Rosinsulin P ndi insulin yamakono yochizira matenda amtundu wa 1 komanso mtundu wa 2 matenda osokoneza bongo pakulimbana ndi mankhwala amkamwa ochepetsa shuga.
Dzinalo Losayenerana
Soluble insulin (umisiri wa majini a anthu)
Rosinsulin P ndi insulin yamakono yochizira matenda amtundu wa 1 komanso mtundu wa 2 matenda osokoneza bongo pakulimbana ndi mankhwala amkamwa ochepetsa shuga.
ATX
A10AB01. Amatanthauzanso kugwiritsa ntchito mankhwala osokoneza bongo aafupi.
Kutulutsa mafomu ndi kapangidwe kake
Imapezeka ngati jakisoni. Mu 1 ml ya yankho limaphatikizanso insulin ya anthu - 100 IU. Zikuwoneka ngati madzi oyera, mitambo ikuloledwa.
Zotsatira za pharmacological
Ndi analogue ya insulin yamunthu, yomwe imapezeka pogwiritsa ntchito deoxyribonucleic acid. Izi insulin imalumikizana ndi ma membrane a membrane wa cytoplasm ndikupanga zovuta. Zimapangitsa chidwi chakuchulukirapo kwa kapangidwe ka hexokinase, pyruvate kinase, glycogen synthetase, etc.
Insulin imatsitsa kuchuluka kwa shuga chifukwa kuchepa kwa kayendedwe mkati mwa maselo, kumathandizira kuyamwa kwake. Zimathandizira kukulitsa mapangidwe a glycogen ndikuchepetsa kukula kwa kaphatikizidwe ka shuga m'chiwindi.
Kutalika kwa ntchito ya mankhwalawa kumachitika chifukwa cha kuyamwa kwake. Mbiri yamachitidwe imasiyanasiyana mwa anthu osiyanasiyana, poganizira mtundu wa zamoyo ndi zinthu zina.
Zochitikazo zimayamba theka la ola mutatha jakisoni, zotsatira zake zapamwamba - pambuyo pa maola 2-4. Kutalika konse kwa kuchitapo mpaka maola 8.
Pharmacokinetics
Kuchuluka kwa mayamwa ndi kuyamba kwake kumadalira njira yothetsera jakisoni. Kugawa kwa zigawo zikuluzikulu kumachitika chimodzimodzi. Mankhwalawa samalowetsa chotchinga ndi mkaka wa m'mawere, kuti mutha kuperekera amayi apakati komanso oyembekezera.
Insulin imatsitsa kuchuluka kwa shuga chifukwa kuchepa kwa kayendedwe mkati mwa maselo, kumathandizira kuyamwa kwake.
Zimapukusidwa mu chiwindi ndi enzyme insulinase. Kuchotsa theka-moyo kuli pafupifupi mphindi zochepa.
Zizindikiro zogwiritsidwa ntchito
Amasonyezedwa zochizira matenda osokoneza bongo ndi pachimake zinthu, limodzi ndi kuphwanya chakudya kagayidwe, makamaka, hyperglycemic chikomokere.
Contraindication
Yogwirizana ndi kukhudzika kwakukulu kwa insulin, hypoglycemia.
Ndi chisamaliro
Insulin yamtunduwu imayikidwa mosamala ngati wodwala amakonda kuchita hypoglycemic. Zomwezo zimagwiranso ntchito ku matenda a chithokomiro.
Momwe mungatenge Rosinsulin P?
Njira yothetsera insulin iyi imapangira jakisoni wamkati, mu mnofu ndi mtsempha.
Ndi matenda ashuga
Mlingo ndi njira yothetsera jakisoni imatsimikiziridwa ndi endocrinologist mosasamala. Chizindikiro chachikulu chomwe mlingo umatsimikiziridwa ndi mulingo wa glycemia. Kwa 1 kg ya kulemera kwa odwala, muyenera kulowa kuchokera ku 0,5 mpaka 1 IU ya insulin tsiku lonse.
Amayambitsidwa theka la ola lisanadye chakudya chachikulu kapena chakudya. Kutentha kwa yankho ndi kutentha kwa m'chipinda.
Ndi kuyambitsa insulin imodzi yokha, kuchuluka kwa jakisoni kumachitika katatu patsiku. Ngati ndi kotheka, jakisoni amaikidwa kangapo patsiku 6. Ngati mlingo umaposa 0,6 IU, ndiye kuti nthawi imodzi muyenera kuchita jakisoni 2 m'malo osiyanasiyana a thupi. Jakisoni amapangidwa m'mimba, ntchafu, matako, phewa.
Musanagwiritse ntchito cholembera, muyenera kuwerenga malangizo.
Musanagwiritse ntchito cholembera, muyenera kuwerenga malangizo. Kugwiritsa ntchito cholembera pamafunika ntchito zotsatirazi:
- koka kapu ndikuchotsa kanemayo ku singano;
- pukuta ku cartridge;
- chotsani mpweya ku singano (chifukwa muyenera kukhazikitsa mayunitsi 8, gwiritsani syringe mwachidule, konzani pang'onopang'ono ndikuchepetsa ziwalo ziwiri mpaka dontho la mankhwala lithe kumapeto kwa singano);
- pang'onopang'ono tembenuzani wosankha mpaka mlingo womwe mukufuna;
- ikani singano;
- kanikizani batani la shutter ndikuligwira mpaka mzere pa chosankhiracho ubwerere pomwe uli;
- gwerani singano kwa masekondi 10 ena ndikuchotsa.
Zotsatira zoyipa
Mankhwalawa amatha kuyambitsa zotsatira zoyipa, zoopsa kwambiri zomwe ndi hypoglycemic coma. Mlingo wolakwika wa matenda a shuga 1 amatsogolera ku hyperglycemia. Amayenda pang'onopang'ono. Mawonetsero ake ndi ludzu, nseru, chizungulire, mawonekedwe a fungo losasangalatsa la acetone.
Pa mbali ya ziwalo zamasomphenya
Kaŵirikaŵiri sizimayambitsa kuwonongeka kwamawonekedwe amtundu wamaso owoneka kawiri kapena zinthu zopanda pake. Kumayambiriro kwa chithandizo, kuphwanya kwapang'onopang'ono kwa kutulutsa kwamaso ndikotheka.
Dongosolo la Endocrine
Hypoglycemia, limodzi ndi khungu la pakhungu, kumachitika kwambiri, thukuta lozizira, kunjenjemera kwa malekezero, kukulitsa chilakolako chofuna kudya.
Matupi omaliza
Thupi lawo siligwirizana nthawi zambiri limachitika ngati zotupa ndi zotupa pakhungu ndi edema, kawirikawiri urticaria. Nthawi zina, anthu amatha kudana ndi anaphylactic.
Zokhudza mphamvu pakuwongolera njira
Chifukwa Popeza chipangizo chachipatala chimatha kudzetsa nkhawa, hypoglycemia, chisamaliro chapadera chiyenera kuchitika mukamayendetsa ndikugwira ntchito ndi zida.
Malangizo apadera
Njira yothetsera vutoli sayenera kugwiritsidwa ntchito ngati kwatentha kapena kwazizira. Poyerekeza ndi momwe chithandizo chikuwonekera, zizindikiro za shuga ziyenera kuyang'aniridwa nthawi zonse. Mlingo wa mankhwala tikulimbikitsidwa kuti asinthidwe matenda, matenda a chithokomiro, matenda a Addison, matenda a shuga mwa anthu opitirira zaka 65. Zomwe zimayambitsa dziko la hypoglycemic ndi:
- kusintha kwa insulin;
- kudumpha chakudya;
- kusanza kapena kusanza;
- kuchuluka zolimbitsa thupi;
- hypofunction wa adrenal kotekisi;
- matenda a impso ndi chiwindi;
- kusintha kwa jekeseni.
Mankhwalawa amachepetsa thupi kulolera kwa ethanol.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Palibe choletsa kugwiritsa ntchito mankhwalawa panthawi yapakati. Insulin yochepa iyi siyowopsa kwa mwana wosabadwayo. Pakupereka, mlingo umachepetsedwa, koma mwana atabadwa, mlingo woyambirira wa mankhwalawa umayambiranso.
Njira yoyamwitsa amayi ndiyabwino kwa mwana.
Palibe choletsa kugwiritsa ntchito mankhwalawa panthawi yapakati.
Kupangira Rosinsulin P kwa ana
Kukhazikitsa insulin kwa ana kumachitika pokhapokha ngati dokotala akuwalimbikitsa.
Gwiritsani ntchito mu ukalamba
Nthawi zina kusintha kwa ntchito ya wothandizirayi kumafunikira.
The ntchito aimpso kuwonongeka
Mavuto akulu amafunika kusintha kwa mlingo.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Kuchepetsa Mlingo ndikofunikira kwa matenda owopsa a chiwindi.
Bongo
Ndi mankhwala osokoneza bongo, odwala amakhala ndi hypoglycemia. Mlingo wofatsa umachotsedwa ndi wodwalayo payekha. Kuti muchite izi, idyani zakudya zochepa zopatsa mphamvu. Poletsa hypoglycemia panthawi, wodwala amafunika kukhala naye nthawi zonse pazinthu zokhala ndi shuga.
Wodwala kwambiri, wodwala amadzazindikira, ali kuchipatala, dextrose ndi glucagon amaperekedwa iv. Akazindikira kuti munthu wabwinobwino, ayenera kudya maswiti. Izi ndizofunikira popewa kuyambiranso.
Kusuta kumathandizira kuwonjezera shuga.
Kuchita ndi mankhwala ena
Mankhwalawa amalimbikitsa hypoglycemic zotsatira:
- Bromocriptine ndi Octreotide;
- mankhwala a sulfonamide;
- anabolics;
- tetracycline mankhwala;
- Ketoconazole;
- Mebendazole;
- Pyroxine;
- mankhwala onse okhala ndi ethanol.
Kuchepetsa vuto la hypoglycemic:
- kulera kwamlomo;
- mitundu ina ya okodzetsa;
- Heparin;
- Clonidine;
- Phenytoin.
Kusuta kumathandizira kuwonjezera shuga.
Kuyenderana ndi mowa
Kumwa mowa kumawonjezera chiopsezo cha hypoglycemia.
Analogi
Analogues a Rosinsulin P ndi:
- Actrapid NM;
- Biosulin P;
- Gansulin P;
- Gensulin P;
- Insuran P;
- Humulin R.
Kusiyana pakati pa Rosinsulin ndi Rosinsulin P
Mankhwalawa ndi mtundu wa Rosinsulin. Rosinsulin M ndi C. akupezekanso.
Zotsatira za tchuthi cha Rosinsulin R kuchokera ku pharmacy
Mankhwalawa amaperekedwa kuchokera ku mankhwala pokhapokha atapereka chikalata chachipatala - mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Ayi.
Mtengo wa Rosinsulin P
Mtengo wa cholembera cha insulin iyi (3 ml) ndi pafupifupi ma ruble 990.
Zosungidwa zamankhwala
Malo abwino kwambiri osungira insulin iyi ndi firiji. Pewani mankhwala ozizira. Sayenera kugwiritsidwa ntchito pambuyo pozizira. Botolo losindikizidwa limasungidwa kutentha kwa nthawi yosapitilira milungu 4.
Tsiku lotha ntchito
Yoyenera kugwiritsidwa ntchito mkati mwa zaka 3 kuyambira tsiku lopangidwa.
Wopanga Rosinsulin P
Amapangidwa ku LLC Medsintez, Russia.
Ndemanga za Rosinsulin P
Madokotala
Irina, wazaka 50, wodwala matenda am'madzi, ku Moscow: "Izi ndi inshuwaransi yochepa, yomwe imaperekedwa kwa odwala omwe ali ndi matenda a shuga 1 monga njira yowonjezeranso mitundu ina ya insulin. Imakhala ndi zotsatira zabwino asanadye. zowonjezera pakugwiritsa ntchito mankhwala kuti muchepetse shuga m'magazi. Ndi malingaliro onse, zotsatira zoyipa sizipezeka. "
Igor, wazaka 42, wodwala matenda a endocrinologist, Penza: "Njira za matenda a Rosinsulin R zatsimikizira kuti ali ndi matenda osiyanasiyana amtundu wa 1. Odwala amalekerera mankhwalawa, ndipo akudya sakhala ndi hypoglycemia."
Odwala
Olga, wazaka 45, Rostov-on-Don: "Izi ndi insulin, zomwe zimathandizira kuyang'anira chizindikiritso cha glucose pamlingo wabwinobwino. Ndilibayitsa theka la ola musanadye, nditatha sindimva kuwonongeka kulikonse.
Pavel, wazaka 60, ku Moscow: "Nthawi zambiri ndimamwa mankhwala a insulin, omwe amachititsa kuti ndikhumudwitse mutu komanso ndawonongeka. Nditasinthanitsa ndi Rosinsulin P, thanzi langa lidayamba kuyenda kangapo ndipo usiku kukoka ndidayamba kuchepa. Ndidawona kusintha pang'ono."
Elena, wazaka 55, Murom: "Nditangoyamba kumwa mankhwala a insulin, ndinadukiza m'maso mwanga ndipo ndinadwala mutu. Pambuyo patatha milungu iwiri ndinadwala ndipo matenda onse obwera chifukwa cha insulin anatha. Ndilibaya katatu katatu patsiku, kawirikawiri pomwe pakufunika kuchuluka kwa mankhwala "
