Matenda a shuga ndi matenda oopsa omwe amakhudza anthu ochulukirapo tsiku lililonse. Zotsatira zake zimachitika chifukwa chophwanya kusinthana kwa madzi ndi mafuta m'thupi la munthu.
Zotsatira zake, ntchito ya kapamba, yomwe imatulutsa insulin, imalephera. Hormoni iyi imakhudzidwa ndikupanga shuga mu glucose, ndipo popanda thupi thupi sangachite izi.
Chifukwa chake, shuga amadziunjikira m'magazi a wodwalayo, kenako amawatsitsa ndi mkodzo wambiri. Pamodzi ndi izi, kusinthana kwa madzi kumasokonezeka, zomwe zimapangitsa kuchoka kwa madzi ambiri kudzera mu impso.
Masiku ano, mankhwala amatha kupereka ma insulin ambiri m'malo mwa jakisoni. Chimodzi mwazida zoterezi ndi Insuman, yomwe tikambirana m'nkhaniyi.
Zotsatira za pharmacological
Insuman Rapid GT - cholembera chomwe chili ndi yankho la kugwiritsa ntchito limodzi. Amatanthauzira ku gulu la mankhwala omwe ali ofanana ndi insulin yaumunthu. Za ndemanga za Insuman Rapid GT ndizambiri. Imatha kupanga kuperewera kwa amkati amkati, omwe amapangidwa m'thupi ndi matenda ashuga.
Komanso, mankhwalawa amatha kutsitsa shuga m'magazi a anthu. Mankhwalawa amagwiritsidwa ntchito ngati jakisoni wa subcutaneous. Kuchitikaku kumachitika pakadutsa mphindi 30 kuchokera pakulowetsedwa, kumafika pakadutsa ola limodzi kapena awiri ndipo kumatha kupitirira, kutengera mlingo wa jakisoni, pafupifupi maola asanu kapena asanu ndi atatu.
SUSP. Insuman Bazal GT (syringe cholembera)
Insuman Bazal GT ilinso m'gulu la mankhwala omwe ali ofanana ndi insulin yaumunthu, amakhala ndi nthawi yayitali yochitapo kanthu ndipo amatha kupanga chifukwa chosowa insulin ya insulin yomwe imapangika mthupi la munthu.
About insulin Insuman Bazal GT ndemanga za odwala alinso abwino. Mankhwala amatha kutsika magazi. Mankhwalawa amathandizidwa mosavuta, zotsatira zake zimawonedwa kwa maola angapo, ndipo mphamvu yakeyo imatheka pambuyo pa maola anayi kapena asanu ndi limodzi. Kutalika kwa zochita zimatengera mlingo wa jakisoni, monga lamulo, zimasiyanasiyana maola 11 mpaka 20.
Zizindikiro zogwiritsidwa ntchito
Insuman Rapid ikulimbikitsidwa kuti izigwiritsidwa ntchito ndi:
- insulin wodalira shuga;
- matenda a shuga;
- acidosis;
- shuga mellitus chifukwa cha zinthu zosiyanasiyana: opareshoni; matenda omwe amatsagana ndi malungo; ndi kagayidwe kachakudya matenda; pambuyo pobereka;
- ndi shuga wokwezeka wamwazi;
- boma lokongola, lomwe limayambika chifukwa cha kusazindikira, gawo loyambirira la kukhazikika mtima.
Insuman Bazal ikulimbikitsidwa kuti izigwiritsidwa ntchito ndi:
- insulin wodalira shuga;
- shuga yokhazikika yokhala ndi chosowa chochepa cha insulin;
- kuchitira ena mwankhanza chithandizo.
Njira yogwiritsira ntchito
Wofulumira
Mlingo wa jakisoni ndi mankhwalawa amasankhidwa yekha payekha, potengera kuchuluka kwa shuga mu mkodzo ndi mawonekedwe a matendawa. Mankhwalawa amagwiritsidwa ntchito kamodzi patsiku.
Kwa akulu, mlingo umodzi umasiyanasiyana magawo 8 mpaka 24. Ndikulimbikitsidwa kupaka jekeseni mphindi 15-20 musanadye.
Kwa ana omwe ali ndi chidwi chambiri ndi insulin, tsiku lililonse mankhwalawa ndi ochepera magawo 8. Ndikulimbikitsidwanso kuti muzigwiritsa ntchito musanadye kwa mphindi 15-20. Mankhwalawa angagwiritsidwe ntchito mosiyanasiyana komanso mwaubongo m'njira zosiyanasiyana.
Basal
Mankhwalawa amagwiritsidwa ntchito pang'onopang'ono. Jakisoni amalimbikitsidwa kuti apatsidwe mphindi 45 asanadye, kapena ola limodzi.Malowo a jakisoni sayenera kubwerezedwanso, chifukwa chake ayenera kusinthidwa pambuyo pobayira jekeseni aliyense. Mlingo umayikidwa payekha, kutengera mawonekedwe a matendawa.
Kwa akuluakulu omwe akukumana ndi vutoli kwa nthawi yoyamba, mlingo wa magawo 8 mpaka 24 umayikidwa, umaperekedwa kamodzi patsiku musanadye kwa mphindi 45.
Kwa akulu ndi ana omwe ali ndi chidwi chachikulu ndi insulin, mlingo woyenera umayikidwa, womwe si wopitilira magawo 8 kamodzi patsiku. Kwa odwala omwe amafunikira insulini, mlingo wopitilira magawo 24 akhoza kuloledwa kugwiritsidwa ntchito kamodzi patsiku.
Zotsatira zoyipa
Pogwiritsa ntchito Insuman Rapid, mavuto omwe amawonekerawa amatha kuchitika omwe amawononga thupi:
- Thupi lawo siligwirizana ndi insulin ndi zoteteza;
- lipodystrophy;
- kusowa poyankha ku insulin.
Ngati mulibe kuchuluka kwa mankhwalawa, wodwalayo amatha kusokonezeka m'njira zosiyanasiyana. Izi ndi:
- hyperglycemic zimachitika. Chizindikiro ichi chikuwonetsa kuchuluka kwa shuga m'magazi, kumatha kuchitika pakamodzi kumwa kamodzi kapena kuwonongeka kwa impso;
- hypoglycemic zimachitika. Chizindikiro ichi chikuwonetsa kuchepa kwa shuga m'magazi.
Nthawi zambiri, zizindikirozi zimachitika chifukwa chophwanya zakudya, osagwirizana ndi gawo lomwe limagwiritsidwa ntchito pakumwa mankhwala osokoneza bongo komanso zakudya, komanso chifukwa chodetsa nkhawa.Mukamagwiritsa ntchito mankhwala a Insuman Bazal, mavuto osiyanasiyana amadza chifukwa cha mankhwalawa.
- zotupa pakhungu;
- kuyabwa pa malo a jakisoni;
- urticaria pamalowo jakisoni;
- lipodystrophy;
- Hyperglycemic zimachitika (kumachitika kumwa mowa).
Contraindication
Insuman Rapid silivomerezedwa kuti ligwiritsidwe ntchito ndi shuga wochepa wamagazi, komanso ndi chidwi ndi mankhwalawo kapena ziwalo zake.
Insuman Rapid GT (cholembera)
Insuman Bazal imatsutsana mwa anthu:
- ndi chidwi chomwa mankhwalawo kapena pazinthu zake;
- ndi chikomokere matenda a shuga, komwe ndi kusokonezeka kwa chikumbumtima, popanda kupezeka kwathunthu kwa machitidwe aliwonse amthupi kumayendedwe akunja chifukwa cha kuchuluka kwa shuga m'magazi.
Bongo
Wodwala akakhala ndi zizindikiro zoyambirira za Insuman Rapid, ndiye kuti kunyalanyaza zizindikiritso zomwe zikukuyipa kwambiri kungathe kumuika pangozi.
Wodwala akakhala kuti ali ndi nkhawa, ayenera kudya shuga komanso matenda ena okhala ndi chakudya.
Ndipo ngati wodwalayo sakudziwa, ayenera kulowa 1 milligram ya glucagon intramuscularly. Ngati mankhwalawa sakupereka zotsatira zilizonse, ndiye kuti mutha kulowa mamilimita 20-30 a shuga 30-50 peresenti ya shuga.
Ngati wodwalayo ali ndi zizindikiro za bongo za Insuman Bazal, zomwe zimawonetsedwa ndi kuwonongeka kwakanthawi, matupi awo sagwirizana komanso kuwonongeka, ayenera kuyamwa msanga ndi zina zambiri zopezeka ndi mankhwala omwe ali ndi chakudya chamagulu.
Komabe, njirayi imagwira ntchito kokha kwa anthu omwe amadziwa.
Yemwe ali mu vuto losazindikira amafunika kulowa 1 milligram ya glucagon intramuscularly.
M'malo pamene jakisoni wa glucagon alibe mphamvu, 20-30 milligram ya 30-50 peresenti ya glucose imathandizira kudzera m'mitsempha. Ngati ndi kotheka, njirayi imatha kubwerezedwa.
Makanema okhudzana nawo
About nuances of use of insulin mankhwala Insuman Rapit ndi Basal mu kanema:
Insuman imagwiritsidwa ntchito pochiza odwala matenda a shuga mellitus. Ndizofanana ndi insulin yaumunthu. Amachepetsa shuga ndipo amapangitsa kuchepa kwa insulin. Amapezeka ngati yankho lomveka bwino la jakisoni. Mlingo, monga lamulo, umaperekedwa kwa wodwala aliyense payekhapayekha, wowerengeredwa pamaziko a mawonekedwe a matendawa.