Diabeteson MV 60 mg: malangizo ogwiritsira ntchito, mtengo, ndemanga

Diabeteson MV: malangizo ogwiritsa ntchito ndi kuwunika

Dzina lachi Latin: Diabeteson mr

Code ya ATX: A10BB09

Chithandizo chogwira: Gliclazide (Gliclazide)

Wopanga: Les Laboratoires Mtumiki (France)

Sinthani mafotokozedwe ndi chithunzi: 12.12.2018

Mitengo muma pharmacies: kuchokera ku 188 rubles.

Diabeteson MV ndi mankhwala osinthika otulutsidwa a hypoglycemic.

Kutulutsa mawonekedwe ndi kapangidwe kake

Fomu ya Mlingo - mapiritsi okhala ndi masinthidwe osintha: oval, oyera, biconvex, Diabeteson MV 30 mg - mbali imodzi yolemba "DIA 30", mbali inayi - logo ya kampani, Diabeteson MV 60 mg - ndi notch, mbali zonse ziwiri zolemba "DIA 60 "(Ma PC 15. Mumatumba, pamatabwa 2 kapena matuza 4, ma PC 30. M'matumba, pamatabwa a makatoni 1 kapena 2 matuza).

Piritsi 1:

• yogwira mankhwala: gliclazide - 30 kapena 60 mg,
• othandizira: calcium hydrogen phosphate dihydrate - 83.64 / 0 mg, hypromellose 100 cP - 18/160 mg, hypromellose 4000 cP - 16/0 mg, magnesium stearate - 0.8 / 1.6 mg, maltodextrin - 11.24 / 22 mg, anhydrous colloidal silicon dioxide - 0,32 / 5.04 mg, lactose monohydrate - 0 / 71.36 mg.

Mankhwala

Gliclazide ndi sulfonylurea yotumphukira, mankhwala amkamwa a hypoglycemic omwe amasiyanitsa ndi mankhwala ofanana ndi kukhalapo kwa mphete ya heterocyclic ya N yokhala ndi endocyclic.

Glyclazide imathandizira kuchepetsa kuchuluka kwa shuga m'magazi, imathandizira kubisalira kwa insulin ndi β-maselo a islets a Langerhans. Kuwonjezeka kwa kuchuluka kwa postprandial insulin ndi C-peptide kumapitirira pambuyo zaka 2 ntchito mankhwalawa. Kuphatikiza pa kukhudza kagayidwe kazakudya, michereyo imakhudzanso mtima.

Mtundu wachiwiri wa matenda a shuga, Diabeteson MV imabwezeretsa chiyambi cha insulin choyambirira poyankha shuga, komanso imathandizanso gawo lachiwiri la insulin secretion. Kuwonjezeka kwakukulu kwa katulutsidwe kumawonedwa poyankha kukondoweza, komwe kumachitika chifukwa cha kuyambitsa kwa shuga ndi kudya.

Glyclazide amachepetsa mwayi wama cell ochepa a magazi ndi kubwezeretsa kwa fibrinolytic ntchito ya mtima endothelium.

Kuwongolera kwambiri kwa glycemic, komwe kumakhazikitsidwa ndikugwiritsa ntchito Diabeteson MV, kumachepetsa kwambiri zovuta za shuga 2 komanso mtundu wa shuga wambiri poyerekeza ndi glycemic control.

Ubwino ndi chifukwa chakuchepetsa kwakukulu pachiwopsezo chachikulu cha zovuta zazimaso, maonekedwe ndi kupitirira kwa nephropathy, kupezeka kwa macroalbuminuria, microalbuminuria ndi kukula kwa zovuta za impso.

Ubwino wakuwongolera kwambiri glycemic ndikugwiritsa ntchito Diabeteson MV sizinadalire zabwino zomwe zimapezeka ndi antihypertensive therapy.

Pharmacokinetics

• mayamwidwe: pambuyo pakamwa makonzedwe, mayamwidwe kwathunthu kumachitika. Kuchuluka kwa plasma kwa gliclazide m'magazi kumawonjezeka pang'onopang'ono m'maola 6 oyamba, msambo wa mapiri umasungidwa mu maola 6-12. Kusintha kwamunthu aliyense ndi kotsika. Kudya sizikhudzanso kuchuluka kwa mayamwa a gliclazide,
• kugawa: kumanga mapuloteni a plasma - pafupifupi 95%. Vd pafupifupi malita 30. Kulandila kwa Diabeteson MV 60 mg kamodzi patsiku kumathandizira kukonzanso kwa plasma ndende ya gliclazide m'magazi kwa maola opitilira 24,
• kagayidwe: kagayidwe amapezeka makamaka mu chiwindi. Palibe ma metabolites omwe amagwira ntchito mu plasma,
• chofufumitsa: kuchotsa theka moyo pafupifupi 12-16 maola. Kuchulukitsa kumachitika makamaka ndi impso mu mawonekedwe a metabolites, ochepera 1% omwe amachotsedwa osasinthika.

Ubale pakati pa kumwa ndi AUC (chizindikiro cha malo omwe ali pansi pa ndende / nthawi yokhotakhota) ndiwotali.

Zizindikiro zogwiritsidwa ntchito

• lembani matenda ashuga 2 omwe amachititsa kuti zinthu zina (njira zochizira zakudya, zolimbitsa thupi ndi kuchepa thupi) sizigwira ntchito mokwanira,
• zovuta za matenda a shuga a mellitus (kupewa ndi glycemic control): kuchepetsa kuchepa kwamphamvu kwa ma cell- komanso macrovascular (nephropathy, retinopathy, stroke, myocardial infarction) kwa odwala omwe ali ndi mtundu 2 matenda a shuga.

Contraindication

• mtundu 1 shuga
• matenda a shuga, matenda ashuga ketoacidosis, matenda ashuga,
• kulephera kwa hepatic / aimpso (muzochitika zotere, kugwiritsa ntchito insulin ndikulimbikitsidwa),
• kuphatikiza ndi miconazole, phenylbutazone kapena danazole,
• kobadwa nako lactose tsankho, galactosemia, galactose / shuga malabsorption matenda,
• wazaka 18
• Mimba ndi kuyamwa
• tsankho limodzi ndi zigawo zikuluzikulu za mankhwala, komanso zotumphukira za sulfonylurea, sulfonamides.

Achibale (matenda / mikhalidwe yomwe kudalirana kwa Diabeteson MV kumafunikira kusamala):

• uchidakwa
• zakudya zopanda thanzi / zopanda thanzi,
• matenda oopsa a mtima
• shuga-6-phosphate dehydrogenase akusowa,
• adrenal / pituitary kusowa,
• hypothyroidism
• glucocorticosteroid wa nthawi yayitali,
• aimpso / chiwindi kulephera,
• ukalamba.

Malangizo ogwiritsira ntchito Diabeteson MV: njira ndi mlingo

Mapiritsi a Diabeteson MV amatengedwa pakamwa, popanda kuphwanya ndi kutafuna, makamaka pakudya kwam'mawa, 1 nthawi patsiku.

Mlingo watsiku ndi tsiku umatha kusiyana 30 mpaka 120 mg (pazambiri). Amatsimikiza ndi kuchuluka kwa shuga m'magazi ndi HbA1c.

Pakadumphapo mlingo umodzi, wotsatira sungathe kuchuluka.

Njira yoyamba yolimbikitsidwa tsiku lililonse ndi 30 mg. Pankhani yoyendetsa bwino, Diabeteson MV mu mlingo uyu angagwiritsidwe ntchito pokonza mankhwala. Ndi osakwanira glycemic control (osapitirira masiku 30 atatha kuyamba kwa mankhwalawa), mlingo wa tsiku ndi tsiku ungathe kuchuluka mpaka 60, 90 kapena 120 mg. Kukula msanga kwa mankhwalawa (pambuyo masiku 14) ndikotheka kuti kuchuluka kwa glucose munthawi ya chithandizo sikunathe.

Piritsi limodzi la Diabeteson 80 mg limatha m'malo mwa Diabeteson MV 30 mg (motsogozedwa mosamala glycemic). Ndikothekanso kusintha kuchokera kwa othandizira ena am'magazi a hypoglycemic, pomwe gawo lawo ndi theka la moyo liyenera kukumbukiridwa. Nthawi yosintha nthawi zambiri sikufunikira. Mlingo woyambirira mu milandu iyi ndi 30 mg, pambuyo pake uyenera kuchepetsedwa malinga ndi kuchuluka kwa shuga m'magazi.

Mukamasintha kuchokera ku mankhwala a sulfonylurea okhala ndi moyo wautali kuti muchepetse kukula kwa hypoglycemia, yomwe imalumikizidwa ndi kuwonjezereka kwa mankhwalawa, mutha kusiya kumwa kwa masiku angapo. Mlingo woyambirira pamilandu yotereyi ulinso 30 mg ndi chiwopsezo chotsatira malinga ndi chiwembu chalongosoledwa pamwambapa.

Kugwiritsa ntchito kosakanikirana ndi biguanidines, insulin kapena α-glucosidase inhibitors ndizotheka. Ngati vuto la glycemic likukulirakulira, mankhwala owonjezera a insulin ayenera kuyikidwa ndi kuyang'aniridwa mosamala kuchipatala.

Kuchepa kofatsa / kwapakati pamiyendo, kuyenera kuchitika moyang'aniridwa ndi achipatala.

Diabeteson MV tikulimbikitsidwa kuti atenge 30 mg tsiku lililonse kwa odwala omwe ali pachiwopsezo cha hypoglycemia, chifukwa cha mikhalidwe / matenda:

• kuperewera / kuperewera kwa zakudya m'thupi,
• zovuta zowalipitsa / zovuta za endocrine, kuphatikizira kuchepa kwa pituitary ndi adrenal, hypothyroidism,
• kusiya kwa glucocorticosteroids atatha kugwiritsa ntchito nthawi yayitali komanso / kapena kutsata kwambiri, matenda oopsa a mtima, kuphatikiza kwambiri matenda amitsempha yama carotid, matenda oopsa a mtima, kufala kwa matenda a mtima.

Kuti mukwaniritse kuyang'anira kwamphamvu ya glycemic, kuwonjezeka kwapang'onopang'ono kwa mlingo mpaka pazotheka ndikutheka monga njira yowonjezera yazakudya ndi masewera olimbitsa thupi kuti mukwaniritse zomwe mukufuna mu HbA1c. Ndikofunikira kukumbukira mwayi wa hypoglycemia. Mankhwala ena a hypoglycemic, makamaka, cul-glucosidase inhibitors, metformin, insulin kapena thiazolidinedione zotumphukira, amathanso kuwonjezeredwa ku Diabeteson MV.

Zotsatira zoyipa

Monga mankhwala ena a gulu la sulfonylurea, a Diabeteson MV pa vuto la kudya kosakhazikika ndipo, makamaka, ngati chakudya chidatsitsidwa, chimayambitsa hypoglycemia. Zizindikiro zomwe zingachitike: kuchepa chidwi, kukwiya, mseru, kupuma mosachedwa, kugona kwambiri, kusanza, kutopa, kusokonezeka kwa kugona, kusachedwa poyankha, kukhumudwa, kulephera kudziletsa, chisokonezo, malankhulidwe ndi masomphenya, aphasia, paresis , kunjenjemera, kusokonezeka kwa malingaliro, kumva kusowa pogwira, chizungulire, kufooka, kupsinjika, bradycardia, delirium, kugona, kusowa chikumbumtima ndi chitukuko cha chikomokere, kufikira imfa.

Kuthetsa kwa adrenergic ndikothekanso: kutuluka thukuta kwambiri, khungu la mtima, tachycardia, nkhawa, kuthamanga kwa magazi, palpitations, angina pectoris ndi arrhythmia.

Nthawi zambiri, mutha kuyimitsa zizindikirazi ndi shuga (shuga). Kugwiritsa ntchito zotsekemera pamilandu yotere sikothandiza. Poyerekeza ndi chithandizo cha mankhwala ndi mankhwala ena a sulfonylurea, mutatha kupumula, zotsatira za hypoglycemia zidadziwika.

Panthawi ya hypoglycemia yomwe imakhala nthawi yayitali / yayikulu, chithandizo chamankhwala chadzidzidzi chimasonyezedwa, mpaka kuchipatala, ngakhale zitakhala kuti pali zotsatira za kumwa chakudya.

Mavuto am'magazi oyipa: kusanza, kupweteka kwam'mimba, kusanza, kudzimbidwa, kutsegula m'mimba (kuchepetsa zovuta zopezeka ndi zovuta izi, kugwiritsa ntchito Diabeteson MB panthawi yam'mawa).

Zotsatira zotsatirazi sizachilendo:

• dongosolo la lymphatic ndi ziwalo za hematopoietic: kawirikawiri - zovuta za hematological (zowonetsedwa mwanjira ya kuchepa kwa magazi, leukopenia, thrombocytopenia, granulocytopenia, nthawi zambiri zimatha kusintha),
• khungu / subcutaneous minofu: zotupa, urticaria, kuyabwa, erythema, edincke's edema, maculopapular zidzolo, zochita zamwano.
• mawonekedwe a masinthidwe: Kusokonezeka kowoneka kwakanthawi (kogwirizana ndi kusintha kwa kuchuluka kwa shuga m'magazi, makamaka kumayambiriro kwa kugwiritsidwa ntchito kwa Diabeteson MV),
• bile ducts / chiwindi: kuchuluka kwa chiwindi michere (aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase), kawirikawiri - hepatitis, cholestatic jaundice (imafuna kuleka kwa mankhwala), zovuta zimatha kusintha.

Zotsatira zoyipa zomwe zimachokera ku sulfonylurea zotumphukira: matupi a vasculitis, erythrocytopenia, hyponatremia, agranulocytosis, hemolytic anemia, pancytopenia. Pali chidziwitso pakukula kwa chiwindi michere, chiwindi ntchito (mwachitsanzo, ndikupanga jaundice ndi cholestasis) ndi hepatitis. Kukula kwa izi pakapita nthawi atasiya kumwa mankhwala, koma nthawi zina chiwopsezo cha chiwindi chitha kupezeka.

Bongo

Pankhani ya bongo wa Diabeteson MV, hypoglycemia imayamba.

Chithandizo: Zizindikiro zolimbitsa thupi - kuwonjezeka kwa chakudya chopatsa mphamvu ndi zakudya, kuchepa kwa mankhwalawa komanso / kapena kusintha kwa zakudya, kuyang'anira mosamala kumafunika mpaka chiwopsezo chaumoyo chikatha, matenda oopsa a hypoglycemic omwe amaperekedwa ndi kupweteka, chikomokere kapena zovuta zina zamitsempha zimafunikira kuchipatala mwachangu ndi chithandizo chamankhwala chodzidzimutsa.

Ngati hypoglycemic chikomokere / kukayikira, kulowetsedwa kwa mtsempha wa 20-30% dextrose solution (50 ml) akuwonetsedwa, kenako 10% dextrose jekeseni wambiri (pofuna kusungitsa kuchuluka kwa shuga m'magazi pamwamba pa 1000 mg / l). Kuwunikira mosamala kuchuluka kwa shuga m'magazi ndikuwunika momwe wodwalayo akuyenera kuchitira kwa maola osachepera 48. Kufunika kopenyerera kumatsimikiziridwa ndi momwe wodwalayo alili.

Chifukwa cha kutchulidwa kwa gliclazide kwa mapuloteni a plasma, dialysis siyothandiza.

Malangizo apadera

Pa mankhwalawa, kukula kwa hypoglycemia kumatheka, ndipo nthawi zina mu fomu yayitali / yayikulu, yomwe imafuna kugonekedwa kuchipatala ndi dextrose wamkati kwa masiku angapo.

Diabeteson MB imatha kutumikiridwa pokhapokha ngati wodwala amadya pafupipafupi komanso kuphatikiza chakudya cham'mawa. Ndikofunikira kwambiri kuti pakhale chakudya chokwanira chamafuta kuchokera ku chakudya, chifukwa kuchuluka kwa matenda a hypoglycemia osakhazikika / kuperewera kwa zakudya m'thupi, komanso kudya zakudya zoperewera m'thupi, kumawonjezeka. Nthawi zambiri, kupezeka kwa hypoglycemia kumachitika ndi chakudya chamafuta ochepa, mutatha kuchita masewera olimbitsa thupi kwa nthawi yayitali, kumwa mowa, kapena munthawi yomweyo kugwiritsa ntchito mankhwala angapo a hypoglycemic.

Popewa kukula kwa hypoglycemia, kusankha bwino kwa mankhwala ndi mtundu wa dosing kumafunika.

Kuchepera kwa hypoglycemia kumawonjezera pazotsatirazi:

• kukana / kulephera kwa wodwala pakuwongolera mkhalidwe wake ndikutsatira malangizo a dokotala (makamaka izi zimagwira ntchito kwa odwala okalamba),
• kusagwirizana pakati pa kuchuluka kwa chakudya chotengedwa ndi zochitika zolimbitsa thupi,
• kulumpha zakudya, kusowa / kuperewera kwa zakudya m'thupi, kusintha kwa kadyedwe ndi njala,
• kulephera kwa aimpso
• kulephera kwambiri kwa chiwindi
• bongo wa Diabeteson MV,
• kuphatikiza pamodzi ndi mankhwala ena
• zovuta zina za endocrine (matenda a chithokomiro, kusowa kwa adrenal ndi pituitary).

Kufooka kwa glycemic control mukamamwa Diabeteson MV ndikotheka ndi malungo, zoopsa, matenda opatsirana kapena njira zazikulu zopangira opaleshoni. Milandu imeneyi, kusiya kwa mankhwala ndi kuikidwa kwa mankhwala a insulin kungafunike.

Pambuyo pakuthandizidwa kwakanthawi, mphamvu ya Diabeteson MV imatha kuchepa. Izi zitha kukhala chifukwa cha kufalikira kwa matendawa kapena kuchepa kwa mayankho a mankhwalawa chifukwa cha mankhwalawa - mankhwala osokoneza bongo. Musanazindikire za matendawa, ndikofunikira kuyesa kuchuluka kwa kusankha kwa mankhwalawa komanso kutsatira kwa wodwala zakudya zomwe wapatsidwa.

Pofuna kuyesa kuwongolera glycemic, kuwunika pafupipafupi kudya kwa glucose komanso glycated hemoglobin HbA1c tikulimbikitsidwa. Ndikupangidwanso kuti nthawi zonse kumayang'anitsitsa kuchuluka kwa magazi.

Zotumphukira za Sulfonylurea zimatha kupangitsa kuti hemolytic anemia odwala omwe ali ndi vuto la shuga-6-phosphate dehydrogenase (kuikidwa kwa Diabeteson MV yemwe ali ndi vuto ili amafunika kusamala), ndikofunikanso kuwunika momwe angapangire mankhwala a hypoglycemic a gulu lina.

Kuyanjana kwa mankhwala

Zinthu / mankhwala omwe amawonjezera mwayi wa hypoglycemia (mphamvu ya gliclazide imatheka):

• miconazole: hypoglycemia ikhoza kukhala pakoma (kuphatikiza ndi kutsutsana),
• phenylbutazone: ngati kuphatikiza koyenera ndikofunikira, kuyendetsa glycemic ndikofunikira (kuphatikizidwa sikulimbikitsidwa, kusintha kwa matenda a Diabeteson MV kungafunike),
• ethanol: mwayi wokhala ndi vuto la hypoglycemic (tikulimbikitsidwa kukana kumwa mowa ndi kugwiritsa ntchito mankhwala osokoneza bongo a ethanol),
• othandizira ena a hypoglycemic, kuphatikiza insulin, acarbose, metformin, thiazolidinediones, dipeptidyl peptidase-4 zoletsa, GLP-1 agonists, ad-adrenergic blocking agents, fluconazole, angiotensin-converting enzyme inhibitors, capopril, enalistaprilamide inhibitors, inalistapteramide inhibitors. , sulfonamides, clarithromycin ndi ena mankhwala / zinthu: kuchuluka hypoglycemic kwenikweni (kuphatikiza kumafuna kusamala).

Zinthu / mankhwala omwe amachulukitsa magazi (zotsatira za gliclazide zimafooka):

• Danazole: ali ndi vuto la matenda ashuga (kuphatikiza sikumalimbikitsidwa), ngati kuli kofunikira kugwiritsidwa ntchito, tikulimbikitsidwa kuti kuyang'anira shuga m'magazi komanso kusintha kwa Diabeteson MV,
• chlorpromazine (muyezo waukulu): kuchepa kwa insulin katulutsidwe (kuphatikiza kumafunikira kusamala), kuwongolera mosamala glycemic kukuwonetsedwa, kusintha kwa matenda a Diabeteson MV kungafunike,
• salbutamol, ritodrin, terbutaline ndi zina β₂-adrenomimetics: kuchuluka kwa shuga m'magazi (kuphatikiza kumafunikira kusamala)
• glucocorticosteroids, tetracosactide: kufala kwa ketoacidosis - kuchepa kwa kulekerera kwa zakudya zamagulu (kuphatikiza kumafunikira kusamala), kuyang'anira mosamala glycemic ndikulimbikitsidwa, makamaka kumayambiriro kwa chithandizo, kusintha kwa matenda a Diabeteson MV kungafunike.

Pogwiritsa ntchito mankhwalawa, chisamaliro chapadera chiyenera kulipidwa pakufunika kopanga kudziyimira palokha kwa glycemic. Ngati ndi kotheka, tikulimbikitsidwa kusamutsa wodwala kupita ku insulin.

Mukaphatikizidwa ndi anticoagulants, ndizotheka kuwonjezera zochita zawo, zomwe zingafune kusintha kwa mlingo.

Ma Analogs a Diabeteson MV ndi: Gliclazide Canon, Gliclada, Glidiab, Diabetesalong, Diabinax, Diabefarm ndi ena.

Kupanga ndi mawonekedwe a kumasulidwa

Diabeteson MV imapangidwa ngati mapiritsi okhala ndi notch komanso cholembedwa "DIA" "60" mbali zonse ziwiri. The yogwira ndi gliklazid 60 mg. Zothandiza: magnesium stearate - 1.6 mg, anhydrous colloidal silicon dioxide - 5.04 mg, maltodextrin - 22 mg, hypromellose 100 cP - 160 mg.

Makalata "MV" m'dzina la Diabeteson adawonetsedwa ngati kumasulidwa, i.e. pang'onopang'ono.

Wopanga: Les Laboratoires Serviceier, France

Mimba komanso Kuyamwitsa

Kafukufuku wokhudza azimayi omwe ali ndi udindo sanachitepo kanthu; palibenso chidziwitso cha zotsatira za gliclazide pa mwana wosabadwa. Panthawi yoyesera nyama zoyeserera, palibe kusokonezeka kwakutukuka kwa embryonic komwe kudadziwika.

Ngati mimba yachitika mukamamwa Diabeteson MV, ndiye kuti imatha ndipo imasinthidwa kupita ku insulin. Zomwezo zimapita kukonzekera. Izi ndizofunikira kuti muchepetse mwayi wokhala ndi vuto lakubadwa mwa mwana.

Gwiritsani ntchito nthawi yoyamwitsa

Palibe chidziwitso chokwanira chokhudzana ndi kumeza kwa Diabeteson mkaka ndi chiopsezo chokhala ndi mtundu wa hypoglycemic wakhanda, ndizoletsedwa panthawi ya mkaka wa m'mawere. Pakanakhala kuti palibenso chifukwa china, amasinthidwira ku chakudya chakupanga.

Zotsatira zoyipa

Mukamamwa Diabeteson limodzi ndi kudya kosamveka, hypoglycemia imatha kuchitika.

• kupweteka mutu, chizungulire, kuzindikira kwa msana,
• njala yosalekeza
• kusanza, kusanza,
• kufooka wamba, manja akunjenjemera, kukokana,
• zosavomerezeka zopanda pake, chisangalalo chamanjenje,
• kugona kapena kugona kwambiri,
• kusokonezeka kwa chikumbumtima.

Zotsatira zotsatirazi zomwe zimatha mutatha maswiti zimapezekanso:

• Kuchita thukuta kwambiri, khungu limamamatira kukhudza.
• Matenda oopsa, palpitations, arrhythmia.
• Zowawa kwambiri m'chifuwa chifukwa chosowa magazi.

Zotsatira zina zosafunikira:

• Zizindikiro za dyspeptic (kupweteka kwam'mimba, nseru, kusanza, kutsekula m'mimba kapena kudzimbidwa),
• thupi lawo siligwirizana mukamamwa diabetes,
• kuchepa kwa chiwerengero cha leukocytes, mapulateleti, kuchuluka kwa ma granulocytes, hemoglobin concentration (kusintha kumasintha),
• kuchuluka kwa hepatic michere (AST, ALT, zamchere phosphatase), milandu ya chiwindi,
• Kusokonezeka kwa mawonekedwe owoneka ndi kotheka kumayambiriro kwa matenda a Diabetesone.

Kuchita ndi mankhwala ena

Mankhwala omwe amawonjezera mphamvu ya gliclazide

Wothandizira antifungal Miconazole amatsutsana. Amawonjezera mwayi wokhala ndi vuto la hypoglycemic mpaka kukhala chikomokere.

Kugwiritsira ntchito Diabeteson ndi mankhwala osagwiritsa ntchito mankhwala a Phenylbutazone ayenera kuphatikizidwa mosamala. Ndi kugwiritsidwa ntchito kwadongosolo, kumachepetsa kuchotsa kwa thupi. Ngati chithandizo cha matenda ashuga chikufunika ndipo ndikosatheka kuchisintha ndi china chilichonse, mlingo wa gliclazide umasinthidwa.

Mowa wa Ethyl umakulitsa mkhalidwe wa hypoglycemic ndikulepheretsa kulipidwa, zomwe zimapangitsa kuti pakhale chipwirikiti. Pachifukwa ichi, ndikofunikira kupatula mowa ndi mankhwala omwe ali ndi ethanol.

Komanso, kukhazikika kwa dziko la hypoglycemic ndikugwiritsa ntchito mosagwirizana ndi Diabeteson kumalimbikitsidwa ndi:

• Bisoprolol
• Fluconazole
• Captopril
• Ranitidine
• Moclobemide
• Sulfadimethoxin,
• Phenylbutazone
• Metformin.

Mndandandawo umawonetsa zitsanzo zokhazokha, zida zina zomwe zili m'gulu lomwelo zomwe zidatchulidwazo zikufanana.

Mankhwala ochepetsa shuga a shuga

Osatenga Danazole, monga imakhala ndi matenda ashuga. Ngati phwando silithetsedwa, kukonza kwa gliclazide ndikofunikira nthawi yayitali komanso pambuyo pake.

Kuwongolera mosamala kumafuna kuphatikiza ndi ma antipsychotic mu Mlingo waukulu, chifukwa amathandizira kuchepetsa katulutsidwe ka mahomoni ndi kuwonjezera shuga. Kusankhidwa kwa mlingo wa Diabeteson MV kumachitika onse panthawi ya mankhwala, ndipo atathetsa.

Mankhwalawa ndi glucocorticosteroids, kuchuluka kwa shuga kumawonjezereka ndi kuchepa kwa kulekerera kwa chakudya.

Intravenous β2-adrenergic agonists amalimbikitsa kuchuluka kwa glucose. Ngati ndi kotheka, wodwalayo amapatsidwa insulin.

Zophatikiza siziyenera kunyalanyazidwa

Pogwiritsa ntchito mankhwala a warfarin, odwala matenda ashuga atha kuwonjezera zotsatira zake. Izi zikuyenera kukumbukiridwa ndi kuphatikiza uku ndikusintha mlingo wa anticoagulant. Kusintha kwa mlingo womaliza kungafunike.

Analogs a Diabeteson MV

60150

220 Glyclazide MV OZONE30

60130

200 Glyclazide MV PHARMSTANDART60215 Diabefarm MV30145 Glidiab MV30178 Glidiab80140 Diabetesalong30

60130

270 Gliklada60260

Chingalowe m'malo ndi chiyani?

Diabeteson MV ikhoza m'malo mwa mankhwala ena omwe ali ndi mlingo womwewo komanso yogwira ntchito. Koma pali zinthu monga bioavailability - kuchuluka kwa chinthu chomwe chimakwaniritsa cholinga chake, i.e. kuthekera kwa mankhwalawa kuzamwa. Kwa ma analogu ena otsika mtengo, ndizochepa, zomwe zikutanthauza kuti mankhwalawa satha ntchito, chifukwa Zotsatira zake, kuchuluka kwake kungakhale kolakwika. Izi zimachitika chifukwa cha kusakhala bwino kwa zinthu zopangira, zinthu zothandizira, zomwe sizimalola kuti chinthu chogwira ntchito chizamasulidwa kwathunthu.

Kuti mupewe mavuto, m'malo onse mumachitika pokhapokha mukaonana ndi dokotala.

Maninil, Metformin kapena Diabeteson - ndibwino?

Kuyerekeza zomwe zili bwino, ndikofunikira kulingalira mbali zoyipa za mankhwalawo, chifukwa Onsewa amafanana ndi matenda amodzimodzi. Zomwe zili pamwambapa ndizidziwitso zamankhwala a Diabeteson MV, chifukwa chake, Manilin ndi Metformin afotokozedwanso.

Maninil ndi Metformin ali m'magulu osiyanasiyana a mankhwalawa, chifukwa chake mfundo ndiosiyana kwa iwo. Ndipo iliyonse ili ndi zopindulitsa zake zomwe ndizofunikira kumagulu ena a odwala.

Zabwino:

Imathandizira ntchito ya mtima, sikuti imachulukitsa myocardial ischemia mwa odwala matenda amitsempha ya m'matumbo ndi arrhasmia ya ischemia.Pali kusintha pakulidwe ka glycemic ndikuwonjezera chidwi cha zotumphukira zama cell kuti insulin. Amawerengera chifukwa chosagwira ntchito zina zochokera ku sulfonylurea.Poyerekeza ndi gulu la zotumphukira za sulfonylurea ndi insulin, sizimapanga hypoglycemia. Ikuwonjezera nthawi mpaka itafunikira kupereka insulin chifukwa chotsatira mankhwala osokoneza bongo.Amachepetsa cholesterol. Amachepetsa kapena kukhazikika pamanja.

Ndi pafupipafupi makonzedwe: Diabeteson MV amatengedwa kamodzi patsiku, Metformin - katatu, Maninil - 2-4.

Ndemanga Zahudwala

Katherine. Posachedwa, dokotala wandipatsa Diabeteson MV kwa ine, ndimatenga 30 mg ndi Metformin (2000 mg patsiku). Shuga adatsika kuchokera ku 8 mmol / l mpaka 5. Zotsatira zake zimakhutira, palibe mavuto, hypoglycemia nawonso.

Valentine Ndakhala ndikumwa diabeteson kwa chaka chimodzi, shuga wanga ndi wabwinobwino. Ndimatsata chakudya, ndimapita ndikuyenda madzulo. Zinali zakuti ndayiwala kudya nditamwa mankhwalawo, kunjenjemera kunawoneka m'thupi, ndinamvetsetsa kuti kunali hypoglycemia. Ndinkadya maswiti pambuyo pa mphindi 10, ndinamva bwino. Zitachitika izi ndimadya pafupipafupi.

Kodi matenda ashuga ndi chiani?

Kodi chabisika kumbuyo kwa lingaliro la shuga ndi chiyani? Thupi lathu limagawaniza chakudya kuchokera ku chakudya kupita ku glucose. Chifukwa chake, mutatha kudya, kuchuluka kwa shuga m'magazi athu kumakwera. Glucose amadyetsa khungu ndi ziwalo zonse, koma mopitirira muyeso zimawononga thupi, zimawononga mitsempha yamagazi. Pofuna kubwezeretsa kuchuluka kwa shuga pambuyo pa chakudya, zikondamoyo za munthu wathanzi zimatulutsa insulin. Komabe, motsogozedwa ndi zinthu zosiyanasiyana, ntchito iyi imatha kusokonekera. Ngati kapamba amaleka kutulutsa insulini, ndiye kuti kusayenda bwino mu ntchito yake kumabweretsa mtundu woyamba wa shuga. Nthawi zambiri, matenda amtunduwu amawonekera mwa ana. Chifukwa chake chagona pakubadwa kwamtundu, katemera wopambana, matenda opatsirana, etc.

Pali mtundu wina wa matenda ashuga. Zimakhudza makamaka anthu azaka zapakati komanso achikulire. Chifukwa choyamba chokhala ndi matenda ashuga 2 ndi onenepa kwambiri. Zakudya zopanda pake, kusachita masewera olimbitsa thupi, kupanikizika kosalekeza ... Zonsezi zimatha kuyambitsa zovuta za metabolic. Zikondazo zimapangabe insulini, koma maselo sangathe kuzigwiritsa ntchito pazolinga zake. Amataya chidwi chawo ndi mahomoni awa. Zikondazo zimayamba kutulutsa insulini yambiri komanso kulowa m'magazi, zomwe patapita nthawi zimapangitsa kuti magazi ake athe.

Chithandizo cha matenda ashuga

90% ya odwala amadwala ndendende mtundu wachiwiri wa matenda ashuga. Nthawi zambiri ndi izi matenda azimayi amakumana. Ngati odwala matenda a shuga a mtundu woyamba amapatsidwa jakisoni wa insulin, ndiye kuti ndi wachiwiri, mankhwala apiritsi ndi omwe amapatsidwa. Chimodzi mwazomwe zili ndi mankhwala "Diabeteson." Ndemanga za iye nthawi zambiri kuposa ena zimapezeka pama foramu.

Zotsatira za pharmacological

Chizindikiro pakugwiritsa ntchito chida ichi ndi mtundu wachiwiri wa matenda ashuga. Mankhwala ali ndi hypoglycemic. M'mawu osavuta, amachepetsa shuga. Diabetes ndi mtundu wotsatira wa sulfonylurea. Mothandizidwa ndi mankhwalawa, insulini imatuluka m'maselo a beta, ndipo maselo omwe amalandilirawa amakhala nawo chidwi. “Cholinga” cha timadzi timeneti ndi minofu ya adipose, minofu ndi chiwindi. Komabe, mankhwalawa "Diabetes" amawonetsedwa kokha kwa odwala omwe matupi awo a insulin amasungidwa. Ngati ma cell a beta a kapamba amakhala atatha kotero kuti sangatulutsenso mahomoni, ndiye kuti mankhwalawo sangathe kusintha ndekha. Amabwezeretsa katulutsidwe ka insulin koyambirira kwa vutoli.

Kuphatikiza pa zotsatira za hypoglycemic, Diabeteson imathandizanso kuyendetsa magazi. Nthawi zambiri, chifukwa cha kuchuluka kwa shuga m'magazi, amakhala amadzimadzi. Izi zimabweretsa kutsekeka kwa mitsempha yamagazi. Njira "Diabeteson" imalepheretsa thrombosis. Lilinso ndi antioxidant katundu. Mankhwala "Diabetes" amamasulidwa pang'onopang'ono ndikuchita tsiku lonse. Kenako imalowetsedwa kwathunthu kutaya chakudya. Metabolism imachitika kwambiri m'chiwindi. Zogulitsa zimapangidwa ndi impso.

Njira "Diabeteson": malangizo ogwiritsira ntchito

Ndemanga za odwala zimawonetsa kugwira ntchito kwa mankhwalawa. Madokotala amalembera akulu. Mlingo wa tsiku ndi tsiku umatengera kuopsa kwa matendawa komanso kuchuluka kwake pobwezerera. Ndi shuga wambiri m'magazi, mpaka 012 g ya mankhwalawa patsiku amatha kupatsidwa kwa wodwala. Mlingo wamba ndi 0,06 g, wocheperako ndi 0,03 g. Mankhwala amalimbikitsidwa kumwa kamodzi patsiku, m'mawa, ndikudya.

Odwala ambiri omwe amamwa Diabeteson kwa nthawi yayitali, omwe ndemanga zawo zimapezeka pamaneti, amakhutira ndi mankhwalawa. Amakonda mankhwalawa m'njira zake zambiri.

Zotsatira za mankhwala pa glycated hemoglobin

Chizindikiro chachikulu cha chiphuphu cha shuga ndi kuchuluka kwa hemoglobin ya glycated. Mosiyana ndi mayeso wamba a magazi, zimawonetsa kuchuluka kwa shuga kwa nthawi yayitali. Kodi mankhwala akuti "Diabeteson" amakhudza bwanji chizindikiro ichi? Ndemanga za odwala ambiri akuti zimakupatsani mwayi wambiri wobweretsa 6%, womwe umadziwika kuti ndi wabwino.

Hyperglycemia pomwa mankhwala "Diabeteson"

Komabe, momwe mankhwalawa amathandizira thupi la odwala matenda ashuga. Zimatengera kutalika, kulemera, ndi kuuma kwa vuto la kapamba wodwalayo, komanso zakudya komanso zolimbitsa thupi. Pomwe odwala ena omwe amamwa mankhwala a diabetes ndi panacea, kuwunika kwa ena sikumachirikiza. Ambiri amadandaula za kufooka, nseru, komanso ludzu lochuluka akamwa mankhwalawa. Zonsezi zimatha kukhala zizindikiro za shuga wamagazi, omwe nthawi zina amaphatikizidwa ndi ketoacidosis. Komabe, sizitanthauza kuti thupi silitenga matenda a shuga. Nthawi zambiri chimakhala chifukwa chomwe sichitsatira zakudya kapena mankhwalawa osankhidwa bwino.

Mu matenda ashuga, zakudya zopatsa thanzi zomwe zimakhala ndi mafuta ndi chakudya chamagulu ambiri zimasonyezedwa. Pakuphwanya shuga, amayamba kudumphira m'mwazi m'mwazi wa wodwalayo. Anthu odwala matenda ashuga ayenera kukonda zakudya zomwe zimakhala ndi mafuta ochulukirapo. Izi zimaphatikizapo mkate wa rye, Buckwheat, mbatata zophika, masamba, zipatso, mkaka ndi zinthu zina. Ngati matenda ashuga amakumana ndi maziko a kunenepa kwambiri, ndiye kuti ma endocrinologists amalimbikitsa kudya zakudya zochepa zopatsa mphamvu. Pankhaniyi, masamba, amadyera, nsomba zam'madzi, zakudya zamafuta ochepa ziyenera kudya kwambiri.Kutsatira zakudya zoterezi kumakupatsani mwayi wochotsa kunenepa kwambiri, chifukwa chomwe mulingo wa shuga m'magazi umakhazikika.

Hypoglycemia monga zotsatira zoyipa

Mankhwala "Diabeteson", ndemanga zomwe zimakhala zabwino kwambiri, amathanso kuyambitsa vuto la hypoglycemia. Poterepa, shuga wamagazi amatsikira pansi pazofunikira zochepa. Chomwe chingapezeke ndi kuchuluka kwa mankhwalawa, kudya chakudya kapena kuchuluka kwa thupi. Ngati mankhwala ena ochepetsa shuga asinthidwa ndi Diabeteson, kuyang'anira shuga wokhazikika kuyenera kupewa kupewa kuyamwa kwa mankhwala ena ndikukula kwa hypoglycemia.

Mankhwala "Diabetes" monga gawo la mankhwala osakanikirana

Kuphatikiza poti chida ichi chimasankhidwa kuti ndi mankhwala amodzi, chitha kukhalanso gawo la mankhwala osakanikirana. Nthawi zina amaphatikizidwa ndi mankhwala ena ochepetsa shuga, kupatula omwe ali m'gulu la sulfonylurea. Omaliza amathandizanso thupi la wodwalayo monga mankhwala a shuga. Chimodzi mwazabwino kwambiri ndikuphatikizidwa kwa mankhwalawa ndi metformin.

Mlingo Wovomerezeka wa Othamanga

Mlingo uti womwe ungatenge mankhwala a "Diabeteson" pakupanga thupi? Ndemanga za othamanga zikuonetsa kuti muyenera kuyamba ndi 15 mg, ndiye kuti, piritsi limodzi ndi theka. Pankhaniyi, muyenera kuyang'anira mankhwalawa pogula mankhwala. Kutengera ndi izo, piritsi limodzi limatha kukhala ndi 30 kapena 60 mg ya mankhwala othandizira. Popita nthawi, mlingo umatha kuwonjezeka pang'onopang'ono mpaka 30 mg patsiku, ndiye kuti, piritsi limodzi. Monga matenda a shuga, tikulimbikitsidwa kumwa mapiritsi a Diabeteson m'mawa. Ndemanga zikuwonetsa kuti izi zimapewa mkhalidwe wa hypoglycemia wosalamulira usiku, pomwe ingakhale yoopsa kwambiri. Kutalika kwa kuvomerezedwa kumatsimikiziridwa payekhapayekha ndipo zimatengera thanzi la othamanga komanso zotsatira zake. Pafupifupi, maphunzirowa amayambira mwezi umodzi mpaka iwiri ndipo amachitidwa osaposa kamodzi pachaka. Kudya kwakanthawi kumakhala ndi zovuta zosasinthika kapamba. Ndi maphunziro obwerezedwa, mlingo ungathe kuwonjezeka mpaka 60 mg patsiku. Ngati wothandizila Diabetes atengedwa kuti apange minofu, sibwino kuti muphatikize ndi mankhwala ena.

Kodi osewera ayenera kukumbukira chiyani akamwa mankhwalawa?

Chifukwa chakuti kuchepa kwa kuchuluka kwa shuga m'magazi ndiko njira yayikulu yogwiritsira ntchito mankhwala "Diabeteson," ndemanga za anthu zimalimbikitsa kuti kusamalitsa kumatsatiridwa ndikamasewera. Choyamba, muyenera kudya zakudya zopatsa thanzi kwambiri. Ndi hypoglycemia, kuti muwonjezere shuga, muyenera kudya nthawi yomweyo zakudya zamafuta ambiri. Kachiwiri, mukamagwiritsa ntchito mankhwala a "Diabeteson" popanda kulandira mankhwala, kuphunzitsidwa kwakukulu sikungachitike. Kuchita masewera olimbitsa thupi kumathandizanso shuga. Pokhapokha pakuwongolera thanzi lanu komanso thanzi lanu, kugwiritsa ntchito mankhwalawa kumatha kubweretsa zotsatira zamasewera zomwe mukufuna.

Momwe mungazindikirire hypoglycemia?

Ngakhale kwa odwala ambiri omwe ali ndi matenda a shuga, matenda a hypoglycemia akudziwika, othamanga sangazindikire zizindikiro zake munthawi yake. Kufooka, kunjenjemera kumalire, njala ndi chizungulire kungakhale zizindikiro za shuga wochepa. Pankhaniyi, muyenera kudya nthawi yomweyo zotsekemera (mwachitsanzo, nthochi), kumwa tiyi ndi uchi kapena shuga, msuzi. Ngati njira sizinatenge nthawi, munthu akhoza kudwala matendawa. Poterepa, njira yothetsera shuga imayambitsidwa. Chithandizo choyenerera chamankhwala ndi kuyang'aniridwa kwazachipatala koyambirira ndizofunikira.

Ndemanga zoyipa

Dokotala wothandizira wa endocrinologist adandiuza kuti ndikhale ndi matenda ashuga, koma mapiritsiwa adangokulirakulira. Ndakhala ndikutenga kwa zaka ziwiri, nthawi iyi ndidasanduka munthu wokalamba kwenikweni. Ndataya 21 kg. Masomphenya amagwa, khungu limakhala lakuwona pamaso, mavuto ndi miyendo idawonekera. Mwazi umakhala wowopsa kuyeza ndi glucometer. Pepani matenda ashuga amtundu wa 2 asintha kukhala mtundu waukulu wa matenda ashuga.

Agogo anga aakazi samatha kumwa, amadwala ndipo nthawi zina amasanza. Amapita kwa adotolo ndikusintha izi mwanjira iliyonse, koma palibe chomwe chimasintha. Adakhala chete ndipo sakudandaula, wataya chiyembekezo. Koma tsiku lililonse, chilichonse chimapweteka kwambiri, zikuwoneka kuti zovuta zawo zikugwira ntchito yawo. Chifukwa chiyani asayansi sanabwere ndi chilichonse kuti chiritse matenda ashuga, monga chikhazikitso (((((((())

Adandisamutsa kuchokera ku metformin kukhala shuga. Poyamba ndinazikonda chifukwa ndimadya kamodzi patsiku, koma kenako ndidazindikira kuti ndiyenera kusamala kokha kuti ndikadye kena kolakwika kapena kudumpha nthawi, mavuto amabuka. Masomphenya, ngati kuti ndi ophatikizika, manja akugwedezeka, njala ikuyandikira, ndipo kulemera kowonjezereka kumangowonjezeredwa. Ndipo muyenera kuyesanso shuga ndi zingwe zomwe sizotsika mtengo zimaperekedwa kwaulere umodzi wokha wa 3 msec ndipo sikokwanira pamwezi. Zonse sizingakhale kalikonse ngati zikanathandiza, koma zimangowonjezera mavuto

Sindikundithandiza, ndadwala miyezi 9, kuchokera pa 78 kg ndataya 20 kg, ndili ndi mantha kuti mtundu wa 2 uja utasandulika 1, posachedwa ndazindikira.

Ndemanga zopanda ndale

Ndinalandira matenda a shuga a 2 zaka zinayi zapitazo. Zinapezeka mwamwayi, mukamayesedwa nthawi ndi nthawi kuntchito. Poyamba, shuga anali 14-20. Adakhala pachakudya chokhwima, kuphatikiza apo adatenga galvus ndi metformin. M'miyezi iwiri yokha, adabweretsa shuga kwa 5, koma m'kupita kwa nthawi idayamba kukula. Pa upangiri wa endocrinologist, adawonjezera kukakamiza, koma palibe zotsatira zamphamvu. Kuyambira chaka chatsopano, glucose wakhala akugwira kwa miyezi itatu pamlingo wa 8-9. Ndidayesa ndekha matenda a shuga. Zotsatira zake zidapitilira ziyembekezo zonse. Pambuyo pamiyeso itatu ya piritsi limodzi madzulo, kuchuluka kwa glucose kunafika 4,3. Ndinawerenga ndemanga kuti ndizotheka kuzimitsa kapamba kotheratu kwa zaka zingapo. Tsopano ndasankha njira yotsatirayi. M'mawa - piritsi limodzi la Forsig ndi metformin 1000. Madzulo - tsamba limodzi galvus ndi metformin 1000. Pakadutsa masiku anayi madzulo, m'malo mwa galvus, ndimatenga theka la piritsi la shuga (30 mg). Mulingo wa glucose umasungidwa pa 5.2. Ndinkayeseza kangapo ndipo, ndikuphwanya chakudyacho, ndinadya keke. Diabeteson sanatenge, koma shuga adakhalabe m'mawa wa 5.2. Ndili ndi zaka 56 ndipo ndimalemera pafupifupi 100 kg. Ndakhala ndikumwa matenda a shuga kwa mwezi umodzi ndipo munthawi imeneyi ndamwa mapiritsi 6. Yesani, mwina njirayi imakupindulitsaninso.

Chaka chapitacho, endocrinologist adasankha Diabeteson. Mlingo wocheperako sizinathandize konse. Mapiritsi limodzi ndi theka adayamba kugwira ntchito, koma kit idalandiranso zovuta: kudzimbidwa, kupweteka pamimba, kupanikizika kwamphamvu kunayamba kusokoneza. Ndikukayikira kuti matenda ashuga amapita ku mtundu woyamba, ngakhale kuchuluka kwa shuga kumatha kukhala koyenera.

Pafupifupi miyezi itatu yapitayo, dokotala yemwe adandipangira Diabeteson MV, ndimamwa theka la piritsi la metmorphine, ndimamwa metmorphine kale. Mankhwala atsopanowa atukuka, shuga msanga pang'onopang'ono akubwerera mwakale. Komabe, panali zovuta zingapo, zokhudzana ndi kugaya kwam'mimba - ndimamva kupweteka kwambiri m'mimba, kumatupa, nthawi zina nseru, nthawi zina kutentha. Ndikufuna kuti ndikaonenso dotolo kuti asinthe mlingo, zotsatira zake zimakhala, zabwino, koma sizingatheke chifukwa cha zovuta zambiri zamankhwala.

Ndili ndi matenda osokoneza bongo a 2 mtundu wazaka pafupifupi 10 (shuga wamagazi amachokera ku 6 mpaka 12). Dokotalayo adayikira theka la odwala a shuga a m'mawa 60 piritsi m'mawa. Tsopano, nditatha kumwa kwa maola atatu, m'mimba mwanga mumapweteka, ndipo shuga amakhalabe wokwera (10-12). Ndipo mankhwalawo atatha, zopweteka zonse zimatha.

Sindinganene kanthu kena kalikonse za mankhwalawa, kupatula kuti nthawi zina kumatenga chimbudzi cholimba.

Mwina zimathandiza, osayiwala kuti zimapangitsa kuti kapamba azigwira ntchito kuti avale. Zomwe pamapeto pake zidzatsogolera mwachangu kudalira kwa insulin ndikulemba mtundu wa 1 shuga

Mayankho abwino

Kwa zaka 4 ndakhala ndikumwa piritsi la Diabeteson MV 1/2 m'mawa nthawi yam'mawa. Chifukwa cha izi, shuga imakhala yabwinobwino - kuyambira 5.6 mpaka 6.5 mmol / L. M'mbuyomu, idafika 10 mmol / l, mpaka idayamba kuthandizidwa ndi mankhwalawa. Ndimayesetsa kuchepetsa maswiti komanso kudya pang'ono, monga adokotala adalangizira, koma nthawi zina ndimatsika.

Agogo anga ali ndi gulu lonse la matenda, ndipo chaka chapitacho adayikidwa mulu wa matenda ashuga. Agogo anga aakazi analira pambuyo pake, chifukwa ndinamva nkhani za momwe miyendo imadulidwira matenda a shuga, momwe anthu amakhalira odalira insulin.

Koma kumayambiriro, insulin sikufunikira, komanso yokwanira kamodzi patsiku kuti atenge piritsi la Diabetes. Agogo anga aakazi ali ndi matenda ashuga a 2. Koma ngati samamwa mapiritsi awa, adzakhala amtundu woyambirira, kenako insulin adzafunika.

Ndipo Diabeteson amatsitsa ndikuwonetsetsa kuchuluka kwa shuga m'magazi, ndipo izi ndi zowona. Kwa miyezi isanu ndi itatu, agogo anga azolowera kale kugwiritsa ntchito, ndipo izi ndibwino kuposa jakisoni. Agogo nawonso anachepetsa kugwiritsa ntchito zotsekemera, koma sanakane konse. Nthawi zambiri, ndi Diabeteson amawona chakudya, koma osati okhwima kwambiri.

Ndizomvetsa chisoni kuti mankhwalawa amalembedwa kuti akhale ndi moyo kapena atasiya kuchita.

Ndakhala ndamwa mankhwala awa kwa zaka ziwiri, ndayamba kumwa manjawo kale. Mavuto ammiyendo adayamba, nthawi zina kufooka ndi kupanda chidwi. Amati izi ndi zotsatira zoyipa za mankhwalawo. Koma shuga umagwira pafupifupi 6 mmol / l, zomwe zimakhala zotsatira zabwino kwa ine.

Anandipatsa matenda ashuga miyezi isanu ndi umodzi yapitayo. Pakatha miyezi itatu iliyonse ndinayezetsa magazi mwatsatanetsatane, ndipo womaliza ankawonetsa kuti shuga ndi yabwinobwino. Izi sizingandikondweretse, popeza pali chiyembekezo choti matendawa asintha shuga, ndipo atha kuchiritsidwa. Maloto ndi maloto. Koma zoterezi zitachitika mkati mwa miyezi isanu ndi umodzi, ndiye kuti m'zaka zochepa sindidzafunikiranso mankhwalawo.

Moni Ndikufuna kulemba za mankhwalawa pochiza matenda ashuga a shuga. Mwamuna wanga ali ndi matenda a shuga a mtundu wachiwiri (osadzipatula), motero muyenera kumwa mankhwalawa tsiku lililonse. M'mawa pamimba yopanda kanthu, amatenga piritsi la Diabetes, ndipo amamwa Glucofage katatu patsiku atatha kudya.

Diabeteson (monga Glucofage) amawonetsedwa pochiza matenda a shuga 2 okha, ndipo amayenera kumwedwa nthawi zonse. Mwamuna wanga atapumira phwando, kwa masiku angapo shuga anali wabwinobwino, kenako kulumpha lakuthwa! Ngakhale imadziika pamaswiti. Sindikuyesanso monga choncho.

Chifukwa chake ndimalimbikitsa Diabeteson kuti agwiritse ntchito, koma okhawo omwe adalangizidwa ndi adokotala komanso moyang'aniridwa ndi iye! Kupatula apo, kwa wina, theka la piritsi likhala lokwanira, koma wina, awiri ndikokwanira. Zimatengera kuchuluka kwa zomwe munthu ali nazo kulemera ndi shuga, patsiku labwinobwino, ndipo nthawi zina amapita kutali kwambiri. Koma ngati musankha mlingo woyenera ndikumwa mankhwala pafupipafupi, ndiye kuti shugayo adzakhala wabwinobwino!

Ndikukufunirani zabwino zonse!

Lero tikambirana za mapiritsi a Diabetes. Mankhwalawa akutenga apongozi anga. Pafupifupi chaka chapitacho, adapita kwa adotolo ndi zizindikiro zina. Pambuyo pa kafukufuku wambiri, adapezeka ndi matenda osangalatsa kwambiri - matenda amitundu iwiri. Shuga wamagazi ake panthawiyo anali wokwera kwambiri - pafupifupi 11. Dokotala adalemba insulin pafupifupi nthawi yomweyo. Komabe, tinaganiza zokambirana ndi akatswiri.

Ku chipatala china, apongoziwo adawunikanso mosamala, zakudya zowonjezera zomwe zimapangidwira odwala matenda ashuga ndi piritsi ya Diabetes.

Mtengo wa mapiritsi 20 ndi ma ruble 200. M'magawo osiyanasiyana munjira zosiyanasiyana. Apongozi amamwa piritsi limodzi patsiku (mwachilengedwe, monga adokotala amafotokozera).

Patatha pafupifupi miyezi itatu atamwa matenda a shuga, shuga adatsika mpaka 6. Koma adotolo sanasiye mapiritsiwo. Ambiri, ayenera kumwa pafupipafupi + zakudya.

Pakadali pano, shuga mwa apongozi ake amakhala ngati abwinobwino, nthawi zina amakula pang'ono. Koma osatsutsa.

Ndikukhulupirira kuti mankhwalawa ndi othandiza, osati okwera mtengo kwambiri ndipo palibe zotsatira zoyipa kuchokera pamenepo.

Mwachilengedwe, simuyenera kudzipatsa nokha mankhwala. Matenda a shuga ndi matenda opatsirana. Mulimonsemo, kuwonjezera pa mapiritsi, muyenera kutsatira zakudya mosamala, palibe mankhwala omwe angakuthandizeni.

Mayi anga ali ndi matenda ofala masiku ano - ndi matenda ashuga. Mu magawo oyamba a matenda ashuga - odwala amamwa mapiritsi kuti achepetse shuga, Magawo oyamba a shuga - muyenera kubayirira insulin.

Amayi anga akadali osagwira, samakhala pa insulin ndipo amatenga mapiritsi a Diabetes, akumamatira kudya, osatinso kanthu. Muyenera kumwa mapiritsiwa pokhapokha mukauzidwa ndi dokotala. Choyamba amalembera mwezi. Kaya kuchita mosiyanasiyana kumawonedwa, momwe kumathandizira. Ngati zonse zili zabwinobwino ndipo zimachepetsa shuga m'magazi mokwanira, ndiye kuti zidzafunikira kumwa nthawi zonse.

Mankhwalawa ndi abwino kwambiri, amachepetsa shuga ngati simusokoneza kudya kwa odwala matenda ashuga. Mukamamwa mapiritsiwa, muyenera kuwongolera kuchuluka kwa shuga, hemoglobin, chiwindi ndi impso. Pankhaniyi, payenera kukhala zakudya zamagulu onse, kusankha koyenera kwa mankhwala.

Ndikufuna kugawana nanu malingaliro anga a Serdix "Diabeteson" MV.

Mankhwalawa akupitilizidwa, amatengedwa tsiku ndi tsiku ndi abambo anga monga momwe dokotala amafotokozera. Kwa nthawi yayitali akhala akuvutika ndi matenda ashuga. Ndipo mankhwalawa amamuthandiza kusintha shuga m'magazi tsiku lililonse.

Mankhwala ndi abwino kwambiri. Zowonjezera zake zokha ndiye mtengo wokwera. Mtengo wa kulongedza mapiritsi 60 ndi ife umakhala pafupifupi 40-45000, kutengera mankhwala omwe, omwe ali ofanana ndi madola 10. Kugwiritsa ntchito pafupipafupi komanso tsiku lililonse, inde, zimatuluka mtengo wokwera mtengo.

Mankhwalawa samayambitsa thupi ndipo samakhala ndi zotsatirapo zilizonse, bambo anga samakumana ndi chilichonse ndipo samamva chilichonse akalandira.

Ndikupangira mankhwala a Serdix "Diabeteson" MV a anthu odwala matenda ashuga. Mankhwala abwino komanso othandiza omwe amathandizira kukhala ndi shuga tsiku lililonse m'malo abwinobwino komanso kumva bwino.

Musaiwale kuonana ndi dokotala. Osadwala!

Zambiri zamankhwala

Diabeteson MV ndi m'badwo wachiwiri wa sulfonylurea. Pankhaniyi, chidule cha MB chimatanthawuza mapiritsi otulutsidwa osintha. Njira yawo yochitira izi ndi motere: piritsi, lomwe likugwa m'mimba mwa wodwalayo, limasungunuka mkati mwa maola atatu. Kenako mankhwalawo amakhala m'magazi ndipo pang'onopang'ono umachepetsa shuga. Kafukufuku wasonyeza kuti mankhwala amakono samayambitsa matenda a hypoglycemia ndipo pambuyo pake zimakhala ndi zovuta zake. Kwenikweni, mankhwalawa amangolekereredwa ndi odwala ambiri. Ziwerengero zimangonena 1% yokha mwazochitika zoyipa zomwe zimachitika.

Chosakaniza chogwira - gliclazide chimakhala ndi zotsatira zabwino pamaselo a beta omwe amapezeka mu kapamba. Zotsatira zake, amayamba kupanga insulin yambiri, yomwe imatsitsa shuga. Komanso, mukamagwiritsa ntchito mankhwalawa, mwayi wa thrombosis wa ziwiya zazing'ono umachepetsedwa. Ma mamolekyulu osokoneza bongo ali ndi antioxidant katundu.

Kuphatikiza apo, mankhwalawa ali ndi zowonjezera monga calcium hydrogen phosphate dihydrate, hypromellose 100 cP ndi 4000 cP, maltodextrin, magnesium stearate ndi anhydrous colloidal silicon dioxide.

Mapiritsi a Diabeteson mb amagwiritsidwa ntchito pochiza matenda a shuga a 2, pomwe masewera komanso kutsatira zakudya zapadera sizingasokoneze kuchuluka kwa shuga. Kuphatikiza apo, mankhwalawa amagwiritsidwa ntchito popewa zovuta za "matenda okoma" monga:

1. Mavuto a Microvascular - nephropathy (kuwonongeka kwa impso) ndi retinopathy (kutupa kwa mawonekedwe amaso).
2. Macrovascular complication - stroko kapena myocardial infarction.

Pankhaniyi, mankhwalawa samadziwika ngati njira yayikulu yothandizira. Nthawi zambiri pochiza matenda amishuga amtundu wa 2, imagwiritsidwa ntchito mukamaliza chithandizo ndi Metformin. Wodwala yemwe amamwa mankhwalawa kamodzi patsiku amakhala ndi mankhwala othandiza kwa maola 24.

Gliclazide imapukusidwa makamaka ndi impso mu mawonekedwe a metabolites.

Malangizo ogwiritsira ntchito mapiritsi

Musanagwiritse ntchito mankhwala, muyenera kupita kuonana ndi dokotala yemwe adzayezetse wodwalayo ndikupereka chithandizo chamankhwala choyenera ndi mitundu yoyenera. Mutagula Diabeteson MV, malangizo ogwiritsira ntchito akuyenera kuwerengedwa mosamala kuti musagwiritse ntchito mankhwalawa molakwika. Phukusili lili ndi mapiritsi 30 kapena 60. Piritsi limodzi lili ndi 30 kapena 60 mg yogwira mankhwala.

Pankhani ya mapiritsi a 60 mg, mlingo wa akulu ndi okalamba poyamba ndi mapiritsi 0,5 patsiku (30 mg). Ngati mulingo wa shuga utachepa pang'onopang'ono, mlingo umatha kuchuluka, koma osatinso pambuyo pa masabata 2-4. Kuchuluka kwa mankhwalawa ndi mapiritsi 1.5-2 (90 mg kapena 120 mg). Mlingo wamawerengero amangowona zokhazo. Ndi dokotala wokhazikika amene amaganizira za wodwalayo komanso zomwe akuwunika pa glycated hemoglobin, glucose wamagazi, ndi omwe angapatse mankhwala ofunikira.

Mankhwala a Diabeteson mb ayenera kugwiritsidwa ntchito mosamala odwala omwe ali ndi vuto la impso komanso chiwindi. Kuphatikiza kwa mankhwalawa ndi mankhwala ena ndikwapamwamba kwambiri. Mwachitsanzo, Diabeteson mb imatha kutengedwa ndi insulin, alpha glucosidase inhibitors ndi biguanidins. Koma pogwiritsa ntchito munthawi yomweyo chlorpropamide, kukula kwa hypoglycemia ndikotheka. Chifukwa chake, chithandizo ndi mapiritsi awa chiyenera kuyang'aniridwa ndi dokotala.

Mapiritsi a Diabeteson mb amayenera kukhala obisika kwa nthawi yayitali pamaso pa ana aang'ono. Moyo wa alumali ndi zaka 2.

Pambuyo panthawiyi, kugwiritsa ntchito mankhwalawa ndizoletsedwa.

Ndemanga ndi mitengo yamankhwala

Mutha kugula MR Diabeteson ku pharmacy kapena kuyika dongosolo pa intaneti pa tsamba laogulitsa. Popeza mayiko angapo amapanga mankhwala a Diabeteson MV nthawi imodzi, mtengo wopezeka mu pharmacy ukhoza kusiyana kwambiri. Mtengo wapakati wa mankhwalawa ndi ma ruble 300 (60 mg aliyense, mapiritsi 30) ndi ma ruble 290 (60 mg aliyense 30 mg). Kuphatikiza apo, mtengo wake umasiyanasiyana:

1. Mapiritsi a 60 mg a zidutswa 30: ma ruble 334 ambiri, ma ruble 276 osachepera.
2. 30 mg mapiritsi a 60 zidutswa: okwera 293 ma ruble, osachepera 287 ma ruble.

Titha kuzindikira kuti mankhwalawa siokwera mtengo kwambiri ndipo angagulidwe ndi anthu omwe amapeza ndalama zapakati pa 2 shuga. Mankhwalawa amasankhidwa malinga ndi kuchuluka kwa mankhwalawa omwe adokotala adapereka.

Ndemanga za Diabeteson MV ndizabwino kwambiri. Inde, odwala ambiri odwala matenda a shuga amati mankhwalawa amachepetsa shuga m'magazi abwino. Kuphatikiza apo, mankhwalawa atha kuonetsa zinthu zabwino izi:

• Mwayi wotsika kwambiri wa hypoglycemia (osapitirira 7%).
• Mlingo umodzi wa mankhwalawa patsiku umapangitsa kuti odwala ambiri asamavutike.
• Chifukwa chogwiritsa ntchito gliclazide MV, odwala samakumana ndi kuwonjezeka kwamphamvu kwa thupi. Mapaundi ochepa okha, koma osatinso.

Palinso ndemanga zoyipa za mankhwala a Diabeteson MV, omwe nthawi zambiri amagwirizana ndi zotere:

1. Anthu owerengeka adakhala ndi milandu ya chitukuko cha matenda a shuga.
2. Matenda a 2 a shuga amatha kulowa mu mtundu woyamba wa matenda.
3. Mankhwalawa samalimbana ndi insulin resistance syndrome.

Kafukufuku waposachedwa awonetsa kuti mankhwalawa Diabeteson MR samachepetsa anthu omwe amwalira ndi matenda ashuga.

Kuphatikiza apo, zimakhudza maselo a pancreatic B, koma ambiri a endocrinologists amanyalanyaza vutoli.

Mankhwala ofanana

Popeza mankhwalawa a Diabeteson MB ali ndi zotsutsana zambiri komanso zotsatira zoyipa, nthawi zina kugwiritsidwa ntchito kwake kungakhale koopsa kwa wodwala matenda ashuga.

Potere, adotolo amasintha njira zamankhwala ndikupereka mankhwala ena omwe chithandizo chake chikufanana ndi Diabeteson MV. Itha kukhala:

• Onglisa ndi othandizira kuchepetsa matenda a shuga a mtundu wachiwiri. Kwenikweni, imatengedwa limodzi ndi zinthu zina monga metformin, pioglitazone, glibenclamide, dithiazem ndi ena. Sichikhala ndi zovuta zoyipa ngati Diabeteson mb. Mtengo wapakati ndi ma ruble a 1950.
• Glucophage 850 - mankhwala omwe ali ndi mankhwala othandizira a metformin. Mankhwalawa, odwala ambiri amawona kuchuluka kwa shuga kwa nthawi yayitali, komanso kuchepa kwa kunenepa kwambiri. Amachepetsa kufa kwa matenda ashuga ndi theka, komanso mwayi wokhala ndi vuto la mtima ndi stroke. Mtengo wapakati ndi ma ruble 235.
• Guwa ndi mankhwala okhala ndi thunthu glimepiride, amene amatulutsa ma insulin ndi maselo a pancreatic B. Zowona, mankhwalawa ali ndi zotsutsana zambiri. Mtengo wapakati ndi ma ruble 749.
• Diagnizide ili ndi chigawo chachikulu chogwirizana ndi zotumphukira za sulfonylurea. Mankhwalawa sangatengedwe ndi uchidakwa wambiri, kutenga phenylbutazone ndi danazole. Mankhwala amachepetsa kukana kwa insulin. Mtengo wapakati ndi ma ruble 278.
• Siofor ndi wothandizira kwambiri wa hypoglycemic. Itha kugwiritsidwa ntchito kuphatikiza ndi mankhwala ena, mwachitsanzo, salicylate, sulfonylurea, insulin ndi ena. Mtengo wapakati ndi ma ruble 423.
• Maninil amagwiritsidwa ntchito popewa matenda a shuga. Monga Diabeteson 90 mg, ili ndi zotsutsana zambiri komanso zoyipa. Mtengo wapakati wa mankhwalawo ndi ma ruble 159.
• Glybomet imakhudzanso thupi la wodwalayo, zomwe zimapangitsa kuti pakhale insulin. Zinthu zazikulu za mankhwalawa ndi metformin ndi glibenclamide. Mtengo wapakati wa mankhwala ndi ma ruble 314.

Uwu si mndandanda wathunthu wa mankhwala ofanana ndi Diabeteson mb. Glidiab MV, Gliclazide MV, Diabefarm MV amatengedwa kuti amafanana ndi mankhwalawa. Wodwala yemwe ali ndi matenda ashuga ndi madokotala omwe akupezekapo ayenera kusankha cholowa m'malo mwa Diabeteson potengera njira zochiritsira wodwalayo komanso momwe angathe kuchitira wodwala.

Diabeteson mb ndi mankhwala othandizira a hypoglycemic omwe amachepetsa kuchuluka kwa shuga m'magazi. Odwala ambiri amalabadira bwino mankhwalawo. Pakadali pano, ili ndi zabwino komanso zovuta zina. Chithandizo cha mankhwala osokoneza bongo ndichimodzi mwazinthu zothandiza pa matenda a shuga a 2. Koma musaiwale za zakudya zoyenera, zolimbitsa thupi, kuwongolera shuga, kupuma kwabwino.

Kulephera kutsatira mfundo imodzi yokha yoyenera kungayambitse kulephera kwa mankhwala osokoneza bongo ndi Diabeteson MR. Wodwala saloledwa kudzilimbitsa. Wodwalayo ayenera kumvetsera kwa dotolo, chifukwa chisonyezo chilichonse chitha kukhala njira yothanirana ndi vuto la shuga wambiri ndi "matenda okoma". Khalani athanzi!

Katswiri mu kanema mu nkhaniyi atchula za mapiritsi a Diabetes.