Matenda a shuga ndi omwe amadziwika kuti ndi amodzi mwa matenda padziko lapansi. Mu Russian Federation, nzika pafupifupi 10 miliyoni zimadwala nthendayi. Ambiri aiwo amakonda kugwiritsa ntchito mankhwala Jardins chifukwa chogwira ntchito.
Dzinalo
Dzinalo Lachilatini ndi Jardiance. Mankhwala a INN: Empagliflozin (Empagliflozin).
Jardins ali ndi vuto la antiidiabetes.
ATX
Gulu la ATX: A10BK03.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwalawa amapezeka mu mapiritsi osungunuka. Piritsi limodzi lili ndi 25 kapena 10 mg ya empagliflozin (chophatikizira). Zinthu zina:
- talc;
- titanium dioxide;
- ma iron ironideide (utoto);
- lactose monohydrate;
- hyprolosis;
- ma cellcrystals a cellulose.
Mankhwalawa amapezeka mu mapiritsi osungunuka.
Mapiritsi ali ndi matuza a ma PC 10. Bokosi 1 lili ndi matuza 1 kapena 3.
Zotsatira za pharmacological
Mankhwala ali ndi antidiabetes. Amakwaniritsa magazi a wodwala wodwala matenda ashuga a 2 omwe ali ndi shuga wokwanira.
Yogwira pophika mankhwala amakhazikika mulingo wa dextrose mu seramu yamagazi. Kuphatikiza apo, chinthu chodalira insulin chimachepetsa mwayi wa hypoglycemia. Mfundo zoyenera kuchitira mankhwalawa sizimadalira insulin metabolism ndi ntchito ya magawo a mabungwe a Langerhans. Zotsatira zakufufuza zambiri zikuwonetsa kuti odwala matenda ashuga (omwe ali ndi mtundu wa 2 matenda), kuchuluka kwa shuga komwe kamatuluka m'thupi kumachulukanso pambuyo piritsi limodzi.
Yogwira pophika mankhwala amakhazikika mulingo wa dextrose mu seramu yamagazi.
Mankhwalawa nthawi zina amagwiritsidwa ntchito pakuchepetsa thupi, chifukwa kuchotsa kwambiri shuga m'thupi kumayambitsa kuwotcha kwama calorie msanga.
Pharmacokinetics
Mankhwalawa akumizidwa impso, motero saloledwa kugwiritsidwa ntchito mwa odwala omwe ali ndi impso. Momwe umathira madziwo mkodzo. Chithandizo chogwira chimafikira kwambiri poyerekeza ndi maola 1.5-2. Hafu ya moyo wa ndondomekoyi ili pafupifupi maola 12.
Mankhwala a pharmacokinetic a mankhwalawa samakhudzidwa ndi mtundu, kulemera kwa thupi, jenda komanso zaka za wodwalayo.
Zizindikiro zogwiritsidwa ntchito
Mankhwalawa amagwiritsidwa ntchito pochiza odwala matenda a shuga 2:
- Nthawi zina ngati mankhwalawa sagwiritsidwa ntchito samapereka chothandiza ngakhale monga gawo la mankhwala a Insulin ndi hypoglycemic (Glimepiride, etc.);
- ndi glycemia yosalamulika kuphatikiza kudya ndi masewera apadera, komanso kuwonjezera chidwi cha Metformin - mawonekedwe a monotherapy.
Mankhwalawa amagwiritsidwa ntchito pochiza odwala matenda a shuga a mtundu wachiwiri.
Contraindication
- tsankho;
- mkaka wa m`mawere ndi pakati;
- matenda ashuga a ketoacidosis;
- pachimake siteji aimpso kulephera;
- mtundu 1 matenda a shuga;
- pansi pa zaka 18 ndi wopitilira 85;
- kuphatikiza ndi GLP-1.
Ndi chisamaliro
Mankhwalawa amatchulidwa mosamala ngati:
- ntchito zazinsinsi zochepa zama cell zomwe zimapezeka mu kapamba;
- kuphatikiza ndi sulfonylurea ndi zotumphukira za insulin;
- matenda am'mimba, kutanthauza kuchepa kwamadzi;
- ukalamba.
Mlingo ndi makonzedwe
Mapiritsi amatengedwa pakamwa. Mlingo woyambirira ndi 10 mg 1 nthawi patsiku. Ngati kuchuluka kwa mankhwalawa sikungapereke chiwongolero cha glycemic, ndiye kuti mlingo umakwera mpaka 25 mg. Mlingo wapamwamba ndi 25 mg / tsiku.
Mapiritsi amatengedwa pakamwa.
Kugwiritsa ntchito mapiritsi sikugwirizana ndi nthawi ya tsiku kapena chakudya. Ndiosafunika kuti tsiku 1 liperekenso pawiri.
Chithandizo cha Matenda a shuga ndi Jardins
Ziyeso zamankhwala zatsimikizira kuti mankhwalawo omwe akufunsidwa ndi njira yokhayo yothandizira matenda a shuga mellitus (mtundu II), momwe chiopsezo chotenga matenda a CVD ndi ziwengo zaimfa kuchokera ku ma pathologies amenewa amachepetsedwa. Sizoletsedwa kugwiritsa ntchito mankhwalawa kwa odwala omwe ali ndi matenda a shuga 1.
Zotsatira zoyipa
Mukamagwiritsa ntchito mankhwalawa wodwala, mawonekedwe otsatirawa akhoza kuwonedwa. Ngati zingachitike, muyenera kusiya kumwa mankhwalawo ndi kukaonana ndi dokotala.
Matumbo
- nseru
- kusanza
- kusabereka m'mimba.
Pa khungu ndi mafuta onunkhira
- kuyabwa
- kusenda;
- zotupa;
- kutupa;
- redness.
Pakati mantha dongosolo
- mutu
- kugona
- wokongola.
Kuchokera kwamikodzo
- kukodza pafupipafupi;
- dysuria;
- kwamikodzo thirakiti matenda;
- matenda obwera ndi ukazi mwa akazi;
Kuchokera pamtima
- kukomoka;
- kutsika kwa kuthamanga kwa magazi;
- hypovolemia;
- kusowa kwamadzi.
Kuchokera kumbali ya kagayidwe
- hypoglycemia, yomwe imachitika mankhwala akaphatikizidwa ndi zotumphukira za insulin ndi sulfonylurea.
Malangizo apadera
Ndi mawonekedwe a kupweteka kwam'mimba, kusanza, nseru, ludzu ndi mavuto ena, kuyenera kuyang'aniridwa kuti athe kudwala matenda ashuga a ketoacidosis.
Kuyenderana ndi mowa
Ndi zoletsedwa kumwa mowa pa mankhwalawa.
Ndi zoletsedwa kumwa mowa pa mankhwalawa.
Zokhudza mphamvu pakuwongolera njira
Mukamagwiritsa ntchito mankhwalawa, muyenera kusamala kwambiri mukamagwira ntchito yoopsa komanso magalimoto oyendetsa.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Sizoletsedwa kutenga mkaka ndi pakati. Mwapadera, kuyamwitsa kuyenera kutha.
Kusankhidwa kwa Jardins kwa Ana
Makapisozi okhala ndi mafilimu amaphatikizidwa kuti agwiritsidwe ntchito mwa akhanda ndi ana.
Gwiritsani ntchito mu ukalamba
Mukakalamba, mankhwalawa amayenera kukhala osamala kwambiri ndikuyang'aniridwa ndi dokotala.
Sizoletsedwa kugwiritsa ntchito mapiritsi a chiwindi kwambiri.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Sizoletsedwa kugwiritsa ntchito mapiritsi a chiwindi kwambiri.
Gwiritsani ntchito ntchito yolakwika yaimpso
Amapatsirana kumwa mapiritsi a pachimake kapena aimpso kulephera komanso kuwonongeka kwakanthawi kaimpso.
Bongo
Kafukufuku wachipatala sanalembepo milandu yovuta yokhala ndi mankhwala osokoneza bongo. Nthawi zina, pamakhala chiwopsezo chowonjezereka chotsatira. Ngati mulingo wacheperako, ndikulimbikitsidwa kuti muzitsuka m'mimba ndikuyang'ana shuga wa seramu. Kuperekanso chithandizo kumakhala chizindikiro.
Ngati mulingo wacheperako, ndikofunikira kuti muzitsuka m'mimba.
Kuchita ndi mankhwala ena
Kuchulukitsa ntchito ya okodzetsa, zomwe zingayambitse kukulitsa kwa hypotension ndi kufooka kwa thupi. Kukonzekera kwa insulin kumatha kupangitsa hypoglycemia kuphatikiza ndi mapiritsi omwe amafunsidwa.
Zomwe zimagwiritsidwa ntchito ndi mankhwalawa sizikhudza malo a Torasemide, Ramipril, Digoxin, Pioglitazone, Foorsig ndi Metformin. Nthawi zambiri, akaphatikiza, kusintha kwa mlingo sikofunikira.
Analogi
Pa msika wogulitsa mankhwala ku Russian Federation palibe mankhwala omwe amapangidwa pamaziko a chinthu chofanana. Mankhwala ena a hypoglycemic ali ndi malingaliro osiyana pochita. Izi zikuphatikiza:
- Diaglinide;
- NovoNorm.
Kuti mugule mankhwala, muyenera kulandira mankhwala kuchokera kwa dokotala.
Kupita kwina mankhwala
Kuti mugule mankhwala, muyenera kulandira mankhwala kuchokera kwa dokotala.
Kodi ndingagule popanda kulandira mankhwala?
Popanda mankhwala, mankhwalawo sangagulidwe.
Mtengo wa Jardins
Kuchokera pa ruble 2600 pakiti iliyonse (mapiritsi 30 a 10 mg). Paketi ya mapiritsi 10 imatengera ma ruble 1100.
Zosungidwa zamankhwala
Kutentha kosaposa + 25 ° C, m'malo opanda pake, owuma komanso ozizira.
Tsiku lotha ntchito
Kufikira zaka 3 kuyambira tsiku lopangira.
Umboni wa madotolo ndi odwala za Jardins
Galina Aleksanina (wochiritsa), wazaka 45, St. Petersburg.
Mankhwala otetezeka omwe samayambitsa mavuto (machitidwe anga). Mtengo wokwera umavomerezeka mokwanira ndi zochitika zamankhwala. Zotsatira za placebo zimatsimikiziratu. Kuphatikiza apo, alibe ma fanizo ku Russia, ndipo mankhwalawa amafanana mosiyanasiyana.
Anton Kalinkin, wazaka 43, Voronezh.
Chida chake ndi chabwino. Ine, monga munthu wodwala matenda ashuga, ndimakhutira ndi zomwe akuchita. Chofunika kwambiri ndikuphunzira mosamala malangizo ogwiritsa ntchito. Pokhapokha ngati izi zitha kupewedwa, zomwe zimatsimikiziridwa pakokha. Mwa zoperewera, munthu amatha kusiyanitsa mtengo wokhawo komanso kuti mankhwalawo sagulitsidwa m'mafakitala onse.
