Noj qab haus huv, Npaj
Hypoglycemic tshuaj ntawm lub tshiab tiam thiab lawv cov kev faib
Cov neeg uas muaj mob ntshav qab zib hom II mob ntshav qab zib muaj lossi saib xyuas cov theem ntawm qab zib nyob rau hauv cov ntshav. Tsuas yog thaum lub cev tsis muaj peev xwm ua tau ib lub neej zoo. Thaum cov ntshav qab zib ntawm lub nce, koj tus kws kho mob yuav muab tshuaj rau ib tug tshwj xeeb kev npaj rau lub normalization ntawm tus neeg mob tus mob. Feem ntau ntawm cov tshuaj nyob rau hauv pab pawg neeg no ua cov ntsiav tshuaj. Tag nrho cov tshuaj (antidiabetic) raug muab faib ua sulfonylurea derivatives, prandial zib regulators, biguanides, alpha-glucosidase inhibitors thiab insulin sensitayzery. thiab thaum lawv tseem txhais tau hais tias yog tseem pom nyob rau hauv pharmacies.
sulfonylureas
Tshuaj kho mob pib los siv rau cov neeg mob uas muaj ntshav qab zib hom II nyob rau hauv thaum ntxov 60 lub ntawm lub xeem tiam. Niaj hnub no sulfonylurea derivatives yog cov tsis tshua nrov. Cov tshuaj sib cais thawj thiab thib ob tiam. Tus thawj nyob rau hauv niaj hnub xyaum yog tsis tshua muaj siv. Tshuaj nyob rau hauv pab pawg neeg no hypoglycemic tshuaj rau cov neeg mob nrog ib tug loj lub cev hnyav, yog hais tias muaj yog tsis yog-insulin nyob mob ntshav qab zib mellitus. Qhov uas tsis muaj nyiaj ntawm carbohydrate metabolism yog ib tug ncaj grandstanding rau lub hom phiaj ntawm sulfonylurea derivatives.
Xyuam xim! Hypoglycemic cov neeg ua hauj tshuaj rau cov neeg mob kev txom nyem los ntawm cov kua dej los thiab pancreatic mob ntshav qab zib. Koj yuav tsis thov cov tshuaj los ntawm qhov no pab pawg neeg cov me nyuam, thiab cev xeeb tub thiab lactating cov poj niam.
"Glipizide"
Kev npaj koom rau ob tiam sulfonylureas. Txhais tau tias kev stimulating insulin tso zis los ntawm lub pancreas ntawm feem active beta-lub hlwb, thiab kuj ntawm lwm yam uas tus nqi ntawm cov piam thaj nyob rau hauv lub hlwb ntawm cov neeg mob muaj mob loj tsawv thiab mob ntaub ntawv ntawm cov insulin-dependent mob ntshav qab zib. Lub medicament yog muag nyob rau hauv pharmacies nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, txhua muaj 0,005 g ntawm active tshuaj. Kev npaj "Glipizide" pib ua tom qab 30 feeb tom qab thawj coj thiab tom qab 24 teev kiag li tshem tawm los ntawm lub cev.
Cov tshuaj ntawm cov tshuaj yog tsim los tus kws kho mob ib lub zuj zus. Tej hypoglycemic tshuaj cov kws kho tsuas yog tom qab ib tug series ntawm kev ntsuam xyuas. Tus kws kho mob yuav tsum tsim kom muaj ib tug ua kom tiav cov kev soj ntsuam daim duab. Thawj zaug txhua hnub koob tshuaj yuav tsum tsis txhob ntau tshaj 0,005 g (ib ntsiav tshuaj). Nyob rau hauv lub feem ntau loj heev zaum tus neeg mob tej zaum yuav muab 2-3 ntsiav tshuaj ntawm ib lub sij hawm. Qhov siab tshaj plaws txhua txhua hnub koob tshuaj yuav tsum tsis txhob ntau tshaj 0.045, ntsiav tshuaj yog npaum li cas 30 feeb ua ntej noj mov. Nyob rau hauv txoj kev hloov los ntawm insulin, ntshav qab zib theem yog tsim nyog los tswj cov thawj ob peb hnub.
Sab los thaum siv cov tshuaj "Glipizide" suab tsis tuaj kawm ntawv. Nyob rau hauv tsawg tus neeg mob, tej zaum yuav tshwm sim tsis muaj zog, thiab kiv taub hau. Tej teeb meem yuav muab tau yooj yim tshem tawm los ntawm txoj kev kho ntau npaum. Feem ntau cov feem ntau phiv tshwm sim nyob rau hauv cov neeg laus cov neeg mob. Antidiabetic cov tshuaj ntawm tus tshiab tiam aimed ntawm kev txhim kho cov kev kho mob ntawm cov neeg uas muaj mob ntshav qab zib. Tej unpleasant tshua ploj nyob rau hauv ib ob peb hnub tom qab pib ntawm txoj kev kho. Contraindication tau txais cov nyiaj "Glipizide" yog cev xeeb tub thiab idiosyncrasy sulfonamides. Cov me nyuam noj tshuaj kuj tsis muab.
"Gliquidone"
Lwm hypoglycemic agents, uas koom rau derivatives ntawm sulfonylureas. Raws li nrog rau yav tas los txhais tau tias, nws nkoos zus tau tej cov insulin nyob rau hauv lub hlwb beta ntawm lub pancreas thiab pab txoj kev insulin rhiab heev ntawm peripheral ntaub so ntswg. Txhais tau hais tias "gliquidone" yog yus muaj los ntawm ib tug zoo thiab lasting nyhuv. Muaj ntau cov tshuaj (hypoglycemic) ua hyperinsulinemia. Yuav ua li cas yuav hais txog cov tshuaj "gliquidone".
Sab los ntawm txais txhais tau tias "gliquidone" nyob ua ib ke, tab sis lawv yog reversible. Thaum thawj zaug rau theem ntawm txoj kev kho mob tej zaum yuav tshwm sim nyob rau hauv cov neeg mob pruritus thiab kiv taub hau. Tsis kaj siab tsos mob ploj hnub tom qab tom qab pib ntawm txoj kev kho. Ncua tseg cov tshuaj xwb nyob rau hauv cov kev tshwm sim uas tsis haum cov tshuaj tiv thaiv. Cov intolerance tshwm sim ncaw. Hypoglycemic npaj ntawm no series tsis kho rau cov neeg mob nrog ib tug thawj hom mob ntshav qab zib. Thaum lub sij hawm kev kho mob, peb yuav tsum tsis txhob hnov qab mus tswj koj cov ntshav qab zib. Yog hais tias cov nuj nqis yuav tsum muaj ntau dua li ib txwm, koj yuav tsum tham ib tug kws kho mob uas yuav hloov cov kev kho mob regimen.
Thaum tsis prescribers sulfonilmochevny?
Predkomatoznoe lub xeev, thiab ntshav qab zib coma yog ib tug loj contraindication mus rau lub chaw uas nyob rau lub hauv paus sulfonilmochevny medicaments. Tsis siv qhov ncauj hypoglycemic cov neeg ua hauj nyob rau hauv no series kuj thaum lub sij hawm cev xeeb tub thiab lactation, tsis muaj teeb meem dab tsi tshwm sim tau tau tiav yav tas los.
Greatest kev hem thawj rau tib neeg noj qab haus huv, kev txom nyem los ntawm hom II mob ntshav qab zib, muaj kev phais. Lug txhim khu neeg mob muaj kev ruaj ntseg rog, derivatives sulfonilmochevny ib ntus tso tseg. Ua raws li txoj ntsiab cai no nyob rau hauv kis kab mob. Lub haum lub ntsiab yog muab tso rau kho tus kab mob nyob rau hauv lub mob theem. Sai li sai tau raws li tus neeg mob hnov rov qab mus rau li qub, ib tug tshiab antidiabetic tshuaj tej zaum yuav muab rau koj. Yog hais tias contraindications rau kev siv ntawm sulfonilmochevny tsis tau, koj muaj peev xwm pib tau txais cov tshuaj nyob rau hauv no series.
Prandial zib regulators
Nws twb tau soj xyuas kev tshawb fawb ntawm cov amino acids, nyob rau hauv lub chav kawm ntawm uas tau muaj pov thawj lawv lub luag hauj lwm nyob rau hauv insulin secretion. Nws pom hais tias analogs benzoevoy acid thiab phenylalanine muaj hypoglycemic kev txiav txim. Prandial zib regulators yuav tswj lub tso pa tawm ntawm insulin tam sim ntawd tom qab noj mov. Thiab nws yog nyob rau ntawm theem ntawm sharply nce theem ntawm cov ntshav qabzib. Tshiab hypoglycemic agents muaj ib tug luv luv lub sij hawm nyhuv. Yog li ntawd coj lawv tsuas thaum lub sij hawm los yog tom qab ib tug noj mov. Siv cov tshuaj nyob rau hauv thiaj li yuav tiv thaiv kom txhob tsis tsim nyog.
Txawm tias muaj tseeb hais tias cov kev faib ntawm hypoglycemic agents xws li prandial zib regulators, lawv tsis siv ntau heev. Tshuaj nyob rau hauv no series tsim luv luv-term nyhuv, thiab yog li ntawd yuav tsis tau muab nyob rau hauv ua ke nrog txoj kev kho, mob hom II mob ntshav qab zib.
"Novonorm"
Ncauj hypoglycemic tshuaj uas muaj nyob rau hauv pharmacies raws li ntsiav tshuaj. Cov tshuaj no yog tshuaj thaum noj cov zaub mov kho thiab qoj ib ce tsis muab kom txaus tau. Cov neeg mob uas mob ntshav qab zib hom II feem ntau coj "Novanorm" nyob rau hauv ua ke nrog nrog rau lwm cov antidiabetic cov neeg ua hauj. Yog li, cov neeg mob yuav tau mus rau ntau soj ntsuam cov theem ntawm qab zib.
Ntsiav tshuaj "Novanorm" tsim nyog siv nyob rau hauv ua ke nrog nrog kev noj haus. Cov tshuaj no yuav hais ua ntej ib tug noj mov peb zaug ib hnub twg. Nyob rau hauv tsawg zaus, ntau npaum yuav muab ntau zog. Cov neeg mob uas yog cov nquag mus snacking los yog es noj mov, yuav tsum tau nrog ib tug kws kho mob hais txog cov "Novanorm" correctness ntawm kev noj cov tshuaj.
Raws li twb tau hais, hypoglycemic agents rau mob ntshav qab zib yog tsis ib txwm taw. Ib txhia tswj kom tswj rau theem ntawm kev piam thaj nyob rau hauv cov ntshav tsuas yog los ntawm cov khoom noj. Ntsiav tshuaj "Novanorm" yuav siv tau thaum ib ntus poob tswj ntawm glycemia. Tshwm sim los ntawm cov tshuaj tsis tshua muaj thiab ib ntus. Tus neeg mob tej zaum yuav muaj kev xeev siab thiab mob plab. Tsis xis nyob sai sai dhau. Ncua tseg cov tshuaj xwb nyob rau hauv cov ntaub ntawv ntawm ib tug neeg intolerance. Ntsiav tshuaj yog txhob "Novanorm" cov me nyuam, cov poj niam thaum lub sij hawm cev xeeb tub thiab lactation, nyob rau hauv cov neeg mob uas muaj mob loj hepatic puas.
biguanides
Ib suam ntawm antidiabetic cov tshuaj yuav tsum muaj xws li cov nyiaj hais txog lub biguanide pab pawg neeg. Tshuaj nyob rau hauv no series yog tsis lub luag hauj lwm rau lub stimulation ntawm insulin secretion. Dua li no, biguanides ua si ib qho tseem ceeb luag hauj lwm nyob rau hauv cov kev kho mob ntawm hom II mob ntshav qab zib, raws li muaj zog peripheral glucose siv lub cev nqaij. Khoom dannog eschestva siab significantly txo. Biguanides yuav txo tau cov ntshav qab zib theem. Nyob rau hauv tej zaum nws yog tau mus cuag tag nrho cov qub ntsuas. Lub ntsiab contraindications rau kev siv ntawm tej tshuaj yog predkomatoznoe lub xeev nyob rau hauv cov neeg mob uas mob ntshav qab zib. Ceev faj muab hypoglycemic cov neeg ua hauj koob thib 3 tiam neeg mob muaj ib tug ib txwm mus haus dej haus cawv, raws li zoo raws li kev zoo siab muaj nuj nqi.
"Metformin"
Ncauj hypoglycemic tshuaj teej tug mus rau lub biguanide pab pawg neeg. Cov tshuaj no muaj nyob rau nyob rau hauv pharmacies raws li ntsiav tshuaj. Lub ntsiab active ingredient nres lub haum ntawm zib nyob rau hauv lub plab, raws li zoo raws li zoo nce glucose siv nyob rau hauv peripheral ntaub so ntswg. Hypoglycemic tshua tshuaj "Metformin" tsis ua. Lub tshuaj no yog siv rau cov neeg mob uas muaj hom II mob ntshav qab zib uas tsis muaj kev nyiam ketoacidosis. Ntsiav tshuaj tej zaum kuj yuav muab nyob rau hauv ua ke nrog nrog insulin rau cov neeg mob kev txom nyem los ntawm rog.
Nyob nyob rau theem ntawm qab zib nyob rau hauv cov ntshav, cov kws kho mob ib lub zuj zus teem ntau npaum cov tshuaj. Kev kho mob yuav pib nrog ib tug txais tos ntawm ib ntsiav tshuaj ib hnub twg (500 mg). Lub gradual nce nyob rau hauv koob tshuaj tsuas pib tsuas yog tom qab ob lub lim piam ntawm tas mus li kev kho mob. Qhov siab tshaj plaws txhua txhua hnub koob tshuaj yuav tsum tsis txhob ntau tshaj 6 ntsiav tshuaj. Cov neeg mob loj tshaj 70 xyoo yuav tsum tsis txhob noj tshaj 2 ntsiav tshuaj ib hnub twg.
Hypoglycemic ntsiav tshuaj formulations yog contraindicated rau cov neeg uas muaj kev zoo raum. Yog hais tias muaj yog ib tug kab mob uas yuav ua rau txo lub raum muaj nuj nqi, tshuaj "Metformin 'ib ntus tso tseg. Koj muaj peev xwm tsis tau lawv nyob rau hauv ib lub sij hawm ntawm kev hloov tom qab phais. Contraindication yog teeb meem loj mob cawv lom.
Alpha-glucosidase inhibitors
Qhov no pab pawg neeg ntawm cov tshuaj uas yuav thaiv zus tau tej cov kev plab hnyuv enzyme (alpha-glucosidase). Los ntawm no series ntawm formulations significantly txo haum tub ntxhais carbohydrates xws li starch, sucrose, thiab maltose. Nyob rau hauv cov ntaub ntawv ntawm muaj tseeb txais tos ntawm niaj hnub antidiabetic cov tshuaj nyob rau hauv pab pawg neeg no muaj kiag li tsis muaj kev phiv. Tsis tuaj kiag li tsis xis nyob rau hauv cov hnyuv thiab mob plab.
Alpha-glucosidase inhibitors yuav tsum tau noj nrog tus thawj pas zaub mov. Digesting nrog zaub mov, tshuaj Cheebtsam muab ib tug zoo hypoglycemic nyhuv. Tshuaj nyob rau hauv no series yuav noj ua ke nrog cov txhais tau tias ntawm ib tug sulfonylurea los yog insulin. Cov kev pheej hmoo ntawm hypoglycemia yuav tsub kom.
"Miglitol"
Hypoglycemic neeg sawv cev teej tug mus rau cov pab pawg neeg ntawm alpha-glyueozidaz inhibitors. Ntawv sau yuav tshuaj rau cov neeg mob muaj mob loj tsawv hom II mob ntshav qab zib nyob rau hauv cov kev tshwm sim hais tias txaus ce thiab kev noj haus tsis muab ib tug zoo tshwm sim. Ntsiav tshuaj "miglitol" yog feem ntau zoo thaum uas siv rau ib qho kev npliag plab. Nyob rau hauv tsawg zaus, ntxiv xaiv thiab lwm yam qhov ncauj hypoglycemic agents. Classification txhais tau hais tias tswj cov theem ntawm qab zib nyob rau hauv cov ntshav tau raug nthuav saum toj no.
Main Cheebtsam "miglitol" tshuaj kiag li absorbed rau hauv cov ntaub so ntswg nrog lub proviso tau txais tsawg koob tshuaj (1-2 ntsiav tshuaj). Thaum ib koob tshuaj 50 g ntawm haum yog 90%. Lub active ingredient yog tas los ntawm ob lub raum unchanged. Antidiabetic yeeb tshuaj rau cov me nyuam raws li tau zoo raws li cev xeeb tub thiab lactating cov poj niam. Contraindication yog mob plob tsis so tswj kab mob, raws li tau zoo raws li loj hernia. Sab los thaum noj cov tshuaj "miglitol" tsis tshua muaj. Muaj mob ntawm kev tsis haum tshuaj xws li mob ua pob xua thiab khaus.
Ua ke hypoglycemic cov neeg ua hauj
Nyob rau hauv feem ntau tus neeg mob, kev kho mob ntawm hom II mob ntshav qab zib pib nrog monotherapy. Ntxiv tshuaj tej zaum yuav muab tsuas yog thaum cov kev kho mob tsis muab cov kev tshwm sim. Qhov teeb meem yog hais tias ib tug yeeb tshuaj tsis yeej ib txwm npog ob peb teeb meem txuam nrog rau cov ntshav qab zib. Hloov ntau yam tshuaj sib txawv ntawm cov chav kawm ntawv muaj peev xwm yuav ua ke nrog ib tug hypoglycemic neeg sawv cev. Tej kev kho yuav tsum tau ntau ruaj ntseg. Tom qab tag nrho, ho txo txoj kev pheej hmoo ntawm kev phiv. Qhov zoo tshaj, raws li cov kws kho mob, yog ib tug ua ke ntawm Metformin thiab thiazolidinediones thiab sulfonylureas thiab Metformin.
Ua ke tshuaj tsim los rau cov kev kho mob ntawm hom II mob ntshav qab zib yog muaj peev xwm cheem tau qhov muaj mob ntawm hyperinsulinemia. Vim li no, cov neeg mob zoo npaum li cas thiab muaj peev xwm poob ib tug me ntsis ceeb thawj. Nyob rau hauv Feem ntau, qhov yuav tsum tau rau kev hloov mus rau insulin txoj kev kho kiag li tshem tawm.
Ib qho ntawm feem nrov neej antidiabetic cov tshuaj yog "Glibomet". Tso medicament nyob rau hauv cov ntsiav tshuaj daim ntawv. Lawv tsa tom qab lub yav dhau los kev kho mob twg tsis qhia tau zoo. Tsis txhob siv cov tshuaj no los kho mob ntshav qab zib thawj hom. Ntsiav tshuaj yog txhob li cov neeg uas tsis hnov lub siab muaj nuj nqi los yog lub raum insufficiency. Cov me nyuam thiab cov poj niam thaum lub sij hawm cev xeeb tub thiab lactation tshuaj no yog tsis qhia.
"Glibomet" tshuaj muaj ntau yam kev mob tshwm sim. Lawv yuav ua rau raws plab, xeev siab, dias taub hau. Tsawg yuav muaj kev tsis haum tshuaj xws li daim tawv nqaij sawv pob thiab khaus. Kev siv lub tshuaj no yog pom zoo kom nruj me ntsis rau cov tshuaj.
Similar articles
Trending Now