Starlix ndi mankhwala a hypoglycemic ochokera ku phenylalanine amino acid. Mankhwalawa amathandizira kuti pakhale insulin mphindi 15 munthu atatha kudya, pomwe kusinthasintha kwa shuga m'magazi kumatha.
Chifukwa cha ntchito iyi, Starlix simalola kukula kwa hypoglycemia ngati, mwachitsanzo, munthu wasowa chakudya. Mankhwala amagulitsidwa monga mapiritsi okhala ndi filimu; aliyense wa iwo ali ndi 60 kapena 120 mg ya yogwira mankhwala nateglinide.
Zina zomwe zimaphatikizidwa ndi magnesium stearate, titanium dioksidi, lactose monohydrate, macrogol, iron ironide, croscarmellose sodium, talc, povidone, cellcrystalline cellulose, colloidal anhydrous silicon dioxide, hypromellose. Mutha kugula mankhwala ku malo ogulitsira kapena apadera, mumapaketi a 1, 2 kapena 7 matuza, chithuza chimodzi chimakhala ndi mapiritsi 12.
Kufotokozera kwa mankhwalawa
Mankhwala ali ndi ndemanga zabwino. Zimathandizira kubwezeretsa katulutsidwe koyambirira ka insulin, komanso kuchepetsa kuchepetsa kwa shuga m'magazi ndi glycated hemoglobin.
Njira yotereyi ndiyofunikira kwa anthu odwala matenda ashuga, chifukwa omwe shuga mumagulu amomwe amapezeka. Mu shuga mellitus, gawo ili la insulin secretion limasokonekera, pomwe nateglinide, yomwe ndi gawo la mankhwalawa, imathandizira kubwezeretsa gawo loyambirira la kupanga mahomoni.
Mosiyana ndi mankhwalawa, Starlix amayamba kupanga insulin mkati mwa mphindi 15 mutatha kudya, zomwe zimapangitsa kuti odwala matenda ashuga azisintha komanso azichulukitsa kuchuluka kwa shuga m'magazi.
- Kwa maola anayi otsatira, kuchuluka kwa insulini kubwerera ku mtengo wawo woyambirira, izi zimathandiza kupewa kupezeka kwa matenda a postprandial hyperinsulinemia, omwe mtsogolomo adzayambitsa chitukuko cha matenda a hypoglycemic.
- Pamene ndende ya shuga imachepa, kupanga insulin kumachepa. Mankhwala, nawonso, amawongolera njirayi, ndipo pogwiritsa ntchito mitundu yochepa ya shuga, imakhala yofooka pakubisika kwa mahomoni. Ichi ndichinthu chinanso chabwino chomwe sichimalola kukula kwa hypoglycemia.
- Ngati Starlix amagwiritsidwa ntchito musanadye, mapiritsi amatengedwa mwachangu m'mimba. Kuchuluka kwa mankhwalawa kumachitika mkati mwa ola lotsatira.
Mtengo wa mankhwalawa umatengera malo omwe amapangidwira, motero ku Moscow ndi Foros mtengo wa phukusi limodzi la 60 mg ndi ma ruble 2300, phukusi lolemera 120 mg lidzawononga 3000-4000 rubles.
Starlix wa mankhwala: malangizo ogwiritsira ntchito
Ngakhale kuti mankhwalawa ali ndi ndemanga zabwino, ndikofunikira kufunsa dokotala musanagwiritse ntchito mankhwalawa. Mapiritsi ayenera kumwedwa mphindi 30 asanadye. Kuti muthandizidwe mosalekeza ndi mankhwalawa nokha, mlingo wake ndi 120 mg katatu patsiku musanadye. Pangakhale zochizira zooneka, mankhwalawa amatha kuonjezeredwa mpaka 180 mg.
Panthawi yamankhwala, wodwalayo ayenera kuwongolera kuchuluka kwa shuga m'magazi, malinga ndi zomwe zapezeka, sinthani mlingo. Kuti muwone momwe mankhwalawo alili othandizira, kuyezetsa magazi kwa ma glucose kumachitika pambuyo pa ola limodzi kapena awiri mutatha kudya.
Nthawi zina wothandizira wina wa hypoglycemic amawonjezeredwa pamankhwala, omwe nthawi zambiri amakhala Metformin. Kuphatikiza Starlix imatha kukhala chida chowonjezera pothandizira Metformin. Pankhaniyi, ndi kuchepa komanso kuyandikira kwa HbA1c ofunikira, mlingo wa Starlix umachepetsedwa mpaka 60 mg katatu patsiku.
Ndikofunika kuganizira kuti mapiritsi ali ndi zotsutsana zina. Makamaka, simungathe kumwa mankhwalawa ndi:
- Hypersensitivity;
- Insulin-wodwala matenda a shuga;
- Kwambiri chiwindi ntchito;
- Ketoacidosis.
- Komanso, mankhwala contraindicated muubwana, pa mimba ndi mkaka wa m`mawere.
Mlingo suyenera kusintha ngati wodwala akutenga nthawi yomweyo Warfarin, Troglitazone, Diclofenac, Digoxin. Komanso, palibe mankhwala ena alionse okhudzana ndi antidiabetes omwe adadziwika.
Mankhwala monga Captopril, Furosemide, Pravastatin, Nicardipine. Phenytoin, Warfarin, Propranolol, Metformin, Acetylsalicylic acid, Glibenclamide sizikhudza mayanjano a nateglinide ndi mapuloteni.
Ndikofunika kumvetsetsa kuti mankhwalawa amachulukitsa kagayidwe ka glucose, chifukwa chake, akamawamwa ndi mankhwala a hypoglycemic, kusintha kwa ndende ya glucose.
Makamaka, hypoglycemia mu shuga mellitus imalimbikitsidwa ndi ma salicylates, osankha-beta-blockers, NSAIDs ndi mao inhibitors. Mankhwala a Glucocorticoid, thiazide diuretics, sympathomimetics ndi mahomoni a chithokomiro amathandizira kuti kufooketsa kwa hypoglycemia.
- Mtundu wachiwiri wa matenda ashuga, kusamalidwa kwapadera kuyenera kuchitidwa, popeza chiwopsezo cha hypoglycemia ndichokwera kwambiri. Makamaka, ndikofunikira kuwunika kuchuluka kwa shuga m'magazi kwa anthu omwe amagwira ntchito ndi zovuta kupanga kapena magalimoto oyendetsa.
- Odwala omwe ali pachiwopsezo chochepa, okalamba, odwala omwe amapezeka ndi pituitary kapena adrenal insuffential ali pachiwopsezo. Mwazi wamagazi umatha kuchepa ngati munthu amamwa mowa, amakhala wolimbitsa thupi kwambiri, komanso akamwa mankhwala ena a hypoglycemic.
- Mankhwala, wodwalayo amatha kukumana ndi zovuta zotuluka thukuta, kunjenjemera, chizungulire, kuchuluka kwa chidwi, kuchuluka kwa mtima, nseru, kufooka, ndi kupepuka.
- Kuchuluka kwa shuga m'magazi kumatha kutsika kuposa 3.3 mmol / lita. Nthawi zina, ntchito ya chiwindi michere mu magazi ukuwonjezeka, matupi awo sagwirizana, limodzi ndi zidzolo, kuyabwa ndi urticaria. Mutu, kutsegula m'mimba, kuuma, komanso kupweteka kwam'mimba ndizothekanso.
Sungani mankhwalawo pachipinda chofunda, kutali ndi dzuwa ndi ana. Moyo wa alumali ndi zaka zitatu, ngati nthawi yake yatha, mankhwalawo amatayidwa ndipo sagwiritsidwa ntchito pazolinga zake.
Mitu ya mankhwalawa
Pazomwe zimagwiritsidwa ntchito, mawonekedwe ofananira a mankhwala kulibe. Komabe, lero ndizotheka kugula mankhwala omwe ali ndi zotsatira zofananira zomwe zimayendetsa shuga wamagazi ndikuletsa hypoglycemia.
Mapiritsi a Novonorm amatengedwa ngati mtundu wachiwiri wa matenda ashuga, ngati chithandizo chamankhwala, kuchepa thupi komanso kuchita masewera olimbitsa thupi sizithandiza kuti wodwalayo azidwala. Komabe, mankhwalawa amasemphana ndi mtundu wachiwiri wa matenda a shuga, matenda ashuga a ketoacidosis, matenda a shuga komanso chikomokere, komanso kulephera kwamphamvu kwa chiwindi. Mtengo wanyamula mapiritsi ndi ma ruble 130.
Mankhwala Diagnlinide amagwiritsidwa ntchito ngati mtundu wachiwiri wa matenda ashuga, komanso Metformin, ngati sizingatheke kusintha magazi a glucose pogwiritsa ntchito njira zina. Mankhwalawa ali contraindicated mu mtundu 1 matenda a shuga, matenda ashuga ketoacidosis, matenda a shuga ndi chikomokere, matenda opatsirana, kuchitapo kanthu opaleshoni ndi zina zofunika kwa insulin. Mtengo wa mankhwalawo umasiya ma ruble 250.
Mapiritsi a Glibomet amatengedwa ngati amtundu wa 2 shuga. Mlingo amasankhidwa payekha, kutengera kuchuluka kwa kagayidwe. Mankhwalawa ali contraindified mu matenda ashuga ketoacidosis ndi mtundu 1 matenda a shuga, lactic acidosis, matenda a shuga ndi chikomokere, hypoglycemia, hypoglycemic chikomokere, chiwindi kapena impso, komanso matenda opatsirana. Mutha kugula chida chotere ma ruble 300.
Mankhwala Glucobai ndi othandiza pa matenda amtundu 1 komanso matenda a shuga. Mlingo wapamwamba wa tsiku lililonse ndi 600 mg patsiku. Mankhwalawa amatengedwa popanda kutafuna, ndimadzi ochepa, musanadye kapena ola limodzi mutatha kudya. Mtengo wa paketi imodzi yamapiritsi ndi ma ruble 350.
Mu kanema mu nkhaniyi, adotolo apereka malingaliro pazomwe angachepetse shuga ndimagazi ndikubwezeretsa katemera wa insulin.
