Masu ciwon sukari na 2 masu ciwon sukari dole su ɗauki magungunan hypoglycemic don rayuwa don kula da lafiyar al'ada da kuma hana rikicewar cutar.
Yawancin likitoci suna ba da shawara ta amfani da Actos. Wannan jerin thiazolidinedione ne na baka. An tattauna halaye da sake duba wannan maganin a cikin labarin.
Abun da magani
Babban aiki na Actos shine pioglitazone hydrochloride. Abubuwa masu taimako sune lactose monohydrate, magnesium stearate, alli carboxymethyl cellulose, hydroxypropyl cellulose.
Actos 15 MG
Ana samar da miyagun ƙwayoyi a cikin nau'in kwamfutar hannu. Akwai Allunan waɗanda ke ɗauke da ƙwayar aiki a cikin adadin 15, 30 da 45 MG. Capsules zagaye ne a sifa, biconvex, suna da fararen launi. "ACTOS" an narkar da ita a gefe ɗaya, kuma "15", "30" ko "45" a ɗayan.
Alamu
Actos an yi shi ne domin lura da mutanen da ke fama da cutar sankara ta mellitus na nau'in insulin. Ana amfani dashi a hade tare da wasu ƙwayoyin capsules waɗanda ke motsa samar da insulin, injections na hormone, ko azaman monotherapy.
Umarnin don amfani
Ga kowane mara lafiya, likita ya zaɓi kashi ɗaya daban. Ana ɗaukar allunan a baka da gilashin ruwa.
Ana amfani da kashi da aka zaɓa sau ɗaya a rana, ba tare da la'akari da abincin ba. Don monotherapy, daidaitaccen sashi shine 15-30 mg. Idan ya cancanta, an ba shi damar kawo har zuwa 45 MG a kowace rana (sannu a hankali).
Lokacin shan kwayoyin a kan komai a ciki, ana gano pioglitazone a cikin ƙwayar magani bayan rabin sa'a, kuma ana lura da matsakaicin aikin bayan 'yan sa'o'i biyu. Abinci yana haifar da ɗan jinkiri (na tsawon awanni 1-2) har ya kai ga yawan abin da ya ƙunsa a cikin ruwan.
Amma abinci baya canza cikar shanshi. Yana faruwa cewa magani ɗaya bai isa ba. Sannan endocrinologist ya zaɓi maganin haɗin gwiwa.
Dangane da batun haɗin gwiwa, sashi na Aktos ya dogara da magungunan da aka ɗauka a layi daya:
- lokacin da aka samar da maganin sulfonylurea, metformin, sannan an sanya pioglitazone ya sha tare da 15 ko 30 MG. Idan yanayin hypoglycemic ya faru, to za a rage sashi na metformin ko sulfonylurea. Kodayake a hade tare da metformin, haɗarin haɓaka yanayin hypoglycemic yana da ƙaranci;
- idan aka haɗu da insulin, kashi na farko na Actos shine 15-30 mg. Ana amfani da insulin a satin da ya gabata ko rage shi zuwa 10-25% tare da haɓakar ƙwayar cuta. Ana yin ƙarin gyara don yin la'akari da matakin glucose a cikin jini.
Babu bayanai game da amfani da Actos a layi daya tare da shirye-shiryen thiazolidinedione. Lokacin amfani da maganin haɗin gwiwa, matsakaicin sashi shine 30 MG kowace rana, a cikin yanayin monotherapy - 45 MG. Idan mai haƙuri yana da gazawar koda, ba a buƙatar daidaita sashi ba.
Actos zai iya rage tasirin maganin hana haifuwa. Lokacin da aka haɗu tare da digoxin, glipizide, metformin, da kuma maganin rashin daidaituwa, ba a yin canje-canje ga magunguna da kuma magunguna. Ketoconazole yana da sakamako mai hanawa aiki akan metabolism na pioglitazone.
Likitoci suna kimanta tasirin magani tare da allunan ta hanyar HbAic. Agentaukar wakili na jini, ana buƙatar sarrafa aikin kodan, zuciya da hanta.
Idan mummunan keta ayyukan waɗannan gabobin ya faru a lokacin jiyya, nan da nan sai a soke magungunan kuma a zaɓi magani mai inganci.
Idan mai haƙuri yayi amfani da ketoconazole a lokaci guda kamar yadda Actos, to, yana da kyau a sarrafa matakin glucose a cikin ƙwayar. Idan akwai batun yawan zubar da ruwa, akwai haɗarin hauhawar jini. Magungunan rigakafi ba ya wanzu, saboda haka ana yin maganin cututtukan fata.
Adana Aktos a zazzabi na +15 zuwa +30 a cikin bushe da duhu, nesa da yara. Bayan ranar karewa, an zubar da maganin.
Kafin amfani, mai haƙuri ya kamata ya saba da yiwuwar sakamako masu illa yayin magani. Wadannan sun hada da:
- take hakkin amincin hakora;
- anemia
- sinusitis
- haɓaka ayyukan CPK, ALT;
- hypoglycemia;
- myalgia;
- pharyngitis;
- ciwon kai
- nakasa zuciya (mafi yawan lokuta tare da hadewar Actos da metformin);
- rage ƙarancin gani na gani sakamakon ci gaba da haɓakar cutar macular edema;
- rage hematocrit.
Irin wannan canje-canje yakan bayyana ne bayan watanni 2-3 na jiyya. Matan da ke fama da insulin juriya da kwayar halittar jini a cikin lokacin haila na da hadarin kamuwa da juna biyu.
Yayin jiyya, ƙarar jini na iya ƙaruwa, hauhawar ƙwayar zuciya a sakamakon preload na iya haɓaka. Kafin farkon farawar jiyya da kowane watanni biyu na magani a cikin shekarar farko ta ɗaukar allunan, ya kamata a kula da ayyukan ALT.
Contraindications
Bai kamata a zabi Actos don lura da marasa lafiya ba:
- a karkashin shekara 18;
- lokacin shayarwa (ba a kafa shi ba ko an sanya pioglitazone hydrochloride tare da madara nono);
- tare da gano cutar ketoacidosis na ciwon sukari;
- tare da nau'in insulin-mai fama da ciwon sukari;
- tare da mummunan rauni na zuciya (digiri 3-4);
- lokacin daukar ciki (karatun da ya shafi lafiyar shan Aktos yayin haihuwar jariri ba a aiwatar da shi ba);
- tare da ciwo na edematous;
- a cikin abin da hypersensitivity to pioglitazone hydrochloride ko kayan taimako na Allunan an lura.
Tare da taka tsantsan, an wajabta magani ga mutane tare da:
- hauhawar jini;
- anemia
- karancin lalacewa;
- cututtukan edematous;
- cututtukan zuciya da na jijiyoyin jini;
- bugun zuciya na matakin farko;
- cardiomyopathy;
- gazawar hanta.
Kudinsa
Ana bayar da maganin ne kawai ta hanyar takardar sayan magani. Kudin Aktos sun bambanta tsakanin 2800-3400 rubles.
Farashi ya dogara da sashi, yawan ragi a cikin magunguna na birni. Don haka, kayan haɗi na Allunan 28 tare da aiki mai mahimmanci na 30 MG farashin kimanin 3300 rubles. Fakitin da ke riƙe capsules 28 na 15 MG kowane yana ɗaukar matsakaicin 2900 rubles.
Babban farashin yana faruwa saboda gaskiyar cewa an shigo da magunguna (an samar da shi a Ireland). Ba a sayar da allunan rigakafin ƙwayoyin jini a cikin dukkan magunguna na birni da yanki ba. Neman magani yana da sauki tare da kundayen kan layi.
Akwai albarkatun da za su ba ku damar samun duk bayanan game da magunguna: farashi, kasancewa a cikin kantin magani. Hakanan zaka iya yin odan magani a cikin kantin magani na kan layi. Anan farashin ya fi araha.
Ana bada shawara don neman magani a cikin tallan da talakawa ke sanyawa. A yau akwai wasu rukunoni na musamman waɗanda aka tsara don ƙaddamar da duba sanarwar tallace-tallace.
Nasiha
Game da hypoglycemic wakilin Aktos sake dubawa na marasa lafiya da ciwon sukari suna hade. Wadancan mutanen da suka yi amfani da magunguna na asali sun ce akwai ƙarancin halayen masu illa da babban tasiri. Akwai maganganun mara kyau: marasa lafiya sun lura da bayyanar cututtukan bugu mai ƙima da hauhawar nauyi, lalatawar haemoglobin.
Masu zuwa anan sake dubawa ne game da marasa lafiya da ke daukar Actos:
- Pauline. Ina da shekara 60. Akwai ƙishirwa bayan cin abinci da kuma rasa nauyi mai yawa. Dangane da sakamakon binciken, likitan ya gano ciwon sukari mellitus kuma ya ba da allurai 30 na Aktos sau ɗaya a rana. Wadannan kwayoyin sun inganta nan da nan. Na shayar da su tsawon watanni biyu yanzu, ana kiyaye matakin glucose a cikin kewayon al'ada. Ban lura da wani mummunan halayen ba yayin magani;
- Eugene. Ina da nau'in ciwon sukari na 2 a shekara ta takwas. Kwanan nan na sauya zuwa Aktos tare da allunan Siofor. Ina jin dadi. Iyakar abin da ba shi da kyau shine cewa suna da tsada kuma ba a sayar da su a cikin dukkanin kantin magunguna;
- Tatyana. Tuni watanni biyu akan Aktos. A baya can, matakin glycemia ya kasance mai girma: glucometer ya nuna 6-8 mmol / l. Yanzu yayin rana sukari bai wuce alamar 5.4 mmol / L ba. Sabili da haka, Na ɗauki Aktos magani mai kyau;
- Valeria. Ina amfani da Aktos a hade tare da insulin. Gwajin jini a yayin aikin jiyya ya inganta, babu hyperglycemia. Amma ta lura cewa ta warke, kanta ta yi taushi lokaci-lokaci. Saboda haka, Na yi niyyar maye gurbin waɗannan kwayoyi tare da wasu.
Bidiyo masu alaƙa
Game da nau'ikan magungunan da ake amfani da su don kamuwa da cuta a cikin bidiyo:
Saboda haka, Actos yana rage yawan ƙwayar cutar glycemia a cikin plasma, buƙatar insulin. Amma maganin cututtukan jini ba ya dace da kowa ba, kuma ba koyaushe ake haƙuri da shi a matsayin ɓangare na maganin haɗin gwiwa ba.
Sabili da haka, bai kamata kuyi gwaji game da lafiyar ku ba kuma ku sayi magani akan shawarar abokai. Ya kamata shawarar da ta yanke shawara game da bayar da shawarar kula da masu ciwon sukari da Actos.
