A cikin lura da nau'in ciwon sukari na 2 na sukari, ana amfani da wakilai na hypoglycemic na musamman ko insulin. Kyakkyawan wakili na hypoglycemic ana daukar su zama masu ciwon sukari.
Magungunan suna da tasiri sosai kuma ba sauki. Kudin magungunan Diabeton 60 MG shine 250-300 rubles. An ba da magani.
Kuma menene alamun ciwon Diabeton? A cikin lura da nau'in ciwon sukari na 2 na mellitus, ana iya amfani da wakilai na hypoglycemic, wanda ya haɗa da abubuwa kamar glimepiride, glibenclamide ko glycvidone.
A takaice game da ciwon sukari da kuma ka'idodinta na aiki
Ciwon sukari magani ne na cututtukan sukari, sashin dake aiki wanda yake gliclazide. Ina so a lura cewa ana samun samfurin a cikin sashi na 60 mg da 30 MG. Baya ga gliclazide, abubuwan da ke tattare da maganin sun hada da lactose, hypromellose, magnesium stearate, maltodextrin, silicon dioxide.
Don haka, menene tasirin hypoglycemic na miyagun ƙwayoyi dangane da? Gliclazide yana rage sukarin jini ta hanyar ƙarfafa ɓoyewar insulin ta hanyar sel beta na tsibirin pancreatic na Langerhans. A cikin masu ciwon sukari, tare da yin amfani da cutar sukari, ana sake dawo da farkon ƙwayar insulin, kuma ana rage yiwuwar ci gaban thrombosis.
Abubuwan da ke nuna amfanin yin amfani da ciwon sukari sune lokuta lokacin da tsarin abinci ba zai tsayar da matakan glucose ba. Hakanan, ana amfani da maganin lokacin da akwai yiwuwar haɓaka rikice-rikice na nau'in ciwon sukari na 2, musamman ƙwayar hyperglycemic.
Umarnin don amfani da jihar cewa yakamata a ɗauki Diabeton 60 MG ko 30 MG tare da abinci. Haka kuma, yawan amfani da allunan shine 1 lokaci a rana. Farawar yau da kullun shine 30-120 MG. Lokacin zabar shi, shekara, ana la'akari da halaye na mutum na haƙuri da sukari jini.
Daga cikin abubuwan da ake amfani da su don kamuwa da cutar sankarau sune:
- Type 1 ciwon sukari.
- Lokacin bacci.
- Kakannin masu ciwon sukari ko coma.
- Ketoacidosis mai ciwon sukari.
- Hypersensitivity ga abubuwan da ke cikin miyagun ƙwayoyi.
- Hepatic ko na koda kasawa.
- Amfani da quinolones ko miconazole.
Daga cikin cututtukan da ke haifar da miyagun ƙwayoyi, cin zarafi a cikin aikin narkewa, ana iya bambance ayyukan fatar da keɓaɓɓiyar nama da ƙashin bayan. Hakanan, rashin yiwuwar kamuwa da cututtukan cututtukan zuciya, gami da cutar rashin jini, leukopenia, granulocytopenia. Sakamakon canje-canje a matakan glucose na jini, hargitsi a cikin aiki gabobin hangen nesa na iya bayyana.
Abubuwan da ke haifar da sakamako sukan haifar da kansu kai tsaye bayan dakatar da magani.
Glimepiride
Kyakkyawan analogues na Diabeton sune magunguna waɗanda suka haɗa da glimepiride. A matsayin analog na Diabeton MV 30, zaku iya amfani da Glimepiride 2 MG n 10. Farashin magungunan shine 150-200 rubles. Af, Glimepiride 1 MG, 3 MG, 4 MG suna kan siyarwa. Dukkansu sun bambanta da yawan aiki mai aiki a cikin kwamfutar hannu.
Wannan magani shine asalin tushen sulfonylurea. Abubuwan da ke aiki na miyagun ƙwayoyi suna yin abubuwa ta hanyar ƙarfafa sakin insulin daga ƙwayoyin beta na pancreatic.
Za'a iya amfani da Glimepiride wajen magance ciwon sukari na 2 na jini, idan ba a iya daidaita matakan glucose a cikin jini gabaɗaya ba ta hanyar tsarin abinci da motsa jiki.
Yadda zaka ɗauki wannan analog na Diabeton MV? Umarnin don yin amfani da jihohi ya bayyana cewa likitan da ke halartar ya kamata ya zaɓi sigar. A wannan yanayin, likita dole ne yayi la'akari da matakin glucose a cikin jini da fitsari.
A matsayinka na mai mulki, maganin farko na glimepiride shine 1 MG. Idan ƙaramin matakin bai taimaka wajen daidaita matakin glucose a cikin jini ba, to, maganin yau da kullun ya hau zuwa 2, 3 ko 4 mg, bi da bi. Amma dole ne mu tuna cewa kashi yana tashi a hankali a tsawan lokaci na 1-2 makonni. Matsakaicin maganin yau da kullun shine 6 MG.
Tabbas, Glimepiride, kamar kowane wakili na hypoglycemic, yana da contraindications da yawa don amfani. Daga cikinsu akwai:
- Ciwon sukari mai dogaro da insulin (nau'in 1).
- Ketoacidosis mai ciwon sukari.
- Kakannin masu ciwon sukari ko coma.
- Cutar rashin aiki a cikin hanta.
- Rashin lafiya a cikin kodan, musamman rashin nasara na koda.
- Allergy ga abubuwan da ke cikin miyagun ƙwayoyi. Haka kuma, baza ku iya shan glimepiride ba koda kuwa mutum yana da rashin jituwa ga wasu abubuwan da suka samo asali na sulfonylurea.
A lokacin jiyya, dole ne a bi tsarin rage cin abinci. Amma dole ne mu tuna cewa, a kowane yanayi zaka iya rage yawan adadin kuzari da yawa. In ba haka ba, cutar rashin haihuwa na iya haɓaka. Hakanan, yayin magani an haramta shi sosai don cinye duk wani giya.
Sakamakon sakamako na glimepiride:
- Rashin hankali a cikin aiki na tsarin zuciya da jijiyoyin jini. Sun bayyana a cikin yanayin rage karfin jini, thrombocytopenia, granulocytopenia, leukopenia, agranulocytosis, pancytopenia, erythropenia, anemia.
- Malfunctions na juyayi tsarin da gabobin azanci - juyayi, migraine, ragewa koma baya a cikin acuity na gani.
- Nausea, amai, zafi na ciki, ji na nauyi a cikin yankin epigastric, zawo, cholestasis intrahepatic.
- Hyma na jini.
- Hyponatremia.
- Allergic halayen.
- Rage numfashi.
- Hepatitis, ƙara yawan aikin hepatic transaminases.
- Hotunan.
Lokacin da mummunan sakamako masu illa suka faru, an soke maganin, kuma an zaɓi wani wakili na hypoglycemic.
Glibenclamide don ciwon sukari
Idan Diabeton MV 30 bai dace ba, to, zaku iya siyan kayan aiki kamar Glibenclamide. Magungunan sun shahara sosai tsakanin masu ciwon sukari, saboda ingancinsa da kyawun haƙuri. Farashin Glibenclamide 5 MG n 100 ne kawai 100-120 rubles.
Wannan madadin Diabeton ya ƙunshi glibenclamide mai aiki, da abubuwa masu taimako - lactose monohydrate, sitaci dankalin turawa, povidone, E124, magnesium stearate.
Glibenclamide yana ƙarfafa ƙwayoyin beta na pancreatic, wanda ke tattare da haɗuwa da haɓaka sakin insulin. Magungunan suna da tasiri a gaban mutum a cikin ƙwayar ƙwayar beta wanda ke iya samar da insulin. Abunda yake aiki na Glibenclamide yana taimakawa rage yawan platelet.
Mai sana'anta ya nuna a cikin umarnin cewa yakamata a yi amfani da wannan magani wajen lura da ciwon sukari na 2 yayin da hanyoyin rage cin abinci da sauran hanyoyin warkewa ba su taimaka wajan daidaita ka'idodin glucose na jini ba.
Maganin farko na glibenclamide shine 2.5-5 MG. A wannan yanayin, mai haƙuri yana buƙatar lura da matakin glycemia koyaushe. Idan aƙalla ƙarancin digo ba a faɗi sakamako na hypoglycemic ba, to ana ɗaga adadin yau da kullun.
Idan ya cancanta, ana haɗuwa da glibenclamide tare da sauran ma'aikatan hypoglycemic. A wannan yanayin, yawanci ana rage sashi kuma an zaɓi shi ta wannan hanyar don rage haɗarin haɓaka ƙwayar cutar haihuwar jini.
Magungunan hana amfani da maganin:
- Allergy ga abubuwan da ke cikin miyagun ƙwayoyi. Har yanzu ba a bada shawara don ɗaukar allunan ga masu ciwon sukari waɗanda a baya sun sami karɓuwa ga ƙwayoyin jini na wasu abubuwan asali.
- Type 1 ciwon sukari.
- Kakannin masu ciwon sukari ko coma.
- Rashin nasara a cikin hanta.
- Rashin gajiya da sauran rikice-rikice na aikin hanta.
- Lokacin daukar ciki da lactation.
- Rashin yawan ciwon sukari sakamakon tiyata.
Yana da kyau a tuna cewa tasirin hypoglycemic na Glibenclamide yana haɓaka idan mutum yayi amfani da sulfonamides, painkillers, Kalam coumarin, heparin. Hakanan ana haɓaka kaddarorin sukari masu ƙarfi yayin da aka haɗu da su tare da masu hana MAO, masu amfani da hypocholesterolemic, wasu maganin rigakafi da barbiturates.
Amma raguwa cikin kaddarorin hypoglycemic na iya faruwa idan an haɗu da Glibenclamide tare da maganin rigakafi na ƙungiyar rifamycin ko thiazide diuretics.
Sakamakon sakamako na magani:
- Hypoglycemia.
- Rashin Tsarin ciki. Ya bayyana a cikin nau'i na rashin ci, bayyanar wani dandano mai ƙarfe a bakin, amai, gudawa, zafin ciki, ƙwannafi.
- Allergic halayen.
- Cholestasis.
- Rashin aikin hanta.
- Malfunctions na tsarin hematopoietic.
- Take hakkin hankali.
Hakanan, umarnin don amfani da jihohi cewa glibenclamide na iya haifar da haɓakar ɗaukar hoto.
Glurenorm azaman musanyawa
Ana iya maye gurbin ciwon sukari tare da kayan aiki kamar Glyrenorm. Wannan wakili na hypoglycemic ba shi da tasiri. Farashin Glurenorm 30 mg n 60 kusan 500-620 rubles ne.
Abubuwan da ke aiki da maganin suna glycidone. Don dalilai na taimako, ana saka lactose, sitaci masara, magnesium stearate a allunan. Meye tushen aikin Glurenorm?
Glycvidone (abu mai aiki) yana karfafa rufin insulin ruwa wanda kwayoyin beta ke ciki. Wato, qa'idar aikin miyagun ƙwayoyi ta yi kama da yawancin wakilai na hypoglycemic.
Tare da taimakon Glyurenorm, yana yiwuwa a magance nau'in ciwon sukari na 2, lokacin da abinci da aikin jiki ba su taimaka wajen daidaita matakin glucose a cikin jini ba. Wasu lokuta ana amfani da wannan magani a cikin haɗin gwiwa tare da sauran magungunan hypoglycemic.
Yadda za a sha kwayoyin hana daukar ciki? Umarnin don amfani ya furta cewa kashi na farko ya zama bai wuce 15 MG ba. Kuna buƙatar ɗaukar kwaya tare da abinci. Tare da rashin ingancin matakan warkewa, sashi zai zama da sannu-sannu yana ƙaruwa. Amma dole ne mu tuna cewa matsakaicin adadin kullun shine 120 MG. Ba shi yiwuwa a haye wannan ƙofar.
Contraindications don amfani:
- Nau'in insulin da ke dogaro da guda 1.
- Precomatose ko coma.
- Ciwon sukari wanda rikitarwa ta hanyar acidosis ko ketosis.
- Kwayar cuta ta Pancreas.
- Lokacin kafin tiyata.
- Rashin hankali a cikin hanta.
- Ciwon hanta na hepatic.
- Allergy ga abubuwan da ke cikin miyagun ƙwayoyi.
Daga cikin tasirin sakamako na Glenrenorm, agranulocytosis, leukopenia, thrombocytopenia, hypoglycemia za'a iya bambanta. Hakanan, rashin yiwuwar nutsuwa, farin ciki, zazzabin cizon sauro, paresthesia, rikicewar masauki, halayen rashin lafiyan kwayoyi, cholestasis baza a iya yanke hukunci ba.
An kuma bayar da rahoton cewa shan Glurenorm na iya haifar da angina pectoris, gazawar zuciya, da saukar karfin jini. A farkon farawar jiyya, hargitsi a cikin aikin narkewar hanji zai yiwu, an nuna shi ta hanyar matattara, maƙarƙashiya, da bushe bushe. Bidiyo a cikin wannan labarin zai yi magana game da Diabeton.
