Glucobai (magana ce ta maganin - Acarbose) ita ce kawai maganin maganin maganin ciwon kai wanda aka nuna don cututtukan 1 da 2. Me yasa bai sami irin wannan amfani ba kamar misali, Metformin, kuma me yasa magungunan ke da ban sha'awa ga mutane masu cikakken lafiya, gami da 'yan wasa?
Kamar dai Metformin, Glucobai zai zama daidai don kiran ba wakili na hypoglycemic ba, amma antihyperglycemic, tunda yana toshe hanzarin haɓaka sukari a cikin karɓar carbohydrates masu rikitarwa, amma ba ya daidaita matakin glycemia. A nau'in na biyu na ciwon sukari, ana amfani dashi mafi sau da yawa, tare da mafi girman inganci, yana aiki a hade tare da sauran wakilai na hypoglycemic.
Injinin Glucobay
Acarbose shine mai hana amylases - wani rukuni na enzymes wanda ke da alhakin rushewar kwayoyi masu rikitarwa zuwa abubuwa masu sauki, tunda jikin mu yana iya samar da metosaccharides kawai (glucose, fructose, sucrose). Wannan hanyar tana farawa ne a bakin (tana da amylase nata), amma babban aikin yana faruwa ne a cikin hanji.
Glucobai, shiga cikin hanji, yana toshe tarin hadaddun carbohydrates zuwa ga kwayoyi masu sauki, don haka carbohydrates da suka shiga jiki da abinci baza su iya zama cikakke ba.
Magungunan suna aiki a gida, na musamman a cikin lumen na hanji. Ba ya shiga cikin jini kuma baya shafar aikin gabobi da tsarin (ciki har da samar da insulin, samar da glucose a cikin hanta).
A miyagun ƙwayoyi ne oligosaccharide - samfurin ferment na microorganism Actinoplanes utahensis. Ayyukanta sun haɗa da toshe α-glucosidase, wani sinadari mai narkewa wanda ke rushe hadaddun carbohydrates zuwa cikin ƙananan ƙwayoyin. Ta hanyar hana shan hadaddun carbohydrates, Acarbose yana taimakawa kawar da wuce haddi da glycemia.
Tun da miyagun ƙwayoyi rage jinkirin sha, yana aiki ne kawai bayan cin abinci.
Kuma tun da yake ba ta motsa ƙwayoyin β-da ke da alhakin samarwa da ɓoye insulin na insulin, insallamar Glucobai ba ta tsokano jihohi glycemic ko dai.
Wanda aka nuna don maganin
Thearancin rage sukari na wannan maganin ba kamar yadda aka ambata na hypoglycemic analogues ba, saboda haka, ba shi da amfani a yi amfani dashi azaman monotherapy. Mafi sau da yawa ana wajabta shi azaman mai ba da shawara, ba wai kawai don nau'ikan cututtukan ciwon sukari guda biyu ba, har ma don yanayin ciwon kai: rikicewar cutar glycemia, canje-canje a haƙuri haƙuri.
Yadda ake shan magani
A cikin kantin silsilar Acarbose, zaku iya samun nau'i biyu: tare da sashi na 50 da 100 MG. Yawan farawa na Glucobay, daidai da umarnin don amfani, shine 50 MG / rana. Mako-mako, ba tare da isasshen tasiri ba, zaku iya fitar da doka a cikin karuwa na 50 MG, rarraba allunan a allurai da yawa. Idan likitan ya yarda da shi sosai ta hanyar masu ciwon sukari (kuma akwai isasshen abubuwan mamaki na maganin), to za a iya gyara sashi zuwa 3 / Rana. 100 MG kowane. Matsakaicin ƙa'idodin Glucobay shine 300 MG / rana.
Suna shan maganin daidai kafin cin abinci ko cikin tsari kanta, suna shan kwamfutar hannu gaba ɗaya da ruwa. Wasu lokuta likitoci suna ba da shawarar allunan taunawa tare da farkon abincin abinci.
Babban aikin shine isar da miyagun ƙwayoyi a cikin ƙwayar ƙananan hanji, ta yadda kafin lokacin cin abinci na carbohydrates, yana shirye ya yi aiki tare da su.
Idan menu a cikin wani yanayi yana da free-carbohydrate (qwai, gida cuku, kifi, nama ba tare da burodi da abinci tare da gefen abinci tare da sitaci), zaku iya tsallake shan kwaya. Acarbose ba ya aiki da batun amfani da sauki monosaccharides - glucose na gari, fructose.
Tasirin antihyperglycemic na Glucobay yana da rauni, saboda haka ana sanya shi sau da yawa azaman ƙarin kayan aiki a cikin hadadden far. Kamar yadda aka riga aka ambata, ƙwayar kanta ba ta haifar da hypoglycemia ba, amma a cikin hadaddun jiyya tare da sauran magungunan hypoglycemic, irin waɗannan sakamakon suna yiwuwa. Sun dakatar da harin ba tare da sukari ba, kamar yadda aka saba a cikin irin waɗannan lokuta, - ya kamata a ba wa wanda aka azabtar da shi mai sauƙin narkewa mai narkewa, wanda acarbose ya amsa.
Zaɓin sakamako masu illa
Tunda acarbose yana hana shan abinci mai narkewa, na karshen yana tarawa a cikin hanji kuma ya fara ferment. Ana bayyanar cututtukan fermentation a cikin nau'i na haɓakar gas, jita-jita, murɗaɗa, hutu, jin zafi a wannan yanki, zawo. Sakamakon haka, mai ciwon sukari yana jin tsoron barin gidan, kamar yadda rikicewar rikicewar kwancen yana lalata ɗabi'a.
Rashin damuwa yana ƙaruwa bayan shigowar abinci mai wadataccen ƙwayoyin carbohydrates, musamman sukari, a cikin narkewar abinci kuma yana raguwa idan ba a rage shi mai sauƙin carbohydrates. Glucobai yana aiki a matsayin nau'ikan alamu na nuna adadin carbohydrates mai wucewa, yana saita iyakarsa akan wannan nau'in na gina jiki. Halin kowane ƙwayar halitta mutum ne, watakila ba za a sami cikakken juyin juya halin a cikin ciki ba idan kun sarrafa abincin ku da nauyi.
Baya ga α-glucosidase, miyagun ƙwayoyi suna hana ƙarfin aiki na lactase, enzyme wanda ke rushe lactose (sukari madara) da 10%. Idan mai ciwon sukari ya lura da rage aiki na irin wannan enzyme, rashin haƙuri ga kayayyakin kiwo (musamman kirim da madara) zai haɓaka wannan sakamako. Abubuwan da ke samar da madara suna da sauƙin sauƙin narkewa.
Mahimmanci sau da yawa rikicewar dyspeptik shine halayen rashin lafiyar fata da kumburi.
Kamar yadda yake da yawancin kwayoyi na roba, zai iya zama fatar jiki, ƙaiƙayi, redness, a wasu yanayi - harda edema na Quincke.
Contraindications da analogues na acarbose
Kada a rubanya Glucobai:
- Marasa lafiya tare da cirrhosis na hanta;
- Tare da ulcerative colitis;
- Game da kumburin ciki (a cikin m ko na kullum);
- Masu ciwon sukari tare da hernia (inguinal, femoral, umbilical, epigastric);
- Iyaye masu juna biyu da masu shayarwa;
- Tare da ciwo na malabsorption;
- marasa lafiya da na kullum na koda cuta.
Akwai 'yan analogues na Glucobay: bisa ga bangaren aiki (acarbose), ana iya maye gurbin shi da Alumina, kuma ta hanyar warkewa - ta Voxide.
Glucobay don asarar nauyi
Yawancin yawancin mutanen duniya tabbas ba su da farin ciki saboda nauyi da adadi. Shin zai yiwu a toshe abubuwan da ake amfani da su na carbohydrates a cikin marasa ciwon sukari idan na yi zunubi tare da abincin? An shawarci masu motsa jiki su “binne kek ko shan kwaya na Glucobay.” Yana toshe amylases na pancreatic, rukuni na enzymes wanda ke rushe polysaccharides zuwa analogs na mono. Duk abin da hanjin bai ɗora ba, yana ɗebo kansa ruwa, yana haifar da zazzabin cizon sauro.
Kuma yanzu takamaiman shawarwari: idan ba za ku iya musun kanku da abubuwan lefe da kayan abinci ba, ku ci allunan Acarbose ɗaya ko biyu (50-100 mg) kafin kashi na gaba na carbohydrates. Idan kana jin cewa kake yawan juye abinci, zaku iya hadiye wani kwamfutar hannu 50 MG. Zawo gudawa tare da irin wannan azabar "abinci", amma ba kamar yadda yake rikita shi ba lokacin da aka rasa nauyi, alal misali, tare da orlistat.
Don haka yana da daraja a “saba wa sunadarai” idan za ku iya sake haɓaka abincin takarce bayan babban biki? Za a inganta gag reflex a cikin wata daya, kuma zaku sake regurgitate a kowane damar, har ma ba tare da ruwa da yatsunsu biyu ba. Abu ne mai wahala kuma mai tsada don kula da irin waɗannan cututtukan, saboda haka ya fi sauƙi don amfani da hanji yayin aiwatar da nauyi.
Glucobay - sake dubawa game da masu ciwon sukari
Don haka yana da daraja ko bai cancanci ɗaukar Glucobai ba? Bari mu fara da yanayin rashin amfani:
- Magungunan ba ya shiga cikin jini kuma ba shi da tasirin tsari a jiki;
- Ba ya tayar da aiki da rufin asirin kansa, don haka babu tsinkewar jiki a tsakanin tasirin sakamako;
- An kafa shi ta hanyar gwaji cewa tsawaita amfani da acarbose sosai rage matakin "mummunan" cholesterol da ƙimar ci gaban atherosclerosis a cikin masu ciwon sukari;
- Tarewa tare da amfani da carbohydrate yana taimakawa sarrafa nauyi.
Akwai 'yan hasara: rashin inganci da rashin dacewar aikin monotherapy, haka kuma ana iya haifar da sakamako masu illa a cikin cututtukan cututtukan cututtukan mahaifa, wanda hakan ke taimakawa wajen sarrafa nauyi da abinci.