Pafupifupi munthu aliyense amene akudwala nthenda yachiwiri ya "lokoma" amadziwa kuti matenda awa ndi a mtundu wa metabolic.
Amasiyanitsidwa ndi kukula kwa matenda a hyperglycemia, opangidwa chifukwa chophwanya kuyanjana kwa insulin ndi maselo am'magazi.
Ndilo gulu ili la odwala lomwe liyenera kuyang'anira chidwi ndi mankhwalawa monga Glurenorm, lomwe limadziwika kwambiri masiku ano.
Koma zizindikiro monga ludzu losakhutira, pakamwa pouma, kukoka pafupipafupi, kuyabwa khungu, kuchiritsa mokwanira mabala, komanso kunenepa kwambiri kwa thupi kumatha kuwonetsa kuti ali ndi matenda amtundu wa 2.
Ndili ndi chitukuko cha zochitika zotere zomwe mankhwalawa amagwiritsidwa ntchito. Pansipa aperekedwa malangizo ogwiritsa ntchito, ma fanizo omwe amapezeka, mawonekedwe ake ndi mawonekedwe ake omasulira.
Kupanga ndi pharmacological kanthu
Piritsi limodzi lamankhwala limakhala ndi:
- glycidone yogwira pophika 30 mg;
- zotupa, zomwe zimayimiridwa ndi: wowonda wa chimanga, lactose, wowuma chimanga 06598, magnesium stearate.
Ngati tizingolankhula zamankhwala omwe amapezeka pamankhwala, ndiye kuti zimangowonjezera kubwezeretsa kwa chinsinsi cha mahomoni ndi beta-cell ya kapamba, komanso kumakulitsa ntchito ya insulin-secretory ya glucose.
Chipangizochi chimayamba kugwira ntchito pambuyo pa maola 1-1.5 mutatha kugwiritsa ntchito, pomwe mphamvu yayikulu imachitika mu maola 2-3 ndipo imatha kwa maola 9-10.
Ndikupezeka kuti mankhwalawa amatha kukhala ngati sulfonylurea ya kanthawi kochepa ndipo angagwiritsidwe ntchito pochizira odwala matenda ashuga a mtundu II komanso odwala omwe ali ndi vuto la impso.
Mapiritsi a glurenorm
Chifukwa Njira yochotsa glycidone ndi impso ndiyosafunikira kwenikweni, mankhwalawa amalembedwa kwa odwala matenda ashuga omwe ali ndi matenda ashuga. Zatsimikiziridwa mwasayansi kuti kutenga Glyurenorm kumakhala kothandiza komanso kotetezeka.
Zowona, nthawi zina, pang'onopang'ono panali kuchepa mphamvu kwa ma metabolites osagwira. Kumwa mankhwalawa kwa zaka 1.5-2 sikuti kumawonjezera kuchuluka kwa thupi, koma, m'malo mwake, kutsika kwake ndi 2-3 kg.
Zisonyezero zamankhwala
Monga tanena kale pamwambapa, mankhwalawa adapangidwa ndi adokotala pozindikira matenda a II okoma a insulin-odziimira okha. Komanso, izi zimagwira ntchito kwa odwala azaka zapakati kapena zachikulire pamene chithandizo cha zakudya sichimabweretsa zabwino.
Malangizo ogwiritsira ntchito mapiritsi Glenrenorm
Mankhwala adapangira pakamwa. Mlingo wofunikira umatsimikiziridwa ndi dokotala atatha kudziwa momwe odwala matenda ashuga amathandizira, matenda omwe ali ndi vuto lililonse, komanso njira yotupa yotupa.
Njira zoyenera kumwa piritsi zimathandizira kuti muzitsatira zakudya zomwe katswiri adalemba komanso njira yabwino.
Njira ya chithandizo "imayamba" ndi mulingo wocheperako wofanana ndi gawo la piritsi. Kudya koyamba kwa Glyurenorm kumachitika kuyambira m'mawa mpaka chakudya.
Ngati zotsatira zabwino sizinachitike, ndiye kuti muyenera kufunafuna uphungu wa endocrinologist, chifukwa, mwina, kuchuluka kwa kuchuluka kumafunika.
Mu tsiku limodzi, amaloledwa kutenga zosaposa 2 ma PC. Odwala pakalibe hypoglycemic kwenikweni, mlingo woikidwirawu nthawi zambiri suwonjezereka, ndipo Metformin imalembedwanso ngati chowonjezera.
Contraindication
Monga mankhwala ena aliwonse, mankhwala omwe amafotokozedwawo amadziwika ndi kukhalapo kwa contraindication ogwiritsa ntchito, omwe amaphatikizapo:
- Mtundu I shuga;
- kuchira pambuyo opaleshoni kuti resection wa kapamba;
- kulephera kwaimpso;
- chiwindi ntchito;
- acidosis yoyambitsidwa ndi matenda "okoma";
- ketoacidosis;
- chikomokere chifukwa cha matenda ashuga;
- lactose tsankho;
- matenda a matenda opatsirana;
- opaleshoni kuchitapo kanthu;
- nthawi yobereka mwana;
- ana ochepera zaka 18;
- tsankho la munthu pazinthu za mankhwala;
- nthawi yoyamwitsa;
- matenda a chithokomiro;
- kudalira mowa;
- pachimake porphyria.
Mankhwala osokoneza bongo ambiri komanso zoyipa
Nthawi zambiri, mankhwalawa amaloledwa ndi munthu wodwala matenda ashuga, koma nthawi zina, wodwala angakumane ndi:
- nseru
- kudzimbidwa
- kusanza
- kutsegula m'mimba
- kuchepa kwa chakudya;
- thupi lawo siligwirizana (kuyabwa, chikanga);
- mutu, malo operewera, chizungulire;
- thrombocytopenia.
Odwala ena adakumana ndi intrahepatic cholestasis, urticaria, Stevens-Johnson syndrome, agranulocytosis, ndi leukopenia. Pankhani ya mankhwala osokoneza bongo, mawonekedwe oopsa a hypoglycemia amatha.
Nthawi yomweyo ndi bongo, wodwalayo amamva:
- kukoka kwamtima;
- kutuluka thukuta kwambiri
- kumva kwamphamvu kwa njala;
- kugwedezeka kwamiyendo;
- mutu
- kulephera kudziwa;
- cholakwika ntchito.
Ngati chimodzi mwazizindikiro zomwe zili pamwambapa chikuwoneka, ndikulimbikitsidwa kuti mupemphe thandizo kwa katswiri woyenera.
Kuyanjana kwa mankhwala osokoneza bongo
Mphamvu ya hypoglycemic ya mankhwalawa imatha kuwonjezeka ngati imagwiritsidwa ntchito pamodzi ndi zinthu monga:
- salicylate;
- sulfanilamide;
- phenylbutazone zotumphukira;
- anti-tuberculosis mankhwala;
- tetracycline;
- ACE inhibitor;
- Mao inhibitor;
- guanethidine.
Mphamvu ya hypoglycemic imachepetsedwa mukamagwiritsa ntchito wothandizila ndi GCS, phenothiazines, diazoxides, njira zakulera zam'mlomo komanso mankhwala a nicotinic acid.
Mtengo wa mapiritsi a Glurenorm m'mafakitore
Paketi imodzi yamankhwala ili ndi ma PC 60. mapiritsi olemera 30 mg. Mtengo wa paketi yoyamba mumasitolo ogulitsa mankhwala osokoneza bongo ndi ma ruble 415-550.
Kuchokera pamenepa titha kunena kuti ndizovomerezeka kwa gulu lililonse la anthu.
Kuphatikiza apo, mutha kugula mankhwala kudzera pa pharmacy ya pa intaneti, yomwe ingapulumutse ndalama zina.
Analogs ndi choloweza m'malo mankhwala
Lero mutha kupeza mayendedwe otsatirawa a Glurenorm:
- Glibenclamide;
- Glidiab;
- Gliklada;
- Diamerid;
- Glimepiride;
- Maninil;
- Bisogamm;
- Amaril.
Dziwani kuti ma fanizo omwe ali pamwambawa a mankhwala omwe amafotokozedwawo amakhala ndi kukhalapo kwa mankhwala ofanana, koma ndi mtengo wotsika mtengo.
Ndemanga za madotolo ndi odwala matenda ashuga
Madokotala, komanso odwala matenda a shuga, makamaka, amasiya malingaliro okhutira a Glyurenorm.Komabe, munthu ayenera kudziwa kuti mankhwalawa sachinthu china chomwe chimapezeka "zosangalatsa".
Amazindikira makamaka malinga ndi mankhwala omwe dokotala amupatsa ndipo amawapangira chithandizo chachikulu cha matenda.
Chifukwa chake, ndikuphunzira nthawi imodzi kwamawonekedwe a wodwala pamaneti, ndikofunikira kufunsa katswiri. Inde, kwa odwala matenda ashuga ena mankhwalawa ndi mankhwala abwino, pomwe ena ndi oyipa kwambiri.
Makanema okhudzana nawo
Zambiri pazogwiritsa ntchito mapiritsi a Glurenorm muvidiyo:
Pomaliza, ziyenera kudziwidwa kuti chithandizo cha matenda oopsa monga matenda a shuga amafunika kugwiritsa ntchito nthawi yake, ndipo koposa zonse, osankhidwa mwanzeru akatswiri.
Zachidziwikire, tsopano mu malo ogulitsa mankhwala osungira mankhwala mumatha kupeza mitundu yosiyanasiyana yamankhwala, iliyonse yomwe ili ndi phindu lake, komanso mtengo wake. Dokotala wokhazikika yekha ndi amene angakuthandizeni kusankha mwanzeru mukatha kupanga maphunziro ofunikira.
