Chuma cha insulin chimanena za insulini za anthu. Ntchito mankhwalawa matenda a shuga ndi matenda a kagayidwe kachakudya. Ili ndi mphamvu yosasintha ya hypoglycemic.
Dzinalo Losayenerana
Insulin yobwerezabwereza ya anthu.
Chuma cha insulin chimanena za insulini za anthu.
ATX
Nambala ya ATX: A10A B01.
Kutulutsa mafomu ndi kapangidwe kake
Mwanjira yothetsera jakisoni. Chofunikira chachikulu ndicho kuphatikizira insulin ya anthu 100 IU. Othandizira: glycerin, madzi a jakisoni, metacresol.
Ndi madzi owonekera bwino m'mabotolo atatu a 3 ml kapena Mbale 5 ml (zidutswa 5 paphukusi lililonse).
Zotsatira za pharmacological
Mankhwala ndi imodzi mwazomwe anthu amapanga insulin. Amadziwika ndi zochita zazifupi. Chithandizo chogwira ntchito mwachangu chimalumikizana ndi zolandirira zakunja zam'mimba mwanga. Pankhaniyi, insulin-receptor tata imapangidwa. Ndi chithandizo chake, njira zonse zomwe zimachitika mkati mwa maselo zimasinthidwa. Nthawi yomweyo, ma enzyme amtundu amodzi amapangidwa.
Kuchepa kwa kuchuluka kwa shuga m'magazi kumalumikizidwa ndi kuthamangitsidwa kwa kayendedwe kake mkati mwa maselo, komanso kuyamwa bwino kwa glucose ndi maselo amisempha. Ntchito yothandizayi imapangitsa glycogenogeneis, lipogeneis. Poterepa, kuchepa kwa kapangidwe ka ma sodium mu chiwindi kumachitika.
Pharmacokinetics
Momwe mankhwalawo amamwetsedwera mwachangu zimadalira njira iti, komwe mankhwalawo amathandizidwa motani. Kugawa mu minofu sikofanana. Insulin imalephera kulowa mkaka wa m'mawere kudzera mu zotchinga za placenta, kotero kuti kutenga pakati si kuphwanya kugwiritsa ntchito mankhwalawa.
Kuwonongeka kwa zovuta komwe kumagwira kumachitika mothandizidwa ndi insulinase mu chiwindi ndi impso. Kutalikirana ndi thupi ndi kusefa impso mkati mwa mphindi zochepa.
Zizindikiro zogwiritsidwa ntchito
Chalangizidwa kuti mugwiritse ntchito ndi:
- matenda ashuga
- zochitika zadzidzidzi mwa anthu odwala matenda ashuga;
- kuwonongeka kwa chakudya kagayidwe kachakudya.
Contraindication
Pali zingapo zotsutsana mwachindunji ndi Insulin Asset zomwe zikuwonetsedwa mu malangizo. Zina mwa izo ndi:
- hypoglycemia;
- Hypersensitivity kuti insulin kapena zinthu zina za mankhwala.
Kusiyana kwake ndi kuchotsera mankhwala.
Ndi chisamaliro
Mochenjera, mankhwalawa amaperekedwa kwa anthu omwe ali ndi vuto laimpso komanso chiwindi, odwala omwe adathandizidwa kale ndi mitundu ina ya insulin.
Momwe mungatenge Zoyenera Kutsatira?
Jekeseni wanjira waperekedwa. Nthawi zina, amathandizidwa kuti azitha kutumizidwa intramuscularly. Popewa kulowetsedwa mosavomerezeka, tikulimbikitsidwa kusintha malo a jekeseni. Chisamaliro chiyenera kutengedwa kuti singano isalowe mumtsempha wamagazi. Masamba a jakisoni samachotsedwa.
Mankhwalawa amaperekedwa mosavuta.
Ndi matenda ashuga
Mankhwala ayenera kumwedwa theka la ola musanadye. Chizindikiro cha kutentha kwa yankho sichotsika kuposa kutentha kwa chipinda.
Zotsatira zoyipa za Insular Asset
Potengera momwe ntchito yayitali, izi zimachitika motere:
- Hypoglycemia. Ichi ndi chimodzi mwazotsatira zoyipa za insulin. Pazovuta kwambiri, zimapangitsa kuti munthu asamadziwe kapena adye shuga. Pafupipafupi ka mawonekedwe awa ndi payekha, chifukwa zimatengera mlingo wa insulin ndi moyo wa wodwalayo.
- Zoyipa wamba. Imadziwoneka yokha nthawi zambiri mu mawonekedwe a hyperemia ndi kuyabwa. Chizindikiro ichi chimadutsa sabata limodzi mpaka mwezi. Maonekedwe a chizindikiro ichi samakhudzidwa nthawi zonse ndi insulin. Izi zitha kukhala zinthu zina zakunja kapena kuperewera pang'ono ndi jakisoni.
- Zokhudza zonse. Imawonekera ngakhale pang'ono. Zimayambitsa zotupa pakhungu mthupi lonse, kufupika, kupindika, kutsika magazi, kuchuluka thukuta. Kulimbikitsa ziwengo zomwe zimapangitsa kuti moyo ukhale pangozi.
- Lipodystrophy. Zimachitika kawirikawiri pamalo operekera jakisoni.
Ngati zina mwazizindikirazi zikuchitika, muyenera kusintha mlingo wake kapena kusintha ndi insulin ina. Milandu yayikulu kwambiri, mankhwalawo amathetsedwa, chithandizo chamankhwala chimachitika, ndipo insulin yatsopano imayikidwa.
Zokhudza mphamvu pakuwongolera njira
Kukula kwa hypoglycemia, monga momwe kungathere mbali, kumakhudza chidwi cha anthu, zomwe zimawonjezera chiopsezo cha ngozi pamsewu woyendetsa galimoto kapena njira zina zovuta.
Wodwala ayenera kudziwitsiratu zoyenera kuchita musanayendetse, kuti mupewe kuukira kwa hypoglycemia. Ngati matendawa amawonekera pafupipafupi, ndibwino kuti musayendetse magalimoto.
Malangizo apadera
Chithandizo chosayenera kapena kudumpha jakisoni kumakwiyitsa kukula kwa vuto la hyperglycemic.
Mitundu yosiyanasiyana ya insulin siyingasakanikiridwe mu syringe imodzi. Kuphatikiza mankhwalawa (m'mabotolo) ndi Insular Stabil ndizovomerezeka. Koma kusakaniza koteroko kuyenera kuyambitsidwa mukangokonzekera. Makatoni oletsedwa kuti azigwiritsidwa ntchito kangapo, amatayika. Zingwe nthawi zonse zimapangidwa ndi ma syringes atsopano osabala.
Gwiritsani ntchito mu ukalamba
Kukonza mlingo wa insulin mwa okalamba sikofunikira.
Kupatsa ana
Amagwiritsidwa ntchito mwa akhanda pomwe zizindikiritso zofunika zimafunikira. Koma mlingo uyenera kuyang'aniridwa ndi kukhazikitsidwa molingana ndi kusintha kwamunthu.
Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere
Ndikofunika kuyang'anitsitsa shuga wamagazi mwa amayi omwe akutenga mwana wosabadwa yemwe akuchiritsidwa ndi insulin. Kumayambiriro kwa bere, zochepa zimafunikira, ndipo pamapeto, zina. Kufunikira kwa insulin nthawi zina kumachepetsa pobereka. Koma patatha masiku ochepa mwana atabadwa, kuchuluka kwa shuga kuyenera kubwerera mwachizolowezi.
Palibe choletsa kugwiritsidwa ntchito kwa mankhwalawa panthawi yokhazikika komanso panthawi yoyamwitsa, monga Mankhwala ndi otetezeka amayi ndi mwana. Koma mu nkhani iyi, kusinthasintha kwa mankhwalawa kwa mankhwalawa kuyenera kupewera kukula kwa hypoglycemia.
The ntchito aimpso kuwonongeka
Odwala omwe ali ndi vuto lowonda aimpso kulephera, kusintha kwa mlingo sikofunikira. Pokhapokha vuto la wodwalayo likamakulirakulira, mlingo wa insulin umakulitsidwa kapena kuchepetsedwa, poganizira momwe matenda akuwonekera.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Kusintha kwa magazi kumafunika kufunikira kwake kwa odwala omwe ali ndi chiwindi ma pathologies kukuchulukirachulukira.
Kuchuluka kwa insulin
N`zosatheka kudziwa ndendende kuti mankhwala osokoneza bongo amayamba chifukwa cha katundu wolowa mkati, monga hypoglycemia imakwiyitsa zinthu zingapo zosavomerezeka: kuchuluka kwa insulini m'magazi, kuchuluka kwa glucose okwanira kagayidwe kake, kuchita masewera olimbitsa thupi mopitirira muyeso.
Mankhwalawa ndi chizindikiro. Digiri yofatsa imathandizidwa ndi shuga kapena zakudya zokhala ndi shuga. Ndi kukula kwambiri, glucagon amalowetsedwa mu mtsempha kapena minofu, pambuyo pake chakudya chamafuta ambiri omwe amapezeka mofulumira. Ndikuphwa kwa shuga, glucagon imathandizidwa mosavuta.
Kuchita ndi mankhwala ena
Mankhwala ambiri mpaka pamlingo wina wake amatha kusintha kagayidwe kakang'ono ka shuga. Kufunika kwa insulini kumawonjezera ndi kugwiritsidwa ntchito kwake ndi ma othandizira ena a hyperglycemic, glucocorticoids, kukula kwa mahomoni ndi mahomoni a chithokomiro, sympathomimetics, salbutamol ndi thiazides.
Insulin yochepa imafunikira ngati mankhwala a hypoglycemic ndi antidepressant, ma salicylates, chabwino, Mao inhibitors, enalapril, beta-blockers amodzi atengedwa limodzi.
Analogi
Pali zolowa m'malo zingapo za mankhwalawa, zofanana mu zigawo za constituent ndi achire. Odziwika kwambiri pakati pawo ndi:
- Actrapid;
- Vosulin-R;
- Gensulin P;
- Insuvit;
- Insugen-R;
- Insuman Rapid;
- Rinsulin-R;
- Humodar;
- Humulin Wokhazikika.
Kuyenderana ndi mowa
Mankhwala sayenera kuphatikizidwa ndi mowa chifukwa choopsa cha hypoglycemia.
Kupita kwina mankhwala
Pogula m'masitolo ogulitsa mankhwala, muyenera kulandira mankhwala kuchipatala.
Kodi ndingagule popanda kulandira mankhwala?
Zosatheka.
Mtengo wa Zambiri
Mtengo wake ndi:
- ma cartridge - 1420-1500 rubles. kwa ma CD;
- mabotolo - 1680-1830 rubles. kunyamula.
Mtengo umadalira madera ogulitsa ndi ogulitsa ma pharmacy.
Zosungidwa zamankhwala
Malo osungirako ayenera kukhala ouma ndi amdima, ochepera pomwe ana amafikira, ndi boma lotentha la + 2 ... + 8 ° C. Mankhwala sakhala ozizira. Pambuyo pakutsegulira, imatha kusungidwa kwa masiku ena 28 (t = + 25 ° C). Phukusi lotseguka liyenera kutetezedwa ku kuwala osati kutenthedwa.
Malo osungirako mankhwalawa azikhala ouma komanso amdima, osapezedwa kufikira ana, ndi boma lotentha la + 2 ... + 8 ° C.
Tsiku lotha ntchito
Osapitirira zaka 2.
Wopanga
Kampani yopanga ya Insular, yokhazikitsidwa makatoni, ndi "Galichpharm", yokhazikitsidwa m'mabotolo - "Kievmedpreparat", Ukraine.
Ndemanga zazokhudza Insulin Asset
Makar, wazaka 47, Sevastopol
Ndakhala ndikudwala matenda a shuga kwa nthawi yayitali. Vosulin adayamba kuzitenga, tsopano zatha kuchokera pa malonda, motero adalemba majekisidwe a Insular Asset. Imagwira ntchito bwino, shuga amasunga pafupifupi chimodzimodzi. Chokhacho chomwe chimakhumudwitsa ndi mtengo.
Elena, wazaka 29, Mariupol
Shuga amabwerera kwachilendo ku Insular Active, ndipo vuto la hypoglycemia limayamba kupezeka kangapo. Mankhwalawa, ngakhale ali okwera mtengo, koma ogwira ntchito, ndikulangizani.
Vladimir, wazaka 56, Ekaterinburg
Ndikhutira ndi insulin iyi. Ndimagwiritsa ntchito makatchini. Ndikosavuta kulowa, ndipo jakisoni 1 ndikwanira tsiku limodzi. Sanandibweretsere mavuto. Shuga tsopano amasungidwa chimodzimodzi.
