Zovuta mu metabolism zomwe zimayambitsidwa ndi kusokonezeka kwa mahomoni zimatha kuyambitsa kuwonongeka koopsa m'moyo wabwino.
Kulipira kusowa kwa mahomoni, njira zambiri zapangidwa kale zomwe zimakhala ndi katundu wosiyana, mawonekedwe a pharmacological omasulidwa ndi mawonekedwe a ntchito.
Osati kale kwambiri pomwe mankhwala atsopano amawoneka kuti amathandizira odwala matenda ashuga - Novorapid. Kodi zake ndi ziti ndipo ndi zosavuta kugwiritsa ntchito?
Pharmacological mitundu ndi katundu
Novorapid imakhala ndi kaphikidwe kogwiritsa ntchito kwambiri - insulin aspart (kuchuluka kwa 100 PIECES) ndi zinthu zothandiza (zinc chloride, metacresol, phosphate dehydrate, madzi). Gawo lalikulu limapezeka pobwereza za DNA ya yisiti microorganism Saccharomyces cerevisiae.
Insulin Novorapid Penfill
Mankhwalawa amathandizira kuchepetsa kupanga shuga, amalimbitsa mphamvu zake zamagetsi, kuchepetsa shuga. Zimayambitsa kuwonjezeka kwa mapangidwe a glycogen ndi ndondomeko ya lipogenesis. Ma molekyulu a Hormone amadziwika ndi kuyamwa mwachangu kwambiri komanso mwaluso kwambiri.
Posachedwa, mawonekedwe osavuta kwambiri a mankhwalawo, Flexpen, apangidwa. Chipangizochi ndi cholembera chodzaza ndi yankho. Kulondola kwa miyeso kumakhala kwakukulu kwambiri ndipo kuchokera ku 1 mpaka 60 mayunitsi.
Zizindikiro ndi contraindication
Kukula kwa Novorapid ndikochizira matenda ashuga. Zizindikiro pakugwiritsa ntchito motere:
- shuga wodalira insulin;
- zochitika zina za matenda osokoneza bongo omwe amadalira insulin;
- kusintha kwa kupirira kwamthupi ndi katundu wowonjezereka;
- Matenda a kulemera;
- kupewa kumayambiriro kwa hyperglycemic chikomokere.
Malangizo ogwiritsira ntchito limodzi ndi Novorapid Penfill akuwonetsa kuti amaloledwa kugwiritsa ntchito mankhwalawa kwa ana (opitilira zaka 6), komanso amayi apakati komanso oyembekezera. Komabe, mukamayamwa, mwina adokotala angapangitse kuti muchepetse magazi pang'ono.
Munthawi yonse yoyembekezera komanso pakukonzekera, kuyang'anira chisamaliro chamankhwala kwa amayi ndikofunikira. Asanabadwe komanso nthawi yoyamba yobereka, kufunika kwa kusintha kwa insulin, chifukwa cha kusintha kwa thupi, kotero kusintha kwa Novorapid kungakhale koyenera. Kugwiritsidwa ntchito kwa mankhwalawa kumachitika chifukwa cha zovuta zochepa zosintha bwino.
Simungathe kulowa mu Novorapid ngati wodwala:
- chiwopsezo chowonjezereka cha hypoglycemia;
- pali tsankho.
Pamodzi ndi mowa, Novorapid ndiwowopsa kugwiritsa ntchito, chifukwa kuphatikiza izi zimatha kuchepetsa shuga ndikuyambitsa kuperewera kwa hypoglycemic.
Mosiyana ndi mankhwala ena okhala ndi insulin, kukhazikitsidwa kwa Novorapid sikuletsedwa pakupanga matenda. Komabe, nthawi yamatendawa, mlingo wake uyenera kusinthidwa kuti muwoneke mawonekedwe osasangalatsa. Mlingo utha kuchulukitsidwa (ngati mukutentha), kapena kuchepetsedwa (kuwonongeka kwa chiwindi kapena minofu ya impso).
Mawonekedwe a ntchito ndi Mlingo
Lowani ku Novorapid tikulimbikitsidwa musanadye kapena pambuyo pake. Chombocho chimayamba kuwonetsa ntchito pambuyo pa mphindi 10, ndipo pazokwanira zimafikika mkati mwa maola 1-3.
Pambuyo pafupifupi maola 5, nthawi yowonetsera imatha. Izi zimakuthandizani kuti mugwiritse ntchito nthawi imodzi ndi mankhwala ena okhala ndi insulin (yokhala ndi nthawi yayitali).
Amadziwika kuti kugwiritsa ntchito Novorapid mukangodya chakudya kumadziwika ndi kugwiritsa ntchito kwambiri shuga. Kuchita bwino kwa kayendetsedwe kake ndikwakwera kwambiri kuposa kugwiritsa ntchito mankhwala a insulin.
Mlingo woyambira kuwerengera ndi 0,5-1 UNITS pa kilogalamu ya kulemera. Koma muyezo wa munthu aliyense uyenera kupangidwa ndi adokotala. Ngati mlingo wocheperako wasankhidwa, ndiye kuti hyperglycemia imatha kukula pang'onopang'ono kwa maola angapo kapena masiku. Ngati mlingo wofunikira udapitilira, zizindikiro za hypoglycemic zimayamba. Mukamasintha chakudyacho, kusintha zakudya zanu kumafunikanso kusintha kwa mlingo wina.
Ndikulimbikitsidwa kuti mupeze yankho mu m'chiuno kapena pamphumi pa ntchafu kapena phewa, mwamphamvu. Ndipo nthawi iliyonse mukasankha gawo latsopano la thupi, kupewa kuphatikizidwa.
Nthawi zina, adotolo amavomereza kukonzekera kwa mtsempha wa Novorapid ndi kulowetsedwa ndi saline, koma njira yoyendetsera iyi imachitika kokha ndi wogwira ntchito yazaumoyo.
Dziwani kuti popaka jakisoni, kuyendera shuga nthawi zonse ndikofunikira. Pogwiritsa ntchito munthawi yomweyo ndi ACE inhibitors, carbonic anhydrase ndi MAO, komanso pyridoxine, fenfluramine, ketoconazole, othandizira omwe ali ndi zakumwa zoledzeretsa kapena tetracyclines, zotsatira za Novorapid zimatheka.
Mukaphatikizidwa ndi mahomoni a chithokomiro, heparin, chikonga, phenytoin, diazoxide, zotsatira zoyipa zimawonedwa. Mankhwala okhala ndi Sulfite ndi othandizira omwe ali ndi thiol amasokoneza kuwonongeka kwa mamolekyulu a insulin.
Musanagwiritse ntchito Novorapid, onetsetsani kuti:
- mlingo woyenera amasankhidwa;
- yankho la insulin silinasefukire;
- cholembera sichingawonongeke;
- Katirijiyu sanagwiritsidwepo kale (adangogwiritsa ntchito kamodzi).
Ngati insulini, yomwe ndi gawo la Novorapid, imagwiritsidwa ntchito pochiza wodwalayo koyamba (koyambirira kwa chithandizo kapena pakusintha mankhwalawo), jakisoni woyamba wa yankho amayenera kuyang'aniridwa ndi dokotala kuti adziwe nthawi yoyenera komanso kuti athandizire kusintha.
Patorfid Penfill ndi Flekspen - pali kusiyana kotani? Insulin Novorapid Penfill kwenikweni ndi makatoni omwe amatha kuyikamo cholembera cholowetsa, pomwe Flexspen kapena Quickpen ndi cholembera chotayika chomwe chili ndi makatoni omwe adayikiramo kale.
Zotsatira zoyipa ndi bongo
Milandu yomwe imachitika pafupipafupi imawonekera poyambira kugwiritsidwa ntchito ndipo, monga lamulo, imalumikizidwa ndi kufunika kosintha kwa mlingo. Amawonetsedwa pakuchepa kwambiri kwa shuga m'magazi (hypoglycemia). Wodwalayo amakula, kufooka, kuchepa kwa kupenya, kupweteka, ndi kulephera kwa mtima.
Zotsatira zoyipa:
- zotupa
- hyperemia pamalo jakisoni;
- anaphylactic zimachitika;
- kutupa
- kuvutika kupuma
- kukakamiza kutsika;
- matenda ammimba;
- nthawi zina, mavuto ndi kukana.
Ngati mulingo wambiri wambiri, zizindikiro zotsatirazi zingaoneke:
- kukokana.
- kulephera kudziwa.
- kulephera kwa bongo.
- woopsa, imfa.
Mtengo ndi fanizo
Kwa insulin Novorapid Penfill, mtengo wapakati ndi 1800-1900 rubles pa paketi iliyonse. Flekspen imawononga ndalama pafupifupi ma ruble 2,000.
Mankhwala Humalog
Ndipo chingabwezeretse chiyani Novorapid ndi insulin-based insulin therapy? Nthawi zambiri, mankhwalawa amalowa m'malo ndi Humalog kapena Apidra, koma popanda chilolezo cha dokotala, izi siziyenera kuchitika.
Ndemanga
Ndemanga ya Novorapid ikuwonetsa kuti mankhwalawa:
- Ndi othandizira kwambiri komanso osadetsedwa kwambiri okhala ndi insulin;
- imafunikira boma kuti likhale ndi kutentha kwapadera, motero, kuyenera kuyenera kulipidwa kwambiri kuti lisungidwe;
- amatha kuchita zinthu mwachangu kwambiri, makamaka mwa ana, ndipo nthawi yomweyo amakhumudwitsa kuchuluka kwa shuga;
- pangafunike kusuta kwa nthawi yayitali ndi kusintha kwa mlingo;
- Sizotsika mtengo kwambiri kwa anthu chifukwa cha mtengo wokwera.
Ndemanga za mankhwalawa ndizabwino, koma mankhwalawa sangagwiritsidwe ntchito pa upangiri wa abwenzi popanda mankhwala a dokotala.
Makanema okhudzana nawo
Momwe mungatengere Penfill Penfill kuchokera ku cholembera:
Novorapid ndi chida chothandiza kusintha matenda a matenda ashuga, koma ogwiritsa ntchito akuyenera kuyang'aniridwa mosamala kwambiri. Kuwunikira mosamala kwambiri pakagwiritsidwe ntchito kake kungafunike akadali achichepere, pakati pa kulera, panthawi yapakati, kuyamwa, komanso kumayambiriro kwa chithandizo. Ngati malamulo onse amatengedwa ndipo palibe ma contraindication, amathandizadi kuthetsa mavuto ndi shuga wambiri.
