Gluconorm ndi yofunika kuthandizira kuthana ndi matenda ashuga. Zimathandizira kuchepetsa misempha ya magazi.
Dzinalo Losayenerana
Glibenclamide + Metformin.
ATX
A10BD02.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwala amapangidwa monga mapiritsi. Piritsi limodzi lili ndi 2.5 mg ya glibenclamide ndi 400 mg ya metformin hydrochloride ngati zinthu zofunikira. Zazungulira mawonekedwe. Mtundu - kuchokera oyera mpaka oyera.
Gluconorm ndi yofunika kuthandizira kuthana ndi matenda ashuga.
Zotsatira za pharmacological
Metformin ndi m'gulu la zinthu zomwe zimatchedwa Biguanides. Mlingo wa shuga m'magazi akamwedwa umachepa chifukwa chakuti chiwopsezo cha zotumphukira kuzinthu za insulin chikukula. Kutenga kwa glucose kumakhala kotakataka. Zakudya zomanga thupi sizimalowa kwambiri m'mimba. Mapangidwe a shuga m'chiwindi amachepetsa. Kuchuluka kwa cholesterol m'mwazi kumachepa. Hypoglycemia siitha kuyambitsa.
Ponena za glibenclamide, zimadziwika kuti ndi zochokera m'badwo wachiwiri sulfonylurea. Imayambitsa kupanga insulini, kumasulidwa kwake, kumachepetsa ntchito ya lipolysis mu minofu ya adipose.
Kuchuluka kwa shuga m'magazi mukamatenga Gluconorm kumachepa chifukwa chakuti chidwi cha zotumphukira kuzinthu za insulin zimakulirakulira.
Pharmacokinetics
Chiwopsezo chachikulu kwambiri cha glibenclamide m'magazi chimalembedwa maola awiri atatha kumwa mapiritsi. 95% yophatikizidwa ndi mapuloteni am'madzi am'magazi. Kuola pafupifupi 100% kumachitika m'chiwindi. Hafu yocheperako ya moyo ndi maola atatu, okwera amatha kufika maola 16.
Metformin ndi 50-60% bioavava. Kulumikizana ndi mapuloteni am'madzi am'magazi ndi kochepa, kugawa minofu kumatha kufotokozedwa kuti ndi yunifolomu. Zofooka zofooka. Kuchotsa hafu ya moyo ndi maola 9-12.
Chiwopsezo chachikulu kwambiri cha glibenclamide m'magazi chimalembedwa maola awiri atatha kumwa mapiritsi.
Zizindikiro zogwiritsidwa ntchito
Mankhwalawa, okhudzana ndi othandizira a hypoglycemic, amapatsidwa mankhwala a matenda a shuga a 2 odwala. Nthawi zambiri, mankhwalawa amafunikira pamene wodwala amathandizidwa ndi chimodzi mwazinthu zomwe zikuwonetsedwa mu kapangidwe kake kapena pakukula kwa kulimbitsa thupi ndi kudya.
Contraindication
Kuchiza ndi mankhwalawa sikungachitike pamene wodwala ali ndi zinthu zotsatirazi:
- hypoglycemia;
- pathologies ogwirizana ndi minofu hypoxia: myocardial infarction, mtima ndi kupuma matenda, mantha;
- matenda ashuga ketoacidosis;
- mtundu 1 matenda a shuga;
- lactic acidosis ndi porphyria;
- kuwotcha kwakukulu kapena njira zopatsirana zomwe zimafunikira chithandizo cha insulin mwachangu;
- kuchuluka kwa zomwe zimagwiritsidwa ntchito ndi mankhwala.
Momwe mungatenge gluconorm?
Ndi matenda ashuga
Asanamwe mapiritsi, wodwala aliyense ayenera kuphunzira malangizowo kuti asavulaze thanzi lawo. Mlingo uyenera kutumizidwa ndi dokotala yemwe akupatseni mankhwala. Amaganizira za mulingo woyenera wa glucose womwe mumagazi amalembedwa mwa wodwala panthawi yodziwika. Nthawi zambiri, zakudya zimaganiziridwa.
Mlingo wapamwamba kwambiri patsiku sungakhale mapiritsi oposa 5. Kwenikweni, ndi piritsi limodzi patsiku (400 mg / 2.5 mg). Kuyambira pachiyambi chamankhwala, masabata onse a 1-2 njira yochiritsira imatha kusintha, pomwe dokotala amayang'anira kusintha kwamagazi a shuga. Ngati igwera, ndiye, molondola, mlingo uyenera kuchepetsedwa.
Mlingo uyenera kutumizidwa ndi dokotala yemwe akupatseni mankhwala.
Zotsatira zoyipa za Gluconorm
Kumwa mankhwalawa kumapangitsa kuti thupi lanu lizisintha mosiyanasiyana.
Matumbo
Pakhoza kukhala kuchepa kwa chilakolako cha chakudya, nseru, kumverera kwa chitsulo mkamwa.
Milandu ina imalemba mawonekedwe a cholestatic jaundice, hepatitis komanso kuwonjezeka kwa ntchito yogwira ma enzymes a chiwindi.
Hematopoietic ziwalo
Monga kawirikawiri chovuta kuchokera ku hematopoietic dongosolo, kukula kwa leukopenia, thrombocytopenia kumachitika. Ngakhale mochulukirapo, kuchepa kwamitundu yoyera yamagazi, magazi a meWIblastic amayamba.
Monga zina zomwe zimachitika kawirikawiri kuchokera ku hematopoietic dongosolo, leukopenia imachitika.
Pakati mantha dongosolo
Wodwala amatha kudwala matenda amanjenje pakumwa mankhwalawo. Wodwalayo amatha kudwala mutu, kufooka komanso chizungulire, kutopa kwambiri komanso kusalolera.
Carbohydrate kagayidwe
Hypoglycemia ikhoza kuchitika.
Kuchokera kumbali ya kagayidwe
Chowonetsera kwambiri cha zovuta za metabolic ndi lactic acidosis.
Hypoglycemia ikhoza kuchitika.
Pa khungu
Chochitika chosowa kwambiri ndikuwonjezereka kwa chiwopsezo cha kuwala kwa ultraviolet.
Matupi omaliza
Proteinuria, malungo, kuyabwa ndi urticaria - izi zimachitika mwa wodwala yemwe amathandizidwa ndi mankhwalawa.
Zokhudza mphamvu pakuwongolera njira
Chifukwa cha zomwe zimachitika mkati mwa dongosolo lamanjenje, ndikofunikira kukana kuwongolera njira.
Chifukwa cha zomwe zimachitika mkati mwa dongosolo lamanjenje, ndikofunikira kukana kuwongolera njira.
Malangizo apadera
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Mankhwalawa sayenera kumwa pakhungu. Ngati pakufunika matenda a shuga, izi ziyenera kuchitika ndi mankhwala a insulin.
Metformin imapangidwa mkaka wa m'mawere. Izi zikutanthauza kuti mukamachiza, muyenera kusiya kumwa mankhwalawo kapena kusiya kuyamwitsa ndi kusamutsa mwanayo kuti akumbukire.
Kupangira Gluconorm kwa ana
Ntchito mankhwalawa muubwana ali osavomerezeka.
Ntchito mankhwalawa muubwana ali osavomerezeka.
Gwiritsani ntchito mu ukalamba
Mankhwalawa sayenera kuperekedwa kwa odwala azaka zopitilira 60 omwe akuwonetsa kwambiri ntchito yamagalimoto. Izi zingayambitse kukula kwa lactic coma.
The ntchito aimpso kuwonongeka
Ndi vuto laimpso, osagwiritsa ntchito malonda.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Kukanika kwambiri kwa chiwindi, mankhwala osokoneza bongo sangathe kuchitika.
Kukanika kwambiri kwa chiwindi, mankhwala osokoneza bongo sangathe kuchitika.
Gluconorm Overdose
Ngati mulingo woyenera wonjezedwa, wodwala amatha kukumana ndi lactacide, chithandizo chomwe chiyenera kuchitika kuchipatala ndi hemodialysis. Hypoglycemia ikhoza kuchitika, yomwe imadziwonetsa mwa mawonekedwe a njala, kunjenjemera, mavuto ogona kwakanthawi ndi zovuta zamitsempha.
Kuchita ndi mankhwala ena
Osavomerezeka kuti agwiritsidwe ntchito munthawi yomweyo limodzi ndi mankhwala a fenfluramine, cyclophosphamide, ACE inhibitors, mankhwala antifungal, chifukwa amathandizira mphamvu ya mankhwalawa.
Liazone diuretics yokhala ndi mahomoni a chithokomiro cha Iodine imatha kufooketsa ntchito yake.
Osavomerezeka kuti agwiritsidwe ntchito ndi fenfluramine.
Kuyenderana ndi mowa
Panthawi yamankhwala, muyenera kupewa kumwa mowa.
Analogi
Mutha kusintha malowa ndi Glibomet, Metglib, Gluconorm ndi blueberries (tiyi ya zitsamba, kututa kuchokera ku Altai).
Kupita kwina mankhwala
Kodi ndingagule popanda kulandira mankhwala?
Kupumula kuchokera ku pharmacies ndikotheka kokha mwakulemba mankhwala.
Kupumula kuchokera ku pharmacies ndikotheka kokha mwakulemba mankhwala.
Mtengo wa Gluconorm
Mtengo wa mankhwalawa umayambira ku ma ruble 250.
Zosungidwa zamankhwala
Kuti muchite zosungirako pa kutentha osapitirira + 25 ° ะก.
Tsiku lotha ntchito
Zaka zitatu
Wopanga
M.J. Biopharm (India).
Mtengo wa mankhwalawa umayambira ku ma ruble 250.
Ndemanga za Gluconorm
Madokotala komanso odwala omwe amathandizidwa ndi mankhwalawa amasiya kuwunikira bwino.
Madokotala
D.E. Tikhonov, GP, Ryazan: "Mankhwalawa akuwonetsa zotsatira zabwino pochiza matenda a shuga a mtundu wa 2. Odwala ali bwino kwambiri."
O.D. Ivanova, wa endocrinologist, ku Moscow: "Ndimaona kuti mankhwalawa ndi amodzi abwino kwambiri ochizira matenda amishuga a 2, chifukwa amathandiza msanga komanso mothandizika sachititsa kuti pakhale zovuta zina. Ndiyambe mokwanira."
Odwala
Alina, wazaka 29, Bryansk: "Ndinafunika kulandira chithandizo chachikulu monga matenda ashuga. Mankhwalawa anali atatenga nthawi yayitali, koma matendawo anakula kwambiri.
Ivan, wazaka 49, Ufa: "Ndidalandira chithandizo kuchipatala. Ndinakhutitsidwa ndi chilichonse, kuphatikizapo chisamaliro cha madotolo ndi ukadaulo wawo. Anandifufuza ndi kutengera zotsatira zomwe zidaperekedwa pamankhwala. Ndikutha kuyitanitsa mankhwalawa kuti ndiwothandiza kwa onse odwala matenda ashuga."
