Diabeteson MV ndi mankhwala omwe amapangidwa kuti azichiritsa matenda amtundu wa 2.
Chithandizo chogwira mankhwalawa ndi gliclazide, yomwe imalimbikitsa ma cell a beta kuti apange insulin yambiri, izi zimapangitsa kuchepa kwa shuga m'magazi. Kutchulidwa kwa MV kwa mapiritsi osinthidwa osinthidwa. Glyclazide ndimachokera ku sulfonylurea. Gliclazide amachotsedwa pama mapiritsiwa kwa maola 24 mosiyanasiyana, komwe ndi kuphatikiza pa matenda ashuga.
Matenda a shuga amatha kumwedwa pokhapokha njira yoyenera ya metformin. Mankhwalawa amalembera mtundu wa 2 shuga, ngati masewera olimbitsa thupi komanso zakudya sizinabweretse zotsatira zomwe zikuyembekezeka.
Malangizo ndi mlingo
Mlingo woyambirira wa mankhwalawa kwa achikulire ndi okalamba ndi 30 mg mu maola 24, iyi ndi theka la mapiritsi. Mlingo ukuwonjezeka osapitilira 1 nthawi m'masiku 15-30, malinga ngati pali osakwanira kuchepetsa shuga.Dotolo amasankha muyezo uliwonse, molingana ndi kuchuluka kwa shuga m'magazi, komanso glycated hemoglobin HbA1C. Mlingo waukulu kwambiri ndi 120 mg patsiku.
Mankhwalawa akhoza kuphatikizidwa ndi mankhwala ena a shuga.
Mankhwala
Mankhwalawa amapangidwa m'mapiritsi, amalembedwera odwala matenda ashuga a 2, pamene kudya kwambiri komanso kuchita masewera olimbitsa thupi sikuthandizira ndi matenda ashuga. Chombochi chimachepetsa kwambiri kuchuluka kwa shuga.
Mawonetsedwe ake akuluakulu a mankhwalawa:
- Amasintha gawo la insulin katulutsidwe, komanso kubwezeretsa koyambirira monga kuyankha kwa shuga,
- amachepetsa chiopsezo cha mtima chotupa,
- Madera a matenda ashuga amawonetsa machitidwe a antioxidant.
Zabwino
Posachedwa, kugwiritsa ntchito mankhwalawa mankhwalawa matenda a shuga a 2 akuwonetsa zotsatirazi:
- odwala amachepetsa kwambiri shuga wamagazi,
- chiwopsezo cha kukhala ndi hypoglycemia chimafika pa 7%, chomwe ndi chotsika poyerekeza ndi ena omwe amapezeka mu sulfonylurea;
- mankhwalawa amayenera kumwedwa kamodzi patsiku, kupangitsa mosavuta kuti anthu ambiri asiye kusiya chithandizo,
- chifukwa chogwiritsa ntchito gliclazide pamapiritsi olanditsidwa osasunthika, kulemera kwamthupi la odwala kumawonjezeredwa pazochepera.
Ndiosavuta kwa endocrinologists kusankha pazamankhwala awa kusiyana ndi kukopa anthu omwe ali ndi matenda ashuga kuti azitsatira kudya komanso kuchita masewera olimbitsa thupi. Chipangizocho munthawi yochepa chimachepetsa shuga m'magazi ndipo, nthawi zambiri, chimaloledwa popanda owonjezera. 1% yokha ya anthu odwala matenda ashuga omwe amazindikira mavuto, 99% yotsalayo amati mankhwalawo amawakwanira.
Zofooka za mankhwala osokoneza bongo
Mankhwalawa ali ndi zovuta zina:
- Mankhwala amafulumizitsa kuchotsedwa kwa maselo a beta a kapamba, kotero matendawa amatha kulowa m'matenda a 1 a shuga. Nthawi zambiri zimachitika pakati pa 2 ndi 8 zaka.
- Anthu omwe ali ndi thupi loonda komanso lopendekera amatha kukhala ndi matenda oopsa a shuga. Monga lamulo, izi sizichitika pasanathe zaka 3.
- Mankhwalawa samachotsa chifukwa cha mtundu wachiwiri wa matenda a shuga - kuchepetsa mphamvu ya maselo onse ku insulin. Vuto lofanana la metabolic lili ndi dzina - kukana insulini. Kumwa mankhwalawa kungalimbikitse mkhalidwewu.
- Chidacho chimapangitsa kuti shuga m'magazi akhale otsika, koma kufa kwa odwala sikutsika. Izi zatsimikiziridwa kale ndi kafukufuku wapadziko lonse ndi ADVANCE.
- Mankhwala angayambitse hypoglycemia. Komabe, mwayi womwe umapezeka ndi wocheperako poyerekeza ndi kugwiritsa ntchito zinthu zina za sulfonylurea. Komabe, tsopano matenda a shuga a 2 amatha kuwongoleredwa popanda vuto la hypoglycemia.
Palibe kukayika kuti mankhwalawa ali ndi zowonongeka m'maselo a beta pama cell a pancreatic beta. Koma nthawi zambiri sizinenedwe. Chowonadi ndi chakuti ambiri odwala matenda ashuga amtundu wa 2 samakhala ndi moyo mpaka atakhala ndi shuga yodalira matenda a shuga. Mtima wamtima wa anthu otere ndi wocheperako kuposa kapamba. Chifukwa chake, anthu amafa ndi stroko, matenda a mtima kapena zovuta zawo. Chithandizo chokwanira bwino cha matenda ashuga amtundu wa 2 omwe ali ndi zakudya zama carb ochepa chimaphatikizanso kutsitsa magazi, komwe kumakhala ndi zotsatira zabwino pamtima ndi m'mitsempha yamagazi.
Zolemba za mapiritsi otulutsidwa osinthika
Chogwiritsidwachi, monga tafotokozera pamwambapa, chili ndi malingaliro omwe amasulidwa. Piritsi la mankhwalawa limasungunuka m'mimba mwa wodwalayo patatha maola awiri ndi atatu. Voliyumu yonse ya gliclazide mb kuchokera piritsi nthawi yomweyo imalowa m'magazi. Mankhwalawa amachepetsa shuga m'magazi komanso pang'onopang'ono. Mapiritsi ochizolowereka amachitanso izi mwadzidzidzi, kuwonjezera apo, zochita zawo zimasiya msanga.
Mankhwala amasinthidwe aposachedwa kwambiri ali ndi zabwino zazikulu kuposa omwe adalipo kale. Kusiyana kwakukulu ndikuti mankhwalawa ndi otetezeka, ndipo malangizo ake ogwiritsira ntchito ndi osavuta.
Mankhwala amakono samachepetsa ma hypoglycemia, ndiko kuti, mkhalidwe wama shuga a magazi, mosiyana ndi zina zomwe zimachokera ku sulfonylurea.
Kuyesa kwaposachedwa kwakanthawi kachipatala kumaonetsa kuti mukamamwa mankhwalawa mwatsopano, hypoglycemia imakonda kuchitika, nthawi zambiri, pamodzi ndi khungu.
Pazonse, mankhwala amakono amalekerera mokwanira ndi mtundu wa 2 odwala matenda ashuga. Pafupipafupi pamavuto onse odwala sapitirira 1% ya milandu.
Pazantchito zamankhwala, zimadziwika kuti molekyulu ya Diabeteson mb yatsopano ili ndi mawonekedwe apadera ndipo, kwenikweni, ndi antioxidant. Komabe, izi zilibe phindu lenileni, ndipo sizikhudza kuthandizira konse kwamankhwala.
Diabeteson Yakulimbikitsidwa yatsimikiziridwa kuti yachepetsa mapangidwe a magazi, omwe nthawi zambiri amachepetsa chiopsezo cha stroke. Komabe, palibe chidziwitso kuti mankhwalawa amachititsanso chimodzimodzi.
Ndizofunikira kudziwa kuti mankhwalawa adanenapo zovuta zochepa kuposa mankhwala akale. Mtundu watsopanowo umakhala ndi mwayi woteteza maselo a beta. Chifukwa chake, mtundu wofikira shuga 1 wodalira insulin umayamba pang'onopang'ono.
Momwe mungamwe mankhwalawa, malingaliro anu ogwiritsira ntchito
Mapiritsi ayenera kugwiritsidwa ntchito ngati chowonjezera pa chakudya ndi zochitika zolimbitsa thupi, koma osatero m'malo mwake.
Ndizofunikira kudziwa kuti anthu ambiri omwe ali ndi matenda ashuga satsatira malangizo azachipatala pankhani yosintha moyo wabwino. Dotoloyo amakupatsani kuchuluka kwa mankhwalawa tsiku lililonse, kutengera kuchuluka kwa shuga m'magazi. Palibe chifukwa chakuti mlingo womwe ungakhazikitsidwe uzikula kapena kuchepetsedwa pawokha. Ngati mumagwiritsa ntchito shuga yayikulu ya shuga, ndiye kuti hypoglycemia ikhoza kuyamba - mkhalidwe wokhala ndi shuga yochepa kwambiri. Zizindikiro zake:
- kusakhazikika
- kugwirana chanza
- thukuta
- njala.
Pali milandu yovuta kwambiri yomwe ikhoza kuwonongeka kwambiri pambuyo pake, kenako ndikufa.
Diabeteson MV imatengedwa ndi kadzutsa, 1 nthawi patsiku. Piritsi la 60 mg losungika nthawi zina limagawika m'magawo awiri kuti mupeze Mlingo wa 30 mg. Komabe, madokotala salimbikitsa kuphwanya kapena kutafuna piritsi. Mukamamwa mankhwalawa, ndibwino kumwa ndi madzi.
Kuphatikiza pa mankhwalawa, pali njira zina zambiri zamankhwala zodwala matenda a shuga a 2. Koma ngati wodwalayo adaganiziratu kumwa mapiritsi, ndiye kuti muyenera kutero tsiku ndi tsiku, kutulutsa zilizonse ndizosayenera. Kupanda kutero, shuga m'magazi amadzuka mwachangu kwambiri.
Matenda a shuga amatha kuchepetsa kulolera kwa mowa. Zizindikiro zake:
- mutu
- kuvutika kupuma
- kupweteka kwam'mimba
- kusanza
- pafupipafupi nseru.
Zochokera ku Sulfonylurea, kuphatikiza Diabeteson MV, sizodziwika ngati mankhwala osankhidwa mwanjira ya matenda ashuga a 2. Chithandizo chamankhwala chimalimbikitsa kumwa mapiritsi a metformin omwe ali ndi mtundu uwu wa matenda ashuga: Siofor, Glucofage.
Popita nthawi, mlingo wa mankhwalawa umakwera kwambiri, pamapeto pake ndi 2000-3000 mg patsiku. Ndipo pokhapokha ngati izi sizikwanira, chisankho chimapangidwa pakugwiritsa ntchito Diabetes.
Madokotala omwe amapereka mankhwala m'malo mwa metformin amalakwitsa kwambiri. Mankhwalawa onse akhoza kuphatikizidwa, omwe amapereka zotsatira zosatha. Koma njira yabwino kwambiri: sinthani ku pulogalamu yapadera yothandizira odwala matenda ashuga a 2, kenako n kusiya mapiritsiwo.
Diabeteson MV amaloledwa kuphatikiza ndi mankhwala ena pochiza matenda ashuga, koma izi sizikugwira ntchito pazomwe zimachokera sulfonylurea ndi glinides (meglitinides).
Ngati mankhwalawa satsitsa shuga m'magazi a munthu, ndiye kuti simuyenera kuzengereza ndikusintha wodwalayo kuti apange jakisoni wa insulin.
Panthawi imeneyi, iyi ndi njira yokhayo yotulutsira, popeza mapiritsi sathandizanso. Jakisoni wa insulin adzapulumutsa nthawi yofunikira, zomwe zikutanthauza kuti zovuta zazikulu sizingachitike.
Mwacitsandzo, kupfuma kwa sulfonylurea kumakulitsa chidwi cha khungu kukhala ndi cheza cha ultraviolet. Izi zikutanthauza kuti ngozi zakuwotcha ndi dzuwa zimachulukirachulukira. Gwiritsani ntchito nthawi zonse dzuwa. Koma ndibwino kusawotcha dzuwa konse, ndikukhala padzuwa pang'ono.
Ndikofunikira kulingalira za chiopsezo cha hypoglycemia, chomwe chingapangitse kuti anthu azigwiritsa ntchito Diabetes. Mukamayendetsa galimoto kapena kuchita zinthu zoopsa, ndikofunikira kuyang'ana shuga wanu wamagazi pafupifupi ola lililonse ndi mita yamagazi.
Contraindication kugwiritsa ntchito mankhwalawa
Diabeteson MV silingatengedwe nkomwe, chifukwa njira zina zochizira matenda a shuga 2 ndizothandiza kwambiri ndipo sizikhala ndi zotsatirapo zake. Mankhwalawa adavomereza mwapang'onopang'ono zotsutsana.
Pansipa pali mitundu ya odwala omwe akuyenera kulandira mankhwala awa, omwe amayeza zabwino zonse ndi zonyansa.
- Ndi zoletsedwa kumwa mankhwalawa nthawi yoyamwitsa komanso pakati.
- Diabeteson MV siikuperekedwa kwa ana ndi achinyamata, popeza chitetezo ndi luso la mankhwalawa la odwala silinakhazikitsidwe.
- Sitikulimbikitsidwa kugwiritsa ntchito mankhwalawa kwa anthu omwe sakhudzidwa nazo kapena zotengera zina za sulfonylurea.
- Mankhwalawa amalepheretsedwa kwa odwala matenda ashuga amtundu wa 2 kapena osakhazikika pamtundu wa matenda ashuga a 2 omwe amakhala ndi zochitika za hypoglycemia pafupipafupi.
- Zochokera ku Sulfonylurea sizovomerezeka ndi anthu omwe ali ndi vuto lalikulu la impso ndi chiwindi. Pamaso pa matenda a shuga a nephropathy, kumwa mankhwala kuyenera kukambirana ndi dokotala. Monga lamulo, adokotala akulangizani kuti mugwiritse ntchito jakisoni wa insulin.
- Diabeteson MV amavomerezedwa mwalamulo kwa okalamba, ngati ali ndi impso komanso chiwindi chathanzi. Komabe, nthawi zambiri, mankhwalawa amathandizira kusintha kwa mtundu wachiwiri wa matenda ashuga kukhala mtundu 1 wa shuga. Chifukwa chake, ngati tikhazikitsa ntchito yokhala moyo wautali komanso popanda zovuta zosafunikira, ndiye kuti ndibwino kuti tisatenge MV Diabeteson.
Diabeteson MV iyenera kuyang'aniridwa mosamala pazinthu zotsatirazi:
- Hypothyroidism - kufooketsa kapamba, kuchepa kwa mahomoni ake m'magazi,
- Kuperewera kwa mahomoni opangidwa ndi tiziwalo timene timatulutsa timadzi tambiri,
- Zakudya zosavomerezeka
- Mowa mu mawonekedwe osakhazikika.
Mtengo wa mankhwala
Pakadali pano, mtundu wina uliwonse wa mankhwalawa ukhoza kuitanidwa pa intaneti kapena kugulidwa ku pharmacy. Mtengo wapakati wa mankhwalawa ndi ma ruble 350, mosasamala mtundu wa mankhwalawo. M'mafakitare opezeka pa intaneti ndi zitsanzo zotsika mtengo kwambiri za mankhwalawo, mtengo wawo amakhala pafupifupi ma ruble 282.
