Hauv kev kho mob ntawm hom 2 mob ntshav qab zib mellitus, muaj ntau yam sib txawv, thiab nws tsis yog ib txwm muaj peev xwm nrhiav tau cov tshuaj tam sim ntawd uas pab kom 100% tswj tau glycemia. Vim muaj ntau yam tshuaj tiv thaiv kab mob, tsis meej pem hauv taub hau tsis txwv rau cov ntshav qab zib.
Yog tias koj tau paub koj tus kheej ntawm cov tshuaj Diabeton thiab nws cov lus qhia rau kev siv, tab sis tseem tsis tau nkag siab meej tias nws haum rau koj thiab yuav hloov li cas yog tias cov tshuaj tsis pab, ces cov ntawv no tsim nyog rau lub sijhawm.
Ntshav qab zib - cov tshuaj rau hom ntshav qab zib hom 2
Rau cov ntshav qab zib, ib txoj hauv kev los tiv thaiv tus kab mob yog kom ib txwm muaj qhov hu ua "yoo mov qab zib". Tab sis hauv kev nrhiav cov kev nyeem ntawv zoo tshaj plaws ntawm glucometer, muaj ntau qhov yuam kev tuaj yeem ua tau, txij li lub hom phiaj ntawm kev siv tshuaj yuav tsum muaj kev txaus cai, thiab qhov no tshwj xeeb tshaj yog rau Diabeton. Ib qho tshuaj tshiab fangled Fabkis tau muab rau txhua tus - los ntawm kev ncaws pob rau cov ntshav qab zib, tab sis nws tsis muaj txiaj ntsig rau txhua tus.
Yuav kom nkag siab txog leej twg xav tau nws tiag tiag, koj yuav tsum paub txog hom tshuaj kho mob ntshav qab zib yog dab tsi thiab nyob rau hauv lub hauv paus ntawm dab tsi cov tshuaj nquag tsim nws. Cov tshuaj yog los ntawm sulfanilurea derivatives, lawv tau ua tiav siv thoob plaws lub ntiaj teb tau ntev heev.
Hauv daim ntawv thawv ntawv, raws li nyob hauv daim duab, koj tuaj yeem pom cov ntsiav tshuaj dawb oval nrog cov ntawv luam cim "60" thiab "DIA" rau ntawm ib sab. Ntxiv rau cov ntsiab lus tseem ceeb ntawm gliclazide, Diabeton tseem muaj cov ntawv sau: maltodextrin, lactose monohydrate, magnesium stearate, silicon dioxide.
Diabeton yog lub npe lag luam thoob ntiaj teb, cov neeg ua haujlwm tsim kev lag luam ntawm cov tshuaj yog Fabkis lub tuam txhab pharmacological Servier.
Lub npe siv hluav taws xob feem ntau ntawm cov khoom yog glyclazide, los ntawm lub npe ntawm cov khoom xyaw nquag.
Nrog gliclazide, ntau cov analogues ntawm ntau hom yog tsim, yog li nyob rau hauv lub khw muag tshuaj lawv tuaj yeem muab tawm, raws li cov ntawv sau tshwj xeeb, tsis yog Fabkis Diabeton, tab sis lwm qhov analog raws gliclazide, ntawm tus nqi txiav txim ntawm qhov ntau tsawg dua.
Diabeton analogues
Txee lub neej ntawm cov tshuaj yog 2 xyoos, yav tom ntej nws tsis tsim nyog rau kev kho mob thiab yuav tsum tau muab pov tseg. Cov teeb meem tshwj xeeb rau nws cov khoom cia tsis xav tau.
Hloov ntawm cov tshuaj Diabeton, tus nqi uas yog li ntawm 260-320 rubles, lub tsev muag tshuaj tuaj yeem muab tshuaj rau analogues:
- Diabefarm, RF;
- Gliclad, Slovenia;
- Glidiab ntawm Lavxias Federation;
- Diabinax, Is Nrias teb;
- Gliclazide, RF;
- Predian, Yugoslavia;
- Diatika, Is Nrias teb;
- Glisid, Is Nrias teb;
- Glucostabil, RF;
- Glioral, Yugoslavia;
- Reklid, Is Nrias teb.
Ntxiv rau cov tshuaj ib txwm muaj, Servier tseem ua tau tus mob Diabeton MV. Tag nrho lwm yam tshuaj yog cov generics, cov tuam ntxhab tsis tsim lawv, tab sis tsuas yog tau txoj cai tso tawm, thiab tag nrho cov ntaub ntawv pov thawj tsuas yog siv rau cov tshuaj kho mob ntshav qab zib thawj zaug.
Generics yog tus cwj pwm zoo los ntawm qhov tsis zoo, qee zaum qhov no cuam tshuam loj heev rau qhov ua tau zoo ntawm cov tshuaj. Cov qauv siv nyiaj ntau tshaj ntawm cov analogue yog nrog cov khab Suav thiab Suav. Ntawm cov generics hauv tsev uas ua tiav yeej qhov kev lag luam ntawm analogues ntawm Diabeton, lawv tau fwm los ntawm Glibiab thiab Gliclazid-Akos.
Yuav ua li cas hloov ntshav qab zib
Thaum tsis muaj qhov kev xaiv tsim nyog ntawm cov analogues uas tau teev tseg, koj tuaj yeem xaiv:
- Lwm cov tshuaj los ntawm chav kawm ntawm sulfonylurea npaj xws li glibenclamide, glycvidone, glimepiride;
- Cov tshuaj ntawm cov pab pawg sib txawv, tab sis nrog cov txheej txheem zoo sib xws ntawm kev nqis tes ua, xws li kev cai tshiab los ntawm cov chav kawm av nplaum;
- Cov cuab yeej nrog cov txiaj ntsig zoo ib yam li DPP-4 inhibitors - Januvia, Galvus, thiab lwm yam.
Vim li cas thiaj li tsis tsim nyog xaiv qhov hloov, tsuas yog ib tus kws kho mob tshwj xeeb tuaj yeem hloov kho kev kho mob. Kev kuaj tus kheej thiab kev ntsuas tus kheej ntawm ntshav qab zib tuaj yeem tsim kev puas tsuaj tau!
Maninil lossis Diabeton - uas yog ib qho zoo dua?
Cov hau kev sib txawv rau kev tswj cov ntshav qab zib hom 2 muaj feem cuam tshuam cov kev pheej hmoo ntawm kev ua neeg tuag taus sib txawv. Glibenclamide - qhov nquag ua haujlwm ntawm Maninil muaj zog ntau dua glyclazide - lub hauv paus tseem ceeb hauv Diabeton. Seb qhov no yuav ua tau zoo dua tuaj yeem nrhiav pom hauv cov lus ntawm cov kws tshaj lij uas tshawb xyuas cov lus nug txog tus kab mob ntshav qab zib thiab tshuaj xyuas ntawm cov chaw sib tham.
Ntshav Qab Zib Muaj Teeb Meem | Lus ntawm cov kws txawj |
| Tus mob ntshav qab zib tau pab kuv tau 5 xyoos, thiab tam sim no txawm tias muaj qhov loj tshaj plaws ntawm lub ntsuas 'meter', tsawg kawg 10 units. Vim li cas? | Cov tshuaj yeeb yaj kiab cuam tshuam rau pancreatic β-hlwb. Qhov nruab nrab, rau 6 xyoo lawv ua rau thiab koj yuav tsum hloov mus rau cov tshuaj insulin. |
| Kuv yog tus mob ntshav qab zib nrog kev paub, cov suab thaj ncav cuag 17 mmol / l, Kuv tau khob lawv nrog Maninil tau 8 xyoo. Nimno nws tsis pab lawm. Hloov los ntawm Diabeton, tab sis tsis siv. Tej zaum Amaril sim ua? | Koj hom ntshav qab zib hom 2 twb dhau mus ua hom 1, insulin-tiv thaiv tsis tau lawm. Nws yog ib qho tsim nyog yuav tsum txhaj tshuaj insulin, cov ntsiav tshuaj hauv rooj plaub no tsis muaj zog, thiab lub ntsiab lus tsis yog tias Diabeton tsis muaj zog dua li Maninil. |
| Kuv pib kho ntshav qab zib nrog Siofor ntawm 860 mg / hnub. Tom qab 2 lub hlis, nws tau hloov nrog Diabeton, vim tias qab zib nyob hauv qhov chaw. Kuv tsis xav tias qhov txawv, tej zaum Glibomet yuav pab? | Yog tias Diabeteson tsis pab, ces Glybomet - haj yam ntau ntxiv. Hauv kev ua tiav, tsuas yog noj zaub mov tsis tshua muaj carb, tshem tawm cov tshuaj tsis muaj txiaj ntsig thiab muaj cov tshuaj insulin tsawg kawg yuav txuag tau tus txiav ua ntej yog tias nws ua tiav. |
| Puas yog Diabeton yuav noj nrog Reduxin rau qhov hnyav? Kuv xav kom poob phaus. | Diabeton txhim kho qhov zais cia ntawm insulin, uas hloov pauv hauv qabzib rau hauv cov rog thiab tiv thaiv nws cov khoom tawg. Qhov ntau cov tshuaj hormones, qhov nyuaj nws yuag poob. Reduxine tseem muaj yees. |
| Rau ob xyoos, Ntshav Qab Zib MV pab kom qab zib tuav nce txog 6 units. Tsis ntev los no, lub zeem muag tau ploj zuj zus lawm, qhov tsuas yog txhais taw yog loog. Yog hais tias qab zib yog dab tsi, qhov teeb meem no qhov twg? | Qab zib raug tswj tsis tau tsuas yog nyob rau ntawm lub plab khoob, tab sis kuj 2 teev tom qab noj mov. Yog tias koj tsis kuaj nws 5 r. / Hnub., Qhov tseeb - qhov no yog qhov kev dag nws tus kheej, uas koj tau them nrog cov teeb meem. |
| Ntxiv rau Diabeton, tus kws kho mob tau sau tseg rau cov zaub mov kom yuag ntau. Kuv noj txog 2 txhiab calories ib hnub twg. Qhov no puas yog lossis nws yuav tsum tau txo qis ntxiv? | Hauv txoj kev xav, kev noj zaub mov kom muaj calorie tsawg yuav tsum pab tswj kev qab zib, tab sis qhov tseeb tsis muaj leej twg tuaj yeem sawv taus. Txhawm rau kom tsis txhob tawm tsam kev tshaib kev nqhis, koj yuav tsum hloov mus rau kev noj zaub mov kom tsawg thiab xyuas cov tshuaj noj ntau npaum li cas. |
Yuav thov li cas - kev qhia
Cov yeeb tshuaj yooj yim los ntawm Diabeton MV, tsim rau lub hauv paus ntawm hydrophilic matrix, txawv qhov tso tawm tus nqi ntawm cov nquag tivthaiv. Rau cov paib xaum, lub sijhawm ntawm glycoside nqus tsis tshaj 2 - 3 teev.
Tom qab siv Diabeton MV, gliclazide raug tso tawm ntau li ntau tau thaum lub sijhawm noj zaub mov, thiab lub sijhawm tshuav, glycemic tus nqi tau tswj hwm los ntawm ejecting microdoses rau hauv cov ntshav thaum nruab hnub.
Ib qho yooj yim analogue yog tsim nrog qhov ntau npaum 80 mg, nrog lub txiaj ntsig ntev - 30 thiab 60 mg. Cov mis tshwj xeeb ntawm Diabeton MV tau pab txo qis cov tshuaj, ua tsaug rau qhov no nws tuaj yeem siv tsuas yog 1 sijhawm / hnub. Niaj hnub no, cov kws kho mob tsis tshua xaiv siv cov tshuaj yooj yim, tab sis nws tseem pom hauv cov khw muag tshuaj.
Cov kws kho mob pom zoo rau cov tshuaj tshiab tshiab nrog lub peev xwm ntev, vim nws ua ntau softer dua li lwm cov tshuaj sulfonylurea, txoj kev pheej hmoo ntawm hypoglycemia yog tsawg heev, thiab cov nyhuv ntawm ib ntsiav tshuaj kav ntev rau ib hnub.
Rau cov neeg uas tsis nco qab haus tshuaj raws sijhawm, ib koob tshuaj yog qhov muaj txiaj ntsig zoo. Yog lawm, thiab tus kws kho mob endocrinologist muaj peev xwm nce cov koob tshuaj, ua tiav kev tswj ntawm glycemia hauv tus neeg mob. Lawm, Ntshav qab zib yog tshuaj ua ke nrog kev noj zaub mov kom tsawg thiab ua kom cov leeg mob, tsis muaj ib qho tshuaj tiv thaiv kab mob tsis ua hauj lwm zoo.
Tus mob ntshav qab zib raug mechanism
Diabeton belongs rau chav kawm ntawm cov tshuaj uas pab txhawb lub txiav thiab tshwj xeeb, b-hlwb lub luag haujlwm rau kev tsim cov tshuaj insulin. Qib ntawm kev ua ntawm kev txhawb nqa hauv cov tshuaj yog nruab nrab, yog tias peb sib piv Maninil lossis Diabeton, ces Maninil muaj cov txiaj ntsig zoo dua.
Nrog tus mob ntshav qab zib hom 2, nrog rau txhua qib ntawm kev rog, cov tshuaj tsis pom tshwm. Nws ntxiv rau cov txheej txheem kev kho mob, thaum tag nrho cov tsos mob ntawm kev ploj zuj zus ntawm cov qog ua hauj lwm muaj peev xwm pom tseeb thiab kev tsim kho yog qhov tsim nyog los txhim kho cov tshuaj insulin.
Cov tshuaj yuav rov ua thawj theem ntawm kev tsim tshuaj yog tias cov ntshav qab zib tau nws txo qis lossis tsis txhua. Ntxiv rau nws lub hom phiaj tseem ceeb (txo qis glycemia), cov tshuaj muaj qhov cuam tshuam zoo rau cov hlab ntsha thiab cov ntshav khov. Los ntawm kev txo cov platelet aggregation (ua raws), nws txo qhov ntxim nyiam ntawm cov ntshav txhaws hauv cov hlab ntsha me, ntxiv dag zog rau lawv cov sab hauv endothelium, tsim kev tiv thaiv angioprotective.
Cov tshuaj kis kab mob tuaj yeem sawv cev hauv cov theem hauv qab no:
- Kev tsim kho ntawm cov txiav ua pa txhawm rau txhim kho qhov khiav ntawm cov tshuaj hormone rau hauv cov hlab ntshav;
- Kev ua dua tshiab thiab rov kho ntawm thawj theem ntawm cov kab mob insulin;
- Txo cov platelet sib sau ua ke los tiv thaiv qhov pom ntawm txhaws hauv cov hlab ntsha me;
- Cov nyhuv antioxidant me me.
Ib koob tshuaj ib leeg tswj tau qhov tsim nyog xav tau ntawm cov nquag ua haujlwm hauv cov ntshav nruab hnub. Cov tshuaj yog metabolized hauv daim siab, nws lub raum yog tas (txog li 1% - hauv nws thawj daim ntawv). Hauv kev laus, cov kev hloov pauv tseem ceeb hauv cov tshuaj pharmacokinetic tseem tsis tau sau cia.
Qhov zoo thiab qhov tsis zoo ntawm cov tshuaj
Yog tias peb sib piv Diabeton MV nrog cov qauv ntawm sulfonylurea chav kawm, ces nws yog ua ntej ntawm lawv hauv kev ua haujlwm:
- Sai sai normalizes qab zib kwv yees;
- Nws ua kom lub sijhawm thib 2 ntawm kev tsim cov kua dej, sai sai kho nws cov txiaj ntsig kom teb rau qhov pom ntawm cov piam thaj;
- Txo cov peev xwm ntawm cov ntshav txhaws;
- Kev phom sij ntawm kev txhim kho hypoglycemia txo qis rau 7% (rau cov tshuaj tiv thaiv (analogues - derivatives ntawm sulfanylurea - qhov feem pua muaj ntau dua);
- Qhov kev tswj hwm ntawm kev noj tshuaj yog 1 r / hnub. Yog li ntawd, nws yooj yim rau cov neeg mob ntshav qab zib tsis nco qab ua raws li kws kho mob sau tseg;
- Kev hnyav lub cev hnyav - Gliclazide nyob rau hauv cov ntsiav tshuaj tso tawm ntev tsis pab txhawb qhov hnyav;
- Nws yog qhov yooj yim rau tus kws kho mob kho cov tshuaj ntau npaum li cas - qhov pheej hmoo yuav mob ntshav qab zib tsawg tsawg;
- Cov tshuaj lwg me me pom tias cov tshuaj antioxidant;
- Tsawg feem pua ntawm cov kev mob tshwm sim (nce txog 1%).
Nrog rau qhov zoo tsis pom tseeb zoo, tshuaj muaj ntau yam tsis zoo:
- Cov tshuaj noj pab txhawb kev tuag ntawm b-hlwb lub luag haujlwm rau kev tsim cov tshuaj insulin;
- Rau 2-8 xyoo (hauv cov poj niam nyias - nrawm dua) hom 2 mob ntshav qab zib tau hloov mus ua hom ntshav qab zib hom 1;
- Insulin tsis kam, qhov tseem ceeb ua rau cov ntshav qab zib hom 2, cov tshuaj tsis thim tawm, tab sis tseem txhim kho;
- Txo cov ntshav muaj ntshav qab zib tsis tuaj yeem lav txog qhov txo cov ntshav qab zib hauv lub neej tuag - cov lus pom tseeb tau tshawb pom qhov kev tshawb fawb ntawm lub chaw nto moo thoob ntiaj teb ADVANCE
Yog li tias lub cev tsis tas yuav tsum xaiv ntawm cov teeb meem los ntawm cov mob caj dab los yog hlab plawv pathologies, nws tsim nyog them rau kev noj zaub mov kom tsawg carb thiab ua kom lub cev txaus.
Kev qhia rau kev sau tshuaj
Tus mob ntshav qab zib tau tsim los ua qhov kev hloov kho glycemic li qub, tiv thaiv cov mob ntshav qab zib, txo kev pheej hmoo ntawm lub plawv nres, mob hlab ntsha tawg, hlab ntaws ntshav, retinopathy. Tab sis nws kuj tseem siv los ntawm cov kis las ua kom nce cov leeg nqaij.
Yog li ntawd, nws tau qhia:
- Tus mob ntshav qab zib nrog hom mob thib ob ntawm kev mob nyhav lossis mob hnyav nrog lub cev hnyav thiab tsis muaj tus cim tiv thaiv insulin.
- Cov neeg ncaws pob los txhim kho cov khoom tsim kho cov kab mob, yuav ua kom lub zog loj tuaj.
Mob ntshav qab zib tsis yog kws kho mob rau cov neeg mob ua pib txoj kev kho mob. Nws kuj tseem ua rau cov neeg mob ntshav qab zib muaj cov cim ntawm kev rog, txij li thaum lawv muaj cov txiav ua ntshav thiab yog li nws ua haujlwm nrog txhawb nqa ntau ntxiv, ua 2-3 lub sijhawm ntawm cov tshuaj insulin kom ua rau cov piam thaj hauv qab. Kev teem sij hawm ntawm Tus Mob Ntshav Qab Zib nyob rau hom mob ntshav qab zib no tuaj yeem ua rau tuag taus los ntawm cov hlab plawv (CVS).
Kev tshawb nrhiav loj tau ua rau qhov teebmeem no, ua rau peb txiav txim siab qhov kev sib raug zoo ntawm kev xaiv cov tshuaj rau kev xaiv tshuaj kho tus mob ntshav qab zib hom 2 thiab qhov muaj feem yuav ua kom tuag. Qhov pom pom muaj nthuav tawm hauv qab no.
- Hauv cov neeg ua haujlwm pab dawb muaj hom ntshav qab zib hom 2 uas tau txais sulfanilurea derivatives, piv nrog pab pawg tswj hwm noj cov tshuaj metformin, qhov kev pheej hmoo ntawm kev tuag los ntawm CVS tau 2 npaug ntau dua, mob plawv (CHD) - 4,6 zaug, kev xiam hlwb (NMC) ) - 3 zaug.
- Txoj kev pheej hmoo ntawm kev tuag los ntawm kab mob plawv, NMC tau ntau dua hauv cov pab pawg tau txais glycoslide, glycidone thiab glibenclamide dua li hauv cov neeg ua haujlwm pab dawb noj metformin.
- Hauv cov neeg ua haujlwm pab dawb uas tau txais gliclazide, piv nrog pab pawg neeg noj glibenclamide, qhov kev pheej hmoo sib txawv pom tseeb: kev tuag txhua qhov tsawg dua 20%, los ntawm CVS - los ntawm 40%, NMC - los ntawm 40%.
Yog li, kev xaiv ntawm sulfonylurea derivatives (suav nrog Diabeton) raws li thawj cov tshuaj ua rau muaj kev cuam tshuam 2-zaug qhov tshwm sim ntawm kev tuag nyob rau 5 xyoo, qhov tshwm sim ntawm kev mob plawv - los ntawm 4.6 zaug, mob stroke - los ntawm 3 zaug.
Nrog rau tus kab mob ntshav qab zib hom 2 nyuam qhuav pib mob, tsis muaj ib qho kev hloov pauv rau Metformin ua thawj kab tshuaj. Nrog lub sijhawm ntev (tsawg kawg yog 3 xyoos) kev haus ntshav qab zib kom tsawg, qhov kev pheej hmoo ntawm kev tsim mob atherosclerosis yog txo qis. Hauv lwm qhov kev npaj ntawm chav kawm sulfonylurea, cov nyhuv no tsis pom. Feem ntau cov feem ntau, cov nyhuv antisclerotic ntawm cov tshuaj yog muab los ntawm nws lub peev xwm antioxidant uas tiv thaiv hlwb los ntawm oxidation.
Qhov mob ntshav qab zib hom 2 ntshav qab zib coj mus yees duab tau zoo li cas?
Diabeton ncaws pob cov neeg tawm dag zog
Cov tshuaj noj tiv thaiv kab mob ua rau txhim kho qhov kev rhiab ntawm daim siab, cov leeg thiab cov rog rau insulin. Hauv kev tawm dag zog lub cev, nws yog siv los ua tus muaj zog anabolic, tuaj yeem muas tau yam tsis muaj teeb meem ntawm chaw muag tshuaj lossis Is Taws Nem. Tus neeg mob ntshav qab zib siv Diabeton los kho qhov theem ntawm thawj zaug hauv kev loj hlob hormone thiab txhim kho theem ob ntawm nws cov khoom.
Cov cuab yeej yuav tsum tau siv los ntawm cov kws tawm dag zog nrog lub hlwb b-noj qab nyob zoo. Cov tshuaj yog cuam tshuam rau cov rog metabolism, ntshav kev, ntshav hauv ntshav, muaj cov roj antioxidant. Tus mob ntshav qab zib tau pauv mus ua metabolites hauv lub siab, cov tshuaj tawm hauv lub cev tag.
Hauv kev ua kis las, cov tshuaj yog siv los txhawb qhov siab anabolism, vim li ntawd, cov neeg ncaws pob nquag nquag ua kom mob nqaij.
Los ntawm lub zog ntawm nws cov cawv, nws tuaj yeem piv nrog insulin poplites. Nrog rau cov qauv no ntawm kev nce phaus, koj yuav tsum nruj siv cov koob tshuaj, noj tag nrho 6 zaug hauv ib hnub (protein, carbohydrates), saib xyuas koj qhov kev noj qab haus huv kom tsis txhob nco qhov pib ntawm cov tsos mob ntawm kev mob ntshav qab zib.
Pib qhov pib nrog Ѕ ntsiav tshuaj, maj mam muab ob npaug rau koob. Haus hauv ncoo thaum sawv ntxov nrog zaub mov. Lub sijhawm ntawm kev pub nkag yog 1-2 lub hlis, nyob ntawm kev nyob zoo thiab tshwm sim. Koj tuaj yeem rov ua nws nyob hauv ib xyoos, yog tias koj siv Diabeton ntau zaus ntau dua ib zaug rau rau lub hlis, kev muaj mob muaj txiaj ntsig tsis dhau.
Nrog rau qhov thib ob chav kawm, qhov tsuas tshuaj yuav muab ob npaug (txog 2 ntsiav tshuaj / hnub). Koj tsis tuaj yeem noj Diabeton nyob rau tom qab ntawm txoj kev tshaib plab los yog noj lwm txoj hauv kev hnyav. Cov tshuaj noj kav 10 teev thiab yuav tsum noj zaub mov kom zoo nyob rau lub sijhawm no. Ntawm thawj lub cim taw qhia tias hypoglycemia, tus neeg ncaws pob xav noj lub bar lossis lwm yam khoom qab zib.
Ntawm daim yeeb yaj kiab - kev siv ntshav qab zib rau cov hnyav ntxiv - tshuaj xyuas.
Cov Lus Cog Tseg kom siv
Txhua yam tshuaj muaj contraindications, ua ntej siv Diabeton nws yog ib qho tseem ceeb kom them sai sai rau cov lus ceeb toom no:
- Ntshav Qab Zib Hom 1;
Ua siab zoo rau cov khoom siv ntawm cov mis;
- Ketoacidosis, mob plab tsis xeev;
- Cov menyuam yaus thiab cov hluas;
- Cev xeeb tub thiab pub mis;
- Cov kab mob hnyav kev mob raum thiab mob siab;
- Cov neeg tsis qaug tshuaj rau cov tshuaj raws li sulfonylurea;
- Txhawb kev siv miconazole (tus sawv cev tshuaj tua kab mob).
Kev sib koom ua ke ntawm ob cov tshuaj muaj cuam tshuam dab tsi ntawm kev kho mob? Miconazole ua rau cov ntshav qab zib kom muaj peev xwm tsawg dua ntawm cov ntshav qab zib. Yog tias koj tsis tswj koj tus mob glycemic kom raws sijhawm, muaj qhov txaus ntshai ntawm kev txhim kho hypoglycemia. Yog tias tsis muaj lwm txoj kev siv rau miconazole, tus kws kho mob yuav tsum tau txo qhov koob tshuaj Diabeton.
Nrog kev ceev faj, koj yuav tsum noj cov tshuaj thaum ua ke nrog:
- Phenylbutazone (butadione);
- Lwm yam tshuaj hypoglycemic;
- Anticoagulants (warfarin);
- Nrog cawv.
Ntshav qab zib yog muaj peev xwm nce intolerance rau haus dej cawv. Qhov no yog ua kom pom los ntawm ua pa luv, mob taub hau, tachycardia, mob plab, thiab lwm yam kev cuam tshuam dyspeptic. Yog tias Tus Mob ntshav qab zib npau taws kom tsis txhob qog ntshav qab zib, ces cawv yuav ntseeg nws qhov tsos mob. Txij li cov cim ntawm intoxication zoo ib yam li glycemic, nrog kev pab tsis raws sijhawm, kev pheej hmoo ntawm ntshav qab zib nce ntxiv.
Cov dej cawv zoo tshaj plaws rau cov ntshav qab zib yog lub khob ntawm liab caw liab rau lub sijhawm. Thiab yog tias muaj kev xaiv, nws zoo dua uas tsis haus dej haus cawv txhua lub sijhawm.
Sab sij huam
Cov kev tshwm sim lub ntsiab yog hypoglycemia - poob hauv qabzib hauv qab cov hom phiaj, nrog cov tsos mob hauv qab no:
- Mob taub hau thiab ua kom sib haum tsis zoo;
- Kev tswj tsis tau tshaib plab;
- Dyspeptic cuam tshuam;
- Puas;
- Muaj kev lom zem ntau ntxiv nrog kev poob siab;
- Kev txwv tsis pub, tsis muaj peev xwm mloog zoo;
- Hais lus tsis meej thiab pom qhov muag tsis zoo;
- Tsis muaj kev tswj hwm tus kheej, tsis muaj kev cia siab;
- Tsaus muag.
Ntxiv rau lub qog ntshav qab zib, muaj lwm cov kev phiv:
- Cov pob khaus ua xua;
- Kev ua txhaum ntawm lub plab zom mov;
- Kev ua haujlwm tsis zoo hauv cov hlab ntsha (ntshav liab, ntshav tsis txaus);
- Kev loj hlob ntawm daim siab enzymes AST thiab ALT.
Txhua qhov tshwm sim yog qhov thim rov qab thiab dhau los uas tsis muaj kev cuam tshuam kho mob tom qab tshem tawm ntawm tus mob ntshav qab zib. Yog tias cov tshuaj tau sau tawm es tsis txhob siv lwm cov tshuaj tiv thaiv kab mob, tom qab 10 hnub nws yuav tsum tau tswj cov tshuaj glycemia kom tsis txhob cuam tshuam ntawm cov kev phom sij rau hypoglycemia.
Thaum xaiv Diabeton, tus kws kho mob yuav tsum qhia tus mob ntshav qab zib txog cov kev mob tshwm sim thiab cov tsos mob ntawm kev noj ntau dhau.
Kev tswj ntshav qab zib thiab muab tshuaj rau noj
Hauv cov khw muag tshuaj network, cov tshuaj tau nthuav tawm ob yam:
- Tus mob ntshav qab zib nrog qhov ntau npaum 80 mg;
- Mob ntshav qab zib MV hnyav 30 thiab 60 mg.
Rau cov mob ntshav qab zib zoo tib yam, qhov pib ua yog 80 mg / hnub.Thaum lub sijhawm, nws tau nce rau 2-3 daim ib hnub, faib rau lawv nyob hauv ob peb koob tshuaj. Qhov siab tshaj plaws ib hnub, koj tuaj yeem noj 4 ntsiav tshuaj.
Txog Kev Hloov Ntshav Qab Zib, pib ntu yog 30 mg / hnub. Yog tsim nyog, cov koob tshuaj tau kho kom haum. Mob ntshav qab zib MV yog noj 1 r. / Hnub., Ntau kawg - txog li 120 mg. Txawm hais tias tau txhaj ntau tshaj plaws, nws tseem yuav tsum tau noj thaum ib tag kis.
Zoo li txhua yam tshuaj sulfanilurea, Diabeton yuav tsum haus ib nrab teev ua ntej noj mov. Haus nws nyob rau lub sijhawm coj qhia ntawm cov lus qhia, ntshav qab zib tso cai rau cov tshuaj kom nqus thiab qhia nws cov kev ua ub no nrog thawj diav ntawm zaub mov.
Qhov ua tau zoo ntawm cov tshuaj xaiv tau tuaj yeem txheeb xyuas nyob rau hauv tsev, nrog glucometer.
Tshawb xyuas nws qhov ua tau zoo ua ntej thiab tom qab noj mov (tom qab 2 teev). Cov koob tshuaj tsim nyog tau muab xam ib leeg zuj zus: raws li glycemic profile thiab kuaj ntshav kuaj glycosylated hemoglobin HbA1C. Koj tuaj yeem sib txuas ntawm kev siv Diabeton nrog cov tshuaj tiv thaiv kab mob nrog lwm tus txheej txheem ntawm kev ua.
Noj ntau dhau
Txij li kev kho mob nrog Tus Mob ntshav qab zib txaus ntshai rau kev txhim kho hypoglycemia, kev txhob txwm tsis txaus siab ntawm cov tshuaj nce ntxiv nws cov tsos mob ob peb zaug.
Thaum sim tua yus tus kheej lossis siv cov tshuaj lom dhau heev, koj yuav tsum:
- Lub plab zom mov;
- Glycemia tswj txhua 10 feeb;
- Yog tias cov glucometer qis dua li ib txwm (5.5 mmol / L), muab cov dej qab zib uas tsis muaj cov kua qab zib hauv qab;
- Saib xyuas qhov tshuaj tau zoo - tag nrho nws lub sijhawm (24 teev).
Qhia kho tus mob ntshav qab zib hom 2
Mob ntshav qab zib feem ntau siv tsis yog siv tshuaj ib leeg xwb, tab sis kuj siv rau hauv kev kho mob. Nws yog sib haum nrog txhua yam tshuaj tiv thaiv kab mob, tshwj tsis yog tshuaj ntawm sulfonylurea chav kawm (lawv muaj cov txheej txheem zoo sib xws), nrog rau kev coj ua tshiab: nws kuj ua kom cov synthesis ntawm cov tshuaj hormones, tab sis lwm txoj hauv kev.
Diabeton ua haujlwm zoo rau hauv Metformin. Hauv no hais txog, cov tuam ntxhab Lavxias txawm tsim cov tshuaj sib xyaw ua ke Glimecomb, hauv nws muaj pes tsawg leeg 40 g ntawm glycoslazide thiab 500 mg ntawm metformin.
Kev siv cov tshuaj zoo li no yog tus cwj pwm zoo los ntawm kev ua kom tau zoo (ib tus neeg mob ntshav qab zib soj ntsuam cov tshuaj uas tau noj tshuaj). Glimecomb tau noj thaum sawv ntxov thiab yav tsaus ntuj tam sim ua ntej lossis tom qab noj mov. Cov kev mob tshwm sim ntawm cov tshuaj kuj tseem muaj rau metformin thiab gliclazide.
Yeeb tshuaj sib cuam tshuam
Muaj ntau ntawm cov tshuaj uas ua rau muaj kev phom sij ntawm hypoglycemia thaum siv tib lub sijhawm uas Diabeton. Tus kws kho mob yuav tsum tau ceev faj tshwj xeeb tshaj yog thaum sau ntawv acarbose, metformin, thiazolidinediones, DPP-4 inhibitors, GLP-1 agonists, thiab insulin nrog Diabeton.
Ntau cov tshuaj uas tau muab tshuaj rau cov neeg mob ntshav siab kuj tseem ua rau lub peev xwm ntawm Diabeton. Tus kws kho mob yuav tsum nco ntsoov txog β-blockers, ACE inhibitors thiab MAO, fluconazole, sulfonamides, histamine H2-receptor blockers, clarithromycin.
Daim ntawv teev tag nrho cov tshuaj uas txhim kho lossis ua kom tsis muaj zog ntawm kev ua ntawm lub ntsiab ntawm lub mis muaj peev xwm nrhiav tau nyob hauv cov lus qhia thawj zaug. Txawm tias ua ntej sau ntawv rau Diabeton, nws yog ib qho tseem ceeb rau tus mob ntshav qab zib kom qhia nws tus kws kho mob txog cov tshuaj, khoom noj khoom haus, tshuaj ntsuab tshuaj ntsuab uas nws noj.
Cov kws kho ntshav qab zib xav txog ntshav qab zib li cas
Kev ntsuam xyuas ntshav qab zib yog sib xyaw txog Tus Mob Ntshav Qab Zib: nws pab tswj cov piam thaj, tab sis ntau yam tsis tuaj yeem zam dhau. Glyclazide-hloov-tso cov ntsiav tshuaj tau yooj yim dua zam. Thiab kev mob tshwm sim muaj feem ntau pom nyob rau hauv cov neeg mob ntshav qab zib uas nquag noj ntshav qab zib rau ob peb xyoos.
Yog Ntshav Qab Zib Tsis Tau Pab
Thaum Tus Mob Ntshav Qab Zib tsis ua nws cov haujlwm, raws li endocrinologist, qhov no tuaj yeem yog rau ntau yam:
- Ua tsis tiav cov ntsiab lus ntawm kev noj zaub mov kom tsawg, ua kom lub cev qoj ib ce tsis txaus;
- Xaiv cov tshuaj tsis raug;
- Kev txiav ntshav qab zib kom hnyav, yuav tsum hloov pauv ntawm cov tshuaj;
- Kev quav rau yam tshuaj;
- Ua tsis tau raws li cov tshuaj;
- Lub cev yog qhov tsis txaus ntseeg rau gliclazide.
Nws yog ib qho tseem ceeb kom nco ntsoov tias Tus mob ntshav qab zib tau tsim kho rau qee lub voj voog ntawm cov ntshav qab zib. Yog li, ua ntej noj tshuaj, nws yog ib qho tseem ceeb kom kawm cov lus qhia thiab kab lus no kom paub meej tias kev teem caij muaj tseeb. Ntau txog Nta
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