Diabetalong muaj ib qho kev tso tawm ntev ntev (PV) lossis hloov kho tso tawm (MV) siv hom ntshav qab zib hom 2. Nws yog rau pawg neeg thib ob ntawm sulfonylurea.
Nws qhov kev siv yog tshwm sim los ntawm qhov tseeb tias qee zaum nws nyuaj rau kev tswj hwm tus kab mob no nrog ib qho kev noj haus thiab kev ua si. Kev txhuam nrawm nyob rau hauv qab zib thiab cov tsos mob ntawm hyperglycemia yuav tsum tau tswj.
Kev kho tsis raug lossis tsis raws sijhawm kho ntshav qab zib ua rau muaj ntau yam teebmeem, qhov txaus ntshai tshaj plaws yog kab mob plawv. Kev noj cov tshuaj Diabetalong txo txoj kev pheej hmoo ntawm kev tsim micro- thiab macrovascular kab mob. Kab lus no yuav pab koj paub txog kev siv tshuaj kom raug.
Pharmacological kev txiav txim ntawm cov tshuaj
Cov piam thaj-txo cov nyhuv ntawm cov tshuaj Diabetalong cuam tshuam nrog nws cov kev ua haujlwm tseem ceeb - glycoslazide. Txhua lub ntsiav tshuaj muaj 30 lossis 60 mg ntawm cov tshuaj tseem ceeb thiab me me ntawm cov khoom siv ntxiv: hypromellose, calcium stearate, talc, lactose monohydrate, nrog rau colloidal silicon dioxide.
Gliclazide raug xa mus rau li sulfonylurea derivatives, raws li tau hais ua ntej. Ib zaug hauv lub cev, qhov kev tivthaiv no pib txhawb kev tsim tawm ntawm cov tshuaj insulin los ntawm beta hlwb ua cov islet apparatus.
Nws yuav tsum raug sau tseg tias txawm tias tom qab ob xyoos ntawm kev kho mob nrog cov tshuaj no, qhov nce ntawm cov ntsiab lus ntawm C-peptide thiab postprandial insulin tseem nyob. Thiab yog li, gliclazide muaj cov teebmeem hauv qab no:
- kev cai ntawm kev ua kom rog metabolism;
- kev tsim tawm ntawm cov tshuaj insulin;
- hemovascular.
Thaum tus neeg mob noj cov khoom noj lossis qhia txog cov piam thaj sab hauv, gliclazide pib ua rau kev tsim cov tshuaj hormone. Cov nyhuv hemovascular yog vim qhov tseeb tias cov tshuaj txig txo qhov ntxim nyiam ntawm thrombosis ntawm cov hlab ntsha me. Nws txais tos tas li tiv thaiv kev txhim kho ntawm:
- Microvascular pathologies - retinopathy (kev mob ntawm cov hlab ntshav ntawm retina) thiab nephropathy (tsis hnov mob raum ua haujlwm).
- Macrovascular teebmeem - mob hlab ntsha tawg lossis myocardial infarction.
Tom qab noj, gliclazide yog nqus tag nrho. Nws cov kev mob siab hauv cov ntshav nce siab tusyees, cov ntsiab lus siab yog pom txog 6 teev tom qab kev siv tshuaj. Lub sijhawm ua ntawm 6 mus txog 12 teev. Noj mov tsis cuam tshuam rau kev nqus ntawm qhov khoom ntawd. Glyclazide tsuas yog tawm los ntawm lub raum, nws ib nrab-lub neej nws txawv ntawm 12 txog 20 teev.
Cov tshuaj yuav tsum tau khaws cia rau hauv qhov chaw uas tuaj yeem ncav cuag lub hnub ci thiab lub qhov muag ntawm tus menyuam yaus, ntawm qhov kub tsis tshaj 25 degrees. Lub txee lub neej ntawm cov tshuaj yog 3 xyoos.
Cov lus qhia rau kev siv tshuaj
Ua ntej tshaj, nws yuav tsum raug sau tseg tam sim ntawd tias Diabetalong ntsiav tshuaj tsuas yog kho rau kev kho mob ntawm cov neeg laus xwb. Ua ntej pib txoj kev kho mob, nws yuav tsum tau sab laj nrog tus kws kho mob uas yuav txiav txim siab txog kev kho mob thiab qhia txog qhov ntau npaum li cas ntawm cov tshuaj, suav txog tus yam ntxwv ntawm txhua tus neeg mob.
Tom qab kev yuav cov tshuaj Diabetalong, cov lus qhia rau kev siv yuav tsum tau ua tib zoo kawm. Yog tias muaj lus nug, lawv yuav tsum tau nug los ntawm tus kws tshaj lij uas tuaj koom.
Thaum lub caij tswj hwm ntawm cov ntsiav tshuaj los txhim kho lawv cov txiaj ntsig kho, nws yog qhov tsim nyog kom ua raws li cov kev cai no:
- Lawv tau noj ntawm qhov ncauj ib zaug, zoo dua thaum sawv ntxov.
- Kev noj tshuaj ib zaug yuav tsum yog los ntawm 30 txog 120 mg rau ib hnub.
- Cov ntsiav tshuaj tsis tas yuav tsum yog zom, nws yog nqos tag nrho.
- Yog tias koj hla kev noj tshuaj, koj tsis tuaj yeem siv tshuaj ntau dua ob zaug.
- Cov koob tshuaj ntawm cov tshuaj yog xaiv ib tus kheej noj mus rau hauv tus account qib ntawm qab zib thiab HbAlc.
Qhov kev pom zoo kom tau txais thawj zaug yog 30 mg rau ib hnub, tab sis yog tias tus neeg mob tsis tuaj yeem tswj tau theem ntawm cov piam thaj, tom qab ntawd qhov koob tshuaj yuav raug nce los ntawm kev saib xyuas qhov no nrog tus kws kho mob. Txawm li cas los xij, nce kev noj tshuaj yog tsim nyog tsis muaj ua ntej dhau 1 lub hlis ntawm kev kho mob nrog cov tshuaj no. Tab sis yog tias tus neeg mob tsis tuaj yeem txo cov piam thaj hauv ob lub lis piam, tom qab ntawd nws tuaj yeem nce qhov ntau ntxiv ntawm cov tshuaj.
Nws yuav tsum raug sau tseg tias 1 ntsiav tshuaj ntawm cov tshuaj Diabetalong PV muaj 60 mg ntawm glyclazide, uas sib haum rau 2 ntsiav tshuaj ntawm cov tshuaj MV nrog tshuaj ntawm 30 mg.
Thaum hloov los ntawm lwm cov tshuaj txo cov ntshav qab zib kom kho nrog Diabetalong, feem ntau tsis tas yuav tsum so. Qhov tshwj xeeb tsuas yog siv cov sulfonylurea derivatives. Qhov pib ntawm thawj cov tshuaj yog 30 mg, txawm hais tias nws zoo dua los soj ntsuam nrog koj tus kws kho mob.
Diabetalong tuaj yeem siv ua ke nrog hypoglycemic tshuaj xws li biguanides, insulin thiab alpha-glucosidase inhibitors.
Nrog kev ceev faj, nws yuav tsum siv los ntawm cov neeg mob uas muaj kev pheej hmoo ua rau ntshav qab zib.
Cov txheej txheem sib tsoo thiab cov phom sij uas yuav muaj
Cov tshuaj no muaj ntau yam contraindications. Lawv feem ntau cuam tshuam nrog kev ua haujlwm ntawm ob lub raum, txiav thiab mob siab.
Ntxiv rau qhov tseeb tias Diabetalong tsis tuaj yeem nqa los ntawm cov neeg mob ntshav qab zib nrog cov tshuaj insulin-tiv thaiv kab mob, cov tshuaj no txwv nrog:
- tus kheej tsis kam rau gliclazide thiab lwm yam tshuaj;
- mob ntshav qab zib coma, precoma, kev loj hlob ntawm cov kab mob ntshav qab zib ketoacidosis;
- lub raum lossis lub siab ua haujlwm tsis zoo;
- txhawb siv miconazole;
- coj tus menyuam thiab lactation;
- lactose intolerance, piam thaj-galactose malabsorption thiab tsis muaj lactase;
- cov me nyuam hnub nyoog qis dua 18 xyoo
Cov tshuaj yuav tsum tau noj nrog kev saib xyuas tshwj xeeb rau cov neeg laus ntshav qab zib, nrog rau:
- kev noj haus tsis zoo;
- piam thaj-6phosphate dehydrogenase tsis muaj peev xwm;
- hypothyroidism;
- kev ntsuas siab;
- pituitary lossis adrenal tsis txaus ntseeg;
- haus dej haus cawv tsis tu ncua;
- lub raum thiab / lossis daim siab ua haujlwm;
- ntev kho nrog glucocorticoids.
Tus neeg sawv cev rau cov piam thaj Qab zib yuav tsum tau noj, tshuaj xyuas txhua qhov ntau thiab kev pom zoo ntawm tus kws tshaj lij. Cov pob tshuaj tua ntshav tsis zoo, kev noj zaub mov tsis xwm yeem, lossis noj ntau dhau yuav ua rau muaj kev tsis zoo ntau. Muaj feem ua rau muaj kev phom sij yog:
- Kev tsim kho ntawm lub xeev hypoglycemic. Nws yog tus cwj pwm los ntawm ntau cov tsos mob, piv txwv, mob taub hau thiab kiv taub hau, tshaib plab, kem plab, nyuaj siab, tsis meej pem, tsaus muag, ploj ntawm kev tswj tus kheej, plooj tsis pom kev, nce ua pa thiab lub plawv dhia.
- Cov tsos ntawm adrenergic kev tshwm sim. Cov no suav nrog nce hws, ntxhov siab ntxiv, nce ntshav siab, angina pectoris, arrhythmia, thiab tachycardia.
- Kev cuam tshuam ntawm lub plab zom mov, tshwm sim los ntawm kev mob plab, bouts ntawm xeev ntuav thiab ntuav, raws plab los yog cem quav.
- Cov tawv nqaij ua xua xws li pruritus, tawm pob, Quincke's edema, urticaria, erythema, maculopapular tawm pob, lossis mob voos.
- Hemopoiesis kev ua haujlwm tsis zoo - ntshav liab, thrombocytopenia, leukopenia thiab granulocytopenia.
- Kev tsis ua hauj lwm ntawm daim siab thiab kab mob plab, uas tau pom tias muaj kab mob siab, ua haujlwm nce siab rau daim siab ua haujlwm ntawm lub siab.
Tsis tas li ntawd, muaj kev phom sij tuaj yeem tshwm sim nws tus kheej hauv cov tsos ntawm ntau yam kev ua haujlwm ntawm qhov tsis zoo ntawm lub plab (qhov muag pom, saj).
Kev Sib Tham Txog Tshuaj Dawjalong
Yog tias tus neeg mob siv lwm cov tshuaj rau tib lub sijhawm, nws yuav tsum qhia nws tus kws kho mob txog qhov no. Kev zais cov ntaub ntawv tseem ceeb no tuaj yeem ua rau lub txim tsis zoo.
Qhov tshwm sim ntawm ntau cov tshuaj rau ntawm cov nyhuv ntawm Diabetalong txawv: qee qhov nws ua rau nws cov ntshav qog zoo, lwm tus, ntawm qhov tsis sib xws, nws txo qis.
Kev siv cov miconazole, phenylbutazone thiab ethanol ua rau muaj kev txhim kho hauv lub xeev hypoglycemic hauv tus neeg mob ntshav qab zib mellitus. Thiab danazol, chlorpromazine, GCS, terbutaline, ritodrine thiab salbutamol ua rau qaug zog ntawm cov suab thaj txo cov nyhuv ntawm cov tshuaj. Ntxiv rau, kev siv Diabetolong thiab anticoagulants yuav tsum ua ke nrog ceev faj.
Nrog rau kev txhim kho hypoglycemia ua ib daim ntawv me lossis mob hnyav, thaum tus neeg mob nco qab, nws yuav tsum tau muab cov khoom muaj cov piam thaj thiab carbohydrates (ib qho qab zib, chocolate, kua txiv qab zib kua txiv). Tom qab ntawv nws yuav tsum tau sab laj ib tus kws kho mob txog kev hloov kho ntau npaum li cas lossis kev hloov pauv tshuaj.
Hauv lub xeev hypoglycemic loj, thaum tus neeg mob tsis nco qab lawm thiab mob plab, yuav tsum tau mus pw hauv tsev kho mob sai. Hauv cov xwm txheej zoo li no, tus kws kho mob qhia cov neeg mob tso kua dej qab zib rau (20-40%). Tom qab nws rov qab nco qab, nws tau muab cov khoom noj muaj cov carbohydrates. Tom qab ua haujlwm tas li, tus kab mob ntshav qab zib yog nyob rau hauv kev tswj hwm ntawm kws kho mob rau li ob hnub ntxiv. Tom qab ntawd tus kws kho mob daws cov teeb meem ntawm kev kho mob ntxiv nrog lub hypoglycemic.
Nws yuav tsum raug sau tseg tias cov txheej txheem lim ntshav hauv cov kev mob ntshav qab zib tsawg kawg yog qhov tsis muaj txiaj ntsig, vim tias gliclazide zoo li yuav khi rau cov protein nyob hauv ntshav ntshav.
Nqi, tshuaj xyuas thiab analogues
Txij li thaum cov tshuaj raug muag tsuas yog los ntawm cov tshuaj noj, tus mob ntshav qab zib yuav tsis yog tus kheej noj tshuaj, rau cov pib, nrhiav kev pab ntawm kws kho mob. Cov tshuaj yuav yog ob qho tib si hauv tsev muag tshuaj tsis tu ncua thiab hauv Is Taws Nem.
Diabetalong muaj cov nqi tsim nyog. Piv txwv li, tus nqi ntawm kev ntim 30 mg ntsiav tshuaj (60 daim) yog thaj tsam ntawm 98 txog 127 rubles Lavxias.
Raws li kev xav ntawm cov neeg siv khoom thiab cov kws kho mob, feem ntau, txhua tus neeg zoo siab nrog cov tshuaj no. Thaum siv Diabetalong, kev txheeb xyuas tau hais tias nws yog cov tshuaj zoo tshaj plaws rau kev kho mob ntshav qab zib hom 2. Ua tsaug rau cov lus los ntawm ntau cov neeg mob siv cov tshuaj no, cov txiaj ntsig zoo hauv qab no tuaj yeem pom:
- nqis txo nyob rau hauv qab zib theem;
- zoo sib cuam tshuam nrog lwm yam tshuaj;
- pheej yig tus nqi tshuaj;
- poob phaus thaum siv tshuaj ntsiav.
Txawm li cas los xij, thaum lub sijhawm kawm txog kev kho nrog tshuaj, ntau tus neeg mob tsis nyiam qhov yuav tsum tau mus kuaj xyuas lawv cov ntshav qab zib cov ntshav kom siab. Tab sis yog tias qhov nuance no tsis ua rau lwm tus ntshai, ces Diabetalong yog qhov kev xaiv zoo tshaj plaws rau kev ruaj khov ntawm qib glycemia. Ntxiv rau, nws txoj kev siv txuas ntxiv txo qhov kev xav tau xws li muaj cov piam thaj ntau ntau.
Nyob rau hauv rooj plaub thaum thaum cov tshuaj ua rau muaj kev phiv tshuaj ntau ntxiv nyob rau hauv tus neeg mob lossis yog pom tseeb hauv feem ntau, tus kws kho mob sau cov tshuaj analogues rau nws. Zoo ib yam txhais tau tias yog cov uas muaj cov khoom sib txawv, tab sis muaj cov txiaj ntsig kho tib yam. Cov no suav nrog: Amaryl, Glemaz, Glimepiride, Glyurenorm thiab lwm yam tshuaj.
Tsis tas li, tus kws kho mob tuaj yeem tsom xyuas qhov kev xaiv ntawm cov tshuaj synonym, uas yog, tus neeg sawv cev uas muaj cov khoom siv tib yam. Qhov sib txawv tsuas yog nyob rau hauv muaj cov neeg zam, piv txwv li, Diabeton MV, Glidiab, Gliclada.
Diabetalong yog ib yam tshuaj uas muaj suab thaj zoo heev uas ua rau cov piam thaj qis. Nrog rau kev siv kom zoo, tus neeg mob tuaj yeem tiv thaiv qib ntawm glycemia thiab tiv thaiv cov kev mob nyhav, tshwj xeeb hauv cov hlab plawv pathologies.
Yog tias rau qee qhov laj thawj cov tshuaj tsis haum, txhua yam ntawm analogues tuaj yeem hloov nws. Qhov tseem ceeb tshaj plaws yog sab laj nrog koj tus kws kho mob thiab ua raws li tag nrho cov lus pom zoo uas tau teev tseg.
