Yuav siv li cas Reduxin rau cov ntshav qab zib?
Cov neeg mob ntshav qab zib mellitus feem ntau ua rog lossis rog dhau, cov tshuaj hauv tsev Reduxin tuaj yeem pab lawv daws cov teeb meem no. Nws tau tsim nws tus kheej ua qhov ua tau zoo thiab muaj kev nyab xeeb uas tuaj yeem siv los ntawm txhua tus neeg mob rog, nrog rau cov neeg mob ntshav qab zib. Tab sis, txawm hais tias muaj tshuaj lom tsawg ntawm Reduxine, nws yuav tsum siv nruj me ntsis raws li kws kho mob tsim nyog.
TSEEM CEEB YUAV TSUM! Txawm tias cov ntshav qab zib siab tshaj plaws tuaj yeem kho tau hauv tsev, tsis tas yuav phais lossis tsev kho mob. Tsuas nyeem dab tsi Marina Vladimirovna hais. nyeem cov lus pom zoo.
Cov ntaub ntawv dav dav
Kev npaj tshuaj Reduxin yog muag hauv cov tshuaj uas muaj cov khoom xyaw ua ke - sibutramine hydrochloride monohydrate thiab microcrystalline cellulose (MCC). Cov tshuaj txuas ntxiv hauv qab no kuj tseem muaj nyob hauv cov tshuaj:
Qab zib yog txo tam sim ntawd! Mob ntshav qab zib ntev mus ntev tuaj yeem ua rau tag nrho cov kab mob, xws li teeb meem tsis pom kev, tawv nqaij thiab plaub hau, mob rau sab hauv, mob caj pas thiab mob qog nqaij hlav! Cov neeg qhia kev iab kev xav ua kom lawv cov suab thaj theem. nyeem rau.
- cov khoom noj khoom haus ntxiv E572, E171, E131,
- nkaws.
"Reduxin" ua rau lub siab ua kom muaj lub siab thiab pab txo lub siab xav noj zaub mov.
Kev poob hauv lub cev hnyav tshwm sim vim qhov nce hauv qib ntawm lipoproteins ntau ntom hauv cov ntshav. Muaj qhov ploj ntawm phaus thiab vim yog kev tshem tawm cov roj (cholesterol) phem los ntawm lub cev, qhov txo qis hauv cov rog hauv nruab nrab thiab uric acid. MCC raws li ib feem ntawm Reduxin yog tus enterosorbent uas pab ntxuav tib neeg lub cev ntawm cov khoom lom, ua xua thiab cov khoom pov tseg ntawm cov kab mob pathogenic.
Muaj pes tsawg leeg ntawm Reduxin
Cov khoom muaj pes tsawg leeg muaj cov khoom xyaw ua ke: sibutramine hydrochloride monohydrateli qub microcrystalline cellulose.
Raws li ib qho tshuaj ntxiv hauv cov tshuaj muaj pes tsawg leeg muaj cov calcium stearate.
Lub plhaw tshuaj ntsiav muaj gelatin, zas azorubine, zas titanium dioxide, zas xim xiav muaj ntawv tso cai.
Daim ntawv tso tawm
Cov khoom muaj nyob hauv cov tshuaj ntsiav 10 mg thiab 15 mg.
Cov tshuaj ntsiav 10 mg muaj cov xim xiav, sab hauv muaj cov hmoov dawb lossis dawb-daj. Muaj nyob hauv cov hlwv, uas tau ntim rau pob khoom ntawm cardboard. Hauv cov ntawv ntim no yuav muaj 30 lossis 60 tsiav tshuaj.
Reduxin 15 mg - Cov no yog cov tshuaj ntsiav xiav, sab hauv lub tsiav tshuaj muaj cov hmoov dawb lossis dawb-daj. Muaj nyob hauv cov hlwv, uas tau ntim rau pob khoom ntawm cardboard. Hauv cov ntawv ntim no yuav muaj 30 lossis 60 tsiav tshuaj.
Pharmacological kev txiav txim
Wikipedia qhia tias Reduxin yog cov tshuaj sib xyaw uas siv los kho rog dhauCov. Txoj kev ua haujlwm ntawm cov tshuaj txiav txim siab nws qhov muaj pes tsawg leeg.
Sibutramine Yog cov prodrug uas ua rau hauv lub cev los ntawm metabolites (amines thawj thiab theem nrab). Metabolites inhibit qhov rov nrhiav noj monoamines (feem ntau norepinephrine thiab tshuaj serotonin) Vim tias qhov nce hauv cov ntsiab lus ntawm cov neurotransmitters hauv cov lus sib dhos, cov kev ua ntawm adrenoreceptors thiab central serotonin 5-HT receptors nce. Raws li qhov tshwm sim, tus neeg mob tau muaj kev xav zoo li qub, txo qis qhov xav tau ntawm cov khoom noj. Tsis tas li, nyob rau hauv cov tshuaj ntawm yeeb tshuaj, thermal ntau lawm nce. Xim av adipose cov ntaub so ntswg raug sau tseg tias cuam tshuam los ntawm kev ua kom tsis ncaj ntawm β3-adrenergic receptors.
Hauv kev sib txuam nrog kev txo qis ntawm tib neeg qhov hnyav, qhov nce ntawm qhov kev nkag siab ntawm HDL hauv cov dej dej tau raug sau tseg. Qhov ntsuas tag nrho kuj tseem poob qis dua. roj, tus nqi ntawm triglycerides, uric acid.
Microcrystalline cellulose - Nws yog ib qhov enterosorbent uas nthuav tawm cov nyhuv tsis ua rau detoxification thiab kev ua zam txim. Qhov tshuaj no khi cov kab mob me, xenobiotics, ua xua, co toxins thiab muab tshem tawm hauv lub cev.
Pharmacokinetics thiab cov chaw muag tshuaj
Tom qab cov tshuaj tau sab hauv, sibutramine sai sai nqus los ntawm cov hnyuv. Kev nqus tsis yog tsawg dua 77%. Sibutramine yog biotransformed, uas ua rau muaj qhov tsim ntawm ob lub cev metabolites (mono- thiab didemethylsibutramine). Qhov siab tshaj plaws ntawm cov khoom hauv lub cev tau pom tas li 1.2 teev tom qab kev coj noj coj ua. Qhov siab tshaj plaws ntawm cov metabolites yog tom qab 3-4 teev.
Yog tias Reduxin ntsiav tshuaj tau noj ib txhij nrog zaub mov noj, tom qab ntawv qhov siab tshaj plaws ntawm cov khoom noj metabolites txo qis dua 30%, thiab lub sijhawm nws ua tiav nce txog peb teev. Cov ntaub so ntswg tau faib sai sai. Sibutramine khi rau cov ntshav protein los ntawm 97%, thiab metabolites - los ntawm 94%. Nws yog tsuas yog tawm los ntawm lub raum, ib nrab-lub neej ntawm sibutramine yog 1.1 teev, metabolites - 14-16 teev.
Kev ntsuas rau siv
Cov lus piav qhia ua rau pom tias Reduxin yog siv los txo qhov hnyav ntawm lub cev. Zoo li lwm cov khoom hnyav poob, nws yog qhia rau cov neeg uas raug kev txom nyem kev rog rogthiab lawv lub cev qhov ntsuas hnyav yog 30 kg / m2 lossis ntau dua. Nws kuj tseem raug samfwm rau cov neeg uas tau txheeb xyuas txog kev rog rog alimentary nrog BMI ntawm 27 kg / m2 thiab tib lub sijhawm muaj lwm yam kev pheej hmoo cuam tshuam nrog kev rog dhau (dyslipoproteinemia, mob ntshav qab zib).
Cov Lus Cog Tseg rau Reduxin
Ua ntej koj pib noj cov tshuaj, koj yuav tsum twv yuav tsum xav txog contraindications thiab phiv. Reduxin yog contraindicated nyob rau hauv cov teeb meem hauv qab no:
- organic ua rau kev rog (hypothyroidism lwm yam)
- kev mob hlwb
- noj tsis zoo (bulimia nervosa, anorexia nervosa),
- Tourette's mob
- cov kab mob hnyav heev ntawm lub plawv thiab cov hlab ntsha (lub plawv tsis ua haujlwm, lub plawv tsis zoo, lub plawv tsis txaus, ischemic mob plawv, arrhythmias, mob leeg lub plawv, thiab lwm yam),
- cerebrovascular kab mob (cerebrovascular kev sib tsoo, mob stroke),
- leeg ntshav siab tswj tsis tau
- mob raum thiab mob rau lub siab,
- thyrotoxicosis,
- pheochromocytoma,
- lub kaum sab xis mob ntsws,
- prostatic hyperplasia benign
- cawv, yeeb tshuaj lossis quav yeeb tshuaj,
- cev xeeb tub thiab lub sijhawm lactation,
- hnub nyoog ua ntej 18 xyoo thiab tom qab 65 xyoos,
- siab rhiab heev rau cov tshuaj ntawm cov tshuaj,
- kev kho mob ib txhij nrog MAO inhibitors lossis siv cov tshuaj zoo li no ob lub lis piam ua ntej siv Reduxine,
- kev siv cov yeeb tshuaj ib txhij uas muaj cov nyhuv hauv nruab nrab lub paj hlwb.
Cov lus piav qhia ntawm cov tshuaj tseem muaj cov ntaub ntawv nyob rau hauv cov xwm txheej twg Reduxine yuav tsum tau ua tib zoo saib. Qhov no yog mob ntshav plawv tsis ua haujlwm, arrhythmias keeb kwm mob hlab ntsha hlwb mob cholelithiasiscov leeg mob hlwb leeg ntshav siab (keeb kwm), mob me thiab hauj sim lub raum thiab lub siab ua haujlwm, lub cev muaj zog thiab hais lus tics.
Sab sij huam ntawm Reduxine
Thaum noj 10 mg thiab 15 mg tsiav tshuaj, cov kev mob tshwm sim hauv qab no yuav tshwm sim:
- cov leeg hlab hlwb: insomniaqhov ncauj qhuav kiv taub hau, mob taub hau, paresthesia, ntxhov siab vim, nkees nkees, hauv qee zaus - kev nyuaj siab, kev tsheecramps rov mob txob taus,
- kev mob plawv: lub plawv dhia tachycardiance ntshav siab, vasodilation,
- lub plab zom mov: cem quav, hloov pauv tau, xeev siabkev txom nyem hemorrhoids,
- dermatological yam: tawm hws, tawv nqaij khaus, Shenlein-Genoch liab doog,
- kev tshwm sim ntawm lub cev raws li ib tug tag nrho: Muaj qee zaus - o, dysmenorrhea, khaub thuas zoo li mob aws, mob ntsws npog, kev nqhis dej, jade, thrombocytopenialos ntshav.
Thaum tso tseg, qhov ua rau tsis zoo nyob rau hauv lub cev yog qhov tsawg. Tej zaum qhov kev cia siab ntawm ua kom qab los noj mov, mob taub hau. Tsis muaj ntaub ntawv qhia txog cov tsos mob ntawm tshem tawm cov tsos mob.
Qhov tshwm sim ntawm cov kev mob tshwm sim feem ntau pom hauv thawj hnub lossis vas thiv ntawm kev noj cov ntsiav tshuaj. Cov kev xav tsis zoo feem ntau yog cov lus tsis muaj zog, nrog rau lub sij hawm lawv tsis muaj zog.
Reduxin tsiav tshuaj, cov lus qhia rau kev siv (Txoj kev thiab ntau npaum li cas)
Cov lus qhia rau kev siv Reduxin qhia tau tias tus kws kho mob tau sau tshuaj rau ntawm tus kheej, coj mus rau nws cov qauv thiab qhov mob ntawm tus neeg mob. Koj yuav tsum tau noj tshuaj ib hnub ib zaug. Zom cov tshuaj ntsiav yuav tsum tsis yog, nws yog qhov tseem ceeb rau nws haus nws nrog dej kom ntau. Koj tuaj yeem haus tshuaj ua ntej noj mov lossis thaum caij. Raws li cov lus qhia rau Reduxin, 10 mg yog thawj koob tshuaj. Yog tias tus neeg mob tsis zam lub tshuaj, ces qhov koob tshuaj tuaj yeem txo rau 5 mg.
Hauv kev tshwm sim uas plaub lub lis piam tus neeg mob tau txo lub cev qhov hnyav los ntawm 5% lossis ntau dua, tom qab ntawd qhov koob tshuaj txhua hnub tau nce mus rau 15 mg. Hauv cov neeg mob uas tsis teb zoo rau kev kho, uas yog, qhov hnyav tsis tau poob ntau dua 5%, kev kho yuav tsum tsis pub ntev tshaj li peb lub hlis. Tsis tas li, kev kho mob yuav tsum tsis txhob txuas ntxiv yog tias tus neeg mob rov qab tau ntau dua 3 kg tom qab tau ua tiav qhov hnyav.
Nrog kev muaj peev xwm ib txwm, koj tsis tuaj yeem txuas ntxiv noj tshuaj ntsiav rau ntau dua ob xyoos. Cov neeg tsim khoom lag luam muab cov lus qhia piav qhia txog cov tshuaj thiab yuav haus li cas kom poob phaus.
Yuav ua li cas coj nws txoj hauv kev txhawm rau kom poob ceeb thawj, tus kws tshaj lij tuaj yeem qhia txhua yam. Qhov ntau npaum li cas thiab kev kho mob ntev li cas tau teem tseg los ntawm kws kho mob uas muaj kev paub dhau los kho kev rog. Cov tshuaj yuav tsum tau ua ke nrog kev noj haus thiab kev tawm dag zog.
Noj ntau dhau
Tam sim no tsis muaj cov ntaub ntawv txaus ntawm kev siv ntau tshaj ntawm sibutramine. Yog tias muaj kev noj ntau dhau, nws yog ib qho tseem ceeb uas yuav tau hu rau tus kws tshwj xeeb. Yog tias koj noj ntau dhau, cov kev mob tshwm sim tuaj yeem sib zog ntxiv. Tsis muaj cov ntaub ntawv qhia txog cov cim tshwj xeeb ntawm kev noj ntau dhau.
Thaum noj ntau dhau ntawm cov tshuaj koj yuav tsum tau noj tshuab txais carbonyaug lub plab. Kev kho mob raws qab yog nqa tawm. Yog tias, tom qab noj ntau dhau, tus neeg mob ntshav siab nce lossis tachycardia tau sau tseg, nws raug nquahu kom muab cov tshuaj beta-blockers.
Kev sib txuam
Yog Reduxin ua ke nrog microsomal oxidation inhibitors (suav nrog cov tshuaj tiv thaiv ntawm isoenzyme 3A4 ntawm cytochrome P450), muaj kev nce siab ntawm cov sibutramine metabolites hauv plasma nrog kev nce siab hauv plawv thiab nce ntxiv QT luv, uas yog qhov tsis txaus ntseeg tshuaj.
Tus nab npawb ntawm cov tshuaj tuaj yeem ua rau cov metabolism ntawm sibutramine: tshuaj tua kab mob-macrolides, phenobarbital, carbamazepine, dexamethasone, phenytoin.
Nws yuav tsum raug sau tseg tias nrog kev coj ua ke ntawm ob peb yam tshuaj uas ua rau cov ntshav serotonin ntau ntxiv, kev cuam tshuam loj heev tuaj yeem tsim kho.
Muaj qee zaus, kev txhim kho cov serotonin syndrome tuaj yeem ua ke nrog kev sib txig sib luag ntawm Reduxine thiab xaiv cov reuptake inhibitors tshuaj serotonin, ib tug xov tooj ntawm cov tshuaj rau kev kho mob ntawm migraine, antitussive tshuaj, muaj zog analgesics.
Tsis muaj kev cuam tshuam nrog kev tswj kom lub qhov ncauj tsis cuam tshuam.
Dab tsi yog Reduxin
Cov tshuaj rau qhov poob phaus Reduxin muaj sibutramine - ib yam tshuaj rau lub cev, uas ua kom yuag poob phaus. Txawm li cas los xij, txoj kev hais daws tuaj yeem muaj qhov tsis zoo tsuas yog ua ke nrog lwm txoj hauv kev los ntawm kev rog rog.
Yog li, noj Reduxin rau kom poob phaus, koj yuav tsum txo qis hauv cov calories, noj cov zaub mov zoo, haus dej huv thiab kev tawm dag zog tsis tu ncua.
Cov ntsiav tshuaj no muaj cov tshuaj phem, yog li ntawd lawv tau faib los ntawm cov tshuaj noj. Nws raug nquahu kom siv lawv tsuas yog muaj teeb meem tseem ceeb nrog qhov hnyav: cov tshuaj txwv tsis pub noj yog tias tsuas muaj ob peb phaus ntxiv. Qhov taw qhia rau kev pib kho nrog Reduxine yog qhov muaj lub cev nyhav dhau los ntawm 30 kg lossis ntau dua.
Cov lus qhia tshwj xeeb
Koj tuaj yeem noj 10 mg lossis 15 mg Reduxine tsiav tshuaj tsuas yog tias tag nrho lwm txoj hauv kev ua kom yuag yog qhov tsis muaj txiaj ntsig, uas yog, yog tias tsis pub dhau 3 lub hlis qhov hnyav tau poob tsawg dua 5 kg.
Ib qho tshuaj twg rau qhov poob phaus, suav nrog Reduxine, yuav tsum noj nrog lwm qhov kev ntsuas txhawm rau txo kev hnyav lub cev. Hauv qhov no, kev tswj hwm ntawm tus kws kho mob tau paub yog qhov tseem ceeb.
Raws li lub vev xaib raug cai ntawm cov tshuaj, cov muaj pes tsawg leeg ntawm txoj kev kho kom ncaj ncees suav nrog kev hloov pauv cov hauv paus ntsiab lus ntawm kev noj zaub mov zoo thiab kev ua neej, nrog rau lub cev ua si ntxiv. Nws yog ib qho tseem ceeb kom paub txog qhov yuav tsum tau hloov pauv tus cwj pwm txhawm rau kom tuav tau cov txiaj ntsig. Cov uas tsis ua raws li cov kev cai no tom qab ntawv lawv tus kheej nug lawv tus kheej tias vim li cas ib cov tshuaj tsis pab kom poob phaus.
Tus kws kho mob yuav tsum qhia rau tus neeg mob tsis tsuas yog hais txog yuav ua li cas kom poob phaus nrog Reduxin, tab sis kuj tham txog qhov yuav tsum tau ntsuas ntsuas lub plawv thiab ntshav siab tas li. Cov ntsuas no yuav tsum tau saib xyuas txhua ob lub lim tiam thaum pib. Tshwj xeeb yuav tsum tau ceev faj yuav tsum tswj hwm cov ntshav siab hauv cov neeg muaj ntshav siab. Nws yog ib qho tseem ceeb kom ncua kev kho mob yog tias thaum lub sijhawm tswj cov txheej txheem ob zaug hauv cov kab siab tau muab sau tseg tias dhau ntawm cov ntsuas ntawm 145/90 hli RT. st
Kev saib xyuas tshwj xeeb yuav tsum tau ceev faj thaum noj cov tshuaj uas nce ntxiv QT luvCov. Cov no yog cov tshuaj tiv thaiv arrhythmiasuas nce QT luv, ntxiv rau blockers histamine H1 receptorslub plab zom mov stimulants.
Txog hnub tim, tsis muaj cov ntaub ntawv muaj tseeb ntawm kev sib raug zoo ntawm kev kho mob nrog tus neeg sawv cev no thiab nthuav qhia tus neeg mob thawj lub ntsws mob ntshav siabCov. Tab sis nyob rau hauv tus txheej txheem ntawm kev kho mob, nws yog ib qho tseem ceeb yuav tsum tau them nyiaj tshwj xeeb rau qhov tshwm sim ntawm qhov mob ntawm lub hauv siab, o ntawm ob txhais ceg thiab nce siab dyspnea.
Nws yog ib qho tseem ceeb uas yuav tau xav txog tias thaum noj tshuaj, tus neeg muaj peev xwm tsav tsheb thiab tswj tau lwm yam txheej txheem yuav txwv.
Yog tias tus neeg mob yog tus nquag cem quavNws yog ib qho tseem ceeb kom tswj tau txoj haujlwm tshem tawm ntawm txoj hnyuv. Thaum cem quav, tso tseg kev kho thiab noj tshuaj pab plab.
Koj tsis tuaj yeem pib kho, ua los ntawm cov lus ntuas tias lub rooj sab laj muaj qhov poob ceeb thawj. Tsis tas li, cov duab ua ntej thiab tom qab noj cov khoom los ntawm cov neeg mob yuav tsum tsis yog daim ntawv qhia rau kev ua. Nws yuav tsum to taub tias kev kho zoo li no yuav tsum yog kws kho mob sau tseg.
Cov qauv ntawm Reduxin
Yog tias tsim nyog, koj tuaj yeem xaiv qhov hloov chaw rau Reduxine. Muaj cov analogues, tsuas yog lawv cov nqi pheej yig lossis ntau dua, nyob ntawm cov tuam txhab tsim khoom. Piv txwv li, cov kab xev sib piv ntawm Lavxias-ua Thoob Ntiaj Teb tau nqe qis dua. Tus nqi ntawm Reduxine analogues kuj yog nyob ntawm cov naj npawb ntawm cov ntsiav tshuaj hauv pob. Analogues ntawm cov tshuaj yog cov tshuaj Lindax, Meridia, Reduxin Met, Ntxim Nyias, Kub Kab.
Dab tsi yog qhov sib txawv ntawm Reduxin thiab Reduxin Teeb?
Thaum xaiv cov tshuaj, cov neeg mob feem ntau nug cov lus nug: uas yog qhov zoo dua - Reduxin lossis Reduxin TeebCov. Koj yuav tsum tam sim ntawd coj mus rau hauv tus account qhov sib txawv hauv cov sib xyaw ntawm cov nyiaj no. Cov kev qhia qhia tias Reduxin Lub Teeb yog ib qho ntxiv cov roj ntsha uas muaj cov linoleic acid, vitamin e thiab lwm yam tshuaj ntxiv. Cov nquag ua haujlwm ntawm cov tshuaj pab txhawb cov normalization ntawm metabolism, ua rau kev ua cov rog. Txawm li cas los xij, Reduxin Teeb yog qhov tsim nyog rau siv nrog kev ua lub neej nquag thiab kev ua si lub cev tas mus li. Tus nqi, hauv kev sib piv nrog Reduxin tshuaj, yog qis dua me ntsis. Reduxin muaj cov txheej txheem sib txawv ntawm kev ua. Yog li, hauv txhua kis ntawm tus kheej, kws kho mob cais tawm ntawm tus kheej seb qhov twg yog qhov ua tau zoo dua thiab qhov twg yog qhov zoo dua rau kev kho mob rau tus neeg mob. Thaum tham txog Reduxin thiab Reduxin Teeb, cov neeg mob tawm ntau qhov kev txheeb xyuas, los ntawm qhov zoo rau qhov tsis tshua txaus siab.
Qhov twg yog qhov zoo dua: Reduxin lossis Orsoten?
OrsotenYog lub plab hnyuv enzyme inhibitor.Los ntawm kev txo cov haujlwm ntawm cov plab hnyuv plab hnyuv thiab plab hnyuv plab, nws txo qis cov calories hauv lub cev thiab yog li ua rau poob phaus. Reduxin ua qhov sib txawv, yog li kev xaiv ntawm cov tshuaj yuav tsum tau nqa tawm tsuas yog los ntawm kws kho mob, coj los ntawm tus yam ntxwv ntawm tus neeg mob.
Kev txheeb xyuas txog Reduxine
Kev tshuaj xyuas ntawm cov kev poob phaus txog Reduxin 15 mg qhia tau hais tias cov tshuaj muaj txiaj ntsig zoo, feem ntau ua ke nrog kev ua neej zoo. Cov neeg mob uas sau rau hauv lub chaw sib tham txog seb cov tshuaj no pab kom nws yuag yuag qee zaum txawm tias tawm hauv kev txheeb xyuas nrog cov duab ua pov thawj. Feem ntau kuj tseem muaj kev tshuaj xyuas zoo txog Reduxine 10 mg. Cov neeg uas poob ceeb thawj ntawm cov tshuaj pom tau hais tias lawv qab los noj mov poob zuj zus, thiab lawv lub cev qhov hnyav poob qis.
Qee tus poj niam sau hais tias lawv tau ntsib nqhis dej heev hauv thawj lub lim tiam ntawm kev kho mob. Qee tus neeg mob ua ke cov tshuaj ntsiav thiab cov ntsiav tshuaj noj los ntawm lwm cov tuam ntxhab. Txawm li cas los xij, lawv nco ntsoov tias qhov no tsuas yog ua tau raws li kev saib xyuas ntawm tus kws kho mob. Muaj cov kev tshuaj xyuas uas tsis tshua pom los ntawm cov kws kho mob txog cov kev mob tshwm sim, uas nws yog ib lo lus nug ntawm qhov tseeb tias kev ua tsis zoo yog mob me thiab, raws li txoj cai, dhau mus sai. Cov kws tshaj lij pom tias thaum noj tshuaj, cov lus qhia yuav tsum tau coj ua nruj. Cov tshuaj yuav tsum tsis txhob haus cawv ib pliag loj. Qee lub sij hawm txawm tias 20 mg ntawm cov tshuaj ib hnub tuaj yeem ua rau nce siab, thiab lwm yam. Cov kws kho mob tsis pom zoo kom haus cawv thaum kho.
Qee qhov kev txheeb xyuas kuj tseem hais txog qhov hloov chaw ntawm Elena Malysheva, uas nyob rau hauv lub moj khaum ntawm cov pawg uas "Poob phaus Nrog Reduxin". Malysheva tshaj tawm tias nws cov neeg koom tau tuaj yeem poob mus rau 15-20 kg. Coob tus poj niam sau tau cov lus txheeb xyuas qhov zoo hais txog qhov no hauv kev sib tham.
Reduxin tus nqi, qhov twg yuav
Tus nqi ntawm Reduxin 15 mg No. 60 nyob rau hauv Moscow thiab St. Petersburg yog qhov nruab nrab ntawm 4,500 rubles. Tus nqi hauv Moscow cov khw muag tshuaj rau kev ntim khoom ntawm 90 tsiav tshuaj - qhov nruab nrab ntawm 5800 - 6000 rubles. Qhov twg mus yuav Reduxin 15 mg hauv Moscow nrog kev xa khoom, koj tuaj yeem nrhiav hauv khw hauv online, uas tshwj xeeb hauv kev muag tshuaj.
Tus nqi ntawm Reduxine 10 mg hauv chaw muag tshuaj ntawm Russia (hauv Omsk, Voronezh, Novosibirsk, thiab lwm yam) yog 1700-1800 rubles rau 30 tsiav tshuaj. Koj tuaj yeem yuav ib pob khoom ntawm 60 tsiav tshuaj ntawm Reduxin 10 mg hauv St. Petersburg, hauv Krasnoyarsk, hauv Yekaterinburg rau qhov nruab nrab ntawm 2700 rubles. Tus nqi hauv cov khw muag tshuaj ntawm ntau lub nroog sib txawv.
Cov tshuaj noj cov zaub mov noj hauv Kiev, ib yam li lwm lub nroog hauv Ukraine (hauv Zaporizhia, Odessa, Kharkov, Dnepropetrovsk) tuaj yeem txiav txim los ntawm cov chaw muag tshuaj online. Tus nqi ntawm Reduxin hauv Ukraine dhau ntawm Is Taws Nem Kev Nruab Nrab 2,000 hryvnias ib pob ntawm 60 tsiav tshuaj. Kev yuav cov nyiaj ntsuab li cas thaum xa khoom, koj yuav tsum nrhiav qhov chaw uas tshwj xeeb hauv kev muag yeeb tshuaj.
Hauv Belarus (hauv Minsk thiab lwm lub nroog), thiab hauv Kazakhstan, koj tuaj yeem tuaj yeem yuav cov tshuaj no yam tsis muaj daim ntawv yuav tshuaj hauv khw muag tshuaj online. Ntau npaum li cas ntawm cov tshuaj siv tau yog nyob ntawm qhov ntim thiab qhov chaw muag.
Kev taw qhia thiab txwv tsis pub nkag mus
Nws raug nquahu kom siv Reduxine rau cov zaub mov lossis thawj cov rog, thaum lub cev hnyav dua 30 kg / m2. Nws raug nquahu kom siv cov tshuaj rau cov kev rog rog alimentary uas muaj qhov hnyav tshaj 27 kilumev ntawm ib qhov 'meter', ua rau muaj ntau yam kab mob. Feem ntau ua rog nyhav dhau hom mob ntshav qab zib hom II. Reduksin muaj ntau dua cov kev sib tiv thiab qhov tseem ceeb yog qhov ua rau tus neeg tsis kam txais ntawm nws cov khoom siv. Nws tsim nyog tsis kam noj cov tshuaj rau kev noj zaub mov noj tsis zoo, mob hlwb thiab tsis muaj cov thyroid hormones txaus.
Cov tshuaj tau sau tseg rau thawj hom kev rog, tab sis muaj ntau tus lej ntawm qhov tsis sib haum hauv kev kho mob uas cov kws kho mob xav tau.
"Reduxin" tsis yog kws kho mob rau cov neeg mob uas yav tas los pib noj tshuaj tiv thaiv kab mob, tshuaj tua kab mob, tshuaj uas ua kom pw tsaug zog thiab muaj cov tryptophan. Nws yog contraindicated kom noj cov tshuaj tau piav qhia nyob rau tib lub sijhawm txhais tau tias kom txo lub cev qhov hnyav, zoo li yog tias muaj cov xwm txheej hauv qab no thiab cov kab mob:
- hyperteriosis
- mob plawv plawv
- mob plawv,
- lub plawv dhia,
- arrhythmia,
- kev ua haujlwm tsis zoo ntawm lub raum thiab mob siab,
- leeg ntshav siab
- cev xeeb tub thiab lub sijhawm lactation,
- quav dej quav cawv, quav yeeb quav tshuaj thiab quav yeeb quav tshuaj,
- lub qhov muag kaw lub ntsej muag daj,
- hnub nyoog txog 18 xyoo thiab tshaj 65 xyoo.
Siv rau ntshav qab zib
Cov tshuaj tau piav qhia, uas pab txhawb kev poob phaus, tau siv dav hauv kev kho mob ntshav qab zib. Ntawm cov neeg mob ntshav qab zib, kev rog dhau los yog qhov muaj ntau thiab yog li lawv raug yuam nrog kev hnyav dhau los ntawm kev pab ntawm ntau txoj kev, suav nrog tshuaj. Feem ntau kws kho mob "Reduxin" 10-15 mg ib zaug txhua 24 teev. Lub sijhawm ntawm kev tso cai yog txiav txim los ntawm tus kws kho mob tshwj xeeb rau txhua tus neeg mob, vim nws nyob ntawm qhov mob hnyav ntawm cov mob thiab nws lub hnub nyoog. Nws raug tso cai siv tshuaj kho mob ntshav qab zib thawm xyoo. Kev thum yeeb tshuaj yuav tsum yog tias nyob hauv ib hlis ntawm qhov hnyav tshaj yog tsawg dua 2 kg.
Sab sij huam
Kev siv li niaj zaus thiab siv kom raug Reduxine ua tau zoo tshaj plaws. Txawm li cas los xij, raws li kev txheeb xyuas ntawm kev poob phaus, feem ntau tawm tsam keeb kwm ntawm nws siv, ntau yam tsis zoo tshwm sim:
- kiv taub hau
- ziab hauv qhov ncauj kab noj hniav
- tsis qab los noj mov, mus txog rau qhov tsis nco qab,
- pw tsaug zog
- ntshav siab
- ceeb ntshai
- nyuaj plob tsis so tswj
- kev xav tua tus kheej
- mob plab
- kev nyuaj siab mob hlwb
- tsis muaj kev sib koom ua ke ntawm txav.
Nws puas tseem zoo li tsis tuaj yeem kho ntshav qab zib?
Kev txiav txim los ntawm qhov tseeb tias koj tab tom nyeem cov kab no tam sim no, ib qho kev yeej ntawm kev tawm tsam cov ntshav qab zib hauv ntshav tsis nyob ntawm koj sab.
Thiab koj puas tau xav txog tsev kho mob? Nws yog kev nkag siab, vim tias ntshav qab zib yog ib qho txaus ntshai heev, uas, yog tias tsis kho, yuav ua rau muaj kev tuag. Kev nqhis dej ib txwm, tso zis ceev ceev, qhov muag plooj. Tag nrho cov tsos mob no yog paub txog koj tus kheej.
Tab sis nws puas tuaj yeem kho qhov laj thawj ntau dua li cov nyhuv? Peb pom zoo kom nyeem ib tsab xov xwm txog kev kho mob ntshav qab zib tam sim no. Nyeem kab lus >>
Yuav tsum carrots muaj nyob hauv kev noj haus rau cov ntshav qab zib
- Puas muaj txiaj ntsig los ntawm carrots
- Yuav ua li cas ua noj
- Kuv puas tuaj yeem haus cov kua txiv zaub ntug hauv paus
- Ob peb lo lus hais txog Korean carrots
Kev noj zaub ntsuab ib sim xws li carrots tsis tuaj yeem tsim kev puas tsuaj rau txhua yam ntshav qab zib. Txawm li cas los xij, nws tsis tsim nyog los nyob rau ntawm qhov mob tau qhia meej rau ntawm cov zaub mov zoo li no. Nws yuav zoo tshaj los ua ke nws nrog lwm cov zaub noj lossis xyaw sib xyaw.
Puas muaj txiaj ntsig los ntawm carrots
Kuj tseem muaj lub txiaj ntsig zoo thaum tau noj cov zaub no. Ua ntej tshaj plaws, peb tab tom tham txog fiber ntau, vim tias tsis muaj nws siv nws yog qhov nyuaj heev rau cov txheej txheem cuam tshuam nrog kev zom zaub mov.
Kev noj haus fiber ntau yuav tsum txiav txim siab ua lwm qhov txiaj ntsig tseem ceeb ntxiv rau qhov mob "qab zib" ntawm ib yam. Vim tias lawv qeeb tus txheej txheem ua lub luag haujlwm rau kev nqus ntawm cov tshuaj, xws li insulin thiab piam thaj mus rau hauv cov ntshav. Vim tias cov xeeb ceem no, carbohydrates los ntawm carrots yuav muab nqus ntawm qhov mob pes tsawg, uas tsis pom nyob rau hauv cov ntaub ntawv ntawm cov piam thaj ntshiab.
Hauv kev hais txog qhov no, kev siv cov carrots hauv cov ntshav qab zib tsis yog thawj zaug xwb, tabsis tseem hom thib ob yog ntau dua qhov tau thiab.
Yuav ua li cas ua noj
Txhawm rau ua kom tau zaub mov zoo no, txhua tus neeg mob ntshav qab zib yuav tsum ua raws qee txoj cai, uas yuav sib txawv raws li kev npaj. Yog li, nws yog kev tso cai rau noj cov nqaij npuas kib, hau, ci thiab nqaij ci. Cov kua txiv yuav tau tham tom qab nyias.
Ua ntej cov zaub ntug hauv paus yog, qhov ntau pab tau nws yog rau txhua yam ntshav qab zib rau cov ntshav qab zib. Kev saib xyuas tshwj xeeb yuav tsum tau them rau qhov no tshwj xeeb, vim tias tsis carrots tshiab yuav tsis muaj txiaj ntsig ntau.
Raws li koj paub, koj yuav tsum ua noj carrots tsawg kawg yog ib teev, tsis tas tev nws tib lub sijhawm. Qhov no yuav lav tias thaum lub cua sov kho cov tshuaj muaj txiaj ntsig yuav tsis ua kom yaj ntawm nws thiab nws yuav txo cov suab thaj. Tom qab nws tau ua tus siav, nws yog ib qho tsim nyog los ntxuav thiab txias nws, thiab tom qab ntawd:
- cov kaus poom tau noj hauv cov ntshiab lossis sib xyaw nrog lwm cov khoom xyaw,
- nws yog qhov tso cai kom khov, thaum tag nrho txhua qhov tseem ceeb kab kawm tau raug khaws cia,
- nws raug tso cai rau txhuam thiab noj raws li qos yaj ywm ntsej muag, uas tseem yuav pab tau rau txhua hom "qab zib" mob.
Los ntawm txoj kev, ua noj zaub ntug hauv paus zaub puree kuj tseem siv tau los ntawm zaub tshiab. Txawm li cas los xij, los siv nws feem ntau zoo mus ib zaug lossis ob zaug ib lub lim tiam. Yog tias peb tab tom tham txog cov qos yaj ywm los ntawm carrots siav, ces peb tab tom tham txog peb txog plaub zaug li ntawm xya mus rau yim hnub.
Fried, ci thiab stewed carrots yuav pab tau zoo ntawm lawv tus kheej, tab sis nws yog qhov zoo tshaj plaws los siv lawv ua ke nrog lwm cov zaub (piv txwv li, nrog pob kws).
Ntawm chav kawm, nws yuav zoo tshaj plaws los noj nws hauv daim ntawv ci. Xws li cov txiv ntoo tau tso cai siv rau txhua txhua hnub hauv qhov nyiaj ntawm ob lossis peb daim.
Fried thiab stewed carrots feem ntau yog siv tsis yog zaub mov ywj siab, tab sis raws li kev ntxiv rau cov nqaij. Nrog ntshav qab zib, qhov no yuav yog qhov txiav txim siab zoo, vim tias nws yuav pab txo qhov feem ntawm cov piam thaj kom tsawg. Qhov no muaj tseeb rau txhua hom kev mob.
Tsis zoo li hom rhaub, nws tsis yog qhov tsim nyog los yog tsuav los yog kib kom ntev rau lub sijhawm ntev. Nws yuav ntau dua 10-15 feeb, nyob ntawm seb nws daim ntau npaum li cas. Yog li, kev siv cov carrots rau txhua tus neeg mob ntshav qab zib tau tso cai.
Kuv puas tuaj yeem haus cov kua txiv zaub ntug hauv paus
Kua txiv ua los ntawm zaub thiab txiv hmab txiv ntoo yog yuav luag txhua qhov muaj txiaj ntsig. Txawm li cas los xij, nws tsis yog ib txwm kis mob ntshav qab zib mellitus ntawm hom thawj lossis thib ob. Tab sis qhov no tsis yog hais txog cov kua txiv carrot, vim tias carrots siav nrog ntshav qab zib hauv txoj kev no yuav pab tau zoo tshaj.
Cov muaj pes tsawg leeg ntawm cov kua txiv nthuav tawm qhov muaj qhov muaj ntau:
- vitamin thiab ntxhia teev
- ho muaj pes tsawg lub tebchaw ntawm hom phytochemical.
Cov ntsiab lus tshwj xeeb ua rau nws muaj peev xwm ua kua txiv ua los ntawm cov carrots muaj qhov tshwj xeeb, ua lub luag haujlwm ntawm kev txhim kho thiab kho tus neeg sawv cev rau hauv cov teeb meem roj ntau ntxiv, nrog rau cov tawv nqaij ua paug thiab lwm yam mob.
Cov kua txiv li no, siv rau txhua yam suab thaj ua rau nws muaj peev xwm ua kom qeeb cov txheej txheem uas cuam tshuam nrog kev nqus ntawm cov piam thaj. Ntawm lwm yam, nws yuav pab kom muaj qhov sib npaug ntawm cov piam thaj hauv lub cev. Qhov no ua tau los ntawm kev nqus qeeb ntawm carbohydrates.
Haus cov kua txiv ua los ntawm cov carrots, nyiam dua hauv ib qhov nyiaj ntau dua 250 ml txhua 24 teev. Qhov muab tshuaj ntau dua yuav tsum tau qhia los ntawm tus kws kho mob tshwj xeeb lossis endocrinologist.
Txhawm rau npaj nws, koj yuav tsum siv lub tshuab ua kom sib tov lossis dej cawv thiab qhov ntau ntawm cov txiv hmab txiv ntoo. Nws muaj peev xwm ua kom zoo dua saj tsis dhau ntawm dej haus thiab nce nws cov txiaj ntsig kho yog tias nws tau sau rau hauv cov npe sib xyaw los ntawm ib qhov nqi ntawm lwm cov kua txiv ntawm lub hauv paus chiv keeb.
Cov kua txiv ua los ntawm cov carrots:
- ua kom lub cev tiv thaiv rau txhua yam mob ntshav qab zib mellitus,
- yuav muaj kev cuam tshuam ntau tshaj plaws rau kev ua haujlwm ntawm tus txiav,
- nthuav lub paj hlwb muaj zog.
Ob peb lo lus hais txog Korean carrots
Coob tus neeg nyiam siv cov kua ntoo kaus poom hauv qab ua khoom noj txom ncauj. Txawm li cas los xij, nrog ntshav qab zib, tsis tsuas yog thawj zaug, tab sis kuj yog hom thib ob, qhov no tsuas yog qhov tsis lees txais. Qhov no tshwm sim vim yog qhov tseeb tias nws muaj cov piam thaj ntau thiab lwm yam tshuaj uas muaj peev xwm ua rau lub cev tsis muaj ntshav qab zib ntau.
Yog li, kev siv cov carrots hauv ib daim ntawv, tshwj tsis yog rau nws cov piquant ntau yam, yog tau kev tso cai nrog kev nthuav qhia. Nws tseem yog ib qho tseem ceeb kom nco ntsoov tias nws yog ib qho tsim nyog yuav tau soj ntsuam cov zaub mov uas qhia los ntawm tus kws tshwj xeeb kom thiaj li ua tiav cov txiaj ntsig ntawm cov zaub.
Ua tiav cov lus qhia rau kev siv tshuaj ntshav qab zib thiab tshuaj xyuas cov ntshav qab zib
Hauv kev kho mob ntawm hom 2 mob ntshav qab zib mellitus, muaj ntau yam sib txawv, thiab nws tsis yog ib txwm muaj peev xwm nrhiav tau cov tshuaj tam sim ntawd uas pab kom 100% tswj tau glycemia. Vim tias muaj ntau yam tshuaj tiv thaiv kab mob, tsis meej pem hauv taub hau tsis txwv rau cov ntshav qab zib.
Yog tias koj tau paub koj tus kheej ntawm cov tshuaj Diabeton thiab nws cov lus qhia rau kev siv, tab sis tseem tsis tau nkag siab meej tias nws haum rau koj thiab yuav hloov li cas yog tias cov tshuaj tsis pab, ces cov ntawv no tsim nyog rau lub sijhawm.
Ntshav qab zib - cov tshuaj rau hom ntshav qab zib hom 2
Rau cov ntshav qab zib, ib txoj hauv kev los tiv thaiv tus kab mob yog kom ib txwm muaj qhov hu ua "yoo mov qab zib". Tab sis hauv kev nrhiav cov kev nyeem ntawv zoo tshaj plaws ntawm glucometer, muaj ntau qhov yuam kev tuaj yeem ua tau, txij li lub hom phiaj ntawm kev siv tshuaj yuav tsum muaj kev txaus cai, thiab qhov no tshwj xeeb tshaj yog rau Diabeton. Ib qho tshuaj tshiab fangled Fabkis tau muab rau txhua tus - los ntawm kev ncaws pob rau cov ntshav qab zib, tab sis nws tsis muaj txiaj ntsig rau txhua tus.
Yuav kom nkag siab txog leej twg xav tau nws tiag tiag, koj yuav tsum xav txog hom tshuaj kho mob ntshav qab zib yog dab tsi thiab nyob rau hauv lub hauv paus ntawm dab tsi yog yam tshuaj yeeb dej caw nws tau tsim. Cov tshuaj yog los ntawm sulfanilurea derivatives, lawv tau ua tiav siv thoob plaws lub ntiaj teb tau ntev heev.
Hauv daim ntawv thawv ntawv, raws li nyob hauv daim duab, koj tuaj yeem pom cov ntsiav tshuaj dawb oval nrog cov ntawv luam cim "60" thiab "DIA" rau ntawm ib sab. Ntxiv rau cov ntsiab lus tseem ceeb ntawm gliclazide, Diabeton tseem muaj cov neeg mob: maltodextrin, lactose monohydrate, magnesium stearate, silicon dioxide.
Diabeton yog lub npe kev lag luam thoob ntiaj teb, cov neeg ua haujlwm tsim kev lag luam ntawm cov tshuaj yog Fabkis lub tuam txhab pharmacological Servier.
Lub npe siv hluav taws xob feem ntau ntawm cov khoom yog glyclazide, los ntawm lub npe ntawm cov khoom xyaw nquag.
Nrog gliclazide, ntau cov analogues ntawm ntau hom yog tsim, yog li nyob rau hauv lub khw muag tshuaj lawv tuaj yeem muab tawm, raws li daim ntawv qhia nyiam, tsis yog Fabkis Diabeton, tab sis lwm qhov analog raws gliclazide, ntawm tus nqi txiav txim ntawm qhov ntau tsawg dua.
Diabeton analogues
Txee lub neej ntawm cov tshuaj yog 2 xyoos, yav tom ntej nws tsis tsim nyog rau kev kho mob thiab yuav tsum tau muab pov tseg. Cov mob tshwj xeeb rau nws cov khoom cia tsis xav tau.
Hloov ntawm cov tshuaj Diabeton, tus nqi uas yog li ntawm 260-320 rubles, lub tsev muag tshuaj tuaj yeem muab tshuaj rau analogues:
- Diabefarm, RF,
- Gliclad, Slovenia,
- Glidiab RF,
- Diabinax, Is Nrias teb,
- Gliclazide, RF,
- Avwg e ‡ j, GKUv g ‡ b n ‡ jv |
- Diatika, Is Nrias teb,
- Glisid, Is Nrias teb
- Glucostabil, RF,
- Glioral, Yugoslavia,
- Reklid, Is Nrias teb.
Ntxiv rau cov tshuaj ib txwm muaj, Servier tseem tsim cov Diabeton MV. Tag nrho lwm yam tshuaj yog cov generics, cov tuam ntxhab tsis tsim lawv, tab sis tsuas yog tau txoj cai tso tawm, thiab tag nrho cov ntaub ntawv pov thawj tsuas yog siv rau cov tshuaj kho mob ntshav qab zib thawj zaug.
Generics tau txawv qhov zoo ntawm qhov ua tsis tau zoo, qee zaum qhov no cuam tshuam loj heev rau qhov ua tau zoo ntawm cov tshuaj. Cov qauv siv nyiaj ntau tshaj ntawm cov analogue yog nrog cov khab Suav thiab Suav. Ntawm cov generics hauv tsev uas tau ua tiav yeej kev ua lag luam ntawm analogues ntawm Diabeton, lawv tau hwm los ntawm Glibiab thiab Gliklazid-Akos.
Yuav ua li cas hloov ntshav qab zib
Thaum tsis muaj ib qho kev xaiv tsim nyog ntawm cov analogues uas tau teev tseg, koj tuaj yeem xaiv:
- Lwm cov tshuaj los ntawm chav kawm ntawm sulfonylurea npaj xws li glibenclamide, glycidone, glimepiride,
- Cov tshuaj ntawm cov pab pawg sib txawv, tab sis nrog cov txheej txheem zoo sib xws ntawm kev nqis tes ua, xws li cov cai tshiab los ntawm cov av nplaum,
- Cov cuab yeej nrog cov txiaj ntsig zoo ib yam li DPP-4 inhibitors - Januvia, Galvus, thiab lwm yam.
Vim li cas thiaj li tsis tsim nyog xaiv qhov hloov, tsuas yog ib tus kws kho mob tshwj xeeb tuaj yeem hloov kho kev kho mob. Kev kuaj tus kheej thiab kev ntsuas tus kheej ntawm ntshav qab zib tuaj yeem tsim kev puas tsuaj tau!
Maninil lossis Diabeton - uas yog ib qho zoo dua?
Cov hau kev sib txawv rau kev tswj cov ntshav qab zib hom 2 muaj feem cuam tshuam cov kev pheej hmoo ntawm kev ua kom tuag taus sib xws. Glibenclamide - qhov nquag ua haujlwm ntawm Maninil muaj zog ntau dua li gliclazide - lub hauv paus tseem ceeb hauv Diabeton. Seb qhov no yuav ua tau zoo dua tuaj yeem nrhiav pom hauv cov lus ntawm cov kws tshaj lij uas tshawb xyuas cov lus nug txog tus kab mob ntshav qab zib thiab tshuaj xyuas ntawm cov chaw sib tham.
Yuav thov li cas - kev qhia
Cov yeeb tshuaj yooj yim los ntawm Diabeton MV, tsim rau lub hauv paus ntawm hydrophilic matrix, txawv qhov tso tawm tus nqi ntawm cov nquag tivthaiv. Rau cov paib xaim, lub sijhawm glycoside nqus tsis tshaj 2 - 3 teev.
Tom qab siv Diabeton MV, gliclazide raug tso tawm ntau li ntau tau thaum lub sijhawm noj zaub mov, thiab lub sijhawm tshuav, glycemic tus nqi tau tswj hwm los ntawm ejecting microdoses rau hauv cov ntshav thaum nruab hnub.
Ib qho yooj yim analogue yog tsim nrog qhov ntau npaum 80 mg, nrog lub sij hawm ntev - 30 thiab 60 mg. Cov mis tshwj xeeb ntawm Diabeton MV tau pab txo qis cov tshuaj, ua tsaug rau qhov no nws tuaj yeem siv tsuas yog 1 sijhawm / hnub. Niaj hnub no, cov kws kho mob tsis tshua xaiv siv cov tshuaj yooj yim, tab sis nws tseem muaj nyob hauv cov khw muag tshuaj.
Cov kws kho mob pom zoo rau cov tshuaj tshiab tshiab nrog lub peev xwm ntev, vim nws ua ntau softer dua li lwm cov tshuaj sulfonylurea, txoj kev pheej hmoo ntawm hypoglycemia yog tsawg heev, thiab cov nyhuv ntawm ib ntsiav tshuaj kav ntev rau ib hnub.
Rau cov neeg uas tsis nco qab haus tshuaj raws sijhawm, ib koob tshuaj yog qhov muaj txiaj ntsig zoo. Yog lawm, thiab tus kws kho mob endocrinologist muaj peev xwm nce cov koob tshuaj, ua tiav kev tswj ntawm glycemia hauv tus neeg mob. Lawm, Ntshav qab zib yog tshuaj ua ke nrog kev noj zaub mov kom tsis tshua muaj carb thiab cov leeg mob, tsis muaj ib qho tshuaj tiv thaiv kab mob ntshav qab zib ua tsis tau zoo.
Tus mob ntshav qab zib raug mechanism
Diabeton belongs rau chav kawm ntawm cov tshuaj uas pab txhawb lub txiav thiab tshwj xeeb, b-hlwb lub luag haujlwm rau kev tsim cov tshuaj insulin. Qib ntawm kev ua ntawm kev txhawb nqa hauv cov tshuaj yog nruab nrab, yog tias peb piv Maninil lossis Diabeton, ces Maninil muaj cov txiaj ntsig zoo dua.
Nrog tus mob ntshav qab zib hom 2, nrog rau txhua qib ntawm kev rog, cov tshuaj tsis pom tshwm. Nws ntxiv rau cov kev kho mob thaum txhua tus tsos mob ntawm kev ploj ntawm lub caj pas ua haujlwm muaj peev xwm ua kom pom tseeb thiab kev tshaj tawm yog qhov tsim nyog los txhim kho cov tshuaj insulin.
Txog kev kho mob pob qij txha, peb cov neeg nyeem tau siv DiabeNot siv tau zoo. Pom qhov nrov ntawm cov khoom no, peb tau txiav txim siab muab nws rau koj kom txaus siab.
Cov tshuaj yuav rov ua thawj theem ntawm kev tsim tshuaj yog tias cov ntshav qab zib tau nws txo qis lossis tsis txhua. Ntxiv rau nws lub hom phiaj tseem ceeb (txo qis glycemia), cov tshuaj muaj qhov cuam tshuam zoo rau cov hlab ntsha thiab cov ntshav khov. Los ntawm kev txo cov platelet aggregation (ua raws), nws txo qhov ntxim nyiam ntawm cov ntshav txhaws hauv cov hlab ntsha me, ntxiv dag zog rau lawv cov sab hauv endothelium, tsim kom muaj kev tiv thaiv angioprotective.
Cov tshuaj kis kab mob tuaj yeem sawv cev hauv cov theem hauv qab no:
- Kev tsim kho ntawm lub txiav ua kom txhawm rau nce ntxiv ntawm cov tshuaj hormones hauv cov hlab ntshav,
- Kev ua qias thiab rov qab ua tiav ntawm thawj theem ntawm insulin ntau lawm,
- Txo cov quav platelet rau kev tiv thaiv cov txhaws hauv cov hlab ntsha me,
- Cov nyhuv antioxidant me me.
Ib koob tshuaj ib leeg tswj tau qhov tsim nyog xav tau ntawm cov nquag ua haujlwm hauv cov ntshav nruab hnub. Cov tshuaj yog metabolized hauv daim siab, nws lub raum yog tas (txog li 1% - hauv nws thawj daim ntawv). Hauv kev laus, cov kev hloov pauv tseem ceeb hauv cov khw muag tshuaj tsis raug kaw.
Qhov zoo thiab qhov tsis zoo ntawm cov tshuaj
Yog tias peb sib piv Diabeton MV nrog cov qauv ntawm sulfonylurea chav kawm, ces nws yog ua ntej ntawm lawv hauv kev ua haujlwm:
- Ceev nrooj normalizes qib qab zib,
- Nws ua kom lub sijhawm thib 2 ntawm cov kua dej ntau lawm, sai sai nws cov ncov hauv teb rau qhov pom ntawm qabzib,
- Txo cov muaj feem ntawm cov ntshav txhaws
- Kev phom sij ntawm kev txhim kho hypoglycemia txo qis rau 7% (rau cov tshuaj tiv thaiv analogues - derivatives ntawm sulfanylurea - qhov feem pua yog ntau dua),
- Qhov kev tswj hwm ntawm kev noj tshuaj yog 1 r / hnub. Yog li, nws yooj yim rau cov neeg mob ntshav qab zib tsis nco qab nqa tus kws kho mob lub sijhawm teem
- Kev hnyav ua kom yuag - Gliclazide hauv cov ntsiav tshuaj tso tawm tsis pab txhawb qhov hnyav,
- Nws yooj yim rau tus kws kho mob kho cov tshuaj ntau - qhov pheej hmoo ntshav qog ntshav qes txha tsawg,
- Cov lwg me ntawm cov tshuaj qhia cov khoom ntawm antioxidants,
- Tsawg feem pua ntawm cov kev mob tshwm sim (nce txog 1%).
Nrog rau qhov zoo tsis pom qhov zoo, cov tshuaj muaj ob peb yam tsis zoo:
- Cov tshuaj noj pab txhawb kev tuag ntawm b-hlwb lub luag haujlwm rau kev tsim cov tshuaj insulin,
- Rau 2-8 xyoo (rau cov neeg nyias - sai dua), ntshav qab zib hom 2 hloov mus ua hom ntshav qab zib hom 1,
- Insulin tsis kam, qhov tseem ceeb ua rau mob ntshav qab zib hom 2, cov tshuaj tsis tua, tab sis tseem txhim kho,
- Txo cov ntshav muaj ntshav qab zib tsis tuaj yeem lav tias yuav txo cov ntshav qab zib cov neeg tuag - cov lus qhia tseeb tau tshawb pom qhov kev tshawb fawb ntawm lub chaw nto moo thoob ntiaj teb ADVANCE.
Yog li tias lub cev tsis tas yuav tsum xaiv ntawm cov teeb meem los ntawm tus mob caj dab los yog hlab plawv pathologies, nws tsim nyog them rau kev noj zaub mov tsis tshua muaj carb thiab ua kom lub cev txaus.
Kev qhia rau kev sau tshuaj
Tus mob ntshav qab zib tau tsim los ua qhov kev hloov kho glycemic li qub, tiv thaiv cov mob ntshav qab zib, txo kev pheej hmoo ntawm lub plawv nres, mob hlab ntsha tawg, hlab ntaws ntshav, retinopathy. Tab sis nws kuj tseem siv los ntawm cov kis las ua kom nce cov leeg nqaij.
Yog li ntawd, nws tau qhia:
- Tus mob ntshav qab zib nrog hom mob thib ob ntawm kev mob nyhav lossis mob hnyav nrog lub cev hnyav thiab tsis muaj tus cim tiv thaiv insulin.
- Cov neeg ncaws pob los txhim kho cov khoom tsim kho cov kab mob, yuav ua kom lub zog loj tuaj.
Mob ntshav qab zib tsis yog kws kho mob rau cov neeg mob ua pib txoj kev kho mob. Nws kuj tseem ua mob rau cov neeg mob ntshav qab zib nrog cov cim ntawm kev rog, vim lawv cov kab mob ua haujlwm tom qab twb ua haujlwm nrog kev nce siab, ua 2-3 txheej txheem ntawm insulin rau neutralize cov piam thaj. Kev Qhia Txog Tus Mob ntshav qab zib hauv pawg ntshav qab zib no tuaj yeem ua rau tuag taus los ntawm kev mob plawv (CVS).
Cov kev tshawb fawb hnyav tau ua rau qhov teebmeem no, ua rau peb txiav txim siab qhov kev sib raug zoo ntawm kev xaiv tshuaj rau kev xaiv tshuaj kho tus mob ntshav qab zib hom 2 thiab qhov muaj feem yuav ua kom tuag. Qhov pom pom muaj nthuav tawm hauv qab no.
- Hauv cov neeg ua haujlwm pab dawb muaj mob ntshav qab zib hom 2 uas tau txais sulfanilurea derivatives, piv nrog pab pawg tswj hwm noj cov tshuaj metformin, qhov kev pheej hmoo ntawm kev tuag los ntawm CVS tau 2 zaug ntau dua, mob plawv mob ntshav siab (CHD) - 4.6 zaug, kev xiam hlwb cerebrovascular (NMC) ) - 3 zaug.
- Txoj kev pheej hmoo ntawm kev tuag los ntawm kab mob plawv, NMC tau ntau dua hauv cov pab pawg tau txais glycoslide, glycidone thiab glibenclamide dua li hauv cov neeg ua haujlwm pab dawb noj metformin.
- Hauv cov neeg ua haujlwm pab dawb uas tau txais gliclazide, piv nrog pab pawg neeg noj glibenclamide, qhov kev pheej hmoo sib txawv yog pom tseeb: tag nrho cov neeg tuag muaj 20% tsawg dua, rau CVS tsawg dua 40%, thiab NMC tsawg dua 40%.
Yog li, kev xaiv ntawm sulfonylurea derivatives (suav nrog Diabeton) yog thawj cov tshuaj ua rau muaj kev cuam tshuam txog 2 zaug ntawm kev ploj tuag tom qab 5 xyoos, 4-ntau yam muaj feem ua rau muaj mob plawv, thiab mob stroke 3 zaug.Nrog rau tus kab mob ntshav qab zib hom 2 nyuam qhuav pib mob, tsis muaj ib qho kev hloov pauv rau Metformin ua thawj kab tshuaj. Nrog lub sijhawm ntev (tsawg kawg yog 3 xyoos) kev haus ntshav qab zib kom tsawg, kev pheej hmoo ntawm kev tsim mob atherosclerosis yog txo qis. Hauv lwm qhov kev npaj ntawm chav kawm sulfonylurea, cov nyhuv no tsis pom. Feem ntau cov feem ntau, cov nyhuv antisclerotic ntawm cov tshuaj yog muab los ntawm nws lub peev xwm antioxidant uas tiv thaiv hlwb los ntawm oxidation.
Yuav ua li cas raug mob tuaj yeem muaj ntshav qab zib hom 2 ntshav qab zib ua rau - hauv video.
Diabeton ncaws pob cov neeg tawm dag zog
Cov tshuaj noj tiv thaiv kab mob ua rau txhim kho qhov kev rhiab ntawm daim siab, cov leeg thiab cov rog rau insulin. Kev siv dag zog hauv lub cev, nws yog siv los ua tus muaj zog anabolic, tuaj yeem muas tau yam tsis muaj teeb meem ntawm chaw muag tshuaj lossis Is Taws Nem. Tus neeg mob ntshav qab zib siv Diabeton los kho qhov theem ntawm thawj zaug hauv kev loj hlob hormone thiab txhim kho theem ob ntawm nws cov khoom.
Lub cuab yeej yuav tsum tau siv los ntawm cov kws tawm dag zog nrog lub hlwb b-noj qab nyob zoo. Cov tshuaj yog cuam tshuam rau cov rog metabolism, ntshav kev, ntshav hauv ntshav, muaj cov roj antioxidant. Tus mob ntshav qab zib tau pauv mus ua metabolites hauv lub siab, cov tshuaj tawm hauv lub cev tag.
Hauv kev ua kis las, cov tshuaj yog siv los txhawb qhov siab anabolism, vim li ntawd, cov neeg ncaws pob nquag nquag ua kom mob nqaij.
Los ntawm lub zog ntawm nws cov cawv, nws tuaj yeem piv nrog insulin poplites. Nrog rau cov qauv no ntawm kev nce phaus, koj yuav tsum yog ua raws li cov koob tshuaj, noj tag nrho 6 zaug hauv ib hnub (protein, carbohydrates), saib xyuas koj kev noj qab haus huv kom tsis txhob nco qhov pib ntawm cov tsos mob ntawm kev mob ntshav qab zib.
Pib qhov pib nrog Ѕ ntsiav tshuaj, maj mam muab ob npaug rau koob. Haus hauv ncoo thaum sawv ntxov nrog zaub mov. Lub sijhawm ntawm kev pub nkag yog 1-2 lub hlis, nyob ntawm kev nyob zoo thiab tshwm sim. Koj tuaj yeem rov ua nws nyob hauv ib xyoos, yog tias koj siv Diabeton ntau zaus ntau dua ib zaug rau rau lub hlis, kev muaj mob tsuas yog xav tsis thoob.
Nrog rau qhov thib ob chav kawm, qhov tsuas tshuaj yuav muab ob npaug (txog 2 ntsiav tshuaj / hnub). Koj tsis tuaj yeem noj Diabeton nyob rau tom qab ntawm kev tshaib plab los yog noj lwm txoj hauv kev kom lub cev hnyav. Cov tshuaj noj kav 10 teev thiab yuav tsum noj zaub mov kom zoo nyob rau lub sijhawm no. Ntawm thawj lub cim taw qhia tias hypoglycemia, tus neeg ncaws pob xav noj lub bar lossis lwm yam khoom qab zib.
Ntawm cov yeeb yaj kiab - kev siv ntshav qab zib rau cov hnyav ntxiv - tshuaj xyuas.
Cov Lus Cog Tseg kom siv
Txhua yam tshuaj muaj contraindications, ua ntej siv Diabeton nws yog ib qho tseem ceeb kom them sai sai rau cov lus ceeb toom no:
- Yam 1 ntshav qab zib
- Ua siab zoo rau cov khoom siv ntawm cov mis,
- Ketoacidosis, mob ntshav qab zib tsis xeev,
- Cov menyuam yaus thiab cov hluas
- Cev xeeb tub thiab pub niam mis,
- Cov kab mob loj dua ntawm ob lub raum thiab mob siab,
- Ib tug neeg tsis qaug rau cov tshuaj raws li sulfonylurea,
- Txhawb kev siv miconazole (tus sawv cev tshuaj tua kab mob).
Kev sib koom ua ke ntawm ob cov tshuaj muaj cuam tshuam dab tsi ntawm kev kho mob? Miconazole ua rau muaj ntshav qab zib-txo cov peev xwm ntawm cov ntshav qab zib. Yog tias koj tsis tswj hwm koj tus glycemic profile hauv lub sijhawm, muaj kev phom sij ntawm kev txhim kho hypoglycemia. Yog tias tsis muaj lwm txoj kev siv rau miconazole, tus kws kho mob yuav tsum txo cov koob tshuaj Diabeton.
Nrog kev ceev faj, koj yuav tsum noj cov tshuaj thaum ua ke nrog:
- Phenylbutazone (butadione),
- Lwm yam tshuaj hypoglycemic,
- Anticoagulants (warfarin),
- Nrog cawv.
Ntshav qab zib yog muaj peev xwm nce intolerance rau haus dej cawv. Qhov no yog ua kom pom los ntawm ua pa luv, mob taub hau, tachycardia, mob plab, thiab lwm yam dyspeptic cuam tshuam. Yog tias Tus Mob ntshav qab zib npau taws kom tsis txhob qog ntshav qab zib, ces cov dej cawv tuaj yeem ntseeg nws cov tsos mob. Txij li cov cim ntawm intoxication zoo ib yam li glycemic, nrog kev pab tsis raws sijhawm, kev pheej hmoo ntawm ntshav qab zib nce ntxiv.
Cov dej cawv zoo tshaj plaws rau cov ntshav qab zib yog lub khob ntawm liab caw liab rau lub sijhawm. Thiab yog tias muaj kev xaiv, nws zoo dua uas tsis haus dej haus cawv txhua lub sijhawm.
Sab sij huam
Cov kev mob tshwm sim tseem ceeb yog hypoglycemia - poob hauv qabzib hauv qab cov hom phiaj, nrog cov tsos mob hauv qab no:
- Mob taub hau thiab ua haujlwm tsis zoo
- Tswj tsis tau kev tshaib plab
- Dyspeptic mob
- Rawg
- Kev lom zem uas hloov pauv nrog kev poob siab
- Kev txwv tsis pub, tsis muaj peev xwm mloog zoo,
- Kev hais lus thiab pom qhov muag tsis zoo
- Tsis muaj kev tswj yus tus kheej, tsis paub pab,
- Tsaus muag.
Ntxiv rau lub qog ntshav qab zib, muaj lwm cov kev phiv:
- Ua xua pob,
- Ua txhaum ntawm cov hnyuv,
- Malfunctions nyob rau hauv cov ntshav ncig (ntshav liab, ntshav liab tsawg),
- Kev loj hlob ntawm daim siab enzymes AST thiab ALT.
Txhua qhov tshwm sim yog qhov thim rov qab thiab dhau los uas tsis muaj kev cuam tshuam kho mob tom qab tshem tawm ntawm tus mob ntshav qab zib. Yog tias cov tshuaj tau sau tawm es tsis txhob siv lwm cov tshuaj tiv thaiv kab mob, tom qab 10 hnub nws yuav tsum tau tswj cov tshuaj glycemia kom tsis txhob cuam tshuam ntawm cov kev phom sij rau hypoglycemia.
Thaum xaiv Diabeton, tus kws kho mob yuav tsum qhia tus mob ntshav qab zib txog cov kev mob tshwm sim thiab cov tsos mob ntawm kev noj ntau dhau.
Kev tswj ntshav qab zib thiab muab tshuaj rau noj
Hauv cov khw muag tshuaj network, cov tshuaj tau nthuav tawm ob yam:
- Tus mob ntshav qab zib nrog qhov ntau npaum ntawm 80 mg,
- Mob ntshav qab zib MV hnyav 30 thiab 60 mg.
Rau cov mob ntshav qab zib zoo tib yam, qhov pib ua yog 80 mg / hnub., Sij hawm dhau mus, nws tau nce rau 2-3 daim ib hnub, muab faib rau ob peb koob tshuaj. Qhov siab tshaj plaws ib hnub, koj tuaj yeem noj 4 ntsiav tshuaj.
Txog Kev Hloov Ntshav Qab Zib, pib ntu yog 30 mg / hnub. Yog tsim nyog, cov koob tshuaj tau kho kom haum. Mob ntshav qab zib MV yog noj 1 r. / Hnub., Ntau kawg - txog li 120 mg. Txawm hais tias tau txhaj ntau tshaj plaws, nws tseem yuav tsum tau noj thaum ib tag kis.
Zoo li txhua yam tshuaj ntawm chav kawm sulfonylurea, Diabeton yuav tsum haus ib nrab ib teev ua ntej noj mov. Haus nws nyob rau lub sijhawm coj qhia ntawm cov lus qhia, ntshav qab zib tso cai rau cov tshuaj kom nqus thiab qhia nws cov kev ua ub no nrog thawj diav ntawm zaub mov.
Qhov ua tau zoo ntawm cov tshuaj xaiv tau tuaj yeem kwv yees nyob hauv tsev, nrog glucometer.
Tshawb xyuas nws qhov ua tau zoo ua ntej thiab tom qab noj mov (tom qab 2 teev). Cov koob tshuaj tsim nyog tau muab xam ib leeg zuj zus: raws li glycemic profile thiab kuaj ntshav kuaj glycosylated hemoglobin HbA1C. Koj tuaj yeem sib txuas ntawm kev siv cov Ntshav Qab Zib nrog cov tshuaj tiv thaiv kab mob nrog lwm tus txheej txheem ntawm kev ua.
Mechanism ntawm kev ua
Qhov kev txiav txim ntawm pharmacological yog ua raws qhov kev xav ntawm lub siab ntawm tag nrho. Qhov no ua rau muaj qhov tseeb tias tus tib neeg tsis muaj kev tshaib plab mus ntev.
Raws li qhov tshwm sim, cov txiaj ntsig ntawm kev poob phaus yog ua kom paub meej: lub cev hnyav poob qis, qhov hnyav nce tsis nqa tawm, vim tias lub sijhawm no, kev tau txais khoom noj yog tsawg. Ua rau muaj txiaj ntsig zoo ntxiv no hauv cov ntsiab lus ntawm cov neurotransmitters hauv cov synapses.
Raws li qhov tshwm sim, muaj qhov nce ntawm cov kev ua ntawm central serotonin receptors thiab adenoreceptors.
Tsis tas li ntawd, cov nyhuv ntawm cov tshuaj yog raws li kev ua haujlwm ntawm cov khoom noj tshuaj tiv thaiv (sib xyaw ua ke tau tso tawm thaum lub sijhawm hloov ntawm cov khoom siv nquag), lawv ua raws li monoamine reuptake inhibitors.
Tsis tas li ntawd, nws cuam tshuam cov ntaub so ntswg adipose. Cov txiaj ntsig ntawm qhov kev poob phaus tseem tau ua kom paub tseeb los ntawm kev nce ntxiv hauv qhov ntsuas hauv kev sib xyaw ntawm cov ntshav ntshav ua lub siab lipoproteins.
Thiab qhov concentration ntawm triglycerides, roj cholesterol, lipoproteins tsawg ntom, ntawm qhov tsis sib xws, poob qis.
Lwm cov tshuaj nquag (cellulose) yog ib pawg ntawm cov tshuaj enterosorbents. Cov khoom tseem ceeb ntawm cov khoom tivthaiv no: kev zam txim, tshem tawm. Microcrystalline cellulose tuaj yeem tshem tawm cov kab mob tsis zoo, lawv cov khoom pov tseg, cov tshuaj lom ntawm txhua qhov thiab txawm tias ua rau lub cev tawm hauv lub sijhawm luv luv.
Nrog rau kev kho, tsis tsuas yog muaj kev txo qis hauv cov zaub mov xav tau, tab sis tseem lub xeev ntawm lub plab zom mov txhim kho. Qhov no yog vim muaj kev txhim kho kom zoo hauv lub plab zom mov.
Muab cov ntsiab cai no ntawm kev ua yeeb tshuaj, ceev faj yuav tsum ua kom zoo thaum kho mob, vim tias qhov tsis tau tswj hwm cov tshuaj ntsiav yog qhov tsis txaus ntseeg nrog qhov muaj teeb meem.
Lub bioavailability ntawm lub nquag sib txuas (sibutramine) yog heev. Tom qab noj cov ntsiav tshuaj, nce txog 77% ntawm cov tshuaj no nqus tau.
Tom qab ntawd nws hloov mus rau hauv cov khoom noj: monodesmethylsibutramine thiab dedismethylsibutramine. Kev ua haujlwm siab tshaj plaws ntawm cov tshuaj yog 1.2 teev tom qab kev tswj hwm.
Yog tias koj haus tshuaj ntsiav nrog zaub mov noj, cov nyhuv tshuaj tau txo kom tsawg yog 30%. Hauv cov xwm txheej zoo li no, kev ua haujlwm siab tshaj plaws ntawm cov tshuaj yog tiav tom qab 3 teev.
Lub sijhawm ntsuas ntawm metabolites yog 14-16 teev.
Yeeb tshuaj sib cuam tshuam
- Cov tshuaj tiv thaiv ntawm microsomal oxidation (qee yam tshuaj tua kab mob, tshuaj tiv thaiv kev ua kom tsis haum) cuam tshuam cov metabolism hauv cov kev ua si hauv lub cev. Lub sijhawm siv ntawm kev txiav txim siab yog tus kheej.
- Thaum ua ke nrog cov tshuaj tiv thaiv kev ntxhov siab, qee cov tshuaj tua kab mob thiab muaj cov tshuaj tiv thaiv muaj zog, ib qho kev cuam tshuam txaus ntshai loj hlob tuaj.
- Ua ke nrog cov tshuaj anticoagulants yuav ua rau kom muaj ntshav ntau ntxiv.
- Nws tsis tsim nyog siv nrog ua ke nrog cov neeg sawv cev rau kev kho mob ntawm kev puas siab puas ntsws.
- Thaum siv MAO inhibitors, koj yuav tsum siv sijhawm so ob-lub lim tiam ua ntej siv Reduxine thiab rov ua dua.
Kev saib xyuas tshwj xeeb yuav tsum tau tswj hwm kev sib txig sib luag ntawm cov tshuaj uas tuaj yeem ua rau QT ncua sijhawm, xws li qee cov tshuaj tiv thaiv antiarrhythmic (amiodarone, flecainide, quinidine, propafenone, mexiletine, sotalol), histamine H1 receptor blockers (terfenadine, astemizole) thiab lub plab hnyuv plab nyhuv ( tricyclic antidepressants, pimozide, cisapride, sertindole).
Ib qho ntxiv, qhov yuav tsum tau ceev faj rau hauv cov neeg mob uas siv Reduxine thaum lawv muaj cov xwm txheej uas yuav muaj feem ua rau muaj QT ntau ntxiv (piv txwv, hypomagnesemia los yog hypokalemia).
Lub sijhawm tsawg kawg 2 lub lis piam yuav tsum raug pom ntawm koob tshuaj Reduxin thiab monoamine oxidase inhibitors.
Cov tshuaj tiv thaiv ntawm microsomal oxidation, suav nrog inhibitors ntawm 3A4 isoenzyme ntawm cytochrome P450 (suav nrog cyclosporine, erythromycin, ketoconazole) nce qhov siab ntawm sibutramine metabolites hauv cov ntshav ntshav, nce lub plawv dhia thiab thaj chaw kho mob nce QT ntu.
Cov tshuaj tua kab mob macrolide, phenobarbital, phenytoin, rifampicin, dexamethasone thiab carbamazepine tuaj yeem nrawm cov metabolism hauv sibutramine.
Kev siv ib txhij ntawm ntau cov tshuaj uas nce cov ntsiab lus ntawm serotonin hauv cov ntshav tuaj yeem ua rau muaj kev txhaum loj heev ntawm kev siv tshuaj.
Cov mob tsis tshua muaj ntawm kev loj hlob ntawm cov serotonin syndrome paub nrog kev sib xyaw nrog sibutramine nrog cov tshuaj tiv thaiv kab mob (piv txwv, dextromethorphan), muaj zog analgesics (petidine, pentazocine, fentanyl), xaiv serotonin reuptake inhibitors (tshuaj tiv thaiv mob), thiab qee cov tshuaj siv rau kev kho mob ntawm tus mob migraine.
Sibutramine tsis muaj cov nyhuv ntawm qhov ncauj ntawm kev tiv thaiv.
Yuav ua li cas noj Reduxin 15 mg
Yog tias ib hlis tau dhau mus txij li pib kho cov rog nrog cov ntsiav tshuaj, thiab lub cev qhov hnyav tsis tau poob qis txawm tias ob peb kilo, thawj zaug kev noj tshuaj ntawm 10 mg yog nce rau 15 mg. Cov koob tshuaj yuav tsum haus ib zaug 1 zaug.
Reduxin 15 mg yuav tsum tau noj tsawg kawg 3 lub hlis lossis ntev dua, txwv tsis pub yuav tsis muaj qhov tshwm sim zoo. Nrog kev siv tshuaj zoo li niaj hnub no, cov kev kho mob siab tshaj plaws yog ib xyoos.
Cov kws kho mob pom zoo kom muab cov tshuaj sib xyaw ua ke nrog kev tawm dag zog thiab kev noj haus.
Yuav ua li cas noj Reduxin 10 mg
Tus kws kho mob xaiv cov tshuaj rau txhua tus neeg mob, tab sis, raws li txoj cai, lawv pib noj Reduxin 10 mg. Yog tias tus neeg muaj teeb meem nrog ntshav coagulation lossis qis tshaj qhov sib xyaw ntawm cov tshuaj nrog ib tus cim ntawm lub cev, ces niaj hnub noj tshuaj yog txo rau 5 mg.
Cov ntsiav tshuaj haus yuav tsum yog qhov ntau ntawm cov kua, txij li thaum cov khoom muaj peculiarity ntawm o, zoo li fiber ntau. Haus tsiav tshuaj yog xav tau thaum lub sijhawm noj mov.
Yuav ua li cas coj Reduxine Teeb
Daim ntawv ntawm cov tshuaj no yog tawm rau cov neeg uas nquag lub cev nyhav, tab sis xav cawm nws lossis npaj siab poob ob peb phaus ntxiv. Siv Reduxine Lub teeb ob zaug ib hnub - ua ntej lossis tom qab noj mov.
Koj tuaj yeem nce cov txiaj ntsig ntawm tsiav tshuaj los ntawm kev ua kis las thiab ua raws li kev noj zaub mov kom yooj yim. Yog tias tsim nyog, txhua hli kev poob phaus uas siv Reduxin yog rov ua dua tom qab 2-3 lub hlis.
Contraindicated nyob rau hauv cov neeg mob laus dua 65 xyoos.
Cov lus qhia rau kev siv Reduxine 15 mg
Hais txog qhov ntau npaum li cas ntawm cov tshuaj, tus neeg mob yuav tsum ua raws li cov lus pom zoo ntawm nws tus kws kho mob, uas, ua ntej sau ntawv noj tshuaj, yuav tsum tau ua qhov kev tshawb fawb tsim nyog, xa lawv mus kuaj. Lwm qhov tseem ceeb rau kev txiav txim siab tus cwj pwm yog qib ntawm kev rog ntawm tus neeg uas xav noj Reduxine. Hauv cov lus qhia rau kev siv Reduxine 15 mg nws tau sau tseg tias koj yuav tsum haus cov tshuaj ntsiav sutra ib hnub ib zaug, thaum nws tsis muaj teeb meem thaum noj mov lossis hauv plab khoob - qhov ua haujlwm ntawm cov tshuaj yuav tsis txo. Koj tuaj yeem haus ib ntsiav tshuaj Reduxin nrog dej.
Rau cov neeg mob uas pib noj cov tshuaj Reduxine kom poob phaus, qhov koob tshuaj me me yog tau sau tseg ua ntej, tom qab ntawd, nyob ntawm qhov ntsuas pom kev ua hauj lwm zoo thiab kev cia siab rau ib leeg, nws tuaj yeem hloov pauv. Piv txwv li, nws pom zoo kom hloov mus rau qhov ntau npaum ntawm 15 mg ntawm Reduxine tom qab dhau thawj theem ntawm kev kho mob - ib hlis ntawm noj 10 mg ntsiav tshuaj, yog tias chav kawm tsis muab qhov xav tau ua kom poob phaus.
Yuav ua li cas noj Reduxin 15 mg kom poob phaus
15 mg yog qhov tshuaj zoo rau qhov poob phaus. Txawm li cas los xij, rau kev hlawv cov roj ntsha rog, nws pom zoo kom hloov pauv txoj kev ua neej thiab kev noj zaub mov: suav nrog kev ua kis las txhua hnub, tsis kam ua kib thiab roj, khoom qab zib. Cov khoom noj yuav tsum muaj zaub ntxiv, cov khoom noj mis nyuj, txiv hmab txiv ntoo, ntses, thiab ntau yam. Nws raug nquahu kom pib noj cov tshuaj nrog 10 mg ntsiav tshuaj. Yog tias nyob hauv ib hlis koj tsis tuaj yeem poob ceeb thawj los ntawm ntau dua 2 kg, tom qab ntawd cov tshuaj ntau dua rau 15 mg. Txheeb xyuas cov cai yooj yim yuav ua li cas noj Reduxine 15 mg txhawm rau yuag poob:
- haus cov tshuaj ntsiav thaum sawv ntxov nyob rau ntawm lub plab khoob, haus nws nrog 200 ml ntawm dej dog dig,
- Yam tsawg kawg nkaus ntawm kev kho yog 3 lub hlis, tab sis yog tias qhov hnyav pib nce ntxiv thaum siv cov tshuaj, tom qab ntawv kho yuav tsum nres tam sim ntawd.
Lub sijhawm kawm
Cov tshuaj yuav tsum tau ua, coj mus rau hauv tus lej thawj qhov hnyav thiab kev noj qab haus huv thoob plaws. Feem ntau lub sijhawm kawm kom noj Reduxine hauv tshuaj li 15 mg tsis pub tshaj 3 hli. Raws li cov poj niam (thiab cov txiv neej) uas tab tom poob phaus nrog qhov hnyav hnyav tau hais, chav kawm tuaj yeem siv sijhawm ntev dua - txog li 6 lub hlis, tab sis koj yuav tsum noj cov tshuaj nyob rau hauv kev saib xyuas ntawm tus kws kho mob. Nws yog tsim nyog teev cia tias koj yuav tsum tau haus tshuaj kom poob phaus tsuas yog thaum tsis muaj dab tsi ntxiv pab. Qhov no kuj siv rau analogues ntawm Reduxin.
Cov Txheej Txheem Reduxine
Cov chaw tsim tshuaj lag luam tau ceeb toom tias nws raug txwv tsis pub siv cov tshuaj no yog tias koj muaj kev nkag siab ntau dua rau cov tshuaj sibutramine lossis lwm yam, thaum lub sijhawm cev xeeb tub, thaum lub sijhawm pub mis, yog tias koj muaj hnub nyoog qis dua 18 lossis ntau dua 65 xyoos. Ntxiv rau, Reduksin's contraindications suav nrog:
- thyrotoxicosis,
- bulimia, anorexia,
- hypothyroidism (rog hom rog),
- pheochromocytoma
- kev mob hlwb
- mob raum, mob siab,
- lub ntsej muag kaw lub ntsej muag,
- Tourette's mob
- kab mob ntawm cov hlab ntshav, lub plawv.
Reduxin tsis pom zoo kom muab coj los ua ke nrog rau cov tshuaj uas tau muab cais ua MAO inhibitors, nrog cov tshuaj tsaug zog uas muaj cov tryptophan, nrog cov tshuaj tiv thaiv kab mob thiab lwm yam tshuaj uas cuam tshuam rau tib neeg lub hauv nruab nrab cov hlab ntsha receptors. Cov tshuaj tsis haum nrog Reduxine kuj suav nrog cov uas siv los kho kev rog thiab cov uas pab tus neeg mob tawm tsam lub hlwb pathologies.
Sab Sij Huam ntawm Reduxine
Tau nyeem cov lus qhia yuav ua li cas noj Reduxin 15 mg kom poob phaus, nws tseem yog ib qho tseem ceeb kom paub tias kev noj tshuaj muaj kev hem thawj rau lub cev li cas, vim tias qhov kev siv ntau npaum no tuaj yeem ua rau muaj kev phom sij rau lub cev thiab cuam tshuam txog cov teeb meem hauv lub cev kev zom zaub mov. Tom qab kev tswj hwm tus kheej ntawm cov tshuaj, ntxiv rau cov tsos mob tsis zoo li lub qhov ncauj qhuav thiab zoo li muaj kev nqhis dej, lwm cov kev mob tshwm sim ntawm Reduxine tuaj yeem pom:
- unmotivated outbursts ntawm aggression,
- kev mob hlwb lossis muaj mob nrog kev xav tua tus kheej (hauv qhov xwm txheej no, tus kws kho mob yuav tsum txwv tam sim ntawd kev siv tshuaj),
- insomnia
- impotence, teeb meem nrog orgasm, ejaculation,
- ua tiav kev poob,
- lub tsev menyuam los ntshav, ua txhaum ntawm lub cev ntas,
- ua txhaum ntawm kev sib koom tes
- raws plab thiab ntuav,
- los ntawm cov leeg ntshav ntawm paj hlwb: ntu tsis nco qab ceev, ua kom huam.
Raws li rau qhov kev xav ntawm tus neeg mob uas tau noj ntau dua li kev pom zoo ntawm Reduxin 15 mg, nws yuav muaj kev mob taub hau heev, nce ntshav siab, thiab yuav muaj kev ua kom tsis tuaj yeem, kiv taub hau, lossis tachycardia. Nrog kev noj ntau dhau, ib tus neeg tuaj yeem hnov cov kev mob tshwm sim saum toj no, thiab hauv qhov tshaj lij. Yog tias ib qho ntawm cov tsos mob no tshwm sim, tsum tsis txhob noj tshuaj thiab maj mus rau tus kws kho mob.
Reduxin nqe 15 mg
Kev muag tshuaj ntawm cov tshuaj yuav tsum tau nqa tawm hauv cov chaw muag tshuaj nkaus xwb. Txawm hais tias tus nqi ntawm Reduxine 15 mg nyob rau hauv qee lub khw muag khoom dub hauv Suav ntawm cov khoom lag luam hauv Suav yog pheej yig heev, koj yuav tsum tsis kam yuav qhov kev yuav no, vim hais tias rau qhov kev nqis tes ua koj tuaj yeem cuam tshuam koj txoj kev noj qab haus huv. Tus nqi Reduxine ntau npaum li cas hauv lub tsev muag tshuaj? Nws tus nqi yog qhov pheej yig heev: ib lub phaj rau 30 tsiav tshuaj ntawm tus nqi nruab nrab kwv yees 2700 rubles. Nws yog tsim nyog sau cia tias cov tshuaj tau faib tawm tsuas yog los ntawm cov tshuaj noj, yog li, tau txiav txim siab tias tsuas yog cov tshuaj yuav pab koj poob phaus, nco ntsoov mus ntsib kws kho mob.
Koj tuaj yeem xaj Reduxine online: hauv Moscow thiab St. Petersburg, kev xa khoom yog sai thiab tsawg tus nqi. Ntawm no yog kwv yees tus nqi ntawm cov tshuaj ntsuab thiab Reduxin Teeb hauv lub nroog sib txawv:
Qhia kho tus mob ntshav qab zib hom 2
Mob ntshav qab zib feem ntau siv tsis yog siv tshuaj ib leeg xwb, tab sis kuj siv rau hauv kev kho mob. Nws yog sib haum nrog txhua yam tshuaj tiv thaiv kab mob, tshwj tsis yog siv tshuaj ntawm sulfonylurea chav kawm (lawv muaj cov txheej txheem zoo sib xws), nrog rau kev coj ua tshiab: nws kuj ua kom cov synthesis ntawm cov tshuaj hormones, tab sis lwm txoj kev sib txawv.
Diabeton ua haujlwm zoo rau hauv Metformin. Hauv no hais txog, cov tuam ntxhab Lavxias txawm tau tsim cov tshuaj Glimecomb ua ke, nyob rau hauv nws muaj pes tsawg leeg 40 g ntawm glyclazide thiab 500 mg ntawm metformin.
Kev siv cov tshuaj zoo li no yog tus cwj pwm zoo los ntawm kev ua kom tau zoo (ib tus neeg mob ntshav qab zib soj ntsuam cov tshuaj uas tau qhia kom noj). Glimecomb tau noj thaum sawv ntxov thiab yav tsaus ntuj ua ntej lossis tom qab noj mov. Kev phiv los ntawm cov tshuaj kuj tseem muaj rau metformin thiab gliclazide.
Yeeb tshuaj sib cuam tshuam
Muaj ntau ntawm cov tshuaj uas ua rau muaj kev phom sij ntawm hypoglycemia thaum siv tib lub sijhawm uas Diabeton. Tus kws kho mob yuav tsum tau ceev faj tshwj xeeb tshaj yog thaum kho mob acarbose, metformin, thiazolidinediones, DPP-4 inhibitors, GLP-1 agonists, thiab insulin nrog Diabeton.
Ntau cov tshuaj uas tau muab tshuaj rau cov neeg mob ntshav siab kuj tseem ua rau lub peev xwm ntawm Diabeton. Tus kws kho mob yuav tsum nco ntsoov txog β-blockers, ACE inhibitors thiab MAO, fluconazole, sulfonamides, histamine H2-receptor blockers, clarithromycin.
Daim ntawv teev tag nrho cov tshuaj uas txhim kho lossis ua kom tsis muaj zog ntawm kev ua ntawm lub ntsiab ntawm lub mis muaj peev xwm nrhiav tau nyob hauv cov lus qhia thawj zaug. Txawm tias ua ntej teem caij ntawm Diabeton, nws yog ib qho tseem ceeb rau tus mob ntshav qab zib kom qhia nws tus kws kho mob txog cov tshuaj, khoom noj khoom haus, tshuaj ntsuab tshuaj ntsuab uas nws noj.
Cov kws kho ntshav qab zib xav txog ntshav qab zib li cas
Kev ntsuam xyuas ntshav qab zib yog sib xyaw txog Tus Mob Ntshav Qab Zib: nws pab tswj cov piam thaj, tab sis ntau yam tsis tuaj yeem zam dhau. Glyclazide-hloov-tso cov ntsiav tshuaj tau yooj yim dua zam. Thiab kev mob tshwm sim muaj feem ntau pom nyob rau hauv cov neeg mob ntshav qab zib uas nquag noj ntshav qab zib rau ob peb xyoos.
Yog tias Ntshav Qab Zib tsis pab
Thaum Diabeton tsis ua tiav nws cov haujlwm, raws li endocrinologist, qhov no tuaj yeem yog rau ntau yam:
- Ua tsis tiav cov ntsiab lus ntawm kev noj zaub mov kom tsawg, ua kom lub cev qoj ib ce tsis txaus,
- Siv tshuaj tsis yog lawm
- Kev txiav ntshav qab zib kom hnyav, yuav tsum muaj qhov hloov pauv kho kho,
- Quav tshuaj
- Ua tsis tau raws li cov tshuaj,
- Lub cev yog qhov tsis txaus ntseeg rau gliclazide.
Nws yog ib qho tseem ceeb kom nco ntsoov tias tus kab mob ntshav qab zib tau tsim kho rau qee lub voj voog ntawm cov ntshav qab zib. Yog li, ua ntej noj tshuaj, nws yog ib qho tseem ceeb kom kawm cov lus qhia thiab cov ntawv sau no kom paub meej tias kev teem caij muaj tseeb. Ntau txog Nta