Diabeton MV: kev tshuaj xyuas ntawm kev siv, cov lus qhia rau cov tshuaj, piav qhia ntawm contraindications
Kev nquag ua haujlwm ntawm Diabeton (gliclazide) muaj cov ntsiab lus ntawm hypoglycemic, txo qis cov kua qabzib hauv cov ntshav thiab txhawb cov kua dej ntawm cov kua dej los ntawm β-hlwb ntawm islets ntawm Langerhans.
Tus neeg mob ntshav qab zib nyob rau tom qab ntawm hom 2 mob ntshav qab zib mellitus hauv kev teb rau kev noj cov piam thaj pab kom rov zoo li thaum kawg ntawm insulin secretion thiab tib lub sijhawm txhim kho theem thib ob ntawm nws cov kev zais.
Ntxiv rau, Diabeton, raws li cov lus qhia, txo qhov kev pheej hmoo ntawm kev tsim cov ntshav me me kom tsis muaj mob, cuam tshuam rau cov txheej txheem uas yog cov hauv paus tseem ceeb hauv kev txhim kho kev mob ntshav qab zib.
Diabeton analogues
Diabeton cov duab sib xyaw hauv cov tshuaj tiv thaiv yog Diabefarm, Glidiab, Glyclad, Glucostabil, Diabetalong, Diabinax thiab Diatica ntsiav tshuaj.
Raws li cov txheej txheem ntawm kev nqis tes ua thiab zwm rau ib pawg pharmacological, cov tshuaj tiv thaiv kabmob ntshav qab zib muaj cov tshuaj: Glemaz, Glimepiride, Amaril, Glemauno, Glibenez retard, Glidanil, Maniglid, Diamerid, Glumedeks, Glimidstad, Movogleken, Chlorpropamide thiab.
Kev Ntsuas Kab Mob Ntshav Qab Zib
Raws li cov lus qhia, Diabeton yog tus sau tseg:
- Hauv kev kho mob ntawm hom 2 mob ntshav qab zib mellitus tawm tsam keeb kwm ntawm kev ua tsis tau zoo los ntawm kev tawm dag zog lub cev thiab kev noj zaub mov noj,
- Rau kev tiv thaiv ntawm cov teeb meem mob ntshav qab zib mellitus - txo kev pheej hmoo ntawm mob hlab ntsha tawg, retinopathy, nephropathy thiab myocardial infarction.
Cov Yuav Tsum Muaj
Diabeton, raws li cov lus qhia, yog contraindicated rau hauv kev teem caij ntawm:
- Yam 1 ntshav qab zib
- Mob raum lossis siab mob tsis zoo,
- Mob ntshav qab zib precoma, mob ntshav qab zib ketoacidosis, mob ntshav qab zib coma.
Ib qho ntxiv, Diabeton MV tsis yog siv:
- Concomitantly nrog miconazole, phenylbutazone lossis danazole,
- Thaum cev xeeb tub thiab pub niam mis,
- Hauv kev xyuas menyuam yaus kom txog thaum hnub nyoog 18 xyoo,
- Nrog hypersensitivity rau cov nquag (gliclazide) thiab ib yam ntawm cov ntu ntu ntawm cov tshuaj.
Kev saib xyuas tshwj xeeb yuav tsum tau teem caij ntawm Diabeton MV:
- Thaum tsis muaj cov piam thaj-6-phosphate dehydrogenase,
- Nrog cawv,
- Tawm tsam keeb kwm yav dhau los ntawm lub raum thiab lub siab ua haujlwm,
- Nrog cov khoom noj tsis xwm yeem los sis tsis txaus,
- Nrog hypothyroidism,
- Tawm tsam keeb kwm ntawm mob hnyav ntawm cov hlab plawv system,
- Nrog lub sijhawm ntev glucocorticosteroid kho,
- Tawm tsam keeb kwm ntawm adrenal lossis pituitary tsis txaus,
- Hauv cov neeg laus cov neeg mob.
Kev noj tshuaj thiab kev tswj hwm tus mob ntshav qab zib
Qhov tshuaj rau txhua hnub ntawm Tus Mob Ntshav Qab Zib MV yuav tsum noj ib hnub ib zaug, nyiam dua thaum noj tshais.
Thawj qhov tshuaj ntawm cov tshuaj yog 30 mg rau ib hnub, uas ib leeg zuj zus tuaj yeem nce ntxiv rau ob ntsiav tshuaj ntawm Diabeton 60. Hauv qhov no, qhov koob tshuaj yuav tsum tsis txhob nce ntau tshaj ib hlis ib zaug.
Tsis txhob tshaj qhov pom zoo tshaj qhov ntau npaum li cas txhua hnub, uas yog 2 ntsiav tshuaj ntawm Diabeton 60.
Thaum hloov ntawm cov ntsiav tshuaj tsis haum (80 mg) rau Diabeton 60, ceev faj glycemic tswj yuav tsum tau nqa tawm. Ib qho ntxiv, thawj koob tshuaj Diabeton MV yuav tsum tsis pub tshaj 30 mg rau tsawg kawg ob lub lis piam. Kev noj tshuaj tib lub cev yuav tsum raug siv los tawm tsam keeb kwm yav dhau los ntawm kev pheej hmoo ntawm Kev Ntshav Qab Zib:
- Hauv kev mob hnyav lossis tsis zoo rau cov kev mob endocrine - pituitary thiab adrenal tsis txaus, hypothyroidism,
- Muaj zaub mov tsis txaus los sis noj tsis txaus,
- Nyob rau hauv cov kab mob loj heev ntawm cov hlab plawv - mob ntshav siab rau ntawm lub plawv, mob carotid arteriosclerosis, nquag muaj atherosclerosis,
- Nrog rau kev tshem tawm ntawm glucocorticosteroids tom qab siv sijhawm ntev lossis kev coj noj coj ua hauv kev txhaj tshuaj ntau dua.
Yog tias muaj kev noj qab haus huv ntau tshaj ntawm Diabetone, kev txhim kho ntawm lub qog ntshav qab zib yog feem ntau yuav, txo cov tsos mob uas nws pom zoo kom nce ntxiv ntawm cov carbohydrates nrog rau cov zaub mov thiab txo cov koob tshuaj.
Phiv los ntawm ntshav qab zib
Raws li kev txheeb xyuas, Diabeton, zoo li lwm yam tshuaj ntawm sulfonylurea pawg, tuaj yeem ua rau kev txhim kho ntawm cov ntshav qab zib, uas feem ntau txhim kho tiv thaiv keeb kwm ntawm cov zaub mov noj tsis xwm yeem. Cov tsos mob feem ntau ntawm kev mob ntshav qab zib thaum noj ntshav qab zib, raws li kev txheeb xyuas, yog:
- Lub siab muaj kev tshaib plab
- Mob taub hau
- Qaug zog,
- Xeev siab thiab ntuav
- Txoj kev chim siab thiab ntxhov siab
- Thab thab
- Cov tshuaj tiv thaiv qeeb
- Lub Neej Bradycardia
- Txo cov xim siab,
- Cramps
- Kev ntxhov siab thiab tsis meej pem
- Tsis pom kev zoo, kev pom thiab hais lus,
- Kiv taub hau thiab tsis muaj zog
- Khawv Koob.
Ib qho ntxiv, ntxiv rau cov tsos mob tau piav qhia thaum noj Diabeton, raws li kev txheeb xyuas, adrenergic tshua tuaj yeem tshwm sim hauv daim ntawv ntawm:
- Ntxhov siab vim
- Tawm hws,
- Tawg siab
- Tachycardia,
- Arrhythmias.
Feem ntau, cov tsos mob ntawm lub qog ntshav qab zib tau yooj yim tso tseg los ntawm kev noj cov zaub mov carbohydrates, tab sis nrog ntev ntev ntawm tus kab mob, kev kho mob kub ceev yuav tsum tau.
Ntxiv nrog rau qhov ntshav qab zib tsawg, Diabeton MV tuaj yeem ua rau lub plab zom mov, uas tuaj yeem zam tau yog tias koj noj tshuaj thaum noj tshais.
Ntawm cov tawv nqaij muaj teeb meem, erythema, tawm pob, urticaria, maculopapular thiab ua xoo pob thiab khaus khaus yog txawv. Muaj qee kis, tshwj xeeb tshaj yog thaum pib ntawm txoj kev kho, noj ntshav qab zib kom ua rau lub ntsej muag muaj kev cuam tshuam.