Kwayoyin ciwon sukari - jerin magunguna mafi kyau

An zaɓi magunguna don ciwon sukari dangane da nau'in cutar, wanda ya kasu kashi biyu: insulin-dogara da rashin buƙatar gabatarwar insulin. Kafin fara magani, bincika rarrabuwa da magunguna masu rage sukari, tsarin aikin kowane rukuni da kuma contraindications don amfani.

Shan kwayoyin magani wani bangare ne na rayuwar masu ciwon sukari.

Tsarin allunan don ciwon sukari

Ka'idojin cutar sankarau shine kula da sukari a matakin 4.0-5.5 mmol / L. Don wannan, ban da bin abinci mai ƙarancin carb da horo na jiki na yau da kullun, yana da mahimmanci don ɗaukar magungunan da suka dace.

Magunguna don kula da ciwon sukari sun kasu kashi da yawa.

Abubuwan da suka samo asali na sulfonylureas

Wadannan magungunan masu ciwon sukari suna da tasirin hypoglycemic saboda haɗuwa da ƙwayoyin beta waɗanda ke da alhakin samar da insulin a cikin ƙwayar ƙwayar cuta. Hanyoyin wannan rukunin suna rage haɗarin aikin mai nakasa da kuma ci gaban cututtukan zuciya.

Maninil - kwayoyin masu araha don masu ciwon sukari

Jerin mafi kyawun abubuwan samo asali na sulfonylurea:

Take	Dokokin shigar da kara	Contraindications	Yawan, guda	Farashin, rubles
Mai ciwon sukari	A farkon farawa, ɗauki kwamfutar hannu 1 a kowace rana tare da abinci. A nan gaba, ana iya ƙara yawan zuwa kashi 2-3 a rana	Coma, ciki, koda da gazawar hanta	30	294
Glurenorm	Maganin farko shine Allunan 0.5 da safe yayin karin kumallo. A tsawon lokaci, adadin yana ƙaruwa zuwa guda 4 a kowace rana	Kasancewa da shayarwa, shama da yanayin magabaci, acidosis masu ciwon sukari	60	412
Maninil	Katin yana daga allunan 0.5 zuwa 3.	Ketoacidosis, hyperosmolar coma, toshewar hanji, matsalar koda da hepatic, ciki, leukopenia, cututtuka masu yaduwa	120	143
Amaril	Sha 1-4 mg na miyagun ƙwayoyi kowace rana, shan Allunan tare da ruwa mai yawa	Rashin aiki na hanta da koda, gajiyawar galactose, rashi lactase, ciki da lactation, coma	30	314
Glidiab	Mealauki abincin 1 awa 1 kafin abinci da safe da maraice	Cutar ciki, leukopenia, pathologies na kodan da hanta wani mummunan yanayi, rashin jituwa ga gliclazide, haihuwar yara da ciyarwa, cututtukan thyroid, shan giya	30	739

Meglitinides

Magunguna don masu ciwon sukari na wannan rukuni suna daidai da tasirin warkewa zuwa abubuwan da aka samo daga sulfanilurea kuma suna haɓaka samar da insulin. Ingancinsu ya dogara da sukarin jini.

Ana buƙatar Novonorm don samar da insulin

Jerin meglitinides masu kyau:

Suna	Hanyar samun Yanayi	Contraindications	Yawan, guda	Kudin, rubles
Rana	Sha 0.5 mg na miyagun ƙwayoyi mintina 20 kafin cin abinci. Idan ya cancanta, ana ƙaruwa da kashi 1 a kowane mako zuwa 4 MG	Cututtukan cututtukan cututtukan mahaifa, cutar siga da ketoacidosis, haihuwar yara da ciyarwa, aikin hanta mai rauni	30	162
Starlix	Ku ci 1 yanki na mintina 30 kafin babban abincin	Shekaru har zuwa shekaru 18, ciki, shayarwa, rashin haƙuri, ƙarancin hanta	84	2820

A cikin jiyya na ciwon sukari-wanda ke dogara da ciwon sukari, ba a amfani da meglitinides.

Magunguna na wannan rukuni suna hana sakin glucose daga hanta kuma suna ba da gudummawa ga mafi kyawun sha a cikin kyallen kwayoyin.

Magunguna don mafi kyawun karin glucose

Mafi ingancin biguanides:

Suna	Hanyar samun Yanayi	Contraindications	Yawan, guda	Kudin, rubles
Metformin	Sha 1 bayan cin abinci. Kuna iya ƙara yawan ƙwayar bayan kwanakin 10-15 na magani zuwa allunan 3	Shekarun da shekarunsu basukai 15 ba, gangrene, magabatane, zubewar abubuwanda suka hada da magungunan, infarction myocardial, lactic acidosis, barasa, ciki da lactation	60	248
Siofor	Piecesauki guda 1-2 tare da ruwa mai yawa. Matsakaicin adadin yau da kullun shine allunan 6. Anyi amfani dashi don asarar nauyi a cikin ciwon sukari	Nau'in na 1 na ciwon sukari, na koda, na numfashi da gazawar hanta, lactic acidosis, ƙarancin kalori, yawan shan giya, ƙwayar yara da ciyarwa, ƙarancin ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta, ƙwanƙwasa kwanan nan.		314
Glucophage	A farkon magani, ɗauki allunan 1-2 a kowace rana, bayan kwanaki 15 zaku iya ƙara yawan zuwa kashi 4 a kowace rana			162

Sawarshan

Ana nuna su da irin tasirin da ke jikin mutum kamar biguanides. Babban bambanci shine farashi mai girma da kuma jerin abubuwan sakamako masu illa.

Magunguna masu narkewa mai tsada da tasiri

Wadannan sun hada da:

Take	Dokokin shigar da kara	Contraindications	Yawan, guda	Farashin, rubles
Avandiya	Watan 1.5 na farko da za a sha 1 a rana, to, idan ya cancanta, ana kara kashi zuwa allunan 2 a rana	Hypersensitivity to rosiglitazone, gazawar zuciya, cutar hanta, rashin jituwa ta mahaifa, ciki, shayar da nono	28	4820
Aktos	Yi amfani 0.5-1 guda a rana	Ciwon zuciya, a karkashin shekara 18, rashin yarda da sinadaran, ketoacidosis, ciki	28	3380
Pioglar	Tabletauki kwamfutar hannu 1 kowace rana tare da ko ba tare da abinci ba.	Rashin haƙuri na Pioglitazone, ketoacidosis, haihuwa	30	428

Thiazolidinediones ba su da tasiri mai kyau a cikin lura da nau'in ciwon sukari na 1 na mellitus.

Sabbin magunguna waɗanda ke taimakawa haɓaka haɓakar insulin da kwantar da sukari daga hanta.

Ana buƙatar Galvus don sakin sukari daga hanta

Jerin ingantattun glyptins:

Take	Littafin koyarwa	Contraindications	Yawan, guda	Farashin, rubles
Januvia	Sha kwamfutar hannu 1 a kowace rana a kowane lokaci.	Shekaru a karkashin shekaru 18, rashin jituwa ga abubuwan da ke cikin miyagun ƙwayoyi, ciki da lactation, nau'in ciwon sukari na 1, zuciya, koda da gazawar hanta.	28	1754
Galvus	Piecesauki guda 1-2 a rana		28	812

Januvia zuwa saukar da glucose na jini

Alfa Inhibitors - Glucosidases

Wadannan wakilan maganin rigakafi na zamani suna hana samar da enzyme wanda ke rushe hadaddun carbohydrates, don haka rage yawan shan kwayar polysaccharides. Ana amfani da masu hana masu illa ta hanyar ƙananan tasirin sakamako kuma suna da haɗari ga jiki.

Wadannan sun hada da:

Take	Littafin koyarwa	Contraindications	Yawan, guda	Kudin, rubles
Glucobay	Sha 1 yanki sau 3 a rana kafin abinci	Cututtuka na ciki da hanji, lalatawar narkewar hanji, ciki, lactation, ƙarƙashin shekaru 18 da haihuwa, ciwon ciki, hernia	30	712
Miglitol	A farkon farawa, kwamfutar hannu 1 a lokacin bacci, idan ya cancanta, an kara yawan zuwa 6 Allunan, aka kasu kashi uku		846

Za a iya ɗaukar magungunan da ke sama hade tare da magungunan sauran ƙungiyoyi da insulin.

Sodium - inhibitors na glucose cotransporter

Sabon zamani na kwayoyi wadanda ke rage karfin sukarin jini. Magunguna na wannan rukunin suna haifar da kodan su fitar da glucose mai ɗorewa tare da fitsari a daidai lokacin da yawan sukari a cikin jini ya kasance daga 6 zuwa 8 mmol / l.

Kayan aiki da aka shigo da shi don rage karfin sukari na jini

Jerin Tasirin Glyphlosins:

Suna	Hanyar samun Yanayi	Contraindications	Yawan, guda	Kudin, rubles
Forsyga	Sha 1 a rana	Cututtukan zuciya, rashin lalacewa na ciki, maye giya, nau'in 1 na ciwon sukari, ciki, lactation, acidosis na rayuwa, rashin haƙuri da rashi lactase.	30	3625
Jardins	Tabletauki kwamfutar hannu 1 kowace rana. Idan ya cancanta, ana ƙaruwa da kashi zuwa guda 2		30	2690

Hadin magunguna

Magunguna waɗanda suka haɗa da metformin da glyptins. Jerin samfuran samfuran iri mafi kyau:

Suna	Hanyar samun Yanayi	Contraindications	Yawan, guda	Kudin, rubles
Janumet	Tabletsauki allunan 2 a kullun tare da abinci	Ciki, shayar da nono, nau'in 1 na ciwon sukari, aikin nakasa na yara, shan giya, rashin jituwa ga abubuwan da ke cikin miyagun ƙwayoyi	56	2920
Karin Galvus	Tabletsauki allunan 2 a kullun tare da abinci		30	1512

Kada ku ɗauki magunguna masu haɗuwa ba da mahimmanci ba - yi ƙoƙarin bayar da fifiko ga amintattun biguanides.

Haɗuwa da ciwon sukari

Insulin ko kwayoyin hana daukar ciki - wanne yafi kyau ga masu ciwon sukari?

A cikin lura da nau'in ciwon sukari na 1 na sukari, ana amfani da insulin, magani na nau'in cuta na 2 na wani nau'i wanda ba a haɗa shi ba yana dogara ne akan shan magunguna don daidaita matakan sukari.

Amfanin allunan idan aka kwatanta da injections:

sauƙi na amfani da ajiya,
rashin rashin jin daɗi yayin liyafar,
sarrafa kwayoyin halitta na halitta.

Amfanin insarin insulin shine sakamako mai warkewa da sauri da kuma ikon zaɓi nau'in insulin da ya fi dacewa don haƙuri.

Ana amfani da allurar insulin ta hanyar haƙuri da ke da nau'in ciwon sukari na 2 na ƙwayar cuta idan maganin ƙwaƙwalwar ƙwayoyi ba ya ba da tasiri sosai kuma bayan cin abinci glucose ya tashi zuwa 9 mmol / L.

Injections na insulin suna amfani ne kawai lokacin da kwayoyin basu taimaka ba

"Na yi fama da ciwon sukari irin na na tsawon shekaru 3 3. Don daidaita sukari na jini, ban da injections na insulin, Ina ɗaukar allunan Metformin. Amma ni, wannan shine mafi kyawun magani ga masu ciwon sukari a farashi mai araha. Aboki yana shan wannan magani a wurin aiki don kula da ciwon sukari na 2 kuma yana farin ciki da sakamakon. ”

“Na kamu da ciwon sukari na 2, wanda na dau shekaru tare da miyagun ƙwayoyi, sai kuma Glucobaya. Da farko, wadannan kwayoyin suna taimaka min, amma kwanan nan yanayin na ya yi muni. Na canza zuwa insulin - ma'aunin sukari ya faɗi zuwa 6 mmol / l. Na kuma ci abinci na shiga wasanni. ”

“Dangane da sakamakon gwaje-gwajen, likitan ya bayyana cewa ina da sukari mai jini sosai. Jiyya ya kunshi abinci, wasanni, da Miglitol. Na kasance ina shan magunguna tsawon watanni 2 yanzu - matakin glucose ya koma al'ada, lafiyar ta gaba daya ta inganta. Kwayoyi masu kyau, amma kadan masu tsada a gare ni. ”

Haɗin abinci mai ƙananan carb tare da motsa jiki da kuma maganin da ya dace zai taimaka wajen daidaita matakan sukari na jini a cikin nau'in ciwon sukari na 2.

Idan babu rikitarwa, bayar da fifiko ga kwayoyi waɗanda suka haɗa da metformin - suna daidaita matakan glucose tare da ƙananan sakamako masu illa. Sashi da kuma yawan allurar insulin don kamuwa da cuta ta 1 likita ne ya lissafa su, yin la’akari da yanayin halayen mutum na cutar.

Sanar da wannan labarin
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Iri na kwayoyi don rage sukarin jini

Kwayoyi don rage sukari na jini sun kasu kashi-kashi cikin manyan rukuni bisa ka'idodin aiki. An bambanta magungunan masu zuwa:

Bayanan asirin - suna sakin insulin daga ƙwayoyin ƙwayar cuta. Suna sauri saukar da sukari na jini. An rarraba su zuwa abubuwan da aka samo asali na sulfonylurea (Hymepiride, Glycvidon, Glibenclamide) da methyl glinides (Nateglinide, Repaglinide)
Abun hankali - haɓaka ji na jijiyoyin jiki na musamman zuwa tasirin insulin. An rarraba su cikin biguanides (metformin) da thiazolidones (pioglitazone).
Alpha-glucosidase inhibitors - tsoma baki tare da sha daga cikin insulin a cikin takamaiman wuraren na narkewar abinci. Ana amfani da su a cikin hadadden jiyya na ciwon sukari. Acarobase na wannan rukunin.
Sabbin kwayoyi na sababbin ƙarni - suna shafar nama adipose, haɓaka aikin insulin. Wani babban misali shine Liraglutid.
Magungunan maganin ganye - sun haɗa da kayan ganyayyaki na mulberry, kirfa, oats, blueberries.

Sulfonylureas

Magunguna don rage sukari na jini daga ƙungiyar sulfonylurea ƙwararrakin suna kunna sakin insulin a cikin jini, wanda ke saukar da matakin glycemia. Principlea'idar aiki ta dogara ne da haɓakar ƙwayar insulin, rage ƙasa don hawan glucose na beta-cell glucose. Magungunan hana amfani da kwayoyi sune:

hypersensitivity da aka gyara daga cikin abun da ke ciki,
nau'in ciwon sukari guda 1
ketoacidosis, precoma, coma,
yanayi bayan kamanceceniya,
leukopenia, toshewar hanji,
yanke ciki
ciki, lactation.

Allunan an yi niyya don amfani da baka. Maganin farko shine 1 MG kowace rana, kowane sati 1-2 ana karuwa zuwa 2, 3 ko 4 MG kowace rana, amma ba fiye da 6 MG kowace rana, a wanke tare da rabin gilashin ruwa. Za'a iya haɗakar abubuwa na sulfonylureas tare da insulin, metformin. Jiyya yana tsawan lokaci. Sakamakon sakamako na magungunan: hypoglycemia, tashin zuciya, amai, huhu, hepatitis, thrombocytopenia. A lokacin jiyya, rashin lafiyan, fatar jiki, zafin hadin gwiwa, daukar hoto na iya faruwa. Abubuwan da suka samo asali na sulfonylureas sun hada da:

Thiazolindione

Magunguna don rage sukari jini daga rukunin thiazolinedione sun ƙunshi glitazones, wanda ke rage juriya na insulin, kuma zaɓi mai aiki akan masu karɓar gamma. Wannan yana haifar da raguwa a cikin glucogenesis a cikin hanta, inganta sarrafa glycemic. Kwayoyi suna cikin lalacewar hanta, ciki, shayarwa, ketoacidosis masu ciwon sukari.

Shan miyagun ƙwayoyi na tsawon sama da shekara a jere yana da haɗari saboda suna haifar da bayyanar ciwace-ciwacen daji. Allunan an yi su ne don gudanar da maganin baka sau ɗaya a rana, ba tare da cin abincin ba. Maganin farko shine 15-30 MG, sannu a hankali yana ƙaruwa zuwa 45 MG. Abubuwan da suke haifar da sakamako sun shafi aikin hanta mai rauni, hepatitis, hangen nesa mai rauni, rashin bacci, matsanancin jini, sinusitis, da yawan gumi. Kudaden rukuni sun hada da:

Alfa Glucosidase Inhibitors

Magunguna don rage sukarin jini daga rukunin alpha-glucosidase inhibitors suna da tasirin hypoglycemic saboda hanawar alpha-glucosidases na hanji. Wadannan enzymes suna rushe saccharides, wanda ke haifar da raguwa a cikin karɓar carbohydrates da glucose, raguwa a matsakaicin matsakaici da raguwa a cikin sukari na yau da kullun. Allunan an contraindicated idan akwai wani suttuwa zuwa abubuwan da ke ciki, da cututtukan hanji na hanji, cututtukan hanji na Romgeld, manyan hernias, kunkuntar da cututtukan ciki, a karkashin shekarun 18, ciki, lactation.

Ana iya ma'amala da baka kafin abinci, ana shayar da ruwa mai yawa. Maganin farko shine tablet-1 kwamfutar hannu sau 1-3, sannan ya tashi zuwa Allunan 1-2 sau uku a rana. Sakamakon sakamako na kwayoyi sune pancreatitis, dyspepsia, ƙara yawan aikin hanta enzymes. Yana nufin sun hada da:

Baranzaman

Magungunan sukari na rage sukari ga nau'in ciwon sukari guda 2 a cikin ƙananan jini. An gabatar da wasu yankuna na incetin mimetics a kwamfutar hannu da allura (sirinji alkalami) Tsarin. Abubuwan da suke aiki suna motsa ƙwayar ƙwayar ƙwayar cuta ta ƙwayar hanji, wanda ya zaɓi hana enzymes, wanda ke ƙara ɓoyewar ƙwayar glucan-kamar peptide. Wannan yana inganta ɓoye-insarin-glucose na insulin, ƙwayar hanji, da raguwar juriya na insulin.

Ana amfani da magungunan rukuni kawai don ciwon sukari na 2. An contraindicated idan akwai wani tashin hankali zuwa ga aka gyara daga cikin abun da ke ciki, har zuwa shekaru 18. Ana amfani da ma'ana tare da taka tsantsan a cikin lalacewar hanta mai ƙarfi, rashin haƙuri na galactose. Don ciwon sukari mai sauƙi, ana nuna 50-100 MG kowace rana, don ciwon sukari mai ƙarfi, 100 MG kowace rana. Idan kashi ba shi da 100 MG - ana ɗaukar shi sau ɗaya da safe, in ba haka ba - a cikin allurai biyu da safe da maraice.

Ba a kafa hujja ba ko kwayoyi suna tasiri ga ci gaban tayin ba, don haka ba a son shansu yayin daukar ciki ko lokacin shayarwa. Side effects: hepatitis, cholestatic jaundice, tashin zuciya, amai, dyspepsia. Kayan magunguna na yau da kullun a cikin wannan rukunin: