Maninil amagwiritsidwa ntchito ngati mtundu wa 2 shuga mellitus (mtundu wosadalira insulini). Mankhwalawa amadziwitsidwa ngati kuchuluka kwa zolimbitsa thupi, kuchepa thupi komanso kudya mosamalitsa sizinabweretse zotsatira za hypoglycemic. Izi zikutanthauza kuti muyenera kukhazikika m'magazi anu ndi Maninil.
Lingaliro pakusankhidwa kwa mankhwalawa limapangidwa ndi endocrinologist, malinga ndi kutsatira kwambiri zakudya. Mlingo uyenera kuphatikizidwa ndi zotsatira za kudziwa kuchuluka kwa shuga mu mkodzo ndi mbiri ya glycemic.
Chithandizo cha mankhwalawa chimayamba ndi waukulu Mlingo wa Maninil, ndizofunikira kwambiri:
- odwala omwe ali ndi chakudya chosakwanira,
- odwala asthenic omwe ali ndi vuto la hypoglycemic.
Kumayambiriro kwa mankhwalawa, mlingo ndi theka la piritsi patsiku. Mukamamwa mankhwalawa, muyenera kuyang'anira kuchuluka kwa shuga m'magazi.
Ngati mulingo wochepetsetsa wa mankhwalawo sungathe kukonza bwino, ndiye kuti mankhwalawo amawonjezereka mofulumira kuposa kamodzi pa sabata kapena masiku angapo. Njira zowonjezera mlingo zimayendetsedwa ndi endocrinologist.
Maninil amatengedwa patsiku:
- Mapiritsi atatu a Maninil 5 kapena
- Mapiritsi 5 a Maninil 3.5 (ofanana ndi 15 mg).
Kusamutsa odwala ku mankhwalawa kuchokera kwa mankhwala ena operekera matenda ashuga kumafunikanso chithandizo chofanana ndi chomwe mankhwala adalandira.
Choyamba muyenera kuthana ndi mankhwala akale ndikuzindikira kuchuluka kwa shuga mumkodzo ndi magazi. Kenako, sankhani:
- theka la mapiritsi Maninil 3.5
- theka la mapiritsi a Maninil 5, okhala ndi zakudya komanso mayeso a labotale.
Ngati pakufunika thandizo, mlingo wa mankhwalawo umakulitsidwa pang'onopang'ono kukhala wowonjezera.
Kugwiritsa ntchito mankhwala osokoneza bongo
Maninil amatengedwa m'mawa asanadye, amatsukidwa ndi kapu imodzi yamadzi oyera. Ngati mlingo wa tsiku ndi tsiku woposa mapiritsi awiri a mankhwalawa, ndiye kuti umagawidwa m'mawa / madzulo kudya, muyezo wa 2: 1.
Kuti mukwaniritse chithandizo chokwanira, mukufunika kugwiritsa ntchito mankhwalawa panthawi yoyenera. Ngati pazifukwa zina munthu sanamwe mankhwalawo, ndiye kuti ndikofunikira kuphatikiza muyeso womwe wakumanidwa ndi Maninil mlingo wotsatira.
Maninil ndi mankhwala osokoneza bongo omwe nthawi yawo ya makonzedwe imatsimikiziridwa ndi endocrinologist. Pogwiritsa ntchito mankhwalawa, ndikofunikira kuyang'anira kuchuluka kwa shuga m'magazi ndi mkodzo wa wodwala sabata iliyonse.
Zotsatira zoyipa:
- Kuchokera kumbali ya kagayidwe - hypoglycemia ndi kulemera kwakukulu.
- Pa mbali ya ziwalo za masomphenya - zosokoneza malo m'malo okhala ndikuwona. Monga lamulo, mawonetseredwe amapezeka kumayambiriro kwa mankhwala. Matendawa amapita okha, safuna chithandizo.
- Kuchokera pamiyambo ya m'mimba: mawonetseredwe a dyspeptic (nseru, kusanza, kulemera m'mimba, zopunthwitsa. Zotsatira zake sizitanthauza kusiya mankhwalawo ndikudziwonongera pawokha.
- Kuchokera ku chiwindi: nthawi zina, kuwonjezeka pang'ono kwa phosphatase ya alkaline ndi transaminases yamagazi. Ndi mtundu wa hyperergic wa hepatocyte allergy ku mankhwalawa, intrahepatic cholestasis imatha kupezeka, zotsatira zoyambitsa moyo - chiwindi chilephera.
- Kuchokera kumbali ya CHIKWANGWANI NDI khungu: - zotupa za mtundu wa khungu lawo ndi kuyabwa. Mawonekedwe amawongolera, koma nthawi zina amatha kuyambitsa zovuta, mwachitsanzo, kugwedezeka kwamomwe, ndikupanga zowopsa m'moyo wamunthu.
Nthawi zina zimachitika ku ziwengo zimawonedwa:
- kuzizira
- kutentha kuwonjezeka
- jaundice
- mawonekedwe a mapuloteni mumkodzo.
Vasculitis (mafupa am'mimba otupa) amatha kukhala owopsa. Ngati pali kusintha kulikonse pakhungu ku Maninil, ndiye kuti muyenera kufunsa dokotala nthawi yomweyo.
- Kuchokera ku machitidwe am'mimba komanso ozungulira, ma cell amapazi nthawi zina amatha kuchepa. Ndizachilendo kwambiri kuti kuchepa kwa chiwerengero cha zinthu zina zopangidwa m'magazi: maselo ofiira am'magazi, maselo oyera, ndi ena.
Pali nthawi zina pamene ma cell onse am'magazi amachepetsedwa, koma atasiya kugwiritsa ntchito mankhwalawa, izi sizinawononge moyo wa munthu.
- Kuchokera ziwalo zina, nthawi zina, zotsatirazi zingaoneke:
- pang'ono diuretic kwenikweni
- proteinuria
- hyponatremia
- disulfiram ngati zochita
- thupi lawo siligwirizana mankhwala omwe hypersensitivity wodwala.
Pali chidziwitso chakuti utoto wa Ponso 4R womwe umagwiritsidwa ntchito popanga Maninil ndi wolumikizana ndipo chifukwa chake ambiri amawoneka osagwirizana ndi anthu osiyanasiyana.
Contraindra mankhwala
Maninil sangatengedwe ndi hypersensitivity kwa mankhwala kapena zigawo zake. Kuphatikiza apo, imaphatikizidwa:
- anthu omwe amadwala matendawa kwa okodzetsa,
- anthu omwe sagwirizana ndi sulfonylureas; zotumphukira za sulfonamide, sulfonamides, probenecid.
- Sizoletsedwa kupereka mankhwala ndi:
- mtundu wa shuga wodalira insulin
- mlangizi
- Kulephera kwaimpso 3 madigiri
- matenda a shuga
- pancreatic islet β-cell necrosis,
- metabolic acidosis
- kwambiri ntchito chiwindi kulephera.
Maninil sayenera kumwedwa ndi anthu omwe ali ndi chidakwa chopitirira muyeso. Mukamamwa zakumwa zoledzeretsa zochuluka, kuchuluka kwa mankhwalawa kumatha kuwonjezeka kwambiri kapena kuwonekera konse, komwe kumakhala ndi mikhalidwe yoopsa kwa wodwala.
Maninil mankhwala ali contraindicated ngati vuto la shuga-6-phosphate dehydrogenase enzyme. Kapena, chithandizo chimaphatikizapo chisankho choyambirira cha kufunsa kwa madokotala, chifukwa mankhwalawa amatha kupangitsa hemolysis yama cell ofiira a m'magazi.
Musanayambe kuchitapo kanthu kwakukulu pamimba, simungatenge othandizira a hypoglycemic. Nthawi zambiri pamachitidwe oterewa ndikofunikira kuwongolera kuchuluka kwa shuga m'magazi. Odwala oterewa amapatsidwa jakisoni wosavuta wa insulin.
Maninil alibe zotsutsana kwathunthu ndi kuyendetsa. Koma, kumwa mankhwalawa kumayambitsa mikhalidwe ya hypoglycemic, yomwe ingasokoneze chidwi cha anthu ena komanso kuwazidwa. Chifukwa chake, odwala onse ayenera kuganizira ngati angatenge zoopsa zotere.
Maninil amatsutsana amayi apakati. Sizingathe kudyedwa panthawi yoyamwitsa ndi kuyamwa.
Kugwirizana kwa Maninil ndi mankhwala ena
Wodwala, monga lamulo, samva kutengera kwa hypoglycemia akamwa Maninil ndi mankhwala otsatirawa:
- β-blockers
- yotsalira
- clonidine
- guanethidine.
Kuchepa kwa shuga wamagazi ndi mapangidwe a dziko la hypoglycemic kumatha kuchitika chifukwa chogwiritsidwa ntchito pafupipafupi ndi mankhwala ofewetsa thukuta ndi m'mimba.
Kugwiritsanso ntchito kwa insulin ndi mankhwala ena osokoneza bongo kungayambitse hypoglycemia ndikuwonjezera zochita za Mananil komanso:
- ACE zoletsa;
- anabolic steroids;
- antidepressants;
- zotumphukira za clofibratome, quinolone, coumarin, disopyramidum, fenfluramine, miconazole, PASK, pentoxifylline (pamene adagwiritsa ntchito muyezo waukulu), perhexylinoma;
- kukonzekera kwa mahomoni ogonana amuna;
- cytostatics ya gulu la cyclophosphamide;
- β-blockers, disopyramidum, miconazole, PASK, pentoxifylline (ndi makonzedwe amkati), perhexylinoma;
- pyrazolone zotumphukira, probenecidoma, salicylates, sulfonamidamides,
- tetracycline mankhwala othandizira, tritokvalinoma.
Maninil limodzi ndi acetazolamide amatha kuletsa mphamvu ya mankhwalawa ndikupangitsa hypoglycemia. Izi zimagwiranso ntchito pakamayilo a Maninil pamodzi:
- β-blockers
- diazoxide
- nicotinates,
- phenytoin
- okodzetsa
- glucagon
- GKS,
- barbiturates
- phenothiazines,
- amphanomachul
- rifampicin mtundu maantibayotiki
- kukonzekera kwa mahomoni a chithokomiro,
- mahomoni ogonana achikazi.
Mankhwala amatha kufooketsa kapena kulimbitsa:
- Gastric H2 receptor antagonists
- mathitidine
- yotsalira.
Pentamidine nthawi zina imatha kubweretsa hypo- kapena hyperglycemia. Kuphatikiza apo, zotsatira za gulu la coumarin zimathanso kukhudza mbali zonse ziwiri.
Zinthu za bongo
Mankhwala osokoneza bongo a Maninil owopsa, komanso mankhwala osokoneza bongo chifukwa cha kuchuluka kwazomwe zimabweretsa, amakhala ndi vuto la hypoglycemia, lomwe limasiyana nthawi yayitali komanso nthawi yake, yomwe imawopseza wodwalayo.
Hypoglycemia nthawi zonse imakhala ndi mawonekedwe azachipatala.
Odwala omwe ali ndi matenda ashuga nthawi zonse amamva kuti hypoglycemia ikuyandikira. Mawonetsero otsatirawa a momwe zinthu ziliri:
- njala
- kugwedezeka
- paresthesia
- palpitations
- nkhawa
- kukopa kwa pakhungu
- kusokoneza ubongo ntchito.
Ngati masitepe sanatenge nthawi, ndiye kuti munthu amayamba kukhala ndi hypoglycemic precoma ndi chikomokere. Hypoglycemic chikomacho chimapezeka:
- kugwiritsa ntchito mbiri ya banja
- kugwiritsa ntchito zambiri kuchokera poyeserera,
- ntchito labotale shuga.
Zizindikiro za hypoglycemia:
- chinyezi, kumata, kutentha pang'ono kwa khungu,
- kugunda kwa mtima
- kutsitsidwa kapena kutentha kwa thupi.
Kutengera kuuma kwa chikomokere, zotsatirazi zingaoneke:
- kukomoka kapena kuponderezedwa,
- zamatsenga
- kulephera kudziwa.
Munthu amatha kudzipangira payekha chithandizo cha matenda a hypoglycemic ngati sanafike pachiwopsezo chokhala ngati matenda a chikumbumtima.
Kuchotsa zovuta zonse za hypoglycemia, supuni ya tiyi ya shuga yothiriridwa m'madzi kapena michere ina ingathandize. Ngati palibe kusintha, muyenera kuyimba ambulansi.
Ngati chikomokere chikukula, ndiye kuti mankhwalawa amayenera kuyamba ndi kuyamwa kwa 40% shuga, 40 ml wambiri. Pambuyo pake, kukonzekera kulowetsedwa mankhwala okhala ndi michere yaying'ono yamankhwala idzafunika.
Chonde dziwani kuti simungathe kulowa muyezo wa shuga wa 5% monga gawo la mankhwala a hypoglycemia, chifukwa apa zotsatira za kuchepa kwa magazi ndi mankhwalawa zidzafotokozedwa bwino kuposa chithandizo chamadokotala.
Milandu yakuchedwa kapena hypoglycemia yomwe yachedwa kulembedwa. Izi zimachitika makamaka chifukwa cha kuchuluka kwa Maninil.
Milandu imeneyi, chithandizo cha odwala omwe ali pachipatala chofunikira ndikofunikira, ndipo masiku osachepera 10. Chithandizo chimadziwika ndi mwatsatanetsatane labotale kuwunika kwamisempha ya magazi pamodzi ndi chithandizo chapadera, pomwe shuga amatha kuwongolera pogwiritsa ntchito, mwachitsanzo, mita imodzi imodzi yosankha.
Ngati mankhwalawa amagwiritsidwa ntchito mwangozi, muyenera kuchita chamatsenga, ndikupatsanso supuni ya shuga kapena shuga.
Ndemanga za Maninil
Mankhwalawa ayenera kugwiritsidwa ntchito motsogozedwa ndi dokotala. Ndemanga za kumwa mankhwalawa zimasakanikirana. Ngati mulibe kuwunika, kuledzera kungachitike. Nthawi zina, zotsatira za mankhwalawa sizingaoneke.
