Nā rula no ka lawe ʻana i ka lāʻau lapaʻau Glimecomb a me nā lāʻau lapaʻau

No nā makahiki he nui ʻole e hakakā nei me DIABETES?

Ke poʻo o ka Institute: "E haʻihaʻo ʻoe i ka maʻalahi o ka lāʻau e mālama ai i ka maʻi maʻi ma o ka lawe ʻana i kēlā me kēia lā.

ʻO ka mea hoʻokalakupua o ka metabolic, nā hiʻohiʻona nui i manaʻo ʻia he obesity, type 2 diabetes mellitus a me hypertension he pilikia o kahi ʻano kaiāulu ʻenehana. Ke hoʻonui nei ka nui o nā poʻe i nā ʻāina maikaʻi i kēia ʻeha.

• Kūkākūkā no ka maʻi papa maʻi 2
• ʻO ka hui a me ke ʻano o ka lāʻau lapaʻau
• Hoʻolaha ʻOi aku ka lōʻihi no ka maʻi maʻi maʻi
• Nā hana hana i ka hana
• Na wai e ʻole e lawe i kēia lāʻau lapaʻau?
• Glucophage a me nā keiki
• ʻO nā ʻaoʻao ʻaoʻao ka Glucophage
• He aha nā lāʻau lapaʻau e pili hou ana i ka hopena o ka glucophage?
• Nā nīnau nīnau pinepine
• Siofor a i ʻole Glucophage: ʻoi aku ka maikaʻi o ka maʻi maʻi?
• Hoʻolū ʻia mai ka maʻi maʻi: nā loiloi

Pehea e kōkua ai iā ʻoe iho e hoʻihoʻi i ke kūlana o ke kino me ka uku liʻiliʻi o ka ikehu? I ka ʻoiaʻiʻo, he hapa ʻole ka hapanui o nā kānaka ʻoki ʻole a makemake ʻole e pāʻani i nā haʻuki, a he maʻi diabetes mellitus ka mea, he maʻi maʻi ʻole ʻia ʻole. Hele mai ka ʻoihana kūʻai lapaʻau i ka hoʻopakele.

Nā rula no ka lawe ʻana i ka lāʻau lapaʻau Glimecomb a me nā lāʻau lapaʻau

No ka mālamaʻana i nā hui pū, ua hoʻohana maikaʻi kā mākou mea heluhelu iā DiabeNot. Ke ʻike nei i ka kaulana o kēia huahana, ua hoʻoholo mākou e hāʻawi iā i kou makemake.

ʻO Glimecomb e pili ana i nā lāʻau lapaʻau i hoʻohana ʻia no ka lāʻau maʻi type 2.

He lako nā mea hoʻohui me kahi hypoglycemic.

Ma hope o ka lawe ʻana i ka lāʻau, ua hoʻomaopopo ʻia kahi normalization o ka pae glucose i loko o ke koko o ka mea maʻi.

ʻO ka ʻike nui, ka hoʻonohonoho ʻana a me ke ʻano o ka hoʻokuʻu ʻana

ʻO ka lāʻau lapaʻau i koho ʻia e pili ana i nā mea hoʻohana hypoglycemic i lawe waha ʻia. ʻO ka hāmeʻa kahi hopena hui. I ka hoʻonuiʻana i ka hopena o ke kō, ua loaʻa iā Glimecomb kahi hopena pancreatic. I kekahi mau hihia, loaʻa ka hopena i ka hopena extrapancreatic.

ʻO ka hoʻonohonoho o ka lāʻau pili ka metformin hydrochloride i ka nui o 500 mg a me Gliclazide - 40 mg, me nā mea laea sorbitol a me ka sodium croscarmellose. ʻO kahi liʻiliʻi, nā magnesium stearate a povidone aia i ka lāʻau lapaʻau.

Loaʻa ka lāʻau lapaʻau i ke ʻano o nā cylindrical tablet i loko o ke keʻokeʻo, kaʻaila a i ʻole nā ​​ʻāpana hoʻi. No nā papa, ʻae ʻia ka marbling. He pōpilikia a nā pōpō a me kahi bevel.

Hoʻololi ʻia ʻo Glimecomb i nā papa he 10 i loko o nā pūʻulu blister. ʻO ka pūpū he 6 mau paʻi.

Pharmacology a me ka pharmacokinetics

ʻO Glimecomb kahi lāʻau lapaʻau hoʻohui e hoʻohui i nā ʻenehana hypoglycemic o ka hui biguanide a me nā derivatives sulfonylurea.

Hoʻohālikelike ka lālā i nā hopena pancreatic a me nā hopena extrapancreatic.

ʻO Gliclazide kekahi o nā mea nui o ka lāʻau lapaʻau. He huaʻai ia he sulfonylurea.

• hana ho okumu insulin
• hoʻemi haʻahaʻa hoʻoliʻi koko,
• hoʻemi i ka hoʻopili ʻana o nā platelet, ka mea e pale ai i ka hoʻokumu ʻana o nā lolo koko i loko o nā moku koko,
• ʻano maʻamau o ka vvaima koi.

Hoʻopili ke Gliclazide i ka hopena o ka microthrombosis. I ka wā lōʻihi o ka hoʻohana ʻana i ka lāʻau i loko o nā mea maʻi me ka nephropathy maʻi, ʻike ʻia kahi hōʻemi i ka proteinuria (ʻo ka noho ʻana o ka protein i ka urine) ua ʻike ʻia.

Hoʻopilikia ke Gliclazide i ke kaumaha o ka mea maʻi i lawe i ka lāʻau. Me kahi papa kūpono i nā maʻi me ka maʻi maʻi e lawe ana iā Glimecomb, ʻike ʻia ka nui o ka kaumaha.

ʻO Metformin, kahi ʻāpana o ka lāʻau lapaʻau, e pili ana i ka hui biguanide. Hoʻonui ka mea i ka nui o ka glucose i ke koko, ke kōkua pono e hoʻonāwaliwali i ke kaʻina o ke kīʻaha o ka glucose mai ka ʻōpū a me ka ʻawa. Kōkua ʻo Metformin e hana wikiwiki i ke kaʻina hana e hoʻohana ai i ka glucose mai nā kino kūwaho o ke kino.

ʻO nā mea haʻahaʻa e hoʻemi nei i ka cholesterol, nā lipoproteins haʻahaʻa haʻahaʻa. I kēia hihia, ʻaʻole i pili ka Metformin i ka pae o nā lipoproteins o kahi kūʻokoʻa ʻē aʻe. E like me Gliclazide, e hōʻemi ana i ke kaumaha o ka mea maʻi. ʻAʻohe hopena i ka haʻalele ʻana o ka insulin i ke koko. ʻAʻole ia e hāʻawi i ke ʻano o nā hopena hypoglycemic. ʻO nā Gliclazide a me ke metformin ʻokoʻa ʻē aʻe a hoʻopuka ʻia mai ka mea maʻi. Hoʻohālikelike ʻia ka Gliclazide e kahi kiʻekiʻe o ke komo ʻana ma mua o ka Metformin.

ʻO ka pae kiʻekiʻe loa o Gliclazide i ke koko ua loaʻa ma hope o 3 mau hola mai ka manawa o ka hoʻonā ʻana o ka lāʻau. Hoʻopau ʻia ka waiwai ma o nā keiki (70%) a me nā ʻōpū (12%). ʻO ka hoʻopau hapa-hapalua ke ola i 20 mau hola.

ʻO ka bioavailability o Metformin he 60%. Hoʻonui nui ka mea i loko o nā kaila koko ʻula. ʻO ka hapalua-ola kahi 6 hola. Ke huki mau nei mai ke kino e hele mai ma o nā keiki, me nā ʻōpū (30%).

Nā hōʻailona a me nā contraindications

Hoʻomaopopo ʻia ka lāʻau lapaʻau no nā maʻi maʻi me ka maʻi diabetes type 2 inā:

• ʻo ka hoʻomaʻamaʻa mua ʻana me ka ʻaʻaʻai a me ka hoʻomaʻamaʻa ʻaʻole i loaʻa ke kūpono kūpono.
• aia kekahi mea e pono ai e hoʻololi i ka hui hoʻohui ʻana i hoʻohana ʻia me ka hoʻohana ʻana iā Gliclazide me ka Metformin i nā maʻi me nā maʻi hoʻoliʻi koko.

Hōʻike ʻia ka lāʻau lapaʻau me kahi papa inoa o nā contraindications, ma waena o ia:

• ka loaʻa ʻana o ka maʻi maʻi type 1
• ka hoʻomaloka pilikino ʻana i nā ʻāpana o ka lāʻau lapaʻau,
• hana koʻikoʻi nā keiki,
• hapai
• pūpū hema
• lactic acidosis,
• puʻuwai paʻakikī
• coma maʻi maʻi
• lactation
• nā maʻi like ʻole
• myocardial infarction
• maʻi maʻi phi
• precoma maʻiʻaʻai
• interventions mua mua,
• ka manawa o ka mea maʻi e hoʻomā ana i nā haʻawina x-ray a me ka hoʻokolohua e hoʻohana ana i ka radioisotopes me ka hoʻopuka ʻana i nā mea kūlohelohe iodine i loko o ke kino (ʻoi ʻia ka lawe mau lā 2 mau lā a ma hope o kēia mau haʻawina).
• nā hōʻeha ʻeha
• nā haʻalū i kūʻole i kahi kūlana o ke puʻuwai a me nā maʻi,
• pauna aho hanu
• make wai make,
• kaohi koko haʻahaʻa (hypoglycemia),
• nā maʻi ʻehaʻeha nui
• humuho waiwa,
• pāāha ʻā ʻia ma ke kino,
• pili i nā mea maʻi me ka meaʻai hypocaloric,
• lawe ʻia
• maʻi ketoacidosis maʻi.

Nā ʻōkuhi no ka hoʻohana a me nā ʻōlelo aʻoaʻo kūikawā

ʻO ka nui o ka lāʻau lapaʻau ka kū hoʻokahi no kēlā me kēia maʻi. Hoʻomaopopo ʻia e lawe i nā papa 1-3 i kēlā me kēia lā. I ka lā e hiki mai ana o ka hoʻomaʻamaʻa ʻana, hiki i ke hoʻonui ʻia ke kinikona, e pili ana i nā kuhikuhi ʻana o ke kō i loko o ke koko o ka mea maʻi a me ka pae o ka hōʻike o kāna maʻi. No Glimecomb, ʻo ka nui loa ka nui o nā papa he 5 papa i kēlā me kēia lā.

Pono ka lāʻau e inu ʻia i ka kakahiaka a me ke ahiahi. Lawe ʻia ka lāʻau lapaʻau i ka wā a ma hope o ka ʻaina.

ʻAʻole ia e hōʻike ʻia i ka mea hana no ka poʻe maʻi ma mua o 60 mau makahiki, e hana ana i nā kūlana paʻakikī. Me ka hana ikaika a ka lawe ʻana iā Glimecomb i ka poʻe ʻelemakule, hoʻomohala ka lactic acidosis.

ʻO ka hāpai ʻana kekahi o nā contraindications i ka lawe ʻana i kēia lāʻau lapaʻau. I ka wā e loaʻa ai ka wā hāpai, ma mua o kona hoʻolālā ʻana, pono e hoʻololi i ka lāʻau lapaʻau me ka lāʻau hoʻomehana insulin.

ʻO ka ʻōpala hoʻi kahi contraindication ma muli o ke kaʻe o ka nui o nā mea o ka lāʻau i loko o ka waiū umauma. Pono e hoʻopau i ka hānai no ka manawa lawe i ka Glimecomb e ka makuahine a i ʻole hoʻi e lawe i ka lāʻau lapaʻau iho i ka wā o ka lactation.

Me ka mālama aka, pono e lawe i kēia lāʻau lapaʻau i ka poʻe maʻi me:

• fiva
• pilikia pilikia tiro
• lawa adrenal.

Lā ʻia ka lāʻau lapaʻau no nā maʻi me nā maʻi o ka puʻuwai, me ka hana ʻole o ka pūpū māmā, i hele pū me ka haʻalulu, dehydration, a me nā mea koʻikoʻi koʻikoʻi.

Lawe ʻia ka lāʻau lapaʻau ma ke ʻano wale nō e hahai ana nā mea maʻi i kahi meaʻai haʻahaʻa-haʻahaʻa me kahi haʻahaʻa haʻahaʻa o nā calcium. I ka wā mua o ka mālama ʻana, e koi ʻia ka mālama koko koko. ʻO ka ʻoihana me ka lāʻau lapaʻau e lawe wale ʻia ma nā mea maʻi e loaʻa ka meaʻai maʻamau.

ʻO Sulfonylureas, kahi ʻāpana o ka lāʻau lapaʻau, hiki ke hoʻonāukiuki i ka hypoglycemia. Loaʻa ia me ka meaʻai haʻahaʻa-calorie a me ka hana kino. Pono e hoʻoponopono mau i ka palena o ka lāʻau, no ka mea maʻi ʻelemakule.

Hiki i ka hypoglycemia ke maʻi i nā maʻi i ka wā e lawe ai:

• kaena alkohol
• ole-lāʻau lapaau anti-inflammatory.

Hoʻonui ka ʻai i ka wikiwiki i ka hopena o ka hypoglycemia i nā maʻi, a me nā mea kanu e like me ka reserpine me ka clonidine mask.

I loko o nā hihia e hana ai ka poʻe maʻi i ka ʻoihana ma ke ʻano, inā e puhi, ʻeha, nā maʻi maʻi me ke kuni, a me myalgia, lactic acidosis, waʻa koke ka hopena o ka lāʻau lapaʻau.

He hopena ka hopena i ka hoʻokele. E mālama pono ʻia.

Pono e ho'ōki i ka lawe ʻana o Glimecomb i 2 mau lā ma mua a ma hope o ke komo ʻana i ke kino o ka mea maʻi e lilo ai i mea e i ka radiopaque me iodine.

Nā hopena ʻaoʻao a me ka overdose

I waena o nā hopena hopena e loaʻa mai ma muli o ka hoʻohana pono ʻana i ka lāʻau lapaʻau hiki ke loaʻa:

• ʻO ka hypoglycemia me ka ʻoluʻolu loa, ka nāwaliwali, ka maʻi kaumaha, ka pōloli a me ka nāwaliwali,
• lactic acidosis me ka hiamoe, puʻuwai haʻahaʻa, nāwaliwali, nā ʻeha o kaʻeha, myalgia,
• ninini
• anemia
• nā pilikia ʻike
• urticaria
• kūloko
• nā ninia
• huu
• hememia anemia,
• huu
• erythropenia
• i nā hanana pinepine, hepatitis,
• pūpū hema.

ʻO ka hōʻailona maʻamau o ka overdose ka hypoglycemia a me ka lactic acidosis. Hōʻike nā ʻokoʻa ʻelua i ka mālama ʻana i ka haukapila. I nā kūlana ʻelua, ua pau ka lāʻau lapaʻau. I ka hihia mua, loaʻa ka mea maʻi i ka mālama lapaʻau, hana ʻia ka hemodialysis.

Me ka hypoglycemia maʻalahi a me ka maʻalahi, e lawa i nā mea maʻi e lawe i kahi hopena o ke kō i loko o loko. Ma ka hoʻohālikelike nui, lawe ʻia ka glucose i ka intravenously i ka mea maʻi (40%). ʻO kekahi koho e lilo i glucagon, mālama ʻia ka intramuscularly a me ka subcutaneously. Hana ʻia ka hana hou me ka mea maʻi e lawe ana i nā meaʻai momona.

Nā Kūleʻa Kūʻai a me nā Analog

Hoʻopili ka lāʻau lapaʻau me nā lāʻau ʻē aʻe penei:

• Hoʻonui ka hopena hypoglycemic i ka wā e lawe pū pū me ka enalapril, cimetidine, miconazole, clofibrate, ethionamide, anabolic steroids, cyclophosphamide, tetracycline, reserpine a me nā lāʻau ʻē aʻe me ka hopena hypoglycemic,
• ho'ēmi i ka hopena hypoglycemic i ka wā i lawe pū ʻia me Clonidine, Phenytoin, Acetazolamide, Furosemide, Danazole, Morphine, Glucagon, Rifampicin, ka waikika nikotinikia i loko o ka nui o ka make, estrogen, lithium salts, oral contraceptives,
• hana me ka nifedipine e lohi i ka kaila o ka metformin,
• ka ʻoihana hui me nā cationic e hoʻonui i ka nui o ke koikoi o ka metformin i ke koko ma o 60%,
• hoʻonui i ke kūlike o ka metformin co-hoʻokele o ka lāʻau me ka furosemide.

Loaʻa iā Glimecomb ka hoʻohālikelike a me ka hoʻopili:

• Holaʻula
• ʻO Glyformin
• ʻO Glidiab MB
• ʻO Gliformin Prolong,
• Metglib
• Formin
• Hoikehonele MB,
• Diabetalong
• ʻO Gliclazide-Akos.

Hōʻike ka pale wikiō i nā hōʻailona a me ka mālama ʻana i ka maʻi maʻi:

Nā koho o nā loea a me nā maʻi āpau

Mai nā loiloi o nā mea maʻi, hiki ke hoʻoholo ʻia e hoʻemi maikaʻi ʻo Glimecomb i ke kō o ke koko a ua hoʻomanawanui maikaʻi ʻia, eia nō naʻe, ke kau nei nā kauka i kāna mālama ʻana ma muli o kekahi mau hopena o ka hopena.

ʻO ka Glimecomb kahi mālama kūpono i ka maʻi diabetes 2 ʻano. Akā hāʻawi i nā mau contraindications iā ia, ua manaʻo ʻia e kuhikuhi me ke akahele i nā mea maʻi. Nui nā ʻelemakule.

ʻO Anna Zheleznova, 45 makahiki, endocrinologist

ʻO ka lāʻau maikaʻi no ka mālama ʻana i ke kō koko. Ua lawe ia iaʻu no hoʻokahi mahina, ʻaʻohe mau ʻina hoʻopili, ʻoiai aia ka nui o lākou i nā ʻōlelo aʻoaʻo. Hoʻoluʻolu ʻia me ka kumukūʻai.

Ua nui wau i ka maʻi maʻamau i ka maʻi maʻamau no 2. ʻAe wau iā Glimecomb. He maikaʻi loa ka lāʻau lapaʻau a ʻaʻole ʻoluʻolu loa. E hōʻemi maikaʻi ia i ke kō. ʻO ka mea nui, ʻo ia ka mea ʻai maikaʻi a ʻai pono hoʻi.

No ka mālamaʻana i nā hui pū, ua hoʻohana maikaʻi kā mākou mea heluhelu iā DiabeNot. Ke ʻike nei i ka kaulana o kēia huahana, ua hoʻoholo mākou e hāʻawi iā i kou makemake.

ʻAe ʻia i ka lāʻau lapaʻau i hōʻike ʻia e ka lāʻau lapaʻau. Loaʻa kona kumukūʻai mai 440-580 rubles. ʻO ke kumu kūʻai o nā ʻāpana ʻē aʻe, mai 82 a 423 mau rubles.

Pehea e hoʻohana ai i nā papa Amaryl a pehea e hiki ai ke kahuli ʻia

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.

E hoʻokuʻu i ke ʻano

Kahi ʻia ʻo Amaryl i ke ʻano paʻi papa. Kūlike ka kala i ka hewa o ka mea hana:

• 1 mg glimepiride - ʻulaʻula,
• 2 - ʻōmaʻomaʻo
• 3 - ʻulaʻula
• 4-6 uliuli.

ʻOkoʻa ka mea ʻokoʻa i nā māka i kau ʻia ma nā papa.

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 mea o ka uluʻana o nā hopena oxidative, kahi e ʻike ʻia i ka diabetes-depend-non-insulin, e hoʻemi ana.

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 iā ʻoe 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 Hoʻohui

ʻAʻole i kuhikuhi ʻia ʻo Amaril i nā maʻi maʻi:

• paulele ole insulin
• ketoacidosis, maʻi maʻi maʻi coma,
• Hoʻopilikia ka hana o ka pūpū (me nā hihia o ka pono o ka hemodialysis),
• kuhi hewa o ka ʻāʻī,
• ka poʻe intolerance a i ʻole hypersensitivity i glimepiride, nā mea hoʻonani, nā lāʻau lapaʻau'ē aʻe o ka hui o ka sulfonylurea,
• nā makahiki o nā keiki.

ʻAʻole pono nā kauka i ke kuhikuhi i ka lāʻau lapaʻau i nā mea maʻi i hōʻino maikaʻi ʻia, ʻai ʻai, ʻohi i ke kāhea ʻana o ka calorie, e hoʻopau ʻia ma lalo o 1000 kcal. ʻO ka contraindication kahi mea kue i ke kaʻina o ka lawe ʻana i ka meaʻai mai ka gastrointestinal tract.

ʻO ka hui a me ke ʻano o ka lāʻau lapaʻau

Manaʻo ʻia ka Metformin hydrochloride ʻo ia ka hana pilikino o ka lāʻau lapaʻau. E like me nā mea kikoʻī:

• konekena stearate,
• povidone
• kānaʻu microcrystalline
• hypromellose (2820 a 2356).

Loaʻa ka mea lapaʻau i loko o nā ʻano o nā paila, nā papa me ke ʻano o ka nui o nā mea i koho nui ʻia ma ka nui o 500, 850 a me 1000 mg. ʻO nā papa maʻi maʻi Biconvex ʻO Glucophage ka elliptical.

Ua uhi ʻia lākou me kahi pale pale o kahi ʻula keʻokeʻo. Ma nā ʻaoʻao ʻelua, hoʻopili ʻia nā hanana kūikawā ma ka papa, ma kahi o ka hōʻike ʻana o nā doses.

Nā hopena hopena

Ma mua o ka hoʻomaka ʻana e lawe iā Amaril, pono ʻoe e familiarize iā ʻoe iho me ka annotation i ka lāʻau lapaʻau. Pono ka poʻe maʻi e ʻike i nā hoʻopiʻi hiki ʻana mai.

ʻO ka hopena ʻaoʻao kaulana loa e pili ana i nā maʻi metabolic. Hiki i ka mea maʻi ke hoʻomaka e hoʻomohala i ka hypoglycemia ma hope koke o ka lawe ʻana i ka paila. I ka home, he paʻakikī kēia ʻano, e pono ʻoe i ke kōkua o nā kauka. Akā ke emi koke nei i ka glucose o ke koko ma nā hihia maʻamau, ʻaʻole iʻoi aku ka nui ma mua o ka mea maʻi 1 ma waho o 1000.

I ke lawe ʻana iā Amaril, aia kekahi mau ʻōluhi mai ka:

• ʻO ka maʻi Gastrointestinal: ka huehue, ka pōloli, ka ʻeha i ka epigastrium, jaundice, nausea, hepatitis, hoʻomohala i ka hōʻeha ate,
• hematopoietic mea ola: thrombocytopenia, agranulocytosis, erythrocytopenia, leukopenia,
• ʻōhumu: nā mālamuho nui, nāwaliwali, nā hōʻeha, nā puʻupuʻu, nui ka hopohopo, ke kūlohelohe, ka haunaele ʻōlelo, ka haunaele, ka paresis, ka palakū cerebral, ka hiʻohiʻona o kahi palupalu hāneʻe.
• nā kiko o ka hihiʻo: nā pilikia i hala no ka loli o ke kō o ke koko.

Hoʻokumu kekahi i nā hopena hypersensitivity. Hoʻopiʻi ka poʻe maʻi i ka hōʻeha, ke ʻano o ke kahalaha ʻili, urticaria, vasculitis allergic. ʻO ka maʻamau, ʻo nā hopena iki he ʻoluʻolu, i nā hihia pilikino, hiki ke hoʻokele ʻole ʻia ka anaphylactic shock.

Ke keu

Pono nā Amaryl i hoʻopau i nā helu i kuhikuhi ʻia e kekahi kauka. ʻO ka overdose ke kumu o ka hypoglycemia. ʻO kahi hāʻule hōʻihi i loko o ke kōpau i kekahi manawa hoʻonāukiuki i kahi coma maʻi maʻi.

Inā nui ke ala o ka intake, ʻano nausea, luaʻi, ʻike ʻia ka ʻeha o ka epigastric. Nā ʻano like ʻokoʻa ʻē paha:

• ʻike maka
• hiamoe
• hāpau
• nahoa
• koma
• nā pilikia hoʻonohonoho.

I ka hihia o kahi overdose, pono ia e holoi i ka ʻōpū. Ma hope o ka hoʻomaʻemaʻe e hāʻawi i nā enterosorbents. I ka manawa like, ʻo ka hopena o ka glucose ka mea e mālama ʻia ma ka intravenously. Kūkulu ʻia nā kikoʻī hou o ka hana ma muli o ke ʻano o ka mea maʻi. Ma nā pilikia koʻikoʻi, ua mālama ka mea maʻi i ka waihona mālama koʻikoʻi.

Hoʻohui

Ma mua o ke kuhikuhi ʻana iā Amaryl, pono e ʻike i ke kauka kahi lāʻau lapaʻau e lawe nei i ka mea maʻi. Hoʻonui kekahi mau lāʻau lapaʻau, hoʻoliu kekahi i ka hopena hypoglycemic of glimepiride.

I ka holo ʻana o nā haʻawina, ʻike ʻia ka nui o ka emi ʻana o ke kō koko koko i ʻike ʻia i ka wā e pau ai:

• nā hana antidiabetic waha
• Phenylbutazone
• Hailexia,
• Azapropasone
• Sulfinpyrazone,
• Metformin
• Kaumakaiwa
• ʻO Miconazole
• liakai
• MAO ka mea paʻa
• nā kāne male hana
• steroids anabolic
• quinol antibiotics,
• ʻO Clarithromycin
• Fluconazole
• paulala
• nā huaʻai.

No laila, ʻaʻole ia e kuhikuhi ʻia e hoʻomaka i ka inu ʻana iā Amaryl ma kāu iho pono ʻole ke loaʻa he palapala kūpono mai ke kauka.

Hoʻonui nā keʻena a pau i ka hopena o ka glimepiride:

• progestogens
• estrogens
• nauwe
• saluretics
• kekahula
• nicotinic acid (i ka wa i hoʻohana ʻia ai i nā inina nui).
• laxatives (hoʻolōʻihi ʻia ka hoʻohana ʻana i ka wā lōʻihi),
• pani ʻia
• Rifampicin,
• Hoʻolālā.

Pono e noʻonoʻo ʻia kēia hopena i ke koho ʻana i kahi paiena.

ʻO Sympatolytics (beta-blockers, reserpine, clonidine, guanethidine) i hopena i ka hopena i ka hopena hypoglycemic o Amaril.

Ke hoʻohana nei i nā derivatives Coumarin, e hoʻomaopopo: hoʻonui ka glimepiride a hoʻomaikaʻi paha i ka hopena o kēia mau lāʻau ma ke kino.

Koho ke kauka i nā lāʻau lapaʻau no ka hypertension, non-steroidal anti-inflammatory drug, a me nā mea kaulana ʻē aʻe.

Hoʻohui ʻia ʻo Amaryl me ka insulin, metformin. Pono kēia hui hoʻohui i ka wā e lawe ai i ka glimepiride ʻaʻole hiki ke hoʻokō i ka mana o ka hoʻokalakupua i makemake ʻia. Hoʻonohonoho ʻia ka nui o kēlā me kēia lāʻau lapaʻau e ka lāʻau lapaʻau ʻokoʻa.

I kekahi mau hihia, ʻōlelo aku nā kauka i ka inu ʻana iā Yanumet a me Amaril i ka manawa like. Me kēia hoʻomehana, loaʻa ka mea maʻi:

Hoʻohui i ka hui ʻana o nā mea ikaika i hiki ke hoʻoikaika i ka hopena o ka hoʻomaʻamaʻa, kōkua i ka maikaʻi o ke kāohi ʻana i ke kūlana o nā maʻi maʻi.

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, hiki ʻole ke hoʻohana ʻia ka derivatives sulfonylurea. 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 nui o ka pēpē.

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 kumukūʻai.

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 ʻana ke huli ʻana i ka hopena o ka hōʻemi i ka glucose, ʻaʻole paʻakikī.

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. ʻO kēia wale nō kahi o ka hoʻokō i ka hoʻokaʻawale iki 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.

Hāʻawi ʻia nā maʻi diabetes ke nānā i nā kumukūʻai i nā lāʻau lapaʻau like ʻole. ʻO ʻAmaryl i kūʻai ʻia i kekahi manawa ma kahi uku kūʻai.

Hoʻolaha ʻOi aku ka lōʻihi no ka maʻi maʻi maʻi

ʻO Glucophage Long kahi metformin kūpono loa ma muli o kahi hopena pono lōʻihi.

ʻO ka ʻano lāʻau lapaʻau kūikawā ʻo ia mea e hiki ai ke hoʻokō i nā hopena like e like me ka hoʻohana ʻana i ka metformin maʻamau, akā naʻe, hoʻomau ka hopena i nā wā lōʻihi, ʻo ia hoʻi, i ka nui o ka wā e lawa ai ka hoʻohana ʻana iā Glucophage i hoʻokahi manawa i ka lā.

Hoʻonui nui kēia i ka hoʻomanawanui o ka lāʻau a me ka maikaʻi o ke ola o nā maʻi.

ʻO ka hoʻomohala kūikawā i hoʻohana ʻia me ka hana ʻana i nā papa i hiki i ke kumuhana hana ke hoʻopili ʻia i loko o ka lumen o ka ʻōpū o ka ʻōpū ma ke ʻano he kaulike, a me ke ʻano o ka pae ʻana o ka pae loiloi maikaʻi ma ka uaki, me ka peke ʻole a me ka hāʻule.

ʻO waho, i uhi ʻia ka papa me kahi kiʻi e hoʻohaʻahaʻa i loko, i loko ke kumu me nā mea metformin. Ke emi mālie nei ka membrane, hoʻokuʻu koke ka mea i ka lāʻau. I ka manawa like, ʻaʻole i loaʻa ka hopena nui o ka ʻeha o ka ʻōpū o ka ʻōpū a me ka waikawa i ke ala o ka hoʻokuʻu ʻana i ka metformin; ma kēia hana, loaʻa nā hopena maikaʻi i nā maʻi like ʻole.

Hoʻohana kahi hoʻokahi manawa i ka Glucofage Long e mālama i ka hoʻohana ʻana i nā lā maʻamau i kēlā me kēia metformin maʻamau. Hoʻopili kēia i nā hopena kūlohelohe mai ka gastrointestinal tract, ka mea i ka wā e lawe ai i ka metformin konane, a pili me ka nui o ka piʻi ʻana o ka neʻe i loko o ke koko.

Nā hana hana i ka hana

Aia ka lāʻau i ka pūʻulu o nā biguanides a hana ʻia i ka hoʻohaʻahaʻa i ke koko. ʻO ka loina o ka glucophage ka mea, ma ka hoʻohaʻahaʻa ʻana i ka pehu o ka glucose, ʻaʻole ia e alakaʻi i kahi pilikia hypoglycemic.

Eia kekahi, ʻaʻole ia e hoʻonui i ka hana o ka insulin a ʻaʻole ia e hoʻopilikia i nā pae glucose i nā kānaka olakino. ʻO ka mea kūʻokoʻa o ka hana o ka hopena o ka glucophage ma muli o ka hoʻonui ʻia ʻana o ka naʻau o nā receptors i ka insulin a hoʻōla i ka hana o nā honi nā kime nā mākeke.

Hoʻemi i ke kaʻina o ka hōʻiliʻili o kaʻili i ka ate, a me ka hoʻokaʻawale ʻana o nā huamona e ka ʻōpala. Loaʻa kona hopena maikaʻi loa i ka metabolism momona: ʻo ia e hōʻemi i ka nui o ka cholesterol, triglycerides a me nā lipoproteins haʻahaʻa haʻahaʻa.

ʻAʻole emi iki ka bioavailability o ka huahana ma mua o 60%. E pā koke ʻia i ka paia o ka pā o ka gastrointestinal a me ka nui o ka nui o ka mea i loko o ke koko e komo i ka 2 a me ka hapa mau hola ma hope o ka lawelawe waha.

ʻAʻole hoʻopili i kahi mea hana e hoʻopili i nā kahe o ke koko a hoʻolaha koke i nā kōpona o ke kino. ʻAʻole keʻae ʻia i ke kūleʻa a hoʻoulu ʻia i ka pāʻai. Aia ka hopena o ka mālamaʻana i ka lāʻau i loko o nā ʻili i ka poʻe me ka hana ʻoi aku ka hopena o ka hana.

Na wai e ʻole e lawe i kēia lāʻau lapaʻau?

ʻO kekahi mau mea maʻi e lawe nei i Glucofage i kahi maʻi paʻakikī - ka lactic acidosis. ʻO kēia ke kumu o ka hōʻiliʻili o ka hoʻoneʻe lactic i ke koko a pinepine pinepine i nā poʻe i loaʻa nā pilikia o ka pūpū.

ʻO ka hapa nui o nā poʻe e ʻeha nei i kēia ʻano maʻi, ʻaʻole kuhikuhi nā kauka i kēia lāʻau lapaʻau. Eia kekahi, aia kekahi mau kūlana e hoʻonui i ka loaʻa i ka acidosis lactic.

E pili ana kēia i nā mea maʻi i:

• pilikia pilikia
• puʻuwai paʻakikī
• aia kekahi paʻa o nā lāʻau lapaʻau hiki ʻole,
• ʻEha a lactation paha
• hoʻolālā ʻia ka hana i loko o ka wā e hiki mai ana.

He aha nā lāʻau lapaʻau e pili hou ana i ka hopena o ka glucophage?

E kamaʻilio pū i kāu kauka e pili ana i ka lawe ʻana i nā lāʻau lapaʻau i ka manawa like me ka glucophage.

ʻAʻole hōʻike ʻia e hoʻohui i kēia lāʻau me:

ʻO ka hoʻohana kūpono ʻana o kēia mau lāʻau me ka glucophage hiki ke hoʻoulu ʻia i ka hyperglycemia (kiʻekiʻe koko koko), ʻo ia hoʻi me:

• aiaiiaihn
• ʻōpiopio hoʻomalu ʻana a i ʻole ke hoʻoponopono ʻana i ka hāmeʻe,
• nā kīʻaha meaʻai a i ʻole he lāʻau lapaʻau no ka hoʻohuāmaʻa, maloʻo a ʻalania paha,
• papa papa diuretic
• nā lāʻau lapaʻau a i ʻole hypertensive,
• niacin (Advicor, Niaspan, Niacor, Simcor, Srb-niacin, etc.),
• fenothiazines (Compazin et al.),
• Hapa ʻaola (prednisone, dexamethasone and others),
• hormonal nā lāʻau no ka thyroid gland (Synthroid a me nā mea ʻē aʻe).

ʻAʻole paʻa kēia papa inoa. Hiki i nā lāʻau lapaʻau ke hoʻonui a hoʻohena paha i ka hopena o ka glucophage ma ka hoʻohaʻahaʻa ʻana i ke kō koko.

Nā nīnau nīnau pinepine

1. He aha ka mea inā hemo wau i kahi maʻa?

Lawe ma ke ʻano hemo i ka wā e hoʻomanaʻo ai (e maopopo e lawe i ka lāʻau lapaʻau me ka meaʻai). E wehe i ka pōʻai i hala ʻole inā he pōkole ka manawa ma mua o ka paukū i hoʻolālā ʻia. ʻAʻole ia e kau i nā lāʻau lapaʻau hou e hoʻomālamalama ʻia no ka nui o ka pau ʻole.

1. He aha ka mea inā he overdose?

Hiki i kahi overformose o ka metformin ke hoʻomohala i ka hoʻomohala ʻana i ka acidosis lactic, hiki ke make.

1. He aha kaʻu e hōʻalo ai i ka wā e lawe ana i ka glucophage?

Aloina i ka inu waiona. He hoʻohaʻahaʻa ia i ke kō koko a hoʻonui i ka nui o ka lactic acidosis i ka wā e lawe ai i Glucofage.

Hoʻolū ʻia mai ka maʻi maʻi: nā loiloi

No ka hōʻiliʻili ʻana i kahi kiʻi maʻamau o ka papa o ka maʻi maʻi ma lalo o ka mana o ka glucophage, ua hana ʻia kahi hoʻokele ma waena o nā mea maʻi. E ho'ēmi i nā hopena, ua māhele ʻia nā loiloi i ʻekolu mau hui a ua koho ʻia ka pahuhopu nui:

Hele wau i ke kauka me ka pilikia o ka hoʻoluhi wikiwiki wikiwiki nei inā ʻo ka nele o nā diets a me nā hana kino, a ma hope o ke kauka ʻana i kahi kauka ua hōʻike ʻia au i ka pale ʻana i ka insulin a me ka hypothyroidism, ka mea i kōkua i ke kumu kaumaha. Ua haʻi mai kuʻu kauka iaʻu e lawe i ka metformin ma kahi nui loa o 850 mg 3 mau manawa i ka lā a hoʻomaka i ka mālama ʻana no ka kelepaʻi thyroid. I loko o 3 mau mahina, ua kū hou ka paona a ua hoʻōla hou ka hana insulin. Hoʻomaopopo wau e lawe i Glucofage no ke koena o koʻu ola.

Hoʻohāka: ʻo ka hoʻohana maʻamau o ka glucophage e hāʻawi i nā hopena maikaʻi me nā dosis kiʻekiʻe.

Ua lawe ʻia ka Glucophage i mau manawa 2 i ka lā a me kāna wahine. Ua hala wau i kekahi mau manawa. Ua hoʻohaʻahaʻa wau i koʻu kō koko koko i ka hapa iki, akā he mea weliweli nā ʻaoʻao. Hoemi ʻia ka nui o ka metformin. Me ka ʻai a me ka hoʻomaʻamaʻa, ua hoʻemi ʻia ka lāʻau lapaʻau i ke kō koko koko, e ʻōlelo wau, ma o 20%.

Hopena: hoʻohālikelike i nā lāʻau lapaʻau i nā hopena ʻaoʻao.

I koho ʻia ma kahi o kahi mahina i hala aku nei, ua maʻi hou ʻia me ka maʻi maʻamau ma ka 2. ʻEhiku mau hebedoma. Ua nāwaliwali nā hopena ʻaoʻao i ka wā mua, akā hoʻonui nui ʻia nō wau i hoʻopau ai i ka haukapila. Hoʻopili i ka lawe ʻana iā ia i ʻelua mau lā i ka lā a ʻohi hou i ka ikaika.

No ka mālamaʻana i nā hui pū, ua hoʻohana maikaʻi kā mākou mea heluhelu iā DiabeNot. Ke ʻike nei i ka kaulana o kēia huahana, ua hoʻoholo mākou e hāʻawi iā i kou makemake.

Hoʻohālikelike: hemahema o kēlā me kēia ʻano hana