Ana gudanar da Rosinsulin C a ƙarƙashin sau 1-2 a rana, kusan rabin sa'a kafin cin abinci. Kowane lokaci, ya kamata a canza wurin allurar.
A cikin wasu halayen, endocrinologist na iya ba da allurar intramuscular haƙuri na miyagun ƙwayoyi.
- tare da ciwon sukari mellitus nau'in 1 da 2;
- a cikin matsanancin tsayayya da maganganun maganin baka.
- tare da haɗuwa da magani (juriya ga m maganganun maganganu na magana);
- tare da mono - ko haɗuwa da magani yayin ayyukan tiyata;
- tare da cututtukan cututtukan zuciya;
- tare da ciwon sukari a cikin mata masu juna biyu, lokacin da ilimin abinci ba ya ba da sakamako da ake so.
Sashi da gudanarwa
Dakatarwa don allurar subcutaneous. Contraindications hypoglycemia, hypersensitivity.
Ana gudanar da Rosinsulin C a ƙarƙashin sau 1-2 a rana, kusan rabin sa'a kafin cin abinci. Kowane lokaci, ya kamata a canza wurin allurar. A cikin wasu halayen, endocrinologist na iya ba da allurar intramuscular haƙuri na miyagun ƙwayoyi.
Kula! An hana yin amfani da insulin na matsakaici tsawon lokaci! A cikin kowane yanayi, likita ya zaɓi kashi, wanda zai iya dogara da halayen hanyar cutar da abubuwan da ke cikin sukari a cikin jini da fitsari.
Yawan da aka saba dashi shine 8-24 IU, wanda ana gudanar dashi sau 1 a rana, don wannan zaka iya amfani da sirinjin insulin tare da allura mai cirewa.
A cikin yara da tsofaffi masu haɓaka zuwa hormone, ana iya rage kashi zuwa 8 IU a kowace rana, kuma, a gefe guda, ga marasa lafiya da rage raunin hankali, ana iya karuwa zuwa 24 IU kowace rana ko fiye.
Idan kashi na yau da kullun na miyagun ƙwayoyi ya wuce 0.6 IU / kg, ana yin shi sau 2 a rana a wurare daban-daban. Idan ana gudanar da maganin a cikin adadin 100 IU kowace rana ko sama da haka, ya kamata a kwantar da maraice a asibiti. Dole ne a canza canjin wani insulin zuwa wani a ƙarƙashin kulawar likitoci.
Pharmacokinetics
Magungunan yana cikin insulins na matsakaici, wanda aka umarce shi:
- don rage glucose na jini;
- don ƙara yawan glucose da kyallen takarda;
- don inganta glycogenogenesis da lipogenesis;
- don rage raunin glucose ta hanta;
- don hadarin sunadarai.
Side effects
Allergic halayen:
- angioedema;
- karancin numfashi
- urticaria;
- raguwa a cikin karfin jini;
- zazzabi.
Alamar hawan jini:
- karuwar gumi;
- pallor na fata;
- jin yunwar;
- palpitations
- Damuwa
- gumi;
- taimako
- rawar jiki
- paresthesia a cikin bakin;
- nutsuwa
- yanayi na bacin rai;
- sabon abu;
- haushi;
- rashin tabbas na ƙungiyoyi;
- tsoro
- karancin magana da hangen nesa;
- rashin bacci
- ciwon kai.
Idan ka rasa allura, ƙananan kashi, akan asalin kamuwa da cuta ko zazzabi, idan ba ku bi cin abinci ba, zaku iya haɓakar acidosis da ciwon sukari:
- rage cin abinci;
- ƙishirwa
- nutsuwa
- hyperemia na fuska;
- mai rauni sosai har zuwa ƙwayar cuta.
- taransient na gani a farkon farawa.
Shawara ta musamman
Kafin ka tattara magungunan daga murhun, ka tabbata cewa maganin a bayyane yake. Idan an lura da laka ko ɓarna a cikin shiri, to ba za'a iya amfani dashi ba.
Yanayin zafin jiki na mafita don gudanarwa ya dace da zazzabi a ɗakin.
Mahimmanci! Idan mai haƙuri yana da cututtukan cututtuka, cututtukan thyroid, hypopituitarism, cutar Addison, raunin ƙwayar ƙwayar ƙwayar cuta, har ma da mutanen da suka haura shekaru 65, gyaran insulin kashi ya zama dole.
Sanadin cututtukan hypoglycemia na iya zama:
- Canza magani.
- Yawan damuwa
- Skipping abinci.
- Cututtukan da ke rage buƙatar maganin.
- Vomiting, zawo.
- Hypofunction na adrenal bawo.
- Damuwar jiki.
- Canjin wurin allura.
- Yin hulɗa tare da wasu kwayoyi.
Lokacin canja mai haƙuri daga insulin dabbobi zuwa insulin ɗan adam, rage raguwar ƙwayar sukari jini yana yiwuwa.
Bayani game da aikin miyagun ƙwayoyi Rosinsulin P
Rosinsulin P yana nufin magunguna tare da ɗan gajeren sakamako na hypoglycemic. Haɗa tare da mai karɓar membrane na waje, mafita tana samar da hadaddun mai karɓar insulin. Wannan hadadden:
- yana haɓaka haɗakar monophosphate na cyclic a cikin hanta da ƙwayoyin mai;
- yana ƙarfafa hanyoyin kwantar da hankali (pyruvate kinases, hexokinases, glycogen synthases da sauransu).
Rage yawan sukari na jini yana faruwa saboda:
- haɓaka jirgin jigilar ciki;
- tashin hankali na glycogenogenesis, lipogenesis;
- Tsarin furotin;
- haɓaka sha daga ƙwayoyi ta kyallen takarda.
- raguwa cikin rushewar glycogen (saboda raguwa a cikin samar da glucose ta hanta).
Bayan subcutaneous management, sakamakon maganin yana faruwa a cikin minti 20-30. Matsakaicin mafi girman hankali a cikin jini an samu shi ne bayan sa'o'i 1-3, kuma ci gaba da aiki ya dogara da wuri da hanyar gudanarwa, kashi da halayen mutum na mai haƙuri.
Alamu don amfani
Ana amfani da Rosinsulin P a cikin waɗannan lambobin:
- Ciwon sukari irin na 1 da na 2.
- M jurewa da maganin hana daukar ciki na maganadisu.
- Hada magani
- Ketoacidotic da ƙwayar cutar hyperosmolar.
- Ketoacidosis mai ciwon sukari.
- Ciwon sukari dake faruwa yayin daukar ciki.
Don amfani da kai tsaye:
- yayin haihuwa, raunin da ya faru, aikin tiyata mai zuwa;
- kafin canzawa zuwa allura tare da shirye-shiryen insulin mai tsawo;
- tare da cuta na rayuwa;
- tare da cututtuka tare da zazzabi mai zafi.
Contraindications da dtafki
Contraindications hypoglycemia, hypersensitivity.
Hanyar gudanar da miyagun ƙwayoyi da kashi a cikin kowane yanayi an ƙaddara akayi daban-daban. Dalilin tantance kashi shine abun da ke cikin sukari a cikin jini kafin da kuma bayan abinci, halaye na hanyar cutar da kuma matakin glucosuria.
Rosinsulin P an yi niyya ne don gudanar da aiki da jijiyoyin jini na ciki da jijiyoyin jini. Ana yin allura sau 15-30 kafin cin abinci. Mafi sau da yawa, ana sarrafa maganin a ƙarƙashin ƙasa.
a cikin ayyukan tiyata, ketoacidosis na ciwon sukari da na coma, rosinsulin P ana gudanar dashi ne cikin jijiya da jijiyoyin jiki, domin wannan ya zama dole don sanin yadda ake allurar insulin daidai kuma daidai.
Tare da monotherapy, yawan injections kowace rana sau 3. Idan ya cancanta, ana iya ƙara su har sau 5-6. Don guje wa haɓakar lipodystrophy, hypertrophy na adipose nama, atrophy, ya zama dole don canza wurin allura a kowane lokaci.
Allergic halayen:
- angioedema;
- karancin numfashi
- raguwa a cikin karfin jini;
- urticaria;
- zazzabi.
Bayyanar cututtuka na hypoglycemia:
- karuwar gumi;
- tachycardia;
- taimako
- nutsuwa
- pallor na fata;
- jin yunwar;
- jin damuwa;
- gumi;
- rawar jiki
- paresthesia a cikin bakin;
- karancin magana da hangen nesa;
- rashin tabbas na ƙungiyoyi;
- Damuwa
- bakon hali;
- haushi;
- apathy
- rashin bacci
- ciwon kai.
A kan asalin kamuwa da cuta ko zazzabi, tare da allurar da aka rasa, maras nauyi, kuma idan ba a bi abincin ba, mai haƙuri na iya haɓaka cutar sikari da cututtukan cututtukan ƙwayar cuta:
- asarar ci
- ƙishirwa
- nutsuwa
- kumburi da fuska;
- mai rauni sosai har zuwa ƙwayar cuta.
- taransient na gani a farkon farawa.
Shawara ta musamman
Kafin tattara rosinsulin C daga murfin ciki, tabbatar cewa an warware matsalar a bayyane. Idan aka lura da laka ko ɓarna a cikin insulin, to baza'ayi amfani dashi ba. Zazzabi na allura ya kamata ya kasance da zazzabi a dakin.
Kula! Idan mai haƙuri yana da cututtukan cututtuka, rikice-rikice na glandar thymus, cututtukan fata, cutar Addison, raunin ƙwayar ƙwayar ƙwayar cuta, da kuma ga mutanen da suka haura shekaru 65, ana buƙatar sarrafa sashin insulin.
Sakamakon cututtukan hypoglycemia na iya zama:
- Canjin magani.
- Yawan wuce haddi.
- Skipping abinci.
- Cututtukan da ke rage buƙatar maganin.
- Ciwon ciki, gudawa.
- Rashin aiki adrenal cortex mai aiki.
- Aiki na Jiki.
- Canjin wurin allura.
- Yin hulɗa tare da wasu magunguna.
Lokacin canja mai haƙuri daga insulin dabbobi zuwa insulin ɗan adam, rage raguwar matakan sukari na jini yana yiwuwa.