Mapiritsi a shuga

Diabeteson ndi mankhwala osokoneza bongo a hypoglycemic ochokera ku gulu la sulfonylurea ofanana a m'badwo wachiwiri, omwe amapangidwa mwanjira ya mapiritsi amkamwa makonzedwe. Kusiyana kwakukulu kuchokera ku mankhwala ofananawa ndikupezeka kwa mphete ya N ya heterocyclic yokhala ndi chomangira cha endocyclic.

Diabeteson MV ndi njira yotalikilapo, imafunikira kuchepetsedwa pafupipafupi ndipo imatha kusintha mitundu ingapo ya mawonekedwe odziwika.

Mtundu wachiwiri wa matenda ashuga, Diabeteson amayamba kupanga kwa insulini poyambilira kuwonjezeka kwa shuga wamagazi, komanso kuphatikiza gawo lachiwiri la insulin. Kuwonjezeka kwakukulu kwa insulin kumachitika chifukwa cha kuchuluka kwa chakudya ndi shuga omwe amalowa m'magazi.

The yogwira mankhwala - Gliclazide - ali ndi zochizira ziwiri ntchito, limawonetsa metabolic, hemovascular and antioxidant katundu. The yogwira mankhwala a matenda a shuga kumaonjezera mphamvu ya zotumphukira zimakhala kwa insulin.

Diabeteson MV 60 mg, chithunzi cha mankhwalawa

Mukatha kugwiritsa ntchito mankhwalawa, kumva kwa zotumphukira kwa insulin kumakulitsidwa ndi 32%, kuyamwa kwa glucose m'misempha kumatha - izi zimathandizira kwambiri kutha kuwongolera shuga wamagazi ndi matenda a shuga. Kuchuluka kwa gliclazide kukufotokozedwa chifukwa kumathandizira kuti insulini ichite minofu ya glycogen synthetase ndipo imayambitsa kusintha kwa post-transcriptal ku GLUT4 yokhudzana ndi glucose.

Diabeteson 60 mg bwino amachepetsa shuga m'magazi chifukwa cholimbikitsidwa ndi insulin katulutsidwe ka β-cell a kapamba. Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, mankhwalawa amatithandizanso kuyambitsa matenda a insulin, ndipo amathandizira gawo lachiwiri la kupanga insulin, yomwe imapanikizika ndi matenda ashuga.

Mutatha kumwa mankhwalawo, chinthu chogwira bwino ntchito chimalimbikitsa ma cell a zilumba za Langerhans, zomwe zimafanana ndi kapamba. Kuphatikiza apo, mapiritsi a shuga a 60 mg a Diabeteson amaletsa kuwunda kwa magazi m'mitsempha yamagazi, komwe magazi amayenda pang'onopang'ono.

Diabeteson sichinatsimikizidwe kuti imayambitsa kunenepa chifukwa mankhwalawa amakhudza chiyambi choyambirira cha kupanga insulin ndipo samayambitsa hyperinsulinemia. Komabe, mankhwala amathandizira kuchepetsa kunenepa kwambiri kwa odwala onenepa kwambiri, komanso, ndi zakudya zoyenera.

Nthawi zambiri, muyezo wa tsiku ndi tsiku wa Diabeteson MB umapereka njira yothandizirana yogwira magazi m'magazi kwa maola 24, ndipo m'malo mwa mankhwalawa mungapezeke mitundu iwiri ya mankhwala.

Zizindikiro zogwiritsidwa ntchito

Zizindikiro zazikulu za kutenga matenda a shuga ndi mtundu wachiwiri wa matenda ashuga (DM) komanso kupewa zovuta zake.

• Matenda a 2 a shuga omwe ali ndi kutsika kosakwanira kwa shuga kuchokera kuzakudya, zolimbitsa thupi ndi kuchepa thupi,
• kupewa mavuto a mtundu 2 shuga ogwirizana ndi shuga wamagazi ambiri.

Malangizo ntchito Diabeteson 60 mg, mlingo

Mankhwalawa amapangidwira achikulire okha.

Mlingo wosankhidwa Diabeteson uyenera kuchitika molingana ndi kuwerengera kwa kuchuluka kwa shuga m'magazi panthawi yomwe akuyamba mankhwalawa. Mlingo wowonjezereka pang'onopang'ono utha kuchitika makamaka pakatha masiku 14 mutamwa mankhwalawa.

Mlingo woyambirira ndi 30 mg tsiku lililonse (1/2 piritsi la shuga la 60 mg.).

Mlingo woyenera amasankhidwa mosiyanasiyana, molingana ndi chizindikiro cha shuga m'magazi ndi glycated hemoglobin HbA1C. Ngati mulingo woyenera sukwanira, amasinthana ndi diabeteson 60 mg (piritsi lonse) ndi kupitirira. Mlingo pakati pakukulitsa Mlingo uyenera kukhala osachepera milungu iwiri, powunikira mosamala kuchuluka kwa shuga.

Mlingo waukulu kwambiri ndi 120 mg patsiku.

Diabetes imayenderana ndi mankhwala ena a shuga. Piritsi limodzi la Diabeteson 60 mg limatha kusintha piritsi limodzi la 1/2 la Diabeteson MB 60 mg. Mukasamutsa wodwala kuchokera ku mankhwala a Diabeteson 60 mg ku Diabeteson MB, ndikofunikira kuwongolera kuchuluka kwa glucose mamitidwe kangapo patsiku.

Ngati mwaphonya mtundu umodzi kapena zingapo za mankhwalawo, simungatenge kumwa kwakukulu muyezo lotsatira, mulingo woyenera uyenera kumwa tsiku lotsatira. M'mawu osavuta - musasochere kuchokera pa ndandanda yovomerezeka, ngati mwaphonya - ingotengani mlingo wotsatira malinga ndi dongosolo. Pasakhale Mlingo wowirikiza kapena njira zopitilira pafupipafupi!

Kwa okalamba (zaka zopitilira 65), kukonza regimen kapena kipimo sikofunikira.

Odwala ndi wofatsa kapena wowerengeka aimpso kulephera, mankhwala zotchulidwa chimodzimodzi Mlingo wa odwala ndi yachibadwa aimpso ntchito. Mlingo wotere umatsimikiziridwa ndi mayesero azachipatala.

Contraindication ndi zoyipa

Chachikulu contraindication wa mankhwala:

• Hypersensitivity payekha pazinthu zomwe zimagwiritsidwa ntchito (gliclazide kapena chilichonse cha mankhwala,
• Shuga mellitus (mtundu 1), makamaka ana, keto-acidosis, makolo a matenda ashuga,
• Kulephera kwamphamvu kapena kwaimpso,
• Mankhwala a Miconazole

Diabetes imatsimikiziridwa kuti imagwiritsidwa ntchito pa nthawi ya pakati komanso poyamwitsa.

Kapangidwe ka mankhwalawa kumaphatikiza lactose, chifukwa chake Diabeteson simalimbikitsidwa kwa odwala omwe amabadwa ndi vuto lactose, galactosemia, shuga-galactose malabsorption.

Sitikulimbikitsidwa kugwiritsa ntchito mankhwalawa limodzi ndi phenylbutazone kapena danazole.

Bongo

Chizindikiro chachikulu cha matenda osokoneza bongo a shuga ndi hypoglycemia (kutsika kwambiri kwa shuga).

Woopsa milandu (ndi kusokonezeka kusazindikira), mwachangu mtsempha wa magazi a hypertonic dextrose (shuga) 40% ndikofunikira.

Zotsatira zoyipa

Malangizo ogwiritsira ntchito Diabeteson amafotokoza zotsatirazi zotsatirazi:

• Matenda osiyanasiyana am'mimba: kusanza, kutsegula m'mimba, mseru, kupweteka kwam'mimba, kudzimbidwa, nthawi zina, cholestatic jaundice,
• Zovuta za mtima dongosolo: thrombocytopenia, kuchepa magazi, agranulocytosis kapena leukopenia,
• Kukweza kusintha kwa chiwindi michere (ALT, AST, zamchere phosphatase), hepatitis (kawirikawiri), hyponatremia
• Zosiyanasiyana zimayambitsa thupi (malinga ndi ndemanga ya a Diabetes - osowa kwenikweni),
• Kusokonezeka kwakanthawi kochepa, koyambirira koyambirira kwa mankhwalawa.
• Hypoglycemia.

Ndizotheka kuchepetsa zotsatira za hypoglycemic za Diabeteson ndi barbiturates, diuretics zosiyanasiyana (thiazide, ethaconic acid, furosemide), progestogens, diphenin, estrogens, rifampicins, glucocorticosteroids.

Analogs Diabeteson, mndandanda wa mankhwala

Matenda a shuga amatha kusinthidwa ndi ma fanizo otsatirawa, mndandanda wa mankhwala:

1. Vero-Glyclazide,
2. Glidiab MV,
3. Glisid
4. Glyclazide
5. Zamakolo
6. Chikwanje,
7. Mdyerekezi
8. Diabefarm
9. Diabinax
10. Mdyerekezi
11. Medoclacid
12. Predian
13. Sinthani.

Ndikofunikira kumvetsetsa kuti malangizo ogwiritsira ntchito Diabeteson, mtengo ndi kuwunika sikugwira ntchito pa analogues ndipo sangagwiritsidwe ntchito ngati chitsogozo pakugwiritsa ntchito mankhwala omwe ali ndi mawonekedwe ofanana. Nthawi zonse zochizira ziyenera kupangidwa ndi dokotala. Mukasintha diabeteson ndi analogue, ndikofunikira kufunsa katswiri, mungafunike kusintha njira zamankhwala, mankhwalawa, ndi zina zambiri.

Osadzilimbitsa nokha - ndikuwopseza moyo!

Pharmacodynamics ndi pharmacokinetics

Chofunikira, ndichochita gliclazide. Hypoglycemic mankhwala kuchokera ku gulu lachiwiri la sulfonylurea. Glyclazide ndi wochokera ku sulfonylurea. Ili ndi mphete ya azobicyclooctane, yomwe imasiyanitsa kwambiri momwe amagwirira ntchito kuchokera ku shuga yotsika ndi biguanides ndi sulfonamides.

Mankhwala alinso hemovascular, kagayidwe ndi antioxidant machitidwe. Mothandizidwa ndi Diabeteson, kuchuluka kwa shuga m'magazi kumachepa (chifukwa chopanga insulin ndi maselo apadera a pancreatic beta).

Odwala matenda ashuga mtundu wachiwiri wa mankhwalawo umabweza msanga kupangainsulin, ndikuonjezera gawo lotsatira la insulin katulutsidwe. Kuwonjezeka kwa ndende ya insulin kumachitika musanadye chakudya kapena shuga.

Antioxidant ndi hemovascular zotsatira za mankhwala amachepetsa zovuta za matenda ashuga. Matenda a shuga amaletsa microthrombosis chifukwa cha kupewera pang'ono kosakanikirana, kuphatikizika kwa mapulateleti, kuchepa kwa chiwerengero cha zolembera zam'magazi.

Mankhwala amawonjezera ntchito ya tPa, imakhudza ntchito ya fibrinolytic khoma la endothelial la chotengera.

Mphamvu ya antioxidant ya glycazide imatheka pochepetsa ndende peroxide lipids mu madzi am`magazi, kuchuluka kwa erythrocyte dismutase, plasma thiols, kuchuluka kwathunthu antioxidant.

Gliclazide imapangidwa mu chiwindi.

Contraindication

Matenda a shuga ketoacidosismtundu 1 matenda a shuga, matenda oopsa a impso ndi chiwindi, matenda a shuga, chikomokeremimba.

Mosamala, odwala matenda ashuga amamulembera okalamba, atapsa kwambiri. Zosagwiritsidwa ntchito mwa ana.

Zotsatira zoyipa

Ndi chakudya chamagulu osakwanira, kuphwanya kwa mankhwala amadziwika hypoglycemianjala, kutopa, kupweteka mutu, thukuta, mwachangu kugunda kwa mtimakusowa tulo nkhawakukwiya, kusasamala, kuwonongeka kowoneka,paresis, kunjenjemerakukhumudwa, kusasamala, aphasia, zosokoneza zamalingaliro, delirium, hypersomnia, kukokana.

Matumbo: mavuto a dyspeptic, cholestatic jaundice, kuchepa kwa chakudya, kuchuluka kwa michere ya chiwindi.

Hematopoietic ziwalo: chopinga cha mafupa hematopoiesis.

Bongo

Vuto la khungu, hypoglycemia, chikomokere.

Ndikofunikira kuyambitsa 40% hypertonic dextrose solution, kutenga shuga mkati, 2 mg glucagon.

Pewani shuga m'magazi 15 aliwonse. Idyani zakudya zokhala ndi chakudya chamafuta (mosavuta m'mimba).

Kuchita

H2-histamine receptor blockers, zoletsa za ACE, NSAIDs, ma fibrate, mankhwala antifungal, coumarin anticoagulants, mao inhibitors, anabolic steroids, sulfonamides, biguanides, cyclophosphamides, pentoxifyllinetheofylline machez, reserpine, disopyramide, insulin,Mowa, allopurinol kuwonjezera zotsatira za odwala matenda ashuga.

GKS, barbiturates, antiepileptic, adrenostimulants, BMKK, thiazide okodzetsa, triamteren, mangochinos, baclofendiazoxide, katsitsumzukwa, triamteren, morphine, isoniazidterbutaline, ritodrin, glucagon, salbutamol, rifampicin, estrogenschlorpromazine nicotinic acid kufooketsa mphamvu ya mankhwalawa.

Malangizo apadera

Ndi kuwonongeka kwa matenda ashuga, kulowererapo kwa maopaleshoni, kudya kwa insulin kuyenera kuganiziridwanso. Mukamagwiritsa ntchito Mowa, chiopsezo chokhala ndi hypoglycemia chimakulanso.

Ndi nkhawa, thupi, ndikofunikira kusintha mtundu wa mankhwala a shuga.

Okalamba, odwala omwe ali ndi vuto la pituitary-adrenal insuffuffer makamaka amamva mankhwala a hypoglycemic.

Imachepetsa kuthamanga kwa psychomotor reaction.

Diabeteson analogues

Mafuta a mankhwalawa amatchedwa ndalama: Glidia, Glykinorm, Gliklada, Gliclazide, Zamakolo, Dziwani, Diazide, Panmicron, Sinthani.

Ndemanga za Matenda Awa

Mankhwalawa amadziwika kuti ndi chida chothandiza kuchepetsa matenda a shuga, ndi osavuta kugwiritsa ntchito poyerekeza ndi jakisoni wa insulin. Zotsatira zoyipa sizimayang'aniridwa, mwina sizingakhale zabwino kwa odwala onse.

Ndemanga ya odwala matenda ashuga pokonza thupi amakhala ndi mankhwalawo ngati njira yowonjezera kunenepa. Komabe, madokotala salimbikitsa kugwiritsa ntchito mankhwalawa ndipo, makamaka, matenda ashuga sicholinga chawo. Izi zitha kukhala ngozi zaumoyo. Kugwiritsa ntchito mankhwala kumayambitsa hypoglycemia.

Kugwiritsa ntchito sulfonylureas mankhwalawa

Mankhwala a gulu amatengedwa ngati amodzi a othandizira kwambiri a hypoglycemic othandizira kuwongolera shuga.

Njira zazikulu zamankhwala zimakwaniritsa izi:

• kukondoweza kwa insulin ya katemera wa insulin
• kuchepa insulin insulin
• kuyimitsidwa kwa kaphatikizidwe ka shuga ndikuchepetsa kuyamwa kwake m'magazi kuchokera m'matumboꓼ
• kukonza kukonzekera kwa chiŵerengero cha lipid tizigawo m'magazi.

Kutengera ndi kuchuluka ndi kukula kwa njira ya pathological, akatswiri azachipatala amapereka mankhwala ogwiritsa ntchito kuchokera pagulu limodzi kapena angapo nthawi imodzi. Zothandiza kuchokera ku sulfonylureas zimatha kukhala imodzi mwamankhwala otere.

Sulfonylurea ndi chinthu cha hypoglycemic chomwe chimapangidwa kuchokera ku sulfamide ndipo chimagwiritsidwa ntchito mochizira matenda a shuga. Njira yayikulu yogwiritsira ntchito mankhwalawa imapangidwa kuti ilimbikitse maselo amoyo a pancreatic beta kuti apange kuchuluka kwa insulini. Chifukwa cha izi, kuphatikiza mahomoni owonjezereka kumachitika, komanso chidwi cha minofu ya thupi kwa icho chimakulanso kwambiri.

Kuphatikiza apo, zabwino zomwe zimapezeka ndi mankhwala a sulfonylurea ndi:

1. Kuchulukitsa zovuta za insulin, zomwe zimapangitsa kuchepa kwachulukirapo m'magazi a shuga.
2. Zimasokoneza ntchito ya ma enzyme omwe amaphwanya insulin yomwe ilipo.
3. Onjezani kuchuluka kwa zolandilira m'matumbo am'mimba.
4. Makonda amakhudzidwa ndi njira yogwiritsira ntchito shuga m'magazi a chiwindi.
5. Amakulitsa mayamwidwe ndi kukhathamiritsa kwa glucose.

Mankhwala otere nthawi zambiri amaperekedwa kwa anthu omwe ali ndi thupi labwino, osavutika ndi kunenepa kwambiri.

Zotuluka zonse za sulfonyl zimaperekedwa mwa mitundu ya mankhwala a mibadwo itatu.

Mankhwala a m'badwo woyamba omwe sagwiritsidwa ntchito pochita zamakono zamankhwala, chifukwa ali ndi zotsatira zoyipa mthupi la munthuꓼ

Mankhwala a m'badwo wachiwiri, omwe ali otetezeka, motero amagwiritsidwa ntchito mosamala pochiza matendawa. Amayimiridwa ndi chinthu chogwira ntchito monga gliclazide, yomwe ndi gawo la mapiritsi a Diabetes.

Mankhwala a m'badwo wachitatu, omwe amakhala ndi mphamvu yayitali komanso amakulolani kumwa mankhwala ochepetsa shuga mulingo wochepera kuti mukwaniritse zomwe mukufuna.

Chofunikira chawo chachikulu ndi glimepiride.

Kodi mankhwala ochepetsa shuga ndi ati?

Mankhwala a diabetes ndi mankhwala a hypoglycemic, omwe amaphatikizidwa ndi gulu la zotumphukira za m'badwo wachiwiri.

Zomwe zimapangidwira ndizogwira gliclazide, chifukwa chofunikira cha kutenga mapiritsi.

Mosiyana ndi mankhwala ena a sulfonylurea (mwachitsanzo, Glibenclamide), matenda ashuga ali ndi mtundu wofatsa kwambiri, womwe umakhudzanso ma cellcirculation, heestasis, data hematological ndi mawonekedwe a rheological a magazi. Ndi malo awa omwe ndiofunikira kwambiri kwa odwala omwe ali ndi matenda a shuga a 2.

Mankhwala a Diabeteson amalimbikitsa gawo loyambirira la insulin, lomwe limasokonezeka chifukwa chakukula kwa njira ya pathological. Kuphatikiza apo, mankhwalawo amatha kupezeka monga:

• kuchepa kwa kuphatikizika kwa maselo ꓼ
• kuchuluka kwa minofu activator wa plasminogen ndi prekallikreinꓼ
• kusalolera pangozi ya magazi kuundanaꓼ
• Kuchepetsa kupsinjika kwa oxidative ndikupanga ma molekyulu adhesion
• kuchepa kwa chiwerengero cha proatherogenic alpha chotor necrosis factor, chifukwa chomwe pali ntchito yoteteza pokhudzana ndi chitukuko cha matenda amtima ndi mavuto osokoneza magazi m'thupi la anthu ashugaꓼ
• kutsegula kwa njira ya fibrinolysis.

Kuphatikiza apo, kwa odwala matenda ashuga, malangizo ogwiritsira ntchito akuwonetsa kuti mankhwalawa sanangokhala ndi hypoglycemic katundu, komanso ali ndi mawonekedwe a hemovascular, metabolic and antioxidant. Zotsatira zamankhwala zoterezi zimatha kuchepetsa ngozi ya zovuta zingapo zomwe zimachitika chifukwa cha matenda ashuga.

Ndi ziti zomwe zikuwonetsa kuti imagwiritsidwa ntchito?

Mankhwala a Diabeteson amaperekedwa m'masitolo amzinda ngati pali mankhwala omwe madokotala amakupatsani.

Dokotala wotsogola yekha ndiye amene akuganiza zofunikira pakuchipatala pochita mankhwala.

Mosiyana ndi mankhwala ochokera ku gulu la Biguanide (monga Metformin), Diabeteson pakuchepetsa thupi sagwiritsidwa ntchito. Komanso, odwala ena omwe amamwa mankhwalawa adazindikira kuwonjezeka kwa kulemera kwawo panthawi ya mankhwala.

Malinga ndi zomwe zakupangitsani mankhwalawa, zomwe zikuluzikulu zakugwiritsa ntchito mankhwalawa ndi:

1. Kukula kwa matenda osokoneza bongo a mellitus a fomu yodziyimira payekha ngati monotherapy kapena ngati chithandizo chovuta. Nthawi zambiri kukonzekera kotereku kwa sulfonyl kumayamba kugwiritsidwa ntchito njira zosagwiritsa ntchito mankhwala (kutsatira zakudya zoyenera ndi zochitika zolimbitsa thupi) sizinatulutse zotsatira zomwe mukufuna
2. Kuti muchepetse chiopsezo komanso njira zodzitetezera, kupewa kuwonekera kwa zovuta zingapo zomwe njira ya matenda ashuga imanyamula.

Choyamba, kugwiritsa ntchito mankhwalawa kumalepheretsa kuchitika kwa mavuto a micro-vascular pathologies, monga retinopathy ndi nephropathy, komanso matenda ena a mtima dongosolo - kugunda kwa mtima kapena stroko.

Malangizo ogwiritsira ntchito mankhwalawa

Mankhwala a Diabeteson amapezeka piritsi.

Nthawi yomweyo, kuphatikiza kwa mankhwalawa kumaphatikiza mamilimita makumi asanu ndi atatu a zomwe zimagwira.

Mapiritsi a matenda ashuga amatengedwa malinga ndi malangizo okhwima a akatswiri azachipatala.

Monga lamulo, njira yochizira mankhwalawa imachokera pa mfundo zotsatirazi:

• kugwiritsa ntchito mankhwalawa kamodzi patsiku mosasamala za kudya kwakanthawi (zokonda ziyenera kuperekedwa nthawi yam'mawa) ꓼ
• Ma kapisozi a shuga a aledzera amaledzera pakamwa ndi madzi okwanira amchere ochepa opanda mpweyaꓼ
• Mlingo wa tsiku ndi tsiku wakhazikitsidwa mosiyanasiyana mamiliyoni makumi asanu ndi atatu okhathamira yogwira pophika ndi mwayi wowonjezereka ngati kuli kofunikira, pomwe nthawi zonse kuyamba kwamankhwala kumachitika kokha ndikugwiritsa ntchito mlingo wochepa, womwe umasungidwa piritsi limodzi la mankhwala.
• mlingo wofunikira wa mankhwala amathandizidwa ndi dokotala aliyense payekha kwa wodwala aliyense, potengera mawonekedwe a matendawa, zaka za wodwalayo komanso kuchuluka kwa hypoglycemiaꓼ
• Kuti muchepetse zovuta zomwe zimachitika, mukadumpha mankhwala ena, simuyenera kuwonjezera kuchuluka kwa zinthu zomwe mungagwiritse ntchito nthawi yotsatira mukadzagwiritsa ntchitoꓼ
• Mlingo woyenera wa mapiritsi ochepetsa shuga masana sayenera kupitirira 320 mg, ndiye kuti, mapiritsi anayi, pamene kufunika kwa kumwa kwambiri pamankhwala kuyenera kutsagana ndi kuwonjezeka kwa kuchuluka kwa Mlingo patsiku (mankhwalawa aledzera kawiri kapena katatu patsiku, malingana ndi malingaliro dokotala).

Nthawi zina, pamakhala mankhwala othandizirana, omwe amaphatikizapo kumwa mankhwala ochokera m'makalasi osiyanasiyana.

Chifukwa chake, mphamvu ya mankhwala onse m'thupi la wodwalayo imakulitsidwa.

Piritsi la hypoglycemic lingagwiritsidwe ntchito molumikizana ndi mankhwala ochokera m'magulu a Biguanide, alpha glucosidase inhibitors, kapena insulin. Kulandira chithandizo mwamphamvu kungachepetse chiopsezo cha zovuta zingapo, komanso kupangitsa kuti kuthamanga kwamagazi kukhale kwambiri.

Tiyenera kukumbukira kuti mankhwala owonjezera pazotsatira zomwe zingapangidwe zingayambitse kukula kwa hypoglycemia.

Chifukwa chake, pochita zochizira, wodwalayo ayenera kuyesa kuchuluka kwa shuga m'magazi.

Kodi kuopsa kwa mankhwala ndi chiyani?

Monga mankhwala ambiri, Diabetes imakhala ndi zotsatira zoyipa ndi zotsutsana.

Ngati malingaliro azachipatala satsatiridwa ndipo kuchuluka kwa mankhwala kumagwiritsidwa ntchito, owonjezera a shuga angawonedwe.

Izi zimabweretsa mkhalidwe wodwala matenda ashuga, kusokonezeka kwa chikumbumtima komanso matenda oopsa a hypoglycemia. Kuti muthane ndi vuto la bongo, ndikofunikira kuti mupatse wodwalayo njira yothetsera vuto la hypertonic dextrose (pazachulukitsa makumi anayi) ndi yankho la glucagon, komanso kuloleza shuga pang'ono.

Ndikulimbikitsidwanso kuti magawo a glucose amayang'aniridwa mphindi 15 zilizonse. Vuto linanso lalikulu la bongo ndi kuthekera kwa kutopa kwa m'matumbo. Pankhaniyi, madokotala amapereka Dexamethasone ndi Mannitol ngati chithandizo.

Tiyenera kudziwa kuti mankhwala amaletsedwa kugwiritsa ntchito mawonetseredwe ena pazinthu zina.

Diabeteson contraindication ili ndi izi:

1. Mawonekedwe a ketoacidosis a mtundu wa matenda ashuga.
2. Njira yodalira insulini pakukula kwa pathological process.
3. Matenda oopsa a ziwalo zamkati monga impso ndi chiwindi.
4. Kupezeka kwa glycemic chikomokere ndi makolo.
5. Pa nthawi yoyembekezera komanso yoyamwitsa.
6. Ngati wodwalayo walandidwa kwambiri pang'ono.
7. Mu ubwana ndi okalamba odwala.
8. Pamaso pa tsankho la munthu kapena gawo limodzi la mankhwala.

Kuphatikiza apo, kumayambiriro kwa njira yochizira yothandizira, ndikofunikira kuyang'anira thanzi ndi mkhalidwe waumoyo, popeza mawonekedwe osiyanasiyana olakwika kuchokera kumbali ya ziwalo zamkati ndi machitidwe angayambike. Choyamba, muyenera kulabadira kupezeka kwa thupi lawo siligwirizana, ndipo pakuwonetsa, siyani kumwa mankhwalawo.

Kuphatikiza apo, zotsatilapo zoyambirira za kumwa mankhwalawa ndi monga:

• kuthira shuga m'magazi m'miyeso yovomerezekaꓼ
• kuchuluka kapena kusowa kwa chakudya, kunenepa
• kutopa mthupi komanso kuchepa mphamvu of
• thukuta kwambiriꓼ
• tachycardiaꓼ
• kuwonongeka kwamawonekedweꓼ
• mavuto ogona ndi kusowa tulo
• kumva mopanda kuda nkhawa, mantha kapena kusokonekeraꓼ
• kuwoneka kwa kukokana mu minofu ya ng'ombeꓼ
• zosokoneza zamalingaliroꓼ
• kuchuluka michere yophika
• Hypersomnia.

Ngati pali zotsatirapo zoyipa zilizonse, ndikofunikira kudziwitsa dokotala za izi kuti mutenge njira zoyenera kapena musinthe mankhwalawo.

Kodi ndimankhwala ati omwe nditha kusintha?

Mankhwala asayansi amakono amapereka malingaliro ambiri omwe amawonetsa kuti kugwiritsidwa ntchito mwadongosolo kwa mankhwala kwakanthawi yayitali kumayambitsa kuwonongeka pang'onopang'ono kwa maselo a pancreatic beta ndipo kungathandizire kukulitsa kwa matenda a shuga a insulin.

Pankhaniyi, ngakhale atanena izi, madokotala akupitilizabe kugwiritsa ntchito mankhwalawa kuchiza matenda amisempha.

About a Diabetes, ndemanga za odwala ndizosiyanasiyana. Anthu ena amati mankhwalawa ndi othandiza komanso osavuta kulekerera, pomwe ena amakwiya chifukwa cha kusowa kwa zotsatira ndi kuwonjezeka kwakukulu kwa mankhwalawa pambuyo pakuchiritsidwa.

Simuyenera kutenga ndemanga zonse za Diabeteson momwe ziliri, chifukwa chamoyo chilichonse chimachita payekha, ndipo zomwe sizinayenere munthu wina zitha kukhala zabwino kwa wina.

Mtengo wa mankhwala kumsika ndi pafupi ma ruble mazana atatu. Ngati ndi kotheka, dokotala yemwe akupezekapo amatha kusintha mankhwalawo ndi analogue yake yopanga.

Mapiritsi opangidwa ndi generic ophatikizidwa ndi mankhwala monga:

Mankhwala onse omwe ali pamwambawa ndi a gulu la zotumphukira za m'badwo wachiwiri. Kusiyana kwawo kuli pakampani yopanga (ena ndi oimira mafakiteriya akunja, ena amapangidwa ku Russian Federation), mtengo ndi kuchuluka kwa zoyipa, zotsutsana.

Zambiri pa Diabeteson zimaperekedwa mu kanema munkhaniyi.