Karyawan HM Penfill® (Actrapid® HM Penfill®)

Fitar sashi - allura: mara launi, ruwa mai tsabta (a cikin gilashin gilashin 10 ml, a cikin fakitin kwali 1 kwalban).

A cikin 1 ml na bayani ya ƙunshi:

• Abunda yake aiki: insulin mai narkewa (injin ɗan adam) - 100 IU (raka'a ƙasa), wanda yayi dace da 3.5 mg na ɗan adam insulin,
• Componentsarin abubuwan da aka haɗa: ruwa don allura, metacresol, glycerol, zinc chloride, hydrochloric acid da / ko sodium hydroxide.

Sashi da gudanarwa

Ana gudanar da NP na Actrapid a cikin ciki (iv) ko subcutaneously (s / c) mintuna 30 kafin cin abinci ko shan abinci mai sauƙi wanda ya ƙunshi carbohydrates.

Likita ya zaɓi maganin yau da kullun na miyagun ƙwayoyi daban-daban, gwargwadon bukatun mai haƙuri, yawanci yana bambanta tsakanin 0.3-1 IU / kg. Abunda ake buƙata na yau da kullun don insulin na iya zama ƙasa a cikin marasa lafiya da keɓaɓɓen insulin samar da insulin kuma mafi girma a cikin marasa lafiya tare da juriya na insulin (alal misali, cikin kiba ko lokacin balaga).

A cikin marasa lafiya da ke fama da rauni ko aikin hepatic, ana rage kashi na Actrapid NM.

Bayan an sami ingantaccen iko na glycemic, rikice-rikice na ciwon sukari mellitus yawanci ya bayyana daga baya, sabili da haka, ya kamata mutum yayi ƙoƙari don haɓaka iko na rayuwa, musamman, ta hanyar saka idanu a hankali kan matakin glucose a cikin jini.

Idan ya cancanta, ana iya ba da umarnin Actrapid NM a hade tare da insulin dogon aiki.

Cikin hanyar ciki, kwararrun likitanci yakamata ayi musu maganin. Don yin wannan, yi amfani da tsarin jiko wanda ya ƙunshi insulin na mutum a cikin 0.05-1 IU / ml a cikin mafita na jiko kamar sodium chloride 0.9%, dextrose 5% da 10%, ciki har da potassium chloride a taro na 40 mmol / L. Tsarin gudanarwa na ciki yana amfani da jaka na polypropylene jiko. A lokacin jiko, wajibi ne don kula da matakin glucose a cikin jini.

Yawancin wakili na jujjuyawar ƙwayar cuta ana shigo dashi cikin yankin bangon ciki na ciki; kuma za'a iya yin allura a cikin yanki na gluteal, yankin cinya, ko ƙyallen ƙyallen kafada. A farkon lamari, ana samun saurin ɗaukar abubuwa idan aka kwatanta da sauran wuraren allurar.

Gabatarwar miyagun ƙwayoyi a cikin fatar fata yana rage haɗarin mafita yana shiga cikin tsoka.

Don hana haɓakar lipodystrophy, ana bada shawara don maye gurbin rukunin allurar cikin yankin anatomical.

Ya kamata a gudanar da magani s / c kawai tare da taimakon insulines insulin, wanda akan sa ma'auni don auna kashi a cikin raka'a aikin. Bottles an yi niyya ne don amfanin mutum.

Kafin gudanar da Dokar Actrapid NM, ya zama dole a duba tambarin don tabbatar da cewa an zaɓi nau'in insulin daidai, haka kuma don gurɓatar da mai caji na auduga tare da swab na auduga.

An hana yin amfani da Actrapid NM a cikin wadannan lambobin:

• Rashin bayyani, rashin warware matsalar,
• Adanawa ba tare da lura da waɗannan yanayin ba, daskarewa maganin,
• Yi amfani da famfo na insulin,
• Rashin murfin kare kwalban ko maɗaurin kulle shi.

Maganin allura lokacin amfani da Actrapid NM kawai:

1. Zana iska a cikin sirinji a cikin adadin wanda yayi daidai da adadin insulin ɗin da ake buƙata,
2. Introduaddamar da iska a cikin kwalbar tare da miyagun ƙwayoyi, don wannan, soki matattarar roba tare da allura kuma latsa piston,
3. Mika kwalbar a ƙasa
4. Samu isasshen insulin a cikin sirinji,
5. Cire allurar daga cikin kwalbar
6. Cire iska daga sirinji.
7. Binciki daidai da adadin ƙwayar
8. Cike kai tsaye.

Hanyar allura lokacin amfani da Actrapid NM a hade tare da insulin aiki na dogon lokaci:

1. Mirgine kwalban insulin aiki (IDD) tsakanin tafin hannunka har zuwa lokacin da mafita ta zama kamar girgije da fari,
2. Sanya sirinji a cikin iska a cikin adadin wanda yake daidai da adadin IDD, saka shi cikin kwalban da ya dace ka cire allura,
3. Airauki iska cikin sirinji a cikin adadin wanda yayi daidai da kashi na Actrapid NM kuma gabatar da iska a cikin kwalban da ta dace,
4. Ba tare da cire sirinji ba, juya kwalban a rufe kuma zana adadin da ake so na Actrapid NM, cire allura kuma cire iska daga sirinji, bincika daidai gwargwadon kashi da aka tattara,
5. Saka allura a cikin kwalbar da IDD,
6. Juya kwalban a gefe sai a buga lambar IDD,
7. Cire allura daga vial da iska daga sirinji, duba daidai gwargwadon adadin da aka tattara,
8. Nan da nan ya haɗa da cakuda insulin gajere da
   dogon aiki.

An gajere da dindindin masu aiki koyaushe ya kamata a ɗauka a cikin jerin da aka bayyana a sama.

Ka’idojin gudanar da magunguna:

1. Tare da yatsunsu biyu don ɗaukar fata.
2. Saka allura a gindin murfin a kwana na kusan 45 ° kuma a saka allurar a ƙarƙashin fata,
3. Kar a cire allura na tsawon dakika 6 don tabbatar da cewa an yi maganin sosai.

Side effects

Mafi tasirin sakamako na miyagun ƙwayoyi shine hypoglycemia, wanda ke haɓaka a cikin lokuta inda kashi na insulin ya zarce buƙatarta game da shi. A cikin tsananin rauni, raɗaɗi da / ko asarar hankali na iya faruwa, gazawar aikin kwakwalwa har ma da mutuwa.

Sauran yiwuwar amsawar:

Daga tsarin rigakafi: ba tare da bata lokaci ba (> 1/1000,

Hotunan 3D

Aikin magunguna

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

Sashi da gudanarwa

An zaɓi kashi na miyagun ƙwayoyi daban-daban, la'akari da bukatun mai haƙuri.

Yawanci, bukatun insulin tsakanin 0.3 da 1 IU / kg / rana. Bukatar yau da kullun don insulin na iya zama mafi girma a cikin marasa lafiya tare da juriya na insulin (alal misali, yayin balaga, har ma a cikin marasa lafiya tare da kiba), da ƙananan cikin marasa lafiya tare da ragowar insulin na insulin.

Ana gudanar da maganin a cikin mintina 30 kafin cin abinci ko abun ciye-ciye wanda ya ƙunshi carbohydrates.

Actrapid ® NM insulin aiki ne gajere kuma za'a iya amfani dashi hade da insulins masu aiki da dadewa.

Actrapid ® NM galibi ana yinsa da subcutaneously a cikin yankin bangon ciki na ciki. Idan wannan ya dace, to kuwa za'a iya yin allura a cinya, yankin gluteal ko kuma a cikin yankin na ƙashin kai na kafada. Tare da shigar da miyagun ƙwayoyi a cikin yankin bangon ciki na ciki, ana samun saurin ɗaukar sauri fiye da gabatarwar zuwa wasu yankuna. Idan allurar ta kasance cikin yalwar fatar fata, za a rage girman hadarin da ke tattare da gudanar da maganin ta hanyar ƙwayar cuta. Dole ne allurar ta kasance a cikin fata na akalla awanni 6, wanda ke tabbatar da cikakken kashi. Wajibi ne a canza wurin allurar a koyaushe a cikin yankin na jiki don rage haɗarin lipodystrophy.

Hakanan zai yiwu, amma likita ne ya ba da umarnin kawai.

Actrapid ® NM kuma yana yiwuwa a shiga / a ciki kuma irin waɗannan hanyoyin za a iya yin hakan ne ta ƙwararren likita.

An shiga cikin maganin ƙwayar cutar ciki ta Actrapid ® NM Penfill ® daga cikin kicin ɗin amma an yarda da shi a matsayin ban da keɓancewar yanayin rashin vials. A wannan yanayin, ya kamata ku ɗauki ƙwayar a cikin sirinji na insulin ba tare da ɗaukar iska ba ko kumbura ta amfani da tsarin jiko. Wannan hanyar yakamata kawai likita yayi. An tsara Actrapid ® NM Penfill ® don amfani da tsarin allurar insulin Novo Nordisk da allurar NovoFine ® ko NovoTvist ®. Cikakken shawarwari don amfani da gudanar da maganin ya kamata a lura.

Cututtukan da ke haɗuwa, musamman masu kamuwa da cuta tare da zazzabi, yawanci suna ƙaruwa da buƙatar jikin mutum na insulin. Hakanan ana iya buƙatar daidaitawa koda idan mai haƙuri yana da cututtukan ƙwayoyin cuta na koda, hanta, nakasasshen aikin adrenal, pituitary ko glandar thyroid.

Buƙatar daidaitawa na iya faruwa yayin canzawar aiki na zahiri ko kuma irin abincin da mai haƙuri ya saba samu. Zai yiwu a buƙaci daidaitawa yayin canja wurin mai haƙuri daga nau'in insulin zuwa wani

Yawan abin sama da ya kamata

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

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

Kariya da aminci

Ya kamata a ɗauka a hankali cewa ikon tuƙin mota bayan canja wurin marasa lafiya zuwa insulin ɗan adam na iya raguwa na ɗan lokaci. Za'a iya amfani da magani idan ya kasance cikakke kuma mara launi. Lokacin amfani da nau'ikan shirye-shiryen insulin guda biyu a cikin gurneti na Penfill, kuna buƙatar alkalami mai siɓa don kowane nau'in insulin.

Umarni na musamman

Selectedarancin zaɓaɓɓen da ba a zaɓa ko katsewa ba na Actrapid NM far (musamman a cikin marasa lafiya da nau'in ciwon sukari na) na iya haifar da haɓakar haɓaka. Yawancin lokaci, alamun farko na wannan yanayin suna bayyana a hankali, a cikin sa'o'i da yawa ko kwanaki, waɗannan sun haɗa da: ƙishirwa, karuwar fitowar fitsari, bushewar bushe, amai, ƙanshi na acetone daga bakin, asarar ci, tashin zuciya, matsanancin nutsuwa, ja da bushe fata. Idan ba a kula da hyperglycemia a cikin marasa lafiya da ke dauke da nau'in ciwon sukari iri iri ba, ketoacidosis mai barazanar kamuwa da rai zai iya faruwa.

Yayinda yake ba da babban ci gaba a cikin kulawar glycemic (alal misali, tare da taimakon ƙwaƙwalwar insulin), har ila yau, yana yiwuwa a canza alamu na yau da kullun na harborers na hypoglycemia, wanda dole ne a faɗakar da marasa lafiya game da. Hakanan kuna buƙatar tuna cewa abubuwan da ke haifar da maganin rashin ƙarfi na iya zama ƙasa da sanarwa ko canzawa yayin da aka canza haƙuri daga nau'in insulin zuwa wani.

Kafin tafiya mai zuwa tare da tsakiyar bangarorin lokaci, mai haƙuri ya kamata ya sami shawarar kwararrun, tunda za a buƙaci canji a cikin tsarin gudanarwar Actrapid NM da buƙatar abinci.

Dole ne a ɗauka cikin zuciya cewa tare da tsallake abinci ko tsananin ƙoƙarin motsa jiki wanda ba a shirya shi ba, zazzabin cizon sauro na iya faruwa.

Kasancewar cututtukan haɗuwa, musamman cututtuka da yanayin febrile, a matsayin mai mulkin, yana haifar da karuwa a cikin buƙatar insulin.

Game da canji a cikin aikin ƙirar, hanyar masana'anta, nau'in ko nau'in insulin (ɗan adam, dabba ko analog na ɗan adam), da kuma canji a cikin masana'anta, yana iya zama dole don daidaita tsarin jigilar magunguna. Idan canjin kashi ya zama dole, ana iya aiwatar da duka a farkon allurar, kuma a farkon makonni ko watanni na hanya.

Ba a ba da izinin yin amfani da NR na amfani da insulin na insulin na subcutaneous na tsawon lokaci (PPII), tunda ba zai yiwu a faɗi abin da kashi na insulin yake sha ba daga tsarin jiko.

Metacresol, wanda shine ɓangare na miyagun ƙwayoyi, na iya haifar da halayen rashin lafiyan.

Saboda gaskiyar cewa insulin ba ta ƙetare shinge na mahaifa ba, babu wasu hani game da amfani da shi yayin daukar ciki, haka ma, idan mata masu juna biyu ba su kula da cutar sankara ba, to akwai haɗari ga tayin. Don haka, dole ne a ci gaba da warkewar cutar a wannan lokacin, tare da yin la'akari da cewa hyperglycemia da hypoglycemia, wanda ke haɓaka tare da zaɓi na insulin da ba a zaɓa ba, yana ƙara haɗarin rikicewar tayin. Marasa lafiya masu ciwon sukari a duk lokacin haihuwarsu dole ne su kasance a cikin kulawa na likita koyaushe, gami da haɓaka aikin kula da glucose a cikin jini. Dokokin iri ɗaya suna buƙatar matan da ke shirin daukar ciki.

Ya kamata a ɗauka a zuciya cewa buƙatar insulin a cikin farkon farkon ciki, a matsayin mai mulkin, yana raguwa, kuma a cikin watanni na biyu da na uku yana ƙaruwa a hankali. Bukatar insulin bayan haihuwa shine yawanci yakan dawo zuwa matakin da aka lura kafin daukar ciki.

Babu kuma wasu ƙuntatawa game da nadin Actrapid NM yayin shayarwa, tun da magani tare da maganin mahaifiyar ba ya haifar da barazanar ga jariri. Koyaya, mace na iya buƙatar daidaita sashin insulin da / ko abinci.

A gaban cututtukan hyperglycemia / hypoglycemia, na iya zama cin zarafin ƙudurin amsawa da ikon mayar da hankali, wanda zai iya haifar da barazanar ga marasa lafiya da ciwon sukari na mellitus a cikin waɗannan yanayi yayin da waɗannan damar ke da mahimmanci, alal misali, lokacin tuki motocin ko injin sarrafawa. Yakamata marassa lafiya su dauki matakan hana faruwar cutar hypoglycemia / hypoglycemia. Wannan yana da mahimmanci musamman ga marasa lafiya da ke fama da tashe-tashen hankula na cututtukan zuciya, ko kuma cikin rashi ko kaɗan tsananin alamun, alamun ci gaban haila. A irin waɗannan halayen, yana da mahimmanci don tantancewar yiwuwar tuƙi mota ko aikata wasu nau'ikan ayyukan haɗari.

Hulɗa da ƙwayoyi

Matsaloli masu yiwuwar ma'amala tare da yin amfani da insulin tare da wasu kwayoyi:

• monoamine oxidase hanawa, angiotensin-tana mayar enzyme, bromocriptine, anabolic steroids, cyclophosphamide, na baka hypoglycemic jamiái, kwayoyi lithium nonselective beta-blockers, carbonic anhydrase hanawa, tetracyclines, fenfluramine, pyridoxine, mebendazole, ketoconazole, theophylline, sulfonamides, clofibrate, shirye-shirye dauke da ethanol - an inganta tasirin insulin na insulin,
• glucocorticosteroids, hormones thyroid, maganin hana haihuwa, maganin juyayi, da maganin tricyclic antidepressants, phenytoin, thiazide diuretics, hormones thyroid, allunan tashar alli, clonidine, danazole, morphine, diazoxide, nicotine - hypoglycemic rauni,
• beta-blockers - rufe alamun bayyanar cututtukan hypoglycemia da wahalar kawar dashi zai yiwu
• lanreotide / octreotide, salicylates, reserpine - tasirin maganin insulin na iya raunana ko ƙaruwa,
• barasa - tsawaita da ƙarfafa tasirin hypoglycemic na miyagun ƙwayoyi yana yiwuwa.

Ya kamata a ɗauka cewa wasu ƙwayoyi (ciki har da waɗanda ke ɗauke da thiols ko sulfites) lokacin da aka kara Actrapid NM na iya haifar da lalata. A sakamakon haka, za a iya haɗa maganin insulin tare da waɗanda abin da ya ƙunshi karfin gwiwa.

Sharuɗɗan da yanayin ajiya

Adana a cikin kwali kwali a wani wuri da aka kiyaye shi daga hasken rana da zafi a zazzabi na 2-8 ºC (a firiji, amma ba kusa da injin daskarewa ba), ba daskarewa. Ayi nesa da isar yara.

Rayuwar shelf shine shekaru 2.5.

Bayan buɗewa, ana iya adana vial na makonni 6 a cikin kwali na kwali (domin karewa daga haske) a zazzabi da bai wuce 25 ° C ba. Ba'a ba da shawarar adana kwalban da aka buɗe a cikin firiji.

Abun da magani

Umarnin don insulin Actrapid NM ya lissafa dukkanin abubuwan da ke ciki.

Da farko dai, abun da ke cikin magungunan ya hada da insulin. 1 ml ya ƙunshi IU 100 na hormone. Don wannan ƙwayar, ana samun insulin ta amfani da fasahar injiniya. Kwayar da aka samu ta wannan hanyar ba ta bambanta da abin da ake haɗuwa da shi a cikin jiki, wanda yake da mahimmanci ga marasa lafiya don halayen halayen rashin lafiyan mutum.

Maganin kuma ya ƙunshi abubuwa masu taimako, kamar zinc chloride, glycerin, sodium hydroxide, hydrochloric acid da ruwa don yin allura. Suna da mahimmanci don tsari na tushen-acid na mafita, kuma sun tsayar da rayuwar shiryayye.

Fitar saki insulin na NM insulin shine matsataccen bayani mara launi don allura a cikin ruwa na 10 ml. Ana sayar da kwalbar a cikin kwalin kwali.

Ta yaya miyagun ƙwayoyi ke aiki?

Actrapid NM shine insulin aiki gajere, saboda haka ana yin shi kafin kowane abinci. Wannan yana taimakawa hana tsalle cikin matakan glucose bayan cin abinci. Magungunan yana farawa da sauri, don haka allurar tana gudana minti 30 kafin cin abinci.

Tsarin hormone yana ɗaure wa masu karɓar insulin na tsoka da mai nama, ta hakan ne yake aiwatar da aiki na ɗimbin glucose a cikin tantanin halitta. Don haka, ana samar da kyallen takarda tare da makamashi mai mahimmanci, kuma an rage sukari jini.

A zabi na kashi Actrapid NM

Ana lissafta yawan insulin da aka gudanar dashi daban-daban daga likitan da ke halartar kuma ya dogara da dalilai da yawa. Da farko dai, ya dogara ne akan hanyar cutar, tare da tsayayyen hanya mai laushi, lokacin da insulin yake har yanzu yana haɗuwa da wani adadin a cikin jiki, adadin da aka sarrafa ba shi da ƙasa. A cikin mummunan yanayi ko haɓakar juriya na insulin (rigakafin masu karɓar insulin), kashi na miyagun ƙwayoyi ya fi girma.

Hakanan, adadin magungunan da aka gudanar yana dogara da cututtukan haɗin gwiwa (tare da cututtukan hanta da koda, kashi ba shi da ƙasa) da magunguna da aka ɗauka lokaci guda. Misali, wasu masu hana kwayoyin cuta suna inganta aikin insulin, kuma glucocorticosteroids, maganin hana haihuwa, thiazide diuretics suna raunana shi.

Idan batun yawan zubar da jini, dole ne a dauki matakan gaggawa. A cikin lokuta masu laushi, zaku iya cin wani abu mai daɗi, alal misali, wani sukari (duk wanda ke da ciwon sukari a kan ilimin insulin ya kamata koyaushe ya sami wani abu mai daɗi tare da su). A cikin lokuta masu tsauraran (har zuwa asarar rai da ƙwayar cuta), ana buƙatar taimakon likita, gami da gabatar da maganin glucose 40%.

Wani lokaci ana buƙatar gyaran wucin gadi na adadin insulin da ake gudanarwa. Wannan ya zama dole a lokacin daukar ciki, cututtukan da ke motsa jiki, raunin da ya faru, aikin tiyata, matsanancin motsa jiki da damuwa. Likitocin da ke halartar taron zasu ba ku ƙarin bayani game da wannan.

Hanyar sarrafa magani

A matsayinka na mai mulkin, Actrapid NM yana allura cikin kashin mai da ke ciki na kafada, ciki, gindi ko saman cinya. Mafi sau da yawa, marasa lafiya suna yin allura a cikin mahaifa, tunda ya dace don bayar da izini cikin wannan yankin da kansu, kuma magungunan da sauri suna shiga cikin jini.

Hanyar allura:

1. Wanke hannu.
2. Bi da wurin allurar tare da maganin rigakafi.
3. Auki sirinji da za'a iya cirewa kuma zana iska a ciki tare da alamar insulin da ake so.
4. Soke abin toshe kwalaba kuma ku saki iska da aka tara a cikin murfin insulin.
5. Ja a kan piston kuma danna lambar da ta dace na magani, domin wannan kwalban yana buƙatar juyawa.
6. Cire allura kuma ka tabbata an saita sashi daidai.
7. Tabbatar cewa maganin rigakafi a wurin da allura ta gaba ta bushe, tunda an lalata insulin ta hanyar hulɗa da masu lalata.
8. Theauki fata zuwa babban lokacin farin ciki tare da babban yatsa da yatsan hannu (tare da wannan ɗauka, kawai ƙashin nama mai ƙyalli, ba tare da tsokoki ba, zai shiga cikin babban fayil).
9. Saka allura cikin insulin na allurar gaba daya a wani kusurwa na kusan digiri 45 sannan a hankali a latsa piston.
10. Bayan gabatarwar miyagun ƙwayoyi, ba kwa buƙatar cire allura don wani sakan 6, wannan zai taimaka wajen gabatar da miyagun ƙwayoyi a cikakke.

Yana da mahimmanci a bi ka'idodi don adana insulin kuma amfani da kyakkyawan shiri kawai. Kuna buƙatar adana shi a cikin firiji, amma ba za ku iya daskarewa ba. Kuna iya siyan magungunan kawai a kantin magani, kuma ba tare da hannayenku ba, in ba haka ba zaku iya siyan kayan da suka lalace har ma ba ku lura da su ba. Kafin amfani, tabbatar da bincika kwanakin karewa da amincin marufin. Bai kamata a yi amfani da insulin ba.

Siffar allura

Dole a zabi wurin yin allurar daidai.

• Ba za ku iya ba da allura ba a wuraren da ke akwai raunuka ko fata masu lalacewa.
• Daga moles (nevuse), kunama da sauran sifofin da kuke buƙatar sake dawowa aƙalla santimita 3, daga cibiya 5 santimita.

Don kauce wa rikitarwa kamar lipodystrophy (atrophy of subcutaneous fat), kuna buƙatar canza wurin allurar koyaushe. Zai dace don matsar da agogo daga kowane sashi na jiki zuwa wani. Misali, a wannan jeri, hannun hagu, ƙafar hagu, ƙafafun dama, hannun dama, ciki. Wasu suna da jigilar allura inda suke yin rikodin lokacin da wurin insulin. Kowane zai iya samun tsarin sa, a cikin shiri wanda likitan halartar zai taimaka. Yana da mahimmanci ka rabu da wurin allurar da ta gabata aƙalla 2 cm.

A wasu halaye, ana buƙatar gudanar da maganin ƙwayar cutar cikin ciki. Kwararren likitan ne ke yin wannan aikin. Mafi sau da yawa, wannan ya zama dole a matsayin taimakon gaggawa tare da mummunan hyperglycemia da ketoacidosis.

Actrapid NM bai dace ba don amfani da pumps insulin.

Yi amfani da ciki da lactating

An yarda da Actrapid NM don amfani a cikin mata masu juna biyu, ba ƙetare cikin mahaifa kuma baya shafar jariri. Yanayi kamar su hyperglycemia da hypoglycemia suna da tasiri sosai ga ci gaban tayin, zasu iya haifar da jinkiri a haɓaka har ma da mutuwar yaro, don haka yana da matukar muhimmanci a lura da matakin glucose da kanka tare da glucometer.

Yawancin lokaci, a cikin farkon sashin farko, kuna buƙatar rage matakin farko na miyagun ƙwayoyi, kuma a na biyu da na uku a hankali yana ƙaruwa. Bayan haihuwa, sauƙin muni zuwa kashi na farko na insulin yana faruwa.

Lokacin shayarwa, an kuma ba shi izinin amfani da Actrapid NM, ba shi da wani tasiri a jikin mai girma. An zaɓi kashi na miyagun ƙwayoyi daban-daban.

Contraindications Actrapid NM

Akwai lokuta biyu waɗanda ba za a iya amfani da maganin ba:

• Hypoglycemia. Idan kayi allura tare da rage yawan glucose, zai ragu sosai kuma mutum na iya fadawa cikin rashin lafiya.
• Kowane mutum rashin haƙuri zuwa ga abubuwan da miyagun ƙwayoyi. Wannan ya shafi duka insulin ɗan adam da abubuwan taimako.

Side sakamako na miyagun ƙwayoyi

Wasu sakamako masu illa suna faruwa saboda allurar da aka zaɓi da kyau.

Tare da isasshen Actrapid NM, hyperglycemia tare da ketoacidosis na iya haɓaka. A farkon alamar karuwar glucose (ƙishirwa, karuwar diureis, bushewar ƙanshi, ƙanshi na acetone), kuna buƙatar gaggawa da matakin sukari tare da glucometer kuma nemi likita.

Idan kashi ya wuce, hypoglycemia na iya haɓaka.

Sauran sakamako masu illa suna da alaƙa kai tsaye da miyagun ƙwayoyi, waɗannan sun haɗa da:

• Allergic halayen (urticaria, anaphylactic shock, Quincke edema). Zai iya faruwa a kowane bangare na miyagun ƙwayoyi.
• Peripheral neuropathy.
• Matsaloli tare da kwayoyin hangen nesa. Mafi yawan lokuta wannan cin zarafi ne na tunani da kuma maganin ciwon sukari.
• Ayyukan gida. Suna faruwa a wurin allura kuma galibi a matakin farko na farfajiyar insulin. Waɗannan sun haɗa da kumburi, tashin zuciya, itching, fitsari, da sauransu Tare da gudanar da magunguna akai-akai a wuri guda, lipodystrophy na iya haɓaka.

Duk sakamakon da ke sama suna faruwa ne da wuya, kuma tare da sancin magani da ofancin da ke cikin miyagun ƙwayoyi - daɗaɗɗe.

Idan sakamako masu illa sun faru, ana iya maye gurbin insulin Actrapid NM ta hanyar analog ɗin ta. Wadannan sun hada da: Biosulin R, Insuman Rapid GT, Matsayi na Humulin, Vozulim R da sauransu.

Dole ne a tuna cewa kawai likitan halartar na iya canza miyagun ƙwayoyi, har zuwa analog, ko sashi. Kai kai magani ne cike da manyan matsaloli.

Actrapid NM: umarnin don amfani

Lokacin yin allurar Actrapid, kamar kowane nau'in insulin, kuna buƙatar bin abinci.

Yawancin masu ciwon sukari waɗanda ke bi da insulin sun gaza yiwuwa su guji yawan zubar jini. A zahiri, wannan ba haka bane. Kuna iya kiyaye sukari daidai har ma da tsananin cutar kansa. Kuma har ma fiye da haka, tare da gwada da laushi kamar nau'in ciwon sukari 2. Babu buƙatar ƙara girman matakin glucose na jini don insure kanka game da haɗarin hypoglycemia. Kalli bidiyon da Dr. Bernstein ya tattauna game da wannan batun tare da mahaifin yaro wanda ke da ciwon sukari na 1.

Mai zuwa ƙarin bayani game da Actrapid na miyagun ƙwayoyi.

Menene aikin insulin?

Actrapid shine insulin gajeriyar aiki. Kar ku rikita shi da Apidra, wanda yake ultrashort. Ultrashort nau'ikan insulin bayan gwamnati sun fara aiki da sauri fiye da gajere. Hakanan, aikinsu zai daina ba da daɗewa ba. Actrapid ba shine insulin mafi sauri ba. Amma ga marasa lafiya da ke da nau'in 1 da nau'in ciwon sukari na 2, waɗanda ke bin abincin karam, wannan magani ya fi na matsanancin nau'ikan insulin Humalog, NovoRapid da Apidra.

Haƙiƙar ita ce cewa jikin mutum a hankali yana ɗaukar abincin maras nauyi. Da farko kuna buƙatar narke furotin da aka ci. Bayan wannan, wani ɓangaren shi yana canzawa zuwa glucose, wanda ke shiga cikin jini. Idan babu ingantattun carbohydrates a cikin abincin, shirye-shiryen insulin ultrashort suna aiki da sauri. Zasu iya haifar da ƙwanƙwasa jini da jijiyoyin jini. Actrapid yafi kyau a wannan batun.

Yadda za a saka shi?

Yawancin lokaci ana yin allurar sau 3 a rana kafin abinci, mintuna 30 kafin cin abinci. Koyaya, don samun kyakkyawan kula da ciwon sukari, ba shi yiwuwa a yi ba tare da zaɓin tsarin insulin na insulin mutum ba. Ba za ku iya dogara da daidaitattun shawarwari don abinci mai gina jiki da zaɓi na matakan insulin ba.

Canja zuwa abinci mai ƙarancin carb, sannan sai ku kalli kuzarin sukari tsawon kwanaki. Wataƙila ba kwa buƙatar allurar insulin cikin sauri kafin kowane abinci. Actrapid baya buƙatar allurar idan, ba tare da shi ba, matakan glucose a cikin sa'o'i 3-5 bayan an ci abinci a matakin mutane masu lafiya - 4.0-5.5 mmol / l.

Yi nazarin labarin "Injection Inulin: Inda da Yadda ake Poke." Yana gaya maka yadda ake bayar da allura ba tare da jin zafi ba. Guji yin amfani da allurai na Actrapid ko wasu insulin mai saurin shiga tsakanin ƙasa da awanni 4-5. Baya ga lokuta na gaggawa yayin da sukarin masu ciwon sukari ya yi yawa, matsanancin rikice-rikice na ci gaba wanda ake buƙatar kulawa ta gaggawa.

Menene tsawon lokacin allura?

Kowane allurar miyagun ƙwayoyi Actrapid yana da inganci na kimanin 5 hours. Tasirin saura ya kasance har zuwa awanni 6-8, amma ba mahimmanci. Abu ne wanda ba a so shi da allurai biyu na gajeruwar insulin a lokaci guda a cikin jiki. Marasa lafiya tare da matsanancin ciwon sukari na iya cin abinci sau 3 a rana kuma a allura cikin sauri kafin abinci tare da tazara tsakanin awowi 4,5.5. Abincin da aka raba akai-akai ba zai yi musu komai mai kyau ba, a'a yana cutar da su. Bai kamata a sake tunawa da sukari sama da sa'o'i 4 bayan allurar Actrapid. Domin har zuwa wannan lokacin, kashi na sarrafawa ba zai sami lokacin aiwatar da cikakken aiki ba.

Me zai iya maye gurbin wannan maganin?

Lura cewa canzawa zuwa kayan abinci mai ƙarancin carb yana rage adadin insulin da ake buƙata sau 2-8. Lokacin amfani da irin waɗannan ƙananan allurai, kusan babu alamun halayen rashin lafiyar. Wataƙila ba kwa buƙatar sake neman maye ga Actrapid. Wannan ingantacce ne, ingantacce kuma maras tsada irin insulin. Yana da kyau a zauna a kai.

Koyaya, ana sayar da wasu magunguna a cikin kantin magunguna, kayan aiki masu aiki wanda shine gajeran insulin ɗan adam. Misali, Humulin Regular, Insuman Rapid ko Biosulin R. Muna maimaita hakan ga masu ciwon sukari wadanda suke bin karancin abinci mai gautsi, gajeruwar insulin mutane fiye da analogues na matsanancin lokaci. Koyaya, marasa lafiya waɗanda ba sa so su bar carbohydrates masu cutarwa, zai fi kyau canzawa zuwa ɗayan magungunan ultrashort - Humalog, NovoRapid ko Apidra. Wadannan nau'ikan insulin na iya lalata babban sukarin jini bayan cin abinci da sauri fiye da na Actrapid.

Zan iya hada Actrapid da Protafan?

Ba za a iya haɗaka Actrapid da Protafan ba, kamar kowane nau'in insulin. Ana iya saka su a lokaci guda, amma tare da sirinji daban-daban kuma a wurare daban-daban.

Karku yi ƙoƙarin yin ajiya ta sirinji ta haɗa nau'ikan insulin. Wataƙila ku washe duk kwalban magani mai tsada. Masu ciwon sukari da ke bin abincin kara-mai-ƙara kuma suna ƙoƙarin kiyaye sukari na al'ada a cikin jininsu ba a ba da shawarar yin amfani da kowane cakuda da aka yi da insulin ba.

Karanta nan me yasa bai kamata ku tsayar da Protafan ba, amma kuna buƙatar maye gurbin shi da Lantus, Levemir ko Tresiba. A lokaci guda, masu ciwon sukari da ke kan abinci maras carb an shawarce su da su yi amfani da Actrapid ba tare da yin ƙoƙarin canzawa ba daga shi zuwa analogues na Humalog, Apidra ko Novorapid.

Analogues na Actrapid wasu nau'ikan insulin ne wadanda suke da tsari iri ɗaya da tsawon lokacin inje. A cikin ƙasashe masu magana da Rashanci zaka iya samun Humulin Regular, Insuman Rapid, Biosulin R, Rosinsulin R kuma, mai yiwuwa, wasu magunguna masu kama da cutar sukari. Wasu daga cikinsu ana shigo da su, wasu na cikin gida ne.

A cikin ka'idar, canji daga insulin na insulin zuwa ɗayan analogues ya kamata ya tafi daidai, ba tare da canza sashi ba. A aikace, irin wannan canjin na iya zama da wahala. Kuna buƙatar ciyar da kwanaki da yawa ko makonni don sake zaɓar mafi kyau gwargwado, dakatar da tsalle cikin sukarin jini. Canza magungunan da aka yi amfani da su na insulin cikin sauri da tsawaita zama dole ne kawai idan akwai gaggawa.

14 ra'ayoyi kan "Actrapid"

Barka da rana Taimako yana da matukar muhimmanci! Miji na yana da ciwon sukari na 2 har tsawon shekaru 5. Shekaru 53. Ya kasance yana shan Galvus Met; matakan sukari ba su tashi sama da 8 mmol / L ba. Amma watanni 2 da suka gabata an yi masa aikin tiyata, kuma bayan haka shukar mu ba ta saba da kowace hanya. Da farko, likitan ya ba da umarnin rukunin Lantus 8 da dare, amma sukari da safe bai faɗi ƙasa da 12. Yanzu ya ma fi girma. Sanya Actrapid sau 3 a rana don raka'a 6 da lantus na dare raka'a 6, da safe sugar sake 14.8. Da fatan za a taimaka, wani abin mamaki yana faruwa!

Da farko dai, ya zama dole a fayyace ko mara lafiyar ya sauya zuwa abincin mara nauyi.

Idan ba haka ba, ba za su iya taimaka maka a wannan shafin ba. Kuma magana a fili, a kan wani ko dai.

Sannu Ni mai shekaru 23 ne, tsayi 159 cm, nauyi yana girma saboda ciki, nau'in ciwon sukari na 1, Na yi shekaru 13 ina rashin lafiya. Yanzu mai ciki ce, tsawon makonni 20. Allurai na insulin na yau da kullun: Actrapid - raka'a 32, Protafan - raka'a 28. Har zuwa kwanan nan, sukari na yana cikin 5.5-7.5. Amma a cikin 'yan kwanakin nan sun fara tashi - yana faruwa har zuwa 13.0! Ina kokarin kara yawan insulin. Tabbas, damuwa sosai. Ko da ina jin tsoron riga na ci abinci! Kamar yadda sa'a za ta samu, likitocin da ke halartar hutu ba za su juya ga kowa ba. Likita likitan ya ce Actrapid ba shi da kyau kuma zan iya lalata ɗana da shi. Ku, akasin haka, kuna bada shawara cewa kowa ya sauya zuwa gare shi tare da insulin ultrashort. Tace, don Allah, yaya zan kasance? Abin ban tsoro ga jariri! Godiya a gaba!

Yanzu mai ciki ce, tsawon makonni 20. Har zuwa kwanan nan, sukari na yana cikin 5.5-7.5. Amma a ‘yan kwanakinnan sun fara tashi

Farawa daga rabi na biyu na ciki, buƙatar insulin a hankali yana ƙaruwa, kusan har zuwa farkon haihuwa. Wannan shi ne ka’ida, ga kowa da kowa. Idan baku kara yawan insulin a cikin allurar ba, to sukari zai karu. Kawai kar a kwashe ku, ku karu da raka'a 0.5-2, a hankali.

Likita ya ce Actrapid mara kyau ne

Idan insulin ya lalace, mai ilimin likitancin yayi daidai

Tace, don Allah, yaya zan kasance?

Kuna buƙatar yin nazarin dokoki don adanar insulin - http://endocrin-patient.com/hranenie-insulina/ - kuma a tabbata cewa magungunanku ba su lalacewa.

Amma game da karancin abincin carb, ba zan iya bayar da shawarar canzawa zuwa gareta ba a halin da kuke ciki. Ba ku taɓa sanin menene ba. Kafin na haihu, da ban yi aikinku ba.

Ni shekara 26 ne, tsayi 162 cm, nauyi mai nauyin kilogram 72. Na kasance ina fama da ciwon sukari irin na 1 tsawon shekaru 11. Yanzu Ina karɓar Actrapid 7 + 7 + 7 IU kowace rana, wani Latnus don 35 IU kowace dare. Girman jikin mutum ya fara ƙaruwa a cikin 'yan watannin nan. Kuma sukari yana riƙe da 9-12. Shin gaskiya ne cewa Actrapid yana haɓaka kiba fiye da sauran nau'ikan insulin takaice?

Shin gaskiya ne cewa Actrapid yana haɓaka kiba fiye da sauran nau'ikan insulin takaice?

Duk wani insulin yana ba da gudummawa don haɓaka nauyin jiki idan an saka shi da yawa.

Zan canza zuwa ga abincin carb a wurinka - http://endocrin-patient.com/dieta-pri-saharnom-diabete/ - mafi kyau daga baya fiye da yadda nake. Wannan zai sa ya yiwu a rage kashi. Samun rasa nauyi zai karu. Jumps a cikin glucose na jini zai ragu ko zai daina tsayawa gaba ɗaya.

Sannu. Da fatan za a taimake ni in tantance ta. Yaron yana da shekara 2, ya kamu da ciwon sukari 5 watanni da suka gabata. Mun sanya shi insulin Protafan da Actrapid. Da farko, mun sami nasarar zaɓar allurai da kyau. Darajojin glucose suna da kyau kwarai da gaske. Amma a cikin makon da ya gabata matsaloli sun fara - sukari mai yawa sosai a cikin dare 11-12, muna farkawa da shi da safe. Muna yin komai kamar yadda muke a da, amma sakamakon ya tsananta. Yawancin lokaci a 18.00 mun kafa Actrapid a kashi 1.5 raka'a kafin abincin dare. A 22.00 ƙarin Protafan 1,5 LATSA. A lokaci guda don sukari 6.0 da ƙananan muna ba kefir, ya zama kamar abincin dare na biyu. Kefir ɗan yaron ya sha 1 XE, kuma yanzu ya gaji da wannan abin sha, kuma yawanci baya son shan rabin gilashin 0.5 XE. Duk da wannan, sukari dare da safe yana ƙaruwa. Me zaku bada shawara?

Da farko, mun sami nasarar zaɓar allurai da kyau. Darajojin glucose suna da kyau kwarai da gaske.

Wannan saboda ragowar insulin nasu ne, wanda ake kira da gudun amarci, ya kiyaye. Yanzu ya ƙare saboda ƙarancin abinci mai gina jiki da kuma allurar ƙarancin insulin.

matsaloli sun fara - sukari mai yawa sosai a dare 11-12, muna farkawa da shi da safe. Muna yin komai kamar yadda muke a da, amma sakamakon ya tsananta.Yana dare da safiya suna girma.

Kun fara jin cikakken tasirin kulawar cutar ciwon suga. Furtherarin hakan zai iya zama mafi muni idan ba ku canza zuwa tsarin Dr. Bernstein ba - http://endocrin-patient.com/lechenie-diabeta-1-tipa/.

Kasance da darikar mu. a ma'anar, canja wurin duka dangi zuwa abincin abinci mai rauni - http://endocrin-patient.com/dieta-pri-saharnom-diabete/ - kuma a hankali kiyaye shi.

Hakanan wajibi ne don lissafin yawan insulin, kuma ba allurar iri ɗaya koyaushe. Kuna buƙatar koyon yadda ake tsarke insulin.

Kafin abincin dare, sanya Actrapid a cikin kashi 1.5 PIECES. A 22.00, wani Protafan 1.5 U.

Za'a iya barin Actrapid. Kodayake kashi yana nuna kamar an cika damuwa don yaro mai shekaru 2, musamman bayan sauya sheka zuwa abinci mai ƙarancin carb. Matsakaitan Protafan ana bada shawara don maye gurbin shi tare da insulin dogon, don ƙarin cikakkun bayanai duba http://endocrin-patient.com/dlinny-insulin/

ba kefir, ya zama kamar abincin dare na biyu

Don Allah a gaya mani, zan iya canzawa daga insulin Rapid koma Actrapid NM? Idan haka ne, ta yaya za a yi gasa? Me yakamata a tattauna? Yanayin kamar haka. Yayana ya kamu da ciwon sukari na farko har tsawon shekaru 16. Daga cikin waɗannan, shekaru 13 na farko, Actrapid ya kasance mai farashi. Sannan, Insuman Rapid ya fara sayan magani a cikin kantin magani maimakon. Yanzu, daga Janairu 2018, sun fara sake rubuta sabbin insulin Biosulin a asibitin. Amma, tunda Actrapid ya nuna kansa da kyau a gabanin, dan yana tunanin komawa gareshi kuma bai sake watayawa ba. Tuni yayi ƙoƙari don canzawa zuwa NovoRapid na matsanancin-gajeren lokaci, amma bai iya samun adadin da ya dace ba, akwai rarrabuwar kawuna mai ƙarfi.

Shin zai yiwu a canza daga insulin Rapid zuwa Actrapid NM?

Idan haka ne, ta yaya za a yi gasa? Me yakamata a tattauna?

An zaɓi allurai a kowane yanayi kuma an daidaita su daban-daban. Kuna iya zuwa kai tsaye zuwa kashi ɗaya. Ko, don farawa, farashin 10-25% ƙasa kaɗan, sannan ƙara haɓaka kamar yadda ake buƙata.

Yayana ya kamu da ciwon sukari na farko har tsawon shekaru 16.

Tushen kyakkyawan sarrafawa shine abinci mai ƙarancin carb. Kara karantawa anan - http://endocrin-patient.com/lechenie-diabeta-1-tipa/. Ba tare da canzawa zuwa wannan abincin ba, zai zama da ƙarancin amfani, komai irin nau'in insulin da aka yiwa allurar.

Tun daga Janairu 2018, sun fara sake rubuta sababbin insulin Biosulin a asibitin.

A yau, ya kamata a guji insulin cikin gida a duk lokacin da zai yiwu. Yana yiwuwa ingancin waɗannan ƙwayoyi za su inganta kuma shawarwarin zasu canza. Amma yayin da ita.

Sannu
nauyi 58 kg, girma 164 cm.
Type 1 ciwon sukari tun 2012.
Shekaru daya kenan yanzu da nake bin shawarwarinku game da karancin abincin karas, kuma ina matukar bin sa.
Kolya Tresiba raka'a 8.0 da ƙarfe 2 na safe da kuma Actrapid kafin abinci
Glycated haemoglobin 4.7-4.9%, duk gwaje-gwaje suna da kyau, Ni kuma na sha bitamin.
Ina tsammanin bani da isasshen lokaci don aiwatar da maganin Actrapid, saboda kafin abinci na gaba, sukari, wani lokacin, ya kai 6.0 har ma a cikin yanayin kwanciyar hankali.
Na yi ƙoƙari in rarraba kashi, a ɗan sara kafin cin abinci, kuma a ɓoye bayan - ya juya har ma da muni.
Taimaka shawara. An bincika insulin mai tsawo - yana riƙe da kyau.

Type 1 ciwon sukari tun 2012.
Shekaru daya kenan yanzu da nake bin shawarwarinku game da karancin abincin karas, kuma ina matukar bin sa.
Kolya Tresiba raka'a 8.0 da ƙarfe 2 na safe da kuma Actrapid kafin abinci
Glycated haemoglobin 4.7-4.9%, duk gwaje-gwaje suna da kyau kwarai

Kun yi kyau! Toari ga irin waɗannan masu ciwon sukari!

Ina tsammanin bani da isasshen lokaci don aiwatar da maganin Actrapid, saboda kafin cin abinci na gaba, sukari ya isa zuwa 6.0

Ya kamata ku ci sau 3 a rana, tare da abincin dare da wuri. Mutanen da suke cin abincin dare da wuri suna tashi da safe tare da abinci mai kyau kuma suna ƙoƙarin cin karin kumallo da sauri. A wannan yanayin, fashewa tsakanin abinci da inje na insulin na insulin bazai wuce awa 5 ba, a maimakon haka, awanni 3,5. Tooƙarin guji cunkoso Kun riga kun san wannan, tabbas.

Gwada haɓaka allurai kaɗan kaɗan, cikin ƙarfe 0.25-0.5 raka'a, kowane kwana 2-3. Idan ya cancanta, tsarma magani tare da gishiri don ainihin allurar allurai waɗanda suke da yawa raka'a 0.25. A yanar gizo zaka iya samun yadda zaka yi.

Sannu, Sergey. Don Allah a gaya mani, kuna faɗi cewa kuna buƙatar guje wa insulin cikin gida. Me yasa yake da cutarwa?
Mijin yana da shekaru 14 na nau'in ciwon sukari guda 1. Ya sauya sheka zuwa abinci mara nauyi, shekara a kai. An bashi kyautar insulin ta cikin gida kyauta da Farmasulin NNP. Me yasa ya cancanci canzawa zuwa Lantus da Actrapid? Ina so in san ra'ayinku. Na gode

kun ce ya kamata a guji insulin cikin gida. Me yasa yake da cutarwa?

A matsayinka na mai mulkin, nau'ikan insulin da aka shigo da su suna yin aiki sosai da kyau fiye da na gida. Maganin insulin na da matukar amfani-ilimi. Kwararru daga kasashen CIS sun dade da barin kasashen yamma.

Ina zargin cewa ba a tsabtace insulin cikin gida sosai.

Matsakaitan insulin gaba ɗaya shine waƙa daban, duba labarin akan Protafan, canza gaggawa cikin dogon.