Rosinsulin magani ne na insulin da ake amfani dashi a wasu nau'ikan ciwon sukari. Dole ne a nanata cewa akwai nau'ikan wannan magani:

• Rosinsulin P – Short insulin tare da farawa na sakamako, bayan rabin sa'a daga lokacin gudanarwa da mafi girman ci gaba a cikin sa'o'i 1-3. Jimlar aikin aikin ya kai awowi 8,
• Haɗa Rosinsulin M – “Matsakaici” insulinya kunshi matakai biyu (wani abu da aka samu a kimiyance da kuma kayan kere-kere, wanda yake daidai da sifar mutum). Alamomin farko na aikin wannan maganin sun bayyana rabin sa'a bayan gudanarwa, mafi girman tasirin yana bayyana daga sa'o'i huɗu zuwa sha biyu, kuma jimlar tasirin yana kusan kwana ɗaya,
• Rosinsulin C – “Matsakaici” insulinya kunshi insulin-isophan da aka samu ta injiniyan kwayoyin. Ba kamar haɗakar Rosinsulin M ba, sakamakon wannan ƙwayar ta haɓaka a cikin sa'a daya da rabi, kuma ya kai iyakanci da tsawon lokaci - muddin magani na baya,

Ana buƙatar magunguna iri ɗaya ga mutanen da aikin insulin ɗin bai isa ba. Wannan yana haifar da karuwa a cikin taro na glucose a cikin jini, cin zarafin sha ta hanyar kyallen takarda, wanda yake da matukar haɗari kuma yana iya lalata lafiyar jikin mutum da sauri. Marasa lafiya da ciwon sukari, bayan sun fahimci hadadden hanyoyin glucose metabolism, koya yadda yakamata a tantance yanayin su (yin matakan yau da kullun tare da glucometer) da amfani da “tsayi”, “matsakaici” ko “gajere” insulins don gyara shi.

Ana amfani da waɗannan magunguna don:

• Mellitus-insulin-da ke fama da cutar sankara (nau'in I),
• Mellitus-non-insulin-dogara da ciwon sukari mellitus (nau'in II), lokacin da jikin mutum ba shi da hankali ga siffofin kwamfutar hannu na magungunan cututtukan jini,
• Ketoacidosis na ciwon sukari da coma,
• Cutar sankarar mahaifa ta hanyar ciki,
• Gudanar da sukari a cikin marasa lafiya waɗanda ke buƙatar aikin tiyata, waɗanda suka ji rauni, suna fama da matsanancin cuta na cututtukan fata - a lokuta inda yin amfani da sauran wakilan hypoglycemic ba zai yiwu ba,

Siffofin saki na Rosinsulin - mafita da dakatarwa don yin allura. Ana amfani da irin waɗannan kwayoyi a ƙarƙashin ƙasa (a cikin mawuyacin halayen, intravenously ko intramuscularly). Yawan raunin wannan kwayar cutar kuma ya dogara da wurin allurar - marasa lafiya masu ƙwarewa sun san inda ya fi dacewa yin allurar insulin a yanayi daban-daban. Yana da mahimmanci koyaushe canza wurin allurar don kauce wa tasirin cutar kan kyallen (lepodystrophy, da sauransu).

Lokacin gudanar da magunguna daban-daban ya bambanta kuma yana haɗe zuwa ɗaukar abinci. Misali, "gajeren" Rosinsulin P ana gudanar da shi na mintina goma sha biyar zuwa ashirin kafin cin abinci. Kuma “matsakaita” Rosinsulin C, wacce ake amfani da ita sau ɗaya a rana, yawanci ana yin rabin sa'a kafin karin kumallo. Kowane mai haƙuri yana haɓaka tsarin kansa don yin amfani da insulins daban-daban, dangane da bayanan glucometer akan taro na glucose a cikin jini, halayen cutar tasa da salon rayuwarsa.

An sanya maganin a cikin:

• Rashin yarda da kowane bangare
• Hypoglycemia,

Iyaye masu juna biyu da masu shayarwa suna iya kuma idan ya cancanta, amfani da shirye-shiryen insulin. Babu hadari ga tayin da jariri. Amma mai haƙuri dole ne kula da matakan sukari koyaushe, tun da metabolism metabolism ya bambanta sosai yayin daukar ciki da kuma bayan haihuwa.

Side effects da yawan abin sama da ya kamata

Rashin yarda da wasu nau'ikan insulin na iya haifar da halayen rashin lafiyan - daga cututtukan ciki, zazzabi, gajeriyar numfashi, har zuwa angioedema.

Hakanan, haɓakar haɓakar ƙwayar cuta yana yiwuwa, alamun farko na wane ne pallor, rawar jiki, damuwa, bugun jini, da sauransu (karanta ƙari a cikin labarin musamman game da wannan yanayin). Don tsananta wannan yanayin, haɓaka yawan ƙwayoyin insulin a cikin jini na iya tsananta.

A farkon, ana iya samun magani tare da edema da kuma rauni na gani. A wurin allurar, redness, kumburi, itching, da kuma lalata nama adipose mai yiwuwa ne (tare da allura akai-akai a cikin yankin).

Insaryewar adadin Rosinsulin yana haifar da hypoglycemia kuma yana buƙatar matakan gaggawa - daga ɗaukar sukari da kanta ga mai haƙuri, zuwa gabatarwar glucose da mafita na glucagon (tare da asarar hankali).

Analogs suna da rahusa fiye da Rosinsulin

Tun da a halin yanzu Rosinsulin ba ta siyarwa bane, kuma ana bayar da ita ne kawai don magunguna na kyauta, a cikin kantin magani za ku zaɓi zaɓaɓɓukan analogues kuma, zai fi dacewa, sun fi araha. Misali, “insulin gajere” sune:

Daga cikin wadannan, mafi tattalin arziki Actrapid.

Analogs na "matsakaici" insulin na Rosinsulin S da M za su kasance:

Anan, Biosulin shine mafi arha.

Nunawa game da Rosinsulin

Wannan magani yana cikin samarwa na gida - saboda haka, ana gabatar da shi sosai cikin tsarin kula da cutar sikari. Ciki har da shi, wannan magani ne yanzu, sau da yawa a cikin wani tsari na dabam, an tsara shi don magunguna kyauta a cikin asibitoci. Tabbas, wannan yana haifar da babbar damuwa ga marasa lafiya da kuma sake duba su game da Rosinsulin a fili sun nuna wannan a fili:

- Likita ya daɗe yana fara ba ni labarin Rosinsulin, yana yaba shi. Amma na yi tsayayya. Zuwa yanzu, wata rana sun gaya mani kai tsaye cewa yanzu wannan magani kawai za'a rubuta. Kuma ana iya sayan duk kasashen waje da kansu. Basu bar ni zabi ba. Nagode Allah, na saba bisa al'ada. Amma yanzu babu zaman lafiya - Ina jiran matsala koyaushe.

- Watanni shida da suka gabata a Rosinsulin (wanda aka fassara shi da ƙarfi). Sugar ya fara tsalle. Duk da yake daidaita kashi, amma wani lokacin kawai tsoro ya faru.

Wasu marasa lafiya sun dace da wannan insulin har ma suna yaba shi:

- Na lura cewa galibin matsalolin daga tsoro ne da rashin yarda. Kusan shekara guda yanzu ina allurar da Rosinsulin kuma na ga yana aiki sosai.

- Nan da nan na fara allurar da Rosinsulin a asibiti. Sugar yana riƙe yadda ya kamata. Don haka kar a firgita.

Babban dalilin rashin gamsar da masu cutar siga shine cewa a gare su amfani da insulin ko kuma wani abu shine mabuɗin zuwa rayuwa ta al'ada. Shekaru, marasa lafiya suna zaɓar magunguna, daidaita magani, daidaita yanayin rayuwarsu ... A wannan yanayin, sauyawa (kuma sau da yawa ta hanyar oda) zuwa kowane magani zai zama alama bala'i ne. Ko da wannan kayan aiki zai zama da tasiri sosai.

Dalili na biyu shine rashin gamsuwa da shigarwar gida. Magungunan da aka samar a ƙasarmu a baya suna da inganci kuma sun kasa gasa, har ma fiye da haka, suna maye gurbin magungunan da aka shigo da su.

Tabbas, da kyau, zai yi kyau kowane mara lafiya ya karbi insulin “nasa” - magani wanda yafi dacewa dashi. Amma, alas, a halin da ake ciki yanzu wannan bashi yiwuwa. Koyaya, fatan fata da hankali ya kamata koyaushe a kiyaye. Yawancin marasa lafiya sun canza magunguna fiye da sau ɗaya - iko na sukari da kuma shawarwarin likita na zamani suna da mahimmanci a nan. Kuma wataƙila Rosinsulin zai tabbatar da ingancinsa.

Re: Sauyawa zuwa Rosinsulin ko a'a?

QVikin "Agusta 28, 2010 9:57 pm

Re: Sauyawa zuwa Rosinsulin ko a'a?

Chanterelle25 »Agusta 29, 2010 10:44 pm

Re: Sauyawa zuwa Rosinsulin ko a'a?

Irina "Agusta 29, 2010 3:48 pm

Chanterelle 25 ya rubuta: Irina

Shin kuna ganin yana da sauki a sami miji mai wadata a Ivanovo?
Ko aiki tare da isasshen kuɗi don insulin da kayayyaki?

Ee. ba shakka game da Hauwa'u!

Game da samun insulin. An samo shi ta hanyar rajista. Na riga na fada muku labarin halin da ake ciki a Ivanovo. Ban san mai ciwon sukari guda na tare da mu ba wanda za a ba ni insulin a cikin vials. Yawancin lokaci, kawai a cikin asibitoci suna yin wannan don iyayen mata.

kuma a, Na tuna halin yanzu na dawo gare ku a cikin tambayoyin LS. Ina tunanin, watakila a wannan lokacin zan yi rajista a cikin Yves - Ba ni da matsala game da rajista a nan.

Re: Sauyawa zuwa Rosinsulin ko a'a?

Irina "Agusta 29, 2010 3:53 pm

QVikin ya rubuta: Irina
Kuna insulin a daidai lokacin da aka samo?
Ina samun su a cikin yankin Sverdlovsk, saboda ina da izinin zama a can ..

Wannan shine hannun jari da kuke rubutawa game da kawo daga Yankin Sverdlovsk? Kuma duk shekarun da suke karatun, sun kori? Ina za ku zauna?

Ee, ko dai ta kori kanta ko baba - Iyayena suna can. kuma zan zauna - a yanzu - nan. shi yasa kawai ban yi rijista ba anan - Na riga na rubuta (a sama), amma idan zan iya karɓar su yau da kullun, to yana nufin Ina buƙatar yin rijista anan, tabbas. hmm, Ina mamaki ko za a sami matsaloli da yawa ko kuma da yawa daga cikinsu?

Re: Sauyawa zuwa Rosinsulin ko a'a?

Elechka "Agusta 29, 2010 11:09 PM

Re: Sauyawa zuwa Rosinsulin ko a'a?

Irina "Agusta 30, 2010 2:04 pm

Na gode, El !!

kalmar karfafawa ce.

Re: Sauyawa zuwa Rosinsulin ko a'a?

Murmushi 28 ga Yuni, 2011 9:12 p.m.

Re: Sauyawa zuwa Rosinsulin ko a'a?

ECB Vladimir »Jun 29, 2011 1:52 pm

Re: Sauyawa zuwa Rosinsulin ko a'a?

Murmushi »Jun 29, 2011 7:31 pm

Re: Sauyawa zuwa Rosinsulin ko a'a?

ECB Vladimir 30 ga Yuni, 2011 03:06 PM

Re: Sauyawa zuwa Rosinsulin ko a'a?

Murmushi 30 ga Yuni, 2011 07:44

Re: Sauyawa zuwa Rosinsulin ko a'a?

ECB Vladimir 30 ga Yuni, 2011 10:36

Rosinsulin: sake dubawa game da amfani da insulin, umarnin

Ana gudanar da Rosinsulin C a ƙarƙashin sau 1-2 a rana, kusan rabin sa'a kafin cin abinci. Kowane lokaci, ya kamata a canza wurin allurar.

A cikin wasu halayen, endocrinologist na iya ba da allurar intramuscular haƙuri na miyagun ƙwayoyi.

• da ciwon sukari mellitus nau'in 1 da 2,
• a cikin mataki na jure wa maganganun maganganu na baka,
• tare da haɗuwa da magani (juriya ga m maganganun maganganu na magana),
• tare da mono - ko haɗuwa da magani yayin ayyukan tiyata,
• tare da cututtukan zuciya,
• tare da ciwon sukari a cikin mata masu juna biyu, lokacin da ilimin abinci ba ya ba da sakamako da ake so.

Sashi da gudanarwa

Dakatarwa don allurar subcutaneous. Contraindications hypoglycemia, hypersensitivity.

Ana gudanar da Rosinsulin C a ƙarƙashin sau 1-2 a rana, kusan rabin sa'a kafin cin abinci. Kowane lokaci, ya kamata a canza wurin allurar. A cikin wasu halayen, endocrinologist na iya ba da allurar intramuscular haƙuri na miyagun ƙwayoyi.

Kula! An hana yin amfani da insulin na matsakaici tsawon lokaci! A cikin kowane yanayi, likita ya zaɓi kashi, wanda zai iya dogara da halayen hanyar cutar da abubuwan da ke cikin sukari a cikin jini da fitsari.

Yawan da aka saba dashi shine 8-24 IU, wanda ana gudanar dashi sau 1 a rana, don wannan zaka iya amfani da sirinji insulin tare da allura mai cirewa.
A cikin yara da tsofaffi masu haɓaka zuwa hormone, ana iya rage kashi zuwa 8 IU kowace rana, kuma, yana magana, ga marasa lafiya da rage raunin hankali - ƙaru zuwa 24 IU kowace rana ko fiye.

Idan kashi na yau da kullun na miyagun ƙwayoyi ya wuce 0.6 IU / kg, ana yin shi sau 2 a rana a wurare daban-daban. Idan ana gudanar da maganin a cikin adadin 100 IU kowace rana ko fiye, ya kamata a kwantar da maraice a asibiti. Dole ne a canza canjin wani insulin zuwa wani a ƙarƙashin kulawar likitoci.

Pharmacokinetics

Magungunan yana nufin insulins na matsakaici, wanda aka umarce shi:

1. don rage glucose na jini
2. don ƙara yawan glucose ta kyallen,
3. don inganta glycogenogenesis da lipogenesis,
4. don rage yawan narkewar glucose da hanta,
5. don hadarin sunadarai.

Side effects

• angioedema,
• karancin numfashi
• cututtukan mahaifa
• raguwa a cikin karfin jini,
• zazzabi.

1. sweating,
2. pallor na fata,
3. yunwa
4. bugun zuciya
5. damuwa
6. gumi
7. farin ciki
8. rawar jiki
9. paresthesia a baki,
10. nutsuwa
11. yanayin bakin ciki
12. sabon abu hali
13. haushi
14. rashin tabbas na ƙungiyoyi
15. tsoro
16. magana da hangen nesa,
17. rashin bacci
18. ciwon kai.

Tare da allurar da aka rasa, ƙananan kasusuwa, akan asalin kamuwa da cuta ko zazzabi, idan ba a bi abincin ba, acidosis mai ciwon sukari da hauhawar jini na iya haɓaka:

• rage cin abinci
• ƙishirwa
• nutsuwa
• hyperemia na fuska,
• mai rauni sani har zuwa maarma
• tarancin hankali na gani a farkon farawa.

Shawara ta musamman

Kafin ka tattara magungunan daga murhun, ka tabbata cewa maganin zai fito fili. Idan an lura da laka ko ɓarna a cikin shiri, to ba za'a iya amfani dashi ba.

Yanayin zafin jiki na mafita don gudanarwa ya dace da zazzabi a ɗakin.

Mahimmanci! Idan mai haƙuri yana da cututtukan cututtuka, cututtukan thyroid, hypopituitarism, cutar Addison, raunin ƙwayar ƙwayar ƙwayar cuta, da kuma ga mutanen da suka haura shekaru 65, gyaran insulin ya zama dole.

Sanadin cututtukan hypoglycemia na iya zama:

1. Canza magani.
2. Yawan abin sama da ya kamata.
3. Skipping abinci.
4. Cututtukan da ke rage buƙatar maganin.
5. Vomiting, zawo.
6. Hypofunction na adrenal bawo.
7. Damuwar jiki.
8. Canja wurin allura.
9. Yin hulɗa tare da wasu kwayoyi.

Lokacin canja mai haƙuri daga insulin dabbobi zuwa insulin ɗan adam, rage raguwar ƙwayar sukari jini yana yiwuwa.

Bayani game da aikin miyagun ƙwayoyi Rosinsulin P

Rosinsulin P yana nufin magunguna tare da ɗan gajeren sakamako na hypoglycemic. Haɗa tare da mai karɓa daga cikin membrane na waje, mafita tana samar da hadaddun mai karɓar insulin. Wannan hadadden:

• yana ƙaruwa da kira na cyclic adenosine monophosphate a cikin hanta da ƙwayoyin mai,
• yana ƙarfafa hanyoyin kwantar da hankali (pyruvate kinases, hexokinases, glycogen synthases da sauransu).

Rage yawan sukari na jini yana faruwa saboda:

1. transportara safarar kayayyaki,
2. kara kuzari na glycogenogenesis, lipogenesis,
3. sunadaran gina jiki
4. haɓaka sha na ƙwayoyi ta kyallen,
5. raguwa cikin rushewar glycogen (saboda raguwa a cikin samar da glucose ta hanta).

Bayan subcutaneous management, sakamakon maganin yana faruwa a cikin minti 20-30. Matsakaicin mafi girman hankali a cikin jini an samu shi ne bayan sa'o'i 1-3, kuma ci gaba da aiki ya dogara da wuri da hanyar gudanarwa, kashi da halaye na mutum na mai haƙuri.