Abaningi bezwe kaninginingi ngomuthi onjengeGlucovans. Umuthi lo ukhiqizwa eFrance, kepha uthengiswa emhlabeni wonke, kufaka phakathi ezweni lethu.
Uma sikhuluma ngokuningiliziwe ngokuthi yini ngempela iyingxenye yalesi sidakamizwa, into yokuqala esikhuluma ngayo yizinto ezinjengokuthi:
- metformin;
- glibenclamide.
Kubalulekile futhi ukukhumbula ukuthi umuthi iGlucovans unomphumela oqinile we-hypoglycemic. Ngenxa ye-metformin esetshenziswayo, kungenzeka ukunciphisa ngempumelelo ushukela wegazi wesiguli. Kanye nalokhu, akukho ukukhuthaza kokukhiqizwa kwe-insulin, ngenxa yokuthi amaqiniso wokuthuthukiswa kwe-glycoglemia awaziwa nakancane.
Uma sikhuluma kabanzi ngokuthi amaGlucovans asebenza kanjani ngqo, imiyalo yokusebenzisa lo muthi ikhombisa ukuthi inezindlela ezintathu ezisebenzayo.
Lezi zinqubo zokusebenzisa umzimba yilezi:
- Ukwehla kwenani likashukela elikhiqizwa yisibindi.
- Ukuzwela okwengeziwe kwe-insulin ye-hormone, okusho ukuthi amaseli emisipha adla kakhulu ushukela.
- Inqubo yokufakwa kweglucose emgodini wokugaya ukudla iyabambezeleka.
Kepha ngaphezu kwayo yonke imisebenzi engenhla, kuyaziwa nokuthi isidakamizwa i-Glucovans sehlisa kahle i-cholesterol, esivame kakhulu kakhulu kwabanesifo sikashukela, kanye ne-triglycerides nezinye izinto ezitholakala emzimbeni wawo wonke umuntu.
Izici zesidakamizwa
Uma sikhuluma ngokuningiliziwe mayelana nokuthi ungaphuza kanjani ama-Glucovans, lapha, okokuqala, udinga ukunaka iqiniso lokuthi i-sulfonylurea, okuyingxenye yokwakheka, nezinye izinto, kunciphisa kakhulu izinga leshukela elikhiqizwa amaseli we-beta womzimba, futhi ikakhulukazi ama-pancreas. Kungaleso sizathu, udinga ukuthatha umuthi kuphela njengoba kuchazwe udokotela kanye nomthamo awunquma.
Futhi, ungakhohlwa ukuthi i-metformin ne-glibenclamide eyingxenye yalo muthi inomphumela ofanayo we-glycemic, yize isebenza emzimbeni ngezindlela ezihlukile.
Lapho kunokudla okungaphakathi kwemali okungehla, khona-ke okuqukethwe kwayo emgodini wokugaya ukudla okungenani ngama-95%. Kepha okuqukethwe okuphezulu kwengxenye yezingxenye ze-plasma yegazi kufinyelelwa emahoreni amane ngemuva kokuthatha ama-Glucovans 5 mg noma ama-2,5 mg. Ngalesi sikhathi, i-metformin esemgodini wokugaya ihlakazeka ngokuphelele kungakapheli amahora amabili nesigamu.
Abantu abaningi banesithakazelo embuzweni wokuthi bangaphuza amaphilisi amangaki ukuze bathole umphumela oyifunayo. Kulokhu, konke kuncike ekuxilongeni okuthile. Ake sithi, kubalulekile ukucabanga ngeminyaka yesiguli, ubulili nezinye izici zomzimba wesiguli esithile. Umthamo ngqo ungachazwa kuphela ngudokotela ohambelayo, ngemuva kokuhlolwa ngokuphelele.
Imvamisa kuphakama imibuzo yokuthi iMetformin neGlibenclamide zingathathwa ngasikhathi sinye, khona-ke, impendulo izoba ngu-yebo. Umphumela omuhle wokusetshenziswa ngasikhathi sinye kwalezi zingxenye ungabonakala ngenxa yomuthi ongenhla.
Kubalulekile futhi ukuthi ukudla ngokuphelele akuwathinti ama-metformin, kepha ngasikhathi sinye kusheshisa umphumela we-glibenclamide.
Yiziphi izingqinamba eziphikisayo ekusebenziseni umuthi?
Ama-Glucovans ane-analogues adalwe ngesisekelo sezithako ezifanayo ezisebenzayo, ngakho-ke le mishanguzo kufanele ithathwe ngokunakekelwa okukhethekile futhi ihambisane nemithamo.
Lapho udla izidakamizwa, konke ukubhekana necala kufanele kubhekwe.
Ochwepheshe abanolwazi batusa ukuthi ungaqali ukwelashwa nalesi sidakamizwa uma isiguli sinemikhawulo ethile ekusetshenzisweni.
I-contraindication eyinhloko yile:
- ukuzwela komuntu ngamunye ezakhiweni ezakha umuthi;
- ukuba khona kwesifo sikashukela sohlobo lokuqala;
- ukwehluleka kwezinso, okungukuthi ukwehluleka kwalesi sitho;
- ukwanda kwenani lemizimba ye-ketoacidosis, kanye nesimo se-precoma;
- isimo sempilo esihambisana nesibonakaliso esinjenge-izicubu hypoxia (ukushaya kwenhliziyo noma ukuphefumula kohlelo, ukufakwa kwamakhambi okuqala, isimo sokushaqeka);
- iminyaka yokuqala yengane;
- ukwehluleka kwezinso;
- isikhathi sokuncelisa kwabesifazane, kanye nesikhathi sokukhulelwa;
- nokungenelela okukhulu kokuhlinzwa;
- ngesikhathi sokudakwa, okuyisigaba sokukhula okungapheli kwesifo.
Kuyadingeka futhi ngokucophelela ukuphuza umuthi kubantu abaneminyaka engaphezu kwamashumi ayisithupha, kanye nalabo abasebenza kanzima.
Kwezinye izimo, odokotela batusa ukungawusebenzisi umuthi nhlobo, ngokwesibonelo, kungaba yisifo esidonsela phansi noma ukungasebenzi kahle kwe-adrenal. Ukuntuleka kwe-thyroid nakho kungaqanjwa kulolu hlu. Ukuze uqonde kahle ukuthi yibaphi ngempela abantu abathatha i-Glurenorm noma i-Glucovans, kanye ne-Glucofage, okudingeka ukuthi bahlolwe ngokuphelele, kufanele bahlolwe ngokuphelele ngudokotela onolwazi ongakwazi ukuthola ukuthi yini leyo sifo futhi uncome noma angancomi ukuthatha lo muthi.
Kufanele ngiwuphuze nini umuthi?
Umenzi utusa ukuthatha ama-glucovans lapho kutholakala uhlobo 2 sikashukela ezigulini esezikhulile. Ngokucacile, ukuthi yiziphi izimo ezithile odokotela ababekela lesi sidakamizwa isiguli sabo, into yokuqala esikhuluma ngayo yilapho ukudla okuhambisana nesiguli kunganikeli umphumela oyifunayo. Amacala okwelashwa ngezidakamizwa nawo aziwa kabanzi lapho isiguli sokuqala sithatha i-metformin ngendlela yaso emsulwa, kepha ukwelashwa akuzange kunikeze umphumela oyifunayo.
Kumele kwaziwe ukuthi amaphilisi we-Glucovans 500 anezinzuzo eziningana ngokuqhathanisa nezinye izidakamizwa zesenzo esifanayo. Ngisho esimweni lapho umuthi wamanje ukuvumela ukulawula izinga le-glucose egazini, kepha kunikeza umphumela ohlukile. Intengo yalo muthi yamukeleka impela, ingama-ruble angamakhulu amathathu kwiphakheji lezingcezu ezingamashumi amathathu.
Yize kubalulekile ukukhumbula ukuthi amaGlucovans 500mg 5mg, njenganoma yimuphi omunye umuthi, angaba nomphumela ongemahle.
Isibonelo, kungaba ukusabela okunjalo komzimba njengoku:
- I-Hepatic noma i-porphyria yesikhumba, eba imbangela yokuphazamiseka kwe-metabolic yesiguli.
- I-Lactic acidosis.
- Kunamacala owaziwayo wokuwohloka kwesistimu yokujikeleza kwegazi noma ye-lymphatic.
Ezinye iziguli zikhononda ukuthi ama-flavour buds azo aguquka ngenxa yokuthatha iGlucovans 500.
Kepha ungesabi ngaso leso sikhathi, uma uthatha i-Glurenorm noma omunye umuthi onomphumela ofanayo ngendlela efanele, khona-ke ukwelashwa ngeke kuhambisane nemiphumela emibi eminingi.
Kuliqiniso, kusengaba nezimo lapho isiguli sinokungabekezeleli izingxenye ezithile zomuthi.
Imiyalo yokusebenzisa amaphilisi
Iziguli eziningi ezithatha amaGlucovans zishiya izibuyekezo zazo mayelana nokusetshenziswa kwalo muthi kuzo zonke izinhlobo zezindawo eziku-inthanethi. Kuzo, bakhuluma ngokuningiliziwe ngendlela engcono kakhulu yokuthatha leli khambi, futhi nokuthi ukwelashwa okunjalo kunikeza muphi umphumela.
Vele, ulwazi lodokotela lubaluleke kakhulu, ngoba kuphela bazi ukuthi yimuphi umuthi ongcono esigulini esithile, nokuthi yibaphi abaphikisayo noma, ngakolunye uhlangothi, izinkomba zokusetshenziswa kwalo muthi.
Udinga futhi ukwazi ukuthi yimuphi umehluko phakathi kwe-Glucovans 5 mg nomuthi ofanayo, ohlanganisa i-2,5 mg yengxenye esebenzayo, wonke umehluko enanini lempahla esemthethweni esebenzayo, eyingxenye yemithi.
Thatha ngokukhethekile ngaphakathi, ngenkathi umthamo owodwa noma wansuku zonke unikezwa udokotela ngawodwa esigulini ngasinye. Akunakuphikwa ukuthi isilinganiso sinye sinconywa kubo bonke abanesifo sikashukela. Konke kuncike enkambweni yesifo nezifo ezihlobene naso ezivame ukuhambisana nalokhu kugula.
Imvamisa, umthamo wansuku zonke ucishe ufane nalowo isiguli owawuthatha ngaphambili. Odokotela batusa ukwandisa umthamo uma kunesidingo. Ukuwusebenzisa ngokufanele lo muthi wesifo sikashukela kuyohlala kusiza isiguli ukuba sizwe kahle futhi silawule ushukela wegazi labo.
Ngokuqondene nokuthi imuphi umuthi ongcono ukukhetha - amaGlucovans 5 noma amaGlucovans 2,5, khona-ke konke kuncike ekutheni umthamo udokotela ubekiselwani. Kubalulekile ukukhumbula ukuthi lo muthi ungadala ingozi enkulu empilweni yesiguli, ngisho nengozi ebulalayo. Kungcono ukuthi umthamo wansuku zonke ungeqi amaphilisi ama-4 womuthi u-5 mg + 500 mg lilinye.
Ngendlela, ngokuya ngezindleko zemithi, umehluko phakathi kwabo awuphezulu kakhulu, cishe ama-ruble ayikhulu.
Ngokuvumelana nalokho, umuthi onomthamo ophakeme ubiza okungaphezu kokuqukethe okuyi-2,5 mg kuphela. + 500 mg.
Ukubuyekezwa kweziguli ezithatha umuthi
Vele, cishe wonke umuntu okwadingeka abhekane nesifo sikashukela njalo uzama ukuthola imininingwane engaphezulu ngemiphumela yokusetshenziswa okujwayelekile kwemithi engenhla. Bayathanda nokwazi ukuthi yiziphi izifanekiso zomuthi. Kufanele kuqashelwe ukuthi i-Glyrenorm ibhekwa njenge-analogue ethandwa kakhulu yalesi sidakamizwa. Lesi sidakamizwa sibuye sitshelwe odokotela ukwelapha isifo sikashukela sohlobo 2.
Ngokuphathelene nokubuyekezwa kweziguli, ziyaxaka. Omunye uthi umphumela wokwelapha umuthi uphezulu kakhulu. Kwabanye, kunalokho, kubonakala sengathi ukusebenzisa umuthi njalo akuniki umphumela oyifunayo, futhi kwezinye izimo kuze kulimaze nokwelashwa.
Hhawu, mayelana nokuthi amaGlucovans ahluke kanjani ngqo kumuthi weGlurenorm, okokuqala, singaphawula umthamo ohlukile wezakhi eziphambili nezakhi ezahlukahlukene ezenza imisebenzi yokusiza. Umthamo ngqo noma isidingo sokushintsha noma iyiphi yalezi zidakamizwa singanqunywa kuphela uchwepheshe onolwazi emva kokuhlolwa kwesiguli ngokuphelele.
Yebo, uma sikhuluma ngokuthi imiphi imishanguzo enokwakheka okufana kakhulu nomuthi weGlucovans, okokuqala-ke, le yiGlucofast ne-Glybomet.
Ukubuyekezwa okuningi kweziguli eziningi kusikisela ukuthi ngomphumela omuhle kakhulu wemithi ngaso sonke isikhathi kufanele ulandele ukudla okufanele. Isibonelo, udinga ukuzama ngokuphelele ukulahla ukusetshenziswa kotshwala, ukulawula inani lama-carbohydrate asetshenzisiwe, futhi unciphise ukudla okwandisa amazinga kashukela egazini lomuntu.
Yini kubalulekile ukukhumbula lapho usebenzisa?
Ezinye iziguli zesaba kakhulu ukuqala ukwelashwa ngemuva kokufunda izibuyekezo ukuthi lo muthi awuzange uhambisane nothile. Noma lezo kuzibuyekezo lapho abantu bebhala khona bathi, ngiphuza lesi sidakamizwa, futhi asinikezi imiphumela efiselekayo.
Ngifisa ukuthi uqaphele ngokushesha ukuthi awukwazi ukwesaba masinyane futhi ngokweqiniso ukwenqaba lolu hlobo lokwelashwa. Kwesinye isikhathi lesi simo sivela ngenxa yokuthi imithamo yemithi ephuzwayo ayihambelani nokutholakala kwesiguli noma ubudisi besi sifo uqobo.
Ukuze uqonde kahle ukuthi yisiphi isidakamizwa esidinga ukusithenga, ungabona kuqala izithombe zalawa mathebhulethi ku-Inthanethi.
Futhi-ke, kubalulekile njalo ukukhumbula usuku lokwenza umuthi. Ukusetshenziswa kwamathebulethi aphelelwe isikhathi kungaba yingozi kakhulu empilweni yesiguli.
Sekuvele ukuthi yiziphi izakhi ezithile eziyingxenye yalesi sidakamizwa. Kufanele futhi kwaziwe ukuthi yiliphi igama lesi muthi elisebenzisa i-INN, kulokhu libizwa ngokuthi yi-metformin.
Impela, noma imuphi umuthi unikeza umphumela omuhle kakhulu kuphela uma isiguli esisebenzisayo sihambisana kahle nomthamo onconyelwayo futhi sihola nendlela efanele yokuphila. Kulokhu, kubalulekile ukulandela indlela yokudla efanelekile, kanye nokungabukeli phansi imisebenzi yomzimba kushukela. Ngaso leso sikhathi, umthwalo omningi womzimba awunconywa.
Yebo, kunjalo, awukwazi ukungayinaki imithetho yokulawula ushukela wegazi. Uma le nkomba ingalinganiswa ngesikhathi, khona-ke kungenzeka ukuthi ukuphuza umuthi kungalimaza impilo.
Yiziphi izidakamizwa ezisebenza ngempumelelo kakhulu ze-hypoglycemic ezichazwe kule vidiyo kule ndatshana.
