Insulin deficiency hauv lub cev ua rau muaj kev cuam tshuam ntawm kev ua haujlwm ntawm endocrine system thiab kev txhim kho ntshav qab zib mellitus thiab mob ntshav qab zib. Txhawm rau kom muaj cov ntshav qabzib hauv cov ntshav, cov neeg mob tau siv tshuaj kho, uas suav nrog Glucobay.
Cov tshuaj yog siv los ua ib feem ntawm txoj kev kho mob ntshav qab zib. Ua ntej siv cov tshuaj, tus neeg mob raug nquahu kom yauv mus kuaj mob ntau yam kom thiaj li dhau los ua ib txoj kev tsis sib haum xeeb thiab tiv thaiv qhov tshwm sim ntawm kev mob tshwm sim.
Lub Npe Tsis Yog Neeg Tsis Muaj Npe
Acarbose.
Txhawm rau kom muaj cov ntshav qabzib hauv cov ntshav, cov neeg mob tau siv tshuaj kho, uas suav nrog Glucobay.
ATX
A10BF01
Tso cov ntawv thiab cov nyob ua ke
Cov tshuaj muaj nyob rau hauv daim foos ntawm 50 thiab 100 mg. Cov khw muag tshuaj thiab chaw kho mob tau xa hauv cov thawv ntawv uas muaj 30 lossis 120 ntsiav tshuaj.
Cov khoom muaj cov xim dawb lossis daj.
Muaj kev pheej hmoo thiab txau rau ntawm cov ntsiav tshuaj: lub tuam txhab kev lag luam logo ntawm ib sab ntawm cov tshuaj thiab cov lej siv (G 50 lossis G 100) ntawm lwm qhov.
Glucobay (hauv Latin) suav nrog:
- nquag ua haujlwm - acarbose;
- cov khoom sib xyaw ntxiv - MCC, pob kws hmoov txhuv nplej siab, magnesium stearate, anhydrous colloidal silicon dioxide.
Pharmacological kev txiav txim
Ib cov tshuaj uas npaj rau qhov ncauj siv yog nyob rau pawg pab pawg ntawm hypoglycemic.
Glucobay raug xa mus rau chaw muag tshuaj thiab chaw kho mob hauv cov thawv ntawv uas muaj 30 lossis 120 ntsiav tshuaj.
Cov muaj pes tsawg leeg ntawm cov ntsiav tshuaj suav nrog acarbose pseudotetrasaccharide, uas txwv qhov kev txiav txim ntawm alpha-glucosidase (ib qho enzyme ntawm txoj hnyuv me uas zom di-, oligo- thiab polysaccharides).
Tom qab cov tshuaj nquag nkag mus rau hauv lub cev, cov txheej txheem ntawm kev nqus ntawm carbohydrates yog inhibited, qabzib nkag mus rau hauv cov hlab ntshav hauv cov khoom me, glycemia normalizes.
Yog li, cov tshuaj txhawm rau nce ntxiv ntawm theem ntawm monosaccharides hauv lub cev, txo qhov kev pheej hmoo ntawm kev tsim muaj ntshav qab zib mellitus, mob plawv thiab lwm yam kab mob ntawm cov ntshav ncig. Tsis tas li ntawd, cov tshuaj muaj feem ua rau poob phaus.
Hauv kev xyaum kho mob, feem ntau feem ntau cov tshuaj yeeb yam ua lub zog. Cov tshuaj yog siv rau qhov nyuaj kho ntawm hom 1 thiab hom 2 mob ntshav qab zib mellitus thiab rau kev tshem tawm cov mob ntshav qab zib ua ntej.
Cov Tshuaj Pharmacokinetics
Cov tshuaj uas tsim cov ntsiav tshuaj yog maj mam nqus tawm ntawm txoj hnyuv huam mus.
Cov tshuaj uas ua rau Cov ntsiav tshuaj Glucobai yog maj mam nqus tawm ntawm txoj hnyuv hauv lub plab.
Cmax ntawm cov nquag ua haujlwm hauv cov ntshav tau pom zoo tom qab 1-2 teev thiab tom qab 16-24 teev.
Cov tshuaj yog metabolized, thiab tom qab ntawd tawm los ntawm lub raum thiab los ntawm kev zom zaub mov rau 12-14 teev.
Kev ntsuas rau siv
Cov tshuaj yog tshuaj rau:
- kev kho mob ntawm hom 1 thiab ntshav qab zib hom 2;
- tau tshem ntawm cov mob ntshav qab zib ua ntej (kev hloov pauv hauv qabzib ua siab ntev, muaj kev cuam tshuam ntawm kev yoo mov glycemia);
- tiv thaiv kev txhim kho mob ntshav qab zib hom 2 hauv cov neeg mob ntshav qab zib.
Txoj kev kho tuaj yeem sib koom ua ke. Thaum siv cov tshuaj, tus neeg mob tau pom zoo kom ua raws li kev noj haus kev noj qab haus huv thiab ua lub neej kom nquag plias (tawm dag zog, taug kev txhua hnub).
Thaum lub sij hawm siv cov tshuaj Glucobai, tus neeg mob tau pom zoo kom ua raws li kev kho kev noj haus.
Cov Yuav Tsum Muaj
Muaj ntau tus lej sib kis rau kev siv cov ntsiav tshuaj:
- cov menyuam yaus hnub nyoog (txog 18 xyoo);
- ua kom lub cev tsis haum lossis tus kheej tsis haum rau cov tshuaj ntawm cov tshuaj;
- lub sij hawm ntawm kev xeeb tub, lactation;
- mob ntev ntawm cov hnyuv, uas nrog ua txhaum los ntawm kev zom thiab nqus;
- cirrhosis ntawm daim siab;
- mob ketoacodosis;
- mob plab hlaub;
- plab hnyuv stenosis;
- loj hernias;
- Remkheld's syndrome;
- lub raum tsis ua hauj lwm.
Nrog saib xyuas
Cov tshuaj yuav tsum tau ceev faj nrog yog tias:
- tus neeg mob tau raug mob thiab / lossis raug phais mob;
- tus neeg mob kuaj pom muaj kab mob kis tau zoo.
Thaum kho, nws yog qhov yuav tsum tau mus ntsib kws kho mob thiab tau kuaj mob tsis tu ncua, vim tias cov ntsiab lus ntawm daim siab enzymes yuav nce nyob rau thawj rau lub hlis.
Yuav ua li cas noj Glucobay
Nrog ntshav qab zib
Ua ntej noj mov, cov tshuaj yuav haus tag nrho, ntxuav nrog dej hauv ib qho me me. Thaum noj mov - hauv daim ntawv zuaj, nrog cov thawj feem ntawm zaub mov.
Qhov ntau thiab tsawg yog xaiv los ntawm tus kws kho mob tshwj xeeb nyob ntawm tus neeg yam ntxwv ntawm tus neeg mob lub cev.
Cov kev pom zoo kev kho mob rau cov neeg mob ntshav qab zib muaj raws li no:
- thaum pib ntawm kev kho mob - 50 mg 3 zaug hauv ib hnub;
- qhov nruab nrab txhua hnub koob tshuaj yog 100 mg 3 zaug hauv ib hnub;
- kev tso cai ntau ntxiv - 200 mg 3 zaug ib hnub.
Cov koob tshuaj tau nce ntxiv nyob rau hauv qhov tsis muaj qhov kev siv tshuaj 4-8 lub lis piam tom qab pib kho.
Yog tias, ua raws li kev noj zaub mov noj thiab lwm yam lus pom zoo ntawm tus kws kho mob mus kawm, tus neeg mob tau tsim muaj roj ntau thiab zawv plab, qhov kev nce ntxiv yog qhov tsis txaus ntseeg.
Ua ntej noj mov, cov tshuaj Glucobai noj tag nrho, ntxuav nrog dej hauv ib qho me me.
Txhawm rau tiv thaiv hom 2 mob ntshav qab zib mellitus, cov txheej txheem ntawm kev siv cov tshuaj yog txawv me ntsis:
- thaum pib ntawm kev kho mob - 50 mg 1 zaug nyob rau ib hnub;
- qhov nruab nrab cov tshuaj kho tau yog 100 mg 3 zaug ib hnub.
Cov koob tshuaj nce ntau dua li 90 hnub.
Yog hais tias tus neeg mob cov ntawv qhia zaub mov tsis muaj carbohydrates, ces koj tuaj yeem hla kev noj tshuaj. Kev noj ntawm fructose thiab ntshiab qabzib, cov kev ua ntawm acrobase txo qis rau xoom.
Rau qhov poob phaus
Qee tus neeg mob siv cov tshuaj hauv nqe lus nug rau qhov poob phaus. Txawm li cas los xij, kev siv ib qho yeeb tshuaj twg yuav tsum pom zoo nrog tus kws kho mob koom nrog.
Txhawm rau kom txo lub cev lub cev, cov ntsiav tshuaj (50 mg) tau noj 1 zaug hauv ib hnub. Yog tias tus neeg hnyav tshaj 60 kg, ntau dua kev noj tshuaj yog nce 2 zaug.
Qee tus neeg mob siv tshuaj Glucobay rau kom poob phaus.
Phiv xwm ntawm Glucobay
Kev kho mob txoj hnyuv
Thaum kho, qee kis, cov neeg mob tshwm sim:
- zawv plab
- ua tsis taus pa;
- mob hauv cheeb tsam epigastric;
- xeev siab
Kev ua xua
Ntawm cov kev fab tshuaj muaj nyob (tsis tshua muaj):
- ua pob rau ntawm daim tawv nqaij;
- exanthema;
- urticaria;
- Quincke's edema;
- txeej dhau ntawm cov hlab ntshav ntawm ib qho lossis ib feem ntawm lub cev nrog ntshav.
Muaj qee kis, kev mob siab ntawm lub siab enzymes nce hauv cov neeg mob, daj ntseg zoo li, thiab tus kab mob siab muaj tshwm sim (tsis tshua muaj neeg muaj).
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Kev siv cov tshuaj tsis cuam tshuam lub peev xwm tsav tsheb ntawm nws tus kheej. Txawm li cas los xij, nrog cov xwm txheej tshwm sim tsis tu ncua (xeev siab, zawv plab, mob) thaum kho, koj yuav tsum tso tseg kev tsav tsheb.
Cov lus qhia tshwj xeeb
Siv rau lub sijhawm qub
Raws li cov lus qhia rau kev siv, tsis muaj txo lossis ntau npaum li cas rau cov tshuaj.
Ntawv Qhia Ntawv Glucobaya rau menyuam yaus
Contraindicated.
Siv thaum cev xeeb tub thiab lactation
Kev Txwv.
Daim ntawv thov rau lub raum khiav tsis zoo
Hloov cov koob tshuaj tsis tas yuav tsum muaj.
Siv rau lub siab ua haujlwm tsis zoo
Nws yog contraindicated yog tias tus neeg mob kuaj mob nrog lub raum tsis ua haujlwm siab.
Glucobay overdose
Thaum siv tshuaj ntau ntawm cov tshuaj, raws plab thiab plab zom zaws yuav tshwm sim, nrog rau kev txo qis hauv cov ntshav platelet.
Muaj qee kis, cov neeg mob xeev siab tuaj yeem xeev xeev thiab o tuaj.
Kev noj tshuaj ntau dhau tuaj yeem tshwm sim thaum siv cov ntsiav tshuaj ua ke nrog kev haus dej haus lossis cov khoom lag luam uas muaj cov roj carbohydrates ntau.
Txhawm rau tshem tawm cov tsos mob no ib pliag (4-6 teev), koj yuav tsum tsis kam noj.
Kev noj tshuaj ntau dhau tuaj yeem tshwm sim thaum siv cov ntsiav tshuaj ua ke nrog kev haus dej haus lossis cov khoom lag luam uas muaj cov roj carbohydrates ntau.
Kev cuam tshuam nrog lwm yam tshuaj
Kev ua rau lub ntsej muag hypoglycemic nyob rau hauv nqe lus nug yog txhim kho los ntawm insulin, metformin thiab sulfonylurea.
Qhov ua tau zoo ntawm kev kho mob raug txo qis nrog kev siv acrobase tib lub sij hawm nrog:
- nicotinic acid thiab qhov ncauj txwv tsis pub muaj;
- estrogens;
- glucocorticosteroids;
- cov thyroid hormones;
- thiazide diuretics;
- phenytoin thiab phenothiazine.
Cawv tau zoo
Cawv dej cawv ua kom cov ntshav qab zib, yog li haus dej cawv thaum kho yog contraindicated.
Cawv dej cawv ua kom cov ntshav qab zib, yog li haus dej cawv thaum kho yog contraindicated.
Analogs
Ntawm cov tshuaj zoo sib xws hauv kev nqis tes ua pharmacological, hauv qab no tau sau tseg:
- Alumina
- Siofor;
- Acarbose.
Cov ntsiab lus ntawm lub tsev muag tshuaj tawm
Cov tshuaj kho mob kom noj.
Kuv tuaj yeem yuav yam tsis tas yuav tshuaj
Muaj qee zaum ntawm kev muag cov tshuaj tsis muaj daim ntawv pov thawj kws khomob tso cai. Txawm li cas los xij, kev siv tus kheej yog qhov ua rau tsis muaj kev hloov pauv tsis zoo.
Nqe rau Glucobay
Tus nqi ntawm cov ntsiav tshuaj (50 mg) sib txawv ntawm 360 txog 600 rubles rau 30 daim ib pob.
Ntawm cov tshuaj muaj ntsis zoo ib yam hauv pharmacological kev ua, Siofor tau sau tseg.
Cia rau cov neeg mob rau cov tshuaj
Cov ntsiav tshuaj tau pom zoo kom muab cia rau hauv lub txee lossis lwm qhov chaw tsaus, ntawm qhov kub tsis tshaj + 30 ° ะก.
Hnub tas sij hawm
5 xyoos txij li hnub tso.
Chaw tsim tshuaj paus
BAYER SCHERING PHARMA AG (Lub Tebchaws Yelemees).
Kev txheeb xyuas txog Glucobay
Cov kws kho mob
Mikhail, 42 xyoo, Norilsk
Cov tshuaj yog ib yam khoom siv hauv kev kho nyuaj. Txhua tus neeg mob yuav tsum nco ntsoov tias cov tshuaj tsis txo kev qab los noj mov, yog li thaum kho nws yog qhov tsim nyog los tswj kev hnyav, ua raws li kev noj haus thiab tawm dag zog.
Lub sijhawm kho mob nrog Glucobai, cov kws kho mob pom zoo kom ua lub neej nyob ntev (ua si, taug kev niaj hnub).
Lawj xeeb
Elena, hnub nyoog 52 xyoo, St. Petersburg
Nrog ntshav qab zib hom 2, Kuv rog dhau. Raws li kws kho mob ntawm tus kws kho mob endocrinologist, nws tau pib siv cov tshuaj raws li lub tswv yim nce ntxiv, txuas nrog kev kho kev noj haus. Tom qab 2 lub hlis ntawm kev kho mob, nws tau tshem tawm 5 kg ntxiv, thaum qib ntawm cov piam thaj hauv cov ntshav poob qis. Tam sim no kuv tseem siv cov tshuaj ntxiv.
Roman, 40 xyoo, Irkutsk
Kuv tawm hauv kev txheeb xyuas rau cov neeg uas tsis ntseeg qhov zoo ntawm cov tshuaj. Kuv pib noj acrobase 3 lub hlis dhau los. Cov koob tshuaj nce ntau zuj zus, raws li cov lus qhia. Tam sim no kuv noj 1 pc (100 mg) 3 zaug ib hnub, tshwj xeeb ua ntej noj mov. Nrog rau qhov no, Kuv siv 1 ntsiav tshuaj Novonorm (4 mg) ib hnub ib zaug. Qhov kev qhia tshuaj no tso cai rau koj kom noj tau zoo thiab tswj koj cov piam thaj. Lub sijhawm ntev, cov ntsuas ntawm cov cuab yeej tsis pub dhau 7.5 mmol / L.
Poob phaus
Olga, 35 xyoo, Kolomna
Cov tshuaj yog siv los kho mob ntshav qab zib, tab sis kom tsis txhob txo qhov hnyav lub cev. Kuv qhia cov neeg mob kom noj cov tshuaj raws li kws kho mob tau hais tseg, thiab nws yog qhov zoo dua rau cov neeg noj qab haus huv kom tso tseg lub tswv yim ntawm kev poob phaus los ntawm kev siv tshuaj. Ib tug phooj ywg (tsis yog mob ntshav qab zib) los ntawm kev txais acrobase tshwm sim tshee tshee ntawm qhov kawg thiab plab zom mov tawg.
Sergey, 38 xyoo, Khimki
Cov tshuaj txwv qhov nqus ntawm cov calories uas nkag mus rau hauv lub cev los ntawm kev noj ntawm cov khoom noj uas muaj cov carbohydrates, yog li cov cuab yeej pab kom poob phaus. Tus txij nkawm tau 3 lub hlis ntawm kev siv acrobase tau tshem ntawm 15 qhov hnyav ntxiv. Nyob rau tib lub sijhawm, nws yaum kom yoo kom yuag thiab noj cov zaub mov zoo thiab npaj tau tshiab. Nws tsis muaj kev mob tshwm sim. Tab sis yog tias koj ntseeg tias cov kev txheeb xyuas, kev noj zaub mov tsis raug thaum noj cov ntsiav tshuaj cuam tshuam rau qhov ua tau zoo thiab kev pom zoo ntawm cov tshuaj.
