Imiyalo yokusebenzisa amaphilisi e-Amaryl

I-Amaryl - amaphilisi avela kumenzi waseJalimane onomphumela we-hypoglycemic.

Hlela uhlobo 2 sikashukela.

Nikela ekunciphiseni kokugxilwa koshukela egazini.

Izici ezijwayelekile, ifomu lokukhipha nokwakheka

Uyathengiswa, umuthi uyatholakala kumithamo emi-4, ngokuya ngenani lezinto ezisebenzayo:

• amaphilisi we-pink - 1 mg
• oluhlaza - 2 mg
• ophuzi okhanyayo - 3 mg
• aluhlaza okwesibhakabhaka - 4 mg

Into esebenzayo yi-glimepiride. Ngokwengeziwe kwifomu elibekiwe, kune-Amaryl M ehlangene, equkethe i-metformin.

I-Amaryl M itholakala kwimithamo emi-2, emelwe yingxenye elandelayo ye-glimepiride / metformin:

• 2 mg / 500 mg
• 1 mg / 200 mg

Ngokungafani nefomu langaphambilini, i-Amaril M ivezwa ngefomu elimhlophe ne-biconvex.

Ngokuya kokudla okuyikho, iqoqo lokuzivocavoca lokuzivocavoca okuhlose ukunciphisa isisindo, ukusebenza kahle kokulashwa okuphezulu kuqinisekiswa ngohlobo 2 lwesifo sikashukela emacaleni alandelayo:

• thayipha i-2 mellitus yesifo sikashukela (i-monotherapy noma i-insulin yokwelapha engahambisani ne-insulin);
• uma kungenakwenzeka ukufeza ukulawulwa kwe-glycemic nge-monotherapy nge-glimepiride noma i-metformin;
• lapho uthatha isikhundla sokwelashwa okuhlanganisa ukusetshenziswa kwe-Amaril M. ehlangene

I-Amaryl isidakamizwa esibalulekile sohlobo lweshukela kababili esingasebenzisi i-insulin.

Imiyalo yokusebenzisa

I-Amaryl isetshenziswa ngokuya ngohlelo olunqunywe udokotela ohambelayo. Umthamo ukhethwa uqobo futhi kuya esigabeni salesi sifo.

I-Amaril iqala ngesilinganiso esincane sosuku, okuyi-1 mg. Iphuzwa ekuseni ngesikhathi sekhefu noma ngemuva kwesidlo sasekuseni. Amacwecwe agezwa phansi nge-1 cup2 inkomishi yamanzi.

Ngokungabikho kwemiphumela emibi, kucatshangelwa isimo sesiguli, inqubo eyengeziwe yokwelashwa ne-Amaril imi kanje: njalo ezinsukwini eziyi-7-14 (udokotela uzonquma isilinganiso sokwanda komthamo), umthamo unyuswa ngo-1 mg bese ufinyelela ku-6-8 mg.

Imithamo emibili yokugcina isetshenziswa kakhulu. Isikhathi kusuka kokuqala ukuya kumthamo olandelayo - sisukela ezinsukwini eziyi-7-14. Ngesikhathi sokusebenzisa umuthi, ukuqapha nsuku zonke amazinga kashukela egazini kuyimpoqo.

Lapho weqa iphilisi, kuyanconywa umthamo owengeziwe, futhi ngosuku olulandelayo umthamo uhlala unjalo.

Izici zohlelo lokusebenza

I-Amaryl ayivunyelwe kwabesifazane abakhulelwe nababambisayo. Lokhu kungenxa yokungena kwe-glimepiride kubisi lwebele. Isiguli kufanele silandele ukwelashwa kwe-insulin.

Umphumela wesidakamizwa ezinganeni ezinesifo sikashukela sohlobo 2 awuqondakali ngokuphelele. Kungakho i-Amaril iphikiswa ezinganeni ezingaphansi kweminyaka engu-18.

Kuyaziwa ukuthi isakhi esisebenzayo sidalulwa ngokusebenzisa izinso. Ngakho-ke, lesi sidakamizwa asinconywa kubantu asebekhulile abanezifo zezinso. Ezigulini ezinempilo, umthamo ukhethwa uqobo, ohambisana nengozi yokuncipha kwe-renal function.

Iziguli kufanele zilungiselelwe iqiniso lokuthi inkambo yokwelashwa izoba yinde.

Ngaphezu kwalokho, kufanelekile ukubheka ezinye izici:

• ukweqa umuthi akukanconywa;
• kuthathwe ngokudla futhi kugezwe ngenani elikhulu loketshezi;
• ukugwinya kuphelele;
• uma kunesidingo, ihlukaniswe izingxenye ezimbili ezilinganayo;
• ukusatshalaliswa komthamo kwenziwa ngudokotela, kucatshangelwa izinqubo ze-metabolic emzimbeni;
• ukulungiswa kwamthamo kuncike kwesisindo somzimba, izinga lokuphila nobungozi be-hypoglycemia;
• umthamo wokuqala ngu-1 mg, noma ngabe kuthathwa ezinye izidakamizwa eziphezulu.

Uma kunesidingo, udokotela angabeka uhlobo lokuhlonza oluhlangene, oluzothuthukisa ukusebenza kwento esebenzayo yesidakamizwa.

Imiphumela emibi kanye ne-overdose

Omunye wemiphumela engathandeki kakhulu ukwehla koshukela wegazi kube okungenani, izimpawu zazo yilezi:

• umuzwa wobuthakathaka;
• Isiyezi
• ukushuba kwemilenze;
• ukweqile;
• umuzwa wendlala;
• i-tachycardia noma ukushaya kwenhliziyo okuhamba kancane;
• izinkinga ngemisebenzi yokubuka.

Lapho kuhlasela ngokwengeziwe i-hypoglycemia, izimpawu zazo zizichaza ngokwengeziwe. Kwesinye isikhathi izimpawu zifana nokushaywa unhlangothi, kuhambisana nesimo sokungazi futhi kufiphele.

Umsebenzi oyinhloko walesi sigaba ukuletha ngokushesha i-glucose yegazi ibe yinto evamile.

Eminye imiphumela emibi ye-Amaril:

1. Uhlelo lwezinzwa. Isiguli sihlangabezana nesiyezi, silele kanzima, noma silethe ngokweqile. Umuzwa wokukhathala noma ulaka ngokungazelelwe uyinto ekhathazayo. Iqoqo lokunaka liyalahleka, ukusabela kwe-psychomotor kwehlisa ijubane. Isiguli sizizwa singasizakali. Ukukhathazeka, ukulahlekelwa ukuzithiba, ukujuluka ngokweqile, ukugoba, ukudangala kungaholela ekhefeni.
2. Amapheshana wesisu. Umphumela omubi we-Amaril emgungwini wesisu ubonakaliswa ngokukhalipha, umuzwa wobuhlungu esifundeni se-epigastric, isicanucanu, isisu, ukuvela kwesikhumba kube ophuzi, ukwehluleka kwesibindi kanye ne-hepatitis.
3. Umbono. Imiphumela emibi yamaphilisi izenza zizizwe isencane ekwelashweni. Isiguli sizwa ukwehla kombono, okuhambisana nezinguquko ezingazelelwe kushukela wegazi.
4. Inhliziyo. Ukuhlaselwa kwe-tachycardia ye-cardiac engazelelwe, i-angina pectoris, i-bradycardia, i-hypertension ye-arterial, noma ukuphazamiseka kwesigqi senhliziyo kukhombisa izinkinga zomsebenzi wenhliziyo.
5. Igazi. Indlela yegazi iyashintsha. I-anemia, i-leukopenia, i-thrombocytopenia, i-erythrocytopenia, i-granulocytopenia, i-pancytopenia noma i-agranulocytosis kungenzeka.
6. Hypersensitivity kwesikhumba. Kuboniswa ngokuvela kwe-urticaria, ukuqubuka komzimba. Kulesi simo, ukusabela komzimba kungangena ngokushesha ekuthukeni kwe-anaphylactic.

Uma lezi zimpawu zokusebenzisa ngokweqile noma zemiphumela emibi zenzeka, isiguli sidinga ukubona udokotela ngokuphuthumayo. Usizo lokuqala oluzimele ukuthatha ngokushesha ucezu kashukela, uswidi noma itiye elimnandi.

Ukusebenzisana kwezidakamizwa kanye nama-analog

Lapho unquma isiguli kanye neminye imishanguzo, ukusebenza kwayo kuyabhekelelwa:

• i-insulin namanye amaphilisi esenzo se-hypoglycemic aholela ekwandeni kokusebenza kahle kwe-hypoglycemic Amaril;
• i-adrenaline, i-sympathomimetics - ukwehla komphumela we-hypoglycemic kungenzeka;
• i-reserpine, i-clonidine, i-histamine H2-receptor blockers - ukubukeka kokungazinzi komphumela we-hypoglycemic kungenzeka;
• Imikhiqizo equkethe i-ethyl - ngokuya nge-ethanol esegazini, ukwanda noma ukwehla komphumela we-hypoglycemic kungenzeka.

Ama-analogues atholakalayo anomphumela ofanayo, anengxenye efanayo esebenzayo futhi athengiswa ngentengo engabizi:

1. I-Glimepiride Canon. I-analog eshibhile ye-Amaril, ebekelwe ukungasebenzi kokudla kokulapha kanye nomsebenzi womzimba.
2. I-Glimepiride. Umuthi ofana neCanon onesithako esifanayo esisebenzayo. Inokuphambana. Ukuzisebenzisa akuvunyelwe. Ukukhiqizwa kweRussian Federation.
3. I-Diamerid. Thayipha amaphilisi kashukela kababili. Kunconywe ngokungabikho kokusebenza kahle kokudla nokuzivocavoca. Kuvinjelwe isifo sikashukela sohlobo 1.

Ukukhetha izichazi kufanele kunikezwe uchwepheshe. Izidakamizwa zisetshenziswa ngokuya ngohlelo. Ukwephula okuzenzakalelayo kwemithamo kungaholela emiphumeleni engaphenduki yomzimba.

Umbono wesineke

Ukusuka ekubuyekezweni kweziguli, kungaphethwa ngokuthi i-Amaryl iyasebenza impela, kepha idinga ukunamathela ngqo kumithamo, ngoba inemiphumela emibi eminingi.

Muva nje, njengoba kudalwe ngudokotela, u-Amaril waqala ukuthatha. Ngikholwa ukuthi ukuze ngithole umphumela ofanele, kuyadingeka ukubhekisisa imithamo kanye nohlobo lokwelashwa. Ekuqaleni, ngangicabanga ukuthi amaphilisi awangifanele, ngoba izinkomba zoshukela owamukelekayo wegazi noma ngemuva kokuthatha i-Amaril zaziphezulu kakhulu. Kepha ngemuva kokwandisa umthamo, u-Amaril wenza umsebenzi wakhe futhi wakhombisa ukusebenza ngempumelelo.

U-Oleg, oneminyaka engama-39, uVoronezh

Ngokuthatha amaphilisi e-Amaril, ngifuna ukusho okulandelayo. Angikukhuthazi ukwenza izivivinyo emazingeni kashukela ngosizo lwe-Amaril, ngoba ukulimala okwenziwe emzimbeni kungalungiswa. Thatha amaphilisi ngaphansi kokuqashwa ngudokotela. Isibonelo, ngaphezu kwezincomo zochwepheshe, ngafunda esikoleni sikashukela, esinginikeza ithuba lokuhlola nokuzwa umphumela wezidakamizwa emzimbeni.

U-Inna, oneminyaka engama-36, eMoscow

I-Amaryl ithathwa ngokohlelo. Umthamo wami obekwe udokotela ngu-2 mg. Ngaphezu kwalokho, ngiphuza i-siaphor izikhathi ezi-2 ngosuku. Isibalo segazi singama-6,6,5, kusihlwa sehla saya ku-3.9. Ngizizwa ngijabule, kepha udokotela wehlise umthamo we-Amaril. Awukwazi ukuhlekisa ngalawa maphilisi - kunemiphumela emibi eminingi kanye ne-contraindication.

U-Igor, oneminyaka engama-45 ubudala, uChelyabinsk

Izinto zevidiyo ezimpawu zohlobo 2 sikashukela:

Uthengiswa kuphi umuthi?

I-Amaryl isidakamizwa esithengiswa kwinethiwekhi yamakhemisi yanoma iliphi idolobha. Intengo isukela kuma-ruble angama-238. kufika kuma-ruble angama-2550, ngokuya ngomthamo we-glimepiride esebenzayo yezinto kanye nenani lamathebulethi amaphakethe.

Ungathenga amaphilisi asezingeni eliphansi ngenani eliphansi kunasemakhemisi esitolo se-inthanethi. Lapho uthenga imithi, naka imvelaphi yayo, ngoba kunamaqiniso amaningi okuthola imali yomgunyathi.