Glurenorm kwa odwala matenda ashuga - malangizo ndi malingaliro a anthu odwala matenda ashuga

Glurenorm ndi mankhwala omwe ali ndi vuto la hypoglycemic. Matenda a 2 a shuga ndi vuto lofunikira kwambiri chachipatala chifukwa cha kuchuluka kwake komanso zovuta zake. Ngakhale ndi kulumpha kwakung'ono m'magazi a glucose, mwayi wa retinopathy, kugunda kwa mtima kapena sitiroko umakulitsidwa kwambiri.

Glurenorm ndi amodzi mwa oopsa kwambiri pokhudzana ndi zotsatira zoyipa za antiglycemic, koma siotsika mtengo pogwira mankhwala ena omwe ali mgululi.

Pharmacology

Glurenorm ndi hypoglycemic yomwe imachitika pakamwa. Mankhwalawa ndi sulfonylurea. Ili ndi pancreatic komanso extrapancreatic effect. Zimawonjezera kupanga kwa insulin pokhudza kuphatikiza kwa glucose -edi

Hypoglycemic effect imachitika pambuyo maola 1.5 kuchokera pakukonzekera kwamkati mankhwala, nsonga ya izi imachitika pakatha maola awiri kapena atatu, kumatenga maola 10.

Pharmacokinetics

Pambuyo pakukonzekera kwamkati limodzi, Glyurenorm imatengeka mwachangu ndipo pafupifupi kwathunthu (80-95%) kuchokera m'mimba yotsekemera mwa kumiza.

The yogwira mankhwala - glycidone, ali ndi kuyanjana kwakukulu kwa mapuloteni m'madzi a m'magazi (99%). Palibe chidziwitso pakuyenda kapena kupezeka kwa chinthuchi kapena zinthu zake za metabolic pa BBB kapena placenta, komanso kutulutsidwa kwa glycvidone mumkaka wa mayi woyamwitsa panthawi yoyamwitsa.

Zinthu zambiri za kagayidwe ka glycidone zimasiya thupi, kukhala zotulutsidwa m'matumbo. Kachigawo kakang'ono ka zinthu zopasuka zomwe zimatuluka kudzera impso.

Kafukufuku wapeza kuti pambuyo pa kayendetsedwe ka mkati, pafupifupi 85% ya mankhwala osokoneza bongo a isotope amatulutsidwa m'matumbo. Mosasamala za kukula kwa mlingo komanso njira yoyendetsera kudzera mu impso, pafupifupi 5% (mu mawonekedwe a zinthu za metabolic) yamavomerezo amtunduwo amamasulidwa. Mlingo wa kumasulidwa kwa mankhwala kudzera mu impso umakhalabe wocheperako ngakhale pakudya pafupipafupi.

Pharmacokinetics ndi chimodzimodzi mwa odwala okalamba komanso azaka zapakati.

Kuposa 50% ya glycidone imatulutsidwa m'matumbo. Malinga ndi chidziwitso china, kagayidwe ka mankhwala sikusintha mwanjira iliyonse ngati wodwala walephera. Popeza glycidone imachoka m'thupi kudzera mu impso yaying'ono, odwala omwe ali ndi vuto la impso, mankhwalawa saunjikira m'thupi.

Type 2 matenda ashuga okalamba komanso okalamba.

Contraindication

Mtundu woyamba wa shuga
Matenda a shuga Acidosis
Matenda a shuga
Kulephera kwamphamvu kwa chiwindi
Matenda opatsirana aliwonse
Zaka zosakwana 18 (popeza palibe zambiri zokhudzana ndi chitetezo cha Glyurenorm cha gulu ili la odwala),
Munthu payekha hypersensitivity kuti sulfonamide.

Kusamala kowonjezereka kumafunikira mukamamwa Glyurenorm pamaso pa ma pathologies otsatirawa:

Thupi
Matenda a chithokomiro
Uchidakwa wambiri

Glurenorm imapangidwa kuti igwiritsidwe ntchito mkati. Kutsatira kwambiri zamankhwala zokhudzana ndi kuchuluka ndi zakudya ndizofunikira. Simungaletse kugwiritsa ntchito Glyurenorm osakambirana kaye ndi dokotala.

Glurenorm iyenera kudyedwa koyambirira kwa chakudya.

Musadumphe zakudya mutamwa mankhwalawa.

Mukamwa theka la mapiritsi osakwaniritsidwa, muyenera kufunsa dokotala yemwe, mwina, adzakulitsa mlingo.

Potumiza mankhwala opitirira malire omwe ali pamwambawa, kuthekera kwakukulu kungachitike ngati mlingo umodzi wa tsiku lililonse wagawidwa pawiri kapena katatu. Pankhaniyi, mlingo waukulu umayenera kudyedwa nthawi ya chakudya cham'mawa. Kuchulukitsa kwa mankhwalawa kwa mapiritsi anayi kapena kupitilira patsiku, monga lamulo, sikuti kumayambitsa kuchuluka.

Mlingo wapamwamba kwambiri patsiku ndi mapiritsi anayi.

Kwa odwala omwe ali ndi vuto la chiwindi

Mukamagwiritsa ntchito mankhwala oposa 75 mg kwa odwala omwe ali ndi vuto la chiwindi, kuyang'anira dokotala ndikofunikira. Glurenorm sayenera kumwedwa chifukwa cha kuwonongeka kwambiri kwa chiwindi, chifukwa 95% ya mankhwalawa imakonzedwa mu chiwindi ndikusiya thupi kudzera m'matumbo.

Bongo

Mawonekedwe: kutuluka thukuta kwambiri, njala, kupweteka mutu, kusokonezeka, kugona, kukomoka.

Chithandizo: ngati zizindikiro za hypoglycemia zikuchitika, kudya kwa mkati mwa glucose kapena zinthu zomwe zili ndi chakudya chambiri zimafunikira. Woopsa hypoglycemia (limodzi ndi kukomoka kapena chikomokere), kuyikiridwa kwamkati kwa dextrose ndikofunikira.

Kuphatikiza kwa mankhwala

Glurenorm imatha kukulitsa zotsatira za hypoglycemic ngati itengedwa chimodzimodzi ndi zoletsa za ACE, allopurinol, painkillers, chloramphenicol, clofibrate, clarithromycin, sulfanilamides, sulfinpyrazone, tetracyclines, cyclophosphamides omwe atengedwa pakamwa ndi mankhwala a hypoglycemic.

Pakhoza kukhala kufooka kwa zotsatira za hypoglycemic pankhani yogwiritsa ntchito glycidone ndi aminoglutethimide, sympathomimetics, glucagon, thiazide diuretics, phenothiazine, diazoxide, komanso mankhwala omwe amakhala ndi nicotinic acid.

Malangizo apadera

Odwala omwe ali ndi matenda ashuga ayenera kutsatira malangizo a adokotala. Ndikofunikira kwambiri kuti muthane ndi vutoli posankha mtundu kapena kusintha kwa Glyrenorm kuchokera kwa wothandizila wina yemwe ali ndi vuto la hypoglycemic.

Mankhwala osokoneza bongo omwe ali ndi hypoglycemic zotsatira, amatengedwa pakamwa, sangathe kupereka monga chakudya chokwanira chomwe chimakupatsani mwayi wopewa wodwala. Chifukwa chodumpha zakudya kapena kuphwanya zomwe dokotala wakupatsani, kutsika kwakukulu kwa shuga m'magazi ndikotheka, zomwe zimapangitsa kukomoka. Ngati mumwa mapiritsi musanadye, m'malo momwera chakudyacho, zotsatira za Glyrenorm pamagazi a magazi ndizolimba, motero, mwayi wa hypoglycemia ukuwonjezeka.

Ngati hypoglycemia imachitika, kudya zakudya zokhala ndi shuga wambiri kumafunika. Ngati hypoglycemia imapitilira, ngakhale zitatha izi muyenera kufunsa kuchipatala msanga.

Chifukwa cha kupsinjika kwakuthupi, zotsatira za hypoglycemic zitha kukulira.

Chifukwa cha mowa, kuwonjezeka kapena kuchepa kwa vuto la hypoglycemic kumatha kuchitika.

Glyurenorm piritsi ili ndi lactose mu 134.6 mg. Mankhwalawa amadziwikiratu anthu omwe ali ndi matenda amtundu wa cholowa.

Glycvidone ndi mtundu wa sulfonylurea wozikika posakhalitsa, chifukwa chake amagwiritsidwa ntchito ndi odwala omwe ali ndi matenda a shuga a 2 komanso okhala ndi vuto la hypoglycemia.

Kulandila kwa Glyurenorm ndi odwala matenda amtundu wa 2 komanso matenda amtundu wa chiwindi ndi otetezeka. Chokhacho ndikuchotsa pang'onopang'ono zinthu zomwe sizigwira ntchito glycidone metabolism mu odwala a gululi. Koma mwa odwala omwe ali ndi vuto la chiwindi, mankhwalawa ndi osayenera kumwa.

Mayeso adapeza kuti kutenga Glyurenorm kwa chaka chimodzi ndi theka ndi zaka zisanu sikubweretsa kuchuluka kwa thupi, ngakhale kuchepa pang'ono thupi kumatheka. Kafukufuku woyerekeza wa Glurenorm ndi mankhwala ena, omwe ndi mankhwala a sulfonylureas, adawonetsa kusasintha kwa odwala omwe akugwiritsa ntchito mankhwalawa kwa nthawi yoposa chaka chimodzi.

Palibe chidziwitso cha mphamvu ya Glurenorm pa kuthekera koyendetsa magalimoto. Koma wodwalayo ayenera kuchenjezedwa za zomwe zingachitike ndi hypoglycemia. Mawonetseredwe onsewa amatha kuchitika pa mankhwala ndi mankhwalawa. Kusamala kumafunikira poyendetsa.

Mimba, yoyamwitsa

Palibe chidziwitso pakugwiritsa ntchito Glenrenorm ndi amayi panthawi yomwe ali ndi pakati komanso mkaka wa m'mawere.

Sizikudziwika ngati glycidone ndi zinthu zake za metabolic zimalowa mkaka wa m'mawere. Amayi oyembekezera omwe ali ndi matenda ashuga amafunikira kuyang'anitsitsa shuga wawo wamagazi.

Kugwiritsa ntchito mankhwala am'mimba a shuga kwa amayi apakati sikumapangitsa kuti pakhale kagayidwe kazakudya. Pachifukwa ichi, kumwa mankhwalawa panthawi yapakati komanso mkaka wa m`mawere ndi contraindicated.

Mimba ikachitika kapena ngati mukukonzekera nthawi yothandizidwa ndi wothandizirayi, muyenera kusiya Glyurenorm ndikusintha kupita ku insulin.

Ngati aimpso kuwonongeka

Popeza gawo lochulukirapo la Glyurenorm limatulutsidwa m'matumbo, mwa odwala omwe impso zawo zimalephera, mankhwalawa samadziunjikira. Chifukwa chake, imatha kuperekedwa popanda zoletsa kwa anthu omwe ali ndi vuto la nephropathy.

Pafupifupi 5 peresenti ya zomwe zimapezeka mu mankhwala amtunduwu zimaperekedwa kudzera mu impso.

Kafukufuku yemwe anachitika kuyerekezera odwala omwe ali ndi matenda a shuga komanso kuwonongeka kwa impso kwamisinkhu yosiyanasiyana, odwala omwe akudwala matenda ashuga, koma osakhala ndi zovuta kuchokera ku impso, adawonetsa kuti kugwiritsa ntchito 50 mg ya mankhwalawa kumathandizanso ndi shuga.

Palibe kuwonetsa kwa hypoglycemia komwe kudadziwika. Izi zikutanthauza kuti kwa odwala omwe alembetsa impso, kusintha kwa mankhwala sikofunikira.

Zotsatira za mankhwala

Mu mankhwalawa mutha kugula mankhwalawa (mu Latin Glurenorm) monga mapiritsi. Aliyense wa iwo ali ndi 30 mg yogwira - glycidone (mu Latin Gliquidone).

Mankhwalawa ali ndizinthu zochepa zothandiza: zouma chimanga chouma komanso chosungunuka, magnesium stearate ndi lactose monohydrate.

Mankhwalawa ali ndi hypoglycemic, chifukwa ndi zotumphukira za sulfonylureas za m'badwo wachiwiri. Kuphatikiza apo, mankhwalawa ali ndi extrapancreatic ndi pancreatic.

Atamwa mapiritsi a Glurenorm, amayamba kukhudza shuga wamagazi chifukwa:

Mukatha kugwiritsa ntchito mankhwalawa, gawo lalikulu la glycidone limayamba kugwira ntchito pambuyo pa maola 1-1,5, ndipo chiwonetsero chazomwe chimachitika pambuyo pa maola 2-3 ndipo chimatha mpaka maola 12. Mankhwalawa amaphatikizidwa kwathunthu m'chiwindi, ndikufukutsa matumbo ndi impso, ndiko kuti, ndi ndowe, bile ndi mkodzo.

Ponena za momwe mankhwalawo amagwiritsidwira ntchito, ziyenera kukumbukiridwa kuti amalimbikitsa odwala omwe ali ndi matenda a shuga 2 omwe amalephera kugwiritsa ntchito mankhwalawa, makamaka ali ndi zaka zapakati komanso zaka.

Mankhwalawa amasungidwa m'malo osavomerezeka ndi ana pamtunda wa mpweya osaposa +25 degrees.

Nthawi yogwiritsira ntchito mapiritsi ndi zaka 5, atatha nthawi imeneyi zoletsedwa kugwiritsa ntchito.

Malangizo ogwiritsira ntchito mapiritsi

Mankhwalawa atha kugulidwa pokhapokha ngati dokotala amalemba mankhwala. Njira zoterezi zimaletsa zotsatirapo zoyipa za odwala omwe amadziletsa. Mutagula mankhwalawa Glyurenorm, malangizo ogwiritsira ntchito ayenera kuphunziridwa mosamala. Ngati muli ndi mafunso, ayenera kukambirana ndi akatswiri azaumoyo anu.

Poyamba, dokotala amakupatsani mankhwala 15 mg kapena mapiritsi 0,5 patsiku, omwe ayenera kumwedwa m'mawa asanadye. Kupitilira apo, mlingo wa mankhwalawa ungathe kuwonjezeka pang'onopang'ono, koma amayang'aniridwa ndi dokotala. Chifukwa chake, mlingo wa tsiku ndi tsiku umatha kufika pa 120 mg, kuwonjezereka kwa mankhwalawa kumachepetsa mphamvu yotsitsa shuga.

Mlingo wapamwamba kwambiri wa tsiku lililonse koyambirira kwa mankhwala sayenera kupitirira 60 mg. Nthawi zambiri, mankhwalawa amatengedwa kamodzi, koma kuti akwaniritse zotsatira zabwino za hypoglycemic, mlingo wa tsiku ndi tsiku umatha kugawidwa pawiri kapena katatu.

Posankha kusintha mankhwalawo kuchoka ku mankhwala ena ochepetsa shuga kupita ku mankhwala omwe akuwonetsa, wodwalayo ayenera kuonetsetsa kuti akudziwitsani za izi.

Ndi iye, poganizira kuchuluka kwa shuga ndi mkhalidwe waumoyo wa wodwalayo, yemwe amakhazikitsa milingo yoyambirira, yomwe nthawi zambiri imayambira 15 mpaka 30 mg patsiku.

Kuchita ndi njira zina

Kugwiritsanso ntchito limodzi ndi mankhwala ena kungakhudze kutsitsa kwake shuga m'njira zosiyanasiyana. Pazochitika zina, kuwonjezereka kwa hypoglycemic kungatheke, ndipo kwina, kufooka ndikotheka.

Ndipo, ACE inhibitors, cimetidine, mankhwala antifungal, anti-tuberculosis, ma inhibitors a MAO, biganides ndi ena atha kukulitsa machitidwe a Glenrenorm. Mndandanda wathunthu wa mankhwalawa ukhoza kupezeka pazomwe zalembedwa patsamba.

Othandizira monga glucocorticosteroids, acetazolamide, mahomoni a chithokomiro, estrogens, njira zothandizira pakamwa, thiazide diuretics ndi ena amachepetsa mphamvu ya hypoglycemic ya Glurenorm.

Kuphatikiza apo, zotsatira za mankhwalawa zimatha kukhudzidwa ndi kumwetsa mowa, kulimbitsa thupi mwamphamvu komanso zovuta zina, zonsezi zimakulitsa kuchuluka kwa glycemia ndikuchepetsa.

Palibe deta pazokhudza Glurenorm pa chidwi cha anthu. Komabe, zikaoneka zosokoneza malo okhala ndi chizungulire, anthu omwe amayendetsa magalimoto kapena amagwiritsa ntchito makina olemera amayenera kusiya ntchito yoopsayi kwakanthawi.

Mtengo, ndemanga ndi fanizo

Phukusili lili ndi mapiritsi 60 a 30 mg aliyense. Mtengo wa ma CD otere umasiyana kuchokera pa 415 mpaka 550 rubles aku Russia. Chifukwa chake, chitha kuonedwa zovomerezeka kwa magawo onse a anthu. Kuphatikiza apo, mutha kuyitanitsa mankhwalawo mufamu ya pa intaneti, potero mumasunga ndalama.

Ndemanga za odwala ambiri omwe amamwa mankhwala osokoneza bongo ndi abwino. Chidacho chimachepetsa shuga, kugwiritsa ntchito kwake kosatha kumathandizira kuti glycemia ikhale yachilendo. Anthu ambiri amakonda mtengo wamankhwala omwe "sangathe kugula." Kuphatikiza apo, mitundu ya mankhwalawa imakhala yosavuta kugwiritsa ntchito. Komabe, ena amawona mawonekedwe amutu akumwa mankhwalawo.

Tiyenera kudziwa kuti kutsatira kwambiri mankhwalawa komanso malingaliro onse a othandizira amachepetsa chiopsezo cha mavuto.

Komabe, ngati wodwalayo aletsedwa kugwiritsa ntchito mankhwalawo kapena ngati sakugwirizana bwino, dokotalayo atha kumuuza mtundu wina. Awa ndi mankhwala omwe ali ndi zinthu zosiyanasiyana, koma ali ndi vuto lofananira la hypoglycemic. Izi zikuphatikizapo Diabetesalong, Amix, Maninil ndi Glibetic.

Glurenorm ndi chida chothandiza kuchepetsa matenda a shuga mwa odwala matenda ashuga a 2. Pogwiritsa ntchito bwino mankhwalawa, zotsatira zabwino zimatha. Komabe, ngati mankhwalawo sagwirizana ndi odwala matenda ashuga, palibe chifukwa chokhumudwitsidwa, adokotala angakupatseni mankhwala ofanana. Kanema yemwe ali munkhaniyi akhala ngati mtundu wamalangizo othandizira mankhwalawo.

Glurenorm: malangizo, ntchito, analogi, mtengo, ndemanga

Nthawi zambiri, odwala matenda ashuga a 2 amakonda kudziwa momwe angatengere glurenorm.Mankhwalawa ndi a amodzi omwe amachepetsa shuga kuchokera pagulu lachiwiri la sulfonylurea.

Ili ndi mtundu wa hypoglycemic wotchulidwa ndipo nthawi zambiri imagwiritsidwa ntchito pochiza odwala omwe ali ndi matenda oyenera.

Gawo lalikulu la mankhwala Glenrenorm ndi glycidone.

Othandizira ndi:

Wowuma ndi wowuma chimanga wowuma.
Magnesium wakuba.
Lactose Monohydrate.

Glycvidone ali ndi hypoglycemic. Momwemo, chizindikiritso chogwiritsa ntchito mankhwalawa ndi mtundu wa 2 shuga wambiri pomwe chakudya chokha sichingapangitse kuchuluka kwa shuga m'magazi.

Mankhwala Glurenorm ndi a gulu la zotumphukira za sulfonylurea, chifukwa chake zotsatira zake zimagwirizana kwathunthu (nthawi zambiri) ndi othandizira ofananawo.

Zotsatira zazikulu zochepetsera kuchuluka kwa shuga ndi zotsatirazi zamankhwala:

Kukondoweza kwa amkati a insulin.
Kuchulukana kwamphamvu kwa zotumphukira zathu kuzinthu zokhudzana ndi mphamvu ya timadzi.
Kuwonjezeka kwa chiwerengero cha insulin receptors.

Chifukwa cha izi, nthawi zambiri zimakhala zotheka kusinthasintha magazi a glucose.

Mankhwala a glucorm angagwiritsidwe ntchito pokhapokha mukaonana ndi dokotala ndikusankha Mlingo wokwanira wodwala wina. Kudzichitira nokha mankhwala kumaperekedwa chifukwa chokhala ndi chiopsezo chambiri komanso kuwonjezeka kwa zomwe wodwalayo amadwala.

Njira zochizira mtundu wachiwiri za matenda a shuga a mankhwalawa zimayamba ndi theka la piritsi (15 mg) patsiku. Glurenorm imatengedwa m'mawa kumayambiriro kwa chakudya. Pakufunika kwa zotsatira za hypoglycemic, mlingo umalimbikitsidwa kuti uwonjezeke.

Mlingo wambiri tsiku lililonse ndikumwa mapiritsi anayi. Kuwonjezeka koyenera kwa mankhwalawa ndikuwonjezeka kwa kuchuluka kwa mankhwalawa mopitilira chiwerengerochi sikunawonedwe. Chiwopsezo chokha cha kukulitsa zovuta zomwe zimachitika chimawonjezeka.

Simunganyalanyaze njira yodya mukatha kugwiritsa ntchito mankhwalawa. Ndikofunikanso kugwiritsa ntchito mapiritsi ochepetsera shuga panjira (koyambirira) kwa chakudya. Izi zikuyenera kuchitika pofuna kupewa matenda a hypoglycemic ndi chiopsezo chochepa cha kukhala chikomokere (cha mankhwala osokoneza bongo).

Odwala omwe ali ndi vuto la chiwindi ndipo amatenga mapiritsi a Glurenorm opitilira awiri patsiku ayenera kuwunikiridwa pafupipafupi ndi dokotala kuti ayang'anire ntchito ya chiwalocho.

Kutalika kwa mankhwalawa, kusankha kwa Mlingo ndi malingaliro pazomwe mungagwiritse ntchito ziyenera kuyikidwa ndi adokotala okha. Kudzichitira nokha mankhwala kuli ndi zovuta zingapo zamatenda oyamba ndikubwera pazotsatira zingapo zosayenera.

Ndi kusakwanira kwenikweni kwa Glyurenorm, kuphatikiza kwake ndi Metformin ndikotheka. Funso la kuchuluka kwa mankhwalawa komanso kugwiritsa ntchito mankhwala mosokoneza bongo kumawerengedwa pambuyo pa kuyesedwa koyenera kachipatala ndi kufunsa kwa endocrinologist.

Analogi a njira

Popeza ndi mitundu yambiri ya mankhwala omwe amagwiritsidwa ntchito pochiza matenda amtundu wa 2, odwala ambiri ali ndi chidwi ndi momwe angachotse Glurenorm. Ndikofunika kudziwa kuti kusiyanasiyana kwa dongosolo komanso chithandizo cha wodwala popanda kudziwitsa adokotala ndikosavomerezeka.

Komabe, pali njira zingapo zosinthira.

Glurenorm analogues:

Nthawi zambiri, mankhwalawa amakhala ndi chinthu chimodzi chomwe chimagwira ndi mtundu wina wowonjezera. Mlingo wa piritsi limodzi umatha kusiyana, zomwe ndikofunikira kuziganizira mukamachotsa Glyurenorm.

Ndikofunika kudziwa kuti pazifukwa zina, nthawi zina mankhwala ngati omwewo amakhala ndi magwiridwe osiyanasiyana ogwira ntchito. Izi zimachitika makamaka chifukwa cha mawonekedwe a kagayidwe kamunthu aliyense payekha komanso masinthidwe opanga mankhwala ena ochepetsa shuga. Mutha kuthetsa vuto lakusintha ndalama kokha ndi dokotala.

Kugula Glyurenorm?

Mutha kugula Glyurenorm m'magawo azachikhalidwe komanso pa intaneti. Nthawi zina sizikhala pamasamba a akatswiri ogulitsa mankhwalawa, kotero odwala omwe ali ndi matenda amtundu wa 2, omwe amathandizidwa kwambiri ndi mankhwalawa, amayesa kuyitanitsa kudzera pa World Wide Web.

Mwakutero, kulibe vuto lililonse kupeza Glurenorm, mtengo wake womwe umachokera ku 430 mpaka 550 rubles. Kukula kwa mayeso muzolemba zambiri kumatengera kukhazikika kwa wopanga komanso mawonekedwe amomwe amapangira mankhwala. Nthawi zambiri, madokotala enieniwo amatha kuuza wodwala kumene angapeze mapiritsi ochepetsa shuga.

Ndemanga Zahudwala

Odwala omwe akutenga Glurenorm, omwe ndemanga zawo ndizosavuta kupeza pa intaneti, nthawi zambiri amakhala ndi mankhwala okwanira.

Komabe, ndikofunikira kuti mumvetsetse kuti chida ichi sichinthu chopezeka pagulu komanso chosangalatsa. Imagulitsidwa (nthawi yayitali) kokha ndi mankhwala ndipo imapangidwira chithandizo chachikulu cha matenda oopsa.

Chifukwa chake, mukamawerenga ndemanga pa intaneti, nthawi zonse muyenera kufunsa dokotala mofanananira. Glyurenorm itha kukhala yothandiza kwa odwala ena, koma yolakwika kwa ena.

Ntchito malangizo Glyurenorm

Matenda a shuga a Mtundu Wachiwiri amatengedwa kuti ndi matenda a metabolism omwe amadziwika ndi kukula kwa hyperglycemia chifukwa cha kusokonekera kwa maselo amthupi ndi insulin.

Kuti achepetse kuchuluka kwa glucose omwe ali m'magazi, odwala ena, kuphatikizapo zakudya zamagulu ena, amafunikira mankhwala ena.

Imodzi mwa mankhwalawa ndi glurenorm.

Zambiri, kapangidwe ndi mawonekedwe ake amasulidwe

Glurenorm ndi nthumwi ya sulfonylureas. Ndalamazi zimapangidwa kuti muchepetse magazi.

Mankhwalawa amalimbikitsa katemera wa yogwira insulin ndi maselo a kapamba, omwe amathandiza kuyamwa shuga wambiri.

Mankhwala amathandizidwa ndi odwala omwe amadya zakudya osapatsa mphamvu, ndipo njira zina zimafunikira kuti zikhale zovuta kuzindikiritsa magazi.

Mapiritsi a mankhwalawa ndi oyera, ali ndi cholembedwa "57C" komanso chogwirizana ndi wopanga.

Glycvidone - gawo lalikulu - 30 mg,
wowuma chimanga (wouma ndi sungunuka) - 75 mg,
lactose (134.6 mg),
magnesium stearate (0.4 mg).

Phukusi lamankhwala limatha kukhala ndi mapiritsi 30, 60, kapena 120.

Zizindikiro ndi contraindication

Glurenorm imagwiritsidwa ntchito ngati mankhwala oyenera omwe amagwiritsidwa ntchito pochiza matenda a shuga a 2. Nthawi zambiri, mankhwalawa amaperekedwa kwa odwala akafika zaka zapakati kapena zaka zapakati, pamene glycemia sangakhale yofanana ndi chithandizo cha mankhwala.

kupezeka kwa matenda a shuga 1
kuchira pambuyo pancreatectomy,
kulephera kwa aimpso
Kusokonezeka kwa chiwindi,
acidosis yopezeka mu shuga
ketoacidosis
chikomokere (choyambitsidwa ndi matenda ashuga)
galactosemia,
lactose tsankho,
matenda opatsirana omwe amapezeka m'thupi,
othandizira opaleshoni
mimba
ana osakwana zaka zambiri
tsankho pamagawo a mankhwala,
nthawi yoyamwitsa,
matenda a chithokomiro
uchidakwa
pachimake porphyria.

Zotsatira zoyipa ndi bongo

Kumwa mankhwalawa kumapangitsa zotsatirazi zina mwa odwala ena:

mogwirizana ndi hematopoietic dongosolo - leukopenia, thrombocytopenia, agranulocytosis,
achina,
mutu, kutopa, kugona, chizungulire,
kuwonongeka kwamawonekedwe
angina pectoris, hypotension and extrasystole,
Kuchokera pakukamwa - kusanza, kusanza, kukhumudwa, cholestasis, kusowa chilakolako cha chakudya,
Matenda a Stevens-Johnson
urticaria, zotupa, kuyabwa,
kupweteka kumamveka m'chifuwa.

Mankhwala osokoneza bongo amatsogolera ku hypoglycemia.

Pankhaniyi, wodwalayo amamva zomwe munthu akuchita:

njala
tachycardia
kusowa tulo
kutuluka thukuta kwambiri
kunjenjemera
kusokonekera kwa mawu.

Mutha kuyimitsa chiwonetsero cha hypoglycemia potenga chakudya chamafuta ambiri. Ngati munthu sakhudzidwa pakadali pano, ndiye kuti kuchira kwake kumafunika shuga mkati. Pofuna kupewa kubwereza kwa hypoglycemia, wodwalayo ayenera kukhala ndi zina zowonjezera pambuyo pobayidwa.

Kuyanjana Ndi Mankhwala Ndi Analogi

Mphamvu ya hypoglycemic ya Glenrenorm imatheka chifukwa chogwiritsika ntchito munthawi yomweyo ngati mankhwalawa:

Glycidone
Allopurinol,
ACE zoletsa
analgesics
mankhwala antifungal
Clofibrate
Clarithromycin
heparins
Sulfonamides,
insulin
othandizira pakamwa ndi hypoglycemic.

Mankhwala otsatirawa amathandizira kuchepa kwa glyurenorm:

Aminoglutethimide,
amphanomachul
mahomoni a chithokomiro
Glucagon
kulera kwamlomo
zinthu zomwe zimakhala ndi nikotini acid.

Ndikofunika kumvetsetsa kuti sikulimbikitsidwa kumwa mapiritsi a Glurenorm pamodzi ndi mankhwala ena osavomerezeka ndi dokotala.

Glurenorm ndi imodzi mwazomwe amadziwika kuti mankhwala asinthane ndi matenda a shuga.

Kuphatikiza pa mankhwalawa, madokotala amatha kulimbikitsa kufananiza kwake:

Tiyenera kukumbukira kuti kusintha kwa mlingo ndi kusintha kwa mankhwala kuyenera kuchitika kokha ndi dokotala.

Makanema okhudzana ndi matenda a shuga ndi njira zosungitsira shuga m'magazi:

Maganizo a odwala

Kuchokera pa ndemanga za odwala omwe akutenga Glurenorm, titha kunena kuti mankhwalawa amachepetsa shuga, koma adanenanso zoyipa zomwe zimakakamiza ambiri kuti asinthane ndi mankhwala a analog.

Mtengo wa mapiritsi 60 a Glenrenorm ndi ma ruble pafupifupi 450.

Adalimbikitsa Zolemba Zina Zogwirizana

Palibe chidziwitso pakugwiritsa ntchito glycidone mwa amayi nthawi yapakati komanso yoyamwitsa.

Sizikudziwika ngati glycidone kapena ma metabolites ake amapita mkaka wa m'mawere. Amayi oyembekezera omwe ali ndi matenda ashuga amayenera kuwunika mozama ma plasma glucose.

Kumwa mankhwala antidiabetesic mwa amayi apakati samapereka ulamuliro woyenera wa kuchuluka kwa chakudya.

Chifukwa chake, kugwiritsa ntchito mankhwala Glurenorm® pa nthawi ya pakati komanso mkaka wa m`mawere ali wotsutsana.

Ngati muli ndi pakati kapena pokonzekera kutenga pakati pa kugwiritsa ntchito mankhwalawa Glyurenorm ®, mankhwalawa ayenera kuyimitsidwa ndikusintha kwa insulin.

Gwiritsani ntchito ntchito yolakwika ya chiwindi

Mankhwala ali contraindicated mu pachimake hepatic porphyria, chiwindi.

Kumwa mlingo wowonjezera wa 75 mg kwa odwala omwe ali ndi vuto la chiwindi kumafunikira kuwunika momwe wodwalayo alili. Mankhwalawa sayenera kutumizidwa kwa odwala omwe ali ndi vuto lalikulu la chiwindi, popeza 95% ya mankhwalawa imapukusidwa mu chiwindi ndikuchotsa matumbo.

M'mayesero azachipatala omwe ali ndi odwala omwe ali ndi matenda a shuga komanso kuwonongeka kwa chiwindi kosiyanasiyana (kuphatikiza chiwindi cha chiwindi ndi matenda oopsa a portal), Glurenorm ® sichinayambitse kuwonongeka kwa chiwindi, kuchuluka kwa zovuta sikunawonjezeke, kusintha kwa hypoglycemic sikunapezeke.

Gwiritsani ntchito ntchito yolakwika yaimpso

Popeza gawo lalikulu la mankhwalawa limapukusidwa m'matumbo, odwala omwe ali ndi vuto laimpso, mankhwalawa samadziunjikira. Chifukwa chake, glycidone imatha kuperekedwa kwa odwala omwe ali pachiwopsezo chokhala ndi nephropathy yodwala.

Pafupifupi 5% ya metabolites ya mankhwalawa amachotsedwa ndi impso.

Mu kafukufuku wazachipatala - kuyerekezera kwa odwala omwe ali ndi matenda a shuga komanso kuwonongeka kwaimpso kosiyanasiyana komanso odwala omwe ali ndi vuto la matenda a shuga popanda kuwonongeka kwa impso, kutenga Glyurenorm pa mlingo wa 40-50 mg kunayambitsa zotsatira zofanana zamagazi. Kudzikundikira kwa mankhwalawa ndi / kapena hypoglycemic zizindikiro sizowonedwa. Chifukwa chake, odwala omwe ali ndi vuto la impso, kusintha kwa mlingo sikofunikira.

Zizindikiro zogwiritsidwa ntchito

Malangizowo akunena kuti chithandizo chamankhwala cha odwala matenda a shuga okha ndi achigawo chachiwiri, chithandizo cha odwala omwe ali ndi zaka zoyambirira ndi chololedwa.

Mankhwala ali ndi hypoglycemic ntchito. Ngati mumagwiritsa ntchito mpaka 120 mg patsiku, hemoglobin ya glycated m'masiku 12 idzachepa ndi 2.1%. Odwala omwe amagwiritsa ntchito glycidone ndi analogue glibenclamide adalandira phindu ndi zomwezo, zomwe zikuwonetsa mfundo zofananira zamankhwala onse awiri.

Kutulutsa Fomu

Mankhwalawa amapangidwa m'mapiritsi okhala ndi mzere mbali imodzi ndi cholembedwa 57c chosonyeza kuchuluka kwa zinthu zomwe zimagwiritsidwa ntchito theka la piritsi.

425 rub pali paketi ku Glyurenorma No. 60.

Piritsi limodzi lili ndi 30 mg ya glycidone. Zothandiza:

lactose
wowuma chimanga
magnesium wakuba.

Onyengerera mapiritsi oyera oyera okhala ndi konsekonse.

Glurenorm mfundo ntchito

Glurenorm ndi a m'badwo wachiwiri wa PSM. Mankhwala ali ndi mitundu yonse yamankhwala amtundu wa gulu lino la hypoglycemic wothandizira:

Chofunika kwambiri ndicho pancreatic. Glycvidone, mankhwala othandizira omwe amapezeka m'mapiritsi a Glurenorm, amamangiriza ma cell a pancreatic cell ndikulimbikitsanso kuphatikiza kwa insulin mwa iwo. Kuwonjezeka kwa kuchuluka kwa mahomoni awa m'magazi kumathandizira kuthana ndi insulin, komanso kumathandizira kuchotsa shuga m'mitsempha yamagazi.
Chochita chowonjezerapo ndi extrapancreatic. Glurenorm imakulitsa chidwi cha insulin, imachepetsa kutulutsa shuga m'magazi. Matenda a shuga a Mtundu Wachiwiri amadziwika ndi zonyansa zomwe zimapezeka mu lipid mbiri yamagazi. Glurenorm imathandizira kusintha zizindikiritso izi, zimalepheretsa thrombosis.

Mapiritsi amachita pa gawo 2 la insulin kaphatikizidwe, kotero shuga amatha kukweza nthawi yoyamba mukatha kudya. Malinga ndi malangizo, mphamvu ya mankhwalawa imayamba patatha pafupifupi ola limodzi, mphamvu kwambiri, kapena nsonga, imawonedwa patatha maola 2,5. Kutalika konse kwa kuchitako kumafika maola 12.

Ma PSM onse amakono, kuphatikiza Glurenorm, ali ndi vuto lalikulu: amathandizira kapangidwe ka insulin, mosasamala kanthu za kuchuluka kwa shuga m'matumbo a odwala matenda ashuga, ndiye kuti amagwira ntchito ndi hyperglycemia ndi shuga wabwinobwino.

Ngati pali shuga wocheperako kuposa momwe amagwiritsidwira ntchito m'magazi, kapena ngati adagwiritsidwa ntchito pantchito ya minofu, hypoglycemia imayamba. Malinga ndi ndemanga ya odwala matenda ashuga, chiwopsezo chake ndichopambana kwambiri pakukonzekera kwa mankhwalawo komanso kupsinjika kwanthawi yayitali.

Chizindikiro chovomerezeka

Malangizowa amalimbikitsa chithandizo ndi Glurenorm pokhapokha ngati ali ndi mtundu wachiwiri wa matenda ashuga, kuphatikiza odwala matenda ashuga okalamba komanso odwala azaka zapakati.

Kafukufuku adatsimikizira kuchuluka kwa shuga kochepetsa kwambiri kwa mankhwalawa Glyurenorm.

Mankhwala atafotokozedwa atangopezeka ndi matenda a shuga tsiku lililonse mpaka pafupifupi 120 mg wa anthu odwala matenda ashuga, kutsika kwa hemoglobin pakadutsa masabata 12 ndi 2.1%.

M'magulu omwe amatenga glycidone ndi gulu lake analogue glibenclamide, pafupifupi chiwerengero chomwecho cha odwala adalandira chindapusa cha shuga.

Pamene Glurenorm sangathe kumwa

Malangizo ogwiritsira ntchito aletse kutenga Glurenorm ya matenda ashuga pazotsatirazi:

Ngati wodwala alibe maselo a beta. Choyambitsa chimatha kukhala pancreatic resection kapena mtundu 1 shuga.
Woopsa matenda a chiwindi, hepatic porphyria, glycidone akhoza zimapukusidwa mosakwanira ndi kudziunjikira mu thupi, zomwe zimabweretsa bongo.
Ndi hyperglycemia, olemedwa ndi ketoacidosis ndi zovuta zake - makomedwe ndi kukomoka.
Ngati wodwala ali ndi hypersensitivity kuti glycvidone kapena PSM ina.
Ndi hypoglycemia, mankhwalawa sangathe kuledzera mpaka shuga atasinthidwa.
M'mikhalidwe yovuta kwambiri (matenda oopsa, kuvulala, maopaleshoni), glurenorm imasinthidwa kwakanthawi ndi insulin.
Pa nthawi yoyembekezera komanso nthawi ya hepatitis B, mankhwalawa amaletsedwa, chifukwa glycidone imalowa m'magazi a mwana ndikuwononga bwino chitukuko chake.

Pa nthawi ya malungo, shuga m'magazi amadzuka. Njira zochizira nthawi zambiri zimakhala ndi hypoglycemia. Pakadali pano, muyenera kutenga Glurenorm mosamala, nthawi zambiri mumayeza glycemia.

Matenda a mahomoni okhala ndi matenda a chithokomiro amatha kusintha ntchito ya insulin. Odwala oterewa amawonetsedwa mankhwala osayambitsa hypoglycemia - metformin, glyptins, acarbose.

Kugwiritsa ntchito mankhwala Glurenorm mu zakumwa zoledzeretsa kumadzaza ndi kuledzera kwambiri, kosadumphira mu glycemia.

Malamulo Ovomerezeka

Glurenorm imangopezeka mu gawo la 30 mg. Mapiritsiwo ndiwowopsa, motero amatha kugawidwa kuti apeze theka.

Mankhwalawa aledzera mwina asanadye, kapena kumayambiriro kwake. Izi zikachitika, pofika kumapeto kwa chakudyacho kapena pambuyo pake, kuchuluka kwa insulin kumawonjezeka ndi 40%, zomwe zimapangitsa kutsika kwa shuga.

Kutsika kwotsatira kwa insulin mukamagwiritsa ntchito Glyurenorm kuyandikira kwambiri m'thupi, chifukwa chake chiopsezo cha hypoglycemia ndi chotsika. Malangizowa akuyenera kuyamba ndi theka la piritsi pa kadzutsa.

Kenako mlingo umakulitsidwa pang'onopang'ono mpaka kubwezeredwa kwa shuga. Pazotheka pakati pakusintha kwa mlingo uyenera kukhala wosachepera masiku atatu.

Mlingo wa mankhwala	Mapiritsi	mg	Nthawi yolandila
Mlingo woyambira	0,5	15	m'mawa
Mlingo woyambira mukamasintha kuchokera ku PSM ina	0,5-1	15-30	m'mawa
Mulingo woyenera	2-4	60-120	60 mg imatha kumwa kamodzi pakudya kadzutsa, mlingo waukulu umagawidwa ndi 2-3.
Mlingo	6	180	Mlingo wachitatu, mlingo waukulu kwambiri m'mawa. Odwala ambiri, kutsika kwa glucose komwe kumatsalira kumatha kukula pa mlingo pamwamba pa 120 mg.

Osadumpha chakudya mutatha kumwa mankhwalawa. Zogulitsa ziyenera kukhala ndi chakudya chamagulu, makamaka ndi otsika glycemic index.

Kugwiritsa ntchito Glenrenorm sikuchotsa zakudya zomwe zidaperekedwa kale komanso masewera olimbitsa thupi.

Ndi kumwa kosalekeza kwa zakudya zamafuta ndi ntchito zochepa, mankhwalawa sangaperekenso chindapusa cha odwala ambiri.

Kulandila kwa Glyurenorm ndi nephropathy

Kusintha kwa mlingo wa gluluorm wa matenda a impso sikofunikira. Popeza glycidone imakhala ikudutsa impso, odwala matenda ashuga omwe ali ndi nephropathy samachulukitsa chiopsezo cha hypoglycemia, monga mankhwala ena onse.

Zambiri pazomwe zikuwonetsa kuti pakatha milungu inayi yogwiritsa ntchito mankhwalawa, proteinuria imachepa ndipo kuyambiranso kwamikodzo kumayendera limodzi ndi kuwongolera kwa matenda ashuga. Malinga ndi ndemanga, Glurenorm imatchulidwa ngakhale pambuyo pothana ndi impso.

Gwiritsani ntchito matenda a chiwindi

Malangizowa amaletsa kutenga Glurenorm mu chiwindi kwambiri. Komabe, pali umboni wosonyeza kuti glycidone metabolism mu matenda a chiwindi imasungidwa nthawi zambiri, pomwe kuwonongeka kwa ziwalo sikumachitika, pafupipafupi zotsatira zoyipa sizikula. Chifukwa chake, kuikidwa kwa Glyurenorm kwa odwala otere ndikotheka ndikuwunika kokwanira.

Zotsatira zoyipa, zotsatira za bongo

Pafupipafupi pazinthu zosayenera mukamamwa mankhwala a Glurenorm:

Pafupipafupi%	Dera la Kuphwanya	Zotsatira zoyipa
zopitilira 1	Matumbo	Matenda am'mimba, kupweteka kwam'mimba, kusanza, kuchepa kwa chidwi.
kuyambira 0,1 mpaka 1	Chikopa	Thupi lawo siligwirizana, erythema, chikanga.
Machitidwe amanjenje	Mutu, kusokonezeka kwakanthawi, chizungulire.
mpaka 0,1	Mwazi	Kuchepa kwamapulozi.

Nthawi zina, panali kuphwanya kutuluka kwa bile, urticaria, kuchepa kwa leukocytes ndi granulocytes m'magazi.

Pankhani ya bongo wambiri, chiopsezo cha hypoglycemia ndichachikulu. Chotsani ndi glucose wamkamwa kapena wamkati. Pambuyo pa kusintha kwa shuga, imatha kugwa mobwerezabwereza mpaka mankhwala atachotsedwa m'thupi.

Mtengo ndi Glurenorm

Mtengo wa paketi wokhala ndi mapiritsi 60 a Glyurenorm ndi ma ruble 450. Glycidon ya mankhwala sili m'gulu la mankhwalawa, motero sizingatheke kuti ipatsidwe kwaulere.

Analogue yathunthu yokhala ndi zinthu zomwezi ku Russia sichikupezeka. Tsopano njira yolembetsa ikuchitika chifukwa cha mankhwalawa Yuglin, wopanga Pharmasynthesis. Kufanana kwachilengedwe kwa Yuglin ndi Glyurenorm kwatsimikiziridwa kale, chifukwa chake, tingayembekezere mawonekedwe ake ogulitsa posachedwa.

Mwa anthu odwala matenda ashuga okhala ndi thanzi labwino, PSM iliyonse ikhoza kulowa Glurenorm. Ali ponseponse, chifukwa chake ndiosavuta kusankha mankhwala okwera mtengo. Mtengo wa chithandizo umayamba kuchokera ku ma ruble 200.

Pakulephera kwa impso, linagliptin ikulimbikitsidwa. Izi zimagwira mu kapangidwe ka Trazhent ndi Gentadueto. Mtengo wa mapiritsi pamwezi wa mankhwala amachokera ku ma ruble 1600.

Data ya Pharmacokinetics

Kukonzekera kwamlomo kumapereka kuyamwa mwachangu komanso kokwanira kutaya chakudya m'magawo am'mimba ndipo kumalola kufikira ambiri mwa ma 500-700 nanograms pa 1 ml pambuyo pa gawo limodzi la 30 mg pambuyo pa maola 2-3, omwe amatsika ndi theka mu 0,5-1 ora.

Mchitidwe wa metabolic umachitika kwathunthu m'chiwindi, ndiye kuti pamakhala njira ina yotulutsira matumbo limodzi ndi ndulu ndi ndowe, komanso pang'ono - limodzi ndi mkodzo (pafupifupi 5%, ngakhale pakudya kwanthawi yayitali).

Mlingo watsiku ndi tsiku

Sipayenera kupitirira 60 mg, ndizovomerezeka kutenga nthawi imodzi mukadya kadzutsa, koma kuti mupeze zotsatira zabwino, ndikulimbikitsidwa kuti mugawane Mlingo mu 2-3 Mlingo.

Yang'anani! Ngati mwasankha kusintha kwa wothandizila wina wa hypoglycemic yemwe ali ndi magwiridwe ofanana, ndiye kuti adokotala ayenera kudziwa mlingo woyambirira wa matendawo. Nthawi zambiri imakhala 15-30 mg ndipo imangokulira pakukulimbikitsidwa ndi adokotala.

Zolemba zogwiritsira ntchito

Chithandizo cha matenda a shuga chimachitika motsogozedwa ndi akatswiri. Odwala sangasinthe pang'onopang'ono mlingo, kusokoneza njira ya chithandizo, kusintha mankhwalawa osavomerezeka ndi dokotala. Zomwe Mungagwiritse Ntchito:

kufunikira kongolera kunenepa kwanu,
simungathe kulumpha chakudya cham'mawa, nkhomaliro, chakudya chamadzulo, muyenera kutsatira mosamalitsa zakudya,
gwiritsani ntchito mapiritsi okha ndi chakudya, osati pamimba yopanda kanthu,
kuchita zolimbitsa thupi zolimbitsa thupi,
kupatula kugwiritsa ntchito mankhwala osokoneza bongo m'thupi la dehydrogenase,
Pewani zinthu zovuta zomwe zimakulitsa shuga
Osamamwa mowa.

Anthu odwala matenda ashuga omwe amalephera kupweteka kwa impso komanso ma pathologies a chiwindi amayang'aniridwa pafupipafupi ndi madokotala pogwiritsa ntchito mankhwalawa, mosasamala kanthu kuti palibe chifukwa chosinthira mlingo wa zotere.

Kulephera kwa chiwindi chachikulu ndi kutsutsana kwambiri pakugwiritsa ntchito Glyurenorm. Zigawo za mankhwala zimadwala kagayidwe kachakudya.

Mukatsatira malangizowa, odwala matenda ashuga sadzadedwa ndi hypoglycemia. Kupezeka kwa zinthu ngati izi kumatanthawuza ngozi poyendetsa magalimoto kapena nthawi zina pomwe sizovuta kuchita zofunikira kuyimitsa zizindikiro.

Odwala omwe akutenga Glurenorm amalangizidwa kuti apewe kuyendetsa galimoto ndikugwiritsa ntchito makina ovuta. Pa nthawi yoyembekezera kapena pakubala, Glurenorm imagwiritsidwa ntchito. Kafukufuku wokhudza ana aang'ono ndi kuphatikiza mazira m'thupi la amayi sichinachitike. Chifukwa chake, sizikudziwika momwe mankhwalawa amakhudzira kukula kwa makanda. Ngati pakufunika kugwiritsa ntchito othandizira a hypoglycemic, majakisoni a insulin amaperekedwa.

Kuchita ndi mankhwala ena

Zotsatira zamankhwala zimachepetsedwa ndi mankhwalawa:

kulera kwamlomo
zamagetsi zamkati
mankhwala a mahomoni
michere ya chithokomiro.

Mphamvu ya mankhwalawa imalimbikitsidwa akaphatikizidwa ndi othandizira:

UHF
antidepressants
antibacterial othandizira
antimicrobials
mabwinja
okodzetsa
Mowa.

Mphamvu ya hypoglycemic imachepa pogwiritsa ntchito mankhwala omwe ali ndi GCS ndi diazoxides.

Nthawi zina odwala amathandizidwa kugwiritsa ntchito insulin. Mlingo watsimikiza ndi endocrinologist, koma odwala matenda ashuga a 2 samakonda kuyang'anira shuga.

Mapiritsi ochepetsa shuga a gluluorm: malangizo, mtengo, malo ogulitsira komanso kuwunika anthu odwala matenda ashuga

Pafupifupi munthu aliyense amene akudwala nthenda yachiwiri ya "lokoma" amadziwa kuti matenda awa ndi a mtundu wa metabolic.

Amadziwika ndi kukula kwa matenda a hyperglycemia, opangidwa chifukwa chophwanya kuyanjana kwa insulin ndi maselo a cell.

Ndilo gulu ili la odwala lomwe liyenera kulabadira zamankhwala ngati Glurenorm, lomwe limadziwika kwambiri masiku ano.

Ndili ndi chitukuko cha zochitika zotere zomwe mankhwalawa amagwiritsidwa ntchito. Pansipa aperekedwa malangizo ogwiritsa ntchito, ma fanizo omwe amapezeka, mawonekedwe ake ndi mawonekedwe ake omasulira.

Piritsi limodzi lamankhwala limakhala ndi:

glycidone yogwira pophika 30 mg,
zokopa zomwe zimayimiridwa ndi: wowonda chimanga, lactose, wowuma chimanga 06598, magnesium stearate.

Ngati tizingolankhula zamankhwala omwe amapezeka pamankhwala, ndiye kuti zimangothandiza osati kungalimbikitse kutulutsa kwa mahomoni ndi pancreatic beta-cell, komanso zimawonjezera ntchito ya insulin-secretory ya glucose. Ads-mob-1

Chipangizochi chimayamba kugwira ntchito pambuyo pa maola 1-1.5 mutatha kugwiritsa ntchito, pomwe mphamvu yayikulu imachitika mu maola 2-3 ndipo imakhala kwa maola 9-10.

Ndikupezeka kuti mankhwalawa amatha kukhala ngati sulfonylurea ya kanthawi kochepa ndipo angagwiritsidwe ntchito pochiza odwala matenda ashuga a mtundu II komanso odwala omwe ali ndi vuto la impso.

Chifukwa Njira yochotsa glycidone ndi impso ndiyosafunikira kwenikweni, mankhwalawa amalembedwa kwa odwala matenda ashuga omwe ali ndi matenda ashuga. Zatsimikiziridwa mwasayansi kuti kutenga Glyurenorm kumakhala kothandiza komanso kotetezeka.

Zowona, nthawi zina, panali kutsika kwapang'onopang'ono pakuwonetsa kwa metabolites osagwira. Kumwa mankhwalawa kwa zaka 1.5-2 sikuti kumawonjezera kuchuluka kwa thupi, koma, m'malo mwake, kutsika kwake ndi 2-3 kg.

Monga tawonera kale pang'ono, mankhwalawa amakhudzidwa ndi adokotala pozindikira matenda a II okoma a "insulin" osadziwika. Komanso, izi zimagwira ntchito kwa odwala azaka zapakati kapena zachikulire pamene chithandizo cha zakudya sichimabweretsa zabwino.

Mankhwala adapangira pakamwa. Mlingo wofunikira umatsimikiziridwa ndi dokotala atatha kudziwa mtundu wa anthu omwe ali ndi vuto la matenda ashuga, komanso matenda aliwonse othandizira, komanso njira yotupa yotupa.

Njira yothetsera mapiritsi imayendera kuti muzitsatira zakudya zomwe katswiri adalemba komanso njira yabwino.

Njira ya chithandizo "imayamba" ndi mulingo wocheperako wofanana ndi gawo la piritsi. Kudya koyamba kwa Glyurenorm kumachitika kuyambira m'mawa mpaka pachakudya.ads-mob-2

Ngati zotsatira zabwino sizinachitike, ndiye kuti muyenera kufunafuna uphungu wa endocrinologist, chifukwa, mwina, kuchuluka kwa kuchuluka kumafunika.

Mu tsiku limodzi, amaloledwa kutenga osaposa 2 ma PC. Odwala osagwirizana ndi hypoglycemic, kuchuluka kwa mankhwala sikukula, ndipo Metformin imawonjezedwanso ngati adjunct.

Monga mankhwala ena aliwonse, mankhwala omwe amafotokozedwawo amadziwika ndi kukhalapo kwa contraindication ogwiritsa ntchito, omwe amaphatikizapo:

Mtundu woyamba wa shuga,
kuchira pambuyo opaleshoni kuti resection wa kapamba,
kulephera kwa aimpso
chiwindi ntchito,
acidosis yoyambitsidwa ndi matenda "okoma",
ketoacidosis
chikomokere chifukwa cha matenda ashuga,
lactose tsankho,
matenda a matenda opatsirana,
opaleshoni kuchitapo kanthu anachita
nthawi yobala mwana,
ana osakwana zaka 18,
kusalolera payekha pazinthu za mankhwala,
nthawi yoyamwitsa
Matenda a chithokomiro,
kusiya mowa
pachimake porphyria.

Nthawi zambiri, mankhwalawa amaloledwa ndi munthu wodwala matenda ashuga, koma nthawi zina, wodwala angakumane ndi:

Odwala ena adakumana ndi intrahepatic cholestasis, urticaria, Stevens-Johnson syndrome, agranulocytosis, ndi leukopenia. Pankhani ya mankhwala osokoneza bongo, njira yoopsa ya hypoglycemia imayamba.

Nthawi yomweyo ndi bongo, wodwalayo amamva:

kukomoka mtima,
kutuluka thukuta kwambiri
kumva kwamphamvu njala
kugwedezeka miyendo,
mutu
kulephera kudziwa
cholakwika ntchito.

Ngati chimodzi mwazizindikiro zomwe zili pamwambapa chikuwoneka, ndikulimbikitsidwa kuti mupemphe thandizo la akatswiri oyenerera .ads-mob-1

Mphamvu ya hypoglycemic ya mankhwalawa imatha kuwonjezeka mukamagwiritsa ntchito imodzi ndi zinthu monga:

salicylate,
sulfanilamide,
phenylbutazone
odana ndi chifuwa chachikulu
mchiyama
ACE inhibitor
Mao inhibitor
guanethidine.

Mphamvu ya hypoglycemic imachepetsedwa mukamagwiritsa ntchito wothandizila ndi GCS, phenothiazines, diazoxides, njira zakulera za pakamwa komanso mankhwala a nicotinic acid.

Paketi imodzi yamankhwala ili ndi ma PC 60. mapiritsi olemera 30 mg. Mtengo wa paketi yoyamba mumasitolo ogulitsa mankhwala osokoneza bongo ndi ma ruble 415-550.

Kuchokera pamenepa titha kunena kuti ndizovomerezeka kwa gulu lililonse la anthu.

Kuphatikiza apo, mutha kugula mankhwala kudzera pa pharmacy ya pa intaneti, yomwe ingapulumutse ndalama zina.

Lero mutha kupeza mayendedwe otsatirawa a Glurenorm:

Dziwani kuti ma fanizo omwe ali pamwambawa a mankhwala omwe adalankhulidwawo amakhala ndi kukhalapo kwa mankhwala ofanana, koma ndi mtengo wotsika mtengo. Ads-mob-2

Komabe, muyenera kudziwa kuti mankhwalawa sachinthu china chomwe chimapezeka "zosangalatsa".

Amazindikira makamaka malinga ndi zomwe dokotala amupatsa ndipo amawapangira kuti alandire matenda oopsa.

Chifukwa chake, ndikuphunzira nthawi imodzi kwamawonekedwe a wodwala pamaneti, ndikofunikira kufunsa katswiri. Inde, kwa odwala matenda ashuga ena mankhwalawa ndi mankhwala abwino, pomwe ena ndi oyipa kwambiri.

Zambiri pazogwiritsa ntchito mapiritsi a Glurenorm muvidiyo:

Pomaliza, ziyenera kudziwidwa kuti chithandizo cha matenda oopsa monga matenda a shuga amafunika kugwiritsa ntchito nthawi yake, ndipo koposa zonse, osankhidwa mwanzeru akatswiri.

Zachidziwikire, tsopano mu malo ogulitsa mankhwala osokoneza bongo mutha kupeza mitundu yosiyanasiyana yamankhwala, iliyonse yomwe ili ndi phindu lake, komanso mtengo wake. Dokotala wokhazikika yekha ndi amene angakuthandizeni kusankha mwanzeru mukatha kupanga maphunziro ofunikira.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Nthawi zambiri, odwala matenda ashuga a 2 amakonda kudziwa momwe angatengere glurenorm. Mankhwalawa ndi a amodzi omwe amachepetsa shuga kuchokera pagulu lachiwiri la sulfonylurea.

Ili ndi mtundu wa hypoglycemic wotchulidwa ndipo nthawi zambiri imagwiritsidwa ntchito pochiza odwala omwe ali ndi matenda oyenera.

Gawo lalikulu la mankhwala Glenrenorm ndi glycidone.

Othandizira ndi:

Wowuma ndi wowuma chimanga wowuma.
Magnesium wakuba.
Lactose Monohydrate.

Glycvidone ali ndi hypoglycemic. Momwemo, chizindikiritso chogwiritsa ntchito mankhwalawa ndi mtundu wa 2 shuga wambiri pomwe chakudya chokha sichingapangitse kuchuluka kwa shuga m'magazi.

Mankhwala Glurenorm ndi a gulu la zotumphukira za sulfonylurea, chifukwa chake zotsatira zake zimagwirizana kwathunthu (nthawi zambiri) ndi othandizira ofananawo.

Zotsatira zazikulu zochepetsera kuchuluka kwa shuga ndi zotsatirazi zamankhwala:

Kukondoweza kwa amkati a insulin.
Kuchulukana kwamphamvu kwa zotumphukira zathu kuzinthu zokhudzana ndi mphamvu ya timadzi.
Kuwonjezeka kwa chiwerengero cha insulin receptors.

Chifukwa cha izi, nthawi zambiri zimakhala zotheka kusinthasintha magazi a glucose.

Ngati wodwalayo amadya mapiritsi awiri a Glyurenorm patsiku, ndiye kuti ayenera kumwedwa panthawi yotsegula chakudya. Ndi kuwonjezeka kwa tsiku ndi tsiku mlingo, ayenera kugawidwa angapo Mlingo, koma gawo lalikulu la yogwira zimayenera kutsalira m'mawa.

Mlingo wambiri tsiku lililonse ndikumwa mapiritsi anayi. Kuwonjezeka koyenera kwa mankhwalawa ndikuwonjezeka kwa kuchuluka kwa mankhwalawa mopitilira chiwerengerochi sikunawonedwe. Chiwopsezo chokha cha kukulitsa zovuta zomwe zimachitika chimawonjezeka.

Odwala omwe ali ndi vuto la chiwindi ndipo amatenga mapiritsi a Glurenorm opitilira awiri patsiku ayenera kuwunikiridwa pafupipafupi ndi dokotala kuti ayang'anire ntchito ya chiwalocho.

Kutalika kwa mankhwalawa, kusankha kwa Mlingo ndi malingaliro pazomwe mungagwiritse ntchito ziyenera kuyikidwa ndi adokotala okha. Kudzichitira nokha mankhwala kuli ndi zovuta zingapo zamatenda oyamba ndikubwera pazotsatira zingapo zosayenera.

Komabe, pali njira zingapo zosinthira.

Glurenorm analogues:

Odwala omwe akutenga Glurenorm, omwe ndemanga zawo ndizosavuta kupeza pa intaneti, nthawi zambiri amakhala ndi mankhwala okwanira.

Chifukwa chake, mukamawerenga ndemanga pa intaneti, nthawi zonse muyenera kufunsa dokotala mofanananira. Glyurenorm itha kukhala yothandiza kwa odwala ena, koma yolakwika kwa ena.

Kuphatikiza pazidziwitso zonse zomwe zili pamwambazi, ndikofunikira kulabadira zazing'ono zingapo:

Glurenorm sikuti amangotsala ndi impso, yomwe imalola kugwiritsidwa ntchito kwa odwala omwe ali ndi matenda ashuga nephropathy ndi kusakwanira kwa ziwalo zofanana.
Chipangizocho, ngakhale chikunyalanyaza njira yoyenera yoyendetsera, chikhoza kuyambitsa chitukuko cha dziko la hypoglycemic.
Mapiritsi sangathe kulowa m'malo mwa chithandizo chamankhwala. Ndikofunikira kuphatikiza njira yosinthira moyo ndikugwiritsira ntchito mankhwala ochepetsa shuga.
Kuchita masewera olimbitsa thupi kumathandizira mphamvu ya Glenrenorm, yomwe iyenera kukumbukiridwa poyesa kuchuluka kwa wodwala wina.

Simungagwiritse ntchito Glurenorm pazinthu zotsatirazi:

Mtundu woyamba wa shuga. Zochitika za ketoacidosis.
Porphyria.
Lactase akusowa, galactosemia.
Kulephera kwamphamvu kwa chiwindi.
Kuchotsa koyambirira (kapangidwe kake) ka kapamba.
Nthawi ya bere ndi kuyamwa.
Pachimake matenda opatsirana m'thupi.
Kusalolera payekha.

Zotsatira zoyipa zomwe zimatsalira ndizotsalira:

Kugona, kutopa, kugona tulo tosokoneza, mutu.
Kuchepa kwa kuchuluka kwa leukocytes ndi mapulateleti m'magazi.
Kusanza, m'mimba kusokonezeka, kusayenda kwa ndulu, kuchepa kwamatenda, kusanza.
Kuchuluka kwa magazi m'magazi a shuga (hypoglycemia).
Khungu limawonetsa khungu.

Kudzipatsa nokha mankhwala ndi Glenororm kumatsutsana. Kusankhidwa kwa Mlingo ndi regimen kumachitika kokha ndi adokotala.

Ma analogi a Glurenorm

Sinthani
Kukongola
Glianov,
Glibetic,
Gliklad.

Pali mitundu yambiri yamakono yamankhwala a hypoglycemic, komabe, madokotala aluso ayenera kuthana ndi kusankha kwawo ndikusintha kwa mlingo.

Mtengo wa glyurenorm, komwe mungagule

Ma CD a Glyurenorm No. 60 angagulidwe ma ruble 425.

Mankhwala ogulitsa pa intaneti ku Russia
Mankhwala ogulitsa pa intaneti ku UkraineUkraine

Mapiritsi a Glurenorm 30 mg 60 ma PC Boehringer Ingelheim Böhringer Ingelheim

Glurenorm 30mg No. 60 mapiritsiBeringer Ingelheim Pharma GmbH ndi CoKG

Mankhwala IFK

GlurenormBoehringer Ingelheim, Germany

Glurenorm Boehringer Ingelheim Ellas (Greece)
Glurenorm Eczacibasi (Turkey)

LAPANI ZOTSATIRA! Zambiri pamankhwala omwe ali pamalowo ndizokhudza zonse, zomwe zimatengedwa kuchokera kwa anthu ndipo sizingagwiritsidwe ntchito ngati lingaliro la kugwiritsa ntchito mankhwalawa munthawi ya chithandizo. Musanagwiritse ntchito mankhwala Glenrenorm, onetsetsani kuonana ndi dokotala.

Kutulutsa Mafomu

Glurenorm imagulitsidwa monga mapiritsi oyera ndi 30 mg yogwira - glycidone. Ayenera kukhala:

mtundu woyera
mawonekedwe osalala ndi ozungulira
asintha mbali
mbali imodzi ikhale pachiwopsezo chogawika,
mbali zonse ziwiri za phale zilembedwe "57C",
kumbali ya piritsi, komwe kulibe zoopsa, payenera kukhala ndi logo yamakampani.

Mu makatoni mapaketi ndi matuza a mankhwala Glyurenorm 10 mapiritsi.

Zotsatira zoyipa

Kupanga kwa magazi	leukopenia agranulocytosis, thrombocytopenia
Machitidwe amanjenje	mutu kugona chizungulire kutopa paresthesia
Kupenda	hypoglycemia
Masomphenya	zosokoneza zogona
Mtima wamtima	kulephera kwa mtima angina pectoris hypotension extrasystole
Khungu komanso minyewa yofinya	kuyabwa zotupa urticaria Matenda a Stevens-Johnson photosensitivity reaction
Matumbo oyenda	kusabereka m'mimba, cholestasis kuchepa kwamtima kusanza ndi kusanza kudzimbidwa kapena kutsegula m'mimba kamwa yowuma
Ena onse	kupweteka pachifuwa

Mtengo wapakati wa mankhwalawo ndi pafupifupi ma ruble 440 phukusi lililonse. Mtengo wocheperako pama pharmacies opezeka pa intaneti ndi ma ruble 375. Nthawi zina, odwala matenda ashuga a 2 amalandila mankhwalawo kwaulere.

Glurenorm imalembedwa kwa odwala ambiri. Malangizo ake agwiritsidwe ntchito mogwirizana ndi mankhwala onse omwe ali ndi vutoli. Kuperewera kwa malo ogulitsa mankhwala, mtengo wokwera kapena zotsatira zoyipa zimapangitsa munthu kuti awerenge ndemanga ndikuyang'ana kufanana kwa mankhwalawo

Glidiab

The yogwira pophika mankhwala ndi gliclazide. Piritsi limodzi lili 80 mg. Mankhwalawa amadziwitsidwa ngati kupezeka kwa mtundu wachiwiri wa shuga kwatsimikiziridwa. Mtundu woyamba wa shuga, kugwiritsa ntchito kwake kumatsutsana. Mtengo wa phukusi wokhala ndi mapiritsi 60 ndikuchokera ku ruble 140 mpaka 180. Ndemanga zodwala zambiri zimakhala zabwino.

Glibenclomide

Zomwe zimagwira ndi glibenclamide. Mankhwalawa amapezeka mu mawonekedwe a mapiritsi 120 mu vial. Botolo limayikidwa mthumba. Piritsi limodzi lili ndi 5 mg ya glibenclamide. Mtengo wa ma CD umachokera ku ruble 60.

Gliklada

Mankhwalawa amapezeka pamiyeso ingapo - 30, 60 ndi 90 mg. Pali njira zingapo zosakira. Mapiritsi 60 okhala ndi mlingo wa 30 mg amatenga pafupifupi ma ruble 150.

Palinso ma analogu ena, kuphatikizapo Glianov, Amiks, Glibetic.

Ndi malangizo ofananawo ogwiritsira ntchito ndi zofananira zofananira, ndalamazi zimayikidwa payekha. Mukamasankha endocrinologist mumawunikira zambiri zokhudzana ndi matenda osatha komanso mankhwala omwe adamwa. Mankhwala amasankhidwa omwe amaphatikizidwa ndi chithandizo chonsecho.

Chikhumbo cha odwala kuti akwaniritse shuga yabwinobwino chimagwiritsidwa ntchito mwachangu ndi makampani osapatsa thanzi othandizira zakudya. Mukamasankha mankhwala a matenda ashuga, simuyenera kudalira kutsatsa. Mankhwala okwera mtengo osagwiritsidwa ntchito mosagwirizana nthawi zambiri sayenera kulandira chithandizo.

Glurenorm - malangizo, analogues, ndemanga za odwala matenda ashuga za mankhwala

Glurenorm ndi mtundu wa sulfonylurea.

Glycidone yemwe amagwira ntchito amathandiza kuchepetsa shuga m'magazi, omwe nthawi zambiri amapatsidwa mtundu wa 2 odwala matenda ashuga.

Mankhwalawa ndi othandiza, ngakhale atchuka kwambiri. Ndikulimbikitsidwa kugwiritsa ntchito matenda a shuga a nephropathy chifukwa chogwirizana kwambiri ndi impso.

Malangizowo akunena kuti chithandizo chamankhwala cha odwala matenda a shuga okha ndi achigawo chachiwiri, chithandizo cha odwala omwe ali ndi zaka zoyambirira ndi chololedwa.

Makalata ochokera kwa Owerenga

Agogo anga akhala akudwala matenda a shuga kwa nthawi yayitali (mtundu 2), koma posachedwapa mavuto atuluka pamiyendo ndi ziwalo zamkati.

Mwangozi ndidapeza nkhani pa intaneti yomwe idapulumutsa moyo wanga. Zinali zovuta kuti ndione chizunzo, ndipo fungo loipa m'chipindacho linali kundiyambitsa misala.

Kupyolela pa zamankhwala, agogo aja adasinthanso momwe akumvera. Ananenanso kuti miyendo yake sikupweteka komanso zilonda zake sizinayende; sabata yamawa tidzapita ku ofesi ya dotolo. Falitsa ulalo wa nkhaniyo

Mankhwalawa amapangidwa m'mapiritsi okhala ndi mzere mbali imodzi ndi cholembedwa 57c chosonyeza kuchuluka kwa zinthu zomwe zimagwiritsidwa ntchito theka la piritsi.

425 rub pali paketi ku Glyurenorma No. 60.

Piritsi limodzi lili ndi 30 mg ya glycidone. Zothandiza:

lactose
wowuma chimanga
magnesium wakuba.

Onyengerera mapiritsi oyera oyera okhala ndi konsekonse.

Gluconorm imagwiritsidwa ntchito pakamwa. Mlingo woyenera umatsimikiziridwa ndi katswiri wa zamankhwala pambuyo pofufuza wodwalayo, kuzindikira momwe zimakhalira ndi matendawa.

Momwe mungasungire shuga kukhala wabwinobwino mu 2019

Mukamagwiritsa ntchito mankhwala osokoneza bongo, ndikofunikira kuyang'anitsitsa zakudya zomwe adokotala adapereka. Njira ya mankhwalawa imayamba ndi mlingo wotsika kwambiri - iyi ndi theka la mapiritsi. Choyamba ntchito mukadzuka chakudya.

Wodwalayo amayenera kutsatira mosamalitsa kutsatira malangizo a kadyedwe, simungadumphe chakudya chamadzulo, chakudya chamadzulo kapena kachakudya pang'ono chifukwa chakuopsa kwa hypoglycemia. Popeza zotsatira za kugwiritsa ntchito mlingo wocheperako, ndikofunikira kudziwitsa endocrinologist yemwe akuwongolera njira ya chithandizo.

Kuchuluka kwa mankhwala patsiku ndi mapiritsi awiri. Ngati sizotheka kukwaniritsa vuto la hypoglycemic, Metformin imapangidwanso.

kufunikira kongolera kunenepa kwanu,
simungathe kulumpha chakudya cham'mawa, nkhomaliro, chakudya chamadzulo, muyenera kutsatira mosamalitsa zakudya,
gwiritsani ntchito mapiritsi okha ndi chakudya, osati pamimba yopanda kanthu,
kuchita zolimbitsa thupi zolimbitsa thupi,
kupatula kugwiritsa ntchito mankhwala osokoneza bongo m'thupi la dehydrogenase,
Pewani zinthu zovuta zomwe zimakulitsa shuga
Osamamwa mowa.

Kulephera kwa chiwindi chachikulu ndi kutsutsana kwambiri pakugwiritsa ntchito Glyurenorm. Zigawo za mankhwala zimadwala kagayidwe kachakudya.

Zotsatira zamankhwala zimachepetsedwa ndi mankhwalawa:

kulera kwamlomo
zamagetsi zamkati
mankhwala a mahomoni
michere ya chithokomiro.

Mphamvu ya mankhwalawa imalimbikitsidwa akaphatikizidwa ndi othandizira:

Timapereka kuchotsera kwa owerenga tsamba lathu!

UHF
antidepressants
antibacterial othandizira
antimicrobials
mabwinja
okodzetsa
Mowa.

Mphamvu ya hypoglycemic imachepa pogwiritsa ntchito mankhwala omwe ali ndi GCS ndi diazoxides.

Nthawi zina odwala amathandizidwa kugwiritsa ntchito insulin. Mlingo watsimikiza ndi endocrinologist, koma odwala matenda ashuga a 2 samakonda kuyang'anira shuga.

Tilembapo zizindikiro zomwe zimakhudzana ndi Mlingo wambiri:

nseru
akukumbutsa
kutsegula m'mimba
kudzimbidwa
kusadya bwino
ziwengo, khungu loyera,
chikanga
mutu, kupindika
pali mavuto okhala ndi malo okhala,
thrombocytopenia amakula.

Odwala ena amakhala ndi intrahepatic cholestasis, zotupa pakhungu, ndi matenda a Stevens-Johnson. Mankhwala osokoneza bongo nthawi zambiri amayambitsa hypoglycemia yoyenera.

Zizindikiro zotsatirazi zikuwonekera:

kuchuluka kwa mtima
thukuta kwambiri
wanjala kwenikweni,
manja akunjenjemera
mutu wanga ukupweteka
nthawi zina kukomoka, mavuto ndi ntchito yolankhula.

Ngati zizindikiro zomwe zili pamwambazi zikuchitika, muyenera kupempha thandizo kwa madokotala.

M'matenda ena, odwala samalandira glurenorm. Akatswiri amadziwitsa contraindication asanapange njira yochizira. Mankhwala sayenera kugwiritsidwa ntchito pazovuta zotere:

mtundu 1 shuga
tsankho limodzi kwa zigawo zikuluzikulu za mankhwalawa, mankhwala a sulfonylurea,
matenda ovuta
ketoacidosis
singagwiritsidwe ntchito atangopanga opaleshoni,
ndikulakwika ndi lactose,
ndi kuseka,
Osati kwa ana, amayi apakati ndi oyamwitsa.

Anthu odwala matenda ashuga ayenera kumwa mankhwala moyang'aniridwa ndi katswiri.

Ngati mankhwala osokoneza bongo, zizindikiro zotsatirazi zimachitika:

zovuta m'mimba
chifuwa
zikopa
erythema, eczema amakula,
munthu samayang'ana danga,
chizungulire
kuchuluka kwa magazi m'thupi kumachepa,
kugunda kwa mtima kumakwera
thukuta limatuluka kwambiri
kulakalaka
manja akunjenjemera
migraine
kukomoka
mavuto ndi zolankhula.

Ngati zizindikiro zotere zikuyamba kuvuta, muyenera kukaonana ndi dokotala. Nthawi zambiri pamakhala mavuto ndi kutuluka kwa ndulu, kuchepa kwa ziwalo zina zopangidwa ndi magazi. Mankhwala osokoneza bongo amakhudza chitukuko cha hypoglycemia, amachotsedwa pambuyo pa kugwiritsidwa ntchito kwa glucose ngati jakisoni kapena chakudya chotsekemera. Mlingo wa shuga ukakwera, chizindikirocho chimatha kutsika pomwe mankhwalawo akuchita.

Analog yodzaza ndi mawonekedwe omwewo sigwiritsidwa ntchito ku Russia. Yuglin ali pa siteji yakulembetsa; kampani Pharmasintez imapanga izi. Kufanana kwachilengedwe kwa analogue izi sikutsimikiziridwa mwalamulo, koma posachedwa Yuglin ipezeka kuti ikugulitsidwa.

Anthu odwala matenda ashuga omwe alibe mavuto a impso amalimbikitsidwa mitundu yosiyanasiyana ya PSM m'malo mwa Glyurenorm. Zili zogulitsa pamiyeso yambiri, aliyense amatha kusankha chinthu choyenera mtengo. Kwa mankhwala otsika mtengo muyenera kulipira ma ruble 200. Pakulephera kwa impso, linagliptin imagwiritsidwa ntchito. Chidachi chapezeka mu mankhwala a Trazent ndi Gentadueto.

Kutupa kwa mikono ndi miyendo kudapangitsa kukayikira kwa matenda ashuga. M'mawa ndili ndi glucose osachepera 9, madzulo amakwera mpaka 16, pomwe palibe malaise. Asanapite kwa katswiri, iye mwiniyo adapeza chakudya chamafuta ochepa, adachepetsa ma calories. Dokotala anadziwitsa Glurenorm, mlingo wa tsiku ndi tsiku unakula pang'onopang'ono, kuyambira piritsi limodzi la 1/4. Lero ndikusintha mlingo wogwiritsa ntchito zomwe zikuwonetsa glucometer. Mwambiri, mapiritsi 0,5 ndi okwanira. Mlingo wa shuga udatsikira ku 4-6, kutupa kumathetsedwa, mapuloteni mumkodzo samawoneka.

Miyezi 6 yapitayo, adazindikira kuti ali ndi matenda a shuga, adawunika, ndipo adalimbikitsa a Glurenorm. Mankhwalawa amathandiza bwino, shuga amasungidwa nthawi zonse, thukuta limatha kugawidwa, khalidwe la kugona latha. Kugwiritsa ntchito bwino kwamankhwala kumatheka potsatira kudya.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wambiri wamagazi ndi woopsa kwambiri.

A Alexander Myasnikov mu Disembala 2018 adapereka chidziwitso chokhudza chithandizo cha matenda ashuga. Werengani kwathunthu

Chithandizo cha Okorokov A.N. Matenda a ziwalo zamkati. Gawo 2. Chithandizo cha matenda amitsempha. Chithandizo cha endocrine matenda. Chithandizo cha matenda a impso, Mabuku a Medical - M., 2015. - 608 c.
Chernysh, Pavel Glucocorticoid-metabolic theory of 2 shuga mellitus / Pavel Chernysh. - M: LAP Lambert Academic Publishing, 2014 .-- 820 p.
Potemkin V.V. Zadzidzidzi muchipatala cha matenda a endocrine, Mankhwala - M., 2013. - 160 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusayiti, kukambirana ndi akatswiri ndizofunikira nthawi zonse.