PROTAFAN INSULIN: BAYANIN, KWALLIYA, FARASHI

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Protafan insulin yana nufin insulin-mutum na matsakaiciyar aiki.

Bukatar amfani da ƙwayar Insulin Protafan NM penfill na iya faruwa tare da cututtuka da yanayi da yawa. Da farko dai, tare da nau'in 1 da nau'in ciwon sukari na 2. Bugu da ƙari, ana nuna magungunan a mataki na jure magunguna na farko da aka fara amfani da su.

Hakanan ana amfani da miyagun ƙwayoyi tare da haɗarin magani (wani ɓangaren rigakafi ga magunguna na baka), idan aka kamu da cutar sukari a cikin mata masu juna biyu kuma idan maganin rage cin abinci bai taimaka ba;

Cutar cututtukan ciki da gudummawar tiyata (hade ko monotherapy) na iya zama dalilin alƙawarin.

Ta yaya zan iya maye gurbin miyagun ƙwayoyi, analogues

Insulin Bazal (farashi kimanin 1435 rubles);
Humulin NPH (farashin kimanin 245 rubles);
Protafan NM (farashin kimanin 408 rubles);
Aktrafan NM (farashi game
Protafan NM Penfill (farashi kimanin 865 rubles).

Siffofin magani

Magungunan shine dakatarwar da aka gabatar a karkashin fata.

Kungiya, abu mai aiki:

Isulin insulin-semisynthetis mutum (semisynthetic mutum). Yana da matsakaita tsawon lokacin aiki. Protafan NM yana contraindicated a cikin: insulinoma, hypoglycemia da hypersensitivity ga mai aiki abu.

Yadda za a ɗauka kuma a cikin wane sashi?

Inulin yana allura sau ɗaya ko sau biyu a rana, rabin sa'a kafin cin abinci safe. A wannan wuri, inda za'a yi allura, yakamata a canza shi koyaushe.

Ya kamata a zaɓi kashi ɗin don kowane haƙuri daban-daban. Yawanta ya dogara da adadin yawan glucose a cikin fitsari da gudanawar jini, da kuma sifofin halayen cutar. M, ana wajabta maganin sau 1 a kowace rana kuma shine 8-24 IU.

A cikin yara da tsofaffi waɗanda ke da tabin hankali zuwa insulin, an rage girman kashi zuwa 8 IU kowace rana. Kuma ga marasa lafiya da ƙarancin hankali, likitan da ke halartar na iya tsara adadin da ya wuce 24 IU kowace rana. Idan kashi na yau da kullun ya wuce 0.6 IU a kowace kilo, to, ana gudanar da maganin ta hanyar allura biyu, waɗanda ake yi a wurare daban-daban.

Marasa lafiya da ke karɓar IU 100 ko fiye da kowace rana, lokacin da ake canza insulin, dole ne a koyaushe a ƙarƙashin kulawar likitoci. Sauya magungunan tare da wani ya kamata a gudanar dashi tare da kula da matakan glucose na jini koyaushe.

Kayan magunguna

Kayan aikin insulin Protafan:

lowers taro glucose jini;
inganta sha na glucose a cikin kyallen takarda;
yana ba da gudummawa ga ingantaccen tsarin furotin;
yana rage yawan samar da glucose ta hanta.
haɓaka glycogenogenesis;
inganta lipogenesis.

Microinteraction tare da masu karɓa a cikin sel membrane na haɓaka samuwar hadaddun mai karɓar insulin. Ta hanyar motsawa a cikin ƙwayoyin hanta da ƙwayoyin mai, kira na CAMP ko shigarwar cikin tsoka ko ƙwayar, insulin mai karɓar insulin yana kunna ayyukan da ke faruwa a cikin sel.

Hakanan yana fara haɗarin wasu mahimman enzymes (glycogen synthetase, hexokinase, pyruvate kinase, da sauransu).

Rage glucose na jini yana faruwa ne ta:

transportara yawan jigilar glucose a cikin sel;
tashin hankali na glycogenogenesis da lipogenesis;
increasedara yawan shan abubuwa da kuma shan glucose ta kyallen;
Tsarin furotin;
raguwa a cikin yawan samar da sukari ta hanta, i.e. raguwa cikin rushewar glycogen da sauransu.

Yaushe maganin zai shigo kuma yaushe zai dade?

Nan da nan bayan gabatarwar dakatarwar, sakamakon ba ya faruwa. Ta fara aiki a cikin minti 60 - 90.

Matsakaicin sakamako yana faruwa tsakanin sa'o'i 4 zuwa 12. Tsawan lokacin aikin yana daga sa'o'i 11 zuwa 24 - duka yana dogara ne akan kashi da abun da ya shafi insulin.

Side effects

Hypoglycemia (rashin hangen nesa da magana, pallor na fata, rikicewar motsi, karuwar gumi, hali mai ban tsoro, bugun kirji, tashin hankali, rawar jiki, rashin jin daɗi, haɓaka abinci, tsoro, tashin hankali, rashin bacci, damuwa, matsananciyar damuwa, bacci a bakin, ciwon kai ;

Allergic halayen (rage karfin jini, urticaria, gazawar numfashi, zazzabi, angioedema);

Increaseara yawan abubuwa masu mahimmanci na ƙwayoyin rigakafin ƙwayar insulin tare da ƙarin karuwa a cikin glycemia;

Acidosis da ciwon sukari (hyperglycemia) (kan asalin cututtuka da zazzabi, rashin abinci, allurar da aka rasa, ƙarancin allurai): fitar fuskin fuska, nutsuwa, asarar ci, ƙishi a koda yaushe;

Hyma na jini

A matakin farko na farji - kurakurai masu narkewa da edema (wani sabon abu ne na ɗan lokaci wanda ke faruwa tare da ƙarin magani);

Rashin ƙwaƙwalwar hankali (wani lokacin rashin daidaituwa da yanayin da yake ciki);

A wurin allurar - itching, hyperemia, lipodystrophy (hauhawar jini ko atrophy na fatcutuwa);

A farkon magani cuta ce ta wucin gadi na gani;

Abubuwan da suka shafi rigakafi tare da insulin mutum.

Bayyanar cututtuka na yawan abin sama da ya kamata:

katsewa
gumi;
cutar rashin ruwa na hypoglycemic;
palpitations
rashin bacci
gurbataccen hangen nesa da magana;
rawar jiki
ƙungiyoyi masu motsi;
nutsuwa
karuwar ci;
bakon hali;
Damuwa
haushi
paresthesia a cikin rami na baka;
Damuwa
pallor
tsoro
ciwon kai.

Ta yaya za mu bi da yawan abin sama da ya kamata?

Idan mai haƙuri yana cikin yanayin hankali, to likita ya ba da izinin dextrose, wanda aka gudanar ta hanyar dropper, intramuscularly ko intravenously. Hakanan ana gudanar da Glucagon ko kuma maganin rage karfin hypertonic dextrose.

A game da cutar rashin daidaituwa na jini, 20 zuwa 40 ml, i.e. Maganin 40% na dextrose har sai mara lafiyar ya fito daga mahaifa.

Muhimmin shawarwari:

Kafin ku ɗauki insulin daga kunshin, kuna buƙatar bincika cewa mafita a cikin kwalbar tana da launi mai launi. Idan girgije, hazo ko gawar kasashen waje suna bayyane, mafita haramun ne.
Zazzabi na miyagun ƙwayoyi kafin gudanarwa ya kamata ya zama zazzabi dakin.
A gaban cututtukan cututtuka, rashin aiki na glandar thyroid, cutar Addiosn, rashin lafiyar koda, rashin lafiyar yara, da masu ciwon sukari na tsufa, ana buƙatar daidaita insulin daban-daban.

Sanadin cututtukan hypoglycemia na iya zama:

yawan abin sama da ya kamata
amai
canjin magani;
cututtukan da ke rage buƙatar insulin (cututtukan hanta da koda, ƙwanƙwasawar ƙwayar thyroid, glandon ƙwayar ƙwayar ƙwayar ciki, hanji mai ciki);
rashin bin ka’idar abinci;
hulɗa tare da wasu kwayoyi;
zawo
yawan amfani da jiki;
canjin wurin allura.

Lokacin canja mai haƙuri daga insulin dabbobi zuwa insulin ɗan adam, raguwa a cikin matakan glucose na jini na iya bayyana. Canjin zuwa insulin mutum ya zama barata daga mahangar likitanci, kuma yakamata a gudanar dashi karkashin tsananin kulawa da likita.

Lokacin haihuwa da bayan haihuwa, za a iya rage yawan buƙatar insulin sosai. Yayin shayarwa, kuna buƙatar saka idanu akan mahaifiyarku tsawon watanni, har sai an daidaita buƙatar insulin.

Abun da ke faruwa game da ci gaban hawan jini na iya haifar da lalacewa a cikin ikon mara lafiya ya tuƙi motoci da kuma kula da injuna da injin.

Ta hanyar yin amfani da sukari ko abinci mai narkewa a cikin carbohydrates, masu ciwon sukari na iya dakatar da nau'in hypoglycemia mai laushi. A bu mai kyau cewa mai haƙuri koyaushe yana da akalla 20 g na sukari tare da shi.

Idan an jinkirta hypoglycemia, ya zama dole a sanar da likita wanda zaiyi gyaran jiyya.