Farmasulin kayan aiki ne wanda ke haifar da tasirin hypoglycemic. Magungunan sun ƙunshi insulin - hormone wanda ke daidaita metabolism metabolism. Baya ga daidaita metabolism, insulin yana shafar hanyoyin anti-catabolic da anabolic da ke faruwa a cikin kyallen.
Insulin yana inganta aikin glycerin, glycogen, kitse mai kitse da sunadarai a cikin ƙwayar tsoka. Yana haɓaka karɓar amino acid kuma yana rage catabolism, glycogenolysis, lipolysis, ketogenesis da neoglucogenesis na amino acid da sunadarai.
Farmasulin n magani ne mai sauri wanda ke dauke da insulin na mutum, wanda aka samo shi ta hanyar DNA. Tasirin warkewa yana faruwa a cikin mintina 30 bayan gudanar da maganin, kuma tsawon lokacin tasirin shine sa'o'i 5-7. Kuma mafi girman maida hankali ne aka samu bayan awa 1 zuwa 3 bayan gudanar da maganin.
Bayan amfani da miyagun ƙwayoyi, ganowar ƙwayar plasma na abu mai aiki yana faruwa bayan sa'o'i 2 zuwa 8. Ana samun sakamako na warkewa 1 sa'a bayan gudanar da maganin, kuma matsakaicin tsawon lokacin sakamako shine 24 hours.
Lokacin amfani da farmasulin H 30/70, ana samun tasirin warkewa bayan mintuna 30-60, kuma matsakaicin lokacinta shine sa'o'i 15, kodayake a wasu marasa lafiya tasirin warkewa yana tsawan yini guda. An kai kololuwar ƙwayar plasma na abu mai aiki bayan sa'o'i 1 zuwa 8.5 bayan allurar.
Alamu don amfani
Ana amfani da Farmasulin N don magance mutanen da aka kamu da cutar sankara yayin da ake buƙatar insulin don daidaita glucose jini. Wannan magani shine mafi yawan lokuta ana rubuta shi don farawa da masu ciwon sukari da ke cikin insulin da kuma maganin mata masu juna biyu da ke fama da ciwon sukari.
Kula! An tsara magungunan N 30/70 da N NP don nau'in 1 da nau'in ciwon sukari na 2 tare da rage cin abinci mara amfani da ƙananan sakamakon magungunan hypoglycemic.
Hanyoyin aikace-aikace
Farmasulin n:
Ana gudanar da maganin a ƙarƙashin ƙasa kuma yana cikin jijiyoyin jini. Haka kuma, ana iya gudanar da shi ta intramuscularly, amma ana amfani da hanyoyi biyun farko sau da yawa. Sashi da mitar gudanarwar likita yana ƙaddara ta likita, la'akari da bukatun mutum na kowane mai haƙuri.
A karkashin fata, an saka maganin a cikin ciki, kafada, gindi ko cinya. A lokaci guda, allurar ba za a iya yin kullun a wuri guda ba (ba fiye da lokaci 1 cikin kwanaki 30). Wurin da aka yi allura bai kamata a shafa ba, kuma yayin allura ya zama dole don tabbatar da cewa mafita bai shiga cikin tasoshin ba.
Ana amfani da ruwa mai injection a cikin katako tare da alƙalami na musamman da aka yiwa alama "CE". Kuna iya amfani da tsabtataccen bayani wanda ba shi da launi da gurbata abubuwa.
Idan har ana buƙatar gabatar da wakilai da ke ɗauke da insulin lokaci guda, to ana yin wannan aikin ta amfani da alluna sirinji iri-iri. An bayyana hanyoyin cajin katun katako a cikin umarnin da yazo tare da alkalami.
Don gabatarwar maganin da ke cikin vials, ana amfani da sirinji, karatun su ya dace da nau'in insulin. Don gudanar da magani na N, ana bada shawara don amfani da sirinji insulin na nau'ikan da mai samarwa, kamar yadda amfani da wasu sirinji na iya haifar da sashi mara daidai.
Kuna iya amfani kawai da launi mara launi, tsarkakakken bayani wanda baya dauke da kazanta. Zai bada shawara cewa zazzabi na maganin ya zama daidai da zazzabi daki.
Mahimmanci! Dole ne a yi allura a ƙarƙashin yanayin da aka gurbata.
Don yin allura, sai ya fara jan iska zuwa sirinji zuwa matakin da ake buƙata na mafita, sannan a saka allura a cikin murfin kuma ana fitar da iska. Bayan kwalban ya kamata a juya shi sama kuma a tattara adadin insulin da ake buƙata. Idan ya zama dole don sarrafa insulin daban-daban, ana amfani da allurar daban da sirinji don kowane nau'in.
Farmasulin H 30/70 da Farmasulin H NP
Formalin H 30/70 haɗin maganin H NP da N. Kayan aiki yana ba ka damar shigar da nau'ikan insulin daban-daban ba tare da shirya insulin na tsari ba.
Hanyar hadewa ana gudanar da ita ƙarƙashin ƙasa, ana lura da duk matakan da ake buƙata na datse. Ana yin allura a ciki, kafada, cinya ko a gindi. A wannan halin, dole ne a canza wurin allurar koyaushe.
Mahimmanci! Dole ne a kula don tabbatar da cewa lokacin allurar maganin ba ya shiga cikin jijiyoyin bugun jini.
Za'a iya amfani da ingataccen bayani mai sassauƙar launuka marasa amfani da hazo. Kafin amfani da kwalbar, kuna buƙatar shafa shi kadan a cikin tafin hannu, amma baza ku iya girgiza shi ba, saboda an samar da kumfa, kuma wannan zai haifar da matsaloli ga samun kashi da ake bukata.
Yana da kyau a yi amfani da sirinji da ke samun digiri wanda ya yi daidai da matakin insulin. Matsakaici tsakanin gabatarwar miyagun ƙwayoyi da amfani da abinci ya zama bai wuce 1 hour don maganin N NP ba kuma fiye da rabin sa'a don hanyar H 30/70.
Mahimmanci! Yayin amfani, dole ne maganin ya kasance tare da tsayayyen abincin.
Don tsayar da sashi, ya zama dole don yin la’akari da matakin glucosuria da glycemia na tsawon awanni 24 da saka idanu akan alamar glycemia akan komai a ciki.
Don zana mafita a cikin sirinji, dole ne da farko zana iska a ciki zuwa alamar da ke ƙayyade adadin da ake so. Sannan an saka allura a cikin murfin, kuma aka saki iska. Bayan an juya ampoule kuma an tattara ƙarin ƙarfin bayani da ake buƙata.
Wajibi ne a gabatar da fitowar a cikin fata ta fata tsakanin yatsunsu, kuma ya kamata a saka allurar a wani kusurwa na digiri 45. Don insulin bai ƙare ba, nan da nan bayan allurar miyagun ƙwayoyi, wurin da akwai alamun allura ya kamata a matse kaɗan.
Kula! Sauya nau'in sakin, nau'in da kamfanin insulin ya zama dole ne a yarda da likitan halartar.
Side effects
A lokacin jiyya na miyagun ƙwayoyi, tasirin sakamako mafi yawancin shine hypoglycemia. Irin wannan rikicewar yakan haifar da rashin sani har ma da mutuwa.
Sau da yawa hypoglycemia yana tasowa saboda:
- rashin abinci mai gina jiki;
- yawan insulin da ya wuce kansa;
- karfi mai karfi na jiki;
- shan giya mai ɗauke da shaye-shaye.
Don guje wa haɗarin haɗari, mai ciwon sukari dole ya bi abincin da ya dace kuma ya lura da tsayayyen ƙwayar magani, kamar yadda likitan halartar ya umarta.
Hakanan, tare da tsawan amfani da miyagun ƙwayoyi na iya haifar da haɓakar:
- atrophy na subcutaneous mai a wurin allurar;
- hauhawar kashin mai mai ƙyalli a matattarar allura;
- juriya insulin;
- rashin ƙarfi;
- tsari halayen a yanayin nau'in tashin hankali;
- urticaria;
- bronchospasm;
- hyperhidrosis.
Game da rikice-rikice, ya kamata ku nemi shawarar kwararru nan da nan, saboda wasu sakamakon sun buƙaci maye gurbin magani da aiwatar da magani na maidowa.
Contraindications
Bai kamata a sanya maganin ba ga marasa lafiya da masu nuna rashin damuwa ga abubuwan da ke cikin maganin. Hakanan, ba a ba da shawarar yin amfani da miyagun ƙwayoyi don amfani a gaban hypoglycemia ba.
Mutanen da ke da ci gaba, masu ciwon sukari na dogon lokaci, marasa lafiya waɗanda ke karɓar beta-blockers da marasa lafiya da masu ciwon sukari masu ciwon sukari ya kamata su yi amfani da maganin tare da taka tsantsan. Bayan haka, a cikin mutumin da ke cikin ɗayan waɗannan yanayin, ana iya canza alamun hypoglycemia ko ba a faɗi ba.
A gaban m siffofin cututtuka, tare da nakasa aiki na adrenal gland shine yake, glandon gland shine yake, glandon gland shine yake da kodan, ya zama dole ka nemi likita game da yawan maganin. Bayan haka, waɗannan rikitarwa na iya haifar da buƙatar daidaita adadin insulin.
A wasu halaye, an yarda da amfani da farmasulin don lura da jarirai.
Kula! Lokacin yin abin hawa da sauran hanyoyin yayin da ake tare da farmasulin, dole ne a kula.
Haihuwa da lactation
Matan da ke da juna biyu na iya amfani da farmasulin, amma ya kamata a zaɓi sashin insulin daidai yadda ya kamata. Bayan duk, tare da lactation da ciki, buƙatar insulin na iya canzawa.
Don haka, ya kamata mace ta nemi likita kafin tayi shirin, lokacin da bayan haihuwa.
Kula! A lokacin daukar ciki, dole ne a koda yaushe ku lura da yawan sukari a cikin jini.
Hulɗa da ƙwayoyi
Rashin warkewa na iya raguwa idan an dauki farmasulin tare da:
- kwayoyin hana daukar ciki;
- magungunan thyroid;
- hydantoin;
- maganin hana haihuwa;
- kamuwa da cuta;
- magungunan glucocorticosteroid;
- heparin;
- shirye-shiryen lithium;
- beta 2 -adrenoreceptor agonists.
Ana rage yawan bukatar insulin idan ana amfani da farmasulin tare da:
- magungunan peroral na antidiabetic;
- barasa na ethyl;
- phenylbutazone;
- salicytes;
- cyclophosphamide;
- kwayoyin hana kwayoyi sunadarai;
- magungunan anabolic steroids;
- wakilan sulfonamide;
- strophanthin K;
- hanawar enzyme angiotensin;
- Clofibrate;
- beta adrenergic mai tallatawa;
- tetracycline;
- octreotide.
Yawan damuwa
Yawan wuce haddi na farmasulin zai iya haifar da ci gaban yawan rashin ƙarfi a cikin jini. Yawan shaye shaye kuma yana taimakawa rikice-rikice idan mara lafiya bai ci abinci yadda yakamata ba ko kuma ya cika nauyin jikin tare da nauyin wasanni. Haka kuma, bukatar insulin na iya raguwa, saboda haka yawan hauhawar jini ya taso koda bayan amfani da insulin na yau da kullun.
Hakanan, idan yanayin yawan insulin, hyperhidrosis, tashin hankali wasu lokuta sukan bayyana, ko ma sukasa faruwa. Bugu da kari, glucose na baka (shaye-shayen suga) an kebance shi a irin wadannan halaye.
Idan akasari yawan zubar da jini, kashi 40% na glucose ko glucogan na 1 mg na ciki. Idan irin wannan ilimin bai taimaka ba, to ana gudanar da glucocorticosteroids ko mannitol ga mai haƙuri don hana haɓakar cerebral.
Fom ɗin saki
Pharmasulin da aka yi niyya don amfani da parenteral yana samuwa a:
- a cikin marufi da aka yi da kwali (kwalban 1 ko ɗaya);
- a cikin kwalabe gilashi (daga 5 zuwa 10 ml);
- a cikin fakitin kwali (katakai 5 da aka sanya a cikin kwandon kwano);
- a cikin gilashin gilashi (3 ml).
Sharuɗɗan da yanayin ajiya
Dole ne a adana Pharmasulin na tsawan shekaru 2 a zazzabi na 2 - 8 ° C. Bayan an buɗe kunshin magani, ya kamata a adana vials, katako ko mafita a ma'aunin ɗakin zazzabi. A wannan yanayin, ba shi yiwuwa hasken rana kai tsaye ya faɗi akan maganin.
Mahimmanci! Bayan fara amfani, ana iya adana farmasulin don fiye da kwanaki 28.
Idan hargitsi ko hazo ya bayyana a cikin dakatarwa, to, wannan kayan aikin haramun ne.
