Kuperewera kwa insulin mthupi kumabweretsa kusokonekera kwa kugwira ntchito kwa dongosolo la endocrine komanso kukula kwa matenda a shuga ndi hypoglycemia. Kukhalabe ndi kuchuluka kwa shuga m'magazi, odwala amapatsidwa mankhwala, monga Glucobay.
Mankhwalawa amagwiritsidwa ntchito ngati gawo la chithandizo chovuta cha matenda ashuga. Musanagwiritse ntchito mankhwalawa, wodwalayo amalimbikitsidwa kuti adziwe mayeso angapo azachipatala kuti apewe kupezeka kwa zotsutsana ndikuletsa kupezeka kwa zovuta.
Dzinalo Losayenerana
Acarbose.
Kukhalabe ndi kuchuluka kwa shuga m'magazi, odwala amapatsidwa mankhwala, monga Glucobay.
ATX
A10BF01
Kutulutsa mafomu ndi kapangidwe kake
Mankhwalawa amapezeka mu mawonekedwe a piritsi pa 50 ndi 100 mg. Mankhwala ndi malo azachipatala amaperekedwa m'mabhokisi okhala ndi mapiritsi 30 kapena 120.
Zogulitsa zimakhala ndi mtundu woyera kapena wachikasu.
Pali zoopsa ndi zolemba pamapiritsi: logo kampani yopanga mankhwala kumbali ina ya mankhwalawo ndi manambala a kipimo (G 50 kapena G 100) mbali inayo.
Glucobay (mu Chilatini) akuphatikiza:
- yogwira pophika - acarbose;
- zosakaniza zowonjezera - MCC, wowuma chimanga, magnesium stearate, anhydrous colloidal silicon dioxide.
Zotsatira za pharmacological
Mankhwala omwe amagwiritsidwa ntchito pakamwa ali m'gulu la othandizira a hypoglycemic.
Glucobay imaperekedwa ku malo ogulitsa mankhwala ndi zipatala m'mathumba okhala ndi 30 kapena 120 mapiritsi.
Kuphatikizidwa kwa mapiritsiwa kumaphatikizapo acarbose pseudotetrasaccharide, omwe amalepheretsa zochita za alpha-glucosidase (puloteni ya m'mimba yaying'ono yomwe imaphwanya di-, oligo- ndi polysaccharides).
Zinthu zitalowa mkati mthupi, njira ya mayamwidwe amumadzi amachepetsa, glucose amalowa m'magazi m'magawo ang'onoang'ono, glycemia amatulutsa.
Chifukwa chake, mankhwalawa amalepheretsa kuchuluka kwa monosaccharides mthupi, amachepetsa chiopsezo chokhala ndi matenda a shuga, matenda a mtima ndi matenda ena a dongosolo la magazi. Kuphatikiza apo, mankhwalawa amakhudza kuchepa thupi.
Muzochita zachipatala, nthawi zambiri mankhwalawa amakhala ngati othandizira. Mankhwalawa amagwiritsidwa ntchito popanga zovuta za matenda amitundu 1 komanso mtundu wachiwiri wa matenda ashuga komanso pochotsa matenda ashuga.
Pharmacokinetics
Zinthu zomwe zimapanga mapiritsiwo zimatengedwa pang'onopang'ono kuchokera m'mimba.
Zinthu zomwe zimapanga mapiritsi a Glucobai zimatengedwa pang'onopang'ono kuchokera ku thirakiti la m'mimba.
Cmax yothandizira yogwira m'magazi imawonedwa pambuyo pa maola 1-2 ndi pambuyo pa maola 16-24.
Mankhwalawa amapukusidwa, kenako ndikufotokozedwa ndi impso ndikugaya chakudya mwa maola 12-14.
Zizindikiro zogwiritsidwa ntchito
Mankhwala amalembera:
- Chithandizo cha matenda amtundu wa 1 ndi matenda a shuga a 2;
- Kuchotsa matenda asanafike matenda ashuga (kusintha kwa kulolera kwa glucose, kusokonekera kwa kudya kwa glycemia);
- letsa kukula kwa matenda a shuga a mtundu 2 mwa anthu omwe ali ndi prediabetes.
Therapy imapereka njira yolumikizira. Pogwiritsa ntchito mankhwalawa, wodwalayo amakulimbikitsidwa kuti azitsatira zakudya zothandizira kuti azikhala ndi moyo wakhama (masewera olimbitsa thupi, kuyenda tsiku ndi tsiku).
Pogwiritsa ntchito mankhwala Glucobai, wodwalayo amakulimbikitsidwa kuti azitsatira zakudya zochizira.
Contraindication
Pali zotsutsana zingapo pakugwiritsa ntchito mapiritsi:
- zaka za ana (mpaka zaka 18);
- Hypersensitivity kapena munthu tsankho kwa zigawo zikuluzikulu za mankhwala;
- nthawi yobereka mwana;
- matenda aakulu a m'matumbo, omwe amaphatikizidwa ndi kuphwanya chimbudzi ndi mayamwidwe;
- matenda a chiwindi;
- matenda ashuga ketoacodosis;
- zilonda zam'mimba;
- stenosis yamatumbo;
- hernias wamkulu;
- Matenda a Remkheld;
- kulephera kwa aimpso.
Ndi chisamaliro
Mankhwala ayenera kumwedwa mosamala ngati:
- wodwalayo wavulala ndipo / kapena akuchitidwa opareshoni;
- wodwalayo apezeka ndi matenda opatsirana.
Pa chithandizo, ndikofunikira kuti muwonane ndi dokotala ndikupita kukayezetsa kuchipatala pafupipafupi, chifukwa zomwe michere ya chiwindi imatha kuchuluka m'miyezi isanu ndi umodzi yoyambirira.
Momwe mungatenge Glucobay
Ndi matenda ashuga
Asanadye, mankhwalawa amadya kwathunthu, kutsukidwa ndi madzi pang'ono. Pakati pa chakudya - mawonekedwe osweka, ndi gawo loyamba la mbale.
Mlingo wake umasankhidwa ndi katswiri wazachipatala kutengera mtundu wa thupi la wodwalayo.
Chithandizo chomwe amalimbikitsa odwala omwe ali ndi matenda ashuga ndi awa:
- kumayambiriro kwa mankhwala - 50 mg katatu patsiku;
- pafupifupi tsiku lililonse mlingo 100 mg katatu patsiku;
- Mlingo wowonjezereka - 200 mg katatu pa tsiku.
Mlingo ukuwonjezeka Popeza kulibe matenda 4-8 milungu itatha chithandizo.
Ngati, kutsatira zakudya ndi malingaliro a dokotala yemwe wakupezekapo, wodwalayo wawonjezera mapangidwe a mpweya ndi kutsegula m'mimba, kuwonjezeka kwa mlingo sikuvomerezeka.
Asanadye, mankhwala a Glucobai amadyedwa kwathunthu, kutsukidwa ndi madzi pang'ono.
Pofuna kupewa matenda a shuga a 2, momwe mungagwiritsire ntchito mankhwalawa ndizosiyana pang'ono:
- kumayambiriro kwa mankhwala - 50 mg 1 nthawi patsiku;
- ambiri achire mlingo ndi 100 mg katatu patsiku.
Mlingo ukuwonjezeka pang'onopang'ono masiku 90.
Ngati menyu wodwala alibe zakudya, ndiye kuti mutha kudumpha kumwa mapiritsi. Pankhani ya kudya fructose ndi shuga wangwiro, mphamvu ya acrobase imachepetsedwa kukhala zero.
Kuchepetsa thupi
Odwala ena amagwiritsa ntchito mankhwalawa chifukwa cha kuwonda. Komabe, kugwiritsa ntchito mankhwala alionse kuyenera kuvomerezedwa ndi adokotala.
Kuchepetsa thupi, mapiritsi (50 mg) amatengedwa nthawi imodzi patsiku. Ngati munthu akulemera zopitilira 60 kg, mulingo wake umachulukitsidwa kawiri.
Odwala ena amagwiritsa ntchito mankhwala Glucobay kuti achepetse thupi.
Zotsatira zoyipa za Glucobay
Matumbo
Mankhwalawa, nthawi zina, odwala amakhala ndi mavuto:
- kutsegula m'mimba
- chisangalalo;
- kupweteka m'dera la epigastric;
- nseru
Matupi omaliza
Zina mwa zomwe zimayambitsa matendawa zimapezeka (kawirikawiri):
- zotupa pa khungu;
- exanthema;
- urticaria;
- Edema ya Quincke;
- kusefukira kwa mitsempha ya magazi ya chiwalo kapena gawo limodzi la magazi ndi magazi.
Nthawi zina, kuchuluka kwa michere ya chiwindi kumawonjezera odwala, jaundice amawonekera, ndipo chiwindi chimayamba (kawirikawiri).
Zokhudza mphamvu pakuwongolera njira
Kugwiritsa ntchito mankhwalawa sikukhudza luso loyendetsa magalimoto popanda kudziimira. Komabe, mukamakumana ndi zotsatirapo zoyipa (nseru, kutsegula m'mimba, kupweteka) pakumwa mankhwalawa, muyenera kusiya kuyendetsa.
Malangizo apadera
Gwiritsani ntchito mu ukalamba
Malinga ndi malangizo ogwiritsira ntchito, osachepetsa kapena kukulitsa mulingo.
Kupangira Glucobaya kwa ana
Zotsimikizika.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Zoletsedwa.
The ntchito aimpso kuwonongeka
Kusintha kwa mankhwalawa sikofunikira.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Ndi contraindicated ngati wodwala wapezeka ndi aimpso kulephera.
Glucobay bongo wambiri
Mukamagwiritsa ntchito Mlingo wambiri wa mankhwalawa, kutsekula m'mimba ndi kuphwanya kwa thupi kumachitika, komanso kuchepa kwa ziwalo zam'magazi.
Nthawi zina, odwala amakhala ndi mseru komanso kutupa.
Mankhwala osokoneza bongo amatha kuchitika mukamagwiritsa ntchito mapiritsi limodzi ndi zakumwa kapena zinthu zomwe zimakhala ndi mafuta ambiri.
Kuti muthane ndi zizindikiro izi kwakanthawi (maola 4-6), muyenera kukana kudya.
Mankhwala osokoneza bongo amatha kuchitika mukamagwiritsa ntchito mapiritsi limodzi ndi zakumwa kapena zinthu zomwe zimakhala ndi mafuta ambiri.
Kuchita ndi mankhwala ena
Hypoglycemic zotsatira za mankhwala zomwe zimafunsidwa zimapangidwira ndi insulin, metformin ndi sulfonylurea.
Kugwiritsa ntchito bwino kwa mankhwalawa kumachepetsedwa ndi kugwiritsa ntchito nthawi yomweyo ya acrobase ndi:
- nicotinic acid ndi kulera kwamlomo;
- estrogens;
- glucocorticosteroids;
- mahomoni a chithokomiro;
- thiazide okodzetsa;
- phenytoin ndi phenothiazine.
Kuyenderana ndi mowa
Zakumwa zoledzeretsa zimawonjezera shuga m'magazi, motero kumwa mowa panthawi ya mankhwala kumatsutsana.
Zakumwa zoledzeretsa zimawonjezera shuga m'magazi, motero kumwa mowa panthawi ya mankhwala kumatsutsana.
Analogi
Mwa mankhwala omwe ali ofanana mu zamankhwala, zotsatirazi zalembedwa:
- Alumina
- Siofor;
- Acarbose.
Kupita kwina mankhwala
Mapiritsi othandizira.
Kodi ndingagule popanda kulandira mankhwala?
Pali milandu yogulitsa mankhwalawa popanda kulandira dokotala wovomerezeka. Komabe, kudzipereka nokha ndiomwe kumabweretsa zotsatira zoyipa zosasinthika.
Mtengo wa Glucobay
Mtengo wamapiritsi (50 mg) umasiyanasiyana kuchokera ku ruble 360 mpaka 600 pazinthu 30 pa paketi iliyonse.
Mwa mankhwala ofanana mu pharmacological kanthu, Siofor amadziwika.
Zosungidwa zamankhwala
Mapiritsi amakulimbikitsidwa kuti asungidwe mu kabati kapena m'malo ena amdima, pamtunda wosaposa + 30 ° С.
Tsiku lotha ntchito
Zaka 5 kuyambira tsiku lomasulidwa.
Wopanga
BAYER SCHERING PHARMA AG (Germany).
Ndemanga za Glucobay
Madokotala
Mikhail, wazaka 42, Norilsk
Mankhwala ndi chida chothandiza mu zovuta mankhwala. Odwala onse ayenera kukumbukira kuti mankhwalawa samachepetsa kudya, kotero pakumwa mankhwalawa ndikofunikira kuti muchepetse kunenepa, kutsatira zakudya ndi masewera olimbitsa thupi.
Mankhwalawa ndi Glucobai, madokotala amalimbikitsa kutsogolera moyo wakhama (masewera olimbitsa thupi, kuyenda tsiku ndi tsiku).
Anthu odwala matenda ashuga
Elena, wazaka 52, St. Petersburg
Ndili ndi matenda ashuga a 2, onenepa kwambiri. Malinga ndi endocrinologist, adayamba kumwa mankhwalawa malinga ndi chiwembu chowonjezeka, kuphatikiza ndi mankhwala othandizira. Pambuyo pa chithandizo cha miyezi iwiri, adachotsa makilogalamu owonjezera asanu, pomwe kuchuluka kwa shuga m'magazi kumachepera. Tsopano ndikupitilizabe kugwiritsa ntchito mankhwalawa.
Wachiroma, wazaka 40, Irkutsk
Ndikusiyirani ndemanga kwa iwo omwe amakayikira kuyamwa kwa mankhwalawa. Ndinayamba kumwa acrobase miyezi 3 yapitayo. Mlingo ukuwonjezeka pang'onopang'ono, malinga ndi malangizo. Tsopano ndimamwa 1 pc (100 mg) katatu patsiku, makamaka musanadye. Pamodzi ndi izi, ndimagwiritsa ntchito piritsi limodzi la Novonorm (4 mg) kamodzi patsiku. Njira yochizira iyi imakupatsani mwayi kuti muzidya mokwanira ndikuwongolera shuga. Kwa nthawi yayitali, zizindikiro pa chipangizocho sizidutsa 7.5 mmol / L.
Kuchepetsa thupi
Olga, wazaka 35, Kolomna
Mankhwalawa amagwiritsidwa ntchito pochiza matenda ashuga, koma osati kuchepetsa thupi. Ndikuwalangizani odwala kuti amwe mankhwalawo pokhapokha ngati adokotala adakupangitsani, ndipo ndibwino kuti anthu athanzi asiye lingaliro lakuchepetsa thupi kudzera pa chemistry. Mnzanu (osati wodwala matenda ashuga) kuchokera pakulandidwa ndi acrobase amawoneka wamphamvu kwambiri pamalire ndipo chimbudzi chinasweka.
Sergey, wazaka 38, Khimki
Mankhwalawa amalepheretsa kuyamwa kwa zopatsa mphamvu zomwe zimalowa m'thupi kudzera mukumamwa zovuta, kotero chida chimathandiza kuchepetsa thupi. Mkazi wa miyezi 3 wogwiritsa ntchito acrobase adachotsa ma kilogalamu 15 owonjezera. Nthawi yomweyo, adasunga chakudyacho ndipo amangodya zakudya zabwino kwambiri komanso zatsopano. Sanakhale ndi zotsatila zake. Koma ngati mukukhulupirira ndemanga, kusadya bwino popanda kumwa mapiritsiwa kumakhudza phindu ndi kulolerana kwa mankhwalawo.
