Vim tias ntev ua tsis txaus ntawm cov tshuaj insulin, cov kab mob hnyav ntawm cov endocrine muaj hauv lub cev - ntshav qab zib mellitus.
Qhov muaj peev xwm ntawm cov neeg uas muaj tus kab mob no tau txais kev txhawb nqa los ntawm cov tshuaj hypoglycemic uas tswj cov ntshav qabzib. Acarbose yog ib qho tshuaj tiv thaiv zoo rau kev kho mob ntshav qab zib.
Cov lus qhia rau kev teem caij
Cov tshuaj yog kws kho mob ntawm tus endocrinologist yog tias muaj cov tshuaj hauv qab no:
- yam 2 mob ntshav qab zib mellitus;
- tshaj cov ntsiab lus hauv cov ntshav thiab cov nqaij ntawm cov kab mob lactic acid (mob ntshav qab zib ua rau tsis nco qab).
Tsis tas li ntawd, hauv kev sib xyaw nrog kev noj zaub mov, cov tshuaj tau qhia rau hom 1 ntshav qab zib mellitus.
Kev siv cov tshuaj tsis tsim nyog yog tias tus neeg mob muaj cov tshuaj hauv qab no:
- tus kheej intolerance;
- mob hnyav rau ntshav qab zib (mob ntshav qab zib ketoacidosis lossis DKA);
- tsis muaj kev cuam tshuam tsis zoo ua rau daim siab mob ntsws (mob ntsws);
- kev zom nyuaj thiab mob plab (dyspepsia) ntawm qhov muaj mob ntev;
- reflex ua haujlwm hloov hlab plawv hloov uas tshwm sim tom qab noj mov (Remkheld's syndrome);
- lub sijhawm ua poj niam tes taw thiab pub mis;
- kev siv roj ntxiv hauv cov hnyuv;
- mob ntsws ntev ua mob ntawm cov leeg nqaij ntawm txoj hnyuv (ulcerative colitis);
- protrusion ntawm plab plab hauv qab daim tawv nqaij (ventral hernia).
Txoj kev sib xyaw thiab cov tshuab ntawm kev txiav txim
Acarbose (Latin lub npe Acarbosum) yog polymeric carbohydrate muaj qhov me me ntawm cov suab thaj yooj yim, yooj yim soluble hauv kua.
Cov tshuaj yog sib txuas los ntawm kev ua biochemical nyob rau hauv kev cuam tshuam ntawm enzymes. Cov khoom siv raw yog Actinoplanes utahensis.
Acarbose hydrolyzes polymeric carbohydrates los ntawm inhibiting qhov cov tshuaj tiv thaiv enzyme. Yog li, qib kev tsim thiab lub zog nqus cov suab thaj hauv cov hnyuv yog txo.
Qhov no pab tswj cov ntshav ntshav qabzib. Cov tshuaj tsis ua kom txoj kev tsim khoom thiab tso pa tawm ntawm cov tshuaj hormone los ntawm cov txiav thiab tsis pub ua kom cov ntshav qab zib tsawg. Cov tshuaj tsis tu ncua txo txoj kev pheej hmoo ntawm kev tsim mob plawv, thiab cov ntshav qab zib mob zuj zus.
Qhov nqus ntawm cov khoom nqus (nqus tau) tsis ntau dua li 35%. Qhov siab ntawm ib yam khoom hauv lub cev tshwm sim hauv theem: thawj qhov kev nqus tau tshwm sim hauv ib thiab ib nrab sijhawm, theem nrab (kev nqus ntawm cov khoom lag luam metabolic) - nyob rau thaj tsam li ntawm 14 teev mus rau ib hnub.
Nrog rau kev ua kom tiav ntawm kev ua haujlwm tsis zoo rau lub raum (lub raum tsis ua haujlwm), qhov kev cia siab ntawm cov tshuaj yeeb tshuaj nce ntxiv tsib zaug, hauv cov neeg muaj hnub nyoog 60+ - 1.5 npaug.
Cov tshuaj yog tshem tawm los ntawm lub cev los ntawm txoj hnyuv thiab lub chaw tso zis. Lub sijhawm nruab nrab ntawm cov txheej txheem no tuaj yeem txog 10-12 teev.
Cov lus qhia rau kev siv
Kev siv cov acarbose cuam tshuam txog kev kho mob ntev ntev. Cov ntsiav tshuaj yuav tsum quag cawv tsawg kawg ntawm ib hlis twg ntawm ib teev ua ntej noj mov.
Hauv thawj lub sijhawm ntawm kev kho mob, 50 mg ntawm cov tshuaj yog kws kho peb zaug hauv ib hnub. Thaum tsis muaj qhov tshwm sim tsis zoo, lub koob tshuaj tau nce 2-4 zaug nrog ntu ncua 1-2 hli.
Qhov siab tshaj plaws ntau npaum li cas yog 200 mg, ib hnub - 600 mg.
Txog ntawm lub hom phiaj prophylactic, cov tshuaj tau tshwm sim hauv qhov tsawg kawg kiag (50 mg) ib hnub ib zaug. Raws li qhov ntsuas, qhov tsuas tshuaj tuaj yeem yog ob npaug.
Tau Acarbose Glucobai tuaj yeem siv rau qhov poob phaus?
Cov tshuaj feem ntau ua rau lub hauv paus ntawm Acarbose yog German tshuaj Glucobay. Nws cov nyhuv pharmacological, kev taw qhia thiab sib kis rau kev siv yog zoo ib yam rau Acarbose. Txawm li cas los xij, kev siv cov tshuaj tsis txwv rau kev kho mob ntshav qab zib.
Glyukobay yog nrov heev ntawm cov kws ncaws pob thiab cov neeg uas muaj kev sib ceg nrog cov rog dhau los. Qhov no yog vim qhov tseem ceeb ntawm cov tshuaj - lub peev xwm los tiv thaiv qhov tsim thiab nqus ntawm cov piam thaj. Qhov ua kom yuag dhau heev lawm, raws li txoj cai, yog cov khoom noj carbohydrates ntau dhau heev lawm. Tib lub sijhawm, carbohydrates yog qhov khoom tseem ceeb ntawm lub zog ntawm lub cev.
Thaum sib cuam tshuam nrog cov plab hnyuv plab zom mov, cov carbohydrates yooj yim tam sim ntawd nqus los ntawm cov hnyuv, cov khoom noj uas muaj carbohydrates dhau los ntawm theem ntawm kev decomposition rau hauv cov yooj yim. Tom qab kev nqus tau tshwm sim, lub cev nrhiav kev nqus cov tshuaj thiab tso lawv "rau hauv kev ceev". Txhawm rau tiv thaiv cov txheej txheem no, cov neeg uas xav kom poob ceeb thawj coj Glucobai ua tus neeg saib xyuas kev zom cov zaub mov carbohydrate.
Video khoom siv txog cov tshuaj carbohydrate-thaiv cov hlab:
Kev cuam tshuam nrog lwm yam tshuaj
Hauv qab ntawm cov tshuaj ntau yam siv nyob rau hauv parallel nrog Acarbose, nws cov txiaj ntsig tuaj yeem nce lossis tsawg dua.
Cov lus ntawm kev txhim kho thiab txo qis teebmeem ntawm cov tshuaj:
Txhim khu kev ua | Txo qhov kev txiav txim |
|---|---|
sulfonylurea derivatives, uas yog cov tseem ceeb ntawm qee cov tshuaj hypoglycemic (Glycaside, Glidiab, Diabeton, Gliclada thiab lwm tus) | mob glycosides (digoxin thiab nws cov analogues) |
adsorbing npaj (ua kom cov pa roj carbon, Enterosgel, Polysorb thiab lwm tus) | |
thiazide diuretic tshuaj (hydrochlorothiazide, indapamide, clopamide | |
cov tshuaj hormones thiab tiv thaiv kab mob (qhov ncauj) | |
tshuaj uas tsim kho adrenaline | |
nicotinic acid npaj (cov vitamins B3, PP, Niacin, Nicotinamide) |
Kev sib koom tes ntawm cov tshuaj uas txo qis cov dej num ntawm Acarbose tuaj yeem ua rau kev txhim kho ntawm cov kev mob nyhav.
Qhov tshwm sim, noj ntau dhau thiab cov lus qhia tshwj xeeb
Cov kev xav tsis zoo thaum lub sijhawm tswj hwm ntawm cov tshuaj tshwm sim feem ntau los ntawm daim tawv nqaij thiab txoj hnyuv huam.
Cov no suav nrog:
- ua tsis taus pa;
- chim quav;
- mob plab zom mov (dyspepsia);
- nyuaj txhawb cov ntsiab lus ntawm cov hnyuv (hnyuv tawm tsam);
- txhawb nqa bilirubin qib (daj);
- daim tawv liab liab tshwm sim los ntawm nthuav cov hlab ntsha (erythema);
- cov tshuaj tiv thaiv kom tsis haum.
Tshaj cov tshuaj noj tau yog pom los ntawm kev mob plab hnyuv, nce roj ntxiv, raws plab. Kev nyem ntawm tus mob no yog mob, ntxiv rau kev tshem tawm cov zaub mov carbohydrate los ntawm cov khoom noj.
Acarbose yog tshuaj nrog kev ceev faj heev rau cov neeg mob uas muaj cov kis mob-kis, nrog rau cov hluas uas muaj hnub nyoog qis dua 18 xyoo.
Thaum kho cov tshuaj, cov mob tseem ceeb yog:
- mas ua raws kev noj haus nruj;
- kev soj ntsuam tas li ntawm hemoglobin, transaminases thiab qab zib (ntshav suav).
Hauv cov khoom noj, sucrose yuav tsum tau hloov cov piam thaj.
Analogues ntawm cov tshuaj
Cov tshuaj uas muaj cov nyhuv zoo sib xws muaj acarbose yog cov tshuaj tseem ceeb.
Ob yam tshuaj yog siv los hloov chaw:
| lub npe | daim ntawv tso tawm | tsim kom muaj |
|---|---|---|
| Glucobay | 50 thiab 100 mg ntsiav tshuaj daim ntawv | BAYER PHARMA, AG (Lub Teb Chaws Yelemees) |
| Alumina | 100 mg ntsiav tshuaj | "Abdi Ibrahim Ilach Sanay thiab Tijaret A.Sh." (Qaib ntxhw) |
Tus neeg mob lub tswv yim
Los ntawm kev tshuaj xyuas cov neeg mob, nws tuaj yeem xaus lus tias Acarbose ua haujlwm tau zoo los ntawm kev tswj cov ntshav qab zib kom tsawg, tab sis nws txoj kev tswj hwm feem ntau nrog cov kev mob tshwm sim tsis zoo, yog li nws txoj kev siv yog impractical los txo qhov hnyav.
Cov tshuaj yog muab rau noj raws li tus kws kho mob tau hais tseg thiab nruj me ntsis raws li cov lus qhia. Ib qho ntxiv, Kuv noj 4 mg ntawm NovoNorm thaum noj su. Nrog kev pab ntawm ob lub tshuaj, nws yog ib qho ua tau kom cia qab zib nyob rau yav tav su. Acarbose "quenches" cov nyhuv ntawm cov nyom hnyav, kuv qhov ntsuas ob teev tom qab noj mov yog 6.5-7.5 mmol / L. Sij hawm dhau los, qis dua 9-10 mmol / L tsis yog. Cov tshuaj ua haujlwm zoo tiag tiag.
Eugene, hnub nyoog 53 xyoos
Kuv muaj ntshav qab zib hom 2. Tus kws kho mob pom zoo Glucobai. Cov ntsiav tshuaj tsis cia cov piam thaj rau hauv lub plab zom mov, vim li ntawd cov ntshav qab zib tsis dhia. Hauv kuv qhov teeb meem, cov tshuaj normalized qab zib kom tsawg kawg nkaus rau cov ntshav qab zib.
Angelica, 36 xyoo
Kuv sim Glucobai yog txhais tau tias yuav txo qhov hnyav. Tsim txom cov kev mob tshwm sim. Mob raws plab tsis tu ncua, ntxiv rau qaug zog. Yog tias koj tsis mob ntshav qab zib, tsis nco qab txog cov tshuaj no thiab poob ceeb thawj nrog kev pab cuam ntawm pluas noj thiab ua kom lub cev.
Antonina, 33 xyoo
Cov tshuaj yog ntawv yuav tshuaj. Tus nqi ntawm Glucobai ntsiav tshuaj yog txog 560 rubles rau 30 daim, nrog rau qhov tshuaj 100 mg.
