ʻO Acarbose kahi mea kanu kaulana i waena o ka maʻi maʻi: ua kuhikuhi ʻia no ka prediabetes, ka maʻi maʻi o nā ʻano ʻelua, metabolic syndrome. Ma ka hoʻomaʻamaʻa paʻakikī, mālama pono ka inhibitor i ka coma maʻi i hopena mai ka hyperglycemia. Nui nā lāʻau lapaʻau me nā hiki like me ka mākeke lāʻau lapaʻau, he aha ka maikaʻi o ka acarbose?
Hōʻike moʻolelo
ʻO nā ho'āʻo ʻana e pale i ke kanaka o ka "maʻi ʻino" i hana i ka kenekulia hope.
ʻOiaʻiʻo, e like me nā helu helu, a laila ʻaʻole i loaʻa i kahi helu ʻano like o ka maʻi maʻi. Hoʻomaka ʻoi aku ka maʻi mai ka wā e hoʻomaka ana nā waʻa o kā mākou mau hale kūʻai mai nā huahana o ka maikaʻi maikaʻi loa, no ka mea ua hoʻopau ʻia nā Soviet GOSTs, a ʻaʻole nā palena o nā loea loea hou i hana i nā hoʻokolohua ma ko mākou ola olakino.
Ke hoʻomaopopo nei i ka pilikia nui me ka diabetes mellitus (DM) he mea kolohe i ka metabolism kalakika, ua hoʻāʻo ka ʻepekema e hoʻomohala i kahi lāʻau lapaʻau ākea e kaupalena ana i ka hoʻohana ʻana i nā hāmeʻe, kahi e hoʻolako ai i kahi pākeke me ka hapalua o nā lā o nā kalori.
Heʻoiaʻiʻo, ʻaʻohe mea i lanakila ma ka hoʻokō ʻana i kēia pahuhopu a hiki i kēia lā me ka ʻole o ka ʻai haʻahaʻa-ʻona, akā, ʻo ka hoʻoulu ʻia ʻana o ka momona a me ka hōʻea i ka hoʻoliʻi lā, ʻaʻole lākou e hōʻeha i ka maʻi maʻi, ʻoi aku ka nui o lākou e hiki ke pili i nā ʻōlelo manaʻo o ka endocrinologist.
Ma hope o ke kauʻana i ka papa o kēlā me kēia lā o ka non-diabetes:
- Monosaccharides (ma ke ʻano o ka fructose a me ka glucose) - 25 g;
- Disaccharides (sucrose) - 100g;
- Polysaccharides (e like me ke kōkau) - 150g.
Hiki iā ʻoe ke hoʻomaopopo i ka pākuʻi ʻana i nā hūkā nui loa i hāʻawi ʻia ma ka pae mua o ka ʻaila, i loko o ka ʻōpū, mai kahi e puka mai ai lākou i ko lākou ʻano mua.
No ke aha e nānā nui ʻia ai ke koʻikoʻi no ke aliʻi? ʻO ka substrate kūlohelohe o α-amylase ka amylose a me amylopectin, a hiki ke wāwahi ʻia i disaccharides e hoʻohana ana i ka lawena a me nā pancreas, aia nā enzyme amylase. Hoʻokomo ka disaccharides i ka glucose a me ka fructose i loko o ka pākia ma lalo o ka mana o α-glucosidases. ʻO ia kēia mau monosaccharides e komo i ke kahe koko mai loko mai o nā wahi momona.
Hōʻike ia ka emi ʻana o ka hana o nā pancreas a me nā ʻōpū o ka lohi i ka assimilation o ka pae o nā haʻalulu e komo ana i ke kino me ka meaʻai. Nā mea hoʻonaninani o nā enzyme saccharolytic, kahi i loaʻa i loko o kekahi mau mea kanu (ma ke ʻano, ma ka stevia) lākou i ka maʻalahi a hāʻawi ʻole i nā hopena i makemake ʻia. Loaʻa nā inoa i loaʻa i ka buckwheat, rye, corn, legumes a me nā pī. Eia naʻe, ʻaʻole i lawa ka hiki i kā lākou mana no ka mālama glycemic i ka helu koko.
Ua ʻike ʻia nā hana nezelika i ʻoi aku ka maikaʻi o kahi, ʻo ia nā mea i hoʻopaʻa ʻia me kahi ākea ākea o nā hopena i loaʻa: nā protein, aminosaccharides, oligosaccharides, glycopolypeptides. ʻO ka olisaccharide hoʻohiki nui loa, ʻo Acarbosum, ka mea i hoʻohuihui ʻia mai ka microorganisms kūpono. Ma ka hoʻokaʻawale ʻana i nā glucosidases pēpē liʻiliʻi, e hoʻolōʻihi i ka hoʻololi o ke kōpaʻa i ka glucose.
ʻO nā mea ʻē aʻe o ia mea i hoʻokumu ʻia ma ke kumu o ka ascarbose, akā ʻaʻole lākou i ia mau ʻano multivariate.
Hiki i nā pono Pharmacological
Nā lāʻau lapaʻau e like me Ascarbose:
- E lohi i ka lawe ʻana o nā palaka i loko o nā ʻāpana;
- E hōʻemi i ka postprandial (ma hope o ka ʻai, "prandial" - "" awakea awakea ") glycemia;
- Kāohi i ka hypoglycemia;
- Kū i ka hiki i ka hoʻohui 'insulin.
Ke inu i ka meaʻai me ka ʻai kiʻekiʻe o nā ʻaiā, e ʻike nui ʻia ka hopena hypoglycemic o ka ascarbose.
Hāʻawi ka mea pale i ka hakakā i ka momona, hoʻohaʻahaʻa i ka makemake a me ke kāhea ʻana o ka caloric o ka lā maʻamau i kēlā me kēia lā, a hoʻēmi ʻia i ka momona o visceral.
Hoʻopili maoli i nā kīʻaha momona, ke kiʻekiʻe o ka calorie e hoʻēmi ana i ka pono o ka acarbose, no ka mea ke kau nei kona hopena i ka hoʻohālikelike i ka mea kalaiwa, ma mua o ka lipid metabolism.
Hoʻohālikelike ʻia e ka mīkini o ka hana me ka hiki o ka ihe, nā ʻāpana māla i hana i ke ʻano o ka ʻōpū, ʻaʻole i hiki ke hoʻokaʻawale ʻia e ka enzymes. ʻO ka ʻokoʻa ua hiki i ka lāʻau ke pale i nā hiki i nā kinohi iā lākou iho. E like me ka ulu ʻana o nā cell, lilo ka 'aʻai' ana i ka nānā 'ana i ka gastric wai a puka i waho o nā loli. Mai kēia mai ke hiki ke hoʻonui ʻia i nā hiki o ka mea hoʻomehana inā hoʻohana ʻia nā huahana me nā fibar coarse i mea like. He mea kūpono kēia ʻano i ka lawe ʻana i ka paona.
ʻOiai ke hoʻopaʻa ʻia nei o kona mau lehelehe, ʻaʻole ka mea pale i kuhi ʻole i ka hana maʻamau o ka ʻōpū, ʻoiai ʻaʻole ia i pili i ka amylo-, proteo-, a me ka lipolytic e hana ai i ka wai o loko o ka huehue.
Aia hoʻi nā mea pono o ka lāʻau lapaʻau ma luna o ke ʻano: me ka hoʻonui ʻana i ka hana maʻamau, kiʻekiʻe nā hōʻailona hypoglycemic.
ʻO ka Diabetics e lawe ana i ka acarbose a me nā mea pono ona i hōʻike i nā hopena maikaʻi i nā kaha koʻikoʻi.
- Hoʻemi ka triglycerol a me ka kolamu i ke koko;
- Hōʻemi i ka hoʻohuihui lipoprotein lipase i nā lipipine adipose.
Inā hoʻokomo ʻia kahi inhibitor i loko o ka ʻōpū, pale ia i ka hana o α-glucosidases. Hoʻohālikelike ʻia ka karamolati i nā lōʻihi a pau ʻole kahi loli o lākou. Hoʻopilikia kēia i nā hōʻailona o ka glucometer i ke ala ʻoluʻolu maikaʻi loa: ʻoiai ke hoʻonui nei, ʻaʻole lākou i like i ka nui me ka ʻole o ke komo ʻana o ka acarbose. Ma kona ulu pono, hiki ke hoʻohālikelike ʻia me ka Metformin kaulana loa, kahi i hoʻonoho ʻia i nā maʻi maʻi maʻi me ka maikaʻi ʻole.
He mea nui ia e ka acarbose, me nā mea āpau e hoʻopilikia i ka metabolism o nā pale, ʻaʻole hoʻololi i ka hana o ka pancreas. ʻO nā kiko o nā honi a me nā insulin, i hoʻohuihui ʻia e like me nā flrtuation glycemic, a hoʻemi ʻia ka like.
Ua kuhikuhi ʻia nō hoʻi ʻo Acarbose no ke ʻano maʻi maʻi mua, no ka mea, ʻo kona hoʻohana ʻana e hoʻemi i ka nui o nā mea i hoʻohui ʻia e ka hapalua.
E kōkua ka lāʻau lapaʻau e hoʻolaʻa i ka glycemia, akā pono ke hoʻoponopono ʻia i ka papaʻaʻai, no ka mea, ʻoi ke kīleʻaleʻa a me ka hōʻemi ma mua o ka nui.
ʻOiai i nā hihia koʻikoʻi, me ka decompensated diabetes, i ka wā e hoʻopiʻi ai ka insulin i ke kō, ma hope o hoʻokahi papa o ka hoʻōla ʻana o acarbose, ua ʻike ʻia nā maʻi maʻi i ka hōʻemi o ka glucosuria (ke ʻano o ka glucose i ka pā.
Hoʻonui ia i ka lāʻau lapaʻau a me ka hoʻohaʻahaʻa glucose, akā ʻaʻole ia he 100% ka hoʻololi no nā lāʻau lapaʻau maʻamau no ka mālamaʻana i ka maʻi maʻi. Ua hoʻohālikelike ʻia he lāʻau lapaʻau hou aku i ka hui pū ʻana. No ka hoʻohālikelike, e hoʻonui ka acarbose i ka hopena o ka sulfonylurea.
Hōʻike ʻia ka lāʻau lapaʻau no nā mea maʻi allergy e hiki ʻole ke ʻae i ka insulin.
He mea koʻikoʻi ia o kēia ʻano o ka inhibitor ʻaʻohe carcinogenic, embryotoxic a me mutagenic hiki.
Nūlā ka lāʻau i ka hana ʻana o ka huina, nā pale a me nā enzyme e kōkua ai i ka hoʻokumu ʻana i nā ʻano mea 13. Hoʻokuʻu ʻia ka acarbose like ʻole ma o nā wahi wai i 96 mau hola.
ʻO ia ka mea e hōʻike ʻia ai ka acarbose a hoʻohālike
Hoʻomaʻamaʻa ʻia kekahi mea pale no:
- ʻAno diabetes type 2;
- ʻO nā pilikia kāpena kāmoli;
- ʻO nā maʻi ma ka metabola;
- Kauka maʻi maʻi;
- Piʻi;
- ʻAno o ka hoʻohaʻahaʻa glucose;
- Haki ʻole i ka wikiwiki o ka glycemia;
- Lactate a me ka maʻi maʻi maʻa;
- ʻAno maʻi type 1.
Hoʻohana ʻia ka hoʻohana ʻana o ka acarbose i:
- Cirrhosis o ka ate;
- Ketoacidosis;
- Hoʻopilikia a me nā ʻōpū o ka gastrointestinal tract;
- ʻŌpala ulcerative;
- Halino kikino;
- Na ka maʻi phropula;
- ʻLelo, lactation;
- Nā makahiki o nā keiki.
Me ka mālama aka, ua kuhikuhi ʻia nā acarbose a me nā mea waiwai ma hope o nā hōʻeha, i ka wā o nā maʻi lēʻeha, ʻoiai ua mau nāwaliwali ua nui ʻole ka ikaika e ola. Me ka hemahema o ka glucose a i ʻole ke hoʻopaʻa ʻia ʻana, hiki i ka hypoglycemia a i ʻole acetonemic syndrome.
Hiki i nā hopena ʻaoʻao:
- ʻO nā ʻōpū o ke mele o nā neʻe i loko o ke alo;
- Nā maʻi Dyspeptic;
- Hoʻonui nā kiko o nā transaminases;
- Hoʻemi i ka hematocrit;
- ʻO ka hōʻemiʻana i nā kiko o nā huaora a me ka calcium ma ke kahe wai;
- Ka mea huehue, ʻuhumu, ʻike ʻia.
ʻO ka maʻi Stool, ʻeha o ka ʻōpū, a me nā pilikia ʻē aʻe o ka ʻōpū a me nā ʻōpū e hiki mai ana ma muli o ka hiki ʻana i kahi haʻalulu i loko o ka hōʻemi ʻana o nā hāmeʻe, e kōkua ana kekahi o lākou i hōʻiliʻili i ka pāpaʻi ʻana a ua lōʻihi loa ma mua o ka komo ʻana i ka ʻōpū nui. ʻO nā hōʻiliʻili maikaʻi e hoʻonāukiuki i ka ulu ʻana o nā bako e hoʻoiho ai i ka fermentation, flatulence, a me nā maʻi ʻē aʻe o ka dyspeptic
Hoʻomaʻamaʻa ka hopena like me ka hana o ka champagne, i ka wā e kālai ʻia ana ka pakanā kinipona kōpine, me ka waiho ʻana i nā hopena o ko lākou ola me ke ʻano o ka nohona. Malia paha, no ka noʻonoʻo ʻana i kēia kiʻi, nui ka poʻe i haʻalele i ka waiʻona.
ʻO ka ʻino o nā ʻāpana i hiki ke hoʻohālikelike ʻia e ka metronidazole, kahi i kau ai ke kauka ma kahi e like me ka acarbose. ʻO ka carbon dioxide a me nā sorbents e hōʻoluʻolu ana i ka microflora palupalu i like ka like.
Hoʻemi i ka hoʻohanaʻana o ka hoʻokele māmā o ka acarbose:
- Diuretics;
- ʻO nā huahelu Corticoster;
- Estrogen;
- ʻO nā lāʻau maʻi Honeone no ka nui o ka glandula.
- Nā ʻōlelo hoʻonaninani;
- Nā antagonist calcium;
- Phenothiazines a me nā lāʻau lapaʻau ʻē aʻe.
Acarbose - nā ʻōlelo aʻoaʻo no ka hoʻohana
E like me nā kuhikuhi, ua hoʻoholo ʻia ke ʻano e like me ke kaumaha o ka mea maʻi. Inā, no ka laʻana, he maʻi pākē pākē he paona kino he 60 kg, he nui ka nui o 25-50 mg iā ia, me kahi hōʻōpuni nui, 100 mg 3 r. Pono e hoʻonui ʻia ka nui o ka mea paʻa, i hiki ai i ke kino ke hoʻohālikelike, a hiki ke ʻano ke ʻano i nā hopena ʻino i ka manawa.
Lawe ʻia ka lāʻau lapaʻau ma mua o nā meaʻai a i ka manawa like. Ua holoi ʻia me kahi wai ʻole, inā ʻaʻole palupalu ka ʻaile, ʻaʻole hiki ke lawe ʻia ka acarbose.
Inā hōʻino maikaʻi ke kino i ka lāʻau i koho ʻia, hiki ke hoʻonui ʻia ia i 600 mg / lā. a ʻoi aku hoʻi ke kiʻekiʻe inā hiki i ke olakino ke ʻae.
Nā hōʻike hōʻikeʻike
ʻO ka analogue kaulana loa no ka acarbose ʻo Glucobay. Hoʻopuka ʻia ka huakaʻi Hypoglycemic i Kelemania. E hoʻokuʻu i nā puka - nā paona e kaupaona ana ma 50-100 mg, kēlā me kēia paona mai 30 a 100 mau ʻāpana.
Ma kahi o ka lāʻau lapaʻau mua ma Kina a me ʻEulopa, hiki iā ʻoe ke kūʻai aku i ka generic me ka inoa inoa ʻo Glucobay, ma USA a me ʻEnelani - Precose, ma Kanada - Prandase. No nā maʻi maʻi me ka papa ʻaina oriental, ʻoi aku ka maikaʻi o ka lāʻau lapaʻau, a kaulana loa ia i Kina, ma USA - ma kahi ʻē aʻe, ua palena ʻia kona hoʻohana ma muli o ka maʻi ʻaʻai a me ka lemulewa.
Nā ʻike e pili ana i ka acarbose
E pili ana i ka lāʻau lapaʻau me ka acarbose Glucobay, loiloi nā loiloi o ka pohō kaumaha. ʻAʻole noʻonoʻo ʻia ka lāʻau lapaʻau no ka mea kaumaha, ua kuhikuhi ʻia no nā maʻi maʻi maʻi, pinepine o nā ʻano II.
Ma muli o nā mea he nui o mākou e loaʻa ai ka ikehu mai ka lolo, he mea lapaʻau maoli kōkua i ka maʻi maʻi a me ka poʻe e nalowale i ke kaumaha e mālama i kahi papaʻai a ʻaʻole loaʻa nā hopena kino e like me nā analogues, no ka mea hiki ke lawe ʻia i mua o kahi ʻāpana o kahi keke a i ʻole ke hoʻowalewale hoʻohelehe.