Halin insulin na hormone yana aiki ne kuma ke gudana ta kansa. Lokacin da ƙwayoyin jikinsu suka gaza yin aiki da insulin sosai, wata cuta irin ta ciwon sukari irin 1 na tasowa. Yawan wuce haddi, wanda yake tara jini, yana cutarwa ga jiki. Ofaya daga cikin magungunan da ake amfani da su don rashi raunin insulin shine Insugen R.
Sunan kasa da kasa mai zaman kansa
Insulin (mutum) (Insulin (mutum)).
Ofaya daga cikin magungunan da ake amfani da su don rashi raunin insulin shine Insugen R.
ATX
A10AB - Insulin da analogues don allura, aiki da sauri.
Saki siffofin da abun da ke ciki
Dakatarwa don yin allura, 40 MO / ml, a cikin ml 10 a cikin kwalabe No. 10, A'a 20, No. 50, No. 100.
Dakatarwa don yin allura, 100 MO / ml, a cikin ml 10 a cikin kwalabe No. 10, Na 20, No. 50, No. 100, 3 ml a cikin katako No. 100.
Aikin magunguna
Recombinant ɗan gajeren aiki insulin ɗan adam.
Insulin yana daidaita metabolism na glucose a cikin jiki. Wannan hormone yana rage adadin glucose a cikin jini ta hanyar inganta tasirin glucose da kwayoyin jikin mutum (musamman tsoka da kasushen nama) da kuma toshe gluconeogenesis (aikin glucose a cikin hanta).
A cikin marasa lafiya da ciwon sukari mellitus, miyagun ƙwayoyi suna ba da gudummawa ga ingantaccen tsarin duk tafiyar matakai, rage haɗarin rikitarwa wanda ke faruwa tare da wannan cutar.
Lokacin amfani da miyagun ƙwayoyi, dole ne a koda yaushe kula da matakin glucose a cikin jini.
Pharmacokinetics
Magungunan ya fara aiki a cikin minti 30. Ana lura da mafi girman tasirin bayan awa 2-4. Yawan aiki: daga 4 zuwa 6 hours.
Rabin rayuwar insulin a cikin jini jini ne da yawa. Wannan yana tasiri da dalilai da yawa: sashi na insulin, wurin allura.
Alamu don amfani
Maganin cutar sankarar mellitus na 1 da 2.
Ana amfani da miyagun ƙwayoyi don nau'in 1 da nau'in ciwon sukari na 2.
Contraindications
Halin hauhawar jini. Hypersensitivity na haƙuri zuwa insulin ko wani bangaren na miyagun ƙwayoyi.
Tare da kulawa
Yin taka tsantsan wajibi ne yayin amfani da miyagun ƙwayoyi a cikin mata masu juna biyu (isasshen bayanai akan amfani lokacin daukar ciki).
Ba a sani ba ko an keɓance insulin a cikin madara mai shayarwa. Lokacin shayarwa, ana buƙatar daidaita sashi na maganin da rage cin abinci a wasu lokuta.
Yadda za'a dauki Insugen R
An allura a karkashin fata zuwa cikin tsopose nama na ciki, cinya ko kafada. Don kada lipodystrophy ya inganta, dole ne a canza wurin allurar a kowane allurar.
Idan aka kwatanta da injections a wasu sassan jikin mutum, ana shan maganin da sauri idan aka gabatar dashi cikin tso adi na ciki.
Ana amfani da miyagun ƙwayoyi a ƙarƙashin fata zuwa cikin tsopose nama na ciki, cinya ko kafada.
Ba a yarda da miyagun ƙwayoyi ya shiga cikin jijiya ba.
Tare da ciwon sukari
Siyan magungunan ya bambanta tsakanin 0.5-1 IU / kg kowace rana kuma ana kirga daban daban, yin la'akari da matakin glucose a cikin jinin kowane haƙuri.
Ana gudanar da miyagun ƙwayoyi sau 1-2 a rana, rabin sa'a kafin cin abinci tare da abun cikin carbohydrate mai yawa.
Zazzabi na mafitar dabbar ya kamata ya zama + 18 ... + 25 ° C.
Kafin ka yi allura, kana buƙatar:
- Tabbatar cewa karatun da aka nuna akan sirinji ya kasance daidai da nunin insulin da aka buga a kan murfin: 40 IU / ml ko 100 IU / ml.
- Yi amfani da sirinji na musamman tare da karatun digiri wanda ya yi daidai da narkar da insulin a cikin murfin.
- Yi amfani da ulu ulu da ke cikin ruwan barasa don maganin vial.
- Don tabbatar da cewa mafita a cikin kwalbar a bayyane take kuma babu sauran lahani a ciki, kuna buƙatar girgiza shi kaɗan. Idan rashin halayen ya kasance, to maganin bai dace da amfani ba.
- Asara yawan iska a cikin sirinji kamar yadda yayi daidai da adadin insulin.
- Sanya iska a cikin vial na maganin.
- Shake kwalban sannan kuma zana adadin da ya dace na insulin a cikin sirinji.
- Nemi iska a cikin sirinji kuma daidai gwargwado.
Hanyar gabatarwar:
- kuna buƙatar amfani da yatsunsu biyu don jan fata, saka allura a ƙarƙashinta sannan kuma ku sa magani;
- kiyaye allura a karkashin fata na tsawon dakika 6 sannan ka tabbata cewa an shigar da abun cikin sirinji ba tare da saura ba, cire shi;
- yayin rarraba jini daga wurin allura bayan allura, danna wannan wurin tare da wani ulu na ulu.
Idan insulin yana cikin katako, to kuna buƙatar amfani da alkalami na musamman daidai da umarnin da aka yi amfani dashi. An hana yin amfani da kicin. Ya kamata mutum ɗaya kaɗai ya yi amfani da alkalami sirinji. Wajibi ne a kiyaye umarnin don amfanin alkalami na aiki.
Sakamakon sakamako na Insugen R
Lokacin amfani da miyagun ƙwayoyi, da yawa sakamako masu illa na iya faruwa:
- hade da carbohydrate metabolism: hypoglycemia (wuce kima wucewa, pallor na fata, wuce kima juyayi damuwa ko girgizawa, raguwa damuwa, damuwa, gajiya ko rauni, farin ciki, matsananciyar yunwar, tashin zuciya, ƙarancin zuciya; tare da matsanancin rashin ƙarfi, rashin ƙarfi da rashin ƙarfi ya faru. hankali;
- rikicewar rashin lafiyan: akai-akai - urticaria, fitsari a kan fata, da wuya - anaphylaxis;
- halayen gida a cikin nau'i na rashin lafiyan (jan fata, kumburi, itching a wurin allura), sau da yawa yayin aikin jiyya suna hana kansu, lipodystrophy sau da yawa yana haɓaka;
- wasu: a farkon jiyya, da wuya - edema daban-daban, kuskure mai saurin rikicewa ya faru.
Lokacin amfani da insulin, sakamako masu illa suna inganta dangane da kashi kuma sun kasance saboda aikin insulin.
Tasiri kan ikon sarrafa abubuwan inji
Sakamakon rashin ƙarfi na hypoglycemia na iya haifar da lalacewa a cikin ikon fitar da mota kuma ya cutar da wasu ayyukan cikin haɗari, waɗanda ke buƙatar karɓar kulawa da hanzari na tunani da kuma motsa jiki.
Umarni na musamman
Wasu marasa lafiya suna buƙatar bin wasu takamaiman ka'idoji don maganin insulin.
Yi amfani da tsufa
Ga tsofaffi marasa lafiya, sashi na miyagun ƙwayoyi ya kamata a daidaita su.
Aiki yara
An wajabta sashin insulin don kowane yaro daidai da alamun alamomin glucose na jini, la'akari da bukatun jikinsa.
Yi amfani da lokacin daukar ciki da lactation
Sakamakon cewa insulin ba ya wuce ta cikin ƙwayar cuta, babu takaddara da ƙuntatawa don amfanin ta daga mata masu juna biyu.
Kafin yiwuwar daukar ciki kuma a ko'ina ya kamata a sa ido don lafiyar lafiyar macen da ta kamu da cutar sankarau, gami da sanya idanu a cikin guban jini.
Matar mai ciki tana buƙatar insulin ta ragu a cikin watanni 1 na farko, kuma a cikin watanni na 2 da na 3 ya riga ya zama dole don fara sarrafa wannan hormone. Yayin aikin da kuma bayansu, mace mai ciki na bukatar insulin na iya raguwa kwatsam. Bayan haihuwa, bukatar jikin mace ga wannan kwayar ta zama kamar yadda ta kasance tun kafin samun juna biyu. Yayin shayarwa, ana amfani da insulin ba tare da wani hani ba (insulin na mahaifiyar da take jinyar ba ta cutar da jariri). Amma wani lokacin gyara sashi zai zama dole.
Magungunan ba ya shiga cikin madara.
Aikace-aikacen aiki mara kyau
A yanayin rashin aiki na wadannan gabobin, yawan samun insulin na iya faruwa. Tunda an lalata shi a cikin kodan, tare da lalatawar su, baza su iya yin insulin ba. Yana wanzuwa cikin jini na tsawon lokaci, yayin da sel suke sha glucose sosai. Sabili da haka, daidaitawa kashi wajibi ne.
Amfani don aikin hanta mai rauni
Kamar kodan, hanta yana lalata insulin. Saboda haka, tare da dysfunction dinsa, daidaitawa sashi dole ne.
Yawan adadin insugen P
Bayyanar cututtuka na yawan wuce gona da iri sune sakamakon rashin farin jini (yawan yin ɗaci, damuwa, fata na fata, rawar jiki ko yawan tashin hankali, jin daɗi ko rauni, damuwa, raguwar hankali, jin magana na yunwar, tashin zuciya, da hauhawar zuciya).
Jinyar yawan damuwa: mai haƙuri zai iya jure rashin ƙarfi a cikin ƙwaƙwalwar ƙwayar cuta ta hanyar cin wani abu tare da abubuwan glucose: sukari ko wasu abinci masu haɓaka a cikin carbohydrates (ana ba da shawarar cewa ko da yaushe kuna da sukari ko wasu masu zaƙi tare da ku). A cikin hypoglycemia mai tsanani, lokacin da mai haƙuri ya rasa hankali, mafita na 40% dextrose da glucagon hormone (0.5-1 mg) ana allurar cikin jijiya. Bayan mai haƙuri ya sake farfaɗo don kada cutar ba ta sake faruwa ba, an ba shi shawarar ci abinci mai-carb.
Yin hulɗa tare da wasu kwayoyi
Fenfluramine, cyclophosphamide, clofibrate, MAO inhibitors, tetracyclines, shirye-shiryen anabolic steroid, sulfonamides, masu hana beta-blockers, wanda ke dauke da barasa na ethyl, suna haifar da karuwa a cikin tasirin hypoglycemic (tasirin rage sukari) na insulin.
Thiazide diuretics, heparin, maganin tricyclic antidepressants, shirye-shiryen lithium, hormones thyroid, glucocorticoids, maganin hana haihuwa yana haifar da rauni na tasirin hypoglycemic.
Tare da yin amfani da salicylates ko reserpine tare da insulin, tasirin sa na iya haɓakawa da raguwa.
Analogs
Haka yake a aikace sune kwayoyi irin su
- Actrapid NM;
- Protafan NM;
- Flexpen;
- Tsarin Humulin.
Amfani da barasa
Ingan giya na Ethyl da wasu abubuwan maye a ciki na iya haifar da karin aikin insulin.
Magunguna kan bar sharuɗan
Za'a iya siyan kayan aikin kawai tare da takardar sayan magani.
Zan iya siye ba tare da takardar sayan magani ba
Wannan magani ne na hormonal, saboda haka ba a rarraba shi ba tare da takardar sayan magani.
Farashin Insugen R
Farashin ya bambanta tsakanin 211-1105 rubles. Daga 7 zuwa 601 UAH. - a cikin Ukraine.
Yanayin ajiya na miyagun ƙwayoyi
Dole ne a adana samfurin a zazzabi na + 2 ... + 8 ° C, guje wa daskarewa. Yara bai kamata su sami damar zuwa magani ba.
Dole ne a adana samfurin a zazzabi na + 2 ... + 8 ° C, guje wa daskarewa. Yara bai kamata su sami damar zuwa magani ba.
Ranar karewa
Rayuwar shelf shine watanni 24.
Ya kamata a yi amfani da maganin a cikin makonni 6 bayan fara amfani da kwalbar lokacin da aka ajiye shi a zazzabi da bai wuce + 25 ° C ba.
Idan ranar ƙarewar da aka nuna akan kunshin ta wuce, an hana magunguna amfani. Idan bayan girgiza bayani a cikin vial ya zama girgije ko kuma akwai wasu lahani a ciki, haramun ne a yi amfani da maganin.
Mai masana'anta
Biocon Limited, India.
Reviews game da Insugen R
Venus, mai shekara 32, Lipetsk
Likitoci sun ba da alluna na kakanin waina allurar don yawan sukari, kuma kawuna ya kan ba kansa allurar da likita ya tsara. Daya daga cikin wadannan alluran shine Insugen.
Wannan yana nufin kawuna ya kame kansa sau 4 a rana, bi da bi, aikin bai daɗe. Amma yabi maganin. Bugu da ƙari, yana ɗaukar ƙarin nau'ikan magunguna.
Sakamakon magani yana da kyau, amma suna buƙatar kulawa da su kawai bayan tattaunawa tare da ƙwararrun likita da jarrabawa.
Elizabeth, 'yar shekara 28, Bryansk
Kakata ta kamu da ciwon suga shekaru da yawa. A shekara ta 2004, an wajabta mata insulin. An yi kokarin amfani da magunguna daban-daban. Likitocin sun gaji da zabar wanda ya dace. Sannan suka dauko Insugen.
Abubuwan da ake buƙata don kowane suna da nasu. Kaka ta zabi sigar likita. Muna buƙatar wannan magani. Ina ba da shawarar wannan magani ga kowa, a gare mu shine ya fi dacewa da insulin. Amma yana da kyau tuntubar ƙwararre da farko. Wannan irin kayan aiki ne mai ƙarfi wanda ba tare da kulawar likita ba ya kamata ku fara farawa da kanku.
Olga, 56 years old, Yekaterinburg
Kyakkyawan magani, wanda ya dace da ƙarfi da kaifi a cikin glucose na jini. Magungunan suna da tasiri a cikin mintina 30 bayan yin allura. Tasirin sa har tsawon awanni 8. Likitoci sun ce wannan ita ce nau'in insulin da ya fi dacewa. Amma zai fi kyau idan bai kamata a saka farashi ba, amma a cikin allunan.
Timofey, shekaru 56, Saratov
Na kamu da ciwon sukari kusan shekara talatin. Ina amfani da insulin iri daya. A farko, ya sa allurar Humulin R da sauran alamun yin amfani da ita. Ko ta yaya, ta ji ba ta da lafiya. Ko da la'akari da cewa sukari ya kasance al'ada.
Kwanan nan aka gwada Insugen. Amfani da shi tsawon kwanaki, na lura cewa lafiyar ta ta fi kyau. Hankalin gajiya da rashin nutsuwa ya ɓace.
Ba na nacewa ta kowace hanya, amma ina tsammanin wannan magani shine mafi ingancin.
