Maninil magani ne tare da tasirin hypoglycemic, wanda aka yi niyya don gudanar da maganin bakin mutum idan ba a kula da ciwon sukari na-insulin-insulin-ciki ba (nau'in 2).
Wakili ne na asalin abubuwan da suka samo asali na sulfonylurea (PSM).
Kamar sauran magunguna na hypoglycemic, Maninil yana da analogues a Rasha da kasashen waje - mai rahusa kuma ya fi tsada, bi da bi.
Siffar
Yin aiki a matsayin mai kula da metabolism na glucose metabolism, Manin, lokacin da aka saka shi, yana ƙaruwa da hankalin mai karɓar insulin-mai karɓa, yana ƙarfafa sakin insulin ƙwayoyin cuta daga ciki.
Bugu da kari, yana hana hepatic gluconeogenesis da glycogenolysis, yana hana glucose lipolysis, kuma yana rage hawan jini. Matsakaicin sakamako na hypoglycemic wanda ƙwaƙwalwar ta haifar 2 sa'o'i bayan gudanarwa shine kusan awa 12.
Allunan Glibenclamide Maninyl 3.5 MG
Abubuwan da ke aiki da sukari mai narkewa na Maninil - glibenclamide, wanda aka gabatar a cikin nau'in micronized, yana da sakamako mai laushi, yana saurin rikicewa cikin ciki da kashi 48-84%. Bayan shan magungunan, cikakken sakin glibenclamide yana faruwa a cikin mintina 5. Sashin aiki mai aiki ya rushe gaba daya a cikin hanta kuma kodan da bile suka keɓe shi.
Ana samar da miyagun ƙwayoyi a cikin hanyar kwamfutar hannu tare da maida hankali daban-daban na kayan aiki 1 kwamfutar hannu:
- 1.75 MG;
- 3.5 MG;
- 5 MG
Allunan suna da siraran-silima a sifa, tare da chamfer da alama ana amfani da ɗayan saman, launi yana ruwan hoda.
Wanda ya ƙera wannan magani shine FC Berlin-Chemie, a cikin kantin magunguna ana siyar dashi ta hanyar sayan magani. An tattara magungunan a cikin kwalaben gilashin gilashi, kwayoyi 120 kowannensu. a kowane, kwalabe kansu suna bugu da packedari suna cushe a cikin kwali kwali. Karatun Latin don Maninil kamar haka: Maninil.
Alamu don amfani
An nuna manilin don bayyanar cututtuka na nau'in insulin-mai raba-jini na ciwon sukari mellitus (na nau'in na biyu). Ana iya tsara shi azaman kashi mai zaman kansa ko a hade tare da sauran magungunan cututtukan jini. Banda shi ne haɗin gwiwa tare da glinides da abubuwan samo asali na sulfonylurea.
Siffofin sashi da gudanarwa
An bada shawarar shigar da Maninil abinci kafin a ci abinci, a wanke a rage cin abinci.
Ana amfani da sashi na yau da kullun ta hanyar lura da endocrinologist daban-daban:
- idan ba ta wuce allunan 2 a rana ba, to ya kamata a sha miyagun ƙwayoyi sau ɗaya, zai fi dacewa da safe - kafin karin kumallo;
- lokacin rubuta mafi girma sashi, ana yin amfani da maganin a cikin allurai 2 - da safe - kafin karin kumallo da maraice - kafin abincin dare.
Abubuwan da ke ƙayyade abubuwan zaɓin tsarin kulawa sune yawan shekaru, tsananin cutar, da kuma haɗuwar glucose a cikin jini akan komai a ciki da bayan cin abinci bayan 2 hours.
Game da ƙarancin tasiri na maganin da likita ya wajabta, ana iya yanke shawara don ƙara shi. Ana aiwatar da matakan ƙara yawan ƙwayoyi zuwa matakin mafi kyau duka a hankali - daga kwanaki 2 zuwa 7, koyaushe ƙarƙashin kulawar likita.
Game da canzawa zuwa Maninil daga wasu shirye-shiryen magunguna tare da tasirin maganin hypoglycemic, an tsara aikinsa a cikin daidaitaccen matakin farko, idan ya cancanta, ya ƙaru, ana yin shi sauƙaƙe kuma ana keɓance shi musamman a ƙarƙashin kulawar likita.
Tabbataccen Siffar Maninil:
- dauke da 1.75 MG na aiki mai aiki - shine allunan 1-2 sau daya a rana. Matsakaicin kashi bai wuce 6 Allunan a kowace rana;
- mai dauke da nauyin MG 3,5 na kayan aiki - 1 / 2-1 kwamfutar hannu sau ɗaya a rana. Matsakaicin sashi shine allunan 3 a kowace rana;
- dauke da 5 MG na aiki mai aiki - shine tablet-1 kwamfutar hannu sau 1 a rana. Matsakaicin adadin izuwa tsawon rana shine allunan 3.
Tsofaffi (fiye da shekara 70), waɗanda ke yin biyayya ga ƙuntatawa na abinci, kazalika da waɗanda ke fama da matsanancin ƙwayar cutar hanta ko hanta, ana ba da shawarar yin amfani da rage yawan magunguna saboda barazanar hauhawar jini.
Side effects
Ba a iya ganin bayyanar rikice rikice a cikin tsarin wasu tsare-tsare yayin gudanar da aikin Maninil. Abubuwan da ba a bayyana ba mai yiwuwa ne:
- daga cututtukan mahaifa - a cikin nau'i na tashin zuciya, belching, jin wani nauyi a cikin ciki, bayyanar da dandano mai ƙarfe a bakin, zawo;
- daga hanta - a cikin nau'i na kunna wucin gadi na enzymes hanta, haɓakar cholestasis na intrahepatic ko hepatitis;
- daga gefen metabolism - a cikin nau'in hauhawar nauyi ko hypoglycemia tare da alamomin halayyar sa - rawar jiki, karuwar gumi, tashin hankalin bacci, damuwa, migraine, hangen nesa ko magana;
- a kan wani rigakafi - a cikin nau'ikan halayen rashin lafiyan fata ga fatar - petechiae, itching, hauhawar jini, daukar hoto da sauran su;
- daga tsarin hematopoietic - a cikin nau'in thrombocytopenia, hemolytic anemia, erythrocytopenia;
- a wani bangare na gabobin gani - a cikin nau'in cin zarafin masauki.
Mahimmin mahimmanci yayin ɗaukar Maninil shine tsananin bin umarnin likita game da cin abinci da kulawar glucose ta jini. Game da yawan abin sama da ya kamata, yawan cututtukan jini tare da alamun halayyar mai yiwuwa ne.
Game da alamu masu laushi masu yawa, ana bada shawarar cin sugaran sukari kaɗan ko abinci mai cike da ƙwayoyin carbohydrates a saukake. Game da nau'ikan cututtukan ƙwayar cuta fiye da kima, ana wajabta iv na maganin glucose. Madadin glucose, IM ko ƙananan allurar glucagon sun halatta.
Hadarin hypoglycemia yana ƙaruwa idan:
- shan giya;
- karancin carbohydrates;
- dogon hutu tsakanin abinci;
- amai ko ciwon ciki;
- tsananin motsa jiki.
Ana iya rufe alamun cututtukan hypoglycemia yayin shan Maninil tare da magunguna waɗanda ke shafar tsarin juyayi na tsakiya ko kuma zasu iya rage karfin jini.
Iyakokin da contraindications
Lokacin yin jiyya tare da Maninil, ana bada shawara don guje wa bayyanar rana, tare da taka tsantsan yayin motsa mota, yin wasu waɗanda ke buƙatar kulawa, maida hankali, kazalika da ayyukan amsawa da sauri.
Hannun ƙwayar cutar hypoglycemic wani abu ne wanda ya haɗu da haɗarin kasancewar:
- ciwon sukari da ke dogaro da insulin;
- gazawar hanta;
- toshewar hanji;
- mai ciwon sukari mai ciwon sukari;
- coma mai fama da cutar sankara ko precoma;
- paresis na ciki;
- leukopenia;
- rashin lactose da rashin lactase;
- susara yawan mai saukin kamuwa zuwa ɓangaren aiki - glibenclamide ko wasu abubuwan da aka gabatar a cikin abubuwan da ke cikin ƙwayar;
- hypersensitivity ga PSM, kazalika da sulfonamides da diuretics wadanda ke ƙunshe da abubuwan groupungiyar sulfonamide;
- cirewar koda.
Cancel Maninil da maye gurbinsa da insulin an yi shi idan:
- cututtukan cututtuka da ke tattare da bayyanuwar ɓarna;
- shisshigi cikin rikici;
- ƙonewa mai yawa;
- raunin da ya faru
- ciki ko bukatar shayarwa.
Tare da taka tsantsan, wannan magani ya kamata a ɗauka a gaban dysfunctions na thyroid gland shine yake, adrenal cortex, m maye sakamakon giya ya sha.
Yadda za a maye gurbin Maninil: analogues da farashi
Kamar yawancin magunguna, Maninil yana da alaƙa da alamun analogues. Tasirin kama ɗaya yana da magunguna masu yawa na rage sukari, kayan aiki mai aiki wanda shine glibenclamide.
Maninyl 3,5 analogues yana da masu zuwa:
- Glibomet - daga 339 rubles;
- Glibenclamide - daga 46 rubles;
- Maninil 5 - daga 125 rubles.
Kwayoyin kwayar cutar Glybomet
Marasa lafiya dangane da analogues suna da tambayoyi da yawa, alal misali, wanne ya fi kyau - Maninil ko Glibenclamide? A wannan yanayin, kowane abu mai sauƙi ne. Glibenclamide shine Maninil. Na biyu kawai shine babban fasahar musamman milled nau'i na farko.
Wanne ne mafi kyau - Maninil ko Glidiab? A wannan yanayin, babu amsar gaskiya, tunda da yawa ya dogara da halayen mutum ne na mai haƙuri.
Analogues na Maninil don nau'in ciwon sukari na 2 ta hanyar warkewa:
- Amaril - daga 350 rubles;
- Vazoton - daga 246 rubles;
- Arfazetin - daga 55 rubles;
- Glucophage - daga 127 rubles;
- Lista - daga 860 rubles;
- Ciwon sukari - daga 278 rubles;
- Xenical - daga 800 rubles;
- da sauransu.
Sharuɗɗan da yanayin ajiya
Magungunan hypoglycemic Maninil yana iya kiyaye kaddarorin warkarwa na tsawon shekaru 3, muddin an adana shi a zazzabi a ɗakuna, a cikin wani wuri mai kariya daga haske da yara.
Bidiyo masu alaƙa
Akwai kwayoyin hana karfi fiye da Maninil? Game da duk rukuni na kwayoyi da ake amfani da su don kamuwa da cuta a cikin bidiyo:
