Cov tshuaj tau tawm hauv kev tawm dag zog ntxiv rau kev tawm dag zog thiab kev noj haus. Cov cuab yeej ua haujlwm kom txo cov ntshav qabzib. Nws yog siv nyob rau hauv kev kho mob tsis-insulin-mob ntshav qab zib mellitus. Nrog hom 1 ntshav qab zib mellitus yog tsis kho.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
Cov Duab Tsim Tshuaj Liab.
Kev kuaj ntshav txo qis ntshav qab zib.
ATX
A10BX02.
Tso cov ntawv thiab cov nyob ua ke
Cov chaw tsim tshuaj paus tso cov tshuaj hauv daim ntawv ntawm cov ntsiav tshuaj rau kev tswj hwm qhov ncauj. Tus nquag ua hauj lwm rau cov tshuaj yog repaglinide hauv tus nqi ntawm 0.5 mg, 1 mg thiab 2 mg. Cov ntim ntim tau 20 lossis 60 ntsiav tshuaj.
Pharmacological kev txiav txim
Nws muaj cov nyhuv hypoglycemic. Cuam tshuam ua hauj lwm zoo pancreatic beta hlwb. Nws nplov cov calcium potassium thiab ua rau qhib cov calcium calcium. Tsim kho kev tsim cov tshuaj insulin.
Cov Tshuaj Pharmacokinetics
100% nqus los ntawm cov hnyuv. Nws khi rau cov protein ntau li ntawm 98% thiab metabolized hauv daim siab nrog rau kev tsim cov khoom tsis muaj zog. Tom qab 60 feeb, qhov siab tshaj plaws ntawm repaglinide nyob rau hauv cov ntshav ntshav tau mus txog. Nws tawm hauv cov kua tsib thiab zis tom qab 5-6 teev.
Cov tshuaj yog 100% nqus los ntawm cov hnyuv.
Kev ntsuas rau siv
Kev siv tshuaj hypoglycemic yog tshuaj rau hom 2 mob ntshav qab zib mellitus (yog tias nws tsis tuaj yeem tswj qib hauv qab zib siv kev ua lub neej nquag thiab noj zaub mov zoo).
Cov Yuav Tsum Muaj
Nws yog txwv tsis pub pib kho nrog cov tshuaj no hauv cov xwm txheej zoo li no:
- ntshav qab zib hom 1;
- cev xeeb tub
- pub niam mis;
- kev fab tshuaj rau cov tshuaj ntawm cov tshuaj;
- kev ua txhaum ntawm cov metabolism hauv cov metabolism vim yog cov tshuaj insulin tsis txaus (ketoacidosis);
- coma thiab precoma;
- muaj cov kis kab mob, phais thiab lwm yam mob uas xav tau kev kho mob insulin.
Hauv cov xwm txheej loj, nrog kev ua haujlwm tsis zoo ntawm daim siab thiab lub raum, Diagnlinide tsis raug sau tseg.
Nrog saib xyuas
Ceev faj thaum siv tshuaj kho yog qhov tsim nyog rau lub siab thiab lub raum tsis ua haujlwm (mob me txog rau theem nrab), mob raum tsis ua haujlwm, kev quav dej cawv thiab mob febrile.
Kev kuaj mob Diagninid ntau npaum li cas
Siv cov tshuaj 15-30 feeb ua ntej noj mov. Kev muab tshuaj thawj zaug yog 0.5 mg. A.
Rau qhov poob phaus
Ntawm ntshav qab zib, cov tshuaj no tau qhia rau qhov hnyav poob thiab ua tsis tiav ntawm cov metabolism.
Kho ntshav qab zib
Cov koob tshuaj yog xaiv ib qho zuj zus nyob ntawm seb cov suab thaj hauv cov ntshav. Yog tias kho yav tas los nrog cov tshuaj hyperglycemia, koj tuaj yeem pib noj 1 mg ib hnub twg. Koob tshuaj hloov kho yog nqa tawm 1 zaug hauv 7-14 hnub. Qhov tshuaj ntau ntau rau ib hnub yog 16 mg.
Siv cov tshuaj 15-30 feeb ua ntej noj mov.
Phiv los ntawm Diagninide
Cov tshuaj muaj peev xwm ua rau muaj kev phiv los ntawm ntau yam plab hnyuv siab raum ntawm cov kab ke.
Ntawm ib feem ntawm cov khoom hauv nruab nrog kev pom
Pom qhov muag tsis zoo yuav tshwm sim.
Los ntawm cov leeg nqaij thiab pob txha sib txuas
Tsis muaj ntaub ntawv muab.
Kev kho mob txoj hnyuv
Muaj cem quav, ib txoj kev zom zaub mov, raws plab, thiab xeev siab. Mob hauv plab yuav tshwm sim.
Hematopoietic plab hnyuv siab raum
Cov kev ua ntawm daim siab enzymes tsis tshua nce.
Vim yog noj cov tshuaj, cem quav qee zaum tshwm sim.
Nruab nrab hauv lub paj hlwb
Qaug zog, tawm hws, tshee tshee yog sau tseg.
Los ntawm cov kab mob zis
Tsis muaj ntaub ntawv muab.
Los ntawm lub tshuab ua pa
Tsis muaj ntaub ntawv muab.
Los ntawm cov hlab plawv system
Cov tshuaj tuaj yeem ua rau muaj kev mob caj dab.
Ntawm ib sab ntawm daim siab thiab cov hnyuv
Kev ua haujlwm ntawm lub siab yog qhov ua haujlwm tsis zoo.
Tom qab noj cov tshuaj, kev ua haujlwm ntawm lub siab yog qee zaum qhov ua tsis taus.
Los ntawm ib sab ntawm cov metabolism
Feem ntau, cov ntshav qog ntshav qab zib muaj ntau zuj zus (cov ntshav qabzib tsawg dua). Hauv qhov no, tus neeg mob lub sijhawm nyob ntawm ntau npaum li cas, kev siv ntxiv ntawm lwm yam kab mob hypoglycemic thiab zaub mov noj.
Kev ua xua
Cov txheej txheem tiv thaiv kab mob ua rau lub siab mob khaus khaus (khaus, tawv nqaij, ua pob).
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Cov tshuaj cuam tshuam rau lub peev xwm tswj hwm thiab tswj cov txheej txheem.
Cov lus qhia tshwj xeeb
Txoj kev pheej hmoo ntawm kev txhim kho hypoglycemia nce nrog tsis ua raws li kev noj haus, yoo mov, haus dej cawv thiab ntau dua qhov tau tso cai. Nws yog ib qho tsim nyog los tswj cov qib ntawm cov piam thaj hauv cov ntshav plasma thaum kho. Pib nrog kev siv tshuaj tsawg kawg yog tsim nyog nrog lub cev nqaij daim tawv thiab lub siab ntsws dhau hwv.
Txoj kev pheej hmoo ntawm kev txhim kho hypoglycemia nce yog tias kev noj zaub mov tsis ua raws.
Siv rau lub sijhawm qub
Tsis muaj xov xwm hais txog qhov ua tau zoo thiab kev nyab xeeb rau ntawm cov laus. Cov neeg laus laus uas tau mus txog lub hnub nyoog ntawm 75 xyoo yog contraindicated.
Txiag tej menyuam
Txog rau thaum muaj hnub nyoog 18 xyoo, cov tshuaj tsis raug txwv.
Siv thaum cev xeeb tub thiab lactation
Cov poj niam cev xeeb tub yuav tsum tsis txhob haus cov tshuaj no. Rau lub sijhawm ntawm kev kho mob, nws yog ib qhov tsim nyog yuav tsum tsis pub mis niam.
Daim ntawv thov rau lub raum khiav tsis zoo
Cov neeg mob uas lub raum tsis ua hauj lwm zoo yuav tsum ceev faj thaum xaiv ntau npaum.
Siv rau lub siab ua haujlwm tsis zoo
Thaum muaj mob me mus txog qib qis, cov tshuaj yuav tsum yog kws kho mob sau tseg. Hauv cov teeb meem loj, cov tshuaj txwv tsis pub.
Cov neeg mob uas lub raum tsis ua hauj lwm zoo yuav tsum ceev faj thaum xaiv ntau npaum.
Noj tshuaj ntau dhau ntawm Diagninid
Nrog rau kev siv ntau dhau, tus txiv neej thiab poj niam muaj kev mob hypoglycemia. Hauv qhov no, cov tsos mob hauv qab no tshwm sim:
- nce kev qab los noj mov;
- mob taub hau
- kev tshee
- Ntxhov siab vim
- hws txias;
- xeev siab
- tachycardia;
- tsis meej pem txog txoj kev nco qab;
- coma.
Yog hais tias tus mob txaus siab, noj carbohydrates. Thaum muaj mob hnyav, muaj 50% cov piam thaj tov nrog cov tshuaj pleev ib ce.
Kev cuam tshuam nrog lwm yam tshuaj
Cov tshuaj cuam tshuam nrog lwm cov tshuaj raws li hauv qab no:
- cov nyhuv ntawm kev noj yog ua kom zoo dua thaum noj ATP inhibitors, beta-blockers, indirect anticoagulants, NSAIDs, Probenecid, cawv, anabolic steroids, salicylates, MAO inhibitors, sulfonamides;
- calcium channel blockers, diuretics, corticosteroids, cov thyroid hormones, sympathomimetics, isoniazid, phenothiazines, estrogens thiab phenytoin tuaj yeem txo cov nyhuv.
Concomitant siv ntawm gemfibrozil yog contraindicated.
Koj tuaj yeem ua ke kev kho mob nrog thiazolidinediones thiab Metformin. Concomitant siv ntawm gemfibrozil yog contraindicated.
Cawv tau zoo
Nws yog contraindicated yuav haus dej cawv thaum kho.
Analogs
Cov neeg mob ntshav qab zib hom 2 tuaj yeem xaiv lwm tus neeg sawv cev hypoglycemic. Cov tshuaj hauv qab no zoo ib yam nkaus:
- Glidiab;
- Amaryl;
- Invokana;
- Glucophage;
- Diabetalong;
- Novonorm.
Ua ntej hloov cov khoom lag luam no nrog analogue, koj yuav tsum mus ntsib kws kho mob. Nws yuav sau tshuaj kom yuav tsum tau ua cov tshuaj, coj mus rau hauv tus neeg mob tus mob thiab lwm yam ntxwv. Cov tshuaj muaj contraindicated hauv qee cov neeg mob thiab tuaj yeem ua rau muaj kev phiv tshuaj.
Ua ntej hloov cov khoom lag luam no nrog analogue, koj yuav tsum mus ntsib kws kho mob.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Ib qho tshuaj yog muab tawm los.
Kuv tuaj yeem yuav yam tsis tas yuav tshuaj
Koj tsuas tuaj yeem yuav nws nrog cov ntawv sau tshuaj los ntawm koj tus kws kho mob.
Nqe rau Diaglinide
Tus nqi nruab nrab yog 300 rubles.
Cia rau cov neeg mob rau cov tshuaj
Khaws cov tshuaj rau hauv pob. Saib xyuas kom qhov kub thiab txias mus txog + 25 ° C.
Hnub tas sij hawm
Txee lub neej yog 2 xyoos.
Chaw tsim tshuaj paus
Tshuaj thiab chaw muag tshuaj Akrikhin, OJSC (Russia).
Cov kws kho mob tshuaj xyuas
Egor Konstantinovich, kws kho mob, Moscow
Cov twj yog siv rau hom 2 mob ntshav qab zib. Hauv 30 feeb tom qab noj cov ntsiav tshuaj, muaj kev txo cov ntshav qab zib kom tsawg. Cov nyhuv ntev mus ntev. Cov tshuaj tiv thaiv kev txhim kho hyperglycemia ntawm cov zaub mov noj.
Marina Stanislavovna, endocrinologist, Zelenograd
Tsis tas li ntawd, koj tuaj yeem noj tshuaj Metformin thiab lwm cov tshuaj hyperglycemia. Koj yuav tsum pib noj cov tshuaj nrog qhov tsawg kawg nkaus thiab tshuaj xyuas koj cov ntshav qab zib tas li. Cov tshuaj zoo, tab sis tsis muaj daim ntawv sau tshuaj los ntawm kws kho mob, tuaj yeem cuam tshuam rau lub cev.
Kev Ntsuas Xyuas Mob Ntshav Qab Zib
Anna, 36 xyoo, Tuapse
Ib qho tshuaj hypoglycemic qhov ncauj tau muab tshuaj los ntawm tus kws kho mob ntxiv rau kev kho kev noj haus. Lub xeev kev noj qab haus huv zoo dua 30-40 feeb tom qab kev tswj hwm. Kuv tau pib mus siv chav dej tsawg dua thiab nqhis dej tsawg dua. Kuv zoo siab nrog kev yuav khoom.
Eugene, 45 xyoos, Tver
Cov nyiaj them nqi pheej yig tiv thaiv cov ntshav qab zib. Yog tias ua raws li cov lus qhia tsis ua rau muaj kev phiv tshuaj.
Kev tshuaj xyuas txog qhov poob phaus txog Diaglinide
Julia, 28 xyoo, Smolensk
Nws tau noj cov tshuaj rau ob peb lub lis piam, tab sis tsis kam noj tshuaj vim tias muaj kev phiv tshuaj. Nws muaj peev xwm ua tau li qub rau cov metabolism, kom tshem tau 2-3 kg. Nws yog qhov zoo dua mus rau hauv kev ua kis las thiab nplaum rau noj zaub mov.
