Mankhwala Insuvit N: malangizo ntchito

Zikho. zolimba. fl. polymer., No. 100

Buku 1 lolimba lili:

zinthu zazikulu: kufufuma kowuma kwa mtengo wa sinamoni (Cinnamomum zeylanicum) - 50 mg, zipatso zowuma za momordiki (Momordica charantia) - 25 mg, Vitamini PP (niacinamide) - 7 mg, nthaka (nthaka ya zinc citrate) - 2 mg, benfotiamine - 0,5 mg, vitamini H (biotin) - 15 μg, chromium (mwanjira ya chromium picolinate) - 6 μg, selenium (mwanjira ya sodium selenite) - 5 μg, vitamini B12 (cyanocobalamin) - 1,2 μg,

zotupa: maltodextrin, magnesium stearate (filler), kapisozi: gelatin, utoto - titanium dioxide, chikasu chitsulo okusayidi, wabuluu wokhala ndi dzina la V.

MISONKHANO:

Insuvit ndi antiglycemic zovuta za mavitamini a B, michere ndi zomanga zam'mera.

Kutulutsa kouma kwa khungwa la sinamoni kumawonjezera chidwi cha minofu ku glucose, kumachepetsa kuchuluka kwa shuga m'magazi am'magazi ndi hyperglycemia. Ili ndi katundu wa antioxidant. Matenda amtundu amachititsa kunenepa kwambiri.

Kuuma kwa zipatso za momordica pang'onopang'ono kumachepetsa kuchuluka kwa shuga m'magazi ndikotsatira kwake. Matenda amtundu amachititsa kunenepa kwambiri. Amachepetsa cholesterol mu hypercholesterolemia. Imachepetsa kuthamanga kwa magazi mu matenda oopsa.

Vitamini PP (niacinamide) amalepheretsa kuwonongeka kwa maselo a pancreatic omwe amapanga insulin komanso amalepheretsa kukula kwa matenda a shuga a mtundu I. Imalimbitsa makoma amitsempha yamagazi, imasintha mphamvu kagayidwe.

Zinc ndi gawo la ma enzymes ambiri, amatenga nawo mbali zamtundu uliwonse wa metabolism, imathandizira zochita za insulin. Zimatenga nawo gawo pogawa ndikusiyanitsa maselo, zimathandizira kusintha kwa khungu komanso kukula kwa tsitsi, ndikuwonetsanso katundu wa immunomodulating. Amatenga nawo mbali pazomwe zimachitika pakuwona kwa masomphenyawo, kugwira ntchito kwa timimba ta endocrine.

Benfotiamine amateteza kagayidwe kazinthu, imathandizira kuti magwiridwe antchito amanjenje, iteteze maselo amitsempha ku zovuta za hyperglycemia. Amathandizira kagayidwe kazinthu, neuro-Reflex regulation, imakhudza mayendedwe amanjenje a cholinergic synapses. Imagwira gawo lalikulu mu chakudya komanso mphamvu zama metabolism a minyewa komanso minofu.

Vitamini H (biotin) amagwira ntchito yofunika kwambiri pakuphatikiza chakudya, mapuloteni komanso metabolism yamafuta. Kulimbitsa kaphatikizidwe wa glucokinase, imayendetsa kagayidwe kakang'ono ka glucose, kumawonjezera gluconeogeneis. Zimathandizira kukhazikika kwamisempha yamagazi.

Amachita nawo mafuta acid metabolism ndi kugwiritsidwa ntchito kwamafuta.

Chromium imakhudzana ndi kayendedwe ka glucose wamagazi, imathandizira zochita za insulin machitidwe onse a metabolic.

Selenium imawonjezera kupanga kwa insulin, imapangitsa kuyamwa kwa glucose ndi minofu, komanso kuchepetsa mphamvu yamaselo.

Vitamini B12 (cyanocobalamin) imakhudzidwa ndi kaphatikizidwe ka ma nucleotides, ndiofunikira kwambiri pakukula, hematopoiesis ndi kukula kwa maselo a epithelial. Zimatenga nawo mbali popanga myelin, yomwe ndi gawo lofunika kwambiri pachiphuphu cha mitsempha. Zimawonjezera kuthekera kokukonzanso minofu. Amachepetsa mawonetseredwe a matenda ashuga a m'mimba.

MALANGIZO OGULITSIRA:

Ndikulimbikitsidwa ngati chakudya chowonjezera pachakudya monga chowonjezera cha mavitamini, mchere ndi zowonjezera zam'mera pofuna kuteteza matenda a shuga mellitus (mtundu wa I ndi II) komanso kupewa zovuta (metabolic syndrome, kunenepa kwambiri) komanso pamapulogalamu kuti achulukitse kunenepa kwambiri. Imathandizira kusintha kagayidwe ka mapuloteni, mafuta ndi chakudya, kuchepetsa minyewa kukana insulini, kukhazikika m'magazi a shuga. Matenda amtundu amachititsa kunenepa kwambiri. Amachepetsa mawonetseredwe a matenda ashuga a m'mitsempha, amakongoletsa mkhalidwe wamitsempha yamagazi ndi ma capillaries.

Gwiritsani ntchito makapisozi a Insuvit mukatha kudya:

Ana azaka zopitilira 12 ndi kupitilira: kapisozi imodzi patsiku,
akulu makapisozi 1-2 patsiku.

Kutalika kwa ntchito ndi miyezi 1-1.5. Kutalika kwa kugwiritsa ntchito kwina kuli kovomerezedwa ndi dokotala. Musanagwiritse ntchito, ndikulimbikitsidwa kuti mukafunsire kwa dokotala.

Kutulutsa mafomu ndi kapangidwe kake

Mankhwalawa amapezeka ngati jakisoni. Kapangidwe kake kamakhala ndi 100 MO ya insulin ya anthu komanso zotulutsa:

glycerin
metacresol
zinc oxide
madzi a jakisoni
kuchepetsedwa hydrochloric acid kapena sodium hydroxide solution.

Pali chowonjezera chowonjezera chakudya - Insuvit m'mabotolo. Chochita, chomwe chimapangidwa kuti chithandizire kuphatikiza mphamvu, chimakhala ndi zochuluka za makungwa a sinamoni ndi zipatso za momordiki. Kuphatikizikako kulinso ndi 7 mg ya vitamini PP, 2 mg ya zinc, 0,5 mg wa benfotiamine, 15 μg ya biotin, 6 μg ya chromium, 5 μg ya selenium (mwanjira ya sodium selenite), 1,2g ya vitamini B12.

Zotsatira za pharmacological

Chidacho chimatenga nawo mbali mu kagayidwe kachakudya. Insulin imatha kumangiriza ma cell ndi mafuta am'mimba. Kupanga kwa glucose m'chiwindi kumachepetsedwa ndipo kuyamwa kwa chinthuchi ndi minofu kumatha. Mankhwalawa amayamba kuchita theka la ola. Zotsatira zake zimatha maola 7 mpaka 8. Kuchuluka kwa insulin kumawonekera patatha maola awiri ndi atatu.

Insuvit mu makapisozi adapangidwa kuti apititse mphamvu kagayidwe, kamakhala ndi zochuluka za makungwa a sinamoni ndi zipatso za momordiki.

Zakudya zowonjezera Insuvit zimasintha kukula kwa shuga. Chromium imakhudzidwa ndi kayendedwe ka kaphatikizidwe ka mafuta ndi kagayidwe kazakudya. Itha kugwiritsidwa ntchito mu zovuta za matenda a shuga mellitus, hypercholesterolemia.

Pharmacokinetics

Zambiri za Pharmacokinetic zimatha kusiyanasiyana kuchokera kwa wodwala mpaka wodwala, kutengera Mlingo, tsamba la jakisoni, mtundu wa matenda ashuga. Patatha maola 2-3 mutatha kuyendetsa makina, plasma ndende imafika patali. Zinthu za mankhwalawa sizigwirizana ndi mapuloteni a plasma ndipo samapukusidwa. Choyeretsedwa ndi insulin protein kapena ma enzyme. Hafu yachotsedwa 2 mpaka 5 maola.

Momwe mungatenge Insuvit N

Chida chitha kugwiritsidwa ntchito molumikizana ndi insulin.

Kufunika kwa insulin kwa wodwala aliyense ndikosiyana ndipo kumatha kuyambira 0,3 mpaka 1.0 IU / kg patsiku. Kuchulukitsa kwa mankhwalawa kungafunikire kunenepa kwambiri, zakudya zapadera kapena kutha msinkhu. Kuchepetsa kwa mankhwalawa kungafunikire pakuwonjezera kupanga kwa insulin mthupi.

Mlingo uyenera kusintha kutentha, matenda, impso, chiwindi, adrenal gland, chithokomiro cha chithokomiro.

Mukabaya jekeseni, malamulo otsatirawa ayenera kuwonedwa:

Moisten thonje ubweya ndi mowa ndikuthira manyowa nembanemba.
Pakhola la syringe, jambulani mpweya pang'ono ndikulowetsa m'botolo ndi mankhwala.
Gwedeza botolo ndikupeza mankhwala okwanira. Musanalowe pansi pa khungu, onetsetsani kuti mulibe mpweya mu syringe.
Ndi zala ziwiri, muyenera kupanga khola pakhungu ndikuyika syringe yoyipitsidwa.
Ndikofunika kudikirira masekondi 6 ndikuchotsa syringe.
Pamaso pa magazi, ubweya wa thonje umayikidwa.

Mowa umawononga insulin, chifukwa chake simuyenera kugwiritsa ntchito mankhwalawa kuti mupeze jakisoni. Malowo a jakisoni sayenera kuzitikita pambuyo pa njirayi.

Mankhwalawa amaperekedwa mosavuta kapena m'mitsempha. Mutha kulowa mosadukiza m'tchafu, matako, m'mimba, minofu yofiyira ya phewa.

Ndi kukhazikitsidwa kwa mankhwalawa m'mimba, zotsatira zimachitika mwachangu. Ndikwabwino kubaya m'malo osiyanasiyana kuti muchepetse kuwonongeka kwa mafuta. Dokotala yekha ndi amene amatha kupanga jakisoni wamkati.

Kumwa mankhwala a shuga

Mankhwalawa adapangira zochizira odwala omwe ali ndi matenda osokoneza bongo. Tengani monga adalangizidwa ndi dokotala.

Zotsatira zoyipa za Insuvit N

Insuvit ikhoza kuyambitsa zotsatirazi:

kutsika kwa ndende ya magazi,
zowonongeka zosiyanasiyana
kuchuluka kwakanthawi kwa matenda ashuga retinopathy,
anaphylaxis,
zotupa zopweteka za mitsempha ndi minofu,
kuchepa kwamafuta.

Zizindikiro zakupezeka jakisoni, monga ululu, urticaria ndi kutupa, zimazimiririka msanga.

Mankhwala

Kuchulukitsa kwa shuga kwa insulin ndikulimbikitsa kutuluka kwa glucose pogwiritsa ntchito minofu pambuyo pomangiriza insulini mpaka ma cell a minofu ndi mafuta, komanso kuletsa kutulutsa kwa glucose ku chiwindi.

Insuvit ® N ndikonzanso insulin.

Kukhazikika kwa zochita kumawonedwa pakadutsa mphindi 30, mphamvu kwambiri imatheka mkati mwa maola 1.5-3,5, nthawi yochita pafupifupi maola 7-8.

Hafu ya moyo wa insulini kuchokera m'magazi ndi mphindi zingapo, kotero chikhalidwe cha kukonzekera kwa insulin chimachitika chifukwa cha mayankho ake. Njirayi imatengera zinthu zingapo (mwachitsanzo, kuchuluka kwa insulin, njira ndi malo a jakisoni, kukula kwa minyewa yamkati, mtundu wa matenda ashuga), omwe amachititsa kusiyanasiyana kwakukulu kwa zotsatira za kukonzekera kwa insulin mwa odwala ndi odwala osiyanasiyana.

Mafuta Kuchuluka kwa ndende ya plasma kumachitika mkati mwa 1.5-2,5 mawola atatha kulowetsedwa.

Kugawa. Kumanga kwofunikira kwa insulini kumapuloteni a plasma, kupatulapo kuzungulira kwa ma antibodies kwa iye (ngati alipo), sikunapezeke.

Kupenda. Insulin yaumunthu imapangidwa ndi ma insulin protein kapena ma enzyme omwe amachititsa kuti insulin iwonongeke komanso, mwina, mapuloteni disulfide isomerase. Masamba angapo adadziwika momwe hydrolysis ya molekyulu ya insulin yamunthu imachitikira. Palibe imodzi mwa metabolites yomwe imapangidwa pambuyo pa hydrolysis imakhala ndi zochita zachilengedwe.

Kuthetsa. Kutalika kwa theka la moyo wa insulini kumatsimikiziridwa ndi kuchuluka kwa mayamwidwe ake kuchokera ku minofu yokhala ndi subcutaneous. Ichi ndichifukwa chake nthawi ya theka-lomaliza la moyo (t½) imawonetsa kuchuluka kwa mayamwidwe komanso osachotsedwa (mwakutero) wa insulin kuchokera m'madzi am'magazi (t½ ya insulin kuchokera m'magazi ndi mphindi zochepa). Malinga ndi kafukufuku, t½ ndi maola 2-5.

ana ndi achinyamata. Zambiri zochepa zimawonetsa kuti mbiri ya pharmacokinetic ya insulin mwa ana, achinyamata ndi achikulire ali ofanana. Komabe mulingo c_max (pazambiri kuchuluka) anali osiyana ana a misinkhu yosiyanasiyana, zomwe zikuwonetsa kufunikira kwa kusankha kwa mankhwala.

Malangizo apadera

Ngati mankhwala atha mwadzidzidzi kapena mutha kumwa mankhwala osakwanira, hyperglycemia imatha kuchitika. Ndi mawonekedwe a kusanza, nseru, ludzu, ludzu komanso kukodza pafupipafupi, ndikofunikira kusintha mlingo. Ngati mumalowa muyezo waukulu, glucose amatha kutsika kwambiri mpaka pamavuto.

Mankhwala si abwino kwa nthawi yayitali, yoyatsidwa, yoyendetsedwa.

Osagwiritsa ntchito yankho lomwe kale linali lowunduka kapena lomwe limasinthasintha mitambo.

Contraindication

Hypoglycemia. Hypersensitivity kwa insulin yaumunthu kapena zilizonse zomwe zimapangitsa kuti pakhale mankhwala.

Kuyanjana ndi mankhwala ena ndi mitundu ina yoyanjana.

Monga mukudziwa, mankhwalawa amakhudza kagayidwe kakang'ono ka glucose.

Mankhwala omwe amatha kuchepetsa kufunika kwa insulin: oral hypoglycemic agents (PSS), monoamine oxidase inhibitors (MAOs), osasankha b-blockers, angiotensin kutembenuza enzyme inhibitors (ACEs), salicylates, anabolic steroids ndi sulfonamides.

Mankhwala omwe amatha kuwonjezera kufunika kwa insulin: kulera kwapakamwa, thiazides, glucocorticoids, mahomoni a chithokomiro, sympathomimetics, kukula kwa mahomoni ndi danazole.

B-blockers amatha kumasula zizindikiro za hypoglycemia ndikuchira pang'onopang'ono pambuyo pa hypoglycemia.

Octreotide / lanreotide imachepetsa ndikuwonjezera kufunika kwa insulin.

Mowa ungapangitse kapena kuchepetsa mphamvu ya insogulin.

Kusakwanira kwa dosing kapena kusiya kulandira chithandizo (makamaka ndi matenda a shuga a mtundu wa I) kungayambitse matenda a hyperglycemia. Nthawi zambiri, zizindikiro zoyambirira za hyperglycemia zimayamba pang'onopang'ono kwa maola angapo kapena masiku. Izi zimaphatikizapo ludzu, kusanza kukoka pafupipafupi, kusanza, kusanza, kugona komanso kuyanika pakhungu, pakamwa pouma, kusowa chakudya, komanso kununkhira kwa acetone mumlengalenga.

Mtundu woyamba wa matenda a shuga, matenda a hyperglycemia osadwala amatsogolera ku matenda ashuga a ketoacidosis, omwe amapha.

Hypoglycemia imatha kukhala ndi mlingo waukulu kwambiri wa insulin chifukwa cha kufunika kwa insulin.

Kudumpha zakudya kapena kuchita masewera olimbitsa thupi mosayembekezereka kungayambitse hypoglycemia.

Odwala omwe asintha kwambiri magazi a glucose chifukwa cholimbitsa kwambiri insulin amatha kuwona kusintha kwazizindikiro za okhazikika a hypoglycemia, omwe amayenera kuchenjezedwa pasadakhale.

Zizindikiro zachilendo zimatha kutha kwa odwala omwe ali ndi matenda ashuga a nthawi yayitali.

Kusamutsa wodwala kupita ku mtundu wina kapena mtundu wa insulin kumachitika moyang'aniridwa ndi achipatala. Zosintha mu ndende, mtundu (wopanga), mtundu, magwero a insulin (yaumunthu kapena analog ya insulin ya anthu) ndi / kapena njira yopangira ingapangitse kusintha kwa insulin. Odwala omwe amasamutsidwa ku Insuvit ® N ndi mtundu wina wa insulin angafunikire kuwonjezera kuchuluka kwa jakisoni tsiku ndi tsiku kapena kusintha mlingo. Kufunika kochita kusankha kwa mankhwalawa kumatha kuchitika pakukhazikitsa mankhwala atsopano, komanso pakubwera milungu ingapo kapena miyezi ingapo yogwiritsidwa ntchito.

Mukamagwiritsa ntchito mankhwala aliwonse a insulini, zimachitika mu jakisoni wa jekeseni, zomwe zingaphatikizepo kupweteka, kufiyira, kuyamwa, ming'oma, kutupa, kufinya, ndi kutupa. Kusintha kosalekeza m'malo a jakisoni, ngakhale mkati momwe momwe, kungachepetse kapena kuletsa kupezeka kwa izi. Amakumana zimatha patapita masiku angapo kapena milungu. Nthawi zina, zomwe zimachitika jakisoni jakisoni zingafune kutha kwa chithandizo ndi Insuvit ® N.

Asanayende ndikusintha kwamagawo, odwala ayenera kufunsa dokotala, chifukwa izi zimasintha jakisoni wa insulin komanso kudya.

Insuvit ® N sayenera kugwiritsidwa ntchito kumapampu a insulin pakuyendetsedwera kwa nthawi yayitali chifukwa cha chiwopsezo chokhala m'matumba.

Pamene thiazolidinediones amagwiritsidwa ntchito limodzi ndi insulin, milandu yovuta ya mtima yanenedwa, makamaka kwa odwala omwe ali pachiwopsezo. Izi ziyenera kuganiziridwa popereka mankhwala ndi mankhwala a thiazolidatediones ndi insulin. Ndi kuphatikiza kwa mankhwalawa, odwala ayenera kuyang'aniridwa ndi dokotala kuti azindikire nthawi yake zizindikiro za mtima wosakhazikika, kuchuluka kwa kulemera komanso kupezeka kwa edema. Pakakhala kuwonongeka mu ntchito ya mtima, mankhwalawa ndi thiazolidatediones ayenera kusiyidwa.

Insuvit ® N imakhala ndi metacresol, yomwe imatha kuyambitsa zovuta.

Gwiritsani ntchito pa nthawi yoyembekezera kapena mkaka wa m'mawere.

Popeza insulin siyidutsa chotchinga, palibe malire ku chithandizo cha matenda ashuga omwe ali ndi insulin panthawi yapakati. Ndikulimbikitsidwa kulimbikitsa kuwongolera kwamisempha yamagazi komanso kuwunika kwamankhwala azimayi oyembekezera omwe ali ndi matenda ashuga panthawi yonse yomwe ali ndi pakati, komanso ngati ali ndi pakati, chifukwa kuyang'anitsitsa kwa shuga kumawonjezera chiopsezo cha kusokonezeka kwa fetus komanso kufa.

Kufunika kwa insulin nthawi zambiri kumachepa mu trimester yoyamba ya kutenga pakati ndikuwonjezeka kwambiri mu trimesters yachiwiri ndi yachitatu.

Pambuyo pobereka, kufunikira kwa insulin kumabwereranso msanga.

Palibenso zoletsa zina pa matenda a matenda a shuga ndi insulin panthawi yoyamwitsa, popeza chithandizo cha mayi sichikhala pachiwopsezo chilichonse kwa mwana. Komabe, zingakhale zofunikira kusintha mlingo wa mankhwala ndi / kapena chakudya cha mayi.

Kutha kukopa momwe zinthu zikuyendera mukamayendetsa magalimoto kapena njila zina.

Kuyankha kwa wodwalayo komanso kuthekera kwake kochita chidwi kukhoza kukhala ndi vuto la hypoglycemia. Izi zimatha kukhala pangozi pazochitika zomwe luso ili ndilofunika kwambiri (mwachitsanzo, poyendetsa galimoto kapena makina).

Odwala ayenera kulangizidwa kuti azichita zinthu zoteteza hypoglycemia musanayendetse. Izi ndizofunikira kwambiri kwa odwala omwe afooka kapena kulibe zizindikiritso za hypoglycemia kapena zochitika za hypoglycemia zimachitika pafupipafupi. Zikatero, kuyendetsa bwino kwambiri kuyenera kuyesedwa.

Mlingo ndi makonzedwe

Insuvit ® N ndi mankhwala osokoneza bongo, chifukwa chake amagwiritsidwa ntchito limodzi ndi insulin.

Mlingo wa insulin ndi munthu payekha ndipo amatsimikiza ndi dokotala mogwirizana ndi zosowa za wodwala.

Chofunikira cha insulin tsiku lililonse chimakhala kuyambira pa 0.3 mpaka 1.0 IU / kg / tsiku. Kufunikira kwa insulin tsiku ndi tsiku kumatha kuwonjezeka kwa odwala omwe ali ndi insulin kukaniza (mwachitsanzo, kutha msinkhu kapena kunenepa kwambiri) ndikuchepa kwa odwala omwe amapanga insulin yachilendo kwambiri.

Jekeseni iyenera kuchitidwa mphindi 30 chakudya chachikulu kapena chowonjezera chomwe chili ndi chakudya.

Matenda obvuta, makamaka matenda ndi kutentha thupi, nthawi zambiri zimawonjezera kufunikira kwa insulin. Concomitant impso, chiwindi, kapena adrenal, pituitary, kapena matenda a chithokomiro amafuna kusintha kwa insulin.

Kusintha kwa Mlingo kumafunikanso ngati odwala asintha zochita zawo kapena zolimbitsa thupi. Kusankhidwa kwa Mlingo kumakhalanso kofunikira posamutsa odwala kukonzekera insulin ina.

Insuvit ® N yapangidwira jakisoni wotsekemera kapena wamkati.

Insuvit ® N nthawi zambiri imayendetsedwa mosazungulira mdera lakhoma lamkati, komanso m'chiuno, matako kapena minofu ya m'mapewa.

Ndi jakisoni wotsekemera m'chigawo cha khoma lachiberekero lam'mimba, kulowetsedwa kwa insulin kumachitika mwachangu kuposa momwe jakisoni wa ziwalo zina za thupi.

Kuti muchepetse chiopsezo cha lipodystrophy, tsamba la jekeseni liyenera kusinthidwa nthawi zonse, ngakhale mkati momwe mwa thupi.

Jakisoni wa mu mnofu amatha kuchitidwa moyang'aniridwa ndi achipatala.

Insuvit ® N imathanso kutumikiridwa kudzera m'mitseko. Majakisoni amayenera kuchitidwa ndi dokotala okha.

Gwiritsani ntchito makina amkati

Mankhwala Insuvit ® N pamwambo wa insulin ya anthu kuyambira 0,05 IU / ml mpaka 1.0 IU / ml mu kulowetsedwa njira yomwe imakhala ndi 0.9% sodium chloride, 5% kapena 10% glucose ndi 40 mmol / l potaziyamu wa potasiamu ndipo mu zotumphukira za polypropylene, khola maola 24 firiji. Ngakhale ndikukhazikika kwanthawi yayitali, kuchuluka kwa insulini kumatha kusinthidwa ndi mkati mwa thankiyo. Nthawi ya infusions, ndikofunikira kuyang'anira kuchuluka kwa shuga m'magazi.

Insuvit ® N silinapangidwe kuti agwiritsire ntchito mapampu a insulin pakuyendetsa kwa nthawi yayitali.

Musagwiritse ntchito Insuvit ® N:

▶ m'mapampu a kulowetsedwa,

▶ ngati mumalephera kugwirizanitsa ndi insulin ya munthu kapena mankhwala ena a Insuvit ® N,

▶ ngati mukukayikira kuti mukupanga hypoglycemia (shuga wotsika magazi),

Ngati chumacho sichinasungidwe kapena chisanu,

The ngati insulini siyowonekera komanso yopanda utoto.

Musanagwiritse ntchito Insuvit ® N:

▶ Chongani lembalo kuti muwonetsetse kuti mtundu wa insulin ndi wokhazikika.

Momwe mungagwiritsire ntchito insulin iyi

Insuvit ® N imayendetsedwa ndi jakisoni pansi pa khungu (subcutaneally). Nthawi zonse sinthani malo opaka jekeseni, ngakhale mkati mwa thupi limodzi, kuti muchepetse kuyambitsidwa kwa zisindikizo kapena zikwangwani pakhungu. Malo abwino kwambiri odzivulaza ndi kutsogolo pamimba, matako, kutsogolo kwa ntchafu kapena mapewa. Insulin imafulumira ngati jekeseni m'chiuno.

Ngati ndi kotheka, Insuvit ® N imatha kuperekedwanso pamitsetse, ndi adokotala okha omwe amatha kuchita jakisoni.

Pamaso pa mankhwala: onetsetsani kuti kumalizidwa kwa syringe kumafanana ndi kuchuluka kwa insulin komwe kumawonetsedwa pa cholembera cha vial: 100 IU / ml. Gwiritsani ntchito ma syringes pokhapokha omaliza maphunziro omwe amafanana ndi kuchuluka kwa insulini mu vial iyi.

Musanisonkhanitse insulini kuchokera ku vial, ndikofunikira kuti muwone momwe yankho likuonekera. Zikaphulika, ndikuyang'ana yankho, kupendekera kapena kuwonekera kwa kapu ya botolo, ndizoletsedwa kugwiritsa ntchito mankhwalawa!

Kukhazikitsa kwa singano mumtsempha wamagazi kuyenera kupewedwa. Pambuyo pa mankhwala, mankhwalawa sayenera kuzikhuthula.

Mukamapangira jakisoni, muyenera kutsatira malamulo a asepsis. Popewa zotupa zong'ambika, musagwiritse ntchito syringe yotaya.

1. Ulusi wa mphira uyenera kutetezedwa ndi thonje lothira mu mowa wakuchipatala.

2. Jambulani mu syringe kuchuluka kwa mpweya wofanana ndi mlingo wa insulin.

3. Ikani zomwe zili mu syringe mu vial ya insulin.

4. Sansani vial ndi kujambula kuchuluka kwa insulin mu syringe. Chongani ma kamuzu mu syringe, yang'anani mlingo womwe umayendetsedwa.

5. Lowetsani insulin mwanjira ina.

Momwe mungapangire insulin:

- koka khungu ndi zala ziwiri, ikani singano pansi pa khungu ndikuyika zomwe zili mu syringe,
- sungani singano pansi pa khungu kwa masekondi 6 ndikuonetsetsa kuti insuliniyo yayikiratu, chotsani singano,

- ngati magazi adawoneka pakhungu pambuyo poti singano yatulutsidwa, ikanikizeni kwambiri m'derali pakhungu ndi swab thonje.

Pakukhazikitsa Insuvit ® N, ndikofunikira kugwiritsa ntchito cholembera malinga ndi malangizo ake mwatsatanetsatane kuti mugwiritse ntchito. Kudzazidwa kwa cartridge sikuloledwa. Cholembera ndi chongogwiritsa ntchito nokha. Ndikofunikira kutsatira mosamalitsa malangizo a wopanga ogwiritsa ntchito cholembera.

Monga kukonzekera konse kwa insulin, Insuvit ® N siyingasakanikirane ndi mayankho okhala ndi zinthu zochepetsera, zomwe ndi thiols ndi sulfites.

Kukonzekera kwa inshuwaransi yaumunthu yogwiritsira ntchito insulin ndi mankhwala othandiza komanso otetezeka pochiza matenda amishuga amisinkhu yosiyanasiyana ya ana ndi achinyamata.

Kufunika kwatsiku ndi tsiku kwa ana ndi achinyamata zimatengera gawo la matendawa, kuchuluka kwa thupi, zaka, kudya, kuchita masewera olimbitsa thupi, kuchuluka kwa insulini komanso mphamvu ya glycemia.

Bongo

Ngakhale lingaliro lenileni la mankhwala osokoneza bongo silinapangidwe ka insulin, hypoglycemia mwa njira zotsatizana ikhoza kukhazikitsidwa pambuyo pa utsogoleri wake ngati Mlingo womwe ndi wokwera kwambiri poyerekeza ndi zomwe wodwala akufuna.

Hypoglycemia yofatsa imatha kuthandizidwa pakukulitsa shuga kapena shuga. Chifukwa chake, odwala matenda ashuga amalimbikitsidwa kuti azikhala ndi zinthu zingapo zomwe zimakhala ndi chakudya.

Ngati hypoglycemia yavuta kwambiri, wodwalayo akakhala kuti alibe chikumbumtima, omwe aphunzitsidwa amayenera kupereka glucagon mosadukiza kapena mu mnofu (kuyambira 0,5 mpaka 1.0 mg). Katswiri wazachipatala amatha kuperekera shuga kwa wodwala kudzera m'mitsempha. Glucose amafunikiranso kuperekera magazi mkati mwa wodwala ngati sakuyankha ku glucagon mkati mwa mphindi 10-15.

Wodwalayo akayambanso kudziwa, ayenera kugwiritsa ntchito zakudya zomwe zili ndi chakudya kuti asayambenso kudwala.

Zotsatira zoyipa

Zotsatira zoyipa kwambiri za mankhwala ndi hypoglycemia. Chiwopsezo cha hypoglycemia chimasiyanasiyana m'magulu osiyanasiyana a odwala, omwe ali ndi mitundu yosiyanasiyana ya mitundu komanso kuchuluka kwa kayendedwe ka glycemic.

Kumayambiriro kwa mankhwala a insulin, zolakwika zotupa, edema ndi zochita ku malo a jakisoni (kupweteka, redness, urticaria, kutupa, kufinya, kutupa ndi kuyabwa pamalowo jekeseni) zitha kuonedwa. Izi zimachitika nthawi zambiri. Kusintha kwamphamvu kwa kayendedwe ka shuga m'magazi kungayambitse kusintha kwachulukidwe ka neuropathy.

Kusintha kwakanthawi kwamayendedwe a glycemic chifukwa cha kukulitsa kwa mankhwala a insulini kungayende limodzi ndi kufalikira kwakanthawi kwa matenda ashuga, pomwe kuwongolera kwakanthawi kokhazikika kwa glycemic kumachepetsa chiopsezo cha kupitirira kwa matenda ashuga a retinopathy.

Kuchokera ku chitetezo chamthupi: urticaria, pruritus, anaphylactic reaction *.

Kuchokera kumbali ya kagayidwe ndi zakudya: hypoglycemia *.

Kuchokera ku dongosolo lamanjenje: zotumphukira neuropathies (neuropathies zowawa).

Kuchokera kumbali ya ziwalo zamasomphenya: mavuto obwezeretsera, matenda ashuga retinopathy.

Pa khungu ndi subcutaneous minofu: lipodystrophy *.

Matenda obwera ndi zotulukapo m'malo opezeka jakisoni: zimachitika jekeseni malo, edema.

* - Onani zambiri pansipa.

Kufotokozera kwa zomwe zimachitika munthu akamakumana ndi mavuto

Zizindikiro za kufinya kwakakhungu kwambiri (kuphatikiza totupa totupa, kuyabwa, thukuta, kutaya magazi, kupuma movutikira, kugunda kwamtima, kutsika kwa magazi komanso chizungulire / kutaya chikumbumtima) ndizosowa kwambiri, koma zingathe kuwononga moyo.

Zotsatira zoyipa kwambiri ndizo hypoglycemia. Zimatha kuchitika pamene mlingo umakulira kwambiri wodwala pakufunika insulin. Hypoglycemia yambiri imatha kuyambitsa khungu, kugona, ndi kuwonongeka kwakanthawi kapena kosatha kwa ubongo, komanso ngakhale kufa. Zizindikiro za hypoglycemia nthawi zambiri zimachitika mwadzidzidzi. Izi zitha kuphatikizira thukuta lozizira, kuzizira komanso kuzizira kwa khungu, kutopa, mantha kapena kunjenjemera, nkhawa, kutopa kapena zachilendo, kusokonezeka, kuyika chidwi, kugona, kugona kwambiri, kusintha kwa masomphenya, kupweteka mutu, nseru, komanso kuthamanga mtima.

Lipodystrophy imanenedwapo nthawi zina. Lipodystrophy imatha kupezeka pamalo a jakisoni.

Kuchita ndi mankhwala ena

Amaphatikizidwa kuti aphatikize ndi ma thiols ndi sulfite, omwe amatha kupezeka mukuphatikiza mayankho. Gwiritsani ntchito mankhwala okhawo a insulin.

Pali mankhwala omwe amachepetsa kapena kukulitsa kufunika kwa insulin:

Kulera kwapakamwa, octreotide, lanreotide, thiazides, glucocorticoids, mahomoni a chithokomiro, sympathomimetics, kukula kwa mahomoni ndi danazole kumawonjezera kufunika kwa insulin.
Othandizira a hypoglycemic othandizira, monoamine oxidase inhibitors, octreotide, lanreotide, osasankha b-blockers, angiotensin-otembenuza enzyme inhibitors, salicylates, anabolic steroids ndi sulfonamides amachepetsa kufunika kwa insulin.

Ma blocker a Adrenergic amatha kubisa zizindikiro za hypoglycemia ndikuletsa kuchira pambuyo pake. Akaphatikizidwa ndi thiazolidinediones, kulephera kwamtima kumatha kuchitika.

Mankhwala ofanana:

Actrapid HM,
Vosulin-R,
Gensulin P,
Insugen-R,
Katundu Wambiri
Insuman Rapid,
Rinsulin-R,
Farmasulin H,
Humodar P,
Humulin Wokhazikika.

Malo osungira

Sungani pa kutentha kwa 2 ° C mpaka 8 ° C (mufiriji). Osamawuma.

Pewani kufikira ana.

Gwiritsani ntchito insulin ndi zinthu zoyesedwa kuti mugwirizane ndi insulin yonse.

Osasakanikirana ndi mayankho okhala ndi zinthu zochepetsera - ma thiols ndi sulfites.

3 ml pa cartridge. Makatiriji 5 pachimake, chithunthu chimodzi pa paketi limodzi.

10 ml mu botolo. 1 botolo mumphakethe.

Gulu la tchuthi. Ndi mankhwala.

Kapangidwe komwe opanga amapanga ndi komwe akuchitira bizinesi

Biocon Special Economic Zone, Plot No. 2-4, Phase IV, Bommasandra-Jigani Link Road, Bommasandra Post, Bangalore, Karnataka State, 560099, India (Biocon Special Economic Zone, Plot No. 2-4, Phase IV, Bommasandra- Jigani Link Road, Bommasandra Post, Bangalore, Karnataka, 560099 India).

Ukraine, 04080, Kiev, st. Frunze, wa zaka 74.

Landstrasse, 8, D-61352, Bad Homburg, Germany.

Insuvit - mawonekedwe ogwiritsira ntchito

Insuvit - njira yoyendetsera ndi kumwa

Gwiritsani ntchito makapisozi a Insuvit mukatha kudya:

Ana azaka zopitilira 12 ndi kupitilira: kapisozi imodzi patsiku,
akulu makapisozi 1-2 patsiku.

Kutalika kwa ntchito ndi miyezi 1-1.5. Kutalika kwa kugwiritsa ntchito kwina kuli kovomerezedwa ndi dokotala. Musanagwiritse ntchito, ndikulimbikitsidwa kuti mukafunsire kwa dokotala.