The mushonga "Dzhardins": mirayiridzo kushandiswa, dzomuzana chaivo, photo, mugadziri

Chirwere cheshuga - chirwere chakakomba, izvo chero zvazvingava hazvigoni kungotariswa. Pasinei chokwadi kuti zvinodhaka anogona kurapa zvirwere zvachose, nhasi hakuwaniki, pamwe kodzero kutora zvimwe zvinodhaka anogona kuderedza zviratidzo chirwere kushoma uye nechokwadi murwere pazera hwepamusoro.

Mumwe mishonga nachiremba cheshuga rechipiri mhando ibhuku rinonzi "Dzhardins". Mirayiridzo yokushandisa rekugadzirira iri nyore, uye migumisiro kurapwa kuri kuoneka. Ndokusaka mushonga mu mushonga ano rinoshandiswa kazhinji. Uye vose akakurumbira zvikuru zvinova ruzivo pamusoro gadziriro. Somuenzaniso, mufananidzo wechinhu umo anogadzirwa uye sei kunokanganisa muviri? Zvinoita panowanikwa zvikuru nenjodzi? Pane contraindications kumutambo womuchato? How zvikuru anoita mushonga uye kana inogona kutsiviwa chinhu? Mhinduro dzemibvunzo iyi vari kutsvaka varwere vakawanda.

Description yesununguro siyana uye sezvamunoita

The mushonga "Dzhardins" (ona mufananidzo pasuru. Above) inogadzirwa muchimiro kumativi biconvex pamahwendefa, film-zvemapuranga. Ivo kupendwa mu tsvuku zvacheneruka. The chikuru vanoshingaira wemafuta zvinodhaka riri empagliflozin. Mazuva pharmacological musika zvinodhaka riri kugadzirwa pamwe kusiyanisa chipimo chemushonga - mumwe piritsi anogona ine 10 kana 30 MG kuti basa fuma.

Sezvingatarisirwa, panewo zvimwe ebetsero zvinoriumba mukurapa. Kunyanya, lactose, magnesium stearate, croscarmellose yavaibvisa, microcrystalline cellulose, colloidal anhydrous silica, hydroxypropylcellulose. The firimu bemhapemha unotora macrogol 400, hypromellose, simbi oxide yero, titanium yakasviba uye talc.

The chikuru pharmacological ehupfumi zvinodhaka

Kazhinji, mushonga "Dzhardins" rinoshandiswa mushonga ano. Nyanzvi Guest vanoti mushonga anogona kuzadzisa kunoguma zvechokwadi yakanaka. Asi sei mishonga iyi inokanganisa pamusoro womunhu?

Empagliflozin ari zvokusarudza, reversible, kukwikwidzana inhibitor zvikuru kushingaira yavaibvisa-zvaanoda shuga transporter rechipiri mhando. Sezvinoratidzwa nezvidzidzo, fuma iyi anovandudza glycemic rokudzora varwere vanenge cheshuga rechipiri mhando. Empagliflozin akazoita reabsorption kuti shuga pedyo neitsvo. Sezvo chikazozikamwa, uwandu shuga yabudiswa ne itsvo iyo inoenderana ayo wevasungwa muropa, uye glomerular filtration unodiwa. Varwere vachitora mapiritsi aya, vakawedzera uwandu shuga kusunungurwa weti. Saka Pfungwa chinotipa mukana pakarepo zvinoderedza yomuropa pavarwere vane mhando cheshuga.

The mashandiro kuita zvinodhaka hakunei simba jekiseni, kana nokuda Beta mumasero rwatata basa, uye saka mukana muduku yomuropa. Zvakanga yakataurawo kuti chinodhaka anovandudza kushanda Beta masero, asiwo hwezvekukurukurirana chirongwa mafuta echipiriso, kunoderedza uremu zvokuti inobatsira kana murwere ari kutambura kubva kufuta.

Pharmacokinetics uye mamwe mashoko

Pane yakawanda mashoko pamusoro pharmacokinetics zvinodhaka, vakawana kuburikidza Murabhoritari kuvhenekwa (umo varwere mhando chirwere cheshuga vaiitawo).

Pamusoro kugamuchira inokosha zvinodhaka yava kunyura kushingaira mumiririri rakapinza kuburikidza zvomudumbu turakiti rusvingo. The kunonyanyisa wevasungwa muropa vakachengeta pashure maawa 1-1.5 pashure kutarisira. Zvadaro empagliflozina uwandu zvinoderedza mu yeplasma - chokutanga chokutambudzika iri nokukurumidza Kuparadzirwa zvinodhaka, uye zvino hwakanyatsorwisa kunonoka kwokupedzisira nguva muviri yezviri fuma.

Munguva tsvakurudzo, yakanga akacherechedza kuti kusimba ari systemic kuona empagliflozina kwakawedzera pamwe kuwedzera dose. Uyewo, kuongorora kwakaratidza kuti kana iwe mushonga dzakakwirira-mafuta, mukuru-mafuta zvokudya, kushanda kwaro ipfupi zvishoma. Zvisinei, kuchinja uku hakusi akaora chinokosha, uye nekuti mahwendefa zvingashandiswa pasinei kudya.

The rinoita kwezvinodhaka fuma iri 86% vakasungwa mapuroteni eplasma. Panguva tsvakurudzo matatu glucuronide metabolite rakawanikwa ropa revanhu, asi avo nhamba hurongwa haasi anopfuura 10% of zvachose chechetere empagliflozina.

The chinouraya hafu-upenyu zvinodhaka riri maawa anenge 12-12.5. Kana varwere vakatora Mahwendefa kamwe pazuva, asi nemishonga pamwero basa fuma muropa yaiitwa pashure rechishanu yaitonga. Sezvambotaurwa, kugadzirira kushanda rinoumbwa metabolites. Akawanda zviri yabudiswa pamwe mutsvina yadzo, uye vamwe - itsvo dziri weti, uye ari kuchinja chimiro.

Uyewo panguva tsvakurudzo, kwakati kwatemwa kuti kana uremu kana chechikadzi murwere haadi kuchinja zvinokonzerwa zvinodhaka ichi. Achiedza kuti boka wevarwere vakuru makore 85 uye ari nevana uye kuyaruka vasina inoitwa, asi nekuti hapana mashoko ari kuchengeteka zvinodhaka nokuda akati Mapato wevarwere.

Pasinei mashandiro chiito zvinodhaka, kubudirira mishonga kunoenderana nokushanda kwenhengo neitsvo. Ndokusaka usati watanga kutora mapiritsi vanofanira kuitisa yakazara kuongorora excretory ezvinhu, uyewo zvakaitika weti. macheki kwakadaro rinofanira kudzokororwa nenguva panguva kurapwa (kanenge kamwe pagore). Uyezve, inoongorora tinofanira kutora muzviitiko apo mishonga matsva chakaunzwa Zano mishonga. Zvinonzi varwere tora chinodhaka ichi murabhoritari pakuongorora weti shuga bvunzo achava akanaka - izvi zvakakwana chakaipa, sezvo chokuita peculiarities kwaitwa pamusoro muviri empagliflozina.

To musi hapana ruzivo nezvekuti zvinodhaka obva muviri mai pamuviri uye mudumbu, uyewo kana kushingaira fuma iri mukaka.

Huru zvairatidza kuti negashiro zvinodhaka

Kana zvakakodzera nzira "Dzhardins" chinodhaka? Mirayiridzo zvokushandisa zvinoratidza kuti mune zvokurapa ano, kuti mushonga anoshandiswa zvinotevera nyaya:

• Chirwere cheshuga Type II cheshuga;
• uye kuwedzera glycemic kuzvidzora pavarwere akura.

Monotherapy rinoitwa ari chiitiko kuti kudzora kuti glycemia pavarwere hazvibviri kunyange kudya kwakakodzera uye zvakakodzera purogiramu kurovedza muviri, uye nokuda mumwe chikonzero kana mumwe kushandiswa metformin hazvibviri (eg nekuti uri hypersensitive).

Senzira kunzwisisa mishonga kuti mumiririri uyu rinoshandiswa pamwe jekiseni kana zvimwe zvinodhaka hypoglycemic, kana nechigadziko zvaiitwa, kudya kwakakodzera uye muviri haagoni normalize murwere ezvinhu.

Chero zvazvingava, zvinokosha kuyeuka kuti chete chiremba anogona kupinda mashoko ari pahwendefa mishonga. Zvisiri kushandiswa kwezvinodhaka kunogona chete achiipa mamiriro, uye chakadaro chirwere akaita chirwere cheshuga, chinogona kuita kuti zvakakomba.

Drug "Dzhardins": mirayiridzo kushandiswa

Sezvingatarisirwa, kukosha nyaya ndiyo Data kugamuchira kutenderera pamahwendefa. Chete chiremba anogona kuwana kodzero chipimo chemushonga mishonga "Dzhardins". Mirayiridzo dzokushandisa rine chete zvayo audzwa.

Kazhinji, varwere vanenge varumbidzwa kutora 10 MG empagliflozina kamwe pazuva - ichi chinoshanda vose mubatanidzwa uye monotherapy. Muzviitiko apo murwere inobvumira mushonga, asi zvatinosiita dose haana kupa kutsvakwa zvabuda, mwero nezuva anogona ngazviwedzerwe 25 MG. Zuva haabvumirwi kutora anopfuura rimwe piritsi.

Chokwadi, chipimo chemushonga iri kugadziridzwa nokuda chiremba maererano murwere ezvinhu, zera, uye, chokwadi, mugumisiro yokurapa. Also kufungwa uye kuva nezvimwe mishonga rinobvisa vanhu.

Mahwendefa Drink kungava vaviri mangwanani usina chawadya, uye gare gare, munguva kana pashure zvokudya, sezvo kugaya haana yekudyidzana kukanganisa Absorção de Água uye kuparadzira vanoshingaira zvinoumba mishonga.

Nguva yose zvinodhaka kunoenderana ezvinhu omurwere, ropa shuga revarombo. Dzimwe nguva chiremba anogona kudzima mushonga pashure hyperglycemia akauyiswa kudzora. Mune zvimwe zviitiko, mahwendefa vari kwenguva refu, uye dzimwe nguva mabiko akasungwa mapoka. It rinogonawo tsunga chete kupinda chiremba inobva kubata mishonga, uyewo kurongwa kuongorora.

Pane kuguma nokugamuchirwa? chikuru contraindications

Kure varwere vose akabvumira kurapwa pamwe mahwendefa "Dzhardins". Instructions dzinoratidza kuti zvinodhaka ane nhamba contraindications. With dzavo mazita zvechokwadi inokosha iverengwe pamberi kurapwa, sezvo zvimwe pangava kukura vanoverengeka yematambudziko. Saka, mushonga harifaniri kushandiswa zvinotevera nyaya:

• chirwere cheshuga wokutanga mhando;
• kuvapo shuga ketoacidosis;
• zvinodhaka "Dzhardins" hakuiti kunan'anura pamberi hypersensitivity kusvikira pakati vomumatunhu (nyatsoverenga pamwe murwiyo usati watanga mutambo);
• Contraindications zvinosanganisira zvimwe dererei nhaka chirwere, semuenzaniso, lactose kusashivirira, shuga-galactose malabsorption, lactase kushaikwa (imwe enzayemu kuti unodokwairira lactose mamorekuru), uye zvichingodaro d..
• mune mamwe marudzi renal chirwere, mapiritsi aya uyewo hatishandisi, nekuti havana kungorega vasina maturo;
• gadziriro ane zvimwe zera pakunogumira, zvikurukuru nayo haungopiwi varwere pasi nemakore 18, sezvo boka iri kudzidza kuita; somunhu mushonga contraindicated vanhu vakura (85 years);
• mushonga kungaita kuti mwero zvinoderedza BP, uye saka kusanganisira zvimwe contraindications zvirwere zvemwoyo;
• panguva pamuviri uye achiyamwa, zvinodhaka kupinza hakubvumidzwi nokuti dhigirii mahwendefa Safety panguva izvi nguva upenyu vakadzi vasiri kunorondedzerwa.

Medicine "Dzhardins" ndiwo anonzi hama contraindications. Izvi zvinoreva kuti mushonga zvinokwanisika, asi chete pasi nokungwarira zvokurapa pokudzora, nokuda pangozi yematambudziko. In boka varwere vane mukana hypovolemia ngozi. Uyewo, hwendefa zvinyoronyoro kushandiswa pamwe chakaita zvokugadzirwa jekiseni.

Nokuti hama contraindications uye zvinosanganisira zvomudumbu turakiti zvirwere pamwe Urume kurasikirwa (manyoka, kurutsa). Mahwendefa ushandiswe nokungwaririra pamberi zvinotapuriranwa maronda ari urogenital hurongwa. Kurapa varwere vakwegura kupfuura makore 75 anofanirawo akatarisira. Chero zvazvingava, unofanira kuva nechokwadi kuti udza chiremba wako pamusoro pamberi zvimwe zvirwere - nzira chete mazvikokota achakwanisa kupa kupfuura mimwe mishonga.

Possible divi Maitiro

Hazvina chakavanzika mishonga yakawanda mune mamwe mamiriro ezvinhu angaita kuti vakasiyana-siyana nenjodzi. Saka pane ngozi kuratidzwa yematambudziko Varwere pakugamuchira "Dzhardins" chinodhaka? Manual inoratidza kuti vamwe matambudziko zvinobvira. Heino mazita inonyanya nemishonga:

• Chinonyanya vanowanzomhanyira yomuropa, kunyange chinoratidza pacharo, ave mutemo, pamusoro pakanyorwa mawa kugamuchira empagliflozina chakaita zvokugadzirwa jekiseni kana sulfonylureas.
• Dzimwe nguva kurapa varwere yakatanga zvinotapukira uye parasitic zvirwere, zvakadai vulvovaginitis, balanitis, kusangana nekutsi kwemukadzi candidiasis, uye vamwe Urinary turakiti zvirwere.
• Kwete chete kubva yomuropa, asi hypovolemia anogona kuva muviri.
• Vamwe varwere uyewo chema kuita weti kakawanda.
• Pavarwere vakwegura vari kakawanda musi pakanyorwa kupera mvura mumuviri mishonga.

Ndiro huru zvinogona matambudziko, kukura zvinogona kuguma piritsi "Dzhardins". Zvisinei, Reviews, anoratidza kuti zvakakomba divi Marwadzo apo neapo. Zvisinei, kana kurapa muchicherechedza chero kudzikira, hwobva kwachiremba. Zvichida kungotaura kuchinja chipimo chemushonga achava zvakakwana kubvisa nenjodzi. Ukuwo, mune zvimwe zviitiko Zvakakunakirai uye kurega kunwa mushonga, vachiitsiva ne mumwe mushonga.

Nokuti mashoko pamusoro kukurukurirana nevamwe zvinodhaka

Sei interacts nedzimwe zvinodhaka zvinodhaka "Dzhardins"? Reviews kuvarapi anoratidza kuti kana zvakarurama akambochera Zano yokurapa ngozi kuti murwere usingashandi. Zvisinei, vanhu unorapa zvinodhaka akabatana zvimwe zvinhu kunogona kuita zvakasiyana pamusoro womunhu muviri:

• Izvi mushonga inowedzera dzimwe nguva diuretic mugumisiro vanonzi "loop" diuretics uye thiazide. Saka, pane ngozi kupera muviri uye, sezvo zvakaguma kukura arterial hypotension.
• Nokuti kuti varwere vanogona kuderera BP, riri zvisingadiwi mubatanidzwa zvinodhaka kuti BP uye mahwendefa "Dzhardins". Zvisinei, Reviews vanachiremba, anoratidza kuti zvakarurama akasarudzwa chipimo chemushonga zvose zvinodhaka kunoderedza ngozi kushoma.
• Sezvambotaurwa, kune concomitant kushandiswa mishonga pamwe jekiseni uye zvinodhaka chakaita zvokugadzirwa izvo Activate yepanyama kemikari secretion muvanhu, kungaita kuti kukura yomuropa. Muzviitiko zvakadaro kunodawo nokungwarira zvichiongororwa uye chipimo chemushonga kuchinja.

Drug "Dzhardins": analogs uye Sevamiririri

Kure zvinodhaka hakusi akakodzera varwere vose. Nezvikonzero zvakasiyana-siyana, vanhu vanogona vasarudze kubva kushandiswa "Dzhardins" chinodhaka. Anoreva zvakafanana mushonga sezvingatarisirwa dziripo. Uyezve, musika ano pharmacological inopa zvakawanda zvinodhaka kuti chiito muviri nenzira yakafanana.

Somuenzaniso, kazhinji ushandiswe varwere akandipa pamwe mukugadzirisa zvinodhaka akadai "Byetta" uye "Viktoza". Zviya, ichi yepamusoro Sevamiririri kubva akakurumbira German yakasimba. Dzimwe nguva varwere vari ushandiswe mushonga "guar" iri granules. Pane zvimwe zvinodhaka kuti anogona kutsiviwa "Dzhardins". Analogues nawo - ndizvo mapiritsi "Invokana", "Novonorm" uye "Repodiab".

Pasinei kudaro vakawanda Sevamiririri, hapana nyaya kuva kuzvipira medicate. Chete chiremba ajaira nhoroondo yako zvokurapa, vangadzidza chakanaka chaizvo, vakarongeka uye njodzi analogue. Kamwe zvakare zvakakodzera kudzokorora kuti chirwere cheshuga - chirwere chakakomba, uye asina hanya kushandisa zvinodhaka iyi nyaya kungaita kuti mukanyiwa yematambudziko, kusanganisira rufu.

How zvikuru ndiyo chinodhaka?

Hazvina chakavanzika kuti varwere vazhinji, mari mushonga - pfungwa inokosha zvikuru. Zvinonzi kunzwisiswa kuti iyi nyaya nemifananidzo achavaponesa zvinhu zvakawanda. Somuenzaniso, kufungisisa anodiwa chipimo chemushonga uye uwandu mahwendefa pasuru, guta dzokugara murwere, mari mutemo chemishonga uye nokutengesa, uye zvichingodaro. D.

The medicament "Dzhardins" (mugadziri - "Boehringer Ingelheim Pharma") pane imwe chipimo chemushonga 10 MG ose vanoshingaira chirungiso arasikirwe 2000-2200 rubles kuti mahwendefa 30. Kana tiri kutaura pamusoro mushonga ari dose 25 MG, ipapo mari achava zvishoma yepamusoro, iko kubva 2100 kusvika 2600 rubles. Zvingava isingadhuri pasuru mahwendefa 10, mari iyo anoda kubva 800 kusvika 1000 rubles. Zvino iwe une mukana kubudisa imwe ine mari kurapa zvinodhaka "Dzhardins". zvinodhaka chinotsiva, nenzira, hungada zvakawanda. Ukuwo, mutengo dzimwe zvinodhaka rakafanana zvishoma yakaderera. Chero zvazvingava, vanofanira kutungamirirwa kwete mutengo asiwo dzingangoitika mugumisiro kurapwa, nekuti utano ndewe chero mari.

Reviews kuvarapi uye varwere pamusoro mishonga

Ndine chokwadi vanhu vakawanda vanoziva kuti nokubvunza maonero varwere vakambova atova kuti vasangane kurapwa, unogona kuwana zvizhinji anobatsira mashoko. Saka kutaura somushonga chigadzirwa "Dzhardins"? Reviews vanachiremba vakawanda akanaka. Zvechokwadi, mapiritsi kubatsira normalize kuti muviri, kuvandudza mamiriro varwere. Maererano Statistical kuongorora, kurutivi migumisiro mishonga regai kuitika kazhinji, vadzivisei kunogona kuva nokururamiswa dosing nyore.

Varwere pachavo wo kufanana mushonga "Dzhardins". Reviews akanaka, sezvo kugamuchira wedunhu iri nyore, uye migumisiro yakanaka kuitika asi nokukurumidza. Mahwendefa here kusangana nemitemo German yepamusoro. Zvazvakashatira zvinodhaka anogona kunzi zvichida kuti vade kudhura, sevamwe dzomuzana vari isingadhuri zvikuru. Ukuwo, mishonga yakafanana kubva vagadziri European dzimwe nguva mbiri, uye dzimwe nguva katatu isingadhuri.

Chero zvazvingava zvinokosha kunzwisisa kuti "Dzhardins" - mapiritsi anobatsira normalize kushanda muviri ari cheshuga rechipiri mhando, asi havagoni kubvisa chirwere ichi ngozi. Dzokuzvirapa hazvisi kunaka, asi nekuti usakanganwa kuti zvakakosha kutevera zvose kunenge uye zvataurwa nachiremba. kushandisa zvinodhaka zvinobatsira kudzora ropa shuga yomuropa uye, naizvozvo, kuvandudza upenyu murwere cheshuga.