Pehea e hoʻohana ai i ka lāʻau lapaʻau Gluconorm Plus?

- ka maʻi ketoacidosis maʻi, diabetes precoma, diabetes coma,

- pilikia hania

- nā maʻi koʻikoʻi e hiki ke alakaʻi i kahi loli i ka hana o ka aʻalilima (kūmole, hōʻeha nui, kūhae)

- nā maʻi akamai a i ʻole ke hele pū me ka maʻi hypoxia (puʻuwai a i ʻole ka hanu, hou ʻana o ka myocardial infarction, weliweli),

- nā maʻi maʻi pāpaʻi, nā hōʻiliʻili nui, nā hōʻeha, nā kuniahi a me nā kūlana ʻē aʻe e koi ai i ka ʻomo ʻana o ka insulin.

- nāu kūlohelohe, huakino make kūlike,

- ka acidosis lactic (me ka mōʻaukala),

- hoʻohana no ka liʻiliʻi he 48 mau hola ma mua a i loko o nā hola 48 ma hope o ka hoʻopaʻa ʻana i nā haʻawina radioisotope a i ʻole X-ray me ka hoʻomaka ʻana o ka iodine-medium medium,

- ka mālamaʻana i kahi pāʻina haʻahaʻa-haʻahaʻa (emi iho ma mua o 1000 kaleka / lā),

- wā waiū,

- Hypersensitivity i ka metformin, glibenclamide a i ʻole nā ​​mea pōpilikia sulfonylurea, a me nā mea waiwai.

Pehea e hoʻohana ai: dosis a me ke ʻano o ka mālama ʻana

I loko, ʻoiai e ʻai ana.

ʻO ka maʻamau maʻamau ka pae ʻono. (400 mg / 2,5 mg) / lā. I kēlā me kēia 1-2 mau pule ma hope o ka hoʻomaka ʻana o ka hoʻomaʻamaʻa, hoʻoponopono ʻia ke ʻano o ka lāʻau lapaʻau ma muli o ke kau o ka glucose koko. Ke hoʻohālikelike nei i ka lāʻau hui mua me ka metformin a me ka glybeklamide, ua kuhikuhi ʻia nā papa 1-2. Kūpono ʻia ka Gluconorm ma mua o ka hopena o mua o kēlā me kēia mahele.

ʻO ka palena nui loa i kēlā me kēia lā he 5 papa.

Ka hana lāʻau lapaʻau

Hoʻonohonoho ka Glibenclamide i ka huni o ka insulin ma o ka hoʻohaʻahaʻa ʻana i ka paepae o ka glucose beta-cell pancreatic irritation, hoʻonui i ka naʻau o ka insulin a me ka pae o kāna paʻa ʻana i nā cell target.

Hoʻopau ka Metformin i ka glucose sula ma ka hoʻonui ʻana i ka ʻike ʻana i nā kinipōpeka peripheral i insulin a hoʻonui i ka uptake glucose.

Nā hopena hopena

Ma ka ʻāpana o ka pākūkū kila: hiki i ka hypoglycemia.

Mai ka huehui a me ka mokukū: luhi - paʻa, ka luaʻi, ka ʻōpū o ka ʻōpū, ka lilo ʻana o ka momona, "ʻono" ʻono i loko o ka waha, i kekahi mau hihia - jaundice cholestatic, hoʻonui i ka hana o nā enme o ka huina, hepatitis.

Mai ka ʻōnaehana hemopoietic: līpeke - leukopenia, thrombocytopenia, erythrocytopenia, aneane loa ʻole - agranulocytosis, hemolytic a megaloblastic anemia, pancytopenia.

ʻAeola a me ka immunopathological ʻano: jarang - urticaria, erythema, hōʻeha o ka ʻili, ke kuni, arthralgia, proteinuria.

Nā hopena dermatological: paʻakikī - photosensitivity.

Mai ka ʻaoʻao o ka hana metabolism: lactic acidosis.

Nā ʻōlelo kikoʻī

ʻO nā hōʻiliʻili o nā maʻi a me nā hōʻeha, ʻoi loa ke kīwī, nā maʻi ʻeha me ka febrile syndrome e koi i ka hoʻokuʻu ʻana i ka lāʻau a me ka koho ʻana i ka hana maʻi insulin.

Pono e kiaʻi pinepine i ka pae glucose i loko o ke koko ma kahi ʻōpū ʻole a ma hope o ka ʻai.

Hoʻomaʻamaʻa ʻia nā mea maʻi e pili ana i ka hoʻonui nui o ka hypoglycemia i nā hihia o ka ethanol, NSAID, a me ka pōloli.

Hoʻohui

Hoʻonui ka Ethanol i ka nui o ka acidact lactic.

Barbiturates, corticosteroids, adrenostimulants (epinephrine, clonidine), nā lāʻau antiepileptic (phenytoin), nā blockers kahalulu kalepa, nā mālamuku anhydrase carbonic (acetazolamide), thiazide diuretics, chlortalidone, furosemide, diazanazide, triaakenene , morphine, ritodrine, salbutamol, terbutaline, glucagon, rifampicin, iodine-i pili ana i nā huaola tiroid, nā paʻakai lithium, ma nā wai haʻahaʻa - nā waikele nikotiniki, chlorpromazine, nā ʻōpala a me nā estrogens.

ACE inhibitors (captopril, enalapril), histamine H2 receptor blockers (cimetidine), antifungal agents (miconazole, fluconazole), NSAIDs (phenylbutazone, azapropazone, oxyphenbutazone), fibrates, antibiotics (clobate) , ke kau nei, anticoagulants Coumarin, steroid anabolic, beta-blockers, MAO inhibitors, long-acting sulfonamides, cyclophosphamide, chloramphenicol, fenfluramine, fluoxetine, guanethidine, pentoxifylline, tetracycline, theophylline, blockular secretion blockers, reserpine, bromocriptine, disopyramide, pyridoxine, nā lāʻau lapaʻau hypoglycemic ʻē aʻe (acarbose, biguanides, insulin), allopurinol.

Nā nīnau, pane, loiloi i ka lāʻau lapaʻau ʻO Gluconorm Plus

ʻO ka ʻikepili i hāʻawi ʻia e hana no nā lāʻau lapaʻau a me nā lāʻau lapaʻau. Aia nā ʻike e pili ana i ka lāʻau lapaʻau e pili ana i nā ʻōlelo i hoʻopili ʻia e ka mea hoʻopiʻi e ka mea hana. ʻAʻohe ʻikepili i hoʻopili ʻia ma kēia a ʻole kekahi ʻaoʻao o ka pūnaewele a mākou e hiki ke lawelawe ma kahi kūʻokoʻa no ka hoʻopiʻi pilikino i ka loea.

E hoʻokuʻu i nā palapala a me ka ʻano

Loaʻa ka lāʻau lapaʻau wale nō ma ke ʻano o nā papa. Hiki i nā mea hoʻoikaika: glibenclamide and metformin hydrochloride. Ka helu ma 1 papa, ma kēlā me kēia: 2.5 a me 5 mg, 500 mg. Ma kahi o kēia hoʻohui i nā mea kanu, ua komo pū ka mea pono i nā mea kōkua no ke ʻano o kēia hoʻokuʻu ʻana:

• mikuleka
• Hoʻopiʻi
• sodium polio
• paʻahau magnesium.

Hoʻopili ʻia nā papa ʻula me kahi pākuʻi kūikawā e hōʻemi ana i ka wikiwiki o ka hoʻokuʻu i nā mea ikaika. Ma muli o kēia, ua hoʻemi ka nui o ka hopena o ka hopena i ka membous mucous o ka ʻōpū. Hiki iā ʻoe ke kūʻai i ka huahana i nā pūpū me nā papa 30.

Loaʻa ka lāʻau lapaʻau wale nō ma ke ʻano o nā papa. Hiki i nā mea hoʻoikaika: glibenclamide and metformin hydrochloride.

Lapaʻau lāʻau

Hoʻopau koke ka Metformin. Hoʻonui ka pae o ka neʻe i loko o ka serum koko ma ka palena palena ma hope o 2 mau hola. ʻO ka hemahema o ka waiwai e kahi hana pōkole. Ma hope o nā hola 6, ua hoʻomaka ka emi ʻana o ke kaila o ka metformin, ma muli o ka hopena o ke kao o ka hoʻopili ʻana i ka ʻuʻina. ʻO ka hapalua o ka ola o ka waiwai ua hōʻemi ʻia. Hoʻololi kona lōʻihi i nā hola 1,5 a 5 mau hola.

Eia kekahi, ʻaʻole nā ​​mea metformin e hoʻopaʻa i nā protein plasma. Hiki i kēia mea waiwai ke hōʻiliʻili i loko o nā kōpū o nā kuhi, nā ate, nā kelepa kūlima. ʻO ka hana huehue i hoʻopili ʻia ke kumu nui i hāʻawi ʻia i ka hōʻiliʻili o ka metformin i ke kino, ke alakaʻi nei i ka hoʻonui o ke kau o kēia ʻāpana a me ka hoʻonui ʻana i kona pono.

ʻO ka hana renal ʻokoʻa ke kumu nui i hāʻawi ʻia i ka hōʻiliʻili o ka metformin i ke kino, ke alakaʻi nei i ka hoʻonui i kona pono.

Noho lōʻihi ʻo Glibenclamide - no 8-12 mau hola. Loaʻa ka kiʻekiʻe o ka hana kūpono ma 1-2 mau hola. Hoʻopili piha kēia mau mea i nā palekani koko. ʻO ke kaʻina o ka hoʻololi o ka glibenclamide e hana i ka palupalu, kahi i hoʻokumu ʻia ai nā 2 pūpū e ʻike ʻole i ka hana hypoglycemic.

Nā hōʻailona no ka hoʻohana ʻana

Hiki ke hoʻohana ʻia ka lāʻau lapaʻau e mālama i ka mālama ʻana i nā mea maʻi me ka maʻi maʻi type 2 i kekahi mau hihia:

• ka nele o nā hualoaʻa me ka hana ma mua o ka mālama ʻana no ka momona, inā i loaʻa kekahi o nā lāʻau lapaʻau: Metformin a Glibenclamide i hoʻohana ʻia,
• ka hana ʻana i ka hoʻokolohua hoʻololi, kahi paʻa o ka glucose i loko o ke koko a paʻa pono.

E hoʻokuʻu i ke ʻano

Hana ʻia ka Gluconorm i ke ʻano o nā papa pōkole o kahi pale keʻokeʻo me kahi membrane coated. 10 a me 20 mau ʻāpana i kahi māla blister, 2 a i ʻole 4 mau kāmela i ka kāwele pepa.

ʻO ke kumukūʻai o ka gluconorm ma waena o 220 a 390 mau rubles, e pili ana i ka helu o nā papa i loko o ka pahu kāpeka.

He ʻelua mea nui o ka lāʻau lapaʻau - glibenclamide (2,5 mg) a me ka metformin hydrochloride (0.4 g).

Nā kumuwaiwai hou: cellulose microcrystalline, starch mais, colloidal silicon dioxide, pure kala, diethyl phthalate, gelatin, cellulose acetate phthalate, sodium carboxymethyl starch, croscamellose sodium.

Nā ʻōkuhi no ka hoʻohana

Lawe ʻia nā papa Gluconorm ma ke alo ʻana o ka ʻai ʻana. Hoʻoholo ka ʻā hoʻokahi ma kahi hoʻokahi, pili ʻia i ka pae o ka glucose i ke kahe koko o ka mea maʻi. ʻO ka paona maʻamau ma ka hoʻomaka ʻana o ka mālamaʻana, he 1 papa i ka lā. Ma hope o 2 mau pule, pono e hoʻoponopono i ka hopena o ka lāʻau lapaʻau e hilinaʻi ana i nā kumu o nā hōʻike o ke koko.

Hōʻike nā ʻōlelo no ka hoʻohana ʻana o Gluconorm e me kahi mea hoʻonaninani i pono e lawe iā 1-2 mau papa, me ka noʻonoʻo ʻana i nā kaila mua o nā ʻāpana nui. ʻO ka nui loa ka nui o ka puʻu i kēlā me kēia lā 5 papa papa.

Hoʻonohonoho ʻia nā papa he hypoglycemic. Pono lākou e mālama i nā mahana a hiki i ka 25 degere i kahi hōʻoia o ke keiki, ke alakaʻi pono i ka lā. ʻO 36 mau mahina mai ka lā o ka hana ʻana ka palena o ka noho o ka huahana.

Nā hiʻohiʻona noi

Pono e kāpae i ka mālama ʻana i ka lāʻau lapaʻau no nā maʻi maʻi ʻeha me ke kuni ʻana, me nā hōʻeha ākea a me nā puʻuwai manuahi. Hōʻeha ka hoʻemi ʻana i ke kōpaeʻai i ka wā o ka pōloli, hoʻonui ʻia ka hoʻohana ʻana o nā NSAID, e hoʻonui ai i ka ethanol. Hoʻopili ʻia ka hoʻoponopono ʻia ʻana i ka wā e hoʻololi nei i ka meaʻai, ka ikaika ʻuhane a me ka hoʻonaninani kino.

ʻO ka hoʻohanohano ma ka maʻi maʻi - e inu wale i kēlā me kēia lā.

ʻO ka ʻōlelo a Gluconorm e wehewehe ʻole ʻia e inu i ka wai ʻona i ka wā o ka maʻi. Hiki i nā peni ke hoʻopili i ka wikiwiki o nā hopena psychomotor a hoʻoemi i ka ʻike. No laila, e makaʻala ʻoe i ka wā e hoʻokele a halihali i nā kaʻa a me nā kaʻa.

Ua papa ʻia ia nā lāʻau lapaʻau i ka wā kamaliʻi, i ka wā hapai, i ka wā hānai, no ka mea ʻo nā mea nui i komo i ka waiū o ka makuahine. Ua hoʻohālikelike ʻia ka lāʻau lapaʻau i nā kānaka me nā mālamalama o nā pēpē a me nā ate. ʻAʻole hoʻolako ʻia ka hoʻohana ʻana i nā papa i ka pākeke me ka hoʻoikaika kino kino nui.

Ke keu

ʻO ka lāʻau lapaʻau kūʻokoʻa a keu aku i ka make ʻae ʻia ke alakaʻi i kahi overdose o ka lāʻau. Ke alakaʻi nei kēia kūlana i ke ʻano o ka acidosis lactic ma muli o ke metformin, kahi o nā lāʻau lapaʻau. Hoʻomaʻamaʻa ka mea maʻi i ka nānā ʻana o ka nausea, luaʻi, nāwaliwali, nā māiʻe ʻana o ka naʻau. Me nā hōʻailona mua o ka overdose, hoʻopau ʻia ka mālama ʻana. Me ka acidosis lactic acid, ke lawe ʻia ka lāʻau ma kahi keʻena olakino. ʻO ka hopena kūpono e pili ana i ka hemodialysis.

Hāʻawi mākou i kahi haʻawina i ka poʻe heluhelu o kā mākou pūnaewele!

Loaʻa ka pūhui me ka glibenclamide, kahi kiʻekiʻe ke kumu o ka hoʻomohala ʻana i ka hypoglycemia. ʻO nā hōʻailona nui o kēia ʻano:

• lie kanikela
• āhāhuʻe
• hoʻonui nui momona
• nāwaliwali laulā
• pallor o ka ʻiderider,
• ka manaʻo o ka panic
• nā maʻi neurological,
• iriani,
• hiamoe
• nā pilikia hoʻonohonoho
• moeʻuhane maikaʻi
• paresthesia o ka wahaosa waha.

Me ka exacerbation o ka hypoglycemia, kahi i hōʻeha ʻia i ke kūlana o ka mea maʻi, ʻike ʻia ka nalo ʻana a me ka ʻike. Me ka māmā a me ka maʻalahi o ka maʻi o ka maʻi, ua kuhikuhi ʻia ka glucose. I nā kūlana koʻikoʻi, inā he nalowale o ka hoʻomaopopo, ua hoʻohana ʻia kahi hopena momona 40% a i ʻole glucagon. Ke pale i ka hanana e pili ana i ka hypoglycemia, pono i ka mea maʻi eʻai i nā meaʻai i piha me nā haʻaleka ma hope o ka hoʻomohala ʻana.

Hiki ke hoʻololi ʻia ka lāʻau lapaʻau me nā mea kanu e like me Bagomet Plus a me Glukovans. Aia nā huahana i kahi hoʻonohonoho like me Gluconorm. ʻO nā papa e like me Glucofage a me Glybomet nā analogue o Gluconorm e hoʻopili ana i ka metformin. Hoʻole loa ia i ka hoʻohana ʻana i nā lāʻau lapaʻau ʻē aʻe me ka ʻole o ka papa kauka a ke kauka i mea e pale aku ai i nā hōʻeha a hoʻonāukiuki i ke kūlana o ka mea maʻi.

Kōkua nā papa i kekahi mau maʻi, ʻoiai ʻo kekahi ke kumu no nā hopena ʻaoʻao. Ma lalo aʻe nei kekahi o nā loiloi o ka maʻi diabetes Gluconorm.

Ua maʻi wau i ka maʻi hake 7 makahiki i hala. Ua kuhikuhi ke kauka iā Gluconorm ma ke ʻano he wahi hoʻohālike. Inu wau i hoʻokahi papa i ka lā, holoi ʻia me ka wai. ʻIke wau. Hoʻokomo ʻia kaʻu hoʻomaʻamaʻa i ka lawe ʻana i ka lāʻau lapaʻau, ʻaiʻai. Ma kēia manawa ʻaʻole ʻike maka ʻia he mea ʻino.

Me ka maʻi diabetes, ua kuhikuhi ʻia e inu i ka Gluconorm i kēlā me kēia lā i ke kakahiaka a me ke ahiahi. Ua hoʻi hou ka puka ʻana i loko o ke kahawai i loko o ka maʻamau, akā ua kūlohelohe ka ʻeha a me nā pilikia o ka hoʻowali ʻana. E like me ka mea i hōʻike ʻia, loaʻa iaʻu nā contraindications i kēlā lāʻau lapaʻau. Pono wau e hoʻololi i ka lāʻau lapaʻau.

Hoʻopau mau nā maʻi maʻi i nā hoʻopiʻi kaumaha. Ka pilikia nui o ke kōkō koko.

Aronova S.M. hāʻawi i nā wehewehe e pili ana i ka mālama ʻana i ka maʻi maʻi. Heluhelu piha

ʻĀpana Pharmacological

Aia i ka pūnaehana o Gluconorm kekahi mau ʻāpana ʻelua, kahi e hāʻawi pū ai i ka hopena hypoglycemic.

Aia ʻo Metformin i ka hui o biguanides, e hoʻonui ana i ka kūʻē o nā pūpū i ka insulin, e hāʻawi ana i ka wikiwiki o ka hoʻohana ʻana i ka glucose. Hoʻopilikia kēia mea i nā kaʻina metabolic i loko o ka ate, ka mālama ʻana i kahi kaulike ma ka hana o ka cholesterol a me ka triglycerol. ʻO ka laweʻana o nā haʻalulu mai ka digestive tract e hoʻemi ʻia.

ʻO Glibenclamide kahi mea kulu ʻākia. Me kāna kōkua, lawe ʻia ka huna ʻana i ka insulin, ka mea i hoʻokō ʻia e nā hōʻike ʻana o nā ʻāpana pancreatic. Hāʻawi i ka hoʻonui ʻia ʻana o nā ʻōpū o ke kino i ka insulin, ke kāohi ʻana i ka lipolysis o ka iwi adipose.

ʻLoe a me ke kākele

ʻO ka palena nui o ka lāʻau lapaʻau e hoʻoholo ʻia e ke kauka, e pili ana i nā hōʻailona o ke kō koko koko. Hoʻomaka ka Therapy i nā liʻiliʻi liʻiliʻi o ka lāʻau lapaʻau, ʻo ia ka hapalua o kahi papa i hoʻokahi manawa i ka lā.

I mea e pale ai i ka hoʻomohala ʻana o ka hypoglycemia, pono ʻia e lawe i 1 papa o ka lāʻau lapaʻau 1 mau manawa i ka lā me ka meaʻai. Hoʻohana maikaʻi ʻia kēia ma ke kakahiaka, ma muli o ka lohi i ka kaʻina metabola ma hope o ka ʻaina awakea.

I ka loaʻaʻana o ka hana pono, hoʻonui pinepine ʻia ka dosage. Pono e hoʻonui ʻia ka nui o ka lā ma kēlā me kēia papaʻaina. Inā pono e hoʻohana i nā dosis i kiʻekiʻe aʻe o ka mea i ʻōlelo ʻia, pono e mālama pono ʻia ka mea maʻi e nā loea.

Hoʻohui ʻia ʻo Gluconorm Plus

ʻO ka hoʻonui nui o Glibenclamide e hiki ai iā ʻoe ke hoʻohana i ka papa hoʻokahi o kēlā me kēia lā e loaʻa ai ka hopena hypoglycemic paʻa. ʻO ke ʻano o nā lāʻau lapaʻau i kūpono i kekahi hihia, e haʻi aku ke kauka.

He aha ke ʻano o ka gluconorm me nā papa.

ʻO ka maʻamau, hoʻomaka ka hoʻomaʻamaʻa me ka Gluconorm maʻamau, i ka hiki ʻole o ke kaha i ka mea e hoʻololi lākou i kahi ʻano i hoʻolako ʻia me kahi kiʻekiʻe o Glibenclamide.

Hoʻohui nūhou

ʻO ka hoʻohana like ʻana o ka lālani Gluconorm plus a me Miconazole, a me nā mea ʻē aʻe antimycotic āpau, ka mea, i ka wā e launa pū ai, e hoʻonāukiuki i ka ulu ʻana o kahi coma maʻi maʻi, a hiki i ka hopena hōʻeha, ua pāpā ʻia loa ʻole.

Mai lawe i ka gluconorm me ka inu wai

ʻAʻole hiki iā ʻoe ke hoʻohana i kahi lawehala hypoglycemic pū me ka waiʻona, e hoʻonāukiuki i ka hōʻemi pathological i ke koko o ke koko a me ka puʻuwai puʻuwai.

Me ka mālama akahele nui, ua hui pū ʻia ka lāʻau me ka glucocorticosteroids a me nā lālani, e komo ai ka iodine.

Nā hiʻohiʻona o ka hoʻohana

ʻAʻole i ʻōlelo ʻia ʻo Gluconorm no nā maʻi ma hope o 65 mau makahiki, ma muli o nā pilikia kiʻekiʻe o ka hoʻomohala ʻana i nā hopena ʻino, e pili ana ka hoʻomohala ʻana i ka comic maʻi maʻi. Ma hope o 45 mau makahiki, e hoʻomaka ka mālama ʻana me nā liʻiliʻi liʻiliʻi, a inā pono, hoʻonui iā lākou e mālama mau i ke ʻano o ka mea maʻi.

Ma ka wā hāpai, ua paʻa ʻole ka hoʻohana ʻana i kēia lāʻau lapaʻau, ʻoiai ua hāʻawi nā mea ikaika i ka hōʻino o ka hoʻomohala piha o ka pūpū.Ma kēia ka mea e hoʻonui ai i nā pilikia o ka pathen congenital, a me ka hala ʻole ma ka manawa mua.

Hoʻohālikelike ʻia nā lāʻau lapaʻau e like me ka hopena a me nā hopena therapeutic:

ʻO ke koho o kekahi o ia mea hana e hiki ke hoʻohaʻahaʻa i ke kōhi koko koko ma muli o ke kiʻekiʻe o ka holomua o ka maʻi maʻi a me nā maʻi e pili ana. Hoʻokumu wale ke kauka i ke kauka ʻana i kahi lāʻau lapaʻau, ke koho ʻana i ka nui maʻa mau loa i kekahi hihia kūikawā. Hoʻopilikia ka lāʻau-iho no ka hoʻomohala ʻana i ka coma maʻi maʻi a me nā ʻano ʻē aʻe hoʻoweliweli hoʻoweliweli.