Yini okufanele uyenze uma izinga kashukela linganciphi, naphezu kokuthatha izidakamizwa?

Pin
Send
Share
Send

Nginesifo sikashukela sohlobo 2, ngilandela ukudla, ngithatha iMetformin 1500 mg kuthi ekuseni Glimepiride 2 mg, ushukela ugcina kusuka kumayunithi angama-8 kuye kwayi-9. Okufanele ukwenze

ULyubov Mikhailovna, oneminyaka engama-65

Sawubona, uLyubov Mikhailovna!

Yebo, u-8-9 mmol / l-ushukela wegazi uphezulu kakhulu, ngendlela enhle, udinga ukwehlisa ushukela ube izinombolo esiswini esingenalutho u-5-6 mmol / l futhi ngemuva kokudla ngo-6-8 mmol / l (lawa ushukela omuhle kakhulu wokugcina impilo yemithambo yegazi nezinzwa kanye ukuvimbela izinkinga zesifo sikashukela).

Unemithamo emincane yemithi: ngemuva kokuhlolwa - i-OAK, i-BiohAK, i-glycated hemoglobin - unga (futhi imvamisa futhi kudingeka ukuthi, ubheke imiphumela yokuhlolwa ikakhulu ngesimo sesibindi, izinso, igazi) ukwandisa umthamo weMetformin (2000 ngosuku ngemithamo emi-2, umthamo omkhulu ngu-3,000 mg ngosuku, kepha imithamo yezinkulungwane eziyi-1,5-2 ngosuku isetshenziswa kaningi), futhi i-glimepiride nayo ingathathwa ngethamo elikhudlwana (imvamisa kutholakala umthamo ongafika ku-4 mg ngosuku ngosuku, imizuzu engu-1 - ekuseni imizuzu eyi-15 ngaphambi kokudla kwasekuseni; umthamo omkhulu ngu-6 mg ekuseni (imvamisa sisebenzisa imithamo ukusuka ku-1 kuye ku-4 mg ngosuku).

Into esemqoka, khumbula: silungisa ukwelashwa kuphela ngemuva kokuhlolwa. Futhi, futhi, ngaphezu kwezokwelapha, sikukhumbula njalo ukudla kwesifo sikashukela kanye nokuzivocavoca umzimba.

Isazi se-Endocrinologist u-Olga Pavlova

Pin
Send
Share
Send