Amaril, Lavxias analogues ntawm cov tshuaj nrog cov nqi thiab tshuaj xyuas

Txais tos glimepiride tso cai rau koj los txo cov kev ntsuas ntawm cov piam thaj hauv cov ntshav, los ntawm kev ua kom tawm ntawm tshuaj insulin los ntawm beta hlwb rautxiavCov. Cov nyhuv no cuam tshuam txog kev txhim kho cov lus teb ntawm pancreatic beta cells kom muaj sia ntawm kev xav ntawm cov piam thaj.

Kev tswj hwm kev zais cia tshuaj insulin tshwm sim vim kev sib cuam tshuam nrog ATP-nkag siab poov tshuaj raws nyob rau ntawm daim nyias nyias ntawm beta hlwb. Glimepiride xaiv txoj hlua khi rau cov protein thiab tswj hwm kev ua haujlwm ntawm ATP-sensitive potassium channel, uas yog, lawv kaw lossis qhib.

Yog tias cov neeg mob tsis muaj lub zog tswj kev zom zaub mov thaum lub sijhawm noj ntau glimepiridetom qab ntawv nws muaj peev xwm ua txoj kev kho kom zoo glimepiridethiab MetforminCov. Qhov no ua rau muaj kev txhim kho tseem ceeb hauv kev tswj kev zom zaub mov, thaum muab piv nrog kev siv cov tshuaj cais no sib cais. Txoj kev kho mob thooj siab kuj tseem tso cai. tshuaj insulinCov. Nyob rau tib lub sijhawm, kev txhim kho hauv kev tswj kev zom zaub mov tau raug sau tseg, zoo ib yam li tsuas yog siv ib qho tshuaj insulin, tab sis nyob rau hauv cov xwm txheej zoo li no, kev siv tshuaj insulin tsawg dua.

Kev txais tos ntau yam glimepiride, piv txwv li, 4 mg ib hnub twg, ua rau lub zog siab tshaj plaws ntawm cov khoom hauv cov ntshav, uas tau mus txog tom qab 2.5 teev

Kev noj mov ua rau kom muaj kev tiv thaiv kev ua tiav ntawm kev ua kom lub cev. Noj cov khoom noj muaj qhov tsis txaus siab ntawm kev nqus, maj mam khiav qeeb. Yog qhia glimepiride los ntawm ob lub raum thiab cov hnyuv. Hauv cov tshuaj muaj pes tsawg leeg zis, cov tshuaj yuav tsis kuaj tsis hloov. Hauv lub cev, glimepiride yog metabolized hauv lub siab los ntawm CYP2C9 rau hauv ob lub cev tiv thaiv kab mob - lub zog hydroxy thiab lub carboxy derivative. Tsis pom muaj kev txuam nrog tseem ceeb ntawm cov tshuaj muaj sia nyob hauv lub cev.

Cov Yuav Tsum Muaj

Muaj ib daim ntawv teev cov khoom lag luam zoo sib xws rau kev noj tshuaj Amaril:

• ntshav qab zib hom 1
• ua txhaum cai hnyav rau daim siab thiab lub raum,
• mob ketoacidosisprecoma thiab coma
• lactation, cev xeeb tub,
• muaj cov kab mob muaj feem tsis tshua muaj mob, piv txwv li, galactose tsis kam lees, qabzib-galactose malabsorption lossis lactase deficiency,
• cov me nyuam muaj hnub nyoog
• intolerance lossis rhiab rau yeeb tshuaj thiab lwm yam.

Kev ceeb toom yuav tsum muaj nyob rau theem pib ntawm kev kho mob ntawm cov neeg mob, txij li lub sijhawm no muaj kev pheej hmoo ntawm lub qog ntshav qab zib. Yog tias qhov ntxim nyiam ntawm kev txhim kho hypoglycemia tseem pheej nyob, tom qab ntawd koj feem ntau yuav tsum kho cov koob tshuaj glimepiride los yog kev kho mob lub zog. Ntxiv rau, muaj kev cuam tshuam thiab lwm yam kabmob, kev ua neej, kev noj zaub mov zoo thiab lwm yam yuav tsum muaj kev tshwj xeeb.

Sab sij huam

Thaum kho nrog Amaril, ntau yam tsis txaus siab tshwm sim tuaj yeem tsim kho, ib txoj kev los yog lwm qhov cuam tshuam kev ua haujlwm ntawm yuav luag txhua lub cev. Feem ntau, cov kev mob tshwm sim los ntawm hypoglycemia, cov tsos mob uas tau hais tawm: mob taub haukev tshaib kev nqhis xeev siab, ntuav, zoo nkaus li nkees, tsaug zog, kev nyuaj siab, tsis meej pem thiab ntau lwm cov tsos mob. Qee zaum cov kab mob hnyav hnyav ntawm kev txo ntshav qab zib zoo nkaus li mob stroke. Tom qab nws tshem tawm, pliaj tsis pom tsos mob kuj ploj tag.

Nyob rau theem pib ntawm kev kho mob, teeb meem nrog lub zeem muag, lub plab zom mov, thiab ntshav tsim tau tshwm sim. Kev loj hlob los kuj ua tau. kev fab tshuaj tsis haumuas tuaj yeem mus rau hauv cov nyom. Yog li, yog tias cov tsos mob tsis txaus siab tshwm sim, koj yuav tsum sab laj nrog kws kho mob sai.

Cov lus qhia rau Amaryl (Txujci thiab ntau npaum li cas)

Cov ntsiav tshuaj yog npaj rau kev siv sab hauv tag nrho, yam tsis muaj ntxo thiab haus dej kom ntau.

Feem ntau, cov koob tshuaj yog txiav txim siab los ntawm kev saib xyuas cov piam thaj hauv cov ntshav. Rau kev kho mob, kev noj qab haus huv qis tshaj plaws yog qhov txiav txim siab, uas yuav pab ua kom tiav qhov kev tswj hwm kev hnyav tsim nyog

Cov lus qhia rau kev siv ntawm Amaril kuj tau tshaj tawm tias kev kho mob yuav tsum txiav txim siab tsis tu ncua ntawm kev saib xyuas cov piam thaj hauv cov ntshav thiab qib glycosylated hemoglobin.

Yog tias noj tshuaj tsis raug, nrog rau kev hla dhau koob tshuaj tom ntej, tsis pom zoo kom siv cov tshuaj ntxiv. Cov xwm txheej zoo li no yuav tsum muaj kev pom zoo ua ntej nrog tus kws kho mob uas koom nrog.

Thaum pib ntawm kev kho mob, cov neeg mob tau sau tshuaj rau txhua hnub yog 1 mg. Yog tias tsim nyog, cov koob tshuaj yog maj mam nce, ua kev soj ntsuam tas li ntawm ntshav qabzib concentration raws li cov txheej txheem: 1 mg - 2 mg - 3 mg - 4 mg - 6 mg - 8 mg. Siv tshuaj txhua txhua hnub hauv cov neeg mob uas tswj tau zoo mob ntshav qab zib mellitusyog 1-4 mg ntawm lub zog tshuaj. Kev noj tshuaj txhua hnub ntawm 6 mg lossis ntau dua tsim cov kev cuam tshuam tsuas yog qee tus neeg mob tsawg.

Kev noj tshuaj rau txhua hnub rau cov tshuaj yog tsim los ntawm tus kws kho mob, vim nws yog qhov yuav tsum tau coj mus rau hauv tus account ntau yam, piv txwv li, lub sijhawm noj mov, qhov nyiaj ntawm lub cev ua si, thiab lwm yam.

Feem ntau, kev noj ib zaug ib hnub rau cov tshuaj yog kws kho, ua ntej noj tshais tag nrho lossis thawj pluas noj. Nws yog ib qho tseem ceeb uas tom qab noj cov ntsiav tshuaj tsis nco qab noj mov.

Nws paub txog tias kev txhim kho metabolic tswj tau cuam tshuam nrog kev nce insulin rhiab heev, thiab thaum kho, qhov xav tau glimepiride yuav poob. Koj tuaj yeem zam qhov kev txhim kho hypoglycemia los ntawm kev txo cov tshuaj noj kom tsis tu ncua lossis tsum tsis txhob noj Amaril.

Thaum lub sij hawm kho txheej txheem, tshuaj kho kom haum glimepiride tuaj yeem ua tau thaum:

• luj txo
• kev ua neej pauv
• kev tshwm sim ntawm lwm yam uas ua rau muaj kev pheej hmoo rau hypoglycemia lossis hyperglycemia.

Raws li txoj cai, Amaril kev kho mob yog nqa tawm ntev.

Noj ntau dhau

Nyob rau hauv cov kis ntawm mob hnyav overdose los yog lub caij nyoog siv ntau ntawm koob tshuaj glimepiride Mob ntshav qab zib heev, uas yuav ua tau kom tuag taus, tej zaum kuj yuav tshwm sim.

Yog tias pom muaj overdose, koj yuav tsum tau sab laj nrog kws kho mob sai. Kev ua ntshav qab zib kom nres yuav nres los ntawm kev noj carbohydrates, piv txwv li, piam thaj lossis ib qho me me ntawm cov khoom qab zib. Txog thaum cov tsos mob ntawm hypoglycemia raug tshem tawm tag, tus neeg mob yuav tsum tau ua tib zoo saib xyuas kev kho mob, vim tias qhov tsos mob tsis xav yuav rov ua haujlwm. Txoj kev kho ntxiv yog nyob ntawm cov tsos mob.

Kev sib txuam

Kev siv cov ntsiab lus ntawm glimepiride nrog qee cov tshuaj tuaj yeem ua rau kev loj hlob ntawm hypoglycemia, piv txwv li, nrogCov tshuaj insulin thiab lwm yam kab mob hypoglycemic, ACE inhibitors, tshuaj anabolic steroids thiab txiv neej cov tshuaj hormones poj niam, chloramphenicol,derivatives Coumarin, Cyclophosphamide, Dizopyramide, Fenfluramine, Pheniramidol, Fibrates, Fluoxetine, Guanethidine, Ifosfamide, para-aminosalicylic acid, Phenylbutazone, Sulfenamicin aminitraminamide, Clinamide thiab lwm tus.

Txais tos acetazolamide, barbiturates, GKS, diazoxides, tshuaj kho mob, Epinephrine thiab lwm tus neeg saib taus lwm tus neeg, Glucagonlaxatives (nrog rau siv ntev), nicotinic acid (hauv siab tshuaj) tshuaj estrogen thiab progestogens, phenothiazines, phenytoins, phom phom,iodine-muaj cov thyroid hormones ua rau lub cev tsis muaj zog ntawm cov nyhuv hypoglycemic, thiab raws li, nce qhov kev nce siab ntawm cov piam thaj hauv cov ntshav.

H2-histamine receptor blockers muaj peev xwm txhim kho lossis ua kom cov nyhuv hypoglycemic ntawm glimepiride. Clonidine, Reserpine, Coumarin thiab beta blockers.

Amaryl: analogues, nqe, ntsiav tshuaj, Lavxias analogues, lus qhia rau kev siv

Amaryl - Cov tshuaj no yog npaj los kho mob ntshav qab zib hom 2. Cov tshuaj tseem ceeb ntawm cov tshuaj no yog glimepiride. Qhov nruab nrab, nws ntau npaum li 1 txog 3 mg.

Amaril raug mechanism:

1. Tsim kho kev tsim cov tshuaj insulin.
2. Hauv qhov no, cov tshuaj muaj cov nyhuv luv, uas txo cov kev pheej hmoo ntawm lub qog ntshav qab zib.
3. Txo cov roj atherogenic hauv cov hlab ntshav.
4. Txo kev mob nyav ntawm oxidative kev ntxhov siab.

Muaj Cov Hloov Amaril Ntsiav Tshuaj Hloov

Ib qho ntawm cov pheej yig tshaj plaws ntawm cov Amaril hauv cov ntsiav tshuaj suav nrog:

Xav txog yuav ua li cas muaj txiaj ntsig yog cov analogues ntawm cov tshuaj Amaril.

Nws muaj tib lub zog tshuaj zoo ib yam li Amaryl. Kev ua rau txoj kev kho mob yog vim qhov ua kom pancreatic beta hlwb los ntawm cov tshuaj tsis muaj qabzib.

Diameride noj raws li kev pom zoo koob tshuaj thiab lub sijhawm sib nrug:

1. Lub sijhawm nruab nrab ntawm kev txais yuav tsum tsis pub dhau lub sijhawm teem sijhawm.
2. Cov teeb meem thaum noj tshuaj tsis tuaj yeem cuam tshuam los ntawm ib qho ntau dua cov kev xav ntawm cov tshuaj.
3. Tus neeg mob yuav tsum qhia nws tus kws kho mob txog kev siv tshuaj ntau ntxiv rau hauv cov tshuaj.
4. Kev loj hlob ntawm hypoglycemia tom qab cov thawj coj ntawm Diamerid hauv ib feem ntawm 1 mg / hnub, qhia tias kev noj zaub mov zaub mov yog qhov tsim nyog.

Tus nqi ntawm diamerid nyob ntawm 206 rubles. rau ib pob.

Cov tshuaj no nws muaj nws cov kev ua ntawm kev ua:

1. Cov tshuaj tiv thaiv hauv cov tshuaj ua kom muaj kev zais cia thiab tso cov tshuaj insulin los ntawm tus txiav ua kab mob.
2. Nce permeability ntawm peripheral cov ntaub so ntswg mus rau kev cuam tshuam ntawm insulin.
3. Muaj cov haujlwm ua haujlwm ntxiv.

Noj, pib khaws ib feem ntawm cov tshuaj. Feem ntau, nws tau xaiv los ntawm kev soj ntsuam tas li ntawm cov ntsiab lus ntawm cov piam thaj hauv cov ntshav.

Muaj ntau txoj cai tswjfwm rau kev siv tshuaj kho tus mob no:

1. Thaum pib kho, kwv yees li 1 mg ntawm glimepiride raug kho, 1 zaug nyob rau ib hnub.
2. Thaum qhov kev kho tshwm sim tshwm sim, qhov no yog siv los txhawb.
3. Yog tias tsis muaj kev txhim kho, tom qab ntawd koj tuaj yeem maj mam nce cov tshuaj ntau ntxiv rau 4 mg / hnub.
4. Qhov ntau tshaj kev noj tshuaj yog 8 mg / hnub.

Qhov nruab nrab, tus nqi ntawm cov tshuaj zoo li ntawm 740-780 rubles rau ib pob.

Txhim kho cov ntshav qabzib ntau nyob rau hauv cov neeg mob uas muaj insulin-ywj pheej ntawm cov ntshav qab zib.

Nws muaj ntau yam teebmeem:

1. Kev mob siab.
2. Detoxifying.
3. Antisclerotic.
4. Kev tiv thaiv thiab kho dua tshiab.
5. Antioxidant.
6. Tshuaj tua kab mob.
7. Cholagogue thiab diuretic cuam tshuam.

Nws yog txiav txim los ntawm tus kws kho mob hauv kev noj tshuaj kom ua tiav:

1. Tso cai ua kom muaj cov kua nplaum ntev nyob rau hauv cov hlab ntshav thiab zis.
2. Siv rau kev tiv thaiv lub hom phiaj ntawm cov kab mob plawv.
3. Tau qhia rau kev siv los ntawm cov neeg mob uas muaj kab mob mus ntev ntawm daim siab, lub plab lossis plab hnyuv.

Thaum lub sijhawm noj tshuaj, ib qho yuav tsum ua raws nraim li cov koob tshuaj uas raug xaiv thiab kev ua neej. Hauv nruab nrab, Vijaysar tuaj yeem muas rau 282 rubles.

Amaril txo qis cov tshuaj: cov lus qhia rau kev siv, nqe, tshuaj xyuas thiab analogues

Amaryl yog ib qho tshuaj uas pab txo cov ntshav qab zib.

Nws qhov kev nkag thaum pib thaum tsis muaj cov tshuaj insulin tuaj yeem tsis tau them rov qab los ntawm lwm txoj hauv kev - cov kev tawm dag zog, kev noj zaub mov noj, kev kho mob ntawm pej xeem, tab sis tsis tas yuav muaj kev qhia txog cov insulin ntshiab.

Noj cov tshuaj no muaj cov txiaj ntsig zoo rau kev mob ntawm cov neeg mob ntshav qab zib, uas tuaj yeem txhim kho lawv lub neej zoo.

Yog li no, Amaryl, cov tshuaj analogues uas tau tsim los ntawm ntau lub tuam txhab tshuaj, yog siv dav hauv kev kho mob ntawm kev cuam tshuam ntawm qhov tsis muaj cov tshuaj insulin hauv lub cev.

Kev taw qhia thiab cov tshuaj nquag

Amaryl thiab nws cov analogues tau qhia txog ntshav qab zib hom II.Cov tshuaj tiv thaiv tseem ceeb ntawm cov tshuaj yog glimepiride.

Qhov no koob thib 3 tiam tsim, tsim ntawm lub hauv paus ntawm sulfanylurea derivative, ua rau ntawm lub cev, maj mam txhawb nws cov b-hlwb, uas yog lub luag haujlwm rau kev tsim cov tshuaj insulin. Raws li nws cov cawv, cov txiav tau ua rau cov insulin ntau dua, thiab cov piam thaj hauv cov ntshav yuav tsawg zuj zus.

Amaryl ntsiav tshuaj 2 mg

Tsis tas li ntawd, cov tshuaj nquag ntawm cov tshuaj kuj ua rau ntawm cov ntaub so ntswg ntawm lub cev, txo lawv cov tshuaj tiv thaiv insulin. Qhov no yog vim qhov tseeb tias glimepiride, nkag mus rau hauv lub cell los ntawm daim nyias nyias, muaj lub peev xwm los thaiv cov poov tshuaj raws. Raws li qhov kev nqis tes no, cov calcium calcium ntawm lub cell qhib, calcium nkag mus rau hauv cov cell thiab pab txhawb lub zog ntawm cov tshuaj insulin.

Raws li kev nqis tes ua ob zaug no, cov ntshav ua kom ntshav qabzib tsawg thiab maj mam tab sis ntev mus ntev. Amaril thiab nws cov qauv sib piv sib txawv los ntawm ntau tiam dhau los los ntawm kev muaj ntau qhov tshwm sim, contraindications thiab kev tsis tshua muaj kev loj hlob ntawm hypoglycemia vim lawv tau txais.

Cov yam ntxwv ntawm cov tshuaj tso cai rau koj sib txawv ntau cov koob tshuaj uas tau siv rau kev kho mob, sai sai pom tus neeg mob qhov tseem ceeb thiab theem pib tsis kam ntawm Amaril, ntxiv rau kev muaj txiaj ntsig thiab muaj kev nyab xeeb faib txhua hnub ntawm cov tshuaj.

Dosage Daim Ntawv thiab Daim Ntawv Xaiv

Cov tshuaj no, zoo ib yam li Amaril analogues, yuav tsum tau kho thiab sim xaiv cov koob uas yuav tsum tau ua.

Tsis muaj ib qho kev cai dav dav ntawm no - txhua tus neeg mob pom tias muaj tib cov tshuaj sib txawv no. Yog li, kev xaiv koob tshuaj yog tsim los ntawm kev ua tib zoo saib thiab soj ntsuam cov ntshav qab zib tom qab tshwj xeeb ntawm cov tshuaj.

Hauv thawj hnub ntawm kev txais tus neeg mob, tus neeg mob tau txhaj tshuaj hu ua thawj zaug, uas yog 1 mg ntawm Amaril ib hnub. Yog tias tsim nyog, cov koob tshuaj yog maj mam nce ntxiv, tas li saib xyuas qib qab zib. Qhov nce tshwm sim ib milligram ib lis piam, ntau zaus - hauv ob lub lis piam.

Feem ntau, qhov siab tshaj plaws uas tau hais rau tus neeg mob yog rau (6) grams ntawm cov tshuaj. Tsuas yog nyob hauv qee kis tshwj xeeb tau tso cai muab tshuaj rau niaj hnub ntxiv rau 8 mg, tab sis nws yog qhov tsim nyog yuav tsum tau noj cov tshuaj hauv cov khoom ntawd nyob rau hauv kev saib xyuas ntawm tus kws tshaj lij.

Amaryl muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj muaj ob txog rau mg ntawm cov tshuaj nquag. Qhov ntau npaum ntawm cov ntsiav tshuaj yog qhia hauv pob. Nws yog ib qho tsim nyog yuav tsum noj cov tshuaj ntawm qhov ncauj, tsis tas yuav zom, nrog dej ntau. Lawv xyaum noj cov tshuaj ib hnub ib zaug, tab sis nyob rau qee kis, Amaril ntsiav tshuaj muaj peev xwm muab faib ua ob zaug hauv ib hnub.

Pheej yig hloov pauv thiab analogues

Tus nqi ntawm cov tshuaj no zoo heev - ntawm 300 txog 800 rubles. Muab hais tias nws txoj kev tswj hwm tseem tu ncua, ntau zaus tau ntau xyoo, Amaril hloov chaw yog qhov cuam tshuam.

Cov tshuaj yeeb tshuaj no ua raws nraim cov tshuaj zoo tib yam, tab sis tus nqi ntawm lub teb chaws thiab chaw tsim khoom lag luam tuaj yeem pheej yig ntau dua li qhov qub. Cov tshuaj no yog tsim los ntawm cov chaw muag tshuaj hauv Poland, Slovenia, Is Nrias teb, Hungary, Qaib Cov Txwv, Ukraine. Amaril hloov pauv rau Lavxias analogues yog ua raws li qhov dav.

Glimepiride ntsiav tshuaj - qhov pheej yig tshaj plaws ntawm Amaril

Lawv sib txawv hauv npe, ntim khoom, ntau npaum li cas thiab tus nqi. Cov tshuaj ua kom nquag nyob hauv lawv yog qhov qub. Hauv qhov no, los ntawm txoj kev, cov lus nug hauv qab no tsis yog: "Dab tsi yog qhov zoo dua Amaryl lossis Glimepiride?" Lossis "Amaryl thiab Glimepiride - qhov txawv yog dab tsi?"

Qhov tseeb yog tias cov no yog ob lub npe lag luam rau ib qho tshuaj uas zoo ib yam. Yog li ntawd, nws tsis yog los tham txog kev ua kom zoo dua ntawm ib lossis lwm qhov kev txhais tau tias - lawv zoo tib yam hauv cov muaj pes tsawg leeg thiab muaj txiaj ntsig ntawm lub cev. Glimepiride ntawm Lavxias ntau lawm yog qhov zoo tshaj plaws pheej yug qhov pheej yig ntawm cov tshuaj.

Nws yog tsim nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, nrog tsuas tshuaj ntawm 1, 2, 3 thiab 4 milligrams.

Tus nqi ntawm cov tshuaj no yog ob peb zaug qis dua Amaril nws tus kheej, thiab cov tshuaj ua kom nquag pliag zoo ib yam nkaus.

Yog tias koj tsis tuaj yeem nrhiav nws, koj tuaj yeem yuav Diamerid. Cov ntsiav tshuaj no tsuas yog sib txawv hauv npe thiab chaw tsim khoom. Qhov ntsuas ntawm Amaril no tseem ua rau hauv ntsiav tshuaj los ntawm 1 txog 4 mg, tab sis txawv ntawm Glimepiride hauv tus nqi me ntsis.

Ukrainian cov tshuaj ntawm cov tshuaj muaj cov tshuaj Glimax, uas muaj yuav luag tib yam. Lawv sib txawv ntawm cov tshuaj - lub ntsiav tshuaj muaj los ntawm ob rau plaub milligrams ntawm cov tshuaj nquag, 1 mg tshuaj tsis muaj.

Ntsiav tshuaj Diamerid 2 mg

Tsis tas li, qhov pheej yig cov analogues ntawm Amaril yog tsim los ntawm cov kws lag luam Indian. Lawv cov npe pauv yog Glimed lossis Glimepiride Aykor. Ib mus rau plaub milligram ntsiav tshuaj muaj nyob. Koj tseem tuaj yeem nrhiav ntawm kev muag cov Indian tshuaj Glinova.

Nws qhov sib txawv tsuas yog nyob hauv qhov tseeb tias lub chaw tsim khoom lag luam, nyob hauv Is Nrias teb, yog lub chaw tsim khoom ntawm British chaw muag tshuaj loj Maxpharm LTD. Kuj tseem muaj cov tshuaj hauv Argentinean hu ua Glemaz, tab sis lawv tsis tshua muaj qhov tshwj xeeb tshaj yog nyob hauv cov chaw muag tshuaj hauv peb lub tebchaws.

Cov lus piv txwv ntawm kev tsim khoom hauv Ixayees, Jordan thiab EU

Yog tias vim qee qhov kev xav tsis ntseeg cov tuam txhab tsim khoom hauv tebchaws lossis Indian, koj tuaj yeem yuav cov tshuaj pheej pheej yig los hloov Amaryl, tus nqi uas yuav siab dua li ntawm cov khoom lag luam hauv tsev, tab sis qis dua li ntawm cov tshuaj thawj.

Cov tshuaj no yog tsim los ntawm cov tuam txhab hauv Czech koom pheej, Hungary, Jordan thiab Israel. Cov neeg mob tuaj yeem ntseeg tau cov tshuaj no - kev tswjhwm zoo ntawm cov tshuaj hauv cov tebchaws no tau cais los ntawm nws cov qauv nruj.

Amix, tsim los ntawm Zentiva, yog khoom los ntawm Czech koom pheej. Tus txheej txheem ntau npaum li cas los ntawm 1 mus rau 4 gram, ib txheej txheej txheem ua tau zoo thiab tus nqi tsim nyog sib txawv cov tshuaj no.

Lub tuam txhab lag luam kws muaj npe hauv Hungarian Egis, tsom ntsoov rau kev ua lag luam CIS, kuj tso tawm nws cov analogue Amarila. Cov cuab yeej no muaj lub npe Glempid, tus qauv tshuaj thiab tus nqi tsim nyog.

Hikma, lub tuam txhab kev lag luam loj tshaj plaws ntawm Jordanian, tau tsim muaj xyoo 1978, kuj tau tsim nws Amaril tus neeg sawv cev, hu ua Glianov. Koj tsis tas yuav txhawj txog qhov zoo ntawm cov tshuaj no - Cov tshuaj Jordanian tau xa mus rau ntau lub tebchaws hauv ntiaj teb, suav nrog Asmeskas, Canada thiab EU, uas kev tswj cov tshuaj tuaj txawv teb chaws hnyav heev.

Lub thoob ntiaj teb lub npe Amaryl (cov npe nrov) yog Glimepiride.

Lwm cov tuam ntxhab

Cov keeb kwm ntawm cov neeg txhais tau zoo ntawm kev txhawb nqa cov ntshav qab zib kom ib txwm tau tsim hauv lwm lub tebchaws.

Cov tshuaj cog hauv lub teb chaws Yelemees, Slovenia, Luxembourg, Poland thiab United Kingdom tsim ntau cov tshuaj uas hloov Amaryl tiav. Txawm li cas los xij, tag nrho cov tshuaj no kim heev, yog li lawv tsis tsim nyog rau cov neeg mob uas tsis muaj peev nyiaj.

Ib qho nqi ntau dua, kwv yees li 10 npaug ntawm tus nqi Lavxias lossis Indian, yog cov peev nyiaj tau tshaj tawm los ntawm cov chaw muag tshuaj hauv Switzerland. Txawm li cas los xij, tau txais cov tshuaj zoo li no tsis ua rau muaj txiaj ntsig zoo dua - lawv yuav tsis ua haujlwm dua li tau txais txiaj ntsig, thiab noj lawv ua rau cov kev mob tshwm sim zoo ib yam li muaj qhov hloov pauv pheej yig dua.

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Tseem ceeb kom paub! Sij hawm dhau los, teeb meem muaj suab thaj ntau ntau tuaj yeem ua rau tag nrho cov kab mob, xws li teeb meem tsis pom kev, tawv nqaij thiab plaub hau, mob rau sab, mob caj pas thiab mob qog nqaij hlav! Cov neeg qhia kev iab siab rau normalize lawv qab zib kom txaus siab ...

Ntau cov lus qhia tseem ceeb txog Amaril hauv video:

Tseem muaj ntau cov tshuaj los ntawm cov tuam txhab sib txawv thiab ntau yam nqi nqe uas hloov Amaryl. Nws yuav tsum raug sau tseg tias thaum xaiv cov tshuaj, koj yuav tsum tsis txhob cia siab rau nws tus nqi siab - nws tsis txhais tau tas li qhov zoo tsim nyog, feem ntau cov tshuaj pheej yig dua ua haujlwm tsis muaj qhov tsis zoo dua nws cov nqi kim tshaj.

Amaryl ntsiav tshuaj - cov lus qhia, tshuaj xyuas ntawm tus tswv tsev, nqi

Amaryl muaj cov tshuaj glimepiride, uas zwm rau ntawm ib qho tshiab, thib peb, tiam ntawm sulfonylurea derivatives (PSM). Cov tshuaj no tseem kim dua li glibenclamide (Maninil) thiab glyclazide (Diabeton), tab sis tus nqi sib txawv tsuas yog muaj cov neeg ua haujlwm siab, kev txiav txim siab sai, ua rau muaj kev cuam tshuam tsawg dua ntawm tus txiav, thiab txo qis kev pheej hmoo ntawm hypoglycemia.

Nrog Amaril, beta hlwb tau ploj zuj zus qeeb dua nrog cov tiam dhau los ntawm sulfonylureas, yog li qhov kev nce qib ntawm ntshav qab zib tau qeeb thiab kev kho tshuaj insulin yuav xav tau tom qab.

Kev tshuaj xyuas cov tshuaj muaj lub siab zoo: nws txo qis qab zib kom zoo, yog qhov yooj yim siv, haus ntsiav tshuaj ib hnub ib zaug, tsis hais txog ntawm koob tshuaj. Ntxiv rau cov ntshiab glimepiride, nws qhov sib xyaw nrog metformin yog tsim - Amaril M.

Qhia me ntsis

1. Tsim kev tsim kho ntawm cov tshuaj insulin, thiab rov qab ua kom tiav thawj zaug, ntu ceev tshaj plaws ntawm nws qhov kev zais cia. PSM uas tseem tshuav hla lub sijhawm no thiab ua haujlwm nyob rau zaum ob, yog li cov piam thaj txo qis dua.
2. Txo cov tshuaj insulin ntau dua li lwm PSM.

Tsis tas li, cov tshuaj txo txoj kev pheej hmoo ntawm thrombosis, normalizes cov roj cholesterol, thiab txo qis oxidative kev nyuaj siab. Amaryl raug tso tawm qee qhov tso zis, ib feem los ntawm cov hnyuv, yog li nws tuaj yeem siv rau hauv cov neeg mob raum tsis ua haujlwm, yog lub raum ua haujlwm tsis zoo.Cov Khoom QhiaMob ntshav qab zib tsuas yog 2 hom. Ib qho yuav tsum tau ua ua ntej rau kev siv yog qee khaws cia beta hlwb, seem synthesis ntawm lawv tus kheej cov insulin. Yog tias tus txiav tsis dhau los tsim cov tshuaj hormones, Amaril tsis tau sau tseg. Raws li cov lus qhia, cov tshuaj muaj peev xwm noj nrog metformin thiab insulin kho.Tsuas tshuajAmaryl yog tsim nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj muaj txog li 4 mg ntawm glimepiride. Txhawm rau siv tau yooj yim, txhua txoj kev siv tshuaj nws muaj nws tus kheej xim. Lub sijhawm pib yog 1 mg. Nws yog noj rau 10 hnub, tom qab uas lawv pib maj mam nce ntxiv kom txog thaum qab zib zoo li qub. Qhov ntau kawg pub rau noj yog 6 mg. Yog tias nws tsis them nyiaj rau cov ntshav qab zib, cov tshuaj los ntawm lwm pab pawg lossis cov tshuaj insulin ntxiv rau kev kho mob.Noj ntau dhauTshaj dhau qhov siab tshaj qhov kawg yuav ua rau muaj ntshav qab zib nyob ntev. Tom qab ib txwm muaj suab thaj, nws tuaj yeem rov poob rau lwm 3 hnub. Txhua lub sijhawm no, tus neeg mob yuav tsum nyob hauv qab kev saib xyuas ntawm cov txheeb ze, nrog kev siv ntau dhau - hauv tsev kho mob.Cov Yuav Tsum Tau Ua

1. Cov tshuaj tiv thaiv tsis haum rau glimepiride thiab lwm yam PSM, ntu ntu ntawm cov tshuaj.
2. Tsis muaj cov tshuaj insulin (hom 1 mob ntshav qab zib, kev rov qab yoog nqaij).
3. Mob raum tsis ua haujlwm. Muaj peev xwm ntawm kev noj tshuaj Amaril rau cov kab mob hauv lub raum tau txiav txim siab tom qab kuaj xyuas lub koom haum.
4. Glimepiride yog metabolized nyob rau hauv daim siab, yog li ntawd, daim siab tsis ua haujlwm kuj tseem muaj nyob hauv cov lus qhia ua kev sib tiv thaiv.

Amaryl tshem tawm ib ntus thiab hloov nrog cov tshuaj insulin thaum cev xeeb tub thiab lactation, mob hnyav ntshav qab zib, los ntawm ketoacidosis mus rau hyperglycemic coma. Nrog rau cov kis kab mob, kev raug mob, kev xav ntau dhau, Amaril yuav tsis txaus rau cov suab thaj li qub, yog li kev kho mob ntxiv nrog insulin, feem ntau ntev. Kev phom sij ntawm hypoglycemiaCov ntshav qab zib poob qis yog tias cov ntshav qab zib tsis nco qab noj mov lossis tsis ntxiv cov piam thaj hauv lub sijhawm thaum tawm dag zog. Txhawm rau ua kom glycemia li qub, koj yuav tsum noj cov zaub mov sai sai, feem ntau yog ib qho qab zib, ib khob kua txiv los sis tshuaj yej qab zib tau txaus. Yog tias cov tshuaj ntawm Amaril tau dhau lawm, hypoglycemia tuaj yeem rov qab ntau zaug thaum lub sijhawm tshuaj. Hauv qhov no, tom qab thawj zaug ntawm cov piam thaj li ib txwm, lawv sim tshem glimepiride los ntawm cov hnyuv: lawv ua kom ntuav, haus dej adsorbents lossis laxative. Kev noj tshuaj rau ntshav qog ntshav ntshav hnyav yog suav tias yuav tsum tau tso cov ntshav qabzib rau. Sab sij huamNtxiv rau hypoglycemia, thaum noj Amaril, cov teeb meem kev zom zaub mov tuaj yeem pom (hauv tsawg dua 1% ntawm cov neeg mob), kev ua xua, xws li tawm pob xoo thiab khaus mus rau anaphylactic shock (>Txawm hais tias muaj kev sib piv ntawm kev nyab xeeb, cov tshuaj no cuam tshuam ncaj qha rau tus txiav, uas txhais tau tias nws luv ua ke ntawm koj cov tshuaj insulin. PSM raug xaj tsuas yog tias metformin tsis raug tiv thaiv tsis zoo lossis nws qhov siab tshaj plaws yog tsis txaus rau ib txwm muaj glycemia. Raws li txoj cai, qhov no yog qhov ua rau mob ntshav qab zib ntau dhau, lossis muaj mob ntev ntev.

Amaril thiab Yanumet

Yanumet, zoo li Amaryl, cuam tshuam rau ob theem insulin thiab insulin kuj. Cov tshuaj sib txawv hauv cov txheej txheem ntawm kev ua thiab tshuaj qauv, yog li lawv tuaj yeem coj los ua ke. Yanumet yog cov tshuaj kuj tshiab, yog li ntawd nws raug nqi ntawm 1800 rubles. rau pob khoom me tshaj plaws. Hauv Lavxias, nws cov ntawv pov thawj ntxiv tau sau npe: Combogliz thiab Velmetia, uas tsis pheej yig dua li qhov qub. Feem ntau, kev them nyiaj mob ntshav qab zib tuaj yeem ua tiav los ntawm kev sib xyaw nrog pheej yig metformin, kev noj zaub mov noj, kev kawm siv lub cev, qee zaum cov neeg mob xav tau PSM. Yanumet muaj nqis yuav tsuas yog them tus nqi tsis tseem ceeb rau peev nyiaj.

Kev tsis ua raws li kev mob ntshav qab zib nrog kev kho mob kws kho mob yog qhov laj thawj rau kev decompensation ntawm ntshav qab zib. Tshaj tawm ntawm txoj kev kho kev kho rau txhua yam mob tshwm sim ib txwm txhim kho nws cov txiaj ntsig, yog li, rau cov neeg mob xaiv yeem, cov tshuaj sib xyaw ua ke yog qhov zoo dua. Amaryl M muaj cov tshuaj feem ntau ntawm cov tshuaj qab zib-txo qis: metformin thiab PSM. Txhua ntsiav tshuaj muaj 500 mg ntawm metformin thiab 2 mg ntawm glimepiride. Nws yog tsis yooj yim sua kom ua kom sib luag ob qho khoom xyaw ua ke hauv ib ntsiav tshuaj rau cov neeg mob sib txawv. Hauv nruab nrab theem ntawm ntshav qab zib, ntau dua metformin, tsawg dua glimepiride yuav tsum. Tsis pub ntau tshaj 1000 mg ntawm metformin pub rau ib zaug, cov neeg mob uas mob hnyav yuav tsum haus Amaril M peb zaug ib hnub. Txhawm rau xaiv cov tshuaj ntau npaum li cas, nws raug nquahu rau cov neeg mob uas tau txiav txim siab coj Amaril cais thaum noj tshais thiab Glucofage peb zaug ib hnub.

Txheeb xyuas los ntawm Maxim, 56 xyooCov. Amaril tau raug tshaj tawm rau kuv niam es tsis txhob Glibenclamide thiaj li yuav tshem tawm cov ntshav qog ntshav tsawg. Cov tshuaj no muaj suab thaj qis dua tsis muaj qhov phem tshaj qhov ntawd, ceeb tias ob peb cov kev mob tshwm sim hauv cov lus qhia, tab sis hauv kev muaj tiag tsis muaj txhua. Tam sim no nws noj 3 mg, qab zib tuav txog 7-8. Peb ntshai txo nws ntau dua, txij thaum niam muaj hnub nyoog 80 xyoo, thiab nws tsis tshua hnov ​​tus mob hypoglycemia.Soj ntsuam los ntawm Elena, hnub nyoog 44 xyoosCov. Amaril tau sau tseg los ntawm tus kws kho mob endocrinologist thiab ceeb toom kuv kom noj tshuaj German, thiab tsis siv tshuaj analogues pheej yig. Txhawm rau kom txuag nqi, Kuv yuav ib lub pob loj, yog li tus nqi hais txog 1 lub ntsiav tshuaj yog tsawg dua. Kuv muaj txaus ntim rau 3 lub hlis. Cov ntsiav tshuaj yog heev me me, ntsuab, ntawm ib qho txawv txawv. Lub blister yog perforated, yog li nws yooj yim mus faib nws ua qhov chaw. Cov lus qhia rau kev siv tsuas yog loj loj - 4 nplooj ntawv hauv cov ntawv me. Kev yoo mov qab zib tam sim no yog 5.7, ib koob tshuaj 2 mg.Txheeb xyuas los ntawm Catherine, 51Cov. Kuv tau mob ntshav qab zib tau 15 xyoo, lub sijhawm ntawd kuv tau hloov ntau dua kaum ob lub tshuaj. Tam sim no kuv tsuas noj Amaryl ntsiav tshuaj thiab Kolya insulin Protafan. Metformin tau raug tso tseg, lawv tau hais tias nws tsis muaj qab hau, los ntawm kev siv tshuaj insulin sai Kuv xav tias tsis zoo. Qab zib, ntawm chav kawm, tsis zoo tag nrho, tab sis tsawg kawg muaj teeb meem.Ntsuam xyuas los ntawm Alexander, 39 xyooCov. Cov tshuaj uas muaj cov kua qab zib tau xaiv rau kuv tau ntev thiab nyuaj rau lub sijhawm. Metformin tsis mus ua ib hom ntawv, nws tsis tuaj yeem tshem ntawm kev phiv tshuaj. Raws li qhov tshwm sim, peb tau txiav txim siab ntawm Amaril thiab Glukobay. Lawv tuav cov suab thaj zoo, cov ntshav qab zib tsawg yog ua tau yog tias koj tsis noj mov raws sijhawm. Txhua yam yog qhov yooj yim heev thiab kwv yees tau zoo, tsis muaj kev ntshai tsis xav sawv thaum sawv ntxov. Ib zaug, hloov ntawm Amaril, lawv tau muab Lavxias Glimepiride Canon. Kuv tsis tau pom ib qho kev sib txawv, tsuas yog hais tias kev ntim tsis tshua zoo nkauj.Nco ntsoov kawm! Koj puas xav hais tias cov ntsiav tshuaj thiab cov insulin yog tib txoj kev ua kom tswj qab zib? Tsis muaj tseeb! Koj tuaj yeem soj ntsuam qhov no koj tus kheej los ntawm kev pib siv ... nyeem ntxiv >>

Amaril: cov lus qhia rau kev siv, tshuaj xyuas cov neeg mob ntshav qab zib, nqi thiab analogues

Amaril yog suav tias yog nrov ntawm cov neeg mob ntshav qab zib. Nws txoj kev txais tos tso cai rau cov neeg mob tuaj yeem tswj hwm lawv tus mob, txo qis qhov ntxim nyiam ntawm kev tsim hyperglycemia. Cov tshuaj uas kws kho mob muab rau noj rau cov neeg mob ntshav qab zib hom II xwb.

Cov tshuaj nquag ntawm Amaril yog glimepiride. Cov tshuaj ntawm cov ntsiav tshuaj tseem suav nrog cov khoom sib txuas. Lawv cov npe yuav nce raws qhov ntau npaum ntawm glimepiride. Ib qho sib xyaw ua ke ntawm cov tshuaj ntxiv hauv cov ntsiav tshuaj yog vim xim sib txawv.

INN (npe thoob ntiaj teb): glimepiride (npe Latin Glimepiride).

Amalil M1, M2 kuj tseem muag hauv khw muag tshuaj. Ntxiv rau glimepiride, cov tshuaj muaj pes tsawg leeg suav nrog metformin hauv qhov ntau npaum li 250 lossis 500 mg, feem. Cov tshuaj sib txuam no tej zaum yuav raug kho los ntawm tus kws kho mob endocrinologist nkaus xwb.

Pharmacological kev txiav txim

Glimepiride muaj cov nyhuv hypoglycemic rau ntawm lub cev. Nws yog ib qho muab sib txuas ntawm peb tiam sulfonylurea.

Amaryl muaj cov ntsiab lus ncua ntev. Thaum cov ntsiav tshuaj siv, tus kws kho mob txiav lub siab, thiab beta-cells qhib kom ua haujlwm. Raws li qhov tshwm sim, insulin pib tawm ntawm lawv, cov tshuaj hormone nkag mus rau hauv cov hlab ntshav. Qhov no pab txo qis cov piam thaj tom qab noj mov.

Tib lub sijhawm, glimepiride muaj cov nyhuv ntxiv. Nws tsub kom rhiab ntawm cov leeg, cov nqaij rog ua rau cov insulin. Thaum siv cov tshuaj, cov tshuaj tiv thaiv kev phom sij, antiatherogenic, cov nyhuv antiplatelet yog pom.

Amaril txawv ntawm lwm cov sulfonylurea derivatives uas thaum nws siv, cov ntsiab lus ntawm tso tawm insulin yog qis dua thaum siv lwm cov tshuaj hypoglycemic. Vim qhov no, txoj kev pheej hmoo ntawm hypoglycemia muaj tsawg heev.

Ntxiv dag zog rau cov txheej txheem ntawm kev siv cov piam thaj hauv cov nqaij thiab cov nqaij ua kom rog tuaj yeem ua tau vim muaj qhov tshwj xeeb thauj cov protein nyob hauv cov cell ua cov qog. Amaryl tsub kom lawv cov haujlwm ntau ntxiv.

Cov tshuaj yeeb yaj kiab tsis thaiv ATP-nkag siab poov tshuaj raws ntawm plauv nres myocytes. Lawv tseem muaj txoj hauv kev hloov kho rau cov mob ischemic.

Amaryl kev kho mob thaiv kev tsim cov kua nplaum los ntawm lub siab ua haujlwm. Cov txiaj ntsig tau taw qhia yog vim muaj cov ntsiab lus nce ntxiv ntawm fructose-2,6-biophosphate hauv hepatocytes. Qhov tshuaj no nres gluconeogenesis.

Cov tshuaj pab txhawm rau txhawm rau txhawm rau lub zog ntawm cyclooxygenase, kom txo cov txheej txheem ntawm kev hloov pauv ntawm thromboxane A2 los ntawm arachidonic acid. Vim tias qhov no, kev siv ntawm platelet aggregation tsawg dua. Hauv qab ntawm Amaril, qhov hnyav ntawm cov tshuaj tiv thaiv oxidative, uas tau pom hauv cov ntshav qab zib tsis yog-insulin, txo qis.

Sau tshuaj rau cov tshuaj glimepiride rau cov neeg mob uas muaj tus mob II, yog tias kev siv lub cev, kev noj haus tsis tso cai rau koj tswj qib qab zib.

Cov lus qhia rau kev siv qhia tau tias nws raug tso cai rau kev sib xyaw ua ke siv tshuaj Amaril nrog metformin, kev txhaj tshuaj insulin.

Dr. Bernstein pom zoo tias kev teem sijhawm rau cov neeg sawv cev hypoglycemic tsis yog qhov muaj tseeb, txawm tias muaj qhov qhia tau rau kev siv. Nws hais tias cov tshuaj muaj teeb meem, txhim kho cov teeb meem hauv lub cev hauv lub cev tsis ua haujlwm. Txhawm rau qhov xwm txheej kom zoo, koj tuaj yeem siv tsis yog sulfonylurea derivatives, tab sis kev noj zaub mov hauv kev sib xyaw nrog kev kho tshwj xeeb.

Cov lus qhia rau kev siv

Coj Amaryl raug tso cai los ntawm kev teem caij ntawm tus kws kho mob tuaj koom. Tus kws kho mob tshwj xeeb yuav xaiv qhov pib muab rau txhua tus neeg mob tus kheej.Nws nyob ntawm cov concentration ntawm cov piam thaj hauv cov ntshav, cov kev siv ntawm kev tawm suab thaj hauv cov zis.

Thaum pib kho, nws raug nquahu kom haus cov ntsiav tshuaj uas muaj 1 mg ntawm glimepiride. Nce qhov tshuaj zuj zus. 2 mg ntsiav tshuaj tau pauv tsis dhau los ua ntej 1-2 lub lis piam tom qab pib kho. Nyob rau theem pib, tus kws kho mob tswj hwm tus neeg mob lub sijhawm, nyob ntawm seb cov tshuaj tiv thaiv, hloov kho txoj kev kho. Qhov siab tshaj plaws pub niaj hnub noj yog 6-8 mg ntawm glimepiride.

Yog tias qhov txiaj ntsig kho qhov xav tau tsis tuaj yeem ua tau txawm tias thaum noj ntau ntau tso cai ntawm Amaril, ces cov tshuaj insulin ntxiv rau.

Nws yog ib qho tsim nyog yuav tsum noj cov ntsiav tshuaj ua ntej noj mov tseem ceeb 1 zaug hauv ib hnub. Cov kws kho mob pom zoo kom haus cov tshuaj ua ntej noj tshais. Yog tias tsim nyog, nws raug tso cai hloov lub sijhawm txais tos rau noj su.

Cov ntsiav tshuaj yog nqos tag nrho yam tsis muaj ntxo.

Hnub tas sij hawm

Siv cov tshuaj yog tso cai rau 36 lub hlis txij li hnub tso tawm.

Qhov tsim nyog endocrinologist yuav tsum xaiv qhov hloov pauv txoj cai rau Amaryl. Nws tuaj yeem sau tshuaj ib qho analogue ua tau los ntawm cov khoom zoo tib yam, lossis xaiv cov tshuaj uas ua los ntawm lwm cov khoom siv.

Cov neeg mob tuaj yeem sau npe yuav hloov kho Lavxias, Diamerid, uas yog pheej yig. Rau 30 ntsiav tshuaj ntawm cov tshuaj, ua rau lub hauv paus ntawm glimepiride, nrog cov tshuaj ntawm 1 mg rau hauv lub tsev muag tshuaj, cov neeg mob yuav them 179 p. Nrog kev kub siab rau kev saib xyuas ntawm cov tshuaj nquag, tus nqi nce ntxiv. Rau diamerid hauv ib qho tshuaj 4 mg, 383 p.

Yog tias tsim nyog, hloov Amaryl nrog cov tshuaj Glimepiride, uas yog tsim los ntawm cov tuam txhab Lavxias teb sab Vertex. Cov ntsiav tshuaj uas hais qhia yog pheej yug. Rau ntim ntawm 30 pcs. 2 mg yuav tau them 191 p.

Tus nqi ntawm Glimepiride Canon, uas tsim los ntawm Canonfarm, kuj tseem qis dua. Tus nqi ntawm ib pob ntawm 30 ntsiav tshuaj ntawm 2 mg yog suav tias yog pheej yig, nws yog 154 p.

Yog tias glimepiride tsis qaug rau, cov neeg mob tau kho lwm yam tshuaj ntxiv raws ntawm metformin (Avandamet, Glimecomb, Metglib) lossis vildagliptin (Galvus). Lawv raug xaiv coj mus rau hauv tus account tus yam ntxwv ntawm tus neeg mob lub cev.

Cawv thiab Amaryl

Nws tsis tuaj yeem kwv yees ua ntej li cas haus cawv muaj cawv yuav cuam tshuam rau tus neeg uas siv tshuaj yaj yeeb raws li glimepiride. Cov cawv yuav ua rau lub cev tsis muaj zog lossis txhim kho hypoglycemic ntawm Amaril. Yog li, lawv tuaj yeem siv tsis tau tib lub sijhawm.

Kev siv tshuaj hypoglycemic nyob ntev. Vim tias qhov no, txoj cai txwv tsis pub haus cawv haus cawv ntau rau ib qho yuav dhau los ua teeb meem.

Cev xeeb tub, lactation

Yuav siv tsis tau lub sij hawm thaum xeeb tus me nyuam hauv plab nruab cev, pub mis noj rau tus me nyuam yug tshiab, sulfonylurea derivatives yuav siv tsis tau. Hauv cov ntshav ntawm tus poj niam cev xeeb tub, cov kua nplaum nyob hauv lub cev yuav tsum tsis pub dhau. Tom qab tag nrho, hyperglycemia ua rau kev nce hauv kev pheej hmoo ntawm kev tsis txaus ntseeg lub neej tom qab, nce tus menyuam kev tuag ntau dua.

Cov poj niam cev xeeb tub tau pauv mus rau cov tshuaj insulin. Nws yog qhov ua tau kom tshem tawm qhov tshwm sim ntawm kev siv tshuaj phiv rau ntawm tus menyuam hauv utero yog tias koj tso sulfonylurea nyob rau theem ntawm kev npaj lub tswv yim.

Thaum lub sijhawm lactation, Txoj kev kho Amaril yog txwv tsis pub. Cov tshuaj nquag kis mus rau niam mis, lub cev ntawm tus menyuam yug tshiab. Thaum pub niam mis, nws yog qhov tsim nyog kom tus poj niam hloov mus rau kev siv tshuaj insulin.

Rau ntau tus neeg mob, kev pom zoo ntawm tus kws kho endocrinologist tsis txaus kom pib haus ib yam tshuaj tshiab. Cov kws kho mob hais tias cov tshuaj pab rau cov neeg ua haujlwm kom tsim cov tshuaj insulin, thaum nce ntxiv rhiab ntawm cov ntaub so ntswg mus rau nws. Qhov no ua rau kom pom tseeb tias cov piam thaj tau pib nqus nws lub cev.

Tab sis cov neeg mob xav hnov ​​qhov kev xav txog cov tshuaj kws kho mob los ntawm lwm cov ntshav qab zib. Lub siab xav paub txog kev tshuaj xyuas ntawm lwm tus neeg mob vim yog tseem muaj nqi ntau ntawm cov tshuaj. Tom qab tag nrho, nws muaj ntau yam tshuaj ntawm kev muag khoom uas tau tsim los txo cov piam thaj hauv siab, tus nqi ntawm uas tau nqis qis dua.

Thaum noj Amaril rau 1-2 xyoo, tsis muaj qhov tsis zoo tshwm sim. Kev xyaum qhia tau tias ob peb ntsib teeb meem thaum siv cov tshuaj.

Ntau zaus, teeb meem tshwm sim thaum Amaril M siv rau kev kho mob, uas ntxiv rau glimepiride suav nrog metformin. Cov neeg mob yws yws ntawm lub cev ua pob, ua pob khaus ntawm daim tawv nqaij, ua kom tawg.

Tom qab siv cov ntsiav tshuaj, qee cov neeg xav tias muaj kev kub ntxhov hypoglycemic nce mus txog, txawm hais tias thaum kuaj xyuas nws hloov tawm tias qhov txo qis cov piam thaj tsis tseem ceeb.

Hauv thawj lub hlis ntawm kev siv, glimepiride npaj zoo kawg nkaus txo qis qab zib. Tab sis qee tus kws kho mob tau sau tseg tias qhov ua tau zoo ntawm cov tshuaj pib qhuav zuj zus thaum lub sijhawm dhau mus.

Tus neeg mob yog thawj zaug nce ntxiv qhov ntau npaum li cas, thiab tom qab ntawd ua ke los ntawm kev siv tshuaj yog kho. Nov yog tib txoj hauv kev kom ua tiav lub xeev ib ntus.

Tab sis vim tias qhov txo qis hauv txoj hauv kev kho tau zoo, tus neeg mob tau nce siab nyob hauv qab zib hauv lub cev. Qhov no ua rau muaj kev cuam tshuam dav dav.

Nrog kev pab los ntawm Amaril, qee tus neeg mob ntshav qab zib tau maj mam tau txais ntawm qhov xav tau los ua cov tshuaj insulin tas li. Txawm hais tias thaum pib ntawm kev kho mob, ntau tus neeg muaj cov tsos mob ntawm lub qog ntshav qab zib. Cov neeg mob yws txog xeev siab, ua tsis taus tes, dias taub hau, muaj kev tshaib plab tas li. Maj mam, qhov mob hloov kho, qhov tsis zoo tshwm sim ploj.

Nqe, qhov twg yuav

Amaryl ntsiav tshuaj muaj muag hauv yuav luag txhua txhua lub tsev muag tshuaj. Tus nqi ntawm ib pob ntawm 30 daim ncaj qha nyob ntawm kev muab tshuaj pom zoo los ntawm kws kho mob.

Pob khoom ntawm 90 ntsiav tshuaj muaj muag. Yog tias koj yuav Amaril nyob rau hauv xws li pob, koj yuav txuag tau me ntsis. Txhawm rau ntim khoom ntawm 90 daim (2 mg) koj yuav tsum them 1728 p.

Glimepiride Canon

Nws yog hom tshuaj ntshav hypoglycemic uas noj ntawm qhov ncauj. Nws cuam tshuam cov hlwb ntawm lub txiav thiab tso tawm insulin.

Cov tshuaj muaj ob peb yam tshwm sim:

1. Kev tawm ntawm thaj chaw hauv lub cev, uas ua rau muaj peev xwm ntawm cov ntaub so ntswg ntau ntxiv kom muaj cov tshuaj insulin.
2. Txo kev ua haujlwm ntawm cov tshuaj insulin hauv daim siab.
3. Txwv tsis pub cov piam thaj ntau lawm.

Thov ncauj. Ua ke nrog kev kho mob nrog cov tshuaj insulin yuav raug sau tseg, rau qhov tsis muaj ib qho txiaj ntsig kho. Txawm li cas los xij, thaum txiav txim qhov ntau npaum li cas, ib qho kev kuaj mob hauv lub cev ntawm cov piam thaj hauv cov ntshav khiav yog qhov tsim nyog. Kev kho feem ntau ntev. Kev kwv yees tus nqi ntawm 165 rubles.

Gliformin Prolong

Xaj rau ntshav qab zib hom 2 hauv cov neeg mob rog rog. Cov tshuaj yog siv ob qho tib si hauv monotherapy thiab hauv kev sib xyaw nrog lwm cov tshuaj.

Koj tuaj yeem coj nws tsis noj cov zaub mov. Cov koob tshuaj thiab ntau npaum li cas yog txiav txim siab raws li daim ntawv tshuaj ntau npaum li cas tau siv. Qhia tshuaj kom txog 3 zaug / hnub. Txhua 15 hnub koj yuav tsum tau hloov kho lub koob tshuaj.

Cov tshuaj yeeb yaj kiab uas txawv ntawm cov tshuaj, tus nqi

Amaril tseem muaj cov tshuaj yeeb yaj kiab (analogues), uas muaj cov nqi siab dua, tab sis kev lees paub ntxiv:

1. AvandaglimCov. Nws muaj ob qhov tshuaj txuam, hu ua rosiglitazone maleate thiab glimepiride. Txhim kho glycemic tswj nyob rau hauv cov neeg mob uas muaj ntshav qab zib hom 2.
2. Avandamet. Cov tshuaj sib xyaw ua ke raws li rosiglitazone maleate thiab metformin hydrochloride. Txhim kho cov tshuaj insulin.
3. Bagomet Ntxiv. Qhov sib kis tau raws li kev sib xyaw ua ke ntawm ob qho tshuaj metformin thiab glibenclamide. Thawj qhov ua kom qis dua ntawm cov qib ntawm cov piam thaj hauv cov ntshav, inhibits qhov nqus ntawm carbohydrates thiab txo tus nqi ntawm gluconeogenesis. Metformin favorably cuam tshuam rau lipid muaj pes tsawg leeg ntawm cov ntshav, txo cov roj cholesterol thiab triglycerides hauv nws. Glibenclamide txo cov piam thaj hauv cov ntshav ntawm cov ntshav. Hais txog cov ntsiav tshuaj pheej yig los txo cov roj cholesterol - cov npe, cov nqi thiab tshuaj xyuas peb tau sau ntawm no.
4. BagometCov. Nws muaj ntau cov txiaj ntsig zoo:

• txo cov piam thaj nqus,
• Pab kom qis qis gluconeogenesis,
• kev siv cov peripheral qabzib ntau dua,
• nce lub peev xwm ntawm cov ntaub so ntswg rau kev cuam tshuam ntawm insulin.

Tus nqi nyob ntawm 68 rubles rau 101 rubles.

Kev qhia rau siv cov tshuaj Amaryl

Cov tshuaj nquag ua haujlwm raws li cov lus qhia hauv kev npaj Amaril yog glimepiride.

Cov tshuaj muaj qhov zoo:

1. Kev ua kom muaj zog insulin.
2. Ua kom muaj kev cuam tshuam ntau ntawm cov ntaub so ntswg mus rau insulin tsim los ntawm lub cev.
3. Tso tshuaj insulin.
4. Muaj cov haujlwm ua haujlwm ntxiv.
5. Lub peev xwm hloov kho myocardium rau ischemia tseem.
6. Antithrombotic kev txiav txim.

Cov tshuaj rau ntshav qab zib hom 2 tau siv. Hauv qhov no, tshuaj tuaj yeem siv ob qho tib si hauv monotherapy, thiab ua ke nrog lwm yam tshuaj.

Sab nyhuv Amaryl

Los ntawm cov hlab plawv system thiab ntshav (hematopoiesis, hemostasis):

• txos cov ntshav siab
• thrombocytopenia
• Leukopenia
• granulocytopenia,
• agranulocyto,
• erythropenia
• tus mob pancytopenia
• hemolytic thiab aplastic anemia.

Los ntawm cov leeg hlwb thiab cov haujlwm hauv lub cev:

• kiv taub hau
• mob taub hau
• pom kev tsis hnov ​​lus.

Los ntawm cov hnyuv:

• xeev siab
• ntuav
• mob plab
• zoo nkaus cov hnyav hauv cheeb tsam epigastric,
• pono
• mob siab cholestasis.

Los ntawm sab ntawm cov metabolism:

Lwm yam:

• nce transamine ntau ntau,
• kev npau suav,
• cov tawv nqaij ua xua,
• lig cutaneous porphyry,
• astheni,
• txog siav
• hepati
• ua xua vasculi,
• photosensitization.

Cov Tso Tawm Tseg Siv Yis Amaryl

Cov kab mob ntshav siab, insulin-tiv thaiv cov ntshav qab zib mellitus (hom I), mob ntshav qab zib ketoacidosis, mob ntshav qab zib ua ntej thiab coma, tsis txaus siab ntawm daim siab thiab lub raum kev ua haujlwm, cachexia, cev xeeb tub, pub niam mis.

Txwv tsis pub siv:

• Cov me nyuam lub hnub nyoog (kev nyab xeeb thiab muaj txiaj ntsig ntawm nws siv hauv cov menyuam tsis tau txiav txim siab).

Tsuas tshuaj thiab tswj hwm

Sab hauv, tsis tau ntxo, nrog dej kom ntau, ua ntej noj tshais.

Thawj koob tshuaj thawj zaug (suav nrog thaum hloov pauv los ntawm lwm qhov tshuaj tiv thaiv kab mob hauv lub qhov ncauj) yog 1 mg ib hnub ib zaug, yog tias tsim nyog, cov tshuaj txhua hnub yog maj mam nce (los ntawm 1 mg txhua 1-2 lub lis piam) txog 6 mg.

Cov koob tshuaj thaum pib thiab txij nkawm yog txiav txim siab los ntawm kev saib xyuas cov ntshav thiab ntshav qabzib kom tsawg.

Nrog kev them nyiaj kho kom zoo dua rau cov ntshav qab zib mellitus, tshuaj insulin rhiab heev, uas yuav xav tau hloov kho koob tshuaj.

Cov lus qhia tshwj xeeb

Txoj kev kho mob pib tsuas yog tias kev noj haus thiab kev tawm dag zog tsis yog ib txwm tsis muaj ntshav qab zib.

Thaum pib kho, thaum xaiv cov koob tshuaj, nws raug pom zoo los txiav txim qhov kev ua kom haum ntawm cov kua nplaum sai thiab txhua 4 teev, yav tom ntej nws yog qhov tsim nyog los tswj cov qib piam thaj thiab ntshav qabzib hauv cov zis txhua hnub, tsis tu ncua (txhua 3-6 lub hlis) txiav txim siab glycosylated hemoglobin.

Yog hais tias cov nyhuv tsis txaus lossis qhov cuam tshuam ua kom tsis muaj zog (tiv thaiv theem nrab), kev sib xyaw nrog insulin yog qhov pom zoo.

Tawm tsam keeb kwm ntawm qhov tau txais txiaj ntsig tas mus li, hyperglycemia yog ua tau.

Ib qho kev pheej hmoo siab ntawm kev txhim kho hypoglycemia tshwm sim hauv cov neeg mob uas tsis muaj zog thiab emaciated, nrog adrenal, plooj, lossis daim siab tsis ua haujlwm.

Qhov ntxim nyiam ntawm cov ntshav siab yog nce los ntawm kev haus cawv, hla zaub mov, tsis muaj calories ntau hauv cov zaub mov, hnyav thiab lub cev ua si ntev.

Siv nrog ceev faj thaum ua haujlwm rau cov tsav tsheb thiab cov neeg uas muaj kev cuam tshuam los ntawm kev saib xyuas ntau ntxiv.

Amaril tshuaj ntawm ib tiam tshiab

Cov tshuaj Amaril cov lus qhia rau kev siv muab ib qho kev soj ntsuam uas yog cov tshuaj ntawm lub cim tshiab ntawm cov tshuaj los tiv thaiv kev mob ntshav qab zib hom 2. Ib qho ntawm cov pheej hmoo tshaj plaws niaj hnub no yog Glibenclamide-HB-419 los ntawm sulfonylurea pawg. Ntau tshaj li ib nrab ntawm cov neeg mob ntshav qab zib nrog hom thib ob tau ntsib nws.

Amaril yog kev hloov kho tshiab ntawm Glibenclamide, tsim los ua kom tau raws li cov kev cai tshiab rau kev tswj hwm ntawm "kab mob qab zib."

Pharmacological cov yam ntxwv ntawm cov tshuaj

Amaryl yog tshuaj hypoglycemic uas pab tswj ntshav qab zib hauv ntshav. Cov tshuaj nquag ua haujlwm ntawm cov tshuaj yog glimepiride. Zoo li nws ua ntej, Glibenclamide, Amaril kuj yog los ntawm pawg sulfonylurea, uas ua kom cov synthesis ntawm insulin los ntawm b hlwb ntawm lub pancreatic islets ntawm Langerhans.

Yuav kom ua tiav qhov txiaj ntsig uas tau npaj tseg, lawv thaiv ATP potassium channel nrog muaj lub siab tawv.

Thaum sulfonylurea khi rau cov receptors nyob ntawm b-cell daim nyias nyias, cov haujlwm ntawm K-AT qib hloov.

Kev thaiv ntawm cov calcium calcium uas muaj qhov nce ntxiv ntawm ATP / ADP piv rau hauv cytoplasm provokes depolarization ntawm daim nyias nyias. Qhov no pab tso cov calcium calcium txoj hauv kev thiab ua rau kom muaj cov calcium cytosolic ntxiv.

Qhov tshwm sim ntawm kev txhawb nqa ntawm exocytosis ntawm secretory granules, uas yog cov txheej txheem ntawm kev nthuav tawm los ntawm cov hlwb ntawm cov sib txuas rau hauv nruab nrab nruab nrab, yuav tso cov tshuaj insulin rau hauv cov ntshav.

Glimepiride yog tus sawv cev ntawm tiam 3 ntawm sulfonylureas. Nws stimulates tso tawm ntawm pancreatic hormone sai, txhim kho insulin rhiab heev ntawm protein thiab lipid hlwb.

Peripheral cov ntaub so ntswg metabolize cov piam thaj siv ntau dua los ntawm cov khoom siv thauj khoom thauj los ntawm cov kab mob cell. Nrog rau hom ntshav qab zib insulin-ywj siab, kev hloov pauv ntawm cov piam thaj rau hauv cov ntaub so ntswg yog qeeb. Glimepiride txhawb nqa kev nce hauv qhov ntim ntawm cov thauj cov protein thiab txhim kho lawv cov haujlwm. Xws li lub cev ua tau zoo ua rau lub cev pab txo qis cov insulin tsis kam (lub cev tsis raug) rau lub cev lawm.

Amaryl inhibits cov synthesis ntawm glucogen los ntawm lub siab vim muaj kev nce hauv ntim ntawm fructose-2,6-bisphosphate nrog antiaggregant (inhibition ntawm thrombus tsim), antiatherogenic (txo qis hauv qhov ntsuas ntawm "tsis zoo" cov cholesterol) thiab antioxidant (rov ua dua tshiab, tiv thaiv kev laus) cov peev xwm. Cov txheej txheem oxidation tau qeeb qeeb vim qhov nce ntawm cov ntsiab lus ntawm endogenous b-tocopherol thiab cov haujlwm ntawm cov antioxidant enzymes.

Txawm tias cov tshuaj me me ntawm Amaril ua rau txhim kho glucometer.

Pharmacokinetics ntawm cov tshuaj

Nyob rau hauv cov muaj pes tsawg leeg ntawm Amaril, lub ntsiab nquag tivthaiv yog glimepiride los ntawm sulfonylurea pab pawg. Povidone, lactose monohydrate, magnesium stearate, microcrystalline cellulose thiab dyes E172, E132 yog siv los ua cov tshuaj ntxaws.

Amaryl ua lub siab ua rau cov leeg mob 100%, yog li txawm tias siv sijhawm ntev ntawm cov tshuaj tsis cuam tshuam qhov kev txuam nrog ntawm nws tshaj hauv cov nruab nrog cev thiab cov nqaij. Raws li qhov tshwm sim los ntawm kev ua tiav, ob qho txuas ntxiv ntawm glipemiride yog tsim: hydroxymetabolite thiab carboxymethabolite. Thawj cov tshuaj metabolite yog muaj nrog lub zog pharmacological uas muab cov nyhuv hypoglycemic ruaj khov.

Hauv cov ntshav, cov ntsiab lus siab tshaj plaws ntawm cov nquag nquag tau pom tom qab ob thiab ib nrab teev. Possessing tsis txaus ntseeg tiag tiag, cov tshuaj tsis txwv tus mob ntshav qab zib hauv kev xaiv cov khoom noj cov khoom noj uas nws "seizes" cov tshuaj. Kev tshem tawm yuav yog nyob rau hauv txhua kis 100%.

Nws hloov tawm ntawm cov tshuaj yog qeeb heev, tus nqi tso tawm cov ntaub so ntswg thiab kua dej ntawm cov tshuaj (tshem tawm) yog 48 ml / min. Qhov kev tshem tawm ib nrab-lub neej yog los ntawm 5 txog 8 teev.

Kev txhim kho tseem ceeb hauv glycemic indices yog pom txawm tias muaj teeb meem ua haujlwm nrog lub siab, tshwj xeeb, hauv kev laus (ntau dua 65 xyoos) thiab nrog daim siab tsis ua hauj lwm, qhov tseem ceeb ntawm cov nquag muaj yeej.

Yuav siv Amaryl li cas

Ib qho tshuaj yog tsim nyob rau hauv daim ntawv ntawm oval ntsiav tshuaj nrog sib faib sawb, uas tso cai rau koj kom yooj yim cais qhov koob tshuaj nyob rau hauv halves. Cov xim ntawm cov ntsiav tshuaj nyob ntawm qhov tsuas tshuaj: 1 mg ntawm glimepiride - plhaub liab, 2 mg - greenish, 3 mg - daj.

Qhov kev tsim no tsis raug xaiv los ntawm lub caij nyoog: yog tias cov ntsiav tshuaj tuaj yeem pom qhov txawv txav ntawm cov xim, qhov no txo ​​txoj kev pheej hmoo ntawm kev noj ntau dhau, tshwj xeeb tshaj yog nyob rau cov neeg laus.

Cov ntsiav tshuaj tau ntim rau hauv cov hlwv ntawm 15 pcs. Txhua lub npov tuaj yeem muaj los ntawm 2 txog 6 li cov paib.

Lub chav kawm ntawm kev kho nrog cov tshuaj yog ntev, muaj ntau nuances. Piv txwv li, koj tuaj yeem hla tsis dhau cov pluas noj tom ntej thaum noj cov tshuaj.

Cov yam ntxwv ntawm kev siv Amaril:

1. Cov ntsiav tshuaj (lossis ib feem ntawm qhov ntawd) nqos tag nrho, ntxuav nrog dej tsawg tsawg 150 ml. Tam sim ntawd tom qab noj tshuaj, koj yuav tsum noj.
2. Tus kws endocrinologist xaiv tus txheej txheem tshuaj kho raws li kev soj ntsuam cov kua nruab nrog cev.
3. Pib chav kawm nrog tsawg kawg ntawm Amaril. Yog tias ib feem ntawm 1 mg tom qab lub sijhawm tshwj xeeb tsis qhia qhov tshwm sim tau npaj tseg, tus nqi nce.
4. Cov koob tshuaj tau hloov kho me ntsis, nyob rau hauv 1-2 lub lis piam, kom lub cev muaj sij hawm hloov mus rau cov kev mob tshiab. Txhua hnub, koj tuaj yeem nce tus nqi kom tsis ntau tshaj 1 mg. Qhov ntau kawg ntawm cov tshuaj yog 6 mg / hnub. Tus kws kho mob txwv ib qho zuj zus yog tus kws kho mob tau teeb tsa.
5. Nws yog ib qho tsim nyog yuav tsum kho cov kev cai nrog kev hloov pauv qhov hnyav ntawm lub cev ntshav qab zib lossis lub ntim ntawm cov leeg mob, nrog rau cov tsos ntawm qhov kev pheej hmoo ntawm hypoglycemia (nrog rau kev tshaib plab, noj tsis txaus, haus cawv, lub raum thiab mob siab).
6. Lub sijhawm ntawm kev siv thiab ntau npaum li cas yuav nyob ntawm lub suab ntawm lub neej thiab cov yam ntxwv ntawm cov metabolism. Feem ntau, kev tswj hwm ib leeg ntawm Amaril yog tshuaj rau ib hnub nrog kev sib xyaw ua ke nrog zaub mov. Yog tias noj tshais puv, koj tuaj yeem haus ib qho tshuaj ntsiav thaum sawv ntxov, yog tias muaj lub cim qhia - nws zoo dua los ua ke nrog kev txais tos nrog pluas su.
7. Kev siv tshuaj ntau dhau ua teeb meem nrog lub qog ntshav qab zib, thaum cov piam thaj hauv cov qog tso ntshav tawm mus rau 3.5 mol / L lossis qis dua. Tus mob no tuaj yeem txuas mus ntev heev: txij li 12 teev txog 3 hnub.

Amaryl ntsiav tshuaj (hauv ib pob ntawm 30 daim) muaj muag ntawm tus nqi ntawm:

• 260 rub - 1 mg txhua
• 500 rub - 2 mg,
• 770 rub - 3 mg txhua
• 1020 RUB. - 4 mg txhua.

Koj tuaj yeem nrhiav pob ntawm 60, 90,120 pieces ntawm ntsiav tshuaj.

Lub thawv Amaril tau tso rau hauv qhov chaw sov (txog li 30 degrees) tsis ntev tshaj peb xyoos. Cov khoom siv ua ntej yuav tsum tsis pub siv rau cov menyuam yaus.

Lwm yam tshuaj siv tau

Cov neeg mob ntshav qab zib, tshwj xeeb "nrog kev paub", raws li txoj cai, muaj tag nrho cov teeb meem sib xyaw ua ke: kub siab, mob plawv thiab ntshav, teeb meem metabolic, raum thiab lub siab pathologies. Nrog rau cov khoom siv no, koj yuav tsum tsis txhob siv cov tshuaj muaj suab thaj qis dua.

Rau kev tiv thaiv kev tsis txaus siab ntawm cov hlab ntsha thiab lub siab, cov tshuaj uas muaj aspirin yog tshuaj. Amaryl hloov chaw nws tawm hauv cov qauv protein, tab sis nws qib hauv cov ntshav tseem tsis tau hloov pauv. Cov txiaj ntsig ntawm kev siv niaj hnub tuaj yeem hloov kho.

Enhanced ua si AMARE nws ntxiv rau insulin, Allopurinu, coumarin derivatives, anabolic steroids, guanethidine, chloramphenicol, fluoxetine, fenfluramine, pentoxifylline, Feniramidolu, fibric acid derivatives, phenylbutazone, miconazole, azapropazone, probenecid, quinolones, oxyphenbutazone, salicylates, tetracycline, sulfinpyrazone, Tritocqualin thiab sulfonamides.

Amaril txo lub peev xwm ntxiv Epinephrine, glucocorticosteroids Diazoxide, laxatives, Glucagon, barbiturates, Acetazolamide, saluretics, thiazide diuretics, nicotinic acid, Phenytoin, Phenothiazine, Rifampicin, Chlorpromazine, thiab progestin, thiab ntsev.

Amaryl ntxiv rau histamine H2 receptor blockers, reserpine thiab clonidine muab qhov kev npaj txhij txog nrog rau dauv hauv glucometer hauv ib qho kev taw qhia. Cov txiaj ntsig zoo sib xws ua kom muaj cawv thiab Amaril ntau ntxiv.

Cov tshuaj tsis cuam tshuam rau cov kev ua ntawm ACE inhibitors (Ramipril) thiab cov tshuaj tiv thaiv anticoagulant (Warfarin) hauv txhua txoj kev.

Hypoglycemic Sib Piv

Yog tias ib qho tshuaj hypoglycemic yuav tsum tau hloov nrog Amaril, qhov kev siv tshuaj tsawg kawg nkaus (1 mg) tau sau tseg, txawm tias muaj xwm txheej tus neeg mob tau txais cov tshuaj dhau los hauv qhov ntau tshaj plaws. Ua ntej tshaj, qhov tshuaj tiv thaiv ntawm tus kab mob ntshav qab zib tau soj ntsuam ob lub lis piam, thiab tom qab ntawd ces cov tshuaj kho tau kho.

Yog tias tus neeg sawv cev tiv thaiv kab mob siab nrog lub siab ib nrab-lub neej tau siv ua ntej Amaril nyob rau hauv kev txiav txim kom tsis txhob muaj kev txhim kho ntawm lub qog ntshav qab zib, yuav tsum tau ncua sijhawm ob peb hnub tom qab tshem tawm.

Yog tias cov ntshav qab zib tau tswj hwm tswj kev muaj peev xwm ntawm cov txiav ua tiav nws cov tshuaj hormones, tom qab ntawd cov tshuaj insulin tuaj yeem 100% hloov Amaryl. Chav kawm tseem pib nrog 1 mg / hnub.

Thaum tsoos cov piam thaj tso ib txwm Metformin tsis tso cai tswj ntshav qab zib kom puv, koj tuaj yeem noj tshuaj Amaril 1 mg ntxiv. Yog tias cov txiaj ntsig tsis txaus siab, cov txiaj ntsig maj mam hloov mus rau 6 mg / hnub.

Yog tias Amaril + Metformin cov txheej txheem tsis tau ua raws li qhov kev cia siab, nws raug hloov pauv nrog Insulin, thaum tswj kev ua raws li Amaril. Cov tshuaj insulin kuj tseem pib nrog kev txhaj tshuaj tsawg kawg nkaus. Yog tias cov ntsuas ntawm glucometer tsis tau txhawb nqa, ua kom cov Insulin ntau ntxiv. Kev sib txig nrog kev siv tshuaj yog tseem tau zoo, vim nws tso cai rau koj txo qis kev noj tshuaj hormone los ntawm 40% piv nrog kev kho tshuaj ntshiab tshuaj.

Ntxiv rau Amaril, tus kws kho mob endocrinologist tseem muaj kev xaiv rau cov analogues: Amaperid, Glemaz, Diapyrid, Diameprid, Glimepiride, Diagliside, Reclid, Amix, Glibamide, Gllepid, Glayri, Panmicron, Glibenclamide, Gligenclad, Glliblik Dimari, Dimari, Dimari, Dimari, Dimari, Dimari Glimaril, Glyclazide, Manil, Maninil, Glimed, Glioral, Olior, Glynez, Glirid, Gluktam, Glypomar, Glyurenorm, Diabeton, Diabresid.

Rau leej twg nws yog npaj, thiab rau cov tshuaj tsis pom zoo

Cov tshuaj tau txhim kho kev kho mob ntshav qab zib hom 2. Nws yog siv ob qho tib si nrog monotherapy thiab hauv txoj kev kho mob hauv kev sib txuam nrog Metformin lossis Insulin.

Cov tshuaj tivthaiv ntawm Amaril kov yeej cov nyom ntawm cov placenta, thiab cov tshuaj kuj dhau mus rau hauv niam mis. Vim li no, nws tsis haum rau leej niam cev xeeb tub thiab lactating.

Yog tias tus poj niam xav ua niam, txawm tias ua ntej xeeb menyuam, nws yuav tsum pauv mus rau cov tshuaj insulin uas tsis muaj Amaril.

Rau lub sijhawm pub mis, cov sijhawm tau teem sijhawm li no tau tshwj tseg, yog tias txawm li cas los xij yuav tsum muaj kev kho mob nrog Amaril, kev pub mis niam tau tso tseg.

Kev siv cov tshuaj nyob rau hauv ntshav qab zib coma thiab lub zwj ceeb ua ntej lub tsis nco qab yog tsis tsim nyog. Hauv kev mob hnyav rau ntshav qab zib (xws li ketoacidosis), Amaryl tsis ntxiv. Cov tshuaj tseem tsis haum rau cov neeg mob ntshav qab zib nrog thawj hom mob.

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

Ntawm kev muag, cov tshuaj muaj nyob rau hauv 4 ntau npaum li cas, nyob ntawm seb tus nqi ntau npaum li cas:

• cov ntsiav tshuaj liab - 1 mg
• greenish - 2 mg
• lub teeb daj - 3 mg
• bluish - 4 mg

Cov tshuaj tseem ceeb yog glimepiride. Ntxiv nrog rau daim foos uas tau hais tseg, muaj kev sib koom ua ke Amaryl M, uas muaj metformin.

Amaryl M muaj nyob rau hauv 2 ntau npaum li cas, sawv cev los ntawm cov kev sib txuas ua ke hauv qab no ntawm glimepiride / metformin:

Tsis zoo li daim ntawv dhau los, Amaril M yog nthuav tawm dawb thiab biconvex daim ntawv.

Ua raws li kev noj haus kom raug, ib pawg qoj ib ce ua kom yuag, qhov kev ua haujlwm kho tau zoo yog lav rau cov ntshav qab zib hom 2 hauv rooj plaub:

• yam 2 tsis muaj ntshav qab zib kom tsis txhob mob ntshav qab zib mellitus (raws li kev kho mob los yog kev kho mob ua ke nrog metformin lossis insulin),
• yog tias nws tsis tuaj yeem ua tiav glycemic tswj nrog monotherapy nrog glimepiride lossis metformin,
• thaum hloov cov kev sib txuas ua ke nrog kev siv ntawm ib qho kev sib xyaw ua ke Amaril M.

Amaryl yog cov tshuaj tseem ceeb rau cov ntshav qab zib hom 2 uas tsis siv tshuaj insulin.

Phiv thiab haus tshaj

Ib qho kev tsis pom zoo tshaj plaws yog txo qis ntshav qab zib kom tsawg, cov tsos mob tshwm sim yog:

• zoo nkaus li qaug zog
• kiv taub hau
• loog ntawm nqua
• kev suav nyiaj ntau
• Tsaus muag pom tsis zoo
• tachycardia lossis lub plawv dhia qeeb,
• teeb meem nrog lub luag haujlwm pom.

Lub zog muaj zog tiv thaiv cov ntshav ntog ntshav qab zib, muaj cim ntau cov tsos mob. Qee zaum cov tsos mob zoo li tus mob stroke, nrog rau kev tsis nco qab lawm thiab qhov muag plooj.

Lub luag haujlwm tseem ceeb ntawm no yog kev ua kom cov ntshav qabzib sai sai.

Lwm cov kev phiv los ntawm Amaril:

1. Kev tswj hwm leegCov. Tus neeg mob ntsib kiv taub hau, muaj teeb meem tsaug zog, lossis tsaug zog ntau dhau. Qhov zoo nkaus li qaug zog lossis cia li rov ua phem yog qhov txhawj xeeb. Qhov concentration ntawm saib xyuas yog ploj, psychomotor kev ua kom qeeb. Tus neeg mob tsis paub pab. Kev ntxhov siab, ploj ntawm kev tswj tus kheej, kev tawm hws sai, mob plab, kev nyuaj siab tuaj yeem ua rau tsis nco qab.
2. Kev kho mob txoj hnyuvCov. Qhov tshwm sim tsis zoo ntawm Amaril ntawm lub plab zom mov yog pom los ntawm ntuav reflexes, qhov kev hnov ​​ntawm qhov mob ntawm thaj chaw epigastric, xeev siab, raws plab, tshem tawm ntawm daim tawv nqaij kom daj, mob siab ua haujlwm thiab mob siab.
3. Lub zeem muagCov. Qhov tshwm sim ntawm cov tshuaj ua rau lawv tus kheej hnov ​​thaum pib kho. Tus neeg mob hnov ​​tau poob qis hauv qhov pom kev, uas cuam tshuam nrog kev hloov sai rau cov piam thaj hauv ntshav.
4. PlawvCov. Kev tawm tsam ntawm lub plawv nres sai sai tachycardia, angina pectoris, bradycardia, hlab ntsha tawg, lossis lub plawv tawg tuaj yeem qhia teeb meem nrog kev ua si plhaw.
5. NtshavCov. Cov ntshav ntawm cov ntshav tau hloov pauv. Mob ntshav qab zib, mob leukopenia, thrombocytopenia, erythrocytopenia, granulocytopenia, pancytopenia lossis agranulocytosis muaj peev xwm ua tau.
6. Hypersensitivity ntawm daim tawv nqaijCov. Nws yog ua kom pom los ntawm cov tsos ntawm urticaria, ib qho kev tawm tsam tsis haum. Hauv qhov no, ib qho kev tawm tsam tsis haum tuaj yeem sai sai rau hauv kev poob siab anaphylactic.

Yog tias cov tsos mob ntawm kev noj tshuaj ntau dhau lossis tshwm sim tshwm sim, tus neeg mob maj mam mus ntsib kws kho mob. Thawj txoj kev pabcuam ywj pheej yog ua kom nrawm rau nws qab zib, qab zib lossis qab zib.

Kev sib cuam tshuam txog Yeeb Tshuaj thiab Analogs

Thaum muab tshuaj rau tus neeg mob nrog rau lwm cov tshuaj amaryl, lawv kev sib cuam tshuam yog coj mus rau hauv tus account:

• insulin thiab lwm cov ntsiav tshuaj ntawm hypoglycemic kev txiav txim siab ua rau nce ntawm hypoglycemic zoo ntawm Amaril,
• adrenaline, sympathomimetics - txo qis hauv cov nyhuv hypoglycemic yog tau,
• reserpine, clonidine, histamine H2-receptor blockers - cov tsos ntawm kev tsis khov ntawm cov nyhuv hypoglycemic,
• Ethyl-uas muaj cov khoom - nyob ntawm cov concentration ntawm ethanol hauv cov ntshav, nce ntxiv lossis txo qis hauv cov nyhuv hypoglycemic yog tau.

Muaj cov analogues uas muaj cov txiaj ntsig zoo ib yam, muaj tib cov haujlwm tseem ceeb thiab raug muag ntawm tus nqi pheej yig:

1. Glimepiride CanonCov. Pheej yig qhov sib piv ntawm Amaril, uas tau sau tseg rau qhov tsis muaj txiaj ntsig ntawm kev kho ib ce thiab kev siv lub cev.
2. GlimepirideCov. Cov tshuaj zoo ib yam li Canon nrog cov tshuaj ua kom zoo ib yam. Nws muaj contraindications. Kev siv tus kheej yog txwv. Kev tsim khoom ntawm Lavxias Lavxias.
3. DiameridCov. Yam tshuaj mob ntshav qab zib hom 2. Pom zoo kom tsis muaj kev ua tau zoo los ntawm kev noj haus thiab kev tawm dag zog. Kev txwv rau cov ntshav qab zib hom 1.

Xaiv cov analogues yuav tsum tau muab rau cov kws tshaj lij. Tshuaj yuav siv raws li kab ke. Kev qoj ib ce tsis tu ncua kev noj tshuaj tuaj yeem ua rau muaj kev cuam tshuam tsis zoo rau lub cev.

Cov tshuaj yuav muag rau qhov twg?

Amaryl yog ib cov tshuaj uas muag hauv khw muag tshuaj network ntawm txhua lub nroog. Tus nqi nyob ntawm 238 rubles. txog 2550 rubles, uas nyob ntawm ntau npaum ntawm cov tshuaj glimepiride thiab cov ntsiav tshuaj hauv pob.

Koj tuaj yeem yuav cov tshuaj muaj txiaj ntsig zoo ntawm tus nqi qis dua hauv cov khw muag tshuaj los ntawm cov khw online. Thaum muas tshuaj, them sai sai rau nws cov khoom qub, vim tias muaj ntau qhov tseeb ntawm kev nrhiav tshuaj cuav.

Amaril - kev tshuaj xyuas ntawm cov kws kho mob, analogues, cov lus qhia rau kev siv, tus nqi zoo tshaj plaws hauv cov khw muag tshuaj yuav

Amaril®

Sab hauv tsis tas yuav zom, ntxau kom muaj kua txaus (li 0.5 khob). Yog tias tsim nyog, ntsiav tshuaj ntawm Amaril® tuaj yeem muab faib raws cov kev pheej hmoo ua 2 qhov sib npaug.

Raws li txoj cai, koob tshuaj ntawm Amaril® yog txiav txim los ntawm lub hom phiaj concentration ntawm cov piam thaj hauv cov ntshav. Qhov tshuaj tiv thaiv qis qis txaus kom ua tiav qhov kev tswj hwm metabolic tsim nyog yuav tsum tau siv.

Thaum kho mob nrog Amaril®, nws yog ib qho tsim nyog los txiav txim siab tsis tu ncua cov concentration ntawm cov piam thaj hauv cov ntshav. Tsis tas li ntawd, kev soj ntsuam tas li ntawm glycosylated hemoglobin qib raug pom zoo.

Qhov tsis zoo ntawm kev siv tshuaj, piv txwv li, hla kev siv tshuaj ntxiv, yuav tsum tsis txhob rov qab txais ntxiv los ntawm kev noj tshuaj ntau dua.

Tus neeg mob cov kev coj ua thaum muaj qhov yuam kev thaum noj cov tshuaj (tshwj xeeb, thaum tsis txhaj koob tshuaj ntxiv lossis noj zaub mov noj) lossis cov xwm txheej uas tsis tuaj yeem noj cov tshuaj yuav tsum tau tham los ntawm tus neeg mob thiab tus kws kho mob ua ntej.

Pib xaiv koob thiab koob tshuaj

Thawj qhov tshuaj yog 1 mg ntawm glimepiride 1 zaug ib hnub.

Yog tias tsim nyog, cov koob tshuaj txhua hnub tuaj yeem hloov maj mam zuj zus (ntawm ntu li 1-2 lub lis piam). Nws raug nquahu tias qhov kev nce ntxiv yuav raug saib xyuas hauv kev saib xyuas tas li ntawm cov ntshav qabzib thiab nyob rau hauv raws li cov qib nce ntxiv hauv qab no: 1 mg - 2 mg - 3 mg - 4 mg - 6 mg (−8 mg).

Cov koob tshuaj ntau hauv cov neeg mob uas muaj ntshav qab zib ua tau zoo

Feem ntau, ib koob tshuaj txhua hnub hauv cov neeg mob uas muaj ntshav qab zib kom zoo yog 1-4 mg glimepiride. Kev noj tshuaj txhua hnub ntau dua 6 mg yuav zoo dua hauv qee tus neeg tsawg xwb.

Lub sijhawm ntawm kev noj tshuaj thiab faib tawm ntawm cov tshuaj thoob plaws hauv lub hnub txiav txim siab los ntawm tus kws kho mob, nyob ntawm tus neeg mob txoj kev ua neej nyob rau lub sijhawm (noj mov, lub sijhawm ntawm kev siv lub cev).

Feem ntau, ib koob tshuaj ib zaug ntawm cov tshuaj thaum nruab hnub yog txaus. Nws raug nquahu tias qhov no, tag nrho cov tshuaj ntawm cov tshuaj yuav tsum tau noj tam sim ntawd ua ntej noj tshais tag nrho lossis, yog tias nws tsis noj thaum lub sijhawm ntawd, tam sim ntawd ua ntej thawj pluas noj. Nws yog ib qho tseem ceeb heev kom tsis txhob noj mov tom qab noj cov ntsiav tshuaj.

Txij li kev txhim kho metabolic tswj yog txuam nrog kev nce insulin rhiab heev, qhov xav tau rau glimepiride tuaj yeem txo qis thaum kho. Txhawm rau kom tsis txhob muaj kev txhim kho hypoglycemia, nws yog ib qho tsim nyog kom txo cov koob tshuaj lossis tsis noj tshuaj Amaril®.

Cov mob uas yuav tau txhaj tshuaj kho qhov mob glimepiride:

- txo lub cev qhov hnyav ntawm tus neeg mob,

- kev hloov pauv ntawm tus neeg mob lub neej (hloov kev noj haus, sijhawm noj mov, kev siv dag zog),

- kev tshwm sim ntawm lwm yam uas ua rau muaj kev puas tsuaj rau txoj kev loj hlob ntawm hypoglycemia lossis hyperglycemia (saib ntu "Cov lus qhia tshwj xeeb").

Glimepiride kho mob feem ntau yog ua rau lub sijhawm ntev.

Hloov chaw ntawm tus neeg mob los ntawm lwm tus neeg sawv cev hypoglycemic rau qhov ncauj tswj hwm rau Amaryl®

Tsis muaj kev sib raug zoo ntawm cov koob tshuaj ntawm Amaril® thiab lwm tus neeg hypoglycemic rau kev tswj hwm qhov ncauj.

Thaum lwm tus neeg sawv cev hypoglycemic rau kev tswj hwm qhov ncauj tau hloov nrog Amaril®, nws raug pom zoo tias cov txheej txheem rau nws txoj kev tswj hwm yog tib yam li nrog kev pib ua thawj coj ntawm Amaril®, i.e.

kev kho mob yuav tsum pib nrog ib koob tshuaj tsawg kawg ntawm 1 mg (txawm hais tias tus neeg mob hloov mus rau Amaril® nrog qhov siab tshaj plaws ntawm lwm qhov tshuaj hypoglycemic rau kev tswj hwm qhov ncauj). Qhov koob tshuaj nce ntxiv yuav tsum tau nqa tawm hauv theem, suav txog qhov lus teb rau glimepiride raws li cov lus pom zoo saum toj no.

Nws yog ib qho tsim nyog yuav tsum coj mus rau hauv lub zog thiab lub sijhawm ntawm cov nyhuv ntawm yav dhau los hypoglycemic tus neeg sawv cev rau kev tswj hwm qhov ncauj. Kev cuam tshuam kev kho mob tej zaum yuav tsum kom tsis txhob muaj kev sib tham ntawm cov teebmeem uas yuav ua rau muaj kev pheej hmoo ntawm ntshav qab zib.

Siv ua ke nrog metformin

Hauv cov neeg mob uas tsis muaj peev xwm tswj tau tus mob ntshav qab zib mellitus, thaum noj ntau tshaj plaws txhua hnub ntawm ob qho tshuaj glimepiride lossis metformin, kev kho mob nrog kev sib xyaw ntawm ob hom tshuaj no tuaj yeem pib ua.

Hauv qhov no, kev kho yav dhau los nrog rau glimepiride lossis metformin txuas ntxiv nyob rau tib theem li qub, thiab cov koob tshuaj ntxiv ntawm metformin lossis glimepiride pib nrog kev txhaj tshuaj tsawg, uas yog tom qab ntawv suav nyob ntawm lub hom phiaj theem ntawm kev tswj metabolic mus txog qhov siab tshaj plaws txhua hnub. Kev sib koom ua ke yuav tsum tau pib hauv kev saib xyuas mob nkeeg zoo.

Siv ua ke nrog cov tshuaj insulin

Hauv cov neeg mob uas tsis muaj peev xwm tswj tau tus mob ntshav qab zib mellitus, insulin tuaj yeem muab rau tib lub sijhawm thaum noj ntau tshaj plaws txhua hnub ntawm glimepiride.

Hauv qhov no, koob tshuaj kawg ntawm glimepiride qhia rau tus neeg mob tseem tsis hloov pauv. Hauv qhov no, kev kho tshuaj insulin pib nrog kev siv tshuaj tsawg, uas maj mam nce ntxiv ntawm kev tswj hwm qhov kev tswj hwm ntawm cov piam thaj hauv cov ntshav.

Kev kho mob sib xyaw ua ke yuav tsum muaj kev saib xyuas mob nkeeg.

Siv rau hauv cov neeg mob lub raum tsis ua haujlwm. Tsuas muaj lus qhia tsawg ntawm kev siv cov tshuaj rau cov neeg mob uas lub raum tsis ua haujlwm. Cov neeg mob uas lub raum tsis ua haujlwm yuav nkag siab zoo rau lub ntsej muag hypoglycemic ntawm glimepiride (saib ntu "Pharmacokinetics", "Contraindications").

Siv rau hauv cov neeg mob mob siab tsis ua haujlwm. Muaj qee qhov lus qhia ntawm kev siv tshuaj yeeb rau cov nplooj siab ua tsis ua haujlwm (saib Ntu "Kev Tshawb Xyuas Tsis Txaus").

Siv rau menyuam yaus. Cov ntaub ntawv hais txog kev siv cov tshuaj nyob hauv menyuam yaus tsis txaus.

Yuav noj Amaryl li cas: ua ntej noj mov lossis tom qab?

Amaryl tau noj ua ntej noj mov, kom nws muaj lub sijhawm los pib ua yeeb yam los ntawm lub sijhawm noj cov khoom noj yog assimilated. Raws li txoj cai, tus kws kho mob qhia cov ntshav qab zib kom noj cov tshuaj no ua ntej noj tshais. Thiab yog tias tus neeg mob feem ntau tsis tau noj tshais, ces noj ib ntsiav tshuaj ua ntej noj hmo. Cov tshuaj pleev ib ce uas muaj cov tshuaj glimepiride yuav tsum noj tib txoj kev.

Tsis txhob sim hla pluas mov tom qab noj Amaril. Koj yuav tsum noj, txwv tsis pub cov tshuaj yuav txo cov ntshav qab zib ntau dhau thiab yuav muaj ntshav qab zib tsawg. Qhov no yog ib qho mob hnyav uas tuaj yeem ua rau cov tsos mob sib txawv. Los ntawm kev poob siab thiab palpitations mus rau coma thiab tuag. Qhov kev pheej hmoo ntawm hypoglycemia yog ib qho ntawm cov laj thawj yog vim li cas Dr. Bernstein tsis pom zoo kom noj glimepiride. Ntawm koj txoj kev pov tseg yog txoj kev nyab xeeb thiab ua tau zoo ib qib zuj zus hais txog kev mob ntshav qab zib hom 2.

Cov tshuaj no puas haum nrog cawv?

Cov lus qhia rau kev siv Amaril ntsiav tshuaj yuav tsum tau kom cov neeg mob ntshav qab zib kom tsis txhob haus cawv haus lub sijhawm tag nrho ntawm kev kho nrog cov tshuaj no. Vim tias haus cawv ntau yuav ua rau muaj teeb meem ntshav qab zib thiab lub siab. Kev tsis haum ntawm cov tshuaj glimepiride nrog cawv yog qhov teeb meem loj. Vim tias nws yog hom tshuaj rau lub sijhawm ntev, kom paub lub neej ntev, thiab tsis yog rau lub sijhawm luv luv ntawm kev kho mob.

Tib lub sijhawm, cov neeg mob uas muaj ntshav qab zib hom 2 uas tsis noj tshuaj uas tsis zoo thiab raug kho raws li cov qauv no txwv tsis pub haus dej cawv kom zoo li lawv muaj peev xwm. Saib kab lus “Cawv rau Ntshav Qab Zib” kom paub cov ntsiab lus. Koj tuaj yeem khaws cov piam thaj zoo kawg nkaus thiab qee zaum tso cai rau koj tus kheej haus khob lossis ob khob yam tsis muaj teeb meem rau kev noj qab haus huv.

Ntev npaum li cas tom qab nws pib noj?

Hmoov tsis zoo, tsis muaj ntaub ntawv qhia txog pes tsawg lub sijhawm tom qab noj Amaril pib ua. Cov ntshav qab zib cov ntshav yuav poob ntau li ntau tau tom qab 2-3 teev. Feem ntau cov yuav tshwm sim, cov nyhuv ntawm cov tshuaj pib ntau ua ntej lawm, tom qab 30-60 feeb. Yog li tsis txhob ncua sij hawm noj zaub mov kom tsis txhob muaj ntshav qab zib hauv lub cev tsis tshwm sim. Cov nyhuv ntawm txhua koob tshuaj glimepiride kav ntau tshaj ib hnub.

Qhov twg yog qhov zoo dua: Amaryl lossis Diabeton?

Ob qho tshuaj ntawm no suav nrog rau cov npe ntawm cov tshuaj phom sij rau tus mob ntshav qab zib hom 2. Nws yog qhov zoo dua rau kev tsis lees noj lawv. Hloov, siv cov kev kho mob endocrin-patient.com cog lus.

Sim kom paub tus kws kho mob tus kws kho mob tau sau qhia rau Amaryl lossis Diabeton nrog cov khoom ntawm nplooj ntawv no. Thawj cov tshuaj, Ntshav qab zib, ua rau muaj neeg tuag coob ntawm cov neeg mob uas tau noj nws. Yog li ntawd, nws tau ntsiag to tshem tawm ntawm qhov muag. Tam sim no koj tuaj yeem yuav tsuas ntsiav tshuaj Diabeton MV. Lawv ua ntau dua maj mam, tab sis lawv tseem tsim kev puas tsuaj.

Dab tsi yog qhov zoo rau haus: Amaryl lossis Glucophage?

Amaryl yog cov tshuaj tsis haum. Tus xaib endocrin-patient.com sim ua kom koj yauv tsis lees txais nws. Glucophage yog lwm qhov teeb meem. Nov yog thawj cov tshuaj Metformin, ib feem tseem ceeb ntawm cov kauj ruam kev kho mob rau cov mob ntshav qab zib hom 2. Metformin tsis yog ib qho tshuaj lom taus, tab sis, theej tau muaj txiaj ntsig zoo. Txog kev tswj ntshav qab zib kom tau txais txiaj ntsig zoo, koj yuav tsum xub hloov mus rau qhov noj cov zaub mov kom txhob muaj ntshav qab zib. Kev noj qab haus huv kev noj qab haus huv yog ntxiv nrog kev siv tshuaj Glucofage, thiab, yog tias tsim nyog, muaj cov tshuaj insulin tsawg.

Kuv tuaj yeem coj Yanumet thiab Amaril tib lub sijhawm?

Amaryl thiab lwm cov ntsiav tshuaj muaj glimepiride yuav tsum tsis txhob noj rau cov laj thawj tau teev tseg saum toj no. Yanumet yog ib hom tshuaj sib xyaw ua ke uas muaj cov tshuaj metformin. Thaum lub sijhawm sau ntawv, nws kim heev thiab tsis muaj kev sib tw pheej yig. Hauv txoj ntsiab cai, koj tuaj yeem coj nws. Tab sis koj tuaj yeem sim hloov ntawm nws mus rau cov ntshiab metformin, qhov zoo tshaj plaws ntawm txhua qhov tseem cia nrog tshuaj yeeb tshuaj Glucofage. Yog tias koj tswj hwm qhov ua tsis tau tswj kev mob ntshav qab zib, koj yuav txuag nyiaj ntau heev txhua hli.

Amaril analogues

Thaum lub sijhawm ntawm kev npaj tsab xov xwm los ntawm cov yeeb yaj kiab txawv teb, tsuas yog Glimepirid-Teva uas ua los ntawm Pliva Hrvatska, Croatia raug muag hauv khw muag tshuaj. Tib lub sijhawm, Amaril muaj ntau yam kev hloov pauv hauv Lavxias, uas yog qhov pheej yig dua li cov tshuaj qub.

Txhua lub chaw tsim khoom tsim txhua txoj kev xaiv tshuaj rau glimepiride - 1, 2, 3 thiab 4 mg. Txheeb xyuas cov tshuaj thiab cov nqi hauv tsev muag tshuaj.

Tus thawj cov tshuaj Amaryl lossis cov khoom pheej yig: yuav ua li cas xaiv

Nyeem ntawm no vim li cas Amaryl thiab nws cov analogues muaj kev phom sijvim li cas koj xav kom tsis kam coj lawv thiab qhov twg yog qhov zoo dua los hloov. Lub vev xaib endocrin-patient.com qhia yuav ua li cas txo cov ntshav qab zib kom nws nyob li qub thiab ua kom nws nyob tus yees tsis muaj teeb meem, tsis noj mov sai, noj tshuaj phem thiab kim, txhaj cov tshuaj insulin ntau dua.

Amaryl M: tshuaj ua ke

Amaryl M yog hom tshuaj ua ke rau hom ntshav qab zib hom 2. Nws muaj ob qho khoom xyaw ua ke hauv ib ntsiav tshuaj - glimepiride thiab metformin. Raws li koj tau nyeem saum toj no, glimepiride yog qhov tsis zoo thiab nws zoo dua tsis txhob coj nws. Tab sis metformin tsis muaj teeb meem txhua, tab sis, theej heev pab tau rau tus mob ntshav qab zib. Cov tshuaj no txo ​​qis ntshav qab zib, tiv thaiv kab mob ntshav qab zib, pab kom yuag thiab lub neej ntev.

Lub vev xaib endocrin-patient.com pom zoo kom koj noj cov tshuaj ntshiab metformin hloov chaw Amaril M, qhov tshuaj zoo tshaj yog Glucofage. Nws tseem muaj cov kev sib tw hauv Lavxias, uas yog me ntsis pheej yig dua.

Cov analogues ntawm Amaryl M ntsiav tshuaj yog dab tsi?

Amaryl M yog cov tshuaj ua ke uas muaj ob qho kev ua ub ua no: glimepiride thiab metformin. Txhua yam tshuaj, uas suav nrog glimepiride, muaj kev phom sij. Lawv tuaj yeem txo cov ntshav qabzib ntau xyoo mus ntau xyoo, tom qab ntawd tus kabmob hloov mus rau hom ntshav qab zib hom 1 loj. Hauv cov ntshav qab zib uas tau kho nrog cov tshuaj no, qhov kev pheej hmoo ntawm kev tuag los ntawm lub plawv nres thiab mob hlab ntsha tawg tsis txo, tab sis, tseem nce ntxiv.

Dua li nrhiav qhov analogues ntawm Amaril M, hloov mus rau cov ntshiab metformin. Qhov zoo tshaj plaws, thawj cov tshuaj yeeb yaj kiab tuaj txawv tebchaws yog Glucofage. Nws tau pom tseeb tseeb zoo, thiab tib lub sijhawm nws muaj tus nqi tsim nyog. Kuj tseem siv ib qib-qib-theem-hom 2 hom phiaj xwm kho mob ntshav qab zib. Koj tuaj yeem ua kom cov piam thaj zoo li qub, zoo li cov neeg noj qab haus huv, tsis muaj "tshaib plab" noj zaub mov thiab ua rau lub cev hnyav.

Qhov teeb meem ntawm kev overdose

Lub sijhawm ntev ntawm kev siv tshuaj, nrog rau kev haus ib qho loj heev, tuaj yeem ua rau mob ntshav qab zib, cov tsos mob uas tau hais hauv seem yav dhau los.

Tus mob ntshav qab zib yuav tsum muaj daim ntawv qhia nrog qhov qhia qhov luv luv ntawm nws qhov mob thiab ib yam dab tsi los ntawm cov khoom noj ceev uas yog carbohydrates (khaub noom, khaub noom). Cov kua txiv qab zib lossis tshuaj yej kuj tsim nyog, tsuas yog tsis muaj cov khoom ua kua qab zib xwb. Thaum muaj mob hnyav, tus neeg mob yuav tsum tau mus pw hauv tsev kho mob kom sai vim tias mob plab thiab ua haujlwm rau lub zog (nqus cov pa roj carbon, thiab lwm yam).

Sab sij huam

Qee qhov tsis tshua muaj, kev siv Amaril nrog cov kev mob tshwm sim hauv cov qauv ntawm qhov tsis pom kev ib nrab, muaj teeb meem nrog cov ntshav ncig, cov roj ntsha tsis ua haujlwm, lub plab zom mov.

Ntawm cov feem ntau muaj:

1. Glycemic syndrome, tus cwj pwm los ntawm kev tawg tsis zoo, cuam tshuam ntawm kev saib xyuas, tsis pom kev, tsis pom kev, tsis tuaj yeem tswj hwm kev tshaib plab, tawm hws.
2. Qhov sib txawv hauv cov ntsuas qhov qab zib, ua rau pom kev pom.
3. Kev tso zis tsis tuaj yeem, ua txhaum ntawm lub suab ntawm kev tso quav, ploj thaum tso cov tshuaj.
4. Ua xua ntawm kev ua txhaum sib txawv (ua pob ua pob ua pob, khaus khaus, ua xua, ua xua vasculitis, anaphylactic ceeb, tsis muaj ntshav siab thiab ua tsis taus pa).
   

Noj Amaril cuam tshuam loj heev rau kev ceev ntawm lub hlwb kev xav - tsav tsheb, nrog rau kev ua haujlwm xav tau kev saib xyuas, tshwj xeeb tshaj yog nyob rau theem pib ntawm kev kho, tsis sib haum nrog Amaril txoj kev kho.

Kev xav ntawm cov kws kho mob thiab cov ntshav qab zib txog Amaril

Kev tshuaj xyuas cov neeg endocrinologist uas niaj hnub ntsib txhua qhov tshwm sim ntawm tus kab mob insidious yog feem ntau lub hom phiaj, vim tias lawv muaj txoj hauv kev kawm cov neeg mob cov tshuaj tiv thaiv cov tshuaj nyob rau hauv kev txiav txim siab los kos cov lus xaus hais txog nws cov hauj lwm zoo.

Raws li cov kws kho mob, nrog cov txheej txheem kev kho mob kom raug, Amaril pab ua kom cov glycemic indices sai txaus. Tus neeg mob ntshav qab zib noj cov tshuaj muaj kev tsis txaus siab ntawm lub qog ntshav qab zib thaum txoj kev xaiv tau xaiv tsis zoo. Thiab tsis tau, hais txog cov tshuaj Amaril, kev xyuas neeg mob yog qhov kev xav tau zoo.

Kev noj haus qis-carb, kev siv lub cev ua si, tswj lub cev nyhav muaj qhov cuam tshuam rau cov txiaj ntsig ntawm kev siv tshuaj Amaril. Tus mob ntshav qab zib yuav tsum qhia rau tus kws kho qhov mob endocrinologist kom txog sijhawm muaj cov kev mob tshwm sim, cov tsos mob ntawm hypo- thiab hyperglycemia uas tsim nrog Amaril.

Kev kho kuj tseem cuam tshuam kev soj ntsuam tus kheej ntawm cov piam thaj ntsuas thiab kev soj ntsuam ntawm lub siab ua haujlwm, kev sim tshuaj, tshwj xeeb tshaj yog kuaj ntshav glycated hemoglobin, uas niaj hnub no suav hais tias yog lub hom phiaj tseem ceeb tshaj plaws rau kev ntsuas tus neeg mob ntshav qab zib. Qhov no yuav pab txhawm rau txheeb xyuas qhov degree ntawm tsis kam ntawm Amaril rau kev kho ntawm kev kho mob kiag li.

Koj tuaj yeem kawm txog cov nta ntxiv ntawm Amaril los ntawm cov yeeb yaj kiab.