Yaya ake amfani da Levemir Flekspen?

Qynecology Qing 1 - cikakken bayani a cikin labaran Cibiyar Cancer ta Turai.

Forms da abun da ke ciki

Mai ƙera yana ba da magungunan Levemir FlexPen a cikin hanyar warwarewa da aka tsara don gudanar da aikin subcutaneous. Don gabatarwar ƙwayar warkewa a cikin kunshin tare da magani akwai pen na musamman sirinji wanda ya dace don amfani kuma yana ba ku damar isar da adadin maganin da ake buƙata daidai. Magungunan yana da tasiri na warkewa na dogon lokaci, wanda ke ba da shi tare da babban bangaren - insulin detemir. Wannan abu shine mai narkewa mai mahimmanci na jikin insulin na mutum. Tsawan lokacin da yake haifar da warkewa har zuwa awanni 24, ya danganta da matakin da aka sarrafa, kuma saboda wannan, zai yuwu iya iyakancewa da kansa ga 1 ko sau biyu na maganin a kowace rana. Babu wani ganiya da aka ambata a cikin insulin disemir. Wani fasali na wannan abun shine tsinkayar lokacin bayyanuwar cutar da warkewar cutar.

An rage sukari nan take! Ciwon sukari na tsawon lokaci na iya haifar da tarin cututtuka, kamar matsalolin hangen nesa, yanayin fatar da gashi, ulcers, gangrene har ma da cutar kansa! Mutane sun koyar da ƙwarewar haushi don daidaita matakan sukari. karanta a.

A bu mai kyau yin allura Levemir FlexPen idan akwai masu fama da cutar suga (insulin-diabetes). Ingantaccen insulin kuma yana da kyau ga marassa lafiyar wadanda suka kamu da cutar sukari da ba su da insulin-da ke fama da ita ba, ko kuma ciwon suga na II. A cikin sauran halaye, ana buƙatar ƙwarewar yin amfani da Levemir ta ƙwararrun likita ne kawai, suna dogara ne akan sakamakon bincike na gwaji da kuma yanayin yanayin haƙuri.

Umarnin don amfani da Levemir Flekspen

Ya kamata a yi amfani da magungunan da aka kwantar da Levemir Flexpen don amfani da shi kamar yadda likitan halartar ya gabatar.

Sashi na miyagun ƙwayoyi ya dogara da adadin insulin da ke ɓoye ta da ƙwayar cuta ta kwana ɗaya. Wucewa wannan adadi ne contraindicated. Ya kamata likitan kimiyar lissafi ya lissafta kudin, amma kuma kuna iya duba matakin insulin da kanku. Wannan zai buƙaci gwajin basal.

Maganin an allura cikin cinya ko kafada. Koyaya, insulin yana aiki da sauri idan an yi allura a bangon ciki. An zaɓi adadin injections kowace rana daban-daban ga kowane mara lafiya. Yawancin lokaci, allurar ta 1 ta isa, amma idan ya cancanta, ana ba da maganin "Levemir Flexpen" sau biyu a rana.

Yawan abin sama da ya kamata

A insulin Levemir Flexpen yana buƙatar tsananin kulawa da allurai da likita ya bada shawara da kuma koyarwa, mahimmancinsu yana da haɗari saboda haɓaka yawan maye, wanda ke haɓaka raguwar sukarin jini na mutum. Don magance hypoglycemia, kuna buƙatar cin ɗan sukari ko kowane samfurin da ke da wadatar carbohydrates. Wannan shine dalilin da ya sa masu ciwon sukari ya kamata koyaushe suna ɗauke da Sweets tare da su. Idan yanayin mai haƙuri bai daidaita al'ada ba, ana gudanar dashi 0.5-1 mg na glucagon ko maganin glucose. Lokacin da yanayin ya koma al'ada, mai haƙuri yana buƙatar hana sake dawowa da ƙin jini ta hanyar cin abinci mai daɗi.

Ricuntatawa a kan amfani da bayyanar cututtuka

Dangane da umarnin, masu magani ba za su iya amfani da samfurin magani ba a cikin la'akari da haƙuri tare da rashin haƙuri ga abubuwan da ya ƙunsa. Bugu da kari, ba a ba da shawarar Levemir Flexpen ga mutane 'yan kasa da shekaru 6 ba, tunda ba a gudanar da binciken asibiti a cikin wannan rukunin marasa lafiya ba. Idan kayi amfani da magani daidai, zaku iya hana ci gaban sakamako wanda ba a so. In ba haka ba, mai haƙuri zai gamu da irin wannan mummunan halin:

• pallor na daga ciki,
• rage yawan glucose na jini
• yawan kiba, rauni,
• disorientation,
• juyayi mara hankali,
• rawar jiki
• nutsuwa
• karancin gani
• zuciya palpitations,
• soreness a cikin temples da occipital bangare,
• katsewa
• jan ciki, kumburi da kona wurin allura,
• nettle zazzabi
• hyperhidrosis
• take hakkin hanzarin narkewa,
• karancin numfashi
• rage karfin jini.

Sakin tsari Levemir flekspen, marufin magunguna da abun da ke ciki.

Mafita don sc gwamnati a bayyane yake, mara launi.

1 ml
Alkalami guda 1
insulin ya lalata
CIGABA 100
Abubuwa 300

Wadanda suka kware: mannitol, phenol, metacresol, zinc acetate, sodium chloride, disodium phosphate dihydrate, sodium hydroxide, hydrochloric acid, ruwa d / i.

* Naúrar 1 ta ƙunshi 142 μg na insulin-gishiri na insulin, wanda yayi daidai da naúrar 1. insulin mutum (IU).

3 ml - alkalami mai sikelin da yawa tare da mai bayar da magani (5) - fakitoci na kwali.

Bayanin miyagun ƙwayoyi ya dogara ne da umarnin hukuma da aka tabbatar don amfani.

Magungunan magani na levemir flekspen

Hypoglycemic magani. Yana da kwatankwacin kwalliyar kwalliyar ɗan adam na insulin ɗan adam tare da ɗakin bayanin martaba na ayyuka da ke faɗi tare da tasiri na tsawan lokaci. An samar da shi ta hanyar kimiyyar halittar halittar DNA ta hanyar amfani da nau'in Saccharomyces cerevisiae.

Bayanin aikin miyagun ƙwayoyi Levemir Flexpen ba shi da ƙarancin matsayi idan aka kwatanta shi da isofan-insulin da glargine insulin.

Tsawan aikin da aka yiwa Levemir Flexpen ya samo asali ne sakamakon haduwar kai da kwayoyin halittar detemir insulin a wurin yin allura da daure kwayoyin kwayoyin zuwa albumin ta hanyar hadewa da sarkar sashin. Idan aka kwatanta da isofan-insulin, ana ƙaddamar da insulin ɗin detemir zuwa ƙwayayoyin da ke a hankali a hankali. Wadannan hanyoyin rarraba jinkiri da aka bayar sun samar da karin daukar abubuwa masu daukar hankali da bayanin aikin Levemir Flexpen idan aka kwatanta da isofan-insulin.

Yana hulɗa tare da takamaiman mai karɓa a kan ƙwayar cytoplasmic na sel na jikin mutum kuma yana samar da hadaddun insulin-receptor wanda ke motsa ayyukan cikin ciki, gami da kira na enzymes masu yawa (hexokinase, pyruvate kinase, glycogen synthetase).

Rage yawan glucose a cikin jini shine saboda karuwa a cikin jijiyoyin zuciya, karuwar karɓar ƙwayoyin cuta, haɓakar lipogenesis, glycogenogenesis, da raguwa a cikin yawan samar da glucose ta hanta.

Don allurai na 0.2-0.4 U / kg 50%, matsakaicin tasirin miyagun ƙwayoyi yana faruwa a cikin kewayon daga 3-4 hours zuwa 14 hours bayan gudanarwa. Tsawan lokacin aikin har zuwa awanni 24, gwargwadon sigar, wanda ke ba da yiwuwar gudanar da aure guda biyu da na yau da kullun.

Bayan sc gwamnati, mai ba da magani ya kasance daidai gwargwado ga adadin da aka gudanar (mafi girman sakamako, tsawon lokacin aiki, sakamako na gaba ɗaya).

A cikin karatun na dogon lokaci (> watanni 6), glucose plasma mai azumi a cikin marasa lafiya da ke da nau'in ciwon sukari na 1 na mellitus ya fi kyau idan aka kwatanta da isofan-insulin da aka tsara don maganin basalin / bolus. Gudanar da cutar ta glycemic (glycated haemoglobin - HbA1C) yayin aikin jiyya tare da Levemir Flexpen ya kasance daidai da wannan tare da isofan-insulin, tare da ƙananan haɗarin rashin lafiyar hypoglycemia a cikin dare kuma babu karuwa a cikin nauyin jiki tare da Levemir Flexpen.

Bayanin bayanin kula da glucose na dare yana da laushi kuma yana da ƙari tare da Levemir Flexpen idan aka kwatanta da isofan-insulin, wanda aka nuna a cikin ƙananan haɗarin haɓakar ƙwanƙwasawar dare.

Pharmacokinetics na miyagun ƙwayoyi.

Lokacin s / c gwamnatin, yawan tara adadin ya kasance daidai da adadin da aka gudanar.

Cmax an kai awa 6-8 bayan gudanarwa. Tare da tsarin aikin yau da kullun sau biyu, ana samun Css bayan gwamnatoci 2-3.

Bambancin ɗaukar ciki yana ƙananan ƙananan ƙwayoyi a cikin Levemir Flexpen idan aka kwatanta da sauran shirye-shiryen insulin basal.

Kasancewa tare da i / m yana da sauri kuma zuwa mafi girma idan aka kwatanta da s / c gudanarwa.

Matsakaicin Vd na Levemir FlexPen (kimanin 0.1 L / kg) yana nuna cewa babban adadin insulin na detemir ya ratsa cikin jini.

Biotransformation na miyagun ƙwayoyi Levemir Flexpen ya yi kama da na shirye-shiryen insulin na mutum, duk metabolites da aka kafa basa aiki.

Terminal T1 / 2 bayan allurar sc an ƙaddara shi da ƙimar sha daga ƙwaƙwalwar subcutaneous kuma shine awanni 5-7, gwargwadon sashi.

Sashi da hanyar gudanar da magani.

An ƙayyade adadin magungunan a akayi daban-daban. Dole ne a tsara magungunan Levemir Flexpen sau 1 ko 2 sau / rana dangane da bukatun mai haƙuri. Marasa lafiya waɗanda ke buƙatar yin amfani da miyagun ƙwayoyi sau 2 / rana don ingantaccen iko na matakan glucose na jini na iya shiga cikin maraice na yamma ko dai a lokacin abincin dare, ko kafin lokacin bacci, ko kuma awanni 12 bayan asuba.

Levemir Flexpen yana allura sc a cikin cinya, bangon ciki ko kafada. Wajibi ne a canza wurin allurar a cikin yankin na jiki don hana ci gaban lipodystrophy. Insulin zai yi sauri idan an shigar dashi a bangon ciki na ciki.

Idan ya cancanta, ana iya amfani da miyagun ƙwayoyi iv a ƙarƙashin tsananin kulawa na likita.

A cikin tsofaffi marasa lafiya, har ma tare da hanta mai rauni da aikin koda, ya kamata a kula da matakan glucose na jini sosai kuma ana aiwatar da gyare-gyare na kashi.

Hakanan ana iya buƙatar daidaitawa na zafin jiki idan an ƙara yawan aikinsa na haƙuri, an canza abincinsa na yau da kullun, ko tare da ciwo mai haɗari.

Lokacin canzawa daga insulins-matsakaiciyar matsakaici da insulin tsawon lokaci zuwa insulin Levemir FlexPen, wani kashi da daidaita lokaci na iya zama dole. Kulawa da hankali akan matakan glucose na jini yayin fassarar kuma a cikin farkon makonni na sabon magani ana bada shawara. Ana iya buƙatar gyaran concomitant hypoglycemic therapy (kashi da lokacin gudanar da shirye-shiryen insulin gajeren aiki ko kuma magungunan baka na hancin jini).

Umarnin mai haƙuri don Amfani da FlexPen® Insulin Pen tare da mai kwance

An tsara alkairin sirinji na FlexPen don amfani da tsarin allurar insulin Novo Nordisk da allura ta NovoFine.

Matsakaicin insulin a cikin kewayon daga raka'a 1 zuwa 60. za a iya canza su a cikin karuwa na 1 naúraAbubuwan allurar NovoFine S har zuwa mm 8 ko ya fi guntu tsawo an tsara su don amfani dasu tare da alkalami sirinji na FlexPen. Alamar S tana da allurar gajere. Don kiyayewa na aminci, koyaushe ɗaukar na'urar sauya insulin tare da kai idan FlexPen ya ɓace ko ya lalace.

Idan kuna amfani da Levemir Flexpen da wani insulin a cikin Flexpen pen, dole ne kuyi amfani da allura guda biyu don sarrafa insulin, ɗaya ga kowane nau'in insulin.

Levemir Flexpen na amfanin kai kaɗai.

Kafin amfani da Levemir FlexPen, ya kamata ka duba marufin don tabbatar cewa an zaɓi nau'in insulin daidai.

Mai haƙuri yakamata ya bincika kayan, koyaushe da piston na roba (ƙarin umarni ya kamata a samu a cikin umarnin don amfani da tsarin don gudanarwar insulin), ya kamata a lalata ƙwayar roba tare da auduga a ciki.

Ba za a iya amfani da Levemir Flexpen ba idan ba a binar da allurar da ke cikin injin ko insulin inlin din ba, tokar ta lalace ko ta karye, saboda akwai haɗarin lalacewar insulin, nisa daga cikin ɓangaren da ake gani na pistin na roba ya fi girma daga tsararren farin code, yanayin adana insulin bai dace da waɗanda aka nuna ba, ko kuma maganin ya daskarewa, ko kuma insulin ya daina zama bayyananne da launin launi.

Don yin allura, ya kamata ka saka allura a ƙarƙashin fata kuma latsa maɓallin farawa gaba ɗaya. Bayan allura, allura ya kamata ya kasance a karkashin fata na akalla aƙiƙa 6. Dole ne a matse maɓallin sirinji na syringe har sai an cire allurar gaba ɗaya daga fata.

Bayan kowace allura, yakamata a cire allura (saboda idan ba ku cire allurar ba, to saboda yawan zazzabi, ruwa zai fita daga cikin katun kuma yawan tattara insulin na iya bambanta).

Kar a cika kwalin da insulin.

Tasirin Levemir flekspen:

Abubuwan da ba a yarda da su ba a cikin marasa lafiya da ke amfani da Levemir Flexpen sune yawanci sunada dogaro kuma suna haɓaka saboda tasirin magungunan insulin. Sakamakon sakamako na yau da kullun shine hypoglycemia, wanda ke haɓaka lokacin da aka gudanar da babban ƙwayar magunguna dangane da buƙatar jikin insulin. Daga nazarin asibitoci an san cewa tsananin hypoglycemia, wanda aka ayyana a matsayin buƙatar shigarwar ɓangare na uku, yana haɓaka a kusan 6% na marasa lafiya da ke karɓar Levemir Flexpen.

Adadin marasa lafiya da ke karbar magani tare da Levemir Flexpen, waɗanda ake tsammanin suna haifar da sakamako masu illa, an kiyasta a matsayin 12%. Halin tasirin sakamako, wanda aka kiyasta yana da alaƙa da Levemir Flexpen yayin gwaji na asibiti, an gabatar da ke ƙasa.

Rashin halayen halayen da ke tattare da tasirin tasirin tasirin carbohydrate: sau da yawa (> 1%, 0.1%, 0.1%, 0.1%, 0.01%, 0.1%, 2013-03-20

Analogues na miyagun ƙwayoyi

Sauya "Levemir Flekspen" wanda ke da magungunan da ke da kamanni a cikin kayan aiki da tsarin aikin. Bambanci tsakanin su na iya zama ta hanyar sakin, tsawon lokacin tasirin warkewa, haka kuma kowane magani, wanda shine kwatankwacin maganin Levemir, yana da nasa iyakoki kan shan da sauran sifofin magani:

Adalin ajiya mai dacewa

Domin Levemir ya riƙe tasirin warkewa muddin ya yiwu, yakamata ya samar masa da ingantaccen yanayi don ceto. Don wannan, an sanya maganin a cikin firiji, duk da haka, an hana shi daskarewa. Ana iya adana alkalami bayan an gama amfani dashi tsawon makonni 6, a zazzabi da bai wuce digiri 30 Celsius ba. Bayan an yi amfani da shi, dole ne a rufe allurar don gudanar da aikin ƙarƙashin ƙasa tare da fila don samar da mafita tare da ingantaccen kariya daga hasken rana. Rayuwar shelf shine watanni 30.

Umarni na musamman

Lokacin amfani da Levemir, yana da mahimmanci a tsayar da tsayayyen matakan. Haɓaka da kashi, haɗarin haɓakar haɓakar jini yana ƙaruwa. Bugu da kari, yawan motsa jiki ko karancin abinci yana taimakawa wajen rage matakan sukari. Ba za ku iya shiga cikin ƙwayar ƙwayar cutar cikin ciki ba, saboda wannan zai kara cutar da yanayin ne kawai kuma ya haifar da matsanancin rashin ƙarfi na jini. Mutanen da ke aiki tare da hanyoyin da ke buƙatar ƙara yawan kulawa da kulawa TS suna buƙatar kula da matakin glucose a cikin jini da hana haɓakar haɓakar hyperglycemia da hypoglycemia, saboda tare da waɗannan maganganun yanayin hanzari na aiki da kuma ikon ba da hankali yana da rauni.

Shin har yanzu yana da alama ba zai yiwu ba a warkar da ciwon sukari?

Kuna hukunci da gaskiyar cewa kuna karanta waɗannan layin yanzu, nasara a cikin yaƙi da cutar hawan jini ba ta gefen ku ba tukuna.

Kuma kun riga kunyi tunani game da maganin asibiti? Abu ne mai fahimta, saboda cutar sankarau cuta ce mai matukar hatsari, wanda, idan ba a yi maganin ta ba, na iya haifar da mutuwa. Tsammani mai ƙishirwa, saurin motsawa, hangen nesa. Duk waɗannan alamun suna sane da ku.

Amma yana yiwuwa a bi da sanadin maimakon tasirin? Muna ba da shawarar karanta wata kasida game da cututtukan cututtukan ciwon sukari na yanzu. Karanta labarin >>

Wasu bayanai

Magungunan Levemir Flexpen (NovoNordisk, Denmark ya kera shi) wani nau'in sashi ne na insulin ɗan adam don gyaran taro na glucose a cikin ƙwayar jini na marasa lafiya da masu ciwon sukari. An ƙunshi cikin yanayin tafiya mai dacewa.

Dangane da Statididdigar istididdiga ta Internationalasashen Duniya ta Cutar Cututtuka da Matsalar Kiwon Lafiya, 1989. (ICD-10), za a yi amfani da Levemir Flexpen a cikin waɗannan lambobin:

• E 10 - Type 1 ciwon sukari mellitus - labile, debuted a cikin matasa, ko tare da hali na ketosis,
• E 12 - ciwon sukari mellitus tare da dogara da insulin wanda ke hade da kayan abinci,
• E 13 - Mai sake fasalin mai ciwon sukari na farkon nau'in nau'ikan,
• E 14 - Ciwon sukari wanda ba a tantance shi ba.

Ciwon sukari tare da haɓaka glucose a cikin nau'in farko shine ɗayan manyan wurare tsakanin cututtukan endocrine tare da mummunan sakamako ga jiki. Hyperglycemia yana shafar salon rayuwa, yana tilasta mai haƙuri ya bi abin da ake ci, aikin jiki, abinci da gyara matakan glucose na jini tare da taimakon injections na insulin. Koyaya, wannan ba koyaushe zai yiwu ba, musamman idan yaro ya kamu da ciwon sukari.

Dangane da bincike, kusan kashi 80% na yara ba da jimawa ba sukan zo ga sashen gaggawa tare da bayyanar cutar ketoacidosis. Dalilin gama gari don haifar da cutar ketoacidosis ko cutar sankarau sune:

• cin zarafin abincin, musamman cin zarafin abubuwan sha, sodas, kayan ciye-ciye,
• keta tsarin kulawa na insulin - tsallake allura ta gaba, gabatarwar wani karewa ko magungunan da ba a adana su,
• tabin hankali
• insulin juriya saboda daban-daban sunadarai da na canje-canje a cikin jiki,
• cututtuka
• shan corticosteroids ko diuretics,
• yunwa ko rashin ruwa,
• raunin da dai sauransu.

Musamman sau da yawa, rikicewar ciwon sukari yana haɓaka a waje da gida, inda akasarin saitin magunguna da kayan aiki masu mahimmanci (sirinji, magungunan maye) ana adana su. Mafi yawan lokuta, hyperglycemia yana faruwa a lokuta inda mutum ba zai iya zuwa gida a kan lokaci ba (cunkushewar zirga-zirga, rashi) saboda dalilai daban-daban. Sakamakon cututtukan hyperglycemia mai laushi, wanda ya haifar da dalilai na sama, kuma ba a bincikeshi akan lokaci, na iya zama disorientation cikin lokaci, wanda, bi da bi, na iya haifar da wucewar wata allura.

Rashin hankali saboda hauhawar jini na iya haifar da rashin iyawa don aiwatar da sauƙaƙe mai sauƙi tare da sirinji da tarin / gudanarwar magunguna, musamman a cikin yara, tsofaffi marasa lafiya, mutane sun raunana da kamuwa da cuta, rauni ko wasu yanayi.

A cikin waɗannan halayen, yana da matuƙar mahimmanci ga mai ciwon sukari ya sami insulin a cikin tsari mai dacewa don yin allura, wanda ke rage rikice-rikice yayin allura a cikin yanayin rashin tsabta, ba tare da yin ƙa'idodin ƙwaƙwalwar da ake buƙata don allurar ƙananan ƙwayoyi ba.

Musamman ma irin waɗannan lokuta, an haɓaka magungunan Levemir Flexpen.

Kayan magunguna

Insemir insulin shine ingantaccen kayan aikin kere-kere wanda ya danganci insulin dan adam, yana da tasiri na jiki.

Ana samar da maganin ta amfani da wani nau'in fungi na microscopic fungi. A cikin yanayin dakin gwaje-gwaje, sassan biyu na deoxyribonucleic acid sun sake haɗuwa (an haɗasu). Sabili da haka, ƙwayar Levemir Flexpen samfuri ne na aikin injiniya.

Sakamakon wannan samarwa shine insulin aiki mai tsawo. Saboda haɗinsa da sunadaran albumin, ƙwararren insemir insulin yana ɗaukar abubuwa da yawa. Kuma har sai ya shiga tantanin, wannan nau'in insulin yana cikin rushewa.

Shahararren fasalin insulin na sake haduwa shine rashin ingancin dabi'un kamar yadda jiki yake karba, wanda baya haifar da mummunan hare-hare na hypoglycemia, kuma yana da tasiri mai kyau ga lafiyar mai lafiya da lafiya.

Nazarin (M. Vardi, 2008, M. Monami, 2009, A. Trikko, 2014 - jimlar gwajin kwatancen 39 da aka yi nazari) sun nuna cewa insulin aiki na tsawon lokaci yana da inganci mafi girma kuma yana da aminci ga mai haƙuri da masu ciwon sukari na 1.

Masana ilimin kimiyya sun tabbatar da gaskiyar cewa yin amfani da Levemir ba ya haifar da karuwa a cikin mai haƙuri a kan lokaci, kuma yana rage haɗarin rashin lafiyar rashin lafiyar ƙwaƙwalwar maraice.

Detemir yana da inganci na tsawon awanni 24 (allon tallafin-kashi). Tare da gabatarwar sau biyu a rana, ana samun daidaituwa na matakan sukari na jini a cikin kwana biyu.

Rashin maida hankali ne na magani a cikin jini yana zuwa awa bakwai bayan allurar.

Bottleaya daga cikin kwalba na Levemir Flexspen ya ƙunshi raka'a 100,00 na insulin ɗan adam Detemir a kowace milliliter na bayani. Jimlar yawan ƙwayoyi shine milligrams 14.2.

Penaya daga cikin alkalami syringe ya ƙunshi milliliters uku na bayani (raka'a 300,00 na insulin detemir).

1 na insulin detemir daidai yake da 1 rukunin ME (insulin ɗan adam), kuma yana dauke da milligram 2 0 na insulin.

Comarin abun da ke ciki: propane-1,2,3-triol, carbolic acid, polymethylene-meta-cresol sulfonic acid, zinc acetate, sodium dihydrogen phosphate, allurar isotonic bayani, soda na caustic, ruwa mai narkewa.

Manyan janar

An wajabta nau'in insulin na detemir:

• a cikin hanyar monotherapy - don gyaran sukari na jini a cikin marasa lafiya da masu ciwon sukari iri biyu,
• a haɗe tare da wakilai na hypoglycemic na bakin jini a cikin lura da cututtukan da ba su da insulin-da ke fama da rauni tare da ƙarancin amsawa ga jiyya tare da allunan kawai - har sai an sami matakan samin jini mai ƙarfi. Bugu da ari, an gyara far din don a ci gaba da gudanar da aikin.

Rashin haɗari

Halin da ake wajabta maganin a cikin yarda da ƙarin karatun nazarin halittu sun haɗa da:

• rashi na koda ko hanta,
• mai tsanani ko rashin albumin rashi,
• canja wurin mai haƙuri zuwa cire shi daga insulin na wani nau'in kuma yanayin aiwatarwa ya kamata a aiwatar dashi a ƙarƙashin kulawar likita.

Marasa lafiya daga ƙungiyoyi mafi haɗarin cutar hypo- da hyperglycemia ya kamata a kai a kai suna kirga ƙididdigar jini, tare da sake dawowa da kashi na ƙwayoyi.

Haɗuwa tare da glitazones (rosiglitazone, pioglitazone) na iya haifar da gazawar ƙwayar zuciya. Amfani guda biyu na magunguna lokaci guda yana buƙatar kulawa da likita.

Yin hulɗa tare da sauran abubuwa

Ya kamata a haɗu da Levemir Flexpen tare da kulawa ta musamman tare da kwayoyi waɗanda ke shafar sukari a cikin binciken ƙwaƙwalwa.

Magunguna tare da tasirin hypoglycemic:

• hypoglycemic a cikin kwamfutar hannu tsari,
• wasu kwayoyi waɗanda ke lalata lalata kwayoyin halittun (ciki har da wasu magungunan kashe ƙwayoyin cuta),
• beta adrenoline,
• wakilai don kula da jijiyoyin tsoka da hauhawar jini, da hana juyar da juyawar angiotensin nau'in farko zuwa na biyu,
• wakilai na salicylic acid, gami da asfirin,
• anabolics
• wasu abubuwan antifungal da anthelmintic abubuwa,
• lipolytics
• Vitamin B6
• sulfonamides,
• ganyen shayi
• kayayyakin lithium.

Magunguna suna buƙatar haɓaka kashi na allurar insulin:

• maganin hana haihuwa
• karin bayani
• prolactin kashewa,
• glucocorticosteroids,
• magunguna waɗanda ke shafar aikin ta thyroid,
• magungunan adrenomimetic
• androgens da somatropin,
• allunan tashar alli.

Yin amfani da adrenergic blockers kuma na iya zama yaudara game da halarta na farko na hypoglycemia.

Magungunan antitumor na ciki, har da barasa, suna ɗaukar matakin rashin daidaituwa kan matakin glucose a cikin jini.

Wasu samfuran theol ko sulfite suna da ikon lalata insulin kuma bai kamata a cakuda su cikin maganin jiko ba.

Side effects

Yawancin lokuta da aka lura da mummunan tasirin sune halayen insulin therapy kuma, a matsakaici, abin da ya faru shine kusan 12% na yawan marasa lafiya. Mafi mahimmancin tasirin cutar ta miyagun ƙwayoyi ya kamata a yi la'akari da ci gaban hypoglycemia (hypoglycemia mai tsanani - kusan 6% na yawan adadin marasa lafiya).

Abubuwan da ke tattare da rashin lafiyar da ke cikin gida don gudanar da maganin sau da yawa suma suna haɓaka, wanda ya haɗa da kumburi, redness, itching, kumburi fata da urticaria. A matsayinka na mai doka, wuce da kanka cikin lokacin har zuwa makonni biyu daga farkon jiyya.

Farkon maganin jiyya yana da alaƙa da rikicewar jijiyoyin jini a cikin kashin ido, kazalika da jijiyoyin ƙwallon ƙafa tare da mahimmancin bangaren jin zafi. Abubuwa masu juyawa suna juyawa.

A fagen jijiyoyin jini da jijiyoyin jini: ana yawan lura da yawan jini a jiki, tachycardia alama ce da ke tare da hypoglycemia.

A cikin jijiyoyin ciki da na fitsari: alamomin da ke rakiyar yanayin rashin karfin jini - "kyarkeci", amai.

A fagen hangen nesa da ji: canji a cikin wurare dabam dabam na jini a cikin retina da ke da alaƙa da ciwon suga, hangen nesa da aka yanke.

A cikin tsarin tsarin juyayi na tsakiya: wani lokacin cutar neuropathy na reshemities ke tasowa.

A fagen ilimin likitan fata: maganin dystrophy na subcutaneous adipose nama a wurin allurar ba da wuya a gani.

Allergic halayen: sau da yawa - urticaria, fata na gida na canji a wurin allurar, da wuya - kumburi da na huhun hanji.

Yanayin ajiya

Dole ne a adana sirinji tare da kwalliya, wanda aka buɗe kuma ana amfani dashi, dole ne a adana shi a zazzabi a ɗakuna, nesa da tushen hasken wuta, a cikin isar da yara, amma bai wuce kwana arba'in ba.

Ya kamata a adana kwandon syringe wanda ba a kwance ba ya kamata a adana shi a cikin firiji a zazzabi of 2-8 digiri Celsius, nesa da injin daskarewa. Ba batun daskarewa.