Hypoglycemic mankhwala Novonorm: malangizo, ntchito, mtengo, ndemanga, analogies

Matenda oopsa monga matenda a shuga amapezeka tsiku lililonse odwala ambiri amisinkhu yosiyanasiyana.

Mbali yayikulu ya chithandizo chake ndi zakudya zapadera, zomwe ziyenera kutsagana ndi zochitika zina zolimbitsa thupi.

Ndipo nthawi zambiri, kuwonjezera pa izi, akatswiri amapereka mankhwala omwe amawonjezera insulin m'magazi. Imodzi mwa mankhwalawa ndi Novonorm, malangizo ogwiritsira ntchito omwe tidzakambirana pambuyo pake.

Zotsatira za pharmacological

Mankhwala a Novonorm ndi mankhwala omwe ali m'gulu la othandizira pakamwa. Imatha kulepheretsa njira za adenosine triphosphate zotengera potaziyamu zomwe zili m'zigawo za ma cell a beta.

Zitatha izi, nembanemba imasokonekera ndipo njira za calcium zimatsegulidwa, ndipo, zimathandizira kukulira kwa kuchuluka kwa calcium ion mu cell ya beta. Zomwe zimagwiritsidwa ntchito ndizopatsanso.

Chofunikira chachikulu cha mankhwalawa ndi kuthekera kuchepetsa glucose wamagazi, chifukwa cha theka lalifupi. Odwala omwe amatenga Novonorm sangawope kutsatira zakudya zamafuta zambiri, zomwe siziloledwa mukamamwa ena othandizira a hypoglycemic.

Pambuyo pakumwa koyambirira kwa mankhwalawa, mankhwalawa, omwe amathandiza kuwonjezera zomwe zili mu insulin ya m'magazi, zimatheka pambuyo pa mphindi 10-30. Kutsika kwa plasma wozungulira yogwira ntchito kumachitika pambuyo pa maola anayi kuchokera nthawi yomwe mwamwa mankhwalawa. Pambuyo pamlomo makonzedwe a Novonorm, kuchuluka kwake kwa thunthu kumachitika pambuyo ola limodzi.

Zizindikiro zogwiritsidwa ntchito

• pa nthawi yovuta ya mankhwala molumikizana ndi metformin, kapena kugwiritsa ntchito thiazolidatediones. Pankhaniyi, chithandizo chimagwiritsidwa ntchito ngati monotherapy sinaperekenso zotsatira za odwala;
• mtundu 2 shuga. Mankhwala amatchulidwa ngati mankhwala othandizira samapereka mphamvu iliyonse, komanso katundu ndi kuwonda.

Malangizo ogwiritsira ntchito

Novonorm imayikidwa kokha ngati njira yowonjezera ya zakudya zolimbitsa thupi nthawi zonse. Izi ndizofunikira kuti muchepetse kuchuluka kwa shuga m'magazi a anthu.

Mapiritsi a Novonorm

Malangizo ogwiritsira ntchito mapiritsi a Novonorm akuwonetsa kuti mankhwalawa amayenera kumwedwa pakamwa asanadye kwambiri, ndipo kuchuluka kwa mankhwalawa kumasiyana kawiri mpaka kanayi patsiku. Nthawi yomweyo, izi zimachitika mphindi 15 musanadye chakudya. Ndikofunika kukumbukira kuti ngati wodwala pazifukwa zina zasowa chakudya chachikulu, ndiye kuti mankhwalawo sayenera kumwa.

Phaleli silikulimbikitsidwa kutafuna, komanso pogaya, liyenera kukhala lathunthu komanso kutengedwa pakamwa, kutsukidwa ndi madzi okwanira. Kutalika kwa mankhwala, komanso mulingo woyenera wa mankhwala amatsimikiziridwa payekhapayekha kwa wodwala aliyense amene akupita kuchipatala.

Mlingo woyambira wodwala wamkulu nthawi zambiri amakhala mamiligalamu 0,5 a repaglinide.

Pakatha sabata limodzi kapena awiri kuyambira pa kuyamba kwa mankhwalawa, mankhwalawa akhoza kuchuluka. Panthawi yogwiritsira ntchito, ndikofunikira kuyang'anira shuga m'magazi kuti muwone molondola momwe mphamvu ya mankhwalawo ingachepetse thupi.

Mulingo wovomerezeka umodzi wa Novonorm ndi ma milligram anayi, ndipo mlingo wa tsiku ndi tsiku sayenera kupitirira 16 milligram. Akuluakulu omwe adagwiritsa ntchito mankhwala ena amkati mwa Novonorm nthawi zambiri amapatsidwa milligram imodzi ya repaglinide mu gawo loyambirira.

Odwala omwe afooka komanso kuchepa mphamvu, ndikofunikira kusankha mosamala. Nthawi zambiri amapatsidwa kwa anthu oterowo pang'ono. Pogwiritsa ntchito mankhwala ovuta a Metformin ndi Novonorm, mlingo wochepetsetsa ungafunike kuposa monotherapy ndi mankhwalawa.

Zotsatira zoyipa

Mankhwala a Novonorm amaloledwa bwino, komabe, nthawi zina, mumakhala kukulitsa kwa zizindikiro zoyipa zomwe zimawoneka m'njira zosiyanasiyana, monga:

• nseru
• kusanza
• kuphwanya chopondapo;
• kupweteka kwa epigastric;
• urticaria;
• kuyabwa
• zotupa pakhungu;
• kuchuluka kwa chiwindi michere;
• kukulitsa kwamatenda owopsa a chiwindi (chizindikiro chotere ndichotheka, komabe, sizikutsimikiziridwa ngati kuphwanya uku kumalumikizidwa ndi kugwiritsidwa ntchito kwa Novonorm);
• Hypoglycemia wolimbitsa thupi (motsutsana ndi chizindikiro ichi, kugwiritsa ntchito mankhwala ochulukirapo kukhala yankho labwino).
• kukulitsa kwa hypoglycemia yayikulu (motsutsana ndi chizindikiro ichi, shuga uyenera kuperekedwa mwachangu);
• kuwonongeka kwakanthawi kwakanthawi (chizindikirochi chimachitika chifukwa cha kusinthasintha m'magazi a glucose).

Contraindication

Mankhwalawa adapangidwa kuti agwiritsidwe ntchito kwa odwala omwe:

• kulephera kwambiri kwa chiwindi;
• matenda a shuga;
• matenda ashuga ketoacidosis;
• pa mimba;
• mtundu 1 matenda a shuga;
• pa mkaka wa m`mawere;
• matenda a shuga;
• gulu la zaka mpaka 18;
• Hypersensitivity ku mankhwala, kapena ake zigawo zikuluzikulu;
• muzochitika za wodwala, zomwe zimafuna kuti insulini ichitike (mwachitsanzo ndi matenda opatsirana, kulowererapo kwa odwala, ndi zina zambiri).

Kugwiritsa ntchito mankhwalawa ndizotheka pazochitika zotsatirazi, komabe, kusamala kuyenera kuchitika mu matenda awa:

• febrile syndrome;
• gulu lazoposa zaka 75;
• aakulu aimpso kulephera;
• uchidakwa.

Kuyanjana kwa mankhwala osokoneza bongo

Mukamagwiritsa ntchito mankhwala, muyenera kukumbukira kuti mankhwalawa omwe adzagwiritsidwa ntchito paliponse amakhudza kagayidwe kazakudya, kamene kamayambitsa kusintha kwa mlingo.

Pamene Novonorm amalumikizana ndi mankhwala ena, monga: glarinthromycin, anabolic steroids, osasankha beta-blockers, mowa wa ethyl, monoamine oxidase inhibitors, zotsatira zowonjezera theka la moyo wa repaglinide umawonedwa.

Kusintha kwakukulu mu pharmacokinetics yogwira ntchito ya Novonorm sikuchitika ndi munthawi yomweyo kugwiritsa ntchito mankhwalawa: Nifedipine, Cimetidine, Simvastatin, estrogens.

Bongo

Mukumwa mankhwalawa, pali mwayi wa mankhwala osokoneza bongo ngati simutsatira malingaliro a dokotala.

• kutuluka thukuta kwambiri.
• kukula kwa hypoglycemia;
• mutu
• Chizungulire
• kukulitsa kwa hypoglycemia;
• kugwedezeka kwamiyendo;
• hypoglycemic coma (imachitika ndikukula kwa hypoglycemia wolimbitsa thupi ndipo imatha kutsimikiziridwa ndi zizindikiro zomwe zili pamwambapa).

Mtengo ndi fanizo

Mtengo wapakati phukusi lililonse (ma 30 ma PC.) Mapiritsi a Novonorm 1 mg ndi ma ruble 160-170, 2 mg - 210-220 rubles. Analogue ya mankhwalawa ndi Diclinid.

Makanema okhudzana nawo

Zambiri pamankhwala a shuga:

Mankhwala a Novonorm ndi othandizira pakamwa pofulumira a insulin. Ndemanga za mankhwalawa zabwino. Amachepetsa msanga shuga m'magazi. Izi zimachitika chifukwa cha kukondoweza kwa insulin ndi kapamba. Ndipo mphamvu ya mankhwalawo mwachindunji imatengera kuchuluka kwa magwiritsidwe a b-cell omwe amasungidwa kuzinthu zazing'ono za gland. Mankhwala amathandizidwa ndi zakudya komanso kuchita masewera olimbitsa thupi ngati chowonjezera.