Levemir Penfill wani abu ne mai inzali na insulin. Wakili na hypoglycemic yana ba da isasshen ƙwayar insulin a cikin jini. Wannan yana taimakawa rage yawan jini a cikin jini. Amfani da kai tsaye don maganin marasa lafiya da masu fama da cutar siga.
Sunan kasa da kasa mai zaman kansa
INN: Insulin detemir.
ATX
A10AE05.
Saki siffofin da abun da ke ciki
Ana samun magungunan a cikin hanyar bayyananniyar bayani wanda aka shirya don gudanar da aikin subcutaneous. Babban sashi mai aiki shine insulin detemir a sashi na 100 IU. Componentsarin abubuwan da aka haɗa: glycerol, zinc acetate, metacresol, phenol, sodium hydroxide, dihydrate da chloride, ruwa don allura.
Levemir Penfill magani ne wanda ya samar da ingantacciyar hanyar da aka shirya don gudanar da mulkin subcutaneous.
Ana samar da maganin a cikin katako na musamman (3 ml). 1 na insulin detemir yana daidai da 0.142 mg na insulin-gishiri mara gishiri. 1 UNIT na insulin detemir - 1 IU na insulin na mutum.
Aikin magunguna
An kwatanta shi da tasirin maganin antidiabetic, tsawaita aiki. Yana da matsananciyar narkewa na insal na basal ɗan adam. Iya warware matsalar yana aiki tare, ba a lura da yawan ayyukan da ke cikin magani ba.
Hanyar aikin shine saboda iyawar abubuwan kwayar halitta mai aiki don ɗaure wa mai kitse mai nauyi. Wannan tsari yana faruwa kai tsaye a wurin allurar. Abubuwan da ke aiki a hankali suna rarraba zuwa kyallen da gabobin. Wannan saboda sakamako ne na dogon lokaci.
Tasirin hypoglycemic yana faruwa ne sakamakon haɓakar glucose mai sauri ta hanjin ƙwayoyin tsoka da ƙwayar tsopose. Bayan daure insulin ga masu karbar, sakin glucose din hanta ya ragu.
Pharmacokinetics
Ana lura da mafi girman yawan insulin a cikin jini bayan awa 6. An rarraba shi kusan a ko'ina akan ƙirar makasudin. Yana zagayawa cikin hanzari a cikin jini. Metabolism yana faruwa a cikin hanta, amma metabolites ba su da wani aiki na hypoglycemic. Cire rabin rayuwar shine 7 hours, saboda sigar sarrafawa.
Alamu don amfani
Alamar kai tsaye ga amfanin Levemir Penfill sune:
- lura da ciwon sukari irin na 1 a cikin manya;
- ciwon sukari mellitus a cikin yara daga shekaru 2 da kuma a lokacin balaga.
Contraindications
Abinda kawai keɓaɓɓiyar contraindication ga yin amfani da insulin detemir don maganin ciwon sukari shine rashin kulawa ga wannan nau'in insulin ko ɗayan kayan aikin magani. Ba da shawarar ba wa yara 'yan ƙasa da shekaru 2, kamar yadda gwaji na asibiti da aka gudanar akan marasa lafiya a wannan rukunin.
Tare da kulawa
Tare da taka tsantsan, an sanya maganin don tsofaffi marasa lafiya da marasa lafiya da nakasasshen aikin adrenal.
Tare da taka tsantsan, an wajabta maganin Levemir Penfill don marasa lafiya tsofaffi.
Yadda ake ɗaukar Levemir Penfill?
Subcutaneously a cinya, gaban bango na ciki ko kafada. An haramta amfani da ciki Gabatarwar tana yiwuwa a kowane lokaci na rana, idan an aiwatar da shi sau 1 a rana. Za'a iya raba allurar da aka tsara zuwa kashi biyu. Amma kuna buƙatar yin la'akari da gaskiyar cewa ya kamata a gudanar da kashi na biyu kafin abincin dare ko kafin lokacin barci don awa 12 ta ɓaci tsakanin allurar farko da ta biyu.
Don guje wa rikice-rikicen cikin gida, yana da kyau a sauya wurin allurar.
Magungunan kada su daskarewa, ya kamata da zazzabi dakin. Idan mafita ya ɓata bayyananniya ko kuma akwai wasu abubuwan da za su iya gani, ba za a yi amfani da su ba.
Yaya za a yi amfani da alkalami?
Ana amfani da katako na maganin kawai a cikin haɗin kai tare da alƙalami na Novo Nordics da allura na NovoFine na musamman.
Yin amfani da katako keɓaɓɓu ne kuma ana iya amfani dashi. Idan akwai buƙatar yin amfani da nau'ikan insulin da yawa na tsayi da gajere lokaci guda, to ba za ku iya haɗasu ba. Kowane mafita zai buƙaci nasa alkalami.
Kafin allurar, tabbatar cewa an zaɓi mafita daidai, ƙaddara dacewar ta cikin bayyanar, bincika sirinji da piston don lalacewa. Kafin amfani da shi sosai, watsa cikin murfin roba tare da magungunan maganin antiseptik, kamar giya ethyl.
Ana gudanar da miyagun ƙwayoyi gwargwadon umarnin, wanda ya kamata ya kasance akan kowane alkalami mai sirinji. Don aiwatar da cikakkiyar ƙwayar da za a gudanar, kuna buƙatar barin allura a cikin sa'o'i da yawa bayan allurar. Wannan zai taimaka wajan hana yaduwar sauran insulin daga sirinji.
Shan maganin don ciwon sukari
Ana buƙatar taka tsantsan ga mutanen da suka yi amfani da wasu nau'ikan insulin. Sauyawa koyaushe yana tare da haɓaka mai ƙarfi a cikin tattarawar glucose a cikin jini, sabili da haka kuna buƙatar saka idanu a hankali canje-canje a cikin dukkanin alamun.
Sakamakon sakamako na Levemir Penfill
Ainihin, bayyanar raunin halayen yana da alaƙa da canji a kashi. Idan an gudanar da miyagun ƙwayoyi a cikin ƙara yawan sashi, to hypoglycemia yana yiwuwa. A cikin mummunan yanayin, an bayyana irin waɗannan halayen: ciwo mai narkewa, rashi na rashin sani. Marasa lafiya sun koka da yawan tashin hankali, amai, ciwon kai, tashin zuciya, tachycardia, jin daɗin yunwar kullun.
Nazarin ya nuna cewa tare da gabatarwar mafita a kan komai a ciki, akwai kuma wasu cututtukan dyspeptik. An lura da halayen gida a cikin nau'i na kumburi da redness na fata, itching, haɗarin haɓakar lipodystrophy na nama ya karu.
Daga tsarin rigakafi
Daga tsarin na rigakafi za a iya lura:
- fata na fyaɗe tare da itching;
- yawan wuce haddi;
- rikicewar gastrointestinal;
- wahalar numfashi.
Wadannan bayyanar cututtuka sune mafi yawan lokuta sakamakon yawan motsawar jiki. Irin waɗannan bayyanar cututtuka anaphylactic suna da haɗari.
A bangaren metabolism da abinci mai gina jiki
Yawancin marasa lafiya sun lura da ƙarfin ji na yunwar. A wannan yanayin, metabolism din yana rushewa, wanda ke haifar da samun riba mara ƙima cikin nauyin jiki.
Tsarin juyayi na tsakiya
Da wuya, neuropathy na gefe na iya haɓaka. Wannan yanayin yana juyawa.
A wani bangare na gabobi
Kumburin wucin gadi na lokaci da rauni na gani.
Bayan gudanar da maganin, mai saurin rikicewar wucin gadi da nakasa gani na yiwuwa.
A ɓangaren fata
Edema, hyperemia, lipodystrophy na nama (wanda ya bayar da allurar kyallen takarda a wuri guda).
Cutar Al'aura
Rashes a kan fata, itching, urticaria.
Tasiri kan ikon sarrafa abubuwan inji
Tare da tsawan magani, wasu halayen marasa illa suna haɓaka waɗanda kai tsaye suna shafar maida hankali da saurin halayen psychomotor. Sabili da haka, ya fi kyau watsi da tuki da kanka.
Umarni na musamman
Yana da tasiri mai ƙarfi na hypoglycemic fiye da Isofan Insulin. Idan kun gabatar da isasshen kashi na insulin a cikin nau'in 1 na ciwon sukari, to, hyperglycemia da ketoacidosis na ciwon sukari na iya faruwa. Hypoglycemia yana faruwa tare da sashi mai yawa.
An haramta tuki motocin, kamar yadda tare da dogon jiyya, sakamako masu illa suna bayyana wanda ke shafar hankali da amsawa.
Yi amfani da tsufa
Ana buƙatar sarrafa glucose da kuma daidaitawa na kashi.
Adana Levemir Penfill ga yara
Iyakance har zuwa shekaru 6.
Yi amfani da lokacin daukar ciki da lactation
A yau, babu isasshen bincike game da tasirin insulin akan tayi. Wajibi ne a lura da canje-canje a cikin taro glucose. A farkon watanni na insulin gestation ana buƙatar ƙasa kaɗan, kuma a ƙarshen - ƙari. Saboda haka, ana buƙatar daidaita daidaiton mutum.
Yayin shayarwa, ana buƙatar daidaita sashin insulin.
Aikace-aikacen aiki mara kyau
Ana buƙatar saka idanu na glucose da kuma daidaitawa na kashi.
Amfani don aikin hanta mai rauni
Za'a buƙaci wani canji a cikin sashi na insulin wanda aka yi amfani dashi.
Doarfafa adadin na Levemir Penfill
Ana dakatar da digiri mai sauƙi na hypoglycemia akan kansa tare da yanki na sukari ko abinci na carbohydrate. Matsakaici mai nauyi, tare da asarar hankali, na buƙatar gabatarwar glucagon ko maganin glucose mai narkewa cikin tsoka / ƙarƙashin fata. Bayan an dawo da hankali, kuna buƙatar ba abincin haƙuri tare da wadatar da carbohydrates mai sauri.
Yin hulɗa tare da wasu kwayoyi
Haramun ne a haɗaka tare da kowane magani na allura, a cakuda guda guda tare da magungunan jiko. Ana buƙatar gyaran kashi na insulin lokacin da ake amfani dashi a cikin haɗin gwiwa tare da magunguna waɗanda ke canza ayyukansa.
Rage kashi na insulin ya zama dole yayin ɗaukar mai hana MAO, masu hana beta-blockers, hypoglycemic jami'ai don sarrafa bakin, ACE inhibitors, salicylates, metformin da ethanol.
Ya kamata a kara yawan insulin tare da yin amfani da shi a lokaci guda tare da hormone girma, agonists adrenergic, hormones thyroid, glucocorticosteroids, kwayoyi diuretic da Danazol.
Amfani da barasa
An hana hada magunguna da giya, kamar yadda Shafar abubuwan yana raguwa, kuma raunin da ya faru daga ƙaddamar da mafita ana ƙara ƙaruwa.
Analogs
Akwai da yawa analogues na Levemir Penfill:
- Levemir Flekspen;
- Actrafan NM;
- Insulin Tape GPB;
- Insulin liraglutide.
Magunguna kan bar sharuɗan
Za'a iya siye magungunan a cikin kantin magunguna kawai tare da takaddara ta musamman daga likitanka.
Zan iya saya ba tare da takardar sayan magani ba?
Banda
Farashin don Levemire Penfill
Kudin ya tashi daga 2800 zuwa 3100 rubles. kowace kunshin kuma ya dogara da yankin siyarwa da alatun kantin magani.
Yanayin ajiya na miyagun ƙwayoyi
A cikin firiji a zazzabi na + 2 ... + 8 ° C, amma nesa da injin daskarewa. Ana buɗe akwatunan buɗewa a waje da firiji.
Ranar karewa
Shekaru 2.5 daga ranar fitowar ta nuna akan kunshin na asali. Ana adana harsashin da aka buɗe na makonni 6 a zazzabi da baya wuce + 30 ° C. Kada kayi amfani bayan ranar karewa.
Wani analog na miyagun ƙwayoyi na iya zama magani Levemir Flekspen.
Mai masana'anta
Kamfanin masana'antu: "Novo Nordisk A / S", Denmark.
Reviews Levemire Penfill
Likitoci
Mikhailov A.V., endocrinologist, Moscow: "Sau da yawa nakan sanya shi ga mutanen da ke dauke da cututtukan cututtukan ciwon sukari na 1. Magani yana da kyau, kawai ana buƙatar saka idanu na sukari na jini koyaushe don hana ci gaban hauhawar jini."
Suprun I. R., likitan ilimin kimiya, Kazan: “Ina sanya allurar inuwa na Lefemira Penfill a koda yaushe. Akwai mutanen da suka yarda da ita sosai, amma akwai kuma wasu mutanen da ba su dace da ita ba duka. yana da saukin kamuwa da kayan jikin mutum. "
Marasa lafiya
Karina, mai shekara 35, Voronezh: "Levemir ya kusanto da kyau. Ana kiyaye matakin sukari, babu tsalle-tsalle. Babu tsinkayen halayen, har ma na ji daɗi sosai."
Pavel, ɗan shekara 49, Moscow: "Wannan insulin ɗin ba ta dace ba. Sau da yawa yawanci sukari ya yi tsalle, wani lokacin ana fama da mummunan harin rashin ƙarfi, wanda ba zan iya jure wa kaina koyaushe ba. Saboda haka, dole ne in maye gurbin shi da analog."
Margarita, ɗan shekara 42, Yaroslavl: "Na dade ina fama da Penemill tare da Levemir. Ina son maganin. Abu ne mai sauƙin sarrafawa. Sau ɗaya ya isa kwana guda don ci gaba da sukari."
