Metglib thiab Metglib Force - cov ntsiav tshuaj ntshav qab zib, cov lus qhia, tshuaj xyuas
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj ntawm qhov ntau npaum ntawm 2.5 mg + 500 mg thiab 5 mg + 500 mg. Cov khoom tseem ceeb yog glibenclamide thiab metformin hydrochloride. Cov tshuaj seem yog nthuav tawm: hmoov txhuv nplej siab, calcium dihydrate, thiab macrogol thiab povidone, ib qho me me ntawm cellulose.
Zaj duab xis ntawm cov xim dawb xim ntsiav tshuaj 5 mg + 500 mg yog ua los ntawm Opadra dawb, giprolose, talc, titanium dioxide. Cov ntsiav tshuaj muaj txoj kab sib faib.
Cov ntsiav tshuaj 2.5 mg + 500 mg oval, them nrog ib zaj duab xis tiv thaiv nrog xim xim.
Pharmacological kev txiav txim
Nws yog cov koom nrog hypoglycemic tus neeg sawv cev, sulfonylurea derivative ntawm 2 tiam, npaj rau kev tswj hwm qhov ncauj. Nws muaj ob qho tib si pancreatic thiab cov teebmeem ntxiv.
Glibenclamide txhawb kev ua haujlwm zoo ntxiv ntawm cov kua dej los ntawm kev txo qis nws qhov kev nkag siab los ntawm beta hlwb hauv cov txiav. Vim nws cov insulin rhiab heev, nws khi rau cov phiaj xwm hlwb sai dua. Cov txheej txheem ntawm lipolysis ntawm adipose nqaij qeeb qeeb.
Kev ntsuas rau siv
Kev qhia rau kev siv yog qee yam mob hauv qab no:
- ntshav qab zib hom 2 rau cov neeg laus, yog tias kev noj haus thiab kev tawm dag zog tsis pab,
- tsis muaj txiaj ntsig ntawm kev kho mob nrog sulfonylurea derivatives thiab metformin,
- los hloov monotherapy nrog 2 tshuaj noj hauv cov neeg muaj kev tswj zoo glycemic.
Cov Yuav Tsum Muaj
Muaj ntau tus lej sib kis rau kev siv cov tshuaj no tau piav qhia hauv cov lus qhia. Ntawm lawv yog:
- ua kom lub cev tsis haum rau cov tshuaj,
- ntshav qab zib hom 1
- raum tsis ua hauj lwm zoo,
- mob ketoacidosis,
- mob hnyav nrog cov nqaij mos hypoxia,
- cev xeeb tub thiab lactation
- kis kab mob
- kev raug mob thiab ua haujlwm dav,
- siv cov miconazole kom nruj,
- cawv intoxication,
- lactic acidosis,
- ua raws li cov khoom noj uas tsis muaj calorie ntau,
- cov me nyuam hnub nyoog qis dua 18 xyoo
Nrog saib xyuas
Nrog kev saib xyuas zoo, cov tshuaj no tau raug kho rau tib neeg kev txom nyem los ntawm febrile syndrome, kev quav dej cawv, ua tsis taus pa adrenal, lub caj pas pituitary thiab cov thyroid caj pas. Nws kuj tseem ua tib zoo tshuaj rau cov neeg muaj hnub nyoog 45 xyoos thiab laus dua (vim muaj kev pheej hmoo tiv thaiv ntshav qog thiab kab mob lactic acidosis).
Nrog ntshav qab zib
Pib nrog 1 ntsiav tshuaj hauv ib hnub nrog kev noj tshuaj ntawm cov tshuaj nquag ntawm 2.5 mg thiab 500 mg, ntsig txog. Maj mam nce qhov koob tshuaj txhua lub lim tiam, tab sis muab qhov loj ntawm glycemia. Nrog kev hloov kho ua ke, tshwj xeeb tshaj yog tias nws yog nqa tawm nyias los ntawm metformin thiab glibenclamide, nws raug nquahu kom haus 2 ntsiav tshuaj ib hnub. Qhov siab tshaj plaws uas pub rau txhua hnub yuav tsum tsis pub tshaj 4 ntsiav tshuaj hauv ib hnub.
Sab sij huam
Thaum kho, kev txhim kho ntawm cov kev phiv tshuaj yog muaj peev xwm:
- leuko- thiab thrombocytopenia,
- anemia
- anaphylactic kev poob siab,
- ntshav qab zib,
- lactic acidosis,
- txo qis kev nqus ntawm cov vitamins B12,
- saj ua txhaum
- tsis pom kev
- xeev siab
- ntuav
- zawv plab
- tsis qab los noj mov
- zoo nkaus cov khoom hnyav hauv plab
- lub siab ua tsis taus haujlwm,
- rov mob kab mob siab
- kev tsim tawm ntawm daim tawv nqaij
- urticaria
- xau nrog khaus
- erythema
- dermatitis
- qhov nce ntxiv hauv cov concentration ntawm urea thiab creatinine hauv cov ntshav.
Cov lus qhia tshwj xeeb
Cov tshuaj raug muab tso tseg nyob rau hauv kev kho mob ntawm kev kub nyhiab, kis kab mob, kho txoj kev kho mob ua ntej kev phais loj. Hauv cov xwm txheej zoo li no, lawv hloov mus rau insulin txheem. Txoj kev pheej hmoo ntawm kev txhim kho hypoglycemia nce nrog kev txawv txav ntawm kev noj zaub mov, kev yoo mov ntev thiab NSAIDs.
Siv thaum cev xeeb tub thiab lactation
Txwv tsis pub. Cov xaim hluav taws xob nquag dhau los ntawm kev tiv thaiv kab ke ntawm lub cev thiab tuaj yeem cuam tshuam cov txheej txheem ntawm kev hloov khoom nruab nrog.
Koj tsis tuaj yeem noj tshuaj thaum lub sijhawm lactation, vim tias cov tshuaj nquag kis mus rau niam mis. Yog tias xav tau kev kho mob, nws zoo dua kom tso tseg kev pub niam mis.
Daim ntawv thov rau lub raum khiav tsis zoo
Lub peev xwm ntawm kev siv yog cuam tshuam los ntawm creatinine tshem tawm. Qhov ntau tshaj nws yog, qhov tsawg dua cov tshuaj tau sau tseg. Yog hais tias tus neeg mob tus mob hnyav dua, nws yog qhov zoo dua rau tsis kam kho cov kev kho mob.
Daim ntawv tso tawm
Cov tshuaj muaj nyob hauv cov ntsiav tshuaj coated. Peb lub hlwv nrog 10 ntsiav tshuaj tau ntim hauv pob ntawv los qhia.
Tus nqi ntawm Metglib yog qhov sib txawv hauv cov khw muag tshuaj sib txawv thiab nyob ntawm seb muaj pes tsawg ntawm cov ntsiav tshuaj hauv pob. Tus nqi nruab nrab rau 30 ntsiav tshuaj ntawm 2.5 mg Meglib Force pib ntawm 123 rubles.
Kev tsim kho hauv ntshav qab zib - tsuas yog haus txhua txhua hnub.
Cov tshuaj muaj pes tsawg leeg suav nrog cov tshuaj tiv thaiv kev mob ntshav qab zib: metformin 400 mg, glibenclamide 2.5 mg thiab excipients.
Cov lus qhia rau kev siv
Cov tshuaj tau noj nrog pluas noj, ntxuav nrog dej. Kev noj tshuaj, kev tswj kev noj tshuaj, lub sijhawm siv tshuaj kho yog txiav txim los ntawm tus kws kho mob raws li kev ntsuas ntawm tus neeg mob lub cev, thiab tseem nyob ntawm cov piam thaj hauv ntshav. Kev kho feem ntau pib nrog 1-2 ntsiav tshuaj nyob rau ib hnub, maj mam kho cov koob tshuaj kom muaj suab thaj li qub.
Qhov siab tshaj plaws yuav tsum tsis pub tshaj 6 ntsiav tshuaj hauv ib hnub.
Cov ntau npaum ntawm cov tshuaj yog cov kws kho mob sau tseg, suav txog tus neeg mob tus mob. Thawj koob tshuaj txhua hnub muaj ib ntsiav tshuaj 2.5 mg + 500 mg lossis 5 mg + 500 mg.
Ua kom cov koob tshuaj ntau dua rau cov piam thaj kom ruaj khov yog nqa tawm tom qab 2 lossis ntau lub lim tiam ntawm tsis pub ntau tshaj ib ntsiav tshuaj ib hnub. Qhov ntau npaum ntawm cov tshuaj yuav tsum tsis pub ntau tshaj 4 ntsiav tshuaj ntawm Metglib Force lossis 6 ntsiav tshuaj ntawm Metglib.
Daim ntawv thov nta
Tus mob ntshav qab zib xav tau hloov cov tshuaj tua kab mob ntshav nrog kev txhaj tshuaj insulin hauv cov xwm txheej hauv qab no:
- kev phais lossis raug mob ntau,
- loj hauv cheeb tsam hlawv,
- npaws rau qhov kis kab mob.
Nws yog qhov yuav tsum tau ua ntu zus los saib xyuas qhov nkhaus txhua hnub ntawm qab zib, tseem nyob ntawm lub plab khoob thiab tom qab noj mov.
Tus neeg mob yuav tsum ceeb toom rau qhov kev pheej hmoo ntawm kev mob ntshav qab zib thaum lub sijhawm yoo mov, noj ethanol.
Tawm tsam cov keeb kwm yav dhau los ntawm lub cev thiab kev ua haujlwm dhau los, nrog kev kho kom haum hauv zaub mov noj, nws yog qhov tsim nyog hloov lub koob tshuaj ntawm cov tshuaj.
Peb muab cov luv nqi rau cov nyeem ntawm peb lub xaib!
Ua tib zoo siv cov tshuaj yog tias beta-blockers muaj nyob rau hauv kev kho mob ntawm tus neeg mob.
Thaum muaj kev mob ntshav qab zib tsawg, tus neeg mob tau txais carbohydrates (qab zib), nyob rau hauv rooj plaub loj heev, kev tso ntshav tawm ntawm cov tshuaj dextrose yog qhov yuav tsum tau ua.
Kev soj ntsuam Angiographic lossis urographic ntawm cov neeg mob noj Metlib yuav tsum tsis siv tshuaj ntxiv 2 hnub ua ntej kev kho mob thiab rov pib ua dua tshiab tom qab 48 teev.
Cov yeeb tshuaj uas muaj cov tshuaj ethanol, ua ke nrog kev siv tshuaj, pab txhawb rau qhov tshwm sim hauv siab, tachycardia, tawv nqaij liab, liab ntuav.
Yug menyuam, yug menyuam noj niam mis txwv kom tsis txhob haus cov tshuaj ntawd ntxiv lawm. Tus neeg mob yuav tsum ceeb toom kws kho mob txog kev npaj cev xeeb tub.
Cov tshuaj muaj peev xwm cuam tshuam rau kev mloog zoo thiab nrawm ntawm cov tshuaj tiv thaiv, yog li koj yuav tsum tau ceev faj txog kev tsav tsheb thiab ntau yam dej num txaus ntshai.
Thaum pib ntawm kev kho mob nrog yeeb tshuaj tuaj yeem nrog kev hloov pauv ntawm tus mob huam. Txo cov kev qhia kom pom tseeb, nws yuav tsum haus cov tshuaj hauv 2 lossis 3 koob tshuaj, kev maj mam nce zuj zus ntawm lub koob yuav pab txo qis.
Ua ntej pib kev kho mob, koj yuav tsum nyeem cov lus qhia rau kev siv Metglib.
Kev cuam tshuam nrog lwm yam tshuaj
Muaj cov tshuaj miconazole hauv txoj kev kho tuaj yeem ua rau kom cov piam thaj txo qis kom txog thaum nws tsis xeev tsis xeev.
Koj yuav tsum tsis txhob noj cov tshuaj rau ob hnub ua ntej thiab tom qab tso cov tshuaj sib xyaw cov tshuaj tiv thaiv nrog iodine.
Kev siv cov tshuaj sib xyaw ua ke nrog ethanol thiab Metglib tsub kom cov suab thaj txo qis ntawm cov tshuaj thiab tuaj yeem ua rau tsis nco qab. Yog li, thaum kho, haus dej cawv thiab tshuaj yeeb nrog ethanol yuav tsum raug cais tawm. Lactic acid coma tuaj yeem tshwm sim vim yog haus dej cawv, tshwj xeeb tshaj yog thaum tus neeg mob tsis zoo lossis muaj lub siab ua haujlwm.
Kev sib xyaw nrog Bozentan ua rau muaj kev hem thawj rau kev txhim kho cov mob raum, thiab tseem yuav txo cov txiaj ntsig ntawm cov kua qab zib ntawm Metglib.
Noj ntau dhau
Kev siv cov tshuaj tsis raug cai ua rau cov lactic acid tsis nco qab lossis poob qab zib.
Nrog rau kev txo cov piam thaj, tus neeg mob tau hais kom noj zaub mov ntau nyob rau hauv carbohydrates lossis tsuas yog qab zib.
Hauv cov xwm txheej nyuaj, thaum tus neeg mob poob siab, dextrose lossis 1-2 ml ntawm glucagon muab tshuaj rau leeg. Tom qab tus neeg mob rov qab nco qab, lawv tau muab zaub mov nrog lub teeb carbohydrates.
Tshuaj tiv thaiv kab mob cov tshuaj tiv thaiv tau sawv cev rau ntawm Lavxias lub khw tshuaj.
Lawv siv rau hauv kev kho mob ntawm hom 2 mob ntshav qab zib mellitus, kuj muaj tus lej ntawm kev qhia thiab sib kis, raws li hauv cov lus qhia rau Metglib:
Cov nyhuv ntawm cov tshuaj tiv thaiv ntshav qab zib yog nyob ntawm cov tshuaj nquag hauv lawv. Qee qhov nce lub zais zais ua haujlwm ntawm cov txiav, thaum lwm tus ntxiv qhov rhiab ntawm cov ntaub so ntswg mus rau insulin.
Kev sib xyaw ntawm ob qho kev nquag koom ua ke hauv Metglib ua rau ob qho txiaj ntsig.
Tus nqi qis ntawm cov tshuaj ua rau nws muaj kev sib tw hauv kev lag luam kws tshuaj. Cov tshuaj yuav tsum noj nkaus xwb raws li kws kho mob tau hais thiab nrog rau qab zib tswj.
Niam muaj hom ntshav qab zib 2. Tus kws kho mob tau sau ntawv Glibomet. Tab sis nws cov nqi nce ntxiv, Kuv yuav tsum tau nrhiav ib daim tuaj hloov. Raws li lwm txoj hauv kev, tus kws kho mob qhia rau Metlib Force, tus nqi rau nws yog 2 zaug tsawg dua. Qab zib txo qis kom zoo, tab sis kev noj haus yog qhov xav tau. Ntau qhov kev mob tshwm sim, tab sis niam tsis muaj lawv.
Kuv tau noj Metglib ntau lub hlis. Tus mob hauv lub sijhawm thaum ntxov tsis zoo. Xeev siab, kiv taub hau, tab sis txhua yam mus sai sai. Koj tsuas yog yuav tsum muab cov tshuaj txiav ua ob peb zaug kom haum. Thiab yog li, feem ntau, Kuv txaus siab rau cov tshuaj thiab nws ua. Qab zib txo qis, tuav.
Mob ntshav qab zib ib txwm ua rau neeg tuag taus. Muaj ntshav qab zib ntau dhau yog qhov txaus ntshai heev.
Aronova S.M. muab cov lus qhia txog kev kho mob ntshav qab zib. Nyeem tag nrho
Cawv tau zoo
Tsis txhob noj tshuaj nrog cawv. Qhov no ua rau cov ntshav qog ntshav qab zib, ua rau muaj kev phiv ntau dua.
Muaj ib daim ntawv teev cov analogues ntawm cov tshuaj no, zoo ib yam li nws nyob hauv cov khoom sib txuam thiab cov nyhuv:
- Bagomet Plus,
- Glibenfage
- Glibomet,
- Glucovans,
- Gluconorm,
- Gluconorm Plus,
- Metglib.