Diabeteson MV: malangizo onse ogwiritsira ntchito, ndemanga za anthu odwala matenda ashuga

Diabeteson MV ndi mankhwala ogwiritsidwa ntchito kwambiri pochiza matenda a shuga a mtundu wachiwiri. Amawonetsedwa makamaka kwa odwala matenda ashuga popanda kulemera kwambiri ndipo amatchula kukana kwa minofu kupita ku insulin, popeza mapiritsi amathandizira kukula pang'ono pang'onopang'ono ndikuthandizira kapamba.

Wodziwika dzina la mankhwalawa ndi gliclazide. "Diabeteson MV" ndi dzina lamalonda la mankhwala a kampani yachipatala ya ku France yotchedwa Service, pa mawonekedwe okondera, mapiritsi awa samaperekedwa nthawi zambiri m'mankhwala, chifukwa ndiokwera mtengo kwambiri kuposa ma generics (Diabinax, Glidiab, Diabefarm), omwe amapangidwa pamaziko a gliclazide.

Chidule cha MV chimatanthawuza kuti Diabetes yemwe ali ndi masinthidwe osinthika ndipo gawo lokhazikika silikuwoneka lokha, koma masana, magawo ofanana.

Ubwino wa Diabeteson MV

Ngati tingayerekeze mankhwalawa ndi mitundu yosiyanasiyana ya mndandanda wa sulfonylurea, ndiye kuti pakalibe kutchulidwa, mkwiyo wake udzakhala wapamwamba.

1. Diabeteson MV imabwezeretsa glycemic bwino;
2. Gliclazide imalimbikitsa gawo lachiwiri la katulutsidwe ka timadzi tambiri, pomwepo imafikira pazokwanira zamagulu azakudya.
3. Mankhwala amachepetsa chiopsezo cha thrombosis;
4. Kuopsa kwa hypoglycemia pakati pamavuto amatsitsidwa mpaka 7% (kwa mankhwala ena a gulu la sulfonylurea, chiwopsezo ndichoposa);
5. Kumwa mapiritsi ndi nthawi imodzi, yabwino kwa odwala matenda ashuga komanso opuma oiwalika;
6. Kumasulidwa pang'onopang'ono kwa mankhwalawa sikuthandizira kuti munthu azichita mofulumira ngati mapiritsi a shuga;
7. Dokotala wopanda chidziwitso ndi mankhwalawa amasintha mlingo mosavuta, popeza chiwopsezo cha zovuta zazikulu ndizochepa;
8. Ma mamolekyulu a Gliclazide ali ndi katundu wa antioxidant;
9. Mankhwalawa ali ndi ziwerengero zabwino za zotsatira zosafunika - mpaka 1%.

Pamodzi ndi mndandanda wotsimikizika wa zabwino, mankhwalawa amakhalanso ndi zovuta.

• Maselo a B omwe ali ndi vuto la kupanga insulin amatha.
• Kwa zaka 2-8 (kutengera kulemera kwa thupi, kuthamanga kwa anthu ochepa thupi), odwala matenda ashuga omwe ali ndi mtundu wachiwiri wa matenda amapeza mtundu woyamba wa matenda ashuga.
• Mankhwalawa samachotsa kufooka kwa minofu, koma mpaka kumakulitsa.
• Kuwongolera mbiri ya glycemic sikuti kumatsimikizira kuti anthu atamwalira chifukwa cha matenda ashuga (malinga ndi kafukufuku wochitidwa ndi bungwe lodziwika bwino padziko lonse lapansi la ADVANCE).

Pofuna kuti musakakamize thupi kusankha pakati pamavuto amkaka ndi mtima, mapiritsi ayenera kuthandizidwa pakuwongolera zakudya ndi minofu yanu.

Kusintha kwa machitidwe kumathandizanso kuchepetsa chiopsezo chamtima mu mawonekedwe a glycemia wambiri, kutsika kwa kuthamanga kwa magazi, kunenepa kwambiri, komanso kusokonezeka kwa lipid metabolism.

Kufotokozera kwa mawonekedwe ndi mawonekedwe

Gawo lalikulu la fomula ndi gliclazide - mankhwala omwe ali ndi mphamvu ya hypoglycemic, woimira gulu la mankhwala a sulfonylurea. Kuphatikizika kwa mankhwalawa kumathandizidwa ndi mphamvu yayitali ya lactose monohydrate, maltodextrin, hypromellose, magnesium stearate, silicon dioxide.

Mapiritsiwo amatha kuzindikiridwa ndi mawonekedwe owondera ndi mzere wogawanika komanso chidule "DIA 60" mbali iliyonse.

Mankhwalawa amadzaza matuza kwa zidutswa 15-30, m'bokosi lamakatoni limodzi ndi malangizo omwe angathe kukhala ndi ma plates ngati amenewa.

Mankhwala omwe mumalandira amamasulidwa. Kwa Diabeteson MV, mtengo wake siwowonongera ndalama zambiri, chifukwa mapiritsi 30 pafupifupi ma ruble 300 amafunika kulipidwa. Mankhwalawa sanaphatikizidwe pamndandanda wamankhwala okondweretsa antidiabetes. Tsiku lotha ntchito lomwe linapangidwa ndi wopanga siliposa zaka ziwiri. Mankhwalawa safuna mikhalidwe yapadera kuti asungidwe.

Mankhwala

Mankhwala a Sulfonylurea, omwe akuphatikizapo Diabeteson MV, amalimbikitsa ntchito ya kapamba ndi maselo ake a b, omwe amawongolera kupanga insulin. Mlingo wodziwikiratu wa mankhwalawa ndiwachifundo, mwachitsanzo, Maninil wachikhalidwe ndiwowopsa.

Mankhwalawa atha kukhala othandiza ndi zizindikiro zotchulidwa zakutha kwa kapamba, pamene popanda kukondoweza sakupatsanso insulini yofunikira kulipirira glycemia. Ndi mtundu uliwonse wa kunenepa kwambiri, mankhwalawa sawonjezedwanso.

Diabeteson MV ibwezeretsa gawo loyamba la insulin kaphatikizidwe ngati kuchepa kwake kumagwira ntchito kumaonekera m'thupi. Mu matenda a shuga a mtundu wachiwiri, mankhwalawa amathandizira kuti inshuwaransi isanayambike pamene thupi limalowa m'thupi ndikuyambiranso gawo lachiwiri la kuzungulira.

Kuphatikiza pa kutsika kotsimikizika kwa ma glycemic indices, kumwa mankhwala kumakhudza thanzi la mitsempha yamagazi ndi dongosolo la magazi. Pochepetsa kuphatikiza kwa maselo am'magazi (kuphatikiza), amachepetsa chiwopsezo cha mtima wam'mimba, amawalimbikitsa kuchokera mkati, kupereka chitetezo cha angioprotective.

Mankhwala osokoneza bongo a algorithm ndi mndandanda wotsatira.

1. Choyamba, kapamba amasinthidwa kuti atulutse timadzi m'magazi;
2. Kenako gawo loyambirira la insulin katulutsidwe limapangidwanso ndikukonzanso;
3. Kuchepetsa mapangidwe am magazi m'matumbo ang'onoang'ono, kuphatikizira kwa maselo amwazi kumachepa;
4. Mofananamo, pali antioxidant ena.

Kugwiritsa ntchito kamodzi kokha kwa mankhwalawa kumapereka mulingo woyenera wa glibenclamide patsiku. Mulingo wokhazikika wa C-peptide ndi insulin umapangidwa m'thupi osati kale kuposa zaka 2 zamankhwala okhazikika.

Pharmacokinetics

Mankhwalawa amalowetsedwa m'matumbo athunthu. M'magazi, zomwe zimapangidwa zimadziunjikira pang'onopang'ono kwa nthawi ya maola 6. Mlingo womwe umakwaniritsidwa umatha maola 6 mpaka 12. Kusinthika kwamagulu osiyanasiyana odwala matenda ashuga kumakhala kotsika.

Imodzi munthawi yomweyo mankhwala omwe amapezeka m'thupi, zomwe zimachitika mu mankhwala a gliclazide sizisintha. Kulumikizana ndi mapuloteni am magazi kumasungidwa pa 95%, Vd - mpaka 30 malita.

Gliclazide metabolism imachitika m'chiwindi, palibe metabolites yogwira yomwe yapezeka m'magazi.

Impso zawo zimachotsedwa (mpaka 1% mwanjira yomweyo). T1 / 2 ya gliclazide imasiyanasiyana pamtunda wa maola 12-20.

Mlingo ukachulukitsa mpaka kufika pamlingo wokwanira (120 mg), dera lomwe lili pamzere womwe umadziwika ndi nthawi komanso kugawa kumawonjezeka molunjika.

Zizindikiro zogwiritsidwa ntchito

Kusintha kwakanema kwa mankhwala omwe amakhala ndi nthawi yayitali adapangidwa kuti abwezeretse mbiri ya glycemic komanso kupewa zovuta za matenda ashuga (stroke, retinopathy, kugunda kwa mtima, nephropathy, gangrene yam'mphepete).

Amalembedwa kwa odwala matenda ashuga omwe ali ndi vuto lozolimbitsa thupi lokhala ndi mtundu wa 2 shuga wambiri komanso wowonda mawonekedwe osakhala ndi minyewa yolimbana ndi insulin.

Amagwiritsidwanso ntchito ndi othamanga kuti azitha kumveketsa chidwi cha minofu kuti apange insulin, yomwe imathandizira kupindula kwa minofu.

Monga mankhwala oyambira a odwala matenda ashuga, Diabeteson MV siyabwino. Ndiwowopsa kupaka mankhwalawa chifukwa cha kunenepa kwambiri, chifukwa kapamba, ndipo motero amagwira ntchito molingana ndi kukhoza kwawo, ndikupanga mitundu iwiri ya insulin, osatha kupangitsa kuti shuga azingokhala. Diabeteson MV pankhaniyi imatha kupangitsa munthu kufa (kuchokera ku zovuta zamtima).

Kuti muphunzire ubale pakati pa kusankha kwa mankhwala oyamba a matenda oyamba a matenda a shuga a 2 komanso kuwopsa kwa kufa, maphunziro apadera adachitika. Mapeto ake ndiwodziwikiratu.

1. Mu odwala matenda ashuga omwe amalandila mankhwala a sulfonylurea, poyerekeza ndi odzipereka omwe amamwa metformin, kuthekera kwa kufa ndi matenda amtima kunali kawiri konse, matenda a mtima (CHD) anali 4,6 kukwera, ndipo magazi amitsempha yamagazi Katatu.
2. Mwayi woti amwalira ndi NMC ndi CHD anali ambiri pa odwala matenda ashuga omwe amatenga glibenclamide, glycvidone, mankhwala ogwirira glyclazide kuposa omwe amathandizidwa ndi metformin.
3. Poyerekeza ndi gulu lomwe limathandizidwa ndi glibenclamide, otenga nawo mbali omwe adalandira gliclazide adawonetsa zotsatirazi: kutsika kwa 20% pakufa kwathunthu, ndikuchepetsa 40% yakufa kwa UC ndi CCC.

Chifukwa chake, kusankha kwa Diabeteson MV ngati mankhwala a mzere woyamba, ngati mankhwala ena aliwonse a sulfonylurea, kumawonjezera mwayi wakufa zaka 5 kawiri, kulandira infaration ya myocardial - katatu, kukomoka kwa ubongo - katatu. Ndi matenda omwe adapezeka kumene, Metformin ngati chithandizo chamtundu woyamba ndi njira yabwino kwambiri.

Mwachilungamo, ziyenera kudziwika kuti chifukwa cha matenda osokoneza bongo a Diabeteson MV, chiwopsezo chotenga atherosclerosis chachepetsedwa kwambiri. Oimira ena a gululi la mankhwala sanawonetse zofanana. Kuthana ndi kuthekera kwa Diabeteson MV kungafotokozedwe ndi kupezeka kwake mu antioxidants omwe amateteza minofu ku makutidwe ndi okosijeni.

Phindu ndi zovuta za a Diabetes - mu kanema:

Contraindication

Diabeteson MV ndi m'badwo watsopano wamankhwala wokhala ndi mphamvu yambiri. Amasiyana ndi mawonekedwe onse a kalasi la sulfonylurea malinga ndi kukula kwa zovuta komanso kuchuluka kochepa kwa zovuta.

Koma, monga mankhwala aliwonse opangidwa, gliclazide imakhala ndi zotsutsana zingapo:

• Kuzindikira kwakukulu pazigawo za formula ndi mankhwala osokoneza bongo a sulfonylurea ambiri;
• Mtundu woyamba wa shuga;
• Zokhudza matenda a shuga a ketoacidosis, chikomokere ndi chidziwitso;
• A kwambiri matenda a impso ndi chiwindi, kusintha kwa insulin kufunika;
• Mimba ndi mkaka wa m`mawere;
• Chithandizo cha munthawi yomweyo ndi miconazole;
• Zaka mpaka 18.

Mankhwalawa ali ndi lactose, chifukwa chake sichiwonetsedwa chifukwa cha tsankho, shuga-galactose malabsorption, galactosemia. Sitikulimbikitsidwa kuphatikiza danazol ndi phenylbutazone ndi Diabeteson MV.

Mimba

Palibe chochitikapo pakuchiritsa amayi apakati ndi gliclazide, komanso deta ya mankhwalawa a matenda ashuga omwe ali ndi mankhwala a sulfonylurea ambiri.

Poyeserera nyama zazikazi, mphamvu ya teratogenic ya gliclazide sizinawonetsedwe.

Kuti muchepetse chiwopsezo cha matenda obadwa nawo, kuwunikira nthawi zonse komanso chithandizo choyenera cha matenda a shuga a 2 ndikufunika. Mankhwala a Oral hypoglycemic sagwiritsidwa ntchito panthawiyi, amayi apakati amasamutsidwira ku insulin ndipo ndi bwino kuchita izi ngakhale pa nthawi yomwe akukonzekera kubereka.

Palibe chidziwitso chokhudza kulowa kwa gliclazide mkaka wa m'mawere, chiopsezo cha neonatal hypoglycemia sichinakhazikitsidwe, chifukwa chake, ndi chithandizo ndi Diabeteson MV, kuyamwitsa kumatsutsana.
Palibe umboni uliwonse wogwira ntchito komanso chitetezo cha ntchito ya Diabeteson MV ya ana, chifukwa chake, mankhwalawa sakulamulidwanso kwa odwala matenda ashuga osakwana zaka 18.

Zotsatira zoyipa

Diabeteson MV ili ndi chidziwitso chogwiritsa ntchito ndi zotsutsana zochepa komanso zoyipa, zomwe zimayesedwa ngati hypoglycemia, pomwe kuwerenga kwa glucometer kumagwera pansi pazomwe mukufuna.

Mutha kusiyanitsa dziko loopsa ndi:

1. Mutu ndi chizungulire;
2. Kulakalaka kwa Wolf;
3. Matenda a Dyspeptic;
4. Kutaya mphamvu, kufooka;
5. Kutuluka thukuta kwambiri;
6. Vuto la mtima;
7. Mkhalidwe wamanjenje, wokondwa, wokhumudwa;
8. Adrenergic zimachitika, kugwedeza;
9. Mavuto olankhula, delirium;
10. Zowonongeka;
11. Minofu spasms;
12. Mkhalidwe wopanda thandizo, kulephera kudziletsa;
13. Kukomoka, chikomokere.

    
    

Ndi mtundu wofatsa wa hypoglycemia, wozunzidwayo amapatsidwa shuga, ndi mawonekedwe akulu, kuchipatala chofunikira ndikofunikira. Mkhalidwe wa hypoglycemia ndi wowopsa ndikuyambiranso, chifukwa chake ndikofunikira kuyendetsa bwino pambuyo pakupuma kwa matenda.

Mwa njira, poyerekeza ndi ochiritsira a Diabeteson, mawonekedwe ake (ndi kumasulidwa pang'onopang'ono) amakupatsani mwayi wogawa katunduyo mthupi mofanananira. Izi zimachepetsa kwambiri chiopsezo cha hypoglycemia.

Kuphatikiza pa hypoglycemia, palinso zovuta zina zomwe sizinachitike.

• Urticaria, zotupa zoyipa, edema ya Quincke;
• Kusokonezeka kwa m'mimba;
• Kusokonezeka kwa magazi mwanjira ya kuchepa magazi, kuchepa kwa maselo oyera;
• Zowonongeka kwakanthawi kwamankhwala chifukwa chosiyana ndi glycemia, nthawi zambiri pakusintha kwa mankhwala;
• Kuchulukitsa kwa chiwindi michere AST ndi ALT, nthawi zina, chiwindi.

Ngati Diabeteson MV adayikidwa m'malo mwa mankhwala ena a hypoglycemic, ndikofunikira kuwunika magawo a glycemic kwa masabata awiri kuti tipewe kuwonongeka kwa zotsatira za mankhwala awiri owopsa a hypoglycemia.

Panthawi ya mayeso azachipatala a mbiri yabwino ya ADVANCE, kusiyana kochepa (kochokera pakuwona kachipatala) kusiyana pakati pa owongolera ndi magulu oyesera kunawululidwa. Pafupipafupi komanso kuopsa kwa hypoglycemia kumakhala kotsika. Milandu yambiri ya hypoglycemia imadziwika motsutsana ndi maziko a zovuta mankhwala molumikizana ndi kukonzekera kwa insulin.

Zotsatira Zogwiritsa Ntchito Mankhwala

Imawonjezera ntchito ya Diabeteson MV miconazole (onse mawonekedwe a jakisoni ndikugwiritsa ntchito kunja). Kuphatikizikaku kumatsutsana kwathunthu, chifukwa kumatha kupangitsa hypoglycemia.

Sitikulimbikitsidwa kuphatikiza gliclazide ndi phenylbutazone. Ndi kayendetsedwe ka kayendetsedwe, kayendedwe ka hypoglycemic komwe kamachokera ku sulfonylurea kumalimbikitsidwa: kusiya mankhwala kumachepetsa, phenylbutazone imachotsa mu protein ya protein. Ngati palibe mankhwalawa osinthira, ndikofunikira kusintha muyezo wa gliclazide ndikuwunika glycemia mosamala nthawi yonse yamankhwala ndikatha maphunzirowa.

Kuchulukitsa chiopsezo cha glycemia ethanol ndi mankhwala ozikirapo. Kwa nthawi yamankhwala omwe ndimalandira ndi Diabeteson MV, ndikofunikira kusiya zakumwa zoledzeretsa ndi mankhwala omwe amamwa mowa.

Kuphatikiza ndi mankhwala a antidiabetic amalembedwa mosamala: insulin, biguanides, acarbose, diazolidinediones, GLP-1 antagonists, DPP-4 inhibitors, β-blockers, MAO ndi ACE inhibitors, fluconazole, sulfonamide mankhwala, NPs. Kuphatikiza kulikonse kotereku kumawonjezera kuthekera kwa matenda ashuga a Diabeteson MV ndipo kumafunikira kuchepa kwa mlingo ndikuwonetsetsa mbiri ya glycemic.

Kufooka mphamvu ya Diabeteson MV Danazole, kukulitsa kuchuluka kwa shuga mu plasma. Pogwiritsa ntchito momwemonso, kuwunika kwa mankhwalawa komanso kuwunika kwa glycemic ndikofunikira pa njira yonse ya chithandizo ndikatha. Zofananazo zimawonedwa ndi jakisoni a iv a adrenergic agonists.

Glyclazide + chlorpromazine maofesi amapatsidwa mosamala. Mlingo wambiri, antipsychotic amachepetsa kupanga insulin, amathandizira kuchuluka kwa shuga m'magazi. Ndikofunikira kuwerengetsa kuchuluka kwa mankhwala mosamala.

GCS ndi tetracosactide ndi njira ina iliyonse yogwiritsira ntchito (mafupa, khungu, njira ya rectal) kumawonjezera shuga m'magazi, kumayambitsa kupezeka kwa ketoacidosis, komwe kumachepetsa kulolerana kwa zinthu zopatsa mphamvu. Pa gawo loyamba la mankhwalawa, kumwa pang'onopang'ono ndi kuyang'anitsitsa magawo a glucometer nthawi yonse yogwiritsidwa ntchito molumikizana ndikofunikira.

Njira yogwiritsira ntchito

Kwa Diabeteson MV, malangizo ogwiritsira ntchito amalimbikitsa kuti odwala matenda ashuga amwe mankhwalawa m'mawa, pamodzi ndi kadzutsa. Monga mankhwala opatsirana odwala matenda ashuga, endocrinologist imasankha yekha mankhwalawo, poganizira zotsatira za mayeso, gawo la matenda ashuga, matenda oyanjana, momwe thupi limaperekera mankhwalawo.

Mlingo uliwonse (kuyambira 30 mpaka 120 mg, womwe ndi mapiritsi a 0.5-2), kumwa gliclazide ndi imodzi. Ngati dongosolo lawonongedwa, kuwirikiza mulingo wowopsa - thupi limafunikira nthawi yokwanira, popanda zotsatira zosayenera, chizolowezi.

Mu mtundu wanthawi zonse, mulingo woyamba ndi Ѕ tab. (30 mg). Kwa odwala matenda ashuga okalamba, kumwa mankhwala sikofunikira.

Ngati chizolowezi chotere chimapereka chiwongolero chonse cha glycemia, chitha kugwiritsidwa ntchito ngati kukonza mankhwala. Ndi osakwanira kuwongolera, mlingo umasinthidwa, kubweretsa chizolowezi cha tsiku ndi tsiku ku 60.90 komanso ngakhale 120 mg. Dosing titration imachitika patatha masiku 30 - zimatenga nthawi yochulukirapo kuti muwone momwe ntchito yabwino idasankhidwira.

Ngati wodwala matenda ashuga alibe kusintha kwa masabata awiri, kupatsanso gawo limodzi ndikotheka mkati mwa theka la mwezi. Mulingo wovomerezeka wachifundo wa gliclazide ndi 120 mg.

Ngati munthu wodwala matenda ashuga wasamutsidwa kuchoka ku diabeteson yachilendo ndikutulutsa mwachangu gliclazide kupita ku analogue yotalikirapo, ndiye kuti piritsi la Diabeteson la 80 mg limatha kulowetsedwa ndi mlingo wofanana ndi mphamvu yayitali ya 60 mg kapena 30 mg.

Mukasinthira njira yina ya mankhwala a glycemic ndi Diabeteson MV, njira yapitayi yoyambira ndi nthawi yothetsera mankhwalawa imaganiziridwa. Nthawi zambiri pamakhala chifukwa chosinthira gawo. Mlingo woyambira umatsimikiziridwa pa 30 mg ndi kukonzanso pang'onopang'ono ngati zotsatira za chithandizo sizachilendo.

Ngati T1 / 2 ya mankhwala am'mbuyomu ndi yayitali, pofuna kupewa kuyikika pazomwe zimayambitsa hypoglycemia, yopuma iyenera kutengedwa pakati pa maphunziro. Kuyambika kwa matenda ashuga a MV amakonzedwanso monga ochepera - 30 mg ndi mwayi wopezekanso.

Diabeteson MV ikhoza kugwiritsidwa ntchito pazithandizo zovuta. Kupititsa patsogolo hypoglycemic angathe kugwiritsa ntchito insulin, biguanides, b-glucosidase inhibitors. Zotsatira zosakhutira, mlingo wa insulin umafotokozedwa.

Malangizo owonjezera

Anthu odwala matenda ashuga omwe ali ndi impso modabwitsa komanso modekha sayenera kumwa mankhwalawa, ndikofunikira kuyang'anira glycemia ndi ntchito ya impso.

Chisamaliro chofunikira chimafunikira odwala omwe ali pachiwopsezo chokhala ndi zakudya zochepa zama calorie, osakwanitsa kuchita masewera olimbitsa thupi, endocrine pathologies (adrenal and pituitary insuffence, hypothyroidism, cancellation of corticosteroids pambuyo poti agwiritsidwe ntchito kwa nthawi yayitali kapena waukulu, CVD yayikulu mu mawonekedwe a atherosulinosis kapena matenda a mtima. Gulu ili la anthu odwala matenda ashuga amalembedwa osachepera a Diabeteson MV - 30 mg.

Kuti mupeze zotsatira za 100%, mlingo umatha kuwonjezeka mpaka 120 mg / tsiku. Chofunikira chidzakhala kusintha kwa moyo - kusintha kwa zakudya zamafuta ochepa, kuchita masewera olimbitsa thupi pafupipafupi, komanso kuwongolera zakukhosi.

Ngati ndi kotheka, mutha kuthandizira dongosolo la mankhwalawa ndi Diabeteson MV metformin, insulin, thiazolidinediones. Pankhaniyi, ndikofunika kukumbukira kupezeka kwa zotsatira zoyipa m'mankhwala aliwonse komanso mogwirizana ndi zomwe akuchita. Choyamba, tikulankhula za chiopsezo cha hypoglycemia.

Kuthandiza ndi bongo

Choopsa chachikulu cha bongo ndi vuto la hypoglycemic. Ndi zizindikiro zofatsa komanso kudziletsa kokwanira, ndikofunikira kuchepetsa kuchuluka kwa Diabeteson MV ndi mankhwala ena othandizira, kusintha zakudya kuti muwonjezere calorie. Kuyan'anira thanzi la odwala matenda ashuga ndikofunikira mpaka glycemia ikhale yokhazikika, chifukwa kuyambiranso kumachitika motere.

Ngati zizindikiro za glycemic zatchulidwa kwambiri ndikuwopseza thanzi, makamaka ngati wodwalayo sakudziwika, ali ndi nkhawa, akukomoka, chithandizo chamankhwala chofunikira chimafunika, ndikutsatira kuchipatala. Mukangoyamba kumene, wodwala matenda ashuga ayenera kubayidwa kudzera m'madzi a 50 ml ya shuga.

Kuti mukhale osasamala (pamwambapa 1 g / l) - komanso 10% dextrose yankho. Kuwunikira zizindikiro zonse zofunika kumachitika kwa maola osachepera 48. Popeza gliclazide imamangiriza mapuloteni amwazi, hemodialysis pankhaniyi siyothandiza.

Ndingasinthe bwanji Diabeteson MV

DIV Diabeteson yoyambirira, yomwe imapangidwa ndi kampani yaku France, yotchedwa Serviceier, imakhala ndi zotsika mtengo zokwanira zochokera ku gliclazide, koma zovuta za mankhwalawa zimatha kutchulidwa kwambiri, chifukwa chake posankha muyenera kuyang'ana osati mtengo, komanso malingaliro a adotolo.

Mankhwala amatha kukupatsani zamagetsi:

1. RDiabefarm, Glyclazide, Glucostabil, Glidiab;
2. Czech Gliklad;
3. Yugoslavian Predian ndi Glioral;
4. Indian Diabinax, Diatik, Reklid, Glisid.

Ngati gliclazide yozikidwa pa mankhwala sioyenera, endocrinologist angasankhe:

• Mankhwala a sulfonylurea mndandanda wokhazikika pa glibenclamide, glycvidone, glimepiride;
• Mankhwala a gulu lina, koma ndimayendedwe omwewo, mwachitsanzo, NovoNorm kuchokera ku kalasi la dongo;
• Mankhwala omwe ali ndi ntchito yofanana ndi Januvia kapena Galvus (DPP-4 zoletsa).

Glidiab MV kapena Diabeteson MV: zomwe zili bwino kwa wodwala wina zitha kutsimikiziridwa ndi dokotala. Zomwe zimaperekedwa kuti zigwiritsidwe ntchito pofotokoza, osati kudziwonetsa nokha komanso kudziyang'anira nokha.

Zomwe Akuluakulu a shuga a MV Amaganizira

About Diabeteson MV, ndemanga za anthu odwala matenda ashuga ndizosagwirizana: shuga imathandiza kuwongolera, koma ndi anthu ochepa omwe adatha kupewa zotsatira zoyipa. Choopsa kwambiri ndikuti mapiritsi oterowo atatha, pafupifupi onse amasintha kupita ku insulin - ena kale, ena pambuyo pake.

Ma Diabeteson MV endocrinologists samalandira odwala matenda ashuga onse, koma ngakhale iwo omwe ali oyenera mankhwalawa amatha kuyamba kugwiritsa ntchito mankhwalawa. Chifukwa cha mulingo woyenera kapena osagwirizana ndi dongosolo la kayendetsedwe, kugwiritsa ntchito mankhwalawa sikugwirizana ndi zomwe zalengezedwazo.

Ndi kuwonongeka kwambiri kwa matenda ashuga, ngakhale mutakhala ndi zakudya zochepa za carb komanso zolimbitsa thupi, njira zina zochiritsira zingafunike. Pali zovuta zambiri, ngati mwapatsidwa Diabeteson MV, werengani malangizo osavuta awa kuti muwonetsetse kuti nthawi yoikidwiratu idachitika.

Zambiri pa Diabeteson MV - pa kanema: