Mob ntshav qab zib MV yog kev kho mob ntshav qab zib hom 2. Cov tshuaj yeeb tshuaj yog gliclazide. Nws ua rau lub hlwb pancreatic beta ua kom tsim cov tshuaj insulin ntau dua, uas ua rau cov ntshav qab zib tsawg dua. Hais txog sulfonylurea derivatives. MB tau hloov kho cov ntsiav tshuaj tawm. Gliclazide tsis yog tso tawm tam sim ntawm lawv, tab sis tusyees dhau lub sijhawm 24 teev. Qhov no muab cov txiaj ntsig zoo hauv kev kho mob ntshav qab zib. Txawm li cas los xij, kev mob ntshav qab zib tsis tau raug xaiv thawj qhov kev xaiv rau tus mob ntshav qab zib hom 2. Nws raug nquahu kom kho tsuas yog tom qab metformin. Nyeem cov ncauj lus kom ntxaws qhia rau siv, contraindications, noj tshuaj, qhov zoo thiab tsis zoo ntawm Diabeton MV hauv kab lus. Tshawb nrhiav seb cov tshuaj no tuaj yeem hloov li cas kom tsis muaj kev phom sij los ntawm nws cov kev mob tshwm sim.
Daim ntawv qhia tshuaj
| Chaw tsim tshuaj paus | Les Laboratoires Servier Industrie (Fabkis) / Serdix LLC (Russia) |
| PBX code | A10BB09 |
| Pharmacological pawg | Kev siv tshuaj hauv qhov ncauj hypoglycemic, sulfonylurea derivatives ntawm lub cim thib ob |
| Yam khoom muaj sia | Gliclazide |
| Daim ntawv tso tawm | Daim Ntawv Qhia Tawm Tso Tawm, 60 mg. |
| Ntim | 15 ntsiav tshuaj nyob hauv ib lub hlwv, 2 lub hlwv nrog cov lus qhia rau kev siv kho mob tau ntim rau hauv pob ntawv thawv. |
| Pharmacological kev txiav txim | Cov piam thaj hauv ntshav txo cov ntsiav tshuaj los ntawm cov pab pawg sulfonylurea. Txhawb kev tsim cov tshuaj insulin los ntawm beta hlwb ntawm cov kab mob pancreatic islets ntawm Langerhans. Cov tshuaj tsis tsuas yog txhim kho qhov theem thib ob ntawm insulin secretion, tab sis kuj rov qab nws qhov laj thawj thaum ntxov nyob rau hauv kev teb rau cov piam thaj. Kuj tseem txo qhov kev pheej hmoo ntawm cov hlab ntsha me thrombosis. Diabeton MV lwg me me muaj cov tshuaj tiv thaiv antioxidant. |
| Cov Tshuaj Pharmacokinetics | Kev noj tshuaj ib hnub ib zaug ua rau muaj kev saib xyuas ntawm kev ua tau zoo ntawm gliclazide hauv cov ntshav plasma ntau dua 24 teev. Nws yog tawm tsuas yog los ntawm lub raum hauv daim ntawv ntawm metabolites, tsawg dua 1% - nrog zis tsis hloov pauv. Hauv cov neeg laus, tsis muaj qhov hloov pauv ntau hauv cov qauv pharmacokinetic. Noj noj tsis cuam tshuam qhov feem los yog qib ntawm kev nqus ntawm gliclazide. |
| Kev ntsuas rau siv | Ntshav Qab Zib Hom 2, yog kev noj zaub mov thiab kev tawm dag zog tsis pab kom txaus. Kev tiv thaiv ntawm cov teeb meem mob ntshav qab zib mellitus: txo kev pheej hmoo ntawm microvascular (nephropathy, retinopathy) thiab mob macrovascular (myocardial infarction, mob stroke) los ntawm kev soj ntsuam ntshav qab zib kom zoo. |
| Tsuas tshuaj | Thawj koob tshuaj rau cov neeg laus, suav nrog cov neeg laus, yog 30 mg rau ib hnub (1/2 ntsiav tshuaj). Nws yog nce tsis ntau tshaj ib zaug nyob rau txhua 2-4 lub lis piam, yog tias cov piam thaj tsis muaj qis txaus. Cov koob tshuaj tsim nyog yog xaiv cov nruj me ntsis, raws li qhov ntsuas ntawm cov piam thaj hauv ntshav thiab glycated hemoglobin HbA1C. Qhov tshuaj ntau ntau yog 120 mg ib hnub twg. Tuaj yeem ua ke nrog lwm cov tshuaj kho ntshav qab zib. Ib lub tshuaj ntawm cov tshuaj Diabeton 80 mg tuaj yeem hloov los ntawm 1/2 ntsiav tshuaj nrog qhov hloov pauv tso tawm Diabeton MB 60 mg. Thaum hloov cov neeg mob los ntawm cov tshuaj Diabeton 80 mg rau Diabeton MB, nws raug nquahu kom ntsuas qab zib nrog glucometer ntau zaus hauv ib hnub, ua tib zoo saib xyuas nws. Saib ntxiv, "Cov Ntshav Qab Zib Rau Cov Neeg Noj Qab Haus Huv thiab Cov Mob Ntshav Qab Zib." |
| Sab sij huam | Qhov kev phom sij txaus ntshai tshaj plaws yog cov piam thaj hauv ntshav tsawg, ntshav qab zib tsawg. Nws cov tsos mob: mob taub hau, qaug zog, txob taus, npau suav phem, palpitations. Nyob rau hauv cov mob hnyav, tus neeg mob tuaj yeem tsis nco qab. Nyeem kab lus "Hypoglycemia - Cov tsos mob, Kev kho mob thiab kev tiv thaiv" nyob rau hauv ntau dua. Tus mob ntshav qab zib MV ua rau mob ntshav qab zib tsawg dua ntau dua li lwm cov tshuaj - sulfonylurea derivatives. Lwm cov kev mob tshwm sim yog mob plab, xeev siab, ntuav, raws plab, cem quav, tawm pob, khaus, ua si ntau ntxiv ntawm daim siab enzymes (AST, ALT, alkaline phosphatase). Thaum pib noj cov Ntshav Qab Zib, tej zaum yuav muaj qhov tsis pom kev ib ntus - vim qhov tseeb tias cov piam thaj hauv ntshav sai sai. Kab mob siab thiab mob daj daj tuaj yeem ua tau, tab sis tsis tshua muaj. Cov kev hloov pauv hauv cov ntshav muaj tsawg. |
| Cov Yuav Tsum Muaj | Diabeton MV thiab lwm yam sulfonylurea derivatives muaj ib daim ntawv teev ntau ntawm contraindications:
Sau ntawv nrog kev ceev faj:
|
| Cev xeeb tub thiab pub niam mis | Mob ntshav qab zib MV thiab lwm yam tshuaj rau ntshav qab zib yuav tsum tsis txhob noj thaum cev xeeb tub. Yog tias koj xav txo cov ntshav qab zib - ua qhov no nrog kev noj haus kom tsis txhob muaj zog thiab txhaj tshuaj insulin. Ua tib zoo saib xyuas kev tswj ntshav qab zib thaum cev xeeb tub kom tsis muaj qhov nyuaj thaum yug me nyuam thiab ua tsis taus mis. Tsis paub meej tias cov tshuaj puas kis mus rau niam mis. Yog li no, thaum lub sijhawm lactation nws tsis raug xaj. |
| Yeeb tshuaj sib cuam tshuam | Ntau cov tshuaj yuav ua rau muaj kev pheej hmoo ntawm cov ntshav siab yog tias noj nrog Diabeton. Qhov no yuav tsum tau coj mus rau hauv tus kws kho mob thaum sau ntawv rau kev kho mob sib xyaw ua ke nrog ntshav qab zib nrog acarbose, metformin, thiazolidinediones, dipeptidyl peptidase-4 inhibitors, GLP-1 agonists, thiab cov tshuaj insulin. Cov nyhuv ntawm Diabeton MV yog txhim kho los ntawm cov tshuaj rau kub siab - beta-blockers thiab ACE inhibitors, zoo li fluconazole, histamine H2-receptor blockers, MAO inhibitors, sulfonamides, clarithromycin. Lwm yam tshuaj yuav ua rau cov nyhuv ntawm gliclazide tsis muaj zog. Nyeem cov lus qhia ntawm kev siv rau kev qhia ntau dua. Qhia rau koj tus kws kho mob txog txhua yam tshuaj, kev noj haus, thiab tshuaj ntsuab koj noj ua ntej koj noj koj cov tshuaj ntshav qab zib. Nkag siab yuav ua li cas tswj yus tus kheej kom tswj ntshav qab zib. Paub tias yuav ua dab tsi yog tias nws nce los sis hloov rov qab yog qhov tsawg heev. |
| Noj ntau dhau | Nrog rau kev noj tshuaj ntau dhau ntawm sulfonylurea derivatives, Kev mob ntshav qab zib tsawg yuav tshwm sim. Cov ntshav qab zib yuav poob qis dua qhov qub, thiab qhov no yog qhov txaus ntshai. Kev txo ntshav me me tuaj yeem nres ntawm nws tus kheej, thiab yog muaj mob hnyav, yuav tsum tau txais kev kho mob xwm txheej ceev. |
| Daim ntawv tso tawm | Cov ntsiav tshuaj tso tawm hloov pauv yog xim dawb, oval, biconvex, nrog kev nqis siab thiab kev txua "DIA" "60" ntawm ob sab. |
| Cov lus thiab cov xwm txheej ntawm kev cia | Txav kom ncav tsis cuag cov menyuam yaus, tshwj xeeb kev cai tsis raug tseev kom ua. Txee lub neej yog 2 xyoos. Tsis txhob siv tom qab hnub tas sij hawm qhia ntawm pob. |
| Muaj pes tsawg leeg | Cov tshuaj yeeb dej caw yog gliclazide, 60 mg hauv ib ntsiav tshuaj. Cov neeg raug zam - lactose monohydrate, maltodextrin, hypromellose, magnesium stearate, anhydrous colloidal silicon dioxide. |
Kev siv cov tshuaj Diabeton
Cov tshuaj Diabeteson hauv cov ntsiav tshuaj uas pom zoo thiab hloov kho tawm (MV) raug tso cai rau cov neeg mob ntshav qab zib hom 2, hauv kev noj zaub mov thiab kev tawm dag zog tsis tswj tus kab mob tau zoo txaus. Cov tshuaj ua haujlwm nquag ntawm cov tshuaj yog gliclazide. Nws yog rau pawg ntawm sulfonylurea derivatives. Gliclazide stimulates lub pancreatic beta hlwb los ua thiab tawm ntau cov insulin rau hauv cov ntshav, ib yam tshuaj uas ua kom qab zib.
Nws raug nquahu ua ntej ntawm txhua tus los kho mob ntshav qab zib hom 2 cov neeg mob tsis yog mob ntshav qab zib, tab sis Metformin tshuaj - Siofor, Glucofage lossis Gliformin npaj. Kev noj tshuaj ntawm cov metformin yog maj mam nce los ntawm 500-850 txog 2000-3000 mg ib hnub. Thiab tsuas yog tias qhov kev daws teeb meem no tau txo qab qab zib tsis txaus, sulfonylurea derivatives tau ntxiv rau nws.
Gliclazide hauv kev ntxiv cov ntsiav tshuaj tso tawm ua haujlwm ib yam rau 24 teev. Txog rau hnub no, cov qauv kev kho mob ntshav qab zib pom zoo kom cov kws kho mob sau ntawv rau tus mob ntshav qab zib MV rau lawv cov neeg mob ntshav qab zib hom 2, es tsis txhob siv cov sulfonylurea yav dhau los. Saib, piv txwv, cov ntawv sau "Cov txiaj ntsig ntawm DYNASTY txoj kev tshawb fawb (" Diabeton MV: kev soj ntsuam ntawm cov neeg mob ntshav qab zib hom mob ntshav qab zib raws li kev xyaum ua ")" hauv phau ntawv sau "Cov Teeb Meem ntawm Endocrinology" No. 5/2012, sau phau ntawv M. V. Shestakova, O K. Vikulova thiab lwm yam.
Tus mob ntshav qab zib MV ua rau nws cov ntshav qab zib qis. Cov neeg mob zoo li nws yooj yim mus noj ib hnub ib zaug. Nws ua haujlwm zoo dua li kev siv tshuaj laus - sulfonylurea derivatives Txawm li cas los xij, nws muaj lub cev tsis zoo, vim tias nws zoo dua rau cov neeg mob ntshav qab zib kom tsis txhob noj. Nyeem hauv qab no qhov dab tsi yog qhov mob ntawm Diabeton, uas npog tag nrho nws cov zoo. Lub Diabet-Med.Com lub vev xaib txhawb txoj kev kho mob zoo rau hom ntshav qab zib hom 2 yam tsis muaj tshuaj kho mob.
- Kev kho mob ntshav qab zib hom 2: cov txheej txheem ib qib zuj zus - tsis muaj kev tshaib plab, tshuaj phem thiab cov tshuaj insulin
- Siofor thiab Glucofage ntsiav tshuaj - metformin
- Li cas los kawm kom txaus siab rau kev kawm siv lub cev
Qhov zoo thiab qhov tsis zoo
Kev kho mob ntshav qab zib hom 2 nrog kev pab los ntawm cov tshuaj Diabeton MV muab tau txiaj ntsig zoo nyob rau lub sijhawm luv luv:
- hauv cov neeg mob, cov ntshav qab zib cov ntshav tsawg zuj zus;
- txoj kev pheej hmoo ntawm hypoglycemia tsis yog ntau dua 7%, uas yog ntau dua qis dua rau lwm yam sulfonylurea derivatives;
- nws yooj yim rau noj cov tshuaj ib hnub ib zaug, yog li cov neeg mob tsis muab kev kho mob;
- thaum noj cov tshuaj gliclazide hauv cov ntsiav tshuaj tso tawm ntev, tus neeg mob lub cev qhov hnyav yog nce me ntsis.
Diabeton MB tau dhau los ua cov tshuaj mob ntshav qab zib hom 2 vim nws muaj qhov zoo rau cov kws kho mob thiab nws yooj yim rau cov neeg mob. Nws yog ntau lub sijhawm yooj yim rau cov kws kho mob endocrinologist kom muab tshuaj noj dua li txhawb cov neeg mob ntshav qab zib ua raws li kev noj haus thiab kev tawm dag zog. Cov tshuaj sai sai txo cov suab thaj thiab zoo tiv thaiv. Tsis pub ntau dua 1% ntawm cov neeg mob yws ntawm cov kev mob tshwm sim, thiab txhua tus so txaus siab.
Qhov tsis zoo ntawm cov tshuaj Diabeton MV:
- Nws ua kom nrawm nrawm rau kev tuag ntawm pancreatic beta hlwb, vim tias tus kab mob kis mus rau mob ntshav qab zib hom 1 ntau dua. Qhov no feem ntau tshwm sim ntawm 2 txog 8 xyoo.
- Hauv cov neeg yuag thiab nyias, cov mob ntshav qab zib ntau yam ua rau muaj ntshav qab zib sai sai tshwj xeeb tshaj yog - tom qab 2-3 xyoos dhau los.
- Nws tsis tshem tawm qhov ua rau muaj mob ntshav qab zib hom 2 - txo qis rhiab ntawm cov hlwb rau insulin. Qhov teeb meem metabolic no yog hu ua insulin tsis kam. Noj Cov Ntshav Qab Zib tuaj yeem ntxiv dag zog nws.
- Lowers ntshav qab zib, tab sis tsis qis qis tuag. Qhov no tau lees paub los ntawm kev soj ntsuam thoob ntiaj teb loj heev los ntawm ADVANCE.
- Cov tshuaj no tuaj yeem ua rau ua rau ntshav muaj ntshav qab zib. Muaj tseeb, nws qhov ntau yam tsawg dua yog tias lwm qhov sulfonylurea derivatives tau coj. Txawm li cas los xij, mob ntshav qab zib hom 2 tuaj yeem tswj tau yooj yim yam tsis muaj kev phom sij rau ntshav qab zib.
Cov tub txawg txij xyoo 1970 tau paub tias sulfonylurea derivatives ua rau muaj kev hloov pauv ntawm cov ntshav qab zib hom 2 mus rau hom kab mob ntshav qab zib insulin-hnyav. Txawm li cas los xij, cov tshuaj no tseem tseem tau sau tseg tshuaj. Qhov laj thawj yog tias lawv tshem tawm lub nra ntawm cov kws kho mob. Yog tias tsis muaj tshuaj txo cov ntshav qab zib, tom qab ntawd cov kws kho mob yuav tsum sau cov kev noj haus, kev tawm dag zog, thiab kev kho tshuaj insulin rau txhua tus mob ntshav qab zib. Qhov no yog ib txoj haujlwm nyuaj thiab tsis ua cas. Cov neeg mob coj tus cwj pwm zoo li Pushkin tus tub luam: "Nws tsis yog qhov nyuaj rau dag kuv, Kuv zoo siab yuav raug dag kuv tus kheej." Lawv kam noj tshuaj, tab sis lawv tsis nyiam ua raws kev noj haus, qoj ib ce, thiab ntau dua li yog li txhaj tshuaj insulin.
Kev cuam tshuam ntawm kev puas tsuaj rau tus mob ntshav qab zib rau beta hlwb ntawm cov txiav ua tsis txhawj txog endocrinologist thiab lawv cov neeg mob. Tsis muaj cov xov xwm tshaj tawm ntawm qhov teeb meem no hauv cov ntawv kho mob. Qhov laj thawj yog hais tias feem ntau cov neeg mob uas muaj ntshav qab zib hom 2 tsis muaj sij hawm los muaj sia nyob ua ntej lawv pib muaj ntshav qab zib insulin. Lawv cov hlab plawv tau txuas rau cov pob txha tsis muaj zog dua li lub txiav. Yog li ntawd, lawv tuag los ntawm kev mob plawv lossis hlab ntsha tawg. Kev kho mob ntshav qab zib hom 2 raws li cov zaub mov uas tsis muaj carbohydrate ntau ib txhij ua rau cov piam thaj, ntshav siab, kuaj cov ntshav muaj roj thiab lwm yam kev phom sij.
Soj ntsuam kev soj ntsuam
Kev soj ntsuam tseem ceeb ntawm cov tshuaj Diabeton MV yog txoj kev tshawb nrhiav ADVANCE: Kev Ua Hauv Ntshav Qab Zib thiab VAscular -
preterax thiab Diamicron MR Tshuaj Ntsuam Xyuas. Nws tau tsim tawm xyoo 2001, thiab cov txiaj ntsig tawm hauv 2007-2008. Diamicron MR - Gliclazide hauv kev hloov kho cov ntsiav tshuaj tau muag raws li lub npe no hauv cov teb chaws hais lus Askiv. Nov yog tib yam li tshuaj Diabeton MV. Preterax yog hom tshuaj ua ke rau kev kub siab, cov khoom xyaw nquag uas yog indapamide thiab perindopril. Hauv cov tebchaws hais lus Lavxias, nws raug muag hauv qab lub npe Noliprel. Txoj kev tshawb no koom nrog 11,140 cov neeg mob uas muaj ntshav qab zib hom 2 thiab ntshav siab. Lawv raug tshuaj xyuas los ntawm cov kws kho mob hauv 215 chaw kho mob hauv 20 lub tebchaws.
Tus mob ntshav qab zib MV txo qis ntshav qab zib, tab sis tsis txo kev tuag ntawm cov neeg mob ntshav qab zib hom 2.
Raws li cov txiaj ntsig ntawm txoj kev tshawb fawb, nws tau muab tawm tias cov ntsiav tshuaj siab rau cov neeg mob ntshav qab zib hom 2 txo cov zaus ntawm cov hlab plawv teeb meem los ntawm 14%, mob raum - los ntawm 21%, lub neej tuag - los ntawm 14%. Tib lub sijhawm, Diabeton MV txo qis ntshav qab zib, txo cov zaus ntawm ntshav qab zib nephropathy los ntawm 21%, tab sis tsis cuam tshuam rau lub neej tuag. Lavxias-hom lus Lavxias - tsab xov xwm "Qhia cov kev kho mob rau cov neeg mob ntshav qab zib hom 2 mob ntshav qab zib: cov txiaj ntsig ntawm qhov kev tshawb pom ADVANCE" hauv phau ntawv Journal System Kev Ntshav Qeb No. 3/2008, sau Yu. Karpov. Lub hauv paus qub - “Pab Pawg Sib Koom Tes ADVANCE. Kev tswj ntshav qabzib ntau ntxiv thiab cov kev mob ntshav siab rau cov neeg mob ntshav qab zib hom 2 "nyob rau hauv phau ntawv Xov Xwm New England Journal of Medicine, 2008, No. 358, 2560-2572.
Cov neeg mob ntshav qab zib hom 2 yog cov xaj txo cov ntshav qab zib thiab cov tshuaj insulin yog tias kev noj zaub mov zoo thiab kev tawm dag zog tsis muab cov txiaj ntsig zoo. Qhov tseeb, cov neeg mob tsuas yog tsis xav ua raws li kev noj zaub mov kom tsawg thiab ua kom ib ce muaj zog. Lawv xum noj tshuaj tuag. Tseem ceeb tshaj plaws nws ntseeg tias lwm txoj kev kho tau zoo, tsuas yog siv tshuaj thiab txhaj tshuaj loj ntawm cov tshuaj insulin, tsis muaj nyob. Yog li, cov kws kho mob tseem siv cov tshuaj muaj suab thaj uas tsis ua rau txo kev tuag. Txog Ntshav Qab Zib-Med.Com koj tuaj yeem pom nws yooj yim npaum li cas los tswj hom mob ntshav qab zib hom 2 yam tsis muaj kev tshaib plab thiab kev noj tshuaj insulin. Tsis tas yuav siv cov tshuaj phom sij, vim lwm txoj kev kho tau pab zoo.
- Kev kho mob ntshav siab nyob rau hauv cov neeg mob uas muaj hom 1 thiab ntshav qab zib hom 2
- Siab ntsiav tshuaj Noliprel - Perindopril + Indapamide
Hloov kho cov ntsiav tshuaj
Diabeton MV - hloov cov ntsiav tshuaj tso tawm.Cov tshuaj nquag - gliclazide - raug tso tawm los ntawm lawv maj, thiab tsis sai. Vim tias qhov no, kev sib xyaw xim ntawm gliclazide hauv cov ntshav tau khaws cia 24 teev. Noj cov tshuaj no ib hnub ib zaug. Raws li txoj cai, nws yog tsim tawm thaum sawv ntxov. Cov Ntshav Qab Zib uas tsis muaj (yam tsis muaj CF) yog hom tshuaj qub. Nws cov ntsiav tshuaj tau yaj tag rau hauv lub plab zom mov tom qab 2-3 teev. Txhua tus gliclazide uas nws muaj tam sim ntawd nkag rau hauv cov ntshav ntshav. Diabeton MV qis qis dua cov piam thaj kom huv si, thiab cov ntsiav tshuaj ib txwm muaj, thiab lawv cov nyhuv sai sai.
Cov ntsiav tshuaj tso tawm niaj hnub no muaj qhov zoo tseem ceeb dua cov tshuaj laus dua. Lub ntsiab yog tias lawv muaj kev nyab xeeb dua. Tus mob ntshav qab zib MV ua rau cov ntshav qabzib (ntshav qab zib qis) ntau zaus tsawg dua li cov neeg mob ntshav qab zib thiab lwm yam sulfonylurea derivatives. Raws li kev tshawb fawb, qhov kev pheej hmoo ntawm cov ntshav qab zib tsis muaj ntau dua 7%, thiab feem ntau nws kis tsis muaj tsos mob. Tawm tsam cov keeb kwm yav dhau los ntawm kev noj tshuaj tshiab, mob ntshav qab zib tsawg kawg nrog kev hnov mob tsis tshua muaj tshwm sim. Cov tshuaj no tau pom zoo zoo. Cov kev mob tshwm sim muaj teev nyob hauv tsis ntau tshaj 1% ntawm cov neeg mob.
| Hloov kho cov ntsiav tshuaj | Cov ntsiav tshuaj ceev ceev | |
|---|---|---|
| Pes tsawg zaus ib hnub twg noj | Ib hnub | 1-2 zaug ib hnub |
| Kev mob ntshav siab | Tus nqi tsawg | Siab |
| Ua rau lub hlwb txo cell | Qeeb | Ceev ceev |
| Tus neeg mob lub cev hnyav nce | Tsis Tseem Ceeb | Siab |
Hauv cov ntawv xov xwm hauv cov ntawv kho mob, lawv nco ntsoov tias cov roj ntsha ntawm cov ntshav qab zib MV yog cov tshuaj tua kab mob vim nws cov qauv tshwj xeeb. Tab sis qhov no tsis muaj qhov nqis tiag, nws tsis cuam tshuam rau qhov txiaj ntsig ntawm kev kho mob ntshav qab zib. Nws paub zoo tias Diabeton MV txo qis qhov tsim los ntawm cov ntshav txhaws hauv cov ntshav. Qhov no tuaj yeem txo qhov kev pheej hmoo ntawm mob hlab ntsha tawg. Tab sis tam sim no tsis tau muaj pov thawj tias cov tshuaj tiag tiag muab cov nyhuv zoo li ntawd. Qhov luv ntawm kev kho mob ntshav qab zib - sulfonylurea derivatives - tau teev saum toj no. Hauv Diabeton MV, qhov tsis zoo no yuav tsis tshua hais tshaj hauv cov tshuaj qub. Nws muaj cov txiaj ntsig zoo dua ntxiv ntawm cov beta hlwb ntawm cov txiav. Hom insulin ntshav qab zib tsis loj hlob sai.
Yuav noj cov tshuaj no li cas
Cov Tshuaj Ntshav Qab Zib Duton MV yuav tsum tau noj ntxiv rau kev noj haus thiab tawm dag zog, thiab tsis yog. Txawm hais tias feem ntau cov neeg mob ntshav qab zib tsis quav ntsej cov lus qhia kho mob rau kev hloov pauv mus rau kev noj qab haus huv lub neej zoo. Tus kws kho mob tau sau ntawv rau noj tshuaj rau lub khob txhua hnub, nyob ntawm seb tus neeg mob cov ntshav qab zib yuav siab npaum li cas. Cov koob tshuaj muab rau tsis tuaj yeem tsis pub dhau dhau lossis txiav txim siab txo. Yog tias koj noj ntshav qab zib ntau tshaj li qhov tau hais tseg, ces ntshav qab zib ntshav qab zib yuav tshwm sim - muaj suab thaj tsawg dhau. Nws cov tsos mob yog txob taus, tshee tshee, tawm hws, tshaib plab. Hauv cov xwm txheej loj, ua rau tsis nco qab thiab tuag tau. Saib ntxiv "Hypoglycemia - cov tsos mob, kho mob, tiv thaiv."
Mob ntshav qab zib MV noj ib hnub ib zaug, feem ntau yog noj tshais. Ib lub 60 mg notched ntsiav tshuaj tuaj yeem faib ua ob ntu kom tau txais koob tshuaj 30 mg. Txawm li cas los xij, nws tsis tuaj yeem zom lossis zuaj. Thaum noj cov tshuaj, haus nws nrog dej. Cov ntshav qab zib-Med.Com lub vev xaib txhawb txoj kev kho mob zoo rau hom ntshav qab zib hom 2. Lawv tso cai rau koj kom koj tso tseg cov neeg mob ntshav qab zib, kom tsis txhob muaj kev cuam tshuam rau nws cov teeb meem tsis zoo. Txawm li cas los xij, yog tias koj noj tshuaj noj, ua txhua hnub yam tsis muaj khoob. Txwv tsis pub qab zib yuav nce siab dhau.
Nrog rau kev noj ntshav qab zib, kev haus cawv ntau tuaj yeem yuav muaj kab mob ntau ntxiv. Cov tsos mob tshwm sim yog mob taub hau, ua tsis taus pa, pws tsaug zog, mob plab, xeev siab thiab ntuav.
Cov tsim tawm ntawm sulfonylureas, suav nrog Diabeton MV, tsis yog thawj txoj kev xaiv tshuaj rau ntshav qab zib hom 2. Raws li txoj cai, nws raug pom zoo tias cov neeg mob yuav tsum tau sau ua ntej ntawm txhua daim metformin ntsiav tshuaj (Siofor, Glucofage). Maj mam, lawv cov koob tshuaj tau nce siab txog ntau kawg ntawm 2000-3000 mg ib hnub twg. Thiab tsuas yog tias qhov no tsis txaus, ntxiv ntau Diabeton MV. Cov kws kho mob muab tshuaj kho ntshav qab zib kom tsis txhob siv cov tshuaj metformin ua txhaum. Ob lub tshuaj tuaj yeem ua ke, thiab qhov no muab cov txiaj ntsig zoo. Zoo dua, hloov mus rau hom 2 kho mob ntshav qab zib pab cuam los ntawm tsis kam lees noj tshuaj phem.
Mob ntshav qab zib MV tuaj yeem ua ke nrog lwm cov tshuaj ntshav qab zib, ntxiv rau sulfonylureas thiab clayides (meglitinides). Saib ntxiv rau “Hom 2 tshuaj kho mob ntshav qab zib: lus ntxaws ntxaws.” Yog tias Diabeton tsis txo cov ntshav qab zib, tom qab ntawd koj yuav tsum hloov tus neeg mob mus rau kev txhaj tshuaj insulin. Hauv qhov xwm txheej no, tsis muaj lwm cov ntsiav tshuaj yuav pab tau. Pib txhaj tshuaj insulin, tsis txhob nkim sij hawm, txwv tsis pub muaj mob hnyav ntshav qab zib yuav tshwm sim.
Cov tsim tawm ntawm sulfonylureas ua rau cov tawv nqaij raug hluav taws xob ntau dhau los ntawm ultraviolet hluav taws xob. Tshaj muaj feem yuav tshav kub. Nws raug nquahu kom siv cov tshuaj pleev thaiv hnub, thiab nws zoo dua tsis txhob pleev rau hnub. Xav txog qhov kev pheej hmoo ntawm hypoglycemia uas Diabeton yuav ua rau. Thaum tsav tsheb los yog ua haujlwm muaj kev phom sij, sim koj qab zib nrog glucometer txhua txhua 30-60 feeb.
Leej twg tsis haum rau nws
Mob ntshav qab zib MV yuav tsum tsis txhob noj rau txhua tus neeg, vim tias lwm txoj hauv kev kho mob ntshav qab zib hom 2 pab tau zoo thiab tsis ua rau muaj kev phiv tshuaj. Cov nom tswv contraindications muaj nyob hauv qab no. Kuj tseem pom tias pawg twg ntawm cov neeg mob yuav tsum tau muab cov tshuaj no nrog ceev faj.
Thaum cev xeeb tub thiab pub niam mis, ib qho ntsiav tshuaj txo qis qab zib yog contraindicated. Mob ntshav qab zib MV tsis tau sau tseg rau cov menyuam yaus thiab cov hluas, vim tias nws cov hauj lwm zoo thiab kev nyab xeeb rau pawg neeg mob no tseem tsis tau tsim. Tsis txhob noj cov tshuaj no yog tias yav dhau los koj tau ua xua rau nws los yog lwm yam sulfonylurea derivatives. Cov tshuaj no yuav tsum tsis txhob noj los ntawm cov neeg mob uas muaj ntshav qab zib hom 1, thiab yog tias koj muaj qhov tsis ruaj khov ntawm hom 2 mob ntshav qab zib, nquag tshwm sim ntawm ntshav qog ntshav qab zib.
Cov lus qhia ntawm sulfonylureas tsis tuaj yeem siv los ntawm cov neeg uas muaj mob siab rau mob siab thiab mob raum. Yog tias koj muaj ntshav qab zib mob nephropathy, tham nrog koj tus kws kho mob. Feem ntau cov yuav ua tau, nws yuav qhia kom hloov cov ntsiav tshuaj nrog kev siv tshuaj insulin. Rau cov neeg laus dua, Diabeton MV tau raug cai yog tias lawv lub siab thiab lub raum ua haujlwm tau zoo. Tsis raws kev raws cai, nws ua rau kev hloov pauv ntawm cov ntshav qab zib hom 2 mus rau hom kab mob ntshav qab zib insulin-hnyav. Yog li, cov neeg mob ntshav qab zib uas xav ua neej nyob ntev ntev yam tsis muaj teeb meem, nws zoo dua tsis txhob noj nws.
Nyob rau qhov xwm txheej twg yog Diabeton MV tau ceeb toom nrog:
- hypothyroidism - txoj haujlwm tsis muaj zog ntawm cov thyroid caj pas thiab qhov tsis txaus rau nws cov tshuaj hormones hauv cov ntshav;
- tsis muaj peev xwm ua rau cov tshuaj hormones tsim los ntawm cov qog adrenal thiab cov qog pituitary;
- cov khoom noj tsis xwm yeem;
- quav cawv.
Diabeton analogues
Tus thawj cov tshuaj Diabeton MV yog tsim los ntawm lub chaw muag tshuaj Lub Chaw Siv Tshuaj Servier (Fabkis). Txij li thaum Lub Kaum Hlis 2005, nws tau tso tseg tsis xa cov tshuaj ntawm cov tub ntxhais hluas dhau los rau Russia - ntsiav tshuaj Diabeton 80 mg ua yeeb yam sai. Tam sim no koj tuaj yeem yuav xwb thawj Diabeton MV - hloov cov ntsiav tshuaj tso tawm. Daim ntawv muab cov tshuaj no muaj qhov zoo, thiab cov khw tau txiav txim siab mloog zoo. Txawm li cas los xij, gliclazide hauv cov ntsiav tshuaj tawm sai yog tseem muag. Cov no yog cov analogues ntawm Diabeton, uas yog tsim los ntawm lwm cov tuam ntxhab.
| Lub npe tshuaj | Tuam txhab tsim khoom lag luam | Ncig Teb Chaws |
|---|---|---|
| Glidiab MV | Akrikhin | Lavxias |
| Lawbalong | Synthesis OJSC | Lavxias |
| Gliclazide MV | LLC Ozone | Lavxias |
| Diabefarm MV | Kws Tshuaj Ntau Lawm | Lavxias |
| Lub npe tshuaj | Tuam txhab tsim khoom lag luam | Ncig Teb Chaws |
|---|---|---|
| Glidiab | Akrikhin | Lavxias |
| Glyclazide-AKOS | Synthesis OJSC | Lavxias |
| Diabinax | Shreya lub neej | Is Nrias teb |
| Diabefarm | Kws Tshuaj Ntau Lawm | Lavxias |
Kev npaj uas nws nquag muaj tshuaj gliclazide hauv cov ntsiav tshuaj tso tawm sai yog tam sim no tsis siv lawm. Nws raug nquahu kom siv Diabeton MV lossis nws cov analogues hloov. Txawm tias zoo dua yog kev kho mob rau tus mob ntshav qab zib hom 2 raws li kev noj haus uas muaj zaub mov ntau ntau. Koj yuav muaj peev xwm ua kom cov ntshav qab zib nyob ruaj khov, thiab koj tsis tas yuav siv cov tshuaj phom sij.
Diabeton lossis Maninil - uas zoo dua
Cov khoom siv rau ntu no yog cov ntawv sau "Kev pheej hmoo ntawm kev dav dav thiab lub plawv kev tuag, nrog rau cov kab mob myocardial infarction thiab mob hlwb tsis txaus ntawm cov neeg mob ntshav qab zib hom 2 nyob ntawm seb hom mob pib ntshav qab zib" nyob rau hauv phau ntawv journal "Ntshav Qab Zib" No. 4/2009. Tus sau ntawv - I.V. Misnikova, A.V. Dreval, Yu.A. Kovaleva.
Txoj kev sib txawv ntawm kev kho mob ntshav qab zib hom 2 muaj qhov sib txawv ntawm kev pheej hmoo ntawm lub plawv, mob hlab ntsha tawg thiab tuag tag nrho hauv cov neeg mob. Cov kws sau ntawv ntawm tsab xov xwm tau txheeb xyuas cov ntaub ntawv muaj nyob rau hauv kev sau npe ntawm cov ntshav qab zib mellitus ntawm Moscow Thaj Chaw, uas yog ib feem ntawm Lub Xeev Kev Sau npe ntawm Cov Ntshav Qab Zib Mellitus ntawm Lavxias Federation. Lawv tau tshawb xyuas cov ntaub ntawv rau cov tib neeg uas tau txheeb pom tias mob ntshav qab zib hom 2 nyob rau xyoo 2004. Lawv tau sib piv cov txiaj ntsig ntawm sulfonylureas thiab metformin yog tias tau kho rau 5 xyoos.
Nws muab tawm tias cov tshuaj - sulfonylurea derivatives - muaj kev phom sij ntau dua li pab tau. Lawv ua li cas piv nrog metformin:
- txoj kev pheej hmoo ntawm kev dav dav thiab lub plawv kev tuag - ob npaug;
- pheej hmoo ua mob plawv - nce 4.6 npaug;
- txoj kev pheej hmoo ntawm mob hlab ntsha tawg tau nce peb zaug.
Tib lub sijhawm, glibenclamide (Maninil) tseem muaj kev phom sij ntau dua li gliclazide (Mob ntshav qab zib). Muaj tseeb, tsab xov xwm tsis tau qhia tias cov ntawv sau ntawm Manilil thiab Diabeton tau siv - ncua sij hawm tso cov ntsiav tshuaj lossis cov pom zoo. Nws yuav txaus siab los sib piv cov ntaub ntawv nrog cov neeg mob ntshav qab zib hom 2 uas tam sim ntawv kho cov tshuaj insulin tam sim ntawd tsis siv tshuaj. Txawm li cas los xij, qhov no tsis tau ua tiav, vim tias cov neeg mob zoo li ntawd tsis txaus. Feem coob ntawm cov neeg mob categorically tsis kam txhaj tshuaj insulin, yog li lawv tau muab tshuaj rau noj.
Cov Lus Nquag Nug thiab Cov Lus Teb
Tus kab mob ntshav qab zib tswj kuv cov ntshav qab zib hom 2 tau zoo rau 6 xyoo, thiab tam sim no tau tso tseg kev pab lawm. Nws nce nws koob tshuaj rau 120 mg ib hnub, tab sis cov piam thaj hauv ntshav tseem siab, 10-12 mmol / l. Vim li cas tshuaj ho ploj nws qhov kev ua tau zoo? Yuav kho li cas tam sim no?
Diabetone yog sulfonylurea derivative. Cov tshuaj no txo cov ntshav qab zib, tab sis kuj muaj cov nyhuv tsis zoo. Lawv maj mam ua kom puas rau pancreatic beta hlwb. Tom qab 2-9 xyoo ntawm kev noj lawv rau hauv tus neeg mob, lub cev pib ua haujlwm tsis tshua muaj insulin. Cov tshuaj tau poob nws qhov kev ua tau zoo vim tias koj lub npov beta tau "hlawv tawm." Qhov no yuav muaj tshwm sim ua ntej. Yuav kho li cas tam sim no? Yuav tsum tau txhaj cov tshuaj insulin, tsis muaj kev xaiv. Vim tias koj muaj ntshav qab zib hom 2 hloov mus ua hom mob ntshav qab zib hom 1. Ncua tseg Diabeton, hloov mus rau kev noj zaub mov kom tsis rog lossis haus kom tsawg thiab txhaj ntxiv insulin kom tsis txhob muaj piam thaj.
Cov neeg laus tau mob ntshav qab zib hom 2 tau 8 xyoo. Cov ntshav qab zib 15-17 mmol / l, cov kev tsim mob hnyav tshwm sim. Nws coj manin, tam sim no pauv mus rau Diabeton - tsis muaj dab tsi. Kuv puas yuav tsum pib noj cov tshuaj amaryl?
Qhov xwm txheej zoo li tus sau ntawm cov lus nug dhau los. Vim ntau xyoo ntawm kev kho tsis raug, hom 2 mob ntshav qab zib tau hloov pauv mus rau hom mob ntshav qab zib hom 1 loj heev. Tsis muaj tshuaj yuav muab qhov tshwm sim. Ua raws li hom kho mob ntshav qab zib hom 1, pib txhaj cov tshuaj insulin. Hauv kev xyaum, feem ntau nws tsis tuaj yeem tsim kho txoj cai kho rau cov neeg mob ntshav qab zib. Yog hais tias tus neeg mob qhia tsis nco qab thiab mob siab - tawm txhua yam raws li nws thiab tos ntsoov.
Txog hom mob ntshav qab zib hom 2, tus kws kho mob tau sau 850 mg rau ib hnub Siofor rau kuv. Tom qab 1.5 lub hlis, nws pauv mus rau Diabeton, vim tias qab zib tsis poob txhua. Tab sis cov tshuaj tshiab no kuj tseem siv tsawg. Puas tsim nyog nws mus rau Glibomet?
Yog tias Diabeton tsis txo cov piam thaj, ces Glibomet yuav tsis muaj kev siv lawm. Xav kom qis dua cov piam thaj - pib txhaj cov tshuaj insulin. Rau qhov xwm txheej ntawm tus mob ntshav qab zib ua ntej, tsis muaj lwm yam tshuaj zoo tau tseem tau tsim. Ua ntej tshaj plaws, hloov mus rau qhov kev noj haus kom tsawg cov zaub mov kom tsawg thiab tsis txhob noj cov tshuaj phem. Txawm li cas los xij, yog tias koj twb muaj keeb kwm ntev ntev ntawm tus mob ntshav qab zib hom 2 thiab koj tau raug kho tsis raug nyob rau xyoo dhau los, ces koj kuj yuav tsum tau txhaj tshuaj insulin. Vim tias tus txiav ua kom tiav thiab tsis tuaj yeem tiv tau yam tsis muaj kev txhawb nqa. Kev noj zaub mov kom tsawg-carb yuav txo koj cov piam thaj, tab sis tsis suav rau hauv kev cai. Yog li qhov kev daws teeb meem ntawd tsis txhim kho, cov piam thaj yuav tsum tsis siab tshaj 5.5-6.0 mmol / l 1-2 teev tom qab noj mov thiab sawv ntxov ntawm lub plab khoob. Maj mam txhaj tshuaj insulin me ntsis kom ua tiav lub hom phiaj no. Glibomet yog cov tshuaj sib xyaw. Nws suav nrog glibenclamide, uas muaj tib cov txiaj ntsig tsis xws li Diabeton. Tsis txhob siv cov tshuaj no. Koj tuaj yeem nqa tshuaj "ntshiab" metformin - Siofor lossis Glyukofazh. Tab sis tsis muaj tshuaj muaj peev xwm hloov cov tshuaj insulin.
Nws puas muaj peev xwm ua kom mob ntshav qab zib hom 2 noj ntshav qab zib thiab reduxin rau cov kev poob phaus tib lub sijhawm?
Yuav ua li cas Diabeton thiab reduxin cuam tshuam nrog ib leeg - tsis muaj ntaub ntawv. Txawm li cas los xij, Diabeton stimulates zus ntawm insulin los ntawm tus txiav. Cov Insulin, nyeg, hloov cov piam thaj rau hauv cov rog thiab inhibits qhov tawg ntawm adipose ntaub so ntswg. Ntau cov insulin hauv cov ntshav, qhov nyuaj dua nws yog qhov poob phaus. Yog li, Diabeton thiab reduxin muaj qhov sib txawv. Reduxin ua rau muaj kev phiv loj heev thiab cov kev quav sai tshwm sim rau nws. Nyeem kab lus “Yuav ua li cas thiaj poob ceeb thawj nrog ntshav qab zib hom 2.” Tsis txhob noj ntshav qab zib thiab reduxin. Hloov mus rau qhov kev noj zaub mov tsis muaj roj kom tsawg. Nws normalizes qab zib, ntshav siab, roj cholesterol nyob rau hauv cov ntshav, thiab cov phaus ntxiv tseem yuav ploj mus.
Kuv tau noj tshuaj Mob Ntshav Qab Zib MV tau 2 xyoo lawm, yoo cov piam thaj ceev txog 5.5-6.0 mmol / l. Txawm li cas los xij, qhov kev hnov mob nyob hauv tus taw tau nyuam qhuav pib thiab lub zeem muag tau poob. Vim li cas tus kab mob ntshav qab zib pib tshwm sim txawm hais tias qab zib yog dab tsi?
Nws yog qhov tsim nyog los tswj cov suab thaj 1-2 teev tom qab noj mov thiab sawv ntxov thaum lub plab khoob. Qib qab zib ua ntej noj su thiab noj hmo tsis tseem ceeb. Hauv ntau cov neeg mob uas muaj ntshav qab zib hom 2, yoo mov qab zib yog qhov qub. Txawm li cas los xij, cov kev mob tshwm sim thaum cov ntshav qab zib nce mus rau ob peb teev txhua lub sijhawm tom qab noj mov. Ntsuas qab zib ntawm lub plab khoob thiab tsis kuaj nws 1-2 teev tom qab noj mov yog kev dag tus kheej. Koj yuav tsum them nws nrog kev txhim kho mob ntshav qab zib muaj teeb meem. Saib ntxiv - ntshav cov ntshav qab zib cov qauv rau cov neeg noj qab haus huv thiab cov neeg mob ntshav qab zib.
Tus kws kho mob tau hais rau tus mob ntshav qab zib kom muaj ntshav qab zib ntau, nrog rau kev noj zaub mov kom muaj calorie tsawg thiab tsis qab zib. Tab sis nws tsis tau hais tias yuav txwv ntau npaum li cas rau cov calories kom tsawg. Yog tias kuv noj 2,000 calories ib hnub twg, puas yog qhov qub? Lossis koj puas xav tau siv tsawg dua?
Kev tshaib plab dhau los pab kev tswj cov ntshav qab zib, tab sis hauv kev coj ua, tsis muaj. Vim tias txhua tus neeg mob nws txav deb ntawm nws. Tsis xav tau tas li nyob nrog kev tshaib plab! Kawm thiab ua raws li hom kho mob ntshav qab zib hom 2. Hloov mus rau qhov kev noj haus cov zaub mov tsis muaj carbohydrate - nws zoo siab, qab thiab txo qis qab zib kom zoo. Tsis txhob noj cov tshuaj muaj kuab puas tsuaj. Yog tias tsim nyog, txhaj cov tshuaj insulin me ntsis ntxiv. Yog tias koj cov ntshav qab zib tsis tau khiav, ces koj tuaj yeem khaws cov piam thaj ib txwm tsis tau txhawm rau ntxig rau insulin.
Kuv noj tshuaj Mob Ntshav Qab Zib thiab Metformin los them rau kuv T2DM. Cov ntshav qab zib tuav 8-11 mmol / L. Endocrinologist hais tias qhov no yog qhov tshwm sim zoo, thiab kuv cov teebmeem kev noj qab haus huv muaj feem ntsig txog lub hnub nyoog. Tab sis kuv xav tias cov teeb meem mob ntshav qab zib tau tsim kho. Cov kev kho mob dab tsi uas koj tuaj yeem pom zoo?
Muaj ntshav qab zib ib txwm - zoo ib yam li cov neeg noj qab haus huv, tsis siab dua 5.5 mmol / l tom qab 1 thiab 2 teev tom qab noj mov. Ntawm ib qho nqi siab dua, cov teeb meem ntshav qab zib muaj zog tuaj. Yuav kom txo koj cov piam thaj kom zoo thiab ua kom nws nyob ruaj khov, kawm thiab ua raws li hom kho mob ntshav qab zib hom 2. Qhov txuas rau nws yog muab nyob rau hauv lo lus teb rau lo lus nug dhau los.
Tus kws kho mob tau hais kom noj cov kab mob ntshav qab zib MV thaum hmo ntuj, kom ib txwm muaj qab zib thaum sawv ntxov ntawm lub plab khoob. Tab sis cov lus qhia hais tias koj yuav tsum noj cov tshuaj no rau noj tshais. Kuv yuav tsum ntseeg leej twg - cov lus qhia lossis kev xav ntawm kws kho mob?
Koj yuav tsum tau ua qee yam thaum tsaus ntuj xwv kom cov piam thaj tsis pom nyob rau tag kis. Koj tus kws kho mob hais txog qhov no :). Tab sis kev noj ntshav qab zib yog qhov tsis zoo, vim tias cov no yog cov tshuaj tsis zoo. Dab tsi los hloov lawv nrog tau piav nyob rau hauv cov ntsiab lus saum toj no. Saib ntxiv "Yuav ua li cas noj qab zib li qub thaum sawv ntxov." Yog tias koj yuav tsum tau txhaj tshuaj insulin me ntsis thaum hmo ntuj - ua nws, tsis txhob ua tub nkeeg.
Tus neeg mob uas muaj ntshav qab zib hom 2 nrog kev paub 9 xyoo, hnub nyoog 73 xyoo. Qab zib nce mus txog 15-17 mmol / l, thiab manin tsis txo nws. Nws pib poob ceeb thawj. Kuv Puas Yuav Tsum Hloov Mus Rau Diabeton?
Yog tias mannin tsis txo cov piam thaj, tom qab ntawv yuav tsis muaj kev nkag siab los ntawm Diabeton. Kuv tau pib poob ceeb thawj - uas txhais tau tias tsis muaj hom tshuaj yuav pab tau. Nco ntsoov txhaj cov tshuaj insulin. Kev khiav ntshav qab zib hom 2 tau hloov mus ua hom mob ntshav qab zib hom 1, yog li koj yuav tsum kawm thiab siv txoj kev kho mob ntshav qab zib hom 1. Yog tias nws tsis tuaj yeem tsim kom muaj cov tshuaj insulin rau cov laus ntshav qab zib, tso txhua yam raws li nws tau thiab ua siab ntev tos kom txog thaum kawg. Tus neeg mob yuav nyob ntev dua yog tias nws tso txhua yam tshuaj mob ntshav qab zib.
Kev Ntsuam Xyuas Rau Neeg Mob
Thaum cov neeg pib noj cov Ntshav Qab Zib, lawv cov ntshav qab zib cov ntshav yuav poob sai sai. Cov neeg mob nco ntsoov qhov no hauv lawv kev tshuaj xyuas. Kev hloov kho cov ntsiav tshuaj tsis tshua muaj peev xwm ua rau ua rau lub ntsej muag ntshav qis thiab feem ntau ua tau zoo rau. Hais txog yeeb tshuaj Tus kab mob ntshav qab zib MV tsis muaj ib qhov kev tshuaj xyuas uas tus mob ntshav qab zib yws tias mob ntshav qab zib. Cov kev mob tshwm sim los ntawm kev ua rau pancreatic depletion tsis tshwm sim sai, tab sis tom qab 2-8 xyoos. Yog li, cov neeg mob uas tau pib noj cov tshuaj tsis ntev los no tsis hais txog lawv.
Oleg Chernyavsky
Tau 4 xyoos Kuv tau noj tshuaj Diabeton MV 1/2 ntsiav tshuaj thaum sawv ntxov thaum noj tshais. Ua tsaug rau qhov no, qab zib yuav luag zoo li qub - los ntawm 5.6 txog 6.5 mmol / L. Yav dhau los, nws ncav cuag 10 mmol / l, kom txog rau thaum nws pib kho nrog cov tshuaj no. Kuv sim txwv cov khoom qab zib thiab noj kom tsawg, raws li kws kho mob qhia, tab sis qee zaum kuv zom.
Teeb meem ntawm ntshav qab zib muaj tshwm sim thaum qab zib nce mus ntau ntau teev tom qab txhua pluas noj. Txawm li cas los xij, kev yoo mov plasma ntshav qab zib ntau ntau yuav nyob li qub. Kev tswj cov piam thaj kom nrawm thiab tsis ntsuas nws 1-2 teev tom qab noj mov yog kev dag tus kheej. Koj yuav them rau nws nrog qhov pib pom ntawm muaj mob nyhav. Thov nco ntsoov tias cov qauv ntshav qab zib cov ntshav qab zib tseem ceeb rau cov ntshav qab zib muaj ntshav ntau dhau. Hauv cov neeg muaj kev noj qab haus huv, qab zib tom qab noj mov tsis nce siab tshaj 5.5 mmol / L. Koj kuj yuav tsum siv zog rau cov ntsuas no, thiab tsis mloog cov lus dab neeg hais tias qab zib tom qab noj mov 8-11 mmol / l zoo heev. Ua kom cov ntshav qab zib tau zoo tuaj yeem ua tiav los ntawm kev hloov mus rau kev noj zaub mov kom tsis rog lossis ua kom qis thiab lwm yam haujlwm tau piav qhia nyob hauv Diabetes-Med.Com lub vev xaib.
Svetlana Voitenko
Tus kws kho mob endocrinologist tau sau ntawv rau kuv rau tus mob ntshav qab zib, tab sis cov tshuaj no tsuas ua rau nws mob loj ntxiv. Kuv tau noj nws rau 2 xyoos, lub sijhawm no kuv tau dhau los ua ib tug poj niam laus tiag tiag. Kuv poob 21 kg. Lub zeem muag poob, lub hnub nyoog tawv ua ntej lub qhov muag, teeb meem nrog ceg pom. Qab zib yog qhov txaus ntshai txawm tias ntsuas nrog glucometer. Kuv ntshai yam ntshav qab zib hom 2 tau dhau los ua hom mob ntshav qab zib hom 1 ntau heev.
Hauv cov neeg mob rog uas muaj yam mob ntshav qab zib hom 2, sulfonylurea derivatives ua rau tsis zoo li tus txiav, feem ntau yog tom qab 5-8 xyoos. Hmoov tsis zoo, nqaim thiab nyias cov neeg ua qhov no sai dua. Kawm cov lus ntawm LADA mob ntshav qab zib thiab xeem cov kev xeem uas tau teev tseg rau hauv nws. Txawm hais tias yog tias muaj ib qho kev pom tsis pom kev hauv lub cev hnyav, tom qab ntawv tsis muaj kev soj ntsuam txhua yam yog qhov tseeb ... Kawm cov phiaj xwm kho mob ntshav qab zib hom 1 thiab ua raws cov lus pom zoo. Ncua tseg Diabeton tam sim ntawd. Cov tshuaj insulin yog qhov tsim nyog, koj tuaj yeem ua tsis tau yam tsis muaj lawv.
Andrey Yushin
Tsis ntev los no, tus kws kho mob mus koom ntxiv 1/2 ntsiav tshuaj ntawm metformin rau kuv, uas kuv tau coj ua ntej. Cov tshuaj tshiab tshwm sim los ntawm cov nyhuv atypical - cov teeb meem zom zaub mov. Tom qab noj mov, kuv hnov lub nra hnyav hauv kuv lub plab, tsam plab, qee zaum kub siab. Tseeb, qab los poob. Qee zaum koj tsis hnov tshaib plab, vim tias lub plab tau tsau lawm.
Cov tsos mob tau piav tsis yog kev phiv los ntawm cov tshuaj, tab sis muaj kev cuam tshuam ntawm cov ntshav qab zib hu ua gastroparesis, tuag tes tuag taw ib feem. Nws tshwm sim vim kev txiav txim siab tsis zoo ntawm cov hlab ntsha uas nkag mus rau lub zog ntawm lub cev tsis txaus thiab tswj cov plab zom mov. Qhov no yog ib qho qhia tau ntawm tus mob ntshav qab zib neuropathy. Kev ntsuas tshwj xeeb yuav tsum tau ua rau qhov cuam tshuam no. Nyeem tsab xov xwm "Cov kab mob ntshav qab zib" nyob rau hauv ntau dua. Nws thim rov qab - koj tuaj yeem tshem tawm tag nrho. Tab sis kev kho mob yog qhov teeb meem ntau. Kev noj zaub mov kom tsis txhob rog-rog, ua kom tawm dag zog, thiab txhaj tshuaj insulin yuav pab kom qab zib tsuas yog tom qab koj ua haujlwm plab. Tus mob ntshav qab zib yuav tsum tau tshem tawm, zoo li txhua yam mob ntshav qab zib, vim nws yog ib qho tshuaj lom neeg.
Cov lus xaus
Tom qab nyeem tsab xov xwm, koj tau kawm txhua yam koj xav paub txog cov tshuaj Diabeton MV. Cov tshuaj no sai thiab khov kho cov ntshav qab zib. Tam sim no koj paub yuav ua li cas lawv ua. Nws tau piav qhia nyob rau hauv cov ntsiab lus saum toj no yuav ua li cas Diabeton MV txawv ntawm sulfonylurea derivatives ntawm yav dhau los tiam. Nws muaj qhov zoo, tab sis kev tsis zoo tseem yuav outweigh lawv. Nws raug nquahu kom hloov mus rau hom kev kho mob ntshav qab zib hom 2 los ntawm tsis kam noj tshuaj tsis zoo. Sim noj cov zaub mov uas tsis muaj cov carbohydrate ntau - thiab tom qab 2-3 hnub koj yuav pom tias koj tuaj yeem yooj yim kom qab zib. Tsis tas yuav noj sulfonylurea derivatives thiab raug kev txom nyem los ntawm cov kev mob tshwm sim.
