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тАОрдкрд░рд┐рдЪрдп: тАОSitagliptin рдПрдХ рдореМрдЦрд┐рдХ (oral) рджрд╡рд╛ рд╣реИ рдЬрд┐рд╕рдХрд╛ рдЙрдкрдпреЛрдЧ рдЯрд╛рдЗрдк 2 рдбрд╛рдпрдмрд┐рдЯреАрдЬ рдореЗрд▓рд┐рдЯрд╕ (Type 2 Diabetes Mellitus) рдХреЗ рдЗрд▓рд╛рдЬ рдХреЗ рд▓рд┐рдП рдХрд┐рдпрд╛ рдЬрд╛рддрд╛ рд╣реИред рдпрд╣ рджрд╡рд╛ рд░рдХреНрдд рдореЗрдВ рд╢реБрдЧрд░ (рдЧреНрд▓реВрдХреЛрдЬ) рдХреЗ рд╕реНрддрд░ рдХреЛ рдирд┐рдпрдВрддреНрд░рд┐рдд рдХрд░рдиреЗ рдореЗрдВ рдорджрдж рдХрд░рддреА рд╣реИ рдФрд░ рдЖрдорддреМрд░ рдкрд░ рдЕрдиреНрдп рдПрдВрдЯреА-рдбрд╛рдпрдмрд┐рдЯрд┐рдХ рджрд╡рд╛рдУрдВ рдХреЗ рд╕рд╛рде рдкреНрд░рдпреЛрдЧ рдХреА рдЬрд╛рддреА рд╣реИред рдпрд╣ рджрд╡рд╛ рдбрд╛рдпрдмрд┐рдЯреАрдЬ рдХреЗ рдХрд╛рд░рдг рд╣реЛрдиреЗ рд╡рд╛рд▓реА рдЬрдЯрд┐рд▓рддрд╛рдУрдВ рдХреЛ рдХрдо рдХрд░рдиреЗ рдореЗрдВ рд╕рд╣рд╛рдпрдХ рд╣реЛрддреА рд╣реИред тАО тАО1. Sitagliptin рдХреНрдпрд╛ рд╣реИ? тАОSitagliptin рдПрдХ DPP-4 (Dipeptidyl Peptidase-4) рдЗрдирд╣рд┐рдмрд┐рдЯрд░ рд╣реИред рдпрд╣ рд╢рд░реАрд░ рдореЗрдВ рд╣рд╛рд░реНрдореЛрди GLP-1 (Glucagon-like Peptide-1) рдФрд░ GIP (Glucose-dependent Insulinotropic Peptide) рдХреЗ рд╕реНрддрд░ рдХреЛ рдмрдврд╝рд╛рдХрд░ рдЗрдВрд╕реБрд▓рд┐рди рдХреА рдорд╛рддреНрд░рд╛ рдмрдврд╝рд╛рдиреЗ рдФрд░ рдЧреНрд▓реВрдХрд╛рдЧрди (Glucagon) рдХреЗ рд╕реНрддрд░ рдХреЛ рдХрдо рдХрд░рдиреЗ рдореЗрдВ рдорджрдж рдХрд░рддрд╛ рд╣реИред рдЗрд╕рд╕реЗ рднреЛрдЬрди рдХреЗ рдмрд╛рдж рдмреНрд▓рдб рд╢реБрдЧрд░ рдХрд╛ рд╕реНрддрд░ рдирд┐рдпрдВрддреНрд░рд┐рдд рд░рд╣рддрд╛ рд╣реИред тАО тАО2. Sitagliptin рдХрд╛ рдЙрдкрдпреЛрдЧ тАОSitagliptin рдореБрдЦреНрдп рд░реВрдк рд╕реЗ рдЯрд╛рдЗрдк 2 рдбрд╛рдпрдмрд┐рдЯреАрдЬ рдХреЗ рдЗрд▓рд╛рдЬ рдореЗрдВ рдирд┐рдореНрдирд▓рд┐рдЦрд┐рдд рдЙрджреНрджреЗрд╢реНрдпреЛрдВ рдХреЗ рд▓рд┐рдП рдЙрдкрдпреЛрдЧ рдХреА рдЬрд╛рддреА рд╣реИ: тАОрдмреНрд▓рдб рд╢реБрдЧрд░ рдХреЛ рдирд┐рдпрдВрддреНрд░рд┐рдд рдХрд░рдирд╛: рдпрд╣ рд╢рд░реАрд░ рдореЗрдВ рдЗрдВрд╕реБрд▓рд┐рди рдХреЗ рдЙрддреНрдкрд╛рджрди рдХреЛ рдмрдврд╝рд╛рдиреЗ рдФрд░ рд▓реАрд╡рд░ рджреНрд╡рд╛рд░рд╛ рдмрдирдиреЗ рд╡рд╛рд▓реЗ рдЧреНрд▓реВрдХреЛрдЬ рдХреА рдорд╛рддреНрд░рд╛ рдХреЛ рдХрдо рдХрд░рдиреЗ рдореЗрдВ рдорджрдж рдХрд░рддрд╛ рд╣реИред тАО тАОрдореЛрдиреЛрдереЗрд░реЗрдкреА рдпрд╛ рд╕рдВрдпреЛрдЬрди рдереЗрд░реЗрдкреА: рдЗрд╕реЗ рдЕрдХреЗрд▓реЗ рдпрд╛ рдЕрдиреНрдп рдПрдВрдЯреА-рдбрд╛рдпрдмрд┐рдЯрд┐рдХ рджрд╡рд╛рдУрдВ рдЬреИрд╕реЗ рдореЗрдЯрдлреЙрд░реНрдорд┐рди, рд╕рд▓реНрдлреЛрдирд╛рдЗрд▓ рдпреВрд░рд┐рдпрд╛, рдпрд╛ рдЗрдВрд╕реБрд▓рд┐рди рдХреЗ рд╕рд╛рде рдкреНрд░рдпреЛрдЧ рдХрд┐рдпрд╛ рдЬрд╛ рд╕рдХрддрд╛ рд╣реИред тАОрд╡рдЬрди рдмрдврд╝рдиреЗ рдХрд╛ рдХрдо рдЬреЛрдЦрд┐рдо: рдЕрдиреНрдп рдПрдВрдЯреА-рдбрд╛рдпрдмрд┐рдЯрд┐рдХ рджрд╡рд╛рдУрдВ рдХреА рддреБрд▓рдирд╛ рдореЗрдВ Sitagliptin рдХреЗ рдХрд╛рд░рдг рд╡рдЬрди рдмрдврд╝рдиреЗ рдХреА рд╕рдВрднрд╛рд╡рдирд╛ рдХрдо рд╣реЛрддреА рд╣реИред тАО тАОрд╣рд╛рдЗрдкреЛрдЧреНрд▓рд╛рдЗрд╕реАрдорд┐рдпрд╛ (рдХрдо рдмреНрд▓рдб рд╢реБрдЧрд░) рдХрд╛ рдХрдо рдЬреЛрдЦрд┐рдо: рдпрд╣ рджрд╡рд╛ рдмреНрд▓рдб рд╢реБрдЧрд░ рдХреЛ рдирд┐рдпрдВрддреНрд░рд┐рдд рдХрд░рдиреЗ рдореЗрдВ рд╕рд╣рд╛рдпрдХ рд╣реЛрддреА рд╣реИ, рд▓реЗрдХрд┐рди рдЕрдиреНрдп рджрд╡рд╛рдУрдВ рдХреА рддреБрд▓рдирд╛ рдореЗрдВ рд╣рд╛рдЗрдкреЛрдЧреНрд▓рд╛рдЗрд╕реАрдорд┐рдпрд╛ рдХрд╛ рдЬреЛрдЦрд┐рдо рдХрдо рд╣реЛрддрд╛ рд╣реИред тАО тАО3. Sitagliptin рдХреА рдЦреБрд░рд╛рдХ рдФрд░ рд╕реЗрд╡рди рдХрд╛ рддрд░реАрдХрд╛ тАОSitagliptin рдХреА рд╕рд╛рдорд╛рдиреНрдп рдЦреБрд░рд╛рдХ 25mg, 50mg, рдФрд░ 100mg рдХреА рдЯреИрдмрд▓реЗрдЯ рдХреЗ рд░реВрдк рдореЗрдВ рдЙрдкрд▓рдмреНрдз рд╣реЛрддреА рд╣реИред тАО тАОрд╕рд╛рдорд╛рдиреНрдп рдЦреБрд░рд╛рдХ: тАО тАО100mg рджрд┐рди рдореЗрдВ рдПрдХ рдмрд╛рд░ (рдбреЙрдХреНрдЯрд░ рдХреА рд╕рд▓рд╛рд╣ рдЕрдиреБрд╕рд╛рд░) тАОрдХрд┐рдбрдиреА рдХреА рд╕рдорд╕реНрдпрд╛ рд╡рд╛рд▓реЗ рдорд░реАрдЬреЛрдВ рдХреЗ рд▓рд┐рдП рдХрдо рдЦреБрд░рд╛рдХ (25mg рдпрд╛ 50mg) рджреА рдЬрд╛рддреА рд╣реИред тАО тАОрдХреИрд╕реЗ рд▓реЗрдВ? тАО тАОрдЗрд╕реЗ рднреЛрдЬрди рдХреЗ рд╕рд╛рде рдпрд╛ рдмрд┐рдирд╛ рднреЛрдЬрди рдХреЗ рд▓рд┐рдпрд╛ рдЬрд╛ рд╕рдХрддрд╛ рд╣реИред тАО тАОрдЗрд╕реЗ рд░реЛрдЬрд╝ рдПрдХ рд╣реА рд╕рдордп рдкрд░ рд▓реЗрдирд╛ рдмреЗрд╣рддрд░ рд╣реЛрддрд╛ рд╣реИ рддрд╛рдХрд┐ рдЗрд╕рдХрд╛ рдкреНрд░рднрд╛рд╡ рдмрдирд╛ рд░рд╣реЗред тАО тАОрдЦреБрд░рд╛рдХ рдЫреВрдЯ рдЬрд╛рдиреЗ рдкрд░: тАО тАОрдпрджрд┐ рдХреЛрдИ рдЦреБрд░рд╛рдХ рдЫреВрдЯ рдЬрд╛рдП рддреЛ рдЬреИрд╕реЗ рд╣реА рдпрд╛рдж рдЖрдП, рд▓реЗ рд▓реЗрдВред тАО тАОрдпрджрд┐ рдЕрдЧрд▓реА рдЦреБрд░рд╛рдХ рдХрд╛ рд╕рдордп рд╣реЛ рдЧрдпрд╛ рд╣реЛ рддреЛ рдорд┐рд╕ рдХреА рдЧрдИ рдЦреБрд░рд╛рдХ рдХреЛ рдЫреЛрдбрд╝ рджреЗрдВ рдФрд░ рдирд┐рдпрдорд┐рдд рд╕рдордп рдкрд░ рдЕрдЧрд▓реА рдЦреБрд░рд╛рдХ рд▓реЗрдВред тАО тАО4. Sitagliptin рдХреЗ рд╕рдВрднрд╛рд╡рд┐рдд рд╕рд╛рдЗрдб рдЗрдлреЗрдХреНрдЯреНрд╕ тАО тАОрд╣рд╛рд▓рд╛рдВрдХрд┐ Sitagliptin рдЖрдорддреМрд░ рдкрд░ рд╕реБрд░рдХреНрд╖рд┐рдд рдорд╛рдиреА рдЬрд╛рддреА рд╣реИ, рд▓реЗрдХрд┐рди рдЗрд╕рдХреЗ рдХреБрдЫ рд╕рд╛рдЗрдб рдЗрдлреЗрдХреНрдЯреНрд╕ рд╣реЛ рд╕рдХрддреЗ рд╣реИрдВ: тАО тАОрдЖрдо рд╕рд╛рдЗрдб рдЗрдлреЗрдХреНрдЯреНрд╕: тАО тАОрд╕рд┐рд░рджрд░реНрдж тАО тАОрдЬреА рдорд┐рдЪрд▓рд╛рдирд╛ тАО тАОрдкреЗрдЯ рдореЗрдВ рд╣рд▓реНрдХрд╛ рджрд░реНрдж тАО тАОрдбрд╛рдпрд░рд┐рдпрд╛ тАО тАОрдКрдкрд░реА рд╢реНрд╡рд╕рди рд╕рдВрдХреНрд░рдордг (рд╕рд░реНрджреА-рдЬреБрдХрд╛рдо рдЬреИрд╕реЗ рд▓рдХреНрд╖рдг) тАО тАОрдЧрдВрднреАрд░ рд╕рд╛рдЗрдб рдЗрдлреЗрдХреНрдЯреНрд╕: тАО тАОрдкреИрдВрдХреНрд░рд┐рдпрд╛рдЯрд╛рдЗрдЯрд┐рд╕: (рдЕрдЧреНрдиреНрдпрд╛рд╢рдп рдореЗрдВ рд╕реВрдЬрди) - рдпрджрд┐ рдкреЗрдЯ рдХреЗ рдКрдкрд░реА рд╣рд┐рд╕реНрд╕реЗ рдореЗрдВ рддреЗрдЬ рджрд░реНрдж рд╣реЛ, рдЙрд▓реНрдЯреА рдЖрдП, рддреЛ рддреБрд░рдВрдд рдбреЙрдХреНрдЯрд░ рд╕реЗ рд╕рдВрдкрд░реНрдХ рдХрд░реЗрдВред тАО тАОрдЧреБрд░реНрджреЗ рдХреА рд╕рдорд╕реНрдпрд╛: рдпрджрд┐ рдкреЗрд╢рд╛рдм рдХрдо рд╣реЛ рд░рд╣рд╛ рд╣реЛ рдпрд╛ рдкреИрд░реЛрдВ рдореЗрдВ рд╕реВрдЬрди рдЖ рд░рд╣реА рд╣реЛ рддреЛ рдбреЙрдХреНрдЯрд░ рдХреЛ рдмрддрд╛рдПрдВред тАО тАОрдПрд▓рд░реНрдЬреА рдкреНрд░рддрд┐рдХреНрд░рд┐рдпрд╛: рдЦреБрдЬрд▓реА, рд╕реВрдЬрди, рд╕рд╛рдБрд╕ рд▓реЗрдиреЗ рдореЗрдВ рддрдХрд▓реАрдл рдЬреИрд╕реА рдПрд▓рд░реНрдЬреА рд╣реЛ рд╕рдХрддреА рд╣реИред тАО тАОрдЬреЛрдбрд╝реЛрдВ рдореЗрдВ рджрд░реНрдж: рдХреБрдЫ рдорд░реАрдЬреЛрдВ рдХреЛ рдЧрдВрднреАрд░ рдЬреЛрдбрд╝реЛрдВ рдХрд╛ рджрд░реНрдж рд╣реЛ рд╕рдХрддрд╛ рд╣реИред тАО тАОрдмреНрд▓рдб рд╢реБрдЧрд░ рдореЗрдВ рдЕрддреНрдпрдзрд┐рдХ рдХрдореА (Hypoglycemia): рдпрджрд┐ рдпрд╣ рджрд╡рд╛ рдЕрдиреНрдп рдмреНрд▓рдб рд╢реБрдЧрд░ рдХрдо рдХрд░рдиреЗ рд╡рд╛рд▓реА рджрд╡рд╛рдУрдВ (рдЬреИрд╕реЗ рдЗрдВрд╕реБрд▓рд┐рди рдпрд╛ рд╕рд▓реНрдлреЛрдирд╛рдЗрд▓ рдпреВрд░рд┐рдпрд╛) рдХреЗ рд╕рд╛рде рд▓реА рдЬрд╛рддреА рд╣реИ рддреЛ рд╣рд╛рдЗрдкреЛрдЧреНрд▓рд╛рдЗрд╕реАрдорд┐рдпрд╛ рд╣реЛ рд╕рдХрддрд╛ рд╣реИред тАО тАО5. рдХрд┐рди рд▓реЛрдЧреЛрдВ рдХреЛ рд╕рд╛рд╡рдзрд╛рдиреА рдмрд░рддрдиреА рдЪрд╛рд╣рд┐рдП? тАО тАОрдирд┐рдореНрдирд▓рд┐рдЦрд┐рдд рдкрд░рд┐рд╕реНрдерд┐рддрд┐рдпреЛрдВ рдореЗрдВ Sitagliptin рдХрд╛ рд╕реЗрд╡рди рдХрд░рдиреЗ рд╕реЗ рдкрд╣рд▓реЗ рдбреЙрдХреНрдЯрд░ рд╕реЗ рдкрд░рд╛рдорд░реНрд╢ рд▓реЗрдирд╛ рдЖрд╡рд╢реНрдпрдХ рд╣реИ: тАО тАОрдХрд┐рдбрдиреА рдХреА рд╕рдорд╕реНрдпрд╛: рдХрдордЬреЛрд░ рдХрд┐рдбрдиреА рд╡рд╛рд▓реЗ рдорд░реАрдЬреЛрдВ рдХреЗ рд▓рд┐рдП рдЦреБрд░рд╛рдХ рдХрдо рдХрд░рдиреА рдкрдбрд╝ рд╕рдХрддреА рд╣реИред тАО тАОрд▓реАрд╡рд░ рдХреА рдмреАрдорд╛рд░реА: рд▓рд┐рд╡рд░ рдХреА рд╕рдорд╕реНрдпрд╛ рд╣реЛрдиреЗ рдкрд░ рдбреЙрдХреНрдЯрд░ рдХреА рд╕рд▓рд╛рд╣ рдХреЗ рдмрд┐рдирд╛ рди рд▓реЗрдВред тАО тАОрдЧрд░реНрднрд╡рддреА рдпрд╛ рд╕реНрддрдирдкрд╛рди рдХрд░рд╛рдиреЗ рд╡рд╛рд▓реА рдорд╣рд┐рд▓рд╛рдПрдВ: рдЗрд╕ рджрд╡рд╛ рдХреЗ рд╕реБрд░рдХреНрд╖рд┐рдд рд╣реЛрдиреЗ рдХреЛ рд▓реЗрдХрд░ рдкрд░реНрдпрд╛рдкреНрдд рд╢реЛрдз рдирд╣реАрдВ рд╣реИрдВ, рдЗрд╕рд▓рд┐рдП рдбреЙрдХреНрдЯрд░ рдХреА рд╕рд▓рд╛рд╣ рд▓реЗрдВред тАО тАОрдЯрд╛рдЗрдк 1 рдбрд╛рдпрдмрд┐рдЯреАрдЬ: рдпрд╣ рджрд╡рд╛ рдХреЗрд╡рд▓ рдЯрд╛рдЗрдк 2 рдбрд╛рдпрдмрд┐рдЯреАрдЬ рдХреЗ рд▓рд┐рдП рдЙрдкрдпреЛрдЧреА рд╣реИред тАО тАОрдкреИрдВрдХреНрд░рд┐рдпрд╛рдЯрд╛рдЗрдЯрд┐рд╕ рдХрд╛ рдЗрддрд┐рд╣рд╛рд╕: рдпрджрд┐ рдкрд╣рд▓реЗ рд╕реЗ рдЕрдЧреНрдирд╛рд╢рдп рдореЗрдВ рд╕реВрдЬрди рд░рд╣реА рд╣реЛ рддреЛ Sitagliptin рд╕реЗ рдмрдЪрдирд╛ рдЪрд╛рд╣рд┐рдПред тАО тАО6. Sitagliptin рдХрд┐рди рджрд╡рд╛рдУрдВ рдХреЗ рд╕рд╛рде рдЗрдВрдЯрд░реИрдХреНрдЯ рдХрд░ рд╕рдХрддреА рд╣реИ? тАО тАОрдХреБрдЫ рджрд╡рд╛рдУрдВ рдХреЗ рд╕рд╛рде Sitagliptin рдХреА рдкреНрд░рддрд┐рдХреНрд░рд┐рдпрд╛ рд╣реЛ рд╕рдХрддреА рд╣реИ, рдЗрд╕рд▓рд┐рдП рдпрджрд┐ рдЖрдк рдирд┐рдореНрдирд▓рд┐рдЦрд┐рдд рджрд╡рд╛рдПрдВ рд▓реЗ рд░рд╣реЗ рд╣реИрдВ рддреЛ рдбреЙрдХреНрдЯрд░ рдХреЛ рд╕реВрдЪрд┐рдд рдХрд░реЗрдВ: тАО тАОрдЗрдВрд╕реБрд▓рд┐рди рдпрд╛ рдЕрдиреНрдп рдмреНрд▓рдб рд╢реБрдЧрд░ рдХрдо рдХрд░рдиреЗ рд╡рд╛рд▓реА рджрд╡рд╛рдПрдВ: рд╣рд╛рдЗрдкреЛрдЧреНрд▓рд╛рдЗрд╕реАрдорд┐рдпрд╛ рдХрд╛ рдЦрддрд░рд╛ рдмрдврд╝ рд╕рдХрддрд╛ рд╣реИред тАО тАОрдбрд╛рдпрдЧреЙрдХреНрд╕рд┐рди: рд╣реГрджрдп рд╕реЗ рд╕рдВрдмрдВрдзрд┐рдд рдЗрд╕ рджрд╡рд╛ рдХреЗ рд╕рд╛рде рд╕рд╛рд╡рдзрд╛рдиреА рдмрд░рддреЗрдВред тАО тАОрд╕реНрдЯреНрд░реЙрдиреНрдЧ рдПрдВрдЯреАрдмрд╛рдпреЛрдЯрд┐рдХреНрд╕: рдХреБрдЫ рдПрдВрдЯреАрдмрд╛рдпреЛрдЯрд┐рдХреНрд╕ рдЗрд╕рдХреЗ рдкреНрд░рднрд╛рд╡ рдХреЛ рдмрдврд╝рд╛ рдпрд╛ рдШрдЯрд╛ рд╕рдХрддреЗ рд╣реИрдВред тАО тАОрдХреЛрд░реНрдЯрд┐рдХреЛрд╕реНрдЯреЗрд░реЙрдЗрдбреНрд╕: рдпреЗ рджрд╡рд╛рдПрдВ рдмреНрд▓рдб рд╢реБрдЧрд░ рдХреЛ рдмрдврд╝рд╛ рд╕рдХрддреА рд╣реИрдВ, рдЬрд┐рд╕рд╕реЗ Sitagliptin рдХрд╛ рдкреНрд░рднрд╛рд╡ рдХрдо рд╣реЛ рд╕рдХрддрд╛ рд╣реИред тАО тАО тАОSitagliptin рдЯрд╛рдЗрдк 2 рдбрд╛рдпрдмрд┐рдЯреАрдЬ рдХреЗ рдЗрд▓рд╛рдЬ рдореЗрдВ рдкреНрд░рднрд╛рд╡реА рдФрд░ рд╕реБрд░рдХреНрд╖рд┐рдд рджрд╡рд╛ рд╣реИред рдпрд╣ рд╢рд░реАрд░ рдореЗрдВ рдмреНрд▓рдб рд╢реБрдЧрд░ рдХреЛ рдирд┐рдпрдВрддреНрд░рд┐рдд рдХрд░рдиреЗ, рд╣рд╛рдЗрдкреЛрдЧреНрд▓рд╛рдЗрд╕реАрдорд┐рдпрд╛ рдХрд╛ рдЬреЛрдЦрд┐рдо рдХрдо рдХрд░рдиреЗ рдФрд░ рд╡рдЬрди рдмрдврд╝рдиреЗ рд╕реЗ рдмрдЪрд╛рдиреЗ рдореЗрдВ рдорджрдж рдХрд░рддреА рд╣реИред рд╣рд╛рд▓рд╛рдВрдХрд┐, рдЗрд╕реЗ рд▓реЗрдиреЗ #sitagliptin #Januvia #zita100 #sitasmaet

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