Pafupifupi 90% ya odwala matenda a shuga amadwala mtundu wachiwiri wa matenda. Wodwala, kuti akhale ndi moyo wokwanira, ayenera kugwiritsa ntchito mankhwala a hypoglycemic. Diabeteson MB ndi mankhwala othandiza omwe amachepetsa kuchuluka kwa shuga m'magazi.
Popeza chithandizo chamankhwala chimagwira ntchito yofunika kwambiri pakuchiza "matenda okoma", wodwalayo ayenera kudziwa zambiri zamankhwala omwe amamwa. Kuti muchite izi, muyenera kuwerengera za mankhwalawo m'mawu omwe aphatikizidwa kapena pa intaneti.
Koma nthawi zambiri zimakhala zovuta kuti mudziwe nokha. Nkhaniyi ikuthandizani kuti mudziwe momwe mungamwe mankhwalawo, zotsutsana zake ndi zotsatira zoyipa zomwe mungakonde, kuwunika kwa makasitomala, mitengo yamtengo wapatali ndi mitundu yake.
Zambiri zamankhwala
Diabeteson MV ndi m'badwo wachiwiri wa sulfonylurea. Pankhaniyi, chidule cha MV chimatanthawuza mapiritsi otulutsidwa osintha. Njira yawo yochitira izi ndi motere: piritsi, lomwe likugwa m'mimba mwa wodwalayo, limasungunuka mkati mwa maola atatu. Kenako mankhwalawo amakhala m'magazi ndipo pang'onopang'ono umachepetsa shuga. Kafukufuku wasonyeza kuti mankhwala amakono samayambitsa matenda a hypoglycemia ndipo pambuyo pake zimakhala ndi zovuta zake. Kwenikweni, mankhwalawa amangolekereredwa ndi odwala ambiri. Ziwerengero zimangonena 1% yokha mwazochitika zoyipa zomwe zimachitika.
Chosakaniza chophatikizika - gliclazide chimakhala ndi zotsatira zabwino pamaselo a beta omwe amapezeka mu kapamba. Zotsatira zake, amayamba kupanga insulin yambiri, yomwe imatsitsa shuga. Komanso, munthawi yogwiritsa ntchito mankhwalawa, mwayi wamagazi ochepa a m'magazi umachepetsedwa. Ma mamolekyulu osokoneza bongo ali ndi antioxidant katundu.
Kuphatikiza apo, mankhwalawa ali ndi zowonjezera monga calcium hydrogen phosphate dihydrate, hypromellose 100 cP ndi 4000 cP, maltodextrin, magnesium stearate ndi anhydrous colloidal silicon dioxide.
Mapiritsi a Diabeteson mb amagwiritsidwa ntchito pochiza matenda a shuga a 2, pomwe masewera komanso kutsatira zakudya zapadera sizingasokoneze kuchuluka kwa shuga. Kuphatikiza apo, mankhwalawa amagwiritsidwa ntchito popewa zovuta za "matenda okoma" monga:
- Mavuto a Microvascular - nephropathy (kuwonongeka kwa impso) ndi retinopathy (kutupa kwa mawonekedwe amaso).
- Macrovascular complication - stroko kapena myocardial infaration.
Pankhaniyi, mankhwalawa samadziwika ngati njira yayikulu yothandizira. Nthawi zambiri pochiza matenda amishuga amtundu wa 2, imagwiritsidwa ntchito mukamaliza chithandizo ndi Metformin. Wodwala yemwe amamwa mankhwalawa kamodzi patsiku amatha kukhala ndi zogwira mtima kwa maola 24.
Gliclazide imapukusidwa makamaka ndi impso mu mawonekedwe a metabolites.
Malangizo ogwiritsira ntchito mapiritsi
Musanagwiritse ntchito mankhwala, muyenera kupita kuonana ndi dokotala yemwe adzayezetse wodwalayo ndikupereka mankhwala othandiza ndi mankhwala oyenera. Mutagula Diabeteson MV, malangizo ogwiritsira ntchito akuyenera kuwerengedwa mosamala kuti musagwiritse ntchito mankhwalawa molakwika. Phukusili lili ndi mapiritsi 30 kapena 60. Piritsi limodzi lili ndi 30 kapena 60 mg yogwira mankhwala.
Pankhani ya mapiritsi a 60 mg, mlingo wa akulu ndi okalamba poyamba ndi mapiritsi 0,5 patsiku (30 mg). Ngati mulingo wa shuga utachepa pang'onopang'ono, muyezo umatha kuchuluka, koma osatinso pambuyo pa masabata awiri. Kuchuluka kwa mankhwalawa ndi mapiritsi 1.5-2 (90 mg kapena 120 mg). Mlingo wamawerengero amangowona zokhazo. Dokotala wokhazikika amene amaganizira za wodwalayo ndi zotsatira za kusanthula kwa glycated hemoglobin, glucose wamagazi, ndi omwe angamwe mankhwala okwanira.
Mankhwala a Diabeteson mb ayenera kugwiritsidwa ntchito mosamala odwala omwe ali ndi vuto laimpso komanso kwa chiwindi. Kuphatikiza kwa mankhwalawa ndi mankhwala ena ndikwapamwamba kwambiri. Mwachitsanzo, Diabeteson mb imatha kutengedwa ndi insulin, alpha glucosidase inhibitors ndi biguanidines. Koma pogwiritsa ntchito munthawi yomweyo chlorpropamide, kukula kwa hypoglycemia ndikotheka. Chifukwa chake, chithandizo ndi mapiritsi awa chiyenera kuyang'aniridwa ndi dokotala.
Mapiritsi a Diabeteson mb amayenera kubisika kwa nthawi yayitali kuchokera kwa ana ang'ono. Moyo wa alumali ndi zaka 2.
Pambuyo panthawiyi, kugwiritsa ntchito mankhwalawa ndizoletsedwa.
Contraindication ndi zoyipa zimachitika
Monga zotumphukira zina za sulfonylurea, mankhwalawa Diabeteson MR ali ndi mndandanda wawukulu kwambiri wa zotsutsana. Mulinso:
- Kupezeka kwa matenda a shuga 1.
- Ketoacidosis mu shuga - kuphwanya kagayidwe kazachilengedwe.
- Precoma mkhalidwe, hypersmolar kapena ketoacidotic chikomokere.
- Matenda abwinobwino komanso ochepa.
- Kusokonezeka mu ntchito ya impso, chiwindi, mu milandu yayikulu - aimpso ndi chiwindi kulephera.
- Kugwiritsa ntchito miconazole mosangalatsa.
- Nthawi ya bere ndi kuyamwa.
- Ana osakwana zaka 18.
- Aliyense tsankho kwa gliclazide ndi zinthu zina zomwe zili pokonzekera.
Ndi chisamaliro chapadera, dokotala amalembera Diabeteson MR kwa odwala omwe ali ndi:
- matenda a mtima dongosolo - kugunda kwa mtima, kulephera kwa mtima, ndi zina zambiri.
- hypothyroidism - kuchepa kwa kapamba;
- kusakwanira kwa pituitary kapena adrenal gland;
- kuphwanya impso ndi chiwindi ntchito, makamaka matenda ashuga nephropathy;
- uchidakwa wosatha.
Kuphatikiza apo, mankhwalawa amagwiritsidwa ntchito mosamala odwala okalamba komanso odwala omwe samatsata zakudya zokhazikika komanso zoyenera. Mankhwala osokoneza bongo amatha kuyambitsa mavuto osiyanasiyana a diabeteson MR:
- Hypoglycemia - kuchepa msanga kwa magazi. Zizindikiro za matendawa zimawoneka mutu, kugona, mantha, kugona pang'ono komanso zolakwika, kuwonjezeka kwa mtima. Ndi hypoglycemia yaying'ono, imatha kuyimitsidwa kunyumba, koma m'malo ovuta kwambiri, chithandizo chamankhwala chofunikira chimafunika.
- Kusokoneza kwam'mimba. Zizindikiro zazikulu ndi kupweteka kwam'mimba, kusanza, kusanza, kudzimbidwa kapena kutsegula m'mimba.
- Zosiyanasiyana zomwe matupi awo sagwidwa - zotupa pakhungu komanso kuyabwa.
- Kuchulukitsa kwa chiwindi michere monga ALT, AST, alkaline phosphatase.
- Nthawi zina, kukula kwa chiwindi ndi jaundice.
- Osasintha mawonekedwe a madzi a m'magazi.
Kugwiritsa ntchito mankhwalawa kumathandizanso kuwonongeka m'maso poyambira kumwa mapiritsi chifukwa cha kuchepa msanga kwa shuga, kenako nkuyambiranso.
Ndemanga ndi mitengo yamankhwala
Mutha kugula MR Diabeteson ku pharmacy kapena kuyika oda pa intaneti patsamba laogulitsa. Popeza mayiko angapo amapanga mankhwala a Diabeteson MV nthawi imodzi, mtengo wopezeka mu pharmacy ukhoza kusiyana kwambiri. Mtengo wapakati wa mankhwalawa ndi ma ruble 300 (60 mg aliyense, mapiritsi 30) ndi ma ruble 290 (30 mg aliyense 60 zidutswa). Kuphatikiza apo, mtengo wake umasiyanasiyana:
- Mapiritsi a 60 mg a zidutswa 30: ma ruble 334 ambiri, ma ruble 276 osachepera.
- 30 mg mapiritsi a 60 zidutswa: okwera 293 ma ruble, osachepera 287 ma ruble.
Titha kudziwa kuti mankhwalawa siokwera mtengo kwambiri ndipo angagulidwe ndi anthu omwe amapeza ndalama zapakati pa 2 shuga. Mankhwalawa amasankhidwa malinga ndi kuchuluka kwa mankhwalawa omwe adokotala adapereka.
Ndemanga za Diabeteson MV ndizabwino kwambiri. Inde, odwala ambiri odwala matenda a shuga amati mankhwalawa amachepetsa shuga m'magazi abwino. Kuphatikiza apo, mankhwalawa atha kuunikiranso zinthu zabwino izi:
- Mwayi wotsika kwambiri wa hypoglycemia (osapitirira 7%).
- Mlingo umodzi wa mankhwalawa patsiku umapangitsa kuti odwala ambiri asamavutike.
- Chifukwa chogwiritsa ntchito MV gliclazide, odwala samakumana ndi kuwonjezeka kwamphamvu kwa thupi. Mapaundi ochepa okha, koma osatinso.
Palinso ndemanga zoyipa za mankhwala a Diabeteson MV, omwe nthawi zambiri amagwirizana ndi zotere:
- Anthu owerengeka adakhala ndi milandu ya chitukuko cha matenda a shuga.
- Matenda a 2 a shuga amatha kulowa mu mtundu woyamba wa matenda.
- Mankhwalawa samalimbana ndi insulin resistance syndrome.
Kafukufuku waposachedwa awonetsa kuti mankhwalawa Diabeteson MR samachepetsa chiwerengero cha anthu omwe amwalira ndi matenda ashuga.
Kuphatikiza apo, zimakhudza maselo a pancreatic B, koma ambiri a endocrinologists amanyalanyaza vutoli.
Mankhwala ofanana
Popeza mankhwalawa a Diabeteson MB ali ndi zotsutsana zambiri komanso zotsatira zoyipa, nthawi zina kugwiritsidwa ntchito kwake kungakhale koopsa kwa wodwala matenda ashuga.
Potere, adotolo amasintha mtundu wa mankhwalawo ndikuwapatsa mankhwala ena, chithandizo chomwe chofanana ndi Diabeteson MV. Itha kukhala:
- Onglisa ndi hypoglycemic yothandiza kwa matenda ashuga a 2. Kwenikweni, imatengedwa limodzi ndi zinthu zina monga metformin, pioglitazone, glibenclamide, dithiazem ndi ena. Sichikhala ndi zovuta zoyipa ngati Diabeteson mb. Mtengo wapakati ndi ma ruble a 1950.
- Glucophage 850 - mankhwala omwe ali ndi mankhwala othandizira a metformin. Mankhwalawa, odwala ambiri amawona kuchuluka kwa shuga kwa nthawi yayitali, komanso ngakhale kuchepa kwambiri. Amachepetsa kufa kwa matenda ashuga ndi theka, komanso mwayi wokhala ndi vuto la mtima ndi stroke. Mtengo wapakati ndi ma ruble 235.
- Guwa ndi mankhwala okhala ndi thunthu glimepiride, amene amatulutsa insulin ndi maselo a pancreatic B. Zowona, mankhwalawa ali ndi zotsutsana zambiri. Mtengo wapakati ndi ma ruble 749.
- Diagnizide ili ndi chigawo chachikulu chogwirizana ndi zotumphukira za sulfonylurea. Mankhwalawa sangatengedwe ndi uchidakwa wambiri, phenylbutazone ndi danazole. Mankhwala amachepetsa kukana kwa insulin. Mtengo wapakati ndi ma ruble 278.
- Siofor ndi wothandizira kwambiri wa hypoglycemic. Itha kugwiritsidwa ntchito kuphatikiza ndi mankhwala ena, mwachitsanzo, salicylate, sulfonylurea, insulin ndi ena. Mtengo wapakati ndi ma ruble 423.
- Maninil amagwiritsidwa ntchito popewa matenda a shuga. Monga Diabeteson 90 mg, ili ndi zotsutsana zambiri komanso zoyipa. Mtengo wapakati wa mankhwalawo ndi ma ruble 159.
- Glybomet imakhudzanso thupi la wodwalayo, zomwe zimapangitsa kuti pakhale insulin. Zinthu zazikulu za mankhwalawa ndi metformin ndi glibenclamide. Mtengo wapakati wa mankhwala ndi ma ruble 314.
Uwu si mndandanda wathunthu wa mankhwala ofanana ndi Diabeteson mb. Glidiab MV, Gliclazide MV, Diabefarm MV amatengedwa kuti amafanana ndi mankhwalawa. Wodwala yemwe ali ndi matenda ashuga ndi madokotala omwe akupezekapo ayenera kusankha cholowa m'malo mwa Diabeteson potengera zomwe achire angachite.
Diabeteson mb ndi mankhwala othandizira a hypoglycemic omwe amachepetsa kuchuluka kwa shuga m'magazi. Odwala ambiri amalabadira bwino mankhwalawo. Pakadali pano, ili ndi zabwino komanso zovuta zina. Chithandizo cha mankhwala osokoneza bongo ndichimodzi mwazinthu zothandiza pa matenda a shuga a 2. Koma musaiwale za zakudya zoyenera, zolimbitsa thupi, kuwongolera shuga, kupuma kwabwino.
Kulephera kutsatira mfundo imodzi yokha yoyenera kungayambitse kulephera kwa mankhwala osokoneza bongo ndi Diabeteson MR. Wodwala saloledwa kudzilimbitsa. Wodwalayo ayenera kumvera adotolo, chifukwa chisonyezo chilichonse chitha kukhala njira yothanirana ndi vuto la shuga wambiri ndi "matenda okoma". Khalani athanzi!
Katswiri wa kanema mu nkhaniyi atchulapo za mapiritsi a Diabetes.
