Mankhwala a Diabeteson MB amatanthauza othandizira pakamwa a hypoglycemic omwe ali ndi gliclazide monga chinthu chogwira ntchito.
Za momwe angatengere matenda a shuga a shuga ndi zina, ndipo tikambirana pankhaniyi.
Zizindikiro zofunika mankhwala
Mankhwala a Diabeteson MV, malangizo ogwiritsira ntchito omwe ali ndi zidziwitso zonse zofunikira za chida, tikulimbikitsidwa kugwiritsa ntchito pazotsatirazi:
- shuga mellitus (mtundu wachiwiri) - ngati njira zosagwiritsa ntchito mankhwala osokoneza bongo (zakudya, kunenepa, zolimbitsa thupi) sizinathandize;
- pofuna kupewa zovuta za matenda a shuga (retinopathy, stroke, nephropathy, myocardial infarction. Chifukwa cha izi, odwala amakhala akuwongolera pafupipafupi.
Mankhwala a Diabeteson MV amangolembera okhawo achikulire, kwa ana ochepera zaka 18, mankhwalawa sanapangidwe, mayesero azachipatala sanachitike.
Mlingo wa mankhwala a hypoglycemic amasankhidwa payekha kwa wodwala aliyense. Pankhaniyi, kuchuluka kwa shuga m'magazi, komanso zizindikiro za HbA1c, zimawerengedwa.
Mlingo wovomerezeka wa mankhwalawa ndi: kamodzi pa tsiku mu 30 mg-120 mg (kuyambira theka mpaka mapiritsi awiri kamodzi pakudya m'mawa)).
Mwachitsanzo, piritsi la Diabeteson MV 30 mg yogwiritsira ntchito pamafunika kumeza kwathunthu. Sikulimbikitsidwa kupera kapena kutafuna.
Ngati funso likubwera, momwe mungatengere Diabeteson MV 60 mg molondola, ndiye kuti mutha kuthyola piritsi, kenako, kutenga theka lonse.
Ndikofunika kumwa mankhwalawa pafupipafupi, malinga ndi nthawi yomwe dokotala amakupatsani. Ngati mungadutse mankhwalawa, osachulukitsa mlingo wotsatira.
Diabeteson MV 60 mg, madokotala amalimbikitsa kuti poyambira kulandira chithandizo, achikulire onse (kuphatikiza okalamba omwe ali ndi zaka zopitilira 65) amatenga theka la piritsi patsiku, ndiye kuti 30 mg aliyense.
Pa mlingo wotere, mankhwalawa amagwiritsidwa ntchito ngati othandizira othandizira. Ngati kusakwanira kwa glycemic control, tsiku lililonse mlingo umalimbikitsidwa kuti uzilimbitsa pang'onopang'ono. Poyamba, imatha kukhala 60 mg, ndiye 90 mg komanso ngakhale 120 mg patsiku.
Mapiritsi a Diabeteson MV
Madokotala amalimbikitsa kuwonjezera mlingo pokhapokha mwezi ukalandira chithandizo. Chosiyana ndi odwala omwe ali ndi shuga wambiri pakatha milungu iwiri ya chithandizo. Kwa iwo, kuwonjezeka kwa kuchuluka kwa Diabeteson MV yomwe yatengedwa ndikotheka pambuyo pa masiku 14 a chithandizo.
Pa mapiritsi a 60 mg, kupatsidwa padera komwe kumakupatsani mwayi wogawa pakati. Chifukwa chake, ngati adotolo adapereka mankhwala a 90 mg patsiku kwa wodwala, ndikofunikira kugwiritsa ntchito piritsi limodzi la 60 mg ndi gawo lina la 1/2 lachiwiri.
Mothandizidwa ndi hypoglycemic mankhwala
Diabeteson MB imagwiritsidwa ntchito ndi mankhwala otsatirawa:
- biguanidines;
- insulin;
- alpha glucosidase zoletsa.
Kuwongolera kosakwanira kwa glycemic kumaphatikizapo kukhazikitsidwa kwa maphunziro owonjezera a insulin, komanso kuyezetsa magazi.
Zambiri za kumwa mankhwala am'magulu amodzi odwala
Kafukufuku wasonyeza kuti kusintha kwa mlingo sikofunikira mu odwala otsatirawa:
- okalamba (zaka 65 kapena kuposerapo);
- wofatsa mpaka pang'ono digiri ya aimpso Kulephera;
- ndi chitukuko cha hypoglycemia (choperewera kapena kuperewera kwa zakudya m'thupi);
- ndi mavuto akulu endocrine (hypothyroidism, kuchepa kwa pituitary, adrenal matenda;
- atathetsa corticosteroids, ngati atengedwa nthawi yayitali kapena waukulu;
- ndi matenda oopsa a mtima ndi mitsempha (mankhwalawa tikulimbikitsidwa mu 30 mg).
Zotsatira za bongo
Mankhwala osokoneza bongo amatsogolera pakukula kwa hypoglycemia.
Pofuna kuthana ndi zizindikiro za hypoglycemia, zomwe zimafotokozedwa pang'ono za matendawa, ndikofunikira:
- onjezani kudya zakudya zopatsa mphamvu;
- kuchepetsa mankhwala omwe adamwa;
- sinthani zakudya;
- funsani katswiri.
Mu kwambiri hypoglycemia, wodwala ali:
- chikomokere
- minofu kukokana;
- zovuta zina zamitsempha.
Zotsatira zoyipa
Kugwiritsa ntchito mankhwalawa limodzi ndi zakudya zina zosakhudzana, komanso kudya thupi kumatha kupangitsa kuti mukhale ndi hypoglycemia, yomwe ikufotokozedwa m'mawu otsatirawa:
- mutu
- njala yayikulu;
- kutopa
- kufuna kusanza;
- nseru
- wokongola
- kuchepetsa chidwi;
- kusowa tulo;
- mkhalidwe wosakwiya;
- kuchedwetsa chochitikacho;
- kulephera kudziletsa;
- dziko lokhumudwa;
- kuwonongeka kwamawonekedwe;
- kusokonekera kwa mawu;
- paresis;
- aphasia;
- kugwedezeka
- kusadziletsa;
- kusowa thandizo;
- Chizungulire
- kugona
- minofu kukokana;
- kufooka
- bradycardia;
- kupuma kosakhazikika;
- delirium;
- kugona
- kulephera kudziwa;
- andrenergic zimachitika;
- chikomokere ndi zotsatira zakupha.
Zizindikiro zokhala mu hypoglycemia zimachotsedwa ndi shuga. Milandu yayitali kapena yayitali ya mikhalidwe yotereyi imaphatikizira kuchipatala.
Zotsatira zina zoyipa m'thupi zimadziwikanso:
- m'mimba
- minofu yachilengedwe komanso khungu;
- kupanga magazi;
- bile ducts ndi chiwindi;
- ziwalo zamasomphenya.
Contraindication
Mankhwala a Diabeteson MV 60 mg ali ndi zotsutsana zotsatirazi:
- mtundu 1 matenda a shuga;
- mawonekedwe a matenda ashuga mu mawonekedwe a ketoacidosis, chikomokere, precoma;
- woopsa milandu hepatic kapena aimpso kulephera (insulin mankhwala tikulimbikitsidwa);
- ntchito mogwirizana ndi miconazole;
- mkhalidwe wa pakati;
- nthawi yoyamwitsa;
- zaka zosakwana 18;
- Hypersensitivity zigawo zikuluzikulu za mankhwala;
- tsankho kuti zinthu lactose;
- mawonetseredwe a galactosemia, galactose / glucose malabsorption syndrome;
- Kugwiritsa ntchito ndi Danazol, Phenylbutazone.
Muyenera kusamala mukamamwa mankhwalawa motere:
- ndi chakudya chopanda malire, chosasangalatsa;
- matenda a mtima, mitsempha yamagazi, chiwindi, impso;
- Yaitali mankhwala a corticosteroids;
- mawonetseredwe amowa;
- muukalamba.
Mankhwalawa amatha kuyanjana ndi mankhwala ena, komanso mowa ndikuyambitsa zosafunikira.
Amakanizidwa kuti agwiritse ntchito ndi zinthu zomwe zimapangitsa kuti gawo la gliclazide lipangidwe, chifukwa kupanga kwa hypoglycemia ndikotheka.
Simungagwiritse ntchito mankhwalawo limodzi ndi Miconazole, Phenylbutazone, Ethanol, mankhwala ena omwe ali ndi mowa pakupanga kwawo, ndikofunikanso kuthetseratu kumwa mowa. Gwiritsani ntchito mosamala ndi mankhwala a hypoglycemic (Insulin, Metformin, Enalapril).
Makanema okhudzana nawo
Malangizo ogwiritsira ntchito Diabeteson mu vidiyo:
Mulimonsemo, ndikofunikira kuyandikira kwambiri glycemic control mukamamwa mankhwala. Ndikofunikira kuchita njirayi pafupipafupi, kuphatikiza palokha. Ngati ndi kotheka, wodwalayo ayenera kulandira chithandizo cha insulin mwachangu.
