Cov lus qhia ntawm Glimepiride, tus nqi, analogues, tshuaj xyuas

Glimepiride yog cov tshuaj uas niaj hnub pab txhawb kev tsim cov tshuaj insulin, tshem tawm glycemia.

Thawj thawj zaug, tshuaj yog tshuaj los ntawm Sanofi.

Niaj hnub no nyob hauv txhua lub teb chaws xws li cov tshuaj tau tsim.

Cov lus qhia rau kev tshem tawm glycemia yog yooj yim, cov tshuaj muaj ntau cov analogues uas muaj nqis. Cov tshuaj yog ib qho tseem ceeb ntawm kev kho mob nyuaj, kev kho mob monotherapy tsis tshem tawm glycemia.

Kev ntsuas rau siv

Glimepiride tau tsim tawm rau cov ntshav qab zib hom 2, thaum kev noj haus thiab kev tawm dag zog tsis coj tawm, qhov hnyav poob tsis txo tus mob.

Yog tias cov tshuaj tsis ua hauj lwm zoo txaus, koj tuaj yeem sib xyaw nws nrog metformin lossis tshuaj pleev insulin.

Daim ntawv tso tawm

Glimepiride muaj nyob rau hauv cov ntsiav tshuaj thiab tshuaj ntsiav, tau muab faib ua 4 hom:

• 1 mg tshuaj ntsiav tshuaj ntsiav
• 2 mg kua qaub,
• 3 mg daj
• 4 mg xiav.

Cov tshuaj ntsiav muaj nyob rau hauv txhuas cov hlwv ntim rau hauv ib lub thawv ntawv thawv. Lub txee ua haujlwm siab tshaj plaws yog 3 xyoos ntawm chav tsev kub.

Tus nqi ntawm cov tshuaj hauv khw muag tshuaj yog los ntawm 153 txog 355 rubles. Glimepiride muag los ntawm cov tshuaj nkaus xwb.

Tus nquag muaj cov tshuaj glimepiride los ntawm 1 txog 6 mg yog suav nrog ib ntsiav tshuaj.

Cov muaj mob: lactose, cellulose, polysorbate 80, povidone K-30.

Cov lus qhia rau kev siv

Txhawm rau kom glycemia ua tiav, nws tsis txaus siv tshuaj nkaus xwb. Cov neeg mob npaj qis noj cov zaub mov uas tsis muaj carb ntau, qhov chaw nyob so ib puag ncig nrog lub zog ntawm lub paj hlwb tsawg kawg. Cov kws kho mob tas li soj ntsuam cov ntshav qab zib, kev tawm dag zog tas li nrog cov kev tawm dag zog tsawg kawg.

Glimepiride yog kev tiv thaiv ntawm kev kho kom zoo. Lub zog ua tau ua tiav 2-3 zaug hauv ib lim tiam. Taug kev nrawm nrawm li 3 zaug hauv ib asthiv. Ua luam dej, caij tsheb kauj vab - 1 zaug ib lub lim tiam. Txhua txhua hnub koj yuav tsum nce ntaiv, tswj lub siab taug kev.

Kev kho lub cev yog qhov tsim nyog rau tus neeg muaj ntshav qab zib hom 2, ua rau muaj kev ua neej nyob rau sedentary. Tsis muaj kev so hauv qhov chaw ruaj khov, tus neeg mob tau tso cai rau nyob hauv ib lub siab tshaj li ib nrab ntawm ib teev. Dosage yog txiav txim siab nyob ntawm theem ntawm tus kab mob, kev tsis sib haum xeeb, ua kom muaj kev haum xeeb, muaj hnub nyoog li cas, lub cev tawm tsam rau cov khoom sib txuam ntawm cov tshuaj.

Cov kws kho mob qhia glimepiride noj 1 g ib hnub. Tom qab ob peb lub lis piam, thaum thawj cov txiaj ntsig tshwm sim, cov koob tshuaj tau hloov pauv los ua kom cov nyhuv. Tsis tshua muaj, cov kws kho mob sau ntawv rau 4 mg ib hnub twg. Qhov siab tshaj plaws tau tso cai ntawm cov tshuaj yog 6 mg rau ib hnub. Qhov ntau kawg ntawm cov metformin tsis ua tiav glycemia. Yog li, cov kab mob ntshav qab zib tseem siv cov tshuaj glimepiride.

Kev sib xyaw ua ke yog nqa tawm nrog qhov tsawg kawg ntawm kev siv glimepiride. Kev tshuaj xyuas cov piam thaj tsis tu ncua tso cai rau koj los txiav txim kev siv tshuaj kom tsim nyog. Txhua yam kev hloov pauv mus rau chav kawm ntawm txoj kev kho yog ua tom qab kev pom zoo los ntawm tus kws kho mob nkaus xwb. Kev sib xyaw ntawm glimepiride nrog insulin yog ua tau. Qhov ntau npaum li cas hauv cov xwm txheej no yog qhov tsawg heev.

Raws li cov txiaj ntsig ntawm kev tsom xam, kev noj ntau npaum hloov txhua ob lub lis piam. Cov tshuaj yog sib xyaws nrog noj mov, nws raug nquahu kom haus cov ntsiav tshuaj rau pluas tshais. Nws raug nquahu kom koj noj tshuaj 15 feeb ua ntej noj mov kom lawv siv. Yog tias tus neeg mob tsis nco qab noj tshuaj, koj yuav tsum siv nws kom sai li sai tau yam tsis muaj kev hloov pauv kev noj tshuaj.

Thaum cov koob tshuaj tsawg kawg nkaus ua rau cov ntshav qab zib tsis txaus, cov kws kho mob tso tseg cov tshuaj, vim tias tus neeg mob tsis tuaj yeem tswj cov qib qab zib nrog kev noj zaub mov, kev siab tus, kev kawm paub lub cev. Insulin tsis kam tsawg dua thaum nws muaj peev xwm tswj hwm tus mob ntshav qab zib hom 2, maj mam xav tau tshuaj ploj. Nws yog ib qho tsim nyog yuav tau hloov cov tshuaj nrog kev poob phaus nrawm nrawm, hloov ntawm hom kev tawm dag zog lub cev, hauv kev ntxhov siab hnyav lossis nyob hauv qab ntawm lwm yam cuam tshuam rau kev mob glycemic.

Kev cuam tshuam nrog lwm yam tshuaj

Cov tshuaj ua haujlwm zoo dua thaum ua ke nrog cov tshuaj no:

• Cov tshuaj insulin
• Allopurinol,
• Dizopyramiddol,
• Miconazole
• Tetracycline
• Azapropazone.

Kev siv cov glimepiride nrog qee yam tshuaj provokes ua rau lub zog ntawm lub ntsej muag hypoglycemic. Yog li, lwm cov tshuaj tsuas yog siv tom qab kev tso cai los ntawm tus kws kho mob.

Kev txo qis hauv cov ntshav hauv lub ntsej muag thiab nce ntshav qab zib tshwm sim nrog kev sib xyaw ntawm cov tshuaj no:

Cov tsos mob ntawm cov ntshav qog ua kom tsis muaj zog lossis tshem tawm tag nrho thaum cuam tshuam nrog beta-blockers. Tawm tsam keeb kwm yav dhau los ntawm kev siv glimepiride, kev hloov pauv hauv cov kev ua ntawm kev coj ua ntawm marmarin derivatives tshwm sim. Nrog rau kev siv ua ke ua cov tshuaj uas txo cov ntshav tsim los ntawm cov pob txha pob txha, yuav muaj feem ntau ntawm myelosuppression nce. Cov dej cawv muaj qhov sib txawv ntawm cov nyhuv hypoglycemic.

Sab sij huam

Peb sau cov kev mob tshwm sim lub ntsiab:

• nyuaj hypoglycemia, zoo li mob hlab ntsha tawg, tab sis cov tsos mob tshem tawm tom qab txiav tawm tus mob,
• teeb meem tsis pom kev vim hloov ntshav qab zib, ua rau deformation ntawm lub lens, hloov ntawm lub kaum sab xis ntawm kev tsis kam ntawm lub teeb,
• muaj teeb meem nrog cov qe ntshav
• ntuav, xeev siab, raws plab, mob plab, lub siab tso tawm ntau cov enzymes, daj ntseg, cholestasis tshwm sim, hauv cov xwm txheej nyuaj, lub raum tsis ua haujlwm,
• teeb meem nrog kev tiv thaiv kab mob, kev ua xua, vasculitis, hloov pauv mus rau lub teeb, ntshav siab sai sai, ua pa luv tshwm sim, anaphylactic poob siab. Ntawm thawj lub cim qhia ntawm urticaria, koj yuav tsum hu rau tus kws tshaj lij.

Qee zaum cov ntsev hauv cov ntshav tau tsawg.

Cov Yuav Tsum Muaj

Tsis txhob siv rau tej lub sijhawm zoo li no:

• cev xeeb tub
• kev tsis haum rau cheeb tsam Cheebtsam,
• ketoacidosis cov neeg mob
• nrog ntshav qab zib hom 1,
• nrog rau qhov ua ntej lossis tsis nco qab

Contraindication yog kab mob siab thiab mob raum.

Noj ntau dhau

Kev noj ntau dhau yog qhov ua kom muaj ntshav qab zib, uas kav mus txog 3 hnub. Tom qab kev so tawm, ib qho kev rov quav ntxiv feem ntau tshwm sim. Cov tsos mob tsis ploj mus ib hnub tom qab kev nqus ntawm cov tshuaj hauv lub plab zom mov.

Cov tsos mob hauv qab no tshwm sim:

• xeev siab
• ntxhoo
• sab xis mob lawm
• kev xav txawv txav ntxiv
• txhais tes yuav tshee
• lub zeem muag deteriorates
• teeb meem nrog kev ua haujlwm ntawm kev txav,
• tus tib neeg los nco qab lawm
• cramps tshwm sim
• pheej xav pw tsaug zog.

Txhawm rau txo cov nyhuv ntawm cov tshuaj, nws yog ib qhov tsim nyog los ua kom ntuav rov qab los yog yaug lub plab nrog ib yam dab tsi, haus dej ua kom raug hluav ncaig, thiab mob plab. Hauv qee kis, tus neeg mob xa mus rau tsev kho mob, piam thaj raug txhaj tshuaj, thiab ntshav qab zib tau saib xyuas.

Nov tsis yog tag nrho cov tshuaj; txhua txhua xyoo cov tshuaj tshiab nkag mus rau tom khw.

Konstantin, 48 xyoo:

Kuv siv glimepiride nrog kev pib muab 2 mg, tam sim no kuv noj 4 mg 2 zaug hauv ib hnub thaum sawv ntxov thiab yav tsaus ntuj. Kuv yuav ib cov tshuaj lag luam hauv tebchaws, vim tias cov tshuaj muaj npe tuaj kim heev. Qab zib tuaj yeem txo los ntawm 13 mus rau 7, rau kuv nws yog qhov taw qhia zoo. Tus kws kho mob pom zoo haus cov tshuaj ua ntej yuav noj hmo lossis noj tshais. Txwv tsis pub, qab zib poob ntau dhau. Rau pluas tshais koj yuav tsum noj porridge, nqaij, haus txhua yam nrog mis.

Tom qab noj tshuaj endocrinologist, kuv txoj kev kho tau kho thiab Glimepirid tau raug tshuaj. Cov tshuaj txo cov ntshav qab zib kom zoo. Thaum xub thawj kuv yuav Glimepiride Canon, cov nyhuv yog txaus siab, yog li kuv sim siv cov tshuaj no xwb. Cov ntsiav tshuaj muaj qhov me me, yooj yim rau nqos. Cov lus qhia rau cov tshuaj yog cov loj heev, cov tuam ntxhab kho lawv cov neeg siv khoom nrog lub luag haujlwm. Muaj ob peb cov kev phiv, tej zaum kuv yuav tsum tau ua tsaug rau kuv lub cev rau qhov no.

Cov tshuaj yog siv los txhim kho glycemia cim ntawm cov neeg mob ntshav qab zib nrog hom thib ob ntawm tus kab mob. Cov lus qhia tsis txiav txim siab rau qhov twg qhov kev siv tshuaj yeeb tshuaj, tshuaj thiab cov chav kawm ntawm kev kho yog txiav txim siab tsuas yog endocrinologist. Qab zib hauv cov ntshav qab zib tau nce ntxiv vim yog qhov kev xav tsis zoo ntawm cov enzymes pancreatic, qhov txo qis hauv insulin ntau lawm. Kev tawm tsam tshwm sim txog thaum tshwm sim thawj cov tsos mob ntshav qab zib, thiab kuaj hauv cov neeg mob rog.

Cov teeb meem tshwm sim vim qhov khoom tsis zoo, nyob rau hauv txoj kev ua neej muaj sia thiab muaj teeb meem nrog kev rog dhau. Hauv lub xeev no, cov tshuaj insulin yog ua rau hauv qhov ntau, lub hlwb muaj peev xwm tiv taus ntau, lub cev tsis tuaj yeem kov yeej cov mob no, cov ntshav tsis zoo ntawm cov piam thaj ntau dhau. Tus neeg mob yuav tsum pauv nws txoj kev ua neej, ua si kis las, noj kom yog, noj tshuaj rau haus.