Matenda a shuga kapena matenda a shuga kapena Siofor: zomwe zili bwinoko, kugwiritsa ntchito mankhwala osokoneza bongo ndi mowa

Matenda a shuga ndi vuto lalikulu masiku ano. Kugwiritsa ntchito mankhwala osokoneza bongo ndikofunikira kuti mupewe zotsatira zoyipa. Chimodzi mwazomwe zimapezeka komanso zothandiza ndi matenda a shuga. Tiyenera kudziwa kuti madokotala ambiri amavomereza mankhwalawa, ndipo odwala ambiri amayankha bwino mankhwalawo.

Chofunikira chachikulu pa mankhwalawo ndi mankhwala glycazide. Kapangidwe kameneka kamapangitsa ntchito ya ma cell a pancreatic beta. Kukondoweza kwa maselo kumabweretsa kukulitsa kwa insulin. Glycaside ndimachokera ku sulfonylurea.

Diabeteson imagwiritsidwa ntchito pochiza matenda amishuga amtundu wa 2 matenda atatha. A Diabetes sakhala chida choyambirira chothandizira pa matenda a matenda ashuga a mtundu 2.

Zotsatira za mankhwala

Mankhwala a Diabeteson amaphatikizidwa m'gulu la mankhwala a sulfonylurea ndipo amadziwika kuti ndi amodzi abwino kwambiri, chifukwa alibe zambiri zotsutsana ndipo alibe zotsatira zoyipa. Dziko lopanga mankhwalawa ndi France, Russia ndi Germany.

Mankhwala ndi a gulu la zamankhwala am'kamwa hypoglycemic wothandizila, amachokera ku sulfonylureas a m'badwo wachiwiri.

Mapiritsi amapezeka m'matuza. Phukusi lililonse la mankhwalawo mumakhala matuza awiri okhala ndi mapiritsi 15 ndi malangizo ogwiritsira ntchito mankhwalawa. Phukusi limapangidwa ndi makatoni

Mankhwala amamasulidwa monga mapiritsi. Chofunikira kwambiri pa mankhwalawa ndi gliclazide, yomwe imalimbikitsa kupanga insulin ndi maselo a beta a kapamba. Diabeteson MV ndi mankhwala osinthika osinthika momwe gliclazide samamasulidwa nthawi yomweyo, koma pang'onopang'ono kwa maola 24. Katunduyu wa mankhwalawa amapereka zabwino zina pochita mankhwala othandizira odwala matenda ashuga.

Mapiritsi amalembera mtundu wachiwiri wa odwala matenda ashuga achikulire, pomwe shuga sangathe kuwongolera ndi zakudya, kuchita masewera olimbitsa thupi kapena kuwonda. Kugwiritsa ntchito kwake ndizotheka kupewa pofuna kupewa mavuto a matendawa:

1. Nephropathy - matenda aimpso owonongeka, makamaka, zilumba za Langerhans.
2. Ma retinopathies ndi zotupa zam'mimba.
3. Myocardial infarction ndi sitiroko ndizotsatira zazikulu.

Mukamamwa Diabetes, zotsatira zabwinozi zimawonetsedwa:

• kubisalira katulutsidwe ka insulin;
• kuchepa kwamphamvu ya mtima;
• zigawo za mankhwala zili ndi antioxidant katundu.

Komabe, satengedwa ngati maziko a chithandizo. Mapiritsi a shuga awa amangotengedwa pambuyo pa mapangidwe a metformin.

Malangizo ogwiritsira ntchito mankhwalawa

Kuti mutenge diabeteson, choyamba muyenera kufunsa dokotala. Ndi iye yekha amene angasankhe mlingo woyenera malinga ndi msinkhu wa wodwalayo komanso machitidwe ake. Piritsi limodzi lili ndi 60 mg ya gliclazide. Ndikofunika kugwiritsa ntchito mankhwala m'mawa ndi chakudya, kumeza nthawi yomweyo osafuna kutafuna. Mlingo wapakati wa mankhwalawa ndi:

1. Anthu odwala matenda ashuga osakwana zaka 65: mlingo woyambirira ndi mapiritsi 0,5. Ndi kuchuluka kwa mankhwala, imwani piritsi limodzi. Kuti mukhale ndi chithandizo chamankhwala, kugwiritsa ntchito mapiritsi a 1-2 patsiku ndikulimbikitsidwa.
2. Odwala a zaka zopitilira 65: kwa oyamba kumene, imwani mapiritsi 0,5 patsiku. Kuchulukitsa mlingo kumakupatsani mwayi kuti mutenge piritsi limodzi, koma pakapita milungu iwiri. Potere, odwala ayenera kuwunika shuga wawo wamagazi nthawi zonse.
3. Odwala omwe ali ndi vuto la impso kapena kwa hepatic, osakhazikika kapena zakudya zina ayenera kuyang'anitsitsa zamankhwala onse ndikuyamba ndi yaying'ono (piritsi 1 patsiku).

Muzochitika zomwe wodwala agwiritsa ntchito mankhwala ena a shuga, kusintha kwa Diabeteson ndikololedwa. Kuphatikiza kwa mankhwalawa ndikokwanira kwambiri ndi othandizira ena. Koma mutatha kugwiritsa ntchito chlorpropamide, mapiritsi awa ayenera kumwedwa mosamala kwambiri moyang'aniridwa ndi adokotala kuti apewe kukula kwa hypoglycemia.

Diabeteson MB ikhoza kuphatikizidwa ndi insulin, alpha glucosidase inhibitors ndi biguanidins.

Contraindication ndi zoyipa zimachitika

Musanagwiritse ntchito mankhwala, muyenera kudziwa za contraindication ake:

1. Kusalolera payekhapayekha - gliclazide kapena zinthu zina.
2. Mtundu woyamba wa matenda a shuga 1 mellitus (mawonekedwe a insulin).
3. Wobadwira makolo a shuga, ketoacidotic kapena hyperosmolar coma.
4. Hepatic ndi aimpso kulephera.
5. Nthawi ya pakati komanso yoyamwitsa.
6. Kusagwirizana ndi thunthu - lactose.
7. Ana osakwana zaka 18.
8. Saloledwa kuphatikiza mankhwalawa ndi phenylbutazone ndi danazole.

Ngakhale kuti kuwunikira za mankhwalawa ndikwabwino, wodwala omwe amamwa mapiritsi amatha kukumana ndi zotsatirazi:

Kukula kwa hypoglycemia. Ndi kuchepa kwambiri kwa shuga m'magazi, wodwalayo angafunike kusintha njira yochizira. Kusokonezeka kwa chakudya cham'mimba: kutsekula m'mimba, nseru, kusanza, kupweteka kwam'mimba. Chifukwa chake, ndikofunikira kudziwa momwe mungamwa mapiritsi molondola.

Thupi lawo siligwirizana mu mawonekedwe a khungu totupa, redness, kuyabwa. Nthawi zina, kuchepa kwa magazi m'thupi chifukwa cha kusintha kwa kayendedwe ka mitsempha ya m'mimba ndi endocrine. Zotsatira zoyipa kwambiri - hepatitis, chiwindi ntchito komanso masomphenya.

Asanayambe kumwa mankhwalawa, wodwalayo ayenera kuonana ndi dokotala nthawi zonse:

• ndi mawonekedwe osokoneza bongo a chidakwa (Diabeteson ndi mowa, vodka, etc. siziphatikizidwa);
• ndi zakudya zosavomerezeka;
• kuphwanya kapangidwe ka mahomoni ndi ma pituitary gland ndi ma gren adrenal;

Kufunsananso kumakhala kofunikira ngati pali zovuta zina pakugwira ntchito kwa chithokomiro m'thupi.

Mitengo ndi kuwunika kwa odwala

Mankhwalawa atha kugulika ku pharmacy iliyonse kapena kutsegula pa intaneti. Mtengo wapakati wa mankhwala ndi ma ruble 350. Ngakhale mankhwala azamalonda pa intaneti nthawi zambiri amawononga ndalama zochepa - pafupifupi ma ruble 280.

Chifukwa chakuchepa kwa mankhwalawa, kuunikanso zabwino zake ndizabwino. Odwala omwe akudya ndi mapiritsi adatsimikiza zotsatirazi:

• mankhwalawa amachepetsa shuga;
• Mlingo umodzi wa mapiritsi ndiwosavuta;
• Kulemera kwa thupi sikuchuluka.

Kuphatikiza apo, kafukufuku wasonyeza kuti mwayi wa hypoglycemia siwopitilira 7%, womwe ndi wotsika kwambiri kuposa mankhwala ena. Chifukwa chake, izi zitha kuonedwa ngati kuphatikiza kwakukulu.

Koma nthawi zina, anthu ankalankhula molakwika za Diabetes. Chifukwa chake, zovuta za mankhwalawa zitha kuganiziridwa:

• mtundu wachiwiri wa matenda ashuga umatha kupita kwa oyamba asanakwanitse zaka 8;
• mwa anthu ochepa thupi otopa kwambiri, kugwiritsa ntchito mankhwalawa kumapangitsa kusintha kwa jakisoni wa insulin pakapita nthawi.

Odwala ambiri amafunsa ngati zili zowona kapena zabodza kuti shuga imayambitsa kuchepa kwa insulin sensitivity. Kafukufuku waposachedwa awonetsa kuti mankhwalawa amawonjezera kukana kwa insulini, ndiye kuti kuchepa kwa chidwi cha maselo ndi minyewa kupita ku insulin.

Ziwerengero zikuwonetsa kuti ndi kuchepa kwa shuga m'magazi, umunthu umakhalabe wofanana.

Ma fanizo omwe alipo

Nthawi zina, mwachitsanzo, wodwala akayamba kuvuta, pamafunika kusintha mankhwalawo ndi mankhwala osokoneza bongo. Diabeteson MV ikhoza m'malo mwa njira zotsatirazi:

1. Metformin. Monga tanenera kale, ndi mankhwalawa muyenera kuyamba kulandira chithandizo. Mukamamwa mankhwalawa pamakhala kusiyana kwakukulu, chifukwa sikumayambitsa hyperglycemia, mosiyana ndi mankhwala ena onse.
2. Maninil. Ngakhale kuti mankhwalawa amagwira bwino ntchito, amadzetsa kuwonongeka kwakukulu mthupi, kuchititsa anthu ambiri kusintha kosiyanasiyana.
3. Siofor. Chofunikira chachikulu ndi metformin. Mwa wodwala yemwe amamwa mankhwalawa, minyewa yokhudza kuchepa kwa insulin, kuchuluka kwa shuga, kuchepa kwa chakudya, kulimbitsa thupi kumachepa. Diabeteson ndi Siofor onse ndi mankhwala abwino, ndipo ndi dokotala yekhayo amene angakupatseni mankhwala oyenera, omwe amayeza zabwino ndi zovuta zake.
4. Glucophage. Chida ichi chilinso ndi chophatikizira - metformin. Mukamagwiritsa ntchito mankhwalawa, odwala amazindikira kuchuluka kwa shuga, kuwonda, komanso kusowa kwa zovuta za matenda a shuga.
5. Glucovans. Kuphatikizikako kumakhala ndi zinthu ziwiri zazikulu - glibenclamide ndi metformin. Izi zimapangitsa kuti chidwi cha ziwalo ndi minofu zizigwira insulin.
6. Amaril. Muli yogwira pophika - glimepiride. Kuchulukitsa katemera wa insulin, nthawi yomweyo, mankhwalawa amadzetsa mavuto ambiri monga kudzimbidwa, kusawona bwino komanso kuchepa msanga kwa magazi.
7. Glibomet. Mankhwalawa amatengera metformin ndi glibenclamide. Chidacho chimathandizira kubisalira kwa insulin. Glybomet ndi yoletsedwa kutenga ndi matenda a shuga 1. Glibomet imatengedwa mapiritsi 1-3. Mlingo wovomerezeka waukulu Glybomet uli ndi mapiritsi 6. Glybomet ya mankhwala imangotengedwa pokhapokha ngati mukumwa, mankhwala omwe amadziletsa amaletsedwa.

Njira ina yabwino kwambiri pamankhwala onse ndizazitsamba. Zachidziwikire, mulimonsemo, ndizosatheka kuletsa kwathunthu mankhwala osokoneza bongo. Zosungirazi zikuthandizira kuchepetsa shuga komanso kuonjezera chitetezo chathupi. Ndalamazo zitha kugulidwa ku pharmacy iliyonse. Nthawi zambiri imakhala ndi udzu wa buleberries, sage, mbuzi, zipatso za fennel, masamba a mabulosi akutchire, muzu wa licorice, dandelion ndi burdock, masamba a nyemba.

Licorice, burdock, blueberries, makamaka tsamba la blueberry, kubwezeretsa maselo a pancreatic beta. Sangokhala pachabe otchedwa opatsirana. Zomera zotsalazo ndi zotsekemera zachilengedwe. Zotengera zam'mitsempha zimayenera kuledzera katatu patsiku.

Posankha analogi, wodwalayo ayenera kumakambirana ndi dokotala nthawi zonse. Mankhwala amakhala ndi mtengo wosiyana, ndiye ichi ndichofunikira pakusankha mankhwalawa.

Ndi chithandizo choyenera cha matenda a shuga, wodwalayo ayenera kusiya zizolowezi zoyipa, azikhala ndi moyo wathanzi komanso wathanzi. Chithandizo cha mankhwala osokoneza bongo ndichimodzi mwazinthu zofunikira kwambiri polimbana ndi matendawa. Chifukwa chake, adotolo ndi wodwala ayenera kukhala oganiza bwino posankha mankhwala oyenera. Diabeteson MV ndi njira yabwino kwambiri pochizira matendawa. Komabe, ziyenera kukumbukiridwa kuti njira yolakwika yogwiritsira ntchito mankhwalawa imatha kubweretsa zovuta. Ngati ndi kotheka, dokotalayo amatha kutola analogi kapena kupereka mankhwala azitsamba. Kanemayo munkhaniyi apitiliza mutu wa mankhwalawa.