Diabetesalong - malangizo ogwiritsira ntchito

Matenda a shuga ndi matenda osachiritsika. Wodwalayo amakakamizidwa kumwa mankhwala omwe amayang'anira shuga m'magazi moyo wake wonse.

Kwa odwala matenda ashuga amtundu woyamba, iyi ndi insulin, ndipo yachiwiri ndi mankhwala osokoneza bongo a sulfonylurea.

Diabetesalong ndi mankhwala osokoneza bongo a hypoglycemic omwe amaperekedwa kwa anthu omwe ali ndi shuga wambiri kuti achepetse.

Mankhwalawa amatengedwa pakamwa, ndipo chifukwa cha nthawi yayitali, amagwiritsidwa ntchito 1, kangapo kawiri pa tsiku.

Mankhwala amatengedwa ngati chida chodziyimira pawokha kapenanso ngati akuphatikiza mankhwala. Amagwiritsidwa ntchito potsatira kuti kudya sikumathandiza, koma kumwa mankhwalawa nthawi zonse kumayenera kumayenderana ndi kukonza zakudya.

Kuphatikizika, mawonekedwe omasulidwa

Diabetesalong imapezeka ngati mapiritsi oyera ozungulira. Zadzaza matuza a zidutswa 10 ndi kabokosi kamakatoni, pomwe pamakhala ma mbale atatu mpaka 6.

Mankhwalawa amapezeka pamiyeso iwiri: 30 mg ndi 60 mg yogwira ntchito, yomwe ndi gliclazide.

Zothandiza zigawo za mankhwala:

• colloidal silicon dioxide;
• lactose monohydrate;
• calcium kuwawa;
• pyromellose;
• talcum ufa.

Fomu ya mankhwalawa itha kukhala ngati mapiritsi okhala ndi kutulutsidwa kosinthika kapena kuchitapo kanthu kwanthawi yayitali.

Pharmacology ndi pharmacokinetics

Chofunikira chachikulu ndi gliclazide, mwachilengedwe ndimtundu wa sulfonylurea wachiwiri. Gliclazide imawonetsa kusankha kwakukulu kosankha ndi bioavailability.

Amagwirizana ndi zovuta zachilengedwe ndipo zimakhala zotsatirazi:

• kumawonjezera kupanga nokha insulini, kukulolani kuti muchepetse kuchuluka kwa timadzi timene timabayidwa;
• imagoda kagayidwe kachakudya;
• kumawonjezera ntchito ya maselo a pancreatic beta;
• amachepetsa kupatsidwa zinthu za m'magazi, zomwe zimalepheretsa thrombosis ndi ma cell ena a mtima.

Diabetesalong kwathunthu odzipereka pambuyo makonzedwe. Pang'onopang'ono kudziunjikira m'magazi, kumafika pambiri patatha maola 4-6 pambuyo pa utsogoleri, kuwonetsa momwe zimakhalira kwa maola 10-12, ndiye kuti kuchuluka kwake kumachepa kwambiri ndipo pambuyo maola 12 mankhwala amachotsedwa kwathunthu m'thupi.

Gliclazide imapangidwa makamaka ndi chiwindi, ndikufotokozeranso impso.

Zizindikiro ndi contraindication

Chomwe chimayambitsa matenda a Diabetesalong ndi kudwala kwa matenda a shuga a mtundu wachiwiri. Mankhwala amathandizidwa kutsitsa shuga m'magazi akamagwiritsira ntchito zoletsedwa zomwe sizingathandize.

Komanso, mankhwalawa amalembedwa ngati prophylactic pazovuta zomwe zimayambitsidwa ndi matenda a shuga, makamaka amasintha kapangidwe ka mitsempha ya magazi mothandizidwa ndi glycemia yayikulu.

Pali zotsutsana pamankhwala, monga:

• mtundu 1 matenda a shuga;
• kutenga miconazole;
• kukanika kwa chiwindi ndi impso;
• nthawi ya pakati ndi yoyamwitsa;
• kukhalapo kwa matenda ashuga a ketoacidosis, chikomokere kapena Proma;
• kukhudzika kwakukulu pazinthu zomwe zimapanga mankhwala;
• kuphwanya lactose kagayidwe;
• zaka mpaka kukula.

Chenjezo ndipo pokhapokha moyang'aniridwa ndi dokotala, mankhwalawa amagwiritsidwa ntchito:

• mu kukalamba;
• anthu omwe chakudya chawo sichikunja;
• odwala ndi mtima zotupa;
• odwala omwe ali ndi vuto la shuga-6-phosphate dehydrogenase;
• pambuyo yaitali glucocorticosteroid mankhwala;
• kuvutika ndi uchidakwa;
• kukhala ndi vuto la impso kapena chiwindi.

Pankhaniyi, adotolo ayenera kutenga chisankho pamaziko a deta yomwe ilipo.

Zambiri pazakanema kuchokera kwa akatswiri azamankhwala:

Malangizo ogwiritsira ntchito

Mlingo komanso pafupipafupi kugwiritsa ntchito Diabetesalong ndi omwe adalembedwa ndi dokotala, zimatengera magawo a wodwalayo ndipo amatha kusiyanasiyana kwambiri kuchokera pamunthu wina ndi mnzake. Malinga ndi malangizo, phwando limachitika nthawi 1-2 patsiku kwa mphindi 20 musanadye. Njirayi imalola kugwiritsidwa ntchito moyenera kwa gliclazide.

Mankhwalawa amatengedwa pakamwa ndikutsukidwa ndi madzi pang'ono. Mlingo umatsimikiziridwa ndi njira yosankhira. Pankhaniyi, muyenera kuyamba ndi 30 mg patsiku, ngati palibe chithandizo chamankhwala, mlingo umachulukitsidwa pang'onopang'ono ndi 30 mg mpaka 120 mg. Uwu ndiye muyeso wabwino kwambiri pamwambapa omwe osavomerezeka ali osavomerezeka.

Simungathe kuwonjezera pawokha ngati njira imodzi idasowa, chifukwa mankhwalawa amatsogolera kuchepa kwa shuga wamagazi, omwe angayambitse hypoglycemia.

Odwala apadera

Kwa okalamba opitilira 65, kusintha koyenera kungafunike. Mwambiri, mankhwalawa amagwiritsidwa ntchito molingana ndi malamulo omwewo.

Munthawi ya bere, mankhwalawa amathandizidwa kuti asinthanenso ndi mankhwala a insulin mpaka pakubala. Palibe chokuchitikirani pakugwiritsa ntchito mankhwala a Diabetalong ndi mankhwala ena a glycoside pa nthawi yoyembekezera, chifukwa chake ndizosatheka kudziwa momwe zimayambira mwana wosabadwayo.

Pa mkaka wa m`mawere, mankhwalawa sangathe kugwiritsidwa ntchito, popeza pali mwayi wokhala ndi neonatal hypoglycemia mwa mwana. Chifukwa chake, kuyamwitsa mayi wodwala ndikuloledwa.

Odwala omwe ali ndi vuto la aimpso ndi ma pathologies ena ayenera kutsatira milingo yotsika, koposa zonse, kuyang'aniridwa ndi adokotala.

Malangizo apadera

Chofunikira pakumwa Diabetesalong ndi zakudya zokhazikika. Iyenera kutsatira malangizo a gulu ili la odwala ndikukhazikika munthawi yake. Izi ndizofunikira kuti athetse chiwopsezo cha hypoglycemia, chomwe chingachitike chifukwa chosowa mphamvu m'magazi.

Zomwe zimapangitsa kuti zochitika za hypoglycemia zithe:

• Kulephera kuyang'anira wodwala momwe iye aliri;
• osagwirizana ndi boma komanso kuchuluka kwa zakudya, njala, chakudya chosakwaniritsidwa;
• aimpso kapena chiwindi kulephera;
• mankhwala osokoneza bongo;
• matenda a endocrine;
• kulakwitsa kwa kuchuluka kwa zolimbitsa thupi ndi kuchuluka kwa chakudya chambiri chomwe mwalandira
• munthawi yomweyo mankhwala angapo.

Zotsatira zoyipa ndi bongo

Zotsatira zoyipa za kumwa mankhwalawa ndi:

• mutu
• hemolytic mtundu magazi;
• kuphwanya kukoma;
• ziwengo, zomwe zimakonda kuwonetsedwa ngati zotupa pakhungu.

Zizindikiro zina zitha kuoneka:

• kukokana
• Chizungulire
• kuphwanya zamkati;
• kunjenjemera
• kuphwanya kupuma ndi ntchito yamafuta;
• kuchuluka kwa mavuto;
• kutsika kwa mawonekedwe;
• matenda a chiwindi a mtundu wa cholestatic.

Pankhaniyi, ndikofunikira kusiya kumwa mankhwalawa ndikusankha analogi kutengera zina.

Mankhwala osokoneza bongo amatha kutheka ngati mungodziyimira nokha kuchuluka kwa mankhwala omwe amwedwa. Zotsatira zake zazikulu ndi hypoglycemia, mpaka kukomoka.

Ndi hypoglycemia wosagulitsidwa, mlingo uyenera kuchepetsedwa, ndipo kuchuluka kwa chakudya m'thupi kumayenera kuchuluka. Pankhani ya chikomokere cha hypoglycemic, njira yokhazikika ya glucose imayikidwa.

Kuchita ndi mankhwala ena

Diabetesalong ikuyanjana ndi zinthu zambiri, kotero musanayambe kumwa, muyenera kuzolowera izi.

Chifukwa chake, ngati munthawi yomweyo makonzedwe:

• ndi mowa zingayambitse hypoglycemia;
• ndi Danazol, matenda a shuga amawonekera, omwe amachepetsa mphamvu ya mankhwalawa;
• ndi miconazole, mphamvu ya gliclazide imatheka, yomwe imathandizira pakupanga hypoglycemia, zomwezo zimachitika ndi ena othandizira a hypoglycemic;
• ndi chlorpromazine, yomwe imachepetsa kupanga insulin, mphamvu ya mankhwalawa imachepetsedwa;
• ndi tetracosactide ndi glucocorticosteroids zingayambitse kukula kwa ketoacidosis ndi kuchepa kwa kulolerana kwa carbohydrate;
• ndi Wafarin ndi ma coagulants ena amathandizira zotsatira zake.

Analogi

Ndemanga za madotolo zikuwonetsa kuti Diabetesalong ndiwothandiza kwambiri pakuchepetsa magazi, komabe, sangathe kugwiritsidwa ntchito nthawi zonse.

Pankhaniyi, ma analogues a Diabetesalong ndi omwe amaperekedwa, omwe ndi ambiri:

• Diabinax;
• Glyclazide-Akos;
• Glucophage motalika;
• Glidiab MV;
• Gliclazide MV;
• Diabeteson MV;
• Diabetes;
• Glucostabil ndi ena.

Diabetesalong ndi Diabeteson amapangidwa pamaziko a zomwe zimagwiritsidwa ntchito, koma mankhwala achiwiri amawerengedwa kuti ndi othandiza, chifukwa zotsatira zake zimachitika mwachangu, koma mtengo wa mankhwalawa ndiwonjezeredwe maulendo awiri. Glyclazide ndi analogue yathunthu.

Glucophage yayitali imakhala ndi metformin pakapangidwe kake ndipo imatha kuphatikizidwa ndi insulin ndi mankhwala ena kuti muchepetse shuga.