Chithandizo cha matenda a shuga nthawi zambiri chimaphatikizapo kugwiritsa ntchito mankhwala okhala ndi insulin. M'modzi mwa iwo ndi Rosinsulin R.
Muyenera kumvetsetsa momwe zimakhudzira matendawa komanso momwe zingakhalire zoopsa komanso momwe mungazigwiritsire ntchito.
Zambiri
Mankhwalawa cholinga chake ndi kuchepetsa shuga. Gawo lake lalikulu ndi insulin yaumunthu.
Kuphatikiza apo, kapangidwe ka mankhwalawa akuphatikiza:
- glycerol;
- metacresol;
- madzi.
Rosinsulin imapezeka ngati yankho la jakisoni. Palibe mtundu komanso wopanda fungo.
Mankhwala ali ndi mitundu ingapo:
- P - imadziwika ndi kufalikira kowonekera.
- C - machitidwe ake ndi a nthawi yayitali.
- M - dzina lina - Rosinsulin sakanizani 30-70. Amaphatikiza magawo awiri: insulin yosungunuka (30%) ndi isofan insulin (70%).
Pankhani imeneyi, mankhwalawa omwe ali ndi mndandanda ali ndi zosiyana zina, ngakhale kwakukulu pamachitidwe awo ali ofanana.
Mankhwalawa amayenera kugwiritsidwa ntchito pokhapokha ngati adokotala adawafotokozera, popeza ndi okhawo amene mungapeze malangizo olondola kuchokera kwa iye. Popanda iwo, mankhwalawa amatha kukhala owopsa ngakhale kwa odwala omwe amawonetsedwa.
Zotsatira za pharmacological
Mankhwala ndi a gulu la mankhwala a hypoglycemic (amathandiza kuchepetsa kuchuluka kwa shuga).
Chofunikira chake ndi insulin.
Zikayambitsidwa m'thupi, chinthucho chimalumikizana ndi ma cell receptors, kotero kuti shuga kuchokera m'magazi amalowa m'maselo mwachangu ndikugawidwa mu minofu.
Kuphatikiza apo, motsogozedwa ndi insulin, kaphatikizidwe ka mapuloteni amathandizira, ndipo chiwindi chimachepetsa kuchepa kwa shuga. Izi zimathandizira kuti pakhale zotsatira za hypoglycemic.
Zotsatira za mankhwalawa zimayamba theka la ola jekeseni. Imakhala ndi mphamvu kwambiri pazaka maora 1-3.
Thupi limagwirabe ntchito kwa maola 8. Kuwonongeka kwa zigawo zogwira ntchito kumachitika mu impso ndi chiwindi. Kutalikirana ndi thupi makamaka kudzera mu impso.
Zizindikiro ndi contraindication
Zizindikiro zoika mankhwalawa ndizambiri.
Izi zikuphatikiza:
- lembani 1 ndi mtundu 2 wa matenda a shuga (posakhalitsa zotsatira za mankhwalawa ndi othandizira pakamwa kapena osakwanira);
- matenda ashuga omwe adayamba panthawi yamatumbo;
- ketoacidosis;
- ketoacidotic chikomokere;
- kukonzekera chithandizo ndi insulin;
- matenda opatsirana mwa odwala matenda ashuga.
Izi zimafuna chithandizo ndi othandizira okhala ndi insulin, koma kupezeka kwawo sikutanthauza kuti mankhwalawa amayenera kuyamba nthawi yomweyo. Choyamba, onetsetsani kuti palibe zotsutsana. Chifukwa cha iwo, nthawi zambiri muyenera kusiya kugwiritsa ntchito Rosinsulin.
Milandu yayikulu imatchedwa:
- chikhalidwe cha hypoglycemic;
- tsankho kwa zosakaniza za mankhwala.
Kupezeka kwa izi kukufunika kusankha njira zina, chifukwa kugwiritsa ntchito Rosinsulin kungayambitse kuwonongeka.
Malangizo ogwiritsira ntchito
Kuti mupeze zotsatira, mankhwala aliwonse ayenera kugwiritsidwa ntchito molingana ndi malangizo. Kutsata kwa Rosinsulin sikumathandiza kwambiri, chifukwa wodwala aliyense amatha kukhala ndi zinthu zofunika kukonza ndi kusintha kwake. Chifukwa chake, malangizo omveka bwino ochokera kwa dokotala amafunikira.
Mankhwalawa amagwiritsidwa ntchito ngati jakisoni, yemwe amaperekedwa mosazindikira. Nthawi zina intravenous kapena intramuscular management imaloledwa, koma imachitika kokha ndi katswiri.
Pafupipafupi jakisoni ndi mlingo wa mankhwalawa amawerengedwa pawokha malinga ndi mawonekedwe a chithunzi cha matenda. Ngati palibe zowonjezera, kulemera kwa 0,5-1 IU / kg kumagwiritsidwa ntchito patsiku. M'tsogolomu, kusintha kwa shuga m'magazi kumaphunziridwa ndipo mlingo umasinthidwa ngati pakufunika.
Nthawi zina Rosinsulin amagwiritsidwa ntchito limodzi ndi insulin yokonzekera. Pankhaniyi, mlingo wa mankhwala uyenera kusinthidwa.
Jekeseni ayenera kuperekedwa musanadye (kwa mphindi 20-30). Kunyumba, mankhwalawa amathandizidwa mosagwirizana ndi ntchafu, phewa, kapena khomo lamkati. Ngati Mlingo wolembedwa ndi adokotala uposa 0,6 IU / kg, umayenera kugawidwa m'magawo angapo. Masamba a jakisoni ayenera kusinthidwa kuti pasakhale mavuto a khungu.
Malangizo a kanema pakuyambitsa insulin ndi cholembera:
Odwala Apadera ndi Mayendedwe
Odwala ena amafunika kusamala mwapadera. Izi ndichifukwa cha mawonekedwe a thupi lawo, chifukwa chomwe Rosinsulin ingawakhudze mwanjira yachilendo.
Odwala awa akuphatikizapo:
- Ana. Muubwana, chithandizo cha insulin sichimaletsedwa, koma chimafunikira owunika mosamala ndi madokotala. Mlingo wa mankhwalawo amalembedwa kwa iwo ochepera pang'ono kuposa akulu akulu a shuga.
- Amimba Mankhwalawa samavulaza azimayi pakubala mwana, chifukwa chake nthawi zambiri amagwiritsidwa ntchito kusokoneza zizindikiro za matenda ashuga. Koma panthawi yokhala ndi pakati, kufunika kwa insulini kumatha kusiyanasiyana ndi nthawi, motero muyenera kuyang'anira kuwerengera kwa glucose ndikusintha gawo la mankhwalawo.
- Amayi oyamwitsa. Amaletsedwanso ku insulin. Zigawo zogwira ntchito za mankhwalawa zimatha kudutsa mkaka wa m'mawere, koma sizikhala ndi vuto kwa mwana. Insulin ndi puloteni yomwe thupi limagwirira ntchito mosavuta. Koma akamagwiritsa ntchito Rosinsulin, azimayi omwe amadyetsa mwachilengedwe ayenera kutsatira zakudya.
- Anthu okalamba. Pakufunika kwawo kwa kusamala chifukwa cha kusintha kwokhudzana ndi zaka. Kusintha kumeneku kukhoza kukhudza ziwalo zambiri, kuphatikizapo chiwindi ndi impso. Pamaso pa kuphwanya ntchito mwa ziwalozi, kuchotsera kwa insulin kumachepetsa. Chifukwa chake, odwala omwe ali ndi zaka zopitilira 65 amapatsidwa mankhwala ochepa.
Muyenera kusamalanso chithandizo cha anthu omwe ali ndi ma pathologies osiyanasiyana. Zina mwazo zimakhudza zochita za Rosinsulin.
Mwa iwo amatchedwa:
- Kuphwanya impso. Chifukwa cha iwo, mawonekedwe a zinthu zogwira ntchito amachepetsa, zomwe zingayambitse kudzikundikira kwawo komanso kupezeka kwa hypoglycemia. Chifukwa chake, anthu otere ayenera kuwerengetsa mosamala.
- Matenda a chiwindi. Mothandizidwa ndi insulin, chiwindi chimachepetsa kupanga shuga. Ngati pali zovuta mu ntchito yake, glucose imatha kupangidwa mochulukirapo, zomwe zimapangitsa kuperewera kwake. Izi zikutanthauza kuti pakafunika kuphwanya zochita za thupi, mlingo wa mankhwalawa uyenera kuchepetsedwa.
Mankhwala Rosinsulin okha samayambitsa kupatuka pakulimba mtima ndipo samabweza m'mbuyo zomwe zimachitika. Amatha kuyambitsa vuto la hypoglycemic chifukwa chogwiritsa ntchito chida ichi molakwika. Motere, kuyendetsa galimoto komanso zoopsa mukamagwiritsa ntchito mankhwalawa ndikosayenera.
Zotsatira zoyipa ndi bongo
Ndemanga kuchokera kwa ogwiritsa ntchito a Rosinsulin anena za zovuta zina. Amatha kukhala osiyana.
Zodziwika bwino zimaphatikizapo:
- Hypoglycemia. Ili ndiye vuto lowopsa kwambiri. Ndi zovuta zake, wodwalayo angafe. Amayambitsa insulin yochuluka kwambiri mthupi, chifukwa chomwe kuchuluka kwa shuga kumachepetsedwa ndikuwonetsa ma pathological.
- Ziwengo. Nthawi zambiri, zimachitika ngati zotupa pakhungu.
- Zotsatira zakomweko. Izi zikuphatikiza redness, kutupa, kuyabwa pa malo a jakisoni.
Njira zochotsera mavuto zimasiyana malinga ndi kuuma kwawo. Nthawi zina muyenera kusankha mankhwala osinthira.
Mankhwala osokoneza bongo amachititsa kuti munthu akhale wopanda vuto lililonse. Mutha kuthana ndi mawonekedwe ake mothandizidwa ndi zinthu zamafuta apamwamba, koma nthawi zina mumafunikira mankhwala.
Kuchita ndi mankhwala ena
Mankhwala otsatirawa amatha kuthandizira Rosinsulin:
- beta-blockers;
- ACE ndi Mao zoletsa;
- othandizira a hypoglycemic;
- mankhwala antimycotic;
- sulfonamides.
Mukamagwiritsidwa ntchito nthawi yomweyo monga insulin, ndikofunikira kuchepetsa mlingo.
Kutsika kwa mphamvu ya mankhwala omwe amafunsidwa kumawonedwa pamodzi ndi ntchito imodzi ndi:
- mankhwala a mahomoni;
- sympathomimetics;
- okodzetsa;
- antidepressants;
- glucocorticosteroids.
Ngati pakufunika kugwiritsa ntchito mankhwala osokoneza bongo oterowo, muyenera kuwonjezera kuchuluka kwa mankhwala okhala ndi insulin.
Mtengo wa Rosinsulin umasiyana ndi ma ruble 950-1450. Zimatengera kuchuluka kwa makatoni omwe ali phukusi ndi zomwe zili pantchito.
