Humulin M3 ndi mankhwala ozikidwa ndi insulin ya anthu. Amagwiritsidwa ntchito pochiza mtundu wodwala matenda a shuga.
Dzinalo Losayenerana
Insulin (Anthu)
Humulin M3 ndi mankhwala ozikidwa ndi insulin ya anthu.
ATX
A10AD01 - insulin yaumunthu.
Kutulutsa mafomu ndi kapangidwe kake
Kuyimitsidwa kwa jakisoni, wopezeka ndimankhwala awiri osakanikirana - Humulin Regular and NPH. Chopanga chachikulu: insulin yaumunthu. Zogwirizana: glycerol, madzi phenol, protamine sulfate, metacresol, sodium hydroxide solution, hydrochloric acid. Wogulitsidwa m'mabotolo - makatiriji omwe amaikidwa mu cholembera chapadera.
Zotsatira za pharmacological
Mankhwalawa amakhala ndi nthawi yayitali yoti achitidwe. Zimakhudza kagayidwe kachakudya, kukhazikitsa kagayidwe kachakudya ka magazi. Zimakhudza njira zotsutsana ndi catabolic ndi anabolic mu zimakhala zofewa (kaphatikizidwe wa glycogen, mapuloteni ndi glycerin). Insulin imakhudzanso mafuta, imathandizira njira yakuwonongeka kwawo.
Kuchulukitsa njira ya mayamwidwe amino acid ndi munthawi yomweyo zotupa za ketogeneis, gluconeogeneis, lipolysis ndi amino acid kumasulidwa.
Humulin M3 imagulitsidwa m'mabotolo - makatiriji, omwe amaikidwa mu cholembera chapadera.
Pharmacokinetics
Insulin yaumunthu, yomwe ndi gawo la mankhwalawa, imapangidwa pogwiritsa ntchito CD ya recombinant. Thupi lomwe lili mthupi limayamba kugwira ntchito theka la ola pambuyo popereka. Chiwonetsero cha ntchito yabwino chimawonedwa mkati mwa maola 1-8. Kutalika kwa mankhwalawa ndi maola 15.
Kuthamanga kwa mayamwidwe kumadalira gawo liti la insulin ya thupi - matako, minofu kapena ntchafu. Kugawa minofu sikofanana. Kulowera kudzera mu chotchinga ndi mkaka wa m'mawere siili.
Kuchoka m'thupi kudzera mu impso ndi mkodzo.
Zizindikiro zogwiritsidwa ntchito
Amagwiritsidwa ntchito pochiza matenda a shuga a mtundu wodalira insulin, omwe amafunikira kukonzanso shuga ya magazi kunyumba.
Contraindication
Malangizo ogwiritsa ntchito amachenjeza za kuletsa kugwiritsa ntchito mankhwalawa ndi anthu omwe ali ndi hypersensitivity pazinthu zina za mankhwalawa.
Ndi chisamaliro
Sitikulimbikitsidwa kuti mugwiritse ntchito ndi hypoglycemia.
Kodi mutenge Humulin M3?
Mlingo wa akulu ndi ana ndiwawokha ndipo amawerengedwa ndi adokotala, kutengera zofuna za thupi za insulin. Jekeseni wamphamvu kwambiri amapangidwa, ndimaletsedwa jekeseni kulowa insulin. Kukhazikitsidwa kwa mankhwala mu ulusi wa minofu kumaloledwa, koma pokhapokha.
Pamaso jakisoni, kuyimitsidwa kuyenera kutenthetsedwa kutentha kwa firiji. Tsamba la jakisoni ndi gawo lam'mimba, matako, ntchafu kapena phewa.
Ndikulimbikitsidwa kuti nthawi zonse musinthe jakisoni.
Kuti akonze kuyimitsidwako, cartridge iyenera kuzunguliridwa kanthawi kochepa ndi magawo zana ndi masana ndi magawo zana limodzi kuti njirayi igawiridwe moyenerera pa botolo. Kuyimitsidwa kophatikizidwa bwino kuyenera kukhala kosamveka, ndi mtundu wa milky, yunifolomu. Ngati mtundu wa kuyimitsidwa ndi wosasiyana, muyenera kubwereza kunyengerera. Pansi pa makatoni ndi mpira wocheperako womwe umathandizira kusakaniza. Kugwedeza katoni ndi koletsedwa, izi zidzatsogolera kuoneka ngati thovu poyimitsidwa.
Musanayambitse mlingo womwe umafunikira, khungu liyenera kukokedwa pang'ono kuti singano isakhudze chotengera, ikani singano, ndikulowetsanso syringe. Siyani singano ndi pisitoni wopanikizika kwa masekondi 5 mutatha kutsata insulin. Ngati, mutachotsa singano, mankhwala amathothomoka, zikutanthauza kuti sanagwiridwe ntchito mokwanira. Dontho limodzi likangosiyidwa pa singano, izi zimatengedwa ngati zabwinobwino ndipo sizikhudza mlingo wovomerezeka wa mankhwalawo. Pambuyo pochotsa singano, khungu silingathe kutukutidwa ndikutsukidwa.
Kumwa mankhwala a shuga
Mlingo wapamwamba wa syringe ndi 3 ml kapena 300 magawo. Jakisoni m'modzi - mayunitsi 1-60. Kuti muyike jakisoni, muyenera kugwiritsa ntchito cholembera cha syringe ndi QuickPen ndi singano kuchokera ku Dickinson ndi Company kapena Becton.
Zotsatira zoyipa
Pezani nthawi pamene mulingo wapitilira ndipo njira yolandirira ikuphwanyidwa.
Dongosolo la Endocrine
Nthawi zambiri, hypoglycemia yoopsa imachitika mwa odwala, imapangitsa kuti munthu asamadziwe, nthawi zambiri amayamba kuphwanya, ndipo nthawi zambiri imayambitsa kufa.
Matupi omaliza
Nthawi zambiri - thupi lawo siligwirizana mu mawonekedwe a redness ndi kutupa, kutupa, kuyabwa kwa khungu. Pafupipafupi, zimachitika mwatsatanetsatane zomwe zimakhala ndi zizindikiro zotsatirazi: kufupika kwa mpweya, kutsika magazi, kutuluka kwambiri, kuyabwa kwa khungu.
Zokhudza mphamvu pakuwongolera njira
Ndikofunikira kupewa kuyendetsa galimoto ndikugwira ntchito ndi zovuta ngati wodwalayo akukhala ndi hypoglycemia, akuwonetsedwa kuchepa kwa chidwi ndi kugunda kwake, komanso kukomoka.
Ngakhale mutamwa Humulin M3, muyenera kupewa kuyendetsa galimoto.
Malangizo apadera
Kusintha kwa insulin ya wopanga wina kapena mtundu wina uyenera kuchitika mosamalitsa ndi woyang'anira. Wodwala akachotsedwa kuchokera ku insulin ya nyama kupita kwa munthu, mlingo uyenera kusinthidwa, chifukwa zotsogola kwa chitukuko cha hypoglycemia atatenga nyama insulin akhoza kusintha chikhalidwe chawo ndi mphamvu, osiyana ndi chithunzithunzi cha chiberekero cha anthu.
Kuchiza kwambiri kwa insulin kungathandize kuchepetsa kuchuluka kwa zizindikiritso za hypoglycemia kapena kuziimitsa kwathunthu, wodwala aliyense ayenera kudziwa izi.
Ngati, mutachotsa singano, madontho ochepa a insulin adagwa kuchokera kwa iye, ndipo wodwalayo alibe chitsimikizo ngati wapeza jakisoni yonse, ndizoletsedwa kuyambiranso kumwa. Kusinthana kwa gawo la jakisoni wa singano kuyenera kuchitika m'njira yoti jakisoni iikidwa pamalo amodzimodzi osaposa nthawi 1 m'masiku 30 (pofuna kupewa kuyipa).
Mlingo wa Humulin M3 mwa amayi apakati umasinthidwa nthawi yonse ya bere.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Mlingo wa amayi apakati uyenera kusinthidwa nthawi yonse ya bere poganizira zosowa za thupi. Trimester yoyamba - mlingo umachepa, wachiwiri ndi wachitatu - kuchuluka. Insulin yaumunthu siyitha kudutsa mkaka wa m'mawere, chifukwa chake imavomerezedwa kuti igwiritsidwe ntchito ndi amayi omwe akuyamwitsa.
The ntchito aimpso kuwonongeka
Matenda a impso angayambitse kuchepa kwa kufunika kwa insulin, kotero kusankha kwa payekha kumafunika.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Kukanika kwa hepatatic kumachepetsa kufunikira kwa insulin, motere, mlingo wa mankhwalawa umasinthidwa payekhapayekha.
Kukhala kwa hepatatic kumachepetsa kufunafuna kwa insulin.
Bongo
Imadziwoneka yokha mu kukula kwa hypoglycemia. Zizindikiro za bongo:
- chisokonezo ndi kusokonezeka kwa chikumbumtima;
- mutu
- thukuta;
- ulesi ndi kugona;
- tachycardia;
- kusanza ndi kusanza.
Hypoflycemia yofatsa safuna chithandizo.
Kuti muchepetse zizindikiro, tikulimbikitsidwa kudya shuga. Hypoglycemia yolimbitsa thupi imayimitsidwa ndikuyendetsa kwa glucogan pansi pa khungu komanso kudya mafuta.
Kwambiri hypoglycemia, limodzi ndi chikomokere, matenda a minyewa, minyewa, amathandizidwa ndi mtsempha wowonjezera wa kuchuluka kwa shuga kuchipatala.
Kuchita ndi mankhwala ena
Kuchita bwino kwa mankhwalawa kumachepa mchikakamizo cha mahomoni a chithokomiro, Danazole, mahomoni okula, chabwino, okodzetsa ndi corticosteroids.
Hypoglycemic zotsatira za mankhwalawa zimachulukitsidwa tikamamwa pamodzi ndi mao zoletsa, mankhwala omwe amakhala ndi ethanol.
Ngati bongo wa Humulin M3, mutu ungachitike.
Kusintha kwa kufunika kwa insulin (mmwamba ndi pansi) kumachitika ndikamayendedwe omwe amakhala ndi beta-blockers, clonidine, ndi reserpine.
Sizoletsedwa kusakaniza mankhwalawa ndi zinyama ndi insulin ya munthu kuchokera kwa wopanga wina.
Kuyenderana ndi mowa
Kumwa zakumwa zoledzeretsa kuli koletsedwa.
Analogi
Vosulin N, Gensulin, Insugen-N, Humodar B, Protafan Hm.
Miyezo ya tchuthi Humulin M3 kuchokera ku mankhwala
Kugulitsa mankhwala.
Kodi ndingagule popanda kulandira mankhwala?
Zogulitsa zapompopu sizimachotsedwa.
Mtengo wa Humulin M3
Kuyambira 1040 rub.
Gensulin ndi ya fanizo la Humulin M3.
Zosungidwa zamankhwala
Pamalo otentha kuchokera + 2 ° mpaka + 8 ° C. Sizoletsedwa kuyimitsa kuyimitsidwa, kuzizira komanso kuwonetsa ma radiation ya ultraviolet. Sungani cartridge lotseguka ku + 18 ... + 25 ° C.
Tsiku lotha ntchito
Zaka 3, kugwiritsa ntchito insulin kumaletsedwanso.
Wopanga Humulin M3
Eli Lilly East S.A., Switzerland /
Ndemanga za Humulin M3
Madokotala
Eugene, wazaka 38, wa endocrinologist, ku Moscow: "Monga insulin ina iliyonse, uyu ali ndi mwayi wogwiritsa ntchito mankhwala omwe ali ndi insulin yochokera ku nyama. Imalekeredwa bwino ndi odwala, kawirikawiri imayambitsa zifukwa zoyipa, ndikosavuta kusankha mlingo woyenera nawo."
Anna, wazaka 49, endocrinologist, Volgograd: "Popeza izi ndi mankhwala osakanikirana awiri, wodwalayo safunikiranso kuzisakaniza yekha. Pali kuyimitsidwa koyenera, kosavuta kugwiritsa ntchito, pali mwayi wa hypoglycemia, koma izi ndizosowa."
Sizoletsedwa kumasula kuyimitsidwa kwa Humulin M3.
Odwala
Ksenia, wazaka 35, Barnaul: "Abambo anga akhala ndi matenda ashuga kwa zaka zambiri. Panthawi imeneyi, anthu ambiri omwe ankapanga insulini adayesedwa mpaka kusankha komwe kumayimitsidwa kwa Humulin M3. Awa ndi mankhwala abwino, chifukwa ndikuwona kuti bambo anga adayamba bwino. pomwe adayamba kugwiritsa ntchito. Ndi chida chosavuta kugwiritsa ntchito, panali milandu yochepa ya abambo pazaka zingapo akugwiritsa ntchito mankhwalawa, ndipo anali ofatsa. "
Marina, wazaka 38, Astrakhan: "Ndidatenga insulini iyi ndili ndi pakati. M'mbuyomo ndidagwiritsa ntchito nyama, ndipo ndikaganiza zokhala ndi mwana, adotolo adandisunthira ku Humulin M3. Ngakhale pali mankhwala otsika mtengo, ndidangoyamba kugwiritsa ntchito pambuyo pathupi. "Mankhwala abwino. Kwa zaka 5 sindinakhalepo ndi hypoglycemia wapakati, ngakhale izi zimachitika kawirikawiri ndi mankhwala ena."
Sergey, wazaka 42, ku Moscow: "Ndimakonda mankhwalawa. Ndikofunikanso kuti idapangidwa ku Switzerland. Chokhacho chokha ndichakuti chimayimitsidwa ndipo chimayenera kusakanikirana bwino asanadziwe jakisoni. panali thovu. Nthawi zina palibe nthawi yokwanira ya izi, chifukwa muyenera kupanga jakisoni mwachangu. Sindinawone zolakwika zina zilizonse. Chithandizo chabwino.
