Cov lus qhia rau kev siv tshuaj Glimeperid

Mob ntshav qab zib yuav tsum tswj hwm tus neeg mob cov ntshav qab zib.

Rau qhov no, cov kws kho mob siv cov tshuaj sib txawv, muab cov yam ntxwv ntawm daim duab ntawm tus kabmob.

Ntawm cov tshuaj no, muaj ib cov tshuaj hu ua glimepiride.

Cov ntaub ntawv dav dav, muaj pes tsawg leeg thiab daim ntawv tso tawm

Cov tshuaj glimepiride yog ib qho ntawm cov tshuaj hypoglycemic. Nws feem ntau siv los tswj cov ntshav qabzib, uas yog, nrog ntshav qab zib.

Cov kws tshaj lij tsis pom zoo kom noj cov tshuaj no yam tsis muaj daim ntawv sau tshuaj los ntawm kws kho mob, txij li qhov tsim nyog ntawm kev kho nrog nws nyob ntawm tus yam ntxwv ntawm tus kab mob.

Cov tshuaj tau nthuav tawm hauv cov ntsiav tshuaj, xim ntawm lub khauj khaum uas nyob ntawm qhov koob tshuaj ntawm cov tshuaj nquag. Cov tshuaj tau noj ntawm qhov ncauj.

Cov tshuaj nquag nyob hauv cov tshuaj yog Glimepiride. Excipients tau ntxiv rau nws.

Glimepiride yog tsim hauv cov ntsiav tshuaj. Nyob ntawm seb qhov khoom muaj nqis, ntau ntau yam muaj qhov sib txawv hauv lawv. Tus nqi ntawm cov tshuaj ua kom nquag tuaj yeem yog 1, 2, 3, 4 lossis 6 mg rau hauv ib qhov tshuaj.

Ntawm cov ntu Cheebtsam yog qhia:

• magnesium nplawm;
• povidone;
• hmoov txhuv nplej siab glycolate;
• lactose monohydrate;
• cellulose;
• polysorbate 80.

Cov tshuaj nrog ntau cov tshuaj sib txawv muaj xim txawv hauv lub plhaub (liab, ntsuab, daj lossis xiav), yog li cov tshuaj yuav muaj cov kab ntawm ntau yam xim.

Ntawm kev muag koj tuaj yeem nrhiav glimepiride hauv contour hlwb ntawm 10 pcs. hauv txhua (hauv pob muaj 3 lossis 6 hlwb) lossis hauv cov fwj dej polymer hauv qhov ntau ntawm 30 lossis 60 units.

Pharmacological kev txiav txim thiab pharmacokinetics

Lub ntsiab tseem ceeb ntawm cov tshuaj yog qhov txo qis hauv cov piam thaj hauv cov ntshav. Qhov no yog vim tau nphav raug cov beta hlwb ntawm cov txiav, uas pib hle insulin ntau dua. Thaum noj Glimepiride, qhov rhiab heev ntawm beta hlwb nce, lawv hnov ​​mob ntau dua rau cov piam thaj, vim tias cov tshuaj insulin ua rau hyperglycemia ua hauj lwm zoo dua.

Tsis tas li, cov tshuaj no yog pom los ntawm cov txiaj ntsig ua ke, uas muaj nyob hauv kev nce insulin rhiab heev hauv thaj chaw peripheral. Molecules uas thauj cov kua nplaum tawm mus rau cov leeg thiab cov leeg nqaij adipose yog tsim nyob rau hauv ntau dua.

Nrog rau cov tshuaj raug tsim nyog, nws txoj kev ua haujlwm yog nqus tau kiag li. Txoj kev no tsis cuam tshuam dab tsi los ntawm cov khoom noj. Cov tshuaj yeeb dej caw nce mus txog nws qhov siab tshaj plaws nyob rau theem 2.5 teev tom qab noj cov ntsiav tshuaj.

Thaum cov ntsiav tshuaj no siv, cov ntawv cog lus ruaj khov yog tsim los ntawm cov feem ntawm cov tshuaj thiab cov ntshav protein (los ntawm 90% lossis ntau dua). Thaum lub sij hawm oxidative biotransformation, ua tiav cov metabolism ntawm glimepiride tshwm sim. Raws li qhov tshwm sim, derivatives ntawm carboxyl thiab cyclohexyl hydroxymethyl yog tsim.

Cov kab mob npaws nyob hauv cov zis (60%) thiab quav (40%). Qhov no tshwm sim hauv 7 hnub. Ib nrab-lub neej yuav siv li 8 teev.

Kev taw qhia thiab contraindications

Txhawm rau kom zam dhau lub txim tsis zoo thiab muaj teeb meem vim kev siv ib qho tshuaj twg, lawv cov lus qhia yuav tsum ua raws cai. Qhov no yog qhov tseeb tshwj xeeb tshaj yog rau cov tshuaj npaj rau cov ntshav qab zib.

Tus kws kho mob yuav tsum ua nrog rau cov tshuaj ntawm cov tshuaj, thiab qhov no yuav tsum tau ua tsuas yog tom qab kuaj pom tseeb. Kev siv cov tshuaj Glimepiride tsis pub dhau yam tsis tas yuav tsum muaj.

Cov khoom no yog npaj rau cov neeg mob uas muaj ntshav qab zib hom 2. Nws tuaj yeem siv ib leeg los yog ua ke nrog lwm cov tshuaj los ntawm pab pawg no. Kev kho mob Glimepiride yog siv ntau nrog cov tshuaj muaj metformin.

Nws yog qhov tseem ceeb ib yam thaum sau tshuaj rau cov tshuaj kom txiav txim siab contraindications. Nws yog vim lawv tias hloov chaw txhim kho, teeb meem tuaj yeem tshwm sim.

Kev siv cov glimepiride yog txwv tsis pub muaj xws li:

• intolerance rau Cheebtsam;
• mob ketoacidosis;
• yam 1 mob ntshav qab zib mellitus;
• mob raum tsis zoo;
• kab mob siab heev;
• mob ntshav qab zib tsis xeev (lossis precoma);
• cov menyuam hnub nyoog;
• cev xeeb tub lub sijhawm;
• pub niam mis.

Cov contraindications no yog nruj. Yog tias muaj, cov tshuaj no yuav tsum tau hloov nrog lwm tus neeg sawv cev.

Nrog kev ceev faj, glimepiride tau sau tseg rau:

• kev pheej hmoo ntawm kev txhim kho hypoglycemia;
• mob hnyuv (hnyuv tawm tsam);
• npaj kev hloov pauv hauv tus neeg mob lub neej (nce / txo qis hauv kev tawm dag zog, tsis lees paub yam cwj pwm phem, hloov pauv kev noj zaub mov).

Hauv cov xwm txheej no, tus kws kho mob yuav tsum saib xyuas kev nce qib ntawm kev kho mob. Tus neeg mob nws tus kheej yuav tsum ceeb toom rau tus kws tshaj lij ntawm txhua qhov kev tshwm sim tsis zoo, vim tias lawv yuav qhia tau qhov tsis zoo ntawm cov tshuaj ntawm lub cev.

Cov lus qhia rau kev siv

Qhov ua tau zoo ntawm kev kho mob ntshav qab zib nrog cov cuab yeej no yog nyob ntawm seb cov tshuaj tau xaiv npaum li cas. Tus kws tshaj lij yuav tsum ua qhov no los ntawm kev txheeb xyuas cov yam ntxwv ntawm tus neeg mob lub neej. Tab sis tus qauv tseem ceeb yog qab zib qib.

Thaum pib kho nrog glimepiride, nws raug nquahu kom noj 1 mg ib hnub twg. Koj yuav tsum ua qhov no ua ntej noj tshais lossis thaum lub sijhawm nws. Cov ntsiav tshuaj yuav tsum haus kom qaug cawv kom tag. Thaum tsis muaj qhov tshwm sim ntau, qhov koob tshuaj tuaj yeem nce ntxiv. Qhov siab tshaj plaws ntawm cov tshuaj nquag yuav tsum tsis pub ntau tshaj 6 mg ib hnub.

Ua kom cov koob tshuaj ntau dua yuav tsum tau ua kom zoo zuj zus, tsom mus rau qhov tshwm sim ntawm kev kuaj ntshav. Koj tuaj yeem ntxiv 1 mg rau ib lis piam (lossis ob ob zaug). Yog tias pom muaj cov kev mob tshwm sim loj heev, kev siv cov tshuaj no yuav tsum tau muab pov tseg.

Cov lus qhia tshwj xeeb

Cov tshuaj no yuav tsum muaj kev ceev faj txog ntawm qee cov neeg mob:

1. Cov poj niam thaum cev xeeb tubCov. Glimepiride tuaj yeem cuam tshuam tsis zoo rau lub sijhawm cev xeeb tub thiab kev loj hlob ntawm lub cev hauv plab, yog li ntawd, lub sijhawm no, tus neeg mob tau pom zoo kev kho mob nrog insulin.
2. Saib xyuas niam cov txivCov. Kev tshawb fawb hauv thaj chaw no tau ua tiav tsawg, tab sis muaj pov thawj ntawm kev muaj peev xwm nkag mus ntawm cov khoom muaj sia mus rau niam mis. Qhov no tsim ib qho kev pheej hmoo rau tus menyuam, yog li ntawd, thaum lub sijhawm lactation, cov piam thaj yuav tsum raug tswj hwm los ntawm lwm txoj kev.
3. Cov menyuamCov. Hauv cov menyuam yaus thiab thaum tiav hluas, cov tshuaj tsis sib haum. Nws siv tau tsuas yog pib ntawm 18 xyoo.

Cov yam ntxwv ntawm cov tshuaj yuav tsum tau ua tib zoo saib xyuas, kev saib xyuas tsis zoo tuaj yeem ua rau muaj kev phom sij.

Cov mob yooj yim kuj tseem yog ib qho laj thawj rau qhov tsis kam siv glimepiride.

Cov tshuaj no tuaj yeem coj mus rau kev hloov pauv sai ntawm qee cov pathologies, uas suav nrog:

• daim siab mob siab;
• kev tsis txaus ntseeg hauv kev ua haujlwm ntawm lub raum;
• muaj kev ntxhov siab nyob rau hauv endocrine system;
• kev raug mob
• kev ua haujlwm;
• kev kis mob uas ua rau mob febrile.

Nrog rau qhov tsis zoo no, tus kws kho mob yuav tsum xaiv lwm lub cuab yeej los tuav cov suab thaj kom nyob rau hauv ib txwm muaj.

Phiv thiab haus tshaj

Glimepiride tuaj yeem ua rau muaj kev phiv tshuaj.

Ntawm lawv yog hais:

• daim tawv nqaij ua pob;
• urticaria;
• ua txhaum nyob rau hauv cov hnyuv;
• xeev siab
• txog siav
• siab txo;
• dajntoo
• kev tsis haum tshuaj;
• qhov muag plooj.

Yog tias lawv kuaj pom, tus neeg mob yuav tsum sab laj nrog kws kho mob. Nrog kev mob hnyav tshwm sim, cov tshuaj tau raug muab tso tseg. Qee qhov xwm txheej, nws raug tso cai txuas ntxiv kev kho mob - yog tias muaj kev phiv tshuaj tsis txaus ntseeg thiab tsis tseem ceeb.

Nrog kev siv tshuaj ntau dhau ntawm cov tshuaj no, hypoglycemia muaj kev txhim kho.

Nws nrog cov tsos mob xws li:

• tsaug zog
• cramps
• teeb meem nrog kev ua haujlwm ntawm kev txav chaw;
• tshee hnyo
• xeev siab

Hauv cov xwm txheej zoo li no, nws raug nquahu kom yaug lub plab thiab siv adsorbents. Yog mob hnyav, yuav tsum mus pw hauv tsev kho mob.

Kev sib cuam tshuam txog Yeeb Tshuaj thiab Analogs

Ib qho tseem ceeb heev rau kev siv ib qho tshuaj twg yog nws txoj kev sib xyaw nrog lwm cov tshuaj.

Thaum siv glimepiride, nws yog qhov tsim nyog kom nkag siab tias qee pawg ntawm cov tshuaj tuaj yeem txhim kho lossis txo nws cov nyhuv. Qhov no txhais tau tias thaum noj cov tshuaj no, koj yuav tsum kho lub koob tshuaj.

Txo cov tshuaj ntau ntxiv ntawm glimepiride yog qhov yuav tsum tau ua thaum nws siv ua ke nrog cov tshuaj xws li:

• ATP inhibitors;
• cov kab mob hypoglycemic;
• tshuaj insulin;
• ntev ua yeeb yam sulfonamides;
• MAO inhibitors;
• salicylates;
• anabolic steroids thiab lwm yam.

Qee pawg ntawm cov tshuaj txo cov hauj lwm zoo ntawm cov tshuaj no, yog li vim tias lawv koj xav tau nce cov tshuaj ntau ntxiv.

Cov no suav nrog:

• glucagon;
• barbiturates;
• glucocorticosteroids;
• tshuaj mob siab;
• nicotinic acid;
• estrogens;
• tshuaj kho mob.

Koj tsis tuaj yeem hloov qhov ntau ntawm cov tshuaj koj tus kheej. Qhov no yuav tsum tau ua los ntawm tus kws tshaj lij, txij li tsuas yog nws tuaj yeem coj mus rau hauv tus lej txhua tus cwj pwm tseem ceeb.

Nrog kev ua tsis tau zoo ntawm glimepiride, tus neeg mob tuaj yeem hloov nws nrog lwm cov tshuaj uas muaj cov nyhuv zoo sib xws:

1. Glimax. Cov tshuaj muaj cov qauv sib xws thiab cov yam ntxwv ntawm kev ua.
2. DimarilCov. Lub hauv paus ntawm cov tshuaj kuj yog glimepiride.
3. GlidiabCov. Cov tshuaj ua haujlwm nquag ntawm cov tshuaj yog Gliclazide. Nws muaj kev cuam tshuam lub cev ntawm cov neeg mob hauv ib qho zoo sib xws.

Thaum hloov mus rau lwm cov tshuaj, ceev faj yog qhov tsim nyog, vim tias qhov kev coj ua no tuaj yeem cuam tshuam tsis zoo rau lub neej. Yog tias tsis sab laj nrog tus kws tshaj lij, qhov no raug txwv.

Video hais txog ntshav qab zib, nws hom, cov tsos mob thiab kev kho mob:

Tus neeg mob lub tswv yim

Los ntawm kev tshuaj xyuas cov neeg mob noj Glimepiride, peb tuaj yeem xaus lus tias cov tshuaj txo qis cov suab thaj kom zoo thiab nws tus nqi qis dua rau ntau cov tshuaj analog, txawm li cas los xij, cov kev mob tshwm sim muaj tsawg txaus, yog li nws raug nquahu kom noj cov tshuaj tsuas yog nyob hauv kev saib xyuas ntawm tus kws tshaj lij.

Tus kws kho mob tau sau ntawv rau kuv Glimepiride nrog Metformin. Qhov no tau pab ua kom cov suab thaj theem li qub. Kev nce ntxiv tsuas yog ua txhaum ntawm kev noj haus. Hauv cov xwm txheej zoo li no, kuv nce koob tshuaj Glimepiride los ntawm 2 txog 3 mg, tom qab ntawd txhua yam ua raws li. Cov tshuaj no haum rau kuv, Kuv tsis tau pom dua muaj kev mob tshwm sim. Ntawm qhov muaj txiaj ntsig zoo - Kuv tau poob ceeb thawj, hauv cov yees duab qhov sib txawv hauv qhov zoo li tsis txaus ntseeg.

Marina, 39 xyoo

Kuv siv coj Amaril, tom qab ntawd nws tau hloov nrog Glimepiride pheej yig dua. Nyob rau tib lub sij hawm tshuaj, cov txiaj ntsig tau tsis muaj zog - tsis muaj piam thaj tsis tsawg. Tus kws kho mob yuav tsum nce qhov tshuaj ntau dua li 6 mg. Nws zoo dua, tab sis nws thab kuv tias kuv yuav tsum tau noj tshuaj ntau dhau. Tab sis kuv tsis tuaj yeem them taus Amaril.

Lyudmila, 48 xyoo

Cov tshuaj yog qhov zoo, txawm hais tias nws tsis yooj yim rau kuv tau siv nws. Vim tias muaj mob tshwm sim, tus kws kho mob xav tias kuv tau haus ntau dua li qhov tsim nyog. Tab sis tom qab ntawd txhua yam teeb meem ploj mus, qhov mob ruaj khov, tsis muaj ntshav ntxiv nyob rau tom qab. Kev noj glimepiride Kuv pom tias ua raws li cov lus qhia yog qhov tseem ceeb heev.

Eugene, 56 xyoo

Tus nqi ntawm cov tshuaj yog nyob ntawm tus nqi ntawm cov tshuaj nquag hauv cov ntsiav tshuaj. Nws tuaj yeem muaj li 160 txog 450 rubles.