Khaello ea insulin 'meleng e lebisa ho sitisoeng ha tšebetso ea tsamaiso ea endocrine le nts'etsopele ea lefu la tsoekere le hypoglycemia. Ho boloka sekhahla se hlokahalang sa tsoekere maling, bakuli ba fuoa meriana, e kenyeletsang Glucobay.
Moriana o sebelisoa e le karolo ea kalafo e rarahaneng ea lefu la tsoekere. Pele o sebelisa lithethefatsi, mokuli o khothalletsoa ho etsa tlhahlobo ea bongaka e le hore a qhele ho ba teng ha litlolo tsa molao le ho thibela ho hlaha ha litla-morao.
Lebitso la Machaba le sa Tšoanelehang
Acarbose.
![](http://img.diabetesentity.com/img/sayd-2020/1537/kak-pravilno-ispolzovat-preparat-glyukobaj.jpg)
Ho boloka sekhahla se hlokahalang sa tsoekere maling, bakuli ba fuoa meriana, e kenyeletsang Glucobay.
ATX
A10BF01
Lokolla liforomo le sebopeho
Moriana o fumaneha ka foromo ea lipilisi ho 50 le 100 mg. Lithethefatsi le litsi tsa kalafo li tsamaisoa ka mabokoseng a karete a nang le matlapa a 30 kapa a 120.
Lihlahisoa li na le 'mala o mosoeu kapa o mosehla.
Ho na le likotsi le ho ngola mongolo matlapeng: logo ea k'hamphani ea litlhare ka lehlakoreng le leng la lithethefatsi le lipalo tsa litekanyetso (G 50 kapa G 100) ka lehlakoreng le leng.
Glucobay (ka Selatine) e kenyeletsa:
- motsoako o sebetsang - acarbose;
- Lisebelisoa tse ling - MCC, starch ea poone, magnesium stearate, anhydrous colloidal silicon dioxide.
Ketso ea pharmacological
Setlhare se reretsoeng ho sebelisoa ka molomo ke sa sehlopha sa li-hypoglycemic agents.
![](http://img.diabetesentity.com/img/sayd-2020/1537/kak-pravilno-ispolzovat-preparat-glyukobaj-2.jpg)
Glucobay e isoa likhoebong tsa lithethefatsi le litsing tsa bongaka ka har'a mekotla ea likarete tse nang le matlapa a 30 kapa a 120.
Ho hlophisoa ha matlapa ho kenyelletsa acarbose pseudotetrasaccharide, e thibelang ketso ea alpha-glucosidase (enzyme ea mala a manyane a qhekellang di-, oligo- le polysaccharides).
Kamora hore ntho e sebetsang e kene 'meleng, ts'ebetso ea ho monya lik'habohaedreite e thibelletsoe, tsoekere e kena maling le ka bongata bo bongata, glycemia normalize.
Kahoo, moriana o thibela keketseho maemong a monosaccharides 'meleng, o fokotsa kotsi ea ho ba le lefu la tsoekere, lefu la pelo le mafu a mang a tsamaiso ea mali. Ntle le moo, meriana ena e ama boima ba 'mele.
Tloaelong ea bongaka, hangata lithethefatsi li sebetsa joaloka mokhoa o khothatsang. Mori o sebelisetsoa kalafo e rarahaneng ea mofuta oa 1 le lefu la tsoekere la 2 le ho tlosa maemo a pele ho lefu la tsoekere.
Mofumahali
Lintho tse etsang litafole li kenngoa butle butle ho tsoa pampiring ea mala.
![](http://img.diabetesentity.com/img/sayd-2020/1537/kak-pravilno-ispolzovat-preparat-glyukobaj-3.jpg)
Lintho tse etsang litafole tsa Glucobai li kenngoa butle butle ho tsoa pampiring ea gastrointestinal.
Cmax ea motsoako o sebetsang maling e bonoa ka mor'a lihora tse 1-2 le ka mor'a lihora tse 16-24.
Setlhare se na le motsoako, ebe se qhekelloa ke liphio le sistimi ea tšilo ea lijo ka lihora tse 12-14.
Matšoao a ho sebelisoa
Sethethefatsi se laetsoe:
- kalafo ea mofuta oa 1 le lefu la tsoekere la mofuta oa 2;
- ho lahla maemo a pele ho lefu la tsoekere (liphetoho tsa mamello ea tsoekere, mathata a ho itima lijo glycemia);
- thibela kholo ea lefu la tsoekere la mofuta oa 2 ho batho ba nang le lefu la tsoekere.
Phekolo e fana ka mokhoa o kopaneng. Nakong ea ts'ebeliso ea moriana, mokuli o khothalletsoa ho latela mokhoa oa ho ja le ho phela bophelo bo mafolofolo (boikoetliso, ho tsamaea letsatsi le letsatsi).
![](http://img.diabetesentity.com/img/sayd-2020/1537/kak-pravilno-ispolzovat-preparat-glyukobaj-4.jpg)
Nakong ea ts'ebeliso ea lithethefatsi Glucobai, mokuli o khothalletsoa ho latela mokhoa oa ho ja ka kalafo.
Contraindication
Ho na le litlolo tse 'maloa tsa tšebeliso ea matlapa:
- lilemo tsa bana (ho fihlela lilemo tse 18);
- hypersensitivity kapa ho se mamellane ka seqo ho likarolo tsa moriana;
- nako ea ho ba le ngoana, ho nyeka le pelehi;
- mafu a sa foleng a mala, a tsamaeang le ts'ebetso ea ts'ilo le ho monya;
- cirrhosis ea sebete;
- lefu la tsoekere la ketoacodosis;
- ulcerative colitis;
- stenosis ea ka mpeng;
- hernias e kholo;
- Reketso ea Remkheld;
- ho hloleha ha rems.
Ka tlhokomelo
Moriana o lokela ho nooa ka hloko haeba:
- mokuli o lemetse 'me / kapa o buuoe;
- mokuli o fumanoa a e-na le lefu le tšoaetsanoang.
![](http://img.diabetesentity.com/img/sayd-2020/1537/kak-pravilno-ispolzovat-preparat-glyukobaj-5.jpg)
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Nakong ea kalafo, hoa hlokahala ho bona ngaka le ho hlahlojoa khafetsa bongaka khafetsa, hobane litaba tsa enzymes tsa sebete li ka eketseha nakong ea likhoeli tsa pele tse tšeletseng.
Mokhoa oa ho nka Glucobay
Le lefu la tsoekere
Pele o ja, sethethefatsi sena se nooa ka botlalo, se hlatsuoa ka metsi ka bongata bo fokolang. Nakong ea lijo - ka foromo e sithabetseng, ka karolo ea pele ea sekotlolo.
Litekanyetso li khethoa ke ngaka ho latela litšobotsi tsa 'mele oa mokuli.
Phekolo e khothalletsoang ho bakuli ba nang le lefu la tsoekere ke e latelang:
- qalong ea kalafo - 50 mg makhetlo a 3 ka letsatsi;
- tekanyetso e tloaelehileng ea letsatsi le letsatsi ke 100 mg makhetlo a 3 ka letsatsi;
- Litekanyetso tse lumelletsoeng tse lekaneng - 200 mg makhetlo a 3 ka letsatsi.
Tekanyetso e eketseha ka ho se be le phello ea tleleniki ka mor'a libeke tse 4 ka mor'a ho qala kalafo.
Haeba, kamora ho ja le litlatsetso tse ling tsa ngaka e eang, mokuli o eketsehile tlhahiso ea khase le lets'ollo, keketseho ea tekanyetso ha e amohelehe.
![](http://img.diabetesentity.com/img/sayd-2020/1537/kak-pravilno-ispolzovat-preparat-glyukobaj-11.jpg)
Pele o ja, lithethefatsi Glucobai li nooa ka botlalo, li hlatsuoa ka metsi ka bongata bo fokolang.
Ho thibela mofuta oa lefu la tsoekere la mofuta oa 2, ts'ebetso ea ts'ebeliso ea lithethefatsi e fapane hanyane:
- qalong ea kalafo - 50 mg 1 nako ka letsatsi;
- tekanyetso e tloaelehileng ea kalafo ke 100 mg makhetlo a 3 ka letsatsi.
Litekanyetso li eketsa butle butle ka matsatsi a 90.
Haeba lethathamo la mokuli le se na lik'habohaedreite, ka nako eo o ka tlola u noe lipilisi. Tabeng ea ho chesa fructose le tsoekere e hloekileng, ts'ebetso ea acrobase e fokotseha ho zero.
Bakeng sa boima ba 'mele
Bakuli ba bang ba sebelisa lithethefatsi ho buoa ka ho fokotsa boima ba 'mele. Leha ho le joalo, tšebeliso ea lithethefatsi life kapa life e lokela ho lumellanoa le ngaka e eang.
Ho fokotsa boima ba 'mele, matlapa (50 mg) a nkuoa nako e le ngoe ka letsatsi. Haeba motho a le boima bo fetang li-60 kg, litekanyetso li eketsoa makhetlo a mabeli.
![](http://img.diabetesentity.com/img/sayd-2020/1537/kak-pravilno-ispolzovat-preparat-glyukobaj-12.jpg)
Bakuli ba bang ba sebelisa lithethefatsi Glucobay bakeng sa ho theola boima ba 'mele.
Litla-morao tsa Glucobay
Phekolo ea ka mpeng
Nakong ea kalafo, maemong a mang, bakuli ba na le litlamorao:
- lets'ollo
- botumo;
- bohloko sebakeng sa epigastric;
- ho nyekeloa
Allergie
Har'a lintho tse kulisoang ke ho kula li fumanoa (ka seoelo):
- lekhopho le holimo ho lefu la mokokotlo;
- exanthema;
- urticaria;
- Edema ea Quincke;
- ho phalla ha methapo ea mali ea setho kapa karolo ea 'mele ka mali.
Maemong a mang, ho ata ha li-enzyme tsa sebete ho eketseha ho bakuli, ho hlaha ha jaundice, 'me hepatitis ea hlaha (ka seoelo haholo).
![](http://img.diabetesentity.com/img/sayd-2020/1537/kak-pravilno-ispolzovat-preparat-glyukobaj-13.jpg)
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Tšusumetso ho bokhoni ba taolo ea methapo
Ts'ebeliso ea lithethefatsi ha e ame bokhoni ba ho khanna makoloi ka boikemelo. Leha ho le joalo, ka ho hlaha khafetsa ha litla-morao (ho nyekeloa ke pelo, lets'ollo, bohloko) nakong ea kalafo, o lokela ho tlohela ho khanna.
Litaelo tse khethehileng
Sebelisa botsofaling
Ho latela litaelo tsa tšebeliso, ntle le ho fokotsa kapa ho eketsa tekanyetso.
Ho laela Glucobaya ho bana
E netefalitsoe.
Sebelisa nakong ea bokhachane le pelehi
E thibetsoe.
![](http://img.diabetesentity.com/img/sayd-2020/1537/kak-pravilno-ispolzovat-preparat-glyukobaj-19.jpg)
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Kopo ea ts'ebetso ea renal e senyehileng
Ho fetola litekanyetso ha ho hlokahale.
Sebelisa bakeng sa ts'ebetso ea sebete e sa sebetseng
E tšoaetsanoa haeba mokuli a fumanoa a e-na le bothata bo boholo ba aefisi.
Glucobay e feteletseng
Ha u sebelisa litekanyetso tse phahameng tsa moriana, letšollo le ho ruruha li ka hlaha, hammoho le ho fokotseha ha palo ea liplatelete.
Maemong a mang, bakuli ba ba le ho nyekeloa le pelo le ho ruruha.
Ho sebelisa litlolo tse ngata ho ka etsahala ha u sebelisa litafole hammoho le lino kapa lihlahisoa tse nang le lik'habohaedreite tse ngata.
Ho felisa matšoao ana nakoana (lihora tse 4-6), o tlameha ho hana ho ja.
![](http://img.diabetesentity.com/img/sayd-2020/1537/kak-pravilno-ispolzovat-preparat-glyukobaj-27.jpg)
Ho sebelisa litlolo tse ngata ho ka etsahala ha u sebelisa litafole hammoho le lino kapa lihlahisoa tse nang le lik'habohaedreite tse ngata.
Ho sebelisana le lithethefatsi tse ling
Phello ea hypoglycemic ea lithethefatsi eo ho buuoang ka eona e matlafatsoa ke insulin, metformin le sulfonylurea.
Ho sebetsa hantle ha kalafo ho fokotsoa ka tšebeliso ea nako e le 'ngoe ea acrobase le:
- acid ea nicotinic le lithibela-pelehi tsa molomo;
- estrogens;
- glucocorticosteroids;
- lihormone tsa qoqotho;
- li-thiazide diuretics;
- phenytoin le phenothiazine.
Tekanyo ea joala
Joala bo bongata bo eketsa tsoekere ea mali, ka hona ho noa joala nakong ea kalafo hoa thibeloa.
![](http://img.diabetesentity.com/img/sayd-2020/1537/kak-pravilno-ispolzovat-preparat-glyukobaj-28.jpg)
Joala bo bongata bo eketsa tsoekere ea mali, ka hona ho noa joala nakong ea kalafo hoa thibeloa.
Li-analog
Har'a lithethefatsi tse tšoanang liketsong tsa meriana, ho boletsoe tse latelang:
- Alumina
- Siofor;
- Acarbose.
Lipehelo tsa khefu ea khemisi
Lipilisi tsa ngaka.
A na nka reka ntle le lengolo la ngaka?
Ho na le linyeoe tsa ho rekisa lithethefatsi ntle le lengolo la ngaka le netefalitsoeng. Empa, kalafo ke sesosa sa litlamorao tse ke keng tsa fetoloa.
Theko ea Glucobay
Litsenyehelo tsa matlapa (50 mg) li fapana ho tloha ho li-ruble tse 360 ho isa ho tse 600 bakeng sa likotoana tse 30 ka pakete e ngoe.
![](http://img.diabetesentity.com/img/sayd-2020/1537/kak-pravilno-ispolzovat-preparat-glyukobaj-29.jpg)
Har'a lithethefatsi tse tšoanang le tsa bongaka, Siofor e hlokomelehile.
Maemo a polokelo ea moriana
Matlapa a khothalletsoa hore a bolokoe ka khabiniking kapa sebakeng se seng se lefifi, ka mocheso o sa feteng + 30 ° С.
Letsatsi la ho felloa ke nako
Lilemo tse 5 ho tloha ka letsatsi leo a lokolloang ka lona.
Moqapi
BAYER SCHERING PHARMA AG (Jeremane).
Litlhahlobo mabapi le Glucobay
Lingaka
Mikhail, ea lilemo tse 42, Norilsk
Setlhare ke sesebelisoa se atlehang kalafong e rarahaneng. Bakuli bohle ba lokela ho hopola hore moriana ona ha o fokotse takatso ea lijo, ka hona, nakong ea kalafo hoa hlokahala ho laola boima, ho latela mokhoa oa ho ja le ho ikoetlisa.
![](http://img.diabetesentity.com/img/sayd-2020/1537/kak-pravilno-ispolzovat-preparat-glyukobaj-30.jpg)
Nakong ea kalafo le Glucobai, lingaka li khothaletsa ho tataisa mokhoa oa bophelo o mafolofolo (boikoetliso, ho tsamaea letsatsi le letsatsi).
Litsebi tsa lefu la tsoekere
Elena, ea lilemo li 52, St. Petersburg
Ke na le lefu la tsoekere la mofuta oa 2, 'me ke nonne haholo. Joalokaha ho laetsoe ke setsebi sa endocrinologist, o ile a qala ho sebelisa moriana ho latela morero o ntseng o eketseha, hammoho le kalafo ea phepo. Kamora ho phekoloa ka likhoeli tse peli, o ile a tlosa likhilone tse ling tse 5, ha tsoekere e maling e ntse e fokotseha. Hona joale ke ntse ke sebelisa meriana.
Roman, ea lilemo li 40, Irkutsk
Ke siea tlhahlobo bakeng sa ba belaelang katleho ea moriana. Ke qalile ho nka acrobase likhoeling tse 3 tse fetileng. Tekanyetso e ile ea eketseha butle butle, ho latela litaelo. Joale ke nka 1 pc (100 mg) makhetlo a 3 ka letsatsi, feela pele ho lijo. Hammoho le sena, ke sebelisa Letlapa le le leng la Novonorm (4 mg) hang ka letsatsi. Regimen ena ea kalafo e u lumella ho ja ka botlalo le ho laola boemo ba hau ba tsoekere. Ka nako e telele, matšoao a sesebelisoa ha a felle ho 7.5 mmol / L.
Ho fokotsa boima ba 'mele
Olga, ea lilemo li 35, Kolomna
Setlhare se sebelisetsoa ho phekola lefu la tsoekere, empa eseng ho theola boima ba 'mele. Ke eletsa bakuli ho nka moriana feela joalokaha o laetsoe ke ngaka e tlang, mme ho molemo hore batho ba phetseng hantle ba tlohele mohopolo oa ho theola boima ba 'mele ka k'hemistri. Motsoalle (ea senang lefu la tsoekere) ea tsoang ka ho amohela acrobase o hlahile a le makhatheng a matla le tšilo ea lijo e robehile.
Sergey, ea lilemo tse 38, Khimki
Setlhare se thibela ho kenngoa ha likhalori tse kenang 'meleng ka tšebeliso ea lik'habohaedreite tse rarahaneng, ka hona sesebelisoa se thusa ho theola boima ba' mele. Spouse bakeng sa likhoeli tse 3 tsa ts'ebeliso ea acrobase e lahlile likhilthara tse ling tse 15. Ka nako e ts'oanang, o ile a khomarela lijo mme a ja feela lijo tsa boleng bo holimo le tse sa tsoa phetoa. Ha a ba le litlamorao. Empa haeba u kholoa litlhahlobo, phepo e nepahetseng ha u ntse u sebelisa litafole e ama katleho le ts'ebeliso ea meriana.