Amaryl - Allunan daga masana'antun Jamus tare da tasirin hypoglycemic.
Yi niyya ga masu ciwon sukari na 2.
Taimakawa raguwa a cikin tarowar jini.
Janar halaye, tsari sakin da abun da ke ciki
A kan siyarwa, ana samun magani a cikin magunguna 4, gwargwadon yawan abu mai aiki:
- Allunan mai ruwan hoda - 1 MG
- kore - 2 MG
- hasken rawaya - 3 MG
- bluish - 4 MG
Abubuwan da ke aiki shine glimepiride. Bayan ƙayyadaddun tsari, akwai haɗakar Amaryl M, wanda ya ƙunshi metformin.
Amaryl M yana samuwa a cikin sigogi 2, wanda wakilai masu zuwa na glimepiride / metformin ke wakilta:
- 2 MG / 500 MG
- 1 MG / 200 MG
Ba kamar sabanin da ya gabata ba, an gabatar da Amaril M cikin fararen kaya da kuma tsarin biconvex.
Kasancewa ga abincin da ya dace, tsarin motsa jiki na motsa jiki wanda aka yi niyya don asarar nauyi, ingantaccen ingantaccen magani yana da tabbas ga nau'in ciwon sukari na 2 a cikin waɗannan lambobin:
- nau'in ciwon sukari na 2 wanda ba shi da insulin-insulin-mellitus (kamar monotherapy ko magani hade tare da metformin ko insulin);
- idan ba shi yiwuwa a cimma ikon sarrafa glycemic tare da monotherapy tare da glimepiride ko metformin;
- lokacin maye gurbin maganin warkewa tare da yin amfani da daya hade Amaril M.
Amaryl magani ne mai mahimmanci ga masu ciwon sukari na 2 waɗanda ba sa amfani da insulin.
Umarnin don amfani
Ana amfani da Amaryl daidai da jadawalin da likitocin halartar suka tsara. An zabi kashi a kan wani mutum kuma ya dogara da matakin cutar.
Amaril yana farawa da mafi ƙarancin maganin yau da kullun, wanda shine 1 MG. Ana cinsa da safe lokacin ko bayan karin kumallo. Allunan an wanke Allunan tare da 1⁄2 kofin ruwa.
Idan babu sakamako masu illa, yin la'akari da yanayin mai haƙuri, ƙarin tsarin kulawa tare da Amaril kamar haka: kowane kwanaki 7-14 (likita zai ƙayyade ƙimar karuwa a cikin sashi), sashi yana ƙaruwa da 1 mg kuma ya kai 6-8 mg.
Ana amfani da sigogin karshe na ƙarshe 2 da wuya sosai. Wannan lokacin daga farawa zuwa sashi na gaba - daga ranakun kwana 7-14. Yayin amfani da miyagun ƙwayoyi, saka idanu na yau da kullum game da matakan glucose na jini ya zama tilas.
Lokacin tsallakewar kwaya, ba a bada shawarar ƙarin kashi ba, kuma washegari ɗin ya zama iri ɗaya.
Siffofin aikace-aikace
An haramta Amaryl ga masu juna biyu da masu shayarwa. Wannan ya faru ne saboda shigarwar glimepiride zuwa cikin nono. Yakamata mai haƙuri ya bi maganin insulin.
Ba a fahimci tasirin maganin a kan yara masu ciwon sukari na 2 ba. Abin da ya sa keɓaɓɓen talla a cikin Amaril a cikin yara underan shekaru 18.
An san cewa sashin aiki mai ƙarfi an keɓance ta ta hanjin kodan. Sabili da haka, ba a ba da shawarar maganin ga tsofaffi waɗanda ke fama da cututtukan koda. Ga marasa lafiya masu lafiya, an zaɓi sashi ɗin da kaina, wanda ke da alaƙa da haɗarin rage aikin ƙirar.
Ya kamata masu haƙuri su kasance cikin shiri don gaskiyar cewa hanya ta jiyya za ta yi tsawo.
Bugu da kari, yana da kyau a duba wasu fasali:
- ba da shawarar magani ba
- dauke tare da abinci da wanke ƙasa tare da ruwa mai mahimmanci;
- hadiye duka;
- idan ya cancanta, ya kasu kashi biyu daidai yake;
- sashi rarraba ne da za'ayi da likita, la'akari la'akari da matakai na rayuwa a cikin jiki;
- daidaitawar kashi ya dogara da nauyin jiki, matsayin rayuwa da kuma haɗarin cututtukan hypoglycemia;
- farawa na farko shine 1 MG, koda kuwa an ɗauki wasu magunguna masu yawa.
Idan ya cancanta, likita zai iya ba da madaidaiciyar tsarin kulawa, wanda zai haɓaka tasiri a cikin ƙwayar maganin.
Side effects da yawan abin sama da ya kamata
Ofaya daga cikin tasirin da ba a so shine raguwar sukari na jini zuwa ƙarami, alamomin waɗanda suke:
- jin rauni;
- Dizziness
- ƙagewar ƙafa;
- karin magana;
- jin yunwar;
- tachycardia ko jinkirin bugun zuciya;
- matsaloli tare da ayyukan gani.
Thearfin da keƙar haɗuwa da hypoglycemia, da ƙarin bayyanar da alamun. Wasu lokuta alamomin suna kama da bugun jini, tare da yanayin da bai san halinsa ba da kuma nutsuwa.
Babban aikin wannan matakin shine kawo sauri glucose jini a al'ada.
Sauran sakamako na Amaril:
- Tsarin ciki. Marasa lafiya na fuskantar rashin damuwa, bacci mai wahala, ko yawan bacci. Jin jin gajiya ko tsokanar tashin hankali damuwa. Hankalin maida hankali ne ya lalace, halayen psychomotor ba su ragewa. Marasa lafiya na ji babu taimako. Damuwa, asarar kamun kai, cin amana, gulma, rashin kwanciyar hankali na iya haifar da ciwan ciki.
- Gastrointestinal fili. Tasirin mummunan sakamako na Amaril akan ƙwayar gastrointestinal yana bayyana ta hanyar farfadowa na ciki, tashin hankali na jin zafi a cikin yankin epigastric, tashin zuciya, zawo, bayyanar fata zuwa rawaya, gazawar hanta da hepatitis.
- Hankali. Sakamakon cututtukan kwayoyin suna sa kansu ji a farkon matakin magani. Mai haƙuri yana jin raguwar hangen nesa, wanda ke hade da canje-canje kwatsam a cikin sukari na jini.
- Zuciya. Harin kwatsam cardiac tachycardia, angina pectoris, bradycardia, hauhawar jini, ko bugun zuciya yana nuna matsaloli game da aikin zuciya.
- Jini. Tsarin jini yana canzawa. Anaemia, leukopenia, thrombocytopenia, erythrocytopenia, granulocytopenia, pancytopenia ko agranulocytosis na iya yiwuwa.
- Hypersensitivity na fata. An bayyana shi ta bayyanar urticaria, cututtukan rashin lafiyan ciki. A wannan yanayin, amsawar rashin lafiyan jiki na iya shiga cikin girgiza anaphylactic gigice.
Idan waɗannan alamun alamun yawan ƙwayar cuta ko sakamako masu illa sun faru, mai haƙuri yana buƙatar gaggawa don ganin likita. Taimako na farko mai zaman kanta shine a hanzarta ɗaukar wani sukari, alewa ko shayi mai zaki.
Hadin gwiwar Magunguna da Analogs
Lokacin da aka rubuta wa mara lafiya tare da wasu magungunan amaryl, hulɗarsu ana la'akari da hulɗa:
- insulin da sauran allunan aikin hypoglycemic suna haifar da karuwa a cikin tasirin hypoglycemic na Amaril;
- adrenaline, sympathomimetics - raguwa a cikin tasirin hypoglycemic mai yiwuwa ne;
- reserpine, clonidine, antiamine H2-receptor blockers - bayyanar rashin zaman lafiyar tasirin hypoglycemic mai yiwuwa ne;
- Abubuwan da ke kunshe da Ethyl - dangane da maida hankali kan ethanol a cikin jini, karuwa ko raguwa a tasirin hypoglycemic mai yiwuwa ne.
Za a iya amfani da analogues masu tasirin irin wannan, suna da aiki guda ɗaya kuma ana sayar dasu akan farashi mai araha:
- Canyon Glimepiride. Analog mai araha mai sauƙi na Amaril, wanda aka wajabta don rashin ingancin abincin warkewa da aikin jiki.
- Glimepiride. Magunguna mai kama da Canon tare da kayan aiki guda ɗaya. Yana da contraindications. An haramta amfani da kai. Ctionirƙirar Federationasar Rasha.
- Diamerid. Nau'in maganin ciwon suga guda 2. Nagari a cikin rashin inganci daga abinci da motsa jiki. An haramta nau'in ciwon sukari na 1.
Zabi na analogues ya kamata a danƙa wa kwararrun masani. Ana amfani da kwayoyi bisa ga tsarin. Rashin daidaituwa ta hanyar kwastomomi zai iya haifar da sakamako wanda ba zai yuwu ba ga jiki.
Mai haƙuri ra'ayi
Daga sake duba lafiyar marasa lafiya, ana iya yanke hukuncin cewa Amaryl yana da tasiri sosai, amma yana buƙatar daidaituwa daidai ga sashi, tunda yana da sakamako masu illa da yawa.
Kwanan nan, kamar yadda likita ya tsara, Amaril ya fara ɗauka. Na yi imani da cewa domin samun sakamako daidai, ya zama dole a tsayar da lura da sashi da tsarin kulawa. Da farko, na yi tunanin cewa kwayoyin hana daukar ciki ba su dace da ni ba, saboda alamomin sukari na karɓa na jini ko da bayan shan Amaril sun yi yawa. Amma bayan ya kara sashi, Amaril yayi aikinshi kuma ya tabbatar da inganci.
Oleg, ɗan shekara 39, Voronezh
Akan shan allunan Amaril, Ina so in faɗi waɗannan. Ba na ba da shawarar aiwatar da gwaje-gwaje a matakan glucose tare da taimakon Amaril ba, tunda cutarwar da aka yi wa jikin na iya zama wanda ba za a iya rarrabewa ba. Pauki magungunan a karkashin kulawa na likita. Misali, ban da shawarar kwararrun likitocin, na yi karatu a makarantar masu ciwon suga, wanda ya ba ni dama in kimanta kuma in ji tasirin kwayar a jikin mutum.
Inna, shekara 36, Moscow
An ɗauka Amaryl bisa ga tsarin. Yadda nake dashi ta likita shine 2 MG. Bugu da kari, Ina shan siaphor sau 2 a rana. Yawan jini shine 6-6.5, da yamma yakan sauka zuwa 3.9. Na ji dadi sosai, amma likita ya rage sashi na Amaril. Ba za ku iya yin wasa da waɗannan kwayoyin ba - akwai sakamako masu illa da yawa.
Igor, dan shekara 45, Chelyabinsk
Abubuwan bidiyo akan alamun nau'in ciwon sukari na 2:
Ina aka sayar da maganin?
Amaryl magani ne da ake siyarwa a cikin cibiyar sadarwa ta kowane birni. Farashin ya tashi daga 238 rubles. har zuwa 2550 rubles, wanda ya dogara da sashi na glimepiride mai aiki da adadin allunan a cikin kunshin.
Zaka iya siyar da ƙarancin kwayoyi a farashi mai ƙanƙantar da kan na kantin magani ta shagon kan layi. Lokacin sayen magunguna, kula da asalin sa, tunda akwai abubuwa da yawa na samo jabun kuɗi.