Chifukwa cha kuperewera kwakukulu kwa timadzi ta insulin, matenda oopsa a endocrine amakula mthupi - matenda a shuga.
Kuthandiza kwa anthu omwe ali ndi matenda amtunduwu amathandizidwa ndi mankhwala a hypoglycemic omwe amawongolera kuchuluka kwa shuga. Acarbose ndi mankhwala othandizira odwala matenda ashuga.
Zisonyezero zakudikirira
Mankhwala ndi mankhwala endocrinologist ngati pali zotsatirazi matenda:
- mtundu 2 matenda a shuga;
- owonjezera m'magazi ndi zimakhala za lactic acid (lactic diabetesic chikomokere).
Kuphatikiza apo, kuphatikiza ndi zakudya zamafuta, mankhwalawa akuwonetsa mtundu wa 1 shuga mellitus.
Kugwiritsa ntchito mankhwalawa ndikosavomerezeka ngati wodwalayo apeza zotsatirazi:
- tsankho lanu;
- pachimake zovuta za matenda ashuga (matenda ashuga ketoacidosis kapena DKA);
- kuwonongeka kosasintha kwa chiwindi (cirrhosis);
- chimbudzi chovuta komanso chopweteka (dyspepsia) chachilengedwe;
- kusintha kwamphamvu kwa mtima ndi mtima komwe kumachitika mutatha kudya (a Remkheld's syndrome);
- nthawi ya bere ndi kuyamwitsa;
- kuchuluka kwa mpweya m'matumbo;
- matenda otupa a mucous nembanemba (colcerative colitis);
- kutuluka kwam'mimba ziwalo pansi pa khungu.
Kapangidwe ndi kapangidwe ka zochita
Acarbose (dzina lachi Latin loti Acarbosum) ndi chakudya chopatsa mphamvu chokhala ndi shuga wochepa wosavuta, wosungunuka mosavuta m'madzi.
Thupi limapangidwa kudzera mu kukonzanso kwamankhwala amitundu mothandizidwa ndi michere. Zophatikiza ndi Actinoplanes utahensis.
Acarbose hydrolyzes polymeric chakudya poletsa zomwe zimapangitsa chidwi cha enzyme. Chifukwa chake, mulingo wa mapangidwe ndi kuyamwa kwa shuga m'matumbo amachepetsedwa.
Izi zimathandizira kukhazikika kwamisempha yamagazi. Mankhwala samayambitsa kupanga ndi kubisalira kwa insulin ya mahomoni ndi kapamba ndipo salola kuchepa kwambiri kwa shuga m'magazi. Chithandizo chanthawi zonse chimachepetsa mwayi wokhala ndi matenda amtima komanso kupitirira kwa shuga.
Mafuta a chinthu (mayamwidwe) si oposa 35%. Kukumana kwa chinthu m'thupi kumachitika m'magawo: mayamwidwe oyamba amapezeka mkati mwa ola limodzi ndi theka, sekondale (mayamwidwe azinthu zopangidwa ndi metabolic) - pamtunda kuchokera maola 14 mpaka tsiku limodzi.
Ndi matenda a impso kuwonongeka kwa impso (aimpso kulephera), ndende ya mankhwala kumawonjezera kasanu, mwa anthu azaka 60+ - 1.5 zina.
Mankhwalawa amachotsedwa m'thupi kudzera m'matumbo ndi mkodzo. Kutalika kwa nthawi kwa njirayi kumatha kupitilira maola 10-12.
Malangizo ogwiritsira ntchito
Kugwiritsa ntchito acarbose kumafuna njira yayitali yothandizira. Mapiritsi ayenera kuledzera osachepera kotala la ola asanadye.
Mu nthawi yoyamba ya mankhwalawa, 50 mg ya mankhwala imayikidwa katatu patsiku. Palibe kuyipa kwina, mlingo ukuwonjezeka 2-4 nthawi ndi imeneyi ya miyezi 1-2.
Mlingo umodzi wambiri ndi 200 mg, tsiku lililonse - 600 mg.
Pazifukwa za prophylactic, mankhwalawa amatengedwa osachepera 50 mg kamodzi patsiku. Malinga ndi zomwe zikuwonetsa, muyezo wake ungathe kuwirikiza.
Kodi Acarbose Glucobai angagwiritsidwe ntchito poonda?
Mankhwala ambiri omwe amapangidwa pamaziko a Acarbose ndi mankhwala a ku Germany Glucobay. Matenda ake a pharmacological, zikuonetsa ndi ma contraindication ogwiritsa ntchito ali ofanana ndi Acarbose. Komabe, kugwiritsa ntchito mankhwalawa sikuti kungochiza matenda a shuga.
Glyukobay ndiodziwika kwambiri pakati pa othamanga komanso anthu omwe akulimbana ndi kunenepa kwambiri. Izi zimachitika chifukwa chachikulu cha mankhwalawa - kuthekera kotchinga mapangidwe a shuga. Zomwe zimayambitsa kulemera mopitirira muyeso, monga lamulo, ndizokwanira zamafuta. Nthawi yomweyo, mafuta am'mimba ndi gwero lalikulu la mphamvu zamthupi.
Mukamayanjana ndi ziwalo zam'mimba, chakudya chophweka chamthupi chimayamwa nthawi yomweyo m'matumbo, ma carbohydrate ovuta akudutsa gawo la kuwonongeka kukhala losavuta. Pambuyo kunyowa zachitika, thupi limayang'ana kuti litenge zinthuzo ndikuziyika "m'malo osungirako". Pofuna kupewa njirazi, iwo omwe akufuna kuchepa thupi amatenga Glucobai ngati othandizira kutsekereza chakudya.
Makanema azakudya zokhudzana ndi mankhwala oletsedwa wamafuta
Kuchita ndi mankhwala ena
Mothandizidwa ndi mankhwala osiyanasiyana omwe amagwiritsidwa ntchito limodzi ndi Acarbose, kugwira ntchito kwake kumatha kuwonjezeka kapena kuchepa.
Gome lothandizira komanso kuchepetsa zotsatira za mankhwala:
Kupititsa patsogolo ntchito | Chepetsani zochita |
|---|---|
zotumphukira za sulfonylurea, zomwe ndi zigawo zazikulu za mankhwala ena a hypoglycemic (Glycaside, Glidiab, Diabeteson, Gliclada ndi ena) | mtima glycosides (digoxin ndi mawonekedwe ake) |
makonzedwe akukongoletsa (kukonza kaboni, Enterosgel, Polysorb ndi ena) | |
thiazide diuretic mankhwala (hydrochlorothiazide, indapamide, clopamide | |
mahomoni ndi oletsa (pakamwa) othandizira | |
mankhwala omwe amalimbikitsa kupanga adrenaline | |
kukonzekera kwa nicotinic acid (mavitamini B3, PP, Niacin, Nicotinamide) |
Kugwiritsa ntchito limodzi kwa mankhwalawa komwe kumachepetsa ntchito ya Acarbose kungayambitse kukula kwakukulu.
Zotsatira zoyipa, bongo ndi malangizo apadera
Zotsatira zosafunikira pakayendetsedwe ka mankhwala zimachitika makamaka kuchokera ku khungu ndi m'mimba thirakiti.
Izi zikuphatikiza:
- chisangalalo;
- phokoso mokhumudwa;
- chimbudzi chopweteka (dyspepsia);
- zovuta kulimbikitsa zomwe zili m'mimba;
- mulingo wokwera kwambiri wa bilirubin (jaundice);
- redness la khungu loyambitsidwa ndi kufalikira kwa capillaries (erythema);
- matenda apakati.
Kupitilira muyeso womwe wapatsidwa ukuwonetsedwa ndi kupweteka kwamatumbo, mapangidwe owonjezera a mpweya, kutsekula m'mimba. Mpumulo wa izi ndi chizindikiro, kuphatikiza kuphatikiza chakudya chamthupi.
Acarbose amalembedwa mosamala kwambiri kwa odwala omwe ali ndi matenda oyambitsidwa ndi matenda, komanso achinyamata osakwana zaka 18.
Panthawi ya mankhwala, mankhwalawa ndi awa:
- kutsatira zakudya okhwima;
- kuwunika kosalekeza kwa hemoglobin, transaminases ndi shuga (kuchuluka kwa magazi).
Pazakudya, sucrose iyenera kusintha shuga.
Mitu ya mankhwalawa
Mankhwala okhala ndi vuto lofananalo amakhala ndi acarbose monga chinthu chachikulu chogwira ntchito.
Mankhwala awiri amagwiritsidwa ntchito ngati olowa m'malo:
| dzina | kumasulidwa mawonekedwe | wopanga |
|---|---|---|
| Glucobay | 50 ndi 100 mg piritsi | BAYER PHARMA, AG (Germany) |
| Alumina | Mapiritsi a 100 mg | "Abdi Ibrahim Ilach Sanay ve Tijaret A.Sh." (Turkey) |
Maganizo a odwala
Kuchokera pakuwunika kwa odwala, titha kunena kuti Acarbose imagwira bwino ntchito popanga shuga wochepa wa magazi, koma kayendetsedwe kake nthawi zambiri kamayenderana ndi zotsatirapo zoyipa, chifukwa chake kugwiritsidwa ntchito ndikosathandiza kuchepetsa thupi.
Mankhwalawa adaperekedwa monga adauzidwa ndi adokotala ndipo mosamalitsa malinga ndi malangizo. Kuphatikiza apo, ndimatenga 4 mg ya NovoNorm pa nkhomaliro. Mothandizidwa ndi mankhwala awiri, ndizotheka kusunga shuga wamba masana. Acarbose "ozimitsa" zotsatira za zovuta zam'mimba, zisonyezo zanga maola awiri mutatha kudya ndi 6.5-7,5 mmol / L. M'mbuyomu, zosakwana 9-10 mmol / L sizinali. Mankhwalawa amagwiradi ntchito.
Eugene, wazaka 53
Ndili ndi matenda ashuga a 2. Dotolo adalimbikitsa Glucobai. Mapiritsi samalola kuti shuga azilowetsedwa m'matumbo am'mimba, ndiye kuti kuchuluka kwa shuga sikumadumpha. M'malo mwanga, mankhwalawa amasintha shuga kuti akhale ochepa shuga.
Angelica, wazaka 36
Ndidayesa Glucobai ngati njira yochepetsera kunenepa. Zotsatira zoyipa. Matendawa pafupipafupi, komanso kufooka. Ngati simukudwala matenda ashuga, iwalani za mankhwalawa ndikuchepetsa thupi mothandizidwa ndi zakudya komanso zolimbitsa thupi.
Antonina, wazaka 33
Mankhwala ndi mankhwala. Mtengo wa mapiritsi a Glucobai ndi pafupifupi ma ruble 560 pachidutswa 30, ndi mulingo wa 100 mg.
