Glucobai shine keɓaɓɓen mai tsara yanayin yau da kullun na glycemia. Yana aiki akan gargaɗi: baya cire sukari daga jini, kamar sauran allunan maganin cututtukan ƙwayar cuta, amma yana hana shigarta cikin tasoshin jijiyoyinsu. Wannan magani ya fi tsada kuma ba shi da tasiri fiye da metformin ko glibenclamide, sau da yawa yana haifar da matsalolin narkewa.
Yawancin endocrinologists sunyi la'akari da Glucobai magani ne mai ajiyar zuciya. An tsara shi lokacin da mai ciwon sukari yana da contraindications don ɗaukar wasu magunguna ko a haɗe tare da su don inganta tasirin hypoglycemic. Glucobai kuma sananne ne a cikin da'irar da ke son rasa nauyi a matsayin wata hanya ta rage yawan adadin kuzari na abinci.
Yaya Glucobay
Aikin mai aiki na Glucobay shine acarbose. A cikin karamin hanji, acarbose ya zama mai gasa ga saccharides, wanda ke zuwa tare da abinci. Yana jinkirta, ko hanawa, alpha-glucosidases, enzymes na musamman waɗanda ke rushe carbohydrates zuwa monosaccharides. Godiya ga wannan aikin, yawan shiga glucose a cikin jini yana jinkiri, kuma tsalle tsalle a cikin glycemia bayan cin abinci an hana shi a cikin ciwon sukari mellitus. Bayan shan allunan, wani sashi na glucose ya narke tare da jinkirta, ɗayan an cire shi daga jiki ba tare da ɓacin rai ba.
Acarbose a jiki kusan baya shansa, amma yana maganin metabolized a cikin narkewa. Fiye da rabin acarbose an keɓe shi a cikin feces, don haka za'a iya ba da shi don nephropathy da gazawar hanta. Kimanin kashi ɗaya bisa uku na metabolites na wannan abu suna shiga fitsari.
Umarnin don amfani yana ba da damar yin amfani da Glucobay tare da metformin, shirye-shiryen sulfonylurea, insulin. Magungunan da kanta ba zai iya haifar da hypoglycemia ba, amma idan jimlar adadin ma'aikatan hypoglycemic ya fi ƙarfin buƙatun su, sukari na iya faɗuwa ƙasa da al'ada.
Ciwon sukari da hauhawar jini zai zama abin da ya wuce
- Normalization na sukari -95%
- Cirewa kan jijiyoyin mara wuya - 70%
- Cire zuciyar mai karfin zuciya -90%
- Rabu da cutar hawan jini - 92%
- Increasearuwar kuzarin rana, inganta bacci da dare -97%
Wanene aka wajabta maganin
An tsara maganin miyagun ƙwayoyi Glucobay:
- Don rama ga ciwon sukari na 2 a lokaci guda kamar gyaran abinci mai gina jiki. Magungunan ba zai iya maye gurbin abincin guntun carb da aka wajabta wa duk masu ciwon siga ba, tunda wannan yana buƙatar magani mai yawa, kuma tare da karuwa a cikin kashi, tsananin tasirin sakamako na Glucobay shima yana ƙaruwa.
- Don cire ƙananan kurakurai a cikin abincin.
- A matsayin ɓangare na cikakken magani tare da wasu kwayoyi, idan ba su ba da matakin manufa na glycemia ba.
- Baya ga metformin, idan mai ciwon sukari yana da babban matakan insulin kuma ba a nuna alamar sulfonylureas.
- Idan kuna son rage kashi na insulin a cikin nau'in ciwon sukari na 2. A cewar masu ciwon sukari, ana iya rage kashi ta hanyar raka'a 10-15 a rana.
- Idan triglycerides a cikin jini sun fi al'ada. Inganta insulin ya hana cire lipids daga jijiyoyin jini. Ta hanyar rage karfin sukari na jini, Glucobai kuma yana kawar da hyperinsulinemia.
- Don wani lokacin da ake fara samun maganin insulin. Tsofaffi masu ciwon sukari galibi sunfi son jure ladan kwayoyin magani don tsoron allurar insulin.
- A cikin lura da rikice-rikice na farko na metabolism metabolism: ciwon suga, NTG, ciwo na rayuwa. Umarni suna nuna cewa Glucobai tare da yin amfani da kullun ta 25% yana rage yiwuwar kamuwa da ciwon sukari. Koyaya, akwai hujja cewa miyagun ƙwayoyi ba su shafi manyan abubuwanda ke haifar da rikice-rikice: juriya insulin da haɓaka haɓakar glucose ta hanta, don haka likitoci sun fi son yin ƙaddamar da ingantaccen metformin don rigakafin ciwon sukari.
- Don sarrafa nauyin jikin mutum. Tare da ciwon sukari, marasa lafiya dole ne koyaushe suna fama da kiba. Glucobay yana taimakawa wajen kula da nauyi na yau da kullun, kuma a wasu halaye kuma yana ba da gudummawa don asarar nauyi.
Nazarin yana nuna cewa miyagun ƙwayoyi sun fi tasiri a cikin masu ciwon sukari tare da ƙarancin glucose mai azumi da kuma ƙara yawan ƙwayar postprandial. Nazarin asibiti ya nuna raguwar sukari: akan komai a ciki da kashi 10%, bayan cin abinci da kashi 25% na tsawon watanni shida na magani tare da Glucobay. Raguwar gemoclobin glycated ya kai kashi 2.5%.
Umarnin don shan miyagun ƙwayoyi
Allunan na Glucobai suna shaye shaye kai tsaye kafin abinci, a wanke da su da ruwa kadan, ko kuma a ɗanɗana su tare da abinci na cokali na farko. An rarraba maganin yau da kullun zuwa sau 3 kuma an ɗauka tare da manyan abinci. A wasu lokuta, magani ba shi da tasiri. Glucobai yana da zaɓuɓɓuka na kashi biyu: 50 ko 100 MG na acarbose a cikin kwamfutar hannu 1. Kwamfutar hannu 50 MG ya bugu duka, Umarni 100 na Glucobai yana ba ku damar raba cikin rabi.
Sassan Zaɓi Algorithm:
Kwancen yau da kullun | Ciwon sukari mellitus | Cutar sukari |
Fara | 150 MG | 50 MG sau ɗaya kowace rana |
Mafi kyawun matsakaici | 300 MG | 300 MG |
Matsakaicin kullun | MG 600 | Wucewa mafi kyau duka kashi ba da shawarar. |
Lokaci daya | 200 MG |
Maganin Glucobai yana ƙaruwa idan farawa baya samar da matakin sukari wanda aka yiwa niyya. Don hana sakamako masu illa, ƙara yawan allunan a hankali. 1-2 watanni ya kamata yaɗuwa tsakanin daidaitawar kashi. Tare da maganin ciwon suga, kashi na farawa ya isa mafi kyau a cikin watanni 3. Dangane da sake dubawa, ana amfani da wannan tsari don asarar nauyi kamar na lura da ciwon sukari.
Farashin fakitin kwalaye 30 na Glucobai 50 MG - kusan 550 rubles., Glucobai 100 MG - 750 rubles. Lokacin ɗaukar matsakaicin kashi, magani zai biya aƙalla 2250 rubles. da wata.
Abin da sakamako masu illa na iya zama
Yayin karatun Glucobay na asibiti, an gano sakamako masu illa kuma an nuna su a cikin umarnin (shirya shi cikin ragewa mitar):
- Mafi sau da yawa - karuwar haɓakar gas a cikin hanji.
- Sau da yawa - ciwon ciki saboda tarin gas, gudawa.
- Ba tare da ɓata lokaci ba - karuwa a matakin enzymes na hanta, lokacin ɗaukar Glucobay zai iya zama ɗan gajeren lokaci kuma ya ɓace da kan shi.
- Da wuya, karancin narkewar narkewar abinci, tashin zuciya, amai, kumburi, jaundice.
A lokacin tallace-tallace, an samo bayanai game da halayen rashin lafiyan ga abubuwan da ke tattare da allunan Glucobay Allunan, hana hanji, hepatitis, thrombocytopenia. Acarbose a hankali yana dakatar da lactase, wanda yake wajibi ne don rushewar sukari na madara, don haka lokacin shan maganin, rashin haƙuri ga madara baki ɗaya na iya ƙaruwa.
Mitar da tsananin zafin cutar ba ta dogara da yadda ake amfani da shi ba. Lokacin da sakamako masu illa suka faru, cirewar magani ba koyaushe bane dole, sau da yawa yana rage yawan sashi.
Yin amfani da Glucobay yana iyakance wannan tasirin sakamako kamar ƙonewa. Kusan babu wanda ya yi nasara a cikin guje ma ta, tunda hanyar aikin miyagun ƙwayoyi ita kanta ke ba da gudummawar samar da iskar gas. Fermentation na carbohydrates marasa amfani yana farawa a cikin hanji, wanda ke hade tare da sakin gas. Dangane da haka, yawan carbohydrates din da ke cikin abinci, ayyukan fermentation zai yi karfi. Za'a iya rage yawan zafin nama ta hanyar bin abincin karancin abinci.
Ga masu ciwon sukari, ana iya daukar wannan sakamako azaman mai inganci. Da fari dai, Glucobay ya zama nau'in mai sarrafawa, baya barin karya abincin da aka tsara. Abu na biyu, marasa lafiya masu ciwon sukari galibi suna da halin maƙarƙashiya, kuma Glucobai yana ba ku damar daidaita shimfidar ba tare da amfani da maganin maye ba.
Contraindications
Contrauntataccen contraindications don ɗaukar Glucobay - hypersensitivity ga miyagun ƙwayoyi, yara, HBV da ciki. A cikin cututtukan hanji, ana buƙatar ƙarin jarrabawa don gano matakin narkewa da sha. Cututtukan da yanayin ƙwayar cuta ke yawaita na iya zama cikas ga shan Glucobay. A cikin gazawar haɓaka mai girma tare da GFR <25, an lalata tashin hankali na acarbose metabolites, wasu daga cikinsu suna aiki. Amfani da Glucobay a wannan yanayin an haramta shi, saboda yana haifar da wuce haddi.
Glucobay don asarar nauyi
Umarnin don amfani ba ya ƙunshi bayanin da Glucobai ke taimakawa wajen rasa nauyi, wato, ba a tabbatar da wannan matakin magani ba bisa hukuma. Koyaya, akwai binciken da aka gwada kwatancen waɗannan kwayoyin tare da rage yawan kalori. Ya juya cewa ingancin Glucobay don asarar nauyi yana dacewa da adadin kuzari na 500-600. An gudanar da binciken ne a cikin gungun mutane da ke da hatsarin kamuwa da cutar siga: yawan kiba, hauhawar jini, ko cutar sikari. An ɗauka cewa miyagun ƙwayoyi Glucobay, yayin da rage yawan sukari a cikin tasoshin jini, a lokaci guda dan kadan yana rage juriya na insulin, wanda aka lura da mafi yawan waɗannan marasa lafiya. Isarar yawan aikin insulin ya rage ta atomatik, wanda ke nufin cewa an sauƙaƙe nauyi.
Ba za a iya tantance sakamakon abin da ake samu daga ƙwayoyin carbohydrates ba, tunda adadinsu ya bambanta sosai dangane da abubuwan samfuran da sifofin narkewar abinci. Dangane da sake dubawar slimming, ana taka muhimmiyar rawa ta hanyar tasirin sakamako wanda ke iyakance yawan cin abinci mai kalori mai yawa.
Analogs
Glucobai shine kawai magani na rijista a Rasha tare da acarbose, ba shi da cikakkun analogues. Haka kuma, a cikin magungunanmu ba za ku iya siyan maganin ƙirar analogues ba - magunguna iri guda ne, na wannan ƙungiyar.
Za a iya siyan masu hana alpha-glucosidase inhibitors a cikin magungunan kasashen waje:
Abu mai aiki | Magunguna | Mai masana'anta |
acarbose | Sake bugawa | Sunan pharma, India |
Alumina | Abdi Ibrahim, Turkiyya | |
miglitol | Diastabol | Bayer, Jamus |
Mai hijira | Torrent Pharmaceuticals, Indiya | |
Misobit | Magungunan Lupine, India | |
voglibose | Voglib | Mascot Health Series, India |
Oxide | Kusum Farm, Ukraine |
Daga cikin analogues na Glucobay, mafi arha shi ne Voksid na Yukren, farashinsa ya kasance daga 150 rubles. kowace fakitin allunan 30 da kuma jigilar kayayyaki. Kimanin fakiti 3 za a buƙaci wata daya.