ʻO Glucovans kahi hana ʻelua i hana ʻia i loko o nā ʻelua ʻelua e hoʻonaʻauao i nā wai kōnike, glibenclamide a me metformin. Ua hōʻike ʻia nā mea ʻelua i ko lākou palekana a me ka maikaʻi i nā haʻawina. Ua hōʻike ʻia ʻaʻole wale lākou i ka normal glucose, akā e hōʻemi pū i ka hopena o ka hoʻopiʻi o ka angiopathic a hoʻolōʻihi i ke ola o kahi maʻi maʻi maʻi.
ʻO ka hui pūʻana o ka metformin a me glibenclamide he pālahalaha loa. Eia nō naʻe, hiki i nā Glucovans, me ka hoʻolauna ʻole, i kapa ʻia he lāʻau kūʻokoʻa i loaʻa ʻole i nā mea hoʻohālike, no ka mea aia i loko o kahi ʻano micronized i loko o loko, kahi e hoʻemi nui nei i ka hopena o ka hypoglycemia. Kūkulu ʻia nā papa Glucovans i Farani e Merck Sante.
Nā kumu no ke koho ʻana i nā glucovans
ʻO ka hoʻolalelale ʻana o ka holomua o nā hoʻopiʻi i ka maʻi diabetes hiki wale nō ma o ka hoʻomalu mau ʻana o ka maʻi maʻi. Ua lilo ke ʻano o nā uku uku i nā makahiki i hala. Loaʻa kēia ma muli o ka mālama ʻana o nā kauka i ka nānā ʻana i ka maʻi maʻamau 2 ʻano ʻeha ma mua o ke ʻano ʻano. Ua hoʻonohonoho ʻia he maʻi ʻino ʻino loa kēia, a me ka maʻi e pono ai ka mālama mau ʻana.
No ka hoʻokō ʻana i ke glycemia maʻamau, koi pinepine ʻoi aku i ka lāʻau lapaʻau haʻahaʻa. ʻO kahi regimen mālama mālama mea maʻamau ka mea maʻamau no ka hapa nui o nā maʻi maʻi me ka ʻike. E like me ke kānāwai maʻamau, ua hoʻohui ʻia nā papa hou i ka manawa ʻē ʻole i hāʻawi mua ʻia i ka pakeneka target o ka hemoglobin glycated. ʻO ka lāʻau lapaʻau ka lāʻau mua ma nā ʻāina a pau o ka honua ka metformin. Hoʻopili pinepine ʻia nā kumua o ka sulfonylureas, ka mea i kaulana loa i ka glibenclamide. Hoʻohui ʻo Glucovans i kēia mau mea ʻelua, hiki iā ia ke hoʻomaʻamaʻa i ka hoʻoponopono lāʻau lapaʻau no ka maʻi maʻi, me ka hoʻēmi ʻole ʻana i kona pono.
Ua kuhikuhi ʻia nā poʻe hoʻohālike me ka maʻi diabetes:
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%
- Ma kahi o ka hopena o ka hopena o ka maʻi a i ʻole ka wikiwiki. ʻO kahi hōʻailona e ʻike ai ka metformin wale nō e lawa ka hoʻomehana ʻana a makemake ʻia nā Glucovans - ʻaina wikiwiki o ka wikiwiki ma mua o 9.3.
- Inā ma ka papa mua o ka mālama ʻana i ka maʻi diabetes, he hoʻokaʻawale a hoʻokahe haʻahaʻa, ʻaʻole i hoʻohaʻahaʻa ka metformin a me ka hemoglobin glycated ma lalo o 8%.
- Me ka hoʻohaʻahaʻa ʻana i ka hana o insina ponoʻī. Ke hōʻoia nei kēia ʻūlio a i manaʻo ʻia no ka hoʻonui ʻana o ka glycemia.
- Me ka hoʻomanawanui ʻole o ka metformin, e hoʻonui ai i ka manawa me ka hoʻonui ʻana i kāna waiʻa.
- Inā metformin i nā kiʻekiʻe lahilahi e contraindicated.
- I ka manawa ma mua o ka mea maʻi i lawe ka metformin a me glibenclamide a makemake e hoʻēmi i ka nui o nā papa.
Ka hana lāʻau lapaʻau
ʻO ka lāʻau lapaʻau Glucovans kahi hui paʻa o nā ʻaihue hypoglycemic ʻelua me nā hopena multidirectional.
Hoʻonui ka Metformin i ka hoʻokahe koko me ka hoʻonui ʻana i ka ʻike ʻana o nā io, nā momona, a me ka ate i ka insulin i hana ʻia. Hoʻopilikia ia i ka pae o ka synthesis o ke ʻano o ka hormone wale nō: ʻo ka hana o nā cell beta ka hoʻomaikaʻi me ka normalization o ka ʻike koko. Pēlā nō hoʻi i ka papa o nā metformin ʻO Glucovans e hōʻemi i ka nui o ka hana glucose i ka ate (me ke ʻano type 2, ʻo 2-3 ia mau manawa ma mua o ke ʻano), e hoʻolohi ana i ka huina o ka glucose mai ka papa gastrointestinal i loko o ke koko, e hoʻomaʻamaʻa i nā lipids koko, a loaʻa i ka pohō o ke kaumaha.
ʻO Glibenclamide, e like me nā derivatives sulfonylurea (PSM) kahi hopena pili i ka huna ʻana o ka insulin ma o ka hoʻopaʻa ʻana i nā ʻāpana beta-cell. He liʻiliʻi ka hopena peripheral o ka lāʻau: ma muli o ka hoʻonui ʻana o ka neʻe o ka insulin i loko o ke koko a me ka hoʻokaʻawale ʻana i nā hopena o ka pika i ka glucose i nā kopa, hoʻomaikaʻi ka hoʻohana ʻana i nā glucose, a hoʻoneʻe ʻia ka hana ʻana e ka ʻāpana. ʻO Glibenclamide ka lāʻau lapaʻau ikaika loa loa ma ka hui PSM, ua hoʻohana ʻia i loko o ka lāʻau lapaʻau ma mua o 40 mau makahiki. Ua makemake kēia kauka kauka i nā ʻano micronized hou o glibenclamide, ʻo ia kahi o nā Glucovans.
Loaʻa i kona pono:
- ʻoi aku ka hana ʻoi aku ka ʻoi aku ma mua o ka hana ma mua o ka hana, hiki iā ia ke hōʻemi i ka nui o ka lāʻau;
- nā kīpaha glibenclamide i loko o ka matrix o ka papa ua 4 ʻāpana like ʻole. Weʻe lākou i nā manawa like ʻole, ma laila e hōʻoia ai i ke kahe ʻana o ka lāʻau i loko o ke kahawai a hōʻemi i ka hopena o ka hypoglycemia;
- ka mea liʻiliʻi loa o ka glibenclamide mai Glucovans e komo koke i loko o ke kahawai a hoʻōla ikaika i ka glycemia i nā hola mua ma hope o ka ʻaina.
ʻO ka hoʻohuiʻana o nā mea ʻelua i kahi papa hoʻokahi ʻaʻole e hoʻohuli i ko lākou hopena. I ka mea ʻē aʻe, ua loaʻa ka noiʻi i nā ʻikepili e ʻae i ko Glucovans. Ma hope o ka hoʻoneʻe ʻana o ka poʻe maʻi maʻi e lawe ana i ka metformin a me glibenclamide i Glucovans, hōʻemi ʻia nā gogekobin glycated e ka awelika o 0.6% no 6 mau malama o ka mālama ʻana.
Wahi a ka mea hana, ʻo Glucovans ka mea kaulana loa i nā lāʻau ʻelua ʻelua i ka honua, ua ʻae ʻia kona hoʻohana ʻana i nā ʻāina 87.
Pehea e lawe ai i ka lāʻau lapaʻau i ka wā o ka mālama ʻana
Hoʻohana ʻia ka lāʻau Glukovans i loko o ʻelua mau helu, no laila hiki iā ʻoe ke koho maʻalahi i ka dosis kūpono i ka hoʻomaka a hoʻonui iā ia i ka wā e hiki mai ana. Hōʻike kahi hōʻailona ma kahi pūʻulu o 2.5 mg + 500 mg e kuhikuhi ana e waiho i ka glibenclamide 2.5 microformated i loko o kahi papa, 500 mg metformin. Hōʻike ʻia kēia lāʻau lapaʻau i ka hoʻomaka o ka hana e hoʻohana ana me PSM. Ke koho 5 mg + 500 mg e pono ai e hoʻoikaika i ka hana maʻi. No ka poʻe maʻi me ka hyperglycemia e loaʻa ana i ka nui o ka hopena o ka metformin (2000 mg i kēlā me kēia lā), hōʻike ʻia kahi hoʻonui o ka glibenclamide no ka kaohi o ka maʻi mellitus.
ʻO nā ʻōlelo aʻoaʻo no Glucovans mai nā ʻōlelo o ka hoʻohana ʻana:
- ʻO ka hoʻomakaʻana ma ka hapa he 2.5 mg + 500 mg. Lawe ʻia ka lāʻau lapaʻau me ka meaʻai, ʻoi nā mea momona.
- Inā ua hala mua kahi maʻa maʻi 2 mau mea ikaika i nā papa kiʻekiʻe, ʻoi aku ke kiʻekiʻe o ka hoʻomaka ʻana: ʻelua ʻelua 2.5 mg / 500 mg. Wahi a nā maʻi maʻi, ʻo ka glibenclamide ma ke ʻano he poʻe Glucovans he ʻoi aku ka maikaʻi ma mua o ka mea maʻamau, no laila ʻo ka hopena o mua e hiki ai i ka hypoglycemia.
- Hoʻoponopono i ka pane ma hope o 2 mau pule. ʻOi aku ka hōʻeha o ka mea maʻi me ka maʻi diabetes me ka metformin, ʻoi aku ka lōʻihi o ke aʻo ʻana e haʻalele iā ia i ka lāʻau. Hiki ke piʻi nui ka ulu wikiwiki ʻana ʻaʻole wale nō nā pilikia me ka gastrointestinal tract, akā nō hoʻi i kahi emi nui o ke kahe koko.
- ʻO ka nui loa ka nui o 20 mg o ka glibenclamide micronized, 3000 mg o ka metformin. Ma nā ʻōlelo o nā papa: 2.5 mg / 500 mg - 6 mau ʻāpana, 5 mg / 500 mg - 4 ʻāpana.
ʻO nā ʻōlelo ʻōlelo mai ke kuhikuhi ʻana no ka lawe ʻana i nā papa:
| Kuhi ʻia i ka papaʻaina. | 2,5 mg / 500 mg | 5 mg / 500 mg |
| Loikau 1 pc | kakahiaka | |
| 2 pcs | Loikau 1 pc. kakahiaka a me ke ahiahi | |
| 3 pc | kakahiaka kakahiaka | |
| 4 pc | kakahiaka 2 pcs., ahiahi 2 pcs. | |
| 5 pc | kakahiaka 2 pc., awakea 1 pc., ahiahi 2 pc. | - |
| 6 nā pā | kakahiaka, awakea, ahiahi, 2 pcs. | - |
Nā hopena hopena
ʻO ka ʻikepili mai nā kuhikuhi no ka hoʻohana ʻana ma ke alapine o nā hopena pā:
| Kania% | Nā hopena hopena | Nā Hoʻomaka |
| ʻoi aku ma mua o 10% | ʻO nā hōʻike mai ka papalopihi. | Ka hoʻohaʻahaʻa, hoʻowahāwahā, kaumaha i ka epigastrium, ʻeha. Wahi a nā loiloi, he hōʻailona kēia mau hōʻailona no ka hoʻomaka ʻana i ka mālama ʻana, a laila ma ka hapa nui o nā maʻi maʻi e nalo aku nei. |
| emi ma mua o 10% | Nā kipi ʻana o ka hoʻāʻo. | ʻO ka ʻono o ke kala i loko o ka waha, ma ka ʻōpū o ka ʻōpū ʻole. |
| emi ma mua o 1% | Ke ulu iki o ka urea a me ka hoʻokumuʻana i ke koko. | ʻAʻole nā hōʻailona like ʻole, e hoʻoholo ʻia e ka neʻe koko. |
| emi ma lalo o 0.1% | ʻO ka pachyria cīpū aiʻole cutaneous. | ʻEha ka ʻōpū, hoʻihoʻi ʻia i ka ʻōpū o ka puʻuwai, constipation. Hoʻokumuʻia nā ʻāpana o ka ʻili, hoʻonui i kona trauma. |
| ʻO kahi hāʻule o ke ana o nā keʻena koko keʻokeʻo a i ʻole platelets i ke koko. | Hōʻaloʻia nā maʻi kūmau me ka hoʻoneʻe ʻana o ka hopena Glucovans. Kūpono wale ʻia ma ke kumu o kahi hōʻike koko. | |
| ʻO ke ʻano kūloko o ka ʻili. | Hoʻopau, ʻeha, ʻulaʻula o ka ʻili. | |
| emi mai ma 0,01% | Lactic acidosis. | ʻEha i nā ʻeha a ma hope o ka sternum, ka hāʻule ʻana o ka hanu, nā nāwaliwali. Pono ke maʻi maʻi maʻi maʻi koke. |
| ʻO ka nele o B12 ma muli o ke kaohiʻana i ka wā o ka hoʻohanaʻana i ka metformin. | ʻAʻohe ʻano hōʻailona maʻamau, hiki i ka ʻeha ma ke alelo, ʻōlelo ke kīnā ʻole, hoʻonui ʻia i nā ʻōpala. | |
| Hoʻopau ikaika i ka wā e lawe ana i ka waiʻona. | Pukaʻi lohi, hoʻoweliweli, hōʻeha nui. | |
| Ka nele o nā sodium i loko o ke koko koko. | ʻO nā hōʻino pilikino, ʻaʻohe pono ke mālama ʻia. Hoʻopau ʻole nā hōʻailona. | |
| Kino o nā ʻōpū koko ʻaʻā, nā keʻena koko keʻokeʻo, ka paʻa ʻana o ka hana hematopoietic o ka ʻōpū o ka iwi. | ||
| Anaphylactic pīhoihoi. | ʻO ka Edema, ke kahe ʻana o ke kō, hiki ke loaʻa ka hanu. | |
| ʻaʻole i hoʻonohonoho ʻia | ʻO ka hypoglycemia kahi hopena o ka hopena nui o ka lāʻau. | Hūlū, ʻeha, hoʻoweliweli, makaʻu, hoʻonui ʻia ka naʻau. |
Wahi a nā loiloi, nā pilikia nui loa no ka poʻe maʻi e lawe i ka lāʻau Glukovans, hōʻeha i kahi ʻōpala. Hiki iā lākou ke pale aku i kahi neʻe wikiwiki wikiwiki a me ka hoʻohana ʻana i nā papa i ka hoʻokele wale ʻia me ka meaʻai.
I ka maʻi maʻi maʻi, ka hapa nui o ka hypoglycemia mild. Hoʻopili koke ʻia ia e ka glucose ma hope o ka hoʻomaka ʻana o nā hōʻailona. No ka poʻe maʻi ʻaʻole manaʻo i ka emi ʻana o ke kō, ʻaʻole ʻōlelo ke aʻo ʻana e lawe i nā papa Glucovans a me nā hui o kā lākou hui. Hōʻike ʻo ia i ka hui ʻana o ka metformin me nā gliptins: Galvus Met a i Yanumet paha.
Nā Hoʻohui
He mea weliweli ka hoʻohana ʻana o Glucovans no nā maʻi maʻi maʻi e loaʻa nā contraindications i ka metformin a i ʻole glibenclamide:
- maʻi kūlohelohe i metformin a i ʻole PSM;
- ʻO ka maʻi mellitus type 1;
- ʻeha pūpū, inā he mea hana> 110 mmol / l i nā wahine,> 135 i nā kāne;
- inā e pili ana i nā maʻi koʻikoʻi, ua hoʻoholo ka nīnau o ka hiki ke hoʻohana i ka lāʻau lapaʻau i ka mea maʻi;
- hapaka, lactation;
- ketoacidosis, ka lactic acidosis;
- pīhoihoi i ka lactic acidosis, kona kūlana kiʻekiʻe;
- ka lōʻihi o ka momona o kahi kalaka (<1000 kcal / lā);
- ka lawe ʻana i nā lāʻau lapaʻau, e hui pū me ko Glucovans, e hoʻopili i ka hoʻomohala ʻana o ka hypoglycemia. ʻO nā mea āpau antifungal maikaʻi loa. Hiki i nā lāʻau lapaʻau e pili iki i ka glycemia (kahi papa helu piha i nā kuhikuhi ʻāpana pepa) hiki ke hoʻohana pū ʻia me Glucovans ma hope o ka hoʻoponopono hoʻoponopono ʻia.
He mea hiki ke hoʻololi
ʻAʻohe o nā Glucovans i nā kikowaena piha, no ka mea me nā lāʻau āpau i hoʻopaʻa ʻia ma Rusia me ka pūhui like i loaʻa i ka glibenclamide maʻamau, a ʻaʻole micronized. Me ka hopena kiʻekiʻe e liʻiliʻi iki ai lākou ma mua o Glucovans, no laila e hoʻonui ʻia kā lākou dosis.
ʻO nā hui hoʻohui i metformin + glibenclamide maʻamau he Glibenfage; ʻO Gluconorm a me Gluconorm Plus; ʻO ka Metglib a me Metglib Force; Glibomet; Bagomet Plus.
ʻO nā hui kūmole hui ʻO Gucecans ʻo Amaril M a me Glimecomb. ʻIke ʻia lākou i nā mea hou aku ma mua o nā lāʻau lapaʻau ma luna aʻe a ʻoi aku paha ka hopena i ka hypoglycemia.
I kēia manawa, ua lilo nā mea hoʻohana DPP4 (glyptins) a me kā lākou hui pū me ka metformin - Yanuviya a me Yanumet, Galvus a me Galvus Met, Ongliza a me Combogliz Prolong, Trazhenta a me Gentadueto. ʻO lākou, e like me Glucovans, hoʻonui i ka synthesis o insulin, akā mai kumu i ka hypoglycemia. ^ E Ha yM. ʻAʻole like kēia mau lāʻau i ka kaulana me Glucovans ma muli o kā lākou kumukūʻai kiʻekiʻe. ʻO nā kumukūʻai pahu malama mai nā 1,500 rubles.
ʻO Glucovans a Glucophage paha - ʻoi aku ka maikaʻi
ʻO ka Glucofage ka hopena i loaʻa ka metformin wale nō, no laila e hoʻomau wale kēia lāʻau lapaʻau i ka hoʻomaka mua o ka maʻi maʻi, i ka wā e lawa ai nā synthesis o ka insulin e hoʻomaʻamaʻa i ka glycemia. ʻAʻole hiki i nā lāʻau lapaʻau ke pale i ka luku ʻana o nā hua beta i ka maʻi diabetes type 2. Ma nā maʻi kamaliʻi, e hana i kēia kaʻina hana ʻokoʻa, mai 5 mau makahiki a ʻo 10 mau makahiki. I ka wā e lilo ai ka pilikia o ka insulin i mea nui loa, ʻaʻole hiki ke ʻae ʻia a Glucophage me ka ʻimi ʻana ma ka nui loa. I kēia manawa, ua ʻōlelo ʻia e hoʻomaka e lawe i ko Glucovans inā 2000 mg ʻaʻole i hāʻawi ka gula i ka gula maʻamau.
Ke waiho ʻana a me ke kumu kūʻai
ʻO ke kumu o nā haʻahaʻa haʻahaʻa o ko Glucovans - mai 215 mau rubles., Kiʻekiʻe - mai 300 mau rubles., I loko o kahi pā o 30 mau papa. Hoʻomoe a Rūkia i hoʻomākaukau me ka glibenclamide kumukūʻai ma kahi o 200 rubles. ʻO ke kumukūʻai o Amaril ma kahi o 800, Glimecomb - kahi ma kahi o 500 rubles.
Hoʻokomo ʻia ʻo Glucovans no 3 mau makahiki. Wahi a nā ʻōlelo kuhikuhi, pono e mālama nā papa i ke mahana ma lalo o 30 ° C.
