Ọ bụ ọgwụ dabere na insulin mmadụ. Ndị ọrịa nwere ọrịa shuga ji ya mee ihe.
International Nonproprietary Aha
Ọgwụ Monoinsulin bụ nke mmadụ, na Latin - Insulin Human.
Monoinsulin bụ ọgwụ dabere na insulin mmadụ.
ATX
A.10.A.B.01 - Insulin (mmadụ).
Ha weputara udi ya na ihe mebere ya
A na-enweta ya n'ụdị agba na-enweghị ụcha, nke na-enweghị atụ, nke a na-etinye ya na karama iko (10 ml), nke a na-etinye n'ime igbe kaadi ọkpọ (1 pc.).
Ngwọta ahụ nwere ngwungwu arụ ọrụ - insulin na-arụ ọrụ mmadụ (100 IU / ML). Glycerol, mmiri injection, metacresol bụ ihe ndị ọzọ dị na ọgwụ.
Omume ọgwụ
Ọgwụ bụ ọgwụ insulin na-arụ ọrụ mmadụ. Ọ na - enyere aka na metabolism nke glucose metabolism, gosipụtara mmetụta anabolic. Ingbanye n’azu akwara, na-eme ka ibu nke amino acid na glucose na ọkwa cellular; protein anabolism na-akpọkwu aha.
Ọgwụ ahụ na-akpali glycogenogenesis, lipogenesis, na-ebelata ọnụego glucose na-emepụta site na imeju, ma na-akwalite nhazi nke oke glucose n'ime abụba.
Monoinsulin na-enyere aka ịhazi metabolism metabolism.
Mlọ ọgwụ
Orpachara anya iji gosipụta ihe dị n'ọrụ na-adabere n'ọtụtụ ihe:
- usoro ntinye ya na aru - intramuscularly ma ọ bụ subcutaneously, intravenously;
- olu nke injection;
- mpaghara, ebe mmeghe n’ahụ - isi, ukwu, apata maọbụ afọ.
Mgbe p / na eme ihe nke ọgwụ ahụ pụtara na nkezi mgbe nkeji 20-40; A na-ahụkarị nsonaazụ kachasị n'ime awa 1-3. Oge onwa ji ihe ruru awa iri na asatọ. Nkesa na anụ ahụ ezighi ezi.
Ihe nọ n'ọrụ abanyeghị mmiri ara nke nwanyị na-enye nwa ara ma ọ gafere na Plasenta.
Mbibi nke ọgwụ na-apụta n'okpuru ọrụ nke insulinase na akụrụ, imeju. Ọkara ọkara dị mkpụmkpụ, na-ewe minit 5 ruo 10; excretion site na akụrụ bụ 30-80%.
Ihe ngosi maka ojiji
Edere ya maka ọrịa shuga mellitus maka onye ọrịa ka ọ gaa usoro insulin, yana maka ịchọpụta ọrịa shuga mbụ. Ngosipụta maka ojiji na ọrịa shuga na-abụghị ọgwụ insulin n’oge ime.
Ihe ngbanwe
Nke contraindications nke ọgwụ, rịba ama:
- anabataghị ihe ọ bụla n’ime insulin ya;
- hypoglycemia.
E kwesịrị ị paida ntị na ụmụ nwanyị n'otu oge izizi, mgbe ejiri belata insulin.
Etu esi ewere monoinsulin?
Ewebata ya n’ime ahu mmanu, s / c, n’ime / n’ime; ọ̀gwụ a na-adabere na glucose dị n'ọbara. Nchịkwa a na-eme kwa ụbọchị bụ 0.5-1 IU / n'arọ nke ịdị arọ mmadụ, na-eburu n'uche njirimara nke anụ ahụ.
Ewebata tupu nri (carbohydrate) maka ọkara otu elekere. Jide n'aka na usoro ntụtụ ahụ kwesịrị ịdị na nju okpomọkụ. Commonzọ a na-ahụkarị ọgwụ iji ọgwụ dị subcutaneous, na mpaghara nke mgbidi akụkụ nke ime. Nke a na - asuresụ ọgwụ ngwa ngwa.
Ọ bụrụ n ’etinye ọgwụ n’isi awọ, a ga-ebelata ihe ọghọm nke mmerụ ahụ.
Site na iji ọgwụ ọjọọ mgbe niile, ebe ndị ọ ga-achịkwa kwesịrị ịgbanwe iji gbochie lipodystrophy. Onye na-ahụ maka ahụike na-enye ọgwụ ịba ya n'ime intramuscular int injection.
Mmetụta mmetụta nke monoinsulin
Hypoglycemia bụ otu n'ime ihe ndị na-adịghị mma a na-eme n'oge ịgwọ ọrịa insulin. Ọrịa na-apụta ma na-eto ngwa ngwa:
- blanching, mgbe ụfọdụ cyanosis nke anụ ahụ;
- ịsụsọ ọnụ;
- Nchekasị
- ịma jijiji, ụjọ jijiji, ọgba aghara;
- ike ọgwụgwụ;
- mmetụta nke agụụ agụụ;
- ugboro ugboro;
- hyperemia;
- nhazi siri ike, nghazi n'ime oghere;
- tachycardia.
Ọbara hypoglycemia na-esochi enweghị mmachi, n'ọnọdụ ụfọdụ enweghị usoro na-agbanwe agbanwe na ụbụrụ, ọnwụ na-apụta.
Monoinsulin nwere ike ịkpalite nfụkasị mpaghara n'ụdị itching na ncha.
Ọgwụ nwere ike ịkpalite nfụkasị mpaghara n'ụdị ọria mpaghara, ịcha ọbara-ọbara, itching n'akụkụ mpaghara ịgba ọgwụ zuru oke, nke na-apụ na nke ha.
Ọ na-esiri ndị ọrịa ike ịnagide mmeghachi omume nhụjuanya na-esote ya na ụdi nke eriri afọ, mkpirikpi ume, ọnya siri ike, ọrịa na ntanetị, hypotension art, tachycardia, angioedema. N'okwu a, egosiputara ọgwụgwọ pụrụ iche, ndozi nke ihe arụ ọrụ.
Mmetụta ikike ịchịkwa usoro
Ọrịa hypoglycemia, hyperglycemia nwere ike ibute ndọpụ uche uche, nke, n'aka nke ya, dị ize ndụ nye onye na-anya ụgbọ ahụ, usoro mgbagwoju anya na mgbako.
Ndị na-a theụ ọgwụ ahụ kwesịrị izere ịnya ụgbọ ala mgbe o kwere omume.
Ntụziaka pụrụ iche
Site na iji insulin eme ihe mgbe niile, a na-enyocha glucose ọbara. N'ọnọdụ ụfọdụ, enwere nnukwu ọnọdụ na ọnọdụ ahụ na enweghị enyemaka, ketoacidosis na-arịa ọrịa shuga nwere ike ibute nsonaazụ na-esochi ya.
Ọ bụrụ na akwara thyroid, akụrụ ma ọ bụ imeju na-ama jijiji, a na-achọpụta ọrịa Addison, a na-edozi usoro ịsụ ọgwụ ahụ. Site na ọrịa na-efe efe na-efe efe, ọnọdụ febrile, ahụ kwesịrị ịbawanye ụba nke insulin na-elekọta. Enwere ike ịgbanwe ya na-agbanwe na -emezi nri, na-agbatịkwu ume.
Jiri na agadi
Maka ndị ọrịa ka afọ 65 gasị, usoro ọgwụgwọ nke insulin na-ebelata - ọ dabere na ihe ngosi glucose, nke a ga-enyocha kwa mgbe.
Anakwere Monoinsulin n'oge afọ ime, ọ gaghị eweta ndụ na ahụike nwa ebu n'afọ.
Inye umuaka
Ọmụmụ banyere ị theụ ọgwụ ọjọọ n'ime ụmụaka, amụbeghị ndị nọ n'oge uto.
Jiri n'oge ime na lactation
Ọgwụ enweghị ike ịgafe ihe mgbochi placental. Ya mere, nnabata ya n'oge ọ dị ime ga-eme ya, ọ gaghị enye ndu na ahụike nke nwa ebu n’afọ.
Onweghi ihe egwu di na nwatakiri a, dika ihe nọ n'ọrụ abanyeghị n'ime mmiri ara. N'ime oge a, egosiri ịta nri glucose oge niile. Mgbe amuchara nwa, a na-eme ụdị ọgwụgwọ ọrịa shuga 1 dị ka usoro ọkọlọtọ si dị, ma ọ bụrụ na ọnọdụ ahụike anaghị aka njọ na nhazi usoro onunu ogwu achoghi ya.
Ngwa maka ọrụ ezughi oke ọrụ
Ọ bụrụ na achọpụtara ọdịda akụrụ, achọrọ ọgwụ nwere ike ibelata nke ukwuu, yabụ, a na-ebelata ọgwụ ya mgbe niile.
Ọkpụkpụ imeju na-edugakarị na mbelata Monoinsulin.
Jiri maka ọrụ imeju na-arụ ọrụ
Ọkpụkpụ n’ime imeju na-ebutekarị mbelata ọgwụ a theụrụ.
Nchịkọta Monoinsulin
Ọ bụrụ na ọgwụ insulin kwekọrọ na insulin gafere, hypoglycemia nwere ike ịmalite. Site n'ụdị usoro ọrịa, mmadụ na-anagide ihe nke ya site na iri nri ndị nwere carbohydrate, shuga. Maka nke a, ndị ọrịa mamịrị nwere ihe ọ juụ haveụ na-atọ ụtọ mgbe niile.
Ọ bụrụ hypoglycemia siri ike, a na-enye onye ọrịa ngwa ngwa iv ngwọta nke glucose (40%) ma ọ bụ glucagon n'ụzọ ọ bụla kwesịrị ekwesị - iv, s / c, v / m. Mgbe ọnọdụ ahụike lọghachiri na nkịtị, mmadụ kwesịrị iri nri nke carbohydrate n’onwe ya, nke ga - egbochi ọgụ nke abụọ.
Mmekọrịta na ọgwụ ndị ọzọ
Mmetụta hypoglycemic na-adịwanye nkọ mgbe ejiri corticosteroids, ọgwụ mgbochi, tricyclic antidepressants, homonụ thyroid, na thiazolidinediones.
A na - eme ka mmetụta hypoglycemic dị na sulfanilamides, salicylates (salicylic acid, dịka ọmụmaatụ), ndị na - egbochi MAO, na ndị na - ahụ maka hypoglycemic maka iji ọnụ.
Mgbapu hypoglycemia na-ekpuchi ma na-egosi obere oge n'ihe gbasara njikwa nke clonidine, beta-mgbochi, reserpine.
Mmanya ndakọrịta
Ojiji ethanol (ọgwụ ethanol nwere) na insulin na-akwalite mmetụta hypoglycemic.
Analogs
Insuman Rapid GT, Actrapid, Humulin Regular, Gensulin R.
Ahịa ọgwụ na-ahapụ okwu
Erere ọgwụ a kpam kpam site na ndenye ọgwụ.
Enwere m ike ịzụta na ndenye ọgwụ?
Enweghị ohere iji zụta ọgwụ antidiabetic.
Ọnụahịa
Ọnụ ego ọgwụ a na-emepụta na Belarus na Russia dị nkezi site na 250 rubles.
Ọnọdụ nchekwa maka ọgwụ
Ekwesịrị idobe ọgwụ a n'ọchịchịrị n'oge ngosipụta okpomọkụ nke + 2 ... + 8 Celsius C; na anakwere ngwọta nke azịza a adịghị anabata.
Bọchị mmebi
Afọ 2,5.
Emeputa
RUE Belmedpreparaty (Republic of Belarus).
Actrapid bụ analogue nke Monoinsulin.
Nyocha nke ndị ọkachamara ọgwụ
Elena, endocrinologist, 41 afọ, Moscow
Ọgwụ a bụ analog nke insulin. Zere hypoglycemia ga - enyere naanị ọgwụ ziri ezi aka, ịrapagidesi ike na dose na nri.
Victoria, ọkachamara n'ọrịa ụmụ nwanyị, 32 afọ, Ilyinka
Elldị 1 nke ọrịa shuga mellitus na ị thisụ insulin a mgbe niile nwere mmetụta na-emetụta usoro nsọ nwanyị (arụ ọrụ ya, ọnụnọ ya zuru oke). Ọ bụrụ n’ịchọrọ ime ime nchọpụta nke ụdị ọrịa ahụ, ị ga-agakwuru onye ọkachamara n'ọrịa ụmụ nwanyị ga-enyere aka dozie nsogbu ahụ.
Nyocha nyocha Ndidi
Ekaterina, gbara afọ 38, Perm
Nna m bụ onye ọrịa shuga. Amalitere m ịulinụ insulin nke Belarus. Ma ọ bụ n'ihi mgbanwe metụtara afọ, ma ọ bụ n'ihi njirimara nke ọgwụ ahụ, mana dọkịta belatara usoro ọgwụgwọ ya, ahụike ya nọgidere na-nkịtị.
Natalia, onye gbara afọ 42, Rostov-on-Don
Achọpụtara m ọrịa shuga na mberede mgbe ọrịa kpatara m, wee nyochaa ụlọ ọgwụ niile. E dere Monjeinsulin inje na nke pere mpe. Anọwo m na-eji ya kemgbe ihe karịrị otu afọ, na mbụ m na-atụ egwu nsonaazụ, mana ihe niile bụ ihe dị mma, enwere m obi ụtọ.
Irina, 34 afọ, Ivanovsk
Maka m, nnukwu nsogbu bụ ịzụrụ ọgwụ a mgbe niile na obere obodo anyị. Agbalịrị m analogues nke mmepụta ụlọ, mana ha adabaghị, ahụike m akala njọ.
