Mankhwalawa amaperekedwa kwa odwala omwe ali ndi matenda a shuga a 2. Ndi kugwiritsa ntchito pafupipafupi, mankhwalawa amalepheretsa kukula kwamavuto, amachotsa arrhasmia ndikuchepetsa kumamatira kwa mapulateni.
Dzinalo Losayenerana
Glibenclamide
Maninil amalembedwa kwa odwala omwe ali ndi matenda a shuga a 2.
ATX
A10VB01
Kutulutsa mafomu ndi kapangidwe kake
Wopanga amapanga mankhwalawo ngati mapiritsi amkamwa, mawonekedwe amiyala ya pinki. Piritsi limodzi limakhala ndi 3,5 mg ya glibenclamide mu mawonekedwe opanga. Zophatikizika: lactose, wowuma, magnesium stearate, silicon dioxide.
Zotsatira za pharmacological
Chithandizo chogwira chimalepheretsa potaziyamu wa cell wa pancreatic beta. Chidacho chimayambitsa kupanga ndi kulowa kwa insulin m'magazi. Zotsatira zake, pali kuchepa kwa kuchuluka kwa shuga m'magazi.
Pharmacokinetics
Glibenclamide imatengedwa kuchokera m'matumbo am'mimba. Mankhwalawa amalowetsedwa kwathunthu m'magazi atatha kugwiritsa ntchito. Pambuyo maola 1.5-2, kugundidwa kwazinthu zofunikira m'magazi kumafika pazofunikira zake. Pakupita masiku awiri, metabolites yogwira imachotsedwa kwathunthu kuchokera mthupi kudzera mu genitourinary system. Odwala omwe amachepetsa chiwindi, nthawi yomwe imatengedwa kuti agulitse mankhwala a metabolite ndi yayitali.
Maninil amapezeka amtundu wa mapiritsi olimbitsa pakamwa, mawonekedwe osalala a mtundu wapinki. Piritsi limodzi limakhala ndi 3,5 mg ya glibenclamide mu mawonekedwe opanga.
Zizindikiro zogwiritsidwa ntchito
Mapiritsi amalembedwa kwa odwala omwe ali ndi matenda a shuga a 2.
Zoyipa:
Kugwiritsira ntchito kumatsutsana mu matenda ndi zinthu zotsatirazi:
- tsankho limodzi ndi zigawo zikuluzikulu za mankhwala;
- khalani mu mkhalidwe wa hyperglycemic ndi matenda a shuga;
- pambuyo opaleshoni mankhwala a kapamba;
- pachimake aimpso kulephera;
- pachimake chiwindi kulephera;
- leukopenia;
- mtundu 1 matenda a shuga;
- matenda matumbo;
- matenda opatsirana pachimake;
- mimba ndi kuyamwitsa.
Ana ndi achinyamata ochepera zaka 18 akamamwa mankhwalawa ndiwotsutsana.
Kugwiritsidwa ntchito kwa Maninil kumaphatikizidwa ndi matendawa.
Ndi chisamaliro
Chenjezo liyenera kuchitidwa pakachitika izi:
- chithokomiro chithokomiro;
- kudziwiratu kwa khunyu ndi kugwidwa;
- mawonetseredwe a zizindikiro za hypoglycemia;
- mitundu yosiyanasiyana ya kuledzera kwa thupi.
Munthawi yonse ya chithandizo, kuwunika pafupipafupi kwa odwala kumachitika pamaso pa pathologies omwe ali pamwambapa.
Momwe mungatenge Maninil 3.5
Mankhwala amapatsidwa pambuyo poyesa kuchuluka kwa shuga m'magazi. Kulandila kumachitika nthawi yomweyo, musanadye, kumwa mapiritsi ndi madzi oyera. Kutalika kwa makonzedwe kumatengera momwe wodwalayo alili.
Ndi matenda ashuga
Mlingo wovomerezeka tsiku lililonse ndi piritsi limodzi. Kuchuluka kwake patsiku ndi mapiritsi atatu.
Ndi insellitus wodwala yemwe amadalira insulin, mankhwalawa sanadziwike.
Zotsatira zoyipa za Maninil 3.5
Pakukhazikitsa mankhwalawa, zovuta zimatha kuchitika pakamwa. Nthawi zambiri, kusintha kwa impso ndi chiwindi kumachitika. Poyerekeza ndi mbiri yakuvomera, hyperthermia, tachycardia, kutopa kumatha kuchitika.
Kuchokera kumbali ya kagayidwe
Pali kumverera kosalamulirika kwanjala, kuwonjezeka kwa thupi, kupweteka mutu, kufooketsa chidwi cha chidwi, kuphwanya machitidwe a kutentha. Kumwa mankhwalawa kungayambitse kukula kwa hypoglycemia.
Mukamamwa Maninil, mumatuluka mutu. Kuchiza kuyenera kuchitika moyang'aniridwa ndi dokotala ndikuwunika pafupipafupi shuga.
Kuchokera ku chitetezo chamthupi
Kuwonjezeka kwa kutentha kwa thupi kumadziwika.
Pa mbali ya chiwindi ndi biliary thirakiti
Pali kuwonjezeka kwa ntchito ya chiwindi michere ndi intrahepatic cholestatic syndrome. Matenda a chiwindi otupa amatha.
Matumbo
Pali kusasangalala komanso kupweteka m'mimba. Zovuta za mseru komanso kusanza kumachitika. Wodwalayo amatha kumva kakasi kowawa komanso kowawa mkamwa.
Hematopoietic ziwalo
Pali kuchepa kwa chiwerengero cha maselo othandiza magazi kuundana komanso maselo oyera am'magazi.
Matupi omaliza
Nthawi zina, photosensitivity imachitika - khungu limawonjezeka ndi kuwala kwama radiation. Zikopa zotupa zimatuluka.
Zokhudza mphamvu pakuwongolera njira
Mukamamwa mankhwalawa, ndikofunikira kuti musayendetse galimoto ndikuchita zomwe zimagwirizanitsidwa ndi njira zoopsa. Mankhwalawa angayambitse kugona kapena chizungulire.
Mukamamwa mankhwalawa, ndikofunikira kuti musayendetse. Mankhwalawa angayambitse kugona kapena chizungulire.
Malangizo apadera
Musanagwiritse ntchito mankhwala ena, ndikofunikira kupeza upangiri waluso.
Popewa hypoglycemia, muyenera kudya zakudya zopatsa thanzi ndikuwongolera shuga. Ndikofunikira kuchepetsa mlingo kapena kusiya kugwiritsa ntchito mapiritsi povulala, kuwotcha ndi matenda opatsirana.
Gwiritsani ntchito mu ukalamba
Mukakalamba, pamakhala mwayi wokulitsa hypoglycemia. Chithandizo chikuyenera kuchitika moyang'aniridwa ndi dokotala komanso kuyeza kuchuluka kwa shuga m'magazi.
Mukakalamba, chithandizo ndi Maninil ziyenera kuchitika moyang'aniridwa ndi dokotala komanso kuyeza kuchuluka kwa shuga m'magazi.
Kusankhidwa kwa Maninila ana a 3.5
Mankhwalawa sanalembedwe kwa odwala osakwana zaka 18.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Fotokozani mankhwala contraindicated mu amayi apakati ndi mkaka oyamwa.
The ntchito aimpso kuwonongeka
Mankhwala ndi contraindicated odwala kwambiri aimpso kulephera. Poletsa kukula kwa hypoglycemia mu matenda a impso, muyezo umasintha.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Mankhwala sinafotokozedwe pamaso pa chiwindi.
Mankhwala ochulukirapo a Maninil 3.5
Ngati mumwa mankhwala ambiri, zizindikiro za hypoglycemia zimatha kuonekeranso kuperewera kwa chikumbumtima komanso chikomokere.
Zizindikiro zoyambirira ndi chizungulire, thukuta, kusintha kwa mtima, kuwona kuwonongeka ndi kufooka. Ngati wodwalayo ali pamavuto akulu, kuchipatala kumafunika.
Kuchita ndi mankhwala ena
Kuchuluka kwa hypoglycemic kungayambike chifukwa cha munthawi yomweyo mankhwala a hypoglycemic (acarbose), okodzetsa, sulfonylureas, biguanides, ACE zoletsa, cimetidine, reserpine, sulfonamides ndi ma tetracyclines.
Kutsika kwa hypoglycemic zotsatira kumachitika ndi munthawi yomweyo kugwiritsa ntchito barbiturates, phenothiazines, GCS, Rifampicin, mapiritsi oletsa kubereka a mahomoni ndi Acetazolamide.
Kuyenderana ndi mowa
Mukamamwa zakumwa zoledzeretsa zakumwa, mankhwalawa amatha kuyambitsa hypoglycemia. Pa mankhwala, mowa sayenera kupatula.
Analogi
Mankhwalawa ali ndi chifanitis:
- Glidiab;
- Diabetes;
- Amaryl;
- Vipidia;
- Glyformin;
- Glucophage;
- Maninil 5.
Amaril ndi ofanana ndi Maninil.
Kwa aliyense wa iwo, malangizo akuwonetsa contraindication ndi mavuto. Musanalowe m'malo a analogi, muyenera kupita kwa dokotala ndi kukayezetsa.
Kupita kwina mankhwala
Amamasulidwa pa mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Chipangizocho chitha kugulidwa kokha ndi mankhwala.
Mtengo wa Maninil 3.5
Mtengo wapakatikati wa ma CD ndi ma ruble 175.
Zosungidwa zamankhwala
Sungani pamalo owuma komanso amdima pa kutentha mpaka +25 ° C. Pewani kufikira ana.
Tsiku lotha ntchito
Alumali moyo wa mapiritsi ndi zaka zitatu. Sizoletsedwa kugwiritsa ntchito mankhwalawo tsiku lotha lisanathe.
Wopanga
Opanga mapalewo ndi kampani ya ku Germany yopanga mankhwala Berlin-Chemie AG.
Ndemanga za Maninil 3.5
Maninil 3.5 mg wa mankhwalawa amatchulidwa kuwonjezera pa zakudya komanso moyo wokangalika. Odwala amadziwa zotsatira zachangu, ndipo madokotala - kusakhalapo kwa zotsatira zoyipa mukamatsatira malangizo.
Madokotala
Oleg Feoktistov, endocrinologist
Kwa matenda a shuga a 2, ndimapereka mankhwala kwa odwala. Mothandizidwa ndi mankhwalawa, kuchuluka kwa shuga m'magazi kumatsika, chifukwa chiwindi ndi minofu imayamba kugwira glucose. Mankhwala amalekeredwa bwino. Ikagwiritsidwa ntchito pafupipafupi, imathandizira kutulutsa kwa insulin ndipo imakhala ndi antiarrhythmic.
Kirill Ambrosov, wothandizira
Mankhwalawa amatha kuchepetsa kufa kwa odwala omwe ali ndi matenda ashuga. Mapiritsi amathandizira kuchepetsa kuchuluka kwa shuga m'magazi, kumachepetsa cholesterol "choyipa". Chosakaniza chophatikizacho chimamwidwa mwachangu, ndipo chochitikacho chimatenga maola 24. Pofuna kupewa kunenepa, muyenera kuchita masewera olimbitsa thupi komanso kudya moyenera.
Anthu odwala matenda ashuga
Tatyana Markina, wazaka 36
Amatumizidwa piritsi limodzi patsiku. Chidacho chimathandizira kuwongolera shuga. Ndimatsata zakudya zama carb otsika ndipo ndimayesetsa kusuntha nthawi zonse. Zopitilira miyezi inayi yakuchira, zinthu zidasintha. Zotsatira zoyipa zake zinali zoyipa ndi migraine. Zizindikiro zinazimiririka patatha milungu iwiri. Ndikukonzekera kupitilizabe.
Anatoly Kostomarov, wazaka 44
Dotolo adalemba mankhwala othandizira odwala omwe samadalira shuga. Sindinazindikire zotsatira zoyipa, kupatula chizungulire. Ndinafunika kuchepetsa kuchuluka kwa theka la mapiritsi. Shuga ndi wabwinobwino komanso wosangalatsa. Ndikupangira.
