Starlix ke sethethefatsi sa hypoglycemic se tsoang ho li-amino acid tsa phenylalanine. Moriana o kenya letsoho tlhahiso e phatlalalitsoeng ea "insulin" ea metsotso e 15 kamora hore motho a e je, athe phallo ea tsoekere ea mali e felisoa.
Ka lebaka la ts'ebetso ena, Starlix ha e lumelle nts'etsopele ea hypoglycemia haeba, ka mohlala, motho a hlotsoe lijo. Setlhare se rekisoa ka mokhoa oa matlapa a koahetsoeng ka lifilimi; e 'ngoe le e' ngoe ea tsona e na le 60 kapa 120 mg ea ntho e sebetsang ea nateglinide.
Ho kenyelelitsoe hape le magnesium stearate, titanium dioxide, lactose monohydrate, macrogol, oxide e khubelu ea tšepe, croscarmellose sodium, talc, povidone, cellcosestalline cellulose, colloidal anhydrous silicon dioxide, hypromellose. O ka reka moriana ka lebenkeleng kapa lebenkeleng le ikhethileng, ka har'a pakete ea 1, 2 kapa 7, blister e le 'ngoe e nang le matlapa a 12.
Tlhaloso ea lithethefatsi
Setlhare se na le litlhahlobo tse ntle. E thusa ho khutlisetsa secretion ea pele ea insulin, hammoho le ho fokotsa ts'oarello ea tsoekere ea mali le hemoglobin ea glycosylated.
Mokhoa o joalo oa ts'ebetso o bohlokoa ho lefu la tsoekere, ka lebaka leo litekanyetso tsa tsoekere ea mali li tloaelehileng. Ho lefu la tsoekere mellitus, karolo ena ea "insulin secretion" e sitisoa, ha nateglinide, e leng karolo ea lithethefatsi, e thusa ho khutlisetsa karolo ea pele ea tlhahiso ea lihormone.
Ho fapana le lithethefatsi tse tšoanang, Starlix e qala ho hlahisa insulin ka matla ka nako ea metsotso e 15 ka mor'a ho ja, e ntlafatsang boemo ba lefu la tsoekere 'me e fetole khatello ea tsoekere maling.
- Kamora lihora tse 'ne tse latelang, maemo a insulin a khutlela boleng ba ona ba mantlha, sena se thusa ho thibela ho hlaha ha hypprinsialememia ea postprandial, eo nakong e tlang e tla baka kholo ea lefu la hypoglycemic.
- Ha khatello ea tsoekere e fokotseha, tlhahiso ea insulin e ea fokotseha. Motsoako le ona o laola ts'ebetso ena, mme ka boleng bo tlase ba tsoekere, e na le phello e fokolang ho secretion ea hormone. Ena ke ntlha e 'ngoe e ntle e sa lumelleng kholo ea hypoglycemia.
- Haeba Starlix e sebelisoa pele ho lijo, matlapa a kenella ka potlako pampiring ea gastrointestinal. Phello e phahameng ea lithethefatsi e etsahala ka hora e latelang.
Litsenyehelo tsa sethethefatsi li ipapisitse le sebaka sa polokelo ea litlama, ka hona, Moscow le Foros theko ea pakete e le 'ngoe ea 60 mg ke li-ruble tse 2300, sephutheloana se boima ba 120 mg se tla bitsa li-ruble tse 3000-4000.
Starlix ea lithethefatsi: litaelo tsa tšebeliso
Le ha moriana o na le litlhahlobo tse ntle, ho bohlokoa ho buisana le ngaka ea hau pele u sebelisa lithethefatsi. Matlapa a lokela ho nooa metsotso e 30 pele ho lijo. Bakeng sa kalafo e tsoelang pele ka moriana ona feela, litekanyetso li ka makhetlo a mararo ka makhetlo a mararo ka letsatsi pele ho lijo. Ha ho e-na le phello e bonahalang ea kalafo, lethal dose le ka eketsoa ho 180 mg.
Nakong ea phekolo, mokuli o hloka ho laola boemo ba tsoekere ea mali mme ho latela data e fumanoeng, lokisa litekanyetso. Ho hlahloba hore na moriana o sebetsa hantle hakae, tlhahlobo ea mali bakeng sa matšoao a tsoekere e etsoa hora e le 'ngoe ho isa ho tse peli ka mor'a lijo.
Ka linako tse ling moemeli ea eketsehileng oa hypoglycemic o eketsoa ho moriana, hangata e le Metformin. Ho kenyelletsa Starlix e ka sebetsa e le sesebelisoa se eketsehileng kalafong ea Metformin. Maemong ana, ka ho fokotseha le ho lekana ha HbA1c e lakatsehang, litekanyetso tsa Starlix li fokotseha ho 60 mg makhetlo a mararo ka letsatsi.
Ho bohlokoa ho ela hloko hore matlapa a na le li-contraindication tse itseng. Haholo-holo u ke ke ua nka lithethefatsi ka:
- Hypersensitivity;
- Insulin e itšetlehileng ka lefu la tsoekere;
- Ho fokolisa tšebetso ea sebete;
- Ketoacidosis.
- Hape, kalafo e hanyetsanoa bongoaneng, nakong ea kemero le ho nyeka.
Litekanyetso ha li hloke ho fetoloa haeba mokuli a ntse a nka Warfarin, Troglitazone, Diclofenac, Digoxin. Hape, ha ho bonahale litšebelisano tse tebileng tse hlakileng tsa lithethefatsi tse ling tsa antidiabetes.
Meriana e joalo ka Captopril, Furosemide, Pravastatin, Nicardipine. Phenytoin, Warfarin, Propranolol, Metformin, Acetylsalicylic acid, Glibenclamide ha e ame ho sebelisana ha nateglinide le liprotheine.
Ho bohlokoa ho utloisisa hore lithethefatsi tse ling li eketsa metabolism ea glucose, ka hona, ha li ntse li li sebelisa ka moriana oa hypoglycemic, liphetoho tsa khatello ea glucose.
Haholo-holo, hypoglycemia ho lefu la tsoekere e ntlafatsoa ke li-salicylates, beta-blocker, li-NSAIDs le li-inhibitors tsa MAO. Lithethefatsi tsa Glucocorticoid, thiazide diuretics, sympathomimetics le lihomone tsa qoqotho li thusa ho fokolisa hypoglycemia.
- Ho mofuta oa 2 mellitus oa lefu la tsoekere, tlhokomelo e khethehileng e lokela ho nkuoa, hobane kotsi ea ho ba le hypoglycemia e phahame haholo. Haholo-holo, ho bohlokoa ho lekola maemo a tsoekere ea mali ho batho ba sebetsang ka mechine e rarahaneng kapa likoloi tsa ho khanna.
- Bakuli ba kotsing e tlase, ba tsofetseng, bakuli ba fumanoeng ba na le pituitary kapa adrenal insuffuff ba kotsing. Tsoekere ea mali e ka fokotseha haeba motho a nka joala, a ikoetlisa haholo 'me a sebelisa lithethefatsi tse ling tsa hypoglycemic.
- Nakong ea kalafo, mokuli a ka ba le litlamorao ka lebaka la ho fufuleloa ho eketsehileng, ho thothomela, ho tsekela, takatso e matla ea lijo, ho eketseha ha pelo, ho nyekelwa ke pelo, bofokoli le malaise.
- Keketseho ea tsoekere maling e ka ba tlaase ho 3.3 mmol / litha. Maemong a sa tloaelehang haholo, ts'ebetso ea li-enzymes tsa sebete maling e eketseha, e leng mokhoa o kulang, o tsamaeang le lekhopho, ho hlohlona le urticaria. Ho opeloa ke hlooho, lets'ollo, dyspepsia le bohloko ba ka mpeng le tsona lia khoneha.
Boloka lithethefatsi li le mocheso oa kamoreng, hole le khanya ea letsatsi le bana ka kotloloho. Bophelo ba Shelf ke lilemo tse tharo, haeba ho felloa ke nako nako ea polokelo, moriana o lahloa ebile o sa sebelisoe ka morero oa ona.
Menahano ea lithethefatsi
Bakeng sa ntho e sebetsang, litlhaloso tse felletseng tsa lithethefatsi ha li eo. Leha ho le joalo, kajeno hoa khoneha ho reka lithethefatsi ka litlamorao tse tšoanang tse laolang tsoekere ea mali le ho thibela hypoglycemia.
Matlapa a Novonorm a nkuoa a mofuta oa 2 lefu la tsoekere, haeba lijo tse alafang, ho theola boima ba 'mele le ho ikoetlisa li sa thusa ho ntlafatsa boemo ba mokuli. Leha ho le joalo, moriana o joalo o kopantsoe le mofuta oa lefu la tsoekere la 2 lefu la tsoekere, lefu la tsoekere la ketoacidosis, lefu la tsoekere le komello le ho se sebetse hantle ha sebete. Litsenyehelo tsa ho beha lipilisi ke li-ruble tse 130.
Diagnlinide ea moriana e sebelisetsoa mofuta oa tsoekere ea lefu la tsoekere la mofuta oa 2 hammoho le Metformin, haeba ho ke ke ha khoneha ho ntlafatsa boleng ba tsoekere ea mali ka mekhoa e tloaelehileng. Lithethefatsi li kopantsoe ka mofuta oa 1 lefu la tsoekere, lefu la tsoekere la ketoacidosis, lefu la tsoekere le lefu la ho ferekana, mafu a tšoaetsanoang, ho kenella ha lingaka le maemo a mang a hlokang kalafo ea insulin. Theko ea moriana e siea li-ruble tse 250.
Ho nkuoa matlapa a Glibomet bakeng sa lefu la tsoekere la mofuta oa 2. Litekanyetso li khethoa ka bonngoe, ho latela tekanyo ea metabolism. Lithethefatsi li kopantsoe le lefu la tsoekere la lefu la tsoekere le mofuta oa 1 lefu la tsoekere, lactic acidosis, lefu la tsoekere le komello, hypoglycemia, hypoglycemic coma, sebete le ho hloleha ha liphio. U ka reka sesebelisoa se joalo ka li-ruble tse 300.
Moriana Glucobai o sebetsa bakeng sa lefu la tsoekere la mofuta oa 1 le la 2 Tekanyo e phahameng ea letsatsi le letsatsi ke 600 mg ka letsatsi. Setlhare se nooa ntle le ho hlafuna, ka metsi a fokolang, pele ho lijo kapa hora ka mor'a ho ja. Theko ea pakete e le 'ngoe ea li-ruble ke li-ruble tse 350.
Ka video e sehloohong sena, ngaka e tla fana ka litlhahiso mabapi le mokhoa oa ho theola tsoekere ea mali le ho khutlisa secretion ea insulin.