Rinsulin® NPH (Rinsulin NPH)

Aha mba: Rinsulin r

Ngwakọta na ụdị ntọhapụ

Ngwọta nke nsị ahụ doro anya, enweghị agba. 1 ml nwere 100 IU nke insulin engineering engineering nke mmadụ. Ndị pụrụ iche: metacresol - 3 mg, glycerol - 16 mg, mmiri d / i - ruo 1 ml.

Olu nke karama a bu 10 ml. Kwakọtara na igbe katọn.

Olu nke katoliki etinyere na otutu irighiri irighiri ihe, pen, 3 ml. Enwere katalọgụ 5 kwa otu.

Linlọ ọgwụ na ọgwụ ọgwụ

Insulin na-eme ka mmadụ dị mkpụmkpụ

Ndị na-ere ọgwụ

Short insulin

Emeghachi ọgwụ ọgwụ ọgwụ Rinsulin R

Enweta insulin mmadụ na-adị mkpụmkpụ site na iji teknụzụ DNA jikọtara ọnụ. Ọ na - emekọrịta otu onye na - anabata ihe n'ụsọ akpụkpọ ahụ cytoplasmic nke mkpụrụ ndụ ma mepụta ogige insulin-receptor na-akpali usoro intracellular, gụnyere njikọ nke ọtụtụ isi enzymes (hexokinase, pyruvate kinase, glycogen synthetase). Mbelata nke glukos ọbara bụ n'ihi mmụba na njem ya dị n'ime intracellular, ịba ụba na nnabata site na anụ ahụ, mkpali nke lipogenesis, glycogenogenesis, na mbelata nke ọnụego glucose site na imeju.

Ogologo oge nke ihe insulin na-eme bu n'ihi nzere nke mmiri, nke dabere na otutu ihe (dika ima atu, uzo ya na ebe ochichi ya), ya mere profaịlụ nke insulin n’ariri mgbanwe di omimi, ma n’ebe ndi mmadu di iche na otu mmadu.

Ná nkezi, mgbe sc sc, ọgwụ na-amalite ime ihe mgbe 30 nkeji, mmetụta kachasị na-etolite n'etiti elekere 1 na awa 3, oge ọrụ ahụ bụ awa 8.

Mlọ ọgwụ

Izu oke nke nnabata na mmalite nke mmetụta nke insulin na-adabere n'ụzọ nke nchịkwa (s / c, i / m), ebe nsị (afọ, afọ, isi), dose (olu insulin na-achịkwa), na itinye uche nke insulin na nkwadebe.

Ọ na - ekesasị ya n’akpụkasị akwara akwara, ghara ịbanye na mgbochi placental ma banye n’ime mmiri ara.

Metabolism na ntụpọ

Ọ bụ insulinase na-abụkarị imeju ya na akụrụ. T 1/2 bụ nkeji ole na ole. Ọ bụ ya bụ akụrụ (30-80%).

1dị shuga shuga mellitus, ụdị shuga mellitus 2: ọkwa nke iguzogide ọgwụ hypoglycemic nke ọgwụ, ị resistanceụ akụkụ nke ọgwụ hypoglycemic ọgwụ (njikọta), ọrịa shuga, ketoacidotic na hyperosmolar, ọrịa shuga mellitus nke mere n'oge afọ ime (ma ọ bụrụ na ọ nweghị ọgwụ maka ọgwụgwọ nri) iji ọtụtụ oge n’arụ ndị ọrịa na-arịa ọrịa shuga mellitus megide ọrịa na-efe efe na -ejikwa ọnya ukwu, na-arụ ọrụ ịwa ahụ, mmerụ ahụ, ịmụ nwa, na imebi ihe gbasara ene bekee tupu ya etinyewe ọgwụgwọ ruo ogologo oge insulin preparations.

Ihe ngbanwe Rinsulin P

Hypoglycemia, mụbara ikike mmadụ na insulin ma ọ bụ ihe ọ bụla nke ọgwụ ahụ.

Usoro usoro onyunyo na usoro nke ngwa Rinsulin P

Emere ọgwụ a maka SC, na / m na / na ntinye. Ọ bụ dọkịta ga-ekpebi ọ̀tụ̀tụ̀ na ụzọ e si elekọta ọgwụ ahụ n’otu n’ozi ọ bụla, dabere n’ọbara glucose n’ọbara.

Na nkezi, kwa ụbọchị ọgwụ a sitere na 0,5 ruo 1 IU / kg body body (dabere na njirimara nke onye ọrịa na ịba ụba glucose ọbara).

Okpomoku nke insulin agbara ka aghaghi ikwe ka otutu okpomoku di.

A na-enye ọgwụ ahụ nkeji iri atọ tupu nri ma ọ bụ nri nwere carbohydrates.

Na monotherapy na ọgwụ, ugboro nchịkwa bụ ugboro 3 / ụbọchị (ọ bụrụ na ọ dị mkpa, 5-6 ugboro / ụbọchị). Na usoro ubochi gafere 0.6 IU / n'arọ, ọ dị mkpa ịbanye n'ụdị agba abụọ ma ọ bụ karịa na akụkụ dị iche iche nke ahụ.

A na-enyekarị ọgwụ a ka ọ bụrụ n’azu akụkụ oghere dị n’afọ. A pụkwara ime inje n'apata ụkwụ, mana, ma ọ bụ mpaghara mpaghara akwara nwere ike ime. Okwesiri igbanwe ebe ogwu ngbanyere na mpaghara anatomical iji gbochie mmepe nke lipodystrophy.

Site na nchịkwa insulin nke s / c, a ga-akpachara anya ịbanye na arịa ọbara n'oge ntụtụ. Mgbe ogwu ogbugba gasịrị, ekwesighi ịhịa aka ntụtụ. Ekwesịrị ịzụ ndị ọrịa ka esi eji ngwaọrụ nnabata insulin ya mee ihe nke ọma.

Enwere ike ịnye ọgwụ IM na IV naanị n'okpuru nlekọta ahụike.

Rinsulin ® P bụ insulin na-adị mkpụmkpụ ma a na-ejikarị ya na insulin na-arụ ọrụ na-arụ ọrụ (Rinsulin ® NPH).

Iwu nke ochichi ogwu

Nweghị ike iji ọgwụ ahụ ma ọ bụrụ na eburu ụzọ gosipụta na ngwọta ahụ.

Mgbe ị na-eji naanị otu ụdị insulin eme ihe

1. Wepu oghere akpụkpọ rọba nke vial ahụ.

2. Dọrọ ikuku banye ntụtụ na ọnụego insulin chọrọ chọrọ. Mee ka ikuku banye n’ime karama insulin.

3. Tụgharịa vial ya na sirinji kpodoro isi ala ma dọrọ ọgwụ insulin chọrọ ka ọ banye n'ime sirinji. Wepu agịga na vial ma wepu ikuku site na sirinji. Lelee izi ezi nke ịulinụ insulin.

4. Gbanye ozugbo.

Ọ bụrụ n’ịchọrọ ịgwakọta ụdị insulin abụọ

1. Jiri aka gị mee obere akpụkpọ rọba.

2. Ozugbo ị ga-eme ọkpụkpọ, ịkwesịrị ị rollụ insulin nke na-eme ogologo oge ('igwe ojii') n'etiti ọbụ aka gị ruo mgbe insulin ahụ na-acha ọcha ma nwee urukpuru.

3. Wunye ikuku n'ime sirinji na ọnụego kwekọrọ na insulin insulin nke urukpuru. Webata ikuku n’ime vial insulin na igwe ojii wee wepu agịga na vial ahụ.

4. drawgbanye ikuku n'ime sirinji na olu kwekọrọ na insulin nke na-eme nwa oge ("transperent"). Mee ka ikuku banye n’ime obere akpa insulin. Tụgharịa karama ahụ jiri sirinji kpoo ma kpoo ọgwụ achọrọ maka insulin “transperent”. Wepu agịga ma wepụ ikuku site na sirinji. Lelee izi ezi nke ogwu a.

5. Tinye insulin ahụ “urukpuru” wee banye agịga ahụ na paịpụ, gbanye vial ya na sirinji kpoo ma kpoo insulin chọrọ. Wepu ikuku si na sirinji ma lelee ma ogwu a ziri ezi. Gbanye ntụtụ ọgwụ ngwakọta insulin gbakọtara ozugbo.

6. shouldkwesịrị itinye insulins mgbe niile n'otu usoro dị ka akọwara n’elu.

Ọ dị mkpa iji mmiri meghee mpaghara anụ ahụ ebe a ga-abanye insulin.

Site na iji mkpịsị aka abụọ, kpoo otu anụ ahụ, gbanye agịga ahụ n'okpuru isi mkpanaka ya na akụkụ dịka 45 Celsius ma gbanye insulin n'okpuru anụahụ.

Mgbe ịgba ntụtụ ahụ, a kwesịrị ịhapụ agịga ahụ n'okpuru anụ ahụ ọ dịkarịa ala 6 sekọnd iji hụ na etinye insulin ahụ kpamkpam.

Ọ bụrụ na ọbara apụta na ebe a gbanye ọgwụ were agịga, jiri nwayọ pịa ebe a na-agba ntụtụ ya na mmiri nwere ọgwụ na-adịghị mma (dịka ọmụmaatụ, mmanya).

Ọ dị mkpa ịgbanwe saịtị ịgba ntụtụ.

Nsonaazụ

Mmetụta akụkụn'ihi nsonaazụ carbohydrate: ọnọdụ hypoglycemic (pallor nke anụ ahụ, ịba ụba ọsụsọ, palpitations, ịma jijiji, akpata oyi, agụụ, nhụjuanya, paresthesia nke mucosa onu, isi ọwụwa, ọgbụgba, belata acuity visual). Nnukwu hypoglycemia siri ike nwere ike iduga mmepe nke hypoglycemic coma.

Mmeghachi omume nfụkasị ahụ: nsị anụ ahụ, edere nke Quincke, ujo anaphylactic.

Mmeghachi omume mpaghara: hyperemia, ọzịza na itching na ntụtụ ahụ, yana iji ogologo oge - lipodystrophy na saịtị ahụ.

Ndị ọzọ: ọzịza, mbelata oge na acuity visual (ọ bụkarị na mmalite ọgwụgwọ).

Ekwesịrị ịgwa onye ọrịa ahụ na ọ bụrụ na ọ chọpụta mmepe nke hypoglycemia ma ọ bụ nwee ọhụhụ nke mmụọ, ọ kwesịrị ịgwa dọkịta ozugbo.

Ọ bụrụ n ’akụkụ ndị ọzọ ọ bụla akọwapụtaghị n’elu, onye ọrịa ahụ kwesịkwara ịga hụ dọkịta.

Ime na lactation

Enweghị mgbochi ọ bụla maka ịgwọ ọrịa shuga mellitus nwere insulin n'oge afọ ime, n'ihi insulin anaghị agafe ihe mgbochi placental. Mgbe ị na-eme atụmatụ ịtụrụ ime na n’oge ya, ọ dị mkpa ime ka ọgwụgwọ shuga dị ike sie ike. Mkpa insulin na-agbadata n'oge ọnwa atọ nke mbụ nke afọ ime wee jiri nwayọ na nke abụọ na nke atọ.

N'oge na mgbe amuchara nwa, ihe ndi choro insulin nwere ike igbadata nke ukwuu. N'oge na-adịghị anya a mụsịrị nwa, mkpa ọ dị insulin na-alaghachi ngwa ngwa dị ka ọ dị tupu ime ime. Enweghị mgbochi ọ bụla na ọgwụgwọ ọrịa shuga mellitus nwere insulin n'oge a na-enye nwa ara. Agbanyeghị, ọ nwere ike ịdị mkpa iji belata insulin, yabụ, iji nlezianya nyocha maka ọnwa ole ọ dị mkpa tupu ịkwado mkpa insulin dị.

A ga-edozita ọgwụ insulin maka ọrụ imeju na-arụ ọrụ Ọ ga-emezigharị insulin insulin maka ọrụ imeju na-arụ ọrụ.

Jiri ndị ọrịa agadi

Ọ ga-edozigharị nke insulin maka ọrịa shuga na ndị ọrịa karịrị afọ 65.

Ntụziaka pụrụ iche maka nnabata Rinsulin P

Na-emegide usoro ịgwọ ọrịa insulin, ọ dị mkpa ileba anya mgbe niile itinye uche glucose ọbara.

Na mgbakwunye na insulin ịdoụbiga mmanya ókè, ihe ndị na-akpata hypoglycemia nwere ike ịgụnye nnọchi ọgwụ, nzere nri, vomiting, afọ ọsịsa, mmega ahụ na-aba ụba, ọrịa na-ebelata mkpa insulin (ọrụ imeju na akụrụ na-egbu egbu, hypofunction nke adrenal cortex, pituitary ma ọ bụ thyroid gland), na mgbanwe na saịtị injection, yana na mmekorita ya na ogwu ndi ozo.

Singzọ ezighi ezi ma ọ bụ ihe mgbochi na nchịkwa insulin, karịsịa na ndị ọrịa nwere ọrịa shuga 1, nwere ike ibute hyperglycemia. Ọtụtụ mgbe, mgbaàmà mbụ nke hyperglycemia na-amalite nwayọọ nwayọọ karịa ọtụtụ awa ma ọ bụ ụbọchị. Ndị a gụnyere akpịrị ịkpọ nkụ, mmamịrị nke ukwuu, ọgbụgbọ, ọgbụgbọ, ọgbụgbọ, ọbara ọbara na ajị anụ, akpọnwụ akpịrị, enweghị agụụ, isi nke acetone na ikuku ikuku. Ọ bụrụ na agwọtaghị ya, hyperglycemia n'ụdị shuga 1 nwere ike ibute mmepe nke ọrịa ketoacidosis na-eyi ndụ egwu.

Ekwesịrị idozi ọnụọgụ insulin maka arụ ọrụ thyroid, ọrịa Addison, hypopituitarism, ọrụ imeju na akụrụ, yana ọrịa mellitus na ndị ọrịa karịa afọ 65.

Ọ bụrụ na onye ọrịa ahụ na-eme ka imega ahụ dịkwuo ukwuu ma ọ bụ gbanwee ụdị nri ọ na-emebu, ọ ga-adị mkpa ịgbanwe mgbanwe insulin.

Ọkpụkpụ site n'otu ụdị insulin na nke ọzọ ga-ebufe n'okpuru nchịkwa nke ịba ụba nke glucose na ọbara.

Ọgwụ na-ebelata nnabata mmanya.

N'ihi na enwere ike ịda mmiri na ụfọdụ catheters, a naghị atụ aro iji ọgwụ ahụ na nfuli insulin.

Mmetụta ikike ịkwọ ụgbọ ala na usoro nchịkwa

Na njikọta ebumnuche insulin, mgbanwe dị n'ụdị ya, ma ọ bụ ọnụnọ nke nrụgide anụ ahụ ma ọ bụ nke uche, enwere ike belata ikike ịkwọ ụgbọala ma ọ bụ ijikwa usoro dị iche iche, yana itinye aka na ihe omume ndị ọzọ dị ize ndụ nke chọrọ nlebara anya na ọsọ nke mmeghachi omume nke uche na moto.

Dodoụbiga ya ókè

Site na ịdoụbiga mmanya ókè, hypoglycemia nwere ike ịmalite.

Ọgwụgwọ: onye ọrịa ahụ nwere ike iwepụ hypoglycemia dị nwayọọ site na ị takingụ shuga ma ọ bụ nri nwere carbohydrate. Ya mere, a na-atụ aro ka ndị ọrịa nwere ọrịa shuga na-ebu shuga, swiiti, kuki ma ọ bụ ihe ọ fruitụ fruitụ mkpụrụ osisi dị ụtọ.

N'okwu ndị siri ike, mgbe onye ọrịa kwụsịrị ịmara, a na-edozi ntụpọ 40% dextrose (glucose) iv, i / m, s / c, iv glucagon. Mgbe ọ nwetasịrị onwe ya, a na-atụ aro onye ọrịa ka ọ rie nri nwere carbohydrate iji gbochie ịmaliteghachi hypoglycemia.

Mmekọrịta na ọgwụ ndị ọzọ

N ’ogwu ọgwụ ekwekọghị na ọgwụ nke ọgwụ ndị ọzọ. A na - eme ka mmetụta hypoglycemic dị na sulfonamides (gụnyere ọgwụ hypoglycemic ọgwụ, sulfonamides), MAO inhibitors (gụnyere furazolidone, procarbazine, selegiline), ndị na-egbochi carbon anhydrase inhibitors, ndị na-egbochi ACE, ndị na-egbochi NSAIDs (gụnyere salicylates), anabolic (gụnyere stanozolol, oxandrolone, methandrostenolone), androgens, bromocriptine, tetracyclines, clofibrate, ketoconazole, mebendazole, theophylline, cyclophosphamide, phenfluramine, Li +, pyridoxine, quinidine, quinine, chloroquin. Glucagon, somatropin, corticosteroids, ọgwụ mgbochi mmụọ, estrogens, thiazide na loop diuretics, BMKK, homonụ thyroid, heparin, sulfinpyrazone, sympathomimetics, danazole, tricyclic antidepressants, clonidinin, calcitonin, antagongrig, antongrigetig, hytontigtig, hytontigtigt, hytontigtigt, hytontigtigt, hytontigtigt, hytontigtigt, hytontigtigt, hytontigtigt, hytontigtig, antonidinotin, mmụọ anongrigtig, onye na-ele ihe anya, onye anongriget, ya na-ele ihe? epinephrine, H1-histamine na-anabata ihe mgbochi. Beta-egbochi, reserpine, octreotide, pentamidine nwere ike ịkwalite ma mee ka ike gwụ hypoglycemic mmetụta nke insulin.

Usoro ahịa ọgwụ ahịa

Ogwu gi bu ogwu.

Usoro na ọnọdụ nchekwa Rinsulin R

Ọgwụ a kwesịrị ịchekwa n’ebe ụmụ anaghị enweta ya, chebere ya site n’ọkụ, na mgbe ọ dị 2 Celsius ruo 8 Celsius C, emela ya. Ndụ shelf bụ afọ 2.

Ojiji nke ọgwụ Rinsulin r naanị dị ka dọkịta si kọwaa, a na-enye nkọwa maka ntụnye!

Nhazi ọkwa nosological (ICD-10)

Usoro onunu ogwu na nhazi

Nlekọta ọgwụ mgbochi intresị ọgwụ Rinsulin ® NPH.

Ọ bụ dọkịta ga-ekpebi ọ̀tụ̀tụ̀ ọgwụ ahụ n’otu n’otu n’okwu ọ bụla dabere n’ọbara glucose n’ọbara. Na nkezi, usoro ọgwụ kwa ụbọchị sitere na 0,5 ruo 1 IU / n'arọ (dabere na njirimara onye ọrịa na ntinye glucose n'ọbara).

Ndị ọrịa agadi na-eji insulin ọ bụla, gụnyere Rinsulin ® NPH, nọ n'ihe ize ndụ ka ukwuu nke hypoglycemia n'ihi ọnụnọ nke ọnya ọnya na ịnata n'otu oge nke ọtụtụ ọgwụ. Nke a nwere ike ime ka ọ dị mkpa ịgbanwe ọgwụ insulin.

Ndị ọrịa nwere akụrụngwa akwara na arụ ọrụ hepatic nọ n'ihe ize ndụ nke hypoglycemia ma nwee ike ịchọ nhazi insulin ugboro ugboro na ilele glucose ọbara ugboro ugboro.

Okpomoku nke mmanu insulin kwesiri ino na okpomoku. A na-agbanye ọgwụ a na apata ụkwụ. Enwekwara ike injection na akukua ihu nke ime, ma ọ bụ mpaghara ikpere ma ọ bụ mpaghara ubu na ịkọwapụta uru akwara dị. Okwesiri igbanwe ebe ogwu ngbanyere na mpaghara anatomical iji gbochie mmepe nke lipodystrophy.

Site na nchịkwa insulin nke s / c, a ga-akpachara anya ịbanye na arịa ọbara n'oge ntụtụ. Mgbe ogwu ogbugba gasịrị, ekwesighi ịhịa aka ntụtụ. Ekwesịrị ịzụ ndị ọrịa ka esi eji ngwaọrụ nnabata insulin ya mee ihe nke ọma.

Tupu ojiji, Rinsulin ® NPH kwesịrị ka akpọrepu n'etiti nkwụ n'ọgere ugboro 10 wee maa jijiji iji weghachi insulin ahụ ruo mgbe ọ ghọrọ akwa mmiri ma ọ bụ mmiri ara ehi edo edo. Ekwesighi ịhapụ foam ka ọ mee, nke nwere ike igbochi mmachi kwesịrị ekwesị.

E kwesịrị iji nlezianya nyochaa katridges. Ejila insulin ma ọ bụrụ na enwere flakes mgbe agwakọta, ụmụ irighiri ihe na-acha ọcha siri ike na-agbada n'okpuru ma ọ bụ mgbidi nke katrij ahụ, na-eme ka ọ dị ka nke jụrụ oyi.

Ngwaọrụ nke katalọgụ anaghị ekwe ka agwakọta ihe ndị dị n’ime ya na ihe ndị ọzọ dị na katriiki n’onwe ya.Edeghị Cart Cartges.

Mgbe ị na-eji katridges na mkpịsị eji arụ ọrụ, a ga-agbaso ndụmọdụ onye nrụpụta maka imejupụta kadi na pen sirinji na ịgbakwunye agịga. Ekwesịrị ịnye ọgwụ ahụ na ntuziaka nke onye nrụpụta maka mkpịsị sirinji.

Mgbe etinyere ya, ọ dị mkpa iji mpempe mpụta nke agịga wee kpochapụ agịga ahụ ma kpochapụ ya ozugbo n'enweghị nsogbu ọ bụla. Wepu agịga ozugbo a gbasasịrị ahụ na-eme ka ọ ghara ịdị mma, na - egbochi itufu ikuku, nmalite ikuku yana ịhapụ ịchọrọ. Wee tinye okpu na aka.

Mgbe ị na-eji pensụl mkpụrụ ọgwụ a na-eji abanye ọtụtụ, ọ dị mkpa ka ịgwakọta nkwusioru nke Rinsulin ® NPH na mkpụrụ sirinji ozugbo tupu ojiji. Mkpokọta nke ọma kwesịrị ịdị ọcha na igwe ojii.

Enweghi ike iji Rinsulin ® NPH ede ede ede ma ọ bụrụ na agbazere ya. Mgbe ị na-eji pensụ ọgwụ sirinji na-eji ọgwụ ọnụọgụ eji emeju tupu ọnụọgụ mmiri, ọ dị mkpa iji wepu sirinji mkpịsị na friji tupu ịmalite izipụta ka ọgwụ ahụ rute n'ọnụ ụlọ ahụ. A ga-agbaso usoro ntuziaka maka iji mkpụrụ edemede sirinji enyere ọgwụ ahụ.

A na-ezube Rinsulin ® NPH n'ime sirinji mkpịsị na agịga maka naanị otu onye. Ejikwala kadi sirinji.

Ekwesighi ijigharị agịga.

Iji kpuchido n’ọkụ, a ga-eji okpu mechie mkpụrụ akwụkwọ sirinji.

Echekwala mkpịsị sirinji ejirila na friji.

Enwere ike ịnwe Rinsulin ® NPH n'otu n'otu ma ọ bụ yana yana insulin obere mkpụmkpụ (Rinsulin ® P).

Chekwaa iji ọgwụ eme ihe n at ụlọ okpomọkụ (site na 15 ruo 25 Celsius) maka ihe na-erughị ụbọchị 28.

Ojiji nke katriji na-eji ihe eji sigliit sirinji reusable

Enwere ike iji pensụl na Rinsulin ® NPH jiri mkpịsị mkpụrụ sịeli reusị:

- Siripe pen Avtopen Omuma (Omuma Autopen 3 ml 1 nkeji (1-2 nkeji abụọ) AN3810, Autopen kpochapụwo 3 ml 2 nkeji (2–42 nkeji) AN3800) nke Owen Mumford Ltd, United Kingdom rụpụtara.

- mkpịsị mkpịsị odee maka nlekọta insulin HumaPen ® Ergo II, HumaPen ® Luxura na HumaPen vio Savvio nke "Eli Lilly na Companylọ ọrụ / Eli Lilly na Comranu", USA,

- mkpịsị insulin nke mkpụrụ ọgwụ OptiPen ® Pro 1 nke Aventis Pharma Deutschland GmbH / Aventis Pharma Deutschland GmbH rụpụtara, Germany,

- sirinji mkparịta ụka BiomaticPen I nke Ipsomed AG / Ypsomed AG, Switzerland, mere.

- pen-injector maka iwebata insulin onye RinsaPen m na-emepụta “Ipsomed AG / Ypsomed AG”, Switzerland.

Jiri nlezianya gbasoo ntuziaka maka iji sirinji pensụ nke ndị nrụpụta ha nyere.

Mpempe mwepụta

Nkwụsịtụ maka nchịkwa subcutaneous, 100 IU / ml.

3 ml nke ogwu na karama eji akpukpo akpukpo nke ejiri roba mee, a na-etinye ya na okpu eji eme ya na alumini.

Otu bọọlụ nwere iko a pịrị apị na agbakwunyere na katriiki ọ bụla.

1. A na-etinye katalọgụ ise na mbadamba ihe na-acha uhie uhie nke eji eme ihe nkiri PVC na ihe mkpuchi nke aluminom. A na-etinye nkwakọ ngwaahịa blister 1 na ngwugwu kaadiboodu.

2. A na-etinye ihe nkedo n’elu mkpịsị mpe mpe akwa ịwa ntụtụ maka ịgba ọgwụ Rinastra ® ma ọ bụ Rinastra ® II. Ederede mkpịsị ugị mkpụrụ 5 eji emejupụta na ntuziaka maka iji mkpụrụ akwụkwọ sirinji etinye ya na ngwugwu kaadiboodu.

10 ml nke ọgwụ na karama nke enweghị iko, jiri ọgwụ herbalically mechie ya na okpu jikọtara ya na aluminom na rọba na diski roba ma ọ bụ ejiri akwa roba na okpu na-agba agba jikọtara ya na aluminom na plastik na akwa plastik dọkatụrụ adọka. A na-etinye akara mmado na-etinye onwe ya na karama ọ bụla ma tinye ya na otu kaadiboodu.

Emeputa

GEROPHARM-Bio OJSC, Russia. 142279, ógbè Moscow, ógbè Serpukhov, r.p. Obolensk, ụlọ 82, ikp.

Adreesị ebe emepụtara:

1. 142279, ógbè Moscow, ógbè Serpukhov, r.p. Obolensk, ụlọ 82, ikp.

2.1422279, Ógbè Moscow, Ógbè Serpukhov, pos. Obolensk, ụlọ 83, udo. AAN.

Ekwupụtara na-anata nzukọ: GEROPHARM LLC. 191144, Russian Federation, St. Petersburg, Degtyarny kwa., 11, lit. B.

Ekwentị: (812) 703-79-75 (ọtụtụ ọwa), faksị: (812) 703-79-76.

Tẹ hotline: 8-800-333-4376 (oku a na-akpọ n’etiti Russia bụ n'efu).

Zipu ozi banyere mmeghachi omume ojoo na adreesị ozi-e [email protected] ma ọ bụ site na kọntaktị nke GEROFARM LLC akọwara n’elu.

Ngwakọta na ụdị ntọhapụ

Ọgwụ a na-ezo aka na ọgwụ ndị ọgwụ rere ya, ebe ọ bụ na ojiji ọ na-achịkwaghị achịkwa nwere ike imerụ ahụ ahụ.

O bu uzo injection, isi ihe ya bu insulin mmadu, megharia ya site na iji teknụzụ DNA di omimi.

Ngwunye ọgwụ inyeaka bụ:

A na-eme ntọhapụ Rinsulin na Russia. Ngwọta ya pụtara ihe na enweghị agba. A na-etinye ya n'ime karama iko nke 10 ml.

Njirimara nke ogwu

Ejiri ọgwụ ahụ gosipụtara mmetụta hypoglycemic. A na-enye mbelata ọbara na-erugharị site na mmetụta nke ihe mejupụtara ya. Insulin, na-abanye n’ahu onye ọrịa, na - eme ka usoro glucose na - ekere òkè na mkpụrụ ndụ. Rinsulin belata mbelata nke ịmịpụta abụba site na imeju.

Ngwá ọrụ a nwere oge dị mkpirikpi. Ọ na-amalite imetụ ahụ ahụ ọkara ọkara elele mgbe ọ gbasịrị. Ọ na-eme oke ọsọ n'etiti 1-3 awa mgbe ejiri ya. Mmetụta ya na-akwụsị mgbe awa 8 gachara.

Anddị irè na oge ikpughe Rinsulin na-adabere na usoro usoro nchịkwa. Wepụ ihe a n'ahụ ahụ na-eme site na akụrụ.

Ntụziaka maka ojiji

A na-atụ aro ọgwụ ahụ ka o jiri ụdị ọrịa shuga 1 na ụdị 2 ma ọ bụrụ na ọ gaghị ekwe omume ịme ka ọkwa shuga dị na ọgwụ maka nchịkwa ọnụ. Rinsulin bụ ntụtụ nke nwere ike ịme intramuscularly, subcutaneously na intravenously. A na-ekpebi ụzọ kachasị mma maka itinye akwụkwọ n'ọrụ n'otu n'otu.

A na-agbakọ usoro onunu ogwu ahụ dabere na njirimara nke foto clinical. Ọtụtụ oge, ekwesịrị ka a na-achịkwa 0,5-1 IU / n'arọ nke ibu ọrịa kwa ụbọchị.

A na-ahapụ ọgwụ a ka o jiri ya na ọgwụ hypoglycemic ndị ọzọ, ma ọ bụrụ na ọ dị mkpa.

N'ọtụtụ oge, a na-edozi rinsulin subcutaneously. Ekwesịrị ka enyetụ ya n'apata ụkwụ, ubu, ma ọ bụ mgbidi afọ. Ọ dị mkpa na saịtị ịgba agba ọzọ, ma ọ bụghị lipodystrophy nwere ike ịmalite.

A na - eme nhazi intramuscular naanị na nkwanye dọkịta. N'ime obi, onye na-ahụ maka ahụike nwere ike inye gị ọgwụ a. A na-eme nke a n'ọnọdụ ndị siri ike.

Ihe omumu vidio banyere iwebata insulin site na iji sirinji:

Mmeghachi omume ọjọọ

Any Tụ ọgwụ ọ bụla nwere ike ibute mmeghachi omume ọjọọ. Iji mata nsogbu Rinsulin nwere ike ibute, ịkwesịrị ịmụ ntuziaka na nyocha na nzukọ a sitere na ndị ọrịa.

Ọtụtụ mgbe iji ya, mmebi iwu ndị a na-apụta:

• ọnọdụ hypoglycemic (ọ na-eso ya na ọtụtụ ihe mgbaàmà ọjọọ, nke gụnyere ọgbụgbọ, adịghị ike, ọgbụgbọ, tachycardia, ọgba aghara, wdg),
• nfụkasị (ọnya anụ ahụ, ụfụ anaphylactic, ụkwara Quincke),
• mmebi anya
• acha uhie uhie
• itching

Ọtụtụ mgbe, nsonaazụ na-apụta mgbe ị na-eji ọgwụ ahụ n'agbanyeghị agbanyeghị nnabata ya. Iji kpochapụ ihe ndị na-adịghị mma, ịkwesịrị ịkpọtụrụ ọkachamara. Effectsfọdụ nsonaazụ na - apụ apụ mgbe ị kwụsịrị ị takingụ ya; ndị ọzọ chọrọ ọgwụgwọ ọrịa Symptomatic.

Mgbe ụfọdụ, ngosipụta nke ọrịa na-akpata nbibi dị mma n'ọdịmma onye ọrịa, mgbe ahụ ọchọrọ ọgwụgwọ siri ike n'ụlọ ọgwụ.

Mkparịta ụka ọgwụ ọjọọ

Mgbe ụfọdụ, a na-eji Rinsulin eme ihe na mgbagwoju anya, mana ekwesịrị ịhazi ya nke ọma. E nwere ìgwè ọgwụ dị iche iche n'ihi na anụ ahụ nwere insulin na-eme ka ọ dịkwuo elu ma ọ bụ na-esighi ike. N'ọnọdụ ndị a, ọ dị mkpa iji dozie usoro nke ọgwụ ndị ahụ.

Ekwesịrị ịbelata otu Rinsulin mgbe ị na-eji ya:

• ọgwụ hypoglycemic,
• salicylates,
• ihe mgbochi beta,
• MAO na ndị na - egbochi ACE,
• tetracyclines
• ndị ọrụ antifungal.

Ofdị Rinsulin na-adalata ma ọ bụrụ na ejiri ya na ọgwụ ndị dịka:

• diuretics
• antidepressants
• ọgwụ homonụ.

Ọ bụrụ na ọ dị mkpa maka ojiji nke Rinsulin n’otu oge yana ọgwụ ndị a, ịkwesịrị ịbawanye dose ahụ.

Emekwala usoro ọgwụgwọ ahụ n'enweghị ike ọ bụla. Ọ bụrụ na insulin buru oke ibu na-abanyekwa n'ahụ ahụ, oke mmachi nwere ike ime, isi ihe na-egosipụta nke ọ bụ hypoglycemia. Ọ bụrụ na ị jiri ọgwụ dị ntakịrị ntakịrị, ọgwụgwọ agaghị adị.

Ntụziaka pụrụ iche

A na-enyekarị usoro pụrụ iche mgbe ị na-a medicationsụ ọgwụ maka ụmụaka, ụmụ nwanyị dị ime na ndị agadi.

Ọgwụ na Rinsulin pụtara nrube isi n'iwu ndị a:

1. Womenmụ nwanyị dị ime. Ọ dịghị mkpa ịgbanwe usoro nke ọgwụ a, ebe ọ bụ na akụkụ ya dị ọrụ anaghị emetụta usoro ịtụrụ ime. Ma n'otu oge ahụ, ọ dị mkpa ijikwa ọkwa shuga ọbara nke nwanyị, ebe ọ bụ na mgbe ị na-amụ nwa, ihe ngosi a nwere ike ịgbanwe.
2. Ndị nne mụrụ nwa. Insulin abanyeghi n'ime mmiri ara, ya mere, o dighi emetuta nwa ahu. Yabụ, ịkwesighi ịgbanwe usoro ogwu ahụ. Mana nwanyị kwesiri inyocha nri ya, na-agbaso ndụmọdụ ndị a.
3. Ndị okenye. N'ihi mgbanwe afọ-ndụ, ahụ ha nwere ike ịnwe mmetụta karịa ọgwụ. Nke a chọrọ nyocha nke ọma banyere onye ọrịa na ngụkọta nke usoro onunu ya tupu ịkọwa ya Rinsulin.
4. Childrenmụaka. A na-ahapụkwa ha ka ha jiri ọgwụ a, mana n'okpuru nlekọta nke ọkachamara. A na-enye ọgwụ ahụ otu otu.

A na-enyekwa ndụmọdụ pụrụ iche maka ndị ọrịa na-arịa oria na akụrụ. Ọgwụ na-emetụta imeju, akụrụ na-etinye aka iwepu ọgwụ ahụ n'ahụ. Ọ bụrụ na nsogbu dị n’akwara ndị a, a ga-ebelata ọgwụ Rinsulin ka ọ ghara ịkpalite hypoglycemia.

Ọ bụrụ n have ịnweghi nnabata onye nnọchi anya onye ọrịa a, ị ga-eji dochie ya. Dọkịta ga - enyere gị aka ịhọrọ ya.

Ọtụtụ mgbe, a na-edenye onye nnọchi:

1. Arụ Ọrụ. Ọgwụ a sitere na insulin nke mmadụ ma dị ka nkwusioru. Inje na ọgwụ a nyere aka ịhazi ọkwa glucose ọbara. Amachibidoro iji ya hypoglycemia na ntachi obi n'ihe ndị mejupụtara ya.
2. Rosinsulin. A na-ere ngwa a dị ka ọgwụ ntụtụ. A na-etinye ya na katridges 3 ml. Ihe bụ isi bụ ya bụ insulin.
3. Insuran. Ọgwụ bụ ihe nkwusioru eji eme ihe. Ọ dị iche na oge ọrụ ha. Nke Insuran mere ya dabere na insulin nọchiri.

A na-eji ọgwụ ndị a mara ụdị mmetụta a, mana enwere ọdịiche ụfọdụ nke ekwesịrị ịtụle. Ikwesiri ịma otu esi agbanwe n’otu ọgwụ gaa na nke ọzọ.

Rinsulin NPH

Ọgwụ a yiri Rinsulin R. ọ nwere insulin isophan. Ọgwụ nwere obere oge ọrụ yana nkwusioru maka ịgba ọgwụ.

A na-eji naanị subcutaneously, nke na-enyere aka ịde peninsin Rinsulin NPH.

Ọ dị mkpa iwebata ọgwụ ahụ n’ mgbidi dị n’apata ụkwụ, apata ụkwụ ma ọ bụ ubu. Iji mee ka ọgwụ banye ngwa ngwa, a ga-emerịrị ntinye n'akụkụ ahụ niile n'ime mpaghara ahụ akọwapụtara.

Ihe ndị a na - esochi anya bụ akụkụ nke Rinsulin NPH:

• phenol
• glycerin
• protamine sulfate,
• sodium hydrogen phosphate,
• metacresol
• mmiri.

A na-ewepụta ọgwụ a na karama iko 10 ml. Nkwụsị ahụ dị ọcha; n'elu ịwa ahụ, ụdị mgbasa dị na ya.

Ọgwụ a na-arụ ọrụ ihe fọrọ nke nta ka ọ bụrụ Rinsulin R. Ọ na-akwalite ike ngwa ngwa nke glucose site na mkpụrụ ndụ ma na-eme ka imeju na-emepụta ngwa ngwa. Ihe dị iche dị na ogologo oge nke mmetụta - ọ nwere ike iru awa 24.

Ọnụahịa nke Rinsulin NPH na-agbadata gburugburu 1100 rubles.

Can nwere ike ịchọpụta etu ọgwụ si dị irè site n’inyocha nyocha ndị ọrịa nke Rinsulin P na NPH. Ha di ezigbo iche. Imirikiti ndị ọrịa na-anabata ọgwụ ndị a n'ụzọ dị mma, mana enwere ndị ụdị ọgwụgwọ ahụ akwadoghị. Ọ bụ nsonaazụ na-akpata nsị nwere ike ịkpasu ọgwụ insulin nwere.

Ọtụtụ mgbe, ihe isi ike na-apụta na ndị ọrịa mamịrị anaghị agbaso ntuziaka ma ọ bụ ndị nke akụkụ ahụ ha nwere mmetụta na-emetụta ahụ. Nke a pụtara na ịdị mma nke ọgwụ na-adabere n'ọtụtụ ọnọdụ.

Rinsulin R - nkọwa na ụdị mwepụta

N'okpuru bụ ụfọdụ ozi gbasara ọgwụ nke ga-eme ka ịlekọta insulin niile.

Rinsulin P na-abanye n'ime ọbara ngwa ngwa site na anụ ahụ dị n'okpuru ala, mmetụta hypoglycemic na-amalite mgbe ọkara otu elekere. Ihe homonụ a na-ejikọ ndị nabatara cell, nke na-enye ohere ibuga glucose site na arịa ọbara rue akwara. Ike nke Rinsulin ịgbalite usoro glycogen ma belata ogo glucose njikọta na imeju na-emetụta mbelata glycemia.

Mmetụta ọgwụ ahụ dabere na ọnụego nnabata, nke ahụ, n'aka nke ya, na ọkpụrụkpụ na ọkọnọ ọbara nke anụ ahụ dị n'okpuru ebe a na-agba agba. Na nkezi, ọgwụ ọgwụ nke Rinsulin P yiri nke insulins ndị ọzọ dị mkpụmkpụ:

• oge mbido bụ nkeji iri atọ
• elu - ihe dị ka awa abụọ
• isi ihe bụ 5 awa,
• ngụkọta oge ọrụ - ruo awa 8.

You nwere ike mee ka ọrụ insulin dị ngwa ngwa site na ịgbanye ya na afọ ma ọ bụ na ogwe aka dị elu, wee jiri nwayọ nwayọ site na itinye ya n'ihu apata ụkwụ.

Iji kwụọ maka ọrịa shuga mellitus na Rinsulin, onye ọrịa ahụ ga-agbaso nri 6 kwa ụbọchị, oge dị n'etiti nri 3 bụ isi kwesịrị ịbụ 5 awa, n'etiti ha ka a ga-achọ nri nke 10-20 g nke na-agwụ ike carbohydrates.

Rinsulin P nwere naanị otu ihe na - arụ ọrụ - insulin nke mmadụ. A na-eme ya site na usoro eji agbakọta, ya bụ, na iji ọgwụ nje gbanwetụrụ mkpụrụ ndụ ihe nketa. A na-ejikarị E. coli ma ọ bụ yist maka nzube ndị a. Nhazi na nhazi ya, insulin a adịghị iche na homonụ nke pancreas na-eke.

Obere ihe inye aka pere mpe na Rinsulin P karia analogues na abata. Na mgbakwunye na insulin, ọ nwere naanị mmiri, ihe na-egbochi ihe mgbochi na glycerol stabilizer. N'otu aka, n'ihi nke a, enwere ike ịnwe mmeghachi omume nfụkasị ahụ na saịtị ịgba ọgwụ dị ala. N’aka nke ọzọ, ịmịkọrọ n’ọbara na ike iwelata shuga Rinsulin nwere ike ịdị iche. Yabụ, ịgbanye ọgwụ ọzọ na otu ihe ahụ na-arụ ọrụ nwere ike were ọtụtụ ụbọchị, oge nke nkwụghachi nke ọrịa shuga mellitus na-aka njọ.

Dị Mwepụta

Rinsulin P bụ ihe enweghị agba, na-enweghị atụ, n'ime ọgwụ igwe nke 100 na homonụ ahụ.

Mwepụta Mwepụta:

1. A ga-eji ọgwụ nwere ọgwụ dị milimita iri mee ihe, ọgwụ ga-enwetara ya ọgwụ insulin.
2. Ihe nde 3 milki. Enwere ike itinye ha na pensụl ọ bụla emebere maka kadi ọkọlọtọ: HumaPen, BiomaticPen, Autopen Classic. Iji nwee ike ịbanye kpọmkwem usoro insulin, a ga-enyerịrị oghere mkpụrụ ọgwụ sirinji na mmụba dị nta. Dịka ọmụmaatụ, HumaPen Luxura na-enye gị ohere ị nweta akara nkeji abụọ.
3. Mkpofu mkpụrụ ọgwụ Rinastra 3 ml. Dochie katrij nke dị na ha agaghị ekwe omume, otu ụzọ 1.

Mmetụta enwere ike ịchọrọ

Ugboro ole mmetụta Rinsulin dị ala, ihe ka ọtụtụ ná ndị ọrịa na-enwekarị hypoglycemia dị nro.

Ndepụta nke nsonaazụ a na-achọghị dị ka ntuziaka a si dị:

1. Hypoglycemia ga-ekwe omume ma ọ bụrụ na agbakọọ usoro ị theụ ọgwụ ahụ na-ezighi ezi na gafere mkpa anụ ahụ maka homonụ. Emegaghị ntuziaka maka ojiji ahụ nwekwara ike ibute shuga: usoro ịgba ọgwụ na-adịghị mma (insulin abanyela n’olu ahụ), kpo oku nke ebe ntụtụ (okpomọkụ ikuku, mpikota onu, esemokwu), mkpịsị sirinji na-ezighi ezi, na mmega ahụ na-enweghị ihe ọ bụla. A ga-ekpochapụ hypoglycemia mgbe ihe ịrịba ama mbụ ya pụtara: ịba, ụjọ, agụụ, isi ọwụwa. Ọtụtụ mgbe, 10-15 g nke carbohydrates ngwa ngwa ezuru maka nke a: shuga, sirop, mbadamba glucose. Nnukwu hypoglycemia nwere ike ibute mbibi akwara na-enweghị mgbanwe, na-akpata coma.
2. Secondzọ nke abụọ kachasị emetụta bụ mmeghachi omume nfụkasị. Ọtụtụ mgbe, a na-egosipụta ya na nchapu ma ọ bụ na-acha ọbara ọbara na ntụtụ ahụ ma na-apụ n'anya izu ole na ole mgbe emesịrị ịgwọ ọrịa insulin. Ọ bụrụ na itching dị ugbu a, enwere ike ị antiụ ọgwụ mgbochi. Y’oburu na anataghi aburula usoro, urticaria ma obu ede ede Quincke emeela, a gha edochi Rinsulin R.
3. Ọ bụrụ na ndị ọrịa mamịrị nwere hyperglycemia ruo ogologo oge, a na-agbakọ ọgwụ mbụ nke insulin ka shuga ọbara wee belata nke ọma, ihe karịrị otu ọnwa. Site n’inwe glucose dị ala n’adịghị ala, ọ ga-ekwe omume ịda mba na-adị nwa oge: ọhụhụ ọhụhụ, ọzịza, mgbu n’akụkụ aka - etu esi gbakọọ dose insulin.

Ọtụtụ ọgwụ na - eme ihe banyere insulin, ya mere ndị ọrịa nwere ọrịa shuga na ọgwụgwọ insulin ga - ejikọ dọkịta na ọgwụ niile, usoro ndị mmadụ na nri ndị ha na - eme atụmatụ iji.

Ntụziaka ahụ na-adụ ntị na otu ọgwụ ọgwụ ndị a:

• ọgwụ homonụ: mgbochi afọ, homonụ thyroid, glucocorticosteroids,
• ọgwụgwọ maka ọbara mgbali elu: mkpụrụ nke thiazide subgroup, ọgwụ niile na - agwụ na –pril na –sartan, lazartan,
• Vitamin B3
• nkwadebe lithium
• tetracyclines
• ndị nnọchianya hypoglycemic ọ bụla
• acetylsalicylic acid
• ụfọdụ ọgwụ antidepressants.

Enskwụ ụgwọ ndị ọrịa shuga mellitus na-akawanye njọ na ọgwụ ọ andụ andụ na mmanya ọ bụla nwere mmanya nwere ike ibute nnukwu ọrịa hypoglycemia - lee ihe ọrịa shuga na-akpata. Ọgwụ Beta-blocker nke a na-eji ọrịa obi na-ewepụ ihe mgbaàmà hypoglycemia ma gbochie ya ịchọpụta n'oge.

Njirimara ngwa

Mgbe emechara, insulin na-ebibi imeju ya na akụrụ. Ọ bụrụ na ndị ọrịa mamịrị na-arịa ọrịa nke otu akụkụ ahụ, usoro ọgwụgwọ Rinsulin nwere ike ịdị mkpa idozigharị ya. A na-ahụkarị oke insulin n'oge mgbanwe nke homonụ, yana ọrịa na-efe efe, ahụ ọkụ, trauma, nrụgide, ike ọgwụgwụ. Ọgwụ nke ọgwụ ahụ nwere ike ịdị njọ ma ọ bụrụ na onye ọrịa nwere ọria mamịrị, ọria ọnya na ọnya na nsị.

Dọkịta nke Sciences Medical, Isi nke Institute of Diabetology - Tatyana Yakovleva

M na-amụ ọrịa shuga kemgbe ọtụtụ afọ. Ọ na-atụ ụjọ mgbe ọtụtụ mmadụ nwụrụ, nweekwa nkwarụ karịa n'ihi ọrịa shuga.

Emere m ngwa ngwa izisa ozi ọma - thelọ Ọrụ Nnyocha Ọgwụ Endocrinology nke Mahadum Ọgwụ nke Russia jisiri ike mepụta ọgwụ na-agwọ ọrịa shuga kpamkpam. N'oge a, ịdị irè nke ọgwụ a na-eru nso 98%.

Ozi ọma ọzọ: Ministri Ahụike echekwaala maka mmemme pụrụ iche nke na-akwụ ụgwọ ọgwụ dị elu. Na Russia, ndị ọrịa mamịrị ruo Mee Mee 18 (isonye) nwere ike inweta ya - Naanị 147 rubles!

Ihe atụ ndị a ma ama nke Rinsulin R bụ Danish Actrapid na American Humulin Regular. Ihe omuma nyocha mere ka egosiputa ihe ngosi Rinsulin n’ogo nke European.

Nyocha ndị ọrịa mamịrị anaghị enwe nchekwube. Ọtụtụ, mgbe ha na-agbanwe site na ọgwụ mbubata na nke ụlọ, na-ahụ mkpa ọ dị maka mgbanwe onunu ogwu, ima elu shuga na oke ọrụ mmechu ọnụ. Enwere nyocha ndị ọzọ dị mma banyere rinsulin n'etiti ndị ọrịa na-eji insulin eme ihe na nke mbụ. Ha na - arụ ọrụ iji nweta ezigbo ụgwọ maka ọrịa shuga ma zere nnukwu hypoglycemia.

Ọ bụrụ na nke na-adịgide adịgide na-akpata, a ga-ahapụ Rinsulin. Ọtụtụ mgbe, insulins ndị ọzọ na-akpata otu mmeghachi omume, ya mere ha na-eji ụzọ ultrashort - Humalog ma ọ bụ NovoRapid.

Ọnụahịa nke Rinsulin P - site na 400 rubles. kwa karama rue 1150 maka pensụ 5.

Ọdịiche dị n'etiti Rinsulin P na NPH

Rinsulin NPH bụ ọgwụ na-ajụ ajụ site na otu onye nrụpụta. Dịka ntuziaka ahụ si dị, a na-eji yazie ịme shuga na-ebu ọnụ. Rinsulin NPH nwere otu ụkpụrụ nke ime, ụdị mwepụta, ihe ndị yiri ya, contraindications na nsonaazụ dịka Rinsulin R. Dịka iwu, yana ọgwụgwọ insulin, a na - ejikọkwa ụdị insulin abụọ - mkpụmkpụ. Ọ bụrụ na-echekwa mmiri nke homonụ nke onwe gị (ụdị nke abụọ na-arịa ọrịa shuga), ịnwere ike iji naanị otu ọgwụ.

Njirimara nke Rinsulin NPH:

Rinsulin NPH Kalama Ahịa

400 rub., Katrized ise

1000 rub., Mkpịsị mkpụrụ sirinji ise

Gbalia imuta! You chere na ị takingụ ọgwụ na insulin bụ naanị ụzọ eji egbochi shuga? Ọ bụghị eziokwu! Nwere ike ịchọpụta nke a n'onwe gị site na ịmalite iji ya. gụkwuo >>