Diameride analogues
Diamerid (ntsiav tshuaj) Ntsuas: 37
Chaw tsim tshuaj paus: Akrikhin (Russia)
Cov Ntawv Tso Tawm:
- Tab. 1 mg, 30 pcs., Nqe txij 210 rubles
- Tab. 2 mg, 30 pcs., Nqe los ntawm 319 rubles
Cov lus qhia rau kev siv
Canonpharma (Russia) Glimepiride Canon yog ib qho txiaj ntsig zoo tshaj plaws rau kev kho mob ntawm hom 2 mob ntshav qab zib mellitus raws li glimepiride hauv kev siv tshuaj zoo ib yam. Nws yog tshuaj rau qhov tsis muaj txiaj ntsig ntawm kev noj haus thiab kev ua lub cev.
Cov tshuaj sib piv ntawm cov tshuaj Diamerid
Cov analogue yog kim dua los ntawm 99 rubles.
Chaw tsim tshuaj paus: Sanofi-Aventis S.p.A. (Ltalis)
Cov Ntawv Tso Tawm:
- Tab. 1 mg, 30 pcs., Nqe los ntawm 309 rubles
- Tab. 2 mg, 30 pcs., Nqe txij li 539 rubles
Cov lus qhia rau kev siv
Amaryl yog kev kho mob rau tus mob ntshav qab zib hom 2 hauv daim ntawv ntawm cov ntsiav tshuaj npaj rau kev siv sab hauv. Raws li cov tshuaj nquag, glimepiride siv nyob rau hauv qhov ntau npaum 1 txog 4 mg. Muaj cov contraindications thiab cov kev mob tshwm sim.
Cov analogue yog pheej yig dua los ntawm 71 rubles.
Chaw tsim tshuaj paus: Berlin-Chemie / Menarini Pharma (Lub Teb Chaws Yelemees)
Cov Ntawv Tso Tawm:
- 5 mg ntsiav tshuaj, 120 pcs., Nqe los ntawm 139 rubles
- Tab. 2 mg, 30 pcs., Nqe txij li 539 rubles
Cov lus qhia rau kev siv
Ib ntsiav tshuaj tshuaj rau kev kho mob ntshav qab zib raws li glibenclamide (hauv micronized daim ntawv) hauv qhov tshuaj ntawm 1,75 mg. Nws yog qhia siv nyob rau hauv hom 2 mob ntshav qab zib mellitus (nrog qhov tsis muaj txiaj ntsig ntawm kev noj haus tsis zoo).
Cov analogue yog pheej yig dua los ntawm 24 rubles.
Chaw tsim tshuaj paus: Canonfarma (Russia)
Cov Ntawv Tso Tawm:
- Tab. 2 mg, 30 pcs., Nqe txij li 186 rubles
- Tab. 4 mg, 30 pcs., Nqe los ntawm 252 rubles
Cov lus qhia rau kev siv
Glimepiride Canon yog ib qho txiaj ntsig zoo tshaj plaws rau kev kho mob hom 2 mob ntshav qab zib mellitus raws li glimepiride hauv kev siv tshuaj zoo ib yam. Nws yog tshuaj rau qhov tsis muaj txiaj ntsig ntawm kev noj haus thiab kev tawm dag zog.
Cov analogue yog pheej yig dua los ntawm 91 rubles.
Chaw tsim tshuaj paus: Akrikhin (Russia)
Cov Ntawv Tso Tawm:
- Ntsiav tshuaj 80 mg, 60 pcs., Nqe los ntawm 119 rubles
- Tab. 4 mg, 30 pcs., Nqe los ntawm 252 rubles
Cov lus qhia rau kev siv
Glidiab yog ib qho ntawm cov kev hloov pauv zoo tshaj plaws rau gliclazide. Nws kuj tseem muaj nyob hauv daim ntawv foos ntsiav tshuaj, tab sis qhov ntau npaum ntawm DV ntau dua ntawm no, uas yuav tsum tau coj mus rau hauv tus account ua ntej pib kev kho mob. Nws yog qhia rau tus mob ntshav qab zib hom 2 nrog kev noj zaub mov tsis zoo thiab kev siv lub cev.
Cov analogue yog pheej yig dua los ntawm 81 rubles.
Chaw tsim tshuaj paus: Yawg Farmakor (Russia)
Cov Ntawv Tso Tawm:
- Ntsiav tshuaj 30 mg, 60 pcs., Nqe los ntawm 129 rubles
- Tab. 4 mg, 30 pcs., Nqe los ntawm 252 rubles
Cov lus qhia rau kev siv
Akrikhin (Russia) Glidiab yog ib qho kev hloov pauv zoo tshaj plaws rau gliclazide. Nws kuj tseem muaj nyob hauv daim ntawv foos ntsiav tshuaj, tab sis qhov ntau npaum ntawm DV ntau dua ntawm no, uas yuav tsum tau coj mus rau hauv tus account ua ntej pib kev kho mob. Nws yog qhia rau tus mob ntshav qab zib hom 2 nrog kev noj zaub mov tsis zoo thiab kev siv lub cev.
Cov analogue yog pheej yig dua los ntawm 164 rubles.
Chaw tsim tshuaj paus: Valenta (Russia)
Cov Ntawv Tso Tawm:
- 5 mg ntsiav tshuaj, 50 pcs., Nqe txij li 46 rubles
- Tab. 4 mg, 30 pcs., Nqe los ntawm 252 rubles
Cov lus qhia rau kev siv
Glibenclamide yog cov tshuaj pheej yig dua hauv Lavxias rau kev kho mob ntshav qab zib nrog tib yam tshuaj sib xyaw ua ke. Qhov ntau npaum li cas yog nyob ntawm lub hnub nyoog ntawm tus neeg mob thiab qhov hnyav ntawm kev kho mob ntshav qab zib.
Cov analogue yog pheej yig dua los ntawm 19 rubles.
Chaw tsim tshuaj paus: Tus Kws Tshuaj (Russia)
Cov Ntawv Tso Tawm:
- Tab. 2 mg, 30 pcs., Nqe txij li 191 rubles
- Tab. 3 mg, 30 pcs., Nqe txij li 272 rubles
Cov lus qhia rau kev siv
Glimepiride yog tshuaj siv hauv tsev rau kev kho mob ntshav qab zib hom 2. Muaj nyob hauv daim ntawv ntawm cov ntsiav tshuaj uas muaj tib lub tshuaj nquag hauv qhov ntau npaum ntawm 2 txog 4 mg rau ib ntsiav tshuaj.
Cov analogue kim dua los ntawm 563 rubles.
Chaw tsim tshuaj paus: Kimika Montpellier (Argentina)
Cov Ntawv Tso Tawm:
- Tab. 4 mg, 40 pcs., Nqe los ntawm 773 rubles
- Tab. 3 mg, 30 pcs., Nqe txij li 272 rubles
Cov lus qhia rau kev siv
Cov tshuaj yog Argentine raws li glimepiride hauv ib qhov tshuaj ntawm 4 mg rau ib ntsiav tshuaj. Nws yog qhia rau kev siv hom 2 mob ntshav qab zib mellitus (raws li kev kho mob monotherapy lossis ua ib feem ntawm kev sib xyaw ua ke).
Analogs hauv kev muaj pes tsawg leeg thiab qhia txog kev siv
| Npe | Nqe hauv Lavxias | Nqe hauv Ukraine |
|---|---|---|
| Amaril | 27 RUB | 4 UAH |
| Glemaz glimepiride | -- | -- |
| Glian glimepiride | -- | 77 UAH |
| Glimepiride Glyride | -- | 149 UAH |
| Glimepiride diapiride | -- | 23 UAH |
| Thaj neeb | -- | 12 UAH |
| Glimax glimepiride | -- | 35 UAH |
| Glimepiride-Lugal glimepiride | -- | 69 UAH |
| Av nplaum glimepiride | -- | 66 UAH |
| Diabrex glimepiride | -- | 142 UAH |
| Meglimide glimepiride | -- | -- |
| Melpamide Glimepiride | -- | 84 UAH |
| Perinel glimepiride | -- | -- |
| Glempid | -- | -- |
| Raug Tsim | -- | -- |
| Glimepiride glimepiride | 27 RUB | 42 UAH |
| Glimepiride-teva glimepiride | -- | 57 UAH |
| Glimepiride Canon glimepiride | 50 RUB | -- |
| Glimepiride Pharmstandard glimepiride | -- | -- |
| Dimaril glimepiride | -- | 21 UAH |
Cov npe saum toj no ntawm cov yeeb tshuaj analogues, uas qhia diamerid hloov chaw, yog qhov tsim nyog tshaj plaws vim tias lawv muaj tib cov tshuaj sib luag thiab sib luag ua ke raws li kev taw qhia rau kev siv
Analogs los ntawm qhov taw qhia thiab cov qauv ntawm kev siv
| Npe | Nqe hauv Lavxias | Nqe hauv Ukraine |
|---|---|---|
| Glibenclamide Glibenclamide | 30 RUB | 7 UAH |
| Maninyl Glibenclamide | 54 rub | 37 UAH |
| Glibenclamide-Health Glibenclamide | -- | 12 UAH |
| Glyurenorm glycidone | 94 rub | 43 UAH |
| Bisogamma Glyclazide | 91 rub | 182 UAH |
| Glidiab Glyclazide | 100 tshiav | 170 UAH |
| Lawj Xeeb MR | -- | 92 UAH |
| Kev kuaj mob mr Gliclazide | -- | 15 UAH |
| Glidia MV Gliclazide | -- | -- |
| Glykinorm Gliclazide | -- | -- |
| Gliclazide Gliclazide | 231 rub | 57 UAH |
| Glyclazide 30 MV-Indar Glyclazide | -- | -- |
| Glyclazide-Kev Noj Qab Haus Huv Gliclazide | -- | 36 UAH |
| Glioral Glyclazide | -- | -- |
| Kev kuaj mob Gliclazide | -- | 14 UAH |
| Diazide MV Gliclazide | -- | 46 UAH |
| Osliklid Gliclazide | -- | 68 UAH |
| Diadeon gliclazide | -- | -- |
| Glyclazide MV Gliclazide | 4 RUB | -- |
Sib txawv muaj pes tsawg leeg, tuaj yeem ua ke nyob rau hauv kev taw qhia thiab cov qauv ntawm daim ntawv thov
| Npe | Nqe hauv Lavxias | Nqe hauv Ukraine |
|---|---|---|
| Avantomed rosiglitazone, metformin hydrochloride | -- | -- |
| Bagomet Metformin | -- | 30 UAH |
| Glucofage metformin | 12 RUB | 15 UAH |
| Globophage xr metformin | -- | 50 UAH |
| Reduxin Met Metformin, Sibutramine | 20 RUB | -- |
| Dianormet | -- | 19 UAH |
| Diaformin metformin | -- | 5 UAH |
| Metformin metformin | 13 RUB | 12 UAH |
| Tshuaj Metformin sandoz metformin | -- | 13 UAH |
| Siofor | 208 rub | 27 UAH |
| Formin metformin hydrochloride | -- | -- |
| Emnorm EP Metformin | -- | -- |
| Megifort Metformin | -- | 15 UAH |
| Tshuaj hlau Metformin | -- | 20 UAH |
| Tshuaj Metamin SR Metformin | -- | 20 UAH |
| Metfogamma metformin | 256 rub | 17 UAH |
| Tefor metformin | -- | -- |
| Glycometer | -- | -- |
| Glycomet SR | -- | -- |
| Tshuaj nyob | 37 RUB | -- |
| Metformin Canon metformin, ovidone K 90, pob kws hmoov txhuv, crospovidone, magnesium stearate, talc | 26 RUB | -- |
| Insuffor metformin hydrochloride | -- | 25 UAH |
| Metformin-teva metformin | 43 txhuam | 22 UAH |
| Diaformin SR metformin | -- | 18 UAH |
| Mepharmil Metformin | -- | 13 UAH |
| Metformin Yawg Liaj Ua Teb Metformin | -- | -- |
| Amaryl M Limepiride Micronized, Metformin Hydrochloride | 856 rub | 40 UAH |
| Glibomet glibenclamide, metformin | 257 rub | 101 UAH |
| Glucovans glibenclamide, metformin | 34 RUB | 8 UAH |
| Dianorm-m Glyclazide, Metformin | -- | 115 UAH |
| Dibizid-m glipizide, metformin | -- | 30 UAH |
| Douglimax glimepiride, metformin | -- | 44 UAH |
| Duotrol glibenclamide, metformin | -- | -- |
| Gluconorm | 45 rub | -- |
| Glibofor metformin hydrochloride, glibenclamide | -- | 16 UAH |
| Avandamet | -- | -- |
| Avandaglim | -- | -- |
| Janumet metformin, sitagliptin | 9 RUB | 1 UAH |
| Velmetia metformin, sitagliptin | 6026 rub | -- |
| Galvus Met vildagliptin, metformin | 259 RUB | 1195 UAH |
| Tripride glimepiride, metformin, pioglitazone | -- | 83 UAH |
| Comboglize XR metformin, saxagliptin | -- | 424 UAH |
| Comboglyz Prolong metformin, saxagliptin | 130 rub | -- |
| Gentadueto linagliptin, metformin | -- | -- |
| Vipdomet metformin, alogliptin | 55 RUB | 1750 UAH |
| Sinjardi empagliflozin, metformin hydrochloride | 240 rub | -- |
| Voglibose Oxide | -- | 21 UAH |
| Glutazone pioglitazone | -- | 66 UAH |
| Dropia Sanovel pioglitazone | -- | -- |
| Januvia sitagliptin | 1369 rub | 277 UAH |
| Galvus vildagliptin | 245 RUB | 895 UAH |
| Onglisa saxagliptin | 1472 RUB | 48 UAH |
| Nesina alogliptin | -- | -- |
| Vipidia alogliptin | 350 rub | 1250 UAH |
| Trazhenta linagliptin | 89 rub | 1434 UAH |
| Lixumia lixisenatide | -- | 2498 UAH |
| Guarem Guar cob | 9950 rub | 24 UAH |
| Insvada repaglinide | -- | -- |
| Novonorm Repaglinide | 30 RUB | 90 UAH |
| Cov Chaw Tshaj Tawm Repaglinide | -- | -- |
| Baeta Exenatide | 150 rub | 4600 UAH |
| Baeta Ntev Exenatide | 10248 rub | -- |
| Viktoza liraglutide | 8823 rub | 2900 UAH |
| Saxenda liraglutide | 1374 rub | 13773 UAH |
| Forksiga Dapagliflozin | -- | 18 UAH |
| Forsiga Dapagliflozin | 12 RUB | 3200 UAH |
| Invocana canagliflozin | 13 RUB | 3200 UAH |
| Jardins Empagliflozin | 222 RUB | 566 UAH |
| Trulicity Dulaglutide | 115 RUB | -- |
Yuav ua li cas thiaj nrhiav tau qhov pheej yig tshuaj ntawm cov tshuaj kim?
Txhawm rau kom pom qhov pheej yig cov khoom sib piv rau cov tshuaj, cov dav dav lossis cov lus sau, ua ntej txhua yam peb pom zoo kom them sai sai rau qhov muaj pes tsawg leeg, uas yog rau tib cov tshuaj nquag thiab qhia tau rau kev siv. Cov tshuaj sib xyaw zoo ib yam ntawm cov tshuaj yuav qhia tau tias cov tshuaj cuam tshuam nrog cov tshuaj, kws tshuaj sib npaug lossis chaw muag tshuaj. Txawm li cas los xij, tsis txhob hnov qab txog qhov ua tsis muaj zog ntawm cov tshuaj uas zoo sib xws, uas tuaj yeem cuam tshuam kev nyab xeeb thiab ua haujlwm. Tsis txhob hnov qab txog cov lus qhia ntawm cov kws kho mob, kev noj tshuaj rau nws tus kheej tuaj yeem tsim kev puas tsuaj rau koj kev noj qab haus huv, yog li nco ntsoov sab laj nrog koj tus kws kho mob ua ntej siv cov tshuaj.
Thov
Txhua tus neeg mob ntshav qab zib, tau dhau los theem ntawm kev noj cov zaub mov uas tsis muaj carb ntau thiab txo cov kev ua haujlwm rau lub cev kom hnyav dua lossis hnyav dua thiab muaj hnub nyoog, tau paub txog cov tshuaj ntshav qab zib tsawg. Nov yog ib cov npe zoo heev rau cov tshuaj uas pab tswj ntshav qab zib kom tswj tau los ntawm kev noj tshuaj ua ntej noj mov. Muaj 2 pawg tshuaj uas paub rau tus mob ntshav qab zib:
- sulfonylurea derivatives,
- lojmuas.
Cov kev ua ntawm sulfonylurea derivatives tau piav qhia tsis yog los ntawm kev nce ntxiv hauv insulin secretion, tab sis kuj los ntawm kev txhim kho hauv qhov rhiab ntawm peripheral cov ntaub so ntswg rau nws.
Biguanides txo qis kev nqus ntawm cov suab thaj hauv plab hnyuv plab me, txhim kho nws qhov kev nqus ntawm cov periphery, nce rhiab ntawm cov hlwb rau insulin, uas hloov mus rau kev siv txhim kho cov piam thaj hauv cov leeg thiab hepatocytes.
Cov tshuaj Diameride belongs rau cov koob thib 3 tiam ntawm sulfonylurea derivatives thiab muab tso rau raws li hypoglycemic tus neeg sawv cev rau kev tswj hwm qhov ncauj. Nws yog qhia raws li kev kho mob rau cov neeg mob metabolic syndrome thiab, yog li tshwm sim, mob ntshav qab zib hom 2. Nws tuaj yeem tsim tshuaj ob qho tib si hauv ib hom thiab hauv kev sib xyaw nrog lwm cov ntsiav tshuaj qab zib lossis muaj tshuaj insulin.
Cov khoom ua kom nquag plias ntawm cov ntsiav tshuaj diamerid yog glimepiride. Nws yog dosed ntawm 1,2,3 thiab 4 mg. Rau kev tsim cov ntsiav tshuaj, tshuaj xws li magnesium stearate, mis nyuj qab zib, povidone, microcrystalline cellulose, sodium craquelade, thiab dyes siv.
Qhov kev nkag siab ntawm cov piam thaj hauv cov ntshav tau txo qis vim yog lub peev xwm ntawm glimepiride los ua kom cov tshuaj hormone ntau ntxiv los ntawm cov hlwb pancreatic thiab txhim kho lawv cov lus teb rau cov thawj coj saib xyuas qabzib. Muab piv rau Diameride nrog nws cov neeg ua ntej, Glibenclamide, nws tuaj yeem pom tau tias, ntawm kev noj tshuaj ntau dua, Diameride muaj cov suab thaj zoo dua. Qhov no qhia tau hais tias nws muaj qhov ua haujlwm ib qho ntxiv, uas yog kev nce qib hauv cov dej num ntawm insulin los khi cov piam thaj.
Kev ua kom cov kua dej tso pa tawm yog cuam tshuam nrog kev sib ntxiv ntawm cov tshuaj calcium intracellular vim muaj cov membrane depolarization, txhawb kev tsim cov tshuaj insulin. Lub tebchaw nrog cov protein ua rau lawv yoog cov hlwb pancreatic kom qabzib thiab tiv thaiv lawv qhov ua kom tiav.
Feem ntau, cov piam thaj hauv lub cev yog thauj los ntawm cov protein molecules mus rau cov leeg nqaij thiab cov rog. Diamerid nce tus naj npawb ntawm cov lwg me me. Ib lub xovtooj ntawm teb rau cov kua nplaum tau nkag rau nws nrog kev nce ntxiv hauv kev ua si ntawm phospholipase enzyme, vim li ntawd cov ntsiab lus ntawm cov piam thaj hauv lub cell poob ib txhij nrog kev txo qis ntawm kev ua haujlwm ntawm cov protein kinase enzyme, uas ua rau kev ua kom cov metabolism metabolism.
Nws paub tias cov tshuaj muaj lwm yam zoo. Nws txo cov platelet ua ke, txhim kho cov ntshav txaus hauv lub txaj vascular.
Hauv kev cuam tshuam ntawm metabolic, cov nyhuv ntawm lipid metabolism yog qhov tseem ceeb heev. Cov tshuaj txo cov lipid kom tsawg, muaj pov thawj ntawm kev txo qis hauv cov roj cholesterol hauv cov tsiaj cov hlab ntsha hauv kev soj ntsuam.
Cov nyhuv antioxidant yog qhia nyob rau hauv kev tiv thaiv ntawm lipid membrane ntawm cov hlwb los ntawm peroxidation.
Cov Tshuaj Pharmacokinetics
Ib cov tshuaj yeeb yaj kiab uas muaj kev nyab xeeb siab. Yog hais tias 4 mg yog siv tshuaj rau cov txheej txheem, ces cov ntsiab lus siab tshaj plaws hauv lub txaj vascular yuav tshwm sim nrog lub sijhawm ntawm 2-3 teev. Qhov tsis zoo yuav tsis tiv thaiv tus me nyuam hauv lub cev los ntawm cov tshuaj no, nws kuj kis mus rau niam mis. Cov ntshav-hlwb teeb meem nyuaj rau kev nkag mus.
Hauv lub txaj vascular, nws txuas nrog cov protein molecules, ib nrab-lub neej yog 5-8 teev.
Nws yog tawm mus rau ntau dua los ntawm lub raum hauv daim ntawv metabolized thiab kom tsawg dua los ntawm txoj hnyuv.
Qhov zoo yog hais tias nyob rau hauv cov neeg mob raum muaj teeb meem nrog lub peev xwm tom qab ntawm lub raum, tsis muaj qhov cuam tshuam tau pom, uas yog, diamerid tsis txuam hauv lub cev.
Daim ntawv tso tawm
Diamerid yog tsim los ntawm lub tuam txhab tshuaj Lavxias teb sab Akrikhin.
Tso cov ntsiav tshuaj. Lawv muaj cylindrical puab, kev pheej hmoo yog thov rau cov ntsiav tshuaj. Tus kab mob tseem ceeb muaj nyob hauv 1 ntsiav tshuaj yog 1 mg, 2 mg, 3 mg lossis 4 mg. Lub thawv ntawv muaj 3 lub hlwv, txhua tus muaj 10 ntsiav tshuaj. Cov ntsiav tshuaj ntawm 1 thiab 3 mg ntawm cov xim pleev xim liab-xim, me me ntawm xim av tau tso cai. Hauv cov ntsiav tshuaj ntawm 2 mg thiab 4 mg, lub teeb xim daj nrog creamy zas. Cov xim yog vim qhov sib ntxiv ntawm ntau lub dyes - hlau oxide liab lossis daj.
Cov Yuav Tsum Muaj
Qee qhov xwm txheej, cov tshuaj tsis tuaj yeem sau tseg:
- yam ntshav qab zib hom 1 thiab mob ntshav qab zib hom mob ketoacidosis thiab mob ntshav qab zib tsis zoo,
- ib qho xwm txheej twg uas tuaj yeem ua rau ua rau ntshav qab zib ntshav qab zib,
- muaj txo qis hauv cov qe ntshav dawb,
- decompensated daim siab mob siab,
- mob raum tsis ua hauj lwm nrog kev siv cov khoom cua hauv lub raum tsis zoo,
- nqa tus me nyuam thiab pub niam mis, cov tub hluas hnub nyoog qis dua 18 xyoo,
- lactose intolerance, malabsorption syndrome,
- idiosyncrasy rau sulfonylureas thiab sulfonamides.
Kev saib xyuas yuav tsum tau saib xyuas thaum muab tshuaj Diamerid rau cov neeg mob uas, vim qee yam, yuav raug hloov mus rau kev txhaj tshuaj insulin. Ib qho piv txwv yog qhov kev puas tsuaj thiab kub nyhiab, plab hnyuv tsis ua haujlwm, cuam tshuam nrog kev ua haujlwm tom ntej.
Sab sij huam
Ntau qhov kev mob tshwm sim yog cuam tshuam nrog cov ntshav qab zib, uas yog, txo qis hauv cov piam thaj hauv qab ntawm qhov qis qis ntawm ib txwm. Manifestations ntawm lub xeev no muaj ntau haiv neeg. Qhov no tuaj yeem yog mob taub hau lossis kiv taub hau, zoo li tshwm sim ntawm xeev siab thiab ntuav.
Los ntawm cov kab mob hauv lub cev tsis muaj zog, nkees nkees, pw tsaug zog ntxhov siab, ua kom tsaug zog tuaj yeem pom. Tam sim ntawd, ntxhov siab vim, tsis tuaj yeem cuam tshuam txog kev quab yuam, nyuaj mloog, thiab kev txo qis hauv cov tshuaj tiv thaiv yuav tshwm sim. Qee tus muaj kev nyuaj siab, hais lus thiab pom kev tsis meej. Tej zaum qhov pom ntawm tshee tshee, qaug dab peg ntawm lub hauv paus genesis, paresis ntawm nqua. Lub siab tsis nco qab tuaj yeem ncav lub siab loj kom txog thaum hnov mob rov qab.
Feem ntau, lub xeev ntawm lub qog ntshav qab zib yog nrog los ntawm kev ua kom tsis muaj zog, qhov zoo li mob khaub thuas, nplaum hws, tachycardia, ntshav nce siab. Tus neeg mob tau mob hauv siab, pias, tuaj yeem ua txhaum ntawm lub plawv lub plawv.
Kev ua xua tuaj yeem siv ntau yam los ntawm kev khaus rau anaphylactic kev poob siab.
Noj ntau dhau
Ib qho kev noj tshuaj ntau dhau yog pom los ntawm lub xeev ntawm hypoglycemia.
Cov neeg mob uas siv cov tshuaj Diameride tau qhia kom muaj 4 daim piam thaj nrog lawv, uas sib haum rau 20 g ntawm qabzib, lawv yuav tsum noj tam sim ntawd thaum thawj cov tsos mob ntawm hypoglycemia tshwm sim. Koj tseem tuaj yeem haus dej qab zib lossis kua txiv txiv ntoo ntawm qhov chaw pw sab nraud.
Kev mob ntshav qis ntau heev kom tus neeg mob yuav tsum tau pw hauv tsev kho mob. Yaug lub plab, muab lub tshuab hluav ncaig lossis lwm yam tshuaj lom. Cov tshuaj muaj qabzib nyob hauv lub cev yog txhaj tshuaj ua kom sai, Txoj kev lis ntshav txuas ntxiv nrog 10% cov kua nplaum nyob mus.
Thaum raug mob los ntawm cov thawj coj ntawm Diamerid ntsiav tshuaj, cov menyuam yuav tsum ua tib zoo saib xyuas cov ntshav qabzib thaum cov piam thaj tau qhia txog kev kho ntshav qab zib kom tsis txhob txhawm rau tiv thaiv kev hloov ntawm hypoglycemia mus rau hyperglycemia. Ntxiv nrog rau kev ntsuas ntshav qab zib li ib txwm, koj yuav tsum tau saib xyuas cov ntsuas tsis tu ncua xws li theem ntawm glycated hemoglobin.
Cov lus qhia rau kev siv Diamerida suav nrog kev noj ntau npaum li cas ntawm cov tshuaj thiab muab tshuaj tshwj xeeb thaum pib kho. Thawj koob yuav tsum tsis pub ntau tshaj qhov tsawg kawg yog 1 mg. Qhov ntau npaum no tau tswj cia rau 1-2 lub lim tiam nyob rau hauv kev tswj hwm ntawm cov piam thaj ntau ntau. Raws li txoj cai, tus neeg mob tau qhia hauv chav kawm tshwj xeeb rau cov neeg mob ntshav qab zib kom ua tus ntsuas nws tus kheej ntawm cov piam thaj ntau ntau uas siv cov tshuaj ntsuas.
Yog tias tus neeg mob cov ntshav qab zib cov ntshav qis dua li 1 mg ntawm Diameride, qhov no txhais tau tias kev kho cov teeb meem carbohydrate metabolism tuaj yeem nqa tawm los ntawm kev noj haus thiab ua si lub cev ua si. Qhov xwm txheej no muaj peev xwm ua tau rau thawj theem ntawm tus kab mob.
Hauv cov txheej txheem ntawm cov tshuaj, yuav tsum muaj kev soj ntsuam cov piam thaj kom tsis tu ncua thiab cov sij hawm hloov kho cov koob tshuaj diamerid.
Pib kev kho mob lossis hloov los ntawm lwm hom kev kho mob rau diamerid raug pom zoo nrog koob tshuaj tsawg kawg ntawm 1 mg. Nrog cov nyhuv tsis txaus, qhov koob tshuaj nce siab ib zaug txhua 1-2 lub lis piam. Qhov kev txiav txim nce yog muaj raws li nram no: 2 mg - 3 mg - 4 mg - 6 mg - 8 mg.
Txoj kev kho yog kwv nrog tus kws kho mob sib cuag, tus neeg mob yuav tsum ceeb toom txog qhov yuav tsum ua kom nruj rau lub sijhawm noj tshuaj thiab noj zaub mov. Feem ntau, tus kws kho mob pom zoo kom noj Diamerid ib hnub ib zaug ua ntej yuav noj mov, feem ntau yog ua ntej noj tshais lossis noj su. Hauv qhov tsis muaj ib qho yuav tsum koj tsis quav ntsej txog qhov xav tau ntawm cov zaub mov tom qab ib ncoo qaug cawv.
Txhim kho cov nqi metabolic thaum kho yuav tsum txo cov koob tshuaj kom raws sij hawm.
Yuav tsum tau txhaj tshuaj txo hauv qab no:
- tus neeg mob lub cev qhov hnyav tau hloov, nws poob phaus,
- tus neeg mob txoj kev ua neej tau hloov pauv, lub cev qoj ib ce tau nce lawm, kev coj noj coj ua thiab kev noj haus zoo li qub, kev coj ua txhua hnub tau hloov pauv,
- lwm yam tshwm sim uas tuaj yeem hloov qib qab zib nce siab lossis qis dua.
Thaum hloov mus rau Diameride nrog lwm cov tshuaj, noj txawm tias yog siv ntau dua, kev txhaj tshuaj thawj zaug ntawm Diamerid yuav tsum tsis pub tshaj 1 mg.
Yog tias tus poj niam siv tshuaj Diameride ua ntej cev xeeb tub, tom qab ntawd nrog qhov tshwm sim ntawm nws, thiab nyiam dua nyob rau theem ntawm kev npaj lub cev xeeb tub, cov tshuaj yuav raug muab tso tseg, tus neeg mob pauv mus rau tshuaj insulin. Cov niam uas pub niam mis muaj txoj hauv kev los xaiv noj ib pliag thaum nyob ntawm txais tos Diamerid, lossis txuas ntxiv kev pub niam mis nrog kev hloov mus rau kev kho tshuaj insulin thiab kev tsis ua ntxiv rau Diamerid.
Qee qhov yuav tsum ceev faj thaum tsav tsheb thiab siv tshuab txav. Qhov kev ceeb toom no yog qhov tseem ceeb rau cov neeg mob uas tsis muaj cov tsos mob hauv tsev kho mob txog kev poob qis lossis dhia hauv qab zib.
Cov tsos mob ntawm cov piam thaj ntau ntxiv yog nqhis dej, qhov ncauj qhuav, qhuav ntawm daim tawv nqaij thiab cov leeg ua kua, tso zis heev.
Qee lub sij hawm nws raug nquahu kom muab cov neeg mob uas muaj kev pheej hmoo ntawm cov piam thaj kom hloov pauv lawv yam haujlwm. Nws yog qhov yuav tsum hloov cov neeg mob mus rau lwm txoj haujlwm tsis muaj cov cim ntawm kev kuaj mob ua ntej.
Ua ke nrog lwm cov tshuaj
Lub chav kawm ntawm tus kab mob yuav xav tau kev sib koom ua ke nrog biguanides lossis insulin.
Muaj txoj cai sib koom ua ke. Yog tias tus neeg mob tau txais qhov ntau tshaj plaws ntawm Diamerid lossis Metformin, tom qab ntawd cov koob tshuaj no tseem tsis hloov, thiab cov koob tshuaj ntxiv ntawm Metformin lossis Diamerid pib nrog kev txhaj tshuaj tsawg kawg nkaus nyob hauv kev saib xyuas ntawm kws kho mob.
Txuas cov tshuaj insulin rau kev kho mob nrog Diameride, pib nrog cov koob tshuaj me. Ib yam li ntawd, cov teeb meem rov qab, thaum koom nrog kev kho mob insulin, Diameride tseem muaj tshuaj yog 1 mg.
Nws yuav tsum raug qhia meej tias hauv cov neeg mob ntshav qab zib ntawm xyoo dhau los thiab hauv cov neeg mob uas siv cov beta-blockers, qhov kev tshwm sim sab nraud ntawm kev poob hauv cov ntshav qab zib feem ntau yog qhov muag plooj, thiab qhov no ua rau muaj kev pheej hmoo rau tus neeg mob sai hypoglycemic coma.
Hauv chav kawm ntawm kev kho mob nrog Diamerid, lub siab yuav tsum tau saib xyuas, ib qho kev kuaj ntshav biochemical coj mus kuaj mob siab thiab tso ntshav kuaj ntshav kom txo qis cov qe ntshav dawb, hemoglobin thiab platelets.
Kev saib xyuas tshwj xeeb yuav tsum tau them rau kev siv dej cawv thaum kho nrog diamerid. Qhov teeb meem yog cawv yuav ua rau ob leeg nce thiab txo cov nyhuv hypoglycemic ntawm cov tshuaj.
Rau lub hauv paus ntawm glimepiride, cov kev npaj ua zoo ib yam li Diamerid tau tsim. Lawv tseem npaj siab kho hom mob ntshav qab zib hom 2. Cov no suav nrog:
- Amaryl muaj nyob rau hauv cov ntsiav tshuaj 1 mg, 2 mg, 3 mg thiab 4 mg, ntim hauv 30, 60 thiab 90 ntsiav tshuaj, ntau lawm hauv lub tebchaws Yelemes,
- Glimepiride yog tshuaj siv hauv tsev, tsim tawm hauv tib cov tshuaj, pob muaj 30 pob tshuaj,
- Glimeperid-Canon 2 thiab 4 mg, ntim hauv 30 ntsiav tshuaj, chaw tsim tshuaj paus Russia,
- Glimepiride-Teva ntsiav tshuaj ntawm 1, 2 thiab 3 mg tau ntim rau hauv thawv ntawm 30 thiab 60 daim, cov tshuaj los ntawm Croatia.
Cov tshuaj ntxiv (Glumedeks, Glyme, Glemauno, Glemaz, Meglimed) tsis muaj nyob hauv cov khw muag tshuaj ntawm Lav Xias.
Diameride thiab nws cov analogues raug faib los ntawm cov chaw muag tshuaj nrog cov tshuaj.
Diameride nyob rau hauv lub tsev muag tshuaj tuaj yeem yuav qhov nqi ntawm 202 - 347 rubles. Qhov pheej yig tshaj yog glimepiride. Tus nqi rau kev ntim tsuas yog 25 rubles. Tus nqi ntawm Glimepiride-Canon thiab Glimepirida-Teva yog kwv yees li qhov qub, nws yog 122-132 rubles. Cov nqe ntau tshaj plaws rau Amaril. Tus nqi yog li ntawm 150 txog 3400 rubles., Amaril muaj tus nqi siab tshaj plaws ntawm 4 mg, ntim hauv thawv ntawm 90 ntsiav tshuaj.
Tau kuaj cov lus qhia rau kev siv cov tshuaj Diamerid thiab cov nqi ntawm cov qauv analogues, peb tig los tshuaj xyuas.
Rau cov neeg mob ntshav qab zib, doomed rau lub neej kom ntev li ntawm cov tshuaj qab zib kom tsawg, Diamerin yog ib qho yooj yim thiab siv tau los txhim kho lub neej zoo. Tsis tas li, cov tshuaj, normalizing ntshav qab zib thiab tswj nws nyob rau theem tsim nyog, tiv thaiv tus neeg mob los ntawm formidable teeb meem txais tau nyob rau hauv cov ntshav qab zib mellitus, xws li polyneuropathy, retinopathy, ntshav qab zib microangiopathy, ketoacidosis, hypoglycemic thiab hyperglycemic acoma.
Qhov mob tseem ceeb rau kev kho kom zoo yog ua raws li cov lus pom zoo los ntawm tus kws kho mob tuaj koom.
Kev cai ntawm kev siv tshuaj kho
Niaj hnub no, cov tshuaj niaj hnub siv ib ntawm ntau pawg tshuaj los kho hom ntshav qab zib 2. Cov hom phiaj tseem ceeb uas yuav tsum tau ua tiav vim qhov kev siv tshuaj muaj xws li:
- kev tsim tawm ntawm insulin hormone secretionꓼ
- txo qis cov roj ntsha insensitivity ntawm cov hlwb клеток
- ncua kev kawm ntawm cov kua nplaum ua ke thiab ua kom qeeb kom nws nqus tau rau hauv cov ntshav los ntawm cov hnyuv ꓼ
- kev txhim kho ntawm kev tshwm sim ua txhaum ntawm qhov feem ntawm lipid feem hauv cov ntshav.
Raws li txoj cai, txoj kev kho ib txwm pib nrog kev tswj hwm ntawm ib qho tshuaj; yog tias nws tsis muaj txiaj ntsig, cov tshuaj ntawm cov nyhuv ua ke lossis ua ke nrog kev txhaj tshuaj insulin tuaj yeem tsim tshuaj.
Cov pawg tseem ceeb ntawm cov tshuaj uas tau siv los kho hom 2 mob ntshav qab zib mellitus:
- Cov tshuaj uas yog sulfonylurea derivatives. Lawv lub ntsiab kom zoo yog qhov ua siab ntev zoo ntawm cov tshuaj rau ntau tus neeg mob. Los ntawm nws qhov kev txiav txim, lawv txo cov tshuaj tiv thaiv insulin thiab txhawb kev tso zis ntawm cov tshuaj hormones los ntawm pancreatic cells.
- Txhais tau los ntawm cov pab pawg biguanide suav nrog metformin tivthaiv. Nws yog cov nyhuv ntawm metformin uas pab txo qis cov kua dej, ua rau muaj qhov cuam tshuam ntawm kev hloov fez, thiab txhim kho cov lipid profile. Kev xaiv tshuaj ntau dhau lawm tuaj yeem ua rau muaj kev phiv ntau heev.
- Kev tsis ntseeg
- Kev npaj raws li thiazolidinone derivatives pab txo qis ntshav qab zib thiab txhim kho qhov muaj cov lipid profile.
Alpha-glucosidase inhibitors lossis dipeptidyl peptides 4 kuj raug xa mus rau cov tshuaj; lawv muaj cov txiaj ntsig zoo rau kev tshem tawm ntawm hyperglycemia thiab nce rhiab ntawm pancreatic beta hlwb rau cov piam thaj.
Lub ntsiab pharmacological zoo ntawm cov tshuaj
Diameride yog yeeb tshuaj los ntawm cov pab pawg ntawm peb tiam sulfonylureas. Nws feem ntau siv los kho hom 2 mob ntshav qab zib mellitus, yog tias yav tas los tau noj tshuaj kho mob thiab ua kom lub cev tsis muaj qhov ua tau zoo.
Cov khoom kho mob muaj nyob rau hauv ntsiav tshuaj daim ntawv hauv ntau cov tshuaj txiav txim - ib, ob, peb lossis plaub milligrams ntawm cov tshuaj nquag nrog cov khoom ntxiv hauv cov lus muaj. Lub hauv paus ua haujlwm tseem ceeb ntawm cov tshuaj yog glimepiride.
Lub zog tseem ceeb ntawm cov tshuaj yog raws cov teebmeem hauv qab no:
- nce rhiab heev ntawm cov hlwb rau cov tshuaj insulin.
- nquag cuam tshuam rau kev kaw cov poov tshuaj raws, vim tias cov khoom noj khoom haus hauv potassium ntxiv thiab insulin secretion tshuab txais.
- favorably cuam tshuam lipid qib.
- pab txo cov platelet aggregation kom tsawg.
Ntxiv rau, kev siv cov ntsiav tshuaj ua rau muaj kev cuam tshuam ntawm cov tshuaj insulin rau ntawm kev nqus ntawm cov piam thaj los ntawm cov ntaub so ntswg.
Feem ntau, cov tshuaj siv rau hauv kev sib txuas ua ke hauv kev sib xyaw nrog cov tshuaj raws li cov tshuaj metformin (txhim kho metabolic tswj) lossis insulin txoj kev kho.
Cov kev txheeb xyuas ntau heev ntawm cov neeg mob uas siv cov tshuaj no qhia tau tias yooj yim thev taus thiab ua tau zoo ntawm cov tshuaj.
Cov lus qhia rau kev siv tshuaj
Cov lus qhia rau kev siv yeeb tshuaj hais tias kev pib kho mob yuav tsum tau ua nrog kev txiav txim siab qis ntawm cov tshuaj. Yog li, qhov tsim nyog yuav tsum tau tswj kev zom zaubmov yog muab.
Thaum lub sijhawm noj cov tshuaj, tus neeg mob yuav tsum tau soj qab xyuas cov qib ntawm cov piam thaj hauv cov ntshav, nrog rau qhov ntsuas ntawm glycosylated hemoglobin.
Kev teem caij ntawm cov tshuaj muaj txiaj ntsig, nrog rau kev xaiv ntawm cov tshuaj tsim nyog, yog nqa tawm tshwj xeeb los ntawm cov kws kho mob koom nrog. Hauv qhov no, kev siv tus kheej yog txwv tsis pub muaj.
Qhov tseeb ntawm kev noj cov ntsiav tshuaj yog ua raws li cov lus pom zoo hauv qab no:
- Nyob rau thawj theem ntawm txoj kev kho, qhov siab tshaj plaws tau tso cai ntawm cov tshuaj yog ib milligram ntawm cov tshuaj nquag ib hnub ib zaug. Tom qab ib mus rau ob lub lis piam, yog tias qhov kev xav tau tshwm sim, qhov kev siv tshuaj txhua hnub yuav muaj zog ntxiv.
- Qhov siab tshaj plaws tau tso cai rau theem ntawm kev siv tshuaj yuav tsum tsis pub ntau tshaj yim milligrams ntawm cov tshuaj, muab tias cov koob tshuaj zoo li no nce zuj zus thiab ntseeg tau, txhua kaum rau kaum plaub hnub.
- Hauv cov neeg mob uas cov ntshav qab zib cov ntshav tau tswj hwm zoo, qhov ua tau ntawm cov tshuaj tau tiav los ntawm kev noj los ntawm ib mus txog plaub milligrams ntawm cov tshuaj. Txog rau hnub no, muaj qee cov neeg tsawg tsawg uas yuav tsum tau nce cov tshuaj ntau npaum li yim rau milligrams ntawm cov tshuaj.
Nws raug nquahu kom noj cov tshuaj, raws li tag nrho cov lus qhia ntawm tus kws kho mob koom nrog. Tus kws kho mob tshwj xeeb teeb tsa lub sijhawm thiab lub sijhawm nkag, nyob ntawm tus neeg mob lub neej, kev ua haujlwm thiab qib ntawm lub cev. Raws li txoj cai, kev siv cov tshuaj tau tsim ib hnub ib zaug ua ntej noj mov tseem ceeb (piv txwv, thaum sawv ntxov ua ntej noj tshais). Qhov yuav tsum tau kawm ua ntej yog qhov ib txwm muaj thiab muaj tshais (noj su, noj hmo), yog tias qhov tshuaj noj. Tsis tas li ntawd, nws yuav tsum tau yug hauv siab tias yog vim li cas rau qee yam, ntsiav tshuaj ploj, tsis tas yuav nce nws qhov ntau ntxiv ntawm koob tshuaj ntxiv.
Muaj qee qhov xwm txheej uas tus kws kho mob tuaj yeem hloov kho ntau npaum li cas ntawm cov tshuaj. Kev kho yog ua tiav yog tias tus neeg mob lub cev poob, muaj kev hloov pauv hauv tus neeg mob lub neej - qhov ntau thiab cov zaub mov zoo, qib kev tawm dag zog lub cev, muaj qhov pheej hmoo ntawm hypo- lossis hyperglycemia raws li lwm yam.
Cov kev cog lus dab tsi rau kev siv nyob ua ib ke?
Txawm hais tias muaj daim ntawv teev ntau ntawm cov muaj txiaj ntsig zoo ntawm cov tshuaj, nws yog ib qho tsim nyog yuav tsum coj mus rau hauv txhua yam kev xaiv ntawm qhov tsis zoo uas yuav tshwm sim tom qab nws siv.
Ua ntej tshaj plaws, nws yog qhov yuav tsum tau them sai sai rau daim ntawv teev cov kev txwv tsis pub ua kev kho mob nrog Diomexide tsis tuaj yeem nqa tawm. Ntawm lub ntsiab contraindications suav nrog cov hauv qab no:
Kev kho mob ntshav qab zib mellitus ntawm thawj hom, thiab nyob rau hauv qhov kev soj ntsuam tus kab mob ntshav qab zib ketoocytosis lossis tus mob ntawm tus kabmob ntshav qab zib rau tus neeg mob,
- kev ua kom tsis muaj ntshav qab zib hauv ib tug neeg mob,
- nyob rau hauv lub xub ntiag ntawm pathologies ntawm kis xwm,
- mob siab rau lub raum lossis lub raum,
- intolerance los yog hypersensitivity rau ib los yog ntau cov tshuaj,
- nyob rau hauv muaj lactose intolerance lossis lactase tsis muaj peev xwm.
Txog rau hnub tim, tsis muaj cov ntaub ntawv txaus hais txog qhov tshuaj no ua haujlwm li cas rau kev kho mob ntshav qab zib hauv menyuam yaus. Yog li, txoj kev kho rau cov neeg mob zoo li no (txog hnub nyoog kaum yim xyoo) tsis yog yam yuav tau kho. Ntxiv rau, cov lus contraindications suav nrog kev siv tshuaj rau cov ntxhais xeeb tub thiab tus poj niam lub sijhawm pub mis.
Nrog rau kev ceev faj, cov tshuaj tau muab tshuaj yog tias muaj kev pheej hmoo ntawm cov ntshav qog ntshav siab, yog tias muaj qee yam yuav tsum ua kom tus neeg mob hloov mus rau kev txhaj tshuaj insulin tom qab phais mob, yog tias muaj kab mob ntawm lub plab zom mov.
Qhov tsis zoo los ntawm kev siv lub tshuaj tuaj yeem yuav tshwm sim?
Raws li qhov kev xaiv tsis tsim nyog ntawm kev haus tshuaj, tsis ua raws li txhua cov lus pom zoo ntawm tus kws kho mob tuaj koom, ntau yam kev qhia tsis zoo los ntawm kev noj tshuaj yuav loj tuaj.
Ib qho kev mob tshwm sim feem ntau yog ib qho kev pheej hmoo ntxiv thiab kev loj hlob ntawm lub qog ntshav qab zib dhau ib ncua sijhawm. Cov tsos mob tseem ceeb uas nrog tus mob no yog:
- ua rau qab los noj mov thiab muaj kev tshaib nqhis tas li,
- mob taub hau heev
- xeev siab thiab ntuav
- tas li kev xav ntawm nkees thiab qaug zog ntawm lub cev,
- txob taus
- tsis muaj peev xwm mloog
- ua pa nyuaj
- kiv taub hau thiab tsaus muag,
- nce ntshav siab.
Kev pib ntawm cov tshuaj kuj tseem tuaj yeem nrog cov uas pom kev tsis pom kev zoo. Qhov tshwm sim no tsuas yog ib ntus thiab ploj nws tus kheej rau qee lub sijhawm.
Ntxiv rau, cov kev qhia tsis zoo thiab cov kev mob tshwm sim tuaj yeem suav nrog:
- Ntau yam mob hauv lub plab zom mov. Mob hauv plab yuav tshwm sim, raws plab tuaj yeem tshwm sim.
- Kev ua txhaum ntawm daim siab, kev txhim kho ntawm tus kab mob siab, daj ntseg lossis cholestasis.
- Los ntawm cov kab mob ntshav hauv cov neeg mob tsawg, mob thrombocytopenia, leukopenia lossis pancytopenia yog pom.
- Kev mob xiam oob qhab los ntawm lub paj hlwb tuaj yeem tshwm sim, uas feem ntau pom muaj ntau yam kev ua xua - urticaria, khaus ntawm daim tawv lossis ua pob.
Kev siv ntau dhau ntawm cov tshuaj provokes kev tawm tsam ntawm mob ntshav qab zib tsawg kawg hauv ntshav qab zib mellitus, uas tuaj yeem nyob ntev li ntawm ib txog peb hnub.
Cov khoom puas tuaj yeem hloov nrog cov khoom uas muaj cov khoom zoo?
Cov cuab yeej yog yeeb tshuaj, uas yog yooj yim rau hauv lub nroog chaw muag tshuaj. Nws tus nqi nws txawv ntawm 170 txog 600 rubles, nyob ntawm seb ntau npaum li cas, thaj chaw muag khoom thiab chaw tsim tshuaj paus lub tuam txhab. Cov neeg siv khoom tshuaj xyuas pom tau tias cov tshuaj no ua tiav raws li cov yam ntxwv ntawm "tus nqi-zoo". Muaj qee kis thaum koj yuav tsum xav txog kev hloov cov tshuaj thiab pom qhov ntsuas qhov tsim nyog.
Niaj hnub no, kev lag luam kws tshuaj niaj hnub muaj kev xaiv ncaj ncees ntawm ntau yam tshuaj, uas nyob rau hauv lawv cov muaj pes tsawg leeg yog los ntawm cov khoom tsis txaus ntawm Diamerid, lossis cov lus ua. Nws yuav tsum raug sau tseg tias cov tshuaj analog tuaj yeem muaj cov npe sib txawv, tau tshaj tawm los ntawm lwm cov tuam txhab, tab sis muaj cov haujlwm sib xyaw nrog cov tshuaj zoo sib xws. Nyeg, cov lus txhais muaj cov khoom zoo sib xws, tab sis lawv muaj pes tsawg leeg txawv ntawm thawj cov khoom lag luam (piv txwv li, Diabeton MV ntsiav tshuaj).
Muaj cov analogues ntawm Diamerid, cov uas nrov tshaj plaws yog Amaryl, Glemaz, Glimepiride
Amaryl M yog kev npaj ntsiav tshuaj uas muaj nyob hauv ntau yam tshuaj. Nws muaj cov khoom zoo sib xws thiab kev qhia rau kev siv. Cov yam ntxwv ntawm tus yam ntxwv ntawm cov tshuaj no tsis muaj kev nkag tau hauv qee thaj tsam hauv lub teb chaws thiab tus nqi siv tau zoo. Tus nqi nruab nrab tuaj yeem muaj li 300 txog 1000 rubles rau ib pob (30 ntsiav tshuaj), nyob ntawm seb qhov ntau thiab cov chaw tsim khoom.
Glemaz - ntsiav tshuaj uas muaj nyob hauv qhov tshuaj ntawm plaub milligrams ntawm cov tshuaj nquag. Cov pob muaj peb caug tshuaj, tus nqi uas tuaj yeem yog los ntawm 325 txog 865 rubles.
Glimepiride - yog ib qho tshuaj noj ntawm cov tshuaj Diamerid. Qhov tseem ceeb ntawm cov cuab yeej zoo li no yog nws tus nqi pheej yig - ntawm 140 txog 390 rubles.
Dab tsi yog qhov ua tau zoo tshaj plaws hypoglycemic yuav qhia tus kws tshaj lij hauv video hauv kab lus no.
Lub Npe Tsis Muaj Npe International
Lub npe thoob ntiaj teb nonproprietary rau cov tshuaj no yog glimepiride. Nws txhais tau cov tshuaj ua tau zoo. Cov khoom siv no yog tiam thib peb sulfonylurea derivative.
Diamerid yog cov tshuaj uas siv los txo cov ntshav piam thaj.
Txoj cai ntawm cov tshuaj raws li ATX (anatomical, kho thiab tshuaj sib cais) yog A10BB12. Ntawd yog, cov tshuaj no yog ib qho cuab yeej cuam tshuam rau txoj hnyuv hauv lub plab thiab cov metabolism, yog tsim los kom tshem tawm cov ntshav qab zib, yog suav tias yog qhov tshuaj hypoglycemic, lub zog ntawm sulfonylurea (glimepiride).
Cov tshuaj muaj nyob rau hauv cov ntsiav tshuaj. Cov duab ntawm cov ntsiav tshuaj yog ib lub tiaj tus kheej kheej nrog bevel. Xim nyob ntawm tus nqi ntawm cov nquag siv hauv cov ntsiav tshuaj; nws yuav daj lossis liab dawb.
Cov ntsiav tshuaj tuaj yeem ntim tshuaj 1, 2, 3 mg lossis 4 mg ntawm cov tshuaj nquag nquag.
Cov kev zam yog: lactose monohydrate, magnesium stearate, povidone, microcrystalline cellulose, poloxamer, croscarmellose sodium, zas xim.
Ib pob muaj 3 lub hlwv, txhua tus 10 pcs.
Pharmacological kev txiav txim
Cov tshuaj no muaj cov nyhuv hypoglycemic.
Qhov kev txiav txim ntawm cov tshuaj yog ua raws li kev tsim tawm cov tshuaj insulin los ntawm beta hlwb ntawm cov leeg ntawm pancreatic islets ntawm Langerhans, ntxiv rau nce qhov kev nkag siab ntawm cov nqaij mos tau txais rau cov tshuaj hormones thiab ua kom cov ntshav qabzib hloov cov protein ntau hauv cov ntshav. Ua raws li cov ntaub so ntswg, cov tshuaj ua rau nws lub depolarization thiab qhib kev tiv thaiv kev tiv thaiv kab mob calcium raws, vim qhov twg ua rau ntawm tes tshwm sim.
Nws txo tus nqi ntawm gluconeogenesis nyob rau hauv daim siab vim yog qhov txhaws ntawm cov enzymes tseem ceeb, yog li muaj cov nyhuv hauv lub cev tsis tseem ceeb.
Cov tshuaj muaj cov nyhuv hauv platelet kev sib sau, txo nws. Nws inhibits cyclooxygenase, thaiv qhov oxidation ntawm arachidonic acid, muaj cov tshuaj antioxidant, txo tus nqi ntawm lipid peroxidation.
Yuav ua li cas noj diamerid?
Thaum noj cov tshuaj, tus kws kho mob yuav tsum soj ntsuam cov qib ntawm cov piam thaj hauv cov ntshav kom xwm yeem. Tus kws kho mob tshwj xeeb txiav txim siab qhov concentration ntawm cov piam thaj hauv cov ntshav, uas yuav tsum yog tom qab noj cov tshuaj. Qhov siv koob tshuaj tsawg tshaj plaws, uas cov nyhuv tsim nyog tuaj yeem ua tiav.
Cov tshuaj muaj nyob rau hauv cov ntsiav tshuaj. Cov duab ntawm cov ntsiav tshuaj yog ib lub tiaj tus kheej kheej nrog bevel.
Thawj koob tshuaj yog 1 mg rau ib hnub. Nrog lub sijhawm ntawm 1-2 lub lis piam, kws kho mob nce qhov ntau ntxiv, xaiv qhov tsim nyog. Koj koj tus kheej tsis tuaj yeem, yam tsis tau sab laj nrog kws kho mob, pib noj tshuaj lossis hloov qhov hloov pauv, vim tias nws yog tus neeg sawv cev zoo kho, kev siv tsis raug ntawm cov uas yuav muaj qhov tsis zoo.
Nrog rau cov ntshav qab zib kom tau txais txiaj ntsig zoo, qhov tshuaj ntawm cov tshuaj ib hnub yog 1-4 mg, ntau dua qhov tau ntau yog tsis tshua siv vim qhov tseeb tias lawv ua rau cov neeg tsawg tsawg xwb.
Tom qab noj cov tshuaj, koj yuav tsum tsis txhob hla ib pluas noj, uas yuav tsum tau ntom. Cov kev kho mob ntev.
Siv tshuaj diameride pom zoo rau cov mob ntshav qab zib hom 2, yog tias kev kho mob nrog kev noj zaub mov kom tsawg thiab ua kom lub cev tsis muaj qhov ua kom zoo.
Cuam tshuam rau lub peev xwm los tswj cov tshuab
Cov tshuaj muaj feem cuam tshuam rau kev muaj peev xwm los tswj cov tswv yim vim yog kev txhim kho ntawm lub qog ntshav qab zib, uas nrog nrog kev poob qis hauv lub cev, tas mus li nkees thiab qaug zog. Lub peev xwm los ua haujlwm uas yuav tsum muaj kev saib xyuas tas li, suav nrog kev tsav tsheb, txo qis.
Thaum noj, nws yog qhov yuav tsum xav txog cov yam ntxwv ntawm cov tshuaj.
Koj tsis tuaj yeem pib noj cov tshuaj lossis hloov cov tshuaj uas tau teev tseg rau koj tus kheej, yam tsis tau tham nrog kws kho mob.
Kev cuam tshuam nrog lwm yam tshuaj
Thaum siv cov tshuaj nrog lwm cov tshuaj, nws tuaj yeem ua kom tsis muaj zog lossis ntxiv dag zog rau nws txoj haujlwm, nrog rau kev hloov pauv ntawm lwm yam tshuaj, yog li nws tseem ceeb qhia rau tus kws kho mob txog cov tshuaj uas siv. Piv txwv li:
- Nrog rau kev tswj hwm tib lub sijhawm ntawm glimepiride thiab insulin, lwm yam kab mob hypoglycemic, coumarin derivatives, glucocorticoids, metformin, cov tshuaj hormones pw ua ke, angiotensin-hloov mus rau enzyme inhibitors, fluoxetine, thiab lwm yam, cov ntshav qab zib tsawg tuaj yeem tsim kho.
- Glimepiride tuaj yeem tiv thaiv lossis txhim kho cov nyhuv ntawm coumarin derivatives - cov tshuaj tiv thaiv kab mob.
- Barbiturates, laxatives, T3, T4, glucagon tuaj yeem ua kom tsis muaj zog ntawm cov tshuaj, txo cov txiaj ntsig ntawm kev kho mob.
- H2 histamine receptor blockers tuaj yeem hloov kho qhov cuam tshuam ntawm glimepiride.
Nrog rau kev tswj hwm tib lub sijhawm ntawm glimepiride thiab insulin, lwm yam kab mob hypoglycemic, kev txhim kho cov ntshav khov ntau yog ua tau.
Cawv tau zoo
Kev haus cawv ib zaug lossis nws siv tsis tu ncua tuaj yeem hloov qhov kev ua yeeb yam ntawm cov tshuaj, nce ntxiv lossis txo qis.
Cov tshuaj Analogues yog cov neeg sawv cev uas muaj cov glimepiride ua cov tshuaj nquag. Cov no yog cov tshuaj xws li:
- Amaril. Nov yog tshuaj German, txhua ntsiav tshuaj ntawm muaj ib koob tshuaj 1, 2, 3 lossis 4 mg. Ntau lawm: Lub teb chaws Yelemees.
- Glimepiride Canon, Muaj cov koob tshuaj 2 lossis 4 mg. Qhuav: Russia.
- Glimepiride Teva. Muaj nyob rau hauv cov koob tshuaj 1, 2 lossis 3 mg. Ntau lawm: Croatia
Diabeton yog ib qho tshuaj tiv thaiv hypoglycemic, muaj tib yam hypoglycemic zoo, tab sis nws cov tshuaj nquag yog qhov khoom noj ntawm sulfonylurea ntawm lub cim thib ob.
Amaryl yog ib qho duab ntawm Diamerid. Nov yog tshuaj German, txhua ntsiav tshuaj ntawm muaj ib koob tshuaj 1, 2, 3 lossis 4 mg.
Kev tshuaj xyuas rau Diamerida
Ua ntej siv cov tshuaj, koj yuav tsum tau txais kev paub nrog kev txheeb xyuas txog nws.
Starichenko V. K .: “Cov tshuaj no yog ib qho txiaj ntsig zoo rau kev tua ntshav qab zib hom 2. Nws raug tso cai siv nws ua ke nrog cov tshuaj insulin lossis raws li kev kho mob monotherapy. Tsuas yog kws kho mob tuaj yeem sau ntawv kho thiab kho qhov tshuaj. "
Vasilieva O. S.: “Cov tshuaj txo cov ntshav qabzib hauv cov ntshav, tiv thaiv kom tsis muaj kev phom sij los ntawm ntshav qab zib. Tsuas yog tus kws kho mob tshwj xeeb yuav tsum sau tawm qhov hais daws tau thiab txiav txim siab txog kev kho mob. "
Galina: “Cov ntshav qab zib cov ntshav nce siab zuj zus, ib yam tshuaj uas muaj cov tshuaj glimepiride tau raug muab tshuaj. Cov ntsiav tshuaj zoo xis, nqos zoo, noj txhua txhua hnub ua ntej noj tshais. Ntshav qab zib yog qhov qub, thiab cov tsos mob tsis zoo ntawm ntshav qab zib tau ploj mus. "
Natasha: “Kuv niam muaj ntshav qab zib, lwm txoj hauv kev pab tsis tau, tus kws kho mob tau sau tshuaj rau, hais tias nws txhawb qhov tsim tawm ntawm insulin thiab txhim kho qhov kev nkag siab ntawm cov hlwb rau nws. Qab zib yog qhov qub, nws yuav luag ib xyoos. "
Diameride 4 mg: cov lus qhia rau kev siv thiab analogues tshuaj
Kev kho mob rau tus mob ntshav qab zib hom 2 yeej ib txwm ua raws li kev noj zaub mov noj kom nruj thiab ib ce tshwj xeeb ntawm lub cev. Cov tshuaj Diamerid yog tshuaj rau qhov tsis muaj txiaj ntsig ntawm cov hau kev no.
Kev siv cov khoom lag luam kho mob no tau pom zoo nrog tus kws kho mob tuaj koom, uas tau sau ntawv tshuaj, raws li saib hauv daim duab dav dav ntawm tus neeg mob, tus kab mob loj npaum li cas.
Txoj kev kho kom zoo yuav tsum muaj cov tshuaj uas raug xaiv kom raug thiaj li zam dhau qhov cuam tshuam tsis zoo ntawm ib cov tshuaj xws li Diamerid.
Amaril txo qis cov tshuaj: cov lus qhia rau kev siv, nqe, tshuaj xyuas thiab analogues
Amaryl yog ib qho tshuaj uas pab txo cov ntshav qab zib.
Nws qhov kev nkag thaum pib thaum tsis muaj cov tshuaj insulin tuaj yeem tsis tau them rov qab los ntawm lwm txoj hauv kev - cov kev tawm dag zog, kev noj zaub mov noj, kev kho mob ntawm pej xeem, tab sis tsis tas yuav muaj kev qhia txog cov insulin ntshiab.
Noj cov tshuaj no muaj cov txiaj ntsig zoo rau kev mob ntawm cov neeg mob ntshav qab zib, uas tuaj yeem txhim kho lawv lub neej zoo.
Yog li no, Amaryl, cov tshuaj analogues uas tau tsim los ntawm ntau lub tuam txhab tshuaj, yog siv dav hauv kev kho mob ntawm kev cuam tshuam ntawm qhov tsis muaj cov tshuaj insulin hauv lub cev.
Kev taw qhia thiab cov tshuaj nquag
Amaryl thiab nws cov analogues tau qhia txog ntshav qab zib hom II.Cov tshuaj tiv thaiv tseem ceeb ntawm cov tshuaj yog glimepiride.
Qhov no koob thib 3 tiam tsim tshuaj, tsim ntawm lub hauv paus ntawm sulfanylurea derivative, ua rau ntawm lub cev, maj mam txhawb nws cov b-hlwb, uas yog lub luag haujlwm rau kev tsim cov tshuaj insulin. Raws li nws cov cawv, cov txiav tau ua rau cov insulin ntau dua, thiab cov piam thaj hauv cov ntshav yuav tsawg zuj zus.
Amaryl ntsiav tshuaj 2 mg
Tsis tas li ntawd, cov tshuaj nquag ntawm cov tshuaj kuj ua rau ntawm cov ntaub so ntswg ntawm lub cev, txo lawv cov tshuaj tiv thaiv insulin. Qhov no yog vim qhov tseeb tias glimepiride, nkag mus rau hauv lub cell los ntawm daim nyias nyias, muaj lub peev xwm los thaiv cov poov tshuaj raws. Raws li qhov kev nqis tes no, cov calcium calcium ntawm lub cell qhib, calcium nkag mus rau hauv cov cell thiab pab txhawb lub zog ntawm cov tshuaj insulin.
Raws li kev nqis tes ua ob zaug no, cov ntshav ua kom ntshav qabzib tsawg thiab maj mam tab sis ntev mus ntev. Amaril thiab nws cov qauv sib piv sib txawv los ntawm ntau tiam dhau los los ntawm tus lej me ntawm cov kev mob tshwm sim, contraindications thiab kev txhim kho tsis tshua muaj ntshav qab zib vim lawv kev noj.
Cov yam ntxwv ntawm cov tshuaj tso cai rau koj kom sib txawv ntau koob tshuaj siv rau kev kho mob, sai sai txheeb xyuas tus neeg mob qhov tseem ceeb thiab theem pib tsis kam ntawm Amaril, thiab tseem ua tau zoo thiab nyab xeeb faib cov tshuaj txhua hnub ntawm cov tshuaj noj.
Dosage Daim Ntawv thiab Daim Ntawv Xaiv
Cov tshuaj no, zoo ib yam li Amaril analogues, yuav tsum tau kho thiab sim xaiv cov koob uas yuav tsum tau ua.
Tsis muaj ib qho kev cai dav dav ntawm no - txhua tus neeg mob pom tias muaj tib cov tshuaj sib txawv no. Yog li, kev xaiv koob tshuaj yog tsim los ntawm kev ua tib zoo saib thiab soj ntsuam cov ntshav qab zib tom qab tshwj xeeb ntawm cov tshuaj.
Hauv thawj hnub ntawm kev txais tus neeg mob, tus neeg mob tau txhaj tshuaj hu ua thawj zaug, uas yog 1 mg ntawm Amaril ib hnub. Yog tias tsim nyog, cov koob tshuaj yog maj mam nce ntxiv, tas li saib xyuas qib qab zib. Qhov nce tshwm sim ib milligram ib lis piam, ntau zaus - hauv ob lub lis piam.
Feem ntau, qhov siab tshaj plaws uas tau hais rau tus neeg mob yog rau (6) grams ntawm cov tshuaj. Tsuas yog nyob hauv qee kis tshwj xeeb tau tso cai muab tshuaj rau niaj hnub ntxiv rau 8 mg, tab sis nws yog qhov tsim nyog yuav tsum tau noj cov tshuaj hauv cov khoom ntawd nyob rau hauv kev saib xyuas ntawm tus kws tshaj lij.
Amaryl muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj muaj ob txog rau mg ntawm cov tshuaj nquag. Qhov ntau npaum ntawm cov ntsiav tshuaj yog qhia hauv pob. Nws yog ib qho tsim nyog yuav tsum noj cov tshuaj ntawm qhov ncauj, tsis tas yuav zom, nrog dej ntau. Lawv xyaum noj cov tshuaj ib hnub ib zaug, tab sis nyob rau qee kis, Amaril ntsiav tshuaj muaj peev xwm muab faib ua ob zaug hauv ib hnub.
Pheej yig hloov pauv thiab analogues
Tus nqi ntawm cov tshuaj no zoo heev - ntawm 300 txog 800 rubles. Muab hais tias nws txoj kev tswj hwm tseem tu ncua, ntau zaus tau ntau xyoo, Amaril hloov chaw yog qhov cuam tshuam.
Cov tshuaj yeeb tshuaj no ua raws nraim cov tshuaj zoo tib yam, tab sis tus nqi ntawm lub teb chaws thiab chaw tsim khoom lag luam tuaj yeem pheej yig ntau dua li qhov qub. Cov tshuaj no yog tsim los ntawm cov chaw muag tshuaj hauv Poland, Slovenia, Is Nrias teb, Hungary, Qaib Cov Txwv, Ukraine. Amaril hloov pauv rau Lavxias analogues yog ua raws li qhov dav.
Glimepiride ntsiav tshuaj - qhov pheej yig tshaj plaws ntawm Amaril
Lawv sib txawv hauv npe, ntim khoom, ntau npaum li cas thiab tus nqi. Cov tshuaj ua kom nquag nyob hauv lawv yog qhov qub. Hauv qhov no, los ntawm txoj kev, cov lus nug hauv qab no tsis yog: "Dab tsi yog qhov zoo dua Amaryl lossis Glimepiride?" Lossis "Amaryl thiab Glimepiride - qhov txawv yog dab tsi?"
Qhov tseeb yog tias cov no yog ob lub npe lag luam rau ib qho tshuaj uas zoo ib yam. Yog li ntawd, nws tsis yog los tham txog kev ua kom zoo dua ntawm ib lossis lwm qhov kev txhais tau tias - lawv zoo tib yam hauv cov muaj pes tsawg leeg thiab muaj txiaj ntsig ntawm lub cev.Glimepiride ntawm Lavxias ntau lawm yog qhov zoo tshaj plaws pheej yug qhov pheej yig ntawm cov tshuaj.
Nws yog tsim nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, nrog tsuas tshuaj ntawm 1, 2, 3 thiab 4 milligrams.
Tus nqi ntawm cov tshuaj no yog ob peb zaug qis dua Amaril nws tus kheej, thiab cov tshuaj ua kom nquag pliag zoo ib yam nkaus.
Yog tias koj tsis tuaj yeem nrhiav nws, koj tuaj yeem yuav Diamerid. Cov ntsiav tshuaj no tsuas yog sib txawv hauv npe thiab chaw tsim khoom. Qhov ntsuas ntawm Amaril no tseem ua rau hauv ntsiav tshuaj los ntawm 1 txog 4 mg, tab sis txawv ntawm Glimepiride hauv tus nqi me ntsis.
Ukrainian cov tshuaj ntawm cov tshuaj muaj cov tshuaj Glimax, uas muaj yuav luag tib yam. Lawv sib txawv ntawm cov tshuaj - lub ntsiav tshuaj muaj los ntawm ob rau plaub milligrams ntawm cov tshuaj nquag, 1 mg tshuaj tsis muaj.
Ntsiav tshuaj Diamerid 2 mg
Tsis tas li, qhov pheej yig cov analogues ntawm Amaril yog tsim los ntawm cov kws lag luam Indian. Lawv cov npe pauv yog Glimed lossis Glimepiride Aykor. Ib mus rau plaub milligram ntsiav tshuaj muaj nyob. Koj tseem tuaj yeem nrhiav ntawm kev muag cov Indian tshuaj Glinova.
Nws qhov sib txawv tsuas yog nyob hauv qhov tseeb tias lub chaw tsim khoom lag luam, nyob hauv Is Nrias teb, yog lub chaw tsim khoom ntawm British chaw muag tshuaj loj Maxpharm LTD. Kuj tseem muaj cov tshuaj hauv Argentinean hu ua Glemaz, tab sis lawv tsis tshua muaj qhov tshwj xeeb tshaj yog nyob hauv cov chaw muag tshuaj hauv peb lub tebchaws.
Cov lus piv txwv ntawm kev tsim khoom hauv Ixayees, Jordan thiab EU
Yog tias vim qee qhov laj thawj tsis ntseeg cov tuam txhab tsim khoom hauv tebchaws lossis Isdias, koj tuaj yeem yuav cov nqi pheej yig analogues hloov chaw Amaryl, tus nqi uas yuav siab dua li ntawm cov khoom lag luam hauv tsev, tab sis qis dua li ntawm cov tshuaj thawj.
Cov tshuaj no yog tsim los ntawm cov tuam txhab hauv Czech koom pheej, Hungary, Jordan thiab Israel. Cov neeg mob tuaj yeem ntseeg tau cov tshuaj no - kev tswjhwm zoo ntawm cov tshuaj hauv cov tebchaws no tau cais los ntawm nws cov qauv nruj.
Amix, tsim los ntawm Zentiva, yog khoom los ntawm Czech koom pheej. Tus txheej txheem ntau npaum li cas los ntawm 1 mus rau 4 gram, ib txheej txheej txheem ua tau zoo thiab tus nqi tsim nyog sib txawv cov tshuaj no.
Lub tuam txhab lag luam kws muaj npe hauv Hungarian Egis, tsom ntsoov rau kev ua lag luam CIS, kuj tso tawm nws cov analogue Amarila. Cov cuab yeej no muaj lub npe Glempid, tus qauv tshuaj thiab tus nqi tsim nyog.
Hikma, lub tuam txhab kev lag luam loj tshaj plaws ntawm Jordanian, tau tsim muaj xyoo 1978, kuj tau tsim nws Amaril tus neeg sawv cev, hu ua Glianov. Koj tsis tas yuav txhawj txog qhov zoo ntawm cov tshuaj no - Cov tshuaj Jordanian raug xa tawm mus rau ntau lub teb chaws ntawm ntiaj teb, suav nrog Asmeskas, Canada thiab EU, uas kev tswj hwm kev siv tshuaj yeeb yog qhov phem heev.
Lub thoob ntiaj teb lub npe Amaryl (cov npe nrov) yog Glimepiride.
Lwm cov tuam ntxhab
Cov keeb kwm ntawm cov neeg txhais tau zoo ntawm kev txhawb nqa cov ntshav qab zib kom ib txwm tau tsim hauv lwm lub tebchaws.
Cov tshuaj cog hauv lub teb chaws Yelemees, Slovenia, Luxembourg, Poland thiab United Kingdom tsim ntau cov tshuaj uas hloov Amaryl tiav. Txawm li cas los xij, tag nrho cov tshuaj no kim heev, yog li lawv tsis tsim nyog rau cov neeg mob uas tsis muaj peev nyiaj.
Ib qho nqi ntau dua, kwv yees li 10 npaug ntawm tus nqi Lavxias lossis Indian, yog cov peev nyiaj tau tshaj tawm los ntawm cov chaw muag tshuaj hauv Switzerland. Txawm li cas los xij, tau txais cov tshuaj zoo li no tsis ua rau muaj kev nkag siab ntau - lawv yuav tsis ua haujlwm ntau dua, thiab lawv cov thawj coj ua rau muaj kev cuam tshuam zoo ib yam nkaus nrog kev hloov pheej yig.
Nws yog ib qho tseem ceeb kom paub! Teeb meem muaj suab thaj ntau dhau sijhawm tuaj yeem ua rau tag nrho cov kab mob, xws li teeb meem nrog lub zeem muag, tawv nqaij thiab plaub hau, mob qog, mob caj pas thiab txawm tias mob qog nqaij hlav! Cov neeg qhia kev iab kev mus normalize lawv qab zib qib txaus siab ...
Ntau cov lus qhia tseem ceeb txog Amaril hauv video:
Tseem muaj ntau cov tshuaj los ntawm cov tuam txhab sib txawv thiab ntau yam nqi nqe uas hloov Amaryl. Nws yuav tsum raug sau tseg tias thaum xaiv cov tshuaj, koj yuav tsum tsis txhob cia siab rau nws tus nqi siab - nws tsis txhais tau tas li qhov tsim nyog zoo, feem ntau cov tshuaj pheej yig dua ua haujlwm tsis muaj qhov tsis zoo dua nws cov nqi kim tshaj.
Diameride: cov lus qhia rau kev siv, nqe, xyuas thiab analogues
Hauv kev kho mob ntshav qab zib mellitus, thaum kev noj haus thiab cov txheej txheem qoj ib ce tsis muaj txiaj ntsig, tshuaj kho mob yog thawj kws kho mob txhawm rau txo qhov concentration ntawm qab zib. Muaj ntau ntau cov khoom xyaw dhia. Ib ntawm lawv yog glimepiride. Ntawm nws cov ntawv, ntau yam tshuaj yeeb tshuaj. Xav txog cov lus qhia rau kev siv Diameride uas muaj cov khoom tshwj xeeb, thiab kuj tseem piv nrog analogues.
Sab sij huam
- ntshav qab zib,
- tsis xis nyob los ntawm lub plab (xeev siab, ntuav, thiab lwm yam),
- pom kev pom
- nce kev ua si ntawm daim siab enzymes (txog rau daim siab ua haujlwm tsis ua haujlwm),
- hematopoietic pathology,
- kev fab tshuaj tsis haum
- anaphylactic kev poob siab,
- kev npau suav,
- kev saib duab.
Qhov teebmeem tsis zoo yog tsim nyog los ntawm kev txiav tsis siv tshuaj lossis los ntawm kev hloov kho tus nqi ntawm cov tshuaj yeeb dej caw.
Yeeb tshuaj sib cuam tshuam
Cov nyhuv ntawm cov tshuaj yog txhim kho los ntawm cov tshuaj hauv qab no:
- ACE inhibitors thiab MAO,
- cov tshuaj uas tsis yog tshuaj steroidal los kho,
- cimetidine
- fibrates
- antifungal tshuaj
- muaj ntsev,
- disopyramids
- fenfluramine,
- cov tshuaj hypoglycemic (acarbose, biguanides, insulin),
- guanethidine,
- chloramphenicol,
- tetracycline
- fluoxetine
- theophylline
- coumarin anticoagulants,
- anti-tuberculosis tshuaj
- sulfonamides,
- anabolic tshuaj yuam
- cyclophosphamides,
- beta blockers,
- pentoxifylline
- bromocriptine
- pyridoxine
- tubular secretion blockers,
- reserpine
- allopurinol.
Qhov kev txiav txim ntawm Diamerid tsis muaj zog los ntawm:
- barbiturates
- antiepileptic siv yeeb siv tshuaj
- glucocorticosteroids,
- adrenostimulants
- chlortalidone
- triamteren
- carbonic anhydrase inhibitors,
- blockers ntawm "qeeb" calcium channel,
- thiazide diuretics,
- danazol
- furosemide
- isoniazid
- asparaginase
- nicotinic acid
- diazoxide
- rifampicin
- morphine
- lithium ntsev
- salbutamol,
- chlorpromazine
- ritodrin
- baclofen
- terbutaline
- glucagon,
- cov thyroid hormones txaus,
- qhov ncauj tshuaj tiv thaiv thiab estrogens.
Cov tshuaj uas thaiv cov leeg pob txha hematopoiesis, thaum noj ua ke nrog nrog diamerid, ua rau muaj kev pheej hmoo ntawm myelosuppression.
Siv cov beta-blockers, clonidine, reserpine, guanethidine tuaj yeem npog cov tsos mob ntawm kev mob ntshav qab zib.
Tus kws kho mob yuav tsum paub txog tus neeg mob noj cov nyiaj uas tau teev tseg thaum sau tshuaj kho thiaj li yuav ntsuas tau cov kev kho mob txuas nrog lawv.
Cov lus qhia tshwj xeeb
Nws yog ib qho tseem ceeb uas yuav tsum saib xyuas koj cov piam thaj hauv ntshav tas mus li kom tsis txhob muaj kev phem tshwm sim.
Cov tshuaj muaj peev xwm cuam tshuam rau kev muaj peev xwm tsav tsheb, yog li tsav tsheb thiab ua haujlwm nrog kev siv tshuab tsis zoo.
Haum rau kev sib xyaw ua ke, nrog rau cov insulin.
Tus neeg mob yuav tsum paub cov tsos mob ntawm tus mob ntshav qab zib tsawg thiab tuaj yeem pab ua ntej. Tus mob no tseem tuaj yeem ua rau:
- haus cawv
- kev yoo mov
- ua txhaum kev noj haus thiab tshuaj kho mob,
- kev siv lub cev
- hloov chaw ntawm lub sijhawm, kev ya davhlau, thiab lwm yam.
Cov tshuaj yuav muab faib tawm los ntawm cov tshuaj noj!
Piv nrog analogues
Muaj ntau tus yeeb tshuaj zoo ib yam li cov tshuaj tau piav. Nws yuav muaj txiaj ntsig zoo los paub koj tus kheej nrog lawv lub zog thiab piv cov kev ua.
Lawj Xeeb MV. Cov no yog cov ntsiav tshuaj uas muaj gliclazide. Ua cov tuam txhab "Servier", Fabkis. Tus nqi ntawm kev ntim khoom yog 300 rubles thiab tshaj saud. Qhov no yog qhov zoo nkauj tshaj plaws hauv cov khoom. Cov txheej txheem sib dhos yog tus qauv, tsis pom zoo rau cov laus.
Amaril. Tus nqi yog ntawm 300 txog 1000 rubles rau pob khoom (30 daim). Tuam txhab tsim khoom - Sanofi Aventis, Fabkis. Qhov no yog cov khoom sib txuam ua ke raws li glimepiride thiab metformin. Ua tsaug rau kev sib xyaw ua ke ntawm nws cov dej num nws ua tau sai dua thiab kev taw qhia ntau dua. Cov txheej txheem sib dhos yog tus qauv, muaj ntau cov kev mob tshwm sim.
NovoNorm. Ib yam tshuaj uas muaj cov tshuaj repaglinide. Muaj peb hom kev tso tawm, nyob ntawm seb qhov kev faib tawm ntawm cov tshuaj nquag. Tus nqi pib ntawm 180 rubles rau ib pob. Cov neeg tsim khoom - "Novo Nordisk", Denmark. Qhov no yog cov khoom siv pheej yig, muaj txiaj ntsig zoo, tab sis muaj tus lej ntawm cov contraindications. Tsis haum rau menyuam yaus, cov neeg laus thiab cov pojniam xeeb tub.
Glimepiride. Nqe - los ntawm 140 txog 390 rubles. Cov tuam txhab tshuaj hauv tuam txhab Pharmstandard, kuj tsim los ntawm cov tuam txhab Lavxias teb sab Vertex. Lub ntsiab tivthaiv yog glimepiride. Muaj tsib daim ntawv ntawm kev ua lag luam nrog cov ntsiab lus sib txawv ntawm cov tshuaj nquag. Nws muaj cov nyhuv zoo sib xws, cov lus contraindications yog qhov qub. Siv nrog ceev faj rau cov neeg laus.
Maninil. Cov tshuaj muaj glibenclamide. Cov khoom lag luam tsim lub tuam txhab "Berlin Chemie", lub teb chaws Yelemees. Tus nqi qis - 120 rubles rau 120 ntsiav tshuaj. Qhov no yog qhov pheej yig tshaj plaws analogue, ob qho tib si hais txog cov khoom thiab muaj. Zoo sib xws contraindications.
Tus kws kho mob txiav txim siab qhov twg yog qhov zoo tshaj plaws rau tus neeg mob thiab hloov mus rau lwm yam tshuaj. Kev siv tus kheej yog txwv!
Kev xav ntawm cov ntshav qab zib nrog kev paub ntawm cov tshuaj feem ntau yog qhov zoo. Cov neeg nco ntsoov qhov ua tau zoo ntawm cov tshuaj, tsawg tsawg ntawm cov kev phiv. Rau qee qhov, cov tshuaj tsis haum.
Olga: “Kuv tau kho tus mob ntshav qab zib tau ntev. Kuv tau sim tshuaj ntau, tam sim no kuv nres ntawm Diamerida. Kuv siv nrog kev sib xyaw nrog Metformin, Kuv nyiam cov nyhuv ntawm cov tshuaj. Qab zib yog qhov qub, tsis txhob txhawj "phiv". Thiab qhov tseem ceeb tshaj plaws, nws yog muag dawb hauv khw muag tshuaj. "
Daria: “Kuv noj cov tshuaj Diameride tau ob lub hlis, qib suab thaj tsis hloov. Tus kws kho mob tau hais tias nws tsis tsim nyog rau kuv kis, thiab kws kho mob ntxiv. "
Oleg: “Tus kws kho mob tau sau ntawv rau kuv cov tshuaj no rau lub hlis dhau los. Tus mob tau ruaj khov lawm. Kev hloov ua suab thaj tsis txhob txhawj xeeb; kev noj qab haus huv tag nrho yog qhov zoo. Nws yog qhov zoo uas qhov no yog tshuaj ntawm kev tsim khoom hauv tsev, uas nyob hauv nws lub zog thiab zoo tsis muaj qhov phem dua li cov neeg txawv teb chaws. Thiab vim li cas ho them nyiaj ntau dua yog tias muaj txoj hauv kev los kho mob pheej yig dua nrog tib cov nyhuv thiab zoo dua. "
Elena: “Kuv muaj ntshav qab zib hom 2. Tsuas yog kev noj haus zoo tsis pab lawm, yog li cov kws tsim tshuaj txog kabmob endocrinologist tau taw qhia Diamerid, hais tias cov neeg Lavxias-ua, tsim nyog zoo. Thiab kuv tau kho nws tau peb lub hlis tam sim no. Nws yooj yim heev uas koj noj ib ntsiav tshuaj ib hnub, thiab cov nyhuv ntev lawm. Qab zib tsis hla, hypoglycemia tsis tshwm sim, uas tshwj xeeb tshaj yog thov. Kuv tseem yuav tau txais kev kho mob ntxiv mus. "
Xaus
Txiav txim los ntawm kev tshuaj xyuas thiab piav qhia txog lub zog ntawm cov tshuaj, nws zoo heev. Nws tau sau tseg tias tus nqi-zoo piv yog raug hwm, thiab kev tsim khoom hauv tsev tsis yog rho tawm ntawm cov tshuaj. Cov neeg mob ntshav qab zib, nrog rau cov kws tshaj lij, nco ntsoov tias Diamerid ua tau zoo rau ob qho tib si hauv kev kho tshuaj thiab nrog lwm cov tshuaj.
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Ntshav Qab Zib Ntshav Pab
Mob ntshav qab zib nephropathy: cov tsos mob, theem thiab kho mob ntshav qab zib nephropathy yog lub npe rau feem ntau lub raum mob ntshav qab zib. ... -
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