Ntshav Qab Zib Hom 2 yog suav tias yog qee yam kabmob kev paub ua haujlwm los ntawm kev loj hlob ntawm tus mob hyperglycemia vim yog kev cuam tshuam ntawm lub cev lub cev nrog cov tshuaj insulin.
Txhawm rau cov theem ntawm cov piam thaj hauv cov ntshav, qee cov neeg mob, nrog rau zaub mov noj kom haum, xav tau tshuaj ntxiv.
Ib qho ntawm cov tshuaj no yog glurenorm.
Cov ntaub ntawv dav dav, muaj pes tsawg leeg thiab daim ntawv tso tawm
Glurenorm yog tus sawv cev ntawm sulfonylureas. Cov nyiaj no yog npaj los txo kom cov ntshav qabzib.
Cov tshuaj txhawb txoj kev dhia ua haujlwm ntawm insulin los ntawm lub hlwb ntawm tus txiav, uas pab nqus cov piam thaj ntau dhau.
Cov tshuaj yog tawm rau cov neeg mob nyob rau hauv cov xwm txheej uas kev noj haus tsis ua rau cov yam xav tau, thiab ntxiv kev ntsuas yuav tsum ua kom cov ntshav khov hauv lub ntsuas.
Cov ntsiav tshuaj yog xim dawb, muaj tus engraving "57C" thiab lub logo coj ntawm cov tuam txhab.
Muaj pes tsawg leeg:
- Glycvidone - lub ntsiab lus tseem ceeb - 30 mg;
- pob kws nplej siab (qhuav thiab yaj) - 75 mg;
- lactose (134.6 mg);
- magnesium stearate (0.4 mg).
Lub pob tshuaj yuav muaj 30, 60, lossis 120 ntsiav tshuaj.
Cov chaw muag tshuaj thiab tshuaj pharmacokinetics
Kev noj tshuaj yuav ua rau cov txheej txheem hauv qab metabolism hauv lub cev:
- hauv beta hlwb Qhov pib ntawm kev tsis txaus siab nrog cov piam thaj txo, uas ua rau ntau lawm ntawm insulin;
- qhov rhiab ntawm peripheral hlwb rau cov tshuaj hormones nce;
- cov cuab yeej ntawm cov tshuaj insulin nce rau cuam tshuam cov txheej txheem ntawm kev nqus los ntawm daim siab thiab kua ntswg;
- lipolysis uas tshwm sim hauv cov ntaub so ntswg adipose qeeb;
- cov concentration ntawm glucagon nyob rau hauv cov ntshav txo qis.
Kws tshuaj:
- Qhov kev nqis tes ntawm cov khoom siv ntawm tus neeg sawv cev pib tom qab kwv yees li 1 lossis 1.5 teev txij li lub sijhawm ntawm nws txoj kev noj haus. Lub siab tshaj plaws ntawm cov tshuaj muaj nyob hauv qhov npaj tau mus txog tom qab 3 teev, thiab lwm 12 teev nyob.
- Cov metabolism hauv cov tshuaj nquag ntawm cov tshuaj no tshwm sim tsuas yog nyob hauv daim siab.
- Kev nqhis ntawm cov feem ntawm cov tshuaj yog nqa tawm los ntawm txoj hnyuv thiab raum. Ib nrab-lub neej yog li 2 teev.
Lub zog kev sib txawv ntawm cov tshuaj tsis hloov pauv thaum siv los ntawm cov neeg laus, nrog rau cov neeg mob uas muaj kab mob hauv lub raum.
Kev taw qhia thiab contraindications
Glurenorm yog siv los ua cov tshuaj tseem ceeb hauv kev kho mob ntshav qab zib hom 2. Feem ntau feem ntau, cov tshuaj tau raug muab rau cov neeg mob tom qab mus txog hnub nyoog nruab nrab lossis qib siab, thaum glycemia tsis tuaj yeem rov qab los nrog kev pab ntawm kev noj zaub mov noj.
Cov Tshuaj Tiv Thaiv:
- muaj cov ntshav qab zib hom 1;
- kev rov qab los tom qab lub cev rov qab zoo li rov qab;
- lub raum tsis ua haujlwm;
- kev ntxhov siab hauv lub siab;
- acidosis tsim nyob rau tom qab ntawm ntshav qab zib;
- ketoacidosis;
- coma (mob ntshav qab zib);
- galactosemia;
- lactose tsis kam lees;
- cov kab mob sib kis cov txheej txheem uas tshwm sim hauv lub cev;
- kev phais mob;
- cev xeeb tub
- cov menyuam yaus hnub nyoog qis dua;
- intolerance mus rau Cheebtsam ntawm cov tshuaj;
- lub sijhawm pub niam mis;
- cov thyroid kab mob;
- kev quav cawv;
- mob siab rau plooj (porphyria).
Cov lus qhia rau kev siv
Glurenorm tau noj ntawm qhov ncauj. Qhov ntau npaum ntawm cov tshuaj tau teeb tsa los ntawm tus kws kho mob tom qab ntsuas xyuas qhov dav dav ntawm tus neeg mob, muaj cov kab mob concomitant thiab cov kev ua mob nquag.
Thaum lub sijhawm noj cov ntsiav tshuaj, koj yuav tsum ua raws li cov txheej txheem khoom noj khoom haus uas kws kho mob los ntawm tus kws kho txoj cai endocrinologist thiab tus tsim muaj tseeb.
Koj yuav tsum pib kho nrog qhov tsawg kawg nkaus ntawm 0.5 ntsiav tshuaj. Thawj cov tshuaj yog noj thaum noj tshais.
Yog tias tsis muaj dab tsi tshwm sim los ntawm kev noj ib nrab ntawm cov ntsiav tshuaj, koj yuav tsum sab laj nrog koj tus kws kho mob, vim tias yuav tsum nce tshuaj ntau ntxiv. Tsis pub ntau tshaj 2 lub tshuaj nyob rau ib hnub. Thaum tsis muaj qhov cuam tshuam ntawm hypoglycemic, cov neeg mob yuav tsum tsis txhob nce qhov koob tshuaj Glyurenorm, tab sis siv Metformin ntxiv tom qab kev pom zoo nrog tus kws kho mob koom.
Cov lus qhia tshwj xeeb
Kev kho ntshav qab zib yuav tsum tau ua tsuas yog nyob ntawm kev saib xyuas ntawm kws kho mob.
Cov neeg mob yuav tsum tsis hloov pauv kev noj tshuaj, ntxiv rau tshem tawm txoj kev kho mob lossis hloov mus rau kev noj lwm yam tshuaj ntshav tsis tas yuav ua haujlwm ua ntej nrog tus kws kho mob endocrinologist.
Cov cai tshwj xeeb pub nkag uas yuav tsum muaj:
- tswj lub cev nyhav;
- tsis txhob hla pluas noj;
- haus cov ntsiav tshuaj tsuas yog thaum pib noj tshais, thiab tsis nyob ntawm lub plab khoob;
- npaj ua ntej lub cev;
- cais tawm ntawm kev siv cov ntsiav tshuaj nrog pom tias muaj cov piam thaj-6-phosphate dehydrogenase;
- suav txog qhov cuam tshuam ntawm lub sijhawm ntxhov siab rau cov ntsiab lus qabzib, nrog rau kev haus dej cawv.
Cov neeg mob raum tsis ua haujlwm thiab mob siab yuav tsum nyob hauv kev saib xyuas ntawm cov kws tshwj xeeb lub sijhawm kho mob tshuaj, txawm tias qhov tseeb tias yuav tau kho kom haum rau cov kev mob zoo li no. Cov qauv mob siab ua rau lub siab tsis ua haujlwm yog suav tias yog kev tsis pom zoo rau kev siv Glyurenorm vim yog qhov tseeb tias nws cov khoom siv tau hloov kho hauv cov khoom no.
Ua raws li cov lus pom zoo no yuav ua rau tus neeg mob zam kev txhim kho kev mob hypoglycemia. Cov tsos mob ntawm tus mob no yog suav tias yog kev phom sij tshaj plaws thaum lub sijhawm tsav tsheb, thaum nws yog qhov nyuaj rau kev ntsuas kev ntsuas kom tshem tawm cov tsos mob. Cov neeg mob uas siv Glurenorm yuav tsum sim ua kom tsis txhob tsav tsheb, nrog rau ntau yam kev ua haujlwm.
Thaum cev xeeb tub, ntxiv rau pub niam mis, cov poj niam yuav tsum tso tseg kev kho tshuaj. Qhov no yog vim tsis muaj cov ntaub ntawv tsim nyog ntawm tus yam ntxwv ntawm cov nquag ua haujlwm ntawm kev loj hlob ntawm tus menyuam. Yog tias tsim nyog, qhov yuav tsum tau noj cov tshuaj qab zib kom tsawg rau cov poj niam cev xeeb tub lossis cov neeg muaj cev yuav tsum hloov mus rau kev kho tshuaj insulin.
Phiv thiab haus tshaj
Kev noj cov tshuaj ua rau cov kev mob tshwm sim hauv qab no hauv qee cov neeg mob:
- hais txog qhov system hematopoietic - leukopenia, thrombocytopenia, agranulocytosis;
- ntshav tshuaj qis;
- mob taub hau, qaug zog, tsaug zog, kiv taub hau;
- pom kev tsis zoo;
- angina pectoris, hypotension thiab extrasystole;
- los ntawm lub plab zom mov - xeev siab, ntuav, mob plab, cholestasis, tsis qab los;
- Stevens-Johnson mob;
- urticaria, tawm pob, khaus;
- kev hnov mob hauv siab hauv siab.
Kev siv tshuaj ntau dhau ntawm cov tshuaj ua rau cov ntshav qab zib tsawg.
Hauv qhov no, tus neeg mob pom tau tias tus yam ntxwv ntawm tus yam ntxwv no:
- kev xav ntawm kev tshaib plab;
- tachycardia;
- insomnia
- nce hws;
- tshee hnyo
- hais lus tsis taus.
Koj tuaj yeem cheem cov kev ua kom tsis muaj ntshav qab zib los ntawm kev noj cov khoom noj uas muaj cov khoom noj carbohydrate hauv. Yog tias ib tug neeg tsis nco qab nyob rau lub sijhawm no, tom qab ntawd nws txoj kev rov qab los yuav xav tau cov piam thaj hauv ntshav. Txhawm rau tiv thaiv kom rov ua dua ntawm hypoglycemia, tus neeg mob yuav tsum tau noj khoom txom ncauj ntxiv tom qab txhaj tshuaj.
Kev sib cuam tshuam txog Yeeb Tshuaj thiab Analogs
Cov nyhuv hypoglycemic ntawm Glenrenorm yog kho kom zoo dua qub nrog kev siv tshuaj ib yam li:
- Glycidone;
- Allopurinol;
- ACE inhibitors;
- analgesics;
- antifungal tus neeg sawv cev;
- Clofibrate;
- Clarithromycin;
- heparins;
- Sulfonamides;
- tshuaj insulin;
- qhov ncauj cov kab mob nrog cov nyhuv hypoglycemic.
Cov tshuaj hauv qab no ua rau txo qis kev ua tiav ntawm Glyurenorm:
- Aminoglutethimide;
- sympathomimetics;
- cov thyroid hormones;
- Glucagon;
- qhov ncauj tiv thaiv;
- cov khoom muaj cov nicotinic acid.
Glurenorm yog ib qho tshuaj uas ib txwm muab los kho cov tshuaj glycemia hauv tib neeg kev txom nyem los ntawm ntshav qab zib hom 2.
Ntxiv nrog rau qhov kev hais daws no, cov kws kho mob tuaj yeem pom zoo nws cov analogues:
- Glairie
- Amix;
- Glianov;
- Gliklada;
- Glibetic.
Nws yuav tsum nco ntsoov tias kev hloov kho koob tshuaj thiab hloov chaw yuav tsum tau nqa los ntawm tus kws kho mob nkaus xwb.
Cov khoom siv hais txog ntshav qab zib thiab cov hau kev los tswj cov ntshav qabzib:
Tus neeg mob lub tswv yim
Los ntawm kev tshuaj xyuas ntawm cov neeg mob noj Glurenorm, peb tuaj yeem xaus tias cov tshuaj txo cov suab thaj kom zoo, tab sis nws muaj kev cuam tshuam zoo heev, uas yuam ntau ntau hloov mus rau cov tshuaj analog.
Kuv tau raug tus mob ntshav qab zib hom 2 tau ntau xyoo. Ob peb lub hlis dhau los, kuv tus kws kho mob tau sau Glyurenorm rau kuv, vim tias Diabeton tsis nyob hauv cov npe tshuaj pub dawb. Kuv tau noj ib hlis xwb, tab sis tuaj pom tias kuv yuav rov qab mus rau cov tshuaj dhau los. Glurenorm, txawm hais tias nws pab tswj cov piam thaj ib txwm, tab sis ua rau muaj ntau qhov kev phiv (qhov ncauj qhuav, cem quav thiab tsis qab los). Tom qab rov qab mus rau cov tshuaj yav dhau los, cov tsos mob tsis zoo ploj ploj.
Konstantin, hnub nyoog 52 xyoos
Thaum kuv kuaj pom tias mob ntshav qab zib, lawv yuav kho Glyurenorm sai li sai tau. Kuv nyiam cov nyhuv tshuaj. Kuv qab zib yuav luag zoo li qub, tshwj xeeb yog tias koj tsis zom cov zaub mov. Kuv tsis yws txog cov tshuaj no.
Anna, 48 xyoo
Kuv muaj ntshav qab zib tau 1.5 xyoo. Thaum xub thawj, tsis muaj tshuaj muaj suab thaj; qab zib yog qhov qub. Tab sis tom qab ntawd nws pom tias ntawm ib lub plab khoob qhov ntsuas tau nce. Tus kws kho mob sau cov ntsiav tshuaj Glurenorm. Thaum kuv pib coj lawv mus, Kuv pom tam sim ntawd cov nyhuv. Qab zib thaum sawv ntxov rov qab mus rau qhov tseem ceeb. Kuv nyiam cov tshuaj heev.
Vera, 61
Tus nqi ntawm 60 ntsiav tshuaj ntawm Glenrenorm yog kwv yees li 450 rubles.