Acarbose rau ntshav qab zib

Tus neeg sawv cev ntawm lub qhov ncauj hypoglycemic, inhibiting hnyuv alpha-glucosidase, txo qhov hloov pauv enzymatic ntawm di-, oligo- thiab polysaccharides rau monosaccharides, yog li txo qhov nqus ntawm cov hnyuv los ntawm txoj hnyuv thiab postprandial hyperglycemia. Hauv cov neeg mob uas muaj lub cev tsis ua hauj lwm zoo rau kev ntshav qab zib, kev siv tsis tu ncua txo txoj kev pheej hmoo ntawm kev mob ntshav qab zib hom 2 (suav nrog ob qhov muag tsis pom kev, kev soj ntsuam cov placebo STOP-N>).

Nrog rau kev siv cov acarbose, kev txhim kho ntawm cov ntshav qog nqaij hlav yog uncharacteristic. Txawm li cas los xij, kev tswj hwm kev sib koom tes ntawm cov tshuaj nrog lwm tus kab mob hypoglycemic lossis insulin tuaj yeem ua rau cov kev rau txim li no, yog li ntawd siv cov kev sib txuas ua ke tsis tau pom zoo los ntawm WHO cov lus qhia. Nws kuj tau pom tias cov tsos mob ntawm kev mob ntshav qab zib nce zuj zus thaum acarbose siv los ntawm cov neeg laus thiab cov neeg tsis muaj zog, txawm tias tsis muaj lwm yam tshuaj tiv thaiv kab mob ntshav siv nyob rau tib lub sijhawm, uas tseem yuav tsum raug coj los txiav txim thaum sau tshuaj rau cov neeg mob ntawm cov pab pawg no.

Hauv kev tshawb fawb hauv vitro thiab hauv vivo tsis muaj pov thawj ntawm mutagenicity. Kev coj cov nas nrog cov zaub mov tsis cuam tshuam rau kev muaj tub ki thiab kev muaj tub muaj ki.

Kho Cov Ntawv Kho Mob

Kev rho tawm - txog 35% ntawm cov koob tshuaj siv tau, tej zaum nyob rau hauv daim ntawv ntawm metabolites (ntawm uas 2% - hauv daim ntawv nquag), bioavailability yog 1-2%. Tom qab kev tswj hwm ntawm qhov ncauj, ob lub ntsej muag siab tau pom: tom qab 1-2 teev thiab tom qab 14-24 teev, qhov pom ntawm lub ncov thib ob yog vim kev nqus ntawm cov khoom noj ntawm lub plab hnyuv. Kev faib khoom ntim - 0.39 l / kg. Hauv cov neeg mob uas lub raum tsis ua haujlwm (kev tsim muaj peev xwm tshem tau tsawg dua 25 ml / min. / 1.73 m²), qhov siab tshaj plaws (C_max) nce 5 zaug, hauv cov neeg laus - 1.5 zaug.

Nws yog metabolized tshwj xeeb hauv cov hnyuv plab, cov kab mob hauv plab hnyuv thiab qee qhov hnyuv zom zom, nrog kev tsim tsawg kawg 13 lub tebchaw. Cov khoom noj tseem ceeb tau txheeb pom tias yog derivatives ntawm 4-methylpyrogallol (hauv daim ntawv ntawm sulfate, methyl thiab glucuronic conjugates). Ib qho tshuaj metabolite, qhov ua kom pom qhov tseeb ntawm cov kua nplaum nyob rau hauv acarbose, muaj peev xwm inhibit alpha glucosidase.

Ib nrab-lub neej ( T_1/2 ) nyob rau theem faib - 4 teev, nyob rau theem ntawm kev nthuav tawm - 10 teev. Nws yog tawm los ntawm txoj hnyuv - 51% (hauv 96 teev) raws li cov khoom lag luam metabolic (tsis muaj qhov tsis txaus siab), los ntawm lub raum - 34% nyob rau hauv daim ntawv ntawm metabolites thiab tsawg dua 2% - tsis hloov pauv thiab raws li kev nquag metabolite.

Kev Taw Qhia Hloov Kho

Hom 2 mob ntshav qab zib mellitus (nrog qhov tsis muaj txiaj ntsig ntawm kev noj zaub mov zoo, chav kawm uas yuav tsum yog tsawg kawg 6 lub hlis, tsis muaj peev xwm ua tau zoo ntawm cov tshuaj sulfonylurea derivatives tiv thaiv keeb kwm ntawm kev noj zaub mov tsis muaj calorie), hom 1 mob ntshav qab zib mellitus (ua ib feem ntawm kev sib xyaw ua ke). Kev tiv thaiv ntawm hom 2 mob ntshav qab zib mellitus (hauv cov neeg mob uas tsis muaj peev xwm nyeem cov ntshav qab zib ua ke nrog kev noj haus thiab kev tawm dag zog).

Kev Tiv Thaiv Kom Kho Tsis Tau Hloov

Cov kab mob siab ntsws, mob ntshav qab zib ketoacidosis, mob siab rau lub siab, mob plab thiab mob plab hnyuv muaj teeb meem los ntawm kev mob plab zom mov thiab nqus ntshav tsis haum (suav nrog malabsorption syndrome, maldigestion syndrome), Cov kab mob Remgeld, lub plab hnyuv loj ntawm lub plab phab ntsa, lub plab hnyuv plab nrog txoj kev ua kom muaj roj ntau ntau, , mob hnyuv ob leeg (suav nrog ib nrab lossis ib qho sib xyaw rau nws), nruj thiab mob plab hnyuv, mob raum tsis ua haujlwm (creatinine cov ntsiab lus saum toj 2 m / DL), cev xeeb tub, lactation.

Noj cov tshuaj Regimen

Cov tshuaj yog noj ntawm qhov ncauj, tsis yog zom, nrog me me ntawm cov kua tam sim ntawd ua ntej noj mov lossis 1 teev tom qab noj mov. Thawj koob tshuaj yog 50 mg × 3 zaug hauv ib hnub nrog kev maj mam nce ntxiv hauv ib zaug txog rau 100-200 mg (kev nce ntxiv yog nqa tawm tom qab 4-8 lub lis piam ntawm kev kho nrog ib nrab ntawm 1-2 lub lis piam, nyob ntawm glycemia thiab kev cia siab rau ib leeg). Qhov nruab nrab koob tshuaj rau cov neeg laus uas lub cev qhov hnyav tsawg dua 60 kg yog 50 mg, ntau dua 60 kg yog 100 mg × 3 zaug ib hnub. Qhov nyiaj pab ntau tshaj txhua hnub yog 600 mg.

Kev tiv thaiv: noj thawj koob - 50 mg 1 zaug nyob rau ib hnub nrog ib hnub nce zuj zus hauv ib koob txog 100 mg (koob tshuaj nce rau 3 lub hlis).

Sab sij huam Dab Tsi

Txij li thaum acarbose txwv tsis pub lub rhuav tshem ntawm cov carbohydrates rau hauv qabzib, qee qhov ntawm carbohydrates tseem nyob hauv txoj hnyuv thiab xa mus rau txoj hnyuv. Nyob rau hauv txoj hnyuv, cov kab mob zom zom cov carbohydrates, ua rau lub plab zom mov cov kev mob tshwm sim xws li flatulence (78% ntawm cov neeg mob) thiab raws plab (14% ntawm cov neeg mob). Txij li thaum cov teebmeem no yog koob tshuaj, nws feem ntau pom zoo kom pib nrog kev txhaj tshuaj qis thiab maj mam nce qhov koob rau qib yam xav tau. Ib txoj kev tshawb nrhiav qhia tau tias cov kev mob tshwm sim rau txoj hnyuv txo tsawg (ntawm 50% mus rau 15%) hauv 24 lub lis piam, txawm tias siv tsis tu ncua.

Yog tias tus neeg mob siv acarbose txom nyem los ntawm kev mob siab ntawm hypoglycemia, tus neeg mob yuav tsum noj tej yam muaj monosaccharides, xws li cov ntsiav tshuaj qabzib lossis gel (GlucoBurst, Insta-Glucose, Glutose, Theem Ib), thiab tus kws kho mob yuav tsum tau hu. Vim tias acarbose thaiv qhov cuam tshuam ntawm cov suab thaj hauv lub rooj thiab lwm cov suab thaj, cov kua txiv hmab txiv ntoo lossis cov khoom noj muaj hmoov nplej tsis muaj peev xwm rov qab rov ua dua ntawm tus mob hypoglycemia hauv tus neeg mob noj acarbose.

Kab mob siab tau tshaj tawm tias yog siv acarbose. Nws feem ntau ploj thaum tshuaj kho. Yog li, kab mob siab rau daim siab yuav tsum kuaj xyuas ua ntej thiab thaum siv cov tshuaj no.

GIT: mob epigastric, mob plab, xeev siab, raws plab, tsis tshua muaj - kev ua si ntau dua ntawm "kab mob siab" (thaum noj ntau npaum li ntawm 150-300 mg / hnub), mob plab hnyuv, mob daj ntseg, mob siab (mob tsawg, muaj mob tuag nrog).

Cov lus qhia tshwj xeeb Kho kom raug

Kev phais mob thiab kev raug mob loj, kev kub nyhiab, kab mob kis nrog febrile syndrome yuav tsum tsis siv tshuaj txuas ntxiv hauv qhov ncauj thiab ua cov tshuaj insulin. Nws yog ib qho tsim nyog yuav tsum tau nruj me ntsis ua raws kev noj haus. Dej qab zib thiab zaub mov uas muaj cov carbohydrates ntau (poly-, oligo-, disaccharides) tuaj yeem ua rau mob plab hnyuv. Kev kho yuav tsum tau ua nyob rau hauv kev tswj hwm ntawm cov piam thaj hauv cov ntshav thiab / lossis zis ntawm glycosylated Hb thiab kev hloov pauv hauv thawj xyoo ntawm kev kho mob - ib zaug txhua 3 lub hlis thiab tom qab ntawd ib ntu. Kev nce ntxiv ntawm ntau dua 300 mg / hnub yog tsuas yog nrog los ntawm kev poob qis me ntsis tom qab postprandial hyperglycemia nrog tib lub sijhawm nce nyob rau hauv kev pheej hmoo ntawm hyperfermentemia. Nrog rau kev tswj hwm tib lub sijhawm ntawm cov tshuaj - sulfonylurea derivatives lossis nrog insulin, txoj kev txhim kho hypoglycemia yog ua tau, uas tau kho los ntawm kev ntxiv cov piam thaj rau cov zaub mov, lossis los ntawm nws txoj kev tswj hwm cov ntshav. Thaum muaj cov ntshav qab zib tsawg, nws yuav tsum tau yug los rau hauv lub siab tias cov khoom noj muaj piam thaj kom tawg rau hauv qabzib thiab fructose, uas tsis tswj hwm los ntawm cov tshuaj insulin thiab yog li sucrose tsis tshua tsim nyog rau kev pab sai ntawm hypoglycemia. Txhawm rau tshem tawm nws, nws raug nquahu kom siv cov piam thaj hauv qhov siab lossis glucagon (hauv kis mob loj).

Kev Sib Hloov Hloov

Cov khoom siv ntawm sulfonylureas, insulin, metformin txhim kho cov nyhuv hypoglycemic. Antacids, colestyramine, plab hnyuv adsorbents, cov tshuaj enzyme txo cov hauj lwm zoo. Thiazide diuretics, corticosteroids, phenothiazines, cov thyroid hormones, estrogens, qhov ncauj tiv thaiv kab mob, phenytoin, nicotinic acid, adrenostimulants, BMKK, isoniazid thiab lwm yam tshuaj uas ua rau hyperglycemia, txo qis kev ua si (muaj peev xwm decompensation ntawm ntshav qab zib mellitus).

Kev ntsuas rau siv

Cov tshuaj Acarbose yog raug rau cov neeg mob uas muaj yam kabmob ntshav qab zib hom 1 lossis hom 2, nrog rau cov neeg nyob hauv lub xeev uas muaj ntshav qab zib thiab cov uas tiv thaiv cov tshuaj insulin.

Nws lub peev xwm los poob ceeb thawj tau pom tseeb, yog li cov tshuaj tuaj yeem ua rau kev rog, mob ntshav qab zib. Acarbose yog raug rau cov neeg mob ntshav qab zib uas ua haujlwm hnyav rau lub cev, tsis txhob siv tshuaj sulfonylurea, vim tias tom kawg feem ntau ua rau mob ntshav qab zib.

Daim ntawv tso tawm

Acarbose yog dawb hmoov (lub teeb ntxoov ntxoo yog ua tau), uas yog yooj yim soluble hauv dej. Hauv cov chaw muag tshuaj, nws tau tso tawm rau hauv daim ntawv ntawm cov ntsiav tshuaj, nrog tshuaj ntawm 50 thiab 100 mg.

Cov khoom lag luam uas muaj npe nrov tshaj yog cov German "Glucobay" thiab Turkish "Alumina". Tus nqi nruab nrab rau thawj zaug yog kwv yees li 490 rubles rau 30 ntsiav tshuaj nrog tshuaj ntawm 50 mg. Cov tshuaj "Glinoza" tsis tau pom muaj nyob rau hauv lub assortment ntawm Lavxias teb sab chaw muag tshuaj tsis ntev los no.

Nyob ntawm seb ntau npaum li cas, Glucobai muaj 50 lossis 100 mg ntawm acarbose. Tus kho nyhuv tshwm sim nyob hauv txoj hnyuv huam. Nws ua rau txo qis kev ua ntawm qee yam enzymes koom nrog kev rhuav tshem cov polysaccharides.

Ntawm cov khoom siv ntxiv: silicon dioxide, magnesium stearate, pob kws nplej siab, microcrystalline cellulose.

Cov lus qhia rau kev siv

Cov tshuaj tau noj qhov ncauj 15-20 feeb ua ntej noj mov. Siv tau tom qab noj mov. Hauv qhov no, nws yuav tsum tau tos tsawg kawg ib teev.

Qhov ntau npaum li cas tau teev los ntawm tus kws kho mob tshwj xeeb rau txhua tus neeg mob, raws li lub xeev ntawm nws txoj kev noj qab haus huv, qhov mob hnyav ntawm cov chav kawm mob ntshav qab zib, muaj cov kab mob concomitant.

Raws li txoj cai, thaum pib theem, yuav tsum noj 3 zaug ntawm 50 mg yog kho. Yog tias tom qab 1-2 lub hlis tsis muaj cov tshuaj tshwm sim, cov tshuaj ntau dua.

Nws raug tso cai kom noj tsis ntau tshaj 600 mg ntawm acarbose ib hnub. Lub sijhawm kho mob yuav tsum yog tsawg kawg yog rau lub hlis.

Daim ntawv thov nta

Acarbose-based tshuaj yog contraindicated rau kev siv los ntawm menyuam yaus thiab tub ntxhais hluas hnub nyoog qis dua 18 xyoo. Nws kuj tseem pom zoo rau lub sijhawm ntawm kev kho mob kom tshem tawm cov cawv hauv ib daim ntawv vim ua tiav kev tsis sib haum nrog cov khoom xyaw nquag.

Cov neeg laus, nrog rau cov neeg muaj mob rau daim siab thiab lub raum, tau tso cai siv cov tshuaj. Kev hloov ntshav koob tsis tas yuav tsum tau ua, nws raug xaiv los ntawm qhov mob hnyav ntawm cov chav kawm mob ntshav qab zib thiab lub cev teb rau kev kho.

Acarbose raug txwv tsis pub nyob rau tag nrho lub sijhawm cev xeeb tub thiab lactation vim tias tsis muaj cov pov thawj scientific txog nws muaj kev nyab xeeb rau tus menyuam hauv plab.

Kev cuam tshuam nrog lwm yam tshuaj

Acarbose-based tshuaj txhim kho qhov kev ua ntawm metformin, insulin, sulfonylurea, yog li pab txhawb kev txhim kho cov ntshav khov qis.

Ntawm cov tshuaj uas ua kom cov nyhuv tshuaj tsis muaj zog, cov hauv qab no:

cov thyroid hormones,
steroidal tshuaj tiv thaiv,
tshuaj kho mob
tshuaj yug me nyuam
cov tshuaj muaj nicotinic acid.

Kev sib koom tes tswj hwm ntawm cov tshuaj hypoglycemic thiab sorbents tsis muaj txiaj ntsig vim yog qhov ua kom tsis muaj zog ntawm cov kev kho ntawm cov tom kawg.

Sab sij huam

Cov tshuaj raws li acarbose tuaj yeem ua rau lub cev tsis xav tau rau kev kho mob. Ntau zaus dua li lwm tus tshwm sim:

kev tsim cov roj ntau dhau, zawv plab, mob plab,
ua kom tiav lossis ib nrab ntawm txoj hnyuv txhaws,
nce hauv daim siab enzymes.

Los ntawm cov tawv nqaij, khaus, pob tuaj yeem tshwm.

Raws li txoj cai, cov tshuaj tau zoo rau. Qhov teebmeem tsis xav pom tshwm sim hauv thawj hnub ntawm kev kho thiab dhau los ntawm lawv tus kheej. Koob tshuaj yuav tau kho kom haum thiab tshwj xeeb kev kho mob tsis tas yuav siv.

Txawm li cas los xij, rau lub sijhawm ntawm kev kho mob acarbose, cov neeg mob tau qhia kom kuaj ntshav tsis tu ncua vim li cas cov nplooj siab ua kom tsis txhob muaj kab mob siab.

Cov Yuav Tsum Tau Ua

Contraindications kom noj acarbose yuav conditionally tau muab faib ua qho qho thiab tus txheeb ze.

Qhov sawv daws yuav tsis suav nrog:

cev xeeb tub
kev pub mis
mob ntsws
ketoacidosis
mob raum tsis ua hauj lwm,
intolerance rau ib qho twg ntawm cov tshuaj.

Ntawm tus txheeb ze, peb tuaj yeem paub qhov txawv:

npaws
kis mob tom qab kev phais mob.

Nws tsim nyog sau cia tias tsuas yog tus kws kho mob thiaj tuaj yeem txiav txim siab zaum kawg ntawm kev kho mob acarbose.

Noj ntau dhau

Yog tias qhov noj tshuaj kom ntau dua yog qhov ua kom mob, raws plab thiab plab zom zaws yuav tshwm sim. Hauv qhov no, tus neeg mob yuav tsum tsis kam noj zaub mov uas muaj cov carbohydrates yam tsawg 5 teev.

Cov tsos mob zoo li no tuaj yeem tshwm sim thaum noj ntau ntawm carbohydrates thaum kho.

Yog tias acarbose suav nrog kev sib xyaw ua ke nrog lwm cov tshuaj uas muaj suab thaj, qhov kev pheej hmoo ntawm kev mob ntshav qab zib nce ntxiv. Daim ntawv sib hais me me ntawm qhov kev mob hnyav ntxiv no yog nres los ntawm cov khoom noj khoom noj carbohydrate. Nruab nrab thiab cov foos hnyav yuav tsum muaj kev cuam tshuam kev kho mob Txoj kev hais daws daws feem ntau siv tshuaj tiv thaiv kab mob yog qhov muaj zog dextrose.

Ntawm cov kev npaj ua raws li acarbose, tus German "Glucobay" thiab Turkish "Glinoza" tau sawv cev rau ntawm Lavxias khw. Qhov kawg yog qhov tsawg dua hauv cov khw muag tshuaj txuas.

Metformin-based tshuaj muaj qhov ua kom zoo li hypoglycemic. Cov lag luam nrov tshaj plaws yog Glucophage thiab Siofor.

Qee qhov xwm txheej, sulfonylurea-based tshuaj siv: Gliclazide, Glibenclamide

Tom qab 45 xyoo, kuv cov ntshav qab zib tau pib nce. Noj cov zaub mov tsis tau muaj txiaj ntsig. Tus kws kho mob tau sau cov tshuaj hypoglycemic. Cov yeeb yaj kiab ntawm metformin txo cov piam thaj ntau heev, ib zaug txawm tias yuav tsum hu rau lub tsheb tos neeg mob. Tam sim no kuv txais Acarbose. Kuv zoo, Kuv tseem tsis tau pom muaj kev mob tshwm sim.

Kuv txoj kev kho mob ntshav qab zib tau ntev heev. Kuv sim siv tshuaj ntau heev. Qee qhov tsis haum tam sim ntawd, lwm tus qhia lawv cov kev mob tshwm sim, tom qab qee lub sijhawm. Tam sim no kuv haus dej Glucobay. Kuv zoo siab nrog nws cov nqi thiab ua li cas maj mam nws txo qis cov piam thaj hauv kuv cov ntshav. Kuv vam tias nws tsis muaj kev xav tsis zoo ntawm kuv lub cev.

Cov tshuaj niaj hnub no tseem tsis tau muaj peev xwm kho tus mob ntshav qab zib kom meej. Lawv txoj haujlwm tseem ceeb yog ua kom cov suab thaj nyob hauv thaj tsam muaj txiaj ntsig zoo thiab kom tsis txhob muaj pob nce siab thiab nce siab. Cov neeg mob ntshav qab zib yuav tsum nco ntsoov qhov loj tshaj plaws - tsis muaj kev noj haus nruj, tsis muaj tshuaj yuav ua haujlwm, tsis muaj ib yam tshiab.

Acarbose yog dab tsi thiab nws ua haujlwm li cas

Cov carbohydrates uas muaj nyob hauv peb cov zaub mov yog rau feem ntau cov nyom. Ib zaug nyob rau hauv cov hnyuv, lawv raug hydrolysis nrog cov enzymes tshwj xeeb - glycosidases, tom qab uas lawv decompose rau monosaccharides. Cov suab thaj yooj yim, nyeg, nkag rau hauv plab hnyuv thiab nkag mus rau cov ntshav.

Acarbose hauv nws cov qauv yog pseudosaccharide tau los ntawm cov txheej txheem biotechnological. Nws sib tw nrog cov suab thaj los ntawm cov zaub mov hauv cov hnyuv: nws khi rau cov enzymes, ib ntus tsis pub lawv ntawm lub peev xwm los zom cov carbohydrates. Vim qhov no, acarbose ua rau kom khiav ntawm cov piam thaj rau hauv cov ntshav. Qhov qeeb qeeb thiab hnyav dua li niaj hnub no cov kua nplaum txeem txeem mus rau hauv cov hlab, ntau qhov nws tau raug tshem tawm los ntawm lawv mus rau cov ntaub so ntswg. Glycemia ua qis dua, nws hloov zuj zus tom qab noj mov yuav txo qis.

Pov thawj Acarbose nyhuv:

Normalizes glycated hemoglobin, txhim kho kev them nyiaj mob ntshav qab zib.
Nrog rau qhov kev ua txhaum ntawm cov piam thaj tam sim no los ntawm 25% txo cov kev pheej hmoo ntawm kev tsim muaj ntshav qab zib.
Tiv thaiv kab mob plawv: txoj kev pheej hmoo yog txo qis 24% hauv cov neeg mob ntshav qab zib, los ntawm 49% hauv cov neeg mob NTG.

Acarbose zoo dua rau cov neeg mob uas muaj kev yoo mov glycemia thiab txhawb zog tom qab noj mov. Cov kev tshawb fawb pom tias nws siv tau tuaj yeem txo cov ntshav qabzib 10%, qabzib tom qab noj mov 25%, glycated hemoglobin los ntawm 21%, roj cholesterol los ntawm 10%, triglycerides los ntawm 13%.Nrog rau cov glycemia, cov concentration ntawm cov tshuaj insulin hauv cov ntshav txo qis. Vim tias cov ntsiab lus qis dua ntawm insulin thiab lipids hauv cov neeg mob ntshav qab zib, insulin tsis kam thiab qhov kev pheej hmoo ntawm atherosclerosis tsawg dua, poob phaus yog yooj yim.

Acarbose tau siv los ua hypoglycemic rau ntau tshaj 20 xyoo. Hauv tebchaws Russia, tsuas yog ib cov tshuaj nrog cov tshuaj no tau sau npe - Glucobai los ntawm lub tuam txhab German Bayer Pharma. Cov ntsiav tshuaj muaj 2 pes tshuaj - 50 thiab 100 mg.

Siv Acarbose Glucobai kom yuag poob

Thaum noj acarbose, qee cov carbohydrates tsis muaj sijhawm rhuav tshem thiab raug cais tawm ntawm lub cev nrog quav, thiab cov calories kom tsawg kuj txo. Lawv tau sim siv cov cuab yeej no ntau dua ib zaug rau kev poob phaus, txawm tias kev tshawb fawb tau ua los ntawm kev ua haujlwm ntawm cov tshuaj rau qhov poob phaus. Hauv cov neeg mob uas muaj ntshav qab zib, cov lus qhia ntawm acarbose rau hauv txoj kev kho mob tau ua rau qhov hnyav nruab nrab poob ntawm 0.4 kg. Nyob rau tib lub sijhawm, caloric kom tsawg thiab siv ntawm cov nra hnyav yuav nyob li qub.

Tus kws kho mob ntawm Kev Tshawb Fawb Kev Kho Mob, Lub Taub Hau ntawm lub koom haum 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 los qhia txoj xov zoo - Endocrinological qhov chaw tshawb fawb ntawm Lavxias Academy ntawm Medical Science tau tswj hwm los tsim cov tshuaj uas kho cov ntshav qab zib mellitus kom zoo. 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!

Nws kuj tau pom tias kev siv Acarbose rau kev poob phaus yog qhov zoo tshaj plaws ua ke nrog kev noj haus thiab kis las. Lub sijhawm no, txoj kev kawm tau tshawb nrhiav hauv cov neeg noj qab haus huv. Cov txiaj ntsig tau txhawb nqa: dhau 5 lub hlis, cov neeg mob txo lawv BMI los ntawm 2.3, hauv pawg tswj hwm tsis muaj acarbose - tsuas yog 0.7. Cov kws kho mob hais tias cov nyhuv no cuam tshuam nrog kev phiv tshuaj. Sai li lawv poob phaus nrog carbohydrates, lawv sai sai ua rau cov txheej txheem ntawm cov fermentation hauv cov hnyuv, flatulence lossis raws plab pib. Acarbose ntawm no ua raws li hom kev taw qhia ntawm kev noj zaub mov kom raug, txhua qhov kev ua txhaum ntawm kev noj zaub mov noj tsis zoo nrog qhov tsis zoo.

Dab tsi tuaj yeem hloov tau

Glucobai tsis muaj tiav analogues. Ntxiv rau acarbose, ib pawg ntawm α-glucosidase inhibitors suav nrog cov tshuaj nquag ua voglibose thiab miglitol. Ntawm lawv cov lus, German Diastabol, Turkish Alumina, Ukrainian Voksid tau tsim. Lawv muaj tib lub txiaj ntsig, yog li ntawd lawv tuaj yeem raug suav hais tias yog analogues. Hauv cov chaw muag tshuaj ntawm Russia, tsis muaj ib yam ntawm cov tshuaj no, yog li cov neeg mob ntshav qab zib hauv tsev yuav tsum tau kaw lawv tus kheej rau Glucobai lossis nqa cov tshuaj los ntawm txawv teb chaws.

Acarbose tsis muaj nyob hauv cov npe tseem ceeb thiab Cov Tshuaj Tseem Ceeb, yog li cov neeg mob ntshav qab zib tau raug yuam kom yuav Glucobay lawv tus kheej. Tus nqi nyob rau hauv Russia yog li ntawm 500 txog 590 rubles. rau 30 ntsiav tshuaj ntawm 50 mg. Kev noj tshuaj ntawm 100 mg yog me ntsis kim dua: 650-830 rubles. rau tus nqi ib yam.

Qhov nruab nrab, kev kho mob yuav raug nqi 2200 rubles. rau ib hlis. Hauv cov khw muag tshuaj online, cov tshuaj yog me ntsis pheej yig dua, tab sis nyob rau hauv lawv feem ntau koj yuav tsum them nyiaj rau kev xa khoom.

Kev Ntsuam Xyuas Rau Neeg Mob

Raws li cov neeg mob ntshav qab zib, Glucobai yog ib hom tshuaj "tsis kaj siab". Cov neeg mob tau yuam kom tsis tsuas yog ua raws li cov zaub mov tsis muaj carb ntau, tab sis qee qhov yuav tsum tso cov khoom noj muaj mis, vim tias lactose kuj tseem tuaj yeem ua rau muaj teeb meem plab zom mov. Cov suab thaj-txo cov txiaj ntsig ntawm acarbose raug tshuaj xyuas zoo. Cov tshuaj ua tiav qhov ua tau zoo ntawm qabzib tom qab noj mov, txo nws cov kev hloov pauv thaum nruab hnub.

Kev txheeb xyuas qhov kev poob phaus tsis muaj qhov zoo. Lawv haus tshuaj feem ntau yog cov hniav qab zib, uas tsis tuaj yeem ua yam tsis muaj khoom noj qab zib ntev. Lawv pom cov tshuaj no tsis muaj dab tsi, tab sis kim heev. Ntxiv rau, vim muaj kev phiv, cov zaub mov carbohydrate tsuas tuaj yeem noj hauv tsev xwb, tsis ntshai yam tshwm sim. Piv nrog Xenical, Glucobay zoo dua taus, tab sis cov nyhuv ntawm nws tsawg dua.

Nco ntsoov kawm! Koj puas xav tias kev tswj hwm kev noj qab haus huv ntawm cov tshuaj thiab cov kua dej yog ib txoj kev los tswj cov piam thaj kom tswj? Tsis muaj tseeb! Koj tuaj yeem soj ntsuam qhov no koj tus kheej los ntawm kev pib siv nws. nyeem ntxiv >>