Levemir Flekspen - insulin don injections na subcutaneous. Yana nufin zuwa tsawan insulin. A lokacin jiyya, dole ne a hankali ku lura da sashi na miyagun ƙwayoyi da hanyar gudanarwa, rage cin abinci.
Sunan kasa da kasa mai zaman kansa
Insulin ya ɓace.
Levemir Flekspen - insulin don injections na subcutaneous.
ATX
ATX - A10AE05. Yana nufin magungunan hypoglycemic, analogues na insulins na ɗan adam na tsawaita aikin.
Saki siffofin da abun da ke ciki
Akwai shi a cikin nau'in mafita don allurar sc, m da launi. 1 cm³ na bayani ya ƙunshi raka'a 100 na aikin insulin na tsawon lokaci. Abubuwa masu taimako - abubuwan da ke taimakawa wajen kiyaye mafita tare da hana lalacewar bangaren aiki.
Alkalami guda 1 ya ƙunshi 3 cm³ na bayani wanda ya ƙunshi raka'a 300 na insulin. Rukunin yanki shine 142 mcg na insulin insulin.
Aikin magunguna
Wannan magani ne wanda aka kirkira ta amfani da ilimin halitta. A wannan yanayin, ana amfani da nau'in ƙwayar microorganism Saccharomyces cerevisiae. Wannan insulin basal mai narkewa ne, cikakke analog na kayan da aka kirkira a cikin kyallen na kashin baya.
Sakamakon maganin na tsawon lokaci shine saboda ayyukan haɗin kai na kwayoyin insulin a wurin allurar da ɗaurin su ga albumin. Dangane da wannan, hormone yana ragewa zuwa kyallen. Rarraba magungunan a kyallen takarda da sel (dangane da wadannan hanyoyin) shima ya yi saurin sauka. Sakamakon ƙayyadaddun tasirin, yana yiwuwa a sami sakamako mai ƙarfi na insulin.
Siffofin mafita suna ba ku damar amfani da shi a cikin yara.
Nazarin asibiti yana nuna raguwa mai yawa a cikin yawan kwantar da hankali na glucose a cikin marasa lafiya da ke karbar hadaddun farji tare da irin wannan insulin. Shekara guda bayan fara magani, ana iya rage matakan haemoglobin. Babu wani yanki na cututtukan hypoglycemia mai ƙarfi. Binciken bincike ya nuna wata alama da rauni na al'amuran rashin bacci a cikin jini idan aka kwatanta da Isofan.
An samar da magungunan rigakafi yayin amfani da maganin, amma wannan bai bayyana ba ta kowace hanya akan ɗaukar abubuwan aiki. Siffofin mafita suna ba ku damar amfani da shi a cikin yara.
Pharmacokinetics
Matsakaicin adadin magani a cikin jini an lura da shi sa'o'i 6-8 bayan gudanar da aikin subcutaneous. Tare da gabatarwar miyagun ƙwayoyi sau biyu a rana, daidaitaccen abu na insulin a cikin jini ya isa bayan allurar ta uku. Kusan dukkanin ƙwayar magungunan suna cikin jini.
Rashin insulin yana haifar da samuwar metabolites a cikin jiki wanda basu da tasirin asibiti.
Babu bambance-bambance a cikin kantin magunguna na wannan insulin a cikin masu ciwon sukari na jima'i daban-daban da shekaru. Ba a gano cutarwa mai guba a jiki ba.
An nuna shi don ciwon sukari a cikin nau'ikan marasa lafiya daban-daban
Alamu don amfani
An nuna shi don ciwon sukari na mellitus daban-daban na marasa lafiya (fiye da shekaru 2).
Contraindications
An contraindicated magani idan akwai wani babban ji na ƙwarai zuwa Levemir Flekspen. Ba'a bada shawarar yin amfani dashi don kula da yara masu shekaru 2 ba saboda ƙarancin gwaje-gwaje na asibiti.
Tare da kulawa
A hankali ka ɗauki insulin tare da nuna damuwa a jikinta.
Yadda ake ɗaukar levemir flekspen?
An zaɓi kashi na miyagun ƙwayoyi ne gabaɗaya, gwargwadon halayen jikin mai haƙuri. Dole ne ayi masa jagorar kawai. An haramta gudanar da wannan jijiyoyin wannan miyagun ƙwayoyi, saboda yana haifar da farmaki na ƙwanƙwasa hanji. Hakanan ba a bada shawarar gudanar da maganin intramuscular na maganin ba, saboda allurar tana canza magunguna, insulin ya fara aiki ba daidai ba.
Shigar da miyagun ƙwayoyi kawai subcutaneously.
Dole ne a canza wurin allurar koyaushe. Yawan yana iya bambanta la'akari da yawan zafin jiki, yawan motsa jiki da sauran dalilai: duk suna shafar buƙatar jikin mutum na insulin. Wannan insulin din yana buƙatar allurar dashi akai-akai.
Yaya za a yi amfani da alkalami?
Don amfani da alkairin sirinji, an bada shawarar yin waɗannan ayyukan:
- Cire hula kuma ka gurɓatad da murfin roba.
- Cire kwali na kariya.
- Cire hula daga allura.
- Cire iska daga cikin katun kuma tattara raka'a 2 na insulin.
- Matsa kwalin tare da yatsa, danna maɓallin farawa koyaushe.
- Saita mai zabi zuwa matsayi “0” kuma buga lambar raka'a.
- Saka allura a ƙarƙashin fata kuma danna maɓallin farawa, riƙe shi don daƙiƙoƙi da yawa.
- Cire allura.
Shan maganin don ciwon sukari
Yin amfani da nau'in ciwon sukari na 2 mai yiwuwa ne kawai bayan ƙayyadaddun dacewar irin wannan jiyya. Ana iya tsara insulin lokaci guda tare da kwayoyi na hypoglycemic na baki, gami da Metformin.
Ana gudanar da maganin a wasu sassa na jiki.
Idan an tsara maganin a matsayin ɓangaren tushen-bolus regimen, to ana yin shi a ƙarƙashin sau 1 ko sau 2 a rana. Ana lissafin adadin maganin a kan mai haƙuri. Ana iya ba da magani na maraice ko dai a lokacin abincin dare ko a lokacin barci.
Ana gudanar da maganin a wasu sassa na jiki. Bayan an ƙaddara lokacin allura, kuna buƙatar manne da shi a gaba.
Sakamakon sakamako na Levemir Flekspen
Idan adadin yalwata da tsarin magunguna sun wuce, abubuwa da yawa na iya haifar da ci gaba.
Daga tsarin rigakafi
Ba a sami keta tsarin rigakafi ba lokacin magani tare da insulin.
Tsarin juyayi na tsakiya
Da wuya, rawar jiki da ciwon kai na iya haɓaka.
A bangaren metabolism da abinci mai gina jiki
Mafi sau da yawa, marasa lafiya suna haifar da mummunar takewar metabolism metabolism - hypoglycemia. Kwayoyin ta sun bayyana kwatsam kuma kwatsam.
Mai tsananin rashin ƙarfi na haifar da rashin sani kuma bayyanuwar raunin kwakwalwa. Idan ba a ba mai haƙuri da kulawa ta gaggawa a wannan yanayin, mutuwa na iya faruwa.
A wani bangare na gabobi
Da wuya, kurakurai masu narkewa na iya faruwa a farkon aikin insulin.
Tsawon lokaci na maganin insulin na rage hadarin kamuwa da cututtukan cututtukan cututtukan mahaifa kuma yana tasiri tasirin gani sosai.
A ɓangaren fata
A wurin allurar insulin, lipodystrophy wani lokaci yana haɓaka. Wannan sabon abu ana daukar shi lokaci ne. A matakin farko na jiyya, bayyanar edema mai yiwuwa ne.
Cutar Al'aura
A wurin allurar, kumburi da kumburin lokaci sukan bayyana. Irin wannan halayen ba sa samun ci gaba kuma zai wuce. Da wuya, marasa lafiya suna haifar da rashin lafiyan cuta saboda rashin hankalin.
Cutar anaphylactic na da haɗari ga rayuwa.
Idan mutum ya kasance mai haɗarin halayen cututtukan jini daga wannan ƙwayar cuta, zai fi kyau kada haɗarin ko tuki mota.
Tasiri kan ikon sarrafa abubuwan inji
Magungunan zai iya haifar da hypoglycemia. Idan mutum ya kasance mai haɗarin halayen maganganu na hypoglycemic, zai fi kyau kada haɗarin ko tuki mota. Guda iri ɗaya ke aiki tare da aiki da keɓaɓɓun hanyoyin.
Umarni na musamman
Lokacin canja wurin marasa lafiya daga wasu insulin, ya zama dole don daidaita sashi da tsarin kulawa na insulin. A cikin makonni na farko bayan alƙawarin sabon magani, ya kamata a sa ido akan glucose cikin jini mai ƙarfi musamman a hankali. Wannan ya shafi magungunan baka.
Canjin kashi na yiwuwar yin insulin gajeren aiki tare da farawar motsa jiki tare da Levemir Flekspen.
Yi amfani da tsufa
A cikin marasa lafiya tsofaffi, ayyukan kodan da hanta ya kamata a sa ido sosai. Tare da mummunar lalacewar waɗannan gabobin, kuna buƙatar yin hankali game da bin abinci kuma ba da izinin haɓakar haɓakar cuta ba.
A cikin marasa lafiya tsofaffi, ayyukan kodan da hanta ya kamata a sa ido sosai.
Alƙawarin Levemir Flekspen ga yara
Amincin wannan nau'in insulin a cikin yara an tabbatar dashi ta hanyar nazarin asibiti. Ba'a ba da shawarar ga yara 'yan ƙasa da shekaru 2 ba.
Yi amfani da lokacin daukar ciki da lactation
Yayin cikin haihuwa, amfanin da ake tsammanin daga inje ya kamata a haɗa shi da cutar da mai yiwuwa. Yawancin karatun asibiti sun nuna cewa mata masu juna biyu ba su da tasirin teratogenic a tayin. Yin haƙuri da insulin far yana da kyau.
Babu wani mummunan sakamako na insulin akan tsarin haihuwa. Ana amfani dashi don shayarwa, amma a cikin mata masu shayarwa, ya kamata a daidaita abinci da abinci.
Aikace-aikacen aiki mara kyau
Ya kamata a lasafta kashi a hankali idan ya na aiki rashi aiki domin hana haɓakar hauhawar jini. Ana buƙatar gyara abinci mai gina jiki.
Amfani don aikin hanta mai rauni
Babu buƙatar canza yanayin da aka saba na gudanar da wannan insulin da kuma sashi dangane da rikicewar hanta.
Yawancin adadin da Levemir Flekspen
Tare da yawan abin sama da ya kamata, mutum yana ciwan ƙwanƙwasa jini. Marasa lafiya na iya kawar da wani mummunan rauni akan nasu. Don yin wannan, ku ci abinci mai daɗi ko kuma wasu abinci mai amfani da carbohydrate.
Ana fama da tsananin rashin lafiyar hypoglycemia kawai a ɓangaren kulawa mai zurfi.
Yin hulɗa tare da wasu kwayoyi
An inganta tasirin hypoglycemic ta amfani da:
- MAO da masu hana ACE;
- beta-blockers;
- Bromocriptine;
- Ketoconazole;
- Liraglutida;
- Mebendazole;
- duk magunguna dauke da barasa.
Alcohol yana haɓaka tasirin insulin hypoglycemic, mutum na iya haɓaka mummunan tashin hankali.
Tasirin hypoglycemic yana raunana lokacin ɗauka:
- maganin hana haihuwa;
- magungunan glucocorticosteroid;
- thiazide diuretics;
- Heparin;
- Danazole;
- Clonidine;
- Diazoxide;
- Morphine;
- Phenytoin.
Amfani da barasa
Alcohol yana haɓaka tasirin insulin hypoglycemic, mutum na iya haɓaka mummunan tashin hankali.
Analogs
Analogues na miyagun ƙwayoyi - Aylar, Lantus, Tujeo SoloStar, Monodar Ultralong, Novorapid Penfill.
Magunguna kan bar sharuɗan
Ana fitar dashi ne kawai ta takardar sayan magani.
Zan iya saya ba tare da takardar sayan magani ba?
Banda
Farashi don Levemir Flekspen
Kudin katun kusan 5300 rubles ne.
Yanayin ajiya na miyagun ƙwayoyi
Adana a cikin firiji. Kar a daskare maganin. Dole ne a adana alkalami da akayi amfani dashi tsawon makonni 6.
Ranar karewa
Ya dace don amfani a tsakanin shekaru 2.5 daga ranar samarwa.
Mai masana'anta
An sanya shi a cikin masana'antar "Novo Nordisk A / S", Denmark.
Levemir Flekspen an samar dashi ne a Novo Nordisk A / S, Denmark.
Ra'ayoyi game da Levemire Flekspen
Likitoci
Andrei, endocrinologist, 55 years old, Moscow: "Wannan kayan aiki ne mai inganci don gyaran kullun na cututtukan glycemia. Ba ya haifar da hypoglycemia, yana taimakawa wajen sarrafa sukari na jini sosai."
Vladimir, mai shekara 50, endocrinologist, Samara: "A matsayin daidaitaccen aikin likita, Ina ba da allurar Levemir Flekspen ga marasa lafiya. Marasa lafiya suna jure wa rashin lafiya magani sosai, na dogon lokaci suna da matakan karɓa na glycemia."
Marasa lafiya
Anna, 25 shekara, Saratov: "Wannan kyakkyawan insulin ne don kula da yawan sukarin jini. Ban taɓa fuskantar cutar hypoglycemia ba. Yanayina na lafiya na gamsarwa."
Sergey, dan shekara 50, St. Petersburg: "Na sanya Levemir Flekspen injections a matsayin kari ga magungunan kwayoyin cutar. Yawancin sukari da yawa ba sa tashi sama da 6 mmol / l."
Irina, ɗan shekara 42, Moscow: "Daga cikin kowane nau'in insulin, Levemir ya fi dacewa da haƙuri. Mun gode da shi, yana yiwuwa a ci gaba da sukari a al'ada, amma babu hare-haren hypoglycemia."
