Magunguna don ciwon sukari sun bambanta sosai. Waɗannan sun haɗa da magani na Janavia.
Nasarar magani tare da ita ya dogara da yarda da umarnin, saboda haka yakamata ku san menene ƙa'idodinsa.
An ƙera wannan samfurin a Netherlands. Kwamfutar hannu ce tare da tasirin hypoglycemic, wanda aka kirkira akan tushen Sitagliptin. Za'a iya siye magunguna kawai ta hanyar takardar sayan magani.
Abun ciki, sakin saki
Babban bangaren maganin shine sitagliptin. Aikinsa ne ya sa wannan magani ya yi tasiri a cikin ciwon suga. A cikin kantin magunguna zaka iya samun nau'ikan kudade da yawa - gwargwadon yawan abu mai aiki. Yana iya ƙunsar 25, 50 da 100 MG.
Ana hada waɗannan kayan taimako masu zuwa:
- sodium stearyl fumarate;
- alli hydrogen phosphate;
- microcrystalline cellulose;
- croscarmellose sodium;
- stereate magnesium;
- macrogol;
- titanium dioxide;
- foda talcum.
Allunan suna zagaye, biconvex. Launin su beige ne, kowanne an zana shi da "277". An sanya su cikin fakiti mai ɗaukar hoto a cikin adadin 14 inji mai kwakwalwa. Akwatin kwali na iya ƙunsar da irin waɗannan fakiti (2-7).
Pharmacology da pharmacokinetics
Sitagliptin
Tasirin miyagun ƙwayoyi a jikin mutum ya kasance ne saboda halayen kayan aikinsa. Sitagliptin (dabara a cikin hoto) yana ba da gudummawa ga aikin samar da insulin ta hanyar ƙwayar ƙwayar ƙwayar cuta, saboda wanda aka rarraba sukari da aka karɓa a cikin jiki da sauri cikin kyallen.
Increasearin yawan aikin insulin yana shafar hanta, yana hana shi samar da glucose mai yawa. Wannan yana samar da raguwa a cikin taro na sukari a cikin jinin mai ciwon sukari kuma yana inganta halayyar sa.
Rashin kayan aiki yana faruwa da sauri. Wannan sashin ya kai ga iyakar ƙarfinsa na kusan awa ɗaya bayan cin cin Janavia kuma ya ƙara tsawon awanni 3. Hakanan, abu ya fara zama sannu a hankali a cire shi daga jiki, kuma tasirinsa ya raunana.
Sadarwa tare da ƙwayoyin plasma suna samar da adadin sitagliptin kaɗan. Tare da metabolism, kayan aikin kusan ba a canza su ba. Fito da wani sashi na wani sashi na ciki ana yin shi ta hanta. Sauran adadin an cire shi da feces.
Manuniya da contraindications
Dangane da umarnin, wannan magani yana taimakawa tare da nau'in ciwon sukari na 2. Ana iya amfani dashi a hade tare da wasu magunguna ko kuma a cikin nau'in monotherapy, wanda abincin ya inganta.
Amma kasancewar wannan cutar ba yana nufin cewa ya kamata ka fara shan wannan magani nan da nan ba. Ya kamata likita ya tsara maganin bayan gwajin kuma ya yi cikakken bayani game da ka'idodin amfani. Wannan yana da mahimmanci saboda Januvia yana da contraindications, wanda zai iya sanya haɗari don amfani.
Daga cikinsu akwai ambaton:
- ketoacidosis na asalin masu ciwon sukari;
- nau'in ciwon sukari na 1;
- rashin haƙuri ga abun da ke ciki;
- yara da matasa;
- ciki
- lokacin shayarwa.
Haka kuma akwai yanayi wanda za'a iya amfani da samfurin, amma ana buƙatar taka tsantsan. Mafi sau da yawa, ana ba da matakai na musamman ga marasa lafiya waɗanda ke da mummunan cutar koda.
Kwararren likita na iya tsara musu Januvia a gare su, amma dole ne ya kasance da alhakin zaɓi na sashi na miyagun ƙwayoyi. Kari akan wannan, kuna buƙatar lokaci-lokaci don bincika aikin kodan.
Umarnin don amfani
Ya kamata a sha magani sosai kamar yadda likita ya umarta kuma yin la'akari da duk shawarwarin da ya bayar. Yana da muhimmanci sosai a zabi mafi dacewa sashi don kowane yanayi, don kar a tsokani rikitarwa. Musamman kulawa dole ne a biya ƙarin cututtukan da ke gudana.
Yawancin maganin da aka saba amfani dashi, sai dai idan an nuna in ba haka ba, 100 MG ne. Amma don tabbatar da cewa irin wannan sashi ya dace da magani yana yiwuwa ne kawai yayin gwaji.
Cin abinci baya tasiri tasiri na Janavia. saboda haka, zaka iya shan kwayoyin a kowane lokaci. Lokacin yin tsallake yanki na gaba, kar ku ɗauki adadin sau biyu. Kuna buƙatar kawai shan kwaya da zarar kun tuna da ita.
Ko da tare da shawarar likita, kuna buƙatar saka idanu game da lafiyarku da sarrafa matakan glucose, daidaita yanayin magani idan ya cancanta.
Musamman marasa lafiya
Ga wasu marasa lafiya, ba da kyau a yi amfani da ka’idoji na gaba daya ba. Suna da yanayi na musamman. Ba a ba da izinin wakilan wasu kungiyoyi don karɓar Januvia ba; ana buƙatar kulawa ta musamman dangane da wasu.
Wadannan sun hada da:
- Mata masu juna biyu. Babu wani bayani game da tasirin maganin a kan irin wannan marasa lafiya, tunda ba a gudanar da binciken a wannan yankin ba. Don kauce wa haɗarin da ke tattare da haɗari, tare da ciwon sukari a cikin mata masu juna biyu, likitoci sun tsara wasu magunguna.
- Iyayen mata masu shayarwa. Ba'a sani ba ko kayan aiki masu aiki sun wuce cikin madara. A wannan batun, yana da wuya a gano yadda wannan sinadarin zai iya shafar jariri. Saboda haka, tare da lactation, ba shi yiwuwa a yi amfani da Janavia.
- Yara da matasa. Umarni game da miyagun ƙwayoyi ba ya ba da magani ga marasa lafiya da ke ƙasa da shekara 18. Sabili da haka, ana kula da ciwon sukari a cikin irin wannan marasa lafiya tare da wasu hanyoyin.
- Tsofaffi mutane. Ba a dauki Sitagliptin mai haɗari ga mutanen wannan rukuni ba. Idan babu matsalolin kiwon lafiya, ana ba da izinin jadawalin yau da kullun don shan maganin, duk da kasancewar canje-canje masu alaƙa da shekaru a jikin mutum. Amma likita dole ne ya lura da yanayin kulawa musamman a hankali.
A duk sauran yanayin, ya dogara da hoton asibiti na cutar da kuma sifofin jikin mutum.
Umarni na musamman
Mafi sau da yawa, lokacin da ake rubuta magunguna don ciwon sukari, ana ba da matakai na musamman ga marasa lafiya waɗanda ke cikin cututtukan hanta da cututtukan koda. Wannan ya faru ne sakamakon tasirin waɗannan kwayoyi a jikin waɗannan gabobin.
Lokacin amfani da Januvia a cikin waɗannan halayen, dole ne a bi shawarar da ke gaba:
- Game da cutar koda, ya zama dole don daidaita sashi na maganin. Gaskiya ne gaskiya ga marasa lafiya da ke fama da matsanancin rashi na koda. Kuna buƙatar bincika matakin sukari akai-akai kuma ku riƙa bincika koda.
- Tare da cututtukan hanta, kuna buƙatar mayar da hankali kan yanayin mai haƙuri. Mafi sau da yawa, ba a buƙatar daidaita sashi ba idan matsayin ci gaban cutar ba mai tsanani ba. Tare da hadaddun siffofin hanta gazawar, ana bada shawara don barin amfani da wannan kayan aikin.
Wannan magani baya tasiri ga karfin mutum wajen maida hankali da saurin halayensa. Sabili da haka, lokacin amfani da shi, zaku iya shiga cikin kowane irin aiki.
Side effects da yawan abin sama da ya kamata
Ko da lokacin rubuta likita ta magani, akwai yiwuwar sakamako masu illa.
Wadannan sun hada da:
- nasopharyngitis;
- ciwon kai
- yawan tashin zuciya;
- ciwon ciki
- ƙarancin ciki.
Idan an gano su, mai haƙuri ya kamata ya nemi likita don gano yadda haɗarin waɗannan alamun suke. Wani lokacin likita yakan tilasta yin ƙin magani tare da wannan magani daidai saboda sakamako masu illa.
Kusan babu wani bayani game da yawan abin da ya wuce Yunivia. Lokacin ɗaukar babban adadin wannan magani, tasirin sakamako na iya ƙaruwa. Don magance waɗannan abubuwan mamaki, ana amfani da layin na ciki da kuma tasirin sakamako.
Bidiyo na maganin cututtukan ciwon sukari na 2:
Hadin gwiwar Magunguna da Analogs
Idan mai haƙuri ba kawai ciwon sukari ba, to, jiyyarsa yana buƙatar kulawa ta musamman. Ba duk magungunan da za a iya haɗu tare da juna ba, wani lokacin hada wasu magunguna yana haifar da gurɓatar aikinsu.
Ana la'akari da Januvia lafiya a wannan batun, kamar yadda wasu kwayoyi ba su da tasiri a kai.
Changesananan canje-canje a cikin inganci na iya faruwa tare da yin amfani da wannan magani a lokaci guda tare da digoxin da cyclosporine. Ya danganta da yadda ake furta waɗannan canje-canjen, an zaɓi sashi ɗin.
Tun da wannan magani yana da tsada, ana tambayar marasa lafiya sau da yawa don ba su ƙarancin analogues mai rahusa.
Istswararru suna zaɓar su ta hanyoyin masu zuwa:
- Trazenta;
- Galvus;
- Onglisa;
- Nesina.
Duk wani likita ya kamata ya tsara kowane ɗayan waɗannan magunguna bayan yayi nazarin mai haƙuri. In ba haka ba, ci gaban rikitarwa za a iya tsokani. Hakanan yana da mahimmanci a bi ka'idodi don canja wurin mai haƙuri daga magani ɗaya zuwa wani.
Ra'ayoyin likitoci da marasa lafiya
Yin hukunci da sake dubawa, da wuya likitoci suka rubuto takardar sabuwa ne saboda yawan tsadar maganin. A cikin marasa lafiya, magungunan ba su da mashahuri sosai saboda hauhawar farashi da sakamako masu illa.
Na nada Januvius kawai. Wannan kyakkyawan magani ne wanda ke rage yawan matakan glucose. Amma yana da tsada sosai, kuma sau da yawa marasa lafiya suna ƙin hakan. Wadanda suke bayar da ita kyauta ko a kan kari, suma basa gamsu koyaushe, saboda suna da illa. Yanzu, a kan ci gaba mai gudana, biyu kawai na marasa lafiya suna amfani da wannan magani. Ya fi dacewa da su fiye da sauran magunguna.
Elena Dmitrievna, likita
Amfani da wannan magani shine bayan cikakken nazari. Abubuwan da ba a gano ba suna haifar da mummunan sakamako, marasa lafiya suna fama da sakamako masu illa, kuma sakamakon ba komai bane. Amma waɗanda waɗanda maganin su ya dace da su yawanci suna gamsuwa da su, suna yin korafi ne kawai game da babban farashi. Duk akayi daban-daban.
Alexander Borisovich, likita
Ban dauki Januvia na daɗe ba. Magani yana da kyau, ana sa sukari al'ada kuma ba tare da cutarwa ba. Amma yana da tsada mai tsada, na fi son analog mai rahusa.
Irina, shekara 41
Da farko ina so in daina wannan maganin. Na sha wahala cikin rashin bacci da rauni a koda yaushe saboda rashin bacci. Sugar ya koma al'ada, amma na ji mummunan rauni. Kuma sannan ya wuce - a bayyane yake cewa jikin yana amfani dashi. Yanzu komai ya dace da ni.
Sergey, dan shekara 34
Farashin Januvia yana tasiri ne ta hanyar maida hankali akan abu mai aiki da adadin raka'a a cikin kunshin. Don fakiti tare da kashi na Citagliptin a cikin 100 mg (28 inji mai kwakwalwa.), Dole ne ku ba da 2200-2700 rubles.
