I-ejenti ekhipha ushukela Diabeteson MV: imiyalo yokusebenzisa kanye nokuxhumana nezinye izidakamizwa

Pin
Send
Share
Send

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:

  1. isifo sikashukela i-mellitus (uhlobo lwesibili) - uma izindlela zokwelapha ezingezona izidakamizwa (ukudla, ukunciphisa umzimba, ukwenza izinto zomzimba) zazingasebenzi;
  2. 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.

Umbuzo wokuthi ungawuthatha kanjani umuthi wesifo sikashukela unqunywa ngemiphumela yokuhlolwa ngudokotela obonayo.

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.

Inani elikhulu lezidakamizwa ezingathathwa ngosuku alwedlula i-120 mg. Intengo yomuthi incike kunani lezinto ezisebenzayo kuthebhulethi eyodwa - i-gliclazide.

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.
Ezimweni ezimbi kakhulu ze-hypoglycemia, kudingeka usizo lwezempilo oluphuthumayo, lulandelwe ukulaliswa esibhedlela.

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.
Njengomthetho, imiphumela emibi iyanyamalala lapho umuthi unqatshwa noma umuthi wansuku zonke othathwayo uncishisiwe.

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.

Akunconyelwe ukuhlanganisa ukwamukela namanye ama-ejenti ukwenza buthaka umphumela we-gliclazide (ngokwesibonelo, iDanazolum).

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.

Pin
Send
Share
Send