Yadda za a yi amfani da miyagun ƙwayoyi Gluconorm Plus?

- mai ciwon sukari ketoacidosis, mai ciwon sukari, mai ciwon sukari,

- raunin koda na ciki,

- matsanancin yanayi wanda zai haifar da canji ga aikin koda (fitsari, kamuwa da cuta, girgiza),

- Cuta mai raɗaɗi ko cututtukan da ke tattare da raunin nama (rashin ciwan zuciya ko na numfashi, rauni na baya bayan nan, amai),

- cututtuka masu kamuwa da cuta, manyan ayyukan tiyata, raunin da ya faru, konewa mai yawa da sauran yanayin da ke buƙatar maganin insulin,

- rashin shan barasa, rashin shan barasa,

- lactic acidosis (gami da tarihi),

- Yi amfani da aƙalla awanni 48 kafin da a cikin awanni 48 bayan gudanar da karatun radioisotope ko X-ray tare da gabatarwar iodine mai ɗauke da sigar matsakaici,

- riko da karancin kalori (kasa da adadin kuzari 1000 / rana),

- lokacin shayarwa,

- Hypersensitivity to metformin, glibenclamide ko wasu abubuwan da ake amfani da su na sulfonylurea, har ma da abubuwan taimako.

Yadda ake amfani: sashi da hanya na jiyya

A ciki, yayin cin abinci.

Yawancin lokaci kashi na farko shine 1 shafin. (400 MG / 2.5 MG) / rana. Kowane mako 1-2 bayan fara magani, ana gyara kashi na maganin yana dogara da matakin glucose na jini. Lokacin maye gurbin maganin haɗuwa na baya tare da metformin da glybeklamide, an tsara allunan 1-2. Gluconorm ya danganta da satin da ya gabata na kowane bangare.

Matsakaicin adadin yau da kullun shine Allunan 5.

Aikin magunguna

Glibenclamide yana ƙarfafa ƙwayar insulin ta hanyar rage ƙarancin glucose beta-cell pancreatic haushi, yana ƙara ƙwarewar insulin da kuma matsayin ɗaukar nauyin da ke wuyan sel.

Metformin yana rage glucose mai ƙwaƙwalwa ta hanyar ƙara ƙarfin jijiyoyin kyallen mahaifa zuwa insulin da haɓaka tasirin glucose.

Side effects

A wani bangare na metabolism: hypoglycemia mai yiwuwa ne.

Daga cututtukan hanji da hanta: da wuya - tashin zuciya, amai, ciwon ciki, asarar ci, "ƙarfe" dandano a bakin, a wasu yanayi - cholestatic jaundice, ƙara yawan aiki na enzymes hanta, hepatitis.

Daga tsarin hemopoietic: da wuya - leukopenia, thrombocytopenia, erythrocytopenia, da wuya - agranulocytosis, hemolytic ko megaloblastic anemia, pancytopenia.

Allergic da immunopathological halayen: da wuya - urticaria, erythema, fata itching, zazzabi, arthralgia, proteinuria.

Abubuwan da ke tattare da cututtukan cututtukan fata: da wuya - ɗaukar hoto.

Daga gefen metabolism: lactic acidosis.

Umarni na musamman

Manyan hanyoyin tiyata da raunin da ya faru, konewa mai yawa, cututtuka masu yaduwa tare da cututtukan febrile na iya buƙatar dakatar da magani da kuma alƙawarin maganin insulin.

Wajibi ne a kula da matakin glucose a cikin jini akai-akai a cikin komai a ciki kuma bayan cin abinci.

Ya kamata a faɗakar da marasa lafiya game da haɗarin haɗarin hauhawar jini a cikin yanayin ethanol, NSAIDs, da kuma matsananciyar yunwa.

Haɗa kai

Ethanol yana ƙaruwa da alama na lactic acidosis.

Barbiturates, corticosteroids, adrenostimulants (epinephrine, clonidine), magungunan antiepileptik (phenytoin), jinkirin tashar alli mai laushi, inhibitors na carbonic anhydrase (acetazolamide), thiazide diuretics, chlortalidone, furosemide, diazanazide, triazene diazent , morphine, ritodrine, salbutamol, terbutaline, glucagon, rifampicin, iodine-mai dauke da kwayoyin hodar iblis, gishirin lithium, a cikin manyan allurai - nicotinic acid, chlorpromazine, maganin hana haihuwa da estrogens.

ACE inhibitors (captopril, enalapril), antiamung H2 receptor blockers (cimetidine), antifungal jami'ai (miconazole, fluconazole), NSAIDs (phenylbutazone, azapropazone, oxyphenbutazone), fibrates, maganin rigakafi (clobate) , salicitates, coumarin anticoagulants, magungunan anabolic, beta-blockers, MAO inhibitors, sulfonamides mai aiki da dogon lokaci, cyclophosphamide, chloramphenicol, phenfluramine, fluoxetine, guanethidine, pentoxifylline, tetracycline, theophylline, tubular secretion blockers, reserpine, bromocriptine, melopyramide, pyridoxine, sauran magungunan hypoglycemic (acarbose, biguanides, insulin), allopurinol.

Tambayoyi, amsoshi, sake dubawa game da magungunan Gluconorm Plus

Bayanin da aka bayar an yi shi ne don ƙwararrun likitoci da magunguna. Cikakken bayani game da magani yana kunshe ne a cikin umarnin da aka haɗe zuwa marufin da mai masana'anta. Babu wani bayani da aka sanya akan wannan ko wani shafin yanar gizon mu wanda zai iya canza matsayin roko na musamman ga kwararrun.

Saki siffofin da abun da ke ciki

Ana iya samun magungunan kawai a cikin nau'ikan allunan. Ya ƙunshi sinadaran aiki: glibenclamide da metformin hydrochloride. Sashi a cikin kwamfutar hannu 1, bi da bi: 2.5 da 5 MG, 500 MG. Bayan wannan haɗin abubuwa, abun da ke ciki ya haɗa da daidaitattun kayan taimako don wannan nau'in saki:

• microcrystalline cellulose,
• Hyprolose
• makarin sodium,
• magnesium stearate.

Allunan an rufe su da wani keɓaɓɓen shafi wanda ya rage ƙimar kwantar da abubuwa masu aiki. Sakamakon wannan, matakin mummunar tasiri akan ƙwayoyin mucous na ciki yana raguwa. Kuna iya siyan samfurin a cikin fakitin da ke ɗauke da allunan 30.

Ana iya samun magungunan kawai a cikin nau'ikan allunan. Ya ƙunshi sinadaran aiki: glibenclamide da metformin hydrochloride.

Pharmacokinetics

Ana amfani da Metformin cikin sauri. Matsayi na maida hankali a cikin tarasar jini yana ƙaruwa zuwa iyakar iyaka bayan 2 hours. Rashin kyawun abu shine ɗan gajeren aiki. Bayan awa 6, raunin plasma na metformin yana farawa, wanda ya kasance sakamakon ƙarshen tsarin narkewa a cikin narkewa. Hakanan an rage tsawon rabin rayuwar abu. Tsawon lokacinta ya bambanta daga awa 1.5 zuwa 5.

Bugu da kari, metformin baya daure wa garkuwar plasma. Wannan abu yana da ikon tarawa cikin kyallen da ƙodan, hanta, gyada mai haɓaka. Renarancin aiki na ƙarancin ƙasa shine babban abin da ke ba da gudummawa ga tarawar metformin a cikin jiki, wanda ke haifar da karuwa a cikin wannan ɓangaren kuma ƙara haɓakarsa.

Renarancin aiki na ƙarancin ƙasa shine babban abin da ke ba da gudummawa ga tarawar metformin a cikin jiki, wanda ke haifar da karuwa a cikin inganci.

Glibenclamide yana tsawon lokaci - tsawon awanni 8-12. Babban ganiya yana aiki cikin awa 1-2. Wannan abun yana daure sosai da garkuwar jini. Tsarin canji na glibenclamide yana faruwa a cikin hanta, inda aka kirkiro mahadi 2 waɗanda ba su nuna ayyukan hypoglycemic ba.

Alamu don amfani

An ba da izinin amfani da maganin don maganin marasa lafiya da masu ciwon sukari na 2 a cikin wasu yanayi:

• rashin sakamako tare da maganin da aka wajabta don maganin kiba, idan aka sami magunguna: An yi amfani da Metformin ko Glibenclamide,
• yana gudanar da aikin sauyawa, yana samarda matakin glucose a cikin jini tsayayye ne kuma yana aiki da shi sosai.

Fom ɗin saki

Gluconorm an yi shi a cikin nau'i na allunan zagaye na farin inuwa tare da membrane mai rufi. 10 da 20 guda a cikin buhunn lemu, 2 ko 4 blister a cikin kwali.

Farashin gluconorm ya tashi daga 220 zuwa 390 rubles, gwargwadon yawan allunan a cikin kunshin kwali.

Magungunan suna da manyan abubuwa guda biyu - glibenclamide (2.5 mg) da metformin hydrochloride (0.4 g).

Componentsarin abubuwan da aka haɗa: microcrystalline cellulose, sitaci masara, colloidal silicon dioxide, tsabtataccen talc, diethyl phthalate, gelatin, cellulose acetate phthalate, sodium carboxymethyl sitaci, sittin sullo.

Umarnin don amfani

Ana shan allunan gluconorm ta baki yayin cin abinci. An ƙayyade adadin akan daban, dangane da matakin glucose a cikin jinin mara haƙuri. Matsakaicin kashi a farkon magani shine kwamfutar hannu 1 a kowace rana. Bayan makonni 2, wajibi ne don daidaita sashi na miyagun ƙwayoyi dangane da ƙimar gwaje-gwajen jini.

Umarnin don amfani da Gluconorm yana nuna cewa tare da sauyawa magani ana buƙatar ɗaukar allunan 1-2, la'akari da abubuwan da suka gabata na manyan abubuwan da aka gyara. Matsakaicin sati daya ya isa allunan 5.

Tsarin allurar rigakafin jini magani ne. Dole ne a adana su a yanayin zafi har zuwa digiri 25 a cikin tabbacin-yara, hasken rana kai tsaye. Rayuwar rayuwar shiryayye shine watanni 36 daga ranar da aka ƙera shi.

Siffofin aikace-aikace

Wajibi ne a soke magani tare da magani don cututtukan cututtuka tare da zazzabi, tare da raunin da ya faru da kuma maganin tiyata. Rashin haɗarin rage yawan sukari a lokacin yunwar, amfani da NSAIDs, ethanol yana ƙaruwa. Ana yin gyaran sashi ne lokacin da ake canza abinci, mai karfi na ɗabi'a da ƙoshin lafiya.

Innovation a cikin ciwon sukari - kawai sha kowace rana.

Umarnin Gluconorm ya ba da shawarar cewa ba da shawarar shan giya a lokacin da ake warkarwa. Kwayoyi na iya shafar saurin halayen psychomotor kuma rage taro. Sabili da haka, dole ne ku mai da hankali yayin tuki da haɗari.

Haramun ne a sha kwaya a yara, a lokacin daukar ciki, yayin shayarwa, saboda manyan abubuwanda ke shigar da madarar uwar. Magungunan yana contraindicated a cikin mutane tare da pathologies na kodan da hanta. Ba'a bada shawarar amfani da allunan a cikin tsofaffi a hade tare da matsanancin ƙoƙari na jiki ba.

Yawan abin sama da ya kamata

Kai magani da wuce izinin sashi na haifar da haifar da yawan shan magunguna. Wannan yanayin yana haifar da bayyanar lactic acidosis saboda metformin, wanda shine ɗayan magani. Mai haƙuri ya lura da bayyanar tashin zuciya, amai, rauni, rauni na jijiyoyin jiki. Tare da alamun farko na yawan abin sama da ya kamata, an soke magani. Tare da lactic acidosis, ana gudanar da ilimin a cikin cibiyar likita. Mafi kyawun magani shine maganin hemodialysis.

Muna ba da ragi ga masu karanta shafinmu!

Abun da ke ciki ya ƙunshi glibenclamide, babban taro wanda ke haifar da ci gaban hypoglycemia. Babban alamun wannan yanayin:

• ciwon kai
• tsananin farin ciki
• karuwar ci
• janar gaba daya
• pallor na daga ciki,
• jin tsoro
• rikicewar jijiyoyin jini,
• farhythmia,
• nutsuwa
• matsalolin daidaituwa
• mummunan mafarki
• paresthesia na bakin mucosa.

Tare da wuce gona da iri na hypoglycemia, lalacewa a cikin yanayin mai haƙuri, ana lura da asarar iko da hankali. Tare da haske da matsakaicin tsananin cutar, an wajabta glucose. A cikin mafi munin yanayi, idan akwai asarar hankali, ana amfani da maganin 40% na glucose ko glucagon. Don kauce wa faruwar haɗuwar jini na gaba, mai haƙuri ya kamata ya ci ƙarin abincin da ke cike da carbohydrates bayan ƙayyadaddiyar ƙwaƙwalwa.

Ana iya maye gurbin maganin tare da kwayoyi kamar Bagomet Plus da Glukovans. Waɗannan samfuran suna da alaƙa iri ɗaya tare da Gluconorm. Allunan kamar Glucofage da Glybomet sune analogues na Gluconorm dauke da metformin. An haramta yin amfani da wasu kwayoyi ba tare da takardar izinin likita ba don guje wa rikice-rikice da cutar yanayin mai haƙuri.

Allunan suna taimakawa wasu marasa lafiya, yayin da wasu ke haifar da sakamako masu illa. Da ke ƙasa akwai wasu sake dubawa game da masu ciwon sukari Gluconorm.

Na kamu da ciwon sukari shekaru 7 da suka gabata. Likita ya ayyana Gluconorm a matsayin maganin warkarwa. Ina shan kwamfutar hannu sau ɗaya a rana, ana wanka da ruwa. Ina jin sauki. Jiyyata ya hada da shan magani, rage cin abinci. Zuwa yanzu, ba a gano alamun bayyanar ba.

Da ciwon sukari, an umurce ni da in sha Gluconorm kowace rana da safe da maraice. Glucose a cikin jini ya koma al'ada, amma mummunan ciwon kai da raunin narkewa ya bayyana. Kamar yadda ya juya, Ina da contraindications ga irin wannan magani. Dole na canza maganin.

Cutar sankarau koyaushe tana haifar da rikice-rikice. Wuce kima sugar yana da matukar hadari.

Aronova S.M. ya ba da bayani game da lura da ciwon sukari. Karanta cikakken

Kungiyar magunguna

Abun da ke cikin Gluconorm ya hada da abubuwa guda biyu, wanda tare ke samar da sakamako na hypoglycemic.

Metformin yana cikin rukuni na biguanides, wanda ke ƙara juriya daga sel zuwa insulin, wanda ke ba da gudummawa ga saurin amfani da glucose. Wannan abu yana shafar matakai na rayuwa a cikin hanta, rike daidaituwa a cikin samar da cholesterol da triglycerol. Rage abubuwan carbohydrates daga narkewa yana raguwa.

Glibenclamide asalin ne wanda ya samo asali na sulfonylurea. Tare da taimakonsa, ana aiwatar da ɓoye insulin, wanda aka samu ta hanyar haɗuwa da ƙwayoyin ƙwayar ƙwayar ƙwayar cuta. Yana ba da ƙwarewar ƙwayoyin jikin mutum zuwa insulin, yana hana lipolysis na adipose nama.

Sashi da gudanarwa

Mafi dacewa sashi na miyagun ƙwayoyi yana ƙaddara ta likita, dangane da alamun sukari na jini. Farjin yana farawa da ƙarancin magunguna, wanda shine rabin kwamfutar hannu sau ɗaya a rana.

Don guje wa ci gaban hypoglycemia, ana ba da shawarar a ɗauki kwamfutar hannu 1 na magani 1 lokaci kowace rana tare da abinci. Ana yin wannan mafi kyau da safe, saboda raguwa a cikin matakan metabolism bayan abincin rana.

Idan babu ingantaccen tasiri, sannu a hankali ana kara girma da sashi. Matsakaicin adadin yau da kullun kada ya wuce allunan 5-6. Idan ya zama dole don amfani da allurai sama da shawarar, mai haƙuri yakamata ya kasance ƙarƙashin kulawa ta ƙwararrun kwararru.

Gluconorm da

Increasedarin yawan taro na Glibenclamide yana ba ku damar amfani da kwamfutar hannu 1 kawai a kowace rana don samun sakamako mai tsayayye na hypoglycemic. Wani irin magani ya dace a cikin wani yanayi, likita zai gaya.

Menene gluconorm da Allunan yi kama?

Yawancin lokaci, jiyya yana farawa tare da Gluconorm na yau da kullun, in babu ingancin abin da suke canzawa zuwa ingantaccen tsari tare da babban abun ciki na Glibenclamide.

Hulɗa da ƙwayoyi

Yin amfani da wannan magani a lokaci guda Gluconorm da Miconazole, da kuma duk wasu magunguna na rigakafi, waɗanda idan suna hulɗa, suna haifar da haɓakar cutar gudawa, har zuwa sakamako mai kamuwa da shi, an haramta shi sosai.

Kada ku dauki gluconorm tare da barasa

Ba za ku iya amfani da wakili na hypoglycemic tare da barasa ba, wanda ke tsokanar raguwar cututtukan jini a cikin karfin jini da bugun zuciya.

Tare da taka tsantsan, ana hada magungunan tare da glucocorticosteroids da kwayoyi, wanda ya hada da aidin.

Siffofin amfani

Ba a ba da shawarar gluconorm ga marasa lafiya ba bayan shekara 65, saboda babban haɗarin haɓakar halayen masu illa, ciki har da haɓakar cutar gudawa. Bayan shekaru 45, magani yana farawa da ƙarancin allurai, kuma idan ya cancanta, ƙara su yana buƙatar kulawa akai-akai game da yanayin haƙuri.

A lokacin daukar ciki, haramun yin amfani da wannan magani, tunda abubuwan da ke aiki sun taimaka wa cin zarafin cikakkiyar ci gaban tayin.Wannan bi da bi yana haifar da haɗarin cututtukan cututtukan cikinku, da ɓarna a farkon matakan.

Wadannan magunguna masu kama suna kama da sihiri da sakamako mai warkewa:

Zaɓin ɗaya ko wata kayan aiki wanda zai iya rage sukarin jini ya dogara da matsayin ci gaban ciwon sukari da cututtuka masu alaƙa. Likita ne kawai ke da 'yancin bayar da shawarar magani, da zaɓar mafi kyawun magani a cikin wani yanayi. Yin shan magani yana da haɗari ga haɓakar kamuwa da cutar siga da sauran maganganun raunin rayuwa masu haɗari.