ʻO ka lāʻau Bagomet plus ʻo ia kahi hui pū paʻa o ʻelua mau lāʻau hypoglycemic waha i ka manawa hoʻokahi, nona nā ʻano lāʻau lapaʻau like ʻole: Metformin, Glibenclamide.
ʻO ka Metformin kahi lāʻau lapaʻau o ka pūʻulu biguanide, hoʻohaʻahaʻa loa ia i ka glycemia ma muli o ka hoʻonui nui o nā kaila peripheral i ka insulin hormone, hoʻonui i ka uptake glucose.
ʻO nā mea ikaika o ka lāʻau lapaʻau e hōʻemi i ke kao o nā huapalapala e ka digestive tract, hoʻopaʻa ʻia i ka gluconeogenesis ma ka puʻuwai o ka mea maʻi, a he hopena maikaʻi hoʻi i ka pūhaka pūpū o ke koko, hoʻohaʻahaʻa i nā triglycerides a me ka kolamu piha.
ʻO Glibenclamide ka lua o ka lua o ka sulfonylurea, ka hoʻoneʻe ʻana o ka glucose ma hope o ka hoʻohana ʻana o ke ʻano o ka waiwai i hōʻemi ma muli o ka hoʻāʻo ʻana i ka hāmeʻe o ka holomua o ka hormone e nā puna o ka pancreas.
Ma hope o ka noi ʻana i ka lāʻau lapaʻau, ulu ka hopena hypoglycemic ma hope o 2 mau hola, a hiki ke lōʻihi i 12 mau hola. ʻO ka hōʻailona nui no ka hoʻohana ʻana ʻo ka mellitus type type 2 i ka wā o ka nele o nā hopena mai ka lāʻau papaʻai a i ʻole ka mālama ʻana me ka lāʻau hypoglycemic waha.
ʻO ke kumukūʻai o Bagomet Plus (kau ʻia ma kahi o 500 mg) kahi ma kahi o 200 mau rubles. Nā kuʻuna o ka lāʻau lapaʻau: Glybomet, Glukovans, Gluconorm.
ʻO nā contraindications maʻamau, nā hōʻino hewa i ke kino
ʻAʻole hiki ke kuhikuhi ʻia ka lāʻau lapaʻau no ka maʻi mellitus type 1, nā kūpuna maʻa, nūnē, ka maʻi ketoacidosis maʻi, ʻeka a me ka maʻi hepatic, ka lactic acidosis, nā waiʻona hoʻōla o ka lolo. ʻAʻole ʻōlelo ʻia ʻo Bagomet i nā kūlana pathological koi e koi ana i ka hoʻopuka ʻana i nā ʻoi o iodine.
Hoʻopilikia ka lāʻau i nā maʻi kūlohelohe a me ke ʻano, ka mea i hui pū ʻia e ka pololi oxygen, ʻo ia hoʻi: state shock, myocardial infarction, dehydration. Aia hoʻi nā kau palena o ka hoʻohana ʻana i ka lāʻau lapaʻau no ka porphyria, ke hoʻohana pono ʻana me ka miconazole, ka wahine hapai, a me ka umauma.
Hiki paha i ka wā o ka mālama ʻana i kahi maʻi me ka maʻi maʻi e loaʻa i nā ʻano kino kūpono ʻole: nā hōʻeuʻeu o ka luaʻi, ke kaʻa ʻōpū, ka ʻōpū o ka ʻōpū, hōʻemi ʻia ka makemake, ka mea ʻono o ka metala i loko o ka waha, a me ka erythema. ʻO Metformin i ka hoʻohuiʻana o ka lāʻau lapaʻau i kekahi manawa e hoʻonāukiuki i ka hoʻopoina ʻana, ka lactate acidosis.
ʻO kekahi ʻaoʻao o ka lāʻau Bagomet - Glibenclamide - hiki iā ia ke hana i kēia mau ʻano:
- ʻili kino ʻili, ʻeha, urticaria;
- paakiki, he nausea, ka eha eha;
- ka hana he nui o nā transaminases hepatic;
- leukopenia, hememia anemia, thrombocytopenia.
Hiki i ka hoʻonui ʻana i ke kao urea toto, nā ʻōpū o ka pali o ka iwi, nā pancytopenia, hyponatremia, nā ʻano like ʻole o disulfiram.
Nā ʻōkuhi no ka hoʻohana ʻana i ka lāʻau lapaʻau
Lawe ʻia ʻo Bagomet Plus me nā meaʻai, e pono ke koho pono ʻia ka hoʻoponopono ʻia ʻana o ka dosage maoli, ma muli o ke ʻano o nā kaʻina loina. E like me ke kānāwai, ʻo ka papa hana mua he 1 papa, e hoʻonui palakika ʻia ka nui o nā lāʻau lapaʻau, pili ʻia i nā hōʻailona glycemic. Pono pinepine ia he 1-2 mau pule.
I ka manawa e koi ai e hoʻololi i ka lāʻau hoʻoliʻi i mua, ʻo ke kauka ke kuhikuhi i ka 1-2 papa (ma muli o ke kauka ka lāʻau lapaʻau ma mua). Hana ʻia nā papa he 4 nui i kēlā me kēia lā, e kau ana i nā mea waiwai nui - ʻo kēia ka 500 mg o ka metformin a me 5 mg o ka glibenclamide.
Inā hana ʻia ka maʻi maʻi maʻi, ua puhi ʻo ia, ʻeha a i ʻole nā maʻi maʻi me ka febrile syndrome.
I ka wā o ka papa hana, pono e mālama ma lalo o ka kaohi.
- hookeai ka glycemia, mahope o ka ʻai ʻana;
- kipi o kēlā me kēia lā o ke kō.
Pono ʻoe e ʻike e pili ana i ka hoʻonui nui o ka hoʻomohala ʻana i ka hypoglycemia inā he maʻi maʻi, a me Bagomet Plus, e inu i ka wai ʻona, nā lāʻau lapaʻau anti-inflammatory, a pololi lākou.
Hāʻawi ʻia ka hoʻoponopono ʻana o ka lāʻau no ka hōʻeha ʻana i ke kino, ke kaumaha kino, ke hoʻololi koʻikoʻi i ka meaʻai. Me ka makaʻala koʻikoʻi, pono e lawe i ka lāʻau lapaʻau e kūʻē i ka mua o ka mālama ʻana me nā beta-blockers.
Inā hele mai nā hōʻailona o ka hypoglycemia, hōʻike ʻia kēia:
- ʻai i kahi meaʻai liʻiliʻi o ka meaʻai;
- hoʻokō i nā kūmole glucose a i ʻole dextrose solution i loko o ka intravenously.
I ka manawa e koi ʻia kahi noi urographic a ʻāniʻi paha, ua hoʻopau ʻia ʻo Bagomet Plus i 2 mau lā ma mua o ke kaʻina hana a hoʻi hou ma hope o 48 mau hola.
Me ka hoʻohana ʻokoʻa like o nā mea e loaʻa ai ka ethanol, aia kahi hopena o ka hoʻomohala ʻana i ka hopena like ʻole disulfiram.
No ka lōʻihi o ka hoʻomehana, pono ke kahakaha e hoʻomaʻamaʻa loa i ka wā e kaʻi aku nei i nā ʻano o nā ʻano o ke kaʻa, e hana ana me nā hana hoʻokūkū e pili ana i ka manaʻo o ka mālama ʻana, a me ka wikiwiki o ka noʻonoʻo psychomotor.
Hoʻohui nūhou
Hiki i ke hoʻohana me ka miconazole ke kumu i ka hoʻomohala ʻana o ka maʻi hypoglycemia o ka ʻano paʻakikī, a hiki i kahi coma. Inā hoʻohana pū ʻia ʻo Bagometua me Fluconazole, aia kahi manaʻo o ka hypoglycemia, ʻoiai ke piʻi aʻe ka pae o ka derogatives o sulfonylurea.
ʻO ka lāʻau Phenylbutazone hiki iā ia ke hōʻole i nā derivatives sulfonylurea, no laila ke piʻi nei i ka nui o kā lākou helu i ka kahe koko, ka hopena o ka hypoglycemia.
Hiki i ka hoʻohana ʻana i nā lāʻau lapaʻau i loko o ka radiopaque e hoʻokūkū i ka hoʻomohala ʻana i ka hana renal impaired, ka hōʻiliʻili o ka metformin. I kēia hihia, ʻaʻole i haʻalele ʻia ke kūkulu ʻana o ka acidosis lactic. Hoʻomaopopo ʻia ka lāʻau lapaʻau me ka lāʻau lapaʻau i ʻelua mau lā ma mua o ka hoʻohana ʻana o ia mau lāʻau lapaʻau, a hiki ke hoʻomau ʻia wale nō ma hope o 48 mau hola.
Hanaʻia ka Bagometua me ka hoʻohana ʻana i nā lāʻau e loaʻa ana ka ethanol i kekahi mau mahele o nā mea maʻi me ka maʻi maʻi e hoʻonāukiuki i ka hopena disulfiram-like.
ʻO ka like o Bagomet Plus ʻo Metformin 850 a i ʻole 1000.
Me ka hoʻohana like ʻana o nā lāʻau glucocorticosteroid, diuretics a me beta2-blockers:
- aia ka nui o ka hōʻemi o ka hopena o ka hopena;
- aia kekahi mau hōʻailona e hoʻoponopono i ka nui o nā lāʻau.
E pale aku i ka papa o ka mālama ʻana me ka ACE inhibitors, ʻike ʻia ka hopena o ka hypoglycemia, e hoʻonui ka beta-blockers i ke ala a me ka paʻakikī o kēia ʻano pathological.
Inā hoʻohana ʻia nā lāʻau lapaʻau antibacterial, e hoʻomaka ka wikiwiki o ke kō i loko o ke kō.
- sulfonamides;
- Nā MAO inhibitors;
- Pentoxifylline;
- Chloramphenicol;
- Nā Disopyramides.
Hiki ke hue kekahi ʻano i ka wā e hoʻohana ai nā lipid-hoʻemi haʻahaʻa mai ka pūʻulu o nā fibrates.
Nā hihia keu
I kahi hihia o ka overdose, hele a hypoglycemia i ke ʻano o ka glibenclamide i loko o ka waiwai.
Pēlā ka hypoglycemia i ka maʻa maʻi e hōʻeha i ka pōloli, ka huhū nui, ka nāwaliwali o ka naʻau, ka ʻili palapu, haʻalulu i loko o ke kino, ʻeha.
Ke ulu nei ka hypoglycemia, aia ka liʻiliʻi o ka nalowale ʻana o ka pale a me ka ʻike ʻoluʻolu. I kēia hihia, wikiwiki ka lawe ʻana i ka mea liʻiliʻi o ka meaʻai o ka mea i kālai ʻia, inject glucose intravenously. Akā, ʻo kēia ala e pōmaikaʻi wale nō me ka hōʻemi maʻalahi o ka hypoglycemia.
Pono nā mea e hōʻike ʻia:
- hoʻomoe;
- makaʻu ʻole;
- gait impaired, hoʻonohonoho pū o nā neʻe;
- pilikia kūloko;
- āhāhuʻe.
I nā hōʻailona koʻikoʻi o ka hypoglycemia, inā he maʻi ma ka maʻi maʻi, pono ia e kuhi i ka hopena o ka 40% dextrose a i ʻole glucagon subcutaneously, intravenously a intramuscularly. ʻO ke kumu kūʻai o kēia mau hana hoʻopakele ka mālama i ke ola o ke kanaka.
E hoʻihoʻi ka code i ka ʻike, pono ka mea maʻi e ʻai i nā meaʻai i loaʻa ka nui o nā kīpē, e pale aku kēia i ka hoʻomohala hou ʻana o ka hypoglycemia.
Hoʻomaopopo ka ʻōlelo aʻoaʻo no ka hoʻohana ʻana o Bagomet Plus e hiki i ka mālama lōʻihi ke hiki i ka hoʻomohala ʻana o nā ʻōpiopio e like me ka lactic acidosis, ʻo ka mea pau ka hua i ka mea metformin.
Lactic acidosis - kahi hana e koi ai i ka mālama olakino, lawe ʻia ka hana lapaʻau i loko o kahi haukapila. ʻO ke ala e ʻoi loa e hoʻopau i ka hemodialysis.
ʻO ke wikiō ma kēia ʻatikala e kamaʻilio e pili ana i ka hopena o ke ʻano o ka metformin i ka maʻi diabetes.
