Lapho umuntu ehlangabezana nesifo esinjengesifo sikashukela, ngandlela thile, impilo yakhe iguquka ngokuphelele. Lokhu akuyona indlela yokusebenza umuntu angayithatha kalula futhi anganaki izincomo zikadokotela zokwelashwa.
Isimo esinjalo ungaholela hhayi ezinkingeni kuphela, kodwa futhi nasekufeni.
Ngalesi sifo, isiguli sinikezwa ukwelashwa okukhethekile okuhlala isikhathi eside, okubandakanya ukudla nokuphuza nemithi. Imvamisa, ukwelashwa okuyinkimbinkimbi ngezidakamizwa kunqunyelwe, okukhona kuzo eziningi ekhemisi. Enye yalezi kuzoxoxwa ngayo esihlokweni, okuyiDiabetes.
Isenzo se-Pharmacological
Eminye yemiphumela yokwelapha umuthi we-Diabeteson ukukhulisa izinga le-inspronial insulin kanye nokugcinwa kwe-C-peptide, umphumela wawo ophikelela ngisho nangemva kweminyaka emibili ngemuva kokusetshenziswa kwalesi sidakamizwa.
Ithebhulethi Diabeteson MV 60 mg
IGliclazide (isakhi esisebenzayo somuthi) nayo inezici ze-hemovascular. Ezigulini ezinomdlavuza wesifo sikashukela sohlobo 2, ibuyisela isigaba se-I ne-II secretion ye-insulin. Ukwanda kwezinga le-insulin elenziwa yi-pancreas kuxhomeke ekudleni noma emthanjeni weglue.
Izinkomba nomthamo
Umuthi i-Diabeteson usetshenziselwa ukusetshenziswa komlomo futhi ungabekelwa abantu abadala kuphela.
Umuthi usetshenziselwa uhlobo lwe-insulin oluthembela ku-insulin lapho kungenakwenzeka ukulawula izinga le-glycemia ngokudla, ukuvivinya umzimba kanye nokunciphisa umzimba.
Umthamo wansuku zonke walesi sidakamizwa uvela ku-½ kuya kumathebulethi amabili ngosuku - kusuka kuma-milligram angama-30 kuye kwangama-120. Inani elifunekayo lisetshenziswa kanye ngesikhathi sokudla kwasekuseni, kuyilapho kunganconywa ukuluma iphilisi, ngoba kufanele idliwe ngokugwinya lonke, ngenkathi uphuza uketshezi oluningi.
Umthamo walesi sidakamizwa ukhethwa ngokukodwa futhi kuya ngempendulo ekwelashweni. Noma kunjalo, kukhona izincomo zohlaka ongazisebenzisa ngalo umuthi. Umthamo wokuqala ungama-milligram angama-30 ngosuku, okulingana nethebhulethi eyi-case Uma kulawulwa ngempumelelo amazinga eglucose egazini, ukwelashwa kungaqhubeka ngokuzayo ngaleli nani.
Uma kudingekile ukuqinisa ukulawulwa kwe-glycemia, umthamo wansuku zonke ungangezelelwa ube ngama-milligram angama-60.
Ngokuzayo, ungakhuphuka ufike kuma-milligram angama-90, noma ayi-120. Ukushintsha umthamo akukuthinti ukusetshenziswa kwalesi sidakamizwa nganoma iyiphi indlela, kufanele kusetshenziswe isikhathi esisodwa ngesikhathi sokudla kwasekuseni ngokugcwele.
Inani elivunyelwe le-Diabeteson elisetshenzisiwe lingama-milligram angama-120, alingana namatafula amabili.Esimweni lapho umphumela odingekile ungatholakalanga ukulawula izinga likashukela egazini, umuthi okwamphuzo wamamiligremu angama-60 ungabekwa ngokuphathwa kwe-insulin kanyekanye.
Kodwa-ke, kulokhu, kuyadingeka ukuthi kuqashwe impilo yesiguli njalo. Iziguli ezineminyaka yazo idlula iminyaka engama-65, umthamo unqunywa ungashintshiwe, kanye nakubantu abancane.
Ezigulini ezinokwehluleka kokulinganisa kwe-reloe okuphakathi kancane, umthamo uhlala ungashintshiwe, noma kunjalo, kulokhu, isiguli kufanele sibe ngaphansi kokuqashwa njalo kwezokwelapha.
Ezigulini ezisengozini ye-hypoglycemia, umthamo onconyiwe wesidakamizwa i-Diabeteson ungama-milligram angama-30 ngosuku.
Ezigulini ezinesifo esibuhlungu se-vascular, ezinezifo ezifana nesifo senhliziyo, sisebenzisa isifo semithambo, isifo se-coronary artery, umuthi unqunywe kumthamo wamamiligremu angama-30 ngosuku.
Imiphumela emibi
Ngesikhathi sokuphatha lesi sidakamizwa, ukubonakaliswa kwemiphumela emibi ehlukahlukene evela ezinhlelweni ezahlukahlukene kungenzeka.
Imiphumela emibi ingafaka lokhu okulandelayo:
- umuzwa onamandla wendlala;
- isicanucanu esiphikelelayo;
- ikhanda elinzima;
- amacala avamile wokuhlanza;
- ukuphazamiseka kokulala;
- ubuthakathaka obujwayelekile;
- isimo esijabulile;
- Ukudana
- ukunaka kokuphazamiseka kwengqondo;
- ukusabela okuncishisiwe;
- isimo sokudangala;
- ukudideka kokwazi;
- ukukhubazeka kwenkulumo;
- i-aphasia;
- ukuzamazama kwemilenze;
- paresis;
- ukwephulwa kokuzwela;
- ukwephulwa okubukhali;
- ukulahlekelwa ukuzithiba
- i-bradycardia;
- ukungaboni kahle
- iminyakazo
- delirium;
- ukozela
- kwesinye isikhathi kungahle kube nokulahlekelwa ukwazi, okungaba nomthelela ekuthuthukiseni ukoma nokufa okunye;
- ukukhuphuka kokujuluka;
- umuzwa wokukhathazeka;
- i-tachycardia;
- i-arterial hypertension;
- arrhythmia;
- umuzwa wokubetha kwenhliziyo yakho uqobo;
- ukuhlaselwa kwe-angina;
- umuzwa ongapheli wokukhathazeka;
- isikhumba esiminyene;
- Ubuhlungu besisu;
- dyspepsia
- ukuqunjelwa okungenzeka;
- ukuqhuma kwesikhumba;
- ukulunywa
- i-erythema;
- i-urticaria;
- i-anemia
- ukuqhuma okuyihaba;
- ukuqhuma kwe-macropapular;
- i-leukopenia;
- i-granulocytopenia;
- i-thrombocytopenia;
- i-hepatitis;
- jaundice
- amacala erythrocytopenia;
- i-hemolytic anemia;
- i-pancytopenia;
- i-vasculitis ye-allergic;
- i-agranulocytosis.
Contraindication
Umuthi i-Diabeteson awusetshenziselwa:
- ukwehluleka okunzima kwezinso;
- ukwehluleka kwesibindi;
- ukwehluleka okukhulu kwe-hepatic ne-reso;
- isifo sikashukela;
- isifo sikashukela;
- ketoacidosis;
- Ukwelashwa okuvumelanayo nge-miconazole;
- ukukhulelwa
- ukucaphuka;
- ebuntwaneni;
- Ukuzwela okwandayo kwe-gliclazide noma okunye okususelwa ku-sulfonylurea.
Ukweqisa
Uma umthamo obekiwe ungabhekwa, i-hypoglycemia kungenzeka.
Iqhubeka ngaphandle kokuphazamiseka kwemizwa futhi ngaphandle kokulahlekelwa ukwazi. Ezimweni ezinjalo, kunconyelwa ukuthi inani lama-carbohydrate asetshenzisiwe kanye nethamo lomuthi we-hypoglycemic lilungiswe. Kungenzeka futhi ukuthi ushintshe indlela odla ngayo noma odla ngayo.
Kuze kube yilapho isimo sesizinze ngokuphelele, isiguli kufanele siqashwe. Ezimweni ze-hypoglycemia enzima, ehambisana nokuqunjelwa, ukuthuthukiswa kwe-coma noma okunye ukuphazamiseka kwemizwa, kudingeka ukuphuthuma kokuphuthumayo kwesiguli.
Nge-hypoglycemic coma noma izinsolo zokuthuthuka kwayo, isiguli sinikezwa ngokuphuthumayo amamililitha angama-50 wesisombululo se-glucose (20-30%) ngaphakathi, lapho-ke ikhambi elingagxiliwe (10%) lihanjiswa njalo.
Lokhu kufanele kwenziwe kaningi ukuze kugcinwe ushukela wegazi ongaphezu kwe-1 g / l. Izenzo ezengeziwe zinqunywa udokotela ngokuya ngesimo sesiguli.
Ukubuyekezwa
Ukubuyekezwa kwesidakamizwa i-Diabeteson kakhulu.Ukusebenza kahle okuphezulu, ukwehla kweshukela egazini, kanye nomphumo wokusekelwa kuvame ukubonwa.
Ukusebenziseka kalula ekusebenzeni nakho kuhlukaniswa, ngoba umuthi usetshenziswa kanye ngosuku. Phakathi kwezinto ezingezinhle zikhomba izindleko eziphakeme, ukwenzeka kwe-hypoglycemia, ukuba khona kwenani elikhulu lemiphumela emibi, phakathi kwayo okunezinkinga ezinkulu ezinkulu.
Amavidiyo ahlobene
Ungayithatha kanjani i-Diabeteson yesifo sikashukela sohlobo 2:
Isifo sikashukela yisidakamizwa esisebenza ngempumelelo esinqunyelwe iziguli ezinesifo sikashukela sohlobo 2. Ingxenye yalo esebenzayo yi-gliclazide, yiyo enenqwaba yemiphumela yokwelapha. Kuyaqapheleka ukuthi, ngaphandle kokuba khona kohlu olukhulu lwemiphumela emibi, zimbalwa iimeko zokubonakaliswa kwazo.
