Matlapa a Amaryl a sebelisetsoa ho fetola maemo a tsoekere ea mali. Nakong ea phekolo le moemeli enoa, phello e tobileng ho manyeme e tsoa, ka lebaka leo tlhahiso ea insulin e ntlafatsoang.
Lebitso la Machaba le sa Tšoanelehang
Glimepiride.
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Matlapa a Amaryl a sebelisetsoa ho fetola maemo a tsoekere ea mali.
ATX
A10BB12
Sebopeho
Khemik'hale e sebetsang ke glimepiride. Likarolo tse ling tse tlatsong ha li bonts'e ts'ebetso ea hypoglycemic mme li sebelisoa feela ho fumana tumellano ea lithethefatsi:
- lactose monohydrate;
- povidone 25000;
- sodium carboxymethyl starch (mofuta A);
- magnesium stearate;
- cellcose ea microcrystalline;
- litoeba;
- indigo carmine (E132).
Litekanyetso tsa glimepiride letlapeng le le leng e ka ba tse fapaneng: 1, 2, 3, 4 mg. U ka reka sehlahisoa seo ka lipakete tsa 30 le 90 likhomphutha. Bakeng sa bonolo ba ho boloka litafole, ho fanoa ka marang-rang (li-pcs tse 15 ho e 'ngoe le e' ngoe).
Ketso ea pharmacological
Amaryl e bua ka li-hypoglycemic agents tse entsoeng bakeng sa ts'ebeliso ea molomo. Setlhare ke sona se fumanehang ka ho fetisisa ho sulfonylurea. Sesebelisoa sena ke moloko oa ho qetela, ka hona se na likotsi tse 'maloa ha se bapisoa le li -alogue tsa molumo oa 2 kapa 1. Setlhare ha se na ts'ebetso e tobileng ho tsoekere, empa e thusa ho tlosa matšoao a hlahisoang ke litaba tse phahameng tsa ntho ena ka ho sebelisana le lisele tsa pancreatic.
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Amaryl e ka rekoa ka mekotleng ea li-pcs tse 30 le 90. Bakeng sa ho boloka litafole, ho na le lithupa.
Maemong ana, ts'ebetso ea tlhahiso ea "insulin" e kenngoe tšebetsong, ka lebaka leo boemo ba phallo ea tsoekere maling eleng bo tloaelehileng. Setlhare se seng se kenya letsoho ho khahliseng lisele tsa pherekano mabapi le litlamorao tsa insulin. E fana ka keketseho ea lebelo la karabelo ea 'mele ho hola glucose ho plasma.
Mochine oa tlhahiso ea "insulin" le karolo ea Amaril o thehiloe ho koaloang ha marang-rang a litsela tsa potasiamo tsa ATP. Ka lebaka leo, liteishene tsa calcium li buloa. Ka lebaka leo, calcium ea liseleng e eketseha haholo. Keketseho ea insulin ke sephetho sa potoloho e tsitsitseng ea khokahanyo ea glimepiride le protheine ea lisele tsa beta tsa manyeme le ho phatloha ha eona.
Amaryl e bonts'a thepa e 'ngoe: antioxidant, antiplatelet, e fokotsa ho hanyetsa insulin. Ka lebaka la sena, 'mele o sebetsana le litekanyetso tse nyane tsa glimepiride. Nakong ea phekolo, ts'ebetso ea ts'ebeliso ea tsoekere ke lithane tsa pherese e kenngoa, ha ntho ena e isoa ho lisele tsa mesifa le adipocytes (lisele tsa adipose tiske).
Ho lefu la tsoekere la mofuta oa bobeli, ts'ebetso ena e ea fokotseha, hobane ho na le thibelo lebelo la ts'ebetsong. Glimepiride e thusa ho potlakisa ts'ebeliso ea tsoekere, ka lebaka leo boemo ba 'mele bo tloaelehileng le hypoglycemia. Ka nako e ts'oanang le lits'ebetso tse hlalositsoeng, ho na le ho theoha butle butle tlhahiso ea tsoekere maling.
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Bophelo ba halofo ea lithethefatsi Amaryl ho tsoa 'meleng bo nka lihora tse 5 ho isa ho tse 8.
Leha ho le joalo, glimepiride e tšoauoa ka liketso tse khethiloeng 'me ka mokhoa o ikhethileng li ama mosebetsi oa encyme ea cycloo oxygenase. Ka lebaka leo, boholo ba phetoho ea arachidonic acid e le thromboxane ea fokotseha. Ka lebaka lena, sekhahla sa ho thehoa ha methapo ea mali sea fokotseha, hobane liplatelete ha li bolokoe ka mafolofolo marakong a methapo ea mali. Ka nako e ts'oanang, ho fokotseha ha boholo ba lipid oxidation hoa tsebahala, hammoho le khatello ea bona e tloaelehile.
Mofumahali
Tekanyo eo tlhapi ea glimepiride e fihletsoeng ka eona maling e itšetleha ka tekanyo ea lithethefatsi le se leng teng nthong e sebetsang. Ntho e sebetsang e kenngoa ka potlako ka mokhoa o tšoanang ha e nooa ka mpeng e se nang letho le ka lijo. Monyetla oa lithethefatsi o tlama liprotheine tsa plasma le bioavailability e ngata (100%).
Karolo e sebetsang e epolloa nakong ea motsamao oa bowel le ho ntša. Bophelo ba halofo ea lithethefatsi bo nka lihora tse 5 ho isa ho tse 8. Ha e ntse e nka palo e eketsehang ea Amaril, ts'ebetso ea ho tlosoa ha eona 'meleng e liehisitsoe. Khahlano le nalane ea ho ba le mafu a liphio, khatello ea moemeli enoa ea fokotseha, ka lebaka la ho potlakisa ha eona ho felisoa ha halofo ea bophelo.
Matšoao a sebelisang matlapa a Amaryl
Moriana o sebetsa hantle kalafong ea lefu la tsoekere la mofuta oa 2, athe menyetla ea ho ba le liphihlelo tse mpe le mathata a teng a fokola. Amaryl e sebelisoa e le mokhoa o ikemetseng oa kalafo kapa hammoho le mekhoa e meng.
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Contraindication
Lithethefatsi tse boletsoeng ha li fuoe maemo a joalo a pathological:
- ho hloka mamello ho karolo efe kapa efe, ka hypersensitivity ho glimepiride hangata e ntlafatsang;
- mofuta oa 1 lefu la tsoekere;
- tlolo ea metabolism ea carbohydrate, e tsamaeang le ho fokotseha ha palo ea insulin;
- coma, precoma;
- ho lemalla joala bo sa foleng, hobane ntlheng ena mojaro o holim'a sebete oa eketseha;
- karabelo e mpe ho lithethefatsi life kapa life tse tsoang sehlopheng sa sulfonylurea.
Ka tlhokomelo
Ho lokela hore ho sebelisoe tlhokomeliso maemong a joalo a fanang ka maikutlo a tlhokahalo ea ho fetisetsa mokuli ho ea kalafo ea insulin: tšenyo libakeng tse kholo tsa letlalo ka lebaka la ho pepeseha hoa mocheso, ts'ebetso ea ts'ebetso ea ts'ebetso, mathata a tšilo ea lijo le ho monya lijo le lik'hemik'hale butle butle ka marako a tšilo ea lijo.
Mokhoa oa ho sebelisa lithethefatsi Trulicity?
Metformin 1000 e laeloa ho theola tsoekere ea mali. Bala haholoanyane ka sethethefatsi sena sengolong.
Ts'ebeliso ea Metformin Zentiva e khothalletsoa ke lingaka.
Mokhoa oa ho nka matlapa a Amaryl
Setlhare se nooa pele ho lijo kapa ka lijo. Nako ea kalafo e khethoa ho latela boemo ba mokuli, tekanyo ea tsoelo-pele ea lefu lena, empa hangata tsela ea pheko e telele.
Le lefu la tsoekere
Qalong ea kalafo, ha ho lokela ho nkoa ho feta 1 mg. Phekolo: matlapa a nooa ka nako e le ngoe ka letsatsi hoseng. Haeba ho hlokahala, tekanyetso ea letsatsi le letsatsi ea lithethefatsi e eketseha, empa sena se etsoa ka mekhahlelo: 1 mg ea ntho e eketsoa khafetsa, sethaleng sa ho qetela - 6 mg. Ha hoa lumelloa ho feta tekanyo e boletsoeng ea moriana, hobane palo ea hau ea letsatsi le letsatsi ke 6 mg.
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Amaryl e nooa pele ho lijo kapa ka lijo.
Litlamorao tsa matlapa a Amaryl
Karolong ea setho sa pono
Ho senyeha ha pono ka lebaka la ho ruruha ha nakoana hoa lilense. Ka lebaka la sena, angle ea refraction ea liphetoho tsa leseli.
Phekolo ea ka mpeng
Ho nyekeloa ke pelo, ho hlatsa, bohloko ka mpeng, mathata a ka mokokotlong, maemo a mangata a a amang sebete.
Hematopoietic litho tsa ka hare
Liphetoho mefuteng ea mali le sebopeho, joalo ka thrombocytopenia.
Ho tloha ka lehlakoreng la metabolism
Ho nka moriana o botsoang ka nako e 'ngoe ho baka tsitsipano e kholo ea maemo a tsoekere. Tabeng ena, ho hlaha matšoao: ho opeloa ke hlooho, ho nyekeloa ke pelo, ho hlatsa, bofokoli bo akaretsang, ho ba mabifi ho eketseha, ho ameha haholo ka maikutlo, ho ferekana kelellong, khatello ea maikutlo, phetoho ea lebelo la pelo, ho thothomela hoa hlokomeleha, boemo ba khatello bo fetoha (holimo).
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Allergie
Ketsahalo e etsahalang khafetsa nakong ea kalafo ea Amaril ke urticaria, e tsamaeang le lekhoakhoa, ho loha. Hangata, ho ba le boemo ba ho tšoha, vasculitis, dyspnea ho hlaha.
Tšusumetso ho bokhoni ba taolo ea methapo
Ho na le kotsi ea hypo- le hyperglycemia, e ka lebisang tlhokomelong e sa sebetseng, liphetoho kelellong, le litlamorao tse mpe tsa psychomotor. Ho hlokahala hore u be hlokolosi ha u khanna.
Litaelo tse khethehileng
Ka kalafo e kopaneng le Metformin, ntlafatso ea taolo ea metabolic e bonoa.
Sebakeng sa Metformin, insulin e ka fanoa. Ka nako e ts'oanang, ts'ebetso ea ho laola metabolism ea glucose le eona e nolofalitsoe.
Haeba mokuli a e-ba le karabelo e itlhommeng pele ho moriana o noeng bonyane (1 mg), ho lekane ho latela mokhoa oa ho ja ho boloka maemo a tloaelehileng a tsoekere.
Phekolo ka sethethefatsi sena e hloka tlhahlobo ea kamehla: lekola litekanyetso tsa motheo tsa sebete le mali. Karolo ea bohlokoa ho sena e bapaloa ke leukocytes le liplatelete.
Sebelisa botsofaling
Ngoliso le kalafo ea kalafo e ea hlahlojoa, hobane khafetsa ho bakuli ba sehlopha sena, ts'ebetso ea ho hlaphoheloa ha methapo ea methapo e ea senyeha.
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Mosebetsi ho bana
Kaha ha ho na tlhahisoleseling ka polokeho ea moriana o botsoang kalafo ea bakuli ba ka tlase ho lilemo tse 18, e ka se sebelisoe.
Sebelisa nakong ea bokhachane le pelehi
Amaryl ha e fuoe basali nakong ea ho beleha le ho anyesa.
Kopo ea ts'ebetso ea renal e senyehileng
Sesebelisoa ha se sebelisoe.
Sebelisa bakeng sa ts'ebetso ea sebete e sa sebetseng
Tšenyo e kholo ho setho sena ke ho sitisa tšebeliso ea Amaril. Haeba lefu la sebete le hlaha, menyetla ea mathata e eketseha.
Bongata
Hypoglycemia ea bonahala. Matšoao a boemo bona a tsoela pele matsatsi a 1-3. O ka felisa matšoao ka ho nka tekanyetso ea lik'habohaedreite. Ho khutlisetsa maemo a tsoekere ka potlako, ho khothaletsoa hore o hlatse le ho noa metsi a mangata.
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Ho sebelisana le lithethefatsi tse ling
Ho na le monyetla oa ho fokotseha ha tsoekere haeba, hammoho le Amaril, insulin kapa li-agent tsa hypoglycemic tsa molomo, Allopurinol, anabolics, Chloramphenicol, lithethefatsi tse nang le li-hormone, li-inhibitors tsa ACE li laetsoe.
Phello e fapaneng e fihlelloa ka ho kopanngoa ha Amaril ka barbiturates, GCS, diuretics ea sehlopha sa thiazide, Epinephrine.
Ts'ebetso ea lihlahisoa tsa coumarin e ka fokotseha 'me ea eketseha haeba lithethefatsi tsena li laetsoe ka nako e le ngoe le lithethefatsi tseo ho buuoang ka tsona.
Tekanyo ea joala
Ha ho khonehe ho noa lino tse nang le joala ka nako e le 'ngoe le Amaril, hobane litholoana tsa ho kopana ha lintho tsena li sa lebelloa: phello ea hypoglycemic e ka mpefala le ho fokola.
Li-analog
Haeba mokuli a hlahisitse moriana o matla oa ntho e sebetsang eo ho buuoang ka eona, ho sebelisoa lithethefatsi tse ling:
- Maninil;
- Gliclazide;
- Diabetes;
- Glidiab.
Lipehelo tsa khefu ea khemisi
Moriana ke ngaka.
A na nka reka ntle le lengolo la ngaka?
Che.
Ke bokae?
Theko ea karolelano: ruble ea 360-3000. Litšenyehelo li ipapisitse le khatello ea glimepiride le palo ea matlapa.
Maemo a polokelo ea moriana
Tsamaiso ea mocheso e khothalletsoang: eseng ho feta + 25 ° С. Ho fihlella ha bana mohahong ho tlameha ho koaloa.
Letsatsi la ho felloa ke nako
Setlhare se boloka thepa ea sona ka lilemo tse 3.
Moqapi
Aventis Pharma Deutschland GmbH, Jeremane.
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Litlhahlobo
Anna, ea lilemo li 32, Novomoskovsk
Moriana o sebetsa hantle, o tlosa ka potlako matšoao a hypoglycemia. Empa nakong ea phekolo, boemo ba glucose bo ile ba fokotseha makhetlo a 'maloa bo seng bo ntse bo le teng.
Elena, ea lilemo li 39, Nizhny Novgorod
Setlhare se ne se sa lekana. E nkuwa e sebetsa ka ho fetisisa sehlopheng sa eona, empa ke qala ho nyekeloa ha ke qala ho sebelisa lipilisi. Mme theko e holimo.