Mob ntshav qab zib mellitus yog qhov feem ntau endocrinological pathology. Tus kabmob yog ntawm ob hom - insulin-dependant thiab non-insulin-dependant. Ntshav qab zib mellitus yog ib hom mob ntev mus.
Hauv kev kho mob ntawm tus kab mob, cov tshuaj tau siv uas pab ua kom cov piam thaj zoo li qub. Ib qho tshuaj nrov tshaj plaws ntawm hom no yog Glucobai 100 mg. Cov tshuaj yog siv ob qho tib si hauv kev kho mob ntshav qab zib hom 1 thiab kev kho mob ntshav qab zib hom 2 thiab tus kws kho mob tau sau nws rau tus mob.
Ib cov tshuaj yog tsim hauv cov qauv ntawm cov ntsiav tshuaj. Glucobai 50 mg thiab 100 mg tau muag. Lawv sib txawv ntawm lawv tus kheej hauv cov nyiaj ntawm cov tshuaj yeeb dej caw hauv ib ntsiav tshuaj. Tus nqi ntawm cov tshuaj yog 660-800 rubles. Thaum muas tshuaj, koj yuav tsum muab daim ntawv yuav tshuaj uas tsim nyog los ntawm koj tus kws kho mob.
Pharmacological kev txiav txim siab ntawm Glucobay
Glucobai yog tus sawv cev hypoglycemic rau kev siv lub qhov ncauj. Cov tshuaj tiv thaiv tsis haum ntawm cov tshuaj yog acarbose. Qhov tshuaj no tswj cov ntshav qabzib hauv cov ntshav.
Cov tshuaj ua haujlwm li cas? Acarbose yog ib yam khoom uas inhibits hnyuv alpha glucosidase. Cov tshuaj tiv thaiv nquag tseem ua rau txo qis kev hloov pauv ntawm kev tsis sib haum, oligosaccharides thiab polysaccharides rau monosaccharides. Vim tias qhov no, tus nqi ntawm kev nqus ntawm cov piam thaj los ntawm txoj hnyuv txo.
Nws yog ib qho tseem ceeb tshaj plaws tias nrog kev siv cov ntsiav tshuaj, qhov mob ntshav qab zib tsawg tsis txhim kho. Kev noj tshuaj tsis tu ncua txo qis kev phom sij:
- Myocardial infarction.
- Qhov tawm tsam ntawm hypoglycemia thiab hyperglycemia.
- Kev txhim kho ntawm cov kab mob mus ntev ntawm cov hlab plawv.
Qhov siab tshaj plaws ntawm cov tshuaj nquag hauv cov ntshav tau pom tom qab 1-2 teev. Nquag cov tshuaj tsis haum ntawm cov tshuaj tawm tom qab txoj hnyuv, raum thiab mob siab.
Cov lus qhia rau kev siv tshuaj
Thaum xaiv Glucobai, cov lus qhia rau kev siv yuav tsum kawm, vim tias nws muaj tag nrho cov ntaub ntawv thiab kev qhia, contraindications thiab phiv. Nyob rau hauv qhov rooj plaub twg nws yog qhov tsim nyog kom noj cov tshuaj no?
Cov lus qhia tau hais tias cov tshuaj yuav tsum tau siv nyob rau hauv txoj kev kho mob ntawm cov ntshav qab zib hom 1. Kuj tseem qhia txog kev siv yog hom ntshav qab zib 2. Koj tuaj yeem siv cov tshuaj rau kev rog thiab mob ntshav qab zib.
Tab sis kom poob phaus nrog kev pab ntawm Glucobay yog ua tau yog tias koj ua raws li cov khoom noj tshwj xeeb. Nws yog tsim nyog sau cia tias tus neeg poob ceeb thawj yuav tsum haus tsawg kawg 1000 kilocalories ib hnub. Txwv tsis pub, muaj ntau yam hypoglycemia yuav tshwm sim, nce mus txog qhov ua kom tsis muaj ntshav qab zib.
Yuav noj cov tshuaj li cas? Haus tshuaj ua ntej noj mov. Thawj qhov tshuaj yog 150 mg. Faib qhov tshuaj txhua hnub rau hauv 3 koob. Yog tias tsim nyog, qhov koob tshuaj tau nce txog 600 mg. Tab sis hauv qhov no, qhov kev noj tshuaj txhua hnub yuav tsum tau muab faib ua 3-4 zaug.
Yog hais tias thaum lub sij hawm kho txoj kev kho mob tus neeg mob tau flatulence thiab raws plab, ces ntau npaum li cas yuav tsum raug txo, lossis txoj kev kho yuav tsum cuam tshuam nrog txhua yam. Lub sijhawm kho nrog Glucobaem yog xaiv ntawm tus kheej.
Contraindications kom noj cov ntsiav tshuaj:
- Kev tsis haum tshuaj rau cov feem ntawm cov tshuaj.
- Cov me nyuam lub hnub nyoog. Cov tshuaj tsis raug cai rau cov neeg mob hnub nyoog qis dua 18 xyoo.
- Lub xub ntiag muaj mob ceev los yog mob plab hnyuv. Kev tshuaj xyuas los ntawm cov kws kho mob pom tias cov tshuaj txaus ntshai los kho rau cov neeg uas mob plab hnyuv.
- Ntshav qab zib ketoacidosis.
- Kev tsis sib haum xeeb hauv daim siab. Nws raug txwv tsis pub siv cov tshuaj yog tias ib tug neeg mob siab ua daim siab tsis ua haujlwm, mob ntshav siab lossis mob siab.
- Ulcerative lesions lub plab hnyuv lossis lwm yam plab hnyuv ntawm lub plab zom mov.
- Lub sijhawm cev xeeb tub.
- Lub sijhawm lactation. Tab sis cov lus qhia tau hais tias cov tshuaj tuaj yeem raug muab rau lactating cov poj niam yuav raug ncua ib ntus ntawm kev pub niam mis.
- Cov raum tsis ua haujlwm (nrog cov ntsiab lus creatinine saum toj 2 ml ib 1 dl).
- Remgeld's mob.
- Lub xub ntiag ntawm loj hernias nyob rau hauv plab phab ntsa.
- Malabsorption syndrome lossis maldigestion.
Nrog kev ceev faj, cov tshuaj yog raug rau tib neeg tom qab kev phais mob. Tsis tas li, kev hloov kho ntawm kev kho mob kuj yuav tsim nyog yog tias tus neeg mob tau kis mob los yog kub ib ce. Nws yog tsim nyog sau cia tias thaum kho kev kho mob, cov zaub mov uas muaj sucrose ntau dua tsis tuaj yeem noj. Txwv tsis pub, cov tsos mob dyspeptic yuav tshwm sim.
Glucobai cuam tshuam nrog lwm cov tshuaj li cas? Nws tau tsim tau tias cov tshuaj muaj txiaj ntsig tsawg dua yog tias cov hnyuv nqus, antacids lossis enzyme npaj tau noj nrog nws. Nws tseem yuav tsum tau yug hauv siab tias nrog kev siv tib lub sijhawm Glucobay nrog sulfonylurea derivatives los yog insulin, cov nyhuv tshuaj tiv thaiv hypoglycemic yog kho kom zoo.
Nws raug nquahu kom tsis txhob siv cov cuab yeej no nrog thiazide diuretics, tshuaj tiv thaiv qhov ncauj, corticosteroids, nicotinic acid. Nrog lawv cov kev cuam tshuam, decompensation ntawm cov ntshav qab zib tuaj yeem tsim kho. Tsis tas li, cov kab mob pathology no tuaj yeem tsim kho yog tias koj noj phenothiazines, estrogens, isoniazids, calcium channel blockers, adrenomimetics tib lub sijhawm ua Glucobai.
Thaum siv Glucobai ntsiav tshuaj, muaj qhov tshwm sim ntawm qhov tshwm sim ntawm cov kev mob tshwm sim:
- Los ntawm cov mob plab zom mov: mob ntsig txog mob epigastric, xeev siab, raws plab, plab. Nyob rau hauv cov ntaub ntawv ntawm overdose, muaj ib qho zoo li ntawm asymptomatic nce nyob rau hauv theem ntawm kev ua si ntawm daim siab enzymes. Kuj tseem muaj cov neeg mob uas paub tias thaum muaj mob hnyuv, ua daj thiab daj ntseg thaum pib kho.
- Kev ua xua tsis haum.
- O o.
Yog tias dhau ntawm kev noj ntau dhau, anaphylactic kev tsim kho. Hauv qhov no, kev kho cov tsos mob raug ua.
Qhov zoo tshaj plaws analogue ntawm Glucobay
Yog hais tias Glucobay yog contraindicated rau ib qho laj thawj, ces tus neeg mob tau muab nws pawg ua ke. Undoubtedly, qhov zoo tshaj plaws kev hloov kho rau cov cuab yeej no yog Glucofage. Cov tshuaj no kuj tseem siv rau hauv kev kho mob ntawm hom 1 thiab ntshav qab zib hom 2. Tus nqi ntawm cov tshuaj hauv khw muag tshuaj yog 500-700 rubles.
Coob leej ntau tus nyiam dab tsi yog dab tsi txawv ntawm Glucofage thiab Glucobay. Lub ntsiab sib txawv ntawm cov tshuaj no yog cov muaj pes tsawg leeg thiab cov ntsiab cai ntawm kev ua. Tab sis ob qho tshuaj muaj txiaj ntsig zoo ib yam.
Glucophage ua hauj lwm li cas? Cov tshuaj tiv thaiv nquag hu ua metformin. Qhov tshuaj yeeb dej caw no muaj cov nyhuv suab qab zib hypoglycemic. Nws yog qhov pom tias nyob rau hauv cov neeg mob uas muaj ntshav qab zib cov ntshav siab li qub, metformin tsis muaj qhov tshwm sim hypoglycemic.
Tus txheej txheem ntawm kev ua ntawm Glucofage yog ua raws li lub peev xwm ntawm nws txoj kev sib txuam txhawm rau nce cov kev nkag siab ntawm cov hlwb rau insulin thiab txo tus nqi ntawm cov kua nplaum nyob rau hauv cov hnyuv. Yog li, cov tshuaj pab rau:
- Cov suab thaj tsawg tsawg hauv lub siab.
- Cov kev pab ntawm cov piam thaj hauv kev siv cov leeg nqaij.
- Txhim kho cov metabolism hauv lipid.
- Cov roj (cholesterol) qis dua, triglycerides thiab lipoproteins, uas tsis muaj ntau yam tsawg.
Glucophage yuav txawv los ntawm nws cov hauj lwm zoo los ntawm lwm cov tshuaj hypoglycemic. Qhov no vim yog qhov tseeb tias lub tshuaj muaj cov cim qhia siab ntawm bioavailability. Lawv ua li ntawm 50-60%. Qhov siab tshaj plaws ntawm cov tshuaj nquag ntawm cov tshuaj hauv cov ntshav yog pom tom qab 2.5 teev.
Yuav noj cov tshuaj li cas? Koj yuav tsum haus cov ntsiav tshuaj thaum lub sijhawm lossis ua ntej noj mov. Qhov koob tshuaj txhua hnub feem ntau yog 2-3 grams (2000-3000 milligrams). Yog tias tsim nyog, tom qab 10-15 hnub, qhov koob tshuaj tau nce lossis nqis. Cov koob tshuaj saib xyuas yog 1-2 grams. Nws yog tsim nyog sau cia tias kev siv tshuaj txhua hnub yuav txawv. Ntau txoj hauv kev, nws yog txiav txim siab los ntawm koob tshuaj insulin.
Cov tshuaj txwv tsis pub nrog:
- Kev ua xua rau cov Cheebtsam ntawm glucophage.
- Tsis hlauv.
- Kev ua txhaum ntawm daim siab.
- Lub cev qhuav dej.
- Kev ua pa tsis ua haujlwm.
- Kis tau cov kab mob.
- Lactic acidosis.
- Mob plab zom mov coma.
- Mob myocardial infarction (keeb kwm).
- Hypocaloric noj (tsawg dua 1000 kilocalories ib hnub).
- Cev xeeb tub thiab lactation.
Thaum siv cov tshuaj, cuam tshuam hauv kev ua haujlwm ntawm lub plab zom mov, CCC thiab hematopoietic system tuaj yeem tsim kho. Tseem muaj qhov tseem ntawm cov teeb meem ntawm kev zom zaub mov tsis txaus. Feem ntau, cov kev mob tshwm sim tshwm sim nrog kev overdose.
Cov yeeb yaj kiab hauv tsab xov xwm no tham txog sab zoo thiab tsis zoo ntawm cov tshuaj Glucobay.
