Hanyar gargajiya ta rage sukari bayan cin abinci sun hada da insulins na ɗan adam. Daya daga cikin mashahuran kwayoyi, Actrapid, ya kasance yana fama da cutar sankara fiye da shekaru 3. A cikin shekarun da suka gabata, ya tabbatar da kyakkyawan ingancinsa da kuma kubutar da miliyoyin rayuka.
A halin yanzu, sabon, ingantaccen insulins ya wanzu waɗanda ke ba da ƙwayar cuta ta al'ada kuma suna da 'yanci daga raunin magabata. Duk da wannan, Actrapid ba ya barin matsayinsa kuma ana amfani dashi sosai don lura da ciwon sukari na 1 da nau'in 2.
Umarnin don amfani
Actrapid shine ɗayan farkon insulins da aka samu ta hanyar injiniyan kwayoyin. Kamfanin samar da magunguna ne ya fara samar da shi a cikin 1982, Novo Nordisk, daya daga cikin manyan masu haɓaka magungunan cutar ciwon suga a duniya. A wannan lokacin, masu ciwon sukari dole ne su gamsu da insulin dabbobi, wanda ke da karancin tsarkakewa da kuma rashin lafiyar ɗabi'a.
Ciwon sukari da hauhawar jini zai zama abin da ya wuce
- Normalization na sukari -95%
- Cirewa kan jijiyoyin mara wuya - 70%
- Cire zuciyar mai karfin zuciya -90%
- Rabu da cutar hawan jini - 92%
- Increasearuwar kuzarin rana, inganta bacci da dare -97%
An samo Actrapid ta amfani da ƙwayoyin cuta da aka gyara, samfurin da aka gama yana maimaita insulin da aka samar cikin mutane. Fasahar samarwa tana ba da damar cimma kyakkyawan sakamako na hypoglycemic da tsabtace mafita, wanda ya rage haɗarin halayen jiki da kumburi a wurin allurar. Radar (rajistar magunguna da Ma'aikatar Lafiya ta yi rajista) ya nuna cewa za a iya kera magungunan kuma a shirya su a cikin Denmark, Faransa da Brazil. Ana aiwatar da ikon sarrafawa ne kawai a cikin Turai, don haka babu wata shakka game da ingancin maganin.
Bayani na taƙaitaccen bayani game da Actrapide daga umarnin don amfani, wanda kowane mai ciwon sukari ya kamata ya saba da:
| Aiki | Yana karfafa canzawar sukari daga jini zuwa kyallen takarda, haɓaka aikin glycogen, sunadarai da mai. |
| Abun ciki |
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| Alamu |
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| Contraindications | Abubuwan da aka yi maganganun mutum daga tsarin rigakafi wanda ba ya ɓacewa makonni 2 daga farkon aikin insulin ko faruwa cikin mummunan tsari:
Aiki an hana amfani da shi a cikin matasuran insulin, tunda yana da yawan fashewa da kuka kuma zai iya jingine tsarin jiko. |
| Yankan zaɓi | Actrapid ya zama dole don rama glucose wanda ya shiga cikin jini bayan cin abinci. Ana lissafta sashi na miyagun ƙwayoyi ta hanyar yawan carbohydrates a cikin abinci. Kuna iya amfani da tsarin gurasar abinci. Determinedarar insulin a 1XE an ƙaddara ta hanyar ƙididdigar, ana daidaita daidaituwa na mutum gwargwadon sakamakon ma'aunin glycemia. An dauki matakin daidai ne idan sukari jini ya koma matakin da ya gabata bayan karshen aikin insulin na Insulin. |
| Matakan da ba a so | Idan adadin ya wuce adadin, yana faruwa a cikin jini, wanda zai haifar da coma a cikin awanni. Kullum yawan saukad da sukari suna haifar da lalacewa ta hanyar ƙwayar jijiya, shafe alamun hypoglycemia, yana sa su zama da wahala a gano. Game da cin zarafin fasahar allura na insulin aiki ta insulin ko saboda halayen mutum na cikin ƙwayar subcutaneous, lipodystrophy mai yiwuwa ne, yawan aukuwar su ƙasa da 1%. Dangane da umarnin, lokacin sauya sheka zuwa insulin da saurin sukari, raunin gefen ɗan lokaci wanda ya ɓace akan nasu zai yiwu: hangen nesa mai rauni, kumburi, ƙwayar jijiya. |
| Haɗuwa da sauran magunguna | Insulin shiri ne mai rauni, a cikin sirinji guda ɗaya za'a iya cakuda shi da ruwan gishiri da kuma matsakaitan insulin, mafi kyawun masana'anta guda (Protafan). Tasirin insulin na Actrapid ya zama dole ga marasa lafiya da ke dauke da cutar sukari tare da nuna matukar damuwa ga kwayar, misali yara kanana. Haɗin tare da kwayoyi masu matsakaici ana amfani da su don nau'in ciwon sukari na 2, yawanci a cikin tsofaffi. Yin amfani da wasu magunguna a lokaci guda na iya shafar ayyukan insulin. Hormonal da diuretics na iya raunana tasirin Actrapid, kuma magunguna na zamani don matsa lamba har ma da tetracycline tare da asfirin na iya ƙarfafa shi. Marasa lafiya a kan maganin insulin yakamata suyi nazari a hankali "Aikin" a cikin umarnin duk magungunan da suke shirin amfani da shi. Idan ya gano cewa miyagun ƙwayoyi na iya shafar aikin insulin, to za a canza kashi na Actrapid na ɗan lokaci. |
| Ciki da GV | Lokacin daukar ciki da lactation Actrapid an yarda. Magungunan ba ya ƙetare cikin mahaifa, saboda haka, ba zai iya shafar ci gaban tayin ba. Yana wucewa cikin madara mai nono a adadi mai yawa, bayan wannan kuma ya rabu cikin tsarin narkewar jariri. |
| Form sakin insul din | Radar ya hada da nau'ikan magunguna 3 da aka ba da izinin sayarwa a Rasha:
A aikace, kwalabe (Actrapid NM) da kuma katako (Actrapid NM Penfill) suna kan siyarwa. Dukkan nau'ikan sun ƙunshi wannan shiri tare da maida hankali kan raka'a 100 na insulin a kowace milliliter na bayani. |
| Adanawa | Bayan buɗewa, ana adana insulin na tsawon makonni 6 a cikin duhu, zazzabi da aka ƙaddara ya kai 30 ° C. Ya kamata a sanyaya kayan aikin sikirin. An hana daskarewa insulin cikin daskarewa. Duba nan >> ƙa'idoji na adana insulin. |
An haɗa ƙwayar cuta ta Actrapid kowace shekara cikin jerin magunguna masu mahimmanci da mahimmanci, don haka masu ciwon sukari na iya samun shi kyauta, tare da takardar sayen magani daga likitanka.
Informationarin Bayani
Actrapid NM yana nufin gajeru (jerin gajeriyar insulins), amma ba magungunan ultrashort ba. Ya fara aiki bayan minti 30, don haka suna gabatar da shi a gaba. Glucose daga abinci tare da ƙarancin GI (alal misali, buckwheat tare da nama) yana kulawa don "kama" wannan insulin kuma cire shi daga jini cikin lokaci. Tare da saurin carbohydrates (alal misali, shayi tare da cake), Actrapid ba zai iya yin yaƙi da sauri ba, don haka bayan cinyewar hyperglycemia zai faru ba shakka, wanda a hankali zai ragu. Irin waɗannan tsalle-tsalle a cikin sukari ba kawai yana cutar da lafiyar haƙuri ba, har ma suna ba da gudummawa ga ci gaban rikice-rikice na ciwon sukari. Don rage haɓakar glycemia, kowane abinci tare da Insulin Actrapid ya kamata ya ƙunshi fiber, furotin, ko mai.
Tsawon lokaci
Actrapid yana aiki har zuwa 8 hours. Awanni 5 na farko - babban aiki, sannan - bayyananniyar saura. Idan ana sarrafa insulin akai-akai, sakamakon allurai biyu zai mamaye juna. A lokaci guda, ba zai yiwu a lissafa adadin maganin da ake so ba, wanda ke kara haɗarin cutar hawan jini. Don cin nasarar amfani da miyagun ƙwayoyi, abinci da injections insulin buƙatar buƙatar rarraba kowane 5 hours.
Magungunan suna da babban matakin bayan awa 1.5-3.5. A wannan lokacin, yawancin abincin suna da lokaci don narkewa, saboda haka hypoglycemia na faruwa. Don kauce masa, kuna buƙatar abun ciye-ciye na 1-2 XE. A cikin duka, tare da mellitus na sukari kowace rana, ana samun 3 manyan kuma ƙarin abinci 3. Ana gudanar da insulin Actrapid ne kawai a gaban manyan, amma ana lasafta yadda yake la'akari da abubuwan ciye-ciye.
Dokokin gabatarwar
Za'a iya amfani da vials tare da Actrapid HM tare da insringes insringes masu alama U-100. Karancin katako - tare da sirinji da alkalami mai ƙyalli: NovoPen 4 (sashi na matakin 1), NovoPen Echo (ƙungiyar 0.5).
Domin insulin yin aiki daidai cikin mellitus na ciwon sukari, kuna buƙatar yin nazarin dabarar allura a cikin umarnin don amfani kuma ku bi shi daidai. Mafi yawancin lokuta, ana allurar Actrapid a cikin wata shafawa a ciki, ana sanya sirinji a wani kusurwa zuwa fata. Bayan an saka, ba a cire allura don daƙiƙaƙi ɗaya don hana mafita ta fita ba. Insulin ya kamata ya kasance da yawan zafin jiki a daki. Kafin gudanarwa, wajibi ne don bincika ranar karewa da bayyanar miyagun ƙwayoyi.
An haramta amfani da kwalban kwalba, hatsi ko lu'ulu'u a ciki.
Kwatanta tare da sauran insulins
Duk da cewa kwayar ta Actrapid daidai take da insulin na mutum, tasirin su ya sha bamban. Wannan ya faru ne saboda subcutaneous management na miyagun ƙwayoyi. Yana buƙatar lokaci don barin ƙashin mai ya isa gaɓar jini. Bugu da ƙari, insulin yana da nasaba da ƙirƙirar hadaddun tsarin a cikin kyallen, wanda kuma yana hana haɓakar sukari cikin sauri.
Yawancin insulins na zamani na zamani - Humalog, NovoRapid da Apidra - an hana su waɗannan gazawar. Sun fara aiki da farko, don haka sun sami damar cire koda carbohydrates mai sauri. Lokacinsu yana raguwa, kuma babu wani ganiya, don haka abinci na iya zama mafi yawan lokuta, kuma ba a buƙatar kayan ciye-ciye. Dangane da bincike, magungunan ultrashort suna ba da kyakkyawan ikon sarrafa glycemic fiye da Actrapid.
Yin amfani da insulin na 'insulin' na insulin na ciwon suga za'a iya barata:
- a cikin marasa lafiya waɗanda ke bin ƙananan abincin carb, musamman tare da nau'in ciwon sukari na 2;
- A cikin jariran da suke ci kowane awa 3.
Nawa ne magani? Abubuwan da ba a tabbatar da su ba wannan insulin sun haɗa da ƙananan farashinsa: 1 raka'a na Actrapid farashin 40 kopecks (400 rubles a kowace kwalban 10 ml), hormone na ultrashort - sau 3 mafi tsada.
Analogs
Shirye-shiryen insulin na mutum yana da irin sifar kwayoyi da makamantansu:
| Analogs | Mai masana'anta | Farashin, rub. | |
| katako | kwalabe | ||
| Nakamaka NM | Denmark, Novo Nordisk | 905 | 405 |
| Biosulin P | Rasha, Pharmstandard | 1115 | 520 |
| Insuman Rapid GT | Belarus, Monoinsulin na Jamhuriyar Czech | - | 330 |
| Tsarin Humulin | Amurka, Eli Lily | 1150 | 600 |
Canjin daga insulin zuwa wani ya kamata ayi saboda dalilai na likitanci kawai, tun da rama na cutar sankara zai zama babu makawa yayin zaɓin sashi.
Zai kasance cikin magana: yadda ake lissafin yawan insulin don allura
