Diabeton MV 60 mg; cov lus qhia rau kev siv qhia pom tias cov tshuaj no suav nrog pawg pab pawg thib ob ntawm sulfonylurea derivatives.
Cov cuab yeej siv tawm siab kho mob ntshav qab zib, txhim kho hauv hom tshuaj insulin-ywj pheej.
Qhov kev cuam tshuam ntawm pab pawg ntawm cov tshuaj no rau tib neeg lub cev yog cuam tshuam nrog cov txheej txheem ntawm kev ua kom lub cev ntawm pancreatic beta hlwb, uas yog cov tshuaj tiv thaiv thiab ua kom muaj zog txaus ua cov tshuaj insulin endogenous.
Kev siv cov sulfonylurea derivatives tshwm sim nyob rau hauv qhov muaj txiaj ntsig thiab ua tiav cov qe ntshav hauv lub cev.
Lub mechanism ntawm kev txiav txim ntawm pab pawg ntawm cov tshuaj no yog qhov uas cov tshwm sim nram qab no:
- kev txhawb nqa ntawm pancreatic beta hlwb thiab kev nce ntxiv hauv lawv cov kev nkag siab ntawm qib cellular;
- ib qho kev nce ntxiv hauv kev nqis tes ua ntawm insulin thiab kev tsub zuj zus ntawm cov tshuaj hormones uas ua rau nws tawg (insulinase);
- ua kom tsis muaj zog ntawm kev sib raug zoo ntawm insulin thiab cov protein, txo qis npaum li cas ntawm kev khi ntawm cov tshuaj insulin rau cov tshuaj tiv thaiv;
- ua rau muaj kev nce ntxiv hauv qhov tsis hnov mob nqaij thiab lipid cov ntaub so ntswg txais rau cov tshuaj insulin;
- nce tus naj npawb ntawm cov tshuaj insulin rau ntawm cov nqaij mos;
- pab txhawm rau txhim kho kev siv cov piam thaj hauv kev ua rau daim siab thiab cov leeg;
- nruab nrab cov txheej txheem ntawm gluconeogenesis nyob rau hauv daim siab;
- nyob rau hauv cov ntaub so ntswg lipid tshem tawm lipolysis thiab kuj tseem nce qib ntawm kev nqus thiab oxidation ntawm cov piam thaj.
Txog rau hnub tim, muaj ntau ntau yam tshuaj tau los ntawm sulfonylureas:
- Cov tshuaj thib ib uas siv tsis siv hauv cov tshuaj niaj hnub - Tolazamide, Carbutamide.
- Lub cim thib ob, ntawm uas Glibenclamide, Gliclazide thiab Glipizide yog cov neeg sawv cev.
- Qhov thib peb tiam yog glimepiride.
Cov kev xaiv ntawm cov tshuaj uas siv yuav tsum tau ua los ntawm tus kws kho mob uas koom nrog.
Tus neeg sawv cev hypoglycemic yog dab tsi?
Cov tshuaj Diabeton yog ib tus neeg sawv cev hypoglycemic siv los kho hom 2 ntshav qab zib.
Cov tshuaj muaj peev xwm tsim tawm nyob rau hauv ntau qhov ntau, nyob ntawm seb qhov ntau npaum li cas ntawm cov tshuaj yeeb dej caw hauv qhov muaj pes tsawg leeg - 60 thiab 80 milligrams.
Cov khoom siv tseem ceeb yog gliclazide - ib tus sawv cev ntawm lub cim thib ob tiam sulfonylurea derivatives. Daim ntawv tso tawm ntawm cov tshuaj yog coated ntsiav tshuaj.
Nws yuav tsum raug sau tseg tias Diabeton MV nrog tshuaj ntawm 60 mg yog nthuav tawm hauv cov tshuaj nrog hloov kho tawm.
Ntshav qab zib cov ntsiav tshuaj yog siv rau hauv cov teeb meem nram qab no:
- hauv kev kho kev kho mob rau cov neeg mob kuaj mob uas tsis muaj cov kab mob ntshav qab zib tsis yog insulin-tiv thaiv kev mob ntshav qab zib;
- los tiv thaiv kev txhim kho ntawm cov teeb meem ntawm pathology, suav nrog txo cov kev pheej hmoo ntawm kev ua kom tsis hnov mob nephropathy thiab retinopathy, mob stroke thiab myocardial infarction.
Cov nquag ua haujlwm uas yog ib feem ntawm cov tshuaj pab txo cov adhesion thiab kev sib sau ua ke ntawm cov platelets, inhibits kev txhim kho ntawm parietal thrombus thiab muaj cov txiaj ntsig zoo ntxiv rau kev ua vascular fibrinolytic.
Tsis tas li ntawd, thaum txoj kev kho, kev ua kom vascular permeability tau pom.
Qhov zoo ntawm Diabeton MV 60 kuj suav nrog:
- Nws muaj cov yam ntxwv antiatherogenic, uas qhia tau nws tus kheej hauv kev ua haujlwm ntawm kev ua kom cov roj (cholesterol) thiab txo qis hauv cov dawb radicals.
- Tiv thaiv cov tsos thiab kev txhim kho ntawm microthrombosis thiab atherosclerosis.
- Txo kom vascular rhiab heev rau adrenaline.
Tom qab thov cov tshuaj, nws cov concentration hauv cov ntshav plasma zuj zus rau ntau dua rau teev, tom qab ntawd nws tseem nyob ntawd rau lwm lub sijhawm ntawm rau mus rau kaum ob teev.
Cov lus qhia rau kev siv tshuaj
Cov tshuaj Diabeton mr 60 tsuas yog siv nyob rau hauv kev kho kab mob kev kho mob pathology nkaus xwb hauv cov neeg laus.
Rau txhua tus neeg mob, tus kws kho mob koom nrog rub lub caij nyoog noj cov tshuaj thaum kho.
General kev cai rau kev siv cov tshuaj yog cov ncauj lus kom ntxaws hauv cov lus qhia rau kev siv tshuaj.
Raws li cov lus qhia rau kev siv tshuaj, cov tshuaj yuav tsum tau ua raws li cov txheej txheem hauv qab no:
- Ib hnub ib zaug, tsis hais txog ntawm kev ua zaub mov. Hauv qhov no, nws raug nquahu kom siv ntsiav tshuaj thaum sawv ntxov, thaum noj tshais.
- Siv cov tshuaj ntawm qhov ncauj nrog lub cev txaus.
- Kev noj tshuaj rau txhua hnub tuaj yeem yog los ntawm 30 txog 120 mg ntawm cov tshuaj nquag, uas yog 0.5-2 ntsiav tshuaj ib zaug.
- Qhov tsim nyog cov koob tshuaj yog tsim los ntawm tus kws kho mob koom nrog ib tus zuj zus rau txhua tus neeg mob, coj mus rau hauv tus account cov yam ntxwv tshwj xeeb ntawm chav kawm ntawm tus kab mob
- Yog tias nyob hauv ib qho xwm txheej twg qhov noj tshuaj tom ntej tau ploj, tsis tas yuav ntxiv qhov tshuaj ntxiv lawm
- Thaum pib ntawm kev siv tshuaj kho mob kom zoo dua yog pib nrog qhov kev txiav txim siab qis tshaj plaws, uas yog ib nrab ntawm ntsiav tshuaj Diabeton MV 60 mg. Ib qho ntxiv, tsuas noj cov tshuaj no tuaj yeem siv los ua kom cov nyhuv xav tau los ua kev txhawb nqa tshuaj.
- Kev nce ntxiv ntawm cov koob tshuaj yuav tsum tshwm sim maj mam los ntawm peb caug milligrams ntawm cov khoom xyaw nquag. Tom qab qee lub sijhawm, cov kws kho mob tau txiav txim siab nce nws thawj zaug txog 60 mg, tom qab ntawd mus rau 90 thiab 120 mg ntawm cov tshuaj nquag. Nws yuav tsum raug sau tseg tias tom qab pib siv tshuaj kho mob, thawj qhov nce ntxiv rau hauv cov tshuaj yog ua tau tsis muaj ntxov tshaj ib hlis tom qab.
- Qhov ntau tau ntau npaum li cas ntawm cov tshuaj ib hnub yuav tsum tau 120 mg.
Hauv qee kis, kev kho kom sib xyaw ua ke tshwm sim. Cov tshuaj kho mob ntshav qab zib Diabeton MV 60 tuaj yeem siv ua ke nrog cov tshuaj los ntawm cov pab pawg biguanide, alpha glucosidase inhibitors, lossis kev kho tshuaj insulin.
Rau qee pab pawg ntawm cov neeg mob, yuav tau kho qhov ntau npaum li cas qhia hauv cov lus yuav tsim nyog. Cov no suav nrog:
- cov neeg muaj mob raum tsis zoo;
- cov uas muaj pheej hmoo ntawm kev txhim kho hypoglycemia.
Cov qeb ntawm cov tib neeg uas muaj kev pheej hmoo txhim kho hypoglycemia suav nrog cov neeg mob uas tsis noj zaub mov tsis txaus, ua raws li cov zaub mov nruj lossis yoo mov, cov kab mob endocrine, carotid arteriosclerosis.
Cov ntsiav tshuaj tej zaum yuav raug siv los ua cov kev kho mob kom ua tiav qhov kev tiv thaiv hypoglycemic ruaj khov lossis los tiv thaiv kev tiv thaiv kev txhim kho ntawm cov teeb meem ntawm pathology. Tus kws saib xyuas mob nkeeg yuav siv tshuaj kho metformin hydrochloride, alpha-glucisidase inhibitors, lossis thiazolinedione derivatives.
Siv tshuaj noj, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam kom tsis txhob muaj cov ntshav qabzib hauv cov ntshav kom tsis txhob muaj cov ntshav qog ntshav qab zib.
Tus mob dab tsi raug txwv tsis pub siv tus neeg sawv cev hypoglycemic?
Zoo li txhua yam tshuaj, Diabeton MV 60 muaj qee yam npe ntawm contraindications rau siv.
Txawm hais tias muaj daim ntawv teev ntau ntawm cov khoom muaj txiaj ntsig zoo ntawm cov tshuaj, nws yog ib qho tsim nyog yuav tsum coj mus rau hauv txhua yam kev tsis zoo uas tshwm sim tom qab nws siv.
Ua ntej tshaj plaws, nws yog qhov yuav tsum tau them sai sai rau cov npe ntawm kev txwv nyob rau hauv kev kho mob uas siv cov cuab yeej kho mob no tsis tuaj yeem nqa tawm.
Ntawm lub ntsiab contraindications suav nrog cov hauv qab no hauv qab no:
- yam 1 mob ntshav qab zib mellitus;
- nyob rau hauv kev soj ntsuam ntawm tus kab mob ntshav qab zib ketoocytosis lossis tus mob ntawm cov poj koob yawm txwv ntshav qab zib hauv tus neeg mob;
- kev nthuav qhia ntawm qog ntshav nyob hauv tus neeg mob;
- nyob rau hauv muaj cov pathologies ntawm kis xwm;
- mob rau daim siab hnyav lossis lub raum;
- intolerance los yog hypersensitivity rau ib los yog ntau cov tshuaj;
- leukopenia;
- nyob rau hauv lub xeev tom qab pancreatic resection;
- thaum noj miconazole;
- nyob rau hauv muaj lactose intolerance lossis lactase tsis muaj peev xwm.
Txog rau hnub tim, tsis muaj cov ntaub ntawv txaus hais txog qhov tshuaj no ua haujlwm li cas rau kev kho mob ntshav qab zib hauv menyuam yaus. Yog vim li cas txoj kev kho tsis yog kws kho rau cov neeg mob ntawd (txog hnub nyoog kaum yim xyoo). Ntxiv rau, contraindications suav nrog kev noj tshuaj rau cov ntxhais cev xeeb tub thiab tus poj niam lub sijhawm pub mis.
Tsis tas li, nrog huab ceev faj, cov tshuaj yog kws kho nyob rau hauv xws li mob:
- Yog tias muaj kev pheej hmoo ntawm cov ntshav qab zib tsawg dua.
- Yog tias muaj qee yam uas xav tau qhov hloov pauv ntawm tus neeg mob rau mob insulin.
- Tom qab phais kev cuam tshuam.
Tsis tas li ntawd, nrog kev ceev faj, cov tshuaj yuav tsum siv yog tias tus neeg mob muaj cov kab mob ntawm cov zom zaub mov.
Muaj cov nyom tsis zoo
Kev tshuaj xyuas ntawm cov neeg mob siv cov tshuaj feem ntau zoo.
Kev tshuaj xyuas ntawm cov kws kho mob qhia tau tias kev tswj hwm tsis zoo ntawm cov cuab yeej kho mob tuaj yeem ua rau ntau qhov kev nthuav qhia tsis zoo, uas yog kev mob tshwm sim.
Kev ntxhov siab hauv kev khiav haujlwm ib txwm ntawm ntau cov plab hnyuv siab raum thiab cov kab ke tuaj yeem tshwm sim nrog ntau zaus thiab mob hnyav
Lub ntsiab tsis zoo tshwm sim suav nrog:
- kev ua txhaum ntawm txoj hnyuv zom zaws yog ua kom pom kev hnyav ntawm lub plab, mob hauv plab, qab xim rau hauv lub qhov ncauj kab noj, sib tw, xeev siab, ntuav lossis raws plab;
- cov tshuaj tiv thaiv kab mob tuaj yeem cuam tshuam qhov tsis zoo thaum pib ntawm kev kho mob hauv daim ntawv ntawm purpura, khaus ntawm daim tawv nqaij lossis urticaria, nce photosensitivity, erythema, Quincke's edema;
- Cov kev mob tshwm sim los ntawm cov ntshav ncig muaj cov tsos mob li nram no - thrombocytopenia, mob ntshav qab zib hemolytic hauv ntshav qab zib mellitus, leukopenia, erythropenia;
- teeb meem nrog kev ua haujlwm ntawm lub siab saib xyuas lub siab tuaj yeem tshwm sim thiab cov kab mob xws li mob siab lossis mob cholestatic lub ntsej muag daj;
- qhov tshwm sim ntawm kev hloov zuj zus ntawm cov khoom hauv nruab nrog cev;
- kev xaiv tsis tsim nyog ntawm kev xaiv ntawm cov tshuaj ua rau kev txhim kho hypoglycemia, nws cov tsos mob tseem ceeb yog qhov zoo li kub cev, qaug zog, tshee tshee tshee tshee, qhov kev xav ntawm lub siab tawv nrog qhov nce ntawm cov neeg tsis txaus ntseeg;
- qhov nce ntxiv hauv lub cev hnyav.
Kev noj tshuaj ntau dhau ntawm cov tshuaj nrog cov tsos mob hauv qab no:
- Muaj hws ntau.
- Ib qho kev xav ntawm kev tshaib plab.
- Kev hais lus tsis zoo thiab lub siab.
- Cov tsos ntawm teeb meem nrog kev pw tsaug zog.
Nrog kev noj haus dhau, qhov tshwm sim thiab kev vam meej ntawm cov tsos mob ntawm tus mob ntshav qab zib yog qhov ua tau.
Cov tshuaj twg thiaj tuaj yeem hloov cov tshuaj hypoglycemic?
Tus nqi ntawm cov tshuaj Diabeton MV tuaj yeem sib txawv ntawm 280 rubles hauv cov khw muag tshuaj txawv nroog.
Lub chaw tsim cov tshuaj loj yog cov tshuaj txo suab thaj yog Fabkis.
Vim tias cov tshuaj yeeb yaj kiab tuaj txawv teb chaws, feem ntau cov neeg mob xav paub seb puas muaj cov tshuaj yeeb yaj kiab hauv tsev thiab lawv cov nqi yog dab tsi?
Lub ntsiab hloov pauv tau rau cov tshuaj yog hauv qab no cov tshuaj hauv tsev:
- Diabefarm MV;
- Glidiab thiab ib daim ntawv hloov kho ntawm Glidiab MV;
- Gliclazide-acos MV;
- Glucostabil.
Hauv txhua cov tshuaj saum toj no, muaj kev ua haujlwm ntawm Gliclazide.
Ntim (60 ntsiav tshuaj) Glidiab nrog tshuaj noj 80 mg nqi txog 120 rubles. Cov chaw tsim tshuaj paus tshuaj yog Lavxias teb sab Federation. Nws yog cov tshuaj tiv thaiv tag nrho ntawm cov tshuaj Diabeton 80.
Cov ntsiav tshuaj npaj Gliclazide MV yog kev hloov kho tso tawm hypoglycemic tus neeg sawv cev. Cov tshuaj yog tsim los ntawm kev ua haujlwm ntawm gliclazide thiab tuaj yeem muaj ntau qhov sib txawv ntawm cov nquag ua haujlwm (30 lossis 60 mg). Nws lub luag haujlwm tseem ceeb yog los ua kom cov ntshav piam thaj yog qhov tshwm sim ntawm kev noj zaub mov tsis zoo thiab kev siv lub cev. Tus nqi ntawm ib cov tshuaj yog qis dua tus nqi ntawm Tus Mob Ntshav Qab Zib MV thiab zoo li ntawm 128 rubles.
Cov lus sib piv Lavxias ntawm Diabefarm MV tuaj yeem muas tau hauv cov chaw muag tshuaj rau thaj tsam txog 130 rubles (60 ntsiav tshuaj). Qhov kev hloov kho cov khoom siv tsis txawv hauv qhov muaj pes tsawg leeg (cov sib koom ua ke, tab sis qhov sib txawv hauv cov neeg tau txais kev pab), kev qhia, sib kis thiab cov kev mob tshwm sim los ntawm cov tshuaj Diabeton MV.
Qee qhov, tus kws kho mob tuaj koom yuav hloov qhov uas noj tshuaj muaj ntshav qab zib MV nrog rau lwm cov tshuaj:
- Los ntawm sulfonylurea pab pawg, tab sis nrog lwm tus nquag koom ua ke компон
- Cov tshuaj los ntawm lwm pab pawg, tab sis nrog cov yam ntxwv zoo sib xws ntawm cov tshuaj (glinides) ꓼ
Tsis tas li, kev siv Diabeton MV tuaj yeem hloov nrog cov tshuaj uas muaj cov ntsiab cai zoo sib xws (DPP-4 inhibitors).
Yuav ua li cas cov piam thaj txo cov tshuaj ua haujlwm Diabeton MV yuav tau piav qhia los ntawm cov kws tshaj lij hauv cov yeeb yaj kiab hauv tsab xov xwm no.
