Kuphatikizana kwa matenda ashuga

Berlition 300: malangizo ogwiritsa ntchito ndi kuwunikira

Dzina lachi Latin: Berlithion 300

Code ya ATX: A16AX01

Chithandizo chogwira: Thioctic acid (Thioctic acid)

Wopanga: Jenahexal Pharma, Pharma Jena GmbH, Haupt Pharma Wolfratshausen (Germany)

Kusintha malongosoledwe ndi chithunzi: 10/22/2018

Mitengo muma pharmacies: kuchokera 354 ma ruble.

Berlition 300 ndi mankhwala othandizira.

Kutulutsa mawonekedwe ndi kapangidwe kake

• yang'anani pakukonzekera njira yothetsera kulowetsedwa: yankho lomveka bwino la utoto wonyezimira wa 12 ml mu magalasi amdima amdima wokhala ndi mzere wopuma (mphete yoyera) kumtunda kwa mapoule, 5, 10 kapena 20 ma PC. m'mapaketi a contour makatoni (ma tray), pamatumba 1
• mapiritsi okhala ndi filimu: ozungulira, biconvex, wokhala ndi chiopsezo mbali imodzi, wotumbululuka chikasu, gawo lopingasa limawonetsa kuwala kwamkati mwa chikasu pamtunda wa ma PC 10. m'matumba otumphukira (matuza), pamatayala okhala ndi matuza atatu, 6 kapena 10.

The yogwira pophika mankhwala: ethylenediamine mchere wa thioctic (α-lipoic) acid, piritsi 1 ndi 1 ampoule wa kutsimikiza, mwa thioctic acid, muli 300 mg.

Omwe amathandizira kutsata: propylene glycol, ethylene diamine, madzi a jakisoni.

Zowonjezera zamapiritsi:

• zotuluka: croscarmellose sodium, magnesium stearate, povidone (K = 30), lactose monohydrate, microcrystalline cellulose, colloidal silicon dioxide,
• chovala cha kanema: parafini yamadzimadzi ndi Opadry OY-S-22898 chikasu, chokhala ndi sodium lauryl sulfate, titanium dioxide (E 171), hypromellose, parafini yamadzimadzi, kuwala kwa chikasu cha dzuwa ndi chikasu cha quinoline (E 104).

Mankhwala

Thioctic acid ndi coenzyme wa decarboxylation wa α-keto acid. Ndi antioxidant amtundu wa mwachindunji komanso wosachita kanthu (amamangirira zopitilira muyeso). Chimateteza maselo ku zowonongeka ndi zinthu zowola, zimawonjezera zolimbitsa thupi za glutathione antioxidant, zimayenda ndimatenda amitsempha yamagazi ndi kuyereka. Amatenga nawo gawo la lipid ndi chakudya kagayidwe, kumawonjezera kuchuluka kwa glycogen mu chiwindi, kumapangitsa kusinthana kwa cholesterol. Mu shuga mellitus, amachepetsa mapangidwe omaliza a glycosylation opita patsogolo m'mapuloteni amitsempha, amachepetsa shuga m'magazi komanso insulin kukana, amakhudza kagayidwe kena ka glucose, ndipo amachepetsa kudzikundikira kwa metabolites mu mawonekedwe a ma polols, potero amachepetsa kutupa kwa minyewa yamanjenje. Kutenga nawo kagayidwe ka mafuta, α-lipoic acid imachulukitsa biosynthesis ya phospholipids (makamaka phosphoinositol) ndipo potero imasintha mawonekedwe owonongeka a membrane wam'maselo.

Thioctic acid imathetsa poizoni wa pyruvic acid ndi acetaldehyde (mowa metabolites), imapangitsa kutsitsa kwa mitsempha ndi mphamvu kagayidwe, kumachepetsa mapangidwe owonjezera a okosijeni a okosijeni, endoneural hypoxia ndi ischemia, potero kufooketsa kuwonetsedwa kotereku kwa polyneuropathy monga presthesia, dzanzi, kupweteka komanso kupsa mtima miyendo.

Chifukwa chake, mankhwalawa amakongoletsa kagayidwe ka lipid, ali ndi antioxidant, hypoglycemic ndi neurotrophic.

Zomwe zimagwiritsidwa ntchito, zomwe zimagwiritsidwa ntchito ngati mchere wa ethylenediamine, zimachepetsa kuopsa kwa zovuta zoyipa zomwe zimayambitsa matenda a thioctic acid.

Pharmacokinetics

Mothandizidwa ndi mtsempha wa α-lipoic acid pa mlingo wa 600 mg, kuchuluka kwa plasma ndende pafupifupi 20 μg / ml ndipo kumawonedwa patatha mphindi 30.

Mukamamwa ndi mapiritsi 300 a Berlition, thioctic acid imatengedwa mwachangu kuchokera m'mimba. Kuchuluka kwa plasma kumafika pakadutsa mphindi 25-60. Mtheradi bioavailability ndi 30%. Kuchuluka kwa magawidwe ndi pafupifupi 450 ml / kg. Mafuta amachepetsa ndi chakudya.

Mankhwala ali ndi zotsatira za "gawo loyamba" kudzera pachiwindi. Zotsatira za conjugation ndi oxidation wam'mbali, kupangika kwa metabolites kumachitika.Chilolezo chonse cha plasma ndi 10-15 ml / min / kg. Imafufutidwa makamaka ndi impso (kuyambira 80 mpaka 90%) mu mawonekedwe a metabolites. Hafu ya moyo (T_1/2) - mpaka mphindi 25.

Contraindication

• wazaka 18
• Mimba ndi kuyamwa
• Hypersensitivity ku gawo lililonse la mankhwala.

Monga mapiritsi, Berlition 300 imaphatikizidwanso kuperewera kwa lactase akusowa, cholowa cha lactose tsankho ndi shuga-galactose malabsorption.

Tsatirani njira yothetsera kulowetsedwa

Njira yothetsera kukonzedwa imayendetsedwa pang'onopang'ono (kwa mphindi zosachepera 30) m'mitsempha ya 300-600 mg (1-2 ampoules) pakapita milungu iwiri. Kenako, wodwalayo amamuika piritsi la mankhwalawo ndipo mapiritsi 1-2 patsiku amalembedwa.

Kutalika kwa njira yonse ya chithandizo ndi kufunika kobwereza kwake kumatsimikiziridwa ndi dokotala payekhapayekha.

Njira yothetsera mtsempha wamitsempha imakonzedwa nthawi yomweyo isanagwiritse ntchito. Pazomwezi, zomwe zili mumapulogalamu a 1-2 amakanizidwa mu 250 ml ya 0,9% sodium kolorayidi. Thioctic acid imazindikira kuwala, choncho yankho lokonzekera liyenera kutetezedwa, mwachitsanzo, pogwiritsa ntchito foil ya aluminium. Pamalo amdima, makina osungunuka amatha kusungidwa osaposa maola 6.

Mapiritsi okhala ndi mafilimu

Mapiritsi 300 a Berlition ayenera kumwedwa pakumwa kamodzi pa tsiku kwa mphindi 30 asanadye, kuwameza yonse ndikumwa madzi ambiri.

Akuluakulu nthawi zambiri amapatsidwa 600 mg (mapiritsi 2).

Dokotala amawona kutalika kwa mankhwalawa komanso kufunika kochita mobwerezabwereza payekhapayekha. Mankhwalawa amatha kugwiritsidwa ntchito kwa nthawi yayitali.

Bongo

Ngati bongo, mutu, nseru, ndi kusanza zitha kuchitika.

Milandu yayikulu (mutatenga thioctic acid pa mlingo woposa 80 mg / kg), izi ndizotheka: kusokonezeka kwakukulu mu acid-base usawa, lactic acidosis, kusazindikira bwino kapena psychomotor mukusuntha, kufalikira kwamitsempha, kufalikira kwamitsempha, kuchepa kwa minofu , kuponderezana kwa ntchito ya m'mafupa, hypoglycemia (mpaka kukula kwa chikomokere).

Ngati mukukayikira kuledzera kwambiri, akulimbikitsidwa kuchipatala. Choyamba, amachita zinthu zofunikira poizoni mwangozi: amachititsa kusanza, kutsuka m'mimba, kukhazikitsa makala, ndi zina. Mankhwalawa lactic acidosis, kugwidwa kawirikawiri ndi zovuta zina zomwe zitha kuwopsa chifukwa cha kuledzera ndi chizindikiro, chochitika molingana ndi mfundo zoyambirira zamankhwala osamala masiku ano.

Palibe mankhwala enieni. Njira zosefera mwa kukakamiza kuthetseratu kwa thioctic acid, hemoperfusion ndi hemodialysis sizothandiza.

Malangizo apadera

Mothandizidwa ndi mtsempha wa magazi, ma hypersensitivity zimachitika. Pakakhala zizindikiro monga kuyabwa, malaise, nseru, Berlition 300 iyenera kuthetsedwa nthawi yomweyo.

Mowa umachepetsa kugwira ntchito kwa thioctic acid, chifukwa chake, pakachitika chithandizo, ndipo ngati kuli kotheka, pakati pa maphunziro, muyenera kupewa kumwa mowa.

Njira yothetsera yomwe imakonzedwa kuchokera ku lyophilisate iyenera kutetezedwa pakuwunika.

Odwala omwe ali ndi matenda osokoneza bongo omwe amalandila mankhwala a hypoglycemic kapena insulin, kuchuluka kwa shuga wa m'magazi kuyenera kuyang'aniridwa pafupipafupi, makamaka kumayambiriro kwa chithandizo ndi Berlition 300. Ngati ndi kotheka, mlingo wawo uyenera kusinthidwa kuti muchepetse kukula kwa hypoglycemia.

Mimba komanso kuyamwa

Mu kliniki maphunziro a kawopsedwe a kubereka, palibe zoopsa zomwe zapezeka pokhudzana ndi chonde, mphamvu ya embryotoxic ya mankhwalawa komanso zomwe zimakhudza chitukuko cha fetal.Komabe, palibe chosakwanira kuchipatala chogwiritsa ntchito thioctic acid m'gululi la odwala, chifukwa chake, kusankha kwa Berlition 300 pa nthawi ya pakati kumatsutsana.

Sizikudziwika ngati thioctic acid imalowa mkaka wa amayi, chifukwa chake mankhwalawa amadziwikanso panthawi ya mkaka wa mkaka.

Kuyanjana kwa mankhwala

Thioctic acid imatha kupanga ma chelate complexes ndi zitsulo; kugwiritsa ntchito kwake pamodzi ndi chitsulo ndi magnesium kukonzekera, komanso kugwiritsa ntchito zinthu zamkaka (chifukwa zimakhala ndi calcium), sizikulimbikitsidwa. Ngati ndi kotheka, kuphatikizana kwawo kuyenera kuchitika pakadutsa maola 2 pakati pa Mlingo.

Berlition 300 imachepetsa mphamvu ya chisplatin.

Mphamvu ya thioctic acid imachepetsa Mowa.

Mankhwala amalimbikitsa zochita za insulin ndi pakamwa hypoglycemic wothandizirana ndikuzitenga nthawi yomweyo.

Thioctic acid osakanikirana ndi mamolekyulu a shuga amapanga zovuta kusungunuka, motero, chifukwa chosagwirizana, Berlition 300 silingagwiritsidwe ntchito limodzi ndi mayankho osakanikirana, mayankho a Ringer, dextrose, glucose ndi fructose, ndi mayankho omwe amakhudzana ndi magulu a SH.

Ndemanga za Berlition 300

Mankhwala nthawi zambiri amapatsidwa matenda a shuga ndi chiwindi. Ndemanga zambiri za Berlition 300 ndizabwino, pakati pa madokotala komanso pakati pa odwala omwe adalandira chithandizo. Mankhwala amadziwika kuti ndi othandiza komanso osayambitsa mavuto. Komabe, ziyenera kuyikidwa kokha ndi katswiri wazachipatala woyenera ngati pali zisonyezo zakugwiritsa ntchito.

Kufotokozera za mankhwalawa, mawonekedwe a mawonekedwe ndi mawonekedwe

Chipangizocho chili ndi zotsatira zingapo:

• kutsitsa kwa ndende ya lipid,
• imathandizira njira yogwiritsira ntchito cholesterol metabolism,
• bwino chiwindi,
• amachepetsa shuga.

Berlition ndi mankhwala a antioxidant. Amadziwika ndi vasodilating effect.

Chidachi chimathandizira kukhazikitsa njira zamkati mobwerezabwereza ma cell ndikuthamangitsa njira za metabolic mwa iwo. Mankhwalawa amagwiritsidwa ntchito mochizira matenda a osteochondrosis, polyneuropathy (matenda ashuga, mowa).

Berlition amapangidwa m'njira zingapo:

• 300 mg mapiritsi
• munthawi yogwiritsa ntchito jakisoni (300 ndi 600 mg).

Gawo lalikulu ndi thioctic acid. Monga chowonjezera, Ethylenediamine amapezeka pamodzi ndi jakisoni madzi. Imikani mu limakhazikika ndi propylene glycol.

Zomwe zimapangidwira mapiritsiwa zimaphatikizapo magnesium stearate ndi povidone. Pali cellulose mu mawonekedwe a ma microcrystals, silicon dioxide, komanso lactose ndi croscarmellose sodium.

Thioctacid kapena Berlition: ndibwino mtundu wa matenda ashuga a 2

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kugwiritsa ntchito mankhwala Berlition kwa matenda ashuga kumalepheretsa kukula kwa polyneuropathy.

Matenda a diabetesic polyneuropathy ndi matenda omwe amapezeka mwa odwala kumayambiriro kwa chitukuko cha matenda a matenda kapena kale kwambiri asanasonyeze koyamba. Amadziwika ndi kuchepa kwa magazi m'deralo (ischemia), komanso kusokonezeka kwa metabolic mu mitsempha. Kuphatikiza pa kupewa polyneuropathy, mankhwalawa amathandizira kugwira ntchito kwa chiwindi, amateteza kagayidwe ka lipids ndi chakudya.

Munthu aliyense wachiwiri yemwe ali ndi matenda ashuga posachedwa amva kuchokera kwa dokotala zakukula kwa polyneuropathy syndrome. Anthu ambiri amaphunzira za kusowa kwa chiwindi, kuphatikizapo matenda oopsa (cirrhosis, hepatitis). Chifukwa chake, pakufunika kupewa matenda omwe amakumana ndi maziko a matenda ashuga.

Posachedwa, mitundu iwiri ya mankhwala yatchuka - Berlition ndi Thioctacid, omwe ali ndi vuto lofananilo popewa matenda ashuga a polyneuropathy.Nkhaniyi ikuthandizani kudziwa chomwe chiri bwino - Berlition kapena Thioctacid?

Pharmacological zimatha mankhwala

Popeza mankhwalawa ndi ofanana, ali ndi gawo limodzi lomwelo - alpha lipoic acid (mayina ena - vitamini N kapena thioctic acid). Ili ndi katundu wa antioxidant.

Tiyenera kudziwa kuti alpha-lipoic acid ndi ofanana mu michere ya mavitamini a gulu B. Amagwira ntchito zofunika:

1. Alpha-lipoic acid amateteza kapangidwe ka khungu ku kuwonongeka kwa peroxide, amachepetsa mwayi wokhala ndi zovuta zazikulu pomanga ma radicals omasuka, ndipo nthawi zambiri amalepheretsa kukalamba msanga kwa thupi.
2. Alpha lipoic acid amadziwika kuti ndi cofactor yemwe amatenga nawo gawo mu mitochondrial metabolism.
3. Kuchita kwa thioctic acid kumapangidwa kuti muchepetse magazi, kuwonjezera glycogen m'chiwindi ndikugonjetsa insulin.
4. Alpha lipoic acid amawongolera kagayidwe kazakudya zam'mimba, lipids, komanso cholesterol.
5. Gawo lolimbikira limakhudza mitsempha yotumphera, kukonza magwiridwe antchito.
6. Thioctic acid imathandizira ntchito ya chiwindi, kuteteza thupi ku zotsatira za mkati ndi kunja, makamaka mowa.

Kuphatikiza pa thioctic acid, Berlition imaphatikizanso zinthu zingapo zowonjezera: lactose, magnesium stearate, croscarmellose sodium, microcrystalline cellulose, povidone ndi hydrate silicon dioxide.

Mankhwala Thioctacid, kuphatikiza pa gawo lomwe limagwira, ali ndi mphamvu zochepa za hydroxypropyl cellulose, hydroxypropyl cellulose, hypromellose, magnesium stearate, macrogol 6000, titanium dioxide, quinoline chikasu, indigo carmine ndi talc.

Kuphatikizana kwa odwala matenda ashuga

Berlition imagwiritsidwa ntchito mu shuga mellitus popewa polyneuropathy, womwe ndi mkhalidwe womwe umadziwika ndi kuchepa kwa magazi. Kuphatikiza apo, wogulitsa mankhwala amakupatsani mwayi wowongolera zochitika za chiwindi ndikuwongolera kagayidwe kazakudya. Musanagwiritse ntchito mankhwalawa, ndikofunikira kuwerenga malangizo mosamala.

Kupanga ndi mawonekedwe a kumasulidwa

Mankhwalawa "Berlition" amapangidwa m'mitundu iwiri: tsekani mphamvu kuti mupange yankho la jakisoni ndi mapiritsi. Zomwe zimagwiritsidwa ntchito mwanjira zonsezi ndi alpha lipoic acid. Mapiritsiwo ali ndi 300 mg, ndipo amaganiza, omwe amatchedwanso ampoules, ali 300 ndi 600 mg.

Zina zomwe zimapanga cellcose ya microcrystalline, stearic acid, povidone, lactose ndi silicon dioxide. Mapiritsi okhala ndi mawonekedwe ozungulira ndi tint wachikasu ali mu phukusi la zidutswa za 100, 60 kapena 30, ndipo chogwirizira chowonekera chimagawidwa kuma ampoules.

Njira yamachitidwe

Alpha-lipoic acid, yemwenso imatchedwa thioctic, imatha kukonza thanzi la ma neuron, imasintha kagayidwe kazakudya, ndikuwongolera cholesterol. Odwala omwe ali ndi matenda osokoneza bongo a shuga, akamagwiritsa ntchito mankhwalawa, Zizindikiro za pyruvic acid pakusintha kwa magazi, ntchito ya chiwindi imayenda bwino.

Kuphatikiza apo, mankhwala opangira mankhwala "Berlition" amakhalanso ndi mphamvu za zotumphukira, ali ndi antioxidant ndi detoxation katundu.

Malangizo ogwiritsira ntchito

Mapiritsi a Berlition

Mankhwala "Berlition" mu mawonekedwe a mapiritsi amatengedwa pakamwa. Pankhaniyi, mapiritsi sangathe kutafunidwa, amameza ndikusambitsidwa ndi madzi ambiri. Kwambiri, mankhwalawa amalembera piritsi limodzi patsiku, lomwe liyenera kumwedwa theka la ola chakudya choyamba.

Dongosolo la matenda ashuga polyneuropathy limaphatikizapo kugwiritsa ntchito mankhwala a 600 mg patsiku. Ndikofunika kudziwa kuti mulingo woyenera komanso nthawi yogwiritsira ntchito "Berlition" ndi yomwe idatsimikiziridwa ndi adotolo, kutengera kuwuma kwa matendawa.

Ampoules "Berlition"

Kuphatikiza kwa jekeseni kumatheka ndi mankhwala apadera, mwachitsanzo, sodium chloride.Dontho limagwiritsidwa ntchito poyambitsa thupi, pomwe kuli kofunikira kuonetsetsa kuti dzuwa siligwera pamtengowu ndi mankhwalawo.

Malangizo ogwiritsira ntchito akuwonetsa kuti kutalika kwa mankhwalawa sikuyenera kupitirira mwezi umodzi. Pa chithandizo, ndikofunikira kwa odwala omwe ali ndi mtundu wa 2 matenda a shuga kuti aziyang'anira kuchuluka kwa shuga m'magazi.

Contraindication

tsankho kwa munthu zigawo zikuluzikulu za mankhwala, ana ochepera zaka 18, pakati, mkaka wa m`mawere.

Zotsatira zoyipa

Nthawi zina mankhwala a "Berlition" amapangitsa zotsatirazi:

1. Mimba thirakiti: Kusanza, mseru, kusokoneza kusokonezeka, kudzimbidwa, kutsegula m'mimba.
2. Mtima wamitsempha: Kusokonezeka kwa mtima, kusowa kwa nkhope, kupweteka kumbuyo kwa khosi.
3. Njira yamanjenje yapakati: kupweteka mutu, kunjenjemera, masanjidwe ogawika.
4. Thupi lawo siligwirizana: pemphigus, zotupa pakhungu, kuyabwa ndi kuwotcha khungu.
5. Zambiri: kudandaula, thukuta kwambiri, kuwonongeka kwa mawonekedwe a ntchito, kupuma movutikira, mapangidwe amitsempha yamafupa.

Mndandanda wa mankhwala opangira mankhwala

Mankhwala a odwala matenda ashuga "Berlition" ali ndi mankhwala otsatirawa a analog, zomwe zili ndi zinthu zomwezo:

"Lipamide", "Lipothioxone", "Oktolipen", "Neuro lipon".

Kuphatikiza apo, m'makatani a mankhwala, palinso mankhwala omwe ali ndi machitidwe ofanana pa thupi monga Berlition. Makamaka muzochita zamankhwala, mankhwala otsatirawa amagwiritsidwa ntchito:

Madokotala amakopa chidwi cha odwala pakuwona kuti ndizoletsedwa mwamphamvu kupanga chisankho mokomera Berlition. Kusamala koteroko kumalumikizidwa ndikuti njira yodzipangira nokha imakhala yovulaza kwambiri mikhalidwe yazaumoyo. Izi ndizowona makamaka kwa odwala omwe ali ndi matenda osokoneza bongo, chifukwa chitetezo chawo cha mthupi chimakhala chikuvuta kale.

Ngati mukukayikira matenda aliwonse, ndikofunikira kulumikizana ndi achipatala, pomwe akatswiri amakuwunikira ndi kufufuza koyenera, ndipo atatha kupereka mankhwala oyenera. Poterepa, adotolo aphunzira mosamala mbiri yachipatala ya munthu uja ndikuganizira za machitidwe ake onse.

Kodi zikuwonekabe zosatheka kuchiritsa matenda ashuga? Poona kuti mukuwerenga izi tsopano, kupambana pakulimbana ndi shuga wambiri sikuli kumbali yanu ... Kodi mudaganizapo kale za chithandizo chachipatala?

Ndizomveka, chifukwa matenda ashuga ndi matenda oopsa, omwe, ngati sanapatsidwe, amatha kufa. Udzu wokhazikika, kukoka pafupipafupi, masomphenya osawona ... Zizindikiro zonsezi mumazidziwa nokha.

Mbale zochizira matenda a shuga

Matenda a diabetes a neuropathy ndi amodzi mwa zovuta kwambiri za matenda a shuga mellitus (DM). Kukula kwake, malinga ndi olemba osiyanasiyana, ndi 15.5-47.6% (Boulton A.J.M., 1997), kutengera njira zakuyezimira kwa odwala, pafupipafupi kupezeka kwa matenda ashuga amasiyana pakati pa 10 mpaka 100%.

Pakati pa zotumphukira zamitsempha zam'mimba zotupa zomwe zimakumana ndi matenda othandizirana, matenda am'mimba amamva kwambiri. Pafupipifupi kukula kwa zovuta izi kumawonjezera ndi zaka za odwala, komanso kukula kwa shuga.

Matenda a shuga a shuga ndi mawu ofotokozera ponena za chisokonezo chilichonse chamthupi lamanjenje, chowonekera pang'onopang'ono kapena moperewera, chifukwa cha matenda ashuga popanda zifukwa zina za zotumphukira za m'mitsempha. Vuto la neuropathic limaphatikizapo zizindikiro kuchokera kumadera amodzi komanso / kapena magawo azinthu zamagetsi amkati.

Neuropathy sikamachitika padera, nthawi zambiri kuphatikiza ndi matenda osiyanasiyana.Pafupifupi 400 matenda am'mimba amadziwika momwe mawonekedwe osiyanasiyana a neuropathy amalekanitsidwa, omwe matenda ashuga ndi omwe amapezeka kwambiri. Pafupifupi 1/3 ya milandu yonse ya zotumphukira za neuropathy yomwe ipezeka m'chipatalachi idachokera ku matenda ashuga.

Kuzindikiritsidwa kwa matenda a diabetesic neuropathy kungakhazikitsidwe pokhapokha pazifukwa zina zonse komanso matenda omwe angayambitse kusokonezeka kwa mitsempha. Izi zikuphatikiza:

mowa woledzera, uremia, pakati, mikhalidwe yothandizidwa ndi matenda osiyanasiyana a trophic (kuchepa kwa vitamini B, dysproteinemia, paraneoplastic syndromes), zakumwa zoledzera komanso zoweta (pachimake komanso chovuta), mankhwala: sulfonamides, nitrofurans, mankhwala a kanamycin, polymyxin-B , gentamicin, amphotericin), tuberculostatic and antitumor agents (vincristine, cisplatin), matenda opatsirana (diphtheria, botulism, paratyphoid, chikuku, matenda mononucleosis, fuluwenza) monga zovuta za matenda oyamba, matenda okhudzana ndi matenda amanjenje: khate, syphilis, chifuwa chachikulu, matenda amisempha: sarcoidosis, nyamakazi, amyloidosis, matenda a hypoxic chifukwa cha zifukwa zosiyanasiyana (poyizoni wakupha ndi barium, carbon monoxide, hemorrhagic shock), matupi awo zimachitika (seramu matenda, ziwengo chakudya, mankhwala ziwengo).

Pali magawo ambiri a matenda am'mimba a diabetes, opangidwa poganizira zaumoyo, topographic, pathophysiological kapena etiological, koma omwe amagwiritsidwa ntchito kwambiri ndi omwe amapangidwa molingana ndi mfundo zapamwamba.

Malinga ndi mfundo iyi, zotupa zonse zam'mitsempha mwa odwala matenda ashuga zimagawidwa:

chapakati pa neuropathy - zovuta pachimake neuropsychiatric kuwonekera motsutsana maziko a pachimake zinthu kugwirizana ndi kuwonongeka kwa matenda ashuga, pachimake cerebrovascular ngozi, neurosis ngati ndi psychopathic boma, encephalopathy, myelopathy, zotumphukira neuropathy - gulu lalikulu la zotupa. Peripheral neuropathy (polyneuropathy) imagawika padera ndi chotupa cham'mimba kapena minyewa ya m'mitsempha yamagetsi komanso autonomous ("vegetative neuropathy"). Ndiye kuti, gawoli limaganizira momwe zilonda zam'mimba zimathandizira komanso magwiridwe antchito a magawo osiyanasiyana amanjenje.

Timapatsa zotupa za zotumphukira zamitsempha yamagazi mwa odwala matenda ashuga:

Diffuse neuropathy:

1. Distal symmetric sensorimotor neuropathy yokhala ndi zowonongeka makamaka: zingwe zazing'onoting'ono zamitsempha, ulusi waukulu, zazikulu komanso zazing'ono.
2. Autonomic neuropathy yokhala ndi kuphwanya: lamulo la mtima wamatumbo, ntchito ya ana, kuchokera ku ziwalo za genitourinary system, ntchito yam'mimba, zochita za mtima, kuzindikira kwa hypoglycemia, kugwira ntchito kwa thukuta la thukuta, kusungika kwa tiziwalo ta endocrine.
3. Fopal neuropathy: mononeuropathy, angapo mononeuropathy, plexitis (plexopathy), radiculopathy, cranial nerve neuropathy.
4. Mawonetseredwe azachipatala a peripheral somatic neuropathy amatha kukhala acute sensory neuropathy kapena aakulu sensory-motor neuropathy, omwe ali ndi kusiyana.

Komanso musiyanitse:

Acute sensory neuropathy: imakonda kumayambika matendawa kapena nthawi yayitali, nthawi zambiri imayamba kupezeka mwa amuna, imadziwika ndi kuyambika kwazizindikiro kwambiri (zopweteka kwambiri, kuchepa thupi), zimadziwika ndi kuchepa kwapang'onopang'ono kwa chidwi, zovuta zamagalimoto nthawi zambiri zimakhala zosowa, Zotsatira zamtunduwu za matenda am'mimba a chifuwa nthawi zambiri zimakhala zabwino, ntchito yamanjenje imabwezeretsedwa ndi chithandizo chokwanira cha matenda oyambitsidwa.Matenda a sensorimotor neuropathy: amapezeka pafupipafupi mwa amuna ndi akazi, amapezeka odwala omwe ali ndi matenda ashuga a nthawi yayitali, zizindikiro zamankhwala zimayamba pang'onopang'ono, kupweteka, paresthesias, kutsika kumvekera kwakukhalanso kosiyanasiyana ngati "magolovu", "masheya", kuchepa komanso kusapezeka Refimpes, kufooka kwa minofu m'magulu osiyanasiyana, kukhalapo kwa zovuta zina za matenda ashuga: nephropathy, retinopathy, kuwonongeka kwa mtima, pakalibe chithandizo chokwanira komanso chindapusa chokhudza matenda a metabolic Nij, amamuchititsa kupitiriza zonse.

Mawonetseredwe azachipatala a somatic peripheral neuropathy ndi ululu womwe umachitika nthawi zambiri usiku, ndikupumula, minyewa yam'mimba, mitundu yosiyanasiyana ya matenda a paresthesia, komanso zovuta zamtundu wamtundu (tactile, kupweteka, kuwongolera, kutentha, kusankhana).

Somatic peripheral neuropathy imapezeka pamaziko a anamnesis, mawonekedwe amachipatala, komanso zotsatira za kafukufuku wamitsempha, momwe tactile, ululu, kutentha, kuzindikira, tsankho zimatsimikiziridwa.

Njira zakufufuza kwamanjenje ndizothandiza kwambiri, ndipo nthawi zambiri, zimathandizira kuzindikira kusintha kwa matenda m'masiku oyambira. Electroneurography ndi kutsimikiza kwa kuthamanga kwa zolumikizira pamodzi ndi minyewa yamitsempha kumakulitsa kwambiri zowunikira, koma kukhazikitsa kwake nthawi zambiri kumangokhala ndi maphunziro apadera.

Chifukwa chovuta kwambiri komanso mtengo wokwera, njirayi pakadali pano sigwiritsidwa ntchito kwambiri pakachitidwe kachipatala. Kuzindikira kwa neuronomic yodziyang'anira kumakhala kovuta kwambiri, kumafunikira thandizo lowonjezera. Magwiridwe amachitidwe a autonomic mantha system amawunikira potengera deta ya mtima yoyesedwa, ma ultrasound ndi scintigraphic maphunziro a motor ntchito yam'mimba ndi matumbo, urography ndi urofluometry.

Pakadali pano, mayeso 5 othandiza kwambiri osagwiritsa ntchito njira zamtunduwu apangidwa, mothandizidwa ndi komwe magwiridwe antchito amomwe amatsimikiziridwa. Mayeserowa amatenga makamaka mawonekedwe amomwe mtima wam'magazi umayankhira poyeserera mayesero osiyanasiyana.

Kuphwanya kosungika kwa myocardium kumachepetsa kugunda kwake, kumapangitsa kuphwanya mtima, kumachulukitsa kuphwanya kwa chimbudzi, komanso kufa kwa odwala omwe ali ndi matenda ashuga. The pathogenesis of diabetesic neuropathy ndi multifactorial. Kuyesera kuti tidziwe zoyambira zamtunduwu sizinaphule kanthu.

Pophunzira ma antigen of the main histocompatability tata, palibe kusiyana komwe kunapezeka pakati pa thanzi ndi odwala omwe ali ndi matenda a shuga. Nthawi yomweyo, kuchepa kwa ntchito ya erythrocyte Na + / K + -ATPase mwa anthu athanzi, nthumwi za mafuko ena, adapezeka kuti ali ofanana ndi odwala odwala matenda ashuga.

Izi zitha kuwonetsa mosatengera mtundu wa kuthekera kwa vuto la enzyme la odwala omwe ali ndi vuto la matenda ashuga, ngakhale palibe umboni wowona wa izi. Matendawa amawonetsedwa ndi kuchepa kwamphamvu kwa mitsempha ya zotumphukira.

Kubwezeretsa kapangidwe ndi ntchito ya minyewa yamanjenje zimatengera zinthu zambiri, makamaka, pamlingo wa kukula kwa mitsempha, kuchepa komwe kumadziwika komwe kumapezeka ndi nyama yomwe ili ndi shuga yoyesa ndi neuropathy. Pakati pazodziwika kwambiri komanso zotsimikizika Pali ziphunzitso ziwiri zamakono za pathogenesis ya matenda ashuga a m'mimba:

kagayidwe kachakudya, mtima.

Chiphunzitso cha metabolic potanthauzira komwe chilipo chikuchokera pa kukhudzika kwa glucose toxicity, yomwe imalongosola kukula kwa zotupa zam'mimba chifukwa cha kuwopsa kwa kuyang'ana kwakukulu kwa glucose pamitsempha yamanjenje, yomwe imawonedwa ndi kusakwanira kwa kagayidwe kazinthu.

Kutsimikizira kwa lingaliro ili ndikuti mawonetsedwe azachipatala komanso a morphological a matenda ashuga ofanana ali ofanana kwa odwala omwe ali ndi matenda amtundu wa II komanso mtundu II, mitundu yamatendawa yomwe ili yosiyana mu tekinoloje komanso kakulidwe ka pathogenetic. Mitundu yonse iwiri ya matenda a shuga imadziwika ndi hyperglycemia.

Zinapezeka kuti matenda a metabolism a carbohydrate amachepetsa chiopsezo cha kuyambika ndi kupitilira kwa zovuta za matenda ashuga, kuphatikizapo neuropathy. Zowopsa za glucose zomwe zimakhala kwambiri pamitsempha yamitsempha zimatha kuchitika m'njira zingapo. Chimodzi mwazomwe zimagwirizanitsidwa ndi kukhazikitsidwa kwa mapuloteni a glycosylation, omwe amaphatikizidwa ndi mamolekyu a glucose m'magulu a amino mapuloteni.

Zotsatira zake, mamolekyulu a protein amawonongeka, omwe ndi mapangidwe a maselo ndi zigawo zapansi, mapuloteni a enzyme, mapuloteni a receptor kapena mapuloteni m'magazi oyenda. Izi zimabweretsa kuphwanya kwa ntchito yawo ndikusintha kwama metabolic osiyanasiyana, mayendedwe ndi njira zina zofunika zoperekedwa ndi mapuloteni awa m'maselo.

Njira yina ndi kuthekera kwa glucose kupanga ketoaldehydes, mitundu yamagetsi yotulutsa mpweya yaulere pamaso pa zitsulo ndi valency yosinthika. Ma Hydroxyl radicals amathanso kusintha kapangidwe ka mapuloteni ndikupanga maulalo apakati pa ma cell mamolekyule ndi kuwonongeka kwa ntchito yawo.

Njirayi imatha kuthandizidwa kuti ndi njira ina iliyonse yowonongeka kwa maselo, yomwe imayambitsa matenda ambiri a matenda a shuga. Kachitidwe kake mu odwala ambiri omwe ali ndi matenda a shuga amathandizira kuchepa kwa chitetezo cha machitidwe a thupi a antioxidant achilengedwe.

Udindo wofunikira mu chitetezo cha antioxidant ndi wa machitidwe a glutathione, kuphatikizapo enzyme glutathione peroxidase ndikuchepetsa glutathione, yomwe imakhudzidwa pazomwe zimaperekedwa ndi glutathione peroxidase, zomwe zimapangitsa mawonekedwe ake oxid.

Oxidized glutathione amabwezeretsedwa pambuyo pake ndi kutenga nawo gawo kwa enzyme glutathione reductase ndi mawonekedwe ochepetsedwa a nicotinamide adenine dinucleotide (NADH), mulingo womwe odwala omwe ali ndi matenda a shuga amachepetsa, makamaka ndi kuwonongeka kwamatenda.

Izi zimaphwanya zochita zathupi zomwe zimachepetsa mphamvu ya kuchepetsedwa kwa glutathione, komwe kumachepetsa magwiridwe antchito a antioxidant dongosolo la thupi, kumawonjezera chiopsezo cha kuwonongeka kwa ziwalo zam'mimba ndi kukula kwa masinthidwe a pathological.

Kachitidwe ka glycation wa mapangidwe mapuloteni a zimagwira kumabweretsa kutsekeka kwanyumba, chifukwa chomwe nembanemba phospholipids imayamba kupezeka chifukwa cha kutsitsidwa kwa peroxide. Pali bwalo loipa lomwe kuphwanya kwina kumalowerera ndi kuthandizira wina.

Njira yachitatu yozindikira mphamvu za poizoni ndikuyambitsa kagayidwe kake kudzera munjira zina, makamaka, sorbitol. Kudya kwa glucose muubongo, mitsempha yotumphukira, maselo endothelium, mandimu, retina, ndi maselo a minyewa ya m'magazi ndi njira yodziyimira payokha.

Mikhalidwe ya hyperglycemia, kukoka kwa glucose m'mitsempha yamanjenje kumawonjezeka kwambiri, komwe kumapangitsa kuyambitsa kwa intracellular enzyme, aldose reductase, yomwe ikuphatikizidwa ndi kusintha kwa shuga kukhala sorbitol, komwe pambuyo pake, limodzi ndi gawo la sorbitol dehydrogenase, limasandulika kukhala fructose.

Pali kusakanikirana kwapadera kwa sorbitol ndi fructose, kumawonjezera osmolarity a cytoplasm of cell nerve, omwe amachititsa kukula kwa hydropic edema ndi kuwonongeka kwawo mtsogolo. Ntchito ya sorbitol shunt activation pakukula kwa neuropathy yatsimikiziridwa ndi zotsatira za kafukufuku wambiri.

Chitsimikizo chosadziwika cha izi ndikuti kugwiritsa ntchito aldose reductase inhibitors kumathandizira kuti ntchito ya ulusi wamitsempha mu nyama yokhala ndi shuga yoyeserera ndi neuropathy.Kutsegula kwa njira ya sorbitol ya kagayidwe kachakudya kagayidwe kachakudya kamakhala ndi zotsatirapo zina zoyipa.

Malinga ndi chiphunzitso cha zotupa zam'mimba, pathogenesis ya matenda ashuga amawonedwa kuchokera ku vuto la vasa manthaorum. Ichi ndi chimodzi mwamalingaliro oyamba a pathogenesis ya matenda ashuga a m'mimba. Zomwe zimatsimikizira luso lake zidapezeka mumaphunziro ambiri oyesera komanso azachipatala.

Kuchepa kwa chapansi membrane, kuchuluka kwa maselo am magazi, magazi kulowa, kuwonongeka kwa endothelial, kusintha kwa vasa amanorum kamvekedwe kake ndi chizindikiro cha odwala omwe ali ndi matenda ashuga. Zinthu zonsezi zimatenga nawo gawo lawo, koma kuwongolera kwa njira zama oxidation zaulere zimagwira ntchito yapadera.

Chifukwa cha njirazi, zomwe zimapangidwa kukhoma lamitsempha zimawonongeka, kupanga kwa prostacyclin, nitric oxide imasokonekera, ndipo, mmalo mwake, mapangidwe a thromboxane ndi endothelin amawonjezeka, omwe amachititsa kuti pakhale vasoconstriction, kuchuluka kwa thrombosis, kusokonezeka kwa magazi, komanso kukula kwa minofu yam'magazi - zomwe zimapangitsa kuti maselo asokonezeke.

Mankhwala ambiri othandizira odwala matenda ashuga a m'mimba amathandizira kuti azilandira chithandizo chamankhwala chofuna kuchepetsa kupweteka kwa matenda.

Kubwezera matendawa ndikofunikira kwambiri pochiza odwala omwe ali ndi zovuta zake, komabe, mwa ambiri odwala, magawo a metabolic sangakhale otakasuka. Zotsatira zake, wodwala matenda ashuga amakakamizidwa kuti nthawi zambiri amamwa mankhwala osokoneza bongo omwe ali ndi zotsatirapo zoyipa.

Chifukwa chake, udindo wa mankhwala omwe amatha kuthana ndi mitundu yambiri ya pathogenetic omwe amathandizira pakukula kwa matendawa komanso zovuta zake ndizofunikira kwambiri. Chimodzi mwa izo ndi kuphatikizika, ndipo maziko a mankhwala omwe ndi lipoic acid.

Zotsatira za mayeso a multicenter osasankhidwa m'makliniki angapo ku Europe akuwonetsa kukhudzika kwakukulu kwa mankhwalawa pochiza odwala omwe ali ndi mitundu yosiyanasiyana ya matenda a shuga. Katundu wofunikira kwambiri wophatikizira zipatso ndi zotsatira za zovuta zambiri za metabolic zomwe zimachitika mthupi la wodwala yemwe ali ndi matenda ashuga.

Mu 82% ya odwala, zinthu zambiri zimayenda bwino. Kuunikira koyenera kumatsimikiziridwa ndi kusuntha kwa zizindikiro ndi zofunika kuchokera ku maphunziro othandiza. Berlition imagwirizira ntchito m'madipatimenti onse a zotumphukira zamitsempha yopitilira 76% ya odwala, zomwe zimawonetsa kugwira ntchito kwake bwino.

Zatsimikizidwanso kuti kuphunzira kwa nthawi yayitali pogwiritsa ntchito mankhwala osokoneza bongo a 600 mg / tsiku kwa miyezi inayi kumakhala ndi zotsatirapo zabwino pa matenda a matenda a shuga a mtima - chinthu chomwe chimavuta kwambiri kuwongolera m'chipatala.

Berlition (a-lipoic (thioctic) acid) imagwira ntchito ngati coenzyme wopanga ma enzyme omwe amaphatikizidwa ndi oxidative decarboxylation ya a-keto acids. Mankhwala amalimbikitsa mayendedwe a glucose ndikuwonetsa mphamvu ya kagayidwe kazinthu, kamayambitsa michere ya mitochondrial.

Berlition imalepheretsa njira ya gluconeogeneis ndi ketogeneis, zomwe zimathandiza kutulutsa njira zama metabolic komanso kulipira matendawa. A limodzi makonzedwe a mankhwala muyezo wa 1000 mg kumakulitsa insulin sensitivity ndi 50%, ndi ntchito odwala NIDDM kwa masiku 10 mu achire Mlingo (600 mg pa tsiku Mlingo iwiri) - 27%.

Mothandizidwa ndi kuphatikizika kwa magazi, kulumikizana kwa insulin ndi ma receptor kumawonjezeka, ntchito ya omwe amayendetsa glucose komanso kuyendetsa kwina kwa glucose kumakulirakulira. Zinapezeka kuti Berlition imathandizira njira ya lipolysis ndipo ikagwiritsidwa ntchito, kumasulidwa kwamafuta acids kuchokera ku minofu ya adipose kumachepetsedwa ndi 50%.

Udindo wapang'onopang'ono poonetsetsa kuti chitetezo cha mthupi chiteteza thupi ndizofunikira kwambiri. Njira zomwe zingapangidwire antioxidant momwe mankhwalawa ndiwiri. Berlition imatha kuyendetsa mwachindunji ma radicals aulere, kukhala ngati "msampha" wawo.

Kuphatikiza apo, zimathandizira kuti magwiridwe antchito a glutathione anti-radical defense, azikhala ngati opereka magulu a SH ndikuyika m'malo mwa glutathione pazomwe zimaperekedwa ndi glutathione peroxidase. Chifukwa chake, titha kunena kuti kubala zipatso ndi mankhwala osankha, omwe amatha kuthana ndi zovuta za metabolic, zomwe ndizo maziko a matenda a shuga a matenda ashuga.

Kusunthika kwa machitidwe a mankhwala kumatithandizira kuti tiziwalimbikitsa osati chithandizo cha odwala omwe ali ndi mitsempha yamavuto. Kukhala okhazikika kwazonse zimagwira ma membrane a maselo, kumagwira zonse mu lipid komanso gawo lamadzi, zipatso zingagwiritsidwe ntchito munjira zonse zamatenda, zomwe zimakhazikitsidwa pakuwonongeka kwa membrane, kutanthauza pafupifupi zovuta zonse za matenda ashuga.

Zotsatira za kusanthula kofananako kwa zomwe zapezedwa zikuwonetsa kuti zotsatira zotsamira pamtunduwu ndizodziwika bwino. Poyerekeza zotsatira zake mosiyanasiyana mosiyanasiyana pazisonyezo zamatenda mwa odwala omwe ali ndi matenda ashuga, kupatsirana kwakukulu kwamankhwala kunakhazikitsidwa mutatenga 1200 ndi 600 mg ya mankhwala patsiku, laling'ono - pa mlingo wa 100 mg patsiku kapena placebo.

Nthawi yomweyo, panalibe kusiyana kwakukulu pazomwe zimachitika pakuwoneka kwa mankhwalawa mukamamwa mankhwala a 1200 ndi 600 mg patsiku, zomwe zimapangitsa kuti mlingo wa 600 mg patsiku udziwike ngati wamphamvu. Pa mlingo wa 600 mg, zipatso zimapangidwa 1 nthawi patsiku kapena, zomwe ndizoyenera kwambiri, kutengera mawonekedwe a pharmacokinetics, 300 mg 2 kawiri pa tsiku.

Berlition - malangizo, ma analogi, ndemanga, mtengo

Berlition ndi mankhwala a hepatoprotective omwe amasintha kugwira ntchito kwa chiwindi ndikuwonjezera kukana kwa maselo ake pazovuta. Kuphatikiza apo, Berlition ili ndi mphamvu yogwiritsira ntchito detoxifier, imakonza zakudya zama cell a mitsempha ndipo imatenga nawo gawo paziwonetsero za kagayidwe kake ka zakudya ndi lipids, kuphatikiza cholesterol. Ntchito mankhwalawa atherosulinosis, matenda a chiwindi, poyizoni ndi mowa kapena matenda a shuga.

Mayina, mafomu omasulira ndi kapangidwe ka Berlition

Pakadali pano, mankhwala a Berlition akupezeka mu mitundu iwiri:

1. Mapiritsi
2. Yambirani yankho la jakisoni.

Mapiritsi ali ndi 300 mg yogwira ntchito, ndipo chogwirira ntchito pokonzekera yankho ndi 300 mg kapena 600 mg. Kuphatikiza apo, zomwe zimagwiritsidwa ntchito muzowunikira zimakhala zofanana nthawi zonse ndipo ndi 25 mg / ml. Ndipo kuchuluka kwathunthu kwazomwe zimagwira ntchito kumatheka chifukwa cha kuchuluka kwa kuchuluka kwa zinthu zochuluka: 300 mg imapezeka mu 12 ml ampoules, ndi 600 mg mu 24 ml.

Monga gawo logwira, Berlition imakhala ndi alpha lipoic acid, yomwe imatchedwanso thioctic. Monga zigawo zothandizira, chogwirizira ntchito pokonzekera yankhoyi imakhala ndi proylene glycol ndi madzi a jakisoni. A Mapiritsi a Berlition monga zigawo zothandizira ali ndi zinthu izi:

Lactose, Microcrystalline cellulose, Magnesium stearate, Croscarmellose sodium, Povidone, Hydrate silicon dioxide.

Mapiritsi a Berlition amapezeka m'matumba a 30, 60 kapena 100, 300 mg yokhazikika - 5, 10 kapena 20 ampoules, ndi 600 mg mozama - 5 ampoules okha. Pulogalamuyo imasakanikirana bwino. Kudziyimira palokha kumawonekera, kupakidwa utoto wonyezimira.

Mapiritsiwo ali ndi mawonekedwe ozungulira, a biconvex ndipo ndi achikaso achikaso. Pali chiopsezo pamtundu umodzi wa mapiritsi. Pazolakwika, piritsi ili ndi malo osasinthika, opindika, opaka chikasu.

Zotsatira zochizira za Berlition

Zotsatira zochizira za Berlition zimaperekedwa ndi alpha-lipoic acid. Pakadali pano zotsatira za Berlition zotsimikizika zatsimikiziridwa:

Antioxidant zochita. Mankhwalawa amathandizira kuwononga ma radicals aulere omwe amawononga maselo, ndikupangitsa kuti asafe msanga, zotsatira za hepatoprotective. Thioctic acid imasinthasintha chiwindi komanso imateteza thupi ku zinthu zoyipa zomwe zimachitika, kuphatikizapo mowa ndi mankhwala osokoneza bongo, hypolipidemic effect. Mankhwala amachepetsa ndende ya zoipa zamadzimadzi mu magazi, hypocholesterolemic kwenikweni. Mankhwala amachepetsa kuchuluka kwa mafuta m'thupi, magazi. Mankhwala amachepetsa kuchuluka kwa shuga m'magazi ndipo amalepheretsa zovuta za matenda ashuga, kuchepa kwa thupi. Mankhwalawa amathetsa zizindikiro za kuledzera.

Thioctic acid nthawi zambiri imapangidwa ndi maselo a thupi laumunthu ndipo imakhala ndi chiwonetsero chazinthu zofanana ndi mavitamini a gulu B. Detoxification ndi hepatoprotective action zimapangitsa kuti pakhale kusintha kwakukulu, kuchepa kwa kuchuluka kwa shuga mumagazi ndikuwongolera kwa thanzi la maselo amitsempha.

Izi, zimachepetsa hypoxia yamitsempha yama cell ndi ma cell, imawateteza ku ma radicals aulere, komanso zimawongolera kudya kwawo ndikugwira ntchito. Zotsatira zake, odwala omwe ali ndi matenda a shuga, neuropathy yokhudzana ndi kuchuluka kwa mapuloteni a glycosylation imalepheretsedwa. Ndiye kuti, Berlition imathandizira ntchito ya mitsempha yotumphera, kuyimitsa zizindikiro za polyneuropathy (kuwotcha, kupweteka, dzanzi, ndi zina).

Zizindikiro zogwiritsidwa ntchito

Mapiritsi ndi jakisoni wa Berlition amawonetsedwa kuti mugwiritse ntchito matenda kapena zinthu zotsatirazi:

1. Matenda a diabetesic neuropathy (kuphwanya zamkati ndi zodzetsa za mitsempha yampweya motsutsana ndi maziko owonongeka ndi shuga),
2. Mowa neuropathy (magwiridwe antchito ndi kapangidwe ka mitsempha yampweya motsutsana ndi kuwonongeka kwa metabolites ya mowa),
3. Hepatitis yamavuto osiyanasiyana (mavairasi, poizoni, ndi zina),
4. Cirrhosis
5. Matenda a chiwindi chamafuta (hepatosis),
6. Kuledzera kwamphamvu (poyizoni) mwa zinthu zilizonse, kuphatikizapo mchere wazitsulo zolemera,
7. Atherosulinosis ya ziwiya zam'mimba.

Malangizo ogwiritsira ntchito mankhwala Berlition Monga mankhwala odziyimira pawokha, Berlition mwanjira ya mapiritsi ndi yankho la jakisoni imagwiritsidwa ntchito ngati chidakwa kapena matenda a shuga. Kwa matenda omwe atsalira, Berlition imagwiritsidwa ntchito ngati gawo la zovuta kuchiritsa mwa mapiritsi.

Mapiritsi a Berlition

Zochizira neuropathy, mankhwalawa amayenera kumwa mapiritsi awiri kamodzi patsiku. Ndiye kuti mapiritsi awiri amatengedwa nthawi imodzi. Berlition iyenera kumeza popanda kutafuna ndikumwa madzi ambiri (osachepera theka lagalasi). Mapiritsi amatengedwa m'mawa, theka la ola pamaso chakudya choyamba. Kutalika kwa chithandizo kumatengera kuthamanga, kuchira kwazizindikiro komanso kutulutsa matendawa.

Pafupifupi, mankhwalawa amatha kuyambira milungu iwiri mpaka 4. Pambuyo pa chithandizo chamankhwala a neuropathy, mutha kupitiliza kumwa piritsi limodzi patsiku ngati chithandizo chothandizira kuti musayambirenso. Kuphatikiza apo, mapiritsi a Berlition angatengedwe ngati gawo la zovuta kuchiza matenda a chiwindi, poyizoni ndi atherosclerosis, kamodzi. Kutalika kwakuvomerezedwa ndi kuchuluka kwa kuchira.

Berlition - malamulo ogwiritsira ntchito wobayira

Njira yothetsera kulowetsedwa kwa mtsempha (wa dontho) imakonzedwa motere: 1 ampoule ya 12 ml kapena 24 ml yasungunuka mu 250 ml ya saline yanyama. Njira yokhayo yamphamvu imodzi ya Berlition, imayendetsedwa kwa theka la ola limodzi osachepera 1.7 ml pa mphindi. Monga chosungunulira chokhazikika, ndi mchere wokhawo womwe ungagwiritsidwe ntchito.

Kuchita ndi mankhwala ena

Berlition mogwirizana ndi ma ionic zitsulo maofesi, chifukwa chake, amachepetsa kuvuta kwa zovuta zamankhwala zomwe zimakhala nazo, mwachitsanzo, Cisplastine ndi ena. Chifukwa cha kuthekera kwakukhudzana ndi mankhwala azitsulo, sizikulimbikitsidwa kuti mutenge kukonzekera kwa magnesium, iron kapena calcium mukatenga Berlition, popeza mphamvu zawo zam'mimba zidzachepa.

Kuwunika kwa Berlition sikugwirizana ndi mayankho a shuga, fructose, dextrose ndi Ringer, popeza thioctic acid imapangika mosiyanasiyana sungunuka ndi mamolekyulu a shuga. Berlition imawonjezera mphamvu ya mankhwala a hypoglycemic ndi insulin, chifukwa chake, ndikugwiritsa ntchito munthawi yomweyo, ndikofunikira kuchepetsa mlingo wawo.

Berlition (300 ndi 600) - analogi

Pakadali pano, msika wogulitsa mankhwala ku Russia ndi mayiko a CIS ali ndi fanizo ndi kufanana kwa Berlition. Ma Synonyms ndi mankhwala okhala ndi Berlition, alpha-lipoic acid ngati gawo logwira ntchito. Analogs ndi mankhwala omwe ali ndi zochizira zofanana ndi Berlition, koma okhala ndi zinthu zina zogwira ntchito.

Mankhwala otsatirawa ndi ofanana ndi Berlition:

Lipamide - mapiritsi, Lipoic acid - mapiritsi ndi yankho la jekeseni wamitsempha, Lipothioxone - gwiritsani ntchito kukonzekera njira yothetsera kulowetsedwa kwa mtsempha, Neyrolipon - makapisozi ndi cholinga chogwiritsa ntchito njira yothetsera kulowetsedwa kwa mtsempha wa magazi, Oktolipen - mapiritsi, mapiritsi ndi magwiritsidwe ntchito ake pokonzekera njira yodutsira pakhungu. Thiogamma - mapiritsi, yankho ndi kuganizira kwambiri kulowetsedwa, Thioctacid 600 T - njira yothetsera kulowetsedwa kwa mtsempha, Thioctacid BV - mapiritsi, Thioctic acid - mapiritsi, Tiolept - mapiritsi Njira yothetsera kulowetsedwa, Tiolipon - khalani ndi chidwi pokonzekera yankho la kulowetsedwa kwa mtsempha wa magazi, Espa-Lipon - mapiritsi ndi kuganizira kwambiri pokonzekera yankho la kulowetsedwa kwamkati.

Mankhwala otsatirawa ndi fanizo la Berlition:

Ana a Bifiform - mapiritsi otsekemera, Gastricumel - mapiritsi a homeopathic, Curtain - makapisozi, Orfadin - makapisozi, Kuvan - mapiritsi.

Berlition (300 ndi 600) - ndemanga

Pali ndemanga zochepa za mankhwalawa Berlition, koma ambiri aiwo ali ndi chiyembekezo. Anthu omwe adasiya ndemanga zabwino adagwiritsa ntchito Berlition makamaka pochiza matenda a neuropathy ochokera kumayendedwe osiyanasiyana, mwachitsanzo, pambuyo pa nthomba, motsutsana ndi mbiri ya hernia ya intervertebral disc ndi kupindika kwa mitsempha, ndi matenda a shuga, etc.

Asanayambe chithandizo, anthu adazindikira kupezeka kwa chizindikiro cha matenda amitsempha cham'mimba, kupweteka m'mitsempha, kumverera kwa zotupa zam'mimba, dzanzi, kugwedezeka, ndi zina zambiri. Pambuyo pogwiritsira ntchito Berlition, zizindikiro zosasangalatsa za neuropathy izi zidasowa kwathunthu kapena kupumula kwambiri.

Ndiye chifukwa chake anthu omwe amagwiritsa ntchito Berlition pochizira ma neuropathies adasiya ndemanga zabwino za mankhwalawa. Ndemanga zina zinawonetsa kuti zotsatira zabwino za mankhwalawa sizinachitike mosayembekezereka, chifukwa m'mbuyomu njira zingapo zochizira matenda a neuropathy zidayesedwa.

Ndemanga zoyipa za Berlition ndizochepa kwambiri ndipo zimachitika makamaka chifukwa cha kusowa kwa zomwe zikuyembekezeka kuchokera pamenepo. Mwanjira ina, anthu anali kuwerengera zotsatira imodzi, ndipo zotsatira zake zinali zosiyana pang'ono. Mu izi, pali kukhumudwitsidwa kwakukulu mu mankhwalawa, ndipo anthu amasiya kuwunika koyipa. Kuphatikiza apo, madokotala omwe amatsatira mosamalitsa pazotsatira zamankhwala ozikidwa umboni amasiya malingaliro olakwika pa Berlition.

Popeza kuthandizira kwamankhwala ku Berlition sikunatsimikizidwe, amakhulupirira kuti mankhwalawa ndi osathandiza komanso osafunikira kwenikweni pochizira ma neuropathies mu matenda a shuga ndi zina.Ngakhale kusintha kwamunthu pakubwera, madokotala amawona kuti Berlition ndi yopanda ntchito ndipo amasiya malingaliro olakwika okhudza iye.

Berlition kapena Thioctacid?

Berlition ndi Thioctacid ndi mankhwala ofanana, ndiye kuti, monga zosakaniza zomwe zimagwira zimakhala ndi zomwezo - alpha-lipoic acid, yomwe imatchedwanso thioctic acid. Opanga onsewa ndimankhwala odziwika bwino a zamankhwala okhala ndi mbiri yabwino (Berlin-Chemie ndi Pliva), kotero mtundu wa Berlition ndi Thioctacid ndi womwewo.

Ngati mukufuna kulowa 600 mg ya lipoic acid, ndiye kuti mutha kusankha chida chilichonse kutengera zomwe mungakonde. Onse a Berlition ndi Thioctacid amapezekanso mu mawonekedwe a piritsi, ngati mungafunike kugwiritsa ntchito ndalamazi pakukonzekera pakamwa, mutha kusankha mankhwala aliwonse.

Mwachitsanzo, mapiritsi a Thioctacid amapezeka mu mlingo wa 600 mg, ndi Berlition - 300 mg, kotero yoyamba iyenera kutengedwa kamodzi patsiku, ndipo yachiwiri, motsatana, iwiri. Kuchokera pamalingaliro osavuta, Thioctacid ndiyabwino, koma ngati munthu sachita manyazi ndi kufunika kotenga mapiritsi awiri tsiku lililonse nthawi, ndiye kuti Berlition ndiyabwino kwa iye.

Kuphatikiza apo, pali kulolera payekha kwa mankhwala, kutengera mawonekedwe a thupi la munthu aliyense payekha. Izi zikutanthauza kuti munthu m'modzi amalolera Berlition bwino, ndi wina - Thioctacid. Zikakhala zotere, ndikofunikira kusankha mankhwalawa omwe amalekeredwa bwino komanso osayambitsa mavuto.

Muzochitika zotere, ndikofunikira kugwiritsa ntchito Berlition m'njira yokhazikika kuti ikonzekere njira yothandizira kukonzekera kwamkati, kapena Thioctacid 600 T. Berlition (mapiritsi, ampoules, 300 ndi 600) - mtengo wa Berlition umapangidwa ndi nkhawa yaku Germany ya Berlin-Chemie komanso, ku maiko a CIS imatengedwa.

Chifukwa chake, kusiyana pamitengo ya mankhwalawo m'masitolo amafotokozedwa ndi mtengo wa mayendedwe, kusinthasintha kwa ndalama ndi malire a malonda a network inayake yamankhwala. Popeza zonsezi sizikhudza mtundu wa mankhwalawo, palibe kusiyana pakati pa Berlition wogulitsidwa pamtengo wokwera mtengo komanso wotsika mtengo. Chifukwa chake, mutha kugula njira yotsika mtengo kwambiri.

Pakadali pano, m'masitolo am'mizinda ya Russia, mtengo wa Berlition ndi wotere: Mapiritsi a Berlition 300 mg 30 zidutswa - 720 - 850 rubles, Berlition imagwiritsa ntchito 300 mg (12 ml) ma ampoules 5 - 510 - 721 ma ruble, Berlition imagwiritsa ntchito 600 mg (24 ml) 5 ampoules - 824 - 956 rubles.

Kugula?

Berlition malinga ndi malingaliro akuyenera kugulitsidwa ndi mankhwala, koma kwenikweni mu mankhwala onse amapezeka popanda mankhwala. Chifukwa chake, mapiritsi a Berlition ndikuyang'anitsitsa ungagulidwe ku pharmacy iliyonse wamba kapena pa pharmacy ya pa intaneti. Mukamagula, muyenera kulabadira tsiku lotha ntchito, lomwe ndi zaka 2 zam'mapiritsi, ndi zaka 3 zolimbitsa thupi, kuwerengera kuyambira tsiku lomwe linapangidwa.

Mapiritsi ndi yankho ziyenera kusungidwa m'malo owuma komanso amdima osapeza kuwala ndi dzuwa, pamtunda wa mpweya wosaposa 25 ° C. Mankhwalawa amatha kusungidwa mufiriji, kupewa kuzizira. Ngati Berlition adatha, kapena mankhwalawo adasungidwa molakwika, ndiye kuti kugwiritsa ntchito kuyenera kusiyidwa. Musanagwiritse ntchito, funsani katswiri.

Zotsatira za pharmacological

Berlition ndi mankhwala ochokera ku gulu la hepatoprotectors. Ilinso ndi hypolipidemic ndi hypoglycemic effect. The yogwira ndi alpha-lipoic acid - coenzyme wa oxidative decarboxylation zimachitika alpha-keto acid. Amapangidwa bwino.

Mu shuga mellitus, kuchepa kwa magazi a endoneural, kukulitsa kwa ischemia, kuwonjezeka kwa oxidation waulere wambiri komanso kudzikundikira kwa zinthu zomwe zimapangidwa m'mitsempha yama minofu yomwe imasokoneza kugwira ntchito kwa mitsempha yamapweya imawonedwa.

Njira zonsezi zimatheka ndi hyperglycemia, chifukwa chomwe zinthu zomaliza za glycosylation zimadziunjikira pamakoma amitsempha yamagazi m'chigawo chomwe amapangira mapuloteni a matrix. Kukhazikitsidwa kwa alpha-lipoic acid kumathandizira kuchepetsa zomwe zili ndi glycosylated zinthu, kuonjezera magazi endoneural, kuonjezera ndende ya glutathione (antioxidant).

Mphamvu ya gawo loyambirira kudzera pachiwindi ndilapamwamba, kotero kukhudzana kwa mkamwa mwa mawonekedwe a zipatso kumapangika ndi 20% poyerekeza ndi makonzedwe amkati. Alpha-lipoic acid metabolism imadutsa-oxidation yam'mbali komanso S-methylation of thiols. Maofesi a Alpha lipoic acid amathandizidwa ndi impso.

Zizindikiro zogwiritsidwa ntchito:

1. odwala matenda ashuga komanso mankhwala osokoneza bongo a polyneuropathy (chithandizo ndi njira zothandizira),
2. matenda a chiwindi (hepatitis pachimake a genesis iliyonse, kupatula gawo lalikulu, matenda a chiwindi, cirrhosis).

Mankhwala ofanana

ThioliponAnalogues a Berlition malinga ndi kachitidwe ka zinthu ndi:

Mankhwalawa ali ndi mankhwala ofananawo monga antioxidant ndi hepatoprotective. Kusiyanako kumatsimikiziridwa ndi kupezeka kwa okhathamira ndi mawonekedwe amchere wa thioctic acid, omwe amasankha mtengo wopangira, motero, mtengo wa mankhwalawo.

Zambiri zokhudzana ndi mankhwalawa zidakonzedwa kuti zidziwike, koma sizingasinthe malangizo ovomerezeka ovomerezeka a Berlition.

Kuchita ndi mankhwala ena

Kuphatikizana kumadziwika ndi zotsatirazi zomwe zimagwirizana ndi zinthu zina zamankhwala:

• chifukwa kusungunuka bwino kwa thioctic acid, munthawi yomweyo makonzedwe okhala ndi njira zokhala ndi fructose, shuga, dextrose osavomerezeka,
• imawonjezera ntchito ya insulin ndipo imafuna kuchepetsa mlingo wake akamamwa,
• Imachepetsa mphamvu ya zinthu zokhala ndi chitsulo, magnesium, calcium (mumafunikira mlingo wosiyana nthawi zosiyanasiyana),
• Kuchepetsa mphamvu mukamamwa mowa wa ethyl,
• amachepetsa mphamvu ya chisplatin.

• mu mtundu woyamba ndi wachiwiri wa matenda ashuga, mulingo wa hypoglycemic wothandizira uyenera kusinthidwa: α-lipoic acid imatsitsa kwambiri kuchuluka kwa shuga m'magazi,
• osamwa mowa ndi mayina opangidwa ndi ethanol,
• ikaphatikizidwa ndi chitsulo, magnesium, calcium, α-lipoic acid imapangira zinthu zovuta kupanga. Kupatula kukhudzana kwa mankhwalawa potengera zomwe zalembedwa ndi mapiritsi kapena Berlition, onetsetsani kuti mukupitilira maola 6 mpaka 8,
• Mankhwala a Cisplatin satha kugwiritsidwa ntchito limodzi ndi antioxidant yochokera ku thioctic acid.

Gawo lalikulu la Berlition ndi thioctic acid - chinthu chofanana ndi mavitamini omwe chiwindi chimapanga kuti zithetse poizoni ndikuteteza maselo awo kwa iwo. Amadziwika kuti thioctic (dzina lina ndi lipoic kapena alpha-lipoic) asidi wophatikizidwa pakuphatikizika

• makapisozi - mafuta okhazikika ndi triglycerides,
• mapiritsi - lactose monohydrate, mapadi, colloidal, povidone.

Malangizo ogwiritsira ntchito

Berlition mu mawonekedwe a mapiritsi amagwiritsidwa ntchito ngati gawo la zovuta mankhwala. Mu mawonekedwe a ampoules, mankhwalawa amagwiritsidwa ntchito pochiza matenda a shuga komanso a chidakwa a neuropathy.

Monga gawo la zovuta mankhwala, mankhwalawa monga mapiritsi amatengedwa 300 mg kamodzi patsiku. Chizindikiro chake ndi matenda a atherosulinosis ndi chiwindi.

Mankhwala a neuropathy, dokotala amapatsa mankhwala tsiku lililonse, wofanana ndi 600 mg. Nthawi imodzi, mapiritsi awiri a mankhwalawa amamwa kamodzi. Mapiritsi a Berlition amalimbikitsidwa kumwa bwino.

Popeza kuchepa kwa mayamwidwe a mankhwalawa pakudya ndi chakudya, tikulimbikitsidwa kutenga Berlition mphindi 30 musanadye.

Nthawi yolimbikitsidwa kulowa m'mawa ndi m'mawa. Kuchiza ndi mankhwala kumatenga masiku 14-30, poganizira kuthamanga kwa machiritso.

Pambuyo pa mankhwala, n`zotheka kutenga 300 mg patsiku pofuna kupewa.

Mankhwala mu mawonekedwe a ampoules tikulimbikitsidwa kuti azigwiritsidwa ntchito ndi odwala omwe ali ndi neuropathy. Njira yothandizira jakisoni imagwiritsidwanso ntchito ngati wodwala walephera kugwiritsa ntchito mankhwalawa monga mapiritsi.

Berlition 600, ngati 300, amagwiritsidwa ntchito chimodzimodzi. Mlingo umatengera kuuma kwa matenda komanso kuuma kwake.

Mbale umodzi amaphatikizidwa ndi 250 ml ya saline. Ndi bwino kumwa mankhwala osokoneza bongo. Yankho limaperekedwa kamodzi patsiku kwa masiku 14-30. M'masiku otsatirawa, chithandizo chimachitika pakamwa pa 300 mg patsiku.

Yankho limakonzedwa musanayambe kugwiritsa ntchito. Pambuyo pokonzekera, ndikofunikira kuteteza ma ampoules kuti asayerekezedwe ndi dzuwa. Kuti tichite izi, adakutidwa ndi zojambulazo. Yankho lokonzekera lingagwiritsidwe ntchito kwa maola 6, malinga ngati lisungidwa bwino.

Berlition mu mawonekedwe a yankho zimaperekedwa mkati mwa theka la ola. Ndi bwino kuyambitsa 1 ml ya mankhwalawa miniti iliyonse.

Amaloledwa kugwiritsa ntchito mosafunikira kwambiri ngati atalowetsedwa pang'ono m'mitsempha kudzera mu syringe (1 ml pa miniti).

Mankhwalawa amatha kuthandizidwa kudzera mu intramuscularly. Pamalo apadera a minofu, 2 ml ya yankho imaloledwa. Ndi kuyambitsa kwa 12 ml ya yankho, jakisoni 6 amapangidwa m'magawo osiyanasiyana a minofu, ndikuyambitsa 24 ml - 12 jekeseni.

Berlition ndi mankhwala a hepatoprotective omwe amasintha kugwira ntchito kwa chiwindi ndikuwonjezera kukana kwa maselo ake pazovuta. Kuphatikiza apo, Berlition ili ndi mphamvu yogwiritsira ntchito detoxifier, imakonza zakudya zama cell a mitsempha ndipo imatenga nawo gawo paziwonetsero za kagayidwe kake ka zakudya ndi lipids, kuphatikiza cholesterol. Ntchito mankhwalawa atherosulinosis, matenda a chiwindi, poyizoni ndi mowa kapena matenda a shuga.

Pakadali pano, mankhwala a Berlition akupezeka mu mitundu iwiri:

1. Mapiritsi
2. Yambirani yankho la jakisoni.

Mapiritsi ali ndi 300 mg yogwira ntchito, ndipo chogwirira ntchito pokonzekera yankho ndi 300 mg kapena 600 mg. Kuphatikiza apo, zomwe zimagwiritsidwa ntchito muzowunikira zimakhala zofanana nthawi zonse ndipo ndi 25 mg / ml. Ndipo kuchuluka kwathunthu kwazomwe zimagwira ntchito kumatheka chifukwa cha kuchuluka kwa kuchuluka kwa zinthu zochuluka: 300 mg imapezeka mu 12 ml ampoules, ndi 600 mg mu 24 ml.

Chenjezo: Mayina osavuta "Berlition 300" kapena "Berlition 600" amagwiritsidwa ntchito posonyeza kuchuluka kwa mankhwala. Cholinga chofuna kukonza yankho nthawi zambiri chimangotchedwa kuti "Berlition" ampoules. Nthawi zina mumatha kumva za makapisozi a Berlition, lero, lero kulibe mawonekedwe, ndipo munthu akuganiza za mtundu wina wa mankhwalawo pakumwa pakamwa.

Monga gawo logwira, Berlition imakhala ndi alpha lipoic acid, yomwe imatchedwanso thioctic. Monga zigawo zothandizira, chogwirizira ntchito pokonzekera yankhoyi imakhala ndi proylene glycol ndi madzi a jakisoni. Ndipo mapiritsi a Berlition monga zigawo zothandizira ali ndi zinthu izi:

• Lactose
• Microcrystalline mapadi,
• Magnesium wakuba,
• Croscarmellose sodium
• Povidone
• Silicon dioxide hydrate.

Mapiritsi a Berlition amapezeka m'matumba a 30, 60 kapena 100, 300 mg yokhazikika - 5, 10 kapena 20 ampoules, ndi 600 mg mozama - 5 ampoules okha. Pulogalamuyo imasakanikirana bwino. Kudziyimira palokha kumawonekera, kupakidwa utoto wonyezimira.

Mapiritsiwo ali ndi mawonekedwe ozungulira, a biconvex ndipo ndi achikaso achikaso. Pali chiopsezo pamtundu umodzi wa mapiritsi. Pazolakwika, piritsi ili ndi malo osasinthika, opindika, opaka chikasu.

Zotsatira zochizira za Berlition zimaperekedwa ndi alpha-lipoic acid. Pakadali pano zotsatira za Berlition zotsimikizika zatsimikiziridwa:

• Antioxidant zochita.Mankhwalawa amathandizira kuwononga zopitilira muyeso zomwe zimawononga maselo, ndikupangitsa kufa msanga.
• Hepatoprotective kwenikweni. Thioctic acid imasinthasintha chiwindi komanso imateteza thupi ku zinthu zoipa, kuphatikizapo mowa ndi mankhwala osokoneza bongo,
• Hypolipidemic zochita. Mankhwala amachepetsa ndende ya zoipa zamadzimadzi mu magazi, hypocholesterolemic kwenikweni. Mankhwala amachepetsa kuchuluka kwa mafuta m'thupi m'magazi,
• Hypoglycemic. Mankhwala amachepetsa kuchuluka kwa shuga m'magazi komanso kupewa matenda a shuga,
• Kutulutsa mphamvu. Mankhwalawa amathetsa zizindikiro za kuledzera.

Thioctic acid nthawi zambiri imapangidwa ndi maselo a thupi laumunthu ndipo imakhala ndi chiwonetsero chazinthu zofanana ndi mavitamini a gulu B. Detoxification ndi hepatoprotective action zimapangitsa kuti pakhale kusintha kwakukulu, kuchepa kwa kuchuluka kwa shuga mumagazi ndikuwongolera kwa thanzi la maselo amitsempha.

Kukwaniritsa kuchepa kwa ndende ya magazi kumachitika chifukwa cha kuchuluka

Mankhwala amatchulidwa ngati adjunct mankhwala kuti imathandizira mphamvu ya interellular kagayidwe, kusintha trophic minofu, sinthani carbohydrate ndi lipid bwino mu thupi.

Berlition (alpha lipoic acid) akuwonetsedwa:

1. kusintha kwa ma atherosselotic m'mitsempha yama coronary,
2. kuchepa magazi
3. hypotension
4. ndi matenda a chiwindi ndi biliary thirakiti,
5. kuledzera kwadzaoneni komanso kosapweteka kwa magwero osiyanasiyana (poyizoni ndi mchere wazitsulo, ziphe, mowa),
6. polyneuropathies a malekezero apamwamba ndi otsika (otupa, oopsa, osagwirizana, ozunza, odwala matenda ashuga, odziyimira pawokha),
7. zosokoneza organic mu ma cell a bongo ndi msana,
8. endocrine pathologies yogwirizana ndi zovuta za metabolic.

Ndi neurologist wokhayo yemwe amapereka chithandizo ndi Berlition kwa osteochondrosis. Mlingo, njira ya chithandizo ndi njira yochizira mankhwalawa adzafotokozedwera gawo la osteochondrosis (pachimake kapena chovuta), kuopsa kwa zizindikiro, njira zomwe zimagwirizanitsidwa ndi malamulo apadziko lonse.

Pofuna kupatula mavuto obwera chifukwa chamankhwala omwe mumalandira ndi Berlition, muyenera kutsatira mosamalitsa malangizo, osapereka mankhwala nokha, osapitilira muyeso womwe umalimbikitsa.

• matenda ashuga, komanso oledzera a polyneuropathy (kupewa ndi kuchiza),
• matenda a chiwindi - pachimake hepatitis osiyanasiyana etiologies ofatsa kapena okhazikika, matenda a chiwindi ndi chiwindi matenda enaake.

Matenda a shuga ndi mowa. Woopsa matendawa, mtsempha wa mtsempha wa 24 ml patsiku mankhwala Berlition 600 U tikulimbikitsidwa woyamba 1-2 milungu mankhwala.

Ngati mupeze chithandizo china, mulingo woyenera ndi 300-600 mg wa a-lipoic acid mu mawonekedwe a mapiritsi kapena makapisozi a Berlition.

Pambuyo pake, amasinthana ndi mankhwala othandizira pakamwa kwa miyezi itatu.

Mapiritsi ndi makapisozi amatengedwa pakamwa ponse, samaphwanyidwa kapena kutafuna. Mankhwalawa amatengedwa kamodzi patsiku, m'mawa, theka la ola musanadye kadzutsa.

Mu matenda a shuga a polyneuropathy, matenda a alpha-lipoic acid amapatsidwa mlingo wa 600 mg tsiku lililonse.

Kwa matenda a chiwindi, mlingo wa tsiku lililonse wa mankhwalawa kwa anthu akuluakulu umachokera ku 600 mg mpaka 1200 mg.

Zolemba zogwiritsira ntchito

Ethanol amachepetsa kwambiri chithandizo chamankhwala cha Berlition, motero, malinga ndi madotolo, kuti munthawi yamankhwala, kugwiritsa ntchito zakumwa zilizonse zokhala ndi zakumwa zoledzeretsa ndi mankhwala ziyenera kusiyidwa.

Akuluakulu, omwe amatsimikiziridwa pakugwiritsa ntchito Berlition ndi awa:

• neuropathy mu shuga mellitus a magawo osiyanasiyana ndi mafomu, mwachitsanzo, ndi mbali yapadera yam'malingaliro am'mmutu kapena yamagalimoto kapena gawo limodzi lamanjenje lamanjenje, lomwe limakhala loopsa chifukwa cha zovuta zake pakachitidwe kothandizira moyo,
• Kutha kwa polyneuropathy ku uchidakwa, chifukwa mankhwalawa ali ndi mphamvu ya antioxidant.

A shuga amapatsidwa odwala matenda ashuga kuti achepetse shuga.

Amapezeka mu mapiritsi otengedwa pakamwa. Amaperekedwa ku gulu la mankhwala antidiabetesic okhala ndi sulfonylurea.

Kuchepa kwa shuga m'magazi kumatheka chifukwa cholimbikitsa piritsi kuti ipange insulin ndikuyitulutsa.

Mapiritsi a Diabetes ndi mankhwala a m'badwo wachiwiri wopangidwa ndi gulu la sulfonylureas.

Mosiyana ndi anzawo, ili ndi zabwino zake:

• Zimathandizira kubwezeretsa nsonga zoyambirira, osati gawo lachiwiri lopanga insulin: kuchuluka kwa mahomoni a insulin m'magazi a odwala matenda ashuga kumawonjezeka kwakanthawi kochepa.
• Chifukwa cha izi, cholesterol imayenda bwino, kulemera kumachepa, kukula kwa atherosulinosis kumachepera.
• Diabetes imangoyambitsa masupuni a sulfonylurea okha omwe amapezeka pamaselo a beta a kapamba. Chifukwa cha izi, mapiritsiwa ali ndi zovuta zochepa.
• Chiwopsezo chochepa cha zovuta zamtima.

Pazabwino zake zonse, a Diabetes, ngati onse omwe amapezeka mu sulfonylurea, ali ndi zovuta zingapo. Ngakhale atakhala kuti ali ndi chiopsezo chocheperako, amakhalabe ndi chimodzi.

Ubwino ndi kuvulaza chiwindi

Phindu kapena kuvulaza kwa chiwindi cha mankhwala Berlition ndi chifukwa cha pharmacological zochita za thioctic (alpha-lipoic) acid:

• kuchuluka kwa kukhazikika kwa nembanemba yama cell a chiwindi (hepatocytes),
• kuthekera kubwezeretsa kuperekanso kwa intracellular glutathione - asidi yemwe amateteza khungu ku mankhwala osokoneza bongo wa poizoni ndikuwonetsa mawonekedwe a redox omwe ali mkati mwa chilengedwe,
• kupewa kuwonongeka kwa mitochondria ndi kuletsa mapangidwe a nitric oxide mu hepatocytes,
• kapangidwe ka molekyulu ya thioctic acid imaphatikizapo magulu awiri a thiol omwe amatha kumangiriza zinthu zoyipa za metabolic, zomwe ndizofunikira kuzilonda zam'mthupi,
• thioctic (lipoic) acid ilinso ndi katundu wogwiritsa ntchito, imapangitsa magazi kupita m'chiwindi, amachepetsa kufooka komanso zochitika za m'magazi a chiwindi.

Chithunzi: lingaliro la machitidwe a thioctic acid Ngakhale atakhala ndi phindu lochulukirapo, malangizo ogwiritsira ntchito kuchipatala amalimbikitsa Berlition kuphatikiza ndi gulu lina la hepatoprotectors - ma phospholipids ofunikira. Popeza phindu la mankhwala pa wina ndi mnzake limakulitsidwa, mphamvu yoteteza chiwindi imakulitsidwa bwino.

Berlition - malangizo, ma analogi, ndemanga, mtengo

Kuchokera pakuwunika kwa wodwala, titha kunena kuti mankhwalawa amalekeredwa bwino. Zotsatira zoyipa ndizosowa komanso zazing'ono.

Mtengo wa mankhwala m'magawo osiyanasiyana umakhala ndi matanthauzidwe osiyanasiyana ndipo umatengera mawonekedwe ake:

• Mapiritsi a 300 mg - ma ruble a 683-855,
• 300 mg ampoule - ma ruble 510-725,
• 600 mg ampoule - 810-976 rubles.

ads-pc-4Producer - kampani Berlin-Chemie AG (Germany).

• Berlition 600 mind, 5 ampoules - 800 ma ruble,
• Berlition 300 mindrate, yonyamula No. 5 - 720 rubles,
• mapiritsi, 300 mg a thioctic acid, kuchuluka - 30 zidutswa, mtengo - 750 rubles.

Ampoules amayenera kusungidwa m'malo amdima, osati pamalo achinyezi. Ads-mob-2

Mukatha kukonzekera, gwiritsani ntchito vutoli mutatha maola asanu ndi limodzi. Kusunga mankhwala, kukonzekera pakamwa kuyenera kusungidwanso mopanda kuyatsa phukusi losagwirizana. Dongosolo lotenthetsera kutentha kwambiri kuyambira 15 mpaka 30 madigiri.

Zotsatira zoyipa

• kagayidwe: kawirikawiri - kuchepa kwa glucose wamagazi (mpaka dziko la hypoglycemic, kuwonetsedwa ndi mutu, chizungulire, thukuta komanso kusawona bwino),
• hemostasis dongosolo: kawirikawiri - magazi ochulukirapo chifukwa cha kuwonongeka kwa mapiritsi
• dongosolo lamanjenje: kawirikawiri - kuwona kawiri m'maso, kuphwanya kapena kusintha kukoma, kupweteka,
• chitetezo chamthupi: kawirikawiri - urticaria, zotupa pakhungu, kuyabwa, milandu yokhayokha - anaphylactic mantha,
• zimachitika mdera (ndi makonzedwe a mtsempha): kawirikawiri - kuwotcha pamalowo jekeseni wa kulowetsedwa,
• Maganizo ena: kupuma movutikira komanso kuchuluka kwa mphamvu ya intracranial (iwonekere kwa kukhazikika kwa msana kwa Berlition 300 ndikuchitika mosazungulira).

Migwirizano ndi magwiritsidwe akusungidwa

Sungani ku kutentha kosaposa 25 ° C. Pewani kufikira ana.

Cholinga chogwiritsa ntchito kukonzekera njira yothetsera kulowetsedwa sikuyenera kukhala oundana ndikuwonekera kuwongolera.

Moyo wa alumali: mapiritsi okhala ndi filimu - zaka ziwiri, khalani okonzekera njira yothetsera kulowetsedwa - zaka zitatu.

Yankho lokonzalo lingathe kusungidwa kwa maola osapitilira 6 pamalo amdima.

Berlition (mapiritsi, ma ampoules, 300 ndi 600) - mtengo

Berlition imapangidwa ndi nkhawa ya mankhwala aku Germany Berlin-Chemie ndipo, motero, imatumizidwa kumayiko a CIS. Chifukwa chake, kusiyana pamitengo ya mankhwalawo m'masitolo amafotokozedwa ndi mtengo wa mayendedwe, kusinthasintha kwa ndalama ndi malire a malonda a network inayake yamankhwala. Popeza zonsezi sizikhudza mtundu wa mankhwalawo, palibe kusiyana pakati pa Berlition wogulitsidwa pamtengo wokwera mtengo komanso wotsika mtengo. Chifukwa chake, mutha kugula njira yotsika mtengo kwambiri.

Pakadali pano, m'misika yama Russia, mtengo wa Berlition ndi motere:

• Mapiritsi a Berlition 300 mg 30 zidutswa - 720 - 850 rubles,
• Berlition kuganizira 300 mg (12 ml) ma ampoules 5 - 510 - 721 ma ruble,
• Berlition kuganizira 600 mg (24 ml) 5 ampoules - 824 - 956 rubles.

Mlingo wa mankhwala

Choyamba, ziyenera kudziwika kuti kugwiritsa ntchito mankhwala mosaloledwa ndizoletsedwa. Mutha kungogula mankhwala molingana ndi mankhwala omwe adalembedwa ndi adokotala mutakambirana.

Dziko lopanga mankhwala a Berlition ndi Germany. Mankhwalawa amapezeka mu mawonekedwe a 24 ml ampoules kapena 300 ndi 600 mg mapiritsi.

Mapiritsi amatengedwa pakamwa, safunikira kutafunidwa. Mlingo woyambirira ndi 600 mg kamodzi patsiku, makamaka musanadye pamimba yopanda kanthu. Ngati wodwala yemwe ali ndi vuto la chiwindi akudwala matenda a chiwindi, amapatsidwa mankhwala kuchokera ku 600 mpaka 1200 mg wa mankhwalawo. Mankhwala akaperekedwa kudzera mu mawonekedwe a yankho, amayamba kuchepetsedwa ndi 0,9% sodium chloride. Malangizo angagwiritsidwe ntchito amatha kupezeka mwatsatanetsatane ndi malamulo omwe kholo limagwiritsa ntchito. Kumbukirani kuti njira ya mankhwalawa singathe kupitilira milungu inayi.

Mankhwala a Thioctacid amapangidwa ndi kampani yaku Sweden ya mankhwala a Meda Pharmaceuticals. Amapereka mankhwalawa m'njira ziwiri - mapiritsi a 600 mg ndi yankho la jakisoni mu ma ampoules a 24 ml.

Malangizowo akuwonetsa kuti mlingo woyenera ungatsimikizidwe kokha ndi katswiri wopezekapo. Mlingo woyambirira wapakati ndi 600 mg kapena 1 muloule wa yankho lomwe limayendetsedwa kudzera m'mitsempha. Woopsa milandu, 1200 mg imatha kutumikiridwa kapena ma ampoules awiri atayidwa. Poterepa, njira yochizira imachokera milungu iwiri mpaka inayi.

Ngati ndi kotheka, pambuyo panjira ya chithandizo, kupuma pamwezi kumachitika, kenako wodwalayo amasintha pakumwa pakamwa, momwe mlingo wa tsiku ndi tsiku ndi 600 mg.

Makhalidwe oyerekeza mankhwala

Ngakhale kuti mankhwalawa ali ndi alpha lipoic acid komanso amathandizanso chimodzimodzi, ali ndi zina zomwe zimasiyanitsa. Zitha kusintha zomwe adotolo komanso wodwala wake akuchita.

Pansipa mutha kudziwa zazinthu zazikulu zomwe zikukhudza kusankha kwa mankhwala:

1. Kukhalapo kwa zida zowonjezera. Popeza makonzedwewo ali ndi zinthu zosiyanasiyana, amatha kulekerera ndi odwala m'njira zosiyanasiyana. Kuti mudziwe kuti ndi mankhwala ati omwe alibe vuto lililonse, ndikofunikira kuyesa onse mankhwalawa.
2. Mtengo wamankhwala umathandizanso kwambiri.Mwachitsanzo, mtengo wamba wa mankhwala Berlition (5 ampoules 24 ml aliyense) ndi 856 ma ruble aku Russia, ndipo Thioctacid (5 ampoules 24 ml iliyonse) ndi ma ruble 1,559 aku Russia. Zowonekeratu kuti kusiyana ndikofunikira. Wodwala yemwe wapeza ndalama zochepa komanso zochepa amakhala ndi chidwi chofuna kusankha mankhwala otsika mtengo omwe amakhalanso ndi zotsatira zake.

Mwambiri, zitha kudziwika kuti mankhwalawa Thioctacid ndi Berlition ali ndi zotsatira zabwino pa thupi la munthu ndi matenda amtundu wa 1 komanso mtundu wa 2. Mankhwala onsewa amalowetsedwa kunja ndipo amapangidwa ndi makampani olemekezeka kwambiri azamankhwala.

Musaiwale za contraindication ndi zovuta zomwe zingawononge mankhwala. Musanawatenge, muyenera kukakamizidwa ndi dokotala.

Mukamasankha njira yabwino kwambiri, muyenera kuyang'ana pazinthu ziwiri - mtengo ndi kuyankha pazinthu zomwe zimapanga mankhwala.

Kugwiritsidwa ntchito moyenera, thioctacid ndi zipatso zingathandize kupewa kukula kwa matenda ashuga okha, komanso zovuta zina zoopsa za mtundu 2 komanso mtundu wa matenda a shuga 1 ogwirizana ndi ntchito ya chiwindi ndi ziwalo zina. Kanemayo munkhaniyi akukamba za zabwino za lipoic acid.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Mtundu 2 wa shuga: chithandizo

Matenda a 2 a shuga amapezeka 90-95% ya onse odwala matenda ashuga. Chifukwa chake, matendawa ndi ochulukirapo kuposa mtundu 1 wa shuga. Pafupifupi 80% ya odwala omwe ali ndi matenda a shuga 2 amalemera mopitirira muyeso, ndiye kuti, matupi awo amapitilira muyeso wa 20%. Komanso, kunenepa kwawo nthawi zambiri kumadziwika ndi kufalikira kwa minofu ya adipose pamimba ndi thupi lapamwamba. Chithunzicho chimakhala ngati apulo. Izi zimatchedwa kunenepa kwam'mimba.

Cholinga chachikulu cha webusayiti ya Diabetes-Med.Com ndikupereka njira yeniyeni komanso yothandiza ya matenda ashuga a 2. Amadziwika kuti kusala kudya komanso kulimbitsa thupi kwa maola angapo patsiku kumathandizira kuti adwale. Ngati mwakonzeka kutsatira regimen yolemetsa, ndiye kuti simudzafunika kubaya insulin. Ngakhale zili choncho, odwala safuna kufa ndi njala kapena "kugwira ntchito molimbika" m'makalasi ophunzirira zolimbitsa thupi, ngakhale kupweteka kwambiri chifukwa cha kuphedwa ndi matenda ashuga. Timapereka njira zothandiza kuti muchepetse shuga m'magazi kuti akhale abwinobwino komanso kuti akhale otsika. Amakhala odekha polemekeza odwala, koma nthawi yomweyo amakhala othandiza kwambiri.

Maphikidwe a chakudya chamafuta ochepa a shuga 2 amapezeka pano.

Pansipa m'nkhaniyi mupezapo mtundu wothandiza wa matenda a shuga a 2:

• wopanda njala
• wopanda zakudya zopatsa mphamvu zochepa, zopweteka kwambiri kuposa kufa kwathunthu ndi njala,
• osagwira ntchito molimbika.

Phunzirani kwa ife momwe mungayendetsere matenda a shuga a 2, kutsutsana ndi zovuta zake komanso nthawi yomweyo kumva kukhala kwathunthu. Simuyenera kuchita kukhala ndi njala. Ngati mukufuna jakisoni wa insulin, ndiye kuti phunzirani kuchita mosapweteketsa, ndipo mankhwalawo amakhala ochepa. Njira zathu zimalolera mu 90% ya milandu kuti ichiritse bwino matenda a shuga a 2 komanso popanda jakisoni wa insulin.

Mwambi wodziwika bwino: "aliyense ali ndi matenda ake a shuga," kutanthauza kuti kwa wodwala aliyense, zimachitika mwa njira yake. Chifukwa chake, pulogalamu yothandizira odwala matenda a shuga imatha kukhala payokha. Komabe, njira zambiri zochizira matenda amtundu wa 2 wafotokozedwa pansipa. Ndikulimbikitsidwa kuti muzigwiritsa ntchito ngati maziko omangira pulogalamu yapayekha.

Nkhaniyi ndikupitiliza nkhani ya "Type 1 kapena Type 2 shuga: Koyambira." Chonde werengani nkhani yoyamba, apo ayi mwina china chake sichingakhale chomveka pano. Ma nuances amathandizo amathandizira pansipa, pomwe matenda a shuga a 2 amadziwika bwino. Muyenera kuphunzira momwe mungapewere matenda oyambawa. Kwa odwala ambiri, malingaliro athu ndi mwayi wokana jakisoni wa insulin.Mtundu wachiwiri wa matenda ashuga, zakudya, masewera olimbitsa thupi, kumwa mapiritsi ndi / kapena insulin zimayamba kutsimikizidwa kwa wodwalayo, poganizira kukula kwa matenda ake. Kenako imasinthidwa nthawi zonse, kutengera zotsatira zomwe zapezedwa kale.

Momwe mungachitire bwino matenda a shuga a 2

Choyamba, phunzirani gawo la "Komwe mungayambire chithandizo cha matenda ashuga" mu nkhani ya "Type 1 kapena 2abetes: komwe mungayambire". Tsatirani mndandanda wa zochita zomwe zalembedwa pamenepo.

Njira yothandiza yothandizira matenda a shuga a 2 imakhala ndi magawo anayi:

• Gawo 1: Zakudya Zochepa za Zakudya Zamthupi
• Gawo lachiwiri: Zakudya zochepa zama carbohydrate kuphatikiza zochitika zolimbitsa thupi molingana ndi njira yochitira masewera olimbitsa thupi mosangalatsa.
• Gawo 3. Zakudya zochepa zama carbohydrate kuphatikiza masewera olimbitsa thupi komanso matenda a shuga omwe amalimbikitsa kumva kukoka kwa minofu.
• Gawo 4. Zovuta, zosasamalidwa. Chakudya chopatsa mphamvu zama thupi pang'ono komanso masewera olimbitsa thupi kuphatikizapo jakisoni wa insulin, limodzi ndi mapiritsi a shuga kapena opanda shuga.

Ngati zakudya zamagulu ochepa zimachepetsa shuga m'magazi, koma osakwanira, ndiye kuti, sizingatheke, ndiye kuti mbali yachiwiri ndi yolumikizidwa. Ngati chachiwiri sichilola kuti ngongole zonse za matenda ashuga zisinthidwe, ndiye kuti zimawonjezera mapiritsi atatu. Munthawi zovuta komanso zanyalanyaza, pamene wodwalayo ayamba kudwala kwambiri, amatenga gawo limodzi. Kuchuluka kwa insulini komwe kumafunikira kuti kubwezeretsenso shuga kwa magazi. Nthawi yomweyo, amapitiliza kudya zakudya zamafuta ochepa. Ngati munthu wodwala matenda ashuga akhazikika bwino pakudya ndi kuchita masewera olimbitsa thupi mosangalala, ndiye kuti nthawi zambiri mumafunikira insulini yaying'ono.

Chakudya chamafuta ochepa sichofunikira kwenikweni kwa odwala amtundu wa 2 omwe ali ndi matenda ashuga. Ngati mupitiliza kudya zakudya zomwe zimadzaza ndi chakudya, ndiye kuti palibe chomwe mungalote kuti muchepetse shuga. Choyambitsa matenda a shuga a 2 ndikuti thupi sililekerera zakudya zomwe mumadya. Zakudya zopatsa mphamvu zopatsa mphamvu zimachepetsa shuga m'magazi mwachangu komanso mwamphamvu. Komabe, kwa anthu ambiri odwala matenda ashuga, sikokwanira kungokhala ndi shuga wamagazi, monga mwa anthu athanzi. Pankhaniyi, tikulimbikitsidwa kuphatikiza chakudya ndi masewera olimbitsa thupi.

• Maphunziro akuthupi a matenda ashuga. Masewera olimbitsa thupi mosangalatsa
• Kuthamanga bwino, kusambira ndi zina zina zolimbitsa thupi
• Kulimbitsa thupi (kuphunzitsa zolimbitsa thupi) zamtundu 1 komanso matenda ashuga 2
• Momwe mungaphatikizire masewera olimbitsa thupi aerobic ndi anaerobic
• Kwa odwala matenda a shuga omwe ali ndi zovuta - zolimbitsa thupi ndi ma dumbbells opepuka

Ndi matenda 2 a shuga, ndikofunikira kuchita zochiritsira kuti muchepetse ziphuphu. Chifukwa cha izi, njira "yakuwotcha" m'maselo ake a beta imalepheretseka. Njira zonse zimapangidwira kusintha kwamtundu wa maselo kuti agwiritse ntchito insulin, i.e., kuchepetsa insulin. Matenda a shuga a Mtundu 2 amatha kuthandizidwa ndi jakisoni wa insulin pokhapokha ngati ali ovuta kwambiri, osapitirira 5-10% ya odwala. Izi zikufotokozedwa mwatsatanetsatane kumapeto kwa nkhaniyi.

Zoyenera kuchita:

• Werengani nkhani yakuti, “Insulin Resistance.” Ikufotokozanso momwe mungathane ndi vutoli.
• Onetsetsani kuti muli ndi mita ya glucose yolondola (momwe mungachitire izi), kenako kuyeza shuga la magazi anu kangapo tsiku lililonse.
• Yang'anirani kwambiri kuwongolera magazi anu mutatha kudya, komanso pamimba yopanda kanthu.
• Sinthani ku chakudya chochepa chamafuta. Idyani zakudya zovomerezeka zokha, pewani zakudya zoletsedwa.
• Chitani masewera olimbitsa thupi. Ndi bwino kuthamanga molingana ndi luso la kuthamanga kwambiri, makamaka kwa odwala omwe ali ndi matenda ashuga a 2. Kuchita masewera olimbitsa thupi ndikofunikira kwa inu.
• Ngati zakudya zamafuta ochepa osakanikirana ndi maphunziro akuthupi sizokwanira, ndiye kuti, mudakhalabe ndi shuga mutatha kudya, ndiye kuti muwonjezere mapiritsi a Siofor kapena Glucofage.
• Ngati zonse pamodzi - zakudya, masewera olimbitsa thupi ndi Siofor - sizithandiza kwenikweni, pokhapokha pokhapokha mutayenera kubaya insulini usiku komanso / kapena m'mawa pamimba yopanda kanthu. Pakadali pano, simungathe popanda dokotala. Chifukwa chiwembu cha insulin mankhwala ndi endocrinologist, osadziimira palokha.
• Mulimonsemo, kanizani zakudya zamafuta ochepa, ngakhale atanena chiyani adokotala, amene angakupatseni insulin. Werengani momwe mungapangire mankhwala othandizira odwala matenda a shuga. Ngati mukuwona kuti dokotala akukupatsani mankhwala a insulini “kuchokera padenga”, osayang'ana mbiri yanu ya kuchuluka kwa shuga, musagwiritse ntchito malingaliro ake, koma pitani ndi katswiri wina.

Kumbukirani kuti nthawi zambiri, insulin iyenera kuperekedwa kokha kwa odwala omwe ali ndi matenda amtundu wa 2 omwe ndi aulesi kwambiri kuti athe kuchita masewera olimbitsa thupi.

• Zakudya zochepa zopatsa mphamvu
• Zakudya zamafuta ochepa
• Jakisoni wa insulin
• Mapiritsi ochepetsa shuga

Zomwe simuyenera kuchita

Osatengera zochokera ku sulfonylurea. Onani ngati mapiritsi a shuga omwe mudapatsidwa ndi ochokera ku sulfonylurea. Kuti muchite izi, werengani malangizo mosamala, gawo "Zogwira ntchito". Ngati zili kuti mukumwa sulfonylureas, ziwitsani.

Chifukwa chomwe mankhwalawa ali ovuta akufotokozedwa apa. M'malo mozitenga, onetsani shuga m'magazi anu ndi chakudya chochepa chamafuta, zolimbitsa thupi, mapiritsi a Siofor kapena Glucofage, ndipo ngati ndi kotheka, insulini. Ma endocrinologists amakonda kupereka mapiritsi osakanikirana omwe amakhala ndi sulfonylureas + metformin. Sinthani kuchokera kwa iwo kukhala "pure" metformin, i.e.e. Siofor kapena Glucophage.

Zomwe simuyenera kuchita

Kodi muyenera kuchita chiyani

Osadalira kwambiri madokotala, ngakhale olipidwa, kuzipatala zakunjaMukhale ndi udindo pazamankhwala anu. Khalani pa zakudya zamafuta ochepa. Yang'anirani shuga yanu yamagazi mosamala. Ngati ndi kotheka, jekeseni insulin mu Mlingo wochepa, kuwonjezera pa zakudya. Chitani masewera olimbitsa thupi. Lowani nawo nkhani ya a Diabetes-Med.Com. Osamva ludzu, osachepetsa kudya kalori, osamva njalaIdyani zakudya zabwino komanso zopatsa thanzi zomwe zimaloledwa kudya zakudya zamagulu ochepa. ... koma osamadya kwambiri, ngakhale ndi zakudya zovomerezeka zamafuta ochepaLekani kudya mukadadya kale kapena zochepa, koma mumatha kudya Osachepetsa mafuta anuIdyani mazira, batala, nyama yamafuta modekha. Penyani cholesterol yanu yamagazi kuti ibwerere mwakale, kwa aliyense amene mumamudziwa. Nsomba zam'madzi zamchere ndizofunikira kwambiri. Osalowe m'malo omwe muli ndi njala ndipo mulibe chakudya choyeneraM'mawa, konzani komwe mudzadya ndi chiyani masana. Zonyamula zokhwasula-khosi - tchizi, nkhumba yophika, mazira owiritsa, mtedza. Osamwa mapiritsi owopsa - sulfonylureas ndi ma dongoWerengani nkhani yokhudza mankhwala a shuga mosamala. Mvetsetsani mapiritsi omwe ali ovuta komanso omwe alibe. Musayembekezere zozizwitsa kuchokera pamapiritsi a Siofor ndi GlucofageKukonzekera kwa Siofor ndi Glucofage kumachepetsa shuga ndi 0.5-1.0 mmol / l, osatinso. Sangabwezeretse jakisoni wa insulin. Osasunga pamiyeso ya mita ya glucosePangani shuga wanu tsiku lililonse katatu. Chongani mita kuti muone ngati ndi yolondola. Ngati zingakhale kuti chipangizocho chagona, chitayeni nthawi yomweyo kapena perekani kwa mdani wanu. Ngati mukukhala ndi zingwe zosakwana 70 pamwezi, zikutanthauza kuti mukuchita zolakwika. Musachedwe kuyamba kwa mankhwala a insulin ngati kuli kofunikiraMavuto a shuga amabwera ngakhale shuga atatha kudya kapena m'mawa pamimba yopanda kanthu ndi 6.0 mmol / L. Ndipo ngakhale zili choncho. Insulin idzakulitsa moyo wanu ndikuwongolera. Pangani abwenzi ndi iye! Phunzirani luso la jakisoni wopanda ululu komanso momwe mungawerengere kuchuluka kwa insulin. Musakhale aulesi kuti muchepetse matenda anu a shuga, ngakhale maulendo azamalonda, mopanikizika, ndi zina zambiri.Sungani zolemba zanu podziyang'anira, makamaka mwamagetsi, zabwino kwambiri pa Google Docs Sheets. Fotokozani tsiku, nthawi yomwe mudadya, shuga, magazi ndi kuchuluka kwa insulin, zomwe zinali zolimbitsa thupi, nkhawa, ndi zina zambiri.

Phunzirani mosamala nkhani ya “Momwe mungachepetse insulin. Zomwe zimathanso kudya komanso kudya pang'onopang'ono mafuta. ” Ngati mukuyenera kuwonjezera kuchuluka kwa insulin, ndiye kuti mukuchita zosayenera. Muyenera kuyimilira, kuganizira mozama ndikusintha china chake pazochita zanu zamankhwala.

Maphunziro akuthupi komanso mapiritsi ochepetsa shuga

Lingaliro lalikulu ndikusankha masewera olimbitsa thupi omwe amakusangalatsani. Mukachita izi, ndiye kuti muzichita masewera olimbitsa thupi pafupipafupi kuti musangalale. Ndipo kusintha shuga m'magazi ndi kukonza thanzi ndi "mavuto." Njira yotsika mtengo yokwanira yophunzirira zolimbitsa thupi ndi chisangalalo ndi thanzi labwino malinga ndi momwe buku la “Chi-run. Njira yosinthira - - mwachimwemwe, popanda kuvulala ndi kuzunzidwa. " Ndimalimbikitsa.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Pochiza matenda a shuga a 2, pali zozizwitsa ziwiri:

• Zakudya zamafuta ochepa
• Kuthamangira malinga ndi njira ya bukhu "Chi-jogging".

Tikukambirana za zakudya zotsika pang'ono zamagulu owonjezera mwatsatanetsatane apa. Pali zolemba zambiri pamutuwu patsamba lathu chifukwa ndi njira yayikulu yothanirana ndi matenda ashuga amtundu wa 2. Pankhani yothamanga, chozizwitsa ndikuti mutha kuthamanga kuti musazunzidwe, koma musangalale.Mukungoyenera kuphunzira momwe mungayendetsere bwino, ndipo bukuli lithandiza kwambiri. Pathamanga, "mahomoni achisangalalo" amapangidwa m'thupi, omwe amakhala ngati mankhwala osokoneza bongo. Kuthamangitsana malinga ndi njira ya Chi-jogu ndi koyenera ngakhale kwa anthu omwe ali ndi mavuto. Ndikofunika kusintha kuthamanga ndi makalasi pamatimu ochita masewera olimbitsa thupi. Ngati simukufuna kuthamanga, koma kusambira, tennis kapena cycling, ndipo mutha kulipirira - ku thanzi lanu. Kungokhala kuchitidwa pafupipafupi.

Ngati mwayesa kudya zakudya zamagulu ochepa monga momwe mwapangira ndikukhulupirira kuti zimathandizanso, yesaninso "Chi-run". Phatikizani zakudya zamagulu owonjezera komanso masewera olimbitsa thupi. Izi ndizokwanira kuti 90% ya odwala omwe ali ndi matenda ashuga a 2 achite popanda insulin ndi mapiritsi. Mutha kusungitsa kuchuluka kwa shuga m'magazi anu mwabwinobwino. Izi zikutanthawuza shuga mutatha kudya osaposa 5.3-6.0 mmol / L ndi hemoglobin wa glycated osapitirira 5.5%. Izi sizongopeka, koma cholinga chenicheni chomwe chitha kukwaniritsidwa m'miyezi yochepa.

Kuchita masewera olimbitsa thupi kumawonjezera chidwi cha maselo a thupi kupita ku insulin. Izi ndizofunikira kwambiri kwa odwala omwe ali ndi matenda ashuga a 2. Mapiritsi a Siofor kapena Glucofage (the yogwira mankhwala metformin) amagwiranso ntchito zimodzimodzi, koma nthawi zambiri amakhala ofooka. Mapiritsi awa nthawi zambiri amayenera kulembedwa kwa odwala matenda ashuga, omwe ndi aulesi kwambiri kuchita masewera olimbitsa thupi, ngakhale atakhala okopa bwanji. Timagwiritsanso ntchito metformin ngati njira yachitatu ngati chakudya chochepa chamafuta komanso kuchita masewera olimbitsa thupi sikokwanira. Uku ndikuyesa kwaposachedwa kwa mitundu yayikulu yodwala matenda a shuga 2 kuti mupereke insulin.

Pakufunika ma insulin

Matenda a 2 a shuga mu 90% ya milandu amatha kuwongoleredwa kwathunthu popanda jakisoni wa insulin. Zida ndi njira zomwe tatchulazi ndi zothandiza kwambiri. Komabe, ngati wodwala matenda ashuga "adayamba kukumbukira", ndiye kuti kapamba wake wavutika kale, ndipo insulin yakeyo sikupangidwa mokwanira. M'mikhalidwe yonyalanyazidwa, ngati simupaka insulin, shuga ya magazi imakwezedwa, ndipo zovuta za matenda ashuga zikungofika pakona.

Pochiza matenda a shuga a mtundu wachiwiri ndi insulin, pali mfundo zofunika zotsatirazi. Choyamba, insulin nthawi zambiri imayenera kukhala kutiikirira odwala omwe ali aulesi. Monga lamulo, chisankho ndi: insulin kapena maphunziro akuthupi. Apanso ndikukulimbikitsani kuti mupitenso kokasangalala. Kulimbitsa thupi mu masewera olimbitsa thupi kumathandizanso chifukwa kumawonjezera chidwi cha maselo kuti apange insulin. Ndi kuthekera kwakukulu, chifukwa cha maphunziro akuthupi, insulin ingathetsedwe. Ngati sizotheka kusiya jakisoni kwathunthu, ndiye kuti mlingo wa insulin udzachepa.

Kachiwiri, ngati munayamba kuchiza matenda a shuga a mtundu wanu 2 ndi insulin, sizitanthauza kuti tsopano mutha kusiya kudya. M'malo mwake, gwiritsitsani chakudya chamafuta ochepa kuti mudutse ndi ma insulin ochepa. Ngati mukufuna kuchepetsa Mlingo wa insulin pano - Chitani masewera olimbitsa thupi ndikuyesera kuonda. Kuti muchepetse kunenepa kwambiri, mungafunikire kuchepetsa kuchuluka kwa mapuloteni pazakudya zamagulu ochepa. Werengani zida zathu za momwe mungamwere jakisoni wa insulin mopweteka komanso momwe mungachepetsere shuga.

Chachitatu, odwala matenda a shuga a mtundu wachiwiri amalepheretsa kuyamba kwa mankhwala a insulin mpaka omaliza, ndipo izi ndizopusa kwambiri. Wodwala ngati mwadzidzidzi komanso atamwalira msanga chifukwa cha vuto la mtima, titha kunena kuti anali ndi mwayi. Chifukwa pali zosankha zoyipa:

• Mimbulu ndikuduladula miyendo,
• Khungu
• Imfa yolimbitsa mtima chifukwa cholephera aimpso.

Izi ndi zovuta za matenda ashuga zomwe mdani woipa kwambiri sangafune. Chifukwa chake, insulin ndi chida chabwino chomwe chimapulumutsa kuchokera kwa omwe mumadziwana nawo kwambiri. Ngati zikuwoneka kuti insulini singagawidwe, ndiye kuti yambani kubayitsa mwachangu, osataya nthawi.

• Chithandizo cha matenda a shuga ndi insulin: yambani apa. Mitundu ya insulin ndi malamulo ake kuti isungidwe.
• Insulin yamtundu wanji kuti mupeze jakisoni, munthawi yanji komanso mulingo uti. Njira za matenda ashuga amtundu 1 ndi matenda amitundu iwiri.
• Ma insulin, ma syringe zolembera ndi singano kwa iwo. Ndi ma syringe omwe ndi bwino kugwiritsa ntchito.
• Lantus ndi Levemir - omwe akukhala insulin. Sinthani shuga m'mawa pamimba yopanda kanthu
• Ultrashort insulin Humalog, NovoRapid ndi Apidra. Insulin yochepa yaumunthu
• Momwe mungapangire insulin kuti mupeze molondola Mlingo wotsika
• Chithandizo cha mwana wa matenda a shuga 1 amachepetsa insulin Humalog
• Pampu ya insulini: zabwino ndi zowopsa. Chithandizo cha insulin

Pakachitika khungu kapena kudula dzanja, munthu wodwala matenda ashuga nthawi zambiri amakhala ndi zaka zingapo zolemala. Munthawi imeneyi, akutha kuganiza mofatsa za momwe adalili pamene sanayambe jekeseni wa insulin pa nthawi ... Kuthandizira mtundu uwu wa matenda a shuga a mtundu 2 si "o, insulin, zodabwitsa bwanji", koma "phula, insulini!".

Lembani zolinga ziwiri za matenda ashuga

Tiyeni tiwone zochitika zingapo kuti tiwonetse momwe tingakwaniritsire chithandizo chenicheni. Chonde werengani nkhani yoti “Zolinga Zakuchiritsira Matenda a shuga”. Muli zofunikira. Malingaliro am'tsogolo pakukhazikitsira zolinga za matenda a shuga a 2 akufotokozedwa pansipa.

Tiyerekeze kuti tili ndi wodwala matenda a shuga a 2 omwe amakwanitsa kuthana ndi shuga ndimagawo ochepa a calcium komanso kuchita masewera olimbitsa thupi mosangalala. Amatha kuchita popanda matenda a shuga komanso mapiritsi a insulin. Wodwala matenda ashuga ayenera kuyesetsa kukhalabe ndi shuga m'magazi a 4.6 mmol / L ± 0,6 mmol / L isanachitike, pakudya kapena pambuyo pake. Adzatha kukwaniritsa izi pokonzekera pasadakhale chakudya. Ayenera kudya zakudya zamagulu ochepa, koma azindikira kuchuluka kwa chakudya chake. Muyenera kuphunzira momwe mungapangire menyu wazakudya zamafuta ochepa. Kutumiza kumayenera kukhala kokulirapo kuti munthu adzuke patebulo podzaza, koma osamwa mopitirira muyeso, ndipo nthawi yomweyo shuga wamagazi amasandulika kukhala wabwinobwino.

Zolinga zomwe muyenera kuyesetsa kuchita:

• Shuga pambuyo pa 1 ndi 2 maola chakudya chilichonse - osapitirira 5.2-5,5 mmol / l
• Mafuta a m'mawa m'mimba yopanda kanthu osaposa 5.2-5,5 mmol / l
• Glycated hemoglobin HbA1C - pansipa 5.5%. Zoyenera - pansipa 5.0% (anthu otsika kwambiri).
• Zowonetsera cholesterol "yoyipa" ndi triglycerides m'magazi ndizomwe zili bwinobwino. Cholesterol "Chabwino" chimatha kukhala chokwera kuposa zofanizira.
• Kupsinjika kwa magazi nthawi zonse osapitirira 130/85 mm RT. Art., Palibe mavuto oopsa (mungafunikenso kutenga zakudya zowonjezera matenda oopsa).
• Atherosermosis sikuti imayamba. Mkhalidwe wamitsempha yamagazi suwonjezereka, kuphatikiza m'miyendo.
• Zizindikiro zabwino zoyeserera magazi ku chiwopsezo cha mtima (C-reactive protein, fibrinogen, homocysteine, ferritin). Awa ndi mayeso ofunikira kwambiri kuposa cholesterol!
• Kutaya kwamaso kumayima.
• Kukumbukira sikuwonongeka, koma kumakhala bwino. Zochita zam'kati nazonso.
• Zizindikiro zonse za matenda ashuga a m'mimba zimatha kwathunthu patangopita miyezi yochepa. Kuphatikiza phazi la matenda ashuga. Neuropathy ndikusinthika kwathunthu.

Tiyerekeze kuti adayesa kudya zakudya zamafuta ochepa, ndipo monga chotulukapo chake, amakhala ndi shuga wamagazi atatha kudya ndi 5.4 - 5.9 mmol / L. The endocrinologist anganene kuti izi ndizabwino. Koma tinena kuti izi ndizopitilira izi. Kafukufuku wa 1999 adawonetsa kuti zoterezi zimapangitsa kuti chiwopsezo cha matenda a mtima chiwonjezeke ndi 40%, poyerekeza ndi anthu omwe shuga ya m'magazi itatha kudya sapitirira 5.2 mmol / L. Tikulimbikitsa wodwala wotere kuti azichita masewera olimbitsa thupi mosangalala kuti achepetse magazi ake ndi kuwafikitsa pamlingo wa anthu athanzi. Kugwira ntchito bwino kumakhala kothandiza kwambiri, ndipo kumathandizanso kudabwitsa shuga.

Ngati simungathe kukopa wodwala yemwe ali ndi matenda a shuga a 2 kuti achite masewera olimbitsa thupi, ndiye kuti apatsidwa mapiritsi a Siofor (metformin) kuphatikiza pa chakudya chamagulu ochepa. Mankhwala Glucophage yemweyo ndi Siofor yemweyo, koma osakhalitsa.Ndiwosavuta kuyambitsa zovuta - kutulutsa ndi kutsekula m'mimba. Dr. Bernstein amakhulupiriranso kuti Glucofage amachepetsa shuga nthawi yayitali 1.5 kuposa Siofor, ndipo izi zimapangitsa kuti mtengo wake ukhale wokwera.

Zaka zambiri za matenda ashuga: mlandu wovuta

Lingalirani za zovuta zina za matenda ashuga a mtundu wachiŵiri. Wodwalayo, wodwala matenda ashuga kwa nthawi yayitali, amatsatira kadyedwe kochepa kam'mimba, amatenga metformin, komanso amaphunzira masewera olimbitsa thupi. Koma shuga wake wamagazi atatha kudya amakhalabe wokwera. Zikatero, kuti muchepetse shuga m'magazi kuti akhale abwinobwino, muyenera kudziwa kaye pambuyo paphwando lomwe shuga ya magazi imakwera kwambiri. Pazomwezi, kuwongolera kwathunthu kwa shuga kumachitika sabata ziwiri zilizonse. Ndipo yeserani nthawi yomwe mumamwa mapiritsi, komanso yesani kusintha Siofor ndi Glucofage. Werengani apa momwe mungayang'anire shuga m'mawa pamimba yopanda kanthu ndikatha kudya. Mutha kuchita zomwezo ngati shuga wanu sakonda kudzuka m'mawa, koma nkhomaliro kapena madzulo. Ndipo pokhapokha ngati zonsezi zithandizira, ndiye kuti muyenera kuyamba kubayirira insulin 1 kapena 2 kawiri pa tsiku.

Tiyerekeze kuti wodwala yemwe ali ndi matenda a shuga a 2 amafunikirabe mankhwala a "insulin" omwe amakhala nthawi yayitali usiku komanso / kapena m'mawa. Ngati atsatira zakudya zamagulu ochepa, ndiye kuti adzafunika insulin yaying'ono. Pancreas imapitilizabe kupanga yake insulin, ngakhale siyokwanira. Koma ngati shuga m'magazi achuluka kwambiri, ndiye kuti zikondazo zimazimitsa kupanga insulin. Izi zikutanthauza kuti chiopsezo cha hypoglycemia chochepa, ndipo mutha kuyesa kutsitsa shuga wamagazi mpaka 4,6 mmol / L ± 0,6 mmol / L.

Nthawi zina zikuluzikulu zikakhala kuti “zatha”, odwala omwe ali ndi matenda a shuga a 2 samangofunikira jakisoni wa insulin "yomwe imakhalitsa", komanso jekeseni wa insulin "yayifupi" musanadye. Odwala oterowo ali ndi vuto lofanana ndi matenda a shuga 1. Njira yakuchizira matenda a shuga a 2 omwe ali ndi insulini amangoyikidwa ndi endocrinologist, musachite nokha. Ngakhale kuwerenga nkhani yoti "Njira za insulin."

Zomwe zimayambitsa matenda a shuga a insulin - palokha

Akatswiri amavomereza kuti chomwe chimayambitsa matenda a shuga 2 ndicho makamaka kukana kwa insulini - kuchepa kwa chidwi cha maselo kuti apange insulin. Kuwonongeka ndi kapamba wa kutulutsa mphamvu ya insulin kumachitika pokhapokha matendawa atadwala. Kumayambiriro kwa matenda a shuga a 2, kuchuluka kwa insulin kumazungulira m'magazi. Koma amachepetsa shuga m'magazi, chifukwa ma cell sazindikira kwambiri zomwe amachita. Kunenepa kwambiri akuti kumapangitsa insulin kukana. Ndipo mosinthanitsa - kulimba kwambiri kukana insulini, kuchuluka kwa insulini kumazungulira m'magazi ndipo minofu yamafuta imasonkhana mwachangu.

Kunenepa kwambiri pamimba ndi mtundu wapadera wa kunenepa kwambiri komwe mafuta amadziunjikira pamimba, m'thupi lam'mwambamwamba. Mwa munthu yemwe wakula kwambiri m'mimba, chiuno chake chimakhala chokulirapo kuposa m'chiuno mwake. Mzimayi yemwe ali ndi vuto lomwelo amakhala ndi chiuno cha 80% kapena kupitirira m'chiuno mwake. Kunenepa kwambiri pamimba kumayambitsa kukana kwa insulin, ndipo amalimbikitsana. Ngati kapamba sangathe kupanga insulin yokwanira kuti iwaniritse kufunika kwake, matenda a shuga a 2 amachitika. Ndi matenda 2 a shuga, insulin mthupi sikokwanira, koma m'malo mwake nthawi 2-3 kuposera apo. Vuto ndilakuti maselo samalabadira bwino. Kulimbikitsa kapamba kuti apange insulin yochulukirapo ndiye kuchiritsa kwakufa.

Ochuluka a anthu potengera kuchuluka kwa chakudya masiku ano komanso moyo wongokhala amakhala pang'onopang'ono chifukwa cha kunenepa kwambiri komanso kukana insulini. Mafuta akamaunjikana m'thupi, katundu pancreas amapitilira.Mapeto ake, maselo a beta sangathe kuthana ndi kupanga insulin yokwanira. Magazi a shuga m'magazi sakhala abwinobwino. Izi zimathandizanso kuti ma cell a beta azitsamba, aphedwe kwambiri. Umu ndi momwe mtundu wachiwiri wa shuga umakhalira.

Kusiyana pakati pa matendawa ndi matenda amtundu 1 shuga

Chithandizo cha matenda amtundu 1 komanso matenda amtundu wa 2 chikufanana m'njira zambiri, koma zilinso ndi kusiyana kwakukulu. Kuzindikira kusiyana kumeneku ndikofunikira kuti muwongolere bwino shuga yanu yamagazi. Matenda a 2 a shuga amakula pang'onopang'ono komanso modekha kuposa matenda amtundu 1. Mafuta a shuga a mtundu 2 a shuga sakonda kukwera mpaka ku cosmic. Komabe, popanda kulandira chithandizo mosamala, amakhalabe okwera, ndipo izi zimayambitsa kukula kwa zovuta za shuga zomwe zimayambitsa kulumala kapena kufa.

Kuchuluka kwa shuga m'magulu 2 a shuga kumayambitsa mitsempha yodutsa, kumawononga mitsempha yamtima, mtima, maso, impso ndi ziwalo zina. Popeza njirazi nthawi zambiri sizimayambitsa ziwonetsero, mtundu wa shuga wachiwiri umatchedwa "wakuphayo". Zizindikiro zoyipa zimatha kuchitika ngakhale zotupa zitasinthika - mwachitsanzo, kulephera kwa impso. Chifukwa chake, ndikofunikira kuti musakhale aulesi kutsatira njira komanso kutsatira njira zochizira, ngakhale ngati palibe chomwe chimapweteketsa. Ikadwala, imachedwa kwambiri.

Poyambirira, matenda a shuga a 2 ndi matenda oopsa kuposa matenda ashuga 1. Pafupifupi wodwalayo alibe choopseza "kusungunuka" kukhala shuga ndi madzi ndikufa movutikira milungu ingapo. Popeza palibe zizindikiro zoyipa poyamba, matendawa amatha kuperewera, pang'ono ndi pang'ono kuwononga thupi. Matenda a 2 a shuga ndiwo amachititsa kwambiri kulephera kwa impso, kudula miyendo, komanso khungu lonse padziko lonse. Zimathandizira kukulitsa matenda a mtima ndi stroko mwa odwala matenda ashuga. Mankhwalawa nthawi zambiri amakhala limodzi ndi matenda obwera ndi ukazi mwa amayi komanso kusabala kwa amuna, ngakhale izi ndizopusira poyerekeza ndi vuto la mtima kapena stroko.

Kutsutsana ndi insulin kuli m'mitundu yathu

Tonse ndife mbadwa za iwo omwe anapulumuka nthawi yayitali yanjala. Maselo omwe amawonetsa kunenepa kwambiri komanso kukana insulini ndi othandiza kwambiri ngati akusowa chakudya. Muyenera kulipira pa izi ndikukhala ndi chizolowezi chowonjezereka cha matenda ashuga 2 munthawi yabwino yomwe anthu akukhala nayo tsopano. Chakudya chamafuta ochepa nthawi zingapo amachepetsa chiopsezo cha matenda ashuga a 2, ndipo ngati ayamba kale, amachepetsa kukula kwake. Pofuna kupewa komanso kuchiza matenda a shuga a 2, ndibwino kuphatikiza chakudya ichi ndi maphunziro akuthupi.

Kukana kwa insulin kumachitika chifukwa cha majini, mwachitsanzo, chibadwidwe, koma osati iwo okha. Kuzindikira kwam'maselo kwa insulin kumachepa ngati mafuta ochulukirapo mwa mawonekedwe a triglycerides azungulira m'magazi. Wamphamvu, ngakhale osakhalitsa, kukana insulini mu labotale nyama kumachitika chifukwa cha kulowetsedwa kwa jekeseni a triglycerides. Kunenepa kwambiri pamimba ndi komwe kumayambitsa kutupa kosatha - njira ina yolimbikitsira kukana kwa insulin. Matenda opatsirana omwe amayambitsa njira zotupa amatengera momwemo.

Limagwirira a chitukuko cha matenda

Kutsutsa kwa insulin kumawonjezera kufunikira kwa insulin. Masewera okwanira a insulin m'magazi amatchedwa hyperinsulinemia. Zimafunika "kukankha" glucose m'maselo m'magulu a insulin. Kupereka hyperinsulinemia, kapamba amagwira ntchito ndi kupsinjika kwakukulu. Insulin yambiri m'magazi imakhala ndi zotsatirazi:

• kumawonjezera kuthamanga kwa magazi
• imawononga mitsempha yam'mimba kuchokera mkati,
• kumawonjezera kukana kwa insulin.

Hyperinsulinemia ndi insulin kukana amapanga bwalo loipa, kulimbikitsana. Zizindikiro zonse zomwe zatchulidwa pamwambapa zimatchedwa metabolic syndrome.Zimatenga zaka zingapo, mpaka ma cell a beta a kapamba "atha" chifukwa cha kuchuluka kwambiri. Pambuyo pa izi, shuga wowonjezera wamagazi amawonjezeredwa pazizindikiro za metabolic syndrome. Ndipo mwatha - mutha kuzindikira matenda ashuga amtundu wa 2. Mwachidziwikire, ndibwino kuti musabweretse matenda ashuga, koma kuyamba kupewa momwe mungathere, ngakhale pagawo la metabolic. Njira zabwino kwambiri zopewera izi ndi chakudya chamafuta ochepa, komanso maphunziro akuthupi osangalatsa.

Matenda a shuga a 2 amakula - mwachidule. Ma genetic amayambitsa + njira zotupa + triglycerides m'magazi - zonsezi zimayambitsa kukana kwa insulin. Nayo, imayambitsa hyperinsulinemia - kuchuluka kwa insulin m'magazi. Izi zimapangitsa kuwonjezera kuchuluka kwa minofu ya adipose pamimba ndi m'chiuno. Kunenepa kwambiri kwam'mimba kumawonjezera triglycerides m'magazi ndipo kumathandizira kutupa kosatha. Zonsezi zimachepetsa chidwi cha maselo ku insulin. Mapeto ake, maselo a pancreatic beta amasiya kuthana ndi kuchuluka kowonjezereka ndikufa. Mwamwayi, kusiya njira zoyipa zomwe zimayambitsa matenda a shuga a 2 sikovuta. Izi zitha kuchitika ndi chakudya chamafuta ochepa komanso kuchita masewera olimbitsa thupi mosangalala.

Chinthu chosangalatsa kwambiri chomwe tapulumutsa pamapeto. Zimapezeka kuti mafuta osasangalatsa omwe amayenderera m'magazi mu mawonekedwe a triglycerides si mtundu wamafuta omwe mumadya konse. Kuchulukitsa kwa triglycerides m'magazi sikuchitika chifukwa cha kudya mafuta azakudya, koma chifukwa chodya zakudya zam'mimba komanso kudzikundikira kwa minofu ya adipose mwanjira yokhudza kunenepa kwambiri pamimba. Kuti mumve zambiri, onani nkhani yakuti "Mapuloteni, Mafuta, ndi Zosakhazikika Zomwe Zili m'gulu la Zakudya za Matenda a shuga." M'maselo a adipose minofu, osati mafuta omwe timadya amadzisonkhanitsa, koma omwe thupi limatulutsa kuchokera kumankhwala azakudya mothandizidwa ndi insulin. Zakudya zachilengedwe zachilengedwe, kuphatikiza mafuta azinyama, ndizofunikira komanso zathanzi.

Type 2 matenda a insulin

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri omwe apezeka posachedwa, monga lamulo, akupitiliza kupanga awo a insulin ambiri. Kuphatikiza apo, ambiri a iwo amapanga insulin yochulukirapo kuposa anthu oonda opanda shuga! Kungoti thupi la odwala matenda ashuga salinso ndi insulin yokwanira chifukwa cha kukana kwambiri insulin. Chithandizo chofala kwa matenda amishuga amtundu 2 pamenepa ndikuwonjezera kapamba kuti apangitse insulini kwambiri. M'malo mwake, ndibwino kuchitapo kanthu kuti muwonjezere chidwi cha maselo kuti muchite insulin, i.e., kuti muthandizire kukana kwa insulin (momwe mungachitire izi).

Ngati atachira moyenera komanso moyenera, ndiye kuti odwala ambiri omwe ali ndi matenda a shuga a 2 adzabwezeretsa shuga awo mwachizolowezi popanda jakisoni wa insulin. Koma ngati singasiyidwe kapena kuthandizidwa ndi njira “zachikhalidwe” za abambo operekera zakudya m'thupi (zakudya zam'matumbo ambiri, mapiritsi a sulfonylurea), posachedwa maselo a pancreatic beta "adzathedwa" kwathunthu. Ndipo kenako jakisoni wa insulini adzakhala wofunikira kwambiri kuti wodwalayo apulumuke. Chifukwa chake, lembani matenda ashuga amtundu wa 2 amasintha bwino kukhala mtundu wamphamvu wa shuga. Werengani pansipa momwe mungadzichiritsire moyenera kuti mupewe izi.

Mayankho a Odwala Amafunsa Kawirikawiri

Chithandizo chachikulu cha matenda a shuga a 2 ndichakudya chamafuta ochepa. Ngati simutsatira, koma kudya zakudya zabwino zomwe zadzaza ndi mafuta owopsa, ndiye kuti palibe nzeru. Palibe mapiritsi kapena akutsikira, zitsamba, chiwembu, etc. zingathandize. Malingaliro anga, amabweretsa zabwino zenizeni. Koma amatha kusintha ndi mavitamini B-50 m'mapiritsi. Berlition ndi dontho la alpha lipoic acid. Amatha kuyesedwa ndi matenda a shuga, kuphatikiza pa chakudya chamagulu ochepa, koma osakhala m'malo mwawo.Werengani nkhani ya alpha lipoic acid. Actovegin ndi Montidol wogwira - sindikudziwa.

Diaglazide ndi mtundu wa sulfonylurea. Awa ndimapiritsi oyipa omwe amatha (atatha, "awotcha") kapamba wanu. Zotsatira zake, matenda anu amtundu wa 2 asintha kwambiri matenda ashuga 1. Kwa endocrinologist yemwe adalemba mapiritsi awa, titi moni, chingwe ndi sopo. M'mikhalidwe yanu, simungathe kuchita popanda insulini mwanjira iliyonse. Yambani kuzibaya mwachangu mpaka mavuto atasintha. Phunzirani ndikutsatira pulogalamu yothana ndi matenda a shuga 1. Letsaninso diformin. Tsoka ilo, mwapeza tsamba lathu litachedwa kwambiri, ndiye kuti mutha kubaya insulin mpaka kumapeto kwa moyo wanu. Ndipo ngati ndinu aulesi kwambiri, ndiye kuti patapita zaka zochepa mudzakhala olumala chifukwa cha zovuta za matenda ashuga.

Dokotala wanu akunena zoona - ichi ndi prediabetes. Komabe, zoterezi, kufalitsa mapiritsi ndizotheka komanso kosavuta. Pitani pa zakudya zamafuta ochepa pomwe mukuchepetsa thupi. Koma musakhale ndi njala. Werengani nkhani za metabolic syndrome, kukana insulini komanso momwe mungachepetse kunenepa. Moyenera, inu, komanso zakudya, mumachitanso masewera olimbitsa thupi mosangalala.

Zomwe mukufotokozera sizinenso kapena zabwinobwino, koma sizabwino. Chifukwa m'maminiti ndi maora pomwe shuga amayamba kukwera, zovuta za matenda ashuga zimayamba kukhazikika. Ziphuphu zimagwira kumapuloteni ndikusokoneza ntchito yawo. Ngati pansi amathiridwa ndi shuga, imakhala yolimba ndipo zimavuta kuyiyenda. Momwemonso, glucose wophika mapuloteni "amamatira". Ngakhale mutakhala kuti mulibe matenda ashuga, kulephera kwa impso kapena khungu, chiopsezo chodwala mwadzidzidzi mtima kapena matenda opha ziwalo adakali okwera kwambiri. Ngati mukufuna kukhala ndi moyo, ndiye kuti tsatirani pulogalamu yathu mosamalitsa matenda a shuga a 2, musakhale aulesi.

Simunalembe chinthu chachikulu. Shuga osapitirira 6.0 - pamimba yopanda kanthu kapena mutatha kudya? Kuthamanga shuga ndi zamkhutu. M shuga wokha mukatha kudya ndi wofunikira. Ngati mutha kuwongolera bwino shuga mutatha kudya ndi zakudya, ndiye pitirizani ntchito yabwino. Palibe mapiritsi kapena insulin. Zikadangokhala kuti wodwala sanachotsere "chakudya" chanjala. Ngati mudawonetsa shuga pamimba yopanda kanthu, ndipo mutatha kudya mumayesa kuwayeza, ndiye kuti uku ndikumangirira mutu wanu mumchenga, monga nthiwatiwa zimachitira. Ndipo zotsatirazo zidzakhala zoyenera.

Mukakhala pachakudya "chanjala", mwachepetsa katundu pancreas anu. Chifukwa cha izi, adachira pang'ono pang'ono ndipo adatha kupilira. Koma ngati mungabwerere pazakudya zopanda thanzi, ndiye kuti kuchotsedwa kwa matenda ashuga kutha posachedwa. Komanso, palibe maphunziro akuthupi omwe angakuthandizeni ngati mumadya mafuta ambiri. Matenda a shuga a Type 2 amatha kutha kuwongoleredwa osati ndi zakudya zochepa zama calori, koma ndi chakudya chamafuta ochepa. Ndikupangira kuti mupite ku icho.

Ndikotheka kuthana ndi matenda a shuga a 2 m'mbuyomu moyo wanga wonse ndikudya popanda mapiritsi ndi insulini. Koma pa izi muyenera kutsatira zakudya zamafuta ochepa, osakhala ndi calorie "yanjala", yomwe imalimbikitsidwa ndi mankhwala. Ndikamadya chakudya chamagulu, odwala ambiri amalephera. Zotsatira zake, kulemera kwawo kwamphamvu ndi kapamba "watentha". Pambuyo kulumpha kangapo, ndizosatheka popanda mapiritsi ndi insulin. Mosiyana ndi izi, zakudya zamagulu ochepa zimapatsa mtima, ndizokoma komanso zapamwamba. Anthu odwala matenda ashuga amasangalala, osagonjetsedwa, amakhala osakhala mapiritsi ndi insulini.

Ndinu ochepa thupi, palibe kulemera kowonjezera. Anthu ocheperako alibe mtundu 2 wa shuga! Matenda anu amatchedwa LADA, mtundu 1 wa shuga wofatsa. Shuga siwokwera kwambiri, koma wokwera kwambiri kuposa wabwinobwino. Siyani vuto ili osakumanapo. Yambirani chithandizo kuti zovuta pamiyendo, impso, mawonekedwe a maso asatukuke. Musalole kuti shuga iwononge zaka zagolide zomwe zikubwera.

Dokotala wanu samaphunzira za matenda ashuga, monga ambiri ogwira nawo ntchito.Anthu oterewa amathandizira LADA mwa odwala awo momwemonso mtundu wachiwiri wa shuga. Chifukwa cha izi, chaka chilichonse odwala masauzande ambiri amafa msanga. Maninil - mapiritsi owononga, ndipo kwa inu ali owopsa kangapo kuposa odwala omwe ali ndi matenda a shuga a 2. Werengani nkhani yatsatanetsatane, "Matenda a LADA: Diagnosis and Treatment Algorithm."

Kuti musakonde maswiti, ndikukulangizani kuti mutenge zowonjezera. Choyamba, chromium picolinate, monga tafotokozera apa. Ndipo pali chida changa chachinsinsi - ichi ndi L-glutamine ufa. Kugulitsidwa m'masitolo azakudya zamagulu. Ngati mungayitanitse kuchokera ku USA kudzera pa ulalo, zitha kukhala zotsika mtengo kamodzi ndi theka. Sungunulani supuni yothira ndi kapu ya madzi ndikumwa. Kusunthika kumadzuka msanga, chilakolako cha kususuka chimatha, ndipo zonsezi ndi zopanda vuto, ngakhale zothandiza thupi. Werengani zambiri za L-glutamine m'buku la Atkins "Supplements." Tengani pamene mukumva chikhumbo chachikulu cha "kuchimwa" kapena prophylactically, makapu awiri a yankho tsiku lililonse, mwamphamvu pamimba yopanda kanthu.

Amayi anu ali kale ndi matenda ashuga amtundu wa 2 ndipo ali ndi mtundu woyamba wa matenda ashuga. Yambani kubayila insulin nthawi yomweyo! Ndikukhulupirira kuti sinachedwe kupulumutsa mwendo kuti musadulidwe. Ngati amayi akufuna kukhala ndi moyo, muwaloleni aphunzire mtundu wa 1 wa chithandizo cha matenda ashuga ndikuwukhazikitsa. Kanani jakisoni wa insulin - osatota! Madokotala anu atawonetsa kuti alibe chidwi. Mutasintha shuga ndi jakisoni wa insulin, ndikofunikira kudandaula kwa olamulira akuluakulu. Patulani yomweyo ma glucovans.

Ndikukulangizani kuti musinthe mwachangu ku zakudya zamagulu ochepa ndikuwonetsetsa. Komanso muzilimbitsa thupi mosangalala. Pitilizani kumwa Diaformin, koma osayamba matenda a shuga. Chifukwa chiyani Diabetes imakhala yoyipa, werengani apa. Pokhapokha ngati masabata awiri atangokhala ndi chakudya chochepa thupi shuga wanu atatha kudya akhala pamwamba 7.0-7.5, ndiye kuti yambani kubayiranso insulin - Lantus kapena Levemir. Ndipo ngati izi sizokwanira, ndiye kuti mungafunenso jakisoni wa insulin mwachangu musanadye. Ngati muphatikiza zakudya zama carbohydrate otsika ndi maphunziro akuthupi ndikutsatira boma mwachangu, ndiye kuti mwina mungathe kuchita popanda insulini.

Miyezo yovomerezeka ya shuga ya odwala omwe ali ndi matenda ashuga ndi yokwanira kuchulukitsa 1.5 kuposa anthu athanzi. Izi ndiye chifukwa chake muli ndi nkhawa. Koma ife ku Diabetes-Med.Com tikuvomereza kuti odwala matenda ashuga onse amayesetsa kusunga shuga yawo chimodzimodzi ndi anthu omwe ali ndi chakudya chamafuta. Werengani zolinga za matenda ashuga. Zimangothandiza kwa inu. Mwanjira iyi, palibe chodandaula. Funso lina ndikuti mupitiliza nthawi yayitali bwanji? Mukutsatira boma lovuta kwambiri. Pewani matenda ashuga kudzera pa njala yoopsa. Ndikukhulupirira kuti posakhalitsa mungathe kugwa, ndipo "kubwerezanso" kudzakhala tsoka. Ngakhale ngati simukuswa, ndiye chotsatira nchiani? 1300-1400 kcal patsiku - izi ndizochepa kwambiri, sizikwaniritsa zosowa za thupi. Muyenera kuwonjezera kuchuluka kwa zopatsa mphamvu za tsiku ndi tsiku kapena mudzayambiranso kusala ndi njala. Ndipo ngati muwonjezera ma calorie chifukwa cha chakudya, ndiye kuti katundu pa zikondwererozi adzachuluka ndipo shuga adzakwera. Mwachidule, sinthani zakudya zamafuta ochepa. Onjezani zopatsa mphamvu za tsiku ndi tsiku kudzera mu mapuloteni komanso mafuta. Ndipo kupambana kwanu kudzatenga nthawi yayitali.

Kuwongolera kwa shuga m'magazi: Malangizo omaliza

Chifukwa chake, mumawerenga kuti ndi mtundu wothandiza wa mtundu wa 2 wa matenda a shuga omwe ali. Chida chachikulu ndichakudya chamafuta ochepa, komanso kuchita masewera olimbitsa thupi molingana ndi njira yophunzitsira thupi mwakusangalala. Ngati zakudya zoyenera ndi maphunziro olimbitsa thupi sizokwanira, ndiye kuwonjezera pa iwo, mankhwalawa amagwiritsidwa ntchito, ndipo ovulala kwambiri, jakisoni wa insulin.

• Momwe mungachepetse shuga m'magazi kuti azikhala ndi zakudya zochepa
• Mtundu wa 2 wa mankhwala a shuga. Mapiritsi othandizira komanso oopsa a shuga
• Momwe mungasangalalire ndi maphunziro akuthupi
• Chithandizo cha matenda a shuga omwe ali ndi jakisoni wa insulin: yambani apa

Timapereka njira zothandiza kuti tipewe kuthana ndi magazi, ngakhale ogwira ntchito. Amapereka mwayi wambiri kuti wodwala wodwala mtundu wa 2 azitsatira malangizowo. Komabe, kuti mupeze njira yabwino yothandizira matenda anu ashuga, muyenera kugwiritsa ntchito nthawi komanso kusintha kwambiri moyo wanu. Ndikufuna kupangira buku lomwe, ngakhale siligwirizana mwachindunji ndi chithandizo cha matenda ashuga, lidzakulimbikitsani. Ili ndiye buku "Wamng'ono chaka chilichonse."

Wolemba wake, Chris Crowley, ndi loya wakale yemwe, atapuma pantchito, adaphunzira kukhala momwe amakondera, kuphatikizanso, mu boma losunga ndalama mosamalitsa. Tsopano akuchita mwakhama maphunziro akuthupi, chifukwa ali ndi chilimbikitso pamoyo. Poyang'ana koyamba, ili ndi buku lonena za chifukwa chake ndikofunikira kuchita maphunziro akuthupi muukalamba kuti muchepetse ukalamba, komanso momwe mungachitire bwino. Chofunika kwambiri, amakambirana chifukwa chokhala ndi moyo wabwino komanso zabwino zomwe mungapeze. Bukuli lidakhala desktop kwa mazana masauzande aopuma ku America, ndipo wolemba - ngwazi yadziko. Kwa owerenga tsamba la Diabetes-Med.Com, "zambiri zamaganizidwe" m'bukuli ndizothandizanso kwambiri.

Odwala omwe ali ndi matenda a shuga a 2, oyambira, "amalumpha" m'magazi a magazi kuchokera kumtunda wotsika kwambiri amatha kuonedwa. Choyambitsa vutoli sichinatsimikizidwebe. Zakudya zamagulu ochepa zimapukusa bwino izi, zimapangitsa odwala kumva bwino. Komabe, nthawi ndi nthawi, shuga wamagazi amatha kutsika mpaka 3,3-3.8 mmol / L. Izi zimagwira ngakhale kwa odwala omwe ali ndi matenda a shuga a 2 omwe samathandizidwa ndi insulin.

Ngati shuga m'magazi apezeka kukhala 3.3-3.8 mmol / l, ndiye kuti si hypoglycemia yayikulu, koma imatha kuyambitsa kusasamala komanso kugunda kwamkwiyo. Chifukwa chake, tikulimbikitsidwa kuphunzira momwe mungamayimitse hypoglycemia, komanso kukhala ndi mapiritsi a glucometer ndi glucose nanu pankhaniyi. Werengani nkhani yakuti “Chitetezo Choyamba. Zomwe mukufunikira kuti mukhale ndi matenda ashuga kunyumba komanso nanu. "

Ngati muli okonzeka kuchita chilichonse ndi matenda ashuga a 2, ngati simukuyenera kukhala "pansi" pa insulin, ndichoncho! Tsatirani mosamala zakudya zamafuta ochepa kuti muchepetse kupanikizika ndi kupangitsa maselo anu a beta akhale amoyo. Phunzirani masewera olimbitsa thupi mosangalatsa, ndipo chitani. Chitani kuchuluka kwa magazi nthawi zonse. Ngati shuga yanu ikadalipobe pakudya chamafuta ochepa, muziyesa mapiritsi a Siofor ndi Glucofage.

Kuthamanga, kusambira, kuyendetsa njinga kapena mitundu ina yolimbitsa thupi - ndi kothandiza kwambiri maulendo khumi kuposa piritsi lililonse lotsitsa shuga. Nthawi zambiri, jakisoni wa insulini ndi wofunikira kwa odwala omwe ali ndi matenda amtundu wa 2 omwe ali aulesi kuchita masewera olimbitsa thupi. Kuchita masewera olimbitsa thupi ndikosangalatsa, ndipo jakisoni wa insulin ndi kusokonezeka kwakukulu. Chifukwa chake "dziganizireni nokha, sankhani nokha."

Njira yogwiritsira ntchito

Kwa zakumwa zoledzeretsa kapena matenda ashuga polyneuropathy: zipatso 300 (makapisozi) kapena zipatso-300 mkamwa - makapisozi 1 1 / s / pakamwa, zipatso 300 (makapisozi) - kapisozi 1 patsiku musanadye kadzutsa (chakudya choyamba) kwa mphindi 30. Mankhwalawa sayenera kutsukidwa ndi mkaka (wophatikizidwa ndi calcium, womwe umapezeka mumkaka).

Woopsa matendawa, kuphatikiza kwa zipatso mkati ndi mkati kumalowetsedwa masiku 7-14 (24 ml ya 1 r / s m'mawa, intravenous berlition 600 kapena 12-24 ml zipatso 300, madzulo mutenge kapisozi kapena piritsi ya zipatso 600 kapena 300).

Malinga kuti yatetezedwa ku kuwala, zipatsozo zingagwiritsidwe ntchito maola 6 mutaphatikizidwa. Mapeto a kulowetsedwa, amasinthana ndi piritsi lomwe limamwa mankhwalawo (kapena zipatso 300 kapena 600 makapisozi). Kutalika kwa mankhwala osachepera miyezi iwiri. Ngati ndi kotheka, bwerezani maphunziro atatha miyezi 6.

Berlition 300 ndi yoyenera jakisoni wa mu mnofu: voliyumu ya jekeseni sayenera kupitirira 2 ml, gawo la jakisoni la IM likusintha mosalekeza. Kutalika kwa mankhwalawa ndi masabata 2-4. Kukonzekera kwa mnofu kumathandizidwa ndi kuphatikizika kwa kuphatikizika kwa mankhwala mkati mwa mankhwala osokoneza bongo 300 pamlomo wam'mapiritsi a 1-2 patsiku kwa miyezi 1-2.

Ndi matenda a chiwindi, zipatso za 600-1200 zimagwiritsidwa ntchito patsiku, zomwe zimatengera kuzunzika kwa matendawa komanso kuchuluka kwa kafukufuku wa zasayansi pantchito ya chiwindi.

Kuphatikizana kwa kuwonda: ndemanga

Mankhwala a Hepatoprotective "Berlition" nthawi zambiri amagwiritsidwa ntchito pakuchepetsa thupi, ngakhale izi siziri cholinga chake chachikulu. Chipangizocho chili ndi kuyeretsa komanso kutulutsa mphamvu, komabe, madokotala amakumbutsa kuti sizoyenera kugwiritsa ntchito mankhwala osokoneza bongo. Amaperekedwa m'mitundu iwiri: mwanjira ya mapiritsi ndi yankho la jakisoni.

Zimawonjezera kukana kwa maselo amthupi ku zinthu zoyipa ndi zinthu zoopsa. Koma ambiri amatenga Berlition pofuna kukonza zolemetsa ndipo, osamvetseka bwino, amayankha bwino za izi, zomwe zikuwonetsa kubwezeretsa komanso kupatsa mphamvu.

Umboni wa Burliton

Madokotala amapereka mankhwala oterewa ndi cholesterol yambiri. Ndizoyenera kupewa atherosulinosis ndikuyeretsa chiwindi bwino. Katundu wamphamvu wolowetsa zinthu m'thupi amaloleza kugwiritsa ntchito poizoni. Imakonza kagayidwe kazakudya, imathandizira kubwezeretsa magwiridwe amkati ndi ziwalo zamatenda a shuga, imateteza motsutsana ndi zochita za ufulu wazowopsa.

Berlition si mankhwala ochizira chiwindi ndi kuyeretsa thupi. Imakhala ndi phindu pa kagayidwe, imalepheretsa kukalamba msanga komanso kuvala kwa thupi. Kuchepetsa mphamvu - choonjezera china, chomwe chimatchedwa bonasi pazinthu zonse zofunikira.

Ubwino Wofunika

Mphamvu yovuta komanso chiwopsezo chochepa cha zotsatira zoyipa zimatilola kugwiritsa ntchito chitukuko kuti tifulumizire kukonza mafuta. Inde, Berlition iyenera kuyang'aniridwa, chifukwa imatsuka thupi pang'ono, kubwezeretsa chiwindi, komanso kufalitsa matenda a metabolism.

Komabe, kuthandizira kwakukulu kumadalira momwe kugwiritsa ntchito kwadongosolo. Nthawi zina kugwiritsa ntchito sikungosafunikira kokha, komanso koopsa, popeza omwe amachepetsa thupi ayenera kudziwa, omwe amagula katundu, ngakhale oletsedwa ndi madokotala.

Kukula kumakhala ndi maubwino angapo osaneneka omwe amachititsa kuti athe kufunikira zovuta zamafuta kwambiri pakatikati pa kufooka kwa chiwindi kapena atherosulinosis yomwe ikupita patsogolo. Ochepa contraindication amakulitsa zochiritsika zimatha Berlition. Zina mwa zabwino zake:

ntchito ya hypoglycemic - imagwiritsidwa ntchito popewa zovuta za matenda ashuga. Ndi chithandizo chake ndikotheka kuyang'anira kuchuluka kwa shuga ndikuwongolera kulemera kwa thupi, antioxidant zotsatira - kumalepheretsa kufa kwa maselo asanachitike komanso kuchepa kwa maselo. Imawononga ma radicals aulere komanso imateteza thupi kuti lisakalambe, kubwezeretsa - limakhudza machitidwe onse amkati mwa munthu. Amathandizira kubwezeretsa maselo a chiwindi ndikuwateteza ku mavuto omwe amabwera chifukwa cha mowa, mankhwala opha tizilombo ndi mankhwala, kutsitsa kwa lipid - amalimbana ndi mafuta ochulukirapo, kuphatikiza cholesterol "yoyipa", yochepetsedwa yomwe imachepetsa.

Mndandanda wa zotsutsana ndiwofatsa. Muyenera kukana kumwa mankhwalawa panthawi yapakati, muubwana, ndi mkaka wa m`mawere ndi hypersensitivity. Mukamagwiritsa ntchito moyenera, mwayi wazotsatira zoyipa ndizochepa.

Mfundo zoyeserera

Zomwe zimagwira ndi alpha lipoic acid (thioctic, vitamini N). Mwa zina zowonjezera:

povidone, lactose, magnesium stearate, microcrystalline cellulose, silicon dioxide, croscarmellose sodium.

Chidwi ndi zomwe anthu omwe akucheperako amayamba chifukwa cha mphamvu ya antioxidant komanso kuwotcha kwamafuta a vitamini N. Thupi limasintha kagayidwe kazinthu zamagetsi, limathandizira kagayidwe kazinthu, limalepheretsa kuwonongeka kwa maselo, limathandizira kuwotchera mafuta, limapangitsa kagayidwe kazakudya, komanso limapangitsa matenda amanjenje.

Mapiritsiwa amatsekemera shuga m'magawo, kuti asasanduke mafuta. Zakudya zamafuta osavuta zimasinthika kukhala mphamvu, ndipo sizisungidwa m'malo ovuta. Pakadali pano, kuchepetsa thupi ndi "Berlition" imodzi sikophweka. Ndikofunikira kukumbukira za zakudya zabwino komanso mtundu woyenera wa tsikulo. Chida chithandizanso kuchepetsa kunenepa, koma ntchito yayikulu ndikukhazikitsa chakudya chokwanira komanso kuwonjezera ntchito zamagalimoto.

Mankhwala amatha kuwonjezera kukhudzidwa kwa maselo kupita ku insulin, komwe kumapangitsa kutsika kwa shuga. Maselo amadwala pang'ono ndi hypoxia komanso kuwonongeka. Ntchito ya zotumphukira zamanjenje imabwezeretseka, kupatsa thanzi ndi kugwira ntchito kwa maselo kumakhala bwino. Zisonyezo zogwiritsira ntchito zikuphatikiza:

matenda a chiwindi, kuledzera kosatha, mawonetseredwe a atherosselotic, matenda ashuga ndi mowa.

Pomwepo ndi kulemera kwambiri kwa thupi, mapiritsi kapena jakisoni sinafotokozedwe. Chipangizocho chitha kulimbikitsidwa pakukayikakayika chifukwa cha kunenepa kwambiri komanso matenda ena omwe amabwera chifukwa cha kuchepa kwa mphamvu. Ngakhale atapangana mwapang'onopang'ono, madokotala salimbikitsa kumwa mapiritsi mosafunikira. Musanayambe chithandizo, muyenera kufunsa katswiri.

Momwe angatenge

Mankhwala okha amangogwiritsidwa ntchito pochiza komanso kupewa neuropathy. Nthawi zina, chithandizo chovuta chimafunikira. Ngakhale tikulankhula za zovuta za metabolic ndi kuchuluka msanga, muyenera kupereka mankhwala, kuyeretsa thupi ndi zinthu zina zomwe zikufuna kubwezeretsa kagayidwe. Kenako "Berlition" ndikulimbikitsidwa ngati chofunikira. Pofuna kuchepetsa kulemera, ndi piritsi lokha lomwe limagwiritsidwa ntchito.

Kuchepetsa thupi musagwiritse ntchito kwa nthawi yayitali. Kwa milungu 2-4, ndikotheka kukakamiza njira za metabolic, zomwe zimakupatsani mwayi woyambitsa mafuta oyaka mwachilengedwe. Ntchito zazikuluzikulu zochepetsera thupi ziyenera kukhalabe zolimbitsa thupi, kudya moyenera ndi mankhwala a vitamini.

Panthawi yamankhwala, zakumwa zomwe zimakhala ndi mowa ziyenera kuthetsedweratu kuti musagwiritse ntchito. Pogwiritsa ntchito nthawi yomweyo mankhwala osokoneza bongo ndi mowa, moyo wamaopseza angayambitse. Mankhwalawa amatha kusokoneza chidwi ndi chidwi, zomwe zimayenera kudziwika kwa iwo omwe amagwira ntchito m'makampani owopsa kapena kuyendetsa galimoto.

Pankhani ya bongo, mawonetsedwe otsatirawa ndi otheka:

acidosis, kusokonezeka kwamanjenje, chikomokere mu ubongo, kupweteka, kusazindikira bwino.

Poizoni wowopsa, m'mimba mumatuluka mankhwala am'mimba ndipo ma sorbyts ndi omwe amapatsidwa. Vitamini N sagwiritsidwa ntchito ndi mankhwala okhala ndi zitsulo. "Berlition" imawonjezera zovuta zamapangidwe okhala ndi calcium, chitsulo ndi kukonzekera kwa magnesium. Sitikulimbikitsidwa kudya zinthu zochuluka kwambiri zomwe zimakhala ndi zinthu izi nthawi ya mankhwala.

Pochiza matenda a matenda ashuga, muyeso wa mankhwala a hypoglycemic uyenera kuyang'aniridwa, kugwiritsa ntchito bwino kwake komwe kumachulukitsidwa nthawi zambiri limodzi ndi Berlition. Pazakuwonongeka, kukoka, mavuto am'mimba, chizungulire, komanso thupi lawo siligwirizana, siyani kumwa nthawi yomweyo.

Berlition ndichotengera zina zamankhwala monga Tiolepta, Thioctacid, Lipamide ndi ena. Mwa ena odziwika bwino ndi Gastrikumel, Orfadin.

Ndemanga za Mankhwala

Ena kuchepetsa thupi kumazindikira kuyenera kwa chitukuko. Kwa ena, thioctic acid ndi njira yowonjezera yodziwika ndi zakudya za tsiku ndi tsiku.Koma madokotala amalimbikitsa kuti musapitirire muyeso ndipo musagwiritse ntchito konse popanda chofunikira.

"Zimatenga makilogalamu atatu pamwezi, kuphatikiza thupi lonse"

Vitamini N ndizomwe ndapeza zomwe ndidapanga zaka 7 zapitazo. Kuyambira nthawi imeneyo ndakhala ndikucheza ndi mankhwala ozunguza bongo. Tsopano ndimamwa "Berlition". Sindikufunika kugula mavitamini, chifukwa maphunzirowa atatha kuphunzira ndimamva kusintha kwa magwiridwe antchito, kuwonjezereka kwa chisangalalo, kuphulika kwa mphamvu. Patatha mwezi umodzi ndinakwanitsa kutsika 3 kg, koma sindinali wofunitsitsa kuonda.

Mwambiri, kulemera kwanga kuli pamwambo wapamwamba kwambiri, ndiye sindiyenera kuda nkhawa. Koma, mulimonsemo, mfundo yoti ndidakwanitsa kuchepetsa makilogalamu atatu ndikulemera kwakukulu. Ndimamwa nthawi ndi nthawi kuti ndikhale ndi zotsatirapo ndikuchita bwino. Chochita chimakhudza chiwindi komanso chimakongoletsa kugaya.

"Amabwezeretsa, kuchiritsa, ochepa"

Zogulitsa zamtundu wanji sizipereka mgwirizano ndi kukonzanso. Onsewa amatenga ndalama zochulukirapo, ndipo zotsatira zake ndi zamtundu waung'ono. Kuphatikizana ndi kupatula. Ndiotsika mtengo, imagwira ntchito bwino. Sizotheka kuwerengetsa zenizeni nthawi yomweyo, koma ndizosatheka kudziwa zomwe zimapereka.

Pakatha pafupifupi milungu iwiri, mumayamba kumva kupepuka, kutopa kwanyengo kumatha, mumakhala ndi chidwi chogwira ntchito, kuchita zina, kusewera masewera, kumapeto. Amadzikonzanso bwino, ndipo sizovuta kuzindikira. Kuchepetsa kulemera ndi izo kwenikweni. Osati mwachangu, koma chokhazikika, ndipo koposa zonse, zotsatira zake zimapulumutsidwa.

Kwa miyezi iwiri yogwiritsira ntchito, adataya 5 kg. Musanatenge, adakambirana ndi dokotala. Anachenjezanso kuti pakati pa maphunziro omwe muyenera kupuma, simungathe kupatsa thupi asidi nthawi zonse, apo ayi ndizowonjezera.

“Njira Yotsika Pang'onopang'ono Yophatikiza Matenda”

Dotolo adalimbikitsa Berlition kwa ine ndi shuga komanso kunenepa kwambiri. Zowona mosamalitsa mogwirizana ndi malangizo. Sindinazindikire mavuto aliwonse, koma adotolo adandiuza momwe thupi lingayankhire ngati tigwiritsa ntchito zinthu zomwe zili ndi chitsulo kapena mowa.

Njira ya chithandizo inali masabata anayi. Munthawi imeneyi, zinali zotheka kuchepetsa shuga ndikuchotsa makilogalamu 4 a mafuta. Tsopano ndimatsata zakudya zama carb otsika, ndipo zotulukapo zake zikugwira. Chipangizocho chikugwira ntchito mosiyana komanso mtengo wotsika mtengo.