"Glyurenorm": mirayiridzo kushandiswa, dzomuzana chaiwo

Jekiseni nemataundi chirwere cheshuga mellitus kana chirwere cheshuga rechipiri mhando inonzi metabolic chirwere. It kunoratidzwa chisingaperi hyperglycemia, iyo anova nokuda zvinetso zviri jekiseni kudyidzana pamwe tishu masero.

Zviratidzo chirwere ichi ndicho kuoma uye nyota iri mumuromo, kunyanya weti, tsandanyama simba, ganda kuvaviwa, maronda akaipa zazhivlyaemost uye kufutisa. Nokuti kurapa mhando 2 chirwere cheshuga vachishandisa zvinodhaka "Glyurenorm". Mirayiridzo yokushandisa, analogs, zvivako uye chimiro vakati zvinodhaka dzinoturwa pazasi.

The Kuronga chinodhaka, tsananguro yacho, kavha, chimiro

In chii chimiro pave zvinodhaka "Glyurenorm"? Mirayiridzo dzokushandisa inoshuma kuti chivako ichi rinowanika muchimiro mahwendefa chena uye anotsvedzerera kumativi chimiro, pamwe Valium uye beveled micheto, akavezera "57C" uye chekambani Logo.

The chikuru chezvinonhuwira kuti zvinodhaka anonzi gliquidone. Uyewo hazvina unotora aomeswa zviyo starch, lactose monohydrate, zviyo starch uye soluble magnesium stearate (mamwe yeimwe).

In yavakatengesa zvinodhaka "Glyurenorm" (Mahwendefa) iri yaipiwa mu mhoni packs it zvezvimedu 10, izvo zviri mumapepa ari packs it pakati makadhibhokisi.

The zvinodhaka

Chii chinodhaka "Glyurenorm"? Mirayiridzo dzokushandisa inoshuma kuti mumiriri ichi hypoglycemic, sulfonylurea (chizvarwa wechipiri). Mwari akaronga chete nomumukanwa yaitonga.

Vaitirei mushonga ane vnepankreaticheskim uye pancreatic nemigumisiro. Kunomutsa ari secretion insulin yakakodzera uye potentiates shuga-yairevererwa gwara kwaro inotungamirwa.

Kwakaita Murabhoritari mhuka zvakaratidza kuti zvinodhaka "Glyurenorm" mirayiridzo iri raiva mubhokisi chakagadzirwa makadhibhokisi, vanokwanisa kuderedza insulin irambe iri adipose zvinyama uye murwere chiropa. Izvi zvinoitika kuburikidza dzishande postreceptor mashandiro ari yairevererwa jekiseni, uyewo kwakawedzera Kanotokonya kwazviri.

Hypoglycemic mugumisiro pashure dosing hwapedyo pashure maminitsi 65-95. Panyaya kunonyanyisa mugumisiro zvinodhaka, richiwanika pashure maawa anenge 2-3 uye rinovapo kwemaawa anenge 8-10.

kinetic ehupfumi

Usage "Glyurenorma" mirayiridzo inopa kuti kushandisa imwe chete dose zvinodhaka (15-30 MG) hunoita wayo nokukurumidza uye kwakakwana Absorção de Água kubva nemudumbu (anenge 80-95%). Nhamba Yepamusorosoro kwayo wevasungwa pashure zvasvika 2 awa.

Active wemafuta rimwe medicament ane mukuru sungano kuti mapuroteni eplasma.

No umboo hunotsigira ndingangokuvara kupfuura gliquidone kana nezvinogadzirwa nomukaka kuburikidza placenta kana ropa-uropi chipingamupinyi ikoko. Uyewo, hapana ruzivo pamusoro kupinda gliquidone mu wamai mukaka.

Apo muviri "Glyurenorm" chinodhaka? Mirayiridzo dzokushandisa rinoti aionekwa mumiririri rinoita ari chiropa kubudikidza demethylation uye hydroxylation.

Huru Chikamu gliquidone nomukaka hwokurara kubudikidza ura. Nguva zvinodhaka hafu-upenyu maawa 1-2.

In vakwegura uye repakati varwere kinetic parameters "Glyurenorma" yakafanana.

Maererano nenyanzvi, ichi chinoreva muviri hauna changing varwere hepatic insufficiency. Zvinofanira kucherechedzwa kuti varwere havachanyatsogoni itsvo basa zvinodhaka hazvirevi -wedzera.

umboo

Under chii ezvinhu inonyatsobudirira zvinodhaka achiita "Glyurenorm"? Mirayiridzo yokushandisa, wongororo vanoti chiratidzo kushandiswa kwayo chirwere cheshuga cheshuga rechipiri mhando vakwegura uye repakati (pamwe ineffectiveness zvataidya).

Inorambidza kugamuchira mishonga

Umo Muzviitiko iri contraindicated varayire mapiritsi "Glyurenorm"? Mirayiridzo kushandiswa anoratidza zvinotevera contraindications zvinodhaka:

• inoratidza porphyria chenjera;
• chirwere cheshuga mellitus wokutanga mhando;
• hepatic kukundikana, yakanyanya;
• chirwere cheshuga acidosis, precoma, ketoacidosis uye chaanoziva;
• nguva pashure resection pamusoro pancreatic kenza;
• Kwakadaro hakuwanzowaniki nhaka yezvakaita chirwere sezvo galactosemia, lactose kusashivirira, kushaya lactase uye shuga-galactose malabsorption;
• chenjera ezvinhu omurwere (semuenzaniso, zvakakomba maoparesheni, zvirwere);
• panguva pamuviri;
• kuduku zera (nokuda kwokushayiwa umboo pamusoro kuchengeteka uye efficacy zvinodhaka muchizvarwa ichi boka);
• achiyamwa;
• hypersensitivity kune sulfonamides.

Kunyatsogadzirira mutambo

With Tikanyatsoongorora medicament nachiremba:

• kwokupisa urwere;
• kushayikwa shuga-6-phosphate dehydrogenase;
• zvirwere zviri thyroid shwanu (zvaipesana mashandiro ayo);
• chidhakwa.

Drug "Glyurenorm": mirayiridzo kushandiswa

"Glyurenorm" mapiritsi ushandiswe chete mukati. At kugamuchirwa kwavo zvakafanira kutevedza mazano ose chiremba chokuita chipimo chemushonga nemishonga kuti zvokudya. Zvinonzi rambidzwa kurega kunwa mushonga pasina kutanga kurangana nyanzvi.

Initial dose haberleri nzira iri mahwendefa 0.5 (i.e., 15 MG) panguva yokutanga kwemangwanani. The mushonga zvinofanira kutorwa kumavambo kudya. Pashure kushandiswa kwayo hakubvumidzwi Darika zvokudya.

Kana ukashandisa 1/2 piritsi haakonzeri kuvandudzika, pashure zano chiremba kuti kuwedzera uwandu husingakuvadzi zvishoma nezvishoma. Pamusangano daily dose kuti "Glyurenorma" hapana anopfuura 2 pamahwendefa, rinogona kutorwa kamwe panguva kwemangwanani.

Kana chiremba prescribes wakakwirira chipimo chemushonga zvinodhaka, ipapo nokuti zvakanaka kutiita varege akakamurwa 2 kana 3 mishonga.

Yepamusorosoro mishonga kumusoro kusvika 4 Mahwendefa pazuva inowanzopiwa kwete kuwedzera kunyatsoshanda yavo. Saka, mushonga "Glyurenorm" kupfuura mari iyi haisi inokurudzirwa.

In vanhu vane havachanyatsogoni itsvo basa chipimo chemushonga kuchinja kunodiwa.

Kutora zvinodhaka zvinopfuura 75 MG vari varwere havachanyatsogoni chiropa kushanda zvinoda kugara zvichiongororwa navanachiremba.

pamwechete "Glyurenormom" murwere anogona anowedzera basa "metformin" With kukwana kuchirapa kushanda.

zviitiko ovhadhozi

Negashiro yakakwirira mishonga ine sulfonylurea nomukaka kazhinji kunotungamirira yomuropa. Uyezve, imwe ovhadhozi kuti chokushandisa ichi kunogona kukonzera zvinotevera zviratidzo: vangadikitira, tachycardia, kushatirwa, nzara, nomusoro, palpitations, tremor, kushaya hope, kupinduka pinduka, madzerere uye matauriro, kurasikirwa chavanoziva.

Kana zviratidzo yomuropa vanofanira shuga kana zvokudya akapfuma makabhohaidhiretsi.

nemishonga

Zvino, imi munoziva, kubva zvaanoda mushonga akadai "Glyurenorm". Mirayiridzo kushandiswa kwezvinodhaka yavewo yakurukurwa pamusoro.

Maererano nemashoko varwere, pane imwe negashiro mari anogona kuva:

• thrombocytopenia, angina, agranulocytosis;
• paresthesia, yomuropa, dzungu;
• leukopenia, nomusoro, anorova, hope;
• pekugara vachivavhiringidza, kurukutika, hypotension;
• zvemwoyo kukundikana, muromo yakaoma, Stevens-Johnson urwere;
• ungaderedza Nzara, photosensitivity maitiro, kuda kurutsa, mapundu;
• mikoko, kurutsa, muchipfuva marwadzo, cholestasis;
• kupatira, kuvaviwa, manyoka, kusagadzikana mudumbu.

zvinodhaka kwavatori

Kana concomitantly ne gliquidone "Allopurinol", ACE FIs, antifungals, analgesics, coumarin nomukaka, NSAIDs nemamwe hypoglycemic zvinogona kutanga yakakura.

"Rifampicin" barbiturates uye "Phenytoin" nechepazasi hypoglycemic chaizvoizvo "Glyurenorma".

chaizvo kurumbidza

Hypoglycemic yomuchipatara nokuti mukanwa Kutarisirwa haifaniri kutsiva zvokurapa zvokudya.

Vanhu vane chirwere cheshuga ose chiremba dzokurumbidza kuva zvakasimba inofanira kuchengetwa.

Kana zviratidzo yomuropa hwobva kutora zvokudya rine shuga.

Kurovedza muviri kungaita kuti chiwedzere hypoglycemic mugumisiro zvinodhaka.

Sezvo renal excretion gliquidone kubudikidza zvishomanana, vaiona medicament zvinogona zvakanaka kushandiswa varwere renal vanotaura uye nephropathy kuti shuga.

Munguva kurapwa Zvidzidzo zvakanzi Vakawana kuti kushandisa zvinodhaka pasi kufunga haisi vakabatsira kuwedzera murwere muviri uremu kwemwedzi 30. Uyezve, zviitiko kwaicherechedzwa kuderera muviri uremu kubudikidza 1-2 makirogiramu.

Analogs uye nhoroondo

By analogues zvinodhaka "Glyurenorm" zvinosanganisira zvinotevera zvinoreva: "Gliklada", "Amiks", "Glianov", "Glayri", "Glibetik".

Reviews of mushonga varipo vanogona kusangana kupfuura siyana. Maererano nemishumo vatengi, zvinodhaka izvi inoshanda chaizvo uye nyore vose. Zvisinei, zvinofanira kucherechedzwa kuti varwere vazhinji akasuwa pamusoro ndandanda divi zvinokonzerwa mumiririri uyu. Kunyange zvazvo vanachiremba vanoti zvaitika chaizvo kashoma uye chete mamwe mamiriro ezvinhu.