Hannnana m

Rosinsulin wani nau'in halittar hormonal ne wanda za'a iya samarwa a cikin nau'ikan guda uku, sune: C, P, da M. Da yake magana game da kowannensu, ya zama dole a kula da gaskiyar cewa C shine insulin na matsakaiciyar lokacin aiki, P, akasin haka, gajere, kuma M wani bambancin mahaɗa ne (haɗa insulin 30% mai narkewa tare da insulin 70% na isulin). An ba da shawarar sosai cewa ku san kanku tare da fasalin kowane ɗayan nau'ikan gabatarwar nau'ikan abubuwan haɓaka na hormonal da cikakkun bayanai.

Abin da kuke buƙatar sani game da Rosinsulin R?

Rosinsulin P an nuna shi don amfani tare da nau'in 1 da nau'in ciwon sukari na 2 na mellitus. A magana ta gaba, muna magana ne game da matakan karancin rashin karfi ga mahadi na mahaifa. Bugu da ƙari, an bada shawarar kayan aiki don amfani da su cikin ketoacidosis na ciwon sukari, ciwon sukari wanda ya faru a lokacin daukar ciki, da rikice-rikice na rayuwa. Sauran alamun da ke haifar da amfani da miyagun ƙwayoyi kamar Rosinsulin P na iya zama dacewa, sabili da haka yana da kyau a nemi shawarar endocrinologist game da amfani.

Ana samar da wannan sashin hormonal a cikin nau'i na musamman don maganin allura, kuma an sami karuwar digiri na hankalin jiki gaba ɗaya kuma hypoglycemia ya kamata a yi la'akari da contraindications zuwa ga amfani. Gano fasalulluka na amfani da irin wannan kayan aiki kamar Rosinsulin P, an bada shawarar sosai a kula da gaskiyar cewa:

• abun sarrafawa ana gudanar dashi ne kamar haka, a zahiri kuma a cikin intanet,
• wannan yakamata ayi rabin rabin sa'a kafin cin abinci,
• hanyar gama gari na yau da kullun ya kamata a yi la'akari da subcutaneous, yayin da ketoacidosis ko cutar sankara, har ma a cikin tsarin aikin tiyata, a cikin ciki ko intramuscularly,
• yayin samar da monotherapy, yawan lokutan gudanarwa zai zama sau uku yayin rana (idan ya cancanta, ana iya ƙara wannan lambar),
• yankin allura don canje-canje na Rosinsulin R kowane lokaci don guje wa samuwar lipodystrophy (muna magana ne game da canji a cikin tsarin ƙwaƙwalwar ƙwayar fata ko ƙoshin mai mai ƙiba),
• matsakaita kashi yayin rana zai kasance daga raka'a 30 zuwa 40 a cikin balagagge, yayin da yake yaro - raka'a 8.

Haɗuwa ta halatta tare da abubuwan haɗin hormonal waɗanda suke da tsararren raɗaɗi na lokaci. Ana buƙatar tattara maganin insulin daga cikin murfin, a tabbata cewa an soke shi da allurar bakararre na mairin. Bayan allurar subcutaneous, an lura da tasirin cikin minti 20-30. Samun matsakaicin zai fara a cikin awanni biyu. Yayinda tasirin zai ci gaba, gwargwadon takamaiman sashi, aƙalla awa biyar. Tsawon lokacin bayyanar da abubuwan da ke cikin hormonal zai dogara ne akan sashi, hanyar, yanki na gudanarwa kuma yana da halaye na mutum sosai.

Ina kuma so in jawo hankula ga gaskiyar cewa ta amfani da Rosinsulin P, zaku iya lura da haɓakar ciwon sukari. Marasa lafiya tare da masu ciwon sukari na iya yin jituwa tare da karancin jini a jiki ta hanyar amfani da sukari ko samfuri tare da karuwar carbohydrates. Abubuwan da suka gabata na hypoglycemia ana ba da shawarar sosai don a ba da rahoton su ga likitan halartar don warware batun buƙatun daidaitawa na jiyya.

Abu mafi mahimmanci game da Rosinsulin M

Wani fasalin insulin da aka gabatar shine mai samar da Rosinsulin M. Kamar yadda muka riga muka fada, muna magana ne akan sashin hormonal tare da matsakaicin tsawon lokacin fiddawa. Sanannen abu ne cewa tsawon lokacin fallasa zai dogara ne da dalilai iri daban-daban - ba wai kawai kan yawan yawan sha ba, har ma a kan sashi, hanyar da yankin aiwatarwa. Rosinsulin M yana farawa a matsakaicin minti 30 bayan allurar subcutaneous. Matsakaicin sakamako zai ci gaba a cikin tazara daga sa'o'i huɗu zuwa awa 12, yayin da matsakaicin tsawon lokacin aikin zai zama ba sa wuce sa'o'i 24.

Da yake magana game da alamomi, ya zama dole a kula da nau'in 1 da nau'in ciwon sukari na 2. A lamari na biyu, ana amfani da kayan aiki, musamman, tare da rigakafi ga sunayen hypoglycemic na baki. Hakanan, ana buƙatar amfani da Rosinsulin M a haɗe tare da abubuwan da ake kira yanayin shiga tsakani (haɗari haɗuwa da cututtuka zuwa cututtukan da ke gudana).

Kamar yadda aka sani a baya, Rosinsulin M an yi shi ne da farko don gudanar da aikin ƙarƙashin ƙasa. An bada shawarar sosai cewa:

• da sashi na hormonal m an yanke shawara ta hanyar diabetologist daban-daban a cikin kowane yanayi. Babban tushe, hakika, shi ne rabo na glucose na jini,
• a matsakaita, kashi na wannan magani lokacin rana zai kasance daga 0 to 1 IU / kg nauyin jiki,
• zazzabi alamu na yin amfani da insulin ya dace da zazzabi na daki,
• Kafin amfani, dakatarwar an haɗe shi da matsanancin hankali har sai uniform.

Rosinsulin M a cikin mafi yawan lokuta ana gabatar dasu daidai a cikin ɓangaren feminin. Hakanan za'a iya aiwatar da allurar a gaban bango na ciki, gindi ko kuma, alal misali, a kafada (a cikin aikin da ake kira dafin tsohuwar fata). An bada shawara sosai don canza wurin allurar a cikin takamaiman yanki na ilmin jikin mutum, saboda wannan shine abin da zai sa ya yiwu a guji faruwar cutar lipodystrophy. Halin da ke tattare da cututtukan cututtukan cuta, musamman cututtukan cuta da cututtukan da ke tattare da zazzabi, zai haɓaka mahimmancin amfani da wannan wakili kamar Rosinsulin M.

Fasali na Rosinsulin C

Ana iya amfani da wannan wakilin hypoglycemic don nau'in 1 da nau'in ciwon sukari na 2 na sukari. A wannan halin, ana iya yin la'akari da misalai iri-iri a cikin, alal misali, ciki, ayyukan tiyata har ma da haɗuwa da yanayin cututtuka. Rosinsulin C magani ne wanda aka ƙaddara shi don gudanar da aiki a cikin ƙasa.

Lissafin fasalin aikace-aikacen, ya kamata a ɗauka a zuciya cewa tare da gudanar da babban aikin ƙasa, wannan bai kamata ya wuce sau ɗaya zuwa biyu ba yayin rana. A wannan yanayin, lokacin lokacin ya zama kamar haka, wato, mintuna 30-45 kafin cin abinci. Yankin allurar yana bada shawarar sosai don canzawa koyaushe. A cikin yanayi na musamman, likita mai halartar jiki na iya yin allurar daskararren kwayoyin halittar.

Dole ne a tuna cewa an hana insulin aikin insulin tare da matsakaita lokacin aiki.

Hakanan, da yake magana game da Rosinsulin C da umarnin don amfani, kula da irin waɗannan abubuwan fasalin aikin kamar:

• ya kamata a zabi sashi daban-daban kuma ya dogara da tattarawar glucose ba kawai a cikin jini ba, har ma a cikin fitsari, da kuma kan manyan halaye na lokacin cutar,
• a cikin mafi yawan lokuta, dosages are from takwas to 24 IU sau daya a rana,
• Canji daga wani nau'in insulin zuwa wani nau'in sashin hormonal dole ne a aiwatar dashi a karkashin kulawar likita koyaushe.

Wataƙila wasu sakamako masu illa na iya haifar, alal misali, halayen rashin lafiyan kamar su cutar ta ama ko da zazzaɓi da amai. Mai ciwon sukari na iya haɓaka damuwa, matsanancin tashin hankali, ciwon kai da sauran alamun rashin gamsuwa. A farkon irin wannan jiyya, edema da cuta daban-daban da ke da alaƙa da tunani sau da kafa. Muna magana ne game da matsalolin hangen nesa, wanda koyaushe shine na ɗan lokaci kuma yana wucewa da sauri.

Don fahimtar mafi kyawun amfani da Rosinsulin C, Ina so in lura da irin waɗannan abubuwan fasalin wannan aikin kamar yadda gaskiyar cewa dole ne a gyara sashi a halin da ake ciki na haɓakar cuta mai kamuwa da cuta. Hakanan yana da matukar muhimmanci a lalata cutar endocrine, cutar ta Addison da wasu fasalolin jiki, alal misali, tun daga shekaru 65.

Abubuwan da ke haifar da cututtukan hypoglycemia a cikin aiwatar da amfani da Rosinsulin C sune mafi yawan lokuta lokuta kamar yawan wuce gona da iri, maye gurbin ɓangaren hormonal ɗaya tare da wani. Kada mu manta cewa ɗayan abubuwan dake haifar da ƙarancin abinci shine tsallake abinci, amai, gudawa, da sauran lamura. Dukkanin ana bada shawarar sosai don la'akari dashi saboda amfanin kowane nau'in Rosinsulin yana da tasiri sosai.

Umarnin don haƙuri

Hanyar allura don insulin a cikin vials

(An lullube shi a cikin marufi tare da kwalaben 5 da 10)

Idan mara lafiya yana amfani da nau'in insulin guda ɗaya kaɗai:

1. Rarraba ƙwayar roba ta vial.

2. Zuba iska a cikin sirinji a cikin adadin wanda yayi daidai da adadin insulin da ake so. Sanya iska a cikin murfin insulin.

3. Juya murfin tare da sirinji a sama kuma zana adadin insulin da ake so a cikin sirinji. Cire allura daga vial kuma cire iska daga sirinji. Binciko idan maganin insulin yayi daidai.

4. Cike kai tsaye.

Idan mai haƙuri yana buƙatar haɗa nau'ikan insulin guda biyu:

1. Rashin lalacewar membranes na roba akan vials.

2. Nan da nan kafin yin bugawa, mirgine kwalban insulin aiki (“girgije”) tsakanin tafin hannunka har sai insulin ta zama fari da gajimare.

3. Zuba iska a cikin sirinji a cikin adadin wanda yayi daidai da kashi na insulin girgije. Ceaddamar da iska a cikin murfin insulin na girgije kuma cire allura daga vial.

4. Zana iska a cikin sirinji a cikin adadin da yayi daidai da adadin insulin gajeriyar aiki (“m”). Sanya iska a cikin kwalban insulin insulin. Juya kwalban tare da sirinji a sama kuma buga lambar da ake so na insulin "bayyananne". Cire allurar kuma cire iska daga sirinji. Duba daidai gwargwado.

5. Saka allura cikin murfin tare da insulin '' hadari '', kunna murfin tare da sirinji na sama kuma a buga lambar insulin da ake so. Cire iska daga sirinji ka bincika ko kaɗaicin yayi daidai. Sanya cakuda insulin da aka tara nan da nan.

6. Koyaushe rubuta insulin a cikin tsari iri daya kamar yadda aka bayyana a sama.

Kayan Fitar da Kayan Karas

(an lullube shi a cikin kayan haɗi tare da harsashi 3 ml)

Katin tare da magungunan Rosinsulin R an yi shi ne don amfani da Autopen Classic 1-Unit, Autopen Classic 2-Unit syringe pen da Owen Mumford Ltd., United Kingdom ko tare da ROSINSULIN ComfortPen reusable syringe pen da aka ƙera ta LLC Shuka Medsintez, Rasha.

Ya kamata a faɗakar da mai haƙuri game da buƙatar bin umarnin a hankali cikin umarnin don amfani da alkairin sirinji don gudanar da insulin.

Kafin amfani, tabbatar cewa babu lalacewa (alal misali, fasa) akan kicin ɗin tare da Rosinsulin P. Kada kayi amfani da kirinin idan akwai wasu lahani bayyananne. Bayan an shigar da kabad a cikin sirinji na siriri, yakamata a riƙa tsinkayen launin shuɗi ta taga mai riƙe da akwatin.

Bayan allura, allura ya kamata ya kasance a karkashin fata na akalla aƙiƙa 6. Riƙe maɓallin har sai an cire allura gaba ɗaya daga fata, don haka tabbatar da ingantaccen tsarin kulawa da yiwuwar jini ko lymph shiga cikin allura ko kuma kiringin insulin ya iyakance.

Katin tare da Rosinsulin P an yi niyya ne don amfanin mutum kawai kuma ba a sake dashi ba.

Tare da yatsunsu biyu, ɗauki fatar fatar, saka allura a cikin gindin murfin a kwana na kusan 45 ° kuma a saka allurar a ƙarƙashin fata. Bayan allura, allura ya kamata ya kasance a karkashin fata na akalla a kalla 6 don tabbatar da cewa an saka insulin a ciki. Idan jini ya bayyana a wurin allura bayan cire allura, a hankali danna wurin allura tare da busar da ta bushe tare da maganin hana ruwa. Wajibi ne don canja wurin allurar.

Jagororin don amfani da pre-cike da za'a iya zubar da sirinji alkalami Autopen Classic 1-Unit

Autopen Classic Syringe Pen shine madaidaiciya mai sauƙin amfani-da-sirinji don amfani da yawa don injections, wanda aka tsara don gudanar da insulin Rosinsulin tare da aiki na 100 IU / ml a cikin katako na milimita 3.0. Yi jituwa tare da kowane allura don sirinji alkalami. Da fatan za a ga umarnin matakan-mataki-mataki don amfani da alkalannin sirinji.

Rashin bin umarni na iya haifar da adadin insulin rashin daidaituwa.

Abun da keɓaɓɓen alkalami wanda aka cika dashi

3. Maɓallin saki

4. Dose Selector

6. Mai riƙe da katako

8. Saki adaftar maɓallin

9. Dose Zabi Adaftar

Shiri don amfani

Ja daɗa madaurin sikirin da za'a iya cire shi wanda za'a cire shi. Kar a cire kwalin daga alƙalin sirinji mai cike da pre-cikawa.

Cire fim ɗin kariya daga sabon allura (ba a haɗa allurai ba). Fitar da allura kai tsaye a kan mai riƙe kicin. Cire kwalfar kariya ta waje da maɗaurin allura.

Bi matakai 2-3 kafin kowane allura. Yana da mahimmanci a shirya alkalami mai sikirin da za'a cika dashi don amfani dashi don cire duk iska wanda zai iya kasancewa a cikin allura. Kafin amfani, saita raka'a 8 akan mai zaɓin kashi (Fig. 2A / 2B).

Rike alkalami mai cike da pre-cika tare da allurar da za'a iya zubar dashi. Latsa ka riƙe maɓallin farawa har sai alamar kibiya a jikin jikin maɓallin sirinji ta dawo kan layin farawa akan mai zaɓin kashi.

Andara girma da ƙananan raka'a 2 kowanne har digon insulin ya bayyana a ƙarshen ƙarshen allura (Fig. 3A / 3B). Yanzu pre-cika disposable sirinji alkalami ya shirya don amfani.

Idan, lokacin aiwatar da mataki na 3, mai zaɓin sashi bai koma wurin layin farawa ba kuma insulin bai bayyana ba a saman allura, to zai yuwu cewa allurar da aka yi amfani da ita ta alkairin da za'a iya cikawa wanda ba zai iya yiwuwa ba. A wannan yanayin, cire tsohuwar allura kuma maye gurbin ta da sabon. Bayan haka maimaita matakai 2-3.

Tabbatar cewa kibiya ► a jikin jikin abun da aka cika wanda za'a iya zubar dashi na almakashi nuna alamar farawa akan mai zaɓin kashi. Kira lambar adadin da ake buƙata. Kar ka juya mai zaɓin sashi a gaban kishiyar, wanda zai iya haifar da rushewar alkairin sirinji da aka riga aka cika dashi kuma, sakamakon haka, zuwa matakin da bai dace ba.

Idan ka zira kwatancen kashi na insulin da ake buƙata, muna ba da shawara cewa ka goge kashi ba daidai ba kuma ka cika adadin da ake buƙata.

Kafin allura, tabbatar cewa ► arrow ɗin yana nuna adadin raka'a akan mai zaɓin kashi. Misali, Figures 4A da 4B suna nuna matsayin da ya dace don gudanar da sassan 20 na insulin.

Saka allura ta amfani da allurar da likitan ka ya ba da shawarar ka.

Latsa maɓallin saki abin rufewa zuwa allura kuma ka riƙe har sai layin farawa akan mai zaɓin suturu ya koma ga alamar kibiya ► a jikin sirinjin da aka cika cikawa. Kidaya zuwa 10 kuma cire cire allura daga fata.

Idan mai zaɓin kashi ya tsaya kafin farawa da layi tare da kibiya, to yana nufin cewa ba a sami maganin insulin ba. Mai zaɓin kashi yana nuna adadin raka'a da za'a gudanar don cikakken maganin insulin.

Cire kafan allura ta waje da kwance allura daga sirinji da aka cika da za'a cika. Koyaushe bincika cewa an cire allurar.Saka hula daga cikin abin da aka riga aka cika alkalami na sikelin a cikin sa (siffa 6). Zubar da allura da aka yi amfani da shi ya kamata a aiwatar da su tare da shawarar ma'aikatan kiwon lafiya da ka'idodin tsabta da kuma cututtukan cututtukan dabbobi.

Should Ya kamata a yi amfani da alƙalin sirinji mai cike da pre-cikawa wanda aka gama dashi bayan tattaunawa tare da mai ba da lafiya.

Before Kafin kowane allura, tabbatar cewa kwayallen sikirin da aka cika cike da insulin nau'in insulin da mai kula da lafiyar ka ya tsara.

Read Karanta kuma ka bi umarni don amfanin insulin. Koyaushe tabbatar cewa an riga an shirya alkalami da aka riga aka cika shi don amfani daidai da littafin da kuma sakin layi na 2-3.

Lationetare hanya don shirya takaddar sirinji da aka iya cikawa don amfani zai iya haifar da gabatarwar insulin ƙwayar rashin daidaituwa.

For Kowace allura, yi amfani da sabon allura. Nan da nan bayan allura, ya kamata a cire allura kuma a zubar dashi da aminci. Idan allura ya zauna akan alƙalami, wannan na iya haifar da lalata da kuma yin daidai da ƙimar maganin.

If Idan bayan an cire allura daga alkairin syringe sai ya sami zubar insulin, watakila ba ku shiga adadin insulin da ake buƙata ba gaba daya. Karka yi kokarin gyarawa don asarar kashi na insulin tare da allura ta biyu (da hadarin ka zai rage raguwar sukarin jininka). A matsayin kiyayewa, muna ba ku shawara ku riƙa bincika sukari da kullun ku a cikin kullun lokaci, karanta umarnin don yin amfani da insulin na likita, ko tuntuɓi ƙwararren likita ku.

Tuntuɓi likitan ku idan kun sami matakan jini dabam-dabam.

Adana da watsewa

Dole ne a adana alƙarin sirinji mai cike da riga da kullun tare da cire allura kuma a cikin hula.

Cannot Ba za a iya amfani da alkalami mai sikelin da za'a cika dashi ba idan yana waje da firiji fiye da lokacin da aka ayyana a cikin umarnin likita.

The Allon da za'a iya amfani dashi wanda yai amfani dashi yanzu ya kamata a ajiye shi a zazzabi a daki 15-25 ° C baya wuce kwanaki 28, kariya daga hasken rana kai tsaye da zafi.

Clean Tsaftace alkalami cikin rigar. Kar a nutsar da alkalami cikin ruwa.

Should Dole ne a adana sirinji da za'a iya zubar da su waɗanda basu da amfani a cikin firiji a zazzabi 2 zuwa 8 ° C.

Store A adana allurar da ake zubar da riga kafin yara.

A cire allura da aka yi amfani da su a mahimmin takalmin, ko kuma yadda malamin lafiyar ka ya ba da shawarar ka.

A cire magungunan siririn da aka yi amfani da su ba tare da allura da ke haɗe da su ba kuma daidai da shawarar likitanka.

An gwada ƙwayar sirinji na Autopen Classic da kyau kuma ya cika buƙatun daidaitaccen ISO 11608-1 don daidaituwa na kashi.

An saka wannan littafin cikin marufi tare da alkalami mai sikirin da aka cika 3 ml.

Syringe pen manufacturer: “Owen Mumford Ltd.”, UK.

Jagorori don amfani da abin da aka riga aka cika na sikirin sikirin ROSINSULIN ComfortPen da masana'antar LLC Medsintez ta ƙera

An tsara alkairin sirinji don gudanar da insulin na Rosinsulin tare da aiki na 100 IU / ml a cikin kwantena na milimita 3.0. Yi jituwa tare da kowane allura don sirinji alkalami.

Da fatan za a ga umarnin matakan-mataki-mataki don amfani da alkalannin sirinji.

Rashin bin umarni na iya haifar da adadin insulin rashin daidaituwa.

Abin da ke ciki na Shuka medsintez LLC wanda aka riga aka cika yalwataccen sirinji mai aiki ROSINSULIN ComfortPen

1. Shiri don amfani

A. capaga murfin murfin sirinji kafin ya cire. Kar a cire kwalin daga alƙalin sirinji mai cike da pre-cikawa.

B. Cire fim ɗin kariya daga sabon allura (ba a haɗa allurai ba).

Hoto 2. Wasu bangarorin allura

Fitar da allura kai tsaye a kan mai riƙe kicin.

Cire matattara, sannan dunun allura na ciki. Karku zubar da murfin waje.

B. Yana da mahimmanci a shirya alkalami mai sikirin da za'a iya cikawa kafin amfani da farkon don cire dukkan iska da zai iya kasancewa a cikin kabad da allura.

Saita raka'a 8 akan mai zaɓin kashi.

Rike alkalami mai cike da pre-cika tare da allurar da za'a iya zubar dashi. Latsa maɓallin saki na maɓallin ɗauka kuma ci gaba da danna shi har sai alamar sifili a cikin zaɓin taga mai zaɓa ta dace da mai nuna alama akan batun alkairin sirinji. Idan bayan wannan insulin din bai bayyana a karshen allura ba, to sai a bi mataki na 1G.

D. Tattara da ƙananan raka'a 2 kowane har sai insulin ya bayyana a ƙarshen allura (Fig. 5, 6).

Yanzu pre-cika disposable sirinji alkalami ya shirya don amfani.

Idan mai zaɓin kashi bai koma alamar sifili ba kuma insulin bai fito akan ƙarshen allura ba, to zai yiwu cewa allurar da aka yi amfani da ita ta alkairin da za'a iya cika cikawa mai wahala ce. A wannan yanayin, cire tsohuwar allura kuma maye gurbin ta da sabon. Sannan maimaita mataki 1G.

2. Gudanar da allurai

A. Tabbatar cewa aya a jikin jikin abin da yake cike da sikirin da za'a iya zubar dashi ya nuna alamar ba komai acikin taga mai zaɓar ba. Kira lambar adadin da ake buƙata.

Shirye-shiryen insulin ba daidai ba a cikin sirinji ROSINSULIN ComfortPen da Zavod Medsintez LLC zai iya canzawa ta juyawa lambar kiran kowane bangare.

Kafin yin allura, tabbatar cewa maballin akan jikin yana nuna adadin abubuwan da ake so a ɗakunan zaren kashi.

B. Saka allura ta amfani da allurar da likitan ka ya ba da shawarar ka.

Latsa maɓallin saki na maɓallin ɗauka kuma ci gaba da danna shi har sai alamar sifili a cikin zaɓin taga mai zaɓa ta dace da mai nuna alama akan batun alkairin sirinji. Kidaya zuwa 10 kuma cire cire allura daga fata.

Yayin gabatarwar kashi, sanya matsin lamba kan maɓallin sakin maɓallin tare da babban yatsan hannun a tsaye tare da madaidaicin sirinji na sirinji, ba tare da taɓa sassan juyawa na alƙawirin, har da kashi mai zabi.

Idan mai zaɓin kashi ya tsaya kafin alamar sifili ya daidaita da maki, yana nufin cewa ba ku sami adadin insulin ɗin da ake buƙata ba. A wannan yanayin, mai zaɓin kashi yana nuna adadin raka'a waɗanda dole ne su shiga kafin cikar ƙwayar insulin.

3. Cire allura

A hankali sanya murfin waje a kan allura kuma kwance allurar daga alƙalin sikirin da aka riga za'a cika.

Koyaushe bincika cewa an cire allurar. Sauya maɓallin sirinjin da aka riga aka cika. Zubar da allura da aka yi amfani da shi ya kamata a aiwatar da su tare da shawarar ma'aikatan kiwon lafiya da ka'idodin tsabta da kuma cututtukan cututtukan dabbobi.

Kowane lokaci da aka maye gurbin allura, bi matakan 1B da 1D.

Should Ya kamata a yi amfani da alƙalin sirinji mai cike da pre-cikawa wanda aka gama dashi bayan tattaunawa tare da mai ba da lafiya.

To Don hana kamuwa da cuta, alkalami guda-mai amfani da pre-mai amfani kawai yakamata mai haƙuri ya yi amfani da shi kuma baza a tura shi ga wani ba.

Idan akwai gurbatar diski na roba na kicin din, toshe shi da maganin tazarar, jira har sai diski ya bushe gaba ɗaya kafin shigar da allura.

If Idan ana zargin cewa kwafin da aka riga aka cika na alkalami na sikirin da aka riga aka cika ya lalace, yi amfani da sabon alkairin sirinji na riga an cika shi.

Before Kafin kowane allura, tabbatar cewa kwayallen sikirin da aka cika cike da insulin nau'in insulin da mai kula da lafiyar ka ya tsara.

Read Karanta kuma ka bi umarni don amfanin insulin. Koyaushe tabbatar cewa an riga an shirya alkalami wanda aka riga aka cika dashi don amfani daidai da littafin. Lationetare hanya don shirya takaddar sirinji da aka iya cikawa don amfani zai iya haifar da gabatarwar insulin ƙwayar rashin daidaituwa.

For Kowace allura, yi amfani da sabon allura. Nan da nan bayan allura, dole ne a cire allurar kuma a zubar dashi cikin aminci. Idan allura ya zauna akan alƙalami, wannan na iya haifar da lalata da kuma yin daidai da ƙimar maganin.

If Idan bayan an cire allura daga alkairin syringe sai ya sami zubar insulin, watakila ba ku shiga adadin insulin da ake buƙata ba gaba daya. Karka yi kokarin gyarawa don asarar kashi na insulin tare da allura ta biyu (da hadarin ka zai rage raguwar sukarin jininka). A matsayin gargadi, muna ba ku shawara ku duba sukarin jini akai-akai a lokuta na yau da kullun, karanta umarnin don amfani da lafiyar insulin, ko tuntuɓi ƙwararren likita.

Tuntuɓi likitan ku idan kun sami matakan jini dabam-dabam.

Adana da watsewa

Dole ne a adana alƙarin sirinji mai cike da riga da kullun tare da cire allura kuma a cikin hula.

Cannot Ba za a iya amfani da alkalami mai sikelin da za'a cika dashi ba idan yana waje da firiji fiye da lokacin da aka ayyana a cikin umarnin likita.

The Allon da za'a iya amfani dashi wanda yai amfani dashi yanzu ya kamata a ajiye shi a zazzabi a daki 15-25 ° C baya wuce kwanaki 28, kariya daga hasken rana kai tsaye da zafi.

Clean Tsaftace alkalami cikin rigar. Kar a nutsar da alkalami cikin ruwa.

Should Dole ne a adana sirinji da za'a iya zubar da su waɗanda basu da amfani a cikin firiji a zazzabi 2 zuwa 8 ° C.

Store A adana allurar da ake zubar da riga kafin yara.

A cire allura da aka yi amfani da su a mahimmin takalmin, ko kuma yadda malamin lafiyar ka ya ba da shawarar ka.

Kada a sake amfani da almalin sirinji na batattu. Zub da allunan sirinji da aka yi amfani da su ba tare da allura da aka haɗa da su ba kuma yana dacewa da shawarar likitanka.

An saka wannan littafin cikin marufi tare da alkalami mai sikirin da aka cika 3 ml.

Wanda ya kera Syringe: Medsintez Shuka LLC, Russia.

Pharmacodynamics

Magungunan Rosinsulin P - insulin na ɗan adam wanda aka samu ta hanyar halittar halittar DNA ta hanyar amfani da iri E. coli. Shirye-shiryen insulin ne a takaice. Yana hulɗa tare da takamaiman mai karɓa a kan ƙwayar cytoplasmic na sel na jikin mutum kuma yana samar da hadaddun insulin-receptor wanda ke motsa ayyukan cikin ciki, gami da kira na enzymes masu yawa (hexokinase, pyruvate kinase, glycogen synthase, da sauransu). Rage yawan glucose na jini ana faruwa ne ta hanyar karuwa a cikin jijiyoyin zuciya, karuwar sha da kuma rage kyallen takarda, haɓakar lipogenesis, glycogenogenesis, raguwa a cikin yawan samar da glucose ta hanta, da dai sauransu.

Matsakaicin aikin aiwatar da shirye-shiryen insulin an ƙaddara shi da ƙimar sha, wanda ya dogara da dalilai da yawa (alal misali, a kan kashi, hanyar da wurin gudanarwa, kauri daga cikin ƙashin mai mai kauri, kamar su ciwon sukari na mellitus), sabili da haka bayanin martaba na aikin insulin yana ƙarƙashin mahimman motsawa, kamar yadda a cikin mutane daban-daban, kuma mutum ɗaya.

Bayanin aiki na allurar subcutaneous (kimanin ƙididdigar): farawar aiki bayan mintina 30, matsakaicin sakamako yana cikin tazara tsakanin awa 2 zuwa 4, tsawon lokacin aikin shine awoyi 6-8.

Pharmacokinetics

Rabin rayuwar insulin daga cikin jini yan 'yan mintuna ne.

Tsawon lokacin aiwatar da shirye-shiryen insulin shine mafi yawanci saboda yawan sha, wanda ya dogara da dalilai da yawa (alal misali, kan yawan insulin, hanyar da wurin gudanarwa, kauri daga kasan mai kitse da nau'in ciwon sukari mellitus). Sabili da haka, sashin magungunan insulin na insulin ya shafi mahimmancin canzawa tsakanin mutum-da-ciki.

Mafi yawan maida hankali (C_max) an samar da insulin plasma a cikin awanni 1.5-2.5 bayan gudanarwar subcutaneous.

Babu wata ma'anar da ta tabbatar da sunadarai ga plasma da aka ambata, banda keɓance ƙwayoyin cuta zuwa insulin (idan akwai).

An cire insulin na mutum ta hanyar insulinase ko insulin-inshin-share insulin, kuma wataƙila ta hanyar disproide isomerase.

Ana zaton cewa a cikin kwayar halittar insulin na mutum akwai wurare da yawa na share-fage (hydrolysis), amma, babu wani daga cikin metabolites da aka kirkira sakamakon tsinkewar aiki.

Rabin rayuwar (T_1/2) yana ƙaddara da ƙimar ɗarin ƙwaƙwalwar ƙwayar katako. Saboda haka, T_1/2 rather'a, awowi ne na ɗaukar hoto, kuma ba a zahiri ba ne gwargwado na cire insulin daga plasma (T_1/2 insulin daga cikin jini yan 'yan mintuna ne).

Nazarin ya nuna cewa T_1/2 kusan awa 2-5.

Yara da matasa

Bayanin magunguna na magungunan Rosinsulin P a cikin yara da matasa sunyi kama da na manya. Koyaya, akwai bambance-bambance tsakanin tsararraki daban daban dangane da mai nuna alama kamar C_max, wanda kuma ya sake jaddada buƙatar zaɓin kowane kashi.

• Ciwon sukari mellitus.
• Yanayin gaggawa a cikin marasa lafiya da ciwon sukari mellitus, tare da decompensation na carbohydrate metabolism.

Haihuwa da lactation

Babu ƙuntatawa game da lura da ciwon sukari mellitus tare da insulin a lokacin daukar ciki, tun da insulin bai ƙetare shinge na mahaifa ba. Lokacin da ake shirin daukar ciki da lokacin sa, ya zama dole a kara yin maganin cutar sankara. Bukatar insulin yawanci yana raguwa a farkon farkon ciki kuma sannu a hankali yana ƙaruwa a cikin na biyu da na uku. Lokacin kuma kai tsaye bayan haihuwa, buƙatun insulin na iya raguwa kwatsam. Jim kaɗan bayan haihuwa, buƙatar insulin da sauri ya koma matakin da ya kasance kafin yin juna biyu. Babu ƙuntatawa game da lura da ciwon sukari mellitus tare da insulin yayin shayarwa, tun da kula da mahaifiyar tare da insulin lafiya ce ga jariri. Koyaya, daidaita kashi na insulin da / ko abinci na iya zama dole, don haka ana buƙatar saka idanu sosai don daidaita buƙatun insulin.

Sashi da gudanarwa

Magungunan Rosinsulin P an yi niyya ne don gudanar da aiki da jijiyoyin jini na ciki da jijiyoyin jini. Adadin da hanyar gudanar da magunguna an yanke ta ta likita daban-daban a cikin kowane yanayi dangane da tattarawar glucose a cikin jini. A matsakaici, yawan maganin yau da kullun ya tashi daga 0.3 IU / kg zuwa 1 IU / kg na nauyin jikin mutum (ya dogara da yanayin halayen mutum na haƙuri da haɗuwa da glucose a cikin jini). Bukatar yau da kullun don insulin na iya zama mafi girma a cikin marasa lafiya tare da juriya na insulin (alal misali, yayin balaga, har ma a cikin marasa lafiya tare da kiba), da ƙananan a cikin marasa lafiya tare da ragowar insulin na insulin.

Ana gudanar da maganin a cikin mintina 30 kafin cin abinci ko abun ciye-ciye wanda ya ƙunshi carbohydrates. Zazzabi na insulin da ke cikin yakamata ya zama zazzabi a dakin.

Tare da monotherapy tare da magani, yawan gudanarwa sau 3 a rana (idan ya cancanta, sau 5-6 a rana). A cikin adadin yau da kullun ya wuce 0.6 IU / kg, ya zama dole don shiga cikin nau'in 2 ko fiye da injections a cikin bangarori daban-daban na jiki.

Magungunan Rosinsulin P shine mafi yawan lokuta ana gudanar dashi a cikin yanki na bangon ciki na ciki. Hakanan za'a iya yin allura a cinya, a gindi ko kuma yankin da aka kaɗa da kafada. Tare da shigar da miyagun ƙwayoyi a cikin yankin bangon ciki na ciki, ana samun saurin ɗaukar sauri fiye da gabatarwar zuwa wasu yankuna.Wajibi ne a canza wurin allura a koyaushe a cikin yankin ilmin jikin don hana haɓakar lipodystrophy.

Intramuscularly, ana iya gudanar da magungunan Rosinsulin P kawai kamar yadda likita ya umarce su. Kwararrun gudanar da maganin za a iya aiwatar da su ne kawai ta hanyar kwararrun likitocin.

Rosinsulin R shine insulin-gajeran aiki ne kuma yawanci ana amfani dashi a hade tare da insulin na matsakaici (Rosinsulin C).

Lokacin amfani da pre-cika disposable allurai sirinji alkalami da yawa don maimaita injections, ya zama dole don cire alkairin sirinji daga firiji kafin amfani farko da bari likitan ya isa zafin jiki a ɗakin. Ba za a iya amfani da miyagun ƙwayoyi Rosinsulin P ba a cikin alkalami wanda za'a iya zubar dashi idan an daskare shi. Yana da matuƙar mahimmanci ka bi umarnin don amfani da alkairin da aka kawo tare da magani.

Cututtukan da ke haɗuwa, musamman masu kamuwa da cuta tare da zazzabi, yawanci suna ƙaruwa da buƙatar jikin mutum na insulin. Hakanan ana iya buƙatar gyaran gyaran jiki idan mai haƙuri yana da cututtukan cututtukan da suka shafi kodan, hanta, nakasasshen aikin adrenal, glandar glandonto ko glandar glandar ku.

Buƙatar daidaitawa na iya faruwa yayin canzawar aiki na zahiri ko abincin da aka saba samu. Zai yiwu a buƙaci daidaitawa yayin canja wurin mai haƙuri daga nau'in insulin zuwa wani.

Side effects

Mafi tasirin sakamako tare da insulin shine hypoglycemia. A yayin nazarin karatun asibiti, da kuma lokacin amfani da miyagun ƙwayoyi bayan fitarwarsa a kasuwar mabukaci, an gano cewa abin da ke faruwa na hypoglycemia ya bambanta dangane da yawan masu haƙuri, tsarin kulawa da magunguna, da kuma sarrafa glycemic (duba "Bayanin raunin halayen mutum").

A matakin farko na maganin insulin, kurakurai masu narkewa, yatsun farji da halayen a wurin yin allura (gami da jin zafi, redness, urticaria, kumburi, hematoma, kumburi da itching a wurin allura) na iya faruwa. Wadannan alamu yawanci ne na wani lokaci. Ingantaccen haɓakawa cikin kulawar glycemic na iya haifar da yanayin "matsanancin raunin neuropathy," wanda yawanci za'a iya juyawa. Intensation na insulin farjin tare da ingantacciyar ci gaba a cikin sarrafa metabolism na metabolism na iya haifar da lalacewa ta ɗan lokaci a cikin yanayin maganin ciwon sukari, yayin da ci gaba na dogon lokaci a cikin kulawar glycemic yana rage haɗarin ci gaban cututtukan ciwon sukari.

An gabatar da jerin abubuwan sakamako masu illa a cikin tebur.

Dukkanin sakamako masu illa da aka gabatar a ƙasa, dangane da bayanan gwaji na asibiti, an tattara su gwargwadon haɓakar haɓakawa bisa ga tsarin MedDRA da tsarin kwayoyin. Ana bayyana abin da ya haifar da sakamako masu illa kamar: sau da yawa (≥ 1/10), sau da yawa (≥ 1/100 to