Humulin K25 100p insulin ndi mankhwala omwe ali m'gulu la mankhwala antidiabetes. Amapezeka mu mawonekedwe a kuyimitsidwa kwa jakisoni ndipo ndi kuphatikiza kwa insulin yaumunthu yotalika pakati komanso yochepa pakuchitapo kanthu.
The zikuchokera mankhwala - 25% sungunuka insulin ndi 75% insulini-isophan. Mankhwala amalumikizana ndi lilime la cytoplasmic cell membrane, ndikupanga insulin-receptor tata, yomwe imalimbikitsa ntchito yokhudzana ndi intracellular, kuphatikizapo kaphatikizidwe kazinthu zingapo zazikulu za michere.
Mankhwala amapatsidwa mankhwala a matenda a shuga a mitundu yachiwiri ndi yoyamba, komanso kukana mankhwalawa am'kamwa. Komanso, mankhwalawa amapatsidwa mankhwala ngati pali njira zomwe zimagwiritsidwira ntchito ndi njira zopangira opaleshoni. Nthawi zambiri, mankhwalawa akuwonetsa kuti ali ndi matenda ashuga, omwe amayamba pomwe ali ndi pakati. Potsirizira pake, dokotalayo amapereka njira yothetsera vuto lakelo chifukwa chosagwira bwino ntchito pachipatala.
Pharmacology
Humodar K25-100 ndikukonzekera kwa insulin yopanga ya anthu yopanga nthawi yayitali.
Mankhwala ali ndi insulin - isophan ndi sungunuka wa insulin. Mankhwala amalimbikitsa kaphatikizidwe kazinthu zingapo za michere.
Mwa zina zazikulu:
- pyruvate kinase,
- hexokinase
- glycogen synthetase ndi ena.
Kutalika kwa zotsatira za kukonzekera kwa insulin nthawi zambiri kumadziwika ndi kuchuluka kwa mayamwidwe. Zimatengera dera la jakisoni ndi Mlingo, kotero mawonekedwe a insulin amatha kusiyanasiyana, komanso mwa anthu osiyanasiyana, komanso mwa wodwala m'modzi.
Mankhwalawa amayamba pambuyo pa kayendetsedwe ka subcutaneous, izi zimachitika pafupifupi theka la ola. Kuchuluka kwake kumachitika, nthawi zambiri pambuyo maola ochepa. Kuchitikaku kumatenga maola 12 mpaka 17.
Malangizo ogwiritsira ntchito mankhwalawa
Nthawi ya jakisoni ndi Mlingo wakhazikitsidwa ndi dokotala munthawi iliyonse, kutengera zomwe zimachitika ndi metabolic process. Mukamasankha kuchuluka kwa insulin kwa akuluakulu, muyenera kuyamba ndi gawo limodzi la magawo 8-24.
Ndi chidwi chachikulu ndi mahomoni komanso muubwana, Mlingo wochepera 8 amagwiritsidwa ntchito. Ngati kukhudzika kumachepetsedwa, ndiye kuti mlingo wogwira ntchito ukhoza kukhala wapamwamba kuposa mayunitsi 24. Mlingo umodzi sayenera kupitirira 40 mayunitsi.
Katoni yomwe ili ndi chinthucho ikuyenera kukugudika nthawi khumi pakati pama manja musanayigwiritse ntchito ndikukutembenuza manambala ofanana. Musanaike katiriji mu syringe cholembera, onetsetsani kuti kuyimitsaku sikutha, ndipo ngati sizili choncho, bwerezaninso njirayi. Mankhwalawa ayenera kukhala wogawana kapena wopanda mitambo mutasakaniza.
Humodar P K25 100 iyenera kuperekedwa pafupifupi mphindi 35-45 musanadye intramuscularly kapena subcutaneally. Malo a jakisoni amasintha jakisoni aliyense.
Kusintha kwa mankhwala ena aliwonse a insulin kumachitika kokha moyang'aniridwa ndi achipatala. Wodwala ayenera kutsatira:
- Zakudya
- Mlingo wa insulin tsiku lililonse,
- kuchuluka kwa zolimbitsa thupi.
Njira y kukhazikitsa jakisoni mukamagwiritsa ntchito insulin m'mbale
Cartridge yokhala ndi Humodar K25-100 imagwiritsidwa ntchito pama syringe pens. Musanagwiritse ntchito, onetsetsani kuti katiriji sikuwonongeka. Katunduyu akadzalowetsedwa cholembera, mzere wachikuda uyenera kuonekera.
Musanayike katiriji m'manja, muyenera kuyitembenuzira pansi kuti galasi lagalasi liyambe kulowa mkati. Chifukwa chake, kusakanikirana kwa chinthu. Njirayi imabwerezedwa mpaka madzi atapeza yunifolomu yoyera. Kenako jakisoni amapangidwa nthawi yomweyo.
Pambuyo pa jekeseni, singano imayenera kukhalabe pakhungu kwa masekondi asanu. Sungani batani kuti lipanikizidwe mpaka singano itachotsedwa kwathunthu pakhungu. Katoniyo ndi wongogwiritsa ntchito payekha ndipo sayenera kujambulanso.
Pali algorithm yeniyeni yopanga jakisoni wa insulin:
- kupezeka kwa utoto wa mphira pa botolo,
- khalani mu syringe ya mpweya mu voliyumu yomwe ikufanana ndi insulin yomwe mukufuna. Mpweya umalowetsedwa mu botolo ndi chinthucho.
- Kutembenuza botolo ndi syringe mozondoka ndikukhazikitsa mlingo wa insulin mu syringe. Chotsani singano mu vial ndikuchotsa mpweya ku syringe. Onani kulondola kwa insulin,
- mankhwala a jakisoni.
Mankhwala osokoneza bongo ambiri komanso zoyipa
Mankhwalawa angayambitse mavuto ena chifukwa chokhudzana ndi kagayidwe kazakudya.
Chifukwa chake, nthawi zina mikhalidwe ya hypoglycemic imachitika.
Nthawi zambiri, odwala amadandaula:
- nthawi zambiri zimasokoneza mtima
- kukopa kwa pakhungu
- thukuta lalikulu
- migraines
- miyendo yanjenjemera
- kukwiya kwambiri
- njala
- paresthesia mkamwa.
Matenda oopsa a hypoglycemia angapangitse kuti pakhale kupweteka kwakukulu kwa hypoglycemic. Nthawi zina, munthu akhoza kudwala:
- zotupa pakhungu
- Edincke's edema,
- anaphylactic mantha.
Zitha kukhalanso:
- Hyperemia,
- pruritus kuyabwa ndi kutupa,
- lipodystrophy.
Amadziwikanso ndimomwe thupi limachitikira:
- kutupa kosiyanasiyana
- kusokonezedwa kwakanthawi kotsutsa.
Ngati bongo umatha kukhala ndi hypoglycemia. Ngati zikuchitika wofatsa, wodwalayo atha kutenga shuga kapena zakudya zamafuta. Anthu odwala matenda ashuga ayenera nthawi zonse kunyamula maswiti, shuga, kapena msuzi wokoma wa zipatso.
Ngati tikulankhula za mitundu yoopsa ya hypoglycemia, ndiye kuti wodwala akhoza kusiya kuzindikira. Pankhaniyi, 40% shuga yankho liyenera kuperekedwa kudzera m'mitsempha. Chikumbumtima chikadzabwezeretsa, munthu ayenera kudya zakudya zopatsa mphamvu nthawi yomweyo kuti zisayambenso.
Zochita Zamankhwala
Mankhwala amakhudzana ndi mankhwala omwe amatha kuwonjezeredwa ku regimen yothandizira.
Kumwa mankhwala ena kungafooketse kapena kuwonjezera mphamvu ya insulin pamagazi.
Kupititsa patsogolo kwa zotsatira za chinthu kungaoneke pamodzi ndi nthawi imodzi:
- Mao zoletsa
- osasankha beta-blockers,
- anabolic steroids
- machez
- sulfanamide
- onjezerani
- fenfluramine,
- cyclophosphamide
- kukonzekera kokhala ndi Mowa.
Insulin imatha kufooketsa mphamvu yake pogwiritsa ntchito:
- chlorprotixen,
- njira zakulera zina
- okodzetsa - saluretics,
- heparin
- lithiamu carbonate
- corticosteroids
- diazoxide
- isoniazid
- nicotinic acid wamtundu 2 shuga,
- mahomoni a chithokomiro
- othandizira achifundo
- tridclic antidepressants.
Mwa anthu omwe amamwa insulin, reserpine, clonidine ndi salicylates nthawi yomweyo, onse akuwonjezeka komanso kuchepa kwa mphamvu ya insulin.
Kumwa zakumwa zoledzeretsa kumapangitsanso kuchepa kwambiri kwamisempha yamagazi.
Zina
Poyerekeza ndi maziko a chithandizo cha insulin, kuyang'anira shuga wamagazi nthawi zonse ndikofunikira. Hypoglycemia, kuphatikiza pa mankhwala osokoneza bongo a insulin, imatha kuchitika m'malo molakwika a mankhwala.
Hypoglycemia ndi chiopsezo, zomwe zimayeneranso kuganiziridwa:
- kudumpha chakudya
- kuchita zolimbitsa thupi kwambiri
- matenda omwe amachepetsa kufunika kwa insulin,
- kusintha kwa jakisoni malo.
Mlingo wolakwika kapena zosokoneza mu jakisoni wa insulin zingayambitse hyperglycemia. Nthawi zambiri, mawonetsedwe a hyperglycemia amapangika pang'onopang'ono, izi zimafunikira maola angapo kapena masiku.
Hyperglycemia ikufotokozedwa:
- ludzu
- kukodza kwambiri,
- kusanza ndi mseru
- chizungulire
- khungu lowuma
- kusowa kwa chakudya.
Mlingo wa insulin uyenera kusinthidwa ngati chithokomiro chikulephera, komanso:
- Matenda a Addison
- hypopituitarism,
- matenda a impso ndi chiwindi.
- matenda ashuga mwa anthu opitilira 65.
Kusintha kwa mankhwalawa ndikofunikanso ngati wodwalayo akuwonjezera zochitika zake zolimbitsa thupi, kapena asintha zakudya zina zomwe amakhala nazo.
Mukamagwiritsa ntchito, kuyendetsa galimoto kapena kuwongolera zinthu zina kumatha kuchepa.
Kuika chidwi kumachepa, chifukwa chake sikulimbikitsidwa kuchita zochitika zomwe zimayenderana ndi kufunikira kuyankha mwachangu ndikupanga zisankho zofunika.
Analogi
Ndi ma analogi amatanthauza mankhwala omwe amatha kukhala olowa m'malo mwa Humodar k25 100r.
Zowoneka za chida ichi ndizofanana ndi kapangidwe ka zinthu ndikufanana ndi njira yogwiritsira ntchito, komanso malangizo ndi zisonyezo.
Mwa ena odziwika bwino ndi awa:
- Humulin M3,
- Ryzodeg Flextach,
- Kusakaniza kwa Humalog,
- Insulin Gensulin N ndi M30,
- Novomax Flekspen,
- Farmasulin H 30/70.
Mtengo wa mankhwalawa Humodar K25 100r umasiyana malinga ndi dera komanso malo omwe amapezeka mankhwalawo. Mtengo wapakati wa mankhwalawa ndi 3ml 5 ma PC. kuyambira 1890 mpaka 2100 rubles. Mankhwala ali ndi ndemanga zabwino.
Pazokhudza mitundu ya insulin ndi mawonekedwe ake adzakuwuzani kanema munkhaniyi.
