Amaril, nā Lūkiniʻāina Lūkini me nā kumukūʻai a me nā loiloi

Hōʻikeʻike glimepiride hiki iā ʻoe ke hōʻemi i ka ʻike ʻana o ka glucose i ke koko, ma ka hoʻoulu ʻana i ka insulin mai nā papa beta apancreas. ^ E Ha yM. Ua pili kēia hopena me ka hoʻomaikaʻi ʻana i ka pane ʻana o nā pehu beta pancreatic i ka hoʻoulu ʻana i ka physiological o ka glucose.

Nā hoʻoponopono kānāwai insulin hele ia ma muli o ka hoʻopili ʻana me nā hāmeʻa pākela huakaʻi me nā ATP-i loaʻa i nā membran beta cells. Glimepiride Hoʻopili paʻa a koho i nā protein a hoʻonā i ka hana a nā pā paʻeka kōpona o ka ATP, ʻo ia hoʻi, ko lākou pani a wehe paha.

Inā lawa nā maʻi i ka hoʻokalakupapa metabola a lawe ʻia ka nui loa glimepiridea laila ua hiki ke mālama i ka lāʻau hui glimepiridea Metformin. ^ E Ha yM. Ke alakaʻi nei kēia i kahi holomua nui i ka kaohi metabolic, i ka hoʻohālikelike ʻana me ka hoʻohana ʻana o kēia mau lāʻau i ka hoʻokaʻawale. ʻAe ʻia ka ʻekemu hoʻopaʻa. insulin. ^ E Ha yM. I ka manawa like, ua ʻike ʻia kahi holomua o ka kaohi metabolic, ʻano like me ka hoʻohana ʻana hoʻokahi wale nō insulin, akā ma ia mau ʻano, ua hoʻemi ʻia kahi haʻahaʻa o ka insulin.

Loaʻa hoʻokipa lehulehu glimepiride, kahi la i like ai, 4 mg i kēlā me kēia lā, alakaʻi i kahi paʻa o ka nui o kahi mea i loko o ke koko, i hōʻea ʻia ma hope o 2 mau hola

Hāʻawi ka Ingestion i ka bioavailability piha piha o ka mea ikaika. ʻO ka ʻai ʻona he hopena maikaʻi ʻole i ke kahe ʻana, e lohi iki i kona wikiwiki. Ke hōʻike ʻia nei glimepiride e nā loko a me nā ʻāpana. I ka hoʻonohonohoʻana o ka urine, ʻaʻole ʻike ʻia ka lāʻau lapaʻau. I ke kino, ka hoʻoneʻeʻana o ka glimepiride i loko o ka pēpē e CYP2C9 i ʻelua mau metabolites - ka derivative hydroxy a me ka derivii carboxy. ʻAʻole i ʻike nui ʻia o nā waiwai ikaika i mālama ʻia i loko o ke kino.

Nā Hoʻohui

Aia kekahi papa inoa nui o nā contraindications no ka lawe ʻana iā Amaril:

• maʻi diabetes type 1
• nā hōʻeha koʻikoʻi o ka nui a me nā lolo,
• maʻi ketoacidosis maʻiprecoma a me ka coma
• lactation, hapai,
• ka nui o nā maʻi hoʻohemo maʻamau, no ka laʻana, ka intolerance galactose, ka malabsorption glucose-galactose a i ʻole ka lactase hemahema,
• nā makahiki o nā keiki
• molaki ole a noonoo paha i ka laau a pela ole.

Ke koi ʻia ka makaʻala ma ka hoʻomaka mua o ka mālama ʻana o nā maʻi, no ka mea ke hiki i kēia manawa ka hopena o ka hypoglycemia. Inā hoʻomau ka hopena o ka uluʻana i ka hypoglycemia, a laila pinepine ʻoe e hoʻoponopono i ke ʻano glimepiride a i ʻole e hoʻoponopono ʻia. Eia kekahi, ʻo ka neʻeʻana o nā maʻi a me nā maʻi ʻē aʻe, ke ola, ka hoʻolaʻa ʻana a me nā mea hou aʻe e pono ai ka mālama kūikawā.

Nā hopena hopena

I ka wā o ka mālama ʻana me Amaril, hiki i kahi ʻano nui o nā mea hoʻohuli ʻole e hiki ke hoʻomohala, hoʻokahi ala a i ʻole kekahi e pili ana i ka hana o ka pili ʻana o nā ʻuhane āpau. ʻO ka pinepine, hōʻike ʻia nā hopena ʻaoʻao e ka hypoglycemia, nā hōʻailona i hōʻike ʻia. lie kanikelapololi ninini, utuka, mālie, hiamoe, manaʻo ʻino, hilahila a me na ike e ae. ʻO kekahi manawa ua like ke kiʻi o ka klinikino koʻikoʻi o ka hypoglycemia me kahi hōʻeha. Ma hope o kona hoʻopau ʻia ʻana, nalo loa nā hōʻailona makemake ʻole.

I ka hoʻomaka mua o ka hoʻōla, hiki ke pilikia i ka ʻike, ke kūleʻa ʻana o ke ʻano o ke ʻano a me ka hoʻokahe koko. Hiki nō ke kūkulu. nā hopena kūlohelohehiki i loko o nā hihia. No laila, inā i loaʻa mai nā hōʻailona kūpono ʻole, pono e kiʻi pono i kahi kauka.

Nānā no Amaryl (Ke ʻano a me ka anaana)

Hoʻohana ʻia nā papa no ka hoʻohana pono ʻana i ke ʻano holoʻokoʻa, me ka ʻole o ka huki ʻana a me ka inu ʻana i nā nui o nā ʻano wai.

ʻO ka maʻamau, ʻo ka hopena ke hoʻoholo ʻia e ke kaʻe o ka glucose i loko o ke koko. No ka mālamaʻana, e kuhikuhi ʻia ana ka laʻala haʻahaʻa, e kōkua ana i ka hoʻokō ʻana i ka hoʻokō metabolic pono

Ke hōʻike pū nei nā ʻōkuhi no ka hoʻohana ʻana iā Amaril e pono ka mālama ʻana i ka kaila o ka neʻe o ka glucose i ke koko a me ka pae o ka hemoglobin glycosylated

ʻAʻole pololei ke komo ʻana i nā papa, me ke keokeo i ka ʻai aʻe, ʻaʻole ʻia ke hoʻonui ʻia me kahi ʻano hou aʻe. Pono e ʻae ʻia nā ʻano like ʻole me ke kauka i hele mai.

I ka hoʻomakaʻana o ka mālamaʻana, e kuhikuhi ana nā mea maʻi i kahi lā i kēlā me kēia lā o 1 mg. Inā pono, e hoʻonui mālie ka nui o ka dosage, e hoʻomaʻamaʻa mau ana i ke kaohi o ke kō o ka glucose e like me ke kumumanaʻo: 1 mg - 2 mg - 3 mg - 4 mg - 6 mg - 8 mg. ʻO ka maʻi maʻamau o kēlā me kēia lā i nā maʻi me ka mālama maikaʻi maʻi mellitus maʻiʻika 1-4 mg o ka hana ikaika. ʻO kahi maʻi i kēlā me kēia lā he 6 mg a i ʻole ka mea e hana i ka hopena ma kahi liʻiliʻi o nā mea maʻi.

Ka hoʻonā ʻai nui o kēlā me kēia lā no ka lāʻau lapaʻau, ʻoiai he mea pono ia e noʻonoʻo i nā ʻano like ʻole, no ka laʻana, ka manawa e ʻai ai, ka nui o ke ʻano pilikino, a ʻoi aku.

Hoʻomaʻamaʻa pinepine ʻia, kahi papa inoa o kēlā lā i kēia lā i ka lāʻau, ma mua o ka ʻaina piha a i ʻole ka kīʻaha mua. He mea nui ia e like me ka lawe ʻana i nā papa i hala ʻole i kahi pāʻina.

Ua ʻike ʻia ka hoʻomaikaʻi ʻana i ka mālama metabola pili i ka hoʻonui ʻana i ka naʻau o ka insulin, a i ka wā mālama, pono ka glimepiride hiki paha ke emi. Hiki iā ʻoe ke pale i ka hoʻomohala ʻana o ka hypoglycemia ma ka hoʻohaʻahaʻa ʻana i ka dosage a i ʻole ke pau ʻana i ka lawe ʻana iā Amaril.

I ka wā hoʻokolohua therapeutic, hoʻoponopono hoʻoponopono ʻia glimepiride hiki ke hana inā:

• hōʻemi momona
• loli ka nohona
• ka ulu ʻana o nā mea ʻē aʻe e alakaʻi i kahi predisposition no hypoglycemia a i ʻole hyperglycemia.

Ma ke ʻano he kānāwai, e mālama ʻia ana ka hoʻolālā Amaril no ka lōʻihi loa.

Ke keu

I nā hihia o kahi overdose a i ʻole ka lōʻihi o ka hoʻohana ʻana o nā papa kiʻekiʻe glimepiride hypoglycemia koʻikoʻi, ʻo ia paha ka hoʻoweliweli ʻana i ke ola.

Inā loaʻa he overdose, pono ʻoe e nīnau aku i kekahi kauka. Hiki ke pani ʻia ka hypoglycemia ma ka lawe ʻana i nā palaka, no ka laʻana, glucose a i ʻole kekahi ʻāpana puʻupuʻu o nā mea manamana. A hiki i ka wā e hoʻopau ʻia ai nā hōʻailona o ka hypoglycemia, pono ka mea maʻi e nānā pono me ka mālama ʻana i nā lāʻau lapaʻau. Hoʻopilikia hou ka lāʻau lapaʻau i nā hōʻailona.

Hoʻohui

ʻO ka hoʻohana pono ʻana o ka glimepiride me kekahi mau lāʻau lapaʻau hiki ke hoʻomohala i ka hoʻomohala ʻana o ka hypoglycemia, no ka laʻana, me kaInsulin a me nā mea maʻi hypoglycemic āpau, ACE inhibitors, anabolic steroid a kāne kamaliʻi kāne kāne, nā chloramphenicol,kāhea Coumarin, Cyclophosphamide, Dizopyramide, Fenfluramine, Pheniramidol, Fibrates, Fluoxetine, Guanethidine, Ifosfamide, para-aminosalicylic acid, Phenylbutazone, Sulfenamicin aminitraminamide, Clinamide me nā mea ʻē aʻe.

Hōʻikeʻike acetazolamide, pani ʻia, GKS, diazoxides, hoʻoiho, Epinephrine a me nā mea ʻoluʻolu ʻē aʻe, Hoʻolaulaxatives (me ka hoʻohana lōʻihi), hoʻōla nicotinic (ma nā kiʻekiʻena kiʻekiʻe) estrogen a progestogens, fenothiazines, phenytoins, rifampicins,nā iodine-hormones hormones thyroid kumu e hoʻonāwaliwali ai i ka hopena o ka hypoglycemic, a ma muli, e hoʻonui ai i ka ʻike o ka glucose i ke koko.

Hiki i nā H2-histamine blocker blockers ke hoʻoikaika a hoʻonāwaliwali i ka hopena hypoglycemic o ka glimepiride. Clonidine, Kahuliehu, Coumarin a me nā lālani beta.

Amaryl: analogues, kumukūʻai, nā papaʻaila, analogues Lūkini, nā ʻōlelo no ka hoʻohana ʻana

Amaryl - Ua noʻonoʻo ʻia kēia lāʻau lapaʻau e hoʻōla i ka maʻi maʻi type 2. ʻO ka mea nui a kēia lāʻau lapaʻau ka glimepiride. I ka awelika, ʻo kona maʻi ma waena mai 1 a 3 mg.

Amaril ʻike kikohona:

1. Hoʻokomo i ka hoʻokuʻu o insulin.
2. I kēia hihia, loaʻa ka lāʻau lapaʻau i kahi hopena maʻalahi, e hōʻemi i ka hopena o ka hypoglycemia.
3. ʻO ka hoʻohaʻahaʻa ʻana i nā hoʻopiʻi atherogenic i ke kahawai.
4. ʻO ka hōʻemiʻana i ka paʻakikī o ka luhi o ka oxidative.

Loaʻa nā ʻĀmaka Pūnaewele Amaril

ʻO kekahi o nā mea kikoʻīlani piha loa o Amaril i loko o nā papa:

E noʻonoʻo e pili pono i ka hopena o nā mea hoʻohālikelike o ka lāʻau Amaril.

Aia ia ia ka mea ikaika e like me Amaryl. ʻO ka hopena therapeutic ma muli o ka hoʻōlaʻana o nā pehu beta pancreatic e nā mea e pili ana i ka glucose.

Lawe ʻia ka Diameride e like me nā ʻāpana i ʻōlelo ʻia a ma kahi manawa manawa.

1. ʻAʻole hoʻi pono i waena o nā ʻokoʻa i ka manawa i koho ʻia.
2. ʻAʻole hiki i ke kuhi ʻia i ka wā e lawe ai i ka lāʻau lapaʻau ke hiki ʻole ke kāohi ʻia e kahi ʻoi aku ka nui o ka lāʻau.
3. Pono ka mea maʻi e hoʻomaopopo i kāna kauka e pili ana i ka hoʻohana ʻana o nā piʻi nui o ka lāʻau.
4. ʻO ka hoʻolālāʻana o ka hypoglycemia ma hope o ke alakaʻiʻana iā Diamerid ma kahi mahele o 1 mg / lā, hōʻike i ka mea e pono ai ke kīʻai meaʻai.

ʻO ke kumukūʻai o ke diamerid mau mea mai 206 mau rubles. i kēlā me kēia pā.

Loaʻa i kēia lāʻau i kāna ʻano hana pono:

1. ʻO ka hana ikaika i ka lāʻau lapaʻau e hoʻōla i ka huna a hoʻokuʻu i ka insulin mai ka pancreas.
2. Hoʻonui nā kikoʻelima o nā kōpili peripheral i nā hopena o ka insulin.
3. Loaʻa iā ia ka hana extrapancreatic.

Lawe, e kiʻi mua i kahi hapa o ka lāʻau lapaʻau. Hoʻolaha pinepine ʻia a kau ʻia ma ke ʻano he loiloi maʻamau o ka paʻa ʻana o ka glucose i ke kahe koko.

Nui nā kānāwai no ka hoʻohana ʻana i ka mālama ʻana i kēia lāʻau lapaʻau.

1. I ka hoʻomakaʻana o nā lāʻau, hiki i kahi 1 mg o glimepiride ke kuhikuhi, 1 mau lā i kēlā lā.
2. Ke puka mai kahi hopena therapeutic, ʻo kēia māhele i hoʻohana ʻia me ke kākoʻo.
3. Inā ʻaʻohe hoʻomaikaʻi, a laila hiki iā ʻoe ke hoʻonui lohi i ka dosage i 4 mg / lā.
4. ʻO nā maʻa kiʻekiʻe loa he 8 mg / lā.

I ka awelika, ke kumukūʻai o ia lāʻau lapaʻau mai ka 740-780 rubles i pā pākēkē.

Hoʻonui i nā hoʻoliʻiliʻi glucose i loko o nā mea maʻi me nā ʻano like ʻole o ka maʻi diabetes.

Loaʻa ia he mau hopena:

1. ʻOgogogia.
2. Kāhuhuna
3. Antisclerotic.
4. Ka pale a me ka hoʻihoʻi.
5. Antioxidant.
6. Hoʻopiʻi.
7. Hoʻolauleʻa a me nā hopena diuretic.

I hoʻoholo ʻia ia e ke kauka ma ka hopena maikaʻi loa e hoʻokō:

1. Hiki i ka hoʻokaʻawale o ka glucose i loko o ke kahe a me ka pā.
2. Hoʻohana no ka paʻa o nā kumu o ka maʻi maʻi.
3. Hoʻomaʻamaʻa ʻia no ka hoʻohana ʻana e nā maʻi me nā maʻi maʻi o ka palani, ka ʻōpū a me nā ʻokiʻoki.

I ka wā lawe o ka lāʻau lapaʻau, pono e hahai pono i nā pona i koho ʻia a me ke ʻano ola. I ka awelika, hiki ke kūʻai ʻia ʻo Vijaysar no 282 mau rubles.

ʻO amaril sugar-lowing drug: nā ʻōlelo no ka hoʻohana ʻana, ke kumukūʻai, nā loiloi a me nā analogues

ʻO Amaryl kahi lāʻau lapaʻau e kōkua i ka hoʻemi i ke kō koko.

Hoʻomaka ʻia kona komo ʻana i ka wā ʻaʻole i hiki ke uku ʻia ka insulin e nā lāʻau ʻē aʻe - ʻoi aku ke ʻano lapaʻau, hoʻomaʻamaʻa, ʻai meaʻai, akā ʻaʻole pono ka lawelawe ʻana i ka insulin paʻa.

ʻO ka lawe ʻana i kēia lāʻau lapaʻau ke hopena maikaʻi i ke kūlana o ka poʻe me ka maʻi maʻi, hiki ke hoʻonui maikaʻi i ko lākou ola.

No laila, ʻo Amaryl, nā analogues a ia e hana ʻia e nā ʻano lāʻau lapaʻau like ʻole, i hoʻohana nui ʻia i ka mālama ʻana i nā hopena o ka nele o ka insulin i ke kino.

Nā maʻiʻeha a me ke ʻano ikaika

Hōʻike ʻia ʻo Amaryl a me kāna mau mea hoʻohālike no ka maʻi type II.ʻO ka mea waiwai nui o ka lāʻau lapaʻau ka glimepiride.

ʻO kēia lāʻau lapaʻau ka 3 i hana ʻia, i hoʻokumu ʻia ma ke kumu o kahi derive o sulfanylurea, e hana i ka pancreas, e hoʻolōʻihi me ka hua ona b-cell, ka mea i kuleana no ka hoʻokumu ʻana i ka insulin. Ma lalo o kona mana, e hoʻoulu ai ka pancreas i ka nui o ka insulin, a me ka nui o ke kō i loko o ke koko e hoʻemi ana.

Amaryl papa 2 mg

Eia kekahi, ʻo ka mea ikaika o ka lāʻau lapaʻau e hana hoʻi i nā kōpili peripheral o ke kino, e hōʻemi ana i ka pale ʻana o ka insulin. ʻO kēia no ka mea o ka glimepiride, ke hele nei i ka pūnaewele me ka membrane, hiki i ka mākaʻikaʻi ke hoʻopaʻa i nā kahawai pālolo. Ma muli o kēia hana, ke wehe ʻia nā ala o ka calcium ma nā pūpona a me ke kākoʻo i ka hana ʻana i ka insulin.

Ma muli o kēia hana pālua, he pae mālie a hemo mālie nā pae koko koko akā no ka manawa lōʻihi ua hoʻemi ʻia. ʻAi ʻia nā ʻōmole a Amaril mai nā hanauna i hala ma mua o ka helu liʻiliʻi, nā contraindications a me ke kūkulu ʻana o ka hypoglycemia ma muli o kā lākou komo.

ʻO nā hiʻohiʻona o ka lāʻau lapaʻau e ʻae iā ʻoe i ka nui o nā ʻōhua i hoʻohana ʻia no ka hoʻōla, ʻike koke i ka pale a me ka lua kūleʻa o ka mea maʻi iā Amaril, a ke pale aku nei hoʻi ka palekana i ka lā maʻamau i ka lāʻau i lawe ʻia.

Koho helu Doseage a me ke koho koho

ʻO kēia lāʻau lapaʻau, e like me kēlā me kēia Amaril analogues, pono e hoʻoponopono a me ka koho hoʻokolohua ʻana i ka pāo e pono ai.

ʻAʻohe ʻōmole maʻamau ma aneʻi - ʻokoʻa kēlā me kēia mea maʻi e ʻike like i ka like o kēia mea hoʻohālikelike. No laila, ʻo ka koho ʻana i kahi maʻa e hana wale nō ma o ka mālama mau ʻana a me ka mālama mau ʻana i ka glucose koko ma hope o kekahi ʻano kikoo o ka lāʻau.

I nā lā mua o ke komo ʻana, hāʻawi ʻia ka mea maʻi i kahi ʻano i kapa ʻia ʻoi loa, ʻo ia ka 1 mg o ka Amaril i kēlā me kēia lā. Inā pono, hoʻonui pinepine ʻia ka pākona, e mālama mau ana i ka pae o ke kō. Hoʻokomo ke hoʻonui i hoʻokahi milligram i hoʻokahi pule, ʻoi aʻe - i ʻelua mau pule.

ʻO ka maʻamau, ʻo ka nui loa i kau ʻia i ka mea maʻi e ʻeono mau mea o ka lāʻau. ʻO nā hihia kūikawā wale nō ka mea e hiki ke hoʻonui i ka lā i kēlā me kēia lā i 8 mg, akā pono naʻe e lawe i ka lāʻau lapaʻau i kēlā me kēia mea ma lalo o ka mākaʻi ʻana o kahi loea.

Loaʻa ka Amaryl i ka puka o nā papa i loaʻa ka lua i ʻeono mg o ka mea ikaika. Hōʻike ʻia ka hopena o nā papa ma ka pākaukau. Pono e lawe i ka lāʻau lapaʻau me ka waha ʻole, me ka ʻaʻa ʻole ʻana, me ka wai nui. Hana lākou i ka lāʻau lapaʻau hoʻokahi manawa i ka lā, akā i kekahi mau manawa, hiki ke hoʻokaʻawale i ka papa ʻa Amaril i ʻelua dosis i ka lā hoʻokahi.

He kumu kūʻai hoʻonā a me nā kūlohelohe

He kiʻekiʻe loa ke kumukūʻai o kēia lāʻau lapaʻau - mai 300 a 800 mau rubles. Manaʻo ia ke hoʻomau nei ka hoʻokele ʻana, pinepine ʻia i loko o nā makahiki he nui, ua pono nā kaila o Amaril.

Hoʻokumu ʻia kēia mau lāʻau i ka pahuhopu like ʻole, akā, ʻoi aku ka koina o ka ʻāina a me ka ʻoihana hoʻowalewale i hiki ke ʻoi aku ka uku ma mua o ka mea maoli. Kūkulu ʻia ia mau lāʻau i nā lāʻau lapaʻau i loko o Polani, Slovenia, India, Hungary, Turkey, Ukraine. ʻO Amaril nā hili no nā mea kikowaena Lūkini e hana ʻia ma ka laulā.

Nā papaʻi Glimepiride - kahi waiwai pilikino o Amaril

Kūʻokoʻa lākou i ka inoa, ka uhi, ka uku a me nā kumu kūʻai. ʻO ka papa huahana i loko o ia mau mea. Ma kēia ʻano, ʻaʻole pololei ka nīnau o nā nīnau i nīnau ʻia: "He aha ʻo ʻAmelia ʻo Garyepiride maikaʻi loa?" A "ʻo ʻAmary lāua ʻo Glimepiride - he aha ka ʻokoʻa?"

ʻO ka ʻoiaʻiʻo aia ʻelua inoa inoa kālepa no kahi lāʻau lapaʻau like piha. No laila, hewa hiki ke kamaʻilio e pili ana i ka mea kiʻekiʻe o kekahi a i kekahi ʻano - ua like lākou i ka hoʻoili a me ka hopena ma ke kino. ʻO Glimepiride o ka launa Lūkini ka hopena kokoke loa i ka hopena o ka lāʻau.

Hoʻōla ʻia ia i ke ʻano o nā papa, me kahi pā 1, 2, 3 a me 4 milligrams.

ʻO ke kumukūʻai o kēia lāʻau lapaʻau he mau manawa i hoʻokaʻawale ʻia ma mua o Amaril pono'ī, a me nāʻano like ikaika.

Inā ʻaʻole hiki iā ʻoe ke kūʻai, hiki iā ʻoe ke kūʻai iā Diamerid. Hoʻolaha wale kēia mau papa i ka inoa a me ka mea hana hana. Kuhi ʻia kēia kuʻuna o Amaril i loko o nā papa mai 1 a 4 mauʻu, akā like ʻole ia Glimepiride ma ke kumukūʻai haʻahaʻa.

Hāʻawi nā mea hana Iukalia no nā lāʻau lapaʻau i ka Glimax, kahi aneane like like. ʻOkoʻa lākou i ka ʻokoʻa - ʻike ʻia ka papa i nā lua a ʻehā mau milligrams o ke ʻano ikaika, ʻaʻole i loaʻa nā papa āpau 1 mg.

Nā Kūlana Diamerid 2 mg

Eia kekahi laʻana, kahi huahana mikaola maʻalahi o Amaril e hana ʻia e nā hui lāʻau lapaʻau India. ʻO kā lākou inoa kalepa ʻo Glimed a i ʻole Glimepiride Aykor. Loaʻa i hoʻokahi a ʻehā papa milligram i loaʻa. Hiki iā ʻoe ke loaʻa ma ke kūʻai aku i ka lāʻau lapaʻau ʻo Glinova.

ʻO kona ʻokoʻa e kau wale nō ka mea ʻoi ka ʻoihana hoʻoneʻe, aia ma India, he mea kōkua o ka lāʻau lapaʻau ʻoihana kahiko ʻo ʻElpharm LTD. Aia pū kekahi mau pilino Argentinean i kapa ʻia ʻo Glemaz, akā makemake ʻole ia i maʻamau maʻamau i loko o nā lāʻau lapaʻau i ko mākou ʻāina.

Nā mea kākau o ka hana ma ʻIseraʻela, Ioredane a me EU

Inā no kekahi kumu ke hilinaʻi ʻole e nā mea kūʻai aku hale a i ʻole nā ​​mea hana i loko o India, hiki iā ʻoe ke kūʻai aku i nā nīnike me ka uku e hoʻololi hou ʻia ai iā Amaryl, ʻoi aku ke kiʻekiʻe o ke kumukūʻai ma mua o nā huahana o ka hale, akā e haʻahaʻa loa ia ma mua o ka lāʻau mua.

Ua hoʻoponopono ʻia kēia mau lāʻau e nā hui ma ka Czech Republic, Hungary, Ioredane a me ʻIseraʻela. Hiki i nā mea maʻi ke hōʻoia maoli i kēlā mau lāʻau lapaʻau - ka maikaʻi o ka mālama pono o nā lāʻau lapaʻau i kēia mau ʻāina i hoʻokaʻawale ʻia e kona mau kūlana paʻa.

ʻO Amix, i hana ʻia e Zentiva, i hāʻawi ʻia mai ka Czech Republic. ʻO ka nui maʻa maʻamau mai 1 a 4 mau grama, kahi palaka kiʻekiʻe kiʻekiʻe a me ke kumu kūpono e hoʻokaʻawale i kēia lāʻau lapaʻau.

ʻO ka ʻoihana kūʻai olakino maikaʻi ʻo Egis, ʻoiai ʻo ka mea nui i kū i ka mākena CIS, e hoʻokuʻu pū i kāna kūmole Amarila. Aia kēia mea i ka inoa ʻo Glempid, ke kaukaʻi maʻamau a me ke kumukūʻai kūpono.

Ua hoʻokau ʻia ʻo Hikma, kahi ʻoihana kūʻai kai nui o Ioredane, i hoʻokumu ʻia i ka makahiki 1978, a i hoʻopuka ʻia ʻo Amaril, i kapa ʻia ʻo Glianov. ʻAʻole ʻoe e hopohopo i ka maikaʻi o kēia lāʻau lapaʻau - hāʻawi nā lāʻau lapaʻau o Ioredane i nā ʻāina he nui o ka honua, e komo pū me ka USA, Kanada a me EU, kahi i ʻike nui ʻia ka mālama ʻana i nā lāʻau lapaʻau.

ʻO ʻAmelika inoa inoa Amaryl (generic) ʻo Glimepiride.

Mea hana hou

Hana ʻia nā huaʻehā o kēia ʻano kaulana i ke kākoʻo ʻana i nā pae koko koko maʻamau ma nā ʻāina ʻē o ka honua.

ʻO nā mea kanu lapaʻau ma Kelemānia, Slovenia, Luxembourg, Polani a me United Kingdom e hana i nā ʻano lāʻau like ʻole e kūleʻa ana iā Amaryl. Eia nō naʻe, he mea kūʻai nui kēia mau lāʻau āpau, no laila, ʻaʻole kūpono ia no nā poʻe maʻi me ka palena haʻahaʻa.

ʻO ke kumukūʻai ʻoi aku ka nui, ma kahi o 10 mau manawa ke kumukūʻai o ke kanaka Lūkini a i ʻole paha he kumu kūʻai kālā ma Switzerland. Eia naʻe, ʻaʻole e kuhi nui ka loaʻa ʻana o nā lāʻau lapaʻau nui - ʻaʻole lākou e hana i ka hana maikaʻi, a lawe lākou iā lākou i nā hopena like ʻole e like me nā meaʻoi aku.

Nā wikiō pili

He mea nui e ʻike! Ma ke ʻano o ka manawa, hiki i nā pilikia me ke kōl o ke kōpaʻa hiki ke alakaʻi i kahi maʻi āpau āpau, e like me nā pilikia me ka hihiʻo, ka ʻili a me ka lauoho, nā ʻūhā, nā gangrene a me nā hōʻeha maʻi maʻi ʻole! Ua aʻo ka poʻe i ka ʻike ʻawaʻawa e hana i nā pae holi holi ...

ʻO ka ʻike nui e pili ana iā Amaril i ke wikiō.

Nui pū kekahi o nā lāʻau lapaʻau mai nā mea hana like a me nā ʻano kumukūʻai like ʻole e hoʻololi iā Amaryl. Pono e nānā aku i ke koho ʻana i kahi lāʻau lapaʻau, ʻaʻole pono ʻoe e hilinaʻi i kāna kumukūʻai kiʻekiʻe - ʻaʻole ia ke kuhikuhi mau i ka kūpono kūpono, ʻoi aku ka hana o ka lāʻau hoʻōla ʻoi aku ka maikaʻi ma mua o kona mau kaola.

Nā papa ʻōlelo Amaryl - ʻōlelo aʻoaʻo, nā loiloi o ka host, ke kumu kūʻai

ʻO Amaryl i loko o kahi glimepiride, nona nā mea hou, ʻekolu, ka hanauna o ka hua palapala o ka sulfonylurea (PSM). ʻOi aku ka lāʻau lapaʻau ma mua o ka glibenclamide (Maninil) a me ka glyclazide (Diabeton), akā ke kūlike ke kumukūʻai i ke kumukūʻai kiʻekiʻe, hana wikiwiki, hoʻohaʻahaʻa i ka pancreas, a me kahi haʻahaʻa haʻahaʻa o hypoglycemia.

Me Amaril, hemo lohi ana nā ʻōle o ka beta ma mua o nā hanauna o ka wā o ka sulfonylureas, no laila ua hoʻolōʻihi ʻia ka hoʻomohala ʻana o ka maʻi diabetes a e makemake ʻia ka hana maʻi insulin ma hope.

Hōʻikeʻike ka ʻikepili i ka lāʻau lapaʻau: hoʻohaʻahaʻa ia i ke kō, he mea maʻalahi ia e hoʻohana, inu i nā papa i hoʻokahi lā i ka lā, inā ʻaʻole o ka ʻawa. Ma kahi o ka glimepiride maʻemaʻe, ua hui pū me kona metformin - Amaril M.

ʻ .lelo pōkole

1. Hoʻokomo i ka synthesis o ka insulin, a hoʻihoʻi i ka hapa mua, wikiwiki wikiwiki o kāna hilo. ʻO ke koena ʻo PSM ka pau i kēia hana a hana i ka lua, no laila e emi iki ka nui o ka meli.
2. Hoʻemi i ka pale ʻana o ka insulin i ka ikaika ma mua o nā PSM ʻē aʻe.

Eia kekahi, hōʻemi ka lāʻau lapaʻau i ka hōʻemi o ka trombosis, hoʻōla i ka kolesterol, a hoʻēmi i ka hoʻonaninani oxidative ʻO ʻAaryary i hoʻokaʻawale ʻia i kahi hapa i ka pāki, ʻokoʻa ma o ke kūwaha ʻana, no laila hiki ke hoʻohana ʻia i nā mea maʻi me ka hiki ʻole o ka renal, inā mālama ʻia nā hana o ka ahele.Nā HōʻikeHoʻopili wale ʻia nā maʻi diabetes 2 mau ʻano. ʻO kahi mea mua no ka hoʻohana ʻana i mālama ʻia i nā ʻāpana beta i koe, ke koena o ka synthesis o kā lākou iho ponoʻī. Inā ua hoʻōki ka pancreas e hana i ka hormone, ʻaʻole i kuhikuhi ʻia ʻo Amaril. Wahi a nā ʻōlelo kuhikuhi, hiki ke lawe ʻia ka lāʻau lapaʻau me ka metformin a me ka lāʻau maʻi insulin.ʻĀnōHana ʻia ʻo Amaryl i ke ʻano o nā papa i loaʻa iā 4 mg o ka glimepiride. No ka maʻalahi o ka hoʻohanaʻana, loaʻa i kēlā me kēia ʻano kona'āpana iho. Lawe ʻia no 10 mau lā, ma hope o ka hoʻomaka ʻana e hoʻonui lohi a hiki i ke kaulike ʻana i ke kō. ʻO ka palena ʻokoʻa loa ka 6 mg. Inā ʻaʻole e hāʻawi i ka uku no ka maʻi diabetes, ua hoʻohui ʻia nā lāʻau mai nā hui ʻē aʻe a i ʻole i ka insulin i ka regimen mālama.Ke keuKe hōʻike nei i ka nui o ka nui o ka hopena e alakaʻi i ka hypoglycemia lōʻihi. Ma hope o ka normalization o ke kō, hiki iā ia ke hāʻule pinepine no kekahi 3 mau lā. I kēia manawa āpau, aia ka mea maʻi ma lalo o ka nānā ʻana o nā hoahānau, me kahi overdose ikaika - i loko o ka hale hoʻomaha.Nā Hoʻohui

1. ʻO ka maʻi hypersensitivity i ka glimepiride a me nā PSM, nā mea kōkua o ka lāʻau.
2. Kuhiʻole i ka insulin intrinsic (type 1 diabetes, pancreatic resection).
3. ʻO ka huehalolo hopena. ʻO ka hiki ke lawe iā Amaril no nā maʻi o ka maʻi ma hope ma hope o kahi loiloi o ke kino.
4. Hoʻopili ʻia ka Glimepiride i loko o ka ʻai, no laila, hoʻopili ʻia ka puʻuwai o nā ʻōlelo a like me kahi contraindication.

Hoʻololi iki ʻia ʻo Amaryl a hoʻololi ʻia me ka inikini insulin i ka wā hapai a me ka lactation, nā hopena hoʻonāukiuki o ka maʻi maʻi, mai ka ketoacidosis a hyperglycemic coma. Me nā maʻi maʻi hopohopo, nā hōʻeha, nā kaumaha hoʻonaninani, ʻaʻole lawa paha ʻo Amaril e hoʻomaʻamaʻa i ke kō, no laila e hoʻopili ʻia ka mālama ʻana me ka insulin, e maʻamau loa. Ka hopena o ka hypoglycemiaHolo ke kō o ke koko inā hōʻalo ka mea maʻi i ka ʻai a ʻaʻole hoʻi i hoʻoulu hou i ka glucose i hoʻokaʻina i ka wā o ka hoʻomaʻamaʻa. No ka hoʻomaʻamaʻa ʻana i ka glycemia, pono ʻoe e lawe i nā paʻakai momona wikiwiki, ʻoi paha kahi hapa o ke kō, ʻoi kahi wai o ka wai a i ʻole ʻawa ʻawa paha e nui ana. I kēia hihia, ma hope o ka hoʻohuihui mua ʻana o ke kō, hoʻāʻo lākou e hoʻokaʻawale i ka glimepiride mai ka huina o ka huina: e hoʻonāukiuki lākou i ka luaʻi, inu i nā adsorbents a i ʻole laxative. Ua make ka overdose koʻikoʻi; ʻo ka mālama ʻana no ka hypoglycemia koʻikoʻi e loaʻa i ka glucose intravenous mandatory. Nā hopena hopenaI ka hoʻohuiʻana i ka hypoglycemia, i ka wā e lawe ai iā Amaril, hiki ke ʻike ʻia nā pilikia o ka digestion (i ka haʻahaʻa o 1% o nā mea maʻi), nā mea kūlohelohe, mai ka ʻūhā a me ka hōʻaiʻe i ka anaphylactic shock (>ʻOiai ka hoʻohālikelike hoʻohālikelike, pili pono kēia lāʻau lapaʻau i ka pancreas, ʻo ia ka mea o ka pōkole i ka synthesis o kāu insulin ponoʻī. Hoʻolaha wale ʻia ʻo PSM inā ʻike maikaʻi ʻole ka metformin a i ʻole ka nui o kona ʻawaʻawa ʻaʻole pono no ka glycemia maʻamau. Ma ke kānāwai, he pilikia nui kēia o ka maʻi maʻi, a he maʻi lōʻihi paha.

ʻO Amaril a ʻo Yanumet

ʻO Yanumet, e like me Amaryl, e pili ana i ka pae kiʻekiʻe o ka insulin a me ka pale ʻana i ka insulin. ʻOkoʻa nā lāʻau'ōnaehana i ka ʻoihana o ka hana a me ka ʻōnaehana kemika, no laila hiki ke lawe pū ʻia. ʻO Yanumet kahi lāʻau lapaʻau hou hou, no laila e kūʻai ʻia ana mai 1800 rubles. no ka ami uuku. Ma Lūkia, ua hoʻopaʻa inoa nā ʻiliʻili: Combogliz a me Velmetia, ʻaʻole ʻoi aku ka uku ma mua o ka mea like. Pono ke kūʻai wale ʻo Yanumet inā ʻaʻole nui ia ke kumukūʻai o ke kālā.

ʻO ka hoʻokō ʻole ʻana e nā maʻi maʻi me ka ʻoihana i kuhikuhi ʻia i ke kumu nui no ka hoʻēmi ʻana o ka maʻi maʻi. ʻO ka hōʻoluʻolu ʻana o ka lāʻau lapaʻau lāʻau no kekahi maʻi maʻi mau e hoʻomaikaʻi mau i kona mau hopena, no laila, no nā mea maʻi koho, ʻoi aku ka makemake o nā lāʻau lapaʻau. Loaʻa i ka Amaryl M ka maʻamau o ka hui like ʻole o ka wai hoʻohaʻahaʻa i ka hiona: metformin a me PSM. Aia kēlā me kēlā me kēia papa āpau 500 mg o ka metformin a me 2 mg o ka glimepiride ʻAʻole hiki ke hoʻokaʻawale loa i nā mea hoʻoikaika ʻelua i hoʻokahi papa no nā maʻi like ʻole. Ma ke kikowaena o ka maʻi maʻi, ʻoi aku ka nui o ka metformin, he emi iho ka glimepiride. ʻAʻole iʻoi aku ma mua o 1000 mg o metformin e ʻae ʻia i ka manawa, nā mea maʻi e loaʻa ana i kahi maʻi koʻikoʻi e inu iā Amaril M ʻekolu mau manawa i ka lā. No ke koho ʻana i ka nui o ka wai, pono ʻia no nā maʻi hoʻopaʻi e lawe iā ʻAmaril ma ke kaʻawale i ka ʻaina kakahiaka a me Glucofage ʻekolu o ka lā.

Hōʻike ʻia e Maxim, 56 makahiki. ^ E Ha yM. Ua kauoha ʻia ʻo Amaril i koʻu makuahine ma mua o Glibenclamide e hoʻopau i ka hypoglycemia pinepine. ʻOi aku kēia mau paila haʻahaʻa ma mua o ka mea, ʻo ka mea kupanaha nā hopena liʻiliʻi i nā ʻōlelo aʻoaʻo, akā maoli maoli nō ʻaʻohe mea. I kēia manawa e lawe iā ia i 3 mg, paʻa ke kō i ka kō 7-8. Makau mākou e hoʻēmi me ia, ʻoiai he 80 mau makahiki ʻo ka makuahine, ʻaʻole ʻo ia e ʻike mau i nā hōʻailona o ka hypoglycemia.Hana ʻia e Elena, 44 makahiki. ^ E Ha yM. Ua hoʻohua ʻia ʻo Amaril e kahi endocrinologist a ua ao mai iaʻu e lawe i ka lāʻau lapaʻau Kelemania, ʻaʻole i nā meaʻala maʻalahi. E mālama aku, ua kūʻai au i ka ʻāpana nui, no laila ʻo ka uku o nā huahelu o ka papa ʻaina 1 ma lalo. Loaʻa iaʻu i nā paʻu piha no 3 mahina. He liʻiliʻi nā papa papa, ʻōmaʻomaʻo, o kahi ʻano ʻē ʻole. ʻO ka molumela, he mea maʻalahi ia e hoʻokaʻawale iā ia i nā māhele. ʻO nā ʻōkuhi no ka hoʻohana ʻana he nui wale nō - 4 mau ʻaoʻao i nā leka liʻiliʻi. ʻO ke kaona palaoa i kēia manawa 5.7, kahi kiko o 2 mg.Hōʻike ʻia e Catherine, 51. ^ E Ha yM. Ua maʻi wau i ka maʻi maʻi no nā makahiki 15, i kēlā manawa ua hoʻololi au i nā lāʻau lapaʻau ma kahi o ka umi. ʻĀnō nei wau e lawe nei i nā papa Amaryl wale a me Kolin insulin Protafan. Ua kāpae ʻia ʻo Metformin, ʻōlelo lākou he mea ʻole, mai ka inika wikiwiki oʻu ʻuhane. ʻO ka Sugar, ʻoiaʻiʻo, ʻaʻole maikaʻi loa, akā aia ka liʻiliʻi ma nā hoʻopiʻi.ʻIke ʻia e Alexander, 39 makahiki. ^ E Ha yM. Ua koho ʻia nā lāʻau hoʻomohala haʻahaʻa noʻu i ka manawa lōʻihi a paʻakikī. ʻAʻole i hele ʻo Metformin i kekahi ʻano, ʻaʻole hiki ke haʻalele i ka hopena o ka hopena. Ma muli o kēia, ua noho mākou ma Amaril a me Glukobay. Lawe maikaʻi lākou i ke kō, ua hiki ke hypoglycemia wale nō inā ʻaʻole ʻoe e ʻai i ka manawa. He kūpono loa nā mea āpau a hiki ke wānana, ʻaʻohe makaʻu e ala i ke kakahiaka. ʻO ka manawa hou, ma mua o Amaril, hāʻawi lākou i ka Lūkini Glimepiride Lūkini. ʻAʻole au i ʻike i kekahi mau mea ʻē aʻe, koe wale nō ka nani o ka pale.E kū e aʻo! Manaʻo paha ʻoe i nā peni a me nā insulin ke ala wale nō e mālama ai i ke kō i lalo o ka mālama? ʻAʻole pololei! Hiki iā ʻoe ke hōʻoia i kēia ʻo ʻoe iho ma ka hoʻomaka ʻana e hoʻohana ... heluhelu hou aku >>

Amaril: nā ʻōlelo aʻoaʻo no ka hoʻohana ʻana, nā loiloi o ka maʻi maʻi, kumu a me nā analog

Manaʻo ʻia ʻo Amaril i waena kaulana o nā maʻi maʻi maʻi. ʻO kona hoʻokipa e hiki ai i nā poʻe maʻi ke kāohi i ko lākou kūlana, e hōʻemi ana i ka mea e ulu ai ka hyperglycemia. Hoʻolaha ʻia nā lāʻau lapaʻau i kauoha ʻia i nā kānaka me ka maʻi II ʻano II.

ʻO ka mea ikaika a Amaril he glimepiride. ʻO ka hoʻonohonoho ʻana o nā papa ka hoʻohui ʻia o nā mea kōkua. ʻO kā lākou papa inoa e hilinaʻi ma ka dosage o glimepiride. ʻO kahiʻokoʻa like ʻole o nā meaʻokoʻa'ē aʻe ma nā papa ma muli o kahi ʻāpana ʻē aʻe.

INN (inoa inoa honua): glimepiride (Latin Glimepiride).

A kūʻai ʻia aku hoʻi ʻo ʻAilail M1, M2 i loko o nā hale kūʻai. Ma waho o ka glimepiride, ka hoʻopili ʻana o nā papa i kahi metformin i ka nui o 250 a 500 mg paha, kēlā me kēia. Ke kuhikuhi ʻia kēia lāʻau lapaʻau e nā endocrinologist wale nō.

Ka hana lāʻau lapaʻau

Loaʻa iā Glimepiride kahi hopena hypoglycemic ma ke kino. He hua hoʻoilina o ka ʻonahi o ka hua a sulfonylurea.

ʻO Amaryl kahi hopena lōʻihi loa. Ke hoʻohana ʻia nā papa, hoʻoliʻi ʻia ka pancreas, a hoʻōla ʻia nā beta-ʻehā. I ka hopena, hoʻomaka ke kūmole i ka maʻi mai o lākou mai, hoʻokomo ke ʻano i ka nui i ke kahe koko. E kōkua ana kēia i ka hoʻohaʻahaʻa ʻana i ke kōpaʻa o ke kō ma hope o ka ʻai ʻana.

I ka manawa like, loaʻa ka glimepiride i kahi hopena extrapancreatic. Hoʻonui ʻia ia i ka ʻike ʻana o ka ʻiʻo, ka ʻiʻo momona ma ka insulin. Ke hoʻohana nei i ka lāʻau, ʻike ʻia ka hopena antioxidant, antiatherogenic, antiplatelet effect.

ʻOkoʻa ka mea ʻōmaʻomaʻo ʻo Amaril ma o nā derivatives sulfonylurea i ka mea i hoʻohana ʻia, ʻoi aku ka haʻahaʻa o ka insulin i hoʻokuʻu ʻia ma mua o ka hoʻohana ʻana i nā lāʻau lapaʻau hypoglycemic ʻē aʻe. Ma muli o kēia, ua liʻiliʻi ka hopena o ka hypoglycemia.

Ke hoʻoikaika nei i ke kaʻina hana o ka hoʻohanaʻana i ka glucose i loko o ka io a me nā momona momona e hiki ke hele ma muli o ka hiki mai o nā ʻōnaehana hoʻoneʻe kūikawā i nā membranes. Hoʻonui ʻo Amaryl i kā lākou hana.

ʻAʻole paʻa ka lāʻau lapaʻau i ka hoʻopau ʻana i nā hāmeʻa pākela huapau o ATP nā myocytes cardiac. Loaʻa lākou i ka manawa kūpono e hoʻololi i nā kūlana ischemic.

Hoʻopili ka hana Amaryl i ka hana o ka glucose e nā selu o ke ake. ʻO ka hopena i hōʻike ʻia ma muli o ka hoʻonui ʻana o ka ʻike o ka fructose-2,6-biophosphate i nā hepatocytes. Hoʻopau kēia mea i ka gluconeogenesis.

E kōkua ana ka lāʻau lapaʻau e pale i ka mea huna o cyclooxygenase, e hōʻemi i ke kaʻina o ka hoʻololi o ka thromboxane A2 mai i ka arachidonic acid. Ma muli o kēia, ua emi ka nui o ka hoʻohui ʻana o ka platelet. Ma lalo o ka hopena o Amaril, ka wā o ka uluʻana o ka hopena oxidative, kahi e ʻike ʻia i ka maʻi kūkaʻi ʻole-insulin, ʻaʻole i emi.

E wehewehe i nā lāʻau lapaʻau e pili ana i ka glimepiride i nā mea maʻi me ka maʻi II ʻĀkō, inā he hana pilikino, ʻaʻole hiki i ka papaʻai ke ʻohi i ke kō.

Ke hōʻike nei nā ʻōkuhi no ka hoʻohana e ʻae ʻia e hui pū me Amaril me ka metformin, inikini insulin.

Kauka ʻo Dr. Bernstein ʻaʻole i ʻāpono ʻia ke koho ʻana i nā lawelawe hypoglycemic, inā paha he mau hōʻailona no ka hoʻohana ʻana. Ua ʻōlelo ʻo ia he maikaʻi ʻole nā ​​lāʻau lapaʻau, hoʻonui i nā maʻi metabolic. No ka hana maʻamau i ke kūlana, hiki iā ʻoe ke hoʻohana i nā derivatives no ka olalone, akā he mea ʻai e hui pū ʻia me ka regimen mālama kūikawā.

Nā ʻōkuhi no ka hoʻohana

Lawe ʻia ʻo Amaryl e ka wae ʻia o ke kauka hele mai. E koho ka ʻai loea i ka dosage mua no kēlā me kēia maʻi maʻi pilikino.Aia ia i ka lehulehu o ka hoʻoliʻi o ka glucose i loko o ke koko, ka nui o ka hoʻonui i ke kō i loko o ka urine.

I ka hoʻomaka ʻana o nā papa hana, e hoʻolako ʻia e inu i nā papa i pili i ka 1 mg o ka glimepiride. Hoʻonui kūlike i ka nui. Hoʻololi ʻia nā papa ʻai 2 mg ʻaʻole ma mua o nā hebedoma ma hope o ka hoʻomaka ʻana o ka lāʻau. I nā manawa mua, nānā ke kauka i ke kūlana o ka mea maʻi, ma muli o ka hopena o ka lāʻau lapaʻau, hoʻoponopono i ka mālama. ʻO ka ʻawaʻawa loa i ʻae ʻia i kēlā me kēia lā he 6-8 mg o ka glimepiride.

Inā hiki ʻole ke hopena therapeutic i makemake ʻia a hiki i ka wā ke lawe ʻia ka nui o ka nui o ka Amaril, a laila hoʻohālikelike ʻia ka insulin.

Pono e lawe i nā papa ma mua o ka papaʻai nui 1 ka manawa i kēlā me kēia lā. Hoʻomaopopo nā kauka i ke inu ʻana i ka lāʻau ma mua o ka ʻaina kakahiaka. Inā kūpono, ʻae ʻia ka hoʻololi ʻana i ka manawa hoʻokipa no ka ʻaina awakea.

Pipa loa nā papa i ka ʻaina ʻole ʻana.

ʻO ka lā kau

Hoʻohana ʻia ka lāʻau lapaʻau no 36 mau mahina mai ka lā o ka hoʻokuʻu.

Pono ke endocrinologist kūpono e koho i ka pono no ka ʻAmelika. Hiki iā ia ke kākau i kahi analogue i hana ʻia ma ke kumu o ka waiwai like, a i ʻole e koho i ka lāʻau lapaʻau i hana ʻia mai nā ʻāpana ʻē aʻe.

Hiki i nā maʻi ke kuhikuhi i kahi mea hoʻopiʻi Lūkini, ʻo Diamerid, he mea maʻalahi ia. No nā papa 30 o ka lāʻau lapaʻau, i hana ʻia ma ke kumu o ka glimepiride, me kahi pāʻālua o ka 1 mg i loko o kahi lāʻau lapaʻau, uku nā mea maʻi i ka 179 p. Me ka hoʻoneʻe ʻana o ka ʻike i ka mea hana ikaika, e hoʻonui ʻia ke kumukūʻai. No ka diamerid i kahi kaila o 4 mg, 383 p.

Inā pono, e hoʻololi iā Amaryl i ka lāʻau lapaʻau Glimepiride, i paʻi ʻia e ka hui ʻo Rū Vertex. He palewale kēia mau penikala. No kahi ʻeke o 30 pcs. E loaʻa nō iā 2 mg ka uku 191 p.

ʻO ke kumukūʻai o Glimepiride Canon, i hoʻohiki ʻia e Canonfarm, kahi i hoʻohaʻahaʻa iho. ʻO ke kumu kūʻai o kahi ʻōpala he 30 mau papa o 2 mg i manaʻo ʻia he haʻahaʻa, ʻo 154 p ia.

Inā he loko ʻole ka glimepiride, ua kuhikuhi ʻia nā mea maʻi i nā mea hou aku i hana ʻia ma ke kumu metformin (Avandamet, Glimecomb, Metglib) a i ʻole vildagliptin (Galvus). Ua koho ʻia lākou e noʻonoʻo i nā hiʻohiʻona pilikino o ke kino o ka mea maʻi.

ʻAkohala a me ʻAmaryl

ʻAʻole hiki ke wānana mua i ka hopena o ka wai inu ʻona e hoʻopilikia i kahi kanaka e lawe i ka lāʻau lapaʻau e pili ana i ka glimepiride. Hiki i ka palaka ke hoʻohaʻahaʻa a hoʻomaikaʻi paha i ka hopena hypoglycemic o Amaril. No laila, ʻaʻole hiki iā lākou ke hoʻopau ʻia i ka manawa like.

Pono ka lāʻau lapaʻau hypoglycemic lōʻihi i ka lōʻihi. Ma muli o kēia, pilikia ke papa ʻaina i ka hoʻohana ʻana i ka mea inu wai inu no ka nui ua lilo i pilikia.

ʻLelo ʻia, lactation

I ka wā o ka hōʻea ʻana o ka pēpē intrauterine o ka pēpē, ka umauma o ka pēpē o ka pēpē, ʻaʻole hiki ke hoʻohana ʻia ka derivatives o ka ʻōpio. I loko o ke koko o kahi wahine hāpai, pono ka paʻila o ka glucose i loko o nā palena maʻamau. Ma hope o nā mea āpau, alakaʻi ka hyperglycemia i ka nui o ka nui o ka hiki ʻana o nā mea maʻi congenital, hoʻonui i ka nui o ka make o nā keiki.

Ke hoʻoiho ʻia nā wahine hāpai i ka insulin. Hiki iā ia ke kāpae i ka hopena o ka hopena o ka hopena o ka lāʻau ma ka pēpē i ka ʻōpū inā haʻalele ʻoe i ka sulfonylurea ma ke ʻano o ka hoʻolālā conception.

I ka wā lactation, ua pāpā ʻia ka lāʻau Amaril. Hoʻāmi ka mea ikaika i ka waiū umauma, ke kino o ka mea hānau pēpē. I ka wā o ka umauma, pono ia e hoʻololi piha ka wahine i ka therapy insulin.

No nā maʻi he nui, ʻaʻole lawa ka hāʻawi ʻana o ka lāʻau endocrinologist no ka hoʻomaka ʻana e inu i kahi lāʻau hou. ʻ saylelo nā kauka e kōkua nā pills i ka pancreas e hana i ka insulin, ʻoiai e hoʻonui nei i ka ʻike ʻana o nā io i kekahi. Hoʻopili kēia i ka maopopo i ka hoʻomakaʻana o ka glucose i loko o ke kino.

Akā makemake nā poʻe maʻi e hoʻolohe i kahi manaʻo e pili ana i ka lāʻau lapaʻau i kuhikuhi ʻia mai nā mea maʻi ʻē aʻe. ʻO ka makemake e ʻike i nā loiloi o nā maʻi ʻē aʻe ma muli o ke kumukūʻai kiʻekiʻe o ka lāʻau. Ma hope o nā mea āpau, nui nā ʻano lāʻau lapaʻau i kūʻai ʻia i hoʻolālā ʻia e hoʻohaʻahaʻa i nā pae glucose, ʻoi aku ka nui o ke kumu kūʻai.

Ke lawe nei iā Amaril no 1-2 mau makahiki, ʻaʻohe hewa i ʻike ʻia. Hōʻike ka hoʻomaʻamaʻa i kahi liʻiliʻi i hoʻohālikelike i ka wā e hoʻohana ai i ka lāʻau lapaʻau.

ʻOi aku ka pinepine, kū aʻe nā pilikia i ka wā e hoʻohana ʻia ai ʻo Amaril M no ka mālama maʻi, i ka hoʻohui pū me ka glimepiride e pili ana i ka metformin. Hoʻopiʻi ka poʻe maʻi i ka hoʻomakeke i ke kino, ka ʻeha o ka ʻili, ka hoʻomohala ʻana o ka maʻi hypertension.

Ma hope o ka lawe ʻana i nā papa, ʻike ʻia kekahi poʻe i kahi pilikia hypoglycemic kokoke, ʻoiai ke nānā aku ke huli nei, ʻaʻole ka loiloi ka hōʻemi i ka glucose.

I nā mahina mua o ka hoʻohana ʻana, e hoʻomaʻemaʻe maikaʻi ka glimepiride i nā pae haʻahaʻa. Akā ʻike kekahi mau kauka e hoʻomaka ka maikaʻi o ka lāʻau lapaʻau i ka wā lōʻihi.

Hoʻonui mua ka mea maʻi i ka hala, a laila ua kuhikuhi pū ʻia ke ʻano o nā lāʻau lapaʻau. Ma kēia ala hiki i ke hiki ke hoʻokō i kahi hoʻōla pōkole o ke aupuni.

Akā ma muli o ka emi ʻana o ka hopena o ka mālama ʻana, hoʻomau mau ka mea maʻi i ka kō i loko o ke kō. Ke alakaʻi nei kēia i kahi palupalu ākea.

Me ke kōkua o Amaril, ua maʻi iki kekahi mau maʻi hānai i ka makemake e hana i nā inikini mau loa o ka insulin. ʻOiai ma ka hoʻomaka ʻana o ka mālama ʻana, nui nā hōʻailona e pili ana i ka hypoglycemia. Hoʻopiʻi ka poʻe maʻi i ka nausea, nā lima haʻalulu, mahaki, ka manaʻo mau ʻana o ka pōloli. Māhuahua, holomua ke ʻano, nalowale nā ​​hōʻike hōʻike maikaʻi.

Kūʻai, kahi e kūʻai ai

Kuhi ʻia nā papa ʻaaryary ma nā ʻekena āpau. ʻO ke kumukūʻai o kahi kāʻei o nā ʻāpana he 30 i hilinaʻi pololei ʻia i ka dosis i manaʻo ʻia e ke kauka.

Hoʻololi aku nā pūʻulu 90 papa. Inā kūʻai ʻoe iā Amaril i loko o ka puʻupuʻu, e mālama liʻiliʻi ʻoe. No ka hana pākuʻi o 90 mau ʻāpana (2 mg) pono ʻoe e uku i ka 1728 p.

Canon Glimepiride

He lāʻau lapaʻau hypoglycemic i lawe ʻia ma ka waha. Hoʻopilikia ia i nā pūpū o ka pancreas a hoʻokuʻu i ka insulin.

He nui nā ʻano o ka lāʻau lapaʻau:

1. Hiki i ka hopena waho aʻe o ka pancreatic ma ke kino, ka mea e hoʻonui ai i ka hiki o nā kola e hoʻonui ai i ka hiki ʻana i ka insulin.
2. Hoʻemi i ka hana o ka insulin i loko o ka puʻuwai.
3. Hōʻike i ka hana glucose.

Kāhea ʻia. Hiki ke kuhikuhi ʻia ka lāʻau hoʻohui me ka insulin, no ka nele o kahi hopena therapeutic. Eia naʻe, i ka mea e hoʻoholo ai i ka dosage, kahi loiloi ʻōnaehana o ka ʻike glucose i loko o ke kahawai koko e pono. Pono lōʻihi ka Therapy. ʻO ke kumukūʻai o 165 rubles.

ʻO ka wā lōʻihi ʻo Gliformin

Ua kuhikuhi ʻia no ka maʻi maʻamau o ka maʻi āpau i nā maʻi me ka momona. Hoʻohana ʻia ka lāʻau lapaʻau ma ka monotherapy a me ka hoʻohui pū ʻana me nā lāʻau lapaʻau ʻē aʻe.

Hiki iā ʻoe ke lawe iā ia e pili ʻole i ka meaʻai. Hoʻoholo ʻia ka hala ʻana a me ke alapine e pili ana i ke ʻano hana i hoʻohana ʻia. Koho i nā lāʻau lapaʻau a hiki i 3 manawa / lā. I kēlā me kēia 15 mau lā ke pono ʻoe e hoʻoponopono i ke kūlohelohe.

Hoʻohui ʻia nā mea hoʻohui o ka lāʻau, kumukūʻai

Ua hoʻonui pū ʻia ʻo Amaril i nā analogue, ʻoi aku ke kiʻekiʻe o ke kumukūʻai, akā ʻo nā loiloi e ʻike ʻia.

1. Avandaglim. ^ E Ha yM. Loaʻa ʻelua mau mea hoʻohui, ʻo ia ʻo rosiglitazone maleate a me ka glimepiride. Hoʻoulu i ka mana glycemic i nā maʻi me ka maʻi diabetes type 2.
2. Avandamet. ʻO ka lāʻau hoʻohui i hoʻohui ʻia ma ka male rosiglitazone maleate a me ka metformin hydrochloride. Hoʻonui i ka hikiwawe o ka insulin.
3. Bagomet Plus. Hoʻokumu ʻia ka hoʻolaha ma ka hui paʻa ʻana o nā mea ʻelua a metformin a me glibenclamide. ʻO ka haʻahaʻa o ka haʻahaʻa i ka pae o ka glucose i ke kahe, hiki ke hoʻokahe i ka hoʻoliʻi ʻana o nā kākeʻe a me ka hoʻēmi ʻana i ka pae o gluconeogenesis. Hoʻopilikia nui ka Metformin i ka hana lipid o ke koko, hoʻohaʻahaʻa i ka cholesterol a me ka triglycerides i loko. Hoʻololi ʻo Glibenclamide i ka ʻike o ka glucose i loko o ke kahawai. E pili ana i nā peni haʻahaʻa e hoʻohaʻahaʻa i ka cholesterol - nā inoa, nā kumukūʻai a me nā loiloi a mākou i kākau ai ma aneʻi.
4. Bagometua. ^ E Ha yM. He nui kona mau hopena maikaʻi:

• hōʻemi i ka hoʻoliʻiliʻi o ka glucose
• e hoʻolohi i nā gluconeogenesis,
• hoʻonui i ka hoʻohana 'ana i ka glucose mea peripheral,
• hoʻonui i ka hiki i nā pale i nā hopena o ka insulin.

Kūlike ke kumukūʻai mai 68 mau rubles a 101 rubles.

Nā manaʻo no ka hoʻohana ʻana i nā papa iā Amaryl

ʻO ka mea hana e like me nā kuhikuhi i loko o ka hoʻomākaukau ʻana ʻo Amaril he glimepiride.

He hopena maikaʻi ka lāʻau lapaʻau:

1. Hoʻokomo i ka hana hana insulin.
2. Hoʻonui i ka hikiʻole o nā umauma i ka insulin i hana ʻia e ke kino.
3. E hoʻokuʻu i nā insulin.
4. Loaʻa iā ia ka hana extrapancreatic.
5. Loaʻa ke hiki i ka myocardium i ischemia i koe.
6. ʻO ka hana Antithrombotic.

Hoʻohana ʻia ka lāʻau lapaʻau no ka maʻi maʻamau ʻo 2. I kēia hihia, hiki ke hoʻohana ʻia ka lāʻau lapaʻau ma ka monotherapy, a hui pū ʻia me nā lāʻau ʻē aʻe.

Hoʻohui ʻaoʻao Amaryl

Mai ka pūnaehana cardiovascular a me ke koko (hematopoiesis, hemostasis):

• hoʻohaʻahaʻa i ke koko
• thrombocytopenia
• Leukopenia
• halekulaolia,
• ahonui
• erythropenia
• pancytopenia
• hemolytic a anemia aplastic.

Mai ka pūnao a me ka hoʻonaninani naʻauao:

• āhāhuʻe
• lie kanikela
• ka hoʻohaʻahaʻa ʻike ʻike.

Mai ka hāliʻi ʻana o ka huina:

• ninini
• utuka
• ʻeha ka ʻōpū
• ka manaʻo o ka kaumaha i loko o ka wahi epigastric,
• pono
• cholestasis intrahepatic.

Mai ka ʻaoʻao o ka metabolism:

Nā ʻili:

• mahuahua transamine pae,
• hyponatremia,
• nā puka kūlohelohe ʻili,
• ʻO ka hapalua cutaneous,
• ashiya,
• ʻaʻano pōkole
• hepati
• kūoʻi vasculi,
• photosensitization

Nā papaʻaina Amaryl

Hypersensitivity, insulin m-dependence diabetes mellitus (type I), ketoacidosis maʻi, diabetes precoma a coma, nele o ka ate a me ka hana function, cachexia, hapai, hapai.

Hoʻopaʻa ma ka hoʻohana ʻana o:

• ʻAʻole hoʻoholo i nā makahiki o nā keiki (palekana a me ka hopena o kona hoʻohana ʻana i nā keiki).

ʻLoe a me ke kākele

I loko, me ka ʻaʻa ʻole ʻana, me ka nui o nā ʻano wai, ma mua o ka ʻaina kakahiaka.

ʻO ka inumua mua (me ka neʻe ʻana mai kahi wai lāʻau antidiabetic waha) ʻo 1 mg i hoʻokahi manawa i ka lā, inā pono, e hoʻonui pinepine ʻia ka nui o kēlā me kēia lā (e ka 1 mg i kēlā me kēia 1-2 mau pule) i 6 mg.

Kuhi ʻia nā ʻōpiopio a me ka mālama mālama ʻia ma ka nānā ʻana i ka hoʻokaʻina pinepine o ke koko a me ka pae o ka wai paʻakai.

Me ka uku uku no ka diabetes mellitus, hoʻonui ʻia ka naʻau o ka insulin, e koi ana i ka hoʻoponopono hoʻoponopono ʻia.

Nā ʻōlelo kikoʻī

Hoʻomaka wale ka mālama ʻana inā ʻaʻole nā ​​normal o kaʻai a me ka hoʻomaʻamaʻa i nā glucose koko.

I ka hoʻomaka ʻana o ka hoʻōla, ke koho ʻana i kahi maʻa, ke kuhi ʻia e hoʻoholo i ka neʻe o ka glucose wikiwiki a me kēlā me kēia mau hola 4, i ka wā e hiki mai nei ke kāohi i ka pae o ka wikiwiki o ka wikiwiki a me ka glucose i loko o kēlā me kēia lā, i kēlā manawa (kēlā me kēia mahina 3-6) e hoʻoholo ai i ka hemoglobin glycosylated.

Inā ʻaʻole pono ka hopena a palupalu paha ka hopena (ke kūmua pale), ua hui ʻia ke hui pū me ka insulin.

Ma muli o ke ʻano o ka inu mau ʻana, hiki i ka hyperglycemia.

Aia ka pilikia o ka ulu ʻana o ka hypoglycemia i ka nāwaliwali nāwaliwali a hoʻohemo ʻia i nā mea maʻi, me ka adrenal, pituitary, a i ʻole ka paʻa ʻole o ka ate.

Hoʻonui ka hopena o ka hypoglycemia e ka waiʻona, kaʻai ʻana i ka ʻai, ka nele o nā ʻona i ka meaʻai, kaumaha a me ka hana o ka lōʻihi.

E hoʻohana me ka akahele aʻo ka hana ʻana no nā mea hoʻokele o nā kaʻa a me nā poʻe e pili pū ana i ka hoʻoulu ʻana o ka makaʻala.

ʻO Amaril ka lāʻau o ka hanauna hou

ʻO ka ʻōlelo aʻoaʻo Amaril no ka hoʻohana ʻana e hāʻawi i kahi loiloi ma ke ʻano he lāʻau lapaʻau hou o nā lāʻau lapaʻau e hakakā i ka maʻi type 2. ʻO kekahi o ka mea e hoʻohiki nui ai i kēia lā ʻo Glibenclamide-HB-419 mai ka hui sulfonylurea. ʻOi aku ma mua o ka hapalua o nā maʻi maʻi me ka ʻano lua ua ʻike iā ia.

ʻO Amaril kahi hana maikaʻi o Glibenclamide i hoʻomohala ʻia e hoʻokō i nā koi hou no ka hoʻopaʻa ʻana i ka "maʻi ʻoliʻoli."

Pharmacological hiʻohiʻona o ka lāʻau

ʻO Amaryl kahi lāʻau lapaʻau hypoglycemic i kōkua e hoʻomalu i nā puna plasma. ʻO ka mea kanu ikaika o ka lāʻau lapaʻau ka glimepiride. E like me kona mea ma mua, ʻo Glibenclamide, ʻo Amaril nō hoʻi mai ka hui sulfonylurea, ka mea e hoʻonui ai i ka synthesis o ka insulin mai nā huina o nā papa pancreatic o Langerhans.

E hoʻokō i ka hopena i manaʻo ʻia, poloka lākou i ka leona pālela ATP me ka māhuahua o ka naʻau.

Ke kāpili nei ka sulfonylurea i nā mea ʻona e kū ana ma nā membrane cell-cell, e loli ka hana o ka mana K-AT.

Ke kāohi nei i nā lānai o ka calcium me ka hoʻonui o ka pae ʻana o ka ATP / ADP i ka cytoplasm e hoʻonāukiuki ana i ka depolarization o ke membrane. E kōkua ana kēia e hoʻokuʻu i nā ala o ka calcium a hoʻonui i ka hoʻoili ʻana o ka calcium cytosolic.

ʻO ka hopena o ka hoʻonāukiuki o ka exocytosis o nā granule secretory, ʻo ia ke kiʻi o ka excretion o nā pūhui i loko o ka medium intercellular e nā sela, ke hoʻokuʻu i ka insulin i ke koko.

ʻO Glimepiride ka mākana o ka hanauna 3 o ka sulfonylureas. Hoʻopuka ia i ka hoʻokuʻu o ka hormone pancreatic, hoʻonui i ka naʻau o ka insulin me ka protein a me nā lipid cell.

ʻO nā jaringan peripheral e hoʻoneʻe i ka glucose i hoʻohana nui i ka hoʻohana ʻana i nā mea hoʻonaʻauao mai nā membran cell. Me kahi ʻano maʻi kūʻokoʻa o ka insulin, ua hoʻolōʻihi ʻia ka hoʻololi ʻana o nā meli i loko o nā lau. Hoʻopau ka Glimepiride i ka hoʻonui o ka nui o nā protein o ka halihali a hoʻonui i kā lākou hana. Kēia mau hopena pancreatic ikaika e ho'ēmi i ka pale ʻana i ka insulin (insensitivity) i ka hormone.

Mālama ʻo Amaryl i ka hoʻohuihui ʻana o ka glucogen e ka ʻōpū ma muli o ka hoʻonui ʻana i ka nui o ka puʻu fructose-2,6-bisphosphate me nā antiaggregant (ʻohi ʻana i ka hoʻokumu ʻana o thrombus), antiatherogenic (hoʻemi i nā kuhikuhi o ka "bad" kolesterol) a me nā antioxidant (regenerative, anti-aging). Hōʻemi nā kaʻina o ka oxidation ma muli o ka hoʻonui i ka ʻike o ka endogenous b-tocopherol a me ka hana a nā hana antioxidant.

ʻOi paha ka hapa liʻiliʻi o Amaril e hoʻomaikaʻi nui i ka glucometer.

ʻO ka Pharmacokinetics o ka lāʻau

I ka hoʻonohonohoʻana o Amaril, ka māhele koʻikoʻi o ka glimepiride mai ka hui sulfonylurea. ʻO Povidone, lactose monohidate, magnesium stearate, cellulose microcrystalline a me nā ʻoni E172, E132 e hoʻohana ʻia ma ke ʻano he filler.

Hoʻopilikia nā huina o nā naʻau iā Amaryl 100%, no laila ʻo ka hoʻohana mau ʻana i ka lāʻau lapaʻau ʻaʻole i hoʻoweliweli i ka hōʻiliʻili ʻana o kona nui ma o nā mea kino a me nā kiko. Ma muli o ke kaʻina hana, ua hoʻokumu ʻia nā hua ʻelua o ka glipemiride: hydroxymetabolite a me carboxymethabolite. Hāpai ka metabolite mua me nā waiwai o ka pharmacological i hoʻolako i kahi hopena hypoglycemic paʻa.

I loko o ke koko, e ʻike ʻia ka nui o nā kikoʻī o ka hana ikaika ma hope o nā hola ʻelua a me ka hapa. Kahu kūlohelohe kūloko, ʻaʻole ka palena o ka lāʻau lapaʻau i ka mea maʻi i ke koho o nā huahana meaʻai kahi e "hopu" ai ia i ka lāʻau lapaʻau. Loaʻa kahi kikowaena i kēlā me kēia 100%.

Ka mea hele mālie ka lāʻau lapaʻau, ka wikiwiki o ka hoʻokuʻu ʻana i nā umauma a me nā wai o ke kino mai ka lāʻau lapaʻau (clearance) ka 48 ml / min. ʻO ka hoʻopau hapa hapalua-ola mai 5 a 8 mau hola.

Hoʻomaopopo ka hoʻomaikaʻi nui ʻana i nā maʻi glycemic a me nā pilikia hana me ka ate, ʻoi aku, ma ka wā ʻelemakule (ʻoi aku ma mua o 65 mau makahiki) a me ka hoʻopiʻi ʻana o ka ate, he maʻamau ke ʻano o ka hana ikaika.

Pehea e hoʻohana ai iā Amaryl

Hoʻohana ʻia kahi lāʻau lapaʻau i ke ʻano o nā papa oval me ka ʻoka hoʻokaʻawale, e hiki ai iā ʻoe ke wehe iki i ka ʻano i loko o nā ʻāpana. Kuhi ka papa o nā papa i ka pākuʻi: 1 mg glimepiride - pink pink, 2 mg - greenish, 3 mg - ʻono.

ʻAʻole koho ʻia kēia hoʻolālā e nā ala kūpono ʻole: inā hiki ke hoʻokaʻawale ʻia nā papa ma ke kala, ʻo ia ka hoʻēmi ʻana i ka nui o nā maʻi kuhihewa ʻole, ʻo ia hoʻi i nā mea maʻi ʻelemakule.

Hoʻopaʻa ʻia nā papa i nā palaka o nā 15 pcs. Hiki i kēlā me kēia pahu ke loaʻa mai ka 2 a 6 paha mau papa.

He lōʻihi ka papa o ka mālama ʻana me ka lāʻau lapaʻau, he nui nuances. No ka laʻana, ʻaʻole hiki iā ʻoe ke ʻalo i ka ʻai i ka wā e lawe ai i ka lāʻau lapaʻau.

Nā hiʻohiʻona o ka hoʻohana ʻana iā Amaril:

1. Paʻa ʻia ka papa ʻaina (a ʻāpana paha) a holoi ʻia me ka wai ma ka liʻiliʻi o 150 ml. Ma hope koke o ka lawe ʻana i ka lāʻau lapaʻau, pono ʻoe eʻai.
2. Koho i ka endocrinologist i ka hoʻoponopono lāʻau lapaʻau e like me nā hopena o ka nānā ʻana o nā kuʻuna o nā mea ola.
3. Hoʻomaka i ke papa me nā hopena liʻiliʻi o Amaril. Inā ʻaʻole ma kahi o 1 mg ma hope o kekahi manawa ke hōʻike nei i ka hopena i hoʻolālā ʻia, hoʻonui ʻia ke kiʻekiʻe.
4. Hoʻoponopono iki ʻia ka lāʻau i loko o nā hebedoma 1-2, no ka manawa ke manawa ke hoʻololi nei ke ʻano o nā kūlana hou. I kēlā me kēia lā, hiki iā ʻoe ke hoʻonui i ka nui ma mua o ka 1 mg. ʻO ka nui loa o ka lāʻau lapaʻau ka 6 mg / lā. Hoʻoholo ʻia kahi kau palena pilikino e ke kauka.
5. Pono e hoʻoponopono i ka pākaukau me ka loli o ka paona o ka maʻi maʻi a i ʻole ka nui o nā ukana o ka hoowalewale, me ka ʻike ʻia ʻana o ka hopena o ka hypoglycemia (me ka pōloli, ka pōʻino, ka hōʻemi ʻona, nā keiki a me nā pilikia o ka ʻōpū).
6. Hoʻohana ʻia ka manawa hana a me ka dosage i ke kaohi o ke ola a me nā hiʻohiʻona o ka metabolism. ʻO ka maʻamau, hoʻokaʻawale kahi hoʻokele hoʻokahi o Amaril i kēlā me kēia lā me ka hoʻopili pono ʻana me ka meaʻai. Inā piha ka ʻaina kakahiaka, hiki iā ʻoe ke inu i ka popo i ke kakahiaka, inā he hōʻailona - he maikaʻi loa ke hoʻohui ʻana i ka hoʻokipa me ka ʻaina awakea.
7. Hōʻike hoʻoweliweli ka nui o ka overdose me ka hypoglycemia, i ka wā o ka huapalapala i loko o ka lymph e hāʻule ai i ka 3,5 mol / L a i lalo. Hiki ke hoʻomau ʻia ke ʻano no ka manawa lōʻihi: mai ka 12 mau hola a i 3 lā.

ʻO nā papa ʻaʻa Amaryl (i loko o kahi pahu o nā ʻāpana he 30) ke kūʻai aku nei ma ka kūʻai o:

• 260 ʻōpala - 1 mg,
• 500 rub - 2 mg i kēlā me kēia
• 770 rub. - 3 mg i kēlā me kēia
• 1020 ʻōpala. - 4 mg i kēlā me kēia.

Hiki iā ʻoe ke loaʻa nā paʻi o ka 60, 90,120 ʻāpana o nā papa.

Mālama ʻia nā pahu Amaril i ka mahana o ka lumi (a hiki i ke 30 tikelika) no ka ʻole ʻekolu mau makahiki. ʻAʻole pono ke komo ʻia nā pahu kōkua mua i nā keiki.

Hoʻohui ʻē aʻe i ka lāʻau

ʻO ka maʻi maʻamau, ʻoi aku ka "me ka ʻike", ma ke ʻano he kānāwai, he ʻāpana piha o nā hoʻopiʻi kikowaena: hypertension, puʻuwai a me nā pilikia vascular, pilikia metabolabous, kaʻeha a me nā puʻuwai. Me kēia pahu, pono ʻoe e lawe i nā lāʻau lapaʻau wale nō.

No ka pale ʻana i nā hōʻino o nā moku koko a me ka puʻuwai, ua kau ʻia nā lāʻau lapaʻau me ka aspirin. Hoʻokuʻu ʻo Amaryl iā ia mai nā ʻōnaehana protein, akā e loli ʻole ka pae o ke koko. E loli paha ka hopena holoʻokoʻa o ka hoʻohana ʻana.

Hoʻokāʻoi 'ha awina AMARE kona hou i ka insulina, Allopurinu, coumarin nā mea loaʻa, anabolic steroid, guanethidine, chloramphenicol, fluoxetine, fenfluramine, pentoxifylline, Feniramidolu, fibricʻakika nā mea loaʻa, phenylbutazone, miconazole, azapropazone, probenecid, quinolones, oxyphenbutazone, salicylates, tetracycline, sulfinpyrazone, Tritocqualin a me sulfonamides

Ua hoʻemi ʻo Amaril i ka hiki ke hoʻohui i ka Epinephrine, glucocorticosteroids Diazoxide, laxatives, Glucagon, barbiturates, Acetazolamide, saluretics, thiazide diuretics, acid nikotinic, Phenytoin, Phenothiazine, Rifampicin, Chlorpromazine, a me ka progestin.

Amaryl hoʻohui hīmeni H2 contactor blockers, reserpine a me clonidine hāʻawi i kahi hopena i manaʻo ʻole ʻia e nā hāʻule iho o ka glucometer ma kahi āpau. Loaʻa kahi hopena like i ka hoʻokomo ʻana i ka waiʻona a me Amaril.

ʻAʻole pili ka lāʻau lapaʻau i ka hana o nā inhibitor ACE (Ramipril) a me nā mea anticoagulant (Warfarin) i kekahi ʻano.

Nā kikowaena Hypoglycemic

Inā kū pono iā ia kekahi lāʻau hypoglycemic me Amaril, hoʻokaʻawale ʻia nā laʻe haʻahaʻa (1 mg), i nā mea i loaʻa i ka mea maʻi i ka lāʻau ma mua i ka nui loa. ʻO ka mea mua, ke nānā ʻia nei ka hopena o ka mea maʻi me nā hebedoma ʻelua, a laila hoʻoponopono ʻia ke ʻano.

Inā hoʻohana kekahi antidiabetic me ka hapalua hapalua i ola ma mua o Amaril i mea e pale aku ai i ka hoʻomohala ʻana o ka hypoglycemia, pono kahi hoʻomaha no kekahi mau lā ma hope o ka hoʻopau ʻia.

Inā hiki i ka maʻi lolo ke hoʻomau i ka hiki o ka pancreas e hana i kona iho ponoʻī, a laila hiki i nā inikini insulin hiki ke 100% kū iā Amaryl. Hoʻomaka ka papa ʻana me ka 1 mg / lā.

Inā ʻaʻole i ʻae ʻia ka uku hoʻohaʻahaʻa gula gula Metformin i ka ʻohi piha ʻana i ka maʻi maʻi, hiki iā ʻoe ke lawe hou iā Amaril 1 mg. Inā ʻaʻole ʻoluʻolu nā hopena i ka hopena, e hoʻololi lohi ʻia ka maʻamau i 6 mg / lā.

Inā ʻaʻole i ola ʻo Amaril + Metformin i kahi i kūpaʻa ai, ua hoʻololi ʻia me Insulin, ʻoiai e hoʻomau ana i ke ʻano maʻamau o Amaril. Hoʻomaka kekahi injections Insulin me ka liʻiliʻi liʻiliʻi. Inā ʻaʻole paipai nā hōʻailona o ka glucometer, hoʻonui i ka nui o Insulin. Hoʻohana maikaʻi ka hoʻohana ʻana i nā lāʻau lapaʻau, ʻoiai e hiki iā ʻoe ke hōʻemi i ka hoʻokomo ʻana o ka hormone ma o 40% hoʻohālikelike ʻia me ka lāʻau hormonal maʻemaʻe.

Ma kahi o Amaril, loaʻa i ka endocrinologist nā koho no ka hoʻohālikelike: Amaperid, Glemaz, Diapyrid, Diameprid, Glimepiride, Diagliside, Reclid, Amix, Glibamide, Gllepid, Glayri, Panmicron, Glibenclamide, Gligenclad, Glliblik Dimari, Dimari, Dimari Glimaril, Glyclazide, Manil, Maninil, Glimed, Glioral, Olior, Glynez, Glirid, Gluktam, Glypomar, Glyurenorm, Diabeton, Diabresid.

No ka mea ua manaʻo ʻia ʻo ia, a i ʻole ʻia e kau ʻia ka lāʻau lapaʻau

Ua kūkulu ʻia ka lāʻau lapaʻau no ka mālama ʻana i nā maʻi diabetes type 2. Hoʻohana ʻia ia me ka monotherapy a ma ka mālama ʻia paʻakikī ma ka ʻaoʻao me Metformin a i ʻole Insulin.

Ua loaʻa i ka hāmeʻa ikaika ʻo Amaril ka pale i ka plasenta, a ke komo aku nei ka lāʻau lapaʻau i ka waiū umauma. No kēia kumu, ʻaʻole kūpono ia no nā māmā a me ka lactating.

Inā makemake ka wahine e lilo i makuahine, ʻoiai ma mua o ka hāpai ʻana o kahi keiki, pono ia e hoʻoneʻe i ka inikini insulin e ʻole ʻo Amaril.

No ka manawa hānai, mālama ʻo ia mau koho, inā naʻe he pono no ka mālama ʻana me Amaril, e hoʻopau ʻia ka umauma.

Hoʻohana ʻia ka hoʻohana ʻana i ka lāʻau lapaʻau ma ka coma maʻi maʻi a me kahi kūlana i mua o ke coma. Ma nā hopena hoʻonā o ka maʻi maʻi (e like me ke ketoacidosis), ʻaʻole i hoʻohui ʻia ʻo Amaryl. ʻAʻole kūpono ia ka lāʻau lapaʻau no nā maʻi maʻi me ka maʻi like ʻole.

Nā hiʻohiʻona maʻamau, hoʻokuʻu i ke ʻano a me ka ʻano

Ma ke kūʻai aku, loaʻa i ka lāʻau lapaʻau i 4 mau keneka, e pili ana i ka nui o nā mea ikaika.

• papa weleʻele - 1 mg
• ʻōmaʻomaʻo - 2 mg
• kukui melemele - 3 mg
• pāmiki - 4 mg

ʻO ka mea waiwai he glimepiride. Ma kahi o nā palapala i hōʻike ʻia, aia pū kekahi hui ʻAmelika Mary, nona ka metformin.

Loaʻa ʻo Amaryl M i nā helu 2 mau, i hōʻike ʻia e nā mea like i ka mana o ka glimepiride / metformin:

ʻAʻole i like me ke ʻano ma mua, hōʻike ʻia ʻo Amaril M i ke keʻokeʻo a me kahi ʻano biconvex.

Kuhi ʻia i ka papa ʻaina kūpono, kahi ʻano o nā hana haʻuki e kuhikuhi ana i ka paona ʻana, ʻoi aku ka mālama ʻia ʻana o ka lāʻau lapaʻau kiʻekiʻe no ka maʻi maʻamau o ka maʻi āpau.

• type 2 non-insulin-dependence mellitus (me monotherapy a i hui pū ʻia me ka metformin a i ʻole insulin),
• inā ʻaʻole hiki ke hoʻokō ʻia ka mālama glycemic me ka monotherapy me glimepiride a i ke metformin,
• i ka wā e hoʻolioli ai i ka hui pū ʻana me ka hoʻohana o kekahi me Amaril M i hui pū ʻia.

He lāʻau maikaʻi loa ʻo Amaryl no nā maʻi maʻi type 2 ʻaʻole i hoʻohana ka insulin.

Nā hopena ʻaoʻao a me ka overdose

ʻO kekahi o nā hopena kūpono ʻole i ka emi ʻana o ke kō koko koko i ka liʻiliʻi, ʻo nā hōʻailona o kēlā me kēia:

• ka manao palupalu
• āhāhuʻe
• ʻōpū o nā ʻōpū
• ka lawehala
• ka manao o ka pololi
• achika
• pilikia me nā hana ʻike.

ʻOi aku ka ikaika o ka hoʻouka ʻana o ka hypoglycemia, ʻoi aku ka hou o ka ʻike. ʻO kekahi manawa like like nā hōʻailona me ka ʻeha, i hele pū me ka ʻike ʻole ʻole a me ka ʻike naʻau.

ʻO ka hana nui o kēia hana ka hana maʻamau i nā pae glucose koko.

ʻO nā hopena ʻē aʻe o Amaril:

1. ʻŌnaehana aloha. ^ E Ha yM. Hoʻomaʻamaʻa ka mea maʻi i ka maʻi ʻeha, pilikia pilikia, a i ʻole ka hiamoe hiamoe. ʻO kahi manaʻo e luhi a hele paha paha kahi hopohopo kaumaha. Ua nalowale ke nānā ʻana o ka nānā ʻana, me ka lohi i nā hopena psychomotor. Hoʻomaopopo ka mea maʻi. ʻO ka hopohopo, nā hemahema o ka hoʻokaumaha ponoʻī, ʻo ka hōʻuluʻulu ʻana, nā hōʻeha, nā mea kaumaha e hiki ai i ke koma.
2. ʻŌpala Gastrointestinal. ^ E Ha yM. Hōʻike ka hopena maikaʻi ʻole o Amaril ma luna o ka ʻeha gastrointestinal e ka luaʻi reflexes, sensations of pain in the epigastric region, nausea, diarrhea, discoloration o ka ʻula i ka melemele, ʻeha a me ka hepatitis.
3. Vaaia. ^ E Ha yM. Hoʻokomo ʻia ka hopena o nā lāʻau i ko lākou iho i kahi manawa ma mua o ka mālama ʻana. Hoʻomaʻamaʻa ka mea maʻi i ka emi ʻana o ka hihio, kahi e pili pū ana me nā loli wikiwiki i ka puna koko.
4. Kauʻeha. ^ E Ha yM. Hoʻokahi ʻia ka hopena o ka tachycardia cardiac kahe, ka angina pectoris, bradycardia, hypertension arterial, a i ʻole e hōʻeha i ka neʻe ʻana o ka naʻau e hōʻike i nā pilikia me ka hana cardiac.
5. Koko. ^ E Ha yM. Ke loli nei ke ʻano koko. ʻO ka anemia, leukopenia, thrombocytopenia, erythrocytopenia, granulocytopenia, pancytopenia a agranulocytosis hiki.
6. Hōʻano maʻi o ka ʻili. ^ E Ha yM. Ke hōʻike ʻia nei e ka helehelena urticaria, he rumakika maʻi. I kēia hihia, hiki i kahi huehue hiki ke hele koke i ka pīhoihoi anaphylactic.

Inā hele mai kēia mau ʻōmaʻomaʻo overdose a i ʻole nā ​​hopena ʻaoʻao, pono e ʻike ka mea maʻi i ke kauka. ʻO ke kōkua kūʻokoʻa pono mua e lawe wikiwiki i kahi ʻāpana o ke kō, ke kō a wai kīwaha paha.

Nā Kūleʻa Kūʻai a me nā Analog

I ka helu ʻana i ka mea maʻi me ka amaryl lāʻau ʻē aʻe, lawe ʻia kā lākou hui.

• insulin a me nā papa ʻē aʻe o ka hana hypoglycemic alakaʻi i ka hoʻonui ʻana i ka hoʻoikaika hypoglycemic o Amaril,
• ka hiki ʻana o adrenaline, sympathomimetics - kahi i hoʻemi ʻia ka hopena hypoglycemic,
• reserpine, clonidine, histamine H2-receptor blockers - ke ʻano o ke ʻano o ka instability o ka hopena hypoglycemic,
• ʻO nā huahana e loaʻa ana o Ethyl - e pili ana i ka paʻa o ka ethanol i loko o ke koko, he piʻi a hoʻemi paha paha ma ka hopena hypoglycemic.

Loaʻa nā kikoʻī i loaʻa i ka hopena like, he like pū me ka mea like a kūʻai ʻia paha ma ke kumukūʻai kūpono.

1. Canon Glimepiride. ^ E Ha yM. ʻO mea hoʻohiwahiwa o ka Amaril, i hoʻoholo ʻia no ka hiki ʻole o ke kākahu olakino a me ka hana kūlohelohe.
2. Glimepiride. ^ E Ha yM. ʻO ka lāʻau lapaʻau e like me Canon me kahi mea hana like. He mau contraindications. Ke papa ia iho nei o lilo. ʻO ka hoʻolālā ʻana o ka Russian Federation.
3. Haipule. ^ E Ha yM. ʻO nā peni maʻi type 2. Hoʻomaopopo ʻia i ka haʻalele ʻana o ka hana kūpono mai nā meaʻai a me ka hoʻomaʻamaʻa. Ke papa ia no ka maʻi maʻi type 1.

Koho ʻia nā koho e hoʻohālikelike ʻia i kahi loea. Hoʻohana ʻia nā lāʻau lapaʻau e like me ka hoʻolālā. Hiki i ke kipi i ka hala ʻana ke hopena i nā hopena hiki ʻole ke hoʻololi i ke kino.

ʻAuhea e kūʻai ʻia ai ka lāʻau lapaʻau?

ʻO Amaryl kahi lāʻau lapaʻau i kūʻai ʻia ma ke kikowaena kūʻai o kekahi kūlanakauhale. Kūlike ke kumukūʻai mai 238 rubles. a hiki i 2550 rubles, kahi i kau ʻia ma muli o ka ʻai ʻana o ka gima glimepiride a me ka nui o nā papa i ka pākaukau.

Oe ke kuai i nā paila maikaʻi ma ke kumukūʻai ma lalo o nā lāʻau lapaʻau ma o ka hale kūʻai pūnaewele. I ke kūʻai ʻana i nā lāʻau lapaʻau, e hoʻolohe pono i kona kumu i hoʻomaka ʻia, no ka mea, he nui nā ʻoiaʻiʻo e loaʻa ka hoʻopunipuni.

Amaril - nā loiloi o nā kauka, nā analogues, nā ʻōlelo e hoʻohana ai, ke kumukūʻai maikaʻi loa i nā lāʻau lapaʻau e kūʻai aku ai

Amaril®

I loko me ka hokeo ʻole, ka holoi ʻana me ka nui o ka wai (e like me 0,5 mau kī). Inā kūpono, hiki ke hoʻokaʻawale i nā papa o Amaril® ma o nā pilikia i 2 mau māhele.

E like me ke kānāwai, ua hoʻoholo ʻia ka hopena o ka make ʻana o Amaril® ma o ka loaʻa ʻana o ka maʻi glucose i loko o ke koko. ʻO ka maʻa haʻahaʻa e lawa ai i ka hoʻokūkū pono kūpono e pono e hoʻohana.

I ka wā o ka mālama ʻana me Amaril®, pono ia i ka hoʻoholo pinepine i ka neʻe o ka glucose i ke koko. Eia kekahi, ʻoi aku ka mālama pinepine ʻana i nā pae hemoglobin glycosylated.

Ke pau nei ka hana o ka lāʻau lapaʻau, no ka laʻana, ka pākuʻi ʻana i nā mahele hope aʻe, pono e hoʻokaʻawale ʻia e ka hoʻopiʻi ʻana o ka wai kiʻekiʻe aʻe.

ʻO ka hana a ka mea maʻi ma ke ana o nā hewa i ka wā e lawe ai i ka lāʻau (ʻoiai, i ka wā e keʻe nei i ka hopena hou aʻe a i ʻole ke kala ʻana i ka ʻai) a i loko o kahi e hiki ʻole ai ke lawe i ka lāʻau lapaʻau e kūkākūkā e ka mea maʻi a me ke kauka i mua.

Hoʻomoe a me ke koho kūloko

ʻO ka maʻa mua loa he 1 mg o glimepiride 1 manawa i kēlā me kēia lā.

Inā pono, hiki ke hoʻonui ʻia ka nui o kēlā me kēia lā (ma waena o 1-2 mau pule). Kuhi ʻia ia e hoʻomau ʻia ka piʻi ʻana o ka pā ma lalo o ka mālama ʻana i ka hoʻokaʻina o ka glucose koko a kūlike i ka pae e piʻi ana i kēia manawa: 1 mg - 2 mg - 3 mg - 4 mg - 6 mg (−8 mg).

Loaʻa ka Doseage i nā maʻi me ka maʻi maʻi āpau

ʻO ka maʻamau, ʻo kahi laʻana i kēlā me kēia lā i nā poʻe maʻi me ka maʻi maʻamau i mālama ʻia ke kahuhina lālau ʻo ka wai ʻōpala ʻo 1/4 mg glimepiride. ʻOi aku ka momona o kahi lā ma mua o 6 mg ʻoi aku ka maikaʻi ma loko o kahi helu liʻiliʻi o nā maʻi.

ʻO ka manawa o ka lawe ʻana i ka lāʻau lapaʻau a me ka hāʻawi ʻana i nā dosis i kēlā me kēia lā e hoʻoholo ʻia e ke kauka, e pili ana i ke ʻano o ka mea maʻi i ka manawa i hāʻawi ʻia (ka manawa ʻai, ka nui o nā hana pilikino).

ʻO ka maʻamau, hoʻokahi ka nui o ka lāʻau lapaʻau i ka lā i lawa. Ua hōʻike ʻia ma kēia hihia, e lawe koke ʻia ka papa holoʻokoʻa o ka lāʻau ma mua o ka ʻaina kakahiaka piha a i ʻole, inā ʻaʻole i lawe ʻia i kēlā manawa, ma mua o ka pāʻina mua. He mea nui ia e kānalua i ka papaʻaina ma hope o ka lawe ʻana i nā papa.

No ka mea e pili ana i ka hoʻokele metabolic hoʻomaikaʻi me ka hoʻonui ʻana i ka naʻau o ka insulin, pono ke emi ka nui o ka glimepiride i ka wā mālama. I mea e pale ai i ka hoʻomohala ʻana o ka hypoglycemia, pono ia e hōʻemi i ka manawa kūpono a i ʻole ke lawe ʻana iā Amaril®.

Pono ia nā ʻano e hoʻoponopono ai i ka glimepiride:

- hōʻemi i ke kaupaona kino o ka mea maʻi,

- nā loli i ke ʻano o ka mea maʻi (loli i ka ʻai, ka manawa ʻai, ka nui o ka hana kino),

- ka puka mai o nā kumu e alakaʻi i kahi predisposition i ka hoʻomohala ʻana o ka hypoglycemia a i ʻole hyperglycemia (e nānā i ka ʻāpana "Nā ʻōlelo kikoʻī".

Hoʻololi pinepine ʻia ka hoʻomaʻamaʻa Glimepiride no ka manawa lōʻihi.

Ka hoʻololi i ka mea maʻi mai kahi kahu hypoglycemic hou no ka hoʻokele waha i ka Amaryl®

ʻAʻohe pilina pololei ma waena o nā pona o Amaril® a me nā mea hou e pili ana i ka hypoglycemic no ka hoʻokō waha.

Ke hoʻololi ʻia kahi laikini hypoglycemic no ka hoʻokūkū waha me Amaril®, ke noi ʻia nei ke ʻano o ke kaʻina hana no kāna hoʻokele ʻana i ka ʻano me ka hoʻokele mua o Amaril®, i.e.

Hoʻomaka ka mālama ʻana me kahi laʻa haʻahaʻa o 1 mg (ʻoiai inā neʻe ka mea maʻi i Amaril® me ka nui o ka nui o nā lāʻau lapaʻaka hypoglycemic no ka hoʻokūkū waha). Pono e hoʻonui ʻia ka hoʻonui ʻana i kekahi mahele i ke ʻano, e noʻonoʻo ana i ka pane i ka glimepiride e like me nā ʻōlelo a luna.

Pono e mālama i ka ikaika a me ka lōʻihi o ka hopena o ka ʻaihue hypoglycemic ma mua no ka hoʻokō waha. ʻO ka ʻaina o ka mālama ʻia e pono ai e pale i ka hoʻopiʻi ʻana i nā hopena e hoʻonui ai i ka hopena o ka hypoglycemia.

Hoʻohana me ka hui pū me ka metformin

I ka poʻe maʻi me ka maʻi ʻohi o ka maʻi mellitus, i ka wā e lawe ai i ka nui o nā lā nui o kēlā me kēia glimepiride a i ke metformin, e mālama ʻia ai ka hui ʻana o kēia mau lāʻau ʻelua.

Ma kēia hihia, ke hoʻomau nei ka mālama mua me bohala glimepiride a i ʻike paha i ka pae hoʻokō like, a hoʻomaka ʻia ka nui o ka metformin a i ʻole glimepiride me kahi haʻahaʻa haʻahaʻa, ʻo ia ka titrated ma muli o ka pae hoʻokele o ka hoʻokele metabolic a hiki i ka pae nui loa o kēlā me kēia lā. Pono e hoʻoulu ʻia ʻo ka lāʻau lapaʻau ma lalo o ka nānā kiaʻi olakino.

Hoʻohana me ka insulin

I nā mea maʻi me ka maʻi mellitus e lawa ʻole ʻia, e hāʻawi ʻia ka insulin i ka manawa like i ka wā e lawe ai i ka nui o nā lā he nui o glimepiride.

I kēia hihia, ʻaʻole i loli iki ka hopena hope o ka glimepiride i ʻōlelo ʻia i ka mea maʻi. I kēia hihia, hoʻomaka ka mālama ʻana i ka insulin me nā hōʻemi haʻahaʻa liʻiliʻi, e hoʻonui i lalo ma lalo o ka kaohi o ke kaʻe o ka glucose i loko o ke koko.

Hoʻohālikelike ka mālama ʻana i ka mālama ʻana i ka lāʻau lapaʻau.

Hoʻohana i ka poʻe maʻi me ka hiki ʻole o ka pale. He palena iki ka ʻike o ka hoʻohana ʻana i ka lāʻau lapaʻau ma nā mea maʻi me ka hiki ʻole o ka renal. ʻO ka maʻi me ka hana renal impaired i ʻoi aku ka naʻau o ka hopena hypoglycemic of glimepiride (e nānā i nā ʻāpana "Pharmacokinetics", "Contraindications").

Hoʻohana i ka poʻe maʻi me ka hiki ʻole o ka ate. He palena liʻiliʻi nā ʻikepili e pili ana i ka hoʻohana ʻana i ka lāʻau lapaʻau no ka hāʻule ʻana o ka ʻōpū (e ʻike i ka ʻāpana "Contraindications").

Hoʻohana i nā keiki. ʻAʻole lawa i ka ʻikepili ma ka hoʻohana ʻana i ka lāʻau lapaʻau i nā keiki.

Pehea e lawe ai iā Amaryl: ma mua o ka papaʻaina a ma hope paha?

Lawe ʻia ʻo Amaryl ma mua o ka papaʻaina, no laila ua manawa ka hoʻomaka ʻana e hana ʻia e ka wā i ʻai ʻia ka ʻai. Ma ke kānāwai, ke kauoha nei ke kauka i ka mea maʻi i lawe i kēia lāʻau lapaʻau ma mua o ka ʻaina kakahiaka. A inā ʻaʻohe maʻi o ka mea maʻi i ka ʻaina kakahiaka, a laila lawe ʻoe i kahi paila ma mua o ka ʻaina. ʻO nā hui e loaʻa ana i ka glimepiride waiwai e pono e lawe ʻia i ke ala like.

Mai hoʻāʻo e hoʻolele i ka ʻai ma hope o ka lawe ʻana iā Amaril. Pono ʻoe e ʻai, inā ʻaʻole nā ​​lāʻau lapaʻau e hoʻohaʻahaʻa i ke koko koko nui a loaʻa nō ke ʻano hypoglycemia. He hopena hoʻonāukiuki kēia e hiki ai i ke kumu o ka ʻano paʻakikī. Mai ka nalo a me nā palpitations a koma a me ka make. ʻO ka hōʻemi o ka hypoglycemia kekahi o nā kumu i manaʻo ʻole ai ʻo Dr. Bernstein e lawe i ka glimepiride. Ma kou hoʻihoʻi ʻana he mea hoʻoponopono palekana a palekana hoʻi ka lāʻau papa lāʻau no ka maʻi maʻamau 2.

Ua hui like kēia lāʻau lapaʻau me ka waiʻona?

Pono nā ʻōlelo no ka hoʻohana ʻana o nā papa Amaril i ka poʻe maʻi maʻi e haʻalele i ka waiʻona i ka wā o ka lōʻihi o ka mālama ʻana me kēia lāʻau lapaʻau. Ma muli o ka inu ʻona e hoʻonui ai i ka pilikia o hypoglycemia a me nā pilikia pilikia. ʻO ka paʻakikī o ka glimepiride lāʻau me ka waiʻona he pilikia koʻikoʻi. No ka mea he laʻau ia no ka manawa lōʻihi, a mai ke ola ʻana no ka manawa pōkole.

I ka manawa like, nā mea maʻi me nā maʻi maʻi type 2 ʻaʻole e lawe ʻole i nā pōpoki maikaʻi a mālama ʻia e like me kēia papa hana ʻaʻole i pāpā ʻia i ka inu ʻana i ka waiʻona a i ko lākou hiki. E nānā i ka ʻatikala "Alcohol for Diabetes" no nā kikoʻī. Hiki iā ʻoe ke mālama i ke kō o ka melemele maʻamau a hāʻawi i kekahi manawa iā ʻoe e inu i ke aniani a ʻelua paha me ka hoʻopilikia ʻole i ke olakino.

Pehea ka lōʻihi e hoʻomaka ai e hana?

Eia naʻe, ʻaʻohe ʻikepili pololei o ka manawa pehea o ka lawe ʻana iā Amaril e hoʻomaka i ka hana. Holo i ke kō koko koko e like me ka mea e hiki ai ma hope o 2-3 mau hola. ʻO ka hopena paha, hoʻomaka ka hopena o ka lāʻau ma mua ma hope o 30-60 mau minuke. No laila mai hoʻomalū i ka inu ʻana i ka meaʻai a ʻaʻole i hele ka hypoglycemia. ʻO ka hopena o kēlā me kēlā me kēia o ka momona o ka glimepiride eʻoi aku ma mua o kahi lā.

ʻO wai ka mea maikaʻi: Amaryl a Diabeton paha?

Hoʻokomo ʻia kēia mau lāʻau ʻelua i ka papa inoa o nā lāʻau lapaʻau maikaʻi no ka maʻi maʻi ʻokēkē 2. ʻOi aku ka maikaʻi e pale aku i ka lawe ʻana iā lākou. Ma kahi o ka hoʻohana 'ana i nā lapaʻau nā endocrin-patient.com e hāpai ana.

E hoʻāʻo e hoʻomaʻamaʻa i ke kauka nāna i kuhikuhi iā Amaryl a i Diabeton paha me nā mea o kēia ʻaoʻao. ʻO ka lāʻau lapaʻau mua, Diabeton, hoʻonui nui i ka make ma waena o nā poʻe maʻi i lawe iā ia. No laila ua wehe malū ʻia ia mai ke kūʻai aku. I kēia manawa hiki iā ʻoe ke kūʻai wale i nā papa Diabeton MV. E hana maikaʻi aku lākou, akā hōʻino wale.

He aha ka mea maikaʻi e inu ai: Amaryl a i ʻole Glucophage?

He lāʻau lapaʻau maikaʻi ʻo ʻAaryline. Ke hoʻāʻo nei ka endocrin-patient.com e hōʻoia iā ʻoe e hōʻole ʻia. ʻO kahi Glucophage kekahi mea. ʻO kēia ka laiki Metformin maoli, kahi ʻāpana koʻikoʻi o ka pae lāʻau lapaʻau e ka laʻina o ka maʻi maʻamau ʻo 2. ʻAʻole hōʻino ka lāʻau Metformin, akā maikaʻi loa. No ka mālama maikaʻi ʻana i ka maʻi diabetes, pono ʻoe e hoʻololi mua i ka ʻai liʻiliʻi. Hoʻohui ʻia kahi mea ʻai maikaʻi me ka hoʻohana ʻana i ka lāʻau Glucophage, a inā pono, inā pū kekahi me ka inikini insulin i nā hōʻemi haʻahaʻa.

Hiki iaʻu ke lawe iā Yanumet a me Amaril i ka manawa like?

ʻAʻole lawe ʻia nā Amaryl a me nā papa ʻē aʻe e pili ana i ka glimepiride no nā kumu i kākau ʻia ma luna nei. ʻO Yanumet ka lāʻau lapaʻau hui pū ʻia e pili ana i ka metformin. I ka manawa e kākau ai, he nui loa ia a ʻaʻohe mea kūʻai aku. Ma ke kānāwai, hiki iā ʻoe ke lawe. Akā hiki iā ʻoe ke ho'āʻo e hoʻololi mai ia ia i ka metformin maʻemaʻe, ʻoi aku ka maikaʻi o ka Glucofage hōʻano kumu kūʻai mua ʻia. Inā mālama ʻoe e hana i kēia me ka ʻole o ka kaumaha o ka maʻi diabetes, ʻoe e mālama i kahi nui kālā i kēlā me kēia mahina.

Nā huaʻōlelo Amaril

I ka manawa e hoʻomākaukau ai i ka ʻatikala mai nā mea kikowaena i lawe mai, ʻo Glimepirid-Teva wale nō i hana ʻia e Pliva Hrvatska, Kroasia i kūʻai ʻia i loko o nā lāʻau kūʻai. I ka manawa like, aiaʻo Amaril i nā pono Russian hou, ʻoi aku ka uku ma mua o ka lāʻau lapaʻau mua loa.

Kahi kēlā me kēia mea hana i nā koho dosage no glimepiride - 1, 2, 3 a me 4 mg. E nānā i ka loaʻa o nā lāʻau lapaʻau a me nā kumukūʻai i nā lāʻau lapaʻau.

ʻO ka lāʻau lapaʻau mua Amaryl a i ʻole nā ​​analogue haʻahaʻa: he aha e koho ai

E heluhelu i ke kumu He ʻōʻino ʻo Amaryl a me kāna mau meleno ke aha e pono ai e hōʻole e lawe iā lākou a he aha ka mea e ʻoi aku ka maikaʻi. Ua aʻo ka pūnaewele endocrin-patient.com pehea e hōʻemi ai i ke kōpaʻa koko ma ke maʻamau a hoʻomau i ka maʻamau me ka ʻole o ka wikiwiki, lawe i nā lāʻau lapaʻau ʻona a keu, nā inikua nui o nā insulin.

Amaryl M: hui hui

ʻO Amaryl M kahi lāʻau i hoʻohui i nā maʻi maʻi type 2. Loaʻa he ʻelua mea hana pilikino i hoʻokahi papa - glimepiride a me metformin. I kou heluhelu ʻana ma luna, he ʻino ka glimepiride a ʻoi aku ka maikaʻi ke lawe ʻole. ʻAʻole maikaʻi ka metformin i ka maikaʻi, akā no ka mea nui loa i ka maʻi maʻi. ʻO kēia lāʻau lapaʻau e hoʻohaʻahaʻa i ke kōpaʻa koko, pale i nā hoʻopiʻi maʻi diabetes, kōkua e hōʻemi i ka paona a hoʻolōʻihi i ke ola.

Paipai ʻia ka pūnaewele endocrin-patient.com e lawe ʻoe i ka metformin maʻemaʻe ʻole ma kahi o Amaril M, ʻo ka mea hoʻohana maikaʻi loa ʻo Glucofage. Loaʻa iā ia kekahi mau hoaaloha Lūkia, ʻoi aku ka liʻiliʻi.

He aha nā huaʻōlelo o Amaryl M papa?

ʻO Amaryl M kahi papa papa i loaʻa i ʻelua mau mea hoʻoikaika: glimepiride a me metformin. ʻO nā lāʻau āpau, e komo pū ana ka glimepiride, e hōʻino. Hiki iā lākou ke hoʻohaʻahaʻa i nā pae kukuna o ke koko no nā makahiki he nui, a laila huli ka maʻi i loko o ka maʻi diabetes type 1. I nā maʻi maʻi maʻi e mālama ʻia me kēia mau paila, ʻaʻole i emi iki ka nui o ka make mai ka hōʻeha ʻana o ka puʻuwai a me kahi puʻupuʻu, akā, ʻoi aku hoʻi.

Ma mua o ka ʻimi ʻana i nā analogues o Amaril M, hoʻololi i ke metformin maʻemaʻe. ʻO ka maikaʻi loa, ʻo ka huehue hoʻopili mua ʻia he Glucofage. Ua maopopo iā ia ke ʻano maikaʻi, a ma ka manawa like he kumukūʻai kumukūʻai. E hoʻohana pū me kahi laikini hele lāʻau e like me ka laikini 2. Mālama ʻoe i ke kō i ke kō me ka maʻamau, e like me ka poʻe olakino, me ka ʻole o kaʻai "pōloli" a me ke ʻano kaumaha.

Nā hopena o kahi overdose

ʻO ka hoʻohana lōʻihi ʻana i ka lāʻau lapaʻau, me ka overdose koʻikoʻi, hiki ke hoʻonāukiuki i ka hypoglycemia, nā hōʻailona o ka mea i hōʻike ʻia i ka pauku i hala.

Pono ka maʻi maʻi maʻi i kahi palapala aʻo i kahi hōʻike pōkole o kāna maʻi a me kekahi mea mai nā momona o ka wikiwiki (kaila, nā kuki). ʻOluʻolu pū kekahi wai a iʻa paha kekahi, ʻaʻole wale me nā mea momona maoli. Ma nā pilikia koʻikoʻi, pono e hoʻokaʻawale loa ka mea maʻi i ka gastric lavage a me ka hoʻokele ʻana i nā mea hoʻoikaika (i hoʻāla ka carbon, etc.).

Nā hopena hopena

Ma nā hihia pinepine, ʻo ka hoʻohana pū ʻana o Amaril i hele pū me ka hopena o ka hopena i ke ʻano o ka lilo ʻana o ka hihiʻo, nā pilikia me ka kaʻai o ka uila, nā maʻi o ka hoʻokalakupua, nā pilikia o ka gastrointestinal.

I waena o ka maʻamau maʻamau:

1. ʻO ke ʻano o ka maʻi glycemic, kahi hiʻohiʻona i ka nalowale o ka ikaika, kahi i hōʻemi ʻia i ka hoʻoweliweli ʻana, nalowale o ka hihiʻo, arrhythmia, ka huhū i ka ʻole o ka pōʻaiʻai, hoʻomehana nui loa.
2. ʻO nā ʻokoʻa i loko o nā kuhikuhi gula, hoʻonāukiuki i ka ʻike maka ʻana.
3. ʻO ka maʻi Dyspeptic, ka halaʻole o ka nīneʻe o ka defecation, i nalowale i ka wā e hoʻihoʻi ana ka lāʻau.
4. Allergies of variing Severity (papaleka ke kino, ʻeha, hives, alika vasculitis, shock anaphylactic, kahaha ke koko a me ka pōkole o ka hanu).
   

Ke hopu nei iā Amaril e pili pono ana i ka wikiwiki o ka hopena psychomotor - ke kaʻa ʻana i kahi kaʻa, a me ka hana e koi ana i ka huli ʻana, ʻoi aku hoʻi i ka hoʻomaka ʻana o ka maʻi, ʻaʻole ia i kūpono me ka lāʻau Amaril.

Hoʻoholo i nā kauka a me nā maʻi maʻi e pili ana iā Amaril

ʻO ka loiloi o nā endocrinologists e hālāwai me kēlā me kēia lā i nā hōʻike āpau o ka maʻi insidious ka mea kūpono loa, no ka mea, ua manawa lākou e noi i ke ʻano o ka poʻe maʻi i ka lāʻau lapaʻau i mea e loaʻa ai nā manaʻo e pili ana i ka pono.

Wahi a nā kauka, me ka ulu lāʻau mālama kūpono i hoʻoponopono ʻia, kōkua ʻo Amaril e hoʻomaʻamaʻa i nā ʻōkuhi glycemic wikiwiki. ʻO ka hoʻomokoke ʻana i ka lāʻau e loaʻa ai nā hoʻopiʻi o ka hypoglycemia inā koho maikaʻi ʻia ka nui o nā lāʻau. A ʻoiai, e pili ana i ka lāʻau lapaʻau Amaril, he hoʻomanawanui ka loiloi o ka maʻi.

ʻO ka meaʻai o ka haʻahaʻa-low, ka hana kino dosed, ka hopena koʻikoʻi ka hopena i ka hopena o ka hana Amaril. Pono ka maʻi maʻi i ka endocrinologist i ka manawa e pili ana i nā hopena hopena, nā hōʻailona o ka hypo- a me ka hyperglycemia e ulu pū me Amaril.

Hoʻomaʻamaʻa ʻia ka mālama ʻana i ka mālama pono ʻole i nā mākau me ke nānā ʻana i nā hana ate, ka hoʻokolohua ʻana o ka limahana, ka hoʻāʻo ʻana no ka hemoglobin glycated, i kēia lā ka mea i ʻike ʻia i ke ʻano nui loa o ka mālama ʻana i ke ʻano o kahi mea maʻi me ka maʻi maʻi. E kōkua kēia i ka hōʻoia ʻana i ke kūʻokoʻa o ka pale ʻana iā Amaril no ka hoʻoponopono ʻana i ka noho mālama ʻia.

Hiki iā ʻoe ke aʻo e pili ana i nā hiʻohiʻona hou o Amaril mai ke wikiō.