Ntshav qab zib yog cov tshuaj uas siv tau hom 2 mob ntshav qab zib. Nws lub ntsiab lus nquag yog gliclazide. Cov tshuaj yog tus cwj pwm los ntawm qhov kev tso tawm sai thiab tus nqi siab, yog li ntau tus neeg mob tab tom nrhiav rau ntau dua cov tshuaj tiv thaiv zoo dua ntawm Diabeton. Kev siv tus kheej ntawm cov tshuaj yog txwv: cov lus qhia tshwj xeeb yuav tsum tau.
Khoom Piav Qhia
Diabeton yog ib tus neeg sawv cev hypoglycemic thiab ib qho kev tso dag ntawm β-sulfonylurea, uas yog qhov ncauj noj. Nws qhov txawv ntawm cov lus sib txawv yog lub xub ntiag ntawm N-muaj cov nplhaib heterocyclic nrog kev ua haujlwm endocyclic. Cov tshuaj noj pab txhawb lub zog tsim cov tshuaj insulin los ntawm β-hlwb ntawm cov islets ntawm Langerhans thiab txo cov piam thaj hauv cov ntshav hauv cov ntshav.
Tom qab ob xyoos ntawm kev kho mob, qhov nce ntxiv ntawm C-peptide thiab postprandial insulin tseem nyob. Qhov kev ua si tsis muaj zog qhia pom cov teebmeem hemovascular thiab cuam tshuam txog cov metabolism hauv kev ua kom yuag. Ntawm hom 2 mob ntshav qab zib, nws nce lub sijhawm thib 2 ntawm cov kua dej tso tawm thiab rov qab ua kom qhov siab tshaj plaws ntawm nws qhov kev tso siab rau cov ntshav qabzib. Cov txheej txheem no tau pom tshwj xeeb tshaj yog nrog nws txoj kev qhia thiab hauv kev teb rau kev tsa, uas yog tshwm sim los ntawm kev noj zaub mov.
Cov tshuaj txo txoj kev pheej hmoo ntawm cov hlab ntsha me me thiab qhov tshwm sim ntawm cov teeb meem tshwm sim los ntawm ntshav qab zib. Tom qab ib hnub ntawm kev siv ib cov tshuaj, cov tshuaj lom ntawm cov metabolites thiab pioglitazone hauv cov ntshav cov ntshav tseem nyob rau theem siab.
Cov lus qhia rau kev siv
Tus lej piav txog kev txwv rau kev noj tshuaj. Nws lub ntsiab contraindications yog tom qab mob:
mob ntshav qab zib coma thiab precoma;- lub sijhawm lactation thiab kev xeeb tub;
- mob hepatic thiab lub raum tsis ua haujlwm;
- cov ntsiab lus siab ntawm ketone lub cev thiab cov ntshav qabzib;
- intolerance rau lactose, sulfanilamide, gliclazide.
mob ntshav qab zib coma thiab precoma;Cov tshuaj tsuas yog kho rau cov neeg mob laus. Cov ntsiav tshuaj yuav tsum noj ib hnub ib zaug thaum noj mov. Qhov tshuaj ntau ntau txhua hnub yog 120 mg. Cov tshuaj tsis tuaj yeem tsoo thiab zom, nws yuav tsum tau muab ntxuav nrog dej ntshiab. Yog tias koj hla kev noj cov tshuaj, ob zaug tshuaj tsis thov.
Thaum pib theem ntawm kev kho, qhov tshuaj yog 30 mg. Yog tias tsim nyog, nws tau nce los ntawm tus kws paub tshwj xeeb tsis pub dhau 40 hnub tom qab lub sijhawm tau teev tseg dhau los. Cov neeg mob hnub nyoog 65 xyoos rov sauv tsis tas yuav tau muab qhov kev hloov kho npaum li cas. Thaum kho, ntev npaum li cas ntawm kev tshem tawm ntawm cov tshuaj dhau los yuav tsum raug txiav txim. Thaum noj cov tshuaj, cov nyom phiv yuav tshwm sim. Cov no suav nrog:
tsis nco qab;- nce toj zog lossis tsaug zog;
- poob siab;
- causless kev chim siab;
- cramps thiab kev ua tsis tau zoo;
- tsis hnov qab, kiv taub hau.
tsis nco qab;Analogs thiab hloov chaw ntawm cov tshuaj
Cov tshuaj muaj tus nqi pheej yig. Diabeton analogs thiab hloov pauv yog sawv cev los ntawm cov tshuaj hauv qab no:
- Diabetalong;
- Gliclazide;
- Glidiab;
- Diabefarm MV;
- Kwv Huam;
- Glucostabil;
- Piroglar.
Lawbalong - Pheej yig cov pa ntshav qab zib ntawm cov ntshav qab zib, cov lus ua kom muaj cov tshuaj insulin ntau ntxiv, qhov rhiab ntawm peripheral cov ntaub so ntswg thiab txo cov piam thaj hauv cov ntshav. Tsis muaj yees txawm tias tom qab 3 xyoos siv. Cov tshuaj txo cov kab mob postprandial hyperglycemia, rov kho qhov pib thaum kawg ntawm kev tsim cov tshuaj insulin, txo lub sijhawm sib nrug ntawm kev noj mov thiab insulin secretion. Hauv lub siab, cov tshuaj txo cov kev txhim kho ntawm cov piam thaj thiab kev ua haujlwm zoo.
Cov tshuaj nquag hloov kho microcirculation thiab carbohydrate metabolism, txo qhov kev pheej hmoo ntawm thrombosis thiab rov qab ua haujlwm ntawm cov nqaij mos plasminogen activator.
Gliclazide - Nov yog hom tshuaj hypoglycemic uas yog tshuaj hauv. Nws suav nrog lub nplhaib heterocyclic nrog kev ua haujlwm endocyclic. Cov tshuaj ua rau lub zog tsim cov tshuaj insulin thiab txo cov piam thaj. Tom qab peb lub xyoos ntawm kev kho mob, ib qho kev nce ntxiv ntawm cov tshuaj C-peptide thiab cov tshuaj insulin tom qab tseem. Lub ntsiab lus ua pov thawj nthuav tawm hemovascular cov kev ua haujlwm thiab muaj feem cuam tshuam rau cov metabolism hauv cov metabolism. Siv cov tshuaj txo qis cov teeb meem ntshav qab zib muaj teeb meem.
Glidiab yog 2-tiam sulfonylurea derivative thiab hypoglycemic tshuaj. Nws txhim kho cov ntshav qabzib insulin-secretory kev ua si, kev ua haujlwm ntawm cov ntaub so ntswg ib ce thiab muaj cov txiaj ntsig zoo ntawm insulin secretion, txhawb kev ua haujlwm ntawm cov leeg nqaij glycogen synthetase enzymes, thiab txo lub ncov ntawm hyperglycemia tom qab noj mov. Kev siv cov tshuaj yuav tsum pib tawm tsam ntawm keeb kwm ntawm kev noj zaub mov hauv lub cev uas tsis muaj calories ntau nyob hauv cov khoom no.
Nws raug nquahu los soj ntsuam cov qib piam thaj hauv cov ntshav tom qab noj tas thiab hauv plab tas. Cov koob tshuaj hloov kho rau hauv kev xav lossis lub cev.
Diabefarm MV - Qhov no yog ib qho analogue ntawm Diabeton 60, uas yog ib qho tshuaj hypoglycemic thiab cuam tshuam txog tiam 2 ntawm sulfonylurea derivatives. Nws ua kom lub zog tsim cov tshuaj insulin los ntawm cov hlwb ntawm cov txiav thiab kev ua ntawm cov ntshav enraymes. Cov tshuaj yog ua tau zoo nyob rau hauv hom 2 uas tsis yog-insulin-tiv thaiv ntshav qab zib mellitus nrog cov cim ntawm ntshav qab zib microangiopathy thiab ua prophylactic ntawm microcirculation ntshawv siab.
Predian - tshuaj noj ntawm hluavtaws keeb kwm. Nws tuaj yeem muas hauv cov qauv hauv cov ntsiav tshuaj nrog qhov ntau npaum li 0.08 g, ntim hauv thawv ntawv thawv. Cov tshuaj nquag txo qis cov ntshav coagulation thiab txo cov suab thaj. Cov tshuaj yuav tsum tau pib nrog ib nrab ntawm cov ntsiav tshuaj. Cov tshuaj tsis tuaj yeem ua ke nrog acetylsalicylic acid, butadione, amidopyrine vim tias kev hem thawj ntawm hypoglycemia.
Glucostabil txhim kho fibrinolytic vascular kev ua si, txo kev txhim kho ntawm parietal thrombus, platelet sib sau thiab adhesion. Cov tshuaj nce microcirculation, ntau npaum li cas ntawm HDL-C, txo qis cov roj cholesterol tag nrho, qhov kev cuam tshuam ntawm cov hlab ntshav mus rau adrenaline thiab tiv thaiv kev txhim kho ntawm atherosclerosis thiab microthrombosis. Kev txo tsawg ntawm cov proteinuria tau sau tseg txog keeb kwm ntawm kev siv lub sijhawm ntev ntawm gliclazide hauv cov ntshav qab zib nephropathy.
Pioglar - Cov tshuaj qhov ncauj ntshav hypoglycemic thiab ib qho muaj zog xaiv gamma receptor agonist. Cov nquag tivthaiv cov qauv hloov ua kom muaj kev hloov hauv cov noob caj noob ceg uas koom nrog kev rhuav tshem lipid thiab ntshav qabzib. Hauv daim siab thiab nruab nrog cev, nws txo cov tshuaj insulin tsis kam. Nrog hom 2 mob ntshav qab zib mellitus ua kom qis glycated hemoglobin thiab insulin hauv ntshav.
Koj tuaj yeem paub dab tsi Diabeton tuaj yeem hloov nrog koj tus kws kho mob. Nws tsis pom zoo kom siv cov tshuaj ntawm tus kheej, vim tias qhov no tuaj yeem ua rau muaj kev phom sij txaus ntshai.
