M'nthawi yathu ino, mliri wa matenda ashupi tsopano wakhala vuto lofunika kwambiri kwa anthu onse. Nthawi yomweyo, 90% ya onse odwala matenda ashuga ali ndi mtundu wachiwiri wa matenda.
Kwenikweni, glycidone amatengedwa ndi odwala omwe masewera olimbitsa thupi komanso kudya moyenera sangachepetse glucose kukhala yofunikira.
Musanagwiritse ntchito mankhwala omwe ali ndi chinthu ichi, contraindication ake, zoyipa zake ndi chidziwitso chokhudza analogues ziyenera kuphunziridwa.
Makhalidwe azinthu zambiri
Glycvidone ndi ufa wowoneka bwino wa kristalo. Sungathe kusungunuka m'madzi, sikuti amasudzulidwa mu mowa. Mankhwala ali ndi hypoglycemic. Chifukwa chakuti mtundu wachiwiri wa matenda ashuga umadziwika ndi kuphwanya kwamphamvu kwa maselo a thupi kupita ku mphamvu yotsitsa shuga - insulin, mankhwala omwe amagwiritsidwa ntchito popanga mankhwala amakhudza ziphuphu ndi ma receptors mu zotumphukira.
Amayendedwe a machitidwe ake amachita ndikulimbikitsa maselo a beta omwe amapanga insulin, kutsitsa kuchuluka kwa glucagon, ndikuwonjezera kuchuluka kwa ma receptors a mahomoni.
Wodwala yemwe adamwa mankhwalawa, pambuyo maola 1-1,5, kuchepa kwa shuga kumawonedwa, mphamvu yake imadza pambuyo pa maola 2-3 ndipo imatha pafupifupi maola 8. Thupi limatengedwa mwachangu m'mimba. Kutupa kwake kumachitika kudzera m'matumbo (ndi ndowe ndi bile), komanso impso.
Glycvidone imalembedwa kwa anthu azaka zopitilira 45, pamene kudya moyenera komanso kuchita masewera olimbitsa thupi sikubweretsa zotsatira zomwe zikufunidwa ndikuwonjezereka kwa shuga wamagazi.
Malangizo ogwiritsira ntchito mankhwalawa
Asanagwiritse ntchito Glycvidon, wodwala matenda ashuga ayenera kufunsa dokotala kuti amuuze njira yoyenera ya chithandizo ndi kumwa, poganizira zomwe wodwalayo ali nazo. Pofuna kupewa zoyipa, malangizo omwe agwiritsidwe ntchito ayenera kuphunziridwa.
Ku Glyurenorm, glycidone ndiye gawo lalikulu lomwe limakhala ndi hypoglycemic. Amapezeka mu mawonekedwe a mapiritsi oyera. Mankhwalawa amatengedwa pakamwa pakudya. Mlingo woyambirira ndi mapiritsi 0,5 (15 mg) nthawi ya chakudya cham'mawa. Kuti mukwaniritse bwino, mlingo umatha kuwonjezeka mpaka mapiritsi 4 (120 mg) patsiku. Pankhaniyi, kuchuluka kwa mlingo woposa 120 mg sikupangitsa kuti achulukane.
Pakusintha kuchokera ku mankhwala ena ochepetsa shuga, koyamba kudya kuyenera kukhala kochepa (15-30 mg).
Pewani Glurenorm kutali ndi ana aang'ono m'malo owuma ndi kutentha kosaposa 25C. Pamfundo ya mankhwala iyenera kufotokozedwera tsiku lotha ntchito, lomwe nthawi zambiri limakhala zaka 5.
Pambuyo pa nthawi iyi, kumwa mapiritsi ndizoletsedwa.
Contraindication ndi zoyipa zimachitika
Kudzilanga nokha ndi mankhwalawa ndikosayenera kwambiri. Kugwiritsa ntchito mankhwalawooletsedwa motere:
- Mtundu woyamba wa matenda a shuga 1 mellitus (mawonekedwe a insulin).
- Kusagwirizana ndi zigawozi (makamaka, kuchokera kwa sulfonamides ndi sulfonylureas).
- Diabetesic acidosis (hypoglycemia ndi ketonemia).
- Nthawi isanachitike opareshoni.
- Matenda a shuga.
- Precoma.
- Mimba
- Nthawi yochepetsetsa.
Nthawi zina, zimachitika zovuta zina, monga hypoglycemia, ziwengo (zotupa pakhungu, urticaria, matenda a Stevens-Johnson, kuyabwa), kusintha kwa kapangidwe ka magazi, ndi zovuta za m'mimba (kutsegula m'mimba, kusanza, kusanza). Ngati zizindikiro zotere zikuwoneka, mungafunike kusintha mankhwalawo ndi analogue ina.
Pankhaniyi, chisamaliro chapadera chiyenera kulipidwa kwa odwala omwe ali ndi vuto la impso. Mankhwalawa amayenera kumwedwa moyang'aniridwa ndi adokotala.
Kugwiritsidwa ntchito kophatikizana ndi mankhwala ena, monga sympathomimetics, mahomoni a chithokomiro, kulera kwamlomo, chlorpromazine, sympathomimetics, ndi mankhwala okhala ndi nicotinic acid kumatha kufooketsa mphamvu ya Glycvidon.
Ngati mankhwalawa amakula kwambiri, zizindikilo zimatha kuoneka zofanana ndi mavuto. Kuti matenda abwinobwino shuga, muyenera kulowetsa shuga m'mitsempha kapena mkati.
Ndemanga, mtengo wake ndi kufanana
Mankhwalawa, odwala ambiri amawona zabwino chifukwa chogwiritsidwa ntchito ndi Glycvidon wopezeka mu mankhwala a Glyurenorm. Ndemanga zamakasitomala zimanenanso kutsatira izi:
Panthawi yomwe mumamwa mankhwalawa, munthu sayenera kuyiwala za zakudya komanso ntchito zapanja. Kudya kosayenera kapena kumwa mosayembekezereka mankhwala kumapangitsa kutsika kwa shuga mwa odwala ena. Chifukwa chake, kutsatira malamulo a tsikulo ndi malamulo a chithandizo chamankhwala ndikofunika.
Pakachitika vuto la hypoglycemic, mutha kudya chidutswa cha chokoleti kapena shuga. Koma ndikupitiliza kwa vutoli, muyenera kufunsa dokotala mwachangu.
Pakusintha kuchokera ku mankhwala kupita kwina, odwala ena amawonetsa kuchepa kwa chidwi, chifukwa chake izi zimayenera kuyang'aniridwa kwa oyendetsa magalimoto ndi zina zambiri zofunikira zomwe zimafunikira chidwi kwambiri.
Zokhudza mitengo, ndizodalirika kwa odwala omwe ali olemera. Mtengo wa phukusi la Glurenorm, wokhala ndi mapiritsi 60 a 30 mg aliyense, kuyambira 385 mpaka 450 rubles. Dziko lopanga mankhwalawa ndi Germany. Mankhwalawa atha kugulidwa ku malo aliwonse apafupi ndi mankhwala kapena kuyitanitsa kuti atumize mapiritsi pa intaneti. Mankhwalawa amagulitsidwa kokha ndi mankhwala.
Ngati, pazifukwa zilizonse, mankhwalawa sioyenera kwa wodwala, dokotala amatha kusintha njira yochiritsira mwa kupereka mankhwala ofananawo kuti achepetse shuga. Zofanizira zazikulu za Glyurenorm ndi:
- Amaril (1150 rubles);
- Maninil (ma ruble 170);
- Gluconorm (ma ruble 240);
- Mkulu wodwala matenda ashuga (ma ruble 350).
Ndipo, Glyrenorm, yomwe imakhala ndi glycidone yogwira ntchito, imatsitsa shuga, imalimbikitsa maselo a pancreatic beta ndikusintha chidwi cha zolandilira thupi.
Komabe, monga mankhwala aliwonse, ili ndi zotsutsana ndipo limakumana ndi zovuta. Chifukwa chake, kutenga nokha sikulimbikitsidwa. Choyamba muyenera kuwona dokotala yemwe amatha kuyesa wodwala ndikupereka njira zoyenera zamankhwala. Kumbukirani kuti mlingo woyenera komanso kukhalabe wathanzi pamagulu a shuga. Kanema yemwe ali munkhaniyi akuwuzani zomwe mungatenge ndi matenda ashuga.
