Ya danganta da nau'in ciwon sukari da kuma hanyarsa, an wajabta wa mara lafiya magunguna. Zai iya zama allunan ko insulin na matakan digiri daban-daban. Kashi na karshe na magungunan sun hada da allurar rigakafin sabon samfurin Novorapid.
Babban bayani game da miyagun ƙwayoyi
Insulin Novorapid shine sabon magani wanda aka yi amfani dashi a cikin aikin likita don magance ciwon sukari. Kayan aiki yana da sakamako na hypoglycemic ta hanyar cika ƙarancin insulin ɗan adam. Yana da ɗan gajeren sakamako.
Ana amfani da miyagun ƙwayoyi ta hanyar haƙurin haƙuri da aiki mai sauri. Tare da yin amfani da shi yadda yakamata, ƙwanƙwasa jini yakan faru sau da sau fiye da insulin ɗan adam.
Akwai a matsayin allura. Abubuwan da ke aiki shine insulin kewayawa. Aspart yana da kwatankwacin hormone wanda jikin mutum ke samarwa. Ana amfani dashi a hade tare da injections masu tsawan aiki.
Akwai shi a cikin bambance-bambancen karatu guda biyu: Novorapid Flexpen da Novorapid Penfil. Ra'ayin farko shine alkalami na syringe, na biyu shine katuno. Kowannensu yana da nau'ikan abun ciki - insulin aspart. Abinda a bayyane yake ba tare da ɓarna ba kuma ba ɓangaren ɓangare na uku A lokacin ajiyar ajiyar lokaci, bakin ciki na iya haifarwa.
Pharmacology da pharmacokinetics
Magungunan yana hulɗa tare da sel kuma yana kunna ayyukan da ke gudana a can. A sakamakon haka, an samar da hadaddun - yana ƙarfafa hanyoyin kwantar da hankali. Ayyukan maganin yana faruwa ne dangane da kwayar halittar mutum a baya. Ana iya ganin sakamakon bayan mintina 15. Matsakaicin sakamako shine 4 hours.
Bayan an rage sukari, to yawan kuzarinsa yana raguwa. Kunnawa na glycogenolysis da haɓaka jigilar jijiyoyin ƙwayoyin cuta, ƙirar babban enzymes. Abubuwan da ke haifar da raguwa mai mahimmanci a cikin glycemia ba su da yawa idan aka kwatanta da insulin ɗan adam.
Daga kashin da ke cikin kasusuwa, ana shigo da kayan cikin sauri zuwa cikin jini. Binciken ya nuna cewa mafi yawan maida hankali a cikin ciwon sukari 1 an kai shi ne bayan mintuna 40 - yana da guntu sau 2 fiye da maganin insulin na mutum. Novorapid a cikin yara (daga shekaru 6 zuwa sama) da matasa suna cikin sauri cikin sauri. Intensarfafawa ɗaukar ciki a cikin DM 2 ya raunana kuma an kai mafi girman yawan hankali - kawai bayan awa daya. Bayan awa 5, akwai dawowa zuwa matakin insulin da ya gabata.
Manuniya da contraindications
An wajabta magunguna ga:
- DM 1 na manya da yara daga shekara 2;
- DM 2 tare da juriya ga shirye-shiryen kwamfutar hannu;
- cutuka.
Contraindications don amfani:
- yara ‘yan kasa da shekara 2;
- rashin lafiyan ƙwayoyi;
- rashin jituwa ga abubuwan da ke cikin magani.
Sashi da gudanarwa
Don cikakken sakamako na maganin, ana haɗa magungunan tare da insulin aiki mai tsayi. A lokacin aiwatar da magani, ana kula da sukari akai akai don kiyaye glycemia a ƙarƙashin kulawa.
Ana iya amfani da Novorapid duka biyu kuma ya shiga ciki. Mafi sau da yawa, marasa lafiya suna ba da maganin a cikin hanyar farko. Ma'aikatan lafiya ne kawai ke yin allurar shiga ciki. Yankin allurar da aka ba da shawarar - cinya, kafada, gaban ciki.
Kayan aikin an allura ta amfani da alkairin sirinji. An tsara shi don aminci da ingantaccen tsarin aiki. Za'a iya amfani da maganin idan ya cancanta a cikin kumburin jiko. A tsawon aikin, ana sa ido kan masu nuna alama. Idan aka kasa lalacewa a tsarin, dole ne mai haƙuri ya sami insulin. Cikakken jagorar yana cikin umarnin don amfani da haɗin maganin.
Ana amfani da miyagun ƙwayoyi kafin abinci ko bayan. Wannan ya faru ne saboda saurin maganin. Sashin Novorapid an ƙaddara shi ga kowane mai haƙuri daban-daban, la'akari da buƙatar mutum don magani da kuma cutar. Yawanci, ana amfani da kashi ɗaya na <1,0 U / kg.
Yayin aiwatar da aikin likita, ana iya aiwatar da daidaituwa na sashi a cikin halaye masu zuwa: canji a cikin abincin, dangane da yanayin cututtukan haɗin gwiwa, tiyata, karuwa a cikin aikin jiki.
Marasa lafiya na musamman da kuma Jagorori
A lokacin daukar ciki, an yarda da amfani da miyagun ƙwayoyi. Yayin gwaji, ba a gano lahanin illa na abu a tayin da mace ba. A duk tsawon lokacin, an daidaita sashi gwargwado. Tare da lactation, babu kuma wasu ƙuntatawa.
Rage kayan cikin tsofaffi yana raguwa. Lokacin yanke shawarar kashi, ana la'akari da kuzari na matakan sukari.
Lokacin da suke haɗuwa da Novorapid tare da sauran magungunan antidiabetic, suna lura da matakin sukari koyaushe don guje wa shari'ar cututtukan jini. Game da cin zarafin kodan, ƙwayar ƙwayar ƙwayar cuta, hanta, glandar thyroid, ya zama dole a hankali zaɓi kuma daidaita sashi na maganin.
Abincin da ba a sani ba abinci na iya haifar da mawuyacin hali. Amfani da ba daidai ba na Novorapid, dakatarwar kwatsam na iya shigar da ketoacidosis ko hyperglycemia. Lokacin canza lokacin lokacin, mai haƙuri na iya canza lokacin shan magani.
Kafin shirya tafiya, kuna buƙatar tuntuɓi likita. A cikin kamuwa da cuta, cututtukan da ke tattare da cuta, buƙatar haƙuri ga magunguna. A cikin waɗannan halayen, ana yin gyaran sashi. Lokacin canja wurin daga wani hormone, tabbas za ku buƙaci daidaita sashin kowane maganin antidiabetic.
Ba'a ba da shawarar yin amfani da maganin ba idan harsashin katako ya lalace, lokacin daskarewa, lokacin da mafita ta zama gajimare.
Side effects da yawan abin sama da ya kamata
Sakamakon sakamako wanda ba a san shi ba shine hypoglycemia. Reactionsarancin wucin gadi na wucin gadi na iya faruwa a yankin allura - zafi, redness, ƙaramin ƙarfi, kumburi, kumburi, itching.
Hakanan za'a iya faruwa aukuwa masu biyo baya a yayin gudanar da mulki:
- bayyanar rashin lafiyan
; - anaphylaxis;
- na gefe neuropathies;
- urticaria, kurji, cuta;
- rikicewar tsarin jini zuwa ga retina;
- lipodystrophy.
;Tare da karin gishiri game da kashi, hypoglycemia na bambancin tsananin na iya faruwa. Za a iya kawar da karamin abin sama da ya wuce tare da shan ta g 25 na sukari. Ko da shawarar sashi na magani a wasu yanayi na iya tsokani yawan zubar jini. Marasa lafiya yakamata a kwashe su tare da su.
A cikin lokuta masu tsauri, an yiwa mai haƙuri allurar ta glucagon intramuscularly. Idan jiki bai amsa maganin ba bayan minti 10, to ana gudanar da glucose ne a ciki. Ana kulawa da mai haƙuri tsawon sa'o'i don hana sake kaiwa hari na biyu. Idan ya cancanta, a kwantar da maraice a asibiti.
Yin hulɗa tare da wasu magunguna da analogues
Tasirin Novorapid na iya raguwa ko haɓakawa ƙarƙashin rinjayar magunguna daban-daban. Ba'a ba da shawarar haɗa Aspart tare da wasu magunguna ba. Idan ba zai yiwu a soke wani maganin da ba masu ciwon sukari ba, dole ne a sanar da likitanka. A irin waɗannan halayen, ana daidaita sikelin kuma an inganta haɓakar alamun sukari.
Rushewar insulin ya faru ne ta hanyar magunguna masu ɗauke da sulfites da thiols. Tasirin Novorapid yana haɓaka ta wakilai na maganin antidiabetic, ketoconazole, shirye-shiryen da ke kunshe da ethanol, hormones na maza, fibrates, tetracyclines, da shirye-shiryen lithium. Mun gano tasirin - nicotine, magungunan rigakafi, hana haihuwa, epinephrine, glucocorticosteroids, heparin, glucagon, magungunan antipsychotic, diuretics, Danazole.
Idan aka haɗu da thiazolidinediones, rashin zuciya yana iya haɓaka. Hadarin yana ƙaruwa idan akwai tsinkayar cutar. Tare da haɗin gwiwa, mai haƙuri yana ƙarƙashin kulawar likita. Idan aikin zuciya ya yi rauni, to sai an soke maganin.
Barasa na iya canza tasirin Novorapid - ƙara ko rage tasirin sukari na Aspart. Wajibi ne a guji shan giya a cikin jiyya.
Irin kwayoyi masu kama da wannan kayan aiki guda ɗaya da kuma ka'idar aiki sun haɗa da Novomix Penfil.
Actrapid Hm, Vosulin-R, Insuvit N, Gensulin R, Insugen R, Insuman Rapid, Insular Aktiv, Rinsulin R, Humodar R, Farmasulin, Humulin ana alakanta shirye-shiryen dauke da wani nau'in insulin.
Magunguna tare da insulin dabbobi shine Monodar.
Syringe alkalami bidiyo:
Ra'ayoyin masu haƙuri
Daga sake dubawar masu ciwon sukari waɗanda suka yi amfani da insulin Novorapid, ana iya kammala cewa maganin yana da masaniya kuma yana rage sukari cikin sauri, amma akwai kuma babban farashi.
Magungunan sun sauƙaƙa rayuwata. Da sauri rage sukari, ba ya haifar da sakamako masu illa, abubuwan ciye-ciye marasa tsari suna iya yiwuwa tare da shi. Farashin kawai ya fi na irin waɗannan kwayoyi.
Antonina, 37 years old, Ufa
Likita ya ba da maganin Novorapid tare da insulin “tsawon”, wanda ke sa sukari ya zama ruwan dare. Maganin da aka tsara yana taimakawa ci abinci a lokacin abinci mara tsari, yana rage sukari sosai bayan cin abinci. Novorapid kyakkyawan insulin mai saurin motsa jiki ne. Alƙawarin madaidaitan sirinji, babu buƙatar sirinji.
Tamara Semenovna, 56 years old, Moscow
Magunguna masu sayan magani.
Kudin Novorapid Flekspen (raka'a 100 / ml a cikin 3 ml) kusan 2270 rubles ne.
Insulin Novorapid magani ne tare da ɗan gajeren sakamako na hypoglycemic. Yana da fa'ida ta wasu hanyoyin masu kama. Rashin haɗarin haɓakar hypoglycemia ba shi da yawa fiye da lokacin amfani da hormone mutum. Alƙalin sirinji a zaman wani ɓangaren magunguna yana ba da amfani mai dacewa.
