Wokhala insulin yayitali

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Zaka zana limodzi zapitazo, matenda a shuga amawonedwa ngati matenda akupha. Madokotala amadziwa momwe matendawa amawonekera, komanso amatchedwa zosayambitsa - mwachitsanzo, kubadwa kapena kunenepa kwambiri. Ndipo m'zaka khumi zokha zapitazi, asayansi atazindikira za insulini ya mahomoni ndipo adawerengera momwe amapangira kagayidwe kazachilengedwe. Ichi chinali chipulumutso chenicheni kwa odwala matenda ashuga.

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.

Udindo waukulu wa insulin m'thupi ndi kutenga gawo la kagayidwe kazakudya ndikupanga shuga ochuluka m'magazi.

Pharmacology yamakono imagawa kukonzekera kwa insulin m'magulu, potengera kuchuluka kwa hypoglycemic (kutsitsa shuga) magazi:

  • ultrashort;
  • mwachidule;
  • yayitali;
  • kuphatikiza pamodzi.

Kukhalitsa: Zabwino ndi Zabwino

Mpaka posachedwa, kukonzekera kwa insulin kogawika kunagawika m'magulu awiri: apakati komanso okhalitsa. Zaka zaposachedwa, zakhala zikudziwika pachitukuko cha insulin yowonjezera nthawi yayitali.
Kusiyanitsa kwakukulu pakati pa mankhwalawa onse amtundu wautatu ndi kutalika kwa zotsatira za hypoglycemic:

  • 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.
Ma insulini amasungidwe amasungidwe nthawi zambiri amapezeka mu mawonekedwe a kuyimitsidwa ndipo amapangidwira ma subcutaneous kapena intramuscular management.
Nthawi zambiri, mwa munthu yemwe alibe matenda a shuga, insulin imapangidwa mosalekeza. Kukonzekera kwa insulin kwa nthawi yayitali kwapangidwa kuti kuyerekezera zomwezo mwa odwala omwe ali ndi matenda a shuga. Ntchito yawo yayitali mthupi ndiyofunikira kwambiri ndi chithandizo chowongolera. Kuchepetsa kuchuluka kwa jakisoni ndi kuphatikiza kwinanso kwa mankhwalawa.

Koma pali malire: ma insulin omwe amakhala nthawi yayitali sangathe kugwiritsidwa ntchito poyambitsa matenda ashuga kapena malo oyipa a wodwalayo.

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.

Ma insulin onse ofotokozedwa amalimbikitsidwa kuti apatsidwe mphindi 45-60 musanadye.

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).
Zotsatira zoyipa zambiri sizingachitike konse. Nthawi zambiri zimakhala zokwanira kutsatira malamulo angapo oyambira:

  • 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.

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