Yuav ua li cas siv yeeb tshuaj Maninil thiab nws cov nqi hauv cov khw muag tshuaj yog li cas?

Glibenclamide stimulates zus tau tej cov tshuaj insulin thiab nce insulin excretory nyhuv piam thaj.

Raws li qhov tshuaj ntawm lub cev, qhov mob rhiab ntawm pancreatic hlwb rau ib qho insulinotropic qabzib-dependant polypeptide ntau ntxiv.

Cov txiaj ntsig ua kom tiav yog ua tiav los ntawm kev nce siab ntawm cov tau txais mus rau cov tshuaj insulin.

Hauv kev siv tshuaj, mannyl txo cov kev pheej hmoo muaj teeb meem xws li mob hlwb, retinopathy, kev mob plawv, txo cov kev ploj tuag los ntawm cov ntshav qab zib.

Cov tshuaj muaj tshuaj thaiv tsis taus thiab cardioprotective kev txiav txim, uas tso cai muab tshuaj rau tus mob ntshav qab zib nrog concomitant coronary mob plawv.

Glibenclamide txo cov kev ua platelet ntau, tiv thaiv vascular cov teeb meem ntshav qab zib.

Cov tshuaj siv tau rau ntau tshaj 12 teev. Hauv daim ntawv me me, glibenclamide nrawm dua sai los ntawm kev zom zaub mov, uas tso cai rau cov tshuaj ua ntau lub cev thiab maj mam ua.

Tso tawm daim ntawv thiab muaj pes tsawg leeg

Daim ntawv tsuas tshuaj ntawm Maninil yog ntsiav tshuaj: tiaj-cylindrical, liab dawb hauv xim, nrog ib tug bevel thiab chamfer ntawm ib sab (120 pcs. Hauv lub hwj ntim cov iav tsis muaj kob, 1 lub raj mis hauv ib pob ntawv).

Qhov tseem ceeb tshuaj ntawm cov tshuaj yog glibenclamide (hauv micronized form). Hauv 1 lub tshuaj nws muaj 1.75 mg, 3.5 mg lossis 5 mg.

Ntsiav tshuaj 1.75 thiab 3.5 mg: qos hmoov txhuv nplej siab, lactose monohydrate, hemetellose, magnesium stearate, colloidal silicon dioxide, crimson zas xim (Ponceau 4R) (E124),
5 mg ntsiav tshuaj: gelatin, talc, qos hmoov txhuv nplej siab, lactose monohydrate, magnesium stearate, zas xim liab (Ponceau 4R) (E124).

Cov Yuav Tsum Muaj

Yam 1 ntshav qab zib
Mob ntshav qab zib precoma thiab coma
Ntshav qab zib ketoacidosis
Kev mob tom qab kuaj quav dua,
Cov piam thaj-6-phosphate dehydrogenase tsis txaus,
Cov kab mob tsis haum rau lactose, lactase deficiency, qabzib / lactose malabsorption syndrome,
Paresis ntawm lub plab, plab hnyuv khaus,
Mob raum tsis ua hauj lwm (kev tshem tawm creatinine tsawg dua 30 ml / feeb),
Mob siab heev,
Leukopenia
Kev txiav cov roj metabolism hauv lub cev tom qab kev phais mob loj, rau kev kub hnyiab, raug mob thiab kis kab mob, yog tias muaj cov tshuaj insulin qhia,
Tsis txog 18 xyoo
Cev xeeb tub
Lactation
Cov tshuaj tiv thaiv tsis haum rau cov tshuaj ntawm cov tshuaj lossis probenecid, diuretics uas muaj cov pab pawg sulfonamide hauv cov qauv molecule, sulfonamides thiab lwm yam sulfonylurea derivatives.

Tus txheeb ze (xav tau kev saib xyuas ntxiv):

Kab mob ntawm cov thyroid caj pas, nrog los ntawm kev ua txhaum ntawm nws txoj haujlwm,
Kev ua haujlwm ntawm adrenal cortex lossis anterior pituitary,
Lub siab ntsws Febrile
Cawv cawv rau qaug cawv,
Kev haus cawv mus ntev
Lub hnub nyoog dhau 70 xyoo.

Tsuas tshuaj thiab tswj hwm

Cov koob tshuaj ntawm Maninil yog txiav txim siab nyob ntawm qhov mob hnyav ntawm cov chav kawm, tus hnub nyoog ntawm tus neeg mob thiab qhov concentration ntawm cov piam thaj hauv cov ntshav ntawm lub plab khoob thiab 2 teev tom qab noj mov.

Siv cov tshuaj ua ntej noj mov, haus dej kom ntau. Yog tias tsim nyog, cov ntsiav tshuaj tuaj yeem faib ua ib nrab, tab sis tsis tuaj yeem tsoo lossis zom. Cov koob tshuaj txhua hnub txog 2 ntsiav tshuaj feem ntau yog pom zoo kom noj ib zaug ib hnub - ua ntej noj tshais. Cov qib siab dua tau muab faib rau 2 koob tshuaj - thaum sawv ntxov thiab yav tsaus ntuj.

Thawj koob tshuaj yuav yog los ntawm 1.75 mg txog 5 mg. Yog tias cov nyhuv tsis txaus, nyob rau hauv kev saib xyuas ntawm tus kws kho mob, qhov koob tshuaj yog maj mam nce mus rau qhov zoo tshaj plaws, uas yuav tswj cov metabolism hauv cov zaub mov kom hnyav. Qhov kev nce qib koob tshuaj yog tau ua tiav ntawm ntu ob peb hnub mus rau 1 lub lis piam. Qhov siab tshaj plaws tau tso cai noj tshuaj txhua hnub yog 10.5 mg (6 ntsiav tshuaj 1.75 mg lossis 3 ntsiav tshuaj 3.5 mg). Qee qhov xwm txheej, nws raug tso cai nce koob tshuaj rau hnub 15 mus rau 15 mg (3 ntsiav tshuaj 5 mg).

Hloov chaw ntawm tus neeg mob mus rau Maninil los ntawm lwm lub tshuaj hypoglycemic yog nqa tawm los ntawm kev saib xyuas ntawm tus kws kho mob, pib nrog qhov kev txhaj tshuaj tsawg kawg nkaus, maj mam nce nws mus rau qhov tsim nyog kho.

Cov laus, cov neeg tsis muaj zog thiab cov neeg mob uas tsis muaj zaub mov noj tsawg, nrog rau cov neeg mob raum lossis mob nyhav, ob qho pib thiab txij nkawm cov tshuaj tau txo, vim tias lawv muaj kev pheej hmoo ntawm kev txhim kho hypoglycemia.

Yog tias koj tsis nco qab noj ntxiv lawm, noj tshuaj hauv lub sijhawm ib txwm, nws raug txwv tsis pub noj ob npaug!

Sab sij huam

Kev tiv thaiv kab mob: feem ntau - kev nce hauv lub cev hnyav, mob ntshav qab zib (hyperthermia, av noo ntawm daim tawv nqaij, tsis muaj zog, nkees nkees, kev tshaib plab, kev tsis sib haum xeeb ntawm kev txav, kev ntxhov siab, mob taub hau, tshee, lub siab ntawm kev ntshai, tachycardia, hloov mus rau lwm qhov mob neurological, nrog rau paresis lossis tuag tes tuag taw, qhov kev hloov pauv ntawm qhov kev nkag siab ntawm qhov hnov ntawm qhov txawv, hais lus thiab pom lub zeem muag),
Kev zom plab zom mov: ua haujlwm tsis txaus ntseeg - lub cev nqaij daim tawv saj ntawm lub qhov ncauj, mob plab, zoo nkaus li mob hauv plab, xeev siab, raws plab, duav, ntuav, ntuav,
Kev mob siab thiab mob biliary: muaj tsawg kawg - kev mob siab ntawm ntshav cholestasis, ib ntus nce ntxiv hauv kev ua haujlwm ntawm daim siab enzymes, kab mob siab,
Hematopoietic system: tsis tshua muaj - thrombocytopenia, tsis tshua muaj tshwm sim - agranulocytosis, erythropenia, leukopenia, hauv cov kis mob cais tawm - hemolytic anemia, pancytopenia,
Kev tiv thaiv kab mob: ua haujlwm tsis xws luag - purpura, urticaria, nce photosensitivity, petechiae, khaus, tsis tshua muaj tshwm sim - anaphylactic ceeb, kev tsis haum vasculitis, kev tsis haum tshuaj rau lub cev, nrog kub cev, tawm pob ntawm daim tawv nqaij, proteinuria, mob caj dab thiab daj ntseg,
Lwm yam: tsis tshua muaj tshwm sim - nce diuresis, hyponatremia, proteinuria, chaw nyob tsis haum, pom kev tsis meej, disulfiram-zoo li cov tshuaj tiv thaiv thaum noj cawv (feem ntau tshwm sim los ntawm cov tsos mob xws li tshav kub ntawm lub ntsej muag thiab lub cev sab saud, mob plab, xeev siab, ntuav, kiv taub hau), mob taub hau, tachycardia), khaub thuas sib fab rau sulfonamides, sulfonylureas, probenecid, diuretics muaj sulfonamide pawg hauv cov qauv molecule.

Cov lus qhia tshwj xeeb

Tag nrho lub sijhawm ntawm kev kho mob, nws yog qhov yuav tsum tau ua raws li kws kho mob cov lus pom zoo rau kev saib xyuas tus kheej ntawm cov ntshav qabzib thiab kev noj zaub mov, kom tsis txhob muaj lub hnub ntev.

Nws yuav tsum nco ntsoov tias kev tawm dag zog lub cev, lub cev tsis txaus ntawm carbohydrates, kev tsis yoo ncua ntev los ntawm kev noj zaub mov, nrog rau ntuav thiab zawv plab yog qhov muaj feem ua rau lub qog ntshav qab zib.

Hauv cov neeg laus dua, qhov muaj feem ntawm kev txhim kho hypoglycemia yog siab dua me ntsis, yog li lawv xav tau kev xaiv ntau dua kev xaiv koob tshuaj thiab kev saib xyuas cov ntshav qabzib hauv siab, tshwj xeeb tshaj yog thaum pib kho.

Peripheral neuropathy thiab tib lub sijhawm noj tshuaj uas muaj cov nyhuv hauv nruab nrab lub paj hlwb, txo cov ntshav siab (suav nrog beta-blockers), tuaj yeem npog cov tsos mob ntawm kev mob ntshav qab zib.

Ethanol tuaj yeem ua rau kev txhim kho hypoglycemia thiab muaj kev cuam tshuam zoo li disulfiram, yog li thaum kho nws yog qhov yuav tsum txwv tsis pub haus dej haus cawv.

Cov kab mob sib kis nrog febrile syndrome, kub hnyiab ntev, kev raug mob thiab kev phais mob tuaj yeem yuav tsum tsis tas txiav cov tshuaj thiab kev teem caij tshuaj insulin.

Thaum kho, kev ceeb toom yuav tsum paub thaum tsav tsheb thiab koom nrog kev ua si nrog cov kev phom sij uas yuav muaj kev cuam tshuam, uas yuav tsum muaj kev cuam tshuam ceev thiab nce ntxiv.

Yeeb tshuaj sib cuam tshuam

Cov tshuaj yeeb yaj kiab hauv qab no tuaj yeem txhim kho qhov tshwm sim ntawm Maninil: insulin thiab lwm qhov ncauj tshuaj hypoglycemic, coumarin derivatives, angiotensin-hloov enzyme inhibitors, quinolone derivatives, monoamine oxidase inhibitors, tshuaj tua kab mob (fluconazole, miconazole), clofibrate thiab nws cov analogues, tsis-azpropenazole, , beta-blockers, fenfluramine, disopyramides, fluoxetine, probenecid, tetracyclines, sulfonamides, salicylates, tritocvalins, derivatives ntawm irazolones, perhexiline, phosphamides (e.g. ifosfamide, cyclophosphamide, trophosphamide), tshuaj anabolic thiab txiv neej poj niam txiv neej cov tshuaj hormones, pentoxifylline (hauv kev txhaj tshuaj zoo rau kev siv niam txiv), tso zis acidifying npaj (calcium chloride, ammonium chloride).

Ib txhij nrog qhov nce ntawm hypoglycemic effect, reserpine, guanethidine, clonidine thiab beta-blockers, nrog rau cov tshuaj nrog ib qho kev ua haujlwm nruab nrab ntawm qhov kev txiav txim, tuaj yeem ua kom tsis muaj zog ntawm cov tsos mob uas yog ua ntej ntawm hypoglycemia.

Cov tshuaj yeeb yaj kiab hauv qab no tuaj yeem txo qhov tshwm sim ntawm Maninil: glucocorticosteroids, nicotinates (hauv siab), barbiturates, qeeb calcium calcium blockers, tshuaj tiv thaiv qhov ncauj thiab estrogens, thyroid hormones npaj, lithium ntsev, sympathomimetics, thiazide diuretics, glucagon, phenothiazines, , acetazolamide, rifampicin, isoniazid.

Antagonists ntawm N₂receptors tuaj yeem tuaj yeem txhim kho ob qho tib si thiab ua kom tsis muaj zog hypoglycemic cov tshuaj.

Maninyl tuaj yeem ua kom tsis muaj zog lossis txhim kho kev ua haujlwm ntawm coumarin derivatives.

Cov teeb meem cais tawm tau paub thaum pentamidine ua rau muaj kev nce ntxiv thiab txo qis hauv kev mloog zoo ntawm cov piam thaj hauv cov ntshav.

Cov Tshuaj Pharmacokinetics

Maninyl 3.5 thiab 1.75: nqus tau los ntawm lub plab zom mov sai thiab yuav luag tiav. Tshaj tawm ntawm micronized yam khoom muaj sia nyob rau hauv tag nrho tshwm sim hauv 5 feeb,
Maninil 5: qib ntawm kev nqus ntawm lub plab zom mov - los ntawm 48 txog 84%. Lub sijhawm mus txog C_max 1–2 teev. Kev tsis raug cai txog ntawm kev tsis raug cai yog los ntawm 49 txog 59%.

Kev khi rau cov ntshav plasma protein: Maninyl 3,5 thiab 1,75– ntau dua 98%, Maninyl 5 - 95%.

Glibenclamide yuav luag tag nrho cov tshuaj hauv lub siab, nrog kev tsim ntawm ob lub cev tsis ua haujlwm. Kev zam ntawm ib qho ntawm lawv tshwm sim nrog bile, zaum ob - nrog zis.

T_1/2 (ib nrab-lub neej): Maninil 1.75 thiab 3.5 - 1.5-3.5 teev, Maninil 5 - los ntawm 3 txog 16 teev.

Maninil, cov lus qhia rau kev siv: txoj kev thiab ntau npaum li cas

Maninil ntsiav tshuaj noj ntawm qhov ncauj tsis tau ntxo thiab haus nrog qhov kua me me, zoo dua ua ntej noj mov. Yog tias qhov tshuaj rau txhua hnub yog 1-2 ntsiav tshuaj, nws yuav noj ib zaug thaum sawv ntxov, tam sim ntawd ua ntej noj tshais. Cov koob tshuaj ntau dua yuav tsum tau ua 2 koob tshuaj faib ua ntej (thaum sawv ntxov thiab yav tsaus ntuj).

Yog tias koj ua yuam kev hla ib qho kev tswj hwm ntawm Maninil, cov ntsiav tshuaj tom ntej yuav tsum tau noj nyob rau hauv lub sijhawm ib txwm, yam tsis muaj nce ntxiv.

Qhov kev tswj hwm ntawm cov tshuaj tau txiav txim siab los ntawm lub hnub nyoog, qhov mob hnyav, qhov ntau ntawm cov piam thaj hauv cov ntshav ntawm lub plab khoob thiab 2 teev tom qab noj mov.

Thaum tsis muaj txiaj ntsig ntawm kev siv tshuaj kho thaum pib, nyob rau hauv kev saib xyuas kev noj qab haus huv, nws tau maj mam nce (los ntawm ob peb hnub mus rau 1 lub lis piam) kom txog thaum muaj cov metabolism hauv lub cev txaus kom ua tiav (tab sis tsis siab tshaj qhov siab tshaj).

Thaum hloov los ntawm kev noj lwm yam tshuaj rau hypoglycemic, Maninil yog tus kws kho mob nyob rau hauv ib txwm pib raws li kev saib xyuas kev kho mob nrog kev maj mam nce mus rau qhov zoo tshaj plaws.

Cov koob tshuaj txhua hnub (thawj zaug / siab tshaj plaws) yog:

Maninyl 1.75: 1.75-3.5 / 10.5 mg (yog tias qhov koob tshuaj txhua hnub yog siab dua 3 ntsiav tshuaj, pom zoo siv Maninil 3.5),
Maninyl 3.5: 1.75-3.5 / 10.5 mg,
Maninyl 5: 2.5-5 / 15 mg.

Vim tias qhov txaus ntshai ntawm kev txhim kho hypoglycemia, cov neeg laus cov neeg mob, nrog kev ua tsis zoo ntawm lub siab lossis ob lub raum, cov neeg mob thiab cov neeg mob tsis txaus, yuav tsum tau txo qis thaum pib thiab txij nkawm ntawm Maninil.

Maninil ntsiav tshuaj, cov lus qhia rau kev siv (qauv thiab ntau npaum li cas)

Cov koob tshuaj ntawm Maninil raug xaiv ib tus zuj zus, suav txog qhov mob hnyav ntawm chav kawm, tus neeg mob lub hnub nyoog, thiab ntshav qab zib. Qhov nruab nrab cov tshuaj nruab hnub yog 2.5-15 mg. Glibenclamide noj thaum sawv ntxov thiab yav tsaus ntuj ib nrab teev ua ntej noj mov, tsis tas yuav ntxo ntsiav tshuaj.

Raws li cov lus qhia rau kev siv, Maninil 5 tuaj yeem noj nrog qhov tsuas pub ntau tshaj 3-4 zaug ib hnub.

Noj ntau dhau

Nce tawm hws, tshaib plab, tsis hnov lus, hnov qab, pom kev, tshee hnyo, palpitations, txob taus, insomnia, kev nyuaj siabcerebral edema thiab lwm yam cim ntshav qogcoma.

Kev Kho Mob: noj suab thaj sab hauv. Yog hais tias tus neeg mob tsis nco qab lawm, tom qab ntawd txhaj tshuaj rau dextrose bolus, glucagon, diazoxide. Txhua 15 feeb soj ntsuam ntshav cov ntshav qab zib kom ntau. Txhawm rau tiv thaiv kom rov qab ua kom ntshav qab zib, nws yog qhov yuav tsum tau muab rau cov neeg mob zaub mov kom nplua nuj hauv cov khoom noj carbohydrates (yooj yim zom tau). Thaum cerebral edema tau sau tseg dexamethasonemannitol.

Kev sib txuam

Cov tshuaj tua kab mob, ACE inhibitors, NSAIDs, fibrates, tshuaj tiv thaiv TB, tshuaj thaiv tsev coumarin uake salicylates, beta-blockers, anabolic steroids, MAO inhibitors, biguanides, fenfluramine, tetracycline, chloramphenicol, pentoxifyllinecyclophosphamides, acarboses, pyridoxine, disopyramides, bromocriptine, reserpine, allopurinol, tshuaj insulin txhim kho cov nyhuv ntawm Maninil.

Adrenostimulants, barbiturates, tshuaj antiepileptic, carbonic anhydrase inhibitors, BMCC, chlortalidonethiazide diuretics, furosemide, baclofenglucagon, terbutaline, asparaginase, danazol, isoniazid, rithodrin, morphine, salbutamol, diazoxide, danazole, ritodrin, glucagon, cov thyroid hormones, rifampicin, chlorpromazine, nicotinic acid, lithium ntsev, estrogens, qhov ncauj tiv thaiv kom tsis muaj zog ntawm Maninyl.

Siab siab ascorbic acid, ammonium chloride nce reabsorption ntawm cov tshuaj, txhim kho cov nyhuv ntawm glibenclamide.

Nrog rau kev tswj hwm ua ke nrog cov tshuaj uas sim cov leeg pob txha hematopoiesis, muaj kev pheej hmoo ntxiv myelosuppression.

Kev ntsuas rau siv

Cov tshuaj yog sau tseg rau hauv cov xwm txheej uas muaj kev ntsuas ntxiv, xws li kev ua kom lub cev qoj ib nrab, kev noj zaub mov noj nrog cov piam thaj hauv qab zib tsawg, kev poob phaus tsis cuam tshuam rau theem ntawm cov piam thaj hauv cov ntshav, ua rau nws mus rau qhov tsis muaj sia. Ntshav qab zib tshuaj Maninil yog qhia rau kev siv los ntawm cov neeg tsis muaj cov tshuaj insulin uas muaj hom ntshav qab zib hom 2.

Yuav noj Maninil li cas

Kev kho mob nrog cov ntsiav tshuaj yuav tsum pib nrog cov tshuaj me me kom tsis txhob muaj kev txhim kho ntshav qab zib. Thawj koob tshuaj yog ib nrab 1 ntsiav tshuaj ntawm Maninil ib hnub. Nws yog ib qho tseem ceeb uas yuav tau soj ntsuam cov qib ntawm cov piam thaj hauv cov ntshav kom tsis txhob tshwm sim ntawm cov ntshav qog ntshav qab zib, tshwj xeeb tshaj yog rau cov neeg asthenic nrog kev noj zaub mov kom tsawg. Yog tias tom qab siv cov tshuaj no cov ntshav qab zib cov qib yuav tsis txo, tom qab li 1 lub lis piam qhov nce ntxiv.

Cov ntsiav tshuaj yuav tsum tau noj thaum sawv ntxov ntawm lub plab khoob, kwv yees li 20-30 feeb ua ntej noj mov, ntxuav nrog ib khob dej. Yog hais tias tus endocrinologist tau sau tseg ib qho tshuaj txhua hnub 2 ntsiav tshuaj, tom qab ntawd lawv kev nkag mus faib ua 2 zaug: sawv ntxov thiab yav tsaus ntuj, ib txwm nyob tib lub sijhawm. Thaum noj cov tshuaj no, nws yog ib qho tseem ceeb uas yuav tsum saib xyuas koj cov ntshav thiab ntshav qab zib kom nyob ntawm ib asthiv.

Maninil analog

Hauv cov khw muag tshuaj, koj tuaj yeem yuav cov tshuaj uas muaj cov qub lossis zoo sib xws thiab cov koom haum pabcuam. Cov tshuaj no hu ua analogues ntawm Maninil, lawv muaj tib yam lossis zoo sib xws ntawm lub cev, nyob ntawm seb muaj pes tsawg leeg. Cov hauv qab no yog cov kev sib pauv hloov uas muaj cov tshuaj yeeb tshuaj glibenclamide lossis cov khoom sib thooj:

Glibenclamide ntsiav tshuaj,
Glidiab ntsiav tshuaj
Diabefarm MV ntsiav tshuaj.

Maninil nqe

Thaum yuav ib qho tshuaj twg, nws yog qhov tseem ceeb yuav tsum them sai sai rau lub chaw tsim khoom, kev tsim qauv, kev tshuaj xyuas. Thaum txiav txim siab los hloov Maninil nrog cov tshuaj tiv thaiv kab mob (analogue), nco ntsoov sab laj nrog tus kws kho mob endocrinologist. Tus nqi ntawm cov tshuaj ntshav hypoglycemic no tsis nyhav dhau - nws pheej yug tsis tau. Hauv qab no yog cov lus nrog tus nqi nruab nrab ntawm cov tshuaj hauv Moscow.

Maninil ntsiav tshuaj 5 mg

Maninil ntsiav tshuaj 3.5 mg

Tshuaj Maninil 1.75

Olesya, 48 Maninil 5 Kuv tau raug tshuaj rau kev kho mob ntshav qab zib hom 2. Kuv siv cov tshuaj nruj me ntsis raws li cov lus qhia. Tsis tas li ntawd, Kuv noj lwm yam tshuaj muaj suab thaj, Kuv ua raws kev noj haus nruj, xyaum tsis suav cov zaub mov muaj suab thaj, Kuv sim txav mus ntxiv. Qab zib theem yog ib txwm.

Natalya, 26 Cov ntsiav tshuaj Maninil tau raug sau rau kuv yawg, muaj kev mob ntshav qab zib los ntau dua 5 xyoos. Kuv yuav cov tshuaj no rau nws rau xyoo ob. Cov tshuaj tsis ua rau muaj kev mob tshwm sim, qhov tsuas yog ib qho uas thaum xub thawj peb ua raws li kws kho mob cov lus qhia yog noj 1 ntsiav tshuaj ib hnub rau rau lub hlis, tom qab ntawd, vim muaj kev ntxhov siab, hloov mus rau 2.

Andrey, 35 Kuv txiv muaj hom mob ntshav qab zib hom 2, nws tsis ua tiav rau kev noj zaub mov zoo txhua lub sijhawm, ntxiv rau nws tsis siv rau kev tawm dag zog, nws tau siv los ua lub neej nyob ntsiag to. Hom tshuaj uas tus kws kho mob tsis tau sau ntawv rau peb, tab sis, hauv kuv lub tswv yim, Maninil 3.5 tau muab tawm los ua qhov kev ua tau zoo tshaj plaws. Txiv pib zoo txaus siab, muaj ntshav qab zib cov ntshav tsawg zuj zus.

Nrog saib xyuas

Xyuam xim yuav tsum tau siv rau hauv cov xwm txheej zoo li no:

cov thyroid kawg,
predisposition rau mob rab phom sij chua leeg thiab mob nriaj,
manifestation ntawm cov cim qhia ntawm hypoglycemia,
ntau yam ntawm intoxication ntawm lub cev.

Thoob plaws txhua lub sijhawm ntawm kev kho mob, kev tshuaj xyuas tsis tu ncua ntawm cov neeg mob yog nqa tawm ntawm cov kev ntseeg saum toj no.

Los ntawm ib sab ntawm cov metabolism

Muaj qhov tsis paub tab ntawm kev tshaib kev nqhis, qhov nce hauv lub cev nyhav, mob taub hau, ua kom lub cev tsis muaj zog ntawm kev saib xyuas, ua txhaum ntawm cov txheej txheem ntawm cov kev cai thaum tshav kub kub. Kev noj cov tshuaj tuaj yeem ua rau muaj kev txhim kho hypoglycemia.

Thaum noj Maninil, mob taub hau tshwm sim. Kev kho yuav tsum tau ua nyob rau hauv kev saib xyuas nruj ntawm tus kws kho mob thiab soj ntsuam cov ntshav qab zib kom tsis tu ncua.

Cuam tshuam rau lub peev xwm los tswj cov tshuab

Thaum noj tshuaj, nws raug nquahu kom tsis txhob tsav tsheb thiab ua haujlwm uas cuam tshuam nrog cov phom sij phom sij. Cov khoom lag luam yuav ua rau tsaug zog lossis kiv taub hau.

Thaum noj tshuaj, nws raug nquahu kom tsis txhob tsav tsheb. Cov khoom lag luam yuav ua rau tsaug zog lossis kiv taub hau.

Siv rau lub sijhawm qub

Hauv cov hnub nyoog laus, muaj kev pheej hmoo ntawm kev txhim kho hypoglycemia. Txoj kev kho yuav tsum tau ua nyob rau hauv kev saib xyuas ntawm tus kws kho mob nruj thiab ntsuas cov ntshav qab zib kom qis.

Hauv kev laus, kev kho mob nrog Maninil yuav tsum tau nqa tawm los ntawm kev saib xyuas nruj ntawm kws kho mob thiab ntsuas cov ntshav qab zib kom qis.

Cawv tau zoo

Thaum noj ua ke nrog haus dej cawv uas muaj cawv, cov tshuaj yeeb tshuaj tuaj yeem ua rau ntshav qab zib ntshav qab zib. Thaum kho, cawv yuav tsum cais tawm.

Cov tshuaj no muaj analogues hauv pharmacological ua:

Amaril zoo sib xws rau hauv Maninil.

Rau txhua ntawm lawv, cov lus qhia qhia contraindications thiab phiv. Ua ntej hloov nrog ib qho analog, koj yuav tsum tau mus ntsib kws kho mob thiab yauv mus kuaj.

Kev tshuaj xyuas txog Maninil 3.5

Cov tshuaj Maninil 3.5 mg yog tau ntxiv rau kev noj haus ntxiv thiab kev ua lub neej nquag. Cov neeg mob nco ntsoov cov txiaj ntsig sai, thiab cov kws kho mob - qhov tsis muaj kev phiv thaum ua raws li cov lus qhia.

Oleg Feoktistov, tus kws kho mob endocrinologist

Txog ntshav qab zib hom 2, kuv sau tshuaj rau cov neeg mob no. Raws li tshuaj ntawm lub cev, cov piam thaj hauv cov ntshav txo qis, vim tias lub siab thiab cov leeg nqaij pib nquag nqus cov piam thaj. Cov tshuaj zoo rau. Nrog rau kev siv tas li, nws yuav txhim kho kev tso tawm ntawm cov kua dej thiab muaj cov nyhuv antiarrhythmic.

Kws Kho Mob Kirill Ambrosov

Cov tshuaj muaj peev xwm txo qis kev tuag ntawm cov neeg mob ntshav qab zib. Cov tshuaj pab pab kom muaj qhov xwm txheej hauv qabzib hauv cov hlab ntshav, txo cov ntsiab lus ntawm cov "cholesterol". Cov khoom xyaw nquag yog nqus tau sai sai, thiab kev nqis tes ua ntev txog 24 teev. Txhawm rau kom tsis txhob nce phaus, koj yuav tsum tawm dag zog ntxiv thiab noj kom zoo.

Lawj xeeb

Tatyana Markina, 36 xyoo

Muab rau ib ntsiav tshuaj ib hnub. Lub cuab yeej pab tswj tau cov qib qab zib. Kuv ua raws li kev noj zaub mov noj qis thiab sim ua kom txav tas li. Dhau 4 lub hlis ntawm kev kho, qhov mob zoo dua. Ntawm cov kev mob tshwm sim yog cov quav tsis haum thiab mob taub hau. Cov tsos mob ploj tom qab 2 asthiv. Kuv npaj yuav txais tos txuas ntxiv.

Anatoly Kostomarov, hnub nyoog 44 xyoo

Tus kws kho mob sau ntawv muab tshuaj rau cov tshuaj rau cov ntshav qab zib tsis yog-insulin-mellitus. Kuv tsis pom tias muaj mob tshwm sim, tsuas yog kiv taub hau. Kuv yuav tsum tau txo qhov tshuaj rau ib nrab ntawm cov ntsiav tshuaj. Qab zib yog qhov qub thiab thov. Kuv pom zoo nws.