Diabeton MV: cikakkun bayanai don amfani, sake dubawa game da masu ciwon sukari

Ciwon sukari MV magani ne da aka yi amfani da shi sosai wajen lura da ciwon sukari na 2. An wajabta shi sau da yawa ga masu ciwon sukari ba tare da wuce ƙima ba da ƙoshin kyallen takarda zuwa insulin, tun da allunan suna ba da gudummawa ga ƙoshin nauyi a hankali da kuma motsa fitsari.

Sunan ƙwayar sunan magani shine gliclazide. "Diabeton MV" sunan cinikin magungunan kamfanin Faransa na kera Servier ne, akan wani fifiko, waɗannan magungunan ba a basu sau da yawa a cikin kantin magani, tunda suna da tsada sosai fiye da ƙwayoyin cuta (Diabinax, Glidiab, Diabefarma) waɗanda ake samarwa bisa gliclazide.

Rikicin MV na nufin Diabeton tare da sakewa mai sakin jiki da bangaren aiki mai aiki bai bayyana kansa kai tsaye ba, amma yayin rana, daidai yake da rabo.

Abvantbuwan amfãni na masu ciwon sukari MV

Idan muka kwatanta magungunan da wani nau'in bambance-bambancen nau'ikan silin na sulfonylurea, to in babu bayyanannen tashin hankali, tasirinsa zai zama mafi girma.

1. Ciwon sukari MV amintacce yana dawo da ma'aunin glycemic;
2. Gliclazide yana haɓaka kashi na 2 na ƙwayar hormone, kai tsaye kai tsaye lokacin ɗaukar carbohydrates.
3. Magungunan yana rage haɗarin thrombosis;
4. Zai yiwu yiwuwar yawan hypoglycemia tsakanin tasirin sakamako an rage shi zuwa 7% (ga wasu kwayoyi na ƙungiyar sulfonylurea, haɗarin ya fi hakan yawa);
5. Shan kwayoyin hana daukar ciki lokaci daya ne, wanda ya dace da masu fama da cutar siga da masu ritaya;
6. Sakin jigilar maganin ba ya bayar da gudummawa ga irin wannan nauyin mai sauri kamar allunan yau da kullun;
7. Likita ba tare da ƙwarewa tare da wannan ƙwayar zai sauƙaƙe sashi, tunda haɗarin mummunan sakamako yana da ƙasa;
8. Kwayoyin Gliclazide suna da kaddarorin antioxidant;
9. Magungunan suna da ƙididdiga masu kyau na tasirin da ba a so - har zuwa 1%.

Tare da irin wannan jerin tabbaci na fa'idodi, har ila yau maganin yana da rashin nasara.

• Kwayoyin B da ke da alhakin samar da insulin sun mutu.
• Shekaru 2-8 (dangane da nauyin jikin mutum, mai sauri ga mutane na bakin ciki), mai ciwon sukari mai nau'in cuta na 2 ya kamu da irin nau'in cutar ta 1 mai tsananin ƙarfi.
• Magungunan ba ya kawar da ƙarancin nama zuwa insulin, amma har zuwa wani ɗan lokaci har ma yana haɓaka shi.
• Inganta bayanin martaba na glycemic baya bada garantin ci gaban mace-mace daga masu ciwon sukari (bisa ga binciken da shahararren cibiyar nan ta duniya ADVANCE).

Domin kada ku tilasta jiki ya zaɓi tsakanin rikice-rikice daga cututtukan fata da cututtukan zuciya, allunan ya kamata a taimaka musu ta hanyar sarrafa abincinku da ayyukan tsoka.

Canza yanayin rayuwa shima zai iya rage haɗarin bugun zuciya a cikin babban ƙwayar cuta, saukad da hauhawar jini, kiba, da rikicewar cutar hanta.

Bayanin sigar da ya shafi tsari da sashi

Babban abin da ke cikin tsari shine gliclazide - magani ne wanda ke da karfin iko, mai wakiltar aji ne na kwayoyi. Haɗin maganin yana inganta tare da tsawan tasirin maganin lactose monohydrate, maltodextrin, hypromellose, magnesium stearate, silicon dioxide.

Ana iya gano allunan ta hanyar siffar m tare da layi mai rarrabuwa da raguwa "DIA 60" a kowane gefe.

An tattara magungunan a cikin blister don 15-30 guda biyu, a cikin kwali mai kwali tare da umarnin za'a iya samun waɗannan faranti guda 1-4.

An sake bayar da magani. Ga Diabeton MV, Farashin ba shine mafi yawan kasafin kuɗi ba, don allunan 30 an biya matsakaicin nauyin 300 rubles. Ba a haɗa magungunan a cikin jerin magungunan rigakafin cututtukan fata ba. Ranar karewar da mai sana’ar ta bayyana bai wuce shekaru 2 ba. Magungunan ba ya buƙatar yanayi na musamman don ajiya.

Pharmacodynamics

Shirye-shiryen Sulfonylurea, wanda ya haɗa da Diabeton MV, yana motsa ayyukan pancreas da ƙwayoyin b, waɗanda ke sarrafa samar da insulin. Matsayi na fallasa irin wannan magani yana da matsakaici, alal misali, Maninil na gargajiya yafi tsanantawa.

Magungunan zai iya zama da amfani tare da alamun bayyanar ƙwanƙwasa, idan ba tare da motsawa ba ya sake samar da matakin insulin da ake buƙata don rama cutar glycemia. Tare da kowane irin kiba, ba a sake ba da maganin.

Diabeton MV ya maido da matakin farko na kwayar insulin idan aka lura da raguwar aikinta a jiki. A cikin masu ciwon sukari tare da cutar ta 2, ƙwayar ta inganta farkon tattara insulin lokacin da carbohydrates suka shiga jiki kuma sun sake dawo da kashi na biyu na sake zagayowar.

Baya ga raguwar garantin a cikin abubuwan kwalliya, shan magani yana da tasiri sosai kan lafiyar jijiyoyin jini da tsarin kewaya. Rage haɗarin platelet (tarawa), yana rage haɗarin thrombosis na jijiyoyin jiki, yana ƙarfafa su daga ciki, yana ba da kariya ta angioprotective.

Maganin tasirin miyagun ƙwayoyi shine takamaiman tsari.

1. Da farko dai, hanji na motsa jiki domin sakin kwayoyin halittar zuwa cikin jini;
2. Sannan farkon matakin insulin insulin shine a saukeshi kuma an dawo dashi;
3. Don rage samuwar ƙwayar jini a cikin ƙananan tasoshin, an rage haɗuwar platelet;
4. A layi daya, akwai wasu sakamako na maganin antioxidant.

Wata hanyar amfani da miyagun ƙwayoyi tana ba da mafi kyawun taro na glibenclamide kowace rana. An samar da daidaitaccen matakin C-peptide da insulin a cikin jiki ba a baya ba bayan shekaru 2 na maganin yau da kullun.

Pharmacokinetics

Ana amfani da miyagun ƙwayoyi a cikin narkewa a ciki cike. A cikin jini, abubuwan da ke tattare da shi yana tarawa a hankali cikin tsawon awanni 6. Matsayin da aka cimma yana ɗaukar tsawon awanni 6 zuwa 12. Canje-canje tsakanin nau'ikan masu ciwon suga ya ragu.

Lokaci guda tare da shan magunguna na abubuwan gina jiki a cikin jiki, halayen magunguna na gliclazide baya canzawa. Ana kiyaye sadarwa tare da kariyar jini a kashi 95%, Vd - har zuwa 30 lita.

Metabolism din Gliclazide yana faruwa a cikin hanta, ba a gano metabolites mai aiki ba a cikin tsarin jini.

Ana cire kodan su (har zuwa 1% a daidai wannan tsarin). T1 / 2 na gliclazide ya bambanta a cikin kewayon 12-20 hours.

Lokacin da aka ƙaddamar da kashi zuwa matsakaicin (120 MG), yankin a ƙarƙashin layin da ke nuna dangantakar lokaci da rarrabawa yana ƙaruwa cikin madaidaiciya rabo.

Alamu don amfani

An haɓaka ingantacciyar ƙwayar magunguna tare da sakamako mai tsawo don dawo da bayanan glycemic da kuma hana rikice-rikice na ciwon sukari (bugun jini, retinopathy, bugun zuciya, nephropathy, gangrene na ƙarshen).

An tsara shi don masu ciwon sukari tare da nauyin jiki na al'ada tare da nau'in ciwon sukari na 2 na matsakaici mai tsayi kuma ba tare da alamun juriya na insulin ba.

Hakanan masu amfani da athletesan wasa ke amfani dashi don haɓaka hankalin ƙirar zuwa insulin, wanda ke haɓaka samun tsoka.

A matsayin magani na farawa ga masu ciwon sukari, Diabeton MV bai dace ba. Hakanan yana da haɗari don sanya magunguna don kiba, tun da ƙwayar ƙwayar ƙwayar cuta ta fara aiki a ƙarshen iyawar su, samar da ƙa'idodin insulin na 2-3 wanda ba zai iya magance glucose mai ƙarfi ba. Diabeton MV a wannan yanayin na iya tsokani mutuwa (daga rikicewar zuciya).

Don nazarin dangantakar tsakanin zaɓin magunguna na farko don kula da ciwon sukari na 2 da kuma haɗarin mace-mace, an gudanar da bincike na musamman. Tsayawa akan matsayin a bayyane yake.

1. A cikin masu ciwon sukari da ke karbar magungunan sulfonylurea, idan aka kwatanta da masu sa kai suna shan metformin, yuwuwar mutuwa daga cututtukan zuciya sun kasance sau 2 mafi girma, cututtukan zuciya da na jijiyoyin jini (CHD) - sau 4.6, kwararar jini (NSC) - Sau 3.
2. Samun damar mutuwa daga NMC da cututtukan zuciya da jijiyoyin jini sun kasance mafi girma a cikin masu ciwon sukari waɗanda ke shan kwayoyi dangane da glibenclamide, glycvidone, glyclazide fiye da waɗanda aka bi da metformin.
3. Idan aka kwatanta da rukunin da aka yi amfani da su tare da glibenclamide, mahalarta masu karɓar gliclazide sun nuna sakamakon da ke gaba: rage 20% a cikin yawan mace-mace, da raguwar 40% na mutuwar daga UC da CCC.

Don haka, zaɓin Diabeton MV a matsayin magani na farko-layi, kamar kowane magani na sulfonylurea, yana haifar da damar mutuwa cikin shekaru 5 sau 2, samun infarction na myocardial - sau 4.6, bugun zuciya (cerebral stroke) - sau 3. Tare da sabon ciwon sukari da aka gano, metformin a matsayin taimakon likita na farko shine mafi kyawun zaɓi.

A cikin adalci, ya kamata a lura cewa tare da yawan ci na shekaru uku ko fiye na masu ciwon sukari MV, haɗarin kamuwa da cutar atherosclerosis ya ragu sosai. Sauran wakilan wannan rukuni na kwayoyi ba su nuna irin wannan sakamakon ba. Antarfin maganin cututtukan ƙwayar cuta na Diabeton MV za a iya bayyana shi ta kasancewar tsarin sa na abubuwan da ke hana ƙwayoyin cuta daga iska.

Amfanin da cutar Diabeton - a cikin bidiyo:

Contraindications

Diabeton MV shine sabon magani na ƙarni tare da babban digiri na tasiri. Ya bambanta da duk analogues na sulfonylurea aji dangane da ci gaban rikitarwa da ƙarancin kashi na sakamako masu illa.

Amma, kamar kowane magani na roba, gliclazide yana da yawan contraindications:

• Babban hankali ga abubuwan da ke tattare da tsari da kwayoyi na jerin sulfonylurea jerin gabaɗaya;
• Nau'in cuta guda 1;
• Yanayi na ketoacidosis na ciwon sukari, na coma da precoma;
• Matsanancin yanayin cutar cututtukan ƙwayoyin cuta da hanta, lokacin da ake buƙatar sauyawa zuwa insulin;
• Haihuwa da lactation;
• Kulawa na lokaci guda tare da miconazole;
• Age zuwa shekaru 18.

Magungunan sun ƙunshi lactose, don haka ba a nuna shi ba saboda rashin haƙuri, don maganin glucose-galactose malabsorption, galactosemia. Ba'a ba da shawarar a haɗa danazol da phenylbutazone tare da Diabeton MV.

Ciki

Babu wani gogewa game da lura da mata masu juna biyu da gliclazide, kazalika da bayanai game da lura da wannan rukuni na masu ciwon sukari tare da magungunan sulfonylurea gaba ɗaya.

A cikin gwaje-gwajen a kan dabbobi mata, ba a bayyana tasirin teratogenic na gliclazide ba.

Don rage haɗarin cututtukan cututtukan cikinku, ana buƙatar saka idanu akai-akai da kuma dacewa da maganin cututtukan type 2 masu ciwon sukari. Ba'a amfani da magungunan ƙwayoyin cuta na ƙwayar cuta a wannan lokacin, ana tura mata masu juna biyu zuwa insulin kuma ya fi dacewa a aiwatar da wannan canjin har ma a matakin shirin ɗaukar ciki.

Babu wani bayani game da shigar azzakarin cikin gliclazide cikin madara, ba a tsayar da hadarin cututtukan cututtukan cututtukan jini na haihuwa ba, sabili da haka, tare da jiyya tare da Diabeton MV, shayar da mama yana shayarwa.
Babu wani tabbataccen tushe game da inganci da amincin amfani da cutar ta masu ciwon suga (MV) ga yara, sabili da haka, ba a kuma sanya magunguna ga masu ciwon sukari da ke ƙasa da shekara 18 ba.

Side effects

Diabeton MV yana da ƙwarewa ta amfani da amfani da mafi ƙarancin contraindications da sakamako masu illa, babban abin da ake ɗauka shi ne hypoglycemia, lokacin da karatun glucometer ya faɗi ƙasa da kewayon manufa.

Kuna iya bambance yanayin haɗari ta:

1. Ciwon kai da danshi;
2. Abincin Wolf;
3. Rashin cutar dyspeptic;
4. Rashin ƙarfi, rauni;
5. Wuce kima;
6. Rashin lafiyar zuciya;
7. Erarin ciki, halin farin ciki, rashin damuwa;
8. Adrenergic halayen, rawar jiki;
9. Rashin magana, rashi;
10. Rashin gani;
11. Muscle spasms;
12. Jihar mara taimako, asarar iko da kai;
13. Fainat, coma.

    
    

Tare da wani nau'i mai laushi na hypoglycemia, ana ba wa wanda aka azabtar da sukari, tare da nau'i mai tsanani, asibiti mai gaggawa ya zama dole. Halin hypoglycemia yana da haɗari da kuma sake dawowa, don haka yana da mahimmanci don sarrafa ƙoshin lafiya bayan sauƙin ciwo.

Af, idan aka kwatanta da na al'ada Ciwon sukari, analog ɗin sa (tare da jinkirin saki) yana ba ku damar rarraba nauyin akan jiki a ko'ina. Wannan yana rage haɗarin hauhawar jini.

Toari kan cutar rashin jini, akwai wasu sakamako wanda ba a tsammani:

• Urticaria, huhun rashin lafiyar, ta edema Quincke;
• Rashin damuwa na ƙwayar gastrointestinal;
• Rushewar jinni a cikin nau'in anemia, raguwa a cikin farin ƙwayar farin jini;
• Rashin ingancin gani na ɗan lokaci saboda bambance-bambance a cikin glycemia, mafi sau da yawa yayin daidaitawa da miyagun ƙwayoyi;
• Activityara ayyukan hanta enzymes AST da ALT, a cikin halayen da ba a sani ba, hepatitis.

Idan an tsara Divanon MV a maimakon wani magani na hypoglycemic, yana da mahimmanci a kula da sigogin glycemic don sati biyu don hana sanya tasiri daga sakamakon magunguna biyu masu haɗari ga hypoglycemia.

A lokacin gwaji na asibiti na cibiyar ADVANCE mai martaba, ba a san wani bambanci ba (daga ra'ayi na asibiti) tsakanin sarrafawa da ƙungiyoyin gwaji. Mitar zafi da tsananin karfin jiki an tsaftace low. Yawancin lokuta na cututtukan hypoglycemia ana lura da su ta fuskar asalin rikice-rikice a haɗaka tare da shirye-shiryen insulin.

Sakamakon Cutar Magunguna

Yana haɓaka ayyukan masu ciwon sukari MV miconazole (duka biyu ta hanyar injections da kuma amfani na waje). Haɗin haɗin yana ɗaukar matakan contraindicated, saboda yana iya tsokani ƙwanƙwasawar jini.

Ba'a bada shawara don haɗa gliclazide tare da phenylbutazone. Tare da gudanar da tsari, tsari na hypoglycemic na abubuwan da ke haifar da maganin sulfonylurea yana haɓakawa: karɓar magunguna yana raguwa, phenylbutazone yana kawar dashi daga ƙwayar protein. Idan babu mai maye gurbin magungunan, to wajibi ne don daidaita sashin gliclazide kuma a hankali kula da glycemia a duk tsawon lokacin magani da kuma bayan ƙarshen hanya.

Theara yawan haɗarin ƙwayar glycemia ethanol da kwayoyi dangane da shi. Don tsawon lokacin yin jiyya tare da masu ciwon sukari MV, ya zama dole a bar giya gaba daya da magunguna dangane da barasa.

An tsara haɗuwa tare da magungunan antidiabetic tare da taka tsantsan: insulin, biguanides, acarbose, diazolidinediones, antagonists GLP-1, Dhib-4 inhibitors, β-blockers, MAO da masu hana ACE, fluconazole, magungunan sulfonamide, NPs. Kowane ɗayan waɗannan haɗuwa yana ƙaruwa da ƙarfin ciwon sukari na Diabeton MV kuma yana buƙatar titration kashi da saka idanu akan bayanin martaba na glycemic.

Yana raunana iyawar Diabeton MV Danazole, wanda ke kara yawan yawan sukari a cikin jini. Tare da amfani da layi daya, ana buƙatar titing da glycemic saka idanu don duk aikin jiyya da bayan sa. Ana lura da irin wannan yanayin tare da injections na agonists na b-adrenergic.

An tsara abubuwan da ake kira Glyclazide + chlorpromazine tare da taka tsantsan. A cikin manyan allurai, maganin guba ya rage samarda insulin, yana taimakawa tarin glucose a cikin jini. Wajibi ne a lissafa yadda ake amfani da magunguna a hankali.

GCS da tetracosactide tare da kowane hanya na aikace-aikace (gidajen abinci, fata, hanyar hanji) suna haɓaka sukari na jini, tsokani faruwa na ketoacidosis, wanda ke rage haƙuri ga samfuran carbohydrate. A matakin farko na jiyya, jerin kasala na hankali da sanya idanu kan sigogin glucometer na tsawon lokacin amfani tare da bayan ya zama dole.

Hanyar amfani

Don masu ciwon sukari MV, umarnin yin amfani da shawarar suna da shawarar masu ciwon sukari su ɗauki maganin da safe, tare da karin kumallo. Kamar yadda yake tare da duk magungunan maganin antidiabetic, endocrinologist yana zaɓar sashi da kansa, la'akari da sakamakon gwaje-gwajen, matakan cutar sukari, cututtukan haɗin gwiwa, abubuwan da jikin mutum yake sha don maganin.

A kowane kashi (daga 30 zuwa 120 MG, wanda shine Allunan 0.5-2), shan gliclazide bashi da aure. Idan jadawalin ya karye, ninka yawan sashi yana da haɗari - jiki yana buƙatar lokaci don cikewa sosai, ba tare da sakamako mara amfani ba, ƙa'idar.

A daidaitaccen sigar, farawa shine Ѕ shafin. (30 MG). Ga masu ciwon sukari na tsufa, kashi ɗaya zakka ba lallai ba ne.

Idan irin wannan ka'idar ta samar da cikakken ikon sarrafa glycemia, ana iya amfani dashi azaman maganin kulawa. Tare da isasshen iko, ana daidaita sashi, yana kawo ƙa'idar yau da kullun zuwa 60.90 har ma da 120 mg. Ana aiwatar da jerin abubuwa bayan kwanaki 30 - yana ɗaukar lokaci mai yawa don kimanta tasiri na tsarin da aka zaɓa.

Idan mai ciwon sukari bashi da canji na makonni 2, titration zai yuwu a cikin rabin wata. Matsakaicin maganin warkewa na gliclazide shine 120 mg.

Idan an canza masu ciwon sukari daga masu ciwon sukari na al'ada tare da saurin sakin gliclazide zuwa analog mai tsawo, to za a iya maye gurbin kwamfutar hannu mai nauyin MG 80 tare da wani nau'in makamancinsa tare da tsawan tsawo na 60 mg ko 30 mg.

Lokacin sauya madadin magani na glycemic magani tare da Diabeton MV, tsarin kulawa na baya da lokacin kawar da miyagun ƙwayoyi ana yin la'akari. Yawancin lokaci babu buƙatar lokacin juyawa. An ƙaddara farawa a 30 MG tare da gyara na hankali idan sakamakon jiyya ba al'ada bane.

Idan T1 / 2 na miyagun ƙwayoyi na baya yana da tsawo, don guje wa sanya tasirin sakamako wanda ke haifar da cutar hypoglycemia, ya kamata a ɗauki hutu tsakanin darussan. Hakanan ana tsara matsayin farawa na masu ciwon sukari MV a matsayin ƙarami - 30 MG tare da yiwuwar ƙarin titration.

Ana iya amfani da ciwon sukari MV a cikin magani mai wahala. Don haɓakar ƙarfin hypoglycemic amfani da insulin, biguanides, b-glucosidase inhibitors. Idan akwai sakamako mai gamsarwa, an tantance kashi na insulin.

Recommendationsarin shawarwari

Masu ciwon sukari tare da cututtukan koda ko na yara suna ba da shawarar ƙaddamar da kashi, yana da mahimmanci kawai don saka idanu a kan glycemia da aikin koda.

Musamman kulawa da ake buƙata ta marasa lafiya da ke cikin haɗari tare da rage cin abinci mai kalori, ƙarancin aiki na jiki, cututtukan endocrine (ƙoshin adrenal da pituitary insulation, hypothyroidism, soke corticosteroids bayan tsawan tsawan amfani ko babban allurai, mummunan CVD a cikin hanyar atherosclerosis ko cututtukan zuciya). Wannan rukuni na masu ciwon sukari an wajabta mafi ƙarancin masu ciwon sukari MV - 30 MG.

Don samun sakamako na 100%, ana iya ƙara yawan kashi zuwa 120 mg / rana. Da ake buƙata zai zama canjin yanayin rayuwa - sauyawa zuwa ƙarancin abinci mai ƙoshin abinci, motsa jiki na yau da kullun, da kuma kulawa da yanayin motsin rai.

Idan ya cancanta, zaku iya ƙara yawan jigilar magani tare da metabetin na Diabeton MV, insulin, thiazolidinediones. A wannan yanayin, yana da mahimmanci a tuna da kasancewar sakamako masu illa a cikin kowane magani da hulɗar su. Da farko dai, haɗarin cututtukan jini ne.

Taimaka tare da yawan wuce haddi

Babban haɗarin haɗarin zubar da jini shine yanayin hypoglycemic. Tare da alamu masu laushi da isasshen ikon sarrafa kai, ya zama dole don rage sashi na Diabeton MV da sauran magungunan maganin antidiabetic, daidaita abincin don kara yawan adadin kuzari. Kulawa da lafiyar masu ciwon sukari yana da mahimmanci har sai an gama amfani da glycemia gabaɗaya, tunda koma baya a wannan yanayin ya zama ruwan dare.

Idan alamun cututtukan glycemic sun kasance mafi bayyanannu kuma suna barazana ga lafiya, musamman idan wanda aka azabtar ya san kansa, a cikin mahaifa, tare da kamuwa da cuta, ana buƙatar kulawa da gaggawa na likita, yana zuwa asibiti. A farkon dama, mai ciwon sukari ya kamata a allurar dashi a ciki tare da 50 ml na glucose.

Don kula da daidaituwa (sama da 1 g / l) - kuma maɓallin dextrose 10%. Ana gudanar da aikin lura da dukkan alamu masu mahimmanci a kalla awanni 48. Tunda gliclazide yana ɗaure shi da furotin na jini, hemodialysis a wannan yanayin ba shi da tasiri.

Ta yaya zan iya maye gurbin Diabeton MV

MV Diabeton na asali, wanda kamfanin Faransa ke samarwa ya samar, yana da isasshen analogues mai rahusa bisa gliclazide, amma tasirin waɗannan magungunan na iya zama mafi ma'ana, don haka lokacin zabar buƙatar buƙatar mayar da hankali ba kawai akan farashin ba, har ma a kan shawarar likitocin da ke halartar.

Kantin kantin na iya ba ku kwayoyin halittu:

1. RDiabefarm, Glyclazide, Glucostabil, Glidiab;
2. Czech Gliklad;
3. Yugoslavian Predian da Glioral;
4. Diabinax na Indiya, Diatik, Reklid, Glisid.

Idan samfurin tushen gliclazide bai dace ba, masaniyar endocrinologist zai zaɓi:

• Magunguna na jerin ƙwayoyin sulfonylurea dangane da glibenclamide, glycvidone, glimepiride;
• Magunguna na aji daban-daban, amma tare da tsarin aikin iri ɗaya, alal misali, NovoNorm daga aji na yumɓu;
• Magunguna tare da tasiri iri ɗaya kamar Januvia ko Galvus (masu hana DPP-4).

Glidiab MV ko ciwon sukari MV: abin da ya fi dacewa ga wani mai haƙuri zai iya likita ne kawai ya ƙaddara. An bayar da bayanin don janar gabaɗaya, kuma ba don maganin cutar kansa da gudanar da kai na irin waɗannan manyan ƙwayoyi ba.

Abin da masu ciwon sukari MV masu ciwon sukari ke Tunani

Game da Diabeton MV, sake dubawa game da masu ciwon sukari sunyi baki ɗaya: sukari yana taimakawa wajen sarrafawa, amma mutane kaɗan ne suka sami damar gujewa sakamakon da ba a so. Mafi yawan tsoro shine gaskiyar cewa bayan irin waɗannan kwayoyin, kusan dukkanin canzawa zuwa insulin - wasu a baya, wasu daga baya.

Ba a ba da umarnin masu ciwon sikila MV endocrinologists ga duk masu ciwon sukari, amma har ma waɗanda suka dace da miyagun ƙwayoyi na iya haɓaka jaraba ga miyagun ƙwayoyi. Saboda rashin dacewa ko rashin jituwa da jadawalin gudanarwa, tasirin maganin ba zai dace da wanda aka ayyana ba.

Tare da mummunan zubar da cututtukan sukari, koda tare da ƙarancin abincin carb da tsarin motsa jiki, ana iya buƙatar hanyar warkewa daban don magani. Akwai halaye da yawa, idan an sanya ku Diabeton MV, bincika wannan umarnin mai sauƙin don tabbatar da cewa an yi alƙawarin daidai.

Informationarin bayani game da Diabeton MV - akan bidiyo: