Pakadali pano, mankhwala osiyanasiyana angagwiritsidwe ntchito pochiza wodwala yemwe wapezeka ndi matenda a shuga a 2. Chimodzi mwa mankhwalawa ndi Metglib Force.
Metglib ndi mankhwala omwe amapezeka piritsi. Kuphatikizidwa kwa mankhwalawo nthawi yomweyo kumakhala ndi magawo awiri omwe amagwira ntchito - metformin ndi glibenclamide, zomwe zimaloleza kuti ziwonekere gulu la zophatikiza zamankhwala zomwe zimagwiritsidwa ntchito pochiza matenda a shuga mellitus. Chifukwa cha kuphatikiza kwazinthuzi, Metglib ndi imodzi mwamankhwala othandiza kwambiri, monga zikuwonekera ndi kuwunika kwa odwala ndi madokotala.
Yogwira ntchito ya metformin imathandizira kuchepetsa shuga m'magazi kuti ikhale yachilengedwe. Kuphatikiza apo, katundu wake akuphatikiza ma analgesic ndi ma antiviral zotsatira zake, kuchepa thupi ndi zovuta zopanda chakudya.
The yogwira mankhwala glibenclamine imakhazikitsidwa ngati mankhwala omwe amachepetsa shuga.
Mankhwalawa amagwiritsidwa ntchito kwambiri pochiza matenda amtundu wa 2 osagwirizana ndi insulin. Kuphatikiza apo, kugwiritsidwa ntchito kwake kumakhala koyenera pambuyo pa chithandizo chamankhwala chosagwiritsidwa ntchito ndi zinthu ziwiri zamankhwala - metformin ndi urea sulfonyl zotumphukira, pokhapokha ngati wodwala ali ndi khola la glycemia.
Mapiritsi a Metglib ndi ena mwa mankhwala otsika mtengo. Mtengo wawo umatengera zinthu izi:
- kampani yopanga mankhwala.
- wogulitsa.
- malo omwe wogulitsa (mankhwala).
Pafupifupi, mtengo wamankhwala otere ungasiyane ndi ma ruble 190 mpaka 250 pa paketi (mapiritsi 10).
Malangizo ogwiritsira ntchito mankhwalawa
Phukusi lililonse la mankhwalawa lili ndi malangizo ogwiritsa ntchito. Musanayambe njira yothandizira achire, muyenera kuwerengera mosamala zomwe zili mkati mwake, mulingo woyenera, mawonekedwe owoneka ndi mavuto ndi zotsutsana.
Dokotala wokhayo ndiye woyenera kupereka chithandizo ndi mankhwalawa.
Mpaka pano, mapiritsi amapezeka mu mitundu yosiyanasiyana, yomwe imasankhidwa kwa wodwala aliyense payekhapayekha. Kutengera kuchuluka kwa zinthu zomwe zingagwiritsidwe ntchito, mankhwalawa angagwiritsidwe ntchito pazotsatira zake:
- Kuphatikizikako kumakhala ndi 500 mg ya metformin ndi 2.5 (5) mg wa glibenclamine - kuyamba kwa chithandizo kumakhala ndi kumwa piritsi limodzi patsiku m'mawa. Ngati kuli kofunika kuwonjezera mlingo kukhala mapiritsi awiri kapena anayi patsiku, kuchuluka kwa mankhwalawa kumachulukitsidwa ndipo mankhwalawa amatengedwa m'mawa ndi madzulo. Kuphatikiza apo, adotolo atha kukulemberani kumwa katatu kwamankhwala (atatu, asanu kapena asanu ndi limodzi patsiku).
- Kwa anthu achikulire, ndikofunikira kusankha mosamala mlingo wa mankhwalawo ndikuwunikira kuwonekera kwa zovuta, zomwe zimachitika kuchokera ku impso. Mlingo woyambirira suyenera kupitanso piritsi limodzi patsiku.
Dziwani kuti mankhwalawa sanapangidwe kuti athandize odwala matenda ashuga ana.
Ndi ziti zotsutsana zomwe zimagwiritsidwa ntchito?
Kuchiza ndi mankhwalawa kuyenera kuyang'aniridwa ndi katswiri wazachipatala.
Ngakhale zili ndi zabwino zambiri za mankhwalawo, pali mndandanda wathunthu wazotsatira zosiyanasiyana zoyipa ndi zoletsa kugwiritsa ntchito kwake.
Atsikana oyembekezera komanso azimayi oyembekezera nthawi yotsala sangathe kugwiritsa ntchito mankhwalawa, kuti asavulaze kukula kwa mwana.
Sizoletsedwa kugwiritsa ntchito chachipatala pazinthu zotsatirazi:
- ndi kukula kwa wodwala ndi matenda a shuga 1.
- ngati pali kuwonjezeka kwa chidwi kapena kusalolera kwa chinthu chimodzi kapena zingapo za mankhwalawa.
- odwala opitilira zaka makumi asanu ndi limodzi, makamaka pakakhala kulimbitsa thupi kwambiri.
- pochitira ana aang'ono.
- Pamaso pa matenda a impso, ziwalo zamkati pamtima kapena kulephera kwa chiwindi, ndizoletsedwa kumwa mapiritsi a anthu omwe adakumana ndi vuto la myocardial infarction, omwe ali ndi mtima kapena kupuma.
- kumwa mankhwala kutengera mycnalosis.
- Posachedwa kuchitidwa opaleshoni kapena kuvulala ndilimodzi mwazinthu zotsutsana ndi kumwa mankhwalawa.
- uchidakwa kapena kugwiritsa ntchito nthawi yomweyo zakumwa zoledzeretsa zazing'ono panthawi ya mankhwala a Metglib.
- mawonetseredwe a lactic acidosis.
- mukumamatira pachakudya chokhazikika chama calorie, chomwe sichidutsa kilocalories chikwi patsiku.
Kuphatikiza apo, chisamaliro chikuyenera kuthandizidwa pochiza wodwala ngati:
- febrile syndrome.
- mavuto ndi yachibadwa magwiridwe antchito a adrenal.
- osakwanira magwiridwe antchire.
- matenda a chithokomiro.
Kusamala mu chithandizo kumafunikira mukamagwira ntchito ndi odwala patatha zaka 70, chifukwa hypoglycemia imatha kuchitika.
Ndi zovuta zoyipa ziti zomwe zimagwiritsidwa ntchito ndi mankhwalawa zomwe zingachitike?
Nthawi zina, madokotala amatha kuwona kuwonetsa kwa zoyipa zosiyanasiyana zomwe zimachitika chifukwa chotenga mankhwalawa ndikusankha kosayenera kwa Mlingo.
Ngati pali zizindikiro kapena zosagwira bwino m'thupi, muyenera kudziwitsa dokotala wanu za momwe akukula.
Kuphatikiza apo, ndemanga za odwala zimawonetsa zotsatirapo zoipa za mankhwalawa.
Mawonekedwe olakwika omwe akupezekapo akuphatikizapo:
- Matenda osiyanasiyana omwe amadza kuchokera ku dongosolo la lymphatic. Zotsatira zoyipa zoterezi ndizosowa kwambiri ndipo, monga lamulo, zimatha mukangomwa mankhwalawo.
- Matenda oyamba a chitetezo chamthupi amatha. Mwazovuta kwambiri, kuwopsa kwa anaphylactic kumawonedwa. Hypersensitivity reaction ku sulfonamides kapena zotumphukira zawo zimapezekanso nthawi zina.
- Kukula kwa matenda am'mimba ndi ziwalo zam'mimba thirakiti. Zotsatira zoyipa zoterezi zimawonetsedwa m'miseru ndi kusanza, kutsegula m'mimba ndi kupweteka m'mimba. Monga lamulo, zizindikilo zotere ndi zotsatira za kuyamba kwa mankhwalawo ndikudutsa pazokha masiku ochepa. Kuti athe kulolera bwino mankhwala, madokotala amalimbikitsa kuti agawanitse mankhwalawo kuti akhale mu Mlingo wambiri kuti thupi lizitha kuzolowera.
- Kukula kwa zoyipa zomwe zimawonetsedwa ndi kagayidwe kachakudya mthupi. Chimodzi mwazizindikiro zakuwonekera kwawo ndi hypoglycemia.
- Zotsatira zoyipa zomwe zimatha kuchitika kumbali yamanjenje zimafotokozedwa ngati mawonekedwe amtundu wamchere wamkamwa.
- Mavuto ndi khungu limawonekera pakhungu, redness, urticaria ndi totupa zosiyanasiyana.
Pharmacology yamakono imapereka zida zambiri zamankhwala osiyanasiyana, zomwe ndi Metglib analogues.
Kodi mankhwala amatha kusinthidwa ndi chinthu china?
Monga lamulo, mankhwalawa ali ndi chinthu chofanana pakapangidwe kake, koma amatha kusiyanasiyana ndi kuchuluka kwa mlingo, mtundu wa kumasulidwa, kampani yopanga ndi ndondomeko yamtengo. Dziwani kuti ogula ambiri amawona kuti mankhwala omwe atengedwa nawo kunja ndi othandiza kwambiri, omwe amakhala okwera mtengo, koma atha kukhala chimodzimodzi ndi mankhwalawo. Kusankhidwa kapena kusinthana kwa mankhwalawa kuyenera kuchitidwa kokha ndi adokotala.
Mankhwala omwe amaphatikiza metformin yogwira ndi glibenclamine ndi awa:
- Bagomet Plus ndi mapiritsi akukonzekera omwe amapezeka mu 500 mg ya metformin ndi 5 mg ya glibenclamine. Ndiwotsimikizira kwathunthu wa mapiritsi a Metglib. Mtengo wapakati mumasitolo azitawuni ndi pafupifupi ma ruble 215.
- Glibomet - mapiritsi okhala ndi 400 mg a metformin ndi 2,5 mg wa glibenclamine, omwe nthawi zambiri amagwiritsidwa ntchito pochiza matenda a shuga a 2. Mwa zomwe zili pazinthu zomwe zimagwira, zimakhala zowonda kwambiri (zimakhala ndi zotsika) poyerekeza ndi Metglib. Mtengo wapakati pama pharmacies umasiyana mkati mwa ma ruble 315.
- Gluconorm - mapiritsi, omwe kapangidwe kake ndi katundu amakhala ndi zofanana ndi Metglib. Mtengo wapakati ndi pafupifupi ma ruble 230.
Mankhwala onse omwe ali pamwambawa ali ndi zigawo ziwiri zogwira ntchito pakuphatikizika kwawo ndipo amaphatikizidwa pagulu la mankhwala osakanikirana omwe amagwiritsidwa ntchito kuphatikiza shuga.
Mu kanema munkhaniyi, adotolo apereka malingaliro othandizira odwala matenda a shuga popanda mankhwala.
