ʻO Amaryl i loko o kahi glimepiride, nona nā mea hou a ʻekolu, ka hanauna o ka derogatives sulfonylurea (PSM). ʻOi aku kēia lāʻau lapaʻau ma mua o ka glibenclamide (Maninil) a me ka glyclazide (Diabeton), akā ke kūlike ke kumukūʻai i ke kumukūʻai kiʻekiʻe, hana wikiwiki, hoʻohaʻahaʻa i ka pancreas, a me kahi haʻahaʻa haʻahaʻa o hypoglycemia.
Me Amaril, hemo lohi ana nā ʻōle o ka beta ma mua o nā hanauna o ka wā o ka sulfonylureas, no laila e lohi ana ka hoʻomohala o ka maʻi diabetes a e makemake ʻia ka hana maʻi insulin ma hope.
Hōʻikeʻike ka ʻikepili i ka lāʻau lapaʻau: E hoʻemi maikaʻi ia i ka kō, ua maʻalahi ka hoʻohana ʻana, inu lākou i nā papa i hoʻokahi lā i ka lā, me ka ʻaʻa o ka nui. Ma kahi o ka glimepiride maʻemaʻe, ua hui pū me kona metformin - Amaril M.
ʻ .lelo pōkole
| Hoʻolaha | Hoʻēmi i ke kō koko, pili i kona pae ma nā ʻaoʻao ʻelua:
Eia kekahi, ʻo ka lāʻau lapaʻau e hōʻemi i ka hopena o ka trombosis, hoʻōla i ka cholesterol, a hoʻēmi i ka hoʻonaninani oxidative. Hoʻopili ʻia ʻo Amaryl ma ka ʻāpana i ka urine, mahele ma waena o ke kaomi ʻana o ka wahie, no laila hiki ke hoʻohana ʻia i ka poʻe maʻi me ka hiki ʻana o ka hana, inā ua mālama ʻia nā hana o ka pūpū. |
| Nā Hōʻike | Hoʻopili wale ʻia nā maʻi maʻi maʻi 2 ʻano. ʻO kahi mea mua no ka hoʻohana ʻana i mālama ʻia i nā ʻāpana beta mau, ke koena syntact o kā lākou iho ponoʻī. Inā ua hoʻōki ka pancreas e hana i ka hormone, ʻaʻole i kuhikuhi ʻia ʻo Amaril. Wahi a nā ʻōlelo kuhikuhi, hiki ke lawe ʻia ka lāʻau lapaʻau me ka metformin a me ka lāʻau maʻi insulin. |
| ʻĀnō | Hana ʻia ʻo Amaryl i ke ʻano o nā papa i pili i ka 4 mg o ka glimepiride. No ka maʻalahi o ka hoʻohana, kau ʻia kēlā me kēia kala. ʻO ka lā hoʻomaka e 1 mg. Lawe ʻia no 10 mau lā, ma hope o ka hoʻomaka ʻana e hoʻonui lohi a hiki i ke kaulike ʻana i ke kō. ʻO ka palena ʻokoʻa loa ka 6 mg. Inā ʻaʻole e hāʻawi i ka uku no ka maʻi diabetes, ua hoʻohui ʻia nā lāʻau mai nā hui ʻē aʻe a i ʻole i ka insulin i ka regimen mālama. |
| Ke keu | Ke hōʻike nei i ka nui o ka nui o ka nui e alakaʻi i ka hypoglycemia lōʻihi. Ma hope o ka normalization o ke kō, hiki iā ia ke hāʻule pinepine no kekahi 3 mau lā. I kēia manawa āpau, aia ka mea maʻi ma lalo o ka nānā ʻana o nā hoahānau, me kahi overdose ikaika - i loko o ka hale hoʻomaha. |
| Nā Hoʻohui |
Hoʻololi iki ʻia ʻo Amaryl a hoʻololi ʻia me ka inikini insulin i ka wā hapai a me ka lactation, nā hopena hoʻonāukiuki o ka maʻi maʻi, mai ka ketoacidosis a hyperglycemic coma. Me nā maʻi maʻi hopohopo, nā hōʻeha, nā kaumaha hoʻonaninani, ʻaʻole lawa paha ʻo Amaril e hoʻomaʻamaʻa i ke kōpaʻa, no laila e hoʻopili ʻia ka mālama ʻana me ka insulin, e maʻamau loa. |
| Ka hopena o ka hypoglycemia | Holo ke kō o ke koko inā hoʻopoina ka mea maʻi i ka ʻai a ʻaʻole i hoʻoulu hou i ka glucose i hoʻokaʻina i ka wā o ka hoʻomaʻamaʻa. No ka hana maʻamau i ka glycemia, pono ʻoe e lawe i nā kīhai wikiwiki, maʻamau ʻo ia kahi ʻāpana gula, kahi kīʻaha o kaʻaila a i ʻole kaʻaēmi e lawa. Inā ua hoʻonui ʻia ka nui o ka make ʻana o Amaril, hiki i ka hypoglycemia ke hoʻi hou i nā manawa he nui i ka manawa o ka lāʻau. I kēia hihia, ma hope o ka hoʻokaʻa mua ʻana o ke kō, hoʻāʻo lākou e hoʻokaʻawale i ka glimepiride mai ka huina o ka huina: e hoʻonāukiuki lākou i ka luaʻi, inu i nā adsorbents a i ʻole laxative. Ua make ka overdose koʻikoʻi; ʻo ka mālama ʻana no ka hypoglycemia koʻikoʻi e loaʻa i ka glucose intravenous mandatory. |
| Nā hopena hopena | Hoʻohui hou aku i ka hypoglycemia, i ka wā e lawe ai iā Amaril, ʻike ʻia nā pilikia o ka kū ʻana (ma ka haʻahaʻa o ka 1% o nā maʻi), nā maʻi kūlohelohe, mai ka ʻāʻī a me ka hōʻaiʻe i ka anaphylactic shock (<1%), nā hopena kūloko mai ka puʻuwai, hoʻololi i ka hui koko (<0.1%) . ^ E Ha yM. |
| ʻLelo ʻia a me GV | Kaki kikowaena papaʻi i ka mālama ʻana me Amaril i ka wā hāpai a me HBV. ^ E Ha yM. E hele ana ka lāʻau lapaʻau i ka pale o ka placental a komo i ke koko o ka hapalua, ke komo i ka waiū umauma. Inā he hapai a lactating a maʻi maʻi maʻi paha e hoʻoki ʻole i ka lawe ʻana i ka lāʻau lapaʻau, mālama nui ke keiki i ka hypoglycemia. |
| Hoʻohui nūhou | Hiki ke loli paha ka hopena o Amaril me ka hoʻohana pinepine ʻana i nā lāʻau ʻē aʻe: nā hana hormonal, antihypertensive, kekahi mau antibiotics a me nā ʻaila antifungal. Aia ka papa inoa piha i nā kuhikuhi no ka hoʻohana. |
| Hōʻike | ʻO ka mea hoʻonaninani he glimepiride (ʻo Amaril M he glimepiride a me ka metformin), nā mea kōkua no ka hoʻokumu ʻana i ka papa a hoʻonui i kona nohona papa: sodium glycolate, lactose, cellulose, polyvidone, magnesium stearate, ʻele. |
| Mea hana | Hana ʻia ʻo Sanofi Corporation, i hana ʻia ka glimepiride i Kelemania, nā papa a me nā ʻāpana i Italia. |
| Kūʻai | Amaryl: 335-1220 rub. no nā papa he 30, hilinaʻi ke kumukūʻai ma ka waihona. ʻO ka pākī nui loa - 90 mau papa o 4 mg kēlā me kēia kumukūʻai e pili ana i 2700 mau rubles. Amaril M: 750 ʻōpala. no 30 papa. |
| Laki | 3 mau makahiki Pono e mālama ʻia ka lāʻau lapaʻau ma waho o ka hiki ʻana i nā keiki, me ka hoʻohana ʻole ʻana ma Amaril i hiki ʻole ke hōʻeha i ka olakino. |
Nā Mana Kūʻai
Ua hōʻike ʻia nā papa ʻaina Amaryl i ʻelua mau hihia:
- Inā ʻaʻole e hoʻomau ka maʻi diabetes i ka makahiki mua, ʻaʻole lawa ka metformin e uku ai iā ia.
- I ka hoʻomaka ʻana o ka hoʻōla, me ka metformin a me ka meaʻai, inā ua ʻike ʻia ka hemoglobin glycated kiʻekiʻe (> 8%). Ma hope o ka hoʻopiʻi ʻana i ka maʻi, ua emi ka pono no ka lāʻau hypoglycemic, a hoʻopau ʻia ʻo Amaryl.
Lawe ʻia ka lāʻau me ka meaʻai.. ^ E Ha yM. ʻAʻole hiki ke wāwahi ʻia ka papa, akā hiki ke hoʻokaʻawale i ka hapalua. Pono ke hoʻomaʻemaʻe Amaril e hoʻoponopono i kaʻai.
ʻO ka maʻi maʻi a me nā hoʻohaʻahaʻa manaʻo e hana ia i ka wā ma mua
- Ka hana maʻamau o ke kō -95%
- Hoʻokuʻuina o ka pua thrombosis - 70%
- Hoʻopau i kahi puʻuwai ikaika -90%
- Hoʻopau i ke kiʻekiʻe o ke koko - 92%
- ʻO ka hoʻonuiʻana i ka ikehu i ka wā, hoʻomaikaʻi i ka hiamoe i ka pō -97%
- ka ʻai ʻana a lākou e lawe ai i ka paila;
- I ka pau ʻana āu e hele ai i ka ʻai. Inā hiki ʻole e loaʻa ka ʻaina kakahiaka, ua hoʻohuli ʻia ka hoʻokipa ʻana a Amaril i ka ʻaina ʻaina;
- pono ia e hoʻonohonoho i kahi hoʻokomo o nā hāmeʻene pale i ke koko. Loaʻa kēia pahuhopu e ka ʻai mau (ma hope o 4 mau hola), ka hoʻoili ʻana o nā mea kālaiʻai i nā kīʻaha āpau. ʻO ka haʻahaʻa o ka huaʻōlelo glycemic o ka meaʻai, ʻoi aku ka maʻalahi e loaʻa ai ka hoʻopaʻi ʻana i ka maʻi diabetes.
Ua inu nui ʻo Amaril no nā makahiki ʻole me ka ʻole o ka haki. Inā ua kāpae ka palena kiʻekiʻe e hoʻemi i ke kō, hiki pono ke huli i loko o ka ʻohi ʻana i ka insulin.
He manawa hana
Loaʻa i ka Amaryl piha bioavailability, 100% o ka lāʻau lapaʻau e hōʻea i kahi o nā hana. E like me nā kuhikuhi, ua hoʻokumu ʻia ke kāʻei nui o ka glimepiride i ke koko ma hope o 2 mau hola. ʻO ka lōʻihi o ka lōʻihi o ka hana he 24 mau hola, ʻoi aku ke kiʻekiʻe o ke kau, ʻoi aku ka lōʻihi o nā papa Amaril.
Ma muli o kona lōʻihi lōʻihi, ke ʻae ʻia ka lāʻau lapaʻau i hoʻokahi manawa i ka lā. ʻAʻole makemake i 60% o nā maʻi maʻi e koi ikaika i nā ʻōlelo a ke kauka, hiki i ka lāʻau hoʻokahi ke hōʻemi i ka hōʻemi ʻana o nā lāʻau lapaʻau ma 30%, no laila e hoʻomaikaʻi ai i ke ala o ka maʻi maʻi.
Hoʻolaha ka waipuna
Hoʻopilikia ka ʻawaʻawa ʻawa iā Amaryl hiki ʻole ke hāpai hou iā lākou a hoʻomaikaʻi i kāna hopena. Hōʻihi ka pilikia o ka pilikia me ka haole hypoglycemia, hoʻomaka me kahi pae hoʻemi haʻahaʻa. Wahi a nā maʻi maʻi, he palekana palekana ka wai o ka wai ʻaʻole iʻoi aku i kahi aniani o ka vodka a i kahi aniani paha o ka waina.
Nā mea hoʻohālikelike o Amaril
ʻO ka lāʻau lapaʻau he nui o nā analogue eʻoi aku me ka waiwai o nā mea like a me nā wai, nā mea i kapa ʻia ʻo nā mea kikoʻī. ʻO ka maʻamau, eia nā papa o ka hoʻopili hale, mai nā huahana i hiki ke kūʻai iā ʻoe ke kūʻai wale i ka Croatian Glimepirid-Teva. Wahi a nā loiloi, ʻaʻoleʻoi aku ka hewa o nā mea kikowaena Lūkini ma mua o ka lawe ʻana iā Amaril.
| Nā mea hoʻohālikelike o Amaril | Aupuni kūkulu | Mea hana | Kūʻai no ka palena liʻiliʻi, hoʻomoʻa. |
| Glimepiride | Lūkia | Kauʻai Alanui Lapaʻau Laau-Leksredstva, | 110 |
| Canon Glimepiride | Hoʻolaha Canonfarm. | 155 | |
| Haipule | Akrikhin | 180 | |
| Glimepiride-teva | Kroasia | Pliva o Khrvatsk | 135 |
| Glemaz | ʻApenekia | Kimika Montpellier | loaʻa i loko o nā hale kūʻai |
Amaryl or Diabeton
I kēia manawa, ʻo glimepiride a me ke ʻano o ka glyclazide (Diabeton MV a me nā analogues) i manaʻo ʻia ʻo ia ka PSM hou a palekana. Ua emi iki nā lāʻau ʻelua ma mua o ko lākou mau kūpuna e hana i ka hypoglycemia koʻikoʻi.
A ʻoi, ʻoi aku ka makemake o nā papa Amaryl no ka maʻi diabetes.
- pili ka luhi i nā maʻi o nā mea maʻi;
- ʻaʻole i hoʻopiʻi ʻia kahi hopena maikaʻi ʻole i ka ʻōnaehana cardiovascular;
- koi aku nā maʻi maʻi i ka haʻahaʻa o ka lāʻau (ʻo ke kiʻekiʻe loa o Diabeton e like me 3 mg o Amaril);
- ʻO ka hoemi ʻana o ke kō i ka wā e lawe ana iā Amaril e ka hui pū me ka piʻi haʻahaʻa o nā pae insulin. No Diabeton, ʻo kēia māhele he 0,07, no Amaril - 0,03. I ke koena PSM ke koe, ua hewa ka ʻike: 0.11 no glipizide, 0.16 no glibenclamide.
Amaryl a i ʻole Glucophage
Ke ʻōlelo wiwo ʻole nei, ʻaʻole paha e hoʻopiʻi ʻia ka nīnau iā Amaril a i ʻole Glucophage (metformin). Hoʻololi mau ʻia ka Glucophage a me nā mea hoʻohālikelike no ka maʻi type 2 like ʻole, no ka mea i ʻoi aku ka maikaʻi ma mua o nā lāʻau ʻē aʻe e hana ana i ke kumu nui o ka maʻi - ke kūʻē ʻana i ka insulin. Inā ʻōlelo wale ke kauka i nā papa ʻelua o Amaryl, he mea kūlike kona hoʻokūkū.
ʻOiai ka hoʻohālikelike hoʻohālikelike, pili pono kēia lāʻau lapaʻau i ka pancreas, ʻo ia ka mea o ka pōkole i ka synthesis o kāu insulin ponoʻī. Hoʻolaha wale ʻia ʻo PSM inā ʻike maikaʻi ʻole ka metformin a i ʻole ka nui o kona nui kiʻekiʻe no ka glycemia maʻamau. Ma ke ʻano he kānāwai, he hoʻonaninua loa kēia o ka maʻi maʻi maʻi, a i kahi maʻi lōʻihi.
ʻO Amaril a ʻo Yanumet
ʻO Yanumet, e like me Amaryl, pili pono i nā kiʻekiʻe o ka insulin a me ka pale ʻana i ka insulin. ʻOkoʻa nā lāʻau'ōnaehana i ka ʻoihana o ka hana a me ka ʻōnaehana kemika, no laila hiki ke lawe pū ʻia. ʻO Yanumet kahi lāʻau lapaʻau hou hou, no laila e kūʻai ʻia mai ka 1800 rubles. no ka ami uuku. Ma Lūkia, ua hoʻopaʻa inoa ʻia kona mauʻatikala: Combogliz a me Velmetia, ʻaʻohe haʻahaʻa ma mua o ka mea maʻamau.
I ka nui o nā hihia, hiki ke loaʻa i ka uku hoʻolaʻa ma ka hui ʻana o ka metformin maʻalahi, kaʻai, ka hoʻolaʻa, hoʻomaʻamaʻa, manawa i kekahi manawa ke koi nei ka maʻi PSM. Pono ke kūʻai wale ʻo Yanumet inā ʻaʻole nui ia ke kumukūʻai o ke kālā.
Amaril M
ʻO ka hoʻokō ʻole ʻana e nā maʻi maʻi me ka ʻoihana i kuhikuhi ʻia i ke kumu nui no ka hoʻēmi ʻana o ka maʻi maʻi. ʻO ka hōʻoluʻolu ʻana o ka lāʻau lapaʻau lāʻau no kekahi maʻi maʻi mau e hoʻomaikaʻi mau i kona mau hopena, no laila, no nā mea maʻi koho, ʻoi aku ka makemake o nā lāʻau lapaʻau. Loaʻa i ka Amaryl M ka maʻamau o ka hui like ʻole o ka wai hoʻohaʻahaʻa i ka hoʻōla: metformin a me PSM. Aia kēlā me kēia papa i 500 mg o ka metformin a me 2 mg o ka glimepiride.
ʻAʻole hiki ke hoʻoponopono kaulike i nā mea ikaika i ka papa hoʻokahi no nā maʻi like ʻole. Ma ke kikowaena o ka maʻi maʻi, ʻoi aku ka nui o ka metformin, he emi iho ka glimepiride. ʻAʻole iʻoi aku ma mua o 1000 mg o metformin e ʻae ʻia i ka manawa, nā mea maʻi e loaʻa ana i kahi maʻi koʻikoʻi e inu iā Amaril M ʻekolu mau manawa i ka lā. No ke koho ʻana i ka nui o ka wai, pono ʻia no nā maʻi aʻo ʻia e lawe iā Amaril e hoʻokaʻawale ana i ka ʻaina kakahiaka a me Glucofage ʻekolu o ka lā.
