Cov tshuaj Diabeton MB yog hais txog qhov ncauj hypoglycemic tus neeg sawv cev nrog gliclazide yog cov tshuaj nquag.
Hais txog yuav noj cov ntshav qab zib kom ntshav qab zib thiab lwm yam kev qhia, thiab yuav tham txog hauv cov khoom no.
Kev qhia rau yuav tsum tau txhaj tshuaj kho
Cov tshuaj Diabeton MV, cov lus qhia rau kev siv uas muaj tag nrho cov ntaub ntawv tsim nyog txog cov cuab yeej, nws raug nquahu kom siv rau hauv cov xwm txheej hauv qab no:
- mob ntshav qab zib mellitus (hom thib ob) - yog tias tsis ntsuas tshuaj kho mob (kev noj haus, yuag, kev tawm dag zog) tsis muaj txiaj ntsig;
- txhawm rau tiv thaiv kom tsis txhob mob ntshav qab zib mellitus (retinopathy, mob stroke, nephropathy, myocardial infarction). Rau qhov no, cov neeg mob tau yauv tswj hwm glycemic.
Cov tshuaj Diabeton MV tau sau tseg tsuas yog rau cov laus, rau cov menyuam yaus hnub nyoog qis dua 18 xyoo, cov tshuaj tsis tau npaj siab, kev sim tshuaj tsis tau ua.
Kev noj cov tshuaj hypoglycemic yog xaiv ib qho zuj zus rau txhua tus neeg mob. Hauv qhov no, cov ntsiab lus ntawm cov piam thaj hauv cov ntshav yuav raug coj mus rau hauv tus account, nrog rau HbA1c qhov tseem ceeb.
Qhov pom zoo ntawm cov tshuaj yog: ib zaug ib hnub nyob rau hauv qhov ntim ntawm 30 mg-120 mg (los ntawm ib nrab rau ob ntsiav tshuaj ib zaug thaum noj mov thaum sawv ntxov).
Piv txwv li, ib ntsiav tshuaj Diabeton MV 30 mg lus qhia rau kev siv yuav tsum nqos tag nrho. Nws tsis pom zoo kom zom los yog zom nws.
Yog tias lo lus nug tshwm sim, yuav ua li cas noj ntshav qab zib MV 60 mg kom raug, ces hauv qhov no koj tuaj yeem tsoo lub ntsiav tshuaj thiab, dua, noj tag nrho ib nrab.
Nws yog ib qho tseem ceeb kom noj cov tshuaj nruj me ntsis tsis tu ncua, raws li lub sijhawm kos tseg los ntawm kws kho mob. Yog tias hla kev siv tshuaj, tsis muaj qhov tsis nce lub koob txuas ntxiv.
Tus mob ntshav qab zib MV 60 mg, kws kho mob pom zoo tias thaum pib theem pib kho, txhua tus neeg laus (suav nrog cov neeg laus dua 65 xyoos) noj ib nrab ib ntsiav tshuaj ib hnub, uas yog, 30 mg txhua.
Ntawm cov koob tshuaj xws li, cov tshuaj siv los ua tus txhawb nrog kev kho mob. Thaum tsis muaj kev tswj kav glycemic tsis txaus, qhov kev noj tshuaj txhua hnub raug pom zoo kom maj mam nce ntxiv. Thaum pib, nws tuaj yeem yog 60 mg, tom qab ntawd 90 mg thiab txawm 120 mg rau ib hnub.
Ntshav qab zib mob ntshav siab MV
Cov kws kho mob pom zoo kom nce qhov ntxiv tsuas yog tom qab ib hlis ntawm kev kho mob. Ib qho kev zam yog cov neeg mob uas muaj lub siab nyob hauv qab zib tom qab ob lub lim tiam ntawm kev kho. Rau lawv, ib qho kev nce ntxiv ntawm tus mob ntshav qab zib MV noj yog ua tau tom qab 14 hnub xwb ntawm kev kho mob.
Hauv cov ntsiav tshuaj ntawm 60 mg, ib qho kev qhia tshwj xeeb uas tau tso cai rau koj faib cov koob tshuaj ntawm ib nrab. Yog li, yog tias tus kws kho mob tau tshaj tawm txog 90 mg ntawm cov tshuaj ib hnub rau tus neeg mob, ces nws yog qhov yuav tsum tau siv ib qho 60 mg ntsiav tshuaj thiab ib qho ntxiv 1/2 feem ntawm thib ob.
Co-administration nrog cov tshuaj hypoglycemic
Diabeton MB yog siv nrog cov tshuaj hauv qab no:
- biguanidines;
- tshuaj insulin;
- alpha glucosidase inhibitors.
Kev tswj tsis tau glycemic tsis txaus ua rau muaj kev teem sijhawm mus kawm ntxiv ntawm kev kho mob insulin, nrog rau kev kuaj mob.
Cov yam ntxwv ntawm kev noj tshuaj rau pab pawg cov neeg mob ib leeg
Cov kev tshawb fawb pom tau tias tsis tas yuav txhaj koob tshuaj rau hauv cov neeg mob hauv qab no:
- cov neeg laus (65 xyoo lossis tshaj saud);
- nrog mob me mus rau kawm tiav lub raum tsis ua haujlwm;
- nrog kev txhim kho tau ntawm hypoglycemia (tsis siv nyiaj lossis tsis txaus noj haus);
- nrog cov mob endocrine hnyav (hypothyroidism, pituitary tsis txaus, cov kab mob adrenal);
- thaum tshem tawm cov tshuaj corticosteroids, yog tias lawv siv sijhawm ntev lossis siv rau ntau qhov koob tshuaj;
- nrog cov kab mob hnyav ntawm lub siab thiab cov hlab ntsha (cov tshuaj yog pom zoo hauv qhov tsawg kawg ntawm 30 mg).
Qhov teeb meem ntawm kev overdose
Kev siv tshuaj ntau dhau ntawm cov tshuaj ua rau kev loj hlob ntawm cov ntshav qab zib.
Txhawm rau kho cov tsos mob ntawm tus mob hypoglycemia, uas tau hais tawm hauv cov tsos mob me ntsis ntawm tus kab mob, nws yog qhov tsim nyog:
- nce qhov kev nqus ntawm cov tshuaj carbohydrate-muaj cov tshuaj;
- txo qhov pib noj thawj zaug ntawm cov tshuaj;
- hloov cov khoom noj ua pa;
- sab laj tus kws tshaj lij.
Hauv hypoglycemia heev, tus neeg mob muaj:
- coma
- mob leeg;
- lwm cov hlab ntsha hlwb.
Sab sij huam
Kev siv cov tshuaj nrog cov zaub mov noj tsis xwm yeem, nrog rau kev noj zaub mov ntau dhau tuaj yeem ua rau muaj qhov tshwm sim ntawm kev mob ntshav qab zib, uas tau hais tawm hauv cov tsos mob hauv qab no:
- mob taub hau
- kev tshaib plab heev;
- nkees
- qhov kev ntuav ntuav;
- xeev siab
- arousal
- txo qhov zoo ntawm kev saib xyuas;
- tsis muaj kev pw tsaug zog;
- chim siab mob;
- maj mam tawm ntawm kev tawm tsam;
- poob ntawm kev tswj tus kheej;
- kev nyuaj siab lub xeev;
- pom kev tsis zoo;
- hais lus tsis meej;
- paresis;
- aphasia;
- tshee hnyo
- kev tswj tsis tau tus kheej;
- tsis paub pab lwm tus;
- Kiv taub hau
- tsaug zog
- mob leeg;
- tsis muaj zog
- bradycardia;
- pa ua tsis taus pa;
- delirium;
- tsaug zog
- tsis nco qab;
- andrenergic kev hloov kho;
- coma nrog rau qhov ua tau rau neeg tuag taus.
Cov tsos mob txais tau hauv cov ntshav qab zib tsawg yog raug tshem tawm los ntawm kev noj qab zib. Raug mob hnyav lossis ntev heev ntawm cov mob no yuav tsum tau mus pw hauv tsev kho mob.
Kuj muaj lwm cov kev mob tshwm sim hauv lub cev siv:
- zom plab
- subcutaneous nqaij thiab tawv nqaij;
- ntshav tsim;
- kua tsib lub plab thiab nplooj siab;
- kabmob ntawm lub zeem muag.
Cov Yuav Tsum Muaj
Cov tshuaj Diabeton MV 60 mg muaj cov nram qab no contraindications:
- yam 1 mob ntshav qab zib mellitus;
- kev mob ntshav qab zib hauv daim ntawv ntawm ketoacidosis, coma, precoma;
- cov teeb meem loj ntawm hepatic lossis lub raum tsis ua haujlwm (kev kho mob insulin yog qhov pom zoo);
- concomitant siv nrog miconazole;
- xeev cev xeeb tub;
- lub sijhawm pub niam mis;
- hnub nyoog qis dua 18 xyoo;
- ua kom lub cev tsis haum rau cov tshuaj;
- intolerance rau lactose-muaj cov tshuaj;
- kev tshwm sim ntawm galactosemia, galactose / piam thaj malabsorption syndrome;
- sib koom tes siv nrog Danazol, Phenylbutazone.
Ceev faj yuav tsum tau siv thaum kev noj tshuaj nyob rau hauv cov mob hauv qab no:
- nrog rau qhov tsis muaj txhij txhua, zaub mov tsis xwm yeem;
- cov kab mob ntawm lub plawv, cov hlab ntsha, daim siab, lub raum;
- kev kho mus sij hawm ntev ntawm corticosteroids;
- qhia kev haus cawv;
- thaum laus.
Cov tshuaj yuav cuam tshuam nrog lwm cov tshuaj, nrog rau kev haus dej cawv thiab ua rau tsis muaj kev cuam tshuam.
Nws yog contraindicated yuav siv nrog cov tshuaj yeeb yaj kiab uas txhim kho qhov kev ua ntawm feem ntawm gliclazide, txij li thaum kev txhim kho ntawm hypoglycemia yog ua tau.
Koj tuaj yeem siv tsis tau cov tshuaj hauv kev sib txuas nrog Miconazole, Phenylbutazone, Ethanol, lwm yam tshuaj muaj dej cawv hauv lawv cov kev sib xyaw, thiab nws tseem yuav tsum tau tshem tawm cov cawv huv si. Siv kev ceev faj nrog cov tshuaj hypoglycemic (Insulin, Metformin, Enalapril).
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Cov lus qhia rau kev siv tshuaj Diabeton hauv daim yeeb yaj kiab:
Nyob rau hauv txhua rooj plaub, nws yog ib qho tsim nyog rau tiag mus glycemic tswj thaum noj cov tshuaj. Nws yog ib qho tseem ceeb kom ua cov txheej txheem no tsis tu ncua, suav nrog nws tus kheej. Yog tias tsim nyog, tus neeg mob yuav tsum tau txais kev kho mob sai sai.
