Hoʻohana ʻia ka Maninil no ka maʻi mellitus type 2 (ʻoi ʻole ʻano like ʻole-insulin). Hoʻomaopopo ʻia ka lāʻau lapaʻau i ka wā e hoʻonui ai i ka hana kino, ke kaumaha ʻana a me ka meaʻai ikaika ʻaʻole i lawe mai i nā hopena hypoglycemic. ʻO kēia ka mea pono pono e hoʻopaʻa i ka kōʻai koko me Maninil.
ʻO ka hoʻoholo ma ke koho ʻana o ka lāʻau lapaʻau ka hana e ka endocrinologist, pili i ka pili pono o ka ʻai. Pono ke kūleʻa ʻia ke ana me ka hopena o ka hoʻoholo ʻana i ke kiʻekiʻe o ke kō i loko o ka miki a me ka ʻike glycemic aoao.
Hoʻomaka ka Therapy i nā liʻiliʻi liʻiliʻi o Maninil, mea koʻikoʻi kēia no:
- nā mea maʻi me kahi kīnā ʻole kūpono ʻole,
- nā maʻi asenaiic ka loaʻa ʻana o ka maʻi hypoglycemic.
I ka hoʻomakaʻana o nā pena, ʻo ka dosage he hapalua o kahi papa i kēlā me kēia lā. Ke lawe nei i ka lāʻau lapaʻau, pono ʻoe e kiaʻi mau i ka pae o ke kō i loko o ke koko.
Inā hiki ʻole i nā papa liʻiliʻi o ka lāʻau lapaʻau ke hoʻokō i ka hoʻoponopono kūpono, a laila hoʻonui ʻia ka lāʻau i ka wikiwiki ma mua o hoʻokahi pule a i hoʻokahi mau lā paha. Nui nā hana no ka hoʻonui ʻana i ka huehue e ka endocrinologist.
Lawe ʻia ʻo Maninil i kēlā me kēia lā:
- 3 papa o Maninil 5 a i ʻole
- 5 papa o Maninil 3.5 (like me 15 mg).
Ke hoʻokaʻawaleʻana i nā mea maʻi i kēia lāʻau lapaʻau mai nā lāʻau lapaʻau antidiabetic e pono ai ka hana like me ka mea ma ka hāʻawi mua ʻana i ka lāʻau.
ʻO ka mea mua pono ʻoe e hoʻopau i ka lāʻau kahiko a hoʻoholo i ka pae maoli o ka glucose i ka pā a me ka koko. Aʻe, koho i kahi koho:
- hapa hapalua Maninil 3.5
- hapalua o kahi paila o Maninil 5, me nā meaʻai a me nā hoʻāʻo ʻana i ka ʻoihana.
Inā kū ka pono, e hoʻonui mālie ka nui o ka lāʻau i ka therapeutic.
Ke hoʻohana nei i ka lāʻau
Lawe ʻia ʻo Maninil i ke kakahiaka ma mua o ka ʻai, holoi ʻia ʻo ia me kahi kīʻaha o ka wai maʻemaʻe. Inā ʻoi aku ka nui o ka lāʻau i kēlā me kēia lā i nā papa ʻelua o ka lāʻau lapaʻau, a laila ua hoʻokaʻawale ʻia i loko o ke kakahiaka / ahiahi ahiahi, ma kahi pālahalaha o 2: 1.
No ka hoʻokō ʻana i kekahi hopena therapeutic mau, pono ia e hoʻohana i ka lāʻau lapaʻau i ka manawa maopopo. Inā no kekahi kumu ke lawe i ka lāʻau lapaʻau, a laila pono ia e hoʻopili i ka palanawa i hala i ka papa Maninil e hiki mai ana.
ʻO Maninil ka lāʻau lapaʻau e pili ana ka lōʻihi o ka hoʻokele ʻana e ka endocrinologist. I ka wā o ka hoʻohana ʻana i ka lāʻau, pono ka nānā ʻana i ke pae o ke kō i loko o ke koko a me ka ʻihi o ka mea maʻi i kēlā me kēia pule.
Nā hopena ʻaoʻao:
- Mai ka ʻaoʻao o ka hana metabolism - hypoglycemia a me ka loaʻaʻana o ka paona.
- Ma ka ʻāpana o nā kino o ka ʻike - nā wahi pilikia i ka noho ʻana a me ka ʻike noʻonoʻo. Ma ke kānāwai, ʻike nā hana i ka hoʻomaka o ka hopena. Hoʻopau nā maʻi āpau i kā lākou iho, ʻaʻohe pono e mālama.
- Mai ka pūnaehana hana ʻana: nā hōʻike dyspeptic (nausea, luaʻi, kaumaha i ka ʻōpū, hoʻonāukiuki). ʻAʻole e hoʻopiʻi nā hopena i ka haʻalele ʻana o ka lāʻau a nalowale iā lākou iho.
- Mai ka palupalu: i nā hanana maʻamau, nā manawa liʻiliʻi e hoʻonui i ka alkatine phosphatase a me nā transaminases koko. Me ka ʻano hyperergic o ka allpatocyte allergy i ka lāʻau, hiki i ka intrahepatic cholestasis ke ulu, me nā hopena e hoʻoweliweli ana i ke ola - hikiʻole i ka lehelehe.
- Mai ka ʻaoʻao o ka pāpaʻa a me ka ʻili: - rashes o ke ʻano o ka dermatitis a me ka ʻeha. He hiki ke hoʻololi hou ʻia nā manifestations, akā i kekahi manawa hiki iā lākou ke alakaʻi i nā maʻi maʻamau, e like me ke ʻano loiloi, a laila ʻae lākou i kahi hoʻoweliweli i ke ola kanaka.
ʻO kekahi manawa ʻike ʻia nā maʻi kūlohelohe:
- mea ʻalaʻawa
- hoʻonui ka ʻai
- jaundice
- ke ʻano o ka protein i ka urine.
ʻO ka Vasculitis (maʻi allergic vascular) hiki ke hoʻopilikia. Inā loaʻa he ʻano ʻōuli o Maninil, a laila pono e nīnau koke i kekahi kauka.
- Mai nā pūnaehana lymphatic a me ke kaila, hiki i ka platelets ke hoʻokaʻawale i kekahi manawa. He mea kupaianaha loa ʻole ka loaʻa ʻana o ka helu o nā kumuhana koko ʻē aʻe: nā ʻōpū koko wili, nā keʻena koko keʻokeʻo, a me nā mea'ē aʻe.
Aia kekahi mau hihia i ka hoʻemi ʻia o nā mea pili ʻole o ke koko, akā ma hope o ka hoʻokuʻu ʻana i ka lāʻau, ʻaʻole i hoʻonā kēia i kahi ola o ke kanaka.
- Mai nā lālā ʻē aʻe, ma nā hihia ʻē aʻe, hiki ke ʻike ʻia nā mea aʻe:
- hoʻokoʻi iki diuretic
- proteinuria
- hyponatremia
- hana like disulfiram
- maʻi kūlohelohe i nā lāʻau lapaʻau nā mea hypersensitivity i ka mea maʻi.
Aia ka ʻike e pili ana i ka dye Ponso 4R i hana aku ai e hana ai iā Maninil he mea allergen a ʻo ke kumu o nā hōʻike hou he nui i nā poʻe ʻē aʻe.
Nā maʻi hoʻohālikelike i ka lāʻau
ʻAʻole hiki ke lawe ʻia ka Maninil me ka hypersensitivity i ka lāʻau lapaʻau a i kāna mau ʻāpana. Eia kekahi, ua contraindicated:
- nā mea maʻi me ka diuretics,
- nā mea maʻi i ka sulfonylureas; derivatives o sulfonamide, sulfonamides, probenecid.
- Lā ʻia ke kuhikuhi i ka lāʻau i loko
- insulin-dependant type o ka maʻi maʻi
- huakai
- pale huakaʻi 3 degere
- coma maʻi maʻi,
- ʻrelelo pancreatic β-cell necrosis,
- ʻaila hoʻoneʻe
- ka hopena paʻakikī maikaʻi ʻole.
ʻAʻole pono e lawe Maninil e ka poʻe me ka maʻi ʻona. Ke inu nei i kahi nui o nā mea inu ʻawaʻawa, hiki i ka hopena hypoglycemic o ka lāʻau lapaʻau ke ulu mālie a puka paha paha ma ke ʻano, ka mea i hoʻopuni ʻia me nā kūlana pōmaikaʻi no ka mea maʻi.
Maninil therapy contraindicated in case of deficiency of ka glucose-6-phosphate dehydrogenase enzyme. A i ʻole, e pili ana i ka hana maʻi i kahi hoʻoholo mua o ka ʻōlelo kūkākūkā o nā kauka, no ka mea hiki i ka lāʻau lapaʻau ke hoʻonāukiuki i ka hemolysis o nā ʻāpana koko ʻokoʻa.
Ma mua o nā wawaʻi o ka ʻōpū koʻikoʻi, ʻaʻole hiki iā ʻoe ke lawe i kahi aila hypoglycemic. I ka hapanui o nā hana he pono e mālama i nā pae o ke kō. Kēia mau mea maʻi e hoʻākāka iki aku i nā inikini insulin maʻalahi.
ʻAʻohe Maninil i contraindications pololei o ke kaʻa. Akā, lawe i ka lāʻau lapaʻau hiki ke hoʻonāukiuki i nā kūlana hypoglycemic, e kūpono i ka pae o ka nānā a me ka nānā. No laila, pono e noʻonoʻo nā mea maʻi a pau inā e lawe i kēlā mau pilikia.
Continicated ʻo Maninil i nā wahine hāpai. ʻAʻole hiki ke hoʻopau ʻia i ka wā o ka umauma a me ka lactation.
Hoʻopili o Maninil me nā lāʻau ʻē aʻe
ʻO ka mea maʻi, ma ke ʻano he kānāwai, ʻaʻole ia e manaʻo i ka hoʻokokoke ʻana o ka hypoglycemia i ka wā e lawe ana iā Maninil me nā huaʻōlelo penei:
- β-blockers
- lahui
- clonidine
- guanethidine.
ʻO ka emi ʻana o ke kō koko a me ka hoʻokumu ʻana o kahi kūlana hypoglycemic hiki ke hele mai ma muli o ka hoʻohana pinepine ʻana o ka laxative lāʻau lapaʻau a me nā maʻi pāholo.
ʻO ka hoʻohana pinepine ʻana i ka insulin a me nā lāʻau antidiabetic e hiki ai i ke hypoglycemia a me ka potentiate i ka hana a Mananil, a penei hoʻi:
- ACE inhibitors;
- anabolic steroid;
- antidepressants;
- ka huaʻala o ka clofibratome, quinolone, Coumarin, disopyramidum, fenfluramine, miconazole, PASK, pentoxifylline (i ka wā i hoʻolilo ʻia intravenously i nā kūlia kiʻekiʻe), perhexylinoma;
- kāne hoʻomākaukau kāne kāne kāne hana;
- nā huina cytostatics o ka hui cyclophosphamide;
- β-blockers, disopyramidum, miconazole, PASK, pentoxifylline (me ka lawelawe ʻana intravenous), perhexylinoma;
- derivatives pyrazolone, probenecidoma, salicylates, sulfonamidamides,
- tetracycline antibiotics, tritokvalinoma.
Hiki i ka Maninil me ka acetazolamide ke pale i ka hopena o ka lāʻau a hoʻokō i ka hypoglycemia. Hoʻopau ʻia kēia pili i ka hoʻokahuli ʻana o Maninil me:
- β-blockers
- diazoxide
- keliki,
- aiaiiaih
- hoʻoiho
- nāonaona
- GKS,
- pani ʻia
- kauilani,
- haluluHalakalaha
- Rifampicin type antibiotics
- Hoʻom papa ʻano maʻi thyroid
- wahine wahine hana maʻi.
Hiki i ka lāʻau ke hōʻalo a hoʻoikaika paha:
- ʻO Gastric H2 receptor antagonist
- raniani
- lahui.
Hiki i kahi Pentamidine ke alakaʻi i ka hyp- or hyperglycemia. Eia kekahi, ʻo ka hopena o ka hui coumarin i hiki ke mālama i nā hopena ʻelua.
Nā hiʻohiʻona o ka overdose
ʻO kahi overdose o Maninil, a me ka overdose ma muli o ka hopena kumulative, e alakaʻi i kahi kūlana mau loa o ka hypoglycemia, heʻokoʻa ka lōʻihi a me ka papa, kahi e hoʻoweliweli nei i ke ola i ka mea maʻi.
Loaʻa i ka hypoglycemia kekahi hōʻike hōʻike pilikino.
ʻO nā poʻe maʻi me ka maʻi maʻi e manaʻo mau nei e hoʻokokoke ana ka hypoglycemia. Nā hōʻike hōʻike o ke ʻano.
- pololi
- hāpau
- aloha
- palpitations
- hopohopo
- a palapa o ka ʻili
- ka hana naʻau paʻakikī.
Inā ʻaʻole hoʻokaʻawale ʻia nā keʻena i ka manawa, a laila hoʻomaka ke kanaka e hoʻomohala koke i ka precog hypoglycemic preca a me ka coma. Hoʻomaʻamaʻa ka com Hypoglycemic:
- ka hoʻohana ʻana i kaʻikepili ʻohana
- ka hoʻohana ʻana i ka ʻike mai kahi loiloi kikoʻe,
- ka hoʻohana ʻana i ka ʻōnaehana hoʻoliʻi o ka glucose koko.
Nā hōʻailona maʻamau o ka hypoglycemia:
- humuhumu, humuhumu, humuhumu ke kino o ka ʻili,
- puʻuwai puʻuwai
- hoʻohaʻahaʻa a i ʻole ke kino kino.
Wahi a ka paʻakikī o ke coma, hiki mai paha nā mea aʻe:
- tonic a clonic paha,
- mau ʻaʻālua ʻano
- nalowale o ka ike ana.
Hiki i kekahi kanaka ke hoʻokō kūʻokoʻa i ka mālama ʻana i nā kūlana hypoglycemic inā ʻaʻole lākou i hoʻokō i kahi hanana koʻikoʻi i ke ʻano o ka precoma a me ka coma.
E hoʻoneʻe i nā mea maikaʻi a pau o ka hypoglycemia, kahi kope o ke kō i hoʻoheheʻe ʻia i ka wai a i ʻole nā mea ʻē aʻe i kōkua ʻia. Inā ʻaʻohe o nā holomua, pono ʻoe e kāhea i kahi ambulance.
Inā ulu kahi coma, a laila hoʻomaka ka mālama ʻana me ka hoʻokō intravenous i kahi hopena 40% glucose, 40 ml ma ka nui. Ma hope o ka mea, e koi ʻia ka maʻi infusion infusion me ka haʻahaʻa mea momona haʻahaʻa hoʻoliʻiliʻi.
E nānā ʻoe ʻaʻole hiki iā ʻoe ke komo i kahi ʻōhua glucose 5% e like me ka mahele o ka maʻi hypoglycemia, no ka mea eia ka hopena o ka hoʻokaʻina ʻana o ke koko me ka lāʻau lapaʻau e haʻi ʻia aku ma mua o ka lāʻau lapaʻau.
Kuhi ʻia nā kekeē o ka lōʻihi a hoʻomaha paha paha hypoglycemia. ʻO kēia ke kumu nui o nā kumulative character o Maninil.
I kēia mau hihia, pono ka mālama ʻana i ka mea maʻi i ka ʻāpana mālama mālama kino, a ma kahi o 10 mau lā. Hoʻomaʻamaʻa ka mālama ʻana i ka mālama ʻana i nā keʻena loina koko i ke kiʻekiʻe o ke kō me nā wai hoʻokaʻawale, i ka manawa e hiki ai ke mālama ʻia ke kō me ka hoʻohana ʻana, no ka laʻana, hoʻokahi ka pā ʻana i koho mika.
Inā hoʻohana ʻole ʻia ka lāʻau lapaʻau, pono ʻoe e hana i ka nui o ka palau, a hāʻawi i ke kanaka i kahi punetē o ke kō aʻai a i ʻole kō.
Hoike e pili ana iā Maninil
Hoʻohana wale ʻia ka lāʻau lapaʻau e like me ka kuhikuhi ʻana e kahi kauka. Hoʻohālikelike ʻia nā manaʻo e pili ana i ka lawe ʻana i ka lāʻau. Inā ʻaʻole i mālama pono ʻia ka dosage, hiki ʻole ke hanana. I kekahi mau hihia, ʻaʻole i ʻike ʻia ka hopena o ka lawe ʻana i ka lāʻau.
