Amachiza Hypoglycemic besizukulwana esitsha kunye nokubekwa kwawo

Abantu abane Type seswekile II seswekile kufuneka esweni rhoqo kwinqanaba glucose egazini. Kuphela xa eziqhelekileyo parameters uyakwazi ukuphila ubomi obuqhelekileyo. Xa iswekile yegazi liphuma, ugqirha wakho, amisele inkqubo ukulungiselela esikhethekileyo kuqheleke imeko yesigulane. Uninzi amachiza kweli qela wavelisa iipilisi. Onke amachiza (antidiabetic) zahlulwe avela sulfonylurea, nabalawuli iswekile prandial, biguanides, alpha-glucosidase inhibitors kunye insulin sensitayzery. kunye zidityaniswe kuthetha ikwafunyanwa ekhemesti.

sulfonylureas

unyango ngamachiza waqala yenziwa izigulane seswekile lohlobo II ebutsheni beminyaka engama-60 lwekhulu yokugqibela. Namhlanje ahlobene sulfonylurea athandwa kakhulu. Imithi bahlukana sizukulwana yokuqala neyesibini. I yokuqala practice mihla zisetyenziswa enqabile. Iziyobisi kule hypoglycemic qela emiselweyo ukuba izigulane ubunzima bomzimba elikhulu, ukuba kukho non-insulin seswekile oxhomekeke sinwenwa. Ukungabikho njengembuyekezo carbohydrate lokugaya yinto grandstanding ngqo ngenjongo avela sulfonylurea.

amachiza Antidiabetic besizukulwana esitsha wadala kwi ngokwesiseko sulfonylureas ayikwazi kusetyenziswa njengendlela ezizimeleyo unyango. Amayeza onyango ziyahambisana kuphela. Nangona kunjalo, indima ephambili ngoku udlalwa nge yokudla. Ukuba uza kutya esalelweyo ngexesha uthatha iipilisi, bemthoba iswekile yegazi, kulindeleke nemiphumo emihle.

Ziqapheleni! arhente Hypoglycemic engamiswanga ukuba izigulana insulin seswekile pancreatic. Awukwazi ukusebenzisa iyeza kweli qela abantwana, abasetyhini abakhulelweyo kunye phindeke.

"Glipizide"

Ukulungiselela inxulumene sulfonylureas isizukulwana yesibini. Iindlela ekuhlumiseni imveliso insulin evela injeke ibeta-iiseli abakwazi esebenzayo, kwaye ulawula imali glucose kwi iiseli izigulane aphakathi kunye kakhulu iintlobo insulin-oxhomekeke seswekile. Le medicament kuthengiswa ezikhemisti ngohlobo iipilisi, nganye equlathe 0,005 g into esebenzayo. Ukulungiselela "Glipizide" luqala ukwenza emva kwemizuzu engama-30 emva kokuba ulawulo kwaye emva kweeyure ezingama-24 lupheliswe ngokupheleleyo emzimbeni.

Le umthamo ichiza lusekiwe gqirha ngamnye. Naziphi na iziyobisi hypoglycemic ezimiselweyo kuphela emva kokuxilongwa. Ugqirha kufuneka iseke umfanekiso opheleleyo clinical. Ithamo sokuqala yemihla ngemihla mayingabi ngaphezu 0,005 g (elinye icwecwe). Kwiimeko ezininzi kakhulu isigulane unakho ukuthatha iipilisi 2-3 ngexesha. Le idosi iphezulu yemihla ngemihla kufuneka ingadluli 0.045, amacwecwe zithathelwa kwimizuzu engama-30 phambi izidlo. Xa utshintsho ukusuka insulin, amanqanaba iswekile yegazi kuyimfuneko ukulawula kwiintsuku zokuqala ezimbalwa.

imiphumela emibi xa usebenzisa ichiza "Glipizide" phantse ndingekho. Kwiimeko ezinqabe kakhulu, Inokwenzeka ubuthathaka, kunye nesiyezi. Ezo engxakini lula kuphele ekulungiseni idosi. Amaninzi iziphumo ezingalindelekanga kubantu abalupheleyo. amachiza Antidiabetic besizukulwana esitsha ezijoliswe ekuphuculeni impilo yabantu abanesifo seswekile. Naziphi abasabela ezingemnandi shwaka kwiintsuku nje ezimbalwa emva kokuba unyango. Contraindication ekufumaneni imali "Glipizide" na ukukhulelwa kunye isici sulfonamides. Abantwana iyeza kwakhona ongaphathiswanga.

"Gliquidone"

Omnye arhente hypoglycemic, nto leyo enxulumene nezakhi of sulfonylureas. Njengoko ngeendlela zangaphambili, uyayivuselela ukuveliswa insulin iiseli beta zepancreas yaye kuphucula insulin ubuntununtunu izicwili yoluvo. Lithetha "gliquidone" lubonakala ngokuba nemiphumo emihle luhleli. amayeza amaninzi (hypoglycemic) unobangela hyperinsulinemia. Yintoni enokuthethwa amayeza "gliquidone".

Ichiza ifumaneka kwiikhemesti nje iipilisi. Nikezela ukuba izigulane Type II seswekile, kwaye izigulane abadala lowo kunyango ekutyeni asisiniki nemiphumo emihle. Umthamo uzimisele ngokusekelwe iimpawu ngamnye somntu, ngokunjalo nomfanekiso walo clinical. Ithamo ubuncinane yonke imihla 15 mg, ubuninzi - 120 mg. Iipilisi zithathwa nje phambi kokuba atye. Xa iintlobo onomoya seswekile, ipilisi enye kuphela ngosuku. ukuthatha ichiza ngaphantsi rhoqo amaxesha 2-3 ngosuku.

ziziphumo ebezingalindelekanga ezivela ukwamkelwa lithetha "gliquidone" ikhona, kodwa ingathityazwa. Xa lokuqala unyango zingenzeka kwizigulane pruritus kunye nesiyezi. Iimpawu ezingemnandi shwaka Kusuku olulandelayo emva kokuqalisa unyango. Rhoxisa ichiza kuphela xa kuthe sokungamelani namachiza okanye nezidlo. ukunyamezelana ngamnye kwenzeka oko kungeyonto ayenza rhoqo. amalungiselelo Hypoglycemic yale ngcelele bangabi emiselweyo ukuba izigulane kunye Uhlobo lokuqala seswekile. Ngexesha unyango asimele, ungalibali ukulawula iswekile egazini lakho. Ukuba amanani ziya kuba ngaphezulu kunesiqhelo, kufuneka udibane nogqirha oya ukutshintsha irejimeni yonyango.

Xa prescribers sulfonilmochevny?

Predkomatoznoe karhulumente, okanye ukuba khokhoma seswekile ke contraindication kakhulu ukuya kuyo kwi imithi basis sulfonilmochevny. Not kusetyenziswa arhente hypoglycemic yomlomo kolu ngcelele nayo ngexa lokukhulelwa kunye zisanyisa, akunamsebenzi nokuba yintoni umphumo kuye kwafezwa ngaphambili.

ntsongelo yomngcipheko wentshabalalo enkulu kwimpilo yabantu, abaphethwe Type II seswekile, na uqhaqho. Ukuze kuphuculwe imikhosi ukhuseleko nomonde, avela sulfonilmochevny irhoxisiwe okwethutyana. Kulandelwe lo mgaqo izifo ezosulelayo. Ugxininiso oluphambili ibekwe ngendlela yokunyanga isifo kwisigaba oyingozi. Kamsinya nje isigulane avakalelwa ngayo emva esiqhelweni, a amachiza amatsha antidiabetic kunokumiselwa. Ukuba Izimo kusetyenziso sulfonilmochevny hayi, ungaqalisa ufumana amachiza kolu ngcelele.

nabalawuli glucose Prandial

Kuye kwenziwa izifundo ezininzi asidi acid, ngexesha leyo ethe yabonakala indima yabo insulin secretion. Kuye kwafunyaniswa ukuba analogs benzoevoy acid kunye phenylalanine babe inyathelo hypoglycemic. nabalawuli glucose Prandial uyakwazi ukulawula secretion kwencindi ngoko nangoko emva kokutya. Ke kaloku, kwabakho kweli nqanaba kakhulu kumanqanaba glucose wegazi. Amagosa amatsha hypoglycemic abe nempembelelo elifutshane. Ngoko ke nazo kuphela ngexesha okanye emva kwesidlo. Ukusetyenziswa kweziyobisi ukuze kuthintelwe engafanelekanga.

Ngaphandle kwento yokuba ukuhlelwa arhente hypoglycemic ziquka nabalawuli iswekile prandial, azikho zisetyenziswa kakhulu. Amayeza kolu ngcelele ukuvelisa isiphumo elifutshane elide, ngoko ke asikwazi kuqhutywa kunyango zombini, uhlobo kakhulu II seswekile.

"Novonorm"

iziyobisi Oral hypoglycemic efumaneka kwiikhemesti nje iipilisi. Ichiza emiselweyo xa unyango idayethi umthambo musa ukunika iziphumo ngokwaneleyo. Izigulane Type II diabetes kuthatha "Novanorm" xa idityaniswe nezinye izinto antidiabetic. Ngenxa yoko, izigulane bayakwazi esweni ngokusondeleyo ngakumbi umgangatho glucose.

Tablets "Novanorm" kunilungele ezisetyenziswa zidityaniswe kunye yokudla. Ichiza sithathwa ngomlomo phambi kokudla kathathu ngemini. Kwiimeko ezinqabe kakhulu, idosi lungandiswa. Izigulane ezithandwa snacking okanye yokutsiba ukutya, kufuneka adibane nogqirha malunga "Novanorm" ukuchaneka ukuthatha iipilisi.

Njengoko sele kukhankanyiwe, arhente hypoglycemic kuba seswekile azisoloko elimisiweyo. Abanye ukuphatha ukulawula izinga glucose egazini kuphela ukutya. Tablets "Novanorm" ingasetyenziswa xa elahlekile ukuyilawula glycemia okwethutyana. iziphumo ebezingalindelekanga ichiza zinqabile kunye okwexeshana. Isigulane bangase isicaphucaphu kunye neentlungu esiswini. Ubuhlungu ngokukhawuleza kudlule. Rhoxisa ichiza kuphela kwimeko sokucalulana ngamnye. Iipilisi ukuba contraindicated "Novanorm" abantwana, abasetyhini ngexesha lokukhulelwa kunye zisanyisa, xa izigulane ongaboniyo kakhulu hepatic.

biguanides

Ucalulo amachiza antidiabetic kufuneka iquke iimali ezinxulumene kwiqela biguanide. Amayeza kolu ngcelele akafanga ngenxa ukukhuthazwa insulin secretion. Ngaphandle koku, biguanides zidlala indima ebalulekileyo unyango lwe II seswekile, njengoko ukwanda glucose peripheral kwizihlunu zomzimba ukusetyenziswa. Products dannog eschestva isibindi yehla kakhulu. Biguanides unga nciphisa ngokubaluleka amanqanaba iswekile yegazi. Kwezinye iimeko kunokwenzeka ukuba ukufikelela zonke izalathisi eziqhelekileyo. Eyona Izimo luphambili ukusetyenziswa kweziyobisi ezinjalo ubalule predkomatoznoe kwizigulana abanesifo seswekile. Amanyathelo ezilawulwa arhente hypoglycemic izigulane sizukulwana 3 ukusoloko utywala, kwakunye kakuhle umsebenzi kwesibindi.

"Metformin"

iziyobisi hypoglycemic yomlomo ngoweqela biguanide. Ichiza ifumaneka kwiikhemesti nje iipilisi. Eyona nto iphambili esebenzayo ime kukufakwa glucose ethunjini, kwakunye nokusetyenziswa kakhulu ukwanda glucose kwizihlunu zomzimba. iipilisi reactions Hypoglycemic "Metformin" musa ukuba. Ichiza yenziwa izigulane Type II diabetes abangenalo utyekelo ketoacidosis. Tablets kwakhona kuqhutywa kunye insulin ukuba izigulana ukutyeba.

Kuxhomekeka kwinqanaba glucose egazini, ugqirha ngamnye veke umthamo amayeza. Unyango ungakwazi ukuqala nge ulwamkelo tablet omnye ngosuku (500 mg). Ukwanda kancinane ithamo kungaqala kuphela iiveki kuphela emva ezimbini unyango rhoqo. Le idosi iphezulu yemihla ngemihla mayingagqithi iipilisi 6. Izigulane ezindala ngaphezu kweminyaka engama-70 kufuneka ukuba uthathe iipilisi ngaphezulu kwama-2 ngosuku.

imixube tablet Hypoglycemic ukuba contraindicated kubantu abane kwezintso kakuhle. Ukuba kukho isifo enokukhokelela umsebenzi kwezintso lifinyele, iipilisi "Metformin 'irhoxisiwe okwethutyana. Awukwazi ubasuse kwisithuba hlengiso emva kotyando. Contraindication is serious yondele ityhefu utywala.

Alpha-glucosidase inhibitors

Eli qela lemithi zinokuyithintela imveliso enzyme ezithile amathumbu (alpha-glucosidase). Ngale ngcelele nemixube yehla kakhulu carbohydrate engundoqo yokufunxa ezifana starch sucrose, kunye maltose. Kwimeko yolwamkelo oluchanekileyo iziyobisi antidiabetic mihla kweli qela akananto iziphumo ebezingalindelekanga. kuyaphela Okungekhoyo ngokupheleleyo emathunjini kunye nesisu iintlungu.

Alpha-glucosidase inhibitors kufuneka kuxhakamfulwa londliwa wokuqala ukutya. Ekugayeni kunye nokutya, namacandelo iyeza zinika nemiphumo emihle hypoglycemic. Amayeza kolu ngcelele zikwazi ukuthathwa kunye ngokusebenzisa sulfonylurea okanye insulin. Ingozi ukunyuka hypoglycemia.

"Miglitol"

arhente Hypoglycemic ngoweqela lwe alpha-glyueozidaz inhibitors. Ubekwa ukuba izigulane kunye nohlobo oluphakathi II seswekile kwimeko umthambo olwaneleyo nekopa asinikeli result efanelekileyo. Tablets "miglitol" kakhulu ngempumelelo xa kusetyenziswa ungatyanga. Kwiimeko ezinqabe kakhulu, akhethe olunye kunye nezinye arhente ngomlomo hypoglycemic. Classification kuthetha ukuba ubenemboniselo yangaphezulu glucose egazini sele uchazwe apha ngasentla.

Amacandelo aphambili "miglitol" iziyobisi egxile ngokupheleleyo waya esikule yomntu wonke phantsi kwento abafumana amathamo ephantsi (1-2 tablets). Xa umlinganiselo ongama-50 g nokufunxwa yi-90%. Le esisebenza salawo yi izintso ingatshintshanga. iziyobisi Antidiabetic ungamiselwanga ukuba abantwana kunye nabasetyhini abakhulelweyo kunye phindeke. Contraindication na isifo wamathumbu esingapheliyo, kwakunye Ithemba enkulu. Iziphumo ezingalindelekanga ngexesha uthatha iipilisi "miglitol" zinqabile. Kukho amatyala negazi ezifana irhashalala kunye ukurhawuzelela.

arhente hypoglycemic luhlangene

Kwiimeko ezininzi, unyango lwe II seswekile luqala monotherapy. iziyobisi ezongezelelweyo ukuze kumiselwe kuphela xa unyango ayiniki isiphumo efanelekileyo. Ingxaki kukuba elinye ichiza ayisoloko ukugubungela ezininzi iingxaki ezinxulumene seswekile. Faka iziyobisi ezininzi kwiiklasi ezahlukeneyo zinokudityaniswa enye arhente hypoglycemic. unyango olunjalo bekuya kuba ekhuselekileyo. Ngapha koko, kakhulu kuyayinciphisa ingozi yeziphumo ebezingalindelekanga. Ngempumelelo kakhulu, ngokutsho oogqirha, yintlanganisela metformin kunye thiazolidinediones kunye sulfonylureas kunye metformin.

amachiza Ludityanisiwe esilungiselelwe unyango lwe II seswekile bayakwazi ukuyeka ukuqhubela phambili hyperinsulinemia. Ngenxa yoko, izigulane uzive ngcono kakhulu kwaye banako ukunciphisa ubunzima kancinane. Kwiimeko ezininzi, imfuno lenguqu ukuya kunyango insulin lupheliswe ngokupheleleyo.

Enye amachiza kakhulu ethandwa idityanisiwe antidiabetic yi "Glibomet". Release medicament azipilisi. Bona baqeshwa emva kokuba unyango yangaphambili zange ukubonisa iziphumo ezihle. Musa ukusebenzisa eli chiza ukuze ukunyanga isifo seswekile Uhlobo lokuqala. Iipilisi ukuba contraindicated njengabantu umsebenzi kwesibindi ngokwenzakala okanye insufficiency kwezintso. Abantwana kunye nabasetyhini ngexa lokukhulelwa kunye lokwaphusa ichiza akayibonisanga.

"Glibomet" iipilisi zineziphumo ebezingalindelekanga ezininzi. Zinokubangela urhudo, isicaphucaphu, ukuba nesiyezi. amathuba ukuphuhlisa negazi ezifana irhashalala ulusu kunye ukurhawuzelela. Ukusetyenziswa ichiza kucetyiswa ngqongqo kagqirha.