Mokhoa oa ho sebelisa lithethefatsi Maninil 3, 5?

Glibenclamide e matlafatsa tlhahiso ea insulin mme e eketsa phello ea insulin tsoekere.

Tlas'a tšusumetso ea lithethefatsi, maikutlo a lisele tsa pancreatic ho "polypeptide" e amanang le tsoekere e eketseha.

Tšusumetso ea extrapancreatic e fihlelloa ka ho eketsa kutloisiso ea li-receptors ho insulin.

Litekanyetso tsa kalafo, mannyl e fokotsa kotsi ea mathata a kang nephropathy, retinopathy, cardiopathy, e fokotsa lefu la lefu la tsoekere.

Setlhare se na antiarrhythmic le bellopellopathy ketso, e lumellang ho fana ka eona ho lefu la tsoekere le lefu la pelo le kopaneng.

Glibenclamide e fokotsa ho kopana ha liplatelete, e thibela mathata a methapo ea lefu la tsoekere.

Setlhare sena se nepahetse ho feta lihora tse 12. Ka sebopeho sa micronised, glibenclamide e kenella ka potlako ho tsoa mokokotlong oa lijo, e leng se lumellang sethethefatsi ho sebetsa ka mmele le ka bonolo.

Sokolla foromo le sebopeho

Mofuta oa litekanyetso tsa Maninil ke matlapa: sephara-cylindrical, 'mala o pinki,' moho le khamphani ka lehlakoreng le leng (li-pcs tse 120. Ka libotlolong tsa khalase e se nang mmala, botlolo e le 'ngoe ka lebokoseng la karete.

Ntho e sebetsang ea lithethefatsi ke glibenclamide (ka sebopeho sa micronised). Letlapeng le le leng le na le 1.75 mg, 3.5 mg kapa 5 mg.

• Letlapa la 1.75 le la 3,5 mg: setapole sa litapole, lactose monohydrate, hemetellose, magnesium stearate, colloidal silicon dioxide, dae ea crimson (Ponceau 4R) (E124),
• Matlapa a 5 mg: gelatin, talc, starch ea litapole, lactose monohydrate, magnesium stearate, dae ea crimson (Ponceau 4R) (E124).

Contraindication

• Type 1 lefu la tsoekere
• Lefu la tsoekere le letala
• Lefu la tsoekere la ketoacidosis
• Boemo ka mor'a ho pancreatic resection,
• Glucose-6-phosphate dehydrogenase e haelloang,
• Hereditary lactose inlerance, khaello ea lactase, tsoekere / lactose malabsorption syndrome,
• Paresis ea mala, ho thijoa ke mala,
• Ho se sebetse hantle ha reefility (tumello ea tumello ea tlholeho ka tlase ho 30 ml / motsotso),
• Ho hloleha ho matla ha sebete,
• Leukopenia
• Ho khutlisoa ha metabolism ea carbohydrate kamora ho buuoa ho hoholo, bakeng sa ho chesa, likotsi le mafu a tšoaetsanoang, haeba ho bontšoa kalafo ea insulin,
• Tlas'a lilemo tse 18
• Boimana
• Lebone
• Hypersensitivity ho likarolo tsa lithethefatsi kapa li-probenecid, diuretics tse nang le sehlopha sa sulfonamide ho molek'hule, sulfonamides le tse ling tse tsoang ho sulfonylurea.

Setsoalle (tlhokomelo e eketsehileng e hlokahala):

• Boloetse ba tšoelesa ea qoqotho e tsamaisana le ts'ebetso ea eona.
• Hypofunction ea adrenal cortex kapa anterior pituitary,
• Febrile syndrome
• Ho itlopa joala haholo
• Bokhoba ba tahi bo sa feleng
• Lilemo tse fetang 70.

Tekanyetso le tsamaiso

Tekanyetso ea Maninil e khethoa ho latela boima ba 'mele oa lefu lena, lilemo tsa mokuli le khatello ea tsoekere maling maling ka mpeng e se nang letho le lihora tse peli ka mor'a lijo.

Ela moriana pele o e-ja, u noe metsi a mangata. Ha ho hlokahala, Letlapa le ka aroloa ka halofo, empa le ke ke la hlafuna kapa la hatelloa. Tekanyetso ea letsatsi le letsatsi ea lipilisi tse ka bang 2 hangata e khothalletsoa ho nooa hang ka letsatsi - pele ho lijo tsa hoseng. Litekanyetso tse phahameng li arotsoe ka litekanyetso tse peli - hoseng le ka shoalane.

Tekanyetso ea pele e kanna ea tloha ho 1,75 mg ho isa ho 5 mg. Haeba phello e sa lekana, tlasa taolo ea ngaka, butle-butle tekanyetso e eketsoa hore e sebetse hantle, e tla tsitsisa metabolism ea carbohydrate. Keketseho ea lethal dose e etsoa ka linako tse ling ho tloha matsatsing a 'maloa ho isa ho beke e le' ngoe. Sekhahla se nepahetseng sa letsatsi se loketseng ke 10,5 mg (matlapa a 6,75 mg kapa matlapa a 3,5 mg mg). Maemong a mang, e lumelloa ho eketsa tekanyetso ea letsatsi le letsatsi ho isa ho 15 mg (matlapa a 3 a 5 mg).

Phetisetso ea mokuli ho Maninil ho tsoa ho sethethefatsi se seng sa hypoglycemic se etsoa tlas'a tlhokomelo ea ngaka, ho qala ka tekanyetso e fokolang, butle-butle o e eketsa kalafong e hlokahalang.

Bacha, ba fokolloang ke matla le bakuli ba nang le phepo e fokolang, hammoho le bakuli ba nang le bothata ba ho ruruha kapa ba hepatic, litheko tsa kalafo le tsa kalafo lia fokotsoa, ​​hobane ba kotsing ea ho ba le hypoglycemia.

Haeba u fetoa ke tekanyetso e latelang, nka pilisi ka nako e tloaelehileng, ho thibetsoe ho nka tekanyetso e habeli!

Litlamorao

• Metabolism: khafetsa - keketseho ea boima ba 'mele, hypoglycemia (hyperthermia, mongobo oa letlalo, bofokoli, ho otsela, tlala, ts'ebelisano ea metsamao, ho tšoenyeha ka kakaretso, ho opeloa ke hlooho, ho thothomela, maikutlo a tšabo, tachycardia, mathata a nakoana a methapo ea methapo. paresis kapa ho holofala, phetoho ponong ea methapo, puo le mathata a pono),
• Sistimi ea tšilo ea lijo: tloaelo - tatso ea tšepe e ka hanong, mahlaba a ka mpeng, maikutlo a boima ka mpeng, ho nyekeloa, lets'ollo, ho lapa, ho hlatsa,
• Letšoao la sebete le biliary: ka seoelo - intrahepatic cholestasis, keketseho ea nakoana ea tšebetso ea li-enzyme tsa sebete, hepatitis,
• Sistimi ea Hematopoietic: ka seoelo - thrombocytopenia, ka seoelo - agranulocytosis, erythropenia, leukopenia, maemong a ikhethileng - hemolytic anemia, pancytopenia,
• Sistimi ea 'mele ea ho itšireletsa mafung: infrequently - purpura, urticaria, eketseha ea khanya, petechiae, ho hlohlona, ​​hangata - anaphylactic makala, allergic vasculitis, litla-morao tsa mmele, tse tsamaellanang le feberu, lekhopho la letlalo, proteinuria, arthralgia le jaundice,
• Tse ling: ha li na seoelo - ho eketseha ha diuresis, hyponatremia, proteinuria, mathata a bolulo, ho senyeha ha pono, ho se ts'oane le ho ts'oaroa ke joala (hangata ho bonahatsoa ke matšoao a kang mocheso oa sefahleho le mmele o kaholimo, bohloko ba ka mpeng, ho nyekeloa hoa pelo, ho hlatsa, ho tsekela, hlooho, tachycardia), sefapano-allergy ho sulfonamides, sulfonylureas, probenecid, diuretics tse nang le sehlopha sa sulfonamide molek'huleng.

Litaelo tse khethehileng

Nako eohle ea kalafo, hoa hlokahala ho latela ka tieo litlhahiso tsa ngaka bakeng sa ho itlhahloba ha tsoekere e maling le lijo, ho qoba ho pepesetsoa ke letsatsi nako e telele.

Re lokela ho hopola hore ho ikoetlisa ka matla haholo, phepelo e lekaneng ea lik'habohaedreite, ho itima lijo nako e telele, hammoho le ho hlatsa le lets'ollo ke lintho tse ka bang kotsi bakeng sa hypoglycemia.

Ho batho ba baholo, menyetla ea ho ba le hypoglycemia e phahame hanyane, kahoo ba hloka khetho e hlokoang ea tekanyetso le ho lekola kamehla tsoekere ea mali, haholoholo qalong ea kalafo.

Pheripalal neuropathy 'me ka nako e tšoanang e noe lithethefatsi tse nang le tšusumetso tsamaisong ea methapo e meholo, ho theola khatello ea mali (ho kenyeletsa le beta-blockers), ho ka koala matšoao a hypoglycemia.

Ethanol e ka baka nts'etsopele ea hypoglycemia le karabelo e ts'oanang le disulfiram, kahoo nakong ea kalafo ho hlokahala hore u hane lino tse tahang.

Mafu a tšoaetsanoang a tsamaeang le febrile syndrome, ho chesa haholo, likotsi le ho kenella ha lingaka ho ka hloka ho khaotsa lithethefatsi le ho fuoa insulin.

Nakong ea kalafo, tlhokomeliso e hlokoa ha ho khannoa likoloi le ho etsa lintho tse nang le litlamorao tse ka bang kotsi, tse hlokang lebelo la karabelo le tlhokomelo e matla.

Ho sebelisana le lithethefatsi

Lithethefatsi tse latelang li ka ntlafatsa phello ea Maninil: li-insulin le lithethefatsi tse ling tsa molomo tsa hypoglycemic, li-coumarin derivatives, angiotensin-converting enzyme inhibitors, li-quinolone derivatives, monoamine oxidase inhibitors, lithethefatsi tsa antifungal (fluconazole, miconazole), clofibrate le eona analogues, azpropen. , beta-blockers, fenfluramine, disopyramides, fluoxetine, probenecid, tetracyclines, sulfonamides, salicylates, tritocvalins, derivatives of irazolones, perhexiline, phosphamides (mohlala, ifosfamide, cyclophosphamide, trophosphamide), lithethefatsi tsa anabolic le lihormone tsa botona ba botona, pentoxifylline (ka tekanyetso e phahameng ea tšebeliso ea botsoali), litokisetso tsa urine acidifying (calcium chloride, ammonium chloride).

Ka nako e ts'oanang le keketseho ea phello ea hypoglycemic, reserpine, guanethidine, clonidine le beta-blockers, hammoho le lithethefatsi tse nang le mochini o sebetsang oa ts'ebetso, li ka fokolisa ho teba ha matšoao a tlang pele ho hypoglycemia.

Lithethefatsi tse latelang li ka fokotsa litlamorao tsa Maninil: li-glucocorticosteroids, li-nicotinates (ka tekanyetso e phahameng), li-barbiturates, li-blockchain tse liehang tsa calcium, lithibela-pelehi tsa molomo le li-estrogens, litokisetso tsa qoqotho ea qoqotho, letsoai la lithium, psychathomimetics, thiazide diuretics, glucagon, phenothiazines, , acetazolamide, rifampicin, isoniazid.

Likhanyetsano tsa N₂li-receptors li ka ntlafatsa le ho fokolisa phello ea hypoglycemic ea lithethefatsi.

Maninyl e ka fokolisa kapa ea ntlafatsa ts'ebetso ea lintho tse tsoang ho coumarin.

Maemo a arohaneng a tsejoa ha pentamidine e baka keketseho e matla le ho fokotseha ha khatello ea tsoekere maling.

Mofumahali

• Maninyl 3.5 le 1.75: ho amoheloa ka har'a mokhosi oa ka mpeng ho potlakile ebile ho batla ho phethehile. Ho lokolloa ha ntho e sebetsang ka micron ka botlalo ho etsahala ka metsotso e 5,
• Maninil 5: tekanyo ea ho amoheloa ho tsoa ka mpeng ea gastrointestinal - ho tloha ho 48 ho isa ho 84%. Nako ea ho fihla C_max -1-1-2 lihora. Efeela bioavailability e tloha ho 49 ho isa ho 59%.

Ho kopanya liprotheine tsa plasma: Maninyl 3,5 le 1,75- ho feta 98%, Maninyl 5 - 95%.

Glibenclamide e batla e kolobisitsoe ka botlalo ka har'a sebete, 'me e entsoe ka metso e' meli e sa sebetseng. Excretion ea e 'ngoe ea tsona e etsahala ka bile, ea bobeli - ka moroto.

T_1/2 (halofo ea bophelo): Maninil 1.75 le 3.5 - 1.5-3,5 lihora, Maninil 5 - ho tloha lihora tse 3 ho isa ho tse 16.

Maninil, litaelo tsa tšebeliso: mokhoa le litekanyetso

Matlapa a Maninil a nooa ka molomo ntle le ho hlafuna le ho nooa ka metsi a fokolang, haholo pele ho lijo. Haeba tekanyetso ea letsatsi le letsatsi e le matlapa a 1-2, e nooa hang hoseng, hang pele ho lijo tsa hoseng. Litekanyetso li holimo li lokela ho nooa ka tekanyetso e 2 e arohaneng (hoseng le mantsiboea).

Haeba ka phoso u tlola tsamaiso e le 'ngoe ea Maninil, letlapa le latelang le lokela ho nkuoa ka nako e tloaelehileng, ntle le ho eketsa tekanyetso.

Mokhoa oa mofuta oa lithethefatsi o khethoa ke lilemo, ho teba ha lefu lena, khatello ea tsoekere maling maling ka mpeng e se nang letho le lihora tse peli ka mor'a lijo.

Ha ho sa sebetse hantle tekanyetso ea pele e boletsoeng, tlasa tlhokomelo ea bongaka, e eketsoa butle-butle (ho tloha matsatsing a 'maloa ho isa ho beke ea 1) ho fihlela metabolism e lekaneng ea carbohydrate e fihlella ho tsitsisa (empa eseng ka hofetisisa).

Ha a tlohela ho sebelisa lithethefatsi tse ling tsa hypoglycemic, Maninil o fuoa lethal dose le tloaelehileng la tlasa tlhatlhobo ea bongaka ka keketseho ea butle ho ea pele.

Tekanyetso ea letsatsi le letsatsi (ea pele / e phahameng) ke:

• Maninyl 1.75: 1.75-3.5 / 10.5 mg (haeba lethaliti la letsatsi le letsatsi le le kaholimo ho matlapa a 3, ho khothalletsoa ts'ebeliso ea Maninil 3.5),
• Maninyl 3.5: 1.75-3.5 / 10.5 mg,
• Maninyl 5: 2.5-5 / 15 mg.

Ka lebaka la kotsi ea ho ba le hypoglycemia, bakuli ba tsofetseng, ba nang le ts'oaetso e matla ea sebete kapa liphio, bakuli ba fokolang le bakuli ba nang le phepo e nepahetseng, ba hloka ho fokotsa litekanyetso tsa pele le tsa tlhokomelo ea Maninil.

Matlapa a Maninil, litaelo tsa tšebeliso (mokhoa le litekanyetso)

Tekanyetso ea Maninil e khethoa ka bonngoe, ho nahanoa ho teba ha lefu lena, lilemo tsa mokuli le tsoekere ea mali. Tekanyetso e tloaelehileng ea letsatsi le letsatsi ke 2,5-5 mg. Glibenclamide e nooa hoseng le ka shoalane halofo ea hora pele ho lijo, ho sa hlokahale ho hlafuna matlapa.

Ho latela litaelo tsa tšebeliso, Maninil 5 e ka nooa tekanyetso e phahameng ea matlapa a 3-4 ka letsatsi.

Bongata

Ho fufuleloa ka bongata, tlala, puo e sa tsitsang, kelello, pono, thothomela, ho bua ka ho hlaka, ho teneha, ho hloka boroko, khatello ea maikutloedema ea khoele le matšoao a mang hypoglycemiacoma.

Phekolo: nka tsoekere kahare. Haeba mokuli a sa tsebe letho, joale kenya ente ea verxtrose bolus, tsoekere, diazoxide. Metsotso e meng le e meng e 15 hlokomela maemo a tsoekere ea mali. Ho thibela botjha hypoglycemia, ho hlokahala hore ho fa mokuli lijo tse nang le lik'habohaedreite tse ngata (lihokelo tsa lijo habonolo). Ha ho laetsoe lefu la "cerebral edema" dexamethasonemannitol.

Tšebelisano

Lithethefatsi tsa antifungal, li-inhibitors tsa ACE, li-NSAID, li-fibrate, litlhare tse thibelang lefuba, anticoagulants mola oa coumarin li-salicylates, beta-blockers, anabolic steroids, MAO inhibitors, biguanides, fenfluramine, hellollis, chloramphenicol, pentoxifyllinecyclophosphamides, acarboses, pyridoxine, disopyramides, bromocriptine, reserpine, allopurinol, insulin ntlafatsa phello ea Maninil.

Li-adrenostimulants, li-barbiturates, lithethefatsi tsa antiepileptic, li-inhibitors tsa carbonic anhydrase, BMCC, chlortalidonethiazide diuretics, furosemide, baclofenglucagon, terbutaline, asparaginase, danazol, isoniazid, rithodrin, morphine, salbutamol, diazoxide, danazole, ritodrin, glucagon, lihormone tsa qoqotho, rifampicin, chlorpromazine, nicotinic acid, salate ea lithium, estrogens, lithibela-pelehi tsa molomo li fokolisa phello e sebetsang ea Maninyl.

Litekanyetso li phahameng asiti ea ascorbic, ammonium chloride eketsa botjha ba moriana, o ntlafatsa phello ea glibenclamide.

Ka tsamaiso e le 'ngoe le lithethefatsi tse thibelang marapo hematopoiesis, ho na le kotsi e eketsehileng myelosuppression.

Matšoao a ho sebelisoa

Setlhare se fanoa maemong ao ho ona mehato e meng, joalo ka ho ikoetlisa ka tsela e leka-lekaneng, lijo tse nang le tsoekere e fokolang, ho theola boima ba 'mele ha li ame boemo ba tsoekere maling, e lebise ho litekanyetso tse tloaelehileng tsa' mele. Moriana oa lefu la tsoekere Maninil o bontšoa hore o sebelisoe ke batho ba sa ts'epeng insulin ba nang le lefu la tsoekere la mofuta oa 2.

Mokhoa oa ho nka Maninil

Phekolo ka lipilisi e lokela ho qala ka litekanyetso tse nyane ho qoba kholo ea hypoglycemia. Pilisi ea pele ke halofo e le 'ngoe ea Letlapa la Maninil ka letsatsi. Ho bohlokoa ho lekola boemo ba tsoekere maling maling ho qoba ho hlaha ha hypoglycemia, haholo-holo ho batho ba asthenic ba nang le phepo e fokolang. Haeba kamora ho sebelisa tekanyetso ena tekanyo ea tsoekere ea mali e sa fokotsehe, joale kamora hoo e ka bang beke e le 1 lethal dose e eketseha.

Matlapa a lokela ho nooa hoseng ka mpeng e se nang letho, e ka bang metsotso e 20-30 pele ho lijo, a hlatsuoa ka khalase ea metsi. Haeba endocrinologist e laetse tekanyetso ea matlapa a 2 letsatsi le letsatsi, joale tsamaiso ea bona e arotsoe makhetlo a 2: hoseng le mantsiboea, ka nako e le 'ngoe. Ha u ntse u sebelisa moriana ona, ho bohlokoa ho bona hore na mali a hau le tsoekere ea urine e kae ka beke.

Maninil analog

Lifekthering, o ka reka lithethefatsi tse nang le likarolo tse tšoanang kapa tse tšoanang tse sebetsang. Lithethefatsi tsena li bitsoa li-analogues tsa Maninil, li na le phello e ts'oanang kapa e ts'oanang 'meleng, ho latela sebopeho. Lintho tse latelang ke litokisetso tse fetohang tse nang le "glibenclamide" e sebetsang kapa lintho tse ling.

• Matlapa a Glibenclamide,
• Matlapa a Glidiab
• Matlapa a Diabefarm MV.

Theko ea Maninil

Ha u reka meriana leha e le efe, ho bohlokoa ho ela hloko moetsi, sebopeho, litekolo. Ha u etsa qeto ea ho nkela Maninil sebaka ka analogue, etsa bonnete ba hore o buisana le setsebi sa endocrinologist. Litsenyehelo tsa sethethefatsi sena sa hypoglycemic ha se holimo - ha li theko e tlase. Ka tlase ke tafole e nang le theko e tloaelehileng ea meriana ho la Moscow.

Matlapa a Maninil 5 mg

Matlapa a Maninil 3,5 mg

Lipilisi tsa Maninil 1.75

Olesya, 48 Maninil 5 Ke ne ke abetsoe kalafo ea lefu la tsoekere la mofuta oa 2. Ke sebelisa moriana o thata ho latela litaelo. Ntle le moo, ke sebelisa lithethefatsi tse ling tse fokotsang tsoekere, ke latela lijo tse thata, ntle le lijo tse nang le tsoekere, ke leka ho tsamaisa tse ling. Sekhahla sa tsoekere se tloaelehile.

Natalya, Matlapa a 26 a Maninil a ne a fuoe ntate-moholo oa ka, ea nang le lefu la tsoekere lilemo tse fetang 5. Ke mo rekela sethethefatsi sena bakeng sa selemo sa bobeli. Moriana ha oa ka oa baka litla-morao, ntho feela eo re neng re e etsa ho latela litaelo tsa ngaka e ne e le ho nka letlapa le le leng letsatsi le leng le le leng ka likhoeli tse tšeletseng, ebe, ka lebaka la khatello ea maikutlo, le fetohile 2.

Andrey, 35 Ntate oa ka o na le lefu la tsoekere la mofuta oa 2, ha a atlehe ho latela lijo nako eohle, hape o ne a sa tloaela ho ikoetlisa, o ne a tloaetse ho lula a sa phetse. Ke mofuta oa lithethefatsi tseo ngaka e sa re fang tsona, empa, ka maikutlo a ka, Maninil 3.5 e ile ea bonahala e sebetsa ka ho fetisisa. Ntate o ile a qala ho ikutloa a le betere, litekanyo tsa tsoekere ea mali li fokotsehile.

Ka tlhokomelo

Ho lokela hore ho sebelisoe temoso maemong a joalo:

• ho hloka teboho
• Boitlamo ba ho ts'oaroa le sethoathoa,
• pontsho ea matšoao a hypoglycemia,
• mefuta e fapaneng ea botaoa ba 'mele.

Nako eohle ea kalafo, tlhahlobo ea kamehla ea bakuli e etsoa boteng ba li-pathologies tse kaholimo.

Ho tloha ka lehlakoreng la metabolism

Ho na le maikutlo a sa laoleheng a tlala, ho eketseha ha boima ba 'mele, hlooho ea hlooho, ho fokolisa mohopolo oa tlhokomelo, tlolo ea melao ea tsamaiso ea mocheso. Ho nwa moriana ho ka lebisa ho nts'etsopele ea hypoglycemia.

Ha o nka Maninil, ho tšoaroa ke hlooho. Phekolo e lokela ho etsoa ka tlasa taolo e tiileng ea ngaka le ho lekola tsoekere ea mali kamehla.

Tšusumetso ho bokhoni ba taolo ea methapo

Ha o sebelisa sethethefatsi, ho khothalletsoa ho hana ho khanna le ho etsa liketso tse amanang le mekhoa e ka bang kotsi. Sehlahisoa se ka baka ho otsela kapa ho tsekela.

Ha o sebelisa sethethefatsi, ho khothalletsoa ho hana ho khanna. Sehlahisoa se ka baka ho otsela kapa ho tsekela.

Sebelisa botsofaling

Botsofaling, ho na le kotsi ea ho ba le hypoglycemia. Phekolo e lokela ho etsoa tlasa taolo e tiileng ea ngaka le ho lekanya maemo a tsoekere a mali kamehla.

Botsofaling, kalafo le Maninil e tlameha ho etsoa tlasa taolo e tiileng ea ngaka le ho lekanya maemo a tsoekere a mali kamehla.

Tekanyo ea joala

Ha e sebelisoa hammoho le lino tse nang le joala, lithethefatsi li ka baka hypoglycemia. Nakong ea phekolo, joala ha boa lokela ho behelloa ka thoko.

Setlhare sena se na le menyetla ea ts'ebetso ea meriana:

Amaril le eona e ntse e sebetsa le ho Maninil.

Bakeng sa e 'ngoe le e' ngoe ea tsona, litaelo li bonts'a li-contraindication le litla-morao. Pele o fetoloa ka analog, o hloka ho etela ngaka le ho hlahlojoa.

Litlhahlobo mabapi le Maninil 3.5

Lithethefatsi Maninil 3.5 mg e fanoa ho ekelletsa ho ja le ho phela ka tsela e mafolofolo. Bakuli ba hlokomela sephetho se potlakileng, mme lingaka - ho ba sieo ha litlamorao ha ho latela litaelo.

Oleg Feoktistov, endocrinologist

Bakeng sa lefu la tsoekere la mofuta oa 2, ke fana ka moriana ona ho bakuli. Tlas'a tšusumetso ea lithethefatsi, tekanyo ea tsoekere maling e ea fokotseha, hobane sebete le mesifa li qala ho amohela glucose ka mafolofolo. Setlhare se mamelletsoe hantle. Ka tšebeliso ea kamehla, e ntlafatsa ho lokolloa ha insulin mme e na le phello ea antiarrhythmic.

Kirill Ambrosov, ngaka ea bongaka

Lithethefatsi li ka fokotsa lefu la batho ba nang le lefu la tsoekere. Lipilisi li thusa ho nolofatsa boemo ba tsoekere maling le phokotso ea "cholesterol" e mpe. Motsoako o sebetsang o kenngoa ka potlako, mme ketso e nka lihora tse 24. Ho qoba boima ba 'mele, o hloka ho ikoetlisa le ho ja hantle.

Litsebi tsa lefu la tsoekere

Tatyana Markina, ea lilemo tse 36

E abeloa ho letlapa le le leng ka letsatsi. Sesebelisoa se thusa ho laola maemo a tsoekere. Ke latela lijo tsa carb tse tlaase mme ke leka ho lula ke sisinyeha. Ho feta likhoeli tse 4 tsa kalafo, boemo bo ile ba ntlafala. Har'a tse ling tsa litlamorao e ne e le lefu la mokokotlo le migraine. Matšoao a ile a nyamela kamora libeke tse peli. Ke rera ho ntšetsa pele kamohelo.

Anatoly Kostomarov, ea lilemo tse 44

Ngaka e ngotse lengolo la ngaka bakeng sa moriana oa lefu la tsoekere le sa ts'epeng insulin. Ha kea ka ka hlokomela litla-morao, ntle le ho ba le tsebiso. Ke ile ka tlameha ho fokotsa litekanyetso hore e be halofo ea pilisi. Tsoekere e tloaelehile ebile ea thabisa. Ke e khothaletsa.