Nā ʻōkuhi no ka hoʻohana "Trazhenty", hoʻonohonoho, analogues, kumukūʻai a me nā loiloi o nā maʻi maʻi
Hāʻawi ʻia ka lāʻau lapaʻau no ka hoʻohana ʻana ma nā pākeke me ke ʻano ke ʻano maʻi type 2.
Hāʻawi ʻia ka Monotherapy me ka lāʻau lapaʻau i ka hihia ke ʻae ʻia ka hoʻōla ʻana o ka hana pilikino a me ka nānā ʻana i ka meaʻai haʻahaʻa-kāʻai i ʻae ʻole i ka hoʻoponopono ʻana i ka pōʻai ʻai koko. Hiki ke lawe i kēia mau papa me ka intolerance i kekahi ʻano mea e like me ka metformin a i ʻole ka hele ʻana o nā contraindications i kāna hoʻokomo.
Hoʻohui maikaʻi ʻia (inā he maikaʻi ʻole ka mālama ʻana a me ka hoʻoikaika kino):
- E hui pū me nā metformin,
- Me ka sulfonylurea a me ka metformin
- Me ka insulin a me ka metformin.
Nā hoʻonohonoho hoʻonohonoho a hoʻokuʻu i nā palapala
Ma nā papa inoa Trazent, aia wale nō ka māhele ikaika e hōʻike ʻia ana e linagliptin, ʻo kāna mau huina nui i ka lāʻau lapaʻau ka 5 mg. Aia kekahi mau māhele:
- ʻ stlelo ʻehala
- Mannitol
- ʻO ka lāʻau ʻo Magnesium
- Ka uhi ʻana i ke kukui Opadry.
Nā papa pākuʻi 5 mg o kahi ʻulaʻulaʻula a me nā kihi beveled, ma ka ʻaoʻao hoʻokahi kahi hōʻailona "D5". Hāʻawi ʻia nā pōpoki i kahi māla bluster o 7 mau pcs. Aia i loko o ka pā he 5 mau māmoli.
Hoʻomaopopo i nā waiwai
ʻO ka mea ikaikaʻo Trazhenty kekahi o nā mea pale o ka enzyme dipeptidyl peptidase-4. Ma lalo o ka hopena o kēia mau mea, ʻike ʻia ka luku ʻia o nā hormones infletin, ka mea iā HIP, a me GLP-1 (hāʻawi lākou i ka hoʻoponopono i ke kiʻekiʻe o ke kō).
Hoʻonui pinepine ʻia ka ulu ʻana o nā homoni ma hope o ka ʻaina. Inā ma loko o ke koko he pae maʻamau o ka glucose a i ʻole ka hoʻonui iki ʻia, a laila ma lalo o ka mana o HIP a me GLP-1, ʻike ʻia ka wikiwiki o ka synthesis o ka insulin, ʻoi aku ka maikaʻi i ka huna ʻia e ka pancreas. Eia kekahi, pale ka GLP-1 i ke kaʻina hana o ka hōʻiliʻili o ka glucose i loko o ka ate.
Nā huahana o ka lāʻau Tredent a me ka lāʻau lapaʻau iho e hoʻonui i ke kiʻekiʻe o ka incretins, ma lalo o ka mana o nā lāʻau lapaʻau, kā lākou hana ikaika (hoʻonui i ke synthesis o ka insulin) e nānā.
He mea kūpono ia e hāʻawi nā lāʻau lapaʻau i ka hoʻonui ʻana i ka hana o ka insulin e hilinaʻi ana i ka glucose, ʻoiai e hoʻemi ana i ka hana huna o ka glucogan, ma muli o kēia, e hoʻomaʻamaʻa ka nui o ke kō koko koko.
Trazenta: nā ʻōkuhi piha no ka hoʻohana
Kumukūʻai: mai 1610 a 1987 rubles.
Hoʻomaopopo ʻia e hoʻohana i ka 1 pil i hoʻokahi lā i ka lā. Hiki ke hoʻokau Terzety ma kahi o ka ʻina.
Inā ua nalowale kekahi papa o ka lāʻau lapaʻau hypoglycemic, pono pono ʻoe e lawe koke, e like me kāu e hoʻomanaʻo nei no ka pā. He mea kūpono ia e lawe ʻia he ʻelua kinana o nā lāʻau i ka lā i contraindicated.
ʻAʻole i kau ʻia ka hoʻoponopono ʻia ʻana o nā maʻi me nā maʻi āpau o nā ʻōnaehana renalest, me ke kūpaʻa a me nā mea maʻi a me nā mea maʻi kahiko.
Nā Kūlana a me nā Mākaʻi
ʻAʻole pono nā ʻano maʻi hypoglycemic e:
- ʻAno maʻi type 1
- ʻO nā keiki o ke keiki (ʻo ke keiki ma lalo o 18 makahiki mau makahiki)
- ʻO ka naʻau o ke kumu nui a me nā mea hoʻohui'ē aʻe
- Maʻi molaʻi
- Kekoa, GV.
ʻAʻole i kuhikuhi ʻia ʻo Trazent i nā poʻe me nā hōʻailona o ka ketoacidosis, a me kahi mea i loaʻa i ka insulin i hilinaʻi ʻia o ka maʻi maʻi.
No ka mea e hoʻonāukiuki ʻia nā derivatives sulfonylurea i ka hoʻomohala ʻana o ka hypoglycemia, ua kuhikuhi ʻia nā lāʻau lapaʻau me ka mālama nui loa i ka hihia o ka lawelawe ʻana. Inā kūpono, hoʻemi ʻia ka nui o nā lāʻau lapaʻau.
ʻO ka loaʻa ʻana o ka linagliptin ʻaʻole e hoʻonui i ka maʻi mai ka CCC.
I ka hui pū me nā lāʻau lapaʻau hypoglycemic ʻē aʻe, hiki ke kuhikuhi ʻia a i ʻole ʻo ka hopena kino ʻole.
Ke lawe nei i nā pōpoki ma kahi ʻōpū ʻole, ʻike nui ka nui o ka hemoglobin glycosylated a me ka glucose.
Inā lawe ʻia ka lāʻau lapaʻau e nā poʻe maʻi kahiko, he hōʻemi i ka hemoglobin glycated, ʻoiai ua emi ka nui o ke koko wikiwiki.
ʻAʻole pili ka lāʻau hypoglycemic i ka hoʻonuiʻana o ka puʻuwai cardiovascular.
I kekahi mau hihia, i ka wā o ka mea loea me Trazhenta, hiki ke hoʻopaʻa ʻia i ka hoʻomohala ʻana o ka maʻi pancreatitis. I nā hōʻailona mua o ka maʻi, pono ke hoʻopau i ka komo ʻana o nā papa hypoglycemic a kūkākūkā me kahi kauka.
E pale aku i ke ʻano o ka mālama ʻana, ʻaʻole i hoʻoholo ʻia ʻo ka mahanikala, e pili ana i kēia pili ʻana, pono e mālama ʻia ka mālama kūikawā ma ka holo ʻana i nā hana pono, a me nā kaʻa hoʻi.
Nā pili kūleʻa lāʻau
Me ka hoʻohana pū ʻana o ka ritonavir (ka nui o ka 200 mg), kahi piʻi i AUC a me Cmax o linagliptin pono i nānā ʻia i 2 r. a me 3 p. ia wa. ʻAʻole hiki ke kapa ʻia kēlā mau loli, he kumu kūpono ʻole.
Ke lawe nei i rifampicin, hoʻemi ka nui o nā AUC a me Cmax i ka 40-43%, a me ka emi o ka nānā ʻana i ka hana basal a dipeptidyl peptidase-4 pono e nānā ʻia e ka mea e pili ana iā 40%.
ʻO ka hui kūleʻa ʻana me ka digoxin ʻaʻohe hopena koʻikoʻi ma ka pharmacokinetics o ka mea ikaika.
Hiki i ke Linagliptin ke hana i ka kaʻina o ka metabolic, akā i kahi mea liʻiliʻi. Ke lawe nei i nā lāʻau lapaʻau, ka hoʻololi i ka metabolic o ka mea i hele mai me ka komo o ka pūnaehana CYP3A4, pono ʻoe e hoʻoponopono i ke ʻano o ka Trazhenta.
Nā hopena ʻaoʻao a me ka overdose
I ka wā o Trazhenta, hiki ke mālama i ka ulu ʻana o nā hōʻailona ʻaoʻao, ʻo ia ke ʻano o ka ʻano kikoʻī o ke kino. I kekahi mau manawa, ʻaʻole i ʻike ʻia nā hōʻailona maikaʻi ʻole i ka pōpilikia nui, ʻo ka mea e loaʻa ana i kahi ʻano haʻahaʻa.
Hōʻike ʻia nā hōʻike maikaʻi ʻole:
- Hypoglycemia
- Ke hoʻomau nei o ka pancreatitis
- ʻO ka loaʻa kālā
- Peha a me ka ʻeha koʻikoʻi
- ʻO ka hoʻomakaʻana o nā nasopharyngitis
- ʻO nā ʻeha ma ke ʻano o ka urticaria
- Hono.
I ka hopena o nā kūlana i wehewehe ʻia, pono e nīnau aku i ke kauka no ke aʻo ʻana. I nā hanana ʻinoʻino loa, hoʻopau ʻia ka lāʻau lapaʻau, e koi ʻia ka hoʻokipa.
I kekahi mau manawa, ʻōlelo ke kauka e hoʻohuli iā Trazent me nā analogue.
ʻAʻole i kākau ʻia nā hihia o ka overdose.
Ke lawe nei i nā overdoses o Trazhenta, e nānā ʻia kahi kaʻina hana flrointestinal. Pono ia e nānā i ke kō o ke koko a mālama i ka mālama maʻi hōʻailona ma lalo o ka nānā o kekahi loea.
MSD PHARMACEUTICALS, Netherlands
Kūʻai mai 1465 a 1940 mau rubles.
ʻO Jasonvia - kahi lāʻau lapaʻau e pili ana i ka sitagliptin, hōʻike i ka hopena hypoglycemic i haʻi ʻia. Ua kuhikuhi ʻia no ka mālama ʻana o ka maʻi mellitus type 2 (ʻelua monotherapy a me nā lāʻau lapaʻau i hoʻohui ʻia). Loaʻa i nā palapala papa.
NOHO
- Hiki ke kuhikuhi ʻia i nā poʻe me nā maʻi paleka
- E hoʻokele nei ka hoʻokele pill
- Hiki ke lawe ʻia ia e like me nā meaʻai.
ʻĀpuka:
- ʻO ke kumu kūʻai kiʻekiʻe
- ʻAʻole i kuhikuhi ʻia i nā keiki ma lalo o 18 makahiki
- ʻAʻole pono e hoʻohui pū me ka cyclosporine.
ʻO Novartis Pharma, Switzerland
Kūʻai mai 715 a 1998 ka rub.
Lawe ʻia ka lāʻau lapaʻau e mālama i ka maʻi maʻi (hōʻike o ke ʻano hypoglycemic). ʻO ka mahele nui o Galvus - vildagliptin e pili pono ana i ka pancreas a ke hoʻopaʻa nei i ka peptidase-4 o ka enzyme, ma muli o ia ka emi ʻana o ke kō o ke koko a me ka hoʻoweliweli ʻana i ka huna ʻana i ka insulin. Ua kuhikuhi ʻia ka lāʻau lapaʻau no ka maʻi maʻamau o ka 2, ʻo ke ʻano o ka lāʻau lapaʻau ka hoʻonohonoho ʻokoʻa. ʻO ka palapala puka a Galvus i papa.
NOHO
- Hiki ke hoʻohana ʻia me ka metformin
- Ua hoʻomaopopo ʻia
- Loaʻa kiʻekiʻe bioavailability o ka mea hana - 85%.
ʻĀpuka:
- Contraindicated i ka hāʻule ʻole o ka naʻau
- ʻAʻole pono e hui pū me ka waiʻona
- Hoʻohana maikaʻi ka hoʻomaʻemaʻe wale ʻana me ka meaʻai.
ʻO nā huahana Pharmacodynamic a me nā huahana pharmacokinetic
ʻO Linagliptin kahi mea pale i ka hoʻoliʻi o ka huina DPP-4. Mālama ia i ka hoʻohuli ʻana i nā hormones incretins - GLP-1 a me ISU. ʻO ka enzyme DPP-4 ke pepehi wikiwiki nei i kēia mau hormones. Mālama ka incretins i ka pae o ka physiological o ka kaʻe o ka glucose. ʻOi aku ka haʻahaʻa o GLP-1 a me GUI i ka lā, akā hiki ke hoʻonui ma hope o ka ʻai. Hoʻokomo kēia mau huaʻala i ka biosynthesis insulin a me kāna hana ʻana o ka pancreas i nā pae gula a me ka hoʻokiʻekiʻe kiʻekiʻe. Eia kekahi, hoʻowalewale ʻo GLP i nā ʻōnaehana e pale i ka hana o ka glucose ma o ka ate.
Komo ʻo Linagliptin i kahi pilina hou me DPP-4, e hoʻonui ana i ke kiʻekiʻe o ka incretins a mālama iā lākou i kahi lōʻihi.
Nui! "Hoʻokomo ʻo" Trazhenta "i ka huna ʻana i ka insulin a pale i ka hana ʻana o glucagon, e alakaʻi ana i ke kūpaʻa o ke kō i loko o ke kino.
Mai nā mea e hoʻōla ai, a hiki ke hana ʻino
ʻAno maʻi 2:
- ʻoiai ʻo ka monotherapy no nā poʻe maʻi e loaʻa ʻole i ka glycemia control ma muli o ke kīpē ʻana o ka papaʻai a me ka hana kino, a me ka ʻole hoʻi i ke ahonui i ka metformin a i ʻole hiki ʻole ke hoʻohana me ka maʻi ʻehā.
- me he mea ia o ka hoʻomaʻamaʻa paʻakikī o ka hui pū me ka metformin, kahi derogative sulfonylurea (SM) a i ʻole thiazolidinedione, inā ʻaʻole e hoʻolalelale ʻia e kahi ʻanoʻai a me ka hoʻomaʻamaʻa ʻana, a inā ʻaʻole i hāʻawi ʻia nā mea i luna mai ka hopena maikaʻi e like me ka monotherapy.
- ma ke ʻano he mea ʻekolu o ka mālama ʻana i ka metformin a me SM ma ke ʻano he maikaʻi ʻole nā meaʻai, hoʻomaʻamaʻa ʻana a i ʻole ka hoʻohana ʻana ʻana i kēia mau lāʻau.
Eia nō hoʻi, i ka mālamaʻana o Trazenta diabetes mellitus, ʻae ʻia ka maʻi diabetes.
- insulin
- metformin
- pioglitazone,
- huikaʻi.
ʻAʻole pāpā ʻia ka hoʻohana ʻana i ka lāʻau lapaʻau i nā poʻe i loaʻa i ka:
- ʻAno maʻi type 1
- maʻi maʻamau ketoacidosis,
- hypersensitivity i ka ʻano o "Trazhenty".
Eia kekahi, ʻaʻole pono ka lāʻau lapaʻau e hoʻohana i nā lāʻau lapaʻau:
- keiki na lalo o ʻumikumamāwalu,
- wahine hāpai
- hānai makuahine.
Loaʻa nā hopena ʻaoʻao
ʻO ka hoʻomohala ʻana o nā hopena ʻaoʻao ka mea hilinaʻi nui ia i ka hoʻohana ʻana o Trazenti.
- I ka wā mononotherapy, ulu ka mea maʻi: hypersensitivity, kōmala, pancreatitis, nasopharyngitis.
- ʻO ka hui pū me ka metformin e hoʻonāukiuki i ka ulu ʻana o ka hypersensitivity, ka hoʻouka ʻana i ka mare, nasopharyngitis, maʻi pancreatic.
- Inā hoʻohana ka mea maʻi i ka lāʻau lapaʻau me SM, a laila, i ka hoʻohui aʻe i nā hopena o luna aʻe, e piʻi aʻe ka hopena o ka hoʻomohala ʻana i ka hypertriglyceridemia.
- ʻO ka hui pū ʻana o "Trazhenty" a me pioglitazone hiki ke hopena i nā hopena o luna, hyperlipidemia a me ka loaʻaʻana o ka paona.
- Me ka hoʻohana pū ʻana me ka insulin, ua ʻōlelo ʻia nā mea ʻino maikaʻi ʻole a me ka constipation.
- Ma o ka hoʻohana ʻana ma hope o ka kūʻai ʻana hiki ke hana i ka haʻalulu angioedema, urticaria, rashes, a me ka pancreatitis waha.
ʻO ka papa inoa o nā helu, nā hopena o ka lāʻau overdose
Lawe ʻia nā papa ʻōlelo. Ma ke ʻano he kānāwai, ʻo ka nui o ka lā he 5 mg. Inā hoʻopau ka mea maʻi iā lākou me ka metformin, e like nō ka kaʻe o nā mea hope.
Hiki ke hoʻohana ʻia "Trazhentu" me nā manaʻo ʻole o ka meaʻai.
Inā poina e ka mea maʻi hānai e lawe i ka lāʻau lapaʻau, pono ia e hana koke iā ia, akā ʻaʻole iʻoi aku i mua o ka lāʻau i ʻōlelo ʻia ʻia.
ʻAʻole pono ʻo Renal i ka hoʻoponopono lōkahi o Trazenti.
Hiki i ka maʻi maʻi me ke ʻano hepatic impaired hiki ke lawe i kahi hopena ʻono ʻokoʻa, akā pono lākou ma lalo o ka mālama mālama olakino maʻamau.
Ua hōʻike ʻia nā haʻawina ʻoi aku ka ʻoi aku o ka dosage i kēlā me kēia lā ma mua o 120 mau manawa, ʻo ia ka lawe ʻana o 600 mg o ka lāʻau lapaʻau ʻaʻole i hoʻonāukiuki i ka maikaʻi o ka poʻe olakino.
Inā hele ka maʻa ma ka maʻi ma muli o ka nui o ke kō, pono ia:
- hoʻihoʻi i ke koena lāʻau lapaʻau mai ke kaʻe o ka digestive,
- ua hele i kahi hoʻokolohua maʻi
- hoʻohana i ka hana hōʻailona.
Nui! Pono kekahi mea loea kūpono e hoʻoholo i ka lōʻihi e hiki i ka mea maʻi ke lawe i ka "Trazhenta" me ke kāpae ʻole.
E hui pū me nā lāʻau lapaʻau ʻē aʻe
ʻO ka hoʻokele kaulele o Trazhenta me Metformin, ʻoiai me ka pauku nui loa, ʻaʻole ia i hoʻonāukiuki i nā loli nui i ka wai lāʻau lapaʻau o nā lāʻau lapaʻau ʻelua.
ʻO ka hoʻokele maʻalahi ʻana me "Pioglitazone" ʻaʻole ia e pili i ke ʻano lāʻau lapaʻau o nā lāʻau ʻelua.
Hiki ke hoʻohana ʻia "Trazhenta" i hui pū me "Glibenkamid", akā i kēia hana wale ka hoʻemi ʻana o ka manaʻo kiʻekiʻe o nā mea hope loa. ʻO nā mea'ē aʻe me ka sulfinyl urea e loaʻa like nā hōʻailona like.
ʻO ka hui pūʻana o "Trazhenty" me "Rifampiin" hoʻemi i ka neʻe o ka mea mua. Mālama ʻia nā waiwai pharmacological i kahi liʻiliʻi, akā ʻaʻole 100 mau loiloi e lilo.
Hiki iā ʻoe ke lawe iā Digoxin i ka manawa like e like me Trazenta. ʻO kēlā hui like ʻole e pili i ka waiwai o ka pharmacokinetic o kēia mau lāʻau lapaʻau. ʻO kahi kaʻina hana e like me ka hui pū ʻana o ka linagliptin a me Warfarin.
Kekahi mau hewa kekahi i hoʻopaʻa ʻia me ka hoʻomohala pinepine ʻana o ka linagliptin a me Simvastatin.
Ke hoʻohana ʻana ʻo Transit, hiki i ka maʻi maʻi ke hoʻohana ʻĀ.
Nā kuʻi a me ka ʻano like o ka lāʻau
Inā ʻaʻole hiki i ka mea maʻi hapanui ke lawe iā Trazent no kekahi mau kumu, hiki ke kuhikuhi ʻia nā mea paʻa.
ʻO ka inoa o ka lāʻau lapaʻau | ʻĀpana nui | ʻO ka lōʻihi o ka hopena therapeutic | Uihoʻi (rub.) |
Hoʻolaha | Metformin | 24 | 115 — 200 |
Metformin | Metformin | 24 | Mai ka 185 |
Galvus Met | Vildagliptin | 24 | Mai 180 |
Vipidia | Alogliptin | 24 | 980 – 1400 |
Nā ʻōlelo kikoʻī
ʻAi ʻia ka "Trazent" no ka koho ʻana no ka T1DM a me ka ketoacidosis (ma hope aʻe o T1DM).
Ua hōʻike ʻia nā noiʻi mana i ka hypoglycemia i ka wā e hoʻohana ai i nā hui lapaʻau, ʻaʻole i lawe ʻia e Transjet, akā e nā metformin a me nā huaʻōlelo thiazolidinedione, a i ʻole nā mea huakaʻi sulfinyl urea. Me kahi kiʻekiʻe kiʻekiʻe o ka hypoglycemia, pono ke hoʻoponopono ʻia i ka hala o nā mea hope.
ʻAʻole hiki iā Linagliptin ke kumu e hoʻokō ai i ka pathology CCC. I ka hui pū me nā mea lapaʻau ʻē aʻe, hiki ke kuhikuhi ʻia i nā poʻe maʻi e loaʻa ana i ka hana renal impaired.
I kekahi mau maʻi maʻi, ua hoʻonāukiuki ka lāʻau lapaʻau i ka pancreatitis aʻokiʻoki. I kāna mau hōʻailona mua (ka ʻeha o ka ʻōpū, nā pilikia ʻeha a me ka nāwaliwali maʻamau), pono i kahi maʻi maʻi maʻi e hoʻomaha i ka hoʻohana ʻana iā Trazenti a kūkā koke i kahi kauka.
Ma kēia manawa, ʻaʻohe ʻikepili e pili ana i ka hopena o ka lāʻau lapaʻau ma ka hiki o kahi maʻi maʻi maʻi e kāohi i nā ʻano like ʻole. Akā ʻo ka mea pono e loaʻa i ka mea maʻi i nā pilikia koikoi, inu i ka lāʻau lapaʻau ma mua o nā kūlana e koi ai i ka hopena wikiwiki a me ka neʻe pono ʻana.
Hoʻohana ka hapanui o nā maʻi maʻi i ka lāʻau ma ke ʻano o ka lāʻau paʻakikī, no laila he paʻakikī nui ka hoʻoholo ʻana i kona pono. Akā ma ka Pūnaewele ma nā pūnaewele ʻike kūikawā a me nā ʻatikala, hiki iā ʻoe ke loaʻa nā loiloi e pili ana i kēia lāʻau lapaʻau. Ma ka laulā nui, he kūpono lākou.
Ua hōʻike wau ma ka pale ʻana i ka insulin. No ka hoʻomaikaʻi maikaʻi maikaʻi, ua hoʻohana wau i nā lāʻau lapaʻau i loko o nā ʻāina a me nā ʻāina ʻē no ka manawa lōʻihi, akā ʻaʻohe hopena maikaʻi. Ua ʻōlelo ke kauka i "Trazhent", inu wau ia mea no hoʻokahi mahina, me ka hahai ʻana i ka ʻai koʻikoʻi. I kēia manawa pōkole, nalowale wau i ka 4,5 kileman. Ka hauʻoli loa i ka hopena. I ka hoʻomaka ʻana o ka lawe ʻana i ka lāʻau lapaʻau aia kahi liʻiliʻi liʻiliʻi e haʻi ʻia i ka wehewehe ʻana i nā papa, akā hele koke lākou.
Hoʻomaka koʻu kakahiaka ma ka lawe ʻana i ka paila "Diabeton", i ke ahiahi inu au i ka "Trazhentu". Hōʻike ka waihona hilo i 6-8 mmol / L. ʻOiai he maʻi maʻi maʻi wau me ka ʻike, noʻu he hopena maikaʻi loa kēia. Ke ʻole ʻo Trazhenta, ʻaʻole i hāʻule ka kuhikuhi hemoglobin glycated ma lalo o 9.3 pakeneka, eia kēia ke 6.4. Hoʻopili i kahi maʻi maʻi, ua maʻi wau i ka pyelonephritis, akā ʻaʻole i hoʻonāukiuki ʻo Trazhenta i nā keiki. ʻOiai he mea kūʻai nui kēia mau penikala no kahi penikala, ʻo kā lākou hopena e hoʻokō ai i nā manaʻolana āpau.
ʻO Petr Mikhailovich, 65 makahiki
Ua kuhikuhi ke kauka i "Trazhenta" e hoʻopaʻa i ka paona a me ke kō. I nā lā mua o ka hoʻohana ʻana i nā lāʻau lapaʻau, hōʻike ikaika nā hopena ʻaoʻao. I noi au e ʻimi i kahi kikoʻī. ʻAe, kūʻai nui ʻia kēia "Trazhenta".
ʻO ka kumukūʻai o nā lāʻau lapaʻau i nā lāʻau lapaʻau e like me 1480 a 1820 mau rubles no ka hoʻopiʻi helu 30. "Kūʻai akuʻo" Trazhenta "i kahi lāʻau lapaʻau i nā mea lapaʻau.
ʻO ka hui o DPP-4 inhibitors, kahi iā Trazhenta, ua hōʻike i ka hopena antidiabetic a me ka palekana. ʻAʻole hoʻonāukiuki ia mau lāʻau lapaʻau i ka hopena hypoglycemic, ʻaʻole e hoʻoikaika i ka loaʻa ʻana o ka paona a ʻaʻole i hopena maikaʻi ʻole e kau ai nā kau. Ma kēia manawa, ke manaʻo nei kēia hui āpau o nā lāʻau lapaʻau ʻoi loa ka maikaʻi a me ka hoʻohiki ʻana i ka hopena o ka mana o T2DM