Bioulinnthetic insulin Humulin: farashin nau'ikan nau'ikan sakin ƙwayoyi da ƙarancin amfaninsu

Sunan ciniki: Humulin akai-akai

Sunan kasa da kasa mai zaman kansa: Matsalar insulin (aikin injin dan adam)

Tsari sashi: maganin allura

Abubuwan da ke aiki: insulin tsaka tsaki mai tsayi biosynthetic ɗan adam

Rukunin Magunguna: gajeran aiki insulin mutum

Magunguna: Jinin insulin na jikin dan adam. 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. Farawar aikin miyagun ƙwayoyi shine minti 30 bayan gudanarwa, mafi girman tasirin shine tsakanin 1 da 3 hours, tsawon lokacin aikin shine awanni 5-7.

Alamu don amfani:

Ciwon sukari mellitus tare da alamomi don maganin insulin, farkon bayyanar cutar mellitus, ciki tare da nau'in ciwon sukari na 2 na mellitus (wanda ba shi da insulin).

Yarjejeniyar:

Hypoglycemia, hypersensitivity ga insulin ko zuwa ɗayan kayan haɗin maganin.

Sashi da gudanarwa:

An ƙaddara maganin da likita yayi daban-daban, dangane da matakin glycemia. Ya kamata a gudanar da miyagun ƙwayoyi s / c, cikin / in, yiwuwar gabatarwar / m. Ana amfani da maganin SC a kafada, cinya, gindi ko ciki. Dole ne a canza wurin da ake yin allurar domin kada a yi amfani da wurin wuri fiye da kamar 1 lokaci / watan. Lokacin da s / zuwa gabatarwar, dole ne a kula da shi don kauce wa shiga cikin jini. Bayan allurar, bai kamata a sanyaya wurin da allura ba. Yakamata a horar da marassa lafiya yadda yakamata ayi amfani da nawalin insulin. Karanti da vials na Humulin Regular basa buƙatar sake tayar da hankali kuma ana iya amfani dashi idan abubuwan da suke ciki sune tsabtataccen ruwa mara launi ba tare da barbashi bayyane ba. Ya kamata a bincika katakoki da vials a hankali. Kada kuyi amfani da miyagun ƙwayoyi idan yana da flakes, idan farin farin barbashi ya bi zuwa kasan ko ganuwar kwalbar, yana haifar da tasirin yanayin 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. Abubuwan da ke cikin murfin ya kamata ya cika cikin sirinji na insulin wanda ya dace da yawan insulin wanda aka keɓance shi, kuma yawan insulin da ake so ya kamata a gudanar dashi kamar yadda likita ya umarce shi. Lokacin amfani da katako, bi umarnin mai ƙira don cika kwas ɗin kuma ɗaukar allura. Ya kamata a gudanar da miyagun ƙwayoyi daidai da umarnin mai sana'anta don alkalami mai sikari. Yin amfani da mitsin allura, nan da nan bayan an saka, sai a kwance allurar kuma a halaka shi lafiya. Cire allurar kai tsaye bayan allura na tabbatar da tsawan jiki, yana hana jijiyoyin jiki, yaduwar iska da kuma yiwuwar rufe allurar. Sannan sanya hula a hannu. Kada a sake amfani da allura Kada a yi amfani da allura da sirinji alkalami. Ana amfani da harsashi da vials har sai sun zama fanko, bayan haka ya kamata a watsar da su. Humulin Regular za'a iya gudanar dashi a hade tare da Humulin NPH. A saboda wannan, ya kamata a jawo insulin na ɗan gajeren abu zuwa sirinji na farko don hana insulin aiki mai tsayi daga shiga 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. Kullum sai kayi amfani da sirinjin insulin wanda ya dace da yawan kwarin insulin.

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.

Yin hulɗa tare da wasu kwayoyi:

Rikicin hypoglycemic na Humulin Regular an rage shi da maganin hana haihuwa, corticosteroids, shirye-shiryen hodar iblis, turezide diuretics, diazoxide, antidepressants na tricyclic. Tasirin hypoglycemic na Humulin Regular yana haɓaka ta hanyar maganganu na maganin hypoglycemic na baki, salicylates (alal misali, acetylsalicylic acid), sulfonamides, MAO inhibitors, beta-blockers, ethanol da ethanol dauke da kwayoyi. Beta-blockers, clonidine, reserpine na iya rufe bayyanar alamun bayyanar cututtuka na hypoglycemia. Abun hulɗa da magunguna: illolin haɗuwa da insulin ɗan adam da insulin dabbobi ko insulin ɗan adam da wasu masana'antun suka yi bai yi nazari ba.

Ranar cikawa: Shekaru 2

Yanayin bayardawa daga magunguna: da takardar sayan magani

Mai masana'anta: Eli Lilly Gabashin S.A., Switzerland

Fom ɗin saki

Yana da mahimmanci a san cewa abu mai aiki a cikin maganin shine insulin biosynthetic ɗan adam. Ana fitar da miyagun ƙwayoyi a cikin nau'i na dakatarwa don yin allura da kuma mafita ta musamman don inje. Wadannan nau'ikan zasu iya zama duka a cikin katako, da kuma a cikin kwalabe.

Insulin Humulin N

Mai masana'anta

Da farko kuna buƙatar gano wanene aka nuna insulin? Jiyya ga mutanen da ke da nau'o'in ciwon sukari biyu ba za su iya kasancewa cikakke ba tare da analog na mutum. Ana buƙatar shi don kula da yawan sukari a cikin jini tsakanin iyakoki na al'ada.

Ana amfani da wani magani don inganta yanayin janar na mai haƙuri da wannan cuta. Amma game da kasashe masu tasowa, yawanci akwai uku ko hudu daga cikinsu. Tunda akwai nau'ikan wannan magani, ana samar da kowane ɗayansu a cikin ƙasashe daban-daban.

A halin yanzu, ana gabatar da nau'ikan magungunan da ake tambaya a cikin magunguna:

1. Humulin NPH (Amurka, Faransa),
2. Humulin MZ (Faransa),
3. Humulin L (Amurka),
4. Harajin Humulin (Faransa),
5. Humulin M2 20/80 (Amurka).

Dukkan shirye-shiryen insulin da ke sama (hormone na huhu) suna da tasiri mai ƙarfi na hypoglycemic (hypoglycemic). An kirkiro maganin ne bisa tsarin inginin halittar ɗan adam.

Babban aikin Humulin shine rage matakan glucose a cikin jijiyoyin jini. Don haka, miyagun ƙwayoyi suna samar da aiki mai ƙarfi na sukari ta hanyar tsarin nama kuma ya haɗa da shi a cikin matakan rayuwa wanda ke faruwa a cikin sel jikin.

Ya danganta da hanyar shirya da aiki da tsari, kowane insulin yana da nau'ikan nasa, wanda kuma ana yin la’akari da shi yayin ganawar ta musamman. Baya ga babban bangaren aiki (insulin, wanda aka auna a raka'a na kasa da kasa - ME), duk magunguna sun hada da karin mahadi na asalin kayanda.

A matsayinka na mai mulki, kayan abinci kamar su protamine sulfate, phenol, zinc chloride, glycerin, metacresol, sodium hydrogen phosphate, sodium hydroxide, hydrochloric acid, ruwa don allura da sauransu za'a iya haɗa su a cikin kowane nau'in Humulin.

Wannan magani yana taimakawa don samun sakamako mai kyau daga warkarwa. Wannan saboda iyawa don cikakke ne ko kuma rashin samun tasirin insulin na hormone.

Yana da mahimmanci a tuna cewa likitancin endocrinologist ne kawai ya wajabta shi. Bayan haka, lokacin da bukatar gaggawa ta taso, kawai likitan ya kamata ya magance maganin da aka tsara.

Sau da yawa nadin insulin da ake kira Humulin tsawon rai ne. Don tsawon wannan, an wajabta shi a gaban nau'in 1 na ciwon sukari na mellitus.

A wasu yanayi (tare da cututtukan concomitant da ke faruwa a cikin m ko na kullum, kazalika da lalata a cikin yanayin mai ciwon sukari tare da rashin lafiya na nau'in na biyu), ana bada shawara don amfani da hanyar magani na durations daban-daban.

Kada ka manta cewa ciwon sukari na buƙatar alƙawarin hormone na wucin gadi.

Abin da ya sa kin amincewa da shi na iya haifar da sakamako wanda ba a sauyawa ga lafiyar ɗan adam.

A halin yanzu, mafi dacewa a wannan yanayin sune irin waɗannan kwayoyi kamar Humulin Regular da Humulin NPH.

Ya danganta da iri-iri, ana iya siyan Humulin magani ta wannan hanyar:

1. NPH. Ya kasance azaman dakatarwa don gudanarwa na subcutaneous, 100 IU / ml. An cushe shi a cikin kwalabe 10 ml a gilashin tsaka tsaki. Kowane ɗayansu suna cikin akwati. Wannan nau'in magani ana cakuda shi a cikin katako na mil 3 na gilashin kama. Biyar daga cikin wadannan an sanya su a cikin bolaji. Kowannensu ya yi daidai da kunshin musamman,
2. MH. Akwai shi a cikin nau'ikan saki masu zuwa: dakatarwa don allura (3 ml) a cikin katako na musamman, dakatarwa (10 ml) a cikin kwalabe, maganin allura (3 ml) a cikin katako, bayani (10 ml) a cikin kwalabe,
3. L. Dakatarwa don yin allura 40 IU / ml ko 100 IU / ml a cikin kwalban ml 10, wanda aka cakum cikin fakiti,
4. Regular. Hakanan ga wanda ya gabata, ana samarwa a cikin kashi, 1 ml wanda ya ƙunshi raka'a 40 ko raka'a 100
5. M2 20/80. Dakatarwar allurar ta ƙunshi kusan 40 na 100 IU / ml insulin na ɗan adam. Ana samun magungunan a cikin kwalabe da katako.

Ciwon sukari yana tsoron wannan maganin, kamar wuta!

Kawai kawai buƙatar nema ...

Amma game da farashin, kowane ɗayan nau'ikan magungunan da aka yi la'akari suna da farashin su.

Idan a cikin cikakkun bayanai, to, farashin farashin Humulin kamar haka:

1. NPH - dangane da sashi, matsakaicin farashin shine 200 rubles,
2. MH - kimanin kudin sun bambanta daga 300 zuwa 600 rubles,
3. L - a tsakanin 400 rubles,
4. Regular - har zuwa 200 rubles,
5. M2 20/80 - daga 170 rubles.

Hanyar aikace-aikace

Ana gudanar da aikin Humulin yawanci a cikin hanyar da zai wuce tsarin narkewar abinci. Yawancin lokaci ana ba da allurar ciki ko subcutaneous injections.

Dangane da ka'idodin data kasance, mai haƙuri na endocrinologist dole ne ya ɗauki horo na musamman, alal misali, a cikin “makarantar ciwon sukari”.

Nawa ake amfani da wannan magani a rana, kawai likitan halartar dole ne ya yanke shawara. Zaɓin da aka zaɓa na iya bambanta dangane da yanayin aikin jiki da abinci mai gina jiki. Yana da mahimmanci cewa mai haƙuri na endocrinologist lokaci guda yana sarrafa matakin glycemia.

A matsayinka na doka, yakamata a sha magungunan insulin a kai a kai. Wannan magani yana daidai da tasiri ga mata da maza.

Likitocin sun ce ana iya amfani da Humulin ko da yara. Tabbas, idan ana sarrafa glycemia a lokacin amfani. Tsofaffi mutane suna buƙatar kulawa da hankali a kan ayyukan gabobin ƙwayoyin cuta. A matsayinka na mai mulkin, an tsara likitocin ƙananan magunguna don irin wannan marasa lafiya.

Yayin cikin ciki, ana iya amfani da waɗannan magunguna. Ana amfani da ƙarin magunguna dangane da insulin, daidai ga ɗan adam, ana ba da damar amfani da su don shayarwa.

Side effects

Humulin na nau'ikan daban-daban suna da tasirin sakamako guda ɗaya, waɗanda aka jera su cikin umarnin don shi.

Mafi dacewa shine maye gurbin insulin na mutum zai iya haifar da lipodystrophy (a yankin da aka yi allura).

Ko da a cikin marasa lafiya da endocrinologists, a bango na yin amfani da wannan magani, juriya insulin, rashin lafiyan, raguwar potassium a cikin jini, da kuma raunin gani.

Allergic halayen za a iya lalacewa ta hanyar hormone na pancreas, amma ta componentsarin abubuwan da ke cikin miyagun ƙwayoyi, sabili da haka, ana yarda da maye gurbin tare da wani magani mai kama da wannan.

Contraindications

Ana amfani da maganin da ake magana da shi don maganin insulin-insulin da kuma insulin-da ke fama da rashin lafiyar insulin.

Yana da mahimmanci a mai da hankali sosai, musamman idan an lura da hypoglycemia (ƙarancin sukari na jini).

Wata haramtacciyar magani an yi amfani da ita a gaban rashin haƙuri ɗaya (tun da bayyanar halayen halayen da ba a ke so ba). Masana sun hana shan giya yayin warkarwa da wannan nau'in insulin. Wannan saboda canje-canjen da aka gyara sosai cikin matakan glucose na jini yana faruwa.

Kafin amfani, kuna buƙatar kula da magungunan da kuke shan su a yanzu. Wasu daga cikinsu basu dace da Humulin ba.

Bidiyo masu alaƙa

Game da amfani da magungunan Humalog, Novorapid, Lantus, Humulin R, Insuman-Rapid da Actrapid-MS don ciwon sukari na 1:

Wannan labarin yana nazarin hormone na pancreas na asalin wucin gadi, wanda yayi daidai da insulin mutum - Humulin. Ya kamata a ɗauka ne kawai idan likita ne ya tsara shi bisa dalilin binciken.

Ana amfani da wannan magani mai zaman kansa gaba daya, tunda ana lura da halayen da ba'a so ba. Kari akan haka, wannan magani ba'a ba da shi a cikin magunguna ba tare da takardar izini daga likita mai kulawa da kanka ba.

Magunguna da magunguna

Humulin NPH shine Kwayar halittar jikin ɗan adam ta kasance cikin jikinta tare da matsakaiciyar lokacin bayyanuwa, babban amfanin wanda shine daidaita shi metabolism din glucose. Hakanan kwayoyi sun nuna anabolic inganci.

A cikin kasusuwa na jikin mutum (ban da ƙwaƙwalwar ƙwaƙwalwa), insulin Humulin NPH yana kunna kai amino acid da glucose, kuma yana hanzarta tafiyar matakai gina jiki anabolism. A layi daya a cikin hanta, miyagun ƙwayoyi suna inganta samuwar glycogendaga glucoseyana ƙarfafa canji na ragi glucosea maihanawa gluconeogenesis.

An lura da farawar aikin insulin Humulin NPH a cikin mintuna 60 bayan gudanarwa, tare da mafi kyawun tasiri a cikin lokacin daga 2 zuwa 8 hours da tsawon lokacin aiki a cikin sa'o'i 18-20.

Lura da bambance-bambancen mutum cikin tasiri insulinya danganta da zaɓin sashi, wurin allura, da kuma aikin jiki na mai haƙuri.

Alamu don amfani

Magungunan Humulin NPH an nuna don amfani dashi tare da:

• da farko an gano lafiya ciwon sukari,
• ciwon sukariidan akwai alamun ganawa maganin insulin,
• na cikia bango rashin lafiyar insulin-wanda ke dogaro da cutar siga ta mellitus (nau'in 2).

Side effects

Babban sakamako na gefen shine yawan haila, wanda idan akwai wani mummunan yanayi na iya haifar da asarar hankali har ma da mutuwa (da wuya).

Akwai kuma yuwuwar samuwar halitta lipodystrophy.

Bayyanar bayyanar cututtuka na tsararren yanayi:

Bayyanar bayyanar cututtuka na yanayin gida:

• kumburiko itchingA fannin allurar (yawanci yakan tsaya a cikin 'yan makonni),
• hyperemia.

Umarnin don amfani da Humulin NPH

An zabi sashi na Humulin NPH daban daban, daidai da matakin kamuwa da cutamai haƙuri.

An haramta allurar shiga ciki na Humulin NPH!

Dole ne a gudanar da emulsion sc, a wasu lokuta, an yarda da injections IM. Ana aiwatar da aikin Subcutaneous a cikin ciki, kafada, gindi ko cinya. Wajibi ne a sauya wurin allurar saboda kwanaki 30 ba a yin allura fiye da ɗaya a wuri guda.

SC injections yana buƙatar ƙwarewar gudanarwa da kuma kiyayewa. Wajibi ne don guje wa shigar da allura cikin jijiyoyin jini, ba don tausa wurin allura ba, haka kuma don kula da na'urorin don gudanar da maganin daidai.

Shiri da gudanar da Humulin NPH

Tare da manufar sake dagewar insulin, kafin amfani, vials da harsashi na Humulin NPH shiri ana bada shawarar ayi birgima sau 10 a cikin tafin hannunku kuma ku girgiza adadin lokuta guda (juya ta 180 °) har sai shirin ya sami yanayin launin launi mara kyau kusa da madara ko ruwa mai kama da juna. Shayar da miyagun ƙwayoyi da ƙarfi kada ta kasance, tunda kumfa da aka kafa ta wannan hanyar na iya tsoma baki tare da ainihin zaɓi na kashi.

Dole ne a bincika vials da katako tare da kulawa ta musamman. Guji amfani insulintare da laka mai laushi ko farin barbashi na manne zuwa bangon ko kasan kwalbar, yana nuna alamar yanayin sanyi.

Kirkirar kayan kwalliyar ba ta barin abin da ke ciki ya hade tare da wasu insulin, kazalika da cika kwantar da kansa.

Lokacin amfani da vials, an tattara emulsion a cikin wancan insulin na insulin, wanda a cikin girma yayi dace da shigarwar insulin(misali 100 IU / 1 ml insulin= Sirinji 1 ml) kuma an gudanar dashi daidai da shawarar likitan.

Lokacin amfani da katako, ya zama dole a bi umarnin mai ƙira na alkairin sirinji don shigar da su, ɗaukar allura, da kuma gudanar da insulin, alal misali, umarnin Humulin NPH a cikin Alƙalin Alkalami na Sirinin Pen.

Nan da nan bayan allura, ta amfani da madancin na allura, cire allurar kanta kuma ta rusa ta cikin hadari, sannan rufe murfin tare da hula. Wannan hanyar tana samar da karin karfin jiki, yana hana iska shiga, yana hana yaduwar miyagun ƙwayoyi da yiwuwar gurbata shi.

Kada a sake amfani da allura da sirinji alkalami ko wasu sunyi amfani dashi. Ana amfani da vials da katukan katako sau ɗaya har sai an gama maganin, sannan a jefar da shi.

Wataƙila gabatarwar Humulin NPH a hade tare da Humulin akai-akai. Me yasa, don hana shigar azzakari cikin farji a cikin kwalbar insulinmataki mai tsayi, wanda shine farkon kiran waya cikin sirinji insulingajeriyar aiki. Ana ba da shawarar wannan cakuda kai tsaye bayan hadawa. Don cikakken sashi na biyu insuliniya amfani da sirinji daban-daban.

Yawan abin sama da ya kamata

Saboda haka, babu takamaiman yawan ƙarin yawa na Humulin NPH. Ana ɗauka alamun bayyanar cututtuka. yawan hailatare da karuwa gumibari samarinciwon kai pallor fata fata rawar jiki, rikicewaamai.

A wasu halaye, alamomin da ke gabuwa da tsotsar jini (tsawan ciwon suga ko tsananin zafinsa) na iya canzawa.

Bayyanai yawan hailam, mafi yawanci tsaya ta hanyar baka sukariko glucose(dextrose) Nan gaba, zaku buƙaci daidaita tsarin abincin, kashi insulinko aiki na zahiri.

Daidaitawa yawan hailamatsakaici mai ƙarfi yana gudana ta hanyar SC ko allura ta / m glucagon, tare da cigaba da baka carbohydrates.

Bayyanar mai tsananin zafi yawan hailaana iya tafiya tare coma, raunin jijiyoyin jiki ko zubewawadanda aka kewaye ta hanyar allurar iv glucose mai karfis (dextrose) ko s / c ko a / m gabatarwar glucagon. Nan gaba, don hana sake komawa bayyanar cututtuka, abincin mai arziki carbohydrates.

Haɗa kai

Ingancin hypoglycemic na Humulin NPH yana raguwa tare da amfani da concomitant maganin hana haihuwacututtukan mahaifa glucocorticoids, thiazide diureticsdabaru maganin alada, Diazoxide.

Daidaita Aikace-aikace ethanolcututtukan cututtukan zuciya (na baka), salicylatesMAO masu hanawa sulfonamides, masu hana beta haɓaka tasirin hypoglycemic na Humulin NPH.

Umarni na musamman

Yanke shawara game da buƙatar canja wurin mai haƙuri zuwa wani magani ko nau'in insulin iya zama likita. Wannan canji ya kamata ya faru a ƙarƙashin tsananin kulawa da yanayin haƙuri.

Nau'in canji aikin insulin(Regular, M3da sauransu), asalin nau'ikansa (mutum, naman alade, analog) ko hanyar samarwa (dabbaasali ko Bayanin DNA) na iya buƙatar daidaita sikelin, duka a farkon farawa da lokacin warkarwa, sannu a hankali tsawon makonni ko watanni.

Insulindogaro na iya raguwa tare da na gazawarglandar gland gland adrenalglandar thyroid hanta.

A damuwar damuwa kuma tare da wasu cututtukan cuta, ana iya samun ƙarin buƙatu don insulin.

Wani lokacin daidaita sashi zai dace yayin juyawa abinciko karuwa aiki na jiki.

A wasu majinyata, in anyi amfani dasu jikin mutumalamomin da suka gabata yawan hailana iya bambanta da waɗanda lokacin amfani dabbobi na insulin ko kuma kasa magana.

Normalization na plasma matakin glucosesaboda tsananin maganin insulinyana haifar da ɓacewar duka ko wasu bayyanannun yawan hailaabin da kuke buƙatar sanar da haƙuri.

Bayyanar cututtuka na farko yawan hailaƙila a sauƙaƙe ko canza shi idan akwai wani amfani da abubuwa masu kama masu hana beta, mai ciwon sukari mai ciwon sukariko tsawociwon sukari mellitus.

A wasu halaye, na gida rashin lafiyan mutumbayyananniya na iya haɓaka saboda dalilai marasa alaƙa da sakamakon maganin (alal misali, fatar jiki saboda amfani da wakilin tsarkakewa ko allurar da bata dace ba).

Da wuya, halayen rashin lafiyan tsari na iya buƙatar kulawa ta gaggawa (gudanarwa talauciko maye gurbin insulin).

Sakamakon yiwuwar bayyanar cututtuka yawan hailadole a kiyaye duk matakan kiyayewa yayin aiwatar da aiki mai haɗari da tuki.

• Gaggawar insulin-Ferein,
• Karamba HM,
• Insulin-Ferein ChSP,
• Monotard MC,
• Humodar B,
• Pensulin SS.

• Vozulim-N,
• Biosulin N,
• Humulin M3,
• Gansulin N,
• Insuman Bazal GT,
• Gensulin N,
• Humulin akai-akai,
• Insuran NPH,
• Rinsulin NPH,
• Protafan HM,
• Humodar B 100 Rijiyoyi.

Jadawalin gudanarwa, sashi da yawan allura shine ke yanke hukunci daban-daban daga likitan halartar, daidai da takamaiman bukatun masu haƙuri.

A cikin ciki (da lactation)

Marasa lafiya tare da ciwon sukarisanar da mai kula da lafiya game da shirin ko abin da ya faru na ciki, kamar yadda aka saba, buƙatar insulinyana raguwa a cikin farkon farkon lokaci kuma yana ƙaruwa a cikin watanni na biyu da na uku (alƙawarin na iya zama dole insulintare da kara yin gyare-gyare na kashi).

Hakanan, ana buƙatar buƙatar rage cin abinci da / ko sashi don daidaitawa a lokacin lactation.

Lokacin zabar insulindole ne likita ya kimanta yanayin mai haƙuri daga dukkan bangarorin da zai yiwu kuma zaɓi magani wanda ya dace da wannan mai haƙuri musamman.

A wannan halin, miyagun ƙwayoyi Humulin NPH yana nuna kyakkyawan sakamako na magani kuma ana iya amfani dashi na dogon lokaci.