Diabeton: analogues thiab hloov pauv ntshav qab zib hauv Lavxias

Ntshav qab zib yog cov tshuaj uas pom zoo rau kev kho mob ntshav qab zib hom 2. Lub ntsiab ua haujlwm tseem ceeb yog gliclazide, cov tshuaj yog nyob rau qeb ntawm cov tshuaj tau los ntawm sulfonylurea.

Hauv tsev muag tshuaj koj tuaj yeem yuav cov tshuaj Diabeton nkaus xwb, nrog rau cov tshuaj Diabeton MV 30 lossis 60 mg. MV implies kev hloov kho tso tawm ntawm cov nquag tivthaiv, thiab vim los ntawm cov nyhuv no, cov tshuaj ntshav qab zib ua ntau maj mam ua rau lub cev.

Yog tias peb sib piv cov tshuaj no ob, peb tuaj yeem hais tias lawv muaj tib lub cev. Txawm li cas los xij, cov mob ntshav qab zib yooj yim yog tus cwj pwm los ntawm kev tso tawm sai, uas tsis yog ib txwm zoo thaum kho mob "qab zib" kab mob.

Nyeg, hloov ntshav-tso ntshav qab zib muaj qhov ua haujlwm zoo rau lub cev, uas ua kom zoo dua ntawm cov tshuaj. Tias yog vim li cas cov kws kho mob pom zoo kom yuav cov tshuaj cim "MV".

Kev xyaum qhia tau hais tias Diabeton 30 mg lossis 60 mg yog tau sau yuav luag txhua qhov chaw, thiab cov sijhawm teem sijhawm no tsis tas ua tas li. Hauv ntau kis xwm txheej, nws yog qhov tsim nyog siv Diabeton analogues.

Yog li, cia peb saib seb Diabeton hloov pauv yog qhov zoo tshaj plaws thiab muaj txiaj ntsig tshaj plaws, thiab yuav ua li cas coj cov analogs kom raug?

Cov ntaub ntawv dav dav txog cov tshuaj thiab nws cov analogues

Diabeton MV 60 mg n30 belongs rau qeb ntawm cov tshuaj uas txhawb kev ua haujlwm ntawm lub txiav, raws li ib qho kev ua haujlwm uas muaj kev nce siab ntawm kev tsim cov tshuaj insulin hauv lub cev.

Nws yuav tsum raug sau tseg tias cov tshuaj tsis pom zoo rau kev kho mob ntshav qab zib mellitus, uas tau tshawb pom tawm tsam ntawm keeb kwm ntawm txhua qib ntawm kev rog. Nws suav nrog kev kho mob hauv rooj plaub thaum cov tsos mob ntawm kev ploj tag ntawm lub luag haujlwm ntawm tus txiav mob siab.

Tus mob ntshav qab zib tsis pom zoo rau siv yog tias tus neeg mob muaj keeb kwm ntawm hom 1 mob ntshav qab zib mellitus, mob siab rau qhov tshuaj lossis nws cov khoom siv pabcuam, ketoacidosis, yuav tsum tsis txhob haus dej cawv thaum menyuam muaj menyuam, nyob rau hauv kev ua haujlwm ntawm lub siab thiab lub raum kev ua haujlwm.

Tus thawj cov tshuaj muaj muag hauv cov khw muag tshuaj thiab muaj cov tshuaj nquag ua gliclazide yog Diabeton. Dab tsi tuaj yeem hloov cov tshuaj, cov neeg mob txaus siab? Diabeton muaj cov yeeb yaj kiab hauv qab no:

Diabefarm (tsim tawm teb chaws Russia).
Glidiab, Glyclazide.
Diabinax, Predian.
Glioral, Vero-Glyclazide.

Nws yuav tsum raug sau tseg tias cov tshuaj analogues ntawm cov tshuaj muaj cov tshuaj tiv thaiv zoo ib yam li Diabeton MV 60 mg n30, txawm li cas los xij, lawv yuav txawv hauv lwm cov tshuaj pabcuam, ntsig txog, cov txiaj ntsig ntawm daim ntawv thov yuav qis dua.

Qhov tseem ceeb: ntawm kev pom zoo los ntawm kev sau ntawv yuav siv cov tshuaj xub thawj los yog cov tshuaj analogues, kev txiav txim siab yog tus kws kho mob txiav txim siab. Koj tuaj yeem tsis tuaj yeem hloov cov tshuaj koj tus kheej, txawm tias lawv muaj cov qauv zoo sib xws.

Diabefarm - hloov chaw rau Diabeton MV

Diabefarm yog tshuaj rau kev kho mob ntawm tus mob ntev, cov khoom ua haujlwm tseem ceeb yog glycazide. Cov tshuaj yog belongs rau sulfonylurea derivatives, ntsiav tshuaj yuav tsum tau noj qhov ncauj.

Koj yuav tsum noj cov tshuaj thaum noj mov, kwv yees kwv yees ib hnub yog 80 mg. Raws li rau qhov nruab nrab koob, nws txawv nyob hauv qhov ncaj ncees ntau ntawm 160 txog 320 mg.

Qhov ntau npaum li cas yog nyob ntawm pawg hnub nyoog ntawm tus neeg mob, kev paub dhau los ntawm tus kab mob thiab qhov mob hnyav ntawm nws cov chav kawm, nrog rau cov concentration ntawm cov piam thaj hauv lub cev.

Cov tshuaj muaj hloov kho tawm yuav tsum tau noj ib zaug thaum sawv ntxov. Qhov ntau npaum li cas yog 30 mg. Nyob rau hauv ib qho xwm txheej qhov twg ib koob ntawm cov tshuaj tau hla, nyob rau hnub thib ob koob ob zaug raug txwv tsis pub muaj.

Cov lus qhia rau kev siv hais tias kev noj cov tshuaj tuaj yeem ua rau kev txhim kho cov kev mob tshwm sim hauv qab no:

Kev kub siab lub xeev.
Mob taub hau, zoo nkaus li muaj kev nkees tas li.
Muaj qhov qab los ntxiv, tawm hws.
Txawj tsis txaus yeeg, txhoj puab heev.
Kiv taub hau, xeev tawv ncauj.
Ua tsis taus pa, lub plawv dhia ceev ceev.

Cov tshuaj tiv thaiv tsis tu ncua: lub sijhawm ntawm kev xeeb tub, thawj hom mob ntshav qab zib, ketoacidosis, hypoglycemic coma, cov menyuam yaus hnub nyoog qis dua 18 xyoo. Tus nqi ntawm cov khoom lag luam txawv ntawm 100 txog 130 rubles.

Gliclazide rau cov ntshav qab zib

Cov koob tshuaj ntawm Diabeton MV 30 mg n30 yog cov tshuaj Gliclazide - ib yam tshuaj hais txog sulfonylureas thib ob tiam. Cov tshuaj ntsiav pab txhawb qhov ua kom muaj cov tshuaj insulin hauv lub cev, uas ua rau cov txiaj ntsig qab zib tsawg dua.

Ib qho tshwj xeeb ntawm cov tshuaj yog tias nws yog pom los ntawm lub sijhawm ntev, thiab cov nyhuv cuam tshuam rau ib hnub. Nws raug pom zoo rau kev kho mob hom 2 mob ntshav qab zib mellitus, thiab raws li kev tiv thaiv ntawm cov teeb meem ntawm pathology.

Cov Tshuaj Tiv Thaiv: hom 1 mob ntshav qab zib mellitus, lub raum thiab lub siab ua haujlwm tsis zoo, ua rau lub cev tsis zoo, tshuaj rau cev xeeb tub thiab pub niam mis, menyuam muaj hnub nyoog qis dua 18 xyoo.

Cov lus qhia rau kev siv tshuaj:

Qhov kev siv tshuaj rau txhua hnub yog 80 mg. Noj ob zaug ib hnub rau ib nrab teev ua ntej noj mov.
Thaum lub sij hawm kho, qhov tshuaj tuaj yeem hloov kho kom tau qhov xav tau kho qhov xav tau.
Qhov siab muab ntau hauv 24 teev yog 320 mg.

Cov tshuaj hloov-tso tawm Gliclazide noj ib hnub ib zaug thaum noj tshais. Qhov hno koob yog 30 mg. Tom qab ob lub lim tiam ntawm kev noj nws, koj tuaj yeem nce ntxiv rau 90-120 mg.

Koj tuaj yeem yuav cov tshuaj rau kev kho mob ntshav qab zib hom 2 hauv chaw muag tshuaj lossis chaw muag tshuaj kiosk. Tus nqi yog los ntawm 100 txog 150 rubles.

Predian rau kho kab mob "qab zib"

Predian - tswj cov ntsiav tshuaj tso tawm tau raug siv rau kev kho mob ntshav qab zib hom 2 thaum kev noj zaub mov kom tsawg rau cov neeg mob ntshav qab zib thiab kev tawm dag zog tsis tau tsim cov txiaj ntsig.

Cov tshuaj yog nqus sai sai nyob rau hauv cov zom zaub mov, qhov siab tshaj plaws ntawm cov tshuaj nquag nyob hauv lub cev tau pom 2-4 teev tom qab kev tswj hwm. Kwv yees li 70% feem pua ntawm cov tshuaj tawm nrog zis, 12-15% yog pom nrog rau quav hauv daim ntawv metabolites.

Koj tsis tuaj yeem nqa: ntshav qab zib insulin-hom mob ntshav qab zib, ib daim ntawv ntawm lub raum lossis lub siab tsis ua haujlwm, precomatose lub xeev, cev xeeb tub, mob siab rau cov tshuaj lossis cov khoom sib xyaw.

Raws li rau qhov ntau npaum, tom qab ntawd Predian tau xaj kom noj hauv lub koob tshuaj ib yam li Diabeton thiab tshuaj zoo sib xws. Cov lus qhia rau kev siv qhia pom tias cov cuab yeej muaj cov npe qhia txog qhov tshwm sim:

Kev kub ntxhov dhau ntawm qhov kawg, mob taub hau thiab kiv taub hau.
Mob thiab mob pob txha, xeev siab thiab ntuav.
Kev cuam tshuam ntawm txoj hnyuv zom zaub mov.
Kev npau taws thiab ua nruj ua tsiv.
Kev kub siab lub xeev.
Kev ua xua nrog cov tsos mob ntawm daim tawv nqaij.

Nws yuav tsum raug sau tseg tias Diabeton thiab tag nrho nws cov analogues yuav tsum tau ua raws li cov koob tshuaj pom zoo los ntawm tus kws kho mob koom, thiab tsis yog cov lus qhia rau kev siv. Qhov tseeb yog tias nyob rau hauv kev qhia ntawv koob tshuaj tau nthuav tawm los ntawm qhov ntsuas nruab nrab, yog li nws tsis haum rau hauv txhua kis mob.

Cov tshuaj twg los xaiv hauv cov xwm txheej muab rau kev txiav txim siab tsuas yog los ntawm tus kws kho mob. Thaum sau daim ntawv tshuaj, tus neeg mob lub hnub nyoog, kev paub ntawm tus kab mob thiab qhov hnyav ntawm nws txoj kev kawm, cuam tshuam txog kev sib deev, kev noj qab nyob zoo thiab lwm cov nuances raug suav nrog.

Koj xav li cas txog qhov no? Koj siv hom tshuaj ntshav qab zib dab tsi, thiab nws puas pab koj?

Kev ntsuas rau siv

Dab tsi pab Diabeton MV? Raws li cov lus qhia, cov tshuaj yog tshuaj hauv cov kis hauv qab no:

Hom 2 mob ntshav qab zib mellitus nyob rau hauv cov teeb meem uas lwm yam kev ntsuas (kev kho zaub mov noj, kev tawm dag zog lub cev thiab poob phaus) tsis muaj txiaj ntsig txaus,
Teeb meem ntawm ntshav qab zib mellitus (kev tiv thaiv los ntawm kev tswj hwm glycemic): txo qis ntawm kev pheej hmoo ntawm micro- thiab macrovascular muaj teeb meem (nephropathy, retinopathy, mob stroke, myocardial infarction) hauv cov neeg mob uas muaj ntshav qab zib 2 mellitus.

Cov lus qhia rau kev siv Diabeton MV (30 60 mg), noj ntau npaum

Qhov kev txhaj tshuaj txhua hnub yog txiav txim los ntawm tus kws kho mob nyob ntawm seb nws nyob hauv qib ntshav qab zib hauv cov ntshav, txiav, ntawm lub xub ntiag los yog tsis muaj teeb meem.

Cov tshuaj yog npaj rau cov laus xwb. Cov tshuaj yuav noj tag nrho thaum lossis ua ntej noj mov, ntxuav nrog dej, 1 zaug hauv ib hnub ntawm ib zaug.

Tus txheej txheem pib koob tshuaj pom zoo los ntawm cov lus qhia rau kev siv ntshav qab zib MV - 1 ntsiav tshuaj 30 mg 1 zaug nyob rau ib hnub.

Thaum muaj kev tswjhwm txaus, cov tshuaj hauv qhov tshuaj no tuaj yeem siv rau kev kho kho.

Nrog kev tswj tsis tau glycemic txaus, koob tshuaj txhua hnub ntawm ntshav qab zib MV tuaj yeem sib txuas ntxiv mus rau 60 mg, 90 mg lossis 120 mg.

Qhov tshuaj ntau ntau txhua hnub yog 120 mg.

Thaum tsis muaj cov txiaj ntsig uas xav tau, koj yuav tsum rov tham nrog kws kho mob txhawm rau txhawm rau kho txoj kev kho mob thiab noj tshuaj.

Thaum hloov los ntawm Diabeton mus rau Diabeton MV, 1 ntsiav tshuaj ntawm 80 mg tuaj yeem hloov los ntawm 1 ntsiav tshuaj ntawm 30 mg ntawm Diabeton MV. Ntawm kev hloov nws tau pom zoo kom ua kom ceev faj txog glycemic.

Cov lus qhia tshwj xeeb

Thaum siv tshuaj kho mob, kev txhim kho hypoglycemia yog ua tau, thiab qee qhov mob ntev / mob hnyav, uas yuav tsum tau pw hauv tsev kho mob thiab tso dej tshuaj rau ob peb hnub.

Tus kab mob ntshav qab zib MB tuaj yeem tsim kho tsuas yog nyob rau kis uas tus neeg mob noj zaub mov tsis tu ncua thiab suav nrog pluas tshais. Nws yog ib qho tseem ceeb heev uas yuav tau tswj kom muaj cov khoom noj carbohydrates txaus los ntawm cov zaub mov, txij li qhov muaj peev xwm ua kom muaj ntshav siab tsis txaus nrog qhov tsis meej / noj zaub mov tsis zoo, nrog rau kev noj zaub mov carbohydrate-tsis zoo, nce ntxiv.

Ntau zaus, qhov tshwm sim ntawm cov ntshav qab zib tsawg tsawg yog pom nrog cov zaub mov tsis zoo hauv lub cev, tom qab siv zog / ua lub cev ntev dhau los, haus dej haus cawv, lossis nrog rau kev siv ntau cov tshuaj hypoglycemic ib txhij.

Sab sij huam

Cov kev qhia ceeb toom txog kev muaj peev xwm tsim cov kev mob tshwm sim hauv qab no thaum muab tshuaj rau Tus Mob Ntshav Qab Zib MV 30-60 mg:

Kev mob ntshav qab zib (nyob rau hauv kev ua txhaum ntawm txoj kev noj tshuaj ntau thiab noj tsis txaus): mob taub hau, nkees, tshaib plab, tawm hws, mob hnyav, qaug zog, pw tsaug zog, pw tsaug zog, ntxhov siab, ntxhov siab, ntxhov siab, chim siab, tsis tuaj yeem, tsis tuaj yeem mob siab thiab ncua sij hawm tshuaj tiv thaiv, kev nyuaj siab, pom kev tsis meej, npau taws, tshee tshee, paresis, hnov qhov txawv ntawm qhov muag, kiv taub hau, zoo li tsis paub pab, tsis tuaj yeem tswj tus kheej, delirium, cramps, hypersomnia, ploj ntawm kev nco qab, ua pa nyuaj, sconces dicardia.
Los ntawm lub plab zom mov: dyspepsia (xeev siab, zawv plab, qhov kev xav ntawm qhov hnyav hauv lub phaum epigastrium), tsis qab los noj mov - tsawg zuj zus nrog kev noj zaub mov, tsis tshua muaj - daim siab tsis ua haujlwm (cholestatic jaundice, nce kev ua haujlwm ntawm "mob siab" transaminases).
Los ntawm cov ntshav hemopoietic plab hnyuv siab raum: inhibition ntawm pob txha mob ntshav hematopoiesis (ntshav liab, thrombocytopenia, leukopenia).
Ua xua: khaus, urticaria, maculopapular pob.
Lwm yam: voos ntawm daim tawv nqaij thiab mucous daim nyias nyias Overdose. Cov tsos mob: hypoglycemia, hnov lus tsis zoo, mob ntshav qab zib tsis tsaug zog.

Cov Yuav Tsum Muaj

Nws yog contraindicated rau muab tshuaj Mob Ntshav Qab Zib MV hauv cov xwm txheej hauv qab no:

Yam 1 ntshav qab zib
Tus kab mob ntshav qab zib ketoacidosis, mob ntshav qab zib precoma, mob ntshav qab zib coma,
Kev mob raum lossis mob siab tsis txaus (hauv cov teeb meem no, nws raug pom zoo kom siv cov tshuaj insulin),
Siv cov miconazole yooj yim,
Cev xeeb tub
Lactation (noj niam mis),
Tsis txog 18 xyoo
Hypersensitivity rau gliclazide lossis ib qho ntawm cov tsis pom kev ntawm cov tshuaj, lwm yam sulfonylurea derivatives, sulfonamides.

Vim tias muaj cov lactose hauv cov tshuaj muaj pes tsawg leeg, cov tshuaj tsis pom zoo rau cov neeg muaj tus mob tsis haum mis, galactosemia, glucose / galactose malabsorption syndrome.

Nws tsis pom zoo kom siv cov tshuaj no ua ke nrog phenylbutazone lossis danazole.

Kev ceeb toom yuav tsum tau siv nrog cov zaub mov tsis xwm yeem thiab / los yog tsis muaj txiaj ntsig zoo li qub, piam thaj-6-phosphate dehydrogenase tsis txaus, cov kab mob hnyav ntawm cov hlab plawv, hypothyroidism, adrenal lossis pituitary tsis txaus, lub raum thiab / lossis lub siab tsis ua haujlwm, kev kho mob ntev nrog glucocorticosteroids, cawv, hauv cov neeg laus Cov.

Noj ntau dhau

Thaum noj tshuaj ntau dhau, cov ntshav qog ntshav yuav pib (saib phiv).

Yog tias tus neeg tsis txhaj cov kua nplaum ntawm lub sijhawm, tom qab ntawd nws lub ntsej muag tsis zoo yuav tshwm sim. Yog tias koj tau noj tshuaj ntau yam tsis zoo, koj yuav tsum haus dej qab zib tam sim thiab nrhiav kev pab kho mob.

Yog tias tsim nyog, kev kho mob cov tsos mob yog nqa tawm.

Tus Neeg Mob Diabeton MV, nqe hauv khw muag tshuaj

Yog tias tsim nyog, koj tuaj yeem hloov Cov Ntshav Qab Zib MV nrog ib qho tshuaj pleev rau cov cuab yeej nquag - cov no yog cov tshuaj:

Thaum xaiv cov tshuaj analogues, nws yog ib qho tseem ceeb kom nkag siab tias cov lus qhia rau kev siv Diabeton MV (30 60 mg), nqe thiab tshuaj xyuas tsis siv rau cov tshuaj ntawm cov nyhuv zoo sib xws. Nws yog ib qho tseem ceeb kom kws kho mob sab laj thiab tsis txhob hloov pauv cov tshuaj ywj siab.

Nqe nyob rau hauv cov chaw muag tshuaj Lavxias: Diabeton MV 60 mg 30 ntsiav tshuaj - los ntawm 331 txog 372 rubles, raws li 692 cov chaw muag tshuaj.

Khaws tsis ncav cuag ntawm cov menyuam yaus. Cov tshuaj tsis tas yuav tshwj xeeb cia khoom. Txee lub neej yog 2 xyoos.

Qhov xwm txheej ntawm kev faib tawm los ntawm cov khw muag tshuaj yog los ntawm cov tshuaj noj.

5 txheeb xyuas rau "Diabeton MV"

Kuv pog siv ib lub tshuaj ntshav qab zib MV thaum sawv ntxov li ntawm tsib lub xyoos. Txaus siab heev. Hauv tsev kho mob lawv tau sim muab ib qho analog, peb tsis kam. Tam sim no yuav rau koj tus kheej.

Mob ntshav qab zib nyob rau theem pib. 1 lub tshuaj muaj txaus kom tswj tau qib qab zib + kev noj haus, tab sis tsis nruj heev.

nws tsis pab kuv, Kuv tau muaj mob rau 9 lub hlis, los ntawm 78 kg kuv poob 20 kg, Kuv ntshai tias 2 hom tau tig mus rau 1, Kuv yuav pom sai sai.

Haus ib nrab ntawm cov ntsiav tshuaj yog qhov zoo heev thiab tsis ua rau ua xua lossis lwm yam kev phiv.

Kev sib cuam tshuam txog yeeb tshuaj Cov lus qhia Tshwj xeeb kev xeeb tub thiab lactation Siv thaum tseem yau Tus menyuam muaj mob lub raum tsis ua hauj lwm Tus mob ua kom lub siab tsis zoo Daim ntawv thov rau cov neeg laus

Cov dej siab hloov chaw rau Diabeton MV

Glidiab (ntsiav tshuaj) Ntsuam xyuas: 81 Top

Cov analogue yog pheej yig dua los ntawm 168 rubles.

Ib qho txiaj ntsig ntau dua rau kev hloov ntshav qab zib, muab hais tias pob ntawv tsis muaj 30 ntsiav tshuaj (xws li hauv cov tshuaj qub), tab sis 60, yog li nrog cov kev kho mob ntev ntev nws yuav muaj txiaj ntsig zoo dua. Nyob rau hauv muaj pes tsawg leeg, ntxiv rau qhov ntau npaum li cas ntawm cov nquag koom, tsis muaj qhov sib txawv.

Kuv tus kheej los txog yeeb tshuaj, tab sis kuv ceeb toom rau koj tam sim ntawd - nws cov nyhuv tsis nrawm. Kuv cov piam thaj muaj li ntawm 7.5 txog 8.2 - siab txog qhov tseeb, tab sis tib lub sij hawm kuj tsis tshua muaj, neeg tau txais 20. Tab sis txawm tias Glidiab qab zib qib no tau txo qis rau qhov ib txwm tsuas yog tom qab ib hlis ntawm kev noj mov - cov txheej txheem tau mus qeeb heev. Tab sis, tib lub sijhawm, cov tshuaj muaj txiaj ntsig zoo nyob rau hauv tias txij li cov suab thaj txo qis, koj yuav tsis tau txais ib qho kev tso tawm thiab cov ntshav tsis txaus yog tias koj xaiv cov tshuaj zoo. Kuv tsuas haus 1 ntsiav tshuaj, yog li kuv muaj kev xyaum tsis muaj teeb meem, thiab los ntawm cov sab, Kuv tsuas yog tawm hws nrog hws. Tam sim no kuv txuas ntxiv noj Glidiab - rau plaub lub hlis tam sim no, lub davhlau yog qhov qub - Kuv tsis tshua nce siab tshaj 5.3-5.5 qab zib.

Roxanne, tab sis tsis yog koj tsis sim maninil?

Thiab kuv puas tuaj yeem siv nws yog tias kuv haus cov tshuaj metoformin?

Cov analogue yog pheej yig dua los ntawm 160 rubles.

Glyclazide-based hloov kho cov ntsiav tshuaj hauv cov tshuaj ntawm 30 mg lossis ntau dua. Nws kuj tseem siv rau mob ntshav qab zib hom 2, thaum muaj zaub mov tsis txaus thiab / lossis kev tawm dag zog. Muaj cov sib txuam thiab cov kev txwv hnub nyoog.

Kuv tau yuav vim tias tus nqi pheej yig, tab sis tom qab ntawd kuv tseem yuav tsum tau yuav cov khoom qab zib kom nrov.Thaum Gliclazide, kev xaiv koob tshuaj yog lwm zaj dab neeg. Thaum pib, qhov tsawg kawg yog kev kho mob, tab sis rau kuv nws muab tawm los ua neeg tsis muaj zog ntau dua - qab zib poob insignificantly, los ntawm 0.5-0.7 mmol. Kev pab muaj zog thaum koj muaj suab thaj 9.2 mmol. Kuv xav tias koj tsuas yog yuav tsum siv sijhawm ntev zog, tom qab ntawv cov nyhuv yuav nce zuj zus. Xijpeem nws yog - Kuv haus rau peb lub lis piam, thiab tag nrho cov tsis muaj txiaj ntsig. Tom qab ntawd lawv nce lub koob tshuaj - yam mus zoo dua, txawm tias me ntsis, tab sis cov kev mob tshwm sim tam sim ntawd tau tawm - muaj zog heev. Thaum xub thawj, tsuas yog kev sib ntaus sib tua mob taub hau tau tsim txom kuv, tab sis tom qab qee lub sijhawm tshee tshee thiab raug mob ntxiv rau qhov no, thiab kuv lub zeem muag tau pib tsis zoo - Kuv pom txhua yam puag ncig zoo li yog los ntawm kev qias neeg, av nkos iav. Yog lawm, kuv tau hais nrawm rau Glyclazide thiab hloov mus rau Diabeton. Qhov no yog lwm qhov teeb meem, qab zib sai sai rov qab mus rau qhov qub thiab tsis ua rau muaj teeb meem ntawm qhov tshwm sim, qee zaum kuv hnov qhov kev mob siab tshaj plaws.

Diabefarm MV (ntsiav tshuaj) Ntsuas: 49 Top

Cov analogue yog pheej yig dua los ntawm 158 rubles.

Lwm cov tshuaj Lavxias, uas tseem hloov tau ua ntau pheej yig dua li tus mob ntshav qab zib, txawm hais tias nyob rau hauv cov lus ntawm muaj pes tsawg leeg, txoj kev siv thiab cim nws xyaum tsis txawv ntawm nws. Contraindicated nyob rau hauv lub hnub nyoog ntawm 18 xyoo, thaum cev xeeb tub thiab lactation.

Diabeton, Diabefarm thiab tuam txhab - txhua tus ntawm lawv ua rau lub qog ntshav qab zib. Txawm hais tias muaj qhov kev txwv tsawg kawg nkaus, kuv xav tias tsis zoo, thiab ntev mus kuv haus, qhov mob loj dua nws tau txais - qhov no yog vim tias cov piam thaj tau poob ntau thiab ntau dua. Nws yog qhov txawv txav - Kuv tau haus tib ob ntsiav tshuaj, tab sis rau qee qhov thawj lub lis piam kuv qab zib poob mus txog tsib, thiab txawm tias tom qab me ntsis ntau tshaj li ib lub lim tiam kuv tau tso tseg nce siab dua plaub. Ntxiv mus, qhov kev ua tsis tau zoo yog txaus ntshai, kuv lub taub hau tau hloov txhua hnub thiab tsis kam ua haujlwm txhua. Thaum pib ntawm lub lim tiam thib plaub ntawm kev nkag mus, nws tau tsaus muag nyob hauv nruab nrab ntawm txoj kev, tom qab ntawd nws tau daws teeb meem nrog Diabefarm.

Vim tias cov ntshav qab zib yuav tsum tau noj tas li, nws tau txiaj ntsig ntau dua rau noj Diabefarm - nws yog "kwv tij" ntawm tus kab mob ntshav qab zib, thaum nws tau hloov mus, nws tsuas yog pheej yig dua. Lawv coj zoo ib yam - Kuv haus 2 ntsiav tshuaj ib hnub, sawv ntxov thiab yav tsaus ntuj, qhov no txaus kom cov piam thaj tswj tau. Nws pib pab twb tau pib txij thawj hnub tau txais, qhov ntawd yog qhov muaj txiaj ntsig - qab zib poob rau qhov qub tam sim ntawd, txawm hais tias nws tau zoo heev ntawm no, nws tau siv kom txog 15. Tab sis koj yuav tsum haus nws txhua txhua hnub zoo li raws li moos - ib zaug kuv tsis nco qab noj thaum sawv ntxov, yog li cov piam thaj tam sim ntawd dhia ceev heev, yog li koj yuav tsum tuaj rau cov ntsiab lus thiab nkag siab tias peb "ua ke" nrog Diabefarm rau lub neej. Cov nyhuv yog qhov nyuaj - lub cuab yeej zoo pab kom tshem tau qhov qab tsis tas. Kuv tau muaj qhov hnyav hnyav ua ntej qhov ntawd, thiab thaum kuv pib noj cov tshuaj, cia ib lub lim tiam tom qab ntawd kuv pom tias kuv lub siab poob qis, kuv muaj tsawg dua thiab muaj roj sai dua. Ntxiv rau, Diabefarm pab cov leeg ua haujlwm kom mob siab rau hlawv cov piam thaj thiab tsim kom muaj cov metabolism hauv kev ua kom yuag - feem ntau, dhau 7 lub hlis kuv poob 18.3 kg nyob rau hauv tag nrho, thiab cov txheej txheem tseem niaj hnub ua. Thiab hais txog cov kev mob tshwm sim - koj yuav tsum tsis txhob ntshai lawv, yog tias qhov koob tshuaj yog qhov tseeb thiab tsis muaj kev sib kis, tsis muaj ib yam dab tsi yuav tshwm sim rau koj - Kuv tau noj cov tshuaj ntev, thiab tsis tau pom dab tsi hnyav dua li kiv taub hau.

Kev siv cov tshuaj Diabeton

Cov tshuaj Diabeteson hauv cov ntsiav tshuaj uas pom zoo thiab hloov kho tawm (MV) raug tso cai rau cov neeg mob ntshav qab zib hom 2, uas kev noj haus thiab kev tawm dag zog tsis tswj tus kab mob tau zoo txaus. Cov tshuaj ua haujlwm nquag ntawm cov tshuaj yog gliclazide. Nws belongs rau cov pab pawg ntawm sulfonylureas. Gliclazide stimulates pancreatic beta hlwb tsim tawm thiab paim insulin ntau dua rau hauv cov ntshav, yam tshuaj uas ua kom qab zib.

Nws raug nquahu ua ntej ntawm txhua tus los kho mob ntshav qab zib hom 2 cov neeg mob tsis yog mob ntshav qab zib, tab sis cov tshuaj metformin - Siofor, Glyukofazh lossis Gliformin npaj. Kev noj tshuaj ntawm cov metformin yog maj mam nce los ntawm 500-850 txog 2000-3000 mg ib hnub. Thiab tsuas yog tias qhov kev daws teeb meem no tau txo qab qab zib tsis txaus, sulfonylurea derivatives tau ntxiv rau nws.

Gliclazide hauv kev ntxiv cov ntsiav tshuaj tso tawm ua haujlwm ib yam rau 24 teev. Txog rau hnub no, cov qauv kev kho mob ntshav qab zib pom zoo kom cov kws kho mob sau ntawv rau Diabeton MV rau lawv cov neeg mob ntshav qab zib hom 2, tsis yog cov sulfonylureas yav dhau los. Saib, piv txwv, cov ntawv sau "Cov txiaj ntsig ntawm DYNASTY txoj kev kawm (" Diabeton MV: kev soj ntsuam ntawm cov neeg mob ntshav qab zib hom 2 uas muaj mob ntshav qab zib ") hauv phau ntawv journal" Teeb meem ntawm Endocrinology "No. 5/2012, sau phau ntawv M. V. Shestakova, O K. Vikulova thiab lwm yam.

Tus mob ntshav qab zib MV ua rau nws cov ntshav qab zib qis. Cov neeg mob zoo li nws yooj yim mus noj ib hnub ib zaug. Nws ua kom muaj kev nyab xeeb ntau dua li cov tshuaj qub - sulfonylurea derivatives Txawm li cas los xij, nws muaj qhov tsis zoo, vim tias nws zoo dua rau cov neeg mob ntshav qab zib kom tsis txhob noj. Nyeem hauv qab no qhov dab tsi yog qhov mob ntawm Diabeton, uas npog tag nrho nws cov zoo. Lub Diabet-Med.Com lub vev xaib txhawb txoj kev kho mob zoo rau hom ntshav qab zib hom 2 yam tsis muaj tshuaj kho mob.

Kev kho mob ntshav qab zib hom 2: cov txheej txheem ib qib zuj zus - tsis muaj kev tshaib plab, tshuaj phem thiab cov tshuaj insulin
Siofor thiab Glucofage ntsiav tshuaj - metformin
Li cas los kawm kom txaus siab rau kev kawm siv lub cev

Qhov zoo thiab qhov tsis zoo

Kev kho mob ntshav qab zib hom 2 nrog kev pab los ntawm cov tshuaj Diabeton MV muab tau txiaj ntsig zoo nyob rau lub sijhawm luv luv:

cov neeg mob tau txo cov ntshav qab zib kom tsawg,
txoj kev pheej hmoo ntawm hypoglycemia tsis yog ntau dua 7%, uas yog ntau dua qis dua rau lwm yam sulfonylurea derivatives,
nws yooj yim rau noj cov tshuaj ib hnub ib zaug, yog li cov neeg mob tsis txhob muab kev kho mob,
thaum noj cov tshuaj gliclazide hauv cov ntsiav tshuaj tso tawm ntev, tus neeg mob lub cev qhov hnyav yog nce me ntsis.

Diabeton MB tau dhau los ua cov tshuaj mob ntshav qab zib hom 2 vim nws muaj qhov zoo rau cov kws kho mob thiab nws yooj yim rau cov neeg mob. Nws yog ntau lub sijhawm yooj yim dua rau cov kws kho mob endocrinologist kom muab tshuaj noj dua li txhawb cov neeg mob ntshav qab zib kom ua raws li kev noj haus thiab kev tawm dag zog. Cov tshuaj sai sai txo cov suab thaj thiab zoo tiv thaiv. Tsis pub ntau dua 1% ntawm cov neeg mob yws ntawm cov kev mob tshwm sim, thiab txhua tus so txaus siab.

Qhov tsis zoo ntawm cov tshuaj Diabeton MV:

Nws ua kom nrawm nrawm rau kev tuag ntawm pancreatic beta hlwb, vim tias tus kab mob no hloov mus rau mob ntshav qab zib hom 1 ntau dua. Qhov no feem ntau tshwm sim ntawm 2 txog 8 xyoo.
Hauv cov neeg yuag thiab nyias, cov mob ntshav qab zib insulin feem ntau ua tshwj xeeb tshaj yog sai sai - tsis pub dhau tom qab 2-3 xyoos.
Nws tsis tshem tawm qhov ua rau mob ntshav qab zib hom 2 - txo qis rhiab ntawm cov hlwb rau insulin. Qhov teeb meem metabolic no yog hu ua insulin tsis kam. Noj Cov Ntshav Qab Zib yuav tuaj yeem ntxiv dag zog nws.
Lowers ntshav qab zib, tab sis tsis qis qis tuag. Qhov no tau lees paub los ntawm kev soj ntsuam thoob ntiaj teb loj heev los ntawm ADVANCE.
Cov tshuaj no tuaj yeem ua rau ua rau ntshav muaj ntshav qab zib. Muaj tseeb, nws qhov ntau yam tsawg dua yog tias lwm qhov sulfonylurea derivatives tau coj. Txawm li cas los xij, mob ntshav qab zib hom 2 tuaj yeem tswj tau yooj yim yam tsis muaj kev phom sij rau ntshav qab zib.

Cov tub txawg txij xyoo 1970 tau paub tias sulfonylurea derivatives ua rau kev hloov pauv ntawm cov ntshav qab zib hom 2 mus rau kev mob ntshav qabzib-hom ntshav qab zib hom 1 ntau. Txawm li cas los xij, cov tshuaj no tseem tseem tau sau tseg tshuaj. Qhov laj thawj yog tias lawv tshem tawm lub nra ntawm cov kws kho mob. Yog tias tsis muaj tshuaj txo cov ntshav qab zib, tom qab ntawd cov kws kho mob yuav tsum sau cov kev noj haus, kev tawm dag zog, thiab tshuaj insulin rau txhua tus mob ntshav qab zib. Qhov no yog ib txoj haujlwm nyuaj thiab tsis ua cas. Cov neeg mob coj tus cwj pwm zoo li tus neeg vwm Pushkin: "Nws tsis yog qhov nyuaj rau kev dag ntxias kuv, Kuv zoo siab los dag kuv tus kheej." Lawv kam noj tshuaj, tab sis lawv tsis nyiam ua raws kev noj haus, qoj ib ce, thiab ntau dua li yog li txhaj tshuaj insulin.

Kev cuam tshuam ntawm kev mob ntshav qab zib rau tus kab mob ntshav qab zib ua rau pancreatic beta hlwb tsis ua rau muaj kev txhawj xeeb txog qhov endocrinologist thiab lawv cov neeg mob. Tsis muaj luam tawm hauv kev sau ntawv kho mob txog qhov teeb meem no. Qhov laj thawj yog hais tias feem ntau cov neeg mob uas muaj ntshav qab zib hom 2 tsis muaj sij hawm los muaj sia nyob ua ntej lawv pib tsim muaj cov ntshav qab zib insulin. Lawv lub plawv mob ua rau lub ntsej muag tsis muaj zog dua li cov kab mob pancreas. Yog li ntawd, lawv tuag los ntawm kev mob plawv lossis hlab ntsha tawg. Kev kho mob ntshav qab zib hom 2 raws li cov zaub mov uas tsis muaj carbohydrate ntau ib txhij ua rau cov piam thaj, ntshav siab, kuaj cov ntshav muaj roj thiab lwm yam kev phom sij.

Soj ntsuam kev soj ntsuam

Kev soj ntsuam tseem ceeb ntawm kev siv tshuaj Diabeton MV yog txoj kev tshawb nrhiav ADVANCE: Kev Ua Hauv Ntshav Qab Zib thiab VAscular -
preterax thiab Diamicron MR Tshuaj Ntsuam Xyuas. Nws tau tsim tawm xyoo 2001, thiab cov txiaj ntsig tau tshaj tawm nyob rau xyoo 2007-2008. Diamicron MR - raws li lub npe no, glyclazide hauv kev hloov kho cov ntsiav tshuaj yog muag hauv cov teb chaws Askiv. Nov yog tib yam li tshuaj Diabeton MV. Preterax yog hom tshuaj ua ke rau kev kub siab, cov khoom xyaw nquag uas yog indapamide thiab perindopril. Hauv cov tebchaws hais lus Lavxias, nws raug muag hauv qab lub npe Noliprel. Txoj kev tshawb no koom nrog 11,140 cov neeg mob uas muaj ntshav qab zib hom 2 thiab ntshav siab. Cov kws khomob raug saib xyuas nyob hauv 215 chaw kho mob hauv 20 lub tebchaws.

Tus mob ntshav qab zib MV txo qis ntshav qab zib, tab sis tsis txo kev tuag ntawm cov neeg mob ntshav qab zib hom 2.

Raws li cov txiaj ntsig ntawm txoj kev tshawb fawb, nws tau muab tawm tias cov ntsiav tshuaj siab rau cov neeg mob ntshav qab zib hom 2 txo cov zaus ntawm cov hlab plawv teeb meem li 14%, mob raum - los ntawm 21%, lub neej tuag - los ntawm 14%. Tib lub sijhawm, Diabeton MV txo qis cov ntshav qab zib, txo cov zaus ntawm ntshav qab zib nephropathy los ntawm 21%, tab sis tsis cuam tshuam rau lub neej tuag. Lavxias-lus los ntawm cov lus - tsab xov xwm “Qhia kev kho mob rau cov neeg mob ntshav qab zib hom 2 mob ntshav qab zib: cov txiaj ntsig ntawm qhov kev tshawb pom ADVANCE” hauv phau ntawv Journal System Cov Kev Ntshav Qeb No. 3/2008, sau Yu. Lub hauv paus qub - “Pab Pawg Sib Koom Tes ADVANCE. Kev tswj ntshav qabzib ntau ntxiv thiab cov kev mob ntshav siab rau cov neeg mob ntshav qab zib hom 2 "nyob rau hauv phau ntawv Xov Xwm New England Journal of Medicine, 2008, No. 358, 2560-2572.

Cov neeg mob uas muaj ntshav qab zib hom 2 tau raug xaj kom txo cov ntshav qab zib thiab cov tshuaj insulin yog tias noj zaub mov zoo thiab tawm dag zog tsis muab cov txiaj ntsig zoo. Qhov tseeb, cov neeg mob tsuas yog tsis xav ua raws li kev noj zaub mov kom tsawg thiab ua kom ib ce muaj zog. Lawv xum noj tshuaj tuag. Tseem ceeb tshaj plaws nws ntseeg tias lwm txoj kev kho tau zoo, tsuas yog siv tshuaj thiab txhaj tshuaj loj ntawm cov tshuaj insulin, tsis muaj nyob. Yog li, cov kws kho mob tseem siv cov tshuaj muaj suab thaj uas tsis ua rau txo kev tuag. Txog Ntshav Qab Zib-Med.Com koj tuaj yeem pom nws yooj yim npaum li cas los tswj hom mob ntshav qab zib hom 2 yam tsis muaj kev tshaib plab thiab kev noj tshuaj insulin. Tsis tas yuav siv cov tshuaj phom sij, vim lwm txoj kev kho tau pab zoo.

Kev kho mob ntshav siab nyob rau hauv cov neeg mob uas muaj hom 1 thiab ntshav qab zib hom 2
Siab ntsiav tshuaj Noliprel - Perindopril + Indapamide

Hloov kho cov ntsiav tshuaj

Diabeton MV - hloov cov ntsiav tshuaj tso tawm. Cov tshuaj nquag - gliclazide - raug tso tawm los ntawm lawv maj mam, thiab tsis sai. Vim tias qhov no, ib qho kev sib xyaw xim ntawm gliclazide hauv cov ntshav tau khaws cia 24 teev. Noj cov tshuaj no ib hnub ib zaug. Raws li txoj cai, nws yog tsim tawm thaum sawv ntxov. Cov Ntshav Qab Zib Muaj Feem (yam tsis muaj CF) yog hom tshuaj qub. Nws cov ntsiav tshuaj yaj tag rau hauv lub plab zom mov tom qab 2-3 teev. Txhua tus gliclazide uas nws muaj tam sim ntawd nkag rau hauv cov ntshav ntshav. Diabeton MV qis qis dua cov piam thaj kom huv si, thiab cov ntsiav tshuaj ib txwm muaj, thiab lawv cov nyhuv sai sai.

Cov ntsiav tshuaj tso tawm niaj hnub no muaj qhov zoo tseem ceeb dua cov tshuaj laus dua. Lub ntsiab yog tias lawv muaj kev nyab xeeb dua. Tus mob ntshav qab zib MV ua rau lub ntsej muag ntshav qab zib (qis qab zib) ntau zaus tsawg dua li niaj zaus Diabeton thiab lwm yam sulfonylurea derivatives. Raws li kev tshawb fawb, qhov kev pheej hmoo ntawm lub qog ntshav qab zib tsis ntau tshaj 7%, thiab feem ntau nws ploj mus yam tsis muaj tsos mob. Tawm tsam cov keeb kwm yav dhau los ntawm kev noj tshuaj tshiab, mob ntshav qab zib tsawg kawg nrog kev hnov mob tsis tshua muaj tshwm sim. Cov tshuaj no tau pom zoo zoo. Cov kev mob tshwm sim muaj qhia tsis ntau tshaj 1% ntawm cov neeg mob.

Hloov kho cov ntsiav tshuaj	Cov ntsiav tshuaj ceev ceev
Pes tsawg zaus ib hnub twg noj	Ib hnub	1-2 zaug ib hnub
Kev mob ntshav siab	Tus nqi tsawg	Siab
Ua rau lub cell txo kev txiav tawm	Qeeb	Ceev ceev
Tus neeg mob lub cev hnyav ntxiv	Tsis Tseem Ceeb	Siab

Hauv cov ntawv xov xwm hauv cov ntawv kho mob, lawv nco ntsoov tias cov roj ntsha ntawm cov ntshav qab zib MV yog cov tshuaj tua kab mob vim nws cov qauv tshwj xeeb. Tab sis qhov no tsis muaj qhov nqis tiag, nws tsis cuam tshuam rau qhov txiaj ntsig ntawm kev kho mob ntshav qab zib. Nws paub zoo tias Diabeton MV txo qis qhov tsim los ntawm cov ntshav txhaws hauv cov ntshav. Qhov no tuaj yeem txo qhov kev pheej hmoo ntawm mob stroke. Tab sis tam sim no tsis tau muaj pov thawj tias cov tshuaj tiag tiag muab cov nyhuv zoo li ntawd. Qhov tsis zoo ntawm cov tshuaj ntshav qab zib, sulfonylurea derivatives, tau teev saum toj no. Hauv Diabeton MV, qhov tsis zoo no yuav tsis tshua hais tshaj hauv cov tshuaj qub. Nws muaj cov txiaj ntsig zoo dua ntxiv ntawm cov beta hlwb ntawm cov txiav. Hom insulin ntshav qab zib tsis loj hlob sai.

Yuav noj cov tshuaj no li cas

Mob ntshav qab zib MV noj ib hnub ib zaug, feem ntau yog noj tshais. Ib lub 60 mg notched ntsiav tshuaj tuaj yeem faib ua ob ntu kom tau txais koob tshuaj 30 mg. Txawm li cas los xij, nws tsis tuaj yeem zom lossis zuaj. Siv tshuaj nrog dej. Cov ntshav qab zib-Med.Com lub vev xaib txhawb txoj kev kho mob zoo rau hom ntshav qab zib hom 2. Lawv tso cai rau koj kom koj tso tseg cov neeg mob ntshav qab zib, kom tsis txhob muaj qhov cuam tshuam rau nws cov teebmeem. Txawm li cas los xij, yog tias koj noj tshuaj noj, ua txhua hnub yam tsis muaj khoob. Txwv tsis pub qab zib yuav nce siab dhau.

Nrog rau kev noj ntshav qab zib, kev haus cawv ntau tuaj yeem yuav muaj kab mob ntau ntxiv. Cov tsos mob tshwm sim yog mob taub hau, ua tsis taus pa, pws tsaug zog, mob plab, xeev siab thiab ntuav.

Cov tsim tawm ntawm sulfonylureas, suav nrog Diabeton MV, tsis yog thawj txoj kev xaiv tshuaj rau ntshav qab zib hom 2. Raws li kev lees paub, nws raug pom zoo tias cov neeg mob yuav tsum tau kho ua ntej ntawm txhua daim metformin ntsiav tshuaj (Siofor, Glucofage). Maj mam, lawv cov koob tshuaj tau nce ntxiv rau qhov siab kawg ntawm 2000-3000 mg ib hnub twg. Thiab tsuas yog tias qhov no tsis txaus, ntxiv ntau Diabeton MV. Cov kws kho mob muab tshuaj kho ntshav qab zib kom tsis txhob siv cov tshuaj metformin ua txhaum. Ob qho tshuaj yuav tuaj yeem ua ke, thiab qhov no muab cov txiaj ntsig zoo. Zoo dua, hloov mus rau hom 2 kho mob ntshav qab zib pab cuam los ntawm tsis lees noj tshuaj tsis zoo.

Cov tsim tawm ntawm sulfonylureas ua rau cov tawv nqaij raug yoog mus rau ultraviolet hluav taws xob. Kev pheej hmoo ntawm tshav kub nce ntxiv. Nws raug nquahu kom siv cov tshuaj pleev thaiv hnub, thiab nws zoo dua tsis txhob pleev rau hnub. Xav txog qhov kev pheej hmoo ntawm hypoglycemia uas Diabeton yuav ua rau. Thaum tsav tsheb los yog ua haujlwm muaj kev phom sij, sim koj qab zib nrog glucometer txhua txhua 30-60 feeb.

Leej twg tsis haum rau nws

Tus mob ntshav qab zib MB yuav tsum tsis txhob noj rau txhua tus, vim tias lwm txoj kev kho mob ntshav qab zib hom 2 pab tau zoo thiab tsis ua rau muaj kev phiv tshuaj. Cov nom tswv contraindications muaj nyob hauv qab no. Kuj tseem pom tias pawg twg ntawm cov neeg mob yuav tsum tau muab cov tshuaj no nrog ceev faj.

Thaum cev xeeb tub thiab pub niam mis, ib qho ntsiav tshuaj txo qis qab zib yog contraindicated. Mob ntshav qab zib MV tsis tau sau tseg rau cov menyuam yaus thiab cov hluas, vim tias nws cov hauj lwm zoo thiab kev nyab xeeb rau pawg neeg mob no tseem tsis tau tsim. Tsis txhob noj cov tshuaj no yog tias yav dhau los koj tau ua xua rau nws lossis nrog lwm tus sulfonylurea derivatives. Cov tshuaj no yuav tsum tsis txhob noj los ntawm cov neeg mob uas muaj ntshav qab zib hom 1, thiab yog tias koj muaj qhov tsis ruaj khov ntawm hom 2 mob ntshav qab zib, nquag tshwm sim ntawm ntshav qog ntshav qab zib.

Sulfonylurea derivatives tsis tuaj yeem siv rau cov neeg mob siab thiab mob raum. Yog tias koj muaj ntshav qab zib nephropathy - sab laj nrog koj tus kws kho mob. Feem ntau yuav luag, nws yuav qhia hloov cov ntsiav tshuaj nrog kev siv tshuaj insulin. Rau cov neeg laus dua, Diabeton MV tau raug cai yog tias lawv lub siab thiab lub raum ua haujlwm zoo. Tsis raws kev raws cai, nws ua rau kev hloov pauv ntawm cov ntshav qab zib hom 2 mus rau hom kab mob ntshav qab zib insulin ntau.Yog li, cov neeg mob ntshav qab zib uas xav ua lub neej ntev yam tsis muaj teeb meem zoo dua yog tias tsis noj tshuaj.

Nyob rau qhov xwm txheej twg yog Diabeton MV tau ceeb toom nrog:

hypothyroidism - txoj haujlwm tsis muaj zog ntawm cov thyroid caj pas thiab qhov tsis txaus rau nws cov tshuaj hormones hauv cov ntshav,
tsis muaj peev xwm ua rau cov tshuaj hormones tsim los ntawm cov qog adrenal thiab cov qog pituitary,
kev noj zaub mov tsis xwm yeem
quav cawv.

Diabeton analogues

Tus thawj cov tshuaj Diabeton MV yog tsim los ntawm lub chaw muag tshuaj Lub Chaw Siv Tshuaj (Servier) (Fab Kis). Txij li thaum Lub Kaum Hlis 2005, nws tau tsum tsis muab cov tshuaj ntawm cov tub ntxhais hluas dhau los rau Russia - Diabeton 80 mg sai ntsiav tshuaj. Tam sim no koj tuaj yeem yuav xwb thawj Diabeton MV - hloov kho ntsiav tshuaj. Daim ntawv muab cov tshuaj no muaj qhov zoo, thiab cov khw tau txiav txim siab mloog zoo. Txawm li cas los xij, gliclazide hauv cov ntsiav tshuaj tawm sai yog tseem muag. Cov no yog cov analogues ntawm Diabeton, uas yog tsim los ntawm lwm cov tuam ntxhab.

Lub npe tshuaj	Tuam txhab tsim khoom lag luam	Ncig Teb Chaws
Glidiab MV	Akrikhin	Lavxias
Lawbalong	Synthesis OJSC	Lavxias
Gliclazide MV	LLC Ozone	Lavxias
Diabefarm MV	Kws Tshuaj Ntau Lawm	Lavxias

Lub npe tshuaj	Tuam txhab tsim khoom lag luam	Ncig Teb Chaws
Glidiab	Akrikhin	Lavxias
Glyclazide-AKOS	Synthesis OJSC	Lavxias
Diabinax	Shreya lub neej	Is Nrias teb
Diabefarm	Kws Tshuaj Ntau Lawm	Lavxias

Kev npaj uas nws nquag muaj tshuaj gliclazide hauv cov ntsiav tshuaj tso tawm sai yog tam sim no tsis siv lawm. Nws raug nquahu kom siv Diabeton MV lossis nws cov analogues hloov. Txawm tias zoo dua yog kev kho mob rau tus mob ntshav qab zib hom 2 raws li kev noj haus cov zaub mov uas muaj cov rog carbohydrate tsawg. Koj yuav muaj peev xwm ua kom cov ntshav qab zib nyob ruaj khov, thiab koj tsis tas yuav siv cov tshuaj phom sij.

Diabeton lossis Maninil - uas zoo dua

Lub hauv paus rau ntu no yog cov ntawv sau "Kev pheej hmoo ntawm kev dav dav thiab lub plawv kev tuag, nrog rau cov kab mob myocardial infarction thiab mob ntshav qab zib hauv cov neeg mob uas muaj hom 2 mob ntshav qab zib mellitus nyob ntawm seb hom pib kho hypoglycemic" hauv phau ntawv journal "Ntshav Qab Zib" No. 4/2009. Tus sau ntawv - I.V. Misnikova, A.V. Dreval, Yu.A. Kovaleva.

Txoj kev sib txawv ntawm kev kho mob ntshav qab zib hom 2 muaj qhov sib txawv ntawm kev pheej hmoo ntawm lub plawv, mob hlab ntsha tawg thiab tuag tag nrho hauv cov neeg mob. Cov kws sau ntawv ntawm tsab xov xwm tau txheeb xyuas cov ntaub ntawv muaj nyob rau hauv cov ntawv sau npe ntawm cov ntshav qab zib mellitus ntawm thaj av Moscow, uas yog ib feem ntawm Lub Xeev kev sau npe ntawm cov ntshav qab zib mellitus ntawm Lavxias Federation. Lawv tau tshawb xyuas cov ntaub ntawv rau cov tib neeg uas tau txheeb pom tias mob ntshav qab zib hom 2 nyob rau xyoo 2004. Lawv tau sib piv cov txiaj ntsig ntawm sulfonylureas thiab metformin yog tias tau kho rau 5 xyoos.

Nws muab tawm tias cov tshuaj - sulfonylurea derivatives - muaj kev phom sij ntau dua li pab tau. Lawv ua li cas piv nrog metformin:

txoj kev pheej hmoo ntawm kev dav dav thiab lub plawv kev tuag tau ob npaug,
Kev pheej hmoo mob plawv - nce 4.6 npaug,
txoj kev pheej hmoo ntawm mob hlab ntsha tawg tau nce peb zaug.

Tib lub sijhawm, glibenclamide (Maninil) tseem muaj kev phom sij ntau dua li gliclazide (Mob ntshav qab zib). Muaj tseeb, tsab xov xwm tsis tau qhia tias cov ntawv sau ntawm Manilil thiab Diabeton tau siv - txhawb kev tso tawm los sis cov tshuaj uas pom zoo. Nws yuav txaus siab los sib piv cov ntaub ntawv nrog cov neeg mob ntshav qab zib hom 2 uas tam sim ntawv kho cov tshuaj insulin tam sim ntawd tsis siv tshuaj. Txawm li cas los xij, qhov no tsis tau ua tiav, vim tias cov neeg mob zoo li ntawd tsis txaus. Feem coob ntawm cov neeg mob categorically tsis kam txhaj tshuaj insulin, yog li lawv tau muab tshuaj rau noj.

Cov Lus Nquag Nug thiab Cov Lus Teb

Tus kab mob ntshav qab zib tswj kuv cov ntshav qab zib hom 2 tau zoo rau 6 xyoo, thiab tam sim no tau tso tseg kev pab lawm. Nws nce nws koob tshuaj rau 120 mg ib hnub, tab sis cov piam thaj hauv ntshav tseem siab, 10-12 mmol / l. Vim li cas tshuaj ho ploj nws qhov kev ua tau zoo? Yuav kho li cas tam sim no?

Diabetone yog sulfonylurea derivative. Cov tshuaj no txo cov ntshav qab zib, tab sis kuj muaj cov nyhuv tsis zoo. Lawv maj mam ua kom puas rau pancreatic beta hlwb. Tom qab 2-9 xyoo ntawm lawv cov kev nkag rau hauv tus neeg mob, insulin tsis txaus nyob rau hauv lub cev. Cov tshuaj tau poob nws qhov kev ua tau zoo vim tias koj lub npov beta tau "hlawv tawm." Qhov no yuav muaj tshwm sim ua ntej. Yuav kho tau li cas tam sim no? Yuav tsum tau txhaj cov tshuaj insulin, tsis muaj kev xaiv. Vim tias koj muaj ntshav qab zib hom 2 hloov mus ua hom mob ntshav qab zib hom 1. Ncua tseg Diabeton, hloov mus rau kev noj zaub mov kom tsis rog lossis haus kom tsawg thiab txhaj tshuaj ntxiv kom muaj ntshav qab zib kom qis.

Cov neeg laus tau mob ntshav qab zib hom 2 tau 8 xyoo. Cov ntshav qab zib 15-17 mmol / l, cov kev tsim mob hnyav tshwm sim. Nws coj manin, tam sim no pauv mus rau Diabeteson - tsis muaj dab tsi. Kuv puas yuav tsum pib noj cov tshuaj amaryl?

Qhov xwm txheej zoo li tus sau ntawm cov lus nug dhau los. Vim ntau xyoo ntawm kev kho tsis raug, hom 2 mob ntshav qab zib tau hloov pauv mus rau hom mob ntshav qab zib hom 1 ntau. Tsis muaj tshuaj yuav muab qhov tshwm sim. Ua raws li hom kabmob ntshav qab zib hom 1, pib txhaj insulin. Hauv kev xyaum, feem ntau nws tsis tuaj yeem tsim kho txoj cai kho rau cov neeg mob ntshav qab zib. Yog hais tias tus neeg mob qhia tsis nco qab thiab mob siab - tawm txhua yam raws li nws, thiab tos twj ywm.

Txog hom mob ntshav qab zib hom 2, tus kws kho mob tau sau 850 mg rau ib hnub Siofor rau kuv. Tom qab 1.5 lub hlis, nws pauv mus rau Diabeton, vim tias qab zib tsis poob txhua. Tab sis cov tshuaj tshiab no tseem siv me ntsis. Puas tsim nyog nws mus rau Glibomet?

Yog tias Diabeton tsis txo cov piam thaj, ces Glybomet yuav tsis muaj kev siv lawm. Xav kom qis dua cov piam thaj - pib txhaj cov tshuaj insulin. Txog rau qhov xwm txheej ntawm tus kab mob ntshav qab zib siab, tsis muaj lwm yam tshuaj zoo tau tseem tau tsim. Ua ntej tshaj plaws, hloov mus rau qhov kev noj haus kom tsawg cov zaub mov kom tsawg thiab tsis txhob noj cov tshuaj phem. Txawm li cas los xij, yog tias koj twb muaj keeb kwm ntev ntev ntawm tus mob ntshav qab zib hom 2 thiab koj tau raug kho tsis raug nyob rau xyoo dhau los, ces koj kuj yuav tsum tau txhaj tshuaj insulin. Vim tias tus txiav ua kom tiav thiab tsis tuaj yeem tiv tau yam tsis muaj kev txhawb nqa. Kev noj zaub mov kom tsawg-carbohydrate yuav txo koj cov piam thaj, tab sis tsis yog rau txoj cai. Yog li qhov kev tsis sib haum xeeb tsis tsim tawm, qab zib yuav tsum tsis siab tshaj 5.5-6.0 mmol / l 1-2 teev tom qab noj mov thiab sawv ntxov ntawm lub plab khoob. Maj mam txhaj cov tshuaj insulin me ntsis kom ua tiav lub hom phiaj no. Glibomet yog cov tshuaj sib xyaw. Nws suav nrog glibenclamide, uas muaj tib cov teeb meem cuam tshuam zoo li Diabeton. Tsis txhob siv cov tshuaj no. Koj tuaj yeem nqa tshuaj "ntshiab" metformin - Siofor lossis Glyukofazh. Tab sis tsis muaj tshuaj muaj peev xwm hloov cov tshuaj insulin.

Puas muaj peev xwm nrog tus mob ntshav qab zib hom 2 noj ntshav qab zib thiab reduxin rau cov kev poob phaus tib lub sijhawm?

Yuav ua li cas Diabeton thiab reduxin cuam tshuam nrog ib leeg - tsis muaj ntaub ntawv. Txawm li cas los xij, Diabeton stimulates zus ntawm insulin los ntawm tus txiav. Cov Insulin, nyeg, hloov cov piam thaj rau hauv cov rog thiab inhibits qhov tawg ntawm adipose ntaub so ntswg. Ntau cov insulin hauv cov ntshav, qhov nyuaj dua nws yog qhov poob phaus. Yog li, Diabeton thiab reduxin muaj qhov sib txawv. Reduxin ua rau muaj kev phiv loj heev thiab cov kev quav sai tshwm sim rau nws. Nyeem kab lus “Yuav ua li cas thiaj poob ceeb thawj nrog ntshav qab zib hom 2.” Tsis txhob noj ntshav qab zib thiab reduxin. Hloov mus rau qhov kev noj zaub mov tsis muaj roj kom tsawg. Nws normalizes qab zib, ntshav siab, roj cholesterol nyob rau hauv cov ntshav, thiab cov phaus ntxiv yuav ploj mus.

Kuv tau noj tshuaj Mob Ntshav Qab Zib MV tau 2 xyoo lawm, yoo cov piam thaj ceev txog 5.5-6.0 mmol / l. Txawm li cas los xij, qhov kev hnov mob nyob hauv cov taw tau tsis ntev los no thiab qhov pom kev poob qis. Vim li cas tus kab mob ntshav qab zib pib tshwm sim txawm hais tias qab zib yog dab tsi?

Tus kws kho mob tau hais rau tus mob ntshav qab zib kom muaj ntshav qab zib ntau, nrog rau kev noj zaub mov kom muaj calorie tsawg thiab tsis qab zib. Tab sis nws tsis tau hais tias yuav txwv ntau npaum li cas rau cov calories kom tsawg. Yog tias kuv noj 2,000 calories ib hnub twg, puas yog qhov qub? Lossis koj puas xav tau siv tsawg dua?

Kev tshaib plab dhau los pab kev tswj cov ntshav qab zib, tab sis hauv kev coj ua, tsis muaj. Vim tias txhua tus neeg mob nws txav deb ntawm nws. Tsis xav tau tas li nyob nrog kev tshaib plab! Kawm thiab ua raws li hom kho mob ntshav qab zib hom 2. Hloov mus rau qhov kev noj haus cov zaub mov tsis muaj carbohydrate - nws zoo siab, qab thiab txo qis qab zib kom zoo. Tsis txhob noj cov tshuaj muaj kuab puas tsuaj. Yog tias tsim nyog, txhaj cov tshuaj insulin me ntsis ntxiv. Yog tias koj cov ntshav qab zib tsis tau khiav, ces koj tuaj yeem khaws cov piam thaj ib txwm yam tsis muaj kev txhaj tshuaj ntxiv.

Kuv noj tshuaj Mob Ntshav Qab Zib thiab Metformin los them rau kuv T2DM. Cov ntshav qab zib tuav 8-11 mmol / L. Tus kws endocrinologist hais tias qhov no yog qhov tshwm sim zoo, thiab kuv cov teebmeem kev noj qab haus huv muaj feem ntsig txog lub hnub nyoog. Tab sis kuv xav tias cov teeb meem mob ntshav qab zib tau tsim kho. Dab tsi ntau txoj kev kho mob koj tuaj yeem qhia?

Muaj ntshav qab zib ib txwm - zoo ib yam li cov neeg noj qab haus huv, tsis siab dua 5.5 mmol / l tom qab 1 thiab 2 teev tom qab noj mov. Ntawm ib qho nqi siab dua, cov teeb meem ntshav qab zib muaj zog tuaj. Yuav kom txo qis koj cov piam thaj thiab kom nws nyob zoo li qub, kawm thiab ua raws li hom kho ntshav qab zib hom 2. Qhov txuas rau nws yog muab nyob rau hauv lo lus teb rau lo lus nug dhau los.

Tus kws kho mob tau hais kom noj cov kab mob ntshav qab zib MV thaum hmo ntuj, kom ib txwm muaj qab zib thaum sawv ntxov ntawm lub plab khoob. Tab sis cov lus qhia hais tias koj yuav tsum noj cov tshuaj no rau noj tshais. Kuv yuav tsum ntseeg leej twg - cov lus qhia lossis kev xav ntawm kws kho mob?

Tus mob ntshav qab zib hom 2 uas muaj 9 xyoo kev paub, hnub nyoog 73 xyoo. Qab zib nce mus txog 15-17 mmol / l, thiab manin tsis txo nws. Nws pib poob ceeb thawj. Kuv Puas Yuav Tsum Hloov Mus Rau Diabeton?

Yog tias mannin tsis txo cov piam thaj, tom qab ntawv yuav tsis muaj kev nkag siab los ntawm Diabeton. Kuv tau pib poob ceeb thawj - uas txhais tau tias tsis muaj hom tshuaj yuav pab tau. Nco ntsoov txhaj cov tshuaj insulin. Kev khiav ntshav qab zib hom 2 tau hloov mus ua hom mob ntshav qab zib hom 1, yog li koj yuav tsum kawm thiab siv txoj kev kho mob ntshav qab zib hom 1. Yog tias nws tsis tuaj yeem tsim kom muaj cov tshuaj insulin rau cov laus ntshav qab zib, tso txhua yam raws li nws tau thiab ua siab ntev tos kom txog thaum kawg. Tus neeg mob yuav nyob ntev dua yog tias nws tso txhua yam tshuaj mob ntshav qab zib.

Kev Ntsuam Xyuas Rau Neeg Mob

Thaum cov neeg pib noj cov Ntshav Qab Zib, lawv cov ntshav qab zib cov ntshav yuav poob sai sai. Cov neeg mob nco ntsoov qhov no hauv lawv kev tshuaj xyuas. Kev hloov kho cov ntsiav tshuaj tsis tshua muaj peev xwm ua rau ua rau lub ntsej muag ntshav qis thiab feem ntau ua tau zoo rau. Tsis muaj ib txoj kev tshuaj xyuas txhua yam txog cov tshuaj Mob Ntshav Qab Zib MV nyob rau hauv uas mob ntshav qab zib yws tias mob ntshav qab zib. Cov kev mob tshwm sim los ntawm kev ua rau pancreatic depletion tsis tshwm sim sai, tab sis tom qab 2-8 xyoos. Yog li, cov neeg mob uas pib noj cov tshuaj tsis ntev los no tsis hais txog lawv.

Oleg Chernyavsky

Tau 4 xyoos Kuv tau noj tshuaj Diabeton MV 1/2 ntsiav tshuaj thaum sawv ntxov thaum noj tshais. Ua tsaug rau qhov no, qab zib yuav luag zoo li qub - los ntawm 5.6 txog 6.5 mmol / L. Yav dhau los, nws ncav cuag 10 mmol / l, txog thaum nws pib kho nrog cov tshuaj no. Kuv sim txwv cov khoom qab zib thiab noj kom tsawg, raws li kws kho mob qhia, tab sis qee zaum kuv zom.

Teeb meem ntawm ntshav qab zib muaj tshwm sim thaum qab zib nce mus ntau ntau teev tom qab txhua pluas noj. Txawm li cas los xij, kev yoo mov plasma ntshav qab zib ntau ntau yuav nyob li qub. Kev tswj cov piam thaj sai thiab tsis ntsuas nws 1-2 teev tom qab noj mov yog kev dag nws tus kheej. Koj yuav them rau nws nrog qhov pib pom ntawm muaj mob nyhav. Thov nco ntsoov tias cov qauv ntshav qab zib cov ntshav qab zib tseem ceeb rau cov ntshav qab zib muaj ntshav ntau dhau. Hauv cov neeg muaj kev noj qab haus huv, qab zib tom qab noj mov tsis nce siab tshaj 5.5 mmol / L. Koj kuj yuav tsum siv zog rau cov ntsuas no, thiab tsis mloog cov lus dab neeg hais tias qab zib tom qab noj mov 8-11 mmol / l zoo heev. Ua kom cov ntshav qab zib tau zoo tuaj yeem ua tiav los ntawm kev hloov mus rau kev noj zaub mov kom tsis rog lossis ua kom qis thiab lwm yam haujlwm tau piav qhia nyob hauv Diabetes-Med.Com lub vev xaib.

Svetlana Voitenko

Tus kws kho mob endocrinologist tau sau ntawv rau kuv rau tus mob ntshav qab zib, tab sis cov tshuaj no tsuas muaj mob zuj zus. Kuv tau noj nws rau 2 xyoos, lub sijhawm no kuv tau dhau los ua ib tus poj niam laus tiag tiag. Kuv poob 21 kg. Lub zeem muag poob, lub hnub nyoog tawv ua ntej lub qhov muag, teeb meem nrog ceg pom. Qab zib yog qhov txaus ntshai txawm tias ntsuas nrog glucometer. Kuv ntshai yam ntshav qab zib hom 2 tau hloov mus ua hom mob ntshav qab zib hom 1 ntau heev.

Hauv cov neeg mob rog uas muaj yam mob ntshav qab zib hom 2, sulfonylurea derivatives ua rau tsis zoo li tus txiav, feem ntau yog tom qab 5-8 xyoos. Hmoov tsis zoo, nqaim thiab nyias cov neeg ua qhov no sai dua. Kawm cov ntawv sau ntawm LADA mob ntshav qab zib thiab xeem cov kev xeem uas tau teev tseg rau hauv nws. Txawm hais tias yog tias muaj ib qho kev pom tsis pom kev hauv lub cev hnyav, tom qab ntawv tsis muaj kev soj ntsuam txhua yam yog qhov tseeb ... Kawm cov phiaj xwm kho mob ntshav qab zib hom 1 thiab ua raws cov lus pom zoo. Ncua tseg Diabeton tam sim ntawd. Cov tshuaj insulin yog qhov tsim nyog, koj tuaj yeem ua tsis tau yam tsis muaj lawv.

Andrey Yushin

Tsis ntev los no, tus kws kho mob mus koom ntxiv 1/2 ntsiav tshuaj ntawm metformin rau kuv, uas kuv tau coj ua ntej. Cov tshuaj tshiab tshwm sim los ntawm cov nyhuv atypical - cov teeb meem zom zaub mov. Tom qab noj mov, kuv hnov lub nra hnyav hauv kuv lub plab, tsam plab, qee zaum kub siab. Tseeb, qab los poob. Qee zaum koj tsis hnov tshaib plab, vim tias lub plab tau tsau lawm.

Cov tsos mob tau piav tsis yog kev phiv los ntawm cov tshuaj, tab sis muaj kev cuam tshuam ntawm cov ntshav qab zib hu ua gastroparesis, tuag tes tuag taw ib feem. Nws tshwm sim vim kev ua haujlwm tsis zoo ntawm cov hlab ntsha uas nkag mus rau lub zog ntawm lub cev tsis txaus thiab tswj cov plab zom mov. Qhov no yog ib qho qhia tau ntawm tus mob ntshav qab zib neuropathy. Kev ntsuas tshwj xeeb yuav tsum tau ua rau qhov cuam tshuam no. Nyeem tsab xov xwm "Cov kab mob ntshav qab zib" nyob rau hauv ntau dua. Nws thim rov qab - koj tuaj yeem tshem tawm nws kiag li. Tab sis kev kho mob yog qhov teeb meem ntau. Kev noj zaub mov kom tsis txhob rog-rog, ua kom tawm dag zog, thiab txhaj tshuaj insulin yuav pab kom qab zib tsuas yog tom qab koj lub plab ua haujlwm tas. Tus mob ntshav qab zib yuav tsum tau tshem tawm, zoo li txhua yam mob ntshav qab zib, vim nws yog ib qho tshuaj lom neeg.

Tom qab nyeem tsab xov xwm, koj tau kawm txhua yam koj xav paub txog cov tshuaj Diabeton MV. Cov tshuaj no sai thiab khov kho cov ntshav qab zib. Tam sim no koj paub yuav ua li cas lawv ua. Nws tau piav qhia nyob rau hauv cov ntsiab lus saum toj no yuav ua li cas Diabeton MV txawv ntawm sulfonylurea derivatives ntawm yav dhau los tiam. Nws muaj qhov zoo, tab sis kev tsis zoo tseem yuav outweigh lawv. Nws raug nquahu kom hloov mus rau hom kev kho mob ntshav qab zib hom 2 los ntawm tsis kam noj tshuaj tsis zoo. Sim noj cov zaub mov uas tsis muaj cov carbohydrate tsawg - thiab tom qab 2-3 hnub koj yuav pom tias koj tuaj yeem yooj yim kom qab zib. Tsis tas yuav noj sulfonylurea derivatives thiab raug kev txom nyem los ntawm cov kev mob tshwm sim.