Diabetalong - cov lus qhia rau kev siv

Ntshav qab zib yog ib yam kab mob uas siv tsis tau. Tus neeg mob tau yuam kom noj cov tshuaj uas tswj ntshav qab zib hauv nws lub neej.

Rau cov neeg mob uas muaj ntshav qab zib hom 1, qhov no yog insulin, thiab hom thib ob yog tshuaj sulfonylurea.

Diabetalong yog ib qho tshuaj hypoglycemic rau cov neeg muaj ntshav qab zib kom txo nws.

Cov tshuaj tau noj ntawm qhov ncauj, thiab vim yog lub sijhawm ntev, nws siv 1, tsawg dua 2 zaug hauv ib hnub.

Cov tshuaj yog tshuaj raws li yus tus kheej lossis hauv cov txheej txheem kho mob sib xyaw ua ke. Nws yog siv rau qee kis uas tom qab kev noj zaub mov pab tsis tau, tab sis kev noj cov tshuaj yuav tsum nrog kev noj zaub mov kom zoo.

Kev Sau ua ke, daim foos tso tawm

Diabetalong muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj dawb puag ncig. Lawv tau ntim rau hauv cov hlwv ntawm 10 daim thiab ib daim npav cardboard, qhov twg tuaj yeem los ntawm 3 txog 6 daim hlau.

Cov tshuaj muaj nyob hauv ob qhov tshuaj: 30 mg thiab 60 mg ntawm cov tshuaj nquag, uas yog gliclazide.

Ntu ntu ntawm cov tshuaj:

• colloidal silicon dioxide;
• lactose monohydrate;
• calcium stearate;
• pyromellose;
• talcum hmoov.

Daim ntawv ntau npaum li cas yuav yog nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj nrog hloov kho tso tawm lossis nrog rau lub sijhawm ua haujlwm ntev.

Cov chaw muag tshuaj thiab tshuaj pharmacokinetics

Lub ntsiab ua haujlwm tseem ceeb yog gliclazide, los ntawm tshuaj lom neeg nws yog ib qho kev tso tawm ntawm lub cim thib ob ntawm sulfonylurea. Gliclazide tso rau pom cov kev ua haujlwm siab thiab kev nyab xeeb.

Nws tiv taus ntau hom kev lom neeg thiab muaj cov teebmeem hauv qab no:

• nce ntau lawm tus kheej insulin, tso cai rau koj kom txo tau qhov tshuaj ntawm cov tshuaj hormone rau txhaj;
• normalizes carbohydrate metabolism;
• nce cov kev ua ntawm pancreatic beta hlwb;
• txo cov platelet fusion, uas txwv tsis pub thrombosis thiab lwm yam vascular pathologies.

Diabetalong yog kiag li nqus tom qab kev tswj hwm. Maj mam mus ntxiv hauv cov ntshav, nce mus txog qhov siab tshaj plaws 4-6 teev tom qab kev tswj hwm, qhia nws cov nyhuv rau 10-12 teev, tom qab ntawd nws cov concentration poob qis thiab tom qab 12 teev tshuaj raug tshem tawm ntawm lub cev.

Gliclazide yog metabolized feem ntau los ntawm daim siab, thiab tawm hauv lub raum.

Kev taw qhia thiab contraindications

Yog vim li cas noj ntshav qab zib yog tus neeg mob kuaj ntshav qab zib hom 2. Cov tshuaj raug txwv kom txo cov ntshav qab zib thaum ua raws li cov lus qhia txog kev noj zaub mov tsis zoo pab.

Tsis tas li, cov tshuaj yog kws kho raws li prophylactic rau cov kev mob tshwm sim los ntawm ntshav qab zib mellitus, feem ntau hloov pauv hauv cov qauv ntawm cov hlab ntsha nyob rau hauv tus ntawm glycemia siab.

Muaj cov qauv sib txuam rau cov tshuaj, lawv suav nrog:

• yam 1 mob ntshav qab zib mellitus;
• noj miconazole;
• mob hepatic thiab lub raum tsis ua haujlwm;
• lub sijhawm cev xeeb tub thiab pub niam mis;
• muaj qhov tshwm sim kab mob ntshav qab zib ketoacidosis, coma lossis precoma;
• siab rhiab heev rau cov Cheebtsam ua cov yeeb tshuaj;
• ua txhaum ntawm cov lactose metabolism;
• hnub nyoog mus deev.

Xyuam xim thiab tsuas yog nyob rau hauv kev saib xyuas ntawm tus kws kho mob, cov tshuaj yog siv:

• hauv lub hnub nyoog laus;
• cov neeg uas lawv cov zaub mov tsis xwm yeem;
• cov neeg mob nrog cov hlab plawv;
• cov neeg mob kev mob ntshav qabzib-6-phosphate dehydrogenase tsis muaj peev xwm;
• tom qab lub cev ntev glucocorticosteroid kho;
• kev txom nyem los ntawm kev quav dej caw;
• muaj raum lossis mob siab.

Hauv qhov no, tus kws kho mob yuav tsum txiav txim siab los ntawm cov ntaub ntawv muaj cov ntawv.

Cov khoom siv video los ntawm tus kws muab tshuaj:

Cov lus qhia rau kev siv

Kev noj tshuaj ntau npaum li cas thiab kev siv Diabetalong yog kws kho mob muab los ntawm tus kws kho mob, nws nyob ntawm tus neeg qhov kev txwv ntawm tus neeg mob thiab tuaj yeem sib txawv ntawm ib tus neeg mus rau lwm tus. Raws li cov lus qhia, kev txais tos yog ua tiav 1-2 zaug hauv ib hnub rau 20 feeb ua ntej noj mov. Txoj kev no yuav tso cai rau kev siv ntau ntawm cov yam ntxwv ntawm gliclazide.

Cov tshuaj tau noj ntawm qhov ncauj thiab ntxuav nrog me me ntawm cov dej. Cov koob tshuaj yog txiav txim siab los ntawm txoj kev xaiv. Hauv qhov no, koj yuav tsum pib nrog 30 mg rau ib hnub, yog tias tsis muaj kev kho mob, qhov tshuaj tsuas yog maj mam nce los ntawm 30 mg rau 120 mg. Qhov no yog qhov siab tshaj plaws saum toj no uas kev siv tsis raug pom zoo.

Koj tsis tuaj yeem nce ntxiv qhov ntau ntxiv yog tias ib qho ntawm cov hau kev tau ua tsis tiav, vim tias cov tshuaj ua rau txo cov ntshav qab zib kom tsawg, uas tuaj yeem ua rau cov ntshav qab zib tsawg.

Cov neeg mob tshwj xeeb

Rau cov neeg laus dua 65 xyoos, yuav tsum tau muab tshuaj kho kom ntau dua. Feem ntau, cov tshuaj yeeb tshuaj tau siv raws li cov cai ib yam.

Hauv lub sijhawm ntawm kev xeeb tub, cov tshuaj raug pom zoo kom hloov nrog kev kho tshuaj insulin kom txog thaum yug menyuam. Tsis muaj kev paub dhau los ntawm kev siv Diabetalong thiab lwm yam tshuaj glycoside thaum cev xeeb tub, yog li nws tsis muaj peev xwm txiav txim siab nws cov nyhuv ntawm cov menyuam hauv plab.

Thaum lub sijhawm lactation, cov tshuaj tseem tsis tuaj yeem siv, vim tias muaj qhov tshwm sim ntawm kev mob ntshav siab neonatal hypoglycemia hauv menyuam yaus. Yog li, pub niam mis rau tus pojniam uas mob tau raug txwv.

Cov neeg mob raum tsis ua haujlwm thiab lwm txoj kev ua haujlwm yuav tsum ua raws li cov tshuaj noj qis, tseem ceeb tshaj, yuav tsum tau saib xyuas txhua lub sijhawm ntawm tus kws kho mob.

Cov lus qhia tshwj xeeb

Ib qho mob tseem ceeb rau kev noj cov ntshav qab zib yog cov khoom noj muaj txiaj ntsig. Nws yuav tsum ua raws li cov lus pom zoo rau pawg neeg mob no thiab kho tau raws sijhawm. Qhov no yog qhov tsim nyog los tshem tawm qhov kev pheej hmoo ntawm kev mob ntshav qab zib, uas yuav tshwm sim vim tsis muaj lub zog ntawm cov ntshav hauv cov ntshav.

Cov laj thawj uas ua rau kom muaj kev txo qis ntawm hypoglycemia tuaj yeem yog:

• tsis muaj kev saib xyuas los ntawm tus neeg mob ntawm nws tus kheej qhov mob;
• tsis ua raws cov tseem fwv thiab cov khoom noj khoom haus ntau txaus, tshaib plab, npaj zaub mov tsis raug;
• lub raum lossis lub siab ua haujlwm;
• tshuaj noj ntau dhau;
• cov kab mob endocrine;
• mismatch ntawm qib ntawm kev qoj ib ce thiab tus nqi ntawm carbohydrates tau txais;
• concurrent saib xyuas ntawm ntau cov tshuaj.

Phiv thiab haus tshaj

Cov kev phiv loj los ntawm kev noj tshuaj yog:

• mob taub hau
• hemolytic yam anemia;
• ua txhaum ntawm saj;
• ua xua, feem ntau tshwm sim los ntawm daim tawv nqaij ua pob.

Lwm cov tsos mob tuaj yeem tshwm sim:

• cramps
• Kiv taub hau
• ua txhaum ntawm rhiab;
• tshee
• ua txhaum ntawm kev ua pa thiab nqos muaj nuj nqi;
• nce siab;
• tsis tshua pom kev zoo;
• mob siab ntawm hom mob cholestatic.

Hauv qhov no, nws yog ib qho tsim nyog kom tsum tsis txhob noj cov tshuaj thiab xaiv cov tshuaj analogues raws lwm cov khoom siv.

Kev noj tshuaj ntau dhau ntawm cov tshuaj yuav ua tau yog tias koj muaj kev ywj pheej ntau tshaj qhov tau noj tshuaj. Nws lub ntsiab tseem ceeb yog hypoglycemia, mus txog tom qab tsis nco qab.

Nrog cov ntshav tsis txaus ua kom tsis txhob mob, qhov tshuaj yuav tsum raug txo kom tsawg, thiab cov nqi ntawm cov carbohydrates hauv cov zaub mov yuav tsum nce ntxiv. Tus mob hypoglycemic coma, kev muab cov kua nplaum uas muaj tshuaj tua ntshav yog tshuaj kho.

Kev cuam tshuam nrog lwm yam tshuaj

Diabetalong nquag sib cuam tshuam nrog ntau yam tshuaj yeeb tshuaj, yog li ua ntej koj pib noj nws, koj yuav tsum paub koj tus kheej nrog qhov yam ntxwv no.

Yog li, thaum muaj kev tswj hwm tib lub sijhawm:

• nrog cov cawv yuav ua rau lub ntsej muag ntshav qab zib;
• nrog Danazol, kev ua kom mob ntshav qab zib yog pom tshwm, uas txo cov nyhuv ntawm cov tshuaj;
• nrog miconazole, cov nyhuv ntawm gliclazide ua kom zoo dua, uas tuaj yeem pab txhawb kev tsim cov ntshav hauv lub cev, qhov qub tshwm sim nrog lwm cov kab mob hypoglycemic;
• nrog chlorpromazine, uas txo cov tshuaj insulin ntau lawm, cov tshuaj tau zoo yog txo;
• nrog tetracosactide thiab glucocorticosteroids tuaj yeem ua rau muaj kev txhim kho ketoacidosis thiab txo qis hauv kev ua kom muaj carbohydrate;
• nrog Wafarin thiab lwm coagulants txhim kho nws cov nyhuv.

Analogs

Kev tshuaj xyuas ntawm cov kws kho mob pom tias Diabetalong ua tau zoo tshaj plaws hauv kev txo cov ntshav qabzib, txawm li cas los xij, nws tsis tuaj yeem siv tas mus li.

Hauv qhov no, cov kab mob analogues ntawm Diabetalong tau muab tshuaj, uas muaj ntau heev:

• Diabinax;
• Glyclazide-Akos;
• Cov kua nplaum ntev;
• Glidiab MV;
• Gliclazide MV;
• Ntshav qab zib MV;
• Ntshav Qab Zib;
• Glucostabil thiab lwm tus.

Diabetalong thiab Diabeton tau tsim nyob rau hauv cov khoom siv tib yam, tab sis cov tshuaj thib ob yog pom tias qhov ua tau zoo dua, vim tias qhov tshwm sim ntawm nws cov kev ua tiav tiav sai dua, tab sis tus nqi ntawm cov tshuaj no yog 2 zaug siab dua. Glyclazide yog ib qho yuav luag tiav.

Glucophage ntev muaj metformin hauv nws cov lus sib xyaw thiab tuaj yeem ua ke nrog insulin thiab lwm yam tshuaj los txo cov ntshav qab zib.