Levemir Penfill ke insulin ea nako e telele e sebetsang. Moemeli oa hypoglycemic o fana ka ho potoloha ha insulin ka nako e telele maling. Sena se thusa ho fokotseha ho tsoelang pele ha glucose ea mali. E sebelisetsoa kalafo e tobileng ho bakuli ba nang le lefu la tsoekere.
Lebitso la Machaba le sa Tšoanelehang
INN: Sesole sa insulin.
ATX
A10AE05.
Lokolla liforomo le sebopeho
Setlhare se fumaneha ka mokhoa oa tharollo e hlakileng e reretsoeng ho tsamaisa subcutaneous. Motsoako o ka sehloohong ke motsoako oa insulin ho litekanyetso tsa 100 IU. Lisebelisoa tse ling: glycerol, acetate ea zinc, metacresol, phenol, sodium hydroxide, dihydrate le chloride, metsi a ente.
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Levemir Penfill ke moriana ka mokhoa oa tharollo e hlakileng e reretsoeng ho tsamaisa subcutaneous.
Setlhare se hlahisoa ka mabokose a khethehileng (3 ml). Yuniti e le 'ngoe ea insulin e amanang le insulin e lekana le 0.142 mg ea "insulin" ea insulin e senang letsoai. 1 UNIT ea insulin - 1 IU ea "insulin" ea motho.
Ketso ea pharmacological
E tšoauoa ka phello e boletsoeng ea antidiabetic, ketso ea nako e telele. Ke analogue e fumanehang habonolo ea insulin ea motho. Tharollo e sebetsa ka mokhoa o ts'oanang, ha ho na mesebetsi e phahameng ea lithethefatsi e bonoang.
Mokhoa oa ts'ebetso o bakoa ke bokhoni ba limolek'hule tsa ntho e sebetsang ho tlama ho acid tse mafura. Ts'ebetso ena e hlaha ka kotloloho setsing sa ente. Ntho e sebetsang e fetisoa butle-butle ho lisele le litho. Sena se bakoa ke phello ea nako e telele.
Matla a hypoglycemic a hlaha ka lebaka la ho phahama ha tsoekere ka potlako ke lisele tsa mesifa le adipose tiske. Kamora ho tlama insulin ho li-receptor, ho lokolloa ha tsoekere ke sebete ho fokotseha.
Mofumahali
Khokahano e phahameng ea insulin maling e bonoa ka mor'a lihora tse 6. E ajoa ka ho lekana ka ho lekana holim'a lithaelese tse lebisitsoeng. E potoloha ka potlako maling. Metabolism e etsahala sebeteng, empa metabolites ha e na ts'ebetso ea hypoglycemic. Ho felisoa ha halofo ea bophelo ke lihora tse 7, ka lebaka la moriana o laetsoeng.
Matšoao a ho sebelisoa
Matšoao a tobileng a tšebeliso ea Levemir Penfill ke:
- kalafo ea mofuta oa 1 lefu la tsoekere ho batho ba baholo;
- lefu la tsoekere ho bana ho tloha ho lilemo tse peli le ho kena bohlankaneng.
Contraindication
Ntho feela e tobileng e khahlanong le tšebeliso ea insulin bakeng sa kalafo ea lefu la tsoekere ke hypersensitivity ho mofuta ona oa insulin kapa o mong oa likarolo tsa meriana. Ha ho kgothaletswe ho fa bana ba ka tlase ho lilemo tse peli, joalo ka liteko tsa tliliniki tse entsoeng ho bakuli sehlopheng sena li ne li se joalo.
Ka tlhokomelo
Ka hlokolosi, moriana o laetsoe bakuli ba tsofetseng le bakuli ba nang le ts'oaetso ea adrenal.
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Ka hlokolosi, moriana oa Levemir Penfill o fuoe bakuli ba tsofetseng.
U ka nka Levemir Penfill joang?
Subtleane ka leqaqailana, ka pel'a lebota la mpa kapa mahetla. Tšebeliso ea methapo e thibetsoe. Kenyelletso e khonahala ka nako efe kapa efe ea letsatsi, haeba e etsoa hang ka letsatsi. Litekanyetso li behiloeng li ka aroloa likarolo tse peli. Empa ho hlokahala hore u ele hloko 'nete ea hore tekanyetso ea bobeli e lokela ho fanoa pele ho lijo tsa mantsiboea kapa pele u robala e le hore ho ka feta lihora tse 12 pakeng tsa ente ea pele le ea bobeli.
Bakeng sa ho qoba mathata a lehae, ho bohlokoa hore u fetole sebaka sa ente.
Moriana ha oa lokela ho bata, o lokela ho ba le mocheso oa kamore. Haeba tharollo e lahlehile, kapa e sa bonahale, ho ka se sebelisoe.
U sebelisa pente ea syringe joang?
Mokokotlo oa tharollo o sebelisoa feela hammoho le pente ea Novo Nordics le linale tse khethehileng tsa NovoFine.
Ts'ebeliso ea mabokose a karete ke motho ka mong ebile o khona ho lahla. Haeba ho na le tlhoko ea ho sebelisa mefuta e mengata ea insulin ea ketso e telele le e khuts'oane ka nako e le ngoe, ha u na ho li kopanya. E 'ngoe le e' ngoe ea tharollo e tla hloka pene ea eona ea syringe.
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Pele ho ente, etsa bonnete ba hore tharollo e khethiloe ka nepo, tseba hore na e na le ts'ebetso e loketseng ponahalo, hlahloba syringe le piston bakeng sa tšenyo. Pele o sebelisoa, sebelisa disaliti tsa rabara ka botlalo ka tharollo ea antiseptic, joalo ka joala ba ethyl.
Setlhare se fanoa ho latela litaelo, tse lokelang ho ba penteng e ngoe le e ngoe ea syringe. E le hore tekanyetso e felletseng e ka fanoa, ka mor'a ente, o hloka ho tlohela nale ena bakeng sa metsotsoana e meng e seng mekae. Sena se tla thusa ho thibela ho lutla ha insulin ho tloha syringe.
Ho nka moriana oa lefu la tsoekere
Ho hlokahala tlhokomeliso ho batho ba neng ba kile ba sebelisa mefuta e meng ea insulin. Phetoho e lula e tsamaea le ho feto-fetoha ha maemo ho matla ha khatello ea tsoekere maling, ka hona o hloka ho lekola liphetoho ka hloko ho lits'oaetso tsohle.
Litla-morao tsa Levemir Penfill
Ha e le hantle, ponahalo ea maikutlo a mabe e amahanngoa le phetoho ea litekanyetso. Haeba moriana o fanoe ka tekanyetso e kholo, joale hypoglycemia e ka etsahala. Boemong bo tebileng, karabelo e joalo e ile ea bontšoa: syndrome e tšosang, ho lahleheloa ke kelello. Bakuli ba ile ba tletleba ka ho teneha ho eketsehileng, ho otsela, ho opeloa ke hlooho, ho nyekeloa, tachycardia, maikutlo a sa feleng a tlala.
Boithuto bo bontšitse hore ka ho hlahisoa ha tharollo holim'a mpa e se nang letho, ho boetse ho na le mathata a amanang le dyspeptic. Boitšoaro ba lehae bo ile ba bonoa ka mokhoa oa ho ruruha le bofubelu ba letlalo, ho hlohlona, kotsi ea ho holofala ha lisele tsa lisele e eketsehile.
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Ho tsoa ho sesole sa 'mele
Ho tsoa ho sesole sa 'mele se ka bonoa:
- lekhopho la letlalo le tsamaeang le ho hlohlona;
- ho ruruha ho feteletseng;
- ho senyeha ha lets'ollo;
- ho hema ka thata.
Matšoao ana hangata a bakoa ke ho hloaea maikutlo ka kakaretso. Liponahatso tse joalo tsa anaphylactic li kotsi.
Karolong ea metabolism le phepo e nepahetseng
Bakuli ba bangata ba hlokometse maikutlo a matla a tlala. Tabeng ena, metabolism e ferekanngoa, e lebisang phaellong e sa rateheng ea boima ba 'mele.
Tsamaiso ea methapo e bohareng
Khafetsa, khatello ea kelello e ka hlahang. Boemo bona boa fetoha.
Karolong ea litho tsa pono
Phokotso ea nakoana ea ntlafatso le ho senyeha hoa pono.
![](http://img.diabetesentity.com/img/sayd-2020/1238/kak-pravilno-ispolzovat-preparat-levemir-penfill-19.jpg)
Kamora ho tsamaisoa ha moriana, ho ka ba le mathata a nakoana kapa a ho fokolisa mahlo.
Karolong ea letlalo
Edema, hyperemia, lipodystrophy ea lithane (hafeela ente ea tishu e le sebakeng se le seng).
Allergie
Ho hlaha ka letlalo letlalong, ho hlohlona, urticaria.
Tšusumetso ho bokhoni ba taolo ea methapo
Ka kalafo ea nako e telele, mekhoa e meng e sa thabiseng e fetoha ka mokhoa o sa tobang tlhokomelo ea maikutlo le lebelo la karabelo ea psychomotor. Ka hona, ho molemo ho tlohela ho itaola.
Litaelo tse khethehileng
E na le phello e phehellang ea hypoglycemic ho feta Isofan Insulin. Haeba u hlahisa tekanyetso e sa lekaneng ea insulin mofuteng oa 1 oa lefu la tsoekere, ho ka hlaha hyperglycemia le lefu la tsoekere. Hypoglycemia e etsahala ka tekanyetso e ngata haholo.
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Ho khanna makoloi ho thibetsoe, joalo ka kalafo ea nako e telele, litla-morao li bonahala li ama tlhokomelo le karabelo.
Sebelisa botsofaling
Hloka khatello ea glucose le tokiso.
Ho hatisa Levemir Penfill ho bana
Tekanyetso ho fihlela ho lilemo tse 6.
Sebelisa nakong ea bokhachane le pelehi
Kajeno, ha ho na lipatlisiso tse sa lekanang ka phello ea insulin ho lesea le ntseng le hola. Hoa hlokahala ho hlokomela liphetoho ho khatello ea tsoekere. Ka li-trimesters tsa pele tsa insulin gestation ha e ea hlokahala, mme qetellong - ho feta. Ka hona, ho hlokahala phetoho ea motho ka mong.
Nakong ea kanyeso, tokiso ea "insulin" e ea hlokahala.
Kopo ea ts'ebetso ea renal e senyehileng
Ho hlahlojoa ha kokoana-hloko le phetoho ea li-dolara lia hlokahala.
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Sebelisa bakeng sa ts'ebetso ea sebete e sa sebetseng
Phetoho litekanyetso tsa insulin tse sebelisitsoeng li tla hlokahala.
Tekanyetso e fetelletseng ea Levemir Penfill
Tekanyo e fokolang ea hypoglycemia e emisoa ka boeona ka sekhechana sa tsoekere kapa lijo tse nang le lik'habohaedreite. Tekanyo e kholo, e tsamaeang le ho lahleheloa ke kelello, e hloka ho kenngoa ha glucagon kapa tharollo ea glucose e kenelletseng ka har'a mesifa / ka tlasa letlalo. Kamora hore kelello e hlaphoheloe, o hloka ho fa mokuli lijo tse matlafatsoang ke lik'habohaedreite tse potlakileng.
Ho sebelisana le lithethefatsi tse ling
Ho thibetsoe ho kopanya le moriana leha e le ofe oa ente, kopanya ka syringe e tšoanang le lithethefatsi tsa infusion. Khalemelo ea tekanyetso ea insulin e hlokahala ha e sebelisoa hammoho le meriana e fetolang tšebetso ea eona.
Ho fokotsa tekanyetso ea insulin hoa hlokahala ha u nka li-inhibitors tsa MAO, li-beta-blocker tse sa khethang, li-agents tsa hypoglycemic bakeng sa tsamaiso ea molomo, li-inhibitors tsa ACE, salicylates, metformin le ethanol.
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Tekanyetso ea insulin e lokela ho eketseha ka ts'ebeliso ea eona e ts'oanang ka li-hormone tsa kholo, adrenergic agonists, lihormone tsa qoqotho, glucocorticosteroid, lithethefatsi tsa diuretic le Danazol.
Tekanyo ea joala
Ho kopanya meriana le joala ho thibetsoe, joalo ka ho monya ntho ho ea fokotseha, 'me karabelo e mpe ho tloha ho hlahisoeng ha tharollo e eketsoa feela.
Li-analog
Ho na le lipapiso tse 'maloa tsa Levemir Penfill:
- Levemir Flekspen;
- Actrafan NM;
- Insulin Tape GPB;
- Insulin liraglutide.
Lipehelo tsa khefu ea khemisi
Setlhare se ka rekoa litlolong tsa litlhare feela ka taelo e khethehileng e tsoang ho ngaka ea hau.
A na nka reka ntle le lengolo la ngaka?
A qheletsoe ka thoko.
Theko ea Levemire Penfill
Litšenyehelo li tloha ho li-ruble tse 2800 ho isa ho tse 3100. sephutheloana se seng le se seng ho latela marang-rang a rekisoang le a marang-rang a meriana.
Maemo a polokelo ea moriana
Sehatsetsing ka mocheso oa + 2 ... + 8 ° C, empa hole le sehatsetsi. Li-cartridge tse bulehileng li bolokiloe ka ntle ho sehatsetsi.
Letsatsi la ho felloa ke nako
Lilemo tse 2,5 ho tloha ka letsatsi leo a ntšitseng ka lona se bontšitsoeng liphuthelong tsa mantlha. Li-cartridge tse buletsoeng li bolokiloe libeke tse 6 ka mocheso o sa feteng + 30 ° C. Se ke oa sebelisa kamora letsatsi la ho felloa ke nako.
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Analogue ea lithethefatsi e ka ba lithethefatsi Levemir Flekspen.
Moqapi
Khamphani ea tlhahiso: "Novo Nordisk A / S", Denmark.
Tlhahlobo Levemire Penfill
Lingaka
Mikhailov A.V., endocrinologist, Moscow: "Hangata ke e fa batho ba nang le lefu la tsoekere la 1 lefu lena. Pheko e ntle, ho hlokahala feela ho lekola tsoekere ea mali ho thibela nts'etsopele ea hypoglycemia."
Suprun I. R., setsebi sa endocrinologist, Kazan: "Ke fana ka ente ea Lefemira penfill ho bakuli ba ka khafetsa. Ho na le batho ba e mamellang hantle, empa ho boetse ho na le batho bao e sa ba ameng ho hang. Tsohle li ipapisitse le mofuta oa insulin eo motho a kileng a e sebelisa pele, eo e ka angoa ke likarolo tsa motho ka mong. "
Bakuli
Karina, ea lilemo li 35, Voronezh: "Levemir o ile a atameloa ka mokhoa o phethahetseng. Boemo ba tsoekere boa bolokoa, ha ho na mathata.
Pavel, ea lilemo li 49, Moscow: "Insulin ena e ne e sa lekane. Hangata tsoekere e ne e tloleha, ka linako tse ling ho bile le litlhaselo tse matla tsa hypoglycemia, tseo ke neng nke ke ka khona ho sebetsana le tsona ka linako tsohle. Ka hona, ke ile ka tlameha ho e nkela sebaka ka analogue."
Margarita, ea lilemo li 42, Yaroslavl o re: "Ke ntse ke entela Penemill le Levemir ka nako e telele. Ke rata lithethefatsi. Ho bonolo ho fana ka tsona. Ho sebelisa tekesi e le 'ngoe ho lekane ka letsatsi ho boloka tsoekere e le tloaelehileng."