankhwalawa ndikufuna kutsitsa kuchuluka kwa shuga.

Kuchepa kwa mphamvu ya Maninil kumachitika ndi ntchito imodzi yokha ndi barbiturates, glucocorticoids, okodzetsa a gulu la thiazide, kulera kwapakamwa komanso mankhwala, omwe amaphatikizapo lithiamu.

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.

Nthawi zina, kufunsa kwa endocrinologist kumalimbikitsidwa musanayambitse mankhwala kukhala achire. Izi kupewa kupewa zovuta.

Malangizo ogwiritsira ntchito "Manil" mu shuga

Mankhwala a shuga amatengedwa musanadye, pomwe safunikira kutafunidwa ndipo amayenera kutsukidwa ndi madzi okwanira. Imakhazikitsidwa kamodzi patsiku (nthawi yam'mawa).

Mlingo wa mankhwalawa umakhudzana mwachindunji ndi msinkhu wa wodwalayo, kuchuluka kwake kwamatenda komanso kuchuluka kwa shuga. Gawo loyambirira la mankhwala a shuga limaphatikizapo kugwiritsa ntchito mapiritsi amodzi kapena awiri kamodzi patsiku.

Ngati mulingo womwewu mulibe othandizira othandizira, mutha kuwonjezereka moyang'aniridwa ndi madokotala. Pankhaniyi, mlingo umawonjezeka pang'onopang'ono. Chololedwa kumwa osapitilira mapiritsi a 5-6 patsiku.

Mndandanda wa Maninil, umawunikira za mankhwalawa komanso mtengo wake

Ndemanga za Maninil ndizotsutsana. Pali malingaliro omwe mankhwalawa amawonetsa zotsatira zabwino, osawonetsa zoyipa. Anthu ena amawonetsa kusapezeka kwa zotsatira zabwino, ndipo monga chiwonetsero choyipa, kulemera mwachangu kumasiyanitsidwa.

Mpaka pano, mtengo wa Maninil ndi ma ruble zana ndi makumi anayi. Mankhwalawa akuphatikizidwa ndi gulu la mankhwalawa. Zimachitika kuti pakufunika kugwiritsa ntchito Maninil analogues kapena ma syonms.

Chingalowe m'malo mwa Maninil ndi chiti chomwe chili bwino pakati pa sulfonylureas?

Zoyimira ziwiri zazikulu za mankhwalawa ziyenera kudziwika - Glibamide ndi Glibenclamide. Ali ndi kapangidwe kameneka ngati mankhwala a Maninil. Momwemo, mapiritsi awa ali ndi zofanana ndipo ali ndi zisonyezo zofananira.

Analogues a Maninil ayenera kufufuzidwa ndi zochulukirapo (dzina lapadziko lonse), ndiye kuti, gawo lomwe limagwira.

Zomwe ndimankhwala a shuga ndizothandiza kwambiri zidzafotokozeredwa ndi katswiri muvidiyoyi.

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.

Tchuthi ndi malo osungira

Mutha kugula mankhwalawa "Maninil" m'matomu a pharmacy yekha malinga ndi zomwe dokotala wakupatsani, yemwe ndi wodalirika amasindikiza. Malangizo ogwiritsira ntchito akuwonetsa kuti mankhwalawo ayenera kusungidwa m'malo owuma, kutentha komwe sikudzapitirira 30 madigiri.

Chipinda chino sichiyenera kupezeka ndi nyama, ana komanso kuwala kwa dzuwa. Kutalika kwa yosungirako sikuyenera kupitilira zaka 3 kuyambira tsiku lopangidwa, tsiku lomwe limawonetsedwa pamakatoni.

Mndandanda wa mankhwala opangira mankhwala

Analogue yokhayo ya mankhwala, yomwe imaphatikizanso zomwe zimagwiritsidwa ntchito ngati Maninil, imawerengedwa ngati mankhwala Glibenclamide. Mankhwala ena omwe ali ndi vuto la hypoglycemic ali ndi njira yofananira yogwiritsira ntchito thupi, koma chinthu chinanso chogwira ntchito.

Ndikofunika kudziwa kuti ndizoletsedwa kulowa Maninil m'malo mwake, chifukwa njira zoterezi sizingathandize pothandizidwa ndi matenda osokoneza bongo komanso kuwononga thanzi lanu.

Zowopsa ndi Zopindulitsa

"Maninil" wodwala matenda ashuga amalembedwa modzipereka ku chipatala ndipo amadziwika kuti ndi mankhwala othandiza. Zimathandiza osati ndi shuga wambiri, zimapangidwanso kwa anthu athanzi kuti azitha kuthana ndi shuga m'magazi.

Komabe, ngakhale imagwira bwino ntchito pochiritsira, ilinso ndi zovuta mu mawonekedwe okwanira a contraindication ndi zovuta. Chimodzi mwazinthu zowopsa kwambiri ndikupanga hypoglycemia, yomwe imayambitsa kuvulaza thupi.