Mankhwala NOVONORM - malangizo, ndemanga, mitengo ndi analogies

Novonorm ndi mankhwala omwe amadziwika kuti ndi gulu la mankhwala omwe ali ndi vuto lalikulu la hypoglycemic (hypoglycemic).

Zomwe amapangira mankhwalawa zimaphatikizanso chinthu chotchedwa repaglinide.

Makina ochitapo kanthu amatengera luso lake lotchinga njira zotsalira za potaziyamu ya ATP yomwe ili mumkamwa mwa maselo a beta. Zotsatira zake, ndalamayi imasungunuka ndipo njira za calcium zimatsegulidwa, komanso kuchuluka kwa ma ioni a calcium mu cell ya beta kumathandizidwanso kwambiri, komwe kumapeto kumapangitsa kuti chitsekerero cha timadzi ta kapamba ndi maselo a beta.

Mankhwala omwe amafunsidwa amathandizira kuti shuga akhale magazi, nthawi zambiri amakhala chifukwa cha theka lalifupi. Ndikofunikira kudziwa kuti anthu amatha kutsatira zakudya zaulere pokhapokha atatenga Novonorm. Nanga chimagwiritsidwa ntchito ndi chiyani?

Njira yamachitidwe

Onetsetsani kuti Novonorm ndi mankhwala omwe amachepetsa shuga wamagazi, omwe cholinga chake ndi pakamwa. Ili ndi kanthu kochepa.

Monga lamulo, nthawi yomweyo amakhala ndi matenda a shuga. Chifukwa chake, kupanga kwa mahomoni a kapamba kumapangidwira. Mankhwalawa amaphatikiza pa nembanemba wa ma-p-cell ndi mapuloteni ena a receptor a mankhwalawa.

Mapiritsi a Novonorm 1 mg

Pambuyo pake, izi ndizomwe zimatsogolera ku kutsekeka kwa njira ya ATP-yotengera potaziyamu ndikuwonongeka kwa membrane wa khungu. Komanso, zimathandizira kutsegulidwa kwa njira za calcium. Kukhazikika pang'onopang'ono kwa calcium mkati mwa p-cell kumapangitsa kuti insulini itulutsidwe.

Mwa anthu omwe ali ndi vuto la endocrine monga shuga mellitus, makamaka la mtundu wachiwiri, insulinotropic reaction imawonedwa mphindi makumi awiri ndi zisanu zoyambirira kuyambira pakamwa. Izi ndi zomwe zimatsimikizira kuchepa kwa glucose wa plasma nthawi yonse ya chakudya.

Komanso, zomwe zimapezekanso m'magazi nthawi yomweyo zimatsika ndipo patatha maola anayi kuchokera pamene magazi a odwala omwe ali ndi matenda ashuga a 2 amayamba, chiwopsezo chochepa kwambiri cha mankhwalawo chimayamba.

Zizindikiro zogwiritsidwa ntchito

Novonorm amagwiritsidwa ntchito pochiza anthu omwe ali ndi mtundu wachiwiri wa matenda a shuga (mellitus) omwe samadalira insulini) ngati zotsatira zomwe zikuyembekezeka molingana ndi kayendetsedwe ka magazi a anthu omwe ali ndi zakudya zapadera komanso masewera sizinachitike.

Komanso, chithandizo chovuta cha mankhwala omwe mukufunsidwa ndi Metformin kapena thiazolidatediones chimagwiritsidwa ntchito mwa anthu omwe amathandizidwa ndi mankhwala amodzi sizothandiza konse. Kumwa mankhwalawa kuyenera kuyambitsidwa ngati njira yowonjezera yazakudya zoyenera komanso zolimbitsa thupi.

Kuchepetsa thupi

Komabe, kuthamanga kwa kuchitapo kanthu ndi mankhwala omwe amangogwiritsa ntchito mwachidule.

Izi zikusonyeza kuti izi zimachitika mwachangu kwambiri - pasanathe mphindi 30 kuchokera pakulandila mwachindunji. Imapukusidwanso pambuyo pa maola anayi.

Novonorm amatchulidwa zochizira matenda amitundu iwiri. Ndizoyenera kudya zakudya zosagwira, komanso kuti muchepetse kunenepa.

Mankhwala okhawo omwe amamwa mankhwalawa ndi omwe amaloledwa. Koma, mwa zina, mungathe kuziphatikiza ndi Metformin ndi mankhwala ena, zomwe zimapangitsa kutsika shuga wamagazi m'madzi a m'magazi.

Monga lamulo, mankhwalawa amapezeka mu mawonekedwe a mapiritsi. Ayenera kumwedwa asanadye mwachindunji. Malangizo omwe amaphatikizidwa ndi akuti nthawi yomwe mukufunika kugwiritsa ntchito mlingo ndi mphindi 16 asanadye.

Mwanjira ina, piritsi siliyenera kuledzera osapitirira theka la ola musanadye kapena, osanatero.

Akatswiri amati nthawi yabwino kumwa mankhwalawa ndi mphindi 15 musanadye.

Kusankhidwa kwa mlingo woyenera kumachitika lokha. Mlingo woyamba wa Novonorm uyenera kukhala wochepa. Monga lamulo, madokotala amalimbikitsa kuyamba mankhwalawa ndi 0,5 kapena 1 mg.

Pa mankhwala, muyenera kuyeza shuga wamagazi pafupipafupi. Izi zikuthandizani kuti muunike momwe thupi limayankhira pa mankhwalawa. Monga mukudziwa, kukonza kwa Novonorm kuyenera kuchitika kamodzi pa sabata. Nthawi zina, kawiri pamwezi ndikokwanira.

Kutenga nthawi yambiri komanso kusamala bwino kuyenera kukhala kusankha kwa mankhwala osakanikirana ndi mankhwala osiyanasiyana omwe amachepetsa shuga mumthupi.

Nthawi yomweyo, dokotalayo ayenera kufotokozera wodwala wake zoyenera kuchita akadzilola kudya zina kapena, m'malo mwake, adzaphonya chakudya.

Chifukwa chake, muzochitika zotere, ndikofunikira kusintha kwambiri nthawi yamatumbo a Novonorm.

Zolemba za Novonorm

Pakadali pano, ma fanizo angapo ogwira mankhwalawa akudziwika amadziwika. Izi zikuphatikiza: Insvada (Switzerland / United Kingdom), Repaglinid (India), Repodiab (Slovenia).

Mtengo wake wapakati umasiyanasiyana kuchokera ku 400 mpaka 600 ma ruble.

M'malo mwake, zowunikira ndizosiyana kwambiri. Ena amati Novonorm adawathandiza kusinthitsa shuga wawo wamagazi, komanso kuwalola kuchepa.

Ndipo ena, m'malo mwake, akuti mankhwalawo sanawathandize kuthana ndi kunenepa kwambiri.

Contraindication

Mankhwalawa sangathe kugwiritsidwa ntchito pa matenda ndi zofunikira za thupi, monga:

  • mtundu 1 shuga
  • ketoacidosis
  • matenda a shuga
  • matenda osiyanasiyana opatsirana omwe amafunikira kuchitapo kanthu mofulumira,
  • ena a pathological omwe amafunikira mankhwala a insulin,
  • manja
  • nthawi yoyamwitsa,
  • matenda akulu a impso ndi chiwindi.
  • munthawi yomweyo gemfibrozil,
  • kukhalapo kwa hypersensitivity kwa yogwira mankhwala kapena pazinthu zina zomwe zimapangika.

Zotsatira zoyipa

Zotsatira zoyipa kwambiri za mankhwalawa ndizochepa kwambiri shuga.

Kukula kwa zochita zotere kumangodalira, ngati mukugwiritsa ntchito mankhwala ena aliwonse, pazinthu zosiyanasiyana. Izi zimaphatikizapo mlingo wa mankhwala, zochita zolimbitsa thupi, komanso zovuta zina.

Nthawi zambiri, odwala endocrinologists amawona mavuto monga:

  • dontho lakuthwa la shuga,
  • hypoglycemic coma,
  • chizungulire
  • hyperhidrosis
  • Kunjenjemera kwa malekezero ake kumtunda ndi kumbuyo,
  • anjala yosatha ngakhale mutadya,
  • kuwonongeka kwamawonekedwe,
  • kupweteka ndi kusasangalala pamimba,
  • kusanza pamodzi ndi kusanza
  • kudzimbidwa
  • kutsegula m'mimba
  • chiwindi ntchito,
  • ziwengo, zowonetsedwa ndi kuyabwa, khungu rede ndi zotupa.

Makanema okhudzana nawo

Za mankhwala ochepetsa shuga pochiza matenda a shuga a 2 mu kanema:

Kuchokera munkhaniyi, titha kunena kuti Novonorm ndi mankhwala othandiza omwe samagwiritsidwa ntchito pongochulukitsa shuga, komanso kuchotsa mapaundi owonjezera.

Komabe, komabe, simuyenera kutenga nokha, popanda chilolezo cha dokotala. Izi ndichifukwa cha kuchuluka kwakukulu kwa ma contraindication ndi zotsatira zoyipa.

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

Phunzirani zambiri. Osati mankhwala. ->

Momwe mungatengere NovoNorm

Mankhwala "NovoNorm" amatengedwa piritsi limodzi musanadye, osafuna kutafuna. Kugwiritsa ntchito mankhwalawa kumachitika mogwirizana ndi zakudya ndikuwongolera zochitika zolimbitsa thupi povomerezedwa ndi kuchuluka kwa shuga m'magazi. Dokotalayo amapereka mankhwala a repaglinide mu 0,5 mg, ndikukhalabe ndi shuga wokwanira ndikuwonjezera kuchuluka kwa mankhwalawa. Zoposa 4 mg za repaglinide sizingatenge nthawi, komanso zoposa 16 mg za chinthu patsiku. Ngati mankhwala a "NovoNorma" a wodwala atchulidwa kuti amwe mankhwala ena, ndiye kuti mlingo woyambayo umaperekedwa 1 mg.

Mndandanda wa mankhwala NovoNorm

Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble 59.

Wopanga: Ikufotokozedwa
Kutulutsa Mafomu:

  • Tab. 10 mg, 30 ma PC., Mtengo kuchokera 234 ma ruble
  • Tab. 2 mg, ma PC 30., Mtengo kuchokera ku ma ruble 219
Mitengo ya Jardins muma pharmacin opezeka pa intaneti
Malangizo ogwiritsira ntchito

Jardins ndi mankhwala achilendo wochizira matenda amtundu wa 2. Empagliflozin mu 25 mg piritsi lililonse limagwira ntchito ngati gawo limodzi lokhazikika. Jardins ali ndi contraindication ndi zoletsa zaka, motero funsani ndi dokotala musanayambe chithandizo.

Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble 59.

Wopanga: Akrikhin (Russia)
Kutulutsa Mafomu:

  • Tab. 1 mg, ma PC 30., Mtengo kuchokera 234 ma ruble
  • Tab. 2 mg, ma PC 30., Mtengo kuchokera ku ma ruble 219
Mitengo ya Priclinid muma pharmacistine opezeka pa intaneti
Malangizo ogwiritsira ntchito

Novo Nordisk (Denmark) NovoNorm ndi piritsi lokonzekera kuchokera ku gulu lomwelo lamankhwala, koma lokhala ndi chinthu china. Repaglinide imagwiritsidwa ntchito pano pa mulingo wa 0,5 mpaka 2 mg. Zizindikiro zakupangira zikufanana, koma ma contraindication amasiyana chifukwa cha ma DV osiyanasiyana pamapiritsi, kotero werengani malangizo mosamala ndikuwonana ndi dokotala.

Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble 2278.

Wopanga: Ikufotokozedwa
Kutulutsa Mafomu:

  • Tab. tsa / obol. 100 mg, 30 ma PC., Mtengo kuchokera 2453 rubles
  • Tab. 2 mg, ma PC 30., Mtengo kuchokera ku ma ruble 219
Mitengo ya Invokana muma pharmacin opezeka pa intaneti
Malangizo ogwiritsira ntchito

Novo Nordisk (Denmark) NovoNorm ndi cholowa m'malo mwa Forsigi. Chokhacho chomwe chimagwira ntchito mankhwalawa ndi repaglinide. Mankhwala mkati mphindi 30 kumawonjezera insulin ndende mu magazi. Chifukwa chosowa deta pamaphunziro omwe amachitika pachitetezo cha mankhwalawa komanso kugwiritsa ntchito bwino mapiritsi pagulu la ana, sizikulimbikitsidwa kuti mugwiritse ntchito mankhwalawa kwa ana osakwana zaka 18. Mwanjira yonyansa, kutsegula m'mimba ndi kupweteka pamimba nthawi zambiri kumachitika.

Analogue ndiokwera mtengo kwambiri kuchokera ku ma ruble a 1967.

Wopanga: Ikufotokozedwa
Kutulutsa Mafomu:

  • Tab. tsa / obol. 10 mg, 30 ma PC., Mtengo kuchokera ku 2142 rubles
  • Tab. 2 mg, ma PC 30., Mtengo kuchokera ku ma ruble 219
Mitengo ya Forsiga mumafakitale opezeka pa intaneti
Malangizo ogwiritsira ntchito

Forsiga ndi piritsi yokonzekera mankhwalawa a mtundu 2 matenda a shuga ochokera dapagliflozin mu gawo la 5 mg. Itha kutumikiridwa kuphatikiza pa chakudya chamagulu a shuga ndi masewera olimbitsa thupi. Forsigi ali ndi contraindication ndi zoletsa zaka, werengani mosamala malangizo musanayambe chithandizo.

Kusiya Ndemanga Yanu