Momwe mungagwiritsire ntchito Maninil 5?

Maninil 5 ndi mankhwala a hypoglycemic omwe amagwiritsidwa ntchito pochiza matenda ashuga.

Dzinalo Losayenerana

Glibenclamide.

Maninil 5 ndi mankhwala a hypoglycemic omwe amagwiritsidwa ntchito pochiza matenda ashuga.

ATX

A10VB01 - Glibenclamide.

Kutulutsa mafomu ndi kapangidwe kake

Flat, mapiritsi a cylindrical mu chipolopolo. Mtundu wa chipolopolo ndi pinki. Chofunikira chachikulu ndi glibenclamide, chomwe chimaperekedwa pakukonzedwa mwa mawonekedwe. Kuphatikizikako kunathandizidwa ndi talc, gelatin, lactose monohydrate, wowuma wa mbatata, utoto waku magnesium, utoto wofiirira.

Zotsatira za pharmacological

Glibenclamide imachepetsa kukula kwa maselo a beta ndi shuga, omwe amalowa m'thupi ndi chakudya, mwakutero amalimbikitsa kapamba kuti apange insulin yokwanira.

Mankhwalawa amakulitsa chidwi cha insulin, ndikufulumizitsa kumangiriza kwa timadzi tambiri kuti tipeze ma cell. Amayambitsa kuthamangitsidwa kwamatulutsa a insulin. Iwo linalake ndipo tikulephera ntchito ya lipolysis mu adipose zimakhala.

Pharmacokinetics

Achire zotsatira zimatha tsiku, mankhwalawa amayamba kuchita 1.5-2 mawola ntchito. Zigawozi zimayamwa mwachangu komanso mokwanira m'thupi. Kuzindikira kwakukulu m'magazi kumadziwika pambuyo pa maola 2-2,5. Chiwerengero cha zomangira kumapuloteni amwazi ndi 98%.

Chofunikira chachikulu cha mankhwalawa chimachitika mu metabolism m'chiwindi, chifukwa awiri omwe amapanga metabolites amapangika. Chimodzi mwa izo chimapukusidwa ndi mkodzo, inayo ndi ndulu.

Kutha kwa theka-moyo kumatenga maola 7, ndipo kwa anthu odwala magazi kumatenga nthawi yayitali.

Zizindikiro zogwiritsidwa ntchito

Amawerengera mankhwalawa mtundu wachiwiri wa insulin wodwala matenda a shuga. Kumwa mankhwala ndikofunikira pakakhala kuti sikutheka kusintha kwamagulu a shuga ndi zakudya komanso zolimbitsa thupi. Mankhwalawa matenda a shuga, mankhwalawa adapangidwa kuti aphatikizidwe ndi mankhwala ena othandizira ena, kuphatikiza ma glinides ndi sulfonylureas.

Mankhwala ndi ntchito mankhwala a mtundu 2 insulin amadalira shuga.

Contraindication

Kulandila kwa othandizira a hypoglycemic sikutheka muzochitika zotere:

• Mtundu 1 wa shuga;
• precoma, chikomokere;
• kuwonongeka kagayidwe kachakudya matenda;
• kuchira pambuyo kuchotsa chithokomiro;
• chakudya kagayidwe kake kamene kamayambitsa matenda opatsirana;
• gastric paresis;
• leukopenia;
• kuphwanya njira ya mayamwidwe chakudya;
• hypoglycemia.

Ndi koletsedwa konse kutenga pamaso pa tsankho la munthu pazigawo za mankhwala.

Ndi chisamaliro

Zoyenderana ndi izi:

• malungo;
• matenda a chithokomiro;
• pituitary hypofunction;
• kumwa mowa kwambiri komanso pafupipafupi, mitundu yonse ya zovuta zakumwa zoledzera.

Kulandiridwa kwa wothandizila wa hypoglycemic sikutheka pankhani ya pituitary hypofunction.

Chithandizo cha hypoglycemic wothandizila sichingatheke chifukwa cha hypoglycemia.

Kulandiratu kwa wothandizirana ndi hypoglycemic sikutheka chifukwa cha mavuto.

Kulandila kwa othandizira a hypoglycemic sikutheka chifukwa cha chikomokere.

Kulandila kwa wothandizila wa hypoglycemic sikutheka chifukwa cha zovuta zowonongeka za metabolic.

Kulandila kwa othandizira a hypoglycemic sikutheka kuchitika kwa leukopenia.

Kulandiridwa kwa wothandizira wa hypoglycemic sikutheka chifukwa cha vuto la chithokomiro.

Milandu imeneyi, mankhwalawa amangolembera zisonyezo zapadera, pamene othandizira ena a hypoglycemic sangapereke chithandizo choyenera. Mosamala kwambiri, mankhwalawa amaperekedwa kwa anthu azaka zopitilira 65. Okalamba odwala, pali mwayi waukulu wa hypoglycemia.

Momwe mungatenge Maninil 5?

Njira ya mankhwalawa imayamba ndi mulingo wochepera kapena wapakati, womwe uyenera kuwonjezeka pang'onopang'ono. Mlingo woyambirira ndi 2.5 mg kapena 5 mg (theka kapena piritsi lonse), imwani nthawi imodzi patsiku. Mlingo umadzuka sabata limodzi mpaka ubweretsedwe pazovomerezeka.

Ngati dokotala atakulemberani mapiritsi awiri, ayenera kumwedwa nthawi imodzi. Ngati ndi kotheka, tengani mapiritsi atatu kapena angapo patsiku, mlingo uyenera kugawidwa m'magawo angapo malingana ndi chiwembu - ambiri mwa mankhwala m'mawa, ocheperako madzulo.

Ndi matenda ashuga

Popanda zovuta za matenda a shuga a 2, tsiku ndi tsiku ndi 2,5 mg. Njira yayikulu ya matendawa ndi 15 mg / tsiku. Mapiritsi aledzera 1 nthawi. Ngati mulingo wa 15 mg wolembedwa, umagawidwa pawiri Mlingo wa 2 patsiku. Mapiritsiwo aledzera kwathunthu osafuna kutafuna.

Mankhwalawa amatengedwa mphindi 30 chakudya chisanafike.

Mankhwalawa amatengedwa mphindi 30 chakudya chisanafike. Ngati mphamvu zoyeserera zakugwiritsidwa ntchito ndi hypoglycemic wothandizila palibe kwa miyezi 1-1,5, mankhwalawo ayenera kuikidwa m'malo mwake.

Zotsatira zoyipa za Maninil 5

Nthawi zambiri pamakhala maonekedwe a disuffiram - kumva mseru, kupweteka kwam'mimba, kutsegula m'mimba, kupweteka mutu, kutentha thupi. Pafupipafupi: kuchepa kowoneka bwino, kuwonongeka kwa chiwindi.

Matumbo

Kusanza, kusanza nthawi zambiri, kumva kupweteka m'mimba komanso kulemera mkati mwake. Ululu pamimba, kugona pafupipafupi, kutsegula m'mimba, kulawa kwachitsulo pamkamwa. Kukhalapo kwa Symbomatology sikutanthauza kuti mankhwala athetse.

Hematopoietic ziwalo

Chizindikiro chosowa chammbali: thrombocytopenia, pancytopenia. Milandu yosowa kwambiri: leukopenia, agranulocytosis, erythropenia, hemolytic anemia.

Pakati mantha dongosolo

Mutu ndi chizungulire, kusowa tulo, kukhumudwa. Kukula kwa magalimoto oyamba ndi kupindika kosakhudzika, kupanga magwiridwe osagwirizana, kuwongolera, kukokana kwa minofu, komanso kuchepa kwa kudziletsa.

Kuchokera kumbali ya kagayidwe

Kumangokhala ndi njala, kugona komanso kutopa, thukuta kwambiri, kusokonekera kwa kayendedwe, kusokonezeka kwa mawu, matenda a parresis, ziwalo, kufooka msanga.

Kuchokera ku chitetezo chamthupi

Si kawirikawiri: kuyabwa kwa khungu, mawonekedwe a urticaria. Osowa kwambiri: fever, jaundice, kukula kwa anaphylactic mantha, mawonekedwe a vasculitis, arthralgia.

Zotsatira zoyipa za mankhwalawa zitha kukhala kusowa tulo.

Zotsatira zoyipa za mankhwalawa zimatha kukhala zotupa pakhungu.

Zotsatira zoyipa za mankhwalawa zimatha kukhala kumamva za njala.

Zotsatira zoyipa za mankhwalawa zimatha kutsekula m'mimba.

Zotsatira zoyipa za mankhwala zimatha kupweteka.

Zotsatira zoyipa za mankhwalawa zingakhale ndi nseru.

Zotsatira zoyipa za mankhwalawa zimatha kukhala jaundice.

Matupi omaliza

Thupi, zotupa pakhungu, vasculitis ya thupi lawo siligwirizana.

Zokhudza mphamvu pakuwongolera njira

Zimayambitsa zovuta zakanthawi kuchokera ku NS, zimatha kutsitsa kuchepa kwa ndende ndikuchepetsa mayendedwe. Poganizira zoopsa zomwe zingachitike, tikulimbikitsidwa kukana kuyendetsa magalimoto ndikugwira ntchito ndi njira zovuta nthawi yothandizira.

Malangizo apadera

Kudziletsa kwakanthawi kudya zakudya, kusowa kwa chakudya m'thupi, kuchita masewera olimbitsa thupi kwambiri kungapangitse kukula kwa hypoglycemia. Kuphwanya kwa zizindikiro za hypoglycemia kumawonedwa pakumwa mankhwalawa omwe ali ndi mphamvu yamkati.

Kukana kwamlomo makonzedwe a Maninil 5 ndikusintha kwa insulin kumafunika pambuyo pa opaleshoni, pamaso pa zilonda zamkhungu zambiri, mabala, kuwotcha, matenda opatsirana, limodzi ndi boma lofooka.

Gwiritsani ntchito mu ukalamba

Kusamalidwa kwapadera kuyenera kumwedwa komanso mlingo womwe umasankhidwa chifukwa choopsa kwambiri cha hypoglycemia.

Kusankhidwa kwa Maninila ana 5

Maphunziro azachipatala mu ana adale sanachitidwe. Poganizira zoopsa zomwe zingachitike, mankhwalawa saikidwa mpaka zaka 18.

Kumwa mankhwalawa panthawi ya mkaka wa m'mawere kumapangidwa chifukwa cha chiwopsezo chomwe chimapangitsa kuti pakhale zovuta komanso zovuta.

Kumwa mankhwalawa panthawi yoyembekezera kumatsutsana chifukwa choopsa kwambiri yomwe ingachitike chifukwa cha zovuta zomwe zimachitika.

Ngati aimpso ntchito, mankhwalawa ndi mankhwala osachepera yokonza mlingo.

Poganizira zoopsa zomwe zingachitike, mankhwalawa saikidwa mpaka zaka 18.

Ngati chiwindi ntchito, mankhwala ochepetsa mphamvu ya mankhwala amaloledwa.

Gwiritsani ntchito panthawi yoyembekezera komanso mkaka wa m`mawere

Contraindra chifukwa cha chiopsezo chokulirapo kosafunikira komanso zovuta.

The ntchito aimpso kuwonongeka

Mlingo wocheperako wokonzedwa umayikidwa.

Gwiritsani ntchito ntchito yolakwika ya chiwindi

Mlingo wocheperako wovomerezeka umaloledwa.

Mankhwala osokoneza bongo a Maninil 5

Kugwiritsa ntchito kamodzi kamodzi kwa mankhwalawa kumayambitsa kuonekera kwa zizindikiro zazikulu za hypoglycemia, matenda amitsempha, kupatsirana kwa kuzindikira. Kuledzera kwambiri kumapangitsa kulephera kudziletsa, hypoglycemic coma.

Mankhwala osokoneza bongo - kudya mwachangu zakudya kapena madzi, chidutswa cha shuga woyengedwa. Ngati wodwala ataya chikumbumtima - mtsempha wa magazi a shuga. Mukamwa kuledzera kwambiri, pamafunika chisamaliro chachikulu.

Kuchita ndi mankhwala ena

Kugwiritsa ntchito limodzi ndi ACE zoletsa, ma anabolics, mankhwala ochokera ku coumarin, zotumphukira zamagetsi kumawonjezera kuchiritsa kwamphamvu kwa wothandizira wa hypoglycemic.

Kulera, mankhwala a mahomoni, barbiturates amachepetsa mphamvu ya hypoglycemic.

Imagwirizana ndi Acarbose, insulin, Metformin.

Kuyenderana ndi mowa

Kumwa mowa sikuchotsedwa. Ethanol onse amatsitsa ndikuwonjezera mphamvu ya mankhwalawa.

Analogi

Mankhwala okhala ndi vutoli monga ofanana: Gliclada, Glian, Glimax, Glimed, Reklid, Perinel.

Mndandanda wa mankhwala Glyclava.

Analogue ya mankhwala Glimax.

Analogue ya mankhwala Glianov.

Analogue ya mankhwala Reklid.

Kupita kwina mankhwala

Kodi ndingagule popanda kulandira mankhwala?

Kugulitsa mankhwala.

Mtengo wa Maninil 5

Mtengo umayambira ku ma ruble 120. pa botolo kapena phukusi lokhala ndi matuza okhala ndi mapiritsi 120.

Zosungidwa zamankhwala

Kutentha kwanyumba.

Tsiku lotha ntchito

Zaka zitatu

Wopanga

Berlin-Chemie AG, Germany.

Ndemanga pa Maninil 5

Madokotala

Svetlana, wazaka 50, Moscow, endocrinologist: "Mankhwala achilendo awa pamtengo wotsika mtengo ndi chida chabwino kwambiri chothandizira othandizira odwala matenda a shuga 2. Sikuti zimayambitsa ziwonetsero zoipa, koma zikagwiritsidwa ntchito, kudya ndi kuchita zolimbitsa thupi ndizofunikira."

Sergey, wazaka 41, wodwala matenda a endocrinologist, Odessa: "Mankhwala okhala ndi vuto limodzi ndi amodzi mwa mankhwala abwino kwambiri m'gulu lachipatalachi. Sichosokoneza, amathandizika odwala ndipo amatha kugwiritsidwa ntchito ngati prophylaxis pakukhululuka."

Anthu odwala matenda ashuga

Ksenia, wazaka 52, Barnaul: "Mapiritsi a Maninil adathandizira msanga. Shuga itayamba kuchuluka msanga, mankhwalawo adachepetsa kuchuluka kwa glucose kawiri kawiri panthawi yochepa. Sikuti ndizotsatira zoyipa."

Gennady, wazaka 42, Minsk: "Kwa nthawi yayitali ndimafunafuna mankhwala omwe amathandizira kuchepetsa shuga. Ndinakwanitsa kupeza mapiritsi awa.Agwira ntchito bwino.Chinthu chachikulu ndikuwamwa mosamala kuti pasakhale hypoglycemia. Zotsatira zoyipa, ndimangokhala ndi mutu komanso kufooka pang'ono. "

Marianna, wazaka 32, Irkutsk: "Zizindikiro za shuga zinagwera kawiri patatha masiku angapo atagwiritsa ntchito Maninil 5. Thanzi lambiri lidayambanso kuyenda bwino. Ndimatenga mankhwalawa ndikamapuma, ndiye ndimapuma.