Diabeton MV: nā ʻōlelo pili no ka hoʻohana ʻana, nā loiloi, nā loli analog

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Nā ʻōkuhi no ka hoʻohana
Hoike ike

ʻO ka maʻi Diabeton MV kahi lāʻau lapaʻau no nā maʻi maʻi type 2. ʻO ka mea waiwai e gliclazide. Hoʻokomo ia i nā hua beta pancreatic e hoʻoulu i nā insulin, e hoʻohaʻahaʻa i ke kō koko. E kuhikuhi i nā derivatives sulfonylurea. Hoʻololi nā MB i nā papa papa. ʻAʻole hoʻokuʻu koke ʻia ʻo Gliclazide mai lākou, akā ʻo ke aniani i ka wā o 24 mau hola. Hāʻawi kēia i nā pono ma ka mālama ʻana i ka maʻi diabetes. Eia naʻe, ʻaʻole i manaʻo ʻia ka maʻi diabetes i ka koho mua no ka maʻi diabetes type 2. Manaʻo ʻia e kuhikuhi wale ma hope o ka metformin. E heluhelu i nā hōʻike kikoʻī no ka hoʻohana ʻana i nā maʻi, contraindications, dosages, nā pono a me nā pōʻino o ka maʻi Diabeton MV ma ka ʻatikala. E ʻike no kahi hiki ke loli ʻia kēia lāʻau lapaʻau i ka mea ʻole no ka pōʻino mai kāna ʻaoʻao ʻaoʻao.

Hoʻa moho

Mea hanaLes Laboratoires Servier Industrie (Palani) / Serdix LLC (Lūkia)
ʻXlelo PBXA10BB09
ʻĀpana PharmacologicalʻO ka lāʻau lapaʻau hypoglycemic oral, derivatives o ka sulfonylurea o ka lua o ka hanauna
ʻO ke ʻano waiwaiGliclazide
E hoʻokuʻu i ke ʻanoNā Kūlana Hoʻololi, 60 mg.
ʻOhiʻohiNā 15 papa i kahi blister, 2 mau māmeni me nā kuhikuhi no ka hoʻohana ʻana i nā mea lapaʻau e hoʻopuni ʻia i loko o ka pahu kīpē.

Ka hana lāʻau lapaʻauʻO ke kōpaʻa koko e hoʻohaʻahaʻa ana i nā papa mai ka hui sulfonylurea. Hoʻonāukiuki i ka hana o ka insulin e nā pū beta o nā mokupuni pancreatic o Langerhans. ʻAʻole hoʻolōʻihi ka lāʻau lapaʻau i ka lua o ka hana o ka huna ʻana i ka insulin, akā e hoʻihoʻi i kona wā kiʻekiʻe i ka pane ʻana i ka hoʻokomo o glucose. Hoʻemi pū kekahi i ka hōʻemi o ka trombosis moku kīpē liʻiliʻi. Hōʻike nā molekule Diabeton MV i nā waiwai antioxidant.
Lapaʻau lāʻauʻO ka lawe ʻana i ka lāʻau lapaʻau hoʻokahi i ka lā e hōʻoia i ka mālama ʻana i ka mālama maikaʻi ʻana o ka gliclazide i loko o ke koko koko no nā ʻoi aku 24 mau hola. Hoʻokuʻu ʻia ia ma nā kumuʻai ma ke ʻano o ka metabolites, haʻahaʻa ma mua o 1% - me nā urine i loli ʻole. I ka poʻeʻelemakule, ʻaʻohe mau loli nui i ka lāʻau pharmacokinetic. ʻAʻole ʻai i ka ʻai i ka helu a i ʻole pae o ka hemo ʻana o ka gliclazide.
Nā hōʻailona no ka hoʻohana ʻana
ʻO ka maʻi diabetes type 2, inā ʻaʻole kōkua ke kōkua a me ka hoʻomaʻamaʻa. ʻO ka pale ʻana i nā hoʻopiʻi o ka maʻi mellitus: ka hōʻemi ʻana i ka hōʻemi o ka microvascular (nephropathy, retinopathy) a me nā hoʻopiʻi macrovascular (myocardial infarction, stroke) ma ka mālama kino ʻana i ke kō koko.
ʻĀnōʻO ka inikua mua no nā pākeke, ʻoiai nā ʻelemakule, he 30 mg i kēlā me kēia lā (1/2 papa). Hoʻonui ʻia ia ma mua o hoʻokahi i kēlā me kēia mau he 2 mau pule, inā ʻaʻole i hoʻohaʻahaʻa ka holi. Koho ʻia ka nui o nā mahele kūpono, e like me nā mea hōʻike o ka glucose i ke koko a me ka glycated hemoglobin HbA1C. ʻO ka dosis kiʻekiʻe loa he 120 mg i kēlā me kēia lā. Hiki ke hoʻohui pū me nā lāʻau lapaʻau ʻē aʻe. Hiki ke hoʻololi ʻia hoʻokahi papa papa o ka lāʻau maʻi Diabeton 80 mg ma ka papakū 1/2 me kahi hoʻokuʻu i hoʻoliʻi ʻia ʻo Diabeton MB 60 mg. Ke lawe nei i nā maʻi o ka maʻi mai ka laʻi Diabeton 80 mg i ka Diabeton MB, ʻoi ʻia ke ana i ke kōpaʻa me ka glucometer i kekahi mau manawa i ka lā, e kiaʻi pono ʻia. E nānā pū, "Hānana ʻOi Kula no nā kānaka olakino a me nā maʻi maʻi."
Nā hopena hopenaʻO ka hopena hopena maikaʻi loa he haʻahaʻa koko koko, hypoglycemia. Nā hōʻailonaʻeha: ka ʻeha, ka momona, ka huhū, ka pōʻeleʻele, nā palpitations. I nā hihia koʻikoʻi, lilo ka mea maʻi i ka naʻau. Heluhelu i ka ʻatikala "Hypoglycemia - Hoʻomaʻamaʻa, Hōʻailona a me nā Puʻuna" i nā kikoʻī hou aku. Hoʻokomo ʻo Diabeton MV i ka hypoglycemia koʻikoʻi ma mua o nā lāʻau lapaʻau'ē aʻe - derivatives sulfonylurea. ʻO nā hopena ʻē aʻe kekahi o ka ʻeha o ka ʻōpū, ke ʻano, ka luaʻi, ka ʻōpū, ka constipation, rash, itching, ka hana o ka Enzim enzyme (AST, ALT, alkaline phosphatase). I ka hoʻomaka ʻana o ka lawe ʻana i ka Diabeton, hiki ke noho pōkole ka nānā ʻana - ma muli o ke kīaʻi wikiwiki ka hāʻule o ke koko koko. Hiki nō hoʻi ke ʻano hepatitis a me nā jaundice, akā ʻaʻole hiki. ʻO nā loli ʻino i ka hoʻopili koko.
Nā HoʻohuiʻO ka maʻi Diabeton MV a me nā derivatives sulfonylurea he nui nā papa inoa o nā contraindications:

  • maʻi mellitus type 1;
  • diabetes ketoacidosis, precoma, coma;
  • hoʻohana ka hoʻohana ʻana i ka miconazole;
  • nā poʻe ʻilihune a me nā kuaʻilihune, nui nā ʻino kēia mau lau, heluhelu i ka ʻatikala LADA-diabetes ma ka kikoʻī;
  • ʻo ka maʻi nui a me ka lawa ʻole hepatic (i kēia mau pilikia, pono ʻoe e kau i ka insulin, a ʻaʻole hoʻi lawe i ka lāʻau lapaʻau maʻi);
  • hoʻohana ka hoʻohana ʻana i ka miconazole;
  • hapai a lactation;
  • makahiki a hiki i ke 18 mau makahiki;
  • hypersensitivity a gliclazide, nā mea waiwai a sulfonylurea, nā mea hoʻonani papa.

Kuhi me ke akahele:

  • nā maʻi koʻikoʻi o ka pūnaehana cardiovascular (hōʻeha puʻuwai, hōʻeuʻeu ka naʻau, etc.);
  • hypothyroidism - hoʻemi i ka hana thyroid;
  • lawa adrenal a i ʻole gluitary gland;
  • nā maʻi o ka pēpē a me nā palaka paha, me nā maʻi nephropathy diabetes;
  • ke kūleʻa ʻole ʻole a i ʻole ke kaulike ʻana i ka ʻaina;
  • kanaka kahiko.
ʻŌpū a me ka umaumaʻAʻole pono e lawe ʻia ka Diabeton MV a me nā lāʻau maʻi ʻē aʻe i ka wā hāpai. Inā pono ʻoe e hoʻohaʻahaʻa i ke kōkē o ke koko - e hana me kēia i ka mea ʻai a me nā inikini a me ka insulin. E mālama pono i ka mālama ʻana i ka maʻi maʻi i ka wā hāpai a ʻaʻohe nā hānau hānau a me nā maʻi maikaʻi o ka hānau ʻana. ʻAʻole i ʻike ʻia a komo paha ka lāʻau i ka waiū umauma. No laila, i ka wā lactation ʻaʻole ia i kuhikuhi ʻia.
Hoʻohui nūhouHoʻonui nā mea he nui i ka hopena o ka hypoglycemia inā lawe pū me Diabeton. Pono e hāpai i ke kauka e ke kauka i ke kuhikuhi ʻana i ka mālama like ʻana o ka maʻi maʻi me ka acarbose, metformin, thiazolidinediones, dipeptidyl peptidase-4 inhibitors, GLP-1 agonists, a me insulin. Hoʻonui ʻia ka hopena o ka Diabeton MV i nā lāʻau lapaʻau no ka maʻi hypertension - beta-blockers and ACE inhibitors, as well as fluconazole, histamine H2-receptor blockers, MAO inhibitors, sulfonamides, clarithromycin. ʻO nā lāʻau ʻē aʻe e hoʻonāwaliwali i ka hopena o gliclazide. Heluhelu i nā ʻōlelo aʻoaʻo no ka hoʻohana ʻana i nā kikoʻī hou aku. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau, nā mea kanu meaʻai, a me nā mea kanu āu i lawe ai ma mua o ka lawe ʻana i ka lāʻau o ka maʻi maʻi. E hoʻomaopopo i ka mālama kūʻokoʻa ʻana i ke kō koko. E ʻike i nā mea e hana inā e ala a hoʻēmi paha.
Ke keuMe ka nui o nā derivatives sulfonylurea, hiki i nā hypoglycemia ke ulu. E hāʻule ka hilahila koko ma lalo o ka maʻamau, a he pilikia kēia. Hiki ke hoʻokuʻu ʻia ka hypoglycemia ʻohi ponoʻī iā ia iho, a ma nā hihia koʻikoʻi, koi ʻia ka mālama mālama maʻi.
E hoʻokuʻu i ke ʻanoʻO ke papa hoʻoneʻe i hoʻololi ʻia he keʻokeʻo, ʻĀpuka, biconvex, me kahi notch a me ke kahakaha "DIA" "60" ma nā ʻaoʻao ʻelua.
Nā kuleana a me nā kūlana e waiho aiE mālama i ka hiki ʻana i nā keiki, ʻaʻole pono nā kūlana kūikawā. ʻO 2 mau makahiki kahi ola. Mai hoʻohana ma hope o ka lā pau pau i hōʻike ʻia ma ka pahu.
HōʻikeʻO ka mea waiwai he gliclazide, 60 mg ma ka papa hoʻokahi. Nā mea waiwai - lactose monohydrate, maltodextrin, hypromellose, magnesium stearate, anhydrous colloidal silicon dioxide.

ʻO ka hoʻohanaʻana i ka lāʻau Diabeton

ʻO ka lāʻau lapaʻau Diabeton i loko o nā papa maʻamau a me ka hoʻokuʻu ʻana i hoʻololi ʻia (MV) i kuhikuhi ʻia no nā mea maʻi me ka maʻi diabetes type 2, nona kaʻai a me ka hoʻomaʻamaʻa ʻaʻole i hiki ke lawa i ka maʻi. ʻO ka mea ikaika o ka lāʻau lapaʻau ka gliclazide. ʻO ia no ka hui o nā derivatives sulfonylurea. Hoʻokomoʻo Gliclazide i nā hua beta pancreatic e hana a hoʻokuʻu i ka nui o ka insulin i loko o ke koko, kahi hormon e hoʻohaʻahaʻa i ke kō.

Manaʻo ʻia e hāʻawi i nā mea maʻi me ka maʻi type type 2 no ka maʻi Diabeton akā naʻe, no ka lāʻau lapaʻau Metformin - Siofor, Glucofage a i hoʻomākaukau ʻia ʻo Gliformin. Hoʻonui mālie ka nui o ka metformin mai 500-850 a 2000-3000 mg i kēlā me kēia lā. A inā he hoʻēmi wale kēia hakahaka i ke kō, ua hoʻohui ʻia nā hua pā sulfonylurea.

He nui nā kauka i kuhikuhi i ka maʻi Diabeton MV ma mua o ka metformin i ko lākou poʻe maʻi. Akā naʻe, pololei kēia, ʻaʻole hoʻokō me nā ʻōlelo aʻoaʻo alawai. Hiki ke hoʻohui pū ʻia ʻo Gliclazide a me ka metformin. ʻO ka hoʻohana pū ʻana o kēia mau peni maʻamau e hāʻawi iā ʻoe e mālama i kahi kōpaʻa maʻamau i loko o kahi mea maʻi me ka maʻi maʻi no nā makahiki he nui.

ʻO Gliclazide i ka papa hoʻopiʻi mau ʻia e hana like me 24 mau hola. I kēia manawa, ke kuhikuhi nei nā mea pili i ka mālama maʻi diabetes i nā kauka e kuhikuhi i ka maʻi Diabeton MV i kā lākou poʻe maʻi me ka maʻi type 2, ma kahi o ka sulfonylureas o mua. E nānā, no ka laʻana "Nā hualoaʻa o ka noiʻi DYNASTY. K. Vikulova a me na mea e ae.

Hoʻopau nui loa ʻo Diabeton MV i ke kō koko koko. ʻO nā maʻi e like me ka mea kūpono e lawe hoʻokahi ia i ka lā. Hana ʻia ʻoi aku ka palekana ma mua o nā lāʻau lapaʻau kahiko - eia nō ka huaʻalima o ka sulfonylurea, eia naʻe he hopena maikaʻi loa, no ka mea ʻoi aku ka maikaʻi o ka poʻe maʻi maʻi ʻaʻole e lawe. Heluhelu ma lalo aʻe o ka mea e hana ai ka maʻi Diabeton, e uhi ana i kona mau pono āpau. Paipai ʻia ka pūnaewele Diabet-Med.Com i nā hoʻomaʻamaʻa maikaʻi no ka maʻi type 2 me ka nui o nā pōpoki.

Heluhelu hou:
  • Ka mālama ʻana i ka maʻi type 2
  • Siofor a me nā pā Glucofage - metformin
  • Pehea e aʻo ai eʻoliʻoli i ka hoʻonaʻauao kino

Loaʻa a me nā ponoʻole

Hoʻomaopopo ka mālama ʻana i ka maʻi diabetes type 2 me ke kōkua o ka lāʻau Diabeton MV i nā hopena maikaʻi i ka wā pōkole:

  • i ka poʻe maʻi, e hoʻemi nui ke koko koko;
  • ʻaʻole ʻoi aku ka nui o ka hopena o ka hypoglycemia ma mua o 7%, ʻoi aku ka haʻahaʻa ma mua o nā derivatives sulfonylurea;
  • ʻoluʻolu e lawe i ka lāʻau lapaʻau i hoʻokahi manawa i ka lā, no laila ʻaʻole e hāʻawi nā maʻi i ka mālama;
  • ʻOiai e lawe ana i ka gliclazide i ka papa paʻa-hoʻokuʻu paʻa, ua hoʻonui iki ʻia ke kaumaha o ke kino o ka mea maʻi.

Ua lilo ʻo Diabeton MB i kahi lāʻau lapaʻau maʻi maʻamau no 2 no ka mea he mea kūpono ia no nā kauka a kūpono hoʻi i nā maʻi. He nui i nā manawa maʻalahi no ka endocrinologists e kuhikuhi i nā lāʻau lapaʻau ma mua o ka hoʻoikaikaʻana i nā maʻi maʻi maʻi e hahai i kahi meaʻai a me ka papa hana. Hoʻomaʻamaʻa koke ka lāʻau lapaʻau i ke kō a hoʻomanawanui. ʻAʻole iʻoi aku ma mua o 1% o nā mea maʻi e hoʻopiʻi i nā hopena ʻaoʻao, a ua hoʻomaha hoʻi ke koena a pau.

Nā hemahema o ka lāʻau lapaʻau Diabeton MV:

  1. Hoʻopili ʻo ia i ka make o nā papa beta pancreatic, ma muli o ia mea e hele ai ka maʻi i loko o ka maʻi maʻamau ʻana i ka maʻi maʻamau. Loaʻa pinepine kēia ma waena o 2 a me 8 mau makahiki.
  2. I nā poʻe haʻahaʻa a me ka haʻahaʻa, ʻo ka maʻi nui i ka insulin e hilinaʻi nei i ka maʻi nui - ʻaʻole iʻoi aku ma mua o 2-3 mau makahiki.
  3. ʻAʻole e pau i ke kumu o ka maʻi diabetes 2 2 - kahi i hoʻoneʻeneʻe i ka hoʻoliʻiliʻi o nā ʻoli i ka insulin. ʻO kēia kaila ma ka metabolic ka mea i kapa ʻia ʻo ka pale ʻana o ka insulin. ʻO ka lawe ʻana i ka Diabeton hiki iā ia ke hoʻoikaika.
  4. ʻO ke kahe koko koko, akā ʻaʻole i hoʻohaʻahaʻa i ka make. Ua hoʻopaʻa ʻia kēia ma nā hopena o kahi noiʻi nui ma waena o ADVANCE.
  5. Hiki i kēia lāʻau lapaʻau ke hypoglycemia. ʻO kaʻoiaʻiʻo, ʻoi aku ka liʻiliʻi o nā mea lawe ʻia i nā kumulima sulfonylurea. Eia naʻe, maʻalahi ka maʻalahi o ka mālama ʻana i ka maʻi pākuhi 2 me ke ʻole o ka pilikia o ka hypoglycemia.

Ua ʻike ka poʻe ʻoihana ʻoihana mai ka makahiki 1970 i ka olony o ka sulfonylurea e hoʻohuli i ka hoʻololi o ka maʻi diabetes type 2 i ka maʻi diabetes i ke ʻano 1 Eia naʻe, hoʻomau kēia mau lāʻau lapaʻau. ʻO ke kumu ke neʻe nei lākou i ka ukana mai nā kauka. Ināʻaʻa ʻole nā ​​pākēneka wai, a laila pono nā kauka e kākau i ka ʻai, hoʻomaʻamaʻa, a me nā ʻōkuhi a me ka insulin i kēlā me kēia maʻi maʻi. He hana paʻakikī a aloha ʻole kēia. Hoʻohana nā poʻe maʻi i ka ʻano o Pushkin: "ʻAʻole paʻakikī ia e hoʻopunipuni iaʻu, hauʻoli wau e hoʻopunipuni iaʻu iho." Makemake lākou e lawe i ka lāʻau lapaʻau, akā ʻaʻole makemake lākou e hahai i ka meaʻai, hoʻomaʻamaʻa, a me nā mea hou aʻe no ka inikini i ka insulin.

ʻO ka maʻi Diabeton MV - nā lāʻau ʻino. Eia nō naʻe, ʻoi aku ka maikaʻi o ka derogatives sulfonylurea o ka hanauna i hala. ʻO nā hemahema i hōʻike ʻia ma luna nei, ʻoi aku kā lākou ʻōlelo. Ma ka liʻiliʻi o ka maʻi Diabeton, ʻaʻole ia e pili i ka make, ʻoiai e hoʻonui ʻia nā lāʻau ʻē aʻe. Inā ʻaʻole ʻoe e mākaukau e huli i nā ala kūlohelohe no ka mālama ʻana i ka maʻi maʻamau 2, a laila liʻiliʻi e lawe i nā papa hoʻohemo ʻia (MV).

ʻO ka hopenaʻino loa o ka Diabeton ma nā kikowaena beta o ka pancreas i ʻole e hopohopo i ka endocrinologists a me kā lākou mau maʻi. ʻAʻohe mea paʻi i nā nūpepa olakino e pili ana i kēia pilikia. ʻO ke kumu ʻo ka hapa nui o nā poʻe maʻi me ka maʻi diabetes type 2 ʻaʻohe manawa e ola ma mua o ka hoʻomohala ʻana i ka maʻi diabetes-hilinaʻi. ʻO kā lākou cardiovascular system he nāwaliwali nāwaliwali ma mua o ka pancreas. No laila, make lākou mai ka hōʻeha ʻana a i ʻole hōʻeha ʻana. ʻO ka mālama ʻia ʻana o nā maʻi maʻi type 2 e kau ana ma kahiʻaʻai me ka wai haʻahaʻa e hoʻokaʻawale ai i ke kō, ke kō, ke koko, nā hopena hōʻike koko no ke kolamu a me nā mea ʻē aʻe pono o ke ʻano maʻi.

Nā hopena hōʻike hoʻokolohua

ʻO ka hoʻokolohua lapaʻau koʻikoʻi o ka lāʻau Diabeton MV ʻo ia ka haʻawina ADVANCE: Hana i ka maʻi Diabetes a me nā maʻi VAscular -
preterax and Diamicron MR Controlled Evaluation. Ua hoʻolaha ʻia i ka 2001, a ua paʻi ʻia nā hopena i 2007-2008. Hoʻololi ʻo Diamicron MR - Gliclazide i nā papa hoʻokuʻu i hoʻokaʻawale ʻia ma lalo o kēia inoa i nā ʻāina ʻōlelo Pelekane. Ua like kēia me ka lāʻau Kauka Diabeton MV. ʻO Preterax ka lāʻau lapaʻau i hui pū ai no ka hypertension, nā mea hana ikaika a ka poʻe indapamide a me perindopril. I nā ʻāina ʻōlelo Rusia, ua kūʻai ʻia ma lalo o ka inoa ʻo Noliprel. ʻO nā haʻawina ka 11,140 i nā mea maʻi me ka diabetes type 2 a me ke hypertension. Ua nānā ʻia lākou e nā kauka ma 215 mau kula olakino ma 20 mau ʻāina.

Hoʻemi ka Diabeton MV i ke kō koko koko, akā ʻaʻole ia e hōʻemi i ka make ma nā mea maʻi me nā maʻi maʻi type 2.

Wahi a nā hopena o ke noiʻi, ua hoʻohuli ʻia nā peni o ke kīpē i loko o nā mea maʻi me ka maʻi diabetes type 2 e hōʻemi i ka nui o nā ʻōkuhi o ka cardiovascular ma o 14%, pilikia pilikia - ma ka 21%, make - a 14%. Ma ka manawa like, hoʻohaʻahaʻa ka Diabeton MV i ke koko koko, e hoʻemi ana i ka nui o ka nephropathy diabetes i ka 21%, akā ʻaʻole e pili i ka make. Ke kumu o ka ʻōlelo Lūkini - ka ʻatikala "Hoʻolālā alʻi i ka poʻe maʻi me ka maʻi diabetes mellitus type 2: nā hopena o ka hōʻike ADVANCE" i loko o ka puke nūpepa "Systemic hypertension" No. 3/2008, kākau iā Yu Karpov. ʻO ke kumu kumu - "ʻO ka hui ADVANCE Collaborative Group. Ka hoʻomalu ʻana o ke koko glucose ka hopena a me ka hopena vascular i nā maʻi me nā maʻi maʻi 'āpau 2 "ma The New England Journal of Medicine, 2008, No. 358, 2560-2572.

Ua kuhikuhi ʻia nā maʻi maʻi maʻi diabetes like 2 e hāʻawi i nā papa ʻaina kōkē a me ka inikini o ka insulin inā ʻaʻole e hāʻawi nā hopena maikaʻi a i ka hopena. ʻO ka mea maoli, ʻaʻole makemake ka poʻe maʻi e hahai i ka pākeke haʻahaʻa a me ka hoʻomaʻamaʻa. ʻOi aku lākou makemake e lawe i ka lāʻau lapaʻau. Manaʻo ia kūʻokoʻa ka hana kūpono e hoʻohana ai, koe wale nō nā lāʻau a me nā inikini o nā inikua nui o ka insulin, ʻaʻole noho. No laila, hoʻomau nā kauka i ka hoʻohana ʻana i nā paila haʻahaʻa e hoʻohaʻahaʻa i ka make. Ma ka Diabet-Med.Com hiki iā ʻoe ke ʻike i ka maʻalahi o ka mālamaʻana i ka maʻi maʻamau ʻo 2 me ka ʻole o kaʻai "ʻai pōloli" a me nā inikini insulin. ʻAʻohe pono e lawe i ka lāʻau lapaʻau maikaʻi, no ka mea, ʻoi aku ka kōkua ʻana o nā hoʻomaʻemaʻe ʻē aʻe.

E heluhelu pū:
  • Maʻa o ka maʻi hypertension ma nā maʻi me ka maʻi type type 1 a me ke ʻano 2
  • Nā ʻurelelo ikaika Noliprel - Perindopril + Indapamide

Hoʻololi nā papa papa

Diabeton MV - nā papa kuhikuhi i hoʻololi ʻia.ʻO ka mea hana - gliclazide - hoʻokuʻu koke iā lākou, a ʻaʻole koke. Ma muli o kēia, ua mālama pono ʻia ka paʻa o ka gliclazide i ke koko no 24 mau hola. E inu i kēia lāʻau i ka lā hoʻokahi. Ma ke kānāwai, ua kuhikuhi ʻia i ke kakahiaka. ʻO ka Diabeton maʻamau (ʻaʻohe CF) he lāʻau lapaʻau kahiko. Hoʻopiha piha loa kāna papa papa i ka gastrointestinal tract ma hope o 2-3 mau hola. ʻO nā gliclazide āpau e pili koke i loko o ke kahe wai. E hoʻohaʻahaʻa loa ka hīkona Diabeton MV, a me nā papa pākahi maʻamau me ka wikiwiki, a pau ka hopena.

ʻO nā papa paʻi hoʻoiho hou a loaʻa nā pono nui ma mua o nā lāʻau lapaʻau kahiko. ʻO ka mea nui, ʻoi aku ko lākou palekana. Hoʻokomo ʻo Diabeton MV i ka hypoglycemia (hoʻohaʻa i ke kō) i nā manawa he nui ma mua o ka maʻi Diabeton maʻamau a me nā derivatives sulfonylurea. Wahi a nā noiʻi, ʻaʻole ʻoi aku ka hapa o ka hypoglycemia ma mua o 7%, a maʻamau a hele mau ʻole ia me nā hōʻailona ʻole. E kūʻē i ke kiʻi ʻana o ka lawe ʻana i ka hanauna hou o ka lāʻau lapaʻau, hypoglycemia koʻikoʻi me ka ʻike pohō ʻole. Ua hoʻomaopopo ʻia kēia lāʻau lapaʻau. Loaʻa nā hopena ʻaoʻao ma mua o 1% o nā maʻi.

ʻO ka hoʻohālikelike o nā Diabeton MV a me nā Papa Kūwī wikiwiki
Hoʻololi nā papa papaNā papa hana wikiwiki
Ehia mau lā e laweI ka lā hoʻokahi1-2 mau lā i ka lā
Ka helu HypoglycemiaHe haʻahaʻa loaMea kiʻekiʻe
ʻO ka papa ʻaila beta pancreaticLohiKolaha
ʻO ka loaʻaʻana o ka paona momonaKōulaMea kiʻekiʻe

I loko o nā puke i nā nūpepa olakino, ʻike lākou he mau antioxidant ka molekue o ka Diabeton MV ma muli o kāna ʻano kūʻokoʻa. Akā ʻaʻole kūpono kēia mau mea kūpono, ʻaʻole pili i ka hopena o ka mālama ʻana i ka maʻi diabetes. Ua ʻike ʻia ka hoʻemi ʻana o Diabeton MV i ka hoʻokumu ʻana o nā māha koko ma ke koko. Hiki i kēia ke hōʻemi i ka hopena o ka ʻeha. Akā inā ʻaʻole i hōʻike ʻia kahi mea e hāʻawi maoli ai i ka lāʻau i kēlā hopena. ʻO nā hemahema o ka hopena no ka maʻi diabetes - derony o ka olakino - i hōʻike ʻia ma luna. Ma ka Diabeton MV, ʻike ʻia kēia mau hemahema ma mua o nā lāʻau lapaʻau kahiko. Loaʻa iā ia ka hopena maʻalahi i nā puna beta o ka pancreas. ʻAʻole hiki ke ulu i ka insulin diabetes type 1.

Pehea e lawe ai i kēia lāʻau lapaʻau

Pono e lawe ʻia nā papa Diabeton MV i ka ʻai o ke ʻano ʻai a me nā hana ʻana, ʻaʻole pono. ʻOiai ʻo ka hapa nui o nā maʻi maʻi hilahila e pili ana i nā ʻōlelo lapaʻau no ka neʻe ʻana i ke ola olakino. Kūkulu ke kauka i kahi la i kēlā me kēia lā o ka lāʻau, e pili ana i ke kiʻekiʻe o ke koko koko o ka mea maʻi. ʻAʻole hiki ke hoʻonui ʻia ke ʻano lāʻau i kauoha ʻia a ʻaʻole hoʻi e hoʻemi ʻia. Inā lawe ʻoe i ka Diabeton ma mua o ka faatonuina, a laila hiki ke kūleʻa hypoglycemia - nā haʻahaʻa haʻahaʻa loa. ʻO kona mau hōʻailona he huhū, nā lima haʻalulu, nā mea hōʻeuʻeu, pōloli. I nā pilikia koʻikoʻi, hiki ke nalowale ka ʻike a me ka make. E nānā pū kekahi "Hypoglycemia - nā hōʻailona, ​​ka mālama, pale."

Lawe ʻia ka Diabeton MV hoʻokahi manawa i ka lā, maʻamau me ka ʻaina kakahiaka. Hiki ke hoʻokaʻawale i kahi papa papa ʻia 60 mg mau ʻāpana i ʻelua ʻāpana e loaʻa ai ka nui o ka 30 mg. Akā, ʻaʻole hiki ke ʻōpū ʻia a hina ʻole paha. Ke lawe i ka lāʻau lapaʻau, inu i ka wai. Hoʻokumu ka pūnaewele Diabet-Med.Com i nā hoʻomaʻamaʻa maikaʻi no ka maʻi type 2. Hāʻawi lākou iā ʻoe e haʻalele i ka maʻi Diabeton, no laila ʻaʻole hiki ke hōʻike ʻia i kona mau hopena ʻino. Eia nō naʻe, inā ʻoe e lawe i nā pala, e hana ia i kēlā me kēia lā me ka hakakā. A i ʻole e piʻi kiʻekiʻe ke kō.

Me ka lawe ʻana i ka Diabeton, eʻoi aʻe ka ʻokoʻa o ka hoʻohaʻahaʻa. ʻO nā ʻōuli pilikia paha ka ʻeha, ka pōkole o ka hanu, nā paluʻi, ka ʻeha o ka ʻōpū, ke kala a me ka luaʻi.

Hiki i ke Diabetone ke hōʻeha i ka hypoglycemia, a me ka waiʻona e uhi i kāna mau hōʻailona. He pōʻino kēia! ʻO ka hoʻopiʻi ʻana ma muli o ka hānai haʻahaʻa e like me ka lawe nui ʻana o ka ʻalā. ʻO ka hopena kiʻekiʻe o ka make! Hoʻemi i kou komo ʻana i nā ʻuhane a mai inu ʻole. I ka mea liʻiliʻi loa, e noʻonoʻo e pehea e inu pono ai i ka waiʻona.

ʻO nā kumumua o nā sulfonylureas, e komo pū ana me Diabeton MV, ʻaʻole ia nā lāʻau lapaʻau mua loa no ka maʻi maʻamau ʻo 2. Kūkaha ʻia, e ʻōlelo ʻia e kuhikuhi i nā mea maʻi i nā papa mua o ka metformin (Siofor, Glucofage). ʻOi aku ka hoʻonui ʻana o kā lākou dosis i kahi kiʻekiʻe o 2000-3000 mg i kēlā me kēia lā. A inā ʻaʻole lawa wale kēia, e hoʻohui hou i ka Diabeton MV. ʻO nā kauka lapaʻau e kuhikuhi ana i ka maʻi diabetes ma mua o ka metformin e hana hewa. Hiki ke hoʻohui pū ʻia nā lāʻau ʻelua, a hāʻawi kēia i nā hopena maikaʻi. ʻOi aku ka maikaʻi, e hoʻololi i kahi papahana mālama maʻi ʻokēkē 2 ma ka hōʻole ʻana i nā lāʻau pōʻino.

Hiki ke hui pū me ka pilaka maʻi Diabeton me nā pills diabetes ʻē aʻe, i ka hoʻohui aku i ka sulfonylureas a me nā limu (meglitinides). E nānā pū i ka "lāʻau lapaʻau Type type 2: kahi ʻatikala kikoʻī." Inā ʻaʻole e hoʻemi ʻo Diabeton i ka hoʻokahe o ke koko, a laila pono ʻoe e hoʻololi i ka mea maʻi i nā inikini insulin. I kēia kūlana, ʻaʻohe mau papa ʻē aʻe e kōkua. Hoʻomaka i ka hoʻonāʻau ʻana i ka insulin, mai hoʻolauha i ka manawa, inā ʻaʻole e loaʻa mai nā hoʻonā ʻana o ka maʻi diabetes.

Hoʻonui ka waiwai o nā sulfonylureas i ka ʻili i ka māmā o ka radiation ultraviolet. Hoʻonui ka ulu ʻana o ka lā wela. Hoʻohana ʻia e hoʻohana i ka sunscreens, a ʻoi aku ka maikaʻi ma ka sunbathe. E noʻonoʻo i ka pilikia o ka hypoglycemia e hoʻomaka ai ka Diabeton. Ke hoʻokele nei a hana ana paha i nā hana ʻalike, e hoʻāʻo iā ʻoe i kāu kōpaʻa me ka glucometer i kēlā me kēia 30-60 mau minuke.

ʻO ka mea kūpono ʻole iā ia

ʻAʻole pono ke lawe i ka Diabeton MV i kēlā me kēia kanaka, no ka mea, ʻo nā ala ʻē aʻe o ka mālama ʻana i ka maʻi diabetes ʻano 2 he kōkua maikaʻi a ʻaʻole no ka hopena o nā hopena. Aia ma lalo iho nā contraindications lawelawe ma lalo nei. E huli pū i nā ʻāpana o nā maʻi e pono e kuhikuhi i kēia lāʻau lapaʻau me ka mālama.

I ka wā hāpai a me ka umauma, ua hoʻohālikelike ʻia kekahi kīwaha me ke kō. ʻAʻole i kuhikuhi ʻia ka maʻi Diabeton MV no nā keiki a me nā ʻōpio, no ka mea, ʻaʻole i hoʻokō ʻia kona pono a me ka palekana no kēia mahele o nā maʻi. Mai lawe i kēia lāʻau lapaʻau inā ʻoe ua maʻa mua ʻia ʻoe i ia mea a me nā mea ʻē aʻe sulfonylurea. ʻAʻole pono e lawe ʻia kēia lāʻau lapaʻau e nā mea maʻi me ka maʻi diabetes type 1, a inā he ʻano mau ʻole o ka maʻi maʻamau ʻo 2, nā manawa pinepine o ka hypoglycemia.

Inā ʻoe e hahai i kahi meaʻai haʻahaʻa-haʻahaʻa-nui, aia ka nui o ka nui o ka papa Diabeton e hoʻokauwī i ka hypoglycemia. Pono e hoʻemi i ka dosage, akā ʻoi aku ka maikaʻi ma ka haʻalele ʻana i kā lākou intake. ʻO nā ʻano maʻi hou no ka maʻi maʻi type 2 e kau ana ma kahi haʻahaʻa-kaohi haʻahaʻa e hoʻohaʻahaʻa i ka puna, no laila, ʻaʻohe pono o nā lāʻau lapaʻau maikaʻi.

ʻAʻole hiki ke lawe ʻia nā kumulā o nā sulfonylureas e nā poʻe i loaʻa ka maʻi ʻino a me nā maʻi. Inā loaʻa iā ʻoe nephropathy maʻi maʻi, e kamaʻilio me kāu kauka. ʻO ia paha, e ʻōlelo nō ia e hoʻololi i nā pills me nā inikini insulin. No nā poʻe kahiko, hana kūpono ʻia nā Diabeton MV inā ke hana pono nei ko lākou puʻuwai a me nā lolo. Ma ia hana ʻole pono, ua hoʻoulu ʻia i ka hoʻololi o ka maʻi type o ka maʻi 2 i ka maʻi diabetes i ka palaleka. No laila, nā poʻe maʻi maʻi e makemake e noho lōʻihi me nā hoʻopiʻi ʻana, ʻoi aku ka maikaʻi ke lawe ʻole.

I nā kūlana e kauoha ʻia ai ʻo MV Diabeton me ka makaʻala:

  • hypothyroidism - kahi hana nāwaliwali o ka momona thyroid a me ka nele o nā hormones i loko o ke koko;
  • ka nele o nā hormones i hana ʻia e nā kelepa adrenal a me nā gland pituitary;
  • nā hoʻoponopono kūpono ʻole;
  • waiʻona.

Hoʻolālā kuʻina Diabeton

ʻO ka lāʻau kanu kumu mua Diabeton MV i hana ʻia e ka ʻoihana kūʻai lapaʻau ʻo Laboratory Servier (Farani). Mai ʻOkakopa 2005, hoʻōki ʻo ia i ka lawe ʻana i ka lāʻau lapaʻau o ka hanauna ma mua - Russia - tablet Diabeton 80 mg wikiwiki. I kēia manawa hiki iā ʻoe ke kūʻai wale i ka maʻi Diabeton MV maʻamau - hoʻololi ʻia nā papa papa. He kūpono nui kēia puka dosage, a hoʻoholo ka mea hana e hoʻokō iā ia. Eia nō naʻe, kūʻai lilo ʻia ka gliclazide i nā papa wikiwiki. ʻO kēia nā kikoʻī o Diabeton, kahi mea i hana ai e nā mea hana ʻē aʻe.

Nā inoa o ka lāʻau lapaʻau Diabeton MV
Kau inoa inoaʻOihana hanaLanakawai
ʻO Glidiab MVAkrikhinLūkia
DiabetalongManaohao OJSCLūkia
Hoʻolaha iā Gliclazide MVLLC OzoneLūkia
Kau Kau inoa DiabefarmHoʻolālā KūʻaiLūkia
Nā hiʻona o nā papa Diabeton o ka wikiwiki wikiwiki
Kau inoa inoaʻOihana hanaLanakawai
HolaʻulaAkrikhinLūkia
ʻO Glyclazide-AKOSManaohao OJSCLūkia
DiabinaxʻO ke ola ʻo ShreyaIndia
HoʻopāwaHoʻolālā KūʻaiLūkia

Mākaukau ka mākaukau ʻana o ka mea hoʻohana i ka gliclazide i nā papa wikiwiki. He mea hoʻomaopopo e hoʻohana i ka Diabeton MV a i kāna nā analogues ma kahi. ʻOi aku ka maikaʻi o kahi lāʻau lapaʻau no ka maʻi type 2 ma ke ʻano he haʻahaʻa ka laʻa. Oe e hoʻokō paʻa mau i ke kōʻai koko maʻamau, ʻaʻole pono ʻoe e lawe i nā lāʻau lapaʻau kino.

Diabeton a iā Maninil - ʻoi aku ka maikaʻi

ʻO ke kumu no kēia ʻatikala ʻo ka huaʻōlelo "Risks of mortally and cardiovascular mortally, a me ka myocardial infarction a me ka maʻi cerebrovascular akene i ka poʻe maʻi me ka diabetes mellitus type 2 pili i ke ʻano o ka hoʻomaka ʻana o ka maʻi hypoglycemic" i loko o ka nūpepa "Diabetes" No. 4/2009. Mea kākau - I.V. Misnikova, A.V. Dreval, Yu.A. Kovaleva.

Loaʻa nā ʻano like ʻole o ka mālama ʻana i ka maʻi diabetes type 2 i ka hopena o ka hōʻeha ʻana o ka puʻuwai, hōʻeha a me ka make ma mua o nā maʻi. Ua nānā nā mea kākau o ka ʻatikala i nā ʻike i pili i ka papa inoa o ka maʻi diabetes mellitus o ka Reka Kūkū, ʻo ia kahi o ka papa inoa o ka State Diabetes Mellitus o ka Russian Federation. Ua nānā lākou i nā ʻikepili no nā poʻe i loaʻa i ka maʻi maʻi maʻi 2 i ka makahiki 2004. Ua hoʻohālikelike lākou i ka hopena o ka sulfonylureas a me ka metformin inā mālama ʻia no nā makahiki 5.

Ka mea i huli ia i nā lāʻau lapaʻau - deronyʻakūkū a me nā pōpoki. Pehea kā lākou hana ʻana i hoʻohālikelike ʻia me ka metformin:

  • ka loaʻa ʻana o ka maʻi maʻamau a me ka cardiovascular - pāpālua;
  • puʻuwai puʻuwai puʻuwai - hoʻonui ʻia e 4.6 manawa;
  • ua hoʻonui ʻia ka loaʻa ʻana o ka pilikia o ka mau manawa ʻekolu.

Ma ka manawa like, ʻoi glibenclamide (Maninil) ʻoi aku ka ʻoi aku o ka hōʻino ma mua o ka gliclazide (Diabeton). ʻOiaʻiʻo, ʻaʻole kuhi ka huaʻōlelo i nā ʻano o Manilil a me Diabeton i hoʻohana ʻia - nā hoʻopiʻi a hoʻokuʻu i nā papa a i ʻole nā ​​mea maʻamau. He mea hoihoi loa ia e hoʻohālikelike i nā data me nā mea maʻi me ka maʻi diabetes type 2 i hōʻike koke ʻia i ka lāʻau insulin ma mua o nā lāʻau. Akā no kēia mea, ʻaʻole i hana ʻia, no ka mea ʻaʻole lawa nā mea maʻi. ʻO ka hapa nui o nā mea maʻi i hōʻole aku i ka hoʻoluhi ʻana i ka insulin, no laila ua kau ʻia nā lāʻau lapaʻau.

Nā nīnau nīnau a pane

Ua mālama maikaʻi aku ka maʻi Diabeton i kaʻu maʻi maʻamau no 2 mau makahiki, a ua pau kēia i ke kōkua. Ua hoʻonui ʻo ia i kona kūʻai i 120 mg i kēlā me kēia lā, akā mau nō ke kō o ke koko, 10-12 mmol / l. No ke aha i nalowale ai ka lāʻau lapaʻau i kāna pono? Pehea e mālama ʻia ai i kēia manawa?

Diabetone kahi huahelu o ka sulfonylurea. ʻO kēia mau peni haʻahaʻa haʻahaʻa koko, akā loaʻa pū ka hopena maikaʻi ʻole. Hoʻololi koke lākou i nā nela beta pancreatic. Ma hope o 2-9 mau makahiki e lawe ai iā lākou i kahi maʻi, hoʻomaka ka kino i ka nele ʻana i ka insulin. Ua nalowale ka lāʻau lapaʻau i kona pono no ka mea ua "puhi ʻia kāu mau cell beta." Hiki paha kēia ma mua. Pehea e mālama ʻia ai i kēia manawa? Pono e hoʻoili i ka insulin, ʻaʻohe koho. No ka mea ua loaʻa iā ʻoe ka maʻi maʻi āpau 2 ma ke ʻano maʻi type kiʻekiʻe 1. E kāpae i ka maʻi Diabeton, e huli i kahi meaʻai hoʻohaʻahaʻa haʻahaʻa a hoʻōki i ka nui o ka insulin e mālama ai i ke kō maʻamau.

Ua pilikia kahi kanaka ʻelemakule i ka maʻi diabetes ma ke ʻano he 8 mau makahiki. Holo i ke koko 15-17 mmol / l, hoʻopuka ʻia nā hopena. Lawe ʻo ia i ka manin, ua hoʻoneʻe ia i Diabeton - ʻaʻohe mea e pono. E hoʻomaka anei wau e lawe i ka amaryl?

ʻO ke ʻano like me ka mea nāna i hoʻokumu i ka nīnau o mua. Ma muli o nā makahiki he nui o ka mālama 'ole, ua hoʻohuli ʻia ke ʻano maʻi diabetes type 2 i loko o ka maʻi diabetes type 1. ʻAʻole nā ​​peni e hāʻawi i kahi hopena. E hahai i kahi papahana maʻi diabetes maʻi 1 ʻano, e hoʻomaka i ka injecting i ka insulin. Ma ka hoʻomaʻamaʻa, ʻike pinepine a hiki ʻole ke hoʻokumu pono i ka mālama kūpono no nā maʻi maʻi maʻi maʻi. Inā hōʻike ka mea maʻi i ka hoʻopoina a me ke koʻikoʻi - haʻalele i nā mea āpau e like me ke ahinahina a kali mālie.

No ka maʻi lā 2, ke kauka nei ke kauka 850 mg i kēlā me kēia lā Siofor iaʻu. Ma hope o 1.5 mau mahina, ua neʻe ʻo ia i Diabeton, no ka mea ʻaʻole i hāʻule ka hilo i ka manawaleʻa. Akā, ʻo ka lāʻau hou ke hoʻohana liʻiliʻi. He mea kūpono paha e hele i Glibomet?

Inā ʻaʻole e hoʻemi ʻo Diabeton i ke kō, a laila ʻaʻole lilo o Glibomet i kekahi manawa. Makemake e hoʻohaʻahaʻa i ke kō - hoʻomaka i injecting insulin. No ke kūlana o ka maʻi holomua, ʻaʻole i hana ʻia kekahi meʻeau maikaʻi. ʻO ka mea mua, e hoʻololi i kahi meaʻai haʻahaʻa haʻahaʻa a hōʻoki i ka lawe ʻana i nā lāʻau maikaʻi. Eia nō naʻe, inā ua loa ʻoe i ka lōʻihi o nā maʻi o ka maʻi type 2 a ua hoʻomaʻamaʻa maikaʻi ʻia ʻoe i nā makahiki i hala, a laila pono hoʻi ʻoe e hoʻolauna i ka insulin. No ka mea ua hemo nā pancreas a ʻaʻole hiki ke hoʻokau ʻole ʻia ke kākoʻo. Ke hoʻohaʻahaʻa kahi meaʻaiʻai haʻahaʻa i ke kō, akā ʻaʻole i ka maʻamau. No laila ʻaʻole e hoʻopilikia ka hoʻopiʻi ʻana, ʻaʻole pono ka nui o ke kō ma mua o 5.5-6.0 mmol / l 1-2 mau hola ma hope o kahi pāʻina a me ke kakahiaka ma ka ʻōpū ʻole. E lūlū me ka liʻiliʻi me ka insulin e hoʻokō ai i kēia pahuhopu. ʻO Glibomet ka lāʻau lapaʻau i hoʻohui ʻia. Loaʻa iā ia nā glibenclamide, he hopena like kona me ka Diabeton. Mai hoʻohana i kēia lāʻau lapaʻau. Hiki iā ʻoe ke lawe i ka metformin "pure" - Siofor a i ʻole Glyukofazh. Akā ʻaʻole hiki i nā pills ke hoʻololi i nā inikini insulin.

Hiki paha i nā lāʻau type diabetes 2 ke lawe i ka Diabeton a me reduxin no ka hoʻolilo ʻana i ka paona i ka manawa like?

Pehea e pili ai ʻo Diabeton a me reduxin i kēlā me kēia - ʻaʻohe data. Eia naʻe, hoʻoikaika ʻo Diabeton i ka hana o ka insulin e ka pancreas. ʻO ka insulin, e hoʻohuli a hoʻohuli i ka glucose i ka momona a pale i ka ʻaki ʻana o ka pili adipose. ʻOi aku ka nui o ka insulin i ke koko, ʻoi aku ka paʻakikī o ka pohō ʻana. No laila, ʻo ka maʻi Diabeton a me reduxin he hopena kū'ē. Hoʻopuka koke ʻo Reduxin i nā hopena koʻikoʻi a me ke addiction ke kūkulu koke iā ia. Heluhelu i ka ʻatikala "Pehea e lilo ai ke kaupaona ʻana me ka maʻi diabetes type 2." Kahi hana i ka Diabeton a me reduxin. Hoʻololi i kahi meaʻai haʻahaʻa haʻahaʻa. Hoʻoikaika ia i ke kō, ke koko, ke kolamu ma ke koko, a ʻo nā ʻāpana ʻē aʻe hoʻi e haʻalele.

ʻO wau ke lawe i ka Diabeton MV no 2 mau makahiki i hala aku nei, e mālama ana ke kōʻai wikiwiki me ka 5.5-6.0 mmol / l. Eia nō naʻe, ua hoʻomaka ka wela ʻana i nā wāwae a ua hiolo. No ke aha e hoʻomohala ai nā ʻōhumu maʻi i ka maʻi maʻamau inā he maʻamau?

Pono e kāohi i ka huka 1-2 mau hola ma hope o ka ʻai a i ke kakahiaka ma kahi ʻōpū ʻole. ʻOi aku ka nui o nā Sugar ma mua o ka pāʻina a me ka ʻaina. I nā maʻi he nui me ka maʻi maʻamau ʻo ka maʻi 2, he maʻamau ke kō. Eia naʻe, ulu ka hoʻopiʻi ʻana i ka wā e piʻi ai ka glucose koko i kekahi mau hola i kēlā me kēia manawa ma hope o ka ʻai. ʻO ke ana ʻana i ka meli ma luna o kahi ʻōpū ʻole a ʻaʻole i nānā iā ia i 1-2 mau hola ma hope o ka ʻai ʻana he hoʻopunipuni ponoʻī. Oe e uku no ia me ka hooulu o na ohia o ka maalea. Nānā hoʻi - nā palena o ke kō koko koko no nā kānaka olakino a me nā mea maʻi me ka maʻi maʻi.

Ua kuhikuhi ke kauka i ke Diabeton no ke kōʻai kiʻekiʻe, me kahi haʻahaʻa haʻahaʻa a me ka papa ʻaina ʻole. Akā ʻaʻole ʻo ia i ʻōlelo pehea ka nui o ka hoʻopulapula ʻana i ka kalaki. Inā wau i ʻai i nā kaloli 2,000 i kēia lā, ʻo ia ka mea maʻamau? A i ʻole ʻī pono ʻoe?

ʻAno maikaʻi ka pōʻaiʻai ʻona e hoʻomalu i ke kō koko, akā i ka hana, ʻaʻole. No ka mea, ua haʻalele nā ​​maʻi āpau iā ia. ʻAʻole pono e ola mau me ka pōloli! E aʻo a ʻimi i kahi papahana mālama ʻana i ka maʻi diabetes ʻano 2. Hoʻoneʻe i kahi meaʻai hoʻohaʻahaʻa-momona - he puʻuwai, ʻono a me ka hoʻohaʻahaʻa maikaʻi i ke kō. E ho'ōki i ka mālama pono ʻole. Inā pono, e hoʻokomo liʻiliʻi i ka insulin. Inā holo ʻole kāu maʻi maʻi, a laila hiki iā ʻoe ke mālama i ke kō maʻamau ma ke kī ʻole ʻana i ka insulin.

Lawe wau i Diabeton a me Metformin e uku no kaʻu T2DM. Ka paʻa koko koko 8-11 mmol / L. Wahi a ka endocrinologist he hopena maikaʻi kēia, a me koʻu mau pilikia olakino pili me ka makahiki. Akā manaʻo wau aia e hoʻomau nā ʻōiwi. ʻOi aku ka hopena ʻoi aku ka mākaukau iā ʻoe?

ʻO ke kō koko koko - e like me ka poʻe olakino, ʻaʻole i kiʻekiʻe aʻe ma kahi o 5.5 mmol / l ma hope o ka 1 a me 2 mau hola ma hope o ka ʻai ʻana. Ma nā kumukūʻai kiʻekiʻe, hoʻomohala nā ʻōpiopio. E hoʻohaʻahaʻa i kāu holi i mea maʻamau a hoʻomau mau ʻia, e aʻo a hahai i kahi papahana mālama maʻi hika 2. Hāʻawi ʻia kahi pili i ka pane i ka nīnau i hala.

Kauka ke kauka e lawe i ka Diabeton MV i ka pō, no laila he loko maʻamau ma ke kakahiaka ma kahi ʻōpū ʻole. Akā ʻōlelo nā kauoha e pono ʻoe e lawe i kēia mau peni no ka ʻaina kakahiaka. ʻO wai ka mea e hilinaʻi iaʻu - nā ʻōlelo aʻo a manaʻo paha o ke kauka?

Pono ʻoe e hana i kekahi mea i ka pō ʻoi ke kumu o ka hilo i ke kakahiaka aʻe. Pololei ke kauka pili i kēia :). Akā ʻo ka lawe ʻana iā Diabeton he manaʻo maikaʻi ʻole, no ka mea, he mau mea pōʻino kēia. ʻO nā mea e hoʻololi ai iā lākou me ka mea i wehewehe ʻia ma luna aʻe nei. E ʻike pū "Pehea e hoʻoponopono ai i ke kō i ke kakahiaka." Inā pono ʻoe e hoʻokomo i kahi insulin lōʻihi i ka pō - hana, mai palaualelo.

ʻO ka mea maʻi me ka maʻi type 2 me kahi ʻike o 9 mau makahiki, he 73 mau makahiki. Kū ae ke gula i ka 15-17 mmol / l, a ʻaʻole hoʻohaʻahaʻa ka manin. Hoʻomaka ʻo ia e emi me ke kaumaha. E hoʻololi anei au i ka Diabeton?

Inā hoʻohaʻahaʻa ka mannin i ke kō, a laila ʻaʻohe manaʻo mai ka Diabeton. Hoʻomaka wau e hōʻemi koʻikoʻi i ke kaumaha - ʻo ia ka mea ʻaʻole e kōkua nā peni. E maopopo i ka hoʻokomo ʻana i ka insulin. Ua hoʻohālikelike ka ʻōmaʻomaʻo type 2 i ka maʻi maʻamau ʻo ka maʻi 1, no laila pono ʻoe e aʻo a hoʻokō i kahi papahana lapaʻau no ka maʻi maʻi 1 ka maʻi. Inā ʻaʻole hiki ke hoʻokū i nā inikini insulin no ka maʻi maʻi maʻi, waiho i nā mea āpau e like me ke kali a kali mālie no ka hopena. E ola lōʻihi ka mea maʻi inā hiki iā ia ke pale i nā lāʻau maʻi maʻi āpau.

Nā Hōʻike Hoʻomaʻi

Ke hoʻomaka ka poʻe e lawe i ka Diabeton, hoʻokaʻa koke ko lākou koko koko. Hoʻomaopopo ka poʻe maʻi i kēia mea i kā lākou loiloi. Hoʻokomo pinepine ʻia nā papa pākēneka i ka hypoglycemia a ʻānō. E pili ana i ka lāʻau lapaʻau Diabeton MV ʻaʻohe nō hoʻokahi o nā loiloi kahi e hoʻopiʻi ai ka maʻi maʻi maʻi hypoglycemia. ʻAʻole hoʻomohala koke nā hopena i nā hopena e pili ana me ka peni pancreatic, akā ma hope o 2-8 mau makahiki. No laila, ʻo nā poʻe maʻi i hoʻomaka e lawe i ka lāʻau lapaʻau i kēia manawa ʻaʻole lākou e ʻōlelo iā lākou.

Oleg Chernyavsky

No 4 mau makahiki ua lawe wau i ka papa Diabeton MV 1/2 ma ke kakahiaka i ka wā kakahiaka. Mahalo i kēia, aneane ke kōpaʻa o ka meli - mai 5.6 a 6.5 mmol / L. Ma mua, ua hiki he 10 mmol / l, a hiki i ka hoʻomaka ʻana e mālama ʻia me kēia lāʻau lapaʻau. Ke hoʻāʻo nei wau e kaupalena i nā sweets a ʻai maʻalahi, e like me ka ʻōlelo a ke kauka, akā i kekahi manawa ke uhaʻi au.

Hoʻopilikia ka hoʻopiʻi ʻana o nā maʻi maʻi i ka wā e mālama ʻia ke kōpula no kekahi mau hola ma hope o kēlā me kēia pāʻina. Eia nō naʻe, hoʻomau nā kūleʻa o ka plasma glucose. Ke kāohi nei i ka ʻaina wikiwiki a ʻaʻole e ana ana i ka lā 1-2 ma hope o ka ʻai ʻana i ka hoʻopunipuni ponoʻī ʻana. E uku ʻoe no ia me ka hele mua o nā maʻi he mau. E nānā kaʻoi aku o ka nui o ke kō koko koko paʻa no nā maʻi maʻi maʻi. I nā poʻe olakino, he nui ka gula ma hope o ka ʻai ʻana ʻaʻole e piʻi ma luna o 5.5 mmol / L. Pono ʻoe e ʻimi no ia mau ʻōmole, a mai hoʻolohe i nā kāhili maoli i ke kō maʻa ma hope o ka ʻai ʻana me 8-11 mmol / l he mea maikaʻi loa. Hiki ke loaʻa ke kaʻi ʻana i ka maʻi diabetes maikaʻi ma ke kaohi ʻana i kahi meaʻai haʻahaʻa-haʻahaʻa a me nā hana ʻē aʻe i wehewehe ʻia ma ka pūnaewele Diabet-Med.Com.

Svetlana Voitenko

Ua kuhikuhi mai iaʻu he endocrinologist iaʻu no Diabeton, akā ua ʻoi aku ka hoʻopiʻi ʻia kēia mau peni. Ua mālama wau iā ia no 2 mau makahiki, i kēia manawa ua lilo wau i wahine he wahine kahiko. Ua nalowale au i 21 kg. Hōʻalo ka hiʻohiʻona, nā ʻili o ka ʻili i mua o nā maka, ʻike ʻia nā pilikia me nā wāwae. Hoʻokomo wale ka Sugar e hoʻopaʻa me ka glucometer. Ua hopohopo wau i ka maʻi maʻamau ʻo ka maʻi āpau 2 ua hoʻohuli ʻia kahi maʻi diabetes type 1.

I nā mea maʻi lemu me ka maʻi maʻamau o ka maʻi type, ua pāpaʻi ʻia nā kumulepule a me ke kōkōlani, a ma hope o 5-8 mau makahiki. ʻO ka mea pōʻino, ʻoi aku ka wikiwiki a me ka lahilahi. E aʻo i ka ʻatikala ma ka LADA maʻi a lawe i nā hoʻokolohua i kākau ʻia ma loko. ʻOiai inā he mau mea momona keu ʻole, a laila me ka ʻole o ka nānā ʻana i nā mea āpau ... Mālama i ka papahana mālama lapaʻau no ka maʻi type 1 a hahai i nā ʻōlelo hōʻike. E hoʻopau koke i ka maʻi Diabeton. Pono nā inikini insulin, ʻaʻole hiki iā ʻoe ke hana me ka ʻole o lākou.

Andrey Yushin

ʻO ka manawa nei, ua hoʻohui i ke kauka hele nei i ka papa kuhikuhi o ka metformin i ka 1/2 aʻu i lawe ai ma mua. ʻO ka lāʻau hou ke kumu i kahi hopena atypical side - pilikia pilikia. Ma hope o ka ʻai ʻana, kaumaha koʻu ʻōpū i loko o koʻu ʻōpū, ʻūhū, i kekahi manawa puʻuwai. ʻOiaʻiʻo, hāʻule ka momona. ʻO kekahi manawa ʻaʻole ʻoe e pōloli iki i ka manawa, no ka mea ua piha ka ʻōpū.

ʻO nā hōʻike i hōʻike ʻia ʻaʻole ia he hopena o ka lāʻau o ka lāʻau, akā he hoʻopiʻi o ka maʻi maʻi i kapa ʻia ʻo gastroparesis, hapalua gastric paralysis. Hele ia ma muli o ka lawe ʻana o nā nerb i komo i ka pūnaehana hoʻohuihui autonomic a me ka pale ʻana i ka hoʻāʻo ʻana. ʻO kēia kekahi o nā hōʻike o ka neuropathy diabetic. Pono e hānai ʻia nā hana kūikawā i kēia hoʻopiʻi ʻana. E heluhelu i ka ʻatikala "Diabetic gastroparesis" i nā kikoʻī hou aku. Ua ʻae ʻia - hiki iā ʻoe ke hoʻopau pau loa. Akā he nui ka pilikia o ka mālamaʻana. Hoʻomaopopo i kahi meaʻaiʻaiʻai haʻahaʻa, hoʻāla, a me nā inikini insulin e hoʻomaʻamaʻa i ke kōpaʻa maʻa wale nō ke loaʻa i kou ʻōpū. Pono ke kāpae ʻia ka maʻi maʻi maʻi, e like me nā mea maʻi āpau āpau, no ka mea he lāʻau lapaʻau maikaʻi loa ia.

Hoopuu

Ma hope o ka heluhelu ʻana i ka ʻatikala, ua aʻo ʻoe i nā mea āpau e pono ai e pili ana i ka lāʻau lapaʻau Diabeton MV. Holo ikaika kēia mau pā. Ano, aia ike oe pehea ia i hana ai. Ua wehewehe ʻia ma nā kikoʻī ma luna o ka mea e like ai ka Diabeton MV ʻokoʻa mai ka sulfonylureas o ka hanauna i hala. Loaʻa iā ia he mau pōmaikaʻi, akā ʻo nā mea hemahema e ʻoi loa ma mua o lākou. Manaʻo ʻia e hoʻololi i kahi papahana lapaʻau maʻi type 2 ma ka hōʻole ʻana i ka lawe pōpoki. E hoʻāʻo i kahi meaʻai haʻahaʻa-haʻahaʻa-a ma hope o nā lā 2-3 e ʻike ʻoe e hiki iā ʻoe ke mālama maʻalahi i ke kō maʻamau. ʻAʻohe mea e pono e lawe i ka deretatives sulfonylurea a hōʻeha ʻia i ko lākou ʻaoʻao ʻaoʻao.

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