Diabetalong yana da takaddara mai riƙewa (PV) ko gyarar saki (MV) da aka yi amfani da shi a cikin nau'in ciwon sukari na 2. Ya zama na rukuni na biyu na sulfonylurea.
Amfani da shi ya haifar da gaskiyar cewa wani lokacin yana da matukar wahala a sarrafa irin wannan cutar tare da abinci guda ɗaya da aikin jiki. Tsayayyen spikes a cikin sukari da alamun cututtukan hyperglycemia dole ne a sarrafa su.
Ba daidai ba ko ba da kulawa game da ciwon sukari yana haifar da rikice-rikice daban-daban, mafi haɗari sune cututtukan zuciya. Shan miyagun ƙwayoyi Diabetalong yana rage yiwuwar bunkasa cututtukan ƙwayoyin cuta da jijiyoyin jini. Wannan labarin zai taimaka maka gano yadda ake ɗaukar maganin daidai.
Aikin magani na magani
Sakamakon rage ƙwayar sukari na Diabetalong yana da alaƙa da sashi mai aiki - glycoslazide. Kowane kwamfutar hannu ya ƙunshi 30 ko 60 MG na babban abu da ƙaramin adadin ƙarin abubuwa: hypromellose, alli stearate, talc, lactose monohydrate, kazalika da silloon dioxide na colloidal.
Ana kiran Gliclazide azaman magungunan sulfonylurea, kamar yadda aka fada a baya. Da zaran cikin jiki, wannan bangaren yana farawa ne ta hanyar samar da insulin ta hanyar kwayoyin beta wadanda suka zama kayan islet.
Ya kamata a lura cewa koda bayan shekaru biyu na magani tare da wannan magani, haɓaka abubuwan da ke cikin C-peptide da insprandial insulin ya ragu. Sabili da haka, gliclazide yana da sakamako masu zuwa:
- tsari na carbohydrate metabolism;
- ƙarfafa aikin samar da insulin;
- hawan jini.
Lokacin da mara lafiya ya ci abinci ko ya gabatar da glucose a ciki, gliclazide ya fara tsokani samar da sinadarin. Tasirin cutar sankararwar jijiya saboda gaskiyar cewa abu yana rage yiwuwar rashin jini a cikin ƙananan tasoshin. Kiyayewarsa koyaushe yana hana ci gaban:
- Kwayoyin cuta na microvascular - retinopathy (kumburi na retina) da nephropathy (lalacewar aikin renal).
- Sakamakon Macrovascular - bugun jini ko infarction na zuciya.
Bayan shigowa, gliclazide yana tunawa gaba ɗaya. Itsauke da hankali a cikin jini yana ƙaruwa a ko'ina, ana lura da ganiya mafi yawan sa'o'i 6 bayan amfani da miyagun ƙwayoyi. Tsawon lokacin aikin daga 6 zuwa 12 ne. Cin abinci baya tasiri shaƙar abubuwan. Glyclazide an cire shi ta hanyar kodan, rabin rayuwarsa ya sha tsakanin awa 12 zuwa 20.
Dole ne a ajiye magungunan a wurin da za'a iya isa ga hasken rana da idanun karamin yaro, a zazzabi da bai wuce 25 ba. Rayuwar shiryayye na miyagun ƙwayoyi shine shekaru 3.
Umarnin don amfani da miyagun ƙwayoyi
Da fari dai, ya kamata a sani yanzunnan an rubuto allunan Diabetalong don maganin manya. Kafin fara magani, ya zama dole a nemi likita wanda zai kayyade tsarin magani da kuma tsara sashi na maganin, la'akari da halaye na kowane haƙuri.
Bayan sayan magungunan Diabetalong, umarnin don amfani kuma ya kamata a yi nazari a hankali. Idan wasu tambayoyi suka taso, suna buƙatar buƙatar ƙwararrun masu halartar taron su tambaye ka.
Yayin aiwatar da allunan don inganta tasirin warkewarsu, ya zama dole a bi irin wannan ka'idoji:
- An ɗauke su ta baki sau ɗaya, zai fi kyau da safe.
- Singleari ɗaya ya kamata ya zama daga 30 zuwa 120 MG kowace rana.
- Kwamfutar hannu ba ta buƙatar tauna, an haɗiye ta duka.
- Idan kun tsallake shan magani, ba za ku iya ninka biyu ba.
- An zaɓi kashi na miyagun ƙwayoyi daban-daban yin la'akari da matakin sukari da HbAlc.
Shafin farko da aka ba da shawarar shine 30 MG a kowace rana, amma idan mai haƙuri ba zai iya sarrafa matakan glucose sosai ba, to za a iya ƙaruwa sashi ta hanyar daidaita wannan tare da likita. Koyaya, haɓaka sashi ba lallai ba ne kafin ƙarshen watan 1 na jiyya tare da wannan magani. Amma idan mara lafiya ya kasa rage matakin sukari na tsawon sati biyu, to yana iya kara yawan maganin.
Ya kamata a lura cewa kwamfutar hannu 1 na ƙwayar Diabetalong PV ta ƙunshi 60 MG na glyclazide, wanda ya dace da allunan 2 na MV na miyagun ƙwayoyi tare da sashi na 30 MG.
Lokacin sauya daga wasu magunguna masu rage sukari zuwa jiyya tare da Diabetalong, sau da yawa ba a buƙatar hutu. Iyakar abin da ya keɓance shine amfani da abubuwan ƙira na sulfonylurea. Maganin farko na maganin shine 30 MG, kodayake yana da kyau a bincika tare da likitan ku.
Za'a iya amfani da Diabetalong a cikin layi ɗaya tare da magungunan hypoglycemic kamar biguanides, insulin da inhibitors na alpha-glucosidase.
Tare da taka tsantsan, yakamata a yi amfani da shi ta hanyar marasa lafiya a cikin haɗarin hypoglycemia.
Contraindications da yiwuwar lahani
Wannan magani yana da contraindications da yawa. Suna da alaƙa da aikin kodan, ƙwayar hanta da hanta.
Toari ga gaskiyar cewa masu ciwon sukari ba za su iya ɗaukar cutar ta hanyar kwayar cutar insulin da ke ɗauke da cutar ba, an haramta maganin a tare da:
- rashin haƙuri ga gliclazide da sauran abubuwa;
- coma mai ciwon sukari, precoma, haɓakar ketoacidosis na masu ciwon sukari;
- mai tsanani game da koda ko gazawar hanta;
- na lokaci mai amfani da miconazole;
- haihuwar yaro da lactation;
- rashin daidaituwa tsakanin lactose, glucose-galactose malabsorption da kuma rashin maganin lactase;
- yara ‘yan kasa da shekara 18.
Ya kamata a dauki magunguna tare da kulawa ta musamman ga tsofaffin masu ciwon suga, da kuma tare da:
- rashin daidaitaccen abinci;
- karancin glucose-6phosphate;
- hypothyroidism;
- ilimin halin dan adam;
- pituitary ko adrenal kasawa;
- yawan shan giya;
- na koda ko / gazawar hanta;
- magani na dogon lokaci tare da glucocorticoids.
Dole ne a dauki mai rage sukari Diabetalong, lura da dukkan sashi da shawarwarin kwararrun. Kwayoyi masu tsalle-tsalle, abinci na yau da kullun, ko yawan wuce gona da iri na iya haifar da mummunan halayen. Wataƙila cutar na iya zama:
- Haɓaka yanayin rashin ƙarfi na hypoglycemic. Ana nuna shi ta alamomi da yawa, alal misali, ciwon kai da tsananin farin ciki, yunwar, damuwa, bakin ciki, ruɗani, fainti, asarar iko da kai, hangen nesa, ƙarancin numfashi da ƙarancin zuciya.
- Fitowar halayen adrenergic. Wadannan sun hada da kara yawan gumi, damuwa, hawan jini, angina pectoris, arrhythmia, da tachycardia.
- Rushewar narkewar hanji, yana nunawa ta hanji ciki, yawan tashin zuciya da amai, gudawa ko maƙarƙashiya.
- Abubuwan da suka shafi fata kamar su pruritus, fitsari, edema Quincke, urticaria, erythema, fitsarin maculopapular, ko halayen rashin tsoro.
- Rashin aikin haemopoiesis - anaemia, thrombocytopenia, leukopenia da granulocytopenia.
- Dysfunction na hanta da kuma biliary fili, wanda aka nuna ta hepatitis, karuwa a cikin ayyukan hanta hanta.
Bugu da kari, yuwuwar cutarwa na iya bayyana kanta yayin bayyanar cututtuka daban-daban na gabobin gani (hangen nesa, dandano).
Abun Harkokin Magunguna Dabetalong
Idan mai haƙuri ya ɗauki wasu kwayoyi a lokaci guda, dole ne ya sanar da likitan da yake halarta game da wannan. Boye irin wannan mahimman bayanan na iya haifar da mummunan sakamako.
Sakamakon magunguna daban-daban akan tasirin Diabetalong ya bambanta: a wasu halaye yana inganta tasirin hypoglycemic, a cikin wasu, akasin haka, yana raguwa.
Yin amfani da miconazole, phenylbutazone da ethanol suna ba da gudummawa ga haɓaka yanayin hypoglycemic a cikin haƙuri tare da ciwon sukari mellitus. Kuma danazol, chlorpromazine, GCS, terbutaline, ritodrine da salbutamol suna haifar da rage tasirin cutar sukari. Bugu da kari, amfani da Diabetolong da anticoagulants ya kamata a hade tare da taka tsantsan.
Tare da haɓakar hypoglycemia a cikin ladabi mai sauƙi ko matsakaici, lokacin da mai haƙuri yana da hankali, dole ne a ba shi samfurin da ya ƙunshi glucose da carbohydrates (wani sukari, cakulan, ruwan 'ya'yan itace mai dadi). Daga nan zai nemi shawarar likita game da gyare-gyaren hanyoyin magani ko canje-canjen magunguna.
A cikin yanayin rashin ƙarfi na hypoglycemic, lokacin da mara lafiya bai san komai ba kuma yana fama da rauni, ana buƙatar asibiti cikin gaggawa. A irin waɗannan halayen, likita yana gabatar da mara lafiya ga maganin kwantar da hankali na glucose (20-40%). Bayan ya dawo kansa, ana bashi abinci wanda yake dauke da carbohydrates. Bayan al'ada, masu ciwon sukari suna ƙarƙashin ikon likitoci na kimanin kwanaki biyu. Sannan likita ya magance matsalar ƙarin magani tare da maganin rashin ruwa.
Ya kamata a lura cewa hanyar dialysis a cikin nau'ikan cututtukan hypoglycemia ba shi da inganci, tunda gliclazide yana da niyyar ɗaure zuwa sunadarai a cikin jini.
Kudin, sake dubawa da kuma analogues
Tunda ana sayar da maganin ne kawai ta hanyar takardar sayan magani, mai ciwon sukari ba zai zama mai maganin kansa ba, don masu farawa, neman taimakon likita. An sayi maganin ne duka a kantin magani na yau da kullun da kuma shafukan yanar gizo.
Diabetalong yana da farashi mai ma'ana. Misali, farashin kunshin allunan 30 MG (guda 60) yana daga 98 zuwa 127 rubles na Rasha.
Amma game da ra'ayin masu amfani da likitoci, gaba ɗaya, kowa yana farin ciki da wannan magani. Lokacin amfani da Diabetalong, sake dubawa sun ce da gaske magani ne mai inganci a cikin lura da ciwon sukari na 2. Godiya ga maganganun marasa lafiya da yawa da ke amfani da wannan magani, ana iya ba da ƙarin damar amfani da wadannan hanyoyin:
- raguwa mai sauƙi a matakin sukari;
- kyakkyawar hulɗa tare da sauran kwayoyi;
- araha farashin magani;
- asarar nauyi yayin amfani da allunan.
Koyaya, yayin hanya tare da maganin, yawancin marasa lafiya ba sa son buƙatar duba matakan sukari na jini a kai a kai. Amma idan wannan nuance ba ya tsoratar da wasu, to Diabetalong shine kyakkyawan zaɓi don kwantar da matakan ƙwayar cuta. Bugu da ƙari, ci gaba da amfani da ita yana rage buƙatar irin wannan karuwar sarrafa glucose.
A cikin yanayin yayin da miyagun ƙwayoyi ke haifar da halayen halayen da yawa a cikin haƙuri ko an ba da izini gaba ɗaya, likita ya ba da izinin analogues a gare shi. Hanyoyi iri ɗaya sune waɗanda ke ɗauke da kayan daban-daban, amma suna da sakamako iri ɗaya na warkewa. Wadannan sun hada da: Amaryl, Glemaz, Glimepiride, Glyurenorm da sauran magunguna.
Hakanan, likita na iya mayar da hankali kan zaɓin maganin synonym, wato wakili wanda ya ƙunshi kayan aiki guda ɗaya. Bambancin yana kawai a gaban magabata, alal misali, Diabeton MV, Glidiab, Gliclada.
Diabetalong kyakkyawan magani ne na rage sukari wanda yake rage girman jiki. Tare da yin amfani da shi yadda yakamata, mai haƙuri zai iya daidaita matakin ƙwayar cuta da hana rikice-rikice, musamman cututtukan zuciya.
Idan saboda wasu dalilai maganin bai dace ba, kowane nau'in analogues na iya maye gurbin shi. Abu mafi mahimmanci shine tattaunawa tare da likitanka kuma bi duk shawarwarin da aka tsara.
