Ciwon sukari MV magani ne ga ciwon sukari na 2. Abunda yake aiki shine gliclazide. Yana ƙarfafa ƙwayoyin beta na pancreatic don samar da ƙarin insulin, wanda ke rage sukari jini. Yana nufin abubuwan samo asali na sulfonylurea. MB ne aka gyara allunan saki. Ba a saki Gliclazide kai tsaye daga gare su ba, amma a ko'ina cikin tsawon sa'o'i 24. Wannan yana ba da fa'ida a cikin maganin cutar sankara. Koyaya, cutar siga ba ta zama zaɓi na farko ga masu ciwon sukari na 2 ba. An bada shawara don yin allurar kawai bayan metformin. Karanta cikakkun bayanai game da amfani, contraindications, sashi, ab ,buwan amfãni, da rashin amfanin Diabeton MV a cikin labarin. Gano abin da za a iya maye gurbin wannan maganin don babu cutarwa daga illarsa.
Taswirar magunguna
| Mai masana'anta | Kayan Labratoires na Asara (France) / Serdix LLC (Russia) |
| Lambar PBX | A10BB09 |
| Kungiyar magunguna | Oral hypoglycemic magani, sulfonylurea Kalam na ƙarni na biyu |
| Abu mai aiki | Gliclazide |
| Fom ɗin saki | Allunan sakewa Allunan, 60 MG. |
| Kamawa | Allunan 15 a cikin kumburi, murhunan ciki 2 tare da umarnin amfani da lafiya an rufe su a cikin kwali. |
| Aikin magunguna | Kwalayen sukari na jini daga rukuni na sulfonylurea. Imarfafa samar da insulin ta hanyar ƙwayoyin beta na tsibirin na pancreatic na Langerhans. Magungunan ba wai kawai yana inganta kashi na biyu na toshewar insulin ba, amma yana sake farfadowa da farkon lokacinsa saboda karuwar glucose. Hakanan yana rage haɗarin ƙananan ƙwayar jini na jini. Kwayoyin cutar Diabeton MV suna nuna kaddarorin antioxidant. |
| Pharmacokinetics | Samun maganin sau ɗaya a rana yana tabbatar da kiyaye ingantaccen taro na gliclazide a cikin jini na sama da awa 24. An cire shi da ƙananan kodan a cikin hanyar metabolites, ƙasa da 1% - tare da fitsari ba canzawa. A cikin tsofaffi, babu canje-canje masu mahimmanci a cikin sigogi na pharmacokinetic. Cin abinci baya shafar yawan ko matakin sha na gliclazide. |
| Alamu don amfani | Nau'in cuta na 2, idan abinci da motsa jiki basa taimakawa sosai. Yin rigakafin rikice-rikice na ciwon sukari mellitus: rage haɗarin microvascular (nephropathy, retinopathy) da rikicewar macrovascular (infarction myocardial, bugun jini) ta hanyar saka idanu sosai na sukari na jini. |
| Sashi | Maganin farko na manya, gami da tsofaffi, shine 30 MG a kowace rana (1/2 kwamfutar hannu). Ana ƙaruwa ba fiye da sau ɗaya a cikin kowane makonni 2-4 ba, idan ba'a rage sukari da yawa ba. An zaɓi matakin da ya dace daidai da daidaikun mutane, bisa ga alamu masu nuna glucose a cikin jini da kuma ƙwaƙwalwar ƙwayar haemoglobin HbA1C. Matsakaicin adadin shine 120 MG kowace rana. Za a iya haɗe shi da sauran magunguna masu ciwon sukari. Tabletaya daga cikin kwamfutar hannu na miyagun ƙwayoyi Diabeton 80 MG za a iya maye gurbin ta 1/2 kwamfutar hannu tare da ingantaccen saki Diabeton MB 60 MG. Lokacin canja wurin marasa lafiya daga maganin Diabeton 80 MG zuwa Diabeton MB, ana bada shawara don auna sukari tare da glucometer sau da yawa a rana, kula da hankali. Dubi kuma, “Rates din Silinda Jinin Ruwa don Lafiyar Jama'a da masu fama da ciwon sukari." |
| Side effects | Mafi haɗarin sakamako masu illa shine ƙananan sukari na jini, hypoglycemia. Alamomin ta: ciwon kai, gajiya, haushi, barcin dare, ciwon mara. A cikin lokuta masu rauni, mai haƙuri na iya rasa hankali. Karanta labarin "Hypoglycemia - Cutar cututtukan, jiyya da rigakafin" a cikin dalla dalla. Diabeton MV yana haifar da matsanancin rashin ƙarfi a cikin ƙasa sau da yawa fiye da sauran kwayoyi - Kalaman sulfonylurea. Sauran sakamako masu illa suna jin zafin ciki, tashin zuciya, amai, gudawa, zawo, amai, ƙaiƙayi, haɓaka aikin hanta enzymes (AST, ALT, alkaline phosphatase). A farkon shan Diabeton, ana iya samun raunin gani na ɗan lokaci - saboda gaskiyar cewa sukari da sauri jini ya sauka. Hakanan yana maganin cutar kansa da cututtukan fata, amma da wuya. Canje-canje mara kyau a cikin abun da ke cikin jini ba kasala bane. |
| Contraindications | Diabeton MV da sauran abubuwan da ake amfani da su na sulfonylurea suna da jerin abubuwan contraindications:
Adana tare da taka tsantsan:
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| Ciki da shayarwa | Bai kamata a sha masu ciwon sukari MV da wasu kwayoyin cutar suga yayin daukar ciki ba. Idan kuna buƙatar rage sukarin jini - yi wannan tare da rage cin abinci da allurar insulin. Kula sosai don magance cutar sukari a lokacin daukar ciki saboda babu wata haihuwa mai wahala da kuma lalata tayin. Ba a san ko miyagun ƙwayoyi sun shiga cikin madara ba. Sabili da haka, a lokacin lactation ba'a sanya shi ba. |
| Hulɗa da ƙwayoyi | Yawancin kwayoyi suna ƙaruwa da haɗarin hauhawar jini idan an ɗauke su tare da masu ciwon sukari. Wannan yakamata ayi la'akari da likita lokacin da yake rubuta maganin haɗin gwiwa tare da acarbose, metformin, thiazolidinediones, dipeptidyl peptidase-4 inhibitors, GLP-1 agonists, kamar yadda insulin. Tasirin Diabeton MV yana haɓaka da kwayoyi don hauhawar jini - beta-blockers da ACE inhibitors, kazalika da fluconazole, histamine H2-receptor blockers, MAO inhibitors, sulfonamides, clarithromycin. Sauran kwayoyi na iya raunana tasirin gliclazide. Karanta umarnin hukuma don amfani dalla dalla. Faɗa wa likitanka game da duk magunguna, kayan abinci, da ganyaye waɗanda kuke sha kafin shan ƙwayoyin ciwon sukari. Fahimci yadda ake sarrafa sukari da kansa. San abin da zai yi idan ya tashi ko akasin haka ya yi ƙasa sosai. |
| Yawan damuwa | Tare da yawan abin da yakamata a samo asali na sulfonylurea, hypoglycemia na iya haɓaka. Yawan sukari na jini zai faɗi ƙasa da al'ada, kuma wannan yana da haɗari. Za'a iya dakatar da hypoglycemia mai sauƙi akan kansa, kuma a cikin lokuta masu tsauri, ana buƙatar kulawa ta gaggawa. |
| Fom ɗin saki | Allunan sakewa suna farin, oval, biconvex, tare da daraja da kuma zane "DIA" "60" a garesu. |
| Sharuɗɗan da yanayin ajiya | Kiyaye daga isar yara, ba a buƙatar yanayi na musamman. Rayuwar shelf shine shekaru 2. Kada kayi amfani bayan ranar karewa da aka nuna akan kunshin. |
| Abun ciki | Abubuwan da ke aiki shine gliclazide, 60 MG a cikin kwamfutar hannu ɗaya. Wadanda suka kware - lactose monohydrate, maltodextrin, hypromellose, magnesium stearate, silsila mai guba na anhydrous. |
Yin amfani da miyagun ƙwayoyi Diabeton
Magungunan Diabeton a cikin allunan al'ada da sakewa mai kwalliya (MV) an wajabta shi ga marasa lafiya da ke fama da ciwon sukari na 2, wanda abinci da motsa jiki ba su iya magance cutar sosai. Abubuwan da ke aiki na miyagun ƙwayoyi shine gliclazide. Ta kasance ta ƙungiyar abubuwan samo asali na sulfonylurea. Gliclazide yana ƙarfafa ƙwayoyin beta na pancreatic don samar da saki mafi insulin cikin jini, hormone wanda ke rage sukari.
An ba da shawarar farko da farko don rubuta wa marasa lafiya nau'in ciwon sukari na 2 ba Diabeton, amma maganin Metformin - shirye-shiryen Siofor, Glucofage ko Gliformin. Sashi na metformin ya zama sannu-sannu yana ƙaruwa daga 500-850 zuwa 2000-3000 MG kowace rana. Kuma kawai idan wannan maganin ya rage sukari da isasshen, ana ƙara abubuwan da ake amfani da shi na sulfonylurea.
Gliclazide a cikin allunan sakin allunan suna aiki gaba daya tsawon awanni 24. Zuwa yau, ka'idojin kulawa da cutar sukari sun ba da shawarar cewa likitoci sun tsara Diabeton MV ga marasa lafiya da ke da nau'in ciwon sukari na 2, a maimakon ƙarni na da suka gabata. Duba, alal misali, labarin "Sakamakon binciken DYNASTY (" Diabeton MV: shirin lura a tsakanin marasa lafiya da ke dauke da cututtukan sukari na 2 na yanayin 2 na yanayin aikin yau da kullun ") a cikin jaridar" Matsalolin Endocrinology "A'a. 5/2012, marubutan M. V. Shestakova, O K. Vikulova da sauransu.
Ciwon sukari MV ya rage rage yawan sukarin jini. Marasa lafiya suna son hakan yana da sauƙin ɗaukar shi sau ɗaya a rana. Yana aiki mafi aminci fiye da tsofaffin magunguna - abubuwan da ake amfani da su na sulfonylurea Duk da haka, yana da sakamako mai cutarwa, saboda abin da ya fi dacewa ga masu ciwon sukari kar su ɗauka. Karanta ƙasa menene cutar Diabeton, wanda ya ƙunshi duka fa'idodi. Shafin yanar gizo na masu cutar siga -Med.Com yana inganta ingantattun jiyya don cututtukan type 2 ba tare da magungunan cutarwa ba.
- Jiyya na ciwon sukari na 2: dabarar-mataki-mataki-ba tare da yunwar ba, magunguna masu cutarwa da allurar insulin
- Kwayoyin Siofor da Glucofage - metformin
- Yadda ake koyo don jin daɗin ilimin jiki
Abvantbuwan amfãni da rashin amfani
Jiyya na ciwon sukari na type 2 tare da taimakon miyagun ƙwayoyi Diabeton MV yana ba da kyakkyawan sakamako a cikin ɗan gajeren lokaci:
- a cikin marasa lafiya, sukari na jini ya ragu sosai;
- haɗarin cutar hypoglycemia ba ta wuce 7% ba, wanda yafi ƙasa da na sauran hanyoyin da aka samo na sulfonylurea;
- ya dace a sha magani sau daya a rana, don haka marassa lafiya basa barin magani;
- yayin shan gliclazide a cikin allunan-aka saki allunan, nauyin jikin mai haƙuri yana dan ƙara ƙima.
Diabeton MB ya zama sanannen nau'in maganin ciwon sukari na 2 saboda yana da fa'ida ga likitoci kuma ya dace wa marasa lafiya. Yana da sau da yawa sauƙaƙe don endocrinologists don tsara kwayoyi sama da tilasta motsa masu ciwon sukari su bi abinci da motsa jiki. Magunguna yana da sauri saukar da sukari kuma an yarda da shi sosai. Babu fiye da 1% na marasa lafiya suna korafi game da sakamako masu illa, kuma duk sauran sun gamsu.
Rashin daidaituwa na miyagun ƙwayoyi masu ciwon sukari MV:
- Yana haɓaka mutuwar ƙwayoyin beta na pancreatic, saboda wanda cutar ta shiga cikin mummunan nau'in 1 na ciwon sukari. Wannan yakan faru ne tsakanin shekara 2 zuwa 8.
- A cikin siririn mutane da bakin ciki, matsanancin ciwon sukari mai dogaro da kansa yana haifar da sauri - ba daga baya ba bayan shekaru 2-3.
- Ba ya kawar da sanadin nau'in ciwon sukari na 2 - raguwar ji na sel zuwa insulin. Wannan cuta ta rayuwa ana kiranta juriya ta insulin. Shan Diabeton na iya karfafa shi.
- Yana saukar da sukari na jini, amma baya rage mace-mace. An tabbatar da wannan ta hanyar babban binciken kasa da kasa daga ADVANCE.
- Wannan magani na iya haifar da hypoglycemia. Gaskiya ne, da yiwuwar ta ƙasa da idan an ɗauki sauran abubuwan da ake amfani da su na sulfonylurea. Koyaya, nau'in ciwon sukari na 2 za'a iya sarrafa shi ba tare da wata haɗari na hypoglycemia ba.
Masu sana'a tun daga shekarun 1970 sun san cewa abubuwan da ake amfani da su na sulfonylurea suna haifar da canji na ciwon sukari na 2 zuwa matsanancin ciwon sukari mai dogaro da sukari 1. Koyaya, har yanzu waɗannan magunguna suna ci gaba da tsara su. Dalilin shi ne cewa suna cire nauyin daga likitoci. Idan babu magungunan rage sukari, to lallai likitoci zasu rubuta tsarin rage cin abinci, motsa jiki, da tsarin kula da insulin na kowane mai ciwon sukari. Wannan aiki ne mai wahala kuma mara godiya. Marasa lafiya suna nuna kamar jarumi Pushkin: "Ba shi da wahala a yaudare ni, ina farin cikin an yaudare ni." Suna shirye su ɗauki magani, amma ba sa son bin abincin, motsa jiki, har ma fiye da haka don yin allurar.
Sakamakon lalata na masu ciwon sukari akan ƙwayoyin beta na cututtukan cututtukan ƙwayar cutar ƙwayar cuta a cikin damuwa ba su da alaƙar endocrinologists da marassa lafiya. Babu wasu takardu a cikin mujallolin likitanci game da wannan matsalar. Dalilin shi ne cewa yawancin marasa lafiya da ke dauke da ciwon sukari na 2 ba su da lokacin rayuwa kafin su bunkasa ciwon sukari da ke dogaro da insulin. Tsarin zuciyarsu shine hanyar da ba ta da nasaba da cututtukan fitsari. Saboda haka, suna mutuwa daga bugun zuciya ko bugun jini. Yin jiyya na ciwon sukari na 2 wanda ya danganta da karancin abinci mai narkewa a lokaci guda yana daidaita sukari, hawan jini, sakamakon gwajin jini na cholesterol da sauran abubuwanda ke haifar da barazanar cututtukan zuciya.
Sakamakon gwajin asibiti
Babban gwaji na asibiti na miyagun ƙwayoyi Diabeton MV shine binciken TARO: Ayyuka a cikin Ciwon sukari da cutar VAscular -
preterax da Diamicron MR Gudanar da Bincike. An ƙaddamar da shi a cikin 2001, kuma an buga sakamakon a 2007-2008. Diamicron MR - Ana sayar da Gliclazide a cikin allunan kwaskwarimar saki a karkashin wannan sunan a cikin kasashen da ke magana da Turanci. Wannan daidai yake da miyagun ƙwayoyi Diabeton MV. Preterax magani ne na haɗin gwiwa don hauhawar jini, abubuwa masu aiki waɗanda sune indapamide da perindopril. A cikin ƙasashen da ke magana da Rasha, ana sayar da shi a ƙarƙashin sunan Noliprel. Binciken ya ƙunshi marasa lafiya 11,140 waɗanda ke da nau'in ciwon sukari na 2 da hauhawar jini. Likitocin sun dube su a cibiyoyin kiwon lafiya 215 cikin kasashe 20.
Mai ciwon sukari MV yana rage yawan sukarin jini, amma baya rage yawan mace-mace a cikin masu fama da ciwon sukari na 2.
Dangane da sakamakon binciken, ya juya cewa magungunan matsa lamba a cikin marasa lafiya da ke dauke da ciwon sukari na 2 suna rage yawan rikicewar cututtukan zuciya da kashi 14%, matsalolin koda - da kashi 21%, mace-mace - da 14%. A lokaci guda, Diabeton MV yana rage yawan sukarin jini, yana rage yawan adadin masu ciwon sukari da kashi 21%, amma baya tasiri ga mace-mace. Tushen harshen Rashanci - labarin "Jagorar da za a bi don kula da marasa lafiya da nau'in ciwon sukari na 2 na 2: sakamakon binciken ADVANCE" a cikin mujallar "hauhawar jini" Tsarin 3/2008, marubucin Yu. Karpov. Asali mai tushe - “Theungiyar Hadin gwiwar Kasuwanci. Sakamakon glucose na jini mai zurfi da sakamakon jijiyoyin jini a cikin marasa lafiya da ke dauke da ciwon sukari na 2 ”a cikin New England Journal of Medicine, 2008, Ba 358, 2560-2572.
An tsara wa marasa lafiya masu cutar sukari nau'in 2 allunan rage sukari da allurar insulin idan abinci da motsa jiki basa bada sakamako mai kyau. A zahiri, marasa lafiya kawai ba sa son bin abincin mai kalori da motsa jiki. Sun fi son shan magani. A hukumance an yi imanin cewa sauran magunguna masu tasiri, ban da kwayoyi da injection na allurai na insulin, ba su wanzu. Sabili da haka, likitoci suna ci gaba da yin amfani da magungunan rage sukari wanda baya rage mace-mace. A kan cutar sankara-Med.Com zaku iya gano yadda yake da sauƙi don sarrafa ciwon sukari nau'in 2 ba tare da "abinci mai jin yunwa" da allurar insulin ba. Babu buƙatar ɗaukar magunguna masu cutarwa, saboda madadin magani yana taimakawa da kyau.
- Kula da hauhawar jini a cikin marasa lafiya da ke da nau'in 1 da nau'in ciwon sukari na 2
- Allunan matsin lamba Noliprel - Perindopril + Indapamide
Gyara kwalaye masu saki
Diabeton MV - Allunan kwantar da allunan.Abubuwan da ke aiki - gliclazide - an sake su daga hankali a hankali, kuma ba nan da nan ba. A sakamakon wannan, ana kiyaye daidaiton abubuwa na gliclazide a cikin jini tsawon awanni 24. Shan wannan magani sau daya a rana. A matsayinka na mai mulkin, an wajabta shi da safe. Cutar sankarau da yawa (ba tare da CF ba) tsohuwar magani ce. Kwamfutar hannu tasa ta rushe gaba daya a cikin gastrointestinal fili bayan sa'o'i 2-3. Duk gliclazide wanda yake dauke dashi kai tsaye yana shiga cikin jini. Diabeton MV lowers sukari daidai, kuma na al'ada Allunan sosai, da sakamako da sauri ƙare.
Allunan sakewa na zamani suna da babban fa'ida akan magunguna tsofaffi. Babban abu shine cewa suna da aminci. Diabeton MV yana haifar da hypoglycemia (sukari mai rauni) sau da yawa kasa da masu ciwon sukari na yau da kullun da sauran abubuwan da ake amfani da su na sulfonylurea. Dangane da bincike, haɗarin cutar hypoglycemia bai wuce 7% ba, kuma yawanci yana wucewa ba tare da alamu ba. A kan tushen ɗaukar sabon ƙarni na magani, tsananin rashin ƙarfi tare da ƙwaƙwalwar ƙwaƙwalwa mai wuya yakan faru. Wannan maganin yana da haƙuri da kyau. Ana lura da tasirin sakamako ba a cikin 1% na marasa lafiya ba.
| Gyara kwalaye masu saki | Allunan aiki da sauri | |
|---|---|---|
| Sau nawa a rana zaka dauka | Sau ɗaya a rana | Sau 1-2 a rana |
| Yawan hauhawar jini | In mun gwada da rauni | Babban |
| Kwayar ƙwayar sel ta Pancreatic | Shiru | Mai sauri |
| Rage nauyi mai haƙuri | Babu makawa | Babban |
A cikin labaran cikin mujallolin likitanci, sun lura cewa kwayar cutar Diabeton MV antioxidant ce saboda tsarinta na musamman. Amma wannan ba shi da ƙima mai amfani, ba ta tasiri da tasiri na jiyyar cutar sankara. An san cewa Diabeton MV yana rage samuwar ƙwayar cuta a cikin jini. Wannan na iya rage hadarin bugun jini. Amma babu inda aka tabbatar da cewa maganin yana bada irin wannan sakamako. Rashin takaitaccen magani na cututtukan siga - abubuwan da aka samo asali na sulfonylurea - an jera su a sama. A cikin ciwon sukari na MV, waɗannan raunanan ƙananan ba a bayyana su fiye da tsofaffin magunguna. Yana da tasiri sosai a cikin ƙwayoyin beta na pancreas. Rashin insulin na 1 na ciwon sukari ba ya haɓaka da sauri.
Yadda ake shan wannan magani
Allunan ya kamata a sha da alluran Diabeton MV ban da abinci da motsa jiki, kuma ba haka ba. Kodayake yawancin masu ciwon sukari sunyi watsi da shawarwarin likita don canzawa zuwa kyakkyawan salon rayuwa. Likita ya ba da magani na yau da kullun na miyagun ƙwayoyi, gwargwadon yadda girman sukarin jinin mai haƙuri ya kasance. Ba za a iya ƙaddara adadin abin da aka ƙayyade ba ko a rage shi da gangan. Idan kun dauki Diabeton fiye da wanda aka umarta, to jinin haila na iya faruwa - sukari mai yawa. Alamar sa sune rashin damuwa, hannaye masu rawar jiki, gumi, yunwa. A cikin mummunan yanayi, asarar hankali da mutuwa na iya faruwa. Dubi kuma "Hypoglycemia - alamu, magani, rigakafin."
Ana ɗaukar ciwon sukari MV sau ɗaya a rana, yawanci tare da karin kumallo. Ana iya raba kwamfutar hannu mai nauyin 60 MG zuwa kashi biyu don samun kashi 30 MG. Koyaya, ba za a iya ata shi ko murƙushe shi ba. Lokacin shan magani, sha shi da ruwa. Shafin yanar gizo na masu cutar siga -Med.Com yana inganta ingantattun jiyya don cututtukan type 2. Suna baka damar barin Diabeton, don kar a fallasa shi sakamakon cutarwarsa. Koyaya, idan kun sha kwayoyin, kuyi shi kullun ba tare da gibba ba. In ba haka ba sukari zai tashi sosai.
Tare da shan masu ciwon sukari, haƙuriwar giya na iya ƙaruwa. Bayyanar alamun zazzabi sune ciwon kai, karancin numfashi, bugun kirji, zafin ciki, tashin zuciya da amai.
Abubuwan da aka samo na sulfonylureas, ciki har da Diabeton MV, ba sune magunguna na farko na zaɓin masu ciwon sukari na 2 ba. A hukumance, an ba da shawarar cewa a tsara marasa lafiya da farko allunan metformin (Siofor, Glucofage). A hankali, ana kara adadin su zuwa iyakar 2000-3000 MG kowace rana. Kuma kawai idan wannan bai isa ba, ƙara ƙarin Diabeton MV. Likitocin da ke ba da maganin ciwon sukari maimakon metformin suna yin ba daidai ba. Duk magungunan za a iya haɗuwa, kuma wannan yana ba da sakamako mai kyau. Mafi kyawu yanzu, canza zuwa wani nau'in magani na ciwon sukari na nau'in 2 ta hana magungunan cutarwa.
Za'a iya haɗuwa da ciwon sukari na MV tare da sauran magungunan masu ciwon sukari, ban da sulfonylureas da amo (meglitinides). Dubi kuma "Magungunan cututtukan cututtukan cuta na 2: cikakken labarin." Idan Diabeton ba ya rage sukarin jini ba, to kuna buƙatar canja wurin mai haƙuri zuwa allurar insulin. A wannan yanayin, babu wasu allunan da zasu taimaka. Fara allurar insulin, kar ɓata lokaci, in ba haka ba zazzabi masu ciwon suga zasu bayyana.
Abubuwan da suka samo asali na sulfonylureas suna sa fata ta zama mai hankali ga fitilar ultraviolet. Riskara yawan haɗarin kunar rana a jiki. An ba da shawarar yin amfani da hasken rana, kuma ya fi kyau kada a sha zafin rana. Yi la’akari da hadarin kamuwa da cututtukan jini da ke haifar da cutar sankara. Lokacin tuki ko yin aiki mai haɗari, gwada sukarinka tare da glucometer kowane minti 30-60.
Wanda bai dace da shi ba
Bai kamata a dauki kowane mai ciwon sukari MV ba ga kowane mutum, saboda hanyoyin da ake bi don magance cututtukan sukari na 2 suna taimakawa sosai kuma ba sa haifar da sakamako masu illa. The contraindications na hukuma an jera su a ƙasa. Hakanan gano nau'ikan nau'ikan marasa lafiya ya kamata a tsara wannan magani tare da taka tsantsan.
A lokacin daukar ciki da shayarwa, kowane kwayar dake rage sukari yana daukar ciki. Ba a sanya wa masu ciwon sukari MV yara da matasa ba, saboda ingancinsa da amincin wannan rukunin marasa lafiya ba a kafa su ba. Kada ku sha wannan magani idan kun kasance kuna da rashin lafiyan ta ko wasu abubuwan da suka samo asali na sulfonylurea. Bai kamata likitan da ke da nau'in ciwon sukari guda 1 ya sha kansa ba, kuma idan kuna da madaidaiciyar hanyar kamuwa da ciwon sukari na 2, yawan cututtukan cututtukan zuciya.
Abubuwan da ke haifar da maganin sulfonylureas ba za su iya ɗaukar mutanen da ke da mummunan hanta da cututtukan koda ba. Idan kana da cutar rashin lafiya ta jiki, yi magana da likitanka. Da alama, zai ba da shawarar sauya magungunan tare da allurar insulin. Ga tsofaffi, Diabeton MV ya dace bisa hukuma idan hanta da ƙwayoyinsu suna aiki yadda yakamata. Ba tare da kulawa ba, yana karfafa canjin yanayi na nau'in ciwon sukari na 2 zuwa matsanancin ciwon sukari-mai dogaro na 1. Sabili da haka, masu ciwon sukari da suke son yin rayuwa tsawon lokaci ba tare da rikitarwa ba, zai fi kyau kar a ɗauke shi.
A cikin wane yanayi ne ake yin ciwon sukari MV a takaice:
- hypothyroidism - aiki mai rauni na glandar thyroid da kuma rashin isassun kwayoyin halittar sa a cikin jini;
- karancin kwayoyin halittar haila da ke haifar ta hanji da kuma glandon ciki;
- na rashin daidaituwa na yau da kullun;
- barasa
Ciwon sukari analogues
Magungunan asali na Diabeton MV shine kamfanin samar da magunguna Laboratory Servier (Faransa). Tun daga Oktoba 2005, ta daina isar da maganin mutanen zamanin da suka gabata zuwa Rasha - allunan kwayar cutar sankara 80 na hanzarta aikatawa. Yanzu zaku iya sayan kawai na Diabeton MV na asali - allunan kwaskwarimar saki na zamani wanda aka gyara. Wannan nau'in sashi yana da fa'idodi masu mahimmanci, kuma mai ƙirar ya yanke shawarar mai da hankali akan shi. Koyaya, gliclazide a cikin allunan saki mai sauri har yanzu ana sayarwa. Waɗannan sune analogues na Diabeton, waɗanda wasu masana'antun suka samar.
| Sunan magani | Kamfanin masana'antu | Kasar |
|---|---|---|
| Glidiab MV | Akrikhin | Rasha |
| Diabetalong | Kira OJSC | Rasha |
| Gliclazide MV | LLC Ozone | Rasha |
| Diabefarm MV | Magunguna | Rasha |
| Sunan magani | Kamfanin masana'antu | Kasar |
|---|---|---|
| Glidiab | Akrikhin | Rasha |
| Glyclazide-AKOS | Kira OJSC | Rasha |
| Diabinax | Rayuwar Shreya | Indiya |
| Diabefarm | Magunguna | Rasha |
Shirye-shirye waɗanda kayan aiki masu ƙarfi shine gliclazide a cikin allunan da aka saki cikin sauri yanzu sun daina aiki. Yana da kyau a yi amfani da Diabeton MV ko analogues a madadin sa. Ko da mafi kyawu shine magani ga masu ciwon sukari na 2 wanda ya danganta da tsarin karancin carbohydrate. Zaku iya kiyaye sukarin jini na yau da kullun, kuma ba kwa buƙatar shan magunguna masu cutarwa.
Ciwon sukari ko Maninil - wanda yafi kyau
Tushen wannan sashi shine labarin "Hadarin da ke tattare da jana'izar jijiyoyin jini da jijiyoyin jini, da cutar sikari da myocardial infarction da m hatsarin cerebrovascular a cikin marasa lafiya da ke fama da nau'in ciwon sukari na 2 wanda ya danganta da nau'in farawar cututtukan cututtukan zuciya" a cikin mujallar "Ciwon sukari" A'a. 4/2009. Mawallafa - I.V. Misnikova, A.V. Dreval, Yu.A. Kovaleva.
Hanyoyi daban-daban na lura da ciwon sukari na 2 suna da tasiri daban-daban game da haɗarin bugun zuciya, bugun jini da ƙarancin mace-mace a cikin marasa lafiya. Marubutan labarin sun yi nazari kan bayanan da ke kunshe cikin rajista na ciwon sukari na Mellitus na Yankin Moscow, wanda ya kasance wani yanki na Rajista na Ciwon Mulkin Mellitus na Tarayyar Rasha. Sunyi nazarin bayanai ga mutanen da suka kamu da ciwon sukari na 2 a cikin 2004. Sun gwada tasirin maganin sulfonylureas da metformin idan an kula da su na shekaru 5.
Ya juya cewa kwayoyi - abubuwan da ke haifar da maganin sulfonylurea - suna da cutarwa fiye da taimako. Yadda suka yi kwatancen tare da metformin:
- haɗarin janar da mutuwar jijiyoyin jini - ninki biyu;
- hadarin bugun zuciya - ya karu da sau 4.6;
- hadarin bugun jini ya karu sau uku.
A lokaci guda, glibenclamide (Maninil) ya kasance mafi cutarwa fiye da gliclazide (Diabeton). Gaskiya ne, labarin bai nuna wane nau'in Manilil da Diabeton aka yi amfani da su ba - waɗanda aka jinkirta sakin allunan ko waɗanda aka saba. Zai zama mai ban sha'awa idan aka kwatanta bayanan tare da marasa lafiya da masu ciwon sukari na 2 wanda aka wajabta musu magani na insulin nan da nan maimakon kwayoyin. Koyaya, ba a yi wannan ba, saboda irin waɗannan marasa lafiya basu isa ba. Yawancin marasa lafiya sun ƙi yin allurar insulin, saboda haka an sanya musu kwayoyin magani.
Tambayoyi da Amsoshi akai-akai
Ciwon sukari ya sarrafa nau'in ciwon sukari na 2 har tsawon shekaru 6, kuma yanzu ya daina taimakawa. Ya ƙaru da kashi zuwa 120 MG kowace rana, amma har yanzu sukari jini ya karu, 10-12 mmol / l. Me yasa maganin ya rasa tasiri? Yaya za a bi da mu yanzu?
Ciwon sukari abu ne mai narkewa na sulfonylurea. Wadannan kwayoyin suna rage girman sukari na jini, amma kuma suna da illa. A hankali suna lalata ƙwayoyin ƙwayar ƙwayar ƙwayar ƙwayar cuta. Bayan shekaru 2-9 na kwashe su a cikin haƙuri, jiki zai fara ainihi rashin insulin. Magungunan sun rasa tasiri saboda ƙwayoyin beta na 'sun ƙone.' Wannan na iya faruwa tun da. Yaya za a bi da mu yanzu? Kuna buƙatar allurar insulin, babu zaɓuɓɓuka. Saboda kana da nau'in ciwon sukari na 2 ya juya zuwa wani nau'in ciwon sukari mai tsanani 1. Soke masu ciwon sukari, canzawa zuwa tsarin abinci na low-carbohydrate kuma yi allurar insulin don kiyaye sukari na yau da kullun.
Wani tsoho ya dade yana fama da ciwon sukari na 2 har tsawon shekaru 8. Ruwan jini 15-17 mmol / l, rikitarwa ya inganta. Ya dauki kwano, yanzu aka canza shi zuwa Diabeton - ba ya wadatarwa. Shin ya kamata na fara shan amaryl?
Haka lamarin yake a matsayin marubucin wannan tambayar da ta gabata. Sakamakon shekaru da yawa na rashin kulawa, ciwon sukari na 2 ya juya zuwa mummunan ciwon sukari na 1. Babu kwayoyin hana daukar kowane irin sakamako. Bi wani shiri na maganin cutar sukari iri 1, fara allurar insulin. A aikace, yawanci ba shi yiwuwa a tsayar da magani yadda ya kamata ga masu cutar sikari. Idan mai haƙuri ya nuna mantuwa da rikice-rikice - barin komai kamar yadda yake kuma jira cikin nutsuwa.
Don nau'in ciwon sukari na 2, likita ya ba ni 850 MG kowace rana Siofor a gare ni. Bayan watanni 1.5, ta koma Diabeton, saboda sukari bai faɗi ba kwata-kwata. Amma sabon maganin yana da ƙarancin amfani. Shin ya kamata in je Glibomet?
Idan Diabeton ba ya rage sukari, to Glibomet ba zai da amfani ba. Kuna son rage sukari - fara allurar insulin. Don halin da ake ciki na ciwon sukari na ci gaba, babu wani ingantaccen magani da har yanzu aka ƙirƙira shi. Da farko, canzawa zuwa abincin da ke da ƙwayar carbohydrate kaɗan kuma dakatar da shan ƙwayoyi masu cutarwa. Koyaya, idan kun riga kun sami dogon tarihin nau'in ciwon sukari na 2 kuma an cutar da ku ba daidai ba cikin shekarun da suka gabata, to kuna buƙatar ma allurar insulin. Saboda cutar koda tana narkewar fata kuma ba zai iya jurewa ba tare da tallafi ba. Abincin low-carb zai rage sukarin ku, amma ba ga al'ada ba. Don haka rikitarwa ba ta haɓaka ba, sukari ya zama bai wuce 5.5-6.0 mmol / l ba 1-2 bayan cin abinci kuma da safe a kan komai a ciki. A hankali a sanya allurar a hankali dan cimma wannan buri. Glibomet magani ne mai hade. Ya ƙunshi glibenclamide, wanda ke da lahani guda kamar na Diabeton. Karka yi amfani da wannan magani. Kuna iya ɗaukar metformin "tsarkakakke" - Siofor ko Glyukofazh. Amma babu kwayoyin hana maye gurbin allurar insulin.
Shin zai yuwu ga masu ciwon sukari na 2 su dauki ciwon sukari da kuma rage-rage don asarar nauyi a lokaci guda?
Yadda Diabeton da reduxin suke hulɗa da juna - babu bayanai. Koyaya, Diabeton yana ƙarfafa samar da insulin ta hanyar farji. Insulin, a gefe guda, yana canza glucose zuwa mai kuma yana hana fashewar tsoka nama. Yawancin insulin a cikin jini, shine mafi wahalar rasa nauyi. Saboda haka, Ciwon sukari da na ragewar suna da tasirin hakan. Rage-guba yana haifar da wasu sakamako masu illa da haɗari cikin sauri. Karanta labarin "Yadda za a rasa nauyi tare da ciwon sukari na 2." Dakatar da shan ciwon sukari da rage guba. Canja zuwa rage cin abinci na carbohydrate. Yana daidaita sukari, hawan jini, cholesterol a cikin jini, karin fam kuma yana tafiya.
Na kasance ina shan MV Diabeton MV tsawon shekaru 2, sukari mai azumi yana riƙe kimanin 5.5-6.0 mmol / l. Koyaya, jin ƙonewa a ƙafafu ya fara kwanan nan kuma hangen nesa yana faɗuwa. Me yasa rikicewar ciwon sukari ya haɓaka duk da cewa sukari na al'ada?
Wajibi ne don sarrafa sukari 1-2 bayan cin abinci kuma da safe a kan komai a ciki. Matakan sukari kafin abincin rana da abincin dare ba su da mahimmanci. A cikin yawancin marasa lafiya da ke dauke da ciwon sukari na 2, sukari na azumi ya zama al'ada. Koyaya, rikice-rikice na haɓaka lokacin da glucose na jini ya tashi na sa'o'i da yawa a kowane lokaci bayan cin abinci. Ana auna sukari a kan komai a ciki kuma ba a bincika shi 1-2 sa'o'i bayan cin abinci yaudarar kai ce. Dole ne ku biya shi tare da haɓakar cututtukan ciwon sukari. Dubi kuma - ƙa'idodin sukari na jini ga mutane masu lafiya da marasa lafiya da masu ciwon sukari.
Likita ya ba da Diabeton don sukari mai yawa, har ma da ƙarancin kalori da rashin abinci mai daɗi. Amma bai ce nawa zai iyakance yawan adadin kuzarin ba. Idan na ci adadin kuzari 2,000 a rana, hakan al'ada ce? Ko kuna buƙatar ko da ƙasa?
Abincin da ke jin yunwa yana taimakawa sosai wajen sarrafa sukari na jini, amma a aikace, a'a. Domin duk mara lafiya ya rabu da ita. Babu buƙatar rayuwa tare da yunwa koyaushe! Koyi kuma bi shirin magani na ciwon sukari na 2. Sauya zuwa ga abincin da ke da kiba low-carbohydrate - yana da kyau, mai daɗi kuma yana rage ƙoshin sukari da kyau. Dakatar da shan kwayoyi masu cutarwa. Idan ya cancanta, allura kadan more insulin. Idan ciwon sukarinku baya gudana, to zaku iya kiyaye sukari na al'ada ba tare da allurar insulin ba.
Ina ɗaukar Diabeton da Metformin don ramawa game da T2DM na. Jinin jini yana riƙe da 8-11 mmol / L. Masana ilimin halittar halittar endocrinologist yace wannan kyakkyawan sakamako ne, kuma matsalolin rashin lafiya na da alaka da shekaru. Amma ina jin cewa rikice-rikice na ciwon sukari suna haɓaka. Wane irin magani mafi inganci zaka iya bayar da shawarar?
Gwanin jini na yau da kullun - kamar yadda yake a cikin mutane masu lafiya, ba sama da mm 5.5 mm / l bayan 1 da 2 sa'o'i bayan cin abinci. A kowane girma mafi girma, rikicewar ciwon sukari ke haɓaka. Don rage sukarin ku zuwa al'ada kuma ku tsayar da shi lafiya, yi nazari kuma ku bi shirin magani na masu ciwon sukari na 2. Ana bayar da hanyar haɗi zuwa ga amsar tambayar da ta gabata.
Likita ya ba da umarnin ɗaukar Diabeton MV da dare, saboda haka akwai sukari na yau da kullun a kan komai a ciki. Amma umarnin ya ce kuna buƙatar shan waɗannan kwayoyin don karin kumallo. Wanene zan dogara - umarnin ko ra'ayi na likita?
Kuna buƙatar yin wani abu da daddare don sukari ya zama al'ada washegari. Likitanka na da gaskiya game da wannan :). Amma shan Diabeton mummunan ra'ayi ne, saboda waɗannan magungunan kwayoyi masu cutarwa. Abin da za a maye gurbinsu da shi an bayyana shi dalla-dalla a sama. Dubi kuma "Yadda za a daidaita sukari da safe." Idan kuna buƙatar allurar ɗan insulin da aka tsawanta da dare - yi, kada kuyi laushi.
Marasa haƙuri tare da nau'in ciwon sukari na 2 tare da gogewar shekaru 9, shekaru 73. Sugar ya hau zuwa 15-17 mm / l, kuma manin baya rage shi. Ya fara rasa nauyi sosai. Shin ya kamata in canza ne ga masu ciwon sukari?
Idan mannin ba ya rage sukari, to babu ma'ana daga masu ciwon sukari. Na fara asarar nauyi sosai - wanda ke nufin cewa babu kwayoyin hana taimako. Tabbatar a saka allurar. Ciwon sukari na 2 mai yaduwa ya koma matsanancin nau'in 1 na ciwon sukari, saboda haka kuna buƙatar yin karatu da aiwatar da tsarin magani don ciwon sukari na 1. Idan ba zai yiwu a tsayar da allurar insulin ga mai ciwon suga ba, bar komai yadda yake kuma a natse ku jira ƙarshen. Mai haƙuri zai rayu tsawon rai idan ya kawar da dukkanin kwayoyin cutar kansar.
Neman Masu haƙuri
Lokacin da mutane suka fara shan ciwon sukari, sukarin jininsu yakan sauka da sauri. Marasa lafiya suna lura da wannan a cikin sake duba su. Allunan da aka sake dasu suna iya haifar da rashin jini a jiki kuma yawanci ana jure su. Game da miyagun ƙwayoyi masu ciwon sukari MV babu wani bita guda ɗaya wanda mai ciwon sukari ya yi gunaguni da ciwon sukari. Sakamakon sakamako masu illa da ke tattare da cututtukan cututtukan hanji ba su inganta ba nan da nan, amma bayan shekaru 2-8. Saboda haka, marasa lafiya waɗanda suka fara shan maganin kwanan nan ba a ambace su ba.
Oleg Chernyavsky
Shekaru 4 ke nan ina shan tebur na Diabeton MV 1/2 da safe a 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. Nayi kokarin iyakance shaye-shaye da cin abinci akai-akai, kamar yadda likitan ya ba da shawara, amma wani lokacin sai na rushe.
Abubuwan da ke tattare da ciwon sukari suna haɓaka lokacin da aka sanya sukari mai ɗorewa don awoyi da yawa bayan kowane abinci. Koyaya, matakan plasma na glucose na iya zama al'ada. Gudanar da sukari mai azumi kuma kada ku auna shi 1-2 sa'o'i bayan cin abinci shine yaudarar kai. Zaka biya shi tare da bayyanar farkon bayyanar cututtuka na kullum. Lura cewa madaidaicin matakan sukari na jini ga masu ciwon sukari an wuce gona da iri. A cikin mutane masu lafiya, sukari bayan cin abinci baya tashi sama da 5.5 mmol / L. Hakanan kuna buƙatar yin ƙoƙari don irin waɗannan alamun, kuma kada ku saurari tatsuniyoyin da sukari bayan cin 8-11 mmol / l yana da kyau sosai. Samun kyakkyawan tsarin kula da masu ciwon sukari ana iya samun sa ta hanyar sauya zuwa tsarin abinci mai ƙayyadaddun carbohydrate da sauran ayyukan da aka bayyana akan gidan yanar gizo na masu cutar sukari -Med.Com.
Svetlana Voitenko
Masanin ilimin endocrinologist ya umurce ni da ciwon sukari, amma waɗannan magungunan kawai sun sa hakan yayi 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 juya zuwa wani nau'in ciwon sukari na 1.
A cikin manyan masu fama da cutar sikari guda 2, abubuwan da ke haifar da maganin sulfonylurea na yanke kumburin koda, yawanci bayan shekaru 5-8. Abin takaici, siriri da bakin ciki suna yin wannan da sauri. Yi nazarin labarin game da ciwon sukari na LADA kuma ɗauki gwaje-gwajen da aka jera a ciki. Kodayake idan akwai asarar nauyi mara nauyi, to ba tare da bincike komai ya bayyana a sarari ... Yi nazarin shirin jiyya don ciwon sukari na 1 kuma ku bi shawarwarin. Cancel Diabeton nan da nan. Injections na insulin wajibi ne, ba za ku iya yi ba tare da su ba.
Yanina Yushin
Kwanan nan, likitan halartar ya ƙara 1/2 na tebur na metformin a gare ni, wanda na riga na ɗauka a baya. Sabuwar ƙwayar ta haifar da sakamako masu illa na rashin daidaituwa - matsalolin narkewa. Bayan cin abinci, Ina jin nauyi a cikina, na shanyewa, wani lokacin ƙwannafi. Gaskiya ne, sha'awar ta faɗi. Wani lokacin baka jin yunwa kwata-kwata, saboda ciki ya riga ya cika.
Bayyanar cututtukan da aka bayyana ba sakamako masu illa na magani ba, amma rikicewar cututtukan cututtukan zuciya da ake kira gastroparesis, cututtukan hanji na ciki. Yana faruwa saboda lalacewa mai narkewa ta jijiyoyi waɗanda suka shiga cikin tsarin juyayi na kansa da kuma narkewar abinci. Wannan shine ɗayan bayyanar cututtuka na cututtukan cututtukan zuciya. Dole ne a dauki matakai na musamman akan wannan rikitarwa. Karanta labarin "Ciwon mara mai ciwon sukari" cikin dalla dalla. Zai sake juyawa - zaka iya kawar da ita gaba daya. Amma jiyya matsala ce mai yawa. Abincin low-carbohydrate, motsa jiki, da injections na insulin zai taimaka wajen daidaita sukari kawai bayan kun samu ciki kuyi aiki. Ana buƙatar soke ciwon sukari, kamar sauran masu ciwon sukari, saboda magani ne mai cutarwa.
Karshe
Bayan karanta labarin, kun koya duk abin da kuke buƙata game da maganin Diabeton MV. Wadannan kwayoyin suna da sauri da kuma rage karfin sukari na jini. Yanzu kun san yadda suke yi. An bayyana shi daki-daki a sama yadda Diabeton MV ya bambanta da abubuwanda suka samo asali na mutanen zamanin da suka gabata. Yana da fa'ida, amma raunin har yanzu ya fi nasu. Zai bada shawarar canzawa zuwa nau'in tsarin kula da cututtukan siga guda 2 ta hana shan kwayoyi masu cutarwa. Gwada abinci mai ƙirar carbohydrate - kuma bayan kwanaki 2-3 zaka ga cewa zaka iya kiyaye sukari al'ada. Babu buƙatar ɗaukar abubuwan da aka samo na sulfonylurea kuma suna fama da tasirin sakamako.
