Lithethefatsi Diabeteson MB e bua ka li-ejenti tsa hypoglycemic tsa molomo tse nang le gliclazide e le ntho e sebetsang.
Mabapi le ho nka lefu la tsoekere le lefu la tsoekere le lipontšo tse ling, 'me ho tla buisanoa ka taba ena.
Matšoao a hlokahalang bakeng sa litekanyetso tsa kalafo
Lithethefatsi Diabeteson MV, litaelo tsa tšebeliso ea tsona tse nang le tlhaiso-leseling e hlokahalang mabapi le sesebelisoa, ho khothalletsoa ho sebelisa maemong a latelang:
- lefu la tsoekere (mofuta oa bobeli) - haeba mehato ea kalafo e sa sebeliseng lithethefatsi (lijo, ho theola boima ba 'mele, ho ikoetlisa) e ne e sa sebetse;
- molemong oa ho thibela mathata a lefu la tsoekere ("retinopathy, stroke", nephropathy, infarction ea myocardial). Bakeng sa sena, bakuli ba feta taolong ea glycemic kamehla.
Lithethefatsi Diabeteson MV e laeloa feela batho ba baholo, bakeng sa bana ba ka tlase ho lilemo tse 18, moriana ona ha o reretsoe, liteko tsa tliliniki ha li e-so tšoaroe.
Litekanyetso tsa lithethefatsi tsa hypoglycemic li khethoa ka bonngoe ho mokuli ka mong. Tabeng ena, ho kenella ha glucose maling, hammoho le matšoao a HbA1c, ho nahaneloa.
Tekanyo e khothalletsoang ea moriana ke: hang ka letsatsi ka bophahamo ba 30 mg-120 mg (ho tloha ho halofo ho isa ho matlapa a mabeli hang nakong ea lijo tsa hoseng).).
Mohlala, Letlapa le nang le taolo ea lefu la tsoekere la MV 30 mg bakeng sa tšebeliso le hloka ho metsoa ka botlalo. Ha ho kgothaletswe ho e sefa kapa ho e hlafuna.
Haeba ho hlaha potso, ho nka Diabeteson MV 60 mg ka nepo joang, joale u ka hlakola letlapa, 'me hape, u nka halofo kaofela.
Ho bohlokoa ho sebelisa lithethefatsi khafetsa khafetsa, ho latela kemiso e entsoeng ke ngaka. Tabeng ea ho tlola meriana, ha ho na joalo u se ke ua eketsa tekanyetso e latelang.
Diabeteson MV 60 mg qalong ea kalafo, lingaka li khothaletsa hore batho bohle ba baholo (ho kenyeletsa le batho ba baholo ba lilemo tse fetang 65) ba nke halofo ea kiba ka letsatsi, ke hore, 30 mg ka ngoe.
Ka tekanyo e joalo, moriana o sebelisoa e le moemeli ea tšehetsang kalafo. Bakeng sa taolo e sa lekaneng ea glycemic, lethal dose ea letsatsi le letsatsi e khothalletsoa hore butle-butle e eketsehe. Pele, e ka ba 60 mg, ebe 90 mg esita le 120 mg ka letsatsi.
Matlapa a Diabeteson MV
Lingaka li khothaletsa ho eketsa tekanyetso feela kamora khoeli ea kalafo. Mokhelo ke bakuli ba nang le "glucose" e ngata ka mor'a libeke tse peli tsa kalafo. Bakeng sa bona, keketseho ea palo ea Diabeteson MV e nkuoeng e ka etsahala kamora matsatsi a 14 feela a kalafo.
Ho matlapa a 60 mg, ho fanoa ka notch e khethehileng e u lumellang ho arola tekanyetso ea moriana ka halofo. Kahoo, haeba ngaka e laetse 90 mg ea moriana ka letsatsi ho mokuli, ho hlokahala hore o sebelise letlapa le le leng la 60 mg le karolo e 'ngoe ea 1/2 ea bobeli.
Ts'ebetsano ea ts'ebelisano 'moho le lithethefatsi tsa hypoglycemic
Diabeteson MB e sebelisoa le litlhare tse latelang:
- biguanidines;
- insulin;
- alpha glucosidase inhibitors.
Taolo e sa lekaneng ea glycemic e kenyelletsa ho khethoa ha lithuto tse ling tsa kalafo ea insulin, hammoho le tlhahlobo ea bongaka.
Likarolo tsa ho nka meriana ho lihlopha tsa motho ka mong
Boithuto bo bontšitse hore phetoho ea tekanyetso ha e hloke ho bakuli ba latelang:
- batho ba baholo (lilemo tse 65 kapa ho feta);
- ka bonolo le ho leka-lekana ho isa tekong ea ho hlaphoheloa ke pheko;
- ka kholo ea kholo ea hypoglycemia (e sa leka-lekanang kapa khaello ea phepo e nepahetseng);
- le mathata a matla a endocrine (hypothyroidism, ho hloka pitutile, lefu la adrenal;
- ka mor'a ho hlakoloa ha corticosteroids, haeba ba ne ba nkuoe nako e telele kapa ho tekanyetso ea bohlokoa;
- ka mafu a tebileng a pelo le methapo ea methapo (moriana o khothalletsoa ka tekanyetso e fokolang ea 30 mg).
Liphetho tsa bongoana bo bongata
Ho sebelisa lithethefatsi tse fetang tekano ho lebisa ho nts'etsopele ea hypoglycemia.
Ho phekola matšoao a hypoglycemia, a bontšitsoeng ka matšoao a hlakileng a lefu lena, ho a hlokahala:
- eketsa tšebeliso ea lintho tse nang le lik'habohaedreite;
- fokotsa tekanyetso ea lithethefatsi tse neng li nkuoa pele;
- fetola lijo;
- buisana le setsebi.
Ho hypoglycemia e matla, mokuli o na le:
- coma
- mesifa ea mesifa;
- mathata a mang a methapo.
Litlamorao
Tšebeliso ea moriana o nang le phepo e sa tloaelehang ka nako e le 'ngoe, hammoho le ho ja lijo tse sa tsitsang ho ka baka tsitsipano ea hypoglycemia, e bontšitsoeng matšoao a latelang:
- hlooho e bohloko
- tlala e matla;
- mokhathala
- takatso ea ho hlatsa;
- ho nyekeloa
- tsosa
- ho fokotsa tlhokomelo;
- ho hloka boroko;
- boemo bo sa khopiseng;
- ho fokotsa karabelo;
- tahlehelo ea boitšoaro
- boemo bo sithabetsang;
- ho senyeha ha pono;
- ho sitisoa ke puo;
- paresis;
- aphasia;
- thothomela
- ho hloka boitšoaro
- ho hloka thuso;
- Ho tsekela
- ho otsela
- mesifa ea mesifa;
- bofokoli
- bradycardia;
- phefumoloho e sa tebang;
- delirium;
- ho otsela
- ho felloa ke letsoalo;
- le karabelo ea andrenergic;
- coma ka sephetho se bolaeang.
Matšoao a tlhaho a hypoglycemia a felisoa ke tšebeliso ea tsoekere. Maemo a mangata kapa a nako e telele a maemo a joalo a kenyelletsa sepetlele se tlamang.
Litlamorao tse ling tsamaisong ea 'mele li boetse li boletsoe:
- digisa
- lisele tse kenellang ka hare ho letlalo le letlalo;
- sebopeho sa mali;
- ducts tsa bile le sebete;
- litho tsa pono.
Contraindication
Lithethefatsi Diabeteson MV 60 mg e na le litlolo tse latelang:
- mofuta oa 1 lefu la tsoekere;
- lipontšo tsa lefu la tsoekere ka mokhoa oa ketoacidosis, koma, precoma;
- maemo a matla a ho hloleha ho hepatic kapa renal (ho khothalletsoa kalafo ea insulin);
- tšebeliso e kopanetsoeng le miconazole;
- boemo ba moimana;
- nako ea ho anyesa;
- dilemo tse ka tlase ho 18;
- hypersensitivity ho likarolo tsa moriana;
- ho se mamelle lintho tse nang le lactose;
- lipontšo tsa galactosemia, galactose / glucose malabsorption syndrome;
- tšebeliso e kopaneng le Danazol, Phenylbutazone.
Ho hlokahala hore motho a be hlokolosi ha a sebelisa moriana maemong a latelang:
- ka lijo tse sa lekanyetsoang, tse sa tloaelehang;
- mafu a pelo, methapo ea mali, sebete, liphio;
- kalafo ea nako e telele ea corticosteroids;
- lipontšo tsa botahoa;
- botsofaling.
Setlhare se ka sebelisana le lithethefatsi tse ling, hammoho le joala 'me sa baka litlamorao tse sa batleheng.
Ho kopantsoe le ho sebelisa lintho tse ntlafatsang ketso ea karolo ea gliclazide, hobane nts'etsopele ea hypoglycemia e ka khonahala.
U ke ke ua sebelisa lithethefatsi tsena hammoho le Miconazole, Phenylbutazone, Ethanol, lithethefatsi tse ling tse nang le joala ka sebopeho sa tsona, hape ho hlokahala hore o felise tšebeliso ea joala ka botlalo. Sebelisa ka hloko ka lithethefatsi tsa hypoglycemic (Insulin, Metformin, Enalapril).
Livideo tse amanang
Litaelo tsa tšebeliso ea lithethefatsi Diabeteson ho video:
Le ha ho le joalo, ho hlokahala hore o atamele taolo ea glycemic haholo ha o sebelisa moriana. Ho bohlokoa ho etsa ts'ebetso ena khafetsa, ho kenyelletsa le ka boithatelo. Haeba ho hlokahala, mokuli o lokela ho fumana kalafo ea insulin e potlakileng.
