Etu esi eji ogwu Gluconorm Plus?

- mamịrị ketoacidosis, ọrịa mamịrị, ụkwara ume ọkụ,

- oke nsogbu gbasara akụrụ,

- nnukwu ọnọdụ nke nwere ike ibute mgbanwe n ’ọrụ akụrụ (akpịrị ịkpọ nkụ, ọrịa siri ike, ujo),

- ọrịa ukwu ma ọ bụ nke na-adịghị ala ala nke gụnyere hypoxia anụ ahụ (obi ma ọ bụ akụkụ okuku ume, ndọkata myocardial infarction, ujo),

- ọrịa na-efe efe, nnukwu ịwa ahụ, mmerụ ahụ, oke ọkụ na ọnọdụ ndị ọzọ chọrọ ọgwụgwọ insulin,

- egbu egbu egbu, ị alcoholụbiga mmanya ókè

- lactic acidosis (gụnyere akụkọ ihe mere eme),

- iji maka opekata mpe, tupu elekere iri anọ na asatọ tupu ma ọ bụ n'ime elekere 48 ka ị mụchara nyocha redio ma ọ bụ X-ray na ntinye nke ayodiin nwere ihe dị iche,

- na - ekwenye na nri kalori (ihe kariri 1000 kalori kwa ubochi),

- oge inye ara,

- Hypersensitivity na metformin, glibenclamide ma ọ bụ ihe ndị ọzọ sitere na sulfonylurea, yana ihe inyeaka.

Etu esi eji: usoro onunu ogwu na usoro ọgwụgwọ

N'ime, mgbe ị na-eri nri.

Otutu ogwu mbu bu 1 tab. (400 mg / 2.5 mg) / ụbọchị. Kwa izu 1-2 mgbe ịmalite ọgwụgwọ, a na-edozi ọ̀gwụ nke ọgwụ ahụ dabere na ọkwa glucose ọbara. Mgbe ị na-eji metformin na glybeklamide dochie usoro ọgwụgwọ agakọ gara aga, a na-enye mbadamba 1-2. Gluconorm dabere na usoro izizi nke akụrụngwa ọ bụla.

Oke kachasị kwa ụbọchị bụ mbadamba ise.

Omume ọgwụ

Glibenclamide na-akpali mkpali insulin site na iwetulata ọnụma glucose beta-cell na-ewe iwe iwe, na-eme ka mmata insulin na ogo nke ya jikọtara ya na mkpụrụ ndụ.

Metformin na-ebelata glucose ọbara site na ịbawanye ụba nke akwara anụ ahụ na insulin na ịkwalite mgbakwunye glucose.

Nsonaazụ

N'aka nke metabolism metabolism: hypoglycemia ga-ekwe omume.

Site na eriri afọ na imeju: adịkarịghị - ọgbụgbọ, ọgbụgbọ, mgbu nke afọ, enweghị agụụ, ụtọ "ọnụ" n'ọnụ, n'ụfọdụ ihe - cholestatic jaundice, ụba ọrụ nke enzymes imeju, ịba ọcha n'anya.

Site na sistemu hemopoietic: adịkarịghị - leukopenia, thrombocytopenia, erythrocytopenia, nke ukwuu - agranulocytosis, hemolytic ma ọ bụ megaloblastic anaemia, pancytopenia.

Allergic na immunopathological mmeghachi omume: adịkarịghị - urticaria, erythema, akpụkpọ itching, fever, arthralgia, proteinuria.

Mmeghachi omume udiri oria: na adighi ike - photoensitivity.

Site n'akụkụ nke metabolism: lactic acidosis.

Ntụziaka pụrụ iche

Nnukwu ịwa ahụ na mmerụ ahụ, oke ọkụ, ọrịa na-efe efe na ọrịa febrile nwere ike ịchọ ịkwụsị ọgwụ yana ịhọpụta ọgwụ insulin.

Ọ dị mkpa ịdị na-enyocha ọkwa glucose oge niile n'ọbara na afọ efu na mgbe ị risịrị nri.

E kwesiri ịdọ ndị ọrịa aka na ntị gbasara ike ịba ụba hypoglycemia n'ọnọdụ ethanol, NSAIDs, na agụụ.

Mmekorita

Ethanol na - eme ka o nwee ohere nke lactic acidosis.

Barbiturates, corticosteroids, adrenostimulants (epinephrine, clonidine), ọgwụ antiepileptik (phenytoin), ndị na-egbochi calcium Channel, ndị na-egbochi carbonic anhydrase inhibitors (acetazolamide), thiazide diuretics, chlortalidone, furosemide, diazanazide, triazene diazent , morphine, ritodrine, salbutamol, terbutaline, glucagon, rifampicin, homonụ nke ayodiin nwere mmiri ọgwụ, lithium salts, na oke onunu ogwu - nicotinic acid, chlorpromazine, mgbochi ogwu na nje.

ACE inhibitors (captopril, enalapril), ihe mgbochi histamine H2 blockers (cimetidine), ndị na-egbochi antifungal (miconazole, fluconazole), NSAIDs (phenylbutazone, azapropazone, oxyphenbutazone), fibrates, ọgwụ nje (clobate) , salicitates, coumarin anticoagulants, steroid anabolic, beta-blockers, MAO inhibitors, sulfonamides na-arụ ọrụ ogologo oge, cyclophosphamide, chloramphenicol, phenfluramine, fluoxetine, guanethidine, pentoxifylline, tetracycline, theophylline, ihe mgbochi nzuzo nke tubular, reserpine, bromocriptine, nnupụisi, pyridoxine, ọgwụ hypoglycemic ndị ọzọ (acarbose, biguanides, insulin), allopurinol.

Ajụjụ, azịza, nyocha banyere ọgwụ Gluconorm Plus

Ihe omuma a enyere ndi okacha amara n’ulo ogwu. Ihe omuma nke oma banyere ogwu a di na ntuziaka ndi emeputara na nkwakọ. Enweghị ozi edeputara na ibe a ma ọ bụ na saịtị ọ bụla ọzọ nwere ike ịnọchite anya arịrịọ nke onye ọkachamara.

Weputara udi ya na ihe mebere ya

Ọgwụ ahụ dị naanị n'ụdị mbadamba nkume. Nwere ihe ndị na-arụ ọrụ: glibenclamide na metformin hydrochloride. Usoro onunu ogwu na 1 mbadamba, n’otu n’otu: 2.5 na 5 mg, 500 mg. Na mgbakwunye na ọgwụ ndị a na-agwakọta, ihe mejupụtara ya nwekwara ọkọlọtọ inyeaka maka ụdị ntọhapụ a:

• microcrystalline cellulose,
• Hyprolose
• sodium croscarmellose
• stereta magnesium.

A na-eji mbadamba nkume ndị nwere ihe pụrụ iche na-eme ka ọnụego ahapụta nke ihe ndị dị gara gara belata. N'ihi nke a, ọkwa nke ihe ike ike na mucous membranes nke afọ na-ebelata. Nwere ike ịzụta ngwaahịa a na ngwugwu nwere mbadamba iri atọ.

Ọgwụ ahụ dị naanị n'ụdị mbadamba nkume. Nwere ihe ndị na-arụ ọrụ: glibenclamide na metformin hydrochloride.

Mlọ ọgwụ

A na-etinye Metformin ngwa ngwa. Ọkwa nke itinye uche ya na ọbara ọbara na-abawanye ruo etu oke ihe dị ka awa 2 gachara. Mwepu nke ihe ahụ bụ obere ọrụ. Ka awa 6 gachara, mbelata plasma nke metformin bidoro, nke a bụ n'ihi njedebe ngwụcha usoro. Ndụ ọkara nke ihe ahụ belatara. Oge oge ya dịgasị site na awa 1.5 ruo ise.

Na mgbakwunye, metformin anaghị ejikọ protein protein. Ude a nwere ike imubanye n’anụ ahụ akụrụ, imeju, gland ndị nwere ume azụ. Ọrụ ezighi ezi na arụ ọrụ bụ isi ihe na-enye aka na nchịkọta nke metformin n'ime ahụ, na-eduga n'ịba ụba nke mkpokọta akụkụ a yana mmụba na arụmọrụ ya.

Ọrụ ezumike ezumike ezumike bụ isi ihe na-enye aka na nchịkọta nke metformin n'ime ahụ, na-eduga n'ịba ụba na arụmọrụ ya.

Glibenclamide dị ogologo oge - maka awa 8-12. Ọnụ ọgụgụ kachasị arụmọrụ pụtara na 1-2 awa. Ihe ndị a nwere njikọ chiri anya na protein protein. Usoro mgbanwe nke glibenclamide pụtara na imeju, ebe etolite kọlụm abụọ nke anaghị egosipụta ọrụ hypoglycemic.

Ihe ngosi maka ojiji

A nabatara ọgwụ a iji gwọọ ndị ọrịa nwere ọrịa shuga 2 n'ọrịa ụfọdụ:

• enweghi nsonaazụ ya na usoro ọgwụgwọ edebere maka oke ibu, ma ọ bụrụ na ọgwụ ọ bụla: A na-eji Metformin ma ọ bụ Glibenclamide,
• na-eme ọgwụgwọ nnọchi, ma ọ bụrụhaala na ọkwa nke glucose n'ọbara bụ kwụsiri ike ma na-achịkwa nke ọma.

Mpempe mwepụta

A na-eme gluconorm n'ụdị mbadamba okirikiri nke ndo na-acha ọcha. Mpekere 10 na 20 na mbadamba ihe, 2 ma ọ bụ 4 blisters na ngwugwu kaadiboodu.

Ọnụahịa gluconorm sitere na 220 ruo 390 rubles, dabere na ọnụ ọgụgụ mbadamba na ngwugwu kaadiboodu.

Ogwu ahu nwere abuo abuo - glibenclamide (2.5 mg) na metformin hydrochloride (0.4 g).

Ihe ndi ozo: microcrystalline cellulose, stachi ọka, colloidal silicon dioxide, talc, diethyl phthalate, gelatin, cellulose acetate phthalate, sodium carboxymethyl stachi, crocillolose sodium.

Ntụziaka maka ojiji

Mmanụ mbadamba gluconorm ka a na-ewere ọnụ tupu ị na-eri nri. A na-ekpebi ọgwụ a n'otu n'otu, dabere na ọkwa glucose dị n'ọbara ọbara onye ọrịa. Ọkọlọtọ nke mbido ọgwụgwọ bụ 1 mbadamba kwa ụbọchị. Ka izu abụọ gachara, ọ dị mkpa ka ịhazigharị usoro ọgwụ a dabere n'ụkpụrụ nke nyocha ọbara.

Ntụziaka maka ojiji nke Gluconorm na-egosi na iji usoro ọgwụgwọ ọzọ ọ dị mkpa iburu mbadamba 1-2, na-eburu n'uche oge mbụ nke akụkụ ndị bụ isi. Usoro kachasị elu kwa ụbọchị ruru mbadamba ise.

Mbadamba Hypoglycemic bụ ọgwụ. Ekwesịrị ịchekwa ha na ọnọdụ okpomọkụ ruo ogo 25 na ntinye aka nwa, ìhè anyanwụ. Ndụ nchekwa nke ngwaahịa a bụ ọnwa 36 site na ụbọchị a rụpụtara.

Njirimara ngwa

Ọ dị mkpa ịkagbu ọgwụgwọ na ọgwụ maka ọrịa na-efe efe na-efe efe, na mmerụ ahụ buru ibu na ịwa ahụ. Ihe ọghọm nke belata ịta shuga n’oge agụụ, ihe NSAIDs, ethanol na-aba ụba. A na-eme mmezi usoro onunu mgbe a na-agbanwe nri, ike omumu na ike nke ume.

Innovation na ọrịa shuga - na-a everyụ kwa ụbọchị.

Ntụziaka Gluconorm na-akọwa na a naghị akwado ị toụ mmanya n'oge ọgwụgwọ. Illsgwọ ọgwụ nwere ike imetụta ọsọ nke ihe omume psychomotor ma belata itinye uche. Ya mere, ị ga-akpachara anya mgbe ị na-anya ụgbọ ala na-adịghị mma.

Amachibidoro ịillsụ ọgwụ n’oge nwata, n’oge afọ ime, n’oge a na-a breastụ ara, n’ihi na ihe ndị bụ isi na-abanye na mmiri ara nne. A machibidoro ọgwụ a n'ime ndị mmadụ ọrịa nje akụrụ na imeju. A naghị akwado iji mbadamba ihe n'ime ndị agadi yana mgbakwunye na mgbatị anụ ahụ siri ike.

Dodoụbiga ya ókè

Medication medicationụ ọgwụ onwe gị na ị exceedụ ọgwụ nwere ike ime ka mmadụ doụbiga mmanya ókè. Ọnọdụ a na-eduga na ọdịdị nke lactic acidosis n'ihi metformin, nke bụ akụkụ nke ọgwụ. Onye ọrịa ahụ na-ahụta ọdịdị nke ọgbụgbọ, ọgbụgbọ, adịghị ike, akwara olu. Site na mgbaàmà mbụ nke ịdoụbiga mmanya ókè, a na-akagbu ọgwụgwọ. Site na lactic acidosis, a na-eme ọgwụgwọ n'ụlọ ọgwụ. Ọgwụ kachasị dị irè bụ ịba ọcha n'anya.

Anyị na-enye ndị na-agụ saịtị anyị, na-ewepu ego!

Ngwakọta ahụ nwere glibenclamide, nnukwu ịta ahụhụ nke na-akpata mmepe nke hypoglycemia. Isi ihe mgbaàmà nke ọnọdụ a:

• isi ọwụwa
• anya ntughari
• ubara agụụ
• adighi ike
• pallọ nke epidermis,
• obi ụjọ
• nsogbu akwara ozi,
• arrhythmia,
• iro ụra
• nsogbu nhazi
• nrọ ojoo
• paresthesia nke mucosa nke onu.

Site na ịba ụba nke hypoglycemia, ọnọdụ na-arịa ọrịa na-akawanye njọ, a na-ahụta njikwa na mmụọ. Site na ịdị mfe nke ogo ọrịa ahụ, a na-edenye glucose. N'ọnọdụ ndị dị njọ karị, mgbe enweghị mwepu, a na-eji 40% glucose ma ọ bụ glucagon edozi. Iji zere ibute ọrịa hypoglycemia na-esote, onye ọrịa ahụ kwesịrị ị moreụkwu nri jupụta na carbohydrates mgbe ọ gbasasịrị gbasara mmụọ.

Enwere ike dochie ọgwụ ahụ na ọgwụ dịka Bagomet Plus na Glukovans. Ngwaahịa ndị a nwere otu ihe ha na Gluconorm nwere. Mbadamba dị ka Glucofage na Glybomet bụ analogues nke Gluconorm nwere metformin. Amachibidoro ya ị useụ ọgwụ ndị ọzọ na enweghị ọgwụ dọkịta iji zere nsogbu ma mee ka ọnọdụ onye ọrịa ahụ ka njọ.

Mbadamba na-enyere ụfọdụ ndị ọrịa aka, ebe ndị ọzọ na-akpata nsonaazụ. N'okpuru bụ ụfọdụ nyocha nke ndị ọrịa mamịrị Gluconorm.

Achọpụtara m na ọrịa shuga afọ asaa gara aga. Dọkịta ahụ akọwaala Gluconorm dị ka ọgwụ nnọchi. Ana m a drinkụ otu mbadamba ụbọchị, jiri mmiri sachaa ya. Ahụ dị m mma. Ọgwụ m gụnyere ị medicationụ ọgwụ, iri nri. Ruo ugbu a, achọpụtaghị ngosipụta na-adịghị mma.

Ọria mamiri, ka emee ka m Gụọ Gluconorm kwa ụbọchị n'ụtụtụ na anyasị. Ọkpụkpụ glucose na ọbara dịghachiri na nkịtị, mana isi ọwụwa na nsogbu nri pụtara. Ka ọ tụgharịrị, enwere m ọgwụ mgbochi ụdị ọgwụ a. Aghaghị m ịgbanwe ọgwụ.

Ọrịa shuga na-edugakarị ọrịa na-egbu egbu. Oké ọbara shuga dị oke ize ndụ.

Aronova S.M. nyere nkọwa banyere ọgwụgwọ ọrịa shuga. Na-agụ zuru ezu

Ndị na-ahụ maka ọgwụ

Ihe mejupụtara Gluconorm nwere ihe abụọ mejupụtara, bụ nke na-eweta mmetụta hypoglycemic.

Metformin bụ otu nke biguanides, nke na-eme ka mmụba nke sel dị na insulin, nke na-enye aka iji glucose ngwa ngwa. Ihe a na - emetụta usoro metabolic na imeju, na - enwe nguzozi na mmepụta cholesterol na triglycerol. A na - eme ka iwepu carbohydrates si na ngọngọ diges.

Glibenclamide bụ usoro sitere na sulfonylurea. Site n'enyemaka ya, a na-ebu mmiri ọgwụ insulin, nke a na-enweta site na ikpughe mkpụrụ ndụ akwara. Na-enye mmetụ nke mkpụrụ ndụ ahụ ka insulin, na-egbochi lipolysis nke anụ ahụ adipose.

Usoro onunu ogwu na nhazi

Usoro ọgwụgwọ kachasị kwesịrị ekwesị nke dọkịta ahụ kpebiri site na ndị na-egosi shuga ọbara. Usoro ọgwụgwọ ahụ na-amalite site na ntakịrị usoro nke ọgwụ ahụ, nke bụ ọkara mbadamba otu ugboro n'ụbọchị.

Iji zere mmepe nke hypoglycemia, a na-atụ aro ka ị were mbadamba ọgwụ 1 otu oge kwa ụbọchị na nri. A na-eme nke a nke ọma n'ụtụtụ, n'ihi mbelata nke usoro metabolic mgbe nri ehihie gasịrị.

Na enweghị ịdị irè, a na-eji nwayọọ nwayọọ na-abawanye usoro onunu ogwu. Maximumbọchị kachasị kwa ụbọchị ekwesịghị ịfe mbadamba 5-6. Ọ bụrụ na ọ dị mkpa iji doses dị elu karịa ka a tụrụ aro ya, ndị ọkachamara kwesịrị ilebara onye ọrịa ahụ anya mgbe niile.

Gluconorm gbakwunyere

Increasedba ụba nke Glibenclamide na-enye gị ohere iji naanị mbadamba 1 kwa ụbọchị iji nweta ike hypoglycemic. Kedu ụdị ọgwụ dabara adaba n'otu ikpe, dọkịta ga-agwa.

Ihe gluconorm tinyere mbadamba nkume yiri

Ọtụtụ mgbe, ọgwụgwọ na-ebido na Gluconorm mbụ, na enweghị enweghị nke ha na-agbanwe gaa na ụdị etinyere aka na nnukwu ọdịnaya nke Glibenclamide.

Mkparịta ụka ọgwụ ọjọọ

N’otu oge a na-eji ọgwụ Gluconorm gbakwunyere na Miconazole, yana ọgwụ antimycotic ọ bụla, nke, mgbe ị na-emekọrịta ihe, na-akpalite mmepe nke coma mamịrị, ọbụladị na-egbu egbu, amachibidoro iwu.

Ejila mmanya gluconorm

Nweghị ike iji ọgwụ hypoglycemic tinyere mmanya na-egbu egbu, nke na-akpalite mbelata ọnụọgụ ọrịa ọbara mgbali na ọnụego obi.

N'iburu oke nlezianya anya, a na-ejikọ ọgwụ ahụ na glucocorticosteroids na ọgwụ, nke gụnyere ayodiin.

Atụmatụ eji

A naghị atụ aro ka a gluconorm maka ndị ọrịa mgbe afọ 65 gasịrị, n'ihi oke ihe egwu nke ịmalite mmeghachi omume ọjọọ, gụnyere mmepe nke coma mamịrị. Mgbe afọ iri anọ na anọ gachara, a na-amalite iji obere elekere, ma ọ bụrụ na ọ dị mkpa, mmụba ha na-achọ nyocha ya mgbe niile gbasara ọnọdụ onye ọrịa.

N'oge afọ ime, a machibidoro iji ọgwụ a iwu, ebe ọ bụ na ihe ndị dị n'ọrụ na-enye aka na mmebi nke mmepe zuru ezu nke nwa ebu n’afọ.N'aka nke ya, a na - ebute nsogbu nke ọrịa a na - amụ n'ọmụmụ, yana ime ọpụpụ n'oge mbido.

Ọgwụ ndị na-esote ya bụ otu ihe mejupụtara ya na ọgwụgwọ ọgwụgwọ:

Nhọrọ nke otu ma obu ihe ozo nke nwere ike iwetulata obara obara dabere na ogo nke oria shuga na oria ndi ozo. Naanị dọkịta nwere ikike ịkwado ọgwụ, na-ahọrọ usoro kachasị mma na otu usoro. Medication medicationụ ọgwụ mgbochi onwe ya dị ize ndụ maka mmepe nke akpịrị na-arịa ọrịa shuga na nsogbu ndị ọzọ na-eyi ndụ egwu.