Hoʻomoe ka hypoglycemic Glibomet no nā maʻi diabetes 2 ʻano

ʻO Glibomet kekahi o nā hui kaulana kaulana o ka metformin a me kahi derogative sulfonylurea, glibenclamide. He ʻano ʻokoʻa ʻo kēia mau mea i ka hana, no laila ko lākou hui pū ʻana i hoʻokahi papa e hiki ai iā ʻoe ke hoʻoikaika nui i ka glucose koko, i mea e pale ai i nā hōʻeha o ka maʻi maʻi.

ʻO Berlin-Chemie Glibomet ka hui mua o ʻelua mau lāʻau kōlala hoʻohālikelike i hoʻopaʻa ʻia ma Rusia. No nā makahiki 15 i hala iho nei, ʻaʻole i nalowale ke lāʻau lapaʻau i kona kaulana, ma muli o kāna hana kūpono, maikaʻi maikaʻi, haʻahaʻa haʻahaʻa. Me ka uku ʻole o ka uku no ka maʻi maʻi, hiki ke hoʻohui ʻia iā Glibomet i nā lāʻau lapaʻau mai nā hui ʻē aʻe i ka regimen mālama.

Nā hōʻailona no ka hoʻohana ʻana o Glibomet

ʻO kekahi o nā hana o ka lāʻau lapaʻau, ʻo ia ka hoʻoulu ʻana i ka hana o kāna iho ponoʻī. Hiki kēia ke hana inā ola nā mea hoʻonela i nā pupu beta i loko o ka pancreas, no laila ua kuhikuhi ʻia nā papa Glibomet wale nō me ke maʻi maʻi type 2. ^ E Ha yM. Me ka maʻi type 1, ʻaʻole hāleʻa kēia lāʻau lapaʻau.

Nā hōʻailona no ka hoʻohana ʻana:

1. ʻO nā mea maʻi e hōʻike ʻia ana i ka mālama ʻana me kahi paʻakikī o ʻelua (me ka hemoglobin glycated iʻoi aku ma mua o 8%) a ʻekolu paha (HH> 9%) aila hypoglycemic.
2. ʻO nā mea maʻi e loaʻa ana i ka meaʻai, ka ʻenehana, a me ka metformin i hāʻawi mua ʻia i ka glibenclamide i hāʻawi ʻia i ka hoʻemi ʻana i ke kō.
3. ʻO ka maʻi Diabetics me ka hakakāʻana i nā kiʻekiʻe kiʻekiʻe o ka metformin.
4. Ke hoʻololi nei i ʻelua mau lāʻau lapaʻau me kekahi me nā mea maʻi me ka maʻi kokolike e lōʻihi lōʻihi.

ʻO nā papa antonyabetic āpau āpau ke kumu i ka hypoglycemia. ʻAʻohe meaʻokoʻa o Glibomet. ʻO Glibenclamide, kahi mahele o ia mea, ʻo ka lāʻau ikaika loa loa ma kēia hui, ʻo ia hoʻi ka mea weliweli loa loa e pili ana i ka hopena o ka hypoglycemia.

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%

ʻO nā mea maʻi me kahi predisposition i kahi puna wikiwiki i ke kō a i ʻole nā ​​maʻi ʻoliʻoli a hoʻāʻo ʻo Glybomet e kuhikuhi ʻole. Ua kūpono a me nā maʻi ʻoi hou no ia mau maʻi maʻi.

ʻO ka hiʻohiʻona a me ka hopena o ka lāʻau lapaʻau

ʻO ka hopena o ka lāʻau lapaʻau ma muli o nā mea ikaika e hana ana i kona ʻano. ʻO ka papa Glibomet hoʻokahi he 400 mg o ka metformin, 2,5 mg o glibenclamide.

Hoʻokomo ka Metformin i ka metabolism kalepa ma o kekahi mau mīkini. ʻAʻole kekahi o lākou e hoʻopilikia pololei i ka pancreas. Hoʻopau ka Metformin i ka hoʻokuʻu ʻana o ka glucose i ke koko e ka atamu, ka mea e kōkua ai i ka hoʻoliʻiliʻi i ke kō. Hoʻonui ia i ka pane ʻana o nā pona i ka insulin, ka mea e hoʻomaikaʻi ai i ka hoʻohanaʻana o ka glucose e nā ʻenehana pono e kūlohelohe i nā ʻenehana - paʻa, a me ka momona. No ka mea ʻaʻole i pili ka metformin i nā ʻeneka beta, ʻaʻole hiki iā ia ke alakaʻi i ka hypoglycemia.

ʻO nā hana hou aʻe o kēia mau mea, ʻo ka mea nui i ka mellitus maʻi diabetes ka hopena o ka metformin ma ka hiki ke koko e hoʻopau i nā kīʻaha koko i hoʻomaka ka puka. ʻO kēia kēia wale nō ka lāʻau lapaʻau antidiabetic i hōʻike ʻia e hōʻemi i ka hopena o nā maʻi macrovascular i nā maʻi maʻi maʻi maʻi. Hoʻomau ka Metformin i ka make ma ka 42%, hōʻeha ka naʻau ma 39%.

ʻO ka hana o ka lua o ka hana o Glibomet, glibenclamide, ʻo ia ka hoʻonui ʻana i ka hilo kino o kona ʻimi. No ka hana i kēia, hoʻopaʻa i ka beta-cell receptors a, e like me ka glucose, hoʻokuʻi i kā lākou hana. I kāna hui, ʻo ka glibenclamide ka lāʻau ikaika loa loa no ka hopena hypoglycemic. Hiki nō iā ia ke hoʻonui i nā hale kūʻai glycogen ma nā ʻiʻo ʻoi ʻana. Wahi a nā kauka, ke lawe i ka glibenclamide i nā maʻi me ka lawa ʻole o ka synthesis o ka insulin e hiki ke hoʻomaikaʻi i ka papa o ka maʻi maʻi a hōʻemi i ka nui o nā hoʻopiʻi microvascular e 25%.

No laila, ʻo ka lāʻau lapaʻau ʻo Glybomet ka hopena i nā kumu nui o ka hyperglycemia: hoʻihoʻi i ka liʻiliʻi o ka hana o ka insulin a hōʻemi i ka pale ʻana i ka insulin.

Loaʻa o Glibomet:

• mālie o ka hoʻohana. Ma kahi o 6 papa, ʻekolu a lawa;
• ka hoʻemi ʻana o ke kō ma mua a ma hope o ka ʻaina;
• ka hiki ke hoʻemi i ka maʻi ma nā papa 1-2 inā loaʻa ka uku hoʻēmi i ka maʻi maʻi;
• hana hou - hoʻonui i ka profile lipid o ke koko, e hoʻemi ana i ka hoʻolilo ʻana, hoʻohaʻahaʻa i ke kaupaona;
• hoʻemi i ka pōloli. Wahi a nā maʻi maʻi, ʻo kēia hopena e hiki ai iā ʻoe ke hoʻopō mau a kū i ka meaʻai;
• hiki ke kūʻai aku - hiki ke kūʻai ʻia ke Glybomet i nā wahi kūʻai āpau ma ke kumukūʻai kūʻai. ʻO ka mālama ʻia me nā lāʻau lapaʻau ʻelua me ka like pū me ka mea like, no ka hoʻohālikelike ʻana ʻo Maninil a me Siofor, ʻoi aku ka uku ma mua o ka lawe pū ʻana iā Glibomet i hoʻohui ʻia.

Hoʻohālikelike Kahumoku

Arkady Alexandrovich

Endocrinologist me kaʻike

E nīnau i ka mea loea

Hoʻohui ʻana iā Glibomet i ka hoʻoponopono o ka mālama ʻana e hiki ai i ka hōʻemi ʻana i ke kō me ka wikiwiki ma o ka awelika o 3 mmol / L, glycated hemoglobin e 2,5%.

Pehea e lawe ai

ʻO ka hoʻemi ʻana i ke kōpili ma hope o ka lawe ʻana iā Glibomet e hoʻomaka i 2 mau hola a lōʻihi no nā hola 12, no laila ʻo nā kauoha no ka hoʻohana ʻana i ka lāʻau lapaʻau ma ʻelua mau lā i kēlā lā. E inu i kahi paila me ka meaʻai.

Nā hoʻoholo ʻia o ka lāʻau lapaʻau e ka endocrinologist. I kēia hihia, ʻike ʻia ka pae glucose, ka makahiki, ka nui o ka mea maʻi, kāna meaʻai, ka mea e hoʻāʻo ai ka hypoglycemia.

Pehea e koho ai i ka hewa kūpono:

1. Hoʻomaka ka dosis 1-3 papa. ʻOi aku ka kiʻekiʻe o ka glycemia, ke koi ʻia nā papa hou aku. Inā ʻaʻole i lawe mua ka mea maʻi i ka lāʻau lapaʻau me nā mea kanu like like, ʻoi aku ka palekana e hoʻomaka me 1 papa. ʻO ka maʻi Diabetics i lawe ʻole i ka metformin e inu hoʻi i kahi papa 1 no ka 2 mau pule mua. Hoʻopau pinepine kēia ʻano i ka hōʻeha ma ka digestive tract. I ka hoʻohana iā ia, pono ka lōʻihi o ke kino.
2. ʻO ka hoʻonui ʻana i ka dosage me ka uku ʻole o ka uku no ka maʻi diabetes i nā lā 3 a pau. Me ka hoʻomanawanui ʻole o ka metformin - i kēlā me kēia 2 pule.
3. ʻO ka palena kiʻekiʻe loa i kēlā me kēia lā e like me nā ʻōkuhi he 5 papa. Ma waho e hiki ke alakaʻi i kahi overdose a me ka hypoglycemia koʻikoʻi. Inā ʻaʻole lawa nā papa 5 e uku i ka maʻi diabetes, ua hoʻohui ʻia me ka lāʻau lapaʻau mai nā hui ʻē aʻe.

He liʻiliʻi ka nui o ka metformin ma Glibomet. I kahi pākahi helu lā i kēlā me kēia lā he 4 papa, loaʻa ka poʻe maʻi i ka 1600 mg o ka metformin, aʻo kona mau palena loa he 2000 a ʻo ka nui loa ka 3000 mg. Inā hōʻike kekahi mea maʻi me ka maʻi maʻi i ka ʻōpū o ka ʻōpū, ka hōʻiliʻili a i ʻole ka ʻae ʻia ʻana o ka hoʻoikaika ʻana i ke kino, ikaika ka kū ʻana o ka insulin, ke koko koko nui, ua ʻōlelo ʻia ʻo ia e lawe i nā mea momona metformin ma mua o ka hiamoe.

Nā hopena ʻaoʻao a me ka overdose

I waena o nā hopena kūpono o ka lāʻau lapaʻau Glibomet, ʻo ka maʻamau loa ka hypoglycemia, hiki ke hoʻohui ʻia i kahi comog hypoglycemic. ʻO ka mahele nui o ka hypoglycemia ka maʻi māmā, e koi ana i ka liʻiliʻi o ka mea maʻi me ka maʻi maʻi. Hiki i ke kumu o ke kahe o ke kō i ka nui o ka paheʻe Glibomet, kahi hōʻino o ka meaʻai, ʻoi aku ka nui o ka hana pilikino.

Hiki i kahi overdose ke hoʻonā i ka hoʻopiʻi paʻakikī rarer o ka maʻi diabetes - ka lactic acidosis. ʻO ka maʻamau, koi ʻia nā mea e hoʻopili ʻia no kona hoʻomohala ʻana: nā maʻi o nā pūpū, nā ate, nā ʻōpū hanu, anemia, etc.

ʻO ka papa inoa o nā hopena hopena e like me nā ʻōkuhi:

Hōʻalo ka hopena o nā hopena i hiki ʻole, ke hoʻohui i ka hypoglycemia, e loiloi ʻia e nā ʻōkuhi no ka hoʻohana ʻana me ka liʻiliʻi (ma mua o 0.1%) a ka loaʻa wale nō hoʻi (ma lalo o 0.01%).

Nā Hoʻohui

Ua ʻae ʻia ka ʻike ʻana iā Glybomet e ke aʻo ma nā ʻokoʻa penei:

• hypoglycemia. ʻAʻole ʻawaʻawa ka papa ʻaʻa a hoʻi i ke kō koko koko i ka maʻamau;
• ketoacidotic coma a me nā kūlana mua ma mua;
• hypersensitivity o kekahi o nā ʻāpana o ka lāʻau Glibomet;
• 1 ʻano maʻi o ka maʻi diabetes. Inā i kuhikuhi ʻia ka lāʻau insulin no ka maʻi type 2, hiki ke hoʻohui pū me Glybomet;
• paʻiki maʻi hana maʻi paʻakū, e like he kiʻekiʻe ko lākou i ka lactic acidosis;
• he meaola aia ma lalo o 1000 mau kalaiʻa;
• hapai ka hepatitis B ʻO Glibenclamide e hele i loko o ka waiū umauma, ma o ka pā o ka placental, a hiki ke hana i ka hypoglycemia i loko o ka pēpē;
• māʻonaʻona, inu hoʻohuihui.

Ke hōʻike nei i nā maʻi koʻikoʻi o ka pūpū a me nā pōpoki, nā maʻi maʻi maʻi nui, ka hōʻeha ʻana o nā hōʻeha nui, nā hōʻeha nui a me ka puhi ʻana, ka hoʻopā ʻana a me ka hōʻeha ʻana o ka naʻau, myocardial infarction, ka nīnau no ka hoʻokipa ʻia e lawe Glibomet i hoʻoholo ʻia e ke kauka komo ʻana. ʻO ka hana o ka maʻi maʻi a me kona mau ʻohana e haʻi i nā limahana olakino e pili ana i ka heleʻana o ka maʻi maʻi ma ka mea maʻi a me nā lāʻau lapaʻau āna e lawe ai.

I ka mahana wela a me nā pilikia endocrine, hiki i Glybomet ke hōʻeha i ka hypoglycemia hiki ʻole ke hoʻokaʻawale ʻia, no laila ke ʻōlelo ʻana ka ʻōlelo aʻo me ka mālama ʻana.

Nā kuʻina a me nā mea e hoʻohuli

ʻO nā mea hoʻohālikelike Glibomet me ka helu like o nā mea ikaika (2.5 + 400) - Gluconorm India a me Metglib Lūkini. ʻO nā hui āpau a pau o ka glibenclamide me ka metformin he mau makehe o ka 2.5 + 500 a me 5 + 500, no laila ke hoʻololi nei i kēia mau lāʻau, hiki ke loli ke kō koko maʻamau. ʻO ka mea pinepine, a koi ʻia kahi hoʻoponopono.

Hoʻokuʻu ʻia nā inoa ma Rūsia e 4 mau ʻoihana lapaʻau nui - Pharmasintez, Pharmstandart, Kanonfarma a me Valeant. Wahi a nā loiloi, maikaʻi loa ko lākou lāʻau lapaʻau e like me Glibomet.

Inā ʻaʻole i loaʻa ka lāʻau lapaʻau i loko o kaʻaila, hiki ke hoʻololi i ka metformin a me glibenclamide i nā papa kaʻawale. Inā ʻoe e lawe i ke ʻano like, ʻaʻole e weliweli ka uku no ka maʻi diabetes.

Hoʻopili pili ʻo Glimecomb lāua me Amaril i Glibomet e ke kumu o ka hana. ʻO nā mea ikaika e kau ʻia ana ma kā lākou hui, gliclazide a me ka glimepiride, nā hui analogues o ka glibenclamide. Hoʻemi lākou i ka meli i ka liʻiliʻi iki akā, ʻoi aku ka palekana i nā beta beta.

Nā kānāwai mālama a me ke kumukūʻai

Mālama ʻo Glybomet i ka maikaʻi o 3 mau makahiki, ʻo ke koi wale nō ke mālama nei he mahana o ka piʻi ʻole ma mua o 30 ° C.

ʻO ka Glibomet Packaging mai 40 mau papa he kumukūʻai 280-350 mau rubles. ʻO nā kikowaena Cheaper he Gluconorm Plus (kumukūʻai 150 mau rubles no 30 mau papa), ʻo Gluconorm (220 mau rubles no nā papa 40), Metglib (210 mau rubles no nā papa 40).

Nā Hōʻike Hoʻomaʻi