Magulu amakonzekera insulin
Njira yayikulu yothandizira matenda a shuga a mtundu woyamba ndikuyambitsa kuchuluka kwa ma insulin omwe amapangidwa m'magazi a wodwala. Malinga ndikuwonetsa payekhapayekha, timadzi timeneti timagwiritsidwanso ntchito ngati mtundu wachiwiri wa matenda ashuga.
Pharmacology yamakono imagawa kukonzekera kwa insulin m'magulu, potengera kuchuluka kwa hypoglycemic (kutsitsa shuga) magazi:
- ultrashort;
- mwachidule;
- yayitali;
- kuphatikiza pamodzi.
Kukhalitsa: Zabwino ndi Zabwino
- kuchuluka kwa nthawi yayitali ndi 8-12, mu odwala angapo - mpaka maola 20;
- kuchitapo kanthu kwanthawi yayitali - 20-30 (nthawi zina 36) maola;
- zowonjezera zazitali - zoposa maola 42.
Kodi kukonzekera insulin kwa nthawi yayitali ndi chiyani?
Ganizirani zamankhwala omwe amadziwika kwambiri mgulu lawo.
Isofan insulin
Izi zimagwira ntchito mankhwala osokoneza bongo. nthawi yayitali machitidwe. Woimira akhoza kuonedwa ngati French Insuman Bazal GT. Imapezeka mu mawonekedwe a kuyimitsidwa ndi insulin yokhala ndi 40 kapena 100 mayunitsi. Kuchuluka kwa botolo limodzi ndi 10 kapena 5 ml, motsatana.
Chachilendo cha mankhwalawa ndi kulekerera bwino kwake kwa odwala omwe amadziwika kuti amatsutsana ndi insulini zina. Kuphatikiza apo, mankhwalawa amatha kugwiritsidwa ntchito pakuyembekezera amayi ndi amayi oyamwitsa (amafunika kuyang'aniridwa ndi achipatala). Isofan insulin imayendetsedwa kamodzi tsiku lililonse.
Mtengo woyeserera wa phukusi la mabotolo asanu a 5 ml - kuchokera ku ma ruble 1300.
Insulin glargine
Mankhwala kuchitapo kanthu kwa nthawi yayitali ndi yapadera m'njira yake. Chowonadi ndi chakuti insulin yambiri imakhala ndi chotchedwa peak. Ino ndi nthawi yomwe kukhazikika kwa mahomoni m'magazi kumafika pazokwanira. Kugwiritsa ntchito insulin glargine kumachotsa mphindi yapamwamba kwambiri: mankhwalawa amachita mosiyanasiyana komanso mosalekeza. Mankhwalawa amapangidwira tsiku limodzi.
Limodzi mwa mayina amalonda ndi Lantus. Amapangidwa ku France ngati cholembera cha syringe ndi kuyimitsidwa kwa jakisoni wa subcutaneous. Mtengo wa mankhwalawa ndi pafupifupi ma ruble 3,500 a ma syringes asanu a 3 ml aliyense.
Insulin degludec
Ili ndiye dzina lapadziko lonse lamankhwala. wopatsa chidwi kwa nthawi yayitali. Malinga ndi kuyerekezera kwa akatswiri, tsopano lilibe fanizo lathunthu mdziko lonse lapansi. Mbiri yamalonda - "Tresiba Penfill", dziko lomwe adachokera - Denmark. Kutulutsa mawonekedwe - makatiriji okhala ndi mphamvu ya 3 ml (mayunitsi zana a insulin / ml), mu bokosi - makatoni asanu. Mtengo woyerekeza wa mankhwalawo ndi pafupifupi ma ruble 7500.
Mankhwalawa amaperekedwa kamodzi pa maola 24 aliwonse nthawi iliyonse (kupitilizanso kuti azitsatira). Insulin degludec imapangidwira zochizira matenda ashuga odwala akulu, kuphatikizapo omwe ali ndi zaka zopitilira 65. Tsopano sichigwiritsidwa ntchito pochiza matenda a shuga ku unamwino, amayi apakati, komanso mwa ana ndi achinyamata.
Zotsatira zoyipa
Pokonzekera insulin (mosasamala nthawi yayitali), zotsatira zoyipa zimadziwika:
- hypoglycemia;
- ambiri thupi lawo siligwirizana (urticaria, kuyabwa);
- thupi lawo siligwirizana (kuyabwa, kapangidwe komwe jekeseni adapanga);
- kuphwanya kwa mafuta wosanjikiza pamalo a jakisoni (insulin nthawi zina imamangidwa ndi mafuta osunthika).
- kutsatira zakudya okhwima;
- gwiritsani ntchito kukonzekera kwa insulini molingana ndi malangizo a dokotala ndi malangizo kuti mugwiritse ntchito;
- kupatula mankhwala omwe mumadzipangira nokha (osadzitola nokha osagwiritsa ntchito kukonzekera kwa insulin nokha);
- kusintha nthawi zonse jakisoni.
Kugwiritsa ntchito insulin kukonzekera kwa odwala kumathandiza kupewa zovuta zingapo zamtundu woyamba wa II ndi mtundu II. Kuphatikiza apo, kugwiritsa ntchito moyenera komanso kusapezeka kwa matupi awo sagwirizana, chithandizo chamankhwala omwe amakhala ndi nthawi yayitali chimapangitsa chithandizo cha matenda a shuga kukhala chofunikira kwambiri kwa odwala.