Odwala ambiri omwe ali ndi vuto la matenda ashuga ali ndi chidwi chofuna kudziwa kuti ndi mankhwala ati omwe angathandize kwambiri pochiza matendawa.
Chimodzi mwazothandiza kwambiri ndi mankhwala Glibomet, omwe ali ndi shuga yotsika shuga, chifukwa chakuti mumakhala zinthu monga metformin ndi glibenclamide. Kuchulukitsa pakati pazigawo zikuluzikulu za mankhwala glibenclamide ndi metformin ndi 400 mg ndi 2.5 mg, motsatana. Chipangizocho chili ndi zigawo zothandiza.
Zowona, kuti chithandizo chamankhwala chikhale chokulirapo, muyenera kumvetsetsa momwe mankhwalawo amayenera kumwa moyenera.
Mankhwalawa amapezeka mwanjira ya mapiritsi, phukusi limakhala ndi mapiritsi 40, 60 ndi 100.
Ndikofunika kuzindikira - mankhwalawa amatengedwa ngati amshuga amitundu iwiri. Chofunikira chachikulu, chomwe ndi gawo lake, chimakhudzanso chinsinsi cha insulini, chimawonjezera kuzindikira kwa mahomoni m'thupi.
Ndikofunikira kuti Glibomet ndi fanizo la mankhwalawa amawonedwe ngati m'badwo watsopano wa mankhwalawa, chifukwa chogwiritsa ntchito imodzi mwazomwe zimagwira - glibenclamide. Glibenclamide ndi kabuku kakang'ono kotsatira, kotchedwa m'badwo wotsatira.
Mitu ya mankhwalawa imakhudzanso thupi ndipo ili ndi katundu wofanana. Glucophage ikhoza kukhala mankhwala analogue; imakhala ndi glibenclamide ndi metformin.
Ubwino wawukulu wa mankhwalawa ndikuti ndi mankhwala omwe amagwiritsidwa ntchito kwa nthawi yayitali, nthawi zambiri amaperekedwa kwa achinyamata ndi ana.
Chifukwa cha kuphatikiza bwino magawo awiriwo, chifukwa chotenga glibenclamide ndi metformin, ndizotheka kukwanitsa kutsitsa shuga komanso kuthana ndi kunenepa kwambiri. Vuto lolemera kwambiri nthawi zambiri limatsatizana ndi matenda a shuga 2.
Zotsatira za mankhwalawa pa thupi
Kafukufuku wambiri wochitidwa ndi akatswiri padziko lonse lapansi atsimikizira kuti mankhwalawa, omwe ali ndi INN yotchedwa Metformin, amayamba maola awiri atagwiritsidwa ntchito, ndipo amatha pambuyo maola 12. Ndikokwanira kuti wodwalayo atenge kawiri pa tsiku kuti akhale ndi moyo wabwino komanso wathanzi. Wodwala ayenera kumvetsetsa kuchuluka kwa mankhwalawa omwe amayenera kumwa ndi mitundu yosiyanasiyana ya shuga.
Odwala ena amadandaula chifukwa cha kugwiritsidwa ntchito kwa mankhwalawa, zimachitika mwa wodwala pamaso pa tsankho la munthu pazigawo za mankhwala. Ndikofunika kusanthula pasadakhale kuyanjana kwa thupi la munthu ndi zigawo za mankhwalawo ndikuyamba kulandira chithandizo.
Mutatha kumwa mapiritsi, thupi limayamba kupanga insulin mwachangu. Pambuyo kumwa mankhwalawa, amapangidwanso kangapo kuposa mankhwala asanayambe. Katundu woyambira wogwira amakhala ndi mphamvu pancreatic mthupi la munthu, koma biguanide yomwe ilipo mu mankhwalawa imakhala ndi mphamvu yowonjezera - kuphatikizidwa kwa glucose komwe thupi la wodwala limayamba.
Odwala ena amakhulupirira kuti kuchira koyenera ndikokwanira kumwa mankhwala ena ndipo thanzi lidzasintha. Sikokwanira kupita kwa adotolo ndikumuwuza china chake ngati mungathandizire kuthana ndi matenda a shuga kapena mundiuze, chonde, piritsi logwira ntchito kwambiri komanso nthawi yomweyo, mwachitsanzo, mowa. Pochotsa matenda, ndikofunikira kutsatira zakudya zoyenera ndikulimbitsa thupi ndi zinthu zokwanira zolimbitsa thupi. Osachulukitsa thupi siziyenera.
Ngati wodwalayo aphatikiza kugwiritsa ntchito bwino mankhwala, kudya moyenera komanso kuchita masewera olimbitsa thupi, akhoza kukwanitsa zotsatirapo zake.
Contraindication pakugwiritsa ntchito mankhwala
Ndikofunikira kudalira dokotala wanu osati malingaliro a odwala ena.
Kuphatikiza kwa glibenclamide ndi metformin kumathandizira kuti shuga ya thupi ikhale m'malo zovomerezeka kwa munthu.
Monga mankhwala ena aliwonse, glibomet yokhala ndi glibenclamide ndi metformin imakhala ndi zotsutsana.
Mfundo zazikuluzikulu zogwiritsa ntchito mankhwalawa ndi izi:
- mtundu 1 shuga;
- lactic acidosis nthawi;
- chikomokere kapena matenda opatsirana;
- matenda okhudzana ndi kuphwanya njira yogwira chakudya;
- matenda ovuta omwe angayambitse kukula kwa aimpso;
- chiwindi ntchito mavuto ndi zina zambiri.
Thupi la odwala matenda ashuga amadwala matenda ena akuluakulu komanso matenda am'magazi pakugwira ntchito kwa ziwalo zamkati, kukulira motsutsana ndi matenda omwe amayambitsidwa. Chifukwa chake, musanayambe chithandizo cha matenda omwe ali ndi vuto lililonse ndi mankhwala aliwonse, ndikofunikira kupenda thupi kuti muwone ngati wodwalayo angakhale ndi zotsatirapo zoyipa komanso zotsatirapo zoipa chifukwa chomwa mankhwalawo.
Ndikofunikira kumvetsetsa kuti ndi mankhwalawa omwe mankhwalawa ali oyenera kwa wodwala winawake, ndizotheka kusankha mawonekedwe a mankhwalawa. Ponena za analogue, chisamaliro chiyenera kutengedwa kuti musankhe choyenera kwambiri. Madokotala ambiri amalimbikitsa odwala kuti asinthe mankhwalawo ngati zotsatira zoyipa ziyamba kuonekera. Glucophage ndi yotchuka ngati analogue, yomwe imakhudzanso thupi la wodwalayo.
Kusankha mankhwala othandiza kwambiri, ndikofunikira, posankha mankhwala, kuti muphunzire mwatsatanetsatane malangizo ogwiritsira ntchito mankhwalawa komanso kuwunika kwa wodwalayo za iwo. Kuwerenga malangizo ogwiritsira ntchito mankhwalawa Glibomet ndi kuwunika kwa wodwalayo kumatithandiza kumvetsetsa zonse zomwe tikugwiritsa ntchito pogwiritsira ntchito mankhwalawa ndikupanga kugwiritsa ntchito kosavulaza komanso kogwira mtima momwe kungathekere.
Musanagule mankhwala, Glybomet ndikofunikira kudziwa bwino momwe mungagwiritsire ntchito, chidziwitso chotere chimapezeka pa intaneti, ngati mukufuna, aliyense angadziwe nthawi iliyonse.
Kuwonetsedwa kwa zoyipa
Chipangizocho chili ndi zoletsa zaka. Odwala ochepera zaka khumi ndi zisanu ndi zitatu samalimbikitsa kuti azigwiritsidwa ntchito.
Mankhwalawa atha kugulidwa ku pharmacy iliyonse ku Russia. Muyenera kuchita izi mukakambirana ndi dokotala komanso kulandira mankhwala kuchokera kwa iye. Zomwezi zimagwiranso ntchito nthawi yomwe wodwala aganiza kuti asinthe mankhwalawo ndi analogue.
M'malo mwake mankhwalawo atha kuchitika pambuyo poti aunikiridwa ndi adokotala komanso pakulimbikitsa. Chenjezo limayenderana ndi chakuti chophatikiza chachikulu chimagwira ndi metformin, yomwe imakhala, ngati mankhwala osokoneza bongo, omwe amayambitsa kukula kwa matenda a shuga a wodwala. Glybomet sioyenera kuyamba mankhwalawo.
Kutengera ndi chidziwitso chonse chomwe tafotokozazi, kumwa mankhwala a Glibomet pamapiritsi kumatha kutsagana ndi zovuta monga:
- Wamphamvu mutu nabol.
- Matenda a shuga
- Mavuto a magazi (kuundana kwa magazi, ndi zina).
- Kuwonongeka kwa chapakati mantha dongosolo.
- Momwe thupi limasokoneza pakhungu ndi zina zambiri.
Chifukwa chake, pakuzindikira koyambirira kwa zizindikiro zotere mutatha kumwa Glibomet, muyenera kufunsa dokotala ndipo ngati kuli koyenera, funani yomweyo m'malo mwake mankhwalawo, apo ayi mutha kuwononga thanzi lanu koposa.
Malangizo ogwiritsira ntchito mankhwalawa
Palibenso chocheperako kwenikweni funso la momwe mungagwiritsire ntchito chida ichi. Zambiri pazomwe mungatenge Glibomet molondola zitha kuperekedwa ndi dokotala. Ndi iye yekha, atayang'anitsitsa wodwala wake, angathe kupatsa lingaliro lamankhwala lomwe limafotokoza kuchuluka kwa mankhwalawo ndikuyenera kukhala ndi momwe dongosolo la makonzedwe alili.
Kumayambiriro kwa mankhwalawa, mlingo wocheperako umaperekedwa, umachokera ku mapiritsi atatu mpaka atatu. Kenako, ngati pakufunika kutero, muyezo utha kuchuluka. Chiwerengero chachikulu cha mapiritsi omwe wodwala mmodzi amatha kumwa masana sayenera kupitirira zidutswa zisanu ndi chimodzi.
Izi zikufotokozedwa mwatsatanetsatane ndi zonunkhira za mankhwalawa, zomwe zimagwirizidwa phukusi lililonse la mankhwalawo. Koma ilibe kuchuluka koyenera, komanso kapangidwe kake ka mankhwala. Chifukwa chake, ngati wodwala samvera chilichonse, angathe kumdziwitsani adokotala pasadakhale izi, atawerenga kale malangizowo.
Ponena za mtengo wa mankhwalawa, amatha kusiyanasiyana pang'ono kutengera kuchuluka kwa zomwe zimagwiritsidwa ntchito ndi mankhwala. Pafupifupi, mtengo wake umachokera ku ma ruble mazana awiri mpaka atatu.
Glibomet 2.5 ndi yotsika mtengo pang'ono kuposa malonda omwewo, omwe amaphatikizapo 5 mg pazinthu zazikulu, zomwe ndi Glibomet 5 +400.
Kodi ndikofunika kukumbukira chiyani mukamagwiritsa ntchito Glibomet?
Musanayambe kugwiritsa ntchito mankhwala Glibomet, malangizowo akuyenera kuphunziridwa mwatsatanetsatane, muyenera kuwerengera chithunzi cha mankhwalawo kuti mumvetsetse bwino ngati mankhwalawo agulidwa.
Monga tafotokozera pamwambapa, pali mafanizo ambiri omwe madokotala angalimbikitse. Pakati pawo, mankhwala akuluakulu ndi Glucofage 850. Odwala ambiri amayesa kudziwa kuti ndibwino liti pazithandizo ziwirizi. Zimakhala zovuta kupereka yankho lenileni. Zonse zimatengera mawonekedwe amunthu wodwala komanso kuopsa kwa matendawo.
Kupezeka kwa matenda opatsirana kumathandizanso kwambiri. Ngati pali zovuta ndi chiwindi, muyenera kusamala mukamapereka mankhwala. Ndikwabwino pankhaniyi nthawi zonse kumwa mankhwala ofanana omwe amathandizira chiwindi chokha, mwachitsanzo, Essentiale forte. Komanso, kuyanjana kwa mankhwalawa ndi hypoglycemic ndi kwabwino. Upangiri womwewo womwe ungaperekedwe pankhani ya mankhwala omwe akuwonetsa kuti muyenera kutenga glucophage.
Zakhala zikunenedwa pamwambapa kuti Glibomet yayitali sikulimbikitsidwa kuti igwiritsidwe ntchito ndi odwala omwe ali ndi zaka 18. Chifukwa chake, ngati pakufunika kusankha mankhwala kwa mwana, izi zimayenera kuganiziridwa.
Pali zithandizo zambiri zomwe Maninil adakhalapo. Chifukwa chake, nthawi zonse mungasankhe njira yoyenera kwambiri yodwala.
Odwala ena amaganiza kuti Glucophage ndi Glybomet ndi ma syonyms. Koma uku ndikulingalira kolakwika, awa ndi mitundu iwiri yosiyanasiyana ya mankhwala, ngakhale pali kufanana zambiri pakati pawo. Komanso, zonse zikuchokera komanso mogwirizana ndi momwe thupi limakhudzira.
Muyenera kusankha mlingo wa mankhwalawa mosamala kutengera mtundu wa mankhwalawa. Kupatula apo, pali mapiritsi omwe ali ndi 2,5 mg pazomwe zimagwira, ndipo pali zomwe zimaphatikizapo 5 mg ya chinthu chomwecho.
Ndi mankhwala ati a shuga omwe ali othandiza kwambiri akufotokozedwa mu kanema munkhaniyi.
