Diabeton MV 60 MG: umarnin don amfani, farashi, bita

Abun ciki da nau'i na saki

Ana haifar da ciwon sukari MV a cikin nau'ikan allunan da ke da daraja da kuma rubutu "DIA" "60" a garesu. Abunda yake aiki shine gliklazid 60 mg. Abubuwan taimako: magnesium stearate - 1.6 mg, anhydrous colloidal silicon dioxide - 5.04 mg, maltodextrin - 22 mg, hypromellose 100 cP - 160 mg.

Haruffa "MV" da sunan Diabeton an barsu azaman sakewa da aka sake, i.e. a hankali.

Mai masana'anta: Les Laboratoires Servier, Faransa

Ta yaya ciwon sukari MV

Ciwon sukari yana nufin sulfonylureas na ƙarni na 2. Yana kunna fitsari da kwayoyin sel wadanda ke da alhakin samar da insulin. Inganci idan sel suna aiki ko ta yaya. An tsara miyagun ƙwayoyi bayan bincike don c-peptide, idan sakamakon ya kasance kasa da 0.26 mmol / L.

Sakin insulin lokacin shan gliclazide yana kusan kusa da ilimin kimiya kamar yadda zai yiwu: ganuwar rufin asiri an dawo dashi a martanin dextrose yana shiga cikin jini daga carbohydrates, ana inganta haɓakar hormone a cikin lokaci 2.

Pharmacokinetics

Bayan gudanar da maganin baka, Diabeton yana tunawa da komai. Anaruwar yawan aiki a cikin jini yana ɗaukar sa'o'i 6 kuma ana iya kiyaye shi a matakin da aka cimma har zuwa awa 12.

Sadarwa tare da ƙwayoyin plasma sun kai 95%, ƙarar rarraba shine 30 l. Don kula da maida hankali a cikin ƙwayar plasma na tsawon awanni 24, maganin ya isa ya ɗauki kwamfutar hannu 1 sau 1 a rana.

Rushewar abu yana gudana ne a cikin hanta. Farin ciki da kodan: metabolites suna cikin sirri, <1% suna fitowa ta asali. Ana kawar da ciwon sukari wato MV daga jikin mutum da rabi a cikin awanni 12 zuwa 20.

Alamu don amfani

• Diabeton MV (60 MG) (60 MG) ne ke bayar da umarnin likita don masu ciwon sukari na II, lokacin da kayan abinci da aka tsara musamman da aikin jiki basu da tasiri.
• Hakanan ana amfani dashi don hana rikicewar cututtukan ciwon sukari: rage haɗarin macrovascular (bugun jini, infarction myocardial) da microvascular (retinopathy, nephropathy) rikitarwa a cikin marasa lafiya da ke fama da ciwon sukari na 2.

Contraindications

• Type I ciwon sukari
• rashin haƙuri ga gliclazide, sulfonylurea da abubuwan sulfonamide, lactose;
• galactosemia, glucose-galactose malabsorption;
• hawan jini da jikin ketone;
• a cikin siffofin mai girma na koda da hepatic kasawa, Diabeton ne contraindicated;
• yara da balagagge
• lokacin haihuwa;
• shayarwa;
• yanayin kamuwa da cutar siga da gudawa.

Ciki da shayarwa

Ba a gudanar da bincike kan mata masu matsayi ba; kuma babu bayanai kan illolin gliclazide ga jaririn da ba a haifa ba. A lokacin gwaje-gwajen kan dabbobi masu gwaji, ba a sami wani damuwa a ci gaban amfrayo ba.

Idan ciki ya faru yayin shan Diabeton MV, to ana soke shi kuma an canza shi zuwa insulin. Guda ɗaya ke yin shiri. Wannan ya zama dole don rage damar haɓakar rashin daidaituwa na rashin haihuwa a cikin jariri.

Yi amfani yayin shayarwa

Babu wani ingantaccen bayanin da ya dace game da haifar da ciwon sukari a cikin madara kuma akwai yuwuwar haɗarin haɓakar cutar haihuwar cikin jariri, an haramta shi yayin shayarwa. Lokacin da babu wani zabi don kowane dalili, ana canza su zuwa ciyarwar ta wucin gadi.

Umarnin don amfani

Diabeton MV ne kaɗai ke da izinin ɗaukar manya. Yanayin aiki ana aiwatar da shi sau 1 a rana da safe tare da abinci. An saita sashi na yau da kullun ta likita, mafi girmansa na iya kaiwa 120 MG. Ana wanke kwamfutar hannu ko rabinsa tare da gilashin ruwa mai tsabta. Kada ku tauna ku niƙa.

Idan kun tsallake kashi 1, ba a karɓar kashi biyu.

Sigar farko

A farkon farawa, daidai yake da rabin kwamfutar hannu, i.e. 30 MG Idan ya cancanta, yawan Diabeton MV sannu a hankali yana ƙaruwa zuwa 60, 90 ko 120 MG.

An tsara sabon sashi na miyagun ƙwayoyi sama da 1 ga wata bayan ƙaddamar da wanda ya gabata. Banda su mutane ne wadanda yawan taro glucose na jini baya canzawa bayan makonni 2 daga kashi na farko. Ga irin waɗannan marasa lafiya, sashi yana ƙaruwa bayan kwanaki 14. Ga marasa lafiya waɗanda suka girmi shekaru 65, ba a buƙatar gyara.

Amincewa da sauran magungunan antidiabetic

Ana yin la'akari da allurai na da magungunan da suka gabata da lokacin fitowar su cikin lissafi. Da farko, maganin shine 30 MG, an daidaita shi daidai da glucose a cikin jini.

Idan Diabeton MV ya zama madadin magani tare da dogon lokaci, ana dakatar da kashi na ƙarshe na kwanaki 2-3. Maganin farko shine 30 MG. Mutanen da ke fama da cutar koda ba su buƙatar daidaita sashi.

Kungiyar Hadarin:

1. Yanayin hypoglycemic saboda ƙarancin abinci mai gina jiki.
2. Abun ciki da karancin ciki, karancin rashin isowar hormones.
3. Dakatar da shan corticosteroids bayan jiyya ta tsawan lokaci.
4. Wata mummunar cuta na jijiyoyin zuciya, sanya filayen cholesterol a jikin bangon carotid arteries.

Side effects

Lokacin shan Diabeton a hade tare da cin abincin er er, hypoglycemia na iya faruwa.

Alamomin ta:

• ciwon kai, mara nauyi, tsinkaye mara kyau;
• jin yunwar kullun;
• tashin zuciya, amai
• rauni na gaba daya, hannayen da ke rawar jiki, kasala;
• rashin damuwa, rashin jin daɗi;
• rashin bacci ko tsananin bacci;
• asarar sani tare da yuwuwar coma.

Hakanan za'a iya gano halayen da zasu biyo bayan shan mai zaki:

• Jin zafi mai yawa, fatar jiki ta zama mai ɗorawa ga taɓawa.
• Hawan jini, bugun zuciya, arrhythmia.
• Sharp pain a cikin yanki kirji saboda karancin jini.

Sauran tasirin da ba'a so:

• bayyanar cututtuka na dyspepti (zafin ciki, tashin zuciya, amai, gudawa ko maƙarƙashiya);
• halayen rashin lafiyan yayin shan Diabeton;
• raguwa a cikin adadin leukocytes, platelet, yawan granulocytes, maida hankali na haemoglobin (canje-canje ana juyawa);
• haɓaka ayyukan enzymes na hepatic (AST, ALT, alkaline phosphatase), maganganun keɓewa na hepatitis;
• rikicewar tsarin gani yana yiwuwa a farkon maganin cutar sankara.

Yawan damuwa

Tare da yawan yawan ruwan sama na masu ciwon sukari, za a iya samun hauhawar yanayin haila. Idan hankali ba shi da matsala kuma babu alamun ciwo mai mahimmanci, to ya kamata ku sha ruwan zaki ko shayi tare da sukari. Don haka cewa hypoglycemia baya dawowa, kuna buƙatar ƙara adadin carbohydrates a cikin abincin ko rage sashi na miyagun ƙwayoyi.

Ana buƙatar asibiti yayin da yanayin rashin ƙarfi na hypoglycemic ya inganta. Ana gudanar da maganin glucose na 50 ml 40% na ciki a cikin mara haƙuri. Don haka, don kula da taro na glucose sama da 1 g / l, 10% dextrose yana narkewa.

Yin hulɗa tare da wasu magunguna

Magunguna waɗanda ke ƙara tasirin gliclazide

Magungunan antifungal Miconazole an hana shi. Theara yawan haɗarin haɓaka halin haɓakar cuta, har zuwa hauhawar jini.

Amfani da masu ciwon sukari tare da magungunan anti-steroidal anti-inflammatory Phenylbutazone ya kamata a haɗa su a hankali. Tare da amfani da tsari, yana rage jinkirin kawar da magunguna daga jiki. Idan shan ciwon sukari ya zama dole kuma ba shi yiwuwa a musanya shi da komai, daidaitawa na kwalliyar gliclazide yana faruwa.

Al'adar giya ta Ethics ta kara dagula yanayin zubar jini tare da hana biyan diyya, wanda ke taimakawa ci gaban kwaroron roba. A saboda wannan dalili, yana da kyau a ware barasa da kwayoyi masu dauke da ethanol.

Hakanan, haɓaka yanayi na rashin daidaito tare da amfani da shi ba tare da kulawa da cutar sankara ba yana taimakawa ga:

• Bisoprolol;
• Fluconazole;
• Kyaftin
• Ranitidine;
• Moclobemide;
• Sulfadimethoxine;
• Phenylbutazone;
• Metformin.

Jerin yana nuna takamaiman misalai kawai, sauran kayan aikin da suke cikin rukuni ɗaya kamar waɗanda aka lissafa suna da sakamako iri ɗaya.

Kwayoyi masu rage cutar kansa

Kada ku ɗauki Danazole, as yana da sakamako masu ciwon sukari. Idan liyafar ba zata iya sokewa ba, gyaran gliclazide ya zama dole don tsawon lokacin maganin da kuma lokacin da yake bayanta.

Kulawa da hankali yana buƙatar haɗuwa tare da maganin ƙwayar cuta a cikin manyan allurai, saboda suna taimakawa wajen rage yawan toshewar kwayar halitta da kuma kara glucose. Zaɓin kashi na Diabeton MV ana yin su duka yayin aikin jiyya da kuma bayan cirewa.

A cikin jiyya tare da glucocorticosteroids, maida hankali na glucose yana ƙaruwa tare da yiwuwar rage karfin haƙuri.

Β2-adrenergic agonists yana kara yawan glucose. Idan ya cancanta, ana tura mai haƙuri zuwa insulin.

Haɗuwa ba za a yi watsi da su ba

A lokacin jiyya tare da warfarin, Diabeton na iya ƙaruwa da sakamako. Wannan yakamata ayi la'akari dashi tare da wannan haɗin tare da daidaita yawan maganin anticoagulant. Ana iya buƙatar daidaita sashi na karshen.

Umarni na musamman

Hypoglycemia

Yana da kyau a ɗauki Diabeton MV kawai ga mutanen da ke cin abinci masu daidaituwa kuma a kai a kai ba tare da tsallake wani muhimmin abincin ba - karin kumallo. Carbohydrates a cikin abincin suna da mahimmanci, saboda haɗarin haɓaka yanayin rashin daidaituwa na haɓaka daidai tare da amfani mara amfani na yau da kullun, tare da rage cin kalori mai yawa.

Alamar rashin lafiya na iya dawowa. Tare da alamu mai tsanani, koda kuwa akwai ci gaba na ɗan lokaci bayan abincin carbohydrate, ana buƙatar kulawa ta musamman, wani lokacin har zuwa asibiti.

Don hana wannan daga faruwa, ya kamata a hankali kusanci zaɓi na sashi na Ciwon sukari.

Magungunan da ke kara haɓakar haɗarin hauhawar jini:

1. Rashin biyan bukata da kuma rashin iyawa sun bi umarnin likita.
2. Rashin abinci mai gina jiki, abinci mai tsallakewa, yajin abinci
3. Babban aiki na jiki tare da adadin adadin carbohydrates suna cinyewa.
4. Rashin wahala.
5. Yawan yawan adadin gliclazide.
6. Cutar thyroid.
7. Shan wasu magunguna.

Renal da hanta ta gaza

Kaddarorin kayan sun canza saboda cututtukan hepatic da gazawar na koda. Za'a iya tsawan yanayin hypoglycemic, maganin gaggawa ya zama dole.

Bayanin haƙuri

Ya kamata ku yi motsa jiki a kai a kai kuma ku kula da glucose, ku tsaya a menu na musamman, kuma ku ci ba tare da tsallake ba. Mai haƙuri da danginsa yakamata suyi maganin cutar rashin lafiya, alamun ta da hanyoyin dakatarwa.

Rashin iya sarrafa glycemic

Lokacin da mai haƙuri ya kamu da zazzabi, cututtuka masu kamuwa da cuta, an wajabta manyan hanyoyin tiyata, an karɓi raunin, glycemic iko ya raunana. Wasu lokuta ya zama dole don canzawa zuwa insulin tare da soke Diabeton MV.

Za'a iya fuskantar juriya na magunguna na biyu, wanda ke faruwa lokacin da cutar ta ci gaba ko kuma lokacin da jikin mutum ya mayar da martani ga miyagun ƙwayoyi. Yawancin lokaci, ci gabansa yana faruwa bayan tsawan magani tare da magunguna na maganin hypoglycemic na baki. Don tabbatar da juriya na biyu, ƙwaƙwalwar endocrinologist yana kimanta daidai da zaɓin abubuwan da aka zaɓa da kuma haƙuri da yarda da abincin da aka tsara.

Tasiri kan iya tuka motoci da injinan

Yayin aiki yayin tuki ko duk wani aiki da ke buƙatar yanke hukunci da sauri, yakamata a kula sosai.

Analogs na masu ciwon sukari MV

Me za a iya maye gurbin?

Za'a iya maye gurbin Diabeton MV tare da wasu kwayoyi tare da sashi guda ɗaya da sashi mai aiki. Amma akwai irin wannan abu kamar bioavailability - yawan adadin abin da ya kai maƙasudin, i.e. iyawar magungunan. Ga wasu ƙarancin analogues, yana da ƙasa, wanda ke nufin cewa rashin lafiyar zai zama mai tasiri, saboda a sakamakon, sashi na iya zama ba daidai ba. Wannan ya faru ne saboda ƙarancin ingancin kayan albarkatun, abubuwan da ake bayar da taimako, waɗanda ba sa barin kayan aiki masu ƙarfi su zama cikakke.

Don kauce wa matsala, duk abubuwan maye gurbin an fi yin su ne kawai bayan tuntuɓar likitan ku.

Maninil, Metformin ko ciwon sukari - Wanne ya fi kyau?

Don kwatanta wanda ya fi kyau, yana da daraja la'akari da mummunan bangarorin magungunan, saboda An wajabta su duka cuta guda. Bayanai game da miyagun ƙwayoyi masu ciwon sukari MV an ba su a sama, saboda haka, za a ƙara yin la'akari da Maninil da Metformin.

Maninil da Metformin suna cikin rukunin magunguna daban-daban, don haka ka'idodin aiki ya sha bamban a gare su. Kuma kowannensu yana da nasa fa'idar da zai zama wajibi ga wasu rukunin marasa lafiya.

Ingantattun fannoni:

Ta hanyar yawan sarrafawa: Ana daukar MV Diabeton sau ɗaya a rana, Metformin - sau 2-3, Maninil - sau 2-4.

Farashi a cikin kantin magani

Kudin Diabeton MV 60 MG ya bambanta daga 260 rubles. har 380 rub. kowace fakitin 30 Allunan.

Nazarin masu ciwon sukari

Katarina. Kwanan nan, likita ya ba da umarnin Diabeton MV a gare ni, Ina ɗaukar 30 MG tare da Metformin (2000 MG kowace rana). An rage sukari daga 8 mmol / L zuwa 5. Sakamakon ya gamsu, babu wasu sakamako masu illa, hypoglycemia shima.

Ranar soyayya Na ɗanɗana shan Diabeton har tsawon shekara guda, sukina daidai yake. Ina kan cin abinci, Ina tafiya da yamma. Ya kasance irin wannan ne da na manta ci bayan shan miyagun ƙwayoyi, rawar jiki ya bayyana a cikin jikin, Na fahimci cewa cutar rashin ƙarfi ce. Na ci Sweets bayan mintina 10, na ji daɗi. Bayan faruwar hakan ina ci a kai a kai.