ʻO ka hōʻeuʻeu o ka pancreatic o kā lākou hana ponoʻī insulin e lawe i kahi mua ma ka helu ʻana i nā lāʻau antidiabetic. Ma kēia hui - hoʻomākaukau e pili ana i ka olakoleka (Maninil, Diabeton, Amaryl) a me ka pālolo.
ʻO nā lāʻau lapaʻau hou o NovoNorm, kahi loea hypoglycemic me ka hiki ke hana wikiwiki, aia nō hoʻi i ka papa hope loa. Pono e hoʻohana pono, a ʻaʻole kūpono nā papa i nā maʻi maʻi āpau me nā maʻi maʻi 2, no laila e pono e ʻike i nā kuhikuhi (ma ka liʻiliʻi loa me kona ʻano hoʻohālikelike ʻia).
Hoʻohui a me nā lāʻau lapaʻau
ʻO NovoNorma, ke kiʻi o ia ka mea i hōʻike ʻia i kēia ʻāpana, aia ka māhele o ka repaglinide, hoʻohui ʻia me ka selulosa, ka kōkaʻa palaoa, polacryline potassium, glycerin, povidone, calcium hydrogen phosphate, magnesium stearate, iron oxide, poloxamer, meglumine, dyes.
Hiki ke hoʻomaopopo ʻia ka lāʻau lapaʻau e kona ʻano (nā ʻāpana convex pōkā), ke kala (ʻāhinahina ma 1 mg a me ka brown, me kahi kiʻi pinkish i 2 mg) a me ke kiʻi a me ke ʻano o ka hui - Novo Nordisk. Hoʻopili ʻia nā papa i nā poli no 15 mau pcs.
I kahi pahu o nā papa like mai ʻelua a ʻeono paha. I Novonorm, ʻo ke kumukūʻai kekahi o nā kumukūʻai kālā loa no nā lāʻau antidiabetic: 177 rubles. no 30 papa. Hoʻokuʻu ʻia kahi lāʻau lapaʻau. Ua hoʻoholo ka mea Hana i ke ola o ka repaglinide i loko o 5 mau makahiki. ʻAʻole pono ka lāʻau lapaʻau i nā kūlana kūikawā no ka mālama.
Lapaʻau
ʻO ke kumu waihona mea repaglinide he mea hoʻoikaika i ka hana neʻe ʻana o ka hana e like me ka hemo. Ke hoʻoikaika nei i ka hana o ka pancreas, hoʻonui ka lāʻau i ka glycemia. Hoʻopili pololei nā mea hana i ka helu o nā b-cell e hiki ke hana no ka synthesis hormon.
Ma hope o ka lawe ʻana i ka papa papa, repaglinide i loko o ka plasma i loko o ka maʻi diabetes hōʻuluʻulu i ka hapalua hola. ʻAe kēia iā ʻoe e hoʻokipa i ka glycemia i ka wā o ka hoʻoulu ʻana a me ka hōʻiliʻili o ka meaʻai Ma ka hoʻomaka ʻana o ka ukana ma luna o ka ʻeha gastrointestinal, ke emi nei ke kaohi o ka lāʻau, hōʻemi ka nui o ka palena ma mua o 4 mau hola ma hope o ke komo ʻana o ka lāʻau lapaʻau i ka ʻeha gastrointestinal.
Ua hoʻohālikelike ka palekana o ka lāʻau lapaʻau ma kahi hoʻonohonoho kauka. Ua hōʻemi ʻia kahi helu hoʻoneʻe ʻana o ka helu glycemic indications me ka hoʻohana ʻana o 0.5-4 mg NovoNorm. Hōʻike nā hualoaʻa i ka hiki o ka preprandial (15-30 mau minuke ma mua o ka ʻai) kau ʻana o ka lāʻau.
Lapaʻau lāʻau
Hoʻomaʻi ikaika ʻo Repaglinide mai ka ʻeha gastrointestinal. ʻIke ʻia ka nui o ke koko e nānā i hoʻokahi hola ma hope o ka helu ʻana, a laila e emi iki ka wikiwiki me kahi bioavailability kūʻokoʻa o 63% me ka coefficient o ka ʻano o 11%.
Hoʻomau ʻia ka NovoNorm i nā hola 4-6 me kahi hapalua ola o kahi hola. Hoʻomau nui ka lāʻau i ka make, akā naʻe ʻaʻole ʻano o nā metabolites. Loaʻa kahi hapa waiwai o ka waiwai i lilo i loko o ka urine a me nā feces - a hiki i 8% a me 2%. Hoʻopiliʻia ka nui nui o nā metabolites me ka bile.
Ua ʻoi aʻe ka hopena o ka lāʻau i ka maʻi maʻi ma waena o nā maʻi āpau a me nā mea āpau āpau. ^ E Ha yM. Ma hope o 5 mau lā o ka lawe ʻana iā NovoNorm ma kahi o ka 3 p. / Lā. ʻO 2 mg i loko o nā hana koʻikoʻi o ka renal dysfunction AUC a me TЅ ʻelua.
ʻAʻole i komo nā maʻi o nā keiki i nā hoʻokolohua. ʻAʻole i hōʻike nā haʻawina holoholona i nā hopena teratogenic i ka repaglinide, akā ua loaʻa i nā huakui reproduction. I nā helu kiʻekiʻe o ka lāʻau lapaʻau, ʻike ʻia nā hana hoʻohālikelike o nā pēpē, ua komo pū ka lāʻau i ka waiū o ka makuahine o nā wahine.
Nā Hōʻike
Hoʻohui ʻia ka lāʻau lapaʻau me nā lāʻau antidiabetic me kekahi ʻano hana hou - metformin, thiazolidinediones, no laila hiki ke hoʻohana pū ʻia i loko o ka hōʻola maʻi.
Nā Contraindications no Repaglinide
Hoʻohui ʻia me ka hypersensitivity i nā mea kanu o ka loiloi, ʻaʻole i hōʻike ʻia ka repaglignide:
- Me nā maʻi 'āpau 1 a me C-peptide maʻi maʻi maikaʻi;
- I loko o ka'āina o ka ketoacidosis maʻi (a me ka ʻole o ka coma);
- Nā makuahine hāpai a me ka lactating;
- ʻO ka maʻi maʻi maʻi me ka maʻi hepatic koʻikoʻi;
- Me ka hoʻohana ʻana i ka gemfibrozil.
Nā manaʻo e hoʻohana
Koho ke kauka i ke ʻano o ka lāʻau lapaʻau ponoʻī, i ka ʻike ʻana i nā hopena o nā hoʻokolohua, ka pūpū o ka maʻi, nā ala e like ai, a me ka pane ʻana o ke kino i ka lāʻau lapaʻau. I kēlā me kēia pule, ʻike ʻia ka hana o ka hoʻolālā i koho ʻia e hoʻomālamalama i ka ʻona, hāʻawi ʻia kahi loiloi kūlike i ka hemoglobin glycated.
Pono ke kiaʻi pono ʻana e hōʻemi i ka glycemia ma ka nui loa o ka awelika hoʻolako (ka maʻamau maʻamau) a me ka ʻike ʻana ʻole o ke ʻano kūpono o ka hopena ma hope o kekahi manawa o ka lawe ʻana i ka lāʻau (kōkuhi lua).
No NovoNorma, nā ʻōlelo aʻoi aku no ka hoʻohana ʻana i kahi wai hoʻomaka ma kahi o 0,5 mg. No ka hapalua malama e hiki iā ia ke loiloi i ka ʻano o ke kino a mālama i ka titration. Inā hoʻoneʻe ʻia ka maʻi diabetes NovoNorm mai kahi lawena hypoglycemic hou, a laila pono ka lāʻau hoʻomaka ma loko o ka 1 mg.
Hoʻokomo ka mālama mālama kino i ka hoʻohana ʻana i ka repaglinide a i ka 4 mg / lā. 15-30 mau minuke ma mua o ka papaʻaina. Pono ʻoe e inu i kahi paila ma mua o kēlā me kēiaʻai, ʻoiai ka hopena o ka lāʻau lapaʻau ma ka ʻaoʻao o ka digestive pōkole ʻoi aku ka lōʻihi. ʻO ka palena nui loa o ka lāʻau ke 16 mg / lā Ua hoʻohele ʻia nā papa i ʻelua a ʻekolu mau manawa.
Me ka mālama paʻakikī me ka metformin a i ʻole thiazolidinediones, ʻaʻole iʻoi aku ka nui o ka hopena mua o ka reaglinide i ka 0.5 mg, ua waiho ʻia ka nui o nā lāʻau lapaʻau ʻē aʻe.
ʻAʻohe mea e pili ana i ka palekana a me ka hana pono o NovoNorm no nā keiki.
ʻO nā hopena pākuʻi a me nā hemahema
No nā kumu ʻepekema, no 6 mau pule, ua hāʻawi ʻia ka repaglinide i nā mea hana ma ke ʻano he 4-20 mg / lā. i ka wa i kau ai eha. ʻO ka hypoglycemia i nā kūlana o ka hoʻokolohua i kāohi ʻia e ka ʻili o ka caloric o ka meaʻai, no laila, ʻaʻohe hopena o ka ʻaoʻao i kākau ʻia.
Inā ma ka hale kekahi mau hōʻailona o ka overdose ma ke ʻano o ka hoʻonui nui ʻana, ka haʻalulu, ka migraines a me ka nalowale o ka hoʻonohonoho ʻana, pono e hāʻawi i nā meaʻai i ka mea ʻai me ke koena o ka mea momona wikiwiki. Inā koʻikoʻi ke ʻano a nalowale nā mea maʻi, ua hoʻopaʻa ʻia ʻo ia me ka glucose a hoʻouna ʻia i kahi haukapila.
ʻO ka hypoglycemia kekahi o nā ʻano nui i hiki ʻole i nā hanana hanana ʻole. ʻO ka pinepine o kona hōʻike ʻana e pili me ka ke ola o ka maʻi maʻi: kaʻai, ka pae o ka naʻau a me ka manaʻo kaumaha, ka nui a me ka kūlike i ka lāʻau. Hōʻike maʻalahi nā helu helu mau i kēia mau papa i ka papaʻaina.
| Nā loea a me nā ʻōnaehana | Nā ʻano hana ʻino | Heʻike |
| Ke ola kūlohelohe | allergy | luhi loa |
| ʻO nā kaʻina hana pā | hypoglycemia | ʻaʻole i ʻike ʻia |
| Hōʻike | hoʻololi hoʻololi | i kekahi manawa |
| Pūʻā naʻau a me ke koko | kūlana maʻi maʻi | pinepine |
| ʻŌpala Gastrointestinal | ʻeha ke ʻano o ka epigastric pain, defecation rhythm disturbance, dyspeptic disorders | pinepine lawa ole |
| ʻIli | haaheo | ʻaʻole i ʻike ʻia |
| Hoʻomāiā | ate kapehu, holomoa ulu ʻana | luhi loa |
Kāohi i nā hopena kūpono ʻole e hoʻolōʻihi i ka nui o ka nui o ka nui, e loaʻa i nā maʻi i hoʻopiʻi ʻia, nā maʻiʻeha, ka hoʻonaninani ʻana, ka hoʻohaʻahaʻa ʻana, me nā maʻi paʻakikī hiki ke hoʻonui ʻia.
Pehea e hiki ai iaʻu ke hoʻololi i ka NovoNorm
No ka NovoNorm, ua koho ʻia nā mea hoʻohālikelike e like me ke ʻano o ka honua no ka helu ʻana i nā lāʻau lapaʻau ʻia ATS (hoʻonaninani, ka therapeutic a me ka papa helu kemu). ʻO ka repaglinide ma kāna hoʻopili e loaʻa ai nā lāʻau hou aku 2 - ʻo Repodiab a me Insvada.
E like me nā hōʻike a me ke ʻano o ka hoʻohana ʻana, like nā repaglinides:
- Kahuʻi;
- Baeta;
- Victoza;
- Lycosum;
- Forsyga;
- Saxenda;
- Jardin
- Invokana.
Amaril, Bagomet, Glibenclamide, Glibomet, Glyukofazh, Glurenorm, Glyclazid, Diabeton, Diaformin, Metformin, Maninil, Ongliza, Siofor, Yanumet, Yanuviya a me nā mea ʻē aʻe e kokoke ana i ka paeʻuʻāina 3 ATC code (ʻokoʻa he ʻano like ʻole nā mea ʻike).
Ma ka ʻokoʻa ʻana o nā lāʻau lapaʻaka hypoglycemic hou, e hoʻomaʻamaʻa ʻole ana nā kauka iā lākou iho, a ʻaʻole hiki ke ʻae ʻia no nā poʻe maʻi maʻi e hoʻokolohua me nā lāʻau me ka ʻole o ka hoʻonaʻauao olakino. Hōʻike ʻia ka ʻike ma ka ʻatikala no ke ʻano laulā nui.
Nā Hōʻike Hoʻomaʻi
E pili ana i nā loiloi NovoNorm o nā kauka a me nā maʻi maʻi e kūpono mau. ʻO ka lāʻau lapaʻau e hoʻoili ʻia ma Tenemaka i ka hui ʻo NovoNordisk, kahi i mālama mua ʻia ai ka palekana o nā lāʻau lapaʻau.
ʻO ke aʻo wanana e pili ana i ka hoʻokele ʻana i ka maʻi type 2 - ma ka hōʻike TV "Tablet" - ma kēia wikiō.
