Matlapa a lefu la tsoekere: ho nka le ho sebelisa lithethefatsi ke bokae?

Diabeteson ke sethethefatsi sa hypoglycemic ho tsoa sehlopheng sa litokollo tsa sulfonylurea molokong oa 2, se hlahisitsoeng ka mokhoa oa matlapa bakeng sa tsamaiso ea molomo. Phapang e kholo ho tsoa litlhare tse tšoanang ke ho ba teng ha reng e nang le heterocyclic e nang le N e nang le endocyclic bond.

Diabeteson MV ke mofuta oa nako e telele, o hloka ho nkuoa hangata mme o ka nkela litekanyetso tse 'maloa tsa foromo e lokolloang e tloaelehileng.

Mofuta oa 2 lefu la tsoekere, Diabeteson e qala tlhahiso ea insulin ke makhopho a marang-rang ho arabela keketseho ea tsoekere ea mali, 'me ka mokhoa o fapaneng e le karolo ea bobeli ea seculin ea insulin. Keketseho e kholo ea tlhahiso ea insulin e etsahala ka lebaka la takatso ea lijo le tsoekere e kenang maling.

Ntho e sebetsang - Gliclazide - e na le tšebetso ea ho phekola e habeli, e bonts'a thepa ea metabolic, hemovascular and antioxidant. Motsoako o sebetsang oa lefu la tsoekere o eketsa ka botlalo kutloisiso ea karolo ea pherekano ho insulin.

Diabeteson MV 60 mg, setšoantšo sa lithethefatsi

Kamora ho sebelisa moriana, kutloisiso ea methapo ea kutlo ho insulin e eketseha ka 32%, ho kenella ha glucose mesifa ea ntlafala - sena se thusa haholo bokhoni ba ho laola tsoekere ea mali le lefu la tsoekere. Tšusumetso ena ea gliclazide e hlalosoa ke taba ea hore e thusa insulin ho sebetsa ho mesifa ea glycogen synthetase mme e baka liphetoho tsa morao-rao ho GLUT4 e amanang le tsoekere.

Diabeteson 60 mg e fokotsa tsoekere ea mali ka katleho ka lebaka la ho hlohlelletsoa ha insulin secretion ke lisele tsa β-li-pancreas. Ho bakuli ba nang le lefu la tsoekere la mofuta oa 2, moriana o tloaetse ho qala ha "insulin secretion" le ho ntlafatsa karolo ea 2 ea tlhahiso ea "insulin" e hatelletsoeng ho lefu la tsoekere.

Kamora ho sebelisa moriana, ntho e sebetsang e khothatsa likarolo tsa selefounu tsa lihlekehleke tsa Langerhans, tse tšoanang le makhophong. Ho feta moo, matlapa a 60 a lefu la tsoekere a 60 mg a thibela mali a hae methapong ea mali, moo phallo ea mali e fokotsang butle.

Diabeteson ha e so netefatsoe hore e baka botenya hobane lithethefatsi li ama tlhoro ea pele ea tlhahiso ea insulin hape ha e bake hyperinsulinemia. Ka lehlakoreng le leng, phekolo ea meriana e thusa ho fokotsa boima ba 'mele ho bakuli ba batenya haholo, ka lijo tse loketseng.

Maemong a mangata, tekanyetso e le 'ngoe ea Diabeteson MB letsatsi le leng le le leng e fana ka motsoako o sebetsang oa mali o sebetsang maling bakeng sa lihora tse 24, mme o ka nkela litekanyetso tse 2 tsa mofuta o tloaelehileng oa moriana.

Matšoao a ho sebelisoa

Matšoao a mantlha a ho nka lefu la tsoekere ke mofuta oa lefu la tsoekere la mofuta oa 2 le thibelo ea mathata a lona.

• Mofuta oa 2 oa lefu la tsoekere o theohileng ka mokhoa o sa sebetseng tsoekere ho tsoa ho lijo, ho ikoetlisa le ho theola boima ba 'mele,
• thibelo ea mathata a lefu la tsoekere la mofuta oa 2 a amanang le tsoekere e phahameng ea mali.

Litaelo tsa ho sebelisa Diabeteson 60 mg, litekanyetso

Setlhare sena se etselitsoe batho ba baholo feela.

Tekanyetso ea lefu la tsoekere Diabeteson e lokela ho etsoa ho latela palo ea tsoekere maling maling ka nako ea ho qala moriana. Keketseho ea butle-butle ea litekanyetso e ka etsoa bonyane kamora matsatsi a 14 a ho sebelisa moriana.

Litekanyetso tsa mantlha tse tloaelehileng ke 30 mg ka letsatsi (1/2 tekanyetso Diabeteson 60 mg.).

Pilisi e loketseng e khethoa ka bomong, ho latela matšoao a tsoekere maling le glycated hemoglobin HbA1C. Haeba litekanyetso tsa mantlha li sa lekana, ba fetohela ho lefu la tsoekere la 60 mg (tafole e felletseng) ho ea pele. Nako e pakeng tsa ho eketsa tekanyetso e lokela ho ba bonyane libeke tse peli, ka ho lekola maemo a tsoekere ka hloko.

Tekanyo e phahameng ke 120 mg ka letsatsi.

Diabetes e tsamaisana le meriana e meng ea lefu la tsoekere. Letlapa le le leng la Diabeteson 60 mg le ka nkeloa sebaka ke 1/2 Letlapa la Diabeteson MB 60 mg. Ha u fetisetsa mokuli ho tsoa ho lithethefatsi Diabeteson 60 mg ho Diabeteson MB, ho bohlokoa ho laola boemo ba tsoekere ka glucometer makhetlo a 'maloa ka letsatsi.

Haeba u fetoa ke tekanyetso e le 'ngoe kapa tse' maloa tsa moriana, u ke ke ua nka tekanyetso e phahameng ka tekanyetso e latelang, moriana o hlotsoeng o lokela ho nooa ka le hlahlamang. Ka mantsoe a bonolo - u se ke oa kheloha kemisong ea kamohelo, haeba u hlotsoe - nka feela tekanyo e latelang ho latela kemiso. Ha ho na tekanyetso e habeli kapa prema khafetsa!

Bakeng sa ba tsofetseng (ba fetang lilemo tse 65), ha ho hlokahale tokiso ea regimen kapa litekanyetso.

Bakeng sa bakuli ba nang le bothata ba ho hlaphoheloa ka leseling ka mokhoa o bonolo kapa o itekanetseng, moriana o laoloa ka tekanyetso e lekanang le ea bakuli ba nang le ts'ebetso e tloaelehileng ea renal. Litekanyetso tse joalo li netefalitsoe ke liteko tsa tleliniki.

Contraindication le litla-morao

Lintho tse ka sehloohong tse khahlanong le lithethefatsi:

• Hypersensitivity ea motho ka mong ho ntho e sebetsang (gliclazide kapa karolo efe kapa efe ea lithethefatsi,
• Lefu la tsoekere (mofuta oa 1), haholo bacha, keto-acidosis, litloholo tsa lefu la tsoekere,
• Ho hloleha ho matla ha hepatic kapa renal,
• Phekolo ea Miconazole

Diabeteson e kopantsoe hore e sebelisoe nakong ea kemolo le nakong ea kanyeso.

Sebopeho sa moriana o kenyelletsa lactose, ka hona, Diabeteson ha e khothalletsoe ho bakuli ba nang le ts'oaetso ea tlhaho ea lactose, galactosemia, glucose-galactose malabsorption.

Ha ho khothalletsoe ho sebelisa lithethefatsi hammoho le phenylbutazone kapa danazole.

Bongata

Letšoao le ka sehloohong la lefu la tsoekere le feteletseng ke hypoglycemia (ho theoha ho hoholo ha tsoekere).

Maemong a tebileng (ka ho felloa ke matla ho akheha), tsamaiso ea methapo ea hang-hang ea tharollo ea hypertonic dextrose (glucose) ea 40% ea hlokahala.

Litlamorao

Litaelo tsa ho sebelisa lefu la tsoekere li hlalosa litlamorao tse latelang:

• Mathata a mangata a ka mpeng: ho hlatsa, lets'ollo, ho nyekeloa le pelo, bohloko ba ka mpeng, ho sokela, maemong a sa tloaelehang, jaundice ea cholestatic,
• Mathata a tsamaiso ea methapo ea pelo: thrombocytopenia, anemia, agranulocytosis kapa leukopenia,
• Phahamisetso e ka fetoloang ea li-enzyme tsa sebete (ALT, AST, alkaline phosphatase), hepatitis (ka seoelo), hyponatremia
• Liphetoho tse fapaneng tsa ho kula (ho latela litlhahlobo tsa lefu la tsoekere - ka seoelo li lekaneng),
• Ho senyeha habonolo ha pono, haholo qalong ea moriana,
• Hypoglycemia

Ho khonahala ho fokotsa phello ea hypoglycemic ea Diabeteson ka barbiturates, diuretics tse fapaneng (thiazide, ethaconic acid, furosemide), progestogens, diphenin, estrogens, rifampicins, glucocorticosteroids.

Analogs Diabeteson, lenane la lithethefatsi

Diabeteson e ka nkeloa sebaka ke li-analogues tse latelang, lenane la lithethefatsi:

1. Vero-Glyclazide,
2. Glidiab MV,
3. Glisid
4. Gliclazide
5. Sethala
6. Glucostabil,
7. Diabolose
8. Diabefarm
9. Diabinax
10. Diabresid
11. Medoclacid
12. Predian
13. Pheta hape.

Ho bohlokoa ho utloisisa hore litaelo tsa tšebeliso ea lefu la tsoekere, theko le litekanyetso ha li sebetse ho li-analogues 'me li ke ke tsa sebelisoa e le tataiso bakeng sa tšebeliso ea lithethefatsi tsa sebopeho se tšoanang. Litefiso tsohle tsa kalafo li lokela ho etsoa ke ngaka. Ha u nkela lefu la tsoekere sebaka ka analogue, ho bohlokoa ho buisana le setsebi, ho ka hlokahala hore u fetole mokhoa oa phekolo, litekanyetso, jj.

Se ke oa inahanela - se beha bophelo ba hau kotsing.

Pharmacodynamics le pharmacokinetics

Ntho ea bohlokoa, e sebetsang ke gliclazide. Hypoglycemic drug ho tsoa molokong oa bobeli sulfonylurea sehlopha. Glyclazide ke mofuta oa sulfonylurea. E na le selikalikoe sa azobicyclooctane, se khethollang mokhoa oa ts'ebetso ho tloha tsoekere e theolang tsoekere le li-sulfonamides.

Setlhare le sona se na le hemovascular, metabolic le antioxidant ketso. Tlas'a tšusumetso ea lefu la tsoekere, khatello ea tsoekere maling e ea fokotseha (ka lebaka la tlhahiso e ntlafalitsoeng ea insulin ke lisele tse khethehileng tsa "pancreatic beta").

Ho bakuli ba nang le lefu la tsoekere mofuta oa bobeli oa lithethefatsi o khutlisa tlhoro ea pele ea lihlahisoainsulin, le ho eketsa karolo e latelang ea insulin secretion. Keketseho ea khatello ea insulin e etsahala pele ho lijo kapa mojaro oa glucose.

Litholoana tsa antioxidant le hemovascular ea lithethefatsi li fokotsa kotsi ea mathata a lefu la tsoekere. Lefu la tsoekere le thibela microthrombosis ka lebaka la thibelo e sa lekanyetsoang ea ho kopanya, ho khomarela liplatelete, ho fokotseha ha palo ea matšoao a ts'ebetso ea liplatelete.

Setlhare se eketsa tšebetso ea tPa, se ama mosebetsi oa fibrinolytic oa lebota la sekepe sa endothelial.

Matla a antioxidant a glycazide a fumanoa ka ho fokotsa khatello ea maikutlo peroxide lipids plasma ea mali, ts'ebetso e eketsehileng ea erythrocyte dismutase, li-thiols tsa plasma, palo e eketsehileng ea antioxidant.

Gliclazide e tšelisoa ka har'a sebete.

Contraindication

Lefu la tsoekere ketoacidosismofuta oa 1 lefu la tsoekere, methapo e matla ea methapo ea kutlo le lefu la tsoekere, lefu la tsoekere, comaboimana.

Ka hloko, lefu la tsoekere le laeloa batho ba tsofetseng kamora ho chesa haholo. Ha e sebetse ho bana.

Litlamorao

Ka lijo tse sa lekanang, ho pepesetsoa tlolo ea moriana oa litekanyetso hypoglycemiatlala, mokhathala, hlooho e bohloko, mofufutso, kapele ho otla ha peloho hloka boroko ho tšoenyehamabifi, ho se tsotelle, ho senyeha ha pono,paresis, thothomelakhatello ea maikutlo, ho se tsotelle, aphasia, likoluoa ​​tsa maikutlo, delirium, hypersomnia, cramps.

Phekolo ea ka mpeng: mathata a dyspeptic, jaundice ea cholestatic, fokotse takatso ea lijo, litekanyetso tsa li-enzyme tsa sebete.

Hematopoietic litho tsa ka hare: inhibition of bone marrow hematopoiesis.

Bongata

Ho ferekana kelellong, hypoglycemia, coma.

Hoa hlokahala ho hlahisa tharollo ea 40% ea hypertonic dextrose, ho nka tsoekere kahare, 2 mg glucagon.

Lekola tsoekere ea mali ka mor'a metsotso e meng le e meng e 15. - Ja lijo tse nang le lik'habohaedreite tse ngata (li-digestible habonolo).

Tšebelisano

H2-histamine receptor blockers, li-inhibitors tsa ACE, li-NSAIDs, li-fibrate, lithethefatsi tsa antifungal, li-anticoagulants tsa coumarin, li-inhibitors tsa MAO, li-anabolic steroids, sulfonamides, biguanides, cyclophosphamides, pentoxifyllinetheophylline hellollis, reserpine, disopyramide, insulin,ethanol, allopurinol ntlafatsa phello ea lefu la tsoekere.

GKS, barbiturates, antiepileptic, adrenostimulants, BMKK, thiazide diuretics, triamteren, furosemide, baclofendiazoxide, asparaginase, triamteren, morphine, isoniazidterbutaline, ritodrin, glucagon, salbutamol, rifampicin, estrogenschlorpromazine nicotinic acid fokolisa phello ea moriana.

Litaelo tse khethehileng

Ka ho bolaoa ha lefu la tsoekere, ho kenella ka ts'ebetsong, ho kenella ka insulin ho lokela ho nahanoa. Ha u sebelisa ethanol, menyetla ea ho ba le hypoglycemia ea eketseha.

Ka khatello ea maikutlo, 'meleng, ho hlokahala hore o fetole tekanyetso ea lefu la tsoekere la Diabetes.

Batho ba baholo, bakuli ba nang le khaello ea pituitary-adrenal ba ameha ka ho khetheha ho lithethefatsi tsa hypoglycemic.

E fokotsa lebelo la liphetoho tsa psychomotor.

Diabetes analogue

Likokoana-hloko tsa lithethefatsi li ka bitsoa chelete: Glidia, Glykinorm, Gliklada, Gliclazide, Sethala, Lekola, Diazide, Panmicron, Pheta hape.

Tlhahlobo ea lefu la tsoekere

Motsoako o tšoauoa e le sesebelisoa se sebetsang sa ho theola maemo a tsoekere ea mali, o loketse ho a sebelisa ha o bapisoa le ente ea insulin. Litla-morao li batla li sa bonoe, li ka se be tse loketseng bakuli bohle.

Tlhahlobo ea lefu la tsoekere ho aha setopo sa mmele ho tsebahala e le mokhoa oa ho eketsa boima ba 'mele. Leha ho le joalo, lingaka ha li khothaletse tšebeliso ea meriana 'me, haholoholo, lefu la tsoekere ha le etse morero oa bona. Sena se ka ba kotsi bophelong. Tšebeliso ea meriana e ka baka hypoglycemia.

Ts'ebeliso ea sulfonylureas kalafo

Lithethefatsi tsa sehlopha li nkoa e le e 'ngoe ea li-hypoglycemic tse sebetsang hantle ho laola tsoekere ea mali.

Litataiso tse ka sehloohong tsa kalafo li lokela ho fihlela lipheo tse latelang:

• tsosa ea secretionꓼ ea li-insulin
• fokotseha ho hloka insulin ha lisele tsa клеток
• ho emisoa ha motsoako oa tsoekere le ho fokotsa ho kenngoa ha hae maling ho tsoa ka mpeng
• khalemelo ea litlolo tse hlahisang karolelano ea likarolo tsa lipid maling.

Ho latela tekanyo le tlholeho ea kholo ea ts'ebetso ea methapo, litsebi tsa bongaka li beha tšebeliso ea meriana e nepahetseng ho tsoa sehlopheng se le seng kapa tse 'maloa ka nako e le ngoe. Liphetho tsa sulfonylureas li ka fetoha se seng sa lithethefatsi tse joalo.

Sulfonylurea ke ntho ea hypoglycemic e entsoeng ka sulfamide mme e sebelisoa ka mafolofolo kalafong ea lefu la tsoekere. Mokhoa o ka sehloohong oa ts'ebetso ea lithethefatsi tse joalo o reretsoe ho susumetsa lisele tsa pancreatic tse phelang tsa pancreatic ho hlahisa palo e hlokahalang ea insulin. Ka lebaka la phello ena, ha ho hlahisoe lihormone tse eketsehileng feela, empa le kutloisiso ea litho tsa 'mele ho eona e eketseha haholo.

Ntle le moo, litlamorao tse ntle tsa lithethefatsi tsa sulfonylurea ke:

1. Eketsa litlamorao tsa insulin, e lebisang ho fokotseheng ho eketsehileng ha maemo a tsoekere.
2. Ba khelosa mosebetsi oa li-enzyme tse felisang insulin e teng.
3. Eketsa palo ea li-insulin tse amohelang li-membran tsa lisele.
4. E ama ka nepo mokhoa oa ts'ebeliso ea tsoekere ke lisele tsa sebete.
5. Ba eketsa ho monya le oxidation ea tsoekere.

Hangata meriana e joalo e fuoa batho ba nang le boima bo tloaelehileng ba 'mele, ba se nang bothata ba botenya.

Tsohle tse tlisoang ke sulfonyl li hlahisoa ka mokhoa oa meriana e leng ea meloko e meraro.

Lithethefatsi tsa mofuta oa pele tse sa sebelisoeng mekhoeng ea kajeno ea bongaka, kaha li na le litlamorao tse kotsi 'meleng oa motho

Lithethefatsi tsa moloko oa bobeli tse sireletsehileng, ka hona li sebelisoa ka matla kalafong ea lefu lena. Li emeloa ke ntho e sebetsang e kang gliclazide, e leng karolo ea matlapa a lefu la tsoekere.

Lithethefatsi tsa moloko oa boraro, tse nang le phello e telele 'me li u lumella ho nka lithethefatsi tse theolelang tsoekere ka tekanyetso e tlase ho fihlela sephetho se lakatsehang.

Motsoako oa bona o ka sehloohong ke glimepiride.

Moriana o theolang tsoekere ke eng?

Motsoako oa lefu la tsoekere ke sethethefatsi sa hypoglycemic, se kenyelelitsoeng sehlopheng sa tse tsoang liphoofolong tsa sulfonide molokong oa bobeli.

Motheo oa sebopeho sa eona ke "gliclazide" e sebetsang, ka lebaka leo ts'ebetso e hlokahalang ea ho nka matlapa e etsoa.

Ho fapana le litlhare tse ling tsa sulfonylurea (mohlala, Glibenclamide), lefu la tsoekere le na le phello e matla haholo ea hypoglycemic, e amang hantle microcirculation, hemostasis, data ea hematological le litšobotsi tsa mali tsa rheological. Ke thepa ena e bohlokoa haholo ho bakuli ba nang le lefu la tsoekere la mofuta oa 2.

Diabeteson ea lithethefatsi e matlafatsa mohato oa pele oa secretion ea insulin, e sitisoang ka lebaka la nts'etsopele ea ts'ebetso ea methapo. Ntle le moo, matla a tlamahano ea lithethefatsi a kenyelletsa:

• fokotseha ha lintho tse ngata tse tsamaeang ka bongata
• ts'ebetso e eketsehileng ea activator ea lisele tsa plasminogen le prekallikreinꓼ
• ho se sebetse ka mokhoa oa ho phalla hoa mali образования
• Phokotso ea khatello ea methapo ea kutlo le tlhahiso ea limolek'hule tsa khokahano
• ho fokotseha ha palo ea proatherogenic alpha tumor necrosis factor, ka lebaka leo ho nang le ts'ebetso ea ts'ireletso mabapi le nts'etsopele ea maloetse a pelo le mathata a phallo ea mali a sa foleng ho diabeticsꓼ
• ts'ebetso ea ts'ebetso ea fibrinolysis.

Ntle le moo, ho lefu la tsoekere, litaelo tsa tšebeliso li bontša hore setlhare ha se na thepa ea hypoglycemic feela, empa se na le litšobotsi tsa hemovascular, metabolic le antioxidant. Litšobotsi tse joalo tsa pharmacological li ka fokotsa kotsi ea mathata a fapaneng a bakoang ke lefu la tsoekere.

Ke matšoao afe a ts'ebeliso ea ona a teng?

Diabeteson ea lithethefatsi e ajoa ka litlhare tsa litoropo haeba ho na le lengolo la ngaka le laetsoeng ke ngaka e eang.

Setsebi sa bongaka se lebisang ho mafu a ikhethileng se etsa qeto ea tlhoko ea kalafo e sebelisang moriana.

Ho fapana le lithethefatsi tse tsoang sehlopheng sa Biguanide (joalo ka Metformin), lefu la tsoekere ha le sebelisoe ka boima ba 'mele. Ho feta moo, bakuli ba bang ba noang moriana ona ba hlokometse keketseho ea boima ba bona nakong ea kalafo.

Ho ea ka setifikeiti ho litlhare, matšoao a mantlha a ts'ebeliso ea meriana ena ke:

1. Nts'etsopele ea lefu la tsoekere mellitus ea foromo e ikemetseng ea insulin e le monotherapy kapa kalafo e rarahaneng. Hangata litokisetso tse joalo tsa litokollo tsa sulfonyl li qala ho sebelisoa kamora mekhoa ea kalafo e seng ea lithethefatsi (kamora lijo tse hlokahalang le ho ikoetlisa) e sa hlahise sephetho se lakatsehang
2. Ho fokotsa kotsi le merero ea ho thibela pelehi, ho thibela ponahatso ea mathata a fapaneng a fosahetseng ao lefu la tsoekere le a jereng.

Pele ho tsohle, ts'ebeliso ea lithethefatsi e tla thibela ho hlaha ha mathata a methapo ea methapo e bonolo, e kang retinopathy le nephropathy, hammoho le mafu a mang a methapo ea pelo - lefu la pelo kapa stroke.

Litaelo tsa tšebeliso ea lithethefatsi

Diabeteson ea lithethefatsi e fumaneha ka sebopeho sa letlapa.

Ka nako e ts'oanang, sebopeho sa moriana se kenyeletsa li-milligram tse mashome a robeli tsa motsoako o sebetsang.

Matlapa a lefu la tsoekere a nkuoa ho latela litaelo tse thata tsa ngaka ea bongaka.

Ka molao, mokhoa oa kalafo oa ho sebelisa moriana o thehiloe ho melao-motheo e latelang:

• tšebeliso ea moriana ona hang ka letsatsi ho sa tsotelehe lijo tseo u li jang (khethollo e lokela ho fuoa nako ea hoseng) ꓼ
• Li-capsules tsa lefu la tsoekere li tahiloe ka molomo ka metsi a mangata a nang le liminerale ntle le khase
• litekanyetso tsa letsatsi le letsatsi li behiloe ka har'a li-milligram tse mashome a robeli tsa motsoako o sebetsang ka monyetla oa ho eketseha ha ho hlokahala, ha nako le nako ho qala mokhoa oa kalafo ho etsahala feela ka tšebeliso ea lethalinyana le tlase la sehlahisoa,
• tekanyetso e hlokahalang ea moriana e laetsoe ke ngaka ka bo eona bakeng sa mokuli ka mong, ho nahanela likarolo tsa lefu lena, lilemo tsa mokuli le boemo ba hypoglycemiac
• ho felisa ho hlaha hoa litlamorao, ha u tlola meriana e latelang, u se ke ua eketsa palo ea lintho tse sebetsang nakong e tlang
• litekanyetso tse phahameng ka ho fetisisa tsa litafole tse fokotsang tsoekere ka nako ea letsatsi ha lia lokela ho feta 320 mg, ke hore, matlapa a mane, ha tlhoko ea ho nooa ha litekanyetso tse ngata tsa moriana e lokela ho tsamaea le keketseho ea palo ea litekanyetso motšehare (moriana o noele makhetlo a mabeli ho isa ho a mararo ka letsatsi, ho latela litlhahiso ngaka).

Maemong a mang, ho na le kalafo ea ho kopanya, e kenyeletsang ho nka meriana ho tsoa litlelaseng tse fapaneng.

Kahoo, phello ea lithethefatsi tsohle 'meleng oa mokuli ea matlafatsoa.

Letlapa la hypoglycemic le ka sebelisoa hammoho le lithethefatsi ho tsoa lihlopheng tsa Biguanide, alpha glucosidase inhibitors, kapa kalafo ea insulin. Phekolo e phethahetseng e ka fokotsa kotsi ea mathata a mangata, hammoho le ho tlōla tekano maling a tsoekere.

Re lokela ho hopola hore moriana o fetang oa litekanyetso tse khothalelitsoeng o ka lebisa nts'etsopele ea hypoglycemia.

Kahoo, ha a etsa kalafo ea kalafo, mokuli o lokela ho nka tekanyo ea tsoekere maling maling khafetsa.

Ho na le likotsi life ka ho sebelisa moriana?

Joalo ka meriana e mengata, lefu la tsoekere le na le litla-morao.

Haeba litlatsetso tsa bongaka li sa lateloe 'me ho sebelisitsoe moriana o mongata, meriana e mengata ea lefu la tsoekere e ka bonoa.

Ketsahalo ena e lebisa boemong ba ho ba le lets'oa la lefu la tsoekere, ho ferekana kelellong le ho ba le hypoglycemia e matla. Ho felisa matšoao a bokhoba bo bongata, ho bohlokoa ho tsebisa mokuli tharollo ea hypertonic dextrose (ka bongata ba liperesente tse mashome a mane) le tharollo ea glucagon, hape o lumelle tsoekere e nyane.

Ho khothalletsoa hape hore maemo a tsoekere ea mali a hlahlojoe metsotso e meng le e meng e leshome le metso e mehlano. Tšusumetso e 'ngoe e mpe ea ts'ebeliso e feteletseng ea ts'ebeliso ea bokhoni ba botala ke monyetla oa ho chona. Tabeng ena, lingaka li beha Dexamethasone le Mannitol e le kalafo.

Re lokela ho hlokomela hore moriana o thibetsoe ho o sebelisa pontsong ea maemo le lintlha tse itseng.

Diabetes contraindication e na le tse latelang:

1. Ponahatso ea ketoacidosis ea mofuta oa lefu la tsoekere.
2. Sebopeho se itšetlehileng ka insulin sa nts'etsopele ea ts'ebetso ea pathological.
3. Mafu a kotsi a litho tsa kahare tse kang liphio le sebete.
4. Ho ba teng ha glycemic coma le maemo a baholo-holo.
5. Nakong ea kemaro le kanyeso.
6. Haeba mokuli a tjhesehile haholo ka ho lekana kapa ho teba ho tebileng.
7. Boleng ba bana le bakuli ba tsofetseng.
8. Ka boteng ba ho se mamellane ho motho a le mong kapa likarolo tse ngata tsa moriana.

Ntle le moo, qalong ea thupelo ea kalafo e hlokahalang, ho bohlokoa ho hlokomela bophelo bo botle ka kakaretso le boemo ba bophelo, hobane lipontšo tse fapaneng tse mpe tse tsoang lehlakoreng la litho tsa kahare le lits'ebetso li ka hlaha. Pele ho tsohle, o lokela ho ela hloko ho ba teng ha lintho tse hohelang, 'me haeba a bonahetse, a khaotse ho a sebelisa.

Ntle le moo, litla-morao tse matla tsa ho noha moriana li kenyeletsa:

• tsoekere e tlase ea mali tlasa maemo a amohelehangꓼ
• ho eketseha kapa ho hloka takatso ea lijo, boima ba mmele
• mokhathala o akaretsang oa mmele le ho felloa ke matlaꓼ
• ho ruruha ho feteletsengꓼ
• tachycardiaꓼ
• ho senyeha hoa ponoꓼ
• mathata a ho robala le ho hlobaela
• maikutlo a sa utloahaleng a ho tšoenyeha, ho tšoha kapa ho teneha ”
• ponahalo ea makhopho ka har'a mesifa ea namane
• litšitiso tsa maikutloꓼ
• eketseha li-enzyme tse bakiloeng
• hypersomnia.

Haeba ho na le karabelo e mpe, ho bohlokoa ho tsebisa ngaka e eang ka sena ho nka mehato e hlokahalang kapa ho fetola moriana o mong.

Nka sebelisa litlhare life?

Phekolo ea morao-rao ea mahlale e fana ka likhopolo tse ngata tse bonts'ang hore ts'ebeliso e nepahetseng ea ts'ebeliso ea lithethefatsi ka nako e telele e lebisa ho timetsong ea butle-butle ea lisele tsa pancreatic beta mme e ka kenya letsoho kholisong ea lefu la tsoekere le itšetlehileng ka lefu la tsoekere.

Tabeng ena, ntle le liqoso tse joalo, lingaka li ntse li sebelisa moriana ho phekola lefu la sethoathoa.

Mabapi le lefu la tsoekere, litlhahlobo tsa bakuli li fapane. Batho ba bang ba re lithethefatsi li sebetsa hantle haholo ebile ho bonolo ho li mamella, ha ba bang ba khopisoa ke ho haella ha sephetho le keketseho e kholo ea boima kamora 'kalafo.

Ha ua lokela ho nka maikutlo ohle mabapi le Diabeteson ka tsela ea 'nete, hobane setho ka seng ke motho ka mong, le se neng se sa tšoane le motho a le mong se kanna sa loketseng e mong.

Theko ea lithethefatsi 'marakeng e batla e le li-ruble tse makholo a mararo. Haeba ho hlokahala, ngaka e eang e ka nkela litlhare sebaka ka analogue ea eona.

Meetso ea lipilisi tsa generic e kenyeletsa meriana e kang:

Meriana eohle ea analogue e kaholimo ke ea sehlopha sa lintho tse tsoang molokong oa bobeli oa sulfonyl. Phapang ea bona e ka har'a k'hamphani ea tlhahiso (ba bang ke baemeli ba lifeme tsa kantle ho linaha tsa bongaka, tse ling li hlahisoa 'Musong oa Russia), theko le palo ea litlamorao, likhanyetsano.

Tlhahisoleseling mabapi le lefu la tsoekere e fanoa video videong ena.