Mapiritsi a shuga a Galvus - mutenga bwanji?

Galvus amatanthauza mankhwala omwe amadziwika kuti ali ndi vuto la hypoglycemic. Chofunikira chachikulu cha mankhwalawa ndi Vildagliptin.

Mankhwalawa amagwiritsidwa ntchito kuti matenda a shuga asungidwe ndipo amatengedwa ndi odwala matenda a shuga.

Malangizo ogwiritsira ntchito

Mankhwala Galvus nthawi zambiri amamwetsa mosasamala kanthu za kupezeka kwa chakudya m'mimba. Chifukwa chake, angagwiritsidwe ntchito musanadye kapena pambuyo pa chakudya.

Galvus mapiritsi 50 mg

Pali mlingo woyenera wa mankhwalawa, pomwe winayo amatsimikiza ndi dokotala potengera zomwe wodwalayo akuwunika.

Galvus nthawi zambiri imagwiritsidwa ntchito limodzi ndi mankhwala ena: insulin, metformin, kapena thiazolidinedione. Zikatero, zimayenera kutengedwa nthawi imodzi patsiku la 50-100 mamililita.

Ngati munthu ali ndi matenda a shuga a 2, omwe ali ndi vuto lalikulu, ndipo amalandiranso insulini, mulingo woyenera wa Galvus uyenera kukhala mamiligalamu 100.

Pankhaniyi, ndalama zambiri zogwiritsidwa ntchito limodzi siziyenera kupitirira 50 mg.

Chifukwa chake, ngati munthu amupatsa mlingo wa mamiligalamu 100, augawe m'magawo awiri - makamaka atangodzuka asanapite kukagona.

The zikuchokera, kumasula mawonekedwe ndi pharmacological kanthu

Njira yayikulu ya mankhwalawa ndi mapiritsi. Dzina ladziko lonse lapansi ndi Vildagliptin, dzina lamalonda ndi Galvus.

Chizindikiro chachikulu chomwera mankhwalawa ndicho kupezeka kwa matenda a shuga a 2 mwa munthu. Chidacho chimanena za mankhwala a hypoglycemic omwe odwala amatenga kuti achepetse kuchuluka kwa shuga m'magazi.

Chofunikira chachikulu cha mankhwalawa ndi vildagliptin. Kuphatikizika kwake ndi 50 mg. Zowonjezera ndizo: magnesium stearate ndi sodium carboxymethyl. An anhydrous element also anhydrous lactose ndi microcrystalline cellulose.

Mankhwalawa amapezeka mwa mapiritsi omwe amamwa pakamwa. Mtundu wa mapiritsiwo umachokera kuzoyera mpaka zachikaso. Pamwambapa pali miyala yozungulira komanso yosalala ndi kukhalapo kwa bevels m'mphepete. Mbali zonse ziwiri za cholembapo zalembapo: "NVR", "FB".

Galvus imapezeka mu mawonekedwe a mabisiketi a 2, 4, 8 kapena 12 phukusi limodzi. Chithuza chimodzi chimakhala ndi mapiritsi 7 kapena 14 a Galvus (onani chithunzi).

Pulogalamu Vildagliptin, yomwe ndi gawo la mankhwalawa, imalimbikitsa pulogalamu ya kapamba, imachepetsa kugwira ntchito kwa enzyme DPP-4 ndikukulitsa chidwi cha cells-cell ku glucose. Izi zimapangitsa kuti shuga azidalira shuga.

Kuzindikira kwa ma-is-cell kumayenda bwino poganizira kuchuluka kwa kuwonongeka kwawo koyamba. Kwa munthu amene alibe matenda ashuga, insulin katulutsidwe sikakhudzidwa chifukwa chomwa mankhwalawo. Katunduyo amathandizira kuyendetsa bwino kwa glucagon.

Mukamamwa Vildagliptin, milingo ya lipids m'magazi amachepetsa. Kugwiritsira ntchito mankhwalawa monga gawo la monotherapy, molumikizana ndi Metformin, chifukwa masiku 84-365 kumapangitsa kutsika kwa glucose komanso glycated hemoglobin m'magazi.

Contraindication

Zinthu zofufuzira zikuwonetsa kuti mankhwalawa Galvus samakhudza thupi la mayi wapakati komanso mluza womwe uli mkati mwake.

Komabe, phunziroli lidagwiritsa ntchito zitsanzo zosakwanira. Gwiritsani ntchito mankhwala munthawi ya gestation osavomerezeka.

Komanso, sizikupezeka chidziwitso chokwanira chokhudza kuphipha kwa zinthu zomwe zimapanga mankhwalawa mkaka wa m'mawere. Chifukwa chake, munthawi yodyetsa mwana, kugwiritsa ntchito kwake sikulimbikitsidwanso.

Kafukufuku wazomwe zimachitika pa vildagliptin (chinthu chogwira ntchito) kwa anthu osakwana zaka 18 sizinachitike. Chifukwa chake, sanapatsidwe gulu ili la anthu.

Kugwiritsa ntchito mankhwalawa ndikosavomerezeka kwathunthu pakumveka kwakukulu kwa vildagliptin kapena zigawo zina za mankhwala (mwachitsanzo, mkaka sucrose).

Ndikotheka kudziwa kutsutsana komwe kumayambira m'masiku oyamba ovomerezeka.

Monga lamulo, madotolo samapereka mankhwalawa kwa anthu omwe ali ndi vuto la mtima la kalasi 4. Izi ndichifukwa choti pakadali pano palibe maphunziro omwe amatsimikizira chitetezo cha mankhwalawa kwa anthu omwe ali ndi matenda awa.

Mankhwalawa amaloledwa kugwiritsidwa ntchito mosamala kwambiri pazochitika zapadera pakupanga ma enzymes a chiwindi. Zomwezi zimagwiranso ntchito ngati wodwala wapezeka kuti wayamba kudwala matenda enaake m'mitsempha ndi mtima 3.

Pogulitsa ndizotheka kupeza Galvus m'mitundu itatu:

30 mapiritsi 50 + 500 mamililita - 1376 ma ruble,
30/50 + 850 - ruble 1348,
30/50 + 1000 - 1349 ma ruble.

Ochuluka aiwo ndiupangiri mwachilengedwe.

Makamaka, ndemanga zimanena kuti mankhwalawa amachepetsa kwambiri shuga - amatha kukhala pafupifupi 5.5 pamimba yopanda kanthu.

Anthu amanenanso kuti mankhwalawa amathandiza kuthana ndi kuthamanga kwa magazi - amachepetsa mpaka 80/50 akamagwiritsidwa ntchito pamimba yopanda kanthu.

Makanema okhudzana nawo

Momwe mungatenge mapiritsi a shuga a Galvus 2:

Galvus ndi mankhwala otsimikiziridwa omwe tsopano akugwiritsidwa ntchito mwachangu monga mankhwala. Kutchuka kwake kumachitika chifukwa cha zotsatira zoyipa zingapo komanso kuperewera kwawo, komanso kuperekera poizoni pang'ono pama thupi osiyanasiyana.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Zimabwezeretsa kupanga kwa insulin

Phunzirani zambiri. Osati mankhwala. ->

Galvus Met - kufotokoza kwa mankhwalawa

Mankhwala akapatsidwa mankhwala, Galvus Met, mankhwalawa amatengedwa pakamwa, ndipo ndikofunikira kumwa mankhwalawa ndi madzi ambiri. Mlingo wa wodwala aliyense amasankhidwa payekha ndi dokotala. Pankhaniyi, ndikofunikira kuganizira kuti kuchuluka kwa mankhwalawa sikuyenera kupitirira 100 mg.

Kumayambiriro kwa mankhwalawa ndi mankhwalawa, mlingo umayikidwa poganizira omwe kale anali Vildagliptin ndi Metformin. Kuti zinthu zoyipa za m'mimba zitha kuchotsedwa pa mankhwalawa, mankhwalawa amayenera kumwedwa ndi chakudya.

Ngati chithandizo ndi Vildagliptin sichikupereka zotsatira zomwe mukufuna, ndiye kuti, Galvus Met ikhoza kutumizidwa ngati njira yochizira. Kumayambiriro kwa maphunziro, mankhwalawa 50 mg 2 kawiri pa tsiku ayenera kumwedwa. Pakapita kanthawi kochepa, kuchuluka kwa mankhwalawa kumatha kuwonjezereka kuti mukhale ndi mphamvu.

Ngati chithandizo ndi Metformin sichinalole kuti mukhale ndi zotsatira zabwino, ndiye kuti mlingo womwe umayikidwa umaganiziridwa pamene Glavus Met ikuphatikizidwa mu regimen yothandizira. Mlingo wa mankhwalawa poyerekeza ndi Metoformin ukhoza kukhala 50 mg 500, 50 mg / 850 mg kapena 50 mg / 1000 mg.

Mlingo wa mankhwalawa uyenera kugawidwa pawiri. Ngati Vildagliptin ndi Metformin mu mawonekedwe a mapiritsi amasankhidwa ngati njira yayikulu yothandizira, ndiye kuti Galvus Met imayikidwa, yomwe imayenera kumwa 50 mg tsiku lililonse.

Kuchiza ndi wothandizirirayi sikuyenera kuperekedwa kwa odwala omwe ali ndi vuto la impso, makamaka, kulephera kwa impso. Izi zikuchitika chifukwa chakuti piritsi lomwe limagwiritsidwa ntchito pa mankhwalawa limachotsedwa m'thupi pogwiritsa ntchito impso. Ndi zaka, ntchito yawo mwa anthu imayamba kuchepa. Izi zimachitika kawirikawiri kwa odwala omwe atha zaka 65.

Kwa odwala omwe ali ndi zaka zino, Galvus Met adayikidwa muyezo wocheperako, ndipo kuyikiridwa kwa mankhwalawa kutha kuchitika pambuyo poti umboni wapezeka kuti impso zomwe zili mwa wodwalayo zikugwira ntchito moyenera. Mankhwala, dokotala amayenera kuyang'anira momwe amagwirira ntchito.

Gwiritsani ntchito muubwana ndi ukalamba

Contraindication: zaka mpaka zaka 18 (zoyenera ndi chitetezo chogwiritsa ntchito sizinakhazikitsidwe).

Palibe chidziwitso chokhudza kumwa mapiritsi pakati pa odwala osakwana zaka 18, chifukwa chake sichikulimbikitsidwa kuti muwaphatikizire pochiritsa.

Anthu opitilira zaka zopitilira 65 safuna kusintha kwapadera kwa mankhwalawa, koma musanagwiritse ntchito, muyenera kuonana ndi endocrinologist, kuyang'anira chiwindi ndi impso, ndikuwunika kuchuluka kwa shuga m'magazi.

Mu amayi apakati ndi kuyamwitsa

Kugwiritsa ntchito kwa Galvus Met 50/1000 mg kumapangidwa nthawi yapakati, chifukwa palibe deta yokwanira pakugwiritsa ntchito mankhwalawa panthawiyi.

Ngati kagayidwe kachakudya kagayidwe kachakudya mthupi, ndiye kuti mayi woyembekezera atha kukhala ndi vuto lodzala ndi kubereka, kufa, komanso kufalikira kwamatenda a neonatal. Pankhaniyi, monotherapy yokhala ndi insulini iyenera kutengedwa kuti ikhale ndi shuga.

Kugwiritsira ntchito mankhwalawa kumakwiriridwa mwa amayi oyamwitsa, chifukwa sizikudziwika ngati zigawo za mankhwalawa (vildagliptin ndi metformin) zimachotsedwa mkaka wa m'mawere wa anthu.

Mimba komanso kuyamwa

Mu kafukufuku woyeserera, pamene adafotokozedwa mu Mlingo wowirikiza 200 kuposa momwe analimbikitsira, mankhwalawa sanayambitse chimbudzi ndikukula kwa mluza ndipo sanatulutse mphamvu ya mwana wosabadwa. Zambiri zokwanira zogwiritsira ntchito

azimayi oyembekezera satero, chifukwa chake mankhwalawa sayenera kugwiritsidwa ntchito panthawi yoyembekezera. Milandu ya vuto logaya shuga mwa amayi apakati, pamakhala chiwopsezo chodzala ndi vuto lobadwa nalo, komanso kufalikira kwamatenda a kubadwa kwa neonatal. Popeza sizikudziwika ngati vildagliptin yachotsedwa mkaka waumunthu, Galvus sayenera kugwiritsidwa ntchito pa mkanda wa mkaka.

Kafukufuku wowonetsa akuwonetsa kuti kuchuluka kwa mankhwalawa kwa mankhwalawa sikukhudza mbali yoyipa ya mluza. Palibe umboni wa chofooka chachikazi chomwe chinapezeka.

Kafukufuku ochulukirapo sanachitikebe, chifukwa chake, musatayenso chiwopsezo cha mayi ndi mwana. Ndikofunika kukumbukira kuti ngati pali kuphwanya kwa kagayidwe ka shuga m'magazi, pamakhala chiopsezo cha kubadwa kwa fetalital, ndipo chiopsezo cha kufa ndi vuto la Neonatal limachulukirachulukira.

Palibe zosakwanira pakugwiritsa ntchito Galvusmet mwa amayi apakati. Kafukufuku wazinyama wa vildagliptin awulula kawopsedwe ochulukitsa muyezo waukulu.

Mu maphunziro a nyama a metformin, izi sizinawonetsedwe. Kafukufuku wogwiritsidwa ntchito pophatikizidwa mu nyama sizinawonetse teratogenicity, koma fetotoxicity idapezeka mu Mlingo woopsa kwa wamkazi.

Kuopsa komwe kumakhalapo mwa anthu sikudziwika. G alvusmet sayenera kugwiritsidwa ntchito panthawi yoyembekezera.

Mankhwala ochizira matenda ashuga

Kuchiza matenda ashuga ndi njira yovuta kwambiri yomwe imafunikira nyonga zambiri komanso kudekha kuchokera kwa wodwala. Amafunikira kutsatira zakudya zochizira, kuwongolera zolimbitsa thupi, komanso, kumwa mankhwala.

Tsoka ilo, popanda iwo, kuchuluka kwa shuga m'magazi sikungatheke. Ndipo zili zokhudzana ndi mankhwala omwe amagwiritsidwa ntchito pa matendawa omwe akambirana tsopano.

Koma mndandanda wamapiritsi a shuga, omwe tikambirane pansipa, amaperekedwa pazidziwitso zokhazokha. Simungawatenge popanda kudziwa dokotala, chifukwa izi zimatha kudzetsa mavuto akulu azaumoyo.

Zambiri

Matenda a shuga ndi amitundu yambiri - yoyamba ndi yachiwiri. Ndipo mwachilengedwe, mitundu yosiyanasiyana ya mankhwala imagwiritsidwa ntchito pochiza. Ndi matenda a shuga 1 amtundu, kuperewera kwenikweni kwa insulin kumachitika mthupi, chifukwa choti glucose womwe umalowamo ndi chakudya suwonongeka ndikukhazikika m'magazi.

Koma ndi matenda ashuga amtundu wa 2, insulin imapangidwa ndi kapamba mokwanira, koma maselo amthupi amasiya kuzimva. Zimaperekanso zofananira. Glucose imawonongeka, koma osalowetsedwa m'maselo, motero imayamba kukhazikika m'magazi.

Mukuyankhula za omwe amagwiritsidwa ntchito pochiza matenda ashuga, ziyenera kudziwika nthawi yomweyo kuti ndi DM1, mankhwala omwe ali ndi insulin (jakisoni) amagwiritsidwa ntchito, komanso ndi DM2, mankhwala omwe amachepetsa shuga m'magazi ndikuwonjezera chidwi cha maselo amthupi.

Ndipo popeza anthu omwe ali ndi matenda amtunduwu amadwala matenda onenepa kwambiri, nthawi zambiri amapatsidwa mankhwala ochepetsa thupi. Amasankhidwa payekha.

Kuyanjana kwa mankhwala

Ngati mumagwiritsa ntchito Galvus Met ndi mankhwala ena, kukhazikika kwa zikhalidwe zamatenda kapena kuwonjezeka / kuchepa kwa mphamvu ya mankhwala omwe mumagwiritsa ntchito ndikotheka.

Pogwiritsa ntchito munthawi yomweyo ndi furosemide, kuchuluka kwa magazi a chiwiri kumawonjezereka, koma kuchuluka kwa koyambirira kumachepa.

Kutenga Nifedipine pa mankhwala kumabweretsa kuyamwa kwambiri, kuchulukitsidwa ndi impso, komanso kuwonjezeka kwa ndende ya Metformin m'magazi.

Ngati agwiritsidwa ntchito ndi glibenclamide, ndiye kuti kugwirizanitsa kwakumapeto kumayamba kuchepa.

Sitikulimbikitsidwa kuti titengedwe limodzi ndi Donazol, chifukwa imakhala ndi hyperglycemic. Ngati kuphatikiza kwa mankhwalawa ndikofunikira chifukwa chachipatala, ndiye kuti muyenera kusintha mulingo wa Metformin ndikuwonetsetsa kuchuluka kwa shuga m'magazi.

Mankhwala a diuretic, contracitive, glucocosteroid, calcium blockers, Phenothiazine - akagwiritsidwa ntchito limodzi ndi Galvus Met, amatha kuyambitsa hypoglycemia. Kugwiritsa ntchito osachepera 100 mg a Chlorpromazine pamodzi ndi Galvus Met patsiku, mutha kuwonjezera glycemia, komanso kuchepetsa kupanga insulin.

Pogwiritsa ntchito radiopaque wothandizira ndi ayodini nthawi yanthawi yamankhwala, lactic acidosis imayamba kupanga, yomwe imathandizidwa ndi kulephera kwa aimpso. Ngati mumwa mankhwala omwe amakhala ndi ethyl mowa nthawi yomweyo, ngozi ya lactic acidosis imakulanso.

Galvus Met ali ndi fanizo lotsatirali lazopanga zoweta: Avandamet, Glimecomb ndi Combogliz Prolong.

Avanta imakhala ndi zinthu ziwiri zogwira ntchito - Rosiglitazone ndi Metformin. Mankhwalawa amagwiritsidwa ntchito pochiza matenda enaake omwe amadzisokoneza. Rosiglitazone imawonjezera chidwi cha maselo kuti apange insulin, ndipo Metformin imachepetsa kaphatikizidwe ka shuga ndi chiwindi.

Glimecomb imapangidwa ndi Metformin ndi Glyclazide, yomwe imakupatsani mwayi wokhazikika wa shuga. Imavomerezeka kuti igwiritsidwe ntchito ndi mtundu wa matenda a shuga omwe amadalira inshuwaransi, chikomokere, kuyamwa, etc.

Comboglyz Prolong imakhala ndi Metformin ndi Saxagliptin. Amagwiritsidwa ntchito pothana ndi matenda a shuga a 2, pomwe sizingatheke kuchepetsa shuga ndi zakudya komanso zolimbitsa thupi. Iwo ali osavomerezeka kugwiritsa ntchito tsankho kwa zinthu zomwe zimakhalamo, matenda a shuga omwe amadalira odwala, ana, pakakhala nthawi yobereka.

ali ndi mwayi wotsika wolumikizana ndi mankhwala.

Popeza Galvus si gawo lapansi la ma enzymes a cytochrome P (CYP) 450, komanso sateteza kapena kulimbikitsa ma enzyme amenewa, kulumikizana kwa Galvus ndi mankhwala omwe ali ophatikizidwa, ma inhibitors, kapena inducers a P (CYP) 450 ndiwokayikitsa.

Pogwiritsa ntchito nthawi yomweyo vildagliptin sikukhudzanso kuchuluka kwa kagayidwe kazakudya kamene kamakhala mu ma enzyme: CYP1A2, CYP2C8, CYP2C9, CYP2C19, CYP2D6, CYP2E1 ndi CYP3A4 / 5.

Palibe kuyanjananso kwakanema kwa Galvus ndi mankhwalawa omwe amagwiritsidwa ntchito kwambiri pochiza matenda amtundu wa 2 shuga mellitus (glibenclamide, pioglitazone, metformin) kapena kukhala ndi masanjidwe ocheperako achire (amlodipine, digoxin, ramipril, simvastatin, valsartan, warfarin).

Kuti muchepetse mavuto, tikulimbikitsidwa kuti timwe pakudya. Mulingo wofunikira kwambiri ndi zana limodzi mg / tsiku.

Mlingo wa Galvus Met amasankhidwa ndi adotolo mosamalitsa payekhapayekha, potengera momwe magawo amagwiritsidwira ntchito komanso kulolera kwawo ndi wodwala.

Pa gawo loyambirira la mankhwala, osagwiritsa ntchito vildagliptin, mlingo umayikidwa, kuyambira piritsi limodzi la 50/500 mg kawiri pa tsiku. Ngati mankhwala ali ndi zotsatira zabwino, ndiye kuti mankhwalawa amayamba kukula pang'onopang'ono.

Kumayambiriro kwa mankhwalawa ndi mankhwala a shuga a Galvus Met, osagwiritsa ntchito metformin, kutengera mlingo womwe watenga kale, mlingo umayambira kuyambira piritsi limodzi la 50/500 mg, 50/8 mg kapena 50/1000 mg piritsi limodzi patsiku. tsiku.

M'magawo oyamba a chithandizo ndi Galvus Met, odwala omwe amathandizidwa kale ndi metformin ndi vildagliptin, kutengera mlingo womwe adamwa kale, amalamula kuti atenge mlingo woyandikira momwe mungathere 50/500 mg, 50/50 mg kapena 50/1000 mg kapena awiri kamodzi patsiku.

Mlingo woyambirira wa mankhwalawa "Galvus Met" kwa anthu omwe ali ndi mtundu wachiwiri wa matenda osokoneza bongo chifukwa kulibe mphamvu ya masewera olimbitsa thupi ndi zakudya monga chithandizo choyambirira ndi 50/500 mg kamodzi patsiku. Ngati mankhwala ali ndi zotsatira zabwino, ndiye kuti mankhwalawa amayamba kuchuluka mpaka 50/100 mg kawiri patsiku.

Monga momwe Galvus Met analangizira, pophatikiza mankhwala othandizira ndi insulin, mlingo woyenera ndi 50 mg kawiri patsiku.

Mankhwala sayenera kugwiritsidwa ntchito ndi anthu omwe ali ndi vuto laimpso kapena kulephera kwa aimpso.

Popeza mankhwalawa amachotsedwa impso, kwa odwala omwe ali ndi zaka zopitilira 65 omwe amachepetsa mphamvu ya impso, Galvus Met adayikidwa kuti atenge ndi mlingo wochepa, womwe uthandize kuti matenda a shuga asinthe. Kuwunikira pafupipafupi kwa impso ndikofunikira.

Kugwiritsira ntchito kumatsutsana kwa ana, chifukwa magwiridwe antchito ndi chitetezo cha ana sichidaphunziridwe kwathunthu.

The fanizo la "Galvus Meta" mu gulu la mankhwalawa ndi monga:

"Avandamet" - ndi othandizira a hypoglycemic okhala ndi zigawo zikuluzikulu ziwiri - metformin ndi rosiglitazone. Mankhwala amapatsidwa mankhwala ochizira matenda a shuga. Metformin cholinga chake ndikulepheretsa kaphatikizidwe ka glucose m'chiwindi, ndi rosiglitazone - kukulitsa chidwi cha cell receptors ku insulin. Mtengo wapakati wa mankhwala ndi ma ruble 210 pa paketi imodzi ya mapiritsi a 56 mu 500 mg mg. Analogs "Galvus Met" ayenera kusankhidwa ndi dokotala.
Glimecomb amathanso kutulutsa ndende ya glucose. Mankhwalawa ali ndi metformin ndi gliclazide. Mankhwalawa amatsutsana ndi odwala matenda a shuga a insulin, anthu omwe ali ndi chikomokere, amayi apakati, omwe ali ndi vuto la hypoglycemia ndi zina. Mtengo wapakati wa mankhwala ndi ma ruble 450 pakiti iliyonse ya mapiritsi 60.
"Combogliz Prolong" - ili ndi metformin ndi saxagliptin. Mankhwala ndi mankhwala wachiwiri mtundu wa matenda ashuga, pambuyo kupanda mphamvu ya olimbitsa thupi ndi zakudya. Mankhwalawa adapangidwa kwa anthu omwe ali ndi hypersensitivity pazinthu zikuluzikulu zomwe amapanga mankhwalawa, mawonekedwe omwe amadalira matenda a shuga, okhala ndi mwana, ana, komanso vuto la impso ndi chiwindi. Mtengo wapakati wa mankhwala ndi ma ruble 2,900 pakompyuta iliyonse ya mapiritsi 28.

Poyerekeza ndi maziko a chithandizo chophatikiza, zotsatira za kuyanjana ndi mankhwala monga digoxin, warfarin, ramipril ndi metformin, pioglitazone, amlodipine ndi simvastatin, valsartan ndi glibenclamide sizinapezeke.

Ngati mutenga "Galvus" ndi glucocorticosteroids, thiazides, sympathomimetics, komanso mankhwala a mahomoni, ntchito ya hypoglycemic ya vildagliptin imachepetsedwa kwambiri. Panthawi ya makonzedwe apakati ndi angiotensin otembenuza enzyme zoletsa, angioedema angayambe. Izi sizitanthauza kuti mankhwalawa athetsedwe, chizindikirocho chizingochita pakokha.

Ndi matenda a shuga a II omwe amapita patsogolo, mankhwala ndiofunikira. Madokotala ambiri amalimbikitsa "Januvia" kwa odwala. Malangizo ogwiritsira ntchito mapiritsi a Januvia akuti chida ichi chimakupatsani mwayi wolamulira kuthamangitsidwa kwa glucose m'thupi la odwala matenda ashuga.

Kupanga ndi mawonekedwe a kumasulidwa

Mankhwala amapezeka monga mapiritsi. Amakhala ozungulira, ofiira apinki, mthunzi wa beige umawoneka. Piritsi lililonse pamakhala chizindikiro:

"221" - ngati mulingo wambiri wa 25 mg,
"112" - 50 mg,
"277" - 100 mg.

Chofunikira chachikulu ndi mankhwala sitagliptin (phosphate monohydrate yake).

Mapiritsi amayikidwa m'matumba.

Zotsatira zamatsenga

Kutanthauza "Januvia" kumatanthauza gulu la mankhwala opangidwa ndi hypoglycemic. Mankhwala ndi incretin, choletsa DPP-4.

Ikugwiritsidwa ntchito mochizira matenda a shuga II. Mukamamwa, pali kuwonjezeka kwa ma protein omwe amagwira ntchito, kukondoweza kwa zomwe akuchita.

Maselo a pancreatic amalimbikitsa kapangidwe ka insulin. Nthawi yomweyo, secretion ya glucagon imapanikizika - chifukwa chake, mulingo wa glycemia umachepa.

Matenda a shuga a Mtundu Wachiwiri ndiwo mtundu wa metabolic ofala kwambiri. Pali mankhwala ambiri (pamenepa, mapiritsi) omwe amalembedwa ndi madokotala a matenda amtundu wa II: ndikofunikira kuti aliyense wodwala matenda ashuga komanso munthu yemwe akuyembekezeka matendawa amvetsetse kapena kuti akhale ndi lingaliro lazonse pazokhudza matendawa.

Zambiri za matenda a shuga

Osati nthawi yomweyo akamazindikira matendawa, madokotala amatenga mankhwala. Pachigawo choyamba, achire zotsatira zimachitika pogwiritsa ntchito zakudya, kusintha kwaumoyo, ndi njira zina. Komabe, nthawi zambiri mankhwalawa a shuga a mtundu wachiwiri omwe amapita patsogolo amapita popanda mankhwala.

Chithandizo cha matenda a shuga a mtundu I sichitanthauza kuti kugwiritsa ntchito mankhwala osokoneza bongo pokhapokha. Pazomwe zimachitika kawirikawiri, mapiritsi ngati Siofor kapena Glucofage amagwiritsidwa ntchito ngati 1 shuga kwa odwala omwe ali ndi kunenepa kwambiri. Mulimonsemo, nkhaniyo imasankhidwa ndi adotolo.

Vildagliptin samakonda kucheza ndi mankhwala ena.

Metformin imatha kuyanjana ndi mankhwala ambiri otchuka, makamaka mapiritsi othamanga kwa magazi ndi mahomoni a chithokomiro. Lankhulani ndi dokotala wanu! Muuzeni za mankhwala onse omwe mumamwa musanapatsidwe mankhwala othandizira odwala matenda ashuga.

Zizindikiro zogwiritsidwa ntchito

Mankhwala ayenera kumwedwa pakamwa ponse osatafuna.

Pofuna kusiyanitsa kukula kwa zoyipa, ndibwino kumwa mankhwalawo panthawi ya chakudya.

Dokotala amakhazikitsa muyeso wofunikira kwa wodwala aliyense, kuyambira pa lingaliro lake la kuchuluka kwa kuchuluka kwa shuga, zomwe wodwalayo adachitapo chithandizo kale komanso ngati zinali zothandiza.

Mlingo wofanana ndi piritsi limodzi kawiri patsiku, m'mawa ndi madzulo. Ngati mlingo umakhala kamodzi patsiku, ndiye kuti muyenera kumwa mankhwalawa m'mawa.

Mukamapereka mankhwala a Galvus, malangizo omwe angagwiritsidwe ntchito amalola wodwalayo kudziwa zomwe akuwonetsa pogwiritsa ntchito chida ichi. Chachikulu ndi matenda ashuga 2:

Mankhwalawa ndi okhawo omwe amatha kupereka zotsatira zothandizira mankhwalawa. Komabe, zimaperekedwa pokhapokha ngati, kuwonjezera pa mankhwala, chakudya chimatsatiridwa, ndipo kuwonjezera pa izi, moyo wa wodwala wokwanira umatsagana ndi zochitika zolimbitsa thupi,
gwiritsani ntchito chida ichi kuphatikiza ndi Metformin koyambirira kwa mankhwala, mukamadya, komanso kuchuluka kwa zochitika zolimbitsa thupi sizinabweretse zotsatira zomwe mukufuna,
Amalembedwa kwa odwala omwe agwiritsa ntchito m'malo mwa mankhwalawa omwe ali ndi zinthu monga vildagliptin ndi metformin,
kwa zovuta kugwiritsa ntchito mankhwala omwe ali ndi vildagliptin ndi metformin monga zigawo zikuluzikulu, komanso kuphatikizira kwa sulfonylurea kapena insulin zotengedwa mu regimen yothandizira,
Galvus imagwiritsidwa ntchito pazochitika zomwe zimapangitsa kuti mphamvu ya monotherapy ikhale yotsika kwambiri, komanso pamene kudya komanso kupezeka kwa zochitika zolimbitsa thupi m'moyo wa wodwala sikupereka zotsatira zomwe mukufuna,
monga chithandizo chapatatu, ngati kugwiritsa ntchito mankhwala okhala ndi sulfonylurea ndi zotumphukira za metformin, zomwe zimagwiritsidwa ntchito m'mbuyomu pokhapokha ngati wodwala azitsatira kadyedwe kenakake komanso kukhalapo kokwanira machitidwe olimbitsa thupi, sanapereke zotsatira zoyenera,
monga mankhwala othandizira katatu, pomwe mphamvu ya mankhwala omwe amapezeka ndi metformin ndi insulin, mothandizidwa ndi zakudya zina ndi zolimbitsa thupi, inali yochepa.

Pambuyo pakuzindikira, katswiri aliyense payekha amasankha mtundu wa mankhwalawa pochiza matenda ashuga. Mukamasankha kuchuluka kwa mankhwalawa, amachokera makamaka ku zovuta kwa matendawa, komanso amagwirizana ndi kulekerera kwa mankhwalawo.

Wodwala sangathe kuwongolera ndi chakudya panthawi ya Galvus. Omwe adakhalapo okhudzana ndi ndemanga za Galvus akuwonetsa kuti atazindikira kuti ali ndi matenda a shuga a 2, akatswiri ndi oyamba kupereka mankhwala awa.

Mukamapangira mankhwala ovuta, kuphatikiza metformin, thiazolidinedione kapena insulin, Galvus amatengedwa pa mlingo wa 50 mpaka 100 mg patsiku. Ngati wodwalayo ali ndi vuto lalikulu, ndiye kuti insulini imagwiritsidwa ntchito kuonetsetsa kuti migwirizano yama shuga a magazi. Zikatero, mulingo woyenera wa mankhwalawa sayenera kupitirira 100 mg.

Ngati dokotala watumiza njira yothandizirana ndi mankhwalawa yomwe imaphatikizapo kumwa mankhwala angapo, mwachitsanzo, Vildagliptin, zotumphukira za sulfonylurea ndi Metformin, pamenepa mlingo wa tsiku lililonse uyenera kukhala 100 mg.

Akatswiri othandizira kuthetsa matendawa ndi Galvus amalimbikitsa kumwa 50 mg wa mankhwalawa kamodzi m'mawa. Madokotala amalimbikitsa kugawa muyezo wa 100 mg mu mgawo iwiri.

50 mg iyenera kumwa m'mawa ndi kuchuluka komweko kwamankhwala. Ngati wodwala walephera kumwa mankhwalawo pazifukwa zina, ndiye kuti izi zitha kuchitika posachedwa.

Dziwani kuti mulibe vuto lililonse kuti mulingo womwe dokotala akutsimikiza adutsenso.

Ngati matenda amathandizidwa ndi mankhwala awiri kapena angapo, mlingo wa tsiku ndi tsiku sayenera kupitirira 50 mg. Izi zikuchitika chifukwa chakuti, kuphatikiza pa Galvus, mankhwala ena nawonso amatengedwa, kuchitapo kanthu kwa mankhwala akulu kumakulitsa. Zikatero, mlingo wa 50 mg umafanana ndi 100 mg ya mankhwalawa pa monotherapy.

Ngati mankhwalawa sabweretsa zotsatira zomwe akufuna, akatswiri amawonjezera mlingo mpaka 100 mg patsiku.

Analogue yomwe ili ndi gulu lofananira momwe limapangidwira ndi Galvus Met. Pamodzi ndi izo, madokotala nthawi zambiri amamulembera Vildaglipmin.

- monga monotherapy kuphatikiza mankhwala ochizira komanso masewera olimbitsa thupi,

- monga gawo limodzi la magawo awiri ophatikizira mankhwala ndi metformin, zotumphukira za sulfonylurea, thiazolidinedione, kapena insulini popewa kugwiritsa ntchito mankhwalawa moyenera, kuchita masewera olimbitsa thupi komanso monotherapy ya mankhwalawa.

Kutengedwa pakamwa, ngakhale zakudya.

Mlingo wa mankhwalawa wa mankhwalawa uyenera kusankhidwa payekha kutengera momwe umagwirira ntchito komanso kulolera.

Mlingo wovomerezeka wa mankhwalawa panthawi ya monotherapy kapena ngati gawo limodzi la mankhwala ophatikizika awiri, metazin, thiazolidinedione kapena insulin ndi 50 mg kapena 100 mg patsiku.

Odwala omwe ali ndi matenda oopsa a 2 omwe alandila chithandizo cha insulin, Galvus amalimbikitsidwa pa 100 mg / tsiku.

Mlingo wa 50 mg / tsiku uyenera kuperekedwa mu gawo limodzi m'mawa. Mlingo wa 100 mg / tsiku uyenera kutumikiridwa 50 mg kawiri pa tsiku m'mawa komanso madzulo.

Ikagwiritsidwa ntchito ngati gawo limodzi la magawo awiri ophatikizika ndi mankhwala a sulfonylurea, mlingo woyenera wa Galvus ndi 50 mg 1 nthawi patsiku m'mawa.

Mankhwala akaphatikizana ndi mankhwala a sulfonylurea, kugwiritsa ntchito bwino mankhwala pamlingo wa 100 mg / tsiku anali ofanana ndi mlingo wa 50 mg / tsiku.

Ndi osakwanira kachipatala motsutsana ndi maziko ogwiritsa ntchito mlingo wapamwamba wa tsiku lililonse wa 100 mg, kuti muthane ndi vuto la glycemia, mankhwala ena a hypoglycemic ndiwothekanso: metformin, zotumphukira za sulfonylurea, thiazolidinedione kapena insulin.

Odwala omwe ali ndi vuto la chiwindi kapena impso

Odwala omwe ali ndi vuto laimpso wofatsa komanso kwa chiwindi, kusintha kwa mlingo sikofunikira.

Odwala a zaka ≥65 zaka

Odwala okalamba, kukonza mtundu wa Galvus sikofunikira.

Gwiritsani ntchito odwala aged18 zaka

Popeza palibe zomwe zachitika ndi Galvus mwa ana ndi achinyamata osakwana zaka 18, sizikulimbikitsidwa kugwiritsa ntchito mankhwalawa m'gulu la odwala.

Mankhwala amagwiritsidwa ntchito pochiza mtundu wachiwiri wa matenda a shuga:

Ndi monotherapy, kuphatikizapo zakudya komanso kuchita masewera olimbitsa thupi,
kwa odwala omwe kale amathandizidwa ndi metformin ndi vildagliptin ngati mankhwala amodzi,
pa gawo loyambirira la mankhwala, kuphatikiza ndi metformin (pakadalibe mphamvu ya physiotherapy ndi zakudya),
kuphatikiza ndi sulfonylurea, insulini, metformin ndi kusagwira bwino ntchito kwa physiotherapy, zakudya ndi monotherapy ndimankhwala awa.
ndi metformin ndi sulfonylurea kwa odwala omwe adachitapo kale mankhwala ophatikizira ndi mankhwalawa koma sanakwanitse kuwongolera glycemic,
pamodzi ndi insulin ndi metformin kwa odwala omwe adachitapo kale mankhwala osakanikirana ndi mankhwalawa ndipo sanafike pakulamulira kwa glycemic.

Izi zikuwonetsedwa ndi buku lothandizira la Galvus Met.

Kukonzekera komwe kuli ndi metformin kumalimbikitsidwa kuti kugwiritsidwa ntchito mosamala kwa odwala azaka zopitilira 60 pochita masewera olimbitsa thupi, chifukwa chowonjezera chiopsezo chokhala ndi lactic acidosis mwa iwo.

Machitidwe a Galvus amatengera zomwe zimachitika chifukwa cha ma impretins. Awa ndi mahomoni omwe amapangidwa m'thupi atatha kudya. Zimapangitsa secretion ndi kumasulidwa kwa insulin. Vildagliptin mu kapangidwe ka Galvus amachulukitsa zochita za imodzi mwazakudya - glucagon-peptide-1. Malinga ndi gulu la zamankhwala, mankhwalawo ndi a DPP-4 zoletsa.

Mankhwalawa amapangidwa ndi kampani yaku Swiss ya Novartis Pharma, mkombero wonse wopanga uli ku Europe. Vildagliptin adalembetsa mu registry yama Russian mankhwala posachedwapa, mu 2008. Kwazaka khumi zapitazi, zopambana pakugwiritsa ntchito mankhwalawa zadziwikiratu, zidaphatikizidwa mndandanda wazofunikira.

Mwachizolowezi, tsopano aliyense wodwala matenda ashuga a mtundu wa 2 atha kulandira ufulu. Mwakuchita izi, kuikidwa kotere ndikosowa, popeza mankhwalawa ndi okwera mtengo kwambiri. Chithandizo chapakati cha Galvus chaka chilichonse ndi ma ruble 15,000. okwera mtengo kuposa muyezo.

The endocrinologist ayenera kudziwa mankhwala othandiza kwambiri. Amasankhidwa payekhapayekha, poganizira momwe wodwalayo alili, gawo la nthendayo komanso kaperekedwe ka mankhwala ena. Mutha kumwa mapiritsi musanadye, ndipo pambuyo pake, chinthu chachikulu ndikumwa madzi ambiri. Ngati m'matumbo mwachitika, ndibwino kuti mudye pakudya.

Mosasamala mtundu wa mankhwala omwe amaperekedwa (mono - kapena kuphatikiza), kawirikawiri mlingo wa yogwira ndi 50-100 mg patsiku. Mulingo woyenera kwambiri wa 100 mg umaperekedwa makamaka mu milandu yayikulu, pomwe uyenera kugawidwa m'magawo awiri - m'mawa ndi madzulo. Monga mankhwala owonjezera, insulin, metformin ndi sulfonylurea zotumphukira zitha kulembedwa.

Pankhani ya chiwindi ndi impso ntchito, pazipita mlingo tsiku lililonse amachepetsa mpaka makumi asanu kuti muchepetse katundu pazinthu zowonjezera.

Mankhwala "Galvus" akuwonetsedwa ngati matenda amitundu iwiri. Mankhwalawa amamwa kumwa piritsi limodzi m'mawa uliwonse, kapena piritsi limodzi kawiri patsiku (m'mawa ndi madzulo). Palibe kusiyana pakumwa mankhwala musanadye kapena musanadye. Njira yogwiritsira ntchito "Galvus" iyenera kusankhidwa palokha, poganizira nthawi yogwira ntchito komanso kulolerana.

Ikani mankhwalawa pakamwa, pakumwa piritsi ndi madzi okwanira. Mlingo wa mankhwalawa sayenera kupitirira 100 mg patsiku.

Mankhwala "Galvus" amagwiritsidwa ntchito ngati:

monotherapy, kuphatikiza ndi zakudya komanso osati amphamvu, koma kuchita masewera olimbitsa thupi nthawi zonse (mwachitsanzo, zakudya za "Galvus" ndizoseweretsa),
chithandizo choyambirira cha matenda osokoneza bongo omwe amaphatikizidwa ndi mankhwala ochepetsa shuga a Metformin, pamene kudya ndi kuchita masewera olimbitsa thupi sizimapereka zotsatira zabwino (mwachitsanzo, "Galvus" masewera a Metformin zakudya),
chithandizo chovuta limodzi ndi mankhwala ochepetsa shuga kapena insulin, ngati kudya, kuchita masewera olimbitsa thupi komanso chithandizo ndi Metformin / insulin yokhayo sizithandiza (mwachitsanzo, "Galvus" Metformin kapena zotumphukira za sulfonylurea, kapena thiazolidinedione, kapena zakudya zamasewera a insulin),
Kuphatikiza mankhwala: sulfonylurea ofanana ndi Metformin "Galvus" maphunziro olimbitsa thupi, pomwe chithandizo chofanana, koma popanda "Galvus" sichinapereke zotsatira,
mankhwalawa: Metformin insulin "Galvus", pomwe kale mankhwala omwewo, koma popanda "Galvus" sanapereke chiyembekezo.

Anthu odwala matenda ashuga amagwiritsa ntchito mankhwalawa:

monotherapy - 50 mg / tsiku (m'mawa) kapena 100 mg / tsiku (i. 50 mg m'mawa ndi madzulo),
Metformin "Galvus" - 50 mg 1 kapena 2 pa tsiku,
Galvus sulfonylurea zotumphukira - 50 mg / tsiku (1 nthawi patsiku, m'mawa),
thiazolidinedione / insulin (imodzi mwatsatanetsatane) "Galvus" - 50 mg 1 kapena 2 kawiri patsiku,
Sulfonylurea zotumphukira Metformin "Galvus" - 100 mg / tsiku (mwachitsanzo 2 kawiri patsiku, 50 mg, m'mawa ndi madzulo),
Metformin insulin "Galvus" - 50 mg 1 kapena 2 pa tsiku.

Mukamatenga Galvus ndi kukonzekera kwa sulfonylurea, mlingo wotsiriza uyenera kuchepetsedwa kuti muchepetse kukula kwa hypoglycemia!

Zoyenera, mukamamwa mankhwalawa kawiri patsiku, muyenera kumwa mapiritsi ena 12 maola atatha. Mwachitsanzo, nthawi ya 8 am iwo adatenga piritsi limodzi (50 mg) ndipo nthawi ya 8 pm iwo amatenga piritsi limodzi (50 mg). Zotsatira zake, 100 mg ya mankhwalawa amatengedwa patsiku.

Mlingo wa 50 mg amatengedwa nthawi imodzi, osagawika pawiri.

Ngati mulingo womwewu sukupereka zotsatira zabwino, ngakhale kuti ndimachangu chovuta, ndiye kuti ndikofunikira kuwonjezera mankhwala ena, koma ndizosatheka kuwonjezera kuchuluka kwa "Galvus" oposa 100 mg / tsiku!

Anthu odwala matenda ashuga omwe ali ndi matenda ofatsa a ziwalo za parenchymal (i.e., impso kapena chiwindi) nthawi zambiri amagwiritsa ntchito Mlingo wa 50 mg. Anthu omwe ali ndi zilema zoopsa (ngakhale atakhala ndi mawonekedwe a matenda a impso kapena chiwindi), Galvus, monga lamulo, silomwe limasankhidwa.

Mwa okalamba (kuyambira zaka 60 kapena kupitirira), Mlingo wa mankhwalawa ndiwofanana ndi wa achinyamata. Komabe, nthawi zambiri, anthu achikulire amalamulidwa kumwa 50 mg kamodzi patsiku.

Mulimonsemo, mankhwalawa "Galvus" ayenera kugwiritsidwa ntchito mosamalitsa ndikuyang'aniridwa ndi dokotala.

Achinyamata a 2 odwala matenda ashuga, i.e. Ana ndi achinyamata azaka zosakwana ambiri sayenera kumwa mankhwalawa, chifukwa sanayesedwe pa gulu la anthu azaka zam'mbuyomu panthawi yoyesedwa.

Amayi omwe ali ndi mwana wosabadwa saloledwa kugwiritsa ntchito mankhwalawa. M'malo mwake, amatha kugwiritsa ntchito mankhwala a mahomoni achizolowezi (i.e. insulin).

Komabe, zomwe takumana nazo madotolo zimawonetsa kuti palibe zoyipa pakukula kwa pakati pa 50 mg patsiku, komabe ndibwino kukana kugwiritsa ntchito mankhwalawa ngati zingatheke. Chifukwa chake, kugwiritsa ntchito kwa "Galvus" ndi azimayi oyembekezera kungathekebe, koma pothandizidwa ndi akatswiri.

Reception Galvus Meta akuwonetsedwa mu milandu yotsatirayi:

Ndi mtundu 2 wa matenda ashuga, pamene njira zina zakachiritsira zalephera,
ngati mankhwala osagwiritsidwa ntchito ndi metformin kapena vildagliptin ngati mankhwala osiyana,
pomwe wodwalayo adagwiritsa ntchito mankhwala omwe ali ndi ziwalo zofananira,
Mankhwala ovuta a shuga limodzi ndi mankhwala ena a hypoglycemic kapena insulin.

Malangizo ogwiritsira ntchito akuwonetsa kuti Galvus Met imagwiritsidwa ntchito mkati. Mlingo wothandizila uyenera kusankhidwa payekha kutengera kuthekera ndi chithandiziro chamankhwala. Mukamagwiritsa ntchito Galvus Met, musapitirire mlingo wovomerezeka wa tsiku ndi tsiku wa vildagliptin (100 mg).

Mlingo woyambirira wa Galvus Met uyenera kusankhidwa poyerekeza kutalika kwa matenda ashuga ndi mseru wa glycemia, mkhalidwe wa wodwalayo komanso mtundu wa chithandizo cha vildagliptin ndi / kapena metformin yomwe imagwiritsidwa kale ntchito kwa wodwala. Kuchepetsa zovuta zoyipa kuchokera ku ziwalo zam'mimba zofunikira za metformin, Galvus Met imatengedwa ndi chakudya.

Mlingo woyamba wa mankhwala a Galvus Met osagwira ntchito ya monotherapy ndi vildagliptin:

Kuchiza ndi Galvus Met kumatha kuyamba ndi piritsi limodzi lokha ndi 50 mg 500 mg kawiri pa tsiku, mutawunika momwe mankhwalawo amathandizira, mlingo umatha kuwonjezeka pang'onopang'ono.

Mlingo woyamba wa mankhwala a Galvus Met osagwira ntchito ya monotherapy ndi metformin:

Kutengera mlingo wa metformin womwe watengedwa kale, chithandizo ndi Galvus Met chitha kuyamba ndi piritsi limodzi lokha ndi 50 mg 500 mg, 50 mg 850 mg kapena 50 mg 1000 mg 2 / tsiku.

Mlingo woyambirira wa Galvus Met mwa odwala omwe adalandira kale mankhwala osakanikirana ndi vildagliptin ndi metformin mwa mapiritsi osiyana:

Kutengera Mlingo wa vildagliptin kapena metformin womwe watengedwa kale, chithandizo ndi Galvus Met chiyenera kuyamba ndi piritsi lomwe lili pafupi kwambiri ndi kuchuluka kwa mankhwalawa, 50 mg 500 mg, 50 mg 850 mg kapena 50 mg 1000 mg, ndikusintha mankhwalawa kutengera mphamvu yake.

Monga mankhwala oyambira, mankhwalawa Galvus Met ayenera kugwiritsidwa ntchito koyamba mlingo wa 50 mg 500 mg 1 nthawi / tsiku, ndipo mutasanthula njira zochizira, pang'onopang'ono muonjezere mlingo mpaka 50 mg 1000 mg 2 / tsiku.

Kuphatikiza mankhwala ndi Galvus Met ndi sulfonylurea zotumphukira kapena insulin:

Mlingo wa Galvus Met amawerengedwa pamaziko a mlingo wa vildagliptin 50 mg x 2 nthawi / tsiku (100 mg patsiku) ndi metformin pa mlingo wofanana ndi womwe kale umagwiritsidwa ntchito ngati mankhwala amodzi.

Metformin imachotsedwa impso. Popeza odwala omwe ali ndi zaka zopitilira 65 amakhala ndi vuto laimpso, muyeso wa Galvus Met mwa odwalawa uyenera kusinthidwa potengera zomwe zikuwonetsa kuti aimpso. Mukamagwiritsa ntchito mankhwalawa odwala omwe ali ndi zaka zopitilira 65, ndikofunikira kuwunika nthawi zonse aimpso.

Chizindikiro chachikulu chogwiritsidwa ntchito ndi mtundu wa 2 shuga.

Pali zochitika zingapo pamene muyenera kugwiritsa ntchito chida ichi:

mu mawonekedwe a monotherapy,
mukumwa mankhwala a Vildagliptin ndi Metformin, omwe amagwiritsidwa ntchito ngati mankhwala athunthu,
kugwiritsa ntchito mankhwalawa limodzi ndi othandizira omwe amachepetsa shuga ya magazi ndipo muli sulfanyl urea,
kugwiritsa ntchito mankhwala limodzi ndi insulin,
Kugwiritsa ntchito mankhwalawa ngati chofunikira pothandizira pa matenda a shuga a 2, pomwe zakudya zamthupi sizikuthandizaninso.

Zotsatira zakugwiritsa ntchito mankhwalawa zimawunikidwa ndi kuchepa kwakukhazikika kwa kuchuluka kwa shuga m'magazi.

Mowa kugwiritsa ntchito mankhwala sayenera:

tsankho kwa odwala kapena chidwi chachikulu ndi zigawo za chipangizo chachipatala,
mtundu 1 shuga
Pamaso pa opareshoni ndi njira ya x-ray, njira yodziwira matenda a radiotope,
ndimatenda a metabolic, ma ketoni akapezeka m'magazi,
kusokoneza ntchito ya chiwindi ndi kulephera kunayamba,
aakulu kapena owonda mtima kapena kupuma,
poyizoni woledzera,
zakudya zoperewera zopatsa mphamvu
mimba ndi mkaka wa m`mawere.

Musanayambe kumwa mapiritsi, muyenera kuonetsetsa kuti palibe zotsutsana.

Musanayambe mankhwala ndi mankhwalawa, ndikofunikira kuti mudziwe zolakwika zomwe zimapezeka mu malangizo a Galvus. Izi zikuphatikiza ndi izi:

kupezeka kwa sayanjana kapena kusalolera pazinthu zomwe ndi gawo lamankhwala.
kukhalapo kwa matenda a impso, kulephera kwa impso kapena kuphwanya ntchito yawo,
Matenda a wodwalayo, omwe angayambitse kuwonongeka kwa impso,
matenda a mtima
matenda kupuma
kudzikundikira m'thupi la wodwalayo kuchuluka kwa lactic acid,
kumwa kwambiri, poizoni,
Zakudya zopatsa thanzi zomwe zopatsa mphamvu zopatsa mphamvu sizidakwanitsa zopitilira 1000 patsiku,
zaka odwala. Madokotala nthawi zambiri samapereka mankhwalawa kwa anthu omwe sanakwanitse zaka 18. Kwa odwala opitirira zaka 60, mankhwalawa amalimbikitsidwa kuti azimuyang'aniridwa ndi adokotala.

ndi chidwi chowonjezeka cha vildagliptin ndi mankhwala ena aliwonse.

Kuchita bwino komanso chitetezo cha mankhwalawa kwa ana osaposa zaka 18 sizinakhazikitsidwe.

Ndi chisamaliro

sikulimbikitsidwa kuti mugwiritse ntchito odwala omwe ali ndi vuto la chiwindi kwambiri, kuphatikiza odwala omwe ali ndi chiwindi michere (AlAt kapena AsAt)