Baeta ndimakonzedwe opangira kutengera zinthu exenatide, zomwe zimakhala ndi hypoglycemic.
Izi zimadziwika mwa kuyambitsa zolandilira zama glucagon-ngati peptide-1 ndikulimbikitsa kapangidwe ka timadzi tambiri ta insulin ndi beta-cell a pancreatic gland, yomwe imathandiza kuchepetsa magazi.
Zina mwazithandizo za Beat ndizo:
- kutsitsa misempha ya magazi ndi kupewa kukula kwa zizindikiro za hyperglycemia;
- kuchepa kwa kupukusa kwamphamvu kwa glucagon poyankha hyperglycemia kwa odwala omwe ali ndi matenda a shuga a 2;
- kuchedwetsa kuchoka kwa zinthu zam'mimba ndikumachepetsa kumverera kwanjala.
Mankhwala Beata akuwonetsedwa kuti amagwiritsidwa ntchito kokha kwa odwala omwe ali ndi matenda a shuga a mtundu wachiwiri. Amasankhidwa kuti azilamulira kuchuluka kwa glycemia mwa odwala omwe amalandira chithandizo cha antidiabetesic kuchokera ku sulfonylurea zotumphukira ndi metformin.
Zolemba ntchito
Mankhwalawa amathandizidwa ndi mankhwalawa kumtunda kapena pakatikati pa phewa, ntchafu, komanso m'mimba. Monga lamulo, tikulimbikitsidwa kusinthana mawebusayiti kuti tipewe kupanga ma sublomaneous conglomerates.
Syringe cholembera Baeta
Kubaya kuyenera kuchitidwa mogwirizana ndi malamulo onse ogwiritsira ntchito cholembera. Mankhwalawa ayenera kuperekedwa kwa ola limodzi musanadye zakudya zazikuluzikulu zosachepera 6 maola.
Mlingo
Dokotala yekha ndi amene ayenera kumwa mankhwalawa, monga momwe shuga wina amathandizira, kuchuluka kwa mankhwala akuluakulu a hypoglycemic, kupezeka kwa zovuta zina, ndi zina zotero.
Nthawi zambiri mlingo woyambirira wa Baeta ndi 5 mcg kawiri pa tsiku kwa milungu inayi.
Kupitilira apo, kuchuluka kwa zinthu zomwe zimayendetsedwa zimatha kuwonjezeka mpaka 10 μg patsiku (ngati kuli koyenera). Sitikulimbikitsidwa kupitilira muyeso wa oposa 10 mcg.
Zizindikiro za mankhwala osokoneza bongo amapezeka kuti amagwiritsidwa ntchito zoposa 100 μg ya chinthu patsiku ndipo akuwoneka ngati kusanza kwambiri motsutsana ndi maziko a hypoglycemia yomwe ikupita patsogolo.
Zotsatira zoyipa
Kugwiritsa ntchito mankhwala ambiri opangidwa kumayendera limodzi ndi mawonekedwe a zovuta zingapo mwa odwala.
Baeta siyosiyana ndi lamuloli ndipo imatha kupangitsa mawonekedwe owoneka motere:
- ziwopsezo poyankha makonzedwe a mankhwalawa, omwe amatha kuwoneka ngati kwanthawi (kuyamwa, kuyabwa) kapena kawirikawiri (Quincke's edema);
- Kuchokera mmimba, kusanza, mseru, komanso dyspepsia, kuphwanya kwamizidwe koyambira kwamatumbo, khungu, maselogogastric Reflux ndi kupindika kwa mpweya, kupweteka m'mimba ndi m'matumbo nthawi zambiri kumadziwika;
- kuchepa kwamadzi pa maziko akusanza kwambiri;
- pachimake kutupa kwa kapamba;
- pachimake aimpso kulephera ndi kukulira ambiri chikhalidwe odwala matenda aakulu matenda;
- kuwonongeka kwa chapakati mantha dongosolo, kuwonetsedwa mwa kugwedezeka, kupweteka mutu, kugona, kufooka kwathunthu.
Gwiritsani ntchito pa nthawi yoyembekezera
Akatswiri salimbikitsa kugwiritsa ntchito mankhwalawa kwa amayi omwe akuyembekezera kubadwa kwa mwana.
Izi ndichifukwa cha zotsatira zoyipa za exenatide pa mwana wosabadwayo yemwe akukula m'mimba.
Mimba ikachitika pamene mukumwa mankhwalawa, ndiye kuti mayiyo amafunsidwa kuti aichotsere jakisoni wa insulin. Tsoka ilo, pakadali pano palibe chidziwitso choti zinthu zopangidwa zimadutsa mkaka wa m'mawere kapena ayi.
Ngakhale zili choncho, madokotala samalimbikitsa kuti azitenga Bayetu nthawi yotsekemera, yomwe imathandiza kuteteza thupi la mwana kuti lisalowe muzinthu za mankhwala.
Contraindication
Pazinthu zazikuluzikulu zokhudzana ndi kugwiritsa ntchito mankhwalawa ziyenera kufotokozeredwa:
- tsankho limodzi ndi zigawo za mankhwala;
- kulephera kwa impso;
- mtundu 1 matenda a shuga;
- matenda ashuga ketoacidosis;
- kwambiri zosiyanasiyana za mapangidwe a pathologies a m'mimba gawo, kuphatikizapo matumbo paresis, pachimake m'mimba magazi, mafuta ndi zina zotero.
Analogi
Bayeta ili ndi fanizo zotsatirazi:
- Victoza. Mankhwalawa amagwiritsidwa ntchito pochiza matenda amtundu wa shuga wachiwiri mwa anthu akuluakulu kuti akwaniritse kuwongolera kwa glycemic kuphatikiza ndi othandizira pakamwa ndi / kapena basal insulin. Izi ndizofunikira makamaka ngati mankhwala omwe ali ndi hypoglycemic effect, komanso zakudya komanso masewera olimbitsa thupi, samapereka shuga yoyenera yamagazi;
- Guarem. Mankhwalawa akuwonetsa anthu odwala matenda a shuga, komanso odwala omwe chithandizo chamadokotala chokha samapereka zotsatira zomwe akufuna. Mankhwala, kuwonjezera pa mphamvu ya hypoglycemic, amakhudza kuchuluka kwa cholesterol m'magazi, ndikuthandizira kuchepa kwake;
- Attokana. Mankhwalawa amagwiritsidwa ntchito mwa odwala akuluakulu omwe ali ndi mtundu wachiwiri wa matenda a shuga pofuna kuchepetsa glycemia, komanso chithandizo cha odwala omwe sangathe kugwiritsa ntchito metformin chifukwa chosagwirizana ndi zida zake kapena kupezeka kwa zotsutsana zingapo zogwiritsidwa ntchito, komanso zomwe kudya ndi kuchita zolimbitsa thupi sizilola kuwongolera kokwanira glycemia. Masiku ano, mankhwalawo ndi ovuta kupeza.
Mtengo
Mtengo wa mankhwalawa umatengera zinthu zingapo:
- mfundo yamitengo yogawa mankhwalawa;
- mawonekedwe a kumasulidwa kwa mankhwalawa;
- dera logulitsa mankhwala.
Mwambiri, mdziko lathu, mtengo woyambira wamankhwala amachokera ku ruble 5,000 sauzande cholembera chomwe chili ndi 1.2 ml ya mankhwalawa. Komanso mumasamba ogulitsa mankhwala mutha kupeza Bayetu kuchokera kuma ruble 7,000 pachilichonse ndi mulingo wa 2.4 ml wa mankhwala.
Ndemanga
Malinga ndi kafukufuku wa manambala komanso kafukufuku wa odwala omwe amamwa mankhwalawa pafupipafupi, zinali zotheka kutsimikizira kuti mankhwalawa ndiwodziwika kwambiri pakati pa anthu odwala matenda ashuga chifukwa cha kufatsa kwake, kusapezeka kwa milandu yomwe imakhudzana ndi chitukuko champhamvu, komanso kugwira ntchito bwino.
Makanema okhudzana nawo
Momwe mungagwiritsire ntchito cholembera cha Bayeta:
Kutengera ndemanga zambiri za odwala omwe ali ndi matenda a shuga a mtundu wachiwiri omwe adalembedwa kuti Byeta akhale ngati monotherapy kapena ngati chithandizo chowonjezereka, sizabwino kunena kuti mankhwalawa ndi njira yabwino yochotsera hyperglycemia ndipo amakupatsani mwayi wofikira zotsatira zomwe mukufuna.
Byeta imapangitsa kuti shuga azikhala ndi magazi nthawi zonse, kupewa kulemera komanso ngakhale kumenya mapaundi owonjezera.
