Insulin Humulin NPH - malangizo ntchito

Kwa odwala matenda ashuga ambiri, mankhwala okhala ndi insulin ndiwo maziko a mankhwalawa komanso chitsimikizo cha thanzi labwino.

Mankhwalawa akuphatikizapo Humulin NPH. Muyenera kudziwa zazikulu za chida ichi kuti mupewe zolakwika pakugwiritsa ntchito kwake. Wopanga izi amapezeka ku Switzerland.

Mankhwala ndi a manambala a ma insulin, omwe amapangidwa pogwiritsa ntchito ukadaulo wa DNA. Gawo lake lalikulu ndi insulin yaumunthu.

Zambiri

Mankhwalawa amamasulidwa mu mawonekedwe a kuyimitsidwa (Humulin NPH ndi M3). Palinso yankho la jakisoni (Humulin Regular). Ndi chololedwa kugwiritsa ntchito pokhapokha ngati dokotala wakupatsani, ndiye kuti kugula mankhwalawo ndizotheka ndi mankhwala.

Kuphatikiza pazinthu zazikulu, kukonzekera kwa Humulin NPH kuli:

• phenol;
• metacresol;
• zinc oxide;
• glycerol;
• hydrochloric acid;
• sodium hydroxide;
• protamine sulfate;
• sodium hydrogen phosphate;
• madzi.

Mankhwalawa amaikidwa m'mabotolo okhala ndi 4 kapena 10 ml. Itha kugulidwanso m'makatoni a 1.5 ndi 3 ml.

Kuyimitsidwa kumakhala ndi mtundu woyera ndipo kumadziwika ndi kuthekera ndi kupangika kwa matope.

Zotsatira za pharmacological

Chomwe chimagwiritsa ntchito mankhwalawo ndi insulin yopanga, yomwe imakhudzanso chimodzimodzi ndi insulin yomwe imapangidwa m'thupi la munthu.

Zimalimbikitsa kuyamwa kwamphamvu kwa shuga. Pambuyo pakuyambitsidwa kwa mankhwalawa, chinthu ichi chimalowa mu kulumikizana ndi ziwalo za cell, zomwe zimapangitsa kuyenda kwa glucose pakati pa maselo ndikugawa kwake. Chifukwa cha izi, kukhazikika kwake m'magazi kumachepa.

Kuphatikiza apo, thunthu limagwira ntchito pachiwindi, kupewa kutulutsa shuga wambiri. M'malo mwake, shuga owonjezera amasinthidwa kukhala minofu yamafuta.

Mankhwalawa amayamba kuchita ola limodzi pambuyo pa jekeseni. Chochita chake cholimba kwambiri chimatha kutchedwa kuti maola 2-8 pambuyo pa kubayidwa. Kutalika konse kwa zotsatira za mankhwalawa ndi pafupifupi maola 20.

Zizindikiro ndi contraindication

Gwiritsani ntchito othandizira omwe ali ndi insulin amangovomerezeka ndi dokotala. Kupanda kutero, pamakhala chiopsezo chowonongeka chosasinthika ku thanzi.

Humulin iyenera kugwiritsidwa ntchito pazinthu zotsatirazi:

• shuga mellitus wofuna insulin;
• shuga osadalira insulin panthawi yapakati.

Zikatero, chithandizo cha insulin chimalimbikitsidwa, koma choyamba ndikofunikira kuchita kafukufuku kuti musankhe mankhwala oyenera kwambiri. Humulin ali ndi zotsutsana, chifukwa chake muyenera kukana kugwiritsa ntchito. Mwa iwo amatchedwa:

• hypoglycemia;
• tsankho kwa zigawo zikuluzikulu za mankhwala.

Kuphatikiza apo, pali zochitika zina zofunika kusamala mwapadera. Pamaso pazinthu zina, thupi la wodwalayo limatha kukhala lotanganidwa kwambiri poyankha mankhwala omwe adalandira. Izi zimachitika mu milandu yotsatirayi:

• matenda a chiwindi ndi impso;
• ana ndi ukalamba wa wodwalayo.

Odwala otere amafunika kuwunikira mosamala ndi kusankha kwa mankhwalawa.

Malangizo ogwiritsira ntchito

Mlingo wa insulin umatsimikiziridwa payekha, kutengera zosowa za thupi. Saloledwa kuichulukitsa kapena kuichepetsa popanda lamulo la adokotala.

Kukhazikitsidwa kwa mankhwalawa kumachitika nthawi zambiri mosadukiza, popeza zinthu zomwe zimagawidwa zimagawidwa mwachangu kwambiri. Muyenera kuyikamo jekete, phewa kapena khoma lamkati. Onetsetsani kuti mwasinthasintha malo obayira jekeseni, mwinanso lipodystrophy ingayamb.

Mgwirizano wamankhwala mankhwalawa nthawi zina amachitidwa, koma izi ziyenera kuchitika pongotsatira kwa katswiri. Mankhwalawa saloledwa kuphatikizidwa m'mitsempha.

Phunziro la kanema wa syringe:

Odwala Apadera ndi Mayendedwe

Popereka mankhwala a Humulin, adokotala ayenera kuganizira kuti odwala ena amafunikira chithandizo chapadera. Pathupi lawo, mankhwalawa amathanso kukhudzidwa ngati simukuwonetsa kukonzekereratu koyenera.

Izi zikugwiranso ntchito kwa odwala monga:

1. Amayi oyembekezera. Mankhwala awo ndi mankhwalawa amaloledwa, chifukwa insulini siziwononga kukula kwa mwana wosabadwayo ndipo siziwononga njira yoyembekezera. Koma pakadali pano, azimayi amadziwika ndi kusintha kwakuthwa kwa zizindikiro za shuga, ndichifukwa chake kusinthika kwakukulu pamlingo wa kufunika kwa insulin kumatheka. Kulephera kuyendetsa bwino kungayambitse matenda oledzera komanso a hypoglycemic, omwe ndi owopsa kwa mayi woyembekezera komanso mwana. Chifukwa chake, ndikofunikira kuyang'ana kuchuluka kwa shuga m'mimba yonse.
2. Amayi adayamwitsidwa. Amaloledwa kugwiritsa ntchito Humulin. Zomwe zimagwiritsidwa ntchito sizikhudza mtundu wa mkaka wa m'mawere ndipo sizowopseza khanda. Koma muyenera kuwonetsetsa kuti mzimayi amatsata chakudya.
3. Ana. Ngati muli ndi matenda ashuga ali ana, mutha kugwiritsa ntchito mankhwala okhala ndi insulin. Koma muyenera kuganizira za zomwe zimachitika mthupi, chifukwa chake muyenera kusankha mlingo wa mankhwalawa.
4. Anthu okalamba. Amakhalanso ndi zochitika zokhudzana ndi zaka zomwe zimadaliridwira kuti musamalire mukamapereka Humulin ndikusankha dongosolo la mankhwala. Koma ndi njira yoyenera, mankhwalawa samavulaza odwala.

Izi zikutanthauza kuti kuti mupeze insulini muyenera kuyang'aniridwa ndi dokotala nthawi zonse ndikuzindikira zinthu zonse zomwe zingakhudze thanzi.

Chofunikira popereka mankhwala ndikuti mupeze matenda omwe amadziwika ndi odwala kuwonjezera pa matenda a shuga. Chifukwa cha iwo, kusintha kwa dongosolo la chithandizo chamankhwala ndi kusintha kungafunike.

Izi zikugwiranso ntchito pa milandu yotsatirayi:

1. Kukhalapo kwa kulephera kwa impso. Chifukwa cha ichi, kufunikira kwa insulini kumakhala kotsika kuposa zovuta zotere. Izi zikutanthauza kuti odwala matenda ashuga omwe ali ndi vuto la impso amakhala ndi mankhwala ochepetsera.
2. Kulephera kwa chiwindi. Ndi matenda awa, zotsatira zoyipa za Humulin mthupi ndizotheka. Mwakutero, madokotala amayesetsa kuchepetsa kuchuluka kwa mankhwalawa.

Chifukwa cha Humulin, palibe mavuto okhudzana ndi chidwi ndi chidwi, motero zochitika zilizonse zimaloledwa pa chithandizo cha mankhwalawa. Chenjezo liyenera kuchitika pamene hypoglycemia ichitika, chifukwa chovuta m'dera lino. Izi zimatha kubweretsa chiopsezo chovulala mukamachita zoopsa ndikupanga ngozi zoyendetsa.

Zotsatira zoyipa ndi bongo

Kupezeka kwa zoyipa kuchokera ku mankhwalawa kumawonekera kukhala koyenera ngati sikusiyana kwambiri mwamphamvu. Mawonetsedwe ocheperako nthawi zambiri amachoka mwachangu kapena sadzetsa vuto lalikulu. Koma mwakuya mwamphamvu, zovuta zimatha kukhala pachiwopsezo cha moyo, chifukwa chake kusamala ndikofunikira.

Zotsatira zoyipa kwambiri ndizo:

• hypoglycemia;
• lipodystrophy;
• kuyabwa
• zotupa pakhungu;
• kuvutika kupuma
• kuchepetsa kupsinjika;
• malungo;
• tachycardia.

Atawapeza, wodwalayo ayenera kudziwitsa adotolo ndi kudziwa njira zomwe akuyenera kuchita kuti asakhumudwe. Nthawi zina chifukwa chaichi muyenera kusintha Humulin ndi mankhwala ena.

Nthawi zina, muyenera kuchepetsa mlingo. Palinso kuthekera kochotsa zotsatira zoyipa popanda kuyesayesa konse - izi zimachitika akapezeka chifukwa choti thupi silitha kuchira. Munthu akangozolowera kudya insulin, zotsatira zoyipa zimatha.

Pogwiritsa ntchito mlingo waukulu wa Humulin, hypoglycemia imatha kuchitika.

Mawonetsero ake akulu amatchedwa:

• Chizungulire
• kufooka
• nseru
• mutu
• kupsinjika
• kukokana
• tinnitus;
• kulephera kudziwa.

Pakakhala chisamaliro chamankhwala, hypoglycemia imatha kupangitsa wodwala kuti afe. Akatswiri ayenera kuchitapo kanthu mwachangu kuti athetse vutoli. Koma nthawi zina mutha kukonza bwino moyo wanu mothandizidwa ndi zinthu zokhala ndi zopatsa mphamvu zamafuta am'madzi (shuga, maswiti, ndi zina).

Analogi

Pempho la wodwalayo kuti limuyike wothandizira analogue limachitika pafupipafupi. Kufunika kwa izi kumatha kuchitika chifukwa cha zovuta zamankhwala, mtengo wake ndi zina.

Kuti muthane ndi Humulin, mutha kugwiritsa ntchito mankhwala kuchokera pamndandanda wotsatirawu:

1. Monotard. Kutulutsidwa kwa mankhwalawa kuli ngati kuyimitsidwa. Gawo lake lalikulu ndi insulin yaumunthu.
2. Humodar R. Chogulitsachi chili ndi gawo lofananira lofananalo, chimagulitsidwanso m'njira yoyimitsa.
3. Pensulin. Mankhwala amapangidwa mwanjira yothetsera jakisoni. Maziko ake amayimiridwa ndi insulin yaumunthu.
4. Protafan. Maziko a mankhwalawa ndi insulin Isofan. Wothandizirayo ndi kuyimitsidwa kwa makonzedwe pansi pa khungu.
5. Tiyeni tichite izi. Izi zimagawidwa mwanjira yankho. Zomwe zimagwira ndi insulin yaumunthu.

Kuti muyambe kulandira chithandizo ndi chithandizo chawo, muyenera kulumikizana ndi dokotala, popeza kudzipereka nokha ndizololedwa. Onetsetsani kuti palibe zotsutsana. Muyeneranso kusintha molondola kupita ku mankhwala atsopano.

Mtengo wa mankhwalawa umakhudzidwa ndi momwe watulutsira, kuchuluka kwake mu phukusi, dera logulitsa ndi zina. Mukamagula botolo ndi 10 ml ya mankhwalawa, muyenera kugwiritsa ntchito ma ruble 500 mpaka 650.

Kugulidwa kwama cartridge asanu (3 ml) a Humulin kumatenga pafupifupi ma 1450-1600 rubles. Nthawi zina wodwala amatha kupatsidwa mwayi wokonda kutengera kapena mwayi wogwiritsa ntchito kwaulere.