Mapiritsi a Gluconorm ndi mankhwala omwe amaphatikiza magawo awiri a hypoglycemic omwe ali m'magulu osiyanasiyana amitundu ya mankhwala: metformin ndi glibenclamide.
Metformin ndi mankhwala omwe ali m'gulu la gluuanides, ndipo amathandizira kuchepetsa kugwidwa kwa glucose m'thupi, chifukwa chakuti zimapangitsa kuti chiwopsezo cha zotumphukira ziwonongeke ndi zomwe zimachitika mu timadzi tambiri.
Glibenclamide ndi m'badwo wachiwiri wa sulfonylurea. Zimapereka kukondoweza kwa kupanga kwa mahormoni pochepetsa njira yolumikizira shuga wa shuga wa pancreatic. Zotsatira zake, insulin chiwonetsero chachilengedwe chimachulukanso, komanso kuchuluka kwake kwokhudzana ndi maselo ojambulidwa.
Gluconorm imalimbikitsidwa pochiza matenda a shuga 2, pomwe amangoikidwa zaka 18 zokha.
Mukuyenera kuganizira zomwe zikuwonetsa ndi contraindication pakugwiritsa ntchito mankhwalawa, kuti mupeze zovuta zomwe mumamwa? Komanso taganizirani momwe mungamwe mankhwalawo moyenera, ndipo ndi malingaliro ati omwe odwala amasiya?
Zizindikiro ndi contraindication
Monga tafotokozera pamwambapa, mankhwalawa Gluconorm amalimbikitsidwa pochiza odwala matenda ashuga odwala azaka zopitilira 18. Nthawi yomweyo, amalembedwa milandu pomwe sizinali zotheka kukwaniritsa kufunika kwa zakudya zopatsa thanzi komanso kuchita masewera olimbitsa thupi.
Gluconorm imafotokozedwanso pamene chithandizo ndi metformin ndi glibenclamide sichinapereke mankhwala othandizira. Komanso ngati mukuthandizidwa ndi mitundu iwiri ya mankhwala othandizira odwala omwe ali ndi shuga wambiri m'thupi.
Ngakhale kuti mankhwalawa amagwira bwino ntchito, ali ndi mndandanda waukulu wotsutsa. Madokotala samapereka mankhwala Gluconorm munthawi zotsatirazi:
- Mtundu woyamba wa shuga.
- Matenda a shuga ketoacidosis, chikomokere.
- Precomatose state.
- Kusokonezeka kwa Impso.
- Matenda owopsa a chiwindi.
- Pa kubereka mwana ndi kuyamwitsa.
- Zakudya zochepa zopatsa mphamvu.
Simungathe kupereka mankhwala kwa kudalira kosalekeza, poyizoni, kuvulala, kuyaka. Panthawi yovuta yomwe imayamba chifukwa cha kuwonongeka kwa impso.
Simungamwe mankhwala patadutsa masiku awiri maphunziro omwe amafunikira oyambitsa sing'anga. Amaloledwa kumwa mankhwalawa pokhapokha masiku awiri, atatha kuphunzira.
Kwa anthu opitilira zaka zopitilira 60, komanso mbiri ya febrile syndrome, gust pituitary gland, mankhwala a gluconorm amalimbikitsidwa mosamala kwambiri, ndipo amayang'aniridwa ndi dokotala wothandizira.
Choyambitsanso china ndi hypersensitivity chimodzi mwazinthu ziwiri zomwe zimagwira, kapena pazinthu zothandizira za mankhwala, zomwe ndi gawo la mankhwalawa.
Malangizo ogwiritsira ntchito mankhwalawa
Ku Gluconorm, malangizowo akuwonetsa kuti mapiritsi amayenera kumwedwa pakudya. Mlingo wa mankhwalawa nthawi zonse umatsimikiziridwa payekhapayekha kwa wodwala aliyense, pomwe zimatengera kuchuluka kwa shuga mthupi.
Nthawi zambiri, muyeso woyamba wapamwamba ndi piritsi limodzi. Pakatha milungu ingapo, kusintha kwamankhwala kumapangidwa, ndipo izi zimatengera shuga zomwe zili mthupi.
Posintha chithandizo cham'mbuyomu, piritsi limodzi kapena awiri akhoza kutumikiridwa. Mlingo umasiyanasiyana kutengera mlingo woyamba. Mlingo waukulu patsiku suyenera kupitilira magome asanu.
Dziwani kuti kuchuluka kwa mankhwalawa kumayikidwa kokha moyang'aniridwa ndi adokotala. Nthawi zambiri izi zimachitika m'malo opumira, ndipo osati kuchuluka kwa shuga mthupi la wodwalayo komwe kumayendetsedwa, komanso thanzi lake.
Maumboni a odwala amawonetsa kuti mankhwalawo amagwiradi ntchito bwino, kuthandiza kusintha mtundu wa glucose m'thupi pakufunika. Pamodzi ndi kugwiritsa ntchito bwino kwa mankhwala a Gluconorm, ndikofunikira kuwunikira zotsatira zoyipa kuchokera ku machitidwe ambiri a thupi:
- Thupi lawo siligwirizana zimachitika kawirikawiri, monga lamulo, zimatengera kusalolera kwa mankhwalawo. Kuchita kwamtunduwu kumadziwonetsera ngati kuyabwa pakhungu, urticaria, redness la khungu, kuwonjezeka kwa thupi.
- Kuchokera kumbali ya metabolism ya carbohydrate, kukula kwa dziko la hypoglycemic sikutsutsidwa.
- Nthawi zina, leukopenia amawonedwa mbali ya magazi.
- Mitsempha yapakati imatha kuyankha mankhwalawa potsatira izi: kupweteka mutu, chizungulire, kufooka mosalekeza, kusowa chidwi ndi ulesi, kutopa kwambiri, kukhumudwa.
- Kusokonezeka kwa m'mimba ndi kugaya chakudya, kupweteka pamimba, kusowa kwa chakudya, kulawa kwa chitsulo pamkamwa.
Tiyenera kunena kuti mukaona zovuta zoyipa, ndikulimbikitsidwa kuti mulumikizane ndi dokotala nthawi yomweyo. Ndizotheka kuti mlingo umasankhidwa molakwika, kapena mavuto amakhudzana ndi hypersensitivity pazigawo za mankhwala.
Kwa Gluconorm, mtengo muma pharmacies a Russian Federation (Russia) ndi wosiyana pang'ono, ndipo pafupifupi amasiyana 221 mpaka 390 rubles pachilichonse cha mankhwalawa.
Analogs popanga
Mutha kugula mankhwala ofanana omwe ali pafupi ndi Gluconorm - awa ndi Glucovans ndi Bagomet Plus.
Glucovans ndi mankhwala ophatikiza a hypoglycemic omwe ali ndi zosakaniza zofanana ndi Gluconorm. Zizindikiro zazikulu zogwiritsidwa ntchito mu matenda a shuga a mtundu wachiwiri ndizoperewera kwa chakudya, zolimbitsa thupi, komanso ndi cholinga chobwezeretsanso chithandizo kwa odwala omwe mulingo wa shuga mthupi umayendetsedwa.
Glucovans ayenera kumwedwa. Potere, Mlingo wa mankhwalawa umatsimikiziridwa payekhapayekha, ndipo kusintha kwake kumadalira kuchuluka kwa shuga mthupi la wodwala wina.
Monga lamulo, chithandizo nthawi zonse chimalimbikitsidwa ndi piritsi limodzi, lomwe limatengedwa kamodzi patsiku. Kupatula kukula kotheka kwa dziko la hypoglycemic, ndikofunikira kuwerengetsa kuti mupeze mlingo kuti tsiku lililonse mulibe kupitirira muyeso wa chithandizo chathachi.
Glucovans siivomerezeka munthawi zotsatirazi:
- Hypersensitivity mankhwala.
- Kusokonezeka kwa magwiridwe antchito.
- Kukhalapo kwa kulephera kwa impso.
- Mtundu woyamba wa shuga.
- Matenda a shuga a ketoacidosis.
- Pachimake ndi matenda okhathamira ophatikizika ndi minofu yofewa.
- Zaka za ana.
- Mtundu wa zakumwa zoledzeretsa.
Pa chithandizo cha Glucovans, zimachitika zosiyanasiyana zomwe zimakhudzidwa zomwe zimakhudza ziwalo zonse zamkati ndi machitidwe.
Bagomet Plus ikulimbikitsidwa pakuchiritsa kovuta kwa mtundu wa 2 matenda osokoneza bongo motsutsana ndi maziko osagwirizana ndi chithandizo chamankhwala chopatsa thanzi. Mlingo umatengera kuchuluka kwa shuga mthupi.
Makapisozi amatengedwa kwathunthu, kutsukidwa ndi madzi ambiri. Osabera kapena kupera m'njira ina iliyonse. Mlingo waukulu patsiku ndi 3000 mg.
Nthawi zambiri, mlingo woyambira umasiyanasiyana 500 mpaka 1000 mg patsiku. Kutengera kuuma kwa glycemia, mlingo umatha kuwonjezeka patatha milungu ingapo. Kuti muchepetse zovuta zoyipa, mulingo woyenera umagawidwa pawiri.
Mukamamwa Bagomet Plus, zotsatira zotsatirazi zingachitike:
- Kuwonongeka kwa chakudya, kugunda kwa mseru.
- Kulawa kwazitsulo pamkamwa.
- Ululu pamimba.
- Kuchulukitsa kwa mpweya.
- Kuphwanya kwam'mimba.
- Thupi lawo siligwirizana.
Mtengo wa Bagomet Plus umasiyana kuchokera ku ruble 350 mpaka 500, ndipo mtengo wa ma Glucovans kuchokera ku 360 mpaka 350 rubles.
Zitha kugulidwa ku mankhwala aliwonse, ogulitsidwa popanda mankhwala a dokotala.
Ma Analogs okhala ndi metformin
Palinso mankhwala omwe ali ndi metformin pazomwe amapanga - Glibomet ndi Glyukofazh.
Musanayesedwe mankhwala ofananawo mwatsatanetsatane, ziyenera kudziwika kuti ndikulimbikitsidwa kuti musabweze ndalamazo nokha. Kuphatikiza apo, kuti zomwe zakonzedwa pamwambazi ndizogwirizana kwathunthu ndi Gluconorm, zimalimbikitsidwanso kuti mugule Glibenclamide.
Glibomet ndi mankhwala ovuta omwe amathandiza kuchepetsa shuga m'thupi la munthu. Mapiritsi, odziwidwa m'matumbo am'mimba, amathandizira kutsegula kapamba, kuwonjezera chiwopsezo cha minofu ya insulin, ndikuwonjezera kupanga kwake.
Zizindikiro zazikulu zogwiritsidwa ntchito ndi izi:
- Mtundu wosadalira shuga wa insulin.
- Kukaniza kwa thupi ku mankhwala osokoneza bongo omwe amapezeka ndi sulfonylurea.
- Kuchepetsa kudwala kwa wodwala kwa mankhwala a sulfonylurea, komwe kunayamba chifukwa chogwiritsa ntchito nthawi yayitali.
Kutalika kwa mankhwalawa komanso kuchuluka kwa mankhwalawa kumatsimikizika kutengera ndi kuchuluka kwa shuga mthupi, ndipo zimamveketsa kagayidwe kazakudya. Nthawi zambiri, mapiritsi angapo amaperekedwa patsiku, pomwe wodwalayo amawunikidwa nthawi zonse kuti apeze mlingo woyenera.
Glibomet ikhoza kuyambitsa zotsatirazi:
- Kutsitsa milingo yama cell oyera m'magazi.
- Kutha kwa chilala, kupumitsa mseru komanso kusanza, kulawa kwazitsulo mkamwa. Pafupipafupi - zochulukitsa zochitika za zigawo zikuluzikulu za chiwindi, kukula kwa chiwindi.
- Kutopa kwambiri, kufooka kwa minofu. Pafupipafupi, vuto lakumvetsetsa.
- Ziwengo ndi khungu mawonetsedwe (kuyabwa, redness of khungu).
Dziwani kuti panthawi yamankhwala omwe mumalandira mankhwalawa ndikulimbikitsidwa kukana kuyendetsa galimoto, komanso kumwa mowa.
Glucophage ndi mankhwala amkamwa a hypoglycemic omwe amagwiritsidwa ntchito pochiza matenda a shuga 2, ngati wodwalayo sanapindule ndi chakudya komanso zakudya maphikidwe a odwala matenda ashuga. Chofunikira chachikulu pamapiritsi ndi metformin.
Malangizo ogwiritsira ntchito werengani izi:
- Mapiritsi amatengedwa nthawi ya chakudya, kapena itangotha.
- Simungathe kupera kapena kutafuna mankhwalawa, muyenera kumeza piritsi lonse ndi madzi abwinobwino.
- Mlingo ndi nthawi yayitali ya mankhwalawa imasankhidwa payekha, kutengera mawonekedwe a wodwala wina.
- Monga lamulo, 500-800 mg kamodzi patsiku tikulimbikitsidwa;
- Pambuyo masiku 14, mlingo ukuwonjezeka. Poterepa, muyenera kudalira shuga zomwe zili m'thupi la wodwalayo.
- Mlingo wambiri pa maola 24 ndi 1000 mg.
Mosamala kwambiri, mankhwalawa amaperekedwa kwa odwala omwe ayamba kudwala impso. Monga lamulo, chithandizo chimayamba ndi mlingo wochepa, ndipo ndi kuchuluka kwa msambo, kuchuluka kwa shuga kumaganiziridwa ndipo magwiridwe antchito amayesedwa.
Gluconorm ndi mawonekedwe ake amafunsira zochizira matenda amitundu iwiri. Mankhwalawa ndi othandizira, koma ali ndi zovuta zambiri komanso contraindication, chifukwa chake amalimbikitsidwa ndi adokotala okha. Vidiyo yomwe yatchulidwa munkhaniyi ifotokoza za mtundu wa matenda ashuga a 2 omwe amathandizidwabe.
