Hiki i nā lāʻau lapaʻau no nā maʻi diabetes mellitus type 2 ke loaʻa pū me ka lāʻau lapaʻau hoʻokahi a i ʻole kahi lāʻau lapaʻau paʻakikī.
ʻO Yanumet, ma ke ʻano he antidiabetic agent, he lāʻau lapaʻau me ʻelua mau mea kanu ikaika, no laila ʻo ka lawe ʻana i hoʻokahi papa hiki ke hoʻololi i ka pono e hoʻohana i nā lāʻau lapaʻau.
I kēia manawa, uku nui nā lāʻau lapaʻau i loko o nā lāʻau lapaʻau ma Rūsia. Akā, e like me nā loea lapaʻau, ʻo ko lākou mākaukau e hōʻoia i kēlā kumukūʻai.
He aha ka mea hypoglycemic agent?
Hoʻokomo ʻia ka lāʻau Yanumet i ka hui o nā lāʻau lapaʻau me ka hopena hypoglycemic. ʻO ia ke kumu, hōʻike pinepine ʻia no ka maʻi mellitus kūloko diabetes mellitus.
Hoʻonui ʻia kāna kūlana e nā mau mea ikaika e lilo i ka wahi o ka lāʻau lapaʻau.
ʻO ka ʻāina kumu o Yanumet ka United States oʻAmelika, e wehewehe ana i ke kumukūʻai nui o ka lāʻau (a hiki i ʻekolu tausani mau rubles, e pili ana i ka dosage).
Hoʻohana ʻia nā papa Janumet i loko o kēia mau hihia:
- e hōʻemi i ke koena o ke koko, ʻoi aku ke ʻano o nā hana pilikino e hōʻike ana i kahi hopena maikaʻi ʻole;
- inā ʻo ka monotherapy e hoʻohana wale nei i kekahi mea ikaika no ka lawe ʻana mai i ka hopena i makemake ʻia;
- Hiki ke mālama ia e like me kahi lā paʻakikī i hui pū ʻia me nā derivatives o sulfrnylurea, insulin therapy a i ʻole nā Antagonist o PPAR-gamma.
Ke loaʻa nei ka lāʻau lapaʻau i kāna ʻano hana i hoʻokahi manawa ʻelua mau hana ikaika e loaʻa ka hopena hypoglycemic:
- ʻO Sitaglipin kahi mea i hui ʻia o ka hui o ka hoʻonaninani DPP-4, ka mea, me ka hoʻonui i ke kō o ke koko, e hoʻowalewale i ka synthesis a me ka huna ʻana o ka insulin i nā ʻāpana beta pancreatic. Ma muli o kēia kaʻina hana, aia ka emi ʻana o ke kō i nā hoʻohuihui gula i ka nui ole.
- ʻO ka Metformin hydrochloride he mea moho o ka hui biguanide o nā kolu o ka lālani, ka mea i hāʻawi ʻia i ka pale o ka gluconeogenesis. ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e pili ana i ka mea e hoʻoulu ai i ka glycolysis, kahi e hoʻomaikaʻi ai i ka holomua o ka glucose i nā puna a me nā kiko o ke kino. Eia kekahi, aia kahi wīwī i ka lawe ʻana o ka glucose i nā sela ʻeha. ʻO ka pōmaikaʻi nui o ka metformin ka mea ʻaʻole ia e lilo i ka hoʻemi ʻana i nā kiʻekiʻe o ka glucose (ma lalo o nā pae maʻamau) a ʻaʻole i alakaʻi i ka hoʻolālāʻana o ka hypoglycemia.
Hiki i ka nui o nā lāʻau lapaʻau ke hiki mai ʻelima haneri a i hoʻokahi tausani milligrams o kekahi o nā mea hana - metformin hydrochloride. ʻO ia ke kumu, hāʻawi ka lāʻau lapaʻau hou i nā mea maʻi i nā papa papa e like nei:
- Janumet 50/50.
- Janumet 50/850.
- Janumet 50/1000.
ʻO ke kiʻi mua i ka hoʻonohonoho o ka lāʻau lapaʻau e hōʻike ana i ka nui o ka sitaglipin o ka hana ikaika, ka lua e hōʻike ana i ka hiki o ka metformin. Hoʻohana ʻia nā mea kōkua.
- ʻO ka cellulose Microcrystalline.
- ʻO Povidone.
- Sodium stearyl fumarate.
- Sodium lauryl sulfate.
- Ka wai hoʻohālike Polyvinyl, titanium dioxide, macrogol, talc, ka iron oxide (ʻo ka ʻāpana o ka papa ʻaina i hoʻomākaukau ʻia no lākou).
Mahalo i ka mea lapaʻau ʻO Yanumet (Yanomed) i hiki, ke hiki ke hoʻokō i ka pale ʻana o ka nui o ka glucoseagon, ka mea, me ka piʻi o ka nui o ka insulin, e alakaʻi ana i ka normalization o ka glucose i loko o ke koko.
Nā ʻōkuhi no ka hoʻohana ʻana i nā papa
ʻO ka kauka hele wale nō e mālama nei i ke ala o ke kaʻina pili ke kuhikuhi i ka mālama ʻana a me ke ʻano o ka lawe ʻana i ka lāʻau lapaʻau no nā poʻe maʻi.
Pēlā ke kānāwai, pono e hoʻihoʻi i ka hoʻomākaukau ʻana o Yanumet i ʻelua manawa o ka lā i ka wā o ka ʻai (i ke kakahiaka a i ke ahiahi), inu i nā wai nui.
E hōʻike i nā ʻōkuhi no ka hoʻohana ʻana he 500 mg ka metformin hydrochloride a me 50 mg sitaglipin pālua ʻelua o ka lā (hoʻokahi papa me ka liʻiliʻi liʻiliʻi).
Pono e hoʻoponopono hou ʻia me ka pālua o ke ʻano nā metformin.
Inā ma mua o ka mea maʻi i hana i kahi papa lāʻau me ka hoʻohana ʻana i nā lāʻau lapaʻau e pili ana i ka metformin, a me kēia ʻano hana, ʻaʻole ia i lawe mai i ka hopena pono, e hoʻohana ʻia ka hoʻohana ʻana i ka lāʻau.
- ka hopena o ka metformin hydrochloride i ka ikaika ma mua o ka hoʻohana ʻia ʻana o ka терапии
- pono ka pae ʻana o kahi sitaglipin ma kahi o 100 mgꓼ
- ʻO ka nui o nā pā i nā lā ʻelua.
ʻO ka māhele o nā mea maʻi ma mua e hoʻohana ai i ka lāʻau lapaʻau e pili ana i nā lāʻau lapaʻau me ka sitaglipin wale nō e pono e hōʻeha i nā maʻi hou e like me ke ʻano penei:
- I ʻelua manawa i kahi lā, lawe ʻia ka lāʻau lapaʻau i loko o kahi nui o 50 mg o ka sitaglipin a me 500 mg o metformin hydrochloride.
- Ma hope, hiki ke hoʻonui i nā hewa i nā ʻāpana o hoʻokahi papa o Janumet 1000.
Inā hoʻohana ʻia kahi paʻa therapeutic paʻakikī me nā derivatives o ka sulfonylurea, e hoʻoholo nā mea i lalo iho nei i ka hoʻoponopono palena hana.
- kau ka hopena o ka metformin hydrochloride e pili ana i ka pae o ka hoʻomohala ʻana o ka pathology i ka mea maʻi
- ka 100 mg kaʻe ʻana o ka sitaglipin i 100 mg, hoʻokaʻawale ʻia i ʻelua pota
- ka helu o ka waiwai ikaika o ka derogatives sulfonylurea e hoʻoholo e ka mea hele i ke kauka e pili ana i ke kiʻi o ka maʻi maʻi.
ʻO kekahi o nā ʻano lāʻau e hoʻokaʻawale i ka ʻai ʻana i nā mea inu ʻona, ʻoiai ua hoʻākāka ka ʻawaʻawa. ʻO ka hoʻohālikelike ʻana me nā lāʻau ʻē aʻe e pono me ka ʻae ʻana ma kahi loea lapaʻau.
I ka hihia o kahi overdose, hoʻomohala paha ka lactic acidosis.
E hoʻopau i nā mea maʻi, hoʻokipa ʻia nā mea maʻi a lawe i nā ʻano ma hope o ke ʻano lapaʻau - therapy hōʻailona, hemodialysis.
I nā hihia hea i pāpā ʻia ai ka hoʻohana ʻana i kahi mea hypoglycemic agent?
Ma mua o ka hoʻomaka ʻana i ka lapaʻau ʻana, pono ʻoe e heluhelu ponoʻī i ka helu o nā contraindications i kuhikuhi i nā ʻōlelo aʻoaʻo.
Eia kekahi, pono e kūkā me kāu kauka e pili ana i ka hoʻohana ʻana i ka lāʻau.
E like me nā lāʻau he nui, ʻaʻole hiki ke hoʻohana ʻia ʻo Yanumet i kekahi mau hihia.
ʻO ka mea mua, pāpā ʻia ke kaʻina papa papa inā loaʻa nā ʻano.
- Aia kekahi kiʻekiʻe hoʻonui o ka maʻa i ka mea maʻi i hoʻokahi a keu paha mau mea o ka lāʻau lapaʻau.
- ʻO nā pilikia me ka hana maʻamau o nā pūpū, me ka hōʻike pū ʻana i nā kūlana e hiki ai i ke paʻi i kona mau hōʻalo. Hoʻopili kēia me ka dehydration, ka papa o nā pathologies infectious pathological, a me kahi kūlana o ka pīhoihoi.
- Hiki i nā kūlana ke hopena i ka hypoxia kiko.
- Heha ka maʻi ʻeha a me kona ʻano ʻole.
- I ka wā o ka waiʻonaʻona.
- ʻO ka huehue a waena o ka metabolic acidosis.
- Maʻi molaʻi.
- Ke ʻano hana i loko o ka insulin i ke kaʻina pili.
ʻOiai ka mea maʻamau i kēia lā ʻaʻohe ʻikepili e pili ana i ka noiʻi olakino e pili ana i ka hopena o ka lāʻau lapaʻau ma ka ʻōpio, pāpā ʻia ʻo ia e hoʻomaʻamaʻa ʻia me ka hoʻohana ʻana i ka wā o ka hānau keiki ʻana a i ʻole ka umauma nui.
Pono e hoʻomanaʻo ʻia ma ka manawa o ka hoʻomaha a ka mea maʻi ʻaʻole he hopena o ka hypoglycemia. Inā loli ka nohona o kahi kanaka, hoʻoikaika kino kino, ʻilihuleu a i ʻole ka luhi i ka naʻau, kahi loli i kaʻai (a hiki i nā kīnā pōloli) hele mai, hiki i ke kahe koko ona ke hāʻule i nā pae koʻikoʻi.
Ma mua o ka hoʻomaka ʻana i ka ʻoihana paʻakikī, pono e hana i nā hoʻokolohua ponoʻi a me nā loiloi e pale aku i nā hopena maikaʻi ʻole a me nā hōʻike hou ʻana mai ka lawe ʻana i ka lāʻau lapaʻau.
Nā hopena ʻaoʻao a me nā hopena maikaʻi loa
ʻO ka laulima o ka nui o ka mea maʻi a me ka hōʻeha o ka hōʻike ʻana o nā hopena maikaʻi ʻole mai nā kino kūwaho a me nā ʻōnaehana hilinaʻi pololei i ka pololei o ka lawe ʻana i ka lāʻau lapaʻau a me kona hoʻopili ʻana me nā lāʻau lapaʻau ʻē aʻe.
Loaʻa nā hopena ʻaoʻao i ka wā e hōʻino ai e ka mea maʻi i nā ʻōlelo lapaʻau e pili ana i ka lawe ʻana i ka lāʻau.
Hiki i nā hopena maikaʻiʻole ke hōʻeha ma muli o ka hōʻino ʻole o nā lula no ka lawe ʻana i ka lāʻau hoʻohui like.
ʻO nā hopena nui, ka:
- ka ulu ʻana o nā pilikia like ʻole me ke aʻeha o ka gastrointestinal, ʻo ia ka mea mua, ka hōʻailona mua e like me ka nausea a ka luaʻi, ka ʻōpū ʻana, ka ʻūhā a me ka puʻuwai o ka ʻōpū,
- ka hōʻike ʻana mai i nā pilikia o ka dyspeptic,
- hoʻonui ka lāʻau lapaʻau i ka hopena o ka anorexia,
- he hiki ke hoʻololi ʻia i ka nānā ʻana i ka mea ʻono, i hōʻike ʻia i ka wā i hōʻea ʻia ai ka maikaʻi o ka mea hōʻiliʻili o ka metala ma ka waha waha.
- ka hōʻemi o ka nui o ka huaora B, e hōʻake ai iā ʻoe e hoʻohui i nā lāʻau me nā mea hoʻohui lāʻau,
- māhuahua i loko o nā kūlana ākea a me ke ʻano o ka manaʻo o ka palau mau,
- hoʻohaʻahaʻa i ke koko
- ʻehia ka puʻuwai naʻau,
- Hōʻikeʻike o ka anemia,
- me kahi overdose koʻikoʻi, hiki paha ke hanana ka hopena o ka hypoglycemia.
Eia kekahi, pilikia paha nā pilikia me ka ʻili inā inā loaʻa kahi ʻano o ka hopena alakaʻawa i ka lāʻau e lawe ʻia ana.
Nā hōʻike mai nā mea kūʻai aku a me nā poʻe lapaʻau?
E pili ana i nā lāʻau lapaʻau loio Janumet ʻokoʻa i waena o nā mea maʻi.
Hoʻokahi kekahi māhele o ka maʻi maʻi e pili ana i nā hōʻike ʻana o nā ʻano maikaʻi ʻole i kū mai ma muli o ka lawe ʻana i ka lāʻau lapaʻau.
Ua hōʻike aku kekahi i kahi kūlike maikaʻi o ka lāʻau lapaʻau, kahi i hōʻike i kahi kiʻekiʻe kiʻekiʻe o kona pono.
Ma keʻano holoʻokoʻa, hiki ke ʻōlelo ʻia e hana maikaʻi ana ka lāʻau lapaʻau i kāna hana - e hoʻohaʻahaʻa ana ia i ka pae o ka glucose i ke koko a hōʻemi i ka hōʻike o ka kūʻē o ka insulin. Hōʻike ʻia kēlā mau maikaʻi maikaʻi ma muli o kāna mau ʻelua nui.
Lā kiʻekiʻe loa ka lāʻau Janumet kumukūʻai, ʻo ia kekahi o nā pilikia o kēia huahana lapaʻau. ʻO kēia kumukūʻai o ka lāʻau lapaʻau ma muli o nā kumu nui ʻelua:
- ka hoʻonohonohoʻana o ka hoʻomākaukau papa papa,
- hana ʻia e kahi hui haole.
Hoʻomaopopo nā poʻe loea lapaʻau i kahi manaʻo kūpono o ka hopena o ka lāʻau lapaʻau, me ka haʻi ʻana i ka hoʻokō pono ʻana i nā loiloi a pau me ka hāʻule ʻole e alakaʻi i kahi hopena maikaʻi. I kēia hihia, pono e mālama pono i ka lāʻau no ka poʻe me ka maʻi paleka a me nā pūpū, a i ka wā kahiko.
Pono e hoʻomanaʻo ʻia nā lāʻau lapaʻau hypoglycemic āpau e lawe wale ʻia e ke alakaʻi hele kauka a ma lalo o kāna alakaʻi koʻikoʻi.
He aha nā lāʻau lapaʻau hiki iaʻu ke hoʻololi i ka lāʻau lapaʻau me ka?
ʻO ke kumukūʻai kiʻekiʻe o ka lāʻau lapaʻau e noʻonoʻo iā ʻoe e pili ana i ka loaʻa ʻana o nā lāʻau lapaʻau like e ʻoi aku ke kūpono. Pono e hoʻomanaʻo ʻia i kēia mau lā Huipūʻenehana Yanumet i loko o ka mākeke pharmacological i hōʻike wale ʻia e nā lāʻau lapaʻau ʻo Velmetia. Pono e hoʻomaopopo ʻia he nui mau manawa ke kumukūʻai o kēlā me kēia ʻano mokulele ma mua o ko Yanumet. Eia kekahi, ʻaʻole ʻike nā lāʻau like ʻole i nā keʻaila i nā kūlanakauhale a hiki ke hāʻawi wale ʻia ma ke noi.
ʻO nā mea hou aʻe he hopena like, akā ʻokoʻa i nā mea nui o ka lāʻau. Nui nā mea lapaʻau e loaʻa kahi hopena like a hoʻohui pū me Yanumet i ka code ATC.
ʻO ka Glibomet kahi lāʻau lapaʻau hypoglycemic i loaʻa nā mea like e like me ka metformin hydrochloride a me ka glibenclamide. Loaʻa ka lāʻau lapaʻau i ka hopena lipid-lowing.
ʻO ka Douglimax kahi lāʻau lapaʻau i ʻāpana o ka hui o nā lāʻau lapaʻau haʻahaʻa. ʻElua ia mau mea ikaika i kona ʻano - metformin hydrochloride a me glimepiride.
ʻO Tripride kahi papa lāʻau hoʻohui e pili ana i ka metformin a me nā pioglitazone. He mau hōʻailona olakino like iā Janumet.
Hoʻohana pū ʻia ʻo Avandamet e hoʻomaʻamaʻa i nā pae glucose koko. Loaʻa ka hopena hypoglycemic ma muli o ka hoʻopili ʻana i nā mea ʻano ikaika e like me ka metformin hydrochloride a me rosiglitazone.
ʻO ka poʻe loea i ka wikiō ma kēia ʻatikala e hāʻawi aku i ka ʻike e pili ana i nā lāʻau lapaʻau haʻahaʻa nui loa.
