An wajabta magungunan hypoglycemic don ciwon sukari. Harkokin insulin ba ku damar daidaita sukarin jini. Wannan rukunin magungunan sun hada da Insuman Rapid GT.
Sunan kasa da kasa mai zaman kansa
Inganta insulin (aikin injiniyan ɗan adam).
ATX
A10AB01.
Saki siffofin da abun da ke ciki
Ana samun maganin a vials ko katako. Shirya tare da Solostar kayan disposable injector ana aiwatarwa.
Abubuwan da ke aiki a cikin ruwa shine insulin mutum. Maganin maida hankali shine 3.571 MG, ko 100 IU / 1 ml.
Maganin yana samuwa a cikin kwalabe ko gurneti, ana siyar da kayan sawa tare da instor ɗin Solostar.
Aikin magunguna
Insulin din da ke cikin magungunan an hada shi ta amfani da ilimin halittu a fannin aikin injiniya. Insulin yana da tsari iri ɗaya ga ɗan adam.
An bayyana tasirin magunguna ta hanyar raguwa a cikin matakan glucose. Akwai raguwar aiwatar da lalacewa, haɓaka tasirin anabolic. Magungunan yana haɓaka jigilar glucose a cikin sararin ciki, tara tarin hadaddun ƙwayar glycogen a cikin ƙwayar tsoka da hanta. Abubuwan da aka haifar da pyruvic acid daga jiki yana inganta. A wannan yanayin, samar da glucose daga glycogen, haka kuma daga kwayoyi na wasu abubuwan kwayoyin, suna yin jinkiri.
Hanyar aiwatarwa yana nunawa ta hanyar haɓaka metabolism na glucose zuwa fat mai da rage kumburi na lipolysis.
Rarraba amino acid da potassium a cikin sel, sunadarai sun inganta.
Pharmacokinetics
Tare da gudanarwar subcutaneous, ana lura da farkon tasirin a cikin rabin awa. Matsakaicin sakamako yana kasancewa daga 1 zuwa 4 hours. Cikakken tsawon lokacin da ake warkewa shine daga 7 zuwa 9 hours.
Dogo ko gajere
An san aikin mai aiki da ɗan gajeren lokacin sakamako.
Insuman Rapid GT magani ne wanda aka tsara don maganin ciwon sukari.
Alamu don amfani
Adana Cases:
- ilimin insulin;
- abin da ya faru na rikitarwa na ciwon sukari.
Ana amfani dashi ranar kafin da lokacin ayyukan tiyata, a lokacin farfaɗo don kula da diyya na rayuwa.
Contraindications
Contraindications zuwa far ne hypoglycemia da rashin haƙuri ga bayani.
Ana buƙatar yin amfani da hankali a yanayi kamar:
- Renal da hanta ta gaza.
- Rowarfafawa da jijiyoyin ƙwaƙwalwar ƙwaƙwalwa da myocardium.
- Shekaru sama da 65.
- Cutar farfadiya mai tsoka.
Tare da cututtuka masu haɗari, buƙatar insulin na iya ƙaruwa, don haka yin amfani da miyagun ƙwayoyi shima yana buƙatar taka tsantsan.
Yadda ake ɗaukar Insuman Rapid GT
Maganin an shirya shi ne don gudanar da aiki na ciki Babu takamaiman matakan magani. Tsarin kula da jiyya yana buƙatar daidaitawar mutum ta hanyar halartar likita. Mutane daban-daban marasa lafiya suna da matakai daban-daban na tattarawar glucose da suka wajaba don kula da shi, saboda haka, ana lissafta adadin magungunan da tsarin kulawa da su daban-daban. Likita mai halarta yana yin la’akari da aikin mai haƙuri da halayen abinci mai gina jiki.
Bukatar canza adadin miyagun ƙwayoyi na iya faruwa a lokuta:
- Lokacin maye gurbin miyagun ƙwayoyi da wani nau'in insulin.
- Tare da ƙara ji da hankali ga abu saboda ingantaccen kulawa na rayuwa.
- Lokacin rasa ko samun nauyi ta hanyar mai haƙuri.
- Lokacin gyara abinci mai gina jiki, canza yawan abubuwan lodi.
Hanya na ciki na gudanarwa ana gudanar da ita a asibiti, kamar yadda yanayin zama dole don saka idanu akan yanayin haƙuri.
Gudun ƙarƙashin ƙasa yana da zurfi. An ba da shawarar aiwatar da aikin na mintina 15 ko 20 kafin cin abinci. Wajibi ne don canja wurin allurar tare da kowane allura. Koyaya, dangane da yankin na maganin mafita, magungunan magungunan na iya canzawa, don haka ya kamata a yarda da canjin yankin na gudanarwa tare da likita.
Wajibi ne a kula da gaban hula. Wannan yana nuna amincin kwalar. Babu barbashi yakamata ya kasance a cikin mafita, ruwa ya zama m.
Dole ne a lura da mai zuwa:
- Lokacin amfani da mafita a cikin akwati, yi amfani da sirinji na filastik da ya dace.
- Da farko, ana tattara iska a cikin sirinji, adadin wanda yake daidai da kashi na maganin. Shigar dashi cikin sararin samaniya a cikin kwalbar. An kunna karfin. Ana yin saiti na mafita. Yakamata ya kasance babu kumfa a cikin sirinji. Sannu a hankali shigar da mafita a cikin fata fata da yatsunsu suka kafa.
- A kan lakabin kana buƙatar nuna ranar da aka fara aikin magani na farko.
- Lokacin amfani da katako, amfani da allura (sirinji alkalami) ya zama dole.
- Ana ba da shawarar harsashi a dakin zazzabi 1 ko 2, kamar yadda gabatarwar abubuwa masu narkewa mai raɗaɗi ne. Kafin allurar, cire sauran iska.
- Ba a iya cika kwandon ɗinka ba
- Tare da alkalami wanda ba ya aiki, ana yarda da sirinji mai dacewa.
Hanya na ciki na gudanarwa ana gudanar da ita a asibiti, kamar yadda yanayin zama dole don saka idanu akan yanayin haƙuri.
Kasancewar ragowar wasu ƙwayoyi a cikin sirinji ba abin yarda ba ne.
Abubuwa masu illa Insuman Rapid GT
Sakamakon sakamako na yau da kullun shine raguwa mai mahimmanci a cikin ma'aunin glucose. Mafi yawancin lokuta, yanayin yana haɓaka lokacin da ba a bi da sashin insulin ba. Kwayoyin da aka maimaita suna tsoratar da haɓakar rikicewar jijiyoyin zuciya. Tsarin rikice-rikice masu rikice-rikice, tare da raɗaɗi, daidaituwa da motsi da ƙwayar cuta, suna da haɗari ga rayuwar mai haƙuri. A waɗannan halayen, ana buƙatar asibiti.
A karkashin kulawa na ma'aikatan kiwon lafiya, alamun an dakatar da bayyanar cututtuka ta hanyar amfani da mafi girman maganin dextrose ko glucagon. Manyan mahimmancin alamun halin rayuwa, an tattara ma'aunin electrolyte da rabo-acid-base. Ana kula da matakin glycosylated haemoglobin.
Phenomena tasowa daga raguwa na sukari a cikin abu na kwakwalwa na iya zuwa gabanin bayyanar sauƙaƙewa na wani ɓangare na tsarin juyayi mai cin gashin kansa. Sharparin raguwar haɓakar glucose na jini na iya shafar taro na potassium, yana haifar da hypokalemia da cerebral edema.
Hawan jini na iya raguwa.
A wani bangare na gabobi
Alamar sauƙaƙe cikin kulawar glycemic na iya haifar da tashin hankali na ɗan lokaci daga cikin membrane na ƙwayar ido, canji a cikin ma'aunin narkewa. Canjin canji a cikin alamomi saboda karuwa a cikin ƙarfin jiyya na iya haɗuwa tare da lalacewa ta ɗan lokaci a cikin yanayin cututtukan fata.
A cikin raunin hypoglycemia mai zurfi tare da farfadowa na farfadowa, lalacewar retina ko ƙwayar jijiya ta yanayin nutsuwa yana yiwuwa.
Hematopoietic gabobin
Wani lokaci yayin jiyya, ƙwayoyin rigakafi zuwa kayan na iya fara samarwa. A wannan yanayin, daidaitawa sashi ya wajaba.
A ɓangaren fata
A wurin allurar, ci gaban pathologies na adipose nama, raguwa a cikin abubuwan da ake amfani da su na gida, mai yiwuwa ne.
Itching, zafi, redness, hives, busa, ko kumburi na iya bayyana a cikin allura.
Daga gefen metabolism
Zai yiwu rikicewar metabolism na sodium, jinkiri a jiki da kuma bayyanar edema.
Cutar Al'aura
Abubuwan da suka shafi fata, bronchospasm, angioedema, ko girgizawar anaphylactic suna yiwuwa.
Tasiri kan ikon sarrafa abubuwan inji
Tashin hankali na ilmin likita na iya haifar da jawo hankali sosai, raguwa a cikin halayen halayen. Wannan na iya zama haɗari yayin tuki da injuna.
Umarni na musamman
Ba za a iya amfani da shi a cikin farashinsa tare da bututun silicone ba.
Yi amfani da tsufa
A cikin marasa lafiya bayan shekaru 65, aikin koda yana raguwa. Wannan ya ƙunshi raguwa a cikin adadin insulin ɗin da ake buƙata.
Aiki yara
Lokacin kulawa da yara, za'ayi a hankali game da sashi yana faruwa, saboda bukatar insulin yayi kasa da na manya. Don hana haɓakar haɓakar haɓaka, ana kula da glucose.
Yi amfani da lokacin daukar ciki da lactation
Yayin cikin haihuwa da kuma bayan haihuwa, ba a dakatar da magani ba. Ana iya buƙatar gyaran tsarin kulawa da lokacin magani saboda canje-canje a cikin bukatun insulin.
Aikace-aikacen aiki mara kyau
Sakamakon raguwar hanyoyin metabolism tare da insulin a cikin jiki, buƙatar wannan abun yana raguwa.
Amfani don aikin hanta mai rauni
Thearfin samar da glucose daga abubuwan da ba su da ƙwayar carbohydrate yana raguwa. Wannan na iya rage buƙatar abu.
Adadin yawa na Insuman Rapid GT
Gudanarwa mafi yawan jikin mutum na buƙatar insulin allurai yana haifar da ci gaban hypoglycemia.
Yin hulɗa tare da wasu kwayoyi
Shan magunguna lokacin insulin ya kamata a hade tare da likitanka.
Shan magunguna lokacin insulin ya kamata a hade tare da likitanka.
Abubuwan haɗin gwiwa
Haɗin maganin tare da insulin dabbobi da analogues an cire su.
Haɗin kai na Pentamidine yana haifar da ci gaba da rikitarwa.
Ba da shawarar haɗuwa ba
Abubuwa masu zuwa da shirye-shiryen da ke gaba sun raunana raunin sugar:
- corticosteroids;
- adrenocorticotropic hormone;
- abubuwan da aka samo asali na phenothiazine da phenytoin;
- glucagon;
- kwayoyin jima'i na mace;
- girma hormone;
- nicotinic acid;
- phenolphthalein;
- kamuwa da cuta
- kwayoyi waɗanda ke lalata tsarin juyayi;
- Danazole roba;
- maganin maganin cutar tarin fuka da Isoniazid;
- adrenoblocker Doxazosin.
Sympathomimetics da iodinated abubuwanda ke haifar da rauni na rage karfin maganin.
Rashin rauni na rage karfin sukari na magungunan tarin fuka na Isoniazid.
Haɗuwa yana buƙatar taka tsantsan
Magunguna masu zuwa suna ƙara haɗarin rikitarwa:
- endrogens da anabolics;
- da yawa na kwayoyi don lura da cututtukan zuciya da na jijiyoyin bugun jini;
- CNS masu tayar da hankali;
- maganin cybenzoline na antiarrhythmic;
- propoxyphene analgesic;
- pentoxifylline angioprotector;
- cyphostatic miyagun ƙwayoyi trophosphamide;
- da yawa na antidepressants;
- sulfonamides;
- da dama magunguna da nufin rage cholesterol;
- maganin tetracycline;
- shirye-shirye dangane da somatostatin da misalanta;
- wakilan hypoglycemic;
- mai cin abincin fenfluramine;
- antitumor magani ifosfamide.
Tsanani yana buƙatar ɗaukar magunguna dangane da esters na salicylic acid, tritokvalin, cyclophosphamide, guanethidine da phentolamine.
Gwanin lithium na iya jawo hankali ko inganta tasirin maganin. Reserpine da clonidine sun bambanta a cikin aiki iri ɗaya.
Yin amfani da beta-blockers yana ƙara haɗarin rikitarwa.
Amfani da barasa
A cikin buguwa ta jiki, matakin glycemia ya canza. Tare da ciwon sukari, an rage haƙuri da barasa, kuma shawarar likita ta zama dole don matakan ƙwaya masu haɗari. Cutar glucose na iya sauka zuwa matakin mahimmanci.
Analogs
Insulin mutum yana dauke da kwayoyi irin su Insuran, Actrapid, Humulin, Rosinsulin, Biosulin, da sauransu.
Magunguna kan bar sharuɗan
Ba ya cikin jerin magungunan da ke kan kasuwa na kyauta.
Zan iya siye ba tare da takardar sayan magani ba
An sake shi yayin gabatar da girke-girke.
Farashin insuman Rapid GT
Matsakaicin farashin shirya shi shine 1000-1700 rubles.
Yanayin ajiya na miyagun ƙwayoyi
Tsarin zazzabi don adana miyagun ƙwayoyi shine + 2 ... + 8 ° C. Karka sanya kwandon a jikin bangon firiji don kada ya daskare maganin.
Bayan amfani na farko, ana iya adana kwalban na tsawon awanni 4, katun - don kwanaki 28 bayan shigarwa. Yayin ajiya, yakamata a guji bayyanar haske da yanayin bazai bari ya haura sama da + 25 ° C ba.
Ranar karewa
Daga ranar samarwa, mafita ya dace don amfani don shekaru 2.
Mai masana'anta
Sanofi-Aventis ne ya kera magungunan. Ofasar da ake samarwa na iya zama Jamus ko Rasha.
Ra'ayoyi game da Insuman Rapid GT
Vasily Antonovich, masanin ilimin kimiyar dabbobi, Moscow: "An lura da ingantaccen allurar rigakafi tare da mafita. Magungunan suna da isasshen lafiya da haƙuri mai kyau."
Daria, ɗan shekara 34, Severodvinsk: "Sauran kwayoyi sun taimaka mafi muni fiye da Rapid. Godiya ga allurar, Na sami damar daidaita matakin sukari na. Ina ɗaukar ma'auni akai-akai tare da glucometer kuma in sarrafa magani kafin abinci."
Marina, ɗan shekara 42, Samara: "Lokacin da ake kula da yara, ya zama dole a nemi likita game da alamun cutar yawan ƙwayar cuta, kula da matakin alamun. A matsayin maganin insulin, an wajabta magunguna don ɗan, magani mai kyau."