Isidakamizwa i-Diabeteson MB sisho ngama-ejenti omlomo we-hypoglycemic nge-gliclazide njengento esebenzayo.
Mayelana nokuthi ungayithatha kanjani i-Diabeteson yesifo sikashukela nezinye izinkomba, futhi kuzoxoxwa ngayo kulokhu okuqukethwe.
Izinkomba ezidingekayo ngomthamo wokwelashwa
I-Diabeteson MV yezidakamizwa, imiyalo yokusetshenziswa kwayo equkethe yonke imininingwane edingekayo ngethuluzi, kunconyelwa ukuyisebenzisa ezimweni ezilandelayo:
- isifo sikashukela i-mellitus (uhlobo lwesibili) - uma izindlela zokwelapha ezingezona izidakamizwa (ukudla, ukunciphisa umzimba, ukwenza izinto zomzimba) zazingasebenzi;
- ukuze uvikele izinkinga zesifo sikashukela i-mellitus (retinopathy, stroke, nephropathy, infarction myocardial). Lokhu, iziguli zilawulwa njalo kwe-glycemic.
Umuthi i-Diabeteson MV unqunyelwe abantu abadala kuphela, izingane ezingaphansi kweminyaka engu-18 ubudala, umuthi awuhloswanga, izivivinyo zomtholampilo azenziwanga.
Umthamo wezidakamizwa ze-hypoglycemic ukhethwa ngawodokotela ngamunye. Kulokhu, ukuhlangana kweglucose egazini, kanye nezinkomba ze-HbA1c, kuyabhekelelwa.
Umthamo onconyelwe umuthi uwukuthi: kanye ngosuku ngevolumu engama-30 mg-120 mg (ukusuka kwengxenye kuya kwamatafula amabili kanye ngesikhathi sokudla kwasekuseni).
Isibonelo, ithebhulethi ye-Diabeteson MV 30 mg imiyalelo yokusetshenziswa idinga ukugwinya ngokuphelele. Akunconywa ukuyigaya noma ukuyihlafuna.
Uma kuphakama umbuzo, ungayithatha kanjani i-Diabeteson MV 60 mg kahle, khona-ke kuleli cala ungaphula isibhebhe bese uphinde uthathe ingxenye yonke.
Kubalulekile ukuwuphuza umuthi njalo, ngokuya ngohlelo oludwetshwe udokotela. Uma weqa umuthi, noma kunjalo musa ukwandisa umthamo olandelayo.
I-Diabeteson MV 60 mg ngesikhathi sokuqala ukwelashwa, odokotela batusa ukuthi bonke abantu abadala (kufaka phakathi abantu asebekhulile abaneminyaka engaphezu kwengama-65) bathathe uhhafu wethebhulethi ngosuku, okungukuthi, ama-30 mg lilinye.
Ngomthamo onjalo, isidakamizwa sisetshenziswa njengezakhi zokwelapha ezisekelayo. Uma kulawulwa okunganele kwe-glycemic, umthamo wansuku zonke uyanconywa ukuba unyuswe kancane kancane. Ekuqaleni, ingaba ngu-60 mg, bese kuba ngu-90 mg bese iba ngu-120 mg ngosuku.
Amathebhulethi Diabeteson MV
Odokotela batusa ukukhulisa umthamo kuphela ngemuva kwenyanga yokwelashwa. Okuhlukile kuneziguli ezinokuhlaselwa koshukela kancane ngemuva kwamaviki amabili zokwelashwa. Ngabo, ukwanda kwenani le-Diabeteson MV esithathiwe kungenzeka ngemuva kwezinsuku eziyi-14 zokwelashwa.
Ezibhebheni ze-60 mg, kunikezwa i-notch ekhethekile ekuvumela ukuthi uhlukanise umthamo womuthi uhhafu. Ngakho-ke, uma udokotela ebeka isiguli sika-90 mg somuthi ngosuku esigulini, khona-ke kuyadingeka ukusebenzisa ithebhulethi eyodwa engama-60 mg nengxenye eyengeziwe ye-1/2 yesibili.
Ukuphatha ngokubambisana nezidakamizwa ze-hypoglycemic
I-Diabeteson MB isetshenziswa nezidakamizwa ezilandelayo:
- ama-biguanidines;
- insulin;
- i-alpha glucosidase inhibitors.
Ukulawulwa okunganele kwe-glycemic kuhilela ukuqokwa kwezifundo ezengeziwe zokwelapha nge-insulin, kanye nokuhlolwa kwezokwelapha.
Izici zokuphuza umuthi wamaqembu eziguli ngazinye
Ucwaningo luye lwabonisa ukuthi ukulungiswa kwamthamo akudingeki ezigulini ezilandelayo:
- abantu asebekhulile (iminyaka engama-65 noma ngaphezulu);
- ngobumnene kuze kube sezingeni eliphakathi nokwehluleka kwezinso;
- ngokuthuthukiswa okungenzeka kwe-hypoglycemia (ukungalingani noma ukungondleki);
- nokukhubazeka okukhulu kwe-endocrine (hypothyroidism, ukungapheleli kwepitheni, isifo se-adrenal;
- phezu kokukhanselwa kwe-corticosteroids, uma ngabe yathathwa isikhathi eside noma ngemithamo ebalulekile;
- ngezifo ezinzima zenhliziyo nemithambo yegazi (umuthi unconyelwa umthamo omncane ka-30 mg).
Imiphumela yokweqisa kwemithi
Ukweqisa izidakamizwa kuholela ekuthuthukisweni kwe-hypoglycemia.
Ukwelapha izimpawu ze-hypoglycemia, ezivezwa izimpawu zesifo ezinesilinganiso, kubalulekile:
- khulisa ukudliwa kwezinto eziqukethe i-carbohydrate;
- sinciphise umthamo wokuqala othathwe ngomuthi;
- shintsha ekudleni;
- xhumana nochwepheshe.
Kwi-hypoglycemia enzima, isiguli sine:
- coma
- izicubu zomsipha;
- okunye ukuphazamiseka kwemizwa.
Imiphumela emibi
Ukusetshenziswa kwomuthi ngokudla kanyekanye okungajwayelekile, kanye nokudla okweqa isikhathi kungavusa ukuvela kwe-hypoglycemia, ekhonjiswe kulezi zimpawu ezilandelayo:
- ikhanda
- indlala enkulu;
- ukukhathala
- isifiso sokuhlanza;
- isicanucanu
- ukuvuka
- ukunciphisa ukunakwa kokunakwa;
- ukuntuleka kokulala;
- isimo esingenakucasulwa;
- ukubambezela ukusabela;
- ukulahlekelwa ukuzithiba;
- isimo sokudangala;
- ukungaboni kahle
- ukukhubazeka kwenkulumo;
- paresis;
- i-aphasia;
- ukuthuthumela
- ukuntuleka kokuzithiba;
- ukungasebenzi;
- Isiyezi
- ukozela
- izicubu zomsipha;
- ubuthakathaka
- i-bradycardia;
- ukuphefumula okungashonile;
- delirium;
- ukozela
- ukulahleka kwengqondo;
- ukusabela kwe-andrenergic;
- Ukhohlwe umphumela ongabulala.
Izimpawu ezitholakala ku-hypoglycemia zisuswa wukudla ushukela. Amacala amakhulu noma ahlala isikhathi eside alezi zimo afaka isibhedlela okuphoqelekile.
Eminye imiphumela emibi ezinhlelweni zomzimba nayo iyaphawulwa:
- yokugaya ukudla
- izicubu ezithambile nezikhumba;
- ukwakheka kwegazi;
- izindunduma ze-bile nesibindi;
- izitho zombono.
Contraindication
Umuthi i-Diabeteson MV 60 mg une-contraindication elandelayo:
- thayipha i-1 isifo sikashukela;
- ukubonakaliswa kwesifo sikashukela ngesimo se-ketoacidosis, ikhesa, i-precoma;
- amacala amakhulu okwehluleka kwe-hepatic noma i-renal (kunconywa ukwelashwa kwe-insulin);
- ukusetshenziswa okufanayo ne-miconazole;
- isimo sokukhulelwa;
- isikhathi sokuncelisa;
- iminyaka engaphansi kweminyaka eyi-18;
- hypersensitivity kuzakhi zomuthi;
- ukungabekezeleli izinto eziqukethe i-lactose;
- ukubonakaliswa kwe-galactosemia, i-galactose / glucose malabsorption syndrome;
- ukusetshenziswa okuhlangene neDanazol, Phenylbutazone.
Ukuqapha kumele kusetshenziswe lapho uphuza umuthi kulezi zimo ezilandelayo:
- ngokudla okungalingani, okungajwayelekile;
- izifo zenhliziyo, imithambo yegazi, isibindi, izinso;
- ukwelashwa isikhathi eside kwe-corticosteroids;
- ukubonakaliswa kotshwala;
- ebudaleni.
Umuthi ungaxhumana nezinye izidakamizwa, kanye notshwala futhi ubangele imiphumela engafuneki.
Kuphikiswe ukusebenzisa izinto ezithuthukisa isenzo sengxenye ye-gliclazide, ngoba ukuthuthukiswa kwe-hypoglycemia kungenzeka.
Awukwazi ukusebenzisa lesi sidakamizwa ngokuhlangana neMiconazole, iPhenylbutazone, i-Ethanol, nezinye izidakamizwa eziqukethe notshwala ekwakhiweni kwazo, futhi kuyadingeka futhi ukuqeda ngokuphelele ukusetshenziswa kotshwala. Sebenzisa ngokuqapha ngezidakamizwa ze-hypoglycemic (Insulin, Metformin, Enalapril).
Amavidiyo ahlobene
Imiyalo yokusebenzisa isidakamizwa Diabeteson kuvidiyo:
Kunoma ikuphi, kubalulekile ukusondela ngokuqinile kulawulo lwe-glycemic lapho uthatha umuthi. Kubalulekile ukwenza le nqubo njalo, kubandakanya nokuzimela. Uma kunesidingo, isiguli kufanele sithole ukwelashwa okuphuthumayo kwe-insulin.