Piouno amatanthauza mankhwala amkamwa a hypoglycemic omwe amagwiritsidwa ntchito kutulutsa shuga m'magazi. Kutengera ndi malamulo a kumwa mapiritsi, komanso mfundo za zakudya, mumakhala kugwiritsa ntchito kwambiri mankhwala munthawi ya matenda a shuga a 2.
Dzinalo Losayenerana
Peoglitazone ndi dzina la mankhwala omwe amagwiritsidwa ntchito.
Piouno amatanthauza mankhwala amkamwa a hypoglycemic omwe amagwiritsidwa ntchito kutulutsa shuga m'magazi.
ATX
A10BG03 - code for anatomical and achire mankhwala gulu.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwala amapangidwa piritsi. Amapezeka m'matumba a matuza a mapiritsi 15 mu lililonse la iwo. Zomwe zili pazomwe zili piritsi limodzi ndi 0,03 g.
Zotsatira za pharmacological
Mankhwalawa amagwiritsidwa ntchito kuwongolera shuga wamagazi ndi lipid metabolism mu chiwindi.
Chipangizocho sichimalimbikitsa kupanga insulin.
Pharmacokinetics
Pambuyo pakukonzekera pakamwa, gawo lomwe limagwira limachokera ku matumbo kulowa mu kayendedwe kazinthu. Pazitali zambiri za pioglitazone m'madzi am'magazi zimawonedwa mkati mwa 2 maola.
Nthawi yakudya siyimakhudza kuyamwa kwa zinthu zomwe zimagwiritsidwa ntchito.
Zinthu zowola za pioglitazone zimapukusidwa zochuluka pamodzi ndi ndowe, pafupifupi 15% ya metabolites ili mkodzo.
Zizindikiro Piouno
Mapiritsi amalembera mtundu wachiwiri wa matenda ashuga odwala matenda onenepa, komanso pakakhala kuti pali mphamvu zochotsa matenda pazotsatira za zochita zolimbitsa thupi.
Nthawi zambiri, mankhwalawa amagwiritsidwa ntchito osati monotherapy, chifukwa Pali mitundu ingapo ya pioglitazone yothandiza ndi mitundu ingapo ya mankhwalawa:
- Metformin ya odwala onenepa kwambiri;
- 3 m'badwo sulfonylureas, ngati Metformin ndi hypersensitive kwa odwala;
- Insulin.
Contraindication
Sizoletsedwa kumwa mapiritsi ngati wodwala wapezeka ndi matenda otsatirawa:
- mtundu 1 matenda a shuga;
- mtima wosagwira;
- matenda ashuga ketoacidosis (kuphwanya zakudya za kagayidwe kachakudya chifukwa cha kuperewera kwa insulin).
Ndi chisamaliro
Kufunsidwa kwa dokotala ndikulimbikitsidwa ngati kuchepa kwa kuchuluka kwa hemoglobin m'magazi (kuchepa magazi m'thupi) komanso ndi edematous syndrome.
Momwe mungatenge piouno
Mutha kumwa mapiritsi pamimba yopanda kanthu kapena mukatha kudya. Mlingo wofanana ndi nthawi yayitali ya phwando ndi dokotala.
Ndi matenda ashuga
Mlingo woyambira wabwino ndi 30 mg kamodzi patsiku.
Zotsatira zoyipa za piouno
Mankhwalawa amatha kuyambitsa zovuta zingapo mthupi.
Pa mbali ya gawo la masomphenyawo
Mwina kuchepa kwa maonedwe owoneka.
Kuchokera minofu ndi mafupa
Arthralgia ndizotheka nthawi zina.
Matumbo
Odwala ambiri amakhala ndi mwayi wowonjezereka.
Hematopoietic ziwalo
Nthawi zambiri samazindikira magazi.
Pakati mantha dongosolo
Nthawi zambiri odwala amadwala mutu.
Kuchokera kwamikodzo
Kupezeka kwa shuga mu mkodzo (glucosuria) kapena kuchuluka kwa mapuloteni mumkodzo (proteinuria) sikuwonekera kwambiri.
Kuchokera ku kupuma
Nthawi zina odwala amakhala ndi matenda opatsirana m'mapapo.
Pa khungu
Nthawi zambiri pamakhala kuchuluka thukuta.
Kuchokera ku genitourinary system
Mwa amuna, kusokonekera kwa erectile ndi kuchepa kwa chilakolako chogonana kumawonedwa.
Kuchokera pamtima
Nthawi zambiri, kulephera kwa mtima kumayamba.
Kuchokera kumbali ya kagayidwe
Hypoglycemia imadziwika ndi odwala ambiri.
Matupi omaliza
Nthawi zambiri, tikulankhula za kusagwirizana komwe kumayambira kumbuyo kwa vuto la munthu lomwe limagwiritsidwa ntchito ndi mankhwala, omwe akuwoneka ndi kuyaka pang'ono pakhungu.
Zokhudza mphamvu pakuwongolera njira
Chisamaliro chikuyenera kutengedwa ndi anthu omwe ntchito zawo zimagwirizana ndi kuyendetsa.
Palibe chifukwa chosinthira muyeso wa zomwe zimagwiritsidwa ntchito kwa odwala omwe ali ndi zaka zopitilira 60.
Malangizo apadera
Ndikofunika kuphunzira mosamala malangizo musanayambe kugwiritsa ntchito mankhwalawa.
Gwiritsani ntchito mu ukalamba
Palibe chifukwa chosinthira muyeso wa zomwe zimagwiritsidwa ntchito kwa odwala omwe ali ndi zaka zopitilira 60.
Kupatsa ana
Palibe chidziwitso chokhudza kumwa mapiritsi ndi anthu ochepera zaka zambiri.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Kugwiritsa ntchito mankhwalawa nthawi iliyonse yomwe mayi ali ndi pakati komanso pakamayamwa
The ntchito aimpso kuwonongeka
Mankhwalawa alibe mphamvu pa impso.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Kufunsira kwa dokotala kumafunika musanayambe chithandizo kuti mupewe mavuto. Nthawi zina pamakhala kuwonjezeka kwa kachigawo ka pioglitazone yaulere.
Bongo
Nthawi zina, hypoglycemia imayamba pamene mulingo wokhazikitsidwa ndi adotolo udatsitsidwa. Chithandizo chothandizira chikufunika.
Kuchita ndi mankhwala ena
Zina mwa zinthu zoterezi ziyenera kulingaliridwa:
- Ndi kuphatikiza kwa mankhwala ena a hypoglycemic, kukula kwa hypoglycemia kumawonedwa. Chifukwa chake, tikulimbikitsidwa kuchepetsa mlingo wa mankhwala wothandiza wa gulu lofananalo la mankhwala.
- Kulephera kwa mtima kumayamba kumachitika pakumwa insulin.
- Rifampicin imathandizira kuwonongeka kwa pioglitazone ndi 50%.
- Mu vitro ketoconazole amachepetsa kagayidwe kake ka mankhwala.
Kuyenderana ndi mowa
Muyenera kusiya kumwa kwa nthawi yomwe mumamwa mankhwalawo.
Analogi
Monga cholowa mmalo mwa mankhwalawa, mutha kugwiritsa ntchito Actos, Amalvia kapena Astrozone.
Kupita kwina mankhwala
Mankhwalawo amagulitsidwa ndi mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Nthawi zambiri, mankhwalawa amatha kugulidwa popanda mankhwala a dokotala.
Mtengo wa Piouno
Mtengo wa chinthu chachipatala umasiyanasiyana 800 mpaka 3000 rubles.
Zosungidwa zamankhwala
Ndikofunika kuti ana azitha kupeza mankhwalawa. Sungani malonda m'malo amdima.
Tsiku lotha ntchito
Ndikofunikira kugwiritsa ntchito mapiritsi mkati mwa zaka 3 kuyambira tsiku lopangira lomwe lasonyezedwa pa phukusi.
Wopanga
Mankhwalawa amapangidwa ndi kampani yopanga mankhwala ku India Wokhard Ltd.
Ndemanga za Piouno
Nthawi zambiri, mayankho a odwala ndi madokotala ndi abwino, koma pali zina zomwe zingachitike.
Madokotala
Mikhail, wazaka 54, Moscow
Ndine wokhutira ndi zotsatira zamankhwala ndimankhwala, koma nthawi zambiri mwa odwala mumakhala madzi osungika, omwe amachititsa kusokonezeka kwa mtima. Chifukwa chake, odwala omwe ali ndi mawonekedwe amtunduwu amalimbikitsa kuyambitsa chithandizo chamankhwala ochepera pioglitazone. Ndikakulitsa matendawa, ndimathetsa mankhwalawo.
Yuri, wazaka 38, St. Petersburg
Ngati pali mbiri ya vuto la chiwindi chovuta, ndiye kuti pali chiopsezo chachikulu choti odwala amatha kudwala jaundice. Chifukwa chake, ndikofunikira kuti mupange kafukufuku wamagulu a odwala omwe ali ndi matenda. Ndikakhala ndi mseru, kufooka komanso mkodzo wakuda ukatuluka, ndimayendetsa matenda ena kuti ndisavutike.
Nthawi zina, hypoglycemia imayamba pamene mulingo wa mankhwala omwe dokotala watchulidwa ndi dokotala.
Odwala
Marina, wazaka 35, Omsk
Dokotala anamwetsa mankhwalawa pa mkaka wa mkaka. Panalibe zotsatirapo zoyipa, koma ndinayenera kusiya kuyamwitsa. Mnzake wa minculoskeletal system adakumana ndi ululu wolumikizana ndi mankhwala.
Olga, wazaka 45, Ufa
Dokotalayo adalimbikitsa kuti amwe mapiritsi a matenda a shuga a mtundu wachiwiri. Kuti matenda azachulukitsa, ine ndimatsatira kadyedwe ndipo ndimachita nawo masewera osiyanasiyana. Zotsatira zamankhwala zimakhuta, koma osakhutitsidwa ndi mtengo wokwera wa mankhwalawo komanso kulephera kulandira mankhwalawa kwaulere.
Karina, wazaka 33, Perm
Nkhope retinal edema, pogwiritsa ntchito mankhwalawa. Ndidayenera kudutsa njira yowonjezerapo kuti ndikonzenso malingaliro apakati.
