Wosinthidwa wothandizira amathandizira kuchepetsa shuga. Amakonzekera sulfonylurea kukonzekera kwa m'badwo wachiwiri. Gawani mankhwalawa matenda a shuga a mtundu wachiwiri.
Dzinalo Losayenerana
Gliclazide.
Glidiab MV - mankhwala osinthika osinthika othandizira amathandiza kuchepetsa shuga.
ATX
A10BB09.
Kutulutsa mafomu ndi kapangidwe kake
Wopangayo amapanga malonda amtundu wa mapiritsi 10 zidutswa za cell. Phukusi la makatoni limakhala ndi miyala 60.
Chofunikira cha mankhwalawa ndi gliclazide mu 30 mg. Kuphatikizikako kumakhala ndi cellcose ya microcrystalline, magnesium stearate, hypromellose.
Zotsatira za pharmacological
Mothandizidwa ndi mankhwalawa, maselo a pancreatic beta amayamba kupanga insulin, ndipo zotumphukira zake zimakhudzidwa ndi shuga. Chidacho chimachepetsa shuga m'magazi, chimalepheretsa kuphatikiza mapulateleti ndi mawonekedwe a cholesterol amana, timitsempha yamagazi. Mankhwalawa amachepetsa kuchuluka kwa mapuloteni mumkodzo ndipo amathandizira kuchepetsa thupi.
Pharmacokinetics
Zigawo za mankhwala zimatengedwa kwathunthu kuchokera m'mimba. Zinthu zomwe zimagwira zimamasulidwa pang'onopang'ono, ndipo patatha maola 6-12, kuphatikiza m'magazi kumafika pazofunikira zake. Amamangirira mapuloteni ndi 95-97%. Imadutsa biotransformation mu chiwindi. Amachotsa impso. Kutha kwa theka la moyo ndi maola 16.
Chidacho chimapukusidwa ndi impso.
Zizindikiro zogwiritsidwa ntchito
Glidiab MV adalembedwa kuti achepetse kuchuluka kwa shuga m'magazi omwe ali ndi matenda ashuga a 2.
Contraindication
Musayambe chithandizo ngati muli ndi zotsatirazi zotsutsana:
- mtundu 1 matenda a shuga;
- kuphwanya kagayidwe kazakudya chifukwa cha kuchepa kwa insulin;
- mimba
- kuyamwitsa;
- Hypersensitivity zigawo zikuluzikulu za mankhwala;
- precoma ndi chikomokere;
- kuphwanya kwambiri chiwindi ndi impso;
- matumbo kutsekereza;
- mkhalidwe womwe umafunikira tsiku ndi tsiku kusowa kwa insulin (opaleshoni, kuwotcha);
- kuphwanya kwamoto ntchito zam'mimba;
- hypoglycemia motsutsana maziko a matenda opatsirana;
- kuchepa kwa chiwerengero cha leukocytes m'madzi am'magazi.
Ndikofunikira kusankha mosamala mlingo wa matenda a febrile syndrome, uchidakwa komanso matenda a chithokomiro.
Momwe mungatenge Glidiab MV
Tengani mlingo woyenera ndi chakudya choyamba 1 kamodzi patsiku.
Ndi matenda ashuga
Kwa matenda a shuga a 2, piritsi limodzi (30 mg) limayikidwa patsiku. Mlingo utha kuwonjezeka nthawi imodzi m'masabata awiri. Kutengera ndi matendawa, adokotala amatha kukupatsani mapiritsi 4 patsiku (osatinso). Pakulephera kwa aimpso kufatsa pang'ono, kusintha kwa mankhwalawa sikofunikira ngati creatinine chilolezo cha 15 mpaka 80 ml / mphindi.
Zotsatira zoyipa za Glidiab MV
Kuchulukitsa mlingo kungayambitse hypoglycemia. Vutoli limaphatikizidwa ndi kupsinjika, chizungulire, kupweteka mutu, kumva kukhumudwa chifukwa cha njala, kusiya kuzindikira, kunjenjemera, kufooka, thukuta. Mukumwa mapiritsi, urticaria, chopinga wa hepatic, kuchepa magazi, nseru, kutsegula m'mimba.
Zokhudza mphamvu pakuwongolera njira
Chipangizocho chimakhudza chidwi chachikulu, motero ndibwino kusiya njira zoyendetsera zovuta ndi magalimoto.
Mankhwala, ndibwino kusiya njira zoyendetsera zovuta ndi magalimoto.
Malangizo apadera
Mwazi wa magazi uyenera kuyezetsedwa musanadye komanso pambuyo pake. Pa mankhwala, tikulimbikitsidwa kuti muzitsatira zakudya zokhala ndi chakudya chamagulu pang'ono m'zakudya. Kusala kudya kumawonjezera chiopsezo cha hypoglycemia. Pa nthawi ya kukonzekera, mankhwala osokoneza bongo amayamba.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Amayi panthawi yoyembekezera komanso yoyamwitsa amatsutsana.
Kukhazikitsidwa kwa Glidiab MV kwa ana
Kufikira zaka 18 sizomwe zidasankhidwa.
Gwiritsani ntchito mu ukalamba
Mukakalamba, thupi limaganizira kwambiri zochitika za hypoglycemic agents. Musanagwiritse ntchito, ndibwino kukaonana ndi dokotala.
Overdose wa Glidiab MV
Ngati muposa muyeso wololedwa, pali kuchepa kwakachepa kwa kuchuluka kwa shuga m'magazi. Wodwalayo akumva chizungulire, mantha, njala. Manja amayamba kunjenjemera mosadzipereka, thukuta limakulirakulira. Vutoli limatha kukulira mpaka kukomoka kwa hypoglycemic. Pazizindikiro zoyambirira, muyenera kudya chakudya chamafuta, chomwe chimayamba mosavuta (shuga). Ngati kuukira kumayendera limodzi ndi kutaya chikumbumtima, njira ya glucose imayendetsedwa pamitsempha, ndipo glucagon imayang'aniridwa intramuscularly.
Chizungulire ndi chimodzi mwazizindikiro za bongo.
Kuchita ndi mankhwala ena
Mankhwala ena amakhudza zotsatira za mankhwalawo mosiyanasiyana:
- zotsatira za hypoglycemic zimachepetsedwa ndikugwiritsira ntchito munthawi yomweyo timadzi totulutsa timadzi timene timatulutsa timadzi timene timatulutsa mankhwala, mafupa, mankhwala, chithokomili, chithidimu, mafoni. Baclofen, Diazoxide, Danazole, Chlortalidone ndi Asparaginase;
- ACE zoletsa, NSAIDs, cimetidine, mafangasi ndi chifuwa chachikulu, biguanides, anabolic othandizira, beta-blockers, fibroic acid, zotumphukira, salicylates, ethanol, coumarin anticoagulants, yosalunjika, Chloramphenicol, Cinimetinil, Cinimetinilin Guanethidine, Mao inhibitors, Pentoxifylline, Theophylline, phosphamides, ma tetracycline antibayotiki.
Kutenga mtima glycosides kumatha kubweretsa chisokonezo cha mtima.
Kuyenderana ndi mowa
Kugwiritsa ntchito limodzi ndi mowa kungayambitse kukula kwa hypoglycemia. Chiwopsezo cha kusokonezeka kwa mitsempha, nthawi zina mpaka kugwa, chikukula. Ndikulimbikitsidwa kusiya zakumwa zoledzeretsa pamankhwala.
Analogi
Pali ma analogu omwe angalowe m'malo mwa chida ichi. Izi zikuphatikizapo Diabeteson MB, Glidiab, Diabetesalong, Diabefarm MB, Gliclazide MB. Ndikothekanso kuwongolera kugwiritsa ntchito matenda a shuga a mtundu wa Glidiab, koma mankhwalawa alibe zotsatira zazitali.
Mankhwala osokoneza bongo ali ndi zotsutsana ndi zoyipa. Musanalowe ndi analogi, muyenera kupita kwa dokotala ndi kukayezetsa.
Kodi pali kusiyana kotani pakati pa Glidiab ndi Glidiab MV
Mankhwala okhala ndi MB olembedwa paphukusi ndi othandiza kwambiri. Zinthu zomwe zimagwira, kulowa thupi, zimamasulidwa nthawi yayitali. Chifukwa chake, mankhwalawa amakhala motalikirapo kuposa mnzake wa dzina lomweli.
Kupita kwina mankhwala
Mankhwala amaperekedwa ndi mankhwala, omwe mungalandire kuchokera kwa dokotala.
Mtengo wa Glidiab MV
Mtengo muma pharmacies aku Russia umachokera ku ma ruble 130 mpaka 150.
Zosungidwa zamankhwala
Phukusi liyenera kuikidwa pamalo owuma komanso amdima. Kutentha kokwanira + 25 ° C.
Tsiku lotha ntchito
Moyo wa alumali ndi zaka 2. Sizoletsedwa kugwiritsa ntchito nthawi yomwe yatchulidwa phukusi.
Mapangidwe ofananawo ndi Diabeteson MV.
Wopanga
JSC Chemical ndi Fakitala Zomera Akrikhin, Russia.
Ndemanga za Glidiab MV
Chida chovuta kuchipatala mwachangu ndipo kwanthawi yayitali chimachepetsa kuchuluka kwa shuga m'magazi. Kuyankha bwino kumatsalira ndi onse odwala ndi madokotala. Ndikofunika kutsatira malangizo osapitilira muyeso.
Madokotala
Gleb Mikhailovich, endocrinologist
Mankhwala amateteza kagayidwe kachakudya njira, kumathandiza kuti matendawa asawoneke. Chithandizo chogwira ntchito chimalepheretsa kuphatikiza kwa glucose pazinthu zopanda mafuta ndipo zimakhudza kupanga kwa insulin. Odwala ena amatha kudandaula za kutopa, kugona, komanso kusokonezeka kwa m'mimba. Pofuna kupewa zoyipa, mankhwalawa amayenera kutengedwa mogwirizana ndi malangizo. Ndikofunika kupewa kusala komanso kumwa mowa.
Anna Yuryevna, dokotala wamtima
Chidacho chimalimbikitsa kubisika kwa insulin ndi ma cell a β. Kudya mapiritsi pafupipafupi kumathandizira odwala omwe ali ndi vuto la hypoglycemia. Mutha kuwona phindu la kumwa mapiritsi mwachangu ngati mumasewera, pewani kupsinjika ndikutsatira zakudya zamafuta ochepa.
Ndikulimbikitsidwa kusiya zakumwa zoledzeretsa pamankhwala.
Anthu odwala matenda ashuga
Karina, wazaka 36
Anapereka mankhwala m'malo mwa mankhwala a shuga. Poyamba, kuchuluka kocheperako sikunayambitse vuto lililonse. Ndinayamba kumwa mapiritsi awiri patsiku ndipo zotsatira zake zinali zosangalatsa. Pambuyo pake, adotolo adachepetsa mlingo piritsi limodzi. Analog yothandiza komanso yotsika mtengo. Chithandizo chogwira ntchito chimasinthasintha shuga ndi cholesterol m'magazi, zimathandizira kuchepetsa thupi. Kwa miyezi isanu, adataya 8 kg.
Maxim, wazaka 29
Mankhwalawa ali ndi zabwino zambiri - mphamvu ya nthawi yayitali, kulolerana kwa shuga. Poyamba zimakhala zovuta kusankha mlingo, koma unayamba ndi zochepa. Patatha mwezi umodzi, shuga adatsikira ku 4.5 ndipo mankhwalawo adagwira kwa pafupifupi tsiku limodzi. Kafukufuku akuwonetsa kuti m'magazi munalibe mapuloteni ochepa, kuchuluka kwa mapuloteni mumkodzo kunachepetsedwa.
Alexander, wazaka 46
Mwazi wa magazi unachuluka chifukwa chomwa mankhwala osokoneza bongo. Dokotala adalamula kumwa mankhwalawa piritsi limodzi patsiku lopanda kanthu. Ndinkadya m'mawa, ndipo zinthu zinayamba bwino. Anayezera shuga pambuyo pambuyo makonzedwe, kuwunika zakudya. Ndikwabwino osapitirira muyeso chifukwa chokomoka. Kukhutitsidwa ndi zotsatira zake.
