Novonorm ndi mankhwala omwe amadziwika kuti ndi gulu la mankhwala omwe ali ndi vuto lalikulu la hypoglycemic (hypoglycemic).
Zomwe amapangira mankhwalawa zimaphatikizanso chinthu chotchedwa repaglinide.
Makina ochitapo kanthu amatengera luso lake lotchinga njira zotsalira za potaziyamu ya ATP yomwe ili mumkamwa mwa maselo a beta. Zotsatira zake, ndalamayi imasungunuka ndipo njira za calcium zimatsegulidwa, komanso kuchuluka kwa ma ioni a calcium kulowa mu cell ya beta kumathandizidwanso kwambiri, komwe kumapeto kumapangitsa kuti chitsekerero cha timadzi ta kapamba ndi maselo a beta.
Mankhwala omwe amafunsidwa amathandizira kuti shuga akhale magazi, nthawi zambiri amakhala chifukwa cha theka lalifupi. Ndikofunikira kudziwa kuti anthu amatha kutsatira zakudya zaulere pokhapokha atatenga Novonorm. Nanga chimagwiritsidwa ntchito ndi chiyani?
Njira yamachitidwe
Onetsetsani kuti Novonorm ndi mankhwala omwe amachepetsa shuga wamagazi, omwe cholinga chake ndi pakamwa. Ili ndi kanthu kochepa.
Monga lamulo, nthawi yomweyo amakhala ndi matenda a shuga. Chifukwa chake, kupanga kwa mahomoni a kapamba kumapangidwira. Mankhwalawa amaphatikiza pa nembanemba wa ma-p-maselo ndi puloteni inayake ya receptor ya mankhwalawa.
Mapiritsi a Novonorm 1 mg
Pambuyo pake, izi ndizomwe zimatsogolera ku kutsekeka kwa njira ya ATP-yotengera potaziyamu ndikuwonongeka kwa membrane wa khungu. Komanso, zimathandizira kutsegulidwa kwa njira za calcium. Kukhazikika pang'onopang'ono kwa calcium mkati mwa p-cell kumapangitsa kuti insulini itulutsidwe.
Mwa anthu omwe ali ndi vuto la endocrine monga shuga mellitus, makamaka la mtundu wachiwiri, insulinotropic reaction imawonedwa mphindi makumi awiri ndi zisanu zoyambirira kuyambira pakamwa. Izi ndi zomwe zimatsimikizira kuchepa kwa glucose wa plasma nthawi yonse yakudya.
Komanso, zomwe zimapangitsa kuti magazi azisungunuka m'magazi nthawi yomweyo zimatsika ndipo patatha maola anayi kuchokera pamene magazi a odwala omwe ali ndi matenda a shuga a m'magazi awiri amayamba, anthu ambiri amayamba kugwiritsa ntchito mankhwalawa.
Zizindikiro zogwiritsidwa ntchito
Matenda a shuga
Novonorm amagwiritsidwa ntchito pochiza anthu omwe ali ndi mtundu wachiwiri wa matenda a shuga (mellitus) omwe samadalira insulini) ngati zotsatira zomwe zikuyembekezeka molingana ndi kayendetsedwe ka magazi a shuga pogwiritsa ntchito zakudya zapadera komanso masewera sizinachitike.
Komanso, chithandizo chovuta cha mankhwala omwe mukufunsidwa ndi Metformin kapena thiazolidatediones chimagwiritsidwa ntchito mwa anthu omwe amathandizidwa ndi mankhwala amodzi sizothandiza konse. Kumwa mankhwalawa kuyenera kuyambitsidwa ngati njira yowonjezera yazakudya zoyenera komanso zolimbitsa thupi.
Kuchepetsa thupi
Monga tanena kale, Novonorm imalimbikitsa kupanga mahomoni a pancreatic.Komabe, kuthamanga kwa kuchitapo kanthu ndi mankhwala omwe amangogwiritsa ntchito mwachidule.
Izi zikusonyeza kuti izi zimachitika mwachangu kwambiri - pasanathe mphindi 30 kuchokera pakulandila mwachindunji. Imapukusidwanso pambuyo pa maola anayi.
Novonorm amatchulidwa zochizira matenda amitundu iwiri. Ndizoyenera kudya zakudya zosagwira, komanso kuti muchepetse kunenepa.
Mankhwala okhawo omwe amamwa mankhwalawa ndi omwe amaloledwa. Koma, mwa zina, mungathe kuziphatikiza ndi Metformin ndi mankhwala ena, machitidwe omwe amathandizira kuchepetsa shuga m'magazi.
Monga lamulo, mankhwalawa amapezeka mu mawonekedwe a mapiritsi. Ayenera kumwedwa asanadye mwachindunji. Malangizo omwe amaphatikizidwa ndi akuti nthawi yomwe mukufunika kugwiritsa ntchito mlingo ndi mphindi 16 asanadye.
Mwanjira ina, piritsi siliyenera kuledzera osapitilira theka la ola musanadye kapena, osanatero.
Akatswiri akuti nthawi yabwino kumwa mankhwalawa ndi mphindi 15 asanadye.
Kusankhidwa kwa mlingo woyenera kumachitika lokha. Mlingo woyamba wa Novonorm uyenera kukhala wochepa. Monga lamulo, madokotala amalimbikitsa kuyamba mankhwalawa ndi 0,5 kapena 1 mg.
Pa mankhwala, muyenera kuyeza shuga wamagazi pafupipafupi. Izi zikuthandizani kuti muunike momwe thupi limayankhira pa mankhwalawa. Monga mukudziwa, kukonza kwa Novonorm kuyenera kuchitika kamodzi pa sabata. Nthawi zina, kawiri pamwezi ndikokwanira.
Kutenga nthawi yambiri komanso kusamala bwino kuyenera kukhala kusankha kwa mankhwala osakanikirana ndi mankhwala osiyanasiyana omwe amachepetsa shuga mumthupi.
Potere, adotolo ayenera kufotokozera wodwala wake zoyenera kuchita akadzilola kudya zina kapena, m'malo mwake, adzaphonya kamodzi mwa chakudya.
Chifukwa chake, muzochitika zotere, ndikofunikira kusintha kwambiri nthawi yamatumbo a Novonorm.
Zolemba za Novonorm
Pakadali pano, ma fanizo angapo ogwira mankhwalawa akudziwika amadziwika. Izi zikuphatikiza: Insvada (Switzerland / United Kingdom), Repaglinid (India), Repodiab (Slovenia).
Mtengo
Mtengo wake wapakati umasiyanasiyana kuchokera ku 400 mpaka 600 ma ruble.
Ndemanga
M'malo mwake, zowunikira ndizosiyana kwambiri. Ena amati Novonorm adawathandiza kusinthitsa shuga wawo wamagazi, komanso kuwalola kuchepa.
Ndipo ena, m'malo mwake, akuti mankhwalawo sanawathandize kuthana ndi kunenepa kwambiri.
Contraindication
Mankhwalawa sangathe kugwiritsidwa ntchito pa matenda ndi zikhalidwe za thupi, monga:
- mtundu 1 matenda a shuga;
- ketoacidosis;
- matenda ashuga okoma ndi matenda a mtima;
- matenda osiyanasiyana opatsirana omwe amafunikira opaleshoni yomweyo;
- ena a pathological zinthu zofunika insulin mankhwala;
- manja
- nthawi yoyamwitsa;
- kwambiri matenda a impso ndi chiwindi;
- munthawi yomweyo makonzedwe a gemfibrozil;
- kukhalapo kwa hypersensitivity kwa yogwira mankhwala kapena pazinthu zina zomwe zimapangika.
Mimba komanso yoyamwitsa
Pakadali pano, sizikudziwika kuti mankhwalawo amafunsidwa bwanji kwa amayi omwe ali ndi mwana. Pazifukwa izi, Novonorm sayenera kumwedwa panthawi yomwe ali ndi pakati komanso mkaka wa m`mawere.
Zotsatira zoyipa
Zotsatira zoyipa kwambiri za mankhwalawa ndizochepa kwambiri shuga.
Kukula kwa zochita zotere kumangodalira, ngati mukugwiritsa ntchito mankhwala ena aliwonse, pazinthu zosiyanasiyana. Izi zimaphatikizapo mlingo wa mankhwala, zochita zolimbitsa thupi, komanso zovuta zina.
Nthawi zambiri, odwala a endocrinologists amawona mavuto monga:
- dontho lakuthwa mu shuga;
- hypoglycemic chikomokere;
- Chizungulire
- hyperhidrosis;
- kunjenjemera kwa malekezero ake akumwamba ndi otsika;
- anjala yomwe singathe ngakhale mutatha kudya;
- kuwonongeka kwamawonekedwe;
- kupweteka ndi kusamva bwino m'mimba;
- kusanza pamodzi ndi kusanza;
- kudzimbidwa
- kutsegula m'mimba
- chiwindi ntchito;
- ziwengo, zowonetsedwa ndi kuyabwa, khungu rede ndi zotupa.
Ntchito kwa ana
Monga momwe zimakhalira ndi amayi apakati, palibe maphunziro enieni omwe adachitidwa mwa odwala osakwanitsa zaka khumi ndi zisanu ndi zitatu. Pazifukwa izi, osavomerezeka kuti apatse ana a Novonorm.
Makanema okhudzana nawo
Za mankhwala ochepetsa shuga a matenda a shuga a 2 mu kanema:
Kuchokera munkhaniyi titha kunena kuti Novonorm ndi mankhwala othandiza omwe samagwiritsidwa ntchito kupangitsa kuti shuga asamangidwe, komanso kuti athetse mapaundi owonjezera.
Komabe, komabe, simuyenera kutenga nokha, popanda chilolezo cha dokotala. Izi ndichifukwa cha kuchuluka kwakukulu kwa ma contraindication ndi zotsatira zoyipa.
