Mai ciwon sukari MV

Mai ciwon sukari MV (Diabeton MR): sake dubawa 2 na likitoci, sake dubawa 3 na marasa lafiya, umarnin don amfani, analogues, infographics, nau'i na 1.

Nazarin likitoci game da ciwon sukari

Tare da lalata cututtukan sukari, ƙwayar ta biya glycemia daidai. Sakin gyare-gyare da aka sake yana hana hypoglycemia, sabili da haka, ƙwayar ta dace da marasa lafiya tsofaffi, kazalika da marasa lafiya da cututtukan cututtukan zuciya.

Da wuya, amma na iya haifar da cutar rashin ƙarfi.

Na yi amfani da magani sosai a aikace na. Farashin yana da ma'ana, ingancin yana da kyau kwarai.

Ana amfani da miyagun ƙwayoyi "Diabeton MV" a cikin magunguna daban-daban na 30 ko 60 MG. Waɗannan an gyara allunan sakewa. A miyagun ƙwayoyi yana da tasiri sosai har ma bayanin ayyukan. Babu sakamako masu illa, sakamakon maganin yana farawa ne bayan lokacin sauri. An kafa shi sosai domin lura da ciwon sukari.

Nazarin Marasa lafiya ga masu ciwon sukari MV

Miji na yana da sukari mai yawa. Shekaru da yawa suna neman magani wanda zai rushe sukarinsa kuma, mafi mahimmanci, ci gaba da matakinsa na al'ada. Yayin tattaunawa ta gaba tare da mai halartar likita, an shawarce mu da miyagun ƙwayoyi "Diabeton MV". Bayan kammalawa na tsawon wata guda, shan sukari ya dawo daidai. Yanzu mijina yana da 8.2 mm. Wannan, hakika, ƙaramin matakin ɗaukaka ne. Amma yana da kyau fiye da mm 13-15 waɗanda suke a da.

An tsara maganin "Ciwon sukari" na 60 MG kowace rana, ba a rage sosai ba. Da safe akwai sukari 10-13. Sannan likita ya kara sashi zuwa 90 MG (1.5 tab). Yanzu da safe, lokacin da na auna sukari, ya kasance har sau 6. Dole ne in faɗi cewa abubuwa da yawa sun dogara da shin ina bin tsarin abincin sosai. Kawai daidai guda 6 ya kasance lokacin da babu rikicewar abinci. Tabbas, da ɗan ƙaramin aiki na jiki.

Na kwashe shi tsawon shekara guda, sakamako mai kyau, sakamako mai ganuwa ne kuma cikin sauri. Abubuwan da basuda sakamako ba faruwa. Babban magani.

Pharmacology

Wakili mai narkewa na bakin jini, mai samo asali na maganin ƙarni na biyu. Yana ƙarfafa ƙwayar insulin ta sel-cells sel na hanji. Theara ji na jijiyoyin kasusuwa na insulin. A bayyane yake, yana ƙarfafa ayyukan enzymes na ciki (musamman, glycogen synthetase). Yana rage tazara daga lokacin cin abinci har zuwa farkon insulin insulin. Dawo da farkon gangar jikin insulin, yana rage postprandial kololuwar hyperglycemia.

Glyclazide yana rage yawan adon platelet da tarawa, yana rage jinkirin haɓakar thrombus, kuma yana ƙaruwa da jijiyoyin fibrinolytic. Normalizes na jijiyoyin jiki permeability. Yana da kayan anti-atherogenic: yana rage yawan yawan cholesterol (Ch) da LDL-C a cikin jini, yana kara maida hankali akan HDL-C sannan kuma yana rage yawan radicals. Yana hana haɓakar microthrombosis da atherosclerosis. Inganta microcirculation. Yana rage jijiyoyin bugun zuciya zuwa adrenaline.

Tare da ciwon sukari mai narkewa tare da amfani da gliclazide na tsawon lokaci, an lura da raguwa mai mahimmanci a cikin proteinuria.

Pharmacokinetics

Bayan gudanar da baki, yana sha da sauri daga narkewa. C_max cikin jini an kai shi awanni 4 bayan ɗaukar kashi ɗaya na 80 MG.

Shafaffen furotin na Plasma shine kashi 94,2%. V_d - kimanin 25 l (0.35 l / kg nauyin jiki).

An metabolized a cikin hanta tare da samuwar 8 metabolites. Babban metabolite ba shi da tasirin hypoglycemic, amma yana da tasiri akan microcirculation.

T_1/2 - sa'o'i 12. Ana cire shi ta hanyar kodan ta hanyar metabolites, ƙasa da 1% an keɓe shi a cikin fitsari ba canzawa.

Fom ɗin saki

Allunanda aka sake su sun zama fari, masu launi, aka zana su a bangarorin biyu: akan ɗayan alamar kamfanin, a ɗayan - "DIA30".

Wadanda suka kware: sinadarin hydrogen phosphate dihydrate, maltodextrin, hypromellose, magnesium stearate, dioxide dioxide na anhydrous.

30 inji mai kwakwalwa - blister (1) - fakitoci na kwali.
30 inji mai kwakwalwa - blister (2) - fakitoci na kwali.

Haɗa kai

Tasirin hypoglycemic na gliclazide yana da ƙarfi a cikin amfani tare da takaddun pyrazolone, salicylates, phenylbutazone, antibacterial sulfonamides, theophylline, maganin kafeyin, MAO inhibitors.

Yin amfani da lokaci-lokaci na amfani da abubuwanda ke hana beta-blockers yana haifar da yiwuwar haɓaka hypoglycemia, kuma yana iya rufe tachycardia da rawar jiki, halayyar hypoglycemia, yayin da zufa na iya ƙaruwa.

Ta yin amfani da gliclazide da acarbose, a lokaci guda, ana lura da ƙarin tasirin hypoglycemic.

Cimetidine yana kara yawan gliclazide a cikin plasma, wanda zai haifar da matsanancin rashin ƙarfi (rashin damuwa na CNS, ƙarancin sani).

Tare da yin amfani da lokaci ɗaya tare da GCS (gami da siffofin sashi don amfani na waje), diuretics, barbiturates, estrogens, progesins, magungunan estrogen-progestogen hade, diphenin, rifampicin, tasirin hypoglycemic na glyclazide ya ragu.

Side effects

Daga tsarin narkewa: da wuya - anorexia, tashin zuciya, amai, gudawa, zazzabin cizon sauro.

Daga tsarin hawan jini: a wasu yanayi - thrombocytopenia, agranulocytosis ko leukopenia, anaemia (yawanci ana juyawa).

Daga tsarin endocrine: tare da yawan zubar jini - hypoglycemia.

Allergic halayen: fatar fata, itching.

Nau'in nau'in ciwon sukari na 2 da ƙarancin ingantaccen aikin maganin abinci, aikin jiki da asarar nauyi.

Yin rigakafin rikitarwa na nau'in ciwon sukari na 2 na jini: rage hadarin microvascular (nephropathy, retinopathy) da rikitarwa na macrovascular (infarction na myocardial, rauni).

Umarni na musamman

Ana amfani da Gliclazide don magance mellitus na rashin insulin-insulin a hade tare da ƙarancin kalori, ƙananan carb.

A lokacin jiyya, ya kamata ku kula da matakin glucose a cikin jini akai-akai a kan komai a ciki kuma bayan cin abinci, yawan canzawar yau da kullun a cikin matakan glucose.

Dangane da ayyukan tiyata ko zubar da cututtukan ƙwayar cutar sankara, ana buƙatar la'akari da yiwuwar amfani da shirye-shiryen insulin.

Tare da haɓakar hypoglycemia, idan mai haƙuri yana da hankali, an tsara glucose (ko kuma maganin sukari) a ciki. Idan aka rasa asara, ana gudanar da aikin glucose din cikin jiki, a cikin intramuscularly ko a cikin jijiyar wuya. Bayan murmurewa, ya zama dole a ba mai haƙuri abincin da ke da wadataccen abinci a cikin carbohydrates don guje wa sake farfadowa da ƙwanƙwasa jini.

Tare da yin amfani da gliclazide na lokaci guda tare da verapamil, ana buƙatar saka idanu na yau da kullun game da matakan glucose na jini, tare da acarbose, kulawa da hankali da kuma gyaran hanyoyin kwantar da hankali na wakilai na hypoglycemic.

Yin amfani da gliclazide da cimetidine a lokaci guda ba a bada shawarar ba.