Cov tshuaj Novonorm - cov lus qhia thiab tshuaj xyuas rau tus mob ntshav qab zib

NovoNorm (ntsiav tshuaj) Ntsuas: 277

Chaw tsim tshuaj paus: Novo Nordisk (Denmark)
Cov Ntawv Tso Tawm:

• Tab. 1 mg, 30 pcs., Nqe txij li 175 rubles
• Tab. 2 mg, 30 pcs., Nqe txij li 219 rubles

Cov nqi rau NovoNorm hauv cov khw muag tshuaj online
Cov lus qhia rau kev siv

NovoNorm yog kev npaj ntsiav tshuaj los ntawm tib pawg kws kho mob, tab sis nrog cov tshuaj sib txawv. Repaglinide siv rau ntawm no hauv qhov ntau npaum li 0.5 txog 2 mg. Cov ntsiab lus rau kev sau ntawv yuav zoo ib yam, tab sis contraindications txawv vim qhov txawv DV hauv ntsiav tshuaj, yog li ua tib zoo nyeem cov lus qhia thiab sab laj nrog koj tus kws kho mob.

Analogues ntawm cov tshuaj NovoNorm

Cov analogue yog kim dua los ntawm 59 rubles.

Chaw tsim tshuaj paus: Yog tau meej
Cov Ntawv Tso Tawm:

• Tab. 10 mg, 30 pcs., Nqe txij li 234 rubles
• Tab. 2 mg, 30 pcs., Nqe txij li 219 rubles

Cov nqi rau Jardins hauv cov khw muag tshuaj online
Cov lus qhia rau kev siv

Jardins yog tshuaj txawv teb chaws rau kev kho mob ntshav qab zib hom 2. Empagliflozin nyob rau hauv cov nyiaj ntawm 25 mg rau ib ntsiav tshuaj ua raws li tsuas yog kev tiv thaiv kev tiv thaiv. Jardins muaj contraindications thiab muaj hnub nyoog txwv, yog li sab laj nrog koj tus kws kho mob ua ntej pib kev kho mob.

Cov analogue yog kim dua los ntawm 59 rubles.

Chaw tsim tshuaj paus: Akrikhin (Russia)
Cov Ntawv Tso Tawm:

• Tab. 1 mg, 30 pcs., Nqe txij li 234 rubles
• Tab. 2 mg, 30 pcs., Nqe txij li 219 rubles

Priclinid nqi hauv cov khw muag tshuaj online
Cov lus qhia rau kev siv

Novo Nordisk (Denmark) NovoNorm yog kev npaj ntsiav tshuaj los ntawm tib pawg kws kho mob, tab sis nrog cov tshuaj sib txawv. Repaglinide siv rau ntawm no hauv qhov ntau npaum li 0.5 txog 2 mg. Cov ntsiab lus rau kev sau ntawv yuav zoo ib yam, tab sis contraindications txawv vim qhov txawv DV hauv ntsiav tshuaj, yog li ua tib zoo nyeem cov lus qhia thiab sab laj nrog koj tus kws kho mob.

Cov analogue yog kim dua los ntawm 2278 rubles.

Chaw tsim tshuaj paus: Yog tau meej
Cov Ntawv Tso Tawm:

• Tab. p / obol. 100 mg, 30 pcs., Nqe los ntawm 2453 rubles
• Tab. 2 mg, 30 pcs., Nqe txij li 219 rubles

Cov nqi rau Invokana hauv cov khw muag tshuaj online
Cov lus qhia rau kev siv

Novo Nordisk (Denmark) NovoNorm yog qhov pheej yig hloov rau Forsigi. Cov tshuaj uas cuam tshuam tsuas tshuaj hauv cov tshuaj yog repaglinide. Cov tshuaj hauv 30 feeb ua rau cov tshuaj insulin ntau ntxiv hauv cov ntshav. Vim tias tsis muaj cov ntaub ntawv hais txog kev tshawb fawb qhia txog kev nyab xeeb ntawm cov tshuaj thiab kev siv tshuaj zoo hauv cov menyuam hnub nyoog, nws tsis pom zoo kom siv cov tshuaj rau cov menyuam hnub nyoog qis dua 18 xyoo. Nyob rau hauv daim ntawv ntawm kev phiv tshuaj, zawv plab thiab mob plab heev tshwm sim.

Cov analogue kim dua los ntawm 1967 rubles.

Chaw tsim tshuaj paus: Yog tau meej
Cov Ntawv Tso Tawm:

• Tab. p / obol. 10 mg, 30 pcs., Nqe txij li 2142 rubles
• Tab. 2 mg, 30 pcs., Nqe txij li 219 rubles

Cov nqi rau Forsiga hauv cov chaw muag tshuaj online
Cov lus qhia rau kev siv

Forsiga yog ntsiav tshuaj npaj rau kev kho mob hom 2 mob ntshav qab zib mellitus raws li dapagliflozin hauv ib koob tshuaj ntawm 5 mg. Yuav tau noj tshuaj ntxiv rau qhov ua kom ntshav qab zib thiab ua ev xaws xais. Forsigi muaj contraindications thiab muaj hnub nyoog txwv, ua tib zoo nyeem cov lus qhia ua ntej pib kev kho mob.

Kev Sib Sau thiab daim ntawv ntawm kev tso tawm

NovoNorm tau tsim los ntawm kev txhawj xeeb txog NovoNordisk, yog tus paub zoo Danish chaw tsim tshuaj ntawm cov tshuaj thiab cov khoom lag luam muaj feem rau cov ntshav qab zib. Cov ntsiav tshuaj yog tsim hauv Tebchaws Yelemees thiab Denmark. Cov tshuaj nquag ua haujlwm ntawm cov tshuaj, repaglinide, yog ib qho kev sib txuas ntawm cov amino acids thiab belongs rau cov lus tsis pub luv luv. Nws yog ntawm German keeb kwm (tsim tawm Beringer Ingelheim).

Ib lub NovoNorm ntsiav tshuaj tuaj yeem muaj 0.5, 1 lossis 2 mg ntawm cov tshuaj tseem ceeb. Ntxiv rau nws, hmoov txhuv nplej siab, povidone, poov tshuaj polyacrylate, pluronic, glycerin, calcium hydrogen phosphate, thiab dyes suav nrog. Lawv yog cov koom haum pabcuam, uas yog, lawv tsis muaj cov nyhuv khomob.

Yuav ua li cas los txiav txim cov thawj cov tshuaj:

1. Txhawm rau tiv thaiv cov cuav, txhua ntsiav tshuaj yog cim nrog lub cim ntawm NovoNordisk - dawb huv Iyiv ib txwm heev.
2. Cov tshuaj no tau muab tso rau hauv cov ntawv ci hlwv, txhua tus muaj 15 ntsiav tshuaj.
3. Cov hlwv yog nruab nrog perforation, uas tso cai rau koj cais cov koob tshuaj txhua hnub yam tsis siv txiab.
4. Cov xim ntawm cov ntsiav tshuaj ntawm cov tshuaj sib txawv yog txawv: 0.5 mg dawb, 1 mg daj, 2 mg pinkish.

Tus nqi ntawm ib pob ntawm 30 ntsiav tshuaj tsis tshaj 230 rubles. Cov tshuaj yuav khaws cia rau 5 xyoo ntawm qhov kub txog 15-30 ° C.

Lub hauv paus ntsiab lus ntawm kev ua haujlwm ntawm NovoNorma

Repaglinide yog ib feem ntawm ib pawg ntawm cov tshuaj hu ua meglitinides. Koj tuaj yeem paub lawv tom kawg ntawm glinid hauv lub npe. Lawv yog cov derivatives ntawm ntau cov amino acids, hauv tshwj xeeb repaglinide - carbamoyl-methyl-benzoic. Cov tshuaj muaj peev xwm khi rau thaj chaw tshwj xeeb ntawm cov poov tshuaj raws nyob ntawm daim nyias nyias ntawm cov roj ntsha pancreatic. Nyob rau hauv kev cuam tshuam ntawm repaglinide, cov kab no raug thaiv, uas ua rau nkag mus ntawm calcium nyob rau hauv lub hlwb thiab nce insulin synthesis.

Cov tshuaj insulin tso tawm los ntawm NovoNorm tswj hwm pib 10 feeb tom qab lub ntsiav tshuaj nkag mus rau lub plab zom mov. Qhov qib siab hauv cov ntshav tau pom tom qab 50 feeb. Yog tias koj noj cov tshuaj 15 feeb ua ntej noj mov, txoj kev loj hlob ntawm cov ntshav qabzib thiab txhawb kev tsim cov tshuaj insulin nyob rau lub sijhawm, uas txhais tau tias cov piam thaj tuaj yeem sai thiab tag nrho tawm ntawm cov hlab ntsha.

Tsis zoo li cov neeg nyiam ntawm sulfonylurea (Maninil, Amaril, Glibenclamide, thiab lwm yam), qhov kev txiav txim ntawm NovoNorm nyob ntawm glycemia. Nrog rau cov piam thaj ib txwm, nws yog ob peb zaug tsis tshua muaj siab dua li muaj suab thaj nce. Tom qab ua ntawv thov Repaglinide, cov tshuaj insulin rov qab los rau tom qab 3 teev. Raws li cov kws kho mob, qhov no tseem ceeb txo cov zaus thiab mob heev ntawm cov qog ntshav qab zib nyob rau hauv yog tias muaj kev noj ntau dhau. Xws li lub sijhawm luv luv ntawm kev tsim tawm cov kua dej yog suav tias yog qhov txawv txav, tiv thaiv qhov ua kom sai ntawm cov kab mob hlwb, thiab yog li qhov kev nce qib ntawm cov ntshav qab zib.

Cov yam ntxwv ntawm kev tshem tawm los ntawm lub cev

Repaglinide muaj peev xwm ua kom nrawm rau hauv cov hnyuv, uas yog vim qhov pib ntawm nws qhov kev txiav txim. Bioavailability thiab kev txiav txim siab zaum kawg ntawm cov tshuaj hauv cov ntshav txawv (txog 60%) hauv cov neeg mob ntshav qab zib sib txawv, yog li ntawd, ntau npaum li cas rau txhua tus neeg mob yuav tsum tau xaiv ib tus zuj zus.

Repaglinide yog metabolized los ntawm daim siab, tom qab ib teev nws qhov kev txiav txim siab yog txo los ntawm ib nrab. Lub ntsiab tseem ceeb ntawm pharmacokinetics ntawm ib yam khoom yog excretion los ntawm lub cev feem ntau los ntawm cov hnyuv. Raws li cov lus qhia, 92% ntawm repaglinide tawm nrog cov quav, 2% ntawm lawv nyob rau hauv daim ntawv ntawm cov tshuaj nquag, tshuav 90% hauv daim ntawv ntawm metabolites. Lub raum suav txog 8%, uas tso cai rau NovoNorm siv rau hauv cov neeg mob ntshav qab zib nrog mob raum ntau. Tom qab 5 teev, repaglinide tsis pom pom hauv cov ntshav ntxiv lawm.

Leej twg yog tus muab tshuaj

NovoNorm raug samfwm rau cov neeg mob ntshav qab zib hom 2 yog cov xwm txheej hauv qab no:

1. Ua ke nrog metformin tam sim ntawd tom qab kev kuaj mob ntawm tus kab mob, yog tias glycated hemoglobin ntau dua 9%, uas qhia tau tias tsis pom tseeb tias mob ntshav qab zib mellitus lossis nws qhov nce zuj zus.
2. Raws li hloov chaw rau sulfonylureas, yog tias lawv contraindicated vim muaj kab mob raum, kev fab tshuaj tsis haum.
3. Raws li ib feem ntawm cov kev kho mob nyuaj, cov neeg mob ntshav qab zib ntev ntev, yog tias lawv muaj cov insulin tsis txaus lossis theem 1 ntawm nws cov khoom tau cuam tshuam (cov piam thaj nce nrawm thiab tsis poob rau lub sijhawm ntev tom qab noj mov).
4. Cov neeg mob ntshav qab zib uas tsis tuaj yeem npaj lawv li kev noj haus. Cov koob tshuaj NovoNorm tuaj yeem hloov pauv nyob ntawm seb muaj pes tsawg carbohydrates hauv cov zaub mov.

Cov kev qhia rau kev siv tswv yim qhia kev noj NovoNorm nrog metformin thiab glitazones. Raws li kev txheeb xyuas, cov tshuaj mus zoo nrog txhua pab pawg ntawm cov kab mob hypoglycemic, suav nrog insulin. Tib qho zam tsuas yog sulfonylurea npaj. Lawv txoj kev sib xyaw nrog NovoNorm tuaj yeem siv tau, tab sis tsis pom zoo, vim tias nws tuaj yeem ua rau ntshav qis thiab tsis zoo rau lub xeev ntawm cov hlwb hlwb.

Cov Yuav Tsum Tau Ua

Cov npe ntawm contraindications rau kev siv NovoNorm hauv ntshav qab zib mellitus:

Tus kws kho mob ntawm Kev Tshawb Fawb Kev Kho Mob, Lub Taub Hau ntawm Lub Tsev Kawm ntawm Diabetology - Tatyana Yakovleva

Kuv tau kawm mob ntshav qab zib tau ntau xyoo. Nws yog txaus ntshai thaum muaj coob tus neeg tuag, thiab haj yam ua rau neeg xiam vim ntshav qab zib.

Kuv maj nrawm nroos los qhia txoj xov zoo - Endocrinological qhov chaw tshawb fawb ntawm Lavxias Academy ntawm Medical Science tau tswj los tsim cov tshuaj uas kho cov ntshav qab zib kom tiav. Thaum lub sijhawm, cov hauj lwm zoo ntawm cov tshuaj no tau nce mus txog 98%.

Lwm qhov xov xwm zoo: Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tau txais kev nyab xeeb qhov kev saws me nyuam ntawm cov haujlwm tshwj xeeb uas them rau cov nqi tshuaj ntau. Hauv Lavxias, neeg mob ntshav qab zib kom txog thaum lub Tsib Hlis 18 (suav nrog) tuaj yeem tau txais nws - Tsuas yog 147 rubles!

Pom kev sib deev	Vim li cas rau qhov txiav npluav
Cov tshuaj tiv thaiv tsis haum rau cov Cheebtsam hauv ncoo.	Muaj peev xwm ua rau muaj kev tsis haum tshuaj loj txog qhov poob siab anaphylactic.
1 yam mob ntshav qab zib.	Hom ntshav qab zib no tus yam ntxwv ua tiav los ntawm kev ua tiav ntawm cov qe ntshav, uas tsis suav nrog kev tsim tawm ntawm nws cov insulin.
Ketoacidosis thiab mob hnyav ntxiv - ua ntej thiab coma.	Qhov nqus thiab tshem tawm cov tshuaj repaglinide tuaj yeem ua tsis taus, yog li cov neeg mob hloov mus rau kev kho mob insulin ib ntus. Cov kev txheeb xyuas tau qhia tias tom qab qhov mob zoo los ntawm cov mob hnyav, feem ntau cov neeg mob rov qab mus rau NovoNorm.
Muaj mob hnyav, cuam tshuam kev phais mob, ua rau lub neej tawg.
Cev xeeb tub, kab mob siab B, hnub nyoog qis dua 18 xyoo thiab ntau dua 75 xyoo.	Kev siv yog raug txwv vim tsis muaj cov kev tshawb fawb lees paub txog kev nyab xeeb ntawm NovoNorm hauv cov pab pawg neeg mob ntshav qab zib.
Lub siab ua haujlwm tsis zoo.	Lub siab koom nrog cov metabolism hauv ntawm repaglinide, nrog nws qhov tsis txaus, qhov concentration ntawm ib yam khoom hauv cov ntshav nce.
Kev noj cov gemfibrozil los kho cov ntshav lipids.	Cov tshuaj pab txhim kho qhov kev txiav txim ntawm Novo Norm, tuaj yeem ua rau lub qog ntshav qab zib. Qhov kev tso siab ntawm repaglinide nce ntxiv ntawm 2.4 npaug, lub sijhawm nruab nrab ntawm lub sijhawm tso ntxiv yog 3 teev.

Xaiv xaiv

NovoNorm haus 15 feeb ua ntej siv cov zaub mov uas muaj cov carbohydrate. Cov lus qhia pom zoo muab faib rau hauv 2-4 koob tshuaj ib hnub hauv vaj huam sib luag.

Kev xaiv koob tshuaj yog nqa tawm nrog kev saib xyuas tas li ntawm glycemia. Txoj Cai Xaiv:

1. Qhov pib ib koob yog 0.5 mg.
2. Yog tias them nyiaj rau ntshav qab zib tsis tiav, nws tau nce siab tom qab 1 lub lis piam mus rau 1 mg.
3. Los ntawm qhov nce qib qhov nce ntawm 0.5 mg, nws tuaj yeem nqa mus txog 4 mg hauv 1 koob tshuaj. Qhov tshuaj ntau ntau rau txhua hnub yog 16 mg. Yog tias nws tsis muab cov ntshav qab zib kom tswj, tus neeg mob yuav tsum kho cov zaub mov noj, thiab yog tias qhov ntsuas no tsis ua hauj lwm zoo, hloov mus rau cov tshuaj muaj zog lossis cov tshuaj insulin.

Qhov tsis xav ua

Raws li kev tshuaj xyuas ntawm cov neeg mob ntshav qab zib noj cov tshuaj, feem ntau lawv ntsib ib qho kev tso tsis tau qab zib tom qab noj tshuaj. Nws qhov teeb meem yuav yog qhov ntau dhau ntawm qhov ua kom rov ua dua, qhov tsis muaj carbohydrates rau hauv cov zaub mov, kev zom plab zom mov, kev tawm dag zog ntawm lub cev thiab lub hlwb. Txoj kev pheej hmoo ntawm kev mob ntshav siab ntshav yog soj ntsuam los ntawm cov lus qhia ua feem ntau (1-10%). Nrog tib txoj kev tuaj yeem yog qhov ua tau - raws plab thiab mob hauv plab.

Cov kev mob tshwm sim txuas ntxiv yog qhov tsawg dua, nyob hauv tsawg dua 0.1% ntawm cov neeg mob. NovoNorm tuaj yeem ua rau ua xua, cem quav, xeev siab, pab txhawb kom muaj ntau ntxiv ntawm daim siab enzymes.

Cov qauv ntsuas thiab hloov chaw NovoNorma

Dab tsi tuaj yeem hloov pauv NovoNorm yog tias nws tsis haum lossis tsis mus rau hauv cov chaw muag tshuaj:

Cov pawg pab pawg		Lub npe, chaw tsim tshuaj paus
Ua tiav cov tshuaj tua kab mob (analogues), cov tshuaj nquag - rov qab		Kev kuaj mob los ntawm Akrikhin.
		Iglinid los ntawm Pharmasynthesis.
Pawg analogues, meglitinides		Starlix (cov tshuaj yeeb tshuaj lom neeg - nateglinide, chaw tsim tshuaj paus NovartisPharma).
Lwm cov tshuaj insulin txhim kho cov ntsiav tshuaj los ntawm lwm pab pawg	Sulfonylureas	Diabeton (gliclazide, Servier), Maninil (glibenclamide, Berlin-Chemie), Amaryl (glimepiride, Sanofi), Glurenorm (glycvidone, Beringer Ingelheim) thiab lawv cov analogues.
	DPP4 Tus Neeg Saib Xyuas Kev Lag Luam	Xelevia (sitagliptin, Berlin-Chemie), Onglisa (saxagliptin, AstraZeneca), Galvus (vildagliptin, NovartisFarma), thiab lwm yam.

Ntawm cov ntshav qab zib mellitus, qhov hloov ntawm NovoNorm nrog cov tshuaj tiv thaiv tag nrho tuaj yeem ua tau ntawm nws tus kheej, lawv haus cov tshuaj tshiab hauv tib lub tshuaj. Hloov mus rau lwm cov ntsiav tshuaj los ntawm cov lus hais saum toj no yuav tsum tau xaiv cov koob tshuaj thiab tsuas yog ua tau raws li kev saib xyuas thiab tshuaj ntawm kws kho mob.

Kev sib xyaw thiab kev noj tshuaj

NovoNorma, cov duab uas tau nthuav tawm hauv ntu no, muaj cov khoom xyaw nquag ntawm repaglinide ntxiv nrog cellulose, pob kws nplej siab, poov tshuaj polacryline, glycerin, povidone, calcium hydrogen phosphate, magnesium stearate, hlau oxide, poloxamer, meglumine, thiab dyes.

Cov tshuaj muaj peev xwm raug txheeb xyuas los ntawm nws cov duab (puag ncig cov ntsiav tshuaj convex), xim (daj ntawm 1 mg thiab xim av, nrog lub pinkish tint ntawm 2 mg) thiab engraved logo ntawm lub tuam txhab - Novo Nordisk. Ntim cov ntsiav tshuaj hauv cov hlwv ntawm 15 pcs.

Hauv ib lub thawv ntawm cov phaj zoo li no tuaj yeem yog txij li ob txog rau rau. Ntawm Novonorm, tus nqi yog ib qho ntawm cov peev nyiaj ntau rau cov tshuaj tiv thaiv kab mob: 177 rubles. rau 30 ntsiav tshuaj. Ib qho tshuaj yog muab tawm los. Lub khw tsim cov khoom lag luam hauv Danish tau txiav txim lub txee lub neej ntawm repaglinide tsis pub dhau 5 xyoos Cov tshuaj tsis tas yuav tshwj xeeb rau kev cia khoom.

Kws Tshuaj

Lub hauv paus tsim tshuaj repaglinide yog lub zog txhawb ntawm kev ua tiav cov tshuaj insulin ntau lawm. Ua kom muaj zog ua haujlwm ntawm cov txiav, cov tshuaj sai sai sai ua rau glycemia. Nws lub peev xwm cuam tshuam ncaj qha rau cov lej ua haujlwm b-hlwb ua lub luag haujlwm rau hormone synthesis.

Tom qab noj cov ntsiav tshuaj, repaglinide nyob rau hauv lub plasma hauv ntshav qab zib accumulates hauv ib nrab ib teev. Qhov no tso cai rau koj los tswj cov glycemia thaum kev nkag mus tom ntej thiab kev ua zaub mov. Sai li qhov kev thauj khoom ntawm lub plab zom mov txo, cov tshuaj ntawm cov tshuaj tsawg zuj zus, qhov tsawg kawg nkaus yog kho tau 4 teev tom qab cov tshuaj nkag mus rau lub plab zom mov.

Qhov kev nyab xeeb ntawm cov tshuaj tau raug sim hauv qhov chaw soj ntsuam. Qhov koob tshuaj-txo qhov txo qis hauv glycemic tau sau tseg nrog kev siv 0.5-4 mg NovoNorm. Cov txiaj ntsig pom tseeb qhov ua tau ntawm preprandial (15-30 feeb ua ntej noj mov) tau txais ntawm cov tshuaj.

Cov Tshuaj Pharmacokinetics

Repaglinide nquag nqus tawm ntawm lub plab hnyuv plab. Qhov siab tshaj plaws ntshav suav tau pom ib teev tom qab noj thiab tom qab ntawd lawv txo qis sai li sai tau nrog kev txiav txim siab txog kev ncaj ncees ntawm 63% nrog kev sib pauv ntawm 11%.

NovoNorm yog tshem tawm hauv 4-6 teev nrog ib nrab-lub neej ntawm ntawm ib teev. Cov tshuaj yog metabolized kiag li, tab sis nws cov khoom noj khoom haus hauv lub cev tsis ua haujlwm. Ib qho tsis tseem ceeb ntawm qhov quav tau siv pom nyob hauv cov zis thiab quav - txog li 8% thiab 2%, feem. Qhov loj ntim ntawm metabolites yog tshem tawm nrog bile.

Cov nyhuv ntawm cov tshuaj yog ntau dua rau cov neeg mob ntshav qab zib thiab txhua tus neeg uas muaj teeb meem lub raumCov. Tom qab 5 hnub ntawm kev noj NovoNorm hauv ib koob 3 r. / Hnub. 2 mg rau hauv cov ntaub ntawv tsis zoo ntawm lub raum ua haujlwm AUC thiab TЅ ob npaug.

Menyuam yaus ntshav qab zib tsis koom ua ke hauv kev sim ntshav. Cov kev tshawb nrhiav tsiaj tsis tau qhia txog teratogenic cov teebmeem hauv repaglinide, tab sis pom tias muaj kev muaj menyuam yaus. Thaum siab siab ntawm cov tshuaj, malformations ntawm nas me nyuam tau pom, cov tshuaj kuj nkag rau hauv niam cov kua mis ntawm cov pojniam.

Cov tshuaj yog ua ke nrog cov tshuaj tiv thaiv kev tiv thaiv nrog rau lwm qhov kev ua ntawm kev ua - metformin, thiazolidinediones, yog li nws tseem tuaj yeem siv rau hauv cov kev kho mob nyuaj.

Cov Txheej Txheem Muab Kho rau Repaglinide

Ntxiv nrog rau kev ua kom tsis haum xeeb rau cov khoom xyaw ntawm cov mis, repaglignide tsis qhia:

1. Nrog ntshav qab zib hom 1 thiab C-peptide mob ntshav qab zib tsis zoo,
2. Hauv lub xeev muaj ketoacidosis uas mob ntshav qab zib (txawm tias tsis xeev tsis nco qab),
3. Cov poj niam cev xeeb tub thiab lactating leej niam
4. Tus mob ntshav qab zib muaj mob rau lub siab hepatic kawg,
5. Nrog rau thaum uas tig mus siv ntawm gemfibrozil.

Kev pom zoo rau kev siv

Tus kws kho mob xaiv cov koob tshuaj ntawm tus kheej, coj mus rau hauv qhov txiaj ntsig ntawm kev sim, theem ntawm tus kab mob, concomitant pathologies, hnub nyoog, thiab lub cev teb rau tshuaj.Txhua ob lub lis piam, nws soj ntsuam qhov ua tau zoo ntawm cov qauv raug xaiv kom meej meej qhov koob tshuaj, kev tshuaj xyuas lub hom phiaj yog muab los ntawm glycated hemoglobin.

Kev tshuaj xyuas yog tsim nyog los txo qis glycemia ntawm qhov siab tshaj plaws pom zoo (thawj qhov tsis ua haujlwm) thiab txhawm rau txhawm rau tsis muaj kev tawm tsam txaus tom qab qee lub sijhawm siv cov tshuaj (theem ob tsis ua haujlwm).

Txog NovoNorma, cov lus qhia rau kev siv pom zoo kom pib ib koob ntawm 0.5 mg. Rau ib nrab ib hlis nws yog twb tau los soj ntsuam qhov tshwm sim ntawm lub cev thiab kev ua titration. Yog tias NovoNorm ntshav qab zib tau hloov mus los ntawm lwm tus neeg sawv cev hypoglycemic, tom qab ntawd cov koob tshuaj yuav tsum nyob hauv 1 mg.

Kev kho txoj kev kho mob cuam tshuam nrog kev siv cov tshuaj repaglinide txog 4 mg / hnub. 15-30 feeb ua ntej noj mov. Koj yuav tsum haus ib lub ntsiav tshuaj ua ntej txhua pluas noj, vim tias cov tshuaj ntawm cov tshuaj hauv lub plab zom mov tau luv. Qhov ntau kawg ntawm cov tshuaj yog 16 mg / hnub Cov ntsiav tshuaj tau faib rau hauv ob mus rau peb zaug.

Nrog cov kev kho mob nyuaj nrog cov tshuaj metformin lossis thiazolidinediones, qhov pib ntawm cov tshuaj reaglinide tsis pub dhau 0.5 mg, qhov ntau npaum ntawm lwm cov tshuaj tawm tsis hloov.

Tsis muaj ntaub ntawv qhia txog kev nyab xeeb thiab ua haujlwm ntawm NovoNorm rau menyuam yaus.

Noj ntau dhau thiab tsis zoo lub siab

Rau cov laj thawj tshawb fawb, rau 6 lub lis piam, repaglinide tau muab rau cov neeg tuaj yeem pab dawb hauv ib qho nyiaj ntawm 4-20 mg / hnub. thaum ua ntawv thov plaub zaug. Kev mob ntshav qab zib nyob hauv qhov kev sim tau raug tswj hwm los ntawm cov ntsiab lus hauv caloric ntawm kev noj zaub mov noj, yog li tsis muaj kev phiv.

Yog tias nyob hauv tsev muaj cov cim qhia tias muaj kev noj ntau dhau hauv daim ntawv ntawm kev tawm hws, tshee tshee, yastes yuag thiab poob kev sib koom tes, nws yog qhov yuav tsum tau muab cov khoom noj rau cov neeg raug mob uas muaj cov ntsiab lus ntawm cov khoom noj sai. Yog tias tus mob hnyav thiab tus neeg mob tsis nco qab, nws tau txhaj nrog suab thaj thiab raug xa mus rau tsev kho mob.

Kev mob ntshav qab zib yog ib yam mob txaus ntshai tshaj plaws rau ntawm lub sijhawm tsis tau pom. Qhov ntau zaus ntawm nws qhov kev cuam tshuam yog cuam tshuam nrog kev ua neej ntawm cov ntshav qab zib: kev noj zaub mov noj, qib nqaij thiab txoj kev xav, kev noj tshuaj thiab tshuaj siv. Qhov txheeb cais ntawm cov rooj plaub zoo li no yooj yim nthuav tawm hauv lub rooj.

Organs thiab tshuab	Hom mob tshwm sim	Qhov tshwm sim
Kev tiv thaiv kab mob	kev fab tshuaj	tsawg heev
Kev paub kev zom zaub mov	ntshav qog	tsis qhia npe
Lub zeem muag	kev sib hloov pauv	qee zaum
Lub plawv thiab cov hlab ntshav	kev mob plawv	nquag
Kev kho mob txoj hnyuv	kev mob epigastric, tso quav dhau ntawm lub suab tsis sib xws, dyspeptic cuam tshuam	nquag tsawg tsawg
Tawv	kev tiv thaiv tsis haum	tsis qhia npe
Kev zom	daim siab ua tsis tiav, enzyme kev loj hlob	tsawg heev

Zam kev rau qhov tsis xav ua dhau los yuav tso cai rau qhov tshuaj tiv thaiv kab mob nce ntxiv, kom muaj kab mob, kis kab mob, haus dej cawv, qaug zog, mob ntshav qab zib ua rau cov neeg mob ntshav qab zib yuav tsum tau nce siab mloog.

Kuv yuav tuaj yeem hloov NovoNorm li cas

Txog NovoNorm, cov tshuaj tiv thaiv analogues raug xaiv raws li cov txheej txheem thoob ntiaj teb rau kev faib tawm cov tshuaj ATS (cov cev nqaij daim tawv, kev kho mob thiab tshuaj cais). Repaglinide nyob rau hauv nws cov muaj pes tsawg leeg muaj 2 cov tshuaj ntxiv - Repodiab thiab Insvada.

Raws li qhov ntsuas thiab txoj kev siv, repaglinides zoo ib yam:

• Guarem
• Baeta
• Lub Neej
• Lycumia,
• Forsiga
• Saxenda
• Jardins
• Ua tub rog.

Amaril, Bagomet, Glibenclamide, Glibomet, Glyukofazh, Glurenorm, Gliklazid, Diabeton, Diaformin, Metformin, Maninil, Ongliza, Siofor, Yanumet, Yanuviya thiab ntau lwm tus yog nyob ze ntawm qib 3 ATC code (qhov sib txawv yog qhov sib txawv, tab sis cov cim tau sib xws).

Hauv kev siv ntau yam tshuaj niaj hnub hypoglycemic, cov kws kho mob yeej ib txwm tsis tsom, thiab kev sim tshuaj rau cov neeg mob ntshav qab zib tsis tau txais kev kawm kho mob yog qhov tsis raug cai. Cov lus qhia hauv kab lus yog nthuav qhia dav dav xwb.