Lyspro insulin abu ne mai kama da insulin ɗan adam. An tsara shi don waɗannan mutanen waɗanda ke fama da rashin tasirin glucose. A cikin wannan yanayin pathology, hyperglycemia yana haɓaka saboda karancin ƙwayar insulin.
Sunan kasa da kasa mai zaman kansa
Humalog - sunan kasuwanci na magani a Rasha.
Lyspro insulin magani ne na INN.
Insulin lispro - keɓaɓɓen latin.
Lyspro insulin abu ne mai kama da insulin ɗan adam. An tsara shi don waɗannan mutanen waɗanda ke fama da rashin tasirin glucose.
ATX
Lambar cikin tsarin kimiyyar halittar jiki da warkewa shine A10AB04. Lambar ƙungiyar ita ce A10AB (insulins-gajere na gajere da kuma analogues).
Saki siffofin da abun da ke ciki
Ana yin magungunan a cikin nau'in ruwa don allura a cikin jijiya ko a karkashin fata. Magunguna suna kan siyarwa cikin juzu'i 2:
- a cikin wani kwali na kwali tare da syringes 5 na Saurin Pen (3 ml kowane, 100 IU / ml), shirye don amfani;
- a cikin kwali mai kwali dauke da katako guda 5 (3 ml kowace, 100 IU / ml).
Abubuwan da ke aiki da miyagun ƙwayoyi ana kiran su insulin lyspro. Componentsarin abubuwan da aka haɗa: metacresol, glycerol, ruwa don allura, maganin 10% na hydrochloric acid, da sauransu.
Aikin magunguna
Magungunan yana da tasirin hypoglycemic. Bayan gudanarwa na ciki ko subcutaneous management, matakin sukari na jini a cikin jiki yana raguwa. Wannan tasiri yana faruwa kimanin minti 10-20 bayan amfani da miyagun ƙwayoyi.
Magungunan yana da tasirin hypoglycemic. Bayan gudanarwa na ciki ko subcutaneous management, matakin sukari na jini a cikin jiki yana raguwa.
Pharmacokinetics
Abunda yake aiki shine asalinsa cikin sauri, saboda yana da babban adadinshi daga kitse mai ƙyalli (yana cikin rukunin insulins-gajere mai aiki). Saboda wannan, a cikin ɗan gajeren lokaci ana samun mafi girman maida hankali a cikin plasma (aƙalla rabin sa'a daga baya).
Za'a iya allurar da maganin a cikin jijiya ko a cikin fata kafin cin abinci. An ba shi izinin sanya allura a gaba, aƙalla na mintina 15 kafin cin abinci. Babban matakin yana faruwa bayan sa'o'i 1-3, kuma tsawon lokacin maganin yana daga 3 zuwa 5 hours. Kawar rabin rayuwar shine kimanin awa 1.
Alamu don amfani
Likitoci suna ba da maganin ga masu cutar da cutar siga. Tare da taimakon wannan magani, ana yin aikin insulin, wanda ke ba ku damar kula da adadin sukari a cikin jini a matakin al'ada.
Contraindications
Ba za a iya amfani da miyagun ƙwayoyi ba:
- tare da hypersensitivity ga abu mai aiki ko ƙarin abubuwan da aka haɗa daga Humalogue;
- tare da raguwa da glucose na jini a ƙasa da matakin al'ada (3.5 mmol / l).
Tare da kulawa
Yana da mahimmanci a hankali allurar allurar cikin ƙasa don kada ku shiga cikin jini. Bayan allurar, fatar ba ta buƙatar shafawa.
Yadda ake ɗaukar insulin lyspro
Fastocin amfani da sashi yakamata a ƙayyade ta ma'aikatan lafiya daban-daban. A mafi yawancin halayen, ana gudanar da insulin ne a karkashin hanya. Gudun cikin jijiya na iya zama dole a wasu yanayi (alal misali, a lokacin tsakanin ayyukan tiyata ko a bayansu, tare da cututtukan da ke faruwa a cikin siffofin m, karancin insulin da kuma lalacewar metabolism).
Lokacin amfani da miyagun ƙwayoyi, yana da mahimmanci a bi shawarwarin don gabatarwar injections. Mai haƙuri yana buƙatar:
- Shirya magani. Ya kamata ya dace da irin waɗannan halaye kamar nuna gaskiya, launi mara launi. Gabatar da mafita an jefar dashi in yana da gajimare, kauri. Dole ne kwayoyi su kasance da zazzabi dakin.
- Wanke hannuwanku kuma zaɓi wani wuri don allurar subcutaneous ta hanyar goge shi.
- Haɗa allura zuwa alkalami mai siririn kuma cire hula mai kariya daga ita.
- Kafin sanya fatar fata akan wurin da aka zaɓa don tattarawa, saboda an sami babban ɗinn, ko shimfiɗa.
- Saka allura cikin wurin da aka shirya kuma latsa maɓallin.
- A hankali cire allura daga fata kuma shafa sumar auduga a wurin allurar.
- Yin amfani da abin kariya, cire allura. Lokaci na gaba da kuka yi amfani da magani, kuna buƙatar sabon allura.
Wata alama ce ta kowa a yayin amfani da insulin lyspro shine hypoglycemia.
Sakamakon sakamako na insulin lyspro
Cutar alama ta yau da kullun ita ce hauhawar jini. A cikin mawuyacin yanayi, rashin lafiyar hypoglycemia yana haifar da gajiya. Hakanan, tare da ƙarancin sukari na jini akwai haɗarin mutuwa.
A lokacin aiwatar da amfani da miyagun ƙwayoyi, zaku iya haɗuwa da rashin lafiyar jiki. Bayyanannun alamun sa galibi ana lura dasu a wurin allurar. A cikin marasa lafiya, fatar jiki ta sake ja kuma ta kumbura, itching na faruwa. Wadannan alamu suna tafiya bayan wani lokaci. Da wuya rashin lafiyan ke shafar jiki baki ɗaya. Irin wannan amsawar jikin mutum na iya zama barazanar rayuwa. Bayyanar cututtuka na rashin lafiyar jiki:
- rashes cikin jiki.
- itching
- Harshen Quincke na edema;
- karuwar gumi;
- sauke cikin karfin jini;
- karuwar zuciya;
- karancin numfashi
- zazzabi.
Wata hanyar tasirin sakamako shine ɓataccen kitse na kitse (lipodystrophy). Wannan martani ne na gida. Ana iya lura dashi a sashin jiki wanda aka gudanar da allurar maganin.
Tasiri kan ikon sarrafa abubuwan inji
Magunguna na iya yin mummunar tasiri a cikin ikon motsa mota da wasu hanyoyi masu rikitarwa daban-daban waɗanda ke buƙatar ƙara kulawa da taka tsantsan, a cikin yanayi 2:
- tare da gabatarwar wani ya karu ko rage yawan aiki da haɓakar haɓakar hyperglycemia ko hypoglycemia saboda wannan;
- tare da bayyanar cututtukan hypoglycemia azaman sakamako mai illa.
A cikin halayen guda biyu, ikon ba da hankali yana da rauni, kuma halayen psychomotor ba su raguwa. Motsa jiki da aiki tare da kayan aiki masu rikitarwa tare da taka tsantsan.
Umarni na musamman
A karkashin tsananin kulawa na kwararru, dole ne a tura mai haƙuri zuwa wani insulin. Za'a iya buƙatar daidaita yanayin ƙarancin lokacin canza masana'anta, nau'in magani, hanyar samarwa, da sauransu.
Yi amfani da tsufa
Ana iya tsara wannan insulin ga mutane a cikin tsufa. Wata muhimmiyar shawara ga wannan rukunin marasa lafiya - magunguna da likita ya tsara ya kamata a kiyaye su sosai don rage haɗarin cutar ƙwacewar jiki. Wannan yanayin yana da haɗari a cikin tsufa. Tasirin hypoglycemic na iya haifar da rikici na hauhawar jini, tashin zuciya na jijiyoyin jini da jijiyoyin zuciya, asarar hangen nesa.
Aiki yara
Ana iya wajabta cutar humalogue ga yaro idan yana da ciwon sukari.
Yi amfani da lokacin daukar ciki da lactation
Yayin cikin ciki da lactation, za'a iya amfani da Humalog. Istswararrun ƙwararrun da suka ba da wannan magani ga marasa lafiyarsu ba su bayyana illolin da ba a ke so ba. Nazari ya nuna cewa analog na insulin mutum:
- bai ƙetare mahaifa ba;
- ba ya haifar da rashin daidaituwa game da cuta;
- baya haifar da nauyi a cikin jarirai.
Ana iya wajabta cutar humalogue ga yaro idan yana da ciwon sukari.
A lokacin daukar ciki, yana da mahimmanci kawai bin umarnin likita, lura da sashi. A cikin watanni 3 na farko, bukatar insulin ya ragu. Farawa daga watanni 4, yana ƙaruwa, kuma yayin haihuwa da bayan su zai iya raguwa sosai. Yayin shayarwa, dole ne a daidaita sashi da / ko kuma a sanya abinci a kai.
Aikace-aikacen aiki mara kyau
Tare da rikicewar gabobin jiki na tsarin urinary, buƙatar hormone na iya raguwa.
Amfani don aikin hanta mai rauni
Tare da aikin hanta mai rauni, raguwar buƙatun jiki ga insulin zai yiwu.
Lyspro insulin overdose
Tare da amfani da maganin da ba ta dace ba, ana iya samun yawan zubar da cutar sosai. A wannan yanayin, alamun cututtukan jini suna bayyana:
- bari;
- yawan wuce haddi;
- karuwar ci;
- karuwar zuciya;
- ciwon kai;
- tashin hankali na bacci;
- Dizziness
- raunin gani;
- amai
- rikicewa;
- raunin motsi, yana saninsa ta hanzarta motsawa daga cikin akwati ko wata gabar jiki.
A lokacin daukar ciki, ana iya amfani da Humalog, tunda masana basu bayyana tasirin da ba'a so ba.
Hypoglycemia yana buƙatar kawar dashi. A cikin lokuta masu laushi, kuna buƙatar ɗaukar glucose ko ku ci wasu samfurin da ke ɗauke da sukari. A cikin lokuta masu rauni mai mahimmanci kuma tare da coma, ana buƙatar taimakon kwararru. Likitoci tare da marasa lafiya da alamun alamun hypoglycemia allurar glucagon (a cikin tsoka ko a karkashin fata) ko maganin glucose (a cikin jijiya). Bayan irin waɗannan matakan warkewa, ana buƙatar cin abinci wanda ya ƙunshi carbohydrates da yawa.
Yin hulɗa tare da wasu kwayoyi
Tare da gudanar da aikin insulin da na hana haihuwa, glucocorticosteroids, tricyclic antidepressants, thiazide diuretics da wasu magunguna, tasirin hypoglycemic na iya raguwa. Tetracyclines, sulfanilamides, angiotensin suna canza masu hana enzyme, da sauransu suna haifar da karuwa a cikin aikin magunguna.
Haramun ne a haxa wannan insulin din da magungunan dake dauke da insulin dabbobi.
Amfani da barasa
Ba a ba da shawarar shan giya da ke kunshe da giya yayin lura da ciwon suga. Tare da haɗuwa da barasa tare da insulin, ana inganta tasirin hypoglycemic.
Wani rukuni na insulinin ultrashort yana karuwa da insulin aspart.
Analogs
Insungiyar insulin ta gajere mai ɗaukar hoto ta haɗa da ba Humalog kawai ba, har ma analogues ɗin nata - Humalog Mix 25 da Humalog Mix 50. Waɗannan magungunan suna samuwa ta hanyar dakatarwa don gudanarwa a ƙarƙashin fata.
Wani rukuni na insulinin ultrashort yana haɓaka ta hanyar insulin aspart (kwayoyi: NovoRapid Flexpen, NovoRapid Penfill) da insulin glulizin (kwayoyi: Apidra, Apidra SoloStar).
Haka nan akwai wasu maganganu na lokaci daban-daban na aikin:
- Short takaice. Magunguna daga wannan rukunin: Rinsulin R, Regular Humulin, da sauransu.
- Kashi biyu (biphasik insulin - "bifazik"). Shirye-shirye: Humodar K25-100, NovoMix 50, Flexpen, NovoMix 30, Penfill, da dai sauransu.
- Tsawon lokaci. Kungiyar ta hada da Biosulin N, da sauransu.
- Dogon aiki. Wasu kwayoyi: Lantus, Levemir Penfill.
- Tsawaita aiki. Wannan rukunin ya ƙunshi magunguna na matsakaiciyar tsaka da aiki.
Magunguna kan bar sharuɗan
Zan iya siye ba tare da takardar sayan magani ba
Ana sayar da maganin a cikin kantin magunguna kawai tare da takardar sayen magani.
Farashin insulin Lyspro
Fakitin Humalog tare da sirinji alkalami yakai kimanin 1690 rubles. Kimanin farashin kayan haɗi tare da katako 5 shine 1770 rubles.
Yanayin ajiya na miyagun ƙwayoyi
Magungunan da ba a riga an buga shi ba dole ne a adana shi a cikin firiji a zazzabi wanda baya faɗuwa ƙasa da 2 ° C (mafitar ba dole ba ta daskarewa).
Dole ne a adana maganin da ake amfani dashi yau da kullun a zazzabi a ɗakin (ba ya fi ƙarfin 30 ° C ba). Dole ne a nisanta shi da rana da kayan wuta. Tsawon ajiya bai wuce kwanaki 28 ba.
Magungunan da ba a riga an buga shi ba dole ne a adana shi a cikin firiji a zazzabi wanda baya faɗuwa ƙasa da 2 ° C (mafitar ba dole ba ta daskarewa).
Ranar karewa
Idan ba a bude maganin ba, to ana iya adana shi na tsawon shekaru 3 daga ranar da aka ƙera shi.
Mai masana'anta
Wanda ya kirkiro insulin a karkashin sunan kasuwanci Humalog shi ne kamfanin kasar Faransa Lilly Faransa.
Lyspro insulin sake dubawa
Stanislav, dan shekara 55, Tyumen: “Kimanin shekaru 10 da suka shude na kamu da cutar sankara .. An rubuta magungunan a farkon farawa. Kwanan nan, wani kwararre ya ba da shawarar sauya hanyar Humalog don gudanar da aikin karkashin kasa, tunda allunan ba su bayar da abin da ake so ba. Na bi Na sayi maganin a kantin magani kuma na fara allurar dashi sau 3 a rana kafin abinci. Ina jin dadi fiye da lokacin da allunan basu taimaka ba. "
Elena, shekara 52, Novosibirsk: "Ina da ciwon sukari. Don ci gaba da glucose na al'ada, na allura da kaina insulin. A cewar takardar likita, Ina siyan Humalog a kai a kai alkalami. Abubuwan amfanin wannan magani: sauƙi na amfani, tasiri, cikakkun bayanai. K Zan dauki babban farashi zuwa ga airorin
Anastasia, ɗan shekara 54, Khabarovsk: "Magungunan suna da amfani idan aka yi amfani da su daidai. Ba koyaushe nake bin shawarar likita ba, saboda haka sau da yawa ina da sakamako masu illa. Mutane masu fama da cutar sankarar bargo ba sa ba da shawarar yin irin wannan kuskuren. Dukkanmu ana amfani da mu don maganin tari a kanmu. , sanyi. Ciwon sukari cuta ce da ke buƙatar ƙoshin lafiya. A cikin jiyyarsa, ya wajaba a bi alƙawarin ƙwararrun masana. "
