Hypoglycemic mankhwala Novonorm - malangizo ntchito

Mankhwala a Hypoglycemic ndi osiyanasiyana. Izi zikuphatikizapo mankhwala a Novonorm.

Odwala omwe amamugwiritsa ntchito ayenera kudziwa mawonekedwe a mankhwalawa kuti awagwiritse ntchito moyenera, poganizira njira zopewera.

Zambiri, kapangidwe ndi mawonekedwe ake amasulidwe

Kupanga Novonorm ku Denmark. Ichi ndi mankhwala amkamwa a hypoglycemic opangidwa pamaziko a Repaglinide. Amalembera mankhwalawa matenda a shuga. Ndiosafunika kuyamba kulandira mankhwalawa palokha, chifukwa ali ndi contraindication.

Mankhwala angayambitse mavuto. Pofuna kupewa zovuta, Novonorm amagulitsidwa kokha ndi mankhwala. Odwala amayembekezeka kutsatira malangizo a madokotala, kuti asayambitse kuwonongeka.

Mankhwalawa amapezeka m'mapiritsi okhala ndi zinthu zosiyanasiyana zogwira (0.5, 1 kapena 2 mg). Kuphatikiza pazomwe zimagwira, zina zowonjezera zimayikidwa mu chida ichi.

Izi zikuphatikiza:

• wowuma chimanga
• poloxamer
• phosphate wa anhydrous calcium hydrogen,
• povidone
• glycerol
• olimba ndi magnesium,
• cellcrystalline mapadi,
• Meglumine
• potaziyamu polacryline,
• oxide wofiira wachitsulo.

Ikani mankhwalawo m'matumba a cell a ma PC 15. m'modzi aliyense. Paketi imatha kuphatikiza matuza awiri kapena 4 (mapiritsi 30-60).

Pharmacology ndi pharmacokinetics

Mankhwalawa amalembedwa ngati wothandizira wa hypoglycemic wa mtundu watsopano. Imagwira mwachangu thupi, zomwe zimachitika chifukwa cha kapangidwe kake kapamba. Repaglinide imalimbikitsa ntchito yake, chifukwa chomwe thupi limayamba kupanga insulin mwachangu.

Nthawi yabwino yovomerezeka ili pafupi chakudya (15-30 mphindi). Izi zimathandiza kuchepetsa kutsekemera kwa glucose panthawi ya chakudya.

Kuzindikira kwa Repaglinide kumachitika m'mimba. Kuchuluka kwazinthu zonse m'thupi zimakhazikika ola limodzi mutatha kumwa mankhwalawa. Chosakaniza chophatikizacho chimalowa mokangalika ndi mapuloteni am magazi. Hafu ya Repaglinide imachotsedwa mu ola limodzi, chinthuchi sichimasinthidwa pambuyo pa maola 4-6. Kuchotsedwako gawo lalikulu la izo kumachitika ndi matumbo ndi impso.

Zizindikiro ndi contraindication

Kugwiritsa ntchito moyenera kuyenera kukhala kotetezeka poyambirira. Chifukwa chake, popereka mankhwala, madokotala ayenera kuganizira malangizo. Odwala, komabe, sayenera kuyimilira payokha pakumwa mankhwala ena, komanso kuwonjezera kapena kuchepetsa mlingo wa mankhwalawo.

Mankhwalawa amatha kuikidwa mu mawonekedwe a monotherapy (popanda zotsatira za chithandizo cha zakudya), komanso kuphatikiza ndi Metformin (pomwe palibe kusintha kuchokera ku monotherapy).

Nthawi zina pamakhala ngakhale mankhwala othandizira atayidwa. Matenda ena okhudzana ndi matenda a shuga angayambitse zovuta zina mthupi la mankhwalawo.

Matendawa ndi monga:

• mtundu 1 shuga
• kulephera kwambiri kwa chiwindi
• chidwi ndi chiphunzitso cha mankhwala,
• matenda opatsirana
• matenda ashuga ketoacidosis,
• chikomokere chifukwa cha matenda ashuga.

Siloledwa kumwa mapiritsiwa nthawi yapakati komanso yoyamwitsa. Ana ndi achinyamata nawonso sanamwe mankhwalawo.

Malangizo ogwiritsira ntchito

Ndondomeko ya kumwa mankhwalawa zimatengera mthupi la wodwalayo komanso chithunzi chake. Iyenera kupangidwa ndi katswiri. Kupambana kwamankhwala kumadalira kutsatira malangizo azachipatala.

Pokhapokha ngati pali malangizo apadera kuchokera kwa dokotala, muyenera kutsatira malangizo onse. Akuti ayambe kulandira mankhwala ndi 0,5 mg.

Kugwiritsa ntchito mankhwalawa kuchuluka kotero kuyenera kukhala musanadye chakudya chilichonse (pafupifupi mphindi 30). Pa mankhwala, muyenera kuwunika kuchuluka kwa shuga m'magazi. Ngati ndi kotheka, ndandanda imasinthidwa.

Mutha kuonjezera mlingo wa mankhwala kamodzi pa sabata. Pankhaniyi, muyenera kuyang'ana pa mulingo wovomerezeka wa mankhwalawa, kuti musayambitse bongo.

Kutumizidwa kamodzi kwa Novonorm ndi 4 mg. Thupi sayenera kulowa zopitilira 16 mg patsiku.

Nthawi zina, Repaglinide imaphatikizidwa ndi Metmorphine. Chiyambireni cha mankhwalawa chimakhazikitsidwa pazomwezi - mlingo wa Repaglinide ndi 0,5 mg panthawi imodzi. Kenako, ndandanda imasinthidwa malinga ndi zotsatira za kuyezetsa magazi.

Odwala Apadera ndi Mayendedwe

Kusamala sikofunikira kokha kwa anthu omwe ali osalolera ku ziwalo kapena matenda owonjezera. Magulu angapo a odwala amafunikiranso kukhala osamala pokhapokha ali m'gulu linalake kapena ali ndi vuto lapadera.

Izi zikuphatikiza:

1. Ana ndi achinyamata. Sizikudziwika kuti kupatsanso khansa kumakhudza bwanji odwala. Chifukwa chake, chithandizo ndi Novonorm sichichita nawo.
2. Anthu okalamba (wazaka zopitilira 75). Odwala otere, ziwalo zambiri ndi kachitidwe kazinthu kovuta, chifukwa cha kusintha kokhudzana ndi zaka. Chifukwa cha izi, mankhwalawa sangawakhudze munjira yabwino kwambiri.
3. Amayi oyembekezera. Kafukufuku wokhudzana ndi zotsatira za Repaglinide kwa akazi panthawi yobala mwana sikunachitike. Malinga ndi kuyesedwa kwa nyama, titha kunena kuti chinthuchi chingakhudze kukula kwa mwana wosabadwayo. Chifukwa chake, kulandiridwa kwa Novonorm ndizoletsedwa kwa amayi apakati.
4. Kuchepetsa. Yogwira pophika mankhwala imadutsa mkaka wa m'mawere. Momwe zimakhudzira ana aang'ono sizinakhazikitsidwe. Chifukwa cha izi, izi sizigwiritsidwa ntchito poyamwitsa.

Konzani mulingo wa glycemia mwa odwala ndi ofunika ndi mankhwala ena.

Mu malangizo a mankhwalawa, matenda ena amatchulidwa, chifukwa chake muyenera kukana kulandira Novonorm kapena kusintha mlingo:

• kulephera kwa chiwindi
• kupezeka kwa zizindikiro za fever,
• aakulu aimpso kulephera
• uchidakwa
• mkhalidwe wowopsa wa wodwala
• kutopa chifukwa cha nthawi yayitali yanjala.

Zina mwazonsezi zingakhale chifukwa chosagwiritsa ntchito mankhwalawa.

Zotsatira zoyipa ndi bongo

Mankhwala aliwonse amatha kuyambitsa mavuto.

Zodziwika kwambiri mwa izo pogwiritsa ntchito Novonorm ndi:

• Hypoglycemic mkhalidwe,
• zam'mimba thirakiti
• zotupa pakhungu,
• kuwonongeka kwamawonekedwe
• urticaria
• nseru

Mfundo yothetsera izi iyenera kutsimikizidwa ndi katswiri. Nthawi zina amawonetsa kukhalapo kwa tsankho kwa mankhwalawa, chifukwa chake ayenera kusiya kulandira chithandizo.

Kugwiritsa ntchito kwambiri kungayambitse hypoglycemia. Kulimbana ndi izi kumatengera momwe chiwonetsero chake chiliri.

Phunziro la kanema pamankhwala atsopano a shuga:

Mogwirizana ndi mankhwala ena, analogi

Mukaphatikiza Novonorm ndi magulu ena azinthu zamankhwala, kusamala kuyenera kuchitidwa, popeza kumachepetsa kapena kuonjezera kugwira ntchito kwake. Muzochitika izi, mlingo wa mankhwala omwe mukufunsawu akuyenera kusintha.

Ndikofunikira kuchepetsa gawo la Novonorm mutatenga ndi:

• mankhwala a hypoglycemic
• Mao ndi ACE zoletsa,
• salicylates
• antimycotic othandizira
• beta-blockers, etc.

Kuchepetsa mlingo wa repaglinide ndikofunikira ngati waperekedwa limodzi ndi:

• barbiturates
• glucocorticosteroids,
• mankhwala ena a mahomoni
• kutanthauza njira zakulera, ndi zina.

Izi zikutanthauza kuti wodwalayo ayenera kudziwitsa adokotala kuti akumwa mankhwala ena, ndikuwapatsa mayina.

Mankhwala ochizira amafunika kuti alowe m'malo mwa mankhwala olakwika.

Novonorm ikhoza m'malo mwa mankhwala monga:

Dokotala ayenera kusankha chithandizo choyenera ngati chofunikira. Ayenera kutsatira momwe thupi la wodwalayo limasinthira.

Maganizo a odwala

Malinga ndi ndemanga za ogula omwe adatenga Novonorm, titha kunena kuti mankhwalawa sioyenera aliyense - kwa ena adabweretsa zovuta, zomwe zimafuna kusintha kwa mankhwalawa.

Ndimamwa mankhwalawo motsimikizira dokotala. Kupitilira miyezi itatu ndidazindikira zabwino zakusintha - zonse mu shuga komanso bwino.

Matenda anga a shuga adapezeka zaka 5 zapitazo. Munthawi imeneyi ndinayesa mankhwala ambiri. Tsopano ndikuvomereza Novonorm. Ndikusangalala.

Anatenga Novonorm kwakanthawi - sanandiyenerere chifukwa cha mavuto. Ndipo mzanga wakhala akumwa mapiritsiwa kwa nthawi yoposa chaka, ndipo zonse zili bwino ndi iye. Zikuwoneka kuti zonse zimatengera momwe zinthu ziliri.

Mutha kugula mankhwalawo ku pharmacy iliyonse, ndikupereka mankhwala. Mtengo wa Novonorm umasiyanasiyana kutengera mtundu wa zomwe zimagwiritsidwa ntchito pazomwe zimapangidwira, komanso kuchuluka kwa mapiritsi omwe ali phukusi. Pafupifupi, mankhwalawa amawononga ma ruble a 150-350.