Insulin Insuman (Rapid da Bazal) - umarnin kan yadda za'a maye gurbinsu
Wannan shafin yana samar da jerin duk analogues na insuman Rapid a tsarin kayan aiki da nuna alama don amfani. Jerin analogues mai arha, kuma zaka iya kwatanta farashin a cikin kantin magunguna.
- Mafi arha mafi sauƙi na Insuman Rapid:NovoRapid Flexpen
- Mafi mashahuri analog na Insuman Rapid:Rinsulin P
- Kasuwancin ATX: Insulin (ɗan adam)
- Abubuwan aiki mai aiki / abun da ke ciki: jikin mutum
# | Take | Farashi a Rasha | Farashi a Ukraine |
---|---|---|---|
1 | NovoRapid Flexpen insulin cirewa Tattaunawa cikin nuni da hanyar amfani | 28 rub | 249 UAH |
2 | Humulin na yau da kullun jikin mutum Tattaunawa cikin tsari da nuni | 28 rub | 1133 UAH |
3 | Abun da ke ciki na hakika da alamomi | 35 rub | 115 UAH |
4 | Nakasance nm da kuma nuna alamar analog | 35 rub | 115 UAH |
5 | Humalogue insulin lispro Tattaunawa cikin nuni da hanyar amfani | 57 rub | 221 UAH |
Lokacin kirga kudin cheap analogues insuman m ƙaramin farashin da aka samo cikin jerin farashin da masanan ke bayarwa an ɗauke shi la'akari
# | Take | Farashi a Rasha | Farashi a Ukraine |
---|---|---|---|
1 | Rinsulin P jikin mutum Tattaunawa cikin tsari da nuni | 449 rub | -- |
2 | Apidra SoloStar glulisin Tattaunawa cikin nuni da hanyar amfani | 447 rub | 2250 UAH |
3 | Humulin na yau da kullun jikin mutum Tattaunawa cikin tsari da nuni | 28 rub | 1133 UAH |
4 | Humalogue insulin lispro Tattaunawa cikin nuni da hanyar amfani | 57 rub | 221 UAH |
5 | NovoRapid Flexpen insulin cirewa Tattaunawa cikin nuni da hanyar amfani | 28 rub | 249 UAH |
Bayarwa jerin magungunan analogues dangane da ƙididdigar yawan magungunan da aka nema
Analogs a cikin kayan haɗin da nuni don amfani
Take | Farashi a Rasha | Farashi a Ukraine |
---|---|---|
Aiki | 35 rub | 115 UAH |
Nm | 35 rub | 115 UAH |
Nm penfill | 469 rub | 115 UAH |
Biosulin P | 175 rub | -- |
Humodar p100r insulin mutum | -- | -- |
Humulin na yau da kullun ɗan adam | 28 rub | 1133 UAH |
Farmasulin | -- | 79 UAH |
Gensulin P ɗan adam | -- | 104 UAH |
Insugen-R (Regular) insulin mutum | -- | -- |
Rinsulin P jikin insulin | 449 rub | -- |
Farmasulin N insulin mutum | -- | 88 UAH |
Insulin Asset na ɗan adam | -- | 593 UAH |
Jerin da aka bayar na magungunan analogues na miyagun ƙwayoyi, wanda ke nuna maye gurbin Insuman Rapid, ya fi dacewa saboda suna da tsari iri ɗaya na abubuwa masu aiki da daidaituwa bisa ga nuni don amfani
Analogs ta hanyar nuni da hanyar amfani
Take | Farashi a Rasha | Farashi a Ukraine |
---|---|---|
Monodar insulin (alade) | -- | 80 UAH |
Humalog insulin lispro | 57 rub | 221 UAH |
Lispro insulin sake haduwa da Lispro | -- | -- |
NovoRapid Flexpen Pen insulin Aspart | 28 rub | 249 UAH |
NovoRapid Penfill insulin kewayawa | 1601 rub | 1643 UAH |
Epidera Insulin Glulisin | -- | 146 UAH |
Apidra SoloStar Glulisin | 447 rub | 2250 UAH |
Abun daban-daban, na iya daidaituwa cikin nuni da hanyar aikace-aikace
Take | Farashi a Rasha | Farashi a Ukraine |
---|---|---|
Insulin | 178 rub | 133 UAH |
Biosulin N | 200 rub | -- |
Insulin basal ɗan adam | 1170 rub | 100 UAH |
Protafan | 26 rub | 116 UAH |
Humodar b100r insulin mutum | -- | -- |
Humulin nph dan adam | 166 rub | 205 UAH |
Gensulin N insulin mutum | -- | 123 UAH |
Insugen-N (NPH) insulin mutum | -- | -- |
Protafan NM insulin mutum | 356 rub | 116 UAH |
Protafan NM Penfill insulin ɗan adam | 857 rub | 590 UAH |
Rinsulin NPH ɗan adam | 372 rub | -- |
Farmasulin N NP insulin mutum | -- | 88 UAH |
Insulin Stabil Human Recombinant | -- | 692 UAH |
Insulin-B Berlin-Chemie Insulin | -- | -- |
Monodar B insulin (alade) | -- | 80 UAH |
Humodar k25 100r insulin mutum | -- | -- |
Gensulin M30 insulin mutum | -- | 123 UAH |
Insugen-30/70 (Bifazik) insulin mutum | -- | -- |
Insuman Comb insulin ɗan adam | -- | 119 UAH |
Mikstard insulin mutum | -- | 116 UAH |
Mixtard Penfill Insulin Dan Adam | -- | -- |
Farmasulin N 30/70 insulin na mutum | -- | 101 UAH |
Humulin M3 ɗan adam | 212 rub | -- |
Humalog Mix insulin lispro | 57 rub | 221 UAH |
Novomax Flekspen insulin kewayawa | -- | -- |
Ryzodeg Flextach insulin cirewa, insulin degludec | 6 699 rub | 2 UAH |
Lantus insulin glargine | 45 rub | 250 UAH |
Lantus SoloStar insulin glargine | 45 rub | 250 UAH |
Tujeo SoloStar insulin glargine | 30 rub | -- |
Levemir Penfill insulin ya lalata | 167 rub | -- |
Levemir Flexpen Pen Insulin Detemir | 537 rub | 335 UAH |
Tresiba Flextach Insulin Degludec | 5100 rub | 2 UAH |
Yaya za a sami analog mai rahusa na magani mai tsada?
Don neman analog mai rahusawa ga magani, jana'iza ko alaƙa, da farko muna bada shawara a kula da abun da ke ciki, wato ga abubuwa masu aiki iri ɗaya da alamomi don amfani. Abubuwa masu aiki iri ɗaya na ƙwayoyi zasu nuna cewa maganin yana da alaƙa tare da miyagun ƙwayoyi, daidai da magunguna ko madadin magunguna. Koyaya, kar ka manta game da abubuwanda suka lalace na irin kwayoyi, wanda zai iya shafar aminci da tasiri. Kada ku manta game da umarnin likitoci, magani na kai na iya cutar da lafiyar ku, don haka koyaushe tuntuɓi likitanku kafin amfani da kowane magani.
Farashin Rauni
A cikin rukunin yanar gizon da ke ƙasa zaku iya samun farashin kan Insuman Rapid kuma gano game da yiwuwar kantin magani na kusa
- Farashin Insuman Rapid a Rasha
- Farashin Rapid na Ukraine
- Farashin Insuman Rapid a Kazakhstan
Ta yaya miyagun ƙwayoyi ke aiki?
Insuman shine asalin injin ɗan adam. A kan sikelin masana'antu, ana samar da hormone ta amfani da kwayoyin cuta. Idan aka kwatanta da insulins da aka yi amfani da su a baya, injin-ɗabi'a suna da sakamako mafi tsayayye da tsabtatawa mai inganci.
A da, makasudin insulin shine yaƙar mutuwa. Tare da shigowar insulin ɗan adam, ƙalubalen ya canza. Yanzu muna magana ne game da rage haɗarin rikice-rikice da cikakken rayuwar marasa lafiya. Tabbas, don cimma wannan akan analogs na insulin yana da sauki, amma akan biyan bashin Insuman don maganin cutar sankara yana yiwuwa. Don yin wannan, kuna buƙatar karanta umarnin a hankali game da miyagun ƙwayoyi, bayanan bayanan aikinsa, koya yadda ake yin lissafin adadin daidai kuma daidaita shi lokaci-lokaci.
Ba za a iya daidaitawa kwalajin kwayar halittar hormone cikin lafiya ba. Babban saki insulin yana faruwa ne yayin amsawar glucose da ke shiga jijiyar jini daga abinci. Koyaya, idan mutum yana jin yunwa ko yana bacci, har yanzu akwai insulin a cikin jini, kodayake cikin adadi kaɗan - a matakin da ake kira basal. Lokacin da samar da hormone ya tsaya tare da ciwon sukari, an fara canza magani. Wannan yawanci ana buƙatar nau'ikan insulin guda 2 ne. Matsayin basal yana kwaikwayon Insuman Bazal, yana shiga cikin jini a hankali, na dogon lokaci kuma a cikin ƙananan rabo. Sugar bayan cin abinci an tsara shi don rage Insuman Rapid, wanda ya isa tasoshin da sauri.
Kwatanta halayen Insumans:
Manuniya | Gaggarin GT | Bazal GT | |
Abun ciki | Insulin ɗan adam, abubuwanda ke rage jinkirin maganin, abubuwa don gyara acidity. Masu fama da matsalar cutar ƙwalwa yakamata su fahimci kansu tare da jerin abubuwan ƙwarewar da aka nuna a cikin umarnin. | Don sa hormone a hankali a hankali daga ƙwayar subcutaneous, ana saka furotin protamine a ciki. Wannan haɗin ana kiran shi insulin-isophan. | |
Kungiyar | Gajeru | Matsakaici (an dauki tsawon lokaci har sai alamun insulin analogues ya bayyana) | |
Bayanin aiki, sa'o'i | farkon | 0,5 | 1 |
ganiya | 1-4 | 3-4, ganiya tana da rauni. | |
duka lokaci | 7-9 | 11-20, mafi girma da kashi, da ya fi tsayi mataki. | |
Alamu | Harkokin insulin don maganin nau'in 1 da nau'in ciwon sukari na 2 mai tsawo. Gyara matsanancin rikice-rikice na ciwon sukari, gami da rashin dogara ga insulin. Lokaci na wani lokaci na karuwar bukatar hormone. Poan lokaci idan akwai abubuwan contraindications don ɗaukar allunan rage sukari. | Sai kawai tare da ciwon sukari-dogara da ciwon sukari. Za'a iya amfani dashi ba tare da Rapid HT ba idan buƙatun insulin sun kasance ƙasa. Misali, a farkon maganin insulin, ciwon sukari na 2. | |
Hanyar gudanarwa | A gida - ƙarƙashin ƙasa, a cikin wuraren likita - a cikin jijiyoyin cuta. | Kawai subcutaneously tare da yaduwa mai syringe ko U100 insulin. |
Dokokin aikace-aikace
Bukatar insulin na mutum ɗaya ne ga kowane mai ciwon sukari. A matsayinka na mai mulkin, marasa lafiya da ke da nau'in cuta na 2 da kiba suna buƙatar ƙarin hormone. Dangane da umarnin don amfani, a kan matsakaita kowace rana, marasa lafiya suna har zuwa raka'a 1 na miyagun ƙwayoyi a kowace kilo kilogram na nauyi. Wannan adadi ya hada da Insuman Bazal da Rapid. Short insulin yakai kashi 40-60% na yawan bukata.
Insuman Bazal
Tun da Insuman Bazal GT ke aiki ƙasa da rana, dole ne ku shigar da shi sau biyu: da safe bayan auna sukari da kafin lokacin kwanciya. Allurai na kowace gwamnati ana kirga daban. A saboda wannan, akwai dabaru na musamman waɗanda ke yin la’akari da hankalin mutum game da ƙwayar hormone da kuma glycemia data. Matsakaicin da ya dace ya kamata ya kiyaye matakin sukari a lokacin da mai cutar da ciwon sukari ke jin yunwa.
Insuman Bazal dakatarwa ne, yayin ajiya yana exfoliates: bayyananne bayani ya kasance a saman, fararen fata yana ƙasa. Kafin kowane allura, da miyagun ƙwayoyi a cikin sirinji na alkalami buƙatar Mix da kyau. Idan aka yi amfani da fitowar lokacin da aka saba, to za a tara adadin da ake so daidai. Insuman Bazal ya fi sauƙi a shirya don gudanarwa fiye da sauran ƙananan matsakaici. Don sauƙaƙe haɗuwa, an shirya katako tare da kwallaye uku, waɗanda ke ba da damar samun cikakkiyar daidaituwa na dakatarwa a cikin 6 kawai na alkairin sirinji.
Shirya don amfani da Insuman Bazal yana da fararen launi iri ɗaya. Alamar lalacewar da miyagun ƙwayoyi shine flakes, lu'ulu'u, da goge launi daban-daban a cikin kundin bayan hadawa.
Insuman Rapid
Short Insuman Rapid GT allurar kafin abinci, yawanci sau uku a rana. Yana fara aiki bayan minti 30, don haka dole ne a yi allurar gaba. Don haɓaka diyya na ciwon sukari, yana da kyawawa don cimma daidaituwa na karɓar sassan insulin da glucose a cikin jini.
Don yin wannan, kuna buƙatar:
- Fara abincinku da jinkirin carbohydrates da furotin. Ana barin carbohydrates mai sauri a ƙarshen cin abinci.
- Ku ci kaɗan tsakanin manyan abincin. Don abun ciye-ciye, 12-20 g na carbohydrates sun isa.
Yawan insulin Rapid an ƙaddara shi da adadin carbohydrates a cikin abinci da kayan ciye-ciye mai zuwa. Adadin da aka ƙididdige daidai yana ba ku damar cirewa daga tasoshin duk sukari da ya zo da abinci.
Insulin mai sauri koyaushe yana a bayyane, ba kwa buƙatar haɗa shi, ana iya amfani da alkairin sirinji ba tare da shiri ba.
Maganin allura
Wanda masana'antun ke samar da Insuman a cikin nau'ikan 5 ml vials, katako 3 ml da alƙaliman sirinji. A cikin kantin magunguna na Rasha, ya fi sauƙi don siyan magani wanda aka sanya shi a cikin allon alkairin SoloStar. Sun ƙunshi 3 ml na insulin kuma baza'a iya amfani dashi ba bayan magungunan sun ƙare.
Yadda za a shiga Insuman:
- Don rage zafin allurar kuma rage haɗarin lipodystrophy, ƙwayar a cikin ƙwayar sirinji ya kamata ya kasance da zazzabi a ɗakin.
- Kafin amfani, ana bincika katun a hankali don alamun lalacewa. Don kada mara haƙuri ya rikitar da nau'in insulin, ana yiwa alamar alƙalami tare da zoben launuka masu dacewa da launi na rubutun a kan kunshin. Insuman Bazal GT - kore, Rapid GT - rawaya.
- An mirgine Insuman Bazal tsakanin tafin hannu sau da yawa don haɗawa.
- An ɗauki sabon allura don kowane allura. Reuse ya lalata ɓacin nama. Duk wata allura ta duniya tayi kama da allon alkairin SoloStar: MicroFine, Insupen, NovoFine da sauransu. An zaɓi tsayin allura gwargwadon kaurin kitse mai ƙyalƙyali.
- Alƙalin sirinji yana ba ku damar farashi daga raka'a 1 zuwa 80. Insumana, daidaituwar dosing - 1 naúrar. A cikin yara da marasa lafiya a kan rage cin abinci na carbohydrate, buƙatar homonin zai iya zama kaɗan, suna buƙatar mafi girman daidaito a tsarin ƙirar. SoloStar bai dace da irin waɗannan lamuran ba.
- An fi dacewa da Insuman Rapid a ciki, Insuman Bazal - a cinya ko gindi.
- Bayan gabatarwar mafita, allurar an bar ta a cikin jikin na wani sakan 10 don kada kwayar ta fara zuba.
- Bayan kowane amfani, an cire allura. Insulin yana tsoron hasken rana, saboda haka kuna buƙatar rufe katako nan da nan tare da hula.
Side sakamako
Idan ana gudanar da maganin fiye da yadda ake buƙata, hypoglycemia yana faruwa. Yana da shi ne mafi yawan sakamako gefen sakamako na insulin far, ba tare da la'akari da irin insulin amfani. Hypoglycemia na iya ƙaruwa da sauri, saboda haka ko da ƙarancin saukad da sukari da ke ƙasa da al'ada ya kamata a kawar da shi nan da nan.
Sakamakon sakamako na Insuman shima ya hada da:
- Cutar koda zuwa abubuwanda aka gyara. Yawancin lokaci ana bayyana shi a cikin itching, redness, fitsari a cikin yankin gudanarwa. Sau da yawa ƙasa da ƙasa (bisa ga umarni, ƙasa da 1%) halayen anaphylactic faruwa: bronchospasm, edema, saukarwa da ƙarfi, girgiza.
- Sodium riƙewa. Yawancin lokaci ana lura dashi a farkon jiyya, lokacin da sukari daga manyan lambobi ya sauka zuwa al'ada. Hypernatremia yana tare da edema, hawan jini, ƙishirwa, haushi.
- Samuwar ƙwayoyin rigakafi don insulin a cikin jiki shine halayyar aikin insulin na tsawon lokaci. A wannan yanayin, ana buƙatar haɓakar ƙwayar insuman. Idan kashi da ake so ya yi girma da yawa, za a tura mai haƙuri zuwa wani nau'in insulin ko an tsara magungunan immunosuppressive.
- Kyakkyawan ci gaba a cikin biyan diyyar cutar sankara na iya haifar da rauni na gani na ɗan lokaci.
Mafi sau da yawa, sannu a hankali jikin mutum ya saba da insulin, kuma rashin lafiyan yakan tsaya. Idan sakamako na gefe yana da barazanar rayuwa (faɗakarwar anaphylactic) ko bai ɓace ba bayan makonni 2, yana da kyau a maye gurbin maganin tare da analog. Insuman Bazal GT - Humulin NPH ko Protafan, Rapid GT - Actrapid, Rinsulin ko Tsarin Humulin. Wadannan kwayoyi sun bambanta kawai a cikin magabata. Bayanin aikin abu ɗaya ne a gare su. Lokacin da rashin lafiyar insulin na mutum, sukan canza zuwa insulin analogues.
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 Lafiya ta tabbatar da ɗaukar wani shiri na musamman wanda zai biya diyyar magunguna mai yawa. A Rasha, masu ciwon sukari har sai 18 ga Mayu (m) samun shi - Don kawai 147 rubles!
Farashin Insuman yayi daidai da darajar harajin sa. Magungunan a cikin sirinji ya ƙima kimanin 1100 rubles. da 15 ml (raka'a 1500, almarar 5). Isofan-insulin yana cikin jerin mahimman magunguna, don haka masu ciwon sukari suna da damar samunsa kyauta.
Contraindications
Dangane da umarnin, cikakkiyar contraindications don amfani sune kawai hypoglycemia da mummunan halayen rashin lafiyar. Idan an ba da maganin insulin, ana iya katse shi ta hanyar yarjejeniya tare da likita, tunda a cikin rashi na kansa da na jijiyoyin haila na hyperglycemia da sauri na faruwa, to ketoacidosis da coma. Masu fama da matsalar rashin lafiyar koda suna tara insulin a cikin asibiti.
Abubuwan da suka faru masu biyo baya ba contraindications bane, amma waɗannan take hakki suna buƙatar karuwar ikon kiwon lafiya:
- ɗan adam yana ɗan sakin jiki da kodan, sabili da haka, tare da ƙarancin waɗannan gabobin, ƙwayar za ta iya yin kwanciyar hankali a cikin jiki kuma ta haifar da hypoglycemia. A cikin masu ciwon sukari tare da cutar nephropathy da sauran cututtukan koda, ana kulawa da ikon haɓaka iyakance su akai-akai. Bukatar insulin na iya raguwa cikin tsufa, idan aikin koda ya ragu saboda dalilai,
- kusan kashi 40% na insulin shine yake hanta hanta. Organungiyoyin guda ɗaya suna haɗawa da wani ɓangare na glucose wanda ke shiga cikin jini.Rashin isasshen hepatic yana haifar da wuce haddi na insumancin da hauhawar jini,
- Bukatar horon yayi yawaita da cututtukan da ke addabar mutane, musamman tare da m cututtuka tare da yawan zafin jiki,
- a cikin marasa lafiya da rikice-rikice na kullum na ciwon sukari, hypoglycemia yana da haɗari musamman. Tare da angiopathy tare da taƙaitawar jijiya, yana iya haifar da bugun zuciya da bugun jini, tare da retinopathy - don asarar hangen nesa. Don rage haɗarin irin wannan sakamakon, matakan glucose na musamman ga marasa lafiya suna ƙaruwa kaɗan, kuma ana rage yawan maganganu marasa ƙarfi.
- aikin insulin na iya canzawa ƙarƙashin rinjayar abubuwa daban-daban da suka shiga jini: ethanol, hormonal, antihypertensives da wasu magunguna. Yakamata a yarda da kowane magani tare da likita. Kuna buƙatar shirya cewa biyan diyyar mellitus na ciwon sukari zai ƙaruwa, kuma za a buƙaci daidaita suturar mutum.
Yawan da ake buƙata na Insuman tare da nau'in ciwon sukari na 2 na iya raguwa a hankali yayin da juriya na insulin ke raguwa. Normalization na nauyi, ƙarancin abincin carb, da kuma motsa jiki na yau da kullun suna haifar da wannan raguwa.
Umarni na musamman
Hypoglycemia shine mafi kyawun sakamako na rashin lafiyar insulin, don haka wani sashi na daban an kebe shi a cikin umarnin amfani da insuman. Rashin haɗari na sukari mai haɗari yana da girma musamman a farkon amfani da insulin, lokacin da mara lafiya yana koyo don ƙididdige yawan maganin. A wannan lokacin, ana bada shawarar kulawa da glucose mai zurfi: ana amfani da mitar ba kawai da safe da kuma abinci ba, har ma a tsaka-tsaki.
Hypoglycemia an tsayar da shi a farkon alamun ko tare da ƙarancin sukari, koda kuwa baya tasiri da ƙoshin lafiya. Alamar hatsari: juyayi, yunwar, rawar jiki, yawan magana ko tsoratar da harshe, lebe, bugun jini, ciwon kai. Theara yawan hauhawar jini na iya kasancewa ana ɗaukar shakku, rikicewar iko da sarrafa kai da motsi. Bayan asarar farka, yanayin da sauri yayi sama, kwanciyar hankali na jini ya fara.
A duk lokacin da yanayin cututtukan jini ke sake faruwa, mafi muni da mai ciwon sukari yana jin alamun sa, kuma mafi haɗari na raguwar sukari na gaba. Yawancin hypoglycemia yana buƙatar daidaita sashi na Insuman. Taimako na Farko ga Kasuwancin Kaya - 20 g glucose. Wannan kashi na iya wucewa a cikin matsanancin yanayi, tunda wuce haddi na carbohydrates zai haifar da sauri zuwa wannan jihar - hyperglycemia.
Wani rikicewar cututtukan hyperglycemia mai ƙarfi shine coma na ketoacidotic. Yawancin lokaci yana haɓaka kwanaki da yawa, saboda haka mai haƙuri yana da lokaci don ɗaukar mataki. A wasu halaye, daga farkon ketoacidosis zuwa coma, 'yan awanni kawai suka wuce, saboda haka kuna buƙatar rage yawan sukari nan da nan bayan an gano shi. Don waɗannan dalilai amfani kawai mutum ne mai sauri. A matsayinka na babban doka, ana buƙatar sashi 1 don rage yawan ƙwayar cuta ta 2 mmol / L. Insuman. Don hana hypoglycemia, sukari a farkon matakin ya ragu zuwa 8. Yin gyaran jiki ga al'ada ana yin shi ne bayan 'yan sa'o'i, lokacin da tsawon allurar da ta gabata ta ƙare.
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. kara karantawa >>
Aikin magunguna
Insuman Rapid GT - wani alkalami mai narkewa tare da bayani don amfani guda. Yana nufin rukuni na kwayoyi waɗanda suke daidai da insulin mutum. Game da insuman Rapid GT sake dubawa suna da girma sosai. Yana da iko don gyarawa don rashi na karancin insulin, wanda aka yi shi a jikin mai fama da ciwon suga.
Hakanan, ƙwayar tana iya rage matakin glucose a cikin jinin mutum. Ana amfani da wannan magani a cikin hanyar allurar subcutaneous. Wannan aikin yana faruwa ne a cikin mintina 30 bayan fitowar, ya kai iyakar ƙarfin sa'oi ɗaya zuwa biyu sannan zai iya ci gaba, gwargwadon yawan allura, kimanin awa biyar zuwa takwas.
SUSP. Insuman Bazal GT (alkalami na syringe)
Insuman Bazal GT shima yana cikin rukunin magungunan da suke daidai da insulin na mutum, suna da matsakaicin tsawon lokacin aiki kuma suna da ikon gyara don rashin insulin kwayoyin halittar jikin mutum.
Game da insulin Bazal GT sake dubawa na marasa lafiya suma galibi suna da kyau. Magungunan sun sami damar rage glucose na jini. Ana gudanar da miyagun ƙwayoyi a ƙarƙashin ƙasa, ana lura da tasirin awanni da dama, kuma ana samun sakamako mafi girma bayan sa'o'i huɗu zuwa shida. Tsawon lokacin aikin ya dogara da adadin allura, a matsayin mai mulkin, ya sha bamban daga awowi 11 zuwa 20.
Alamu don amfani
An bada shawarar Insuman Rapid don amfani tare da:
- insulin-da ke fama da ciwon sukari mellitus,
- masu fama da cutar sankara
- acidosis
- ciwon sukari mellitus saboda dalilai daban-daban: ayyukan tiyata, cututtukan da ke haɗuwa tare da zazzabi, tare da rikice-rikice na rayuwa, bayan haihuwa.
- da jini mai yawa,
- yanayin predkomatoznoe, wanda ya kasance saboda asarar sashi na hankali, matakin farko na haɓaka ƙima.
An ba da shawarar Insuman Bazal don amfani da:
- insulin-da ke fama da ciwon sukari mellitus,
- barga mai ciwon sukari tare da buƙatun insulin,
- gudanar da jinya na gargajiya.
Hanyar aikace-aikace
Matsaka don allura tare da wannan magani an zaɓi shi gabaɗaya, gwargwadon bayani game da matakin sukari a cikin fitsari da kuma halayen cutar. Ana amfani da miyagun ƙwayoyi sau ɗaya a rana.
Ga manya, kashi daya ya banbanta daga raka'a 8 zuwa 24. An ba da shawarar yin allurar 15-20 kafin cin abinci.
Ga yara waɗanda ke da haɓakar haɓakar insulin, kashi na yau da kullun wannan magani yana ƙasa da raka'a 8. Hakanan ana bada shawara don amfani dashi kafin abinci a cikin mintuna 15-20. Za'a iya amfani da miyagun ƙwayoyi duka biyu kuma ya shiga cikin hanji a lokuta daban-daban.
Bai kamata a maimaita wurin allurar ba, saboda haka dole ne a canza shi bayan kowane allurar subcutaneous. An saita kashi ɗaya akayi daban-daban, gwargwadon halayen hanya na cutar.
Ga nau'in manya na mutanen da ke fuskantar tasirin wannan maganin a karo na farko, an tsara kashi na 8 zuwa 24, ana yin shi sau ɗaya a rana kafin abinci na mintuna 45.
Ga tsofaffi da yara masu ƙarfin jijiyoyin insulin, ana amfani da ƙaramin matakin, wanda ba shi da fiye da raka'a 8 sau ɗaya a rana. Ga marasa lafiya waɗanda ke da ƙarancin buƙatar insulin, za a iya basu kashi da yawa fiye da raka'a 24 don amfani sau ɗaya a rana.
Side effects
Yayin amfani da Insuman Rapid, ana iya lura da sakamako masu illa waɗanda suke da mummunan tasiri ga jikin ɗan adam:
- halayen rashin lafiyan halayen insulin da abubuwan hana daukar ciki,
- lipodystrophy,
- rashin amsa insulin.
Tare da rashin isasshen magungunan, mai haƙuri na iya fuskantar damuwa a cikin tsarin daban-daban. Wannan shi ne:
- hyperglycemic halayen. Wannan alamar tana nuna karuwa cikin sukari na jini, na iya faruwa tare da amfani da giya ko kuma tare da aikin keɓaɓɓiyar aiki,
- hypoglycemic halayen. Wannan alamar tana nuna raguwar sukarin jini.
Mafi sau da yawa, waɗannan bayyanar cututtuka suna faruwa ne saboda cin zarafin abincin, rashin bin ka'idoji tsakanin amfani da miyagun ƙwayoyi da kuma cin abinci, kazalika da damuwa na zahiri.
- fata rashes,
- itching a wurin allura
- urticaria a wurin allurar,
- lipodystrophy,
- halayen hyperglycemic (na iya faruwa yayin shan barasa).
Yawan abin sama da ya kamata
Lokacin da mara lafiya ya nuna alamun farko na yawan yawan maye na Insuman Rapid, to watsi da alamun da ke kara dagula yanayin zai iya zama da haɗari ga rayuwa.
Idan mai haƙuri yana cikin yanayin hankali, yana buƙatar ɗaukar glucose tare da ƙarin ci abinci na abinci wanda ya ƙunshi carbohydrates.
Kuma idan mai haƙuri bai san komai ba, yana buƙatar shigar da milligram 1 na glucagon intramuscularly. Idan wannan ilimin bai ba da wani sakamako ba, to, zaku iya shigar da 20-30 na 30-30 na maganin glucose mai narkewa na kashi 30-50.
Idan mai haƙuri yana da alamun yawan ƙwayar insuman Bazal, wanda aka nuna ta hanyar lalacewar kai tsaye ga lafiyar, halayen rashin lafiyan mutum da asarar hankali, yana buƙatar ɗaukar glucose nan da nan tare da ƙarin yawan samfuran da ke dauke da carbohydrates a cikin abubuwan da ke ciki.
Koyaya, wannan hanyar zata yi aiki na musamman ga mutanen da suke da hankali.
Wanda yake cikin yanayin rashin sani yana buƙatar shigar da milligram 1 na glucagon intramuscularly.
A cikin batun lokacin da allurar glucagon ba ta da wani tasiri, za a gudanar da milligram 20-30 na maganin glucose 30-50% na ciki. Idan ya cancanta, ana iya maimaita hanya.
Bidiyo masu alaƙa
Game da kamuwa da amfani da kwayar insulin Insuman Rapit da Basal a cikin bidiyon:
Ana amfani da insuman don kula da marasa lafiya da ciwon sukari mellitus. Daidai ne ga insulin ɗan adam. Yana saukar da glucose kuma yana samin cigaba da rashin insulin. Akwai shi azaman bayyananne mafita don allura. Sashi, a matsayin mai mulkin, an wajabta don kowane mai haƙuri daban-daban, ƙididdigar kan halayen hanyar cutar.
- Yana daidaita matakan sukari na dogon lokaci
- Maido da aikin samarda insulin
Karin bayani. Ba magani bane. ->
Tsarin saki, abun da aka shirya da shiryashi
Akwai nau'i biyu - gajere da matsakaici. Akwai shi a cikin nau'ikan kwantena (tare da ko ba tare da maɓallin sirinji ba) da kwalabe.
Insuman Rapid (mai sauri) shine bayyananne mafita don allurar subcutaneous.
- 100 ME na insulin mutum
- metacresol
- sodium dihydrogen fos foda na bushewa,
- glycerol
- sodium hydroxide
- hydrochloric acid
- ruwa don yin allura.
"Insuman Bazal" dakatarwar madara ce ko farin launi.
- 100 IU na insulin na mutum,
- furotin sulfate,
- metacresol
- phenol
- zinc chloride
- sodium foda na bushewa,
- glycerin (85%),
- sodium hydroxide
- mai dazuwan acid,
- ruwa don yin allura.
A cikin katako na 3 miliyan isofan, a cikin fakiti na katako guda 5. A cikin kwalban 5 ml na abu mai aiki, kunsassun a cikin kwalaye na guda 5.
Umarnin don amfani (hanya da sashi)
Babban hanyar gudanarwa shine allurar subcutaneous. Wurare - kwatangwalo, gindi, kafadu da ciki. Ya kamata a canza wurin allurar a kai a kai.
An zabi sashi daban-daban dangane da shaidar da bukatun jikin. A matsakaici, ƙa'idar shine 0.5-1 IU / kg / day.
Lokacin canzawa daga wani nau'in insulin zuwa wani, daidaita sashi na iya zama dole. A wannan lokacin, yana da mahimmanci musamman a kula da lafiyarku da sukarin jini.
Ba a sarrafa Insuman Bazal a intravenly.
Aiwatar da mintuna 40-60 kafin abinci.
Karka yi amfani da famfon inulin.
Za'a iya amfani dashi tare da wasu kwayoyi na gajeriyar magana. Yawancin lokaci ana gudanar da kowane 8-12 hours.
Ana amfani da "Insuman Rapid" sau ɗaya a cikin kowane awa 4-6.
Hulɗa da ƙwayoyi
- hypoglycemic jami'ai don baka,
- fibrates
- ACE hanawa da MAO,
- mai kyalli
- rashin biyayya
- wakili
- magungunan anabolic, kwayoyin maza masu jima'i,
- skwarin
- cybenzoline,
- Salamamalla
- amphetamine
- fenfluramine,
- ifosfamide,
- karafarini,
- kakkawan,
- guanethidine,
- sulfonamides,
- karazarinin,
- tritocqualine,
- somatostatin da misalanta,
- karafarini
- dazuzamin.
- corticotropin,
- diazoxide
- GKS,
- danazol
- glucagon,
- kamuwa da cuta
- estrogens da progestogens,
- isoniazid
- hodar iblis,
- sabbin kayan tarihin,
- barbiturates
- girma hormone,
- nicotinic acid
- wakilai masu juyayi
- abubuwan asalin phenytoin
- karafarini,
- doxazosin.
Suna iya haɓakawa da raunana sakamako:
- beta hanawa,
- guanethidine,
- clonidine
- salts na gishiri na lithium
- madarar ruwa.
Hadin gwiwa tsakanin gwamnatocin wadannan kwayoyi ya zama tilas tare da likitocin da ke halartar.
Haihuwa da lactation
An yarda da "insuman" magani yayin daukar ciki ta hanyar shayarwa, saboda maganin yana da lafiya ga jikin jaririn. A cikin farkon watanni na farko, buƙatar insulin na iya raguwa, a na gaba yawanci yana ƙaruwa. Yana da mahimmanci don kula da yanayin ku don hana haɓakar hauhawar jini, cutarwa ga tayi.
Kwatanta tare da analogues
Wannan magani yana da adadin analogues. Yana da kyau a yi la’akari da kaddarorinsu don kwatanta tasirin.
Jinin ɗan adam. Mai samarwa - "Novo Nordisk", Denmark. Kudin ya kusan kusan 400 rubles kowace mafita kuma 800 rubles a katun. Wakili ne na ɗan gajeren lokaci, yana rage rage sukari, ya dace da yara da mata masu juna biyu. Za'a iya amfani dashi azaman adjuvant a far.
Isofan insulin, zaɓuɓɓuka biyu don yawan fallasa. Maƙerin shine Pharmstandard, Russia. Farashi - daga 450 rubles (kwalabe) da 1000 (katako). Ana iya amfani dashi a cikin kula da yara, tsofaffi da mata masu juna biyu.
Hakanan ana samun insulin kayan injin ɗan adam a cikin gajere da tsaka tsaka. Ana iya amfani dashi a hade da maganin cutar sankara. Kudinsa - daga 500 rubles (kwalabe) da 1000 (katako). Ya samar da "Geropharm-Bio", Russia. Hakanan ingantacciyar magana ce ta Insuman, ana samunta a cikin magunguna. Hakanan yana maye gurbin Actrapid a cikin kaddarorin.
Glulisin, insulin gajeriyar aiki. Kamfanin shine Sanofi Aventis, Faransa. Farashin ya kusan 2000 rubles. Ana samun yafi a cikin nau'in sirinji alƙaluma. Tasirin hypoglycemic yana kama da insulin ɗan adam. Ana amfani dashi cikin jiyya tare. Debe - amfani kawai a cikin manya da yara fiye da shekaru 6. Yana yiwuwa ga masu juna biyu da tsofaffi, amma tare da taka tsantsan.
Akwai gajeriyar sashi da matsakaita sakamako. Ya samar da kamfanin "Bioton", Poland. Farashin - 450 rubles kowace bayani a cikin kwalba. Cikakkar analog, amma ba koyaushe ana samun su a kantin magani ba.
Sauyawa zuwa wani nau'in insulin ne daga likita kawai. An haramta shan magani!
Yin hukunci da sake dubawa, wannan nau'in insulin bai dace da duk marasa lafiya ba, amma akwai ra'ayoyi ingantattu fiye da waɗanda ba su da kyau.
Alla: "Ina amfani da Insuman Rapid." Kyakkyawan magani na taimaka wajan adana sukari. Likita ya ba da shawarar amfani da Bazal a matsayin matsakaiciyar insulin, amma ban canza ba tukuna. Gabaɗaya, yana da kyawawan kaddarorin, yana taimaka wa masu ciwon sukari, kamar yadda na ji daga wasu abokai na da cutar guda. Kuma a hade, yakamata suyi aiki mafi kyau. Don haka da sannu zan juya zuwa gare shi gaba daya, ga alama. "
Gennady: “Iyalin suna da masu ciwon sukari guda biyu lokaci guda, kuma 'yar tana da nau'in insulin. "Insuman", duka nau'ikan biyu, suna karɓar fa'idodi kyauta. Suna aiki da kyau, babu hypoglycemia. Yana kiyaye littafin injections, yana biye da tsarin abinci, babu cin zarafi. Likita ta kuma lura cewa gwaje-gwajen da ta yi sun fi lokacin da aka yi mata magani da wasu kwayoyi. Don haka ko da sun daina bayar da kyauta, za mu saya don kuɗi, duk da haka ba mafi tsada ba. ”
Anastasia: “Na yi amfani da Humalog, amma sun daina bayar da shi kan fa'idodi. Likita ya shawarce ni in gwada insuman. Wannan insulin din bai dace da ni ba kwata-kwata, rashin lafiyan ya fara, kuma sukari bai ragu ba. Na ci gaba da zavar magunguna. ”
Veronika: “An yi wa Insuman watanni shida. Da farko, alamu sun sami sauki, bin tsarin rage cin abinci. Bayan wasu watanni, lalacewa ta fara, sukari ya fara girma, duk da canjin abinci. Dole ne in nemi wani magani. Abin tausayi, domin da farko na gamsu gaba daya. ”
Olga: “sonana yana da shekara takwas, yana da masu ciwon sukari. Mun damu kwarai da cewa muna buƙatar a bi da mu da allura. Likitan ya shawarci "Insuman", da yake sun sami damar karba kyauta. Ya dace da cewa akwai akwai alkalanncin sirinji, wato, kada ku dame tare da dilution. Ana daidaita kullun sashi, amma komai lafiya.Suga daidai ne. Ina koya wa yaro yin allurar kansa, kamar yadda likitan ya ba da shawara. Kyakkyawan shiri, yana taimakawa kuma baya haifar da matsala. "
Siffar Magungunan Ciwon Ciwo
Novorapid yana cikin sababbin cigaban magunguna. Magungunan yana taimakawa wajen inganta karancin kwayoyin halittar dan adam, yana da siffofi da dama da dama kan wasu magunguna na rukuni guda:
- Saurin narkewa.
- Saurin sauke sukari.
- Rashin dogaro akan abun ciye-ciye.
- Ultrashort watsawa.
- Siffofin saki masu dacewa.
Novorapid na maganin cututtukan endocrine yana samuwa a cikin katakarar gilashin maye gurbin (Penfill) kuma a cikin nau'in allon da aka shirya (FlexPen). Abubuwan sunadarai a duka nau'ikan saki guda ɗaya ne. Magungunan suna cikin kwanciyar hankali, kuma hormone kansa ya dace don amfani dashi a kowane nau'in magunguna.
Abubuwan da ke ciki da kuma kayan haɗin kai
Babban lissafi na Novorapid an lasafta shi ne gwargwadon yawan abubuwan da aka gyara a cikin 1 ml na miyagun ƙwayoyi. Abubuwan da ke aiki shine raka'a Aspar 100 (kimanin 3.5 mg). Daga cikin abubuwan taimako, akwai:
- Glycerol (har zuwa 16 MG).
- Metacresol (kimanin 1.72 MG).
- Zinc chloride (har zuwa 19.7 mcg).
- Sodium chloride (har zuwa 0.57 MG).
- Sodium hydroxide (har zuwa 2.2 MG).
- Hydrochloric acid (har zuwa 1.7 MG).
- Phenol (har zuwa 1.5 MG).
- Tsarkake ruwa (1 ml).
Kayan aiki shine ingantaccen bayani ba tare da launi mai kwalliya ba, laka.
Abubuwan da ke cikin magunguna
Novorapid yana da tasirin sakamako na hypoglycemic saboda babban insulin abu mai kewayawa. Wannan nau'in insulin alama ce ta gajeren ɗan adam. An samo sinadarin ne sakamakon wasu matakai na fasaha da ake samu a matakin DNA. Insulin Novorapid yana shiga cikin dangantakar halitta tare da masu karɓa, yana ƙirƙirar ɗayan hadaddun ƙarewar jijiya.
Za'a iya amfani da wannan magani don kowane nau'in ciwon sukari a cikin manya da yara daga shekaru 2!
A kan tushen raguwa a cikin ƙididdigar glycemic, karuwa na yau da kullun a cikin ƙwayar ƙwayar ƙwayar ciki, kunna aiwatar da ayyukan lipogenesis da glycogenogenesis, kazalika da karuwa a cikin ɗimbin ƙwayoyin cuta masu laushi daban-daban. A lokaci guda, yawan haɓakar glucose ta hanta yana raguwa. Novorapid ya fi dacewa da jiki, yana da tasirin warkarwa da sauri fiye da insulin na halitta. Awanni 3-4 na farko bayan cin abinci, insulin aspart yana rage matakan sukari na plasma da sauri fiye da insulin ɗin mutum iri ɗaya, amma tasirin Novorapid ya fi guntu tare da injections na cikin ƙasa fiye da insulin na halitta da jikin mutum yake samarwa.
Manuniya da contraindications
Magungunan suna da babban nuni - ciwon sukari na kowane nau'in a cikin yara daga shekaru 2, matasa da marasa lafiya.
Yin amfani da wakilai na hypoglycemic dole ne a bi da shi da hankali saboda tasirin sakamako masu illa. Babu shawarar Novorapid don amfani dashi tare da rashin haƙuri ga abubuwan da aka gyara, amsawar rashin lafiyan ga kowane ɓangarorin magungunan Novorapid. Ba a san tasirin warkewa a cikin yara da ke ƙasa da shekara 2 ba saboda karancin nazarin asibiti a cikin marasa lafiya na wannan rukunin shekarun.
Analogs da generics
Ana iya maye gurbin Novorapid na hormone tare da wasu kwayoyi na rukuni guda. Analogs analogs kawai bayan cikakken binciken likita. Babban analogues sun hada da Humalog, Actrapid, Protafan, Gensulin N, Apidra, Novomiks da sauransu. Farashin hormone Novorapid a yankuna daban-daban ya bambanta daga 1800 zuwa 2200 kowace kunshin.
Novomix kuma iya zama mai maye gurbin Novorapid.
Bayanin Hormone
- Kwayar halittar hormone 3,571 MG (100 IU 100% mutum mai narkewa hormone).
- Metacresol (har zuwa 2.7 MG).
- Glycerol (kusan 84% = 18.824 mg).
- Ruwa don allura.
- Sodium dihydrogen phosphate dihydrate (kimanin 2.1 mg).
Insumancin insumancin saurin gt ruwa mai cikakken launi wanda babu cikakken wakilci. Ta ƙunshi rukuni na wakilai na rashin aiki na gajeren lokaci. Insuman ba ya fitar da laka ko da a tsawon lokacin ajiyar ajiya.
Kasuwancin Pharmacodynamic
Insuman Rapid GT yana dauke da hormone wanda yayi kama da tsarin halittar dan adam. An samo maganin ta hanyar injiniyan kwayoyin. Babban hanyoyin aiwatar da aikin Insuman sun hada da:
- Rage glucose na jini.
- Rage ayyukan catabolic.
- Ingarfafa canza wurin glucose mai zurfi cikin sel.
- Inganta lipogenesis a cikin tsarin hanta.
- Ingarfafa shigar azzakari cikin farfajiyar potassium.
- Kunna sunadaran gina jiki da amino acid.
Insuman Rapid GT Yana da sauri farawa na aiki, amma yana da ɗan gajeren lokaci. An sami sakamako na hypoglycemic riga an riga an kwashe rabin sa'a bayan an gudanar da aikin magani na subcutaneous. Tasirin har zuwa awa 9.
Wadannan halaye masu zuwa yakamata a danganta su ga manyan alamu:
- Cutar sankarar mahaifa (nau'in dogaro da insulin).
- Coma akan asalin ciwon sukari.
- Ketoacidosis mai ci gaba.
- Bukatar biyan diyya (misali, kafin ko bayan tiyata).
Babban contraindications sun haɗa da hypoglycemia ko haɗarin haɗari na raguwa mai yawa a cikin sukari na jini, halayen rashin lafiyan ga duk abubuwan da ke cikin maganin, ƙwaƙwalwar wuce kima.
An bada shawara sosai cewa ka nemi masanin gwani don shawara! Kai magani na iya tsananta halin.
A lokacin da yake rubuta sashi Insuman Rapid GT likita yayi la'akari da dalilai da yawa: shekaru, tarihin asibiti, hanya ta gaba daya na ciwon sukari, kasancewar cututtukan cututtukan fata na gabobin ciki da alaƙa. Wani lokacin shan magungunan masu ciwon sukari yana hana hawa mota ko aiki a cikin masana'antu masu haɗari.
Matsakaicin farashin maganin a yankuna daban-daban ya bambanta daga 700 zuwa 1300 rubles a kowane kunshin.
Farashi Ya dogara da dalilai daban-daban.
Dukansu magunguna sune wakilai na rashin ƙarfi a cikin jiki. Duk wani maye gurbin kwayoyi da ciwon sukari ana aiwatar da shi ne bayan tuntuɓar ƙwararrun masana. Insuman Rapid GT ba ku damar kula da yanayin rayuwa na haƙuri na haƙuri a cikin yanayi daban-daban na ciwon sukari. Novorapid yana da kaddarorin guda ɗaya kamar Insuman Rapid GT, amma kusan gaba daya yana maimaita insulin mutum.