Diabeteson mv: Malangizo ogwiritsira ntchito

Mankhwala othandizira odwala matenda ashuga ndi osiyanasiyana. Izi zimachitika chifukwa cha kupezeka kwa kusiyana kwakomwe m'magulu, chifukwa zomwe sizingatheke kupanga yankho la aliyense.

Ichi ndichifukwa chake mankhwala atsopano amapangidwa kuti athetse vuto la pathological. Izi zikuphatikizapo mankhwala a Diabeteson MV.

Zambiri, kapangidwe ndi mawonekedwe ake amasulidwe

Wopanga wamkulu wa mankhwala ndi France. Komanso, mankhwalawa amapangidwa ku Russia. INN yake (Dongosolo Lopanda tanthauzo Lapadziko Lonse) ndi Gliclazide, yomwe imalankhula za chinthu chachikulu.

Chowoneka cha zotulukapo zake ndi kuchepa kwama glucose mthupi. Madokotala nthawi zambiri amalimbikitsa izi kwa odwala omwe akulephera kuchepetsa kuchuluka kwa shuga kudzera mu masewera olimbitsa thupi komanso zakudya.

Mapindu a chida ichi ndi monga:

• chiopsezo chochepa cha hypoglycemia (iyi ndiye njira yayikulu yamankhwala a hypoglycemic),
• ntchito yabwino
• mwayi wopeza zotsatira mukamamwa mankhwalawa kamodzi patsiku,
• kulemera pang'ono poyerekeza ndi mankhwala ena amtundu womwewo.

Chifukwa cha izi, odwala matenda ashuga amagwiritsidwa ntchito kwambiri pochiza matenda ashuga. Koma izi sizitanthauza kuti ziyenera aliyense. Kwa kumuika, dokotala amayenera kumuyesa ndi kuwonetsetsa kuti palibe zotsutsana, kuti chithandizo chotere sichimapha wodwalayo.

Kuopsa kwa mankhwala aliwonse kumaphatikizidwa ndi kusalolera kumagawo ake. Chifukwa chake, ndikofunikira kuphunzira kapangidwe kamankhwala musanamwe. Gawo lalikulu la matenda ashuga ndi gawo lotchedwa Glyclazide.

Kuphatikiza apo, zosakaniza monga zomwe zimaphatikizidwa ndi nyimbo:

• olimba ndi magnesium,
• maltodextrin
• lactose monohydrate,
• hypopellose,
• silicon dioxide.

Anthu omwe amamwa mankhwalawa sayenera kukhala ndi chidwi ndi izi. Kupanda kutero, mankhwalawo ayenera kusinthidwa ndi ena.

Njira yothetsera vutoli imapezeka pokhapokha pamapiritsi. Ndi zoyera komanso zamafuta. Chigawo chilichonse chili ndi zolemba ndi "DIA" ndi "60".

Pharmacological kanthu ndi pharmacokinetics

Mapiritsi awa ndi ochokera ku sulfonylurea. Mankhwalawa amathandizira maselo a pancreatic beta, potero amayambitsa kapangidwe ka insulin.

Makhalidwe azomwe zimayambitsa matenda a Diabetes ndi:

• Kuzindikira kwa Beta,
• kuchepa kwa mahomoni omwe amawononga insulin,
• kuchuluka kwa insulin,
• kuchuluka kwa zotumphukira kwa minofu ndi minyewa ya insulin,
• kukakamiza kwa lipolysis,
• kutsegula kwa okosijeni a shuga,
• kuchuluka kwa kuwonongedwa kwa glucose ndi minofu ndi chiwindi.

Chifukwa cha izi, Diabetes imatha kuchepetsa kuchuluka kwa shuga m'magazi a odwala matenda a shuga.

Ndi mkati mwa Glyclazide, kutsimikizika kwathunthu kumachitika. Pakupita maola 6, kuchuluka kwake m'madzi a m'magazi kumawonjezereka. Pambuyo pake, pafupifupi magawo onse a zinthu m'magazi amakhalanso kwa maola ena asanu ndi limodzi. Kutsimikizika kwa chinthu yogwira sikudalira kuti munthu watenga chakudya - limodzi ndi mankhwalawo, musanamwe mapiritsi. Izi zikutanthauza kuti dongosolo logwiritsira ntchito Diabeteson siliyenera kugwirizanitsidwa ndi chakudya.

Ambiri mwa Gliclazide omwe amalowa mthupi amalumikizana ndi mapuloteni a plasma (pafupifupi 95%). Chiwerengero chofunikira cha mankhwala chimasungidwa m'thupi tsiku lonse.

Kagayidwe kazinthu zomwe zimagwira ntchito zimachitika m'chiwindi. Ma metabolites ogwira ntchito sanapangidwe. Excretion ya Gliclazide imachitika ndi impso. Hafu ya moyo wa maola 12-20.

Zizindikiro ndi contraindication

Mapiritsi a Diabeteson MV, monga mankhwala aliwonse, ayenera kugwiritsidwa ntchito motsogozedwa ndi dokotala. Kupanda kutero, pamakhala chiwopsezo cha zovuta.

Kugwiritsidwa ntchito kolakwika m'malo ovuta kwambiri kungachititse kuti wodwalayo afe.

Akatswiri amapereka mankhwalawa motsatira:

1. Mu matenda a shuga a mellitus 2 (ngati masewera ndi kusintha kwa zakudya sizimabweretsa zotsatira).
2. Pofuna kupewa zovuta. Matenda a shuga angayambitse nephropathy, stroke, retinopathy, myocardial infaration. Kutenga diabeteson kwambiri kumachepetsa chiwopsezo chawo.

Chida ichi chitha kugwiritsidwa ntchito ngati mtundu wa monotherapy, komanso ngati gawo la mankhwala. Koma musanayambe kugwiritsa ntchito, muyenera kuwonetsetsa kuti palibe zotsutsana.

Izi zikuphatikiza:

• kukhalapo kwa tsankho pamagawo ena,
• chikomokere kapena khansa yoyambitsidwa ndi matenda ashuga
• mtundu woyamba wa matenda ashuga
• matenda ashuga ketoacidosis,
• mimba ndi mkaka wa m`mawere
• kulephera kwambiri kwa aimpso,
• kulephera kwambiri kwa chiwindi
• lactose tsankho,
• ana ndi unyamata (kugwiritsidwa ntchito sikuloledwa kwa anthu ochepera zaka 18).

Kuphatikiza pa kuponderezedwa kwambiri, zochitika zomwe mankhwalawa amatha kukhala osakhudzika kwambiri pakhungu liyenera kuganiziridwanso.

Izi zikuphatikiza:

• uchidakwa
• zosokoneza mu ntchito ya mtima ndi mitsempha yamagazi,
• kuperewera kwa zakudya m'thupi kapena dongosolo losakhazikika,
• ukalamba wa wodwala
• hypothyroidism
• matenda adrenal
• wofatsa kapena wolimbitsa thupi kapena wowonda kwa chiwindi,
• glucocorticosteroid mankhwala,
• kusowa kwa pituitary.

Muzochitika izi, kugwiritsidwa ntchito kwake kumaloledwa, koma kumafunikira kuyang'aniridwa mosamala kuchipatala.

Malangizo ogwiritsira ntchito

Diabeteson idapangidwa kuti izilamulira shuga m'magazi okha mwa achikulire odwala. Zimatengedwa pakamwa, pomwe mukupangika kuti mugwiritse ntchito mlingo womwe umalimbikitsidwa ndi katswiri kwa nthawi 1. Ndi yabwino kwambiri kuchita izi m'mawa.

Kudya sikukhudza mphamvu ya mankhwalawa, chifukwa chake amaloledwa kumwa makapisozi musanadye, ngakhale mutadya. Simufunikanso kutafuna kapena kupera piritsi, mumangofunika kutsuka ndi madzi.

Mlingo wa mankhwalawa umayenera kusankhidwa ndi adokotala. Itha kumasiyana 30 mpaka 120 mg. Pakakhala zochitika zapadera, chithandizo chimayamba ndi 30 mg (theka la piritsi). Kupitilira apo, ngati kuli kotheka, mlingowo ungathe kuchuluka.

Wodwala akaphonya nthawi ya makonzedwe, sayenera kuchedwetsedwa kufikira lotsatira ndikubwereza gawo. M'malo mwake, muyenera kumwa mankhwalawo nthawi yomweyo, komanso muyezo.

Odwala Apadera ndi Mayendedwe

Kugwiritsa ntchito Diabeteson MV kumaphatikizapo kulembetsa kwa odwala omwe ali m'magulu ena, omwe ayenera kusamala.

Izi zikuphatikiza:

1. Amayi oyembekezera. Zotsatira za Gliclazide pamimba ndi kukulira kwa fetal zimaphunziridwa mu nyama zokha, ndipo munthawi imeneyi, ntchito zoyipa sizinadziwike. Komabe, pofuna kuthetseratu zoopsa, sikulimbikitsidwa kugwiritsa ntchito chida ichi munthawi yobala mwana.
2. Amayi oyamwitsa. Sizikudziwika ngati mankhwala omwe agwira mankhwalawo amalowera mkaka wa m'mawere komanso ngati amakhudza chitukuko chatsopano. Chifukwa chake, ndi mkaka wa m`mawere, wodwalayo ayenera kusamutsidwa ntchito mankhwalawa.
3. Anthu okalamba. Zotsatira zoyipa kuchokera ku mankhwala kwa odwala azaka zopitilira 65 sizinapezeke. Chifukwa chake, molumikizana ndi iwo, kugwiritsa ntchito kwake mulingo wamba kumaloledwa. Koma madotolo amayenera kuwunika mosamala momwe chithandizo chikuyendera.
4. Ana ndi achinyamata. Zotsatira za Diabeteson MV kwa odwala omwe ali ndi zaka zosakwana zambiri sizinaphunzire. Chifukwa chake, ndizosatheka kunena momwe mankhwalawa angakhudzire thanzi lawo. Izi zikutanthauza kuti mankhwalawa amayenera kugwiritsidwa ntchito kuwongolera shuga m'magazi mwa ana ndi achinyamata.

Kwa magulu ena a odwala palibe zoletsa.

Mwa zina zomwe contraindication ndi malire a mankhwalawa, matenda ena amatchulidwa. Izi ziyenera kukumbukiridwa kuti zisavulaze wodwala.

Chenjezo liyenera kuchitika pokhudzana ndi ma pathologies monga:

1. Kulephera kwa chiwindi. Matendawa amatha kuthana ndi zomwe zikuchitika mwa Diabeteson, ndikuchulukitsa chiopsezo cha hypoglycemia. Izi ndizofunikira makamaka kwa mtundu wowopsa wa matendawa. Chifukwa chake, ndikupatuka kotere, chithandizo ndi gliclazide ndizoletsedwa.
2. Kulephera kwina. Ndiofatsa pang'ono komanso pang'ono matendawa, mankhwalawa angagwiritsidwe ntchito, koma pamenepa, adotolo amayenera kuwunika mosamala wodwalayo. Polephera kwambiri kwa impso, mankhwalawa amayenera kulowedwa ndi ena.
3. Matenda omwe amalimbikitsa kukula kwa hypoglycemia. Izi zimaphatikizapo kuphwanya ntchito ya adrenal gland ndi pituitary gland, hypothyroidism, coronary mtima, ndi atherosclerosis. Sizoletsedwa kugwiritsa ntchito Diabeteson pamkhalidwe wotere, koma nthawi zambiri ndikofunikira kuyang'ana wodwalayo kuti mutsimikizire ngati palibe hypoglycemia.

Kuphatikiza apo, ziyenera kukumbukiridwa kuti mankhwalawa amatha kusokoneza kuthamanga kwa malingaliro. Mwa odwala ena, kumayambiriro kwa chithandizo cha matenda a Diabeteson MV, kukumbukira ndi kuthekera kwambiri kwa zinthu kumalephera. Chifukwa chake, panthawiyi, zochitika zomwe zikufunika kugwiritsidwa ntchito popanga zinthuzi ziyenera kupewedwa.

Zotsatira zoyipa ndi bongo

Mankhwala omwe amafunsidwa, monga mankhwala ena, amatha kuyambitsa mavuto.

Mitu ikuluikulu ndi:

• achina,
• andrenergic zimachitika
• nseru,
• kuphwanya kwamkati,
• kupweteka m'mimba
• urticaria
• zotupa pakhungu,
• kuyabwa
• kuchepa magazi
• zosokoneza zowoneka.

Zambiri mwa zoyipa izi zimapita mukasiya kumwa mankhwalawa. Nthawi zina amadzichotsera okha, monga momwe thupi limagwirizanira ndi mankhwalawo.

Ndi mankhwala osokoneza bongo ambiri, wodwala amakula hypoglycemia. Kukula kwa zizindikiro zake kumatengera kuchuluka kwa mankhwala omwe amagwiritsidwa ntchito komanso kuchuluka kwa thupi. Nthawi zina, mavuto obwera chifukwa cha mankhwala osokoneza bongo amatha kupha, chifukwa chake musasinthe zomwe mwalandira.

Kuyanjana Ndi Mankhwala Ndi Analogi

Mukamagwiritsa ntchito Diabeteson MV limodzi ndi mankhwala ena, ndikofunikira kuganizira kuti mankhwalawa amatha kuwonjezera mphamvu yake, pomwe ena, m'malo mwake, amawafooketsa. Zoletsedwa, zosafunikira komanso zomwe zimafunikira kuphatikiza mosamala zimasiyanitsidwa kutengera mphamvu ya mankhwalawa.

Gome Lotsoganira:

Mukamagwiritsa ntchito ndalamazi, muyenera kusintha kuchuluka kwa mankhwalawo, kapena kugwiritsa ntchito zina.

Mwa okonzekera analog a Diabeteson MV ndi awa:

1. Zamakolo. Chida ichi ndichokhazikitsidwa ndi Gliclazide.
2. Metformin. Zomwe zimagwira ndi Metformin.
3. Sinthani. Maziko a mankhwalawa ndi Gliclazide.

Zogulitsazi zimakhala ndi zinthu zofanana ndimayendedwe ofanana ndi Diabeteson.

Maganizo a odwala matenda ashuga

Ndemanga pa mankhwala a diabeteson MV 60 mg ndizabwino kwambiri. Mankhwalawa amachepetsa shuga m'magazi, komabe, ena amawona kupezeka kwa zovuta, ndipo nthawi zina amakhala olimba mokwanira ndipo wodwalayo amasintha kupita ku mankhwala ena.

Kutenga Diabeteson MV kumafuna kusamala, chifukwa simuphatikizidwa ndi mankhwala onse. Koma izi sizimandivuta. Ndakhala ndikuwongolera shuga ndi mankhwalawa kwa zaka zingapo, ndipo mlingo wocheperako ukundikwanira.

Poyamba, chifukwa cha matenda ashuga, ndinali ndimavuto am'mimba mwanga - ndimakhala ndikudwala kwamtima. Dokotala anandilangiza kuti ndisamale za zakudya. Vutoli litathetsedwa, tsopano ndikusangalala ndi zotsatira zake.

Diabetes sanandithandizire. Mankhwalawa amachepetsa shuga, koma ndinali kuzunzidwa ndi mavuto. Kulemera kwatsika kwambiri, mavuto amaso awonekera, ndipo khungu lasintha. Ndinafunika kupempha dokotala kuti athetse mankhwalawo.

Makanema akuwunikiridwa ndi mankhwalawa Diabeteson kuchokera kwa akatswiri ena:

Monga mankhwala ambiri omwe amagwiritsidwa ntchito pochiza matenda a shuga, Diabeteson MV ingagulidwe kokha ndi mankhwala. Mtengo wake m'mizinda yosiyanasiyana umasiyana ndi 280 mpaka 350 rubles.

Zizindikiro zogwiritsidwa ntchito

DIABETONE MR 60 mg ndi mankhwala omwe amapangidwa kuti achepetse shuga ya magazi (mankhwala a antidiabetesic pamlomo kuchokera pagulu la sulfonylurea).

DIABETONE MR 60 mg imagwiritsidwa ntchito pochiza matenda amitundu ina (matenda 2 a shuga) mwa akulu, pamene kudya, kuchita masewera olimbitsa thupi komanso kuchepa thupi sikokwanira kulamula bwino shuga.

Contraindication

- ngati muli ndi chifuwa (hypersensitivity) ku gliclazide, mankhwala ena aliwonse a DIABETONE MR 60 mg, mankhwala ena a gululi (sulfonylureas) kapena mankhwala ena okhudzana nawo (hypoglycemic sulfonamides),

- ngati mukudwala matenda a shuga omwe amadalira insulin (mtundu 1),

- ngati matupi a ketone ndi shuga akupezeka mkodzo wanu (izi zitha kutanthauza kuti muli ndi matenda ashuga a ketoacidosis), ngati muli ndi matenda a shuga kapena matenda a shuga,

- ngati muli ndi matenda a impso kapena chiwindi.

- ngati mukumwa mankhwala ochizira matenda a fungus (miconazole, onani gawo "Kutenga mankhwala ena),

- ngati mukuyamwitsa (onani gawo "Mimba ndi kuyamwitsa").

Mimba komanso kuyamwa

Kutenga mapiritsi otulutsidwa amasinthidwe DIABETONE MR 60 mg pa nthawi ya pakati sikulimbikitsidwa. Ngati mukukonzekera kutenga pakati kapena ngati mwatsimikizira kuti muli ndi pakati, dziwitsani dokotala za izi kuti akupatseni chithandizo choyenera.

Ngati mukuyamwitsa, simuyenera kumwa mapiritsi osinthidwa a DIABETONE MR 60 mg.

Funsani kwa dokotala kapena wamankhwala musanamwe mankhwala.

Mlingo ndi makonzedwe

Mukamamwa mapiritsi otulutsidwa, DIABETONE MR 60 mg, nthawi zonse tsatirani malangizo a dokotala. Ngati mukukayikira kulondola kwa mankhwalawa, muyenera kufunsa dokotala kapena wamankhwala.

Dokotalayo ndi amene amawona kuti mupeze mankhwalawa poyerekeza ndi kuchuluka kwa shuga m'magazi ndipo mwina, mkodzo. Kusintha kwazinthu zakunja (kuchepa thupi, kusintha kwa moyo, kupsinjika) kapena kusintha kwa misempha kungafune kusintha kwa mlingo wa gliclazide.

Nthawi zambiri, mankhwalawa amachokera kwa theka kapena mapiritsi awiri (okwanira 120 mg) pa mlingo umodzi pakudya kadzutsa. Zimatengera yankho la chithandizo.

Pankhani ya kumwa mapiritsi okhala ndi DIABETONE MR 60 mg wosakanikirana ndi alpha-glucosidase inhibitor metformin kapena insulin, dokotala aliyense payekha adzakufunsirani mtundu uliwonse wa mankhwalawo.

Ngati mukuganiza kuti mapiritsi a 60 mg DIABETONE osinthika amasintha kwambiri kapena osakwanira, funsani kwa dokotala kapena wamankhwala.

Finyani theka la piritsi kapena piritsi lonse. Osapwanya kapena kutafuna mapiritsi. Mapiritsi akulimbikitsidwa kuti amwe pa kadzutsa ndi kapu yamadzi (makamaka nthawi imodzi tsiku lililonse).

Mutatha kumwa mapiritsi, muyenera kudya.

Zotsatira zoyipa

Monga mankhwala ena onse, mapiritsi okhala ndi mawonekedwe osinthika a DIABETONE MR 60 mg, ngakhale alibe wodwala aliyense, amatha kuyambitsa mavuto.

Nthawi zambiri, shuga wochepa wamagazi (hypoglycemia) amadziwika. Mawonetsedwe azachipatala afotokozedwa mu gawo la "Khalani osamala kwambiri").

Akasiyidwa, mawonetseredwe azachipatalawa atha kuwonongera, kugona, komanso kugona. Ngati gawo la shuga wotsika kwambiri ndi lalitali kapena lalitali kwambiri, ngakhale kuti linachepetsa kwakanthawi chifukwa chodya shuga, muyenera kupita kuchipatala msanga.

Kusokonezeka kwa chiwindi

Pali malipoti apadera a zodwala mbali ya chiwindi, komwe kumayambitsa chikaso cha khungu ndi maso. Izi zikachitika, pitani kuchipatala nthawi yomweyo. Nthawi zambiri zizindikiro zimatha pambuyo posiya mankhwala. Dokotala wanu adzaganiza zosiya kulandira chithandizo.

Zochita za pakhungu monga zotupa, redness, kuyabwa, ndi urticaria zanenedwa. Zosiyanasiyana khungu zimachitika.

Mavuto a magazi:

Pakhala lipoti lakuchepa kwa kuchuluka kwa ma cell am'magazi (ma cellelo, maselo ofiira am'magazi ndi ma cell oyera), omwe angayambitse magazi osakhalitsa, malipoti am'mimba, zilonda zam'mimba komanso kutentha. Zizindikirozi nthawi zambiri zimatha atasiya kulandira chithandizo.

Kupweteka kwam'mimba, nseru, kusanza, kudzimbidwa, kutsegula m'mimba komanso kudzimbidwa. Mawonetsedwe awa amachepetsa mukamamwa mapiritsi osinthika, DIABETONE MR 60 mg, amapezeka ndi zakudya, monga momwe tikulimbikitsira.

Matenda a ophthalmology

Masomphenya anu akhoza kukhala osokonezeka pang'ono, kumayambiriro kwa chithandizo. Izi zimayenderana ndi kusintha kwa shuga m'magazi.

Mukamamwa sulfonylurea, milandu yosintha kwambiri m'magazi am'magazi ndimatupa a mitsempha yamagazi imadziwika. Zizindikiro za kuperewera kwa chiwindi (mwachitsanzo, jaundice) zimadziwika kuti nthawi zambiri zimatha atasiya kugwiritsa ntchito sulfonylurea, ngakhale muzochitika zina zimatha kuyambitsa chiwindi cholephera ndi chiwopsezo cha moyo.

Zotsatira zoyipa zitakula kwambiri kapena ngati mwazindikira kuti zinalembedwazo sizinalembedwe patsamba ili, auzeni dokotala kapena wamankhwala.

Bongo

Ngati mumwa mapiritsi ambiri, kulumikizana ndi chipinda chanu chodzidzimutsa kapena auzeni dokotala nthawi yomweyo. Zizindikiro za mankhwala osokoneza bongo ndi zizindikiro za shuga wochepa wamagazi (hypoglycemia), wofotokozedwa mu gawo lachiwiri. Kuti muchepetse mawonetseredwe azachipatala, mutha kumwa shuga (zidutswa zisanu ndi zinai) kapena kumwa zakumwa zotsekemera, kenako ndikudya zazakumwa kapena kudya. Ngati wodwalayo sakudziwa, ndiye kuti muchenjeze adotolo ndikuyimbira ambulansi. Zomwezi zikuyenera kuchitika ngati wina, monga mwana, ameza mwangozi mankhwala awa. Osapatsa chakumwa kapena chakudya kwa odwala omwe anazindikira. Chisamaliro chikuyenera kuthandizidwa pasadakhale kuti muwonetsetse kuti nthawi zonse pamakhala munthu amene amachenjezedwa za vutoli ndipo, ngati kuli koyenera, angaimbire dokotala.

Kuchita ndi mankhwala ena

Nthawi zonse uzani dokotala kapena wamankhwala omwe mumamwa kapena mankhwalawa omwe mumamwa, ngakhale atakhala kuti amamwa mankhwala othinana ndi ena, chifukwa amatha kulumikizana ndi mapiritsi osintha a DIABETONE MR 60 mg.

Pakhoza kukhala kuwonjezeka kwa hypoglycemic zotsatira za gliclazide ndi kuyambika kwa matenda owonetsa shuga wochepa ngati mukumwa mankhwala amodzi:

- mankhwala ena omwe amagwiritsidwa ntchito pochiza shuga m'magazi (mankhwala apakhungu a antiidiabetes kapena insulin),

- maantibayotiki (mwachitsanzo sulfonamides),

- mankhwala omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi kapena kulephera kwa mtima (beta blockers, ACE inhibitors ngati Captopril kapena enalapril),

- mankhwala a matenda a fungal (miconazole, fluconazole),

- mankhwala ogwiritsira ntchito zilonda zam'mimba kapena zilonda zam'mimba (otsutsa a N₂- zolandirira)

- mankhwala a matenda a kukhumudwa (monoamine oxidase inhibitors),

- painkillers kapena antirheumatic mankhwala (phenylbutazone, ibuprofen),

Matenda a hypoglycemic a gliclazide amatha kuchepetsedwa komanso kuchuluka kwa shuga m'magazi mukachuluka mukamamwa imodzi mwamankhwala otsatirawa: -

- mankhwala a matenda a chapakati mantha dongosolo (chlorpromazine),

- mankhwala omwe amachepetsa kutupa (corticosteroids),

- mankhwala ochizira mphumu kapena kugwiritsidwa ntchito pakubala (intravenous salbutamol, ritodrin ndi terbutaline),

- mankhwala a matenda a chifuwa, nthawi zolemetsa ndi endometriosis (danazol).

Mapiritsi osintha osinthika a DIABETONE MR 60 mg amatha kuwonjezera mphamvu ya mankhwala omwe amachepetsa coagulability (mwachitsanzo, warfarin).

Musanayambe kumwa mankhwala ena, funsani dokotala. Ngati mupita kuchipatala, dziwitsani ogwira ntchito kuchipatala kuti mukutenga DIABETONE MR 60 mg.

Zolemba ntchito

Kuti muchepetse shuga m'magazi anu, muyenera kutsatira dongosolo la mankhwala lomwe dokotala wakupatsani. Izi zikutanthauza kuti kuwonjezera pakumwa mapiritsi pafupipafupi, muyenera kutsatira kadyedwe, masewera olimbitsa thupi ndipo, ngati pakufunika, muchepetsani thupi.

Mankhwalawa gliclazide, kuwunika pafupipafupi shuga (komanso mkodzo), komanso glycated hemoglobin (HbAlc).

M'milungu yoyamba ya chithandizo, pamakhala chiwopsezo chochepetsa shuga (magazi), motero kuyang'aniridwa kwachipatala ndikofunikira.

Kutsika kwa shuga (hypoglycemia) kumatha kuchitika motere:

- ngati mumadya mosasamala kapena kudya zakudya,

- mukakana chakudya,

- ngati mumadya mosavomerezeka,

- mutasintha kapangidwe ka chakudya,

- ngati mukulitsa zolimbitsa thupi popanda kusintha zakudya zamafuta,

- ngati mumamwa mowa, makamaka limodzi ndi kudumphadumpha,

- ngati mukumwa mankhwala ena achilengedwe kapena achilengedwe nthawi imodzi,

- ngati mutamwa kwambiri Mlingo wa gliclazide,

- ngati muli ndi zovuta zina zomwe zimadalira mahomoni (matenda a chithokomiro, chithokomiro cha pituitary kapena adrenal cortex),

- ngati muli ndi impso zazikulu kapena chiwindi.

Ngati kuchuluka kwa shuga m'magazi ndi kocheperako, mutha kupeza zotsatirazi: kupweteka mutu, kumva kupweteka kwambiri, kusanza, kutopa, kugona tulo, kupuma mtima, kukwiya, kutsika pang'ono, kuchepetsa chidwi komanso nthawi yanthawi, kukhumudwa, kusokonezeka, kusokonekera kwa mawu kapena masomphenya, kunjenjemera, kusokonezeka kwa malingaliro, chizungulire, ndi kusowa thandizo.

Zizindikiro zotsatirazi komanso mawonetsedwe azachipatala amathanso kuchitika: kutuluka thukuta kwambiri, khungu lozizira komanso lonyowa, nkhawa, kuthamanga kwa mtima kapena kosakhazikika, kuthamanga kwa magazi, kupweteka pachifuwa mwadzidzidzi komwe kumatha kumveka m'magawo a thupi (angina pectoris).

Ngati kuchuluka kwa shuga m'magazi kukupitilizabe kugwa, ndiye kuti mutha kusokonezeka kwambiri (delirium), kukhumudwa, kulephera kudziletsa, kupuma kungakhale kwapamwamba, kugunda kwamtima kungachedwe, mutha kuyamba kuzindikira.

Nthawi zambiri, mawonekedwe am'magazi a shuga ochepa amachoka msanga mukatenga shuga mumtundu uliwonse, mwachitsanzo, mapiritsi a shuga, ma shuga a shuga, msuzi wokoma, tiyi wokoma.

Chifukwa chake, muyenera kunyamula shuga nthawi iliyonse (mapiritsi a shuga, ma shuga a shuga). Kumbukirani kuti zokometsera zakumaso sizothandiza. Ngati kudya shuga sikungathandize, kapena ngati mawonedwe azachipatala ayambanso, funsani dokotala wanu kapena pitani kuchipatala chapafupi.

Kuwonetsera kwamankhwala a shuga ochepa magazi sikungachitike konse, kusatchulika pang'ono kapena kuwoneka pang'onopang'ono, kapena mwina simungamvetsetse kuti shuga yanu yatsika. Izi zitha kuchitika kwa odwala okalamba omwe amamwa mankhwala ena (mwachitsanzo, mankhwala omwe amakhudza ubongo wamanjenje, komanso blocka beta).

Ngati mukukhala pamavuto (mwachitsanzo, ngozi, opaleshoni, malungo, zina), dokotala angakupatseni mankhwala a insulin kwakanthawi.

Mawonetsedwe azachipatala a shuga wambiri (hyperglycemia) atha kuchitika ngati glycazide sanatsitse shuga lokwanira, ngati simunatsatire dongosolo la chithandizo.

zotchulidwa ndi dokotala, kapena pamavuto ena. Mawonetsedwe omwe angakhalepo akuphatikizapo ludzu, kukodza pafupipafupi, pakamwa youma, khungu loyuma, matenda amkhungu, ndi kuchepa mphamvu.

Ngati muli ndi zizindikiro izi, funsani kwa dokotala kapena wamankhwala.

Ngati achibale anu kapena muli ndi vuto la kuchepa kwa glucose-6-phosphate dehydrogenase (G6PD, kuchuluka kwa maselo ofiira am'magazi), ndiye kuti mutha kuchepa kuchuluka kwa hemoglobin komanso kutsika kwa maselo ofiira a magazi (hemolytic anemia). Musanayambe kumwa mankhwalawa, funsani dokotala.

Kukhazikitsidwa kwa mapiritsi otulutsidwa otulutsira DIABETONE MR 60 mg kwa ana sikofunikira chifukwa chosoera chofunikira.

Kutha kwanu kumveketsa kapena kuthamanga kwa mawonekedwe amtunduwu kumatha kuchepetsedwa ngati shuga yanu ili yotsika kwambiri (hypoglycemia) kapena kwambiri (hyperglycemia) kapena ngati masomphenya anu sanasangalale chifukwa cha mikhalidwe iyi. Kumbukirani kuti mutha kuyika moyo wanu pachiswe kapena moyo wa ena (mukamayendetsa galimoto kapena makina ogwiritsa ntchito). Funsani dokotala ngati mungayendetse magalimoto ngati muli:

- Nthawi zambiri pamakhala shuga wambiri m'magazi (hypoglycemia),

- Pali zizindikiro zochepa kapena ayi za shuga m'magazi (hypoglycemia).

Malo osungira

Pewani kuwona ndi kuwona kwa ana.

Osamwa mapiritsi okhala ndi DIABETONE MR 60 mg patatha masiku atatha omwe akuwonetsedwa pabokosi la makatoni ndi matuza. Pomwe zikuwonetsa tsiku lotha ntchito, limatanthauzira tsiku lomaliza la mwezi womwe wafotokozedwayu.

Sungani ku kutentha kosaposa 30 ° C.

Musamatsanulira mankhwalawo m'madzi oyipa kapena zonyansa. Funsani wopanga mankhwala anu momwe mungachiritsire mankhwala omwe ayimitsidwa. Izi zimapangidwa pofuna kuteteza chilengedwe.