Amaryl - mapiritsi ochokera ku Germany wopanga ndi hypoglycemic effect.
Cholinga cha odwala matenda ashuga amtundu wa 2.
Thandizani kuchepa kwa ndende yamagazi.
Makhalidwe ambiri, mawonekedwe omasulira ndi kapangidwe kake
Pogulitsa, mankhwalawa amapezeka m'magulu anayi, kutengera kuchuluka kwa zinthu zomwe zimagwiritsidwa ntchito:
- mapiritsi a pinki - 1 mg
- kubiriwira - 2 mg
- chikasu chopepuka - 3 mg
- mabulosi - 4 mg
Zomwe zimagwira ndi glimepiride. Kuphatikiza pa mawonekedwe omwe atchulidwa, palinso Amaryl M, yemwe ali ndi metformin.
Amaryl M ikupezeka mu 2 dosages, yoyimiriridwa ndi gawo lotsatira la glimepiride / metformin:
- 2 mg / 500 mg
- 1 mg / 200 mg
Mosiyana ndi mawonekedwe am'mbuyomu, Amaril M amaperekedwa muzoyera ndi mawonekedwe a biconvex.
Malinga ndi zakudya zoyenera, masewera olimbitsa thupi omwe amathandiza kuti muchepetse thupi, chithandizo chamankhwala chotsimikizika chimatsimikiziridwa kwa mtundu wachiwiri wa matenda a shuga pankhani zotsatirazi:
- lembani matenda osokoneza bongo a 2 omwe samadalira insulini (monga monotherapy kapena mankhwala osakanikirana ndi metformin kapena insulin);
- ngati ndizosatheka kukwaniritsa kuyang'anira kwa glycemic ndi monotherapy yokhala ndi glimepiride kapena metformin;
- Mukamachotsa mankhwala ophatikiza ndi Amaril M.
Amaryl ndi mankhwala ofunikira kwa odwala matenda ashuga a 2 omwe sagwiritse ntchito insulin.
Malangizo ogwiritsira ntchito
Amaryl amagwiritsidwa ntchito malinga ndi dongosolo lomwe adokotala amapeza. Mlingo umasankhidwa payekha ndipo zimatengera gawo la matendawa.
Amaril amayamba ndi mlingo wocheperako tsiku lililonse, womwe ndi 1 mg. Amadyedwa m'mawa nthawi yam'mawa kapena itatha. Mapiritsi amasambitsidwa pansi ndi chikho cha 1⁄2 chamadzi.
Popanda zovuta, poganizira momwe wodwalayo alili, njira ina yoperekera chithandizo kwa Amaril imakhala motere: masiku onse 7 mpaka 14 (dokotala azindikire kuchuluka kwa kuchuluka), mlingo umawonjezeka ndi 1 mg ndikufika pa 6 mg.
Mlingo 2 womaliza umagwiritsidwa ntchito kwambiri. Nthawi kuyambira koyambirira mpaka kutsata lotsatira - kuyambira masiku 7 mpaka 14. Pogwiritsa ntchito mankhwalawa, kuyang'anira kuchuluka kwa shuga m'magazi ndizovomerezeka.
Mukadumpha piritsi, palinso mlingo wina wowonjezera, ndipo tsiku lotsatira mlingo umakhala womwewo.
Zolemba ntchito
Amaryl ndi yoletsedwa kwa amayi apakati komanso oyamwitsa. Izi zikuchitika chifukwa cha kulowa kwa glimepiride mkaka wa m'mawere. Wodwalayo ayenera kutsatira insulin.
Mphamvu ya mankhwalawa kwa ana omwe ali ndi matenda ashuga a 2 samveka bwinobwino. Ichi ndichifukwa chake Amaril amakwiriridwa ana osakwana zaka 18.
Amadziwika kuti chigawo chogwira ntchito chimapukutidwa kudzera mu impso. Chifukwa chake, mankhwalawa osavomerezeka kwa anthu okalamba omwe ali ndi matenda a impso. Kwa odwala athanzi, mlingo umasankhidwa payekha, womwe umalumikizidwa ndi chiwopsezo cha kuchepa kwa impso.
Odwala ayenera kukhala okonzekera kuti njira yochizira ikhale yayitali.
Kuphatikiza apo, ndikofunikira kuganizira zina:
- kudumpha mankhwala osavomerezeka;
- kudya ndi kusamba pansi ndi madzi ambiri;
- kumeza lonse;
- ngati kuli kotheka, amagawika magawo awiri ofanana;
- kugawa kwa magazi kumachitika ndi dokotala, poganizira momwe kagayidwe kachakudya ka zinthu mu thupi;
- kusintha kwa mlingo kumatengera thupi, miyezo yamoyo komanso kuopsa kwa hypoglycemia;
- Mlingo woyambirira ndi 1 mg, ngakhale ena atamwa mankhwalawa.
Ngati ndi kotheka, dokotala atha kukulemberani mankhwala othandizira, omwe amachititsa kuti mankhwala azigwira bwino ntchito.
Zotsatira zoyipa ndi bongo
Chimodzi mwazinthu zosayenera kwambiri ndikuchepa kwa shuga m'magazi, zomwe ndi izi:
- kumverera kwa kufooka;
- Chizungulire
- dzanzi la miyendo;
- kuchuluka;
- kumverera kwa njala;
- tachycardia kapena kugunda mtima kwapang'onopang'ono;
- mavuto ndi ntchito zowoneka.
Tikamalimbana kwambiri ndi hypoglycemia, timatchulidwe timatchulidwe. Nthawi zina Zizindikiro zimafanana ndi kugwidwa, limodzi ndi vuto losazindikira komanso khungu.
Ntchito yayikulu ya gawo ili ndikubweretsa msanga magazi kukhala abwinobwino.
Zotsatira zina za Amaril:
- Machitidwe amanjenje. Wodwalayo amakhala ndi chizungulire, amavutika kugona, kapena kugona kwambiri. Kudzimva kutopa kapena kukwiya mwadzidzidzi ndi nkhawa. Makamaka chidwi chimatayika, zochitika zama psychomotor zimachepetsa. Wodwalayo amadziona ngati wopanda thandizo. Kuda nkhawa, kulephera kudziletsa, kutukwana kwambiri, kukokana, kukhumudwa kungayambitse kupuma.
- Matumbo. Zotsatira zoyipa za Amaril pamatumbo am'mimba zimawonetsedwa ndi kusanza, kumva kupweteka m'zigawo za epigastric, nseru, kutsegula m'mimba, khungu kusintha kwa chikasu, chiwindi ndi hepatitis.
- Masomphenya. Zotsatira zoyipa za mapiritsi zimadzipangitsa kumva kumayambiriro kwa chithandizo. Wodwalayo amamva kuchepa kwa masomphenya, omwe amalumikizidwa ndi kusintha kwadzidzidzi m'magazi a magazi.
- Mtima. Zovuta zamtima zam'kati tachycardia, angina pectoris, bradycardia, ochepa matenda oopsa, kapena kusokonekera kwa mtima.
- Mwazi. Njira yamagazi ikusintha. Matendawa, leukopenia, thrombocytopenia, erythrocytopenia, granulocytopenia, pancytopenia kapena agranulocytosis.
- Hypersensitivity a pakhungu. Amawonetsedwa ndi mawonekedwe a urticaria, chotupa cha matupi awo onse. Pankhaniyi, thupi lawo siligwirizana limatha kuyamba kudandaula ndi anaphylactic.
Ngati zizindikiro izi zaledzera kapena zoyipa zimachitika, wodwalayo ayenera kuonana ndi dokotala. Thandizo loyamba lodziyimira ndikutenga mwachangu chidutswa cha shuga, maswiti kapena tiyi wokoma.
Kuyanjana Ndi Mankhwala Ndi Analogi
Popereka mankhwala kwa wodwala limodzi ndi mankhwala ena amaryl, zimawathandizirana:
- insulin ndi mapiritsi ena a hypoglycemic kanthu amatsogolera pakuwonjezeka kwa mphamvu ya hypoglycemic ya Amaril;
- adrenaline, sympathomimetics - kuchepa kwa mphamvu ya hypoglycemic ndikotheka;
- reserpine, clonidine, histamine H2-receptor blockers - kuwoneka kwa kusakhazikika kwa zotsatira za hypoglycemic ndikotheka;
- Zinthu zomwe zimakhala ndi ethyl - kutengera kuchuluka kwa ethanol m'magazi, kuwonjezeka kapena kuchepa kwa mphamvu ya hypoglycemic ndikotheka.
Ma analogu omwe akupezeka omwe ali ndi vuto lofananalo, ali ndi gawo lofananalo ndipo amagulitsidwa pamtengo wotsika mtengo:
- Glimepiride Canon. Analog yotsika mtengo ya Amaril, yomwe imalembedwa chifukwa chosagwira ntchito yothandiza pochita masewera olimbitsa thupi komanso kuchita zolimbitsa thupi.
- Glimepiride. Mankhwala ofanana ndi Canon omwe ali ndi mankhwala omwewa. Imakhala ndi zotsutsana. Kugwiritsa ntchito kokha ndizoletsedwa. Kupanga kwa Russian Federation.
- Diamerid. Lembani mitundu iwiri ya matenda ashuga. Chimalimbikitsidwa chifukwa chopanda mphamvu kuchokera pakudya ndi masewera olimbitsa thupi. Adaletsa matenda a shuga 1.
Kusankhidwa kwa analogi kuyenera kuperekedwa kwa katswiri. Mankhwala amagwiritsidwa ntchito malinga ndi chiwembu. Kuphwanya kamodzi kokha kungayambitse zotsatira zoyipa za thupi.
Malingaliro odwala
Kuchokera pakuwunika kwa odwala, zitha kutsimikiziridwa kuti Amaryl ndiyothandiza, koma imafuna kutsatira njira zenizeni, popeza imakhala ndi zotsatirapo zambiri.
Posachedwa, monga adokotala adanenera, Amaril adayamba kumwa. Ndikukhulupirira kuti kuti mupeze zotsatira zoyenera, ndikofunikira kuyang'anitsitsa mosamala komanso mankhwalawa. Poyamba, ndimaganiza kuti mapiritsi sanali oyenera kwa ine, chifukwa zizindikiro za shuga zovomerezeka za magazi ngakhale zitatha kumwa Amaril zinali zazitali kwambiri. Koma atachulukitsa mlingo, Amaril adagwira ntchito yake ndipo adagwira ntchito.
Oleg, wazaka 39, Voronezh
Pakumwa mapiritsi a Amaril, ndikufuna kunena zotsatirazi. Sindikulimbikitsa kuchita zoyeserera zamagulu a shuga mothandizidwa ndi Amaril, popeza kuvulaza thupi kungakhale kosatheka. Imwani mapiritsi moyang'aniridwa ndi achipatala. Mwachitsanzo, kuwonjezera pa malingaliro a katswiri, ndidaphunzira pasukulu ya matenda a shuga, zomwe zidandipatsa mwayi wowunikira komanso kumva momwe mankhwalawo amathandizira thupi.
Inna, wazaka 36, Moscow
Amaryl amatengedwa molingana ndi chiwembucho. Mlingo wanga wolembedwa ndi dokotala ndi 2 mg. Kuphatikiza apo, ndimamwa siaphor kawiri pa tsiku. Kuwerengera kwa magazi ndi 6-6.5, Madzulo imatsikira ku 3,9. Ndikumva bwino, koma adotolo adachepetsa kuchuluka kwa Amaril. Simungathe kuseka ndi mapiritsi awa - pali zovuta zambiri zoyipa ndi zotsutsana.
Igor, wazaka 45, Chelyabinsk
Makanema pazithunzi za matenda a shuga 2:
Kodi mankhwalawo amagulitsidwa kuti?
Amaryl ndi mankhwala omwe amagulitsidwa pamaneti a mzinda uliwonse. Mtengo wake umachokera ku ma ruble 238. mpaka 2550 rubles, zomwe zimatengera mlingo wa yogwira glimepiride komanso kuchuluka kwa mapiritsi omwe ali phukusi.
Mutha kugula mapiritsi abwino pamtengo wotsika kuposa omwe mumasitolo ogulitsa pa intaneti. Pogula mankhwala, samalani ndi momwe adachokera, popeza pali zambiri zokhudzana ndi zabodza.