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Pali zikuwonetsa mwachindunji kugwiritsa ntchito mankhwala a insulin Actrapid MK. Izi zikuphatikiza:

lembani 1 matenda a shuga a mellitus (wodalira insulini);
lembani matenda ashuga a 2 shuga.

Ngati tilingalira za mlandu wachiwiri, ndiye kuti tikulankhula zakukana kwathunthu komanso pang'ono kwa anti-glycemic mankhwala omwe amayenera kumwa pakamwa. Kuphatikiza apo, Actrapid akhoza kulimbikitsidwa panthawi yomwe ali ndi pakati komanso matenda okhudzana ndi matenda a shuga.

Pali zolowa m'malo mwa insulin Actrapid MK, koma kugwiritsa ntchito kwake kuyenera kuvomerezedwa ndi adokotala. Zofanizira izi ndi monga: Actrapid MS, Maxirapid BO-S, Iletin II Wokhazikika, komanso Betasint osalowerera E-40.

Chithandizo chophatikizika mu mankhwalawa chimasungunuka mwachangu pork insulin, ndipo Actrapid amapangidwa mwa njira yothetsera jakisoni.

Mankhwala ndi contraindised ngati hypersensitivity kwa izo, komanso hypoglycemia.

Momwe mungagwiritsire ntchito ndi kumwa?

Actrapid iyenera kuperekedwa:

mwanjira;
intramuscularly;
kudzera m'mitsempha.

Subcutaneous makonzedwe angathe kuchitidwa mu femoral dera. Ndi malo awa omwe amalola kuti mankhwalawo amwe pang'ono pang'onopang'ono komanso mosiyanasiyana. Njira iyi yogwiritsira ntchito mankhwalawa imatha kuchitika pakabowole, minofu yolumikizana phewa kapena khoma lam'mimba lakunja.

Mlingo wa Actrapid uyenera kutsimikiziridwa ndi dokotala. Izi zimachitika paokha malinga ndi enieni a matenda komanso kuchuluka kwa shuga kwa wodwalayo. Ngati tirikunena za pafupifupi tsiku ndi tsiku mlingo, ndiye kuti uchokera ku 0,5 mpaka 1 IU pa kilogalamu ya thupi la wodwalayo.

Insulin imaperekedwa theka la ola chakudya chisanafike, chomwe chimakhala ndi chakudya. Kutentha kwa mankhwalawa ndi kutentha kwa chipinda.

Jakisoni amapangidwa m'khola la khungu, chomwe chimakhala chitsimikizo kuti singano sililowa mumsempha. Nthawi ina iliyonse, malo omwe jakisoni amayenera kusinthidwa. Izi zikuthandizira kuthetsa mwayi wokhala ndi lipodystrophy.

Kukhazikitsidwa kwa Actrapid intramuscularly komanso kudzera m'mitsempha kumathandizira kuyang'anira kwa dokotala. Insulin yochepa imakonda kugwiritsidwa ntchito molumikizana ndi insulin ya zotsatira zapakatikati kapena zazitali kwa thupi la odwala matenda ashuga.

Chachikulu zotsatira za mankhwalawa

Actrapid MK amatanthauza mankhwala a hypoglycemic. Uku ndikuchita insulin pang'ono. Zimakhudzana ndi cholandilira chapadera cha nembanemba chakunja cha cell membrane ndipo potero chimapanga insulini-receptor yonse.

Kuchepa kwa shuga wamagazi kungayambitsidwe ndi:

kukula kwa kayendedwe kazinthu zake;
kuchuluka mayamwidwe ndi kuyamwa kwa zinthu ndi zimakhala;
kukondoweza kwa lipogenesis, glycogeneis;
kaphatikizidwe wa mapuloteni;
kutsika kwa kuchuluka kwa shuga m'magazi.

Nthawi yowonekera kwa Actrapid ku thupi lidzatsimikiziridwa kwathunthu ndi kuchuluka kwa mayamwidwe. Izi zimatengera zinthu zingapo nthawi imodzi:

Mlingo
njira yoyendetsera;
malo olowera.

Pambuyo subcutaneous makonzedwe, zotsatira zake zimachitika pambuyo mphindi 30, kuchuluka kwambiri kwa insulin kumachitika pambuyo pa maola 1-3, ndipo kutalika konse ndi maola 8.

Zotsatira zoyipa mutatha kugwiritsa ntchito Actrapid

Kumayambiriro kwenikweni kwa zamankhwala, kutupa kwa m'munsi komanso m'munsi, komanso mawonekedwe opuwala, kumatha kuonedwa. Mavuto ena akhoza kuchitika ngati:

mwachangu makonzedwe a insulin yayikulu;
osagwirizana ndi zakudya (mwachitsanzo, kudumpha chakudya cham'mawa);
kulimbitsa thupi kwambiri.

Amawonetsedwa ndikuwonetsedwa kwa hypoglycemia: thukuta lozizira, khungu lamkati, mantha akulu, kunjenjemera kwa malekezero, kutopa kwambiri, kufooka, ndi zovuta zamagetsi.

Kuphatikiza apo, zotsatira zoyipa zimatha kuwonetsedwa ndi kupweteka mutu, chizungulire, mseru, tachycardia, mavuto am'tsogolo kwakanthawi, komanso malingaliro osagwirizana ndi njala.

Nthawi zina zovuta kwambiri, kumatha kukumbukira kapena kukhala ndi vuto ladzidzidzi kumatha.

Mawonetseredwe a thupi lawo angawonedwenso:

thukuta kwambiri;
kusanza
kupuma kovuta;
kukoka kwamtima;
chizungulire.

Pali kuthekera kwa zochita zakomweko:

redness
kuyabwa kwa khungu;
kutupa.

Ngati panali jakisoni pafupipafupi pamalo omwewo, lipodystrophy imatha kukhazikika.

Zizindikiro zosokoneza bongo

Ndi waukulu kuchuluka kwa Actrapid, hypoglycemia ikhoza kuyamba. Itha kutha ngati shuga kapena chakudya chamafuta atengedwa pakamwa.

Mu milandu yovuta kwambiri yomwe imapangitsa kuti musakhale chikumbumtima, makonzedwe amkati mwa 40% a dextrose solution amaperekedwa, komanso njira iliyonse ya makonzedwe a shuga. Pambuyo pokhazikika, chakudya chokhala ndi zopatsa mphamvu zam'mimba chimalimbikitsidwa.

Malangizo akuluakulu ogwiritsira ntchito Actrapid

Pa mankhwala ndi mankhwalawa, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi. Izi ndizowona makamaka pamene Actrapid imaphatikizidwa ndi mayankho a kulowetsedwa.

Kuphatikiza pa bongo, chifukwa cha kuyambika kwa hypoglycemia kungakhale:

kusintha kwa mankhwala;
kudumpha chakudya;
kusanza
kuchuluka kwa thupi;
kusintha kwa jekeseni.

Ngati insulini sanatulutsidwe molondola kapena kupuma kogwiritsa ntchito, izi zimayambitsa hyperglycemia kapena diabetesic ketoacidosis.

Pa kuwonetsedwa koyamba kwa hyperglycemia, kumenyedwa ndi ludzu, mseru, kuchuluka kwamkodzo, khungu limatayika komanso kusowa chilimbikitso kumayamba. Mukatulutsa, padzakhala kumveka bwino kwa fungo la acetone, kuphatikiza apo, acetone imatha kuwonekera mkodzo, ndipo ichi ndi kale chizindikiro cha matenda ashuga.

Ngati mimba yakonzekera, ndiye kuti ndikofunikira kuchitira mawonetseredwe ndi zomwe zimayambitsa matenda ashuga. Munthawi imeneyi yofunikira kwa thupi la mkazi, kufunika kwa insulini kumachepa, makamaka nthawi yake yoyamba. Komanso, nthawi ikamakula, thupi limafunikira insulin yambiri, makamaka kumapeto kwa pakati.

Panthawi yobereka kapena tsiku lino lisanachitike, kufunikira kwa insulini yowonjezera kungakhale kosathandiza kapena kungochepetsa kwambiri. Nthawi yobereka ikangofika, mkazi adzadzibaya jakisoni wofanana ndi momwe amadziwikiratu ndi nthawi yomweyo asanabadwe.

Panthawi ya mkaka wa m'mawere, pamakhala kufunika kochepetsera kuchuluka kwa insulini ndipo chifukwa cha ichi ndikofunikira kuyang'anitsitsa momwe thupi lanu liliri osaphonya panthawi yomwe kukhazikika kwa insulin kumabwera.

Momwe mungasungire?

Actrapid MK iyenera kutetezedwa mosamala ndi kuwala kwa dzuwa, kupewa kutenthedwa kwambiri, kuyatsidwa ndi kuwala, komanso hypothermia.

Simungagwiritse ntchito mankhwalawa ngati anali oundana kapena atataya mawonekedwe ake ndikuwonekera.

Mukamayamwa, kusamala mosamala kuyenera kuchitika mukamayendetsa magalimoto ndi zochitika zina zomwe zitha kukhala zowopsa. Ntchito yomwe imaphatikizapo chidwi chochulukirapo, komanso kuthamanga kwa zochitika zama psychomotor, sizovomerezeka pamene mukutenga Actrapid. Izi ndichifukwa choti nthawi ya hypoglycemia kuchuluka kwa zomwe zimachitika zimachepetsedwa kwambiri.

Kuchita ndi mankhwala ena

Pali othandizira ena a hypoglycemic omwe sangakhale yogwirizana ndi mankhwala ndi zothetsera zina. Hypoglycemic effect imatha kupitilizidwa ndi sulfonamides, MAO inhibitors, carbonic anhydrase inhibitors, ACE inhibitors, anabolic steroids, androgens, bromocreptin, tetracycline, clofibrate, ketonazole, pyridoxine, quinine, chitin, theophylline, phenolomine, phenolomine, phenolomine.

Hypoglycemic zotsatira zitha kufooketsedwa ndi mankhwalawa: