Diabeton MV 60 mg: cov lus qhia rau kev siv, nqi, xyuas

Diabeton MV: lus qhia rau kev siv thiab tshuaj xyuas

Lub npe Latin: Diabeton mr

ATX Code: A10BB09

Tus nquag ua hauj lwm: Gliclazide (Gliclazide)

Tus tsim tawm: Les Laboratoires Servier (Fabkis)

Hloov kho cov lus piav qhia thiab yees duab: 12.12.2018

Cov nqi hauv khw muag tshuaj: los ntawm 188 rubles.

Diabeton MV yog lub qhov ncauj hloov kho tso tawm tshuaj hypoglycemic.

Tso tawm daim ntawv thiab muaj pes tsawg leeg

Dosage daim ntawv - ntsiav tshuaj nrog hloov kho tso tawm: oval, dawb, biconvex, Diabeton MV 30 mg - rau ntawm ib sab engraving "DIA 30", nyob rau lwm qhov - lub logo ntawm tuam txhab, Diabeton MV 60 mg - nrog ib qho kev ceeb toom, ntawm ob sab ntawv engraving "DIA 60 "(15 pcs. Hauv cov hlwv, hauv daim duab los qhwv 2 los yog 4 hlwv, 30 pcs. Hauv cov hlwv, hauv daim duab los qhwv 1 lossis 2 hlwv).

Composition 1 ntsiav tshuaj:

• cov tshuaj nquag: gliclazide - 30 lossis 60 mg,
• Cov khoom siv pabcuam: calcium hydrogen phosphate dihydrate - 83.64 / 0 mg, hypromellose 100 cP - 18/160 mg, hypromellose 4000 cP - 16/0 mg, magnesium stearate - 0.8 / 1.6 mg, maltodextrin - 11.24 / 22 mg, anhydrous colloidal silicon dioxide - 0.32 / 5.04 mg, lactose monohydrate - 0 / 71.36 mg.

Cov Tshuaj Hauv Tshuaj

Gliclazide yog sulfonylurea derivative, lub qhov ncauj hypoglycemic tshuaj uas qhov txawv ntawm cov tshuaj zoo sib xws los ntawm qhov muaj cov N-muaj heterocyclic ntiv nplhaib nrog kev ua kom cov kabmob endocyclic.

Glyclazide pab txhawm rau txo qis cov ntshav qabzib hauv cov ntshav, txhawb kev tawm tsam cov kua dej los ntawm β-hlwb ntawm cov islets ntawm Langerhans. Kev nce nyob rau theem ntawm cov tshuaj tiv thaiv postprandial thiab C-peptide mob tsawv tom qab 2 xyoo ntawm kev siv tshuaj. Ntxiv nrog rau cuam tshuam rau cov metabolism hauv cov metabolism, cov tshuaj muaj hemovascular cuam tshuam.

Ntawm hom 2 mob ntshav qab zib mellitus, Diabeton MV rov qab ua kom tiav thaum kawg ntawm insulin secretion hauv kev teb rau cov piam thaj, thiab tseem txhim kho theem thib ob ntawm insulin secretion. Ib qho tseem ceeb ntawm kev zais cia tau pom nyob hauv kev teb rau kev tsa, uas yog vim yog qhia txog cov piam thaj thiab kev noj zaub mov.

Glyclazide txo txoj kev pheej hmoo ntawm cov ntshav me me ua kom muaj kabmob, cuam tshuam rau cov txheej txheem uas tuaj yeem ua rau muaj kev mob ntshav qab zib mellitus: ib feem ntawm kev tiv thaiv platelet adhesion / sib sau thiab txo qis hauv kev ua haujlwm ntawm platelet ua kom tau yam (thromboxane B2, β-thromboglobulin), nrog rau kev nce ntxiv ntawm cov nqaij mos plasminogen activator thiab kev kho kom rov qab ntawm fibrinolytic kev ua haujlwm ntawm vascular endothelium.

Kev tswj hwm glycemic ntau, uas tau ua raws li kev siv D Deeon MV, txo qis ntau dua macro- thiab microvascular teeb meem ntawm tus mob ntshav qab zib hom 2 piv rau kev tswj glycemic.

Qhov kom zoo dua yog vim muaj qhov txo qis ntawm kev pheej hmoo ntawm kev cuam tshuam ntawm cov teeb meem microvascular loj, qhov pom thiab kev loj hlob ntawm nephropathy, qhov tshwm sim ntawm macroalbuminuria, microalbuminuria thiab kev txhim kho cov teeb meem mob raum.

Cov txiaj ntsig ntawm kev tswj hwm glycemic nrog kev siv Diabeton MV tsis vam khom cov txiaj ntsig tau ua tiav nrog kev siv tshuaj tiv thaiv kab mob siab.

Cov Tshuaj Pharmacokinetics

• kev nqus: tom qab kev tswj hwm ntawm qhov ncauj, kev nqus tiav tshwm sim. Lub plasma concentration ntawm gliclazide nyob rau hauv cov ntshav nce maj zuj zus thaum thawj 6 teev, theem hauv av yog tswj nyob rau hauv thaj tsam ntawm 6-12 teev. Cov tib neeg txawv txav yog tsawg. Noj tsis cuam tshuam rau qib / qib ntawm nqus ntawm gliclazide,
• kev faib tawm: khi rau cov plasma protein - kwv yees li 95%. Vd muaj kwv yees li 30 litres. Txais tos ntawm Diabeton MV 60 mg ib hnub ib zaug ua rau muaj kev saib xyuas ntawm cov ntshav plasma concentration ntawm gliclazide hauv cov ntshav ntev dua 24 teev,
• metabolism: metabolism tshwm sim feem ntau nyob hauv lub siab. Tsis muaj kev cuam tshuam dab tsi hauv cov ntshav,
• kev nthuav tawm: qhov kev tshem tawm ib nrab-lub neej nyob nruab nrab 12-20 teev. Kev nqhis dej feem ntau tshwm sim los ntawm lub raum hauv daim ntawv ntawm metabolites, tsawg dua 1% yog raug kho tsis hloov pauv.

Cov kev sib raug zoo ntawm qhov koob thiab AUC (qhov ntsuas tus lej ntawm thaj chaw hauv qab qhov concentration / sijhawm nkhaus) yog kab.

Kev ntsuas rau siv

• yam 2 mob ntshav qab zib mellitus nyob rau hauv cov teeb meem uas lwm yam kev ntsuas (kev kho lub cev, kev tawm dag zog lub cev thiab poob phaus) tsis ua hauj lwm zoo txaus,
• cov teeb meem ntshav qab zib mellitus (tiv thaiv los ntawm kev tswj hwm glycemic): txo cov kev pheej hmoo ntawm micro- thiab macrovascular muaj teeb meem (nephropathy, retinopathy, mob stroke, myocardial infarction) hauv cov neeg mob hom 2 mob ntshav qab zib mellitus.

Cov Yuav Tsum Muaj

• ntshav qab zib hom 1
• uas yog mob ntshav qab zib, ntshav qab zib ketoacidosis, mob ntshav qab zib tsis xeev,
• mob siab rau hepatic / lub raum tsis ua haujlwm (qhov zoo li no, kev siv tshuaj insulin)
• ua ke siv nrog miconazole, phenylbutazone lossis danazole,
• kev tsis haum xeeb lactose, mob galactosemia, galactose / piam thaj malabsorption mob,
• hnub nyoog txog 18 xyoo
• cev xeeb tub thiab lactation,
• cov tib neeg tsis kam txais rau cov tshuaj, nrog rau lwm cov neeg txuas ntawm sulfonylurea, sulfonamides.

Tus txheeb ze (mob / mob nyob rau ntawm qhov uas teem ntawm Diabeton MV xav kom ceev faj):

• quav cawv
• khoom noj tsis xwm yeem / tsis haum,
• cov kab mob hnyav heev ntawm cov kab mob plawv
• piam thaj-6-phosphate dehydrogenase tsis txaus,
• adrenal / pituitary tsis txaus,
• hypothyroidism
• ntev glucocorticosteroid kho,
• raum / nplooj siab tsis ua haujlwm,
• hnub nyoog siab heev.

Cov lus qhia rau kev siv ntshav qab zib MV: txoj kev thiab qhov tshuaj

Diabeton MV ntsiav tshuaj noj ntawm qhov ncauj, tsis tas yuav tsoo thiab ntxo, zoo dua thaum noj tshais, 1 zaug hauv ib hnub.

Qhov koob tshuaj txhua hnub tuaj yeem txawv ntawm 30 txog 120 mg (siab tshaj plaws). Nws yog txiav txim siab los ntawm kev nqus ntawm cov ntshav qabzib thiab HbA1c.

Yog tias dhau ntawm ib qho koob tshuaj, ib qho tshuaj ntxiv yuav tsis nce ntxiv.

Thawj qhov kev pom zoo pom zoo txhua hnub yog 30 mg. Thaum tswj hwm tau txaus, Diabeton MV hauv cov koob tshuaj no tuaj yeem siv rau kev kho kho. Nrog kev tswj glycemic tsis txaus (tsis tau ua ntej dhau 30 hnub tom qab pib siv tshuaj), koob tshuaj txhua hnub tuaj yeem nce ntxiv mus rau 60, 90 lossis 120 mg. Qhov kev nce ntxiv sai dua ntawm koob tshuaj (tom qab 14 hnub) yog ua tau rau cov neeg mob cov ntshav cov ntshav qab zib thaum lub sijhawm kho tsis tau tsawg.

1 ntsiav tshuaj Ntshav qab zib 80 mg tuaj yeem hloov nrog Diabeton MV 30 mg (nyob rau hauv kev ceev faj glycemic). Nws kuj tseem tuaj yeem hloov los ntawm lwm tus neeg lub qhov ncauj hypoglycemic, thaum lawv cov koob tshuaj thiab ib nrab ntawm lub neej yuav tsum raug coj los siv. Lub sijhawm hloov kev sib hloov feem ntau tsis xav tau. Thawj koob tshuaj thawj zaug hauv cov rooj plaub no yog 30 mg, tom qab ntawd nws yuav tsum yog titrated nyob ntawm kev saib xyuas cov ntshav qabzib.

Thaum hloov los ntawm sulfonylurea derivatives nrog ntev ib nrab-lub neej kom tsis txhob muaj kev txhim kho hypoglycemia, uas cuam tshuam nrog cov txiaj ntsig ntxiv ntawm cov tshuaj, koj tuaj yeem nres noj lawv rau ob peb hnub. Thawj koob tshuaj hauv cov thawj kis no kuj yog 30 mg nrog qhov tuaj yeem yuav nce ntxiv tau raws li cov txheej txheem piav qhia saum toj no.

Kev siv ua ke nrog biguanidines, insulin lossis α-glucosidase inhibitors yog ua tau. Thaum tswj tsis tau glycemic tsis txaus, yuav tsum tau siv tshuaj insulin ntxiv nrog kev saib xyuas mob.

Hauv qhov mob me / mob raum tsis ua haujlwm, kev kho mob yuav tsum tau ua nyob ntawm kev saib xyuas mob nkeeg.

Tus mob ntshav qab zib MV tau pom zoo kom noj 30 mg rau ib hnub rau cov neeg mob uas yuav muaj kev pheej hmoo ntshav qab zib, vim muaj cov mob no / cov kab mob:

• tsis tswj / qog noj zaub mov,
• ua haujlwm tsis zoo / mob hnyav rau cov kabmob endocrine, suav nrog kev tsis ua rau lub zog thiab adrenal tsis txaus, hypothyroidism,
• tshem tawm ntawm glucocorticosteroids tom qab siv sijhawm ntev thiab / lossis kev coj ua hauv kev txhaj tshuaj ntau dua, cov kab mob hnyav ntawm cov hlab plawv, nrog rau mob carotid arteriosclerosis, mob ntshav siab rau lub plawv, mob atherosclerosis.

Yuav kom ua tiav kev tswj hwm glycemic, maj mam nce ntawm koob tshuaj mus rau qhov siab tshaj plaws yog qhov ua tau raws li ib txoj hauv kev ntxiv rau kev noj haus thiab kev tawm dag zog kom ua tiav cov hom phiaj ntawm HbA1c. Nws yog ib qho tsim nyog yuav tsum nco ntsoov qhov zoo li ntawm hypoglycemia. Lwm cov tshuaj ntshav qog ntshav qis, tshwj xeeb, α-glucosidase inhibitors, metformin, insulin lossis thiazolidinedione derivatives, kuj tseem tuaj yeem raug ntxiv rau Diabeton MV.

Sab sij huam

Zoo li lwm yam tshuaj ntawm sulfonylurea pab pawg, Diabeton MV yog tias muaj zaub mov noj tsis xwm yeem, tshwj xeeb, yog tias ib pluas noj yuv, nws tuaj yeem ua rau lub ntsej muag ntshav qab zib. Cov tsos mob tshwm sim: tsis tshua mloog siab, ntxhov siab, xeev siab, mob taub hau, ua pa nyuaj, tshaib plab, ntuav, nkees, pw tsaug zog, txob taus, ncua tshuaj tiv thaiv, kev nyuaj siab, tsis tuaj yeem tswj tus kheej, tsis meej pem, hais lus thiab tsis pom kev, tsis meej pem, paresis , tshee tshee, lub cev tsis meej pem, hnov ​​qhov tsis paub pab, kiv taub hau, qaug zog, qaug dab peg, qaug dab peg, npau taws, nkees nkees, ploj vim tsis nco qab nrog txoj kev txhim kho mob tsis nco qab, mus txog hnub tuag.

Cov tshuaj tiv thaiv adrenergic kuj tseem ua tau: nce tawm hws, tawv nqaij, tachycardia, ntxhov siab, nce ntshav siab, palpitations, angina pectoris thiab arrhythmia.

Feem ntau, koj tuaj yeem nres cov tsos mob no nrog kev ua zaub mov carbohydrates (qab zib). Kev siv cov sweeteners nyob rau hauv xws li mob yog qhov tsis muaj txiaj ntsig. Tawm tsam keeb kwm ntawm kev kho nrog lwm tus sulfonylurea derivatives, tom qab nws ua tiav zoo, rov mob siab ntawm hypoglycemia tau sau tseg.

Thaum lub sijhawm ntev / mob ntshav nce siab ntau, kev kho mob xwm txheej ceev tau hais txog, mus pw hauv tsev kho mob, txawm tias muaj qhov cuam tshuam los ntawm kev noj cov zaub mov carbohydrates.

Cov teeb meem hauv lub plab muaj: muaj xeev siab, mob plab, ntuav, cem quav, raws plab (kom txo tau qhov yuav ua rau muaj cov mob no, siv Diabeton MB thaum noj tshais).

Cov kev mob tshwm sim hauv qab no tsis tshua pom tshwm sim:

• lymphatic system thiab hematopoietic plab hnyuv siab raum: tsis tshua muaj - hematological mob (manifested nyob rau hauv daim ntawv ntawm anemia, leukopenia, thrombocytopenia, granulocytopenia, feem ntau yog reversible),
• tawv nqaij / subcutaneous ntaub: pob khaus, urticaria, khaus, erythema, Quincke's edema, maculopapular pob, ua xua pob,
• hloov khoom nruab nrog cev: tsis pom kev txawv txav (cuam tshuam nrog kev hloov pauv hauv cov ntshav qabzib, tshwj xeeb tshaj yog thaum pib siv cov Ntshav Qab Zib MV),
• bile ducts / mob siab: nce kev ua haujlwm ntawm daim siab enzymes (aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase), hauv qee qhov mob tsawg - kab mob siab, cholestatic jaundice (yuav tsum tsis ua haujlwm ntawm kev kho mob), kev cuam tshuam yog feem ntau thim rov qab.

Kev phiv tshuaj tiv thaiv kab mob rau sulfonylurea derivatives: kev tsis haum vasculitis, erythrocytopenia, hyponatremia, agranulocytosis, hemolytic anemia, pancytopenia. Muaj cov ntaub ntawv hais txog kev loj hlob ntawm kev ua si ntawm daim siab enzymes, ua kom lub siab ua haujlwm tsis zoo (piv txwv, nrog kev loj hlob ntawm jaundice thiab cholestasis) thiab kab mob siab. Qhov loj heev ntawm cov kev coj ua no nrog lub sijhawm tom qab kev thim tawm yeeb tshuaj txo qis, tab sis qee kis muaj teeb meem tuag lub siab txoj sia yuav pib.

Noj ntau dhau

Yog tias muaj tus mob ntshav qab zib ntau dhau hwv lawm MV, mob ntshav qab zib tsawg yuav tshwm sim.

Kev Kho Mob: cov tsos mob me ntsis - kev nce siab hauv kev noj haus nrog carbohydrate nrog zaub mov, txo qis ntawm cov tshuaj thiab / lossis kev hloov pauv ntawm kev noj zaub mov, kev saib xyuas yuav tsum tau ceev faj kom txog thaum muaj kev hem thawj rau kev noj qab haus huv ploj, kev mob ntshav qab zib siab nrog los ntawm kev mob plab, ua kom tsis nco qab lossis lwm qhov mob ntawm lub paj hlwb yuav tsum tau mus pw hauv tsev kho mob sai. thiab kev kho mob xwm txheej ceev.

Thaum muaj kev tsis nco qab ua rau lub cev tsis nco qab / tsis txaus siab, qhov kev siv dav hlau ua haujlwm ntawm 20-30% dextrose kev daws teeb meem (50 ml) tau qhia, tom qab ntawd 10% dextrose tov yog txhaj tshuaj ua ke (txhawm rau tswj cov ntshav qabzib siab tshaj 1000 mg / l). Kev ua tib zoo soj ntsuam cov ntshav qabzib hauv lub siab thiab soj ntsuam tus neeg mob lub sijhawm yuav tsum tau ua tsawg kawg 48 teev. Qhov xav tau kev sojntsuam ntxiv yog txiav txim siab los ntawm tus neeg mob.

Vim tias cov lus tshaj tawm ntawm gliclazide rau cov ntshav plasma protein, lim ntshav yog qhov tsis muaj txiaj ntsig.

Cov lus qhia tshwj xeeb

Thaum siv tshuaj kho mob, kev txhim kho hypoglycemia yog ua tau, thiab qee qhov mob ntev / mob hnyav, uas yuav tsum tau pw hauv tsev kho mob thiab tso dej tshuaj rau ob peb hnub.

Tus kab mob ntshav qab zib MB tuaj yeem tsim kho tsuas yog nyob rau kis uas tus neeg mob noj zaub mov tsis tu ncua thiab suav nrog pluas tshais. Nws yog ib qho tseem ceeb heev kom muaj kev noj haus nrog cov carbohydrates nrog zaub mov kom txaus, txij li qhov muaj peev xwm ua kom muaj ntshav siab tsis txaus nrog kev tsis haum / noj zaub mov tsis zoo, nrog rau kev noj zaub mov tsis muaj carbohydrate-cov zaub mov tsis zoo, nce ntxiv. Ntau zaus, qhov tshwm sim ntawm cov ntshav qab zib tsawg tsawg yog pom nrog cov zaub mov tsis zoo hauv lub cev, tom qab siv zog / ua lub cev ntev dhau los, haus cawv, lossis nrog rau kev siv ntau cov tshuaj tiv thaiv ntshav qab zib tsawg.

Txhawm rau kom zam kev txhim kho hypoglycemia, yuav tsum xaiv cov tshuaj thiab cov tshuaj noj kom zoo ib leeg.

Qhov ntxim nyiam ntawm kev txhim kho hypoglycemia nce rau hauv cov xwm txheej hauv qab no:

• kev tsis kam / tsis muaj peev xwm ntawm tus neeg mob kom tswj nws tus mob thiab ua raws li cov kws kho mob tau sau (tshwj xeeb qhov no siv rau cov neeg mob laus),
• tsis txaus ntawm tus nqi ntawm cov nyiaj carbohydrates coj thiab lub cev ua si,
• hla kev noj mov, zaub / mov tsis txaus, kev noj zaub mov hloov thiab tshaib plab,
• lub raum tsis ua hauj lwm
• mob siab hnyav ua haujlwm
• kev noj haus uas mob ntshav qab zib MV,
• ua ke siv nrog qee yam tshuaj
• qee cov mob endocrine (kab mob qog, mob qog thiab lub plab tsis txaus).

Kev qaug zog ntawm kev tswj hwm glycemic thaum noj Diabeteson MV yog ua tau nrog kub cev, mob, kis tus kab mob lossis kev phais mob loj. Hauv cov rooj plaub no, kev tshem tawm cov tshuaj thiab kev teem sij hawm ntawm kev kho tshuaj insulin tej zaum yuav xav tau.

Tom qab lub sijhawm ntev los ntawm kev kho mob, cov txiaj ntsig ntawm Diabeton MV yuav txo qis dua. Qhov no yuav yog vim qhov kev vam meej ntawm tus kab mob lossis txo qis hauv kev kho cov lus teb rau cov nyhuv ntawm cov tshuaj - cov tshuaj tiv thaiv theem nrab. Ua ntej kuaj pom qhov kev ua txhaum no, nws yog ib qho tsim nyog yuav tsum ntsuam xyuas qhov tsis txaus ntawm kev xaiv koob tshuaj thiab kev mob rau cov neeg mob raws li kev noj zaub mov noj.

Txhawm rau txhawm rau ntsuas glycemic tswj, kev soj ntsuam tas li ntawm kev yoo ntshav cov ntshav thiab glycated hemoglobin HbA1c yog qhov pom zoo. Nws kuj tseem yuav tau ua qhov kev ntsuas tus kheej cov ntshav qabzib kom ntau.

Sulfonylurea derivatives tuaj yeem ua rau hemolytic anemia nyob rau hauv cov neeg mob uas muaj ntshav qabzib-6-phosphate dehydrogenase tsis muaj peev xwm (kev teem caij Diabeton MV nrog cov kev tsis zoo no yuav tsum tau ceev faj), nws tseem tsim nyog los soj ntsuam qhov muaj peev xwm ntawm kev sau tshuaj hypoglycemic ntawm lwm pawg.

Yeeb tshuaj sib cuam tshuam

Cov yeeb tshuaj / tshuaj uas ua rau muaj kev pheej hmoo ntawm hypoglycemia (cov nyhuv ntawm gliclazide yog ua kom zoo dua):

• miconazole: hypoglycemia yuav dhau mus txog thaum tsis nco qab (ua ke yog contraindicated),
• phenylbutazone: yog tias siv sib xyaw ua ke xav tau, glycemic tswj hwm yog yuav tsum tau (kev sib xyaw tsis pom zoo, kev kho tshuaj rau Diabeton MV tej zaum yuav tsum tau),,
• ethanol: qhov ntxim nyiam ntawm kev txhim kho lub ntsej muag tsis nco qab (nws yog qhov pom zoo kom tsis txhob haus cawv thiab siv tshuaj yeeb nrog cov ntsiab lus ethanol),
• lwm cov kab mob hypoglycemic, suav nrog insulin, acarbose, metformin, thiazolidinediones, dipeptidyl peptidase-4 inhibitors, GLP-1 agonists, agents-adrenergic thaiv cov kab mob, fluconazole, angiotensin-converting enzyme inhibitors, captopril, enalistaprilamide inhibitors, tshuaj tiv thaiv kev tiv thaiv, tiv thaiv kev tiv thaiv, ua rau cov leeg tsis haum , sulfonamides, clarithromycin thiab qee yam tshuaj / tshuaj: muaj cov nyhuv hypoglycemic (ua ke yuav tsum ceev faj).

Cov tshuaj / tshuaj ua kom ntshav qabzib ntau (qhov ua tau ntawm gliclazide tsis muaj zog):

• Danazole: muaj cov nyhuv ntshav qab zib (kev sib xyaw ua ke tsis pom zoo), yog tias nws tsim nyog rau kev siv ua ke, nws raug pom zoo tias yuav tsum saib xyuas cov ntshav qabzib hauv cov ntshav thiab koob tshuaj kho ntshav qab zib MV,
• chlorpromazine (hauv kev txhaj tshuaj ntau): txo qis insulin secretion (kev sib xyaw ua ke yuav tsum ceev faj), ceev faj glycemic tswj yog qhia, koob tshuaj rau Diabeton MV tej zaum yuav tsum tau ua,
• salbutamol, ritodrin, terbutaline thiab lwm yam β₂-adrenomimetics: cov ntshav qabzib ntau ntxiv (ua ke nrog yuav tsum ceev faj)
• glucocorticosteroids, tetracosactide: qhov ntxim nyiam ntawm kev txhim kho ketoacidosis - kev txo qis ntawm kev noj haus carbohydrate (ib qho kev sib koom ua ke yuav tsum ceev faj), kev ceev faj glycemic pom zoo, tshwj xeeb tshaj yog thaum pib kho, kev kho kom haum rau Diabeton MV tej zaum yuav tsum tau ua.

Thaum siv cov tshuaj, yuav tsum tau saib xyuas tshwj xeeb rau qhov tseem ceeb ntawm kev ua ywj siab glycemic tswj. Yog tias tsim nyog, nws raug nquahu kom hloov tus neeg mob mus rau kev kho mob insulin.

Thaum ua ke nrog anticoagulants, nws muaj peev xwm txhim kho lawv cov kev ua, uas tej zaum yuav xav tau hloov kho koob tshuaj.

Cov lus piav qhia ntawm Diabeton MV yog: Gliclazide Canon, Gliclada, Glidiab, Diabetalong, Diabinax, Diabefarm thiab lwm tus.

Kev Sib Sau thiab daim ntawv ntawm kev tso tawm

Diabeton MV yog tsim nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj muaj ib qho kev ceeb toom thiab cov ntawv sau "DIA" "60" ntawm ob sab. Cov tshuaj phiv yog gliklazid 60 mg. Ntu cov khoom siv: magnesium stearate - 1.6 mg, anhydrous colloidal silicon dioxide - 5.04 mg, maltodextrin - 22 mg, hypromellose 100 cP - 160 mg.

Cov tsiaj ntawv “MV” hauv lub npe ntawm Diabeton yog deciphered raws li kev hloov kho tso tawm, i.e. maj mam.

Chaw tsim tshuaj paus: Les Laboratoires Servier, Fab Kis

Cev xeeb tub thiab pub niam mis

Cov kev tshawb fawb txog cov poj niam hauv txoj hauj lwm tsis tau ua tiav; tsis muaj ntaub ntawv qhia txog cov teebmeem ntawm gliclazide rau tus menyuam hauv plab. Thaum lub sijhawm sim rau cov tsiaj sim, tsis muaj kev cuam tshuam hauv kev loj hlob ntawm embryonic tau sau tseg.

Yog tias cev xeeb tub tau tshwm sim thaum noj Diabeteson MV, tom qab ntawd nws raug muab tso tseg thiab hloov pauv mus rau tshuaj insulin. Tib yam mus rau kev npaj. Qhov no yog qhov tsim nyog los txhawm rau txo qhov muaj feem ntawm kev loj hlob tsis ncaj ncees hauv cov menyuam.

Siv thaum pub niam mis

Tsis muaj cov ntaub ntawv pov thawj tseeb ntsig txog kev haus ntshav qab zib hauv cov mis thiab muaj qhov pheej hmoo ntawm kev txhim kho hypoglycemic hauv cov menyuam mos, nws yog txwv thaum lub sijhawm lactation. Thaum tsis muaj lwm txoj hau kev rau qhov laj thawj twg, lawv raug xa mus rau khoom noj pub mis.

Sab sij huam

Thaum noj Cov Ntshav Qab Zib ua ke nrog kev noj zaub mov tsis zoo, kev qog ntshav qab zib yuav tshwm sim.

• mob taub hau, kiv taub hau, pom qhov muag,
• kev tshaib kev nqhis
• xeev siab, ntuav,
• kev ua kom tsis muaj zog, ua kom sib tuav tes, tu-sauv,
• causically tsis txaus siab, poob siab tsaj,
• pw tsis tsaug zog los yog tsaug zog heev,
• poob ntawm kev nco qab nrog lub zog ua tsis nco qab.

Cov kev tshwm sim hauv qab no uas ploj tom qab noj khoom qab zib kuj tseem tuaj yeem kuaj:

• Dhau hws, tawv nqaij yuav lo rau qhov kov.
• Kev kub siab, palpitations, arrhythmia.
• Ntse mob hauv siab hauv siab vim tsis muaj ntshav txaus.

Lwm qhov tsis xav tau:

• Cov tsos mob dyspeptic (mob plab, xeev siab, ntuav, raws plab los yog cem quav),
• kev tsis haum tshuaj thaum noj ntshav qab zib,
• txo qis ntawm cov leukocytes, platelets, tus naj npawb ntawm granulocytes, hemoglobin concentration (kev hloov pauv yog thim rov qab),
• nce kev ua si ntawm hepatic enzymes (AST, ALT, alkaline phosphatase), cov xwm txheej muaj kab mob siab,
• kev tsis sib haum ntawm cov txheej txheem pom yog qhov ua tau thaum pib ntawm Kev Ntshav Qab Zib.

Kev cuam tshuam nrog lwm yam tshuaj

Cov tshuaj uas ua rau nce ntawm cov gliclazide

Cov tshuaj tua kab mob Miconazole yog ua mob. Nce txoj kev pheej hmoo ntawm kev txhim kho hypoglycemic mus txog rau lub cev ntaj ntsug.

Kev siv ntawm Diabeton nrog rau qhov tsis yog-steroidal anti-inflammatory tshuaj Phenylbutazone yuav tsum ua tib zoo ua ke. Nrog kev ua haujlwm ntawm lub cev, nws ua kom qeeb qeeb ntawm kev tshem tawm cov tshuaj tawm hauv lub cev. Yog tias kev tswj hwm ntshav qab zib tau tsim nyog thiab nws tsis tuaj yeem hloov nws nrog txhua yam, kev siv tshuaj glycazide raug kho.

Ethyl cawv ntau dua ua rau lub xeev hypoglycemic thiab inhibits cov nyiaj them poob haujlwm, uas koom nrog txoj kev txhim kho tsis xeev rov qab. Vim li no, nws raug nquahu kom tsis suav nrog cawv thiab tshuaj uas muaj ethanol.

Tsis tas li, txoj kev loj hlob ntawm ib lub xeev hypoglycemic nrog kev siv tsis tau tswj nrog Diabeton yog txhawb los ntawm:

• Bisoprolol
• Fluconazole
• Captopril
• Ranitidine
• Moclobemide
• Sulfadimethoxin,
• Phenylbutazone
• Metformin.

Daim ntawv teev npe tsuas yog ua piv txwv tshwj xeeb, lwm yam cuab yeej uas muaj nyob hauv tib pab pawg raws li cov npe tau muaj tib yam nkaus.

Diabeton-txo cov tshuaj

Tsis txhob noj Danazole, li nws muaj cov kab mob ntshav qab zib. Yog tias qhov kev txais tos tsis tuaj yeem tso tseg, kev kho ntawm gliclazide yog qhov tsim nyog rau lub sijhawm kho thiab hauv lub sijhawm tom qab nws.

Kev tswj kom zoo yuav tsum muaj kev sib xyaw nrog cov tshuaj tiv thaiv kev tiv thaiv nyob rau hauv cov koob tshuaj loj, vim tias lawv pab txo qis hormone secretion thiab nce qabzib. Kev xaiv tshuaj ntawm koob tshuaj Diabeton MV yog nqa tawm ob qho tib si thaum kho, thiab tom qab nws tshem tawm.

Hauv kev kho mob nrog glucocorticosteroids, cov concentration ntawm cov piam thaj nce nrog qhov txo qis hauv kev ua kom tau cov carbohydrate.

Kev tso tshuaj tiv thaiv β2-adrenergic agonists nce cov piam thaj. Yog tias tsim nyog, tus neeg mob pauv mus rau insulin.

Kev sib txuas ua ke tsis tau raug zam

Thaum kho nrog warfarin, Diabeton yuav ua rau kom nws cov nyhuv ntau dua. Qhov no yuav tsum tau coj mus rau hauv qhov kev suav nrog kev sib xyaw ua ke no thiab kho qhov tshuaj ntawm cov tshuaj anticoagulant. Yuav tsum tau txhaj koob tshuaj rau lwm tus tom kawg.

Cov npe ntawm Diabeton MV

60150

220 Glyclazide MV OZONE30

60130

200 Glyclazide MV PHARMSTANDART60215 Diabefarm MV30145 Glidiab MV30178 Glidiab80140 Lawbalong30

60130

270 Gliklada60260

Dab tsi tuaj yeem hloov tau?

Tus mob ntshav qab zib MV tuaj yeem hloov nrog lwm cov tshuaj nrog tib cov tshuaj thiab cov tshuaj ntxiv. Tab sis muaj qhov xwm txheej zoo li kev nyab xeeb - tus nqi ntawm cov khoom uas mus txog nws lub hom phiaj, i.e. lub peev xwm ntawm cov tshuaj yuav tsum yaim. Rau qee qhov tsis zoo, nws muaj tsawg, uas txhais tau tias kev kho mob yuav tsis muaj txiaj ntsig, vim tias raws li qhov tshwm sim, txoj kev muab tshuaj yuav tsis muaj tseeb. Qhov no yog vim qhov tsis zoo ntawm cov ntaub ntawv raw, ntu ntu, uas tsis pub cov tshuaj nquag tso tawm tag nrho.

Txhawm rau zam teeb meem, txhua yam kev hloov pauv yog ua kom zoo tshaj plaws tsuas yog tom qab sab laj nrog koj tus kws kho mob.

Maninil, Metformin lossis Diabeton - uas yog ib qho zoo dua?

Txhawm rau piv qhov twg yog qhov zoo dua, nws tsim nyog txiav txim siab qhov tsis zoo ntawm cov tshuaj, vim tias lawv tag nrho cov tshuaj rau tib tus kabmob. Cov lus saum toj no yog qhia txog cov tshuaj Diabeton MV, yog li ntawd, Manilin thiab Metformin yuav raug txiav txim siab txuas ntxiv.

Maninil thiab Metformin koom nrog nyias pawg pharmacological, yog li txoj ntsiab cai ntawm kev ua yog txawv rau lawv. Thiab txhua tus nyias muaj nyias qhov zoo uas yuav tsim nyog rau qee pab pawg ntawm cov neeg mob.

Qhov zoo:

Nws txhawb nqa cov haujlwm ntawm lub plawv, tsis ua rau tsis mob myocardial ischemia rau cov neeg mob uas muaj mob rau txoj hlab ntshav ntawm lub cev thiab arrhythmia nrog ischemia.Muaj kev txhim kho glycemic tswj los ntawm kev nce qhov rhiab heev ntawm peripheral phiaj cov ntaub so ntswg rau insulin. Nws yog tshuaj rau qhov tsis muaj txiaj ntsig ntawm lwm yam sulfonylurea derivatives.Piv nrog rau cov pab pawg ntawm sulfonylurea derivatives thiab insulin, nws tsis muaj kab mob ntshav qab zib tsawg. Ncua sijhawm kom txog thaum nws tsim nyog sau tshuaj rau tshuaj insulin vim tias muaj kev quav tshuaj rau lwm yam.Txo cov roj cholesterol. Txo lossis ruaj khov lub cev qhov hnyav.

Los ntawm cov zaus ntawm kev tswj hwm: Diabeton MV noj ib hnub ib zaug, Metformin - 2-3 zaug, Maninil - 2-4 zaug.

Kev Ntsuas Xyuas Mob Ntshav Qab Zib

Catherine. Tsis ntev los no, kws kho mob tau sau ntawv hais txog mob ntshav qab zib MV rau kuv, Kuv noj 30 mg nrog Metformin (2000 mg ib hnub). Qab zib poob qis ntawm 8 mmol / l txog 5. Qhov tshwm sim yog txaus siab, tsis muaj kev phiv, ntshav qab zib heev.

Valentine Kuv tau haus Diabeton tau ib xyoos, kuv qab zib yog qhov qub. Kuv ua raws kev noj haus, Kuv mus taug kev yav tsaus ntuj. Nws yog qhov uas kuv tsis nco qab noj tom qab noj cov tshuaj, tshee tshee tshwm sim hauv lub cev, Kuv nkag siab tias nws yog ntshav qab zib. Kuv tau noj cov khoom qab zib tom qab 10 feeb, ua rau kuv lub siab zoo. Tom qab qhov xwm txheej ntawd kuv noj tas li.

Mob ntshav qab zib yog dab tsi?

Dab tsi yog muab zais tom qab lub tswvyim ntawm ntshav qab zib? Peb lub cev zom cov carbohydrates los ntawm cov zaub mov mus rau hauv cov piam thaj. Yog li, tom qab noj mov, cov suab thaj hauv peb cov ntshav nce siab. Cov kua nplaum ua rau lub cev thiab cov plab hnyuv siab raum, tab sis dhau mus nws muaj kev cuam tshuam rau lub cev, rhuav tshem cov hlab ntshav. Txhawm rau kom cov qib qab zib rov qab mus rau qhov qub tom qab noj mov, tus txiav ua ntshav ntawm tus neeg noj qab haus huv tsim cov tshuaj insulin. Txawm li cas los xij, nyob rau hauv lub hauv paus ntawm ntau yam, txoj haujlwm no tej zaum yuav raug mob. Yog tias tus txiav ua tsis tiav los tsim cov tshuaj insulin, tom qab ntawd qhov kev ua haujlwm tsis zoo hauv nws txoj haujlwm ua rau mob ntshav qab zib hom 1. Feem ntau, hom mob no tshwm sim nws tus kheej rau menyuam yaus. Qhov laj thawj yuav nyob hauv kev txiav txim siab caj ces, txhaj tshuaj tiv thaiv nyuaj, kis kab mob, thiab lwm yam.

Nws muaj hom mob ntshav qab zib zaum ob. Feem ntau nws cuam tshuam rau cov neeg nruab nrab thiab laus. Tus naj npawb ib qho rau cov ntshav qab zib hom 2 yog rog dhau. Khoom noj khoom haus tsis zoo, tsis muaj kev qoj ib ce, kev ntxhov siab tas mus li ... Txhua yam no tuaj yeem ua rau lub cev tsis txaus siab. Qhov txiav ua tiav tseem yuav tsim cov tshuaj insulin, tab sis cov roj hlwb tsis tuaj yeem siv nws rau nws lub hom phiaj. Lawv poob lawv qhov kev hnov ​​tau cov tshuaj no. Qhov txiav ua ke pib tso tawm ntau dua thiab muaj cov kua dej ntau ntxiv rau hauv cov ntshav, uas thaum lub sijhawm ua rau nws txo qis.

Kev kho mob ntshav qab zib

Cuaj caum feem pua ​​ntawm cov neeg mob txom nyem los ntawm hom mob ntshav qab zib zaum ob. Ntau dua nrog no ailment cov poj niam lub ntsej muag. Yog tias cov neeg mob ntshav qab zib mellitus ntawm thawj hom tau txhaj tshuaj insulin, tom qab ntawd nrog tus thib ob, kev kho mob ntsiav tshuaj raug txwv. Ib qho ntawm feem ntau yog cov tshuaj "Diabeton." Kev txheeb xyuas txog nws ntau dua li lwm tus muaj nyob ntawm cov ncauj lus thematic.

Pharmacological kev txiav txim

Qhov taw qhia rau kev siv cov cuab yeej no yog hom mob ntshav qab zib zaum ob. Cov tshuaj muaj cov nyhuv hypoglycemic. Hauv cov ntsiab lus yooj yim, nws txo qis ntshav qab zib. Diabeton yog sulfonylurea thib ob tiam. Nyob hauv cov tshuaj ntawm cov tshuaj no, cov tshuaj insulin tawm hauv beta hlwb ntawm cov txiav, thiab lub hlwb txais khoom yuav nkag siab ntau dua rau nws. Qhov sib "phiaj" ntawm cov tshuaj no yog adipose cov nqaij, nqaij thiab lub siab. Txawm li cas los xij, cov tshuaj "Ntshav Qab Zib" tau qhia tsuas yog rau cov neeg mob hauv lawv lub cev kev tiv thaiv insulin. Yog tias cov beta hlwb ntawm tus txiav ua tiav kom ploj mus tsis tuaj yeem tsim cov tshuaj lawm, ces cov tshuaj yuav tsis tuaj yeem hloov nws nrog nws tus kheej. Nws tsuas yog rov kho cov tshuaj insulin thaum ntxov ntawm kev tsis sib haum.

Ntxiv rau cov nyhuv hypoglycemic, Diabeton muaj cov txiaj ntsig zoo rau hauv kev ncig ntshav. Feem ntau, vim lub siab cov ntsiab lus ntawm cov piam thaj hauv cov ntshav, nws dhau los ua viscous. Qhov no ua rau txhaws ntawm cov hlab ntsha. Txhais tau tias "Ntshav qab zib" tiv thaiv kom tsis txhob mob thrombosis. Nws tseem muaj cov antioxidant zog. Cov tshuaj "Diabeton" tau tso tawm maj thiab ua rau txhua hnub. Tom qab ntawd nws yog kiag li nqus los ntawm cov hnyuv. Kev noj zaubmov ntau nyob hauv lub siab. Cov khoom lag luam tawm ntawm ob lub raum.

Txhais tau tias "Diabeton": cov lus qhia rau kev siv

Kev tshuaj xyuas ntawm cov neeg mob qhia tias qhov ua tau zoo ntawm cov tshuaj no. Cov kws kho mob muab nws rau cov neeg laus. Cov koob tshuaj txhua hnub yog nyob ntawm qhov mob hnyav ntawm cov kabmob thiab qhov nws cov nyiaj tau los. Nrog theem siab ntawm cov piam thaj hauv cov ntshav, txog 0.12 g ntawm cov tshuaj ib hnub tuaj yeem kho tus neeg mob. Qhov nruab nrab koob yog 0.06 g, qhov tsawg kawg yog 0.03 g. Cov tshuaj yog pom zoo kom noj ib zaug ib hnub, thaum sawv ntxov, nrog zaub mov noj.

Coob tus neeg mob uas tau haus ntshav qab zib ntev ntev, uas kev txheeb xyuas nws tuaj yeem pom nyob hauv lub network, tau txaus siab nrog cov tshuaj no. Lawv xum cov tshuaj no rau nws ntau yam duab.

Cov nyhuv ntawm cov tshuaj rau ntawm glycated hemoglobin

Qhov taw qhia tseem ceeb ntawm kev them nyiaj ntshav qab zib yog qib ntawm glycated hemoglobin. Tsis zoo li kev ntsuam xyuas ntshav qab zib cov ntshav ib nrab, nws qhia cov ntshav qab zib nruab nrab ntev dhau ib lub sijhawm. Cov tshuaj "Ntshav Qab Zib" cuam tshuam rau qhov ntsuas no li cas? Kev tshuaj xyuas ntawm ntau tus neeg mob tau qhia tias nws tso cai rau koj coj glycated hemoglobin rau tus nqi txog li 6%, uas tau suav hais tias yog kev cai.

Hyperglycemia thaum noj cov tshuaj "Diabeton"

Txawm li cas los xij, cov nyhuv ntawm cov tshuaj rau lub cev ntawm cov ntshav qab zib yog tus kheej. Nws nyob ntawm qhov siab, qhov hnyav, thiab mob hnyav ntawm tus neeg mob lub cev tsis ua haujlwm ntawm lub cev, nrog rau kev noj zaub mov zoo thiab ua si lub cev. Txawm hais tias rau qee tus neeg mob Cov tshuaj Diabeton yog panacea, kev tshuaj xyuas ntawm lwm tus tsis yog li kev txhawb nqa. Coob tus yws yws txog qhov tsis muaj zog, xeev siab, thiab nqhis dej ntau dua thaum noj cov tshuaj no. Txhua yam no tuaj yeem yog cov tsos mob ntawm cov ntshav qab zib, uas qee zaum nrog ketoacidosis. Txawm li cas los xij, qhov no tsis txhais hais tias lub cev tsis noj cov ntshav qab zib. Feem ntau yog vim li cas cov lus qhia ncaj qha hauv kev tsis ua raws kev noj haus lossis xaiv tsis raug zoo ntawm cov tshuaj.

Ntawm cov ntshav qab zib, kev noj zaub mov kom zoo nrog rau kev txwv ntawm cov rog thiab carbohydrates yog qhia. Los ntawm kev zom rau hauv cov piam thaj, lawv ua rau dhia hauv qab zib hauv cov neeg mob cov ntshav. Tus mob ntshav qab zib yuav tsum tau muab kev nyiam rau cov zaub mov uas muaj cov carbohydrates qeeb. Cov no suav nrog rye cij, buckwheat, ci qos yaj ywm, zaub, txiv hmab txiv ntoo, mis nyuj thiab lwm yam khoom lag luam. Yog tias ntshav qab zib ua tawm tsam ntawm cov keeb kwm ntawm qhov hnyav dhau, tom qab ntawd cov kws kho mob endocrinologist pom zoo kom noj zaub mov kom tsawg. Hauv qhov no, zaub, tshuaj ntsuab, nqaij nruab deg, nqaij tsawg-rog yuav tsum nyob hauv cov zaub mov noj.Ua raws li kev noj haus zoo li no yuav ua rau koj tshem tawm qhov hnyav dhau los, ntawm qhov uas cov qib ntawm cov piam thaj hauv cov ntshav yuav nyob ruaj khov.

Kev mob ntshav qab zib yog tshuaj phiv

Cov tshuaj "Ntshav qab zib", tshuaj xyuas cov uas feem ntau zoo, tuaj yeem ua rau muaj kev phiv tshuaj nyob rau hauv daim ntawv ntawm hypoglycemia. Hauv qhov no, ntshav qab zib cov ntshav poob qis dua tus nqi yam tsawg kawg nkaus. Qhov laj thawj yuav pw hauv kev siv tshuaj ntau dhau ntawm qhov tsis pub siv tshuaj, tsis noj mov lossis ua kom lub cev muaj zog. Yog tias lwm cov ntshav qab zib qis dua yog hloov nrog Diabeton, yuav tsum saib xyuas ntshav qabzib tas li kom tiv thaiv kev tso ib qho tshuaj rau lwm qhov thiab kev txhim kho hypoglycemia.

Cov tshuaj "Diabeton" yog ib feem ntawm kev sib xyaw ua ke

Ntxiv nrog rau qhov tseeb tias cov cuab yeej no tau raug sau los ua ib qho yeeb tshuaj, nws kuj tuaj yeem yog ib feem ntawm kev sib koom ua ke. Qee zaum nws koom ua ke nrog lwm cov tshuaj rau cov ntshav qab zib, nrog rau kev zam ntawm cov uas muaj nyob hauv pawg sulfonylurea. Qhov kawg yuav cuam tshuam tib yam ntawm tus neeg mob lub cev ib yam li cov tshuaj Diabeton. Ib qho ntawm kev ua tau zoo tshaj plaws yog kev sib txuam ntawm cov tshuaj no nrog metformin.

Pom zoo koob tshuaj rau cov kis las

Cov koob tshuaj twg tuaj yeem noj cov tshuaj "Ntshav Qab Zib" hauv kev tawm dag zog lub cev? Kev tshuaj xyuas cov neeg ncaws pob qhia tias koj yuav tsum pib nrog 15 mg, uas yog, nrog ib nrab ntsiav tshuaj. Hauv qhov no, koj yuav tsum tau them sai sai rau cov tshuaj thaum muas tshuaj. Nyob ntawm nws, ib ntsiav tshuaj yuav muaj 30 lossis 60 mg ntawm cov tshuaj ua kom nquag plias. Sij hawm dhau mus, kev muab tshuaj tuaj yeem hloov maj mam nce mus rau 30 mg rau ib hnub, uas yog, txog ib ntsiav tshuaj. Zoo li mob ntshav qab zib, nws pom zoo kom noj cov tshuaj ntshav qab zib kom tsawg thaum sawv ntxov. Cov kev txheeb xyuas pom tau hais tias qhov no yuav zam tau lub xeev ntawm qhov tsis muaj ntshav qab zib nyob rau hmo ntuj, thaum nws tuaj yeem yog qhov txaus ntshai tshaj plaws. Lub sijhawm ntawm kev pub nkag yog txiav txim siab ntawm tus kheej thiab nyob ntawm kev noj qab haus huv ntawm kev ncaws pob thiab cov txiaj ntsig tau los ntawm nws. Qhov nruab nrab, cov chav kawm yog los ntawm ib hlis rau ob thiab yog nqa tawm tsis ntau tshaj ib zaug ib xyoos. Kev txais ntev dua yog qhov ua rau tsis muaj kev cuam tshuam nrog kev cuam tshuam nyob rau hauv lub pancreas. Nrog kev kawm tas li, qhov tshuaj ntxiv tuaj yeem nce ntxiv txog 60 mg ib hnub twg. Yog tias Tus neeg saib xyuas ntshav qab zib tau raug coj los tsim cov leeg nqaij, nws tsis pom zoo kom coj los ua ke nrog lwm cov tshuaj.

Cov neeg ncaws pob yuav tsum nco qab dab tsi thaum noj cov tshuaj no?

Vim tias qhov kev txo qis ntawm cov piam thaj hauv cov ntshav yog qhov tseem ceeb ntawm kev siv tshuaj "Ntshav qab zib," cov tib neeg txoj kev soj ntsuam xav kom ceev faj thaum ua raws li cov neeg ncaws pob. Ua ntej, kev qhia txog kev noj zaub mov kom muaj calorie ntau. Nrog hypoglycemia, txhawm rau nce qib ntawm cov piam thaj, koj yuav tsum noj zaub mov sai hauv cov khoom noj carbohydrates sai. Thib ob, thaum siv cov tshuaj kho mob "Ntshav Qab Zib" uas tsis muaj tshuaj kho mob, kev qhia hnyav tsis tuaj yeem nqa tawm. Kev qoj ib ce kuj tseem ua rau qis dua qib qab zib. Tsuas yog nrog kev tswj xyuas nruj ntawm kev zoo thiab lub xeev kev noj qab haus huv, kev siv cov tshuaj tuaj yeem nqa cov txiaj ntsig yam xav tau.

Yuav ua li cas paub txog cov ntshav qog ntshav qab zib?

Thaum rau feem ntau cov neeg mob ntshav qab zib mellitus, lub xeev ntawm cov ntshav qab zib tsis tau paub, tus neeg ncaws pob yuav tsis paub txog nws cov tsos mob raws sijhawm. Tsis muaj zog, tshee hnyo nyob rau hauv qhov kawg, tshaib plab thiab kiv taub hau tuaj yeem yog cov cim ntawm cov kua nplaum qis. Hauv qhov no, koj yuav tsum noj tam sim ntawd yam qab zib (piv txwv li, tsawb), haus dej tshuaj yej nrog zib ntab lossis qab zib, kua txiv. Thaum muaj kev ntsuas tsis tau ua tiav raws sijhawm, ib tus neeg yuav pib ua lub ntsej muag hypoglycemic. Hauv qhov no, cov kua nplaum qab zib tau qhia. Tsim nyog kho mob thiab saib xyuas kev kho mob tom qab yog nruj me ntsis.

Kev tshawb xyuas tsis zoo

Tus kws kho mob endocrinologist tau sau ntawv rau kuv rau tus mob ntshav qab zib, tab sis cov tshuaj no tsuas muaj mob zuj zus. Kuv tau noj nws rau 2 xyoos, lub sijhawm no kuv tau dhau los ua ib tus poj niam laus tiag tiag. Kuv poob 21 kg. Lub zeem muag poob, lub hnub nyoog tawv ua ntej lub qhov muag, teeb meem nrog ceg pom. Qab zib yog qhov txaus ntshai txawm tias ntsuas nrog glucometer. Kuv ntshai yam ntshav qab zib hom 2 tau hloov mus ua hom mob ntshav qab zib hom 1 ntau heev.

Kuv tus niam pog tsis tuaj yeem haus nws, yog mob thiab qee zaum ntuav. Nws mus rau tus kws kho mob thiab hloov qhov no thiab txoj kev ntawd ib leeg, tab sis tsis muaj dab tsi hloov nws. Nws twb tau nyob hauv siab txias thiab tsis yws yws, nws poob kev cia siab. Tab sis txhua txhua hnub, txhua yam mob ntau thiab ntau, thaj muaj kev cuam tshuam tau ua lawv txoj haujlwm. Zoo, vim li cas cov kws tshawb nrhiav tsis tau los nrog txhua yam los kho ntshav qab zib, uas yog kev coj sawv ((((((((

Lawv tau pauv kuv ntawm metformin mus rau ntshav qab zib. Thaum xub thawj kuv nyiam nws vim tias kuv coj nws ib hnub ib hnub, tab sis tom qab ntawd kuv pom tias kuv yuav tsum ceev faj tsuas yog noj ib yam dab tsi tsis raug lossis ncua sijhawm, tsis muaj teeb meem tshwm sim. Lub zeem muag, zoo li yog bifurcated, tes tshee tshee, tshaib plab los ze, thiab qhov hnyav dua yog qhov ntxiv tas li. Thiab koj tseem yuav tsum ntsuas ntsuas cov piam thaj thiab cov zaub uas tsis pheej yig muab rau dawb xwb 1 ntim rau 3 msec thiab nws tsis txaus rau ib hlis. Txhua yam yuav tsis muaj dab tsi yog tias nws tau pab, tab sis tsuas yog teeb meem ntxiv

Nws tsis pab kuv, Kuv tau muaj mob rau 9 lub hlis, los ntawm 78 kg kuv poob 20 kg, Kuv ntshai tias 2 hom hloov mus rau 1, Kuv yuav pom sai sai.

Tsis saib xyuas nruab nrab

Kuv khwv tau hom 2 mob ntshav qab zib plaub xyoos dhau los. Pom tau los ntawm lub caij nyoog, lub sijhawm tab tom kuaj mob kev soj ntsuam ib zaug ntawm lub chaw ua haujlwm. Thaum pib, qab zib yog 14-20. Nws zaum ntawm cov khoom noj nruj me ntsis, ntxiv rau nws coj galvus thiab metformin. Tsis pub dhau ob lub hlis, nws coj cov piam thaj mus txog 5, tab sis nrog lub sijhawm nws pib loj zuj zus. Ntawm cov lus qhia ntawm tus kws kho mob endocrinologist, nws tau yuam ntxiv, tab sis tsis muaj ib qho tshwm sim muaj zog. Txij xyoo tshiab, cov ntshav qabzib tau tuav tau peb lub hlis ntawm qib 8-9. Kuv tau sim ntshav qab zib, ntawm kuv tus kheej. Qhov cuam tshuam dhau txhua qhov kev cia siab. Tom qab peb zaug tshuaj ntawm ib ntsiav tshuaj thaum yav tsaus ntuj, qib piam thaj tau nce mus txog 4.3. Kuv nyeem cov ntawv txheeb xyuas tau tias nws tuaj yeem hnav cov txiav ua pa tawm tag nrho rau ob peb xyoos. Tam sim no kuv tau xaiv hom hauv qab no rau kuv tus kheej. Thaum sawv ntxov - ib ntsiav tshuaj ntawm Forsig thiab metformin 1000. Nyob rau yav tsaus ntuj - ib qho tab galvus thiab metformin 1000. Txhua plaub tsib hnub nyob rau yav tsaus ntuj, hloov galvus, Kuv noj ib nrab ib ntsiav tshuaj mob ntshav qab zib (30 mg). Cov piam thaj nyob hauv 5.2. Kuv tau ua qhov kev sim ob zaug thiab, rhuav cov khoom noj, noj ib lub ncuav. Diabeton tsis tau noj, tab sis qab zib tseem nyob rau thaum sawv ntxov ntawm 5.2. Kuv yog 56 xyoo thiab hnyav yuav luag 100 kg. Kuv tau noj ntshav qab zib rau ib hlis thiab thaum lub sijhawm no kuv tau haus 6 ntsiav tshuaj. Sim nws, tej zaum hom no tseem yuav pab tau koj.

Ib xyoos dhau los, tus kws kho mob endocrinologist hais kom noj ntshav qab zib. Cov koob tshuaj me me tsis tau pab txhua. Ib thiab ib nrab ntsiav tshuaj pib ua, tab sis cov khoom siv kuj tau txais kev mob tshwm sim: kem plab, mob plab, ntshav siab pib pib thab. Kuv xav tias cov ntshav qab zib yuav nkag mus rau hom 1, txawm hais tias qib qab zib tuaj yeem khaws cia nyob ze li qub.

Kwv yees li 3 lub hlis dhau los, tus kws kho mob tau tuaj kuaj mob Diabeton MV rau kuv, Kuv nqa ib nrab ntsiav tshuaj rau metmorphine, Kuv tau coj tshuaj metmorphine ua ntej. Cov tshuaj tshiab kom zoo dua qub, cov piam thaj hauv qab no maj mam rov qab zoo li qub. Txawm li cas los xij, muaj ntau cov kev mob tshwm sim, feem ntau cuam tshuam nrog cov hnyuv - Kuv pheej hnov ​​mob hauv plab, tsam plab, qee zaum xeev siab, qee zaum kub siab. Kuv xav ntsib tus kws kho mob ib zaug ntxiv los kho qhov tshuaj, cov nyhuv yog qhov tseeb, zoo, tab sis nws tsis tuaj yeem coj vim tias muaj ntau cov kev mob tshwm sim los ntawm cov tshuaj.

Kuv tau raug tus mob ntshav qab zib hom 2 ntev txog 10 xyoo (ntshav qab zib thaj tsam li 6 txog 12). Tus kws kho mob tau hais rau tus mob ntshav qab zib 60 ib nrab ntsiav tshuaj thaum sawv ntxov thaum noj tshais. Tam sim no, tom qab noj nws rau 3 teev, kuv lub plab mob, thiab cov piam thaj tseem nyob hauv siab (10-12). Thiab thaum cov tshuaj raug muab tso tseg, tag nrho cov mob ploj.

Kuv tsis tuaj yeem hais dab tsi tsis zoo txog cov tshuaj no, tsuas yog qee zaum qee qhov kem plab tawm ntawm nws.

Tej zaum nws pab, tsuas yog tsis txhob hnov ​​qab tias nws ua rau tus neeg ua haujlwm lub cev ua haujlwm rau kev hnav. Qhov kawg yuav ua rau lub zog insulin sai dua thiab ua rau hom ntshav qab zib hom 1

Cov lus teb zoo

Tau 4 xyoos Kuv tau noj tshuaj Diabeton MV 1/2 ntsiav tshuaj thaum sawv ntxov thaum noj tshais. Ua tsaug rau qhov no, qab zib yuav luag zoo li qub - los ntawm 5.6 txog 6.5 mmol / L. Yav dhau los, nws ncav cuag 10 mmol / l, txog thaum nws pib kho nrog cov tshuaj no. Kuv sim txwv cov khoom qab zib thiab noj kom tsawg, raws li kws kho mob qhia, tab sis qee zaum kuv zom.

Kuv pog muaj ib tus mob tag nrho, thiab ib xyoos dhau los nws tau muab tso rau ntawm ib pawg ntawm cov ntshav qab zib. Kuv tus niam pog tau quaj tom qab ntawd, vim tias kuv hnov ​​cov dab neeg hais txog yuav ua li cas txiav caj dab hauv cov ntshav qab zib mellitus, yuav ua li cas tib neeg thiaj li muaj insulin.

Tab sis thaum nyuam qhuav pib, tseem yuav tsis tau muaj cov tshuaj insulin, thiab ib hnub txaus ib hnub mus noj tshuaj Ntshav Qab Zib. Kuv tus pog muaj tus mob ntshav qab zib hom 2 no. Tab sis yog tias nws tsis noj cov tshuaj no, nws yuav yog thawj hom, thiab tom qab ntawd yuav tsim tshuaj insulin.

Thiab Diabeton txo qis thiab tswj cov ntshav qab zib kom qis, thiab qhov no yog qhov tseeb. Tau 8 lub hlis, Kuv pog tau twb dhau los ua qhov kev siv, thiab qhov no zoo dua li txhaj tshuaj hno. Niam Pog kuj txwv kev siv qab zib, tab sis tsis kam tsis kam lees txhua. Feem ntau, nrog tus mob ntshav qab zib nws tau pom kev noj zaub mov, tab sis tsis tshua nyuaj.

Nws tsuas yog kev tu siab tias cov tshuaj tau sau tseg rau lub neej los yog txog thaum nws tsum nres.

Kuv tau haus cov tshuaj no tau ob xyoos, Kuv twb tau txhaj ob npaug ntxiv lawm. Cov teeb meem ceg tau pib, qee zaum ua haujlwm tsis muaj zog thiab tsis nco qab. Lawv hais tias cov no yog cov kev mob tshwm sim los ntawm cov tshuaj. Tab sis suab thaj muaj kwv yees li 6 mmol / l, uas yog qhov txiaj ntsig zoo rau kuv.

Kuv tau raug ntshav qab zib tau rau lub hlis dhau los. Txhua txhua peb lub hlis Kuv tau ua ib qho kev soj ntsuam ntshav qab zib rau cov piam thaj, thiab lub kawg qhia tias muaj piam thaj yuav luag zoo li qub. Qhov no tsis tau tab sis thov rau kuv, vim tias muaj kev cia siab thaum kawg ua kom qab zib, thiab nws tuaj yeem kho kom zoo. Npau suav yog npau suav. Tab sis yog tias qhov tshwm sim tshwm sim hauv rau lub hlis, tom qab ntawd tej zaum hauv ob peb xyoos kuv yuav tsis xav tau cov tshuaj lawm.

Nyob zoo Kuv xav sau txog tshuaj kho mob ntshav qab zib ntshav qab zib ntshav qab zib. Kuv tus txiv muaj ntshav qab zib hom 2 (insulin-ywj siab), yog li noj tshuaj txhua hnub yog qhov yuav tsum muaj. Thaum sawv ntxov ntawm lub plab khoob, nws noj ib qho Ntshav Qab Zib Diabeton, thiab haus Glucofage peb zaug ib hnub tom qab noj mov.

Tus mob ntshav qab zib (zoo li Glucofage) yog qhia rau kev kho mob ntshav qab zib mellitus tsuas yog hom 2, thiab nws yuav tsum tau noj tas li. Thaum kuv tus txiv tau so hauv qhov kev txais tos, rau ob peb hnub qab zib yog qhov qub, thiab tom qab ntawd dhia ntse! Txawm hais tias nws txwv nws tus kheej rau cov khoom qab zib. Tsis muaj sim li ntawd.

Yog li kuv pom zoo kom Diabeton rau kev siv, tab sis tsuas yog qhia los ntawm kws kho mob thiab hauv qab nws saib xyuas! Tom qab tag nrho, rau ib tug neeg, ib nrab ntawm ib ntsiav tshuaj yuav txaus, tab sis rau ib tug neeg, ob yog nyuam qhuav txaus. Nws nyob ntawm ntau npaum li cas ib tug neeg muaj qhov hnyav thiab qab zib theem, ntawm lub verge ntawm ib txwm, thiab qee zaus nws mus deb dhau. Tab sis yog tias koj xaiv qhov ntau lawm thiab noj tshuaj tsis tu ncua, ces cov piam thaj yuav zoo li qub!

Kuv xav koj txhua tus noj qab haus huv!

Hnub no peb yuav los tham txog Ntshav Qab Zib Cov Tshuaj Ntshav Qab Zib. Cov tshuaj no yog siv kuv niam txoj cai. Kwv yees li ib xyoos dhau los, nws tau mus cuag kws kho mob nrog qee cov tsos mob. Tom qab cov kev tshawb fawb ntau, nws tau tshawb pom tias nws tsis yog kev kuaj mob tsis txaus siab - yam ntshav qab zib hom 2. Nws cov ntshav qab zib lub sijhawm nws siab heev - txog 11. Tus kws kho mob tau sau tshuaj insulin tam sim ntawd. Txawm li cas los xij, peb tau txiav txim siab sab laj nrog cov kws tshaj lij.

Hauv lwm lub tsev kuaj mob, tus niam tais kuj raug soj ntsuam kom zoo, kev noj zaub mov kom nruj rau cov neeg mob ntshav qab zib thiab cov ntshav qab zib ntshav qab zib tau raug kho.

Tus nqi ntawm 20 ntsiav tshuaj yog kwv yees li 200 rubles. Hauv cov chaw muag tshuaj sib txawv hauv txoj kev sib txawv. Tus niam tais haus 1 ntsiav tshuaj hauv ib hnub (ib txwm muaj, raws li kws kho mob tau hais).

Tom qab li peb lub hlis ntawm kev noj ntshav qab zib, cov ntshav qab zib qib tau poob rau 6. Tab sis tus kws kho mob tsis tau thim cov ntsiav tshuaj. Feem ntau cov yuav, lawv yuav tau haus tas li tam sim no + kev noj haus.

Thaum lub sijhawm no, cov piam thaj hauv niam-niam-txiv yog qhov yuav luag zoo, qee zaum nce me ntsis. Tab sis tsis tseem ceeb.

Kuv ntseeg hais tias qhov tshuaj no zoo, tsis kim heev thiab tsis muaj qhov tshwm sim los ntawm nws.

Lawm, koj yuav tsum tsis txhob siv tshuaj kho koj tus kheej. Ntshav qab zib yog kab mob insidious. Nyob rau hauv txhua rooj plaub, ntxiv rau cov ntsiav tshuaj, koj yuav tsum nruj me ntsis ua raws kev noj haus, txwv tsis pub tsis muaj tshuaj yuav pab.

Kuv niam muaj kab mob rau niaj hnub no - nws yog ntshav qab zib. Hauv theem pib ntawm ntshav qab zib - cov neeg mob noj tshuaj kom txo lawv cov ntshav qab zib, thawj theem ntawm cov ntshav qab zib - koj yuav tsum txhaj tshuaj insulin.

Kuv niam tseem tuav, tsis zaum ntawm insulin thiab noj tshuaj ntshav qab zib ntshav qab zib, ua raws li kev noj haus, tsis muaj dab tsi. Koj yuav tsum haus cov tshuaj no tsuas yog qhia koj tus kws kho mob. Ua ntej lawv tau tshuaj rau ib hlis. Txawm hais tias pom qhov tshwm sim tsis zoo tshwm sim, qhov nws pab tau. Yog tias txhua yam nws tsis tu ncua thiab nws txo qis cov ntshav qab zib kom txaus, ces nws yuav tsum tau noj tas li.

Cov tshuaj yog zoo heev, nws txo cov suab thaj zoo yog tias koj tsis ua txhaum kev noj haus rau cov ntshav qab zib. Thaum noj cov tshuaj no, koj yuav tsum tswj hwm feem ntau ntawm cov piam thaj, hemoglobin, nplooj siab thiab lub raum kev ua haujlwm. Hauv qhov no, yuav tsum muaj cov khoom noj khoom haus tsis tu ncua, xaiv txoj kev xaiv tshuaj kho.

Kuv xav qhia rau koj txog koj qhov kev xav zoo ntawm cov tshuaj Serdix "Mob ntshav qab zib" MV.

Cov tshuaj no yog ib qho pheej niaj hnub noj, noj los ntawm kuv txiv txhua hnub raws li kws kho mob tau sau tseg. Nws tau muaj mob ntshav qab zib tau ntev. Thiab cov tshuaj no pab nws cov ntshav qab zib txhua txhua hnub.

Cov tshuaj zoo heev. Nws tsuas yog rho tawm yog tus nqi siab. Tus nqi ntawm kev ntim 60 ntsiav tshuaj nrog peb tus nqi kwv yees li 40-45000, nyob ntawm lub tsev muag tshuaj twg, uas yog kwv yees li 10 las. Rau cov tsis tu ncua thiab siv txhua hnub, tau kawg, nws tawm los zoo nkauj kim.

Cov tshuaj tsis ua rau muaj kev tsis haum tshuaj thiab tsis muaj kev phiv, yam tsawg kawg kuv txiv tsis hnov ​​dab tsi ntawm nws tus kheej thiab tsis hnov ​​mob dab tsi thaum noj.

Kuv pom zoo cov tshuaj Serdix "Diabeton" MV rau cov neeg mob ntshav qab zib. Ib qho tshuaj zoo thiab muaj txiaj ntsig zoo uas pab tswj hwm kev noj qab zib txhua hnub nyob hauv ib qho li qub thiab mloog tau zoo.

Tsis txhob hnov ​​qab sab laj tus kws kho mob. Tsis txhob mob!

Cov ntaub ntawv tshuaj dav dav

Diabeton MV yog txheej txheem thib ob ntawm sulfonylurea derivative. Hauv qhov xwm txheej no, abbreviation MB txhais tau tias hloov kho tau ntsiav tshuaj. Lawv cov txheej txheem ntawm kev ua yog raws li nram no: ib ntsiav tshuaj, poob rau hauv tus neeg mob lub plab, yaj hauv 3 teev. Tom qab ntawd cov tshuaj nyob rau hauv cov ntshav thiab maj mam txo qis hauv cov piam thaj. Cov kev tshawb fawb pom tau tias cov tshuaj niaj hnub tsis feem ntau ua rau lub xeev ntawm kev kub siab thiab tom qab ntawd nws cov tsos mob hnyav. Yeej, cov tshuaj yog heev yooj yim zam los ntawm ntau tus neeg mob. Txheeb cais tsuas hais txog 1% ntawm cov kev mob tshwm sim tsis zoo.

Cov tshuaj nquag ua haujlwm - gliclazide muaj cov txiaj ntsig zoo ntawm beta hlwb nyob hauv thaj chaw txiav txiav. Raws li qhov tshwm sim, lawv pib tsim cov tshuaj insulin ntau dua, ib yam tshuaj uas txo qis cov piam thaj. Tsis tas li ntawd, thaum lub sijhawm siv cov tshuaj, qhov tshwm sim ntawm qhov mob ntawm cov hlab ntsha me yog tsawg dua. Cov tshuaj lwg me me muaj cov yam ntxwv antioxidant.

Ntxiv rau, cov tshuaj muaj cov khoom siv ntxiv xws li calcium calcium phosphate dihydrate, hypromellose 100 cP thiab 4000 cP, maltodextrin, magnesium stearate thiab anhydrous colloidal silicon dioxide.

Ntshav qab zib mb ntsiav tshuaj siv rau hauv kev kho mob ntshav qab zib hom 2, thaum kev tawm dag zog thiab ua raws li kev noj haus tshwj xeeb tsis tuaj yeem cuam tshuam cov piam thaj. Ntxiv rau, cov tshuaj no yog siv rau hauv kev tiv thaiv ntawm cov teeb meem "mob qab zib" xws li:

1. Cov teeb meem microvascular - nephropathy (mob raum) thiab retinopathy (mob rau lub qhov muag ntawm cov pob muag ntawm lub pob muag).
2. Kev mob macrovascular - mob stroke lossis myocardial infarction.

Hauv qhov no, cov tshuaj tsis tshua raug coj los ua lub ntsiab lus ntawm kev kho mob. Feem ntau kho mob ntshav qab zib hom 2, nws siv tom qab kho nrog Metformin. Tus neeg mob noj tshuaj ib hnub ib zaug yuav muaj cov ntsiab lus tseem ceeb ntawm cov tshuaj nquag muaj 24 teev.

Gliclazide ua rau sab tawm los ntawm lub raum hauv daim ntawv ntawm kev ua kom muaj kabmob.

Cov lus qhia rau kev siv ntsiav tshuaj

Ua ntej txoj kev kho tshuaj, koj yuav tsum mus ntsib kws kho mob uas yuav soj ntsuam kev mob nkeeg ntawm tus neeg mob thiab sau ntawv kho kom zoo nrog kev noj tshuaj kom zoo. Tom qab yuav Diabeton MV, cov lus qhia rau kev siv yuav tsum ua tib zoo nyeem kom tsis txhob siv cov tshuaj tsis raug cai. Cov pob muaj xws li 30 lossis 60 ntsiav tshuaj. Ib ntsiav tshuaj muaj 30 los yog 60 mg ntawm cov tshuaj nquag.

Thaum muaj li 60 mg ntsiav tshuaj, muab ntau rau cov neeg laus thiab cov neeg laus thaum pib 0.5 ntsiav tshuaj ib hnub (30 mg). Yog tias cov piam thaj hauv pem teb txo qis zuj zus, cov koob tshuaj tuaj yeem nce ntxiv, tab sis tsis txuas ntxiv ntau dua tom qab 2-4 lis piam. Kev siv tshuaj ntau tshaj plaws yog 1.5-2 ntsiav tshuaj (90 mg lossis 120 mg). Dosage cov ntaub ntawv yog rau kev siv xwb. Tsuas yog tus kws kho mob uas tuaj koom, coj mus rau hauv tus lej ntawm tus yam ntxwv ntawm tus neeg mob thiab cov txiaj ntsig ntawm kev tshuaj ntsuam ntawm glycated hemoglobin, ntshav qabzib, tuaj yeem sau tshuaj rau qhov tsim nyog noj tshuaj.

Cov tshuaj Diabeton mb yuav tsum tau siv nrog kev saib xyuas tshwj xeeb hauv cov neeg mob uas mob raum thiab mob siab tsis txaus, nrog rau kev noj zaub mov tsis xwm yeem. Cov kev siv tau ntawm cov tshuaj nrog rau lwm cov tshuaj muaj ntau heev. Piv txwv li, Diabeton mb tuaj yeem noj nrog insulin, alpha glucosidase inhibitors thiab biguanidins. Tab sis nrog kev siv tib txhij los ntawm chlorpropamide, kev txhim kho ntshav qab zib (hypoglycemia) yog ua tau. Yog li, kev kho mob nrog cov ntsiav tshuaj no yuav tsum yog nyob rau hauv kev tswj hwm ntawm tus kws kho mob nruj.

Cov Ntsiav Tshuaj Diabeton mb yuav tsum tau muab zais ntev dua ntawm qhov muag ntawm cov menyuam yaus. Txee lub neej yog 2 xyoos.

Tom qab lub sijhawm no, kev siv cov tshuaj yog nruj me ntsis txwv tsis pub.

Tus nqi thiab tshuaj tshuaj

Koj tuaj yeem yuav MR Diabeton ntawm cov khw muag tshuaj lossis ua kom online sau ntawm tus muag lub vev xaib. Txij li ob peb lub tebchaws tsim cov tshuaj Diabeton MV ib zaug, tus nqi hauv ib lub tsev muag tshuaj tuaj yeem sib txawv. Tus nqi nruab nrab ntawm cov tshuaj yog 300 rubles (60 mg txhua, 30 ntsiav tshuaj) thiab 290 rubles (60 mg txhua 30 mg). Ib qho ntxiv, tus nqi sib txawv:

1. 60 mg ntsiav tshuaj ntawm 30 daim: ntau kawg 334 rubles, tsawg kawg yog 276 rubles.
2. 30 mg ntsiav tshuaj ntawm 60 daim: ntau qhov 293 rubles, qhov tsawg kawg yog 287 rubles.

Peb tuaj yeem xaus tias cov tshuaj no tsis kim heev thiab nws tuaj yeem yuav los ntawm cov neeg tau nyiaj nruab nrab uas muaj ntshav qab zib hom 2. Cov tshuaj yog xaiv nyob ntawm seb cov tshuaj ntau npaum li cas tau sau tseg los ntawm tus kws kho mob.

Kev txheeb xyuas txog Diabeteson MV feem ntau zoo. Qhov tseeb tiag, ntau ntawm cov neeg mob ntshav qab zib tau thov tias cov tshuaj txo cov ntshav qabzib mus rau qhov tseem ceeb. Ntxiv rau, cov tshuaj no tuaj yeem hais txog qhov zoo:

• Cov neeg mob ntshav qab zib tsawg kawg (tsis ntau tshaj 7%).
• Ib koob tshuaj ib zaug ib hnub ua rau lub neej yooj yim rau ntau cov neeg mob.
• Raws li kev siv cov gliclazide MV, cov neeg mob tsis ntsib kev loj dua hauv lub cev qhov hnyav. Tsuas yog ob peb phaus, tab sis tsis muaj ntxiv.

Tab sis kuj tseem pom qhov tsis zoo txog cov tshuaj Diabeton MV, feem ntau cuam tshuam nrog cov xwm txheej zoo li no:

1. Cov neeg nyias tau muaj tus mob ntawm kev loj hlob ntawm insulin-tiv thaiv ntshav qab zib mellitus.
2. Ntshav qab zib Hom 2 tuaj yeem nkag mus rau thawj hom kabmob.
3. Cov tshuaj tsis tawm tsam cov tshuaj tiv thaiv cov tshuaj insulin.

Cov kev tshawb fawb tsis ntev los no tau pom tias cov tshuaj Diabeton MR tsis txo tus neeg tuag los ntawm cov ntshav qab zib.

Tsis tas li ntawd, nws cuam tshuam tsis zoo rau hlwb pancreatic B, tab sis ntau tus neeg endocrinologist tsis quav ntsej qhov teebmeem no.

Cov tshuaj zoo sib xws

Txij li cov tshuaj Diabeton MB muaj ntau yam contraindications thiab tsis pom zoo, qee zaum nws siv yuav muaj kev phom sij rau tus neeg mob ntshav qab zib.

Hauv qhov no, tus kws kho mob kho cov tshuaj kho mob thiab sau ntawv rau lwm txoj kev kho mob uas cov tshuaj kho zoo ib yam li Diabeton MV. Nws yuav yog:

• Onglisa yog yam muaj suab thaj txo qis rau hom ntshav qab zib hom 2. Yeej, nws yog coj los ua ke nrog lwm yam xws li metformin, pioglitazone, glibenclamide, dithiazem thiab lwm yam. Nws tsis muaj dab tsi tshwm sim hnyav li Diabeton mb. Tus nqi nruab nrab yog 1950 rubles.
• Glucophage 850 - cov tshuaj uas muaj cov tshuaj ua kom nquag pliav metformin. Thaum kho, ntau tus neeg mob tau sau tseg tias lub sijhawm ntev ntawm cov ntshav qab zib, thiab txawm tias ib qho poob hauv qhov hnyav dhau los. Nws txo txoj kev pheej hmoo ntawm kev tuag los ntawm ntshav qab zib los ntawm ib nrab, nrog rau qhov muaj feem ua rau muaj mob plawv thiab mob stroke. Tus nqi nruab nrab yog 235 rubles.
• Thaj neeb yog ib yam tshuaj uas muaj cov tshuaj glimepiride, uas tso cov insulin los ntawm pancreatic B cell. Muaj tseeb, cov tshuaj muaj ntau yam kev sib kis. Tus nqi nruab nrab yog 749 rubles.
• Diagnizide muaj cov ntsiab lus tseem ceeb ntsig txog sulfonylurea derivatives. Cov tshuaj tsis tuaj yeem noj nrog kev haus cawv ntev, noj phenylbutazone thiab danazole. Cov tshuaj txo cov tshuaj insulin tsis kam. Tus nqi nruab nrab yog 278 rubles.
• Siofor yog ib tus neeg sawv cev hypoglycemic zoo heev. Nws tuaj yeem siv nrog lwm cov tshuaj, piv txwv li, salicylate, sulfonylurea, insulin thiab lwm yam. Tus nqi nruab nrab yog 423 rubles.
• Maninil yog siv los tiv thaiv cov ntshav qog ntshav qab zib thiab hauv kev kho mob ntshav qab zib hom 2. Ib yam li neeg mob ntshav qab zib 90 mg, nws muaj ntau qhov sib npaug ntawm cov contraindications thiab cov kev mob tshwm sim. Tus nqi nruab nrab ntawm cov tshuaj yog 159 rubles.
• Glybomet muaj cov txiaj ntsig zoo ntawm tus neeg mob lub cev, ua rau muaj kev zais ntawm cov tshuaj insulin. Cov tshuaj tseem ceeb ntawm cov tshuaj no yog metformin thiab glibenclamide. Tus nqi nruab nrab ntawm cov tshuaj yog 314 rubles.

Nov tsis yog tag nrho cov tshuaj uas zoo ib yam li Diabeton mb. Glidiab MV, Gliclazide MV, Diabefarm MV yog suav tias yog txhais ntawm cov tshuaj no. Tus mob ntshav qab zib thiab nws tus kws kho mob mus kawm yuav tsum xaiv tus mob ntshav qab zib hloov raws li cov kev kho mob uas ua tau thiab kev siv nyiaj txiag muaj peev xwm ntawm tus neeg mob.

Diabeton mb yog ib qho tshuaj hypoglycemic zoo uas txo qis kev mloog ntawm cov piam thaj hauv cov ntshav. Coob tus neeg mob teb tau zoo heev txog cov tshuaj. Lub caij no, nws muaj ob qho tib si qhov zoo thiab qee qhov tsis zoo. Kev siv tshuaj kho mob yog ib qho ntawm cov muaj txiaj ntsig ntawm kev ua tiav ntawm hom mob ntshav qab zib hom 2. Tab sis tsis txhob hnov ​​qab txog kev noj zaub mov kom zoo, kev tawm dag zog, tswj cov ntshav qab zib, so kom txaus.

Ua tsis tau raws li tsawg kawg ib qho taw tes yuav ua rau tsis ua tiav ntawm kev siv tshuaj nrog Diabeton MR. Tus neeg mob tsis pub nws tus kheej noj tshuaj. Tus neeg mob yuav tsum mloog tus kws kho mob, vim tias qhov kev qhia tau ntawm nws tuaj yeem yog tus yuam sij rau kev daws cov teeb meem uas muaj suab thaj ntau ntau nrog "kab mob qab zib". Noj qab nyob zoo!

Tus kws tshaj lij hauv cov yeeb yaj kiab hauv tsab xov xwm no yuav tham txog Ntshav Qab Zib ntshav qab zib.