ʻO Maninil kahi papa lāʻau papa i hoʻohana ʻia ma ka mālama ʻana i ka maʻi maʻi type 2. ʻO ka mea waiwai e glibenclamide. Loaʻa i loko o nā hue o 120 papa no ka hoʻokele waha. ʻO 5 glibenclamide i hoʻokahi papa.
Nā hopena o ka hoʻohana
Hoʻomoe ka Manin i ka nui o ka glucose i loko o ke koko, no ka papa o nā derebatives sulfonylurea.
Maninil no ke maʻi maʻi:
- Hoʻēmi i ka postprandial (ma hope o ka ʻai) hyperglycemia.
- ʻAʻole ia he hopena koʻikoʻi i nā pae hoʻoliʻona wikiwiki.
- Hoʻowalewale i ka hana ʻana o nā p-cell o ka pancreas o kāna iho ponoʻī.
- ʻO ka hapa o ka wīwī insuline.
- Hoʻonui i ka hikiʻole o nā mea nānā aku a me nā ʻenehana kikoʻī e pili ana i ka insulin.
- ʻAʻole ia e pili nui i ka paleʻana i ka insulin.
- Hōʻike i ka wāwahi o ka glycogen a me ke kō o ka glucose i loko o ka ate.
- Loaʻa ia he hopena antiarrhythmic, e hōʻemi i ka hoʻokumuʻana o nā māka koko.
- Hoʻemi ʻia ka hopena o ka hoʻomohala ʻana i nā hoʻopiʻi hou o ka maʻi maʻi: angiopathy (vascular lesion); cardiopathy (maʻi maʻi); nephropathy (hanana renal pathology); retinopathy (ke ʻano o ka retina).
ʻO ka hopena ma hope o ka lawe ʻana i mannyl he mau no nā hola 12.
Pono kahi o ka maʻi diabetes me ka hoʻopili ʻana ʻaʻole wale nō i nā lāʻau lapaʻau, akā o ka meaʻai
Nā Hōʻike
Noi ʻia ʻo Maninil no ke koho ʻana i ka maʻi mellitus type 2 like ʻole (me ke ʻano ole-insulin-like ʻole) me kahi hopena maikaʻi ʻole mai nā lāʻau lapaʻau ʻole (dietary, hana kino pilikino).
Nā Hoʻohui
ʻAʻole hoʻohana ʻia ka lāʻau lapaʻau no ka maʻi type o ka maʻi type (insulin-dependant), e hoʻohiolo ana i nā pae i ke koko glucose ma lalo o nā helu maʻamau, ke ʻano o nā deretore a acetone i loko o ka urine, koko, a i ʻole me ka hoʻomohala ʻana i ka coma maʻi maʻi. ʻAʻole pono ʻia e Maninil i ka wā o ka gestation a me ka lactation. Penei nō pū kekahi i nā maʻi me nā decompensated i hoʻopiha ʻia o nā aʻa a me nā maʻi o ke ake, me ka hoʻomanawanui ʻana o ka poʻe i ka lāʻau.
ʻLoe a me ke kākele
Hoʻomoe ʻia ka nui o ka lāʻau a me ka lōʻihi o ka lapaʻau e ka endocrinologist ma muli o ke pae o ka uku no ka maʻi. I ke kānāwai, lawe ʻia nā papa i 2 mau manawa i ka lā, hapalua hola ma mua o ka papaʻaina. I ka wā o ka papa hana, e hoʻoponopono ʻia ke kaona o ka lāʻau a hiki i ka hopena hopena i makemake ʻia. ʻO ka palena liʻiliʻi o ka lāʻau lapaʻau ka ʻona he 0.5 papa ʻaina, ʻo ka nui loa ka ʻawaʻawa i kēlā me kēia lā he 3-4 papa.
He kūpono kūpono ʻo Maninil, e hiki ai iā ʻoe ke koho i kahi lāʻau lapaʻau lāʻau pilikino no kēlā me kēia maʻi
Nā hopena hopena
Hiki ke hopena ʻia nā hopena pili i ka wā o ka mālama ʻana me ka maninil:
- hypoglycemia;
- ʻo ka waiwai kaumaha;
- nā pulu ʻili;
- huu
- pilikia kūwaho;
- ʻāwili eha
- nā pili pili koko;
- hyponatremia (kahi hōʻemi i ka pae o ka sodium i loko o ke koko);
- hepatotoxicity;
- ke ʻano o ka protein i ka urine.
Me ka ʻoi loa o nā hopena ʻaoʻao, ua hōʻole ʻia ka lāʻau lapaʻau a ua kuhikuhi ʻia kahi lāʻau hou.
Nā ʻōlelo kikoʻī
Hoʻohana me ka akahele ʻana i ka wā e lawe ai i ka clonidine, b-blockers, guanethidine, reserpine no ka paʻakikī o ka ʻike ʻana i nā hōʻailona o ka hypoglycemia. I ka wā o ka mālama ʻana me ka mannil, ka mea ʻai a me ka nānā ʻana i ke kō koko koko pono.
Pono e mālama ʻo Maninil i kahi wahi pouli.
Ma keʻano holoʻokoʻa, ua hana maikaʻi ka lāʻau lapaʻau ma ka monotherapy o type 2 diabetes mellitus, a me ka hui pū me nā lāʻau lapaʻau e hoʻokaʻawale aʻe.
