Rinsulin NPH, kamar yadda za'a iya yin hukunci da sunan ta, an tsara shi don yaƙar ciwon sukari. Sanya manya da yara.
Sunan kasa da kasa mai zaman kansa
Isulin insulin.
Rinsulin NPH, kamar yadda za'a iya yin hukunci da sunan ta, an tsara shi don yaƙar ciwon sukari.
ATX
A10AC01.
Saki siffofin da abun da ke ciki
Manufactureirƙirar da miyagun ƙwayoyi ana aiwatar da shi ta hanyar dakatarwa don gudanar da aikin ƙarƙashin ƙasa. 100 IU a cikin 1 ml - wannan shine abun da ke ciki na aiki a cikin shiri, wanda insulin mutum ke wakilta.
Aikin magunguna
An samo abu mai aiki ta hanyar DNA. Yana nufin insulins tare da matsakaicin tsawon lokacin aiki. Gabanin samuwar insulin receptor mai rikitarwa, yana karfafa ayyukan da ke cikin kwayar jikin mutum, wanda ya hada da samar da manyan enzymes.
Manufactureirƙirar da miyagun ƙwayoyi ana aiwatar da shi ta hanyar dakatarwa don gudanar da aikin ƙarƙashin ƙasa.
Matsayin glucose a cikin jini yayin warkarwa yana raguwa saboda gaskiyar cewa jigilar ƙwayar jijiyarsa yana ƙaruwa, ƙimar yawan aikinta ta hanta yana raguwa.
Magungunan yana fara aiki kusan sa'o'i 1.5 bayan gudanarwarsa ƙarƙashin aiki. Ana iya lura da mafi girman sakamako bayan sa'o'i 4-12. Ana aiwatar da mafi yawan yanayi yayin rana.
Pharmacokinetics
Yadda ake shan insulin sosai da yadda zai tasiri jikin mai haƙuri ya dogara da dalilai da yawa. Wannan shine wurin da aka allura (cinya, ciki ko gindi), kashi da kuma maida hankali kan abu mai aiki a cikin maganin. An rarrabar rarraba kasusuwan jiki kamar marasa daidaituwa. Excretion shine ta hanyar kodan mai haƙuri.
Alamu don amfani
Ana amfani da miyagun ƙwayoyi a cikin lura da ciwon sukari na mellitus na farko da na biyu. Nau'in na biyu na ciwon sukari tare da taimakon wannan kayan aikin za'a iya bi da shi yayin gestation.
Contraindications
Magungunan magani ba zai yiwu ba idan mutum yana da hypoglycemia ko kuma yana ƙaruwa da ƙarfin insulin.
Yadda ake ɗaukar Rinsulin NPH
Tare da ciwon sukari
Ya kamata a zabi takamaiman sashi don kowane mara lafiya a daidaiku kuma ya dogara da matakin glucose a cikin jini.
Daidaitaccen sashi yana cikin kewayon 0.5-1 IU a 1 kg na nauyin ɗan adam.
Mafi sau da yawa, ana allurar rigakafin a cikin cinya a cikin cinya.
Kada ku sarrafa magani a cikin jijiya. Zazzabi na mafita don gudanarwa ya kamata ya kasance kusa da zafin jiki na ɗakin.
Mafi sau da yawa, ana allurar rigakafin a cikin cinya a cikin cinya. Za'a iya sanya allura a gaban gaban peritoneum, kafada ko gindi. Yana da mahimmanci don canza ƙirar sarrafa magunguna, wanda zaku iya hana ci gaban lipodystrophy. Likita yakamata yayi taka tsantsan yayin gudanar da allura don kada ya cutar da jirgin. Idan mai haƙuri zai jagoranci aikin da kansa, dole ne a horar da shi a cikin wannan kuma saninsa tare da umarnin.
Kafin saita allurar, kana buƙatar jujjuya takarda tsakanin tafin hannu kimanin sau 10, riƙe ta sararin sama. Yana da mahimmanci a yi haka har sai insulin ya ɗauki nau'in abu mai kama, ɗan ɗan sha madara.
Lokacin amfani da katun, shawarar mai sana'anta game da shigar da shi a aljihun sirinji da saitin allura dole ne a lura. Bayan isar da allura, kana buƙatar kwance allura tare da filayen waje kuma a zubar dashi. Wannan zai tabbatar da ingantaccen yanayin isasshen ciki, don nisantar clogging na allura da kuma shigarwar iska a ciki. Bayan haka, kuna buƙatar shigar da hula akan abin riƙewa.
Za'a iya adana magungunan don amfani dashi a zazzabi a ɗakuna ba fiye da kwanaki 28 ba.
Side effects
Daga cikin halayen gida, hyperemia, itching da kumburi a wurin allurar, an lura da abubuwan da ke tattare da lipodystrophy tare da gabatarwa koyaushe ga wannan yanki guda.
Sau da yawa akwai halayen da ake haifar da tasirin sakamako akan metabolism na carbohydrate haƙuri. Ana wakilta su ta hanyar farin ciki, raguwar jijiyar gani, rauni, jin sanyi, rawar jiki da ƙara yawan ɗumi, fatar fata, yunwar, da kuma paresthesias.
Daga cikin bayyanar rashin lafiyan, girgizawar kwayar cutar fata da kumburi a kan fata wataƙila alamomi ne. Tare da alamun rasawar tunani, cututtukan jini, da sauran alamun gefen, buƙatar gaggawa don neman taimakon likita. Likita zai iya canza dabarar magani ya kuma ɗauki matakan da suka dace.
Tasiri kan ikon sarrafa abubuwan inji
Wannan ikon zai iya zama mai illa, tun da yake tsakiyar jijiyar jiki galibi yana wahala.
Umarni na musamman
Tsofaffi marasa lafiya na iya buƙatar canjin kashi. Hakan ya shafi marasa lafiya da ke fama da rauni koda kuma aikin hepatic ne.
Yi amfani da lokacin daukar ciki da lactation
Jiyya tare da miyagun ƙwayoyi yayin gestation yana yiwuwa, saboda gaskiyar cewa insulin ba shi da ikon shiga cikin shinge na mahaifa. Bukatar insulin ya ragu a cikin farkon farkon kuma yana girma a na biyu da na uku.
A lokacin bayarwa ko bayan bayarwa, ana iya rage bukatar irin wannan jiyya. Yayin shayarwa, ana iya yin magani, amma yana iya zama dole don rage yawan insulin da mace tayi mata.
Jiyya tare da miyagun ƙwayoyi yayin gestation yana yiwuwa, saboda gaskiyar cewa insulin ba shi da ikon shiga cikin shinge na mahaifa.
Amfani da barasa
Wajibi ne a bar amfani da giya a cikin jiyya.
Yawan damuwa
Wucewa da kasadar yana haifar da barazanar haɓakar hypoglycemia. Marasa lafiya na iya kawar da yawan zafin jiki da kanshi ta hanyar cin sukari ko abinci tare da babban abun da ke tattare da carbohydrate. A saboda wannan dalili, marasa lafiya da ke da cututtukan ƙwayar cuta suna buƙatar samun ruwan 'ya'yan itace, kukis ko Sweets tare da su. A cikin matsanancin yanayin, gudanarwar cikin ciki na warwarewar dextrose tare da maida hankali akan 40% ya zama dole. Hakanan za'a iya gudanar da Glucagon a ƙarƙashin ƙasa, a cikin taɗi ko ta cikin intramuscularly.
Don hana sake komawa bayyanar cututtuka bayan inganta yanayin jikin, kuna buƙatar ku ci abincin da yake cike da carbohydrates.
Yin hulɗa tare da wasu kwayoyi
Irin waɗannan magunguna kamar fenfluramine, tetracyclines, ketoconazole, sulfonamides da wasu mutane suna iya ƙara tasirin maganin.
Heparin, maganin madauki, maganin hana haihuwa da estrogens, nicotine zai iya raunana sakamako.
Analogs
Biosulin N, Protafan.
Ka'idojin Harkokin Magunguna na Rinsulin RPH
Zan iya siye ba tare da takardar sayan magani ba
Ta hanyar takardar sa magani ne kawai.
Farashin Rinsulin NPH
Mafi ƙarancin farashin shine 1000 rubles (Russia).
Yanayin ajiya na miyagun ƙwayoyi
Zazzabi ya kamata daga +2 zuwa + 8 ° C.
Ana iya siyan Rinsulin NPH musamman ta hanyar sayen magani.
Ranar karewa
Shekaru 2
Rinsulin NPH Mai masana'anta
National Biotechnologies OJSC, 142279, Rasha, Yankin Moscow, Yankin Serpukhov.
Ra'ayoyi game da Rinsulin NPH
Likitoci
A.D. Koltygina, endocrinologist, Ulyanovsk: "Ina ba da magani sau da yawa, saboda marasa lafiya gaba ɗaya suna jure shi da kyau. Saukaka shine cewa zaku iya maganin shi da kanku a gida, wanda ke farantawa marasa lafiya. Kayan aiki yana nuna kyakkyawan sakamako game da magance cutar sukari" .
E.O. Karimulina, babban likitan likitan mata, Novy Urengoy: "Magungunan na taimakawa wajen rage yawan glucose a cikin jini, kamar yadda aka tabbatar da shekaru da yawa na aikin asibiti."
Heparin zai iya raunana sakamakon ƙwayar Rinsulin NPH.
Marasa lafiya
Violetta, 38 years old, Krasnoyarsk: "An bi da ni wannan maganin don ciwon sukari. Zan iya cewa ya taimaka kuma babu wasu sakamako masu illa .. Ina tsammanin wannan shine babban amfani da amfani da kowane magani. Hakan ma ya dace da cewa za'a iya yin allurar cikin A gida. Na yi farin ciki da lura sosai.
Rustam, dan shekara 48, Omsk: "Na yi amfani da maganin a watannin da suka gabata. Ba zan iya cewa na warke gaba daya ba, gwagwarmayar har yanzu tana kan gaba, amma cutar ta fara raguwa. Ina jin da kyau sosai. Ina mai godiya ga likitan don rubuta irin wannan magani. "ga duk majinyacin da suka sami mummunan rauni a jiki ta hanyar kamuwa da cutar sankara. Yana da mahimmanci likita ya lura da lura kuma yana lura da mara lafiyar, koyaushe wannan zai taimaka wajen samun sakamako mafi kyawun warkewa."
Arina, 'yar shekara 28, Obninsk: "Duk da ƙuruciyarta, ta fuskanci ciwon sukari. Magungunan sun taimaka wajen yaƙar ta."
