Starlix yog cov tshuaj hypoglycemic los ntawm phenylalanine amino acids. Cov tshuaj pab txhawb kom muaj zog tshaj tawm cov tshuaj hormone insulin 15 feeb tom qab tus neeg tau noj, thaum lub cev hloov hauv cov piam thaj hauv ntshav tau yoo tawm.
Ua tsaug rau qhov haujlwm no, Starlix tsis tso cai rau kev txhim kho ntshav qab zib yog tias, piv txwv li, ib tug neeg tau plam tsis noj mov. Cov tshuaj muaj muag nyob rau hauv daim ntawv ntawm cov zaj duab xis-ntsiav tshuaj; txhua ntawm lawv muaj 60 lossis 120 mg ntawm cov tshuaj nquag nateglinide.
Kuj suav nrog yog magnesium stearate, titanium dioxide, lactose monohydrate, macrogol, liab hlau oxide, croscarmellose sodium, talc, povidone, microcrystalline cellulose, colloidal anhydrous silicon dioxide, hypromellose. Koj tuaj yeem yuav cov tshuaj hauv chaw muag tshuaj lossis khw tshwj xeeb, hauv pob 1, 2 lossis 7 lub hlwv, ib lub hlwv muaj 12 ntsiav tshuaj.
Qhia txog ntawm cov tshuaj
Cov tshuaj muaj tshuaj xyuas zoo. Nws pab kho cov tshuaj insulin thaum ntxov, nrog rau kev txo qis cov ntshav qab zib thiab glycosylated hemoglobin.
Xws li lub tshuab ntawm kev nqis tes ua yog qhov tseem ceeb rau cov neeg mob ntshav qab zib, vim tias cov ntshav hauv cov ntshav hauv lub cev yog qhov loj dua. Hauv cov kab mob ntshav qab zib mellitus, qhov theem ntawm cov kua dej tso kua mis muaj kev cuam tshuam, thaum nateglinide, uas yog ib feem ntawm cov tshuaj, pab kho kom rov ua tiav theem pib ntawm kev loj hlob hormone.
Tsis zoo li cov tshuaj zoo sib xws, Starlix pib pib tsim cov tshuaj insulin hauv 15 feeb tom qab noj mov, uas txhim kho cov mob ntshav qab zib thiab ua rau lub cev tsis zoo rau cov ntshav qabzib hauv cov ntshav.
- Dhau plaub teev tom ntej, cov tshuaj insulin rov qab los rau lawv cov nqi qub, qhov no pab tiv thaiv qhov tshwm sim ntawm postprandial hyperinsulinemia, uas yav tom ntej yuav ua rau muaj kev txhim kho kab mob ntshav qab zib.
- Thaum cov suab thaj txo zuj zus, cov tshuaj insulin tsawg zuj zus lawm. Cov tshuaj, nyeg, tswj cov txheej txheem no, thiab nrog cov piam thaj tsis muaj txiaj ntsig, nws muaj qhov cuam tshuam tsis zoo rau lub cev xeeb tub. Qhov no yog lwm qhov zoo uas tsis tso cai rau kev txhim kho hypoglycemia.
- Yog tias Starlix tau siv ua ntej noj mov, cov ntsiav tshuaj cuam sai sai rau lub plab zom mov. Qhov siab tshaj plaws ntawm cov tshuaj tshwm sim nyob rau hauv lub xuaj moos tom qab.
Tus nqi ntawm cov tshuaj yog nyob ntawm qhov chaw ntawm lub tsev muag tshuaj, yog li nyob rau hauv Moscow thiab Foros tus nqi ntawm ib pob ntawm 60 mg yog 2300 rubles, ib pob hnyav 120 mg yuav raug nqi 3000-4000 rubles.
Cov tshuaj Starlix: cov lus qhia rau kev siv
Txawm hais tias qhov tseeb tias cov tshuaj muaj kev tshuaj xyuas zoo, nws yog ib qho tsim nyog tham nrog koj tus kws kho mob ua ntej siv cov tshuaj. Cov ntsiav tshuaj yuav tsum noj 30 feeb ua ntej noj mov. Rau kev kho mob tas li nrog cov tshuaj no ib leeg, qhov tshuaj noj yog 120 mg peb zaug ib hnub ua ntej noj mov. Thaum tsis tuaj yeem pom kev siv tshuaj kho, qhov tshuaj tuaj yeem nce ntxiv mus rau 180 mg.
Thaum lub sij hawm txoj kev kho mob, tus neeg mob yuav tsum tswj cov ntshav qab zib kom qis thiab, raws li cov ntaub ntawv tau txais, kho lub khob tshuaj. Yuav kom ntsuas seb cov tshuaj muaj txiaj ntsig zoo npaum li cas, kev kuaj ntshav rau cov ntsuas ntawm qabzib yog kwv yees li ib mus rau ob teev tom qab noj mov.
Qee zaum ib tus neeg sawv cev hypoglycemic ntxiv tau ntxiv rau yeeb tshuaj, feem ntau Metformin. Xws li Starlix tuaj yeem ua cov cuab yeej ntxiv hauv kev kho mob ntawm Metformin. Hauv qhov no, nrog qhov txo qis thiab kwv yees ntawm qhov xav tau HbA1c, kev noj tshuaj ntawm Starlix yog txo rau 60 mg peb zaug ib hnub.
Nws yog ib qho tseem ceeb uas yuav tsum xav txog tias cov ntsiav tshuaj muaj qee yam contraindications. Hauv qee qhov, koj tsis tuaj yeem siv cov tshuaj nrog:
- Kev ua haujlwm tsis zoo;
- Mob ntshav qab zib-insulin tiv thaiv kab mob ntshav qab zib;
- Kev mob siab rau daim siab hnyav;
- Ketoacidosis.
- Tsis tas li, kev kho mob yog ua rau mob me nyuam yaus, thaum cev xeeb tub thiab lactation.
Qhov ntau npaum no tsis tas yuav hloov kho yog tias tus neeg mob ib txhij noj Warfarin, Troglitazone, Diclofenac, Digoxin. Tsis tas li, tsis muaj kev cuam tshuam loj ntawm lwm cov tshuaj tiv thaiv kev mob ntshav qab zib tau pom.
Cov tshuaj xws li Captopril, Furosemide, Pravastatin, Nicardipine. Phenytoin, Warfarin, Propranolol, Metformin, Acetylsalicylic acid, Glibenclamide tsis cuam tshuam rau kev cuam tshuam ntawm nateglinide nrog cov protein.
Nws yog ib qho tseem ceeb kom nkag siab tias qee yam tshuaj ua rau muaj cov metabolism hauv qabzib, yog li ntawd, thaum noj lawv nrog cov tshuaj hypoglycemic, glucose concentration hloov pauv.
Hauv qee qhov, hypoglycemia hauv cov ntshav qab zib mellitus yog txhim kho los ntawm salicylates, tsis-xaiv cov beta-blockers, NSAIDs thiab MAO inhibitors. Cov tshuaj Glucocorticoid, thiazide diuretics, sympathomimetics thiab cov thyroid hormones pab ua rau cov ntshav qog ua kom lub cev tsis muaj zog.
- Hauv hom 2 mob ntshav qab zib mellitus, yuav tsum tau saib xyuas tshwj xeeb, vim tias qhov kev pheej hmoo ntawm kev txhim kho hypoglycemia yog qhov siab heev. Hauv kev tshwj xeeb, nws yog qhov tseem ceeb uas yuav tau soj ntsuam cov ntshav qab zib kom qis rau cov neeg ua haujlwm nrog cov txheej txheem nyuaj lossis tsav tsheb.
- Cov neeg mob qes qis, cov neeg laus, cov neeg mob kuaj pom muaj qias neeg lossis qog tsis txaus yuav muaj kev pheej hmoo. Ntshav qab zib tuaj yeem txo qis yog tias ib tus neeg haus cawv, ntsib kev tawm dag zog lub cev, thiab tseem yuav siv lwm cov tshuaj tiv thaiv ntshav qab zib.
- Thaum kho, tus neeg mob yuav muaj kev phiv ntau dua nyob rau hauv daim ntawv ntawm kev tawm hws, tshee tshee, kiv taub hau, nce siab, nce lub plawv dhia, xeev siab, tsis muaj zog thiab malaise.
- Cov concentration ntawm cov piam thaj hauv cov ntshav yuav qis dua 3.3 mmol / litre. Feem ntau tsis tshua muaj tshwm sim, kev ua si ntawm daim siab enzymes hauv cov ntshav nce ntxiv, kev ua xua, nrog ua pob, khaus thiab urticaria. Mob taub hau, raws plab, dyspepsia, thiab mob plab kuj ua tau.
Khaws cov tshuaj cia hauv chav sov, kom deb ntawm kev tshav ntuj ncaj qha thiab menyuam yaus. Txee lub neej yog peb xyoos, yog tias tas sijhawm ntawm lub sijhawm khaws cia, cov tshuaj pov tseg thiab tsis siv rau nws lub hom phiaj.
Analogues ntawm cov tshuaj
Rau cov tshuaj nquag, ua tiav analogues ntawm cov tshuaj tsis muaj nyob. Txawm li cas los xij, niaj hnub no nws muaj peev xwm yuav tshuaj nrog cov txiaj ntsig zoo sib xws uas tswj cov ntshav qab zib thiab tiv thaiv kom tsis txhob mob ntshav qab zib.
Novonorm ntsiav tshuaj noj rau hom 2 mob ntshav qab zib mellitus, yog tias cov tshuaj noj pab rau lub cev, poob phaus thiab ua kom lub cev tsis pab ua kom tus neeg mob tus kheej li qub. Txawm li cas los xij, xws li cov tshuaj no yog contraindicated nyob rau hauv hom 2 mob ntshav qab zib mellitus, mob ntshav qab zib ketoacidosis, mob ntshav qab zib precoma thiab coma, thiab mob siab tsis ua haujlwm. Tus nqi ntawm kev ntim cov ntsiav tshuaj yog 130 rubles.
Cov tshuaj Diagnlinide siv rau hom 2 mob ntshav qab zib mellitus, ua ke nrog Metformin, yog tias nws tsis tuaj yeem ua rau cov ntshav qabzib muaj nuj nqis los ntawm cov qauv txheem. Cov tshuaj yog contraindicated nyob rau hauv hom 1 mob ntshav qab zib mellitus, mob ntshav qab zib ketoacidosis, mob ntshav qab zib precoma thiab coma, kab mob kis, kev cuam tshuam kev phais thiab lwm yam mob uas xav tau kev kho mob insulin. Tus nqi ntawm cov tshuaj tawm 250 rubles.
Cov tshuaj Glibomet yog noj rau ntshav qab zib hom 2. Qhov ntau npaum li cas yog xaiv tau ib tus zuj zus, nyob ntawm seb qhov metabolism. Cov tshuaj yog contraindicated rau cov kab mob ntshav qab zib ketoacidosis thiab hauv hom 1 mob ntshav qab zib mellitus, cov kab mob lactic acidosis, mob ntshav qab zib ua rau mob taub hau thiab coma, hypoglycemia, hypoglycemic coma, mob siab lossis raum tsis ua haujlwm, thiab kis kab mob. Koj tuaj yeem yuav qhov cuab yeej ntawd rau 300 rubles.
Cov tshuaj Glucobai zoo rau hom 1 thiab ntshav qab zib hom 2. Qhov siab tshuaj ntau tshaj plaws txhua hnub yog 600 mg rau ib hnub. Cov tshuaj tau noj yam tsis muaj kev zom, nrog dej me me, ua ntej noj mov lossis ib teev tom qab noj mov. Tus nqi ntawm ib pob ntawm cov ntsiav tshuaj yog 350 rubles.
Hauv daim vis dis aus hauv tsab xov xwm no, kws kho mob yuav muab lus qhia txog yuav ua li cas kom txo qis ntshav qab zib thiab rov ua kom cov kua dej tsis zais.
