Insulin Humulin NPH imagwiritsidwa ntchito pochiza odwala omwe ali ndi matenda a shuga 1. Odwala akuvutika chifukwa chakuti kapamba sangathe kudzipangira payekha insulin.
Humulin ndi cholowa m'malo mwa insulin ya anthu. Ndemanga zingapo zikuwonetsa mphamvu ya mankhwalawa komanso kulekerera kwake kosavuta.
Mtengo wa mankhwalawa umasiyanasiyana ma ruble 1,500. Masiku ano, mutha kupezanso mitundu yambiri yamankhwala, komanso mankhwala ofanana.
Yaikulu katundu mankhwala
Mankhwalawa amagwiritsidwa ntchito pamaso pa insulin-wodwala matenda a shuga komanso mtundu wachiwiri wa matenda ashuga nthawi ya gestation.
Pali mitundu ingapo ya mankhwala Humulin.
Mankhwalawa amasiyanasiyana munthawi yogwirira ntchito thupi.
Mpaka pano, mitundu yotsatirayi ya mankhwalawa ikupezeka pamsika wamankhwala:
- Insulin Humulin P (wowongolera) - ndi mankhwala osokoneza bongo.
- Humulin NPH ndi mankhwala owonetsa pakatikati, omwe amayamba kuwonetsa ntchito ola limodzi pambuyo pa kuwongolera, ndipo zotsatira zake zimakhala bwino patatha maola asanu ndi limodzi mpaka asanu ndi atatu.
- Insulin Humulin M3 ndi mankhwala a nthawi yayitali malinga ndi kukhudzika. Amapezeka mu mawonekedwe a kuyimitsidwa kwamitundu iwiri, yomwe ili ndi insulin Humulin Regular ndi Humulin NPH.
Kuphatikiza kwakukulu kwa mankhwalawa ndikofunikira kukhazikitsa njira yogwiritsira ntchito shuga, komanso kuthamangitsa mapuloteni a anabolism.
Humulin Regulator imagwiritsidwanso ntchito pochiza matenda amishuga amitundu 2 pamaso pa zinthu izi:
- ngati pa zovuta mankhwala pali chiwonetsero cha kukana mankhwala ochepetsa shuga;
- kukula kwa ketoacidosis;
- ngati matenda oyambitsidwa ndi malungo amawonedwa;
- zovuta za metabolic zimachitika;
- ngati kuli kofunikira kusamutsa wodwalayo kuti akhale nthawi yayitali ya insulin.
Humulin ya insulin ikhoza kuperekedwa m'njira ziwiri zazikulu:
- Kuyimitsidwa kwa jekeseni pansi pa khungu.
- Yankho la jakisoni.
Masiku ano, pali mitundu ikuluikulu ya mankhwala yomwe ingalowe m'malo mwa Humulin. Awa ndi mankhwala a analog omwe ali ndi kapangidwe kameneka yogwira ntchito - insulin. Zina mwa izi ndi monga:
- Actrapid ndi Apidra;
- Biosulin ndi Berlsulin;
- Gensulin ndi isofan insulin;
- Insulong ndi Insuman;
- Lantus ndi Pensulin.
Nthawi zina, kugwiritsa ntchito protamine hagedorn. Sizoletsedwa kusankha nokha kapena mankhwalawo. Ndi dokotala yekhayo wokhawo yemwe angafotokozere wodwala mankhwala omwe ali ndi mulingo woyenera, poganizira kuopsa kwa matenda ndi zina zake.
Malangizo ogwiritsira ntchito mankhwalawa
Mlingo uliwonse wa mankhwalawa umaperekedwa ndi adokotala potengera momwe wodwalayo alili ndi kuchuluka kwa shuga m'magazi.
Humulin Humulin Wowongolera akulimbikitsidwa kuti ajambulidwe pafupifupi theka la ola chakudya chachikulu chisanachitike, pomwe kuchuluka kwa jakisoni tsiku lililonse sikuyenera kupitirira sikisi.
Nthawi zina, jakisoni amapangidwa asanadye, koma pambuyo pa ola limodzi kapena awiri itatha.
Jakisoni watsopano aliyense amayenera kuyikidwa m'malo atsopano kuti apewe kupanga lipodystrophy. Regator yotere imatha kutumikiridwa mosakakamiza, kudzera m'mitsempha yamagazi ngakhale m'mitsempha. Njira zomalizazi zimakonda kuchitidwa ndi madokotala pakuchita opareshoni kapena odwala matenda a shuga.
Kuphatikiza apo, mankhwalawa nthawi zina amaphatikizidwa ndi mankhwala ena a antipyretic omwe amakhala nthawi yayitali.
Mlingo wofunikira wa mankhwala umatsimikiziridwa ndi katswiri wazachipatala, ndipo nthawi zambiri amakhala kuyambira magawo 30 mpaka 40 patsiku.
Ponena za mankhwala a Insulin Humulin NPH, ndizoletsedwa kugwiritsira ntchito mwamphamvu. Kuyimitsidwa kapena emulsion imayendetsedwa pansi pa khungu kapena, nthawi zina, intramuscularly.
Kuti mupange jakisoni moyenera, mufunika maluso.
Momwe mungabayitsire mankhwalawa?
Mukamayambitsa jakisoni wa insulin pansi pa khungu, muyenera kuwonetsetsa kuti singano sikulowa mumtsempha wamagazi, komanso musamayendetse kutikita minofu nthawi yomweyo jakisoni.
Mpaka pano, pali zida zapadera za jakisoni, za insulin. Izi zimaphatikizapo makatoni, cholembera, syringes ya insulin.
Musanagwiritse ntchito kuyimitsidwa, iyenera kukhazikitsidwa m'manja kuti madzi mkati mwa ampoule akhale opanda ntchito. Nthawi yomweyo, churning, yomwe imathandizira kuti mawonekedwe a foam, iyenera kupewedwa.
Ngati syringe ya insulini imagwiritsidwa ntchito jakisoni, mlingo womwe adalimbikitsidwa ndi adotolo umakhazikitsidwa pamiyala ya 100 pa mamililita imodzi. Ma cartridge apadera ali ndi malangizo awo oti mugwiritse ntchito, omwe muyenera kudziwa. Monga lamulo, ili ndi chidziwitso cha momwe mungakonzekere moyenera ndikuyika singano. Kuphatikiza apo, zida zotere zimapangidwa kuti zizigwiritsidwa ntchito kamodzi, kuzidzazanso ndizoletsedwa.
NPH ikhoza kugwiritsidwa ntchito molumikizana ndi Regator. Pankhaniyi, insulini yokhala ndi nthawi yochepa iyenera kuyamba kusungidwa kenako nkupitilira. Pangani ngodya mosamala kuti mankhwalawa asasakanikirane.
Tiyeneranso kudziwa kuti magulu otsatirawa a mankhwalawa amatha kuchepetsa mphamvu ya mankhwala omwe amalowa m'magazi:
- Kulera kwamlomo.
- Corticosteroids.
- Mankhwala a mahomoni pochiza matenda a chithokomiro.
- Mitundu ina ya okodzetsa ndi antidepressants.
Kuonjezera kuchepetsa kutsika kwa shuga, monga:
- mapiritsi a hypoglycemic;
- acetylsalicylic acid;
- mowa ndi zokonzekera zomwe zili nazo.
Kuphatikiza apo, sulfonamides amatha kuwonjezera shuga kutsitsa.
Njira zopewera kugwiritsa ntchito mankhwalawa
KusaloĊµerera m'thupi kwa mankhwalawo komanso momwe thupi limakhudzira thupi limatsimikiziridwa pokhapokha ngati malangizo ndi madokotala onse omwe akupezekapo atatsatiridwa mosamalitsa.
Pali nthawi zina zomwe zotsatira zoyipa zimatha.
Kupezeka kwa zoyambitsa kumachitika kawirikawiri kumakhudzana ndi kuphwanya njira ya jakisoni kapena kupitirira Mlingo woyenera.
Njira zopewera kusamala ndi izi:
- Hypoglycemia imayamba, mawonekedwe owopsa omwe nthawi zambiri amayambitsa kuyambika kwa hypoglycemic coma. Wodwalayo angavutike mtima komanso kuti asamaganize bwino.
- Kukula kwa thupi lawo siligwirizana, amene akuwoneka mu mawonekedwe a kuyabwa kwa khungu, redness, kutupa kwa zimakhala. Zizindikiro zoterezi ndizosakhalitsa, ndipo, monga lamulo, zimadutsa palokha patatha masiku angapo.
- Maonekedwe ngati zofunikira zonse. Kusintha koteroko kumayamba mu kupweteka kwina, kupsinjika kwa mtima, komanso kutsika kwa kuthamanga kwa magazi pang'onopang'ono. Kupuma pang'ono komanso kutuluka thukuta kumawonekera.
Nthawi zambiri, lipodystrophy imatha kuonedwa. Malinga ndi ndemanga, kuwonetsa kolakwika kotere kungathe kukhala pokonzekera nyama.
Mankhwalawa ndiwotsutsana:
- pamaso pa hypoglycemia, popeza imatha kutsitsa shuga m'magazi;
- ngati hypersensitivity imodzi kapena zingapo za mankhwala zimawonedwa.
Mlingo wosankhidwa mosayenera ungawonekere mwa zizindikiro zotsatirazi:
- Kutsika kwakukulu kwa shuga m'magazi kumakhala kovomerezeka.
- Kuchuluka kwa mantha.
- Mutu.
- Kugwedezeka komanso kufooka kwathupi.
- Maonekedwe a khunyu.
- Kukongola kwa khungu.
- Maonekedwe a thukuta lozizira.
Kuti muthane ndi zomwe zatchulidwazi, mutha kudya zakudya zomwe zimakhala ndi chakudya chamagulu ambiri. Ngati mankhwala osokoneza bongo ali ochulukirapo, muyenera kulumikizana ndi katswiri wazachipatala.
Mankhwalawa amatha kugwiritsidwa ntchito panthawi yoyembekezera kapena poyamwitsa. Tiyenera kudziwa kuti m'miyezi itatu yoyambirira kufunika kwa mahomoni mwa azimayi kumatsika, pambuyo pake (mu yachiwiri ndi yachitatu trimester) imachulukanso.
Kafukufuku wa zamankhwala awonetsa kuti kubaya insulini kulibe vuto la mutagenic.
Malangizo apadera mukamagwiritsa ntchito mankhwalawa
Nthawi zina ndikofunikira kusamutsa wodwala kuti agwiritsenso ntchito mankhwala ena ngati momwemonso.
Kusankha koteroko kumachitika kokha ndi adotolo.
Kusintha kulikonse, kuphatikiza ntchito ya mahomoni, mtundu wake kapena mtundu wake, njira yopangira, ingafunike kuwunikiridwa kwa mankhwala omwe kale anali kugwiritsidwa ntchito.
Kusintha kwa mankhwalawa kumawonekera pambuyo pa kugwiritsidwa ntchito koyamba kwa mankhwala atsopano. Kusintha kwa magazi kumatha kuchitika pang'onopang'ono, pakatha milungu kapena miyezi ingapo, kutengera vuto lililonse.
Kuwonjezeka kwa insulin mlingo kungafunikenso chifukwa cha kukhudzana ndi zinthu zotsatirazi:
- kugwedezeka kwamanjenje kwambiri kapena kupsinjika;
- kuchuluka zolimbitsa thupi.
Kuphatikiza apo, pangafunike kufunikira kwa Mlingo wotsika wa mankhwala omwe amaperekedwa. Monga lamulo, izi zimawonetsedwa chifukwa chakuchita bwino kwa tiziwalo tamadontho totupa ta adrenal, gland piniitary, chiwindi kapena impso.
Tiyeneranso kukumbukiranso kuti kuwonetsedwa kwa zovuta zina nthawi zina kumachitika chifukwa cha jakisoni wosayenera komanso osagwirizana ndi malamulo omwe afotokozedwamo.
Musanagwiritse ntchito mankhwalawa, kumbukirani malamulo awa:
- Musagwiritse ntchito yankho la jakisoni ngati sediment kapena chinyezi chikawonedwa.
- Kubweretsa insulin kuyenera kuchitika firiji.
Ngati wodwala agwiritsa ntchito kuchuluka kwa insulin (zopitilira zana pa ola limodzi), ayenera kumugoneka ndipo amayang'aniridwa ndi ogwira ntchito pachipatala. Momwe insulini imagwirira ntchito ndiye mutu wa kanema munkhaniyi.
