Ntuziaka acarbose maka ndị ọrịa mamịrị ụdị 1 na nke 2, analogues

Onye na-ahụ maka ọnya hypoglycemic, na-egbochi nsị nke alfa-glucosidase, na-ebelata ntụgharị enzymatic nke di-, oligo- na polysaccharides na monosaccharides, si otú a belata nnabata nke glucose site na eriri afọ na hyperglycemia postprandial. N'ime ndị ọrịa nwere nnabata glucose na-adịghị mma, iji ya eme ihe mgbe niile na-ebelata ihe ize ndụ nke ụdị ọrịa shuga mellitus 2 (gụnyere dabere n'ọmụmụ abụọ-blind blind, STbo-N>.

Site na iji acarbose, mmepe nke hypoglycemia bụ ihe a na-ahụ anya. Agbanyeghị, njikọta nke ọgwụ ahụ na ihe ndị ọzọ hypoglycemic ma ọ bụ insulin nwere ike ibute nsonaazụ ndị a, yabụ na ntuziaka WHO akwadoghị ojiji nke mkpokọta ndị dị otú ahụ. Achọpụtakwara na akara nke hypoglycemia na-etolite mgbe ndị agadi na ndị mmadụ na - adịghị ike na-eji acarbose, ọ bụrụgodị na ọ nweghị ọgwụ antidiabetic ọzọ n'otu oge, nke ekwesịrị ịtụle mgbe edere ndị ọrịa nke otu ndị a ọgwụ.

Na ihe omumu in vitro na na vivo enweghị ihe akaebe nke mutagenicity. Nlekọta nri maka nri anaghị emetụta ọmụmụ na ikike ịmụ nwa n'ozuzu ya.

Dezie Pharmacokinetics

Mwepu - ihe dịka 35% nke nchịkwa enyere, ikekwe n'ụdị metabolites (nke 2% - na arụ ọrụ), bioavailability bụ 1-2%. Mgbe nchịkwa ọnụ gachara, a na-ahụ oke ọnụ ọgụgụ abụọ: mgbe awa 1-2 gachara ma ọ bụ awa iri na anọ ruo na nke 14 ruo 14, ịpụta nrịba nke abụọ bụ n'ihi ntinye nke metabolites site na eriri afọ. Olu nkesa - 0.39 l / n'arọ. N'ime ndị ọrịa nwere ọdịda akụrụngwa (mwepụ nke creatinine erughị 25 ml / min. / 1.73 m²), ntinye uche kachasị (Cmax) na-abawanye ugboro 5, na ndị agadi - 1.5 ugboro.

Ọ bụ metabolized naanị na eriri afọ, ọkachasị nje na nsia na enzymes digestive diges, na e guzobere dịkarịa ala ogige. Achọpụtara metabolites nke bụ isi dị ka usoro nke 4-methylpyrogallol (n'ụdị nke sulfate, methyl na glucuronic conjugates). Otu metabolite, ngwaahịa mepụtara glucose dị na acarbose, nwere ikike igbochi alpha glucosidase.

Ọkara ndụ ( Ndi1/2 ) na nkesa - 4 awa, na oge nke excretion - awa 10. A na - ewepụ ya site na eriri afọ - 51% (n'ime awa 96) ka ngwaahịa metabolic (acabbose na - anaghị arụ ọrụ), site na akụrụ - 34% n'ụdị metabolites na erughị 2% - adịghị agbanwe agbanwe yana dịka metabolite na-arụ ọrụ.

Dezie egosi

Elldị shuga abụọ nke ọrịa shuga (ya na adịghị ike nke usoro ọgwụgwọ nri, nke kwesịrị ịbụ ma ọ dịkarịa ala ọnwa 6, arụ ọrụ na-ezughị ezu nke ịdebe ihe nchịkwa sulfonylurea megide ndabere nke nri nwere obere kalori), ụdị 1 ọrịa mellitus ọrịa shuga (dị ka akụkụ nke ọgwụgwọ njikọta). Mgbochi nke ụdị ọrịa shuga mellitus nke 2 (na ndị ọrịa nwere nnabata glucose dị mma yana nri na mmega ahụ).

Contraindications Dezie

Hypersensitivity, diabetic ketoacidosis, ọrịa imeju, ọrịa na-efe efe na-adịghị ala ala nke na-agbagide nri na-emetụta nri (gụnyere ọrịa malabsorption, ọrịa maldigestion), Remgeld syndrome, nnukwu hernia nke mgbidi mgbidi, eriri afọ eriri afọ na ịmụba ụba nke imepụta, M , ihe mgbochi eriri afọ (nke gụnyere akụkụ ya ma ọ bụ ịkọ ahụ ya), ihe mgbochi na ọnya afọ, akwara gbasara akwara na-adịghị ala ala (ọdịnaya creatinine dị elu karịa 2 m / DL), afọ ime, lactation.

Usoro onunu ogwu

A na-ewere ọgwụ ọnụ, na-enweghị ita, na obere mmiri mmiri ozugbo tupu nri ma ọ bụ 1 awa mgbe nri gasịrị. Usoro izizi bụ 50 mg × ugboro atọ kwa ụbọchị na mmụba nwayọ nwayọ na otu ọgwụ ruo 100-200 mg (a na-ebuli mmụba oge izu 4-8 nke ọgwụgwọ ya na oge izu 1-2, dabere na glycemia na ntinye onwe onye). Ọkara dị n'etiti ndị okenye nwere oke ahụ erughị 60 n'arọ bụ 50 mg, ihe karịrị 60 n'arọ bụ 100 mg × ugboro atọ n'ụbọchị. Oke kachasị kwa ụbọchị bụ 600 mg.

Mgbochi: dose mbụ - 50 mg 1 oge kwa ụbọchị yana mmụba nwayọ na otu ọgwụ ruo 100 mg (a na-eme ịrị elu maka ọnwa 3).

Dezie Mmetụta Nkụzi

Ebe ọ bụ na acarbose na-egbochi imebi nke carbohydrates dị mgbagwoju anya n'ime glucose, ụfọdụ carbohydrates na-anọgide na eriri afọ ma nyefee ya na eriri afọ. Na eriri afọ, nje na-agbari carbohydrates dị mgbagwoju anya, na-akpata nsonso afọ na-akpata dị ka flatulence (78% nke ndị ọrịa) na afọ ọsịsa (14% nke ndị ọrịa). Ebe ọ bụ na mmetụta ndị a na-adabere na ọgwụ, ọ na-abụkarị ka ebido jiri obere ala wee jiri nwayọ bulie dose ahụ ka ịchọrọ. Otu nnyocha gosipụtara na nsị azụ na-agbadata agbada (site na 50% ruo 15%) n'ime izu iri abụọ na anọ, ọbụlagodi iji ya mgbe niile.

Ọ bụrụ na onye ọrịa na - eji acarbose arịa ọrịa hypoglycemia, onye ọrịa ahụ kwesịrị iri ihe nwere monosaccharides, dị ka mbadamba glucose ma ọ bụ gel (GlucoBurst, Insta-Glucose, Glutose, Level One), na dọkịta kwesịrị ịkpọ. N'ihi acarbose na-egbochi ndakpọ nke shuga tebụl na shuga ndị ọzọ dị mgbagwoju anya, ihe ọ fruitụ fruitụ mkpụrụ osisi ma ọ bụ nri starch enweghị ike ịgbanwe ọrịa hypoglycemia n'ụzọ dị irè na onye ọrịa na-ewere acarbose.

Achọpụtawo ịba ọcha n'anya site na iji acarbose. Ọ na-apụ n'anya mgbe ọ kwụsịrị ọgwụ. Ya mere, a ga-enyocha enzymu imeju tupu oge ọgwụ a.

GIT: mgbu epigastric, flatulence, ọgbụgbọ, afọ ọsịsa, adịkarịghị - ụba ọrụ nke transminases “imeju” (mgbe ewere ya na ọkara nke 150-300 mg / ụbọchị), ihe mgbochi afọ, eriri afọ, ịba ọcha n'anya (n'ọnọdụ ndị a na-adịghị ahụkebe, ọnwụ na-ejupụta).

Ntuziaka pụrụ iche Dezie

Nnukwu ịwa ahụ na mmerụ ahụ, oke ọkụ, ọrịa na-efe efe na ọrịa febrile nwere ike ịchọ ịkwụsị ọgwụ hypoglycemic nke ọnụ na nchịkwa nke insulin. Ọ dị mkpa ịgbasochi nri anya. Ihe ọ andụ andụ na nri nwere ọtụtụ carbohydrates (poly-, oligo-, disaccharides) nwere ike ibute nsogbu nke eriri afọ. Ekwesịrị ịgwọ ọrịa n'okpuru nchịkwa glucose na ọbara na / ma ọ bụ mmamịrị nke Hly na transceases n'ime afọ mbụ nke ọgwụgwọ - otu ugboro kwa ọnwa atọ na mgbe ụfọdụ. Mmụba nke dose karịa 300 mg / ụbọchị na-esonyere naanị ntakịrị ntakịrị na postprandial hyperglycemia yana mmụba n'otu oge n'ihe ize ndụ nke hyperfermentemia. Site na nlekọta nke ọgwụ n’otu oge - ọgwụ ndị a na-enweta na sulfonylurea ma ọ bụ insulin, mmepe nke hypoglycemia ga-ekwe omume, nke a na-agbazi site na ịtinye glucose na nri, ma ọ bụ site na nhazi ya. N'ọnọdụ nke nnukwu hypoglycemia, ekwesịrị iburu n'uche na shuga nri na-agbajikwa glucose na fructose, nke insulin na-anaghị achịkwa ya na ya mere na-eme ka ike gwụ hypoglycemia ngwa ngwa. Iji kpochapu ya, ọ dị mma iji ma glucose na doses dị elu ma ọ bụ glucagon (n'ọnọdụ siri ike).

Dezie Mkparịta ụka

Ngwakọta nke sulfonylureas, insulin, metformin na-eme ka mmetụta hypoglycemic dịkwuo elu. Antacids, cholestyramine, adsorbents nke eriri afọ, ọgwụ enzyme belata arụmọrụ. Thiazide diuretics, corticosteroids, phenothiazines, homonụ thyroid, estrogens, ọgwụ mgbochi, phenytoin, nicotinic acid, adrenostimulants, BMKK, isoniazid na ọgwụ ndị ọzọ na-akpata hyperglycemia, na-ebelata ọrụ dị ukwuu (enwere ike ịba uru nke ọrịa shuga mellitus).

Ihe ngosi maka ojiji

Edepụtara Acarbose maka ndị ọrịa nwere ọrịa shuga nke 1 ma ọ bụ ụdị 2, yana ndị ọria mamịrị na ndị na-arịa ọgwụ insulin.

Egosipụta ike ya ifelata n’ike sayensi, ya mere enwere ike ịkọ ọgwụ maka oke ibu, ọrịa shuga na-ejikọ ọnụ. Edebere Acarbose n’aka ndị ọrịa shuga na-arụ ọrụ dị ukwuu n’arụ ọrụ, kama ị drugsụ ọgwụ na-akpata sulfonylurea, ebe ọ bụ na nke ikpeazụ n’ọtụtụ ọnọdụ na-ebute hypoglycemia.

Mpempe mwepụta

Acarbose bụ ntụ ntụ (ọcha ga-ekwe omume), nke a na-agbanye mmiri na mmiri. N’ebe a na-ere ọgwụ, a na-ahapụ ya n’ụdị mbadamba ụrọ, yana iji ọgwụ nke 50 na 100 mg.

Ngwaahịa kachasị ewu ewu acarbose bụ German “Glucobay” na Turkish “Alumina”. Ọnụ ego nke mbụ bụ ihe dịka 490 rubles maka mbadamba 30 nke nwere usoro ọgwụ nke 50 mg. Ọgwụ ahụ bụ “Glinoza” ahụbeghị ụdị ọgwụ dị n'ụlọ ọgwụ ndị Russia n'oge na-adịbeghị anya.

Dabere na usoro onunu ogwu, Glucobai nwere acarbose 50 ma ọ bụ 100 mg. Mmetụta ọgwụgwọ pụtara na eriri afọ. Ọ na-eme ka ọrụ nke ụfọdụ enzymes dị na mbibi polysaccharides kwụsị.

N'ime ihe ndị ọzọ: silicon dioxide, magnesium stearate, stachi ọka, microcrystalline cellulose.

Ntụziaka maka ojiji

A na-ewere ọgwụ ahụ ọnụ tupu minit 15-20 tupu nri. Enwere ike ị nweta ya mgbe ị risịrị nri. N'okwu a, ọ ga-adị mkpa ichere opekata mpe otu elekere.

Nke ndi onwa ka edoziri ogwu a n’otu n’otu n’ile maka onodu ahu ike ya, n’ozo nke uzo oria di iche-iche, oria nke oria di iche iche.

Dịka iwu, na mbido mbụ, a na-enye ntinye ọgwụ ugboro atọ nke 50 mg. Ọ bụrụ na mgbe ọnwa 1-2 agaghị achọpụta nsonaazụ ọ bụla, usoro ịba ụba ga-aba ụba.

Ọ nwere ike ịhapụ ihe karịrị 600 mg nke acarbose kwa ụbọchị. Ogologo oge ọgwụgwọ kwesịrị opekata mpe ọnwa isii.

Njirimara ngwa

A machibidoro ọgwụ acarbose maka ụmụaka na ụmụaka na-erubeghị afọ 18. A na-atụ aro ya maka oge ọgwụgwọ iji wezuga mmanya na ụdị ọ bụla ruru ka ekwekọghị ya na njiri arụ ọrụ.

A na-ahapụ ndị ọrịa agadi, yana ndị nwere ọrịa imeju na akụrụ iji ọgwụ. Dose ukpụhọde adịghị, a na-ahọrọ ya dabere na ogo nke ọrịa shuga na nzaghachi anụ ahụ na usoro ọgwụgwọ.

A machibidoro acarbose n'oge afọ ime na lact n'ihi enweghị ihe ndị sayensị gosipụtara na nchekwa ya maka nwa ebu n’afọ.

Mmekọrịta na ọgwụ ndị ọzọ

Ọgwụ Acarbose na-akwalite ọrụ nke metformin, insulin, sulfonylurea, si otú a na-enye aka na mmepe nke hypoglycemia siri ike.

N'ime ọgwụ ndị na-ebelata ike ọgwụ, ndị a:

  • homonụ thyroid,
  • ọgwụ mgbochi nke steroid,
  • diuretics
  • igbochi omumu
  • ọgwụ nwere ọgwụ nicotinic acid.

Njikwa nkwonkwo nke ọgwụ hypoglycemic na anwansi adịghị arụ ọrụ n'ihi ike ọgwụgwụ nke ọgwụgwọ nke ikpeazụ.

Nsonaazụ

Ọgwụ nke sitere na acarbose nwere ike ibute azịza anụ ahụ maka ọgwụgwọ. Ọtụtụ mgbe karịa ndị ọzọ ebilite:

  • ịkpụpụta oke ikuku, afọ ọsịsa, mgbu afọ,
  • ihe mgbochi akụkụ eriri afọ zuru ezu ma ọ bụ akụkụ ya,
  • abawanye na enzymes imeju.

Site na anụ ahụ, hives, rashes nwere ike ịpụta.

Dịka iwu, a na-anabata ọgwụ ahụ nke ọma. Mmetụta ndị na-achọghị na-apụta naanị n’ụbọchị mbụ nke ọgwụgwọ ma gafee n’onwe ha. Dose ukpụhọde na ọgwụgwọ kpọmkwem.

Agbanyeghị, maka oge acarbose ọgwụ, a na-adụ ndị ọrịa ọdụ ka ha nyochaa ọbara oge niile maka ọnụọgụ enzymes imeju iji zere mmepe nke ịba ọcha n'anya.

Ihe ngbanwe

E nwere ike ike ijikwa ọgwụ mgbochi iji acarbose bụrụ nke ezi na ọnọdụ zuru oke.

Ndị zuru oke gụnyere:

  • tụụrụ ime
  • lactation
  • cirrhosis
  • ketoacidosis
  • enweghi nsogbu gbasara akwara,
  • anabataghị akụkụ ọ bụla nke ọgwụ ahụ.

N'ime ndị ikwu, anyị nwere ike ịmata ọdịiche:

  • ahu ọkụ
  • bu oria mgbe a gwọchara ya.

Ọ dị mma ịmara na ọ bụ naanị dọkịta na-aga ele anya nwere ike ime mkpebi ikpeazụ na ọgwụgwọ acarbose.

Dodoụbiga ya ókè

Y’oburu n’onwa edebere ka agafee, oria na flatu nwere ike iputa. N'okwu a, onye ọrịa ahụ ga-ajụ nri nwere carbohydrates maka opekata mpe 5.

Ihe mgbaàmà ndị yiri ya nwere ike ime mgbe ị na-eri nnukwu carbohydrates n'oge ọgwụgwọ.

Ọ bụrụ na a gụnyere acarbose na ọgwụ njikọta yana ọgwụ ndị ọzọ na-ebutelata shuga, ihe ize ndụ nke hypoglycemia na-abawanye. A na-eji nri carbohydrate kwụsị ụdị ụdị nro ahụ. Iumdị dị ala na nke siri ike na-achọ ọgwụgwọ. Ihe a na-ejikarị bụ dextrose intraven.

N'etiti nkwadebe ndị sitere na acarbose, German “Glucobay” na Turkish “Glinoza” nọ n'ahịa Russia. Nke ikpeazụ a bụ nke a na-ahụkarị n'agwaghị ọgwụ.

Ọgwụ Metformin nwere ụdị mmetụta hypoglycemic. Aha ndị azụmaahịa kachasị ewu ewu bụ Glucophage na Siofor.

N'ọnọdụ ụfọdụ, a na-eji ọgwụ ndị na-eme ka sulfonylurea eme ihe: Gliclazide, Glibenclamide

Ka afọ iri anọ na ise gachara, ọbara ọbara m bidoro mụbara. Nri adịghị ike. Dọkịta nyere ndị ọrịa hypoglycemic. Ngwakọta nke metformin belatara shuga nke ukwuu, ọbụladị nwere ịkpọ ambulansi. Ugbu a, m na-anabata Acarbose. Ahụ dị m mma, ahụbeghị m ihe ọ bụla na-akpata ya.

Treatmentzọ ọgwụgwọ ọrịa shuga m dị ogologo. Anwara m ọtụtụ ọgwụ. Didfọdụ adaghị ozugbo, ndị ọzọ gosipụtara nsonaazụ ha, mgbe oge ụfọdụ gasịrị. Ugbu a, m na-a Gụ Glucobay. Enwere m obi ụtọ maka ọnụahịa ya na otu esi eji nwayọọ nwayọọ na-ebelata shuga n'ọbara m. Enwere m olile anya na o nweghị mmetụta ọ bụla na-adịghị mma n'ahụ m.

Ọgwụ ọgbara ọhụrụ enwebeghị ike ịgwọ ọrịa shuga kpamkpam. Isi ọrụ ha bụ idobe ọkwa shuga n'ime oke ọ bụla a chọrọ ya ma zere ịfụgharị elu na ala. Ndị ọrịa mamịrị kwesịrị icheta ihe bụ isi - enweghị nri siri ike, ọ nweghị ọgwụ ga-arụ ọrụ, n'agbanyeghị etu ọ dị.

Kedu ihe bụ acarbose na otu esi arụ ọrụ

Carbohydrates dị na nri anyị bụ maka ọtụtụ akụkụ sọọsọ. N'otu oge, n'ime usoro nri, ha na enzymes pụrụ iche - mmiri glycosidases ga-enweta hydrolysis, mgbe nke ahụ gasị, ha ga-abanye na monosaccharides. Ọkpụkpụ dị mfe, n'aka nke ya, banye n'ime mucosa eriri afọ wee banye n'ọbara.

Acarbose na usoro ya bu pseudosaccharide nke enwetara site na usoro ndu. Ọ na-asọ mpi na shuga site na nri nke eriri afọ dị elu: na-ejikọ ya na enzymes, na-anapụ ha ikike nwa oge ịhapụ ike carbohydrates. N'ihi nke a, acarbose na - eji nwayọ nwayọ abanyekwa n'ọbara. Ọkpụkpụ glucose dị nwayọ ma nwekwuo ike ịbanye n’ime arịa, ka ọ na-ewepụ ya nke ọma karịa n’ime ha n’ime akwara. Ọrịa glycemia na-adịwanye ala, ọ na-agbanwe ọ̀tụ̀tụ̀ ya mgbe erichara nri.

Mmetụta Acarbose Mmetụta:

  1. Normalizes haemoglobin glycated, na-emezi kwụọ ụgwọ ọrịa shuga.
  2. Thenwe nnabata glucose dị adị site na 25% belata ohere ịbawanye ọrịa shuga.
  3. Na-egbochi ọrịa obi: a na-ebelata ihe ize ndụ ahụ site na 24% na ndị ọrịa mamịrị, site na 49% na ndị ọrịa nwere NTG.

Acarbose dị irè karị n'ọrịa ndị ọrịa glycemia na-ebu ọnụ ma bulie elu mgbe ha risịrị nri. Nnyocha e mere egosiwo na iji ya nwere ike belata glucose na-ebu ọnụ site na 10%, glucose mgbe o riri site na 25%, hemoglobin glycly dị 21%, cholesterol site na 10%, triglycerides na 13%.Yana glycemia, nnabata nke insulin n'ime ọbara na-ebelata. N'ihi ọdịnaya dị ala nke insulin na lipids n'ime ndị ọrịa nwere ọrịa shuga, a na-ebelata insulin iguzogide na ihe ize ndụ nke atherosclerosis, a na-eme ka ịdị arọ nke ibu dị mfe.

Ejirila Acarbose dị ka ọrịa hypoglycemic ruo ihe karịrị afọ 20. Na Russia, naanị otu ọgwụ nwere ihe a ka edebara aha - Glucobai nke ụlọ ọrụ German bụ Bayer Pharma. Mbadamba ahụ nwere usoro onyunyo 2 - 50 na 100 mg.

Iji Acarbose Glucobai maka oke ibu

Mgbe ị na-ewere acarbose, ụfọdụ n'ime carbohydrates enweghị oge imebi ma na-ewepụ anụ ahụ site na anụ ahụ, a na-ebelatakwa ihe calorie nke nri. Ha nwara iji ihe a karịa ihe karịrị otu ugboro maka oke ibu, ọbụlagodi ọmụmụ ihe banyere ịdị irè nke ọgwụ maka ịta ahụ. N'ime ndị ọrịa nwere ọrịa shuga, iwebata acarbose n'ime usoro ọgwụgwọ rụpụtara ihe dị ka kilogram 0.4 n'arọ. N'otu oge ahụ, oriri caloric na ike nke ibu buru otu ihe.

Dọkịta nke Sciences Medical, Isi nke Institute of Diabetology - Tatyana Yakovleva

M na-amụ ọrịa shuga kemgbe ọtụtụ afọ. Ọ na-atụ ụjọ mgbe ọtụtụ mmadụ nwụrụ, nweekwa nkwarụ karịa n'ihi ọrịa shuga.

Emere m ngwa ngwa izisa ozi ọma - Endocrinological Research Center nke Russian Academy of Medical Sciences jikwaa aka ịmalite ọgwụ na-agwọ ọrịa shuga mellitus kpamkpam. N'oge a, ịdị irè nke ọgwụ a na-eru nso 98%.

Ozi ọma ọzọ: Ministri Ahụike echekwaala maka mmemme pụrụ iche nke na-akwụ ụgwọ ọgwụ dị elu. Na Russia, ndị ọrịa mamịrị ruo Mee Mee 18 (isonye) nwere ike inweta ya - Naanị 147 rubles!

Achọpụtakwara na iji Acarbose maka ịbelata oke bụ ihe kachasị arụ ọrụ na njikọta na nri na egwuregwu. N'oge a, a na-eduzi ọmụmụ ihe ahụ na ndị ahụ siri ike. Nsonaazụ ahụ gbara ume: ihe karịrị ọnwa 5, ndị ọrịa belatara BMI ha site na 2.3, n'ime ìgwè na-achịkwa na-enweghị acarbose - naanị 0.7. Ndị dọkịta na-atụ aro na mmetụta a jikọtara ya na nsonaazụ n'akụkụ ọgwụ. Ozugbo ha sachibido iri nri na carbohydrates, ha na - eme ka ngwa ngwa gbaa ụka dị na eriri afọ, oke ma ọ bụ afọ ọsịsa malitere. Acarbose ebe a na-arụ ọrụ dị ka ụdị nke na-egosi nri kwesịrị ekwesị, nke ọ bụla mebiri na nri bụ nke na-adịghị mma.

Kedu ihe aga-edochi ya

Glucobai enweghị analogues zuru ezu. Na mgbakwunye na acarbose, otu nke α-glucosidase inhibitors gụnyere ihe ndị na-arụ ọrụ dị ka voglibose na miglitol. Na ndabere ha, German Diastabol, Turkish Alumina, Ukraine Voksid mepụtara. Ha nwere otu mmetụta ahụ, ya mere enwere ike ịtụle ha dị ka analogues. N'ime ụlọ ahịa ọgwụ nke Russia, ọ nweghị otu n'ime ọgwụ ndị a ka egosipụtara, nke mere na ndị ọrịa mamịrị ụlọ ga-ejide onwe ha na Glucobai ma ọ bụ weta ọgwụ si mba ọzọ.

Acarbose esighi na ndepụta Vital na Mkpa Ọgwụ, ya mere ndị ọrịa nwere ọrịa shuga na-amanye ịzụta Glucobay na aka ha. Ọnụahịa ahụ dị na Russia sitere na 500 ruo 590 rubles. maka mbadamba 30 nke 50 mg. Usoro onunu ogwu nke 100 mg di obere onu ahia karia: 650-830 rubles. maka otu ego.

Na nkezi, ọgwụgwọ ga-efu 2200 rubles. otu ọnwa. N'ime ụlọ ahịa ọgwụ dị n'ịntanetị, ọgwụ ahụ dị ntakịrị ọnụ ala, mana n'ọtụtụ n'ime ha, ị ga-akwụ ụgwọ maka nnyefe.

Nyocha nyocha Ndidi

Dabere na ndị na-arịa ọrịa shuga, Glucobai bụ ọgwụ "na-adịghị mma". A na-amanye ndị ọrịa ọ bụghị naanị ịgbaso nri obere carb, mana n'ọnọdụ ụfọdụ ịhapụ ngwaahịa mmiri ara ehi, ebe ọ bụ na lactose nwekwara ike ịkpata nsogbu nri. A na-enyocha mmetụta nke belata shuga nke acarbose. Ogwu n’eme ka glucose di nma n’ime nri mgbe obula, n’enweta onodu ya na-adighi nma.

Nyocha na-efufu ibu na-enwechaghị nchekwube. Ha na-a theụ ọgwụ a tumadi na-atọ ụtọ ezé, nke na-enweghị ike ime na-enweghị eji megharịa ọnụ ogologo oge. Ha na-achọpụta ọgwụ ndị a na-adịghị emerụ ahụ, mana oke ọnụ. Na mgbakwunye, n'ihi nsonaazụ ndị ọzọ, enwere ike iri nri carbohydrate n'ụlọ, n'atụghị egwu nsonaazụ ya. Tụnyere Xenical, a na-anabata Glucobay, mana nsonaazụ ya pere mpe.

Gbalia imuta! You chere na nchịkwa ọgwụ ogologo oge na ọgwụ bụ naanị ụzọ eji egbochi shuga? Ọ bụghị eziokwu! Nwere ike ịchọpụta nke a n'onwe gị site na ịmalite iji ya. gụkwuo >>

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