Kugwiritsa ntchito Glurenorm tikulimbikitsidwa ngati chakudya chapadera sichitha kuyendetsa glycemia. Matenda amtunduwu ali ponseponse mu 90% ya anthu odwala matenda ashuga, ndipo ziwerengero zamilandu zimati kuchuluka kwa odwala omwe ali ndi vutoli kukukulirakulira chaka chilichonse.
Posachedwa, mankhwalawa amveka ndi odwala onse omwe ali ndi matenda ashuga. Chifukwa chake, pakufunika kudziwa momwe mungagwiritsire ntchito mankhwalawa moyenera komanso momwe sizoyenera kugwiritsa ntchito mankhwalawo.
Zotsatira za mankhwala
Mu mankhwalawa mutha kugula mankhwalawa (mu Latin Glurenorm) monga mapiritsi. Aliyense wa iwo ali ndi 30 mg yogwira - glycidone (mu Latin Gliquidone).
Mankhwalawa ali ndi zinthu zochepa zothandizira: wowuma ndi sungunuka wa chimanga, magnesium stearate ndi lactose monohydrate.
Mankhwalawa ali ndi hypoglycemic, chifukwa ndi zotumphukira za sulfonylureas za m'badwo wachiwiri. Kuphatikiza apo, mankhwalawa ali ndi extrapancreatic ndi pancreatic.
Atamwa mapiritsi a Glurenorm, amayamba kukhudza shuga wamagazi chifukwa:
- Kutsitsa gawo lodetsa msanga ma cell a beta, potero kumapangitsa kupanga mahomoni ochepetsa shuga.
- Kuchulukitsa chidwi kwa mahomoni ndi msinkhu wake womangika ku ma cell apangidwe.
- Kulimbitsa zotsatira za insulini pakukhudzidwa ndi shuga ndi chiwindi ndi zotumphukira minofu.
- Choletsa cha lipolysis mu adipose minofu.
- Kuchepetsa kuchuluka kwa glucagon m'magazi.
Mukatha kugwiritsa ntchito mankhwalawa, gawo lalikulu la glycidone limayamba kugwira ntchito pambuyo pa maola 1-1,5, ndipo chiwonetsero chazomwe chimachitika pambuyo pa maola 2-3 ndipo chimatha mpaka maola 12. Mankhwalawa amaphatikizidwa kwathunthu m'chiwindi, ndikufukutsa matumbo ndi impso, ndiko kuti, ndi ndowe, bile ndi mkodzo.
Ponena za momwe mankhwalawo amagwiritsidwira ntchito, ziyenera kukumbukiridwa kuti amalimbikitsa odwala omwe ali ndi matenda a shuga 2 omwe amalephera kugwiritsa ntchito mankhwalawa, makamaka ali ndi zaka zapakati komanso zaka.
Mankhwalawa amasungidwa m'malo osavomerezeka ndi ana pamtunda wa mpweya osaposa +25 degrees.
Nthawi yogwiritsira ntchito mapiritsi ndi zaka 5, atatha nthawi imeneyi oletsedwa kugwiritsa ntchito.
Malangizo ogwiritsira ntchito mapiritsi
Mankhwalawa atha kugulidwa pokhapokha ngati dokotala alemba mankhwala. Njira zoterezi zimaletsa zotsatirapo zoyipa za odwala omwe amadziletsa. Mutagula mankhwalawa Glyurenorm, malangizo ogwiritsira ntchito ayenera kuphunziridwa mosamala. Ngati muli ndi mafunso, ayenera kukambirana ndi akatswiri azaumoyo anu.
Poyamba, adokotala amakupatsani mankhwala a 15 mg kapena mapiritsi 0,5 patsiku, omwe ayenera kumwedwa m'mawa asanadye. Kupitilira apo, mlingo wa mankhwalawa ungathe kuwonjezeka pang'onopang'ono, koma amayang'aniridwa ndi dokotala. Chifukwa chake, tsiku lililonse mlingo umatha kufika pa 120 mg, kuwonjezeka kwamankhwala osokoneza bongo kumathandizira kuchepetsa kutsika kwa shuga kwa mankhwalawa.
Mlingo wapamwamba kwambiri wa tsiku lililonse koyambirira kwa mankhwala sayenera kupitirira 60 mg. Nthawi zambiri, mankhwalawa amatengedwa kamodzi, koma kuti akwaniritse bwino hypoglycemic, mlingo wa tsiku ndi tsiku utha kugawidwa pawiri kapena katatu.
Posankha kusintha mankhwalawo kuchoka ku mankhwala ena ochepetsa shuga kupita ku mankhwala omwe akuwonetsa, wodwalayo ayenera kuonetsetsa kuti akudziwitsani za izi.
Ndi iye, poganizira kuchuluka kwa shuga ndi mkhalidwe waumoyo wa wodwalayo, yemwe amakhazikitsa milingo yoyambirira, yomwe nthawi zambiri imayambira 15 mpaka 30 mg patsiku.
Contraindication ndi zoyipa
Nthawi zina, kugwiritsa ntchito mankhwalawa kumatha kuletsedwa.
Kuletsa kugwiritsa ntchito mankhwalawa kumayenderana ndi matenda a wodwala kapena kupezeka kwa zomwe munthu akuchita pazigawo za mankhwala.
Asanapange mankhwala, dokotala ayenera kuganizira zotsutsana zomwe angagwiritse ntchito.
Sizoletsedwa kugwiritsa ntchito mapiritsi a hypoglycemic kwa odwala:
- ndi mtundu wa 1 wodwala matenda a insulin;
- ndi hypersensitivity a mankhwala osokoneza bongo, komanso sulfonylurea zotumphukira ndi sulfonamides;
- ndi matenda opatsirana pachimake;
- ndi matenda ashuga ketoacidosis ndi acidosis;
- opaleshoni yokha;
- ndi kuchepa kwa lactase, lactose tsankho ndi shuga-galactose malabsorption;
- ndi chitukuko cha chikomokere ndi chodalirika;
- wosakwana zaka 18;
- pa gestation ndi mkaka oyamwa.
Dziwani kuti anthu odwala matenda ashuga omwe amalephera kupweteka aimpso ayenera kumwa mankhwalawa mosamala kwambiri mwa kuyang'aniridwa ndi dokotala. Izi zimagwiranso ntchito kwa iwo omwe ali ndi vuto la uchidakwa, febrile syndrome ndi kusowa kwa glucose-6-phosphate dehydrogenase.
Kugwiritsa ntchito molakwika mankhwalawo kapena pazifukwa zina, wodwalayo angakumane ndi zovuta zina. Izi zikuphatikiza:
- Hemopoiesis kukanika - kukula kwa leukopenia, thrombocytopenia ndi agranulocytosis.
- Kusokonezeka kwa chapakati mantha dongosolo - kulumikizana, dzanzi miyendo, mutu, chizungulire, kugona ndi kusokonezeka kwa malo okhala.
- Kusokonekera kwa mtima dongosolo - kukula kwa mtima kulephera, angina pectoris, extrasystole ndi hypotension.
- Njira zosowa kwambiri masiku ano ndizochitika m'magazi, kusintha m'magazi, kutsutsana ndi khungu, ndi vuto la kukomoka.
Pokhudzana ndi mankhwala osokoneza bongo ambiri, zizindikiro monga hypoglycemia, ziwengo, kapena kugaya chakudya zimachitika.
Kuti muchepetse zizindikiro zotere mwa wodwala, kuthandizidwa kuchipatala mwachangu ndi kukhazikitsa njira yothetsera shuga mkati kapena kudzera m'mitsempha kumafunika.
Kuchita ndi njira zina
Kugwiritsanso ntchito limodzi ndi mankhwala ena kungakhudze kutsika kwake m'njira zosiyanasiyana. Munthawi ina, kuwonjezereka kwa hypoglycemic kungatheke, ndipo kwina, kufooketsa.
Ndipo, ACE inhibitors, cimetidine, mankhwala antifungal, anti-tuberculosis, Mao inhibitors, biganides ndi ena atha kukulitsa machitidwe a Glenrenorm. Mndandanda wathunthu wa mankhwalawa ukhoza kupezeka pazomwe zalembedwa patsamba.
Othandizira monga glucocorticosteroids, acetazolamide, mahomoni a chithokomiro, estrogens, njira zothandizira pakamwa, thiazide diuretics ndi ena amachepetsa mphamvu ya hypoglycemic ya Glurenorm.
Kuphatikiza apo, zotsatira za mankhwalawa zimakhudzidwa ndi kumwa kwambiri, kulimbitsa thupi mwamphamvu komanso zovuta zina, zonsezi zimakulitsa kuchuluka kwa glycemia ndikuchepetsa.
Palibe deta pazokhudza Glurenorm pa chidwi cha anthu. Komabe, zikaoneka zosokoneza malo okhala ndi chizungulire, anthu omwe amayendetsa magalimoto kapena amagwiritsa ntchito makina olemera amayenera kusiya ntchito yoopsayi kwakanthawi.
Mtengo, ndemanga ndi fanizo
Phukusili lili ndi mapiritsi 60 a 30 mg aliyense. Mtengo wa ma CD otere umasiyana kuchokera pa 415 mpaka 550 rubles aku Russia. Chifukwa chake, chitha kuonedwa zovomerezeka kwa magawo onse a anthu. Kuphatikiza apo, mutha kuyitanitsa mankhwalawo mufamu ya pa intaneti, potero mumasunga ndalama.
Ndemanga za odwala ambiri omwe amamwa mankhwala osokoneza bongo ndi abwino. Chidacho chimachepetsa shuga, kugwiritsa ntchito kwake kosatha kumathandizira kuti glycemia ikhale yachilendo. Anthu ambiri amakonda mtengo wamankhwala omwe "sangathe kugula." Kuphatikiza apo, mitundu ya mankhwalawa imakhala yosavuta kugwiritsa ntchito. Komabe, ena amawona mawonekedwe amutu akumwa mankhwalawo.
Tiyenera kudziwa kuti kutsatira kwambiri mankhwalawa komanso malingaliro onse a othandizira amachepetsa chiopsezo cha mavuto.
Komabe, ngati wodwalayo aletsedwa kugwiritsa ntchito mankhwalawo kapena sakuchita bwino, dokotalayo angamupatsenso fanizo lina. Awa ndimankhwala omwe ali ndi zinthu zosiyanasiyana, koma ali ndi zotsatira zofanana za hypoglycemic. Izi zikuphatikizapo Diabetesalong, Amix, Maninil ndi Glibetic.
Glurenorm ndi njira yabwino yochepetsera kuchuluka kwa shuga mwa odwala omwe ali ndi matenda ashuga a 2. Pogwiritsa ntchito bwino mankhwalawa, zotsatira zabwino zimatheka. Komabe, ngati mankhwalawo sagwirizana ndi odwala matenda ashuga, simuyenera kukwiya, adokotala atha kukulemberani fanizo. Kanema yemwe ali munkhaniyi akhala ngati mtundu wamalangizo othandizira mankhwalawo.
