Diabeton MV 60 MG: umarnin don amfani, farashi, sake dubawa

Diabeton MV: umarnin don amfani da bita

Sunan Latin: Diabeton mr

Lambar ATX: A10BB09

Sinadaran mai aiki: Gliclazide (Gliclazide)

Mai samarwa: Les Laboratoires Servier (Faransa)

Bayanin sabuntawa da hoto: 12.12.2018

Farashin kuɗi a cikin kantin magani: daga 188 rubles.

Diabeton MV magani ne da aka yi gyaran fuska wanda aka fitar da maganin hypoglycemic.

Formaddamar da tsari da abun da ke ciki

Nau'in sashi - allunan tare da ingantaccen saki: m, fari, biconvex, Diabeton MV 30 MG - a gefe ɗaya da zane "DIA 30", a ɗayan - tambarin kamfanin, Diabeton MV 60 MG - tare da ƙira, a ɓangarorin biyu zane-zanen "DIA 60 "(Inji mai kwakwalwa 15. A cikin blisters, a cikin kwali na kwali 2 ko 4 na blisters, 30 inji mai kwakwalwa. A cikin blisters, a cikin kwali na kwali 1 ko 2 blisters).

Abun ciki 1 kwamfutar hannu:

• abu mai aiki: gliclazide - 30 ko 60 mg,
• abubuwan taimako: alli hydrogen phosphate dihydrate - 83.64 / 0 mg, hypromellose 100 cP - 18/160 mg, hypromellose 4000 cP - 16/0 mg, magnesium stearate - 0.8 / 1.6 mg, maltodextrin - 11.24 / 22 MG, anhydrous colloidal silicon dioxide - 0.32 / 5.04 mg, lactose monohydrate - 0 / 71.36 mg.

Pharmacodynamics

Gliclazide shine asalin tushen sulfonylurea, magani ne na baki wanda ya bambanta da irin kwayoyi masu kama da juna ta hanyar kunshin he-heroroliclic na N-mai dauke da jigon kwayoyin halitta na endocyclic.

Glyclazide yana taimakawa rage girman hankali na glucose a cikin jini, yana ƙarfafa ɓoye insulin ta β-sel daga tsibirin na Langerhans. Increaseara yawan matakan insprandial insulin da C-peptide ya ci gaba bayan shekaru 2 na amfani da miyagun ƙwayoyi. Baya ga shafar metabolism, kayan yana da tasirin hemovascular.

A cikin nau'in 2 na ciwon sukari na mellitus, Diabeton MV ya dawo da farkon farkon ɓoyewar insulin don mayar da martani ga glucose, ya kuma inganta lokaci na biyu na ɓoye insulin. Ana lura da haɓakar ƙwayar cuta mai zurfi yayin amsawar motsa jiki, wanda shine sakamakon gabatarwar glucose da abinci.

Glyclazide yana rage yiwuwar ƙananan ƙwayar jini na jini, yana yin tasiri akan hanyoyin da zasu iya haifar da rikice-rikice a cikin ciwon sukari mellitus: hanawa na farantin platelet / haɗuwa da raguwa a cikin abubuwanda ke haifar da abubuwa na faranti (thromboxane B2, β-thromboglobulin), kazalika da karuwa a cikin aiki na platsin nama da kuma dawo da ayyukan fibrinolytic na ƙwayar jijiyoyin bugun jini.

M glycemic iko, wanda aka dogara da yin amfani da Diabeton MV, rage rage macro- da microvascular rikice-rikice na type 2 ciwon sukari idan aka kwatanta da daidaitaccen iko na glycemic.

Amfanin shine saboda raguwa mai mahimmanci a cikin haɗarin haɗarin manyan rikicewar ƙwayoyin cuta, bayyanar da ci gaban nephropathy, abubuwan da suka faru na macroalbuminuria, microalbuminuria da haɓakar rikicewar koda.

Fa'idodi na sarrafa glycemic mai ƙarfi tare da yin amfani da Diabeton MV bai dogara da fa'idodin da aka samu tare da maganin rashin lafiyar ƙwayar cuta ba.

Pharmacokinetics

• shaye shaye: bayan gudanarwar baka, cikakken sha yana faruwa. Yawan plasma na gliclazide a cikin jini yana ƙaruwa a hankali a cikin awanni 6 na farko, ana kula da matakin plateau a cikin kewayon 6-12. Musamman daidaiku sun yi karanci. Cin abinci baya shafar matakin / matakin sha na gliclazide,
• rarrabawa: dauri ga furotin plasma - kusan kashi 95%. Vd kamar lita 30 ne. Amincewa da cutar sukari ta MV 60 MG sau ɗaya a rana yana tabbatar da kiyaye ingantaccen taro na ƙwayar gliclazide a cikin jini sama da awanni 24,
• metabolism: metabolism yana faruwa da farko a cikin hanta. Babu ƙwayoyin metabolites mai aiki a cikin jini,
• excretion: kawar da rabin rayuwar awanni 12-20. Nishadi yakan faru ne ta hanjin kodan ta hanyar metabolites, ƙasa da 1% an keɓe shi bai canza ba.

Dangantaka tsakanin kashi da AUC (lambobi masu nuna alama na yanki a ƙarƙashin ɓoye / tsarin lokaci) layi ne.

Alamu don amfani

• nau'in ciwon sukari na 2 a cikin lokuta yayin da wasu matakan (hanyoyin abinci, motsa jiki da asarar nauyi) ba su da tasiri sosai,
• rikice-rikice na ciwon sukari mellitus (rigakafin ta hanin glycemic iko): raguwa a cikin yiwuwar micro- da rikitarwa na macrovascular (nephropathy, retinopathy, bugun jini, infarction na ciwon sukari) a cikin marasa lafiya da nau'in ciwon sukari na 2 na ciwon sukari.

Contraindications

• nau'in ciwon sukari guda 1
• precoma, mamaci ketoacidosis, ciwon suga,
• mai tsanani hepatic / na koda kasawa (a cikin irin waɗannan halayen, ana bada shawarar yin amfani da insulin),
• hade tare da miconazole, phenylbutazone ko danazole,
• rashin daidaituwa tsakanin lactose, galactosemia, galactose / glucose malabsorption syndrome,
• shekaru zuwa shekaru 18
• ciki da lactation,
• mutum rashin jituwa ga abubuwan da ke cikin miyagun ƙwayoyi, kazalika da sauran abubuwan da aka samo asali na sulfonylurea, sulfonamides.

Komawa (cututtuka / yanayi a gaban wanda saduwa da masu ciwon sukari MV na buƙatar taka tsantsan):

• barasa
• wanda bai bi ka'ida ko doka ba,
• mummunan cututtuka na tsarin zuciya da jijiyoyin jini,
• rashin ƙarfi na glucose-6-phosphate,
• kasawar kasa / rashin nutsuwa,
• hawan jini
• maganin glucocorticosteroid na tsawon lokaci,
• na koda / hanta gazawar,
• tsufa.

Umarnin don yin amfani da ciwon sukari MV: hanya da sashi

Ana ɗaukar allunan MV na Diabeton a baki, ba tare da murƙushewa da tauna ba, zai fi dacewa yayin karin kumallo, lokaci 1 kowace rana.

Yawan kullun na iya bambanta daga 30 zuwa 120 MG (matsakaici). An ƙaddara shi ta hanyar haɗuwa da glucose jini da HbA1c.

A cikin yanayin tsallakewa kashi ɗaya, ba za a iya ƙaruwa na gaba ba.

Maganin farko da aka bayar da shawarar shine 30 MG. Game da isasshen iko, za a iya amfani da ciwon sukari na MV a cikin wannan kashin don maganin kulawa. Tare da rashin daidaitaccen iko na glycemic (ba a baya ba fiye da kwanaki 30 bayan farkon maganin), ana iya ƙara yawan adadin yau da kullun zuwa 60, 90 ko 120 MG. Increasearin saurin haɓaka cikin kashi (bayan kwanaki 14) yana yiwuwa a lokuta inda yawan haɗuwar glucose na jini yayin lokacin jiyya bai ragu ba.

Ana iya maye gurbin kwayar 1 mai ƙwaƙwalwar ƙwayar cuta ta 80 tare da Diabeton MV 30 MG 30 (a ƙarƙashin kulawar glycemic hankali). Hakanan yana yiwuwa a canza daga wasu wakilai na maganin hypoglycemic na bakin, yayin da yawansu da rabin rayuwa dole ne a la'akari dasu. Lokaci na miƙa mulki ba a buƙata. A kashi na farko a cikin wadannan halayen shine 30 MG, bayan haka yakamata a sanya shi ya danganta da tattarawar glucose din jini.

Lokacin canzawa daga abubuwan da aka samo na sulfonylurea tare da tsawon rabin rayuwa don guje wa ci gaban hypoglycemia, wanda ke da alaƙa da tasirin kwayoyi, zaku iya dakatar da shan su tsawon kwanaki. Matsayi na farko a cikin irin waɗannan halayen shima 30 MG tare da yiwuwar ƙaruwa mai zuwa bisa ga makircin da aka bayyana a sama.

Amfani da haɗin tare da biguanidines, insulin ko α-glucosidase inhibitors zai yiwu. A cikin yanayin rashin ingantaccen iko na glycemic, ƙarin insulin far ya kamata a wajabta shi tare da saka idanu na likita.

A cikin gazawar matsakaici / matsakaici kasawa, yakamata a gudanar da kulawa karkashin kulawa ta kusa da likita.

Ana shawarar Diabeton MV ya ɗauki 30 MG a kowace rana ga marasa lafiya waɗanda ke cikin haɗarin hauhawar jini, saboda irin waɗannan yanayi / cututtuka:

• rashin daidaituwa / rashin abinci mai gina jiki,
• raunin rama / mummunar cuta na endocrine, ciki har da ƙarancin ƙwaƙwalwar ƙwayar cuta, ƙoshin lafiya,
• janyewar glucocorticosteroids bayan tsawaita amfani da / ko gudanarwa a cikin manyan allurai, mummunan cututtuka na tsarin zuciya da jijiya, gami da carotid arteriosclerosis, mummunan cututtukan zuciya da jijiyoyin jini, atherosclerosis na kowa.

Don cimma daidaitaccen iko na ƙwayar cuta, haɓakawa na digiri a cikin mafi girma yana yiwuwa a matsayin ƙarin hanyar abinci da motsa jiki don cimma burin HbA1c. Wajibi ne a tuna da yiwuwar kamuwa da cututtukan jini. Sauran magungunan hypoglycemic, musamman, α-glucosidase inhibitors, metformin, insulin ko magungunan thiazolidinedione, Hakanan za'a iya ƙara su a cikin Diabeton MV.

Side effects

Kamar sauran magunguna na ƙungiyar sulfonylurea, Diabeton MV a cikin yanayin rashin daidaituwa na abinci kuma, musamman, idan abincin ya tsallake, zai iya haifar da cutar rashin ƙarfi. Bayyanar alamun zazzagewa: rage yawan saurin kulawa, tashin hankali, tashin zuciya, ciwon kai, numfashi mara nauyi, matsananciyar yunwa, amai, gajiya, damuwa, bacci, jinkirtawa, rashin kwanciyar hankali, asarar iko, rikicewa, magana da hangen nesa, aphasia, paresis , rawar jiki, tsinkaye mara kyau, jin rashin taimako, farin ciki, rauni, kaɗaici, bradycardia, ɓacin rai, nutsuwa, asarar sani tare da yuwuwar ci gaba, na rashin nasara, har zuwa mutuwa.

Hakanan halayen Adrenergic ma zasu yiwu: ƙara yawan zufa, fata mai narkewa, tachycardia, damuwa, haɓakar jini, palpitations, angina pectoris da arrhythmia.

A mafi yawan lokuta, zaku iya dakatar da waɗannan alamun tare da carbohydrates (sukari). Yin amfani da kayan zaki a irin wannan halayen ba shi da amfani. A ƙarshen yanayin aikin jiyya tare da wasu abubuwan da aka samo asali na sulfonylurea, bayan nasarar da aka samu na nasara, an lura da sake dawo da ɗumbin jini.

A cikin lokuta na rashin tsawan jini / mai zafi, ana nuna kulawa ta gaggawa game da asibiti, har zuwa asibiti, koda kuwa akwai sakamako daga shan carbohydrates.

Rashin narkewa cikin tsarin cuta: tashin zuciya, ciwon ciki, amai, maƙarƙashiya, zawo (don rage yiwuwar haɓakar waɗannan rikice-rikice, amfanin Diabeton MB yayin karin kumallo).

Wadannan halayen da ba a san su ba sunada yawa:

• tsarin lymphatic da gabobin jini na jini: da wuya - rikicewar cututtukan jini (wanda aka bayyana ta hanyar anemia, leukopenia, thrombocytopenia, granulocytopenia, galibi ana juyawa),
• fata / subcutaneous nama: rash, urticaria, itching, erythema, Quincke's edema, maculopapular fyaɗe, halayen tashin hankali,
• sashin hangen nesa: rikicewar gani na lokaci (ana danganta shi da canji a cikin matakan glucose na jini, musamman a farkon amfanin Diabeton MV),
• bile ducts / hanta: karuwar ayyukan hanta enzymes na hanta (aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase), a lokuta masu saurin gaske - hepatitis, cholestatic jaundice (yana buƙatar dakatar da jiyya), rikice-rikice galibi ana juyawa.

Abubuwan da ke haifar da illa ga asalin abubuwan da ke haifar da maganin na sulfonylurea: vasculitis na rashin lafiyar, erythrocytopenia, hyponatremia, agranulocytosis, hemolytic anemia, pancytopenia. Akwai bayanai game da haɓaka ayyukan haɓaka mai haɓaka enzymes na hanta, aikin lalata hanta (alal misali, tare da haɓakar jaundice da cholestasis) da hepatitis. Matsalar waɗannan halayen tare da lokaci bayan karɓar magunguna yana raguwa, amma a wasu halayen haɗari ga hanta na iya haifar da ci gaba.

Yawan damuwa

A cikin yanayin cutar yawan ciwon sukari na MV, hypoglycemia na iya haɓaka.

Harkokin farji: alamu na matsakaici - karuwa a cikin abincin carbohydrate tare da abinci, raguwa a cikin yawan ƙwayoyi da / ko canji a cikin abinci, ana buƙatar saka idanu sosai har sai barazanar kiwon lafiya ta ɓace, matsanancin yanayin hypoglycemic tare da rashi, ƙwayar cuta ko wasu rikicewar cututtukan jijiyoyin jiki suna buƙatar asibiti cikin gaggawa. da kuma kulawar likita ta gaggawa.

Idan akwai haɗuwa da cutar hypoglycemic coma / tuhuma, toshewar jirgin jigilar ciki na maganin 20-30% na dextrose (50 ml), bayan wannan an samar da maganin 10% na dextrose cikin ciki (don kula da yawan hawan jini a saman 1000 mg / l). Kulawa da hankali akan matakan glucose na jini da lura da yanayin mai haƙuri yakamata a gudanar dashi aƙalla awanni 48 masu zuwa. An ƙaddara buƙatar ƙarin sa ido ne ta yanayin haƙuri.

Sakamakon ƙayyadadden ikon gliclazide zuwa ƙwayoyin plasma, dialysis ba shi da tasiri.

Umarni na musamman

A lokacin jiyya, haɓakar ƙin jinin haila yana yiwuwa, kuma a wasu yanayi a cikin tsawan yanayi / mai tsauri, wanda ke buƙatar ɗakin asibiti da dextrose na ciki na kwanaki da yawa.

Za'a iya rubuto Diabeton MB kawai a lokuta inda abincin mai haƙuri yake na yau da kullun kuma ya haɗa da karin kumallo. Yana da mahimmanci a kula da isasshen ƙwayar carbohydrates daga abinci, tun da yiwuwar hauhawar jini tare da rashin daidaituwa / rashin abinci mai gina jiki, tare da amfani da abinci na carbohydrate-mara kyau, yana ƙaruwa. Mafi sau da yawa, ana lura da abin da ke faruwa na hypoglycemia tare da rage cin abinci mai kalori, bayan motsa jiki / tsawan motsa jiki, shan giya, ko tare da amfani da kwayoyi iri-iri na jiki.

Don guji haɓakar haɓakar hypoglycemia, ana buƙatar zaɓi mutum na musamman na kwayoyi da kuma allurar rigakafi.

Yiwuwar haɓakar haɓakawar jini yana ƙaruwa a cikin halayen masu zuwa:

• ƙi / rashin iya haƙuri don sarrafa yanayinsa kuma bi umarnin likitocin (musamman wannan ya shafi marasa lafiya tsofaffi),
• rashin daidaituwa tsakanin adadin carbohydrates da aikin jiki,
• tsallake abinci, rashin daidaituwa / rashin abinci mai gina jiki, canje-canje na abinci da yunwa,
• na gazawar
• mai tsanani hanta
• yawan zafin jiki na Diabeton MV,
• hada amfani da wasu kwayoyi
• wasu rikice-rikicen endocrine (cututtukan thyroid, adrenal da pituitary insufficiency).

Rage rauni na glycemic iko yayin shan Diabeton MV mai yiwuwa ne tare da zazzabi, rauni, cututtuka na gaba ko manyan ayyukan tiyata. A cikin waɗannan halayen, cire magani kuma alƙawarin maganin insulin na iya buƙata.

Bayan tsawon lokaci na jiyya, tasirin Diabeton MV na iya raguwa. Wannan na iya zama saboda ci gaban cutar ko raguwa a cikin maganin warkewa game da tasirin maganin - juriya na magunguna. Kafin bincika wannan cin zarafi, ya zama dole don tantance ƙimar zaɓi na zaɓi da yardawar haƙuri tare da abincin da aka tsara.

Don tantance ikon sarrafa glycemic, ana bada shawarar saka idanu na yau da kullun game da jinin glucose jini da kuma jinin haila na HbA1c. Hakanan yana da kyau a gudanar da saka idanu na kai-tsaye kan yawan tattarawar glucose din jini.

Abubuwan da ke cikin Sulfonylurea na iya haifar da cutar haemolytic a cikin marasa lafiya da rashi na glucose-6-phosphate dehydrogenase (alƙawarin Diabeton MV tare da wannan rikicewar yana buƙatar taka tsantsan), yana kuma buƙatar kimanta yiwuwar rubuta kwayar cutar hauka na wata ƙungiyar.

Hulɗa da ƙwayoyi

Abubuwan magunguna / magunguna waɗanda ke kara haɓaka yiwuwar hypoglycemia (ana inganta tasirin gliclazide):

• miconazole: hypoglycemia na iya haɓaka har zuwa hauhawar ciki (an hade haɗarin),
• phenylbutazone: idan hada hannu ya zama dole, ana buƙatar sarrafa glycemic (haɗuwa ba ta bada shawarar ba, ana iya buƙatar daidaita sashi don Diabeton MV),
• ethanol: da yiwuwar haɓakar ƙwayar cuta daga ciki (ana bada shawarar ƙin shan giya da amfani da kwayoyi tare da abubuwan ethanol),
• sauran wakilan hypoglycemic, ciki har da insulin, acarbose, metformin, thiazolidinediones, dipeptidyl peptidase-4 inhibitors, GLP-1 agonists, β-adrenergic blocking jami'ai, fluconazole, angiotensin-canza enzyme inhibitors, kampanin, masu sanya hannun jari, insugar shiga cikin intanet, intalista enalista, injin, kantabutu , sulfonamides, clarithromycin da wasu magunguna / abubuwa: karuwar tasirin hypoglycemic (haɗuwa yana buƙatar taka tsantsan).

Abubuwa / magunguna waɗanda ke haɓaka glucose na jini (sakamakon gliclazide ya raunana):

• Danazole: yana da tasiri na masu ciwon sukari (ba a bayar da shawarar haɗuwa ba), idan ya zama dole don haɗuwa, ana ba da shawarar yin hankali da hankali na glucose a cikin jini da daidaita suturar Diabeton MV,
• chlorpromazine (a cikin babban allurai): rage insulin insulin (hade yana buƙatar taka tsantsan), ana nuna kulawa da hankali sosai, ana iya buƙatar daidaita sashi don Diabeton MV,
• salbutamol, ritodrin, terbutaline da sauran β₂-adrenomimetics: ƙara yawan hawan jini a cikin jini (haɗuwa yana buƙatar taka tsantsan)
• glucocorticosteroids, tetracosactide: da yiwuwar haɓaka ketoacidosis - raguwa a cikin haƙuri na carbohydrate (haɗuwa yana buƙatar taka tsantsan), ana ba da shawarar kulawa da hankali glycemic, musamman a farkon farawar, ana iya buƙatar daidaita sakin jiki don Diabeton MV.

Yayin amfani da miyagun ƙwayoyi, ya kamata a kula da mahimmancin mahimmanci don gudanar da ikon sarrafa glycemic mai zaman kanta. Idan ya cancanta, ana bada shawara don canja wurin mai haƙuri zuwa maganin insulin.

Idan aka haɗu da maganin anticoagulants, yana yiwuwa a haɓaka aikinsu, wanda na iya buƙatar daidaita sikelin.

Analogs na Diabeton MV sune: Gliclazide Canon, Gliclada, Glidiab, Diabetalong, Diabinax, Diabefarm da sauransu.

Abun ciki da nau'i na saki

Ana samar da ciwon sukari MV a cikin nau'ikan allunan da ke da daraja da kuma rubutu "DIA" "60" a garesu. Abunda yake aiki shine gliklazid 60 mg. Abubuwan taimako: magnesium stearate - 1.6 mg, anhydrous colloidal silicon dioxide - 5.04 mg, maltodextrin - 22 mg, hypromellose 100 cP - 160 mg.

Haruffa “MV” da sunan Diabeton an barsu kamar an sake su, i.e. a hankali.

Mai masana'anta: Les Laboratoires Servier, Faransa

Ciki da Shayarwa

Ba a gudanar da bincike kan mata masu matsayi ba; kuma babu bayanai kan tasirin gliclazide akan ɗan da ba a haife shi ba. A lokacin gwaje-gwajen kan dabbobi masu gwaji, ba a sami wani damuwa a ci gaban amfrayo ba.

Idan ciki ya faru lokacin shan Diabeton MV, to ana soke ta kuma canzawa zuwa insulin. Guda iri ɗaya ke shiryawa. Wannan ya zama dole don rage damar haɓakar rashin daidaituwa na rashin haihuwa a cikin jariri.

Yi amfani yayin shayarwa

Babu wani ingantaccen tabbataccen bayani game da shigar cutar sankarar mahaifa a cikin madara kuma akwai yuwuwar haɗarin haɓakar cutar haihuwar cikin jariri, an haramta shi yayin shayarwa. Lokacin da babu wani zabi don kowane dalili, ana canza su zuwa ciyarwar ta wucin gadi.

Side effects

Lokacin shan Diabeton a hade tare da cin abincin er er, hypoglycemia na iya faruwa.

• ciwon kai, tsananin farin ciki, rashin fahimta,
• yunwa kullum
• tashin zuciya, amai,
• rauni na gaba daya, rawar jiki, damtse,
• rashin damuwa, rashin jin daɗi,
• rashin bacci ko tsananin bacci,
• asarar sani tare da yuwuwar coma.

Hakanan za'a iya gano halayen da zasu biyo bayan shan Sweets:

• Jin zafi mai yawa, fatar jiki ta manne da taɓawa.
• Hawan jini, bugun zuciya, arrhythmia.
• Sharp pain a cikin yanki kirji saboda karancin jini.

Sauran tasirin da ba'a so:

• bayyanar cututtuka na dyspepti (zafin ciki, tashin zuciya, amai, zawo ko maƙarƙashiya),
• halayen rashin lafiyan halayen yayin shan Diabeton,
• raguwa a cikin adadin leukocytes, platelet, yawan granulocytes, maida hankali na haemoglobin (canje-canje ana juyawa),
• activityara ayyukan enzymes na hepatic (AST, ALT, alkaline phosphatase), keɓaɓɓen lokuta na hepatitis,
• rikicewar tsarin gani yana yiwuwa a farkon maganin cutar sankara.

Yin hulɗa tare da wasu magunguna

Magunguna waɗanda ke ƙara tasirin gliclazide

Magungunan antifungal Miconazole an hana shi. Theara yawan haɗarin haɓakar hauhawar jini har zuwa hauhawar jini.

Amfani da masu ciwon sukari tare da magungunan anti-steroidal anti-inflammatory Phenylbutazone yakamata a haɗu da hankali. Tare da amfani da tsari, yana rage jinkirin kawar da magunguna daga jiki. Idan tsarin kula da ciwon sukari ya zama dole kuma ba zai yuwu a musanya shi da komai ba, ana gyaran gliclazide.

Al'adar giya ta Ethica ta kara dagula yanayin zubar jini da kuma hana biyan diyya, wanda ke taimakawa ci gaban kwaroron roba. A saboda wannan dalili, yana da kyau a ware barasa da magunguna masu dauke da ethanol.

Hakanan, haɓakar yanayin ƙwararren ƙwaƙwalwar ƙwaƙwalwa tare da amfani da shi ba tare da kula da cutar siga ba yana inganta ta:

• Bisoprolol
• Fluconazole
• Kyaftin
• Ranitidine
• Moclobemide
• Sulfadimethoxin,
• Fankamara
• Metformin.

Jerin yana nuna takamaiman misalai kawai, sauran kayan aikin da suke cikin rukuni ɗaya kamar waɗanda aka lissafa suna da sakamako iri ɗaya.

Kwayoyi masu rage cutar kansa

Kada ku ɗauki Danazole, as yana da sakamako masu ciwon sukari. Idan liyafar ba zata iya sokewa ba, gyaran gliclazide ya zama dole don tsawon maganin da kuma lokacin da yake bayanta.

Kulawa da hankali yana buƙatar haɗuwa tare da maganin tari a cikin manyan allurai, saboda suna taimakawa wajen rage yawan toshewar kwayar halitta da kuma kara glucose. Zaɓin wani kashi na Diabeton MV ana gudanar da duka yayin aikin jiyya, da kuma bayan sakewarta.

A cikin jiyya tare da glucocorticosteroids, maida hankali na glucose yana ƙaruwa tare da yiwuwar rage karfin haƙuri.

Β2-adrenergic agonists yana kara yawan glucose. Idan ya cancanta, ana tura mai haƙuri zuwa insulin.

Haɗuwa ba za a yi watsi da su ba

A lokacin jiyya tare da warfarin, Diabeton na iya ƙaruwa da sakamako. Wannan yakamata ayi la'akari dashi tare da wannan haɗin tare da daidaita yawan maganin anticoagulant. Ana iya buƙatar daidaita sashi na karshen.

Analogs na masu ciwon sukari MV

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220 Glyclazide MV OZONE30

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200 Glyclazide MV PHARMSTANDART60215 Diabefarm MV30145 Glidiab MV30178 Glidiab80140 Diabetalong30

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270 Gliklada60260

Me za a iya maye gurbin?

Za'a iya maye gurbin Diabeton MV tare da wasu kwayoyi tare da sashi ɗaya da abu mai aiki. Amma akwai wani abu kamar bioavailability - adadin abu wanda ya kai ga burinsa, i.e. iyawar magungunan. Ga wasu ƙarancin analogues, yana da ƙasa, wanda ke nufin cewa rashin lafiyar zai zama mai tasiri, saboda a sakamakon, sashi na iya zama ba daidai ba. Wannan ya faru ne saboda ƙarancin ingancin kayan albarkatun, abubuwan da ake bayar da taimako, waɗanda ba sa barin kayan aiki masu ƙarfi su zama cikakke.

Don kauce wa matsala, duk maye gurbin ana yin su ne kawai bayan tuntuɓar likitanka.

Maninil, Metformin ko ciwon sukari - Wanne ya fi kyau?

Don kwatanta wanda yafi kyau, yana da daraja la'akari da mummunan bangarorin magungunan, saboda An wajabta su duka cuta guda. Bayanin da ke sama bayani ne akan magungunan masu ciwon sukari MV, sabili da haka, za'a ƙara yin la'akari da Manilin da Metformin.

Maninil da Metformin suna cikin rukunin magunguna daban-daban, don haka ka'idodin aiki ya sha bamban a gare su. Kuma kowannensu yana da nasa fa'idar da zai zama wajibi ga wasu rukunin marasa lafiya.

Ingantattun fannoni:

Yana tallafawa ayyukan zuciya, baya tsananta ischemia myocardial ischemia a cikin marasa lafiya da cututtukan jijiyoyin zuciya da arrhythmia tare da ischemia.Akwai ci gaba a cikin kulawar glycemic ta hanyar kara yawan jijiyoyin ƙwayoyin cuta zuwa insulin. An tsara shi don rashin ingancin sauran abubuwan da ake amfani da su na sulfonylurea.Idan aka kwatanta da ƙungiyar sulferilurea abubuwan da insulin, ba ya inganta hypoglycemia. Yana tsawaita lokaci har sai ya zama dole a rubuto insulin saboda jarabar kwayoyi.Yana rage cholesterol. Rage nauyi ko tsayar da jiki.

Ta hanyar yawan sarrafawa: Ana daukar MV Diabeton sau ɗaya a rana, Metformin - sau 2-3, Maninil - sau 2-4.

Nazarin masu ciwon sukari

Katarina. Kwanan nan, likita ya ba da umarnin Diabeton MV a gare ni, Ina ɗaukar 30 MG tare da Metformin (2000 MG kowace rana). An rage sukari daga 8 mmol / l zuwa 5. Sakamakon ya gamsu, babu wasu sakamako masu illa, hypoglycemia shima.

Ranar soyayya Na ɗanɗana shan Diabeton har tsawon shekara guda, sukari na al'ada ne. Ina bin abincin, Ina tafiya da yamma. Ya kasance irin wannan ne da na manta ci bayan shan miyagun ƙwayoyi, rawar jiki ya bayyana a cikin jikin, Na fahimci cewa cutar rashin ƙarfi ce. Na ci Sweets bayan mintina 10, na ji daɗi. Bayan faruwar hakan ina ci a kai a kai.

Menene ciwon sukari?

Menene aka ɓoye a bayan manufar ciwon sukari? Jikinmu yana rushe carbohydrates daga abinci zuwa glucose. Don haka, bayan cin abinci, matakin sukari a cikin jininmu ya hauhawa. Glucose yana wadatar da dukkanin sel da gabobin, amma fiye da kima yana da lahani ga jiki, yana lalata tasoshin jini. Don dawo da matakan sukari a cikin al'ada bayan cin abinci, cututtukan fata na mutum mai lafiya suna samar da insulin na hormone. Koyaya, ƙarƙashin rinjayar abubuwa daban-daban, wannan aikin na iya lalacewa. Idan fitsari ya daina samar da insulin, to irin wannan cutarwar a cikin aikin sa yana haifar da ciwon sukari na 1. A mafi yawan lokuta, wannan nau'in cutar tana bayyana kanta a cikin yara. Dalilin na iya kwantawa a cikin yanayin gado, rigakafin samun nasara, cututtuka, da sauransu.

Akwai nau'in ciwon sukari na biyu. Abinda yafi shafar tsofaffi da tsofaffi. Dalili na farko mai nau'in ciwon sukari na 2 ya wuce kiba. Rashin abinci mai gina jiki, rashin motsa jiki, damuwa na yau da kullun ... Duk wannan na iya haifar da rikicewar metabolism. Kodan har yanzu yana samarda insulin, amma sel basu iya amfani da shi don nufin sa. Sun rasa hankalinsu ga wannan kwayar. Kwayar ta fara sakin jiki da jini kuma yana yawaita zuwa cikin jini, wanda a tsawon lokaci yakan kai ga lalacewarsa.

Farfesa don ciwon sukari

Kashi casa'in cikin dari na marasa lafiya suna shan wahala daidai da nau'in ciwon sukari na biyu. Mafi yawan lokuta tare da wannan cutar mata suna fuskantar juna. Idan an ba marasa lafiya da masu ciwon sukari na farkon nau'in allurar insulin, to tare da na biyu, an wajabta magani na kwamfutar hannu. Daya daga cikin abubuwanda aka fi amfani dasu shine magungunan "Ciwon sukari". Reviews game da shi sau da yawa fiye da wasu ana samun su a cikin majallar tattaunawar.

Aikin magunguna

Nuna don amfanin wannan kayan aiki shine nau'in na biyu na ciwon sukari. Magungunan yana da tasirin hypoglycemic. A cikin sauki sharuddan, yana saukar da glucose jini. Ciwon sukari cuta ce ta ƙarni na biyu. A ƙarƙashin tasirin wannan ƙwayar, ana fitar da insulin daga sel beta na pancreas, kuma ƙwayoyin masu karɓar sun zama mafi kulawa da shi. Abin da ake kira "manufa" na wannan hormone shine tsoka nama, tsoka da hanta. Koyaya, maganin "Ciwon sukari" ana nuna shi ne kawai ga waɗannan marasa lafiya waɗanda ke cikin asirin ƙwayar insulin jikinsu. Idan ƙwayoyin beta na pancreas sun yanke jiki sosai har ba za su iya samar da hormone ba, to magungunan ba za su iya maye gurbin ta da kanta ba. Yana sake dawo da insulin insulin a farkon matakin cutar.

Baya ga tasirin hypoglycemic, Diabeton yana da tasirin gaske game da zaga jini. Sau da yawa, saboda yawan abun ciki na glucose a cikin jini, yakan zama viscous. Wannan yana haifar da toshewar hanyoyin jini. Yana nufin "Ciwon sukari" yana hana ƙwayoyin jini. Hakanan yana da kaddarorin antioxidant. Magungunan "Ciwon sukari" an sake shi a hankali kuma yana aiki a cikin kullun. Sannan yazama gaba daya daga narkewa. Yawancin kwayoyin cuta ana yin su ne a hanta. Kayan samfura ne ke kwance daga kodan.

Yana nufin "Ciwon sukari": umarnin don amfani

Nazarin masu haƙuri suna nuna ingancin wannan magani. Likitoci suna tsara ta don manya. Adadin yau da kullun ya dogara da tsananin cutar da matsayin biyan diyya. Tare da babban matakin glucose a cikin jini, har zuwa 0.12 g na miyagun ƙwayoyi kowace rana ana iya tsara shi ga mai haƙuri. Matsakaicin matsakaici shine 0.06 g, mafi ƙarancin shine 0.03 g .. Ana bada shawarar maganin don sau ɗaya a rana, da safe, tare da abinci.

Yawancin marasa lafiya da suka dauki Diabeton na dogon lokaci, waɗanda za a iya samun sake duba su akan hanyar sadarwa, sun gamsu da wannan ƙwayar. Sun fi son wannan magani ga yawancin analogues.

Sakamakon magani a kan haemoglobin

Babban mai nuna alamar diyya shine matakin gemoclobin glycated. Ba kamar gwajin sukari na al'ada ba, yana nuna matsakaiciyar glucose na jini a cikin dogon lokaci. Yaya miyagun ƙwayoyi "Diabeton" ke shafar wannan alamar? Binciken da yawancin marasa lafiya ke bayar da shawarar cewa yana ba ku damar kawo gemoclo mai haɓaka zuwa ƙimar har zuwa 6%, wanda aka yi la'akari da al'ada.

Hyperglycemia lokacin shan miyagun ƙwayoyi "Ciwon sukari"

Ko yaya, tasirin maganin a jikin mai ciwon suga mutum ne daban. Ya dogara da tsayi, nauyi, da kuma tsananin matsalar cutar ƙwararrakin mara lafiya, da kan abinci da aikin mutum. Duk da yake ga wasu marasa lafiya magungunan masu ciwon sukari shine panacea, sake duba wasu ba su da goyan baya. Dayawa suna yin korafi game da rauni, tashin zuciya, da kuma ƙishirwa ƙishirwa yayin shan wannan magani. Duk wannan na iya kasancewa alamu ne na yawan sukarin hawan jini, wanda wani lokacin ma yana tare da ketoacidosis. Koyaya, wannan baya koyaushe cewa jiki baya ɗaukar masu ciwon sukari. Sau da yawa dalilin ya ta'allaka ne ga rashin yarda da tsarin abinci ko yadda aka zaɓa ba daidai ba na maganin.

A cikin ciwon sukari, an nuna abinci mai daidaitaccen abinci tare da iyakance yawan kitse da carbohydrates. Ta hanyar rushewar glucose, suna haifar da tsalle-tsalle cikin sukari a cikin jinin mai haƙuri. Masu ciwon sukari suna buƙatar ba da fifiko ga waɗancan abincin da ke ɗauke da jinkirin carbohydrates. Waɗannan sun haɗa da gurasar hatsin rai, gurnet, dankalin da aka dafa, kayan lambu, 'ya'yan itatuwa, kiwo da sauran kayayyaki. Idan ciwon sukari ya haɗu da tushen wuce haddi mai yawa, to endocrinologists suna ba da shawarar rage yawan kalori. A wannan yanayin, kayan lambu, ganye, abincin teku, nama mai ƙarancin abinci ya kamata ya fi cancanta a cikin abincin.Biye da irin wannan abincin zai ba ku damar kawar da nauyin wuce kima, a sakamakon abin da yake daidaita matakan sukari a cikin jini.

Hypoglycemia a matsayin sakamako na gefen

Magungunan "Ciwon sukari", sake dubawa wanda galibi tabbatacce ne, zai iya haifar da sakamako mai illa a cikin hanyar cututtukan jini. A wannan yanayin, sukarin jini ya faɗi ƙasa da ƙima mafi ƙima. Dalilin na iya zama a cikin maganin ƙwayoyi masu ƙima sosai, tsallake abinci ko ƙara yawan motsa jiki. Idan aka maye gurbin wani magani mai rage sukari tare da cutar sukari, za a buƙaci saka idanu na glucose na yau da kullun don guje wa haɗarin ɗaya daga cikin magunguna kan wani da haɓakar haɓakawar jini.

A miyagun ƙwayoyi "Ciwon sukari" a matsayin wani ɓangare na hade far

Baya ga gaskiyar cewa wannan kayan aikin an tsara shi azaman ƙwayoyi ne guda ɗaya, yana iya kasancewa ɓangare na haɗuwa da jiyya. Wani lokaci ana haɗe shi da sauran magunguna masu rage sukari, ban da waɗanda ke cikin rukunin sulfonylurea. Latterarshe suna da tasiri iri ɗaya a jikin mai haƙuri kamar maganin ƙwaƙwalwar mahaifa. Ofayan mafi nasara shine haɗakar wannan maganin tare da metformin.

Siyarda da aka ba da shawarar don 'yan wasa

Menene allurai zasu iya ɗaukar magungunan "Ciwon sukari" a cikin aikin gina jiki? Nazarin 'yan wasa suna ba da shawarar cewa kuna buƙatar fara da 15 MG, wato, tare da rabin kwamfutar hannu. A wannan yanayin, kuna buƙatar kula da sashi lokacin sayen magani. Dogaro da shi, kwamfutar hannu ɗaya na iya ƙunsar 30 ko 60 MG na kayan aiki mai aiki. A tsawon lokaci, za a iya ƙara yawan sashi zuwa 30 MG kowace rana, wato, har zuwa kwamfutar hannu ɗaya. Kamar yadda yake da ciwon sukari, ana bada shawara don shan Allunan Diabeton da safe. Binciken ya nuna cewa wannan yana kawar da yanayin rashin karfin jini a cikin dare, lokacin da zai iya zama mafi haɗari. Tsawon lokacin shigowa ana ƙaddara shi akayi daban-daban kuma ya dogara da lafiyar ɗan wasa da sakamakon da ya samu. A matsakaici, hanya tana daga wata zuwa biyu kuma ana yin su sama da sau ɗaya a shekara. Yawan jin daɗin ci yana daɗaɗawa tare da rikicewar damuwa a cikin farji. Tare da maimaita darussan, za a iya ƙara yawan zuwa 60 MG kowace rana. Idan an dauki wakili na Diabeton don gina tsoka, ba da shawarar a hada shi da sauran magunguna.

Me ya kamata ɗan wasa ya tuna lokacin shan wannan magani?

Sakamakon cewa raguwa a cikin taro na glucose a cikin jini shine babban aikin magunguna na miyagun ƙwayoyi "Diabeton," sake dubawar mutane yana ƙarfafa cewa yin taka tsantsan yayin ɗaukar 'yan wasa. Da farko, ana bada shawarar rage yawan kalori. Tare da hypoglycemia, don haɓaka matakin sukari, nan da nan dole ne ku ci abinci mai girma a cikin carbohydrates. Abu na biyu, yayin amfani da magani na “Ciwon sukari” ba tare da rubutattun magunguna ba, ba za a iya samun horo mai karfi ba. Hakanan motsa jiki yana rage matakan sukari. Kawai tare da tsayayyen iko na kula da walwala da yanayin kiwon lafiya, amfani da miyagun ƙwayoyi na iya kawo sakamakon wasannin da ake so.

Yaya za a gane hypoglycemia?

Duk da yake ga yawancin marasa lafiya da ciwon sukari mellitus, yanayin hypoglycemia ya saba, 'yan wasa na iya gane alamun ta akan lokaci. Rashin ƙarfi, rawar jiki a ƙarshensa, yunwar ciki da ƙwaya na iya zama alamu na rashin wadatar jini. A wannan yanayin, dole ne ku ci wani abu mai daɗi nan da nan (alal misali, ayaba), sha shayi tare da zuma ko sukari, ruwan 'ya'yan itace. A yayin da ba a ɗau matakan a kan lokaci ba, mutum na iya haɓaka cutar sikila. A wannan yanayin, an gabatar da maganin glucose. Ingantaccen kulawar likita da kulawa na gaba gaba ana buƙatar sosai.

Nazarin ra'ayoyi mara kyau

Masanin ilimin endocrinologist ya umurce ni da ciwon sukari, amma magungunan sun ci gaba da yin muni. Na kwashe shekaru 2 ina ɗaukar sa, a wannan lokacin na zama tsohuwar mace tsohuwa. Na rasa kilogiram 21. Wahala ya faɗi, fatar jiki tayi tsayi kafin idanu, matsaloli tare da ƙafafu sun bayyana. Sugar har da ban tsoro don auna tare da glucometer. Ina jin tsoron kamuwa da ciwon sukari na 2 ya koma mai saurin kamuwa da 1.

Kakata ba za ta iya sha ba, ba ta da lafiya kuma wani lokacin ta yi amai. Tana zuwa wurin likita kuma ta canza wannan hanya kuma ta wata hanya, amma babu abin da yake canza ta. Tuni ta kwantar da hankalinta kuma ba ta gunaguni, ta yanke tsammani. Amma kowace rana, komai yana ciwo da sauri, ga alama rikice-rikice suna yin aikin su. Da kyau, me yasa masana kimiyya basa zuwa da komai don magance cutar sikari, a matsayin hali ((((() (

Sun canza ni daga metformin zuwa ciwon sukari. Da farko na fi son shi saboda na sha shi sau daya a rana, amma daga baya na lura dole ne in yi hankali kawai in ci abin da ba daidai ba ko kuma tsallake lokaci, matsaloli sun taso. Hangen nesa, kamar dai wanda aka fizge, hannaye suna girgiza, yunwar tana gabatowa, ana ƙara ƙaruwa da yawa.Kuma kuna buƙatar auna sukari da kullun waɗanda basu da arha ba kyauta 1 kawai na 3 msec kuma bai isa ba har tsawon wata ɗaya. Duk ba komai bane idan an taimaka, amma kara matsaloli kawai

Hakan bai taimaka min ba, na yi rashin lafiya tsawon watanni 9, daga kilogiram 78 Na rasa kilo 20, ina jin tsoron nau'in 2 ya juya ya zama 1, da sannu zan gano.

Sake dubawa ba

Na kamu da ciwon sukari irin 2 shekaru hudu da suka gabata. An samo shi kwatsam, yayin da ake fuskantar gwajin likita na lokaci-lokaci a cikin kamfanin. Da farko, sukari ya kasance 14-20. Ya zauna a kan tsayayyen abincin, ya dauko galvus da metformin. A tsakanin watanni biyu, ya kawo glucose har sama da 5, amma tare da lokaci ya fara yin girma. A kan shawarar malamin endocrinologist, ya kara tilastawa, amma babu wani sakamako mai karfi. Tun sabuwar shekara, matakan glucose yana riƙe da watanni uku a matakin 8-9. Na gwada ciwon sukari, da kaina. Sakamakon ya wuce duk tsammanin. Bayan allurai uku na kwamfutar hannu guda ɗaya da yamma, matakin glucose ya kai 4.3. Na karanta sharhi cewa yana yiwuwa a cire tsotsar gaba daya tsawon shekaru. Yanzu na zabi yanayin da kaina don kaina. Da safe - kwamfutar hannu guda ɗaya na Forsig da metformin 1000. Da yamma - ɗaya shafin galvus da metformin 1000. Kowane kwana huɗu a maraice, maimakon galvus, Ina ɗaukar rabin kwamfutar hannu na ciwon sukari (30 MG). Ana kiyaye matakin glucose a 5.2. Na yi gwaji sau biyu kuma, na karya abincin, na ci wani kek. Ciwon sukari bai sha ba, amma sukari ya ci gaba da safe na 5.2. Ni dan shekaru 56 da haihuwa kuma nayi nauyi kusan kilo 100. Na kasance ina shan ciwon sukari tsawon wata guda kuma a wannan lokacin nakan sha Allunan 6. Gwada shi, wataƙila wannan yanayin ma zai amfane ka.

A shekara da suka wuce, wani endocrinologist wajabta Diabeton. Doananan allurai basu taimaka ba kwata-kwata. Allunan daya da rabi sun fara aiki, amma kit ɗin shima ya sami sakamako masu illa: ƙarancin ciki, ciwon ciki, matsin lamba ya fara tayar da hankali. Ina tsammanin cewa ciwon sukari ya shiga nau'in 1, kodayake ana iya kiyaye matakan sukari kusa da al'ada.

A zahiri watanni 3 da suka gabata, likitan halartan likitoci sun wajabta mini Diabeton MV, Na ɗauki rabin kwamfutar hannu don maganin metmorphine, Na ɗauki kwayoyin cuta a baya. Sabon magani ya inganta, matakan sukari a hankali suna komawa al'ada. Koyaya, akwai sakamako masu yawa da yawa, galibi suna da alaƙar narkewa - A koyaushe ina jin nauyi a cikin ciki, bloating, wani lokacin tashin zuciya, wani lokacin ƙwannafi. Ina so in sake ganin likita don daidaita sashi, sakamakon shine, hakika, yana da kyau, amma ba shi yiwuwa a ɗauka saboda yawancin sakamako masu illa na miyagun ƙwayoyi.

Ina fama da ciwon sukari irin 2 na kimanin shekaru 10 (sukari jini ya kama daga 6 zuwa 12). Likita ya tanadi Diabeton 60 rabin kwamfutar hannu da safe yayin karin kumallo. Yanzu, bayan shan shi na tsawon awanni 3, ciki na yana ciwo, kuma sukari ya karu (10-12). Kuma idan an soke maganin, duk ciwo ya ɓace.

Ba zan iya cewa wani mummunan abu game da wannan magani ba, sai dai wani lokacin mawuyacin halin yakan taso daga gare ta.

Wataƙila yana taimaka, kawai kar ka manta cewa yana sa ƙwayar cutar motsa jiki ta zama sutura. Wanne a ƙarshe zai jagoranci sauri zuwa dogara ga insulin kuma ya buga ciwon sukari 1

Cikakken ra'ayi

Shekaru 4 ke nan ina shan tebur na Divon MV 1/2 da safe lokacin karin kumallo. Godiya ga wannan, sukari kusan al'ada - daga 5.6 zuwa 6.5 mmol / L. A baya, ya kai 10 mmol / l, har sai an fara kulawa da wannan magani. Ina ƙoƙari in iyakance cinn fata da cin abinci a matsakaici, kamar yadda likitan ya ba da shawara, amma wani lokacin sai na rushe.

Kakata tana da cuta mai yawa, kuma shekara guda da ta gabata an saka ta cikin tarin fuka. Kakata ta yi kuka bayan hakan, saboda na ji labaru game da yadda kafaffun kafafu ke yankantawa a cikin ciwon sukari, yadda mutane ke dogara da insulin.

Amma a farkon matakin, ba a buƙatar insulin, kuma ya isa sau ɗaya a rana don ɗaukar ƙwayar cutar sankara. Kakata ta kamu da ciwon sukari na 2. Amma idan ba ta sha magungunan ba, to za ta kasance ta farko, sannan za a bukaci insulin.

Kuma Diabeton ya lowers kuma yana kula da matakan sukari na jini, kuma wannan gaskiyane. Tsawon watanni 8, kakata ta riga ta saba da amfani, kuma wannan ya fi allurar allura. Har ila yau, kaka ta iyakance amfanin mai zaki, amma bai ƙi komai ba. Gabaɗaya, tare da Diabeton tana lura da abinci, amma ba mai tsauri ba.

Abin baƙin ciki ne kawai cewa an sanya maganin a cikin rayuwa ko har sai ya daina aiki.

Na sha wannan maganin har tsawon shekaru biyu, Na riga na ninka kashi biyu. Matsalar kafa ta fara, wani lokacin rauni da rashin tausayi. Sun ce wadannan sakamako ne na maganin. Amma sukari yana ɗaukar kimanin mm 6 /ol / l, wanda kyakkyawan sakamako ne a gare ni.

Anyi mini maganin ciwon sukari watanni shida da suka gabata. Kowane watanni uku na yi cikakken gwajin jini don sukari, kuma na ƙarshe ya nuna cewa sukari kusan al'ada. Wannan ba zai iya gamsar da ni ba, tunda akwai fatan a ƙarshe daidaita sukari, har ma ana iya warkewa. Mafarki mafarki ne. Amma idan irin wannan sakamako ya faru a cikin watanni shida, to watakila a cikin 'yan shekaru ba zan sake buƙatar maganin ba.

Sannu Ina so in yi rubutu game da magani don lura da masu ciwon sukari. Miji na da ciwon sukari na 2 (insulin-free), saboda haka shan magani a kullun dole ne. Da safe a kan komai a ciki, sai ya ɗauki kwamfutar hannu ta Diabeton, yana shan Glucofage sau uku a rana bayan cin abinci.

Ana nuna ciwon sukari (kamar Glucofage) don lura da ciwon sukari mellitus kawai na nau'in 2, kuma dole ne a dauki shi koyaushe. Da zarar mijina ya hutu a cikin liyafar, kwanaki da yawa sukari ya zama al'ada, sannan tsalle mai tsayi! Dukda cewa ya iyakance kanta ga Sweets. Ba a yin gwaji kamar haka.

Don haka ina ba da shawarar Diabeton don amfani, amma kawai kamar yadda likita ya umarce shi kuma a ƙarƙashin kulawarsa! Bayan haka, ga wani, rabin kwamfutar hannu zai isa, amma ga mutum, biyu ya cika isa. Ya dogara da yadda mutum yake da nauyi da matakin sukari, a gefen al'ada, wani lokacin yakan wuce gona da iri. Amma idan kun zaɓi madaidaicin kashi kuma kuyi magani akai-akai, to sukari zai zama al'ada!

Ina yi muku fatan alheri!

A yau za muyi magana ne game da allunan masu ciwon suga. Wannan magani yana shan inna. Kimanin shekara guda da suka wuce, ta je wurin likita tare da wasu alamu. Bayan da aka gudanar da bincike mai yawa, an gano ta da cutar rashin jin daɗi sosai - nau'in ciwon sukari na 2. Gwanin jinin jikinta a wancan lokacin yayi yawa - kimanin 11. Likita ya rubuta insulin kusan nan take. Koyaya, mun yanke shawarar tattaunawa da kwararru.

A wani asibitin, an kuma bincika surukar a hankali, abinci mai tsafta wanda aka shirya wa masu ciwon siga da kuma allurar ta Diabeton.

Farashin allunan 20 kusan 200 rubles ne. A cikin magunguna daban-daban a cikin hanyoyi daban-daban. Matar suruka na shan kwamfutar hannu 1 a rana (a zahiri, kamar yadda likita ya umarta).

Bayan kimanin watanni uku na shan ciwon sukari, matakin sukari ya ragu zuwa 6. Amma likita bai fasa kwayar ba. Zai yiwu, za su sha kullum a yanzu + abinci.

A wannan lokacin, sukari a cikin surukarsa kusan al'ada ne, wani lokacin dan ƙara ƙaruwa. Amma ba m.

Na yi imani cewa miyagun ƙwayoyi suna da tasiri, ba tsada sosai ba kuma babu sakamako masu illa daga gare ta.

A zahiri, bai kamata ku tsara kanku kanku magani ba. Cutar sankarau cuta ce mai rashin nutsuwa. A kowane hali, ban da Allunan, dole ne a bi tsarin abincin sosai, in ba haka ba wani magani da zai taimaka.

Mahaifiyata tana da cutar sananniya na yau - cutar sankara ce. A cikin matakan farko na ciwon sukari - marasa lafiya suna shan kwayoyin don rage sukarin jininsu, matakin farko na ciwon sukari - kuna buƙatar allurar insulin.

Mahaifiyata tana ci gaba da kasancewa, ba ta zama kan insulin kuma tana shan Allunan a zahiri, a zahiri tana bin tsarin abinci, in ba haka ba komai. Dole ne ku sha waɗannan magungunan kamar yadda likitarku suka umurce ku. Da farko ana wajabta su tsawon wata daya. Ko an lura da mummunan sakamako, yadda yake taimakawa. Idan komai na al'ada ne kuma yana rage ƙwarin jini sosai sosai, to lallai ya zama dole a sha da kullun.

Magungunan suna da kyau sosai, yana rage sukari sosai idan ba ku karya abincin mai ciwon sukari ba. Lokacin shan waɗannan kwayoyin, kana buƙatar sarrafa iko da sukari sau da yawa, haemoglobin, hanta da aikin koda. A wannan yanayin, yakamata a sami abinci mai gina jiki na yau da kullun, zaɓin magunguna daidai.

Ina so in raba muku ra'ayi na game da kwayar cutar Serdix "Ciwon sukari" MV.

Wannan magani yana kan tsari mai gudana, mahaifina ya ɗauka kowace rana kamar yadda likita ya umarta. Ya daɗe yana fama da ciwon sukari. Kuma wannan magani yana taimaka masa bisa al'ada na sukari na jini kowace rana.

Magungunan suna da kyau sosai. Onlyaransa kawai shine babban farashin. Kudin tattara allunan 60 tare da mu farashin 40-45000, ya danganta da kantin magani, wanda yake daidai da 10 daloli. Don amfani akai-akai da yau da kullun, ba shakka, yana fitowa kyawawan tsada.

Magungunan ba sa haifar da rashin lafiyan ciki kuma babu sakamako masu illa, a kalla mahaifina bai ɗanɗano komai ba kuma baya jin zafin zazzabi lokacin shan shi.

Ina bayar da shawarar da miyagun ƙwayoyi Serdix "Diabeton" MV ga mutanen da ke fama da ciwon sukari. Kyakkyawan magani mai inganci wanda ke taimakawa wajen kula da matakan sukari na yau da kullun a cikin yanayin al'ada kuma suna da kyau.

Kar ka manta ka nemi shawarar likita. Kada ku yi rashin lafiya!

Bayanin magunguna gaba daya

Diabeton MV shine tushen ƙarni na biyu na sulfonylurea. A wannan yanayin, raguwa na MB yana nufin ingantattun allunan kwafi. Tsarin aikinsu shine kamar haka: kwamfutar hannu, ta fadowa a cikin haƙuri, tana narkewa cikin awanni 3. Sannan magani yana cikin jini kuma a hankali yana rage matakin glucose. Bincike ya nuna cewa magani na zamani ba sau da yawa yakan haifar da yanayin hypoglycemia kuma daga baya yana da alamun bayyanar cututtuka. Ainihin, maganin yana da sauƙin jure wa marasa lafiya da yawa. Statistics ya ce kawai game da 1% na lokuta na m halayen.

Sinadaran da ke aiki - gliclazide yana da tasirin gaske akan sel beta da ke cikin farji. A sakamakon haka, sai suka fara samar da karin insulin, kwayar dake rage glucose. Hakanan, yayin amfani da miyagun ƙwayoyi, ana rage yiwuwar thrombosis na ƙananan tasoshin. Kwayoyin kwayoyi suna da kaddarorin antioxidant.

Bugu da ƙari, ƙwayar ta ƙunshi ƙarin abubuwan haɗi kamar alli hydrogen phosphate dihydrate, hypromellose 100 cP da 4000 cP, maltodextrin, magnesium stearate da silsilar silloon na anhydrous.

Ana amfani da allunan Diabeton mb a cikin lura da ciwon sukari na 2, lokacin da wasanni da bin wani abinci na musamman ba zai iya shafar haɗuwar glucose ba. Bugu da ƙari, ana amfani da miyagun ƙwayoyi a cikin rigakafin rikitarwa na "cutar mai daɗi" kamar:

1. Rikicin ƙananan ƙwayoyin cuta - nephropathy (lalacewar koda) da retinopathy (kumburi daga cikin farji na girare).
2. Rikicewar Macrovascular - bugun jini ko infarction na zuciya.

A wannan yanayin, da wuya a dauki maganin a matsayin babban hanyar maganin warkarwa. Sau da yawa a cikin lura da ciwon sukari na 2, ana amfani dashi bayan an yi masa magani tare da Metformin. Marasa lafiya da ke shan maganin sau ɗaya a rana na iya samun ingantaccen abun cikin mai aiki na tsawon awanni 24.

Gliclazide yana daɗaɗɗen ƙwayoyin kodan a cikin hanyar metabolites.

Umarnin don amfani da allunan

Kafin maganin ƙwaƙwalwar ƙwayar cuta, tabbas za ku tafi zuwa alƙawari tare da likita wanda zai tantance halin lafiyar haƙuri da kuma tsara ingantaccen magani tare da matakan da suka dace. Bayan siyan Diabeton MV, umarnin don amfani ya kamata a karanta shi a hankali don guje wa amfani da maganin. Kunshin ya ƙunshi Allunan 30 ko 60 Allunan. Tabletaya daga cikin kwamfutar hannu ya ƙunshi 30 ko 60 MG na kayan aiki mai aiki.

Game da allunan 60 MG allunan, sashi na tsofaffi da tsofaffi shine farkon allunan 0.5 a rana (30 MG). Idan matakin sukari ya ragu a hankali, ana iya ƙara yawan kashi, amma ba sau da yawa fiye da bayan makonni 2-4. Matsakaicin yawan ƙwayar magani shine allunan 1.5-2 (90 mg ko 120 mg). Bayanan sashi don bayanai ne kawai. Likitocin da ke halartar ne kawai, yin la’akari da halaye na mutum na haƙuri da kuma sakamakon binciken ƙwararraki na glycated, glucose na jini, zai iya ba da magunguna masu mahimmanci.

Dole ne a yi amfani da miyagun ƙwayoyi Diabeton mb tare da kulawa ta musamman a cikin marasa lafiya da keɓaɓɓen renal da hepatic kasawa, tare da abinci mai gina jiki na yau da kullun. Yardawar miyagun ƙwayoyi tare da wasu magunguna yana da matuƙar girma. Misali, ana iya ɗaukar Diabeton mb tare da insulin, alpha glucosidase inhibitors da biguanidins. Amma tare da amfani da sinadarin chlorpropamide a lokaci guda, ci gaban hypoglycemia mai yiwuwa ne. Saboda haka, jiyya tare da waɗannan allunan ya kamata ya kasance a ƙarƙashin tsananin kulawa daga likita.

Allunan suna bukatar ɓoye ɓoye daga idanun yara. Rayuwar shelf shine shekaru 2.

Bayan wannan lokacin, an haramta yin amfani da miyagun ƙwayoyi.

Farashi da magunguna

Kuna iya siyan MR Diabeton a kantin magani ko sanya oda akan layi akan gidan mai siyarwa. Tunda ƙasashe da yawa suna samar da magungunan masu ciwon sukari guda ɗaya lokaci guda, farashin a cikin kantin magani na iya bambanta sosai. Matsakaicin farashin maganin shine 300 rubles (60 MG kowace, Allunan 30) da 290 rubles (60 MG kowace 30 MG). Bugu da kari, kewayon farashin sun bambanta:

1. Allunan 60 MG na guda 30: mafi girman 334 rubles, mafi ƙarancin 276 rubles.
2. Allunan 30 MG na guda 60: mafi girman 293 rubles, mafi ƙarancin 287 rubles.

Zamu iya yanke hukuncin cewa wannan magani bashi da tsada sosai kuma ana iya siyan shi ta hanyar mutanen da ke samun kudin shiga suke da nau'in ciwon sukari na 2. An zabi maganin ne gwargwadon abin da likitan halartar ya wajabta su.

Reviews game da Diabeton MV mafi yawa tabbatacce ne. Lallai, adadi mai yawa na masu cutar sukari suna da'awar cewa maganin yana rage matakan glucose zuwa ƙimar al'ada. Bugu da kari, wannan magani na iya haskaka irin wadannan kyawawan halaye:

• Lowarancin dama na rashin lafiyar hypoglycemia (ba fiye da 7%).
• Singleari ɗaya na magani a rana yana sauƙaƙa rayuwa mai sauƙi ga marasa lafiya da yawa.
• Sakamakon amfani da MV na gliclazide, marasa lafiya ba su fuskantar saurin karuwa a jiki. Poundsan fam kaɗan, amma babu ƙari.

Amma akwai kuma sake dubawa mara kyau game da miyagun ƙwayoyi na Diabeton MV, yawancin lokuta ana danganta su da irin wannan yanayi:

1. Inwararrun mutane sun sami maganganun ci gaba na ciwan sukari-dogara da ciwon sukari mellitus.
2. Ciwon sukari na 2 na iya shiga cikin farkon cutar.
3. Magungunan ba ya yaƙi ciwon insulin.

Binciken da aka yi kwanan nan ya nuna cewa miyagun ƙwayoyi na Diabeton MR baya rage yawan mutuwar mutane daga ciwon sukari.

Bugu da ƙari, yana da mummunar tasiri a kan ƙwayoyin ƙwayar ƙwayar ƙwayar cuta na pancreatic B, amma yawancin endocrinologists sunyi watsi da wannan matsalar.

Irin kwayoyi

Tun da miyagun ƙwayoyi Diabeton MB yana da yawa contraindications da mummunan sakamako, wani lokacin amfani da shi na iya zama haɗari ga mai haƙuri da ke fama da ciwon sukari.

A wannan yanayin, likita yana gyara tsarin kulawa kuma yana ba da wani magani wanda tasirin warkewa yana kama da Diabeton MV. Zai iya zama:

• Onglisa wakili ne mai saurin rage sukari don kamuwa da ciwon sukari na 2. Ainihin, ana ɗaukar shi a hade tare da sauran abubuwa kamar metformin, pioglitazone, glibenclamide, dithiazem da sauransu. Ba shi da mummunan lahani kamar Diabeton mb. Matsakaicin matsakaici shine 1950 rubles.
• Glucophage 850 - wani magani ne wanda yake kunshe da sinadaran aiki mai aiki da yawa. A lokacin jiyya, mutane da yawa marasa lafiya sun lura da tsawan yanayin daidaituwa na sukari na jini, har ma da rage kiba. Yana rage yiwuwar mutuwa daga ciwon suga da rabi, haka kuma akwai yiwuwar bugun zuciya da bugun jini. Matsakaicin matsakaici shine 235 rubles.
• Altar magani ne wanda ke ƙunshe da sinadarin glimepiride, wanda ke sakin insulin ta hanyar ƙwayoyin ƙwayoyin ƙwayoyin cuta na pancreatic. Gaskiya ne, ƙwayar ta ƙunshi yawancin contraindications. Matsakaicin farashin shine 749 rubles.
• Diagnizide ya ƙunshi babban abin da ke da alaƙa da abubuwan da aka samo asali na sulfonylurea. Ba za a iya shan miyagun ƙwayoyi tare da shan barasa ba, shan phenylbutazone da danazole. Magungunan yana rage juriya insulin. Matsakaicin matsakaici shine 278 rubles.
• Siofor shine kyakkyawan wakili na hypoglycemic. Ana iya amfani dashi a hade tare da wasu kwayoyi, alal misali, salicylate, sulfonylurea, insulin da sauransu. Matsakaicin matsakaici shine 423 rubles.
• Ana amfani da Maninil don hana yanayin hypoglycemic kuma a cikin maganin cututtukan type 2. Kamar dai ciwon sukari 90 MG, yana da yawan adadin abubuwanda ke haifar da illa da cutarwa. Matsakaicin farashin maganin shine 159 rubles.
• Glybomet yana da tasirin gaske a jikin mai haƙuri, yana ƙarfafa ruɗar insulin. Babban abubuwan da ke cikin wannan magani sune metformin da glibenclamide. Matsakaicin farashin magani shine 314 rubles.

Wannan ba cikakkun jerin magunguna masu kama da Diabeton mb. Glidiab MV, Gliclazide MV, Diabefarm MV suna dauke da ma'anar wannan magani. Mai ciwon sukari da likitan da yake halarta ya kamata su zabi wanda zai iya maye gurbin madadin masu ciwon suga wanda ya danganci tasirin warkewar cutar da karfin kudin majinyaci.

Diabeton mb shine ingantaccen magani wanda ke rage yawan glucose a cikin jini. Yawancin marasa lafiya suna amsawa sosai ga maganin. A halin yanzu, yana da bangarori biyu masu kyau da kuma wasu rashin amfani. Magungunan ƙwayar cuta yana ɗayan kayan aikin nasarar nasarar cututtukan cututtukan type 2. Amma kar ku manta game da abinci mai dacewa, aikin jiki, sarrafa sukari na jini, hutawa mai kyau.

Rashin yin biyayya da aƙalla aya ɗaya na m na iya haifar da gazawar aikin magani tare da Diabeton MR. Ba a yarda mai haƙuri ya yi maganin kansa ba. Yakamata mai haƙuri ya saurari likita, saboda duk wani nuni da shi na iya zama mabuɗin don warware matsalar ƙwayar sukari mai yawa tare da "cuta mai daɗi". Kasance cikin koshin lafiya!

Kwararre a cikin bidiyon a wannan labarin zai yi magana game da allunan Diabeton.