Don daidaita matakan glucose a cikin jini, ana amfani da magunguna daban-daban, wanda ya haɗa da Minidiab. Kayan aiki yana da contraindications da sakamako masu illa, don haka kafin amfani da shi wajibi ne don nazarin umarnin.
Sunan kasa da kasa mai zaman kansa
INN na miyagun ƙwayoyi shine Glipizide (Glipizide).
Don daidaita matakan glucose a cikin jini, ana amfani da magunguna daban-daban, wanda ya haɗa da Minidiab.
ATX
Samfurin yana da lambar ATX mai zuwa: A10BB07.
Saki siffofin da abun da ke ciki
Sakin maganin yana gudana ne a cikin nau'ikan Allunan 5 MG, an sanya su cikin guda 15. a cikin bakin tabarmar marmarin. Kunshin kwali ya ƙunshi blister 2. Glipizide yana aiki azaman sashi mai aiki.
Aikin magunguna
A miyagun ƙwayoyi ne mai hypoglycemic wakili. Yana taimakawa wajen sakin insulin wanda aka samo a cikin ƙwayoyin beta na aiki mai aiki. Sakamakon amfani da shi a kan komai a ciki, a cikin marasa lafiya da keɓaɓɓu da sikelin siffofin mellitus-non-insulin-dogara da ciwon sukari, akwai raguwa a matakin glycosylated haemoglobin da haɗuwa da glucose a cikin jini.
Yayin maganin, akwai karuwa a cikin haƙuri, ƙarancin zubar da ruwa kyauta da rage hauhawar abinci bayan abinci. Haɓakawar amsawar insulinotropic yana faruwa a cikin mintina 30 bayan shan maganin. Sakamakon ƙwayar kwaya ɗaya tak yana ɗaukar sa'o'i 24. Abubuwan da ke aiki ba su tasiri da bayanin martaba na jini na jini.
Pharmacokinetics
Abubuwan da ke cikin magani suna karɓar gaba ɗaya kuma cikin sauri a cikin ƙwayar gastrointestinal. Lokacin cin abinci, yawan sha yana ragewa ta minti 40. Matsakaicin abun ciki na miyagun ƙwayoyi a cikin jini an samu shi ne bayan sa'o'i 1-3. An cire maganin a fitsari a cikin hanyar metabolites mara aiki.
Alamu don amfani
An wajabta magungunan a gaban nau'in ciwon sukari na 2 wanda ba shi da insulin-insellus ba, lokacin da babu wani sakamako daga isasshen aikin motsa jiki da abinci mai ƙarancin kalori, kazalika da microangiopathy na ciwon sukari.
Contraindications
Marasa lafiya da ke nuna rashin damuwa ga abubuwan da ke tattare da maganin, mata masu juna biyu da masu shayarwa, da kuma marasa lafiya da cututtukan da aka sanya insulin a cikin su ya kamata a ki karbar magani tare da Minidiab:
- manyan ayyukan tiyata;
- ƙwayar cuta na hyperosmolar;
- nau'in ciwon sukari na 1;
- raunin da ya faru;
- cututtukan cututtuka;
- ƙonewa mai yawa;
- precoma na ciwon sukari;
- mai fama da ciwon sukari ketoacidosis.
A karkashin kulawar kwararrun, ana daukar maganin ne ta hanyar marassa lafiyar da ke fama da buguwa, hanta ko gazawar koda, cutar cututtukan febrile, leukopenia da cututtukan cututtukan hanji, wadanda ke canza lokacin zama na miyagun ƙwayoyi a jiki.
Yadda ake ɗaukar minidiab?
Magungunan an yi niyya don gudanar da maganin baka. Ana bada shawara don farawa tare da kashi na yau da kullun wanda bai wuce 2.5-5 mg ba. Bayan haka, adadin kayan sun haɗu zuwa 20 MG. Allunan ana shan su sau 2-4 a rana kafin manyan abinci.
A gaban ciwon sukari mellitus, ya zama dole don amfani da magani bisa ga makircin da likita ya tsara bayan cikakken bincike.
Tare da ciwon sukari
A gaban ciwon sukari mellitus, ya zama dole don amfani da magani bisa ga makircin da likita ya tsara bayan cikakken bincike kuma bisa ga sakamakon gwaje-gwaje na dakin gwaje-gwaje, wanda aka ƙaddara matakin glycemia da glucosuria.
Sakamakon sakamako na Minidiab
A wasu halaye, mummunan aiki na jiki ga aiki da sauri kuma a hankali yana aiwatar da nau'i na glipizide daga tsarin kwayoyin da sauran gabobin na iya faruwa. Idan tasirin sakamako ya faru, dakatar da magani da kuma shawarci ƙwararre.
Daga gabobin gabbai
Amsar shan magunguna daga hankula tana bayyana ne ta fuskoki, nutsuwa da zafi a kai.
Gastrointestinal fili
Magungunan na iya haifar da tashin zuciya, amai, amarexia, dyspepsia, maƙarƙashiya, jin nauyi a cikin ciki, bayyanar ƙarancin jini a cikin feces da cholestatic hepatitis.
Minidiab na iya haifar da nauyi a ciki.
Hematopoietic gabobin
Sakamakon sakamako daga gabobin hemopoietic da tsarin hemostatic suna faruwa a cikin yanayin arrhythmia, syncope, flailers mai zafi, hauhawar jini, leukopenia, thrombocytopenia, agranulocytosis, hemolytic ko aplastic anemia da pancytopenia.
Tsarin juyayi na tsakiya
Tare da mummunan sakamako na tsarin juyayi, akwai bayyanar wani mayafi a gaban idanuwa, ɓacin rai, rikice-rikice, gait cuta, basur, firesthesia, hypersthesia, zafi a cikin ido da conjunctivitis.
A ɓangaren fata
Bayyanar cututtuka mara kyau daga fata ana nuna su ta hanyar fitsari, cututtukan fata, itching, erythema, photoensitivity da maculopapular rashes.
Tasiri kan ikon sarrafa abubuwan inji
Babu wani bayani game da mummunan tasirin da Minidiab ke da shi game da gudanar da wasu tsauraran matakai. Marasa lafiya waɗanda ke yawan yin tuki ko kuma yin ayyukan haɗari suna buƙatar yin hankali saboda yuwuwar faruwar cutar rashin ƙarfi da hauhawar jini.
Umarni na musamman
Za'a buƙaci ikon kula da lafiya ga marasa lafiya waɗanda ke shan magani a lokaci guda kamar Insulin ko kuma kafin wannan amfani da wasu magunguna masu rage sukari. Sashin magunguna don wannan rukuni na marasa lafiya an ƙaddara shi da matakin glucose a cikin jini
Yi amfani da tsufa
Ya kamata tsofaffi marasa lafiya su ɗauki kwaya tare da taka tsantsan, saboda akwai haɗarin hauhawar jini.
Aiki yara
Ba a ba da shawarar yin amfani da maganin don kula da yara ba, tunda babu wani bayani game da amincinsa ga wannan rukuni na marasa lafiya.
Lokacin gudanar da matakan warkewa ta amfani da Minidiab, ya kamata a daina shayar da jarirai nono.
Yi amfani da lokacin daukar ciki da lactation
Idan ana amfani da miyagun ƙwayoyi a lokacin haihuwar ɗa, to an dakatar da kwaya kwanaki 30 kafin ranar da za'a iya bayarwa kuma, idan ya cancanta, sai a sauya zuwa insulin therapy. Lokacin gudanar da matakan warkewa, ya zama dole a daina shayar da nono.
Aikace-aikacen aiki mara kyau
Yankin hypoglycemic jihar na iya faruwa tare da nakasa aikin na renal da kuma gazawar kasa yayin shan Minidiab.
Amfani don aikin hanta mai rauni
Ana kula da marasa lafiya da raunin hanta da rashin aiki na hanta a ƙarƙashin kulawar kwararrun likita.
Doarfe da yawa na Minidiab
Idan kayi amfani da adadin da aka ba da shawarar magani, ƙwayar cutar za ta iya faruwa, kamar yadda aka tabbatar da cutar hypoglycemia.
Don kawar da alamun rashin jin daɗi, yana da mahimmanci don dakatar da shan magunguna, canza abincin da shan glucose.
Idan bayyanar cututtuka masu ƙarfi na hypoglycemia, zai zama dole a kwantar da maraice tare da gudanar da maganin glucose na 50% a cikin ciki kuma lokaci guda zazzage maganin glucose 10%. Lokacin da mara lafiyar ya fito daga rashin lafiya, yana buƙatar bincika matakin sukari na jini akai-akai. Yin amfani da dialysis a wannan yanayin bazai zama da inganci ba.
Yin amfani da dialysis idan aka sami yawan haɗuwa da Minidiab ba zai rasa tasiri ba.
Yin hulɗa tare da wasu kwayoyi
Ana lura da raguwar tasiri na abu mai aiki lokacin hulɗa tare da maganin anticonvulsants, Baclofen, carbonic anhydrase inhibitors, amphetamines, glucocorticoids, antagonists na alli, hormones na thyroid, maganin hana haihuwa, Epinephrine, Furosemide, ethacrine acid da sauran magunguna waɗanda zasu iya haifar da hauhawar jini.
An inganta aikin hypoglycemic yayin ɗaukar androgens da magungunan anabolic steroid. Thearfafawa na biotransformation da haɓakawa a cikin tattarawar ɓangaren kyauta a cikin jini yana faruwa ne lokacin da aka haɗu da anticoagulants kai tsaye, NSAIDs, clofibrate, MAO inhibitors, sulfonamides, chloramphenicol, guanethidine, probenecid da rifampicin.
An lura da karuwa a cikin yanayin hypoglycemic da kuma toshewar rashin aiki lokacin ɗaukar Miconazole, Ketoconazole da Sulfinpyrazone. Hadarin agranulocytosis yana ƙaruwa tare da haɗakar Minidiab tare da magungunan myelotoxic da magungunan antithyroid.
Amfani da barasa
Shan giya yayin jiyya zai iya haifar da wata cuta ta disulfiram-kamar cuta, wacce ke haifar da ciwon ciki, tashin zuciya, amai, da ciwon kai.
Analogs
Idan ya cancanta, ana maye gurbin maganin da irin wannan magani:
- Antidiab;
- Glibenesis;
- Glenezom;
- Glucotrol ChL.
Likita ya zabi analog yayi la'akari da halaye na mutum na mai haƙuri da kuma tsananin cutar.
Magunguna kan bar sharuɗan
Za a iya siyan kayan aikin a kowane kantin magani idan akwai takardar sayen magani daga likita.
Zan iya saya ba tare da takardar sayan magani ba?
Ana bayar da maganin ne kawai ta hanyar takardar sayan magani.
Farashin Minidiab
Farashin magungunan ya dogara da farashin farashi na kantin magani da kuma matsakaicin nauyin 2750.
Yanayin ajiya na miyagun ƙwayoyi
An sanya kunshin tare da allunan a cikin duhu, bushe da rashin isa wurin yara tare da zazzabi wanda bai wuce + 25 ° C ba.
Ranar karewa
Magungunan suna riƙe da kaddarorinta na tsawon shekaru 5 daga ranar samarwa, idan ana bin dokokin adana. Bayan ranar karewa, an zubar da maganin.
Minidiab, wanda ke da suna na duniya mai zaman kanta Glipizide, an adana shi cikin duhu, bushe da rashin isar yara.
Mai masana'anta
Pharmacia & Upjohn (Italiya) ne ke aiwatar da masana'antar.
Ra'ayoyi game da Minidiab
Inna, mai shekara 33, Stavropol: "Na kasance ina fama da ciwon sukari na tsawon shekaru 6. Magunguna suna taimakawa kuma baya haifar da illa, kodayake wasu kwayoyi sun cutar da lafiyar ta. Farashin yana da girma, amma ana iya jin sakamakon sakamakon bayan ranar farko na magani."
Angelina, 'yar shekaru 46, Moscow: "Wani likita ne ya ba da magani. Na sha kwayoyin magani bisa ga tsarin, amma bayan wasu' yan kwanaki sai na sami tashin zuciya da amai. Maganin ya warke kuma yanzu haka ina kan gwaje-gwaje don neman magani mai kyau."
