Momwe mungagwiritsire ntchito Maninil 3, 5?

Glibenclamide imalimbikitsa kupanga insulin Ndipo kumawonjezera insulin shuga.

Mothandizidwa ndi mankhwalawa, mphamvu yokhudzana ndi ma pancreatic cell ku insulinotropic yodalira shuga ya polypeptide imakula.

Mphamvu ya extrapancreatic imatheka pochulukitsa chidwi cha zolandilira ku insulin.

Mankhwala ochepetsa mankhwalawa, mannyl amachepetsa chiopsezo cha zovuta monga nephropathy, retinopathy, mtima, amachepetsa kufa kwa matenda ashuga.

Mankhwala ali antiarrhythmic ndi mochulukitsa kanthu, amene amalola kupereka kwa odwala matenda ashuga ndi concomitant mitima matenda.

Glibenclamide imachepetsa kuphatikiza kwa maselo am'magazi, imalepheretsa zovuta zamagulu a shuga.

Mankhwalawa ndi ovomerezeka kwa maola oposa 12. Mu mawonekedwe owonetsera, glibenclamide imatengedwa mwachangu kuchokera kumimba, yomwe imalola kuti mankhwalawa azichita mwakuthupi komanso modekha.

Kutulutsa mawonekedwe ndi kapangidwe kake

Mtundu wa Maninil ndi mapiritsi: miyala yosalala, yapinki, yokhala ndi bevel ndi chamfer kumbali imodzi (ma PC 120. M'mabotolo agalasi lopanda utoto, 1 botolo mumtolo wa makatoni).

Chithandizo chogwira mankhwalawa ndi glibenclamide (m'mapangidwe am micronised). Piritsi limodzi lili 1.75 mg, 3.5 mg kapena 5 mg.

• Mapiritsi 1.75 ndi 3.5 mg: mbatata wowuma, lactose monohydrate, hemetellose, magnesium stearate, colloidal silicon dioxide, utoto wofiirira (Ponceau 4R) (E124),
• Mapiritsi a 5 mg: gelatin, talc, wowonda wa mbatata, lactose monohydrate, magnesium stearate, utoto wofiirira (Ponceau 4R) (E124).

Contraindication

• Mtundu woyamba wa shuga
• Matenda a shuga komanso chikomokere
• Matenda a shuga ketoacidosis
• Mkhalidwe pambuyo pancreatic resection,
• Glucose-6-phosphate dehydrogenase akusowa,
• Herederal lactose tsankho, lactase akusowa, shuga / lactose malabsorption syndrome,
• Paresis wam'mimba, m'mimba mwake,
• Kulephera kwakukulu kwa aimpso (kulengedwa kwa creatinine kosakwana 30 ml / mphindi),
• Kulephera kwamphamvu kwa chiwindi,
• Leukopenia
• Kubwezera kwa kagayidwe kazakudya pambuyo pakuchita opaleshoni yayikulu, kuwotcha, kuvulala ndi matenda opatsirana, ngati chithandizo cha insulin chikusonyezedwa,
• Osakwana zaka 18
• Mimba
• Kuchepetsa
• Hypersensitivity zigawo zikuluzikulu za mankhwalawa kapena phenenecid, okodzetsa okhala ndi gulu la sulfonamide mu molekyulu, sulfonamides ndi zina zomwe zimachokera ku sulfonylurea.

Wachibale (chisamaliro chowonjezera chikufunika):

• Matenda a chithokomiro, limodzi ndi kuphwanya kwa ntchito yake,
• Hypofunction wa adrenal cortex kapena anterior pituitary,
• Febrile syndrome
• Mowa woledzera,
• Uchidakwa wambiri
• Zaka zopitilira 70.

Mlingo ndi makonzedwe

Mlingo wa Maninil umatsimikiziridwa molingana ndi kuopsa kwa maphunziridwe, zaka za wodwalayo komanso kuchuluka kwa shuga m'magazi pamimba yopanda kanthu komanso maola awiri atatha kudya.

Imwani mankhwalawa musanadye, kumwa madzi ambiri. Ngati ndi kotheka, piritsi limatha kugawidwa pakati, koma silingathe kutafunidwa kapena kuphwanyika. Mlingo wa tsiku ndi tsiku wa mapiritsi awiri nthawi zambiri amalimbikitsidwa kuti amwe kamodzi patsiku - asanadye chakudya cham'mawa. Mlingo wapamwamba umagawidwa pawiri - m'mawa ndi madzulo.

Mlingo woyambirira ukhoza kukhala kuchokera ku 1.75 mg mpaka 5 mg. Ngati vutoli silikwanira, moyang'aniridwa ndi dokotala, mlingo umakulitsidwa pang'onopang'ono mpaka ku mulingo woyenera, womwe ungapangitse kagayidwe kazakudya. Kuchulukitsa kwa mankhwalawa kumachitika pang'onopang'ono kuyambira masiku angapo mpaka sabata limodzi. Mulingo wovomerezeka tsiku lililonse ndi 10,5 mg (mapiritsi 6 1.75 mg kapena mapiritsi 3,5 mg). Nthawi zina, amaloledwa kuwonjezera mlingo wa tsiku ndi tsiku mpaka 15 mg (mapiritsi atatu 5 mg).

Kusamutsa wodwalayo kupita ku Maninil kuchokera ku mankhwala ena a hypoglycemic kumachitika moyang'aniridwa ndi dokotala, kuyambira ndi mlingo wocheperako, pang'onopang'ono kumawonjezera kwa achire omwe amafunikira.

Okalamba, ofooka komanso odwala omwe amachepetsa zakudya, komanso odwala omwe ali ndi vuto la impso kapena kwa chiwindi, onse oyambira ndi kusintha kwa mankhwalawa amachepetsedwa, chifukwa ali ndi chiopsezo chotenga hypoglycemia.

Ngati mukuphonya mlingo wotsatira, kumwa mapiritsi nthawi yomweyo, ndizoletsedwa kumwa kawiri!

Zotsatira zoyipa

• Metabolism: pafupipafupi - kuwonjezeka kwa kulemera kwa thupi, hypoglycemia (hyperthermia, chinyezi pakhungu, kufooka, kugona, kuda nkhawa, kusokonezeka kwa kayendedwe, nkhawa zambiri, kupweteka kwa mutu, kugwedezeka, mantha, tachycardia, kuchepa kwa minyewa yamitsempha, paresis kapena ziwalo, kusintha malingaliro mu zomverera, malankhulidwe ndi masokonezo),
• Matumbo a pakhungu: pafupipafupi - kulawa kwazitsulo mkamwa, kupweteka kwam'mimba, kumva kupsinjika m'mimba, nseru, kutsegula m'mimba, kumeta, kusanza,
• Chiwindi ndi biliary thirakiti: kawirikawiri - intrahepatic cholestasis, kuwonjezeka kwakanthawi kwa ntchito ya chiwindi michere, chiwindi,
• Dongosolo la hematopoietic: kawirikawiri - thrombocytopenia, kawirikawiri - agranulocytosis, erythropenia, leukopenia, m'malo akutali - hemolytic anemia, pancytopenia,
• Matenda a chitetezo cha mthupi: infraquently - purpura, urticaria, kuchuluka kwa dzuwa, kuperewera, kuyabwa, kawirikawiri - anaphylactic mantha, matendawa vasculitis, kufooka kwa thupi, limodzi ndi kutentha, zotupa pakhungu, proteinuria, arthralgia ndi jaundice,
• Zina: kawirikawiri - kuwonjezeka kwa diuresis, hyponatremia, proteinuria, kusowa kwa malo okhala, kuwonongeka kwa mawonekedwe, kusawona ngati kumwa pomwa mowa (nthawi zambiri kumawonetsedwa ndi zizindikiro monga kutentha kwa nkhope ndi kupweteka kwam'mimba, kupweteka kwam'mimba, kusanza, kusanza, chizungulire, mutu, tachycardia), mtanda-ziwengo kwa sulfonamides, sulfonylureas, phenenecid, okodzetsa okhala ndi gulu la sulfonamide mu molekyulu.

Malangizo apadera

Nthawi yonse ya chithandizo, ndikofunikira kutsatira mosamalitsa zomwe adokotala adaziwunikira kuti azitha kuyang'anitsitsa kuchuluka kwa shuga m'magazi ndi zakudya, kuti asayang'ane ndi dzuwa nthawi yayitali.

Tiyenera kukumbukira kuti kuchita masewera olimbitsa thupi kwambiri, kusakwanira kwa chakudya chambiri, kupewa kwa nthawi yayitali pakudya, komanso kusanza ndi kutsekula m'mimba ndizoopsa za hypoglycemia.

Akuluakulu, mwayi wokhala ndi hypoglycemia ndiwokwera pang'ono, choncho amafunika kusankha mosamala kwambiri ndikuwunika pafupipafupi kuchuluka kwa shuga wamagazi, makamaka kumayambiriro kwa chithandizo.

Peripheral neuropathy ndipo nthawi yomweyo amamwa mankhwala omwe amathandizira pakhungu lamanjenje, kuchepetsa kuthamanga kwa magazi (kuphatikiza ndi beta-blockers), amatha kufinya zizindikiro za hypoglycemia.

Ethanol ikhoza kuyambitsa chitukuko cha hypoglycemia komanso zotsatira zosasangalatsa, chifukwa cha mankhwala ndikofunikira kupewa zakumwa zoledzeretsa.

Matenda opatsirana omwe amaphatikizidwa ndi febrile syndrome, kuwotcha kochulukirapo, kuvulala ndi kuchitapo kanthu kwa opaleshoni kungafune kuleka kwa mankhwalawo ndi kuikidwa kwa insulin.

Pa chithandizo, kusamala kumalangizidwa poyendetsa magalimoto ndi kuchita zinthu zomwe zingakhale ndi zoopsa, zomwe zimafuna kuthamanga ndi chidwi.

Kuyanjana kwa mankhwala

Mankhwala otsatirawa amatha kupititsa patsogolo zotsatira za Maninil: insulin ndi mankhwala ena amkamwa a hypoglycemic, zotumphukira za coumarin, angiotensin-kutembenuza enzyme inhibitors, zotengera za quinolone, monoamine oxidase inhibitors, mankhwala antifungal (fluconazole, miconazole), clofibrate ndi analogues, azpropen. , beta-blockers, fenfluramine, disopyramides, fluoxetine, probenecid, tetracyclines, sulfonamides, salicylates, tritocvalins, zochokera ku irazolones, perhexiline, phosphamides (mwachitsanzo ifosfamide, cyclophosphamide, trophosphamide), mankhwala a anabolic ndi mahomoni achigololo a amuna, pentoxifylline (muyezo waukulu wogwiritsa ntchito laberal), kukonzekera kwamkodzo acid (calcium chloride, ammonium chloride).

Munthawi yomweyo ndi kuwonjezeka kwa zotsatira za hypoglycemic, reserpine, guanethidine, clonidine ndi beta-blockers, komanso mankhwala omwe ali ndi kachipangizidwe kazinthu zingapangitse kufooka kwa zizindikiro zomwe zimayambira kutsogola kwa hypoglycemia.

Mankhwala otsatirawa amatha kuchepetsa zotsatira za Maninil: glucocorticosteroids, nicotinates (muyezo waukulu), barbiturates, pang'onopang'ono calcium njira blockers, njira zakulera pakamwa ndi estrogens, kukonzekera kwa mahomoni a chithokomiro, mchere wa lithiamu, sympathomimetics, thiazide diuretics, glucagon, phenothiazines, , acetazolamide, rifampicin, isoniazid.

Otsutsa a N₂ma receptor amatha kuwonjezera ndikuchepetsa mphamvu ya hypoglycemic ya mankhwala.

Maninyl imatha kufooketsa kapena kuwonjezera zomwe amachokera ku coumarin.

Milandu yopatukana imadziwika pamene pentamidine imapangitsa kuchuluka kwakukulu ndikuchepa kwa kuchuluka kwa shuga m'magazi.

Pharmacokinetics

• Maninyl 3.5 ndi 1.75: kuyamwa kuchokera m'matumbo am'mimba kumathamanga ndipo pafupifupi kumatha. Kutulutsidwa kwa zinthu zosafunikira kwenikweni kumachitika pakatha mphindi 5,
• Maninil 5: kuchuluka kwa mayamwidwe am'mimba - kuyambira 48 mpaka 84%. Nthawi yoti mufikire C_max -1-2 maola. Mtheradi bioavailability kuyambira 49 mpaka 59%.

Kumangiriza kumapuloteni a plasma: Maninyl 3,5 ndi 1,75- oposa 98%, Maninyl 5 - 95%.

Glibenclamide imakhala yofanana ndi chiwindi chonse, ndikupanga awiri osagwira metabolites. Kuchotsa m'modzi wa iwo kumachitika ndi bile, chachiwiri - ndi mkodzo.

T_1/2 (theka-moyo): Maninil 1.75 ndi 3.5 - 1.5-3,5 maola, Maninil 5 - kuchokera maola atatu mpaka 16.

Maninil, malangizo ogwiritsira ntchito: njira ndi mlingo

Mapiritsi a Maninil amatengedwa pakamwa popanda kutafuna ndi kumwa ndi madzi pang'ono, makamaka musanadye. Ngati mlingo wa tsiku ndi tsiku ndi mapiritsi 1-2, amatengedwa kamodzi m'mawa, musanadye chakudya cham'mawa. Mlingo wapamwamba uyenera kumwedwa m'magawo awiri (m'mawa ndi madzulo).

Ngati mungadumphe mwangozi umodzi wa Maninil, piritsi lotsatira liyenera kumwedwa nthawi yokhazikika, osakulitsa mlingo.

Malangizo a mankhwalawa amatsimikiziridwa ndi zaka, kuopsa kwa matendawa, kuchuluka kwa shuga m'magazi pamimba yopanda kanthu komanso maola awiri atatha kudya.

Ngati vuto lokwanira la koyamba mankhwalawa limayang'aniridwa, moyang'aniridwa ndi achipatala, limakulitsidwa pang'onopang'ono (kuyambira masiku angapo mpaka sabata 1) kufikira kagayidwe kake kamene kamapeza chakudya chokwanira kuti kakhazikike (koma osapitirira muyeso).

Posintha kuti musamwe mankhwala ena a hypoglycemic, Maninil amatchulidwa muyezo woyambirira woyang'aniridwa ndi achipatala ndi kuwonjezeka kwapang'onopang'ono kupita patsogolo.

Mlingo watsiku ndi tsiku (koyambirira / kwakukulu) ndi:

• Maninyl 1.75: 1.75-3.5 / 10.5 mg (ngati mlingo wa tsiku ndi tsiku uli pamwamba pa mapiritsi atatu, kugwiritsa ntchito Maninil 3.5 ndikulimbikitsidwa),
• Maninyl 3.5: 1.75-3.5 / 10.5 mg,
• Maninyl 5: 2.5-5 / 15 mg.

Chifukwa cha kuwopsa kwa matenda a hypoglycemia, odwala okalamba, omwe ali ndi vuto lofooka la chiwindi kapena impso, odwala ofooka komanso odwala omwe ali ndi vuto lochepa, ayenera kuchepetsa kuchuluka koyambirira ndi kukonza kwa Maninil.

Mapiritsi a Maninil, malangizo (njira ndi mulingo)

Mlingo wa Maninil amasankhidwa payekhapayekha, potengera kuopsa kwa matendawa, zaka za wodwalayo, komanso shuga wa magazi. Wapakati tsiku ndi tsiku ndi 2,5-5 mg. Glibenclamide imatengedwa m'mawa komanso madzulo theka la ola musanadye, popanda kufunika kutafuna mapiritsi.

Malinga ndi malangizo ogwiritsira ntchito, Maninil 5 amatha kumwedwa ndi kuchuluka kwa mapiritsi a 3-4 patsiku.

Bongo

Kuchulukitsa thukuta, njala, kusowa kwa mawu, chikumbumtima, masomphenya, kunjenjemera, palpitations, mkwiyo, kugona, kukhumudwaubongo edema ndi zizindikiro zina hypoglycemiachikomokere.

Chithandizo: imwani shuga mkati. Ngati wodwalayo sakudziwa, ndiye kuti muzipaka jekeseni wa dextrose, glucagon, diazoxide. Mphindi 15 zilizonse kuwunika kuchuluka kwa shuga m'magazi. Pofuna kupewa kukonzanso hypoglycemia, ndikofunikira kuti wodwalayo adye zakudya zopatsa mphamvu (zambiri m'mimba). Ngati matenda edema dexamethasonemannitol.

Kuchita

Mankhwala a Antifungal, ACE inhibitors, NSAIDs, fibrate, anti-TB, mankhwala anticoagulants mzere wa coumarin salicylates, beta-blockers, anabolic steroids, Mao inhibitors, biguanides, fenfluramine, machez, chloramphenicol, pentoxifyllinecyclophosphamides, acarboses, pyridoxine, disopyramides, bromocriptine, reserpine, allopurinol, insulin kuwonjezera zotsatira za Maninil.

Adrenostimulants, barbiturates, antiepileptic mankhwala, carbonic anhydrase inhibitors, BMCC, chlortalidonethiazide okodzeya, mangochinos, baclofenglucagon, terbutaline, katsitsumzukwa, danazol, isoniazid, rithodrin, morphine, salbutamol, diazoxide, danazole, ritodrin, glucagon, mahomoni a chithokomiro, rifampicin, chlorpromazine, nicotinic acid, mchere wa lithiamu, estrogens, kulera kwapakamwa kumafooketsa mphamvu yogwira ntchito ya Maninyl.

Mlingo waukulu ascorbic acid, ammonium chloride kuonjezera reabsorption ya mankhwala, kukulitsa mphamvu ya glibenclamide.

Ndi makonzedwe omwewo munthawi yomweyo ndi mankhwala omwe amalepheretsa mafupa a hematopoiesis, chiwopsezo chowonjezereka chimadziwika myelosuppression.

Zizindikiro zogwiritsidwa ntchito

Mankhwalawa amapatsidwa mankhwala osokoneza bongo, monga kuchita masewera olimbitsa thupi, kudya shuga wambiri, kuchepa kwa thupi sikukhudza kuchuluka kwa shuga m'magazi, zomwe zimapangitsa kuti pakhale magawo a thupi. Mankhwala a shuga a Maninil akuwonetsedwa kuti agwiritsidwe ntchito ndi anthu osagwirizana ndi insulin omwe ali ndi matenda amtundu wa 2.

Momwe mungatenge Maninil

Kuchiza ndi mapiritsi kuyenera kuyamba ndi Mlingo wung'ono kupewa matenda a hypoglycemia. Mlingo woyamba ndi theka la piritsi 1 la Maninil patsiku. Ndikofunikira kuyang'anira kuchuluka kwa shuga m'magazi kuti mupewe kuchitika kwa hypoglycemia, makamaka kwa anthu asthenic omwe ali ndi zakudya zochepa. Ngati mutamwa mankhwalawa magazi sachepa, ndiye kuti pakatha sabata limodzi mlingo umakulirakulira.

Mapiritsi ayenera kumwedwa m'mawa pamimba yopanda kanthu, pafupifupi mphindi 20-30 asanadye, kutsukidwa ndi kapu yamadzi. Ngati endocrinologist adalemba tsiku lililonse mapiritsi awiri, ndiye kuti amawagawa kawiri kawiri: m'mawa ndi madzulo, nthawi zonse nthawi yomweyo. Ngakhale mukumwa mankhwalawa, ndikofunikira kuyang'anira magazi ndi mkodzo wanu masabata mlungu uliwonse.

Maninil analog

M'masitolo ogulitsa mankhwala, mutha kugula mankhwala okhala ndi zofanana kapena zothandizira zomwezo. Mankhwalawa amatchedwa analogues a Maninil, amakhalanso ofanana kapena ofanana ndi thupi, kutengera kapangidwe kake. Otsatirawa amakonzekera osinthika omwe ali ndi yogwira glibenclamide kapena zinthu zofananira:

• Mapiritsi a Glibenclamide,
• Mapiritsi a Glidiab
• Mapiritsi a Diabefarm MV.

Mtengo wa Maninil

Pogula mankhwala aliwonse, ndikofunikira kulabadira wopanga, mawonekedwe, ndemanga. Mukasankha kusintha Maninil ndi analogue, onetsetsani kuti mukumane ndi endocrinologist. Mtengo wa mankhwala a hypoglycemic siwopindulitsa - ndi wokwera mtengo. Pansi pa tebulo pali mtengo wamba wa mankhwala ku Moscow.

Maninil mapiritsi 5 mg

Maninil mapiritsi 3.5 mg

Mapiritsi Maninil 1.75

Olesya, 48 Maninil 5 Ndinauzidwa kuti ndipatsidwe matenda a shuga. Ndimagwiritsa ntchito mankhwalawa molingana ndi malangizo. Kuphatikiza apo, ndimamwa mankhwala ena ochepetsa shuga, ndimatsata zakudya mosasamala, kupatula zakudya zokhala ndi shuga, ndimayesetsa kusunthira zina. Kuchuluka kwa shuga ndikwabwinobwino.

Natalya, 26 Mapiritsi Maninil adawerengedwa kwa agogo anga, omwe ali ndi matenda osokoneza bongo kwa zaka zopitilira 5. Ndimamugulira mankhwalawa chaka chachiwiri. Mankhwalawa sanayambitse zovuta zilizonse, chinthu chokhacho chomwe poyamba tinachita mogwirizana ndi malangizo a dokotala chinali kumwa piritsi limodzi tsiku lililonse kwa miyezi isanu ndi umodzi, ndiye, chifukwa cha kupsinjika, tinasinthira ku 2.

Andrey, 35 Bambo anga ali ndi matenda osokoneza bongo a mtundu wa 2, samatha kutsata chakudya nthawi zonse, kuphatikiza sazolowera kuchita masewera olimbitsa thupi, adakhala moyo wongokhala. Ndi mtundu wanji wa mankhwala omwe adotolo sanatipatse, koma, m'malingaliro mwanga, Maninil 3.5 adakhala othandiza kwambiri. Abambo anayamba kumva bwino, kuchuluka kwa shuga m'magazi kunachepa.

Ndi chisamaliro

Chenjezo liyenera kuchitidwa pakachitika izi:

• Matenda a chithokomiro,
• kudziwiratu kwa khunyu ndi kugwidwa,
• mawonetseredwe a zizindikiro za hypoglycemia,
• mitundu yosiyanasiyana ya kuledzera kwa thupi.

Munthawi yonse ya chithandizo, kuwunika pafupipafupi kwa odwala kumachitika pamaso pa pathologies omwe ali pamwambapa.

Kuchokera kumbali ya kagayidwe

Pali kumverera kosalamulirika kwanjala, kuwonjezeka kwa thupi, kupweteka mutu, kufooketsa chidwi cha chidwi, kuphwanya machitidwe a kutentha. Kumwa mankhwalawa kungayambitse kukula kwa hypoglycemia.

Mukamamwa Maninil, mumatuluka mutu. Kuchiza kuyenera kuchitika moyang'aniridwa ndi dokotala ndikuwunika pafupipafupi shuga.

Zokhudza mphamvu pakuwongolera njira

Mukamamwa mankhwalawa, ndikofunikira kuti musayendetse galimoto ndikuchita zomwe zimagwirizanitsidwa ndi njira zoopsa. Mankhwalawa angayambitse kugona kapena chizungulire.

Mukamamwa mankhwalawa, ndikofunikira kuti musayendetse. Mankhwalawa angayambitse kugona kapena chizungulire.

Gwiritsani ntchito mu ukalamba

Mukakalamba, pamakhala mwayi woti mukhale ndi hypoglycemia. Chithandizo chikuyenera kuchitika moyang'aniridwa ndi dokotala komanso kuyeza kuchuluka kwa shuga m'magazi.

Mukakalamba, chithandizo ndi Maninil ziyenera kuchitika moyang'aniridwa ndi dokotala komanso kuyeza kuchuluka kwa shuga m'magazi.

Kuyenderana ndi mowa

Mankhwalawa akaphatikizidwa ndi zakumwa zoledzeretsa, akhoza kuyambitsa hypoglycemia. Pa mankhwala, mowa sayenera kupatula.

Mankhwalawa ali ndi chifanitis:

Amaril ndi ofanana ndi Maninil.

Kwa aliyense wa iwo, malangizo akuwonetsa contraindication ndi mavuto. Musanalowe ndi analogi, muyenera kupita kwa dokotala ndi kukayezetsa.

Ndemanga za Maninil 3.5

Maninil 3.5 mg wa mankhwalawa amatchulidwa kuwonjezera pa zakudya komanso moyo wokangalika. Odwala amadziwa zotsatira zachangu, ndipo madokotala - kusakhalapo kwa zotsatira zoyipa mukamatsatira malangizo.

Oleg Feoktistov, endocrinologist

Kwa matenda a shuga a 2, ndimapereka mankhwala kwa odwala. Mothandizidwa ndi mankhwalawa, kuchuluka kwa shuga m'magazi kumatsika, chifukwa chiwindi ndi minofu imayamba kugwira glucose. Mankhwala amalekeredwa bwino. Kugwiritsa ntchito pafupipafupi, kumathandizira kutulutsa kwa insulin ndipo kumakhala ndi antiarrhythmic.

Kirill Ambrosov, wothandizira

Mankhwalawa amatha kuchepetsa kufa kwa odwala omwe ali ndi matenda ashuga. Mapiritsi amathandizira kuchepetsa kuchuluka kwa shuga m'magazi, kumachepetsa cholesterol "choyipa". Chosakaniza chophatikizacho chimamwidwa mwachangu, ndipo chochitikacho chimatenga maola 24. Pofuna kupewa kunenepa, muyenera kuchita masewera olimbitsa thupi komanso kudya moyenera.

Anthu odwala matenda ashuga

Tatyana Markina, wazaka 36

Amatumizidwa piritsi limodzi patsiku. Chidacho chimathandizira kuwongolera shuga. Ndimatsata zakudya zama carb otsika ndipo ndimayesetsa kusuntha nthawi zonse. Zopitilira miyezi 4 yakuchira, zinthu zidasintha. Zina mwazotsatira zake zinali kusokonekera kwa stool ndi migraine. Zizindikiro zinazimiririka patatha milungu iwiri. Ndikukonzekera kupitilizabe.

Anatoly Kostomarov, wazaka 44

Adotolo adalemba chithandizo cha mankhwalawa kwa odwala matenda a shuga omwe samatengera insulin. Sindinazindikire mavuto, kupatula chizungulire. Ndinafunika kuchepetsa kuchuluka kwa theka la mapiritsi. Shuga ndi wabwinobwino komanso wosangalatsa. Ndikupangira.