Kev siv cov tshuaj maninil hauv cov neeg mob ntshav qab zib
Cov tshuaj yog tsim los rau cov neeg mob ntshav qab zib, tsis yog nyob ntawm insulin (lossis hom 2). Cov nquag ua haujlwm uas txiav txim siab cov nyhuv ntawm cov tshuaj rau hauv lub cev yog cov tshuaj nquag glibenclamide. Cov seem ntawm cov muaj pes tsawg leeg yog qhov ntxiv rau hauv cov xwm txheej thiab tsis cuam tshuam rau kev txhim kho kev zoo ntawm tus neeg mob. Raws li cov pab pawg ntawm sulfonylurea derivatives ntawm 2 tiam.
Lub hom phiaj tseem ceeb ntawm Manilin:
- quav dev
- ntxiv cov teebmeem pancreatic.
Cov tshuaj muaj cov cim qhia nram qab no:
- kev ua kom nrawm ntawm kev tsim cov tshuaj insulin hauv cov txiav,
- ua qeeb qeeb glycogenesis uas tshwm sim hauv daim siab,
- kev txhim kho qhov ua rau muaj kev cuam tshuam ntawm lub cev lub cev rau kev nce insulin ntau ntau.
Txog kev siv tshuaj, ib txoj kev tswj hwm qhov ncauj tau txais. Nws yog nqus ib yam nkaus sai sai hauv cov hnyuv, tsis hais txog ntawm cov khoom noj ntau npaum li cas thiab lub sijhawm ua kev coj los tu.
Cov ntsiab lus siab hauv cov ntshav tshwm sim kwv yees li 2.5 teev tom qab siv tshuaj.
Muaj ntau txoj kev xaiv tshuaj rau kev tsim kom muaj ib txoj kev kho kom zoo rau txhua kis:
Milligrams qhia tias tus nqi ntawm glibenclamide muaj. Ib qho kev nce zuj zus hauv nws qhov kev nce siab yuav kho cov khoom tau piav qhia.
"Maninil" yog siv los ntawm cov neeg mob los ntawm mob ntshav qab zib hom 2, nrog:
- monotherapy (tsuas yog cov tshuaj tshwj xeeb yog siv),
- cov kev kho mob nyuaj ua ke nrog lwm tus neeg sawv cev.
Txhua yam tshuaj rau pawg neeg mob no yog kws kho mob sau tseg. Kev noj tshuaj rau tus kheej tuaj yeem ua rau mob huam tuaj thiab ua rau muaj kev noj qab haus huv txaus.
Kev siv yeeb tshuaj
"Maninil" tab tom pib noj qis, kom lub cev muaj sij hawm los npaj rau cov kev txwv tshiab ntawm ntshav ntshav. Kev noj tshuaj ntawm 1.75 mg cuam tshuam thawj koob ntawm 0.5 ntsiav tshuaj. Tom qab lub sijhawm tau piav qhia hauv cov lus qhia lossis pom zoo los ntawm tus kws tshaj lij, muab ntau ntxiv rau 2 ntsiav tshuaj hauv ib hnub.
Qhov siab tshaj plaws yuav tsum yog 3 ntsiav tshuaj. Tab sis qee qhov xwm txheej, thaum tsis tuaj yeem ua tiav cov txiaj ntsig xav tau, cov kws kho mob pom zoo kom lawv cov neeg mob mus txog 4 hauv 24 teev.
Cov phiaj xwm tau piav qhia yuav luag zoo haum rau ib qho tshuaj nrog 3.5 mg ntawm glibenclamide. Qhov txwv rau kev pub nkag yog 3 tauj ib hnub. Siv 4 - tsuas yog nyob rau kev saib xyuas ntawm cov neeg ua haujlwm kho mob.
Cov tshuaj me me uas yuav tsum ua tib zoo suav nrog kev siv tshuaj:
- Thaum muab tshuaj rau 3.5 mg thiab 2 ntsiav tshuaj hauv ib hnub, tag nrho cov tshuaj yog pom zoo kom noj thaum sawv ntxov.
- Nrog rau pes tsawg daim ntawm ib hnub ntau dua 2, koj yuav tsum faib cov kev txais tos kwv yees li ntawm ib nrab los ntawm ob peb zaug.
Maninil 5 ua tau raws li cov lus pom zoo. Nws yog tsim nyog kom nco ntsoov tias cov tshuaj tiv thaiv kab mob ntawm nws muaj ntau dua.
Cov kws kho mob tau tsim ntau dua 20 txoj hauv kev hloov rau cov tshuaj, uas kho tau yooj yim, hloov kho rau cov xwm txheej sib txawv.
"Maninil" zoo thiab sai cuam tshuam rau lub cev. Cov plaub hau ntawm kev haus dej haus ntau dhau tsis tshwm sim muab cov cai hais txog kev siv cov tshuaj pom.
Kev sim ua pov thawj ntawm cov neeg mob qhia tias cov txiaj ntsig ntawm cov tshuaj "Maninil" qhia tau nws tus kheej sai heev. Tawm tsam cov keeb kwm yav dhau los ntawm kev thov, lub xeev kev noj qab haus huv txhim kho, kev phiv tshuaj yog pom tsawg tsawg nrog txoj kev tsuas tshuaj.
Ntxiv nrog rau cov ntsiav tshuaj, ntshav qab zib yuav tsum:
- ua raws li cov zaub mov tshwj xeeb qis-carb
- tawm dag zog ib ce
- tswj qhov hnyav, tiv thaiv cov tsos ntawm phaus ntxiv.
Contraindications rau cov tshuaj
Cov tshuaj muaj ntau cov kev soj ntsuam zoo, tab sis ua ntej yuav noj nws, qhov yuav tsum tau paub zoo nrog kev phiv thiab cov kev txwv tsis pub tuaj. Daim ntawv ua tiav yog qhia hauv cov lus qhia. Tus kws kho mob yuav sau ib tsab ntawv tshwj xeeb tuaj.
Cov kev txwv tseem ceeb hauv qab uas nws tsis raug tso cai los siv yeeb tshuaj:
- hom mob ntshav qab zib insulin (1),
- cov neeg mob ntshav qab zib,
- ketoacitosis,
- poj koob yawm txwv
- kis foci ntawm o,
- mob siab los yog mob raum
- kev tsis haum tshuaj los yog qhov tshuaj tiv thaiv tsis haum rau ib qho twg los ntawm cov lus muaj pes tsawg leeg,
- leukopenia
- kev paub txog pancreatic resection,
- indigestibility ntawm lactose,
- lactase tsis muaj peev xwm.
Kev txwv pawg:
- Cov neeg tsis tau muaj 18 xyoo
- xeeb tub
- saib xyuas cov niam tsev.
Tshwj xeeb kev saib xyuas yog qhov yuav tsum tau yog tias nws tsis tuaj yeem zam kom tsis txhob txais Mininil, tab sis muaj tau:
- ntshav qab zib,
- insulin ntxiv
- cov nyom tom qab phais tas.
Kev saib xyuas ntxiv yog xav tau rau cov neeg mob ua tsis taus pa lub plab ua haujlwm.
Kev cuam tshuam nrog lwm yam tshuaj
Yog tias koj sib xyaw cov tshuaj Manin rau cov ntshav qab zib nrog cov tshuaj hauv qab no, tom qab ntawd tus neeg mob yuav tsis hnov mob pib ntawm hypoglycemia:
Cov ntshav qab zib cov ntshav yuav poob sai sai yog tias ib tus neeg:
- kev ua phem rau kev tso dag,
- mob raws plab.
Qhov kev hem thawj ntawm hypoglycemia nce yog tias cov tshuaj ua ke nrog:
- lwm yam tshuaj kho ntshav qab zib
- tshuaj insulin
- tshuaj tiv thaiv kab mob
- txhais tau tias muaj cov txiv neej cov tshuaj hormones,
- tetracycline tshuaj tua kab mob.
Daim ntawv ua tiav yog qhia hauv cov lus qhia. Yog tias tus neeg mob paub txog kev fab tshuaj rau cov tshuaj ntawm cov ntsiav tshuaj, nws yog qhov yuav tsum tau xa cov ntaub ntawv no mus rau tus kws kho mob uas koom nrog.
Ntau tus neeg mob
Yog tias tus neeg mob tau tsis saib xyuas cov tshuaj kho mob lossis tau noj cov tshuaj "Maninil" nyob rau hauv ntau dua los ntawm kev tsis saib xyuas, cov ntsiab lus hauv qab no tuaj yeem qhia qhov no:
- nce hws
- kev tshaib kev nqhis loj heev,
- kev cuam tshuam nyob rau hauv kev hais lus, nco qab, pw tsaug zog,
- ntshav qog.
Kev pab thawj zaug hauv cov xwm txheej zoo li no:
- Muab cov piam thaj rau cov neeg noj.
- Hu rau lub tsheb tos neeg mob.
Cov kev kho mob ntxiv yog nyob rau hauv qhov chaw pw uas cov kws kho mob soj ntsuam xyuas tus neeg mob lub sijhawm thiab cov ntshav qabzib nyob rau lub sijhawm tag nrho.
Sab sij huam
Ib qho kev xaiv uas yooj yim thiab nyuaj siv nyob rau hauv 3 qib:
- Kev txhim kho ntawm lub qog ntshav qab zib (tsuas yog kws kho mob muaj peev xwm ua tau zoo pab rau tus neeg mob).
- Mob plab zom mov coma.
- Tuag tshwm sim.
Cov laj thawj yuav suav nrog:
- xaiv tsis raug (loj) ntau npaum ntawm cov tshuaj,
- noj tsis yog
- tus neeg mob hnub nyoog
- lub plab hnyuv kab mob
- haus cawv
- kev ua si ntau dhau.
Raws li kev txheeb xyuas thiab kev txheeb cais, Maninil theej zoo nrog nws cov haujlwm, tab sis qee zaus kev ua tsis tiav tej zaum yuav tshwm sim thaum pib theem ntawm kev kho.
Cov kev mob tshwm sim tsis zoo ntawm lub cev rau cov tshuaj tau muab sau cia hauv cov ntawv qhia txog kev kho mob:
- Los ntawm kev mob plab hnyuv: xeev siab thiab ntuav, mob hauv lub peritoneum, mob quav, lub plab zom mov hauv qhov ncauj, cov tsos mob ntawm daim siab.
- Ntawm ib feem ntawm cov kev paub hauv nruab nrog cev: teeb meem tsis pom kev, kiv taub hau, yastes yastaw.
- Cov tsos mob ua xua: urticaria, khaus, tawm pob, ua tsis taus pa, txo cov ntshav siab.
- Mob hauv cov pob txha thiab cov leeg.
- Ua npaws.
Yog tias ib tus neeg pom ib qho lossis ntau qhov tsos mob hauv tsev, ces nws tuaj yeem tshem tawm cov tshuaj nws tus kheej. Tab sis ib qho kev hu mus rau tus kws kho mob sai sai yuav tsum tau tshem tawm cov kev mob tshwm sim tsis zoo thiab muab tshuaj tshiab.
Rau kev noj tshuaj ntau dhau ntawm Manilin yog cov yam ntxwv:
- kev tshaib kev nqhis
- tshee hnyo
- lub siab lub plawv
- muaj kev ntxhov siab ntau dua
- pallor ntawm daim tawv nqaij.
Analogs thiab nqi
Ib pob ntawm Maninil muaj 120 ntsiav tshuaj. Muab koob tshuaj yog qhia rau ntawm daim ntawv lo. Cov nqi nyob ntawm thaj av thiab lub khw muag tshuaj thiab feem ntau muaj li ntawm 120 txog 190 rubles.
Tom qab sab laj tus kws kho mob, koj tuaj yeem siv cov tshuaj hauv qab no:
Mininil feem ntau piv rau Diabeton, tab sis qhov kawg xaiv ib txwm tso rau cov kws tshwj xeeb, vim hais tias:
- Cov tshuaj yeeb dej caw hauv cov tshuaj sib txawv, txawm hais tias cov nyhuv ntawm lub cev tau zoo ib yam nkaus.
- Tus kws kho mob xav txog ntau yam nyob rau tib lub sijhawm, xaiv cov tshuaj uas tsim nyog. Kev hloov tus kheej tsis tuaj yeem lees paub, vim tias tus neeg mob yuav tsis coj mus rau lwm qhov muaj pes tsawg leeg, uas yuav ua rau ua xua thiab lwm yam kev rau txim.
Txhua tus analogues muaj:
- ib tug zoo sib xws nyob rau hauv lub cev,
- ib daim ntawv teev zoo sib xws ntawm contraindications.
Cov tshuaj yog hloov nrog lwm cov tshuaj los ntawm pab pawg no yog tias:
- lub txais tos paub tseeb hais tias nws inefficiency,
- cov tsos mob ntawm kev noj haus ntau dhau los yog lwm cov kev tsis zoo tshwm sim.
Maninil yog ib txoj kev kho mob zoo thiab pheej yig uas feem ntau kho mob rau cov neeg mob ntshav qab zib hom 2 los txhawb cov txiav ua qab. Cov tshuaj tsis yog panacea, thiab yog li ntawd tsis tso tseg lwm qhov kev pom zoo ntawm cov kws kho mob hauv kev tswj kev noj qab haus huv. Ua ntej siv, koj yuav tsum ua tib zoo kawm cov lus qhia thiab tsim kev cai tshiab nrog koj tus kws kho mob.
Qhov tshwm sim ntawm kev siv
Manin txo cov ntshav qabzib hauv cov ntshav, belongs rau chav kawm ntawm sulfonylurea derivatives.
Maninil rau cov ntshav qab zib:
- Txo postprandial (tom qab noj mov) hyperglycemia.
- Ntawm qhov khoob ntawm plab, qab zib tsis muaj qhov cuam tshuam loj.
- Ua kom muaj kev sib txuas ntawm b-hlwb ntawm tus txiav ntshav ntawm nws tus kheej insulin.
- Lowers tus txheeb ze insulin tsis txaus.
- Tsub kom qhov chaw tsis haum rau cov kws tshwj xeeb thiab cov ntaub so ntswg sib kis mus rau insulin.
- Nws tsis tshua muaj kev cuam tshuam cov insulin tsis kam.
- Txhawb kev rhuav tshem ntawm glycogen thiab cov synthesis ntawm qabzib hauv lub siab.
- Nws muaj cov nyhuv ua haujlwm antiarrhythmic, txo cov tsim ntawm cov ntshav txhaws.
- Nws txo txoj kev pheej hmoo ntawm kev tsim cov kev mob ntshav qab zib nram qab no: mob ntsws (mob ntsws), cardiopathy (mob plawv), nephropathy (mob raum), retinopathy (mob hlwb).
Cov nyhuv tom qab noj mannyl mob tsawv rau ntau dua 12 teev.
Maninil raug pom zoo rau kev teem caij ntawm hom 2 mob ntshav qab zib mellitus (daim ntawv tsis-insulin-tiv thaiv) nrog kev tsis txaus siab los ntawm cov kev kho mob tsis siv tshuaj (kev noj haus, mob ib ce lub cev).
Cov Yuav Tsum Muaj
Cov tshuaj tsis yog siv rau cov ntshav qab zib hom 1 (ib hom insulin-tiv thaiv), txo qis cov ntshav qabzib hauv qab tus lej naj npawb, qhov tshwm sim ntawm acetone derivatives nyob rau hauv cov zis, ntshav, lossis nrog rau kev txhim kho cov ntshav qab zib tsis xeev. Maninil yuav tsum tsis txhob noj thaum lub sijhawm cev tes taw thiab lactation. Nws tseem muaj qhov cuam tshuam hauv cov neeg mob uas decompensated cov kab mob ntawm daim siab thiab lub raum, nrog rau ib tus neeg tsis quav yeeb rau cov tshuaj.
Tsuas tshuaj thiab tswj hwm
Qhov ntau npaum ntawm cov tshuaj thiab lub sijhawm ntawm kev kho yog los ntawm tus endocrinologist raws li qib kev them nyiaj rau tus kabmob. Raws li txoj cai, ntsiav tshuaj tau noj 2 zaug hauv ib hnub, ib nrab teev ua ntej noj mov. Thaum lub sij hawm kho, qhov ntau npaum ntawm cov tshuaj hloov kho kom txog thaum lub txiaj ntsig kho yam xav tau. Kev kho mob tsawg kawg nkaus ntawm kev siv tshuaj yog 0.5 ntsiav tshuaj, qhov siab tshaj plaws tau tso cai noj tshuaj txhua hnub yog 3-4 ntsiav tshuaj.
Sab sij huam
Cov kev mob tshwm sim hauv qab no yuav tshwm sim thaum kho maninil:
- ntshav qab zib,
- hnyav
- daim tawv nqaij ua pob,
- khaus
- lub plab zom mov tsis haum
- mob tej pob txha
- ntshav ntshawv siab
- hyponatremia (txo qis hauv qib hauv sodium hauv cov ntshav),
- hepatotoxicity
- cov tsos ntawm cov protein nyob hauv cov zis.
Nrog rau qhov loj ntawm cov kev mob tshwm sim, cov tshuaj yog muab tso tseg thiab lwm txoj kev kho yog kho.
Cov lus qhia tshwj xeeb
Siv nrog ceev faj thaum noj clonidine, b-blockers, guanethidine, reserpine vim yog qhov nyuaj ntawm kev tshawb pom cov tsos mob ntawm tus mob qog ntshav qab zib. Thaum lub sijhawm kho mannil, noj zaub mov thiab saib xyuas ntshav qab zib yog qhov tsim nyog.
Maninil xav tau khaws cia rau hauv qhov chaw tsaus.
Feem ntau, cov tshuaj tau ua haujlwm tau zoo ob qho tib si hauv monotherapy ntawm hom 2 mob ntshav qab zib mellitus, thiab ua ke nrog lwm cov tshuaj uas muaj suab thaj.
Kev sib xyaw, kev ua rau pharmacological thiab daim ntawv ntawm cov tshuaj
Cov khoom xyaw ua hauj lwm yooj yim yog Glibenclamide. Muaj ntau cov sau ntxiv - qhov no yog lactose monohydrate, methyl hydroxyethyl cellulose, qos hmoov txhuv nplej siab, magnesium stearate. Cov npe ntawm cov cheebtsam muaj cov roj silicon dioxide thiab cov xim tshwj xeeb Ponso 4R.
Cov tshuaj yog tsiag ntawv los ntawm cov nyhuv hypoglycemic thiab muaj nyob hauv cov ntsiav tshuaj daim ntawv. Qhov tom kawg yog tus cwj pwm los ntawm lub tiaj-cylindrical cov duab, liab dawb hauv cov xim. Vim tias qhov zoo tshaj plaws qhov loj me thiab cov qauv kev yoog, lub npe yooj yim nqos thiab tsis ua rau kev xav tsis zoo.
Yuav noj li cas thiab noj tshuaj Maninil
Txog kev kho mob ntshav qab zib, ntsiav tshuaj noj thaum sawv ntxov, nyiam dua ua ntej noj tshais. Qhov feem siv yog muab ntxuav nrog dej dawb hauv qhov ntau txaus.
Nco ntsoov:
- yog hais tias tus qauv siab tshaj li ob chav nyob nruab hnub, nws muab faib ua ob peb txoj hauv kev ntsuas ntawm 2: 1,
- kom ua tiav qhov siab tshaj plaws ntawm cov nyhuv hypoglycemic, yuav muab cov tshuaj hauv tib lub sijhawm,
- yog lub sijhawm tau txiav txim siab yuam kev rau lub sijhawm twg, nws tsis tuaj yeem lees muab ob qhov tshuaj,
- tus nqi thawj zaug yuav tsum muaj tsawg - ib nrab ib ntsiav tshuaj (5 mg) lossis 3.5 mg rau 24 teev.
Thaum kho, tshwj xeeb saib xyuas yog them rau cov neeg mob asthenic uas muaj kev noj zaub mov zoo. Ntawm qhov tsis muaj qhov tsis txaus siab yog qhov muaj keeb kwm ntawm kev tawm tsam hypoglycemic thiab lub cev ua haujlwm hnyav. Ua ib feem ntawm thawj lub lim tiam ntawm kev kho, glycemic tswj txhua txhua hnub yog qhov yuav tsum tau ua ua ntej. Hloov pauv lossis dawm ntawm cov koob tshuaj yog ua tiav raws li cov lus tim khawv ntawm lub ntsuas dej thiab raws li kev txiav txim ntawm tus kws kho mob tau koom.
Cov kws kho mob tau qhia txog qhov tseeb txog tus mob ntshav qab zib! Mob ntshav qab zib yuav ploj mus nyob rau hauv 10 hnub yog tias koj haus nws sawv ntxov. »Nyeem ntxiv >>>
Cov txheej txheem kho rau cov kab mob ntshav qab zib tsis ntau tshaj 15 mg, uas yog peb ntsiav tshuaj ntawm 5 mg lossis tsib ntsiav tshuaj ntawm 3.5 mg. Kev xav ntawm lub cev kev xav tau raug tswj nrog qhov tsawg kawg nkaus ntawm 0.5 tsiav tshuaj. Ua raws li kev noj haus thiab lwm yam ntawm kev noj qab nyob zoo yog qhov yuav tsum tau ua. Txhawm rau tshem tawm cov kev mob tshwm sim, qhov piv ntawm cov tshuaj tshiab yog nce qeeb.
Kev saib xyuas tshwj xeeb yog them rau cov neeg mob nrog senile dementia, kev puas siab puas ntsws thiab cov kev mob uas ua rau muaj kev sib cuag nrog tus kws tshaj lij. Kuaj hauv tsev tshuaj ntawm cov neeg mob ntawm hom no yuav tsum tau muab kom ntau li ntau tau. Txhawm rau txiav txim siab txaus txhua yam nuances ntawm cov nyhuv ntawm lub cev, ua ntej siv cov analogues nrog kev tso tawm sai ntawm cov yam muaj sia.
Yuav ua li cas pab nrog kev huaj tshaj
Yog hais tias tus neeg mob rov qab nco qab, nws yog qhov yuav tsum tau haus dej qab zib nrog rau kev ntxiv qab zib, siv cov khoom noj ua kom sai sai - cov no tuaj yeem yog khoom qab zib, ncuav qab zib. Yog tias qhov xwm txheej tsis zoo, tus neeg mob yuav tsum tau mus pw hauv tsev kho mob.
Yog tias hnov mob tsis xeev nyob rau hauv tsev kho mob, 40% kua nplaum daws (tsis ntau tshaj 40 ml) yog txhaj rau qhov ua haujlwm. Siv cov kev ntsuam xyuas tas mus li ntawm kev sim ntsuas, cov kws kho mob tshwj xeeb kho kho Txoj kev lis ntshav nrog cov carbohydrates hnyav phaus. Txhua yam no yuav coj tus mob ntshav qab zib mus rau txoj kev nco qab lub sijhawm luv tshaj plaws - los ntawm yim lossis ntau teev.
Kev cuam tshuam ntawm Maninil nrog cov tshuaj
Cov kev sib xyaw ua kom zoo tshaj plaws yog muab thaum siv ACE inhibitors, anabolic steroids, beta-blockers. Fibrates, biguanides, chloramphenicol, cimetidine tuaj yeem siv. Kev nyab xeeb yog hu ua kev sib cuam tshuam ntawm coumarin derivatives, pentoxifylline, phenylbutazone, reserpine thiab so ntxiv.
Hauv lwm qhov xwm txheej, kev sab laj ntawm endocrinologist tau pom zoo ua ntej kev qhia ntawm cov tshuaj mus rau kev kho mob hauv chav kawm. Qhov no yuav zam dhau qhov kev rau txim rau nws.
Kev Sib Sau thiab daim ntawv ntawm kev tso tawm
Cov khoom xyaw ua hauj lwm yooj yim yog Glibenclamide. Muaj ntau cov sau ntxiv - qhov no yog lactose monohydrate, methyl hydroxyethyl cellulose, qos hmoov txhuv nplej siab, magnesium stearate. Cov npe ntawm cov cheebtsam muaj cov roj silicon dioxide thiab cov xim tshwj xeeb Ponso 4R.
Cov tshuaj yog tsiag ntawv los ntawm cov nyhuv hypoglycemic thiab muaj nyob hauv cov ntsiav tshuaj daim ntawv. Qhov tom kawg yog tus cwj pwm los ntawm lub tiaj-cylindrical cov duab, liab dawb hauv cov xim. Vim tias qhov zoo tshaj plaws qhov loj me thiab cov qauv kev yoog, lub npe yooj yim nqos thiab tsis ua rau kev xav tsis zoo.
Kev noj tshuaj rau qhov mob ntshav qab zib Maninil yog tsim tawm hauv cov ntsiav tshuaj liab. Cov tshuaj ua kom nquag plias yog glibenclamide ntau npaum li ntawm 1.75, 3.5 thiab 5 milligrams, nyob ntawm seb ntau npaum li cas. Cov khoom siv ntxiv yog cov lactose monohydrate, hmoov txhuv nplej siab, magnesium stearate thiab silicon dioxide. Muaj cov tshuaj hauv lub hwj tshuaj txog 120 daim.
Analogues ntawm cov tshuaj
Nrog tib cov haujlwm qub, Glibenclamide thiab Glibamide tuaj yeem hloov lub npe - txhua qhov ntau ntxiv, muab hais tias lawv cov yam ntxwv tseem ceeb (cim, tsis pom kev tsis haum) coincide. Raws li ATX-4 code, peb tab tom hais txog cov tshuaj xws li Glidiab, Gliclazide, Diabeton, Glyrenorm, vim tias lawv muaj cov nyhuv tshuaj zoo sib xws.
Sib cuam tshuam nrog lwm txoj kev
Siv cov tshuaj nquag uas yog ib feem ntawm Maninil, nws muaj peev xwm nce insulin rhiab heev, nce nws tso tawm, thiab txhim kho cov nyhuv ntawm insulin rau ntawm kev nqus ntawm cov piam thaj los ntawm lub siab. Tsis tas li, cov tshuaj txo qis ntawm cov khoom muaj zog ntawm cov ntshav. Kev txo cov piam thaj hauv lub cev tshwm sim 2 teev tom qab kev tswj hwm thiab kav ntev li ib hnub.
Nrog rau kev siv cov tshuaj ib txwm nrog anabolics, cov tshuaj uas tsis yog tshuaj steroidal, ACE inhibitors, lwm yam tshuaj hypoglycemic thiab beta-blockers, qhov nce ntawm cov nyhuv ntawm cov tshuaj yog tsom txo qis dua ntawm cov piam thaj.
Kev txo qis ntawm kev ua haujlwm ntawm Maninil tshwm sim nrog ib daim ntawv thov nrog barbiturates, glucocorticoids, diuretics ntawm thiazide pawg, qhov ncauj tshuaj tiv thaiv thiab tshuaj, uas suav nrog lithium.
Yog tias koj sib xyaw cov tshuaj Manin rau cov ntshav qab zib nrog cov tshuaj hauv qab no, tom qab ntawd tus neeg mob yuav tsis hnov mob pib ntawm hypoglycemia:
Cov ntshav qab zib cov ntshav yuav poob sai sai yog tias ib tus neeg:
- kev ua phem rau kev tso dag,
- mob raws plab.
Qhov kev hem thawj ntawm hypoglycemia nce yog tias cov tshuaj ua ke nrog:
- lwm yam tshuaj kho ntshav qab zib
- tshuaj insulin
- tshuaj tiv thaiv kab mob
- txhais tau tias muaj cov txiv neej cov tshuaj hormones,
- tetracycline tshuaj tua kab mob.
Daim ntawv ua tiav yog qhia hauv cov lus qhia. Yog tias tus neeg mob paub txog kev fab tshuaj rau cov tshuaj ntawm cov ntsiav tshuaj, nws yog qhov yuav tsum tau xa cov ntaub ntawv no mus rau tus kws kho mob uas koom nrog.
Cov kev sib xyaw ua kom zoo tshaj plaws yog muab thaum siv ACE inhibitors, anabolic steroids, beta-blockers. Fibrates, biguanides, chloramphenicol, cimetidine tuaj yeem siv. Kev nyab xeeb yog hu ua kev sib cuam tshuam ntawm coumarin derivatives, pentoxifylline, phenylbutazone, reserpine thiab so ntxiv.
Hauv lwm qhov xwm txheej, kev sab laj ntawm endocrinologist tau pom zoo ua ntej kev qhia ntawm cov tshuaj mus rau kev kho mob hauv chav kawm. Qhov no yuav zam dhau qhov kev rau txim rau nws.
Cov lus qhia rau kev siv "Manil" nyob rau hauv cov ntshav qab zib
Cov tshuaj ntshav qab zib yog noj ua ntej noj mov, thaum nws tsis tas yuav tsum zom thiab yuav tsum tau ntxuav nrog qhov dej txaus. Nws yog tsuas yog sau ntawv rau ib hnub ib zaug (sawv ntxov thaum sawv ntxov).
Qhov ntau thiab tsawg ntawm cov tshuaj yog ncaj qha ntsig txog lub hnub nyoog ntawm tus neeg mob, qhov degree ntawm cov chav kawm ntawm tus kab mob thiab cov ntshav qab zib theem. Thawj theem pib ntawm kev kho ntshav qab zib koom nrog kev siv ib lossis 2 ntsiav tshuaj ib hnub ib zaug.
Yog tias qhov ntau npaum no tsis muab cov nyhuv xav kho, nws tuaj yeem nce ntxiv nyob hauv kev saib xyuas nruj ntawm cov kws kho mob. Hauv qhov no, qhov koob tshuaj tau nce zuj zus. Nws raug tso cai kom haus tsis ntau tshaj 5-6 ntsiav tshuaj hauv ib hnub.
Analogues ntawm Maninil, tshuaj xyuas txog cov tshuaj thiab nws tus nqi
Kev txheeb xyuas txog Maninil yog qhov muaj teeb meem. Muaj cov kev xav hais tias cov tshuaj qhia tau hais tias muaj ib qho txiaj ntsig zoo, thaum tsis tau qhia tias muaj kev phiv tshuaj. Lwm tus neeg qhia tias tus qhaj ntawv tsis muaj txiaj ntsig zoo, thiab raws li qhov tsis zoo lub luag haujlwm lawv faib nyiaj nce phaus sai.
Txog hnub no, tus nqi ntawm Maninil yog kwv yees li ib puas thiab plaub caug rubles. Cov tshuaj yog suav nrog hauv pawg ntawm cov tshuaj siv nyiaj. Nws tshwm sim hais tias muaj kev xav tau siv Maninil analogues lossis cov lus txhais.
Dab tsi tuaj yeem hloov Maninil thiab uas yog qhov zoo dua ntawm sulfonylureas?
Ob qhov tseem ceeb hloov rau cov tshuaj yuav tsum tau sau tseg - Glibamide thiab Glibenclamide. Lawv muaj nyob rau hauv lawv cov muaj pes tsawg leeg nquag ua sib xyaw ua ke li tshuaj Maninil. Raws li, cov ntsiav tshuaj no muaj cov yam ntxwv zoo tib yam thiab muaj cov taw qhia tib yam rau kev siv.
Analogues ntawm Maninil yuav tsum tau tshawb los ntawm ntau (lub npe thoob ntiaj teb), uas yog, nws txoj kev nquag.
Cov kws kho mob ntshav qab zib ua tau zoo tshaj plaws yuav piav qhia los ntawm cov kws tshaj lij hauv video hauv tsab xov xwm no.
Ib pob ntawm Maninil muaj 120 ntsiav tshuaj. Muab koob tshuaj yog qhia rau ntawm daim ntawv lo. Cov nqi nyob ntawm thaj av thiab lub khw muag tshuaj thiab feem ntau muaj li ntawm 120 txog 190 rubles.
Tom qab sab laj tus kws kho mob, koj tuaj yeem siv cov tshuaj hauv qab no:
Mininil feem ntau piv rau Diabeton, tab sis qhov kawg xaiv ib txwm tso rau cov kws tshwj xeeb, vim hais tias:
- Cov tshuaj yeeb dej caw hauv cov tshuaj sib txawv, txawm hais tias cov nyhuv ntawm lub cev tau zoo ib yam nkaus.
- Tus kws kho mob xav txog ntau yam nyob rau tib lub sijhawm, xaiv cov tshuaj uas tsim nyog. Kev hloov tus kheej tsis tuaj yeem lees paub, vim tias tus neeg mob yuav tsis coj mus rau lwm qhov muaj pes tsawg leeg, uas yuav ua rau ua xua thiab lwm yam kev rau txim.
Txhua tus analogues muaj:
- ib tug zoo sib xws nyob rau hauv lub cev,
- ib daim ntawv teev zoo sib xws ntawm contraindications.
Cov tshuaj yog hloov nrog lwm cov tshuaj los ntawm pab pawg no yog tias:
- lub txais tos paub tseeb hais tias nws inefficiency,
- cov tsos mob ntawm kev noj haus ntau dhau los yog lwm cov kev tsis zoo tshwm sim.
Maninil yog ib txoj kev kho mob zoo thiab pheej yig uas feem ntau kho mob rau cov neeg mob ntshav qab zib hom 2 los txhawb cov txiav ua qab. Cov tshuaj tsis yog panacea, thiab yog li ntawd tsis tso tseg lwm qhov kev pom zoo ntawm cov kws kho mob hauv kev tswj kev noj qab haus huv.
So haujlwm thiab chaw mob
Koj tuaj yeem yuav cov tshuaj "Maninil" hauv cov tsev muag tshuaj txuas tshwj xeeb raws li kws kho mob sau ntawv yuav tshuaj, uas muaj ntawv pov thawj. Cov lus qhia rau kev siv qhia tias cov khoom yuav tsum tau muab cia rau hauv qhov chaw qhuav, qhov kub nyob hauv qhov uas yuav tsis siab tshaj 30 degrees.
Chav no yuav tsum tsis pub nkag rau cov tsiaj, menyuam yaus thiab tshav ntuj ncaj qha. Lub sijhawm tso cia yuav tsum tsis pub tshaj 3 xyoos txij li hnub ntawm kev tsim khoom, hnub tim uas tau qhia rau ntawm daim ntawv ntim khoom.
Kev ntsuas tshuaj ntawm cov kws tshuaj
Tsuas yog siv tshuaj yeeb yaj kiab, uas suav nrog tib yam tshuaj muaj zog xws li hauv Maninil, suav tias yog tshuaj Glibenclamide. Lwm cov tshuaj lag luam uas muaj cov nyhuv hauv lub cev tsis tseem ceeb muaj cov qauv zoo sib xws ntawm lub cev, tab sis lwm cov tshuaj nquag.
Nws yog ib qho tseem ceeb kom nco ntsoov tias nws yog nruj me ntsis txwv tsis pub hloov Maninil nrog nws cov tshuaj analogue ntawm nws tus kheej, vim tias cov kev ntsuas no tsis tsuas yog pab tsis tau rau kev kho mob ntshav qab zib mellitus, tab sis kuj tseem yuav ua mob loj rau koj kev noj qab haus huv.
Txoj Cai thiab Kev Pab
"Maninil" rau cov ntshav qab zib yog nquag sau tseg hauv kev kho mob thiab suav hais tias yog ib qho tshuaj zoo. Nws pab tsis tsuas yog muaj cov piam thaj hauv siab, nws kuj tseem raug rau cov neeg noj qab haus huv kom tswj tau cov ntshav qabzib.
Txawm li cas los xij, txawm hais tias nws ua tau zoo ntawm cov txheej txheem kev kho mob, nws tseem muaj qhov tsis zoo hauv cov qauv ntawm tus naj npawb txaus ntawm contraindications thiab phiv. Ib qho ntawm qhov hnyav tshaj plaws ntawm lawv yog kev tsim cov ntshav khov (hypoglycemia), uas ua rau lub cev tsis zoo.