Matenda a shuga ndi njira yodziwika bwino ya endocrinological. Matendawa ndi amitundu iwiri - wodalira insulin komanso osadalira insulini. Matenda a shuga ndi matenda osachiritsika.
Pochiza matenda, mankhwalawa amagwiritsidwa ntchito omwe amathandizira kukula kwa shuga. Chimodzi mwazida zotchuka kwambiri zamtunduwu ndi Glucobai 100 mg. Mankhwalawa amagwiritsidwa ntchito pothandizidwa ndi matenda a shuga 1 komanso mankhwalawa amamuuza kuti adwala matendawa.
Mankhwala amapangidwa ngati mapiritsi. Glucobai 50 mg ndi 100 mg akugulitsidwa. Amasiyana pakati pawo pa kuchuluka kwa zinthu zomwe zimagwira piritsi limodzi. Mtengo wa mankhwalawa ndi ma ruble 660-800. Pogula mankhwala, muyenera kupereka mankhwala oyenera kuchokera kwa dokotala.
Zotsatira za mankhwala a Glucobay
Glucobai ndi othandizira a hypoglycemic pakugwiritsa ntchito pakamwa. Yogwira pophika mankhwala ndi acarbose. Izi zimakhazikika pamlingo wa glucose m'magazi.
Kodi mankhwalawa amagwira ntchito bwanji? Acarbose ndi chinthu chomwe chimalepheretsa matumbo alpha glucosidase. Yogwira pophika mankhwala amachepetsa kusintha kwa enzymatic kwa ma disaccharides, oligosaccharides ndi polysaccharides kukhala monosaccharides. Chifukwa cha izi, kuchuluka kwa kuyamwa kwa glucose m'matumbo kumachepetsedwa.
Ndizofunikira kudziwa kuti kugwiritsa ntchito mapiritsi, hypoglycemia yayikulu sikupita patsogolo. Kumwa mankhwala pafupipafupi kumachepetsa chiopsezo:
- Myocardial infaration.
- Kuukira kwa hypoglycemia ndi hyperglycemia.
- Kukula kwa matenda opatsirana a mtima.
Pazitali kwambiri pazogwira ntchito m'magazi zimawonedwa pambuyo pa maola 1-2. Ma metabolites osagwira a mankhwala amamuchotsa matumbo, impso ndi chiwindi.
Malangizo ogwiritsira ntchito mankhwalawa
Mukasankha Glucobai, malangizo ogwiritsira ntchito akuyenera kuphunzira, chifukwa ali ndi chidziwitso chonse, zisonyezo, zotsutsana ndi zoyipa. Kodi ndikofunika kumwa mankhwalawa munthawi iti?
Malangizowo akuti mankhwalawa amayenera kugwiritsidwa ntchito popanga matenda a shuga 1. Chizindikiro chogwiritsidwira ntchito ndi mtundu wa 2 shuga. Mutha kugwiritsa ntchito mankhwalawa kunenepa kwambiri komanso matenda a shuga.
Koma kuchepa thupi mothandizidwa ndi Glucobay ndizotheka pokhapokha mutatsatira zakudya zapadera. Ndikofunika kudziwa kuti munthu wonenepa ayenera kudya pafupifupi kilomita 1000 patsiku. Kupanda kutero, hypoglycemia ikhoza kukhala, mpaka kuukira kwa hypoglycemic.
Momwe mungamwe mankhwalawo? Imwani mapiritsi musanadye. Mlingo woyambirira ndi 150 mg. Gawani tsiku lililonse mu 3 waukulu. Ngati ndi kotheka, mlingo umakwezedwa ku 600 mg. Koma mu nkhani iyi, tsiku ndi tsiku mlingo uyenera kugawidwa mu 3-4 Mlingo.
Ngati munthawi ya chithandizo, wodwalayo amakhala ndi vuto lotsekula m'mimba, ndiye kuti mlingo wake uyenera kuchepetsedwa, kapena mankhwalawo amayenera kusokonezedwa konse. Kutalika kwa chithandizo ndi Glucobaem amasankhidwa payekhapayekha.
Contraindication kumwa mapiritsi:
- Ziwengo magawo a mankhwala.
- Zaka za ana. Mankhwalawa sanalembedwe kwa odwala azaka zosakwana 18.
- Kukhalapo kwa matenda owopsa kapena matumbo. Ndemanga za madokotala zikuwonetsa kuti mankhwalawa ndi owopsa kupereka kwa anthu omwe ali ndi vuto la matumbo.
- Matenda a shuga ketoacidosis.
- Kusokonezeka kwa chiwindi. Ndi zoletsedwa kugwiritsa ntchito mankhwalawa ngati munthu akudwala matenda a chiwindi, matenda a chiwindi kapena chiwindi.
- Zilonda zam'mimba kapena ziwalo zina zam'mimba thirakiti.
- Nthawi yapakati.
- Nthawi yonyamula. Koma malangizowo akuti mankhwalawa amatha kuikidwa kuti akachulukitse azimayi pokhapokha kuyimitsidwa kwakanthawi kanyumba
- Kulephera kwamkati (ndi zomwe zili ndi creatinine pamtunda wa 2 ml pa 1 dl).
- Matenda a Remgeld.
- Kukhalapo kwa hernias yayikulu khoma lam'mimba.
- Malabsorption syndrome kapena maldigestion.
Mosamala, mankhwalawa amaperekedwa kwa anthu atatha opaleshoni. Komanso kusintha njira zamankhwala kungakhale kofunikira ngati munthu akudwala matenda opatsirana kapena kutentha thupi. Ndikofunika kudziwa kuti mukamalandira chithandizo, mankhwala omwe amakhala ndi sucrose yambiri sangathe kudya. Kupanda kutero, zizindikiro za dyspeptic zimayamba.
Kodi Glucobai amalumikizana bwanji ndi mankhwala ena? Zakhazikitsidwa kuti mankhwalawa samagwira ntchito ngati matumbo amamwa, maantacid kapena kukonzekera kwa enzyme kumachitika nawo. Tiyeneranso kukumbukiranso kuti kugwiritsa ntchito Glucobay munthawi yomweyo pogwiritsa ntchito sulfonylurea kapena insulin, mphamvu ya hypoglycemic imakulitsidwa.
Ndikulimbikitsidwa kwambiri kuti musagwiritse ntchito chida ichi limodzi ndi thiazide diuretics, kulera kwamlomo, corticosteroids, nicotinic acid. Ndi kulumikizana kwawo, kuwonongeka kwa matenda ashuga kumatha. Komanso, matenda amtunduwu amatha kupanga ngati mutatenga phenothiazines, estrogens, isoniazid, calcium blockers, adrenomimetics nthawi yomweyo monga Glucobai.
Mukamagwiritsa ntchito mapiritsi a Glucobai, pali kuthekera kwa mawonekedwe a zotsatirapo zake:
- Kuchokera pamimba yokhudza chakudya: kupweteka kwa epigastric, nseru, kutsegula m'mimba, kusisita. Ngati bongo, pali mwayi wa kuchuluka asymptomatic mu ntchito ya chiwindi michere. Milandu imadziwikanso pamene kutsekeka m'matumbo, jaundice ndi hepatitis amapezeka panthawi ya chithandizo.
- Thupi lawo siligwirizana.
- Kutupa.
Pankhani ya bongo, anaphylactic zimachitika. Pankhaniyi, chithandizo chamankhwala chimachitika.
Analogue yabwino kwambiri ya Glucobay
Ngati Glucobay adatsutsana pazifukwa zilizonse, ndiye kuti wodwalayo adapatsidwa gulu lake. Mosakayikira, njira yabwino kwambiri pa chida ichi ndi Glucofage. Mankhwalawa amagwiritsidwanso ntchito pochiza matenda amtundu wa 2 komanso matenda a shuga. Mtengo wa mankhwalawo m'mafakisi ndi 500-700 rubles.
Anthu ambiri ali ndi chidwi ndichomwe pali kusiyana pakati pa Glucofage ndi Glucobay. Kusiyana kwakukulu pakati pa mankhwalawa ndi kapangidwe ndi mfundo zoyenera kuchitapo. Koma onsewa amagwiranso ntchito.
Kodi glucophage imagwira ntchito bwanji? Gawo lomwe limagwiritsa ntchito mankhwalawo limatchedwa metformin. Katunduyu ali ndi tanthauzo la hypoglycemic. Ndizofunikira kudziwa kuti odwala omwe ali ndi shuga omwe ali ndi shuga, metformin ilibe mphamvu.
Kupanga kwa Glucofage kumachitika chifukwa cha mphamvu ya gawo lake lomwe limakulitsa chidwi cha maselo kulowa insulini ndikuchepetsa kuchuluka kwa mayamwidwe a glucose m'mimba. Chifukwa chake, mankhwalawa amathandizira:
- Anachepetsa kapangidwe ka shuga m'chiwindi.
- Kukondoweza kwa kugwiritsidwa ntchito kwa glucose mu minofu minofu.
- Sinthani kagayidwe ka lipid.
- Cholesterol otsika, triglycerides ndi lipoproteins, omwe amakhala ndi otsika kwambiri.
Glucophage imatha kusiyanitsidwa ndi kuthekera kwake kuchokera ku mankhwala ena a hypoglycemic. Izi ndichifukwa choti mankhwalawa ali ndi zizindikiro zazikulu za bioavailability. Amapanga pafupifupi 50-60%. Pazitali kwambiri pazogwira zinthu zomwe zimapezeka m'magazi zimawonedwa pambuyo pa maola 2,5.
Momwe mungamwe mankhwalawo? Muyenera kumwa mapiritsi pakudya kapena musanadye. Mlingo wa tsiku ndi tsiku nthawi zambiri amakhala magalamu 2-3 (2000-3000 mamililita). Ngati ndi kotheka, pakatha masiku 10-15, mlingo umakulitsidwa kapena kuchepa. Mlingo wokonza ndi 1-2 magalamu. Ndikofunika kudziwa kuti mlingo wa tsiku ndi tsiku umasiyana. Munjira zambiri, zimatsimikiziridwa ndi mlingo wa insulin.
Mankhwala oletsedwa ndi:
- Matupi a ziwalo zamagulu a glucophage.
- Kulephera kwina.
- Kuphwanya chiwindi.
- Kuthetsa madzi m'thupi.
- Kulephera kopindulitsa.
- Matenda opatsirana.
- Lactic acidosis.
- Matenda a shuga.
- Acute myocardial infarction (mbiri).
- Zakudya za Hypocaloric (zosakwana ma kilocalories 1000 patsiku).
- Mimba komanso kuyamwa.
Mukamagwiritsa ntchito mankhwalawa, kusokonezeka komwe kumagwira ntchito m'mimba, CCC ndi hematopoietic dongosolo limatha kukhazikika. Palinso kuthekera kwa vuto la metabolic. Nthawi zambiri, mavuto amayamba ndi mankhwala osokoneza bongo.
Kanemayo munkhaniyi akukamba za zabwino komanso zoipa za mankhwala a Glucobay.
