Glucobai rau cov ntshav qab zib hom 2 thiab rau poob

Glucobai yog lub cim kev tswj hwm ntawm txhua hnub ntawm glycemia. Nws ua haujlwm ceeb toom: nws tsis tshem tawm cov piam thaj hauv cov ntshav, zoo li lwm cov tshuaj tiv thaiv kab mob, tab sis txwv tsis pub nws nkag mus rau hauv cov hlab ntsha ntawm lawv txoj hnyuv. Cov tshuaj no kim dua thiab tsis ua haujlwm zoo dua li metformin lossis glibenclamide, feem ntau ua rau teeb meem plab zom mov.

Feem ntau cov neeg endocrinologist xav txog Glucobai ib qho tshuaj tiv thaiv. Nws yog tshuaj thaum tus mob ntshav qab zib muaj qhov tsis sib haum rau kev noj lwm yam tshuaj lossis ua ke nrog lawv txhawm rau txhim kho cov kev tiv thaiv hypoglycemic. Glucobai kuj tseem paub zoo hauv cov voj voog xav kom yuag yuag uas yog txhais tau tias yuav txo cov calories ntau ntawm cov zaub mov.

Yuav ua li cas Glucobay

Cov tshuaj nquag ntawm Glucobay yog acarbose. Hauv cov hnyuv me, acarbose dhau los ua tus neeg sib tw rau saccharides, uas tuaj nrog zaub mov. Nws qeeb, lossis inhibits, alpha-glucosidases - cov enzymes tshwj xeeb uas zom cov carbohydrates rau monosaccharides. Ua tsaug rau qhov kev nqis tes no, qhov nqus ntawm cov piam thaj hauv cov ntshav tau ncua, thiab qhov dhia ceev hauv glycemia tom qab noj mov yog tiv thaiv kab mob ntshav qab zib mellitus. Tom qab noj cov ntsiav tshuaj, ib feem ntawm cov piam thaj yog nqus nrog lub sijhawm qeeb, lwm qhov yog tawm los ntawm lub cev tsis muaj qhov tiv thaiv.

Acarbose hauv lub cev yog xyaum tsis nqus, tab sis yog metabolized hauv cov hnyuv. Ntau tshaj li ib nrab ntawm acarbose yog tawm hauv quav, yog li nws tuaj yeem kho rau nephropathy thiab daim siab tsis ua haujlwm. Li ib feem peb ntawm cov metabolites ntawm cov tshuaj no nkag mus rau hauv cov zis.

Cov lus qhia rau kev siv tso cai rau kev siv Glucobay nrog metformin, sulfonylurea kev npaj, insulin. Cov tshuaj nws tus kheej tsis tuaj yeem ua rau mob ntshav qab zib tsawg, tab sis yog tias tag nrho cov koob tshuaj hypoglycemic ntau dua li qhov xav tau rau lawv, qab zib tuaj yeem poob qis dua ib txwm.

Leej twg yog tus muab tshuaj rau

Glucobay tshuaj yog kws kho:

Txhawm rau them rau kev mob ntshav qab zib hom 2 tib lub sijhawm kev hloov kho khoom noj. Cov tshuaj tsis tuaj yeem hloov tag nrho cov zaub mov uas tsis muaj carb qis rau cov neeg mob ntshav qab zib, vim tias qhov no yuav tsum tau noj ntau dhau, thiab nrog rau kev noj ntau dua, qhov feem ntau ntawm cov kev mob tshwm sim ntawm Glucobay kuj nce ntxiv.
Txhawm rau tshem tawm cov me yuam kev hauv cov zaub mov noj.
Raws li ib feem ntawm kev kho mob dav dav nrog lwm cov tshuaj, yog tias lawv tsis muab cov phiaj xwm theem ntawm glycemia.
Ntxiv rau metformin, yog tias tus mob ntshav qab zib tau muaj cov insulin ntau ntau thiab sulfonylureas tsis qhia.
Yog tias koj xav txo qis cov tshuaj insulin hauv hom 2 mob ntshav qab zib. Raws li cov mob ntshav qab zib, cov koob tshuaj tuaj yeem txo los ntawm 10-15 units ib hnub.
Yog hais tias triglycerides nyob rau hauv cov ntshav yog siab dua ib txwm. Tshaj li cov insulin txwv tsis pub tshem tawm cov lipids los ntawm cov hlab ntshav. Los ntawm kev txo cov ntshav qab zib, Glucobai kuj tshem tawm hyperinsulinemia.
Txog tom qab pib kev siv tshuaj insulin. Cov neeg mob ntshav qab zib feem ntau nyiam thev taus cov kev mob tshwm sim ntawm cov tshuaj rau kev ntshai ntawm cov tshuaj insulin.
Hauv kev kho mob thaum pib mob ntawm cov metabolism hauv cov metabolism: muaj ntshav qab zib, NTG, metabolic syndrome. Cov lus qhia tau qhia tias Glucobai nrog kev siv tsis tu ncua 25% txo qhov kev pheej hmoo ntawm kev tsim muaj ntshav qab zib. Txawm li cas los xij, muaj pov thawj pom tias cov tshuaj tsis cuam tshuam rau qhov tseem ceeb ntawm kev tsis txaus siab: muaj peev xwm tiv thaiv insulin thiab kev nce siab ntxiv nyob hauv lub siab los ntawm lub siab, yog li cov kws kho mob nyiam sau tshuaj metformin ntau dua rau kev tiv thaiv ntshav qab zib.
Txhawm rau tswj lub cev hnyav. Nrog ntshav qab zib, cov neeg mob yuav tsum tau lossi tua rog. Glucobay pab ua kom muaj qhov hnyav tsis txaus, thiab qee kis kuj tseem ua rau poob phaus.

Kev txheeb xyuas pom tau tias cov tshuaj muaj txiaj ntsig zoo tshaj plaws rau cov neeg mob ntshav qab zib nrog cov ntshav qab zib tsawg thiab muaj cov ntshav txhaws tom qab. Cov kev tshawb fawb soj ntsuam tau pom tias txo qis qab zib: ntawm lub plab khoob los ntawm 10%, tom qab noj mov 25% rau rau lub hlis ntawm kev kho mob nrog Glucobay. Qhov txo qis hauv glycated hemoglobin ntau txog 2.5%.

Cov lus qhia rau coj cov tshuaj

Glucobai ntsiav tshuaj yog qaug dej qaug cawv tam sim ua ntej noj mov, ntxuav nrog lub ntim me me hauv dej, lossis zom ua ke nrog thawj ib nrab ntawm cov zaub mov. Qhov koob tshuaj txhua hnub tau muab faib ua 3 zaug thiab noj nrog zaub mov tseem ceeb. Lwm lub sijhawm, cov tshuaj tsis muaj txiaj ntsig. Glucobay muaj 2 txoj kev xaiv tshuaj: 50 lossis 100 mg ntawm acarbose hauv 1 ntsiav tshuaj. Ib ntsiav tshuaj 50 mg yog qaug cawv tag nrho, Glucobai 100 mg kev qhia tso cai rau koj faib ib nrab.

Koob xaiv Algorithm:

Cov koob tshuaj txhua hnub	Mob ntshav qab zib mellitus	Mob Ntshav Qab Zib
Pib	150 mg	50 mg ib hnub ib zaug
Qhov zoo tshaj nruab nrab	300 mg	300 mg
Niaj hnub ntau	600 mg	Tshaj dhau cov koob tshuaj zoo tsis pom zoo.
Ib-lub sij hawm siab tshaj plaws	200 mg	Tshaj dhau cov koob tshuaj zoo tsis pom zoo.

Glucobai ntau npaum li cas tau nce yog tias qhov pib tsis muab cov phiaj xwm thaj suab thaj. Txhawm rau tiv thaiv kev phiv, nce cov ntsiav tshuaj qeeb heev. 1-2 hlis yuav tsum dhau ntawm kev hloov kho koob tshuaj. Nrog rau kev mob ntshav qab zib, qhov pib hloov mus txog qhov zoo tshaj hauv 3 lub hlis. Raws li kev txheeb xyuas, cov qauv zoo ib yam yog siv rau cov kev poob phaus uas yog rau kho mob ntshav qab zib.

Tus nqi ntawm ib pob ntawm 30 ntsiav tshuaj ntawm Glucobai 50 mg - txog 550 rubles., Glucobai 100 mg - 750 rubles. Thaum noj qhov nruab nrab qhov ntau, kev kho yuav raug nqi tsawg kawg yog 2250 rubles. hauv ib hlis.

Yam phiv uas yuav yog

Thaum cov kev tshawb fawb soj ntsuam ntawm Glucobay, cov kev mob tshwm sim hauv qab no tau txheeb xyuas thiab ua raws li cov lus qhia (npaj rau hauv kev ua kom tsawg zuj zus):

Ntau zaus - muaj roj ntau ntxiv nyob rau hauv cov hnyuv.
Feem ntau - mob plab vim kev sib txuam ntawm cov pa roj, mob plab zom mov.
Ncaj nceeg - qhov nce ntawm theem ntawm daim siab enzymes, thaum noj Glucobay nws tuaj yeem ua rau luv luv thiab ploj ntawm nws tus kheej.
Tsis tshua muaj, qhov tsis txaus ntawm cov enzymes hauv plab, xeev siab, ntuav, o, daj ntseg.

Hauv lub sijhawm tom qab tshaj tawm, cov ntaub ntawv tau txais ntawm kev ua xua rau lub Cheebtsam ntawm Glucobai ntsiav tshuaj, mob plab hnyuv, mob siab, thrombocytopenia. Acarbose ib nrab suppress lub lactase, uas yog qhov tsim nyog rau kev ua kom piam ntawm cov piam thaj hauv cov mis, yog li thaum noj cov tshuaj, intolerance mus rau tag nrho cov mis yuav nce ntxiv.

Qhov ntau zaus thiab qhov mob tsis txaus ntseeg ntawm cov tshuaj nyob ntawm nws cov koob tshuaj. Thaum kev mob tshwm sim, kev tshem yeeb tshuaj tsis yog ib txwm tsim nyog, feem ntau txo nws cov tshuaj ntau npaum li cas.

Kev siv cov Glucobay zoo heev txwv qhov kev phiv li flatulence. Yuav luag tsis muaj leej twg ua tiav hauv kev zam nws, vim tias cov tshuaj ntawm cov tshuaj ua haujlwm nws tus kheej pab txhawb ntxiv kom muaj roj. Fermentation ntawm cov undigested carbohydrates pib hauv txoj hnyuv, uas nrog kev tawm ntawm cov roj cua. Raws li, cov carbohydrates ntau muaj nyob hauv cov zaub mov, cov txheej txheem fermentation yuav muaj zog dua. Flatulence tsuas yog ua kom tsawg los ntawm kev ua raws li cov zaub mov muaj carb qis.

Tus kws kho mob ntawm Kev Tshawb Fawb Kev Kho Mob, Lub Taub Hau ntawm lub koom haum ntawm Diabetology - Tatyana Yakovleva

Kuv tau kawm mob ntshav qab zib tau ntau xyoo. Nws yog txaus ntshai thaum muaj coob tus neeg tuag, thiab haj yam ua rau neeg xiam vim ntshav qab zib.

Kuv maj nrawm los qhia txoj xov zoo - Endocrinological qhov chaw tshawb fawb ntawm Lavxias Academy ntawm Medical Science tau tswj hwm los tsim cov tshuaj uas kho cov ntshav qab zib kom meej. Thaum lub sijhawm, cov hauj lwm zoo ntawm cov tshuaj no tau nce mus txog 98%.

Lwm qhov xov xwm zoo: Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tau txais kev nyab xeeb qhov kev saws me nyuam ntawm cov haujlwm tshwj xeeb uas them rau cov nqi tshuaj ntau. Hauv Lavxias, neeg mob ntshav qab zib kom txog thaum lub Tsib Hlis 18 (suav nrog) tuaj yeem tau txais nws - Tsuas yog 147 rubles!

Rau cov mob ntshav qab zib, qhov ua kom tshwm sim no tuaj yeem suav tias yog qhov zoo. Firstly, Glucobay dhau los ua hom kev tswj hwm, tsis pub ua kom tawg rau cov khoom noj tsis haum. Thib ob, cov neeg mob ntshav qab zib feem ntau muaj qhov tso quav tawv tawv, thiab Glucobai tso cai rau koj los tswj cov quav yam tsis siv tshuaj laxa.

Cov Yuav Tsum Muaj

Nruj contraindications rau noj Glucobai - hypersensitivity rau cov tshuaj, thaum yau, HBV thiab cev xeeb tub. Hauv cov kab mob hauv plab hnyuv, yuav tsum tau kuaj ntxiv kom paub meej txog kev zom zaub mov thiab nqus dej li cas. Cov kab mob uas ua rau lub plab zom mov tuaj yeem tseem tuaj yeem ua txoj kev nyuaj rau noj Glucobay. Hauv kev mob raum tsis ua haujlwm nrog GFR Nco ntsoov kawm! Koj puas xav tias kev tswj hwm kev noj qab haus huv ntawm cov tshuaj thiab cov kua dej yog ib txoj kev los tswj cov piam thaj kom tswj? Tsis muaj tseeb! Koj tuaj yeem soj ntsuam qhov no koj tus kheej los ntawm kev pib siv nws. nyeem ntxiv >>

Kev ntsuas rau siv

"Glucobay" - ib hom tshuaj rau pawg ntawm hypoglycemic. Nws yog qhia rau tus mob ntshav qab zib hom 2 hauv kev sib xyaw nrog kev kho kom zoo. Cov tshuaj tuaj yeem siv ua ke nrog lwm cov tshuaj uas txo cov suab thaj, suav nrog cov tshuaj insulin.

Nws raug tso cai sau tshuaj rau cov neeg mob uas muaj kev tiv thaiv tsis zoo qabzib, thiab rau cov neeg hauv lub xeev cov ntshav qab zib.

Daim ntawv tso tawm

Cov tshuaj yog ib puag ncig ntsiav tshuaj convex ntawm ob sab. Xim - dawb, lub teeb daj tint yog ua tau. Ntawm ib sab nws muaj tus txaug sau rau hauv daim ntawv ntawm tus ntoo khaub lig, nyob rau lwm yam - nyob rau hauv daim ntawv ntawm qhov ntau npaum ntawm "50". Cov ntsiav tshuaj uas muaj 100 mg ntawm cov tshuaj ua kom nquag plias tsis tau kos rau hauv daim ntawv ntawm tus ntoo khaub lig.

Glucobay yog ib hom tshuaj uas tsim los ntawm lub tuam txhab German Bayer, uas muaj lub npe zoo thiab cov tshuaj zoo heev. Hauv qhov tshwj xeeb, tus nqi txiav txim siab tau piav qhia los ntawm cov yam no. Ib pob ntawm 30 ntsiav tshuaj ntawm 50 mg yuav raug nqi txog 450 rubles. Rau 30 ntsiav tshuaj, 100 mg. yuav tau them txog 570 rubles.

Lub hauv paus ntawm cov tshuaj yog cov tshuaj ntawm acarbose. Nyob ntawm seb ntau npaum li cas, nws muaj 50 lossis 100 mg. Tus kho nyhuv tshwm sim nyob hauv txoj hnyuv huam. Nws ua rau txo qis kev ua ntawm qee yam enzymes koom nrog kev rhuav tshem cov polysaccharides. Raws li qhov tshwm sim, carbohydrates yog zom ntau me ntsis, thiab, raws li, cov piam thaj yog nqus tau ntau zog.

Ntawm cov kev sib txuam me: silicon dioxide, magnesium stearate, pob kws nplej siab, microcrystalline cellulose. Vim tias tsis muaj cov lactose ntawm cov tshuaj, cov tshuaj no raug lees txais rau cov neeg mob uas tsis muaj lactase (qhia tias tsis muaj lwm yam kev ua txhaum).

Cov lus qhia rau kev siv

Cov tshuaj yog noj ntawm qhov ncauj ua ntej noj mov. Cov ntsiav tshuaj yuav tsum nqos tag nrho nrog cov kua hauv paus. Yog tias muaj teeb meem nrog nqos, koj tuaj yeem zom nws nrog thawj cov zaub mov.

Thawj koob tshuaj yog xaiv los ntawm kws kho mob cais rau txhua tus neeg mob. Raws li txoj cai, nws yog 150 mg rau ib hnub, muab faib ua 3 koob. Yav tom ntej, nws yog maj mam nce mus rau 300 mg. Tsawg kawg 2 lub hlis yuav tsum dhau mus ntawm txhua qhov kev nce ntxiv hauv koob tshuaj kom paub tseeb tias tsawg dua qhov acarbose tsis tsim cov txiaj ntsig xav tau.

Qhov yuav tsum tau kawm uantej rau noj "Glucobay" yog qhov kev noj haus. Yog tias tib lub sij hawm muaj cov pa roj ntau ntxiv thiab zawv plab, nws tsis tuaj yeem nce qhov koob. Hauv qee kis, nws yuav tsum raug txo kom tsawg.

Daim ntawv thov nta

Cov neeg laus (laus dua 60 xyoo), thiab cov neeg mob raum tsis ua haujlwm, yuav tsum tau kho ntau npaum li cas.

Rau cov menyuam yaus thiab tub ntxhais hluas, kev tswj hwm ntawm Glucobay yog contraindicated.

Cov neeg mob noj tshuaj yuav tsum ceeb toom txog qhov ua tsis tau ntawm txoj kev kho tus kheej, vim tias qhov tshem tawm sai yuav ua rau muaj ntshav qab zib sai.

Ua ke nrog rau kev noj zaub mov Glucobai ib leeg, nws tsis ua rau cov ntshav qog ntshav qab zib. Thaum muaj kev sib xyaw nrog lwm tus neeg ua kom cov piam thaj hauv qab zib, suav nrog cov tshuaj insulin, cov ntshav qog nqaij hlav ntshav yuav nce zuj zus, nce mus txog tom qab. Nres qhov kev tawm tsam no yog nqa tawm los ntawm kev siv kua nplaum.

Cov tshuaj tsis cuam tshuam rau lub peev xwm tsav lub tsheb thiab lwm yam kev siv tshuab, thiab kuj tsis txo qhov pom tseeb ntawm cov xim.

Kev siv cov tshuaj thaum cev xeeb tub thiab lactation yog contraindicated, txij li thaum tsis muaj cov ntaub ntawv txhim khu kev qha txog cov nyhuv ntawm acarbose ntawm tus me nyuam hauv plab. Yog tias yuav tau kho sai sai nrog Glucobaem, kev txhaj tshuaj yuav tsum tsis ua mus ntxiv.

Sab sij huam

Zoo li tej tshuaj noj hluavtaws, Glucobay muaj ntau cov kev mob tshwm sim. Qee tus ntawm lawv tsis tshua muaj heev, lwm tus muaj ntau dua.

Cov lus: "Qhov tsis txaus ntseeg"

Cov tsos mob	Nquag muaj tshwm sim
Muaj kev tawm tsam ntau, ua raws plab.	Feem ntau
Xeev siab	Tsis tshua muaj tshwm sim
Hloov pauv qib hauv lub siab enzymes	Tsis tshua muaj neeg pom
Cov pob liab liab ntawm lub cev, mob urticaria	Tsis tshua muaj tshwm sim
Muaj kev o	Tsis tshua muaj neeg pom

"Glucobai" muaj kev tiv thaiv zoo, qhia tawm cov kev mob tshwm sim tsis tshua muaj thiab tsis tshua muaj heev. Thaum muaj qhov xwm txheej tshwm sim, lawv dhau los ntawm nws tus kheej, kev tiv thaiv kev kho mob thiab kev kho mob ntxiv tsis tas yuav ua.

Noj ntau dhau

Tshaj li qhov tau noj ntau dua li kev noj tshuaj, nrog rau kev haus nws yam tsis muaj zaub mov, tsis ua rau muaj kev cuam tshuam ntawm lub plab hnyuv plab.

Muaj qee kis, kev noj zaubmov muaj protein ntau thiab noj ntau dhau yuav ua rau mob plab zom mov thiab pom pob. Hauv qhov no, nws yuav tsim nyog tshem tawm cov khoom noj carbohydrate los ntawm cov khoom noj kom tsawg 5 teev.

Lub ncauj lus tshuaj nyob rau hauv muaj pes tsawg leeg thiab kev ua yog lub Turkish "Alumina". Cov tshuaj muaj tshuaj sib txawv, tab sis muaj cov txiaj ntsig zoo xws li:

Nws yuav tsum nco ntsoov tias tsuas yog tus kws kho mob tuaj yeem sau daim ntawv tshuaj lossis hom tshuaj no. Kev hloov ntawm ib cov tshuaj rau lwm qhov yuav tsum tau ua nyob rau hauv kev saib xyuas mob.

Ntshav Qab Zib Hom 2 tau tshawb pom 5 xyoo dhau los. Rau qee lub sijhawm, kev noj zaub mov zoo thiab kev tawm dag zog lub cev tau txais txiaj ntsig, Kuv tsis tas yuav haus tshuaj. Ob peb xyoos dhau los, lub zwj ceeb zuj zus. Tus kws kho mob tau sau ntawv Glucobay. Kuv txaus siab txog cov tshuaj. Tseem ua tau cov txiaj ntsig zoo. Tsis muaj kev cuam tshuam dab tsi rau kuv. Kuv xav tias nws tus nqi yeej haum xwb.

Glucobay "- tsis yog kuv thawj cov tshuaj hauv kev kho mob ntshav qab zib. Ua ntej kuv tau muab Siofor, tom qab ntawd Glucophage. Ob leeg tsis haum: lawv tau tshwm sim ntau yam kev mob tshwm sim, tshwj xeeb tshaj yog kev mob ntshav qab zib (hypoglycemia). "Glucobai" tau los ntau zoo dua. Thiab tus nqi yog ntau tsim nyog, txawm hais tias tsis yog me me.

Cov tshuaj niaj hnub muaj ntau txoj kev xaiv tshuaj los kho ua hom 2 ntshav qab zib. "Glucobay" yog ib hom tshuaj ntawm cov tub ntxhais hluas tam sim no, uas muaj cov txiaj ntsig kho tau zoo, thaum nws muaj ob peb yam tsis tsim nyog, thiab lawv tsis tshua muaj tshwm sim.

Ua ntej nws mus ntsib, yuav tsum qhia rau tus neeg mob txog qhov yuav tsum tau ua raws li kev noj haus. Qhov no yog lub hauv paus ntawm kev kho kom zoo. Txawm hais tias cov tshuaj zoo npaum li cas los xij, yog tias tsis muaj zaub mov zoo, kev muaj peev xwm ruaj khov tsis tuaj yeem ua tiav.

Cov lus qhia rau kev teem caij

Cov tshuaj yog kws kho mob ntawm tus endocrinologist yog tias muaj cov tshuaj hauv qab no:

yam 2 mob ntshav qab zib,
ntau cov ntsiab lus nyob rau hauv cov ntshav thiab cov ntaub so ntswg ntawm cov kab mob lactic acid (mob ntshav qab zib ua rau tsis nco qab).

Tsis tas li ntawd, hauv kev sib xyaw nrog kev noj zaub mov, cov tshuaj tau qhia rau hom 1 ntshav qab zib mellitus.

Kev siv cov tshuaj tsis tsim nyog yog tias tus neeg mob muaj cov tshuaj hauv qab no:

tus kheej intolerance,
mob hnyav rau ntshav qab zib (ntshav qab zib ketoacidosis lossis DKA),
kev mob tsis ua hauj lwm ntawm lub siab nqaij (mob ntsws),
kev zom zaub mov nyuaj thiab mob (dyspepsia) ntawm qhov muaj mob ntev,
reflex ua haujlwm hloov plawv plawv uas tshwm sim tom qab noj mov (Remkheld's syndrome),
lub sijhawm uas xeeb tub thiab pub niam mis,
kev siv roj ntxiv hauv cov hnyuv,
ntev ua mob rau cov kab mob ntawm lub caj pas ntawm txoj hnyuv (ulcerative colitis),
protrusion ntawm plab plab hauv qab daim tawv nqaij (ventral hernia).

Txoj kev sib xyaw thiab cov tshuab ntawm kev txiav txim

Acarbose (Latin lub npe Acarbosum) yog polymeric carbohydrate muaj qhov me me ntawm cov suab thaj yooj yim, yooj yim soluble hauv kua.

Cov tshuaj yog sib txuas los ntawm kev ua biochemical nyob rau hauv kev cuam tshuam ntawm enzymes. Cov khoom siv raw yog Actinoplanes utahensis.

Acarbose hydrolyzes polymeric carbohydrates los ntawm inhibiting qhov cov tshuaj tiv thaiv enzyme. Yog li, qib kev tsim thiab lub zog nqus cov suab thaj hauv cov hnyuv yog txo.

Qhov no pab tswj cov ntshav ntshav qabzib. Cov tshuaj tsis ua kom txoj kev tsim khoom thiab tso zis ntawm cov tshuaj insulin los ntawm tus txiav thiab tsis pub ua kom cov ntshav qab zib tsawg. Cov tshuaj tsis tu ncua txo txoj kev pheej hmoo ntawm kev tsim mob plawv, thiab cov ntshav qab zib mob zuj zus.

Qhov nqus ntawm cov khoom nqus (nqus tau) tsis ntau dua li 35%. Qhov kev nkag siab ntawm ib yam khoom hauv lub cev tshwm sim hauv theem: thawj qhov kev nqus tau tshwm sim hauv ib thiab ib nrab sijhawm, theem nrab (kev nqus ntawm cov khoom lag luam metabolic) - nyob rau thaj tsam li ntawm 14 teev rau ib hnub.

Nrog rau kev ua kom tiav ntawm kev ua haujlwm tsis zoo rau lub raum (lub raum tsis ua haujlwm), qhov kev cia siab ntawm cov tshuaj yeeb tshuaj nce ntxiv tsib zaug, hauv cov neeg muaj hnub nyoog 60+ - 1.5 npaug.

Cov tshuaj yog tshem tawm los ntawm lub cev los ntawm txoj hnyuv thiab lub chaw tso zis. Lub sijhawm nruab nrab ntawm cov txheej txheem no tuaj yeem txog 10-12 teev.

Tau Acarbose Glucobai tuaj yeem siv rau qhov poob phaus?

Cov tshuaj feem ntau ua rau lub hauv paus ntawm Acarbose yog German tshuaj Glucobay. Nws cov nyhuv pharmacological, kev taw qhia thiab sib kis rau kev siv yog zoo ib yam rau Acarbose. Txawm li cas los xij, kev siv cov tshuaj tsis txwv rau kev kho mob ntshav qab zib.

Glyukobay yog nrov heev ntawm cov kws ncaws pob thiab cov neeg uas muaj kev sib ceg nrog cov rog dhau los. Qhov no yog vim qhov tseem ceeb ntawm cov tshuaj - lub peev xwm los tiv thaiv qhov tsim thiab nqus ntawm cov piam thaj. Qhov ua kom yuag dhau heev lawm, raws li txoj cai, yog cov khoom noj carbohydrates ntau dhau heev lawm. Tib lub sijhawm, carbohydrates yog qhov khoom tseem ceeb ntawm lub zog ntawm lub cev.

Thaum sib cuam tshuam nrog cov plab hnyuv plab zom mov, cov khoom noj khoom haus yooj yim carbohydrates yog nqus tau tam sim ntawd los ntawm txoj hnyuv, cov kev ua kom thoob tsib mus txog theem ntawm kev decomposition rau hauv cov yooj yim. Tom qab kev nqus tau tshwm sim, lub cev nrhiav kev nqus cov tshuaj thiab teeb lawv ntawm "hauv kev cia". Txhawm rau tiv thaiv cov txheej txheem no, cov neeg uas xav kom poob ceeb thawj coj Glucobai ua tus saib xyuas los ntawm cov carbohydrate.

Video khoom siv txog cov tshuaj carbohydrate-thaiv cov hlab:

Kev cuam tshuam nrog lwm yam tshuaj

Hauv qab ntawm cov tshuaj ntau yam siv nyob rau hauv parallel nrog Acarbose, nws cov hauj lwm zoo tuaj yeem nce lossis tsawg dua.

Cov lus ntawm kev txhim kho thiab txo qis teebmeem ntawm cov tshuaj:

sulfonylurea derivatives, uas yog cov tseem ceeb ntawm qee cov tshuaj hypoglycemic (Glycaside, Glidiab, Diabeton, Gliclada thiab lwm tus)

mob glycosides (digoxin thiab nws cov analogues)

adsorbing npaj (ua kom cov pa roj carbon, Enterosgel, Polysorb thiab lwm tus)

thiazide diuretic tshuaj (hydrochlorothiazide, indapamide, clopamide

cov tshuaj hormones thiab tiv thaiv kab mob (qhov ncauj)

tshuaj uas tsim kho adrenaline

nicotinic acid npaj (cov vitamins B3, PP, Niacin, Nicotinamide)

Kev sib koom tes ntawm cov tshuaj uas txo qis cov dej num ntawm Acarbose tuaj yeem ua rau kev txhim kho ntawm cov kev mob nyhav.

Analogues ntawm cov tshuaj

Cov tshuaj uas muaj cov nyhuv zoo sib xws muaj acarbose yog cov tshuaj tseem ceeb.

Ob yam tshuaj yog siv los hloov chaw:

lub npe	daim ntawv tso tawm	tsim kom muaj
Glucobay	50 thiab 100 mg ntsiav tshuaj daim ntawv	BAYER PHARMA, AG (Lub Tebchaws Yelemees)
Alumina	100 mg ntsiav tshuaj	“Abdi Ibrahim Ilach Sanay thiab Tijaret A.Sh.” (Qaib ntxhw)

Tus neeg mob lub tswv yim

Los ntawm kev tshuaj xyuas cov neeg mob, nws tuaj yeem xaus lus tias Acarbose ua haujlwm zoo rau kev tswj cov ntshav qab zib kom tsawg, tab sis nws txoj kev tswj hwm feem ntau nrog cov kev mob tshwm sim tsis zoo, yog li nws qhov kev siv yog impractical los txo qhov hnyav.

Cov tshuaj tau muab tshuaj yog cov kws kho mob sau thiab ua nruj raws li cov lus qhia. Ib qho ntxiv, Kuv noj 4 mg ntawm NovoNorm thaum noj su. Nrog kev pab ntawm ob lub tshuaj, nws yog ib qho ua tau kom cia qab zib nyob rau yav tav su. Acarbose "quenches" qhov cuam tshuam ntawm cov nyom hnyav, kuv qhov ntsuas ob teev tom qab noj yog 6.5-7.5 mmol / L. Sij hawm dhau los, qis dua 9-10 mmol / L tsis yog. Cov tshuaj ua haujlwm zoo tiag tiag.

Kuv muaj ntshav qab zib hom 2. Tus kws kho mob pom zoo Glucobai. Cov ntsiav tshuaj tsis tso cai rau cov piam thaj yuav nqus mus rau txoj hnyuv, vim li ntawd, cov suab thaj “tsis dhia”. Hauv kuv qhov teeb meem, cov tshuaj normalized qab zib rau cov cim tsawg heev rau cov ntshav qab zib.

Kuv sim Glucobai yog txhais tau tias yuav txo qhov hnyav. Tsim txom cov kev mob tshwm sim. Mob raws plab tsis tu ncua, ntxiv rau qaug zog. Yog tias koj tsis mob ntshav qab zib, tsis nco qab txog cov tshuaj no thiab poob phaus nrog kev pab cuam ntawm pluas noj thiab ua kom lub cev.

Cov tshuaj yog ntawv yuav tshuaj. Tus nqi ntawm Glucobai ntsiav tshuaj yog txog 560 rubles rau 30 daim, nrog muab tshuaj ntawm 100 mg.

Kev taw qhia thiab contraindications

Cov ntsiav tshuaj tau pom zoo rau kev kho mob hom mob II hom ntshav qab zib ua ke nrog kev noj qab haus huv kev noj qab haus huv. Lawv raug kho los ntawm tus kws kho mob tau koom nrog hauv kev tsim tshuaj rau tus neeg sawv cev tshuaj lossis ua ke nrog lwm cov tshuaj, suav nrog insulin.

Cov ntsiav tshuaj kuj tseem raug txiav txim siab ua ib qho kev tiv thaiv kev tiv thaiv rau cov mob ntshav qab zib hom II hauv cov neeg mob uas muaj keeb kwm tsis muaj peev xwm txo cov ntshav qabzib. Lawv yuav tsum haus cawv raws li cov kws kho tau sau tseg, thaum txoj kev kho mob suav nrog kev noj zaub mov kom zoo thiab ua haujlwm ntawm lub cev.

Glucobai yog tshuaj, yog li ntawd nws tsis tsuas yog nws qhia rau kev siv, tab sis kuj contraindications. Nws yog txwv tsis pub noj tshuaj yog tias tus neeg mob muaj qhov mob siab ntxiv rau txoj kev siv tshuaj lossis nws cov tshuaj txuam nrog.

Cov txheej txheem tsis ncaj yog cov xwm txheej hauv qab no:

Cov me nyuam qis dua 18 xyoo.
Cov kab mob mus ntev ntawm cov hnyuv plab.
Kev mob tshwm sim nrog cov roj tsim muaj ntxiv.
Cev xeeb tub, pub niam mis.
Mob raum tsis ua haujlwm.

Cov contraindications uas tau teev saud yog qhov tseeb, uas yog, nws raug txwv tsis pub noj cov tshuaj.

Tus txheeb ze contraindications yog kub taub hau, kis pathologies, raug mob thiab phais.

Nws yuav tsum raug sau tseg tias thaum noj tshuaj, qib ntawm daim siab enzymes tuaj yeem nce ntxiv (tus mob no loj hlob yam tsis muaj cov tsos mob), yog li ntawd, thawj rau rau lub hlis lossis ib xyoos ntawm kev kho, nws yog ib qho tsim nyog yuav tsum soj ntsuam cov ntsiab lus ntawm cov enzymes no tas li.

Tsis muaj ntaub ntawv yuav cuam tshuam nrog kev nyab xeeb ntawm kev siv thaum cev xeeb tub thiab pub niam mis, yog li ntawd, cov tshuaj rau qhov ncauj tswj hwm tsis pom zoo.

Kev phiv tshuaj

Kev tshuaj xyuas cov neeg mob pom tau tias feem ntau ntawm cov neeg mob ntau, cov tshuaj tau zoo rau, txawm li cas los xij, nyob rau ntau lub sijhawm, lub cev tuaj yeem teb nrog qee qhov tshwm sim tsis zoo.

Hauv cov lus piav qhia rau lub cuab yeej, koj tuaj yeem pom cov npe ua tiav cov kev tsis zoo uas tau txais los ntawm kev soj ntsuam, nrog rau cov ntawv qhia ntawm tus neeg mob.

Ntawm ib feem ntawm cov hlab plawv, o tuaj yeem pom, txawm li cas los xij, qhov no tsis tshua muaj kev phiv. Los ntawm cov kab mob hematopoietic - thrombocytopenia (ntau zaus ntawm kev ua kom pom tsis tau tsim).

Cov kev mob tshwm sim hauv qab no tej zaum yuav tsim:

Ntau zaus - muaj roj ntau ntxiv, cuam tshuam ntawm txoj hnyuv, mob hauv plab, tawm tsam ntawm xeev siab thiab ntuav.
Kev nce siab ntawm daim siab enzymes (tsis tshua muaj), yellowness ntawm daim tawv nqaij.
Kab mob siab (tsawg heev).

Tseem ceeb: yog hais tias tshaj tawm kev tsis zoo raug pom tom qab kev siv tshuaj yeeb, tom qab ntawd nws yog qhov yuav tsum tau ceeb toom tam sim rau tus kws kho mob uas koom nrog txog qhov no. Nws yuav hloov qhov kev noj tshuaj, lossis sau ntawv rau lwm cov tshuaj nrog cov nyhuv zoo ib yam.

Yuav ua li cas noj Glucobay

Cov tshuaj "Glucobay" tau noj ntawm qhov ncauj ua ntej noj zaub mov. Cov tshuaj tuaj yeem muab ntxuav nrog dej tsis tau zom. Tus kws kho mob sau ntawv muab ntau npaum li cas rau cov tshuaj "Glucobay", txiav txim siab lub sijhawm ntawm nws txoj kev tswj hwm thiab kev tswj hwm. Koj tsis tuaj yeem hloov qhov ntau npaum li cas ntawm cov tshuaj koj tus kheej.

Cov Tshuaj Hauv Tshuaj

Kev siv tshuaj tiv thaiv kab mob hypoglycemic alpha glucosidase. Acarbose- lub ntsiab tseem ceeb ntawm cov tshuaj cuam tshuam rau pseudotetrasaccharides microbial keeb kwm.

Lub tshuab kev ua ntawm kev ua raws li kev tsuj ntawm kev ua ub ua no alpha glucosidase (ib qho enzyme ntawm txoj hnyuv me) uas zom saccharides, uas ua rau kom qhov kev xav ncua-ncua nyob rau hauv kev tsim cov khoom noj ntawm carbohydrates thiab ua rau qeeb ntawm cov txheej txheem ntawm kev tso tawm thiab nqus piam thajsynthesized nyob rau hauv cov txheej txheem ntawm cov carbohydrate rhuav tshem. Uas yog, acarbose qeeb thiab txo qis kev kub siab piam thaj hauv cov ntshav. Raws li qhov tshwm sim, cov piam thaj yuav nqus tau los ntawm cov hnyuv kom muaj qhov sib luag, thiab nws cov kev hloov pauv hauv cov ntshav thoob plaws ib hnub yog txo.

Cov Tshuaj Pharmacokinetics

Cov tshuaj yog me ntsis thiab maj mam nqus los ntawm Kev kho mob txoj hnyuvCov. Ob lub ncov yog sau tseg Cmaxacarbose hauv cov ntshav. Thawj zaug tom qab 1-2 teev thiab zaum ob tom qab 16-24 teev. Lub bioavailability ntawm cov tshuaj yog kwv yees li 1-2%. Nws yog tawm hauv cov hnyuv (51%) thiab los ntawm lub raum (35%) feem ntau yog nyob rau hauv daim ntawv ntawm metabolites.

Glucobay, cov lus qhia rau kev siv (Txoj kev thiab ntau npaum li cas)

Cov tshuaj muaj txiaj ntsig thaum noj tam sim ntawd ua ntej noj mov nrog thawj zaug ntawm cov khoom noj. Nyob rau tib lub sijhawm, ntsiav tshuaj yuav tsum tau noj tag nrho, ntxuav nrog kua. Qhov ntau npaum ntawm cov tshuaj rau txhua tus neeg mob yog tus kheej. Qhov nruab nrab rau cov neeg mob mob ntshav qab zib 2 hom, thawj zaug tshuaj yog 50 mg 3 zaug ib hnub. Kev noj tshuaj yog ua ke nrog cov khoom noj tshwj xeeb. Yog tias tsim nyog, yog tias tsis muaj qhov ua kom zoo kiag li, qhov tshuaj yuav nce ntxiv rau 300 mg ib hnub twg.

Cov neeg mob nrog lub raum tsis ua hauj lwm thiab paub ntau npaum li cas kho tau tsis tas. Kev siv Glucoboy yuav tsum tshwm sim tawm tsam ntawm keeb kwm ntawm kev txwv tsis pub noj tshuaj tiv thaiv kab mob. Koj tsis tuaj yeem tshem tawm cov tshuaj ntawm koj tus kheej, vim tias qhov no tuaj yeem ua rau cov ntshav qabzib nce ntxiv. Nrog rau kev mob tshwm sim ntau ntxiv los ntawm cov hnyuv, nws yog qhov yuav tsum tau txo cov koob tshuaj.

Kev txheeb xyuas txog Glucobaya

Kev tshuaj xyuas ntawm cov tshuaj hauv feem ntau ntawm cov neeg mob yog qhov zoo. Txawm li cas los xij, ib qho yuav tsum tsis txhob hnov qab tias nws cov hauj lwm zoo yog kev txiav txim siab los ntawm qhov ntau npaum thiab yuav tsum tau ua kom tsawg tawm tsam keeb kwm ntawm kev noj haus. Ntau tus neeg tuaj saib rau qhov kev poob phaus ntawm cov lus nug nug cov lus nug: Kuv puas tuaj yeem siv cov tshuaj Glucobay rau qhov poob phaus? Siv cov tshuaj rau qhov hnyav tsis pom zoo. Siv cov cuab yeej tsim tshwj xeeb rau lub hom phiaj no.

Glucobay nqe, qhov twg yuav

Tus nqi ntawm Glucobaya ntsiav tshuaj sib txawv ntawm 360 - 420 rubles rau ib pob. Koj tuaj yeem yuav Glucobay hauv cov khw muag tshuaj hauv Moscow thiab lwm lub nroog yam tsis muaj teeb meem.

Kev Kawm: Nws kawm tiav los ntawm Sverdlovsk Tsev Kawm Ntawv Kho Mob (1968 - 1971) nrog degree hauv Paramedic. Nws kawm tiav los ntawm Donetsk Medical Institute (1975 - 1981) nrog kev kawm tiav qib siab hauv Epidemiologist, Hygienist. Nws ua tiav kev tshawb fawb tom tsev kawm ntawv qib siab ntawm Lub Tsev Tshawb Nrhiav Kev Tshawb Fawb ntawm Epidemiology hauv Moscow (1986 - 1989). Kawm tiav kev kawm ntawv - Cov neeg sib tw ntawm Medical Science (kawm tiav muab xyoo 1989, kws muaj txuj ci - Lub Chaw Tshawb Nrhiav Chaw Nruab Nrab ntawm Epidemiology, Moscow). Muaj ntau cov kev cob qhia ua ntej qhia txog kev tua kabmob thiab kab mob sib kis tau ua tiav.

Kev: Ua haujlwm ua tus thawj coj ntawm chav saib xyuas kev faib tshuaj thiab ua kom tsis muaj menyuam 1981 - 1992 Ua haujlwm ua tus thawj coj ntawm cov tuam tsev tshwj xeeb kev phom sij 1992 - 2010 Qhia ntawv ntawm lub Medical Institute 2010 - 2013