Glurenorm imagwiritsidwa ntchito nthawi zambiri pamene zakudya sizigwirizana ndi kukonzedwa kwa glycemia. Izi matenda amapezeka mu 90% ya odwala omwe ali ndi matenda ashuga, ndipo kuchuluka kwazomwe zikuwonetsa kuti chiwerengero cha odwala chotere chikukula.
Dzinalo Losayenerana
Glycidone. (Mu Chilatini - Gliquidone).
Glurenorm imagwiritsidwa ntchito nthawi zambiri pamene zakudya sizigwirizana ndi kukonzedwa kwa glycemia.
ATX
A10BB08.
Kutulutsa mafomu ndi kapangidwe kake
Mapiritsi okhala ndi mawonekedwe osalala a 30 mg a glycidone, womwe ndi gawo lalikulu la mankhwala.
Zinthu zina:
- sungunuka ndi wowuma wowuma wochokera ku chimanga;
- monohydrogenated lactose;
- magnesium wakuba.
Zotsatira za pharmacological
Glycvidone amadziwika ndi zowonjezera-pancreatic / pancreatic athari. Thupi limasintha kupanga insulini pochepetsa mphamvu ya glucose pama cell a pancreatic beta. Kuphatikiza apo, mankhwalawa amakulitsa chiwopsezo cha insulin komanso kulumikizana ndi maselo ojambulidwa, kumawonjezera kukhudzika kwa glucose ndi mawonekedwe a chiwindi ndi minyewa ya minofu, ndikuchepetsa njira ya lipolytic mu minofu ya adipose.
Iwo ali ndi hypolipidemic ntchito, amachepetsa mawonekedwe a thrombogenic a madzi a m'magazi. Mphamvu ya hypoglycemic imatheka pambuyo pa maola 1-1,5.
Thupi limasintha kupanga insulini pochepetsa mphamvu ya glucose pama cell a pancreatic beta.
Pharmacokinetics
Chidacho chogwira ntchito chimakhala chotsekedwa kwathunthu ndi makhoma a matumbo. Cmax ya kaphatikizidwe imasindikizidwa maola awiri ndi atatu. Glycvidone metabolism imachitika ndi chiwindi. Kutha kwa theka-moyo kuli pafupifupi mphindi 80. Ma metabolites ambiri amatulutsidwa m'matumbo ndi m'mimba. Impso zimagwira pafupifupi 10% ya mankhwala.
Zizindikiro zogwiritsidwa ntchito
Malangizowo akuti MP imapangidwira zochizira matenda a shuga 2, ngati chithandizo cha zakudya sichikupereka zotsatira zabwino.
Contraindication
- kukonzanso pambuyo pakuthanso kwa kapamba;
- Hypersensitivity kuti sulfonamides, sulfonylurea ndi coumarin zotumphukira;
- diabetesic coma / precoma, ketoacidosis;
- mtundu 1 matenda a shuga;
Ndi chisamaliro
- uchidakwa wambiri;
- kuwonongeka kwa impso ndi chiwindi;
- kuchuluka kwa matenda a chithokomiro.
Momwe mungatenge glurenorm
Mkati, mogwirizana ndi malangizo a dokotala zokhudzana ndi kuchuluka kwa mankhwalawa, kutalika kwa mankhwala ndikutsatira zakudya zomwe zasankhidwa.
Kumayambiriro kwa mankhwalawa, mapiritsi a 0,5 amatchulidwa pakudya m'mawa. Pokhapokha ngati pali kusintha, mlingo umachulukitsa pang'onopang'ono.
Ngati Mlingo watsiku ndi tsiku uposa mapiritsi awiri, ndiye kuti uyenera kugawidwa m'magawo awiri a 2-3, koma ndikofunikira kutenga gawo lalikulu la mankhwalawa m'mawa. Kwa tsiku limodzi ndikuletsedwa kumwa mapiritsi oposa anayi.
Pokhapokha pakuchitika pa monotherapy ndi mankhwalawa, kuphatikiza mankhwala kumayikidwa pamodzi ndi metformin.
Ndi matenda ashuga
Odwala matenda ashuga ayenera kutsatira malangizo a dokotala, apo ayi ndizotheka kuchepetsa kuchuluka kwa shuga wa m'magazi mpaka kumatha kuzindikira.
Anthu odwala matenda ashuga ayenera kutsatira malangizo a dokotala.
Zotsatira zoyipa Glyurenorma
- kagayidwe: hypoglycemia;
- minofu yokhala ndi khungu komanso khungu: photosensitivity, zidzolo, kutupa;
- Masomphenya: mavuto okhala ndi pogona;
- M`mimba thirakiti: kusapeza mu m'mimba, cholestasis, kusanza, kutsegula m'mimba, kudzimbidwa, kusowa chilolezo;
- CVS: hypotension, kusakwanira kwamitsempha yamagazi ndi mtima, angina pectoris, extrasystole;
- CNS: vertigo, kutopa, migraine, ulesi;
- hematopoietic dongosolo: agranulocytosis, leukopenia.
Zokhudza mphamvu pakuwongolera njira
Odwala omwe amalandila MP akuyenera kudziwitsidwa za kuwopsa kwa chizungulire komanso kupweteka kwa mutu panthawi imeneyi. Chifukwa chake, ayenera kukhala atcheru poyendetsa galimoto ndikugwira ntchito yozama.
Odwala omwe amalandila MP akuyenera kudziwitsidwa za kuwopsa kwa chizungulire komanso kupweteka kwa mutu panthawi imeneyi.
Malangizo apadera
Mankhwala a Oral hypoglycemic sakhala m'malo mwa zakudya zomwe zimathandizira kuwunika thupi.
Ngati mumwa mapiritsi musanadye, chiopsezo cha hypoglycemia chimakulanso. Ngati pali zizindikiro, ndiye kuti muyenera kudya maswiti kapena chinthu china chomwe chili ndi shuga.
Kuchita masewera olimbitsa thupi kumatha kuwonjezera ntchito ya MP.
Gwiritsani ntchito mu ukalamba
Mankhwala a pharmacokinetic a mankhwala mwa odwala okalamba sasintha.
Kupangira Glenrenorm kwa ana
Kwa ana ochepera zaka 18 zakubadwa zimaphatikizidwa kuti zivomerezedwe.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Palibe chidziwitso pakugwiritsa ntchito glycidone mwa amayi apakati / oyembekezera, motero MP sigwiritsidwa ntchito pano.
Mukakonzekera kupanga pakati, ndikofunikira kusiya mankhwalawa ndikugwiritsa ntchito insulini kukonza shuga.
5% yokha ya MP imachotsedwa kudzera mu impso, motero palibe zotsutsana pamenepa.
The ntchito aimpso kuwonongeka
5% yokha ya MP imachotsedwa kudzera mu impso, motero palibe zotsutsana pamenepa.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Mu mitundu yayikulu ya kulephera kwa chiwindi ndi porphyria, mankhwalawa sagwiritsidwa ntchito. Izi zikuchitika kamba koti MP yambiri imagawika mgululi.
Glenormorm bongo
Zotsatira zoyipa kwambiri ndizochita hypoglycemia, yomwe imatha kutsatiridwa ndi thukuta lotupa, mutu, kugona, kuona komanso kusalankhula.
Kuti muthane ndi zovuta zomwe zingachitike, tikulimbikitsidwa kuyimba ambulansi ndikuwononga dextrose kapena zakudya zomwe zimakhala ndi chakudya chamagulu ambiri. Woopsa milandu, dextrose kutumikiridwa kudzera m`mitsempha. Pazolinga zodzitetezera, chakudya cham'mimba chimawonetsedwa.
Kuchita thukuta kwambiri ndi chimodzi mwazizindikiro za mankhwala osokoneza bongo.
Kuchita ndi mankhwala ena
Othandizira a Sympatholytic, guanethidine, reserpine ndi beta-blockers, ma cyclophosphamide ndi mahomoni a chithokomiro amalimbikitsa mphamvu ya hypoglycemic ya mankhwala ndi kubisa zizindikiro za hypoglycemia.
Phenytoin, rifampicin ndi barbiturates amachepetsa hypoglycemic katundu wa glycidone.
Kuyenderana ndi mowa
Sitikulimbikitsidwa kuphatikiza.
Analogi
- Glibetic;
- Glairie
- Konza;
- Gliklada;
- Glianov.
Gliclada ndi amodzi mwa fanizo la mankhwalawa.
Kupita kwina mankhwala
Kodi ndingagule popanda kulandira mankhwala?
M'mafakisi, mapiritsi ndi omwe amapatsidwa.
Mtengo Glyurenorm
Muli mitundu yama ruble 379-580. pa paketi 60 pcs.
Zosungidwa zamankhwala
Malo oyenera: Kutentha kwa chipinda, chinyezi chochepa, kusowa kuwala.
Tsiku lotha ntchito
Osapitilira zaka 5.
Wopanga
Kampani yachi Greek "Boehringer Ingelheim Ellas".
Ndemanga za Glyurenorm
Madokotala
Darina Bezrukova (wochiritsa), wazaka 38, Arkhangelsk
Mankhwala ndi mankhwala limodzi ndi mtundu wa 2 matenda a shuga. Pankhaniyi, wodwala ayenera kutsatira zakudya zapadera. Shuga amawongolera moyenera komanso moyenera.
Andrey Tyurin (wochiritsa), wazaka 43, Moscow
Ndikulembera matenda ashuga. Mapiritsi ake ndiokwera mtengo, amasintha mkhalidwe wawo mwachangu. Nthawi yomweyo, ndikosayenera kuti amayi apakati azigwiritsa ntchito mankhwalawa. Ndimawapatsa jakisoni wa insulin.
M'mafakisi, mapiritsi ndi omwe amapatsidwa.
Anthu odwala matenda ashuga
Valeria Starozhilova, wazaka 41, Vladimir
Ndikudwala matenda ashuga, mankhwalawa amalandiridwa kwaulere. Adotolo adalowa m'malo mwa Diabeteson, ndipo ndidayamba kudwala. Anaona kwa mwezi. Shuga amasungidwa bwino, koma zovuta zomwe ndimakumana nazo zimandipezekabe. Pakamwa pakamwa pawo panali pataletseka tulo, tulo tinasokonezeka, ndipo mutu unayamba kumva. Kenako adayamba kuvutika kugaya chakudya. Mawonekedwe olakwika adasowa patatha milungu 1.5 atangomaliza kumwa mapiritsiwo. Zizindikiro zake zinakhala zabwinobwino, zinthu zinasintha.
Alexey Barinov, wazaka 38, Moscow
Ndili wachinyamata, sindinadyepo mokwanira komanso kumwa mowa kwambiri. Tsopano ndikuvomereza kuti matenda ashuga adayamba kudzipweteka. Ndidayesa kuthandizidwa ndimnjira zosiyanasiyana. Posachedwa, adotolo adalemba mapiritsi awa. Zovuta zomwe poyamba zimayamba kuwoneka kawirikawiri, ndipo patatha milungu iwiri ndi iwiri pambuyo pa utsogoleri, zidasoweka kwathunthu. Malotowo anabwerera kwawamba, kusuntha kunayamba, thukuta linasowa. Dotolo adati zisonyezo zanga zamankhwala zakhala bwino. Mankhwala amagwira!
