Ib qho ntawm cov kab mob endocrine feem ntau yog ntshav qab zib mellitus. Feem ntau cov neeg mob nrog qhov kev kuaj mob no raug kev txom nyem los ntawm hom thib ob ntawm tus kab mob no. Tus kab mob yuav tsum tau kho thiab siv tshuaj tas li. Gliclazide tuaj yeem txhawb kev tsim cov tshuaj insulin hauv lub cev. Analogues ntawm tus neeg sawv cev tej zaum yuav muaj ib tug zoo xws li mechanism ntawm kev kho mob los yog ib tug zoo tib yam muaj pes tsawg leeg. Tus kws kho mob uas tuaj koom yuav tsum xaiv qhov hloov pauv rau cov tshuaj qub.
Kev piav qhia ntawm cov tshuaj "Gliclazide"
Tshuaj "Glikliazid" yog hais txog cov txiaj ntsig ntawm sulfonylurea (tiam thib ob) thiab muaj cov nyhuv hypoglycemic. Cov tshuaj tuaj yeem siv rau hauv kev kho mob ntshav qab zib tsis-insulin-dependent. Lub hom phiaj tseem ceeb ntawm kev kho nrog Glikliazid yog txo qis cov ntshav qabzib. Nws kuj normalizes carbohydrate thiab lipid metabolism. Hauv lub tsev muag tshuaj, koj tuaj yeem yuav tshuaj raws li lub npe "Gliklazide-Akos", "Glidiab-MV".
Cov tshuaj nquag ntawm tib lub npe muaj txiaj ntsig zoo rau lub xeev ntawm cov hlab ntsha, kho lawv cov permeability thiab tiv thaiv kev loj hlob ntawm atherosclerosis. Kev siv mus ntevCov tshuaj rau ntshav qab zib nephropathy muab qhov txo qis hauv proteinuria (muaj protein ntau hauv cov zis). Tawm tsam keeb kwm yav dhau los ntawm kev kho mob nrog tshuaj, qhov kev pheej hmoo ntawm kev tsim parietal thrombosis tau txo qis.
Qhov siab tshaj plaws ntawm cov tshuaj tseem ceeb hauv cov ntshav yog kho 6-12 teev tom qab noj cov ntsiav tshuaj Gliclazide. Analogues ntawm cov tshuaj kuj tau ua pov thawj lawv tus kheej zoo, tab sis tus kws kho mob yuav tsum xaiv lawv ntawm tus kheej. Raws li ib feem ntawm cov tshuaj thawj, cov khoom xyaw nquag yog gliclazide nrog kev hloov kho.
Kev taw qhia rau kev teem caij
Raws li cov lus piav qhia, "Gliclazide" tau muab rau cov neeg uas muaj keeb kwm ntawm hom 2 mob ntshav qab zib (mob ntshav qab zib). Pathology txawv ntawm thawj hom, nyob rau hauv rooj plaub thib ob, kev ywj pheej ntawm cov tshuaj insulin los ntawm lub cev nres kiag li. Qhov laj thawj tseem ceeb ntawm txoj kev loj hlob ntawm tus kab mob yog kev laus ntawm kev laus. Txawm li cas los xij, kev rog dhau thiab noj ntau carbohydrates kuj tuaj yeem ua rau mob ntshav qab zib.
ntsiav tshuaj "Gliclazide" cov lus qhia pom zoo siv los ua ib feem ntawm txoj kev kho mob rau cov kab mob microcirculation. Raws li kev tiv thaiv kev ntsuas, cov tshuaj tau raug sau tseg los tiv thaiv kev loj hlob ntawm qhov tshwm sim ntawm ntshav qab zib: mob stroke, plawv nres, nephropathy, retinopathy.
YContraindications
Nws yog txwv tsis pub noj "Gliclazide" (nrog rau cov tshuaj analogues) nyob rau hauv lub xub ntiag ntawm cov kab mob hauv qab no:
- plab hnyuv;
- leucopia;
- mob raum, mob siab tsis txaus;
- mob ntshav qab zib mellitus (hom 1);
- kis kab mob uas muaj kev ua txhaum ntawm kev nqus zaub mov;
- paresis;
- lactation;
- qis dua 18;
- kab mob pathological uas yuav tsum tau siv cov tshuaj insulin;
- xeeb tub.
Ketoacidosis;
YYuav ua li cas noj Gliclazide?
Cov koob tshuaj ntawm tus neeg sawv cev hypoglycemic raug xaiv los ntawm tus kws tshaj lij ntawm tus kheej. Qhov koob tshuaj txhua hnub tuaj yeem sib txawv li ntawm 30-120 mg ntawm cov tshuaj nquag, nyob ntawm qhov hnyav ntawm tus neeg mob thiab nws hnub nyoog. Noj cov ntsiav tshuaj ib hnub ua ntej noj mov (zoo dua ntawm lub plab khoob).
Yog tias koj tsis noj tshuaj, nws tsis pom zoo kom nce koob tshuaj. Qee zaum, qhov ntau npaum li cas tuaj yeem ncav cuag 320 mg.
Cov yam ntxwv ntawm kev siv tshuaj "Gliclazide"
Analogues ntawm tus neeg sawv cev hypoglycemic, zoo li cov tshuaj thawj zaug nws tus kheej, tsuas yog siv nrog kev noj zaub mov tsawg, uas suav nrog kev siv tsawg kawg nkaus ntawm carbohydrates. Nws yog ib qho tseem ceeb los tswj cov qib ntawm cov piam thaj hauv cov ntshav ua ntej thiab tom qab noj mov. Kho cov tshuaj ntau npaum li cas tom qab kev ntxhov siab lossis kev tawm dag zog lub cev.
Cov tshuaj tuaj yeem raug tshem tawm ua npaws los ntawm kev kub hnyiab, kev phais mob. Nrog rau kev siv tib lub sijhawm ntawm "Gliclazide" thiab cov tshuaj muaj ethanol, cov tshuaj uas tsis yog-steroidal anti-inflammatory, muaj kev pheej hmoo ntawm kev tsim cov tshuaj hypoglycemia. Ethanol tuaj yeem ua rau mob plab, ntuav, qaug dab pegxeev siab.
Analogues
Sulfonylurea tshuaj yog suav tias yog qhov tseem ceeb hauv kev kho mob ntshav qab zib. Lawv qhov tsis zoo tseem ceeb suav nrog kev txhim kho kev tiv thaiv. Ib qho xwm txheej zoo sib xws tau pom hauv 5% ntawm cov neeg mob uas tau hloov mus rau kev kho tshuaj insulin.
Gliclazide, tus nqi ntawm qhov nruab nrab ntawm 130-160 rubles rau ib pob (30 ntsiav tshuaj), tuaj yeem hloov nrog cov tshuaj uas muaj cov tshuaj zoo sib xws. Raws li gliclazide, cov tshuaj nrog kev hloov kho kuj raug tsim tawm. Cov analogues hauv qab no ntawm thawj cov tshuaj suav hais tias muaj txiaj ntsig:
- Glidiab.
- "Diabeton MV".
- YVero-Gliclazide.
- Diatics.
- "Diabetalong".
- "Diabinax".
- Glidiab MV.
- Diabefarm.
Kev npaj raws li gliclazide muaj txiaj ntsig zoo ntawm microcirculation, hematological tsis, thiab hemostasis. Qhov no tseem ceeb heev rau cov neeg mob ntshav qab zib hom 2. Tus kws kho mob tuaj koom yuav tsum xaiv cov tshuaj los txhawb kev tsim cov tshuaj insulin. Nws yuav tsum raug coj mus rau hauv tus account tias qhov kev kho mob zoo li no ua rau muaj kev nce hauv lub cev hnyav.
Diabepharm: cov lus qhia rau kev siv
Tus neeg sawv cev hypoglycemic muaj nyob rau hauv daim ntawv ntsiav tshuaj. Ib ntsiav tshuaj muaj 80 mg ntawm cov khoom tseem ceeb gliclazide. Mis qab zib, magnesium stearate, povidone yog siv los ua cov khoom pab. Chaw tsim tshuaj paus - ib lub tuam txhab Lavxias teb sab kws - tsim cov tshuaj DiabefarmMB nrog hloov kho tso tawm. Hauv cov ntsiav tshuaj no, qhov ntau npaum li cas ntawm cov tshuaj nquag raug txo mus rau 30 mg. Kev tso tawm tshwm sim hauv 24 teev.
Cov koob tshuaj yog xaiv tus kheej. Tus kws kho mob coj mus rau hauv tus account theem ntawm cov piam thaj hauv cov ntshav cov ntshav, lub hnub nyoog ntawm tus neeg mob thiab cov tsos mob ntawm tus kab mob. Thawj koob tshuaj txhua hnub yuav tsum tsis pub tshaj 80 mg. Yav tom ntej, nws tau nce mus rau 160-320 mg ntawm gliclazide.
"Diabefarm" cov lus qhia rau kev siv pom zoo kom muab tshuaj rau cov neeg laus uas noj zaub mov noj thiab kev ua si lub cev tsis zoo. Cov ntsiav tshuaj hloov kho (MR) yuav tsum tau noj ib hnub ib zaug. Tus kws kho mob tuaj yeem nce qhov koob tshuaj tom qab kuaj ntshav qab zib.
Kev mob tshwm sim thiab kev noj tshuaj ntau dhau
Cov kws kho mob tshwj xeeb nco ntsoov tias cov kev mob tshwm sim thaum noj tshuaj feem ntau tshwm sim thaum noj thiab cov lus pom zoo rau kev kho mob nyuaj tsis ua raws. Hypoglycemia - ib qho ntawm cov kev mob tshwm sim feem ntau - yog nrog los ntawm cov tsos mob xws li qab los noj mov, arrhythmia, plawv palpitations, qaug zog, tsaug zog.
Rau ib feem ntawm txoj hnyuv, cov kab mob hauv qab no tuaj yeem tshwm sim:
- cem quav;
- ntua;
- nausea;
- kab mob siab;
- mob plab;
- holistic jaundice.
Nyob tsis tshua muaj, kev tsis haum tshuaj tshwm sim nyob rau hauv daim ntawv ntawm khaus, urticaria, liab ntawm daim tawv nqaij. Qee cov cim qhia txog kev phiv ntawm cov tshuaj yuav tsum tau tshem tawm.
Kev noj ntau dhau feem ntau ua rau muaj kev txhim kho ntawm hypoglycemia, hypoglycemic coma, tsis nco qab. Nws yog ib qho ua tau los kho qhov concentration ntawm qabzib nrog kev pab los ntawm kev tso dej ntawm cov tshuaj dextrose (yog tias tus neeg mob tsis nco qab). Yog tias muaj cov tsos mob pom tseeb ntawm hypoglycemia, tab sis tus neeg mob tseem nco qab, nws yuav tsum noj cov suab thaj me me.
Glidiab
Lwm tus neeg sawv cev hypoglycemic nrog cov txiaj ntsig kho tau hais tawm yog Glidiab. Cov lus qhia rau kev siv hais tias ib ntsiav tshuaj muaj 80 mg ntawm cov khoom xyaw nquag gliclazide. Ib pob muaj 60 ntsiav tshuaj. Tus nqi ntawm cov tshuaj yog 110-140 rubles. "Glidiab MV", tus nqi yog 140-170 rubles, yog muab rau cov neeg mob ntau zaus.
Kev ua ntawm cov tshuaj yog ua raws li kev ua haujlwm ntawm cov hlwb hauv cov txiav ua haujlwm tsim cov tshuaj insulin. "Glidiab" muaj peev xwm rov qab los thawj lub ncov ntawm insulin secretion, uas txawv ntawm qee yam tshuaj los ntawm pab pawg sulfonylurea derivatives.
Tom qab 4 teev tom qab noj cov tshuaj, qhov siab tshaj plaws ntawm gliclazide hauv cov ntshav tau pom. Cov tshuaj no absorbed nyob rau hauv lub plab zom mov yuav luag tag.
Kev sib tham nrog lwm cov tshuaj
"Glidiab" cov lus qhia rau kev siv pom zoo kom ceev faj nrog kev kho ib txhij nrog glucocorticoids, calcium antagonists, barbiturates, lithium ntsev. Qhov no yuav ua rau txo qis hauv kev kho mob ntawm hypoglycemicnyiaj.
Kev nce hauv cov haujlwm ntawm cov tshuaj nquag yuav raug pom nyob rau hauv cov ntaub ntawv ntawm kev sib xyaw ntawm "Glidiab" nrog cov tshuaj tiv thaiv kab mob hauv qhov ncauj, fibrates, indirect anticoagulants, lwm yam tshuaj hypoglycemic, anabolic steroids. Ua ntej pib kho, tus kws kho mob yuav tsum qhia tus neeg mob txog qhov tshwj xeeb ntawm kev noj tshuaj.
Diabeton MV
txhais tau tias "Diabeton" nrog kev hloov pauv ntawm cov tshuaj nquag muaj nyob hauv pawg sulfonylurea derivatives ntawm tiam 2. Ib qho tshwj xeeb yog qhov muaj lub nplhaib heterocyclic N-muaj cov nplhaib, uas muaj cov ntawv cog lus endocyclic. Cov kws tshaj lij tau sau tseg tias thaum noj tshuaj rau 2 xyoos, kev tiv thaiv tsis tshwm sim.
Cov khoom no yog npaj tshwj xeeb rau kev kho mob ntawm cov neeg laus, zoo li cov tshuaj qub "Gliclazide". Tus nqi ntawm cov tshuaj Fabkis yog 320-370 rubles ib pob (30 daim).
Qhov siab tshaj plaws ntawm gliclazide hauv cov ntshav tau pom 6-12 teev tom qab noj tshuaj. Qhov no tso cai rau koj txo tus naj npawb ntawm cov tshuaj hauv ib hnub. Cov kws kho mob feem ntau pom zoo kom noj 1-2 ntsiav tshuaj ib hnub. Cov kws kho mob tshwj xeeb thiab cov neeg mob tsuas yog tawm tswv yim zoo txog kev kho mob nrog cov tshuaj no.
Cov neeg mob yuav tsum paub tias cov tshuaj muaj lactose. Yog li ntawd, nws tsis pom zoo kom coj nws nrog congenital intolerance rau cov tshuaj no los yog galactosemia.
Raws li kev tshuaj xyuas, "Diabeton MV" yog suav tias yog ib qho ntawm feem ntauzoo txhais tau tias los ntawm qeb ntawm sulfonylurea derivatives. Ib qho txiaj ntsig tseem ceeb yog qhov tshwm sim tsis tshua muaj tshwm sim thaum noj tshuaj. Tsuas yog tus kws kho mob tshwj xeeb tuaj yeem txiav txim siab npaum li cas thiab kev kho mob. Tus neeg mob yuav tsum tau kuaj thawj zaug. Nws yog qhov tsis xav tau noj tshuaj kom txo qis cov piam thaj ntawm koj tus kheej.
