Zotsatira zofala kwambiri za kunenepa kwambiri ndi kunenepa kwambiri. Pathology imabweretsa matenda angapo, kuphatikizapo matenda amtundu wa 2 shuga.
Odwala awa safuna jakisoni wa insulin, pamene kupanga mahomoni kumapitilira.
Pothana ndi kuchuluka kwa shuga ndi kuchuluka kwa mafuta m'thupi, adotolo amafotokozera mankhwala a Adebit, omwe angatengedwe ndi zotumphukira za sulfonylurea.
The zikuchokera mankhwala
Chofunikira chachikulu pa mankhwalawa ndi buformin. Zomwe zili piritsi limodzi ndi 50 mg.
Zizindikiro zogwiritsidwa ntchito
Adebit imagwiritsidwa ntchito kwa odwala omwe samadalira insulin. Kulandila ndalama ndi anthu athanzi sikuti kumayambitsa hypoglycemia.
Mankhwala a Adebit amawerengedwa kuti:
- mtundu 2 shuga;
- kunenepa;
- zovuta zakudya zopatsa thanzi.
Mankhwala akuwonetsedwa ngati shuga osakhazikika aphatikizidwe ndi mahomoni.
Buku lamalangizo
Kupanga kwakukulu pa pharmacological ya Adebit ndi hypoglycemic.
Amachepetsa kuchuluka kwa shuga m'magazi a plasma, kuyang'anira kusinthasintha kwake masana, komanso kumachepetsa kufunikira kwa insulin. Chida chimenecho ndi cha gulu la Biguanides.
Amatengedwa pakamwa. Imathandizira anaerobic glycolysis mu zotumphukira zimakhala. Buformin monga gawo la Adebit amathandizira kuponderezana kwa gluconeogeneis m'chiwindi. Poterepa, pali kuchepa kwa mayamwidwe am'mimba kuchokera m'mimba.
Mankhwalawa amathandizira kuchepetsa kulakalaka. Buformin amayamba kuchita zinthu maola angapo atatha kumwa mankhwalawo ndikusunga katundu wake kwa maola asanu ndi atatu.
Mukamagwiritsa ntchito Adebit, momwe mungagwirizanirana ndi mankhwala ena muyenera kuziganizira:
- katundu wotsitsa shuga wa mankhwalawo amayamba kufooka ngati atengedwa ndi zotuluka za phenothiazine, mahomoni opatsa mphamvu a chithokomiro, ma inhibitors a MAO, ma salicylates;
- mankhwala mosamala ndi okodzetsa. Lactic acidosis ndi hypovolemia zitha kuchitika;
- mankhwala amachepetsa mphamvu ya urokinase;
- munthawi yomweyo kugwiritsa ntchito mankhwala oletsa kubereka komanso corticosteroids, kuchepa kwamphamvu kwamankhwala kumachitika.
Mukatenga Adebit, mphamvu ya thrombolytics imatheka.
Kugwiritsa ntchito mankhwalawa kukutanthauza kutsatira malangizo apadera:
- kuwunika pafupipafupi kwa glycemia ndi kutsitsimuka kwamatenda a shuga tsiku lililonse ndikofunikira;
- Mlingo wa insulin uyenera kuchepetsedwa pang'onopang'ono;
- munthawi ya mankhwala, muyenera kutsatira zakudya zovuta, kusankha zakudya zokhala ndi index yotsika ya glycemic.
Kumwa mowa pogwiritsa ntchito Adebit ndizoletsedwa. Mosamala, njira yothetsera vutoli imayikidwa pakamwa.
Fomu yotulutsidwa ya Adebite - mapiritsi, oikidwa mu chithuza chamtundu wa zidutswa 20. Kuyika - makatoni. Kusungidwa kwa mankhwalawa kuyenera kukwaniritsa zofunika: kutentha kwa firiji komanso zosaposa zaka zisanu.
Malangizo omwe amamwa mankhwalawa ali ndi kufotokoza kwa njira yogwiritsira ntchito ndi Mlingo.
Mlingo woyambirira umachokera ku 100 mpaka 150 mg patsiku, womwe umagawidwa kawiri kapena katatu, imwani piritsi limodzi mutatha kudya, kutsukidwa ndi madzi.
Chiwerengero cha mapiritsi chikuwonjezereka ndi chimodzi patatha masiku 2-4. Kuchuluka kwa tsiku ndi tsiku ndi 300 mg ya mankhwalawa, ogawidwa pamtundu wa 3-4. Kuti akhalebe ndi vutoli, amamwa 200 mg ya mankhwalawa patsiku, kuphwanya kanayi.
Contraindication
Adebit, monga mankhwala ena, ali ndi zotsutsana chifukwa chomwa:
- kuzindikira kwa chinthu chachikulu chogwira ntchito;
- hypoglycemia;
- mimba
- kuyamwitsa;
- zaka za ana;
- lactic acidosis;
- matenda a impso ndi chiwindi;
- matenda a mtima
- matenda opatsirana opatsirana;
- odwala matenda ashuga;
- uchidakwa wambiri;
- albinuria;
- m'badwo wa senile.
Sitikulimbikitsidwa kumwa mankhwalawa panthawi ya opaleshoni. Mankhwalawa amatha kuyambitsa mavuto: kuchepa kwa chilakolako cha thupi, kuchepa thupi, kupweteka m'mimba, kutsekula m'mimba, kutsekemera kwachitsulo komwe kumabwera pakamwa.
Zizindikiro zimawonekera mukamamwa mankhwalawa pamimba yopanda kanthu, pang'onopang'ono zimatha. Woopsa milandu, ketoacidosis amakula. Ngati bongo waledzera, hypoglycemic kukomoka kumatha. Kuti athetse zotsatirapo zake, wodwalayo azipatsidwa tiyi wotsekemera, ndipo ngati wataya chikumbumtima, pakufunika kwa njira yolowera yankho la shuga.
Adebit ali ndi mankhwala ofanana:
- Guarem;
- Victoza;
- Metformin-Teva;
- Kuphatikizana;
- Januvius;
- Glucovans.
Njira yotulutsira mankhwala ndizosiyanasiyana: ma micogranules, jakisoni, mapiritsi.
Mtengo
Mtengo wa mankhwala a Adebit m'masitolo ogulitsa mankhwala ndiwosiyana kwambiri, komanso mawonekedwe ake, ndipo umachokera ku ruble 100 mpaka ma ruble 400 ndi pamwamba. Kusiyana kwa mtengo wa mankhwalawo ndi mitundu yake yazamankhwala zimatengera dziko lomwe amapanga komanso mtundu wa mankhwala.
Ndemanga
Musanagwiritse ntchito Adebit, muyenera kuwerenga malingaliro a akatswiri ndi odwala.
Kwa zaka zambiri, madokotala akhala akulamula kuti Adebit akhale ndi matenda a shuga a mtundu wachiwiri komanso kuti azoletsa matenda osokoneza bongo kwa odwala onenepa kwambiri.
Kukonzekera komwe kuli ndi buformin kukuwonetsedwa kwa schererocystosis ya ovari, yomwe imayamba motsutsana ndi maziko a insulin. Mwapadera, amagwiritsidwa ntchito pochiza odwala pakati. Malingaliro a odwala amawagawa iwo omwe amakonda Adebit, ndi iwo omwe amavomereza kufananizira kodula kopanga kwina.
Omwe amakonda kupulumutsa, osawona kusiyana pakati pa mankhwalawo, omalizawa amakhulupirira kuti ndi mankhwala achilendo okha omwe amathandizira bwino. Ena amazindikira kuti Adebit ikatha, ziphuphu zotayirira nthawi zambiri zimachitika. Ambiri amadandaula ndi nseru. Izi zimagwira ntchito kwa odwala omwe ali ndi matenda am'mimba. Ena amakhulupirira kuti mankhwalawa kuchokera ku gulu la Biguanides Adebit amakwaniritsa kusala kwa hyperglycemia.
Odwala omwe ali ndi vuto la chiwindi amafotokozera kuti mankhwalawo alibe zotsatira zoyipa zamagulu.
Omwe akufuna kuchepa thupi, amakhutira ndi zotsatira za mankhwala a Adebit. Awa ndi odwala omwe shuga yawo amasungidwa wamba, koma zolemetsa ndizovuta kuzimitsa.
Amazindikiranso kuti khungu la nkhope limayenda bwino, ziphuphu zimatha. Ngati mutsatira zakudya, Adebit samangothandiza kuchepetsa thupi, komanso amachepetsa shuga ya plasma. Ndipo kwa odwala ena, amawongolera kuthamanga kwa magazi.
Makanema okhudzana nawo
Chidule cha mankhwala a matenda a shuga a 2:
Mphamvu zakuchiritsa za Adebit zimakhazikika pazotsatira zake za hypoglycemic. Ndi othandizira odwala matenda ashuga. Odwala omwe ali ndi kulemera kwambiri, akagwidwa, kulemera kwa thupi kumachepetsedwa chifukwa cha Adebit kuchepetsa kudya.
Zina mwazotsatira zoyipa ndi kutsekula m'mimba, kupweteka kwa epigastric, chifukwa chake simuyenera kugwiritsa ntchito iwo omwe ali ndi matenda am'mimba. Mankhwalawa akuwonetsedwa kwa odwala omwe samadalira insulin, komanso matenda omwe amayamba ndi kunenepa kwambiri. Poyerekeza ndi zakumwa za mankhwalawa, muyenera kutsatira kadyedwe, kusiya mowa ndikuyamba kukhala ndi moyo wathanzi.