Novomix - malamulo ogwiritsira ntchito, mlingo ndi kusintha

Mu shuga mellitus, kupanga kwa insulin kumavulala kwambiri, komwe kumapangitsa kusinthasintha kowopsa m'magazi a shuga. Kutsatira zakudya sizimapereka zotsatira zomwe zimayembekezeredwa, chifukwa chake madokotala amapereka mankhwala kwa odwala kuti athetse mahomoni.

Novomix ndi mankhwala okhala ndi insulin omwe kuyimitsidwa koyera popanda zotupa. Amawerengera odwala omwe amadalira matenda a insulin komanso osagwirizana ndi insulin.

Mfundo za mankhwalawa Novomix

Mankhwalawa amalowa m'mashelefu am'magazi mu makatiriji kapena pensulo zapadera za syringe. Kuchuluka kwa mitundu yonse ya Mlingo ndi 3 ml. Kuyimitsidwa kumakhala ndi magawo awiri.

Mukamwetsa, mankhwala:

1. Zimakhudza ma insulin receptors;
2. Imalepheretsa kupanga kwambiri shuga;
3. Amachepetsa shuga;
4. Matenda amasinthasintha shuga, omwe amadzuka kwambiri atatha kudya.

Mankhwalawa sasokoneza kuthekera kukhala ndi ana ndipo samatsogolera pakukula kwa masinthidwe am'mimba komanso zotupa za khansa. Novomix ndi mankhwala otetezeka omwe samakhala ndi zotsatira zoyipa akamagwiritsa ntchito moyenera.

Mahomoni omwe ali m'gulu la mankhwalawa ndi ofanana ndi insulin yachilengedwe motero samawopseza thupi.

Contraindication, gwiritsani ntchito mukanyamula komanso kudyetsa mwana

Mankhwalawa amatsutsana ndi hypersensitivity kuti apange insulini kapena zinthu zina zothandiza. Mankhwala osavomerezeka kwa ana osakwana zaka 6. Mukakhala ndi mwana, Novomix amalembedwa pokhapokha ngati pali phindu lomwe lingakhale loopsa kwa mwana wosabadwa.

Mukamanyamula mwana, yang'anani mosamala kuchuluka kwa shuga m'magazi ndikuwunika nthawi zonse. Mu trimester yoyamba ya kubereka, kufunikira kwa insulin sikungatheke, mu 2nd ndi 3 trimester imachulukitsidwa. Pambuyo pobereka, mankhwalawa amatha kuchepetsedwa, chifukwa kufunika kwa insulin kumatsika kwambiri.

Zotsatira zoyipa zomwe zingachitike

Pogwiritsa ntchito molakwika kapena nthawi yayitali, Novomix imatha kusokoneza thupi la wodwalayo. Odwala amakhala ndi zovuta zosayenera:

1. Hypoglycemia. Izi ndi zofunikira kwambiri pamene kuchuluka kwa shuga m'magazi kumatsika kwambiri kuzidziwitso za pathological (osakwana 3.3 mmol pa lita imodzi). Hypoglycemia imayamba mwa odwala omwe adapatsidwa mankhwala okwanira. Zizindikiro za shuga ochepa zimachitika mwadzidzidzi. Khungu limakhala lofiirira, munthu amangokhalira thukuta, kutopa msanga komanso kudwala nkhawa. Odwala omwe amakhala ndi shuga yochepetsedwa amagwirana manja, amatopa komanso kusokonezeka. Maganizo a anthu amakhala ndi nkhawa, mtima wawo umathamanga komanso kugona. Nthawi zambiri, odwala omwe ali ndi hypoglycemia amakhala ndi njala yosalamulirika. Masomphenya akucheperachepera ndipo nseru ikuwonekera. Wodwalayo akayamba kudwala matenda obwera chifukwa cha hypoglycemia. Ngati chithandizo sichiperekedwa panthawi, hypoglycemia imatsogolera kuti wodwalayo afe;
2. Lipodystrophy. Uku ndikuwonongeka kwa danga lamafuta mpaka kufafika kwathunthu. Amawoneka m'malo omwe jakisoni wachita mobwerezabwereza. Kuyamwa ndi kuyamwa kwa zigawozigawo zomwe zimagwira ntchito nthawi zambiri zimakhala zovuta. Popewa lipodystrophy, tikulimbikitsidwa kusinthana malo omwe jekeseni ndi kubayirira insulin m'malo atsopano;
3. Thupi lawo siligwirizana. Novomix m'malo osowa amayambitsa zotupa zapadera - chikhalidwe chomwe totupa chimaphimba thupi lonse. Wodwalayo akutuluka thukuta, akuvutika ndi zovuta zam'mimba komanso angioedema. Muzovuta kwambiri, kuthamanga kwa magazi kumachepa kwambiri, kugunda kwa mtima kumafulumira, zimakhala zovuta kuti wodwalayo apume. Izi zimadzetsa chiwopsezo pamoyo wa wodwalayo ndipo zimafunikira kuchipatala msanga.

Novomiks: Malangizo a ntchito

Musanagwiritse ntchito, gwiritsani katoni kapena cholembera ndi kutulutsa. Samalani mtundu wa chidebe - mthunziwo uziyenera kukhala yunifolomu ndi yoyera. Zotupa zomatira kukhoma kwa cartridge siziyenera. Kugwiritsa ntchito singano kamodzi kokha - ngati mutanyalanyaza lamuloli, ndiye kuti mutha kutenga kachilombo.

Musanagwiritse ntchito, ndikofunikira kutsatira mfundo zoyambirira ndi kusamala:

• Osagwiritsa ntchito mankhwalawo ngati kale anali mu freezer;
• Ngati wodwala akuwona kuti shuga ndi ochepa, ndizoletsedwa kupereka mankhwalawo. Kuchulukitsa shuga, zokwanira
• Idyani zakudya zosavuta (monga maswiti)
• Ngati katiriji wagwera pansi kapena kuwonongeka mwanjira ina iliyonse, sizingatheke kugwiritsa ntchito mtsogolo. Musanagwiritse ntchito, nthawi zonse muziyang'ana chidebe choyimitsa ndikuyang'ana piston. Ngati pali kusiyana pakati pawo, sinthani insulin jakisoni ndi chipangizo china;
• Onani malangizo ndi zilembo - onetsetsani kuti muli ndi mtundu wa insulin m'manja mwanu;
• Sinthani pafupipafupi malo omwe singano imayikiridwa mu mafuta ochepa. Izi zikuthandizira kupewa lipodystrophy ndi zisindikizo pamalo a jekeseni;
• Njira yofulumira kwambiri ndi ya insulin imalowetsedwa m'thupi mukagwiritsidwa ntchito m'mimba.

Musaiwale za kuwunikira pafupipafupi shuga. Tsatirani malangizo kuti muchepetse zovuta komanso kutsika kwamphamvu kwa shuga.

Kugwirizana kwina ndi mankhwala ena

Mukamawerengera mlingo, onani kuti mankhwalawa amatha kuthana ndi kagayidwe kazakudya. Mankhwalawa akuphatikizapo:

mankhwalawa omwe amatsogolera kuchepa kwambiri kwa shuga;

• Okreotide;
• Mao zoletsa;
• Salicylates;
• Anabolics
• Sulfonamides;
• Zinthu zomwe zimakhala ndi mowa.

Kuphatikiza apo, gulu la mankhwala likuyimira pomwe kufunikira kwa Novomix 30 Flexpen kumawonjezeka. Gawoli limaphatikizapo: mahomoni a chithokomiro, mapiritsi oteteza kubala, danazole, thiazides, HSC.

Zokhudza mphamvu pakuyendetsa

Zotsatira zoyipa kwambiri zomwe zimawonedwa pa chithandizo chakuchuluka kwa shuga ndizovuta zowopsa. Chimodzi mwazizindikiro za hypoglycemia ndikuphwanya kwa kupsinjika, chifukwa chomwe wodwalayo sangathe kuyendetsa makina ovuta kapena kuyendetsa galimoto popanda chiwopsezo.

Pambuyo pa utsogoleri, onetsetsani kuti palibe chiopsezo chowonjezeka kwambiri mu shuga. Ngati zizindikiro za hypoglycemia sizikuwoneka, sizikulimbikitsidwa kuyendetsa galimoto, chifukwa shuga imatha kugwa nthawi iliyonse.

Mlingo ndi kusintha

Novomix amaikidwa ngati monotherapy kapena molumikizana ndi mankhwala ena. Mlingo umatengera umunthu ndi mtundu wa matenda:

• Mu matenda a shuga amtundu wachiwiri, mlingo woyambirira ndi magawo 6 musanadye chakudya choyamba komanso gawo lomwelo musanadye chakudya. Ndi kuchuluka kwa insulin, mlingo umasinthidwa kukhala magawo 12;
• Ngati wodwalayo asintha mankhwalawa ndi biphasic insulin kukhala ku Novomix, mlingo woyambirira amakhalabe wofanana ndi njira yapitayi. Komanso, mlingo umasinthidwa ngati pakufunika. Posamutsa wodwala watsopano mankhwala, kuwunikira mosamalitsa kwa adokotala amafunikira;
• Ngati chithandizo chikufunika kulimbikitsidwa, wodwalayo amapatsidwa mankhwala ochepa;
• Kuti musinthe mlingo, muyeze glucose wanu wotsatira masiku atatu apitawa. Ngati munthawi imeneyi panali kuchepa kwambiri kwa shuga, mulingo wake sukusinthidwa.

Momwe mungapangire insulin

Kuphatikiza kwa mankhwala osankhidwa bwino ndikulowetsa koyenera m'thupi ndi njira yofunika kwambiri yoperekera chithandizo cha matenda a shuga mellitus:

1. Musanagwiritse ntchito yankho, gwirirani kwa maola 1-2 pa kutentha kwa madigiri 15-20. Kenako kunyamula katiriji ndikumujambulira. Vulani cartridge pakati pa manja anu, ndikusakaniza manja anu ngati kuti mukupukutira ndodo kapena chinthu china chilichonse chofunikira kwambiri. Bwerezani mpaka ma 15.
2. Tembenuzani cartridge mozungulira ndikuigwedeza kotero kuti mpira mkati mwa chidebe umagudubuka kuchokera mbali ina kupita mbali lina.
3. Bwerezaninso magawo 1 ndi 2 mpaka zomwe zili mumtsukozo zikhale mitambo ndikuyera.
4. Phatikizani pang'onopang'ono mafuta osaneneka. Osalowetsa mkatikati mwa katiriji m'mitsempha - izi zimapangitsa kuwonjezeka kwa shuga m'magazi.
5. Ngati mankhwala osakwana 12 PIERESESI atasiyidwa mumtsuko, gwiritsani ntchito mlingo watsopano kuphatikiza wogawana.

Sungani batani loyambira litapanikizidwa mpaka mlingo wonse wa mankhwalawo utabayidwa pakhungu. Ngati mumagwiritsa ntchito zinthu ziwiri, musasakanikize mu katoni imodzi.

Thandizo loyamba la bongo

Chizindikiro chachikulu cha bongo wa Novomix ndi hypoglycemia yayikulu. Wodwala yemwe ali ndi vutoli amatha kuthandizidwa m'njira zingapo:

• Ndi kuchuluka pang'ono kwa shuga, perekani kwa wodwala chilichonse chomwe chili ndi mafuta osavuta. Izi zimaphatikizapo confectionery: maswiti, chokoleti, ndi zina zambiri. Zonyamula ndi shuga wambiri nthawi zonse - kufunika kowonjezera kuchuluka kwa shuga kumatha kuchitika nthawi iliyonse;
• Hypoglycemia yayikulu imathandizidwa ndi glucagon solution. Mankhwala ali mu kuchuluka kwa 0,5-1 mg. jekeseni wa intramuscularly kapena subcutaneous;
• Njira ina yothandizira glucagon ndi yankho la dextrose. Zimayambitsidwa kwambiri, pomwe wodwalayo wadwala kale glucagon, koma samadzidwalanso kwa nthawi yopitilira mphindi 10. Dextrose amathandizira kudzera m'mitsempha. Ndiophunzitsidwa kapena dotolo wapadera yekhayo amene angachite izi.

Kuti muchepetse shuga kuti asagwere kachiwiri, idyani zakudya zomwe zili ndi mafuta osavuta komanso ovuta. Musaiwale za kusamala - idyani m'magawo ang'onoang'ono kuti musayambitse kuwonongeka.

Mayina amalonda, mtengo wake, malo osungira

Mankhwalawa amalowa m'mashelefu ammadzi pansi pa mayina angapo amalonda. Iliyonse yaiwo imapangidwa m'njira inayake ndikuyambitsa ntchito yogwira.

Mtengo umasiyana pang'ono:

1. Novomix FlexPen - ma ruble 1500-1700;
2. Novomiks 30 Penfill - 1590 rubles;
3. Insulin Aspart - ma ruble 600 (a syringe).

Mankhwala tikulimbikitsidwa kuti asungidwe pamtunda osapitirira 25 digiri m'malo opanda ana..

Novomiks: analogues

Ngati mankhwalawa sakugwirizana ndi inu kapena sakuvomerezedwa ndi thupi chifukwa cha zida zothandizira, tikukulimbikitsani kuti muzidziwitsa za analogi:

• Novomix 30 Penfill. Ili ndi mankhwala awiri omwe amapangira insulin. Zimaphatikiza mahomoni omwe amakhala kwa nthawi yayitali komanso yayitali. Zimathandizira kupanga zinthu zofunika kwambiri, zimapangitsa kuyenda kwa glucose pama cellular komanso kuthekera kwake kuzingidwa ndi minofu ina. Imakhudza chiwindi, imachepetsa kupanga shuga ndipo imachepetsa kuchuluka kwake m'magazi. Mosiyana ndi classic Novomix, ndizovomerezeka kwa maola osachepera 24. Kapangidwe kazinthu zomwe zimagwira ntchito zimasinthana ndi insulin yachilengedwe, kotero chida ndichotetezeka m'thupi. Kugwiritsa ntchito moyenera mankhwalawa sikuti kumabweretsa zotsatira zoyipa. Contraindified asanafike zaka 18, ndi hypoklycemia ndi hypersensitivity;
• Novomix 30 FlexPen. Zimakhudza kupanga kwa insulini ndipo imalimbikitsa zomwe zimachitika mkati mwa maselo. Kutalika kwa nthawi kumatengera gawo la jakisoni, zolimbitsa thupi, Mlingo ndi zinthu zina. Mankhwala amapatsidwa mankhwala ochizira matenda amtundu wa 1;
• Novomix 50 FlexPen. Chida ichi ndi chofanana ndendende ndi mankhwala awiri omwe tafotokozawa. Kusiyanaku kumachitika pang'onopang'ono pazogwira ntchito. Pachifukwa ichi, muyenera kufunsa dokotala musanayambe chithandizo.

Mukamasankha mankhwala oyenera, musangoganizira mtengo wake, komanso mfundo zina zofunika. Izi zimaphatikizapo mtundu wa insulin, zomwe zimachitika mthupi lanu, kulolera zinthu komanso matenda ena.