Maninil e sebelisoa bakeng sa mofuta oa 2 lefu la tsoekere (mofuta o sa itšetleheng ka insulin). Setlhare se fanoa ha ho eketsoa haholo hoa 'mele, ho theola boima ba' mele le ho ja ka thata ho sa tlise litlamorao tsa hypoglycemic. Sena se bolela hore o hloka ho tsitsisa tsoekere ea mali le Maninil.
Qeto ea ho khethoa ha moriana e etsoa ke endocrinologist, ho latela ts'ebeliso e matla ea lijo. Tekanyetso e lokela ho hokahana le liphetho tsa ho khetholla boemo ba tsoekere ka har'a moriti le boemo ba kakaretso ba glycemic.
Phekolo e qala ka litekanyetso tse nyane tsa Maninil, hona ho bohlokoa haholo ho:
- bakuli ba nang le lijo tse sa lekaneng,
- bakuli ba asthenic ba nang le tlhaselo ea hypoglycemic.
Qalong ea phekolo, lethal dose ke halofo ea letlapa ka letsatsi. Ha o nka moriana, o lokela ho lekola palo ea tsoekere maling.
Haeba litekanyetso tse tlase tsa moriana li sitoa ho etsa khalemelo e hlokahalang, sethethefatsi se eketsoa ka potlako ho feta hang ka beke kapa matsatsi a 'maloa. Mehato ea ho eketsa tekanyetso e laoloa ke endocrinologist.
Maninil e nkuoa ka letsatsi:
- Matlapa a 3 a Maninil 5 kapa
- Matlapa a 5 a Maninil 3.5 (a lekanang le 15 mg).
Phetisetso ea bakuli ho lithethefatsi tsena ho tsoa litlhare tse ling tsa antidiabetic e hloka kalafo e tšoanang le ea lengolo la ngaka la mantlha.
Taba ea pele, u hloka ho hlakola sethethefatsi sa khale 'me u tsebe hore na tsoekere e kae ka har'a moriti le mali. E latelang, khetha khetho:
- halofo ea pilisi Maninil 3.5
- halofo ea pilisi ea Maninil 5, ka lijo le liteko tsa laboratori.
Haeba tlhokeho e ile ea hlaha, tekanyo ea lithethefatsi e eketseha butle ho ea kalafo.
Ts'ebeliso ea lithethefatsi
Maninil e nooa hoseng pele ho lijo, e hlatsuoa ka khalase e le 'ngoe ea metsi a hloekileng. Haeba tekanyetso ea letsatsi le letsatsi e na le lipilisi tse fetang tse peli tsa moriana, ebe o arotsoe hore o noe hoseng / mantsiboea ka tekanyo ea 2: 1.
Ho fihlella phello e sa feleng ea kalafo, ho hlokahala hore u sebelise lithethefatsi ka nako e hlalositsoeng ka mokhoa o hlakileng. Haeba ka lebaka le itseng motho a e-so noe moriana, ho tla hlokahala hore ho kopantsoe le lethal dose le u lahlileng lethong le latelang la Maninil.
Maninil ke sethethefatsi seo nako ea sona ea tsamaiso e ikemiselitsoeng ke endocrinologist. Nakong ea ts'ebeliso ea lithethefatsi, ho hlokahala hore ho hlahlojoe boemo ba tsoekere maling le moroto oa mokuli beke e 'ngoe le e' ngoe.
Litlamorao:
- Ho tloha lehlakoreng la metabolism - hypoglycemia le phaello ea boima ba 'mele.
- Karolong ea litho tsa pono - likhathatso tsa sebaka sa bolulo le pono ea pono. E le molao, lipontšo li etsahala qalong ea phekolo. Boloetse bona bo itsamaela bo le bang, ha bo hloke kalafo.
- Ho tsoa ho tsamaiso ea tšilo ea lijo: lipontšo tsa dyspeptic (ho nyekeloa, ho hlatsa, ho imeloa ke mpeng, litulo tse holileng). Litlamorao ha li bolele ho tlohela moriana o itlhomme feela.
- Ho tsoa ho sebete: maemong a sa tloaelehang, keketseho e nyane ea alkaline phosphatase le liprotheine tsa mali. Ka mofuta oa hyperergic oa hepatocyte allergy ho lithethefatsi, choleraasis ea intrahepatic e ka hlaha, ka litlamorao tse behang bophelo - ho hloleha ha sebete.
- Ho tloha lehlakoreng la fiber le letlalo: - methapo ea mofuta oa dermatitis le ho hlohlona. Liponahatso lia fetoha, empa ka linako tse ling li ka lebisa ho tsietsing e akaretsang, ho etsa mohlala, ho tsitsipana, ka hona ho baka ts'abo bophelong ba motho.
Ka linako tse ling karabelo e tloaelehileng ho allergies e bonoa:
- thabo
- mocheso o eketseha
- jaundice
- ponahalo ea protheine ka har'a moroto.
Vasculitis (ho ruruha ha methapo ea methapo) e ka ba kotsi. Haeba ho na le karabelo ea letlalo ho Maninil, joale o lokela ho etela ngaka hang-hang.
- Ho tsoa ho li-lymphatic le tsamaiso ea potoloho ea mali, liplatelete tsa mali ka linako tse ling li ka fokotseha. Ke ka seoelo ho nang le phokotseho ea palo ea lintho tse ling tse entsoeng ka mali: lisele tse khubelu tsa mali, lisele tse tšoeu tsa mali, le tse ling.
Ho na le maemo ha likarolo tsohle tsa mali tsa mali li fokotseha, empa kamora ho felisoa ha moriana ona, sena ha se na tšokelo bophelong ba motho.
- Ho tsoa ho litho tse ling, maemong a sa tloaelehang, ho ka bonoa tse latelang:
- phello e ntle ea diuretic
- proteinuria
- hyponatremia
- ketso ea ho hloka toka
- karabelo ea ho hlekefetsa lithethefatsi eo ho eona hypersensitivity ho mokuli.
Ho na le tlhahisoleseling hore dae ea Ponso 4R e sebelisitsoeng ho etsa Maninil ke allergen le sesosa sa lipontšo tse ngata tse sa kuliseng ho batho ba fapaneng.
Contraindra ho lithethefatsi
Maninil e ke ke ea nkuoa ka hypersensitivity ho moriana kapa likarolo tsa ona. Ntle le moo, e kopantsoe:
- batho ba nang le allergies ho diuretics,
- batho ba allergic ho sulfonylureas; derivatives ea sulfonamide, sulfonamides, probenecid.
- Ha hoa lumelloa ho fana ka litlhare ka:
- mofuta o amanang le lefu la tsoekere
- atrophy
- ho hloleha ha renal 3 degrees
- lefu la tsoekere,
- pancreatic islet β-necrosis,
- metabolic acidosis
- matla a ho se sebetse hantle ha sebete.
Maninil ha ea lokela ho nkoa ke batho ba joala bo sa foleng. Ha ho nooa lino tse ngata tsa joala, phello ea hypoglycemic ea lithethefatsi e ka eketseha haholo kapa ea hlahella, e nang le maemo a kotsi ho mokuli.
Phekolo ea Maninil e loants'oa haeba ho na le khaello ea "glucose-6-phosphate dehydrogenase" ea tsoekere. Kapa, kalafo e kenyelletsa qeto ea pele ea tlhahlobo ea lingaka, hobane lithethefatsi li ka baka hemolysis ea lisele tse khubelu tsa mali.
Pele ho kenella ka hare ho mpa, u ke ke ua nka li-agents tsa hypoglycemic. Hangata nakong ea ts'ebetso e joalo ho hlokahala ho laola maemo a tsoekere ea mali. Bakuli ba joalo ba fuoa ente ea insulin ea nakoana ka nakoana.
Maninil ha a na litlokotsi tse felletseng tsa ho khanna. Empa, ho sebelisa lithethefatsi ho ka baka maemo a hypoglycemic, a tla ama boemo ba tlhokomelo le ho tsepamisa maikutlo. Ka hona, bakuli bohle ba lokela ho nahana ka ho beha likotsi tse joalo.
Maninil o kopantsoe le basali ba baimana. Ha e khone ho jeoa nakong ea ho anyesa le ho lactation.
Ho sebelisana ha Maninil le lithethefatsi tse ling
Mokuli, e le molao, ha a utloe mokhoa oa hypoglycemia ha a nka Maninil ka litlhare tse latelang:
- Metsi-a-block
- reserpine
- clonidine
- guanethidine.
Ho fokotseha ha tsoekere ea mali le ho thehoa hoa boemo ba hypoglycemic ho ka hlaha ka lebaka la tšebeliso e tloaelehileng ea lithethefatsi tse laxative le lets'ollo.
Ts'ebeliso e ts'oanang ea insulin le lithethefatsi tse ling tsa antidiabetic li ka lebisa ho hypoglycemia le ho hlahisa ketso ea Mananil, le:
- Li-inhibitors tsa ACE;
- li-anabolic steroids;
- antidepressants;
- derivatives of clofibratome, quinolone, coumarin, disopyramidum, fenfluramine, miconazole, PASK, pentoxifylline (ha e kenngoa ka matla ka tekanyetso e phahameng), perhexylinoma;
- litokisetso tsa li-hormone tsa botona ba botšehali;
- cytostatics ea sehlopha sa cyclophosphamide;
- β-blockers, disopyramidum, miconazole, PASK, pentoxifylline (ka tsamaiso ea methapo), perhexylinoma;
- pyrazolone derivatives, probenecidoma, salicylates, sulfonamidamides,
- lithibela-mafu tsa tetracycline, tritokvalinoma.
Maninil hammoho le acetazolamide li ka thibela phello ea lithethefatsi mme tsa baka hypoglycemia. Sena se sebetsa le ho tsamaiso e tšoanang ea Maninil hammoho:
- Metsi-a-block
- diazoxide
- linotinate,
- phenytoin
- diuretics
- glucagon
- GKS,
- barbiturates
- phenothiazines,
- kutloelo-bohloko
- lithibela-mafu tsa mofuta oa rifampicin
- litokisetso tsa hormone ea qoqotho
- lihormone tsa basali tsa thobalano.
Lithethefatsi li ka fokolisa kapa tsa matlafatsa:
- Gastric H2 bahanyetsi ba li-receptor
- ranitidine
- reserpine.
Pentamidine ka linako tse ling e ka lebisa ho hypo- kapa hyperglycemia. Ntle le moo, matla a sehlopha sa coumarin a boetse a khona ho ama ka mahlakore ka bobeli.
Litšobotsi tsa overdose
Tekanyetso e feteletseng ea Maninil, hammoho le tšebeliso e feteletseng ka lebaka la phello e eketsehang, e lebisa boemong bo phehellang ba hypoglycemia, e fapaneng nakong ea nako le nete, e leng bophelo bo behang bophelo ba mokuli kotsing.
Hypoglycemia e lula e na le liponahatso tse ikhethang tsa bongaka.
Bakuli ba nang le lefu la tsoekere ba lula ba utloa hore hypoglycemia e ea atamela. Lipontšo tse latelang tsa boemo bona:
- tlala
- thothomela
- paresthesia
- palpitations
- ho tšoenyeha
- pallor ea letlalo
- ts'ebetso ea kelello e sa sebetseng.
Haeba mehato e sa nkuoe ka nako, motho o qala ho nts'etsapele "hypoglycemic precoma" le "coma" kapele. Hypoglycemic coma e fumanoa:
- sebelisa nalane ea lelapa
- sebelisa tlhahisoleseling ho tsoa tlhahlobong ea sepheo.
- sebelisa tumellano ea laboratori ea tsoekere ea mali.
Matšoao a tloaelehileng a hypoglycemia:
- mongobo, ho tiea, mocheso o tlase oa letlalo,
- sekhahla sa pelo
- theoleloa kapa mocheso o tloaelehileng oa 'mele.
Ho latela botebo ba komisi, ho ka hlaha tse latelang:
- Thibelo ea tonic kapa clonic,
- pathological Reflex
- ho lahleheloa ke kelello.
Motho a ka iketsetsa kalafo ea maemo a boikemelo a ikemetse haeba a sa fihlelle nts'etsopele e kotsi ka sebopeho sa thoroma le komello.
Ho tlosa lintlha tsohle tse mpe tsa hypoglycemia, khaba ea tsoekere e kolobisitsoeng ka metsing kapa lik'habohaedreite tse ling ho tla thusa. Haeba ho se na ntlafatso, o lokela ho letsetsa ambulense.
Haeba ho ba le komello ho hlaha, kalafo e lokela ho qala ka tsamaiso e kenelletseng ea tharollo ea tsoekere ea 40%, 40 ml ka molumo. Kamora moo, ho tla hlokahala phekolo ea infusion ea ho lokisa le lik'habohaedreite tse tlase tsa boima ba 'mele.
Ka kopo elelloa hore u ke ke ua kenya tharollo ea glucose ea 5% e le karolo ea kalafo ea hypoglycemia, hobane mona phello ea ho tlotsoa ha mali ka moriana e tla phatlalatsoa ho feta ka kalafo ea lik'habohaedreite.
Ho tlalehoa ho na le linyeoe tsa hypoglycemia tse liehang kapa tsa nako e telele. Sena se bakoa haholo-holo ke litšobotsi tse tlatsetsang tsa Maninil.
Maemong ana, ho hlokahala kalafo ea mokuli setsing sa tlhokomelo e matla, 'me bonyane matsatsi a 10. Phekolo e tšoauoa ka ho lekola li-laboratori ea tsoekere ea mali hammoho le kalafo e ikhethang, eo ka eona tsoekere e ka laoloang ho sebelisoa, ka mohlala, metara e le 'ngoe ea ho khetha.
Haeba moriana o sebelisoa ka phoso, o hloka ho etsa sefuba, mme u fe motho senoelo sa sirapo kapa tsoekere.
Litlhahlobo mabapi le Maninil
Setlhare se lokela ho sebelisoa feela joalo ka ha se laetsoe ke ngaka. Litlhahlobo mabapi le ho sebelisa moriana li tsoakiloe. Haeba litekanyetso li sa bonoe, ho tahoa ho ka hlaha. Maemong a mang, litla-morao tsa ho sebelisa moriana li ka se lemohe.
