Maninil thiab Metformin: Nws yog ib qho zoo dua, tshuaj sib txuam, yuav ua li cas coj lawv nrog ntshav qab zib

Metformin yog cov khoom kho mob nyuaj uas muaj cov yam ntxwv hypoglycemic. Raws li kev txheeb xyuas lub neej ntev. Cov lus qhia rau kev siv taws teeb pom kev tseeb tshaj plaws uas yuav tsum paub rau txhua tus neeg mob uas tus kws kho mob tau hais tseg. Cov tshuaj tiv thaiv kev laus thiab laus hnub nyoog Elena Malysheva. Yuav ua li cas coj, ua mob lossis muaj txiaj ntsig rau lub cev, kev sib raug zoo, lub npe lag luam, uas yog qhov zoo dua thiab dab tsi tham hauv qab no.

Cov tshuaj muaj cov tshuaj tshwj xeeb - cov tshuaj ua kom nquag plias - metformin hydrochloride thiab ib tug naj npawb ntawm cov neeg ua hauj lwm pab - povidone, pob kws nplej siab, magnesium stearate, talc. Daim foos tso tawm - daj biconvex ntsiav tshuaj.

Tus nqi thiab ntau npaum li cas nws nyob ntawm lub teb chaws ntawm kev tsim khoom. Koj tuaj yeem pom tus nqi uas koj txaus siab nyob rau lub vev xaib ntawm tus neeg sawv cev.

Rau dab tsi los xij, kev taw qhia rau kev siv

Cov tshuaj yog siv tau rau:

1. Mob ntshav qab zib
2. Rau kev rov ua haujlwm
3. Los ua kom cov hluas
4. Rau kev tiv thaiv mob qog noj
5. Hauv kev tawm dag zog lub cev
6. Nrog rog
7. Nrog polycystic ovary
8. Hauv kev kho mob poj niam
9. Ntawm lub tshuab ziab khaub ncaws
10. Nrog kab mob siab
11. Nrog peripheral mob ntawm txoj hnyuv

Cov tshuaj muaj ntau tus naj npawb hloov pauv thiab pheej yig dua cov khoom noj uas sib txawv ntawm tus nqi peev nyiaj.

1. Cov neeg nplua nuj
2. Glibenclamide
3. Siofor
4. Cov nplaum caj dab
5. Formentin
6. Mob ntshav qab zib
7. Reduxin
8. Vidal
9. Biguanide ED
10. Vildagiptin
11. Maninil
12. Saxagliptin

Tshuaj Mob Ntshav Qab Zib

Cov tshuaj yog tawm rau cov ntshav qab zib hom 2. Nws pab tsim cov tshuaj insulin, ua kom cov nqaij mos rhiab txaus, txo lub sijhawm noj los ntawm insulin, thiab txo cov roj cholesterol. Yog tias cov nephropathy mob ntxiv rau thaum lub sijhawm tiv thaiv tus kabmob, tom qab ntawd cov tshuaj tuaj yeem txo qib proteinuria ntau.

Txawm hais tias muaj txiaj ntsig zoo ntawm tib neeg lub cev, Diabeton muaj ib tug xov tooj ntawm contraindications:

ntshav qab zib hom 1
coma los yog pog koob yawg koob mob,
raum tsis ua haujlwm thiab lub siab ua haujlwm,
cov tshuaj tiv thaiv sulfonamides thiab sulfonylurea.

Thaum muaj kab mob, ib ce ntawm kev tawm dag zog lub cev thiab kev noj haus tau raug noj, yog tias qhov no tsis tuaj yeem tswj hwm tus kab mob tau zoo, ces cov tshuaj Diabeton tau sau tseg. Gliclazide, uas yog ib feem ntawm nws, pab cov hlwb pancreatic los tsim cov tshuaj insulin ntxiv. Kev txais neeg nkag yog feem ntau zoo. Cov neeg mob qhia txog kev txo cov ntshav qab zib kom tsawg, thaum lub sij hawm mob ntshav qab zib tsawg dua 7%. Nws yog qhov yooj yim los noj cov tshuaj ib hnub ib zaug, yog li cov neeg mob tsis xav tias txiav kev kho mob, tab sis txuas ntxiv nws mus ntau xyoo. Qhov ntsuas hnyav nce me ntsis nce ntxiv, uas tsis cuam tshuam rau kev nyab xeeb ntawm tus neeg mob.

Cov kws kho mob tau sau ntawv rau tus mob ntshav qab zib vim nws yooj yim rau cov neeg mob thiab muaj kev tiv thaiv zoo. Rau cov neeg mob feem ntau, nws yooj yim dua rau kev noj tshuaj ib hnub ib zaug dua kom ua pa rau koj tus kheej nrog kev thauj khoom thiab kev noj zaub mov kom nruj. Tsuas yog 1% ntawm cov neeg mob yws ntawm cov kev mob tshwm sim, tus so hnov zoo kawg.

Qhov kev tsis zoo ntawm cov tshuaj yog qhov ua rau ntawm kev tuag ntawm pancreatic beta hlwb. Hauv qhov no, tus kabmob tuaj yeem nkag mus rau hom mob loj thawj hom. Cov pab pawg muaj suav nrog cov neeg nyias nyias. Kev hloov mus rau theem nyuaj ntawm tus kabmob yog li ntawm 2 txog 8 xyoo. Cov tshuaj txo qis suab thaj, tab sis tsis txo kev tuag, raws li qhia los ntawm kev tshawb fawb thoob ntiaj teb loj.

Ntau tus kws kho mob tam sim ntawd muab tshuaj rau Diabeton, tab sis qhov no tsis yog lawm. Ntau cov kev tshawb fawb tau ua pov thawj tias koj yuav tsum pib nrog Metformin, uas yog los ntawm cov khoom siv nquag ntawm tib lub npe. Tib pab pawg suav nrog cov tshuaj Siofor, Gliformin thiab Glucofage.

Xaiv dab tsi los sau ntawv yuav tshuaj - Metformin lossis Diabeton - yuav tsum yog tus kws tshaj lij. Raws li cov lus pom zoo ntawm nom tswv, kev coj thawj ib yuav pab txo tib neeg cov ntshav qab zib. Kev sib raug zoo ntawm cov tshuaj ntawm cov tshuaj no tso cai rau koj kom cov suab thaj nyob rau hauv ib theem li ob peb xyoos. Yog tias Metformin tsis tiv nrog cov piam thaj ntau, lwm yam tshuaj (sulfonylurea derivatives) tau ntxiv rau nws thiab cov koob tshuaj tau nce ntxiv.

Maninil thiab nws tes haujlwm

Cov Ntshav Qab Zib Maninil tau sau tseg kom txo cov piam thaj hauv cov ntshav ntawm tus neeg uas muaj hom 2. Cov tshuaj muaj cov txiav txim siab ua tus txiav, txhawb cov qe hlwb ntawm lub txiav. Tsis tas li ntawd nce qhov rhiab ntawm insulin receptors.

Cov txheej txheem tswj kom siv yog hom ntshav qab zib hom 1, kev ua kom lub ntsej muag tsis haum rau lub Cheebtsam, tshem tawm ntawm tus txiav, kab mob raum, kab mob siab thiab lub sijhawm tom qab phais mob. Tsis txhob noj tshuaj thaum cev xeeb tub, thaum lactation thiab mob plab hnyuv tawm.

Cov tshuaj muaj ntau cov kev mob tshwm sim: qhov kev pheej hmoo ntawm hypoglycemia, xeev siab thiab ntuav, daj ntseg, mob siab, ua pob rau daim tawv nqaij, mob sib koom tes, ua npaws. Yog tias koj txiav txim siab los hloov cov tshuaj nrog nws cov tshuaj analogues, ces koj yuav tsum sab laj tus kws kho mob uas yuav kos daim ntawv teev tshuaj noj ntau npaum li cas thiab ntau npaum li cas.

Nws muab tawm tias sulfonylureas muaj kev phom sij ntau dua li muaj txiaj ntsig zoo rau lub cev thaum muaj mob. Qhov sib txawv ntawm Maninil thiab Diabeton yog tias yav dhau los tau suav tias yog kev phem ntau dua. Txoj kev pheej hmoo ntawm lub plawv nres lossis cov hlab plawv nce ntxiv 2 lossis ntau zaus thaum noj cov tshuaj no.

Cov ntsiav tshuaj tau pom zoo rau kev kho mob ntawm cov neeg mob ntshav qab zib hom 2. Cov nyhuv ntawm Metformin txawv ntawm lwm cov tshuaj nyob rau hauv uas nws muaj cov nyhuv antihyperglycemic. Qhov no yog vim hais tias cov txheej txheem ntawm cov ntshav qabzib tsawg tsis txuam nrog kev nce hauv insulin. Tus txheej txheem ntawm kev txiav txim zoo li no:

muaj kev tsuj ntawm kev tsim kua nplaum nyob hauv siab,
insulin rhiab heev
nqaij thiab lub siab qab zib nqus txhim kho
plab hnyuv nqus nqus tau qeeb qeeb.

Ib qho txiaj ntsig zoo ntawm Metformin yog tswj hwm qib ntawm glycemia thiab txo kev pheej hmoo ntawm cov ntshav txhaws. Hauv qhov no, qhov ntxim nyiam ntawm cov kab mob plawv yog halved. Cov tshuaj no yog sau rau cov neeg mob uas muaj lub cev hnyav thiab rog dhau.

Kev phiv los ntawm kev noj cov ntsiav tshuaj yog raws plab thiab qee cov tsos mob dyspeptic.

Tab sis cov teeb meem no feem ntau daws lawv tus kheej tom qab ob peb hnub. Txhawm rau tiv thaiv ib qho tshwm sim tsis zoo, kev kho yuav tsum tau pib nrog kev txhaj tshuaj tsawg kawg. Siv cov tshuaj tom qab noj hmo los yog ua ntej thaum yuav mus pw, haus dej ntau los yog tshuaj yej. Cov txiaj ntsig ntawm Metformin tuaj yeem raug txheeb xyuas tom qab ib lub lim tiam ntawm kev siv tas li. Feem ntau, cov tshuaj siv 1 zaug hauv ib hnub, uas nws zoo dua thiab yooj yim dua rau cov neeg mob.

Zoo sib xyaw ua ke ntawm cov tshuaj qab zib

Nrog lub keeb kwm luv luv ntawm cov ntshav qab zib hom 2, nyob rau hauv ntau tus neeg mob cov txiaj ntsig ntawm kev kho nrog ib hom tshuaj hypoglycemic yog qhov tseeb siab. Thaum lub sijhawm dhau los, qhov kev ua tau zoo ntawm kev kho yog ib txwm txo, vim yog, tejzaum nws qeeb qeeb, tab sis qhov tshwm sim ntawm tus kabmob. Hauv cov rooj plaub no, koj yuav tsum tau mus rau ntau txoj kev siv cov tshuaj uas muaj suab thaj kom tsawg. Ntau cov kev sib xyaw ua ke ntawm cov ntsiav tshuaj muaj piam thaj thiab insulin kuj muaj txiaj ntsig.

Cov feem ntau siv ua ke yog:

1) Metformin + Thiazolidinedione.

2) Metformin + Sulfonylurea derivative.

Ib txwm, nws tsis yooj yim sua kom sib xyaw cov piam thaj txo cov ntsiav tshuaj hauv tib pawg neeg. Piv txwv li, Avandia thiab Aktos tsis tuaj yeem siv thooj txhij. Los yog Glibenclamide thiab Glimepiride. Tsis tas li ntawd, kev sib xyaw ntawm cov tshuaj los ntawm pawg meglitinides thiab sulfonylurea derivatives tsis pom zoo. Nrog qhov tsis muaj txiaj ntsig ntawm kev tswj hwm tib lub sij hawm ntawm ntau pawg ntawm cov tshuaj uas muaj suab thaj txo qis, ib qho yuav tsum tau hloov mus rau kev teem sij hawm ntawm insulin thaum tswj kev noj mov ntawm ib qho ntawm lawv.

Kom muaj kev yooj yim rau cov neeg mob ntau dua, qee lub tuam txhab kws tsim kev lag luam tsim cov tshuaj nyob hauv qab zib hauv kev npaj ua ke. Yeej, cov no yog kev sib xyaw ua ke ntawm metformin nrog rau cov ntshav qab zib-txo tshuaj los ntawm lwm pab pawg.

1) Kev sib xyaw ntawm Metformin nrog Glibenclamide: Bagomet Plus (Argentina), Glibomet (Lub Tebchaws Yelemees), Glukovans (Fabkis), Gluconorm (Russia).

2) Kev sib xyaw ntawm Meftormin nrog Glyclazide: Glimecomb (Russia).

3) Kev sib xyaw ntawm Metformin nrog Glimepiride: Amaril M (Kauslim Teb).

4) Kev sib xyaw ntawm Metformin nrog Vildagliptin: Galvus Met (Switzerland).

5) Kev sib xyaw ntawm Metformin nrog Sitagliptin: Yanumet (USA).

Cia ib saib thiab tau txais GIFT!

Qhia nrog cov phooj ywg:

Nyeem ntxiv ntawm cov ncauj lus no:

Lub hauv paus ntsiab lus ntawm glucometer
Qhia Paub Txog Cov Khoom Noj Ntshav Qab Zib
Dab tsi yog qhov tseem ceeb ua kom tau siv zog rau kev tswj ntshav qab zib? Nrhiav rau qhov chaw nruab nrab ...

Cov lus qhia Metformin poob ceeb thawj cov lus qhia rau kev siv tshuaj xyuas

Raws li kev txheeb xyuas ntawm kev sib deev ncaj ncees, metformin yog ib qho zoo tshaj plaws txhawb nqa kev poob phaus, tiv thaiv cov phaus ntau heev los ntawm kev ua ntawm lub duav. Nws yog ib qho tsim nyog yuav tsum noj 1 ntsiav tshuaj 2 zaug hauv ib hnub. Txawm li cas los xij, nco ntsoov sab laj tus kws kho mob.

Cov tshuaj muaj ib tug xov tooj ntawm contraindications:

1. Yog tias ua tsis tiav daim siab ua haujlwm
2. Hlaws tsis ua haujlwm
3. Tus kheej tsis kam rau yeeb tshuaj
4. Kev ua haujlwm tsis txaus ntseeg mus rau kev ua kom nquag plias ntawm cov khoom
5. Cawv Cawv
6. Kab mob thaum lub sij hawm mob ceev
7. Lub sijhawm ncua sijhawm

Sab sij huam

1. Mob Hypoglycemia
2. Ua xua - urticaria, tawv nqaij khaus, dermatitis, tawm pob.
3. Cov kua qaub mob ua kua qaub

Nrog kev siv tshuaj ntau dhau hwv lawm, muaj qee zaum muaj mob lactic acidosis nrog rau kev ua kom neeg tuag taus. Nws yog ib qho tsim nyog yuav tsum tau txiav tam sim ntawd cov tshuaj thiab yaug lub plab.

Cov tshuaj tsis haum nrog cawv. Cov duab, npe thoob ntiaj teb, kev tshawb nrhiav, nws ua haujlwm li cas, ntev npaum li cas, kev tshuaj xyuas cov neeg uas poob phaus, yuav siv li cas nrog kev noj haus, Teva, tshuaj hauv Latin - saib cov ntaub ntawv zoo sib xws ntawm cov ntim lossis Wikipedia.

Nemozol: cov lus qhia rau kev siv rau menyuam yaus

Neuromidine ntsiav tshuaj cov lus qhia rau siv

Cov lus qhia Groprinosin rau kev siv

Enap: cov lus qhia rau kev siv lub tshuaj

Cov ntsiav tshuaj Nurofen qhia txog kev siv, tswm ciab rau menyuam yaus, kua dej ...

Nasonex rau cov lus qhia ntawm cov menyuam yaus, kev txheeb xyuas, cov analogues yog cov pheej yig dua

Yuav tiv thaiv koj tus kheej li cas yog tias koj tau haus cawv?

Tus mob ntshav qab zib tsis tas yuav xav tias zoo li ib qho kev tawm ntawm cov hnub so thiab tsis haus cawv. Nws yog ib qho tseem ceeb kom nkag siab txog qee txoj cai tseem ceeb ntawm kev coj ua thiab kov cawv. Tom qab ntawd txhua yam yuav ua kom zoo. Cov kws kho mob ntseeg tias nws yog ib qho tseem ceeb uas yuav tsum xav txog qhov haus dej haus cawv ntau thiab kom muaj qib carbohydrates hauv lawv. Kwv yees li cov neeg mob ntshav qab zib muaj peev xwm haus tau 50-70 ml ntawm cov cawv muaj zog tshwj tsis yog muaj cov kua txiv qab zib thiab dej cawv. Cov dej cawv qhuav, semi-qhuav champagne tuaj yeem noj tau 150-200 ml. Nws yog tsis yooj yim sua kom siv dej cawv, khoom qab zib, fortified cawv uas muaj tsuas yog tus nqi ntawm cov qab zib. Txhua tus neeg haus cawv yuav tsum nrog noj nrog ua ke. Cov koob tshuaj no tau muab suav rau cov txiv neej cov mob ntshav qab zib, rau cov poj niam lawv yuav tsum tau halved, vim lawv muaj feem ntau rau qhov tsis muaj ntshav qab zib thiab tsis raug haus cawv.

Cov cai tswj rau haus cawv rau tus mob ntshav qab zib:

Nws yog qhov zoo tshaj plaws los mus haus cawv ib puag ncig ntawm cov neeg paub txog ntshav qab zib thiab muaj peev xwm muab kev pabcuam thawj zaug yog tias tsim nyog.
Tsis txhob haus dej haus cawv rau ntawm lub plab khoob.
Nws yog qhov zoo dua rau noj "ntev" carbohydrates ua ntej noj mov, uas yuav tawg kom ntev dua ob peb teev. Lawv yuav tsim kev tiv thaiv tsis pub kom cov ntshav qab zib kom tsawg, yuav tsis tso cov piam thaj kom poob mus rau ib qib tseem ceeb, thaum tsis tau nce ntau. Nyob rau hauv txhua rooj plaub, nws yog qhov zoo dua mus taug kev me ntsis uas muaj suab thaj ntau dua kom muaj sia nyob hypoglycemia.
Yog tias koj yuav tsum txav ntau, tom qab ntawd koj tuaj yeem txo qis koob tshuaj insulin, thiab koj tsis tuaj yeem noj cov tshuaj txo suab thaj txhua.
Nws yog qhov zoo tshaj rau haus cawv txiv hmab qhuav thiab semi-qhuav cawv ntawm ib tog twg, uas yog pab tau txawm tias cawv.
Yog lawm, nws yuav zoo rau ntsuas qab zib nrog glucometer thaum noj mov, tab sis qhov no tsis tshua tau ua hauv ib qho kev lom zem.
Ua ntej yuav mus pw, koj yuav tsum xyuas seb koj cov piam thaj nyob li cas thiab, yog tias tsim nyog, yuav tsum noj cov zaub mov uas muaj carbohydrate.

TSEEM CEEB! Cawv yog qhov tsis txaus ntseeg kiag li hauv cov kab mob sib xws xws li mob ntshav qab zib rau lub raum thiab lub raum tsis ua hauj lwm, gout, cov roj ntsha tsis txaus lipid, ua rau muaj cov roj cholesterol ntau ntxiv.

Cov neeg muaj ntshav qab zib raug tso cai haus qee yam cawv hauv me me. Tom qab tag nrho, qee zaum kev ntxias kom ua kev zoo siab rau ib qho tseem ceeb tshwm sim, thaum haus dej, tawm tsam qhov kev ntshai ntawm kev muaj ntshav qab zib lossis lwm yam teebmeem kev noj qab haus huv. Qee zaum cov neeg mob ntshav qab zib tsis muaj lub tswv yim tias cov cawv yuav cuam tshuam li cas hauv cov ntshav qabzib thiab cov metabolism hauv kev noj haus. Tab sis koj yuav tsum paub txog qhov no thiaj li nkag siab txog yuav ua li cas sib xyaw cawv thiab ntshav qab zib. Nrog cov ntaub ntawv hais txog cov txiaj ntsig ntawm cov cawv ntawm cov ntshav qab zib, koj tuaj yeem kho lub sijhawm ntawm cov tshuaj thiab zaub mov noj. Thiab tom qab ntawd ua kev zoo siab festive yuav coj qhov chaw tsis muaj xwm txheej.

Yuav ua li cas rov qab rau daim siab tom qab haus cawv

Kev haus dej caw los ntawm cov ntshav

Cov Yuav Tsum Muaj

Glucophage tsis yog kws kho mob lossis tso tseg thaum:

Muaj cov tshuaj tiv thaiv hypersensitivity (fab rau cov tshuaj),
Cov tsos mob ntawm lub raum lossis lub siab ua haujlwm tsis zoo,
Kev mob hnyav ntawm cov hlab plawv, cov hlab ntsha hlab ntsha (mob myocardial infarction, mob plawv tsis ua haujlwm, mob stroke sai),
Cov kab mob kis tau yooj yim, lub sijhawm ua haujlwm ntau, lossis nyob rau theem kev mob hnyav,
Kev haus cawv mus ntev ntev, nws tsis pom zoo kom haus dej haus cawv txhua,
Kev mob plab zom mov (ketoacidosis, keeb kwm ntawm cov kab mob lactic acidosis),
Worsening cov chav kawm mob ntshav qab zib, nrog los ntawm kev txhim kho ntawm coma lossis precoma,
Nqa tawm (tsawg kawg 2 hnub ua ntej thiab tom qab) kev tshawb nrhiav xoo hluav taws xob siv iodine-muaj qhov nruab nrab ntawm kev sib piv,
Glucophage yog sib kis hauv kev pub niam mis. Yog tias lactation khaws cia tau zoo thiab muaj qhov yuav tsum tau siv cov tshuaj thaum pub niam mis, kev pub mis niam yuav tsum tau tsum.

Txoj kev ntawm daim ntawv thov

Glucophage tuaj yeem raug tshuaj yog thawj kab tshuaj (raws li kev kho thaum pib) hauv kev kho mob ntshav qab zib hom 2. Qhov ntau npaum li cas ntawm cov tshuaj rau tus neeg mob yog xaiv tau tus kheej los ntawm tus kws kho mob, nyob ntawm lub cev qhov hnyav, cov qib glycemia.

Nws raug nquahu kom siv sab hauv ntawm qhov muab tshuaj (hauv daim ntawv qhia) koob tshuaj, feem ntau 2-3 zaug hauv ib hnub, haus ua ntej lossis thaum noj mov. Thaum kho, qhov ntau thiab tsawg zaus ntawm kev tswj hwm tshuaj yuav txawv ntawm kev txiav txim siab ntawm tus kws kho mob tuaj koom. Txoj kev kho yuav kav ntev li ntev tau kom ua tiav cov hom phiaj kho.

Nws yog qhov tsis hais tus poj niam los tus txiv neej: tus txiv neej los poj niam. Vim yog tus tub los ntxhais thiab tus neeg mob hnyav, qhov ntau npaum no tuaj yeem hloov kho.

Hauv cov menyuam yaus, cov tshuaj no tsis raug pom zoo, vim tias tsis muaj cov ntaub ntawv txaus ntseeg txog kev ua kom zoo thiab kev nyab xeeb ntawm cov tshuaj muaj menyuam yaus. Raws li, nws yog qhov nyuaj los twv seb yuav ua li cas cov menyuam yaus yuav tau txais kev kho mob.
Rau cov neeg mob laus, nws yog qhov yuav tsum tau ua tib zoo soj ntsuam lub raum kev ua haujlwm, kev noj tshuaj qis dua feem ntau siv.
Thaum cev xeeb tub lossis nws npaj, nrog rau kev xeeb tub thaum siv Metformin, cov tshuaj yuav tsum raug tshem tawm (insulin yog yam tshuaj). Cov nyhuv ntawm metformin rau ntawm tus me nyuam hauv plab kuj tsis to taub zoo.

Kev cuam tshuam nrog lwm yam tshuaj

Lub sijhawm teem ntawm glucophage yog xam nrog ceev faj nrog kev siv tib lub sijhawm ntawm:

Chlorpromazine
Glucocorticosteroids,
voj diuretics
Iodine-muaj cov tshuaj radiopaque,
on2-adrenergic agonists,
Qhia tshuaj rau lwm cov tshuaj hypoglycemic.

Lub hom phiaj ntawm cov tshuaj raug tso cai (thaum tsis muaj contraindications) hauv qhov xwm txheej uas yuav tsum tau siv tshuaj tua kab mob.

Hnub tas sij hawm

5 xyoos Nws muab cia rau ntawm qhov kub tsis tshaj li 25 ° C.

kev kho mob ntshav qab zib mellitus (namely, tsis-insulin-hom lossis hom 2 mob ntshav qab zib mellitus

) Glucofage yog siv los ua cov tshuaj hypoglycemic. "Data-url =" https://diabet-help.ru/kategoriya/preparaty/glyukofazh/ "data-services =" vkontakte, facebook, twitter, odnoklassniki, moimir, gplus ">

Pharmacological pab pawg - cov tshuaj qab zib-txo qis, uas yog derivatives ntawm sulfonylureas thiab tsuas yog siv ntawm qhov ncauj xwb. Cov txheej txheem ntawm kev ua yog raws li kev tsim kho ntawm kev sib txuas ntawm cov tshuaj insulin los ntawm tib neeg cov txiav ua ke.

muaj zog insulin ntau lawm,
antioxidant zog
txo cov teeb meem mob ntshav qab zib hauv ntshav qab zib,
piam thaj txo qis
thrombosis prophylaxis vim tias txo cov ntshav txhaws,
nce lub cev muaj lub zog lub zog ntawm cov ntim hnyav (kev siv Diabeton hauv kev tsim kho lub cev, tab sis tsuas yog kev saib xyuas ntawm cov kws kho mob).

Kev ntsuas rau siv

Ntawm cov ntsuas rau kev siv Tshuaj Ntshav Qab Zib, cov neeg tsim khoom tau sau npe muaj kab mob xws li mob ntshav qab zib hom 2. Tus kab mob ntshav qab zib tau raug txiav txim rau qhov tsis muaj txiaj ntsig ntawm thawj txoj hauv kev los tswj cov ntshav qabzib:

Cov pluas noj.
Kev ua si los txo qhov hnyav lub cev.
Kev tawm dag zog lub cev.

Cov lus hauv qab no contraindications rau kev siv yog cov yam ntxwv ntawm cov tshuaj:

ua xua
mob ntshav qab zib coma
ntshav qab zib hom 1
raum tsis ua hauj lwm
kev siv cov tshuaj tua kab mob Miconazole,
kev pub mis
daim siab ua hauj lwm
cev xeeb tub
cov me nyuam muaj hnub nyoog. Tus mob ntshav qab zib tsis siv rau cov menyuam yaus hnub nyoog qis dua 18 xyoo,
ketoacidotic coma.

Kev phomsij txaus ntshai tshwm sim nyob rau hauv cov ntaub ntawv ntawm overdose:

qog ntshav,
coma
nruas.

Kev ntsuas los pab rau cov neeg mob cuam tshuam:

tsev kho mob
kev noj haus
hloov kho koob
carbohydrate kom tsawg
Tso ntshav qab zib rau lub cev
saib xyuas cov ntshav qab zib kom ntau.

Ib qho kev phiv qhia nyob rau hauv cov khoom lag luam ntawv tshaj tawm thiab hauv cov lus piav qhia ntawm kev tshawb fawb ntawm cov tshuaj yog hypoglycemia. Nws muaj kev txhim kho tiv thaiv keeb kwm yav dhau los ntawm kev noj tshuaj nrog cov khoom noj tsis huv (noj mov yuag). Nws yog nrog los ntawm cov tsos mob li no:

xeev siab
nkees
kev tawm tsam ntuav
kev tshaib kev nqhis
pw tsaug zog
kev nyuaj siab mob
ua kom lub plawv dhia qeeb,
hais lus tsis meej
txob taus
kiv taub hau
tsis pom kev
tshee hnyo
tsis nco qab
coma
tuag taus tshwm sim.

kev noj haus kom ntau (qab zib),
kev saib xyuas thaum muaj xwm ceev rau qhov tsis muaj txiaj ntsig ntawm kev siv cov carbohydrates.

Lwm cov kev phiv:

ua xua
kab mob siab
mob plab
dyspepsia
hloov pauv hauv cov ntshav mis,
dajntoo.

Sib cuam tshuam nrog lwm txoj kev

Ib qho kev nce ntxiv ntawm cov txiaj ntsig ntawm Tus Mob Ntshav Qab Zib (qhov ntxim nyiam ntawm lub qog ntshav qab zib) yog sau tseg thaum ua ke nrog cov chaw sawv cev no (kev sib koom siv tsis pom zoo):

Miconazole (kev sib raug zoo yog contraindicated),
Ethanol
Phenylbutazone

Nrog kev ceev faj, kev siv cov ntshav qab zib yuav tsum tau ua ke nrog cov chaw sawv cev no (kev pheej hmoo ntawm cov ntshav qog ntshav qab zib):

Cov tshuaj insulin
β-blockers
Kev Loj Loj
Fluconazole
NSAIDs
Acarbose
monoamine oxidase inhibitors
histamine receptor blockers,
ACE inhibitors.

Ua ke nrog cov tshuaj hauv qab no yuav pab txo cov txiaj ntsig ntawm Diabeton (muaj kev pheej hmoo ntawm hyperglycemia):

corticosteroids
Terbutaline
Chlorpromazine
Ritodrin
Tetracosactide,
Salbutamol.

Tus mob ntshav qab zib nce lub txiaj ntsig ntawm tshuaj anticoagulants. Cov koob tshuaj ntawm cov tshuaj uas txo cov ntshav coagulation yuav tsum tau kho.

Kev sib cuam tshuam ntawm cov tshuaj nrog cawv yog contraindicated. Nws yog ib qho tseem ceeb kom paub tias nrog kev siv tshuaj Diabeton thiab dej cawv tib lub sij hawm, qhov kev pheej hmoo ntawm cov ntshav qog ntshav qab zib tseem nce ntxiv, uas qhia tau tias yog muaj tsawg kawg nkaus.

Cov ntsiab lus (Lavxias thiab txawv teb chaws sib piv) ntawm Diabeton yog cov nyiaj los ntawm cov npe no:

Kev kuaj mob
Gliclazide los ntawm cov tuam ntxhab sib txawv,
Diazide,
Dianorm,
Diabetalong (domestic analogue),
Glykinorm,
Glidia
Khaws
Panmicron
Diabresid.

Cov analogues no yog tuaj txawv teb chaws lossis Lavxias (pheej yig) yog cov kev xaiv tag nrho los hloov Diabeton, uas txawv ntawm lawv tsuas yog hauv cov chaw tsim khoom (daim ntawv ntawm kev tso tawm rau txhua cov tshuaj yog ntsiav tshuaj).

Lwm cov kab mob ntshav qab zib ntawm cov ntshav qab zib, uas sib txawv hauv cov muaj pes tsawg leeg, tab sis muaj cov txiaj ntsig zoo sib xws thiab ua rau lub cev, yog cov tshuaj:

Ntshav Qab Zib, Forenga (BAA),
cov khoom muaj glimepiride (Amaryl, Thaj neeb),
Glibenclamide-based npaj (Maninil),
cov tshuaj muaj glipizide (glenez),
Metformin-based cov khoom lag luam (Siofor, Glucofage),
cov khoom muaj glycidone (glurenorm).

Tseem Ceeb! Tsuas yog tus kws kho mob uas tuaj koom thiaj tuaj yeem hloov cov tshuaj muaj suab thaj txo qis. Nws yuav tsum nkag siab tias qhov tshuaj muaj peev xwm tsuas yog hloov maj mam nyob rau hauv kev saib xyuas zoo ntawm tus kws kho mob txhawm rau txhawm rau tiv thaiv kev mob nyhav thiab ua kom hnyav ntxiv.

Cov nqe lus ntawm kev muag khoom thiab kev cia khoom

Cov tshuaj yuav tsum raug faib tawm los ntawm cov chaw muag tshuaj tsuas yog tias cov neeg mob muaj zaub mov txawv hauv Latin.

Kev khaws nyiaj ntawm cov nyiaj yuav tsum tau ua nyob rau hauv cov xwm txheej zoo li no:

chav qhuav
kub tsis tshaj 25⁰С,
deb ntawm cov menyuam yaus.

Kev phom sij ntawm lub qog ntshav ntshav tuaj yeem cuam tshuam lub peev xwm ntawm cov neeg mob tsav lub tsheb thiab cov txheej txheem ceev. Nws yog ib qho tseem ceeb kom ua tib zoo saib xyuas kom nruj, tshwj xeeb thaum pib kho.

Tawm tsam keeb kwm yav dhau los ntawm kev noj cov tshuaj, nws yog ib qho tseem ceeb kom soj ntsuam cov zaub mov kom raug, kom tshem tawm kev cais tawm ntawm cov khoom noj. Thaum kho nrog cov tshuaj, lub cev kev nkag siab rau nws yuav txo qis, uas yuav tsum tau ua tib zoo saib xyuas kom cov concentration ntawm cov piam thaj hauv cov ntshav thiab kev kho kom raws sijhawm.

Tus nqi ntawm Diabeton muaj qhov sib txawv rau cov tshuaj sib txawv:

ntsiav tshuaj ntawm 30 mg mg nqi los ntawm 272 rubles,
ntsiav tshuaj mv 60 mg - los ntawm 320 rubles.

Oksana Palerna, tus kws kho keeb (endocrinologist): Tus mob ntshav qab zib ua kom pab tau cov ntshav qabzib ntau. Ib txoj kev noj tshuaj yooj yim (ib hnub ib zaug) tshem tawm cov kev ua yuam kev tsis zoo hauv kev siv tshuaj. Lub sijhawm ntawm kev pub nkag yog nyob ntawm tus mob ntawm tus neeg mob, yog xaiv tus kheej.

Ivanna Radchenko, endocrinologist: ua ntej noj ntshav qab zib rau cov ntshav qab zib, nws yog ib qho tseem ceeb kom kawm cov lus qhia rau kev siv thiab kev qhia ntawm tus kws kho mob. Mob ntshav qab zib yog kho tsuas yog rau kev mob xws li hom ntshav qab zib hom 2 xwb. Nws yog ib qho tseem ceeb kom ua raws li kev noj haus, ua si lub cev ntawm cov neeg mob. Xws li lub complex ua cov kev kho kom zoo dua.

Irina G.: Muaj ntshav qab zib hom 2, Kuv tau sim tshuaj xws li Diabetalong, Amaril, Diabeton, Siofor. Tag nrho cov nyiaj no nws tau sib npaug hauv kev nqis tes ua, tab sis muaj qhov sib txawv hauv kev muaj. Kuv yuav hais tias Diabeton muab kev ua kom zoo dua rau kuv, uas kuv tau coj ntev ntev. Kuv ua siab ntev cov tshuaj kom zoo, Kuv ua raws li kev noj haus uas kws kho mob sau tseg.

Oleg N .: yav dhau los, hauv ntshav qab zib, tus kws kho mob sau Maninil. Tam sim no hloov mus rau kev siv ntshav qab zib. Nws yog tsis yooj yim sua kom tsis pom zoo uas hais qhov twg zoo dua - Maninil lossis Diabeton. Kuv nco ntsoov tias kuv tau tso siab rau tus mob ntshav qab zib zoo dua, uas ua rau cov piam thaj nyob li 24 teev. Thaum thov Maninil (nws raug nqi tsawg dua) los ntawm yav tsaus ntuj (tom qab noj hmo) hauv qee kis, cov piam thaj ntawm lub ntsej muag tau nce, tsis tshua pom tias lub taub hau mob.

Maninil li cas

Maninil yog ib qho tshuaj tiv thaiv kab mob uas muaj cov tshuaj tiv thaiv yog glibenclamide.

Nws kuj tseem muaj:

lactose monohydrate,
nkaws
talcum hmoov
magnesium stearate,
cov hmoov txhuv nplej siab
zas.

Daim ntawv tso tawm yog cov ntsiav tshuaj ncaj-cylindrical, uas nyob rau hauv qhov nyiaj ntawm 120 daim yog nyob rau hauv cov xim tsis muaj fwj iav muab tso rau hauv lub thawv ntawv thawv.

Cov nyhuv ntawm cov tshuaj rau hauv lub cev yog qhov beta hlwb ua kom cov insulin ntau lawm. Qhov no tshwm sim hauv cov hlwb ntawm tus txiav tom qab ib tug neeg noj, vim tias theem ntawm glycemia hauv cov ntshav tsawg. Kev kho ua kom ntev li ib hnub. Cov tshuaj yuav nqus sai sai thiab yuav luag mus txog thaum kawg. Nws lub siab zoo tshaj plaws tom qab siv tiav tom qab 2.5 teev.

Lub ntsiab tivthaiv yog muaj peev xwm muab tag nrho khi rau cov ntshav protein. Lub cev metabolism ntawm cov tshuaj nquag tshwm sim hauv cov kab mob ntawm lub siab ua haujlwm, nrog kev tsim ntawm 2 lub cev tsis ua haujlwm. Qhov tshem tawm ntawm ib qho yog nqa tawm nrog bile, thiab ob nrog zis.

Maninil qhia txog ntshav qab zib hom 2. Tsis tas li, cov tshuaj yeeb yaj kiab tuaj yeem siv ua ke nrog lwm cov tshuaj tiv thaiv kab mob, ntxiv rau sulfonylureas thiab clayides.

Maninil qhia txog ntshav qab zib hom 2.

ntshav qab zib hom 1
hnyuv ob leeg, paresis ntawm lub plab,
mob raum thiab siab mob tsis zoo,
tom qab phais kom tshem tawm cov txiav,
mob ketoacidosis,
cov uas ua rau mob ntshav qab zib thiab coma,
leukopenia
piam thaj-6-phosphate dehydrogenase tsis txaus,
decompensation ntawm carbohydrate metabolism thaum hlawv, raug mob, kis kab mob lossis tom qab phais mob nrog cov tshuaj insulin kho,
hnub nyoog txog 18 xyoo
cev xeeb tub thiab lactation,
kev tsis qaug rau lub zog ntawm cov tshuaj.

Manilin yuav tsum tau siv nrog ceev faj hauv cov neeg mob uas muaj mob qaug cawv sai, febrile syndrome, ntev cawv, mob qog nrog lub cev tsis muaj peev xwm ua haujlwm, ua kom lub cev ntawm cov leeg tshum lossis adrenal cortex, cov neeg mob laus dua 70 xyoo.

Kev noj tshuaj yuav nrog tus tsim los ntawm kev tshwm sim los ntawm:

plab zom mov: xeev siab, ntuav, hnyav hauv plab, mob plab zom mov, xim nqaij hauv lub qhov ncauj, mob plab,
hematopoietic: thrombocytopenia, leukopenia, erythropenia, agranulocytosis, pancytopenia, hemolytic anemia,
kev tiv thaiv kab mob: urticaria, khaus, purpura, petechiae, muaj zog photosensitivity, kev tsis haum tshuaj uas nrog cov proteinuria, daj ntseg, ua npaws, tawv nqaij sawv pob, arthralgia, ua xua vasculitis, anaphylactic ceeb,
cov metabolism: ntshav qog ntshav, uas yog pom los ntawm tshee tshee, tshaib plab, nkees nkees, tachycardia, hyperthermia, mob taub hau, kev ntxhov siab dav dav, kev tsis sib haum xeeb ntawm kev txav, vaum ntawm daim tawv nqaij, kev paub ntshai,
daim siab thiab nplooj siab: tus mob muaj kab mob siab, mob cholestasis.

Tsis tas li ntawd, tom qab noj cov tshuaj, tsis pom kev tuaj yeem pom kev tsis meej, diuresis yuav nce ntxiv, cov kab mob proteinuria ntev, hyponatremia yuav loj hlob tuaj. Siv Maninil, koj yuav tsum nruj ua raws li cov lus qhia ntawm tus kws kho mob, soj ntsuam kev noj zaub mov thiab tswj hwm cov ntshav qabzib hauv cov ntshav.

Cov chaw tsim khoom ntawm cov tshuaj yog Berlin-Chemie AG, lub teb chaws Yelemees.