Insulin yogwira ntchito mwachidule imapangidwira odwala omwe ali ndi matenda a shuga. Pambuyo pa jekeseni, njira ya glucose imatengedwa ndi minofu yake. Mankhwalawa amaletsa mapangidwe a shuga mu chiwindi.
Dzinalo Losayenerana
Insulin.
Insuvit N cholinga chake agwiritsidwe ntchito odwala matenda a shuga.
ATX
A10AB01.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwalawa amapezeka ngati jakisoni. Kapangidwe kake kamakhala ndi 100 MO ya insulin ya anthu komanso zotulutsa:
- glycerin;
- metacresol;
- zinc oxide;
- madzi a jakisoni;
- kuchepetsedwa hydrochloric acid kapena sodium hydroxide solution.
Pali chowonjezera chowonjezera chakudya - Insuvit m'mabotolo. Chochita, chomwe chimapangidwa kuti chithandizire kuphatikiza mphamvu, chimakhala ndi zochuluka za makungwa a sinamoni ndi zipatso za momordiki. Kuphatikizikako kulinso ndi 7 mg ya vitamini PP, 2 mg ya zinc, 0,5 mg wa benfotiamine, 15 μg ya biotin, 6 μg ya chromium, 5 μg ya selenium (mwanjira ya sodium selenite), 1,2g ya vitamini B12.
Zotsatira za pharmacological
Chidacho chimatenga nawo mbali mu kagayidwe kachakudya. Insulin imatha kumangiriza ma cell ndi mafuta am'mimba. Kupanga kwa glucose m'chiwindi kumachepetsedwa ndipo kuyamwa kwa chinthuchi ndi minofu kumatha. Wothandizirayo amayamba kuchita theka la ola. Zotsatira zake zimatha maola 7 mpaka 8. Kuchuluka kwa insulin kumawonekera patatha maola awiri ndi atatu.
Bokosi la Insuvit lakonzedwa kuti lipititse mphamvu kagayidwe, kamakhala ndi zochuluka za makungwa a sinamoni ndi zipatso za momordiki.
Zakudya zowonjezera Insuvit zimasintha kukula kwa shuga. Chromium imakhudzidwa ndi kayendedwe ka kaphatikizidwe ka mafuta ndi kagayidwe kazakudya. Itha kugwiritsidwa ntchito mu zovuta za matenda a shuga mellitus, hypercholesterolemia.
Pharmacokinetics
Deta ya Pharmacokinetic imatha kukhala yosiyanasiyana mwa odwala osiyanasiyana kutengera mlingo, jakisoni, mtundu wa matenda ashuga. Patatha maola 2-3 mutatha kuyendetsa makina, plasma ndende imafika patali. Zinthu za mankhwalawa sizigwirizana ndi mapuloteni a plasma ndipo samapukusidwa. Choyeretsedwa ndi insulin protein kapena ma enzyme. Hafu yachotsedwa 2 mpaka 5 maola.
Zizindikiro zogwiritsidwa ntchito
Mankhwala amapatsidwa mankhwala a matenda a shuga kwa ana ndi akulu.
Contraindication
Ndi zoletsedwa kuyamba kulandira mankhwalawa m'magazi (osachepera 3.5 mmol / l) ndikuwonjezera chidwi cha zigawo za mankhwala.
Momwe mungatenge Insuvit N
Chidacho chitha kugwiritsidwa ntchito molumikizana ndi insulin.
Kufunika kwa insulin mwa wodwala aliyense ndikosiyana ndipo kumatha kuyambira 0,3 mpaka 1.0 IU / kg patsiku. Kuchulukitsa kwa mankhwalawa kungafunikire kunenepa kwambiri, zakudya zapadera kapena kutha msinkhu. Kuchepetsa kwa mankhwalawa kungafunikire pakuwonjezera kupanga kwa insulin mthupi.
Mlingo uyenera kusintha kutentha, matenda, impso, chiwindi, adrenal gland, chithokomiro cha chithokomiro.
Mukabaya jekeseni, malamulo otsatirawa ayenera kuwonedwa:
- Moisten thonje ubweya ndi mowa ndikuthira manyowa nembanemba.
- Pakhola la syringe, jambulani mpweya pang'ono ndikulowetsa m'botolo ndi mankhwala.
- Gwedezani botolo ndikupeza mankhwala okwanira. Musanalowe pansi pa khungu, onetsetsani kuti mulibe mpweya mu syringe.
- Ndi zala ziwiri, muyenera kupanga khola pakhungu ndikuyika syringe yoyipitsidwa.
- Ndikofunika kudikirira masekondi 6 ndikuchotsa syringe.
- Pamaso pa magazi, ubweya wa thonje umayikidwa.
Mowa umawononga insulin, chifukwa chake simuyenera kugwiritsa ntchito mankhwalawa kuti mupeze jakisoni. Malowo a jakisoni sayenera kuzilala pambuyo pa njirayi.
Mankhwalawa amaperekedwa mosavuta kapena m'mitsempha. Mutha kulowa mosadukiza m'tchafu, matako, m'mimba, minofu yofiyira ya phewa.
Ndi kukhazikitsidwa kwa mankhwalawa m'mimba, zotsatira zimachitika mwachangu. Ndikwabwino kupanga jakisoni m'malo osiyanasiyana kuti muchepetse kuwonongeka kwa mafuta. Dokotala yekha ndi amene amatha kupanga jakisoni wamkati.
Asanadye kapena pambuyo chakudya
Jekeseni limachitika theka la ola musanadye.
Kumwa mankhwala a shuga
Mankhwalawa adapangira zochizira odwala omwe ali ndi matenda a shuga. Tengani monga adalangizidwa ndi dokotala.
Zotsatira zoyipa za Insuvit N
Insuvit ikhoza kuyambitsa zotsatirazi:
- kuchepa kwa magazi ndende;
- zowonongeka zosiyanasiyana;
- kuchuluka kwakanthawi kwa matenda ashuga retinopathy;
- anaphylaxis;
- zotupa zopweteka za mitsempha ndi minofu;
- kuchepa kwamafuta.
Zizindikiro zakupezeka jakisoni, monga ululu, urticaria ndi kutupa, zimazimiririka msanga.
Zokhudza mphamvu pakuwongolera njira
Chifukwa cha zoyipa zomwe zimakhudzana ndi kusawona bwino komanso kutsata chidwi, sizikulimbikitsidwa kuyendetsa magalimoto kapena njira ndi hypoglycemia.
Malangizo apadera
Ngati mankhwala atha mwadzidzidzi kapena mutha kumwa mankhwala osakwanira, hyperglycemia imatha kuchitika. Ndi mawonekedwe a kusanza, nseru, ludzu, ludzu komanso kukodza pafupipafupi, ndikofunikira kusintha mlingo. Ngati mumalowa muyezo waukulu, glucose amatha kutsika kwambiri mpaka pamavuto.
Mankhwala si abwino kwa nthawi yayitali, yoyatsidwa, yolamulidwa.
Osagwiritsa ntchito yankho lomwe kale linali lowunduka kapena lomwe limasinthasintha mitambo.
Gwiritsani ntchito mu ukalamba
Amagwiritsidwa ntchito muukalamba. Mlingo wa tsiku ndi tsiku umaperekedwa kwa wodwala aliyense payekhapayekha, potengera zaka, matenda, komanso gawo la matenda ashuga.
Kupatsa ana
Mankhwalawa amatha kuikidwa m'magulu osiyanasiyana a ana. Mu ana, kuchuluka kwa insulini m'magazi kungasiyane. Mlingo wa mankhwalawa amayenera kusankhidwa ndi dokotala payekhapayekha, poganizira gawo lomwe matendawa ali, kulemera kwa thupi ndi msinkhu wa mwana.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Insulin sikuwoloka placenta, mankhwalawa angagwiritsidwe ntchito panthawi yomwe muli ndi pakati. Pa yoyamwitsa, kusintha kwa tsiku ndi tsiku kwa mankhwala kungafunike.
The ntchito aimpso kuwonongeka
Ndi matenda a impso ofanana, mlingo wa insulin umasinthidwa ndi dokotala.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Ndi matenda amtundu wa chiwindi, mlingo wa insulin wa tsiku ndi tsiku umasinthidwa ndi dokotala.
Zosokoneza bongo wa Insuvit N
Ngati mulingo watha, kuchuluka kwa shuga kumatha kutsikira pazofunikira kwambiri. Ndi hypoglycemia yofatsa, ndikofunikira kudya mankhwala okhala ndi shuga. Mochulukirapo, ngati chikumbumtima chachitika, glucagon amatumizidwa.
Ngati wodwala atatha kudutsa mphindi khumi ndi zisanu asanayambenso kuzindikira, ndikofunikira kuyambitsa shuga m'mitsempha. Kuti akhazikitse mkhalidwe, wodwalayo amapatsidwa chakudya chilichonse.
Kuchita ndi mankhwala ena
Amaphatikizidwa kuti aphatikizidwe ndi thiols ndi sulfite, omwe amatha kupezeka mukuphatikiza mayankho. Gwiritsani ntchito mankhwala okhawo a insulin.
Pali mankhwala omwe amachepetsa kapena kukulitsa kufunikira kwa insulin:
- Kulera kwapakamwa, octreotide, lanreotide, thiazides, glucocorticoids, mahomoni a chithokomiro, sympathomimetics, kukula kwa mahomoni ndi danazole kumawonjezera kufunikira kwa insulin.
- Othandizira a hypoglycemic othandizira, monoamine oxidase inhibitors, octreotide, lanreotide, osasankha b-blockers, angiotensin kutembenuza ma enhibme inhibitors, salicylates, anabolic steroids ndi sulfonamides amachepetsa kufunikira kwa insulin.
Ma Adrenergic blockers amatha kubisala zizindikiro za hypoglycemia ndikuletsa kuchira pambuyo pake. Akaphatikizidwa ndi thiazolidinediones, kulephera kwamtima kumatha kuchitika.
Analogi
Mankhwala ofanana:
- Actrapid HM;
- Vosulin-R;
- Gensulin P;
- Insugen-R;
- Katundu wa Insulin;
- Insuman Rapid;
- Rinsulin-R;
- Farmasulin H;
- Humodar R;
- Humulin Wokhazikika.
Asanagwiritse ntchito, dokotala amayenera kupima wodwalayo kuti apereke mlingo woyenera.
Kuyenderana ndi mowa
Ndikulimbikitsidwa kusiya mowa panthawi ya mankhwala. Kumwa zakumwa zokhala ndi ethyl kumatha kuyambitsa chitukuko cha hypoglycemia. Nthawi zambiri, phwando limayambika.
Kupita kwina mankhwala
Kodi ndingagule popanda kulandira mankhwala?
M'mafakisoni, mankhwalawa amamasulidwa malinga ndi mankhwala.
Mtengo wa Insuvit N
Mtengo wamankhwala amachokera ku ruble 560.
Zosungidwa zamankhwala
Sungani mankhwalawo pa kutentha kwa +2 mpaka + 8 ° C mufiriji. Sizoletsedwa kuti zizimitsidwa.
Tsiku lotha ntchito
Moyo wa alumali ndi zaka 2.
Botolo lotseguka limasungidwa kwa masiku 42. Kutentha sikuyenera kupitirira + 25 ° C. Botolo lotseguka siliyenera kuzizira dzuwa.
Wopanga
PJSC Farmak, Biocon Limited, India.
Ndemanga za Insuvit N
Valeria, wazaka 36
Mankhwalawa adalembera mtundu wa shuga 1. Mlingo wake unasankhidwa mosamala kuti magazi asasinthe mwadzidzidzi. Panthawi yamankhwala, adazindikira kutopa pang'ono komanso chizungulire, koma Zizindikiro zake zidathera mwachangu. Ndili wokondwa ndi zotsatira zake.
Anatoly, wazaka 43
Ndimagwiritsa ntchito mankhwalawa limodzi ndi insulin. Zotsatira zabwino, mtengo wololera. Jekeseni adapangidwa mu ntchafu, ndipo tsamba la jakisoni lidazizira pang'ono. Panali zowawa komanso zosangalatsa. Zinthu zinayamba kukhala bwino patadutsa sabata limodzi. Ndikukonzekera kupitiliza chithandizo.
Evgeny Alexandrovich, wothandizira
Insuvit N imalekeredwa bwino ndi odwala omwe ali ndi matenda osiyanasiyana a shuga. Musanapereke mankhwala, zinthu zambiri zimaphunziridwa, kuphatikizapo mkhalidwe wodwala, gawo la msokonezo, komanso msinkhu. Insuvit ndi mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda. Zakudya zowonjezera zimakhala ndi mchere, mavitamini ndi zina zouma zomera. Imasintha ntchito ya endocrine glands, imabwezeretsa chakudya komanso mphamvu ya metabolism.