I-Vipidia amaphilisi - imiyalo yokusetshenziswa nezidakamizwa ze-analog

Isifo sikashukela isifo sikashukela yisifo esivame kakhulu nesiyingozi. Iziguli ezinalokhu kutholwa kufanele ziqaphe njalo ushukela wegazi lazo futhi zilulawule ngemithi, ngaphandle kwalokho umphumela ungabulala.

Kungakho kubaluleke kakhulu ukwazi ukuthi izidakamizwa zenzelwe kanjani ukulwa nezimpawu zalo msebenzi wesifo. Omunye wabo uViidia.

Imininingwane yemithi ejwayelekile

Leli thuluzi libhekisela entuthukweni entsha emkhakheni wesifo sikashukela. Ilungele abantu abatholakala behlonza isifo sikashukela sohlobo 2. I-Vipidia ingasetshenziswa yodwa futhi ihlangana nezinye izidakamizwa zaleli qembu.

Udinga ukuqonda ukuthi ukusetshenziswa okungalawulwa kwalo muthi kungashuba isimo sesiguli, ngakho-ke kufanele ulandele izincomo zikadokotela ngokuqinile. Awungeke usebenzise umuthi ngaphandle kokuyalela, ikakhulukazi uma uthatha eminye imishanguzo.

Igama lokuhweba ngalo muthi yi-Vipidia. Ezingeni lamazwe omhlaba kusetshenziswa igama elijwayelekile elithi Alogliptin, elivela engxenyeni enkulu esebenzayo ekwakhiweni kwayo.

Ithuluzi limelelwa ngamathebhulethi wefilimu aqokiwe e-oval. Zingaba ziphuzi noma zibomvu ngokugqamile (kuya ngomthamo). Iphakethe lifaka ama-28 ama-pcs. - Ama-2 ama-blisters emathebhulethi ayi-14.

Khipha ifomu nokwakheka

Umuthi Vipidia utholakala e-Ireland. Uhlobo lokukhishwa kwayo kungamathebulethi. Zizinhlobo ezimbili, ngokuya ngokuqukethwe kwento esebenzayo - 12.5 no-25 mg. Amathebulethi anenani elincane lezinto ezisebenzayo anegobolondo eliphuzi, elikhudlwana - elibomvu. Ezuweni ngalinye kunombhalo lapho kukhonjiswa khona umthamo nomakhi.

Isithako esisebenzayo somuthi yi-Alogliptin Benzoate (17 noma 34 mg kwithebhulethi ngalinye). Ngaphezu kwalokho, izingxenye ezisizayo zifakiwe ekwakhiweni, okufana:

• i-microcrystalline cellulose;
• i-mannitol;
• i-hyprolosis;
• i-magnesium stereate;
• crodarmellose sodium.

Izakhi ezilandelayo ekuhlanganiseni kwefilimu:

• titanium dioxide;
• hypromellose 29104
• macrogol 8000;
• udayi ophuzi noma obomvu (i-iron oxide).

Isenzo se-Pharmacological

Leli thuluzi lisuselwa ku-Alogliptin. Lokhu kungenye yezinto ezintsha ezisetshenziselwa ukulawula amazinga kashukela. Kungokwenombolo ye-hypoglycemic, kunomthelela oqinile.

Lapho uyisebenzisa, kuba nokwanda kokufihlakala kwe-glucose okuncike ku-insulin ngenkathi kunciphisa ukukhiqizwa kwe-glucagon uma ushukela wegazi ukhuphukile.

Ngohlobo 2 lwesifo sikashukela, esihambisana ne-hyperglycemia, lezi zici ze-Vipidia zifaka isandla kulezi zinguquko ezinhle njenge:

• ukwehla kwenani le-hemoglobin ye-glycated (НbА1С);
• ukwehlisa amazinga kashukela.

Lokhu kwenza ukuthi lesi sidakamizwa siphumelele ekwelapheni isifo sikashukela.

Izinkomba kanye ne-contraindication

Izidakamizwa ezibonakaliswa isenzo esiqinile zidinga ukuqaphela ekusebenziseni. Imiyalo yabo kufanele ibhekwe ngokuqinile, ngaphandle kwalokho esikhundleni senzuzo umzimba wesiguli uzolinyazwa. Ngakho-ke, ungasebenzisa i-Vipidia kuphela ekuncomeni kochwepheshe ngokubhekisisa ngqo kwemiyalo.

Ithuluzi linconyelwe ukusetshenziselwa isifo sikashukela sohlobo 2. Inikeza ukulawulwa kwamazinga kashukela ezimweni lapho ukwelashwa kokudla kungasetshenziswanga khona futhi nokusebenza ngokomzimba okutholakalayo kungatholakali. Sebenzisa umuthi ngempumelelo ku-monotherapy. Kuvunyelwe futhi ukusetshenziswa kwayo okuhlangene nezinye izidakamizwa ezifaka isandla ekwehliseni amazinga kashukela.

Ukuqapha lapho usebenzisa lo muthi wesifo sikashukela kubangelwa ukuba khona kwe-contraindication. Uma zinganakwa, ukwelashwa ngeke kusebenze futhi kungadala izinkinga.

I-Vipidia ayivunyelwe emacaleni alandelayo:

• ukungabekezelelani komuntu ngamunye ezingxenyeni zomuthi;
• Uhlobo 1 sikashukela;
• ukwehluleka kwenhliziyo okukhulu;
• isifo sesibindi
• ukulimala kwezinso okunzima;
• ukukhulelwa nokuqunjelwa;
• ukuthuthukiswa kwe-ketoacidosis ebangelwa isifo sikashukela;
• iminyaka yesiguli ingafika eminyakeni eyi-18.

Lokhu kwephula kuyizimiso eziqinile zokusebenzisa.

Kukhona futhi lapho umuthi ubekwe khona ngokucophelela:

• i-pancreatitis
• ukwehluleka kwezinso kokuqina okulingene.

Ngaphezu kwalokho, ukunakekelwa kufanele kuthathwe lapho kunquma i-Vipidia kanye nezinye izidakamizwa ukulawula amazinga kashukela.

Imiphumela emibi

Lapho welapha ngalo muthi, kwesinye isikhathi kuvela izimpawu ezihambisana nemiphumela yomuthi:

• ikhanda
• ukutheleleka kwesitho uphefumula
• i-nasopharyngitis;
• izinhlungu zesisu;
• ukulunywa
• imivimbo yesikhumba;
• i-pancreatitis eyingozi;
• i-urticaria;
• ukuthuthukiswa kokuhluleka kwesibindi.

Uma imiphumela emibi ivela, bonana nodokotela wakho. Uma ukuba khona kwabo kungabeki usongo empilweni yesiguli, futhi namandla ayo angakhuphuki, ukwelashwa nge-Vipidia kungaqhubeka. Isimo esibi sesiguli sidinga ukuwuhoxisa ngokushesha umuthi.

Imithamo nokuphatha

Lo muthi wenzelwe ukuphathwa ngomlomo. Umthamo ubalwa ngawodwana, ngokusho kobunzima besifo, iminyaka yesiguli, izifo ezihambisana nezinye izici.

Ngokwesilinganiso, kufanele ukuthatha ithebhulethi eyodwa equkethe i-25 mg yesithako esisebenzayo. Lapho usebenzisa i-Vipidia kumthamo we-12,5 mg, inani lansuku zonke lingamathebulethi ama-2.

Kunconywa ukuthatha umuthi kanye ngosuku. Amaphilisi kufanele adakwe aphelele ngaphandle kokuhlafuna. Kuyelulekwa ukuwaphuza ngamanzi abilisiwe. Ukwemukelwa kuvunyelwe kokubili ngaphambi nangemva kokudla.

Akufanele uthathe umthamo ophindwe kabili womuthi uma ngabe iphuthi elilodwa lilahlekile - lokhu kungadala ukonakala. Udinga ukuthatha umthamo ojwayelekile wesidakamizwa esikhathini esizayo esiseduze kakhulu.

Imiyalo ekhethekile nokusebenzisana kwezidakamizwa

Ngokusebenzisa lesi sidakamizwa, kunconywa ukuthi unake izici ezithile ukuze ugweme imiphumela emibi:

1. Ngesikhathi sokuzala ingane, i-Vipidia is contraindication. Ucwaningo lokuthi le khambi lithinta kanjani ingane alukenziwa. Kepha odokotela bakhetha ukungayisebenzisi, ukuze bangavuki ukuphuphuma kwesisu noma ukuthuthukiswa kokukhubazeka enganeni. Okufanayo kuya ekunceliseni ibele.
2. Umuthi awusetshenziselwa ukwelapha izingane, ngoba akukho datha eqondile ngomthelela wayo emzimbeni wezingane.
3. Ukuguga kweziguli akusona isizathu sokuhoxisa umuthi. Kodwa ukuthatha i-Vipidia kuleli cala kudinga ukuqashwa kodokotela. Iziguli ezineminyaka engaphezu kwengama-65 ubudala zisengozini eyengeziwe yokuba nesifo sezinso, ngakho-ke kudingeka ukuqapha lapho ukhetha umthamo.
4. Ngokulimazeka okuncane kokusebenza kwe-reso, iziguli zinikezwa umthamo we-12.5 mg ngosuku.
5. Ngenxa yokusatshiswa kokuthola i-pancreatitis lapho usebenzisa lo muthi, iziguli kufanele zijwayelane nezimpawu eziphambili zale ndlela. Lapho zivela, kuyadingeka ukuyeka ukwelashwa ngeVipidia.
6. Ukuthatha umuthi akuphuli amandla wokugxilisa ingqondo. Ngakho-ke, lapho uyisebenzisa, ungashayela imoto futhi uhlanganyele emisebenzini edinga ukugxilwa. Kodwa-ke, i-hypoglycemia ingaba nzima kule ndawo, ngakho-ke kudingeka ukuqapha.
7. Umuthi ungathinta kabi ukusebenza kwesibindi. Ngakho-ke, ngaphambi kokuqokwa kwakhe, kuhlolwa lo mzimba kuyadingeka.
8. Uma i-Vipidia ihlelwe ukuthi isetshenziswe kanye nezinye izidakamizwa ukwehlisa amazinga kashukela, umthamo wazo kufanele uguqulwe.
9. Ucwaningo lokusebenzelana kwesidakamizwa nezinye izidakamizwa alukhombisanga zinguquko ezinkulu.

Lapho lezi zici zibhekwa, ukwelashwa kungenziwa kusebenza ngempumelelo futhi kuphephe.

Amalungiselelo esenzo esifanayo

Ngenkathi azikho izidakamizwa ezingaba nokwakheka okufanayo nomphumela. Kepha kukhona izidakamizwa ezifanayo ngentengo, kepha zadalwa kusuka kwezinye izithako ezisebenzayo ezingasebenza njengezifaniso zeVipidia.

Lokhu kufaka phakathi:

1. UJanuvia. Lo muthi unconyelwa ukunciphisa ushukela wegazi. Isithako esisebenzayo yi-sitagliptin. Kunqunywe emacaleni afanayo ne-Vipidia.
2. UGalvus. Umuthi lo usekwe eVildagliptin. Le nto i-analog ye-Alogliptin futhi inezici ezifanayo.
3. Janumet. Leli ikhambi elihlangene nomphumela we-hypoglycemic. Izakhi eziyinhloko iMetformin neSitagliptin.

Osokhemisi bayakwazi nokuhlinzeka neminye eminye imishanguzo ukufaka uVapidia. Ngakho-ke, akudingekile ukufihla kudokotela izinguquko ezimbi emzimbeni ezihambisana nokudla kwaso.

Imibono yesiguli

Ukusuka ekubuyekezweni kweziguli ezithatha i-Vipidia, kungaphethwa ngokuthi amaphilisi abekezelelwa kahle futhi asiza ukugcina ushukela wegazi ojwayelekile, kepha kumele athathwe ngokuqinile ngokuya ngemiyalo, khona-ke imiphumela emibi ayivelakancane futhi isheshe inyamalale.

Sekuphele iminyaka emi-2 ngithatha iVipidia. Kimina kuphelele. Amanani we-glucose ajwayelekile, awasasebenzi. Angibonanga imiphumela emibi.

UMargarita, oneminyaka engama-36

Bengijwayele ukuthatha iDiabeteson, kodwa kusobala ukuthi ayingifanele. Izinga loshukela labe seliwa, bese lenyuka. Ngazizwa ngigula kakhulu, ngihlala nginovalo ngempilo yami. Ngenxa yalokhu, udokotela wangibekela i-Vipidia. Manje sengizolile. Ngiphuza ithebhulethi eyodwa ekuseni futhi angikhonondi ngenhlala-kahle.

U-Ekaterina, oneminyaka engama-52

Izinto zevidiyo ezimbangela, izimpawu kanye nokwelashwa kwesifo sikashukela:

Izindleko zeVipidia zingahluka kumakhemisi asemadolobheni ahlukene. Intengo yalesi sidakamizwa kumthamo we-12.5 mg ihluka kusuka kuma-ruble angama-900 kuye kwangama-1050. Ukuthenga umuthi ngethamo lika-25 mg kuzobiza ngaphezulu - kusuka kuma-ruble ayi-1100 kuya kwayi-1400.

Gcina umuthi uncike ezindaweni ezingatholakali ezinganeni. Ukukhanya kwelanga kanye nomswakama akuvunyelwe kuso. Ukushisa kwesitoreji akufanele kudlule ama-25 degrees. Iminyaka emithathu ngemuva kokukhululwa, impilo yeshalofu yesidakamizwa iyaphela, emva kwalokho ukuphathwa kwayo kwenqatshelwe.