Kugwiritsa ntchito mankhwala Maninil ndi Diabeteson kumathetsadi hyperglycemia, yomwe imayamba chifukwa cha kupitirira kwa matenda ashuga a mtundu 2. Mankhwala onse awiriwa ali ndi zabwino komanso zoyipa. Posankha mankhwala, dokotala amatenga zifukwa zambiri: kukula kwa matendawo, zomwe zimayambitsa maonekedwe ake, machitidwe a thupi.
Maninil akutani?
Maninil ndi othandizira odwala matenda ashuga omwe chophatikiza chake chachikulu ndi glibenclamide.
Maninil ndi othandizira odwala matenda ashuga omwe chophatikiza chake chachikulu ndi glibenclamide.
Mulinso:
- lactose monohydrate;
- gelatin;
- talc;
- magnesium wakuba;
- wowuma mbatata;
- utoto.
Fomu yotulutsayo ndi mapiritsi osalala, omwe kuchuluka kwa zidutswa 120 ali m'mabotolo amtundu wamagalasi osakhala ndi maonekedwe omwe amaikidwa mukatoni.
Zotsatira zamankhwala pathupi ndikuti maselo a beta amathandizira kupanga insulin. Izi zimachitika m'maselo a kapamba munthu atatha kudya, zomwe zimapangitsa kuti magazi a glycemia m'magazi amatsika. The achire zotsatira kumatenga tsiku. Mankhwalawa amamwetsa mwachangu komanso pafupifupi mpaka kumapeto. Yake kwambiri ndende pambuyo ntchito zimatheka pambuyo maola 2.5.
Gawo lalikulu limatha kumangiriza kwathunthu mapuloteni a plasma. Kagayidwe kachakudya komwe kamagwira ntchito kamapezeka m'maselo a chiwindi, ndikupanga 2 metabolites osagwira. Kuchotsa kwina kumachitika ndi bile, ndipo chachiwiri ndi mkodzo.
Maninil akuwonetsedwa ngati matenda ashuga amtundu wa 2. Kuphatikiza apo, mankhwalawa amatha kugwiritsidwa ntchito nthawi imodzi ndi othandizira ena odwala matenda a shuga, kuwonjezera pa sulfonylureas ndi ironides.
Maninil akuwonetsedwa ngati matenda ashuga amtundu wa 2.
Contraindication ndi motere:
- mtundu 1 shuga;
- matumbo kutsekeka, paresis m'mimba;
- kwambiri aimpso ndi kwa chiwindi kusakwanira;
- atachitidwa opaleshoni yochotsa kapamba;
- matenda ashuga ketoacidosis;
- matenda a shuga ndi chikomokere;
- leukopenia;
- kusowa kwa shuga-6-phosphate dehydrogenase;
- kuwonongeka kwa kagayidwe kachakudya kagayidwe kachakudya, kupweteka, matenda opatsirana kapena pambuyo pa opaleshoni ndi mankhwala a insulin;
- zaka mpaka 18;
- mimba ndi mkaka wa m`mawere;
- tsankho limodzi ndi zigawo zikuluzikulu za mankhwala.
Manilin ayenera kugwiritsidwa ntchito mosamala odwala omwe ali ndi vuto loledzera la mowa, matenda a febrile, uchidakwa wambiri, matenda a chithokomiro omwe ali ndi vuto la kuwonongeka, Hyperfunction ya anterior pituitary kapena adrenal cortex, odwala kuposa zaka 70.
Kumwa mankhwala akhoza limodzi ndi chitukuko cha mavuto kuchokera:
- kupukusa m'mimba: kusanza, kusanza, kulemera m'mimba, kutsekula m'mimba, kutsekemera kwazitsulo mkamwa, kupweteka kwam'mimba;
- hematopoietic: thrombocytopenia, leukopenia, erythropenia, agranulocytosis, pancytopenia, hemolytic anemia;
- chitetezo: urticaria, kuyabwa, phenura, petechiae, kuchuluka kwa khungu, thupi lawo siligwirizana, lomwe limatsagana ndi proteinuria, jaundice, malungo, zotupa pakhungu, arthralgia, ziwengo vasculitis, anaphylactic mantha;
- kagayidwe: hypoglycemia, yomwe imawonetsedwa ndi kunjenjemera, njala, kugona, tachycardia, hyperthermia, kupweteka mutu, kuda nkhawa, kusokonezeka kwa kayendedwe, chinyezi cha khungu, mantha;
- chiwindi ndi biliary thirakiti: chiwindi, intrahepatic cholestasis.
Kuphatikiza apo, mutamwa mankhwalawa, kutsegula m'maso kumatha kutseguka, kukomoka kumawonjezera, kufupika kwa proteinuria, hyponatremia imatha. Pogwiritsa ntchito Maninil, muyenera kutsatira malangizo a dokotala, kuona kadyedwe komanso kuwongolera kuchuluka kwa shuga m'magazi.
Wopanga mankhwalawa ndi Berlin-Chemie AG, Germany.
Analogs of Maninil:
- Glibenclamide.
- Glibamide.
- Glidanil.
Mbali ya Diabetes
Diabeteson ndi chosinthika chotsitsa cha hypoglycemic. Gawo lalikulu ndi gliclazide. Kuphatikizikako kukuphatikizaponso: calcium hydrogen phosphate dihydrate, hypromellose, maltodextrin, magnesium stearate. Amapezeka mu mawonekedwe a mapiritsi oval biconvex ndi makapisozi.
Mankhwalawa amapangidwira odwala matenda ashuga a mtundu wachiwiri wa shuga. Chifukwa cha kugwiritsidwa ntchito kwakepi, ntchito ya beta cell ya kapamba imakulitsidwa, yomwe imakulitsa kupanga insulin.
Diabetes amakhala ndi phindu pa kuvomerezeka kwa makoma amitsempha yamagazi, kukonza kapena kusintha momwe alili.
Zomwe zimagwiritsa ntchito mankhwalawa zimachepetsa kuchuluka kwa cholesterol m'magazi, zomwe zimachepetsa chiopsezo chokhala ndi atherosulinosis ndi micothrombosis. Njira ya kukoka magazi m'magazi imapangidwa modabwitsa ndipo chitukuko cha matenda ashuga nephropathy chimaletsedwa. Mankhwalawa amachotseredwa limodzi ndi mkodzo.
Zokhudza thupi la mankhwalawa ndi motere:
- amatero shuga;
- amachepetsa thupi;
- amaletsa mapangidwe a magazi;
- kubwezeretsa kupanga insulin.
Diabeteson ndi chosinthika chotsitsa cha hypoglycemic. Gawo lalikulu ndi gliclazide.
Zizindikiro zogwiritsa ntchito Diabeteson ndi motere:
- mtundu 2 shuga;
- zolinga za prophylactic ngati muli ndi vuto lozungulira.
Mankhwalawa amagwiritsidwa ntchito limodzi ndi othandizira ena othandizira odwala matenda ashuga.
Kuphwanya kwakukulu:
- mtundu 1 shuga;
- kugwiritsidwa ntchito palimodzi ndi Danazol, Phenylbutazone kapena Miconazole;
- kwambiri aimpso kapena kwa chiwindi kulephera;
- matenda a shuga ndi chikomokere;
- matenda ashuga ketoacidosis;
- mimba ndi mkaka wa m`mawere;
- zaka mpaka 18;
- tsankho limodzi ndi glucose, galactose, lactose, komanso zigawo zikuluzikulu za mankhwala.
Contraindative zokhudzana ndi izi:
- uchidakwa;
- hypothyroidism;
- pituitary kapena adrenal insuffence;
- matenda oopsa a mtima;
- ukalamba;
- chiwindi kapena kulephera kwa impso;
- chithandizo cha nthawi yayitali ndi glucocorticosteroids;
- shuga-6-phosphate dehydrogenase akusowa.
Mavuto ndi monga kukula kwa hypoglycemia. Zizindikiro zake zimaphatikizapo kupweteka mutu, nseru, kukwiya, kuchepa kwa chidwi, kuchuluka kwa kutopa, kusanza, kupuma mosachedwa, chisokonezo, kulephera kudziletsa, kupsinjika, kuyamwa pang'onopang'ono.
Kuphatikiza apo, wina angazindikire kusakwiya, chizungulire, kudziona ngati wopanda thandizo, aphasia, kusawona bwino komanso kulankhula, bradycardia, kukokana, kufooka, kusazindikira, komwe kumatha kukhala limodzi ndi kukula kwa chikomokere.
Zotsatira zoyipa zimaphatikizapo kusintha kwa adrenergic: arrhythmia, angina pectoris, kuthamanga kwa magazi, nkhawa, tachycardia, kuchuluka thukuta.
Njira yogaya chakudya imatha kusokonezeka ndipo kusanza, kusanza, kupweteka m'mimba, kutsegula m'mimba, komanso kudzimbidwa kumatha kuchitika. Matenda a hematological amawonedwa kuchokera ku ziwalo za hemopoietic ndi dongosolo la lymphatic: kuchepa kwa magazi, granulocytopenia, thrombocytopenia, leukopenia. Kuyenda, ming'oma, zidzolo, zotulutsa zamphongo, zotupa za maculopapular, edema ya Quincke, erythema ndizotheka. Ziwalo zooneka bwino zimatha kusokonezeka pang'ono.
Wopanga Diabeteson ndi Servier, France. Matchulidwe ake ndi monga: Glimepiride, Glibiab, Gliklazid-Akos, Glibenclamide, Glycvidon, Maninil.
Kuyerekeza kwa Maninil ndi Diabetes
Mankhwalawa onse ali ndi zofanana, koma pali kusiyana pakati pawo.
Kufanana
Maninil ndi Diabeteson amalowa bwino komanso amachepetsa shuga m'magazi. Amalandira mtundu wachiwiri wa matenda ashuga, onse amatsutsana mu mtundu woyamba. Amakhala ndi zotsatira zofanana zofanana komanso zotsutsana. Amamasulidwa popanda kutsatira dokotala.
Kodi pali kusiyana kotani?
Maninil amatsutsana ndi anthu onenepa kwambiri, monga kumabweretsa kuwonjezeka kwa misa. Mankhwalawa ali ndi opanga osiyanasiyana ndi mawonekedwe ake.
Zomwe zimakhala zotsika mtengo
Mtengo wapakati wa Maninil ndi ma ruble 131, ndipo Diabeteson ndi 281 rubles.
Zomwe zili bwino - Maninil kapena Diabeteson
Kusankha zomwe zili bwino - Maninil kapena Diabeteson, dokotalayo amawunika momwe munthu alili m'thupi la wodwalayo atatha kumuunika ndi kutsimikiza kuchuluka kwa shuga m'magazi. Zimatengera zotsatira za mayeso, matenda omwe alipo ndi contraindication.
Ndi matenda ashuga
Ndi matenda otere, madokotala nthawi zambiri amamulembera Diabeteson, yemwe amadya matendawa ndipo amachepetsa chiopsezo cha matenda a shuga chifukwa cha kuchepa kwa mitsempha. Izi zimakuthandizani kuti muwonjezere moyo wa wodwalayo ndikuwongolera mtundu wake.
Maninil amatsutsana ndi anthu onenepa kwambiri, monga kumabweretsa kuwonjezeka kwa misa.
Ndemanga za Odwala
Dmitry, wazaka 59, Volgograd: "Ndakhala ndikudwala matenda ashuga kwa nthawi yayitali. Kwa nthawi yayitali sindimatha kuchepetsa shuga, ngakhale ndimadya mosamalitsa. Dokotala wopita kuchipatala adamuuza Maninil, chifukwa cha shuga omwe adatsika kuchoka pa 17 mpaka 7 mu miyezi 2. Ndikuganiza. Izi ndi zotsatira zabwino. "
Irina, wazaka 65, ku Moscow: "Ndakhala ndikudwala matenda a shuga kwa zaka zingapo, ndipo mankhwala ambiri sanathandize. Posachedwa, adotolo adamuuza Maninil. Poyamba ndinatenga piritsi limodzi, koma kenaka limasinthidwa kukhala awiri, chifukwa ndimasuntha pang'ono ndipo gawo limodzi silikhala ndi shuga. sizinachitike, ngakhale ndimawopa. "
Igor, wazaka 49, Ryazan: "Ndinadwala matenda ashuga zaka 3 zapitazo. Ndinayamba kutsatira zakudya zowonjezera, kumwa Metformin ndi Galvus. Koma kuchuluka kwanga kwa glucose sikunachepe." , Vitatu. "
Ndemanga za madotolo za Maninil ndi Diabeteson
Olga, endocrinologist, ku Moscow: "Ndimapereka mankhwala osokoneza bongo kwa odwala omwe ali ndi matenda ashuga pamodzi ndi zakudya zomwe zimachepetsa shuga. Ndimasankha mlingo umodzi wa mankhwalawo kuti mupewe kukula."
Maria, endocrinologist, Kemerovo: "Nthawi zambiri ndimapereka mankhwala a shuga kwa odwala matenda ashuga. Amatsika shuga kwambiri m'magazi. Palibe chiopsezo chotenga hypoglycemia, kotero chitha kugwiritsidwa ntchito ndi odwala omwe ali ndi matenda a mtima."
