I ka mālamaʻana i ka maʻi maʻi, nui ka koho pono o nā lāʻau lapaʻau. Ua kuhikuhi ʻia lākou e nā kauka, akā ʻaʻole e pale ʻia nā mea maʻi mai ka ʻike ʻana i nā ʻano o kekahi lāʻau lapaʻau. ʻO kekahi o nā lāʻau lapaʻau i ʻōlelo ʻia i loko o ka radar a hoʻohana i ka hoʻokele ʻana i nā pae glucose i loaʻa ʻo Jardins.
ʻO ka ʻike nui, ka hoʻonohonoho ʻana a me ke ʻano o ka hoʻokuʻu
Hana ʻia kēia lāʻau lapaʻau i Kelemānia. ʻO kahi pā kūloko i hōʻike ʻia e ka hopena hypoglycemic. Pono e hoʻohana wale ʻia ma ka ʻōlelo kauoha a ke kauka hele mai, ʻoiai i kekahi ʻano ʻē aʻe, hiki ke hōʻeha ʻia ka maikaʻi o ka maikaʻi.
I kēia hihia, pono ʻoe e nānā pono ai i nā loli i ke aupuni, e ʻike ana i ka loaʻa ʻana o nā hopena kūpono ʻole. ʻO ka hoʻohana kūpono me ka hoʻokō pono ʻana i nā loiloi e kōkua i ka hōʻemi ʻana i ka nui o ke kō i loko o ke koko a loaʻa mau dinamics maikaʻi.
Hāʻawi ʻia ka mea hana i nā papa o ʻelua ʻano ʻano, ʻokoʻa i ka nui o ka mea ikaika. ʻO kēia waiwai he empagliflozin. Hoʻohanaʻia kahi lāʻau lapaʻau me 10 a 25 paha mg o kēia māhele i loko.
ʻO kēlā me kēia papa pākuʻi heval o ka pālani kiʻi. Hoʻohui ʻia kahi kiko palapala (ma ka lima hoʻokahi kahi hōʻailona o ka mea hana, ma kēlā me kēia - ʻo ka makeʻe o ka papa hana).
Ma kahi o Empagliflozin, ua loaʻa iā Jardins nā meaʻokoʻa'ē aʻe:
- mikulamulamina selulose;
- lactose monohala;
- paʻakai magnesium;
- colloidal silicon dioxide;
- huki maʻi;
- talc;
- titanium dioxide;
- kāliʻolā.
Hoʻololi ʻia ka huahana i nā ʻaka pepa, kahi i waiho ai nā poli me nā papa (10 pcs.). ʻO ka pahu i ka manawa 1 a i ʻole he bl 14 paha.
Hoʻomoana i ka hana a me ka pharmacokinetics
ʻO Empagliflozin kahi type 2 glucose transporter inhibitor. Hāʻawi kona hopena i ka hoʻohana ʻana i ka nui o ke kō i ke kō. Mahalo i kēia mea, ke hoʻoneʻe nei i ka huehue o ka glucose e nā keiki.
Hoʻohana ʻia ka hana o ka hoʻopiʻi glucose e nā ʻōpū e ka pae o kona waihona i ka koko a me ka pae o ka kānana glomerular. ʻOiai ke lawe nei i ka lāʻau i ka maʻi maʻi maʻi, e hoʻomaʻamaʻa nui ke kaʻina o ka hoʻokaʻa i ke kō me ka urine, e hōʻoia ai i ka hoʻemi ʻana o kona nui
ʻO kekahi hiʻohiʻona o Jardins kona hopena maikaʻi i ka hana o nā hana beta a me ka hoʻōla ʻana o nā kaʻina puhi kuni. Hāʻawi kēia i ke kaumaha kaumaha, he mea pono no nā poʻe maʻi e loaʻa ana i ka momona.
ʻO ka hoʻopili ʻana o Empagliflozin e wikiwiki koke nei, e lawe ʻia ana i loko o nā paia o ka pā o ka gastrointestinal. Ua hiki i ka waiwai ke koʻo o kona kiʻekiʻe 1.5 mau hola ma hope o ka lawe ʻana i ka paila. Eia kekahi, ʻoi aku ka nui o kona kuhi ʻana i ka plasma me ka piʻi o ka wili, ʻoiai ke kaʻi nei o kona laha. Lohi nā Metabolism.
Hoʻopau nui ka hopena sistemika o ka lāʻau i ka nui o ka nui. ʻO ka lawe ʻana me nā meaʻai momona nā hoʻohaʻahaʻa iki i kona pono. Akā he liʻiliʻi ʻole kēia mau loli, no laila hiki ke inu i ka lāʻau lapaʻau ma mua a ma hope o ka ʻai ʻana.
Hoʻokū ʻia ʻo Empagliflozin i nā paʻa paʻa me nā ʻōnaehana koko, hana i ʻekolu mau ʻano o nā metabolites. Akā ʻo kā lākou ʻike i ka hoʻohālikelike ʻana me ka neʻe ʻana o ka hana ikaika hiki ʻole i ka maikaʻi. ʻO ka hoʻoneʻe ʻana o ka lāʻau lapaʻau e kokoke pinepine ana i loli ʻole me nā feces a me nā urine.
Nā hōʻailona a me nā contraindications
ʻO ka hana nui o ka lāʻau lapaʻau ka mea e noʻonoʻo i ka mālama ʻana o ke kaʻe koko i ka maʻi diabetes.
Ua kuhikuhi ʻia no ke ʻano maʻi type 2 i nā kūlana like:
- monotherapy (i ka haʻalele ʻana o nā hualoaʻa mai ka meaʻai a me ka intolerance i nā lāʻau lapaʻau e pili ana i ka Metformin);
- Hoʻohui hui pū (ʻo ka hui pū ʻana o kēia lāʻau lapaʻau me ka poʻe ʻē aʻe, me ka insulin, inā he maikaʻi ʻole ka meaʻai).
Aia kekahi mau hihia i pāpā ʻia ʻole ia e hoʻohana i ka hāmeʻa:
- maʻi diabetes type 1;
- ka hoʻomohala ʻana o ka ketoacidosis ma ka maʻi maʻi;
- pilikia ʻole;
- lolosa lactose;
- nā kaha lactase;
- lactation a me kahi hāpai;
- makahiki senile (mai 85 makahiki);
- nā makahiki o nā keiki (a hiki i ka 18 mau makahiki);
- ka heleʻana o ka paʻakikī o nā hana.
Hoʻopiliʻia nā contraindications paʻa, aia kekahi mau kūlana i ka wā e ʻae ʻia ai ka hoʻohana ʻana i ka lāʻau, akā i ka neʻe o ka mālama maʻi.
E pili ana kēia:
- maʻi maʻi gastrointestinal, i hele pū me ka makemake e hoʻoheheʻe ʻia;
- huaʻōlelo genitourinary;
- ka pono no kaʻai haʻahaʻa-ʻona;
- ka hopena o ka hypovolemia;
- nā hanaʻino i ka hana o nā pūlima beta o ka pancreas;
- he mōʻaukala o ka maʻi diabetes ketoacidosis;
- maʻi ʻoi aku ka nui o nā makahiki he 75.
I kēia mau mea like ʻole, hiki ke kuhikuhi ʻia ka lāʻau lapaʻau, akā me ka kumu maikaʻi wale nō no kēia.
Nā ʻōkuhi no ka hoʻohana
Manaʻo ʻia ʻo Jardins e lawe ʻia ma ka wai me ka wai. Hoʻohana ʻia kona hoʻohana ʻana ma mua a ma hope o ka ʻai ʻana.
Pono e wehewehe ʻia ka dosage e ke kauka hele mai, akā i ka pau ʻole o nā ʻōkuhi kūikawā, mālama ʻia hoʻokahi papa (10 mg) i kēlā me kēia lā.
Inā ʻaʻole lawe ia i ka papa ʻaina no ka hoʻohana ʻana i ka lāʻau lapaʻau i ka hopena i makemake ʻia, e hoʻolele ʻia e hoʻohana i kahi pono kahi e 25 ai ka nui o ka mea hoʻonaninani.
Manaʻo ʻia ʻo ia e inu ʻāpana i hoʻokahi papa i ka lā. ʻO ka lōʻihi loa o ka lāʻau lapaʻau ka 25 mg.
ʻAʻole pono ke lawe ʻia he lawelawe ʻelua no Jardins, ʻoiai inā ʻaʻole i inu pono ka lāʻau lapaʻau ma ka manawa. I kēia hihia, manaʻo ʻia e lawe i ka pōpoki i ka manawa e hoʻomanaʻo ana ka mea maʻi i ka hala i hana ʻia.
ʻO nā maʻi maʻi a me nā Kuhina kūikawā
No kekahi mau poʻe maʻi, pili nā kānāwai kūikawā.
E pili ana kēia:
- ʻO nā wahine i ka wā hāpai a me ka umauma. ʻAʻole ʻike ʻia ka ʻike e pili ana i ka hana ʻo Empagliflozin i kēlā mau maʻi maʻi, no ka mea ʻaʻole i lawe ʻia ka noiʻi ma kēia wahi. ʻO ke kumu kēia i ka pāpā i kā lākou hoʻohana ʻana i ka lāʻau lapaʻau.
- Na keiki a ʻōpio. ʻAʻole ke hoʻokolokolo ʻia ka pono a me nā hopena pōpilikia o kēia lāʻau lapaʻau. No ka palekana o kēlā mau maʻi, ua ʻōlelo ʻia e hoʻohana i nā lāʻau lapaʻau ʻē aʻe.
- Kanakaʻi senile makahiki. Mai ka makahiki o 75, hiki i nā mea maʻi ke loaʻa i ka dehydration i ka wā o ka mālama ʻana me kēia māka. No laila, pono lākou e nānā i nā hana palekana. Ke kuhikuhi paha ke kauka iā Jardins e like me nā mea maʻi, akā pono e kiaʻi pono i ko lākou olakino. I nā makahiki he keu ma mua o 85 mau makahiki, ua contraindicated kēia lāʻau lapaʻau.
Hiki i nā hui maʻi āpau ke hoʻohana i kēia lāʻau lapaʻau i ka he ʻole o nā paʻa ʻē aʻe a kuhikuhi ʻia e kahi loea.
ʻO ka hele ʻana o nā ʻōlelo kikoʻī e pili ana i kēia lāʻau lapaʻau e pili ana i kona hopena ma nā luli. No laila, ke kauka, ma mua o ke kuhikuhi ʻana iā Jardins, pono e ʻike pono ʻole i nā hewa i kēia ʻaha.
Eia nō naʻe, ke hoʻohana nei i ka lāʻau lapaʻau no ka manawa lōʻihi, pono ia e mālama i ka hoʻokō ʻana i nā hana renal ma ka nānā ʻana i ka mea maʻi. I nā kūlana ʻē aʻe (ʻoiai me nā mea hōʻino o ka puʻu), ʻaʻole pono nā loli.
Nā hopena ʻaoʻao a me ka overdose
Ke hoʻohana nei i kēia lāʻau lapaʻau, hiki i nā hopena makemake ʻole i kekahi manawa.
ʻO nā mea nui:
- hypoglycemia;
- kaʻiliʻili;
- hypovolemia;
- nā maʻi urination (wikiwiki a i ʻole ʻole);
- kandidiasis;
- uria;
- vulvovaginitis.
ʻO ke kumumanaʻo o ka hana i ia mau hihia ke hilinaʻi nei i kā lākou hōʻeha. ʻO ka maʻamau, ke hele nei lākou, ua hoʻololi ʻia ʻo Jardins me nā papa ʻē aʻe. Me ka nāwaliwali o nā hopena i makemake ʻole ʻia a i ʻole ka nāwaliwali nāwaliwali, hiki ke hoʻomau i ka hoʻomau.
ʻAʻole ʻike ʻia nā hihia o ka waiho ʻana o nā kauā i nā ʻōkuhi. Me ka nui loa o ka wai a hiki i ka 80 mg, ʻaʻole i kuhi ʻia nā hoʻopiʻi. Inā loaʻa nā ʻōnaehana koʻikoʻi ma muli o ka nui o ka makehe, ʻike ʻia nā hiʻohiʻona o kā lākou haʻalele i nā hōʻailona.
Nā Kūleʻa Kūʻai a me nā Analog
ʻO ka hoʻoponopono kūpono kūpono e hōʻemi i ka hopena o nā hōʻeha me ka hui pū ʻana o Jardins me nā lāʻau lapaʻau ʻē aʻe. ʻAʻole pono e hoʻohui i kēia lāʻau lapaʻau me ka diuretics, no ka mea e kōkua i ka hoʻoikaika i kā lākou hana, e alakaʻi ana i ka dehydration a me ka hoʻohaʻemi haʻahaʻa.
Inā i mau kumu ke hōʻole ʻia i kēia pono hana, hiki ke loli i ka analogue.
ʻO nā mea nui:
- Kaukaila. ʻO ka mea hana ikaika i kēia mau papa ʻo Repaglinide. Hoʻohālike ʻia ka mea hana me ka hopena like a me nā contraindications like, i hoʻohui ʻia ka nui o ka ate. Pono hoʻi e hoʻohui pū me ia i nā lāʻau lapaʻau ʻē aʻe, no ka mea he nui nā palena ʻē aʻe ma luna.
- Novonorm. ^ E Ha yM. Hoʻokumu ʻia ka lāʻau lapaʻau iā Repaglinide. ʻO nā kumuhana pili i kēia hāmeʻa like nā mea e pili ana me Jardins, me kaʻole o nā hana kidney impaired (ma kēia hihia, hiki ke hoʻohana ʻia ma lalo o ka mākaʻi loea kokoke).
- Invokana. ^ E Ha yM. He kūpono ia ka mea hana no ka mālama ʻana i ka maʻi diabetes 2 type. ʻO kāna ʻano hana ʻo Canagliflozin. Hoʻohā like ka lāʻau lapaʻau i kāna hopena iā Jardins, ʻike ʻia i nā contraindications like a me nā hopena ʻaoʻao.
Pono kekahi laʻana o kahi kauka e hoʻohana i kekahi o ia mau mea a me nā lāʻau lapaʻau ʻē aʻe.
Nā Hōʻailona Mea kūʻai
Mai nā loiloi he nui o nā mea maʻi i lawe iā Jardins, hiki iā mākou ke manaʻo e hoʻemi maikaʻi ka lāʻau lapaʻau i ke kō o ke koko a kūpono hoʻi e hoʻohana ʻia, akā, nā hopena ʻaoʻao mai ka pā ʻana a me nā puʻupuʻu i ʻike ʻia, kahi i hoʻololi ʻia ai kekahi mau hoʻololi o nā analogues o ka lāʻau. Kuhi ʻia hoʻi ke kumukūʻai nui o ka lāʻau lapaʻau.
Hoʻomaka au e lawe iā Jardins ma ke kauoha o ka endocrinologist. Ua makemake wau i nā hopena, a laila nalowale ʻo ia mai nā lāʻau lapaʻau, a pono wau e hoʻohana i kekahi lāʻau lapaʻau. I ka hiki ʻana iā ia, hoʻi akula ia e loaʻa iā Jardins, no ka mea hoʻoponopono ʻo ia i ka gula. ʻO ka pilikia wale nō ka kumukūʻai o ka lāʻau lapaʻau.
Igor, 49 mau makahiki
I ka wā mua, ua kūpono kēia lāʻau lapaʻau iaʻu, no ka mea e mālama pono ana ʻo ia ka nui o ke kō. Akā no ia, ua loaʻa iaʻu nā pilikia me ka pahi - pono wau e hele pinepine i ka lua. A laila puka mai ka heʻe i loko o ka ʻōpū. Ua ʻōlelo ke kauka, ʻo ia nā hopena pili. Ua hoʻāʻo wau e hoʻohana i ka maʻi, akā ua koi ʻia au e noi no kekahi lāʻau lapaʻau.
Irina, 36 makahiki
Makemake wau ua loaʻa nā Jardins i nā hewa ʻelua. Ma mua, ua lawa nā papa he 10 mg nona, a laila pono wau e hoʻonui i ka ʻōpū. Ke manaʻo nei wau hiki i ke kauwela ke hiki iaʻu ke hoʻi i kahi koho mālama o mua, no ka mea i ke kauwela ke noho nei au ma ka'āina. Aia ka ea hou, he nui ka hana, nā mea kanu mai ka māla, no laila he maʻalahi ka pale ʻana i ka kō. Pono koʻu lāʻau lapaʻau iaʻu, ʻaʻole kumu hopena a ʻoi aku ka maʻalahi - ʻo ka manawa 1 wale nō i kēlā me kēia lā.
Valentina, 57 makahiki
Nā kumuhana wikiō ma nā kumu o ke ʻano maʻi diabetes type 2:
Ke kumukūʻai o ka lāʻau Jardins i ka nui o nā mea ikaika i nā papa. I kahi maʻi o 10 mg, hiki ke kūʻai ʻia ke lāʻau lapaʻau ma ke kumukūʻai o 2000-2200 rubles. Inā makemake ʻoe i ka lāʻau lapaʻau me kahi ala o 25 mg, a laila e hoʻopau ʻoe i 2100-2600 rubles ma luna. ʻO nā kumu kumukūʻai loa kēia no ka pōpō i loaʻa nā papa 30. I ke kūʻai aku i kahi puana me nā papa he 10, pono ʻoe iā 800-1000 rubles.
ʻO kēia lāʻau lapaʻau, inā lawe ʻia ʻaʻole pono, e hōʻeha i ka mea maʻi. No laila, ʻae ʻia kona ʻae ʻia me ka ʻae o ke kauka. Ke kūʻai wale nei nā lāʻau lapaʻau me kahi laʻana.