ʻO Glucobai (kahi hōʻailona no ka lāʻau lapaʻau - Acarbose) wale nō ka lāʻau lapaʻau antidiabetic waha i hōʻike ʻia no nā maʻi maʻi 1 a me 2. No ke aha ka mea i ʻike ʻole ai i ka hoʻohana ākea like ʻole, no ka laʻana, ʻo Metformin, a no ke aha ke ʻano maikaʻi i ka lāʻau lapaʻau no ka poʻe olakino maikaʻi, ʻo ka mea hoʻokūkū pū.
E like me Metformin, pololei ʻo Glucobai e kapa ʻole ia i kahi mea hypoglycemic aikena, akā he antihyperglycemic, no ka mea, e kāohi ana i ka piʻi wikiwiki o ka hilahila e pane ai i nā mea kalaiʻe paʻakikī, akā ʻaʻole ia e hoʻoponopono i ke kiʻekiʻe o ka glycemia. I ka lua o ke ʻano maʻi maʻi, hoʻohana pinepine ʻia, me ka hoʻoikaika pono, hana like ia me nā mea hoʻonaninani o ka hypoglycemic ʻē aʻe.
Hoʻolaha ka ʻike uila
ʻO ka Acarbose kahi mea hoʻomehana i nā amylases - kahi hui o nā enzyme e kuleana no ka uhaʻi ʻana i nā molekuni aolaola paʻakikī i nā mea maʻalahi, no ka mea, hiki i ko mākou kino ke hoʻopio wale i nā monosaccharides (glucose, fructose, sucrose). Hoʻomaka kēia kaʻina i ka waha (he pono kāna amylase), akā ʻo ka hana nui ka mea i kū mai i loko o ka ʻōpū.
ʻO Glucobai, e komo ana i ka ʻawaʻī, poloka i ka wāwahi ʻana o nā kalapona i mea maʻalahi i loko o nā molekele maʻalahi, no laila, ʻaʻole hiki i nā mea kanu ke komo i ke kino me ka meaʻai.
Ke hana nei ka lāʻau lapaʻau i kēlā me kēia wahi, kū hoʻokahi ma ka lumen intestinal. ʻAʻole ia e komo i ke kahe koko a ʻaʻole i hoʻopilikia i ka hana o nā hui a me nā ʻōnaehana (me ka hoʻokomo ʻana o ka insulin, ka hana ʻana i ka glucose i ka ate).
ʻO ka lāʻau lāʻau he oligosaccharide - kahi huahana fermentation o ka microorganism Actinoplanes utahensis. Aia kona mau hana me ka kāohi ʻana i ka α-glucosidase, kahi enzyme pancreatic e wāwahi ana i nā kapuwai paʻakikī i nā molekika maʻalahi. Ma ka paleʻana i ka hoʻopili ʻana o nā kalapona paʻakikī, kōkua ke Acarbose e kāpae i ka nui o ka glucose a hoʻonui i ka glycemia.
ʻO ka hoʻoiho ʻana i ka lāʻau lapaʻau i ka heʻe ʻana, e hana wale nō ia ma hope o ka ʻai ʻana.
A no ka mea ʻaʻole ia e hoʻolauna i nā β-cell nona ka hana a me ka huni ʻana o ka insulin endogenous, ʻaʻole i hoʻonāukiuki ʻo Glucobai i nā ʻōlelo glycemic kekahi.
I hōʻike ʻia no ka lāʻau lapaʻau
ʻAʻole i haʻi ʻia ka wai hoʻohaʻahaʻa hilahila o kēia lāʻau lapaʻau e like me ka hypoglycemic analogues, no laila, ʻaʻole hana pono e hoʻohana ʻia e like me ka monotherapy. Hoʻololi pinepine ʻia i ka adjuvant, ʻaʻole wale no nā ʻano maʻi like ʻole o ka maʻi mellitus, akā no nā kūlana prediabetic: ʻo ka wikiwiki ʻo ka maʻi glycemia, hoʻololi i ka hoʻohaʻahaʻa glucose.
Pehea e hana ai i ka lāʻau lapaʻau
I loko o ka mekameka lālama Acarbose, ʻike ʻoe i ʻelua mau ʻano: me ke kumu helu o 50 a me 100 mg. ʻO ka hoʻomakaʻana o ka helu o Glucobay, e like me nā ʻōlelo i hoʻohana ʻia, ʻo 50 mg / lā. Kēlā pule, me ka lawa o ka hana pono, hiki iā ʻoe ke hoʻoiho i ke ʻano o ka nui o ka 50 mg, e kahe ʻana i nā papa āpau i nā āpau. Inā hoʻomanawanui maikaʻi ka lāʻau i ka mea maʻi (a he nui nā mea i ʻike ʻole ʻia no ka lāʻau lapaʻau), a laila hiki ke hoʻoponopono ʻia i ka hala ma 3 r. / Lā. 100 mg kēlā me kēia. ʻO ka palena kiʻekiʻe loa no Glucobay he 300 mg / lā.
Ua inu lākou i ka lāʻau lapaʻau ma mua o kahi pāʻina a i ʻole ke kaʻina ponoʻī ʻana, inu i kahi papa pākaukau me ka wai. Ma kekahi manawa e kuhikuhi nā kauka i nā papa ʻalopona me nā papa mua o ka meaʻai.
ʻO ka hana nui, ʻo ia ka lawe ʻana i ka lāʻau i loko o ka lumen o ka ʻili liʻiliʻi, no laila i ka manawa o ka pau ʻana o ke kōaʻe, ua mākaukau ʻo ia e hana me lākou.
Inā ʻo ka papaʻa i kekahi hihia he kalaka-free (huaʻai, ke kīwī iʻa, iʻa, ʻona ʻole me ka berena a me nā ʻaoʻao ʻaoʻao me ke kōkō), hiki iā ʻoe ke hele a lawe i ka paila. ʻAʻole hana ʻo Acarbose i ka hihia o ka hoʻohana ʻana o nā monosaccharides maʻalahi - kūlohelohe maoli, fructose.
He palupalu ka hopena antihyperglycemic o Glucobay, no laila hoʻoholo pinepine ʻia ʻo ia he mau mea hana hou i ka ʻoihana paʻakikī. E like me ka mea i hōʻike ʻia ma mua nei, ʻaʻole ka hopena o ka lāʻau lapaʻau i ka hypoglycemia, akā, i ka mālama paʻakikī ʻana me nā lāʻau lapaʻaka hypoglycemic ʻē aʻe, hiki ke hopena ʻia nā hopena. Kū lākou i ka hoʻouka ʻana, ʻaʻole me ke kō, e like me ka mea maʻamau i ka hanana, - e hāʻawi ʻia ka mea ʻai i ka mauʻu maʻalahi i nā huehue, kahi e hana ai ka acarbose.
Nā koho ʻaoʻao hopena
No ka mea ke pale aku ka acarbose i ka hoʻopili ʻana o ka meaʻai kalaka, hoʻākoakoa ka mea hope i ka pua a hoʻomaka i ka pae ʻana. Hōʻike ʻia nā hōʻailona o ka hoʻomau i loko o ke ʻano o ka hoʻomohala ʻana i ka hau, rumbling, whistling, bloating, pain, ma kēia wahi, ʻeha. Ma muli o ka hopena, ua hopohopo paha ka maʻi maʻi i haʻalele i ka hale, me ka maʻi ʻole i ke alo ʻole o ka pahu a hoʻokaumaha i ka ʻuhane.
Hoʻonui ka ʻeha ma hope o ka inu ʻana o nā meaʻai momona me ka momona o ka ʻai, ke kū nei i ka nui o ke kō, ma ke kūwele ʻana a me ka hōʻemi ʻana inā hoʻemi ʻia ka nui o nā ʻaina. Hoʻohana ʻia ʻo Glucobai i ke ʻano o ka hōʻailona o nā momona kākā, ke kau ʻana i kona mau kauā ma kēia ʻano kai. He ʻano kū hoʻokahi ka ʻano o kēlā me kēia, ʻaʻole paha he ʻōiwi holoʻokoʻa i loko o ka ʻōpū inā e kāohi ʻoe i kou kīʻai a me kou paona.
Hoʻohui i ka α-glucosidase, mālama ka lāʻau i ka hiki ke hana o ka lactase, kahi enzyme e wāwahi ana i ka lactose (ka waiū waiū) e 10%. Inā nānā kekahi ma ka mea maʻi ma mua i kahi hana hoʻoneʻe i ia ʻano o ka enzyme, intolerance i ka huahana susu (ʻoi aku ka waiū a me ka waiū) e hoʻonui i kēia hopena. ʻOi aku ka maʻalahi o nā huahana momi e lawe i ka hoʻowalewale.
ʻO nā maʻi hōʻeha pinepine ʻia i nā manawa dyspeptic ka hopena a me ke ʻano huehue.
E like me ka nui o nā lāʻau lapaʻau synthetic, hiki ke lilo i ka ʻāʻī o ka ʻili, hōʻeha, ʻulaʻula, i kekahi mau kūlana - ʻo kā edema Quincke wale nō.
Nā Contraindications a me nā analogues no ka acarbose
Mai kuhikuhi iā Glucobai:
- ʻO nā maʻi me ka cirrhosis o ka ate;
- Me ka colitis ulcerative;
- Ma ka hihia o ka hoʻonāukiuki aʻeha (ma kahi hopena a paʻakikī paha);
- Diabetes me ka hernia (inguinal, femoral, umbilical, epigastric);
- Nā makuahine hāpai a me ka lactating;
- Me ka maʻi maʻi melabsorption;
- nā mea maʻi me nā palaka renal maʻi.
Aia kekahi mau kikoʻī no Glucobay: e like me ka hana like (acarbose), hiki ke hoʻololi ʻia e Alumina, a i ka hopena therapeutic - e Voxide.
ʻO Glucobay no ka hoʻoluhi kaumaha
ʻO ka hapa nui o ka hapanui o ka honua ka leʻaleʻa me ke kaumaha a me kā lākou kiʻi. Hiki paha iā ia ke pale i ka lilo ʻana o nā palaka i nā maʻi maʻi ʻole inā ua hewa wau me ka papaʻai? Hoʻomaopopo ʻia nā mea hoʻoikaika kino e "ʻānai i kahi pōpō a inu paha i kahi pā o Glucobay." Hoʻopili i nā amylases pancreatic, kahi hui o nā enzyme e wāwahi i ka polysaccharides i mono analogs. ʻO nā mea āpau a ka poʻe i lawe ʻole ʻole ai, e hoʻopiʻi ma luna o ia wai, me ka hoʻonāukiuki ʻana i ka maʻi excretory.
A i kēia mau ʻōlelo kikoʻī: inā hiki ʻole iā ʻoe ke hōʻole iā ʻoe iho i ka sweets a me nā pastry, e ʻai i hoʻokahi papa ʻelua ʻelua o ka papa Acarbose (50-100 mg) ma mua o nā wai aʻe o nā pona. Inā manaʻo ʻoe e hoʻomaʻemaʻe ʻoe, hiki iā ʻoe ke hoʻolei i kahi papa 50 mg ʻē aʻe. ʻO ka maʻi ʻana me nā ʻehaʻeha o "kaʻai" ʻana, akā naʻe ʻaʻole like ia e ke kaohi ʻia e like me ka wā e nalowale ana ke kaumaha, no ka laʻana me ka orlistat.
No laila he mea kūpono ia e "hoʻomaʻamaʻa i ka loiloi" inā hiki iā ʻoe ke hoʻoponopono hou i ka meaʻai kino i hope o ka ʻahaʻaina nui nui? E hoʻomohala ʻia kahi pahuhopu wai i loko o hoʻokahi mahina, a e hoʻoponopono hou ʻoe i kekahi manawa kūpono ʻole, ʻaʻohe wai a me ʻelua mau manamana lima. He paʻakikī a paʻakikī ka mālamaʻana i kēlā mau alahele, no laila e maʻalahi ka hoʻohanaʻana i nā ʻōpū i loko o ka hōʻemi o ka paona.
ʻO Glucobay - nā loiloi o ka maʻi maʻi
No laila e waiwai a nānā ʻole paha e lawe iā Glucobai? E hoʻomaka kākou me nā pono kīnā ʻole:
- ʻAʻole mālama ʻia ka lāʻau lapaʻau i ke kahe a ka hopena ʻole i ka hopena o ke kino;
- ʻAʻole ia e hoʻoulu i ka synthesis a me ka huna ʻana o kona insulin ponoʻī, no laila, ʻaʻohe hypoglycemia ma waena o nā ʻaoʻao;
- Ua hoʻokūpaʻa ʻia ia i ka hoʻohana lōʻihi ʻana o ka acarbose i ka liʻiliʻi loa i ka pae o ka "maikaʻi" kolesterol a me ka piʻi o ka holomua o ka atherosclerosis i kahi maʻi maʻi maʻi;
- Hoʻopili i ka hoʻāʻo ʻana ke kālai kalaiwa.
Aia he mau hemahema: maikaʻi ʻole a me ka kūpono ʻole o ka monotherapy, a me ka hopena i hoʻopili ʻia i nā hopena ʻaoʻao i loko o ke ʻano o ka maʻi dyspeptic, a ma ke kōkua e pale ai i ka paona a me ka meaʻai.
