ʻO nā papa Gluconorm kahi lāʻau lapaʻau e hui pū ai i nā ʻāpana 2 hypoglycemic i pili i nā māhele like ʻole o nā hui pharmacological: metformin a me glibenclamide.
ʻO ka Metformin ka lāʻau lapaʻau e pili ana i ka māhele o ka biguanides, a kōkua i ke hōʻemi i ka hoʻoliʻuku o ka glucose i ke kino, ma muli o ke hoʻonui ʻana i ka hiki o nā kaila peripheral i nā hopena o ka hormone.
ʻO Glibenclamide kahi huaʻōlelo o ka pumehana lua o ka sulfonylurea. Hāʻawi ia i ka hoʻoulu ʻia o ka hana hormone ma o ka hoʻohaʻahaʻa ʻana i ka paepae no ka pancreatic beta-cell sugar irritation. ʻO kahi hopena, piʻi aʻe ka hiki i ka insulin, a me kona kiʻekiʻe o ka pilina me nā cell target.
Noo ʻia ʻo Gluconorm no ka mālama ʻana i ka maʻi mellitus o ka maʻi type 2, ʻoiai ke kuhikuhi ʻia ʻo ia ma hope o 18 mau makahiki wale nō.
Pono e noʻonoʻo i nā hōʻailona a me nā contraindications no ka hoʻohana ʻana i ka lāʻau lapaʻau, e ʻike i nā hopena ʻaoʻao mai ka lawe ʻana? A e noʻonoʻo pū kekahi pehea e lawe pololei ai i ka lāʻau lapaʻau, a he aha nā loiloi e haʻalele ai i nā mea maʻi?
Nā hōʻailona a me nā contraindications
E like me ka mea i ʻōlelo ʻia ma luna nei, ua hōʻike ʻia nā lāʻau lapaʻau Gluconorm no ka mālama ʻana i ka maʻi maʻi i nā maʻi ma mua o nā makahiki 18. Ma ka manawa like, ua kuhikuhi ʻia i nā hihia i hiki ʻole ke hoʻokō i ka hopena e makemake ai i kahi pono meaʻai a me ka hana kino.
Hoʻolālā ʻia ʻo Gluconorm i ka wā i hāʻawi ai ka hana me ka metformin a me nā glibenclamide i hāʻawi i ka hopena therapeutic i makemake ʻia. A ʻo ia hoʻi i ka hana ke pono ke hoʻokaʻawale ʻana o ka mālama ʻana me nā mea ʻelua mau mea maʻi i nā mea maʻi me ka ʻona o ke kō i kō ma ke kino.
ʻOiai ke kūpono o ka lāʻau lapaʻau, aia kahi papa inoa o nā contraindications. ʻAʻole kuhikuhi nā kauka i nā lāʻau Gluconorm i kēia mau kūlana:
- ʻAno maʻi type 1.
- ʻO ka ketoacidosis maʻi maʻi, coma.
- Moku'āina precomatose.
- Hoʻopiʻi a ʻoliki.
- ʻO ka maʻi ʻehaʻeha.
- I ka wā hānau keiki a me ka ʻōpiopio.
- ʻAno meaʻai kaloli.
ʻAʻole hiki iā ʻoe ke kuhikuhi i kahi lāʻau lapaʻau no ka hilinaʻi ʻana i ka waiʻona kolohe, nā mea ʻawaʻawa, nā hōʻeha, nā mea ʻā. I ka wā o nā kūlana koʻikoʻi e hopena mai ka hana renal impaired.
ʻAʻole hiki iā ʻoe ke lawe i ka lāʻau lapaʻau ʻelua mau lā ma mua o nā haʻawina e koi ai i ka hoʻomaka ʻana o kahi ʻano kūʻokoʻa. ʻAe ʻia ka lawe ʻana i ka lāʻau lapaʻau wale nō ma hope o nā lā ʻelua, ma hope o ke ʻano aʻo ʻia.
No ka poʻe ʻoi aku ka 60 mau makahiki o ka makahiki, a me ka mōʻaukala o ka febrile syndrome, pituitary hypofunction, ua hoʻolako ʻia ka lāʻau lapaʻau Gluconorm me ka makaʻala nui loa, a ma lalo hoʻi i lalo o ka mākaʻi ʻana o ke kauka lapaʻau.
ʻO kekahi contraindication kekahi hypersensitivity o kekahi o nā mea hana ʻelua, a i ʻole nā mea kōkua o ka lāʻau lapaʻau, kahi o ka lāʻau.
Nā ʻōkuhi no ka hoʻohana ʻana i ka lāʻau lapaʻau
I Gluconorm, hōʻike ke aʻo e pono e lawe i nā papa maʻamau i ka wā ʻai. Hoʻoholo mau ʻia ka make ʻana o ka lāʻau i kēlā me kēia kanaka no ka mea maʻi, ʻoiai e pili ana i ka neʻe o ka glucose i ke kino.
ʻO ka maʻamau, ʻo ka papa hana maʻamau maʻamau ka papa hoʻokahi. Ma hope o kēlā me kēia hebedoma, e hana ʻia ka hoʻoponopono ʻana, a me kēia e pili ana i ke ake o ka hilo i loko o ke kino.
Ke hoʻokaʻawale nei i mua o ka lāʻau, hiki i kahi papa hoʻokahi a ʻelua paha ke kuhikuhi. Kūleʻa ka hewa ma muli o ka mea i kau ʻia ma mua. Pono e ka palena o ka nui loa ma kēlā me kēia lā papa ʻelima papa.
Pono e hoʻomaopopo ʻia he kuhikuhi nui loa ka nui maʻa ma lalo o ka mākaʻi o ke kauka hele hele mai. Hoʻomaʻamaʻa pinepine ʻia kēia ma nā kūlana kikowaena, ʻaʻole wale ka pae o ke kō i loko o ke kino o ka mea maʻi, akā, ʻo kona ʻano nui.
Hōʻike nā hōʻike o nā mea maʻi e hana maoli ka lāʻau lapaʻau, kōkua i ka hoʻohuihui i ka glucose i ke kino ma ka pae e pono ai. Me ka hopena o ka lāʻau Gluconorm, pono ia e hoʻāli i nā hopena hopena paha mai nā ʻōnaehana kino:
- Kūkākūkā kekahi hopena alia, ʻoiai me ka lula, ua kau ʻia ma luna o ka intolerance o ka lāʻau. Hōʻike kēia ʻano o ke kino iā ia iho me ka hōʻeha o ka ʻili, urticaria, ʻulaʻula a ka ʻula, hoʻonui ʻia ke ʻano o ke kino.
- Mai ka ʻaoʻao o ka hoʻoliʻoli momona, ʻaʻole i hoʻoholo ʻia nā hoʻomohala ʻia o kahi kūlana hypoglycemic.
- I kekahi mau kūlana, ua nānā ʻia ka leukopenia ma ka ʻaoʻao o ke kahe.
- Hiki i ka ʻōnaehana kelepona ma waena ke pane aku i nā lāʻau lapaʻau me nā hopena aʻe: ʻeha, hōʻeha, ka nāwaliwali mau, ka ʻōpū a me ka lethargy, ka luhi o ka maʻi, a me ka hopohopo.
- ʻO ka hoʻopauʻana o ka gastrointestinal a me ka'ōpala, hōʻeha i ka ʻōpū, ka nele o ka momona, ka hoʻāʻo ʻana i ka metara ma ka waha o ka waha.
Pono e ʻōlelo i ka wā e nānā ana i nā hopena ʻeha koʻikoʻi, pono ia e hoʻopili koke i kāu kauka. Ua hiki ke koho pololei ʻia ka dosage, a pili ʻia nā pilikia me ka hypersensitivity i nā mea o ka lāʻau.
No Gluconorm, ʻo ke kumukūʻai ma nā lāʻau lapaʻau o ka Lūkini Russian (Lūkini) heʻokoʻa iki, a ʻokoʻa ka like me ka 221 a 390 mau rubles i kēlā me kēia pāʻai.
Nā kikowaena e ka hoʻonohonoho
Hiki iā ʻoe ke kūʻai i nā lāʻau like like me ka mea e pili ana i ka hoʻokūkū i Gluconorm - he mau Glucovans lāua ʻo Bagomet Plus.
ʻO Glucovans kahi lāʻau lapaʻau hypoglycemic hui pū ʻia e loaʻa ai nā waihona like ʻole e like me Gluconorm. ʻO nā mea nui no ka hoʻohana ʻana i ka diabetes mellitus o ke ʻano lua ka like ʻole o ka maikaʻi ʻana o ka meaʻai, ke ʻano kino, a me ka manaʻo no ka hoʻohuli ʻana i ka maʻi i nā maʻi nā mea e hōʻemi ʻia ai ke kō o ke kō ma ke kino.
Pono e lawe ʻia i nā ʻōlelo hoʻohālike. I kēia hihia, ua hoʻoholo paa ʻia ka nui o ka lāʻau lapaʻau ʻokoʻa, a ʻano like kona ʻano me ka piʻi ʻana o ka honi i loko o ke kino o kekahi mea maʻi maʻi.
Ma ke ʻano he kānāwai, mālama mau ʻia ka lāʻau me hoʻokahi papa, i lawe ʻia i ka lā hoʻokahi. E hoʻokaʻawale i ke kūkulu ʻia ʻana o kahi kūlana hypoglycemic, pono ia e helu i ka pākuʻi a i ʻole ka nui o ka dosis o kēlā me kēia lā i ka nui o ka lāʻau ma mua o kēia mau mea hana.
ʻAʻole kōkua ʻia ʻo Glucovans i kēia mau kūlana:
- Hypersensitivity i ka lāʻau lapaʻau.
- Hōʻailona o ka hana o nā keiki pūlima.
- ʻO ka heleʻana o kahi pilikia ʻole.
- ʻAno maʻi type 1.
- ʻO ke ʻano maʻi diabetes ketoacidosis.
- ʻO nā maʻi āpau a me ka maʻi ikaika e hele pū ana me ka hypoxia iindo kiko.
- Nā makahiki o nā keiki.
- ʻO ke ʻano maʻi o ka palaka.
I ka wā maʻi o Glucovans, ʻike ʻia nā ʻano hopena like ʻole e hiki ke hoʻopilikia i nā kino āpau a me nā pūnaewele.
Paipai ʻia ʻo Bagomet Plus i ka mālama paʻakikī o ka maʻi diabetes mellitus type 2 e pili ana i ke kua o ka like ʻole o ka pono ole o ka mālama ʻana me kahi mea hoʻomaʻamaʻa olakino. Kau ka dosage i ka hoʻomaka mua o ke kō i loko o ke kino.
Lawe ʻia nā kākana a pau, holoi ʻia me kahi nui kope o ka wai. Mai hamo a ʻohi paha i nā ala ʻē aʻe. ʻO ka nui loa ka wai pākahi i kēlā me kēia lā he 3000 mg.
ʻO ka maʻamau, ʻokoʻa ka loli hoʻomaka ʻana mai 500 a 1000 mg i kēlā me kēia lā. Aia i ka paʻakikī o ke glycemia, e hoʻonui paha ka lāʻau ma hope o kekahi mau pule. No ka hōʻemi ʻana i ka hopena o nā hopena maikaʻiʻole, e kuhikuhi ʻia ke kao ʻana i ʻelua mau lā i kēlā me kēia lā.
Ke lawe a Bagomet Plus, hiki i nā hopena ʻaoʻao aʻe paha:
- Kau ka momona o ke keokeo, nā kīwaha o ke alaula.
- ʻO ka hoʻāʻo i ka metara i loko o ka puʻu waha.
- ʻEha i ka ʻōpū.
- Hoʻonui ka mīkini.
- Hōʻino iā i ka hana kaʻi ʻana o ka ʻōpuhi.
- Allergic reaksi a ʻano kūloko.
Kūlike ke kumukūʻai o Bagomet Plus mai 350 a 500 mau rubles, a me ke kumukūʻai o Glucovans mai 360 a 350 mau rubles.
Hiki iā lākou ke kūʻai aku ma kekahi kīkaha, kūʻai aku ʻole me ka loaʻa ʻole ʻana o kahi kauka.
Nā kuʻina me metformin
Aia kekahi mau lāʻau lapaʻa i hui i ka metformin i kā lākou hui - Glibomet a me Glyukofazh.
Ma mua o ka hoʻolaʻa ʻana i nā lāʻau like ʻole me ka kikoʻī hou aku, pono e hoʻomaopopo ʻia he mea nui loa ia e kī ʻole i ke kālā. Eia kekahi, no laila e paʻa mau ka hoʻomākaukau ʻana ma luna me Gluconorm, ua ʻōlelo hou ʻia e kūʻai iā Glibenclamide.
ʻO ka Glibomet kahi lāʻau lapaʻau paʻakikī e kōkua i ka hoʻemi ʻana i ke kō i loko o ke kino o ke kanaka. ʻO nā pailima, e kau i loko o ka papa gastrointestinal, kōkua e hoʻoulu i ka pancreas, hoʻonui i ka hikiwili ʻana o nā ʻine i ka insulin, a hoʻonui i kona hana.
Nā mea nui e pili ana i ka hoʻohana ʻia ʻana penei:
- Non-insulin-hilinai ole puka o ka maʻi diabetes.
- ʻO ke kūleʻa o ke kino i nā lāʻau lapaʻau e hiki mai ana i ka sulfonylurea.
- ʻO ka hōʻemi o ka hōʻalo o ka mea maʻi i nā lāʻau lapaʻau sulfonylurea, i ala ma muli o ka hoʻohana mau loa ʻana.
Hoʻoholo ka lōʻihi o ka hoʻopaʻa ʻia ʻana a me ka hoʻoponopono ʻia ʻana ma muli o ka paʻa ʻana o ke kō i loko o ke kino, a lawe pū ʻia nō hoʻi nā kāpena momona o ka mea maʻi. ʻO ka maʻamau, ua ʻōlelo ʻia nā papa he nui i kēlā me kēia lā, ʻoiai ke hoʻomau mau ʻia nei ka mea maʻi e ʻike i ka dosage kūpono.
Hiki i Glibomet ke hoʻonāukiuki i nā hopena aʻe:
- Ke hoʻohaʻahaʻa nei i ka pae o nā keʻokeʻo keʻokeʻo i ke koko.
- ʻAno ka momona, nā pīpī o ka pailewa a ka luaʻi, ka ʻaha metallic i loko o ka waha. Kaliwali - hoʻonui i ka hana o nā mea kū o ka ate, ka hoʻomohala ʻana o ka hepatitis.
- ʻO ka luhi ʻeha, nā nāwaliwali o ka naʻau. Kekahi luhi, ʻo kahi maʻi hoʻoweliweli.
- Allergy me nā meaʻala hana kino (itching, ʻulaʻulaʻula o ka ʻula).
Pono e hoʻomaopopo ʻia ma ka wā o ke ʻano o ka lāʻau lapaʻau e pono e hōʻole i ka kaʻa, a me ka mea inu wai ʻula.
ʻO Glucophage kahi lāʻau lapaʻau hypoglycemic waha i hoʻohana ʻia e mālama i ka maʻi diabetes mellitus type 2, i hāʻawi ʻia ka mea maʻi ʻaʻole ia i pōmaikaʻi mai i ka meaʻai maikaʻi a me nā kīleʻa o nā meaʻai no nā maʻi maʻi. ʻO ka mea hana koʻikoʻi ma nā papa he metformin.
Nā ʻōkuhi no ka hoʻohana ʻana i ka ʻike i lalo:
- Lawe ʻia ka pilahi i ka wā o ka ʻai, a i ʻole ma hope o ia.
- ʻAʻole hiki iā ʻoe ke kahiki a waiamu paha i ka lāʻau lapaʻau, pono ʻoe e ʻōlelo i ka papa piha me ka wai maʻamau.
- Koho ʻia ka nui o ka hopena a me ka lōʻihi o ke kau ʻana, ma muli o nā ʻano o kahi mea maʻi.
- Ma ke kānāwai, 500-800 mg i hoʻokahi manawa ke aʻo ʻia; hiki ke māhele ʻia ka nui o ka hewa ma kekahi mau inikua.
- Ma hope o 14 lā, hoʻonui ʻia ke ʻano. I kēia hihia, pono ʻoe e hilinaʻi i ke ʻano o ka hilo i loko o ke kino o ka mea maʻi.
- ʻO ka palena kiʻekiʻe ma 24 mau hola he 1000 mg.
Me ka makaʻala nui, hāʻawi ʻia ka lāʻau lapaʻau i nā mea maʻi i hōʻole i ka hana renal. E like me ke kānāwai, hoʻomaka ka mālama ʻana me kahi liʻiliʻi haʻahaʻa, a me ka piʻi ʻana o ka nui, me ke ʻano o ka nui o ke kō e noʻonoʻo ai a loiloi ʻia ka hana ʻana o nā kuli.
Hoʻolako ʻia ʻo Gluconorm a me kāna mea hoʻohālike no ka mālama ʻana i ka maʻi maʻi 2. He maikaʻi nā lāʻau lapaʻau, akā he nui nā hopena a me nā contraindications, no laila ke ʻōlelo paʻa ʻia e ke kauka. ʻO ka wikiō i kēia ʻatikala e wehewehe pehea e mālama ʻia nei ke ʻano o ke ʻano maʻi ʻokēkē 2.