Levemir Penfill ndi insulin wakale amene wakhala akuchita kwa nthawi yayitali. Wothandizila hypoglycemic amatulutsa kufalitsa kwa insulin kwakutali m'magazi. Izi zimapangitsa kutsika kwamphamvu kwa glucose wamagazi. Ntchito mankhwalawa mwachindunji odwala omwe ali ndi matenda a shuga.
Dzinalo Losayenerana
INN: Chinsinsi cha insulin.
ATX
A10AE05.
Kutulutsa mafomu ndi kapangidwe kake
Mankhwala amapezeka mu mawonekedwe a yankho lenileni lomwe limapangidwira kukonzekera kwamkati. Chofunikira chachikulu pa insulin ndi muyezo wa 100 IU. Zowonjezera: glycerol, zinc acetate, metacresol, phenol, sodium hydroxide, dihydrate ndi chloride, madzi a jekeseni.
Levemir Penfill ndi mankhwala omwe ali ngati njira yotsimikizika yoyenera kugwiritsiridwa ntchito koyambira.
Mankhwalawa amapangidwa m'matotolo apadera (3 ml). 1 unit ya insulin detemir ndi ofanana ndi 0,142 mg ya insulin yopanda mchere. 1 UNIT ya insulin - 1 IU ya insulin ya anthu.
Zotsatira za pharmacological
Amadziwika ndi antidiabetesic zotsatira, nthawi yayitali. Ndi analogue yosungunuka kwambiri ya insalulin ya anthu. Yankho limagwira chimodzimodzi.
Makina ochitapo kanthu ndi chifukwa cha kuthekera kwa mamolekyulu a chinthu chogwira ntchito kumanga kwa mafuta acids. Njirayi imachitika mwachindunji pamalo opangira jekeseni. Chithandizo chogawidacho chimagawilidwa pang'onopang'ono kwa minofu ndi ziwalo. Izi ndichifukwa cha zotsatira zazitali.
Mphamvu ya hypoglycemic imachitika chifukwa cha kuthamanga kwa shuga ndi maselo amisempha ndi minyewa ya adipose. Pambuyo pomanga insulin ku ma receptor, kumasulidwa kwa shuga ndi chiwindi kumachepa.
Pharmacokinetics
Kuzindikira kwambiri kwa insulin m'magazi kumawonedwa pambuyo pa maola 6. Imagawidwa pafupifupi zogawana pamwamba pa zigawo zomwe mukufuna. Zimayenda mozungulira m'magazi. Metabolism imachitika m'chiwindi, koma ma metabolites alibe ntchito iliyonse ya hypoglycemic. Kuchotsa hafu ya moyo ndi maola 7, chifukwa cha mlingo womwe waperekedwa.
Zizindikiro zogwiritsidwa ntchito
Zowonetsa mwachindunji pakugwiritsa ntchito Levemir Penfill ndi:
- Chithandizo cha matenda amtundu wa shuga 1;
- matenda a shuga a ana kuyambira zaka 2 kapena kutha msinkhu.
Contraindication
Chokhacho chotsutsana mwachindunji chogwiritsira ntchito chinyengo cha insulin pochiza matenda ashuga ndicho kuperewera kwa mtunduwu wa insulin kapena chimodzi mwazinthu zamankhwala. Sikulimbikitsidwa kupatsa ana osakwana zaka 2, monga mayesero azachipatala omwe adachitika pagululi sanali.
Ndi chisamaliro
Mosamala, mankhwalawa amaperekedwa kwa odwala okalamba ndi odwala omwe ali ndi vuto la adrenal ntchito.
Mosamala, mankhwalawa Levemir Penfill amaperekedwa kwa odwala okalamba.
Momwe mungatenge Levemir Penfill?
Mosadukiza m'chafu, kutsogolo kwa khoma lam'mimba kapena phewa. Kugwiritsira ntchito mtsempha wam'malo ndizoletsedwa. Kuyambitsa kumakhala kotheka nthawi iliyonse ya tsiku, ngati ikuchitika nthawi 1 patsiku. Mlingo wosankhidwa ungagawidwe pawiri. Koma muyenera kuganizira kuti piritsi lachiwiri liyenera kutumikiridwa musanadye chakudya chamadzulo kapena musanagone kuti maola 12 athetse pakati pa jakisoni woyamba ndi wachiwiri.
Pofuna kupewa zovuta zamderali, ndikofunika kusintha malo omwe amapangira jekeseni.
Mankhwalawa sayenera kuzizira, ayenera kutentha kutentha. Ngati yankho lalephera kuwonekera pena zilizonse zomwe zikuwoneka, sizingagwiritsidwe ntchito.
Momwe mungagwiritsire ntchito cholembera?
Makatoni othandizira amagwiritsidwa ntchito pokhapokha limodzi ndi cholembera cha Novo Nordics ndi singano zapadera za NovoFine.
Kugwiritsa ntchito makatoni ndi amodzi komanso kuthekera. Ngati pakufunika kugwiritsa ntchito mitundu ingapo ya insulin ya nthawi yayitali komanso yochepa nthawi imodzi, ndiye kuti simungathe kuyisakaniza. Iliyonse ya mavutowa idzafunika cholembera chake.
Pamaso jakisoni, onetsetsani kuti yankho lisankhidwa moyenera, zindikirani kuyenera kwake, yang'anani syringe ndi piston kuti iwonongeke. Musanagwiritse ntchito, gwiritsani ntchito mankhwala opukutira mankhwala ngati mankhwala a antyleptic, monga mowa wa ethyl.
Mankhwalawa amaperekedwa malinga ndi malangizo, omwe amayenera kukhala pa cholembera chilichonse. Kuti mlingo wonse uthandizidwe, jakisoni utatha, muyenera kusiya singano m'malo ochepa masekondi angapo. Izi zikuthandizira kupewa kutulutsa insulin kuchokera ku syringe.
Kumwa mankhwala a shuga
Kusamala ndikofunikira kwa anthu omwe kale adagwiritsa ntchito mitundu ina ya insulin. Kusinthaku nthawi zonse kumayendetsedwa ndi kusinthasintha kwakuthwa kwa magazi m'magazi, chifukwa chake muyenera kuyang'anira mosamala kusintha kulikonse.
Zotsatira zoyipa za Levemir Penfill
Kwenikweni, mawonekedwe amachitidwe oyipa amakhudzana ndi kusintha kwa mlingo. Ngati mankhwalawa adaperekedwa mu kuchuluka, ndiye kuti hypoglycemia ndiyotheka. M'mavuto akulu, machitidwe oterewa adawonetsedwa: kupweteketsa mtima, kulephera kudziwa. Odwala adadandaula za kuwonjezeka kwa kuwuma, kugona, kupweteka mutu, nseru, tachycardia, kumangokhala ndi njala.
Kafukufuku wasonyeza kuti poyambitsa yankho pamimba yopanda kanthu, panali zovuta zina za dyspeptic. Zomwe zimachitika m'deralo zimadziwika kuti khungu limatupa komanso redness.
Kuchokera ku chitetezo chamthupi
Kuchokera chitetezo chamthupi chitha kuonedwa:
- zotupa pakhungu limodzi ndi kuyabwa;
- thukuta kwambiri;
- matenda am'mimba thirakiti;
- kuvutika kupuma.
Zizindikiro zambiri nthawi zambiri zimachitika chifukwa cha hypersensitivity. Mawonekedwe a anaphylactic ndi owopsa.
Pa gawo la kagayidwe ndi zakudya
Odwala ambiri adazindikira kuti ali ndi njala. Pankhaniyi, kagayidwe kamasokonezedwa, kamene kamayambitsa phindu losafunikira m'thupi.
Pakati mantha dongosolo
Nthawi zambiri, zotumphukira za m'mitsempha zimayamba. Izi zasintha.
Pa mbali ya ziwalo zamasomphenya
Kuwonongeka kwakanthawi kochepa komanso kuwonongeka kwakanthawi.
Pambuyo pa kuperekera mankhwalawa, kusokonezeka kwakanthawi komanso kuwonongeka kwakanthawi kumatha.
Pa khungu
Edema, hyperemia, lipodystrophy ya minofu (malinga ngati jakisoni wa minofu pamalo omwewo).
Matupi omaliza
Amayenda pakhungu, kuyabwa, urticaria.
Zokhudza mphamvu pakuwongolera njira
Ndi chithandizo chazitali, zotsatira zina zoyipa zimakhudza mwachindunji chidwi cha anthu komanso kuthamanga kwa zochitika zama psychomotor. Chifukwa chake, ndi bwino kusiya kuyendetsa galimoto.
Malangizo apadera
Ili ndi mphamvu yopitilira hypoglycemic kuposa Isofan Insulin. Ngati mutayambitsa kuchuluka kwa insulin mu mtundu 1 wa shuga, ndiye kuti hyperglycemia ndi matenda ashuga a ketoacidosis angachitike. Hypoglycemia imachitika ndi kuchuluka kwambiri.
Kuyendetsa magalimoto kumakhala koletsedwa, monga momwe zimakhalira ndi chithandizo chambiri, zotsatira zoyipa zimakhudza chidwi ndi zochita.
Gwiritsani ntchito mu ukalamba
Mukufuna kusintha kwa glucose ndi kusintha kwa mlingo.
Kulemba Levemir Penfill kwa ana
Kuchepetsa mpaka zaka 6.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Masiku ano, palibe kafukufuku wokwanira wazokhudza insulin yomwe ikupezeka pa mwana wosabadwayo. Ndikofunikira kuyang'anira kusintha kwa glucose. Mu oyamba kumene oyamba a insulin gestation zochepa zimafunika, ndipo pamapeto - zina. Chifukwa chake, kusintha kwamunthu payekha ndikofunikira.
Pa yoyamwitsa, kusintha kwa insulin kumafunika.
The ntchito aimpso kuwonongeka
Kuwunika kwa glucose ndikusintha kwa mankhwalawa ndikofunikira.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Kusintha kwa Mlingo wa insulin yomwe ingagwiritsidwe ntchito adzafunika.
Mankhwala ochulukirapo a Levemir Penfill
Hypoglycemia yocheperako imayimitsidwa yokha ndi chidutswa cha shuga kapena chakudya chamagulu. Mlingo woopsa, womwe umaphatikizidwa ndi kusazindikira, umafunika kukhazikitsidwa kwa glucagon kapena njira yofikira ya glucose mu minofu / pansi pa khungu. Munthu akachira, muyenera kupatsa wodwalayo chakudya chopatsa mphamvu chamaofesi othamanga.
Kuchita ndi mankhwala ena
Sizoletsedwa kuphatikiza ndi mankhwala aliwonse a jekeseni, kusakaniza mu syringe yemweyo ndi kulowetsedwa mankhwala. Kuwongolera kwa mlingo wa insulin kumafunika akagwiritsidwa ntchito molumikizana ndi mankhwala omwe amasintha ntchito yake.
Kuchepetsa mlingo wa insulini ndikofunikira mukamamwa mahibulini a MAO, osagwiritsa ntchito beta-blockers, othandizira a hypoglycemic pakuwongolera pakamwa, ACE inhibitors, salicylates, metformin ndi ethanol.
Mlingo wa insulin uyenera kuchuluka ndi kugwiritsa ntchito munthawi yomweyo ndi kukula kwa mahomoni, ma adrenergic agonists, mahomoni a chithokomiro, glucocorticosteroid, mankhwala okodzetsa ndi Danazol.
Kuyenderana ndi mowa
Kuphatikiza mankhwala ndi mowa ndizoletsedwa, monga kuyamwa kwa zinthu kumachepa, ndipo zovuta zoyambira pakukhazikitsa njira zimangowonjezereka.
Analogi
Pali zochitika zingapo za Levemir Penfill:
- Levemir Flekspen;
- Actrafan NM;
- Insulin Tape GPB;
- Insulin liraglutide.
Kupita kwina mankhwala
Mankhwalawa atha kugulidwa m'masitolo pokhapokha mutalandira mankhwala kuchokera kwa dokotala.
Kodi ndingagule popanda kulandira mankhwala?
Kupatula.
Mtengo wa Levemire Penfill
Mtengo umachokera ku 2800 mpaka 3100 rubles. Phukusi lililonse ndipo zimatengera magawo ogulitsa ndi ogulitsa ma pharmacy.
Zosungidwa zamankhwala
Mu firiji pamoto wa + 2 ... + 8 ° C, koma kutali ndi mufiriji. Makatiriji otseguka amasungidwa kunja kwa firiji.
Tsiku lotha ntchito
Zaka 2,5 kuchokera tsiku lotulutsa lomwe lasonyezedwa pa zoyambilira zoyambirira. Makatoni otseguka amasungidwa kwa milungu isanu ndi umodzi pa kutentha kosaposa + 30 ° C. Osagwiritsa ntchito tsiku lanu litatha.
Analogue ya mankhwala atha kukhala mankhwala a Levemir Flekspen.
Wopanga
Kampani yopanga: "Novo Nordisk A / S", Denmark.
Ndemanga Levemire Penfill
Madokotala
Mikhailov A.V., wa endocrinologist, ku Moscow: "Nthawi zambiri ndimapereka mankhwala kwa anthu odwala matenda amtundu woyamba. Mankhwalawa ndi abwino, kungoyang'anira shuga wamagazi kokha ndikofunikira kuti tipewe kukula kwa hypoglycemia."
Suprun I. R., wa endocrinologist, Kazan: "Ndimapereka jakisoni wa Lefemira Penfill kwa odwala anga nthawi zambiri. Pali anthu omwe amalekerera bwino, koma palinso anthu omwe sawagwirizana ndi onse. Zonse zimatengera mtundu wa insulin yomwe munthu adagwiritsa ntchito kale, yomwe imatha kugwiritsidwa ntchito pazinthu zingapo. "
Odwala
Karina, wazaka 35, Voronezh: "Levemir anayandikira bwino. Shuga limayendetsedwa, palibe kulumpha. Palibe zoyipa, ngakhale ndimamva bwino."
Pavel, wazaka 49, ku Moscow: "Insulin iyi sinali yoyenera. Nthawi zambiri shuga ankadumpha, nthawi zina pamakhala vuto lalikulu la hypoglycemia, lomwe sindimatha kulimbana nalo ndekha. Chifukwa chake, ndinalowe m'malo mwake ndi analogue."
Margarita, wazaka 42, Yaroslavl: "Ndakhala ndikujowina Penemill ndi Levemir kwa nthawi yayitali. Ndimakonda mankhwalawa. Ndizosavuta kuyamwa. Mlingo umodzi ndi wokwanira patsiku kuti shuga asakhale bwino."
