Actrapid NM Penfill ndi mankhwala omwe angathe kubayidwa omwe ali ndi vuto la hypoglycemic pochiza matenda a shuga omwe amadalira mtundu wa insulin.
Dzinalo Losayenerana
Insulin munthu.
Dzina ladziko lonse losagwirizana ndi mankhwalawa Actrapid NM Penfill ndi munthu wa insulin.
ATX
A10AB01 - insulin yochepa.
Kutulutsa mafomu ndi kapangidwe kake
Njira yothandizira, bwino, palibe mtundu. Chopanga chachikulu: insulin yaumunthu inayambira sungunuka. 100 IU ili ndi 3.5 mg, 1 IU ili ndi insulin ya 0.035. Zowonjezera: sodium hydroxide (2,5 mg), madzi a jakisoni (1 mg), hydrochloric acid (1.7 mg), nthaka chloride (5 mg), glycerin (16 mg), metacresol (3 mg).
Zotsatira za pharmacological
Kachigawo kameneka kamalowa m'maselo kudzera m'matumbo awo, kumalumikizana ndi ma membrane, ndikupanga phosphorylation ya mapuloteni am'maselo.
Kuchita ndi gawo linalake la plasma nembanemba imathandizira kulumikizana kwa glucose m'maselo, kumathandizira kuyamwa kwake mu minofu yofewa ya thupi, komanso kufalikira msanga mu glycogen. Mankhwalawa amawonjezera kuchuluka kwa glycogen yachedwa mu minyewa ya minofu, yolimbikitsa njira ya peptide synthesis.
Pharmacokinetics
Mlingo wa mayamwidwe umatengera momwe mankhwalawo adagwirira ntchito (intramuscularly or intravenously), ndi malo opaka jekeseni - m'misempha ya ntchafu, pamimba kapena matako.
Zotsatira zoyambirira zoyendetsera mankhwala zimachitika mu theka la ola, mutatha maola 1-3. Kutalika kwa mankhwalawa ndi maola 8.
Zotsatira zoyambirira zoyendetsedwa ndi Actrapid NM Penfill zimachitika mu theka la ola, nthawi yayitali ya maola 1-3.
Zizindikiro zogwiritsidwa ntchito
Amagwiritsidwa ntchito pochiza matenda amtundu wa I ndi mtundu wachiwiri wa shuga. Zizindikiro zina:
- kukana kwa thupi mankhwala ena a hypoglycemic sipekitiramu;
- mimba
- kukonzanso nthawi atachitidwa opaleshoni.
Kuphatikiza chithandizo, chimagwiritsidwa ntchito ngati wodwala akukana pang'ono mankhwala ena mgululi.
Contraindication
Malangizowa akuwonetsa zoletsa kugwiritsa ntchito Actrapid NM Penfill:
- hypoglycemia;
- insulinoma.
Sizoletsedwa kugwiritsa ntchito mankhwala ngati wodwala ali ndi vuto lodana ndi jakisoni wa insulin.
Ndi chisamaliro
Ndi kusintha kwa mlingo wa munthu aliyense komanso kuyang'anira thanzi nthawi zonse, amalembedwa kwa odwala omwe ali ndi matenda a chiwindi ndi impso, kusokonezeka kwa pituitary, adrenal gland ndi chithokomiro.
Momwe mungatengere Actrapid NM Penfill
Kwa wodwala aliyense, muyenera kusankha mtundu wa insulin. Ngati mtsempha wa magazi akufunika, ndiye wodziwa ntchito zamankhwala yekha amene angathe kubaya. Mlingo wovomerezeka tsiku lililonse ndi 0,3-1 IU pa 1 kg ya kulemera kwa wodwala. Kuchulukitsa kwa miyeso kumaloledwa kwa anthu omwe amapezeka kuti ali ndi vuto lalikulu la insulin, mwachitsanzo, achinyamata kapena anthu onenepa kwambiri.
Kuti mupeze jakisoni, muyenera kuyikamo katemera wa insulin. Pambuyo pa jekeseni, siya singano pansi pa khungu kwa masekondi 5-6, kanikizani piston ya cholembera-penrolo; Izi zimathandizira kukonzekera kwathunthu kwa mankhwalawa.
Kugwiritsa ntchito makatiriji a Actrapid, ndi ma syringes a Innovo, NovoPen 3 ndi NovoPen 3 Demi okha omwe angagwiritsidwe ntchito. Ngati katiriji mu syringe wa insulini wayika bwino, mzere wamtundu wautundu udzaoneka pa cholembera.
Kukhazikitsidwa kwa jakisoni wa insulin mu kama wama venous mwachindunji kuchokera kuma cartridge amaloledwa pokhapokha. Njira yothetsera vutoli imaphatikizidwa ndi cholembera cha insulin, yoyendetsedwa kudzera m'matumba a kulowetsedwa.
Mankhwala chikuyendetsedwera theka la ola pamaso chakudya chachikulu. Chiwerengero cha jakisoni ndi katatu patsiku. Woopsa milandu matenda, amaloledwa kusintha mlingo mpaka 5 ndi 6 pa tsiku.
Makatiriji a Actrapid amangogwiritsidwa ntchito ndi zolembera za Innovo, NovoPen 3 ndi NovoPen 3 Demi.
Ndi matenda ashuga
Kufunika kwa insulin ya thupi kumachokera ku 0,3 mpaka 1 IU pa 1 kg ya kulemera kwa thupi patsiku, ndikugawidwa pazidutswa zitatu, ndikusinthidwa kosalekeza kwa malo a jekeseni.
Zotsatira zoyipa za Actrapid NM Penfill
Zizindikiro zoyipa zimakwiyitsidwa ndi kuphwanya kwa kagayidwe kazakudya kamene kamapanga chiwindi cha hypoglycemia ndipo zimawonekera mu:
- kutsekeka kwa khungu;
- thukuta kwambiri;
- kusokonezeka kwa tulo, kusowa tulo;
- kugwedezeka kwamalire am'mwamba ndi otsika;
- zokonda mtima.
Momwe thupi limasokoneza mawonekedwe a khungu lotupa silimawonedwa kawirikawiri.
Zokhudza mphamvu pakuwongolera njira
Jakisoni angapo oyamba a insulin angayambitse kuwonongeka kwakanthawi, kuperewera, komanso kuchepa kwa ndende. Ndikulimbikitsidwa kuti musiyire kuyendetsa galimoto ndikugwira ntchito ndi njira zovuta kuzifukwa zotetezeka.
Malangizo apadera
Mankhwalawa amagwiritsidwa ntchito pochiza pamodzi ndi mankhwala ena omwe ali ndi insulin, koma pokhapokha ngati dokotala amuloleza. Odwala omwe amalandira insulin tsiku lililonse mu mayunitsi 100, ndikusintha kwa mankhwala ena ayenera kuyang'aniridwa ndi madokotala kuchipatala.
Popeza uku ndi insulin yochepa, kugwiritsidwa ntchito kwake kumaloledwa kuphatikiza ndi kukonzekera kwa insulin yayitali. Kumayambiriro kumachitika makamaka mu minofu yamkati mwam'mimba. Mchiuno kapena phewa amatha kugwiritsidwa ntchito ngati pakuyambitsa izi sizikuyambitsa zovuta kwa wodwala. Kukhazikitsidwa kwa khoma lam'mimba kumapereka njira yodziwira bwino kwambiri ya insulin kuposa kumayambiriro kwa mankhwalawa.
Malo oyenera a jakisoni wodziimira pawokha ndi khola la khungu lomwe limayenera kukokedwa bwino. Izi zimalepheretsa chiopsezo cholowera mwadzidzidzi singano kulowa mu minofu.
Kusintha kwa mlingo wa munthu payekha kungafunike ngati wodwala wasintha kuchuluka kwa zochitika zolimbitsa thupi kapena zakudya. Onetsetsani kuti mwasintha mlingo wa insulin mothandizidwa ndi mankhwala ena.
Gwiritsani ntchito mu ukalamba
Ngati palibe kulephera kwa mtima ndi matenda ena, kusintha kwa insulin sikofunikira.
Kupatsa ana
Palibe zolakwika zakagwiritsidwe ntchito pa Actrapid NM Penfill.
Palibe zolakwika zakagwiritsidwe ntchito pa Actrapid NM Penfill.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Kuchuluka kwa mankhwalawa tsiku lililonse panthawi yoyembekezera kumakhala kusinthidwa pafupipafupi (momwe mwana wakhanda amakula ndipo thupi la mkazi limafunikira insulin yambiri). Chofunikira komanso zothandizira pakupanga mankhwala sizipereka chotchinga cha placenta. Mankhwalawa amatengedwa ndi mayi pamene akuyamwitsa popanda chiwopsezo chilichonse kwa mwana.
The ntchito aimpso kuwonongeka
Gwiritsani ntchito mosamala, poyang'anira nthawi zonse momwe thupi limagwirira ntchito komanso momwe likugwirira ntchito.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Kuti mudziwe kuchuluka kwa mankhwalawo mosamala, kuyezetsa magazi ake ndi momwe amagwirira ntchito.
Mankhwala ochulukirapo a Actrapid NM Penfill
Mlingo umodzi wa mankhwala ungapangitse kuti muwoneke msanga vuto la hypoglycemia. Zizindikiro za mankhwala osokoneza bongo: kumva mwamphamvu njala, kupweteka, kutulutsa thukuta, kuzizira kwa khungu, kukondoweza mtima. Mlingo wambiri ungayambitse nseru komanso kusanza, kupweteka kwambiri mutu.
Gawo loopsa la hypoglycemia limabweretsa kusintha kwakanthawi kapena kosasinthika pakugwira ntchito kwa ubongo, kumafuna kuti agonekere kuchipatala mwachangu chifukwa cha chiwopsezo cha kufa. Mankhwala osokoneza bongo: ngati munthu akudziwa, amaloledwa kudya shuga kuti azisintha kuchuluka kwa shuga m'magazi. Kwa odwala omwe sangathe kudya shuga woyengedwa, njira ya shuga imayendetsedwa kuti abwezeretse ndende yamagazi.
Kuchita ndi mankhwala ena
Kuchita kwa insulin kumawonjezeka motsogozedwa ndi Mao inhibitors, anabolic steroids, maantibayotiki kuchokera pagulu la tetracycline, mankhwala omwe amakhala ndi ethanol, sulfonamides komanso osasankha beta-blockers.
Kuchita bwino kwa mankhwala a insulini kumachepetsa pamene mukumwa mankhwala oletsa kubereka a pakamwa, mahomoni a chithokomiro, komanso mankhwala okhala ndi lifiyamu.
Kusintha kwa zotsatira za hypoglycemic ya mankhwalawa (kumbuyo ndi pansi) kumawonedwa ndikugwiritsa ntchito munthawi yomweyo ndi salicylates ndi reserpine.
Kuyenderana ndi mowa
Zakumwa zoledzeretsa nzoletsedwa.
Analogi
Kukonzekera ndi mawonekedwe ofanana: Gensulin, Insulin Asset, Insuman Rapid, Farmasulin N, Humodar R, Humulin Regular.
Kupita kwina mankhwala
Kugulitsa mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Zosatheka.
Mtengo
Mtengo kuchokera ku 830 rub.
Zosungidwa zamankhwala
Sungani makatiriji mufiriji pamtunda wa kutentha kwa + 2 ... + 8 ° С. Kuzizira kwa mankhwalawo ndizoletsedwa. Katoni yomwe imagwiritsidwa ntchito sikulimbikitsidwa kuti isungidwe mufiriji.
Tsiku lotha ntchito
Zaka 2,5. Kugwiritsa ntchito insulin m'tsogolo ndizoletsedwa.
Wopanga
Novo Nordisk A / S.
Novo Alle, DK-2880, Bugswerd, Denmark.
Woimira Office Novo Nordisk A / S., Moscow, Russia.
Muyenera kusungira makatiriji a Actrapid NM Penfill mufiriji pamtunda wa kutentha kwa + 2 ... + 8 ° С.
Ndemanga
Karina, wazaka 42, Murmansk: "Ndakhala ndi matenda ashuga kwa zaka zambiri. Ndayesa mankhwala ambiri kuyambira nthawi yomwe amandipeza, koma mpaka pano ndasankha ku Actrapide NM Penfill. Chida chabwino chomwe chimathandizira matenda a shuga m'mphindi, chofunikira makamaka ngati Zinthu zimayamba kukhala zovutirapo. sizimayambitsa mavuto, ndi kosavuta kugwiritsa ntchito cartridge. "
Olga, wazaka 38, Ryazan: "Amayi anga ali ndi matenda ashuga omwe akhala akudziwa kwa zaka zambiri. Pomwe dotolo adapereka mankhwala awa, ma insulin ambiri adayesedwa, mwanjira inayake samakwanira bwino. Panalibe jakisoni kapena zoyipa zambiri. Actrapida NM Penfill ndiwopindulitsa kwambiri kwa amayi anga, osagwirizana ndi zoyipa zilizonse, zimagwira ntchito mwachangu, mtengo wokwanira komanso utsogoleri wabwino. "
Andrey, wazaka 45, Mariupol: "Ndakhala ndikugwiritsa ntchito mankhwalawa kwa zaka ziwiri tsopano. Palibe zotsatira zoyipa, zimagwira ntchito mwachangu. Madokotala amamutamandanso chifukwa ndi insulin ya anthu osati nyama, monga mankhwala ena ambiri. Ndalama zovomerezeka. Zovutazo ndizabwino kwambiri. kukula kwa ma ampoules, ndichifukwa chake si zolembera zonse za syringe sizoyenera, zomwe mwina sizingakhale zothandiza nthawi zina. Komabe, insulin iyi imandikwana. "
