Mayina amalonda ndi malangizo ogwiritsira ntchito insulin Levemir

Mwa zina mwa mankhwalawa a shuga ndi a Levemir. Mankhwala ndi a gulu la insulin. Makampani opanga mankhwala amautulutsa pansi pa mayina a Levemir Flekspen ndi Levemir Penfill.

Mankhwalawa ali ndi mfundo imodzimodzi yakuwonekera, yomwe imafotokozedwa ndi kapangidwe kake, kotero akhoza kuwonedwa ngati mankhwala amodzi.

The zikuchokera, kumasula mawonekedwe ndi pharmacological kanthu

Levemir ikhoza kugulidwa kokha ngati yankho la jekeseni lomwe limayikidwa pansi pa khungu.

Chofunikira chakapangidwacho ndi insulin Detemir. Katunduyu ndi wa fanizo la insulin ya anthu ndipo amadziwika ndi kukhalitsa kwa nthawi yayitali.

Kuti muchite bwino komanso chitetezo, zinthu monga:

• metacresol;
• phenol;
• zinc acetate;
• glycerol;
• sodium kolorayidi;
• sodium hydroxide;
• sodium hydrogen phosphate;
• madzi.

Mankhwala ndi madzi owonekera popanda mtundu.

Mukamamwa mankhwala aliwonse, muyenera kudziwa zomwe mungayembekezere. Pachifukwa ichi, mankhwala ake amafunika kuphunzira. The yogwira thunthu la mankhwala amapezeka synthetical ndi recombinant DNA luso. Nthawi yodziwika ndi insulin yamtunduwu imafotokozedwa ndikuti kuphatikiza kwake kumayamba pang'onopang'ono kuposa momwe zimakhalira ndi mahomoni apakati komanso apakati.

Maulalo amapangidwa pakati pa chigawo chogwira ntchito ndi ma receptor pama membrane a khungu, chifukwa chomwe kuchuluka kwa njira zamkati mwake kumathandizira mofulumira komanso kuchuluka kwa mapangidwe a enzyme kumawonjezeka.

Kutenga kwa mkati kwa glucose komanso kugawa kwake minofu kumachitika mwachangu, komwe kumachepetsa kuchuluka kwake m'madzi a m'magazi. Komanso Detemir amatha kutsitsa kuchuluka kwa shuga ndi chiwindi.

Mayamwidwe mankhwala zimatengera munthu wodwala, Mlingo ndi jakisoni. Insulin yamtunduwu imakhala yothandiza kwambiri pakapita nthawi yotalikirapo mpaka maolainjere. Thupi limagawidwa pamtunda wa 0,1 l / kg.

Panthawi ya metabolic, Levemir amasinthidwa kukhala ma metabolites osagwira, omwe amatsitsidwa ndi impso ndi chiwindi. Hafu ya moyo wa chinthu kuchokera m'thupi imatha kukhala maola 10 mpaka 14. Kutalika kwa gawo limodzi la mankhwalawa kumafika patsiku.

Zizindikiro ndi contraindication

Mankhwala aliwonse ayenera kugwiritsidwa ntchito pokhapokha potsatira malangizo, ndipo ndi bwino kudziwa kuchokera kwa dokotala. Katswiri ayenera kupenda chithunzithunzi cha matendawa, kuyesa mayeso ofunika, ndipo pokhapokha - asankhe.

Mankhwalawa adapangira zochizira matenda ashuga. Itha kugwiritsidwa ntchito padera, monga mankhwala akuluakulu, kapena amatha kusankha njira zovuta pochiritsira ndi njira zina.

Amakhulupilira kuti ndioyenera kwa onse odwala wazaka zisanu ndi chimodzi, koma ali ndi zolakwika zina zomwe zimayenera kukumbukiridwa:

• kudziwa zamtundu wa insulin;
• mimba
• kuyamwa
• ukalamba;
• chiwindi ndi matenda a impso.

Otsutsa omwe alembedwa si okhwima (kupatulapo tsankho). Nthawi zina, kugwiritsa ntchito mankhwalawa kumaloledwa, koma kumafunikira kuwongoleredwa ndi dokotala komanso kusintha kwa mtundu uliwonse wa zopatukazo kuchokera pakukonzekera chithandizo.

Malangizo ogwiritsira ntchito

Kukonzekera kwa insulin ndikofunikira kwambiri kwa odwala matenda ashuga. Nthawi zina, popanda iwo, wodwala amatha kufa. Koma palibe ngozi zochepa zomwe zingachitike ngati simutsatira malamulo ogwiritsa ntchito. Levemir amafunikanso kugwiritsidwa ntchito molingana ndi malangizo, osasintha chilichonse popanda chidziwitso cha dokotala. Kuchita kwa Amateur zoterezi kumatha kusanduka zovuta zazikulu.

Chida ichi chimagwiritsidwa ntchito ngati ma jakisoni, omwe amayenera kuperekedwa mwachangu. Zosankha zina sizimachotsedwa. Imayenera kupereka jakisoni pokhapokha - pomwe pali chidwi cha zinthu zomwe zimagwira mwachangu, zomwe zimatsimikizira kuti mankhwalawo amagwira bwino ntchito.

Maderawa amaphatikizapo khoma lakunja lam'mimba, phewa ndi ntchafu. Pofuna kupewa kukulitsa zotsatira zoyipa, muyenera kusinthitsa malo ena omwe ali ndi jekeseni mkati mwa gawo lomwe linanenedwa, apo ayi, chinthucho chimaleka kumizidwa ngati chikufunika, chomwe chimachepetsa chithandizo.

Mlingo wa mankhwala uyenera kutsimikiziridwa payekhapayekha. Izi zimakhudzidwa ndi zinthu zambiri, kuphatikiza zaka za wodwalayo, matenda ake owonjezera, mawonekedwe a shuga, ndi zina zambiri. Kuphatikiza apo, mlingo ungasinthidwe, ngati kuli kotheka, m'njira yayikulu kapena yaying'ono. Katswiri akuyenera kuwunika momwe chithandizo chikuyendera, kusanthula mphamvu ndikusintha dongosolo la majekeseni.

Jekeseni amachita kamodzi kapena kawiri patsiku, zomwe zimatsimikiziridwa kutengera chithunzi cha matendawa. Ndikofunikira kuti azichitika nthawi yomweyo.

Phunziro la kanema pogwiritsa ntchito cholembera:

Odwala Apadera ndi Mayendedwe

Popereka mankhwala, dokotalayo ayenera kukumbukira kuti chisamaliro chimafunikira pamagulu ena a odwala, chifukwa thupi la anthu awa silingayankhe mankhwalawo monga momwe anakonzera.

Odwala awa akuphatikizapo:

1. Ana. Zaka za wodwalayo ndizosakwana zaka 6 ndi chifukwa chokana kugwiritsa ntchito mankhwalawa. Kafukufuku wokhudzana ndi kufunikira kwa insulin Detemir kwa ana aang'ono sichinachitike, choncho musayike moyo wawo pachiwopsezo.
2. Anthu okalamba. Kusintha kokhudzana ndi ukalamba mthupi kumatha kusokoneza mayendedwe a mahomoni, chifukwa pomwe wodwalayo amakhala ndi zosokoneza. Chifukwa chake, musanapereke mankhwala, ndikofunikira kuchita kafukufuku kuti mudziwe matenda omwe ali nawo, kupatula shuga. Makamaka anapenda mosamala magwiridwe antchito a impso ndi chiwindi. Koma sizinganene kuti ukalamba ndi kuphwanya malamulo kwambiri. Akatswiri amapereka mankhwala kwa odwala otere, koma yang'anirani thanzi lawo kwambiri ndikuchepetsa gawo la mankhwalawo.
3. Amayi oyembekezera. Zambiri pazovuta zomwe zingachitike chifukwa chogwiritsa ntchito insulin panthawi ya bere silipezeka. Ngati ndi kotheka, chidachi chitha kugwiritsidwa ntchito, koma ndikofunikira kuwongolera kuchuluka kwa shuga, omwe amatha kusiyanasiyana kutengera nthawi.
4. Kuchepetsa. Popeza insulin ndi gulu la mapuloteni, kulowa kwake mkaka wa m'mawere sikumawonetsedwa ngati kowopsa kwa wakhanda - mutha kupitiliza kugwiritsa ntchito Levemir, koma muyenera kutsatira kadyedwe ndikutsatira Mlingo woyikidwa ndi katswiri.

Kusamala pokhudzana ndi kuchuluka kwa mankhwalawa kungathandize kupewa zovuta pamankhwala.

Kusasamala kungakhale koopsa pokhudzana ndi odwala omwe ali ndi vuto la chiwindi ndi impso. Mahomoni amakhudza ntchito ya chiwindi, amachepetsa kupanga shuga.

Ndi kulephera kwa chiwindi, mphamvu ya mankhwalawa imatha kukhala yopindika, yomwe imatsogolera dziko la hypoglycemic.

Kusokonezeka kwa impso kumatha kuyambitsa kuzengereza kwa zinthu zofunikira m'thupi. Izi zimayambitsa hypoglycemia.

Komabe, ndi zovuta zotere, amakana kugwiritsa ntchito mankhwalawa. Dotolo ayenera kuganizira kuuma kwa matenda ndi kukonza mlingo wa mankhwalawa malinga ndi izi.

Zotsatira zoyipa ndi bongo

Pa chithandizo, ndikofunikira kulabadira kusintha komwe kukubwera. Mphamvu zowoneka bwino ndizofunikira, koma kuwonekera kwa zizindikiro zoipa ndikofunikira kwambiri, chifukwa zochitika zovuta zikuwonetsa zovuta. Nthawi zambiri zimachitika chifukwa chakuti mankhwalawa sagwiritsidwa ntchito kwa wodwala.

Mutatha kuwerenga ndemanga za mankhwalawa, mutha kuwona kuti pakati pazotsatira zoyipa zimadziwika:

1. Hypoglycemia. Mawonekedwe ake amadza chifukwa cha kuchuluka kwa insulini, chifukwa chomwe thupi limakumana ndi vuto lalikulu la shuga. Matendawa amatha kudziwika ndi zizindikiro zosiyanasiyana, kuphatikizaponso kusazindikira, nseru, tachycardia, kunjenjemera, etc. Milandu yayikulu ikhoza kutha kwambiri ngati wodwala sanalandire chithandizo chamankhwala.
2. Zizindikiro zakomweko. Amawonetsedwa ngati wopanda vuto kwambiri, chifukwa amayamba chifukwa cha kulephera kwa thupi kuchitapo kanthu kamankhwala. Pambuyo kanthawi kocheperako, izi zimachitika. Izi zimaphatikizapo kutupa pamalo a jakisoni, kufiyanso pakhungu, totupa.
3. The ziwengo. Ngati m'mbuyomu mumayesa kuti mumvetsetse momwe mankhwalawo amachitikira, ndiye kuti zotsatira zake sizigwirizana. Koma izi sizimachitika nthawi zonse, chifukwa chake, munthu amatha kukhala ndi totupa, ming'oma, kupuma movutikira, nthawi zina ngakhale kugwedezeka kwa anaphylactic.
4. Zowonongeka. Kupezeka kwawo kukufotokozedwa ndi kusinthasintha kwa kuwerenga kwa shuga. Mtundu wa glycemic utakhazikika, kuphwanya kuyenera kuthetsedwa.

Mfundo zoyenera kuchitira mbali iliyonse yankhani ziyenera kusankhidwa ndi katswiri. Nthawi zina, mankhwala opatsirana amalembedwa, mwa ena, mankhwala omwe adayikidwa amathetsedwa.

Chifukwa cha izi, chikhalidwe cha hypoglycemic cha kusinthika kosiyanasiyana kumachitika. Wodwala amatha kukonza vutoli mwa kudya chakudya chamafuta ambiri (ngati mawonekedwe a hypoglycemia ndi ochepa). Panthawi yovuta, chithandizo chamankhwala ndichofunikira.

Mogwirizana ndi mankhwala ena, analogi

Kupanga kwa mankhwala Levemir amakopeka mwamphamvu ndi zinthu monga kuphatikiza kwake ndi mankhwala ena. Popereka mankhwala, adotolo ayenera kudziwa zomwe odwala amagwiritsa ntchito. Zina mwazo zimatha kutsitsa zotsatira za kuwonekera kwa insulin.

Izi zikuphatikiza:

• okodzetsa
• sympathomimetics;
• mitundu ina ya ma antidepressants;
• mankhwala a mahomoni.

Palinso mndandanda wamankhwala omwe amalimbikitsa zotsatira za Levemir, zomwe zimapangitsa kuti pakhale mankhwala ochulukirapo komanso zotsatira zoyipa.

Pakati pawo:

• sulfonamides;
• beta-blockers;
• MAO ndi ACE zoletsa;
• tetracyclines;
• wothandizira wa hypoglycemic.

Mukamagwiritsa ntchito ndalama zomwe zili pamwambapa ndi insulin, ndikofunikira kuti musinthe mankhwalawa kukhala wamkulu kapena wocheperako.

Zofanana poyerekeza ndi insulin Lantus ndi Levemir:

Sikoyenera kuyika Levemir ndi mankhwala ena nokha, chifukwa muyenera nzeru zapadera zomwe katswiri ali nazo.

Omaliza pakati pa fanizo ndi:

1. Protafan. Mankhwalawa amagulitsanso monga yankho. Gawo lake lalikulu ndi insulin Isofan. Kugwiritsidwa ntchito kwake ndikoyenera kwa odwala omwe thupi lawo limakhudzidwa ndi Detemir.
2. Humulin. Imayimiridwa ndi yankho la jakisoni lotengera insulin ya anthu.

Komanso, adokotala atha kukulemberani mankhwala akumwa a hypoglycemic, omwe ali ndi mfundo zofananira, koma njira ina yogwiritsira ntchito.

Mankhwalawa amagulitsidwa muma pharmacies pamtengo wa 2500 mpaka 3000 rubles. Kuti mugule, muyenera Chinsinsi.