Esikhathini sethu, ubhubhane lwesifo sikashukela seluvele lwaba yinkinga ephuthumayo kubo bonke abantu. Ngasikhathi sinye, 90% yabo bonke abantu abanesifo sikashukela bahlushwa uhlobo lwesibili lwesifo.
Ngokuyisisekelo, i-glycidone ithathwa iziguli lapho ukusebenza ngokomzimba nokudla okufanele kunganciphisa i-glucose kumanani ajwayelekile.
Ngaphambi kokusebenzisa imishanguzo equkethe le nto esebenzayo, kufanele kufundwe ama-contraindication, imiphumela emibi kanye nolwazi mayelana nama-analogues.
Izici ezijwayelekile zento
I-Glycvidone i-white crystalline powder. Akunakunyakaziswa ngamanzi, empeleni akuhlukani notshwala. Umuthi unomphumela we-hypoglycemic. Ngenxa yokuthi uhlobo 2 lwesifo sikashukela lubonakala ngokwephula ukuzwela kwamangqamuzana omzimba kuyi-hormone ekwehlisa ushukela - i-insulin, isithako esisebenzayo somuthi othinta amanyikwe kanye nama-receptors kwezicubu zomzimba.
Umshini wesenzo salo uhlose ukuvuselela amaseli we-beta akhiqiza i-insulin, ehlise amazinga eglucagon egazini, futhi andise inani lama-receptors ama-hormone.
Esigulini esithathe umuthi, ngemuva kwamahora we-1-1,5, ukwehla kokuqukethwe ushukela kuyabonakala, umphumela omkhulu uza ngemuva kwamahora we-2-3 futhi uthatha amahora angama-8. Le nto imunca ngokushesha ipheshana emathunjini. Ukuqothuka kwayo kwenzeka ngamathumbu (anezindunduma ne-bile), kanye nezinso.
I-Glycvidone ibekelwe abantu abangaphezu kweminyaka engu-45 ubudala, lapho ukwelashwa okufanele nokuzivocavoca umzimba kungalethi imiphumela efunwayo futhi kukhona ukwanda njalo koshukela wegazi.
Imiyalo yokusebenzisa umuthi
Ngaphambi kokusebenzisa uGlycvidon, umuntu onesifo sikashukela kufanele abonane nodokotela wakhe ukuze anikeze inkambo efanele yokwelashwa nomthamo, ecabanga ngezimpawu zomuntu ngamunye. Ukugwema ukusabela okubi, imiyalo yokusebenzisa kufanele ifundwe.
E-Glyurenorm, i-glycidone isakhi esiyinhloko esinomphumela we-hypoglycemic. Kutholakala ngesimo samathebhulethi amhlophe. Umuthi uthathwa ngomlomo ngenkathi udla. Umthamo wokuqala ungamaphilisi ayi-0.5 (15 mg) ngesikhathi sasekuseni. Ukufeza umphumela omuhle kakhulu, umthamo ungandiswa kumaphilisi ama-4 (i-120 mg) ngosuku. Kulesi simo, ukwenyuka komthamo ngaphezu kwe-120 mg akuholeli esenzweni esengeziwe.
Ngesikhathi sokuguqulwa kusuka kwesinye isidakamizwa esinciphisa ushukela, ukungena kokuqala kufanele kube okuncane (15-30 mg).
Gcina i-Glurenorm kude nezingane ezisendaweni eyomile enamazinga okushisa angadluli ku-25C. Ekufakweni kwesidakamizwa kufanele kukhonjiswe usuku lokuphelelwa yisikhathi, esivame ukuba yiminyaka emi-5.
Ngemuva kwaleli gama, ukuphuza amaphilisi akuvunyelwe ngokuphelele.
Contraindication kanye nemiphumela emibi
Ukuzilapha ngalesi sidakamizwa kuyinto engathandeki kakhulu. Ukusetshenziswa kwomuthi akuvunyelwe ezimweni ezinjalo:
- Thayipha isifo sikashukela sokuqala esingu-1 (ifomu lokuncika kwe-insulin).
- Ukungabekezeleleki kwezakhi (ikakhulukazi, ezithathwe ku-sulfonamides kanye ne-sulfonylureas).
- I-Diabetesic acidosis (hypoglycemia ne ketonemia).
- Isikhathi ngaphambi kokuhlinzwa.
- Isifo sikashukela sikashukela.
- I-Precoma.
- Ukukhulelwa
- Isikhathi sokuzala.
Ezimweni ezingavamile, ezinye izindlela ezingezinhle zingavela, njenge-hypoglycemia, i-allergies (ukuqunjelwa isikhumba, i-urticaria, i-Stevens-Johnson syndrome, ukulunywa), ushintsho kwifomula yegazi, nokuphazamiseka kokugaya ukudla (isifo sohudo, isicanucanu, ukuhlanza). Uma kuvela lezo zimpawu, ungadinga ukufaka okunye ukwelashwa ngenye i-analogue.
Kulokhu, ukunakwa okukhethekile kufanele kukhokhwe ezigulini ezihluleka ngokwezinso. Umuthi kufanele uphuzwe ngaphansi kokuqashwa ngokuqinile kodokotela ohambelayo.
Ukusetshenziswa okuhlanganisiwe nezinye izidakamizwa, ezinjenge-sympathomimetics, ama-hormone we-thyroid, izindlela zokuvimbela inzalo ngomlomo, i-chlorpromazine, i-sympathomimetics, nezidakamizwa eziqukethe i-nicotinic acid kungawenza buthaka umphumela weGlycvidon.
Uma kwenzeka kweqisa umuthi, kungavela izimpawu ezifana nemiphumela emibi. Ukuze wenze ushukela ube ngokwejwayelekile, kudingeka uphuze ukungena ngokushesha kwe-glucose ngaphakathi noma ngaphakathi.
Ukubuyekezwa, izindleko nezimpawu
Ngesikhathi sokwelashwa, iziguli eziningi ziphawula umphumela omuhle ngokusetshenziswa kwe-Glycvidon equkethwe kumuthi i-Glyurenorm. Ukubuyekezwa kwamakhasimende kusho nokuhambisana nalezi zincomo:
Ngesikhathi sokuphuza umuthi, umuntu akufanele akhohlwe ngokudla nangemisebenzi yangaphandle. Ukudla okungafanele noma ukuphuza umuthi ngokungadingekile kubangele ukwehla okushukela kwezinye iziguli. Ngakho-ke, ukunamathela ohlelweni losuku nemithetho yokwelashwa nomuthi kubaluleke kakhulu.
Uma kwenzeka ukusabela kwe-hypoglycemic, ungadla ucezu lukashokoleti noma ushukela. Kepha ngokuqhubeka kwalesi simo, udinga ukubonana nodokotela ngokuphuthumayo.
Ngesikhathi sokushintshwa kusuka komunye umuthi uye komunye, ezinye iziguli zikhombise ukwehla kokunakwa, ngakho-ke lokhu kufanele kubhekelwe abashayeli bezimoto nobunye ubuchwepheshe obudinga ukuhanjiswa okuphezulu.
Ngokuqondene namanani, kuthembekile impela kwiziguli zanoma yiliphi izinga lokuceba. Intengo yephakeji le-Glurenorm, equkethe amaphilisi angama-60 ama-30 mg lilinye, isukela kuma-ruble angama-385 kuya kwangama-450. Izwe lokukhiqizwa kwalo muthi yiJalimane. Umuthi ungathengwa kunoma iyiphi ikhemisi eseduze noma ubeke i-oda lokulethwa kwamaphilisi online. Umuthi uthengiswa ngumbhalo kuphela.
Uma, nganoma yisiphi isizathu, umuthi ungasifanele isiguli, udokotela angalungisa irekhodi lokwelashwa ngokunquma umuthi ofanayo ukunciphisa amazinga kashukela. Izimpawu eziphambili zeGlyurenorm yilezi:
- I-Amaril (ama-ruble ayi-1150);
- Maninil (ama-ruble ayi-170);
- I-Gluconorm (ama-ruble angama-240);
- Isifo sikashukela sikashukela (ama-ruble angama-350).
Futhi-ke, i-Glyrenorm, equkethe i-glycidone esebenzayo yezinto, yehlisa ngempumelelo amazinga kashukela, ivuselela amaseli we-pancreatic beta futhi ithuthukise ukuzwela kwama-receptors omzimba.
Kodwa-ke, njenganoma yimuphi umuthi, inezimpawu zokuphikisana futhi inemiphumela emibi. Ngakho-ke, ukuzithatha ngokwakho akunconywa. Okokuqala udinga ukubona udokotela ongakwazi ukuhlola impilo yesiguli futhi akunikeze inkambo efanele yokwelashwa. Kumele kukhunjulwe ukuthi imithamo efanelekile nokugcina impilo inempilo yenza ngokwejwayelekile izinga leshukela egazini likashukela. Ividiyo ekulesi sihloko izokutshela futhi ukuthi yini ongayithatha ngesifo sikashukela.
