Humulin m3 umarnin

Bayanin da ya dace da 29.04.2015

• Sunan Latin: Humulin M3
• Lambar ATX: A10ad
• Aiki mai aiki: Kashi-kashi na injin-in-in-in-in-in-in-in-adam
• Mai masana'anta: Eli Lilly Gabas (Switzerland)

1 ml na dakatarwa ya hada da 100 IU sake gina jikin mutum (30% insulin mai narkewa kuma 70% insulin isophan) - sinadaran aiki.

Redientsananan abubuwan da ake amfani da su: Cutar da Metacresol, phenol, glycerol, sulfate protamine, sodium hydrogen phosphate heptahydrate, hydrochloric acid, zinc oxide, ruwa d / da, sodium hydroxide.

Magunguna da magunguna

Bayanin DNA Halin insulin na Humulin M3 shine dakatarwar allura sau biyu wacce tana da matsakaita tsawon lokacin aiki. Bayan allura, ingancin magunguna insulinAn lura bayan mintuna 30-60 kuma ya kai tsawon sama da awanni 2 zuwa 12, tare da tsawon lokacin fiddawa zuwa 18-24 hours.

Aiki insulinna iya samun bambance-bambance na mutum wanda ya danganci fannin gudanar da miyagun ƙwayoyi, madaidaicin kashi, aikin jiki na mai haƙuri, an lura abinci da sauran dalilai.

Babban tasiri na Humulin M3 an karkata zuwa tsarin aiwatarwa metabolism din glucose, a cikin layi daya, likitan magunguna ya bayyana da sakamako na anabolic. A cikin tsoka da sauran kyallen takarda (sai dai qwayoyin kwakwalwa), insulinyana rinjayar kunnawar cikin kwayar ciki jigilar amino acid da glucosekuma yana hanzartawa anabolism na gina jiki.

Humulin insulin M3 yana son canjin hanta glucosea glycogenyana taimaka juyawar ragi glucosea fatsda hanawa gluconeogenesis.

Side effects

Lokacin gudanar da aikin magani insulin, ciki har da Humulin M3, galibi zaka iya lura da ci gaban yawan hailawanda a cikin mummunan tsari na iya haifar da rashin lafiyar hailala (zaluncida asarar sani), kuma a wasu yanayi, zuwa m.

Marasa lafiya na iya dandana halayen rashin lafiyan halayen halin gida a cikin tsari itching, puffinessko jaa cikin allura, yawanci wucewa bayan fewan kwanaki ko makonni. Wasu lokuta waɗannan halayen basu da alaƙa da amfani da insulin, amma sakamakon abubuwan waje ne ko rashin ingantaccen maganin.

Hakanan, an bayyana halayen rashin lafiyan halayen dabi'ahakan ya faru sau da yawa ba sau da yawa ba, amma mafi muni. Bayanan irin waɗannan halayen na iya haɗe tare da wahalar numfashia bayyane itchy, karancin numfashibugun zuciya rage karfin jiniya karu gumi.

A cikin mawuyacin yanayi, waɗannan halayen na rashin lafiyar na iya haifar da haɗari ga rayuwar mai haƙuri kuma suna buƙatar magani na gaggawa. Zan iya buƙatar riƙewa talauciko sauyawa insulin.

Tsayayya, lipodystrophy da yawan tashin hankalizuwa insulinmafi yawan lokuta kan faru ne yayin aikace-aikace dabbobi na insulin. Yiwuwar ci gaban su yayin amfani da insulin Humulin M3 yana kusan kusan sifili.

Umarnin don amfani (Hanyar da sashi)

A / a cikin gabatarwar Humulin M3 an haramta.

A yanayin saukan insulin, tsarin likitan likitancinsu kuma likita ne kawai aka zaba shi kadai, gwargwadon matakin kamuwa da cuta. Ana amfani da Humulin M3 don gudanar da aiki da subcutaneous, kodayake a wasu lokuta ana yarda da allurar IM.

Ana aiwatar da aikin Subcutaneous a cikin ciki, cinya, kafada ko gindi. Suna ƙoƙarin yin amfani da wuri guda don allura ba fiye da 1 lokaci a cikin kwanaki 30, wato, suna canza sau ɗaya a wata. Lokacin aiwatar da allura, ya zama dole a yi amfani da kayan allura daidai, ka guji shigar da allura a cikin jiragen, kuma kar a yi tausa allurar bayan gudanarwa.

Humulin M3 cakuda ne da aka shirya, tare da riga hade Humulin NPH da Humulin akai-akai, wanda ke guje wa shirye-shiryen maganin da marasa lafiyar kansu.

Don shirya kashi insulinvials ko kwandon Humulin M3 ya kamata a birgima cikin tafukan allura guda 10 a cikin tafukan hannayensu a hankali suna girgiza kai daga gefe zuwa gefe, juya 180 ° har sai dakatarwar tayi kama da ruwa mai sanyaya daki ko kuma yayi kama da madara.

Shake da ƙarfi insulinkada ta kasance, saboda wannan na iya haifar da bayyanar kumfa, wanda hakan ke haifar da ainihin tsarin allurai.

Hakanan bai kamata a yi amfani da shi ba. insulintare da flakes ko laka da suka rage bayan hadawa.

Gudanar da insulin

Don dacewa da gwargwado insulinwasu hanyoyin farko wajibi ne. Don yin wannan, kuna buƙatar zaɓar wurin allurar kuma ku shafe shi da hannayen da aka wanke tare da riga mai barasa. Bayan haka cire cire murfin kariya daga allurar sirinji ka gyara fatar, ta matsi ko cire shi, saka allura kuma yi allura. Cire allurar kuma tsawon sakanni ka latsa wurin allurar tare da nama ba tare da shafa shi ba.

Bayan wannan, ta amfani da madawwamin hula na allura, ya zama dole don kwance allurar, kawar da shi kuma sanya murfin baya a kan alkairin sirinji.

Ba a yi amfani da allura na murfin sirinji sau biyu. Ana amfani da vials da katako har sai sun zama fanko, sannan an watsar. Alkalamiin sikeli don amfanin kai kawai.

Yawan abin sama da ya kamata

Insulin Humulin M3, kamar sauran wakilan wannan rukuni na kwayoyi, basu da ma'anar halayyar ƙwayar cuta, saboda gaskiyar ƙwaƙwalwar magani matakin glucose sakamako ne na ma'amala tsakanin tsari glucose, insulinda sauran matakai metabolism.

Hypoglycemiayana tasowa sakamakon rashin daidaituwa a cikin abubuwan da ke cikin plasma insulindangane da farashin kuzari da abinci mai gina jiki.

Bayyanar cututtuka na kunno kai yawan hailana iya faruwa: bariamai samarinya karu gumipallor na fata, rawar jiki, ciwon kai, rikicewa. A wasu yanayi, kamar tsawon lokaci ciwon sukari mellitusko tsananin zafinsa, alamun bayyanar yawan hailana iya bambanta.

Hypoglycemia a cikin tsari mai sauƙi ana iya hana shi ta hanyar ɗaukar ciki sukariko glucose. Ana iya buƙatar daidaita yanayin aiki. insulinbita abincida / ko canji aiki na jiki.

Jiyya yawan hailamatsakaici mai ƙarfi yawanci ana aiwatar da sc ko intramuscularly glucagon, tare da ƙarin shigarwar ciki carbohydrates.

Idan akwai mai tsanani yawan hailatare da raunin jijiyoyin jiki, zubewako ma comaSC ko IM ya nuna glucagonko iv allura glucose mai da hankali.

Bayan haka, don hana sake samuwar yawan haila, ana ba da shawarar mai haƙuri abincin da ya dace carbohydrates. Yanayin matsanancin halin rashin lafiyar dake buƙatar asibiti mai gaggawa.

Haɗa kai

Hypoglycemic kwayoyi (na baka), ethanolsalicylates MAO masu hanawa, sulfonamidesACE hanawa (Enalapril, Kyaftin), masu hana zirga-zirgar angiotensin II, masu hana beta (ba zaɓaɓɓu ba) haɓaka tasiri na Humulin M3.

Glucocorticoids, maganin hana haihuwaci gaban homon da glandon gland, Danazol, thiazide diureticsbeta2-yakamataSalbutamol, Ritodrin, Terbutaline) ƙananan tasirin hypoglycemic insulin.

Lancreotide, Octreotide da sauran analogues somatostatinna iya ƙaruwa ko rage dogaro insulin.

Umarni na musamman

Tsarewar kai na magani ko amfani da isasshen magunguna, musamman insulin dogaromara lafiya, na iya haifar da samuwar mai fama da ciwon sukari ketoacidosisko hawan jiniwadanda ke iya zama barazanar rayuwa.

A wasu marasa lafiya, lokacin amfani dasu jikin mutumalamomin da suka gabata yawan hailana iya bambanta da alamu iri ɗaya lokacin amfani dashi dabbobi na insulin ko bayyana a cikin wani rauni rauni.

Ya kamata a faɗakar da mai haƙuri cewa tare da daidaituwa game da abubuwan da ke ciki glucosea cikin jini, musamman sakamakon tsananin maganin insulinalamomin da suka gabata yawan hailana iya bacewa. Hakanan, wannan alamar cutar na iya zama maras tabbas ko canzawa idan aka yi amfani da shi. masu hana beta, mai ciwon sukari mai ciwon sukari ko ciwon sukari mellituslura na dogon lokaci.

Jihohi marasa tsari hawan jini ko yawan hailana iya haifar da asarar sanicoma har ma da kai ga m.

Canja wurin haƙuri ga wasu insulinya kamata a aiwatar da kwayoyi ko nau'ikan su a sarari a ƙarƙashin kulawar likita. Canji zuwa insulintare da sauran aiki (NPH, Regularda sauransu), hanyar samarwa (dabba, Bayanin DNA), dangantakar nau'in (analog, naman alade) na iya buƙatar gyaran kai tsaye ko a hankali na abubuwan sarrafawa.

A cututtukan hanta da kodarashiwar aiki glandar gland, gland adrenal koglandar thyroid mai haƙuri na iya buƙatar ƙasa da insulin, kuma yaushe damuwar damuwa da wasu irin yanayi masu kama da juna, suna ƙaruwa.

Zai iya buƙatar daidaita allurai insulin idan canje-canje ya faru. maganin rage cin abinciko karuwa aiki na jiki.

A dangane da yiwuwar ci gaba yawan haila, mai haƙuri dole ne ya bincika yanayinsa sosai idan ya cancanta don yin aiki mai haɗari ko tuki.

• Monodar (K15, K30, K50),
• Ryzodeg Flextach,
• Novomix 30 Flexspen,
• Humalog Mix (25, 50).

• Vosulin 30/70,
• Gensulin M (10, 20, 30, 40, 50),
• Vosulin N,
• Gensulin N,
• Mikstard 30 nm,
• Rinsulin NPH,
• Protafan NM,
• Farmasulin N 30/70,
• Humulin,
• Humodar Bda sauransu

A cikin ciki (da lactation)

A cikimata masu wahala ciwon sukarisarrafawa kamuwa da cutamusamman mahimmanci. A wannan lokacin, a matsayin mai mulkin, buƙatu don insulinsauyawa (yana raguwa a cikin farkon farkon ƙarni kuma yana ƙaruwa a cikin II da III), wanda na iya buƙatar daidaita sashi.

Hakanan, canji a sashi, kamar maganin rage cin abincida aiki na jiki ƙila za a buƙaci lokacin da nono.

Nazarin haƙuri ciwon sukari game da Humulin M3, idan wannan insulincikakkiyar dacewa ga mai haƙuri, tabbatacce ne. A cewar su, miyagun ƙwayoyi suna da inganci sosai kuma kusan ba sa haifar da sakamako masu illa.

Zai dace ka tuna cewa ka nada kanka insulin, kazalika da canza shi zuwa wani, an haramta shi sosai, wannan yakamata ya yi ta ƙwararren likita, bayan tattara tarihi da cikakken binciken haƙuri.

Humulin - menene amfanin insulin?

Shekaru da yawa ba tare da gwagwarmaya ba game da IYAYE?

Shugaban Cibiyar: “Za ku yi mamakin yadda sauƙin sauƙin magance ciwon sukari ta hanyar shan shi kowace rana.

Halin insulin na ɗan adam abu ne mai ɗan gajeru. Kodayake mafi mahimmanci, an saka shi a cikin rukunin da ake kira insulin na NPH, wato, waɗanda ke tsaka-tsakin ƙwayoyin cuta na Hadeghorn, sun ƙunshi, alal misali, a cikin tsaba. Shiga cikin wannan rukuni kawai ya ce, duk da tasirin sa mai kyau, ya kasance tsaka tsaki har ma yana da ikon yin aikin musamman na yau da kullun. Game da wannan da ƙari a cikin labarin.

A abun da ke ciki da nau'i na sakin

Insulin cikakken bayani ne mara launi da kuma bayyananne, kamar yadda Sladis, wanda aka tsara musamman don allura. Ya kamata ku bambanta tsakanin nau'ikan magunguna biyu tare da sunan "Humulin":

• a farkon magana, babban abin shine insulin narkewa, wanda aka samo ta hanyar injiniyan kwayoyin - na yau da kullun,
• a na biyu - nau'in insulin na mutum - NPH.

Dangane da haka, magudanan, ciki har da fructose, ya kamata a rarrabu. A farkon iri-iri, yana da distilled metacresol, glycerol, tsarkakakken ruwa, kazalika da wasu abubuwan haɗin. Na biyu yana da daidaitaccen metacresol, glycerin, nau'in acid hydrochloric. Saboda wannan abun da ke ciki, ba wai kawai a farkon ba, har ma a karo na biyu, zai kasance mai yiwuwa ne a kula da ba kawai alamu na NPH a matakin mafi kyau ba, har ma duk ayyukan da ke da alaƙa da na yau da kullun. Wannan ya sa insulin insulin ta zama ɗayan da ake nema, kamar Huxol.

Game da tasirin magunguna

Da yake magana game da tasirin magunguna, ya kamata a lura cewa wannan nau'in insulin nau'ikan DNA ne wanda ya sake bambanta shi. Kamar yadda muka fada a baya, wannan insulin gajere ne.

Babban mahimmancin magungunan yakamata a yi la'akari dashi a matsayin ka'idar metabolism na metabolism - iri ɗaya ya shafi Milford. Bugu da ƙari, ana nuna shi ta hanyar tasirin anabolic. A cikin tsoka da duk sauran takarda (banda kwakwalwa), Humulin ya tsokane musayar musanya tsakanin glucose da amino acid daban-daban. Hakanan yana kara haɓaka ma'amala da sunadarai.

Insulin yana da tasirin gaske game da canzawar glucose zuwa glycogen a cikin hanta, ya dawo da dukkan ayyukan gluconeogenesis, a takaice, kawai ya zama dole don musanya yawan glucose a cikin abubuwa masu kiba.

Duk wannan yana da tasiri ga matakin NPH, wanda, bi da bi, ya zama dole don yau da kullun.

Farkon bayyanar bayyanar miyagun ƙwayoyi yana faruwa a cikin mintina 30 bayan gabatarwarsa, kuma mafi girman tasirin sakamako yana faruwa tsakanin sa'oin farko da na uku, tsawon lokacin tasirin yana daga sa'o'i biyar zuwa bakwai.

Kowane bambanci a cikin matakin aikin insulin ya dogara kai tsaye ga dalilai kamar su:

1. sashi
2. zabin yankin allura
3. mataki na jiki na mai ciwon sukari.

Duk waɗannan tabbaci ne na kai tsaye cewa gaskiyar yanayin canzawar PNH ya fi ƙarfin, wanda ke shafar mai nuna alama a kai a kai.

Game da sashi da gudanarwa

Sashi ne m da gwani akayi daban-daban, ya aikata shi dangane da jihar glycemia. Ana iya gudanar da Humulin ta hanyoyi da yawa: a ƙarƙashin fata, a cikin ciki, allurar intramuscular shima ana iya yiwuwa.

A karkashin fata, an saka insulin cikin kafada, cinya, gindi ko ciki. Ya kamata a canza wurin allurar ta yadda ba za a yi amfani da wurin iri ɗaya ba sau da yawa, zai fi dacewa sau ɗaya a wata.

Tare da karkatarwa cikin jiki, yana da matuƙar kyau a yi taka-tsantsan don gudun kada shiga cikin yankin jini. Bayan allura, ba bu mai kyau ba sai an yi man yankin yanki na gudanarwa. Dole ne a koyar da masu ciwon sukari a kan yadda yakamata a yi amfani da na'urori don gabatarwar insulin. Wannan zai sa ya yiwu a sasanta kansu tare da NPH kuma koyaushe yana kiyaye kullun.

Hakanan yana da mahimmanci a tuna da wasu hanyoyi na wajibi na amfani da Humulin, sune cewa ana iya amfani da wannan insulin ne kawai idan ruwa ne bayyananne ba tare da inuwa ba. Babu buƙatar yin amfani da miyagun ƙwayoyi idan yana dauke da flakes iri-iri, haka kuma a cikin yanayin yayin da ƙananan ƙwayoyin cukakkun fata sunyi aiki da tushe ko ganuwar ganga.Koyaya, zasu iya sake haifar da sakamakon tsarin yanayin sanyi. In ba haka ba, amfanin sa na iya zama cutarwa.

Ya kamata kuma a tuna cewa:

• Dole ne a bincika katakata da kwalabe tare da matuƙar kulawa,
• ppingaukar da katako da kansu ya sa ya yiwu a haɗa abubuwan da ke ciki da sauran nau'ikan insulin a cikin kayan da kansa. Ba za a iya amfani da waɗannan na'urorin don sakandare da ƙari ba.

A nan gaba ne wannan zai iya tsayar da rabo daga NPH da duk alamun da ke da alaƙa da na yau da kullun.

Cire allurar bayan allura zai zama garanti na rashin haihuwa, zai taimaka wajen hana fitar iska, da kuma yawan iska da zai yiwu. Bugu da kari, ba za a iya amfani da allura sau da yawa ba.

Game da sakamako masu illa

Babban sakamako na gefen da ke hade da babban tasirin maganin shine hypoglycemia. Tsarin mummunar cutar da aka gabatar na iya haifar da gajeriyar asarar rai ko mafi tsayi da kuma (a cikin yanayi na musamman) mutuwa.

Allergic halayen na iya faruwa.

Waɗannan sun haɗa da bayyanawar gida, misali, hyperemia, kumburi ko ƙaiƙayi a cikin allurar, wanda galibi yakan tsaya bayan tsawon kwanaki zuwa makonni.

Abinda ake kira tsari na yanayin halayen rashin lafiyan suma zasu yiwu. Suna haifar da ƙasa da akai-akai, amma sun fi alamun bayyanar cututtuka muni. Muna magana ne game da itching na gaba daya, gazawar numfashi, gazawar numfashi, Rage saukar karfin jini, karuwar zuciya da haɓaka gumi. Don hana wannan, NPH da alamomin yau da kullun ya kamata a kiyaye su ƙarƙashin kulawa.

Musamman bayyanannun abubuwan da ke haifar da rashin illa na tsarin jiki na iya zama barazana ga duk hanyoyin rayuwa. Sauran tasirin sakamako na iya haɗawa da yiwuwar lipodystrophy, wanda, duk da haka, yana da ƙarancin ƙarfi.

Game da yanayin ajiya

Dole ne a ajiye miyagun ƙwayoyi a cikin firiji na musamman a zazzabi na digiri biyu zuwa takwas. Wani yanayin asali shine hana daskarewa, buƙatar kare su daga tasirin kai tsaye ba wai kawai rana ba, har ma da haske. Rayuwar shelf daidai yake da shekara biyu daga ranar da aka ƙera shi.

Dole ne insulin wanda yake cikin kabad ko kwalban, amma anyi amfani da shi, dole ne a kula dashi a zazzabi a ɗakin, watau daga 15 zuwa 25 digiri na sama da kwanaki 28. Wannan zai bada tabbacin ingantaccen matakin NPH da na yau da kullun, wanda yake da matukar mahimmanci ga kowane masu ciwon sukari.

Game da contraindications

Hakanan ya kamata a lura da waɗancan contraindications, waɗanda halayen "Humulin" ke ciki. Waɗannan sun haɗa da waɗannan bayyanannun alamun:

1. kowane mataki na hypoglycemia,
2. haɓaka matakin haɓaka da ƙwaƙwalwar ƙwayar jiki zuwa ko dai insulin ko zuwa wasu abubuwan haɗin maganin.

Yarda da contraindications da aka gabatar zai sa ya yiwu a ci gaba a matakin guda ba kawai NPH ba, har ma na yau da kullun. Wannan zai zama mabuɗin don ingantaccen kiwon lafiya a cikin ciwon sukari, ba kawai na farko ba, amma har da na biyu. Don haka, yin amfani da "Humulin" daidai da waɗannan shawarwarin ya kamata a yi la’akari da kawai hanyar gaskiya don hana cutar.

Yaya ake amfani da Humulin?

Sashi, jadawalin gudanarwa da yawan allurar ta likita ne ya ƙaddara, gwargwadon takamaiman bukatun kuma daidai da kowane takamaiman yanayin.

Ana gudanar da Humulin ta allurar subcutaneous, amma kuma ana iya sarrafa ta ta allura ta wucin gadi, kodayake ba a bada shawarar wannan hanyar gudanarwa ba. Bai kamata a gudanar da Humulin a ciki ba. An bayar da allurar subcutaneous a kafada, cinya, gindi ko ciki. Lokacin gudanar da kowane shiri na insulin tare da Humulin, ya kamata a guji shigar da allura a cikin jirgin jini. Bayan gudanar da maganin, ba za a shafa wurin allurar ba. Ya kamata a ba da cikakken taƙaitaccen bayani tare da marasa lafiya game da dabarar allurar.

Humulin shiri ne mai amfani da insulin Humulin (R) Regular da Humulin (R) NPH, an tsara su musamman don mara lafiya bai shirya haɗarin insulin da kansa ba. An saita tsarin kulawa na kowane mara lafiya gwargwadon bukatunsa game da ka'idar metabolism.

Ba a bincika sakamakon haɗuwa da insulin ɗan adam da insulins na dabbobi ko tare da isassun ɗan adam daga wasu masana'antun ba.

Shirya wani kashi na Humulin (R) M3 (30/70), Humulin NPH

Kafin amfani da insulin a cikin katako tare da Humulin (R) M3 (30/70), ya kamata a sake farfadowa ta hanyar matso katun (kwalban) a cikin tafin hannu sau 10 da juya 180 ° 10 sau har sai dakatarwar ta zama ta ɓoye ko ɗigon ruwa. Idan ruwan da ke cikin kicin din bai samu bayyanar da ta dace ba, maimaita aikin har sai abubuwan da ke ciki sun hade. Karanti dauke da katako don gilashin hadawa. Kar ku girgiza katun kwalliya sosai, saboda wannan na iya haifar da samar da kumfa, wanda hakan zai haifar da daidaitaccen ma'aunin gwargwado.

A kai a kai duba yanayin abin da ke cikin kicin din kuma kar a yi amfani da shi idan dakatarwar ta hada da lumps ko kuma idan farin barbashi ya tsaya a kasan ko ganuwar katun, yana sa gilashin yayi sanyi.

Ba a tsara katako ba don haɗa abubuwa daban-daban.

Ba za a iya sake amfani da keɓaɓɓun akwatunan motocin ba.

Don cajin katun a cikin allurar, haɗa allura kuma allurar insulin, koma zuwa umarnin umarnin masana'anta na injectionor don gudanar da aikin insulin.

Yi amfani da sirinji na insulin wanda ya ƙare da kashi da aka tsara don gudanarwa.

Shiri na Humulin Regular Sashi

Magungunan Humulin Regular a cikin kwalabe ba ya buƙatar sake tayar da hankali, ya kamata a yi amfani da shi kawai idan maganin ya bayyana a sarari, mara launi, ba ya ƙunshi barbashi bayyane kuma yana kama da ruwa.

Gaurayawan insulin: da farko kana buƙatar rubuta insulin mai saurin aiki cikin sirinji, don ka guji shan magungunan da ba'a sonsu a cikin murfin. An ba da shawarar yin allurar kai tsaye bayan hadawa.

Don gabatarwar kashi da ake so kowane ɗayan magungunan, zaku iya amfani da sirinji daban don Regular Regular da Humulin NPH.
Shirya sirinji kafin allurar kamar yadda likitan ka ko likitanka suka umarce ka.
Yi amfani da sirinji na insulin wanda ya ƙare da kashi da aka tsara don gudanarwa.

C) Cire katako mai amfani da allura.

Ya kamata a yi amfani da allura sau ɗaya kawai. Theauki allura kuma sanya su a wuri mai lafiya.

Ya kamata a yi amfani da alkalan allura da allura gaba ɗaya.

Ana amfani da akwatunan har sai sun zama fanko gabaɗaya, bayan haka ya kamata a cire su da kyau.

Duk wani musanyar nau'in ko nau'in insulin ɗin ya kamata ya faru a ƙarƙashin kulawa ta fuskar lafiya. Lokacin canza maida hankali, alama (wanda ya dace da takamaiman mai ƙira), nau'in (aiki mai sauri, NPH, jinkirin aiki, da dai sauransu), nau'in (insulin dabba, insulin ɗan adam, analog na insulin mutum) da / ko hanyar shirya (insulin, wanda wanda aka samo ta hanyar fasahar DNA na sakewa, sabanin insulin dabbobi da aka samo) ana iya canza canjin sashi.

Sashi a cikin lura da marasa lafiya da insulin na mutum zai iya bambanta da sigar da ake amfani da shi wajen maganin insulin asalin dabbobi. Idan akwai buƙatar daidaitawar kashi, ana iya aiwatar da irin wannan ka'idojin daga kashi na farko ko a farkon fewan makonni ko watanni.

A cikin wasu marasa lafiya waɗanda ke da alamun cutar hypoglycemic bayan sun canza daga tsari na kula da insulin na asalin dabbobi zuwa tsarin kulawa na insulin ɗan adam, alamun gargaɗin farkon bayyanar cutar hypoglycemia sun kasance ba a faɗi ko bambanta da alamu waɗanda aka taɓa gani a cikin waɗannan marasa lafiya lokacin da aka bi da su da insulin dabbobi. A cikin marasa lafiya tare da daidaituwa na matakan glucose na jini (alal misali, saboda ƙaruwar insulin farji), wasu ko babu alamun farkon faɗakarwar cututtukan hypoglycemia a nan gaba, waɗanda ya kamata a sanar dasu game da. Alamar gargaɗin farkon cutar hypoglycemia na iya zama daban ko cedasa da aka bayyana a cikin marasa lafiya da ke daɗaɗɗar kamuwa da cutar sikari, ko kuma a cikin marasa lafiyar da ke shan wasu magunguna, kamar su masu amfani da beta, a layi ɗaya tare da maganin da aka tsara. Rashin ingantaccen magani don magance cututtukan hypoglycemia ko maganganun haɓaka na iya haifar da asarar sani, farin ciki da mutuwa.

Singarancin shan ko dakatarda magani (musamman ga marassa lafiyar da ke fama da ciwon sukari da ya dogara da su) na iya haifar da cutar sikari da cutar ketoacidosis mai kamuwa da cuta.

Jiyya tare da insulin ɗan adam zai iya haifar da haɓakar ƙwayoyin rigakafi, kodayake a ƙananan ƙananan hankali fiye da insulin dabbobi masu tsabta.

Bukatar insulin ya canza sosai tare da aiki mai rauni na adlandal gland shine yake, glandon gland, glandon thyroid, koda ko hanta.

Hakanan buƙatar insulin na iya ƙaruwa yayin rashin lafiya ko a ƙarƙashin rinjayar damuwa na damuwa.

Bukatar daidaitawa na iya faruwa idan akwai canje-canje a cikin yawan motsa jiki ko abinci na yau da kullun.

Yi amfani da lokacin daukar ciki da lokacin lactation.

Samun cikakken isasshen glucose a cikin jinin mata masu juna biyu waɗanda aka kula da su tare da insulin (tare da kamuwa da insulin ciki da kuma cututtukan da suka shafi ciki) na da matukar mahimmanci. Bukatar insulin yawanci yana raguwa yayin farkon watanni na ciki, bayan haka yana ƙaruwa yayin watanni na biyu da na uku.

Matan da ke da ciwon sukari ya kamata su gaya wa likitocinsu game da juna biyu ko kuma niyyar su yi juna biyu.

Ga matan da ke fama da ciwon sukari yayin shayarwa, ana iya buƙatar yin amfani da abubuwan insulin da kuma / ko abinci.

Tasiri kan iya tuka motar da sauran hanyoyin kera. Hypoglycemia na iya yin mummunan tasiri game da taro da ratsa jiki, i.e. lamari ne mai haɗari cikin yanayin da ke buƙatar halaye da aka ambata, alal misali, lokacin tuki mota ko na'urorin injinikanci. Yakamata a sanar da marassa lafiya game da wane takamaiman matakan da yakamata ayi amfani da shi kafin tuki, domin gujewa ɓarkewar cututtukan cututtukan zuciya, musamman idan alamun gargaɗin farkon haila ba su cikin ko a bayyane, ko kuma idan zubar da jini ke faruwa akai-akai. A karkashin irin wannan yanayin, kar a tuka mota.

Sakamakon sakamako na Humulin.

Hypoglycemia shine mafi yawan sakamako na gefen insulin far a cikin marasa lafiya da ciwon sukari. Mai tsananin rashin ƙarfi na iya haifar da asarar hankali kuma, a wasu yanayi mawuyaci, mutuwa.

Cutar rashin lafiyan gida na iya faruwa ta hanyar jan launi, kumburi, ko ƙaiƙayi a wurin allurar. Yana yawanci daga 'yan kwanaki zuwa makonni da yawa. A wasu halaye, wannan yanayin ba shi da alaƙa da insulin, amma tare da wasu dalilai, alal misali, tare da haushi a cikin abubuwan tsabtace fata ko rashin ƙwarewa tare da injections.

Gyarancin ƙwayar cuta (wanda ba shi da haɗari amma yana iya zama mummunan sakamako) wani nau'i ne na haɓaka rashin lafiyar insulin wanda zai iya haifar da rashes a duk faɗin jiki, gajeriyar numfashi, huɗa, rage hawan jini, hauhawar zuciya, da hawaye. Mummunan shari'ar ƙwayoyin cuta masu haɗari suna barazanar rayuwa. A wasu halaye na musamman na rashin lafiyan halayen Humulin, yakamata a ɗauki matakan da suka dace. Wataƙila akwai buƙatar sake sauya insulin ko rashin kula da warkarwa.

Lipodystrophy na iya faruwa a wurin allurar.

Yaya ake samarwa

Humulin M3 don allurar subcutaneously ko intramuscularly an sanya shi a cikin hanyar maganin 10 ml. don gudanarwa tare da sirinji na insulin ko a cikin katako da aka yi amfani da alƙaliman sirinji, 1.5 ko 3 milliliters, capsules 5 suna cikin kunshin ɗaya. Za'a iya amfani da katako tare da almakun alkalami daga Humapen, BD-Pen.

Magungunan yana haɓaka sakamako na rage sukari a cikin jikin mai haƙuri da ciwon sukari, yana da matsakaita na tsawon lokaci, kuma yana cakuda insulin gajere kuma mai ɗaukar aiki. Bayan amfani da Humulin da gabatar da shi a cikin jiki, ya fara yin rabin sa'a bayan allura, tasirin yana ɗaukar awanni 18 zuwa 24, tsawon lokacin tasirin yana dogara ne akan halayen ƙwayoyin cutar sankara.

Ayyukan miyagun ƙwayoyi da tsawon lokaci ya bambanta daga wurin allura, kashi da likitan halartar ya zaɓa, abubuwan motsa jiki na marasa lafiya bayan gudanar da maganin, abincin, da ƙarin ƙarin fasali.

Ayyukan miyagun ƙwayoyi ya dogara ne akan tsarin gushewar glucose a cikin jiki. Hakanan Humulin yana da tasirin anabolic, saboda wanda galibi ana amfani dashi a cikin aikin gina jiki.

Yana haɓaka motsi na sukari da amino acid a cikin ƙwayoyin ɗan adam, yana haɓaka yunƙurin metabolism na gina jiki na anabolic. Yana inganta canzawar glucose zuwa glycogen, yana hana glucogenesis, yana taimakawa aiwatar da canji na wuce haddi a cikin jiki zuwa tsohuwar nama.

Siffofin amfani da yiwuwar mummunan sakamako

Ana amfani da Humulin M3 don kula da ciwon sukari na mellitus, wanda aka nuna maganin insulin.

Daga cikin mummunan tasirin miyagun ƙwayoyi an lura:

1. Cases na kaifi tsalle a cikin sukari kasa da kafa na al'ada - hypoglycemia,
2. Hypersensitivity ga abubuwan da ke cikin miyagun ƙwayoyi.

Yawancin lokuta ana yin rikodin lokuta na raguwa mai yawa a cikin sukari na jini bayan amfani da insulin, ciki har da Humulin M3. Idan yanayin mai haƙuri yana da tsanani, tsalle-tsalle a cikin sukari yana haifar da ci gaba da ƙwayar cuta, mutuwa da mutuwar mai haƙuri suna iya yiwuwa.

Dangane da batun rashin lafiyar jiki, marasa lafiya na iya fuskantar halayen rashin lafiyan ciki, jan launi, ƙaiƙayi, da haɓaka fata a wurin allurar.

Abubuwan da ke haifar da sakamako mafi yawa sukan tafi da kansu, tare da amfani da halayen halayen Humulin na iya barin kwanaki da yawa bayan allurar farko ta fata a cikin fata, wani lokacin jaraba yana jinkirta har zuwa makonni da yawa.

A cikin wasu marasa lafiya, rashin lafiyan tsari ne na tsari, wanda a cikin hakan yakan haifar da mummunan sakamako:

• Bayyanar da matsalolin numfashi,
• Tachycardia
• Sharparin raguwa a cikin matsin lamba da rauni gaba daya na jiki,
• Bayyanar numfashin numfashi da haɓaka,
• An samar da itching na fata.

A wasu halayen, halayen rashin lafiyan suna haifar da haɗari ga rayuwar ɗan adam da lafiya, sabili da haka, idan alamun cutar da aka bayyana a sama sun bayyana, yana da kyau a nemi taimakon likita nan da nan. Ana magance matsalar ta hanyar maye gurbin shirin insulin tare da wani.

Hanyar aikace-aikace

Haramun ne a gudanar da shirye-shiryen insulin cikin ciki, ana yin allurar ta musamman subcutaneously.

An yanke shawarar yin amfani da insulin ne ta hanyar halartar malamin likita, yayin da aka zaɓi suturar allura da kuma yawan sarrafa magunguna daban-daban ga kowane mai ciwon sukari, kashi ya dogara da matakin sukari a cikin jinin mai haƙuri.

Nadin insulin ana yin sa ne a cikin asibiti a ƙarƙashin kulawar malamin kimiya na endocrinologist kuma ana ci gaba da auna matakan sukari na jini da agogo.

Game da amfani na farko, likita yayi magana game da hanyoyin gudanar da insulin, da kuma wurare masu yuwu, a wasu halayen, an yarda da gudanarwar maganin ƙwayoyin cuta.

An saka maganin a cikin ciki, gindi, gwiwowi ko kafadu. Wajibi ne a canza wurin allurar lokaci zuwa lokaci don guje wa ci gaban lipodystrophy. Mafi girman aikin insulin yana faruwa bayan allura a cikin ciki.

Ya danganta da tsawon allura, ana gudanar da insulin a kusurwoyi mabambanta:

• Gajeren allura (4-5 mm) - a wani kusurwa na digiri 90 ta hanyar gabatarwar kai tsaye ba tare da wrinkling a kan fata ba,
• Matsakaitan allura (6-8 mm) - a wani kusurwa na 90 digiri, dole ne a ninka ninka kan fatar,
• Dogon (fiye da mm 8) - a kwana na 45 digiri tare da ninka akan fatar.

Kyakkyawan zaɓi na kusurwa yana ba ku damar kauce wa tsarin gudanarwar insulin. Masu ciwon sukari tare da dogon tarihi na cutar mafi yawanci suna amfani da allura fiye da mm 12, ga yara yana da kyau a yi injections tare da allura waɗanda basu wuce 4-5 mm.

Lokacin aiwatar da allura, kar a bar allura ta shiga cikin bututun jini, in ba haka ba, zawan na iya faruwa a wurin allurar. Ba a yarda a hana wurin yin allurar ba.

Magungunan Humulin M3 - cakuda insulin Humulin NPH da Humulin Regular, ya dace saboda ba ya buƙatar mai haƙuri ya shirya mafita da kansa kafin amfani.

Kafin amfani, dole ne a shirya juzu'i ko kwandon shara tare da insulin - ana tsabtace shi a cikin hancinka sau 10 kuma ya juya sau da yawa digiri 180, wannan yana ba ka damar cimma daidaituwa na yanayin. Idan, har ma bayan shafe tsawon lokaci, ƙwayar ba ta zama mai kama da juna ba kuma ana iya ganin alamun fararen fata, insulin ya lalace.

Karka girgiza insulin aiki na tsawon lokaci sosai, saboda wannan zai haifar da haifar da kumfa kuma hakan zai hana ka zabi yadda yakamata a magani.

Da zaran an shirya shiri da kansa, an shirya wurin allurar. Mai haƙuri ya kamata ya wanke hannayensa sosai, bi da wurin allurar tare da goge goge na musamman, waɗannan suna da sauƙin samu a kowane kantin magani.

An zana adadin insulin da ake buƙata a cikin sirinji (idan aka yi amfani da alkairin mai siket, an zaɓi kashi ta amfani da sauyawa na musamman), an cire hula mai kariya kuma ana yi allura a cikin fata. Kar a fitar da allurar da sauri, wurin allurar bayan allura dole ne a matse tare da adiko na goge baki.

Sharuɗɗan sayarwa da ajiya

Kuna iya siyar da insulin a cikin kantin magani idan kuna da ingantaccen takaddara daga likitan ku.

Yana da daraja adana magani a cikin firiji a zazzabi na 2 zuwa 8 digiri Celsius, kar a bijirar da maganin ga daskarewa, gami da fuskantar zafi ko hasken rana. Ana iya adanar insulin da aka buɗe a zazzabi na digiri 15 zuwa 25 don babu fiye da kwanaki 28.

Idan an cika duk yanayin ajiya, rayuwar shiryayye shine shekaru 3 daga ranar samarwa. Haramun ne a yi amfani da magani wanda ya ƙare, a mafi kyawun yanayin ba zai shafi jiki ba, a cikin mafi munin yanayi shi zai haifar da mummunan guba na insulin.

Kafin amfani, yana da kyau a cire Humulin M3 daga firiji a cikin mintuna 20-30. Injewar magungunan a zazzabi a daki zai rage zafi.

Tabbatar duba ranar karewa kafin amfani.

Amfani da Humulin M3 yayin haihuwa da shayarwa

A lokacin daukar ciki, mata masu ciwon sukari ya kamata su sa ido sosai a kan sukarin jininsu. Bukatar insulin yana canzawa dangane da tsawon lokacin daukar ciki, don haka, a lokacin farkon farkon, ya fadi, a lokacin na biyu da na uku - yana ƙaruwa. Abin da ya sa ake buƙatar ma'auni kafin kowane allura. A lokacin daukar ciki, ana iya daidaita sashi sau da yawa.

Canji na sashi za'a iya buƙata yayin shayarwa. Dole ne likita mai halartar aikin yayi la'akari da halayen abinci na mahaifiyar ƙuruciya da kuma matakin motsa jiki.

Selecteda'idodin da aka zaɓa da kyau suna ba da damar yin amfani da Humulin M3 don lura da ciwon sukari mellitus, yawancin sake duba magunguna suna da inganci. A cewar marasa lafiya, Humulin yana da matuƙar tasiri kuma a zahiri ba shi da sakamako masu illa a ƙarƙashin duk yanayin amfani.

Ka tuna cewa yin allurar insulin kanta shine kanada, saboda wannan na iya haifar da mutuwa. Duk gyare-gyare na kashi da sauyawa zuwa analogues ana yin su ne a gaban likitan halartar tare da sanya idanu akai-akai na matakan sukari na jini.