Zolemba ndi fanizo la "Protafan", malangizo ogwiritsira ntchito, ndemanga za mankhwala, mtengo wake

Tsambali limapereka mndandanda wazifanizo zonse za Protafan motsatira kapangidwe kake ndi chisonyezo chogwiritsidwa ntchito. Mndandanda wama analogi otsika mtengo, mutha kuyerekezeranso mitengo muma pharmacies.

• Analogue yotsika mtengo kwambiri ya Protafan:Humulin nph
• Analogue yotchuka kwambiri ya Protafan:Biosulin N
• Gulu la ATX: Insulin (munthu)
  

Mukamawerengera mtengo wake zotsika mtengo zotsikira mtengo wocheperako womwe umapezeka mumndandanda wamapulogalamu omwe amaperekedwa ndi ma pharmacies adaganiziridwa

Popeza mndandanda wamankhwala osokoneza bongo kutengera manambala a mankhwala omwe apemphedwa kwambiri

Analogs popanga ndi chisonyezo chogwiritsidwa ntchito

Mndandanda womwe uli pamwambapa wa analogies ya mankhwala, omwe akuwonetsa Protafan amalo, ndizabwino kwambiri chifukwa zimakhala ndi zinthu zomwe zimagwirizana ndipo zimagwirana molingana ndi chisonyezo chogwiritsidwa ntchito

Kuphatikizika kosiyanasiyana, kungagwirizane mukuwonetsa ndikugwiritsa ntchito njira

Kodi mungapeze bwanji analogue yotsika mtengo ya mankhwala okwera mtengo?

Kuti mupeze analogue yotsika mtengo kwa mankhwala, a generic kapena ofanana, choyambirira timalimbikitsa kulabadira kapangidwe kake, zomwe ndi zinthu zomwezi zomwe zikugwiritsidwa ntchito ndikuwonetsa. Zomwe zimagwiritsidwanso mosiyanasiyana ndi mankhwalawa zimawonetsa kuti mankhwalawo ndi ofanana ndi mankhwalawo, monga mankhwala ena kapena mitundu ina. Komabe, musaiwale za zovuta zomwe zimagwiritsidwa ntchito ndi mankhwala ofanana, omwe angakhudze chitetezo ndi kugwiranso ntchito. Musaiwale za malangizo a madotolo, kudzipereka nokha kungawononge thanzi lanu, chifukwa chake onani dokotala wanu musanagwiritse ntchito mankhwala.

Mtengo wa Protafan

Pamasamba omwe ali pansipa mutha kupeza mitengo ya Protafan ndikuti mupeze zakupezeka kwa mankhwala omwe ali pafupi

• Mtengo wa Protafan ku Russia
• Mtengo wa Protafan ku Ukraine
• Mtengo wa Protafan ku Kazakhstan

Kutulutsa Fomu

Protafan insulini imapezeka mu mawonekedwe a kuyimitsidwa kwa subcutaneous makonzedwe. Ma Ampoules a Protafana NM Penfill amadzaza mu makilogalamu atatu a 3 ml. Pali zidutswa 5 phukusi lililonse. Kuti mugwiritse ntchito, cholembera chosinthanso cha Protafan chimagulidwa mosiyana.

Kuyimitsidwa ndi koyera. Ngati ndi choncho, imayamba kugawika m'magulu, ndikupanga choyera komanso chopanda madzi pamwamba pake. Ndi chisokonezo, nyanjayo imazimiririka.

Pharmacodynamics ndi pharmacokinetics

"Protafan" ndi chithunzi cha insulin ya anthu okhala ndi nthawi yayitali. Amapangidwa ndi DNA yomwe imagwiridwanso ntchito pogwiritsa ntchito mtundu wina. Magulu a glucose amachepetsa chifukwa cha kuchuluka kwa kulowerera mkati mwa insulacularular pambuyo pomanga insulin ndi insulin receptors mu adipose ndi minofu minofu. Nthawi yomweyo, pali kuchepa kwa kuchuluka kwa shuga m'magazi.

Pazipita mankhwala, zimatheka pambuyo pa maola 4 mpaka 12 pambuyo pa kutsata, zotsatira zake zimapitilira pafupifupi tsiku limodzi.

Mafotokozedwewo akuwonetsa kuti kuchotsedwa kwa insulin m'magazi ndi mphindi zochepa chabe. Kukhalitsa kwa mankhwala kumakhudzana ndi kuchuluka kwa mayamwidwe. Zimatengera zinthu izi:

• Mlingo
• malo oyambitsa
• njira yoyendetsera
• makulidwe amafuta ochulukirapo,
• mtundu wa matenda ashuga.

Pa maphunziro a mankhwala a poizoni komanso ena omwe angathe kuvulaza thupi, zoopsa zake sizinakhazikitsidwe.

Zizindikiro ndi contraindication

Chizindikiro chachikulu ndi matenda ashuga mwa anthu, zomwe zimabweretsa kufunika kwa mankhwala a insulin, ngakhale atakhala zaka zingati. Ndi mtundu wa 1 wamatenda - chithandizo chimachitika kuyambira koyambirira kwa zovuta zamatumbo a carbohydrate, ndi mtundu wa 2 - pamene mankhwala apadera amkamwa sanapereke zotsatira zomwe zimayembekezereka ndipo hemoglobin ya glycated imaposa 9%. Komanso, Protafan imawerengedwa kuti azimayi apakati azikhala ndi matenda ashuga.

Protafan ndi oletsedwa zotsatirazi:

• kwambiri chifuwa
• Mbiri ya edema ya Quincke, yomwe idachitika ngati munthu wapereka insulin,
• chizolowezi cha hypoglycemia.

Zotsatira zoyipa

Zotsatira zoyipa za Protafan ndizophatikizira:

• Khungu lakhungu,
• thukuta
• kumverera kwakusweka mtima kwanu,
• kugwedezeka miyendo,
• njala
• chisangalalo
• mutu
• chizungulire
• kuwonongeka kwamawonekedwe.

Ichi ndi chisonyezo cha hypoglycemia, kukula kwambiri komanso kusakhalapo kwachangu pokonza njira zopsetsa mtima.

Zizindikiro za thupi lawo siligwirizana ndi mankhwala:

• zotupa pakhungu,
• anaphylactic shock,
• Edema wa Quincke.

Zomwe zimachitika m'deralo jakisoni zimatha - kuyabwa ndi kutupa. Ngati mutaba jekeseni nthawi yayitali pamalo amodzi, lipodystrophy imayamba.

Mlingo ndi bongo

Mankhwalawa amagwiritsidwa ntchito kokha pakhungu. Mlingowo umatsimikiziridwa ndi dokotala aliyense payekha, poganizira kuchuluka kwa shuga m'magazi.

Mlingo wamba umachokera ku 0,5 mpaka 1 IU / kg wa wodwala.

Ndi concomitant pathologies, makamaka ya matenda opatsirana komanso ndi malungo, amafunikira kupaka jakisoni mankhwala.

Kusintha kwa Mlingo kumafunikira kuwonongeka kwa chiwindi, impso, adrenal gland, chithokomiro cha chithokomiro kapena gland.

Mlingowo umasinthidwa chifukwa cha zochitika zolimbitsa thupi kapena chifukwa cha kusintha kwa zakudya, mukamachotsa kuchokera ku insulin imodzi kukonzekera kupita ku ina.

Hypoglycemia chifukwa cha mankhwala osokoneza bongo amatha kupita pang'onopang'ono. Izi zimachitika pamene mlingo umapitilira pafupipafupi kuchokera pazosowa zomwe adokotala akhazikitsa.

Ndikothekanso kuyimitsa nokha mitundu ya mankhwala osokoneza bongo mwakumwa shuga kapena chakudya chokhala ndi zovuta kuphatikizira. Chifukwa cha chiopsezo cha hypoglycemia, odwala matenda ashuga ayenera kukhala ndi magawo ochepa a shuga kapena maswiti.

Mukumwa kwambiri komanso kuwonongeka kwa chikumbumtima, 0,5-1 mg wa glucagon amaperekedwa. Subcutaneous kapena jekeseni wamkati. Dextrose ndi chida champhamvu kwambiri - kutsatira njirayi, imayendetsedwa ndi katswiri wazachipatala wodziwa kukhazikitsa jakisoni.

Kuchita

Matenda a shuga ndi njira yodwala yomwe nthawi zambiri imadzetsa zovuta kuchokera ku ziwalo ndi machitidwe osiyanasiyana. Zochizira zamavuto, njira zowonjezera zothandizira zimafunikira. Pankhaniyi, ndikofunikira kudziwa momwe mankhwala ena alili ndi cholumikizira cha insulin. Dokotala ayenera kusintha mlingo.

Zotsatira za "Protafan"

• Mankhwala onse okhala ndi ethanol ndi gulu lalikulu, motero musanagwiritse ntchito mankhwala aliwonse ndibwino kuwonjezera mawonekedwe ake,
• ACE inhibitors - gulu la mankhwala omwe amagwiritsidwa ntchito mochizira matenda oopsa,
• Mao inhibitors - mankhwala oletsa kupanikizika omwe amapezeka mu psychiatry,
• anabolic steroids
• osasankha beta-blockers - ogwiritsidwa ntchito pochiza matenda amtima,
• mapiritsi a pakamwa zochizira hyperglycemia,
• mankhwala omwe ali ndi lithiamu
• tetracycline antibacterial mankhwala, sulfonamides,
• Vitamini B6
• carbonic anhydrase inhibitors - gululi limaphatikizapo kuchuluka kwa mankhwala omwe ali ndi diuretic zotsatira,
• clofibrate - amachepetsa kuchuluka kwa otsika kolesteroli m'magazi,
• ketoconazole - mankhwala oletsa mycoses,
• fenfluramine - mankhwala wokhazikitsa chikumbumtima,
• bromocriptine - mankhwala ogwiritsidwa ntchito pachipatala,
• cyclophosphamide - mankhwala antitumor,
• mebendazole - mankhwala zochizira helminth,
• theophylline ndi bronchodilator.

Kwa odwala omwe amafunikira chithandizo ndi mankhwalawa, amafunika kuchepetsa mlingo wa kukonzekera kwa insulin panthawi yomwe akukonzekera.

Njira zotsatirazi zikuwonjezera mphamvu za Protafan:

• blockers of calcium pang'onopang'ono njira, mwanjira ina calcium otsutsa - ntchito pa matenda oopsa,
• mahomoni a chithokomiro - amagwiritsidwa ntchito ngati chithandizo chothandizira,
• glucocorticosteroids,
• amphanomachul
• njira zakulera pakamwa,
• mankhwala antidepressants,
• antihypertensive mankhwala "Clonidine",
• anti-khunyu mankhwala - "Phenytoin",
• nicotinic acid
• chikonga
• heparin
• morphine
• kukula kwamafuta somatotropin,
• diazoxide yotsatsa komanso okodzetsa,
• dinazole - amagwiritsidwa ntchito pofuna kuchiza endometriosis ndi zotupa zina zamchiberekero zazimayi.

Zinthu zina zomwe zimapezeka m'mankhwala ndi mankhwalawo zimatha kuthana ndi kuchuluka kwa shuga m'njira zosiyanasiyana - ndiko kuti, kuwonjezeka kapena kuchepa. Zinthu izi zimaphatikizapo mowa, reserpine, salicylates.

Pali mfundo yofunika yogwiritsira ntchito mankhwala onse omwe ali ndi insulin - chithandizo chovuta chokhacho povomerezeka, kuphatikiza komwe kumatsimikiziridwa mwapadera ndi maphunziro apadera azachipatala.

Pafupifupi chithunzi chonse cha Protafan chimafotokozedwa pagome. Kusiyana kwawo kumangokhala mtengo komanso wopanga.

Malinga ndi lingaliro la sayansi ya zamankhwala, posintha "Protafan" kukhala cholowa m'malo ndi chinthu chomwe chikugwiridwachi ntchito, izi sizingafanane ndi kusintha kwa mtundu wina wa insulin. Ngakhale mankhwala sawonetsa dzina lamalonda la mankhwalawo, koma chinthu chomwe chimagwira. Koma, m'malo mwake, izi zitha kubweretsa zovuta, kuwongolera glycemic, kumafuna kusintha kwa mlingo ndikupangitsa hypersensitivity. Mlingo wa hemoglobin wa glycated ndi wabwinobwino, ndipo vuto la hypoglycemia silimachitika kapena kusakhalitsa kwambiri, sizikulimbikitsidwa kuti musiye chithandizo ndi Protafan.

"Protafan" ndi kukonzekera kwamphamvu kwa insulini, ndipo makulidwe muyenera kukhala osamala kuti musayambitse hypoglycemia. Ndinalembedwera zaka zingapo zapitazo, ndipo nditangoyamba kumwa koyamba kuchitika kumeneku. Pambuyo kusintha mlingo, zonse zinali bwino, shuga ndi wabwinobwino.

Ndimagwiritsa ntchito Protafan kuphatikiza ndi Actrapid. Ndine wokhutira ndi zomwe zimachitika, glucose wakhala wabwinobwino kwa nthawi yayitali, palibe zolephera.

Mankhwala amayenera kusungidwa kuti mwana asamve. Mumafakitale a Protafan mutha kugula mosamalitsa malinga ndi zomwe mumalemba. Mtengo wapakati wa ma ruble 400. pa botolo limodzi ndi 800 - 1000 ma cartridge.

Pomaliza

Mankhwalawa amagwiritsidwa ntchito mosamala m'magulu osiyanasiyana a matenda a shuga mellitus, omwe, kumene, amatsimikizira kugwira ntchito kwake. Phindu labwino pa odwala matenda ashuga limadziwika. Madokotala ndi odwala nthawi zambiri amalankhula zabwino za Protafan. Zimakuthandizani kuti muzikhala ndi shuga mumagazi komanso kupewa zovuta zamatendawa, mutapatsidwa kusankha koyenera kwa mankhwala, muyezo.