Ambiri amva mobwerezabwereza za mankhwala ngati a Glucovans. Mankhwalawa amapangidwa ku France, koma amagulitsidwa padziko lonse lapansi, kuphatikizapo m'dziko lathu.
Ngati tizingolankhula mwatsatanetsatane za gawo liti la mankhwalawa, ndiye chinthu choyamba chomwe tikulankhula ndi zinthu monga:
- metformin;
- glibenclamide.
Ndikofunikanso kukumbukira kuti mankhwala a Glucovans ali ndi mphamvu ya hypoglycemic. Chifukwa cha metformin yomwe imapangidwa, ndizotheka kuchepetsa bwino shuga ya odwala. Pamodzi ndi izi, palibe kukondoweza pakupanga insulin, chifukwa chomwe mfundo zakukula kwa glycoglemia sizikudziwika konse.
Ngati timalankhula zambiri za momwe Glucovans imagwirira ntchito, malangizo omwe angagwiritsidwe ntchito mankhwalawa akuwonetsa kuti ali ndi njira zitatu zazikulu zoyenera kuchitira.
Njira izi zomwe zimathandizira thupi ndi:
- Kutsika kwa kuchuluka kwa shuga komwe chiwindi chimapanga.
- Kuchulukitsa chidwi ndi insulin ya mahomoni, zomwe zikutanthauza kuti maselo am'mimba amatenga shuga wambiri.
- Njira yobwera ndi shuga m'magawo am'mimba imachedwa.
Koma kuwonjezera pa zonse zomwe zatchulidwa pamwambapa, zimadziwikanso kuti mankhwalawa Glucovans amatsitsa cholesterol, yomwe nthawi zambiri imakhala yodwala kwambiri odwala matenda ashuga, komanso triglycerides ndi zinthu zina zomwe zimapezeka mthupi la munthu aliyense.
Zolemba za mankhwala
Ngati timalankhula mwatsatanetsatane za momwe mungamwere ma Glucovans, apa, choyambirira, muyenera kulabadira kuti sulfonylurea, yomwe ndi gawo la kapangidwe kake, komanso zinthu zina, zimachepetsa kukula kwa glucose yemwe amapangidwa ndi maselo a beta a thupi, makamaka makamaka kapamba. Ndiye chifukwa chake, muyenera kumwa mankhwalawo monga momwe adanenera ndi adotolo komanso muyezo womwe amapereka.
Komanso, munthu sayenera kuyiwala kuti metformin ndi glibenclamide zomwe ndi gawo limodzi la mankhwalawa zimakhala ndi mphamvu yofanana ya glycemic, ngakhale imakhudza thupi mosiyanasiyana.
Pakakhala ndalama zamkati mwazomwe zimapezedwa, ndiye kuti zomwe zili m'makina ogaya zimakhala 95%. Koma zomwe zili mu gawo limodzi la zigawo za m'magazi zimafikira maola anayi mutatha kutenga Glucovans 5 mg kapena 2.5 mg. Pakadali pano, metformin m'mimba yogaya imasungunuka kwathunthu mkati mwa maola awiri ndi theka.
Anthu ambiri ali ndi chidwi ndi funso loti amwe mapiritsi angati kuti amwe. Pankhaniyi, zonse zimatengera kuzindikira kwazomwe zikuchitika. Tiyerekeze, ndikofunikira kuganizira zaka za wodwalayo, jenda ndi mawonekedwe ena a thupi la wodwalayo. Mlingo weniweniwo ungathe kutumizidwa ndi adokotala, atapimidwa mozama.
Nthawi zambiri pamabuka mafunso ngati Metformin ndi Glibenclamide atha kutengedwa nthawi yomweyo, pamenepo, yankho lake lingakhale inde. Zotsatira zabwino zakugwiritsa ntchito nthawi imodzizi mwa zinthu izi zitha kuwoneka chifukwa cha mankhwala omwe ali pamwambawa.
Ndikofunikanso kuti kudya mwamtheradi sikumakhudza metformin, koma nthawi yomweyo imathandizira zotsatira za glibenclamide.
Kodi zotsutsana ndimankhwala ndiziti?
Ma Glucovans ali ndi ma analogi omwe amapangidwa pamaziko azomwe amathandizira pazomwe zimagwira, kotero mankhwalawa amayenera kumwedwa mosamala komanso kutsatira mankhwalawa.
Mukamamwa mankhwala, contraindication onse ayenera kuganiziridwa.
Akatswiri odziwa ntchito amalimbikitsa kuti musayambe chithandizo ndi mankhwalawa ngati wodwala ali ndi zoletsa zina pazogwiritsa ntchito.
Main contraindication ndi:
- chidwi chamunthu pazinthu zomwe zimapanga mankhwalawa;
- kukhalapo kwa matenda a shuga a mtundu woyamba;
- Kulephera kwa impso, kulephera kwa thupilo;
- kuchuluka kwa matupi a ketoacidosis, komanso mkhalidwe wa precoma;
- mkhalidwe waumoyo womwe umayendetsedwa ndi chizindikiro monga minofu hypoxia (mtima kapena kupuma kwa dongosolo, kusakhazikika kwa myocardial, mkhalidwe wodabwitsa);
- zaka zoyambirira za mwana;
- kulephera kwa impso;
- nthawi yoyamwitsa mwa akazi, komanso nthawi yayitali;
- ndi zovuta kuchitapo kanthu opaleshoni;
- pa zakumwa zoledzeretsa, zomwe zili pamlingo wa kukula kwamatenda.
Ndikofunikira kwambiri kumwa mankhwalawa kwa anthu azaka zopitilira 60, komanso kwa iwo omwe amagwira ntchito zolimbitsa thupi.
Nthawi zina, madokotala amalimbikitsa kuti musagwiritse ntchito mankhwalawo, mwachitsanzo, imatha kukhala yopanda tanthauzo kapena kulephera kwa adrenal. Kuchepa kwa chithokomiro kungathenso kuchitika mndandandandawo. Kuti mumvetsetse ndendende zomwe anthu omwe amatenga Glurenorm kapena Glucovans, komanso Glucofage, amafunikira kuti apimidwe bwino, ayenera kufufuza kaye ndi katswiri wodziwa bwino yemwe angadziwe ngati ali ndi vutoli komanso asavomereze kapena osavomereza kumwa mankhwalawa.
Kodi ndimwe liti mankhwalawa?
Wopanga amalimbikitsa kumwa glucovans pozindikira mtundu wachiwiri wa shuga mwa okalamba. Makamaka, muzochitika ziti zomwe madokotala amapereka mankhwala kwa wodwala wawo, chinthu choyamba chomwe tikulankhula ndi pamene zakudya zomwe wodwala amatsatira sizipereka zomwe akufuna. Milandu yokhudza mankhwala osokoneza bongo imadziwikanso kwambiri pamene wodwala woyamba adatenga metformin mwa mawonekedwe ake oyera, koma mankhwalawo sanapereke zotsatira zomwe akufunazo.
Tiyenera kudziwa kuti mapiritsi a Glucovans 500 ali ndi maubwino angapo poyerekeza ndi mankhwala ena omwe amachitanso chimodzimodzi. Ngakhale pokhapokha mankhwala omwe amakupatsani mwayi wolamulira kuchuluka kwa shuga m'magazi, koma amapereka zotsatira zoyipa. Mtengo wa mankhwalawo ndiwovomerezeka, ndi ma ruble mazana atatu phukusi la zidutswa makumi atatu.
Ngakhale ndikofunikira kukumbukira kuti Glucovans 500mg 5mg, monga mankhwala ena aliwonse, amatha kukhala ndi zotsatirapo zina.
Mwachitsanzo, imatha kukhala machitidwe a thupi monga:
- Hepatic kapena khungu porphyria, yomwe imakhala chifukwa cha zovuta za metabolic za wodwalayo.
- Lactic acidosis.
- Pali milandu yomwe imadziwika kuti ikuwonjezera kufalikira kwa magazi.
Odwala ena amadandaula kuti masamba awo akununkhira amasintha chifukwa chotenga Glucovans 500.
Koma musachite mantha nthawi yomweyo, ngati mutamwa Glurenorm kapena mankhwala ena ali ndi vuto lofananalo, ndiye kuti mankhwalawo sangayende limodzi ndi zovuta zambiri.
Zowona, zitha kukhalapo nthawi zina pamene wodwalayo sakudana ndi mbali zina za mankhwalawo.
Malangizo ogwiritsira ntchito mapiritsi
Odwala ambiri omwe amamwa Glucovans amasiya malingaliro awo okhudzana ndi kugwiritsa ntchito mankhwalawa pamitundu yonse ya intaneti. Mwa iwo, amalankhula mwatsatanetsatane za njira yabwino yothanirana ndi mankhwalawa, komanso momwe chithandizo chotere chimaperekera.
Zachidziwikire, kudziwa kwa madotolo ndikofunikira kwambiri, chifukwa ndi okhawo omwe amadziwa mtundu wa mankhwala omwe ali woyenera kwa wodwala winawake, komanso zomwe contraindication kapena, mosiyana, zikuwonetsa kugwiritsa ntchito mankhwalawa.
Muyeneranso kudziwa kusiyana komwe kulipo pakati pa Glucovans 5 mg ndi mankhwala omwewo, omwe amaphatikiza ndi 2,5 mg pazomwe zimagwira, kusiyana konse pamlingo wa chinthu chachikulu, chomwe ndi gawo lamankhwala.
Imwani yekha mkati, pomwe muyezo umodzi kapena tsiku lililonse umayesedwa ndi dokotala aliyense payekhapayekha. Sitinganene kuti mulingo womwewo umalimbikitsa onse odwala matenda ashuga. Zonse zimatengera njira yamatenda ndi zina zokhudzana ndi matendawa.
Nthawi zambiri, tsiku lililonse mlingo umakhala wofanana ndi womwe wodwalayo adagwirapo kale. Madokotala amalimbikitsa kuwonjezera kuchuluka kwa mankhwala ngati kuli kofunikira. Kugwiritsa ntchito bwino mankhwalawa kwa odwala matenda ashuga kumathandizanso wodwalayo kumva bwino ndikuwongolera shuga.
Za mankhwala omwe angasankhe bwino - Glucovans 5 kapena Glucovans 2,5, ndiye kuti zonse zimatengera mlingo womwe dokotala wakhazikitsa. Ndikofunika kukumbukira kuti mankhwalawa amathanso kuvulaza thanzi la wodwala, ngakhale owopsa. Ndikwabwino kuti tsiku lililonse mlingo osapitilira 4 mapiritsi a 5 mg + 500 mg aliyense.
Mwa njira, malingana ndi mtengo wamankhwala, kusiyana pakati pawo sikokwera kwambiri, pafupifupi ma ruble zana.
Malinga ndi ichi, mankhwala omwe ali ndi mlingo waukulu amatenga kuposa ena omwe ali ndi 2,5 mg yokha. + 500 mg.
Ndemanga za odwala omwe amamwa mankhwalawa
Zachidziwikire, pafupifupi aliyense amene anayenera kudwala matenda ashuga amayesabe kudziwa zambiri mwatsatanetsatane za momwe kugwiritsa ntchito mankhwalawa kwatithandizira. Amakondanso kudziwa tanthauzo la mankhwalawa. Tiyenera kudziwa kuti Glyrenorm amadziwika kuti ndiwodziwika bwino wa mankhwala. Mankhwalawa nthawi zambiri amawerengedwa ndi madokotala kuti azichiza matenda a shuga a 2.
Ponena za kuwunika kwa wodwala, ndizovuta. Wina akuti chithandizo cha mankhwalawa ndichapamwamba kwambiri. Kwa ena, mmalo mwake, zikuwoneka kuti kugwiritsa ntchito mankhwalawa pafupipafupi sikumapereka zotsatira zomwe zimafunidwa, ndipo nthawi zina zimapweteketsanso chithandizo chamankhwala.
Zomwe, momwe Glucovans imasiyanirana ndi Mankhwala a Glurenorm, ndiye kuti poyambirira ndikotheka kuzindikira mulingo wosiyana wa zigawo zikuluzikulu ndi zinthu zosiyanasiyana zomwe zimagwira ntchito zothandizira. Mlingo weniweni kapena kufunikira kwa kusintha kwa mankhwalawa kungathe kutsimikiziridwa ndi katswiri wodziwa bwino pambuyo pofufuza bwino wodwalayo.
Chabwino, ngati timalankhula za mankhwala ati omwe ali ndi mawonekedwe ofanana kwambiri ndi mankhwala a Glucovans, ndiye kuti choyambirira, awa ndi Glucofast ndi Glybomet.
Ndemanga ina ya odwala ambiri imati kuti pakufunika kwa mankhwalawo muyenera kutsatira zakudya zoyenera nthawi zonse. Mwachitsanzo, muyenera kuyesetsa kusiya kugwiritsa ntchito zakumwa zoledzeretsa, kuchepetsa kuchuluka kwa mafuta omwe amwedwa, komanso kuchepetsa kudya komwe kumakulitsa shuga m'magazi a anthu.
Kodi ndikofunika kukumbukira chiyani mukamagwiritsa ntchito?
Odwala ena amawopa kwambiri kuti ayambe kulandira mankhwala atatha kuwerengera kuti mankhwalawa sanagwirizane ndi wina. Kapena malingaliro omwe anthu amalemba amati, ndimamwa mankhwalawa, ndipo samapereka kufunika.
Ndikufuna kudziwa kuti simungathe kuchita mantha nthawi yomweyo komanso kukana chithandizo chamankhwala. Nthawi zina izi zimachitika chifukwa chakuti kuchuluka kwa mankhwala omwe amwedwa sikukugwirizana ndi kudziwa kwa wodwalayo kapena kuopsa kwa matendawo omwe.
Kuti mumvetsetse ndindani mankhwala omwe mukufuna kugula, mutha kuwona zithunzi zam'mapiritsiwo pa intaneti.
Ndipo zoona, ndikofunikira kukumbukira tsiku lomwe mankhwalawo adapangidwa. Kugwiritsa ntchito mapiritsi omwe adatha amatha kukhala owononga thanzi lanu.
Zakhala zanenedwa kale kuti ndizinthu ziti zomwe ndizigawo lamankhwala. Tiyeneranso kudziwa kuti mankhwalawa a INN ali ndi dzina liti, pamenepa amatchedwa metformin.
Inde, mankhwala aliwonse amapereka zabwino zokhazokha pokhapokha ngati wodwala yemwe akuwagwiritsa ntchito akutsatira momveka bwino mlingo komanso atsogoza moyo wabwino. Pankhaniyi, ndikofunikira kutsatira zakudya zoyenera, komanso kuti musanyalanyaze zochitika zolimbitsa thupi mu shuga. Nthawi yomweyo, katundu wambiri thupi samalimbikitsidwa.
Zachidziwikire, simungathe kunyalanyaza malamulo owongolera shuga. Ngati chisonyezochi sichimawerengedwa munthawi yake, ndiye kuti kumwa mankhwalawa kungavulaze thanzi.
Ndi mankhwala ati othandiza kwambiri a hypoglycemic omwe afotokozedwa muvidiyoyi.
