Enye yezimo ezibaluleke kakhulu zokwelashwa ngempumelelo kwesifo sikashukela ukuqina kwamazinga kashukela. Ngakho-ke, lapho uthenga i-hypoglycemic agent Diabeteson MV 30 mg, imiyalo yokusebenzisa kufanele ifundwe ngokucophelela ukuze kuliwe nalesi sifo ngempumelelo.
Ukuba yingxenye ye-sulfonylurea yesizukulwane sesibili, umuthi wehlisa ushukela wegazi futhi uqeda izimpawu zesifo sikashukela esingancikeli i-insulin.
Izibalo ezidumazayo zikhombisa ukuthi izigameko zalesi sifo ziyanda minyaka yonke. Izici eziningi zithonya lokhu, kepha phakathi kwazo, izakhi zofuzo nokuphila kokuhlala zifanelwe ukunakwa okukhethekile.
Umuthi i-Diabeteson MV 30 mg awugcini ngokwejwayelekile izinga le-glycemia, kepha futhi uvimbela ukuthuthukiswa kwezinkinga eziningi zesifo sikashukela, isibonelo, i-retinopathy, i-nephropathy, i-neuropathy nabanye. Into esemqoka ukwazi ukuthi uwaphuza kanjani umuthi ngendlela efanele, okuzoxoxwa ngawo kulesi sihloko.
Imininingwane ejwayelekile yezidakamizwa
I-Diabeteson MV 30 isidakamizwa esidumile esishintshiwe se-hypoglycemic emhlabeni wonke. Ikhiqizwa yinkampani yemithi yaseFrance iLes Laboratoires Serviceier Іndustrie.
I-ejog ye-hypoglycemic isetshenziselwa ushukela ongaxhomekeli ku-insulin, lapho ukuzivocavoca komzimba nokudla okulinganiselayo kungeke kwehlise ushukela wegazi. Ngaphezu kwalokho, enye yezinkomba zokusetshenziswa kwomuthi ukuvikela izinkinga ezifana ne-microvascular (retinopathy kanye / noma nephropathy) nesifo se-macrovascular (stroke noma infyoction myocardial).
Isithako esisebenzayo somuthi yi-gliclazide - i-sulfonylurea derivative. Ngemuva kokuphathwa ngomlomo, le ngxenye igxila ngokuphelele emathunjini. Okuqukethwe kwayo kukhula kancane, futhi izinga eliphakeme lifinyelelwa kungakapheli amahora ayi-6 kuya kwayi-12. Kuyaqapheleka ukuthi ukudla akuthinti isidakamizwa.
Umphumela we-gliclazide uhlose ukukhuthaza ukukhiqizwa kwe-insulin ngamaseli e-beta pancreas. Ngaphezu kwalokho, into inomphumela we-hemovascular, okungukuthi, inciphisa amathuba we-thrombosis emikhunjini emincane. I-Gliclazide icishe yathuthukiswa ngokuphelele esibindini.
Ukhiye wento kwenzeka ngosizo lwezinso.
Imiyalo yokusebenzisa umuthi
Umenzi ukhiqiza umuthi ngesimo samathebhulethi emithamo ehlukene (30 no-60 mg), ngaphezu kwalokho, yiziguli zabantu abadala kuphela abangaziphuza.
I-Diabeteson MV 30 mg ingathengwa ekhemisi kuphela ngemithi kadokotela. Ngakho-ke, udokotela unquma ukuthi kungenzeka yini ukusebenzisa la maphilisi, enikezwe izinga le-glycemia kanye nesimo sempilo jikelele sesiguli.
Kunconywa ukuthatha umuthi kanye ngosuku ngesikhathi sokudla kwasekuseni. Ukuze wenze lokhu, ithebhulethi kufanele igwinye futhi ihlanzwe ngamanzi ngaphandle kokuhlafuna. Uma isiguli sikhohliwe ukuphuza iphilisi ngesikhathi, ukuvimbela kabili komuthi akuvumelekile.
Umthamo wokuqala we-hypoglycemic ungama-30 mg ngosuku (1 ithebhulethi). Ngendlela yesifo sikashukela enganakwa, le ndlela inganikeza ukulawula ushukela okwanele. Ngaphandle kwalokho, udokotela uqobo unyusa umthamo wezidakamizwa ezigulini, kodwa hhayi ngaphambi kwezinsuku ezingama-30 zokuphuza udosi lokuqala. Umuntu omdala uvunyelwe ukuba adle ngangokunokwenzeka ngosuku I-Diabeteson MV 30 kuye ku-120 mg.
Kunezixwayiso ezithile mayelana nokusetshenziswa kwalesi sidakamizwa kubantu abaneminyaka engaphezu kwengu-60 ubudala, kanye neziguli eziphuza uphuzo oludakayo, izinso noma isibindi, ukuntuleka kwe-glucose-6-phosphate dehydrogenase, ukungabikhona kwepituitary noma i-adrenal, inhliziyo ne-hypothyroidism. Ezimweni ezinjalo, uchwepheshe ukhetha ngokucophelela umthamo womuthi.
Imiyalo enamathiselwe ithi umuthi kufanele ugcinwe ku-30 ° C ukuze izingane zingazitholi. Impilo yeshelf kufanele ikhonjiswe kwiphakeji.
Ngemuva kwalesi sikhathi, ukwelashwa akuvunyelwe.
Contraindication kanye nomonakalo ongaba khona
I-Diabeteson MV 30 mg i-contraindication ezigulini ezingaphansi kweminyaka engu-18 ubudala. Lokhu kukhawulelwa kungenxa yokuntuleka kwemininingwane yokuphepha kwezimali zezingane nentsha.
Futhi akukho okuhlangenwe nakho kokusebenzisa i-ejenti ye-hypoglycemic ngesikhathi sokukhulelwa nokuncelisa. Ngesikhathi sokukhulelwa, inketho enhle kakhulu yokulawula i-glycemia ukwelashwa kwe-insulin. Endabeni yokuhlelela ukukhulelwa, kuzofanela uyeke ukusebenzisa izidakamizwa ezokwehlisa ushukela bese ushintshela emijozweni we-hormone.
Ngaphezu kokuphikisana okungehla, ipheshana lokufaka linoluhlu olubonakalayo lwezifo nezimo lapho iDiabeteson MV 30 inqatshelwe ukusebenzisa. Lokhu kufaka phakathi:
- isifo sikashukela esincike ku-insulin;
- ukusetshenziswa okufanayo kwe-miconazole;
- isifo sikashukela sikashukela;
- hypersensitivity kuzakhi eziyinhloko noma ezisizayo;
- isifo sikashukela nesifo sikashukela;
- ukwehluleka kwe-hepatic kanye / noma i-renal (ngendlela enzima).
Njengomphumela wokusetshenziswa okungalungile noma i-overdose, kungahle kwenzeke okungathandeki. Uma kwenzeka, kufanele uyeke ukuthatha lo muthi futhi ufune usizo oluphuthumayo kudokotela. Kungadingeka ukuthi uyeke ukuyisebenzisa uma izikhalazo zesiguli zihlobene:
- Ukwehla okusheshayo kwamazinga kashukela.
- Ngemizwa engapheli yendlala nokukhathala okwandayo.
- Ngokudideka nokufikelwa amandla.
- Ngokugaya, isicanucanu nokuhlanza.
- Ngekhanda nesiyezi.
- Ngokuhlushwa okubuthakathaka kokunaka.
- Ngokuphefumula okujulile.
- Ngombono okhubazekile nokukhuluma.
- Ngokuphazamiseka, ukungaxineki nokucindezeleka.
- Ngokuzenzakalelayo kwemisipha.
- Ngomfutho wegazi ophakeme.
- Nge-bradycardia, tachycardia, angina pectoris.
- Ngokuphendula kwesikhumba (ukulunywa, i-rash, i-erythema, i-urticaria, i-Quincke edema).
- Ngokuphendula kwehaba.
- Ngomjuluko wokujuluka.
Isibonakaliso esiyinhloko se-overdose yi-hypoglycemia, engaqedwa ngokudla okugcwele ama-carbohydrate agaya kalula (ushukela, ushokoledi, izithelo ezimnandi). Isimo esibi kakhulu, lapho isiguli singakwazi ukuqaqanjelwa noma sokuwa, kufanele siphuthunyiswe esibhedlela ngokuphuthumayo. Enye indlela yokunciphisa ushukela wegazi ngokusebenzisa ukuphathwa kweglucose. Uma kunesidingo, ukwelashwa okubonakalayo kwenziwa.
Ukuhlanganiswa nezinye izindlela
Lapho kukhona izifo ezihlangene, kubalulekile kakhulu ukuthi isiguli sibike lokhu kudokotela waso owelapha. Ukufihlwa kwalolo lwazi olubalulekile kungathinta kabi isenzo somuthi i-Diabeteson MV 30 uqobo.
Njengoba wazi, kunezindlela eziningi zemithi ezingakhulisa noma, ngakolunye uhlangothi, yenze buthaka ukusebenza kwe-ejenti ye-hypoglycemic. Ezinye zazo zingadala eminye imiphumela engathandeki.
Imithi nezakhi ezandisa amathuba e-hypoglycemia:
- I-Miconazole
- I-Phenylbutazone
- I-Ethanol
- Ama-Sulfonamides.
- I-Thiazolidinidones.
- I-Acarbose.
- I-Ultrashort insulin.
- Izidakamizwa ezingezona ezokwehlisa ukuvuvukala ezingezona ezibangelwa ukugula.
- Clarithromycin
- I-Metformin.
- I-GPP-1 agonists.
- Mao inhibitors.
- I-dipeptidyl peptidase-4 inhibitors.
- Ama-blocker e-Beta.
- Ama-inhibitors e-ACE.
- I-Fluconazole
- Ama-blockers we-H2-histamine receptor.
Imithi nezakhi ezandisa amathuba e-hyperglycemia:
- UDanazole;
- I-Chlorpromazine;
- Glucocorticosteroids;
- I-Tetracosactide;
- ISalbutamol;
- I-Ritodrin;
- I-Terbutaline.
Kumele kuqashelwe ukuthi ukuphathwa kanyekanye kokukhipha i-sulfonylurea kanye nama-anticoagulants kungakhuphula umphumela wokugcina. Ngakho-ke, kwezinye izimo, kuyadingeka ukulungisa umthamo wabo.
Ukuze ugweme noma yikuphi ukusabela okungekuhle, isiguli sidinga ukuya kudokotela ongakuhlola ngokwanele ukuhlangana kwezidakamizwa.
Izici ezithinta ukusebenza komuthi
Hhayi imithi kuphela noma i-overdose engathinta ukusebenza kwe-ejog ye-hypoglycemic agent i-Diabeteson MV 30. Kukhona ezinye izinto eziningi ezithinta kabi isimo sempilo sikashukela.
Isizathu sokuqala nesivame kakhulu sokwelashwa okungafani konke ukwenqaba noma ukungakwazi kweziguli (ikakhulukazi asebekhulile) ukulawula isimo sabo sempilo futhi zilandele zonke izincomo zikadokotela ozoya.
Isici sesibili, esibaluleke ngokufanayo ukudla okungenakulinganiswa noma ukudla okungajwayelekile. Futhi, ukusebenza ngempumelelo kwalesi sidakamizwa kuthinteka yindlala, izikhala ekwamukelweni nasekuguqukeni kokudla okujwayelekile.
Ngaphezu kwalokho, ukuthola ukwelashwa okuphumelelayo, isiguli kufanele silawule inani lama-carbohydrate asetshenzisiwe kanye nomsebenzi womzimba. Noma yikuphi ukuphambuka kuthinta kabi ushukela wegazi nempilo.
Kuyiqiniso, izifo ezihlangene zidlala indima ebalulekile. Okokuqala, lawa ama-endocrine pathologies ahambisana ne-yegilo gland kanye ne-pituitary gland, kanye nokwehluleka okukhulu kwe-renal kanye nesibindi.
Ngakho-ke, ukuze uzuze ukuzinza kwe-glucose futhi ususe izimpawu zesifo sikashukela, isiguli nochwepheshe wakhe ophilisayo badinga ukunqoba noma okungenani banciphise ithonya lezinto ezingenhla.
Izindleko, ukubuyekezwa kanye nama-analogues
Isidakamizwa i-Diabeteson MV 30 mg singathengwa kunoma yiliphi ikhemisi noma siyalwe online kwiwebhusayithi esemthethweni yomthengisi. Izindleko zomuthi zincike kwinani lamathebulethi amaphakethe. Ngakho-ke, intengo yephakheji equkethe amaphilisi angama-30 ama-30 mg ngalinye isukela kuma-ruble angama-255 kuya kwangama-288, nentengo yephakeji equkethe amaphilisi angama-60 ama-30 mg ngalinye lisuka kuma-ruble angama-300 kuya kwangama-340.
Njengoba ukwazi ukubona, umuthi uyatholakala kwiziguli nganoma yiliphi inani lemali, okuyiqiniso elikhulu. Ngemuva kokuhlaziya ukubukezwa okuhle kwesifo sikashukela, singathola iziphetho ngalo muthi:
- Ukusetshenziswa kalula kanye nemijovo ye-insulin.
- Ingozi ephansi yokuphendula okungathandeki.
- Ukuqiniswa kwe-glycemia.
Kodwa-ke, kwezinye izimo, kwehla ngokushesha amazinga kashukela, aqedwa ngokuthatha i-carbohydrate. Ngokuvamile, umbono wodokotela neziguli mayelana nomuthi muhle. Ngokusebenzisa kahle amaphilisi futhi ulandele zonke izincomo zikadokotela, ungafinyelela amazinga ashukela ajwayelekile futhi uvikele imiphumela emibi. Kumele kukhunjuzwe ukuthi kuphela lezo ziguli:
- bambelela kokudla okufanele;
- ngena kwezemidlalo;
- gcina ibhalansi phakathi kokuphumula nomsebenzi;
- lawula ushukela;
- zama ukugwema ukushaqeka ngokomzwelo nokudangala.
Abanye basebenzisa umuthi ekwakheni imizimba ukwandisa isisindo semisipha. Kodwa-ke, odokotela baxwayisa ukusetshenziswa kwalesi sidakamizwa kwezinye izinhloso.
Ngokuthuthuka kokungaphenduki okungekuhle noma maqondana ne-contraindication, udokotela unenkinga ekukhetheni omunye umuthi ongaba nomphumela ofanayo wokwelapha. I-Diabeteson MV ine-analogues eziningi. Isibonelo, phakathi kwezidakamizwa eziqukethe isakhi esisebenzayo se-gliclazide, ezithandwa kakhulu yilezi:
- UGlidiab MV (ama-ruble ayi-140);
- I-Gliclazide MV (ama-ruble ayi-130);
- I-Diabetesalong (ama-ruble ayi-105);
- I-Diabefarm MV (ama-ruble ayi-125).
Phakathi kwama-ejenti aqukethe ezinye izinto, kepha onomphumela ofanayo we-hypoglycemic, umuntu angahlukanisa iGlemaz, Amaril, Gliclada, Glimepirid, Glyurenorm, Diamerid nabanye.
Kuyaqapheleka ukuthi lapho ukhetha umuthi, isiguli asinaki ukunaka kokusebenza kwaso, kodwa nezindleko zaso. Inani elikhulu le-analogues lenza ukuthi kukwazi ukukhetha okuhlukahlukene kakhulu kwesilinganiso sentengo nekhwalithi.
I-Diabeteson MV 30 mg - ithuluzi elisebenzayo ekwelapheni isifo sikashukela sohlobo 2. Uma usetshenziswa kahle, umuthi uzosiza ukunciphisa ushukela bese ukhohlwa ngezimpawu zesifo "esimnandi" isikhathi eside. Into esemqoka ukungakhohlwa ngemiyalo kadokotela nokuphila impilo enempilo.
Isazi esivela kuvidiyo ekulesi sihloko sizokhuluma ngezimpawu zemithi yesifo sikashukela.
