Glucobai rau cov ntshav qab zib hom 2 thiab rau poob

Glucobai yog lub cim kev tswj hwm ntawm txhua hnub ntawm glycemia. Nws ua haujlwm ntawm cov lus ceeb toom: nws tsis tshem tawm cov piam thaj hauv cov ntshav, zoo li lwm cov tshuaj tiv thaiv kab mob, tab sis txwv tsis pub nws nkag mus rau hauv cov hlab ntsha ntawm lawv txoj hnyuv. Cov tshuaj no kim dua thiab tsis ua haujlwm zoo dua li metformin lossis glibenclamide, feem ntau ua rau teeb meem plab zom mov.

Feem ntau cov neeg endocrinologist xav txog Glucobai ib qho tshuaj tiv thaiv. Nws yog tshuaj thaum tus mob ntshav qab zib muaj qhov tsis sib haum rau kev noj lwm yam tshuaj lossis ua ke nrog lawv txhawm rau txhim kho cov kev tiv thaiv ntshav qab zib. Glucobai kuj tseem paub zoo hauv cov voj voog xav kom yuag yuag uas yog txhais tau tias yuav txo cov calories ntau ntawm cov zaub mov.

Yuav ua li cas Glucobay

Cov tshuaj nquag ntawm Glucobay yog acarbose. Hauv cov hnyuv me, acarbose dhau los ua tus neeg sib tw rau saccharides, uas tuaj nrog zaub mov. Nws qeeb, lossis inhibits, alpha-glucosidases, tshwj xeeb cov enzymes uas zom cov carbohydrates rau monosaccharides. Ua tsaug rau qhov kev nqis tes no, qhov nqus ntawm cov piam thaj mus rau hauv cov ntshav tau ncua, thiab qhov dhia ceev hauv glycemia tom qab noj mov yog tiv thaiv kab mob ntshav qab zib mellitus. Tom qab noj cov ntsiav tshuaj, ib feem ntawm cov piam thaj yog nqus nrog lub sijhawm qeeb, lwm qhov yog tawm los ntawm lub cev tsis muaj qhov tiv thaiv.

Acarbose hauv lub cev yog xyaum tsis nqus, tab sis yog metabolized hauv cov hnyuv. Ntau tshaj li ib nrab ntawm acarbose yog tawm hauv quav, yog li nws tuaj yeem kho rau nephropathy thiab daim siab tsis ua haujlwm. Li ib feem peb ntawm cov metabolites ntawm cov tshuaj no nkag mus rau hauv cov zis.

Cov lus qhia rau kev siv tso cai rau kev siv Glucobay nrog metformin, sulfonylurea kev npaj, tshuaj insulin. Cov tshuaj nws tus kheej tsis tuaj yeem ua rau mob ntshav qab zib tsawg, tab sis yog tias tag nrho cov koob tshuaj hypoglycemic ntau dua li qhov xav tau rau lawv, qab zib tuaj yeem poob qis dua ib txwm.

Mob ntshav qab zib thiab siab surges yuav yog ib yam dhau los

• Li qub ntawm qab zib -95%
• Kev tshem tawm ntawm cov hlab ntsha thrombosis - 70%
• Ntaus tau ntawm lub plawv dhia muaj zog -90%
• Kev tshem tawm ntshav siab - 92%
• Qhov nce hauv lub zog nruab hnub, txhim kho pw tsaug zog thaum hmo ntuj -97%

Leej twg yog tus muab tshuaj rau

Cov tshuaj Glucobay tau sau tseg:

1. Txhawm rau them rau kev mob ntshav qab zib hom 2 tib lub sijhawm kev hloov kho khoom noj. Cov tshuaj tsis tuaj yeem hloov tag nrho cov zaub mov uas tsis muaj carb qis rau cov neeg mob ntshav qab zib, vim tias qhov no yuav tsum tau noj ntau dhau, thiab nrog rau qhov nce ntxiv, qhov ntau ntawm cov tshwm sim ntawm Glucobay kuj nce ntxiv.
2. Txhawm rau tshem tawm cov me yuam kev hauv cov zaub mov noj.
3. Raws li ib feem ntawm kev kho mob dav dav nrog lwm cov tshuaj, yog tias lawv tsis muab cov phiaj xwm theem ntawm glycemia.
4. Ntxiv rau metformin, yog tias cov mob ntshav qab zib tau muaj cov insulin ntau ntau thiab sulfonylureas tsis qhia.
5. Yog tias koj xav txo qis cov tshuaj insulin hauv hom 2 mob ntshav qab zib. Raws li cov mob ntshav qab zib, cov koob tshuaj tuaj yeem txo los ntawm 10-15 units ib hnub.
6. Yog hais tias triglycerides nyob rau hauv cov ntshav siab dua ib txwm. Tshaj li cov insulin txwv tsis pub tshem tawm cov lipids los ntawm cov hlab ntshav. Los ntawm kev txo cov ntshav qab zib, Glucobai kuj tshem tawm cov hyperinsulinemia.
7. Txog tom qab pib kev siv tshuaj insulin. Cov neeg mob ntshav qab zib feem ntau nyiam thev taus cov kev mob tshwm sim ntawm cov tshuaj rau kev ntshai ntawm cov tshuaj insulin.
8. Hauv kev kho mob thaum pib mob tsis txaus siab ntawm cov metabolism carbohydrate: mob ntshav qab zib, NTG, metabolic syndrome. Cov lus qhia tau qhia tias Glucobai nrog kev siv tsis tu ncua 25% txo qhov kev pheej hmoo ntawm kev tsim muaj ntshav qab zib. Txawm li cas los xij, muaj pov thawj pom tias cov tshuaj tsis cuam tshuam rau qhov tseem ceeb ntawm kev ua txhaum: insulin tsis kam thiab nce ntxiv ntawm cov piam thaj los ntawm daim siab, yog li cov kws kho mob nyiam sau tshuaj metformin ntau dua rau kev tiv thaiv ntshav qab zib.
9. Txhawm rau tswj lub cev hnyav. Nrog rau cov ntshav qab zib, cov neeg mob yuav tsum tau tawm tsam tas li nrog kev rog. Glucobay pab tswj cov cev nyhav, thiab hauv qee kis tseem ua rau poob phaus.

Kev txheeb xyuas pom tau tias cov tshuaj muaj txiaj ntsig zoo tshaj plaws rau cov neeg mob ntshav qab zib nrog cov ntshav qab zib tsawg thiab muaj cov ntshav txhaws tom qab. Cov kev tshawb fawb soj ntsuam tau pom tias yuav txo qis qab zib: nyob rau lub plab khoob los ntawm 10%, tom qab noj mov 25% rau rau lub hlis ntawm kev kho mob nrog Glucobay. Qhov txo qis hauv glycated hemoglobin ntau txog 2.5%.

Cov lus qhia rau coj cov tshuaj

Glucobai ntsiav tshuaj yog qaug dej qaug cawv tam sim ua ntej noj mov, ntxuav nrog lub ntim me me hauv dej, lossis zom ua ke nrog thawj ib nrab dej ntawm cov zaub mov. Qhov koob tshuaj txhua hnub tau muab faib ua 3 zaug thiab noj nrog zaub mov tseem ceeb. Lwm lub sijhawm, cov tshuaj tsis muaj txiaj ntsig. Glucobai muaj 2 txoj kev xaiv tshuaj: 50 lossis 100 mg ntawm acarbose hauv 1 ntsiav tshuaj. Ib ntsiav tshuaj 50 mg yog qaug cawv tag nrho, Glucobai 100 mg kev qhia tso cai rau koj faib ib nrab.

Koob xaiv Algorithm:

Glucobai ntau npaum li cas tau nce yog tias qhov pib tsis muab cov phiaj xwm thaj suab thaj. Txhawm rau tiv thaiv kev phiv, nce cov ntsiav tshuaj qeeb heev. 1-2 hlis yuav tsum dhau ntawm kev hloov kho koob tshuaj. Nrog mob ntshav qab zib, qhov pib noj tau nce mus rau qhov zoo tshaj hauv 3 lub hlis. Raws li kev txheeb xyuas, cov qauv zoo ib yam yog siv rau cov kev poob phaus uas yog rau kho mob ntshav qab zib.

Tus nqi ntawm ib pob ntawm 30 ntsiav tshuaj ntawm Glucobai 50 mg - txog 550 rubles., Glucobai 100 mg - 750 rubles. Thaum noj qhov nruab nrab qhov ntau, kev kho yuav raug nqi tsawg kawg yog 2250 rubles. hauv ib hlis.

Yam phiv uas yuav yog

Thaum cov kev tshawb fawb soj ntsuam ntawm Glucobay, cov kev mob tshwm sim hauv qab no tau txheeb xyuas thiab ua raws li cov lus qhia (npaj rau hauv kev ua kom tsawg zuj zus):

1. Ntau zaus - muaj roj ntau ntxiv nyob rau hauv cov hnyuv.
2. Feem ntau - mob plab vim kev sib txuam ntawm cov pa roj, mob plab zom mov.
3. Ncaj nceeg - qhov nce ntawm theem ntawm daim siab enzymes, thaum noj Glucobay nws tuaj yeem ua rau luv luv thiab ploj ntawm nws tus kheej.
4. Tsis tshua muaj, qhov tsis txaus ntawm cov enzymes hauv plab, xeev siab, ntuav, o, daj ntseg.

Hauv lub sijhawm tshaj tawm tom qab tau tshaj tawm, cov ntaub ntawv tau txais ntawm kev ua xua rau lub Cheebtsam ntawm Glucobay ntsiav tshuaj, mob plab hnyuv, mob siab, thrombocytopenia. Acarbose ib nrab suppress lub lactase, uas yog qhov tsim nyog rau kev ua kom piam ntawm cov piam thaj hauv cov mis, yog li thaum noj cov tshuaj, intolerance mus rau tag nrho cov mis yuav nce ntxiv.

Qhov ntau zaus thiab qhov mob tsis txaus ntseeg ntawm cov tshuaj nyob ntawm nws cov koob tshuaj. Thaum kev mob tshwm sim, kev tshem yeeb tshuaj tsis yog ib txwm tsim nyog, feem ntau txo nws cov tshuaj ntau npaum li cas.

Kev siv cov Glucobay zoo heev txwv qhov kev phiv li flatulence. Yuav luag tsis muaj leej twg ua tiav hauv kev zam, vim tias cov tshuaj ntawm cov tshuaj ua haujlwm nws tus kheej pab txhawb kev tsim cov roj. Fermentation ntawm cov undigested carbohydrates pib hauv txoj hnyuv, uas nrog kev tawm ntawm cov roj cua. Raws li, cov carbohydrates ntau muaj nyob hauv cov zaub mov, cov txheej txheem fermentation yuav muaj zog dua. Flatulence tsuas yog ua kom tsawg los ntawm kev ua raws li cov zaub mov muaj carb qis.

Rau cov mob ntshav qab zib, qhov ua kom tshwm sim no tuaj yeem suav hais tias yog qhov zoo. Firstly, Glucobay dhau los ua hom kev tswj hwm, tsis pub ua txhaum rau cov khoom noj tsis haum. Thib ob, cov neeg mob ntshav qab zib feem ntau muaj qhov tso quav tawv tawv, thiab Glucobai tso cai rau koj kho cov quav yam tsis siv tshuaj laxa.

Cov Yuav Tsum Muaj

Nruj contraindications rau noj Glucobay - hypersensitivity rau cov tshuaj, thaum yau, HBV thiab cev xeeb tub. Hauv cov kab mob hauv plab hnyuv, yuav tsum tau kuaj ntxiv kom paub meej txog kev zom zaub mov thiab nqus kom tsawg. Cov kab mob uas ua rau lub plab zom mov tuaj yeem tseem tuaj yeem ua txoj kev nyuaj rau noj Glucobay. Hauv kev mob raum tsis ua haujlwm nrog GFR <25, kev tsis txaus siab ntawm acarbose metabolites yog cuam tshuam, qee qhov tau ua haujlwm. Kev siv cov Glucobay hauv qhov no yog txwv tsis pub, vim nws ua rau kom dhau hle.

Glucobay rau poob phaus

Cov lus qhia rau kev siv tsis muaj cov ntaub ntawv uas Glucobai pab kom poob ceeb thawj, uas yog, qhov kev txiav txim ntawm cov tshuaj no tsis tau lees paub tseeb. Txawm li cas los xij, muaj kev tshawb fawb nyob rau hauv uas cov ntsiav tshuaj no tau muab piv nrog kev noj zaub mov tsis muaj calorie. Nws muab tawm tias qhov tshwm sim ntawm Glucobay rau qhov hnyav poob kwv yees li ntawm sib luag rau 500-600 calories. Txoj kev tshawb no tau ua rau pab pawg neeg uas muaj kev pheej hmoo siab mob ntshav qab zib: kev rog dhau, ntshav siab, lossis mob ntshav qab zib. Nws tau xav tias cov tshuaj Glucobay, thaum txo qis cov piam thaj hauv cov hlab ntshav, tib lub sijhawm me ntsis txo cov tshuaj insulin tsis kam, uas tau pom nyob rau hauv feem ntau ntawm cov neeg mob no. Qhov ntim ntawm cov tshuaj insulin yog txo qis, uas txhais tau tias kev poob phaus yog ua kom yooj yim.

Qhov tshwm sim ntawm cov keeb kwm tsis muaj txiaj ntsig tsis tuaj yeem kwv yees tsis tau, vim tias lawv cov nyiaj muaj ntau yam nyob ntawm qhov sib xyaw ua ke ntawm cov khoom lag luam thiab cov yam ntxwv ntawm kev zom. Raws li kev soj ntsuam pom, lub luag haujlwm tseem ceeb yog ua los ntawm kev mob tshwm sim uas txwv kev noj cov zaub mov muaj zaub mov muaj roj ntau ntau hauv cov zaub mov noj.

Analogs

Glucobai yog tib lub tshuaj npe rau hauv Lavxias nrog acarbose, nws tsis muaj tag nrho cov analogues. Ntxiv mus, hauv peb cov khw muag tshuaj koj tuaj yeem tsis tuaj yeem yuav cov pawg analogues - cov tshuaj nrog tib cov txiaj ntsig, koom nrog tib pab pawg.

Hauv qab no alpha-glucosidase inhibitors tuaj yeem muas hauv khw muag tshuaj txawv teb chaws:

Ntawm cov analogues ntawm Glucobay, tus nqi pheej yig yog Ukrainian Voksid, nws tus nqi yog los ntawm 150 rubles. rau ib pob ntawm 30 ntsiav tshuaj ntxiv rau xa khoom. Yuav tsum muaj li 3 pob nyob rau ib hlis.

Kev Ntsuas Xyuas Mob Ntshav Qab Zib