Munthu akapeza matenda monga matenda ashuga, njira ina kapena ina, moyo wake umasinthiratu. Izi sizoyambitsa munthu pomwe angatenge mopepuka ndipo asanyalanyaze malangizo omwe dokotala amalandira.
Malingaliro oterewa samatha kungobweretsa zovuta, komanso kufa.
Pozindikira, wodwalayo amapatsidwa chithandizo chamankhwala chazitali, chomwe chimaphatikizapo kudya komanso kumwa mankhwala. Nthawi zambiri, chithandizo chovuta ndi mankhwala chimayikidwa, pomwe mumapezeka mankhwala ambiri. Chimodzi mwazomwezi tiona m'nkhaniyi, yomwe ndi Diabetes.
Zotsatira za pharmacological
Chimodzi mwazomwe amachitidwa ndi mankhwala a Diabeteson ndikuwonjezera kuchuluka kwa insulin ya postprandial ndi secretion ya C-peptide, momwe imapitirira ngakhale patatha zaka ziwiri atatha kugwiritsa ntchito mankhwalawa.
Mapiritsi a Diabeteson MV 60 mg
Gliclazide (gawo lomwe limagwiritsa ntchito mankhwalawa) lilinso ndi mphamvu ya m'mitsempha. Odwala omwe ali ndi mtundu wa shuga wachiwiri, amabwezeretsa gawo la I ndi II la insulin. Kuwonjezeka kwa insulin yotulutsidwa ndi kapamba kumadalira chakudya kapena kuchuluka kwa glucose.
Zizindikiro ndi mlingo
Mankhwala a Diabetes amawagwiritsa ntchito pakamwa ndipo amatha kuperekedwa kwa achikulire okha.
Mankhwalawa amagwiritsidwa ntchito pa mtundu wa II wa matenda a shuga omwe amadalira insulin pomwe sizingatheke kuyendetsa glycemia ndi zakudya, masewera olimbitsa thupi komanso kuwonda.
Mlingo wa tsiku lililonse wa mankhwalawa umachokera pa ½ mpaka mapiritsi awiri patsiku - kuchokera pa 30 mpaka 120 mamililita. Kuchulukako kumagwiritsidwa ntchito kamodzi pakudya kadzutsa, pomwe sikulimbikitsidwa kuti mulume piritsi, chifukwa iyenera kumwa ndi kumeza yonse, pomwe mukumwa madzi ambiri.
Mlingo wa mankhwalawa amasankhidwa yekha payekhapayekha ndipo zimatengera yankho la mankhwalawa. Komabe, pali malingaliro oyendetsera omwe mungagwiritse ntchito mankhwalawa. Mlingo woyambirira ndi mamiligalamu 30 patsiku, omwe amakhala ngati piritsi la ½ Pakakhala vuto la kuthamanga kwamagazi a magazi, chithandizo chitha kupitilizidwa mtsogolo ndi kuchuluka kumeneku.
Ngati pakufunika kulimbikitsa kuyendetsa glycemia, mlingo wa tsiku ndi tsiku utha kuwonjezeredwa mpaka 60 milligrams.
M'tsogolomu, mutha kupitilira mamiligalamu 90, kapena 120. Kusintha kwa mankhwalawa sikukhudza mtundu uliwonse wa mankhwalawo, kuyenera kugwiritsidwa ntchito nthawi 1 pakudya kadzutsa.
Mulingo wovomerezeka wa Diabeteson wogwiritsidwa ntchito ndi 120 milligrams, omwe ndi mapiritsi awiri.Muzochitika pamene zotsatira zoyenera sizinachitike kuti azilamulira kuchuluka kwa shuga m'magazi, mankhwala omwe amapezeka mu 60 milligrams amatha kuperekedwa ndi munthawi yomweyo insulin.
Komabe, pankhaniyi, ndikofunikira kuyang'anira thanzi la wodwalayo nthawi zonse. Odwala omwe zaka zawo zimaposa zaka 65, mlingo wake umasankhidwa osasinthika, komanso kwa achinyamata.
Kwa odwala omwe ali ndi vuto lochepa kwambiri la impso, mulingo wosasinthika, komabe, pankhaniyi, wodwalayo ayenera kuyang'aniridwa ndi achipatala mosalekeza.
Kwa odwala omwe ali pachiwopsezo cha hypoglycemia, mlingo woyenera wa mankhwala a shuga a shuga ndi mamiligalamu 30 patsiku.
Kwa odwala omwe ali ndi vuto lalikulu la mtima, omwe ali ndi matenda monga mtima wamatumbo, amatulutsa matenda amitsempha, matenda oopsa amitsempha yamagazi, mankhwalawa ndi mankhwala okwanira 30 mamiligor tsiku lililonse.
Zotsatira zoyipa
Pakukonzekera mankhwalawa, chiwonetsero cha zovuta zingapo zoyambira m'njira zosiyanasiyana ndizotheka.
Zotsatira zoyipa zingaphatikizepo izi:
- kumva kwamphamvu kwa njala;
- kulimbikira;
- kupweteka mutu kwambiri;
- pafupipafupi milandu ya kusanza;
- chisokonezo cha kugona;
- kufooka kwathunthu;
- dziko lokondwa;
- Kukhumudwa
- kusokoneza chidwi;
- kuchepetsedwa anachita;
- dziko lokhumudwa;
- chisokonezo cha chikumbumtima;
- kusokonekera kwa mawu;
- aphasia;
- kugwedezeka kwamiyendo;
- paresis;
- kuphwanya zamkati;
- kuphwanya kwakuthwa;
- kulephera kudziletsa
- bradycardia;
- kuwonongeka kwamawonekedwe;
- kukokana
- delirium;
- kugona
- Nthawi zina pamakhala kusokonezeka kwa chikumbumtima, zomwe zimathandizira kukulira kukomoka komanso kufa kwina;
- thukuta;
- kumverera kwa nkhawa;
- tachycardia;
- matenda oopsa;
- arrhythmia;
- kumverera kwa kugunda kwamtima;
- angina kuukira;
- kumangokhala ndi nkhawa;
- khungu la chithaphwi;
- kupweteka kwam'mimba;
- dyspepsia
- kudzimbidwa;
- zotupa pakhungu;
- kuyabwa
- erythema;
- urticaria;
- kuchepa magazi
- zotupa zamphongo;
- zotupa za macropapular;
- leukopenia;
- granulocytopenia;
- thrombocytopenia;
- hepatitis;
- jaundice
- milandu erythrocytopenia;
- hemolytic anemia;
- pancytopenia;
- mziwindi vasculitis;
- agranulocytosis.
Contraindication
Mankhwala a Diabeteson sagwiritsidwa ntchito:
- kulephera kwambiri kwaimpso;
- kulephera kwa chiwindi;
- kukanika kwa chiwindi ndi impso;
- matenda a shuga;
- matenda a shuga;
- ketoacidosis;
- mogwirizana ndi miconazole;
- mimba
- mkaka wa m`mawere;
- muubwana;
- Kuchulukitsa chidwi kwa gliclazide kapena zotumphukira zina za sulfonylurea.
Bongo
Ngati mulingo woyenera sagwiridwa, hypoglycemia ikhoza kuchitika.
Zimachitika popanda matenda amitsempha komanso osazindikira. Zikatero, tikulimbikitsidwa kuti kuchuluka kwa chakudya chamafuta ndi kuchuluka kwa mankhwala a hypoglycemic kuwongoleredwe. Ndikothekanso kusintha zakudya kapena zakudya.
Mpaka pomwe mkhalidwewo ukukhazikika kwathunthu, wodwalayo ayenera kuyang'aniridwa. Mu milandu ya hypoglycemia, yomwe imayendera limodzi ndi kupweteka, kukula kwa chikomokere kapena matenda ena amitsempha, kuthandizira kuchipatala wodwala ndikofunikira.
Ndi nthenda ya hypoglycemic kapena kukayikira kwa chitukuko chake, wodwalayo amapatsidwa ma milliliters 50 a solution ya glucose (20-30%) m'mitsempha, ndiye yankho losazungulira (10%) limayendetsedwa nthawi zonse.
Izi zichitike pafupipafupi kuti pasakhale shuga wambiri wamagazi opitilira 1 g / l. Zochita zina zimatsimikiziridwa ndi dokotala kutengera momwe wodwalayo alili.
Ndemanga
Ndemanga pa matenda a shugaKuchita bwino kwambiri, kuchepa kwa shuga m'magazi, ndikuwathandizira zimadziwika.
Kugwiritsa ntchito bwino ntchito kumasiyananso, chifukwa mankhwalawa amagwiritsidwa ntchito kamodzi patsiku. Zina mwazinthu zoyipa zomwe zikuwonetsa kukwera mtengo, kupezeka kwa hypoglycemia, kupezeka kwa zotsatira zoyipa zingapo, mwa zomwe mumakhala zovuta zambiri.
Makanema okhudzana nawo
Momwe mungatenge matenda a shuga a mtundu wachiwiri:
Diabetes ndi mankhwala othandiza kwambiri omwe amaperekedwa kwa odwala omwe ali ndi matenda a shuga a 2. Gawo lake logwira ntchito ndi gliclazide, ndiye amene ali ndi zochuluka zowonjezera zochizira. Ndizofunikira kudziwa kuti, ngakhale kupezeka kwa mndandanda wazotsatira zoyipa, pali zochitika zochepa zowonetsa.
