Insulin Humulin, nau'ikan fitarwa da analogues: tsarin aiki da shawarwari don amfani

Dakatarwa don yin allura 100 IU / ml

Mlaya daga cikin ml na dakatarwa ya ƙunshi

abu mai aiki - insulin mutum (kwayar halittar DNA) 100 IU,

magabata : distilled metacresol, glycerin, phenol, protamine sulfate, sodium hydrogen phosphate heptahydrate, zinc oxide (dangane da zinc Zn ++), hydrochloric acid 10% don daidaita pH, sodium hydroxide 10% bayani don daidaita pH, ruwa don allura.

Wani farin dakatarwa, wanda, lokacin da yake tsaye, yakan bayyanar dashi cikin bayyananniyar, mara launi ko kusan madaukakiyar launi da farin fari. A sauƙaƙe za a sake tura shi cikin saurin girgiza kai.

Kayan magunguna

Humulin® NPH shiri ne na insulin-matsakaici.

Farawar aikin miyagun ƙwayoyi shine 1 zuwa 2 sa'o'i bayan gudanarwa, mafi girman tasirin shine tsakanin 4 da 10 hours, tsawon lokacin aikin shine 18 zuwa 24 hours. Bayanin aiki na yau da kullun na aiki (glucose uptake curve) bayan gudanar da subcutaneous ana nuna shi azaman layin m a cikin hoton da ke ƙasa. Bambancin mutum a cikin aikin insulin ya dogara da dalilai kamar kashi, zaɓin wurin allura, ayyukan jiki na mara haƙuri, da dai sauransu.

Humulin® NPH shine insulin kwayar halittar jikin ɗan adam.

Babban aikin insulin shine tsari na metabolism metabolism. Bugu da ƙari, yana da tasirin anabolic da anti-catabolic. Bugu da ƙari, yana da tasirin anabolic da anti-catabolic akan ƙoshin jikin mutane daban-daban. A cikin ƙwayar tsoka, akwai karuwa a cikin abun da ke ciki na glycogen, kitse mai narkewa, glycerol, haɓakar haɓakar furotin da karuwa a cikin yawan amino acid, amma a lokaci guda akwai raguwa a cikin glycogenolysis, gluconeogenesis, ketogenesis, lipolysis, catabolism na furotin da kuma sakin amino acid.

Sashi da gudanarwa

Ana amfani da matakin Humulin® NPH ta likita daban-daban dangane da matakin glycemia. Ya kamata a gudanar da miyagun ƙwayoyi a ƙarƙashin ƙasa. Gudun cikin mahaifa zai yiwu, amma ba da shawarar ba.

Ya kamata a bai wa allurar cikin yatsun kafaɗa, kafada, gindi ko cinya ciki. Dole ne a sake karkatar da wuraren allurar don kada a yi amfani da yankin iri ɗaya ba kusan sau ɗaya a wata ba. Tare da yin aiki da insulin ƙasa na insulin, dole ne a kula da kar a shigar da jini lokacin allura. Bayan allurar, bai kamata a sanyaya wurin da allura ba. Yakamata a koyar da marassa lafiya yadda yakamata ayi amfani da nawalin insulin.

Humulin® NPH ana iya gudanar dashi a hade tare da Humulin® Regular (duba umarni don haɗuwa da insulin).

Tsarin sarrafa insulin shine mutum!

Umarnin don amfani

Humulin® NPH harsashi yana buƙatar jujjuya tsakanin tafin hannu sau da yawa har sai an sake samun insulin ɗin gaba daya. Nan da nan kafin amfani, Humulin® NPH harsashi ya kamata a birgima tsakanin tafin hannu sau goma kuma girgiza, juya 180 har sau goma, har sai insulin ta zama jigon madaidaiciya ko kuma farin farin ruwa. Kada ku girgiza sosai, saboda wannan na iya haifar da bayyanar kumfa, wanda zai iya tsoma baki tare da madaidaicin kashi.

Ya kamata a bincika zane-zane a hankali. Kada a yi amfani da insulin in yana da flakes bayan an gauraya ko idan farin abu ya zauna a ƙasan kwalbar. Karka yi amfani da insulin idan farin farin barbashi ya bi zuwa kasan ko ganuwar vial, yana haifar da sakamakon yanayin sanyi.

Na'urar katuwar katako ba ta bada izinin haɗa abubuwan da ke cikin su tare da wasu abubuwan insulins kai tsaye a cikin katun da kanta. Ba a cika cika abubuwan alaƙar katako ba.

Ya kamata a jawo insulin na ɗan gajeren lokaci a cikin sirinji don hana kayan insulin da ke yin aiki na dogon lokaci daga lalata abubuwan da ke cikin murfin. Yana da kyau a gabatar da kayan cakuda nan da nan bayan an gauraya. Don gudanar da ainihin adadin kowane insulin, zaku iya amfani da sirinji daban don Humulin® Regular da Humulin® NPH.

Koyaushe yi amfani da sirinin insulin wanda ya dace da yawan insulin da kake yiwa allurar.

Bi umarnin mai ƙira game da cika kwandon shara da kuma ɗaukar allura.

Wanke hannu. Don shafa mai murɗaɗɗen roba na katako a cikin wurin da allura.

Shirya wani alkairin sirinji, bin umarnin don amfanin sa. Sanya katun a cikin alkairin sirinji.

Haɗa allura bayan cire fim ɗin kariya.

Cire hula ta waje daga allura.

Cire iska daga cikin kwalin insulin. Auna raka'a 1-2 na kashi. Takeauki alkalami mai allura tare da allura sama ka matsa gefen maɓallin sirinji dan kadan domin kumfa da ke ciki suna zuwa saman. Yayin riƙe alkalami na allura tare da allura sama, danna injection ɗin. Ci gaba har sai digon Humulin® NPH ya bayyana a ƙarshen allura. Yawancin kumfa mai iska na iya zama a cikin alkairin sirinji, ba su da lahani. Koyaya, idan girman kumfa yayi yawa, yawan allurar ku zai zama daidai. Ya kamata ayi bincike kafin kowane allura.

Zaɓi wurin yin allura.

Goge fata tare da auduga swab tsoma a cikin barasa. Jira fata ta bushe.

Gyara fata ta hanyar samar da takalmin fata. Tabbatar cewa wurin allurar ta kasance aƙalla 1 cm daga wurin yin allurar da ta gabata, kuma ka lura da sauya wuraren allurar kamar yadda aka bada shawara.

Introduaddamar da kashi da ake buƙata na insulin subcutaneously bisa ga umarnin likitanka kuma daidai da umarnin mai ƙera alkairin sirinji. Rike allura a karkashin fata na tsawon dakika 5 don tabbatar da cewa kun shiga cikin maganin gaba daya.

Cire allurar daga fata kai tsaye ka latsa wurin allurar har tsawon sakanni. Karka shafa wurin allurar.

Yin amfani da maɗaukin na allura, nan da nan bayan an saka, cire haɗin allura kuma a rusa shi lafiya. Cire allurar kai tsaye bayan allurar ta na tabbatar da tsawan jiki, yana hana fitowar insulin da iska, da kuma yiwuwar rufe allurar.

Saka hula a aljihun syringe.

Lalata lalata katako da allura.

Kar a sake amfani da allura. A jefa allura da aka yi amfani da shi ta hanyar da ta dace. Kada ku raba katunku ko allura tare da sauran mutane. Don haka, kuna haɗarin haɗarin kamuwa da mummunar kamuwa da cuta ko samun mummunar kamuwa da cuta daga gare su. Abubuwan da ake buƙata da alkalami su ne don amfanin kai kaɗai. Yi amfani da katako har sai sun zama fanko, bayan haka ya kamata a zubar dasu da kyau. Kayayyakin da ba a amfani da su ba ko kayan masarufi ya kamata a zubar da su daidai da dokokin gida.

Side effects

Sakamakon sakamako masu illa da ke tattare da babban maganin:

yawan haila shine sakamako na yau da kullun da ke faruwa tare da gudanar da shirye-shiryen insulin, ciki har da Humulin® NPH.

Alamu m zuwa matsakaici hypoglycemia : rauni, zazzabin cizon sauro, palpitations, firgitar hankali a cikin hannaye, kafafu, lebe ko harshe, rawar jiki, ciwon kai, gumi mai sanyi, tsananin farin ciki, tashin hankali, bacci, bacci, damuwa, rashin walwala, hangen nesa, mai magana mara izini, magana ta haramtacciyar hanya, bacin rai, haushi, rashin iya maida hankali, halayyar cuta, canje-canjen halaye, motsi mai girgiza, yunwar.

Alamu mai nauyi hypoglycemia: disorientation, rashin sani, rashi. A cikin lokuta na musamman, mummunan jini na iya haifar da mutuwa.

halayen rashin lafiyan gida (mita daga 1/100 zuwa 1/10) a cikin jan launi, kumburi, ko ƙaiƙayi a wurin allurar yawanci yakan tsaya a cikin kwanakin da yawa zuwa makonni da yawa. A wasu halaye, waɗannan halayen na iya lalacewa ta hanyar dalilan da basu da nasaba da insulin, alal misali, haushi na fata tare da wakilin tsarkakewa ko allurar da ba ta dace ba.

tsari halayen rashin lafiyan mutum (mitar kayayyakin magunguna

• Tasirin warkewa yana farawa awa daya bayan allura.
• Tasirin rage karfin sukari yakai kimanin awanni 18.
• Babban tasiri shine bayan sa'o'i 2 da kuma har zuwa 8 hours daga lokacin gudanarwa.

Irin wannan bambancin a cikin tazara tsakanin ayyukan miyagun ƙwayoyi ya dogara da wurin gudanarwar dakatarwa da aikin motar mai haƙuri. Wajibi ne a yi la’akari da waɗannan kaddarorin yayin sanya alƙawarin lokacin aiki da kuma lokacin gudanarwa. Ganin an tsawaita farkon tasirin, Humulin NPH an wajabta shi tare da insulin gajere da gwaji.

Rarraba da cirewa daga jiki:

• Insulin Humulin NPH baya shiga cikin shinge na hematoplacental kuma ba'a fallasa shi ta hanjin gyada ta madara.
• Rashin aiki a cikin hanta da kodan ta hanyar enzyme insulinase.
• Ana kawar da miyagun ƙwayoyi musamman ta hanjin kodan.

Bayanin sigar sashi

• Dakatarwa ga s / c sarrafa farin launi, wanda ke bayyanawa, samar da farin tsinkaye da bayyananne, mara launi ko kusan madaukakiyar launi, ana saurin sake tayar da hankali tare da girgiza mai ladabi. Dakatarwa ga s / c sarrafa farin launi, wanda ke bayyanawa, samar da farin tsinkaye da bayyananne, mara launi ko kusan madaukakiyar launi, ana saurin sake tayar da hankali tare da girgiza mai ladabi. Dakatarwa ga s / c sarrafa farin launi, wanda ke bayyanawa, samar da farin tsinkaye da bayyananne, mara launi ko kusan madaukakiyar launi, ana saurin sake tayar da hankali tare da girgiza mai ladabi.

Abubuwan da ba a ke so ba sun hada da:

• hypoglycemia cuta ce mai haɗari tare da isasshen allurar. An bayyana shi ta hanyar asarar sani, wanda za'a iya rikitar da shi tare da rikicewar rikice rikice,
• bayyanar rashin lafiyan a wurin allura (redness, itching, bugu),
• choking
• karancin numfashi
• tashin hankali
• cututtukan mahaifa
• samarin
• lipodystrophy - atrophy na gida na ƙoshin kitse.

Aikin magunguna

• 1 ml insulin mutum 100 IU dakatarwa ne sau biyu ko kuma cakuda: mai narkewa na insulin mutum 30% dakatarwar insulin ɗan adam 70% Masu cin abinci: distilled m-cresol (1.6 mg / ml), glycerol, phenol (0.65 mg / ml), protamine sulfate , sodium phosphate dibasic, zinc oxide, ruwa d / da, hydrochloric acid, sodium hydroxide. 1 ml insulin mutum 100 IU dakatarwa ne sau biyu ko kuma cakuda: maganin insulin mutum mai narkewa 30% isofan insulin insulin mutum kashi 70% Mahalarta: metacresol, glycerol (glycerin), phenol, protamine sulfate, sodium hydrogen phosphate, zinc oxide, ruwa d / da , hydrochloric acid (bayani na 10%) da / ko sodium hydroxide (maganin 10%) don ƙirƙirar matakin pH da ake buƙata. insulin mutum 100 IU shine dakatarwa sau biyu ko kuma cakuda: mai narkewa mutum insulin 30% dakatarwar insulin dan adam kashi 70% Masu fashewa: distilled m-cresol (1.6 mg / ml), glycerol, phenol (0.65 mg / ml), protamine sulfate, sodium dibasic phosphate, zinc oxide, ruwa d / da, hydrochloric acid, sodium hydroxide.

Babban ka'idojin amfani

1. Ya kamata a gudanar da miyagun ƙwayoyi a karkashin fata na kafada, kwatangwalo, gindi da kuma bango na ciki, wani lokacin ma allurar intramuscular shima zai yiwu.
2. Bayan allurar, bai kamata ku matsa sosai da tausa yankin mamayewa ba.
3. An haramta amfani da miyagun ƙwayoyi a cikin ciki.
4. An zaɓi kashi ɗaya akayi daban-daban ta endocrinologist kuma yana dogara ne akan sakamakon gwajin jini don sukari.

Algorithm don gudanarwar insulin Humulin NPH

• Humulin a cikin vials kafin amfani dashi dole ne a haxa shi ta jujjuya murfin tsakanin tafukan har sai launin madara ya bayyana. Karka girgiza, kumbura, ko amfani da insulin tare da ragowar ciyawar a jikin bangon vial.
• Humulin NPH a cikin katako ba kawai kewaya tsakanin tafin hannu ba, yana maimaita motsi sau 10, amma kuma yana gauraya, a hankali ya juya katun. Tabbatar cewa insulin a shirye don gudanarwa ta kimanta daidaito da launi. Yakamata yakamata ya kasance mai launi iri ɗaya acikin ruwan madara. Hakanan kada ku girgiza ko kumburi ƙwayar. Kada kayi amfani da mafita tare da hatsi ko laushi. Sauran insulins ba za a iya saka su cikin katun ba kuma ba za a iya cika su ba.
• Alkalami na syringe ya ƙunshi 3 ml na insulin-isophan a cikin adadin 100 IU / ml. Don allura 1, shigar da ba fiye da 60 IU ba. Na'urar ta bada izinin dosing tare da daidaitaccen har zuwa 1 IU. Tabbatar cewa allura tana haɗe da na'urar.

Wanke hannu ta amfani da sabulu sannan kuma a magance su da maganin ƙwari.

Yanke shawara akan wurin allura kuma kuyi fata da maganin maganin antiseptik.

Madadin wuraren allurar don kada a yi amfani da wurin iri ɗaya ba kusan sau ɗaya a wata ba.

Fasali na aikace-aikace na na'urar sikirin

1. Cire hula ta cire shi maimakon juyawa da ita.
2. Duba insulin, rayuwar shiryayye, kayan rubutu da launi.
3. Shirya allura mai kamar yadda aka bayyana a sama.
4. Matsa allurar har sai ta yi ƙarfi.
5. Cire iyakoki biyu daga allura. A waje - kar a jefar da shi.
6. Duba yawan shan insulin.
7. Sanya fata kuma yi allura a karkashin fata a wani kwana na 45.
8. Gabatar da insulin ta hanyar riƙe maɓallin tare da babban yatsa har sai ya daina, ƙidaya a hankali a hankali ga 5.
9. Bayan cire allura, sanya ball na barasa a wurin allurar ba tare da shafa ko murƙushe fata ba. A yadda aka saba, digo na insulin na iya zama a saman allura, amma ba zubo daga ciki ba, wanda ke nufin kashi cikakke.
10. Rufe allura tare da madogara ta waje ka zubar dashi.

M hulɗa tare da wasu kwayoyi

Magunguna waɗanda ke inganta tasirin Humulin:

• Allunan saukar da sukari,
• magungunan rigakafin ƙwayoyin cuta - masu hana haɓakar ƙwayoyin cuta,
• magunguna na hypotonic daga rukuni na masu hana ACE da beta-blockers,
• carbonic anhydrase inhibitors,
• imidazoles
• maganin hana daukar ciki,
• shirye-shiryen lithium
• B bitamin,
• akarijin
• barasa-shan kwayoyi.

Magunguna waɗanda ke hana aikin insulin Humulin NPH:

• kwayoyin hana daukar ciki
• glucocorticosteroids,
• cututtukan mahaifa
• kamuwa da cuta
• tricyclic maganin rigakafin,
• wakilai waɗanda ke kunna tsarin juyayi masu juyayi,
• alli mai tashar alli,
• narcotic analgesics.

Umarni na musamman don amfani

Dole ne likita ya wajabta maganin. Barin daga magunguna ta hanyar sayan magani. Yayin jiyya tare da Humulin NPH, ana buƙatar kulawa da kullun matakan glucose. A gaban cututtukan haɗin gwiwa - shawarci likita don daidaitawar kashi.

Sunan kasuwanci na shirye-shiryen:
HUMULIN ® NPH

Sunan kasa da kasa mai zaman kanta (INN):
Insulincin Inulin (Injin Injiniyan Bil Adama)

Form sashi
Dakatarwa na gudanarwar subcutaneous

Bayanin:
Wani farin dakatarwa wanda ke bayyanawa, yana haifar da farin tsinkaye da bayyananne, mara launi ko kusan girman launi. A sauƙaƙe za a sake tura shi cikin saurin girgiza kai.

Rukunin Magunguna
Hypoglycemic wakili - matsakaici insulin.

Lambar ATX A10AC01.

Kayan magunguna
Pharmacodynamics
Humulin ® NPH shine insulin halittar jikin ɗan adam. Babban aikin insulin shine tsari na metabolism metabolism. Bugu da kari, yana da tasirin maganin anabolic da anti-catabolic akan nau'ikan nama daban daban.A cikin ƙwayar tsoka, akwai karuwa a cikin abun da ke ciki na glycogen, kitse mai narkewa, glycerol, haɓakar haɓakar furotin da karuwa a cikin yawan amino acid, amma a lokaci guda akwai raguwa a cikin glycogenolysis, gluconeogenesis, ketogenesis, lipolysis, catabolism na furotin da kuma sakin amino acid.
Humulin NPH shine shirye-shiryen insulin na matsakaici. Farawar aikin miyagun ƙwayoyi shine 1 awa bayan gudanarwa, mafi girman tasirin shine tsakanin 2 da 8 hours, tsawon lokacin aikin shine 18-20 hours. Bambancin mutum a cikin aikin insulin ya dogara da dalilai kamar kashi, zaɓin wurin allura, ayyukan jiki na mara haƙuri, da dai sauransu.

Pharmacokinetics
Cikakken kamfani da kuma farawar insulin ya dogara da wurin allura (ciki, cinya, buttocks), kashi (girman insulin allurar), maida hankali kan insulin a cikin magunguna, da dai sauransu An rarraba shi ba tare da bambanci ba a jikin kyallen, ba ya ketare shinge na tsakiyar kuma zuwa cikin nono. An lalata shi ta hanyar insulinase galibi a cikin hanta da kodan. Kodan ya fitar da ita (kashi 30-80%).

Abubuwa na dabam

Abubuwan dabam dabam na nau'ikan magani:

• Humulin NPH . Ya ƙunshi nau'in insulins masu matsakaici. Daga cikin magunguna da aka tsawaita wanda suke maye gurbin kwayoyin halittar mutum, ana wajabta maganin da ake tambaya ga masu dauke da cutar siga. A matsayinka na mai mulkin, aikinsa zai fara awanni 60 bayan gudanarwar kai tsaye. Kuma ana lura da mafi girman tasirin bayan awa 6. Bugu da kari, ya kai kimanin awanni 20 a jere. Sau da yawa, marasa lafiya suna amfani da injections da yawa a lokaci daya saboda jinkirin jinkirin aiwatar da wannan maganin,
• Humulin M3 . Cakudaffen kayan maye ne na musamman. Irin waɗannan kudade sun ƙunshi hadadden ƙwaƙwalwar NPH-insulin da hormone na ultrashort da gajere aiki,
• Humulin akai-akai . Ana amfani dashi a farkon matakan gano ciwo. Kamar yadda kuka sani, ana iya amfani dashi koda mata masu juna biyu. Wannan magani yana cikin rukuni na kwayoyin hormonshort. Wannan rukuni ne da ke haifar da sakamako mafi sauri kuma nan da nan ya rage sukarin jini. Yi amfani da samfurin kafin abinci. Ana yin wannan ne domin tsarin narkewa na taimaka wa hanzarin jan ƙwayar maganin da wuri-wuri. Hormones na wannan saurin daukar mataki ana iya ɗauka ta baka. Tabbas, ya kamata a fara kawo su cikin yanayin ruwa.

Yana da mahimmanci a san cewa insulin gajeriyar aiki yana da halaye masu bambanci:

• ya kamata a dauki kusan minti 35 kafin cin abinci,
• don farkon sakamako, kuna buƙatar shigar da miyagun ƙwayoyi ta allura,
• mafi yawanci ana gudanar dashi a cikin ciki,
• Dole ne a biyo bayan abincin da zai biyo baya don maye gurbin yiwuwar faruwar hakan.

Menene banbanci tsakanin Humulin NPH insulin da Rinsulin NPH?

Humulin NPH kwatanci ne na insulin ɗan adam. Hakanan Rinsulin NPH daidai yake da hormone mutum. Don haka menene bambanci tsakanin su biyun?

Yana da mahimmanci a lura cewa su duka biyun suna cikin rukuni na kwayoyi na matsakaiciyar lokacin aiki. Bambancin kawai tsakanin waɗannan magunguna guda biyu shine Humulin NPH magani ne na ƙasashen waje, kuma an samar da Rinsulin NPH a Rasha, don haka farashinsa yana da ƙasa sosai.

Mai masana'anta

Humulin NPH ana samarwa a cikin Czech Republic, Faransa, da UK. Humulin akai akai a cikin Amurka. Humulin M3 an samar dashi a Faransa.

Kamar yadda aka fada a baya, Humulin NPH yana nufin magungunan matsakaiciyar lokacin aiki. Humulin Tsarin aiki an rarraba shi azaman aikin gajere ne. Amma an rarraba Humulin M3 a matsayin insulin tare da ɗan gajeren sakamako.

Don zaɓar analog ɗin da ake buƙata na hormone na pancreatic yakamata ya zama kawai endocrinologist na mutum. Kada ku sami magani na kai.

Humulin M3 sakamako masu illa

• Sakamakon sakamako wanda ya danganta da babban sakamakon maganin: hypoglycemia. Mai tsananin rashin ƙarfi na iya haifar da asarar hankali da (a wasu lokuta na musamman) mutuwa. Allergic halayen: halayen rashin lafiyan gida na yiwuwa - hyperemia, kumburi ko itching a wurin allura (yawanci a tsaya a tsakanin kwanakin da yawa zuwa makonni da yawa), halayen rashin lafiyan yanayin (faruwa ba sau da yawa, amma sun fi tsanani) - haɓaka ƙoshin jiki, gajeriyar numfashi, gazawar numfashi, , rage karfin jini, hauhawar zuciya, karuwar gumi. Mummunan lokuta na halayen rashin lafiyan halayen na iya zama barazanar rayuwa. Sauran: da yiwuwar haɓakar lipodystrophy ƙanƙane.

Yanayin ajiya

• Adana cikin sanyi (t 2 - 5)
• nisantar da yara
• store a cikin duhu wuri

• Berlinsulin N, Insuman Comb, Humalog Mix, Humulin M1, Humulin M2.

• Bayanin
• Halaye
• Umarnin don amfani
• Takaddun shaida
• Yi tambaya
• Nasiha
• Isarwa
• Game da mu
• Analogs don abu mai aiki

• Contraindications

  Hypersensitivity ga insulin ko zuwa ɗayan abubuwan da ke cikin miyagun ƙwayoyi.

  Yadda ake gane cutar rashin aiki da kuma bayar da taimako na farko ga wanda abin ya shafa

  Sun ceci rayuka dubbai kuma sun juya ga tarihi

  Kuna iya tambayar duk wata tambaya da kuke da ita game da samfurin ko kanti.

  Kwararrun kwararrunmu zasu taimaka muku.

  Bayyana isarwa

  Ana aiwatar da shi a cikin awanni 3 daga lokacin oda kuma yana biyan 300 rubles.

  Kuna iya ɗaukar odar kanku da kyauta, a cikin kantin magani a adireshin: 41 Mitinskaya Street, Moscow.

  Wurin karba yana buɗe kowace rana daga 10:00 zuwa 21:00. Tabbatar don tsara lokacin dawowarka tare da mai aiki!

  • Umarni da aka karɓa bayan 20:00 ana ba da washegari,
  • Muna jan hankalinka akan cewa idan aka karɓi odarka daga 21:00 zuwa 9:00, to sai masu sarrafa mu suyi aiki ne bayan ƙarfe 9:00,
  • “Isarwa” - baya nufin sabis ne da doka ta tsara. Ma'aikatan kantin magani basu kawo kayayyakin ba. Wannan kantin sayar da kan layi bashi da alhakin ayyukan su. Kudin isarwa ba biyan kuɗi bane saboda sabis ɗin, amma wani nau'i ne na godiya ga mai taimakawa wanda ya kawo sayan,
  • Ta hanyar yarda cewa bayarwar izini ta kasance gare ku ta dokokin Tarayyar Rasha, kuna tabbatar da cewa kun fahimci kanku tare da takaddar game da ɓangaren fifiko na 'yan ƙasa kuma ku tabbatar da cewa matsayin ku ya dace da wannan a cikin Sashe na 2 na Dokar Tarayya na Tarayyar Rasha ta 09.01.1997 No. 5-FZ "A kan samar da tabbacin zamantakewa ga gwarzo na kwaminis kuma zuwa ga masu riƙe da oda na ofaukakar Laboraukakar Aikin "(kamar yadda aka yi a kan Yuli 2, 2013) da Mataki na 1.1 na dokar Federationungiyar Tarayyar Rasha wacce aka sanya ranar 01.15.1993 A'a.

  Mun kirkiro PillkaRu don dacewa da ku.

  Zabi da siyan maganin da ya dace yanzu ya zama sauki. Yi odar magani kuma za mu isar maka. Muna da babban tsari da kyakkyawan aiki, wanda muke da tabbacin zaku gode. Muna da tabbacin samfuran inganci kawai daga manyan masu samar da magunguna a cikin mafi ƙarancin farashin.

  Na gode da kasancewa tare da mu!

  Gaisuwa, TabletRu

  1 ml na dakatarwa ya ƙunshi injinin kwayoyin halittar ɗan adam 100 IU.

  Umarnin na musamman:

  Canjin haƙuri ga wani nau'in insulin ko zuwa shiri insulin tare da sunan kasuwanci na daban yakamata ya faru a ƙarƙashin kulawar likita. Canje-canje a cikin aikin insulin, nau'ikansa (misali, Na yau da kullun, NPH), nau'in (porcine, insulin mutum, analogue insalin mutum) ko hanyar samarwa (DNA insulin kwayar insulin ko insulin asalin dabba) na iya buƙatar daidaita sashi.

  Ana buƙatar buƙatar yin gyare-gyaren kashi a riga a farkon gudanarwar shiri na ɗan adam bayan shiri na insulin asalin dabbobi ko sannu a hankali a cikin makonni da yawa ko watanni bayan canja wurin.

  Tasiri a kan ikon tuka motoci da hanyoyin sarrafawa: yayin hypoglycemia, mai haƙuri na iya raunana yawan hankalin kuma rage saurin halayen psychomotor. Wannan na iya zama haɗari a cikin yanayi inda waɗannan damar ke da mahimmanci musamman.

  Ya kamata a shawarci marassa lafiya su yi taka-tsantsan don kauce wa hauhawar jini yayin tuki. Wannan yana da mahimmanci musamman ga marasa lafiya da alamu masu raɗaɗi ko rashi-waɗanda suka fara haifar da hypoglycemia ko tare da haɓakar haɓakawar jini. A irin waɗannan halayen, likita dole ne ya kimanta yuwuwar haƙuri na jan motar.

  Nau'in da nau'ikan sakin Humulin

  Insulin Humulin wani kwaro ne wanda yake maimaita insulin din a jikin mutum a tsari, wurin da amino acid da nauyin kwayoyin. Ya sake hadewa, wato, an yi shi ne ta hanyar hanyoyin injin. Daidaitaccen lissafin wannan magungunan na iya mayar da metabolism a cikin mutanen da ke fama da ciwon sukari kuma ku guji rikitarwa.

  Ciwon sukari da hauhawar jini zai zama abin da ya wuce

  Cutar sankarau shine sanadin kusan kashi tamanin cikin ɗari na duka raunin da aka yanke. Mutane 7 daga 10 ne ke mutuwa sakamakon kamuwa da jijiyoyin zuciya da kwakwalwa. A kusan dukkanin lokuta, dalilin wannan mummunan ƙarshen shine guda - sukari na jini.

  Sugar zai iya kuma ya kamata a rushe, in ba haka ba komai. Amma wannan ba ya warkar da cutar da kanta, amma kawai tana taimakawa wajen yaƙar bincike, kuma ba dalilin cutar ba.

  Kadai magani wanda aka bayar da shawarar a hukumance ga masu ciwon sukari kuma wanda endocrinologists ke amfani dashi a cikin aikin su shine patch na Ji Dao.

  Tasirin maganin, wanda aka lasafta bisa ga daidaitaccen hanyar (adadin marasa lafiyar da suka murmure zuwa jimlar yawan marasa lafiya a cikin rukuni na mutanen 100 waɗanda suka sami kulawa) sun kasance:

  • Normalization na sukari - 95%
  • Cirewa kan jijiyoyin mara wuya - 70%
  • Cire zuciyar mai karfin zuciya - 90%
  • Rabu da cutar hawan jini - 92%
  • Increasearuwar kuzarin rana, inganta bacci da dare - 97%

  Masu samar da Ji Dao ba kungiyar kasuwanci ba ce kuma jihar ce ke daukar nauyinta. Sabili da haka, yanzu kowane mazaunin yana da damar samun maganin a ragi 50%.

  1. Humulin akai-akai - Wannan bayani ne na insulin tsarkakakke, yana nufin magungunan gajeriyar hanya. Manufarta ita ce don taimakawa sukari daga jini don shiga cikin sel, inda jiki yake amfani dashi don makamashi. Ana amfani dashi koyaushe a haɗuwa tare da matsakaici ko matsakaici na tsawon lokaci. Ana iya gudanar da shi kaɗai idan mai haƙuri yana da ciwon sukari.
  2. Humulin NPH - dakatarwa da aka yi daga insulin mutum da furotin ta protamine. Godiya ga wannan ƙarin, sakamakon rage sukari yana farawa a hankali fiye da na insulin na ɗan gajeren lokaci, kuma yana ƙara tsawon lokaci. Gwamnatoci guda biyu a rana sun isa su daidaita glycemia tsakanin abinci. Sau da yawa, ana ba da Humulin NPH tare da gajeren insulin, amma tare da nau'in ciwon sukari na 2 ana iya amfani dashi da kansa.
  3. Shiri ne mai kashi biyu wanda ya qunshi kashi 30% na insulin Regular kuma kashi 70% - NPH. Lessarancin da aka samo akan siyar da Humulin M2, yana da rabo na 20:80. Sakamakon gaskiyar cewa an saita girman hormone ɗin yayin mai samarwa kuma baya la'akari da bukatun mutum na mai haƙuri, ana iya sarrafa sukari na jini tare da taimakonsa kamar yadda ake amfani da gajere da matsakaitan insulin dabam. Za'a iya amfani da Humulin M3 ta masu ciwon sukari, ga wanda aka bada shawarar gargajiya.

  Lokacin Umarni:

  Dukkanin humulin da Humulin ya samar a halin yanzu yana da taro na U100, saboda haka ya dace da sirinji na insulin da zamani.

  • 10 ml gilashin vials
  • katakarar katako don sirinji, ya ƙunshi 3 ml, a cikin fakitin 5 guda.

  Ana gudanar da insulin na Humulin a ƙarƙashin ƙasa, a cikin matsanancin yanayi - intramuscularly. An ba da izinin gudanar da aikin ciki kawai don Humulin Regular, ana amfani dashi don kawarwa kuma ya kamata a aiwatar dashi kawai karkashin kulawar likita .

  Manuniya da contraindications

  Dangane da umarnin, ana iya tsara Humulin ga duk masu haƙuri da raunin insulin mai ƙarfi. Yawancin lokaci ana lura dashi a cikin mutane masu nau'in 1 ko fiye da shekaru 2 na ciwon sukari. Za a iya yin amfani da insulin na wucin gadi lokacin ɗaukar yaro, tunda an hana magunguna masu rage sukari a wannan lokacin.

  An wajabta Humulin M3 kawai don marasa lafiya na manya, wanda yin amfani da ingantaccen tsarin kulawa na insulin yana da wuya. Sakamakon ƙarancin haɗarin rikicewar cutar sankara har zuwa shekaru 18, ba a ba da shawarar Humulin M3 ba.

  Matsaloli masu iya haifar da sakamako:

  • saboda yawan insulin da ya wuce, rashin aiki don motsa jiki, karancin carbohydrates a abinci.
  • Bayyanar cututtuka na rashin lafiyan jiki, kamar gudawa, kumburi, ƙwanƙwasawa, da jan launi a kewaye da allurar. Ana iya haifar dasu ta hanyar insulin ɗan adam da kuma kayan taimako na miyagun ƙwayoyi. Idan alerji ya ci gaba cikin mako guda, lallai ne sai an maye gurbin Humulin tare da insulin tare da wani abun daban.
  • Ciwon kirji ko rarrafewa, karuwar bugun zuciya na iya faruwa lokacin da mai haƙuri ya sami mahimmancin potassium. Kwayar cutar ta ɓace bayan kawar da raunin wannan macronutrient.
  • Canji a cikin kauri daga fata da ƙananan ƙwayar katako a wurin da ake yin allura akai-akai.

  Dakatar da gudanar da insulin na yau da kullun yana da mutuƙar mutuwa, saboda haka, koda rashin jin daɗi ya faru, yakamata a ci gaba da maganin insulin har sai an tattauna da likitanka.

  Yawancin marasa lafiya waɗanda aka rubuta Humulin ba sa fuskantar tasirin sakamako ban da hypoglycemia mai laushi.

  Humulin - umarnin don amfani

  Yin lissafi, shiri don allura da gudanar da Humulin daidai suke da sauran shirye-shiryen insulin na tsawon lokacin aikin. Bambancin kawai shine a cikin lokaci kafin cin abinci . A cikin Humulin Regular yana da minti 30. Yana da kyau a shirya wa kanka farkon sarrafa kansa na hormone, tun da a karanta umarnin don amfani.

  Shiri

  Dole ne a cire insulin daga firiji don ciwan zafin jiki na mafita kama dakin . Kwallan katako ko kwalban cakuda na hormone tare da protamine (Humulin NPH, Humulin M3 da M2) suna buƙatar yin birgima sau da yawa tsakanin tafin hannunka kuma juya sama da ƙasa don dakatarwa a ƙasa gaba ɗaya ta narke kuma dakatarwar ta sami launi mai ruwan ɗigon launi ba tare da jujjuya ba. Shake shi da ƙarfi don guje wa yawan matsanancin fitarwa da iska. Humulin Na yau da kullun baya buƙatar irin wannan shiri, koyaushe ne m.

  An zaɓi tsayin allura ta irin wannan hanyar don tabbatar da allurar subcutaneous kuma ba ta shiga cikin tsoka ba. Alkalamiin silsila wanda ya dace da insulin Humulin - Humapen, BD-Pen da ƙarancin analog ɗin.

  An saka allurar cikin cikin wurare tare da ciwan mai mai ciki: ciki, cinya, gindi da manyan hannaye. Mafi yawan hanzari da kuma isar sha a cikin jini ana lura dashi yayin da allura ta shiga cikin ciki, don haka ana saka Humulin Regular a ciki. Don aiwatar da maganin ya bi umarnin, ba shi yiwuwa a ƙara yawan jigilar jini a wurin allurar: shafa, goge, da tsoma cikin ruwan zafi.

  

  Lokacin gabatar da Humulin, yana da mahimmanci kada rush: a hankali tattara tarin fata ba tare da kama ƙwayar tsoka ba, a hankali sanya allurar, sannan kuma riƙe allura a cikin fata na daƙiƙoki kaɗan don mafita ba ya fara fitowa ba. Don rage haɗarin lipodystrophy da kumburi, ana canza bututu bayan kowace amfani.

  Gargadi

  Ya kamata a zaɓi kashi na farko na Humulin a hade tare da likitan halartar. Yawan shan ruwa na iya haifar da faduwar sukari mai karfi kuma. Babu isasshen adadin sinadarin horarwa tare da cututtukan angiopathies da neuropathy.

  Abubuwan daban-daban na insulin sun bambanta da tasiri, don haka kuna buƙatar canzawa daga Humulin zuwa wani magani kawai idan akwai sakamako masu illa ko kuma rashin isasshen diyya ga ciwon sukari. Aura yana buƙatar juyawa da ƙarin kashi, ƙarin glycemic iko.

  Bukatar insulin na iya ƙaruwa yayin canje-canje na hormonal a cikin jiki, yayin ɗaukar wasu magunguna, cututtukan cututtuka, damuwa. Ana buƙatar ƙananan hormone don marasa lafiya da ke fama da hepatic kuma, musamman, gazawar koda.

  Likita na Kimiyyar Kimiyya, Shugaban Cibiyar Nazarin Diabetology - Tatyana Yakovleva

  Na yi shekaru da yawa ina nazarin ciwon sukari. Yana da ban tsoro yayin da mutane da yawa suka mutu, har ma da yawa suna zama masu rauni saboda cutar sankara.

  Na yi hanzarin ba da labari mai kyau - Cibiyar Bincike ta Endocrinological na Kwalejin Kimiyya ta Rasha ta gudanar da wani magani wanda ke warkar da ciwon sukari gaba daya. A yanzu, ingancin wannan magani yana gab da kashi 98%.

  Wani albishir: Ma'aikatar Kiwon Lafiya ta yi tallafi wanda ya rama babban farashin magunguna. A Rasha, masu ciwon sukari har zuwa 2 ga Maris samun shi - Don kawai 147 rubles!

  Yawan abin sama da ya kamata

  Idan aka saka insulin fiye da yadda ake buƙatar shan ƙwayar carbohydrates da aka cinye, mai haƙuri tare da ciwon sukari zai zama babu makawa zai iya kasancewa cikin rashin lafiya. Yawancin lokaci ana haɗuwa da girgiza, jin sanyi, rauni, yunwa, bugun jini, da kuma ɗar ɗar ɗamara. A wasu masu ciwon sukari, alamomin ke shafe su, irin wannan raguwar sukari yana da haɗari musamman, tunda ba za a iya hana shi cikin lokaci ba. Yawan hypoglycemia na yau da kullun kuma yana iya haifar da ambaton bayyanar cututtuka.

  Nan da nan bayan farawar hypoglycemia, ana iya dakatar da shi ta hanyar carbohydrates mai sauri - sukari, ruwan 'ya'yan itace, allunan glucose . Excessarin yawan wuce haddi mai ƙarfi na iya haifar da matsanancin rashin ƙarfi, har zuwa farawa. A gida, ana iya kawar da shi da sauri ta hanyar gabatar da glucagon, akwai abubuwa na musamman don kulawa ta gaggawa ga mutanen da ke da ciwon sukari, alal misali, GlucaGen HypoKit. Idan kantin glucose a cikin hanta karami ne, wannan magani ba zai taimaka ba. Abinda kawai za a iya amfani dashi a wannan yanayin shine gudanarwar jiyya ta hanyar glucose a cikin asibiti. Wajibi ne a sadar da marassa lafiya a wurin da wuri-wuri, tunda kwayar ta yi cikin gaggawa tana haifar da cutarwa ga jiki.

  Dokokin adana Humulin

  Duk nau'in insulin suna buƙatar yanayi na ajiya. Abubuwan da ke tattare da kwayoyin sun canza sosai yayin daskarewa, bayyanar da hasken ultraviolet da kuma yanayin zafi sama da 35 ° C. Ana adana kaya a cikin firiji, a ƙofar ko a kan shiryayye da nisa daga bangon baya. Rayuwar shelf bisa ga umarnin don amfani: shekaru 3 don Humulin NPH da M3, shekaru 2 don Regular. Kwalban budewa na iya zama da zazzabi na 15-25 ° C na kwanaki 28.

  Tasirin kwayoyi akan humulin

  Magunguna na iya canza tasirin insulin da kuma ƙara haɗarin sakamako masu illa. Sabili da haka, lokacin da ake rubuta jigilar maganin, likita dole ne ya samar da cikakken jerin magungunan da aka karɓa, waɗanda suka hada da ganye, bitamin, kayan abinci, kayan abinci da kuma hana haihuwa.

  Tasiri a jiki	Jerin magunguna
  Increaseara yawan sukari, haɓaka kashi na insulin ana buƙatar.	Abubuwan hana haifuwa na baka, glucocorticoids, roba androgens, hodar iblis, da ake kira β2-adrenergic agonists, gami da maganin terbutaline da salbutamol. Magunguna don tarin fuka, nicotinic acid, shirye-shiryen lithium. Thiazide diuretics na amfani da su don magance hauhawar jini.
  Rage sukari. Don guje wa hypoglycemia, kashi na Humulin dole ne a rage.	Tetracyclines, salicylates, sulfonamides, anabolics, beta-blockers, hypoglycemic jami'ai don lura da ciwon sukari na type 2. ACE inhibitors (kamar enalapril) da masu karɓa na karɓa na AT1 (losartan) galibi ana amfani dasu don magance hauhawar jini.
  Abubuwan da ba a iya tantancewa ba a cikin glucose jini.	Barasa, pentacarinate, clonidine.
  Rage alamun bayyanar cututtukan hypoglycemia, wanda shine dalilin da ya sa yake da wuya a kauda shi cikin lokaci.	Beta blockers, alal misali, metoprolol, propranolol, wasu saukad da idanu don lura da glaucoma.

  Siffofin amfani a lokacin daukar ciki

  Don guje wa yayin daukar ciki, yana da mahimmanci don kula da glycemia na al'ada. An haramta amfani da magungunan hana daukar ciki a wannan lokacin, tunda suna kawo cikas ga samar da abinci ga yaro. Maganin da aka yarda kawai a wannan lokacin shine insulin tsayi da gajere, gami da Humulin NPH da Regular. Gabatarwar Humulin M3 ba kyawawa bane, tunda ba zai iya ramawa game da cutar sankara ba da kyau.

  

  A lokacin daukar ciki, bukatar hodar iblis tana canzawa sau da yawa: tana raguwa a cikin farkon farkon, yana ƙaruwa sosai cikin 2 da 3, kuma yana raguwa da sauri nan da nan bayan haihuwa. Don haka, ya kamata a sanar da duk likitocin da ke gudanar da juna biyu da masu juna biyu game da kasancewar cutar siga a cikin mata.

  Ana iya amfani da insulin Humulin ba tare da ƙuntatawa ba yayin shayarwa, saboda baya shiga cikin madara kuma baya tasiri ga jinin jini na yaro.

  Menene zai iya maye gurbin insulin na Humulin idan sakamako masu illa sun faru:

  Magunguna	Farashin 1 ml, rub.		Tattaunawa	Farashin 1 ml, rub.
  	kwalban	alkalan alkalami		kwalban	kabad
  Humulin NPH	17	23	Biosulin N	53	73
  			Insuman Bazal GT	66	—
  			Rinsulin NPH	44	103
  			Protafan NM	41	60
  Humulin akai-akai	17	24	Tasirin NM	39	53
  			Rinsulin P	44	89
  			Insuman Rapid GT	63	—
  			Biosulin P	49	71
  17	23	Mikstard 30 nm	A halin yanzu babu
  		Gensulin M30

  Wannan tebur ya lissafa cikakkun analogues - ƙwararrun mashin da ɗan adam ke ɗauka tare da ƙarshen lokacin aiki.

  Tabbatar koya! Shin kuna tsammanin kulawa da kwayoyin hana daukar ciki da insulin shine hanya daya tilo da za'a kula da sukari? Ba gaskiya bane! Kuna iya tabbatar da wannan da kanku ta hanyar fara amfani da shi.

  1 ml na mafita ya ƙunshi IU 100 na insulin mutum.

  Aikin magunguna

  : DNA ta sake haduwa da insulin mutum. Shirye-shiryen insulin ne a takaice.

  Babban tasirin maganin shine ƙayyadadden tsarin glucose metabolism. Bugu da kari, yana da tasirin anabolic. A cikin ƙwayar tsoka da sauran kyallen takarda (ban da kwakwalwa), insulin yana haifar da jigilar jini cikin hanzari na glucose da amino acid, yana haɓakar anabolism na furotin. Insulin yana inganta canzawar glucose zuwa cikin glycogen a cikin hanta, yana hana gluconeogenesis kuma yana ƙarfafa juyar da yawan glucose mai yawa zuwa mai.

  Bidiyo masu alaƙa

  Game da nau'ikan insulin da aka yi amfani da su don magance cututtukan sukari a cikin bidiyo:

  Daga duk bayanan da aka gabatar a wannan labarin, zamu iya yanke shawara cewa zaɓin mafi dacewa a madadin insulin, sashi da hanyar shigarwar ya dogara da abubuwan dalilai masu ban sha'awa. Don ƙayyade mafi kyawun hanyar lafiya da amincin magani, yakamata ku tuntuɓi ƙwararrun masaniyar endocrinologist.

  Sunan Latin: humulin nph
  Lambar ATX: A10AC01
  Aiki mai aiki: ɗan adam insulin isophane
  Mai masana'anta: Ellie Lilly Gabas, Switzerland
  Hutun hutu daga kantin magani: da takardar sayan magani
  Yanayin ajiya: 2-8 digiri zafi
  Ranar cikawa: Shekaru 2 da aka narke a cikin kicin
  - ba fiye da makonni 4 ba.

  Ana amfani da magani na insulin a cikin masu ciwon sukari don kula da rashi na hormonal.

  Abun ciki da sakin siffofin

  A cikin 1 ml na abu ya ƙunshi raka'a 100 na kayan aiki mai aiki - insulin na asalin ɗan adam. Bugu da ƙari, abun da ke ciki ya haɗa da: phenol, glycerol, zinc oxide, sodium hydrogen phosphate, sterile ruwa injectable.

  Humulin npc yana samuwa azaman dakatarwa, wanda aka sarrafa a ƙarƙashin ƙasa. A cikin kunshin ɗaya, ana siyar da 4 ko 10, kuma ana amfani da katun 1.5 ml da 3 kwantena a cikin kit ɗin, waɗanda ake amfani da su a allon alkalami.

  Warkar da kaddarorin

  NPH humulin yana da kaddarorin hypoglycemic na matsakaici na lokaci. Samfurin yana sake hadewa da aiki daga DNA na mutum. Tasirin warkewa shine tsari na metabolism metabolism. Magungunan magani ya ba da sanarwar kaddarorin anabolic. Yana da kaddarorin jigilar abubuwa dangane da amino acid a cikin tsarin jikin mutum, sannan kuma yana karfafa kwayoyin halittar gina jiki. A cikin hanta, ana adana insulin kuma ana adana glycogen daga glucose. Yawan wucewar glucose ya wuce zuwa kitse jikin mutum, kuma hanawar gluconeogenesis shima yana faruwa.

  Bayan allurar humulin, tasirin maganin yana faruwa ne bayan awa daya kuma ganiya tana aiki akan tsakaitaccen lokaci tsakanin awa 2-8. Cikakken tsawon lokacin da miyagun ƙwayoyi ya kasance cikin awanni 20. Ingancin insulin ya dogara da takamaiman mai haƙuri, bayanansa na zahiri, takamaiman magani da wurin allura.

  Side effects da yawan abin sama da ya kamata

  Wadannan sun hada da:

  • Bayyanar bayyanar fata (ƙyashi, kumburi, jan launi akan fatar jiki)
  • Hypoglycemia
  • Lipodystrophy
  • Itchy dukan jiki
  • Rashin tsananin numfashi
  • Tachycardia
  • Hyperhidrosis
  • Rage saukar karfin jini
  • Ciwon numfashi.

  Alamar yawan abin sama da ya wuce sun hada da alamun rage jini a cikin jini: pallor na fata, jin kaifi na yunwar, rauni a jiki, rawar jiki, rikicewa, matsananciyar hanji, hauhawar zuciya, tashin zuciya, da hauhawar jini. An dakatar da sauƙin digiri kawai - kuna buƙatar cin wani abu mai daɗi ko allurar maganin glucose / dextrose. Matsakaici - glucagon injections subcutaneously or intramuscularly + carbohydrate ci. Mai tsananin - mai haƙuri yana cikin mawuyacin hali, yana iya faɗuwa cikin ƙwayar cutar sankara, sannan kuna buƙatar kiran ƙungiyar motar asibiti.

  Pharmstandard-Ufavita, Rasha

  Matsakaicin farashin - 392 rubles a kowane fakiti.

  Biosulin - cikakken analog na humulin npx, yana da matsakaicin tsawon lokacin aiki. Akwai kuma biosulin P akan siyarwa - ɗan gajeren analogue na miyagun ƙwayoyi.

  • In mun gwada da sauki
  • M don amfani.
  • Side effects
  • Akwai analogues na samar da ƙasashen waje mai rahusa.

  Eli Lilly Gabas, Switzerland

  Matsakaicin farashin a Rasha - 170 rubles a kowane kunshin.

  Humulin M3 - yana nufin analogues na lokaci-lokaci, yana da matsakaita na tsawon lokaci na aiki, wanda yasa ya zama mafi aminci fiye da gajeren analogues.

  • M
  • Sauƙin amfani.
  • Ana buƙatar amfani da hankali
  • Bai dace da kowa ba.

  Sabuntawa ta karshe daga masana'anta 14.09.2016

  Yin hulɗa tare da wasu kwayoyi da sauran nau'ikan ma'amala

  Wasu kwayoyi suna shafar metabolism metabolism. Yakamata a sanarda likita game da duk wani magani da zai bayar tare da amfani da insulin mutum.

  Idan kana buƙatar amfani da wasu magunguna, ya kamata ka nemi likitanka.

  Bukatar insulin na iya ƙaruwa tare da yin amfani da kwayoyi tare da aikin hyperglycemic, irin su hana hana haihuwa, glucocorticoids, hodar iblis da kuma haɓakar hormone, danazole, β2-sympathomimetics (misali ritodrin, salbutamol, terbutaline), thiazides.

  Bukatar insulin na iya raguwa tare da yin amfani da kwayoyi tare da aikin hypoglycemic, kamar magungunan maganganu na bakin jini, salicylates (misali acetylsalicylic acid), sulfaantibiotics, wasu magungunan antidepressants (MAO inhibitors), wasu inhibitors na ACE (captopril, enalaprilin receptors), blockers , β-blockers ba mai zaɓar ba ko barasa.

  Somatostatin analogues (octreotide, lanreotide) na iya haɓakawa da raunana buƙatar insulin.

  Tsarin saki, abun da aka shirya da shiryashi

  Ana samun su duka biyu a cikin nau'in dakatarwa don gudanarwa na subcutaneous a cikin vials ("Humulin" NPH da MZ), kuma a cikin hanyar katako tare da alkalami mai sirinji ("Tsarin Humulin"). Dakatarwar da aka yiwa sc sc an fito dashi a cikin mil 10 ml. Launi na dakatarwar yana da gajimare ko milky, ƙarar 100 IU / ml a cikin maɓallin sirinji na 1.5 ko 3 ml. A cikin wani kwali na kwali na sirinji 5 da ke kan falon filastik.

  Haɗin ya haɗa da insulin (ɗan adam ko biphasic, 100 IU / ml), tsoffin abubuwa: metacresol, glycerol, sulfate protamine, phenol, zinc oxide, sodium hydrogen phosphate, ruwa don yin allura.

  INN masana'antun

  Sunan kasa da kasa shine insulin-isophan (injiniyan kwayoyin halittar mutum).

  Lilly Faransa SAAS ne, Faransa ta samar da shi.

  Wakilci a Rasha: "Eli Lilly Vostok S.A."

  "Humulin" ya bambanta cikin farashi dangane da irin sakin: kwalabe daga 300-500 rubles, katako daga 800-1000 rubles. Kudin na iya bambanta a cikin biranen daban-daban da kuma kantin magani.

  Pharmacokinetics

  Adadin bayyanar da sakamako ya dogara kai tsaye kan shafin allura, gwargwadon kulawa da magani da aka zaba. An rarraba shi ba tare da daidaituwa ba tsakanin kasusuwa, baya shiga cikin madarar nono da mahaifa. An lalata shi a cikin kodan da hanta ta hanyar insulinase enzyme, waɗanda kodan suka keɓe shi.

  • Wani nau'in ciwon sukari da ke dogaro da kansa.
  • Ciki a cikin marasa lafiya tare da ci gaba na ciwon sukari mellitus (tare da rashin cin abinci).

  Umarnin don amfani (sashi)

  Likita ya saita kashi, gwargwadon matakin glycemia bisa ga sakamakon gwaje-gwajen. Ana sarrafa shi a ƙarƙashin ƙasa ko intramuscularly sau 1-2 a rana. Wuraren allurar sune ciki, gindi, kafada, ko kwatangwalo. Don guje wa lipodystrophy, ya kamata koyaushe canza wurin don kar ya sake komawa fiye da sau ɗaya a wata.

  An hana shi gudanar da Humulin a ciki!

  Bayan allurar, fatar ba za a iya tausa. Guji shiga cikin tasoshin jini domin hematoma ba ta kafawa. Kowane mara lafiya yakamata ya horar da likita ko ma'aikacin jinya a cikin ingantaccen tsarin kulawa da magunguna da amincin.

  Menene Humulin?

  A yau, ana iya ganin kalmar Humulin a cikin sunayen magunguna da yawa waɗanda aka tsara don rage sukarin jini - Humulin NPH, MoH, Regular da Ultralent.

  Bambance-bambance a cikin hanyar kirkirar wadannan kwayoyi suna ba da kowane tsarin rage sukari tare da halayensa. Ana yin la'akari da wannan batun yayin yin maganar magani ga mutanen da ke fama da ciwon sukari. Baya ga insulin (babban kayan, wanda aka auna a cikin IU), magunguna sun ƙunshi abubuwan da suka dace, kamar ruwa mai ƙanshi, protamines, carbolic acid, metacresol, zinc oxide, sodium hydroxide, da sauransu.

  An kunshe da kwayar halittar cikin farji a cikin katako, vials, da alkalami. Jagororin da aka haɗa sun ba da bayani game da fasalolin amfani da magungunan mutane. Kafin ayi amfani da shi, katako da vials kada su girgiza da sauri; duk abin da ya wajaba don cin nasara mai sake tashi ruwa ya jefa su a tafin hannuwan. Mafi dacewa don amfani da masu ciwon sukari shine alkalami mai narkewa.

  Amfani da magungunan da aka ambata yana ba da damar cimma nasara ga jiyya ga marasa lafiya da masu ciwon sukari, saboda suna ba da gudummawa ga sauyawa na cikakkiyar rashin ƙarfi da kuma rashin daidaituwa na ƙwayar ƙwayar cuta ta hanji. Adana Himulin (sashi, regimen) yakamata ya zama mai ilimin kimiyar endocrinologist. Nan gaba, idan ya cancanta, likitocin da ke halartar za su iya gyara yanayin jinyar.

  A cikin ciwon sukari na nau'in farko, an wajabta insulin ga mutum don rayuwa. Tare da rikitarwa na nau'in ciwon sukari na 2, wanda ke haɗuwa tare da ciwo mai haɗari, ana samar da magani daga darussan durations daban-daban. Yana da mahimmanci a tuna cewa tare da wata cuta da ke buƙatar gabatar da hormone na wucin gadi a cikin jiki, ba za ku iya ƙin maganin insulin ba, in ba haka ba za'a iya gujewa mummunan sakamako.

  Kudin magunguna na wannan rukunin magungunan sun dogara da tsawon lokacin aiki da nau'ikan marufi. Farashin da aka kiyasta a cikin kwalabe yana farawa daga 500 rubles., Farashin a cikin katako - daga 1000 rubles., A cikin almarar sirinji aƙalla 1500 rubles.

  

  Don ƙayyade sashi da lokacin shan miyagun ƙwayoyi, kuna buƙatar tuntuɓar likita na endocrinologist

  Hulɗa da ƙwayoyi

  Ayyukan Humulin suna ƙarfafa:

  • Allunan saukar da sukari,
  • hanawa na MAO, ACE, carbonic anhydrase,
  • imidazoles
  • magungunan anabolic steroid
  • magungunan rigakafin ƙwayoyin cuta - masu hana haɓakar ƙwayoyin cuta,
  • maganin hana daukar ciki,
  • B bitamin,
  • shirye-shiryen lithium
  • magunguna na hypotonic daga rukuni na masu hana ACE da beta-blockers,
  • akarijin.

  Kwayoyi tare da abin da haɗin gwiwa hadin gwiwa ne wanda ba a ke so:

  • kwayoyin hana daukar ciki
  • alkalumman narcotic,
  • alli mai tashar alli,
  • cututtukan mahaifa
  • glucocorticosteroids,
  • kamuwa da cuta
  • tricyclic maganin rigakafin,
  • kunna tsarin juyayi mai juyayi mai juyayi.

  Dukkansu suna hana sakamakon "Humulin", ya raunana tasirin sa. Hakanan haramun ne a yi amfani da shi tare da wasu hanyoyin magance magunguna.

  Haihuwa da lactation

  Wajibi ne a sanar da likitan halartar shirin game da daukar ciki ko farawarsa. Ana buƙatar wannan don gyara jiyya. Bukatar insulin a cikin marasa lafiya masu juna biyu da masu ciwon sukari galibi ana rage su a cikin farkon farkon, amma yana ƙaruwa a na biyu da na uku. Yayin lactation, ana buƙatar magani da kuma daidaita kayan abinci. Gabaɗaya, Humulin bai nuna tasirin mutagenic ba a duk gwaji, don haka lura da mahaifa bashi da haɗari ga yaro.

  Biosulin ko saurin: wanne yafi?

  Wadannan abubuwa ne da aka samo ta hanyar biosynthetic (DNA sake daukar ciki) a sakamakon canzawar enzymatic na insulin porulin. Suna da kusanci da insulin na ɗan adam. Dukansu suna da sakamako na ɗan gajeren lokaci, saboda haka yana da wuya a faɗi wanne ya fi kyau. Hukuncin akan alƙawarin masanin gwani ne.

  Kwatanta tare da analogues

  Don fahimtar wane magani ne ya fi dacewa don amfani, yi la'akari da analogues.

  Production: Novo Nordisk A / S Novo-Alle, DK-2880 Baggswerd, Denmark.

  Kudinsa: mafita daga 370 rubles, katako daga 800 rubles.

  Aiki: wakilin hypoglycemic na matsakaici na tsawon lokaci.

  Tallace-tallace: karancin contraindications da sakamako masu illa, sun dace da mata masu juna biyu da masu shayarwa.

  Cons: ba za a iya amfani da shi tare da thiazolidinediones ba, kamar yadda akwai haɗarin raunin zuciya, da kuma gudanar da intramuscularly, kawai subcutaneously.

  . Abunda yake aiki: insulin mutum.

  Mai masana'anta: "Novo Nordisk A / S Novo-Alle, DK-2880" Baggswerd, Denmark.

  Kudinsa: mafita daga 390 rubles, katako - daga 800 rubles.

  Aiki: sinadarin hypoglycemic na gajeren lokaci.

  Ribobi: wanda ya dace da yara da matasa, mata masu juna biyu da masu shayarwa, ana iya gudanar da su ta hanyar sau biyu ko a cikin saukake, mai sauƙin amfani a wajen gida.

  Cons: kawai za'a iya amfani dashi tare da mahaɗan masu jituwa, baza'a iya amfani dasu tare da thiazolidinediones ba.

  Duk wani dalili na analog dole ne a yarda da ƙwararre. Likitocin da ke halartar, ne kawai kan sakamakon gwaje-gwajen, suka yanke hukuncin ko a canza magungunan zuwa mara lafiya. An haramta amfani da wasu samfuran insulin!

  Yanayi na musamman

  • 1 ml insulin 100 IU Excipients: metacresol, glycerol (glycerin), ruwa phenol, protamine sulfate, sodium hydrogen phosphate, zinc oxide, ruwa d / a, hydrochloric acid (10% bayani) da / ko sodium hydroxide (bayani na 10%) don ƙirƙirar matakin pH da ake buƙata. mutum insulin 100 IU Excipients: metacresol, glycerol (glycerin), phenol fluid, protamine sulfate, sodium hydrogen phosphate, zinc oxide, ruwa d / i, hydrochloric acid (10% bayani) da / ko sodium hydroxide (10% bayani) don ƙirƙirar matakin pH da ake buƙata. insulin-isophan (injinin ɗan adam) 100 IU Masu haɓaka: metacresol - 1.6 mg, glycerol - 16 mg, phenol - 0.65 mg, protamine sulfate - 0.348 mg, sodium hydrogen phosphate heptahydrate - 3.78 mg, zinc oxide - q.s. don samun Zn2 ​​+ babu fiye da 0.04 mg, ruwa d / i - har zuwa 1 ml, hydrochloric acid bayani 10% - q.s. zuwa pH 6.9-7.8, maganin sodium hydroxide 10% - q.s. zuwa pH 6.9-7.8.

  Humulin NPH sakamako masu illa

  • Sakamakon sakamako wanda ya danganta da babban sakamakon maganin: hypoglycemia. Mai tsananin rashin ƙarfi na iya haifar da asarar hankali da (a wasu lokuta na musamman) mutuwa. Allergic halayen: halayen rashin lafiyan gida na yiwuwa - hyperemia, kumburi ko itching a wurin allura (yawanci a tsaya a tsakanin kwanakin da yawa zuwa makonni da yawa), halayen rashin lafiyan yanayin (faruwa ba sau da yawa, amma sun fi tsanani) - haɓaka ƙoshin jiki, gajeriyar numfashi, gazawar numfashi, , rage karfin jini, hauhawar zuciya, karuwar gumi. Mummunan lokuta na halayen rashin lafiyan halayen na iya zama barazanar rayuwa. Sauran: da yiwuwar haɓakar lipodystrophy ƙanƙane.

  Alamu don amfani da sakamako masu illa

  1. Ciwon sukari mellitus, wanda ake ba da shawarar insulin.
  2. (ciwon suga mai ciki).
  1. Kafaffen hypoglycemia.
  2. Rashin hankali.

  Sau da yawa yayin jiyya tare da shirye-shiryen insulin, ciki har da Humulin M3, ana lura da ci gaban hypoglycemia. Idan yana da mummunan tsari, zai iya tsokanar rashin lafiyar hypoglycemic (zalunci da asarar hankali) har ma ya kai ga mutuwar mai haƙuri.

  A cikin wasu marasa lafiya, halayen rashin lafiyan na iya faruwa, wanda aka nuna ta ƙaiƙayin fata, kumburi da redness a wurin allurar. Yawanci, waɗannan alamun suna ɓacewa da kansu a cikin 'yan kwanaki ko makonni bayan fara magani.

  Wasu lokuta wannan bashi da alaƙa da amfani da miyagun ƙwayoyi, amma sakamakon rinjayar abubuwan ne na waje ko allurar da ba ta dace ba.

  Akwai alamun rashin lafiyan yanayin dabi'a. Suna faruwa sau da yawa ba sau da yawa, amma sun fi muni. Tare da irin wannan halayen, waɗannan na faruwa:

  • wahalar numfashi
  • na sarrafa itching
  • bugun zuciya
  • sauke cikin karfin jini
  • karancin numfashi
  • wuce kima gumi.

  A cikin mafi yawan lokuta masu rauni, rashin lafiyan mutum na iya haifar da barazana ga rayuwar mai haƙuri kuma yana buƙatar kulawar likita ta gaggawa. Wani lokaci ana buƙatar maye gurbin insulin ko buƙatar bacci.

  Lokacin amfani da insulin na dabba, juriya, rashin hankali ga miyagun ƙwayoyi, ko lipodystrophy na iya haɓaka. Lokacin da ake rubuta insulin Humulin M3, yuwuwar irin waɗannan sakamako kusan sifili ne.

  Gudanar da insulin

  Don shigar da ƙwayoyi daidai, dole ne a fara aiwatar da wasu hanyoyin farko. Da farko kuna buƙatar ƙayyade wurin yin allurar, ku wanke hannuwanku da kyau kuma ku goge wannan wurin tare da zane mai tsami a cikin barasa.

  Don haka kuna buƙatar cire murfin kariya daga allura mai silar, gyara fata (shimfiɗa ko tsunkule shi), saka allura kuma yi allura. Bayan haka ya kamata a cire allura kuma har da daƙiƙu kaɗan, ba tare da shafawa ba, danna wurin allura tare da adiko na goge baki. Bayan haka, tare da taimakon murfin kariya na waje, kuna buƙatar kwance allurar, cire shi kuma sanya murfin baya a alƙalin sirinji.

  Baza ku iya amfani da allura guda ɗaya na syringe ba. Ana amfani da vial ko kabad har sai komai ya lalace, sannan a jefar da shi. Alkalamiin sikelin an yi shi ne don amfanin mutum kawai.

  Sharuɗɗan sayarwa, ajiya

  Humulin M3 NPH yana samuwa a kantin magani kawai ta takardar sayan magani.

  Dole ne a adana miyagun ƙwayoyi a zazzabi na 2 zuwa 8, ba za a iya daskarewa kuma a fallasa su ga hasken rana da zafi ba.

  Ana iya ajiye vulin insulin NPH a zazzabi na 15 zuwa 25 don kwanaki 28.

  Amincewa da yanayin zafin jiki da ake buƙata, an adana shirin NPH na shekaru 3.

  Haihuwa da lactation

  Idan mace mai ciki tana fama da ciwon sukari, to yana da matukar mahimmanci a gare ta don sarrafa glycemia. A wannan lokacin, buƙatar insulin yawanci yana canzawa a lokuta daban-daban. A cikin farkon farkon, yana fadi, kuma a cikin na biyu da na uku yana ƙaruwa, don haka daidaitawa kashi na iya zama dole.

  Ga yawancin masu ciwon sukari, magunguna masu dauke da insulin sune tushen jiyya da kuma tabbacin lafiyar al'ada.

  Wadannan kwayoyi sun hada da Humulin NPH. Kuna buƙatar sanin ainihin kayan aikin wannan kayan aiki don hana kuskure a aikace-aikacen sa. Wanda ya kirkirar wannan samfurin yana cikin Switzerland.

  Marasa lafiya na musamman da kuma Jagorori

  Lokacin da yake rubuta Humulin, likita ya kamata la'akari da cewa wasu marasa lafiya suna buƙatar magani na musamman. A jikinsu, wannan magani na iya shafar mara kyau idan baku nuna mahimmancin mahimmanci ba.

  Wannan ya shafi marasa lafiya kamar su:

  1. Mata masu juna biyu. An yarda da lura da su tare da miyagun ƙwayoyi, saboda insulin ba ya cutar da ci gaban tayin kuma baya keta al'adar ciki. Amma a wannan lokacin, mata suna nuna canje-canje masu ƙarfi a cikin alamomin sukari, wanda shine dalilin da ya sa za a sami gagarumar sauyi a matakin buƙatun jiki ga insulin. Rashin ikon sarrafawa na iya haifar da yawan shan ruwa kuma, wanda ke da haɗari ga mahaifiyar da take tsammani da jariri. Sabili da haka, wajibi ne don bincika taro na glucose a duk lokacin daukar ciki.
  2. Iyaye mata suna shayar da mama. Hakanan an basu damar amfani da Humulin. Abunda yake aiki baya tasiri ingancin madarar nono kuma baya haifar da barazana ga jariri. Amma kuna buƙatar tabbatar da cewa matar ta bi abinci.
  3. Yara. Idan kana da ciwon sukari a lokacin ƙuruciya, zaka iya amfani da kwayoyi masu ɗauke da insulin. Amma kuna buƙatar yin la’akari da halayen da ke da alaƙa da tsufa na jiki, don haka yakamata a zaɓi sashi na magani.
  4. Tsofaffi mutane. Hakanan suna cikin asali game da abubuwan da suka danganci shekaru da aka dogara da su don kulawa yayin rubuta Humulin da zaɓin tsarin kulawa. Amma tare da hanyar da ta dace, wannan magani ba ya cutar da irin waɗannan marasa lafiya.

  Wannan yana nufin cewa don magani tare da insulin kuna buƙatar kulawa ta likita ta koyaushe kuma yin la'akari da duk abubuwan da zasu iya shafar lafiyar.

  M lokacin da ake rubuta magani shine yin la’akari da cututtukan da suke halayyar mai haƙuri ban da ciwon suga. Saboda su, ana iya buƙatar canji a cikin jadawalin far da daidaitawar kashi.

  Wannan ya shafi lamuran nan masu zuwa:

  1. A gaban na koda gazawar. Saboda shi, buƙatar jikin mutum na insulin ya ragu fiye da rashin irin waɗannan matsalolin. Wannan yana nufin cewa masu ciwon sukari tare da gazawar koda suna da ƙarancin magunguna.
  2. Rashin hanta. Tare da wannan ganewar asali, wataƙila tasirin Humulin akan jiki yana iya yiwuwa. Dangane da wannan, likitocin suna yin gwajin rage magunguna.

  Saboda Humulin, babu matsaloli tare da halayen da hankali, don haka an ba da damar kowane aiki yayin jiyya tare da wannan magani. Ya kamata a yi taka tsantsan lokacin da hypoglycemia ya faru, saboda matsala ta tashi a wannan yankin. Wannan na iya haifar da haɗarin rauni yayin aiwatar da haɗari da ƙirƙirar haɗarin tuki.

  Jerin analogues

  Kula! Jerin ya ƙunshi daidaitattun Tsarin Humulin, wanda ke da nau'ikan layi ɗaya, don haka zaka iya zaɓar wanda zai maye kanka, la'akari da tsari da kashi na maganin da likita ya umarta. Sanya fifiko ga masana'antun daga Amurka, Japan, Yammacin Turai, da kuma sanannun kamfanoni daga Gabashin Turai: Krka, Gideon Richter, Actavis, Aegis, Lek, Hexal, Teva, Zentiva.

  Fom ɗin saki (ta shahara)	Farashin, rub.
  Humulin akai-akai
  Vials na 100 IU / ml, 10 ml (Eli Lilly, Amurka)	157
  Karancin katako 100 IU / ml, 3 ml, 5 inji mai kwakwalwa. (Eli Lilly, Amurka)	345
  Aiki
  Actrapid NM, vials na 100 IU / ml, 10 ml	405
  NM penfill, harsashi 100 IU / ml, 3 ml, 5 inji mai kwakwalwa.	823
  Taskar HM
  Actrapid HM Penfill
  Biosulin P
  Dakatarwa ga rabin-fata int. 100 IU / ml kwalbar 10 ml 1 pc, Kunshin. (Mai ba da magani - Ufavita, Russia)	442
  Dakatarwa ga rabin-fata int. 100 IU / ml kabad 3 ml 5 inji mai kwakwalwa, Fakiti. (Mai ba da magani - Ufavita, Russia)	958
  Dakatarwa na rabin-fata int. 100 IU / ml kabad + sirinji - alkalami biomatic Pen2 3 ml 5 inji mai kwakwalwa, Kunshin (Mai ba da magani - Ufavita, Russia)	1276
  Vozulim R
  Gansulin r
  Gensulin r
  Injiniyan ɗan adam asalinsa * (Insulin mai narkewa *)
  Jinin ɗan adam
  Jinin ɗan adam
  Inulin Injiniyan Inji dan adam
  Recombinant ɗan adam insulin
  Insuman Rapid GT
  100ME / ml 3ml No. 1 sirinji - SoloStar alkalami (Sanofi - Aventis Vostok ZAO (Russia)	1343.30
  Insuran P
  Monoinsulin CR
  Recombinant Human Insulin
  Rinsulin P
  Magani don allura 100 IU / ml 10 ml - kwalban (fakitin kwali) (GEROPHARM - Bio LLC (Russia)	420
  Magani don allura 100 IU / ml (kabad) 3 ml A'a. 5 (fakitin kwali) (GEROPHARM - Bio LLC (Russia)	980
  ROSINSULIN
  Rosinsulin P
  Humodar R 100 Rijiyoyi
  Humulin ™ Na yau da kullun

  Baƙi tara sun ba da rahoton cin abincin yau da kullun

  Sau nawa yakamata in dauki Harkokin Humulin?
  Yawancin masu amsawa galibi suna shan wannan magani sau 3 a rana. Rahoton ya nuna yadda sau da yawa sauran masu amsawa suke shan wannan magani.

  Wakilai	%
  Sau 3 a rana	7	77.8%
  Sau ɗaya a rana	1	11.1%
  Sau 2 a rana	1	11.1%

  Guda takwas baƙi sun ruwaito sashi

  Wakilai	%
  6-10mg	4	50.0%
  11-50mg	3	37.5%
  1-5mg	1	12.5%