Hoʻohana ʻia ka Diabeton me nā lāʻau like ʻole o ka derogative o ka olakololina me ka hoʻomaʻamaʻa ʻana i kahi kaʻina pathological e like me ka non-diabetes mellitus non-insulin.
Hoʻolaha pinepine ʻia kēia kumuhana o nā lāʻau hypoglycemic i ka maʻi maʻi maʻi e hoʻoikaika i ka hana ʻana o ka insulin hormone e nā seleka pancreatic kūikawā.
Ma ka hoʻomaʻamaʻa lāʻau lapaʻau, hiki ke hoʻohana ʻia nā lāʻau like ʻole me ka hakakā ʻana me ka mellitus non-diabetes-mellitus.
Nā hua kiʻi o nā sulfonylureas i kēia lā i hana i nā hanauna he nui.
Ka hoʻohana ʻana o ka sulfonylureas i ka mālama ʻana
Manaʻo ʻia nā lāʻau lapaʻau ʻo ia kekahi o nā mea lawelawe koʻikoʻi hypoglycemic e hoʻomalu i ke kō koko.
Pono nā kuhikuhi nui o ka maʻi e hoʻokō i nā pahuhopu aʻe:
- ka hoʻoweliweli ʻana o ka hoʻāla haukaʻi insulin
- hoʻemi i ka insensitivity insulin o nā cellꓼ
- ka hoʻoleiʻana i ka hoʻohuihui glucose ma ka palalolo ʻana i kona kaomi ʻana i loko o ke koko mai ka ʻāpana aku
- ka hoʻoponopono ʻana i ka ala e hoʻāhewa ʻia ai i ka hopena o nā hoʻohālikelike lipid i ke koko.
Hoʻokumu i ka pae a me ke ʻano o ka hoʻomohala ʻana o ke kaʻina pili, kuhikuhi nā loea lapaʻau i ka hoʻohana ʻana i nā lāʻau kūpono kūpono mai nā hui a i ʻole kekahi mau hui i ka manawa hoʻokahi. Hiki i nā mea kanu o nā sulfonylureas kekahi o nā lāʻau lapaʻau.
ʻO ka Sulfonylurea kahi mea hypoglycemic i hana ʻia mai ka sulfamide a hoʻohana nui ʻia i ka mālama ʻana i ka maʻi maʻi maʻi. ʻO ka papa hana nui o nā lāʻau i ke ʻano e hoʻowalewale i ka ola poli pancreatic ola e hana i ka nui o ka insulin. Ma muli o kēia hopena, ʻaʻole ka hoʻouluʻana o ka hormone hou wale nō, akā ke ʻano nui o nā ʻili o ke kino e hoʻonui ai i ka nui.
Eia kekahi, ʻo nā hopena maikaʻi o ka lālani sulfonylurea:
- E hoʻonui i nā hopena o ka insulin, e alakaʻi ai i kahi emi e ʻoi aʻe ana i ke kō.
- Pae lākou i ka hana o nā huina e wāwahi ai i ka insulin.
- E hoʻonui i ka nui o nā mea i hāʻawi i ka insulin i nā membranes.
- Hoʻopilikia maikaʻi ʻia ke kaʻina hana o ka hoʻohanaʻana i nā glucose i nā pupu ʻona.
- Hoʻonui lākou i ka hoʻopili a me ka oxidation o glucose.
Kākā ʻia ia mau ʻano lāʻau lapaʻau no ka poʻe me ke kaumaha o ke kino, ʻaʻole ke kaumaha i ka momona.
Hōʻike ʻia nā kinikini holony āpau i nā ʻano o nā lāʻau lapaʻau i nā hanauna ʻekolu.
ʻO nā lāʻau lapaʻau mua loa i hoʻohana ʻole ʻia i ka lāʻau lapaʻau o kēia wā, ʻoiai lākou he hopena hona i ka kino kanaka
ʻO nā lāʻau lapaʻau ʻelua, ʻoi aku ka palekana, a no laila hana ikaika i ka mālama ʻana o ka maʻi. Hōʻike ʻia lākou e kekahi mau mea ikaika e like me gliclazide, kahi ʻāpana o nā papa Diabeton.
ʻO nā lāʻau lapaʻau ʻekolu, he hopena lōʻihi a hiki iā ʻoe ke lawe i nā lāʻau lapaʻau haʻahaʻa i loko o nā wai haʻahaʻa e hoʻokō ai i ka hopena i makemake ʻia.
ʻO kā lākou mea hana nui he glimepiride.
He aha ka lāʻau lapaʻau hoʻohaʻahaʻa.
ʻO ka lāʻau lapaʻau Diabeton he lāʻau lapaʻau hypoglycemic, i hoʻokomo ʻia i loko o ka hui o derivatives sulfonide o ka lua o ka hanauna.
ʻO ke kumu o kona hoʻonohonohoʻana, ʻo ia ka waiwai gliclazide, ma muli o ke ʻano e pono ai ke lawe i nā papa.
ʻAʻole e like me nā lāʻau lapaʻau sulfonylurea (no ka laʻana, ʻo Glibenclamide), he maʻi hypoglycemic pākaʻomaʻi, e hoʻopiʻi maikaʻi ana i ka microcirculation, hemostasis, ka data hematological a me nā ʻano rheological o ke koko. ʻO kēia mau waiwai ka mea nui loa i nā maʻi me ka maʻi o ka maʻi type 2.
Hoʻokomo ka lāʻau Diabeton i ka hoʻomaka mua o ka hana huna o ka insulin, ka mea i hōʻole ʻia i ka hopena o ka hoʻomohala ʻana o ke kaʻina pili. Eia kekahi, ʻo nā huahana pharmacological o ka lāʻau lapaʻau e komo:
- hōʻemi i ka platelet aggregationꓼ
- ka hoʻonui ʻana o ka hana hoʻonaninua o ka plasminogen a me prekallikreinꓼ
- ka hoʻoliʻi ʻana i ka pilikia o nā koko clotsꓼ
- ka hoʻemi ʻana o ke kaumaha oxidative a me ka hana o nā molika adhesion
- ka emi o ka helu o ka pro-atherogenic alpha tumor necrosis factor, no ka mea aia kahi pale pale e pili ana i ka hoʻomohala ʻana o nā maʻi ʻeha a me nā pilikia me ka hoʻoliihua koko maʻi maʻi ma nā maʻi diabetes
- hana o ke kaʻina hana o ka fibrinolysis.
Eia kekahi, no Diabeton, ʻo nā ʻōlelo o ka hoʻohana ʻana i ke ʻano o ka lāʻau lapaʻau, ʻaʻole ia he waiwai hypoglycemic wale nō, akā loaʻa pū ka ʻano hemovascular, metabolic a me nā mea antioxidant. Hiki i kēlā mau lāʻau lapaʻau hiki ke hoʻokaʻawale i ka loaʻa o nā hoʻopiʻi like ʻole i loaʻa ma ke ʻano o ka maʻi maʻi.
He aha nā hōʻailona no kona hoʻohana ʻana?
Hoʻokuʻu ʻia ka lāʻau Diabeton i nā lāʻau lapaʻau o ke kūlanakauhale inā he lāʻau lapaʻau i kauoha ʻia e ka mea kauka i hele mai.
Ua hoʻoholo ka luna lapaʻau kūikawā maʻi kūikawā i ka pono o ke papa lāʻau lapaʻau e hoʻohana ana i ka lāʻau lapaʻau.
ʻAʻole like i nā lāʻau lapaʻau mai ka pūʻulu biguanide (e like me Metformin), ʻaʻole hoʻohana ʻia ka Diabeton no ka hoʻolilo kaumaha. Eia kekahi, ʻike kekahi mau maʻi e mālama i kēlā lāʻau lapaʻau i ka nui o ko lākou koʻikoʻi i ka wā mālama.
Wahi a ka annotation i ka lāʻau lapaʻau, nā hōʻike nui no ka hoʻohana ʻana i kēia lāʻau lapaʻau ka:
- ʻO ka hoʻomohalaʻana i ka maʻi mellitus o ka maʻi kūʻokoʻa o ka insulin e like me ka monotherapy a i ʻole ke ʻano he mālama paʻakikī. Hoʻomaka pinepine, ʻo ia ka mea hoʻomaka i ka hoʻomākaukau ʻia ʻana no ka hopena o ka lapaʻau o ka sulfonyl ma hope o ke ʻano lāʻau lapaʻau ʻole (e pili ana i ka meaʻai pono a me ka hana kino) ʻaʻole i hana i ka hopena i makemake ʻia.
- Ke hoʻokaʻawale nei i ka pale a me nā kumu pale, ke pale aku i ka hōʻike ʻana o nā ʻano maikaʻi ʻole like ʻole e lawe nei ka papa maʻi maʻi.
ʻO ka mea mua, ʻo ka hoʻohana ʻana i ka lāʻau e pale i ka loaʻa ʻana o nā pilikia o nā pathologies micro-vascular, e like me ka retinopathy a me ka nephropathy, a me nā maʻi ʻē aʻe o ka ʻōnaehana cardiovascular - hōʻeha puʻuwai a i ʻole hōʻeha.
Nā ʻōkuhi no ka hoʻohana ʻana i ka lāʻau lapaʻau
Loaʻa ka lāʻau maʻi Diabeton i nā palapala papa.
I ka manawa like, ʻo ka hoʻonohonohoʻana o ka lāʻau e loaʻa ai he kanawalukūmakiki milligrams o ka hana ikaika.
Lawe ʻia nā papa Diabeton e like me nā kuhikuhi koʻikoʻi o kahi mea lapaʻau.
Ma ke ʻano he kānāwai, ua kau ʻia ka papa lāʻau therapeutic o ka lawe ʻana i ka lāʻau lapaʻau.
- hoʻohana i ka lāʻau lapaʻau hoʻokahi manawa i ka lā, inā ʻaʻole pili ka ʻai i ka meaʻai (makemake ʻia e hāʻawi ʻia i ka wā kakahiaka) ꓼ
- ʻĀ wai hoʻohuihue ʻia nā maʻi kāula, me ka nui o ka wai minamina maʻamau me ka ʻole o ka haki
- e kau ʻia ka nui o kēlā me kēia lā i loko o nā papa o ka pūnaʻāwalu mau haneli o ka mea hana ikaika me ka hiki ke hoʻonui hou inā pono, ʻoiai ke hoʻomaka mau ʻia ka loaʻa ʻana o ka lāʻau lapaʻau me ka hoʻohana ʻana o ka palena haʻahaʻa, mālama ʻia i loko o kahi papa o ka lāʻau lapaʻau;
- ka ʻōhina pono o ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka komo ʻokoʻa no kēlā me kēia maʻi, e noʻonoʻo ana i nā hiʻohiʻona hiʻona o ke ʻano o ka maʻi, ka makahiki o ka mea maʻi a me ka pae o ka hypoglycemiac
- e hoʻopau i ka hopena o nā hopena hopena, ke kaʻi nei i ka lāʻau lapaʻau e hiki mai ana, ʻaʻole ʻoe e hoʻonui i ka nui o ka nui o ka waihona i ka manawa e hoʻohana ai ʻoe
- ʻO ka nui loa o ka papa ʻaina gula e hoʻohaʻahaʻa i ka lā ʻaʻole pono e hoʻonui i ka 320 mg, ʻo ia hoʻi, ʻehā mau papa, ʻoiai he pono e lawe i nā kaha kiʻekiʻe o ka lāʻau lapaʻau me ka piʻi ʻana o ka nui o nā kūmole i ka lā (ua ʻā ʻia ka lāʻau ke ʻelua a ʻekolu ʻekolu mau manawa i ka lā, ma muli o nā loiloi. Kauka).
I kekahi mau hihia, aia kahi hui hoʻohui, kahi e loaʻa ai nā lāʻau lapaʻau mai nā papa like ʻole.
Pēlā, e hoʻonui ʻia ka hopena o nā lāʻau āpau i lawe ʻia ma ke kino o ka mea maʻi.
Hiki ke hoʻohana ʻia kahi papa hypoglycemic e hui pū me nā lāʻau mai nā pūʻulu biguanide, nā alpha glucosidase inhibitors, a i ʻole ʻo ka maʻi maʻi o ka insulin. Hiki i ka hoʻomaʻemaʻe ākea ke hōʻemi i ka hopena o nā hoʻopiʻi like ʻole, a me ka hoʻōla maʻamau i ka nui o ka palaho o ke koko.
Pono e noʻonoʻo i ka lāʻau lapaʻau ma mua o nā mea i ʻōlelo ʻia ʻia e alakaʻi ai i ka hoʻomohala o hypoglycemia.
No laila, i ka wā e mālama ai i ka lapaʻau ʻana, pono e hoʻomanawanui ka mea maʻi i ka nui o ke kō i loko o ke koko.
He aha nā pilikia o ka hoʻohana ʻana i kahi lāʻau?
E like me ka hapanui o nā lāʻau, maʻi ʻo Diabeton nā hopena a me nā contraindications.
Inā ʻaʻole i hahai ʻia nā ʻōlelo lapaʻau a hoʻonui ʻia ka nui o nā lāʻau lapaʻau, ʻike ʻia kahi overdose o ka Diabeton.
Ke alakaʻi nei kēia hanana i kahi kūlana o ka coma maʻi, ʻikeʻike ʻole ʻia a me ka hypoglycemia koʻikoʻi. No ka hoʻopau i nā hōʻailona o kahi overdose, pono ia e hoʻolauna i ka mea maʻi i kahi hoʻonā hypertonic dextrose (ma ka pae ʻana o hoʻokahi kanahā mau pākēmeka) a me ka hopena glucagon, a ʻae ʻia e hoʻokaʻawale ʻia kahi kōpī liʻiliʻi.
Hoʻomaopopo hou ʻia ka mālama ʻia ʻana o ka pae koko koko i kēlā me kēia ʻumikumamālima mau minuke. ʻO kekahi hopena maikaʻi aʻe o ka overdose ka mea hiki i ka puʻuwai cerebral. I kēia hihia, kuhikuhi nā kauka iā Dexamethasone a me Mannitol i mālama ʻia.
Pono e mālama ʻia ka lāʻau lapaʻau e hoʻohana ʻole i ka hōʻike o kekahi mau kūlana a me nā ʻano.
Aia ka maʻi diabetes contagications:
- ʻO ka hōʻikeʻana o ka ketoacidosis o ke ʻano maʻi maʻi.
- ʻO kahi ʻano hana hilinaʻi o ka insulin i ka hoʻomohala ʻana o kahi kaʻina pili.
- ʻO nā maʻi koʻikoʻi o nā kino kūloko e like me nā pēpē a me nā ate.
- ʻO ka heleʻana o kahi coma glycemic a me nā kūlana kūpuna.
- I ka wā hāpai a me ka umauma.
- Inā ua loaʻa i ka mea maʻi ka nui o ka puhi ʻana o ka hōʻemi a me ka hōʻeha ʻeha.
- I ka wā ʻōpiopio a me nā maʻi maʻi maʻi.
- I ka hiki mua o kēlā me kēia hoʻomehana i kekahi a i ʻole nā mea nui o ka lāʻau.
Eia kekahi, i ka hoʻomakaʻana o ka papa therapeutic o ka mālamaʻana, pono ia e nānā i ka pono o ka lehulehu a me ke kūlana o ke olakino, no ka mea, ʻo nā ʻano like ʻole o nā hopena maikaʻi ʻole mai ka ʻaoʻao o nā kino kūloko a me nā ʻōnaehana e ulu. ʻO ka mea mua, pono ʻoe e makaʻala i ka loaʻa ʻana o nā maʻi kūlohelohe, a me ka hihia o ko lākou ʻike ʻana, e ho oki i ka lawe ʻana i ka lāʻau.
Eia kekahi, ʻo nā hopena koʻikoʻi o ka lawe ʻana i ka lāʻau lapaʻau e komo:
- hoʻemi haʻahaʻa haʻahaʻa koko ma lalo o nā pae i ʻae ʻia
- hoʻonui a i ʻole hoʻi o ka makemake, loaʻa ka kaumaha
- ka luhi o ke kino ākea a me ka nalowale o ka ikaikaꓼ
- hoʻoheheʻe nui loa
- kanuxopal
- ʻike maka
- nā pilikia hiamoe a me nā insomniaꓼ
- ka manaʻo ʻole hopohopo o ke kaumaha, loko a me ka huhū
- ke kiʻi o nā cramps i loko o nā ʻiʻo keiki bipi
- hoʻoweliweli ʻeha
- hoʻonui i nā enzymes i hoʻomohala ʻia
- hypersomnia.
Inā hele mai kahi hopena ʻino, pono e hōʻike i ke kauka hele e pili ana i kēia i mea e noi ai i nā ʻano kūpono e pono ai a i ʻole e hoʻohuli i ka lāʻau lapaʻau.
He aha nā lāʻau lapaʻau e hiki ai iaʻu ke hoʻololi i ka lāʻau lapaʻau me?
Hāʻawi ka lāʻau lapaʻau ʻenehana hou loa i nā manaʻo he nui e hōʻike ana i ka hoʻohana pono ʻana o ka lāʻau lapaʻau i ka manawa lōʻihi e alakaʻi i ka luku hōʻoki ʻana i nā pupu beta pancreatic a hiki ke kōkua i ka hoʻomohala ʻana o ka mellitus diabetes-dependence.
I ka manawa like, ʻoiai nā ʻōlelo hoʻopiʻi e hoʻomau nei ke kauka i ka lāʻau lapaʻau e mālama i ka pathology.
E pili ana i ka Diabeton, ʻokoʻa nā loiloi maʻi. Ke ʻōlelo nei kekahi poʻe he maikaʻi loa ka lāʻau a maʻalahi i ka hoʻomanawanui, aia kekahi i ka huhū ma ka nele o nā hopena a me ka hoʻonui nui ʻana o ka paona ma hope o ka hopena.
ʻAʻole ʻoe e lawe i nā loiloi a pau e pili ana i ka maʻi Diabeton no ka mea maoli nō, no ka mea ʻokoʻa kēlā mea pono ia mea, a ʻo nā mea kūpono ʻole i hiki i kekahi ke kūpono no kekahi.
ʻO ke kumukūʻai o ka lāʻau lapaʻau ma ka mākeke he ʻekolu haneri mau rubles. Inā pono, hiki i ke kauka hele ke hele i ka pono o ka lāʻau me kāna ʻano kāpili.
Hoʻohui nā papa hoʻonohonoho piha ma nā lāʻau like me:
- Glidia.
- ʻO kā Glykinorm.
- Gliklad.
- Gliclazide.
- Glioral.
- Haʻi maʻi.
- Diazide.
- Hoʻololi.
ʻO nā lāʻau āpau o nā analogue e kau ʻia ma luna o ka pūʻulu o nā derivatives sulfonyl o ka lua o ka hanauna. ʻO kā lākou ʻokoʻa e kau nei i ka ʻoihana hana (ʻo kekahi nā mākaʻi o nā ʻenekini pharmacological haole, ʻo kekahi kekahi ma ka Russian Federation), ke kumukūʻai a me ka helu o nā hopena kūpono, contraindications.
Hāʻawi ʻia ka ʻike e pili ana i ka maʻi Diabeton ma ke wikiō i kēia ʻatikala.
