Insulin Humulin: sake dubawa, umarni, yadda farashin magani yake

A cikin 1 ml. Miyagun ƙwayoyi Humulin Humulin ya ƙunshi IU 100 na insulin na ɗan adam. Abubuwan da ke aiki sune insulin 30% na narkewa da 70% isofan insulin.

Kamar yadda aka yi amfani da kayan taimako:

• distacacic manic,
• phenol
• sodium hydrogen phosphate heptahydrate,
• hydrochloric acid,
• glycerol
• zinc oxide
• furotin sulfate,
• sodium hydroxide
• ruwa.

Fom ɗin saki

Halin insulin Humulin M3 ana samun insulin a cikin nau'ikan dakatarwa don gudanar da aikin karkashin kasa a cikin kwalabe 10 ml, kazalika a cikin kwantena 1,5 da 3, kwantena a cikin kwalaye na guda 5. An tsara katako don amfani dashi a cikin sirinji na Humapen da BD-Pen.

Magungunan yana da tasirin hypoglycemic.

Humulin M3 yana nufin magungunan sake amfani da DNA, insulin shine dakatarwar allura biyu tare da matsakaicin tsawon lokacin aiki.

Bayan gudanar da magani, ingantaccen aikin magunguna yana faruwa bayan minti 30-60. Matsakaicin sakamako yana gudana daga 2 zuwa 12 hours, jimlar tsawon tasirin shine 18-24 hours.

Ayyukan insulin na Humulin na iya bambanta dangane da wurin gudanar da maganin, daidaitaccen adadin da aka zaɓa, aikin jiki na mai haƙuri, rage cin abinci da sauran abubuwan.

Babban tasirin Humulin M3 yana da alaƙa da tsarin canza hanyoyin glucose. Insulin kuma yana da tasirin anabolic. A kusan dukkanin kyallen takarda (banda kwakwalwa) da tsokoki, insulin yana motsa motsi na glucose da amino acid, kuma yana haifar da haɓakar anabolism na furotin.

Insulin yana taimakawa canza glucose zuwa glycogen, kuma yana taimakawa juya sukari mai yawa ya zama fats kuma yana hana gluconeogenesis.

Alamu don amfani da sakamako masu illa

1. Ciwon sukari mellitus, wanda ake ba da shawarar insulin.
2. Cutar kwayar cutar mahaifa (ciwon sukari na mata masu juna biyu).

1. Kafaffen hypoglycemia.
2. Rashin hankali.

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

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

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

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

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

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

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

Umarnin don amfani

Ba a yarda da insulin na Humulin M3 ba a cikin sarrafawa.

Lokacin rubuta insulin, yawan likita da yanayin gudanarwa na likita za su iya zaɓar su. Ana yin wannan ne daban-daban ga kowane haƙuri, dangane da matakin glycemia a jikinsa. Humulin M3 an yi nufin shi ne don gudanar da subcutaneous, amma kuma ana iya sarrafa shi intramuscularly, insulin ya yarda da wannan. A kowane hali, mai ciwon sukari dole ne ya san yadda ake yin insulin.

Bayan haka, ana allurar da maganin a ciki, cinya, kafada ko gindi. A wuri guda za'a iya ba da allurar fiye da sau ɗaya a wata. Yayin aikin, ya zama dole a yi amfani da kayan allura daidai, don hana allura shiga cikin jijiyoyin jini, ba don tausa wurin allurar ba bayan allurar.

Humulin M3 wani shiri ne wanda aka shirya dashi wanda ya kunshi Humulin NPH da Humulin Regular. Wannan ya sa ya yiwu ba shirya maganin kafin gudanarwa ga mai haƙuri da kansa ba.

Don shirya insulin don allurar, murfin katako ko katun na Humulin M3 NPH ya kamata a birgima sau 10 a cikin hannunka kuma, juyawa digiri 180, a hankali girgiza daga gefe zuwa gefe. Dole ne a yi wannan har sai dakatarwar ta zama kamar madara ko kuma ta zama mai ruwa mai ruwa mai kauri mara nauyi.

Shawa insulin cikin NPH da kyau ba da shawarar ba, saboda wannan na iya haifar da bayyanar kumfa kuma ya tsoma baki tare da ainihin sashi. Kada ku yi amfani da magani tare da laushi ko flakes wanda aka kafa bayan haɗuwa.

Gudanar da insulin

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

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

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

Yawan abin sama da ya kamata

Humulin M3 NPH, kamar sauran magunguna a cikin wannan rukuni na kwayoyi, ba shi da ma'anar cikakkiyar ma'amala game da yawan ƙwayar cuta, tun da matakin glucose a cikin ƙwayar jini ya dogara da ma'amala tsakanin tsari tsakanin matakan glucose, insulin da sauran hanyoyin rayuwa. Koyaya, yawan insulin da ya wuce zai iya samun mummunan tasirin.

Hypoglycemia yana haɓaka sakamakon rashin daidaituwa tsakanin abun da ke cikin insulin a cikin plasma da kuzarin kuzari da abincin abinci.

Waɗannan alamu sune halayen haɓakar haihuwar jini:

• bari
• samarin
• amai
• wuce kima,
• pallor na fata
• rawar jiki
• ciwon kai
• rikicewa.

A wasu halaye, alal misali, tare da dogon tarihin ciwon sukari mellitus ko kuma kulawa ta kusa, alamun cutar hauhawar jini na iya canzawa. Za'a iya hana hauhawar jini ta hanyar shan glucose ko sukari. Wasu lokuta zaku buƙaci daidaita sashin insulin, sake bitar abincin ko canza ayyukan jiki.

Yawancin hypoglycemia ana yinsa ne sau da yawa ta hanyar subcutaneous ko sarrafawar intanetus na glucagon, yana biyo baya ta hanyar carbohydrates. A cikin mawuyacin yanayi, a gaban rikicewar jijiyoyin zuciya, rashi ko na coma, ban da allurar glucagon, dole ne a gudanar da tattarawar glucose a cikin ciki.

A nan gaba, don hana sake dawowa daga cututtukan jini, mai haƙuri ya kamata ya ɗauki abincin da ke da ƙwayoyin carbohydrate. Yanayin matsanancin yanayin rashin lafiyar yana buƙatar asibiti cikin gaggawa.

Abun Harkokin Magunguna NPH

Tasirin Humulin M3 yana haɓaka ta hanyar ɗaukar magungunan baka na maganin hypoglycemic, ethanol, magungunan salicylic acid, masu hana monoamine oxidase inhibitors, sulfonamides, ACE inhibitors, masu hana karɓa na angiotensin II, masu hana karɓar beta-blockers.

Magungunan Glucocorticoid, hormones girma, maganin hana haihuwa, danazole, hormones thyroid, thiazide diuretics, beta2-sympathomimetics suna haifar da raguwa a cikin sakamako na hypoglycemic na insulin.

Orarfafa ko, ba da shawara ba, ya raunana dogara da insulin iya yin maganin lancreotide da sauran analogues na somatostatin.

Kwayar cutar hypoglycemia ana lubricated yayin ɗaukar clonidine, reserpine da beta-blockers.

Sharuɗɗan sayarwa, ajiya

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

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

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

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

Umarni na musamman

Dakatar da rashin izini game da magani ko kuma alƙawarin ba da magunguna marasa kyau (musamman ga masu fama da insulin) na iya haifar da ci gaban ketoacidosis mai ciwon sukari ko hyperglycemia, waɗanda ke haifar da haɗari ga rayuwar mai haƙuri.

A cikin wasu mutane, lokacin amfani da insulin na ɗan adam, alamun bayyanar cututtukan jini na iya bambanta da alamun halayen insulin na dabba, ko kuma suna da alamun bayyanannu.

Mai haƙuri ya kamata ya sani cewa idan matakin glucose na jini ya zama al'ada (alal misali, tare da maganin insulin mai zurfi), to alamomin da ke ba da shawara wanda ke gabatowa yawan jini zai iya ɓacewa.

Wadannan bayyanannan na iya zama mai rauni ko kuma nuna bambanci idan mutum ya ɗauki beta-blockers ko kuma yana da mellitus na ciwon sukari na tsawon lokaci, da kuma a gaban masu ciwon sukari.

Idan rashin lafiyar hyperglycemia, kamar hypoglycemia, ba a gyara ta hanyar da ta dace, wannan na iya haifar da asarar ƙwaƙwalwa, korar ciki, har ma da mutuwar mai haƙuri.

Ya kamata mai haƙuri ya canza zuwa wasu magungunan NPH na insulin ko nau'ikan su kawai a ƙarƙashin kulawar likita. Canza insulin zuwa magani tare da wani aiki na daban, hanyar samarwa (DNA, dabba), nau'in (alade, analog) na iya buƙatar gaggawa ko, akasin haka, ingantaccen gyaran magungunan da aka tsara.

Tare da cututtuka na kodan ko hanta, isasshen aikin ƙwaƙwalwar ƙwayar cuta, aiki mai rauni na glandon adrenal da glandar thyroid, buƙatar haƙuri ga insulin na iya raguwa, kuma tare da matsananciyar damuwa na damuwa da wasu yanayi, akasin haka, haɓaka.

Mai haƙuri ya kamata koyaushe da tunawa da yiwuwar haɓakar haɓaka da ƙididdigar yawan jikin mutum lokacin tuki mota ko buƙatar aikin haɗari.

• Monodar (K15, K30, K50),
• Nuwamba 30 Flexspen,
• Ryzodeg Flextach,
• Humalog Mix (25, 50).
• Gensulin M (10, 20, 30, 40, 50),
• Gensulin N,
• Rinsulin NPH,
• Farmasulin H 30/70,
• Humodar B,
• Vosulin 30/70,
• Vosulin N,
• Mikstard 30 NM
• Protafan NM,
• Humulin.

Haihuwa da lactation

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

Hakanan, ana buƙatar canza canji, rage cin abinci da aikin jiki yayin lactation.

Idan wannan shiri na insulin ya dace sosai ga mai haƙuri da ciwon sukari mellitus, to, sake dubawa game da Humulin M3, a matsayin mai mulkin, tabbatacce ne. A cewar marasa lafiya, miyagun ƙwayoyi suna da tasiri sosai kuma kusan ba shi da wata illa.

Yana da mahimmanci a tuna cewa an haramta shi sosai don sanya insulin don kanka, ka kuma canza shi zuwa wani.

Bottleaya daga cikin kwalban Humulin M3 tare da nauyin 10 ml farashin daga 500 zuwa 600 rubles, fakiti na katako guda uku na mil 3 a cikin adadin 1000-1200 rubles.