Dokokin protafan nm penfill don amfani, contraindications, sakamako masu illa, sake dubawa

Protafan ® HM Penfill ®

Leaseaddamar da tsari Protafan nm penfill, marufin magunguna da abun da ke ciki.

Dakatarwar da aka yiwa sc kula da fararen launi, lokacinda aka sami sassauci, ya samar da farin farashi da mai launi ko kusan madaukaki mara nauyi, tare da motsa hankali, ya kamata a sake farfadowa.

1 ml
isofan insulin (injiniyan ɗan adam)
100 IU *

Mahalarta: zinc chloride, glycerol, metacresol, phenol, sodium hydrogen phosphate dihydrate, sulfate protamine, hydrochloric acid da / ko sodium hydroxide bayani (don kula da pH), ruwa d / da.

* 1 IU yayi daidai da μg na 35 na insulin na mutum.

3 ml - gilashin gilashi mara launi (5) - blisters (1) - fakitoci na kwali.

LITTAFIN SAURARON SAUKI.
Duk bayanan da aka bayar an gabatar dasu ne kawai don fahimtar tare da miyagun ƙwayoyi, ya kamata ka nemi likita game da yiwuwar amfani.

Yadda ake amfani da Protafan?

Sashi na insulin ne mutum kuma likita ya ƙaddara shi bisa ga bukatun mai haƙuri.

A matsakaici, buƙatun yau da kullun don insulin a cikin lura da ciwon sukari shine daga nauyin 0,5 zuwa 1.0 IU / kg. A cikin yara prepubertal, ya bambanta daga 0.7 zuwa 1.0 IU / kg. A cikin lokacin sakewa, ana iya rage buƙatar insulin sosai, yayin da a cikin yanayin juriya na insulin, alal misali, yayin balaga ko cikin kiba, buƙatun insulin na yau da kullun na iya ƙaruwa sosai.

Matsayi na farko na insulin ga marasa lafiya da ke dauke da ciwon sukari na 2 sau da yawa ƙananan ƙananan, alal misali, daga 0.3 zuwa 0.6 IU / kg / rana.

Likita ya ƙayyade yawan allurar a kowace rana (ɗaya ko fiye) da mai haƙuri ke buƙata. Ana iya sarrafa Protafan shi kaɗai ko kuma gauraye da insulin mai sauri. A cikin maganin insulin mai zurfi, ana amfani da abubuwan bacci azaman 'insulin' basal, wanda aka gudanar da yamma da / ko da safe, kuma ana gudanar da insulin mai saurin aiki kafin abinci.

Ingantaccen iko na rayuwa a cikin masu ciwon sukari yana jinkirta farawa kuma yana rage jinkirin ci gaban matsanancin ciwon sukari. Saboda haka, ana bada shawarar kula da matakan glucose na jini.

A cikin tsofaffi da tsofaffi marasa lafiya, makasudin farko na magani shine rage alamun bayyanar cututtuka da hana haɓakar hauhawar jini.

Protafan NM an yi nufin allurar subcutaneous.

Mafi yawanci ana gudanar da Protafan HM a ƙarƙashin fata na cinya. Hakanan zaka iya shiga yankin bangon baya na ciki, gindi ko guntun tsokoki na kafada.

Tare da allurar ciki a cikin cinya, shakar insulin yayi saurin yin amfani da lokacin da aka sa cikin sauran sassan jiki.

Gabatarwar wani yanki mai fyaɗe fata yana rage haɗarin shiga cikin tsoka.

Don hana lipodystrophy na injections, ya kamata a canza wurare har ma a wannan yanki na jiki.

Babu wani yanayi da yakamata ayi insulin dakatarwar cikin hanji.

Aikin magunguna

Yana hulɗa tare da takamaiman mai samar da ƙwayar plasma membrane kuma yana shiga cikin tantanin halitta, inda yake kunna ƙwayar phosphorylation na ƙwayoyin salula, yana motsa glycogen synthetase, pyruvate dehydrogenase, hexokinase, yana hana adipose nama lipase da lipoprotein lipase. A hade tare da takamaiman mai karɓa, yana sauƙaƙa shigarwar glucose a cikin sel, yana inganta haɓakawarsa ta kyallen kuma yana inganta juji zuwa glycogen. Muscleara yawan ƙwayar jijiyar glycogen, yana ƙarfafa ƙwayar peptide.

Clinical Pharmacology

Tasirin yana inganta 1,5 hours bayan sc gwamnatin, ya kai matsakaici bayan sa'o'i 4-12 kuma yana ɗaukar awanni 24. Ana amfani da Protafan NM Penfill don ciwon sukari na insulin-insulin a matsayin basal insulin a hade tare da insulin-gajeran aiki, ga insulin-dogara-kamar na monotherapy , kuma a hade tare da insulins masu aiki da sauri.

Haɗa kai

Tasirin hypoglycemic yana haɓaka ta hanyar acetylsalicylic acid, barasa, alpha da beta blockers, amphetamine, steroids anabolic, clofibrate, cyclophosphamide, phenfluramine, fluoxetine, ifosfamide, MAO inhibitors, methyldopa, tetracycline, trifamaxigin triincigin, trifamazigin triincigin thiazides), glucocorticoids, heparin, maganin hana haihuwa, isoniazid, carbonate lithium, nicotinic acid, phenothiazines, sympathomimetics, tricyclic antidepressants.

Sashi da gudanarwa

Protafan ® HM Penfill ®

P / c. Magungunan an yi niyya ne don gudanar da aikin jinƙai na cikin ƙasa. Dakatarwar insulin ba za a iya shigar da / ciki ba.

An zaɓi kashi na miyagun ƙwayoyi daban-daban, la'akari da bukatun mai haƙuri. Yawanci, bukatun insulin tsakanin 0.3 da 1 IU / kg / rana. Bukatar yau da kullun don insulin na iya zama mafi girma a cikin marasa lafiya tare da juriya na insulin (alal misali, a lokacin balaga, har ma a cikin marasa lafiya tare da kiba), da ƙananan cikin marasa lafiya tare da ragowar insulin na insulin.

Ana iya amfani da Protafan ® NM duka a cikin monotherapy kuma a hade tare da insulin mai sauri ko gajere.

Protafan ® NM mafi yawanci ana gudanar dashi a ƙarƙashin cinya. Idan wannan ya dace, to ana iya yin allura a cikin bangon gaban ciki, a yankin gluteal ko kuma a cikin yanki na ƙwayar tsoka ta kafada. Tare da gabatarwar miyagun ƙwayoyi a cinya, akwai jan hankali a hankali fiye da lokacin da aka gabatar da shi zuwa wasu yankuna. Idan allurar tayi cikin yanki mai yaduwa da fata, za a rage girman hadarin da ke tattare da gudanar da maganin ta hanyar ƙwayar cutar.

Dole ne allurar ta kasance a cikin fata na akalla awanni 6, wanda ke tabbatar da cikakken kashi. Wajibi ne a canza wurin allura a koyaushe a cikin yankin ilmin jikin don hana haɓakar lipodystrophy.

An tsara Protafan ® NM Penfill ® don amfani da tsarin allurar insulin Novo Nordisk da allurar NovoFine ® ko NovoTvist ®. Cikakken shawarwari don amfani da gudanar da maganin ya kamata a lura.

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

Yawan abin sama da ya kamata

Kwayar cutar haɓakar hauhawar jini (gumi mai sanyi, guguwar bugun zuciya, rawar jiki, yunwar, tashin hankali, tashin hankali, ciwon kai, ciwon kai, rashin motsi, rashin motsi, magana da rashin hangen nesa, rashin ƙarfi). Babban tsananin rashin ƙarfi na iya haifar da rashi na ɗan lokaci ko na dindindin na aikin kwakwalwa, coma, da mutuwa.

Jiyya: sukari ko bayani na glucose a ciki (idan mai haƙuri yana sane), s / c, i / m ko iv - glucagon ko iv - glucose.

Farashin kuɗi a cikin kantin magunguna a Moscow

Bayanin da aka bayar akan farashin magunguna ba tayin sayarwa ko siyan kaya bane.
Bayanin an yi nufin kawai don kwatanta farashi a cikin kantin magunguna masu aiki waɗanda ke aiki daidai da Mataki na 55 na Dokar Tarayya "A Circulation of Medicines" wanda aka sanya ranar 12.04.2010 N 61-ФЗ.

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 cikin yawan kitse mai cutarwa 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 2-18 bayan gudanarwar subcutaneous.

Babu wata ma'anar da aka ambata ta danganta ga furotin na plasma da aka ambata, banda abubuwan rigakafi zuwa insulin (idan akwai).

An cire insulin na mutum ta hanyar aikin kariya na insulin ko kuma magungunan insulin-sharewa na insulin, kuma mai yiwuwa ne ta hanyar abubuwan da ke lalata furotin 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 rayuwa (T_½) yana ƙaddara da ƙimar ɗarin ƙwaƙwalwar ƙwayar katako. Don haka T_½ rather'a, awowi ne na ɗaukar hoto, kuma ba a zahiri ba ne gwargwado na cire insulin daga plasma (T_½ insulin daga cikin jini yan 'yan mintuna ne). Nazarin ya nuna cewa T_½ kusan awa 5-10.

Bayanai na Tsare na Haraji

A cikin karatuttukan da suka dace, gami da karatun aminci na kimiyyar magunguna, karatuttukan abubuwa masu guba tare da maimaituwa, nazarin ilimin kwayoyin halitta, yuwuwar cututtukan fata da tasirin mai guba kan yanayin haifuwar, ba a gano takamaiman hadarin mutane ba.

Haihuwa da lactation

Babu ƙuntatawa game da amfani da insulin a lokacin daukar ciki, tunda insulin ba ya ƙetare shingen mahaifa ba.

Dukkanin hypoglycemia da hyperglycemia, wanda zai iya haɓaka cikin yanayin da aka zaɓa na rashin dacewa, yana kara haɗarin rikicewar tayin da mutuwar tayi. Ya kamata a sa ido ga mata masu juna biyu masu ciwon sukari a duk lokacin da suke cikin ciki, yakamata a sami ingantaccen iko na matakan glucose na jini, shawarwari iri daya sun shafi matan da ke shirin daukar ciki.

Bukatar insulin yawanci yana raguwa a farkon farkon ciki kuma sannu a hankali yana ƙaruwa a cikin na biyu da na uku.

Bayan haihuwa, buƙatar insulin, a matsayin mai mulkin, da sauri ya koma matakin da aka lura kafin daukar ciki.

Hakanan babu hani akan amfani da miyagun ƙwayoyi Protafan® NM yayin shayarwa. Gudanar da ilimin insulin ga uwaye masu shayarwa ba haɗari ga jariri. Koyaya, mahaifiyar na iya buƙatar sake saita tsarin sashi na Protafan® NM da / ko rage cin abinci.

Side sakamako

Babban haɗarin haɗari 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 ya faru na hypoglycemia ya bambanta dangane da yawan masu haƙuri, tsarin shaye shayen, da kuma matakin sarrafa glycemic (duba "Bayaninmutum mummunan halayen ").

A matakin farko na maganin insulin, kurakurai masu narkewa, edema da halayen na iya faruwa a wurin allurar (gami da jin zafi, redness, amya, kumburi, kurma, kumburi da itching a wurin allura). 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 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 bayanai daga gwaji na asibiti, an tsara 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

Kariya da aminci

Hypoglycemia yana iya haɓaka idan an gudanar da wani babban adadin insulin dangane da bukatun mai haƙuri.

Ski abinci ko kuma wani mummunan aiki na jiki wanda ba a shirya shi ba zai iya haifar da rashin lafiyar jiki.

Bayan ramawa game da metabolism na metabolism, alal misali, tare da ƙwaƙwalwar insulin mai ƙarfi, marasa lafiya na iya fuskantar alamu na yau da kullun na abubuwan da ke faruwa na hypoglycemia, wanda ya kamata a sanar da marasa lafiya game da. Alamun gargaɗi na yau da kullun na iya ɓace tare da doguwar cutar sankara.

Canja wurin marasa lafiya zuwa wani nau'in insulin ko zuwa insulin na wani kamfanin yakamata a gudanar dashi karkashin kulawar likita. Idan kun canza maida hankali, nau'in masana'anta, nau'in (insulin ɗan adam, analog na insulin na mutum) da / ko hanyar sarrafawa, kuna iya buƙatar canza sashin insulin. Marasa lafiya da ke cikin jiyya tare da Protafan® NM na iya buƙatar canjin kashi ko karuwa da yawaitar allura idan aka kwatanta da shirye-shiryen insulin da aka yi amfani da su a baya. Idan daidaitawar kashi ya zama dole yayin canja wurin marasa lafiya zuwa jiyya tare da Protafan® NM, ana iya yin wannan riga tare da gabatarwar kashi na farko ko a farkon makonni ko watanni na far.

Kamar yadda sauran hanyoyin kula da insulin, halayen za su iya haɓakawa a wurin allurar, wanda ke nuna jin zafi, jan launi, amya, kumburi, kumburi, kumburi, da itching. Canza wurin allura a kai a kai a cikin yanki iri iri na jiki zai taimaka wajen rage alamun ko hana ci gaban wadannan halayen. Abubuwan da suka shafi yawanci yakan ɓace a cikin 'yan kwanaki zuwa makonni da yawa. A cikin halayen da ba a sani ba, dakatar da Protafan® NM na iya zama dole saboda halayen a wurin allurar.

Kafin tafiya tare da canjin yankin lokaci, mai haƙuri ya kamata ya nemi shawara tare da mai ba da lafiyarsa, kamar yadda sauya lokacin lokaci yana nufin cewa mara lafiya dole ne ya ci ya kuma gudanar da insulin a wani lokaci daban.

Ba za a iya amfani da abubuwan insulin a cikin famfunan insulin ba.

Yin amfani da kwayoyi na lokaci guda na ƙungiyar thiazolidinedione da shirye-shiryen insulin

An bayar da rahoton kararraki na ci gaban rashin karfin zuciya a cikin jiyyar marasa lafiya tare da thiazolidinediones a hade tare da shirye-shiryen insulin, musamman idan irin wadannan marasa lafiya suna da abubuwan haɗari don haɓakar bugun zuciya. Wannan gaskiyar yakamata ayi la'akari dashi yayin rubuta magunguna hade tare da thiazolidinediones da shirye-shiryen insulin ga marasa lafiya.Lokacin da ake rubuta irin wannan haɗin haɗin gwiwa, ya zama dole a gudanar da gwaje-gwaje na likita na marasa lafiya don gano alamun da alamun bayyanar zuciya, ƙoshin nauyi da kasancewar edema. Idan alamun cututtukan zuciya sun lalace a cikin marasa lafiya, tilas a dakatar da jiyya tare da thiazolidinediones.

Tasiri kan iya tuƙin mota da aiki tare da kayan aiki

Thearfin marasa lafiya su mai da hankali kuma ana iya rage ƙarfin tashin hankali yayin rashin ƙarfi, wanda zai iya zama haɗari a cikin yanayi inda waɗannan damar ke da mahimmanci musamman (alal misali, lokacin tuki mota ko aiki tare da injuna da injuna).

Ya kamata a shawarci marassa lafiya su dauki matakan hana ci gaban hauhawar jini yayin tuki. Wannan yana da mahimmanci musamman ga marasa lafiya da basu da cikakkun alamu na abubuwan ci gaban haila ko kuma fama da yawan cututtukan cututtukan zuciya. A cikin waɗannan halayen, yakamata a yi la'akari da dacewar tuki da yin irin wannan aikin.

Yanayin ajiya

A zazzabi of 2 ° C zuwa 8 ° C (a cikin firiji), amma ba kusa da injin daskarewa ba. Kar a daskare.

Adana harsashi a cikin kwali don kare daga haske.

Don buɗe takaddun katako: Kada a ajiye a firiji. Adana a zazzabi da ba ya wuce 30 ° C na makonni 6.

Ya kamata a kiyaye Protafan ® NM Penfill ® daga zafin da ya wuce kima.

Ayi nesa da isar yara. Ayi nesa da isar yara.

Umarnin don haƙuri

Ana amfani da Protafan NM a cikin vials tare da sirinji na insulin, na musamman, waɗanda ke da karatun digiri da ya dace. Magungunan an yi niyya ne don amfanin mutum kawai.

Kafin amfani da Protafan NM na miyagun ƙwayoyi, ya kamata ka tabbata cewa wannan shine ainihin nau'in insulin da aka wajabta. Wajibi ne a shafe farfajiyar murfin murfin kwalban.

Lokacin da mara lafiya yayi amfani da Protafan NM kawai:

• Nan da nan kafin amfani, mirgine kwalban insulin tsakanin tafin hannunka har sai ruwan ya yi fari da gajimare.
• Tattara ƙarar iska daidai da kashi insulin allura a cikin sirinji.
• Sanya iska a cikin kwalbar.
• Juyar da vial tare da sirinji a gefe.
• Theara yawan adadin insulin ɗin da ake buƙata a cikin sirinji.
• Cire allura daga cikin murfin.
• A watsar da iska daga sirinji.
• Duba ko an shigar da kashi daidai.
• Yi allura nan da nan.

• Nan da nan kafin amfani, mirgine tsakanin tafukan kwalban tare da Protafan NM har sai ruwan ya zama fari da gajimare.
• Zana cikin sirinji mai ƙarar iska daidai yake da adadin Protafan NM. Sanya iska a cikin vial tare da Protafan NM kuma cire allura daga cikin vial.
• Zana ƙarar iska daidai da adadin insulin gajeren aiki a cikin sirinji. Sanya iska a cikin gajeran aiki insulin. Juyar da vial tare da sirinji a gefe.
• Zana adadin da ake buƙata na insulin gajeriyar aiki a cikin sirinji. Cire allura daga cikin murfin. A watsar da iska daga sirinji. Duba ko an shigar da kashi daidai.
• Sanya allura a cikin kwalbar tare da Protafan NM. Juyar da vial tare da sirinji a gefe.
• Sanya kashi mai mahimmanci na Protafan NM a cikin sirinji. Cire allura daga cikin murfin. Fitar da iska daga sirinji kuma bincika idan an saita matakin daidai.
• Nan da nan allura cakuda.
• Koyaushe haɗa insulin gajere da tsayi tsayi a cikin tsari iri ɗaya.

Yadda ake sarrafa insulin

Sanya fata tare da yatsunsu biyu, saka allura a cikin murfin fatar sai a yi allurar insulin.

Rike allura a karkashin fata na akalla aƙalla 6 don tabbatar da cewa allurar tana cikin allurar.

Rashin daidaitattun magunguna ko dakatar da magani (musamman tare da nau'in ciwon sukari na 1) na iya haifar da hyperglycemia da ketoacidosis na ciwon sukari. Yawanci, alamun farko na cututtukan hawan jini suna haɓaka a hankali a cikin sa'o'i da yawa ko kwanaki. Waɗannan sun haɗa da: ƙishirwa, yawan urination, tashin zuciya, amai, amai, jan jiki da bushewar fata, bushewar baki, rashin ci, da kuma ƙamshin acetone a cikin iska mai ƙarfi (duba sashin sakamako).

A cikin nau'in 1 na ciwon sukari, cututtukan da ba a kula da su ba suna haifar da ketoacidosis mai ciwon sukari, wanda ke iya zama mai mutuƙar mutuwa.

Hypoglycemia na iya faruwa idan kashi na insulin ya zarce buƙatarta. Gabaɗaya, ana iya maganin cututtukan jini na jini ta hanzarta haifar da carbohydrates. Yakamata masu haƙuri su iya yin wannan nan da nan, don haka ana ba su shawara su kasance da glucose koyaushe tare da su.

Ski abinci ko karin yawan aiki na jiki wanda ba a tsammani ba na iya haifar da hauhawar jini.

Marasa lafiya waɗanda suka inganta mahimmancin matakan glucose na jini saboda ƙwaƙwalwar insulin mai zurfi na iya lura da canje-canje a alamominsu na yau da kullun, abubuwan da ke haifar da ciwon sukari, wanda ya kamata a yi gargaɗi a gaba (duba sashin sakamako).

Alamun gargaɗin da aka saba na iya ɓacewa a cikin mutanen da ke da ciwon sukari na dogon lokaci.

Cututtukan haɗin gwiwa, musamman cututtuka da zazzabi, yawanci suna ƙara buƙatar haƙuri ga insulin.

Rashin ƙarfi ko gazawar hanta na iya haifar da tarin insulin.

Bukatar tsara adadin insulin na iya tashi a lokuta inda marasa lafiya suka kara yawan motsa jiki ko canza abincin da suka saba.

Canza haƙuri ga wani nau'in ko nau'in insulin yana faruwa ƙarƙashin tsayayyen kulawar likita. Canje-canje a cikin taro, nau'in (masana'anta), nau'in (insulin mai aiki da sauri, insulin biphasic, insulin aiki), asalin insulin (dabba, ɗan adam ko ƙirar insulin ɗan adam) da / ko hanyar samarwa (DNA idan aka kwatanta da insulin dabbobi) na iya buƙatar gyara allurai insulin. Lokacin canza mai haƙuri zuwa allurar Protafan NM, ana iya buƙatar buƙatar sauya kashi na yau da kullun na insulin. Bukatar zaɓin kashi na iya tashi duka a farkon aikin sabon magani, da kuma a farkon fewan makonni ko watanni na amfani.

Wasu marasa lafiya waɗanda suka ɗanɗani jinin haila bayan canzawa daga dabba zuwa insulin ɗan adam sun lura da rauni ko canji a alamu na abubuwan da ke faruwa na farkon rashin lafiyar.

Kafin tafiya a cikin yankuna daban-daban na lokaci, marasa lafiya ya kamata su nemi likita, saboda wannan yana canza jadawalin allurar insulin da kuma daukar abinci.

Ba za a iya amfani da insulin insulin a cikin famfunan insulin don ci gaba da gudanar da aikin insulin na ƙasa ba.

Protafan HM ya ƙunshi metacresol, wanda zai haifar da halayen rashin lafiyan.

Haihuwa da lactation

Saboda insulin baya ƙetare shinge na ƙwayar cutar ƙwayar mahaifa, babu iyaka ga maganin masu ciwon sukari tare da insulin yayin daukar ciki. An ba da shawarar yin ƙarfi kan kulawa da kula da mata masu juna biyu da masu ciwon sukari a duk tsawon lokacin daukar ciki, da kuma a cikin abubuwan da ake zargi da juna biyu, tunda tare da ƙarancin kula da ciwon sukari, duka ƙwanƙwasawa da hauhawar jini suna haɓaka haɗarin rikicewar tayin da mutuwa.

Bukatar insulin yawanci yana raguwa a farkon farkon ciki kuma yana ƙaruwa sosai a cikin watanni na biyu da na uku.

Bayan haihuwa, buƙatar insulin da sauri ya koma tushe.

Hakanan babu wasu hani game da lura da ciwon sukari tare da insulin yayin shayarwa, tun da kulawa da mahaifiyar ba ta haifar da wata haɗari ga jariri. Koyaya, daidaita sashi na iya zama dole.

Tasiri kan iya tuka motoci da abubuwan aiki.

Amsar mai haƙuri da iyawar sa na iya mai da hankali na iya kasancewa yana illa tare da cututtukan jini. Wannan na iya zama haɗari ga yanayi yayin da waɗannan iyawar ke da mahimmanci musamman (alal misali, lokacin tuki mota ko injina).

Ya kamata a shawarci marasa lafiya su dauki matakan hana hypoglycemia kafin tuki. Wannan yana da mahimmanci musamman ga marasa lafiya waɗanda suka raunana ko raunin alamun bayyanar cututtukan cututtukan jini, ko aukuwa na hypoglycemia suna faruwa akai-akai. A ƙarƙashin irin wannan yanayi, ya kamata a warware matsalar shawarar tuki a gaba ɗaya.

Rashin daidaituwa

A matsayinka na mai mulkin, ana iya ƙara insulin a cikin abubuwan da aka san haɗin gwiwar su. Kada dakatar da insulin ya kasance tare da maganin jiko. Magunguna da aka kara a cikin dakatar da insulin na iya haifar da lalata, alal misali, shirye-shiryen da ke ɗauke da abubuwan ɓoye ko ƙwayoyin sulfites.

Protafan NM Penfil - mlarukan katako na mil 3 ml da aka tsara don amfani dasu tare da alƙallan insulin na Novo Nordisk da allurar NovoFayn. Ya kamata a yi amfani da katako don amfani da allon alkalami da ya dace da su kuma ya tabbatar da aminci da ingantaccen amfani da kicin.

Sashi na insulin ne mutum kuma likita ya ƙaddara shi bisa ga bukatun mai haƙuri.

A matsakaici, buƙatar yau da kullun na insulin a cikin lura da ciwon sukari ya kasance daga 0.5 zuwa 1.0 IU / kg ko sama da haka, ya dogara da yanayin mai haƙuri na mutum.

Sashi da hanyar gudanar da magani.

Shigar s / c, sau 1-2 / rana, mintuna 30-45 kafin karin kumallo. Ya kamata a canza wurin allurar kowane lokaci. A cikin lokuta na musamman, gabatarwar a / m yana yiwuwa.

Ba a yarda da / a gabatarwar insulin na matsakaici ba

An sanya allurai daban-daban, gwargwadon abubuwan da glucose ya kunsa a cikin jini da fitsari, halayen hanyar cutar.

Yi amfani da lokacin daukar ciki da lactation.

A lokacin daukar ciki, ya zama dole a la’akari da raguwar buƙatar insulin a cikin farkon farkon ko ƙaruwa a cikin na biyu da na uku. Lokacin kuma kai tsaye bayan haihuwa, buƙatun insulin na iya raguwa kwatsam.

Yayin shayarwa, ana buƙatar saka idanu kowace rana don watanni da yawa (har sai an daidaita buƙatar insulin).

Umarnin na musamman don amfanin Protafan nm penfill.

Tare da taka tsantsan, ana aiwatar da zaɓi na miyagun ƙwayoyi a cikin marasa lafiya da cututtukan ƙwayar cuta na ƙwaƙwalwar ƙwayar cuta na baya wadanda suka kasance a cikin nau'in ischemic kuma tare da nau'ikan cututtukan zuciya masu rauni.
Buƙatar insulin na iya canzawa a cikin waɗannan lambobin: lokacin da canzawa zuwa wani nau'in insulin, lokacin da ake canza abinci, zawo, amai, lokacin canza yanayin da ya saba da aiki na jiki, a cikin cututtukan kodan, hanta, ƙwayar ƙwayar cuta, glandar thyroid, lokacin canza wurin allura.
Ana buƙatar daidaita daidaituwa na insulin ga cututtukan cututtukan, cututtukan thyroid, cutar Addison, hypopituitarism, gazawar koda, da kuma ciwon sukari a cikin marasa lafiya fiye da shekaru 65.

Canza haƙuri ga insulin ɗan adam ya kamata koyaushe a tabbatar da gaskiya kuma ana aiwatar da shi kawai a ƙarƙashin kulawar likita.

Abubuwan da ke haifar da rashin jini a cikin jiki na iya zama: insulin overdose, maye gurbin miyagun ƙwayoyi, tsallake abinci, amai, zawo, damuwa na jiki, cututtukan da ke rage buƙatar insulin (cututtukan koda da hanta, da hauhawar jini a cikin adrenal cortex, pituitary ko thyroid gland shine yake, canjin wurin allura) (alal misali, fata akan ciki, kafada, cinya), haka kuma ma'amala da wasu kwayoyi. Zai yiwu a rage taro na glucose a cikin jini yayin canja wurin mai haƙuri daga insulin dabbobi zuwa insulin ɗan adam.

Yakamata a sanar da mara lafiyar game da alamun cutar rashin haihuwa, game da alamun farko na rashin lafiyar masu cutar sankara da kuma game da bukatar sanar da likita game da duk canje-canje a yanayinsa.

Idan akwai matsalar hypoglycemia, idan mara lafiyar yana da hankali, an wajabta masa dextrose a ciki, s / c, i / m ko iv allura glucagon ko iv hypertonic dextrose. Tare da haɓakar ƙwayar cutar tarin ƙwayar cuta, 20-40 ml (har zuwa 100 ml) na maganin 40% na dextrose ana allurar dashi a cikin rafi cikin mai haƙuri har sai mai haƙuri ya fito da kwaɗo.

Marasa lafiya da ciwon sukari na iya dakatar da ɗan ƙaramin ƙin jini na jini da suke ji ta wurin cin sukari ko abinci mai cike da ƙwayoyin carbohydrates (ana ba da shawarar marasa lafiya koyaushe a kalla 20 g sukari tare da su).

Rage shan giya a cikin marasa lafiya da ke karɓar insulin ya ragu.

Tasiri kan ikon tuka motoci da hanyoyin sarrafa abubuwa

Halin da ake samu na haɓaka hypoglycemia na iya lalata iyawar marasa lafiya don tuki motocin kuma suna aiki da hanyoyin.