Glucobay - tshuaj tiv thaiv kab mob

Glucobai (cov lus zoo rau cov tshuaj - Acarbose) yog tib lub qhov ncauj tshuaj tiv thaiv kab mob ntshav siab uas tau qhia rau hom 1 thiab 2 ntshav qab zib. Vim li cas nws thiaj tsis pom muaj kev siv dav dav li, piv txwv li, Metformin, thiab vim li cas cov tshuaj thiaj li zoo rau cov neeg noj qab haus huv, nrog rau cov neeg ncaws pob?

Ib yam li Metformin, Glucobai yuav yog qhov tseeb hu rau qhov tsis yog hypoglycemic tus neeg sawv cev, tab sis antihyperglycemic, vim nws txwv tsis pub muaj suab thaj sai hauv cov lus teb rau cov khoom noj uas muaj carbohydrates, tab sis tsis tswj glycemia. Qhov thib ob ntawm cov ntshav qab zib, nws yog siv ntau dua, nrog cov peev txheej ntau, nws ua haujlwm ua ke nrog lwm tus kab mob ntshav qab zib.

Glucobay raug mechanism

Acarbose yog ib qho inhibitor ntawm amylases - ib pawg ntawm cov enzymes lub luag hauj lwm rau qhov tawg ntawm cov roj carbon ntau lub cev sib xyaw ua cov yooj yim, vim peb lub cev tsuas tuaj yeem nqus monosaccharides (qabzib, fructose, sucrose). Qhov txheej txheem no pib hauv lub qhov ncauj (nws muaj nws tus kheej amylase), tab sis cov txheej txheem tseem ceeb tshwm sim hauv cov hnyuv.

Glucobai, nkag mus rau hauv txoj hnyuv, txhawm rau qhov cuam tshuam ntawm cov carbohydrates ua cov molecules yooj yim, yog li cov carbohydrates uas nkag mus rau hauv lub cev nrog zaub mov tsis tuaj yeem nqus tau.

Cov tshuaj ua haujlwm hauv zos, tshwj rau cov plab hnyuv lumen. Nws tsis nkag rau hauv cov ntshav thiab tsis cuam tshuam rau kev ua haujlwm ntawm cov nruab nrog cev thiab tshuab (nrog rau kev tsim cov tshuaj insulin, cov piam thaj hauv siab).

Cov tshuaj yog ib qho oligosaccharide - txoj kev kho cov khoom lag luam ntawm cov kab mob Actinoplanes utahensis. Nws cov haujlwm muaj xws li thaiv α-glucosidase, ib qho roj ntsha ntawm pancreatic enzyme uas zom cov carbohydrates ua tsis yooj yim rau cov molecules. Los ntawm inhibiting qhov kev nqus ntawm cov carbohydrates ua txoj, Acarbose pab tshem tawm cov piam thaj ntau dhau thiab ua rau glycemia li qub.

Txij li thaum cov tshuaj maj mam poob qis, nws ua haujlwm tsuas yog tom qab noj mov.

Thiab vim tias nws tsis txhawb lub hlwb responsible-hlwb lub luag haujlwm rau kev tsim khoom thiab kev zais ntawm cov tshuaj insulin endogenous, Glucobai tsis ua rau glycemic xeev ib qho twg.

Leej twg yuav qhia rau cov tshuaj

Cov suab thaj txo qis peev xwm ntawm cov tshuaj no tsis zoo li los ntawm cov tshuaj hypoglycemic analogues, yog li ntawd, nws tsis yog qhov siv los siv nws li kev kho mob monotherapy. Ntau zaus nws tau txiav txim siab ua qhov kev hloov kho, tsis yog rau ob hom mob ntshav qab zib mellitus, tab sis kuj rau cov mob uas muaj mob ntshav qab zib: kev yoo mov sai glycemia, hloov pauv hauv qabzib kam.

Yuav noj li cas

Hauv cov khw muag tshuaj saw Acarbose, koj tuaj yeem nrhiav tau ob hom: nrog ntau npaum ntawm 50 thiab 100 mg. Qhov pib noj tshuaj ntawm Glucobay, raws li cov lus qhia rau kev siv, yog 50 mg / hnub. Hauv lub lis piam, nrog cov txiaj ntsig tsis txaus, koj tuaj yeem them ib feem dhau ntawm 50 mg, faib tawm txhua cov ntsiav tshuaj hauv ob peb koob tshuaj. Yog tias cov tshuaj zoo tiv thaiv los ntawm tus mob ntshav qab zib (thiab muaj txaus txaus xav tsis txog ntawm cov tshuaj), tom qab ntawd cov tshuaj yuav tuaj yeem hloov kho rau 3 r / hnub. 100 mg txhua qhov. Qhov siab tshaj plaws rau cov mob Glucobay yog 300 mg / hnub.

Lawv haus cov tshuaj ua ntej noj mov lossis hauv cov txheej txheem nws tus kheej, haus ib ntsiav tshuaj nrog dej. Qee zaum cov kws kho mob qhia kev ntxo cov ntsiav tshuaj nrog thawj diav ntawm cov khoom noj.

Lub luag haujlwm tseem ceeb yog kom xa cov tshuaj mus rau qhov lumen ntawm txoj hnyuv, yog li los ntawm lub sijhawm ntawm kev nqus ntawm cov carbohydrates, nws tau npaj siab ua haujlwm nrog lawv.

Yog hais tias cov ntawv qhia zaub mov hauv qee kis yog tsis muaj carbohydrate (qe, tsev cheese, ntses, nqaij tsis muaj mov ci thiab sab lauj kaub nrog cov hmoov txhuv nplej siab), koj tuaj yeem hla kev noj tshuaj. Acarbose tsis ua haujlwm nyob rau hauv qhov kev siv ntawm monosaccharides yooj yim - ntshiab qabzib, fructose.

Nws yog ib qho tseem ceeb kom tsis txhob hnov qab tias kev kho mob nrog acarbose, zoo li lwm yam tshuaj tiv thaiv kab mob, tsis hloov cov zaub mov qis, noj lub cev kom txaus, tswj lub xeev kev xav, ua raws li kev pw tsaug zog thiab so. Cov tshuaj yuav tsum tau pab txhua hnub kom txog thaum muaj kev ua neej tshiab los ua tus cwj pwm.

Cov nyhuv antihyperglycemic ntawm Glucobay tsis muaj zog, yog li nws feem ntau yog kws ua khoom siv ntxiv rau hauv kev kho kom ncaj. Raws li twb tau hais tseg, cov tshuaj nws tus kheej tsis ua rau mob ntshav qab zib, tab sis nyob rau hauv txoj kev kho mob nyuaj nrog rau lwm cov tshuaj hypoglycemic, xws li cov kev rau txim tau. Lawv nres qhov kev tawm tsam tsis nrog qab zib, zoo li ib txwm muaj xws li, - tus neeg raug tsim txom yuav tsum tau muab cov zom zom zom kom yooj yim, uas acarbose hnov mob.

Kev xaiv phiv

Txij li acarbose inhibits qhov nqus ntawm cov khoom noj carbohydrate, tom kawg tsub zuj zuj hauv txoj hnyuv thiab pib ua kom mob siab. Cov kev mob kis tau tshwm sim nyob rau hauv cov roj ntsha tsim ntxiv, rumbling, whistling, bloating, mob hauv thaj chaw no, raws plab. Raws li qhov tshwm sim, cov ntshav qab zib yog tseem ntshai tau tawm hauv lub tsev, raws li kev tsis sib haum xeeb ntawm cov quav ua rau lub siab tsis ncaj.

Kev tsis xis nyob rau lub zog tom qab kev noj zaub mov ntau nyob hauv cov carbohydrates sai, tshwj xeeb cov suab thaj, hauv cov hnyuv thiab txo qis yog tias tsis yooj yim nqus cov carbohydrates. Glucobai pabcuam yog ib hom ntawm cov kev ntsuas ntawm cov khoom noj tshaj (carbohydrates), teeb tsa nws tus kheej txwv ntawm hom khoom noj khoom haus no. Kev tawm tsam ntawm txhua yam muaj sia yog ib tus neeg, tej zaum yuav tsis muaj qhov hloov pauv hauv plab yog tias koj tswj koj cov zaub mov thiab qhov hnyav.

Qee cov kws tshaj lij sib piv cov txheej txheem ntawm kev ua ntawm Glucobay nrog kev kho mob ntawm kev haus cawv ntev: yog tias tus neeg mob rov qab mus rau nws qhov tsis zoo, qhov no ua rau cov tsos mob ntawm kev lom hnyav ntawm lub cev.

Ntxiv rau α-glucosidase, cov tshuaj tiv thaiv kev ua haujlwm muaj peev xwm ntawm lactase, ib qho enzyme uas zom lactose (mis qab zib) 10%. Yog tias tus mob ntshav qab zib tau pom yav dhau los txo cov kev ua ub no ntawm qhov enzyme, tsis kam rau cov khoom noj siv mis (tshwj xeeb yog qab zib thiab mis nyuj) yuav txhim kho cov nyhuv no. Cov khoom siv mis nyuj tuaj yeem yooj yim kom zom.

Qhov tseem ceeb tsis tshua pom kev dyspeptic tsis haum yog cov tawv nqaij ua xua thiab o.

Zoo li cov tshuaj feem ntau hluavtaws, nws tuaj yeem ua pob khaus ntawm daim tawv nqaij, khaus, liab lossis qee qhov - txawm Quincke's edema.

Cov tshuaj tiv thaiv tsis sib xws thiab cov qauv siv rau acarbose

Tsis txhob xaj tshuaj Glucobai:

Cov neeg mob uas muaj mob ntsws
Nrog mob plab hlaub,
Yog tias muaj mob hnyuv (ua mob los sis mob ntev),
Tus mob ntshav qab zib nrog lub ntsav (inguinal, femoral, umbilical, epigastric),
Cov poj niam cev xeeb tub thiab lactating
Nrog malabsorption syndrome,
cov neeg mob uas mob raum tsis ntev.

Muaj ob peb qhov sib piv rau Glucobay: raws li cov tshuaj tiv thaiv (acarbose), nws tuaj yeem hloov los ntawm Alumina, thiab los ntawm kev siv tshuaj - los ntawm Voxide.

Glucobay rau poob phaus

Feem ntau ntawm cov pej xeem hauv ntiaj teb feem ntau tsis zoo siab nrog lawv qhov hnyav thiab daim duab. Puas yog nws tuaj yeem thaiv qhov kev nqus ntawm cov carbohydrates hauv cov tsis muaj ntshav qab zib yog tias kuv tau ua txhaum rau kev yoo mov? Cov neeg tawm dag lub cev raug qhia kom "faus cov ncuav qab zib lossis haus cov ntsiav tshuaj ntawm Glucobay." Nws ua rau txiav pancreatic amylases, ib pawg ntawm cov enzymes uas tawg polysaccharides rau hauv mono analogs. Txhua yam uas cov hnyuv tsis tau yoo, tso dej nws tus kheej muaj dej, ua rau muaj mob plab zom mov.

Thiab tam sim no cov lus qhia meej: yog tias koj tsis tuaj yeem tsis lees paub koj tus kheej qab zib thiab khoom qab zib, noj ib lossis ob ntsiav tshuaj Acarbose (50-100 mg) ua ntej koob tom ntej ntawm carbohydrates. Yog tias koj xav tias koj yauv dhau lawm, koj tuaj yeem nqos lwm ntsiav tshuaj 50 mg. Mob plab zawv nrog xws li "kev noj zaub mov" tsim txom, tab sis nws tsis yog qhov tsis paub tab thaum poob phaus, piv txwv li, nrog orlistat.

Yog li nws puas tsim nyog nws "tau siv tshuaj lom neeg" yog tias koj tuaj yeem rov qab cov zaub mov qua ntxi tom qab noj mov hnyav? Lub gag reflex yuav tsim nyob rau hauv ib hlis, thiab koj yuav rov tsim dua tshiab lub sijhawm twg los xij, txawm tias tsis muaj dej thiab ob tus ntiv tes. Nws yog qhov nyuaj thiab kim los kho cov pathologies, yog li nws yooj yim rau siv txoj hnyuv hauv cov txheej txheem ntawm kev poob phaus Carbose muaj, muaj tsawg kawg ntawm kev phiv, thiab pab tswj cov carbohydrates.

Glucobay - txheeb xyuas cov ntshav qab zib

Anton Lazarenko, Sochi “Leej twg hlub, Kuv tshaj tawm ob-hlis siv tshuaj ascarbose. Pib nrog kev txhaj tshuaj tsawg kawg nkaus ntawm 50 mg / ib zaug, maj mam nce mus rau 100 mg / ib zaug, raws li tau hais hauv cov lus qhia. Ib qho ntxiv, thaum sijhawm noj su, Kuv tseem muaj Novonorm ntsiav tshuaj (4 mg). Xws li lub teeb cia kuv tswj tau txawm tias qab zib yav tsaus ntuj: 2-3 teev tom qab puv (los ntawm cov qauv ntawm cov ntshav qab zib) noj su ntawm glucometer - tsis pub dhau 7 thiab ib nrab mmol / l. Yav dhau los, tsawg dua 10 nyob rau lub sijhawm ntawd tsis yog. "

Vitaliy Alekseevich, Bryansk cheeb tsam “Kuv cov ntshav qab zib twb laus lawm. Qhov ntawd qab zib thaum sawv ntxov yog ib txwm nyob, Kuv haus thaum yav tsaus ntuj Glyukofazh Ntev (1500 ml), thiab thaum sawv ntxov - mus rau Trazhent (4 mg). Ua ntej noj mov, Kuv kuj haus ib lub Novonorm ntsiav tshuaj txhua lub sijhawm, tab sis nws tsis tuav qab zib kom zoo. Nws hais ntxiv 100 mg ntawm Glucobai rau pluas su, vim tias qhov tsis raug ntawm cov zaub mov noj nyob rau lub sijhawm no yog qhov siab tshaj plaws (beets, carrots, qos yaj ywm). Glycated hemoglobin tam sim no yog 5.6 mmol / L. Tsis muaj teeb meem dab tsi uas lawv sau hauv cov lus pom, cov tshuaj muaj nws qhov chaw nyob rau hauv cov npe tshuaj tiv thaiv kev mob ntshav qab zib, thiab koj tsis tas yuav muab tso rau hauv cov txee sab saum toj. "

Irina, Moscow "Tus nqi rau Glyukobay yog 670-800 rubles; mob ntshav qab zib tsis zoo los kho kuv, tab sis nws tuaj yeem ua rau nws puas. Kuv siv nws los ua lub sijhawm ib zaug yog tias nws tsim nyog los them nyiaj rau cov carbohydrates hauv qhov xwm txheej tsis zoo (ntawm txoj kev, ntawm ib tog twg, ntawm lub koomhaum tog neeg). Tab sis feem ntau, kuv tau txais los ntawm Teva Metformin thiab sim ua kom muaj kev noj haus zoo. Glucobai thiab Metformin, yog, tsis tuaj yeem piv, tab sis kuv xav tias nws lub peev xwm los ua ib-blocker ib zaug muaj ntau dua li Metformin Teva. "

Yog li nws puas tsim nyog lossis tsis muaj nqis noj Glucobai? Cia peb pib nrog qhov tsis tau txais txiaj ntsig zoo:

Cov tshuaj tsis tuaj yeem nkag rau hauv cov ntshav thiab tsis muaj cov kabmob hauv lub cev,
Nws tsis txhawb lub zog ua ke thiab kev zais cia ntawm nws tus kheej cov tshuaj insulin, yog li tsis muaj kev mob ntshav qab zib ntawm cov kev mob tshwm sim,
Nws tau sim tsim tias kev siv lub sijhawm ntev ntawm kev siv acarbose txo qis txog qib "tsis zoo" cov roj (cholesterol) thiab qhov kev nce qib ntawm atherosclerosis hauv ntshav qab zib,
Kev thaiv cov kev ua kom tsis muaj carbohydrate pab tswj qhov hnyav.

Muaj ob peb qhov tsis zoo: kev ua haujlwm tsis zoo thiab kev ua haujlwm tsis zoo ntawm kev kho mob monotherapy, nrog rau cov lus hais tawm zoo hauv daim ntawv ntawm dyspeptic cuam tshuam, uas ua rau pab tswj kev hnyav thiab noj zaub mov.

Glucobay: cov lus qhia rau kev siv, nqi, xyuas, analogues

Mob ntshav qab zib mellitus yog qhov feem ntau endocrinological pathology. Tus kabmob yog ntawm ob hom - insulin-dependant thiab non-insulin-dependant. Ntshav qab zib mellitus yog ib hom mob ntev mus.

Hauv kev kho mob ntawm tus kab mob, cov tshuaj tau siv uas pab ua kom cov piam thaj zoo li qub. Glucobai 100 mg tau suav hais tias yog ib qho tshuaj nrov tshaj plaws ntawm hom no. Cov tshuaj siv ob qho tib si hauv kev kho mob ntshav qab zib hom 1 thiab kev kho mob ntshav qab zib hom 2 thiab tus kws kho mob tau sau nws rau tus mob.

Ib cov tshuaj yog tsim hauv cov qauv ntawm cov ntsiav tshuaj. Glucobai 50 mg thiab 100 mg tau muag. Lawv sib txawv ntawm lawv tus kheej hauv cov nyiaj ntawm cov tshuaj nquag hauv ib ntsiav tshuaj. Tus nqi ntawm cov tshuaj yog 660-800 rubles. Thaum muas tshuaj, koj yuav tsum muab daim ntawv yuav tshuaj uas tsim nyog los ntawm koj tus kws kho mob.

Glucobai yog tus sawv cev hypoglycemic rau kev siv lub qhov ncauj. Cov tshuaj tiv thaiv tsis haum ntawm cov tshuaj yog acarbose. Qhov tshuaj no tswj cov ntshav qabzib hauv cov ntshav.

Cov tshuaj ua haujlwm li cas? Acarbose yog ib yam khoom uas inhibits hnyuv alpha glucosidase. Cov tshuaj tiv thaiv nquag tseem ua rau txo qis kev hloov pauv ntawm kev tsis sib haum, oligosaccharides thiab polysaccharides rau monosaccharides. Vim tias qhov no, tus nqi ntawm kev nqus ntawm cov piam thaj los ntawm txoj hnyuv txo.

Nws yog ib qho tseem ceeb tshaj plaws tias nrog kev siv cov ntsiav tshuaj, qhov mob ntshav qab zib siab tsis hnyav zuj zus. Kev noj tshuaj tsis tu ncua txo qis kev phom sij:

Myocardial infarction.
Qhov tawm tsam ntawm hypoglycemia thiab hyperglycemia.
Kev txhim kho ntawm cov kab mob mus ntev ntawm cov hlab plawv.

Qhov siab tshaj plaws ntawm cov tshuaj nquag hauv cov ntshav tau pom tom qab 1-2 teev. Nquag cov tshuaj tsis haum ntawm cov tshuaj tawm tom qab txoj hnyuv, raum thiab mob siab.

Thaum xaiv Glucobai, cov lus qhia rau kev siv yuav tsum kawm, vim tias nws muaj tag nrho cov ntaub ntawv thiab kev qhia, contraindications thiab phiv. Nyob rau hauv rooj plaub twg tus neeg yog nws raug nquahu kom coj cov tshuaj no?

Cov lus qhia tau hais tias cov tshuaj yuav tsum tau siv nyob rau hauv txoj kev kho mob ntawm cov ntshav qab zib hom 1. Kuj tseem qhia txog kev siv yog hom ntshav qab zib 2. Koj tuaj yeem siv cov tshuaj rau kev rog thiab mob ntshav qab zib.

Tab sis kom poob phaus nrog kev pab ntawm Glucobay yog ua tau yog tias koj ua raws li cov khoom noj tshwj xeeb. Nws yog tsim nyog sau cia tias tus neeg poob ceeb thawj yuav tsum haus tsawg kawg 1000 kilocalories ib hnub. Txwv tsis pub, mob ntshav nce siab ntau tuaj yeem tshwm sim, nce mus txog qhov ua rau lub plawv tsis muaj ntshav qab zib.

Yuav noj cov tshuaj li cas? Haus tshuaj ua ntej noj mov. Thawj qhov tshuaj yog 150 mg. Faib qhov tshuaj txhua hnub rau hauv 3 koob. Yog tias tsim nyog, qhov koob tshuaj tau nce txog 600 mg. Tab sis hauv qhov no, qhov tshuaj txhua hnub yuav tsum tau muab faib ua 3-4 zaug.

Yog hais tias thaum lub sij hawm kho txoj kev kho mob tus neeg mob tau flatulence thiab raws plab, ces ntau npaum li cas yuav tsum raug txo, lossis txoj kev kho yuav tsum cuam tshuam nrog txhua yam. Lub sijhawm kho nrog Glucobaem yog xaiv ntawm tus kheej.

Contraindications kom noj cov ntsiav tshuaj:

Kev tsis haum tshuaj rau cov feem ntawm cov tshuaj.
Cov me nyuam lub hnub nyoog. Cov tshuaj tsis raug cai rau cov neeg mob hnub nyoog qis dua 18 xyoo.
Lub xub ntiag muaj mob ceev los yog mob plab hnyuv. Kev tshuaj xyuas ntawm cov kws kho mob qhia tias cov tshuaj txaus ntshai los kho rau cov neeg uas mob plab hnyuv.
Ntshav qab zib ketoacidosis.
Kev ua txhaum nyob rau hauv daim siab. Nws raug txwv tsis pub siv cov tshuaj yog tias ib tug neeg mob siab ua daim siab tsis ua haujlwm, mob ntshav siab lossis mob siab.
Ulcerative lesions lub plab hnyuv lossis lwm yam plab hnyuv ntawm lub plab zom mov.
Lub sijhawm cev xeeb tub.
Lub sijhawm lactation. Tab sis cov lus qhia tau hais tias cov tshuaj tuaj yeem raug muab rau lactating cov poj niam yuav raug ncua ib ntus ntawm kev pub niam mis.
Cov raum tsis ua haujlwm (nrog cov ntsiab lus creatinine saum toj 2 ml ib 1 dl).
Remgeld's mob.
Lub xub ntiag ntawm loj hernias nyob rau hauv plab phab ntsa.
Malabsorption syndrome lossis maldigestion.

Nrog kev ceev faj, cov tshuaj yog raug rau tib neeg tom qab kev phais mob. Tsis tas li, kev hloov kho ntawm kev kho mob kuj yuav tsim nyog yog tias tus neeg mob tau kis mob los yog kub ib ce. Nws yog tsim nyog sau cia tias thaum kho kev kho mob, cov khoom noj uas muaj sucrose ntau dua tsis tuaj yeem noj. Txwv tsis pub, cov tsos mob dyspeptic yuav tshwm sim.

Glucobai cuam tshuam nrog lwm cov tshuaj li cas? Nws tau pom tias cov tshuaj tsis muaj txiaj ntsig yog tias cov hnyuv ntxaum, tshuaj tiv thaiv kab mob lossis tshuaj tiv thaiv enzyme tau noj nrog nws. Nws tseem yuav tsum tau yug hauv siab tias nrog kev siv tib lub sijhawm ntawm Glucobay nrog sulfonylurea derivatives lossis insulin, cov nyhuv hypoglycemic yog kho kom zoo.

Nws raug nquahu kom tsis txhob siv cov cuab yeej no nrog thiazide diuretics, tshuaj tiv thaiv qhov ncauj, corticosteroids, nicotinic acid. Nrog lawv cov kev cuam tshuam, decompensation ntawm cov ntshav qab zib tuaj yeem tsim kho. Tsis tas li, cov kab mob pathology no tuaj yeem tsim kho yog tias koj noj phenothiazines, estrogens, isoniazids, calcium channel blockers, adrenomimetics tib lub sijhawm ua Glucobai.

Thaum siv cov ntsiav tshuaj Glucobai, muaj qhov tshwm sim ntawm qhov tshwm sim ntawm cov kev mob tshwm sim:

Los ntawm cov mob plab zom mov: mob epigastric, xeev siab, raws plab, plab. Nyob rau hauv cov ntaub ntawv ntawm overdose, muaj ib qho ua tau ntawm asymptomatic nce nyob rau hauv theem ntawm kev ua si ntawm daim siab enzymes. Kuj tseem paub tias muaj mob tshwm sim thaum txhaws hnyuv, mob daj ntseg thiab mob qog nqaij hlav thaum kho.
Kev ua xua tsis haum.
O o.

Yog tias dhau ntawm kev siv tshuaj ntau dhau, tus mob anaphylactic yuav tshwm sim. Hauv qhov no, kev kho cov tsos mob raug ua.

Yog hais tias Glucobay yog contraindicated rau ib qho laj thawj, ces tus neeg mob tau muab nws pawg ua ke. Undoubtedly, qhov zoo tshaj plaws kev hloov kho rau cov cuab yeej no yog Glucofage. Cov tshuaj no kuj tseem siv rau hauv kev kho mob ntawm hom 1 thiab ntshav qab zib hom 2. Tus nqi ntawm cov tshuaj hauv khw muag tshuaj yog 500-700 rubles.

Coob leej ntau tus nyiam dab tsi yog dab tsi txawv ntawm Glucofage thiab Glucobay. Lub ntsiab sib txawv ntawm cov tshuaj no yog cov muaj pes tsawg leeg thiab cov ntsiab cai ntawm kev ua. Tab sis ob qho tshuaj muaj txiaj ntsig zoo ib yam.

Glucophage ua hauj lwm li cas? Cov tshuaj tiv thaiv nquag hu ua metformin. Qhov tshuaj yeeb dej caw no muaj cov lus qhia hypoglycemic. Nws yog qhov tsim nyog tias hauv cov neeg mob uas muaj ntshav qab zib cov ntshav siab li qub, metformin tsis muaj qhov tshwm sim hypoglycemic.

Tus txheej txheem ntawm kev ua ntawm Glucofage yog ua raws li lub peev xwm ntawm nws txoj kev sib txuam txhawm rau nce cov kev nkag siab ntawm cov hlwb rau insulin thiab txo tus nqi ntawm cov kua nplaum nyob rau hauv cov hnyuv. Yog li, cov tshuaj pab rau:

Cov suab thaj tsawg tsawg hauv lub siab.
Stimulation ntawm cov piam thaj kev siv nyob rau hauv cov leeg nqaij.
Txhim kho cov metabolism hauv lipid.
Cov roj (cholesterol) qis dua, triglycerides thiab lipoproteins, uas tsis muaj ntau yam tsawg.

Glucophage yuav txawv los ntawm nws cov hauj lwm zoo los ntawm lwm cov tshuaj hypoglycemic. Qhov no vim yog qhov tseeb tias lub tshuaj muaj cov cim qhia siab ntawm bioavailability. Lawv ua txog 50-60%. Qhov siab tshaj plaws ntawm cov tshuaj nquag ntawm cov tshuaj hauv cov ntshav yog pom tom qab 2.5 teev.

Yuav noj cov tshuaj li cas? Koj yuav tsum tau noj tshuaj thaum lub sijhawm lossis ua ntej noj mov. Qhov koob tshuaj txhua hnub feem ntau yog 2-3 grams (2000-3000 milligrams). Yog tias tsim nyog, tom qab 10-15 hnub, qhov koob tshuaj tau nce lossis nqis. Cov koob tshuaj saib xyuas yog 1-2 grams. Nws yog tsim nyog sau cia tias kev siv tshuaj txhua hnub yuav txawv. Ntau txoj hauv kev, nws yog txiav txim siab los ntawm koob tshuaj insulin.

Cov tshuaj txwv tsis pub nrog:

Kev ua xua rau cov Cheebtsam ntawm glucophage.
Tsis hlauv.
Kev ua txhaum ntawm daim siab.
Lub cev qhuav dej.
Kev ua pa tsis ua haujlwm.
Kis tau cov kab mob.
Lactic acidosis.
Mob plab zom mov coma.
Mob myocardial infarction (keeb kwm).
Hypocaloric noj (tsawg dua 1000 kilocalories ib hnub).
Cev xeeb tub thiab lactation.

Thaum siv cov tshuaj, cuam tshuam hauv kev ua haujlwm ntawm txoj hnyuv, CCC thiab cov ntshav ua haujlwm tuaj yeem tsim kho. Tseem muaj qhov tseem ntawm cov teeb meem ntawm kev zom zaub mov tsis txaus. Feem ntau, cov kev mob tshwm sim tshwm sim nrog kev overdose.

Daim vis dis aus hauv tsab xov xwm no hais txog sab zoo thiab tsis zoo ntawm cov tshuaj Glucobay.

Glucobay - Kev siv tshuaj tiv thaiv ntshav siab. Acarbose yog pseudotetrasaccharide ntawm keeb kwm microbial. Lub tshuab ntawm kev ua ntawm acarbose yog ua raws li kev txwv tsis pub cov plab hnyuv alpha-glucosidase, uas zom cov di-, oligo- thiab polysaccharides. Raws li kev tawm tsam ntawm kev ua haujlwm enzyme, qhov kev ncua ntev-ncua ntev ntawm kev nqus lub sijhawm ntawm carbohydrates tshwm sim, thiab, yog li ntawm cov piam thaj, uas tau tsim thaum carbohydrates tau tawg. Yog li, acarbose ua rau txo cov ntshav ntawm cov piam thaj mus rau hauv cov hlab ntshav thiab txo qhov concentration ntawm cov piam thaj hauv cov ntshav tom qab noj mov. Los ntawm kev tswj kev nqus ntawm cov piam thaj los ntawm txoj hnyuv, cov tshuaj yuav txo nws qhov ntshav ntws nyob rau txhua hnub thiab ua rau nws qhov kev poob qis.

Nyob rau hauv cov ntaub ntawv ntawm kev nce nyob rau hauv lub concentration ntawm glycated hemoglobin, acarbose txo nws qib.

Hauv lub zeem muag, kev xaiv, placebo-tswj, ob lub qhov muag tsis pom kev kawm (kev kho lub sijhawm 3-5 xyoo, nruab nrab 3.3 xyoo), uas koom nrog 1,429 cov neeg mob uas muaj qhov ua tsis taus cov ntshav qab zib, qhov kev pheej hmoo ntawm kev muaj mob ntshav qab zib hom 2 hauv pawg kho mob Glucobay tau txo 25 %

Cov neeg mob no tseem qhia tau txo qis ntau zaus ntawm txhua qhov kev mob plawv los ntawm 49%, thiab myocardial infarction (MI) - los ntawm 91%. Cov txiaj ntsig no tau lees paub los ntawm kev ntsuas meta-kev soj ntsuam ntawm 7 cov tshuaj placebo ntawm kev tshawb fawb ntawm acarbose hauv kev kho mob ntawm hom 2 mob ntshav qab zib mellitus (2180 tus neeg mob nyob rau hauv tag nrho, ntawm 1248 tau txais acarbose thiab 932 tau txais placebo). Hauv cov neeg mob uas tau txais acarbose, thiab hauv leej twg hom 2 mob ntshav qab zib mellitus tau tsim thawj zaug, kev pheej hmoo ntawm kev tsim MI txo qis los ntawm 68%.

Hauv qab no yog qhia Glucobay analogues, cov tshuaj zoo ib yam hauv kev qhia rau kev siv thiab lawv kev txiav txim ntawm pharmacological, nrog rau tus nqi thiab muaj cov tshuaj nyob hauv cov chaw muag tshuaj. Rau kev sib piv nrog cov tshuaj analogues, ua tib zoo kawm cov tshuaj sib txuam, raws li txoj cai, tus nqi ntawm cov tshuaj muaj nqi ntau muaj nws cov peev nyiaj tshaj tawm thiab cov khoom ntxiv uas ua rau muaj kev cuam tshuam ntawm cov tshuaj tseem ceeb. Cov lus qhia hauv qabzib rau kev siv
Peb ua siab zoo thov koj tsis txhob txiav txim siab hloov lub ntsej muag Glucobay ntawm koj tus kheej, tsuas yog qhia thiab los ntawm kev tso cai ntawm tus kws kho mob.

Florateka Diabenol pom zoo rau cov mob ntshav qab zib insulin:
- txhawb kev ua haujlwm ntawm islets ntawm Langerans beta hlwb ntawm lub txiav
- tsis ntseeg tau rov qab los insulin, tab sis normalizes cov txheej txheem metabolic, tiv thaiv tsis ua haujlwm ntawm cov endocrine system los ntawm cov thyroid caj pas, zes qe menyuam, cov txheej txheem metabolic, hlab plawv thiab plab zom mov
- tiv thaiv kev tuag ntawm cov nqaij hauv lub cev ua rau muaj qhov ua kom lwj ntau ntxiv ntawm cov rog thiab cov protein, intoxication ntawm lub cev
- cleanses ntshav thiab lymph
- tiv thaiv kom tsis txhob muaj teeb meem: tsis nco qab, cuam tshuam ntawm lub hauv nruab nrab cov hlab ntsha txhawm, ua txhaum ntawm lub xeev ntawm pob txha mos, qhov muag tsis pom kev, tiv thaiv kab mob, tso zis lub luag haujlwm, puas hlwb

Tshuaj Florateka Diabenol pom zoo rau cov ntshav qab zib hom 2:
- nce cov ntaub so ntswg rhiab rau insulin
- normalizes carbohydrate metabolism
- txo cov kua nplaum los ntawm daim siab
- tiv thaiv concomitant cuam tshuam ntawm endocrine system, kab ke deev, ob lub raum, hlab plawv system, teeb meem metabolic
- cleanses ntshav thiab lymph
Cov tshuaj zoo heev normalizes ntshav qab zib thiab stabilizes ntawm physiological tsis
Cov tshuaj ntsiav tau pom zoo rau cov ntshav qab zib tsis txaus siab, kev ua txhaum ntawm exocrine ib feem ntawm tus neeg mob ntshav qab zib, ntshav qab zib kis tau los ntawm cov tshuaj, kis mob, thiab hyperglycemia thaum cev xeeb tub.

Chitosanovit Nws raug nquahu kom siv rau hauv txhua hom ntshav qab zib ua ib feem ntawm kev kho mob nyuaj, nrog rau cov neeg muaj kev noj qab haus huv ntau dhau, cov hmoov nplej lossis cov zaub mov uas muaj cov carb ntau ntau (cov neeg muaj mob lub cev hnyav) ua cov prophylactic uas txhawb txoj haujlwm pancreatic.

Cov tshuaj insulin nyob rau hauv lub cev ua rau muaj kev cuam tshuam ntawm cov endocrine system thiab kev txhim kho cov ntshav qab zib thiab cov ntshav qog ntshav qab zib. Txhawm rau kom muaj cov ntshav qabzib hauv cov ntshav, cov neeg mob tau siv tshuaj kho, uas suav nrog Glucobay.

Cov tshuaj yog siv los ua ib feem ntawm txoj kev kho mob ntshav qab zib. Ua ntej siv cov tshuaj, tus neeg mob raug nquahu kom yauv mus kuaj mob ntau yam kom thiaj li dhau los ua ib txoj kev tsis sib haum xeeb thiab tiv thaiv kom tsis txhob pom cov kev mob tshwm sim.

Txhawm rau kom muaj cov ntshav qabzib hauv cov ntshav, cov neeg mob tau siv tshuaj kho, uas suav nrog Glucobay.

Cov tshuaj muaj nyob hauv ntsiav tshuaj daim qauv ntawm 50 thiab 100 mg. Cov khw muag tshuaj thiab chaw kho mob tau xa hauv cov thawv ntawv uas muaj 30 lossis 120 ntsiav tshuaj.

Cov khoom muaj cov xim dawb lossis daj.

Muaj kev pheej hmoo thiab txau rau ntawm cov ntsiav tshuaj: lub tuam txhab kev lag luam logo ntawm ib sab ntawm cov tshuaj thiab cov lej siv (G 50 lossis G 100) ntawm lwm qhov.

Glucobay (hauv Latin) suav nrog:

nquag muaj - acarbose,
cov khoom sib xyaw ntxiv - MCC, pob kws hmoov txhuv nplej siab, magnesium stearate, anhydrous colloidal silicon dioxide.

Ib cov tshuaj uas npaj rau qhov ncauj siv yog nyob rau pawg pab pawg ntawm hypoglycemic.

Glucobay raug xa mus rau cov chaw muag tshuaj thiab chaw kho mob hauv cov thawv ntawv uas muaj 30 lossis 120 ntsiav tshuaj.

Cov tshuaj muaj pes tsawg leeg muaj xws li acarbose pseudotetrasaccharide, uas txwv qhov kev txiav txim ntawm alpha-glucosidase (ib qho enzyme ntawm txoj hnyuv me uas zom di-, oligo- thiab polysaccharides).

Tom qab cov tshuaj nquag nkag mus rau hauv lub cev, cov txheej txheem kev ua kom sov mus rau hauv carbohydrate yog inhibited, qabzib nkag mus rau hauv cov hlab ntshav hauv cov khoom me, glycemia normalizes.

Yog li, cov tshuaj txhawm rau nce ntxiv ntawm theem ntawm monosaccharides hauv lub cev, txo qhov kev pheej hmoo ntawm kev tsim muaj ntshav qab zib, mob plawv thiab lwm yam kab mob ntawm cov ntshav ncig. Tsis tas li ntawd, cov tshuaj muaj feem ua rau poob phaus.

Hauv kev xyaum kho mob, feem ntau feem ntau cov tshuaj yeeb yam ua lub zog. Cov tshuaj yog siv rau cov kev kho mob nyuaj ntawm hom 1 thiab hom 2 mob ntshav qab zib mellitus thiab rau kev tshem tawm cov mob ntshav qab zib ua ntej.

Cov tshuaj uas tsim cov ntsiav tshuaj maj mam nqus tawm ntawm txoj hnyuv huam mus.

Cov tshuaj uas ua rau Cov ntsiav tshuaj Glucobai yog maj mam nqus tawm ntawm txoj hnyuv hauv lub plab.

Cmax ntawm cov nquag ua haujlwm hauv cov ntshav tau pom zoo tom qab 1-2 teev thiab tom qab 16-24 teev.

Cov tshuaj yog metabolized, thiab tom qab ntawd tawm los ntawm lub raum thiab los ntawm kev zom zaub mov rau 12-14 teev.

Cov tshuaj yog tshuaj rau:

kho mob ntshav qab zib mellitus yam 1 thiab 2,
tau tshem ntawm cov mob ntshav qab zib ua ntej (kev hloov pauv hauv qabzib ua siab ntev, muaj kev cuam tshuam ntawm kev yoo mov glycemia),
tiv thaiv kev txhim kho mob ntshav qab zib hom 2 hauv cov neeg mob ntshav qab zib.

Txoj kev kho tuaj yeem sib koom ua ke. Thaum siv cov tshuaj, tus neeg mob tau pom zoo kom ua raws li kev noj haus kev noj qab haus huv thiab ua lub neej kom nquag plias (ua si, taug kev niaj hnub).

Thaum lub sij hawm siv cov tshuaj Glucobai, tus neeg mob tau pom zoo kom ua raws li kev kho kev noj haus.

Muaj ntau tus lej sib kis rau kev siv cov ntsiav tshuaj:

cov menyuam yaus hnub nyoog (txog 18 xyoo),
ua kom lub cev tsis haum lossis tus kheej tsis haum rau cov tshuaj,
lub sij hawm ntawm gestation, lactation,
mob ntev ntawm cov hnyuv, uas nrog los ntawm kev ua txhaum ntawm kev zom thiab nqus,
cirrhosis ntawm daim siab
mob ketoacodosis,
ulcerative mob plab
plab hnyuv stenosis,
loj hernias
Tshem tawm cov tsos mob
lub raum tsis ua hauj lwm.

Cov tshuaj yuav tsum tau ceev faj nrog yog tias:

tus neeg mob raug mob thiab / lossis raug phais,
tus neeg mob kuaj pom muaj kab mob kis tau zoo.

Thaum kho, nws yog qhov yuav tsum tau mus ntsib kws kho mob thiab kuaj mob niaj hnub, vim tias cov ntsiab lus ntawm daim siab ua haujlwm hauv lub siab yuav nce ntxiv nyob rau thawj rau lub hlis.

Ua ntej noj mov, cov tshuaj yuav haus tag nrho, ntxuav nrog dej hauv ib qho me me. Thaum noj mov - hauv cov ntawv zuaj, nrog cov thawj feem ntawm zaub mov.

Qhov ntau thiab tsawg yog xaiv los ntawm tus kws kho mob tshwj xeeb nyob ntawm tus neeg yam ntxwv ntawm tus neeg mob lub cev.

Cov kev pom zoo kev kho mob rau cov neeg mob ntshav qab zib muaj raws li no:

thaum pib ntawm kev kho mob - 50 mg 3 zaug hauv ib hnub,
qhov nruab nrab txhua hnub koob yog 100 mg 3 zaug hauv ib hnub,
kev tso cai ntau ntxiv - 200 mg 3 zaug ib hnub.

Cov koob tshuaj tau nce ntxiv nyob rau hauv qhov tsis muaj kev soj ntsuam 4-8 lub lis piam tom qab pib ntawm kev kho mob.

Yog tias, ua raws li kev noj zaub mov noj thiab lwm yam lus pom zoo ntawm tus kws kho mob mus kawm, tus neeg mob tau tsim muaj roj ntau dua thiab zawv plab, qhov kev nce ntxiv yog qhov tsis txaus ntseeg.

Ua ntej noj mov, cov tshuaj Glucobai noj tag nrho, ntxuav nrog dej hauv ib qho me me.

Txhawm rau tiv thaiv hom 2 mob ntshav qab zib mellitus, cov txheej txheem ntawm kev siv cov tshuaj yog txawv me ntsis:

thaum pib ntawm kev kho mob - 50 mg 1 lub sijhawm hauv ib hnub,
qhov nruab nrab cov tshuaj kho tau yog 100 mg 3 zaug ib hnub.

Cov koob tshuaj nce ntau dua li 90 hnub.

Yog hais tias tus neeg mob lub tshuab raj tsis muaj carbohydrates, ces koj tuaj yeem hla kev noj tshuaj. Kev noj ntawm fructose thiab ntshiab qabzib, cov kev ua ntawm acrobase txo qis rau xoom.

Qee tus neeg mob siv cov tshuaj hauv nqe lus nug rau qhov poob phaus. Txawm li cas los xij, kev siv ib qho yeeb tshuaj twg yuav tsum pom zoo nrog tus kws kho mob koom nrog.

Txhawm rau kom txo lub cev lub cev, cov ntsiav tshuaj (50 mg) tau noj 1 zaug hauv ib hnub. Yog tias tus neeg hnyav tshaj 60 kg, ntau dua kev noj tshuaj yog nce 2 zaug.

Qee tus neeg mob siv tshuaj Glucobay rau kom poob phaus.

Thaum kho, qee kis, cov neeg mob tshwm sim:

zawv plab
flatulence
mob hauv cheeb tsam epigastric,
xeev siab

Ntawm cov kev fab tshuaj muaj nyob (tsis tshua muaj):

ua pob rau ntawm daim tawv nqaij,
exanthema
urticaria
Quincke's edema,
txeej dhau ntawm cov hlab ntshav ntawm ib qho lossis ib feem ntawm lub cev nrog ntshav.

Muaj qee kis, kev mob siab ntawm lub siab enzymes nce hauv cov neeg mob, daj ntseg zoo li, thiab tus kab mob siab muaj tshwm sim (tsis tshua muaj neeg muaj).

Kev siv cov tshuaj tsis cuam tshuam lub peev xwm ntawm kev tsav tsheb ntawm lawv tus kheej. Txawm li cas los xij, nrog cov xwm txheej tshwm sim tsis tu ncua (xeev siab, zawv plab, mob) thaum kho, koj yuav tsum tso tseg kev tsav tsheb.

Raws li cov lus qhia rau kev siv, tsis tas txo lossis nce cov koob tshuaj.

Hloov cov koob tshuaj tsis tas yuav tsum tau.

Nws yog contraindicated yog tias tus neeg mob kuaj mob nrog lub raum tsis ua haujlwm siab.

Thaum siv tshuaj ntau ntawm cov tshuaj, raws plab thiab plab zom zaws yuav tshwm sim, nrog rau kev txo qis hauv cov ntshav platelet.

Hauv qee kis, tus neeg mob hnov mob xeev siab thiab o tuaj.

Kev noj tshuaj ntau dhau tuaj yeem tshwm sim thaum siv cov ntsiav tshuaj ua ke nrog kev haus dej haus lossis cov khoom lag luam uas muaj cov roj carbohydrates ntau.

Txhawm rau tshem tawm cov tsos mob no ib pliag (4-6 teev), koj yuav tsum tsis kam noj.

Kev noj tshuaj ntau dhau tuaj yeem tshwm sim thaum siv cov ntsiav tshuaj ua ke nrog kev haus dej haus lossis cov khoom lag luam uas muaj cov roj carbohydrates ntau.

Kev ua rau lub ntsej muag hypoglycemic nyob rau hauv nqe lus nug yog txhim kho los ntawm insulin, metformin thiab sulfonylurea.

Qhov ua tau zoo ntawm kev kho mob raug txo qis nrog kev siv acrobase tib lub sij hawm nrog:

nicotinic acid thiab qhov ncauj txwv tsis pub muaj,
estrogens
glucocorticosteroids,
cov thyroid hormones
thiazide diuretics,
phenytoin thiab phenothiazine.

Cawv dej cawv ua kom cov ntshav qab zib, yog li haus dej cawv thaum kho yog contraindicated.

Ntawm cov tshuaj zoo sib xws hauv kev nqis tes ua pharmacological, hauv qab no tau sau tseg:

Cov tshuaj kho mob kom noj.

Muaj qee zaum ntawm kev muag cov tshuaj tsis muaj daim ntawv pov thawj kws khomob tso cai. Txawm li cas los xij, kev siv tus kheej yog qhov ua rau tsis muaj kev hloov pauv tsis zoo.

Tus nqi ntawm cov ntsiav tshuaj (50 mg) sib txawv ntawm 360 txog 600 rubles rau 30 daim ib pob.

Ntawm cov tshuaj muaj ntsis zoo ib yam hauv pharmacological kev ua, Siofor tau sau tseg.

Cov ntsiav tshuaj tau pom zoo kom muab cia rau hauv lub txee lossis lwm qhov chaw tsaus, ntawm qhov kub tsis tshaj + 30 ° С.

5 xyoos txij li hnub tso.

BAYER SCHERING PHARMA AG (Lub Tebchaws Yelemees).

Mikhail, 42 xyoo, Norilsk

Cov tshuaj yog qhov cuab yeej siv hauv qhov nyuaj kho. Txhua tus neeg mob yuav tsum nco ntsoov tias cov tshuaj tsis txo kev qab los noj mov, yog li thaum kho nws yog qhov tsim nyog los tswj kev hnyav, ua raws li kev noj haus thiab kev tawm dag zog.

Lub sijhawm kho mob nrog Glucobai, cov kws kho mob pom zoo kom ua lub neej nquag (kev tawm dag zog, taug kev txhua hnub).

Elena, hnub nyoog 52 xyoo, St. Petersburg

Nrog ntshav qab zib hom 2, Kuv rog dhau. Raws li kws kho mob ntawm tus kws kho mob endocrinologist, nws tau pib noj cov tshuaj raws li lub tswv yim nce ntxiv, txuas nrog kev kho kev noj haus.Tom qab 2 lub hlis ntawm kev kho mob, nws tau tshem tawm 5 kg ntxiv, thaum qib ntawm cov piam thaj hauv cov ntshav poob qis. Tam sim no kuv tseem siv cov tshuaj ntxiv.

Roman, 40 xyoo, Irkutsk

Kuv tawm hauv kev txheeb xyuas rau cov neeg uas tsis ntseeg qhov zoo ntawm cov tshuaj. Kuv pib noj acrobase 3 lub hlis dhau los. Cov koob tshuaj nce ntau zuj zus, raws li cov lus qhia. Tam sim no kuv noj 1 pc (100 mg) 3 zaug ib hnub, tshwj xeeb ua ntej noj mov. Nrog rau qhov no, kuv siv 1 ntsiav tshuaj Novonorm (4 mg) ib hnub ib zaug. Qhov kev qhia tshuaj no tso cai rau koj kom noj tau zoo thiab tswj koj cov piam thaj. Lub sijhawm ntev, cov ntsuas ntawm cov cuab yeej tsis pub dhau 7.5 mmol / L.

Olga, 35 xyoo, Kolomna

Cov tshuaj yog siv los kho mob ntshav qab zib, tab sis kom tsis txhob txo qhov hnyav lub cev. Kuv qhia cov neeg mob kom noj cov tshuaj raws li kws kho mob tau hais tseg, thiab nws yog qhov zoo dua rau cov neeg noj qab haus huv kom tso tseg lub tswv yim ntawm kev poob phaus los ntawm kev siv tshuaj. Ib tug phooj ywg (tsis yog mob ntshav qab zib) tau tshee tshee ntawm qhov kawg ntawm acrobase thiab kev zom tau tawg.

Sergey, 38 xyoo, Khimki

Cov tshuaj txwv qhov nqus ntawm cov calories uas nkag mus rau hauv lub cev los ntawm kev noj ntawm cov khoom noj uas muaj cov carbohydrates, yog li cov cuab yeej pab kom poob phaus. Tus txij nkawm tau 3 lub hlis ntawm kev siv acrobase tau tshem ntawm 15 qhov hnyav ntxiv. Txawm li cas los xij, nws yaum kom yoo mov kom yuag thiab noj cov zaub mov zoo thiab npaj tau tshiab. Nws tsis muaj kev mob tshwm sim. Tab sis yog tias koj ntseeg tias cov kev txheeb xyuas, kev noj zaub mov tsis raug thaum noj cov ntsiav tshuaj cuam tshuam rau qhov ua tau zoo thiab kev pom zoo ntawm cov tshuaj.

Kev kuaj pom cov mob endocrine, Tshuaj thiab kev kawm lub cev - M., 2014. - 500 p.
Scroll, Elena Ntshav Qab Zib. Peb sib ntaus thiab yeej: monograph. / Elena Svitko. - M .: Strelbitsky Multimedia Kev Tshaj Tawm Tsev, 2013. - 971 p.
Neumyvakin, I.P. Mob Ntshav Qab Zib / I.P. Neumyvakin. - M .: Dilya, 2006 .-- 256 p.

Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau tshaj 10 xyoo. Kuv ntseeg hais tias tam sim no kuv yog tus kws tshaj lij hauv kuv daim teb thiab kuv xav pab txhua tus neeg tuaj saib lub vev xaib kom daws qhov nyuaj thiab tsis yog li cov haujlwm. Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua kom tiav thiaj li xa ntau li ntau tau cov ntaub ntawv tsim nyog. Ua ntej thov cov ntaub ntawv uas tau piav qhia hauv lub vev xaib, yuav tsum tau sab laj nrog tus kws kho mob tshwj xeeb.