Magani ne wanda ya danganci insulin mutum. Amfani da marasa lafiya da masu kamuwa da cutar siga.
Sunan kasa da kasa mai zaman kansa
Magungunan Monoinsulin na mutum ne, a cikin Latin - Insulin Human.
Monoinsulin magani ne wanda ya danganci insulin mutum.
ATX
A.10.A.B.01 - Insulin (ɗan adam).
Saki siffofin da abun da ke ciki
Akwai shi a cikin nau'i na launi mara launi, mafita don allura, kunsassun a cikin kwalaben gilashin (10 ml), waɗanda aka sanya su cikin akwatin kwali mai yawa (1 pc.).
Maganin yana dauke da sashi mai aiki - insulin asalin ɗan adam (100 IU / ML). Glycerol, ruwa mai allura, metacresol sune ƙarin abubuwan aikin magani.
Aikin magunguna
A miyagun ƙwayoyi ne mai ɗan gajeren aiki insulin na mutum. Yana ba da gudummawa ga daidaituwa na metabolism na glucose, yana nuna sakamako na anabolic. Shiga ƙwayar tsoka, yana haɓaka jigilar amino acid da glucose a matakin salula; anabolism na furotin yana kara zama karfi.
Magungunan yana ƙarfafa glycogenogenesis, lipogenesis, rage ƙimar samar da glucose ta hanta, kuma yana haɓaka sarrafa yawan glucose a cikin mai.
Monoinsulin yana taimakawa wajen daidaita yanayin glucose.
Pharmacokinetics
Kasancewa tare da bayyanar da aiki mai aiki ya dogara da dalilai da yawa:
- hanyar shigowarsa cikin jiki - intramuscularly ko subcutaneously, a cikin jijiya;
- ƙarar allura;
- yankuna, wuraren gabatarwa a jiki - gindi, cinya, kafada ko ciki.
Lokacin da p / a cikin aikin miyagun ƙwayoyi ya faru a kan matsakaici bayan minti 20-40; Ana lura da mafi girman sakamako a cikin awoyi 1-3. Tsawon lokacin aikin yana ɗaukar kimanin sa'o'i 8-10. Rarraba cikin kyallen takarda bai yi daidai ba.
Abunda yake aiki baya shiga cikin madarar mace mai shayarwa kuma baya wuce cikin mahaifa.
Halakar miyagun ƙwayoyi yana faruwa a ƙarƙashin rinjayar insulinase a cikin kodan, hanta. Rabin-rabi gajere ne, yana ɗaukar mintuna 5 zuwa 10; excretion da kodan shine kashi 30-80%.
Alamu don amfani
An wajabta shi don kamuwa da cututtukan sukari na mellitus ga mai haƙuri ya sha maganin insulin, kuma don gano ciwon sukari na farko. Nuna don amfani da rashin lafiyar insulin-dogara da ciwon sukari II yayin daukar ciki.
Contraindications
Daga cikin contraindications wa miyagun ƙwayoyi, bayanin kula:
- rashin haƙuri ga kowane ɗayan kayan aikinsa da insulin;
- yawan haila.
Ya kamata a saka musamman kulawa ga mata a cikin farkon farkon lokacin, lokacin da aka rage buƙatar insulin.
Yadda ake ɗaukar monoinsulin?
An gabatar dashi cikin jiki a cikin mai, s / c, in / in; kashi yana dogara da glucose a cikin jini. Matsakaicin ƙwayar yau da kullun shine 0.5-1 IU / kg na nauyin ɗan adam, yayin yin la'akari da halaye na jikin mutum.
An gabatar da shi kafin abinci (carbohydrate) na rabin sa'a. Tabbatar cewa maganin allurar ya kamata ya kasance da zazzabi a dakin. Hanyar da ake amfani da ita don gudanar da maganin shine ƙananan cutarwa, a cikin ɓangaren bango na ciki. Wannan yana tabbatar da saurin shan ƙwayoyi.
Idan an sanya allura a cikin fatar fata, za a rage haɗarin rauni na tsoka.
Tare da yin amfani da miyagun ƙwayoyi na yau da kullun, wuraren don gudanarwarsa ya kamata ya canza don hana lipodystrophy. Ma'aikatan lafiya sun sanya allurar ciki da ta cikin ciki tare da insulin.
Sakamakon sakamako na monoinsulin
Hypoglycemia shine ɗayan abubuwan da ba a ke so ba waɗanda ke faruwa yayin aikin insulin. Kwayar cutar ta bayyana kuma tana haɓaka da sauri:
- blanching, wani lokacin cyanosis na fata;
- karuwar gumi;
- Damuwa
- rawar jiki, juyayi, rudani;
- gajiya;
- jin tsananin yunwa;
- tsananin wahala;
- hyperemia;
- daidaitaccen daidaituwa, daidaituwa a sarari;
- samarin
Cutar rashin nauyi mai yawa tana tattare da asarar hankali, a wasu halayen da ba za'a iya juyar da abubuwa ba a cikin kwakwalwa, mutuwa na faruwa.
Monoinsulin na iya tsokanar da gawar cikin gida ta hanyar ƙaiƙayi da huji.
Magungunan za su iya haifar da rashin lafiyan gida ta hanyar kumburin gida, jan launi, itching a ɓangaren cikakkiyar allura, wanda ke wuce kansa.
Zai zama mafi wahala ga marasa lafiya su iya jure halayen halayen da ke tattare da rashin lafiyan tare da rikicewar jijiyoyin baya, gazawar numfashi, matsananciyar ciwo, kamuwa da cuta a wurin allura, matsanancin jijiya, tachycardia, angioedema. A wannan yanayin, ana nuna kulawa ta musamman, ƙaddamar da kashi na abu mai aiki.
Tasiri kan ikon sarrafa abubuwan inji
Hypoglycemia, hyperglycemia na iya haifar da maida hankali ga lalacewar kulawa, wanda, bi da bi, yana da haɗari ga mutumin da ke tuƙin abin hawa, abubuwan haɗin da ke tattare da haɗuwa.
Mutanen da ke shan maganin ya kamata su guji tuki lokacin da zai yiwu.
Umarni na musamman
Tare da amfani da maganin insulin akai-akai, ana kula da glucose jini. A wasu halaye, tare da tabarbarewa sosai a cikin yanayin da kuma rashin taimako, ketoacidosis mai ciwon sukari na iya faruwa tare da sakamako mai mutuwa mai zuwa.
Idan cututtukan thyroid, ƙodan hanta ko hanta sun gaji, cutar Newon ta kamu, ana daidaita yawan maganin. Tare da cututtukan cututtukan da ke ɗauka, yanayin febrile, jiki yana buƙatar ƙara yawan insulin da aka gudanar. Zai yiwu sashi ya canza tare da maimaitawa game da abincin, ƙara yawan aiki na jiki.
Yi amfani da tsufa
Ga marasa lafiya bayan shekara 65, ana rage yawan maganin insulin - duk yana dogara ne da alamun glucose, wanda ya kamata a sa ido akai-akai.
An yarda da Monoinsulin a lokacin daukar ciki, baya haifar da barazana ga rayuwa da lafiyar tayin.
Aiki yara
Magungunan shan magani a cikin yara, ba a yi nazarin matasa ba.
Yi amfani da lokacin daukar ciki da lactation
Magungunan ba su iya ƙetare shingen ƙarfe. Don haka, shigarwar sa yayin daukar ciki an ba shi izini, baya haifar da barazana ga rayuwa da lafiyar tayin.
Babu wani haɗari ga yaro, kamar yadda abu mai aiki baya shiga cikin madara. A wannan lokacin, ana lura da yawan kulawa da glucose a hankali. Bayan haihuwar haihuwa, ana yin tiyata na 1 na ciwon sukari mellitus bisa ga tsarin da aka tsara, idan yanayin rashin lafiyar ya lalace kuma ba a buƙatar daidaita sashi na sashi.
Aikace-aikacen aiki mara kyau
Idan an gano gazawar renal, buƙatar maganin zai iya raguwa sosai, saboda haka, ana rage yawan maganinsa na yau da kullun.
Rashin hanta galibi yakan haifar da raguwa a cikin ƙwayar Monoinsulin.
Amfani don aikin hanta mai rauni
Rashin daidaituwa a cikin hanta galibi yana haifar da raguwa a cikin adadin ƙwayoyi.
Ruwan Monoinsulin
Idan abubuwan da aka yarda da insulin sun wuce, yawanci yana iya haɓaka haɓakar jini. Tare da wani nau'in ladabi mai laushi, mutum yakan bijiro da kansa, yana cin abinci mai wadataccen abinci tare da carbohydrates, sukari. A saboda wannan, masu ciwon sukari koyaushe suna tare da su ruwan 'ya'yan itace mai dadi, masu lebur.
Idan hypoglycemia mai tsanani, ana ba da haƙuri cikin gaggawa iv bayani na glucose (40%) ko glucagon ta kowane hanya mai dacewa - iv, s / c, v / m. Lokacin da yanayin kiwon lafiya ya dawo daidai, yakamata mutum ya ci abinci mai narkewa mai karfi, wanda zai hana kai hari na biyu.
Yin hulɗa tare da wasu kwayoyi
Tasirin hypoglycemic zai zama ƙasa da ma'ana idan aka haɗa shi da corticosteroids, maganin hana haihuwa, maganin tricyclic antidepressants, hormones thyroid, da thiazolidinediones.
Tasirin hypoglycemic yana haɓaka ta sulfanilamides, salicylates (salicylic acid, alal misali), MAO inhibitors, da wakilai na hypoglycemic don amfani da bakin.
Kwayar cutar hypoglycemia ta kasance an rufe ta kuma ta bayyana a ƙaramin abu dangane da gudanarwar gudanarwa na clonidine, beta-blockers, reserpine.
Amfani da barasa
Yin amfani da ethanol (magungunan ethanol-dauke da kwayoyi) tare da insulin yana haɓaka tasirin hypoglycemic.
Analogs
Insuman Rapid GT, Actrapid, Humulin Regular, Gensulin R.
Magunguna kan bar sharuɗan
Ana sayar da maganin ne ta hanyar takardar sayan magani.
Zan iya saya ba tare da takardar sayan magani ba?
Babu wani madaidaicin damar siyar da magani mai maganin antidi.
Farashi
Kudin magungunan da aka samar a Belarus a Rasha yana kan matsakaici daga 250 rubles.
Yanayin ajiya na miyagun ƙwayoyi
Ya kamata a ajiye magungunan a wuri mai duhu a alamu na zazzabi na + 2 ... + 8 ° C; daskarewa da mafita ba a yarda da shi ba.
Ranar karewa
Shekaru 2.5.
Mai masana'anta
RUE Belmedpreparaty (Jumhuriyar Belarus).
Actrapid sigar analogue ce ta Monoinsulin.
Nazarin masana kwararru
Elena, endocrinologist, shekara 41, Moscow
Wannan magani kwatankwacin insulin mutum ne. Guji hypoglycemia zai taimaka kawai daidaituwar ƙwayar ƙwayar cuta, yin aiki daidai da kashi da abinci.
Victoria, likitan mata, shekara 32, Ilyinka
Nau'in 1 na ciwon sukari mellitus da amfani da wannan insulin na yau da kullun suna da tasiri kai tsaye ga yanayin haila (rashin lafiyar sa, cikakkiyar rashi) za'a iya lura dashi. Idan kana son yin juna biyu da irin wannan cutar, ya kamata ka nemi likitan ilimin mahaifa wanda zai taimaka wajen magance matsalar.
Neman Masu haƙuri
Ekaterina, 38 years old, Perm
Mahaifina mai ciwon sukari ne mai gwaninta. Yanzu na fara shan insulin Belarusian. Ko dai saboda canje-canjen da suka danganci shekaru, ko kuma saboda halayen ƙwayoyi, amma likita ya rage sashi zuwa gare shi, lafiyar sa ta kasance al'ada.
Natalia, ɗan shekara 42, Rostov-on-Don
Na gano cutar sankara ta hanyar haɗari lokacin da, saboda zazzabin cizon sauro, na yi cikakken bincike a cikin asibiti. An tsara allurar Monoinsulin a cikin mafi ƙarancin magunguna nan da nan. Ina amfani da shi sama da shekara guda, da farko na ji tsoron illa, amma komai na al'ada ne, na ji daɗi.
Irina, ɗan shekara 34, Ivanovsk
A gare ni, babbar matsalar ita ce a sayi wannan magani a kai a kai a cikin garinmu. Na gwada analogues na samar da gida, amma ba su dace ba, lafiyar ta ta yi ta ƙaruwa.
