Izidakamizwa ze-Hypoglycemic ziyehluka kakhulu. Lokhu kufaka isidakamizwa i-Novonorm.
Iziguli ezisebenzisayo kufanele zazi izici zalo muthi ukuze ziwusebenzise kahle, zibheke izindlela zokuqapha.
Imininingwane ejwayelekile, ukwakheka kanye nendlela yokukhululwa
Khiqiza i-Novonorm eDenmark. Lesi isidakamizwa esinciphisa ushukela esenziwe ngomlomo esakhiwe ngesisekelo seRepaglinide. Kubekelwe ukwelashwa kwesifo sikashukela. Kuyinto engathandeki ukuqala ukwelashwa ngaleli khambi ngokwayo, ngoba ine-contraindication.
Umuthi ungadala imiphumela emibi. Ukuvimbela izehlakalo ezimbi, iNovonorm ithengiswa kuphela ngomuthi. Iziguli kulindeleke ukuthi zilandele imiyalo kadokotela, ukuze zingakhubekisi.
Umuthi uyatholakala ezibhebheni ezinokuqukethwe okuhlukile kwengxenye esebenzayo (0.5, 1 noma 2 mg). Ngaphezu kwento esebenzayo, ezinye izithako zibekwa kuleli thuluzi.
Lokhu kufaka phakathi:
- isitashi sommbila;
- ipoloxamer;
- i-phosphate ye-anhydrous calcium hydrogen;
- i-povidone;
- glycerol;
- i-magnesium stereate;
- i-microcrystalline cellulose;
- I-Meglumine;
- i-potassium polacryline;
- i-oxide ebomvu yensimbi.
Faka umuthi emasishinini amaseli ama-15 ama-pcs. lilinye. Iphakethe lingafaka ama-2 noma 4 amanxeba (amaphilisi angama-30-60).
I-Pharmacology ne-pharmacokinetics
Umuthi uhlukaniswa njenge-ejenti ye-hypoglycemic yohlobo olusha. Inesenzo esisheshayo emzimbeni, ngenxa yomphumela wawo kumanyikwe. I-Repaglinide ivuselela umsebenzi wayo, ngenxa yokuthi umzimba uqala ukukhiqiza i-insulin ngenkuthalo.
Isikhathi esifanele sokwamukelwa sisondele ngaphambi kokudla (imizuzu eyi-15-30). Lokhu kusiza ukunciphisa ukugxila kwe-glucose ngesikhathi sokudla.
Ukutholwa kweRepaglinide kwenzeka emgodini wokugaya ukudla. Inani elikhulu lezinto emzimbeni lilungiswa ihora elilodwa ngemuva kokuthatha umuthi. Isithako esisebenzayo singena ngokuxhumana namaprotheni egazi. Ingxenye yeRepaglinide ikhishwa ngehora, lokhu kuhlanganiswa kungasebenzi ngokuphelele ngemuva kwamahora ayi-4-6. Ukudonswa kwenani elikhulu layo kwenziwa ngamathumbu nezinso.
Izinkomba kanye ne-contraindication
Ukwelashwa okusebenzayo kufanele kube okuphephile kuqala. Ngakho-ke, lapho kunquma imithi, odokotela kufanele bacabangele imiyalo. Iziguli, noma kunjalo, akufanele zizimele zisebenzise umuthi owodwa kwesinye, futhi futhi zikhuphule noma zinciphise isilinganiso somuthi.
Umuthi ungabekwa ngesimo se-monotherapy (uma ingekho imiphumela evela ekwelashweni kokudla), futhi ngokuhlanganiswa neMetformin (lapho kungekho ngcono kusuka kwi-monotherapy).
Kunezimo lapho ngisho nomuthi osebenzayo kufanele ulahliwe. Ezinye izifo ezihlobene noshukela zingadala ukungahambi kahle kwengxenye yomzimba nomuthi.
Lezi zifo zibandakanya:
- thayipha i-1 isifo sikashukela;
- ukwehluleka kwesibindi okunzima;
- ukuzwela kwesineke kokwakheka komuthi;
- izifo ezithathelwanayo;
- isifo sikashukela sikashukela;
- ukoma obangelwa yisifo sikashukela.
Akuvunyelwe ukuthatha la maphilisi ngesikhathi sokukhulelwa nokuncelisa. Izingane nentsha nazo azinqunyelwe umuthi.
Imiyalo yokusebenzisa
Ishedyuli yokuphuza umuthi incike ezimeni zodwa zomzimba wesiguli nakwisithombe sasemtholampilo. Kufanele ithuthukiswe uchwepheshe. Impumelelo yokwelapha incike ekuthobeleni izincomo zezokwelapha.
Ngaphandle kokuthi kunemiyalo ekhethekile evela kudokotela, kufanele ulandele imiyalo ejwayelekile. Ucebisa ukuqala ukwelashwa ngethamo lika-0,5 mg.
Ukuze usebenzise umuthi osesilinganisweni esinjalo kufanele kube ngaphambi kokudla ngakunye (cishe imizuzu engama-30). Ngesikhathi sokwelashwa, udinga ukubheka njalo okuqukethwe ushukela wegazi. Uma kunesidingo, uhlelo luguqulwa.
Ungangezela umthamo womuthi kanye ngesonto. Kulokhu, udinga ukubheka imithamo ephezulu evumelekile yomuthi, ukuze kungabangeli ukweqisa.
Ukukhishwa okukodwa okuphezulu kweNovonorm ngu-4 mg. Umzimba akufanele ungene ngaphezu kwe-16 mg ngosuku.
Kwezinye izimo, i-Repaglinide ihlanganiswe neMetmorphine. Ukuqala kokwelashwa okunjalo kusekelwe ezimisweni ezifanayo - isilinganiso se-Repaglinide singu-0.5 mg ngasikhathi. Ngokulandelayo, i-schedule ilungiswa ngokuya ngemiphumela yokuhlolwa kwegazi.
Iziguli Ezikhethekile Nezinkomba
Ukuqapha akudingeki kuphela kubantu abangabekezeleli izakhi noma izifo ezengeziwe. Amaqembu amaningi eziguli nawo adinga ubuhlakani kuphela ngoba engosigaba esithile sobudala noma esesimweni esikhethekile.
Lokhu kufaka phakathi:
- Izingane nentsha. Akukaziwa ukuthi i-repaglinide ibathinta kanjani laba baguli. Ngakho-ke, ukwelashwa ngeNovonorm akwenziwa nabo.
- Abantu abadala (iminyaka engaphezu kwengu-75). Ezigulini ezinjalo, iningi lezitho nezinhlelo ezingasebenzi kahle, ngenxa yezinguquko ezihlobene nobudala. Ngenxa yalokhu, lesi sidakamizwa kungenzeka singabathinti ngendlela ehamba phambili.
- Abesifazane abakhulelwe. Ucwaningo ngemiphumela yeRepaglinide kwabesifazane ngesikhathi sokubeletha ayizange yenziwe. Ngokwezivivinyo zezilwane, singasho ukuthi le nto ingathinta kabi ukukhula kwesibeletho. Ngakho-ke, ukwamukelwa kweNovonorm akuvunyelwe kwabesifazane abakhulelwe.
- Isisu. Ingxenye esebenzayo yesidakamizwa idlulela ebisini lwebele. Ukuthi zithinta kanjani izingane ezincane akukasungulwa. Ngenxa yalokhu, lo mkhiqizo awusetshenziswa ngenkathi uncelisa ibele.
Ukulungisa izinga le-glycemia kwiziguli ezinjalo kuyadingeka nezinye izidakamizwa.
Emiyalweni yomuthi, ezinye izifo ziyashiwo, lapho kufanele wenqabe ukwamukela i-Novonorm noma ushintshe umthamo:
- ukwehluleka kwesibindi;
- ukuba khona kwezimpawu zomkhuhlane;
- ukwehluleka okungapheli kwezinso;
- utshwala;
- isimo esibi sesiguli;
- ukukhathala okubangelwa yindlala isikhathi eside.
Noma iziphi zalezi zici zingaba isizathu sokwenqaba ukusebenzisa umuthi.
Imiphumela emibi kanye ne-overdose
Umuthi ngamunye ungadala imiphumela emibi.
Okuvame kakhulu kuzo lapho usebenzisa i-Novonorm yilezi:
- isimo se-hypoglycemic;
- ukuphazamiseka kwamapheshana emathunjini;
- imivimbo yesikhumba;
- ukungaboni kahle
- i-urticaria;
- isicanucanu
Umgomo wokuqeda lezi zinto kufanele unqunywe uchwepheshe. Kwesinye isikhathi bakhombisa ubukhona bokubekezelela umuthi, lapho kufanele bayeke khona ukwelashwa.
Ukusebenzisa kakhulu kungadala i-hypoglycemia. Ukulwa nalesi simo kuncike ekutheni kukhulu kangakanani ukubonakaliswa kwayo.
Inkulumo yevidiyo yezidakamizwa ezintsha zesifo sikashukela:
Ukuxhumana nezinye izidakamizwa, ama-analogues
Lapho uhlanganisa iNovonorm namaqembu athile ezinto zokwelapha, kufanele kuqashelwe, ngoba kunganciphisa noma kukhuphule ukusebenza kwawo. Kulezi zimo, umthamo womuthi okukhulunywa ngawo kufanele ulungiswe.
Kuyadingeka ukunciphisa ingxenye yeNovonorm ngenkathi uyithatha no:
- izidakamizwa ze-hypoglycemic;
- I-MAO ne-ACE inhibitors;
- ama-salicylates;
- ama-antimycotic agents;
- ama-beta-blockers, njll.
Ukwehlisa umthamo we-repaglinide kuyadingeka uma ngabe kuchaziwe kuhlangene:
- ama-barbiturates;
- glucocorticosteroids;
- ezinye izidakamizwa ze-hormonal;
- izindlela ezenzelwe ukuvimbela inzalo, njll.
Lokhu kusho ukuthi isiguli kumele sazise udokotela oselapho ukuthi sisebenzisa ezinye izidakamizwa, bese sizibiza ngamagama.
Amakhambi e-analogue ayadingeka ukuze ungene esikhundleni somuthi ongalungile.
I-Novonorm ingathathelwa indawo izidakamizwa ezifana:
- I-Guarem;
- I-Diaglinide;
- I-Forsyga;
- UJardins.
Udokotela kufanele akhethe ikhambi elifanele njengelinye esikhundleni. Kumele alandele ukuthi umzimba wesiguli uhlangana kanjani nawo.
Imibono yesiguli
Ukusuka kokubuyekezwa kwabathengi abathathe iNovonorm, singaphetha ngokuthi lesi sidakamizwa asifanele wonke umuntu - kwabanye sibangele imiphumela emibi eqinile, ebidinga ushintsho kulo muthi.
Ngiphuza umuthi ngokunconywa udokotela. Ezinyangeni ezi-3 ngibone ushintsho oluhle - zombili ezingeni likashukela nokuhlala kahle kwenhliziyo.
UMarina, oneminyaka engama-36
Ngaba nesifo sikashukela eminyakeni engu-5 eyedlule. Ngalesi sikhathi ngizame izidakamizwa eziningi. Manje ngamukela iNovonorm. Ngenkathi ngijabule.
UMikhail, oneminyaka engama-42
Uthathe uNononorm okwesikhashana - akazange angilungele ngenxa yemiphumela emibi. Futhi umngani wami ubephuze la maphilisi isikhathi esingaphezu konyaka, futhi konke kuhamba kahle naye. Kubukeka sengathi konke kuncike esimweni.
U-Ekaterina, oneminyaka engama-39
Ungawuthenga umkhiqizo kunoma iyiphi ikhemisi ngokwethula incwadi kadokotela. Intengo yeNovonorm iyahluka ngokuya ngomthamo wento esebenzayo ekwakhiweni, kanye nenani lamathebulethi amaphakethe. Ngokwesilinganiso, lesi sidakamizwa sibiza ama-ruble ayi-150-350.
